"hospital_name","last_updated_on","version","hospital_location","hospital_address","license_number|CA","To the best of its knowledge and belief, the hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded is true, accurate, and complete as of the date indicated.",,,,,,,,,,,,,
"Hospital Authority of Jefferson County and the City of Louisville dba","11/1/2024","2.0.0","Jefferson Hospital","1067 Peachtree Street, Louisville, Georgia 30434","081-310","TRUE",,,,,,,,,,,,,
,,,,,,,,,,,,,,,,,,,
"Description","Code","Code_Type","Setting","Drug_Unit_of Measurement","Drug_Type_of Measurement","Standard Charge | Gross","Standard Charge | Discount Cash","Payer_Name","Plan_Name","Modifiers","Standard Charge | Negotiated_Dollar","Standard Charge | Negotiated_Percentage","Standard Charge | Negotiated_Algorithm","Standard Charge | Estimated_Amount","Standard Charge | Min","Standard Charge | Max","Standard Charge | Methodology","Additional_Payer_Notes","Additional_Generic_Notes"
"KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"722.5","361.25","Alliant","Health Exchange","RT",,"62",,"447.95","9.7","663.04","percent of total billed charges",,
"KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"722.5","361.25","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"390.15","9.7","663.04","percent of total billed charges",,
"KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"722.5","361.25","Medicare",,"RT",,"54",,"391.6","9.7","663.04","percent of total billed charges",,
"KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"722.5","361.25","Humana","Medicare Advantage","RT",,"54",,"391.6","9.7","663.04","percent of total billed charges",,
"KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"722.5","361.25","UHC","Medicare Advantage","RT",,"54",,"391.6","9.7","663.04","percent of total billed charges",,
"KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"722.5","361.25","Clover","Medicare Advantage","RT",,"54",,"391.6","9.7","663.04","percent of total billed charges",,
"KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"722.5","361.25","Wellcare","Medicare Advantage","RT",,"54",,"391.6","9.7","663.04","percent of total billed charges",,
"KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"722.5","361.25","Amerigroup","Medicaid Managed Care","RT",,"37",,"264.44","9.7","663.04","percent of total billed charges",,
"KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"722.5","361.25","Caresource","Medicaid Managed Care","RT",,"40",,"289","9.7","663.04","percent of total billed charges",,
"KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"722.5","361.25","Wellcare","Medicaid Managed Care","RT",,"40",,"292.61","9.7","663.04","percent of total billed charges",,
"KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"722.5","361.25","Aetna","Commercial","RT",,"64",,"460.96","9.7","663.04","percent of total billed charges",,
"KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"722.5","361.25","Blue Cross Blue Shield","Pathways","RT",,"71",,"510.08","9.7","663.04","percent of total billed charges",,
"KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"722.5","361.25","Blue Cross Blue Shield","HMO","RT",,"71",,"510.08","9.7","663.04","percent of total billed charges",,
"KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"722.5","361.25","Blue Cross Blue Shield","PPO","RT",,"71",,"510.08","9.7","663.04","percent of total billed charges",,
"KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"722.5","361.25","Ambetter","Health Exchange","RT",,"62",,"447.95","9.7","663.04","percent of total billed charges",,
"KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"722.5","361.25","Caresource","Health Exchange","RT",,"62",,"447.95","9.7","663.04","percent of total billed charges",,
"KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"722.5","361.25","Cigna","Commercial","RT",,"59",,"423.38","9.7","663.04","percent of total billed charges",,
"KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"722.5","361.25","Humana","Commercial","RT",,"78",,"559.94","9.7","663.04","percent of total billed charges",,
"KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"722.5","361.25","UHC","Commercial","RT",,"75",,"544.76","9.7","663.04","percent of total billed charges",,
"KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"722.5","361.25","Medicaid",,"RT",,"37",,"264.44","9.7","663.04","percent of total billed charges",,
"AMPUTATION,THIGH,THROUGH FEMUR","27590","HCPCS","Both",,,"1263","631.5","Alliant","Health Exchange","",,"62",,"783.06","462.26","978.82","percent of total billed charges",,
"AMPUTATION,THIGH,THROUGH FEMUR","27590","HCPCS","Both",,,"1263","631.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"682.02","462.26","978.82","percent of total billed charges",,
"AMPUTATION,THIGH,THROUGH FEMUR","27590","HCPCS","Both",,,"1263","631.5","Medicare",,"",,"54",,"684.55","462.26","978.82","percent of total billed charges",,
"AMPUTATION,THIGH,THROUGH FEMUR","27590","HCPCS","Both",,,"1263","631.5","Humana","Medicare Advantage","",,"54",,"684.55","462.26","978.82","percent of total billed charges",,
"AMPUTATION,THIGH,THROUGH FEMUR","27590","HCPCS","Both",,,"1263","631.5","UHC","Medicare Advantage","",,"54",,"684.55","462.26","978.82","percent of total billed charges",,
"AMPUTATION,THIGH,THROUGH FEMUR","27590","HCPCS","Both",,,"1263","631.5","Clover","Medicare Advantage","",,"54",,"684.55","462.26","978.82","percent of total billed charges",,
"AMPUTATION,THIGH,THROUGH FEMUR","27590","HCPCS","Both",,,"1263","631.5","Wellcare","Medicare Advantage","",,"54",,"684.55","462.26","978.82","percent of total billed charges",,
"AMPUTATION,THIGH,THROUGH FEMUR","27590","HCPCS","Both",,,"1263","631.5","Amerigroup","Medicaid Managed Care","",,"37",,"462.26","462.26","978.82","percent of total billed charges",,
"AMPUTATION,THIGH,THROUGH FEMUR","27590","HCPCS","Both",,,"1263","631.5","Caresource","Medicaid Managed Care","",,"40",,"505.2","462.26","978.82","percent of total billed charges",,
"AMPUTATION,THIGH,THROUGH FEMUR","27590","HCPCS","Both",,,"1263","631.5","Wellcare","Medicaid Managed Care","",,"40",,"511.52","462.26","978.82","percent of total billed charges",,
"AMPUTATION,THIGH,THROUGH FEMUR","27590","HCPCS","Both",,,"1263","631.5","Aetna","Commercial","",,"64",,"805.79","462.26","978.82","percent of total billed charges",,
"AMPUTATION,THIGH,THROUGH FEMUR","27590","HCPCS","Both",,,"1263","631.5","Blue Cross Blue Shield","Pathways","",,"71",,"891.68","462.26","978.82","percent of total billed charges",,
"AMPUTATION,THIGH,THROUGH FEMUR","27590","HCPCS","Both",,,"1263","631.5","Blue Cross Blue Shield","HMO","",,"71",,"891.68","462.26","978.82","percent of total billed charges",,
"AMPUTATION,THIGH,THROUGH FEMUR","27590","HCPCS","Both",,,"1263","631.5","Blue Cross Blue Shield","PPO","",,"71",,"891.68","462.26","978.82","percent of total billed charges",,
"AMPUTATION,THIGH,THROUGH FEMUR","27590","HCPCS","Both",,,"1263","631.5","Ambetter","Health Exchange","",,"62",,"783.06","462.26","978.82","percent of total billed charges",,
"AMPUTATION,THIGH,THROUGH FEMUR","27590","HCPCS","Both",,,"1263","631.5","Caresource","Health Exchange","",,"62",,"783.06","462.26","978.82","percent of total billed charges",,
"AMPUTATION,THIGH,THROUGH FEMUR","27590","HCPCS","Both",,,"1263","631.5","Cigna","Commercial","",,"59",,"740.12","462.26","978.82","percent of total billed charges",,
"AMPUTATION,THIGH,THROUGH FEMUR","27590","HCPCS","Both",,,"1263","631.5","Humana","Commercial","",,"78",,"978.82","462.26","978.82","percent of total billed charges",,
"AMPUTATION,THIGH,THROUGH FEMUR","27590","HCPCS","Both",,,"1263","631.5","UHC","Commercial","",,"75",,"952.3","462.26","978.82","percent of total billed charges",,
"AMPUTATION,THIGH,THROUGH FEMUR","27590","HCPCS","Both",,,"1263","631.5","Medicaid",,"",,"37",,"462.26","462.26","978.82","percent of total billed charges",,
"REDUCTION OF TORSION OF TESTIS","54600","HCPCS","Both",,,"766","383","Alliant","Health Exchange","",,"62",,"474.92","280.36","593.65","percent of total billed charges",,
"REDUCTION OF TORSION OF TESTIS","54600","HCPCS","Both",,,"766","383","Pruitt Healthcare","Medicare Advantage","",,"54",,"413.64","280.36","593.65","percent of total billed charges",,
"REDUCTION OF TORSION OF TESTIS","54600","HCPCS","Both",,,"766","383","Medicare",,"",,"54",,"415.17","280.36","593.65","percent of total billed charges",,
"REDUCTION OF TORSION OF TESTIS","54600","HCPCS","Both",,,"766","383","Humana","Medicare Advantage","",,"54",,"415.17","280.36","593.65","percent of total billed charges",,
"REDUCTION OF TORSION OF TESTIS","54600","HCPCS","Both",,,"766","383","UHC","Medicare Advantage","",,"54",,"415.17","280.36","593.65","percent of total billed charges",,
"REDUCTION OF TORSION OF TESTIS","54600","HCPCS","Both",,,"766","383","Clover","Medicare Advantage","",,"54",,"415.17","280.36","593.65","percent of total billed charges",,
"REDUCTION OF TORSION OF TESTIS","54600","HCPCS","Both",,,"766","383","Wellcare","Medicare Advantage","",,"54",,"415.17","280.36","593.65","percent of total billed charges",,
"REDUCTION OF TORSION OF TESTIS","54600","HCPCS","Both",,,"766","383","Amerigroup","Medicaid Managed Care","",,"37",,"280.36","280.36","593.65","percent of total billed charges",,
"REDUCTION OF TORSION OF TESTIS","54600","HCPCS","Both",,,"766","383","Caresource","Medicaid Managed Care","",,"40",,"306.4","280.36","593.65","percent of total billed charges",,
"REDUCTION OF TORSION OF TESTIS","54600","HCPCS","Both",,,"766","383","Wellcare","Medicaid Managed Care","",,"40",,"310.23","280.36","593.65","percent of total billed charges",,
"REDUCTION OF TORSION OF TESTIS","54600","HCPCS","Both",,,"766","383","Aetna","Commercial","",,"64",,"488.71","280.36","593.65","percent of total billed charges",,
"REDUCTION OF TORSION OF TESTIS","54600","HCPCS","Both",,,"766","383","Blue Cross Blue Shield","Pathways","",,"71",,"540.8","280.36","593.65","percent of total billed charges",,
"REDUCTION OF TORSION OF TESTIS","54600","HCPCS","Both",,,"766","383","Blue Cross Blue Shield","HMO","",,"71",,"540.8","280.36","593.65","percent of total billed charges",,
"REDUCTION OF TORSION OF TESTIS","54600","HCPCS","Both",,,"766","383","Blue Cross Blue Shield","PPO","",,"71",,"540.8","280.36","593.65","percent of total billed charges",,
"REDUCTION OF TORSION OF TESTIS","54600","HCPCS","Both",,,"766","383","Ambetter","Health Exchange","",,"62",,"474.92","280.36","593.65","percent of total billed charges",,
"REDUCTION OF TORSION OF TESTIS","54600","HCPCS","Both",,,"766","383","Caresource","Health Exchange","",,"62",,"474.92","280.36","593.65","percent of total billed charges",,
"REDUCTION OF TORSION OF TESTIS","54600","HCPCS","Both",,,"766","383","Cigna","Commercial","",,"59",,"448.88","280.36","593.65","percent of total billed charges",,
"REDUCTION OF TORSION OF TESTIS","54600","HCPCS","Both",,,"766","383","Humana","Commercial","",,"78",,"593.65","280.36","593.65","percent of total billed charges",,
"REDUCTION OF TORSION OF TESTIS","54600","HCPCS","Both",,,"766","383","UHC","Commercial","",,"75",,"577.56","280.36","593.65","percent of total billed charges",,
"REDUCTION OF TORSION OF TESTIS","54600","HCPCS","Both",,,"766","383","Medicaid",,"",,"37",,"280.36","280.36","593.65","percent of total billed charges",,
"SCRTOAL EXPLORATION","55110","HCPCS","Both",,,"699","349.5","Alliant","Health Exchange","",,"62",,"433.38","255.83","541.72","percent of total billed charges",,
"SCRTOAL EXPLORATION","55110","HCPCS","Both",,,"699","349.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"377.46","255.83","541.72","percent of total billed charges",,
"SCRTOAL EXPLORATION","55110","HCPCS","Both",,,"699","349.5","Medicare",,"",,"54",,"378.86","255.83","541.72","percent of total billed charges",,
"SCRTOAL EXPLORATION","55110","HCPCS","Both",,,"699","349.5","Humana","Medicare Advantage","",,"54",,"378.86","255.83","541.72","percent of total billed charges",,
"SCRTOAL EXPLORATION","55110","HCPCS","Both",,,"699","349.5","UHC","Medicare Advantage","",,"54",,"378.86","255.83","541.72","percent of total billed charges",,
"SCRTOAL EXPLORATION","55110","HCPCS","Both",,,"699","349.5","Clover","Medicare Advantage","",,"54",,"378.86","255.83","541.72","percent of total billed charges",,
"SCRTOAL EXPLORATION","55110","HCPCS","Both",,,"699","349.5","Wellcare","Medicare Advantage","",,"54",,"378.86","255.83","541.72","percent of total billed charges",,
"SCRTOAL EXPLORATION","55110","HCPCS","Both",,,"699","349.5","Amerigroup","Medicaid Managed Care","",,"37",,"255.83","255.83","541.72","percent of total billed charges",,
"SCRTOAL EXPLORATION","55110","HCPCS","Both",,,"699","349.5","Caresource","Medicaid Managed Care","",,"40",,"279.6","255.83","541.72","percent of total billed charges",,
"SCRTOAL EXPLORATION","55110","HCPCS","Both",,,"699","349.5","Wellcare","Medicaid Managed Care","",,"40",,"283.1","255.83","541.72","percent of total billed charges",,
"SCRTOAL EXPLORATION","55110","HCPCS","Both",,,"699","349.5","Aetna","Commercial","",,"64",,"445.96","255.83","541.72","percent of total billed charges",,
"SCRTOAL EXPLORATION","55110","HCPCS","Both",,,"699","349.5","Blue Cross Blue Shield","Pathways","",,"71",,"493.49","255.83","541.72","percent of total billed charges",,
"SCRTOAL EXPLORATION","55110","HCPCS","Both",,,"699","349.5","Blue Cross Blue Shield","HMO","",,"71",,"493.49","255.83","541.72","percent of total billed charges",,
"SCRTOAL EXPLORATION","55110","HCPCS","Both",,,"699","349.5","Blue Cross Blue Shield","PPO","",,"71",,"493.49","255.83","541.72","percent of total billed charges",,
"SCRTOAL EXPLORATION","55110","HCPCS","Both",,,"699","349.5","Ambetter","Health Exchange","",,"62",,"433.38","255.83","541.72","percent of total billed charges",,
"SCRTOAL EXPLORATION","55110","HCPCS","Both",,,"699","349.5","Caresource","Health Exchange","",,"62",,"433.38","255.83","541.72","percent of total billed charges",,
"SCRTOAL EXPLORATION","55110","HCPCS","Both",,,"699","349.5","Cigna","Commercial","",,"59",,"409.61","255.83","541.72","percent of total billed charges",,
"SCRTOAL EXPLORATION","55110","HCPCS","Both",,,"699","349.5","Humana","Commercial","",,"78",,"541.72","255.83","541.72","percent of total billed charges",,
"SCRTOAL EXPLORATION","55110","HCPCS","Both",,,"699","349.5","UHC","Commercial","",,"75",,"527.05","255.83","541.72","percent of total billed charges",,
"SCRTOAL EXPLORATION","55110","HCPCS","Both",,,"699","349.5","Medicaid",,"",,"37",,"255.83","255.83","541.72","percent of total billed charges",,
"AMPUTATION TOE","28820","HCPCS","Both",,,"467","233.5","Alliant","Health Exchange","",,"62",,"289.54","170.92","361.92","percent of total billed charges",,
"AMPUTATION TOE","28820","HCPCS","Both",,,"467","233.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"252.18","170.92","361.92","percent of total billed charges",,
"AMPUTATION TOE","28820","HCPCS","Both",,,"467","233.5","Medicare",,"",,"54",,"253.11","170.92","361.92","percent of total billed charges",,
"AMPUTATION TOE","28820","HCPCS","Both",,,"467","233.5","Humana","Medicare Advantage","",,"54",,"253.11","170.92","361.92","percent of total billed charges",,
"AMPUTATION TOE","28820","HCPCS","Both",,,"467","233.5","UHC","Medicare Advantage","",,"54",,"253.11","170.92","361.92","percent of total billed charges",,
"AMPUTATION TOE","28820","HCPCS","Both",,,"467","233.5","Clover","Medicare Advantage","",,"54",,"253.11","170.92","361.92","percent of total billed charges",,
"AMPUTATION TOE","28820","HCPCS","Both",,,"467","233.5","Wellcare","Medicare Advantage","",,"54",,"253.11","170.92","361.92","percent of total billed charges",,
"AMPUTATION TOE","28820","HCPCS","Both",,,"467","233.5","Amerigroup","Medicaid Managed Care","",,"37",,"170.92","170.92","361.92","percent of total billed charges",,
"AMPUTATION TOE","28820","HCPCS","Both",,,"467","233.5","Caresource","Medicaid Managed Care","",,"40",,"186.8","170.92","361.92","percent of total billed charges",,
"AMPUTATION TOE","28820","HCPCS","Both",,,"467","233.5","Wellcare","Medicaid Managed Care","",,"40",,"189.14","170.92","361.92","percent of total billed charges",,
"AMPUTATION TOE","28820","HCPCS","Both",,,"467","233.5","Aetna","Commercial","",,"64",,"297.95","170.92","361.92","percent of total billed charges",,
"AMPUTATION TOE","28820","HCPCS","Both",,,"467","233.5","Blue Cross Blue Shield","Pathways","",,"71",,"329.7","170.92","361.92","percent of total billed charges",,
"AMPUTATION TOE","28820","HCPCS","Both",,,"467","233.5","Blue Cross Blue Shield","HMO","",,"71",,"329.7","170.92","361.92","percent of total billed charges",,
"AMPUTATION TOE","28820","HCPCS","Both",,,"467","233.5","Blue Cross Blue Shield","PPO","",,"71",,"329.7","170.92","361.92","percent of total billed charges",,
"AMPUTATION TOE","28820","HCPCS","Both",,,"467","233.5","Ambetter","Health Exchange","",,"62",,"289.54","170.92","361.92","percent of total billed charges",,
"AMPUTATION TOE","28820","HCPCS","Both",,,"467","233.5","Caresource","Health Exchange","",,"62",,"289.54","170.92","361.92","percent of total billed charges",,
"AMPUTATION TOE","28820","HCPCS","Both",,,"467","233.5","Cigna","Commercial","",,"59",,"273.66","170.92","361.92","percent of total billed charges",,
"AMPUTATION TOE","28820","HCPCS","Both",,,"467","233.5","Humana","Commercial","",,"78",,"361.92","170.92","361.92","percent of total billed charges",,
"AMPUTATION TOE","28820","HCPCS","Both",,,"467","233.5","UHC","Commercial","",,"75",,"352.12","170.92","361.92","percent of total billed charges",,
"AMPUTATION TOE","28820","HCPCS","Both",,,"467","233.5","Medicaid",,"",,"37",,"170.92","170.92","361.92","percent of total billed charges",,
"SMALL BOWEL DECOMPRESSION","44021","HCPCS","Both",,,"1130","565","Alliant","Health Exchange","",,"62",,"700.6","413.58","875.75","percent of total billed charges",,
"SMALL BOWEL DECOMPRESSION","44021","HCPCS","Both",,,"1130","565","Pruitt Healthcare","Medicare Advantage","",,"54",,"610.2","413.58","875.75","percent of total billed charges",,
"SMALL BOWEL DECOMPRESSION","44021","HCPCS","Both",,,"1130","565","Medicare",,"",,"54",,"612.46","413.58","875.75","percent of total billed charges",,
"SMALL BOWEL DECOMPRESSION","44021","HCPCS","Both",,,"1130","565","Humana","Medicare Advantage","",,"54",,"612.46","413.58","875.75","percent of total billed charges",,
"SMALL BOWEL DECOMPRESSION","44021","HCPCS","Both",,,"1130","565","UHC","Medicare Advantage","",,"54",,"612.46","413.58","875.75","percent of total billed charges",,
"SMALL BOWEL DECOMPRESSION","44021","HCPCS","Both",,,"1130","565","Clover","Medicare Advantage","",,"54",,"612.46","413.58","875.75","percent of total billed charges",,
"SMALL BOWEL DECOMPRESSION","44021","HCPCS","Both",,,"1130","565","Wellcare","Medicare Advantage","",,"54",,"612.46","413.58","875.75","percent of total billed charges",,
"SMALL BOWEL DECOMPRESSION","44021","HCPCS","Both",,,"1130","565","Amerigroup","Medicaid Managed Care","",,"37",,"413.58","413.58","875.75","percent of total billed charges",,
"SMALL BOWEL DECOMPRESSION","44021","HCPCS","Both",,,"1130","565","Caresource","Medicaid Managed Care","",,"40",,"452","413.58","875.75","percent of total billed charges",,
"SMALL BOWEL DECOMPRESSION","44021","HCPCS","Both",,,"1130","565","Wellcare","Medicaid Managed Care","",,"40",,"457.65","413.58","875.75","percent of total billed charges",,
"SMALL BOWEL DECOMPRESSION","44021","HCPCS","Both",,,"1130","565","Aetna","Commercial","",,"64",,"720.94","413.58","875.75","percent of total billed charges",,
"SMALL BOWEL DECOMPRESSION","44021","HCPCS","Both",,,"1130","565","Blue Cross Blue Shield","Pathways","",,"71",,"797.78","413.58","875.75","percent of total billed charges",,
"SMALL BOWEL DECOMPRESSION","44021","HCPCS","Both",,,"1130","565","Blue Cross Blue Shield","HMO","",,"71",,"797.78","413.58","875.75","percent of total billed charges",,
"SMALL BOWEL DECOMPRESSION","44021","HCPCS","Both",,,"1130","565","Blue Cross Blue Shield","PPO","",,"71",,"797.78","413.58","875.75","percent of total billed charges",,
"SMALL BOWEL DECOMPRESSION","44021","HCPCS","Both",,,"1130","565","Ambetter","Health Exchange","",,"62",,"700.6","413.58","875.75","percent of total billed charges",,
"SMALL BOWEL DECOMPRESSION","44021","HCPCS","Both",,,"1130","565","Caresource","Health Exchange","",,"62",,"700.6","413.58","875.75","percent of total billed charges",,
"SMALL BOWEL DECOMPRESSION","44021","HCPCS","Both",,,"1130","565","Cigna","Commercial","",,"59",,"662.18","413.58","875.75","percent of total billed charges",,
"SMALL BOWEL DECOMPRESSION","44021","HCPCS","Both",,,"1130","565","Humana","Commercial","",,"78",,"875.75","413.58","875.75","percent of total billed charges",,
"SMALL BOWEL DECOMPRESSION","44021","HCPCS","Both",,,"1130","565","UHC","Commercial","",,"75",,"852.02","413.58","875.75","percent of total billed charges",,
"SMALL BOWEL DECOMPRESSION","44021","HCPCS","Both",,,"1130","565","Medicaid",,"",,"37",,"413.58","413.58","875.75","percent of total billed charges",,
"I & D HEMATOMA","10140","HCPCS","Both",,,"102","51","Alliant","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"I & D HEMATOMA","10140","HCPCS","Both",,,"102","51","Pruitt Healthcare","Medicare Advantage","",,"54",,"55.08","37.33","79.05","percent of total billed charges",,
"I & D HEMATOMA","10140","HCPCS","Both",,,"102","51","Medicare",,"",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"I & D HEMATOMA","10140","HCPCS","Both",,,"102","51","Humana","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"I & D HEMATOMA","10140","HCPCS","Both",,,"102","51","UHC","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"I & D HEMATOMA","10140","HCPCS","Both",,,"102","51","Clover","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"I & D HEMATOMA","10140","HCPCS","Both",,,"102","51","Wellcare","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"I & D HEMATOMA","10140","HCPCS","Both",,,"102","51","Amerigroup","Medicaid Managed Care","",,"37",,"37.33","37.33","79.05","percent of total billed charges",,
"I & D HEMATOMA","10140","HCPCS","Both",,,"102","51","Caresource","Medicaid Managed Care","",,"40",,"40.8","37.33","79.05","percent of total billed charges",,
"I & D HEMATOMA","10140","HCPCS","Both",,,"102","51","Wellcare","Medicaid Managed Care","",,"40",,"41.31","37.33","79.05","percent of total billed charges",,
"I & D HEMATOMA","10140","HCPCS","Both",,,"102","51","Aetna","Commercial","",,"64",,"65.08","37.33","79.05","percent of total billed charges",,
"I & D HEMATOMA","10140","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","Pathways","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"I & D HEMATOMA","10140","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","HMO","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"I & D HEMATOMA","10140","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","PPO","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"I & D HEMATOMA","10140","HCPCS","Both",,,"102","51","Ambetter","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"I & D HEMATOMA","10140","HCPCS","Both",,,"102","51","Caresource","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"I & D HEMATOMA","10140","HCPCS","Both",,,"102","51","Cigna","Commercial","",,"59",,"59.77","37.33","79.05","percent of total billed charges",,
"I & D HEMATOMA","10140","HCPCS","Both",,,"102","51","Humana","Commercial","",,"78",,"79.05","37.33","79.05","percent of total billed charges",,
"I & D HEMATOMA","10140","HCPCS","Both",,,"102","51","UHC","Commercial","",,"75",,"76.91","37.33","79.05","percent of total billed charges",,
"I & D HEMATOMA","10140","HCPCS","Both",,,"102","51","Medicaid",,"",,"37",,"37.33","37.33","79.05","percent of total billed charges",,
"LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Alliant","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Pruitt Healthcare","Medicare Advantage","",,"54",,"55.08","37.33","79.05","percent of total billed charges",,
"LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Medicare",,"",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Humana","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"LONG ARM CAST","29065","HCPCS","Both",,,"102","51","UHC","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Clover","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Wellcare","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Amerigroup","Medicaid Managed Care","",,"37",,"37.33","37.33","79.05","percent of total billed charges",,
"LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Caresource","Medicaid Managed Care","",,"40",,"40.8","37.33","79.05","percent of total billed charges",,
"LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Wellcare","Medicaid Managed Care","",,"40",,"41.31","37.33","79.05","percent of total billed charges",,
"LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Aetna","Commercial","",,"64",,"65.08","37.33","79.05","percent of total billed charges",,
"LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","Pathways","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","HMO","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","PPO","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Ambetter","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Caresource","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Cigna","Commercial","",,"59",,"59.77","37.33","79.05","percent of total billed charges",,
"LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Humana","Commercial","",,"78",,"79.05","37.33","79.05","percent of total billed charges",,
"LONG ARM CAST","29065","HCPCS","Both",,,"102","51","UHC","Commercial","",,"75",,"76.91","37.33","79.05","percent of total billed charges",,
"LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Medicaid",,"",,"37",,"37.33","37.33","79.05","percent of total billed charges",,
"INTUBATION-ENDOTRACHEAL","31500","HCPCS","Both",,,"418","209","Alliant","Health Exchange","",,"62",,"259.16","146.87","323.95","percent of total billed charges",,
"INTUBATION-ENDOTRACHEAL","31500","HCPCS","Both",,,"418","209","Pruitt Healthcare","Medicare Advantage","",,"54",,"225.72","146.87","323.95","percent of total billed charges",,
"INTUBATION-ENDOTRACHEAL","31500","HCPCS","Both",,,"418","209","Medicare",,"",,"54",,"226.56","146.87","323.95","percent of total billed charges",,
"INTUBATION-ENDOTRACHEAL","31500","HCPCS","Both",,,"418","209","Humana","Medicare Advantage","",,"54",,"226.56","146.87","323.95","percent of total billed charges",,
"INTUBATION-ENDOTRACHEAL","31500","HCPCS","Both",,,"418","209","UHC","Medicare Advantage","",,"54",,"226.56","146.87","323.95","percent of total billed charges",,
"INTUBATION-ENDOTRACHEAL","31500","HCPCS","Both",,,"418","209","Clover","Medicare Advantage","",,"54",,"226.56","146.87","323.95","percent of total billed charges",,
"INTUBATION-ENDOTRACHEAL","31500","HCPCS","Both",,,"418","209","Wellcare","Medicare Advantage","",,"54",,"226.56","146.87","323.95","percent of total billed charges",,
"INTUBATION-ENDOTRACHEAL","31500","HCPCS","Both",,,"418","209","Amerigroup","Medicaid Managed Care","",,"37",,"152.99","146.87","323.95","percent of total billed charges",,
"INTUBATION-ENDOTRACHEAL","31500","HCPCS","Both",,,"418","209","Caresource","Medicaid Managed Care","",,"40",,"167.2","146.87","323.95","percent of total billed charges",,
"INTUBATION-ENDOTRACHEAL","31500","HCPCS","Both",,,"418","209","Wellcare","Medicaid Managed Care","",,"40",,"169.29","146.87","323.95","percent of total billed charges",,
"INTUBATION-ENDOTRACHEAL","31500","HCPCS","Both",,,"418","209","Aetna","Commercial","",,"64",,"266.68","146.87","323.95","percent of total billed charges",,
"INTUBATION-ENDOTRACHEAL","31500","HCPCS","Both",,,"418","209","Blue Cross Blue Shield","Pathways","",,"71",,"295.11","146.87","323.95","percent of total billed charges",,
"INTUBATION-ENDOTRACHEAL","31500","HCPCS","Both",,,"418","209","Blue Cross Blue Shield","HMO","",,"71",,"295.11","146.87","323.95","percent of total billed charges",,
"INTUBATION-ENDOTRACHEAL","31500","HCPCS","Both",,,"418","209","Blue Cross Blue Shield","PPO","",,"71",,"295.11","146.87","323.95","percent of total billed charges",,
"INTUBATION-ENDOTRACHEAL","31500","HCPCS","Both",,,"418","209","Ambetter","Health Exchange","",,"62",,"259.16","146.87","323.95","percent of total billed charges",,
"INTUBATION-ENDOTRACHEAL","31500","HCPCS","Both",,,"418","209","Caresource","Health Exchange","",,"62",,"259.16","146.87","323.95","percent of total billed charges",,
"INTUBATION-ENDOTRACHEAL","31500","HCPCS","Both",,,"418","209","Cigna","Commercial","",,"59",,"244.95","146.87","323.95","percent of total billed charges",,
"INTUBATION-ENDOTRACHEAL","31500","HCPCS","Both",,,"418","209","Humana","Commercial","",,"78",,"323.95","146.87","323.95","percent of total billed charges",,
"INTUBATION-ENDOTRACHEAL","31500","HCPCS","Both",,,"418","209","UHC","Commercial","",,"75",,"315.17","146.87","323.95","percent of total billed charges",,
"INTUBATION-ENDOTRACHEAL","31500","HCPCS","Both",,,"418","209","Medicaid",,"",,"37",,"152.99","146.87","323.95","percent of total billed charges",,
"CYST,ASPIRATION OF BREAST","19000","HCPCS","Both",,,"87","43.5","Alliant","Health Exchange","",,"62",,"53.94","31.84","67.42","percent of total billed charges",,
"CYST,ASPIRATION OF BREAST","19000","HCPCS","Both",,,"87","43.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"46.98","31.84","67.42","percent of total billed charges",,
"CYST,ASPIRATION OF BREAST","19000","HCPCS","Both",,,"87","43.5","Medicare",,"",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"CYST,ASPIRATION OF BREAST","19000","HCPCS","Both",,,"87","43.5","Humana","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"CYST,ASPIRATION OF BREAST","19000","HCPCS","Both",,,"87","43.5","UHC","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"CYST,ASPIRATION OF BREAST","19000","HCPCS","Both",,,"87","43.5","Clover","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"CYST,ASPIRATION OF BREAST","19000","HCPCS","Both",,,"87","43.5","Wellcare","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"CYST,ASPIRATION OF BREAST","19000","HCPCS","Both",,,"87","43.5","Amerigroup","Medicaid Managed Care","",,"37",,"31.84","31.84","67.42","percent of total billed charges",,
"CYST,ASPIRATION OF BREAST","19000","HCPCS","Both",,,"87","43.5","Caresource","Medicaid Managed Care","",,"40",,"34.8","31.84","67.42","percent of total billed charges",,
"CYST,ASPIRATION OF BREAST","19000","HCPCS","Both",,,"87","43.5","Wellcare","Medicaid Managed Care","",,"40",,"35.24","31.84","67.42","percent of total billed charges",,
"CYST,ASPIRATION OF BREAST","19000","HCPCS","Both",,,"87","43.5","Aetna","Commercial","",,"64",,"55.51","31.84","67.42","percent of total billed charges",,
"CYST,ASPIRATION OF BREAST","19000","HCPCS","Both",,,"87","43.5","Blue Cross Blue Shield","Pathways","",,"71",,"61.42","31.84","67.42","percent of total billed charges",,
"CYST,ASPIRATION OF BREAST","19000","HCPCS","Both",,,"87","43.5","Blue Cross Blue Shield","HMO","",,"71",,"61.42","31.84","67.42","percent of total billed charges",,
"CYST,ASPIRATION OF BREAST","19000","HCPCS","Both",,,"87","43.5","Blue Cross Blue Shield","PPO","",,"71",,"61.42","31.84","67.42","percent of total billed charges",,
"CYST,ASPIRATION OF BREAST","19000","HCPCS","Both",,,"87","43.5","Ambetter","Health Exchange","",,"62",,"53.94","31.84","67.42","percent of total billed charges",,
"CYST,ASPIRATION OF BREAST","19000","HCPCS","Both",,,"87","43.5","Caresource","Health Exchange","",,"62",,"53.94","31.84","67.42","percent of total billed charges",,
"CYST,ASPIRATION OF BREAST","19000","HCPCS","Both",,,"87","43.5","Cigna","Commercial","",,"59",,"50.98","31.84","67.42","percent of total billed charges",,
"CYST,ASPIRATION OF BREAST","19000","HCPCS","Both",,,"87","43.5","Humana","Commercial","",,"78",,"67.42","31.84","67.42","percent of total billed charges",,
"CYST,ASPIRATION OF BREAST","19000","HCPCS","Both",,,"87","43.5","UHC","Commercial","",,"75",,"65.6","31.84","67.42","percent of total billed charges",,
"CYST,ASPIRATION OF BREAST","19000","HCPCS","Both",,,"87","43.5","Medicaid",,"",,"37",,"31.84","31.84","67.42","percent of total billed charges",,
"REMOVAL DEEP F/B HUMEROUS","24201","HCPCS","Both",,,"433","216.5","Alliant","Health Exchange","",,"62",,"268.46","158.48","335.58","percent of total billed charges",,
"REMOVAL DEEP F/B HUMEROUS","24201","HCPCS","Both",,,"433","216.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"233.82","158.48","335.58","percent of total billed charges",,
"REMOVAL DEEP F/B HUMEROUS","24201","HCPCS","Both",,,"433","216.5","Medicare",,"",,"54",,"234.69","158.48","335.58","percent of total billed charges",,
"REMOVAL DEEP F/B HUMEROUS","24201","HCPCS","Both",,,"433","216.5","Humana","Medicare Advantage","",,"54",,"234.69","158.48","335.58","percent of total billed charges",,
"REMOVAL DEEP F/B HUMEROUS","24201","HCPCS","Both",,,"433","216.5","UHC","Medicare Advantage","",,"54",,"234.69","158.48","335.58","percent of total billed charges",,
"REMOVAL DEEP F/B HUMEROUS","24201","HCPCS","Both",,,"433","216.5","Clover","Medicare Advantage","",,"54",,"234.69","158.48","335.58","percent of total billed charges",,
"REMOVAL DEEP F/B HUMEROUS","24201","HCPCS","Both",,,"433","216.5","Wellcare","Medicare Advantage","",,"54",,"234.69","158.48","335.58","percent of total billed charges",,
"REMOVAL DEEP F/B HUMEROUS","24201","HCPCS","Both",,,"433","216.5","Amerigroup","Medicaid Managed Care","",,"37",,"158.48","158.48","335.58","percent of total billed charges",,
"REMOVAL DEEP F/B HUMEROUS","24201","HCPCS","Both",,,"433","216.5","Caresource","Medicaid Managed Care","",,"40",,"173.2","158.48","335.58","percent of total billed charges",,
"REMOVAL DEEP F/B HUMEROUS","24201","HCPCS","Both",,,"433","216.5","Wellcare","Medicaid Managed Care","",,"40",,"175.36","158.48","335.58","percent of total billed charges",,
"REMOVAL DEEP F/B HUMEROUS","24201","HCPCS","Both",,,"433","216.5","Aetna","Commercial","",,"64",,"276.25","158.48","335.58","percent of total billed charges",,
"REMOVAL DEEP F/B HUMEROUS","24201","HCPCS","Both",,,"433","216.5","Blue Cross Blue Shield","Pathways","",,"71",,"305.7","158.48","335.58","percent of total billed charges",,
"REMOVAL DEEP F/B HUMEROUS","24201","HCPCS","Both",,,"433","216.5","Blue Cross Blue Shield","HMO","",,"71",,"305.7","158.48","335.58","percent of total billed charges",,
"REMOVAL DEEP F/B HUMEROUS","24201","HCPCS","Both",,,"433","216.5","Blue Cross Blue Shield","PPO","",,"71",,"305.7","158.48","335.58","percent of total billed charges",,
"REMOVAL DEEP F/B HUMEROUS","24201","HCPCS","Both",,,"433","216.5","Ambetter","Health Exchange","",,"62",,"268.46","158.48","335.58","percent of total billed charges",,
"REMOVAL DEEP F/B HUMEROUS","24201","HCPCS","Both",,,"433","216.5","Caresource","Health Exchange","",,"62",,"268.46","158.48","335.58","percent of total billed charges",,
"REMOVAL DEEP F/B HUMEROUS","24201","HCPCS","Both",,,"433","216.5","Cigna","Commercial","",,"59",,"253.74","158.48","335.58","percent of total billed charges",,
"REMOVAL DEEP F/B HUMEROUS","24201","HCPCS","Both",,,"433","216.5","Humana","Commercial","",,"78",,"335.58","158.48","335.58","percent of total billed charges",,
"REMOVAL DEEP F/B HUMEROUS","24201","HCPCS","Both",,,"433","216.5","UHC","Commercial","",,"75",,"326.48","158.48","335.58","percent of total billed charges",,
"REMOVAL DEEP F/B HUMEROUS","24201","HCPCS","Both",,,"433","216.5","Medicaid",,"",,"37",,"158.48","158.48","335.58","percent of total billed charges",,
"SKIN EXCISION","27615","HCPCS","Both",,,"1196","598","Alliant","Health Exchange","",,"62",,"741.52","437.74","926.9","percent of total billed charges",,
"SKIN EXCISION","27615","HCPCS","Both",,,"1196","598","Pruitt Healthcare","Medicare Advantage","",,"54",,"645.84","437.74","926.9","percent of total billed charges",,
"SKIN EXCISION","27615","HCPCS","Both",,,"1196","598","Medicare",,"",,"54",,"648.23","437.74","926.9","percent of total billed charges",,
"SKIN EXCISION","27615","HCPCS","Both",,,"1196","598","Humana","Medicare Advantage","",,"54",,"648.23","437.74","926.9","percent of total billed charges",,
"SKIN EXCISION","27615","HCPCS","Both",,,"1196","598","UHC","Medicare Advantage","",,"54",,"648.23","437.74","926.9","percent of total billed charges",,
"SKIN EXCISION","27615","HCPCS","Both",,,"1196","598","Clover","Medicare Advantage","",,"54",,"648.23","437.74","926.9","percent of total billed charges",,
"SKIN EXCISION","27615","HCPCS","Both",,,"1196","598","Wellcare","Medicare Advantage","",,"54",,"648.23","437.74","926.9","percent of total billed charges",,
"SKIN EXCISION","27615","HCPCS","Both",,,"1196","598","Amerigroup","Medicaid Managed Care","",,"37",,"437.74","437.74","926.9","percent of total billed charges",,
"SKIN EXCISION","27615","HCPCS","Both",,,"1196","598","Caresource","Medicaid Managed Care","",,"40",,"478.4","437.74","926.9","percent of total billed charges",,
"SKIN EXCISION","27615","HCPCS","Both",,,"1196","598","Wellcare","Medicaid Managed Care","",,"40",,"484.38","437.74","926.9","percent of total billed charges",,
"SKIN EXCISION","27615","HCPCS","Both",,,"1196","598","Aetna","Commercial","",,"64",,"763.05","437.74","926.9","percent of total billed charges",,
"SKIN EXCISION","27615","HCPCS","Both",,,"1196","598","Blue Cross Blue Shield","Pathways","",,"71",,"844.38","437.74","926.9","percent of total billed charges",,
"SKIN EXCISION","27615","HCPCS","Both",,,"1196","598","Blue Cross Blue Shield","HMO","",,"71",,"844.38","437.74","926.9","percent of total billed charges",,
"SKIN EXCISION","27615","HCPCS","Both",,,"1196","598","Blue Cross Blue Shield","PPO","",,"71",,"844.38","437.74","926.9","percent of total billed charges",,
"SKIN EXCISION","27615","HCPCS","Both",,,"1196","598","Ambetter","Health Exchange","",,"62",,"741.52","437.74","926.9","percent of total billed charges",,
"SKIN EXCISION","27615","HCPCS","Both",,,"1196","598","Caresource","Health Exchange","",,"62",,"741.52","437.74","926.9","percent of total billed charges",,
"SKIN EXCISION","27615","HCPCS","Both",,,"1196","598","Cigna","Commercial","",,"59",,"700.86","437.74","926.9","percent of total billed charges",,
"SKIN EXCISION","27615","HCPCS","Both",,,"1196","598","Humana","Commercial","",,"78",,"926.9","437.74","926.9","percent of total billed charges",,
"SKIN EXCISION","27615","HCPCS","Both",,,"1196","598","UHC","Commercial","",,"75",,"901.78","437.74","926.9","percent of total billed charges",,
"SKIN EXCISION","27615","HCPCS","Both",,,"1196","598","Medicaid",,"",,"37",,"437.74","437.74","926.9","percent of total billed charges",,
"SKIN GRAFT","15220","HCPCS","Both",,,"745","372.5","Alliant","Health Exchange","",,"62",,"461.9","272.67","577.38","percent of total billed charges",,
"SKIN GRAFT","15220","HCPCS","Both",,,"745","372.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"402.3","272.67","577.38","percent of total billed charges",,
"SKIN GRAFT","15220","HCPCS","Both",,,"745","372.5","Medicare",,"",,"54",,"403.79","272.67","577.38","percent of total billed charges",,
"SKIN GRAFT","15220","HCPCS","Both",,,"745","372.5","Humana","Medicare Advantage","",,"54",,"403.79","272.67","577.38","percent of total billed charges",,
"SKIN GRAFT","15220","HCPCS","Both",,,"745","372.5","UHC","Medicare Advantage","",,"54",,"403.79","272.67","577.38","percent of total billed charges",,
"SKIN GRAFT","15220","HCPCS","Both",,,"745","372.5","Clover","Medicare Advantage","",,"54",,"403.79","272.67","577.38","percent of total billed charges",,
"SKIN GRAFT","15220","HCPCS","Both",,,"745","372.5","Wellcare","Medicare Advantage","",,"54",,"403.79","272.67","577.38","percent of total billed charges",,
"SKIN GRAFT","15220","HCPCS","Both",,,"745","372.5","Amerigroup","Medicaid Managed Care","",,"37",,"272.67","272.67","577.38","percent of total billed charges",,
"SKIN GRAFT","15220","HCPCS","Both",,,"745","372.5","Caresource","Medicaid Managed Care","",,"40",,"298","272.67","577.38","percent of total billed charges",,
"SKIN GRAFT","15220","HCPCS","Both",,,"745","372.5","Wellcare","Medicaid Managed Care","",,"40",,"301.73","272.67","577.38","percent of total billed charges",,
"SKIN GRAFT","15220","HCPCS","Both",,,"745","372.5","Aetna","Commercial","",,"64",,"475.31","272.67","577.38","percent of total billed charges",,
"SKIN GRAFT","15220","HCPCS","Both",,,"745","372.5","Blue Cross Blue Shield","Pathways","",,"71",,"525.97","272.67","577.38","percent of total billed charges",,
"SKIN GRAFT","15220","HCPCS","Both",,,"745","372.5","Blue Cross Blue Shield","HMO","",,"71",,"525.97","272.67","577.38","percent of total billed charges",,
"SKIN GRAFT","15220","HCPCS","Both",,,"745","372.5","Blue Cross Blue Shield","PPO","",,"71",,"525.97","272.67","577.38","percent of total billed charges",,
"SKIN GRAFT","15220","HCPCS","Both",,,"745","372.5","Ambetter","Health Exchange","",,"62",,"461.9","272.67","577.38","percent of total billed charges",,
"SKIN GRAFT","15220","HCPCS","Both",,,"745","372.5","Caresource","Health Exchange","",,"62",,"461.9","272.67","577.38","percent of total billed charges",,
"SKIN GRAFT","15220","HCPCS","Both",,,"745","372.5","Cigna","Commercial","",,"59",,"436.57","272.67","577.38","percent of total billed charges",,
"SKIN GRAFT","15220","HCPCS","Both",,,"745","372.5","Humana","Commercial","",,"78",,"577.38","272.67","577.38","percent of total billed charges",,
"SKIN GRAFT","15220","HCPCS","Both",,,"745","372.5","UHC","Commercial","",,"75",,"561.73","272.67","577.38","percent of total billed charges",,
"SKIN GRAFT","15220","HCPCS","Both",,,"745","372.5","Medicaid",,"",,"37",,"272.67","272.67","577.38","percent of total billed charges",,
"GASTRIC INTUBATION & ASPIRATION(S)","43753","HCPCS","Both",,,"114","57","Alliant","Health Exchange","",,"62",,"70.68","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION & ASPIRATION(S)","43753","HCPCS","Both",,,"114","57","Pruitt Healthcare","Medicare Advantage","",,"54",,"61.56","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION & ASPIRATION(S)","43753","HCPCS","Both",,,"114","57","Medicare",,"",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION & ASPIRATION(S)","43753","HCPCS","Both",,,"114","57","Humana","Medicare Advantage","",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION & ASPIRATION(S)","43753","HCPCS","Both",,,"114","57","UHC","Medicare Advantage","",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION & ASPIRATION(S)","43753","HCPCS","Both",,,"114","57","Clover","Medicare Advantage","",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION & ASPIRATION(S)","43753","HCPCS","Both",,,"114","57","Wellcare","Medicare Advantage","",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION & ASPIRATION(S)","43753","HCPCS","Both",,,"114","57","Amerigroup","Medicaid Managed Care","",,"37",,"41.72","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION & ASPIRATION(S)","43753","HCPCS","Both",,,"114","57","Caresource","Medicaid Managed Care","",,"40",,"45.6","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION & ASPIRATION(S)","43753","HCPCS","Both",,,"114","57","Wellcare","Medicaid Managed Care","",,"40",,"46.17","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION & ASPIRATION(S)","43753","HCPCS","Both",,,"114","57","Aetna","Commercial","",,"64",,"72.73","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION & ASPIRATION(S)","43753","HCPCS","Both",,,"114","57","Blue Cross Blue Shield","Pathways","",,"71",,"80.48","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION & ASPIRATION(S)","43753","HCPCS","Both",,,"114","57","Blue Cross Blue Shield","HMO","",,"71",,"80.48","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION & ASPIRATION(S)","43753","HCPCS","Both",,,"114","57","Blue Cross Blue Shield","PPO","",,"71",,"80.48","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION & ASPIRATION(S)","43753","HCPCS","Both",,,"114","57","Ambetter","Health Exchange","",,"62",,"70.68","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION & ASPIRATION(S)","43753","HCPCS","Both",,,"114","57","Caresource","Health Exchange","",,"62",,"70.68","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION & ASPIRATION(S)","43753","HCPCS","Both",,,"114","57","Cigna","Commercial","",,"59",,"66.8","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION & ASPIRATION(S)","43753","HCPCS","Both",,,"114","57","Humana","Commercial","",,"78",,"88.35","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION & ASPIRATION(S)","43753","HCPCS","Both",,,"114","57","UHC","Commercial","",,"75",,"85.96","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION & ASPIRATION(S)","43753","HCPCS","Both",,,"114","57","Medicaid",,"",,"37",,"41.72","41.72","88.35","percent of total billed charges",,
"SEBACEOUS CYST EXCISION","11402","HCPCS","Both",,,"160","80","Alliant","Health Exchange","",,"62",,"99.2","58.56","124","percent of total billed charges",,
"SEBACEOUS CYST EXCISION","11402","HCPCS","Both",,,"160","80","Pruitt Healthcare","Medicare Advantage","",,"54",,"86.4","58.56","124","percent of total billed charges",,
"SEBACEOUS CYST EXCISION","11402","HCPCS","Both",,,"160","80","Medicare",,"",,"54",,"86.72","58.56","124","percent of total billed charges",,
"SEBACEOUS CYST EXCISION","11402","HCPCS","Both",,,"160","80","Humana","Medicare Advantage","",,"54",,"86.72","58.56","124","percent of total billed charges",,
"SEBACEOUS CYST EXCISION","11402","HCPCS","Both",,,"160","80","UHC","Medicare Advantage","",,"54",,"86.72","58.56","124","percent of total billed charges",,
"SEBACEOUS CYST EXCISION","11402","HCPCS","Both",,,"160","80","Clover","Medicare Advantage","",,"54",,"86.72","58.56","124","percent of total billed charges",,
"SEBACEOUS CYST EXCISION","11402","HCPCS","Both",,,"160","80","Wellcare","Medicare Advantage","",,"54",,"86.72","58.56","124","percent of total billed charges",,
"SEBACEOUS CYST EXCISION","11402","HCPCS","Both",,,"160","80","Amerigroup","Medicaid Managed Care","",,"37",,"58.56","58.56","124","percent of total billed charges",,
"SEBACEOUS CYST EXCISION","11402","HCPCS","Both",,,"160","80","Caresource","Medicaid Managed Care","",,"40",,"64","58.56","124","percent of total billed charges",,
"SEBACEOUS CYST EXCISION","11402","HCPCS","Both",,,"160","80","Wellcare","Medicaid Managed Care","",,"40",,"64.8","58.56","124","percent of total billed charges",,
"SEBACEOUS CYST EXCISION","11402","HCPCS","Both",,,"160","80","Aetna","Commercial","",,"64",,"102.08","58.56","124","percent of total billed charges",,
"SEBACEOUS CYST EXCISION","11402","HCPCS","Both",,,"160","80","Blue Cross Blue Shield","Pathways","",,"71",,"112.96","58.56","124","percent of total billed charges",,
"SEBACEOUS CYST EXCISION","11402","HCPCS","Both",,,"160","80","Blue Cross Blue Shield","HMO","",,"71",,"112.96","58.56","124","percent of total billed charges",,
"SEBACEOUS CYST EXCISION","11402","HCPCS","Both",,,"160","80","Blue Cross Blue Shield","PPO","",,"71",,"112.96","58.56","124","percent of total billed charges",,
"SEBACEOUS CYST EXCISION","11402","HCPCS","Both",,,"160","80","Ambetter","Health Exchange","",,"62",,"99.2","58.56","124","percent of total billed charges",,
"SEBACEOUS CYST EXCISION","11402","HCPCS","Both",,,"160","80","Caresource","Health Exchange","",,"62",,"99.2","58.56","124","percent of total billed charges",,
"SEBACEOUS CYST EXCISION","11402","HCPCS","Both",,,"160","80","Cigna","Commercial","",,"59",,"93.76","58.56","124","percent of total billed charges",,
"SEBACEOUS CYST EXCISION","11402","HCPCS","Both",,,"160","80","Humana","Commercial","",,"78",,"124","58.56","124","percent of total billed charges",,
"SEBACEOUS CYST EXCISION","11402","HCPCS","Both",,,"160","80","UHC","Commercial","",,"75",,"120.64","58.56","124","percent of total billed charges",,
"SEBACEOUS CYST EXCISION","11402","HCPCS","Both",,,"160","80","Medicaid",,"",,"37",,"58.56","58.56","124","percent of total billed charges",,
"LARGE BOWEL DECOMPRESSION","45337","HCPCS","Both",,,"367","183.5","Alliant","Health Exchange","",,"62",,"227.54","134.32","284.42","percent of total billed charges",,
"LARGE BOWEL DECOMPRESSION","45337","HCPCS","Both",,,"367","183.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"198.18","134.32","284.42","percent of total billed charges",,
"LARGE BOWEL DECOMPRESSION","45337","HCPCS","Both",,,"367","183.5","Medicare",,"",,"54",,"198.91","134.32","284.42","percent of total billed charges",,
"LARGE BOWEL DECOMPRESSION","45337","HCPCS","Both",,,"367","183.5","Humana","Medicare Advantage","",,"54",,"198.91","134.32","284.42","percent of total billed charges",,
"LARGE BOWEL DECOMPRESSION","45337","HCPCS","Both",,,"367","183.5","UHC","Medicare Advantage","",,"54",,"198.91","134.32","284.42","percent of total billed charges",,
"LARGE BOWEL DECOMPRESSION","45337","HCPCS","Both",,,"367","183.5","Clover","Medicare Advantage","",,"54",,"198.91","134.32","284.42","percent of total billed charges",,
"LARGE BOWEL DECOMPRESSION","45337","HCPCS","Both",,,"367","183.5","Wellcare","Medicare Advantage","",,"54",,"198.91","134.32","284.42","percent of total billed charges",,
"LARGE BOWEL DECOMPRESSION","45337","HCPCS","Both",,,"367","183.5","Amerigroup","Medicaid Managed Care","",,"37",,"134.32","134.32","284.42","percent of total billed charges",,
"LARGE BOWEL DECOMPRESSION","45337","HCPCS","Both",,,"367","183.5","Caresource","Medicaid Managed Care","",,"40",,"146.8","134.32","284.42","percent of total billed charges",,
"LARGE BOWEL DECOMPRESSION","45337","HCPCS","Both",,,"367","183.5","Wellcare","Medicaid Managed Care","",,"40",,"148.64","134.32","284.42","percent of total billed charges",,
"LARGE BOWEL DECOMPRESSION","45337","HCPCS","Both",,,"367","183.5","Aetna","Commercial","",,"64",,"234.15","134.32","284.42","percent of total billed charges",,
"LARGE BOWEL DECOMPRESSION","45337","HCPCS","Both",,,"367","183.5","Blue Cross Blue Shield","Pathways","",,"71",,"259.1","134.32","284.42","percent of total billed charges",,
"LARGE BOWEL DECOMPRESSION","45337","HCPCS","Both",,,"367","183.5","Blue Cross Blue Shield","HMO","",,"71",,"259.1","134.32","284.42","percent of total billed charges",,
"LARGE BOWEL DECOMPRESSION","45337","HCPCS","Both",,,"367","183.5","Blue Cross Blue Shield","PPO","",,"71",,"259.1","134.32","284.42","percent of total billed charges",,
"LARGE BOWEL DECOMPRESSION","45337","HCPCS","Both",,,"367","183.5","Ambetter","Health Exchange","",,"62",,"227.54","134.32","284.42","percent of total billed charges",,
"LARGE BOWEL DECOMPRESSION","45337","HCPCS","Both",,,"367","183.5","Caresource","Health Exchange","",,"62",,"227.54","134.32","284.42","percent of total billed charges",,
"LARGE BOWEL DECOMPRESSION","45337","HCPCS","Both",,,"367","183.5","Cigna","Commercial","",,"59",,"215.06","134.32","284.42","percent of total billed charges",,
"LARGE BOWEL DECOMPRESSION","45337","HCPCS","Both",,,"367","183.5","Humana","Commercial","",,"78",,"284.42","134.32","284.42","percent of total billed charges",,
"LARGE BOWEL DECOMPRESSION","45337","HCPCS","Both",,,"367","183.5","UHC","Commercial","",,"75",,"276.72","134.32","284.42","percent of total billed charges",,
"LARGE BOWEL DECOMPRESSION","45337","HCPCS","Both",,,"367","183.5","Medicaid",,"",,"37",,"134.32","134.32","284.42","percent of total billed charges",,
"EXCISION OF LESION/BIOPSY","11443","HCPCS","Both",,,"281","140.5","Alliant","Health Exchange","",,"62",,"174.22","102.85","217.78","percent of total billed charges",,
"EXCISION OF LESION/BIOPSY","11443","HCPCS","Both",,,"281","140.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"151.74","102.85","217.78","percent of total billed charges",,
"EXCISION OF LESION/BIOPSY","11443","HCPCS","Both",,,"281","140.5","Medicare",,"",,"54",,"152.3","102.85","217.78","percent of total billed charges",,
"EXCISION OF LESION/BIOPSY","11443","HCPCS","Both",,,"281","140.5","Humana","Medicare Advantage","",,"54",,"152.3","102.85","217.78","percent of total billed charges",,
"EXCISION OF LESION/BIOPSY","11443","HCPCS","Both",,,"281","140.5","UHC","Medicare Advantage","",,"54",,"152.3","102.85","217.78","percent of total billed charges",,
"EXCISION OF LESION/BIOPSY","11443","HCPCS","Both",,,"281","140.5","Clover","Medicare Advantage","",,"54",,"152.3","102.85","217.78","percent of total billed charges",,
"EXCISION OF LESION/BIOPSY","11443","HCPCS","Both",,,"281","140.5","Wellcare","Medicare Advantage","",,"54",,"152.3","102.85","217.78","percent of total billed charges",,
"EXCISION OF LESION/BIOPSY","11443","HCPCS","Both",,,"281","140.5","Amerigroup","Medicaid Managed Care","",,"37",,"102.85","102.85","217.78","percent of total billed charges",,
"EXCISION OF LESION/BIOPSY","11443","HCPCS","Both",,,"281","140.5","Caresource","Medicaid Managed Care","",,"40",,"112.4","102.85","217.78","percent of total billed charges",,
"EXCISION OF LESION/BIOPSY","11443","HCPCS","Both",,,"281","140.5","Wellcare","Medicaid Managed Care","",,"40",,"113.8","102.85","217.78","percent of total billed charges",,
"EXCISION OF LESION/BIOPSY","11443","HCPCS","Both",,,"281","140.5","Aetna","Commercial","",,"64",,"179.28","102.85","217.78","percent of total billed charges",,
"EXCISION OF LESION/BIOPSY","11443","HCPCS","Both",,,"281","140.5","Blue Cross Blue Shield","Pathways","",,"71",,"198.39","102.85","217.78","percent of total billed charges",,
"EXCISION OF LESION/BIOPSY","11443","HCPCS","Both",,,"281","140.5","Blue Cross Blue Shield","HMO","",,"71",,"198.39","102.85","217.78","percent of total billed charges",,
"EXCISION OF LESION/BIOPSY","11443","HCPCS","Both",,,"281","140.5","Blue Cross Blue Shield","PPO","",,"71",,"198.39","102.85","217.78","percent of total billed charges",,
"EXCISION OF LESION/BIOPSY","11443","HCPCS","Both",,,"281","140.5","Ambetter","Health Exchange","",,"62",,"174.22","102.85","217.78","percent of total billed charges",,
"EXCISION OF LESION/BIOPSY","11443","HCPCS","Both",,,"281","140.5","Caresource","Health Exchange","",,"62",,"174.22","102.85","217.78","percent of total billed charges",,
"EXCISION OF LESION/BIOPSY","11443","HCPCS","Both",,,"281","140.5","Cigna","Commercial","",,"59",,"164.67","102.85","217.78","percent of total billed charges",,
"EXCISION OF LESION/BIOPSY","11443","HCPCS","Both",,,"281","140.5","Humana","Commercial","",,"78",,"217.78","102.85","217.78","percent of total billed charges",,
"EXCISION OF LESION/BIOPSY","11443","HCPCS","Both",,,"281","140.5","UHC","Commercial","",,"75",,"211.87","102.85","217.78","percent of total billed charges",,
"EXCISION OF LESION/BIOPSY","11443","HCPCS","Both",,,"281","140.5","Medicaid",,"",,"37",,"102.85","102.85","217.78","percent of total billed charges",,
"I & D ABSCESS AXILLA","10180","HCPCS","Both",,,"240","120","Alliant","Health Exchange","",,"62",,"148.8","87.84","186","percent of total billed charges",,
"I & D ABSCESS AXILLA","10180","HCPCS","Both",,,"240","120","Pruitt Healthcare","Medicare Advantage","",,"54",,"129.6","87.84","186","percent of total billed charges",,
"I & D ABSCESS AXILLA","10180","HCPCS","Both",,,"240","120","Medicare",,"",,"54",,"130.08","87.84","186","percent of total billed charges",,
"I & D ABSCESS AXILLA","10180","HCPCS","Both",,,"240","120","Humana","Medicare Advantage","",,"54",,"130.08","87.84","186","percent of total billed charges",,
"I & D ABSCESS AXILLA","10180","HCPCS","Both",,,"240","120","UHC","Medicare Advantage","",,"54",,"130.08","87.84","186","percent of total billed charges",,
"I & D ABSCESS AXILLA","10180","HCPCS","Both",,,"240","120","Clover","Medicare Advantage","",,"54",,"130.08","87.84","186","percent of total billed charges",,
"I & D ABSCESS AXILLA","10180","HCPCS","Both",,,"240","120","Wellcare","Medicare Advantage","",,"54",,"130.08","87.84","186","percent of total billed charges",,
"I & D ABSCESS AXILLA","10180","HCPCS","Both",,,"240","120","Amerigroup","Medicaid Managed Care","",,"37",,"87.84","87.84","186","percent of total billed charges",,
"I & D ABSCESS AXILLA","10180","HCPCS","Both",,,"240","120","Caresource","Medicaid Managed Care","",,"40",,"96","87.84","186","percent of total billed charges",,
"I & D ABSCESS AXILLA","10180","HCPCS","Both",,,"240","120","Wellcare","Medicaid Managed Care","",,"40",,"97.2","87.84","186","percent of total billed charges",,
"I & D ABSCESS AXILLA","10180","HCPCS","Both",,,"240","120","Aetna","Commercial","",,"64",,"153.12","87.84","186","percent of total billed charges",,
"I & D ABSCESS AXILLA","10180","HCPCS","Both",,,"240","120","Blue Cross Blue Shield","Pathways","",,"71",,"169.44","87.84","186","percent of total billed charges",,
"I & D ABSCESS AXILLA","10180","HCPCS","Both",,,"240","120","Blue Cross Blue Shield","HMO","",,"71",,"169.44","87.84","186","percent of total billed charges",,
"I & D ABSCESS AXILLA","10180","HCPCS","Both",,,"240","120","Blue Cross Blue Shield","PPO","",,"71",,"169.44","87.84","186","percent of total billed charges",,
"I & D ABSCESS AXILLA","10180","HCPCS","Both",,,"240","120","Ambetter","Health Exchange","",,"62",,"148.8","87.84","186","percent of total billed charges",,
"I & D ABSCESS AXILLA","10180","HCPCS","Both",,,"240","120","Caresource","Health Exchange","",,"62",,"148.8","87.84","186","percent of total billed charges",,
"I & D ABSCESS AXILLA","10180","HCPCS","Both",,,"240","120","Cigna","Commercial","",,"59",,"140.64","87.84","186","percent of total billed charges",,
"I & D ABSCESS AXILLA","10180","HCPCS","Both",,,"240","120","Humana","Commercial","",,"78",,"186","87.84","186","percent of total billed charges",,
"I & D ABSCESS AXILLA","10180","HCPCS","Both",,,"240","120","UHC","Commercial","",,"75",,"180.96","87.84","186","percent of total billed charges",,
"I & D ABSCESS AXILLA","10180","HCPCS","Both",,,"240","120","Medicaid",,"",,"37",,"87.84","87.84","186","percent of total billed charges",,
"PUNCTURE  ASPIRATION OF HYDROCELE","55000","HCPCS","Both",,,"141","70.5","Alliant","Health Exchange","",,"62",,"87.42","51.61","109.28","percent of total billed charges",,
"PUNCTURE  ASPIRATION OF HYDROCELE","55000","HCPCS","Both",,,"141","70.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"76.14","51.61","109.28","percent of total billed charges",,
"PUNCTURE  ASPIRATION OF HYDROCELE","55000","HCPCS","Both",,,"141","70.5","Medicare",,"",,"54",,"76.42","51.61","109.28","percent of total billed charges",,
"PUNCTURE  ASPIRATION OF HYDROCELE","55000","HCPCS","Both",,,"141","70.5","Humana","Medicare Advantage","",,"54",,"76.42","51.61","109.28","percent of total billed charges",,
"PUNCTURE  ASPIRATION OF HYDROCELE","55000","HCPCS","Both",,,"141","70.5","UHC","Medicare Advantage","",,"54",,"76.42","51.61","109.28","percent of total billed charges",,
"PUNCTURE  ASPIRATION OF HYDROCELE","55000","HCPCS","Both",,,"141","70.5","Clover","Medicare Advantage","",,"54",,"76.42","51.61","109.28","percent of total billed charges",,
"PUNCTURE  ASPIRATION OF HYDROCELE","55000","HCPCS","Both",,,"141","70.5","Wellcare","Medicare Advantage","",,"54",,"76.42","51.61","109.28","percent of total billed charges",,
"PUNCTURE  ASPIRATION OF HYDROCELE","55000","HCPCS","Both",,,"141","70.5","Amerigroup","Medicaid Managed Care","",,"37",,"51.61","51.61","109.28","percent of total billed charges",,
"PUNCTURE  ASPIRATION OF HYDROCELE","55000","HCPCS","Both",,,"141","70.5","Caresource","Medicaid Managed Care","",,"40",,"56.4","51.61","109.28","percent of total billed charges",,
"PUNCTURE  ASPIRATION OF HYDROCELE","55000","HCPCS","Both",,,"141","70.5","Wellcare","Medicaid Managed Care","",,"40",,"57.1","51.61","109.28","percent of total billed charges",,
"PUNCTURE  ASPIRATION OF HYDROCELE","55000","HCPCS","Both",,,"141","70.5","Aetna","Commercial","",,"64",,"89.96","51.61","109.28","percent of total billed charges",,
"PUNCTURE  ASPIRATION OF HYDROCELE","55000","HCPCS","Both",,,"141","70.5","Blue Cross Blue Shield","Pathways","",,"71",,"99.55","51.61","109.28","percent of total billed charges",,
"PUNCTURE  ASPIRATION OF HYDROCELE","55000","HCPCS","Both",,,"141","70.5","Blue Cross Blue Shield","HMO","",,"71",,"99.55","51.61","109.28","percent of total billed charges",,
"PUNCTURE  ASPIRATION OF HYDROCELE","55000","HCPCS","Both",,,"141","70.5","Blue Cross Blue Shield","PPO","",,"71",,"99.55","51.61","109.28","percent of total billed charges",,
"PUNCTURE  ASPIRATION OF HYDROCELE","55000","HCPCS","Both",,,"141","70.5","Ambetter","Health Exchange","",,"62",,"87.42","51.61","109.28","percent of total billed charges",,
"PUNCTURE  ASPIRATION OF HYDROCELE","55000","HCPCS","Both",,,"141","70.5","Caresource","Health Exchange","",,"62",,"87.42","51.61","109.28","percent of total billed charges",,
"PUNCTURE  ASPIRATION OF HYDROCELE","55000","HCPCS","Both",,,"141","70.5","Cigna","Commercial","",,"59",,"82.63","51.61","109.28","percent of total billed charges",,
"PUNCTURE  ASPIRATION OF HYDROCELE","55000","HCPCS","Both",,,"141","70.5","Humana","Commercial","",,"78",,"109.28","51.61","109.28","percent of total billed charges",,
"PUNCTURE  ASPIRATION OF HYDROCELE","55000","HCPCS","Both",,,"141","70.5","UHC","Commercial","",,"75",,"106.31","51.61","109.28","percent of total billed charges",,
"PUNCTURE  ASPIRATION OF HYDROCELE","55000","HCPCS","Both",,,"141","70.5","Medicaid",,"",,"37",,"51.61","51.61","109.28","percent of total billed charges",,
"I & D ABSCESS FINGER COMP.","26011","HCPCS","Both",,,"283","141.5","Alliant","Health Exchange","",,"62",,"175.46","103.58","219.32","percent of total billed charges",,
"I & D ABSCESS FINGER COMP.","26011","HCPCS","Both",,,"283","141.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"152.82","103.58","219.32","percent of total billed charges",,
"I & D ABSCESS FINGER COMP.","26011","HCPCS","Both",,,"283","141.5","Medicare",,"",,"54",,"153.39","103.58","219.32","percent of total billed charges",,
"I & D ABSCESS FINGER COMP.","26011","HCPCS","Both",,,"283","141.5","Humana","Medicare Advantage","",,"54",,"153.39","103.58","219.32","percent of total billed charges",,
"I & D ABSCESS FINGER COMP.","26011","HCPCS","Both",,,"283","141.5","UHC","Medicare Advantage","",,"54",,"153.39","103.58","219.32","percent of total billed charges",,
"I & D ABSCESS FINGER COMP.","26011","HCPCS","Both",,,"283","141.5","Clover","Medicare Advantage","",,"54",,"153.39","103.58","219.32","percent of total billed charges",,
"I & D ABSCESS FINGER COMP.","26011","HCPCS","Both",,,"283","141.5","Wellcare","Medicare Advantage","",,"54",,"153.39","103.58","219.32","percent of total billed charges",,
"I & D ABSCESS FINGER COMP.","26011","HCPCS","Both",,,"283","141.5","Amerigroup","Medicaid Managed Care","",,"37",,"103.58","103.58","219.32","percent of total billed charges",,
"I & D ABSCESS FINGER COMP.","26011","HCPCS","Both",,,"283","141.5","Caresource","Medicaid Managed Care","",,"40",,"113.2","103.58","219.32","percent of total billed charges",,
"I & D ABSCESS FINGER COMP.","26011","HCPCS","Both",,,"283","141.5","Wellcare","Medicaid Managed Care","",,"40",,"114.62","103.58","219.32","percent of total billed charges",,
"I & D ABSCESS FINGER COMP.","26011","HCPCS","Both",,,"283","141.5","Aetna","Commercial","",,"64",,"180.55","103.58","219.32","percent of total billed charges",,
"I & D ABSCESS FINGER COMP.","26011","HCPCS","Both",,,"283","141.5","Blue Cross Blue Shield","Pathways","",,"71",,"199.8","103.58","219.32","percent of total billed charges",,
"I & D ABSCESS FINGER COMP.","26011","HCPCS","Both",,,"283","141.5","Blue Cross Blue Shield","HMO","",,"71",,"199.8","103.58","219.32","percent of total billed charges",,
"I & D ABSCESS FINGER COMP.","26011","HCPCS","Both",,,"283","141.5","Blue Cross Blue Shield","PPO","",,"71",,"199.8","103.58","219.32","percent of total billed charges",,
"I & D ABSCESS FINGER COMP.","26011","HCPCS","Both",,,"283","141.5","Ambetter","Health Exchange","",,"62",,"175.46","103.58","219.32","percent of total billed charges",,
"I & D ABSCESS FINGER COMP.","26011","HCPCS","Both",,,"283","141.5","Caresource","Health Exchange","",,"62",,"175.46","103.58","219.32","percent of total billed charges",,
"I & D ABSCESS FINGER COMP.","26011","HCPCS","Both",,,"283","141.5","Cigna","Commercial","",,"59",,"165.84","103.58","219.32","percent of total billed charges",,
"I & D ABSCESS FINGER COMP.","26011","HCPCS","Both",,,"283","141.5","Humana","Commercial","",,"78",,"219.32","103.58","219.32","percent of total billed charges",,
"I & D ABSCESS FINGER COMP.","26011","HCPCS","Both",,,"283","141.5","UHC","Commercial","",,"75",,"213.38","103.58","219.32","percent of total billed charges",,
"I & D ABSCESS FINGER COMP.","26011","HCPCS","Both",,,"283","141.5","Medicaid",,"",,"37",,"103.58","103.58","219.32","percent of total billed charges",,
"Room & Board","0650","RC","Inpatient",,,"921.21","460.6","Alliant","Health Exchange",,,"62",,"571.15","337.16","713.94","percent of total billed charges",,
"Room & Board","0650","RC","Inpatient",,,"921.21","460.6","Pruitt Healthcare","Medicare Advantage",,,"54",,"497.45","337.16","713.94","percent of total billed charges",,
"Room & Board","0650","RC","Inpatient",,,"921.21","460.6","Medicare",,,,"54",,"499.3","337.16","713.94","percent of total billed charges",,
"Room & Board","0650","RC","Inpatient",,,"921.21","460.6","Humana","Medicare Advantage",,,"54",,"499.3","337.16","713.94","percent of total billed charges",,
"Room & Board","0650","RC","Inpatient",,,"921.21","460.6","UHC","Medicare Advantage",,,"54",,"499.3","337.16","713.94","percent of total billed charges",,
"Room & Board","0650","RC","Inpatient",,,"921.21","460.6","Clover","Medicare Advantage",,,"54",,"499.3","337.16","713.94","percent of total billed charges",,
"Room & Board","0650","RC","Inpatient",,,"921.21","460.6","Wellcare","Medicare Advantage",,,"54",,"499.3","337.16","713.94","percent of total billed charges",,
"Room & Board","0650","RC","Inpatient",,,"921.21","460.6","Amerigroup","Medicaid Managed Care",,,"37",,"337.16","337.16","713.94","percent of total billed charges",,
"Room & Board","0650","RC","Inpatient",,,"921.21","460.6","Caresource","Medicaid Managed Care",,,"40",,"368.48","337.16","713.94","percent of total billed charges",,
"Room & Board","0650","RC","Inpatient",,,"921.21","460.6","Wellcare","Medicaid Managed Care",,,"40",,"373.09","337.16","713.94","percent of total billed charges",,
"Room & Board","0650","RC","Inpatient",,,"921.21","460.6","Aetna","Commercial",,,"64",,"587.73","337.16","713.94","percent of total billed charges",,
"Room & Board","0650","RC","Inpatient",,,"921.21","460.6","Blue Cross Blue Shield","Pathways",,,"71",,"650.37","337.16","713.94","percent of total billed charges",,
"Room & Board","0650","RC","Inpatient",,,"921.21","460.6","Blue Cross Blue Shield","HMO",,,"71",,"650.37","337.16","713.94","percent of total billed charges",,
"Room & Board","0650","RC","Inpatient",,,"921.21","460.6","Blue Cross Blue Shield","PPO",,,"71",,"650.37","337.16","713.94","percent of total billed charges",,
"Room & Board","0650","RC","Inpatient",,,"921.21","460.6","Ambetter","Health Exchange",,,"62",,"571.15","337.16","713.94","percent of total billed charges",,
"Room & Board","0650","RC","Inpatient",,,"921.21","460.6","Caresource","Health Exchange",,,"62",,"571.15","337.16","713.94","percent of total billed charges",,
"Room & Board","0650","RC","Inpatient",,,"921.21","460.6","Cigna","Commercial",,,"59",,"539.83","337.16","713.94","percent of total billed charges",,
"Room & Board","0650","RC","Inpatient",,,"921.21","460.6","Humana","Commercial",,,"78",,"713.94","337.16","713.94","percent of total billed charges",,
"Room & Board","0650","RC","Inpatient",,,"921.21","460.6","UHC","Commercial",,,"75",,"694.59","337.16","713.94","percent of total billed charges",,
"Room & Board","0650","RC","Inpatient",,,"921.21","460.6","Medicaid",,,,"37",,"337.16","337.16","713.94","percent of total billed charges",,
"Room & Board","0663","RC","Inpatient",,,"445.77","222.88","Alliant","Health Exchange",,,"62",,"276.38","163.15","345.47","percent of total billed charges",,
"Room & Board","0663","RC","Inpatient",,,"445.77","222.88","Pruitt Healthcare","Medicare Advantage",,,"54",,"240.72","163.15","345.47","percent of total billed charges",,
"Room & Board","0663","RC","Inpatient",,,"445.77","222.88","Medicare",,,,"54",,"241.61","163.15","345.47","percent of total billed charges",,
"Room & Board","0663","RC","Inpatient",,,"445.77","222.88","Humana","Medicare Advantage",,,"54",,"241.61","163.15","345.47","percent of total billed charges",,
"Room & Board","0663","RC","Inpatient",,,"445.77","222.88","UHC","Medicare Advantage",,,"54",,"241.61","163.15","345.47","percent of total billed charges",,
"Room & Board","0663","RC","Inpatient",,,"445.77","222.88","Clover","Medicare Advantage",,,"54",,"241.61","163.15","345.47","percent of total billed charges",,
"Room & Board","0663","RC","Inpatient",,,"445.77","222.88","Wellcare","Medicare Advantage",,,"54",,"241.61","163.15","345.47","percent of total billed charges",,
"Room & Board","0663","RC","Inpatient",,,"445.77","222.88","Amerigroup","Medicaid Managed Care",,,"37",,"163.15","163.15","345.47","percent of total billed charges",,
"Room & Board","0663","RC","Inpatient",,,"445.77","222.88","Caresource","Medicaid Managed Care",,,"40",,"178.31","163.15","345.47","percent of total billed charges",,
"Room & Board","0663","RC","Inpatient",,,"445.77","222.88","Wellcare","Medicaid Managed Care",,,"40",,"180.54","163.15","345.47","percent of total billed charges",,
"Room & Board","0663","RC","Inpatient",,,"445.77","222.88","Aetna","Commercial",,,"64",,"284.4","163.15","345.47","percent of total billed charges",,
"Room & Board","0663","RC","Inpatient",,,"445.77","222.88","Blue Cross Blue Shield","Pathways",,,"71",,"314.71","163.15","345.47","percent of total billed charges",,
"Room & Board","0663","RC","Inpatient",,,"445.77","222.88","Blue Cross Blue Shield","HMO",,,"71",,"314.71","163.15","345.47","percent of total billed charges",,
"Room & Board","0663","RC","Inpatient",,,"445.77","222.88","Blue Cross Blue Shield","PPO",,,"71",,"314.71","163.15","345.47","percent of total billed charges",,
"Room & Board","0663","RC","Inpatient",,,"445.77","222.88","Ambetter","Health Exchange",,,"62",,"276.38","163.15","345.47","percent of total billed charges",,
"Room & Board","0663","RC","Inpatient",,,"445.77","222.88","Caresource","Health Exchange",,,"62",,"276.38","163.15","345.47","percent of total billed charges",,
"Room & Board","0663","RC","Inpatient",,,"445.77","222.88","Cigna","Commercial",,,"59",,"261.22","163.15","345.47","percent of total billed charges",,
"Room & Board","0663","RC","Inpatient",,,"445.77","222.88","Humana","Commercial",,,"78",,"345.47","163.15","345.47","percent of total billed charges",,
"Room & Board","0663","RC","Inpatient",,,"445.77","222.88","UHC","Commercial",,,"75",,"336.11","163.15","345.47","percent of total billed charges",,
"Room & Board","0663","RC","Inpatient",,,"445.77","222.88","Medicaid",,,,"37",,"163.15","163.15","345.47","percent of total billed charges",,
"Room & Board","0111","RC","Inpatient",,,"515","257.5","Alliant","Health Exchange",,,"62",,"319.3","188.49","399.12","percent of total billed charges",,
"Room & Board","0111","RC","Inpatient",,,"515","257.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"278.1","188.49","399.12","percent of total billed charges",,
"Room & Board","0111","RC","Inpatient",,,"515","257.5","Medicare",,,,"54",,"279.13","188.49","399.12","percent of total billed charges",,
"Room & Board","0111","RC","Inpatient",,,"515","257.5","Humana","Medicare Advantage",,,"54",,"279.13","188.49","399.12","percent of total billed charges",,
"Room & Board","0111","RC","Inpatient",,,"515","257.5","UHC","Medicare Advantage",,,"54",,"279.13","188.49","399.12","percent of total billed charges",,
"Room & Board","0111","RC","Inpatient",,,"515","257.5","Clover","Medicare Advantage",,,"54",,"279.13","188.49","399.12","percent of total billed charges",,
"Room & Board","0111","RC","Inpatient",,,"515","257.5","Wellcare","Medicare Advantage",,,"54",,"279.13","188.49","399.12","percent of total billed charges",,
"Room & Board","0111","RC","Inpatient",,,"515","257.5","Amerigroup","Medicaid Managed Care",,,"37",,"188.49","188.49","399.12","percent of total billed charges",,
"Room & Board","0111","RC","Inpatient",,,"515","257.5","Caresource","Medicaid Managed Care",,,"40",,"206","188.49","399.12","percent of total billed charges",,
"Room & Board","0111","RC","Inpatient",,,"515","257.5","Wellcare","Medicaid Managed Care",,,"40",,"208.58","188.49","399.12","percent of total billed charges",,
"Room & Board","0111","RC","Inpatient",,,"515","257.5","Aetna","Commercial",,,"64",,"328.57","188.49","399.12","percent of total billed charges",,
"Room & Board","0111","RC","Inpatient",,,"515","257.5","Blue Cross Blue Shield","Pathways",,,"71",,"363.59","188.49","399.12","percent of total billed charges",,
"Room & Board","0111","RC","Inpatient",,,"515","257.5","Blue Cross Blue Shield","HMO",,,"71",,"363.59","188.49","399.12","percent of total billed charges",,
"Room & Board","0111","RC","Inpatient",,,"515","257.5","Blue Cross Blue Shield","PPO",,,"71",,"363.59","188.49","399.12","percent of total billed charges",,
"Room & Board","0111","RC","Inpatient",,,"515","257.5","Ambetter","Health Exchange",,,"62",,"319.3","188.49","399.12","percent of total billed charges",,
"Room & Board","0111","RC","Inpatient",,,"515","257.5","Caresource","Health Exchange",,,"62",,"319.3","188.49","399.12","percent of total billed charges",,
"Room & Board","0111","RC","Inpatient",,,"515","257.5","Cigna","Commercial",,,"59",,"301.79","188.49","399.12","percent of total billed charges",,
"Room & Board","0111","RC","Inpatient",,,"515","257.5","Humana","Commercial",,,"78",,"399.12","188.49","399.12","percent of total billed charges",,
"Room & Board","0111","RC","Inpatient",,,"515","257.5","UHC","Commercial",,,"75",,"388.31","188.49","399.12","percent of total billed charges",,
"Room & Board","0111","RC","Inpatient",,,"515","257.5","Medicaid",,,,"37",,"188.49","188.49","399.12","percent of total billed charges",,
"TET, DIPTH, PERTUS (ADACEL, Tdap) 0.5ML","90715","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"TET, DIPTH, PERTUS (ADACEL, Tdap) 0.5ML","90715","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"TET, DIPTH, PERTUS (ADACEL, Tdap) 0.5ML","90715","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"TET, DIPTH, PERTUS (ADACEL, Tdap) 0.5ML","90715","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"TET, DIPTH, PERTUS (ADACEL, Tdap) 0.5ML","90715","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"TET, DIPTH, PERTUS (ADACEL, Tdap) 0.5ML","90715","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"TET, DIPTH, PERTUS (ADACEL, Tdap) 0.5ML","90715","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"TET, DIPTH, PERTUS (ADACEL, Tdap) 0.5ML","90715","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"TET, DIPTH, PERTUS (ADACEL, Tdap) 0.5ML","90715","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"TET, DIPTH, PERTUS (ADACEL, Tdap) 0.5ML","90715","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"TET, DIPTH, PERTUS (ADACEL, Tdap) 0.5ML","90715","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"TET, DIPTH, PERTUS (ADACEL, Tdap) 0.5ML","90715","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"TET, DIPTH, PERTUS (ADACEL, Tdap) 0.5ML","90715","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"TET, DIPTH, PERTUS (ADACEL, Tdap) 0.5ML","90715","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"TET, DIPTH, PERTUS (ADACEL, Tdap) 0.5ML","90715","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"TET, DIPTH, PERTUS (ADACEL, Tdap) 0.5ML","90715","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"TET, DIPTH, PERTUS (ADACEL, Tdap) 0.5ML","90715","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"TET, DIPTH, PERTUS (ADACEL, Tdap) 0.5ML","90715","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"TET, DIPTH, PERTUS (ADACEL, Tdap) 0.5ML","90715","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"TET, DIPTH, PERTUS (ADACEL, Tdap) 0.5ML","90715","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"DRESSING, SMALL","A6402","HCPCS","Both",,,"12.5","6.25","Alliant","Health Exchange","",,"62",,"7.75","4.58","9.69","percent of total billed charges",,
"DRESSING, SMALL","A6402","HCPCS","Both",,,"12.5","6.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"6.75","4.58","9.69","percent of total billed charges",,
"DRESSING, SMALL","A6402","HCPCS","Both",,,"12.5","6.25","Medicare",,"",,"54",,"6.78","4.58","9.69","percent of total billed charges",,
"DRESSING, SMALL","A6402","HCPCS","Both",,,"12.5","6.25","Humana","Medicare Advantage","",,"54",,"6.78","4.58","9.69","percent of total billed charges",,
"DRESSING, SMALL","A6402","HCPCS","Both",,,"12.5","6.25","UHC","Medicare Advantage","",,"54",,"6.78","4.58","9.69","percent of total billed charges",,
"DRESSING, SMALL","A6402","HCPCS","Both",,,"12.5","6.25","Clover","Medicare Advantage","",,"54",,"6.78","4.58","9.69","percent of total billed charges",,
"DRESSING, SMALL","A6402","HCPCS","Both",,,"12.5","6.25","Wellcare","Medicare Advantage","",,"54",,"6.78","4.58","9.69","percent of total billed charges",,
"DRESSING, SMALL","A6402","HCPCS","Both",,,"12.5","6.25","Amerigroup","Medicaid Managed Care","",,"37",,"4.58","4.58","9.69","percent of total billed charges",,
"DRESSING, SMALL","A6402","HCPCS","Both",,,"12.5","6.25","Caresource","Medicaid Managed Care","",,"40",,"5","4.58","9.69","percent of total billed charges",,
"DRESSING, SMALL","A6402","HCPCS","Both",,,"12.5","6.25","Wellcare","Medicaid Managed Care","",,"40",,"5.06","4.58","9.69","percent of total billed charges",,
"DRESSING, SMALL","A6402","HCPCS","Both",,,"12.5","6.25","Aetna","Commercial","",,"64",,"7.98","4.58","9.69","percent of total billed charges",,
"DRESSING, SMALL","A6402","HCPCS","Both",,,"12.5","6.25","Blue Cross Blue Shield","Pathways","",,"71",,"8.82","4.58","9.69","percent of total billed charges",,
"DRESSING, SMALL","A6402","HCPCS","Both",,,"12.5","6.25","Blue Cross Blue Shield","HMO","",,"71",,"8.82","4.58","9.69","percent of total billed charges",,
"DRESSING, SMALL","A6402","HCPCS","Both",,,"12.5","6.25","Blue Cross Blue Shield","PPO","",,"71",,"8.82","4.58","9.69","percent of total billed charges",,
"DRESSING, SMALL","A6402","HCPCS","Both",,,"12.5","6.25","Ambetter","Health Exchange","",,"62",,"7.75","4.58","9.69","percent of total billed charges",,
"DRESSING, SMALL","A6402","HCPCS","Both",,,"12.5","6.25","Caresource","Health Exchange","",,"62",,"7.75","4.58","9.69","percent of total billed charges",,
"DRESSING, SMALL","A6402","HCPCS","Both",,,"12.5","6.25","Cigna","Commercial","",,"59",,"7.32","4.58","9.69","percent of total billed charges",,
"DRESSING, SMALL","A6402","HCPCS","Both",,,"12.5","6.25","Humana","Commercial","",,"78",,"9.69","4.58","9.69","percent of total billed charges",,
"DRESSING, SMALL","A6402","HCPCS","Both",,,"12.5","6.25","UHC","Commercial","",,"75",,"9.43","4.58","9.69","percent of total billed charges",,
"DRESSING, SMALL","A6402","HCPCS","Both",,,"12.5","6.25","Medicaid",,"",,"37",,"4.58","4.58","9.69","percent of total billed charges",,
"DRESSING, MEDIUM","A6403","HCPCS","Both",,,"15.5","7.75","Alliant","Health Exchange","",,"62",,"9.61","5.67","12.01","percent of total billed charges",,
"DRESSING, MEDIUM","A6403","HCPCS","Both",,,"15.5","7.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"8.37","5.67","12.01","percent of total billed charges",,
"DRESSING, MEDIUM","A6403","HCPCS","Both",,,"15.5","7.75","Medicare",,"",,"54",,"8.4","5.67","12.01","percent of total billed charges",,
"DRESSING, MEDIUM","A6403","HCPCS","Both",,,"15.5","7.75","Humana","Medicare Advantage","",,"54",,"8.4","5.67","12.01","percent of total billed charges",,
"DRESSING, MEDIUM","A6403","HCPCS","Both",,,"15.5","7.75","UHC","Medicare Advantage","",,"54",,"8.4","5.67","12.01","percent of total billed charges",,
"DRESSING, MEDIUM","A6403","HCPCS","Both",,,"15.5","7.75","Clover","Medicare Advantage","",,"54",,"8.4","5.67","12.01","percent of total billed charges",,
"DRESSING, MEDIUM","A6403","HCPCS","Both",,,"15.5","7.75","Wellcare","Medicare Advantage","",,"54",,"8.4","5.67","12.01","percent of total billed charges",,
"DRESSING, MEDIUM","A6403","HCPCS","Both",,,"15.5","7.75","Amerigroup","Medicaid Managed Care","",,"37",,"5.67","5.67","12.01","percent of total billed charges",,
"DRESSING, MEDIUM","A6403","HCPCS","Both",,,"15.5","7.75","Caresource","Medicaid Managed Care","",,"40",,"6.2","5.67","12.01","percent of total billed charges",,
"DRESSING, MEDIUM","A6403","HCPCS","Both",,,"15.5","7.75","Wellcare","Medicaid Managed Care","",,"40",,"6.28","5.67","12.01","percent of total billed charges",,
"DRESSING, MEDIUM","A6403","HCPCS","Both",,,"15.5","7.75","Aetna","Commercial","",,"64",,"9.89","5.67","12.01","percent of total billed charges",,
"DRESSING, MEDIUM","A6403","HCPCS","Both",,,"15.5","7.75","Blue Cross Blue Shield","Pathways","",,"71",,"10.94","5.67","12.01","percent of total billed charges",,
"DRESSING, MEDIUM","A6403","HCPCS","Both",,,"15.5","7.75","Blue Cross Blue Shield","HMO","",,"71",,"10.94","5.67","12.01","percent of total billed charges",,
"DRESSING, MEDIUM","A6403","HCPCS","Both",,,"15.5","7.75","Blue Cross Blue Shield","PPO","",,"71",,"10.94","5.67","12.01","percent of total billed charges",,
"DRESSING, MEDIUM","A6403","HCPCS","Both",,,"15.5","7.75","Ambetter","Health Exchange","",,"62",,"9.61","5.67","12.01","percent of total billed charges",,
"DRESSING, MEDIUM","A6403","HCPCS","Both",,,"15.5","7.75","Caresource","Health Exchange","",,"62",,"9.61","5.67","12.01","percent of total billed charges",,
"DRESSING, MEDIUM","A6403","HCPCS","Both",,,"15.5","7.75","Cigna","Commercial","",,"59",,"9.08","5.67","12.01","percent of total billed charges",,
"DRESSING, MEDIUM","A6403","HCPCS","Both",,,"15.5","7.75","Humana","Commercial","",,"78",,"12.01","5.67","12.01","percent of total billed charges",,
"DRESSING, MEDIUM","A6403","HCPCS","Both",,,"15.5","7.75","UHC","Commercial","",,"75",,"11.69","5.67","12.01","percent of total billed charges",,
"DRESSING, MEDIUM","A6403","HCPCS","Both",,,"15.5","7.75","Medicaid",,"",,"37",,"5.67","5.67","12.01","percent of total billed charges",,
"FINGER SPLINT","A4570","HCPCS","Both",,,"28","14","Alliant","Health Exchange","",,"62",,"17.36","10.25","21.7","percent of total billed charges",,
"FINGER SPLINT","A4570","HCPCS","Both",,,"28","14","Pruitt Healthcare","Medicare Advantage","",,"54",,"15.12","10.25","21.7","percent of total billed charges",,
"FINGER SPLINT","A4570","HCPCS","Both",,,"28","14","Medicare",,"",,"54",,"15.18","10.25","21.7","percent of total billed charges",,
"FINGER SPLINT","A4570","HCPCS","Both",,,"28","14","Humana","Medicare Advantage","",,"54",,"15.18","10.25","21.7","percent of total billed charges",,
"FINGER SPLINT","A4570","HCPCS","Both",,,"28","14","UHC","Medicare Advantage","",,"54",,"15.18","10.25","21.7","percent of total billed charges",,
"FINGER SPLINT","A4570","HCPCS","Both",,,"28","14","Clover","Medicare Advantage","",,"54",,"15.18","10.25","21.7","percent of total billed charges",,
"FINGER SPLINT","A4570","HCPCS","Both",,,"28","14","Wellcare","Medicare Advantage","",,"54",,"15.18","10.25","21.7","percent of total billed charges",,
"FINGER SPLINT","A4570","HCPCS","Both",,,"28","14","Amerigroup","Medicaid Managed Care","",,"37",,"10.25","10.25","21.7","percent of total billed charges",,
"FINGER SPLINT","A4570","HCPCS","Both",,,"28","14","Caresource","Medicaid Managed Care","",,"40",,"11.2","10.25","21.7","percent of total billed charges",,
"FINGER SPLINT","A4570","HCPCS","Both",,,"28","14","Wellcare","Medicaid Managed Care","",,"40",,"11.34","10.25","21.7","percent of total billed charges",,
"FINGER SPLINT","A4570","HCPCS","Both",,,"28","14","Aetna","Commercial","",,"64",,"17.86","10.25","21.7","percent of total billed charges",,
"FINGER SPLINT","A4570","HCPCS","Both",,,"28","14","Blue Cross Blue Shield","Pathways","",,"71",,"19.77","10.25","21.7","percent of total billed charges",,
"FINGER SPLINT","A4570","HCPCS","Both",,,"28","14","Blue Cross Blue Shield","HMO","",,"71",,"19.77","10.25","21.7","percent of total billed charges",,
"FINGER SPLINT","A4570","HCPCS","Both",,,"28","14","Blue Cross Blue Shield","PPO","",,"71",,"19.77","10.25","21.7","percent of total billed charges",,
"FINGER SPLINT","A4570","HCPCS","Both",,,"28","14","Ambetter","Health Exchange","",,"62",,"17.36","10.25","21.7","percent of total billed charges",,
"FINGER SPLINT","A4570","HCPCS","Both",,,"28","14","Caresource","Health Exchange","",,"62",,"17.36","10.25","21.7","percent of total billed charges",,
"FINGER SPLINT","A4570","HCPCS","Both",,,"28","14","Cigna","Commercial","",,"59",,"16.41","10.25","21.7","percent of total billed charges",,
"FINGER SPLINT","A4570","HCPCS","Both",,,"28","14","Humana","Commercial","",,"78",,"21.7","10.25","21.7","percent of total billed charges",,
"FINGER SPLINT","A4570","HCPCS","Both",,,"28","14","UHC","Commercial","",,"75",,"21.11","10.25","21.7","percent of total billed charges",,
"FINGER SPLINT","A4570","HCPCS","Both",,,"28","14","Medicaid",,"",,"37",,"10.25","10.25","21.7","percent of total billed charges",,
"CLAVICLE, COMPLETE, RIGHT","73000","HCPCS","Both",,,"101","50.5","Alliant","Health Exchange","RT",,"62",,"62.62","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE, RIGHT","73000","HCPCS","Both",,,"101","50.5","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"54.54","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE, RIGHT","73000","HCPCS","Both",,,"101","50.5","Medicare",,"RT",,"54",,"54.74","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE, RIGHT","73000","HCPCS","Both",,,"101","50.5","Humana","Medicare Advantage","RT",,"54",,"54.74","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE, RIGHT","73000","HCPCS","Both",,,"101","50.5","UHC","Medicare Advantage","RT",,"54",,"54.74","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE, RIGHT","73000","HCPCS","Both",,,"101","50.5","Clover","Medicare Advantage","RT",,"54",,"54.74","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE, RIGHT","73000","HCPCS","Both",,,"101","50.5","Wellcare","Medicare Advantage","RT",,"54",,"54.74","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE, RIGHT","73000","HCPCS","Both",,,"101","50.5","Amerigroup","Medicaid Managed Care","RT",,"37",,"36.97","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE, RIGHT","73000","HCPCS","Both",,,"101","50.5","Caresource","Medicaid Managed Care","RT",,"40",,"40.4","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE, RIGHT","73000","HCPCS","Both",,,"101","50.5","Wellcare","Medicaid Managed Care","RT",,"40",,"40.9","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE, RIGHT","73000","HCPCS","Both",,,"101","50.5","Aetna","Commercial","RT",,"64",,"64.44","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE, RIGHT","73000","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","Pathways","RT",,"71",,"71.31","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE, RIGHT","73000","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","HMO","RT",,"71",,"71.31","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE, RIGHT","73000","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","PPO","RT",,"71",,"71.31","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE, RIGHT","73000","HCPCS","Both",,,"101","50.5","Ambetter","Health Exchange","RT",,"62",,"62.62","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE, RIGHT","73000","HCPCS","Both",,,"101","50.5","Caresource","Health Exchange","RT",,"62",,"62.62","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE, RIGHT","73000","HCPCS","Both",,,"101","50.5","Cigna","Commercial","RT",,"59",,"59.19","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE, RIGHT","73000","HCPCS","Both",,,"101","50.5","Humana","Commercial","RT",,"78",,"78.28","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE, RIGHT","73000","HCPCS","Both",,,"101","50.5","UHC","Commercial","RT",,"75",,"76.15","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE, RIGHT","73000","HCPCS","Both",,,"101","50.5","Medicaid",,"RT",,"37",,"36.97","8.63","78.28","percent of total billed charges",,
"SHOULDER 1 VIEW RIGHT","73030","HCPCS","Both",,,"782.5","391.25","Alliant","Health Exchange","RT",,"62",,"485.15","9.7","617.94","percent of total billed charges",,
"SHOULDER 1 VIEW RIGHT","73030","HCPCS","Both",,,"782.5","391.25","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"422.55","9.7","617.94","percent of total billed charges",,
"SHOULDER 1 VIEW RIGHT","73030","HCPCS","Both",,,"782.5","391.25","Medicare",,"RT",,"54",,"424.12","9.7","617.94","percent of total billed charges",,
"SHOULDER 1 VIEW RIGHT","73030","HCPCS","Both",,,"782.5","391.25","Humana","Medicare Advantage","RT",,"54",,"424.12","9.7","617.94","percent of total billed charges",,
"SHOULDER 1 VIEW RIGHT","73030","HCPCS","Both",,,"782.5","391.25","UHC","Medicare Advantage","RT",,"54",,"424.12","9.7","617.94","percent of total billed charges",,
"SHOULDER 1 VIEW RIGHT","73030","HCPCS","Both",,,"782.5","391.25","Clover","Medicare Advantage","RT",,"54",,"424.12","9.7","617.94","percent of total billed charges",,
"SHOULDER 1 VIEW RIGHT","73030","HCPCS","Both",,,"782.5","391.25","Wellcare","Medicare Advantage","RT",,"54",,"424.12","9.7","617.94","percent of total billed charges",,
"SHOULDER 1 VIEW RIGHT","73030","HCPCS","Both",,,"782.5","391.25","Amerigroup","Medicaid Managed Care","RT",,"37",,"286.4","9.7","617.94","percent of total billed charges",,
"SHOULDER 1 VIEW RIGHT","73030","HCPCS","Both",,,"782.5","391.25","Caresource","Medicaid Managed Care","RT",,"40",,"313","9.7","617.94","percent of total billed charges",,
"SHOULDER 1 VIEW RIGHT","73030","HCPCS","Both",,,"782.5","391.25","Wellcare","Medicaid Managed Care","RT",,"40",,"316.91","9.7","617.94","percent of total billed charges",,
"SHOULDER 1 VIEW RIGHT","73030","HCPCS","Both",,,"782.5","391.25","Aetna","Commercial","RT",,"64",,"499.24","9.7","617.94","percent of total billed charges",,
"SHOULDER 1 VIEW RIGHT","73030","HCPCS","Both",,,"782.5","391.25","Blue Cross Blue Shield","Pathways","RT",,"71",,"552.44","9.7","617.94","percent of total billed charges",,
"SHOULDER 1 VIEW RIGHT","73030","HCPCS","Both",,,"782.5","391.25","Blue Cross Blue Shield","HMO","RT",,"71",,"552.44","9.7","617.94","percent of total billed charges",,
"SHOULDER 1 VIEW RIGHT","73030","HCPCS","Both",,,"782.5","391.25","Blue Cross Blue Shield","PPO","RT",,"71",,"552.44","9.7","617.94","percent of total billed charges",,
"SHOULDER 1 VIEW RIGHT","73030","HCPCS","Both",,,"782.5","391.25","Ambetter","Health Exchange","RT",,"62",,"485.15","9.7","617.94","percent of total billed charges",,
"SHOULDER 1 VIEW RIGHT","73030","HCPCS","Both",,,"782.5","391.25","Caresource","Health Exchange","RT",,"62",,"485.15","9.7","617.94","percent of total billed charges",,
"SHOULDER 1 VIEW RIGHT","73030","HCPCS","Both",,,"782.5","391.25","Cigna","Commercial","RT",,"59",,"458.54","9.7","617.94","percent of total billed charges",,
"SHOULDER 1 VIEW RIGHT","73030","HCPCS","Both",,,"782.5","391.25","Humana","Commercial","RT",,"78",,"606.44","9.7","617.94","percent of total billed charges",,
"SHOULDER 1 VIEW RIGHT","73030","HCPCS","Both",,,"782.5","391.25","UHC","Commercial","RT",,"75",,"590","9.7","617.94","percent of total billed charges",,
"SHOULDER 1 VIEW RIGHT","73030","HCPCS","Both",,,"782.5","391.25","Medicaid",,"RT",,"37",,"286.4","9.7","617.94","percent of total billed charges",,
"SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"782.5","391.25","Alliant","Health Exchange","RT",,"62",,"485.15","9.7","617.94","percent of total billed charges",,
"SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"782.5","391.25","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"422.55","9.7","617.94","percent of total billed charges",,
"SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"782.5","391.25","Medicare",,"RT",,"54",,"424.12","9.7","617.94","percent of total billed charges",,
"SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"782.5","391.25","Humana","Medicare Advantage","RT",,"54",,"424.12","9.7","617.94","percent of total billed charges",,
"SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"782.5","391.25","UHC","Medicare Advantage","RT",,"54",,"424.12","9.7","617.94","percent of total billed charges",,
"SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"782.5","391.25","Clover","Medicare Advantage","RT",,"54",,"424.12","9.7","617.94","percent of total billed charges",,
"SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"782.5","391.25","Wellcare","Medicare Advantage","RT",,"54",,"424.12","9.7","617.94","percent of total billed charges",,
"SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"782.5","391.25","Amerigroup","Medicaid Managed Care","RT",,"37",,"286.4","9.7","617.94","percent of total billed charges",,
"SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"782.5","391.25","Caresource","Medicaid Managed Care","RT",,"40",,"313","9.7","617.94","percent of total billed charges",,
"SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"782.5","391.25","Wellcare","Medicaid Managed Care","RT",,"40",,"316.91","9.7","617.94","percent of total billed charges",,
"SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"782.5","391.25","Aetna","Commercial","RT",,"64",,"499.24","9.7","617.94","percent of total billed charges",,
"SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"782.5","391.25","Blue Cross Blue Shield","Pathways","RT",,"71",,"552.44","9.7","617.94","percent of total billed charges",,
"SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"782.5","391.25","Blue Cross Blue Shield","HMO","RT",,"71",,"552.44","9.7","617.94","percent of total billed charges",,
"SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"782.5","391.25","Blue Cross Blue Shield","PPO","RT",,"71",,"552.44","9.7","617.94","percent of total billed charges",,
"SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"782.5","391.25","Ambetter","Health Exchange","RT",,"62",,"485.15","9.7","617.94","percent of total billed charges",,
"SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"782.5","391.25","Caresource","Health Exchange","RT",,"62",,"485.15","9.7","617.94","percent of total billed charges",,
"SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"782.5","391.25","Cigna","Commercial","RT",,"59",,"458.54","9.7","617.94","percent of total billed charges",,
"SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"782.5","391.25","Humana","Commercial","RT",,"78",,"606.44","9.7","617.94","percent of total billed charges",,
"SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"782.5","391.25","UHC","Commercial","RT",,"75",,"590","9.7","617.94","percent of total billed charges",,
"SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"782.5","391.25","Medicaid",,"RT",,"37",,"286.4","9.7","617.94","percent of total billed charges",,
"HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Alliant","Health Exchange","RT",,"62",,"159.65","8.63","199.56","percent of total billed charges",,
"HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"139.05","8.63","199.56","percent of total billed charges",,
"HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Medicare",,"RT",,"54",,"139.56","8.63","199.56","percent of total billed charges",,
"HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Humana","Medicare Advantage","RT",,"54",,"139.56","8.63","199.56","percent of total billed charges",,
"HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","UHC","Medicare Advantage","RT",,"54",,"139.56","8.63","199.56","percent of total billed charges",,
"HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Clover","Medicare Advantage","RT",,"54",,"139.56","8.63","199.56","percent of total billed charges",,
"HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Wellcare","Medicare Advantage","RT",,"54",,"139.56","8.63","199.56","percent of total billed charges",,
"HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Amerigroup","Medicaid Managed Care","RT",,"37",,"94.24","8.63","199.56","percent of total billed charges",,
"HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Caresource","Medicaid Managed Care","RT",,"40",,"103","8.63","199.56","percent of total billed charges",,
"HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Wellcare","Medicaid Managed Care","RT",,"40",,"104.29","8.63","199.56","percent of total billed charges",,
"HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Aetna","Commercial","RT",,"64",,"164.28","8.63","199.56","percent of total billed charges",,
"HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Blue Cross Blue Shield","Pathways","RT",,"71",,"181.8","8.63","199.56","percent of total billed charges",,
"HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Blue Cross Blue Shield","HMO","RT",,"71",,"181.8","8.63","199.56","percent of total billed charges",,
"HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Blue Cross Blue Shield","PPO","RT",,"71",,"181.8","8.63","199.56","percent of total billed charges",,
"HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Ambetter","Health Exchange","RT",,"62",,"159.65","8.63","199.56","percent of total billed charges",,
"HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Caresource","Health Exchange","RT",,"62",,"159.65","8.63","199.56","percent of total billed charges",,
"HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Cigna","Commercial","RT",,"59",,"150.89","8.63","199.56","percent of total billed charges",,
"HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Humana","Commercial","RT",,"78",,"199.56","8.63","199.56","percent of total billed charges",,
"HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","UHC","Commercial","RT",,"75",,"194.16","8.63","199.56","percent of total billed charges",,
"HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Medicaid",,"RT",,"37",,"94.24","8.63","199.56","percent of total billed charges",,
"ELBOW AP & LAT RIGHT","73070","HCPCS","Both",,,"278.5","139.25","Alliant","Health Exchange","RT",,"62",,"172.67","101.93","215.84","percent of total billed charges",,
"ELBOW AP & LAT RIGHT","73070","HCPCS","Both",,,"278.5","139.25","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"150.39","101.93","215.84","percent of total billed charges",,
"ELBOW AP & LAT RIGHT","73070","HCPCS","Both",,,"278.5","139.25","Medicare",,"RT",,"54",,"150.95","101.93","215.84","percent of total billed charges",,
"ELBOW AP & LAT RIGHT","73070","HCPCS","Both",,,"278.5","139.25","Humana","Medicare Advantage","RT",,"54",,"150.95","101.93","215.84","percent of total billed charges",,
"ELBOW AP & LAT RIGHT","73070","HCPCS","Both",,,"278.5","139.25","UHC","Medicare Advantage","RT",,"54",,"150.95","101.93","215.84","percent of total billed charges",,
"ELBOW AP & LAT RIGHT","73070","HCPCS","Both",,,"278.5","139.25","Clover","Medicare Advantage","RT",,"54",,"150.95","101.93","215.84","percent of total billed charges",,
"ELBOW AP & LAT RIGHT","73070","HCPCS","Both",,,"278.5","139.25","Wellcare","Medicare Advantage","RT",,"54",,"150.95","101.93","215.84","percent of total billed charges",,
"ELBOW AP & LAT RIGHT","73070","HCPCS","Both",,,"278.5","139.25","Amerigroup","Medicaid Managed Care","RT",,"37",,"101.93","101.93","215.84","percent of total billed charges",,
"ELBOW AP & LAT RIGHT","73070","HCPCS","Both",,,"278.5","139.25","Caresource","Medicaid Managed Care","RT",,"40",,"111.4","101.93","215.84","percent of total billed charges",,
"ELBOW AP & LAT RIGHT","73070","HCPCS","Both",,,"278.5","139.25","Wellcare","Medicaid Managed Care","RT",,"40",,"112.79","101.93","215.84","percent of total billed charges",,
"ELBOW AP & LAT RIGHT","73070","HCPCS","Both",,,"278.5","139.25","Aetna","Commercial","RT",,"64",,"177.68","101.93","215.84","percent of total billed charges",,
"ELBOW AP & LAT RIGHT","73070","HCPCS","Both",,,"278.5","139.25","Blue Cross Blue Shield","Pathways","RT",,"71",,"196.62","101.93","215.84","percent of total billed charges",,
"ELBOW AP & LAT RIGHT","73070","HCPCS","Both",,,"278.5","139.25","Blue Cross Blue Shield","HMO","RT",,"71",,"196.62","101.93","215.84","percent of total billed charges",,
"ELBOW AP & LAT RIGHT","73070","HCPCS","Both",,,"278.5","139.25","Blue Cross Blue Shield","PPO","RT",,"71",,"196.62","101.93","215.84","percent of total billed charges",,
"ELBOW AP & LAT RIGHT","73070","HCPCS","Both",,,"278.5","139.25","Ambetter","Health Exchange","RT",,"62",,"172.67","101.93","215.84","percent of total billed charges",,
"ELBOW AP & LAT RIGHT","73070","HCPCS","Both",,,"278.5","139.25","Caresource","Health Exchange","RT",,"62",,"172.67","101.93","215.84","percent of total billed charges",,
"ELBOW AP & LAT RIGHT","73070","HCPCS","Both",,,"278.5","139.25","Cigna","Commercial","RT",,"59",,"163.2","101.93","215.84","percent of total billed charges",,
"ELBOW AP & LAT RIGHT","73070","HCPCS","Both",,,"278.5","139.25","Humana","Commercial","RT",,"78",,"215.84","101.93","215.84","percent of total billed charges",,
"ELBOW AP & LAT RIGHT","73070","HCPCS","Both",,,"278.5","139.25","UHC","Commercial","RT",,"75",,"209.99","101.93","215.84","percent of total billed charges",,
"ELBOW AP & LAT RIGHT","73070","HCPCS","Both",,,"278.5","139.25","Medicaid",,"RT",,"37",,"101.93","101.93","215.84","percent of total billed charges",,
"ELBOW, 3 VIEWS, RIGHT","73080","HCPCS","Both",,,"365","182.5","Alliant","Health Exchange","RT",,"62",,"226.3","9","480.89","percent of total billed charges",,
"ELBOW, 3 VIEWS, RIGHT","73080","HCPCS","Both",,,"365","182.5","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"197.1","9","480.89","percent of total billed charges",,
"ELBOW, 3 VIEWS, RIGHT","73080","HCPCS","Both",,,"365","182.5","Medicare",,"RT",,"54",,"197.83","9","480.89","percent of total billed charges",,
"ELBOW, 3 VIEWS, RIGHT","73080","HCPCS","Both",,,"365","182.5","Humana","Medicare Advantage","RT",,"54",,"197.83","9","480.89","percent of total billed charges",,
"ELBOW, 3 VIEWS, RIGHT","73080","HCPCS","Both",,,"365","182.5","UHC","Medicare Advantage","RT",,"54",,"197.83","9","480.89","percent of total billed charges",,
"ELBOW, 3 VIEWS, RIGHT","73080","HCPCS","Both",,,"365","182.5","Clover","Medicare Advantage","RT",,"54",,"197.83","9","480.89","percent of total billed charges",,
"ELBOW, 3 VIEWS, RIGHT","73080","HCPCS","Both",,,"365","182.5","Wellcare","Medicare Advantage","RT",,"54",,"197.83","9","480.89","percent of total billed charges",,
"ELBOW, 3 VIEWS, RIGHT","73080","HCPCS","Both",,,"365","182.5","Amerigroup","Medicaid Managed Care","RT",,"37",,"133.59","9","480.89","percent of total billed charges",,
"ELBOW, 3 VIEWS, RIGHT","73080","HCPCS","Both",,,"365","182.5","Caresource","Medicaid Managed Care","RT",,"40",,"146","9","480.89","percent of total billed charges",,
"ELBOW, 3 VIEWS, RIGHT","73080","HCPCS","Both",,,"365","182.5","Wellcare","Medicaid Managed Care","RT",,"40",,"147.83","9","480.89","percent of total billed charges",,
"ELBOW, 3 VIEWS, RIGHT","73080","HCPCS","Both",,,"365","182.5","Aetna","Commercial","RT",,"64",,"232.87","9","480.89","percent of total billed charges",,
"ELBOW, 3 VIEWS, RIGHT","73080","HCPCS","Both",,,"365","182.5","Blue Cross Blue Shield","Pathways","RT",,"71",,"257.69","9","480.89","percent of total billed charges",,
"ELBOW, 3 VIEWS, RIGHT","73080","HCPCS","Both",,,"365","182.5","Blue Cross Blue Shield","HMO","RT",,"71",,"257.69","9","480.89","percent of total billed charges",,
"ELBOW, 3 VIEWS, RIGHT","73080","HCPCS","Both",,,"365","182.5","Blue Cross Blue Shield","PPO","RT",,"71",,"257.69","9","480.89","percent of total billed charges",,
"ELBOW, 3 VIEWS, RIGHT","73080","HCPCS","Both",,,"365","182.5","Ambetter","Health Exchange","RT",,"62",,"226.3","9","480.89","percent of total billed charges",,
"ELBOW, 3 VIEWS, RIGHT","73080","HCPCS","Both",,,"365","182.5","Caresource","Health Exchange","RT",,"62",,"226.3","9","480.89","percent of total billed charges",,
"ELBOW, 3 VIEWS, RIGHT","73080","HCPCS","Both",,,"365","182.5","Cigna","Commercial","RT",,"59",,"213.89","9","480.89","percent of total billed charges",,
"ELBOW, 3 VIEWS, RIGHT","73080","HCPCS","Both",,,"365","182.5","Humana","Commercial","RT",,"78",,"282.88","9","480.89","percent of total billed charges",,
"ELBOW, 3 VIEWS, RIGHT","73080","HCPCS","Both",,,"365","182.5","UHC","Commercial","RT",,"75",,"275.21","9","480.89","percent of total billed charges",,
"ELBOW, 3 VIEWS, RIGHT","73080","HCPCS","Both",,,"365","182.5","Medicaid",,"RT",,"37",,"133.59","9","480.89","percent of total billed charges",,
"FOREARM AP & LAT RIGHT","73090","HCPCS","Both",,,"643.5","321.75","Alliant","Health Exchange","RT",,"62",,"398.97","8.3","566.58","percent of total billed charges",,
"FOREARM AP & LAT RIGHT","73090","HCPCS","Both",,,"643.5","321.75","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"347.49","8.3","566.58","percent of total billed charges",,
"FOREARM AP & LAT RIGHT","73090","HCPCS","Both",,,"643.5","321.75","Medicare",,"RT",,"54",,"348.78","8.3","566.58","percent of total billed charges",,
"FOREARM AP & LAT RIGHT","73090","HCPCS","Both",,,"643.5","321.75","Humana","Medicare Advantage","RT",,"54",,"348.78","8.3","566.58","percent of total billed charges",,
"FOREARM AP & LAT RIGHT","73090","HCPCS","Both",,,"643.5","321.75","UHC","Medicare Advantage","RT",,"54",,"348.78","8.3","566.58","percent of total billed charges",,
"FOREARM AP & LAT RIGHT","73090","HCPCS","Both",,,"643.5","321.75","Clover","Medicare Advantage","RT",,"54",,"348.78","8.3","566.58","percent of total billed charges",,
"FOREARM AP & LAT RIGHT","73090","HCPCS","Both",,,"643.5","321.75","Wellcare","Medicare Advantage","RT",,"54",,"348.78","8.3","566.58","percent of total billed charges",,
"FOREARM AP & LAT RIGHT","73090","HCPCS","Both",,,"643.5","321.75","Amerigroup","Medicaid Managed Care","RT",,"37",,"235.52","8.3","566.58","percent of total billed charges",,
"FOREARM AP & LAT RIGHT","73090","HCPCS","Both",,,"643.5","321.75","Caresource","Medicaid Managed Care","RT",,"40",,"257.4","8.3","566.58","percent of total billed charges",,
"FOREARM AP & LAT RIGHT","73090","HCPCS","Both",,,"643.5","321.75","Wellcare","Medicaid Managed Care","RT",,"40",,"260.62","8.3","566.58","percent of total billed charges",,
"FOREARM AP & LAT RIGHT","73090","HCPCS","Both",,,"643.5","321.75","Aetna","Commercial","RT",,"64",,"410.55","8.3","566.58","percent of total billed charges",,
"FOREARM AP & LAT RIGHT","73090","HCPCS","Both",,,"643.5","321.75","Blue Cross Blue Shield","Pathways","RT",,"71",,"454.31","8.3","566.58","percent of total billed charges",,
"FOREARM AP & LAT RIGHT","73090","HCPCS","Both",,,"643.5","321.75","Blue Cross Blue Shield","HMO","RT",,"71",,"454.31","8.3","566.58","percent of total billed charges",,
"FOREARM AP & LAT RIGHT","73090","HCPCS","Both",,,"643.5","321.75","Blue Cross Blue Shield","PPO","RT",,"71",,"454.31","8.3","566.58","percent of total billed charges",,
"FOREARM AP & LAT RIGHT","73090","HCPCS","Both",,,"643.5","321.75","Ambetter","Health Exchange","RT",,"62",,"398.97","8.3","566.58","percent of total billed charges",,
"FOREARM AP & LAT RIGHT","73090","HCPCS","Both",,,"643.5","321.75","Caresource","Health Exchange","RT",,"62",,"398.97","8.3","566.58","percent of total billed charges",,
"FOREARM AP & LAT RIGHT","73090","HCPCS","Both",,,"643.5","321.75","Cigna","Commercial","RT",,"59",,"377.09","8.3","566.58","percent of total billed charges",,
"FOREARM AP & LAT RIGHT","73090","HCPCS","Both",,,"643.5","321.75","Humana","Commercial","RT",,"78",,"498.71","8.3","566.58","percent of total billed charges",,
"FOREARM AP & LAT RIGHT","73090","HCPCS","Both",,,"643.5","321.75","UHC","Commercial","RT",,"75",,"485.2","8.3","566.58","percent of total billed charges",,
"FOREARM AP & LAT RIGHT","73090","HCPCS","Both",,,"643.5","321.75","Medicaid",,"RT",,"37",,"235.52","8.3","566.58","percent of total billed charges",,
"ARM ,INFANT, RIGHT","73092","HCPCS","Both",,,"85","42.5","Alliant","Health Exchange","RT",,"62",,"52.7","31.11","65.88","percent of total billed charges",,
"ARM ,INFANT, RIGHT","73092","HCPCS","Both",,,"85","42.5","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"45.9","31.11","65.88","percent of total billed charges",,
"ARM ,INFANT, RIGHT","73092","HCPCS","Both",,,"85","42.5","Medicare",,"RT",,"54",,"46.07","31.11","65.88","percent of total billed charges",,
"ARM ,INFANT, RIGHT","73092","HCPCS","Both",,,"85","42.5","Humana","Medicare Advantage","RT",,"54",,"46.07","31.11","65.88","percent of total billed charges",,
"ARM ,INFANT, RIGHT","73092","HCPCS","Both",,,"85","42.5","UHC","Medicare Advantage","RT",,"54",,"46.07","31.11","65.88","percent of total billed charges",,
"ARM ,INFANT, RIGHT","73092","HCPCS","Both",,,"85","42.5","Clover","Medicare Advantage","RT",,"54",,"46.07","31.11","65.88","percent of total billed charges",,
"ARM ,INFANT, RIGHT","73092","HCPCS","Both",,,"85","42.5","Wellcare","Medicare Advantage","RT",,"54",,"46.07","31.11","65.88","percent of total billed charges",,
"ARM ,INFANT, RIGHT","73092","HCPCS","Both",,,"85","42.5","Amerigroup","Medicaid Managed Care","RT",,"37",,"31.11","31.11","65.88","percent of total billed charges",,
"ARM ,INFANT, RIGHT","73092","HCPCS","Both",,,"85","42.5","Caresource","Medicaid Managed Care","RT",,"40",,"34","31.11","65.88","percent of total billed charges",,
"ARM ,INFANT, RIGHT","73092","HCPCS","Both",,,"85","42.5","Wellcare","Medicaid Managed Care","RT",,"40",,"34.43","31.11","65.88","percent of total billed charges",,
"ARM ,INFANT, RIGHT","73092","HCPCS","Both",,,"85","42.5","Aetna","Commercial","RT",,"64",,"54.23","31.11","65.88","percent of total billed charges",,
"ARM ,INFANT, RIGHT","73092","HCPCS","Both",,,"85","42.5","Blue Cross Blue Shield","Pathways","RT",,"71",,"60.01","31.11","65.88","percent of total billed charges",,
"ARM ,INFANT, RIGHT","73092","HCPCS","Both",,,"85","42.5","Blue Cross Blue Shield","HMO","RT",,"71",,"60.01","31.11","65.88","percent of total billed charges",,
"ARM ,INFANT, RIGHT","73092","HCPCS","Both",,,"85","42.5","Blue Cross Blue Shield","PPO","RT",,"71",,"60.01","31.11","65.88","percent of total billed charges",,
"ARM ,INFANT, RIGHT","73092","HCPCS","Both",,,"85","42.5","Ambetter","Health Exchange","RT",,"62",,"52.7","31.11","65.88","percent of total billed charges",,
"ARM ,INFANT, RIGHT","73092","HCPCS","Both",,,"85","42.5","Caresource","Health Exchange","RT",,"62",,"52.7","31.11","65.88","percent of total billed charges",,
"ARM ,INFANT, RIGHT","73092","HCPCS","Both",,,"85","42.5","Cigna","Commercial","RT",,"59",,"49.81","31.11","65.88","percent of total billed charges",,
"ARM ,INFANT, RIGHT","73092","HCPCS","Both",,,"85","42.5","Humana","Commercial","RT",,"78",,"65.88","31.11","65.88","percent of total billed charges",,
"ARM ,INFANT, RIGHT","73092","HCPCS","Both",,,"85","42.5","UHC","Commercial","RT",,"75",,"64.09","31.11","65.88","percent of total billed charges",,
"ARM ,INFANT, RIGHT","73092","HCPCS","Both",,,"85","42.5","Medicaid",,"RT",,"37",,"31.11","31.11","65.88","percent of total billed charges",,
"WRIST AP & LAT RIGHT","73100","HCPCS","Both",,,"63.5","31.75","Alliant","Health Exchange","RT",,"62",,"39.37","23.24","49.21","percent of total billed charges",,
"WRIST AP & LAT RIGHT","73100","HCPCS","Both",,,"63.5","31.75","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"34.29","23.24","49.21","percent of total billed charges",,
"WRIST AP & LAT RIGHT","73100","HCPCS","Both",,,"63.5","31.75","Medicare",,"RT",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"WRIST AP & LAT RIGHT","73100","HCPCS","Both",,,"63.5","31.75","Humana","Medicare Advantage","RT",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"WRIST AP & LAT RIGHT","73100","HCPCS","Both",,,"63.5","31.75","UHC","Medicare Advantage","RT",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"WRIST AP & LAT RIGHT","73100","HCPCS","Both",,,"63.5","31.75","Clover","Medicare Advantage","RT",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"WRIST AP & LAT RIGHT","73100","HCPCS","Both",,,"63.5","31.75","Wellcare","Medicare Advantage","RT",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"WRIST AP & LAT RIGHT","73100","HCPCS","Both",,,"63.5","31.75","Amerigroup","Medicaid Managed Care","RT",,"37",,"23.24","23.24","49.21","percent of total billed charges",,
"WRIST AP & LAT RIGHT","73100","HCPCS","Both",,,"63.5","31.75","Caresource","Medicaid Managed Care","RT",,"40",,"25.4","23.24","49.21","percent of total billed charges",,
"WRIST AP & LAT RIGHT","73100","HCPCS","Both",,,"63.5","31.75","Wellcare","Medicaid Managed Care","RT",,"40",,"25.72","23.24","49.21","percent of total billed charges",,
"WRIST AP & LAT RIGHT","73100","HCPCS","Both",,,"63.5","31.75","Aetna","Commercial","RT",,"64",,"40.51","23.24","49.21","percent of total billed charges",,
"WRIST AP & LAT RIGHT","73100","HCPCS","Both",,,"63.5","31.75","Blue Cross Blue Shield","Pathways","RT",,"71",,"44.83","23.24","49.21","percent of total billed charges",,
"WRIST AP & LAT RIGHT","73100","HCPCS","Both",,,"63.5","31.75","Blue Cross Blue Shield","HMO","RT",,"71",,"44.83","23.24","49.21","percent of total billed charges",,
"WRIST AP & LAT RIGHT","73100","HCPCS","Both",,,"63.5","31.75","Blue Cross Blue Shield","PPO","RT",,"71",,"44.83","23.24","49.21","percent of total billed charges",,
"WRIST AP & LAT RIGHT","73100","HCPCS","Both",,,"63.5","31.75","Ambetter","Health Exchange","RT",,"62",,"39.37","23.24","49.21","percent of total billed charges",,
"WRIST AP & LAT RIGHT","73100","HCPCS","Both",,,"63.5","31.75","Caresource","Health Exchange","RT",,"62",,"39.37","23.24","49.21","percent of total billed charges",,
"WRIST AP & LAT RIGHT","73100","HCPCS","Both",,,"63.5","31.75","Cigna","Commercial","RT",,"59",,"37.21","23.24","49.21","percent of total billed charges",,
"WRIST AP & LAT RIGHT","73100","HCPCS","Both",,,"63.5","31.75","Humana","Commercial","RT",,"78",,"49.21","23.24","49.21","percent of total billed charges",,
"WRIST AP & LAT RIGHT","73100","HCPCS","Both",,,"63.5","31.75","UHC","Commercial","RT",,"75",,"47.88","23.24","49.21","percent of total billed charges",,
"WRIST AP & LAT RIGHT","73100","HCPCS","Both",,,"63.5","31.75","Medicaid",,"RT",,"37",,"23.24","23.24","49.21","percent of total billed charges",,
"WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"701.5","350.75","Alliant","Health Exchange","RT",,"62",,"434.93","9","543.66","percent of total billed charges",,
"WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"701.5","350.75","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"378.81","9","543.66","percent of total billed charges",,
"WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"701.5","350.75","Medicare",,"RT",,"54",,"380.21","9","543.66","percent of total billed charges",,
"WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"701.5","350.75","Humana","Medicare Advantage","RT",,"54",,"380.21","9","543.66","percent of total billed charges",,
"WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"701.5","350.75","UHC","Medicare Advantage","RT",,"54",,"380.21","9","543.66","percent of total billed charges",,
"WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"701.5","350.75","Clover","Medicare Advantage","RT",,"54",,"380.21","9","543.66","percent of total billed charges",,
"WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"701.5","350.75","Wellcare","Medicare Advantage","RT",,"54",,"380.21","9","543.66","percent of total billed charges",,
"WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"701.5","350.75","Amerigroup","Medicaid Managed Care","RT",,"37",,"256.75","9","543.66","percent of total billed charges",,
"WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"701.5","350.75","Caresource","Medicaid Managed Care","RT",,"40",,"280.6","9","543.66","percent of total billed charges",,
"WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"701.5","350.75","Wellcare","Medicaid Managed Care","RT",,"40",,"284.11","9","543.66","percent of total billed charges",,
"WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"701.5","350.75","Aetna","Commercial","RT",,"64",,"447.56","9","543.66","percent of total billed charges",,
"WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"701.5","350.75","Blue Cross Blue Shield","Pathways","RT",,"71",,"495.26","9","543.66","percent of total billed charges",,
"WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"701.5","350.75","Blue Cross Blue Shield","HMO","RT",,"71",,"495.26","9","543.66","percent of total billed charges",,
"WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"701.5","350.75","Blue Cross Blue Shield","PPO","RT",,"71",,"495.26","9","543.66","percent of total billed charges",,
"WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"701.5","350.75","Ambetter","Health Exchange","RT",,"62",,"434.93","9","543.66","percent of total billed charges",,
"WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"701.5","350.75","Caresource","Health Exchange","RT",,"62",,"434.93","9","543.66","percent of total billed charges",,
"WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"701.5","350.75","Cigna","Commercial","RT",,"59",,"411.08","9","543.66","percent of total billed charges",,
"WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"701.5","350.75","Humana","Commercial","RT",,"78",,"543.66","9","543.66","percent of total billed charges",,
"WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"701.5","350.75","UHC","Commercial","RT",,"75",,"528.93","9","543.66","percent of total billed charges",,
"WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"701.5","350.75","Medicaid",,"RT",,"37",,"256.75","9","543.66","percent of total billed charges",,
"HAND 2 VIEWS RIGHT","73120","HCPCS","Both",,,"247","123.5","Alliant","Health Exchange","RT",,"62",,"153.14","90.4","191.42","percent of total billed charges",,
"HAND 2 VIEWS RIGHT","73120","HCPCS","Both",,,"247","123.5","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"133.38","90.4","191.42","percent of total billed charges",,
"HAND 2 VIEWS RIGHT","73120","HCPCS","Both",,,"247","123.5","Medicare",,"RT",,"54",,"133.87","90.4","191.42","percent of total billed charges",,
"HAND 2 VIEWS RIGHT","73120","HCPCS","Both",,,"247","123.5","Humana","Medicare Advantage","RT",,"54",,"133.87","90.4","191.42","percent of total billed charges",,
"HAND 2 VIEWS RIGHT","73120","HCPCS","Both",,,"247","123.5","UHC","Medicare Advantage","RT",,"54",,"133.87","90.4","191.42","percent of total billed charges",,
"HAND 2 VIEWS RIGHT","73120","HCPCS","Both",,,"247","123.5","Clover","Medicare Advantage","RT",,"54",,"133.87","90.4","191.42","percent of total billed charges",,
"HAND 2 VIEWS RIGHT","73120","HCPCS","Both",,,"247","123.5","Wellcare","Medicare Advantage","RT",,"54",,"133.87","90.4","191.42","percent of total billed charges",,
"HAND 2 VIEWS RIGHT","73120","HCPCS","Both",,,"247","123.5","Amerigroup","Medicaid Managed Care","RT",,"37",,"90.4","90.4","191.42","percent of total billed charges",,
"HAND 2 VIEWS RIGHT","73120","HCPCS","Both",,,"247","123.5","Caresource","Medicaid Managed Care","RT",,"40",,"98.8","90.4","191.42","percent of total billed charges",,
"HAND 2 VIEWS RIGHT","73120","HCPCS","Both",,,"247","123.5","Wellcare","Medicaid Managed Care","RT",,"40",,"100.04","90.4","191.42","percent of total billed charges",,
"HAND 2 VIEWS RIGHT","73120","HCPCS","Both",,,"247","123.5","Aetna","Commercial","RT",,"64",,"157.59","90.4","191.42","percent of total billed charges",,
"HAND 2 VIEWS RIGHT","73120","HCPCS","Both",,,"247","123.5","Blue Cross Blue Shield","Pathways","RT",,"71",,"174.38","90.4","191.42","percent of total billed charges",,
"HAND 2 VIEWS RIGHT","73120","HCPCS","Both",,,"247","123.5","Blue Cross Blue Shield","HMO","RT",,"71",,"174.38","90.4","191.42","percent of total billed charges",,
"HAND 2 VIEWS RIGHT","73120","HCPCS","Both",,,"247","123.5","Blue Cross Blue Shield","PPO","RT",,"71",,"174.38","90.4","191.42","percent of total billed charges",,
"HAND 2 VIEWS RIGHT","73120","HCPCS","Both",,,"247","123.5","Ambetter","Health Exchange","RT",,"62",,"153.14","90.4","191.42","percent of total billed charges",,
"HAND 2 VIEWS RIGHT","73120","HCPCS","Both",,,"247","123.5","Caresource","Health Exchange","RT",,"62",,"153.14","90.4","191.42","percent of total billed charges",,
"HAND 2 VIEWS RIGHT","73120","HCPCS","Both",,,"247","123.5","Cigna","Commercial","RT",,"59",,"144.74","90.4","191.42","percent of total billed charges",,
"HAND 2 VIEWS RIGHT","73120","HCPCS","Both",,,"247","123.5","Humana","Commercial","RT",,"78",,"191.42","90.4","191.42","percent of total billed charges",,
"HAND 2 VIEWS RIGHT","73120","HCPCS","Both",,,"247","123.5","UHC","Commercial","RT",,"75",,"186.24","90.4","191.42","percent of total billed charges",,
"HAND 2 VIEWS RIGHT","73120","HCPCS","Both",,,"247","123.5","Medicaid",,"RT",,"37",,"90.4","90.4","191.42","percent of total billed charges",,
"HAND 3 VIEWS RIGHT","73130","HCPCS","Both",,,"722.5","361.25","Alliant","Health Exchange","RT",,"62",,"447.95","9","620.29","percent of total billed charges",,
"HAND 3 VIEWS RIGHT","73130","HCPCS","Both",,,"722.5","361.25","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"390.15","9","620.29","percent of total billed charges",,
"HAND 3 VIEWS RIGHT","73130","HCPCS","Both",,,"722.5","361.25","Medicare",,"RT",,"54",,"391.6","9","620.29","percent of total billed charges",,
"HAND 3 VIEWS RIGHT","73130","HCPCS","Both",,,"722.5","361.25","Humana","Medicare Advantage","RT",,"54",,"391.6","9","620.29","percent of total billed charges",,
"HAND 3 VIEWS RIGHT","73130","HCPCS","Both",,,"722.5","361.25","UHC","Medicare Advantage","RT",,"54",,"391.6","9","620.29","percent of total billed charges",,
"HAND 3 VIEWS RIGHT","73130","HCPCS","Both",,,"722.5","361.25","Clover","Medicare Advantage","RT",,"54",,"391.6","9","620.29","percent of total billed charges",,
"HAND 3 VIEWS RIGHT","73130","HCPCS","Both",,,"722.5","361.25","Wellcare","Medicare Advantage","RT",,"54",,"391.6","9","620.29","percent of total billed charges",,
"HAND 3 VIEWS RIGHT","73130","HCPCS","Both",,,"722.5","361.25","Amerigroup","Medicaid Managed Care","RT",,"37",,"264.44","9","620.29","percent of total billed charges",,
"HAND 3 VIEWS RIGHT","73130","HCPCS","Both",,,"722.5","361.25","Caresource","Medicaid Managed Care","RT",,"40",,"289","9","620.29","percent of total billed charges",,
"HAND 3 VIEWS RIGHT","73130","HCPCS","Both",,,"722.5","361.25","Wellcare","Medicaid Managed Care","RT",,"40",,"292.61","9","620.29","percent of total billed charges",,
"HAND 3 VIEWS RIGHT","73130","HCPCS","Both",,,"722.5","361.25","Aetna","Commercial","RT",,"64",,"460.96","9","620.29","percent of total billed charges",,
"HAND 3 VIEWS RIGHT","73130","HCPCS","Both",,,"722.5","361.25","Blue Cross Blue Shield","Pathways","RT",,"71",,"510.08","9","620.29","percent of total billed charges",,
"HAND 3 VIEWS RIGHT","73130","HCPCS","Both",,,"722.5","361.25","Blue Cross Blue Shield","HMO","RT",,"71",,"510.08","9","620.29","percent of total billed charges",,
"HAND 3 VIEWS RIGHT","73130","HCPCS","Both",,,"722.5","361.25","Blue Cross Blue Shield","PPO","RT",,"71",,"510.08","9","620.29","percent of total billed charges",,
"HAND 3 VIEWS RIGHT","73130","HCPCS","Both",,,"722.5","361.25","Ambetter","Health Exchange","RT",,"62",,"447.95","9","620.29","percent of total billed charges",,
"HAND 3 VIEWS RIGHT","73130","HCPCS","Both",,,"722.5","361.25","Caresource","Health Exchange","RT",,"62",,"447.95","9","620.29","percent of total billed charges",,
"HAND 3 VIEWS RIGHT","73130","HCPCS","Both",,,"722.5","361.25","Cigna","Commercial","RT",,"59",,"423.38","9","620.29","percent of total billed charges",,
"HAND 3 VIEWS RIGHT","73130","HCPCS","Both",,,"722.5","361.25","Humana","Commercial","RT",,"78",,"559.94","9","620.29","percent of total billed charges",,
"HAND 3 VIEWS RIGHT","73130","HCPCS","Both",,,"722.5","361.25","UHC","Commercial","RT",,"75",,"544.76","9","620.29","percent of total billed charges",,
"HAND 3 VIEWS RIGHT","73130","HCPCS","Both",,,"722.5","361.25","Medicaid",,"RT",,"37",,"264.44","9","620.29","percent of total billed charges",,
"KNEE AP & LAT RIGHT","73560","HCPCS","Both",,,"308","154","Alliant","Health Exchange","RT",,"62",,"190.96","112.73","238.7","percent of total billed charges",,
"KNEE AP & LAT RIGHT","73560","HCPCS","Both",,,"308","154","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"166.32","112.73","238.7","percent of total billed charges",,
"KNEE AP & LAT RIGHT","73560","HCPCS","Both",,,"308","154","Medicare",,"RT",,"54",,"166.94","112.73","238.7","percent of total billed charges",,
"KNEE AP & LAT RIGHT","73560","HCPCS","Both",,,"308","154","Humana","Medicare Advantage","RT",,"54",,"166.94","112.73","238.7","percent of total billed charges",,
"KNEE AP & LAT RIGHT","73560","HCPCS","Both",,,"308","154","UHC","Medicare Advantage","RT",,"54",,"166.94","112.73","238.7","percent of total billed charges",,
"KNEE AP & LAT RIGHT","73560","HCPCS","Both",,,"308","154","Clover","Medicare Advantage","RT",,"54",,"166.94","112.73","238.7","percent of total billed charges",,
"KNEE AP & LAT RIGHT","73560","HCPCS","Both",,,"308","154","Wellcare","Medicare Advantage","RT",,"54",,"166.94","112.73","238.7","percent of total billed charges",,
"KNEE AP & LAT RIGHT","73560","HCPCS","Both",,,"308","154","Amerigroup","Medicaid Managed Care","RT",,"37",,"112.73","112.73","238.7","percent of total billed charges",,
"KNEE AP & LAT RIGHT","73560","HCPCS","Both",,,"308","154","Caresource","Medicaid Managed Care","RT",,"40",,"123.2","112.73","238.7","percent of total billed charges",,
"KNEE AP & LAT RIGHT","73560","HCPCS","Both",,,"308","154","Wellcare","Medicaid Managed Care","RT",,"40",,"124.74","112.73","238.7","percent of total billed charges",,
"KNEE AP & LAT RIGHT","73560","HCPCS","Both",,,"308","154","Aetna","Commercial","RT",,"64",,"196.5","112.73","238.7","percent of total billed charges",,
"KNEE AP & LAT RIGHT","73560","HCPCS","Both",,,"308","154","Blue Cross Blue Shield","Pathways","RT",,"71",,"217.45","112.73","238.7","percent of total billed charges",,
"KNEE AP & LAT RIGHT","73560","HCPCS","Both",,,"308","154","Blue Cross Blue Shield","HMO","RT",,"71",,"217.45","112.73","238.7","percent of total billed charges",,
"KNEE AP & LAT RIGHT","73560","HCPCS","Both",,,"308","154","Blue Cross Blue Shield","PPO","RT",,"71",,"217.45","112.73","238.7","percent of total billed charges",,
"KNEE AP & LAT RIGHT","73560","HCPCS","Both",,,"308","154","Ambetter","Health Exchange","RT",,"62",,"190.96","112.73","238.7","percent of total billed charges",,
"KNEE AP & LAT RIGHT","73560","HCPCS","Both",,,"308","154","Caresource","Health Exchange","RT",,"62",,"190.96","112.73","238.7","percent of total billed charges",,
"KNEE AP & LAT RIGHT","73560","HCPCS","Both",,,"308","154","Cigna","Commercial","RT",,"59",,"180.49","112.73","238.7","percent of total billed charges",,
"KNEE AP & LAT RIGHT","73560","HCPCS","Both",,,"308","154","Humana","Commercial","RT",,"78",,"238.7","112.73","238.7","percent of total billed charges",,
"KNEE AP & LAT RIGHT","73560","HCPCS","Both",,,"308","154","UHC","Commercial","RT",,"75",,"232.23","112.73","238.7","percent of total billed charges",,
"KNEE AP & LAT RIGHT","73560","HCPCS","Both",,,"308","154","Medicaid",,"RT",,"37",,"112.73","112.73","238.7","percent of total billed charges",,
"MRA HEAD W/O CONTRAST","70544","HCPCS","Both",,,"946","473","Alliant","Health Exchange","",,"62",,"586.52","346.24","733.15","percent of total billed charges",,
"MRA HEAD W/O CONTRAST","70544","HCPCS","Both",,,"946","473","Pruitt Healthcare","Medicare Advantage","",,"54",,"510.84","346.24","733.15","percent of total billed charges",,
"MRA HEAD W/O CONTRAST","70544","HCPCS","Both",,,"946","473","Medicare",,"",,"54",,"512.73","346.24","733.15","percent of total billed charges",,
"MRA HEAD W/O CONTRAST","70544","HCPCS","Both",,,"946","473","Humana","Medicare Advantage","",,"54",,"512.73","346.24","733.15","percent of total billed charges",,
"MRA HEAD W/O CONTRAST","70544","HCPCS","Both",,,"946","473","UHC","Medicare Advantage","",,"54",,"512.73","346.24","733.15","percent of total billed charges",,
"MRA HEAD W/O CONTRAST","70544","HCPCS","Both",,,"946","473","Clover","Medicare Advantage","",,"54",,"512.73","346.24","733.15","percent of total billed charges",,
"MRA HEAD W/O CONTRAST","70544","HCPCS","Both",,,"946","473","Wellcare","Medicare Advantage","",,"54",,"512.73","346.24","733.15","percent of total billed charges",,
"MRA HEAD W/O CONTRAST","70544","HCPCS","Both",,,"946","473","Amerigroup","Medicaid Managed Care","",,"37",,"346.24","346.24","733.15","percent of total billed charges",,
"MRA HEAD W/O CONTRAST","70544","HCPCS","Both",,,"946","473","Caresource","Medicaid Managed Care","",,"40",,"378.4","346.24","733.15","percent of total billed charges",,
"MRA HEAD W/O CONTRAST","70544","HCPCS","Both",,,"946","473","Wellcare","Medicaid Managed Care","",,"40",,"383.13","346.24","733.15","percent of total billed charges",,
"MRA HEAD W/O CONTRAST","70544","HCPCS","Both",,,"946","473","Aetna","Commercial","",,"64",,"603.55","346.24","733.15","percent of total billed charges",,
"MRA HEAD W/O CONTRAST","70544","HCPCS","Both",,,"946","473","Blue Cross Blue Shield","Pathways","",,"71",,"667.88","346.24","733.15","percent of total billed charges",,
"MRA HEAD W/O CONTRAST","70544","HCPCS","Both",,,"946","473","Blue Cross Blue Shield","HMO","",,"71",,"667.88","346.24","733.15","percent of total billed charges",,
"MRA HEAD W/O CONTRAST","70544","HCPCS","Both",,,"946","473","Blue Cross Blue Shield","PPO","",,"71",,"667.88","346.24","733.15","percent of total billed charges",,
"MRA HEAD W/O CONTRAST","70544","HCPCS","Both",,,"946","473","Ambetter","Health Exchange","",,"62",,"586.52","346.24","733.15","percent of total billed charges",,
"MRA HEAD W/O CONTRAST","70544","HCPCS","Both",,,"946","473","Caresource","Health Exchange","",,"62",,"586.52","346.24","733.15","percent of total billed charges",,
"MRA HEAD W/O CONTRAST","70544","HCPCS","Both",,,"946","473","Cigna","Commercial","",,"59",,"554.36","346.24","733.15","percent of total billed charges",,
"MRA HEAD W/O CONTRAST","70544","HCPCS","Both",,,"946","473","Humana","Commercial","",,"78",,"733.15","346.24","733.15","percent of total billed charges",,
"MRA HEAD W/O CONTRAST","70544","HCPCS","Both",,,"946","473","UHC","Commercial","",,"75",,"713.28","346.24","733.15","percent of total billed charges",,
"MRA HEAD W/O CONTRAST","70544","HCPCS","Both",,,"946","473","Medicaid",,"",,"37",,"346.24","346.24","733.15","percent of total billed charges",,
"MRA NECK W/O CONTRAST","70547","HCPCS","Both",,,"946","473","Alliant","Health Exchange","",,"62",,"586.52","346.24","733.15","percent of total billed charges",,
"MRA NECK W/O CONTRAST","70547","HCPCS","Both",,,"946","473","Pruitt Healthcare","Medicare Advantage","",,"54",,"510.84","346.24","733.15","percent of total billed charges",,
"MRA NECK W/O CONTRAST","70547","HCPCS","Both",,,"946","473","Medicare",,"",,"54",,"512.73","346.24","733.15","percent of total billed charges",,
"MRA NECK W/O CONTRAST","70547","HCPCS","Both",,,"946","473","Humana","Medicare Advantage","",,"54",,"512.73","346.24","733.15","percent of total billed charges",,
"MRA NECK W/O CONTRAST","70547","HCPCS","Both",,,"946","473","UHC","Medicare Advantage","",,"54",,"512.73","346.24","733.15","percent of total billed charges",,
"MRA NECK W/O CONTRAST","70547","HCPCS","Both",,,"946","473","Clover","Medicare Advantage","",,"54",,"512.73","346.24","733.15","percent of total billed charges",,
"MRA NECK W/O CONTRAST","70547","HCPCS","Both",,,"946","473","Wellcare","Medicare Advantage","",,"54",,"512.73","346.24","733.15","percent of total billed charges",,
"MRA NECK W/O CONTRAST","70547","HCPCS","Both",,,"946","473","Amerigroup","Medicaid Managed Care","",,"37",,"346.24","346.24","733.15","percent of total billed charges",,
"MRA NECK W/O CONTRAST","70547","HCPCS","Both",,,"946","473","Caresource","Medicaid Managed Care","",,"40",,"378.4","346.24","733.15","percent of total billed charges",,
"MRA NECK W/O CONTRAST","70547","HCPCS","Both",,,"946","473","Wellcare","Medicaid Managed Care","",,"40",,"383.13","346.24","733.15","percent of total billed charges",,
"MRA NECK W/O CONTRAST","70547","HCPCS","Both",,,"946","473","Aetna","Commercial","",,"64",,"603.55","346.24","733.15","percent of total billed charges",,
"MRA NECK W/O CONTRAST","70547","HCPCS","Both",,,"946","473","Blue Cross Blue Shield","Pathways","",,"71",,"667.88","346.24","733.15","percent of total billed charges",,
"MRA NECK W/O CONTRAST","70547","HCPCS","Both",,,"946","473","Blue Cross Blue Shield","HMO","",,"71",,"667.88","346.24","733.15","percent of total billed charges",,
"MRA NECK W/O CONTRAST","70547","HCPCS","Both",,,"946","473","Blue Cross Blue Shield","PPO","",,"71",,"667.88","346.24","733.15","percent of total billed charges",,
"MRA NECK W/O CONTRAST","70547","HCPCS","Both",,,"946","473","Ambetter","Health Exchange","",,"62",,"586.52","346.24","733.15","percent of total billed charges",,
"MRA NECK W/O CONTRAST","70547","HCPCS","Both",,,"946","473","Caresource","Health Exchange","",,"62",,"586.52","346.24","733.15","percent of total billed charges",,
"MRA NECK W/O CONTRAST","70547","HCPCS","Both",,,"946","473","Cigna","Commercial","",,"59",,"554.36","346.24","733.15","percent of total billed charges",,
"MRA NECK W/O CONTRAST","70547","HCPCS","Both",,,"946","473","Humana","Commercial","",,"78",,"733.15","346.24","733.15","percent of total billed charges",,
"MRA NECK W/O CONTRAST","70547","HCPCS","Both",,,"946","473","UHC","Commercial","",,"75",,"713.28","346.24","733.15","percent of total billed charges",,
"MRA NECK W/O CONTRAST","70547","HCPCS","Both",,,"946","473","Medicaid",,"",,"37",,"346.24","346.24","733.15","percent of total billed charges",,
"MRI BRAIN W/O CONTRAST","70551","HCPCS","Both",,,"1169","584.5","Alliant","Health Exchange","",,"62",,"724.78","427.85","905.98","percent of total billed charges",,
"MRI BRAIN W/O CONTRAST","70551","HCPCS","Both",,,"1169","584.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"631.26","427.85","905.98","percent of total billed charges",,
"MRI BRAIN W/O CONTRAST","70551","HCPCS","Both",,,"1169","584.5","Medicare",,"",,"54",,"633.6","427.85","905.98","percent of total billed charges",,
"MRI BRAIN W/O CONTRAST","70551","HCPCS","Both",,,"1169","584.5","Humana","Medicare Advantage","",,"54",,"633.6","427.85","905.98","percent of total billed charges",,
"MRI BRAIN W/O CONTRAST","70551","HCPCS","Both",,,"1169","584.5","UHC","Medicare Advantage","",,"54",,"633.6","427.85","905.98","percent of total billed charges",,
"MRI BRAIN W/O CONTRAST","70551","HCPCS","Both",,,"1169","584.5","Clover","Medicare Advantage","",,"54",,"633.6","427.85","905.98","percent of total billed charges",,
"MRI BRAIN W/O CONTRAST","70551","HCPCS","Both",,,"1169","584.5","Wellcare","Medicare Advantage","",,"54",,"633.6","427.85","905.98","percent of total billed charges",,
"MRI BRAIN W/O CONTRAST","70551","HCPCS","Both",,,"1169","584.5","Amerigroup","Medicaid Managed Care","",,"37",,"427.85","427.85","905.98","percent of total billed charges",,
"MRI BRAIN W/O CONTRAST","70551","HCPCS","Both",,,"1169","584.5","Caresource","Medicaid Managed Care","",,"40",,"467.6","427.85","905.98","percent of total billed charges",,
"MRI BRAIN W/O CONTRAST","70551","HCPCS","Both",,,"1169","584.5","Wellcare","Medicaid Managed Care","",,"40",,"473.45","427.85","905.98","percent of total billed charges",,
"MRI BRAIN W/O CONTRAST","70551","HCPCS","Both",,,"1169","584.5","Aetna","Commercial","",,"64",,"745.82","427.85","905.98","percent of total billed charges",,
"MRI BRAIN W/O CONTRAST","70551","HCPCS","Both",,,"1169","584.5","Blue Cross Blue Shield","Pathways","",,"71",,"825.31","427.85","905.98","percent of total billed charges",,
"MRI BRAIN W/O CONTRAST","70551","HCPCS","Both",,,"1169","584.5","Blue Cross Blue Shield","HMO","",,"71",,"825.31","427.85","905.98","percent of total billed charges",,
"MRI BRAIN W/O CONTRAST","70551","HCPCS","Both",,,"1169","584.5","Blue Cross Blue Shield","PPO","",,"71",,"825.31","427.85","905.98","percent of total billed charges",,
"MRI BRAIN W/O CONTRAST","70551","HCPCS","Both",,,"1169","584.5","Ambetter","Health Exchange","",,"62",,"724.78","427.85","905.98","percent of total billed charges",,
"MRI BRAIN W/O CONTRAST","70551","HCPCS","Both",,,"1169","584.5","Caresource","Health Exchange","",,"62",,"724.78","427.85","905.98","percent of total billed charges",,
"MRI BRAIN W/O CONTRAST","70551","HCPCS","Both",,,"1169","584.5","Cigna","Commercial","",,"59",,"685.03","427.85","905.98","percent of total billed charges",,
"MRI BRAIN W/O CONTRAST","70551","HCPCS","Both",,,"1169","584.5","Humana","Commercial","",,"78",,"905.98","427.85","905.98","percent of total billed charges",,
"MRI BRAIN W/O CONTRAST","70551","HCPCS","Both",,,"1169","584.5","UHC","Commercial","",,"75",,"881.43","427.85","905.98","percent of total billed charges",,
"MRI BRAIN W/O CONTRAST","70551","HCPCS","Both",,,"1169","584.5","Medicaid",,"",,"37",,"427.85","427.85","905.98","percent of total billed charges",,
"MRI BRAIN W/CONTRAST","70552","HCPCS","Both",,,"358","179","Alliant","Health Exchange","",,"62",,"221.96","131.03","277.45","percent of total billed charges",,
"MRI BRAIN W/CONTRAST","70552","HCPCS","Both",,,"358","179","Pruitt Healthcare","Medicare Advantage","",,"54",,"193.32","131.03","277.45","percent of total billed charges",,
"MRI BRAIN W/CONTRAST","70552","HCPCS","Both",,,"358","179","Medicare",,"",,"54",,"194.04","131.03","277.45","percent of total billed charges",,
"MRI BRAIN W/CONTRAST","70552","HCPCS","Both",,,"358","179","Humana","Medicare Advantage","",,"54",,"194.04","131.03","277.45","percent of total billed charges",,
"MRI BRAIN W/CONTRAST","70552","HCPCS","Both",,,"358","179","UHC","Medicare Advantage","",,"54",,"194.04","131.03","277.45","percent of total billed charges",,
"MRI BRAIN W/CONTRAST","70552","HCPCS","Both",,,"358","179","Clover","Medicare Advantage","",,"54",,"194.04","131.03","277.45","percent of total billed charges",,
"MRI BRAIN W/CONTRAST","70552","HCPCS","Both",,,"358","179","Wellcare","Medicare Advantage","",,"54",,"194.04","131.03","277.45","percent of total billed charges",,
"MRI BRAIN W/CONTRAST","70552","HCPCS","Both",,,"358","179","Amerigroup","Medicaid Managed Care","",,"37",,"131.03","131.03","277.45","percent of total billed charges",,
"MRI BRAIN W/CONTRAST","70552","HCPCS","Both",,,"358","179","Caresource","Medicaid Managed Care","",,"40",,"143.2","131.03","277.45","percent of total billed charges",,
"MRI BRAIN W/CONTRAST","70552","HCPCS","Both",,,"358","179","Wellcare","Medicaid Managed Care","",,"40",,"144.99","131.03","277.45","percent of total billed charges",,
"MRI BRAIN W/CONTRAST","70552","HCPCS","Both",,,"358","179","Aetna","Commercial","",,"64",,"228.4","131.03","277.45","percent of total billed charges",,
"MRI BRAIN W/CONTRAST","70552","HCPCS","Both",,,"358","179","Blue Cross Blue Shield","Pathways","",,"71",,"252.75","131.03","277.45","percent of total billed charges",,
"MRI BRAIN W/CONTRAST","70552","HCPCS","Both",,,"358","179","Blue Cross Blue Shield","HMO","",,"71",,"252.75","131.03","277.45","percent of total billed charges",,
"MRI BRAIN W/CONTRAST","70552","HCPCS","Both",,,"358","179","Blue Cross Blue Shield","PPO","",,"71",,"252.75","131.03","277.45","percent of total billed charges",,
"MRI BRAIN W/CONTRAST","70552","HCPCS","Both",,,"358","179","Ambetter","Health Exchange","",,"62",,"221.96","131.03","277.45","percent of total billed charges",,
"MRI BRAIN W/CONTRAST","70552","HCPCS","Both",,,"358","179","Caresource","Health Exchange","",,"62",,"221.96","131.03","277.45","percent of total billed charges",,
"MRI BRAIN W/CONTRAST","70552","HCPCS","Both",,,"358","179","Cigna","Commercial","",,"59",,"209.79","131.03","277.45","percent of total billed charges",,
"MRI BRAIN W/CONTRAST","70552","HCPCS","Both",,,"358","179","Humana","Commercial","",,"78",,"277.45","131.03","277.45","percent of total billed charges",,
"MRI BRAIN W/CONTRAST","70552","HCPCS","Both",,,"358","179","UHC","Commercial","",,"75",,"269.93","131.03","277.45","percent of total billed charges",,
"MRI BRAIN W/CONTRAST","70552","HCPCS","Both",,,"358","179","Medicaid",,"",,"37",,"131.03","131.03","277.45","percent of total billed charges",,
"MRI BRAIN W & W/O CONTRAST","70553","HCPCS","Both",,,"1135","567.5","Alliant","Health Exchange","",,"62",,"703.7","415.41","879.62","percent of total billed charges",,
"MRI BRAIN W & W/O CONTRAST","70553","HCPCS","Both",,,"1135","567.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"612.9","415.41","879.62","percent of total billed charges",,
"MRI BRAIN W & W/O CONTRAST","70553","HCPCS","Both",,,"1135","567.5","Medicare",,"",,"54",,"615.17","415.41","879.62","percent of total billed charges",,
"MRI BRAIN W & W/O CONTRAST","70553","HCPCS","Both",,,"1135","567.5","Humana","Medicare Advantage","",,"54",,"615.17","415.41","879.62","percent of total billed charges",,
"MRI BRAIN W & W/O CONTRAST","70553","HCPCS","Both",,,"1135","567.5","UHC","Medicare Advantage","",,"54",,"615.17","415.41","879.62","percent of total billed charges",,
"MRI BRAIN W & W/O CONTRAST","70553","HCPCS","Both",,,"1135","567.5","Clover","Medicare Advantage","",,"54",,"615.17","415.41","879.62","percent of total billed charges",,
"MRI BRAIN W & W/O CONTRAST","70553","HCPCS","Both",,,"1135","567.5","Wellcare","Medicare Advantage","",,"54",,"615.17","415.41","879.62","percent of total billed charges",,
"MRI BRAIN W & W/O CONTRAST","70553","HCPCS","Both",,,"1135","567.5","Amerigroup","Medicaid Managed Care","",,"37",,"415.41","415.41","879.62","percent of total billed charges",,
"MRI BRAIN W & W/O CONTRAST","70553","HCPCS","Both",,,"1135","567.5","Caresource","Medicaid Managed Care","",,"40",,"454","415.41","879.62","percent of total billed charges",,
"MRI BRAIN W & W/O CONTRAST","70553","HCPCS","Both",,,"1135","567.5","Wellcare","Medicaid Managed Care","",,"40",,"459.68","415.41","879.62","percent of total billed charges",,
"MRI BRAIN W & W/O CONTRAST","70553","HCPCS","Both",,,"1135","567.5","Aetna","Commercial","",,"64",,"724.13","415.41","879.62","percent of total billed charges",,
"MRI BRAIN W & W/O CONTRAST","70553","HCPCS","Both",,,"1135","567.5","Blue Cross Blue Shield","Pathways","",,"71",,"801.31","415.41","879.62","percent of total billed charges",,
"MRI BRAIN W & W/O CONTRAST","70553","HCPCS","Both",,,"1135","567.5","Blue Cross Blue Shield","HMO","",,"71",,"801.31","415.41","879.62","percent of total billed charges",,
"MRI BRAIN W & W/O CONTRAST","70553","HCPCS","Both",,,"1135","567.5","Blue Cross Blue Shield","PPO","",,"71",,"801.31","415.41","879.62","percent of total billed charges",,
"MRI BRAIN W & W/O CONTRAST","70553","HCPCS","Both",,,"1135","567.5","Ambetter","Health Exchange","",,"62",,"703.7","415.41","879.62","percent of total billed charges",,
"MRI BRAIN W & W/O CONTRAST","70553","HCPCS","Both",,,"1135","567.5","Caresource","Health Exchange","",,"62",,"703.7","415.41","879.62","percent of total billed charges",,
"MRI BRAIN W & W/O CONTRAST","70553","HCPCS","Both",,,"1135","567.5","Cigna","Commercial","",,"59",,"665.11","415.41","879.62","percent of total billed charges",,
"MRI BRAIN W & W/O CONTRAST","70553","HCPCS","Both",,,"1135","567.5","Humana","Commercial","",,"78",,"879.62","415.41","879.62","percent of total billed charges",,
"MRI BRAIN W & W/O CONTRAST","70553","HCPCS","Both",,,"1135","567.5","UHC","Commercial","",,"75",,"855.79","415.41","879.62","percent of total billed charges",,
"MRI BRAIN W & W/O CONTRAST","70553","HCPCS","Both",,,"1135","567.5","Medicaid",,"",,"37",,"415.41","415.41","879.62","percent of total billed charges",,
"MRI SPINE CERVICAL W/O CONTRAST","72141","HCPCS","Both",,,"1260","630","Alliant","Health Exchange","",,"62",,"781.2","461.16","976.5","percent of total billed charges",,
"MRI SPINE CERVICAL W/O CONTRAST","72141","HCPCS","Both",,,"1260","630","Pruitt Healthcare","Medicare Advantage","",,"54",,"680.4","461.16","976.5","percent of total billed charges",,
"MRI SPINE CERVICAL W/O CONTRAST","72141","HCPCS","Both",,,"1260","630","Medicare",,"",,"54",,"682.92","461.16","976.5","percent of total billed charges",,
"MRI SPINE CERVICAL W/O CONTRAST","72141","HCPCS","Both",,,"1260","630","Humana","Medicare Advantage","",,"54",,"682.92","461.16","976.5","percent of total billed charges",,
"MRI SPINE CERVICAL W/O CONTRAST","72141","HCPCS","Both",,,"1260","630","UHC","Medicare Advantage","",,"54",,"682.92","461.16","976.5","percent of total billed charges",,
"MRI SPINE CERVICAL W/O CONTRAST","72141","HCPCS","Both",,,"1260","630","Clover","Medicare Advantage","",,"54",,"682.92","461.16","976.5","percent of total billed charges",,
"MRI SPINE CERVICAL W/O CONTRAST","72141","HCPCS","Both",,,"1260","630","Wellcare","Medicare Advantage","",,"54",,"682.92","461.16","976.5","percent of total billed charges",,
"MRI SPINE CERVICAL W/O CONTRAST","72141","HCPCS","Both",,,"1260","630","Amerigroup","Medicaid Managed Care","",,"37",,"461.16","461.16","976.5","percent of total billed charges",,
"MRI SPINE CERVICAL W/O CONTRAST","72141","HCPCS","Both",,,"1260","630","Caresource","Medicaid Managed Care","",,"40",,"504","461.16","976.5","percent of total billed charges",,
"MRI SPINE CERVICAL W/O CONTRAST","72141","HCPCS","Both",,,"1260","630","Wellcare","Medicaid Managed Care","",,"40",,"510.3","461.16","976.5","percent of total billed charges",,
"MRI SPINE CERVICAL W/O CONTRAST","72141","HCPCS","Both",,,"1260","630","Aetna","Commercial","",,"64",,"803.88","461.16","976.5","percent of total billed charges",,
"MRI SPINE CERVICAL W/O CONTRAST","72141","HCPCS","Both",,,"1260","630","Blue Cross Blue Shield","Pathways","",,"71",,"889.56","461.16","976.5","percent of total billed charges",,
"MRI SPINE CERVICAL W/O CONTRAST","72141","HCPCS","Both",,,"1260","630","Blue Cross Blue Shield","HMO","",,"71",,"889.56","461.16","976.5","percent of total billed charges",,
"MRI SPINE CERVICAL W/O CONTRAST","72141","HCPCS","Both",,,"1260","630","Blue Cross Blue Shield","PPO","",,"71",,"889.56","461.16","976.5","percent of total billed charges",,
"MRI SPINE CERVICAL W/O CONTRAST","72141","HCPCS","Both",,,"1260","630","Ambetter","Health Exchange","",,"62",,"781.2","461.16","976.5","percent of total billed charges",,
"MRI SPINE CERVICAL W/O CONTRAST","72141","HCPCS","Both",,,"1260","630","Caresource","Health Exchange","",,"62",,"781.2","461.16","976.5","percent of total billed charges",,
"MRI SPINE CERVICAL W/O CONTRAST","72141","HCPCS","Both",,,"1260","630","Cigna","Commercial","",,"59",,"738.36","461.16","976.5","percent of total billed charges",,
"MRI SPINE CERVICAL W/O CONTRAST","72141","HCPCS","Both",,,"1260","630","Humana","Commercial","",,"78",,"976.5","461.16","976.5","percent of total billed charges",,
"MRI SPINE CERVICAL W/O CONTRAST","72141","HCPCS","Both",,,"1260","630","UHC","Commercial","",,"75",,"950.04","461.16","976.5","percent of total billed charges",,
"MRI SPINE CERVICAL W/O CONTRAST","72141","HCPCS","Both",,,"1260","630","Medicaid",,"",,"37",,"461.16","461.16","976.5","percent of total billed charges",,
"MRI SPINE CERVICAL W/CONTRAST","72142","HCPCS","Both",,,"1087.5","543.75","Alliant","Health Exchange","",,"62",,"674.25","398.02","842.81","percent of total billed charges",,
"MRI SPINE CERVICAL W/CONTRAST","72142","HCPCS","Both",,,"1087.5","543.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"587.25","398.02","842.81","percent of total billed charges",,
"MRI SPINE CERVICAL W/CONTRAST","72142","HCPCS","Both",,,"1087.5","543.75","Medicare",,"",,"54",,"589.43","398.02","842.81","percent of total billed charges",,
"MRI SPINE CERVICAL W/CONTRAST","72142","HCPCS","Both",,,"1087.5","543.75","Humana","Medicare Advantage","",,"54",,"589.43","398.02","842.81","percent of total billed charges",,
"MRI SPINE CERVICAL W/CONTRAST","72142","HCPCS","Both",,,"1087.5","543.75","UHC","Medicare Advantage","",,"54",,"589.43","398.02","842.81","percent of total billed charges",,
"MRI SPINE CERVICAL W/CONTRAST","72142","HCPCS","Both",,,"1087.5","543.75","Clover","Medicare Advantage","",,"54",,"589.43","398.02","842.81","percent of total billed charges",,
"MRI SPINE CERVICAL W/CONTRAST","72142","HCPCS","Both",,,"1087.5","543.75","Wellcare","Medicare Advantage","",,"54",,"589.43","398.02","842.81","percent of total billed charges",,
"MRI SPINE CERVICAL W/CONTRAST","72142","HCPCS","Both",,,"1087.5","543.75","Amerigroup","Medicaid Managed Care","",,"37",,"398.02","398.02","842.81","percent of total billed charges",,
"MRI SPINE CERVICAL W/CONTRAST","72142","HCPCS","Both",,,"1087.5","543.75","Caresource","Medicaid Managed Care","",,"40",,"435","398.02","842.81","percent of total billed charges",,
"MRI SPINE CERVICAL W/CONTRAST","72142","HCPCS","Both",,,"1087.5","543.75","Wellcare","Medicaid Managed Care","",,"40",,"440.44","398.02","842.81","percent of total billed charges",,
"MRI SPINE CERVICAL W/CONTRAST","72142","HCPCS","Both",,,"1087.5","543.75","Aetna","Commercial","",,"64",,"693.82","398.02","842.81","percent of total billed charges",,
"MRI SPINE CERVICAL W/CONTRAST","72142","HCPCS","Both",,,"1087.5","543.75","Blue Cross Blue Shield","Pathways","",,"71",,"767.78","398.02","842.81","percent of total billed charges",,
"MRI SPINE CERVICAL W/CONTRAST","72142","HCPCS","Both",,,"1087.5","543.75","Blue Cross Blue Shield","HMO","",,"71",,"767.78","398.02","842.81","percent of total billed charges",,
"MRI SPINE CERVICAL W/CONTRAST","72142","HCPCS","Both",,,"1087.5","543.75","Blue Cross Blue Shield","PPO","",,"71",,"767.78","398.02","842.81","percent of total billed charges",,
"MRI SPINE CERVICAL W/CONTRAST","72142","HCPCS","Both",,,"1087.5","543.75","Ambetter","Health Exchange","",,"62",,"674.25","398.02","842.81","percent of total billed charges",,
"MRI SPINE CERVICAL W/CONTRAST","72142","HCPCS","Both",,,"1087.5","543.75","Caresource","Health Exchange","",,"62",,"674.25","398.02","842.81","percent of total billed charges",,
"MRI SPINE CERVICAL W/CONTRAST","72142","HCPCS","Both",,,"1087.5","543.75","Cigna","Commercial","",,"59",,"637.28","398.02","842.81","percent of total billed charges",,
"MRI SPINE CERVICAL W/CONTRAST","72142","HCPCS","Both",,,"1087.5","543.75","Humana","Commercial","",,"78",,"842.81","398.02","842.81","percent of total billed charges",,
"MRI SPINE CERVICAL W/CONTRAST","72142","HCPCS","Both",,,"1087.5","543.75","UHC","Commercial","",,"75",,"819.98","398.02","842.81","percent of total billed charges",,
"MRI SPINE CERVICAL W/CONTRAST","72142","HCPCS","Both",,,"1087.5","543.75","Medicaid",,"",,"37",,"398.02","398.02","842.81","percent of total billed charges",,
"MRI SPINE CERVICAL W & W/O CONTRAST","72156","HCPCS","Both",,,"1421.5","710.75","Alliant","Health Exchange","",,"62",,"881.33","520.27","1101.66","percent of total billed charges",,
"MRI SPINE CERVICAL W & W/O CONTRAST","72156","HCPCS","Both",,,"1421.5","710.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"767.61","520.27","1101.66","percent of total billed charges",,
"MRI SPINE CERVICAL W & W/O CONTRAST","72156","HCPCS","Both",,,"1421.5","710.75","Medicare",,"",,"54",,"770.45","520.27","1101.66","percent of total billed charges",,
"MRI SPINE CERVICAL W & W/O CONTRAST","72156","HCPCS","Both",,,"1421.5","710.75","Humana","Medicare Advantage","",,"54",,"770.45","520.27","1101.66","percent of total billed charges",,
"MRI SPINE CERVICAL W & W/O CONTRAST","72156","HCPCS","Both",,,"1421.5","710.75","UHC","Medicare Advantage","",,"54",,"770.45","520.27","1101.66","percent of total billed charges",,
"MRI SPINE CERVICAL W & W/O CONTRAST","72156","HCPCS","Both",,,"1421.5","710.75","Clover","Medicare Advantage","",,"54",,"770.45","520.27","1101.66","percent of total billed charges",,
"MRI SPINE CERVICAL W & W/O CONTRAST","72156","HCPCS","Both",,,"1421.5","710.75","Wellcare","Medicare Advantage","",,"54",,"770.45","520.27","1101.66","percent of total billed charges",,
"MRI SPINE CERVICAL W & W/O CONTRAST","72156","HCPCS","Both",,,"1421.5","710.75","Amerigroup","Medicaid Managed Care","",,"37",,"520.27","520.27","1101.66","percent of total billed charges",,
"MRI SPINE CERVICAL W & W/O CONTRAST","72156","HCPCS","Both",,,"1421.5","710.75","Caresource","Medicaid Managed Care","",,"40",,"568.6","520.27","1101.66","percent of total billed charges",,
"MRI SPINE CERVICAL W & W/O CONTRAST","72156","HCPCS","Both",,,"1421.5","710.75","Wellcare","Medicaid Managed Care","",,"40",,"575.71","520.27","1101.66","percent of total billed charges",,
"MRI SPINE CERVICAL W & W/O CONTRAST","72156","HCPCS","Both",,,"1421.5","710.75","Aetna","Commercial","",,"64",,"906.92","520.27","1101.66","percent of total billed charges",,
"MRI SPINE CERVICAL W & W/O CONTRAST","72156","HCPCS","Both",,,"1421.5","710.75","Blue Cross Blue Shield","Pathways","",,"71",,"1003.58","520.27","1101.66","percent of total billed charges",,
"MRI SPINE CERVICAL W & W/O CONTRAST","72156","HCPCS","Both",,,"1421.5","710.75","Blue Cross Blue Shield","HMO","",,"71",,"1003.58","520.27","1101.66","percent of total billed charges",,
"MRI SPINE CERVICAL W & W/O CONTRAST","72156","HCPCS","Both",,,"1421.5","710.75","Blue Cross Blue Shield","PPO","",,"71",,"1003.58","520.27","1101.66","percent of total billed charges",,
"MRI SPINE CERVICAL W & W/O CONTRAST","72156","HCPCS","Both",,,"1421.5","710.75","Ambetter","Health Exchange","",,"62",,"881.33","520.27","1101.66","percent of total billed charges",,
"MRI SPINE CERVICAL W & W/O CONTRAST","72156","HCPCS","Both",,,"1421.5","710.75","Caresource","Health Exchange","",,"62",,"881.33","520.27","1101.66","percent of total billed charges",,
"MRI SPINE CERVICAL W & W/O CONTRAST","72156","HCPCS","Both",,,"1421.5","710.75","Cigna","Commercial","",,"59",,"833","520.27","1101.66","percent of total billed charges",,
"MRI SPINE CERVICAL W & W/O CONTRAST","72156","HCPCS","Both",,,"1421.5","710.75","Humana","Commercial","",,"78",,"1101.66","520.27","1101.66","percent of total billed charges",,
"MRI SPINE CERVICAL W & W/O CONTRAST","72156","HCPCS","Both",,,"1421.5","710.75","UHC","Commercial","",,"75",,"1071.81","520.27","1101.66","percent of total billed charges",,
"MRI SPINE CERVICAL W & W/O CONTRAST","72156","HCPCS","Both",,,"1421.5","710.75","Medicaid",,"",,"37",,"520.27","520.27","1101.66","percent of total billed charges",,
"MRI SPINE LUMBAR W/O CONTRAST","72148","HCPCS","Both",,,"1490.05","745.025","Alliant","Health Exchange","",,"62",,"923.83","545.36","1154.79","percent of total billed charges",,
"MRI SPINE LUMBAR W/O CONTRAST","72148","HCPCS","Both",,,"1490.05","745.025","Pruitt Healthcare","Medicare Advantage","",,"54",,"804.63","545.36","1154.79","percent of total billed charges",,
"MRI SPINE LUMBAR W/O CONTRAST","72148","HCPCS","Both",,,"1490.05","745.025","Medicare",,"",,"54",,"807.61","545.36","1154.79","percent of total billed charges",,
"MRI SPINE LUMBAR W/O CONTRAST","72148","HCPCS","Both",,,"1490.05","745.025","Humana","Medicare Advantage","",,"54",,"807.61","545.36","1154.79","percent of total billed charges",,
"MRI SPINE LUMBAR W/O CONTRAST","72148","HCPCS","Both",,,"1490.05","745.025","UHC","Medicare Advantage","",,"54",,"807.61","545.36","1154.79","percent of total billed charges",,
"MRI SPINE LUMBAR W/O CONTRAST","72148","HCPCS","Both",,,"1490.05","745.025","Clover","Medicare Advantage","",,"54",,"807.61","545.36","1154.79","percent of total billed charges",,
"MRI SPINE LUMBAR W/O CONTRAST","72148","HCPCS","Both",,,"1490.05","745.025","Wellcare","Medicare Advantage","",,"54",,"807.61","545.36","1154.79","percent of total billed charges",,
"MRI SPINE LUMBAR W/O CONTRAST","72148","HCPCS","Both",,,"1490.05","745.025","Amerigroup","Medicaid Managed Care","",,"37",,"545.36","545.36","1154.79","percent of total billed charges",,
"MRI SPINE LUMBAR W/O CONTRAST","72148","HCPCS","Both",,,"1490.05","745.025","Caresource","Medicaid Managed Care","",,"40",,"596.02","545.36","1154.79","percent of total billed charges",,
"MRI SPINE LUMBAR W/O CONTRAST","72148","HCPCS","Both",,,"1490.05","745.025","Wellcare","Medicaid Managed Care","",,"40",,"603.47","545.36","1154.79","percent of total billed charges",,
"MRI SPINE LUMBAR W/O CONTRAST","72148","HCPCS","Both",,,"1490.05","745.025","Aetna","Commercial","",,"64",,"950.65","545.36","1154.79","percent of total billed charges",,
"MRI SPINE LUMBAR W/O CONTRAST","72148","HCPCS","Both",,,"1490.05","745.025","Blue Cross Blue Shield","Pathways","",,"71",,"1051.98","545.36","1154.79","percent of total billed charges",,
"MRI SPINE LUMBAR W/O CONTRAST","72148","HCPCS","Both",,,"1490.05","745.025","Blue Cross Blue Shield","HMO","",,"71",,"1051.98","545.36","1154.79","percent of total billed charges",,
"MRI SPINE LUMBAR W/O CONTRAST","72148","HCPCS","Both",,,"1490.05","745.025","Blue Cross Blue Shield","PPO","",,"71",,"1051.98","545.36","1154.79","percent of total billed charges",,
"MRI SPINE LUMBAR W/O CONTRAST","72148","HCPCS","Both",,,"1490.05","745.025","Ambetter","Health Exchange","",,"62",,"923.83","545.36","1154.79","percent of total billed charges",,
"MRI SPINE LUMBAR W/O CONTRAST","72148","HCPCS","Both",,,"1490.05","745.025","Caresource","Health Exchange","",,"62",,"923.83","545.36","1154.79","percent of total billed charges",,
"MRI SPINE LUMBAR W/O CONTRAST","72148","HCPCS","Both",,,"1490.05","745.025","Cigna","Commercial","",,"59",,"873.17","545.36","1154.79","percent of total billed charges",,
"MRI SPINE LUMBAR W/O CONTRAST","72148","HCPCS","Both",,,"1490.05","745.025","Humana","Commercial","",,"78",,"1154.79","545.36","1154.79","percent of total billed charges",,
"MRI SPINE LUMBAR W/O CONTRAST","72148","HCPCS","Both",,,"1490.05","745.025","UHC","Commercial","",,"75",,"1123.5","545.36","1154.79","percent of total billed charges",,
"MRI SPINE LUMBAR W/O CONTRAST","72148","HCPCS","Both",,,"1490.05","745.025","Medicaid",,"",,"37",,"545.36","545.36","1154.79","percent of total billed charges",,
"MRI SPINE LUMBAR W CONTRAST","72149","HCPCS","Both",,,"1087.5","543.75","Alliant","Health Exchange","",,"62",,"674.25","398.02","842.81","percent of total billed charges",,
"MRI SPINE LUMBAR W CONTRAST","72149","HCPCS","Both",,,"1087.5","543.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"587.25","398.02","842.81","percent of total billed charges",,
"MRI SPINE LUMBAR W CONTRAST","72149","HCPCS","Both",,,"1087.5","543.75","Medicare",,"",,"54",,"589.43","398.02","842.81","percent of total billed charges",,
"MRI SPINE LUMBAR W CONTRAST","72149","HCPCS","Both",,,"1087.5","543.75","Humana","Medicare Advantage","",,"54",,"589.43","398.02","842.81","percent of total billed charges",,
"MRI SPINE LUMBAR W CONTRAST","72149","HCPCS","Both",,,"1087.5","543.75","UHC","Medicare Advantage","",,"54",,"589.43","398.02","842.81","percent of total billed charges",,
"MRI SPINE LUMBAR W CONTRAST","72149","HCPCS","Both",,,"1087.5","543.75","Clover","Medicare Advantage","",,"54",,"589.43","398.02","842.81","percent of total billed charges",,
"MRI SPINE LUMBAR W CONTRAST","72149","HCPCS","Both",,,"1087.5","543.75","Wellcare","Medicare Advantage","",,"54",,"589.43","398.02","842.81","percent of total billed charges",,
"MRI SPINE LUMBAR W CONTRAST","72149","HCPCS","Both",,,"1087.5","543.75","Amerigroup","Medicaid Managed Care","",,"37",,"398.02","398.02","842.81","percent of total billed charges",,
"MRI SPINE LUMBAR W CONTRAST","72149","HCPCS","Both",,,"1087.5","543.75","Caresource","Medicaid Managed Care","",,"40",,"435","398.02","842.81","percent of total billed charges",,
"MRI SPINE LUMBAR W CONTRAST","72149","HCPCS","Both",,,"1087.5","543.75","Wellcare","Medicaid Managed Care","",,"40",,"440.44","398.02","842.81","percent of total billed charges",,
"MRI SPINE LUMBAR W CONTRAST","72149","HCPCS","Both",,,"1087.5","543.75","Aetna","Commercial","",,"64",,"693.82","398.02","842.81","percent of total billed charges",,
"MRI SPINE LUMBAR W CONTRAST","72149","HCPCS","Both",,,"1087.5","543.75","Blue Cross Blue Shield","Pathways","",,"71",,"767.78","398.02","842.81","percent of total billed charges",,
"MRI SPINE LUMBAR W CONTRAST","72149","HCPCS","Both",,,"1087.5","543.75","Blue Cross Blue Shield","HMO","",,"71",,"767.78","398.02","842.81","percent of total billed charges",,
"MRI SPINE LUMBAR W CONTRAST","72149","HCPCS","Both",,,"1087.5","543.75","Blue Cross Blue Shield","PPO","",,"71",,"767.78","398.02","842.81","percent of total billed charges",,
"MRI SPINE LUMBAR W CONTRAST","72149","HCPCS","Both",,,"1087.5","543.75","Ambetter","Health Exchange","",,"62",,"674.25","398.02","842.81","percent of total billed charges",,
"MRI SPINE LUMBAR W CONTRAST","72149","HCPCS","Both",,,"1087.5","543.75","Caresource","Health Exchange","",,"62",,"674.25","398.02","842.81","percent of total billed charges",,
"MRI SPINE LUMBAR W CONTRAST","72149","HCPCS","Both",,,"1087.5","543.75","Cigna","Commercial","",,"59",,"637.28","398.02","842.81","percent of total billed charges",,
"MRI SPINE LUMBAR W CONTRAST","72149","HCPCS","Both",,,"1087.5","543.75","Humana","Commercial","",,"78",,"842.81","398.02","842.81","percent of total billed charges",,
"MRI SPINE LUMBAR W CONTRAST","72149","HCPCS","Both",,,"1087.5","543.75","UHC","Commercial","",,"75",,"819.98","398.02","842.81","percent of total billed charges",,
"MRI SPINE LUMBAR W CONTRAST","72149","HCPCS","Both",,,"1087.5","543.75","Medicaid",,"",,"37",,"398.02","398.02","842.81","percent of total billed charges",,
"MRI SPINE LUMBAR W & W/O CONTRAST","72158","HCPCS","Both",,,"426.5","213.25","Alliant","Health Exchange","",,"62",,"264.43","156.1","330.54","percent of total billed charges",,
"MRI SPINE LUMBAR W & W/O CONTRAST","72158","HCPCS","Both",,,"426.5","213.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"230.31","156.1","330.54","percent of total billed charges",,
"MRI SPINE LUMBAR W & W/O CONTRAST","72158","HCPCS","Both",,,"426.5","213.25","Medicare",,"",,"54",,"231.16","156.1","330.54","percent of total billed charges",,
"MRI SPINE LUMBAR W & W/O CONTRAST","72158","HCPCS","Both",,,"426.5","213.25","Humana","Medicare Advantage","",,"54",,"231.16","156.1","330.54","percent of total billed charges",,
"MRI SPINE LUMBAR W & W/O CONTRAST","72158","HCPCS","Both",,,"426.5","213.25","UHC","Medicare Advantage","",,"54",,"231.16","156.1","330.54","percent of total billed charges",,
"MRI SPINE LUMBAR W & W/O CONTRAST","72158","HCPCS","Both",,,"426.5","213.25","Clover","Medicare Advantage","",,"54",,"231.16","156.1","330.54","percent of total billed charges",,
"MRI SPINE LUMBAR W & W/O CONTRAST","72158","HCPCS","Both",,,"426.5","213.25","Wellcare","Medicare Advantage","",,"54",,"231.16","156.1","330.54","percent of total billed charges",,
"MRI SPINE LUMBAR W & W/O CONTRAST","72158","HCPCS","Both",,,"426.5","213.25","Amerigroup","Medicaid Managed Care","",,"37",,"156.1","156.1","330.54","percent of total billed charges",,
"MRI SPINE LUMBAR W & W/O CONTRAST","72158","HCPCS","Both",,,"426.5","213.25","Caresource","Medicaid Managed Care","",,"40",,"170.6","156.1","330.54","percent of total billed charges",,
"MRI SPINE LUMBAR W & W/O CONTRAST","72158","HCPCS","Both",,,"426.5","213.25","Wellcare","Medicaid Managed Care","",,"40",,"172.73","156.1","330.54","percent of total billed charges",,
"MRI SPINE LUMBAR W & W/O CONTRAST","72158","HCPCS","Both",,,"426.5","213.25","Aetna","Commercial","",,"64",,"272.11","156.1","330.54","percent of total billed charges",,
"MRI SPINE LUMBAR W & W/O CONTRAST","72158","HCPCS","Both",,,"426.5","213.25","Blue Cross Blue Shield","Pathways","",,"71",,"301.11","156.1","330.54","percent of total billed charges",,
"MRI SPINE LUMBAR W & W/O CONTRAST","72158","HCPCS","Both",,,"426.5","213.25","Blue Cross Blue Shield","HMO","",,"71",,"301.11","156.1","330.54","percent of total billed charges",,
"MRI SPINE LUMBAR W & W/O CONTRAST","72158","HCPCS","Both",,,"426.5","213.25","Blue Cross Blue Shield","PPO","",,"71",,"301.11","156.1","330.54","percent of total billed charges",,
"MRI SPINE LUMBAR W & W/O CONTRAST","72158","HCPCS","Both",,,"426.5","213.25","Ambetter","Health Exchange","",,"62",,"264.43","156.1","330.54","percent of total billed charges",,
"MRI SPINE LUMBAR W & W/O CONTRAST","72158","HCPCS","Both",,,"426.5","213.25","Caresource","Health Exchange","",,"62",,"264.43","156.1","330.54","percent of total billed charges",,
"MRI SPINE LUMBAR W & W/O CONTRAST","72158","HCPCS","Both",,,"426.5","213.25","Cigna","Commercial","",,"59",,"249.93","156.1","330.54","percent of total billed charges",,
"MRI SPINE LUMBAR W & W/O CONTRAST","72158","HCPCS","Both",,,"426.5","213.25","Humana","Commercial","",,"78",,"330.54","156.1","330.54","percent of total billed charges",,
"MRI SPINE LUMBAR W & W/O CONTRAST","72158","HCPCS","Both",,,"426.5","213.25","UHC","Commercial","",,"75",,"321.58","156.1","330.54","percent of total billed charges",,
"MRI SPINE LUMBAR W & W/O CONTRAST","72158","HCPCS","Both",,,"426.5","213.25","Medicaid",,"",,"37",,"156.1","156.1","330.54","percent of total billed charges",,
"MRI SPINE THORACIC W/O CONTRAST","72146","HCPCS","Both",,,"946","473","Alliant","Health Exchange","",,"62",,"586.52","346.24","733.15","percent of total billed charges",,
"MRI SPINE THORACIC W/O CONTRAST","72146","HCPCS","Both",,,"946","473","Pruitt Healthcare","Medicare Advantage","",,"54",,"510.84","346.24","733.15","percent of total billed charges",,
"MRI SPINE THORACIC W/O CONTRAST","72146","HCPCS","Both",,,"946","473","Medicare",,"",,"54",,"512.73","346.24","733.15","percent of total billed charges",,
"MRI SPINE THORACIC W/O CONTRAST","72146","HCPCS","Both",,,"946","473","Humana","Medicare Advantage","",,"54",,"512.73","346.24","733.15","percent of total billed charges",,
"MRI SPINE THORACIC W/O CONTRAST","72146","HCPCS","Both",,,"946","473","UHC","Medicare Advantage","",,"54",,"512.73","346.24","733.15","percent of total billed charges",,
"MRI SPINE THORACIC W/O CONTRAST","72146","HCPCS","Both",,,"946","473","Clover","Medicare Advantage","",,"54",,"512.73","346.24","733.15","percent of total billed charges",,
"MRI SPINE THORACIC W/O CONTRAST","72146","HCPCS","Both",,,"946","473","Wellcare","Medicare Advantage","",,"54",,"512.73","346.24","733.15","percent of total billed charges",,
"MRI SPINE THORACIC W/O CONTRAST","72146","HCPCS","Both",,,"946","473","Amerigroup","Medicaid Managed Care","",,"37",,"346.24","346.24","733.15","percent of total billed charges",,
"MRI SPINE THORACIC W/O CONTRAST","72146","HCPCS","Both",,,"946","473","Caresource","Medicaid Managed Care","",,"40",,"378.4","346.24","733.15","percent of total billed charges",,
"MRI SPINE THORACIC W/O CONTRAST","72146","HCPCS","Both",,,"946","473","Wellcare","Medicaid Managed Care","",,"40",,"383.13","346.24","733.15","percent of total billed charges",,
"MRI SPINE THORACIC W/O CONTRAST","72146","HCPCS","Both",,,"946","473","Aetna","Commercial","",,"64",,"603.55","346.24","733.15","percent of total billed charges",,
"MRI SPINE THORACIC W/O CONTRAST","72146","HCPCS","Both",,,"946","473","Blue Cross Blue Shield","Pathways","",,"71",,"667.88","346.24","733.15","percent of total billed charges",,
"MRI SPINE THORACIC W/O CONTRAST","72146","HCPCS","Both",,,"946","473","Blue Cross Blue Shield","HMO","",,"71",,"667.88","346.24","733.15","percent of total billed charges",,
"MRI SPINE THORACIC W/O CONTRAST","72146","HCPCS","Both",,,"946","473","Blue Cross Blue Shield","PPO","",,"71",,"667.88","346.24","733.15","percent of total billed charges",,
"MRI SPINE THORACIC W/O CONTRAST","72146","HCPCS","Both",,,"946","473","Ambetter","Health Exchange","",,"62",,"586.52","346.24","733.15","percent of total billed charges",,
"MRI SPINE THORACIC W/O CONTRAST","72146","HCPCS","Both",,,"946","473","Caresource","Health Exchange","",,"62",,"586.52","346.24","733.15","percent of total billed charges",,
"MRI SPINE THORACIC W/O CONTRAST","72146","HCPCS","Both",,,"946","473","Cigna","Commercial","",,"59",,"554.36","346.24","733.15","percent of total billed charges",,
"MRI SPINE THORACIC W/O CONTRAST","72146","HCPCS","Both",,,"946","473","Humana","Commercial","",,"78",,"733.15","346.24","733.15","percent of total billed charges",,
"MRI SPINE THORACIC W/O CONTRAST","72146","HCPCS","Both",,,"946","473","UHC","Commercial","",,"75",,"713.28","346.24","733.15","percent of total billed charges",,
"MRI SPINE THORACIC W/O CONTRAST","72146","HCPCS","Both",,,"946","473","Medicaid",,"",,"37",,"346.24","346.24","733.15","percent of total billed charges",,
"MRI SPINE THORACIC W CONTRAST","72147","HCPCS","Both",,,"1087.5","543.75","Alliant","Health Exchange","",,"62",,"674.25","398.02","842.81","percent of total billed charges",,
"MRI SPINE THORACIC W CONTRAST","72147","HCPCS","Both",,,"1087.5","543.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"587.25","398.02","842.81","percent of total billed charges",,
"MRI SPINE THORACIC W CONTRAST","72147","HCPCS","Both",,,"1087.5","543.75","Medicare",,"",,"54",,"589.43","398.02","842.81","percent of total billed charges",,
"MRI SPINE THORACIC W CONTRAST","72147","HCPCS","Both",,,"1087.5","543.75","Humana","Medicare Advantage","",,"54",,"589.43","398.02","842.81","percent of total billed charges",,
"MRI SPINE THORACIC W CONTRAST","72147","HCPCS","Both",,,"1087.5","543.75","UHC","Medicare Advantage","",,"54",,"589.43","398.02","842.81","percent of total billed charges",,
"MRI SPINE THORACIC W CONTRAST","72147","HCPCS","Both",,,"1087.5","543.75","Clover","Medicare Advantage","",,"54",,"589.43","398.02","842.81","percent of total billed charges",,
"MRI SPINE THORACIC W CONTRAST","72147","HCPCS","Both",,,"1087.5","543.75","Wellcare","Medicare Advantage","",,"54",,"589.43","398.02","842.81","percent of total billed charges",,
"MRI SPINE THORACIC W CONTRAST","72147","HCPCS","Both",,,"1087.5","543.75","Amerigroup","Medicaid Managed Care","",,"37",,"398.02","398.02","842.81","percent of total billed charges",,
"MRI SPINE THORACIC W CONTRAST","72147","HCPCS","Both",,,"1087.5","543.75","Caresource","Medicaid Managed Care","",,"40",,"435","398.02","842.81","percent of total billed charges",,
"MRI SPINE THORACIC W CONTRAST","72147","HCPCS","Both",,,"1087.5","543.75","Wellcare","Medicaid Managed Care","",,"40",,"440.44","398.02","842.81","percent of total billed charges",,
"MRI SPINE THORACIC W CONTRAST","72147","HCPCS","Both",,,"1087.5","543.75","Aetna","Commercial","",,"64",,"693.82","398.02","842.81","percent of total billed charges",,
"MRI SPINE THORACIC W CONTRAST","72147","HCPCS","Both",,,"1087.5","543.75","Blue Cross Blue Shield","Pathways","",,"71",,"767.78","398.02","842.81","percent of total billed charges",,
"MRI SPINE THORACIC W CONTRAST","72147","HCPCS","Both",,,"1087.5","543.75","Blue Cross Blue Shield","HMO","",,"71",,"767.78","398.02","842.81","percent of total billed charges",,
"MRI SPINE THORACIC W CONTRAST","72147","HCPCS","Both",,,"1087.5","543.75","Blue Cross Blue Shield","PPO","",,"71",,"767.78","398.02","842.81","percent of total billed charges",,
"MRI SPINE THORACIC W CONTRAST","72147","HCPCS","Both",,,"1087.5","543.75","Ambetter","Health Exchange","",,"62",,"674.25","398.02","842.81","percent of total billed charges",,
"MRI SPINE THORACIC W CONTRAST","72147","HCPCS","Both",,,"1087.5","543.75","Caresource","Health Exchange","",,"62",,"674.25","398.02","842.81","percent of total billed charges",,
"MRI SPINE THORACIC W CONTRAST","72147","HCPCS","Both",,,"1087.5","543.75","Cigna","Commercial","",,"59",,"637.28","398.02","842.81","percent of total billed charges",,
"MRI SPINE THORACIC W CONTRAST","72147","HCPCS","Both",,,"1087.5","543.75","Humana","Commercial","",,"78",,"842.81","398.02","842.81","percent of total billed charges",,
"MRI SPINE THORACIC W CONTRAST","72147","HCPCS","Both",,,"1087.5","543.75","UHC","Commercial","",,"75",,"819.98","398.02","842.81","percent of total billed charges",,
"MRI SPINE THORACIC W CONTRAST","72147","HCPCS","Both",,,"1087.5","543.75","Medicaid",,"",,"37",,"398.02","398.02","842.81","percent of total billed charges",,
"MRI SPINE THORACIC W & W/O CONTRAST","72157","HCPCS","Both",,,"428","214","Alliant","Health Exchange","",,"62",,"265.36","156.65","331.7","percent of total billed charges",,
"MRI SPINE THORACIC W & W/O CONTRAST","72157","HCPCS","Both",,,"428","214","Pruitt Healthcare","Medicare Advantage","",,"54",,"231.12","156.65","331.7","percent of total billed charges",,
"MRI SPINE THORACIC W & W/O CONTRAST","72157","HCPCS","Both",,,"428","214","Medicare",,"",,"54",,"231.98","156.65","331.7","percent of total billed charges",,
"MRI SPINE THORACIC W & W/O CONTRAST","72157","HCPCS","Both",,,"428","214","Humana","Medicare Advantage","",,"54",,"231.98","156.65","331.7","percent of total billed charges",,
"MRI SPINE THORACIC W & W/O CONTRAST","72157","HCPCS","Both",,,"428","214","UHC","Medicare Advantage","",,"54",,"231.98","156.65","331.7","percent of total billed charges",,
"MRI SPINE THORACIC W & W/O CONTRAST","72157","HCPCS","Both",,,"428","214","Clover","Medicare Advantage","",,"54",,"231.98","156.65","331.7","percent of total billed charges",,
"MRI SPINE THORACIC W & W/O CONTRAST","72157","HCPCS","Both",,,"428","214","Wellcare","Medicare Advantage","",,"54",,"231.98","156.65","331.7","percent of total billed charges",,
"MRI SPINE THORACIC W & W/O CONTRAST","72157","HCPCS","Both",,,"428","214","Amerigroup","Medicaid Managed Care","",,"37",,"156.65","156.65","331.7","percent of total billed charges",,
"MRI SPINE THORACIC W & W/O CONTRAST","72157","HCPCS","Both",,,"428","214","Caresource","Medicaid Managed Care","",,"40",,"171.2","156.65","331.7","percent of total billed charges",,
"MRI SPINE THORACIC W & W/O CONTRAST","72157","HCPCS","Both",,,"428","214","Wellcare","Medicaid Managed Care","",,"40",,"173.34","156.65","331.7","percent of total billed charges",,
"MRI SPINE THORACIC W & W/O CONTRAST","72157","HCPCS","Both",,,"428","214","Aetna","Commercial","",,"64",,"273.06","156.65","331.7","percent of total billed charges",,
"MRI SPINE THORACIC W & W/O CONTRAST","72157","HCPCS","Both",,,"428","214","Blue Cross Blue Shield","Pathways","",,"71",,"302.17","156.65","331.7","percent of total billed charges",,
"MRI SPINE THORACIC W & W/O CONTRAST","72157","HCPCS","Both",,,"428","214","Blue Cross Blue Shield","HMO","",,"71",,"302.17","156.65","331.7","percent of total billed charges",,
"MRI SPINE THORACIC W & W/O CONTRAST","72157","HCPCS","Both",,,"428","214","Blue Cross Blue Shield","PPO","",,"71",,"302.17","156.65","331.7","percent of total billed charges",,
"MRI SPINE THORACIC W & W/O CONTRAST","72157","HCPCS","Both",,,"428","214","Ambetter","Health Exchange","",,"62",,"265.36","156.65","331.7","percent of total billed charges",,
"MRI SPINE THORACIC W & W/O CONTRAST","72157","HCPCS","Both",,,"428","214","Caresource","Health Exchange","",,"62",,"265.36","156.65","331.7","percent of total billed charges",,
"MRI SPINE THORACIC W & W/O CONTRAST","72157","HCPCS","Both",,,"428","214","Cigna","Commercial","",,"59",,"250.81","156.65","331.7","percent of total billed charges",,
"MRI SPINE THORACIC W & W/O CONTRAST","72157","HCPCS","Both",,,"428","214","Humana","Commercial","",,"78",,"331.7","156.65","331.7","percent of total billed charges",,
"MRI SPINE THORACIC W & W/O CONTRAST","72157","HCPCS","Both",,,"428","214","UHC","Commercial","",,"75",,"322.71","156.65","331.7","percent of total billed charges",,
"MRI SPINE THORACIC W & W/O CONTRAST","72157","HCPCS","Both",,,"428","214","Medicaid",,"",,"37",,"156.65","156.65","331.7","percent of total billed charges",,
"MRI PELVIS W/O CONTRAST","72195","HCPCS","Both",,,"308","154","Alliant","Health Exchange","",,"62",,"190.96","112.73","238.7","percent of total billed charges",,
"MRI PELVIS W/O CONTRAST","72195","HCPCS","Both",,,"308","154","Pruitt Healthcare","Medicare Advantage","",,"54",,"166.32","112.73","238.7","percent of total billed charges",,
"MRI PELVIS W/O CONTRAST","72195","HCPCS","Both",,,"308","154","Medicare",,"",,"54",,"166.94","112.73","238.7","percent of total billed charges",,
"MRI PELVIS W/O CONTRAST","72195","HCPCS","Both",,,"308","154","Humana","Medicare Advantage","",,"54",,"166.94","112.73","238.7","percent of total billed charges",,
"MRI PELVIS W/O CONTRAST","72195","HCPCS","Both",,,"308","154","UHC","Medicare Advantage","",,"54",,"166.94","112.73","238.7","percent of total billed charges",,
"MRI PELVIS W/O CONTRAST","72195","HCPCS","Both",,,"308","154","Clover","Medicare Advantage","",,"54",,"166.94","112.73","238.7","percent of total billed charges",,
"MRI PELVIS W/O CONTRAST","72195","HCPCS","Both",,,"308","154","Wellcare","Medicare Advantage","",,"54",,"166.94","112.73","238.7","percent of total billed charges",,
"MRI PELVIS W/O CONTRAST","72195","HCPCS","Both",,,"308","154","Amerigroup","Medicaid Managed Care","",,"37",,"112.73","112.73","238.7","percent of total billed charges",,
"MRI PELVIS W/O CONTRAST","72195","HCPCS","Both",,,"308","154","Caresource","Medicaid Managed Care","",,"40",,"123.2","112.73","238.7","percent of total billed charges",,
"MRI PELVIS W/O CONTRAST","72195","HCPCS","Both",,,"308","154","Wellcare","Medicaid Managed Care","",,"40",,"124.74","112.73","238.7","percent of total billed charges",,
"MRI PELVIS W/O CONTRAST","72195","HCPCS","Both",,,"308","154","Aetna","Commercial","",,"64",,"196.5","112.73","238.7","percent of total billed charges",,
"MRI PELVIS W/O CONTRAST","72195","HCPCS","Both",,,"308","154","Blue Cross Blue Shield","Pathways","",,"71",,"217.45","112.73","238.7","percent of total billed charges",,
"MRI PELVIS W/O CONTRAST","72195","HCPCS","Both",,,"308","154","Blue Cross Blue Shield","HMO","",,"71",,"217.45","112.73","238.7","percent of total billed charges",,
"MRI PELVIS W/O CONTRAST","72195","HCPCS","Both",,,"308","154","Blue Cross Blue Shield","PPO","",,"71",,"217.45","112.73","238.7","percent of total billed charges",,
"MRI PELVIS W/O CONTRAST","72195","HCPCS","Both",,,"308","154","Ambetter","Health Exchange","",,"62",,"190.96","112.73","238.7","percent of total billed charges",,
"MRI PELVIS W/O CONTRAST","72195","HCPCS","Both",,,"308","154","Caresource","Health Exchange","",,"62",,"190.96","112.73","238.7","percent of total billed charges",,
"MRI PELVIS W/O CONTRAST","72195","HCPCS","Both",,,"308","154","Cigna","Commercial","",,"59",,"180.49","112.73","238.7","percent of total billed charges",,
"MRI PELVIS W/O CONTRAST","72195","HCPCS","Both",,,"308","154","Humana","Commercial","",,"78",,"238.7","112.73","238.7","percent of total billed charges",,
"MRI PELVIS W/O CONTRAST","72195","HCPCS","Both",,,"308","154","UHC","Commercial","",,"75",,"232.23","112.73","238.7","percent of total billed charges",,
"MRI PELVIS W/O CONTRAST","72195","HCPCS","Both",,,"308","154","Medicaid",,"",,"37",,"112.73","112.73","238.7","percent of total billed charges",,
"MRI PELVIS W/CONTRAST","72196","HCPCS","Both",,,"1087.5","543.75","Alliant","Health Exchange","",,"62",,"674.25","398.02","842.81","percent of total billed charges",,
"MRI PELVIS W/CONTRAST","72196","HCPCS","Both",,,"1087.5","543.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"587.25","398.02","842.81","percent of total billed charges",,
"MRI PELVIS W/CONTRAST","72196","HCPCS","Both",,,"1087.5","543.75","Medicare",,"",,"54",,"589.43","398.02","842.81","percent of total billed charges",,
"MRI PELVIS W/CONTRAST","72196","HCPCS","Both",,,"1087.5","543.75","Humana","Medicare Advantage","",,"54",,"589.43","398.02","842.81","percent of total billed charges",,
"MRI PELVIS W/CONTRAST","72196","HCPCS","Both",,,"1087.5","543.75","UHC","Medicare Advantage","",,"54",,"589.43","398.02","842.81","percent of total billed charges",,
"MRI PELVIS W/CONTRAST","72196","HCPCS","Both",,,"1087.5","543.75","Clover","Medicare Advantage","",,"54",,"589.43","398.02","842.81","percent of total billed charges",,
"MRI PELVIS W/CONTRAST","72196","HCPCS","Both",,,"1087.5","543.75","Wellcare","Medicare Advantage","",,"54",,"589.43","398.02","842.81","percent of total billed charges",,
"MRI PELVIS W/CONTRAST","72196","HCPCS","Both",,,"1087.5","543.75","Amerigroup","Medicaid Managed Care","",,"37",,"398.02","398.02","842.81","percent of total billed charges",,
"MRI PELVIS W/CONTRAST","72196","HCPCS","Both",,,"1087.5","543.75","Caresource","Medicaid Managed Care","",,"40",,"435","398.02","842.81","percent of total billed charges",,
"MRI PELVIS W/CONTRAST","72196","HCPCS","Both",,,"1087.5","543.75","Wellcare","Medicaid Managed Care","",,"40",,"440.44","398.02","842.81","percent of total billed charges",,
"MRI PELVIS W/CONTRAST","72196","HCPCS","Both",,,"1087.5","543.75","Aetna","Commercial","",,"64",,"693.82","398.02","842.81","percent of total billed charges",,
"MRI PELVIS W/CONTRAST","72196","HCPCS","Both",,,"1087.5","543.75","Blue Cross Blue Shield","Pathways","",,"71",,"767.78","398.02","842.81","percent of total billed charges",,
"MRI PELVIS W/CONTRAST","72196","HCPCS","Both",,,"1087.5","543.75","Blue Cross Blue Shield","HMO","",,"71",,"767.78","398.02","842.81","percent of total billed charges",,
"MRI PELVIS W/CONTRAST","72196","HCPCS","Both",,,"1087.5","543.75","Blue Cross Blue Shield","PPO","",,"71",,"767.78","398.02","842.81","percent of total billed charges",,
"MRI PELVIS W/CONTRAST","72196","HCPCS","Both",,,"1087.5","543.75","Ambetter","Health Exchange","",,"62",,"674.25","398.02","842.81","percent of total billed charges",,
"MRI PELVIS W/CONTRAST","72196","HCPCS","Both",,,"1087.5","543.75","Caresource","Health Exchange","",,"62",,"674.25","398.02","842.81","percent of total billed charges",,
"MRI PELVIS W/CONTRAST","72196","HCPCS","Both",,,"1087.5","543.75","Cigna","Commercial","",,"59",,"637.28","398.02","842.81","percent of total billed charges",,
"MRI PELVIS W/CONTRAST","72196","HCPCS","Both",,,"1087.5","543.75","Humana","Commercial","",,"78",,"842.81","398.02","842.81","percent of total billed charges",,
"MRI PELVIS W/CONTRAST","72196","HCPCS","Both",,,"1087.5","543.75","UHC","Commercial","",,"75",,"819.98","398.02","842.81","percent of total billed charges",,
"MRI PELVIS W/CONTRAST","72196","HCPCS","Both",,,"1087.5","543.75","Medicaid",,"",,"37",,"398.02","398.02","842.81","percent of total billed charges",,
"MRI PELVIS W & W/O CONTRAST","72197","HCPCS","Both",,,"652.5","326.25","Alliant","Health Exchange","",,"62",,"404.55","238.82","505.69","percent of total billed charges",,
"MRI PELVIS W & W/O CONTRAST","72197","HCPCS","Both",,,"652.5","326.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"352.35","238.82","505.69","percent of total billed charges",,
"MRI PELVIS W & W/O CONTRAST","72197","HCPCS","Both",,,"652.5","326.25","Medicare",,"",,"54",,"353.66","238.82","505.69","percent of total billed charges",,
"MRI PELVIS W & W/O CONTRAST","72197","HCPCS","Both",,,"652.5","326.25","Humana","Medicare Advantage","",,"54",,"353.66","238.82","505.69","percent of total billed charges",,
"MRI PELVIS W & W/O CONTRAST","72197","HCPCS","Both",,,"652.5","326.25","UHC","Medicare Advantage","",,"54",,"353.66","238.82","505.69","percent of total billed charges",,
"MRI PELVIS W & W/O CONTRAST","72197","HCPCS","Both",,,"652.5","326.25","Clover","Medicare Advantage","",,"54",,"353.66","238.82","505.69","percent of total billed charges",,
"MRI PELVIS W & W/O CONTRAST","72197","HCPCS","Both",,,"652.5","326.25","Wellcare","Medicare Advantage","",,"54",,"353.66","238.82","505.69","percent of total billed charges",,
"MRI PELVIS W & W/O CONTRAST","72197","HCPCS","Both",,,"652.5","326.25","Amerigroup","Medicaid Managed Care","",,"37",,"238.82","238.82","505.69","percent of total billed charges",,
"MRI PELVIS W & W/O CONTRAST","72197","HCPCS","Both",,,"652.5","326.25","Caresource","Medicaid Managed Care","",,"40",,"261","238.82","505.69","percent of total billed charges",,
"MRI PELVIS W & W/O CONTRAST","72197","HCPCS","Both",,,"652.5","326.25","Wellcare","Medicaid Managed Care","",,"40",,"264.26","238.82","505.69","percent of total billed charges",,
"MRI PELVIS W & W/O CONTRAST","72197","HCPCS","Both",,,"652.5","326.25","Aetna","Commercial","",,"64",,"416.3","238.82","505.69","percent of total billed charges",,
"MRI PELVIS W & W/O CONTRAST","72197","HCPCS","Both",,,"652.5","326.25","Blue Cross Blue Shield","Pathways","",,"71",,"460.66","238.82","505.69","percent of total billed charges",,
"MRI PELVIS W & W/O CONTRAST","72197","HCPCS","Both",,,"652.5","326.25","Blue Cross Blue Shield","HMO","",,"71",,"460.66","238.82","505.69","percent of total billed charges",,
"MRI PELVIS W & W/O CONTRAST","72197","HCPCS","Both",,,"652.5","326.25","Blue Cross Blue Shield","PPO","",,"71",,"460.66","238.82","505.69","percent of total billed charges",,
"MRI PELVIS W & W/O CONTRAST","72197","HCPCS","Both",,,"652.5","326.25","Ambetter","Health Exchange","",,"62",,"404.55","238.82","505.69","percent of total billed charges",,
"MRI PELVIS W & W/O CONTRAST","72197","HCPCS","Both",,,"652.5","326.25","Caresource","Health Exchange","",,"62",,"404.55","238.82","505.69","percent of total billed charges",,
"MRI PELVIS W & W/O CONTRAST","72197","HCPCS","Both",,,"652.5","326.25","Cigna","Commercial","",,"59",,"382.36","238.82","505.69","percent of total billed charges",,
"MRI PELVIS W & W/O CONTRAST","72197","HCPCS","Both",,,"652.5","326.25","Humana","Commercial","",,"78",,"505.69","238.82","505.69","percent of total billed charges",,
"MRI PELVIS W & W/O CONTRAST","72197","HCPCS","Both",,,"652.5","326.25","UHC","Commercial","",,"75",,"491.98","238.82","505.69","percent of total billed charges",,
"MRI PELVIS W & W/O CONTRAST","72197","HCPCS","Both",,,"652.5","326.25","Medicaid",,"",,"37",,"238.82","238.82","505.69","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/O","73721","HCPCS","Both",,,"1135","567.5","Alliant","Health Exchange","",,"62",,"703.7","415.41","879.62","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/O","73721","HCPCS","Both",,,"1135","567.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"612.9","415.41","879.62","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/O","73721","HCPCS","Both",,,"1135","567.5","Medicare",,"",,"54",,"615.17","415.41","879.62","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/O","73721","HCPCS","Both",,,"1135","567.5","Humana","Medicare Advantage","",,"54",,"615.17","415.41","879.62","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/O","73721","HCPCS","Both",,,"1135","567.5","UHC","Medicare Advantage","",,"54",,"615.17","415.41","879.62","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/O","73721","HCPCS","Both",,,"1135","567.5","Clover","Medicare Advantage","",,"54",,"615.17","415.41","879.62","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/O","73721","HCPCS","Both",,,"1135","567.5","Wellcare","Medicare Advantage","",,"54",,"615.17","415.41","879.62","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/O","73721","HCPCS","Both",,,"1135","567.5","Amerigroup","Medicaid Managed Care","",,"37",,"415.41","415.41","879.62","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/O","73721","HCPCS","Both",,,"1135","567.5","Caresource","Medicaid Managed Care","",,"40",,"454","415.41","879.62","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/O","73721","HCPCS","Both",,,"1135","567.5","Wellcare","Medicaid Managed Care","",,"40",,"459.68","415.41","879.62","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/O","73721","HCPCS","Both",,,"1135","567.5","Aetna","Commercial","",,"64",,"724.13","415.41","879.62","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/O","73721","HCPCS","Both",,,"1135","567.5","Blue Cross Blue Shield","Pathways","",,"71",,"801.31","415.41","879.62","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/O","73721","HCPCS","Both",,,"1135","567.5","Blue Cross Blue Shield","HMO","",,"71",,"801.31","415.41","879.62","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/O","73721","HCPCS","Both",,,"1135","567.5","Blue Cross Blue Shield","PPO","",,"71",,"801.31","415.41","879.62","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/O","73721","HCPCS","Both",,,"1135","567.5","Ambetter","Health Exchange","",,"62",,"703.7","415.41","879.62","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/O","73721","HCPCS","Both",,,"1135","567.5","Caresource","Health Exchange","",,"62",,"703.7","415.41","879.62","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/O","73721","HCPCS","Both",,,"1135","567.5","Cigna","Commercial","",,"59",,"665.11","415.41","879.62","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/O","73721","HCPCS","Both",,,"1135","567.5","Humana","Commercial","",,"78",,"879.62","415.41","879.62","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/O","73721","HCPCS","Both",,,"1135","567.5","UHC","Commercial","",,"75",,"855.79","415.41","879.62","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/O","73721","HCPCS","Both",,,"1135","567.5","Medicaid",,"",,"37",,"415.41","415.41","879.62","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/CONTRAST","73722","HCPCS","Both",,,"1675","837.5","Alliant","Health Exchange","",,"62",,"1038.5","613.05","1298.12","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/CONTRAST","73722","HCPCS","Both",,,"1675","837.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"904.5","613.05","1298.12","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/CONTRAST","73722","HCPCS","Both",,,"1675","837.5","Medicare",,"",,"54",,"907.85","613.05","1298.12","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/CONTRAST","73722","HCPCS","Both",,,"1675","837.5","Humana","Medicare Advantage","",,"54",,"907.85","613.05","1298.12","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/CONTRAST","73722","HCPCS","Both",,,"1675","837.5","UHC","Medicare Advantage","",,"54",,"907.85","613.05","1298.12","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/CONTRAST","73722","HCPCS","Both",,,"1675","837.5","Clover","Medicare Advantage","",,"54",,"907.85","613.05","1298.12","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/CONTRAST","73722","HCPCS","Both",,,"1675","837.5","Wellcare","Medicare Advantage","",,"54",,"907.85","613.05","1298.12","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/CONTRAST","73722","HCPCS","Both",,,"1675","837.5","Amerigroup","Medicaid Managed Care","",,"37",,"613.05","613.05","1298.12","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/CONTRAST","73722","HCPCS","Both",,,"1675","837.5","Caresource","Medicaid Managed Care","",,"40",,"670","613.05","1298.12","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/CONTRAST","73722","HCPCS","Both",,,"1675","837.5","Wellcare","Medicaid Managed Care","",,"40",,"678.38","613.05","1298.12","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/CONTRAST","73722","HCPCS","Both",,,"1675","837.5","Aetna","Commercial","",,"64",,"1068.65","613.05","1298.12","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/CONTRAST","73722","HCPCS","Both",,,"1675","837.5","Blue Cross Blue Shield","Pathways","",,"71",,"1182.55","613.05","1298.12","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/CONTRAST","73722","HCPCS","Both",,,"1675","837.5","Blue Cross Blue Shield","HMO","",,"71",,"1182.55","613.05","1298.12","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/CONTRAST","73722","HCPCS","Both",,,"1675","837.5","Blue Cross Blue Shield","PPO","",,"71",,"1182.55","613.05","1298.12","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/CONTRAST","73722","HCPCS","Both",,,"1675","837.5","Ambetter","Health Exchange","",,"62",,"1038.5","613.05","1298.12","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/CONTRAST","73722","HCPCS","Both",,,"1675","837.5","Caresource","Health Exchange","",,"62",,"1038.5","613.05","1298.12","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/CONTRAST","73722","HCPCS","Both",,,"1675","837.5","Cigna","Commercial","",,"59",,"981.55","613.05","1298.12","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/CONTRAST","73722","HCPCS","Both",,,"1675","837.5","Humana","Commercial","",,"78",,"1298.12","613.05","1298.12","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/CONTRAST","73722","HCPCS","Both",,,"1675","837.5","UHC","Commercial","",,"75",,"1262.95","613.05","1298.12","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/CONTRAST","73722","HCPCS","Both",,,"1675","837.5","Medicaid",,"",,"37",,"613.05","613.05","1298.12","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W & W/O CONT.","73723","HCPCS","Both",,,"1087.5","543.75","Alliant","Health Exchange","",,"62",,"674.25","398.02","842.81","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W & W/O CONT.","73723","HCPCS","Both",,,"1087.5","543.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"587.25","398.02","842.81","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W & W/O CONT.","73723","HCPCS","Both",,,"1087.5","543.75","Medicare",,"",,"54",,"589.43","398.02","842.81","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W & W/O CONT.","73723","HCPCS","Both",,,"1087.5","543.75","Humana","Medicare Advantage","",,"54",,"589.43","398.02","842.81","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W & W/O CONT.","73723","HCPCS","Both",,,"1087.5","543.75","UHC","Medicare Advantage","",,"54",,"589.43","398.02","842.81","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W & W/O CONT.","73723","HCPCS","Both",,,"1087.5","543.75","Clover","Medicare Advantage","",,"54",,"589.43","398.02","842.81","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W & W/O CONT.","73723","HCPCS","Both",,,"1087.5","543.75","Wellcare","Medicare Advantage","",,"54",,"589.43","398.02","842.81","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W & W/O CONT.","73723","HCPCS","Both",,,"1087.5","543.75","Amerigroup","Medicaid Managed Care","",,"37",,"398.02","398.02","842.81","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W & W/O CONT.","73723","HCPCS","Both",,,"1087.5","543.75","Caresource","Medicaid Managed Care","",,"40",,"435","398.02","842.81","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W & W/O CONT.","73723","HCPCS","Both",,,"1087.5","543.75","Wellcare","Medicaid Managed Care","",,"40",,"440.44","398.02","842.81","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W & W/O CONT.","73723","HCPCS","Both",,,"1087.5","543.75","Aetna","Commercial","",,"64",,"693.82","398.02","842.81","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W & W/O CONT.","73723","HCPCS","Both",,,"1087.5","543.75","Blue Cross Blue Shield","Pathways","",,"71",,"767.78","398.02","842.81","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W & W/O CONT.","73723","HCPCS","Both",,,"1087.5","543.75","Blue Cross Blue Shield","HMO","",,"71",,"767.78","398.02","842.81","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W & W/O CONT.","73723","HCPCS","Both",,,"1087.5","543.75","Blue Cross Blue Shield","PPO","",,"71",,"767.78","398.02","842.81","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W & W/O CONT.","73723","HCPCS","Both",,,"1087.5","543.75","Ambetter","Health Exchange","",,"62",,"674.25","398.02","842.81","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W & W/O CONT.","73723","HCPCS","Both",,,"1087.5","543.75","Caresource","Health Exchange","",,"62",,"674.25","398.02","842.81","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W & W/O CONT.","73723","HCPCS","Both",,,"1087.5","543.75","Cigna","Commercial","",,"59",,"637.28","398.02","842.81","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W & W/O CONT.","73723","HCPCS","Both",,,"1087.5","543.75","Humana","Commercial","",,"78",,"842.81","398.02","842.81","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W & W/O CONT.","73723","HCPCS","Both",,,"1087.5","543.75","UHC","Commercial","",,"75",,"819.98","398.02","842.81","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W & W/O CONT.","73723","HCPCS","Both",,,"1087.5","543.75","Medicaid",,"",,"37",,"398.02","398.02","842.81","percent of total billed charges",,
"MRI ABDOMEN W/O CONTRAST","74181","HCPCS","Both",,,"1050","525","Alliant","Health Exchange","",,"62",,"651","384.3","813.75","percent of total billed charges",,
"MRI ABDOMEN W/O CONTRAST","74181","HCPCS","Both",,,"1050","525","Pruitt Healthcare","Medicare Advantage","",,"54",,"567","384.3","813.75","percent of total billed charges",,
"MRI ABDOMEN W/O CONTRAST","74181","HCPCS","Both",,,"1050","525","Medicare",,"",,"54",,"569.1","384.3","813.75","percent of total billed charges",,
"MRI ABDOMEN W/O CONTRAST","74181","HCPCS","Both",,,"1050","525","Humana","Medicare Advantage","",,"54",,"569.1","384.3","813.75","percent of total billed charges",,
"MRI ABDOMEN W/O CONTRAST","74181","HCPCS","Both",,,"1050","525","UHC","Medicare Advantage","",,"54",,"569.1","384.3","813.75","percent of total billed charges",,
"MRI ABDOMEN W/O CONTRAST","74181","HCPCS","Both",,,"1050","525","Clover","Medicare Advantage","",,"54",,"569.1","384.3","813.75","percent of total billed charges",,
"MRI ABDOMEN W/O CONTRAST","74181","HCPCS","Both",,,"1050","525","Wellcare","Medicare Advantage","",,"54",,"569.1","384.3","813.75","percent of total billed charges",,
"MRI ABDOMEN W/O CONTRAST","74181","HCPCS","Both",,,"1050","525","Amerigroup","Medicaid Managed Care","",,"37",,"384.3","384.3","813.75","percent of total billed charges",,
"MRI ABDOMEN W/O CONTRAST","74181","HCPCS","Both",,,"1050","525","Caresource","Medicaid Managed Care","",,"40",,"420","384.3","813.75","percent of total billed charges",,
"MRI ABDOMEN W/O CONTRAST","74181","HCPCS","Both",,,"1050","525","Wellcare","Medicaid Managed Care","",,"40",,"425.25","384.3","813.75","percent of total billed charges",,
"MRI ABDOMEN W/O CONTRAST","74181","HCPCS","Both",,,"1050","525","Aetna","Commercial","",,"64",,"669.9","384.3","813.75","percent of total billed charges",,
"MRI ABDOMEN W/O CONTRAST","74181","HCPCS","Both",,,"1050","525","Blue Cross Blue Shield","Pathways","",,"71",,"741.3","384.3","813.75","percent of total billed charges",,
"MRI ABDOMEN W/O CONTRAST","74181","HCPCS","Both",,,"1050","525","Blue Cross Blue Shield","HMO","",,"71",,"741.3","384.3","813.75","percent of total billed charges",,
"MRI ABDOMEN W/O CONTRAST","74181","HCPCS","Both",,,"1050","525","Blue Cross Blue Shield","PPO","",,"71",,"741.3","384.3","813.75","percent of total billed charges",,
"MRI ABDOMEN W/O CONTRAST","74181","HCPCS","Both",,,"1050","525","Ambetter","Health Exchange","",,"62",,"651","384.3","813.75","percent of total billed charges",,
"MRI ABDOMEN W/O CONTRAST","74181","HCPCS","Both",,,"1050","525","Caresource","Health Exchange","",,"62",,"651","384.3","813.75","percent of total billed charges",,
"MRI ABDOMEN W/O CONTRAST","74181","HCPCS","Both",,,"1050","525","Cigna","Commercial","",,"59",,"615.3","384.3","813.75","percent of total billed charges",,
"MRI ABDOMEN W/O CONTRAST","74181","HCPCS","Both",,,"1050","525","Humana","Commercial","",,"78",,"813.75","384.3","813.75","percent of total billed charges",,
"MRI ABDOMEN W/O CONTRAST","74181","HCPCS","Both",,,"1050","525","UHC","Commercial","",,"75",,"791.7","384.3","813.75","percent of total billed charges",,
"MRI ABDOMEN W/O CONTRAST","74181","HCPCS","Both",,,"1050","525","Medicaid",,"",,"37",,"384.3","384.3","813.75","percent of total billed charges",,
"MRI ABDOMEN W/CONTRAST","74182","HCPCS","Both",,,"1087.5","543.75","Alliant","Health Exchange","",,"62",,"674.25","398.02","842.81","percent of total billed charges",,
"MRI ABDOMEN W/CONTRAST","74182","HCPCS","Both",,,"1087.5","543.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"587.25","398.02","842.81","percent of total billed charges",,
"MRI ABDOMEN W/CONTRAST","74182","HCPCS","Both",,,"1087.5","543.75","Medicare",,"",,"54",,"589.43","398.02","842.81","percent of total billed charges",,
"MRI ABDOMEN W/CONTRAST","74182","HCPCS","Both",,,"1087.5","543.75","Humana","Medicare Advantage","",,"54",,"589.43","398.02","842.81","percent of total billed charges",,
"MRI ABDOMEN W/CONTRAST","74182","HCPCS","Both",,,"1087.5","543.75","UHC","Medicare Advantage","",,"54",,"589.43","398.02","842.81","percent of total billed charges",,
"MRI ABDOMEN W/CONTRAST","74182","HCPCS","Both",,,"1087.5","543.75","Clover","Medicare Advantage","",,"54",,"589.43","398.02","842.81","percent of total billed charges",,
"MRI ABDOMEN W/CONTRAST","74182","HCPCS","Both",,,"1087.5","543.75","Wellcare","Medicare Advantage","",,"54",,"589.43","398.02","842.81","percent of total billed charges",,
"MRI ABDOMEN W/CONTRAST","74182","HCPCS","Both",,,"1087.5","543.75","Amerigroup","Medicaid Managed Care","",,"37",,"398.02","398.02","842.81","percent of total billed charges",,
"MRI ABDOMEN W/CONTRAST","74182","HCPCS","Both",,,"1087.5","543.75","Caresource","Medicaid Managed Care","",,"40",,"435","398.02","842.81","percent of total billed charges",,
"MRI ABDOMEN W/CONTRAST","74182","HCPCS","Both",,,"1087.5","543.75","Wellcare","Medicaid Managed Care","",,"40",,"440.44","398.02","842.81","percent of total billed charges",,
"MRI ABDOMEN W/CONTRAST","74182","HCPCS","Both",,,"1087.5","543.75","Aetna","Commercial","",,"64",,"693.82","398.02","842.81","percent of total billed charges",,
"MRI ABDOMEN W/CONTRAST","74182","HCPCS","Both",,,"1087.5","543.75","Blue Cross Blue Shield","Pathways","",,"71",,"767.78","398.02","842.81","percent of total billed charges",,
"MRI ABDOMEN W/CONTRAST","74182","HCPCS","Both",,,"1087.5","543.75","Blue Cross Blue Shield","HMO","",,"71",,"767.78","398.02","842.81","percent of total billed charges",,
"MRI ABDOMEN W/CONTRAST","74182","HCPCS","Both",,,"1087.5","543.75","Blue Cross Blue Shield","PPO","",,"71",,"767.78","398.02","842.81","percent of total billed charges",,
"MRI ABDOMEN W/CONTRAST","74182","HCPCS","Both",,,"1087.5","543.75","Ambetter","Health Exchange","",,"62",,"674.25","398.02","842.81","percent of total billed charges",,
"MRI ABDOMEN W/CONTRAST","74182","HCPCS","Both",,,"1087.5","543.75","Caresource","Health Exchange","",,"62",,"674.25","398.02","842.81","percent of total billed charges",,
"MRI ABDOMEN W/CONTRAST","74182","HCPCS","Both",,,"1087.5","543.75","Cigna","Commercial","",,"59",,"637.28","398.02","842.81","percent of total billed charges",,
"MRI ABDOMEN W/CONTRAST","74182","HCPCS","Both",,,"1087.5","543.75","Humana","Commercial","",,"78",,"842.81","398.02","842.81","percent of total billed charges",,
"MRI ABDOMEN W/CONTRAST","74182","HCPCS","Both",,,"1087.5","543.75","UHC","Commercial","",,"75",,"819.98","398.02","842.81","percent of total billed charges",,
"MRI ABDOMEN W/CONTRAST","74182","HCPCS","Both",,,"1087.5","543.75","Medicaid",,"",,"37",,"398.02","398.02","842.81","percent of total billed charges",,
"MRI ABDOMEN W & W/O CONTRAST","74183","HCPCS","Both",,,"1087.5","543.75","Alliant","Health Exchange","",,"62",,"674.25","398.02","842.81","percent of total billed charges",,
"MRI ABDOMEN W & W/O CONTRAST","74183","HCPCS","Both",,,"1087.5","543.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"587.25","398.02","842.81","percent of total billed charges",,
"MRI ABDOMEN W & W/O CONTRAST","74183","HCPCS","Both",,,"1087.5","543.75","Medicare",,"",,"54",,"589.43","398.02","842.81","percent of total billed charges",,
"MRI ABDOMEN W & W/O CONTRAST","74183","HCPCS","Both",,,"1087.5","543.75","Humana","Medicare Advantage","",,"54",,"589.43","398.02","842.81","percent of total billed charges",,
"MRI ABDOMEN W & W/O CONTRAST","74183","HCPCS","Both",,,"1087.5","543.75","UHC","Medicare Advantage","",,"54",,"589.43","398.02","842.81","percent of total billed charges",,
"MRI ABDOMEN W & W/O CONTRAST","74183","HCPCS","Both",,,"1087.5","543.75","Clover","Medicare Advantage","",,"54",,"589.43","398.02","842.81","percent of total billed charges",,
"MRI ABDOMEN W & W/O CONTRAST","74183","HCPCS","Both",,,"1087.5","543.75","Wellcare","Medicare Advantage","",,"54",,"589.43","398.02","842.81","percent of total billed charges",,
"MRI ABDOMEN W & W/O CONTRAST","74183","HCPCS","Both",,,"1087.5","543.75","Amerigroup","Medicaid Managed Care","",,"37",,"398.02","398.02","842.81","percent of total billed charges",,
"MRI ABDOMEN W & W/O CONTRAST","74183","HCPCS","Both",,,"1087.5","543.75","Caresource","Medicaid Managed Care","",,"40",,"435","398.02","842.81","percent of total billed charges",,
"MRI ABDOMEN W & W/O CONTRAST","74183","HCPCS","Both",,,"1087.5","543.75","Wellcare","Medicaid Managed Care","",,"40",,"440.44","398.02","842.81","percent of total billed charges",,
"MRI ABDOMEN W & W/O CONTRAST","74183","HCPCS","Both",,,"1087.5","543.75","Aetna","Commercial","",,"64",,"693.82","398.02","842.81","percent of total billed charges",,
"MRI ABDOMEN W & W/O CONTRAST","74183","HCPCS","Both",,,"1087.5","543.75","Blue Cross Blue Shield","Pathways","",,"71",,"767.78","398.02","842.81","percent of total billed charges",,
"MRI ABDOMEN W & W/O CONTRAST","74183","HCPCS","Both",,,"1087.5","543.75","Blue Cross Blue Shield","HMO","",,"71",,"767.78","398.02","842.81","percent of total billed charges",,
"MRI ABDOMEN W & W/O CONTRAST","74183","HCPCS","Both",,,"1087.5","543.75","Blue Cross Blue Shield","PPO","",,"71",,"767.78","398.02","842.81","percent of total billed charges",,
"MRI ABDOMEN W & W/O CONTRAST","74183","HCPCS","Both",,,"1087.5","543.75","Ambetter","Health Exchange","",,"62",,"674.25","398.02","842.81","percent of total billed charges",,
"MRI ABDOMEN W & W/O CONTRAST","74183","HCPCS","Both",,,"1087.5","543.75","Caresource","Health Exchange","",,"62",,"674.25","398.02","842.81","percent of total billed charges",,
"MRI ABDOMEN W & W/O CONTRAST","74183","HCPCS","Both",,,"1087.5","543.75","Cigna","Commercial","",,"59",,"637.28","398.02","842.81","percent of total billed charges",,
"MRI ABDOMEN W & W/O CONTRAST","74183","HCPCS","Both",,,"1087.5","543.75","Humana","Commercial","",,"78",,"842.81","398.02","842.81","percent of total billed charges",,
"MRI ABDOMEN W & W/O CONTRAST","74183","HCPCS","Both",,,"1087.5","543.75","UHC","Commercial","",,"75",,"819.98","398.02","842.81","percent of total billed charges",,
"MRI ABDOMEN W & W/O CONTRAST","74183","HCPCS","Both",,,"1087.5","543.75","Medicaid",,"",,"37",,"398.02","398.02","842.81","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT W/O CONTRAST","73221","HCPCS","Both",,,"1259.5","629.75","Alliant","Health Exchange","",,"62",,"780.89","460.98","976.11","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT W/O CONTRAST","73221","HCPCS","Both",,,"1259.5","629.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"680.13","460.98","976.11","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT W/O CONTRAST","73221","HCPCS","Both",,,"1259.5","629.75","Medicare",,"",,"54",,"682.65","460.98","976.11","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT W/O CONTRAST","73221","HCPCS","Both",,,"1259.5","629.75","Humana","Medicare Advantage","",,"54",,"682.65","460.98","976.11","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT W/O CONTRAST","73221","HCPCS","Both",,,"1259.5","629.75","UHC","Medicare Advantage","",,"54",,"682.65","460.98","976.11","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT W/O CONTRAST","73221","HCPCS","Both",,,"1259.5","629.75","Clover","Medicare Advantage","",,"54",,"682.65","460.98","976.11","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT W/O CONTRAST","73221","HCPCS","Both",,,"1259.5","629.75","Wellcare","Medicare Advantage","",,"54",,"682.65","460.98","976.11","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT W/O CONTRAST","73221","HCPCS","Both",,,"1259.5","629.75","Amerigroup","Medicaid Managed Care","",,"37",,"460.98","460.98","976.11","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT W/O CONTRAST","73221","HCPCS","Both",,,"1259.5","629.75","Caresource","Medicaid Managed Care","",,"40",,"503.8","460.98","976.11","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT W/O CONTRAST","73221","HCPCS","Both",,,"1259.5","629.75","Wellcare","Medicaid Managed Care","",,"40",,"510.1","460.98","976.11","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT W/O CONTRAST","73221","HCPCS","Both",,,"1259.5","629.75","Aetna","Commercial","",,"64",,"803.56","460.98","976.11","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT W/O CONTRAST","73221","HCPCS","Both",,,"1259.5","629.75","Blue Cross Blue Shield","Pathways","",,"71",,"889.21","460.98","976.11","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT W/O CONTRAST","73221","HCPCS","Both",,,"1259.5","629.75","Blue Cross Blue Shield","HMO","",,"71",,"889.21","460.98","976.11","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT W/O CONTRAST","73221","HCPCS","Both",,,"1259.5","629.75","Blue Cross Blue Shield","PPO","",,"71",,"889.21","460.98","976.11","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT W/O CONTRAST","73221","HCPCS","Both",,,"1259.5","629.75","Ambetter","Health Exchange","",,"62",,"780.89","460.98","976.11","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT W/O CONTRAST","73221","HCPCS","Both",,,"1259.5","629.75","Caresource","Health Exchange","",,"62",,"780.89","460.98","976.11","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT W/O CONTRAST","73221","HCPCS","Both",,,"1259.5","629.75","Cigna","Commercial","",,"59",,"738.07","460.98","976.11","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT W/O CONTRAST","73221","HCPCS","Both",,,"1259.5","629.75","Humana","Commercial","",,"78",,"976.11","460.98","976.11","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT W/O CONTRAST","73221","HCPCS","Both",,,"1259.5","629.75","UHC","Commercial","",,"75",,"949.66","460.98","976.11","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT W/O CONTRAST","73221","HCPCS","Both",,,"1259.5","629.75","Medicaid",,"",,"37",,"460.98","460.98","976.11","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT W/CONTRAST","73222","HCPCS","Both",,,"1675","837.5","Alliant","Health Exchange","",,"62",,"1038.5","613.05","1298.12","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT W/CONTRAST","73222","HCPCS","Both",,,"1675","837.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"904.5","613.05","1298.12","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT W/CONTRAST","73222","HCPCS","Both",,,"1675","837.5","Medicare",,"",,"54",,"907.85","613.05","1298.12","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT W/CONTRAST","73222","HCPCS","Both",,,"1675","837.5","Humana","Medicare Advantage","",,"54",,"907.85","613.05","1298.12","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT W/CONTRAST","73222","HCPCS","Both",,,"1675","837.5","UHC","Medicare Advantage","",,"54",,"907.85","613.05","1298.12","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT W/CONTRAST","73222","HCPCS","Both",,,"1675","837.5","Clover","Medicare Advantage","",,"54",,"907.85","613.05","1298.12","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT W/CONTRAST","73222","HCPCS","Both",,,"1675","837.5","Wellcare","Medicare Advantage","",,"54",,"907.85","613.05","1298.12","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT W/CONTRAST","73222","HCPCS","Both",,,"1675","837.5","Amerigroup","Medicaid Managed Care","",,"37",,"613.05","613.05","1298.12","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT W/CONTRAST","73222","HCPCS","Both",,,"1675","837.5","Caresource","Medicaid Managed Care","",,"40",,"670","613.05","1298.12","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT W/CONTRAST","73222","HCPCS","Both",,,"1675","837.5","Wellcare","Medicaid Managed Care","",,"40",,"678.38","613.05","1298.12","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT W/CONTRAST","73222","HCPCS","Both",,,"1675","837.5","Aetna","Commercial","",,"64",,"1068.65","613.05","1298.12","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT W/CONTRAST","73222","HCPCS","Both",,,"1675","837.5","Blue Cross Blue Shield","Pathways","",,"71",,"1182.55","613.05","1298.12","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT W/CONTRAST","73222","HCPCS","Both",,,"1675","837.5","Blue Cross Blue Shield","HMO","",,"71",,"1182.55","613.05","1298.12","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT W/CONTRAST","73222","HCPCS","Both",,,"1675","837.5","Blue Cross Blue Shield","PPO","",,"71",,"1182.55","613.05","1298.12","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT W/CONTRAST","73222","HCPCS","Both",,,"1675","837.5","Ambetter","Health Exchange","",,"62",,"1038.5","613.05","1298.12","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT W/CONTRAST","73222","HCPCS","Both",,,"1675","837.5","Caresource","Health Exchange","",,"62",,"1038.5","613.05","1298.12","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT W/CONTRAST","73222","HCPCS","Both",,,"1675","837.5","Cigna","Commercial","",,"59",,"981.55","613.05","1298.12","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT W/CONTRAST","73222","HCPCS","Both",,,"1675","837.5","Humana","Commercial","",,"78",,"1298.12","613.05","1298.12","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT W/CONTRAST","73222","HCPCS","Both",,,"1675","837.5","UHC","Commercial","",,"75",,"1262.95","613.05","1298.12","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT W/CONTRAST","73222","HCPCS","Both",,,"1675","837.5","Medicaid",,"",,"37",,"613.05","613.05","1298.12","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT  W & W/O CONT","73223","HCPCS","Both",,,"1087.5","543.75","Alliant","Health Exchange","",,"62",,"674.25","398.02","842.81","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT  W & W/O CONT","73223","HCPCS","Both",,,"1087.5","543.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"587.25","398.02","842.81","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT  W & W/O CONT","73223","HCPCS","Both",,,"1087.5","543.75","Medicare",,"",,"54",,"589.43","398.02","842.81","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT  W & W/O CONT","73223","HCPCS","Both",,,"1087.5","543.75","Humana","Medicare Advantage","",,"54",,"589.43","398.02","842.81","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT  W & W/O CONT","73223","HCPCS","Both",,,"1087.5","543.75","UHC","Medicare Advantage","",,"54",,"589.43","398.02","842.81","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT  W & W/O CONT","73223","HCPCS","Both",,,"1087.5","543.75","Clover","Medicare Advantage","",,"54",,"589.43","398.02","842.81","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT  W & W/O CONT","73223","HCPCS","Both",,,"1087.5","543.75","Wellcare","Medicare Advantage","",,"54",,"589.43","398.02","842.81","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT  W & W/O CONT","73223","HCPCS","Both",,,"1087.5","543.75","Amerigroup","Medicaid Managed Care","",,"37",,"398.02","398.02","842.81","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT  W & W/O CONT","73223","HCPCS","Both",,,"1087.5","543.75","Caresource","Medicaid Managed Care","",,"40",,"435","398.02","842.81","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT  W & W/O CONT","73223","HCPCS","Both",,,"1087.5","543.75","Wellcare","Medicaid Managed Care","",,"40",,"440.44","398.02","842.81","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT  W & W/O CONT","73223","HCPCS","Both",,,"1087.5","543.75","Aetna","Commercial","",,"64",,"693.82","398.02","842.81","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT  W & W/O CONT","73223","HCPCS","Both",,,"1087.5","543.75","Blue Cross Blue Shield","Pathways","",,"71",,"767.78","398.02","842.81","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT  W & W/O CONT","73223","HCPCS","Both",,,"1087.5","543.75","Blue Cross Blue Shield","HMO","",,"71",,"767.78","398.02","842.81","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT  W & W/O CONT","73223","HCPCS","Both",,,"1087.5","543.75","Blue Cross Blue Shield","PPO","",,"71",,"767.78","398.02","842.81","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT  W & W/O CONT","73223","HCPCS","Both",,,"1087.5","543.75","Ambetter","Health Exchange","",,"62",,"674.25","398.02","842.81","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT  W & W/O CONT","73223","HCPCS","Both",,,"1087.5","543.75","Caresource","Health Exchange","",,"62",,"674.25","398.02","842.81","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT  W & W/O CONT","73223","HCPCS","Both",,,"1087.5","543.75","Cigna","Commercial","",,"59",,"637.28","398.02","842.81","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT  W & W/O CONT","73223","HCPCS","Both",,,"1087.5","543.75","Humana","Commercial","",,"78",,"842.81","398.02","842.81","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT  W & W/O CONT","73223","HCPCS","Both",,,"1087.5","543.75","UHC","Commercial","",,"75",,"819.98","398.02","842.81","percent of total billed charges",,
"MRI UPPER EXTREMITY JOINT  W & W/O CONT","73223","HCPCS","Both",,,"1087.5","543.75","Medicaid",,"",,"37",,"398.02","398.02","842.81","percent of total billed charges",,
"MRI UPPER EXTREMITY other than joint w/o","73218","HCPCS","Both",,,"946","473","Alliant","Health Exchange","",,"62",,"586.52","346.24","733.15","percent of total billed charges",,
"MRI UPPER EXTREMITY other than joint w/o","73218","HCPCS","Both",,,"946","473","Pruitt Healthcare","Medicare Advantage","",,"54",,"510.84","346.24","733.15","percent of total billed charges",,
"MRI UPPER EXTREMITY other than joint w/o","73218","HCPCS","Both",,,"946","473","Medicare",,"",,"54",,"512.73","346.24","733.15","percent of total billed charges",,
"MRI UPPER EXTREMITY other than joint w/o","73218","HCPCS","Both",,,"946","473","Humana","Medicare Advantage","",,"54",,"512.73","346.24","733.15","percent of total billed charges",,
"MRI UPPER EXTREMITY other than joint w/o","73218","HCPCS","Both",,,"946","473","UHC","Medicare Advantage","",,"54",,"512.73","346.24","733.15","percent of total billed charges",,
"MRI UPPER EXTREMITY other than joint w/o","73218","HCPCS","Both",,,"946","473","Clover","Medicare Advantage","",,"54",,"512.73","346.24","733.15","percent of total billed charges",,
"MRI UPPER EXTREMITY other than joint w/o","73218","HCPCS","Both",,,"946","473","Wellcare","Medicare Advantage","",,"54",,"512.73","346.24","733.15","percent of total billed charges",,
"MRI UPPER EXTREMITY other than joint w/o","73218","HCPCS","Both",,,"946","473","Amerigroup","Medicaid Managed Care","",,"37",,"346.24","346.24","733.15","percent of total billed charges",,
"MRI UPPER EXTREMITY other than joint w/o","73218","HCPCS","Both",,,"946","473","Caresource","Medicaid Managed Care","",,"40",,"378.4","346.24","733.15","percent of total billed charges",,
"MRI UPPER EXTREMITY other than joint w/o","73218","HCPCS","Both",,,"946","473","Wellcare","Medicaid Managed Care","",,"40",,"383.13","346.24","733.15","percent of total billed charges",,
"MRI UPPER EXTREMITY other than joint w/o","73218","HCPCS","Both",,,"946","473","Aetna","Commercial","",,"64",,"603.55","346.24","733.15","percent of total billed charges",,
"MRI UPPER EXTREMITY other than joint w/o","73218","HCPCS","Both",,,"946","473","Blue Cross Blue Shield","Pathways","",,"71",,"667.88","346.24","733.15","percent of total billed charges",,
"MRI UPPER EXTREMITY other than joint w/o","73218","HCPCS","Both",,,"946","473","Blue Cross Blue Shield","HMO","",,"71",,"667.88","346.24","733.15","percent of total billed charges",,
"MRI UPPER EXTREMITY other than joint w/o","73218","HCPCS","Both",,,"946","473","Blue Cross Blue Shield","PPO","",,"71",,"667.88","346.24","733.15","percent of total billed charges",,
"MRI UPPER EXTREMITY other than joint w/o","73218","HCPCS","Both",,,"946","473","Ambetter","Health Exchange","",,"62",,"586.52","346.24","733.15","percent of total billed charges",,
"MRI UPPER EXTREMITY other than joint w/o","73218","HCPCS","Both",,,"946","473","Caresource","Health Exchange","",,"62",,"586.52","346.24","733.15","percent of total billed charges",,
"MRI UPPER EXTREMITY other than joint w/o","73218","HCPCS","Both",,,"946","473","Cigna","Commercial","",,"59",,"554.36","346.24","733.15","percent of total billed charges",,
"MRI UPPER EXTREMITY other than joint w/o","73218","HCPCS","Both",,,"946","473","Humana","Commercial","",,"78",,"733.15","346.24","733.15","percent of total billed charges",,
"MRI UPPER EXTREMITY other than joint w/o","73218","HCPCS","Both",,,"946","473","UHC","Commercial","",,"75",,"713.28","346.24","733.15","percent of total billed charges",,
"MRI UPPER EXTREMITY other than joint w/o","73218","HCPCS","Both",,,"946","473","Medicaid",,"",,"37",,"346.24","346.24","733.15","percent of total billed charges",,
"MRI LOWER EXTREMITY other than joint w/o","73718","HCPCS","Both",,,"898.5","449.25","Alliant","Health Exchange","",,"62",,"557.07","328.85","696.34","percent of total billed charges",,
"MRI LOWER EXTREMITY other than joint w/o","73718","HCPCS","Both",,,"898.5","449.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"485.19","328.85","696.34","percent of total billed charges",,
"MRI LOWER EXTREMITY other than joint w/o","73718","HCPCS","Both",,,"898.5","449.25","Medicare",,"",,"54",,"486.99","328.85","696.34","percent of total billed charges",,
"MRI LOWER EXTREMITY other than joint w/o","73718","HCPCS","Both",,,"898.5","449.25","Humana","Medicare Advantage","",,"54",,"486.99","328.85","696.34","percent of total billed charges",,
"MRI LOWER EXTREMITY other than joint w/o","73718","HCPCS","Both",,,"898.5","449.25","UHC","Medicare Advantage","",,"54",,"486.99","328.85","696.34","percent of total billed charges",,
"MRI LOWER EXTREMITY other than joint w/o","73718","HCPCS","Both",,,"898.5","449.25","Clover","Medicare Advantage","",,"54",,"486.99","328.85","696.34","percent of total billed charges",,
"MRI LOWER EXTREMITY other than joint w/o","73718","HCPCS","Both",,,"898.5","449.25","Wellcare","Medicare Advantage","",,"54",,"486.99","328.85","696.34","percent of total billed charges",,
"MRI LOWER EXTREMITY other than joint w/o","73718","HCPCS","Both",,,"898.5","449.25","Amerigroup","Medicaid Managed Care","",,"37",,"328.85","328.85","696.34","percent of total billed charges",,
"MRI LOWER EXTREMITY other than joint w/o","73718","HCPCS","Both",,,"898.5","449.25","Caresource","Medicaid Managed Care","",,"40",,"359.4","328.85","696.34","percent of total billed charges",,
"MRI LOWER EXTREMITY other than joint w/o","73718","HCPCS","Both",,,"898.5","449.25","Wellcare","Medicaid Managed Care","",,"40",,"363.89","328.85","696.34","percent of total billed charges",,
"MRI LOWER EXTREMITY other than joint w/o","73718","HCPCS","Both",,,"898.5","449.25","Aetna","Commercial","",,"64",,"573.24","328.85","696.34","percent of total billed charges",,
"MRI LOWER EXTREMITY other than joint w/o","73718","HCPCS","Both",,,"898.5","449.25","Blue Cross Blue Shield","Pathways","",,"71",,"634.34","328.85","696.34","percent of total billed charges",,
"MRI LOWER EXTREMITY other than joint w/o","73718","HCPCS","Both",,,"898.5","449.25","Blue Cross Blue Shield","HMO","",,"71",,"634.34","328.85","696.34","percent of total billed charges",,
"MRI LOWER EXTREMITY other than joint w/o","73718","HCPCS","Both",,,"898.5","449.25","Blue Cross Blue Shield","PPO","",,"71",,"634.34","328.85","696.34","percent of total billed charges",,
"MRI LOWER EXTREMITY other than joint w/o","73718","HCPCS","Both",,,"898.5","449.25","Ambetter","Health Exchange","",,"62",,"557.07","328.85","696.34","percent of total billed charges",,
"MRI LOWER EXTREMITY other than joint w/o","73718","HCPCS","Both",,,"898.5","449.25","Caresource","Health Exchange","",,"62",,"557.07","328.85","696.34","percent of total billed charges",,
"MRI LOWER EXTREMITY other than joint w/o","73718","HCPCS","Both",,,"898.5","449.25","Cigna","Commercial","",,"59",,"526.52","328.85","696.34","percent of total billed charges",,
"MRI LOWER EXTREMITY other than joint w/o","73718","HCPCS","Both",,,"898.5","449.25","Humana","Commercial","",,"78",,"696.34","328.85","696.34","percent of total billed charges",,
"MRI LOWER EXTREMITY other than joint w/o","73718","HCPCS","Both",,,"898.5","449.25","UHC","Commercial","",,"75",,"677.47","328.85","696.34","percent of total billed charges",,
"MRI LOWER EXTREMITY other than joint w/o","73718","HCPCS","Both",,,"898.5","449.25","Medicaid",,"",,"37",,"328.85","328.85","696.34","percent of total billed charges",,
"MRI ORBITS FACE NECK W/O CONTRAST","70540","HCPCS","Both",,,"1169","584.5","Alliant","Health Exchange","",,"62",,"724.78","427.85","905.98","percent of total billed charges",,
"MRI ORBITS FACE NECK W/O CONTRAST","70540","HCPCS","Both",,,"1169","584.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"631.26","427.85","905.98","percent of total billed charges",,
"MRI ORBITS FACE NECK W/O CONTRAST","70540","HCPCS","Both",,,"1169","584.5","Medicare",,"",,"54",,"633.6","427.85","905.98","percent of total billed charges",,
"MRI ORBITS FACE NECK W/O CONTRAST","70540","HCPCS","Both",,,"1169","584.5","Humana","Medicare Advantage","",,"54",,"633.6","427.85","905.98","percent of total billed charges",,
"MRI ORBITS FACE NECK W/O CONTRAST","70540","HCPCS","Both",,,"1169","584.5","UHC","Medicare Advantage","",,"54",,"633.6","427.85","905.98","percent of total billed charges",,
"MRI ORBITS FACE NECK W/O CONTRAST","70540","HCPCS","Both",,,"1169","584.5","Clover","Medicare Advantage","",,"54",,"633.6","427.85","905.98","percent of total billed charges",,
"MRI ORBITS FACE NECK W/O CONTRAST","70540","HCPCS","Both",,,"1169","584.5","Wellcare","Medicare Advantage","",,"54",,"633.6","427.85","905.98","percent of total billed charges",,
"MRI ORBITS FACE NECK W/O CONTRAST","70540","HCPCS","Both",,,"1169","584.5","Amerigroup","Medicaid Managed Care","",,"37",,"427.85","427.85","905.98","percent of total billed charges",,
"MRI ORBITS FACE NECK W/O CONTRAST","70540","HCPCS","Both",,,"1169","584.5","Caresource","Medicaid Managed Care","",,"40",,"467.6","427.85","905.98","percent of total billed charges",,
"MRI ORBITS FACE NECK W/O CONTRAST","70540","HCPCS","Both",,,"1169","584.5","Wellcare","Medicaid Managed Care","",,"40",,"473.45","427.85","905.98","percent of total billed charges",,
"MRI ORBITS FACE NECK W/O CONTRAST","70540","HCPCS","Both",,,"1169","584.5","Aetna","Commercial","",,"64",,"745.82","427.85","905.98","percent of total billed charges",,
"MRI ORBITS FACE NECK W/O CONTRAST","70540","HCPCS","Both",,,"1169","584.5","Blue Cross Blue Shield","Pathways","",,"71",,"825.31","427.85","905.98","percent of total billed charges",,
"MRI ORBITS FACE NECK W/O CONTRAST","70540","HCPCS","Both",,,"1169","584.5","Blue Cross Blue Shield","HMO","",,"71",,"825.31","427.85","905.98","percent of total billed charges",,
"MRI ORBITS FACE NECK W/O CONTRAST","70540","HCPCS","Both",,,"1169","584.5","Blue Cross Blue Shield","PPO","",,"71",,"825.31","427.85","905.98","percent of total billed charges",,
"MRI ORBITS FACE NECK W/O CONTRAST","70540","HCPCS","Both",,,"1169","584.5","Ambetter","Health Exchange","",,"62",,"724.78","427.85","905.98","percent of total billed charges",,
"MRI ORBITS FACE NECK W/O CONTRAST","70540","HCPCS","Both",,,"1169","584.5","Caresource","Health Exchange","",,"62",,"724.78","427.85","905.98","percent of total billed charges",,
"MRI ORBITS FACE NECK W/O CONTRAST","70540","HCPCS","Both",,,"1169","584.5","Cigna","Commercial","",,"59",,"685.03","427.85","905.98","percent of total billed charges",,
"MRI ORBITS FACE NECK W/O CONTRAST","70540","HCPCS","Both",,,"1169","584.5","Humana","Commercial","",,"78",,"905.98","427.85","905.98","percent of total billed charges",,
"MRI ORBITS FACE NECK W/O CONTRAST","70540","HCPCS","Both",,,"1169","584.5","UHC","Commercial","",,"75",,"881.43","427.85","905.98","percent of total billed charges",,
"MRI ORBITS FACE NECK W/O CONTRAST","70540","HCPCS","Both",,,"1169","584.5","Medicaid",,"",,"37",,"427.85","427.85","905.98","percent of total billed charges",,
"CT HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"233.28","116.64","Alliant","Health Exchange","",,"62",,"144.63","43.31","188.32","percent of total billed charges",,
"CT HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"233.28","116.64","Pruitt Healthcare","Medicare Advantage","",,"54",,"125.97","43.31","188.32","percent of total billed charges",,
"CT HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"233.28","116.64","Medicare",,"",,"54",,"126.44","43.31","188.32","percent of total billed charges",,
"CT HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"233.28","116.64","Humana","Medicare Advantage","",,"54",,"126.44","43.31","188.32","percent of total billed charges",,
"CT HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"233.28","116.64","UHC","Medicare Advantage","",,"54",,"126.44","43.31","188.32","percent of total billed charges",,
"CT HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"233.28","116.64","Clover","Medicare Advantage","",,"54",,"126.44","43.31","188.32","percent of total billed charges",,
"CT HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"233.28","116.64","Wellcare","Medicare Advantage","",,"54",,"126.44","43.31","188.32","percent of total billed charges",,
"CT HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"233.28","116.64","Amerigroup","Medicaid Managed Care","",,"37",,"85.38","43.31","188.32","percent of total billed charges",,
"CT HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"233.28","116.64","Caresource","Medicaid Managed Care","",,"40",,"93.31","43.31","188.32","percent of total billed charges",,
"CT HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"233.28","116.64","Wellcare","Medicaid Managed Care","",,"40",,"94.48","43.31","188.32","percent of total billed charges",,
"CT HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"233.28","116.64","Aetna","Commercial","",,"64",,"148.83","43.31","188.32","percent of total billed charges",,
"CT HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"233.28","116.64","Blue Cross Blue Shield","Pathways","",,"71",,"164.7","43.31","188.32","percent of total billed charges",,
"CT HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"233.28","116.64","Blue Cross Blue Shield","HMO","",,"71",,"164.7","43.31","188.32","percent of total billed charges",,
"CT HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"233.28","116.64","Blue Cross Blue Shield","PPO","",,"71",,"164.7","43.31","188.32","percent of total billed charges",,
"CT HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"233.28","116.64","Ambetter","Health Exchange","",,"62",,"144.63","43.31","188.32","percent of total billed charges",,
"CT HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"233.28","116.64","Caresource","Health Exchange","",,"62",,"144.63","43.31","188.32","percent of total billed charges",,
"CT HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"233.28","116.64","Cigna","Commercial","",,"59",,"136.7","43.31","188.32","percent of total billed charges",,
"CT HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"233.28","116.64","Humana","Commercial","",,"78",,"180.79","43.31","188.32","percent of total billed charges",,
"CT HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"233.28","116.64","UHC","Commercial","",,"75",,"175.89","43.31","188.32","percent of total billed charges",,
"CT HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"233.28","116.64","Medicaid",,"",,"37",,"85.38","43.31","188.32","percent of total billed charges",,
"CT HEAD OR BRAIN W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Alliant","Health Exchange","",,"62",,"141.67","64.98","177.09","percent of total billed charges",,
"CT HEAD OR BRAIN W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"123.39","64.98","177.09","percent of total billed charges",,
"CT HEAD OR BRAIN W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Medicare",,"",,"54",,"123.85","64.98","177.09","percent of total billed charges",,
"CT HEAD OR BRAIN W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Humana","Medicare Advantage","",,"54",,"123.85","64.98","177.09","percent of total billed charges",,
"CT HEAD OR BRAIN W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","UHC","Medicare Advantage","",,"54",,"123.85","64.98","177.09","percent of total billed charges",,
"CT HEAD OR BRAIN W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Clover","Medicare Advantage","",,"54",,"123.85","64.98","177.09","percent of total billed charges",,
"CT HEAD OR BRAIN W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Wellcare","Medicare Advantage","",,"54",,"123.85","64.98","177.09","percent of total billed charges",,
"CT HEAD OR BRAIN W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Amerigroup","Medicaid Managed Care","",,"37",,"83.63","64.98","177.09","percent of total billed charges",,
"CT HEAD OR BRAIN W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Caresource","Medicaid Managed Care","",,"40",,"91.4","64.98","177.09","percent of total billed charges",,
"CT HEAD OR BRAIN W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Wellcare","Medicaid Managed Care","",,"40",,"92.54","64.98","177.09","percent of total billed charges",,
"CT HEAD OR BRAIN W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Aetna","Commercial","",,"64",,"145.78","64.98","177.09","percent of total billed charges",,
"CT HEAD OR BRAIN W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Blue Cross Blue Shield","Pathways","",,"71",,"161.32","64.98","177.09","percent of total billed charges",,
"CT HEAD OR BRAIN W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Blue Cross Blue Shield","HMO","",,"71",,"161.32","64.98","177.09","percent of total billed charges",,
"CT HEAD OR BRAIN W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Blue Cross Blue Shield","PPO","",,"71",,"161.32","64.98","177.09","percent of total billed charges",,
"CT HEAD OR BRAIN W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Ambetter","Health Exchange","",,"62",,"141.67","64.98","177.09","percent of total billed charges",,
"CT HEAD OR BRAIN W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Caresource","Health Exchange","",,"62",,"141.67","64.98","177.09","percent of total billed charges",,
"CT HEAD OR BRAIN W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Cigna","Commercial","",,"59",,"133.9","64.98","177.09","percent of total billed charges",,
"CT HEAD OR BRAIN W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Humana","Commercial","",,"78",,"177.09","64.98","177.09","percent of total billed charges",,
"CT HEAD OR BRAIN W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","UHC","Commercial","",,"75",,"172.29","64.98","177.09","percent of total billed charges",,
"CT HEAD OR BRAIN W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Medicaid",,"",,"37",,"83.63","64.98","177.09","percent of total billed charges",,
"CT THORAX W/O CONTRAST","71250","HCPCS","Both",,,"319.2","159.6","Alliant","Health Exchange","",,"62",,"197.9","55.24","257.69","percent of total billed charges",,
"CT THORAX W/O CONTRAST","71250","HCPCS","Both",,,"319.2","159.6","Pruitt Healthcare","Medicare Advantage","",,"54",,"172.37","55.24","257.69","percent of total billed charges",,
"CT THORAX W/O CONTRAST","71250","HCPCS","Both",,,"319.2","159.6","Medicare",,"",,"54",,"173.01","55.24","257.69","percent of total billed charges",,
"CT THORAX W/O CONTRAST","71250","HCPCS","Both",,,"319.2","159.6","Humana","Medicare Advantage","",,"54",,"173.01","55.24","257.69","percent of total billed charges",,
"CT THORAX W/O CONTRAST","71250","HCPCS","Both",,,"319.2","159.6","UHC","Medicare Advantage","",,"54",,"173.01","55.24","257.69","percent of total billed charges",,
"CT THORAX W/O CONTRAST","71250","HCPCS","Both",,,"319.2","159.6","Clover","Medicare Advantage","",,"54",,"173.01","55.24","257.69","percent of total billed charges",,
"CT THORAX W/O CONTRAST","71250","HCPCS","Both",,,"319.2","159.6","Wellcare","Medicare Advantage","",,"54",,"173.01","55.24","257.69","percent of total billed charges",,
"CT THORAX W/O CONTRAST","71250","HCPCS","Both",,,"319.2","159.6","Amerigroup","Medicaid Managed Care","",,"37",,"116.83","55.24","257.69","percent of total billed charges",,
"CT THORAX W/O CONTRAST","71250","HCPCS","Both",,,"319.2","159.6","Caresource","Medicaid Managed Care","",,"40",,"127.68","55.24","257.69","percent of total billed charges",,
"CT THORAX W/O CONTRAST","71250","HCPCS","Both",,,"319.2","159.6","Wellcare","Medicaid Managed Care","",,"40",,"129.28","55.24","257.69","percent of total billed charges",,
"CT THORAX W/O CONTRAST","71250","HCPCS","Both",,,"319.2","159.6","Aetna","Commercial","",,"64",,"203.65","55.24","257.69","percent of total billed charges",,
"CT THORAX W/O CONTRAST","71250","HCPCS","Both",,,"319.2","159.6","Blue Cross Blue Shield","Pathways","",,"71",,"225.36","55.24","257.69","percent of total billed charges",,
"CT THORAX W/O CONTRAST","71250","HCPCS","Both",,,"319.2","159.6","Blue Cross Blue Shield","HMO","",,"71",,"225.36","55.24","257.69","percent of total billed charges",,
"CT THORAX W/O CONTRAST","71250","HCPCS","Both",,,"319.2","159.6","Blue Cross Blue Shield","PPO","",,"71",,"225.36","55.24","257.69","percent of total billed charges",,
"CT THORAX W/O CONTRAST","71250","HCPCS","Both",,,"319.2","159.6","Ambetter","Health Exchange","",,"62",,"197.9","55.24","257.69","percent of total billed charges",,
"CT THORAX W/O CONTRAST","71250","HCPCS","Both",,,"319.2","159.6","Caresource","Health Exchange","",,"62",,"197.9","55.24","257.69","percent of total billed charges",,
"CT THORAX W/O CONTRAST","71250","HCPCS","Both",,,"319.2","159.6","Cigna","Commercial","",,"59",,"187.05","55.24","257.69","percent of total billed charges",,
"CT THORAX W/O CONTRAST","71250","HCPCS","Both",,,"319.2","159.6","Humana","Commercial","",,"78",,"247.38","55.24","257.69","percent of total billed charges",,
"CT THORAX W/O CONTRAST","71250","HCPCS","Both",,,"319.2","159.6","UHC","Commercial","",,"75",,"240.68","55.24","257.69","percent of total billed charges",,
"CT THORAX W/O CONTRAST","71250","HCPCS","Both",,,"319.2","159.6","Medicaid",,"",,"37",,"116.83","55.24","257.69","percent of total billed charges",,
"CT THORAX W/CONTRAST","71260","HCPCS","Both",,,"1422.9","711.45","Alliant","Health Exchange","",,"62",,"882.2","59.52","1102.75","percent of total billed charges",,
"CT THORAX W/CONTRAST","71260","HCPCS","Both",,,"1422.9","711.45","Pruitt Healthcare","Medicare Advantage","",,"54",,"768.37","59.52","1102.75","percent of total billed charges",,
"CT THORAX W/CONTRAST","71260","HCPCS","Both",,,"1422.9","711.45","Medicare",,"",,"54",,"771.21","59.52","1102.75","percent of total billed charges",,
"CT THORAX W/CONTRAST","71260","HCPCS","Both",,,"1422.9","711.45","Humana","Medicare Advantage","",,"54",,"771.21","59.52","1102.75","percent of total billed charges",,
"CT THORAX W/CONTRAST","71260","HCPCS","Both",,,"1422.9","711.45","UHC","Medicare Advantage","",,"54",,"771.21","59.52","1102.75","percent of total billed charges",,
"CT THORAX W/CONTRAST","71260","HCPCS","Both",,,"1422.9","711.45","Clover","Medicare Advantage","",,"54",,"771.21","59.52","1102.75","percent of total billed charges",,
"CT THORAX W/CONTRAST","71260","HCPCS","Both",,,"1422.9","711.45","Wellcare","Medicare Advantage","",,"54",,"771.21","59.52","1102.75","percent of total billed charges",,
"CT THORAX W/CONTRAST","71260","HCPCS","Both",,,"1422.9","711.45","Amerigroup","Medicaid Managed Care","",,"37",,"520.78","59.52","1102.75","percent of total billed charges",,
"CT THORAX W/CONTRAST","71260","HCPCS","Both",,,"1422.9","711.45","Caresource","Medicaid Managed Care","",,"40",,"569.16","59.52","1102.75","percent of total billed charges",,
"CT THORAX W/CONTRAST","71260","HCPCS","Both",,,"1422.9","711.45","Wellcare","Medicaid Managed Care","",,"40",,"576.27","59.52","1102.75","percent of total billed charges",,
"CT THORAX W/CONTRAST","71260","HCPCS","Both",,,"1422.9","711.45","Aetna","Commercial","",,"64",,"907.81","59.52","1102.75","percent of total billed charges",,
"CT THORAX W/CONTRAST","71260","HCPCS","Both",,,"1422.9","711.45","Blue Cross Blue Shield","Pathways","",,"71",,"1004.57","59.52","1102.75","percent of total billed charges",,
"CT THORAX W/CONTRAST","71260","HCPCS","Both",,,"1422.9","711.45","Blue Cross Blue Shield","HMO","",,"71",,"1004.57","59.52","1102.75","percent of total billed charges",,
"CT THORAX W/CONTRAST","71260","HCPCS","Both",,,"1422.9","711.45","Blue Cross Blue Shield","PPO","",,"71",,"1004.57","59.52","1102.75","percent of total billed charges",,
"CT THORAX W/CONTRAST","71260","HCPCS","Both",,,"1422.9","711.45","Ambetter","Health Exchange","",,"62",,"882.2","59.52","1102.75","percent of total billed charges",,
"CT THORAX W/CONTRAST","71260","HCPCS","Both",,,"1422.9","711.45","Caresource","Health Exchange","",,"62",,"882.2","59.52","1102.75","percent of total billed charges",,
"CT THORAX W/CONTRAST","71260","HCPCS","Both",,,"1422.9","711.45","Cigna","Commercial","",,"59",,"833.82","59.52","1102.75","percent of total billed charges",,
"CT THORAX W/CONTRAST","71260","HCPCS","Both",,,"1422.9","711.45","Humana","Commercial","",,"78",,"1102.75","59.52","1102.75","percent of total billed charges",,
"CT THORAX W/CONTRAST","71260","HCPCS","Both",,,"1422.9","711.45","UHC","Commercial","",,"75",,"1072.87","59.52","1102.75","percent of total billed charges",,
"CT THORAX W/CONTRAST","71260","HCPCS","Both",,,"1422.9","711.45","Medicaid",,"",,"37",,"520.78","59.52","1102.75","percent of total billed charges",,
"CT THORAX W & W/O CONTRAST","71270","HCPCS","Both",,,"517","258.5","Alliant","Health Exchange","",,"62",,"320.54","189.22","400.68","percent of total billed charges",,
"CT THORAX W & W/O CONTRAST","71270","HCPCS","Both",,,"517","258.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"279.18","189.22","400.68","percent of total billed charges",,
"CT THORAX W & W/O CONTRAST","71270","HCPCS","Both",,,"517","258.5","Medicare",,"",,"54",,"280.21","189.22","400.68","percent of total billed charges",,
"CT THORAX W & W/O CONTRAST","71270","HCPCS","Both",,,"517","258.5","Humana","Medicare Advantage","",,"54",,"280.21","189.22","400.68","percent of total billed charges",,
"CT THORAX W & W/O CONTRAST","71270","HCPCS","Both",,,"517","258.5","UHC","Medicare Advantage","",,"54",,"280.21","189.22","400.68","percent of total billed charges",,
"CT THORAX W & W/O CONTRAST","71270","HCPCS","Both",,,"517","258.5","Clover","Medicare Advantage","",,"54",,"280.21","189.22","400.68","percent of total billed charges",,
"CT THORAX W & W/O CONTRAST","71270","HCPCS","Both",,,"517","258.5","Wellcare","Medicare Advantage","",,"54",,"280.21","189.22","400.68","percent of total billed charges",,
"CT THORAX W & W/O CONTRAST","71270","HCPCS","Both",,,"517","258.5","Amerigroup","Medicaid Managed Care","",,"37",,"189.22","189.22","400.68","percent of total billed charges",,
"CT THORAX W & W/O CONTRAST","71270","HCPCS","Both",,,"517","258.5","Caresource","Medicaid Managed Care","",,"40",,"206.8","189.22","400.68","percent of total billed charges",,
"CT THORAX W & W/O CONTRAST","71270","HCPCS","Both",,,"517","258.5","Wellcare","Medicaid Managed Care","",,"40",,"209.39","189.22","400.68","percent of total billed charges",,
"CT THORAX W & W/O CONTRAST","71270","HCPCS","Both",,,"517","258.5","Aetna","Commercial","",,"64",,"329.85","189.22","400.68","percent of total billed charges",,
"CT THORAX W & W/O CONTRAST","71270","HCPCS","Both",,,"517","258.5","Blue Cross Blue Shield","Pathways","",,"71",,"365","189.22","400.68","percent of total billed charges",,
"CT THORAX W & W/O CONTRAST","71270","HCPCS","Both",,,"517","258.5","Blue Cross Blue Shield","HMO","",,"71",,"365","189.22","400.68","percent of total billed charges",,
"CT THORAX W & W/O CONTRAST","71270","HCPCS","Both",,,"517","258.5","Blue Cross Blue Shield","PPO","",,"71",,"365","189.22","400.68","percent of total billed charges",,
"CT THORAX W & W/O CONTRAST","71270","HCPCS","Both",,,"517","258.5","Ambetter","Health Exchange","",,"62",,"320.54","189.22","400.68","percent of total billed charges",,
"CT THORAX W & W/O CONTRAST","71270","HCPCS","Both",,,"517","258.5","Caresource","Health Exchange","",,"62",,"320.54","189.22","400.68","percent of total billed charges",,
"CT THORAX W & W/O CONTRAST","71270","HCPCS","Both",,,"517","258.5","Cigna","Commercial","",,"59",,"302.96","189.22","400.68","percent of total billed charges",,
"CT THORAX W & W/O CONTRAST","71270","HCPCS","Both",,,"517","258.5","Humana","Commercial","",,"78",,"400.68","189.22","400.68","percent of total billed charges",,
"CT THORAX W & W/O CONTRAST","71270","HCPCS","Both",,,"517","258.5","UHC","Commercial","",,"75",,"389.82","189.22","400.68","percent of total billed charges",,
"CT THORAX W & W/O CONTRAST","71270","HCPCS","Both",,,"517","258.5","Medicaid",,"",,"37",,"189.22","189.22","400.68","percent of total billed charges",,
"CT CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"623.04","311.52","Alliant","Health Exchange","",,"62",,"386.28","50.52","502.98","percent of total billed charges",,
"CT CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"623.04","311.52","Pruitt Healthcare","Medicare Advantage","",,"54",,"336.44","50.52","502.98","percent of total billed charges",,
"CT CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"623.04","311.52","Medicare",,"",,"54",,"337.69","50.52","502.98","percent of total billed charges",,
"CT CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"623.04","311.52","Humana","Medicare Advantage","",,"54",,"337.69","50.52","502.98","percent of total billed charges",,
"CT CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"623.04","311.52","UHC","Medicare Advantage","",,"54",,"337.69","50.52","502.98","percent of total billed charges",,
"CT CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"623.04","311.52","Clover","Medicare Advantage","",,"54",,"337.69","50.52","502.98","percent of total billed charges",,
"CT CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"623.04","311.52","Wellcare","Medicare Advantage","",,"54",,"337.69","50.52","502.98","percent of total billed charges",,
"CT CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"623.04","311.52","Amerigroup","Medicaid Managed Care","",,"37",,"228.03","50.52","502.98","percent of total billed charges",,
"CT CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"623.04","311.52","Caresource","Medicaid Managed Care","",,"40",,"249.22","50.52","502.98","percent of total billed charges",,
"CT CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"623.04","311.52","Wellcare","Medicaid Managed Care","",,"40",,"252.33","50.52","502.98","percent of total billed charges",,
"CT CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"623.04","311.52","Aetna","Commercial","",,"64",,"397.5","50.52","502.98","percent of total billed charges",,
"CT CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"623.04","311.52","Blue Cross Blue Shield","Pathways","",,"71",,"439.87","50.52","502.98","percent of total billed charges",,
"CT CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"623.04","311.52","Blue Cross Blue Shield","HMO","",,"71",,"439.87","50.52","502.98","percent of total billed charges",,
"CT CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"623.04","311.52","Blue Cross Blue Shield","PPO","",,"71",,"439.87","50.52","502.98","percent of total billed charges",,
"CT CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"623.04","311.52","Ambetter","Health Exchange","",,"62",,"386.28","50.52","502.98","percent of total billed charges",,
"CT CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"623.04","311.52","Caresource","Health Exchange","",,"62",,"386.28","50.52","502.98","percent of total billed charges",,
"CT CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"623.04","311.52","Cigna","Commercial","",,"59",,"365.1","50.52","502.98","percent of total billed charges",,
"CT CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"623.04","311.52","Humana","Commercial","",,"78",,"482.86","50.52","502.98","percent of total billed charges",,
"CT CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"623.04","311.52","UHC","Commercial","",,"75",,"469.77","50.52","502.98","percent of total billed charges",,
"CT CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"623.04","311.52","Medicaid",,"",,"37",,"228.03","50.52","502.98","percent of total billed charges",,
"CT CERVICAL SPINE W/CONTRAST","72126","HCPCS","Both",,,"227","113.5","Alliant","Health Exchange","",,"62",,"140.74","83.08","175.92","percent of total billed charges",,
"CT CERVICAL SPINE W/CONTRAST","72126","HCPCS","Both",,,"227","113.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"122.58","83.08","175.92","percent of total billed charges",,
"CT CERVICAL SPINE W/CONTRAST","72126","HCPCS","Both",,,"227","113.5","Medicare",,"",,"54",,"123.03","83.08","175.92","percent of total billed charges",,
"CT CERVICAL SPINE W/CONTRAST","72126","HCPCS","Both",,,"227","113.5","Humana","Medicare Advantage","",,"54",,"123.03","83.08","175.92","percent of total billed charges",,
"CT CERVICAL SPINE W/CONTRAST","72126","HCPCS","Both",,,"227","113.5","UHC","Medicare Advantage","",,"54",,"123.03","83.08","175.92","percent of total billed charges",,
"CT CERVICAL SPINE W/CONTRAST","72126","HCPCS","Both",,,"227","113.5","Clover","Medicare Advantage","",,"54",,"123.03","83.08","175.92","percent of total billed charges",,
"CT CERVICAL SPINE W/CONTRAST","72126","HCPCS","Both",,,"227","113.5","Wellcare","Medicare Advantage","",,"54",,"123.03","83.08","175.92","percent of total billed charges",,
"CT CERVICAL SPINE W/CONTRAST","72126","HCPCS","Both",,,"227","113.5","Amerigroup","Medicaid Managed Care","",,"37",,"83.08","83.08","175.92","percent of total billed charges",,
"CT CERVICAL SPINE W/CONTRAST","72126","HCPCS","Both",,,"227","113.5","Caresource","Medicaid Managed Care","",,"40",,"90.8","83.08","175.92","percent of total billed charges",,
"CT CERVICAL SPINE W/CONTRAST","72126","HCPCS","Both",,,"227","113.5","Wellcare","Medicaid Managed Care","",,"40",,"91.94","83.08","175.92","percent of total billed charges",,
"CT CERVICAL SPINE W/CONTRAST","72126","HCPCS","Both",,,"227","113.5","Aetna","Commercial","",,"64",,"144.83","83.08","175.92","percent of total billed charges",,
"CT CERVICAL SPINE W/CONTRAST","72126","HCPCS","Both",,,"227","113.5","Blue Cross Blue Shield","Pathways","",,"71",,"160.26","83.08","175.92","percent of total billed charges",,
"CT CERVICAL SPINE W/CONTRAST","72126","HCPCS","Both",,,"227","113.5","Blue Cross Blue Shield","HMO","",,"71",,"160.26","83.08","175.92","percent of total billed charges",,
"CT CERVICAL SPINE W/CONTRAST","72126","HCPCS","Both",,,"227","113.5","Blue Cross Blue Shield","PPO","",,"71",,"160.26","83.08","175.92","percent of total billed charges",,
"CT CERVICAL SPINE W/CONTRAST","72126","HCPCS","Both",,,"227","113.5","Ambetter","Health Exchange","",,"62",,"140.74","83.08","175.92","percent of total billed charges",,
"CT CERVICAL SPINE W/CONTRAST","72126","HCPCS","Both",,,"227","113.5","Caresource","Health Exchange","",,"62",,"140.74","83.08","175.92","percent of total billed charges",,
"CT CERVICAL SPINE W/CONTRAST","72126","HCPCS","Both",,,"227","113.5","Cigna","Commercial","",,"59",,"133.02","83.08","175.92","percent of total billed charges",,
"CT CERVICAL SPINE W/CONTRAST","72126","HCPCS","Both",,,"227","113.5","Humana","Commercial","",,"78",,"175.92","83.08","175.92","percent of total billed charges",,
"CT CERVICAL SPINE W/CONTRAST","72126","HCPCS","Both",,,"227","113.5","UHC","Commercial","",,"75",,"171.16","83.08","175.92","percent of total billed charges",,
"CT CERVICAL SPINE W/CONTRAST","72126","HCPCS","Both",,,"227","113.5","Medicaid",,"",,"37",,"83.08","83.08","175.92","percent of total billed charges",,
"CT THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"630","315","Alliant","Health Exchange","",,"62",,"390.6","50.52","488.25","percent of total billed charges",,
"CT THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"630","315","Pruitt Healthcare","Medicare Advantage","",,"54",,"340.2","50.52","488.25","percent of total billed charges",,
"CT THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"630","315","Medicare",,"",,"54",,"341.46","50.52","488.25","percent of total billed charges",,
"CT THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"630","315","Humana","Medicare Advantage","",,"54",,"341.46","50.52","488.25","percent of total billed charges",,
"CT THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"630","315","UHC","Medicare Advantage","",,"54",,"341.46","50.52","488.25","percent of total billed charges",,
"CT THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"630","315","Clover","Medicare Advantage","",,"54",,"341.46","50.52","488.25","percent of total billed charges",,
"CT THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"630","315","Wellcare","Medicare Advantage","",,"54",,"341.46","50.52","488.25","percent of total billed charges",,
"CT THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"630","315","Amerigroup","Medicaid Managed Care","",,"37",,"230.58","50.52","488.25","percent of total billed charges",,
"CT THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"630","315","Caresource","Medicaid Managed Care","",,"40",,"252","50.52","488.25","percent of total billed charges",,
"CT THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"630","315","Wellcare","Medicaid Managed Care","",,"40",,"255.15","50.52","488.25","percent of total billed charges",,
"CT THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"630","315","Aetna","Commercial","",,"64",,"401.94","50.52","488.25","percent of total billed charges",,
"CT THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"630","315","Blue Cross Blue Shield","Pathways","",,"71",,"444.78","50.52","488.25","percent of total billed charges",,
"CT THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"630","315","Blue Cross Blue Shield","HMO","",,"71",,"444.78","50.52","488.25","percent of total billed charges",,
"CT THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"630","315","Blue Cross Blue Shield","PPO","",,"71",,"444.78","50.52","488.25","percent of total billed charges",,
"CT THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"630","315","Ambetter","Health Exchange","",,"62",,"390.6","50.52","488.25","percent of total billed charges",,
"CT THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"630","315","Caresource","Health Exchange","",,"62",,"390.6","50.52","488.25","percent of total billed charges",,
"CT THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"630","315","Cigna","Commercial","",,"59",,"369.18","50.52","488.25","percent of total billed charges",,
"CT THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"630","315","Humana","Commercial","",,"78",,"488.25","50.52","488.25","percent of total billed charges",,
"CT THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"630","315","UHC","Commercial","",,"75",,"475.02","50.52","488.25","percent of total billed charges",,
"CT THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"630","315","Medicaid",,"",,"37",,"230.58","50.52","488.25","percent of total billed charges",,
"CT THORACIC SPINE W/CONTRAST","72129","HCPCS","Both",,,"406","203","Alliant","Health Exchange","",,"62",,"251.72","148.6","314.65","percent of total billed charges",,
"CT THORACIC SPINE W/CONTRAST","72129","HCPCS","Both",,,"406","203","Pruitt Healthcare","Medicare Advantage","",,"54",,"219.24","148.6","314.65","percent of total billed charges",,
"CT THORACIC SPINE W/CONTRAST","72129","HCPCS","Both",,,"406","203","Medicare",,"",,"54",,"220.05","148.6","314.65","percent of total billed charges",,
"CT THORACIC SPINE W/CONTRAST","72129","HCPCS","Both",,,"406","203","Humana","Medicare Advantage","",,"54",,"220.05","148.6","314.65","percent of total billed charges",,
"CT THORACIC SPINE W/CONTRAST","72129","HCPCS","Both",,,"406","203","UHC","Medicare Advantage","",,"54",,"220.05","148.6","314.65","percent of total billed charges",,
"CT THORACIC SPINE W/CONTRAST","72129","HCPCS","Both",,,"406","203","Clover","Medicare Advantage","",,"54",,"220.05","148.6","314.65","percent of total billed charges",,
"CT THORACIC SPINE W/CONTRAST","72129","HCPCS","Both",,,"406","203","Wellcare","Medicare Advantage","",,"54",,"220.05","148.6","314.65","percent of total billed charges",,
"CT THORACIC SPINE W/CONTRAST","72129","HCPCS","Both",,,"406","203","Amerigroup","Medicaid Managed Care","",,"37",,"148.6","148.6","314.65","percent of total billed charges",,
"CT THORACIC SPINE W/CONTRAST","72129","HCPCS","Both",,,"406","203","Caresource","Medicaid Managed Care","",,"40",,"162.4","148.6","314.65","percent of total billed charges",,
"CT THORACIC SPINE W/CONTRAST","72129","HCPCS","Both",,,"406","203","Wellcare","Medicaid Managed Care","",,"40",,"164.43","148.6","314.65","percent of total billed charges",,
"CT THORACIC SPINE W/CONTRAST","72129","HCPCS","Both",,,"406","203","Aetna","Commercial","",,"64",,"259.03","148.6","314.65","percent of total billed charges",,
"CT THORACIC SPINE W/CONTRAST","72129","HCPCS","Both",,,"406","203","Blue Cross Blue Shield","Pathways","",,"71",,"286.64","148.6","314.65","percent of total billed charges",,
"CT THORACIC SPINE W/CONTRAST","72129","HCPCS","Both",,,"406","203","Blue Cross Blue Shield","HMO","",,"71",,"286.64","148.6","314.65","percent of total billed charges",,
"CT THORACIC SPINE W/CONTRAST","72129","HCPCS","Both",,,"406","203","Blue Cross Blue Shield","PPO","",,"71",,"286.64","148.6","314.65","percent of total billed charges",,
"CT THORACIC SPINE W/CONTRAST","72129","HCPCS","Both",,,"406","203","Ambetter","Health Exchange","",,"62",,"251.72","148.6","314.65","percent of total billed charges",,
"CT THORACIC SPINE W/CONTRAST","72129","HCPCS","Both",,,"406","203","Caresource","Health Exchange","",,"62",,"251.72","148.6","314.65","percent of total billed charges",,
"CT THORACIC SPINE W/CONTRAST","72129","HCPCS","Both",,,"406","203","Cigna","Commercial","",,"59",,"237.92","148.6","314.65","percent of total billed charges",,
"CT THORACIC SPINE W/CONTRAST","72129","HCPCS","Both",,,"406","203","Humana","Commercial","",,"78",,"314.65","148.6","314.65","percent of total billed charges",,
"CT THORACIC SPINE W/CONTRAST","72129","HCPCS","Both",,,"406","203","UHC","Commercial","",,"75",,"306.12","148.6","314.65","percent of total billed charges",,
"CT THORACIC SPINE W/CONTRAST","72129","HCPCS","Both",,,"406","203","Medicaid",,"",,"37",,"148.6","148.6","314.65","percent of total billed charges",,
"CT LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"623.04","311.52","Alliant","Health Exchange","",,"62",,"386.28","50.52","502.98","percent of total billed charges",,
"CT LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"623.04","311.52","Pruitt Healthcare","Medicare Advantage","",,"54",,"336.44","50.52","502.98","percent of total billed charges",,
"CT LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"623.04","311.52","Medicare",,"",,"54",,"337.69","50.52","502.98","percent of total billed charges",,
"CT LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"623.04","311.52","Humana","Medicare Advantage","",,"54",,"337.69","50.52","502.98","percent of total billed charges",,
"CT LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"623.04","311.52","UHC","Medicare Advantage","",,"54",,"337.69","50.52","502.98","percent of total billed charges",,
"CT LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"623.04","311.52","Clover","Medicare Advantage","",,"54",,"337.69","50.52","502.98","percent of total billed charges",,
"CT LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"623.04","311.52","Wellcare","Medicare Advantage","",,"54",,"337.69","50.52","502.98","percent of total billed charges",,
"CT LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"623.04","311.52","Amerigroup","Medicaid Managed Care","",,"37",,"228.03","50.52","502.98","percent of total billed charges",,
"CT LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"623.04","311.52","Caresource","Medicaid Managed Care","",,"40",,"249.22","50.52","502.98","percent of total billed charges",,
"CT LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"623.04","311.52","Wellcare","Medicaid Managed Care","",,"40",,"252.33","50.52","502.98","percent of total billed charges",,
"CT LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"623.04","311.52","Aetna","Commercial","",,"64",,"397.5","50.52","502.98","percent of total billed charges",,
"CT LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"623.04","311.52","Blue Cross Blue Shield","Pathways","",,"71",,"439.87","50.52","502.98","percent of total billed charges",,
"CT LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"623.04","311.52","Blue Cross Blue Shield","HMO","",,"71",,"439.87","50.52","502.98","percent of total billed charges",,
"CT LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"623.04","311.52","Blue Cross Blue Shield","PPO","",,"71",,"439.87","50.52","502.98","percent of total billed charges",,
"CT LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"623.04","311.52","Ambetter","Health Exchange","",,"62",,"386.28","50.52","502.98","percent of total billed charges",,
"CT LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"623.04","311.52","Caresource","Health Exchange","",,"62",,"386.28","50.52","502.98","percent of total billed charges",,
"CT LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"623.04","311.52","Cigna","Commercial","",,"59",,"365.1","50.52","502.98","percent of total billed charges",,
"CT LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"623.04","311.52","Humana","Commercial","",,"78",,"482.86","50.52","502.98","percent of total billed charges",,
"CT LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"623.04","311.52","UHC","Commercial","",,"75",,"469.77","50.52","502.98","percent of total billed charges",,
"CT LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"623.04","311.52","Medicaid",,"",,"37",,"228.03","50.52","502.98","percent of total billed charges",,
"CT LUMBAR SPINE W/CONTRAST","72132","HCPCS","Both",,,"391.5","195.75","Alliant","Health Exchange","",,"62",,"242.73","143.29","303.41","percent of total billed charges",,
"CT LUMBAR SPINE W/CONTRAST","72132","HCPCS","Both",,,"391.5","195.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"211.41","143.29","303.41","percent of total billed charges",,
"CT LUMBAR SPINE W/CONTRAST","72132","HCPCS","Both",,,"391.5","195.75","Medicare",,"",,"54",,"212.19","143.29","303.41","percent of total billed charges",,
"CT LUMBAR SPINE W/CONTRAST","72132","HCPCS","Both",,,"391.5","195.75","Humana","Medicare Advantage","",,"54",,"212.19","143.29","303.41","percent of total billed charges",,
"CT LUMBAR SPINE W/CONTRAST","72132","HCPCS","Both",,,"391.5","195.75","UHC","Medicare Advantage","",,"54",,"212.19","143.29","303.41","percent of total billed charges",,
"CT LUMBAR SPINE W/CONTRAST","72132","HCPCS","Both",,,"391.5","195.75","Clover","Medicare Advantage","",,"54",,"212.19","143.29","303.41","percent of total billed charges",,
"CT LUMBAR SPINE W/CONTRAST","72132","HCPCS","Both",,,"391.5","195.75","Wellcare","Medicare Advantage","",,"54",,"212.19","143.29","303.41","percent of total billed charges",,
"CT LUMBAR SPINE W/CONTRAST","72132","HCPCS","Both",,,"391.5","195.75","Amerigroup","Medicaid Managed Care","",,"37",,"143.29","143.29","303.41","percent of total billed charges",,
"CT LUMBAR SPINE W/CONTRAST","72132","HCPCS","Both",,,"391.5","195.75","Caresource","Medicaid Managed Care","",,"40",,"156.6","143.29","303.41","percent of total billed charges",,
"CT LUMBAR SPINE W/CONTRAST","72132","HCPCS","Both",,,"391.5","195.75","Wellcare","Medicaid Managed Care","",,"40",,"158.56","143.29","303.41","percent of total billed charges",,
"CT LUMBAR SPINE W/CONTRAST","72132","HCPCS","Both",,,"391.5","195.75","Aetna","Commercial","",,"64",,"249.78","143.29","303.41","percent of total billed charges",,
"CT LUMBAR SPINE W/CONTRAST","72132","HCPCS","Both",,,"391.5","195.75","Blue Cross Blue Shield","Pathways","",,"71",,"276.4","143.29","303.41","percent of total billed charges",,
"CT LUMBAR SPINE W/CONTRAST","72132","HCPCS","Both",,,"391.5","195.75","Blue Cross Blue Shield","HMO","",,"71",,"276.4","143.29","303.41","percent of total billed charges",,
"CT LUMBAR SPINE W/CONTRAST","72132","HCPCS","Both",,,"391.5","195.75","Blue Cross Blue Shield","PPO","",,"71",,"276.4","143.29","303.41","percent of total billed charges",,
"CT LUMBAR SPINE W/CONTRAST","72132","HCPCS","Both",,,"391.5","195.75","Ambetter","Health Exchange","",,"62",,"242.73","143.29","303.41","percent of total billed charges",,
"CT LUMBAR SPINE W/CONTRAST","72132","HCPCS","Both",,,"391.5","195.75","Caresource","Health Exchange","",,"62",,"242.73","143.29","303.41","percent of total billed charges",,
"CT LUMBAR SPINE W/CONTRAST","72132","HCPCS","Both",,,"391.5","195.75","Cigna","Commercial","",,"59",,"229.42","143.29","303.41","percent of total billed charges",,
"CT LUMBAR SPINE W/CONTRAST","72132","HCPCS","Both",,,"391.5","195.75","Humana","Commercial","",,"78",,"303.41","143.29","303.41","percent of total billed charges",,
"CT LUMBAR SPINE W/CONTRAST","72132","HCPCS","Both",,,"391.5","195.75","UHC","Commercial","",,"75",,"295.19","143.29","303.41","percent of total billed charges",,
"CT LUMBAR SPINE W/CONTRAST","72132","HCPCS","Both",,,"391.5","195.75","Medicaid",,"",,"37",,"143.29","143.29","303.41","percent of total billed charges",,
"CT PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Alliant","Health Exchange","",,"62",,"141.67","55.6","177.09","percent of total billed charges",,
"CT PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"123.39","55.6","177.09","percent of total billed charges",,
"CT PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Medicare",,"",,"54",,"123.85","55.6","177.09","percent of total billed charges",,
"CT PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Humana","Medicare Advantage","",,"54",,"123.85","55.6","177.09","percent of total billed charges",,
"CT PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","UHC","Medicare Advantage","",,"54",,"123.85","55.6","177.09","percent of total billed charges",,
"CT PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Clover","Medicare Advantage","",,"54",,"123.85","55.6","177.09","percent of total billed charges",,
"CT PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Wellcare","Medicare Advantage","",,"54",,"123.85","55.6","177.09","percent of total billed charges",,
"CT PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Amerigroup","Medicaid Managed Care","",,"37",,"83.63","55.6","177.09","percent of total billed charges",,
"CT PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Caresource","Medicaid Managed Care","",,"40",,"91.4","55.6","177.09","percent of total billed charges",,
"CT PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Wellcare","Medicaid Managed Care","",,"40",,"92.54","55.6","177.09","percent of total billed charges",,
"CT PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Aetna","Commercial","",,"64",,"145.78","55.6","177.09","percent of total billed charges",,
"CT PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Blue Cross Blue Shield","Pathways","",,"71",,"161.32","55.6","177.09","percent of total billed charges",,
"CT PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Blue Cross Blue Shield","HMO","",,"71",,"161.32","55.6","177.09","percent of total billed charges",,
"CT PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Blue Cross Blue Shield","PPO","",,"71",,"161.32","55.6","177.09","percent of total billed charges",,
"CT PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Ambetter","Health Exchange","",,"62",,"141.67","55.6","177.09","percent of total billed charges",,
"CT PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Caresource","Health Exchange","",,"62",,"141.67","55.6","177.09","percent of total billed charges",,
"CT PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Cigna","Commercial","",,"59",,"133.9","55.6","177.09","percent of total billed charges",,
"CT PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Humana","Commercial","",,"78",,"177.09","55.6","177.09","percent of total billed charges",,
"CT PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","UHC","Commercial","",,"75",,"172.29","55.6","177.09","percent of total billed charges",,
"CT PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Medicaid",,"",,"37",,"83.63","55.6","177.09","percent of total billed charges",,
"CT PELVIS W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Alliant","Health Exchange","",,"62",,"419.43","247.6","524.29","percent of total billed charges",,
"CT PELVIS W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"365.31","247.6","524.29","percent of total billed charges",,
"CT PELVIS W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Medicare",,"",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT PELVIS W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Humana","Medicare Advantage","",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT PELVIS W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","UHC","Medicare Advantage","",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT PELVIS W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Clover","Medicare Advantage","",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT PELVIS W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Wellcare","Medicare Advantage","",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT PELVIS W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Amerigroup","Medicaid Managed Care","",,"37",,"247.6","247.6","524.29","percent of total billed charges",,
"CT PELVIS W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Caresource","Medicaid Managed Care","",,"40",,"270.6","247.6","524.29","percent of total billed charges",,
"CT PELVIS W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Wellcare","Medicaid Managed Care","",,"40",,"273.98","247.6","524.29","percent of total billed charges",,
"CT PELVIS W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Aetna","Commercial","",,"64",,"431.61","247.6","524.29","percent of total billed charges",,
"CT PELVIS W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","Pathways","",,"71",,"477.61","247.6","524.29","percent of total billed charges",,
"CT PELVIS W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","HMO","",,"71",,"477.61","247.6","524.29","percent of total billed charges",,
"CT PELVIS W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","PPO","",,"71",,"477.61","247.6","524.29","percent of total billed charges",,
"CT PELVIS W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Ambetter","Health Exchange","",,"62",,"419.43","247.6","524.29","percent of total billed charges",,
"CT PELVIS W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Caresource","Health Exchange","",,"62",,"419.43","247.6","524.29","percent of total billed charges",,
"CT PELVIS W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Cigna","Commercial","",,"59",,"396.43","247.6","524.29","percent of total billed charges",,
"CT PELVIS W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Humana","Commercial","",,"78",,"524.29","247.6","524.29","percent of total billed charges",,
"CT PELVIS W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","UHC","Commercial","",,"75",,"510.08","247.6","524.29","percent of total billed charges",,
"CT PELVIS W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Medicaid",,"",,"37",,"247.6","247.6","524.29","percent of total billed charges",,
"CT PELVIS W & W/O CONTRAST","72194","HCPCS","Both",,,"676.5","338.25","Alliant","Health Exchange","",,"62",,"419.43","247.6","524.29","percent of total billed charges",,
"CT PELVIS W & W/O CONTRAST","72194","HCPCS","Both",,,"676.5","338.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"365.31","247.6","524.29","percent of total billed charges",,
"CT PELVIS W & W/O CONTRAST","72194","HCPCS","Both",,,"676.5","338.25","Medicare",,"",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT PELVIS W & W/O CONTRAST","72194","HCPCS","Both",,,"676.5","338.25","Humana","Medicare Advantage","",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT PELVIS W & W/O CONTRAST","72194","HCPCS","Both",,,"676.5","338.25","UHC","Medicare Advantage","",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT PELVIS W & W/O CONTRAST","72194","HCPCS","Both",,,"676.5","338.25","Clover","Medicare Advantage","",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT PELVIS W & W/O CONTRAST","72194","HCPCS","Both",,,"676.5","338.25","Wellcare","Medicare Advantage","",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT PELVIS W & W/O CONTRAST","72194","HCPCS","Both",,,"676.5","338.25","Amerigroup","Medicaid Managed Care","",,"37",,"247.6","247.6","524.29","percent of total billed charges",,
"CT PELVIS W & W/O CONTRAST","72194","HCPCS","Both",,,"676.5","338.25","Caresource","Medicaid Managed Care","",,"40",,"270.6","247.6","524.29","percent of total billed charges",,
"CT PELVIS W & W/O CONTRAST","72194","HCPCS","Both",,,"676.5","338.25","Wellcare","Medicaid Managed Care","",,"40",,"273.98","247.6","524.29","percent of total billed charges",,
"CT PELVIS W & W/O CONTRAST","72194","HCPCS","Both",,,"676.5","338.25","Aetna","Commercial","",,"64",,"431.61","247.6","524.29","percent of total billed charges",,
"CT PELVIS W & W/O CONTRAST","72194","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","Pathways","",,"71",,"477.61","247.6","524.29","percent of total billed charges",,
"CT PELVIS W & W/O CONTRAST","72194","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","HMO","",,"71",,"477.61","247.6","524.29","percent of total billed charges",,
"CT PELVIS W & W/O CONTRAST","72194","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","PPO","",,"71",,"477.61","247.6","524.29","percent of total billed charges",,
"CT PELVIS W & W/O CONTRAST","72194","HCPCS","Both",,,"676.5","338.25","Ambetter","Health Exchange","",,"62",,"419.43","247.6","524.29","percent of total billed charges",,
"CT PELVIS W & W/O CONTRAST","72194","HCPCS","Both",,,"676.5","338.25","Caresource","Health Exchange","",,"62",,"419.43","247.6","524.29","percent of total billed charges",,
"CT PELVIS W & W/O CONTRAST","72194","HCPCS","Both",,,"676.5","338.25","Cigna","Commercial","",,"59",,"396.43","247.6","524.29","percent of total billed charges",,
"CT PELVIS W & W/O CONTRAST","72194","HCPCS","Both",,,"676.5","338.25","Humana","Commercial","",,"78",,"524.29","247.6","524.29","percent of total billed charges",,
"CT PELVIS W & W/O CONTRAST","72194","HCPCS","Both",,,"676.5","338.25","UHC","Commercial","",,"75",,"510.08","247.6","524.29","percent of total billed charges",,
"CT PELVIS W & W/O CONTRAST","72194","HCPCS","Both",,,"676.5","338.25","Medicaid",,"",,"37",,"247.6","247.6","524.29","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Alliant","Health Exchange","LT",,"62",,"128.34","50.52","160.43","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"111.78","50.52","160.43","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Medicare",,"LT",,"54",,"112.19","50.52","160.43","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Humana","Medicare Advantage","LT",,"54",,"112.19","50.52","160.43","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","UHC","Medicare Advantage","LT",,"54",,"112.19","50.52","160.43","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Clover","Medicare Advantage","LT",,"54",,"112.19","50.52","160.43","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Wellcare","Medicare Advantage","LT",,"54",,"112.19","50.52","160.43","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Amerigroup","Medicaid Managed Care","LT",,"37",,"75.76","50.52","160.43","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Caresource","Medicaid Managed Care","LT",,"40",,"82.8","50.52","160.43","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Wellcare","Medicaid Managed Care","LT",,"40",,"83.84","50.52","160.43","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Aetna","Commercial","LT",,"64",,"132.07","50.52","160.43","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Blue Cross Blue Shield","Pathways","LT",,"71",,"146.14","50.52","160.43","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Blue Cross Blue Shield","HMO","LT",,"71",,"146.14","50.52","160.43","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Blue Cross Blue Shield","PPO","LT",,"71",,"146.14","50.52","160.43","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Ambetter","Health Exchange","LT",,"62",,"128.34","50.52","160.43","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Caresource","Health Exchange","LT",,"62",,"128.34","50.52","160.43","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Cigna","Commercial","LT",,"59",,"121.3","50.52","160.43","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Humana","Commercial","LT",,"78",,"160.43","50.52","160.43","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","UHC","Commercial","LT",,"75",,"156.08","50.52","160.43","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Medicaid",,"LT",,"37",,"75.76","50.52","160.43","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Alliant","Health Exchange","LT",,"62",,"209.25","59.19","261.56","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"182.25","59.19","261.56","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Medicare",,"LT",,"54",,"182.92","59.19","261.56","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Humana","Medicare Advantage","LT",,"54",,"182.92","59.19","261.56","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","UHC","Medicare Advantage","LT",,"54",,"182.92","59.19","261.56","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Clover","Medicare Advantage","LT",,"54",,"182.92","59.19","261.56","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Wellcare","Medicare Advantage","LT",,"54",,"182.92","59.19","261.56","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Amerigroup","Medicaid Managed Care","LT",,"37",,"123.52","59.19","261.56","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Caresource","Medicaid Managed Care","LT",,"40",,"135","59.19","261.56","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Wellcare","Medicaid Managed Care","LT",,"40",,"136.69","59.19","261.56","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Aetna","Commercial","LT",,"64",,"215.32","59.19","261.56","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Blue Cross Blue Shield","Pathways","LT",,"71",,"238.27","59.19","261.56","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Blue Cross Blue Shield","HMO","LT",,"71",,"238.27","59.19","261.56","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Blue Cross Blue Shield","PPO","LT",,"71",,"238.27","59.19","261.56","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Ambetter","Health Exchange","LT",,"62",,"209.25","59.19","261.56","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Caresource","Health Exchange","LT",,"62",,"209.25","59.19","261.56","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Cigna","Commercial","LT",,"59",,"197.77","59.19","261.56","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Humana","Commercial","LT",,"78",,"261.56","59.19","261.56","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","UHC","Commercial","LT",,"75",,"254.48","59.19","261.56","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Medicaid",,"LT",,"37",,"123.52","59.19","261.56","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W & W/O CONTRA","73202","HCPCS","Both",,,"676.5","338.25","Alliant","Health Exchange","LT",,"62",,"419.43","247.6","524.29","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W & W/O CONTRA","73202","HCPCS","Both",,,"676.5","338.25","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"365.31","247.6","524.29","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W & W/O CONTRA","73202","HCPCS","Both",,,"676.5","338.25","Medicare",,"LT",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W & W/O CONTRA","73202","HCPCS","Both",,,"676.5","338.25","Humana","Medicare Advantage","LT",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W & W/O CONTRA","73202","HCPCS","Both",,,"676.5","338.25","UHC","Medicare Advantage","LT",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W & W/O CONTRA","73202","HCPCS","Both",,,"676.5","338.25","Clover","Medicare Advantage","LT",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W & W/O CONTRA","73202","HCPCS","Both",,,"676.5","338.25","Wellcare","Medicare Advantage","LT",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W & W/O CONTRA","73202","HCPCS","Both",,,"676.5","338.25","Amerigroup","Medicaid Managed Care","LT",,"37",,"247.6","247.6","524.29","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W & W/O CONTRA","73202","HCPCS","Both",,,"676.5","338.25","Caresource","Medicaid Managed Care","LT",,"40",,"270.6","247.6","524.29","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W & W/O CONTRA","73202","HCPCS","Both",,,"676.5","338.25","Wellcare","Medicaid Managed Care","LT",,"40",,"273.98","247.6","524.29","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W & W/O CONTRA","73202","HCPCS","Both",,,"676.5","338.25","Aetna","Commercial","LT",,"64",,"431.61","247.6","524.29","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W & W/O CONTRA","73202","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","Pathways","LT",,"71",,"477.61","247.6","524.29","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W & W/O CONTRA","73202","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","HMO","LT",,"71",,"477.61","247.6","524.29","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W & W/O CONTRA","73202","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","PPO","LT",,"71",,"477.61","247.6","524.29","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W & W/O CONTRA","73202","HCPCS","Both",,,"676.5","338.25","Ambetter","Health Exchange","LT",,"62",,"419.43","247.6","524.29","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W & W/O CONTRA","73202","HCPCS","Both",,,"676.5","338.25","Caresource","Health Exchange","LT",,"62",,"419.43","247.6","524.29","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W & W/O CONTRA","73202","HCPCS","Both",,,"676.5","338.25","Cigna","Commercial","LT",,"59",,"396.43","247.6","524.29","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W & W/O CONTRA","73202","HCPCS","Both",,,"676.5","338.25","Humana","Commercial","LT",,"78",,"524.29","247.6","524.29","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W & W/O CONTRA","73202","HCPCS","Both",,,"676.5","338.25","UHC","Commercial","LT",,"75",,"510.08","247.6","524.29","percent of total billed charges",,
"CT UPPER EXTREMITY LEFT W & W/O CONTRA","73202","HCPCS","Both",,,"676.5","338.25","Medicaid",,"LT",,"37",,"247.6","247.6","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Alliant","Health Exchange","LT",,"62",,"83.7","49.41","137.59","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"72.9","49.41","137.59","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Medicare",,"LT",,"54",,"73.17","49.41","137.59","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Humana","Medicare Advantage","LT",,"54",,"73.17","49.41","137.59","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","UHC","Medicare Advantage","LT",,"54",,"73.17","49.41","137.59","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Clover","Medicare Advantage","LT",,"54",,"73.17","49.41","137.59","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Wellcare","Medicare Advantage","LT",,"54",,"73.17","49.41","137.59","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Amerigroup","Medicaid Managed Care","LT",,"37",,"49.41","49.41","137.59","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Caresource","Medicaid Managed Care","LT",,"40",,"54","49.41","137.59","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Wellcare","Medicaid Managed Care","LT",,"40",,"54.68","49.41","137.59","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Aetna","Commercial","LT",,"64",,"86.13","49.41","137.59","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Blue Cross Blue Shield","Pathways","LT",,"71",,"95.31","49.41","137.59","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Blue Cross Blue Shield","HMO","LT",,"71",,"95.31","49.41","137.59","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Blue Cross Blue Shield","PPO","LT",,"71",,"95.31","49.41","137.59","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Ambetter","Health Exchange","LT",,"62",,"83.7","49.41","137.59","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Caresource","Health Exchange","LT",,"62",,"83.7","49.41","137.59","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Cigna","Commercial","LT",,"59",,"79.11","49.41","137.59","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Humana","Commercial","LT",,"78",,"104.62","49.41","137.59","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","UHC","Commercial","LT",,"75",,"101.79","49.41","137.59","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Medicaid",,"LT",,"37",,"49.41","49.41","137.59","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Alliant","Health Exchange","LT",,"62",,"419.43","59.19","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"365.31","59.19","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Medicare",,"LT",,"54",,"366.66","59.19","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Humana","Medicare Advantage","LT",,"54",,"366.66","59.19","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","UHC","Medicare Advantage","LT",,"54",,"366.66","59.19","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Clover","Medicare Advantage","LT",,"54",,"366.66","59.19","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Wellcare","Medicare Advantage","LT",,"54",,"366.66","59.19","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Amerigroup","Medicaid Managed Care","LT",,"37",,"247.6","59.19","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Caresource","Medicaid Managed Care","LT",,"40",,"270.6","59.19","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Wellcare","Medicaid Managed Care","LT",,"40",,"273.98","59.19","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Aetna","Commercial","LT",,"64",,"431.61","59.19","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","Pathways","LT",,"71",,"477.61","59.19","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","HMO","LT",,"71",,"477.61","59.19","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","PPO","LT",,"71",,"477.61","59.19","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Ambetter","Health Exchange","LT",,"62",,"419.43","59.19","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Caresource","Health Exchange","LT",,"62",,"419.43","59.19","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Cigna","Commercial","LT",,"59",,"396.43","59.19","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Humana","Commercial","LT",,"78",,"524.29","59.19","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","UHC","Commercial","LT",,"75",,"510.08","59.19","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Medicaid",,"LT",,"37",,"247.6","59.19","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W & W/O CONT","73702","HCPCS","Both",,,"676.5","338.25","Alliant","Health Exchange","LT",,"62",,"419.43","247.6","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W & W/O CONT","73702","HCPCS","Both",,,"676.5","338.25","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"365.31","247.6","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W & W/O CONT","73702","HCPCS","Both",,,"676.5","338.25","Medicare",,"LT",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W & W/O CONT","73702","HCPCS","Both",,,"676.5","338.25","Humana","Medicare Advantage","LT",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W & W/O CONT","73702","HCPCS","Both",,,"676.5","338.25","UHC","Medicare Advantage","LT",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W & W/O CONT","73702","HCPCS","Both",,,"676.5","338.25","Clover","Medicare Advantage","LT",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W & W/O CONT","73702","HCPCS","Both",,,"676.5","338.25","Wellcare","Medicare Advantage","LT",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W & W/O CONT","73702","HCPCS","Both",,,"676.5","338.25","Amerigroup","Medicaid Managed Care","LT",,"37",,"247.6","247.6","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W & W/O CONT","73702","HCPCS","Both",,,"676.5","338.25","Caresource","Medicaid Managed Care","LT",,"40",,"270.6","247.6","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W & W/O CONT","73702","HCPCS","Both",,,"676.5","338.25","Wellcare","Medicaid Managed Care","LT",,"40",,"273.98","247.6","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W & W/O CONT","73702","HCPCS","Both",,,"676.5","338.25","Aetna","Commercial","LT",,"64",,"431.61","247.6","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W & W/O CONT","73702","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","Pathways","LT",,"71",,"477.61","247.6","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W & W/O CONT","73702","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","HMO","LT",,"71",,"477.61","247.6","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W & W/O CONT","73702","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","PPO","LT",,"71",,"477.61","247.6","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W & W/O CONT","73702","HCPCS","Both",,,"676.5","338.25","Ambetter","Health Exchange","LT",,"62",,"419.43","247.6","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W & W/O CONT","73702","HCPCS","Both",,,"676.5","338.25","Caresource","Health Exchange","LT",,"62",,"419.43","247.6","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W & W/O CONT","73702","HCPCS","Both",,,"676.5","338.25","Cigna","Commercial","LT",,"59",,"396.43","247.6","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W & W/O CONT","73702","HCPCS","Both",,,"676.5","338.25","Humana","Commercial","LT",,"78",,"524.29","247.6","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W & W/O CONT","73702","HCPCS","Both",,,"676.5","338.25","UHC","Commercial","LT",,"75",,"510.08","247.6","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY LEFT W & W/O CONT","73702","HCPCS","Both",,,"676.5","338.25","Medicaid",,"LT",,"37",,"247.6","247.6","524.29","percent of total billed charges",,
"CT ABD W/O CONTRAST","74150","HCPCS","Both",,,"587.5","293.75","Alliant","Health Exchange","",,"62",,"364.25","215.02","455.31","percent of total billed charges",,
"CT ABD W/O CONTRAST","74150","HCPCS","Both",,,"587.5","293.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"317.25","215.02","455.31","percent of total billed charges",,
"CT ABD W/O CONTRAST","74150","HCPCS","Both",,,"587.5","293.75","Medicare",,"",,"54",,"318.42","215.02","455.31","percent of total billed charges",,
"CT ABD W/O CONTRAST","74150","HCPCS","Both",,,"587.5","293.75","Humana","Medicare Advantage","",,"54",,"318.42","215.02","455.31","percent of total billed charges",,
"CT ABD W/O CONTRAST","74150","HCPCS","Both",,,"587.5","293.75","UHC","Medicare Advantage","",,"54",,"318.42","215.02","455.31","percent of total billed charges",,
"CT ABD W/O CONTRAST","74150","HCPCS","Both",,,"587.5","293.75","Clover","Medicare Advantage","",,"54",,"318.42","215.02","455.31","percent of total billed charges",,
"CT ABD W/O CONTRAST","74150","HCPCS","Both",,,"587.5","293.75","Wellcare","Medicare Advantage","",,"54",,"318.42","215.02","455.31","percent of total billed charges",,
"CT ABD W/O CONTRAST","74150","HCPCS","Both",,,"587.5","293.75","Amerigroup","Medicaid Managed Care","",,"37",,"215.02","215.02","455.31","percent of total billed charges",,
"CT ABD W/O CONTRAST","74150","HCPCS","Both",,,"587.5","293.75","Caresource","Medicaid Managed Care","",,"40",,"235","215.02","455.31","percent of total billed charges",,
"CT ABD W/O CONTRAST","74150","HCPCS","Both",,,"587.5","293.75","Wellcare","Medicaid Managed Care","",,"40",,"237.94","215.02","455.31","percent of total billed charges",,
"CT ABD W/O CONTRAST","74150","HCPCS","Both",,,"587.5","293.75","Aetna","Commercial","",,"64",,"374.82","215.02","455.31","percent of total billed charges",,
"CT ABD W/O CONTRAST","74150","HCPCS","Both",,,"587.5","293.75","Blue Cross Blue Shield","Pathways","",,"71",,"414.78","215.02","455.31","percent of total billed charges",,
"CT ABD W/O CONTRAST","74150","HCPCS","Both",,,"587.5","293.75","Blue Cross Blue Shield","HMO","",,"71",,"414.78","215.02","455.31","percent of total billed charges",,
"CT ABD W/O CONTRAST","74150","HCPCS","Both",,,"587.5","293.75","Blue Cross Blue Shield","PPO","",,"71",,"414.78","215.02","455.31","percent of total billed charges",,
"CT ABD W/O CONTRAST","74150","HCPCS","Both",,,"587.5","293.75","Ambetter","Health Exchange","",,"62",,"364.25","215.02","455.31","percent of total billed charges",,
"CT ABD W/O CONTRAST","74150","HCPCS","Both",,,"587.5","293.75","Caresource","Health Exchange","",,"62",,"364.25","215.02","455.31","percent of total billed charges",,
"CT ABD W/O CONTRAST","74150","HCPCS","Both",,,"587.5","293.75","Cigna","Commercial","",,"59",,"344.28","215.02","455.31","percent of total billed charges",,
"CT ABD W/O CONTRAST","74150","HCPCS","Both",,,"587.5","293.75","Humana","Commercial","",,"78",,"455.31","215.02","455.31","percent of total billed charges",,
"CT ABD W/O CONTRAST","74150","HCPCS","Both",,,"587.5","293.75","UHC","Commercial","",,"75",,"442.98","215.02","455.31","percent of total billed charges",,
"CT ABD W/O CONTRAST","74150","HCPCS","Both",,,"587.5","293.75","Medicaid",,"",,"37",,"215.02","215.02","455.31","percent of total billed charges",,
"CT ABD W/CONTRAST","74160","HCPCS","Both",,,"686","343","Alliant","Health Exchange","",,"62",,"425.32","251.08","531.65","percent of total billed charges",,
"CT ABD W/CONTRAST","74160","HCPCS","Both",,,"686","343","Pruitt Healthcare","Medicare Advantage","",,"54",,"370.44","251.08","531.65","percent of total billed charges",,
"CT ABD W/CONTRAST","74160","HCPCS","Both",,,"686","343","Medicare",,"",,"54",,"371.81","251.08","531.65","percent of total billed charges",,
"CT ABD W/CONTRAST","74160","HCPCS","Both",,,"686","343","Humana","Medicare Advantage","",,"54",,"371.81","251.08","531.65","percent of total billed charges",,
"CT ABD W/CONTRAST","74160","HCPCS","Both",,,"686","343","UHC","Medicare Advantage","",,"54",,"371.81","251.08","531.65","percent of total billed charges",,
"CT ABD W/CONTRAST","74160","HCPCS","Both",,,"686","343","Clover","Medicare Advantage","",,"54",,"371.81","251.08","531.65","percent of total billed charges",,
"CT ABD W/CONTRAST","74160","HCPCS","Both",,,"686","343","Wellcare","Medicare Advantage","",,"54",,"371.81","251.08","531.65","percent of total billed charges",,
"CT ABD W/CONTRAST","74160","HCPCS","Both",,,"686","343","Amerigroup","Medicaid Managed Care","",,"37",,"251.08","251.08","531.65","percent of total billed charges",,
"CT ABD W/CONTRAST","74160","HCPCS","Both",,,"686","343","Caresource","Medicaid Managed Care","",,"40",,"274.4","251.08","531.65","percent of total billed charges",,
"CT ABD W/CONTRAST","74160","HCPCS","Both",,,"686","343","Wellcare","Medicaid Managed Care","",,"40",,"277.83","251.08","531.65","percent of total billed charges",,
"CT ABD W/CONTRAST","74160","HCPCS","Both",,,"686","343","Aetna","Commercial","",,"64",,"437.67","251.08","531.65","percent of total billed charges",,
"CT ABD W/CONTRAST","74160","HCPCS","Both",,,"686","343","Blue Cross Blue Shield","Pathways","",,"71",,"484.32","251.08","531.65","percent of total billed charges",,
"CT ABD W/CONTRAST","74160","HCPCS","Both",,,"686","343","Blue Cross Blue Shield","HMO","",,"71",,"484.32","251.08","531.65","percent of total billed charges",,
"CT ABD W/CONTRAST","74160","HCPCS","Both",,,"686","343","Blue Cross Blue Shield","PPO","",,"71",,"484.32","251.08","531.65","percent of total billed charges",,
"CT ABD W/CONTRAST","74160","HCPCS","Both",,,"686","343","Ambetter","Health Exchange","",,"62",,"425.32","251.08","531.65","percent of total billed charges",,
"CT ABD W/CONTRAST","74160","HCPCS","Both",,,"686","343","Caresource","Health Exchange","",,"62",,"425.32","251.08","531.65","percent of total billed charges",,
"CT ABD W/CONTRAST","74160","HCPCS","Both",,,"686","343","Cigna","Commercial","",,"59",,"402","251.08","531.65","percent of total billed charges",,
"CT ABD W/CONTRAST","74160","HCPCS","Both",,,"686","343","Humana","Commercial","",,"78",,"531.65","251.08","531.65","percent of total billed charges",,
"CT ABD W/CONTRAST","74160","HCPCS","Both",,,"686","343","UHC","Commercial","",,"75",,"517.24","251.08","531.65","percent of total billed charges",,
"CT ABD W/CONTRAST","74160","HCPCS","Both",,,"686","343","Medicaid",,"",,"37",,"251.08","251.08","531.65","percent of total billed charges",,
"CT ABD W & W/O CONTRAST","74170","HCPCS","Both",,,"323","161.5","Alliant","Health Exchange","",,"62",,"200.26","118.22","250.32","percent of total billed charges",,
"CT ABD W & W/O CONTRAST","74170","HCPCS","Both",,,"323","161.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"174.42","118.22","250.32","percent of total billed charges",,
"CT ABD W & W/O CONTRAST","74170","HCPCS","Both",,,"323","161.5","Medicare",,"",,"54",,"175.07","118.22","250.32","percent of total billed charges",,
"CT ABD W & W/O CONTRAST","74170","HCPCS","Both",,,"323","161.5","Humana","Medicare Advantage","",,"54",,"175.07","118.22","250.32","percent of total billed charges",,
"CT ABD W & W/O CONTRAST","74170","HCPCS","Both",,,"323","161.5","UHC","Medicare Advantage","",,"54",,"175.07","118.22","250.32","percent of total billed charges",,
"CT ABD W & W/O CONTRAST","74170","HCPCS","Both",,,"323","161.5","Clover","Medicare Advantage","",,"54",,"175.07","118.22","250.32","percent of total billed charges",,
"CT ABD W & W/O CONTRAST","74170","HCPCS","Both",,,"323","161.5","Wellcare","Medicare Advantage","",,"54",,"175.07","118.22","250.32","percent of total billed charges",,
"CT ABD W & W/O CONTRAST","74170","HCPCS","Both",,,"323","161.5","Amerigroup","Medicaid Managed Care","",,"37",,"118.22","118.22","250.32","percent of total billed charges",,
"CT ABD W & W/O CONTRAST","74170","HCPCS","Both",,,"323","161.5","Caresource","Medicaid Managed Care","",,"40",,"129.2","118.22","250.32","percent of total billed charges",,
"CT ABD W & W/O CONTRAST","74170","HCPCS","Both",,,"323","161.5","Wellcare","Medicaid Managed Care","",,"40",,"130.82","118.22","250.32","percent of total billed charges",,
"CT ABD W & W/O CONTRAST","74170","HCPCS","Both",,,"323","161.5","Aetna","Commercial","",,"64",,"206.07","118.22","250.32","percent of total billed charges",,
"CT ABD W & W/O CONTRAST","74170","HCPCS","Both",,,"323","161.5","Blue Cross Blue Shield","Pathways","",,"71",,"228.04","118.22","250.32","percent of total billed charges",,
"CT ABD W & W/O CONTRAST","74170","HCPCS","Both",,,"323","161.5","Blue Cross Blue Shield","HMO","",,"71",,"228.04","118.22","250.32","percent of total billed charges",,
"CT ABD W & W/O CONTRAST","74170","HCPCS","Both",,,"323","161.5","Blue Cross Blue Shield","PPO","",,"71",,"228.04","118.22","250.32","percent of total billed charges",,
"CT ABD W & W/O CONTRAST","74170","HCPCS","Both",,,"323","161.5","Ambetter","Health Exchange","",,"62",,"200.26","118.22","250.32","percent of total billed charges",,
"CT ABD W & W/O CONTRAST","74170","HCPCS","Both",,,"323","161.5","Caresource","Health Exchange","",,"62",,"200.26","118.22","250.32","percent of total billed charges",,
"CT ABD W & W/O CONTRAST","74170","HCPCS","Both",,,"323","161.5","Cigna","Commercial","",,"59",,"189.28","118.22","250.32","percent of total billed charges",,
"CT ABD W & W/O CONTRAST","74170","HCPCS","Both",,,"323","161.5","Humana","Commercial","",,"78",,"250.32","118.22","250.32","percent of total billed charges",,
"CT ABD W & W/O CONTRAST","74170","HCPCS","Both",,,"323","161.5","UHC","Commercial","",,"75",,"243.54","118.22","250.32","percent of total billed charges",,
"CT ABD W & W/O CONTRAST","74170","HCPCS","Both",,,"323","161.5","Medicaid",,"",,"37",,"118.22","118.22","250.32","percent of total billed charges",,
"CT SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"198","99","Alliant","Health Exchange","",,"62",,"122.76","65.68","153.45","percent of total billed charges",,
"CT SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"198","99","Pruitt Healthcare","Medicare Advantage","",,"54",,"106.92","65.68","153.45","percent of total billed charges",,
"CT SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"198","99","Medicare",,"",,"54",,"107.32","65.68","153.45","percent of total billed charges",,
"CT SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"198","99","Humana","Medicare Advantage","",,"54",,"107.32","65.68","153.45","percent of total billed charges",,
"CT SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"198","99","UHC","Medicare Advantage","",,"54",,"107.32","65.68","153.45","percent of total billed charges",,
"CT SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"198","99","Clover","Medicare Advantage","",,"54",,"107.32","65.68","153.45","percent of total billed charges",,
"CT SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"198","99","Wellcare","Medicare Advantage","",,"54",,"107.32","65.68","153.45","percent of total billed charges",,
"CT SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"198","99","Amerigroup","Medicaid Managed Care","",,"37",,"72.47","65.68","153.45","percent of total billed charges",,
"CT SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"198","99","Caresource","Medicaid Managed Care","",,"40",,"79.2","65.68","153.45","percent of total billed charges",,
"CT SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"198","99","Wellcare","Medicaid Managed Care","",,"40",,"80.19","65.68","153.45","percent of total billed charges",,
"CT SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"198","99","Aetna","Commercial","",,"64",,"126.32","65.68","153.45","percent of total billed charges",,
"CT SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"198","99","Blue Cross Blue Shield","Pathways","",,"71",,"139.79","65.68","153.45","percent of total billed charges",,
"CT SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"198","99","Blue Cross Blue Shield","HMO","",,"71",,"139.79","65.68","153.45","percent of total billed charges",,
"CT SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"198","99","Blue Cross Blue Shield","PPO","",,"71",,"139.79","65.68","153.45","percent of total billed charges",,
"CT SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"198","99","Ambetter","Health Exchange","",,"62",,"122.76","65.68","153.45","percent of total billed charges",,
"CT SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"198","99","Caresource","Health Exchange","",,"62",,"122.76","65.68","153.45","percent of total billed charges",,
"CT SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"198","99","Cigna","Commercial","",,"59",,"116.03","65.68","153.45","percent of total billed charges",,
"CT SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"198","99","Humana","Commercial","",,"78",,"153.45","65.68","153.45","percent of total billed charges",,
"CT SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"198","99","UHC","Commercial","",,"75",,"149.29","65.68","153.45","percent of total billed charges",,
"CT SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"198","99","Medicaid",,"",,"37",,"72.47","65.68","153.45","percent of total billed charges",,
"CT SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"989.5","494.75","Alliant","Health Exchange","",,"62",,"613.49","70.71","766.86","percent of total billed charges",,
"CT SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"989.5","494.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"534.33","70.71","766.86","percent of total billed charges",,
"CT SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"989.5","494.75","Medicare",,"",,"54",,"536.31","70.71","766.86","percent of total billed charges",,
"CT SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"989.5","494.75","Humana","Medicare Advantage","",,"54",,"536.31","70.71","766.86","percent of total billed charges",,
"CT SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"989.5","494.75","UHC","Medicare Advantage","",,"54",,"536.31","70.71","766.86","percent of total billed charges",,
"CT SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"989.5","494.75","Clover","Medicare Advantage","",,"54",,"536.31","70.71","766.86","percent of total billed charges",,
"CT SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"989.5","494.75","Wellcare","Medicare Advantage","",,"54",,"536.31","70.71","766.86","percent of total billed charges",,
"CT SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"989.5","494.75","Amerigroup","Medicaid Managed Care","",,"37",,"362.16","70.71","766.86","percent of total billed charges",,
"CT SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"989.5","494.75","Caresource","Medicaid Managed Care","",,"40",,"395.8","70.71","766.86","percent of total billed charges",,
"CT SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"989.5","494.75","Wellcare","Medicaid Managed Care","",,"40",,"400.75","70.71","766.86","percent of total billed charges",,
"CT SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"989.5","494.75","Aetna","Commercial","",,"64",,"631.3","70.71","766.86","percent of total billed charges",,
"CT SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"989.5","494.75","Blue Cross Blue Shield","Pathways","",,"71",,"698.59","70.71","766.86","percent of total billed charges",,
"CT SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"989.5","494.75","Blue Cross Blue Shield","HMO","",,"71",,"698.59","70.71","766.86","percent of total billed charges",,
"CT SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"989.5","494.75","Blue Cross Blue Shield","PPO","",,"71",,"698.59","70.71","766.86","percent of total billed charges",,
"CT SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"989.5","494.75","Ambetter","Health Exchange","",,"62",,"613.49","70.71","766.86","percent of total billed charges",,
"CT SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"989.5","494.75","Caresource","Health Exchange","",,"62",,"613.49","70.71","766.86","percent of total billed charges",,
"CT SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"989.5","494.75","Cigna","Commercial","",,"59",,"579.85","70.71","766.86","percent of total billed charges",,
"CT SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"989.5","494.75","Humana","Commercial","",,"78",,"766.86","70.71","766.86","percent of total billed charges",,
"CT SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"989.5","494.75","UHC","Commercial","",,"75",,"746.08","70.71","766.86","percent of total billed charges",,
"CT SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"989.5","494.75","Medicaid",,"",,"37",,"362.16","70.71","766.86","percent of total billed charges",,
"CT ORBIT W/O CONTRAST","70480","HCPCS","Both",,,"372","186","Alliant","Health Exchange","",,"62",,"230.64","136.15","288.3","percent of total billed charges",,
"CT ORBIT W/O CONTRAST","70480","HCPCS","Both",,,"372","186","Pruitt Healthcare","Medicare Advantage","",,"54",,"200.88","136.15","288.3","percent of total billed charges",,
"CT ORBIT W/O CONTRAST","70480","HCPCS","Both",,,"372","186","Medicare",,"",,"54",,"201.62","136.15","288.3","percent of total billed charges",,
"CT ORBIT W/O CONTRAST","70480","HCPCS","Both",,,"372","186","Humana","Medicare Advantage","",,"54",,"201.62","136.15","288.3","percent of total billed charges",,
"CT ORBIT W/O CONTRAST","70480","HCPCS","Both",,,"372","186","UHC","Medicare Advantage","",,"54",,"201.62","136.15","288.3","percent of total billed charges",,
"CT ORBIT W/O CONTRAST","70480","HCPCS","Both",,,"372","186","Clover","Medicare Advantage","",,"54",,"201.62","136.15","288.3","percent of total billed charges",,
"CT ORBIT W/O CONTRAST","70480","HCPCS","Both",,,"372","186","Wellcare","Medicare Advantage","",,"54",,"201.62","136.15","288.3","percent of total billed charges",,
"CT ORBIT W/O CONTRAST","70480","HCPCS","Both",,,"372","186","Amerigroup","Medicaid Managed Care","",,"37",,"136.15","136.15","288.3","percent of total billed charges",,
"CT ORBIT W/O CONTRAST","70480","HCPCS","Both",,,"372","186","Caresource","Medicaid Managed Care","",,"40",,"148.8","136.15","288.3","percent of total billed charges",,
"CT ORBIT W/O CONTRAST","70480","HCPCS","Both",,,"372","186","Wellcare","Medicaid Managed Care","",,"40",,"150.66","136.15","288.3","percent of total billed charges",,
"CT ORBIT W/O CONTRAST","70480","HCPCS","Both",,,"372","186","Aetna","Commercial","",,"64",,"237.34","136.15","288.3","percent of total billed charges",,
"CT ORBIT W/O CONTRAST","70480","HCPCS","Both",,,"372","186","Blue Cross Blue Shield","Pathways","",,"71",,"262.63","136.15","288.3","percent of total billed charges",,
"CT ORBIT W/O CONTRAST","70480","HCPCS","Both",,,"372","186","Blue Cross Blue Shield","HMO","",,"71",,"262.63","136.15","288.3","percent of total billed charges",,
"CT ORBIT W/O CONTRAST","70480","HCPCS","Both",,,"372","186","Blue Cross Blue Shield","PPO","",,"71",,"262.63","136.15","288.3","percent of total billed charges",,
"CT ORBIT W/O CONTRAST","70480","HCPCS","Both",,,"372","186","Ambetter","Health Exchange","",,"62",,"230.64","136.15","288.3","percent of total billed charges",,
"CT ORBIT W/O CONTRAST","70480","HCPCS","Both",,,"372","186","Caresource","Health Exchange","",,"62",,"230.64","136.15","288.3","percent of total billed charges",,
"CT ORBIT W/O CONTRAST","70480","HCPCS","Both",,,"372","186","Cigna","Commercial","",,"59",,"217.99","136.15","288.3","percent of total billed charges",,
"CT ORBIT W/O CONTRAST","70480","HCPCS","Both",,,"372","186","Humana","Commercial","",,"78",,"288.3","136.15","288.3","percent of total billed charges",,
"CT ORBIT W/O CONTRAST","70480","HCPCS","Both",,,"372","186","UHC","Commercial","",,"75",,"280.49","136.15","288.3","percent of total billed charges",,
"CT ORBIT W/O CONTRAST","70480","HCPCS","Both",,,"372","186","Medicaid",,"",,"37",,"136.15","136.15","288.3","percent of total billed charges",,
"CT MAXILLOFACIAL W/CONTRAST","70487","HCPCS","Both",,,"294.5","147.25","Alliant","Health Exchange","",,"62",,"182.59","107.79","228.24","percent of total billed charges",,
"CT MAXILLOFACIAL W/CONTRAST","70487","HCPCS","Both",,,"294.5","147.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"159.03","107.79","228.24","percent of total billed charges",,
"CT MAXILLOFACIAL W/CONTRAST","70487","HCPCS","Both",,,"294.5","147.25","Medicare",,"",,"54",,"159.62","107.79","228.24","percent of total billed charges",,
"CT MAXILLOFACIAL W/CONTRAST","70487","HCPCS","Both",,,"294.5","147.25","Humana","Medicare Advantage","",,"54",,"159.62","107.79","228.24","percent of total billed charges",,
"CT MAXILLOFACIAL W/CONTRAST","70487","HCPCS","Both",,,"294.5","147.25","UHC","Medicare Advantage","",,"54",,"159.62","107.79","228.24","percent of total billed charges",,
"CT MAXILLOFACIAL W/CONTRAST","70487","HCPCS","Both",,,"294.5","147.25","Clover","Medicare Advantage","",,"54",,"159.62","107.79","228.24","percent of total billed charges",,
"CT MAXILLOFACIAL W/CONTRAST","70487","HCPCS","Both",,,"294.5","147.25","Wellcare","Medicare Advantage","",,"54",,"159.62","107.79","228.24","percent of total billed charges",,
"CT MAXILLOFACIAL W/CONTRAST","70487","HCPCS","Both",,,"294.5","147.25","Amerigroup","Medicaid Managed Care","",,"37",,"107.79","107.79","228.24","percent of total billed charges",,
"CT MAXILLOFACIAL W/CONTRAST","70487","HCPCS","Both",,,"294.5","147.25","Caresource","Medicaid Managed Care","",,"40",,"117.8","107.79","228.24","percent of total billed charges",,
"CT MAXILLOFACIAL W/CONTRAST","70487","HCPCS","Both",,,"294.5","147.25","Wellcare","Medicaid Managed Care","",,"40",,"119.27","107.79","228.24","percent of total billed charges",,
"CT MAXILLOFACIAL W/CONTRAST","70487","HCPCS","Both",,,"294.5","147.25","Aetna","Commercial","",,"64",,"187.89","107.79","228.24","percent of total billed charges",,
"CT MAXILLOFACIAL W/CONTRAST","70487","HCPCS","Both",,,"294.5","147.25","Blue Cross Blue Shield","Pathways","",,"71",,"207.92","107.79","228.24","percent of total billed charges",,
"CT MAXILLOFACIAL W/CONTRAST","70487","HCPCS","Both",,,"294.5","147.25","Blue Cross Blue Shield","HMO","",,"71",,"207.92","107.79","228.24","percent of total billed charges",,
"CT MAXILLOFACIAL W/CONTRAST","70487","HCPCS","Both",,,"294.5","147.25","Blue Cross Blue Shield","PPO","",,"71",,"207.92","107.79","228.24","percent of total billed charges",,
"CT MAXILLOFACIAL W/CONTRAST","70487","HCPCS","Both",,,"294.5","147.25","Ambetter","Health Exchange","",,"62",,"182.59","107.79","228.24","percent of total billed charges",,
"CT MAXILLOFACIAL W/CONTRAST","70487","HCPCS","Both",,,"294.5","147.25","Caresource","Health Exchange","",,"62",,"182.59","107.79","228.24","percent of total billed charges",,
"CT MAXILLOFACIAL W/CONTRAST","70487","HCPCS","Both",,,"294.5","147.25","Cigna","Commercial","",,"59",,"172.58","107.79","228.24","percent of total billed charges",,
"CT MAXILLOFACIAL W/CONTRAST","70487","HCPCS","Both",,,"294.5","147.25","Humana","Commercial","",,"78",,"228.24","107.79","228.24","percent of total billed charges",,
"CT MAXILLOFACIAL W/CONTRAST","70487","HCPCS","Both",,,"294.5","147.25","UHC","Commercial","",,"75",,"222.05","107.79","228.24","percent of total billed charges",,
"CT MAXILLOFACIAL W/CONTRAST","70487","HCPCS","Both",,,"294.5","147.25","Medicaid",,"",,"37",,"107.79","107.79","228.24","percent of total billed charges",,
"CT SOFT TISSUE NECK W & W/O CONTRAST","70492","HCPCS","Both",,,"517","258.5","Alliant","Health Exchange","",,"62",,"320.54","189.22","400.68","percent of total billed charges",,
"CT SOFT TISSUE NECK W & W/O CONTRAST","70492","HCPCS","Both",,,"517","258.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"279.18","189.22","400.68","percent of total billed charges",,
"CT SOFT TISSUE NECK W & W/O CONTRAST","70492","HCPCS","Both",,,"517","258.5","Medicare",,"",,"54",,"280.21","189.22","400.68","percent of total billed charges",,
"CT SOFT TISSUE NECK W & W/O CONTRAST","70492","HCPCS","Both",,,"517","258.5","Humana","Medicare Advantage","",,"54",,"280.21","189.22","400.68","percent of total billed charges",,
"CT SOFT TISSUE NECK W & W/O CONTRAST","70492","HCPCS","Both",,,"517","258.5","UHC","Medicare Advantage","",,"54",,"280.21","189.22","400.68","percent of total billed charges",,
"CT SOFT TISSUE NECK W & W/O CONTRAST","70492","HCPCS","Both",,,"517","258.5","Clover","Medicare Advantage","",,"54",,"280.21","189.22","400.68","percent of total billed charges",,
"CT SOFT TISSUE NECK W & W/O CONTRAST","70492","HCPCS","Both",,,"517","258.5","Wellcare","Medicare Advantage","",,"54",,"280.21","189.22","400.68","percent of total billed charges",,
"CT SOFT TISSUE NECK W & W/O CONTRAST","70492","HCPCS","Both",,,"517","258.5","Amerigroup","Medicaid Managed Care","",,"37",,"189.22","189.22","400.68","percent of total billed charges",,
"CT SOFT TISSUE NECK W & W/O CONTRAST","70492","HCPCS","Both",,,"517","258.5","Caresource","Medicaid Managed Care","",,"40",,"206.8","189.22","400.68","percent of total billed charges",,
"CT SOFT TISSUE NECK W & W/O CONTRAST","70492","HCPCS","Both",,,"517","258.5","Wellcare","Medicaid Managed Care","",,"40",,"209.39","189.22","400.68","percent of total billed charges",,
"CT SOFT TISSUE NECK W & W/O CONTRAST","70492","HCPCS","Both",,,"517","258.5","Aetna","Commercial","",,"64",,"329.85","189.22","400.68","percent of total billed charges",,
"CT SOFT TISSUE NECK W & W/O CONTRAST","70492","HCPCS","Both",,,"517","258.5","Blue Cross Blue Shield","Pathways","",,"71",,"365","189.22","400.68","percent of total billed charges",,
"CT SOFT TISSUE NECK W & W/O CONTRAST","70492","HCPCS","Both",,,"517","258.5","Blue Cross Blue Shield","HMO","",,"71",,"365","189.22","400.68","percent of total billed charges",,
"CT SOFT TISSUE NECK W & W/O CONTRAST","70492","HCPCS","Both",,,"517","258.5","Blue Cross Blue Shield","PPO","",,"71",,"365","189.22","400.68","percent of total billed charges",,
"CT SOFT TISSUE NECK W & W/O CONTRAST","70492","HCPCS","Both",,,"517","258.5","Ambetter","Health Exchange","",,"62",,"320.54","189.22","400.68","percent of total billed charges",,
"CT SOFT TISSUE NECK W & W/O CONTRAST","70492","HCPCS","Both",,,"517","258.5","Caresource","Health Exchange","",,"62",,"320.54","189.22","400.68","percent of total billed charges",,
"CT SOFT TISSUE NECK W & W/O CONTRAST","70492","HCPCS","Both",,,"517","258.5","Cigna","Commercial","",,"59",,"302.96","189.22","400.68","percent of total billed charges",,
"CT SOFT TISSUE NECK W & W/O CONTRAST","70492","HCPCS","Both",,,"517","258.5","Humana","Commercial","",,"78",,"400.68","189.22","400.68","percent of total billed charges",,
"CT SOFT TISSUE NECK W & W/O CONTRAST","70492","HCPCS","Both",,,"517","258.5","UHC","Commercial","",,"75",,"389.82","189.22","400.68","percent of total billed charges",,
"CT SOFT TISSUE NECK W & W/O CONTRAST","70492","HCPCS","Both",,,"517","258.5","Medicaid",,"",,"37",,"189.22","189.22","400.68","percent of total billed charges",,
"CT MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"513.6","256.8","Alliant","Health Exchange","",,"62",,"318.43","47.66","414.62","percent of total billed charges",,
"CT MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"513.6","256.8","Pruitt Healthcare","Medicare Advantage","",,"54",,"277.34","47.66","414.62","percent of total billed charges",,
"CT MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"513.6","256.8","Medicare",,"",,"54",,"278.37","47.66","414.62","percent of total billed charges",,
"CT MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"513.6","256.8","Humana","Medicare Advantage","",,"54",,"278.37","47.66","414.62","percent of total billed charges",,
"CT MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"513.6","256.8","UHC","Medicare Advantage","",,"54",,"278.37","47.66","414.62","percent of total billed charges",,
"CT MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"513.6","256.8","Clover","Medicare Advantage","",,"54",,"278.37","47.66","414.62","percent of total billed charges",,
"CT MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"513.6","256.8","Wellcare","Medicare Advantage","",,"54",,"278.37","47.66","414.62","percent of total billed charges",,
"CT MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"513.6","256.8","Amerigroup","Medicaid Managed Care","",,"37",,"187.98","47.66","414.62","percent of total billed charges",,
"CT MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"513.6","256.8","Caresource","Medicaid Managed Care","",,"40",,"205.44","47.66","414.62","percent of total billed charges",,
"CT MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"513.6","256.8","Wellcare","Medicaid Managed Care","",,"40",,"208.01","47.66","414.62","percent of total billed charges",,
"CT MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"513.6","256.8","Aetna","Commercial","",,"64",,"327.68","47.66","414.62","percent of total billed charges",,
"CT MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"513.6","256.8","Blue Cross Blue Shield","Pathways","",,"71",,"362.6","47.66","414.62","percent of total billed charges",,
"CT MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"513.6","256.8","Blue Cross Blue Shield","HMO","",,"71",,"362.6","47.66","414.62","percent of total billed charges",,
"CT MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"513.6","256.8","Blue Cross Blue Shield","PPO","",,"71",,"362.6","47.66","414.62","percent of total billed charges",,
"CT MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"513.6","256.8","Ambetter","Health Exchange","",,"62",,"318.43","47.66","414.62","percent of total billed charges",,
"CT MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"513.6","256.8","Caresource","Health Exchange","",,"62",,"318.43","47.66","414.62","percent of total billed charges",,
"CT MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"513.6","256.8","Cigna","Commercial","",,"59",,"300.97","47.66","414.62","percent of total billed charges",,
"CT MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"513.6","256.8","Humana","Commercial","",,"78",,"398.04","47.66","414.62","percent of total billed charges",,
"CT MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"513.6","256.8","UHC","Commercial","",,"75",,"387.25","47.66","414.62","percent of total billed charges",,
"CT MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"513.6","256.8","Medicaid",,"",,"37",,"187.98","47.66","414.62","percent of total billed charges",,
"CT ORBIT W & W/O CONTRAST","70482","HCPCS","Both",,,"286.5","143.25","Alliant","Health Exchange","",,"62",,"177.63","104.86","222.04","percent of total billed charges",,
"CT ORBIT W & W/O CONTRAST","70482","HCPCS","Both",,,"286.5","143.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"154.71","104.86","222.04","percent of total billed charges",,
"CT ORBIT W & W/O CONTRAST","70482","HCPCS","Both",,,"286.5","143.25","Medicare",,"",,"54",,"155.28","104.86","222.04","percent of total billed charges",,
"CT ORBIT W & W/O CONTRAST","70482","HCPCS","Both",,,"286.5","143.25","Humana","Medicare Advantage","",,"54",,"155.28","104.86","222.04","percent of total billed charges",,
"CT ORBIT W & W/O CONTRAST","70482","HCPCS","Both",,,"286.5","143.25","UHC","Medicare Advantage","",,"54",,"155.28","104.86","222.04","percent of total billed charges",,
"CT ORBIT W & W/O CONTRAST","70482","HCPCS","Both",,,"286.5","143.25","Clover","Medicare Advantage","",,"54",,"155.28","104.86","222.04","percent of total billed charges",,
"CT ORBIT W & W/O CONTRAST","70482","HCPCS","Both",,,"286.5","143.25","Wellcare","Medicare Advantage","",,"54",,"155.28","104.86","222.04","percent of total billed charges",,
"CT ORBIT W & W/O CONTRAST","70482","HCPCS","Both",,,"286.5","143.25","Amerigroup","Medicaid Managed Care","",,"37",,"104.86","104.86","222.04","percent of total billed charges",,
"CT ORBIT W & W/O CONTRAST","70482","HCPCS","Both",,,"286.5","143.25","Caresource","Medicaid Managed Care","",,"40",,"114.6","104.86","222.04","percent of total billed charges",,
"CT ORBIT W & W/O CONTRAST","70482","HCPCS","Both",,,"286.5","143.25","Wellcare","Medicaid Managed Care","",,"40",,"116.03","104.86","222.04","percent of total billed charges",,
"CT ORBIT W & W/O CONTRAST","70482","HCPCS","Both",,,"286.5","143.25","Aetna","Commercial","",,"64",,"182.79","104.86","222.04","percent of total billed charges",,
"CT ORBIT W & W/O CONTRAST","70482","HCPCS","Both",,,"286.5","143.25","Blue Cross Blue Shield","Pathways","",,"71",,"202.27","104.86","222.04","percent of total billed charges",,
"CT ORBIT W & W/O CONTRAST","70482","HCPCS","Both",,,"286.5","143.25","Blue Cross Blue Shield","HMO","",,"71",,"202.27","104.86","222.04","percent of total billed charges",,
"CT ORBIT W & W/O CONTRAST","70482","HCPCS","Both",,,"286.5","143.25","Blue Cross Blue Shield","PPO","",,"71",,"202.27","104.86","222.04","percent of total billed charges",,
"CT ORBIT W & W/O CONTRAST","70482","HCPCS","Both",,,"286.5","143.25","Ambetter","Health Exchange","",,"62",,"177.63","104.86","222.04","percent of total billed charges",,
"CT ORBIT W & W/O CONTRAST","70482","HCPCS","Both",,,"286.5","143.25","Caresource","Health Exchange","",,"62",,"177.63","104.86","222.04","percent of total billed charges",,
"CT ORBIT W & W/O CONTRAST","70482","HCPCS","Both",,,"286.5","143.25","Cigna","Commercial","",,"59",,"167.89","104.86","222.04","percent of total billed charges",,
"CT ORBIT W & W/O CONTRAST","70482","HCPCS","Both",,,"286.5","143.25","Humana","Commercial","",,"78",,"222.04","104.86","222.04","percent of total billed charges",,
"CT ORBIT W & W/O CONTRAST","70482","HCPCS","Both",,,"286.5","143.25","UHC","Commercial","",,"75",,"216.02","104.86","222.04","percent of total billed charges",,
"CT ORBIT W & W/O CONTRAST","70482","HCPCS","Both",,,"286.5","143.25","Medicaid",,"",,"37",,"104.86","104.86","222.04","percent of total billed charges",,
"CT ORBIT W/CONTRAST","70481","HCPCS","Both",,,"676.5","338.25","Alliant","Health Exchange","",,"62",,"419.43","247.6","524.29","percent of total billed charges",,
"CT ORBIT W/CONTRAST","70481","HCPCS","Both",,,"676.5","338.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"365.31","247.6","524.29","percent of total billed charges",,
"CT ORBIT W/CONTRAST","70481","HCPCS","Both",,,"676.5","338.25","Medicare",,"",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT ORBIT W/CONTRAST","70481","HCPCS","Both",,,"676.5","338.25","Humana","Medicare Advantage","",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT ORBIT W/CONTRAST","70481","HCPCS","Both",,,"676.5","338.25","UHC","Medicare Advantage","",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT ORBIT W/CONTRAST","70481","HCPCS","Both",,,"676.5","338.25","Clover","Medicare Advantage","",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT ORBIT W/CONTRAST","70481","HCPCS","Both",,,"676.5","338.25","Wellcare","Medicare Advantage","",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT ORBIT W/CONTRAST","70481","HCPCS","Both",,,"676.5","338.25","Amerigroup","Medicaid Managed Care","",,"37",,"247.6","247.6","524.29","percent of total billed charges",,
"CT ORBIT W/CONTRAST","70481","HCPCS","Both",,,"676.5","338.25","Caresource","Medicaid Managed Care","",,"40",,"270.6","247.6","524.29","percent of total billed charges",,
"CT ORBIT W/CONTRAST","70481","HCPCS","Both",,,"676.5","338.25","Wellcare","Medicaid Managed Care","",,"40",,"273.98","247.6","524.29","percent of total billed charges",,
"CT ORBIT W/CONTRAST","70481","HCPCS","Both",,,"676.5","338.25","Aetna","Commercial","",,"64",,"431.61","247.6","524.29","percent of total billed charges",,
"CT ORBIT W/CONTRAST","70481","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","Pathways","",,"71",,"477.61","247.6","524.29","percent of total billed charges",,
"CT ORBIT W/CONTRAST","70481","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","HMO","",,"71",,"477.61","247.6","524.29","percent of total billed charges",,
"CT ORBIT W/CONTRAST","70481","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","PPO","",,"71",,"477.61","247.6","524.29","percent of total billed charges",,
"CT ORBIT W/CONTRAST","70481","HCPCS","Both",,,"676.5","338.25","Ambetter","Health Exchange","",,"62",,"419.43","247.6","524.29","percent of total billed charges",,
"CT ORBIT W/CONTRAST","70481","HCPCS","Both",,,"676.5","338.25","Caresource","Health Exchange","",,"62",,"419.43","247.6","524.29","percent of total billed charges",,
"CT ORBIT W/CONTRAST","70481","HCPCS","Both",,,"676.5","338.25","Cigna","Commercial","",,"59",,"396.43","247.6","524.29","percent of total billed charges",,
"CT ORBIT W/CONTRAST","70481","HCPCS","Both",,,"676.5","338.25","Humana","Commercial","",,"78",,"524.29","247.6","524.29","percent of total billed charges",,
"CT ORBIT W/CONTRAST","70481","HCPCS","Both",,,"676.5","338.25","UHC","Commercial","",,"75",,"510.08","247.6","524.29","percent of total billed charges",,
"CT ORBIT W/CONTRAST","70481","HCPCS","Both",,,"676.5","338.25","Medicaid",,"",,"37",,"247.6","247.6","524.29","percent of total billed charges",,
"CT MAXILLOFACIAL W & W/O CONTRAST","70488","HCPCS","Both",,,"676.5","338.25","Alliant","Health Exchange","",,"62",,"419.43","247.6","524.29","percent of total billed charges",,
"CT MAXILLOFACIAL W & W/O CONTRAST","70488","HCPCS","Both",,,"676.5","338.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"365.31","247.6","524.29","percent of total billed charges",,
"CT MAXILLOFACIAL W & W/O CONTRAST","70488","HCPCS","Both",,,"676.5","338.25","Medicare",,"",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT MAXILLOFACIAL W & W/O CONTRAST","70488","HCPCS","Both",,,"676.5","338.25","Humana","Medicare Advantage","",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT MAXILLOFACIAL W & W/O CONTRAST","70488","HCPCS","Both",,,"676.5","338.25","UHC","Medicare Advantage","",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT MAXILLOFACIAL W & W/O CONTRAST","70488","HCPCS","Both",,,"676.5","338.25","Clover","Medicare Advantage","",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT MAXILLOFACIAL W & W/O CONTRAST","70488","HCPCS","Both",,,"676.5","338.25","Wellcare","Medicare Advantage","",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT MAXILLOFACIAL W & W/O CONTRAST","70488","HCPCS","Both",,,"676.5","338.25","Amerigroup","Medicaid Managed Care","",,"37",,"247.6","247.6","524.29","percent of total billed charges",,
"CT MAXILLOFACIAL W & W/O CONTRAST","70488","HCPCS","Both",,,"676.5","338.25","Caresource","Medicaid Managed Care","",,"40",,"270.6","247.6","524.29","percent of total billed charges",,
"CT MAXILLOFACIAL W & W/O CONTRAST","70488","HCPCS","Both",,,"676.5","338.25","Wellcare","Medicaid Managed Care","",,"40",,"273.98","247.6","524.29","percent of total billed charges",,
"CT MAXILLOFACIAL W & W/O CONTRAST","70488","HCPCS","Both",,,"676.5","338.25","Aetna","Commercial","",,"64",,"431.61","247.6","524.29","percent of total billed charges",,
"CT MAXILLOFACIAL W & W/O CONTRAST","70488","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","Pathways","",,"71",,"477.61","247.6","524.29","percent of total billed charges",,
"CT MAXILLOFACIAL W & W/O CONTRAST","70488","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","HMO","",,"71",,"477.61","247.6","524.29","percent of total billed charges",,
"CT MAXILLOFACIAL W & W/O CONTRAST","70488","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","PPO","",,"71",,"477.61","247.6","524.29","percent of total billed charges",,
"CT MAXILLOFACIAL W & W/O CONTRAST","70488","HCPCS","Both",,,"676.5","338.25","Ambetter","Health Exchange","",,"62",,"419.43","247.6","524.29","percent of total billed charges",,
"CT MAXILLOFACIAL W & W/O CONTRAST","70488","HCPCS","Both",,,"676.5","338.25","Caresource","Health Exchange","",,"62",,"419.43","247.6","524.29","percent of total billed charges",,
"CT MAXILLOFACIAL W & W/O CONTRAST","70488","HCPCS","Both",,,"676.5","338.25","Cigna","Commercial","",,"59",,"396.43","247.6","524.29","percent of total billed charges",,
"CT MAXILLOFACIAL W & W/O CONTRAST","70488","HCPCS","Both",,,"676.5","338.25","Humana","Commercial","",,"78",,"524.29","247.6","524.29","percent of total billed charges",,
"CT MAXILLOFACIAL W & W/O CONTRAST","70488","HCPCS","Both",,,"676.5","338.25","UHC","Commercial","",,"75",,"510.08","247.6","524.29","percent of total billed charges",,
"CT MAXILLOFACIAL W & W/O CONTRAST","70488","HCPCS","Both",,,"676.5","338.25","Medicaid",,"",,"37",,"247.6","247.6","524.29","percent of total billed charges",,
"CT CERVICAL SPINE W & W/O CONTRAST","72127","HCPCS","Both",,,"676.5","338.25","Alliant","Health Exchange","",,"62",,"419.43","247.6","524.29","percent of total billed charges",,
"CT CERVICAL SPINE W & W/O CONTRAST","72127","HCPCS","Both",,,"676.5","338.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"365.31","247.6","524.29","percent of total billed charges",,
"CT CERVICAL SPINE W & W/O CONTRAST","72127","HCPCS","Both",,,"676.5","338.25","Medicare",,"",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT CERVICAL SPINE W & W/O CONTRAST","72127","HCPCS","Both",,,"676.5","338.25","Humana","Medicare Advantage","",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT CERVICAL SPINE W & W/O CONTRAST","72127","HCPCS","Both",,,"676.5","338.25","UHC","Medicare Advantage","",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT CERVICAL SPINE W & W/O CONTRAST","72127","HCPCS","Both",,,"676.5","338.25","Clover","Medicare Advantage","",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT CERVICAL SPINE W & W/O CONTRAST","72127","HCPCS","Both",,,"676.5","338.25","Wellcare","Medicare Advantage","",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT CERVICAL SPINE W & W/O CONTRAST","72127","HCPCS","Both",,,"676.5","338.25","Amerigroup","Medicaid Managed Care","",,"37",,"247.6","247.6","524.29","percent of total billed charges",,
"CT CERVICAL SPINE W & W/O CONTRAST","72127","HCPCS","Both",,,"676.5","338.25","Caresource","Medicaid Managed Care","",,"40",,"270.6","247.6","524.29","percent of total billed charges",,
"CT CERVICAL SPINE W & W/O CONTRAST","72127","HCPCS","Both",,,"676.5","338.25","Wellcare","Medicaid Managed Care","",,"40",,"273.98","247.6","524.29","percent of total billed charges",,
"CT CERVICAL SPINE W & W/O CONTRAST","72127","HCPCS","Both",,,"676.5","338.25","Aetna","Commercial","",,"64",,"431.61","247.6","524.29","percent of total billed charges",,
"CT CERVICAL SPINE W & W/O CONTRAST","72127","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","Pathways","",,"71",,"477.61","247.6","524.29","percent of total billed charges",,
"CT CERVICAL SPINE W & W/O CONTRAST","72127","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","HMO","",,"71",,"477.61","247.6","524.29","percent of total billed charges",,
"CT CERVICAL SPINE W & W/O CONTRAST","72127","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","PPO","",,"71",,"477.61","247.6","524.29","percent of total billed charges",,
"CT CERVICAL SPINE W & W/O CONTRAST","72127","HCPCS","Both",,,"676.5","338.25","Ambetter","Health Exchange","",,"62",,"419.43","247.6","524.29","percent of total billed charges",,
"CT CERVICAL SPINE W & W/O CONTRAST","72127","HCPCS","Both",,,"676.5","338.25","Caresource","Health Exchange","",,"62",,"419.43","247.6","524.29","percent of total billed charges",,
"CT CERVICAL SPINE W & W/O CONTRAST","72127","HCPCS","Both",,,"676.5","338.25","Cigna","Commercial","",,"59",,"396.43","247.6","524.29","percent of total billed charges",,
"CT CERVICAL SPINE W & W/O CONTRAST","72127","HCPCS","Both",,,"676.5","338.25","Humana","Commercial","",,"78",,"524.29","247.6","524.29","percent of total billed charges",,
"CT CERVICAL SPINE W & W/O CONTRAST","72127","HCPCS","Both",,,"676.5","338.25","UHC","Commercial","",,"75",,"510.08","247.6","524.29","percent of total billed charges",,
"CT CERVICAL SPINE W & W/O CONTRAST","72127","HCPCS","Both",,,"676.5","338.25","Medicaid",,"",,"37",,"247.6","247.6","524.29","percent of total billed charges",,
"CT THORACIC SPINE W & W/O CONTRAST","72130","HCPCS","Both",,,"676.5","338.25","Alliant","Health Exchange","",,"62",,"419.43","247.6","524.29","percent of total billed charges",,
"CT THORACIC SPINE W & W/O CONTRAST","72130","HCPCS","Both",,,"676.5","338.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"365.31","247.6","524.29","percent of total billed charges",,
"CT THORACIC SPINE W & W/O CONTRAST","72130","HCPCS","Both",,,"676.5","338.25","Medicare",,"",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT THORACIC SPINE W & W/O CONTRAST","72130","HCPCS","Both",,,"676.5","338.25","Humana","Medicare Advantage","",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT THORACIC SPINE W & W/O CONTRAST","72130","HCPCS","Both",,,"676.5","338.25","UHC","Medicare Advantage","",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT THORACIC SPINE W & W/O CONTRAST","72130","HCPCS","Both",,,"676.5","338.25","Clover","Medicare Advantage","",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT THORACIC SPINE W & W/O CONTRAST","72130","HCPCS","Both",,,"676.5","338.25","Wellcare","Medicare Advantage","",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT THORACIC SPINE W & W/O CONTRAST","72130","HCPCS","Both",,,"676.5","338.25","Amerigroup","Medicaid Managed Care","",,"37",,"247.6","247.6","524.29","percent of total billed charges",,
"CT THORACIC SPINE W & W/O CONTRAST","72130","HCPCS","Both",,,"676.5","338.25","Caresource","Medicaid Managed Care","",,"40",,"270.6","247.6","524.29","percent of total billed charges",,
"CT THORACIC SPINE W & W/O CONTRAST","72130","HCPCS","Both",,,"676.5","338.25","Wellcare","Medicaid Managed Care","",,"40",,"273.98","247.6","524.29","percent of total billed charges",,
"CT THORACIC SPINE W & W/O CONTRAST","72130","HCPCS","Both",,,"676.5","338.25","Aetna","Commercial","",,"64",,"431.61","247.6","524.29","percent of total billed charges",,
"CT THORACIC SPINE W & W/O CONTRAST","72130","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","Pathways","",,"71",,"477.61","247.6","524.29","percent of total billed charges",,
"CT THORACIC SPINE W & W/O CONTRAST","72130","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","HMO","",,"71",,"477.61","247.6","524.29","percent of total billed charges",,
"CT THORACIC SPINE W & W/O CONTRAST","72130","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","PPO","",,"71",,"477.61","247.6","524.29","percent of total billed charges",,
"CT THORACIC SPINE W & W/O CONTRAST","72130","HCPCS","Both",,,"676.5","338.25","Ambetter","Health Exchange","",,"62",,"419.43","247.6","524.29","percent of total billed charges",,
"CT THORACIC SPINE W & W/O CONTRAST","72130","HCPCS","Both",,,"676.5","338.25","Caresource","Health Exchange","",,"62",,"419.43","247.6","524.29","percent of total billed charges",,
"CT THORACIC SPINE W & W/O CONTRAST","72130","HCPCS","Both",,,"676.5","338.25","Cigna","Commercial","",,"59",,"396.43","247.6","524.29","percent of total billed charges",,
"CT THORACIC SPINE W & W/O CONTRAST","72130","HCPCS","Both",,,"676.5","338.25","Humana","Commercial","",,"78",,"524.29","247.6","524.29","percent of total billed charges",,
"CT THORACIC SPINE W & W/O CONTRAST","72130","HCPCS","Both",,,"676.5","338.25","UHC","Commercial","",,"75",,"510.08","247.6","524.29","percent of total billed charges",,
"CT THORACIC SPINE W & W/O CONTRAST","72130","HCPCS","Both",,,"676.5","338.25","Medicaid",,"",,"37",,"247.6","247.6","524.29","percent of total billed charges",,
"CT LUMBAR SPINE W & W/O CONTRAST","72133","HCPCS","Both",,,"676.5","338.25","Alliant","Health Exchange","",,"62",,"419.43","247.6","524.29","percent of total billed charges",,
"CT LUMBAR SPINE W & W/O CONTRAST","72133","HCPCS","Both",,,"676.5","338.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"365.31","247.6","524.29","percent of total billed charges",,
"CT LUMBAR SPINE W & W/O CONTRAST","72133","HCPCS","Both",,,"676.5","338.25","Medicare",,"",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT LUMBAR SPINE W & W/O CONTRAST","72133","HCPCS","Both",,,"676.5","338.25","Humana","Medicare Advantage","",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT LUMBAR SPINE W & W/O CONTRAST","72133","HCPCS","Both",,,"676.5","338.25","UHC","Medicare Advantage","",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT LUMBAR SPINE W & W/O CONTRAST","72133","HCPCS","Both",,,"676.5","338.25","Clover","Medicare Advantage","",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT LUMBAR SPINE W & W/O CONTRAST","72133","HCPCS","Both",,,"676.5","338.25","Wellcare","Medicare Advantage","",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT LUMBAR SPINE W & W/O CONTRAST","72133","HCPCS","Both",,,"676.5","338.25","Amerigroup","Medicaid Managed Care","",,"37",,"247.6","247.6","524.29","percent of total billed charges",,
"CT LUMBAR SPINE W & W/O CONTRAST","72133","HCPCS","Both",,,"676.5","338.25","Caresource","Medicaid Managed Care","",,"40",,"270.6","247.6","524.29","percent of total billed charges",,
"CT LUMBAR SPINE W & W/O CONTRAST","72133","HCPCS","Both",,,"676.5","338.25","Wellcare","Medicaid Managed Care","",,"40",,"273.98","247.6","524.29","percent of total billed charges",,
"CT LUMBAR SPINE W & W/O CONTRAST","72133","HCPCS","Both",,,"676.5","338.25","Aetna","Commercial","",,"64",,"431.61","247.6","524.29","percent of total billed charges",,
"CT LUMBAR SPINE W & W/O CONTRAST","72133","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","Pathways","",,"71",,"477.61","247.6","524.29","percent of total billed charges",,
"CT LUMBAR SPINE W & W/O CONTRAST","72133","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","HMO","",,"71",,"477.61","247.6","524.29","percent of total billed charges",,
"CT LUMBAR SPINE W & W/O CONTRAST","72133","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","PPO","",,"71",,"477.61","247.6","524.29","percent of total billed charges",,
"CT LUMBAR SPINE W & W/O CONTRAST","72133","HCPCS","Both",,,"676.5","338.25","Ambetter","Health Exchange","",,"62",,"419.43","247.6","524.29","percent of total billed charges",,
"CT LUMBAR SPINE W & W/O CONTRAST","72133","HCPCS","Both",,,"676.5","338.25","Caresource","Health Exchange","",,"62",,"419.43","247.6","524.29","percent of total billed charges",,
"CT LUMBAR SPINE W & W/O CONTRAST","72133","HCPCS","Both",,,"676.5","338.25","Cigna","Commercial","",,"59",,"396.43","247.6","524.29","percent of total billed charges",,
"CT LUMBAR SPINE W & W/O CONTRAST","72133","HCPCS","Both",,,"676.5","338.25","Humana","Commercial","",,"78",,"524.29","247.6","524.29","percent of total billed charges",,
"CT LUMBAR SPINE W & W/O CONTRAST","72133","HCPCS","Both",,,"676.5","338.25","UHC","Commercial","",,"75",,"510.08","247.6","524.29","percent of total billed charges",,
"CT LUMBAR SPINE W & W/O CONTRAST","72133","HCPCS","Both",,,"676.5","338.25","Medicaid",,"",,"37",,"247.6","247.6","524.29","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Alliant","Health Exchange","RT",,"62",,"128.34","50.52","160.43","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"111.78","50.52","160.43","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Medicare",,"RT",,"54",,"112.19","50.52","160.43","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Humana","Medicare Advantage","RT",,"54",,"112.19","50.52","160.43","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","UHC","Medicare Advantage","RT",,"54",,"112.19","50.52","160.43","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Clover","Medicare Advantage","RT",,"54",,"112.19","50.52","160.43","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Wellcare","Medicare Advantage","RT",,"54",,"112.19","50.52","160.43","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Amerigroup","Medicaid Managed Care","RT",,"37",,"75.76","50.52","160.43","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Caresource","Medicaid Managed Care","RT",,"40",,"82.8","50.52","160.43","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Wellcare","Medicaid Managed Care","RT",,"40",,"83.84","50.52","160.43","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Aetna","Commercial","RT",,"64",,"132.07","50.52","160.43","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Blue Cross Blue Shield","Pathways","RT",,"71",,"146.14","50.52","160.43","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Blue Cross Blue Shield","HMO","RT",,"71",,"146.14","50.52","160.43","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Blue Cross Blue Shield","PPO","RT",,"71",,"146.14","50.52","160.43","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Ambetter","Health Exchange","RT",,"62",,"128.34","50.52","160.43","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Caresource","Health Exchange","RT",,"62",,"128.34","50.52","160.43","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Cigna","Commercial","RT",,"59",,"121.3","50.52","160.43","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Humana","Commercial","RT",,"78",,"160.43","50.52","160.43","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","UHC","Commercial","RT",,"75",,"156.08","50.52","160.43","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Medicaid",,"RT",,"37",,"75.76","50.52","160.43","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Alliant","Health Exchange","RT",,"62",,"209.25","59.19","261.56","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"182.25","59.19","261.56","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Medicare",,"RT",,"54",,"182.92","59.19","261.56","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Humana","Medicare Advantage","RT",,"54",,"182.92","59.19","261.56","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","UHC","Medicare Advantage","RT",,"54",,"182.92","59.19","261.56","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Clover","Medicare Advantage","RT",,"54",,"182.92","59.19","261.56","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Wellcare","Medicare Advantage","RT",,"54",,"182.92","59.19","261.56","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Amerigroup","Medicaid Managed Care","RT",,"37",,"123.52","59.19","261.56","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Caresource","Medicaid Managed Care","RT",,"40",,"135","59.19","261.56","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Wellcare","Medicaid Managed Care","RT",,"40",,"136.69","59.19","261.56","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Aetna","Commercial","RT",,"64",,"215.32","59.19","261.56","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Blue Cross Blue Shield","Pathways","RT",,"71",,"238.27","59.19","261.56","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Blue Cross Blue Shield","HMO","RT",,"71",,"238.27","59.19","261.56","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Blue Cross Blue Shield","PPO","RT",,"71",,"238.27","59.19","261.56","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Ambetter","Health Exchange","RT",,"62",,"209.25","59.19","261.56","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Caresource","Health Exchange","RT",,"62",,"209.25","59.19","261.56","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Cigna","Commercial","RT",,"59",,"197.77","59.19","261.56","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Humana","Commercial","RT",,"78",,"261.56","59.19","261.56","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","UHC","Commercial","RT",,"75",,"254.48","59.19","261.56","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Medicaid",,"RT",,"37",,"123.52","59.19","261.56","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT  W & W/O CONTR","73202","HCPCS","Both",,,"676.5","338.25","Alliant","Health Exchange","RT",,"62",,"419.43","247.6","524.29","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT  W & W/O CONTR","73202","HCPCS","Both",,,"676.5","338.25","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"365.31","247.6","524.29","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT  W & W/O CONTR","73202","HCPCS","Both",,,"676.5","338.25","Medicare",,"RT",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT  W & W/O CONTR","73202","HCPCS","Both",,,"676.5","338.25","Humana","Medicare Advantage","RT",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT  W & W/O CONTR","73202","HCPCS","Both",,,"676.5","338.25","UHC","Medicare Advantage","RT",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT  W & W/O CONTR","73202","HCPCS","Both",,,"676.5","338.25","Clover","Medicare Advantage","RT",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT  W & W/O CONTR","73202","HCPCS","Both",,,"676.5","338.25","Wellcare","Medicare Advantage","RT",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT  W & W/O CONTR","73202","HCPCS","Both",,,"676.5","338.25","Amerigroup","Medicaid Managed Care","RT",,"37",,"247.6","247.6","524.29","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT  W & W/O CONTR","73202","HCPCS","Both",,,"676.5","338.25","Caresource","Medicaid Managed Care","RT",,"40",,"270.6","247.6","524.29","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT  W & W/O CONTR","73202","HCPCS","Both",,,"676.5","338.25","Wellcare","Medicaid Managed Care","RT",,"40",,"273.98","247.6","524.29","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT  W & W/O CONTR","73202","HCPCS","Both",,,"676.5","338.25","Aetna","Commercial","RT",,"64",,"431.61","247.6","524.29","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT  W & W/O CONTR","73202","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","Pathways","RT",,"71",,"477.61","247.6","524.29","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT  W & W/O CONTR","73202","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","HMO","RT",,"71",,"477.61","247.6","524.29","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT  W & W/O CONTR","73202","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","PPO","RT",,"71",,"477.61","247.6","524.29","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT  W & W/O CONTR","73202","HCPCS","Both",,,"676.5","338.25","Ambetter","Health Exchange","RT",,"62",,"419.43","247.6","524.29","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT  W & W/O CONTR","73202","HCPCS","Both",,,"676.5","338.25","Caresource","Health Exchange","RT",,"62",,"419.43","247.6","524.29","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT  W & W/O CONTR","73202","HCPCS","Both",,,"676.5","338.25","Cigna","Commercial","RT",,"59",,"396.43","247.6","524.29","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT  W & W/O CONTR","73202","HCPCS","Both",,,"676.5","338.25","Humana","Commercial","RT",,"78",,"524.29","247.6","524.29","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT  W & W/O CONTR","73202","HCPCS","Both",,,"676.5","338.25","UHC","Commercial","RT",,"75",,"510.08","247.6","524.29","percent of total billed charges",,
"CT UPPER EXTREMITY RIGHT  W & W/O CONTR","73202","HCPCS","Both",,,"676.5","338.25","Medicaid",,"RT",,"37",,"247.6","247.6","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Alliant","Health Exchange","RT",,"62",,"83.7","49.41","137.59","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"72.9","49.41","137.59","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Medicare",,"RT",,"54",,"73.17","49.41","137.59","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Humana","Medicare Advantage","RT",,"54",,"73.17","49.41","137.59","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","UHC","Medicare Advantage","RT",,"54",,"73.17","49.41","137.59","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Clover","Medicare Advantage","RT",,"54",,"73.17","49.41","137.59","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Wellcare","Medicare Advantage","RT",,"54",,"73.17","49.41","137.59","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Amerigroup","Medicaid Managed Care","RT",,"37",,"49.41","49.41","137.59","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Caresource","Medicaid Managed Care","RT",,"40",,"54","49.41","137.59","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Wellcare","Medicaid Managed Care","RT",,"40",,"54.68","49.41","137.59","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Aetna","Commercial","RT",,"64",,"86.13","49.41","137.59","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Blue Cross Blue Shield","Pathways","RT",,"71",,"95.31","49.41","137.59","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Blue Cross Blue Shield","HMO","RT",,"71",,"95.31","49.41","137.59","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Blue Cross Blue Shield","PPO","RT",,"71",,"95.31","49.41","137.59","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Ambetter","Health Exchange","RT",,"62",,"83.7","49.41","137.59","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Caresource","Health Exchange","RT",,"62",,"83.7","49.41","137.59","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Cigna","Commercial","RT",,"59",,"79.11","49.41","137.59","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Humana","Commercial","RT",,"78",,"104.62","49.41","137.59","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","UHC","Commercial","RT",,"75",,"101.79","49.41","137.59","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Medicaid",,"RT",,"37",,"49.41","49.41","137.59","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Alliant","Health Exchange","RT",,"62",,"419.43","59.19","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"365.31","59.19","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Medicare",,"RT",,"54",,"366.66","59.19","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Humana","Medicare Advantage","RT",,"54",,"366.66","59.19","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","UHC","Medicare Advantage","RT",,"54",,"366.66","59.19","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Clover","Medicare Advantage","RT",,"54",,"366.66","59.19","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Wellcare","Medicare Advantage","RT",,"54",,"366.66","59.19","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Amerigroup","Medicaid Managed Care","RT",,"37",,"247.6","59.19","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Caresource","Medicaid Managed Care","RT",,"40",,"270.6","59.19","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Wellcare","Medicaid Managed Care","RT",,"40",,"273.98","59.19","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Aetna","Commercial","RT",,"64",,"431.61","59.19","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","Pathways","RT",,"71",,"477.61","59.19","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","HMO","RT",,"71",,"477.61","59.19","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","PPO","RT",,"71",,"477.61","59.19","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Ambetter","Health Exchange","RT",,"62",,"419.43","59.19","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Caresource","Health Exchange","RT",,"62",,"419.43","59.19","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Cigna","Commercial","RT",,"59",,"396.43","59.19","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Humana","Commercial","RT",,"78",,"524.29","59.19","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","UHC","Commercial","RT",,"75",,"510.08","59.19","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Medicaid",,"RT",,"37",,"247.6","59.19","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W & W/O CONT","73702","HCPCS","Both",,,"676.5","338.25","Alliant","Health Exchange","RT",,"62",,"419.43","247.6","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W & W/O CONT","73702","HCPCS","Both",,,"676.5","338.25","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"365.31","247.6","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W & W/O CONT","73702","HCPCS","Both",,,"676.5","338.25","Medicare",,"RT",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W & W/O CONT","73702","HCPCS","Both",,,"676.5","338.25","Humana","Medicare Advantage","RT",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W & W/O CONT","73702","HCPCS","Both",,,"676.5","338.25","UHC","Medicare Advantage","RT",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W & W/O CONT","73702","HCPCS","Both",,,"676.5","338.25","Clover","Medicare Advantage","RT",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W & W/O CONT","73702","HCPCS","Both",,,"676.5","338.25","Wellcare","Medicare Advantage","RT",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W & W/O CONT","73702","HCPCS","Both",,,"676.5","338.25","Amerigroup","Medicaid Managed Care","RT",,"37",,"247.6","247.6","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W & W/O CONT","73702","HCPCS","Both",,,"676.5","338.25","Caresource","Medicaid Managed Care","RT",,"40",,"270.6","247.6","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W & W/O CONT","73702","HCPCS","Both",,,"676.5","338.25","Wellcare","Medicaid Managed Care","RT",,"40",,"273.98","247.6","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W & W/O CONT","73702","HCPCS","Both",,,"676.5","338.25","Aetna","Commercial","RT",,"64",,"431.61","247.6","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W & W/O CONT","73702","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","Pathways","RT",,"71",,"477.61","247.6","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W & W/O CONT","73702","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","HMO","RT",,"71",,"477.61","247.6","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W & W/O CONT","73702","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","PPO","RT",,"71",,"477.61","247.6","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W & W/O CONT","73702","HCPCS","Both",,,"676.5","338.25","Ambetter","Health Exchange","RT",,"62",,"419.43","247.6","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W & W/O CONT","73702","HCPCS","Both",,,"676.5","338.25","Caresource","Health Exchange","RT",,"62",,"419.43","247.6","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W & W/O CONT","73702","HCPCS","Both",,,"676.5","338.25","Cigna","Commercial","RT",,"59",,"396.43","247.6","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W & W/O CONT","73702","HCPCS","Both",,,"676.5","338.25","Humana","Commercial","RT",,"78",,"524.29","247.6","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W & W/O CONT","73702","HCPCS","Both",,,"676.5","338.25","UHC","Commercial","RT",,"75",,"510.08","247.6","524.29","percent of total billed charges",,
"CT LOWER EXTREMITY RIGHT W & W/O CONT","73702","HCPCS","Both",,,"676.5","338.25","Medicaid",,"RT",,"37",,"247.6","247.6","524.29","percent of total billed charges",,
"CT A/P w/ORAL CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Alliant","Health Exchange","",,"62",,"499.97","93.13","651","percent of total billed charges",,
"CT A/P w/ORAL CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Pruitt Healthcare","Medicare Advantage","",,"54",,"435.46","93.13","651","percent of total billed charges",,
"CT A/P w/ORAL CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Medicare",,"",,"54",,"437.07","93.13","651","percent of total billed charges",,
"CT A/P w/ORAL CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Humana","Medicare Advantage","",,"54",,"437.07","93.13","651","percent of total billed charges",,
"CT A/P w/ORAL CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","UHC","Medicare Advantage","",,"54",,"437.07","93.13","651","percent of total billed charges",,
"CT A/P w/ORAL CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Clover","Medicare Advantage","",,"54",,"437.07","93.13","651","percent of total billed charges",,
"CT A/P w/ORAL CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Wellcare","Medicare Advantage","",,"54",,"437.07","93.13","651","percent of total billed charges",,
"CT A/P w/ORAL CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Amerigroup","Medicaid Managed Care","",,"37",,"295.14","93.13","651","percent of total billed charges",,
"CT A/P w/ORAL CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Caresource","Medicaid Managed Care","",,"40",,"322.56","93.13","651","percent of total billed charges",,
"CT A/P w/ORAL CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Wellcare","Medicaid Managed Care","",,"40",,"326.59","93.13","651","percent of total billed charges",,
"CT A/P w/ORAL CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Aetna","Commercial","",,"64",,"514.48","93.13","651","percent of total billed charges",,
"CT A/P w/ORAL CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Blue Cross Blue Shield","Pathways","",,"71",,"569.32","93.13","651","percent of total billed charges",,
"CT A/P w/ORAL CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Blue Cross Blue Shield","HMO","",,"71",,"569.32","93.13","651","percent of total billed charges",,
"CT A/P w/ORAL CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Blue Cross Blue Shield","PPO","",,"71",,"569.32","93.13","651","percent of total billed charges",,
"CT A/P w/ORAL CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Ambetter","Health Exchange","",,"62",,"499.97","93.13","651","percent of total billed charges",,
"CT A/P w/ORAL CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Caresource","Health Exchange","",,"62",,"499.97","93.13","651","percent of total billed charges",,
"CT A/P w/ORAL CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Cigna","Commercial","",,"59",,"472.55","93.13","651","percent of total billed charges",,
"CT A/P w/ORAL CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Humana","Commercial","",,"78",,"624.96","93.13","651","percent of total billed charges",,
"CT A/P w/ORAL CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","UHC","Commercial","",,"75",,"608.03","93.13","651","percent of total billed charges",,
"CT A/P w/ORAL CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Medicaid",,"",,"37",,"295.14","93.13","651","percent of total billed charges",,
"CT A/P w/IV CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Alliant","Health Exchange","",,"62",,"499.97","93.13","651","percent of total billed charges",,
"CT A/P w/IV CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Pruitt Healthcare","Medicare Advantage","",,"54",,"435.46","93.13","651","percent of total billed charges",,
"CT A/P w/IV CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Medicare",,"",,"54",,"437.07","93.13","651","percent of total billed charges",,
"CT A/P w/IV CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Humana","Medicare Advantage","",,"54",,"437.07","93.13","651","percent of total billed charges",,
"CT A/P w/IV CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","UHC","Medicare Advantage","",,"54",,"437.07","93.13","651","percent of total billed charges",,
"CT A/P w/IV CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Clover","Medicare Advantage","",,"54",,"437.07","93.13","651","percent of total billed charges",,
"CT A/P w/IV CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Wellcare","Medicare Advantage","",,"54",,"437.07","93.13","651","percent of total billed charges",,
"CT A/P w/IV CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Amerigroup","Medicaid Managed Care","",,"37",,"295.14","93.13","651","percent of total billed charges",,
"CT A/P w/IV CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Caresource","Medicaid Managed Care","",,"40",,"322.56","93.13","651","percent of total billed charges",,
"CT A/P w/IV CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Wellcare","Medicaid Managed Care","",,"40",,"326.59","93.13","651","percent of total billed charges",,
"CT A/P w/IV CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Aetna","Commercial","",,"64",,"514.48","93.13","651","percent of total billed charges",,
"CT A/P w/IV CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Blue Cross Blue Shield","Pathways","",,"71",,"569.32","93.13","651","percent of total billed charges",,
"CT A/P w/IV CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Blue Cross Blue Shield","HMO","",,"71",,"569.32","93.13","651","percent of total billed charges",,
"CT A/P w/IV CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Blue Cross Blue Shield","PPO","",,"71",,"569.32","93.13","651","percent of total billed charges",,
"CT A/P w/IV CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Ambetter","Health Exchange","",,"62",,"499.97","93.13","651","percent of total billed charges",,
"CT A/P w/IV CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Caresource","Health Exchange","",,"62",,"499.97","93.13","651","percent of total billed charges",,
"CT A/P w/IV CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Cigna","Commercial","",,"59",,"472.55","93.13","651","percent of total billed charges",,
"CT A/P w/IV CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Humana","Commercial","",,"78",,"624.96","93.13","651","percent of total billed charges",,
"CT A/P w/IV CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","UHC","Commercial","",,"75",,"608.03","93.13","651","percent of total billed charges",,
"CT A/P w/IV CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Medicaid",,"",,"37",,"295.14","93.13","651","percent of total billed charges",,
"CT A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"425.5","212.75","Alliant","Health Exchange","TC",,"62",,"263.81","102.17","329.76","percent of total billed charges",,
"CT A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"425.5","212.75","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"229.77","102.17","329.76","percent of total billed charges",,
"CT A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"425.5","212.75","Medicare",,"TC",,"54",,"230.62","102.17","329.76","percent of total billed charges",,
"CT A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"425.5","212.75","Humana","Medicare Advantage","TC",,"54",,"230.62","102.17","329.76","percent of total billed charges",,
"CT A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"425.5","212.75","UHC","Medicare Advantage","TC",,"54",,"230.62","102.17","329.76","percent of total billed charges",,
"CT A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"425.5","212.75","Clover","Medicare Advantage","TC",,"54",,"230.62","102.17","329.76","percent of total billed charges",,
"CT A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"425.5","212.75","Wellcare","Medicare Advantage","TC",,"54",,"230.62","102.17","329.76","percent of total billed charges",,
"CT A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"425.5","212.75","Amerigroup","Medicaid Managed Care","TC",,"37",,"155.73","102.17","329.76","percent of total billed charges",,
"CT A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"425.5","212.75","Caresource","Medicaid Managed Care","TC",,"40",,"170.2","102.17","329.76","percent of total billed charges",,
"CT A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"425.5","212.75","Wellcare","Medicaid Managed Care","TC",,"40",,"172.33","102.17","329.76","percent of total billed charges",,
"CT A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"425.5","212.75","Aetna","Commercial","TC",,"64",,"271.47","102.17","329.76","percent of total billed charges",,
"CT A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"425.5","212.75","Blue Cross Blue Shield","Pathways","TC",,"71",,"300.4","102.17","329.76","percent of total billed charges",,
"CT A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"425.5","212.75","Blue Cross Blue Shield","HMO","TC",,"71",,"300.4","102.17","329.76","percent of total billed charges",,
"CT A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"425.5","212.75","Blue Cross Blue Shield","PPO","TC",,"71",,"300.4","102.17","329.76","percent of total billed charges",,
"CT A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"425.5","212.75","Ambetter","Health Exchange","TC",,"62",,"263.81","102.17","329.76","percent of total billed charges",,
"CT A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"425.5","212.75","Caresource","Health Exchange","TC",,"62",,"263.81","102.17","329.76","percent of total billed charges",,
"CT A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"425.5","212.75","Cigna","Commercial","TC",,"59",,"249.34","102.17","329.76","percent of total billed charges",,
"CT A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"425.5","212.75","Humana","Commercial","TC",,"78",,"329.76","102.17","329.76","percent of total billed charges",,
"CT A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"425.5","212.75","UHC","Commercial","TC",,"75",,"320.83","102.17","329.76","percent of total billed charges",,
"CT A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"425.5","212.75","Medicaid",,"TC",,"37",,"155.73","102.17","329.76","percent of total billed charges",,
"CT ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"1167.84","583.92","Alliant","Health Exchange","",,"62",,"724.06","92.8","942.79","percent of total billed charges",,
"CT ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"1167.84","583.92","Pruitt Healthcare","Medicare Advantage","",,"54",,"630.63","92.8","942.79","percent of total billed charges",,
"CT ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"1167.84","583.92","Medicare",,"",,"54",,"632.97","92.8","942.79","percent of total billed charges",,
"CT ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"1167.84","583.92","Humana","Medicare Advantage","",,"54",,"632.97","92.8","942.79","percent of total billed charges",,
"CT ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"1167.84","583.92","UHC","Medicare Advantage","",,"54",,"632.97","92.8","942.79","percent of total billed charges",,
"CT ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"1167.84","583.92","Clover","Medicare Advantage","",,"54",,"632.97","92.8","942.79","percent of total billed charges",,
"CT ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"1167.84","583.92","Wellcare","Medicare Advantage","",,"54",,"632.97","92.8","942.79","percent of total billed charges",,
"CT ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"1167.84","583.92","Amerigroup","Medicaid Managed Care","",,"37",,"427.43","92.8","942.79","percent of total billed charges",,
"CT ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"1167.84","583.92","Caresource","Medicaid Managed Care","",,"40",,"467.14","92.8","942.79","percent of total billed charges",,
"CT ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"1167.84","583.92","Wellcare","Medicaid Managed Care","",,"40",,"472.98","92.8","942.79","percent of total billed charges",,
"CT ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"1167.84","583.92","Aetna","Commercial","",,"64",,"745.08","92.8","942.79","percent of total billed charges",,
"CT ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"1167.84","583.92","Blue Cross Blue Shield","Pathways","",,"71",,"824.5","92.8","942.79","percent of total billed charges",,
"CT ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"1167.84","583.92","Blue Cross Blue Shield","HMO","",,"71",,"824.5","92.8","942.79","percent of total billed charges",,
"CT ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"1167.84","583.92","Blue Cross Blue Shield","PPO","",,"71",,"824.5","92.8","942.79","percent of total billed charges",,
"CT ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"1167.84","583.92","Ambetter","Health Exchange","",,"62",,"724.06","92.8","942.79","percent of total billed charges",,
"CT ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"1167.84","583.92","Caresource","Health Exchange","",,"62",,"724.06","92.8","942.79","percent of total billed charges",,
"CT ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"1167.84","583.92","Cigna","Commercial","",,"59",,"684.35","92.8","942.79","percent of total billed charges",,
"CT ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"1167.84","583.92","Humana","Commercial","",,"78",,"905.08","92.8","942.79","percent of total billed charges",,
"CT ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"1167.84","583.92","UHC","Commercial","",,"75",,"880.55","92.8","942.79","percent of total billed charges",,
"CT ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"1167.84","583.92","Medicaid",,"",,"37",,"427.43","92.8","942.79","percent of total billed charges",,
"CT A/P W/O CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Alliant","Health Exchange","TC",,"62",,"638.65","89.17","798.31","percent of total billed charges",,
"CT A/P W/O CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"556.24","89.17","798.31","percent of total billed charges",,
"CT A/P W/O CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Medicare",,"TC",,"54",,"558.3","89.17","798.31","percent of total billed charges",,
"CT A/P W/O CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Humana","Medicare Advantage","TC",,"54",,"558.3","89.17","798.31","percent of total billed charges",,
"CT A/P W/O CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","UHC","Medicare Advantage","TC",,"54",,"558.3","89.17","798.31","percent of total billed charges",,
"CT A/P W/O CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Clover","Medicare Advantage","TC",,"54",,"558.3","89.17","798.31","percent of total billed charges",,
"CT A/P W/O CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Wellcare","Medicare Advantage","TC",,"54",,"558.3","89.17","798.31","percent of total billed charges",,
"CT A/P W/O CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Amerigroup","Medicaid Managed Care","TC",,"37",,"377.01","89.17","798.31","percent of total billed charges",,
"CT A/P W/O CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Caresource","Medicaid Managed Care","TC",,"40",,"412.03","89.17","798.31","percent of total billed charges",,
"CT A/P W/O CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Wellcare","Medicaid Managed Care","TC",,"40",,"417.18","89.17","798.31","percent of total billed charges",,
"CT A/P W/O CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Aetna","Commercial","TC",,"64",,"657.19","89.17","798.31","percent of total billed charges",,
"CT A/P W/O CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Blue Cross Blue Shield","Pathways","TC",,"71",,"727.24","89.17","798.31","percent of total billed charges",,
"CT A/P W/O CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Blue Cross Blue Shield","HMO","TC",,"71",,"727.24","89.17","798.31","percent of total billed charges",,
"CT A/P W/O CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Blue Cross Blue Shield","PPO","TC",,"71",,"727.24","89.17","798.31","percent of total billed charges",,
"CT A/P W/O CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Ambetter","Health Exchange","TC",,"62",,"638.65","89.17","798.31","percent of total billed charges",,
"CT A/P W/O CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Caresource","Health Exchange","TC",,"62",,"638.65","89.17","798.31","percent of total billed charges",,
"CT A/P W/O CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Cigna","Commercial","TC",,"59",,"603.63","89.17","798.31","percent of total billed charges",,
"CT A/P W/O CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Humana","Commercial","TC",,"78",,"798.31","89.17","798.31","percent of total billed charges",,
"CT A/P W/O CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","UHC","Commercial","TC",,"75",,"776.68","89.17","798.31","percent of total billed charges",,
"CT A/P W/O CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Medicaid",,"TC",,"37",,"377.01","89.17","798.31","percent of total billed charges",,
"CT ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"807","403.5","Alliant","Health Exchange","",,"62",,"500.34","89.54","625.43","percent of total billed charges",,
"CT ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"807","403.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"435.78","89.54","625.43","percent of total billed charges",,
"CT ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"807","403.5","Medicare",,"",,"54",,"437.39","89.54","625.43","percent of total billed charges",,
"CT ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"807","403.5","Humana","Medicare Advantage","",,"54",,"437.39","89.54","625.43","percent of total billed charges",,
"CT ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"807","403.5","UHC","Medicare Advantage","",,"54",,"437.39","89.54","625.43","percent of total billed charges",,
"CT ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"807","403.5","Clover","Medicare Advantage","",,"54",,"437.39","89.54","625.43","percent of total billed charges",,
"CT ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"807","403.5","Wellcare","Medicare Advantage","",,"54",,"437.39","89.54","625.43","percent of total billed charges",,
"CT ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"807","403.5","Amerigroup","Medicaid Managed Care","",,"37",,"295.36","89.54","625.43","percent of total billed charges",,
"CT ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"807","403.5","Caresource","Medicaid Managed Care","",,"40",,"322.8","89.54","625.43","percent of total billed charges",,
"CT ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"807","403.5","Wellcare","Medicaid Managed Care","",,"40",,"326.84","89.54","625.43","percent of total billed charges",,
"CT ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"807","403.5","Aetna","Commercial","",,"64",,"514.87","89.54","625.43","percent of total billed charges",,
"CT ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"807","403.5","Blue Cross Blue Shield","Pathways","",,"71",,"569.74","89.54","625.43","percent of total billed charges",,
"CT ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"807","403.5","Blue Cross Blue Shield","HMO","",,"71",,"569.74","89.54","625.43","percent of total billed charges",,
"CT ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"807","403.5","Blue Cross Blue Shield","PPO","",,"71",,"569.74","89.54","625.43","percent of total billed charges",,
"CT ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"807","403.5","Ambetter","Health Exchange","",,"62",,"500.34","89.54","625.43","percent of total billed charges",,
"CT ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"807","403.5","Caresource","Health Exchange","",,"62",,"500.34","89.54","625.43","percent of total billed charges",,
"CT ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"807","403.5","Cigna","Commercial","",,"59",,"472.9","89.54","625.43","percent of total billed charges",,
"CT ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"807","403.5","Humana","Commercial","",,"78",,"625.43","89.54","625.43","percent of total billed charges",,
"CT ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"807","403.5","UHC","Commercial","",,"75",,"608.48","89.54","625.43","percent of total billed charges",,
"CT ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"807","403.5","Medicaid",,"",,"37",,"295.36","89.54","625.43","percent of total billed charges",,
"CT ANGIOGRAPHY NECK W/CONTRAST & NONCONT","70498","HCPCS","Both",,,"810","405","Alliant","Health Exchange","",,"62",,"502.2","296.46","627.75","percent of total billed charges",,
"CT ANGIOGRAPHY NECK W/CONTRAST & NONCONT","70498","HCPCS","Both",,,"810","405","Pruitt Healthcare","Medicare Advantage","",,"54",,"437.4","296.46","627.75","percent of total billed charges",,
"CT ANGIOGRAPHY NECK W/CONTRAST & NONCONT","70498","HCPCS","Both",,,"810","405","Medicare",,"",,"54",,"439.02","296.46","627.75","percent of total billed charges",,
"CT ANGIOGRAPHY NECK W/CONTRAST & NONCONT","70498","HCPCS","Both",,,"810","405","Humana","Medicare Advantage","",,"54",,"439.02","296.46","627.75","percent of total billed charges",,
"CT ANGIOGRAPHY NECK W/CONTRAST & NONCONT","70498","HCPCS","Both",,,"810","405","UHC","Medicare Advantage","",,"54",,"439.02","296.46","627.75","percent of total billed charges",,
"CT ANGIOGRAPHY NECK W/CONTRAST & NONCONT","70498","HCPCS","Both",,,"810","405","Clover","Medicare Advantage","",,"54",,"439.02","296.46","627.75","percent of total billed charges",,
"CT ANGIOGRAPHY NECK W/CONTRAST & NONCONT","70498","HCPCS","Both",,,"810","405","Wellcare","Medicare Advantage","",,"54",,"439.02","296.46","627.75","percent of total billed charges",,
"CT ANGIOGRAPHY NECK W/CONTRAST & NONCONT","70498","HCPCS","Both",,,"810","405","Amerigroup","Medicaid Managed Care","",,"37",,"296.46","296.46","627.75","percent of total billed charges",,
"CT ANGIOGRAPHY NECK W/CONTRAST & NONCONT","70498","HCPCS","Both",,,"810","405","Caresource","Medicaid Managed Care","",,"40",,"324","296.46","627.75","percent of total billed charges",,
"CT ANGIOGRAPHY NECK W/CONTRAST & NONCONT","70498","HCPCS","Both",,,"810","405","Wellcare","Medicaid Managed Care","",,"40",,"328.05","296.46","627.75","percent of total billed charges",,
"CT ANGIOGRAPHY NECK W/CONTRAST & NONCONT","70498","HCPCS","Both",,,"810","405","Aetna","Commercial","",,"64",,"516.78","296.46","627.75","percent of total billed charges",,
"CT ANGIOGRAPHY NECK W/CONTRAST & NONCONT","70498","HCPCS","Both",,,"810","405","Blue Cross Blue Shield","Pathways","",,"71",,"571.86","296.46","627.75","percent of total billed charges",,
"CT ANGIOGRAPHY NECK W/CONTRAST & NONCONT","70498","HCPCS","Both",,,"810","405","Blue Cross Blue Shield","HMO","",,"71",,"571.86","296.46","627.75","percent of total billed charges",,
"CT ANGIOGRAPHY NECK W/CONTRAST & NONCONT","70498","HCPCS","Both",,,"810","405","Blue Cross Blue Shield","PPO","",,"71",,"571.86","296.46","627.75","percent of total billed charges",,
"CT ANGIOGRAPHY NECK W/CONTRAST & NONCONT","70498","HCPCS","Both",,,"810","405","Ambetter","Health Exchange","",,"62",,"502.2","296.46","627.75","percent of total billed charges",,
"CT ANGIOGRAPHY NECK W/CONTRAST & NONCONT","70498","HCPCS","Both",,,"810","405","Caresource","Health Exchange","",,"62",,"502.2","296.46","627.75","percent of total billed charges",,
"CT ANGIOGRAPHY NECK W/CONTRAST & NONCONT","70498","HCPCS","Both",,,"810","405","Cigna","Commercial","",,"59",,"474.66","296.46","627.75","percent of total billed charges",,
"CT ANGIOGRAPHY NECK W/CONTRAST & NONCONT","70498","HCPCS","Both",,,"810","405","Humana","Commercial","",,"78",,"627.75","296.46","627.75","percent of total billed charges",,
"CT ANGIOGRAPHY NECK W/CONTRAST & NONCONT","70498","HCPCS","Both",,,"810","405","UHC","Commercial","",,"75",,"610.74","296.46","627.75","percent of total billed charges",,
"CT ANGIOGRAPHY NECK W/CONTRAST & NONCONT","70498","HCPCS","Both",,,"810","405","Medicaid",,"",,"37",,"296.46","296.46","627.75","percent of total billed charges",,
"CT ANGIOGRAPHY ABD AORTA & BILAT ILIO FE","75635","HCPCS","Both",,,"357","178.5","Alliant","Health Exchange","",,"62",,"221.34","120.38","276.68","percent of total billed charges",,
"CT ANGIOGRAPHY ABD AORTA & BILAT ILIO FE","75635","HCPCS","Both",,,"357","178.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"192.78","120.38","276.68","percent of total billed charges",,
"CT ANGIOGRAPHY ABD AORTA & BILAT ILIO FE","75635","HCPCS","Both",,,"357","178.5","Medicare",,"",,"54",,"193.49","120.38","276.68","percent of total billed charges",,
"CT ANGIOGRAPHY ABD AORTA & BILAT ILIO FE","75635","HCPCS","Both",,,"357","178.5","Humana","Medicare Advantage","",,"54",,"193.49","120.38","276.68","percent of total billed charges",,
"CT ANGIOGRAPHY ABD AORTA & BILAT ILIO FE","75635","HCPCS","Both",,,"357","178.5","UHC","Medicare Advantage","",,"54",,"193.49","120.38","276.68","percent of total billed charges",,
"CT ANGIOGRAPHY ABD AORTA & BILAT ILIO FE","75635","HCPCS","Both",,,"357","178.5","Clover","Medicare Advantage","",,"54",,"193.49","120.38","276.68","percent of total billed charges",,
"CT ANGIOGRAPHY ABD AORTA & BILAT ILIO FE","75635","HCPCS","Both",,,"357","178.5","Wellcare","Medicare Advantage","",,"54",,"193.49","120.38","276.68","percent of total billed charges",,
"CT ANGIOGRAPHY ABD AORTA & BILAT ILIO FE","75635","HCPCS","Both",,,"357","178.5","Amerigroup","Medicaid Managed Care","",,"37",,"130.66","120.38","276.68","percent of total billed charges",,
"CT ANGIOGRAPHY ABD AORTA & BILAT ILIO FE","75635","HCPCS","Both",,,"357","178.5","Caresource","Medicaid Managed Care","",,"40",,"142.8","120.38","276.68","percent of total billed charges",,
"CT ANGIOGRAPHY ABD AORTA & BILAT ILIO FE","75635","HCPCS","Both",,,"357","178.5","Wellcare","Medicaid Managed Care","",,"40",,"144.58","120.38","276.68","percent of total billed charges",,
"CT ANGIOGRAPHY ABD AORTA & BILAT ILIO FE","75635","HCPCS","Both",,,"357","178.5","Aetna","Commercial","",,"64",,"227.77","120.38","276.68","percent of total billed charges",,
"CT ANGIOGRAPHY ABD AORTA & BILAT ILIO FE","75635","HCPCS","Both",,,"357","178.5","Blue Cross Blue Shield","Pathways","",,"71",,"252.04","120.38","276.68","percent of total billed charges",,
"CT ANGIOGRAPHY ABD AORTA & BILAT ILIO FE","75635","HCPCS","Both",,,"357","178.5","Blue Cross Blue Shield","HMO","",,"71",,"252.04","120.38","276.68","percent of total billed charges",,
"CT ANGIOGRAPHY ABD AORTA & BILAT ILIO FE","75635","HCPCS","Both",,,"357","178.5","Blue Cross Blue Shield","PPO","",,"71",,"252.04","120.38","276.68","percent of total billed charges",,
"CT ANGIOGRAPHY ABD AORTA & BILAT ILIO FE","75635","HCPCS","Both",,,"357","178.5","Ambetter","Health Exchange","",,"62",,"221.34","120.38","276.68","percent of total billed charges",,
"CT ANGIOGRAPHY ABD AORTA & BILAT ILIO FE","75635","HCPCS","Both",,,"357","178.5","Caresource","Health Exchange","",,"62",,"221.34","120.38","276.68","percent of total billed charges",,
"CT ANGIOGRAPHY ABD AORTA & BILAT ILIO FE","75635","HCPCS","Both",,,"357","178.5","Cigna","Commercial","",,"59",,"209.2","120.38","276.68","percent of total billed charges",,
"CT ANGIOGRAPHY ABD AORTA & BILAT ILIO FE","75635","HCPCS","Both",,,"357","178.5","Humana","Commercial","",,"78",,"276.68","120.38","276.68","percent of total billed charges",,
"CT ANGIOGRAPHY ABD AORTA & BILAT ILIO FE","75635","HCPCS","Both",,,"357","178.5","UHC","Commercial","",,"75",,"269.18","120.38","276.68","percent of total billed charges",,
"CT ANGIOGRAPHY ABD AORTA & BILAT ILIO FE","75635","HCPCS","Both",,,"357","178.5","Medicaid",,"",,"37",,"130.66","120.38","276.68","percent of total billed charges",,
"CT UNLISTED","76497","HCPCS","Both",,,"517","258.5","Alliant","Health Exchange","",,"62",,"320.54","189.22","400.68","percent of total billed charges",,
"CT UNLISTED","76497","HCPCS","Both",,,"517","258.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"279.18","189.22","400.68","percent of total billed charges",,
"CT UNLISTED","76497","HCPCS","Both",,,"517","258.5","Medicare",,"",,"54",,"280.21","189.22","400.68","percent of total billed charges",,
"CT UNLISTED","76497","HCPCS","Both",,,"517","258.5","Humana","Medicare Advantage","",,"54",,"280.21","189.22","400.68","percent of total billed charges",,
"CT UNLISTED","76497","HCPCS","Both",,,"517","258.5","UHC","Medicare Advantage","",,"54",,"280.21","189.22","400.68","percent of total billed charges",,
"CT UNLISTED","76497","HCPCS","Both",,,"517","258.5","Clover","Medicare Advantage","",,"54",,"280.21","189.22","400.68","percent of total billed charges",,
"CT UNLISTED","76497","HCPCS","Both",,,"517","258.5","Wellcare","Medicare Advantage","",,"54",,"280.21","189.22","400.68","percent of total billed charges",,
"CT UNLISTED","76497","HCPCS","Both",,,"517","258.5","Amerigroup","Medicaid Managed Care","",,"37",,"189.22","189.22","400.68","percent of total billed charges",,
"CT UNLISTED","76497","HCPCS","Both",,,"517","258.5","Caresource","Medicaid Managed Care","",,"40",,"206.8","189.22","400.68","percent of total billed charges",,
"CT UNLISTED","76497","HCPCS","Both",,,"517","258.5","Wellcare","Medicaid Managed Care","",,"40",,"209.39","189.22","400.68","percent of total billed charges",,
"CT UNLISTED","76497","HCPCS","Both",,,"517","258.5","Aetna","Commercial","",,"64",,"329.85","189.22","400.68","percent of total billed charges",,
"CT UNLISTED","76497","HCPCS","Both",,,"517","258.5","Blue Cross Blue Shield","Pathways","",,"71",,"365","189.22","400.68","percent of total billed charges",,
"CT UNLISTED","76497","HCPCS","Both",,,"517","258.5","Blue Cross Blue Shield","HMO","",,"71",,"365","189.22","400.68","percent of total billed charges",,
"CT UNLISTED","76497","HCPCS","Both",,,"517","258.5","Blue Cross Blue Shield","PPO","",,"71",,"365","189.22","400.68","percent of total billed charges",,
"CT UNLISTED","76497","HCPCS","Both",,,"517","258.5","Ambetter","Health Exchange","",,"62",,"320.54","189.22","400.68","percent of total billed charges",,
"CT UNLISTED","76497","HCPCS","Both",,,"517","258.5","Caresource","Health Exchange","",,"62",,"320.54","189.22","400.68","percent of total billed charges",,
"CT UNLISTED","76497","HCPCS","Both",,,"517","258.5","Cigna","Commercial","",,"59",,"302.96","189.22","400.68","percent of total billed charges",,
"CT UNLISTED","76497","HCPCS","Both",,,"517","258.5","Humana","Commercial","",,"78",,"400.68","189.22","400.68","percent of total billed charges",,
"CT UNLISTED","76497","HCPCS","Both",,,"517","258.5","UHC","Commercial","",,"75",,"389.82","189.22","400.68","percent of total billed charges",,
"CT UNLISTED","76497","HCPCS","Both",,,"517","258.5","Medicaid",,"",,"37",,"189.22","189.22","400.68","percent of total billed charges",,
"CBC W/AUTO 5 part DIFF & PLT","85025","HCPCS","Both",,,"17","8.5","Alliant","Health Exchange","",,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"CBC W/AUTO 5 part DIFF & PLT","85025","HCPCS","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"9.18","6.22","13.18","percent of total billed charges",,
"CBC W/AUTO 5 part DIFF & PLT","85025","HCPCS","Both",,,"17","8.5","Medicare",,"",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"CBC W/AUTO 5 part DIFF & PLT","85025","HCPCS","Both",,,"17","8.5","Humana","Medicare Advantage","",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"CBC W/AUTO 5 part DIFF & PLT","85025","HCPCS","Both",,,"17","8.5","UHC","Medicare Advantage","",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"CBC W/AUTO 5 part DIFF & PLT","85025","HCPCS","Both",,,"17","8.5","Clover","Medicare Advantage","",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"CBC W/AUTO 5 part DIFF & PLT","85025","HCPCS","Both",,,"17","8.5","Wellcare","Medicare Advantage","",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"CBC W/AUTO 5 part DIFF & PLT","85025","HCPCS","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care","",,"37",,"6.22","6.22","13.18","percent of total billed charges",,
"CBC W/AUTO 5 part DIFF & PLT","85025","HCPCS","Both",,,"17","8.5","Caresource","Medicaid Managed Care","",,"40",,"6.8","6.22","13.18","percent of total billed charges",,
"CBC W/AUTO 5 part DIFF & PLT","85025","HCPCS","Both",,,"17","8.5","Wellcare","Medicaid Managed Care","",,"40",,"6.89","6.22","13.18","percent of total billed charges",,
"CBC W/AUTO 5 part DIFF & PLT","85025","HCPCS","Both",,,"17","8.5","Aetna","Commercial","",,"64",,"10.85","6.22","13.18","percent of total billed charges",,
"CBC W/AUTO 5 part DIFF & PLT","85025","HCPCS","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways","",,"71",,"12","6.22","13.18","percent of total billed charges",,
"CBC W/AUTO 5 part DIFF & PLT","85025","HCPCS","Both",,,"17","8.5","Blue Cross Blue Shield","HMO","",,"71",,"12","6.22","13.18","percent of total billed charges",,
"CBC W/AUTO 5 part DIFF & PLT","85025","HCPCS","Both",,,"17","8.5","Blue Cross Blue Shield","PPO","",,"71",,"12","6.22","13.18","percent of total billed charges",,
"CBC W/AUTO 5 part DIFF & PLT","85025","HCPCS","Both",,,"17","8.5","Ambetter","Health Exchange","",,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"CBC W/AUTO 5 part DIFF & PLT","85025","HCPCS","Both",,,"17","8.5","Caresource","Health Exchange","",,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"CBC W/AUTO 5 part DIFF & PLT","85025","HCPCS","Both",,,"17","8.5","Cigna","Commercial","",,"59",,"9.96","6.22","13.18","percent of total billed charges",,
"CBC W/AUTO 5 part DIFF & PLT","85025","HCPCS","Both",,,"17","8.5","Humana","Commercial","",,"78",,"13.18","6.22","13.18","percent of total billed charges",,
"CBC W/AUTO 5 part DIFF & PLT","85025","HCPCS","Both",,,"17","8.5","UHC","Commercial","",,"75",,"12.82","6.22","13.18","percent of total billed charges",,
"CBC W/AUTO 5 part DIFF & PLT","85025","HCPCS","Both",,,"17","8.5","Medicaid",,"",,"37",,"6.22","6.22","13.18","percent of total billed charges",,
"WHITE BLOOD CELL (WBC), AUTOMATED","85048","HCPCS","Both",,,"18.5","9.25","Alliant","Health Exchange","",,"62",,"11.47","6.77","14.34","percent of total billed charges",,
"WHITE BLOOD CELL (WBC), AUTOMATED","85048","HCPCS","Both",,,"18.5","9.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"9.99","6.77","14.34","percent of total billed charges",,
"WHITE BLOOD CELL (WBC), AUTOMATED","85048","HCPCS","Both",,,"18.5","9.25","Medicare",,"",,"54",,"10.03","6.77","14.34","percent of total billed charges",,
"WHITE BLOOD CELL (WBC), AUTOMATED","85048","HCPCS","Both",,,"18.5","9.25","Humana","Medicare Advantage","",,"54",,"10.03","6.77","14.34","percent of total billed charges",,
"WHITE BLOOD CELL (WBC), AUTOMATED","85048","HCPCS","Both",,,"18.5","9.25","UHC","Medicare Advantage","",,"54",,"10.03","6.77","14.34","percent of total billed charges",,
"WHITE BLOOD CELL (WBC), AUTOMATED","85048","HCPCS","Both",,,"18.5","9.25","Clover","Medicare Advantage","",,"54",,"10.03","6.77","14.34","percent of total billed charges",,
"WHITE BLOOD CELL (WBC), AUTOMATED","85048","HCPCS","Both",,,"18.5","9.25","Wellcare","Medicare Advantage","",,"54",,"10.03","6.77","14.34","percent of total billed charges",,
"WHITE BLOOD CELL (WBC), AUTOMATED","85048","HCPCS","Both",,,"18.5","9.25","Amerigroup","Medicaid Managed Care","",,"37",,"6.77","6.77","14.34","percent of total billed charges",,
"WHITE BLOOD CELL (WBC), AUTOMATED","85048","HCPCS","Both",,,"18.5","9.25","Caresource","Medicaid Managed Care","",,"40",,"7.4","6.77","14.34","percent of total billed charges",,
"WHITE BLOOD CELL (WBC), AUTOMATED","85048","HCPCS","Both",,,"18.5","9.25","Wellcare","Medicaid Managed Care","",,"40",,"7.49","6.77","14.34","percent of total billed charges",,
"WHITE BLOOD CELL (WBC), AUTOMATED","85048","HCPCS","Both",,,"18.5","9.25","Aetna","Commercial","",,"64",,"11.8","6.77","14.34","percent of total billed charges",,
"WHITE BLOOD CELL (WBC), AUTOMATED","85048","HCPCS","Both",,,"18.5","9.25","Blue Cross Blue Shield","Pathways","",,"71",,"13.06","6.77","14.34","percent of total billed charges",,
"WHITE BLOOD CELL (WBC), AUTOMATED","85048","HCPCS","Both",,,"18.5","9.25","Blue Cross Blue Shield","HMO","",,"71",,"13.06","6.77","14.34","percent of total billed charges",,
"WHITE BLOOD CELL (WBC), AUTOMATED","85048","HCPCS","Both",,,"18.5","9.25","Blue Cross Blue Shield","PPO","",,"71",,"13.06","6.77","14.34","percent of total billed charges",,
"WHITE BLOOD CELL (WBC), AUTOMATED","85048","HCPCS","Both",,,"18.5","9.25","Ambetter","Health Exchange","",,"62",,"11.47","6.77","14.34","percent of total billed charges",,
"WHITE BLOOD CELL (WBC), AUTOMATED","85048","HCPCS","Both",,,"18.5","9.25","Caresource","Health Exchange","",,"62",,"11.47","6.77","14.34","percent of total billed charges",,
"WHITE BLOOD CELL (WBC), AUTOMATED","85048","HCPCS","Both",,,"18.5","9.25","Cigna","Commercial","",,"59",,"10.84","6.77","14.34","percent of total billed charges",,
"WHITE BLOOD CELL (WBC), AUTOMATED","85048","HCPCS","Both",,,"18.5","9.25","Humana","Commercial","",,"78",,"14.34","6.77","14.34","percent of total billed charges",,
"WHITE BLOOD CELL (WBC), AUTOMATED","85048","HCPCS","Both",,,"18.5","9.25","UHC","Commercial","",,"75",,"13.95","6.77","14.34","percent of total billed charges",,
"WHITE BLOOD CELL (WBC), AUTOMATED","85048","HCPCS","Both",,,"18.5","9.25","Medicaid",,"",,"37",,"6.77","6.77","14.34","percent of total billed charges",,
"HEMOGLOBIN","85018","HCPCS","Both",,,"6","3","Alliant","Health Exchange","",,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"HEMOGLOBIN","85018","HCPCS","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage","",,"54",,"3.24","2.2","4.65","percent of total billed charges",,
"HEMOGLOBIN","85018","HCPCS","Both",,,"6","3","Medicare",,"",,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"HEMOGLOBIN","85018","HCPCS","Both",,,"6","3","Humana","Medicare Advantage","",,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"HEMOGLOBIN","85018","HCPCS","Both",,,"6","3","UHC","Medicare Advantage","",,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"HEMOGLOBIN","85018","HCPCS","Both",,,"6","3","Clover","Medicare Advantage","",,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"HEMOGLOBIN","85018","HCPCS","Both",,,"6","3","Wellcare","Medicare Advantage","",,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"HEMOGLOBIN","85018","HCPCS","Both",,,"6","3","Amerigroup","Medicaid Managed Care","",,"37",,"2.2","2.2","4.65","percent of total billed charges",,
"HEMOGLOBIN","85018","HCPCS","Both",,,"6","3","Caresource","Medicaid Managed Care","",,"40",,"2.4","2.2","4.65","percent of total billed charges",,
"HEMOGLOBIN","85018","HCPCS","Both",,,"6","3","Wellcare","Medicaid Managed Care","",,"40",,"2.43","2.2","4.65","percent of total billed charges",,
"HEMOGLOBIN","85018","HCPCS","Both",,,"6","3","Aetna","Commercial","",,"64",,"3.83","2.2","4.65","percent of total billed charges",,
"HEMOGLOBIN","85018","HCPCS","Both",,,"6","3","Blue Cross Blue Shield","Pathways","",,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"HEMOGLOBIN","85018","HCPCS","Both",,,"6","3","Blue Cross Blue Shield","HMO","",,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"HEMOGLOBIN","85018","HCPCS","Both",,,"6","3","Blue Cross Blue Shield","PPO","",,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"HEMOGLOBIN","85018","HCPCS","Both",,,"6","3","Ambetter","Health Exchange","",,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"HEMOGLOBIN","85018","HCPCS","Both",,,"6","3","Caresource","Health Exchange","",,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"HEMOGLOBIN","85018","HCPCS","Both",,,"6","3","Cigna","Commercial","",,"59",,"3.52","2.2","4.65","percent of total billed charges",,
"HEMOGLOBIN","85018","HCPCS","Both",,,"6","3","Humana","Commercial","",,"78",,"4.65","2.2","4.65","percent of total billed charges",,
"HEMOGLOBIN","85018","HCPCS","Both",,,"6","3","UHC","Commercial","",,"75",,"4.52","2.2","4.65","percent of total billed charges",,
"HEMOGLOBIN","85018","HCPCS","Both",,,"6","3","Medicaid",,"",,"37",,"2.2","2.2","4.65","percent of total billed charges",,
"HEMATOCRIT","85014","HCPCS","Both",,,"8","4","Alliant","Health Exchange","",,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"HEMATOCRIT","85014","HCPCS","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage","",,"54",,"4.32","2.93","6.2","percent of total billed charges",,
"HEMATOCRIT","85014","HCPCS","Both",,,"8","4","Medicare",,"",,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"HEMATOCRIT","85014","HCPCS","Both",,,"8","4","Humana","Medicare Advantage","",,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"HEMATOCRIT","85014","HCPCS","Both",,,"8","4","UHC","Medicare Advantage","",,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"HEMATOCRIT","85014","HCPCS","Both",,,"8","4","Clover","Medicare Advantage","",,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"HEMATOCRIT","85014","HCPCS","Both",,,"8","4","Wellcare","Medicare Advantage","",,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"HEMATOCRIT","85014","HCPCS","Both",,,"8","4","Amerigroup","Medicaid Managed Care","",,"37",,"2.93","2.93","6.2","percent of total billed charges",,
"HEMATOCRIT","85014","HCPCS","Both",,,"8","4","Caresource","Medicaid Managed Care","",,"40",,"3.2","2.93","6.2","percent of total billed charges",,
"HEMATOCRIT","85014","HCPCS","Both",,,"8","4","Wellcare","Medicaid Managed Care","",,"40",,"3.24","2.93","6.2","percent of total billed charges",,
"HEMATOCRIT","85014","HCPCS","Both",,,"8","4","Aetna","Commercial","",,"64",,"5.1","2.93","6.2","percent of total billed charges",,
"HEMATOCRIT","85014","HCPCS","Both",,,"8","4","Blue Cross Blue Shield","Pathways","",,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"HEMATOCRIT","85014","HCPCS","Both",,,"8","4","Blue Cross Blue Shield","HMO","",,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"HEMATOCRIT","85014","HCPCS","Both",,,"8","4","Blue Cross Blue Shield","PPO","",,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"HEMATOCRIT","85014","HCPCS","Both",,,"8","4","Ambetter","Health Exchange","",,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"HEMATOCRIT","85014","HCPCS","Both",,,"8","4","Caresource","Health Exchange","",,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"HEMATOCRIT","85014","HCPCS","Both",,,"8","4","Cigna","Commercial","",,"59",,"4.69","2.93","6.2","percent of total billed charges",,
"HEMATOCRIT","85014","HCPCS","Both",,,"8","4","Humana","Commercial","",,"78",,"6.2","2.93","6.2","percent of total billed charges",,
"HEMATOCRIT","85014","HCPCS","Both",,,"8","4","UHC","Commercial","",,"75",,"6.03","2.93","6.2","percent of total billed charges",,
"HEMATOCRIT","85014","HCPCS","Both",,,"8","4","Medicaid",,"",,"37",,"2.93","2.93","6.2","percent of total billed charges",,
"CBC  AUTOMATED W/O DIFF","85027","HCPCS","Both",,,"8","4","Alliant","Health Exchange","",,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"CBC  AUTOMATED W/O DIFF","85027","HCPCS","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage","",,"54",,"4.32","2.93","6.2","percent of total billed charges",,
"CBC  AUTOMATED W/O DIFF","85027","HCPCS","Both",,,"8","4","Medicare",,"",,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"CBC  AUTOMATED W/O DIFF","85027","HCPCS","Both",,,"8","4","Humana","Medicare Advantage","",,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"CBC  AUTOMATED W/O DIFF","85027","HCPCS","Both",,,"8","4","UHC","Medicare Advantage","",,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"CBC  AUTOMATED W/O DIFF","85027","HCPCS","Both",,,"8","4","Clover","Medicare Advantage","",,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"CBC  AUTOMATED W/O DIFF","85027","HCPCS","Both",,,"8","4","Wellcare","Medicare Advantage","",,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"CBC  AUTOMATED W/O DIFF","85027","HCPCS","Both",,,"8","4","Amerigroup","Medicaid Managed Care","",,"37",,"2.93","2.93","6.2","percent of total billed charges",,
"CBC  AUTOMATED W/O DIFF","85027","HCPCS","Both",,,"8","4","Caresource","Medicaid Managed Care","",,"40",,"3.2","2.93","6.2","percent of total billed charges",,
"CBC  AUTOMATED W/O DIFF","85027","HCPCS","Both",,,"8","4","Wellcare","Medicaid Managed Care","",,"40",,"3.24","2.93","6.2","percent of total billed charges",,
"CBC  AUTOMATED W/O DIFF","85027","HCPCS","Both",,,"8","4","Aetna","Commercial","",,"64",,"5.1","2.93","6.2","percent of total billed charges",,
"CBC  AUTOMATED W/O DIFF","85027","HCPCS","Both",,,"8","4","Blue Cross Blue Shield","Pathways","",,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"CBC  AUTOMATED W/O DIFF","85027","HCPCS","Both",,,"8","4","Blue Cross Blue Shield","HMO","",,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"CBC  AUTOMATED W/O DIFF","85027","HCPCS","Both",,,"8","4","Blue Cross Blue Shield","PPO","",,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"CBC  AUTOMATED W/O DIFF","85027","HCPCS","Both",,,"8","4","Ambetter","Health Exchange","",,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"CBC  AUTOMATED W/O DIFF","85027","HCPCS","Both",,,"8","4","Caresource","Health Exchange","",,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"CBC  AUTOMATED W/O DIFF","85027","HCPCS","Both",,,"8","4","Cigna","Commercial","",,"59",,"4.69","2.93","6.2","percent of total billed charges",,
"CBC  AUTOMATED W/O DIFF","85027","HCPCS","Both",,,"8","4","Humana","Commercial","",,"78",,"6.2","2.93","6.2","percent of total billed charges",,
"CBC  AUTOMATED W/O DIFF","85027","HCPCS","Both",,,"8","4","UHC","Commercial","",,"75",,"6.03","2.93","6.2","percent of total billed charges",,
"CBC  AUTOMATED W/O DIFF","85027","HCPCS","Both",,,"8","4","Medicaid",,"",,"37",,"2.93","2.93","6.2","percent of total billed charges",,
"SICKLE CELL SCREEN","85660","HCPCS","Both",,,"7","3.5","Alliant","Health Exchange","",,"62",,"4.34","2.56","5.42","percent of total billed charges",,
"SICKLE CELL SCREEN","85660","HCPCS","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"3.78","2.56","5.42","percent of total billed charges",,
"SICKLE CELL SCREEN","85660","HCPCS","Both",,,"7","3.5","Medicare",,"",,"54",,"3.79","2.56","5.42","percent of total billed charges",,
"SICKLE CELL SCREEN","85660","HCPCS","Both",,,"7","3.5","Humana","Medicare Advantage","",,"54",,"3.79","2.56","5.42","percent of total billed charges",,
"SICKLE CELL SCREEN","85660","HCPCS","Both",,,"7","3.5","UHC","Medicare Advantage","",,"54",,"3.79","2.56","5.42","percent of total billed charges",,
"SICKLE CELL SCREEN","85660","HCPCS","Both",,,"7","3.5","Clover","Medicare Advantage","",,"54",,"3.79","2.56","5.42","percent of total billed charges",,
"SICKLE CELL SCREEN","85660","HCPCS","Both",,,"7","3.5","Wellcare","Medicare Advantage","",,"54",,"3.79","2.56","5.42","percent of total billed charges",,
"SICKLE CELL SCREEN","85660","HCPCS","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care","",,"37",,"2.56","2.56","5.42","percent of total billed charges",,
"SICKLE CELL SCREEN","85660","HCPCS","Both",,,"7","3.5","Caresource","Medicaid Managed Care","",,"40",,"2.8","2.56","5.42","percent of total billed charges",,
"SICKLE CELL SCREEN","85660","HCPCS","Both",,,"7","3.5","Wellcare","Medicaid Managed Care","",,"40",,"2.84","2.56","5.42","percent of total billed charges",,
"SICKLE CELL SCREEN","85660","HCPCS","Both",,,"7","3.5","Aetna","Commercial","",,"64",,"4.47","2.56","5.42","percent of total billed charges",,
"SICKLE CELL SCREEN","85660","HCPCS","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways","",,"71",,"4.94","2.56","5.42","percent of total billed charges",,
"SICKLE CELL SCREEN","85660","HCPCS","Both",,,"7","3.5","Blue Cross Blue Shield","HMO","",,"71",,"4.94","2.56","5.42","percent of total billed charges",,
"SICKLE CELL SCREEN","85660","HCPCS","Both",,,"7","3.5","Blue Cross Blue Shield","PPO","",,"71",,"4.94","2.56","5.42","percent of total billed charges",,
"SICKLE CELL SCREEN","85660","HCPCS","Both",,,"7","3.5","Ambetter","Health Exchange","",,"62",,"4.34","2.56","5.42","percent of total billed charges",,
"SICKLE CELL SCREEN","85660","HCPCS","Both",,,"7","3.5","Caresource","Health Exchange","",,"62",,"4.34","2.56","5.42","percent of total billed charges",,
"SICKLE CELL SCREEN","85660","HCPCS","Both",,,"7","3.5","Cigna","Commercial","",,"59",,"4.1","2.56","5.42","percent of total billed charges",,
"SICKLE CELL SCREEN","85660","HCPCS","Both",,,"7","3.5","Humana","Commercial","",,"78",,"5.42","2.56","5.42","percent of total billed charges",,
"SICKLE CELL SCREEN","85660","HCPCS","Both",,,"7","3.5","UHC","Commercial","",,"75",,"5.28","2.56","5.42","percent of total billed charges",,
"SICKLE CELL SCREEN","85660","HCPCS","Both",,,"7","3.5","Medicaid",,"",,"37",,"2.56","2.56","5.42","percent of total billed charges",,
"CULTURE AEROBIC ROUTINE","87070","HCPCS","Both",,,"26","13","Alliant","Health Exchange","",,"62",,"16.12","9.52","20.15","percent of total billed charges",,
"CULTURE AEROBIC ROUTINE","87070","HCPCS","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage","",,"54",,"14.04","9.52","20.15","percent of total billed charges",,
"CULTURE AEROBIC ROUTINE","87070","HCPCS","Both",,,"26","13","Medicare",,"",,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"CULTURE AEROBIC ROUTINE","87070","HCPCS","Both",,,"26","13","Humana","Medicare Advantage","",,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"CULTURE AEROBIC ROUTINE","87070","HCPCS","Both",,,"26","13","UHC","Medicare Advantage","",,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"CULTURE AEROBIC ROUTINE","87070","HCPCS","Both",,,"26","13","Clover","Medicare Advantage","",,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"CULTURE AEROBIC ROUTINE","87070","HCPCS","Both",,,"26","13","Wellcare","Medicare Advantage","",,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"CULTURE AEROBIC ROUTINE","87070","HCPCS","Both",,,"26","13","Amerigroup","Medicaid Managed Care","",,"37",,"9.52","9.52","20.15","percent of total billed charges",,
"CULTURE AEROBIC ROUTINE","87070","HCPCS","Both",,,"26","13","Caresource","Medicaid Managed Care","",,"40",,"10.4","9.52","20.15","percent of total billed charges",,
"CULTURE AEROBIC ROUTINE","87070","HCPCS","Both",,,"26","13","Wellcare","Medicaid Managed Care","",,"40",,"10.53","9.52","20.15","percent of total billed charges",,
"CULTURE AEROBIC ROUTINE","87070","HCPCS","Both",,,"26","13","Aetna","Commercial","",,"64",,"16.59","9.52","20.15","percent of total billed charges",,
"CULTURE AEROBIC ROUTINE","87070","HCPCS","Both",,,"26","13","Blue Cross Blue Shield","Pathways","",,"71",,"18.36","9.52","20.15","percent of total billed charges",,
"CULTURE AEROBIC ROUTINE","87070","HCPCS","Both",,,"26","13","Blue Cross Blue Shield","HMO","",,"71",,"18.36","9.52","20.15","percent of total billed charges",,
"CULTURE AEROBIC ROUTINE","87070","HCPCS","Both",,,"26","13","Blue Cross Blue Shield","PPO","",,"71",,"18.36","9.52","20.15","percent of total billed charges",,
"CULTURE AEROBIC ROUTINE","87070","HCPCS","Both",,,"26","13","Ambetter","Health Exchange","",,"62",,"16.12","9.52","20.15","percent of total billed charges",,
"CULTURE AEROBIC ROUTINE","87070","HCPCS","Both",,,"26","13","Caresource","Health Exchange","",,"62",,"16.12","9.52","20.15","percent of total billed charges",,
"CULTURE AEROBIC ROUTINE","87070","HCPCS","Both",,,"26","13","Cigna","Commercial","",,"59",,"15.24","9.52","20.15","percent of total billed charges",,
"CULTURE AEROBIC ROUTINE","87070","HCPCS","Both",,,"26","13","Humana","Commercial","",,"78",,"20.15","9.52","20.15","percent of total billed charges",,
"CULTURE AEROBIC ROUTINE","87070","HCPCS","Both",,,"26","13","UHC","Commercial","",,"75",,"19.6","9.52","20.15","percent of total billed charges",,
"CULTURE AEROBIC ROUTINE","87070","HCPCS","Both",,,"26","13","Medicaid",,"",,"37",,"9.52","9.52","20.15","percent of total billed charges",,
"PLATELET; AUTOMATED COUNT","85049","HCPCS","Both",,,"5.5","2.75","Alliant","Health Exchange","",,"62",,"3.41","2.01","4.26","percent of total billed charges",,
"PLATELET; AUTOMATED COUNT","85049","HCPCS","Both",,,"5.5","2.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"2.97","2.01","4.26","percent of total billed charges",,
"PLATELET; AUTOMATED COUNT","85049","HCPCS","Both",,,"5.5","2.75","Medicare",,"",,"54",,"2.98","2.01","4.26","percent of total billed charges",,
"PLATELET; AUTOMATED COUNT","85049","HCPCS","Both",,,"5.5","2.75","Humana","Medicare Advantage","",,"54",,"2.98","2.01","4.26","percent of total billed charges",,
"PLATELET; AUTOMATED COUNT","85049","HCPCS","Both",,,"5.5","2.75","UHC","Medicare Advantage","",,"54",,"2.98","2.01","4.26","percent of total billed charges",,
"PLATELET; AUTOMATED COUNT","85049","HCPCS","Both",,,"5.5","2.75","Clover","Medicare Advantage","",,"54",,"2.98","2.01","4.26","percent of total billed charges",,
"PLATELET; AUTOMATED COUNT","85049","HCPCS","Both",,,"5.5","2.75","Wellcare","Medicare Advantage","",,"54",,"2.98","2.01","4.26","percent of total billed charges",,
"PLATELET; AUTOMATED COUNT","85049","HCPCS","Both",,,"5.5","2.75","Amerigroup","Medicaid Managed Care","",,"37",,"2.01","2.01","4.26","percent of total billed charges",,
"PLATELET; AUTOMATED COUNT","85049","HCPCS","Both",,,"5.5","2.75","Caresource","Medicaid Managed Care","",,"40",,"2.2","2.01","4.26","percent of total billed charges",,
"PLATELET; AUTOMATED COUNT","85049","HCPCS","Both",,,"5.5","2.75","Wellcare","Medicaid Managed Care","",,"40",,"2.23","2.01","4.26","percent of total billed charges",,
"PLATELET; AUTOMATED COUNT","85049","HCPCS","Both",,,"5.5","2.75","Aetna","Commercial","",,"64",,"3.51","2.01","4.26","percent of total billed charges",,
"PLATELET; AUTOMATED COUNT","85049","HCPCS","Both",,,"5.5","2.75","Blue Cross Blue Shield","Pathways","",,"71",,"3.88","2.01","4.26","percent of total billed charges",,
"PLATELET; AUTOMATED COUNT","85049","HCPCS","Both",,,"5.5","2.75","Blue Cross Blue Shield","HMO","",,"71",,"3.88","2.01","4.26","percent of total billed charges",,
"PLATELET; AUTOMATED COUNT","85049","HCPCS","Both",,,"5.5","2.75","Blue Cross Blue Shield","PPO","",,"71",,"3.88","2.01","4.26","percent of total billed charges",,
"PLATELET; AUTOMATED COUNT","85049","HCPCS","Both",,,"5.5","2.75","Ambetter","Health Exchange","",,"62",,"3.41","2.01","4.26","percent of total billed charges",,
"PLATELET; AUTOMATED COUNT","85049","HCPCS","Both",,,"5.5","2.75","Caresource","Health Exchange","",,"62",,"3.41","2.01","4.26","percent of total billed charges",,
"PLATELET; AUTOMATED COUNT","85049","HCPCS","Both",,,"5.5","2.75","Cigna","Commercial","",,"59",,"3.22","2.01","4.26","percent of total billed charges",,
"PLATELET; AUTOMATED COUNT","85049","HCPCS","Both",,,"5.5","2.75","Humana","Commercial","",,"78",,"4.26","2.01","4.26","percent of total billed charges",,
"PLATELET; AUTOMATED COUNT","85049","HCPCS","Both",,,"5.5","2.75","UHC","Commercial","",,"75",,"4.15","2.01","4.26","percent of total billed charges",,
"PLATELET; AUTOMATED COUNT","85049","HCPCS","Both",,,"5.5","2.75","Medicaid",,"",,"37",,"2.01","2.01","4.26","percent of total billed charges",,
"RETICULOCYTE , AUTOMATED","85045","HCPCS","Both",,,"6","3","Alliant","Health Exchange","",,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"RETICULOCYTE , AUTOMATED","85045","HCPCS","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage","",,"54",,"3.24","2.2","4.65","percent of total billed charges",,
"RETICULOCYTE , AUTOMATED","85045","HCPCS","Both",,,"6","3","Medicare",,"",,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"RETICULOCYTE , AUTOMATED","85045","HCPCS","Both",,,"6","3","Humana","Medicare Advantage","",,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"RETICULOCYTE , AUTOMATED","85045","HCPCS","Both",,,"6","3","UHC","Medicare Advantage","",,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"RETICULOCYTE , AUTOMATED","85045","HCPCS","Both",,,"6","3","Clover","Medicare Advantage","",,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"RETICULOCYTE , AUTOMATED","85045","HCPCS","Both",,,"6","3","Wellcare","Medicare Advantage","",,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"RETICULOCYTE , AUTOMATED","85045","HCPCS","Both",,,"6","3","Amerigroup","Medicaid Managed Care","",,"37",,"2.2","2.2","4.65","percent of total billed charges",,
"RETICULOCYTE , AUTOMATED","85045","HCPCS","Both",,,"6","3","Caresource","Medicaid Managed Care","",,"40",,"2.4","2.2","4.65","percent of total billed charges",,
"RETICULOCYTE , AUTOMATED","85045","HCPCS","Both",,,"6","3","Wellcare","Medicaid Managed Care","",,"40",,"2.43","2.2","4.65","percent of total billed charges",,
"RETICULOCYTE , AUTOMATED","85045","HCPCS","Both",,,"6","3","Aetna","Commercial","",,"64",,"3.83","2.2","4.65","percent of total billed charges",,
"RETICULOCYTE , AUTOMATED","85045","HCPCS","Both",,,"6","3","Blue Cross Blue Shield","Pathways","",,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"RETICULOCYTE , AUTOMATED","85045","HCPCS","Both",,,"6","3","Blue Cross Blue Shield","HMO","",,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"RETICULOCYTE , AUTOMATED","85045","HCPCS","Both",,,"6","3","Blue Cross Blue Shield","PPO","",,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"RETICULOCYTE , AUTOMATED","85045","HCPCS","Both",,,"6","3","Ambetter","Health Exchange","",,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"RETICULOCYTE , AUTOMATED","85045","HCPCS","Both",,,"6","3","Caresource","Health Exchange","",,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"RETICULOCYTE , AUTOMATED","85045","HCPCS","Both",,,"6","3","Cigna","Commercial","",,"59",,"3.52","2.2","4.65","percent of total billed charges",,
"RETICULOCYTE , AUTOMATED","85045","HCPCS","Both",,,"6","3","Humana","Commercial","",,"78",,"4.65","2.2","4.65","percent of total billed charges",,
"RETICULOCYTE , AUTOMATED","85045","HCPCS","Both",,,"6","3","UHC","Commercial","",,"75",,"4.52","2.2","4.65","percent of total billed charges",,
"RETICULOCYTE , AUTOMATED","85045","HCPCS","Both",,,"6","3","Medicaid",,"",,"37",,"2.2","2.2","4.65","percent of total billed charges",,
"SEDIMENTATION RATE,ERYTHROCYTE;NON AUTO","85651","HCPCS","Both",,,"6","3","Alliant","Health Exchange","",,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"SEDIMENTATION RATE,ERYTHROCYTE;NON AUTO","85651","HCPCS","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage","",,"54",,"3.24","2.2","4.65","percent of total billed charges",,
"SEDIMENTATION RATE,ERYTHROCYTE;NON AUTO","85651","HCPCS","Both",,,"6","3","Medicare",,"",,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"SEDIMENTATION RATE,ERYTHROCYTE;NON AUTO","85651","HCPCS","Both",,,"6","3","Humana","Medicare Advantage","",,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"SEDIMENTATION RATE,ERYTHROCYTE;NON AUTO","85651","HCPCS","Both",,,"6","3","UHC","Medicare Advantage","",,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"SEDIMENTATION RATE,ERYTHROCYTE;NON AUTO","85651","HCPCS","Both",,,"6","3","Clover","Medicare Advantage","",,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"SEDIMENTATION RATE,ERYTHROCYTE;NON AUTO","85651","HCPCS","Both",,,"6","3","Wellcare","Medicare Advantage","",,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"SEDIMENTATION RATE,ERYTHROCYTE;NON AUTO","85651","HCPCS","Both",,,"6","3","Amerigroup","Medicaid Managed Care","",,"37",,"2.2","2.2","4.65","percent of total billed charges",,
"SEDIMENTATION RATE,ERYTHROCYTE;NON AUTO","85651","HCPCS","Both",,,"6","3","Caresource","Medicaid Managed Care","",,"40",,"2.4","2.2","4.65","percent of total billed charges",,
"SEDIMENTATION RATE,ERYTHROCYTE;NON AUTO","85651","HCPCS","Both",,,"6","3","Wellcare","Medicaid Managed Care","",,"40",,"2.43","2.2","4.65","percent of total billed charges",,
"SEDIMENTATION RATE,ERYTHROCYTE;NON AUTO","85651","HCPCS","Both",,,"6","3","Aetna","Commercial","",,"64",,"3.83","2.2","4.65","percent of total billed charges",,
"SEDIMENTATION RATE,ERYTHROCYTE;NON AUTO","85651","HCPCS","Both",,,"6","3","Blue Cross Blue Shield","Pathways","",,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"SEDIMENTATION RATE,ERYTHROCYTE;NON AUTO","85651","HCPCS","Both",,,"6","3","Blue Cross Blue Shield","HMO","",,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"SEDIMENTATION RATE,ERYTHROCYTE;NON AUTO","85651","HCPCS","Both",,,"6","3","Blue Cross Blue Shield","PPO","",,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"SEDIMENTATION RATE,ERYTHROCYTE;NON AUTO","85651","HCPCS","Both",,,"6","3","Ambetter","Health Exchange","",,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"SEDIMENTATION RATE,ERYTHROCYTE;NON AUTO","85651","HCPCS","Both",,,"6","3","Caresource","Health Exchange","",,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"SEDIMENTATION RATE,ERYTHROCYTE;NON AUTO","85651","HCPCS","Both",,,"6","3","Cigna","Commercial","",,"59",,"3.52","2.2","4.65","percent of total billed charges",,
"SEDIMENTATION RATE,ERYTHROCYTE;NON AUTO","85651","HCPCS","Both",,,"6","3","Humana","Commercial","",,"78",,"4.65","2.2","4.65","percent of total billed charges",,
"SEDIMENTATION RATE,ERYTHROCYTE;NON AUTO","85651","HCPCS","Both",,,"6","3","UHC","Commercial","",,"75",,"4.52","2.2","4.65","percent of total billed charges",,
"SEDIMENTATION RATE,ERYTHROCYTE;NON AUTO","85651","HCPCS","Both",,,"6","3","Medicaid",,"",,"37",,"2.2","2.2","4.65","percent of total billed charges",,
"PROTHROMBIN TIME","85610","HCPCS","Both",,,"6","3","Alliant","Health Exchange","",,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"PROTHROMBIN TIME","85610","HCPCS","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage","",,"54",,"3.24","2.2","4.65","percent of total billed charges",,
"PROTHROMBIN TIME","85610","HCPCS","Both",,,"6","3","Medicare",,"",,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"PROTHROMBIN TIME","85610","HCPCS","Both",,,"6","3","Humana","Medicare Advantage","",,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"PROTHROMBIN TIME","85610","HCPCS","Both",,,"6","3","UHC","Medicare Advantage","",,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"PROTHROMBIN TIME","85610","HCPCS","Both",,,"6","3","Clover","Medicare Advantage","",,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"PROTHROMBIN TIME","85610","HCPCS","Both",,,"6","3","Wellcare","Medicare Advantage","",,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"PROTHROMBIN TIME","85610","HCPCS","Both",,,"6","3","Amerigroup","Medicaid Managed Care","",,"37",,"2.2","2.2","4.65","percent of total billed charges",,
"PROTHROMBIN TIME","85610","HCPCS","Both",,,"6","3","Caresource","Medicaid Managed Care","",,"40",,"2.4","2.2","4.65","percent of total billed charges",,
"PROTHROMBIN TIME","85610","HCPCS","Both",,,"6","3","Wellcare","Medicaid Managed Care","",,"40",,"2.43","2.2","4.65","percent of total billed charges",,
"PROTHROMBIN TIME","85610","HCPCS","Both",,,"6","3","Aetna","Commercial","",,"64",,"3.83","2.2","4.65","percent of total billed charges",,
"PROTHROMBIN TIME","85610","HCPCS","Both",,,"6","3","Blue Cross Blue Shield","Pathways","",,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"PROTHROMBIN TIME","85610","HCPCS","Both",,,"6","3","Blue Cross Blue Shield","HMO","",,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"PROTHROMBIN TIME","85610","HCPCS","Both",,,"6","3","Blue Cross Blue Shield","PPO","",,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"PROTHROMBIN TIME","85610","HCPCS","Both",,,"6","3","Ambetter","Health Exchange","",,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"PROTHROMBIN TIME","85610","HCPCS","Both",,,"6","3","Caresource","Health Exchange","",,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"PROTHROMBIN TIME","85610","HCPCS","Both",,,"6","3","Cigna","Commercial","",,"59",,"3.52","2.2","4.65","percent of total billed charges",,
"PROTHROMBIN TIME","85610","HCPCS","Both",,,"6","3","Humana","Commercial","",,"78",,"4.65","2.2","4.65","percent of total billed charges",,
"PROTHROMBIN TIME","85610","HCPCS","Both",,,"6","3","UHC","Commercial","",,"75",,"4.52","2.2","4.65","percent of total billed charges",,
"PROTHROMBIN TIME","85610","HCPCS","Both",,,"6","3","Medicaid",,"",,"37",,"2.2","2.2","4.65","percent of total billed charges",,
"PARTIAL THROMBOPLASTIN TIME (PTT)","85730","HCPCS","Both",,,"8.5","4.25","Alliant","Health Exchange","",,"62",,"5.27","3.11","6.59","percent of total billed charges",,
"PARTIAL THROMBOPLASTIN TIME (PTT)","85730","HCPCS","Both",,,"8.5","4.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"4.59","3.11","6.59","percent of total billed charges",,
"PARTIAL THROMBOPLASTIN TIME (PTT)","85730","HCPCS","Both",,,"8.5","4.25","Medicare",,"",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"PARTIAL THROMBOPLASTIN TIME (PTT)","85730","HCPCS","Both",,,"8.5","4.25","Humana","Medicare Advantage","",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"PARTIAL THROMBOPLASTIN TIME (PTT)","85730","HCPCS","Both",,,"8.5","4.25","UHC","Medicare Advantage","",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"PARTIAL THROMBOPLASTIN TIME (PTT)","85730","HCPCS","Both",,,"8.5","4.25","Clover","Medicare Advantage","",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"PARTIAL THROMBOPLASTIN TIME (PTT)","85730","HCPCS","Both",,,"8.5","4.25","Wellcare","Medicare Advantage","",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"PARTIAL THROMBOPLASTIN TIME (PTT)","85730","HCPCS","Both",,,"8.5","4.25","Amerigroup","Medicaid Managed Care","",,"37",,"3.11","3.11","6.59","percent of total billed charges",,
"PARTIAL THROMBOPLASTIN TIME (PTT)","85730","HCPCS","Both",,,"8.5","4.25","Caresource","Medicaid Managed Care","",,"40",,"3.4","3.11","6.59","percent of total billed charges",,
"PARTIAL THROMBOPLASTIN TIME (PTT)","85730","HCPCS","Both",,,"8.5","4.25","Wellcare","Medicaid Managed Care","",,"40",,"3.44","3.11","6.59","percent of total billed charges",,
"PARTIAL THROMBOPLASTIN TIME (PTT)","85730","HCPCS","Both",,,"8.5","4.25","Aetna","Commercial","",,"64",,"5.42","3.11","6.59","percent of total billed charges",,
"PARTIAL THROMBOPLASTIN TIME (PTT)","85730","HCPCS","Both",,,"8.5","4.25","Blue Cross Blue Shield","Pathways","",,"71",,"6","3.11","6.59","percent of total billed charges",,
"PARTIAL THROMBOPLASTIN TIME (PTT)","85730","HCPCS","Both",,,"8.5","4.25","Blue Cross Blue Shield","HMO","",,"71",,"6","3.11","6.59","percent of total billed charges",,
"PARTIAL THROMBOPLASTIN TIME (PTT)","85730","HCPCS","Both",,,"8.5","4.25","Blue Cross Blue Shield","PPO","",,"71",,"6","3.11","6.59","percent of total billed charges",,
"PARTIAL THROMBOPLASTIN TIME (PTT)","85730","HCPCS","Both",,,"8.5","4.25","Ambetter","Health Exchange","",,"62",,"5.27","3.11","6.59","percent of total billed charges",,
"PARTIAL THROMBOPLASTIN TIME (PTT)","85730","HCPCS","Both",,,"8.5","4.25","Caresource","Health Exchange","",,"62",,"5.27","3.11","6.59","percent of total billed charges",,
"PARTIAL THROMBOPLASTIN TIME (PTT)","85730","HCPCS","Both",,,"8.5","4.25","Cigna","Commercial","",,"59",,"4.98","3.11","6.59","percent of total billed charges",,
"PARTIAL THROMBOPLASTIN TIME (PTT)","85730","HCPCS","Both",,,"8.5","4.25","Humana","Commercial","",,"78",,"6.59","3.11","6.59","percent of total billed charges",,
"PARTIAL THROMBOPLASTIN TIME (PTT)","85730","HCPCS","Both",,,"8.5","4.25","UHC","Commercial","",,"75",,"6.41","3.11","6.59","percent of total billed charges",,
"PARTIAL THROMBOPLASTIN TIME (PTT)","85730","HCPCS","Both",,,"8.5","4.25","Medicaid",,"",,"37",,"3.11","3.11","6.59","percent of total billed charges",,
"SYPHILIS TEST; RPR W/ FTA-ABS REFLEX","86592","HCPCS","Both",,,"8.5","4.25","Alliant","Health Exchange","",,"62",,"5.27","3.11","6.59","percent of total billed charges",,
"SYPHILIS TEST; RPR W/ FTA-ABS REFLEX","86592","HCPCS","Both",,,"8.5","4.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"4.59","3.11","6.59","percent of total billed charges",,
"SYPHILIS TEST; RPR W/ FTA-ABS REFLEX","86592","HCPCS","Both",,,"8.5","4.25","Medicare",,"",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"SYPHILIS TEST; RPR W/ FTA-ABS REFLEX","86592","HCPCS","Both",,,"8.5","4.25","Humana","Medicare Advantage","",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"SYPHILIS TEST; RPR W/ FTA-ABS REFLEX","86592","HCPCS","Both",,,"8.5","4.25","UHC","Medicare Advantage","",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"SYPHILIS TEST; RPR W/ FTA-ABS REFLEX","86592","HCPCS","Both",,,"8.5","4.25","Clover","Medicare Advantage","",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"SYPHILIS TEST; RPR W/ FTA-ABS REFLEX","86592","HCPCS","Both",,,"8.5","4.25","Wellcare","Medicare Advantage","",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"SYPHILIS TEST; RPR W/ FTA-ABS REFLEX","86592","HCPCS","Both",,,"8.5","4.25","Amerigroup","Medicaid Managed Care","",,"37",,"3.11","3.11","6.59","percent of total billed charges",,
"SYPHILIS TEST; RPR W/ FTA-ABS REFLEX","86592","HCPCS","Both",,,"8.5","4.25","Caresource","Medicaid Managed Care","",,"40",,"3.4","3.11","6.59","percent of total billed charges",,
"SYPHILIS TEST; RPR W/ FTA-ABS REFLEX","86592","HCPCS","Both",,,"8.5","4.25","Wellcare","Medicaid Managed Care","",,"40",,"3.44","3.11","6.59","percent of total billed charges",,
"SYPHILIS TEST; RPR W/ FTA-ABS REFLEX","86592","HCPCS","Both",,,"8.5","4.25","Aetna","Commercial","",,"64",,"5.42","3.11","6.59","percent of total billed charges",,
"SYPHILIS TEST; RPR W/ FTA-ABS REFLEX","86592","HCPCS","Both",,,"8.5","4.25","Blue Cross Blue Shield","Pathways","",,"71",,"6","3.11","6.59","percent of total billed charges",,
"SYPHILIS TEST; RPR W/ FTA-ABS REFLEX","86592","HCPCS","Both",,,"8.5","4.25","Blue Cross Blue Shield","HMO","",,"71",,"6","3.11","6.59","percent of total billed charges",,
"SYPHILIS TEST; RPR W/ FTA-ABS REFLEX","86592","HCPCS","Both",,,"8.5","4.25","Blue Cross Blue Shield","PPO","",,"71",,"6","3.11","6.59","percent of total billed charges",,
"SYPHILIS TEST; RPR W/ FTA-ABS REFLEX","86592","HCPCS","Both",,,"8.5","4.25","Ambetter","Health Exchange","",,"62",,"5.27","3.11","6.59","percent of total billed charges",,
"SYPHILIS TEST; RPR W/ FTA-ABS REFLEX","86592","HCPCS","Both",,,"8.5","4.25","Caresource","Health Exchange","",,"62",,"5.27","3.11","6.59","percent of total billed charges",,
"SYPHILIS TEST; RPR W/ FTA-ABS REFLEX","86592","HCPCS","Both",,,"8.5","4.25","Cigna","Commercial","",,"59",,"4.98","3.11","6.59","percent of total billed charges",,
"SYPHILIS TEST; RPR W/ FTA-ABS REFLEX","86592","HCPCS","Both",,,"8.5","4.25","Humana","Commercial","",,"78",,"6.59","3.11","6.59","percent of total billed charges",,
"SYPHILIS TEST; RPR W/ FTA-ABS REFLEX","86592","HCPCS","Both",,,"8.5","4.25","UHC","Commercial","",,"75",,"6.41","3.11","6.59","percent of total billed charges",,
"SYPHILIS TEST; RPR W/ FTA-ABS REFLEX","86592","HCPCS","Both",,,"8.5","4.25","Medicaid",,"",,"37",,"3.11","3.11","6.59","percent of total billed charges",,
"KOH PREP","87220","HCPCS","Both",,,"18.5","9.25","Alliant","Health Exchange","",,"62",,"11.47","6.77","14.34","percent of total billed charges",,
"KOH PREP","87220","HCPCS","Both",,,"18.5","9.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"9.99","6.77","14.34","percent of total billed charges",,
"KOH PREP","87220","HCPCS","Both",,,"18.5","9.25","Medicare",,"",,"54",,"10.03","6.77","14.34","percent of total billed charges",,
"KOH PREP","87220","HCPCS","Both",,,"18.5","9.25","Humana","Medicare Advantage","",,"54",,"10.03","6.77","14.34","percent of total billed charges",,
"KOH PREP","87220","HCPCS","Both",,,"18.5","9.25","UHC","Medicare Advantage","",,"54",,"10.03","6.77","14.34","percent of total billed charges",,
"KOH PREP","87220","HCPCS","Both",,,"18.5","9.25","Clover","Medicare Advantage","",,"54",,"10.03","6.77","14.34","percent of total billed charges",,
"KOH PREP","87220","HCPCS","Both",,,"18.5","9.25","Wellcare","Medicare Advantage","",,"54",,"10.03","6.77","14.34","percent of total billed charges",,
"KOH PREP","87220","HCPCS","Both",,,"18.5","9.25","Amerigroup","Medicaid Managed Care","",,"37",,"6.77","6.77","14.34","percent of total billed charges",,
"KOH PREP","87220","HCPCS","Both",,,"18.5","9.25","Caresource","Medicaid Managed Care","",,"40",,"7.4","6.77","14.34","percent of total billed charges",,
"KOH PREP","87220","HCPCS","Both",,,"18.5","9.25","Wellcare","Medicaid Managed Care","",,"40",,"7.49","6.77","14.34","percent of total billed charges",,
"KOH PREP","87220","HCPCS","Both",,,"18.5","9.25","Aetna","Commercial","",,"64",,"11.8","6.77","14.34","percent of total billed charges",,
"KOH PREP","87220","HCPCS","Both",,,"18.5","9.25","Blue Cross Blue Shield","Pathways","",,"71",,"13.06","6.77","14.34","percent of total billed charges",,
"KOH PREP","87220","HCPCS","Both",,,"18.5","9.25","Blue Cross Blue Shield","HMO","",,"71",,"13.06","6.77","14.34","percent of total billed charges",,
"KOH PREP","87220","HCPCS","Both",,,"18.5","9.25","Blue Cross Blue Shield","PPO","",,"71",,"13.06","6.77","14.34","percent of total billed charges",,
"KOH PREP","87220","HCPCS","Both",,,"18.5","9.25","Ambetter","Health Exchange","",,"62",,"11.47","6.77","14.34","percent of total billed charges",,
"KOH PREP","87220","HCPCS","Both",,,"18.5","9.25","Caresource","Health Exchange","",,"62",,"11.47","6.77","14.34","percent of total billed charges",,
"KOH PREP","87220","HCPCS","Both",,,"18.5","9.25","Cigna","Commercial","",,"59",,"10.84","6.77","14.34","percent of total billed charges",,
"KOH PREP","87220","HCPCS","Both",,,"18.5","9.25","Humana","Commercial","",,"78",,"14.34","6.77","14.34","percent of total billed charges",,
"KOH PREP","87220","HCPCS","Both",,,"18.5","9.25","UHC","Commercial","",,"75",,"13.95","6.77","14.34","percent of total billed charges",,
"KOH PREP","87220","HCPCS","Both",,,"18.5","9.25","Medicaid",,"",,"37",,"6.77","6.77","14.34","percent of total billed charges",,
"URINALYSIS (UA SCREEN) AUTO W/MICRO","81001","HCPCS","Both",,,"7.5","3.75","Alliant","Health Exchange","",,"62",,"4.65","2.74","5.81","percent of total billed charges",,
"URINALYSIS (UA SCREEN) AUTO W/MICRO","81001","HCPCS","Both",,,"7.5","3.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"4.05","2.74","5.81","percent of total billed charges",,
"URINALYSIS (UA SCREEN) AUTO W/MICRO","81001","HCPCS","Both",,,"7.5","3.75","Medicare",,"",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"URINALYSIS (UA SCREEN) AUTO W/MICRO","81001","HCPCS","Both",,,"7.5","3.75","Humana","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"URINALYSIS (UA SCREEN) AUTO W/MICRO","81001","HCPCS","Both",,,"7.5","3.75","UHC","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"URINALYSIS (UA SCREEN) AUTO W/MICRO","81001","HCPCS","Both",,,"7.5","3.75","Clover","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"URINALYSIS (UA SCREEN) AUTO W/MICRO","81001","HCPCS","Both",,,"7.5","3.75","Wellcare","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"URINALYSIS (UA SCREEN) AUTO W/MICRO","81001","HCPCS","Both",,,"7.5","3.75","Amerigroup","Medicaid Managed Care","",,"37",,"2.74","2.74","5.81","percent of total billed charges",,
"URINALYSIS (UA SCREEN) AUTO W/MICRO","81001","HCPCS","Both",,,"7.5","3.75","Caresource","Medicaid Managed Care","",,"40",,"3","2.74","5.81","percent of total billed charges",,
"URINALYSIS (UA SCREEN) AUTO W/MICRO","81001","HCPCS","Both",,,"7.5","3.75","Wellcare","Medicaid Managed Care","",,"40",,"3.04","2.74","5.81","percent of total billed charges",,
"URINALYSIS (UA SCREEN) AUTO W/MICRO","81001","HCPCS","Both",,,"7.5","3.75","Aetna","Commercial","",,"64",,"4.78","2.74","5.81","percent of total billed charges",,
"URINALYSIS (UA SCREEN) AUTO W/MICRO","81001","HCPCS","Both",,,"7.5","3.75","Blue Cross Blue Shield","Pathways","",,"71",,"5.3","2.74","5.81","percent of total billed charges",,
"URINALYSIS (UA SCREEN) AUTO W/MICRO","81001","HCPCS","Both",,,"7.5","3.75","Blue Cross Blue Shield","HMO","",,"71",,"5.3","2.74","5.81","percent of total billed charges",,
"URINALYSIS (UA SCREEN) AUTO W/MICRO","81001","HCPCS","Both",,,"7.5","3.75","Blue Cross Blue Shield","PPO","",,"71",,"5.3","2.74","5.81","percent of total billed charges",,
"URINALYSIS (UA SCREEN) AUTO W/MICRO","81001","HCPCS","Both",,,"7.5","3.75","Ambetter","Health Exchange","",,"62",,"4.65","2.74","5.81","percent of total billed charges",,
"URINALYSIS (UA SCREEN) AUTO W/MICRO","81001","HCPCS","Both",,,"7.5","3.75","Caresource","Health Exchange","",,"62",,"4.65","2.74","5.81","percent of total billed charges",,
"URINALYSIS (UA SCREEN) AUTO W/MICRO","81001","HCPCS","Both",,,"7.5","3.75","Cigna","Commercial","",,"59",,"4.39","2.74","5.81","percent of total billed charges",,
"URINALYSIS (UA SCREEN) AUTO W/MICRO","81001","HCPCS","Both",,,"7.5","3.75","Humana","Commercial","",,"78",,"5.81","2.74","5.81","percent of total billed charges",,
"URINALYSIS (UA SCREEN) AUTO W/MICRO","81001","HCPCS","Both",,,"7.5","3.75","UHC","Commercial","",,"75",,"5.66","2.74","5.81","percent of total billed charges",,
"URINALYSIS (UA SCREEN) AUTO W/MICRO","81001","HCPCS","Both",,,"7.5","3.75","Medicaid",,"",,"37",,"2.74","2.74","5.81","percent of total billed charges",,
"SERUM PREGNANCY TEST, QUALITATIVE","84703","HCPCS","Both",,,"15","7.5","Alliant","Health Exchange","",,"62",,"9.3","5.49","11.62","percent of total billed charges",,
"SERUM PREGNANCY TEST, QUALITATIVE","84703","HCPCS","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"8.1","5.49","11.62","percent of total billed charges",,
"SERUM PREGNANCY TEST, QUALITATIVE","84703","HCPCS","Both",,,"15","7.5","Medicare",,"",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"SERUM PREGNANCY TEST, QUALITATIVE","84703","HCPCS","Both",,,"15","7.5","Humana","Medicare Advantage","",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"SERUM PREGNANCY TEST, QUALITATIVE","84703","HCPCS","Both",,,"15","7.5","UHC","Medicare Advantage","",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"SERUM PREGNANCY TEST, QUALITATIVE","84703","HCPCS","Both",,,"15","7.5","Clover","Medicare Advantage","",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"SERUM PREGNANCY TEST, QUALITATIVE","84703","HCPCS","Both",,,"15","7.5","Wellcare","Medicare Advantage","",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"SERUM PREGNANCY TEST, QUALITATIVE","84703","HCPCS","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care","",,"37",,"5.49","5.49","11.62","percent of total billed charges",,
"SERUM PREGNANCY TEST, QUALITATIVE","84703","HCPCS","Both",,,"15","7.5","Caresource","Medicaid Managed Care","",,"40",,"6","5.49","11.62","percent of total billed charges",,
"SERUM PREGNANCY TEST, QUALITATIVE","84703","HCPCS","Both",,,"15","7.5","Wellcare","Medicaid Managed Care","",,"40",,"6.08","5.49","11.62","percent of total billed charges",,
"SERUM PREGNANCY TEST, QUALITATIVE","84703","HCPCS","Both",,,"15","7.5","Aetna","Commercial","",,"64",,"9.57","5.49","11.62","percent of total billed charges",,
"SERUM PREGNANCY TEST, QUALITATIVE","84703","HCPCS","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways","",,"71",,"10.59","5.49","11.62","percent of total billed charges",,
"SERUM PREGNANCY TEST, QUALITATIVE","84703","HCPCS","Both",,,"15","7.5","Blue Cross Blue Shield","HMO","",,"71",,"10.59","5.49","11.62","percent of total billed charges",,
"SERUM PREGNANCY TEST, QUALITATIVE","84703","HCPCS","Both",,,"15","7.5","Blue Cross Blue Shield","PPO","",,"71",,"10.59","5.49","11.62","percent of total billed charges",,
"SERUM PREGNANCY TEST, QUALITATIVE","84703","HCPCS","Both",,,"15","7.5","Ambetter","Health Exchange","",,"62",,"9.3","5.49","11.62","percent of total billed charges",,
"SERUM PREGNANCY TEST, QUALITATIVE","84703","HCPCS","Both",,,"15","7.5","Caresource","Health Exchange","",,"62",,"9.3","5.49","11.62","percent of total billed charges",,
"SERUM PREGNANCY TEST, QUALITATIVE","84703","HCPCS","Both",,,"15","7.5","Cigna","Commercial","",,"59",,"8.79","5.49","11.62","percent of total billed charges",,
"SERUM PREGNANCY TEST, QUALITATIVE","84703","HCPCS","Both",,,"15","7.5","Humana","Commercial","",,"78",,"11.62","5.49","11.62","percent of total billed charges",,
"SERUM PREGNANCY TEST, QUALITATIVE","84703","HCPCS","Both",,,"15","7.5","UHC","Commercial","",,"75",,"11.31","5.49","11.62","percent of total billed charges",,
"SERUM PREGNANCY TEST, QUALITATIVE","84703","HCPCS","Both",,,"15","7.5","Medicaid",,"",,"37",,"5.49","5.49","11.62","percent of total billed charges",,
"URINE PREGNANCY TEST, QUALITATIVE","81025","HCPCS","Both",,,"296.81","148.405","Alliant","Health Exchange","",,"62",,"184.02","108.63","230.03","percent of total billed charges",,
"URINE PREGNANCY TEST, QUALITATIVE","81025","HCPCS","Both",,,"296.81","148.405","Pruitt Healthcare","Medicare Advantage","",,"54",,"160.28","108.63","230.03","percent of total billed charges",,
"URINE PREGNANCY TEST, QUALITATIVE","81025","HCPCS","Both",,,"296.81","148.405","Medicare",,"",,"54",,"160.87","108.63","230.03","percent of total billed charges",,
"URINE PREGNANCY TEST, QUALITATIVE","81025","HCPCS","Both",,,"296.81","148.405","Humana","Medicare Advantage","",,"54",,"160.87","108.63","230.03","percent of total billed charges",,
"URINE PREGNANCY TEST, QUALITATIVE","81025","HCPCS","Both",,,"296.81","148.405","UHC","Medicare Advantage","",,"54",,"160.87","108.63","230.03","percent of total billed charges",,
"URINE PREGNANCY TEST, QUALITATIVE","81025","HCPCS","Both",,,"296.81","148.405","Clover","Medicare Advantage","",,"54",,"160.87","108.63","230.03","percent of total billed charges",,
"URINE PREGNANCY TEST, QUALITATIVE","81025","HCPCS","Both",,,"296.81","148.405","Wellcare","Medicare Advantage","",,"54",,"160.87","108.63","230.03","percent of total billed charges",,
"URINE PREGNANCY TEST, QUALITATIVE","81025","HCPCS","Both",,,"296.81","148.405","Amerigroup","Medicaid Managed Care","",,"37",,"108.63","108.63","230.03","percent of total billed charges",,
"URINE PREGNANCY TEST, QUALITATIVE","81025","HCPCS","Both",,,"296.81","148.405","Caresource","Medicaid Managed Care","",,"40",,"118.72","108.63","230.03","percent of total billed charges",,
"URINE PREGNANCY TEST, QUALITATIVE","81025","HCPCS","Both",,,"296.81","148.405","Wellcare","Medicaid Managed Care","",,"40",,"120.21","108.63","230.03","percent of total billed charges",,
"URINE PREGNANCY TEST, QUALITATIVE","81025","HCPCS","Both",,,"296.81","148.405","Aetna","Commercial","",,"64",,"189.36","108.63","230.03","percent of total billed charges",,
"URINE PREGNANCY TEST, QUALITATIVE","81025","HCPCS","Both",,,"296.81","148.405","Blue Cross Blue Shield","Pathways","",,"71",,"209.55","108.63","230.03","percent of total billed charges",,
"URINE PREGNANCY TEST, QUALITATIVE","81025","HCPCS","Both",,,"296.81","148.405","Blue Cross Blue Shield","HMO","",,"71",,"209.55","108.63","230.03","percent of total billed charges",,
"URINE PREGNANCY TEST, QUALITATIVE","81025","HCPCS","Both",,,"296.81","148.405","Blue Cross Blue Shield","PPO","",,"71",,"209.55","108.63","230.03","percent of total billed charges",,
"URINE PREGNANCY TEST, QUALITATIVE","81025","HCPCS","Both",,,"296.81","148.405","Ambetter","Health Exchange","",,"62",,"184.02","108.63","230.03","percent of total billed charges",,
"URINE PREGNANCY TEST, QUALITATIVE","81025","HCPCS","Both",,,"296.81","148.405","Caresource","Health Exchange","",,"62",,"184.02","108.63","230.03","percent of total billed charges",,
"URINE PREGNANCY TEST, QUALITATIVE","81025","HCPCS","Both",,,"296.81","148.405","Cigna","Commercial","",,"59",,"173.93","108.63","230.03","percent of total billed charges",,
"URINE PREGNANCY TEST, QUALITATIVE","81025","HCPCS","Both",,,"296.81","148.405","Humana","Commercial","",,"78",,"230.03","108.63","230.03","percent of total billed charges",,
"URINE PREGNANCY TEST, QUALITATIVE","81025","HCPCS","Both",,,"296.81","148.405","UHC","Commercial","",,"75",,"223.79","108.63","230.03","percent of total billed charges",,
"URINE PREGNANCY TEST, QUALITATIVE","81025","HCPCS","Both",,,"296.81","148.405","Medicaid",,"",,"37",,"108.63","108.63","230.03","percent of total billed charges",,
"GLUCOSE TOLERANCE TEST (GTT) 3 SPECIMENS","82951","HCPCS","Both",,,"59.5","29.75","Alliant","Health Exchange","",,"62",,"36.89","21.78","46.11","percent of total billed charges",,
"GLUCOSE TOLERANCE TEST (GTT) 3 SPECIMENS","82951","HCPCS","Both",,,"59.5","29.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.13","21.78","46.11","percent of total billed charges",,
"GLUCOSE TOLERANCE TEST (GTT) 3 SPECIMENS","82951","HCPCS","Both",,,"59.5","29.75","Medicare",,"",,"54",,"32.25","21.78","46.11","percent of total billed charges",,
"GLUCOSE TOLERANCE TEST (GTT) 3 SPECIMENS","82951","HCPCS","Both",,,"59.5","29.75","Humana","Medicare Advantage","",,"54",,"32.25","21.78","46.11","percent of total billed charges",,
"GLUCOSE TOLERANCE TEST (GTT) 3 SPECIMENS","82951","HCPCS","Both",,,"59.5","29.75","UHC","Medicare Advantage","",,"54",,"32.25","21.78","46.11","percent of total billed charges",,
"GLUCOSE TOLERANCE TEST (GTT) 3 SPECIMENS","82951","HCPCS","Both",,,"59.5","29.75","Clover","Medicare Advantage","",,"54",,"32.25","21.78","46.11","percent of total billed charges",,
"GLUCOSE TOLERANCE TEST (GTT) 3 SPECIMENS","82951","HCPCS","Both",,,"59.5","29.75","Wellcare","Medicare Advantage","",,"54",,"32.25","21.78","46.11","percent of total billed charges",,
"GLUCOSE TOLERANCE TEST (GTT) 3 SPECIMENS","82951","HCPCS","Both",,,"59.5","29.75","Amerigroup","Medicaid Managed Care","",,"37",,"21.78","21.78","46.11","percent of total billed charges",,
"GLUCOSE TOLERANCE TEST (GTT) 3 SPECIMENS","82951","HCPCS","Both",,,"59.5","29.75","Caresource","Medicaid Managed Care","",,"40",,"23.8","21.78","46.11","percent of total billed charges",,
"GLUCOSE TOLERANCE TEST (GTT) 3 SPECIMENS","82951","HCPCS","Both",,,"59.5","29.75","Wellcare","Medicaid Managed Care","",,"40",,"24.1","21.78","46.11","percent of total billed charges",,
"GLUCOSE TOLERANCE TEST (GTT) 3 SPECIMENS","82951","HCPCS","Both",,,"59.5","29.75","Aetna","Commercial","",,"64",,"37.96","21.78","46.11","percent of total billed charges",,
"GLUCOSE TOLERANCE TEST (GTT) 3 SPECIMENS","82951","HCPCS","Both",,,"59.5","29.75","Blue Cross Blue Shield","Pathways","",,"71",,"42.01","21.78","46.11","percent of total billed charges",,
"GLUCOSE TOLERANCE TEST (GTT) 3 SPECIMENS","82951","HCPCS","Both",,,"59.5","29.75","Blue Cross Blue Shield","HMO","",,"71",,"42.01","21.78","46.11","percent of total billed charges",,
"GLUCOSE TOLERANCE TEST (GTT) 3 SPECIMENS","82951","HCPCS","Both",,,"59.5","29.75","Blue Cross Blue Shield","PPO","",,"71",,"42.01","21.78","46.11","percent of total billed charges",,
"GLUCOSE TOLERANCE TEST (GTT) 3 SPECIMENS","82951","HCPCS","Both",,,"59.5","29.75","Ambetter","Health Exchange","",,"62",,"36.89","21.78","46.11","percent of total billed charges",,
"GLUCOSE TOLERANCE TEST (GTT) 3 SPECIMENS","82951","HCPCS","Both",,,"59.5","29.75","Caresource","Health Exchange","",,"62",,"36.89","21.78","46.11","percent of total billed charges",,
"GLUCOSE TOLERANCE TEST (GTT) 3 SPECIMENS","82951","HCPCS","Both",,,"59.5","29.75","Cigna","Commercial","",,"59",,"34.87","21.78","46.11","percent of total billed charges",,
"GLUCOSE TOLERANCE TEST (GTT) 3 SPECIMENS","82951","HCPCS","Both",,,"59.5","29.75","Humana","Commercial","",,"78",,"46.11","21.78","46.11","percent of total billed charges",,
"GLUCOSE TOLERANCE TEST (GTT) 3 SPECIMENS","82951","HCPCS","Both",,,"59.5","29.75","UHC","Commercial","",,"75",,"44.86","21.78","46.11","percent of total billed charges",,
"GLUCOSE TOLERANCE TEST (GTT) 3 SPECIMENS","82951","HCPCS","Both",,,"59.5","29.75","Medicaid",,"",,"37",,"21.78","21.78","46.11","percent of total billed charges",,
"GLUCOSE TOLERANCE TEST ADDL MORE 3 SPECS","82952","HCPCS","Both",,,"29","14.5","Alliant","Health Exchange","",,"62",,"17.98","10.61","22.48","percent of total billed charges",,
"GLUCOSE TOLERANCE TEST ADDL MORE 3 SPECS","82952","HCPCS","Both",,,"29","14.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"15.66","10.61","22.48","percent of total billed charges",,
"GLUCOSE TOLERANCE TEST ADDL MORE 3 SPECS","82952","HCPCS","Both",,,"29","14.5","Medicare",,"",,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"GLUCOSE TOLERANCE TEST ADDL MORE 3 SPECS","82952","HCPCS","Both",,,"29","14.5","Humana","Medicare Advantage","",,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"GLUCOSE TOLERANCE TEST ADDL MORE 3 SPECS","82952","HCPCS","Both",,,"29","14.5","UHC","Medicare Advantage","",,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"GLUCOSE TOLERANCE TEST ADDL MORE 3 SPECS","82952","HCPCS","Both",,,"29","14.5","Clover","Medicare Advantage","",,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"GLUCOSE TOLERANCE TEST ADDL MORE 3 SPECS","82952","HCPCS","Both",,,"29","14.5","Wellcare","Medicare Advantage","",,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"GLUCOSE TOLERANCE TEST ADDL MORE 3 SPECS","82952","HCPCS","Both",,,"29","14.5","Amerigroup","Medicaid Managed Care","",,"37",,"10.61","10.61","22.48","percent of total billed charges",,
"GLUCOSE TOLERANCE TEST ADDL MORE 3 SPECS","82952","HCPCS","Both",,,"29","14.5","Caresource","Medicaid Managed Care","",,"40",,"11.6","10.61","22.48","percent of total billed charges",,
"GLUCOSE TOLERANCE TEST ADDL MORE 3 SPECS","82952","HCPCS","Both",,,"29","14.5","Wellcare","Medicaid Managed Care","",,"40",,"11.74","10.61","22.48","percent of total billed charges",,
"GLUCOSE TOLERANCE TEST ADDL MORE 3 SPECS","82952","HCPCS","Both",,,"29","14.5","Aetna","Commercial","",,"64",,"18.5","10.61","22.48","percent of total billed charges",,
"GLUCOSE TOLERANCE TEST ADDL MORE 3 SPECS","82952","HCPCS","Both",,,"29","14.5","Blue Cross Blue Shield","Pathways","",,"71",,"20.47","10.61","22.48","percent of total billed charges",,
"GLUCOSE TOLERANCE TEST ADDL MORE 3 SPECS","82952","HCPCS","Both",,,"29","14.5","Blue Cross Blue Shield","HMO","",,"71",,"20.47","10.61","22.48","percent of total billed charges",,
"GLUCOSE TOLERANCE TEST ADDL MORE 3 SPECS","82952","HCPCS","Both",,,"29","14.5","Blue Cross Blue Shield","PPO","",,"71",,"20.47","10.61","22.48","percent of total billed charges",,
"GLUCOSE TOLERANCE TEST ADDL MORE 3 SPECS","82952","HCPCS","Both",,,"29","14.5","Ambetter","Health Exchange","",,"62",,"17.98","10.61","22.48","percent of total billed charges",,
"GLUCOSE TOLERANCE TEST ADDL MORE 3 SPECS","82952","HCPCS","Both",,,"29","14.5","Caresource","Health Exchange","",,"62",,"17.98","10.61","22.48","percent of total billed charges",,
"GLUCOSE TOLERANCE TEST ADDL MORE 3 SPECS","82952","HCPCS","Both",,,"29","14.5","Cigna","Commercial","",,"59",,"16.99","10.61","22.48","percent of total billed charges",,
"GLUCOSE TOLERANCE TEST ADDL MORE 3 SPECS","82952","HCPCS","Both",,,"29","14.5","Humana","Commercial","",,"78",,"22.48","10.61","22.48","percent of total billed charges",,
"GLUCOSE TOLERANCE TEST ADDL MORE 3 SPECS","82952","HCPCS","Both",,,"29","14.5","UHC","Commercial","",,"75",,"21.87","10.61","22.48","percent of total billed charges",,
"GLUCOSE TOLERANCE TEST ADDL MORE 3 SPECS","82952","HCPCS","Both",,,"29","14.5","Medicaid",,"",,"37",,"10.61","10.61","22.48","percent of total billed charges",,
"CK; CREATINE KINASE, TOTAL, SERUM","82550","HCPCS","Both",,,"11.5","5.75","Alliant","Health Exchange","",,"62",,"7.13","4.21","8.91","percent of total billed charges",,
"CK; CREATINE KINASE, TOTAL, SERUM","82550","HCPCS","Both",,,"11.5","5.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"6.21","4.21","8.91","percent of total billed charges",,
"CK; CREATINE KINASE, TOTAL, SERUM","82550","HCPCS","Both",,,"11.5","5.75","Medicare",,"",,"54",,"6.23","4.21","8.91","percent of total billed charges",,
"CK; CREATINE KINASE, TOTAL, SERUM","82550","HCPCS","Both",,,"11.5","5.75","Humana","Medicare Advantage","",,"54",,"6.23","4.21","8.91","percent of total billed charges",,
"CK; CREATINE KINASE, TOTAL, SERUM","82550","HCPCS","Both",,,"11.5","5.75","UHC","Medicare Advantage","",,"54",,"6.23","4.21","8.91","percent of total billed charges",,
"CK; CREATINE KINASE, TOTAL, SERUM","82550","HCPCS","Both",,,"11.5","5.75","Clover","Medicare Advantage","",,"54",,"6.23","4.21","8.91","percent of total billed charges",,
"CK; CREATINE KINASE, TOTAL, SERUM","82550","HCPCS","Both",,,"11.5","5.75","Wellcare","Medicare Advantage","",,"54",,"6.23","4.21","8.91","percent of total billed charges",,
"CK; CREATINE KINASE, TOTAL, SERUM","82550","HCPCS","Both",,,"11.5","5.75","Amerigroup","Medicaid Managed Care","",,"37",,"4.21","4.21","8.91","percent of total billed charges",,
"CK; CREATINE KINASE, TOTAL, SERUM","82550","HCPCS","Both",,,"11.5","5.75","Caresource","Medicaid Managed Care","",,"40",,"4.6","4.21","8.91","percent of total billed charges",,
"CK; CREATINE KINASE, TOTAL, SERUM","82550","HCPCS","Both",,,"11.5","5.75","Wellcare","Medicaid Managed Care","",,"40",,"4.66","4.21","8.91","percent of total billed charges",,
"CK; CREATINE KINASE, TOTAL, SERUM","82550","HCPCS","Both",,,"11.5","5.75","Aetna","Commercial","",,"64",,"7.34","4.21","8.91","percent of total billed charges",,
"CK; CREATINE KINASE, TOTAL, SERUM","82550","HCPCS","Both",,,"11.5","5.75","Blue Cross Blue Shield","Pathways","",,"71",,"8.12","4.21","8.91","percent of total billed charges",,
"CK; CREATINE KINASE, TOTAL, SERUM","82550","HCPCS","Both",,,"11.5","5.75","Blue Cross Blue Shield","HMO","",,"71",,"8.12","4.21","8.91","percent of total billed charges",,
"CK; CREATINE KINASE, TOTAL, SERUM","82550","HCPCS","Both",,,"11.5","5.75","Blue Cross Blue Shield","PPO","",,"71",,"8.12","4.21","8.91","percent of total billed charges",,
"CK; CREATINE KINASE, TOTAL, SERUM","82550","HCPCS","Both",,,"11.5","5.75","Ambetter","Health Exchange","",,"62",,"7.13","4.21","8.91","percent of total billed charges",,
"CK; CREATINE KINASE, TOTAL, SERUM","82550","HCPCS","Both",,,"11.5","5.75","Caresource","Health Exchange","",,"62",,"7.13","4.21","8.91","percent of total billed charges",,
"CK; CREATINE KINASE, TOTAL, SERUM","82550","HCPCS","Both",,,"11.5","5.75","Cigna","Commercial","",,"59",,"6.74","4.21","8.91","percent of total billed charges",,
"CK; CREATINE KINASE, TOTAL, SERUM","82550","HCPCS","Both",,,"11.5","5.75","Humana","Commercial","",,"78",,"8.91","4.21","8.91","percent of total billed charges",,
"CK; CREATINE KINASE, TOTAL, SERUM","82550","HCPCS","Both",,,"11.5","5.75","UHC","Commercial","",,"75",,"8.67","4.21","8.91","percent of total billed charges",,
"CK; CREATINE KINASE, TOTAL, SERUM","82550","HCPCS","Both",,,"11.5","5.75","Medicaid",,"",,"37",,"4.21","4.21","8.91","percent of total billed charges",,
"LACTATE DEHYDROGENASE;LDH","83615","HCPCS","Both",,,"7.5","3.75","Alliant","Health Exchange","",,"62",,"4.65","2.74","5.81","percent of total billed charges",,
"LACTATE DEHYDROGENASE;LDH","83615","HCPCS","Both",,,"7.5","3.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"4.05","2.74","5.81","percent of total billed charges",,
"LACTATE DEHYDROGENASE;LDH","83615","HCPCS","Both",,,"7.5","3.75","Medicare",,"",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"LACTATE DEHYDROGENASE;LDH","83615","HCPCS","Both",,,"7.5","3.75","Humana","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"LACTATE DEHYDROGENASE;LDH","83615","HCPCS","Both",,,"7.5","3.75","UHC","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"LACTATE DEHYDROGENASE;LDH","83615","HCPCS","Both",,,"7.5","3.75","Clover","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"LACTATE DEHYDROGENASE;LDH","83615","HCPCS","Both",,,"7.5","3.75","Wellcare","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"LACTATE DEHYDROGENASE;LDH","83615","HCPCS","Both",,,"7.5","3.75","Amerigroup","Medicaid Managed Care","",,"37",,"2.74","2.74","5.81","percent of total billed charges",,
"LACTATE DEHYDROGENASE;LDH","83615","HCPCS","Both",,,"7.5","3.75","Caresource","Medicaid Managed Care","",,"40",,"3","2.74","5.81","percent of total billed charges",,
"LACTATE DEHYDROGENASE;LDH","83615","HCPCS","Both",,,"7.5","3.75","Wellcare","Medicaid Managed Care","",,"40",,"3.04","2.74","5.81","percent of total billed charges",,
"LACTATE DEHYDROGENASE;LDH","83615","HCPCS","Both",,,"7.5","3.75","Aetna","Commercial","",,"64",,"4.78","2.74","5.81","percent of total billed charges",,
"LACTATE DEHYDROGENASE;LDH","83615","HCPCS","Both",,,"7.5","3.75","Blue Cross Blue Shield","Pathways","",,"71",,"5.3","2.74","5.81","percent of total billed charges",,
"LACTATE DEHYDROGENASE;LDH","83615","HCPCS","Both",,,"7.5","3.75","Blue Cross Blue Shield","HMO","",,"71",,"5.3","2.74","5.81","percent of total billed charges",,
"LACTATE DEHYDROGENASE;LDH","83615","HCPCS","Both",,,"7.5","3.75","Blue Cross Blue Shield","PPO","",,"71",,"5.3","2.74","5.81","percent of total billed charges",,
"LACTATE DEHYDROGENASE;LDH","83615","HCPCS","Both",,,"7.5","3.75","Ambetter","Health Exchange","",,"62",,"4.65","2.74","5.81","percent of total billed charges",,
"LACTATE DEHYDROGENASE;LDH","83615","HCPCS","Both",,,"7.5","3.75","Caresource","Health Exchange","",,"62",,"4.65","2.74","5.81","percent of total billed charges",,
"LACTATE DEHYDROGENASE;LDH","83615","HCPCS","Both",,,"7.5","3.75","Cigna","Commercial","",,"59",,"4.39","2.74","5.81","percent of total billed charges",,
"LACTATE DEHYDROGENASE;LDH","83615","HCPCS","Both",,,"7.5","3.75","Humana","Commercial","",,"78",,"5.81","2.74","5.81","percent of total billed charges",,
"LACTATE DEHYDROGENASE;LDH","83615","HCPCS","Both",,,"7.5","3.75","UHC","Commercial","",,"75",,"5.66","2.74","5.81","percent of total billed charges",,
"LACTATE DEHYDROGENASE;LDH","83615","HCPCS","Both",,,"7.5","3.75","Medicaid",,"",,"37",,"2.74","2.74","5.81","percent of total billed charges",,
"AST; ASPARATATE AMINO (SGOT)","84450","HCPCS","Both",,,"68","34","Alliant","Health Exchange","",,"62",,"42.16","24.89","52.7","percent of total billed charges",,
"AST; ASPARATATE AMINO (SGOT)","84450","HCPCS","Both",,,"68","34","Pruitt Healthcare","Medicare Advantage","",,"54",,"36.72","24.89","52.7","percent of total billed charges",,
"AST; ASPARATATE AMINO (SGOT)","84450","HCPCS","Both",,,"68","34","Medicare",,"",,"54",,"36.86","24.89","52.7","percent of total billed charges",,
"AST; ASPARATATE AMINO (SGOT)","84450","HCPCS","Both",,,"68","34","Humana","Medicare Advantage","",,"54",,"36.86","24.89","52.7","percent of total billed charges",,
"AST; ASPARATATE AMINO (SGOT)","84450","HCPCS","Both",,,"68","34","UHC","Medicare Advantage","",,"54",,"36.86","24.89","52.7","percent of total billed charges",,
"AST; ASPARATATE AMINO (SGOT)","84450","HCPCS","Both",,,"68","34","Clover","Medicare Advantage","",,"54",,"36.86","24.89","52.7","percent of total billed charges",,
"AST; ASPARATATE AMINO (SGOT)","84450","HCPCS","Both",,,"68","34","Wellcare","Medicare Advantage","",,"54",,"36.86","24.89","52.7","percent of total billed charges",,
"AST; ASPARATATE AMINO (SGOT)","84450","HCPCS","Both",,,"68","34","Amerigroup","Medicaid Managed Care","",,"37",,"24.89","24.89","52.7","percent of total billed charges",,
"AST; ASPARATATE AMINO (SGOT)","84450","HCPCS","Both",,,"68","34","Caresource","Medicaid Managed Care","",,"40",,"27.2","24.89","52.7","percent of total billed charges",,
"AST; ASPARATATE AMINO (SGOT)","84450","HCPCS","Both",,,"68","34","Wellcare","Medicaid Managed Care","",,"40",,"27.54","24.89","52.7","percent of total billed charges",,
"AST; ASPARATATE AMINO (SGOT)","84450","HCPCS","Both",,,"68","34","Aetna","Commercial","",,"64",,"43.38","24.89","52.7","percent of total billed charges",,
"AST; ASPARATATE AMINO (SGOT)","84450","HCPCS","Both",,,"68","34","Blue Cross Blue Shield","Pathways","",,"71",,"48.01","24.89","52.7","percent of total billed charges",,
"AST; ASPARATATE AMINO (SGOT)","84450","HCPCS","Both",,,"68","34","Blue Cross Blue Shield","HMO","",,"71",,"48.01","24.89","52.7","percent of total billed charges",,
"AST; ASPARATATE AMINO (SGOT)","84450","HCPCS","Both",,,"68","34","Blue Cross Blue Shield","PPO","",,"71",,"48.01","24.89","52.7","percent of total billed charges",,
"AST; ASPARATATE AMINO (SGOT)","84450","HCPCS","Both",,,"68","34","Ambetter","Health Exchange","",,"62",,"42.16","24.89","52.7","percent of total billed charges",,
"AST; ASPARATATE AMINO (SGOT)","84450","HCPCS","Both",,,"68","34","Caresource","Health Exchange","",,"62",,"42.16","24.89","52.7","percent of total billed charges",,
"AST; ASPARATATE AMINO (SGOT)","84450","HCPCS","Both",,,"68","34","Cigna","Commercial","",,"59",,"39.85","24.89","52.7","percent of total billed charges",,
"AST; ASPARATATE AMINO (SGOT)","84450","HCPCS","Both",,,"68","34","Humana","Commercial","",,"78",,"52.7","24.89","52.7","percent of total billed charges",,
"AST; ASPARATATE AMINO (SGOT)","84450","HCPCS","Both",,,"68","34","UHC","Commercial","",,"75",,"51.27","24.89","52.7","percent of total billed charges",,
"AST; ASPARATATE AMINO (SGOT)","84450","HCPCS","Both",,,"68","34","Medicaid",,"",,"37",,"24.89","24.89","52.7","percent of total billed charges",,
"ALT; ALANINE AMINO (SGPT)","84460","HCPCS","Both",,,"61.5","30.75","Alliant","Health Exchange","",,"62",,"38.13","22.51","47.66","percent of total billed charges",,
"ALT; ALANINE AMINO (SGPT)","84460","HCPCS","Both",,,"61.5","30.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"33.21","22.51","47.66","percent of total billed charges",,
"ALT; ALANINE AMINO (SGPT)","84460","HCPCS","Both",,,"61.5","30.75","Medicare",,"",,"54",,"33.33","22.51","47.66","percent of total billed charges",,
"ALT; ALANINE AMINO (SGPT)","84460","HCPCS","Both",,,"61.5","30.75","Humana","Medicare Advantage","",,"54",,"33.33","22.51","47.66","percent of total billed charges",,
"ALT; ALANINE AMINO (SGPT)","84460","HCPCS","Both",,,"61.5","30.75","UHC","Medicare Advantage","",,"54",,"33.33","22.51","47.66","percent of total billed charges",,
"ALT; ALANINE AMINO (SGPT)","84460","HCPCS","Both",,,"61.5","30.75","Clover","Medicare Advantage","",,"54",,"33.33","22.51","47.66","percent of total billed charges",,
"ALT; ALANINE AMINO (SGPT)","84460","HCPCS","Both",,,"61.5","30.75","Wellcare","Medicare Advantage","",,"54",,"33.33","22.51","47.66","percent of total billed charges",,
"ALT; ALANINE AMINO (SGPT)","84460","HCPCS","Both",,,"61.5","30.75","Amerigroup","Medicaid Managed Care","",,"37",,"22.51","22.51","47.66","percent of total billed charges",,
"ALT; ALANINE AMINO (SGPT)","84460","HCPCS","Both",,,"61.5","30.75","Caresource","Medicaid Managed Care","",,"40",,"24.6","22.51","47.66","percent of total billed charges",,
"ALT; ALANINE AMINO (SGPT)","84460","HCPCS","Both",,,"61.5","30.75","Wellcare","Medicaid Managed Care","",,"40",,"24.91","22.51","47.66","percent of total billed charges",,
"ALT; ALANINE AMINO (SGPT)","84460","HCPCS","Both",,,"61.5","30.75","Aetna","Commercial","",,"64",,"39.24","22.51","47.66","percent of total billed charges",,
"ALT; ALANINE AMINO (SGPT)","84460","HCPCS","Both",,,"61.5","30.75","Blue Cross Blue Shield","Pathways","",,"71",,"43.42","22.51","47.66","percent of total billed charges",,
"ALT; ALANINE AMINO (SGPT)","84460","HCPCS","Both",,,"61.5","30.75","Blue Cross Blue Shield","HMO","",,"71",,"43.42","22.51","47.66","percent of total billed charges",,
"ALT; ALANINE AMINO (SGPT)","84460","HCPCS","Both",,,"61.5","30.75","Blue Cross Blue Shield","PPO","",,"71",,"43.42","22.51","47.66","percent of total billed charges",,
"ALT; ALANINE AMINO (SGPT)","84460","HCPCS","Both",,,"61.5","30.75","Ambetter","Health Exchange","",,"62",,"38.13","22.51","47.66","percent of total billed charges",,
"ALT; ALANINE AMINO (SGPT)","84460","HCPCS","Both",,,"61.5","30.75","Caresource","Health Exchange","",,"62",,"38.13","22.51","47.66","percent of total billed charges",,
"ALT; ALANINE AMINO (SGPT)","84460","HCPCS","Both",,,"61.5","30.75","Cigna","Commercial","",,"59",,"36.04","22.51","47.66","percent of total billed charges",,
"ALT; ALANINE AMINO (SGPT)","84460","HCPCS","Both",,,"61.5","30.75","Humana","Commercial","",,"78",,"47.66","22.51","47.66","percent of total billed charges",,
"ALT; ALANINE AMINO (SGPT)","84460","HCPCS","Both",,,"61.5","30.75","UHC","Commercial","",,"75",,"46.37","22.51","47.66","percent of total billed charges",,
"ALT; ALANINE AMINO (SGPT)","84460","HCPCS","Both",,,"61.5","30.75","Medicaid",,"",,"37",,"22.51","22.51","47.66","percent of total billed charges",,
"ALKALINE PHOSPHATASE","84075","HCPCS","Both",,,"6.5","3.25","Alliant","Health Exchange","",,"62",,"4.03","2.38","5.04","percent of total billed charges",,
"ALKALINE PHOSPHATASE","84075","HCPCS","Both",,,"6.5","3.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"3.51","2.38","5.04","percent of total billed charges",,
"ALKALINE PHOSPHATASE","84075","HCPCS","Both",,,"6.5","3.25","Medicare",,"",,"54",,"3.52","2.38","5.04","percent of total billed charges",,
"ALKALINE PHOSPHATASE","84075","HCPCS","Both",,,"6.5","3.25","Humana","Medicare Advantage","",,"54",,"3.52","2.38","5.04","percent of total billed charges",,
"ALKALINE PHOSPHATASE","84075","HCPCS","Both",,,"6.5","3.25","UHC","Medicare Advantage","",,"54",,"3.52","2.38","5.04","percent of total billed charges",,
"ALKALINE PHOSPHATASE","84075","HCPCS","Both",,,"6.5","3.25","Clover","Medicare Advantage","",,"54",,"3.52","2.38","5.04","percent of total billed charges",,
"ALKALINE PHOSPHATASE","84075","HCPCS","Both",,,"6.5","3.25","Wellcare","Medicare Advantage","",,"54",,"3.52","2.38","5.04","percent of total billed charges",,
"ALKALINE PHOSPHATASE","84075","HCPCS","Both",,,"6.5","3.25","Amerigroup","Medicaid Managed Care","",,"37",,"2.38","2.38","5.04","percent of total billed charges",,
"ALKALINE PHOSPHATASE","84075","HCPCS","Both",,,"6.5","3.25","Caresource","Medicaid Managed Care","",,"40",,"2.6","2.38","5.04","percent of total billed charges",,
"ALKALINE PHOSPHATASE","84075","HCPCS","Both",,,"6.5","3.25","Wellcare","Medicaid Managed Care","",,"40",,"2.63","2.38","5.04","percent of total billed charges",,
"ALKALINE PHOSPHATASE","84075","HCPCS","Both",,,"6.5","3.25","Aetna","Commercial","",,"64",,"4.15","2.38","5.04","percent of total billed charges",,
"ALKALINE PHOSPHATASE","84075","HCPCS","Both",,,"6.5","3.25","Blue Cross Blue Shield","Pathways","",,"71",,"4.59","2.38","5.04","percent of total billed charges",,
"ALKALINE PHOSPHATASE","84075","HCPCS","Both",,,"6.5","3.25","Blue Cross Blue Shield","HMO","",,"71",,"4.59","2.38","5.04","percent of total billed charges",,
"ALKALINE PHOSPHATASE","84075","HCPCS","Both",,,"6.5","3.25","Blue Cross Blue Shield","PPO","",,"71",,"4.59","2.38","5.04","percent of total billed charges",,
"ALKALINE PHOSPHATASE","84075","HCPCS","Both",,,"6.5","3.25","Ambetter","Health Exchange","",,"62",,"4.03","2.38","5.04","percent of total billed charges",,
"ALKALINE PHOSPHATASE","84075","HCPCS","Both",,,"6.5","3.25","Caresource","Health Exchange","",,"62",,"4.03","2.38","5.04","percent of total billed charges",,
"ALKALINE PHOSPHATASE","84075","HCPCS","Both",,,"6.5","3.25","Cigna","Commercial","",,"59",,"3.81","2.38","5.04","percent of total billed charges",,
"ALKALINE PHOSPHATASE","84075","HCPCS","Both",,,"6.5","3.25","Humana","Commercial","",,"78",,"5.04","2.38","5.04","percent of total billed charges",,
"ALKALINE PHOSPHATASE","84075","HCPCS","Both",,,"6.5","3.25","UHC","Commercial","",,"75",,"4.9","2.38","5.04","percent of total billed charges",,
"ALKALINE PHOSPHATASE","84075","HCPCS","Both",,,"6.5","3.25","Medicaid",,"",,"37",,"2.38","2.38","5.04","percent of total billed charges",,
"AMYLASE","82150","HCPCS","Both",,,"61.5","30.75","Alliant","Health Exchange","",,"62",,"38.13","22.51","47.66","percent of total billed charges",,
"AMYLASE","82150","HCPCS","Both",,,"61.5","30.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"33.21","22.51","47.66","percent of total billed charges",,
"AMYLASE","82150","HCPCS","Both",,,"61.5","30.75","Medicare",,"",,"54",,"33.33","22.51","47.66","percent of total billed charges",,
"AMYLASE","82150","HCPCS","Both",,,"61.5","30.75","Humana","Medicare Advantage","",,"54",,"33.33","22.51","47.66","percent of total billed charges",,
"AMYLASE","82150","HCPCS","Both",,,"61.5","30.75","UHC","Medicare Advantage","",,"54",,"33.33","22.51","47.66","percent of total billed charges",,
"AMYLASE","82150","HCPCS","Both",,,"61.5","30.75","Clover","Medicare Advantage","",,"54",,"33.33","22.51","47.66","percent of total billed charges",,
"AMYLASE","82150","HCPCS","Both",,,"61.5","30.75","Wellcare","Medicare Advantage","",,"54",,"33.33","22.51","47.66","percent of total billed charges",,
"AMYLASE","82150","HCPCS","Both",,,"61.5","30.75","Amerigroup","Medicaid Managed Care","",,"37",,"22.51","22.51","47.66","percent of total billed charges",,
"AMYLASE","82150","HCPCS","Both",,,"61.5","30.75","Caresource","Medicaid Managed Care","",,"40",,"24.6","22.51","47.66","percent of total billed charges",,
"AMYLASE","82150","HCPCS","Both",,,"61.5","30.75","Wellcare","Medicaid Managed Care","",,"40",,"24.91","22.51","47.66","percent of total billed charges",,
"AMYLASE","82150","HCPCS","Both",,,"61.5","30.75","Aetna","Commercial","",,"64",,"39.24","22.51","47.66","percent of total billed charges",,
"AMYLASE","82150","HCPCS","Both",,,"61.5","30.75","Blue Cross Blue Shield","Pathways","",,"71",,"43.42","22.51","47.66","percent of total billed charges",,
"AMYLASE","82150","HCPCS","Both",,,"61.5","30.75","Blue Cross Blue Shield","HMO","",,"71",,"43.42","22.51","47.66","percent of total billed charges",,
"AMYLASE","82150","HCPCS","Both",,,"61.5","30.75","Blue Cross Blue Shield","PPO","",,"71",,"43.42","22.51","47.66","percent of total billed charges",,
"AMYLASE","82150","HCPCS","Both",,,"61.5","30.75","Ambetter","Health Exchange","",,"62",,"38.13","22.51","47.66","percent of total billed charges",,
"AMYLASE","82150","HCPCS","Both",,,"61.5","30.75","Caresource","Health Exchange","",,"62",,"38.13","22.51","47.66","percent of total billed charges",,
"AMYLASE","82150","HCPCS","Both",,,"61.5","30.75","Cigna","Commercial","",,"59",,"36.04","22.51","47.66","percent of total billed charges",,
"AMYLASE","82150","HCPCS","Both",,,"61.5","30.75","Humana","Commercial","",,"78",,"47.66","22.51","47.66","percent of total billed charges",,
"AMYLASE","82150","HCPCS","Both",,,"61.5","30.75","UHC","Commercial","",,"75",,"46.37","22.51","47.66","percent of total billed charges",,
"AMYLASE","82150","HCPCS","Both",,,"61.5","30.75","Medicaid",,"",,"37",,"22.51","22.51","47.66","percent of total billed charges",,
"ACID PHOSPHATASE TOTAL","84060","HCPCS","Both",,,"54.5","27.25","Alliant","Health Exchange","",,"62",,"33.79","19.95","42.24","percent of total billed charges",,
"ACID PHOSPHATASE TOTAL","84060","HCPCS","Both",,,"54.5","27.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"29.43","19.95","42.24","percent of total billed charges",,
"ACID PHOSPHATASE TOTAL","84060","HCPCS","Both",,,"54.5","27.25","Medicare",,"",,"54",,"29.54","19.95","42.24","percent of total billed charges",,
"ACID PHOSPHATASE TOTAL","84060","HCPCS","Both",,,"54.5","27.25","Humana","Medicare Advantage","",,"54",,"29.54","19.95","42.24","percent of total billed charges",,
"ACID PHOSPHATASE TOTAL","84060","HCPCS","Both",,,"54.5","27.25","UHC","Medicare Advantage","",,"54",,"29.54","19.95","42.24","percent of total billed charges",,
"ACID PHOSPHATASE TOTAL","84060","HCPCS","Both",,,"54.5","27.25","Clover","Medicare Advantage","",,"54",,"29.54","19.95","42.24","percent of total billed charges",,
"ACID PHOSPHATASE TOTAL","84060","HCPCS","Both",,,"54.5","27.25","Wellcare","Medicare Advantage","",,"54",,"29.54","19.95","42.24","percent of total billed charges",,
"ACID PHOSPHATASE TOTAL","84060","HCPCS","Both",,,"54.5","27.25","Amerigroup","Medicaid Managed Care","",,"37",,"19.95","19.95","42.24","percent of total billed charges",,
"ACID PHOSPHATASE TOTAL","84060","HCPCS","Both",,,"54.5","27.25","Caresource","Medicaid Managed Care","",,"40",,"21.8","19.95","42.24","percent of total billed charges",,
"ACID PHOSPHATASE TOTAL","84060","HCPCS","Both",,,"54.5","27.25","Wellcare","Medicaid Managed Care","",,"40",,"22.07","19.95","42.24","percent of total billed charges",,
"ACID PHOSPHATASE TOTAL","84060","HCPCS","Both",,,"54.5","27.25","Aetna","Commercial","",,"64",,"34.77","19.95","42.24","percent of total billed charges",,
"ACID PHOSPHATASE TOTAL","84060","HCPCS","Both",,,"54.5","27.25","Blue Cross Blue Shield","Pathways","",,"71",,"38.48","19.95","42.24","percent of total billed charges",,
"ACID PHOSPHATASE TOTAL","84060","HCPCS","Both",,,"54.5","27.25","Blue Cross Blue Shield","HMO","",,"71",,"38.48","19.95","42.24","percent of total billed charges",,
"ACID PHOSPHATASE TOTAL","84060","HCPCS","Both",,,"54.5","27.25","Blue Cross Blue Shield","PPO","",,"71",,"38.48","19.95","42.24","percent of total billed charges",,
"ACID PHOSPHATASE TOTAL","84060","HCPCS","Both",,,"54.5","27.25","Ambetter","Health Exchange","",,"62",,"33.79","19.95","42.24","percent of total billed charges",,
"ACID PHOSPHATASE TOTAL","84060","HCPCS","Both",,,"54.5","27.25","Caresource","Health Exchange","",,"62",,"33.79","19.95","42.24","percent of total billed charges",,
"ACID PHOSPHATASE TOTAL","84060","HCPCS","Both",,,"54.5","27.25","Cigna","Commercial","",,"59",,"31.94","19.95","42.24","percent of total billed charges",,
"ACID PHOSPHATASE TOTAL","84060","HCPCS","Both",,,"54.5","27.25","Humana","Commercial","",,"78",,"42.24","19.95","42.24","percent of total billed charges",,
"ACID PHOSPHATASE TOTAL","84060","HCPCS","Both",,,"54.5","27.25","UHC","Commercial","",,"75",,"41.09","19.95","42.24","percent of total billed charges",,
"ACID PHOSPHATASE TOTAL","84060","HCPCS","Both",,,"54.5","27.25","Medicaid",,"",,"37",,"19.95","19.95","42.24","percent of total billed charges",,
"BILIRUBIN; TOTAL","82247","HCPCS","Both",,,"10","5","Alliant","Health Exchange","",,"62",,"6.2","3.66","7.75","percent of total billed charges",,
"BILIRUBIN; TOTAL","82247","HCPCS","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage","",,"54",,"5.4","3.66","7.75","percent of total billed charges",,
"BILIRUBIN; TOTAL","82247","HCPCS","Both",,,"10","5","Medicare",,"",,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"BILIRUBIN; TOTAL","82247","HCPCS","Both",,,"10","5","Humana","Medicare Advantage","",,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"BILIRUBIN; TOTAL","82247","HCPCS","Both",,,"10","5","UHC","Medicare Advantage","",,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"BILIRUBIN; TOTAL","82247","HCPCS","Both",,,"10","5","Clover","Medicare Advantage","",,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"BILIRUBIN; TOTAL","82247","HCPCS","Both",,,"10","5","Wellcare","Medicare Advantage","",,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"BILIRUBIN; TOTAL","82247","HCPCS","Both",,,"10","5","Amerigroup","Medicaid Managed Care","",,"37",,"3.66","3.66","7.75","percent of total billed charges",,
"BILIRUBIN; TOTAL","82247","HCPCS","Both",,,"10","5","Caresource","Medicaid Managed Care","",,"40",,"4","3.66","7.75","percent of total billed charges",,
"BILIRUBIN; TOTAL","82247","HCPCS","Both",,,"10","5","Wellcare","Medicaid Managed Care","",,"40",,"4.05","3.66","7.75","percent of total billed charges",,
"BILIRUBIN; TOTAL","82247","HCPCS","Both",,,"10","5","Aetna","Commercial","",,"64",,"6.38","3.66","7.75","percent of total billed charges",,
"BILIRUBIN; TOTAL","82247","HCPCS","Both",,,"10","5","Blue Cross Blue Shield","Pathways","",,"71",,"7.06","3.66","7.75","percent of total billed charges",,
"BILIRUBIN; TOTAL","82247","HCPCS","Both",,,"10","5","Blue Cross Blue Shield","HMO","",,"71",,"7.06","3.66","7.75","percent of total billed charges",,
"BILIRUBIN; TOTAL","82247","HCPCS","Both",,,"10","5","Blue Cross Blue Shield","PPO","",,"71",,"7.06","3.66","7.75","percent of total billed charges",,
"BILIRUBIN; TOTAL","82247","HCPCS","Both",,,"10","5","Ambetter","Health Exchange","",,"62",,"6.2","3.66","7.75","percent of total billed charges",,
"BILIRUBIN; TOTAL","82247","HCPCS","Both",,,"10","5","Caresource","Health Exchange","",,"62",,"6.2","3.66","7.75","percent of total billed charges",,
"BILIRUBIN; TOTAL","82247","HCPCS","Both",,,"10","5","Cigna","Commercial","",,"59",,"5.86","3.66","7.75","percent of total billed charges",,
"BILIRUBIN; TOTAL","82247","HCPCS","Both",,,"10","5","Humana","Commercial","",,"78",,"7.75","3.66","7.75","percent of total billed charges",,
"BILIRUBIN; TOTAL","82247","HCPCS","Both",,,"10","5","UHC","Commercial","",,"75",,"7.54","3.66","7.75","percent of total billed charges",,
"BILIRUBIN; TOTAL","82247","HCPCS","Both",,,"10","5","Medicaid",,"",,"37",,"3.66","3.66","7.75","percent of total billed charges",,
"BILIRUBIN; DIRECT","82248","HCPCS","Both",,,"7.5","3.75","Alliant","Health Exchange","",,"62",,"4.65","2.74","5.81","percent of total billed charges",,
"BILIRUBIN; DIRECT","82248","HCPCS","Both",,,"7.5","3.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"4.05","2.74","5.81","percent of total billed charges",,
"BILIRUBIN; DIRECT","82248","HCPCS","Both",,,"7.5","3.75","Medicare",,"",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"BILIRUBIN; DIRECT","82248","HCPCS","Both",,,"7.5","3.75","Humana","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"BILIRUBIN; DIRECT","82248","HCPCS","Both",,,"7.5","3.75","UHC","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"BILIRUBIN; DIRECT","82248","HCPCS","Both",,,"7.5","3.75","Clover","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"BILIRUBIN; DIRECT","82248","HCPCS","Both",,,"7.5","3.75","Wellcare","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"BILIRUBIN; DIRECT","82248","HCPCS","Both",,,"7.5","3.75","Amerigroup","Medicaid Managed Care","",,"37",,"2.74","2.74","5.81","percent of total billed charges",,
"BILIRUBIN; DIRECT","82248","HCPCS","Both",,,"7.5","3.75","Caresource","Medicaid Managed Care","",,"40",,"3","2.74","5.81","percent of total billed charges",,
"BILIRUBIN; DIRECT","82248","HCPCS","Both",,,"7.5","3.75","Wellcare","Medicaid Managed Care","",,"40",,"3.04","2.74","5.81","percent of total billed charges",,
"BILIRUBIN; DIRECT","82248","HCPCS","Both",,,"7.5","3.75","Aetna","Commercial","",,"64",,"4.78","2.74","5.81","percent of total billed charges",,
"BILIRUBIN; DIRECT","82248","HCPCS","Both",,,"7.5","3.75","Blue Cross Blue Shield","Pathways","",,"71",,"5.3","2.74","5.81","percent of total billed charges",,
"BILIRUBIN; DIRECT","82248","HCPCS","Both",,,"7.5","3.75","Blue Cross Blue Shield","HMO","",,"71",,"5.3","2.74","5.81","percent of total billed charges",,
"BILIRUBIN; DIRECT","82248","HCPCS","Both",,,"7.5","3.75","Blue Cross Blue Shield","PPO","",,"71",,"5.3","2.74","5.81","percent of total billed charges",,
"BILIRUBIN; DIRECT","82248","HCPCS","Both",,,"7.5","3.75","Ambetter","Health Exchange","",,"62",,"4.65","2.74","5.81","percent of total billed charges",,
"BILIRUBIN; DIRECT","82248","HCPCS","Both",,,"7.5","3.75","Caresource","Health Exchange","",,"62",,"4.65","2.74","5.81","percent of total billed charges",,
"BILIRUBIN; DIRECT","82248","HCPCS","Both",,,"7.5","3.75","Cigna","Commercial","",,"59",,"4.39","2.74","5.81","percent of total billed charges",,
"BILIRUBIN; DIRECT","82248","HCPCS","Both",,,"7.5","3.75","Humana","Commercial","",,"78",,"5.81","2.74","5.81","percent of total billed charges",,
"BILIRUBIN; DIRECT","82248","HCPCS","Both",,,"7.5","3.75","UHC","Commercial","",,"75",,"5.66","2.74","5.81","percent of total billed charges",,
"BILIRUBIN; DIRECT","82248","HCPCS","Both",,,"7.5","3.75","Medicaid",,"",,"37",,"2.74","2.74","5.81","percent of total billed charges",,
"BRAIN NATRIURETIC PEPTIDE","83880","HCPCS","Both",,,"57.5","28.75","Alliant","Health Exchange","",,"62",,"35.65","21.04","44.56","percent of total billed charges",,
"BRAIN NATRIURETIC PEPTIDE","83880","HCPCS","Both",,,"57.5","28.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"31.05","21.04","44.56","percent of total billed charges",,
"BRAIN NATRIURETIC PEPTIDE","83880","HCPCS","Both",,,"57.5","28.75","Medicare",,"",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"BRAIN NATRIURETIC PEPTIDE","83880","HCPCS","Both",,,"57.5","28.75","Humana","Medicare Advantage","",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"BRAIN NATRIURETIC PEPTIDE","83880","HCPCS","Both",,,"57.5","28.75","UHC","Medicare Advantage","",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"BRAIN NATRIURETIC PEPTIDE","83880","HCPCS","Both",,,"57.5","28.75","Clover","Medicare Advantage","",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"BRAIN NATRIURETIC PEPTIDE","83880","HCPCS","Both",,,"57.5","28.75","Wellcare","Medicare Advantage","",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"BRAIN NATRIURETIC PEPTIDE","83880","HCPCS","Both",,,"57.5","28.75","Amerigroup","Medicaid Managed Care","",,"37",,"21.04","21.04","44.56","percent of total billed charges",,
"BRAIN NATRIURETIC PEPTIDE","83880","HCPCS","Both",,,"57.5","28.75","Caresource","Medicaid Managed Care","",,"40",,"23","21.04","44.56","percent of total billed charges",,
"BRAIN NATRIURETIC PEPTIDE","83880","HCPCS","Both",,,"57.5","28.75","Wellcare","Medicaid Managed Care","",,"40",,"23.29","21.04","44.56","percent of total billed charges",,
"BRAIN NATRIURETIC PEPTIDE","83880","HCPCS","Both",,,"57.5","28.75","Aetna","Commercial","",,"64",,"36.68","21.04","44.56","percent of total billed charges",,
"BRAIN NATRIURETIC PEPTIDE","83880","HCPCS","Both",,,"57.5","28.75","Blue Cross Blue Shield","Pathways","",,"71",,"40.6","21.04","44.56","percent of total billed charges",,
"BRAIN NATRIURETIC PEPTIDE","83880","HCPCS","Both",,,"57.5","28.75","Blue Cross Blue Shield","HMO","",,"71",,"40.6","21.04","44.56","percent of total billed charges",,
"BRAIN NATRIURETIC PEPTIDE","83880","HCPCS","Both",,,"57.5","28.75","Blue Cross Blue Shield","PPO","",,"71",,"40.6","21.04","44.56","percent of total billed charges",,
"BRAIN NATRIURETIC PEPTIDE","83880","HCPCS","Both",,,"57.5","28.75","Ambetter","Health Exchange","",,"62",,"35.65","21.04","44.56","percent of total billed charges",,
"BRAIN NATRIURETIC PEPTIDE","83880","HCPCS","Both",,,"57.5","28.75","Caresource","Health Exchange","",,"62",,"35.65","21.04","44.56","percent of total billed charges",,
"BRAIN NATRIURETIC PEPTIDE","83880","HCPCS","Both",,,"57.5","28.75","Cigna","Commercial","",,"59",,"33.7","21.04","44.56","percent of total billed charges",,
"BRAIN NATRIURETIC PEPTIDE","83880","HCPCS","Both",,,"57.5","28.75","Humana","Commercial","",,"78",,"44.56","21.04","44.56","percent of total billed charges",,
"BRAIN NATRIURETIC PEPTIDE","83880","HCPCS","Both",,,"57.5","28.75","UHC","Commercial","",,"75",,"43.36","21.04","44.56","percent of total billed charges",,
"BRAIN NATRIURETIC PEPTIDE","83880","HCPCS","Both",,,"57.5","28.75","Medicaid",,"",,"37",,"21.04","21.04","44.56","percent of total billed charges",,
"GLUCOSE,BLOOD,REAGENT STRIP","82948","HCPCS","Both",,,"7.5","3.75","Alliant","Health Exchange","",,"62",,"4.65","2.74","5.81","percent of total billed charges",,
"GLUCOSE,BLOOD,REAGENT STRIP","82948","HCPCS","Both",,,"7.5","3.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"4.05","2.74","5.81","percent of total billed charges",,
"GLUCOSE,BLOOD,REAGENT STRIP","82948","HCPCS","Both",,,"7.5","3.75","Medicare",,"",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"GLUCOSE,BLOOD,REAGENT STRIP","82948","HCPCS","Both",,,"7.5","3.75","Humana","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"GLUCOSE,BLOOD,REAGENT STRIP","82948","HCPCS","Both",,,"7.5","3.75","UHC","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"GLUCOSE,BLOOD,REAGENT STRIP","82948","HCPCS","Both",,,"7.5","3.75","Clover","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"GLUCOSE,BLOOD,REAGENT STRIP","82948","HCPCS","Both",,,"7.5","3.75","Wellcare","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"GLUCOSE,BLOOD,REAGENT STRIP","82948","HCPCS","Both",,,"7.5","3.75","Amerigroup","Medicaid Managed Care","",,"37",,"2.74","2.74","5.81","percent of total billed charges",,
"GLUCOSE,BLOOD,REAGENT STRIP","82948","HCPCS","Both",,,"7.5","3.75","Caresource","Medicaid Managed Care","",,"40",,"3","2.74","5.81","percent of total billed charges",,
"GLUCOSE,BLOOD,REAGENT STRIP","82948","HCPCS","Both",,,"7.5","3.75","Wellcare","Medicaid Managed Care","",,"40",,"3.04","2.74","5.81","percent of total billed charges",,
"GLUCOSE,BLOOD,REAGENT STRIP","82948","HCPCS","Both",,,"7.5","3.75","Aetna","Commercial","",,"64",,"4.78","2.74","5.81","percent of total billed charges",,
"GLUCOSE,BLOOD,REAGENT STRIP","82948","HCPCS","Both",,,"7.5","3.75","Blue Cross Blue Shield","Pathways","",,"71",,"5.3","2.74","5.81","percent of total billed charges",,
"GLUCOSE,BLOOD,REAGENT STRIP","82948","HCPCS","Both",,,"7.5","3.75","Blue Cross Blue Shield","HMO","",,"71",,"5.3","2.74","5.81","percent of total billed charges",,
"GLUCOSE,BLOOD,REAGENT STRIP","82948","HCPCS","Both",,,"7.5","3.75","Blue Cross Blue Shield","PPO","",,"71",,"5.3","2.74","5.81","percent of total billed charges",,
"GLUCOSE,BLOOD,REAGENT STRIP","82948","HCPCS","Both",,,"7.5","3.75","Ambetter","Health Exchange","",,"62",,"4.65","2.74","5.81","percent of total billed charges",,
"GLUCOSE,BLOOD,REAGENT STRIP","82948","HCPCS","Both",,,"7.5","3.75","Caresource","Health Exchange","",,"62",,"4.65","2.74","5.81","percent of total billed charges",,
"GLUCOSE,BLOOD,REAGENT STRIP","82948","HCPCS","Both",,,"7.5","3.75","Cigna","Commercial","",,"59",,"4.39","2.74","5.81","percent of total billed charges",,
"GLUCOSE,BLOOD,REAGENT STRIP","82948","HCPCS","Both",,,"7.5","3.75","Humana","Commercial","",,"78",,"5.81","2.74","5.81","percent of total billed charges",,
"GLUCOSE,BLOOD,REAGENT STRIP","82948","HCPCS","Both",,,"7.5","3.75","UHC","Commercial","",,"75",,"5.66","2.74","5.81","percent of total billed charges",,
"GLUCOSE,BLOOD,REAGENT STRIP","82948","HCPCS","Both",,,"7.5","3.75","Medicaid",,"",,"37",,"2.74","2.74","5.81","percent of total billed charges",,
"GLUCOSE; POST GLUCOSE DOSE","82950","HCPCS","Both",,,"11","5.5","Alliant","Health Exchange","",,"62",,"6.82","4.03","8.52","percent of total billed charges",,
"GLUCOSE; POST GLUCOSE DOSE","82950","HCPCS","Both",,,"11","5.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"5.94","4.03","8.52","percent of total billed charges",,
"GLUCOSE; POST GLUCOSE DOSE","82950","HCPCS","Both",,,"11","5.5","Medicare",,"",,"54",,"5.96","4.03","8.52","percent of total billed charges",,
"GLUCOSE; POST GLUCOSE DOSE","82950","HCPCS","Both",,,"11","5.5","Humana","Medicare Advantage","",,"54",,"5.96","4.03","8.52","percent of total billed charges",,
"GLUCOSE; POST GLUCOSE DOSE","82950","HCPCS","Both",,,"11","5.5","UHC","Medicare Advantage","",,"54",,"5.96","4.03","8.52","percent of total billed charges",,
"GLUCOSE; POST GLUCOSE DOSE","82950","HCPCS","Both",,,"11","5.5","Clover","Medicare Advantage","",,"54",,"5.96","4.03","8.52","percent of total billed charges",,
"GLUCOSE; POST GLUCOSE DOSE","82950","HCPCS","Both",,,"11","5.5","Wellcare","Medicare Advantage","",,"54",,"5.96","4.03","8.52","percent of total billed charges",,
"GLUCOSE; POST GLUCOSE DOSE","82950","HCPCS","Both",,,"11","5.5","Amerigroup","Medicaid Managed Care","",,"37",,"4.03","4.03","8.52","percent of total billed charges",,
"GLUCOSE; POST GLUCOSE DOSE","82950","HCPCS","Both",,,"11","5.5","Caresource","Medicaid Managed Care","",,"40",,"4.4","4.03","8.52","percent of total billed charges",,
"GLUCOSE; POST GLUCOSE DOSE","82950","HCPCS","Both",,,"11","5.5","Wellcare","Medicaid Managed Care","",,"40",,"4.46","4.03","8.52","percent of total billed charges",,
"GLUCOSE; POST GLUCOSE DOSE","82950","HCPCS","Both",,,"11","5.5","Aetna","Commercial","",,"64",,"7.02","4.03","8.52","percent of total billed charges",,
"GLUCOSE; POST GLUCOSE DOSE","82950","HCPCS","Both",,,"11","5.5","Blue Cross Blue Shield","Pathways","",,"71",,"7.77","4.03","8.52","percent of total billed charges",,
"GLUCOSE; POST GLUCOSE DOSE","82950","HCPCS","Both",,,"11","5.5","Blue Cross Blue Shield","HMO","",,"71",,"7.77","4.03","8.52","percent of total billed charges",,
"GLUCOSE; POST GLUCOSE DOSE","82950","HCPCS","Both",,,"11","5.5","Blue Cross Blue Shield","PPO","",,"71",,"7.77","4.03","8.52","percent of total billed charges",,
"GLUCOSE; POST GLUCOSE DOSE","82950","HCPCS","Both",,,"11","5.5","Ambetter","Health Exchange","",,"62",,"6.82","4.03","8.52","percent of total billed charges",,
"GLUCOSE; POST GLUCOSE DOSE","82950","HCPCS","Both",,,"11","5.5","Caresource","Health Exchange","",,"62",,"6.82","4.03","8.52","percent of total billed charges",,
"GLUCOSE; POST GLUCOSE DOSE","82950","HCPCS","Both",,,"11","5.5","Cigna","Commercial","",,"59",,"6.45","4.03","8.52","percent of total billed charges",,
"GLUCOSE; POST GLUCOSE DOSE","82950","HCPCS","Both",,,"11","5.5","Humana","Commercial","",,"78",,"8.52","4.03","8.52","percent of total billed charges",,
"GLUCOSE; POST GLUCOSE DOSE","82950","HCPCS","Both",,,"11","5.5","UHC","Commercial","",,"75",,"8.29","4.03","8.52","percent of total billed charges",,
"GLUCOSE; POST GLUCOSE DOSE","82950","HCPCS","Both",,,"11","5.5","Medicaid",,"",,"37",,"4.03","4.03","8.52","percent of total billed charges",,
"UREA NITROGEN;QUANT (BUN) SERUM","84520","HCPCS","Both",,,"13.6","6.8","Alliant","Health Exchange","",,"62",,"8.43","4.98","10.54","percent of total billed charges",,
"UREA NITROGEN;QUANT (BUN) SERUM","84520","HCPCS","Both",,,"13.6","6.8","Pruitt Healthcare","Medicare Advantage","",,"54",,"7.34","4.98","10.54","percent of total billed charges",,
"UREA NITROGEN;QUANT (BUN) SERUM","84520","HCPCS","Both",,,"13.6","6.8","Medicare",,"",,"54",,"7.37","4.98","10.54","percent of total billed charges",,
"UREA NITROGEN;QUANT (BUN) SERUM","84520","HCPCS","Both",,,"13.6","6.8","Humana","Medicare Advantage","",,"54",,"7.37","4.98","10.54","percent of total billed charges",,
"UREA NITROGEN;QUANT (BUN) SERUM","84520","HCPCS","Both",,,"13.6","6.8","UHC","Medicare Advantage","",,"54",,"7.37","4.98","10.54","percent of total billed charges",,
"UREA NITROGEN;QUANT (BUN) SERUM","84520","HCPCS","Both",,,"13.6","6.8","Clover","Medicare Advantage","",,"54",,"7.37","4.98","10.54","percent of total billed charges",,
"UREA NITROGEN;QUANT (BUN) SERUM","84520","HCPCS","Both",,,"13.6","6.8","Wellcare","Medicare Advantage","",,"54",,"7.37","4.98","10.54","percent of total billed charges",,
"UREA NITROGEN;QUANT (BUN) SERUM","84520","HCPCS","Both",,,"13.6","6.8","Amerigroup","Medicaid Managed Care","",,"37",,"4.98","4.98","10.54","percent of total billed charges",,
"UREA NITROGEN;QUANT (BUN) SERUM","84520","HCPCS","Both",,,"13.6","6.8","Caresource","Medicaid Managed Care","",,"40",,"5.44","4.98","10.54","percent of total billed charges",,
"UREA NITROGEN;QUANT (BUN) SERUM","84520","HCPCS","Both",,,"13.6","6.8","Wellcare","Medicaid Managed Care","",,"40",,"5.51","4.98","10.54","percent of total billed charges",,
"UREA NITROGEN;QUANT (BUN) SERUM","84520","HCPCS","Both",,,"13.6","6.8","Aetna","Commercial","",,"64",,"8.68","4.98","10.54","percent of total billed charges",,
"UREA NITROGEN;QUANT (BUN) SERUM","84520","HCPCS","Both",,,"13.6","6.8","Blue Cross Blue Shield","Pathways","",,"71",,"9.6","4.98","10.54","percent of total billed charges",,
"UREA NITROGEN;QUANT (BUN) SERUM","84520","HCPCS","Both",,,"13.6","6.8","Blue Cross Blue Shield","HMO","",,"71",,"9.6","4.98","10.54","percent of total billed charges",,
"UREA NITROGEN;QUANT (BUN) SERUM","84520","HCPCS","Both",,,"13.6","6.8","Blue Cross Blue Shield","PPO","",,"71",,"9.6","4.98","10.54","percent of total billed charges",,
"UREA NITROGEN;QUANT (BUN) SERUM","84520","HCPCS","Both",,,"13.6","6.8","Ambetter","Health Exchange","",,"62",,"8.43","4.98","10.54","percent of total billed charges",,
"UREA NITROGEN;QUANT (BUN) SERUM","84520","HCPCS","Both",,,"13.6","6.8","Caresource","Health Exchange","",,"62",,"8.43","4.98","10.54","percent of total billed charges",,
"UREA NITROGEN;QUANT (BUN) SERUM","84520","HCPCS","Both",,,"13.6","6.8","Cigna","Commercial","",,"59",,"7.97","4.98","10.54","percent of total billed charges",,
"UREA NITROGEN;QUANT (BUN) SERUM","84520","HCPCS","Both",,,"13.6","6.8","Humana","Commercial","",,"78",,"10.54","4.98","10.54","percent of total billed charges",,
"UREA NITROGEN;QUANT (BUN) SERUM","84520","HCPCS","Both",,,"13.6","6.8","UHC","Commercial","",,"75",,"10.25","4.98","10.54","percent of total billed charges",,
"UREA NITROGEN;QUANT (BUN) SERUM","84520","HCPCS","Both",,,"13.6","6.8","Medicaid",,"",,"37",,"4.98","4.98","10.54","percent of total billed charges",,
"CREATININE; SERUM","82565","HCPCS","Both",,,"10.5","5.25","Alliant","Health Exchange","",,"62",,"6.51","3.84","8.14","percent of total billed charges",,
"CREATININE; SERUM","82565","HCPCS","Both",,,"10.5","5.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"5.67","3.84","8.14","percent of total billed charges",,
"CREATININE; SERUM","82565","HCPCS","Both",,,"10.5","5.25","Medicare",,"",,"54",,"5.69","3.84","8.14","percent of total billed charges",,
"CREATININE; SERUM","82565","HCPCS","Both",,,"10.5","5.25","Humana","Medicare Advantage","",,"54",,"5.69","3.84","8.14","percent of total billed charges",,
"CREATININE; SERUM","82565","HCPCS","Both",,,"10.5","5.25","UHC","Medicare Advantage","",,"54",,"5.69","3.84","8.14","percent of total billed charges",,
"CREATININE; SERUM","82565","HCPCS","Both",,,"10.5","5.25","Clover","Medicare Advantage","",,"54",,"5.69","3.84","8.14","percent of total billed charges",,
"CREATININE; SERUM","82565","HCPCS","Both",,,"10.5","5.25","Wellcare","Medicare Advantage","",,"54",,"5.69","3.84","8.14","percent of total billed charges",,
"CREATININE; SERUM","82565","HCPCS","Both",,,"10.5","5.25","Amerigroup","Medicaid Managed Care","",,"37",,"3.84","3.84","8.14","percent of total billed charges",,
"CREATININE; SERUM","82565","HCPCS","Both",,,"10.5","5.25","Caresource","Medicaid Managed Care","",,"40",,"4.2","3.84","8.14","percent of total billed charges",,
"CREATININE; SERUM","82565","HCPCS","Both",,,"10.5","5.25","Wellcare","Medicaid Managed Care","",,"40",,"4.25","3.84","8.14","percent of total billed charges",,
"CREATININE; SERUM","82565","HCPCS","Both",,,"10.5","5.25","Aetna","Commercial","",,"64",,"6.7","3.84","8.14","percent of total billed charges",,
"CREATININE; SERUM","82565","HCPCS","Both",,,"10.5","5.25","Blue Cross Blue Shield","Pathways","",,"71",,"7.41","3.84","8.14","percent of total billed charges",,
"CREATININE; SERUM","82565","HCPCS","Both",,,"10.5","5.25","Blue Cross Blue Shield","HMO","",,"71",,"7.41","3.84","8.14","percent of total billed charges",,
"CREATININE; SERUM","82565","HCPCS","Both",,,"10.5","5.25","Blue Cross Blue Shield","PPO","",,"71",,"7.41","3.84","8.14","percent of total billed charges",,
"CREATININE; SERUM","82565","HCPCS","Both",,,"10.5","5.25","Ambetter","Health Exchange","",,"62",,"6.51","3.84","8.14","percent of total billed charges",,
"CREATININE; SERUM","82565","HCPCS","Both",,,"10.5","5.25","Caresource","Health Exchange","",,"62",,"6.51","3.84","8.14","percent of total billed charges",,
"CREATININE; SERUM","82565","HCPCS","Both",,,"10.5","5.25","Cigna","Commercial","",,"59",,"6.15","3.84","8.14","percent of total billed charges",,
"CREATININE; SERUM","82565","HCPCS","Both",,,"10.5","5.25","Humana","Commercial","",,"78",,"8.14","3.84","8.14","percent of total billed charges",,
"CREATININE; SERUM","82565","HCPCS","Both",,,"10.5","5.25","UHC","Commercial","",,"75",,"7.92","3.84","8.14","percent of total billed charges",,
"CREATININE; SERUM","82565","HCPCS","Both",,,"10.5","5.25","Medicaid",,"",,"37",,"3.84","3.84","8.14","percent of total billed charges",,
"CHOLESTEROL,TOTAL;SERUM","82465","HCPCS","Both",,,"32","16","Alliant","Health Exchange","",,"62",,"19.84","11.71","24.8","percent of total billed charges",,
"CHOLESTEROL,TOTAL;SERUM","82465","HCPCS","Both",,,"32","16","Pruitt Healthcare","Medicare Advantage","",,"54",,"17.28","11.71","24.8","percent of total billed charges",,
"CHOLESTEROL,TOTAL;SERUM","82465","HCPCS","Both",,,"32","16","Medicare",,"",,"54",,"17.34","11.71","24.8","percent of total billed charges",,
"CHOLESTEROL,TOTAL;SERUM","82465","HCPCS","Both",,,"32","16","Humana","Medicare Advantage","",,"54",,"17.34","11.71","24.8","percent of total billed charges",,
"CHOLESTEROL,TOTAL;SERUM","82465","HCPCS","Both",,,"32","16","UHC","Medicare Advantage","",,"54",,"17.34","11.71","24.8","percent of total billed charges",,
"CHOLESTEROL,TOTAL;SERUM","82465","HCPCS","Both",,,"32","16","Clover","Medicare Advantage","",,"54",,"17.34","11.71","24.8","percent of total billed charges",,
"CHOLESTEROL,TOTAL;SERUM","82465","HCPCS","Both",,,"32","16","Wellcare","Medicare Advantage","",,"54",,"17.34","11.71","24.8","percent of total billed charges",,
"CHOLESTEROL,TOTAL;SERUM","82465","HCPCS","Both",,,"32","16","Amerigroup","Medicaid Managed Care","",,"37",,"11.71","11.71","24.8","percent of total billed charges",,
"CHOLESTEROL,TOTAL;SERUM","82465","HCPCS","Both",,,"32","16","Caresource","Medicaid Managed Care","",,"40",,"12.8","11.71","24.8","percent of total billed charges",,
"CHOLESTEROL,TOTAL;SERUM","82465","HCPCS","Both",,,"32","16","Wellcare","Medicaid Managed Care","",,"40",,"12.96","11.71","24.8","percent of total billed charges",,
"CHOLESTEROL,TOTAL;SERUM","82465","HCPCS","Both",,,"32","16","Aetna","Commercial","",,"64",,"20.42","11.71","24.8","percent of total billed charges",,
"CHOLESTEROL,TOTAL;SERUM","82465","HCPCS","Both",,,"32","16","Blue Cross Blue Shield","Pathways","",,"71",,"22.59","11.71","24.8","percent of total billed charges",,
"CHOLESTEROL,TOTAL;SERUM","82465","HCPCS","Both",,,"32","16","Blue Cross Blue Shield","HMO","",,"71",,"22.59","11.71","24.8","percent of total billed charges",,
"CHOLESTEROL,TOTAL;SERUM","82465","HCPCS","Both",,,"32","16","Blue Cross Blue Shield","PPO","",,"71",,"22.59","11.71","24.8","percent of total billed charges",,
"CHOLESTEROL,TOTAL;SERUM","82465","HCPCS","Both",,,"32","16","Ambetter","Health Exchange","",,"62",,"19.84","11.71","24.8","percent of total billed charges",,
"CHOLESTEROL,TOTAL;SERUM","82465","HCPCS","Both",,,"32","16","Caresource","Health Exchange","",,"62",,"19.84","11.71","24.8","percent of total billed charges",,
"CHOLESTEROL,TOTAL;SERUM","82465","HCPCS","Both",,,"32","16","Cigna","Commercial","",,"59",,"18.75","11.71","24.8","percent of total billed charges",,
"CHOLESTEROL,TOTAL;SERUM","82465","HCPCS","Both",,,"32","16","Humana","Commercial","",,"78",,"24.8","11.71","24.8","percent of total billed charges",,
"CHOLESTEROL,TOTAL;SERUM","82465","HCPCS","Both",,,"32","16","UHC","Commercial","",,"75",,"24.13","11.71","24.8","percent of total billed charges",,
"CHOLESTEROL,TOTAL;SERUM","82465","HCPCS","Both",,,"32","16","Medicaid",,"",,"37",,"11.71","11.71","24.8","percent of total billed charges",,
"URIC ACID, SERUM","84550","HCPCS","Both",,,"6.5","3.25","Alliant","Health Exchange","",,"62",,"4.03","2.38","5.04","percent of total billed charges",,
"URIC ACID, SERUM","84550","HCPCS","Both",,,"6.5","3.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"3.51","2.38","5.04","percent of total billed charges",,
"URIC ACID, SERUM","84550","HCPCS","Both",,,"6.5","3.25","Medicare",,"",,"54",,"3.52","2.38","5.04","percent of total billed charges",,
"URIC ACID, SERUM","84550","HCPCS","Both",,,"6.5","3.25","Humana","Medicare Advantage","",,"54",,"3.52","2.38","5.04","percent of total billed charges",,
"URIC ACID, SERUM","84550","HCPCS","Both",,,"6.5","3.25","UHC","Medicare Advantage","",,"54",,"3.52","2.38","5.04","percent of total billed charges",,
"URIC ACID, SERUM","84550","HCPCS","Both",,,"6.5","3.25","Clover","Medicare Advantage","",,"54",,"3.52","2.38","5.04","percent of total billed charges",,
"URIC ACID, SERUM","84550","HCPCS","Both",,,"6.5","3.25","Wellcare","Medicare Advantage","",,"54",,"3.52","2.38","5.04","percent of total billed charges",,
"URIC ACID, SERUM","84550","HCPCS","Both",,,"6.5","3.25","Amerigroup","Medicaid Managed Care","",,"37",,"2.38","2.38","5.04","percent of total billed charges",,
"URIC ACID, SERUM","84550","HCPCS","Both",,,"6.5","3.25","Caresource","Medicaid Managed Care","",,"40",,"2.6","2.38","5.04","percent of total billed charges",,
"URIC ACID, SERUM","84550","HCPCS","Both",,,"6.5","3.25","Wellcare","Medicaid Managed Care","",,"40",,"2.63","2.38","5.04","percent of total billed charges",,
"URIC ACID, SERUM","84550","HCPCS","Both",,,"6.5","3.25","Aetna","Commercial","",,"64",,"4.15","2.38","5.04","percent of total billed charges",,
"URIC ACID, SERUM","84550","HCPCS","Both",,,"6.5","3.25","Blue Cross Blue Shield","Pathways","",,"71",,"4.59","2.38","5.04","percent of total billed charges",,
"URIC ACID, SERUM","84550","HCPCS","Both",,,"6.5","3.25","Blue Cross Blue Shield","HMO","",,"71",,"4.59","2.38","5.04","percent of total billed charges",,
"URIC ACID, SERUM","84550","HCPCS","Both",,,"6.5","3.25","Blue Cross Blue Shield","PPO","",,"71",,"4.59","2.38","5.04","percent of total billed charges",,
"URIC ACID, SERUM","84550","HCPCS","Both",,,"6.5","3.25","Ambetter","Health Exchange","",,"62",,"4.03","2.38","5.04","percent of total billed charges",,
"URIC ACID, SERUM","84550","HCPCS","Both",,,"6.5","3.25","Caresource","Health Exchange","",,"62",,"4.03","2.38","5.04","percent of total billed charges",,
"URIC ACID, SERUM","84550","HCPCS","Both",,,"6.5","3.25","Cigna","Commercial","",,"59",,"3.81","2.38","5.04","percent of total billed charges",,
"URIC ACID, SERUM","84550","HCPCS","Both",,,"6.5","3.25","Humana","Commercial","",,"78",,"5.04","2.38","5.04","percent of total billed charges",,
"URIC ACID, SERUM","84550","HCPCS","Both",,,"6.5","3.25","UHC","Commercial","",,"75",,"4.9","2.38","5.04","percent of total billed charges",,
"URIC ACID, SERUM","84550","HCPCS","Both",,,"6.5","3.25","Medicaid",,"",,"37",,"2.38","2.38","5.04","percent of total billed charges",,
"SODIUM, SERUM","84295","HCPCS","Both",,,"6","3","Alliant","Health Exchange","",,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"SODIUM, SERUM","84295","HCPCS","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage","",,"54",,"3.24","2.2","4.65","percent of total billed charges",,
"SODIUM, SERUM","84295","HCPCS","Both",,,"6","3","Medicare",,"",,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"SODIUM, SERUM","84295","HCPCS","Both",,,"6","3","Humana","Medicare Advantage","",,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"SODIUM, SERUM","84295","HCPCS","Both",,,"6","3","UHC","Medicare Advantage","",,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"SODIUM, SERUM","84295","HCPCS","Both",,,"6","3","Clover","Medicare Advantage","",,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"SODIUM, SERUM","84295","HCPCS","Both",,,"6","3","Wellcare","Medicare Advantage","",,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"SODIUM, SERUM","84295","HCPCS","Both",,,"6","3","Amerigroup","Medicaid Managed Care","",,"37",,"2.2","2.2","4.65","percent of total billed charges",,
"SODIUM, SERUM","84295","HCPCS","Both",,,"6","3","Caresource","Medicaid Managed Care","",,"40",,"2.4","2.2","4.65","percent of total billed charges",,
"SODIUM, SERUM","84295","HCPCS","Both",,,"6","3","Wellcare","Medicaid Managed Care","",,"40",,"2.43","2.2","4.65","percent of total billed charges",,
"SODIUM, SERUM","84295","HCPCS","Both",,,"6","3","Aetna","Commercial","",,"64",,"3.83","2.2","4.65","percent of total billed charges",,
"SODIUM, SERUM","84295","HCPCS","Both",,,"6","3","Blue Cross Blue Shield","Pathways","",,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"SODIUM, SERUM","84295","HCPCS","Both",,,"6","3","Blue Cross Blue Shield","HMO","",,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"SODIUM, SERUM","84295","HCPCS","Both",,,"6","3","Blue Cross Blue Shield","PPO","",,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"SODIUM, SERUM","84295","HCPCS","Both",,,"6","3","Ambetter","Health Exchange","",,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"SODIUM, SERUM","84295","HCPCS","Both",,,"6","3","Caresource","Health Exchange","",,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"SODIUM, SERUM","84295","HCPCS","Both",,,"6","3","Cigna","Commercial","",,"59",,"3.52","2.2","4.65","percent of total billed charges",,
"SODIUM, SERUM","84295","HCPCS","Both",,,"6","3","Humana","Commercial","",,"78",,"4.65","2.2","4.65","percent of total billed charges",,
"SODIUM, SERUM","84295","HCPCS","Both",,,"6","3","UHC","Commercial","",,"75",,"4.52","2.2","4.65","percent of total billed charges",,
"SODIUM, SERUM","84295","HCPCS","Both",,,"6","3","Medicaid",,"",,"37",,"2.2","2.2","4.65","percent of total billed charges",,
"POTASSIUM; SERUM","84132","HCPCS","Both",,,"9.5","4.75","Alliant","Health Exchange","",,"62",,"5.89","3.48","7.36","percent of total billed charges",,
"POTASSIUM; SERUM","84132","HCPCS","Both",,,"9.5","4.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"5.13","3.48","7.36","percent of total billed charges",,
"POTASSIUM; SERUM","84132","HCPCS","Both",,,"9.5","4.75","Medicare",,"",,"54",,"5.15","3.48","7.36","percent of total billed charges",,
"POTASSIUM; SERUM","84132","HCPCS","Both",,,"9.5","4.75","Humana","Medicare Advantage","",,"54",,"5.15","3.48","7.36","percent of total billed charges",,
"POTASSIUM; SERUM","84132","HCPCS","Both",,,"9.5","4.75","UHC","Medicare Advantage","",,"54",,"5.15","3.48","7.36","percent of total billed charges",,
"POTASSIUM; SERUM","84132","HCPCS","Both",,,"9.5","4.75","Clover","Medicare Advantage","",,"54",,"5.15","3.48","7.36","percent of total billed charges",,
"POTASSIUM; SERUM","84132","HCPCS","Both",,,"9.5","4.75","Wellcare","Medicare Advantage","",,"54",,"5.15","3.48","7.36","percent of total billed charges",,
"POTASSIUM; SERUM","84132","HCPCS","Both",,,"9.5","4.75","Amerigroup","Medicaid Managed Care","",,"37",,"3.48","3.48","7.36","percent of total billed charges",,
"POTASSIUM; SERUM","84132","HCPCS","Both",,,"9.5","4.75","Caresource","Medicaid Managed Care","",,"40",,"3.8","3.48","7.36","percent of total billed charges",,
"POTASSIUM; SERUM","84132","HCPCS","Both",,,"9.5","4.75","Wellcare","Medicaid Managed Care","",,"40",,"3.85","3.48","7.36","percent of total billed charges",,
"POTASSIUM; SERUM","84132","HCPCS","Both",,,"9.5","4.75","Aetna","Commercial","",,"64",,"6.06","3.48","7.36","percent of total billed charges",,
"POTASSIUM; SERUM","84132","HCPCS","Both",,,"9.5","4.75","Blue Cross Blue Shield","Pathways","",,"71",,"6.71","3.48","7.36","percent of total billed charges",,
"POTASSIUM; SERUM","84132","HCPCS","Both",,,"9.5","4.75","Blue Cross Blue Shield","HMO","",,"71",,"6.71","3.48","7.36","percent of total billed charges",,
"POTASSIUM; SERUM","84132","HCPCS","Both",,,"9.5","4.75","Blue Cross Blue Shield","PPO","",,"71",,"6.71","3.48","7.36","percent of total billed charges",,
"POTASSIUM; SERUM","84132","HCPCS","Both",,,"9.5","4.75","Ambetter","Health Exchange","",,"62",,"5.89","3.48","7.36","percent of total billed charges",,
"POTASSIUM; SERUM","84132","HCPCS","Both",,,"9.5","4.75","Caresource","Health Exchange","",,"62",,"5.89","3.48","7.36","percent of total billed charges",,
"POTASSIUM; SERUM","84132","HCPCS","Both",,,"9.5","4.75","Cigna","Commercial","",,"59",,"5.57","3.48","7.36","percent of total billed charges",,
"POTASSIUM; SERUM","84132","HCPCS","Both",,,"9.5","4.75","Humana","Commercial","",,"78",,"7.36","3.48","7.36","percent of total billed charges",,
"POTASSIUM; SERUM","84132","HCPCS","Both",,,"9.5","4.75","UHC","Commercial","",,"75",,"7.16","3.48","7.36","percent of total billed charges",,
"POTASSIUM; SERUM","84132","HCPCS","Both",,,"9.5","4.75","Medicaid",,"",,"37",,"3.48","3.48","7.36","percent of total billed charges",,
"CHLORIDE; SERUM","82435","HCPCS","Both",,,"34","17","Alliant","Health Exchange","",,"62",,"21.08","12.44","26.35","percent of total billed charges",,
"CHLORIDE; SERUM","82435","HCPCS","Both",,,"34","17","Pruitt Healthcare","Medicare Advantage","",,"54",,"18.36","12.44","26.35","percent of total billed charges",,
"CHLORIDE; SERUM","82435","HCPCS","Both",,,"34","17","Medicare",,"",,"54",,"18.43","12.44","26.35","percent of total billed charges",,
"CHLORIDE; SERUM","82435","HCPCS","Both",,,"34","17","Humana","Medicare Advantage","",,"54",,"18.43","12.44","26.35","percent of total billed charges",,
"CHLORIDE; SERUM","82435","HCPCS","Both",,,"34","17","UHC","Medicare Advantage","",,"54",,"18.43","12.44","26.35","percent of total billed charges",,
"CHLORIDE; SERUM","82435","HCPCS","Both",,,"34","17","Clover","Medicare Advantage","",,"54",,"18.43","12.44","26.35","percent of total billed charges",,
"CHLORIDE; SERUM","82435","HCPCS","Both",,,"34","17","Wellcare","Medicare Advantage","",,"54",,"18.43","12.44","26.35","percent of total billed charges",,
"CHLORIDE; SERUM","82435","HCPCS","Both",,,"34","17","Amerigroup","Medicaid Managed Care","",,"37",,"12.44","12.44","26.35","percent of total billed charges",,
"CHLORIDE; SERUM","82435","HCPCS","Both",,,"34","17","Caresource","Medicaid Managed Care","",,"40",,"13.6","12.44","26.35","percent of total billed charges",,
"CHLORIDE; SERUM","82435","HCPCS","Both",,,"34","17","Wellcare","Medicaid Managed Care","",,"40",,"13.77","12.44","26.35","percent of total billed charges",,
"CHLORIDE; SERUM","82435","HCPCS","Both",,,"34","17","Aetna","Commercial","",,"64",,"21.69","12.44","26.35","percent of total billed charges",,
"CHLORIDE; SERUM","82435","HCPCS","Both",,,"34","17","Blue Cross Blue Shield","Pathways","",,"71",,"24","12.44","26.35","percent of total billed charges",,
"CHLORIDE; SERUM","82435","HCPCS","Both",,,"34","17","Blue Cross Blue Shield","HMO","",,"71",,"24","12.44","26.35","percent of total billed charges",,
"CHLORIDE; SERUM","82435","HCPCS","Both",,,"34","17","Blue Cross Blue Shield","PPO","",,"71",,"24","12.44","26.35","percent of total billed charges",,
"CHLORIDE; SERUM","82435","HCPCS","Both",,,"34","17","Ambetter","Health Exchange","",,"62",,"21.08","12.44","26.35","percent of total billed charges",,
"CHLORIDE; SERUM","82435","HCPCS","Both",,,"34","17","Caresource","Health Exchange","",,"62",,"21.08","12.44","26.35","percent of total billed charges",,
"CHLORIDE; SERUM","82435","HCPCS","Both",,,"34","17","Cigna","Commercial","",,"59",,"19.92","12.44","26.35","percent of total billed charges",,
"CHLORIDE; SERUM","82435","HCPCS","Both",,,"34","17","Humana","Commercial","",,"78",,"26.35","12.44","26.35","percent of total billed charges",,
"CHLORIDE; SERUM","82435","HCPCS","Both",,,"34","17","UHC","Commercial","",,"75",,"25.64","12.44","26.35","percent of total billed charges",,
"CHLORIDE; SERUM","82435","HCPCS","Both",,,"34","17","Medicaid",,"",,"37",,"12.44","12.44","26.35","percent of total billed charges",,
"CARBON DIOXIDE (BICARBONATE), TOTAL","82374","HCPCS","Both",,,"36","18","Alliant","Health Exchange","",,"62",,"22.32","13.18","27.9","percent of total billed charges",,
"CARBON DIOXIDE (BICARBONATE), TOTAL","82374","HCPCS","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage","",,"54",,"19.44","13.18","27.9","percent of total billed charges",,
"CARBON DIOXIDE (BICARBONATE), TOTAL","82374","HCPCS","Both",,,"36","18","Medicare",,"",,"54",,"19.51","13.18","27.9","percent of total billed charges",,
"CARBON DIOXIDE (BICARBONATE), TOTAL","82374","HCPCS","Both",,,"36","18","Humana","Medicare Advantage","",,"54",,"19.51","13.18","27.9","percent of total billed charges",,
"CARBON DIOXIDE (BICARBONATE), TOTAL","82374","HCPCS","Both",,,"36","18","UHC","Medicare Advantage","",,"54",,"19.51","13.18","27.9","percent of total billed charges",,
"CARBON DIOXIDE (BICARBONATE), TOTAL","82374","HCPCS","Both",,,"36","18","Clover","Medicare Advantage","",,"54",,"19.51","13.18","27.9","percent of total billed charges",,
"CARBON DIOXIDE (BICARBONATE), TOTAL","82374","HCPCS","Both",,,"36","18","Wellcare","Medicare Advantage","",,"54",,"19.51","13.18","27.9","percent of total billed charges",,
"CARBON DIOXIDE (BICARBONATE), TOTAL","82374","HCPCS","Both",,,"36","18","Amerigroup","Medicaid Managed Care","",,"37",,"13.18","13.18","27.9","percent of total billed charges",,
"CARBON DIOXIDE (BICARBONATE), TOTAL","82374","HCPCS","Both",,,"36","18","Caresource","Medicaid Managed Care","",,"40",,"14.4","13.18","27.9","percent of total billed charges",,
"CARBON DIOXIDE (BICARBONATE), TOTAL","82374","HCPCS","Both",,,"36","18","Wellcare","Medicaid Managed Care","",,"40",,"14.58","13.18","27.9","percent of total billed charges",,
"CARBON DIOXIDE (BICARBONATE), TOTAL","82374","HCPCS","Both",,,"36","18","Aetna","Commercial","",,"64",,"22.97","13.18","27.9","percent of total billed charges",,
"CARBON DIOXIDE (BICARBONATE), TOTAL","82374","HCPCS","Both",,,"36","18","Blue Cross Blue Shield","Pathways","",,"71",,"25.42","13.18","27.9","percent of total billed charges",,
"CARBON DIOXIDE (BICARBONATE), TOTAL","82374","HCPCS","Both",,,"36","18","Blue Cross Blue Shield","HMO","",,"71",,"25.42","13.18","27.9","percent of total billed charges",,
"CARBON DIOXIDE (BICARBONATE), TOTAL","82374","HCPCS","Both",,,"36","18","Blue Cross Blue Shield","PPO","",,"71",,"25.42","13.18","27.9","percent of total billed charges",,
"CARBON DIOXIDE (BICARBONATE), TOTAL","82374","HCPCS","Both",,,"36","18","Ambetter","Health Exchange","",,"62",,"22.32","13.18","27.9","percent of total billed charges",,
"CARBON DIOXIDE (BICARBONATE), TOTAL","82374","HCPCS","Both",,,"36","18","Caresource","Health Exchange","",,"62",,"22.32","13.18","27.9","percent of total billed charges",,
"CARBON DIOXIDE (BICARBONATE), TOTAL","82374","HCPCS","Both",,,"36","18","Cigna","Commercial","",,"59",,"21.1","13.18","27.9","percent of total billed charges",,
"CARBON DIOXIDE (BICARBONATE), TOTAL","82374","HCPCS","Both",,,"36","18","Humana","Commercial","",,"78",,"27.9","13.18","27.9","percent of total billed charges",,
"CARBON DIOXIDE (BICARBONATE), TOTAL","82374","HCPCS","Both",,,"36","18","UHC","Commercial","",,"75",,"27.14","13.18","27.9","percent of total billed charges",,
"CARBON DIOXIDE (BICARBONATE), TOTAL","82374","HCPCS","Both",,,"36","18","Medicaid",,"",,"37",,"13.18","13.18","27.9","percent of total billed charges",,
"PROTEIN,TOTAL, SERUM","84155","HCPCS","Both",,,"27","13.5","Alliant","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"PROTEIN,TOTAL, SERUM","84155","HCPCS","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"14.58","9.88","20.92","percent of total billed charges",,
"PROTEIN,TOTAL, SERUM","84155","HCPCS","Both",,,"27","13.5","Medicare",,"",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PROTEIN,TOTAL, SERUM","84155","HCPCS","Both",,,"27","13.5","Humana","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PROTEIN,TOTAL, SERUM","84155","HCPCS","Both",,,"27","13.5","UHC","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PROTEIN,TOTAL, SERUM","84155","HCPCS","Both",,,"27","13.5","Clover","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PROTEIN,TOTAL, SERUM","84155","HCPCS","Both",,,"27","13.5","Wellcare","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PROTEIN,TOTAL, SERUM","84155","HCPCS","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care","",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"PROTEIN,TOTAL, SERUM","84155","HCPCS","Both",,,"27","13.5","Caresource","Medicaid Managed Care","",,"40",,"10.8","9.88","20.92","percent of total billed charges",,
"PROTEIN,TOTAL, SERUM","84155","HCPCS","Both",,,"27","13.5","Wellcare","Medicaid Managed Care","",,"40",,"10.94","9.88","20.92","percent of total billed charges",,
"PROTEIN,TOTAL, SERUM","84155","HCPCS","Both",,,"27","13.5","Aetna","Commercial","",,"64",,"17.23","9.88","20.92","percent of total billed charges",,
"PROTEIN,TOTAL, SERUM","84155","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"PROTEIN,TOTAL, SERUM","84155","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","HMO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"PROTEIN,TOTAL, SERUM","84155","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","PPO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"PROTEIN,TOTAL, SERUM","84155","HCPCS","Both",,,"27","13.5","Ambetter","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"PROTEIN,TOTAL, SERUM","84155","HCPCS","Both",,,"27","13.5","Caresource","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"PROTEIN,TOTAL, SERUM","84155","HCPCS","Both",,,"27","13.5","Cigna","Commercial","",,"59",,"15.82","9.88","20.92","percent of total billed charges",,
"PROTEIN,TOTAL, SERUM","84155","HCPCS","Both",,,"27","13.5","Humana","Commercial","",,"78",,"20.92","9.88","20.92","percent of total billed charges",,
"PROTEIN,TOTAL, SERUM","84155","HCPCS","Both",,,"27","13.5","UHC","Commercial","",,"75",,"20.36","9.88","20.92","percent of total billed charges",,
"PROTEIN,TOTAL, SERUM","84155","HCPCS","Both",,,"27","13.5","Medicaid",,"",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"ALBUMIN; SERUM","82040","HCPCS","Both",,,"7.5","3.75","Alliant","Health Exchange","",,"62",,"4.65","2.74","5.81","percent of total billed charges",,
"ALBUMIN; SERUM","82040","HCPCS","Both",,,"7.5","3.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"4.05","2.74","5.81","percent of total billed charges",,
"ALBUMIN; SERUM","82040","HCPCS","Both",,,"7.5","3.75","Medicare",,"",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"ALBUMIN; SERUM","82040","HCPCS","Both",,,"7.5","3.75","Humana","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"ALBUMIN; SERUM","82040","HCPCS","Both",,,"7.5","3.75","UHC","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"ALBUMIN; SERUM","82040","HCPCS","Both",,,"7.5","3.75","Clover","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"ALBUMIN; SERUM","82040","HCPCS","Both",,,"7.5","3.75","Wellcare","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"ALBUMIN; SERUM","82040","HCPCS","Both",,,"7.5","3.75","Amerigroup","Medicaid Managed Care","",,"37",,"2.74","2.74","5.81","percent of total billed charges",,
"ALBUMIN; SERUM","82040","HCPCS","Both",,,"7.5","3.75","Caresource","Medicaid Managed Care","",,"40",,"3","2.74","5.81","percent of total billed charges",,
"ALBUMIN; SERUM","82040","HCPCS","Both",,,"7.5","3.75","Wellcare","Medicaid Managed Care","",,"40",,"3.04","2.74","5.81","percent of total billed charges",,
"ALBUMIN; SERUM","82040","HCPCS","Both",,,"7.5","3.75","Aetna","Commercial","",,"64",,"4.78","2.74","5.81","percent of total billed charges",,
"ALBUMIN; SERUM","82040","HCPCS","Both",,,"7.5","3.75","Blue Cross Blue Shield","Pathways","",,"71",,"5.3","2.74","5.81","percent of total billed charges",,
"ALBUMIN; SERUM","82040","HCPCS","Both",,,"7.5","3.75","Blue Cross Blue Shield","HMO","",,"71",,"5.3","2.74","5.81","percent of total billed charges",,
"ALBUMIN; SERUM","82040","HCPCS","Both",,,"7.5","3.75","Blue Cross Blue Shield","PPO","",,"71",,"5.3","2.74","5.81","percent of total billed charges",,
"ALBUMIN; SERUM","82040","HCPCS","Both",,,"7.5","3.75","Ambetter","Health Exchange","",,"62",,"4.65","2.74","5.81","percent of total billed charges",,
"ALBUMIN; SERUM","82040","HCPCS","Both",,,"7.5","3.75","Caresource","Health Exchange","",,"62",,"4.65","2.74","5.81","percent of total billed charges",,
"ALBUMIN; SERUM","82040","HCPCS","Both",,,"7.5","3.75","Cigna","Commercial","",,"59",,"4.39","2.74","5.81","percent of total billed charges",,
"ALBUMIN; SERUM","82040","HCPCS","Both",,,"7.5","3.75","Humana","Commercial","",,"78",,"5.81","2.74","5.81","percent of total billed charges",,
"ALBUMIN; SERUM","82040","HCPCS","Both",,,"7.5","3.75","UHC","Commercial","",,"75",,"5.66","2.74","5.81","percent of total billed charges",,
"ALBUMIN; SERUM","82040","HCPCS","Both",,,"7.5","3.75","Medicaid",,"",,"37",,"2.74","2.74","5.81","percent of total billed charges",,
"CALCIUM; SERUM","82310","HCPCS","Both",,,"6.5","3.25","Alliant","Health Exchange","",,"62",,"4.03","2.38","5.04","percent of total billed charges",,
"CALCIUM; SERUM","82310","HCPCS","Both",,,"6.5","3.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"3.51","2.38","5.04","percent of total billed charges",,
"CALCIUM; SERUM","82310","HCPCS","Both",,,"6.5","3.25","Medicare",,"",,"54",,"3.52","2.38","5.04","percent of total billed charges",,
"CALCIUM; SERUM","82310","HCPCS","Both",,,"6.5","3.25","Humana","Medicare Advantage","",,"54",,"3.52","2.38","5.04","percent of total billed charges",,
"CALCIUM; SERUM","82310","HCPCS","Both",,,"6.5","3.25","UHC","Medicare Advantage","",,"54",,"3.52","2.38","5.04","percent of total billed charges",,
"CALCIUM; SERUM","82310","HCPCS","Both",,,"6.5","3.25","Clover","Medicare Advantage","",,"54",,"3.52","2.38","5.04","percent of total billed charges",,
"CALCIUM; SERUM","82310","HCPCS","Both",,,"6.5","3.25","Wellcare","Medicare Advantage","",,"54",,"3.52","2.38","5.04","percent of total billed charges",,
"CALCIUM; SERUM","82310","HCPCS","Both",,,"6.5","3.25","Amerigroup","Medicaid Managed Care","",,"37",,"2.38","2.38","5.04","percent of total billed charges",,
"CALCIUM; SERUM","82310","HCPCS","Both",,,"6.5","3.25","Caresource","Medicaid Managed Care","",,"40",,"2.6","2.38","5.04","percent of total billed charges",,
"CALCIUM; SERUM","82310","HCPCS","Both",,,"6.5","3.25","Wellcare","Medicaid Managed Care","",,"40",,"2.63","2.38","5.04","percent of total billed charges",,
"CALCIUM; SERUM","82310","HCPCS","Both",,,"6.5","3.25","Aetna","Commercial","",,"64",,"4.15","2.38","5.04","percent of total billed charges",,
"CALCIUM; SERUM","82310","HCPCS","Both",,,"6.5","3.25","Blue Cross Blue Shield","Pathways","",,"71",,"4.59","2.38","5.04","percent of total billed charges",,
"CALCIUM; SERUM","82310","HCPCS","Both",,,"6.5","3.25","Blue Cross Blue Shield","HMO","",,"71",,"4.59","2.38","5.04","percent of total billed charges",,
"CALCIUM; SERUM","82310","HCPCS","Both",,,"6.5","3.25","Blue Cross Blue Shield","PPO","",,"71",,"4.59","2.38","5.04","percent of total billed charges",,
"CALCIUM; SERUM","82310","HCPCS","Both",,,"6.5","3.25","Ambetter","Health Exchange","",,"62",,"4.03","2.38","5.04","percent of total billed charges",,
"CALCIUM; SERUM","82310","HCPCS","Both",,,"6.5","3.25","Caresource","Health Exchange","",,"62",,"4.03","2.38","5.04","percent of total billed charges",,
"CALCIUM; SERUM","82310","HCPCS","Both",,,"6.5","3.25","Cigna","Commercial","",,"59",,"3.81","2.38","5.04","percent of total billed charges",,
"CALCIUM; SERUM","82310","HCPCS","Both",,,"6.5","3.25","Humana","Commercial","",,"78",,"5.04","2.38","5.04","percent of total billed charges",,
"CALCIUM; SERUM","82310","HCPCS","Both",,,"6.5","3.25","UHC","Commercial","",,"75",,"4.9","2.38","5.04","percent of total billed charges",,
"CALCIUM; SERUM","82310","HCPCS","Both",,,"6.5","3.25","Medicaid",,"",,"37",,"2.38","2.38","5.04","percent of total billed charges",,
"PHOSPHORUS SERUM","84100","HCPCS","Both",,,"4.5","2.25","Alliant","Health Exchange","",,"62",,"2.79","1.65","3.49","percent of total billed charges",,
"PHOSPHORUS SERUM","84100","HCPCS","Both",,,"4.5","2.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"2.43","1.65","3.49","percent of total billed charges",,
"PHOSPHORUS SERUM","84100","HCPCS","Both",,,"4.5","2.25","Medicare",,"",,"54",,"2.44","1.65","3.49","percent of total billed charges",,
"PHOSPHORUS SERUM","84100","HCPCS","Both",,,"4.5","2.25","Humana","Medicare Advantage","",,"54",,"2.44","1.65","3.49","percent of total billed charges",,
"PHOSPHORUS SERUM","84100","HCPCS","Both",,,"4.5","2.25","UHC","Medicare Advantage","",,"54",,"2.44","1.65","3.49","percent of total billed charges",,
"PHOSPHORUS SERUM","84100","HCPCS","Both",,,"4.5","2.25","Clover","Medicare Advantage","",,"54",,"2.44","1.65","3.49","percent of total billed charges",,
"PHOSPHORUS SERUM","84100","HCPCS","Both",,,"4.5","2.25","Wellcare","Medicare Advantage","",,"54",,"2.44","1.65","3.49","percent of total billed charges",,
"PHOSPHORUS SERUM","84100","HCPCS","Both",,,"4.5","2.25","Amerigroup","Medicaid Managed Care","",,"37",,"1.65","1.65","3.49","percent of total billed charges",,
"PHOSPHORUS SERUM","84100","HCPCS","Both",,,"4.5","2.25","Caresource","Medicaid Managed Care","",,"40",,"1.8","1.65","3.49","percent of total billed charges",,
"PHOSPHORUS SERUM","84100","HCPCS","Both",,,"4.5","2.25","Wellcare","Medicaid Managed Care","",,"40",,"1.82","1.65","3.49","percent of total billed charges",,
"PHOSPHORUS SERUM","84100","HCPCS","Both",,,"4.5","2.25","Aetna","Commercial","",,"64",,"2.87","1.65","3.49","percent of total billed charges",,
"PHOSPHORUS SERUM","84100","HCPCS","Both",,,"4.5","2.25","Blue Cross Blue Shield","Pathways","",,"71",,"3.18","1.65","3.49","percent of total billed charges",,
"PHOSPHORUS SERUM","84100","HCPCS","Both",,,"4.5","2.25","Blue Cross Blue Shield","HMO","",,"71",,"3.18","1.65","3.49","percent of total billed charges",,
"PHOSPHORUS SERUM","84100","HCPCS","Both",,,"4.5","2.25","Blue Cross Blue Shield","PPO","",,"71",,"3.18","1.65","3.49","percent of total billed charges",,
"PHOSPHORUS SERUM","84100","HCPCS","Both",,,"4.5","2.25","Ambetter","Health Exchange","",,"62",,"2.79","1.65","3.49","percent of total billed charges",,
"PHOSPHORUS SERUM","84100","HCPCS","Both",,,"4.5","2.25","Caresource","Health Exchange","",,"62",,"2.79","1.65","3.49","percent of total billed charges",,
"PHOSPHORUS SERUM","84100","HCPCS","Both",,,"4.5","2.25","Cigna","Commercial","",,"59",,"2.64","1.65","3.49","percent of total billed charges",,
"PHOSPHORUS SERUM","84100","HCPCS","Both",,,"4.5","2.25","Humana","Commercial","",,"78",,"3.49","1.65","3.49","percent of total billed charges",,
"PHOSPHORUS SERUM","84100","HCPCS","Both",,,"4.5","2.25","UHC","Commercial","",,"75",,"3.39","1.65","3.49","percent of total billed charges",,
"PHOSPHORUS SERUM","84100","HCPCS","Both",,,"4.5","2.25","Medicaid",,"",,"37",,"1.65","1.65","3.49","percent of total billed charges",,
"ELECTROLYTE PANEL","80051","HCPCS","Both",,,"50","25","Alliant","Health Exchange","",,"62",,"31","18.3","38.75","percent of total billed charges",,
"ELECTROLYTE PANEL","80051","HCPCS","Both",,,"50","25","Pruitt Healthcare","Medicare Advantage","",,"54",,"27","18.3","38.75","percent of total billed charges",,
"ELECTROLYTE PANEL","80051","HCPCS","Both",,,"50","25","Medicare",,"",,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"ELECTROLYTE PANEL","80051","HCPCS","Both",,,"50","25","Humana","Medicare Advantage","",,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"ELECTROLYTE PANEL","80051","HCPCS","Both",,,"50","25","UHC","Medicare Advantage","",,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"ELECTROLYTE PANEL","80051","HCPCS","Both",,,"50","25","Clover","Medicare Advantage","",,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"ELECTROLYTE PANEL","80051","HCPCS","Both",,,"50","25","Wellcare","Medicare Advantage","",,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"ELECTROLYTE PANEL","80051","HCPCS","Both",,,"50","25","Amerigroup","Medicaid Managed Care","",,"37",,"18.3","18.3","38.75","percent of total billed charges",,
"ELECTROLYTE PANEL","80051","HCPCS","Both",,,"50","25","Caresource","Medicaid Managed Care","",,"40",,"20","18.3","38.75","percent of total billed charges",,
"ELECTROLYTE PANEL","80051","HCPCS","Both",,,"50","25","Wellcare","Medicaid Managed Care","",,"40",,"20.25","18.3","38.75","percent of total billed charges",,
"ELECTROLYTE PANEL","80051","HCPCS","Both",,,"50","25","Aetna","Commercial","",,"64",,"31.9","18.3","38.75","percent of total billed charges",,
"ELECTROLYTE PANEL","80051","HCPCS","Both",,,"50","25","Blue Cross Blue Shield","Pathways","",,"71",,"35.3","18.3","38.75","percent of total billed charges",,
"ELECTROLYTE PANEL","80051","HCPCS","Both",,,"50","25","Blue Cross Blue Shield","HMO","",,"71",,"35.3","18.3","38.75","percent of total billed charges",,
"ELECTROLYTE PANEL","80051","HCPCS","Both",,,"50","25","Blue Cross Blue Shield","PPO","",,"71",,"35.3","18.3","38.75","percent of total billed charges",,
"ELECTROLYTE PANEL","80051","HCPCS","Both",,,"50","25","Ambetter","Health Exchange","",,"62",,"31","18.3","38.75","percent of total billed charges",,
"ELECTROLYTE PANEL","80051","HCPCS","Both",,,"50","25","Caresource","Health Exchange","",,"62",,"31","18.3","38.75","percent of total billed charges",,
"ELECTROLYTE PANEL","80051","HCPCS","Both",,,"50","25","Cigna","Commercial","",,"59",,"29.3","18.3","38.75","percent of total billed charges",,
"ELECTROLYTE PANEL","80051","HCPCS","Both",,,"50","25","Humana","Commercial","",,"78",,"38.75","18.3","38.75","percent of total billed charges",,
"ELECTROLYTE PANEL","80051","HCPCS","Both",,,"50","25","UHC","Commercial","",,"75",,"37.7","18.3","38.75","percent of total billed charges",,
"ELECTROLYTE PANEL","80051","HCPCS","Both",,,"50","25","Medicaid",,"",,"37",,"18.3","18.3","38.75","percent of total billed charges",,
"COMPREHENSIVE METABOLIC PANEL","80053","HCPCS","Both",,,"23","11.5","Alliant","Health Exchange","",,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"COMPREHENSIVE METABOLIC PANEL","80053","HCPCS","Both",,,"23","11.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"12.42","8.42","17.82","percent of total billed charges",,
"COMPREHENSIVE METABOLIC PANEL","80053","HCPCS","Both",,,"23","11.5","Medicare",,"",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"COMPREHENSIVE METABOLIC PANEL","80053","HCPCS","Both",,,"23","11.5","Humana","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"COMPREHENSIVE METABOLIC PANEL","80053","HCPCS","Both",,,"23","11.5","UHC","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"COMPREHENSIVE METABOLIC PANEL","80053","HCPCS","Both",,,"23","11.5","Clover","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"COMPREHENSIVE METABOLIC PANEL","80053","HCPCS","Both",,,"23","11.5","Wellcare","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"COMPREHENSIVE METABOLIC PANEL","80053","HCPCS","Both",,,"23","11.5","Amerigroup","Medicaid Managed Care","",,"37",,"8.42","8.42","17.82","percent of total billed charges",,
"COMPREHENSIVE METABOLIC PANEL","80053","HCPCS","Both",,,"23","11.5","Caresource","Medicaid Managed Care","",,"40",,"9.2","8.42","17.82","percent of total billed charges",,
"COMPREHENSIVE METABOLIC PANEL","80053","HCPCS","Both",,,"23","11.5","Wellcare","Medicaid Managed Care","",,"40",,"9.32","8.42","17.82","percent of total billed charges",,
"COMPREHENSIVE METABOLIC PANEL","80053","HCPCS","Both",,,"23","11.5","Aetna","Commercial","",,"64",,"14.67","8.42","17.82","percent of total billed charges",,
"COMPREHENSIVE METABOLIC PANEL","80053","HCPCS","Both",,,"23","11.5","Blue Cross Blue Shield","Pathways","",,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"COMPREHENSIVE METABOLIC PANEL","80053","HCPCS","Both",,,"23","11.5","Blue Cross Blue Shield","HMO","",,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"COMPREHENSIVE METABOLIC PANEL","80053","HCPCS","Both",,,"23","11.5","Blue Cross Blue Shield","PPO","",,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"COMPREHENSIVE METABOLIC PANEL","80053","HCPCS","Both",,,"23","11.5","Ambetter","Health Exchange","",,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"COMPREHENSIVE METABOLIC PANEL","80053","HCPCS","Both",,,"23","11.5","Caresource","Health Exchange","",,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"COMPREHENSIVE METABOLIC PANEL","80053","HCPCS","Both",,,"23","11.5","Cigna","Commercial","",,"59",,"13.48","8.42","17.82","percent of total billed charges",,
"COMPREHENSIVE METABOLIC PANEL","80053","HCPCS","Both",,,"23","11.5","Humana","Commercial","",,"78",,"17.82","8.42","17.82","percent of total billed charges",,
"COMPREHENSIVE METABOLIC PANEL","80053","HCPCS","Both",,,"23","11.5","UHC","Commercial","",,"75",,"17.34","8.42","17.82","percent of total billed charges",,
"COMPREHENSIVE METABOLIC PANEL","80053","HCPCS","Both",,,"23","11.5","Medicaid",,"",,"37",,"8.42","8.42","17.82","percent of total billed charges",,
"HEPARIN ANTI-Xa, LMWH","85520","HCPCS","Both",,,"94","47","Alliant","Health Exchange","",,"62",,"58.28","34.4","72.85","percent of total billed charges",,
"HEPARIN ANTI-Xa, LMWH","85520","HCPCS","Both",,,"94","47","Pruitt Healthcare","Medicare Advantage","",,"54",,"50.76","34.4","72.85","percent of total billed charges",,
"HEPARIN ANTI-Xa, LMWH","85520","HCPCS","Both",,,"94","47","Medicare",,"",,"54",,"50.95","34.4","72.85","percent of total billed charges",,
"HEPARIN ANTI-Xa, LMWH","85520","HCPCS","Both",,,"94","47","Humana","Medicare Advantage","",,"54",,"50.95","34.4","72.85","percent of total billed charges",,
"HEPARIN ANTI-Xa, LMWH","85520","HCPCS","Both",,,"94","47","UHC","Medicare Advantage","",,"54",,"50.95","34.4","72.85","percent of total billed charges",,
"HEPARIN ANTI-Xa, LMWH","85520","HCPCS","Both",,,"94","47","Clover","Medicare Advantage","",,"54",,"50.95","34.4","72.85","percent of total billed charges",,
"HEPARIN ANTI-Xa, LMWH","85520","HCPCS","Both",,,"94","47","Wellcare","Medicare Advantage","",,"54",,"50.95","34.4","72.85","percent of total billed charges",,
"HEPARIN ANTI-Xa, LMWH","85520","HCPCS","Both",,,"94","47","Amerigroup","Medicaid Managed Care","",,"37",,"34.4","34.4","72.85","percent of total billed charges",,
"HEPARIN ANTI-Xa, LMWH","85520","HCPCS","Both",,,"94","47","Caresource","Medicaid Managed Care","",,"40",,"37.6","34.4","72.85","percent of total billed charges",,
"HEPARIN ANTI-Xa, LMWH","85520","HCPCS","Both",,,"94","47","Wellcare","Medicaid Managed Care","",,"40",,"38.07","34.4","72.85","percent of total billed charges",,
"HEPARIN ANTI-Xa, LMWH","85520","HCPCS","Both",,,"94","47","Aetna","Commercial","",,"64",,"59.97","34.4","72.85","percent of total billed charges",,
"HEPARIN ANTI-Xa, LMWH","85520","HCPCS","Both",,,"94","47","Blue Cross Blue Shield","Pathways","",,"71",,"66.36","34.4","72.85","percent of total billed charges",,
"HEPARIN ANTI-Xa, LMWH","85520","HCPCS","Both",,,"94","47","Blue Cross Blue Shield","HMO","",,"71",,"66.36","34.4","72.85","percent of total billed charges",,
"HEPARIN ANTI-Xa, LMWH","85520","HCPCS","Both",,,"94","47","Blue Cross Blue Shield","PPO","",,"71",,"66.36","34.4","72.85","percent of total billed charges",,
"HEPARIN ANTI-Xa, LMWH","85520","HCPCS","Both",,,"94","47","Ambetter","Health Exchange","",,"62",,"58.28","34.4","72.85","percent of total billed charges",,
"HEPARIN ANTI-Xa, LMWH","85520","HCPCS","Both",,,"94","47","Caresource","Health Exchange","",,"62",,"58.28","34.4","72.85","percent of total billed charges",,
"HEPARIN ANTI-Xa, LMWH","85520","HCPCS","Both",,,"94","47","Cigna","Commercial","",,"59",,"55.08","34.4","72.85","percent of total billed charges",,
"HEPARIN ANTI-Xa, LMWH","85520","HCPCS","Both",,,"94","47","Humana","Commercial","",,"78",,"72.85","34.4","72.85","percent of total billed charges",,
"HEPARIN ANTI-Xa, LMWH","85520","HCPCS","Both",,,"94","47","UHC","Commercial","",,"75",,"70.88","34.4","72.85","percent of total billed charges",,
"HEPARIN ANTI-Xa, LMWH","85520","HCPCS","Both",,,"94","47","Medicaid",,"",,"37",,"34.4","34.4","72.85","percent of total billed charges",,
"MONONUCLEOSIS SCREEN, QUALITATIVE","86308","HCPCS","Both",,,"16","8","Alliant","Health Exchange","",,"62",,"9.92","5.86","12.4","percent of total billed charges",,
"MONONUCLEOSIS SCREEN, QUALITATIVE","86308","HCPCS","Both",,,"16","8","Pruitt Healthcare","Medicare Advantage","",,"54",,"8.64","5.86","12.4","percent of total billed charges",,
"MONONUCLEOSIS SCREEN, QUALITATIVE","86308","HCPCS","Both",,,"16","8","Medicare",,"",,"54",,"8.67","5.86","12.4","percent of total billed charges",,
"MONONUCLEOSIS SCREEN, QUALITATIVE","86308","HCPCS","Both",,,"16","8","Humana","Medicare Advantage","",,"54",,"8.67","5.86","12.4","percent of total billed charges",,
"MONONUCLEOSIS SCREEN, QUALITATIVE","86308","HCPCS","Both",,,"16","8","UHC","Medicare Advantage","",,"54",,"8.67","5.86","12.4","percent of total billed charges",,
"MONONUCLEOSIS SCREEN, QUALITATIVE","86308","HCPCS","Both",,,"16","8","Clover","Medicare Advantage","",,"54",,"8.67","5.86","12.4","percent of total billed charges",,
"MONONUCLEOSIS SCREEN, QUALITATIVE","86308","HCPCS","Both",,,"16","8","Wellcare","Medicare Advantage","",,"54",,"8.67","5.86","12.4","percent of total billed charges",,
"MONONUCLEOSIS SCREEN, QUALITATIVE","86308","HCPCS","Both",,,"16","8","Amerigroup","Medicaid Managed Care","",,"37",,"5.86","5.86","12.4","percent of total billed charges",,
"MONONUCLEOSIS SCREEN, QUALITATIVE","86308","HCPCS","Both",,,"16","8","Caresource","Medicaid Managed Care","",,"40",,"6.4","5.86","12.4","percent of total billed charges",,
"MONONUCLEOSIS SCREEN, QUALITATIVE","86308","HCPCS","Both",,,"16","8","Wellcare","Medicaid Managed Care","",,"40",,"6.48","5.86","12.4","percent of total billed charges",,
"MONONUCLEOSIS SCREEN, QUALITATIVE","86308","HCPCS","Both",,,"16","8","Aetna","Commercial","",,"64",,"10.21","5.86","12.4","percent of total billed charges",,
"MONONUCLEOSIS SCREEN, QUALITATIVE","86308","HCPCS","Both",,,"16","8","Blue Cross Blue Shield","Pathways","",,"71",,"11.3","5.86","12.4","percent of total billed charges",,
"MONONUCLEOSIS SCREEN, QUALITATIVE","86308","HCPCS","Both",,,"16","8","Blue Cross Blue Shield","HMO","",,"71",,"11.3","5.86","12.4","percent of total billed charges",,
"MONONUCLEOSIS SCREEN, QUALITATIVE","86308","HCPCS","Both",,,"16","8","Blue Cross Blue Shield","PPO","",,"71",,"11.3","5.86","12.4","percent of total billed charges",,
"MONONUCLEOSIS SCREEN, QUALITATIVE","86308","HCPCS","Both",,,"16","8","Ambetter","Health Exchange","",,"62",,"9.92","5.86","12.4","percent of total billed charges",,
"MONONUCLEOSIS SCREEN, QUALITATIVE","86308","HCPCS","Both",,,"16","8","Caresource","Health Exchange","",,"62",,"9.92","5.86","12.4","percent of total billed charges",,
"MONONUCLEOSIS SCREEN, QUALITATIVE","86308","HCPCS","Both",,,"16","8","Cigna","Commercial","",,"59",,"9.38","5.86","12.4","percent of total billed charges",,
"MONONUCLEOSIS SCREEN, QUALITATIVE","86308","HCPCS","Both",,,"16","8","Humana","Commercial","",,"78",,"12.4","5.86","12.4","percent of total billed charges",,
"MONONUCLEOSIS SCREEN, QUALITATIVE","86308","HCPCS","Both",,,"16","8","UHC","Commercial","",,"75",,"12.06","5.86","12.4","percent of total billed charges",,
"MONONUCLEOSIS SCREEN, QUALITATIVE","86308","HCPCS","Both",,,"16","8","Medicaid",,"",,"37",,"5.86","5.86","12.4","percent of total billed charges",,
"RHEUMATOID FACTOR TEST","86431","HCPCS","Both",,,"11.5","5.75","Alliant","Health Exchange","",,"62",,"7.13","4.21","8.91","percent of total billed charges",,
"RHEUMATOID FACTOR TEST","86431","HCPCS","Both",,,"11.5","5.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"6.21","4.21","8.91","percent of total billed charges",,
"RHEUMATOID FACTOR TEST","86431","HCPCS","Both",,,"11.5","5.75","Medicare",,"",,"54",,"6.23","4.21","8.91","percent of total billed charges",,
"RHEUMATOID FACTOR TEST","86431","HCPCS","Both",,,"11.5","5.75","Humana","Medicare Advantage","",,"54",,"6.23","4.21","8.91","percent of total billed charges",,
"RHEUMATOID FACTOR TEST","86431","HCPCS","Both",,,"11.5","5.75","UHC","Medicare Advantage","",,"54",,"6.23","4.21","8.91","percent of total billed charges",,
"RHEUMATOID FACTOR TEST","86431","HCPCS","Both",,,"11.5","5.75","Clover","Medicare Advantage","",,"54",,"6.23","4.21","8.91","percent of total billed charges",,
"RHEUMATOID FACTOR TEST","86431","HCPCS","Both",,,"11.5","5.75","Wellcare","Medicare Advantage","",,"54",,"6.23","4.21","8.91","percent of total billed charges",,
"RHEUMATOID FACTOR TEST","86431","HCPCS","Both",,,"11.5","5.75","Amerigroup","Medicaid Managed Care","",,"37",,"4.21","4.21","8.91","percent of total billed charges",,
"RHEUMATOID FACTOR TEST","86431","HCPCS","Both",,,"11.5","5.75","Caresource","Medicaid Managed Care","",,"40",,"4.6","4.21","8.91","percent of total billed charges",,
"RHEUMATOID FACTOR TEST","86431","HCPCS","Both",,,"11.5","5.75","Wellcare","Medicaid Managed Care","",,"40",,"4.66","4.21","8.91","percent of total billed charges",,
"RHEUMATOID FACTOR TEST","86431","HCPCS","Both",,,"11.5","5.75","Aetna","Commercial","",,"64",,"7.34","4.21","8.91","percent of total billed charges",,
"RHEUMATOID FACTOR TEST","86431","HCPCS","Both",,,"11.5","5.75","Blue Cross Blue Shield","Pathways","",,"71",,"8.12","4.21","8.91","percent of total billed charges",,
"RHEUMATOID FACTOR TEST","86431","HCPCS","Both",,,"11.5","5.75","Blue Cross Blue Shield","HMO","",,"71",,"8.12","4.21","8.91","percent of total billed charges",,
"RHEUMATOID FACTOR TEST","86431","HCPCS","Both",,,"11.5","5.75","Blue Cross Blue Shield","PPO","",,"71",,"8.12","4.21","8.91","percent of total billed charges",,
"RHEUMATOID FACTOR TEST","86431","HCPCS","Both",,,"11.5","5.75","Ambetter","Health Exchange","",,"62",,"7.13","4.21","8.91","percent of total billed charges",,
"RHEUMATOID FACTOR TEST","86431","HCPCS","Both",,,"11.5","5.75","Caresource","Health Exchange","",,"62",,"7.13","4.21","8.91","percent of total billed charges",,
"RHEUMATOID FACTOR TEST","86431","HCPCS","Both",,,"11.5","5.75","Cigna","Commercial","",,"59",,"6.74","4.21","8.91","percent of total billed charges",,
"RHEUMATOID FACTOR TEST","86431","HCPCS","Both",,,"11.5","5.75","Humana","Commercial","",,"78",,"8.91","4.21","8.91","percent of total billed charges",,
"RHEUMATOID FACTOR TEST","86431","HCPCS","Both",,,"11.5","5.75","UHC","Commercial","",,"75",,"8.67","4.21","8.91","percent of total billed charges",,
"RHEUMATOID FACTOR TEST","86431","HCPCS","Both",,,"11.5","5.75","Medicaid",,"",,"37",,"4.21","4.21","8.91","percent of total billed charges",,
"ANA REFLEX TO AUTOIMMUNE PANEL","86039","HCPCS","Both",,,"33.5","16.75","Alliant","Health Exchange","",,"62",,"20.77","12.26","25.96","percent of total billed charges",,
"ANA REFLEX TO AUTOIMMUNE PANEL","86039","HCPCS","Both",,,"33.5","16.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"18.09","12.26","25.96","percent of total billed charges",,
"ANA REFLEX TO AUTOIMMUNE PANEL","86039","HCPCS","Both",,,"33.5","16.75","Medicare",,"",,"54",,"18.16","12.26","25.96","percent of total billed charges",,
"ANA REFLEX TO AUTOIMMUNE PANEL","86039","HCPCS","Both",,,"33.5","16.75","Humana","Medicare Advantage","",,"54",,"18.16","12.26","25.96","percent of total billed charges",,
"ANA REFLEX TO AUTOIMMUNE PANEL","86039","HCPCS","Both",,,"33.5","16.75","UHC","Medicare Advantage","",,"54",,"18.16","12.26","25.96","percent of total billed charges",,
"ANA REFLEX TO AUTOIMMUNE PANEL","86039","HCPCS","Both",,,"33.5","16.75","Clover","Medicare Advantage","",,"54",,"18.16","12.26","25.96","percent of total billed charges",,
"ANA REFLEX TO AUTOIMMUNE PANEL","86039","HCPCS","Both",,,"33.5","16.75","Wellcare","Medicare Advantage","",,"54",,"18.16","12.26","25.96","percent of total billed charges",,
"ANA REFLEX TO AUTOIMMUNE PANEL","86039","HCPCS","Both",,,"33.5","16.75","Amerigroup","Medicaid Managed Care","",,"37",,"12.26","12.26","25.96","percent of total billed charges",,
"ANA REFLEX TO AUTOIMMUNE PANEL","86039","HCPCS","Both",,,"33.5","16.75","Caresource","Medicaid Managed Care","",,"40",,"13.4","12.26","25.96","percent of total billed charges",,
"ANA REFLEX TO AUTOIMMUNE PANEL","86039","HCPCS","Both",,,"33.5","16.75","Wellcare","Medicaid Managed Care","",,"40",,"13.57","12.26","25.96","percent of total billed charges",,
"ANA REFLEX TO AUTOIMMUNE PANEL","86039","HCPCS","Both",,,"33.5","16.75","Aetna","Commercial","",,"64",,"21.37","12.26","25.96","percent of total billed charges",,
"ANA REFLEX TO AUTOIMMUNE PANEL","86039","HCPCS","Both",,,"33.5","16.75","Blue Cross Blue Shield","Pathways","",,"71",,"23.65","12.26","25.96","percent of total billed charges",,
"ANA REFLEX TO AUTOIMMUNE PANEL","86039","HCPCS","Both",,,"33.5","16.75","Blue Cross Blue Shield","HMO","",,"71",,"23.65","12.26","25.96","percent of total billed charges",,
"ANA REFLEX TO AUTOIMMUNE PANEL","86039","HCPCS","Both",,,"33.5","16.75","Blue Cross Blue Shield","PPO","",,"71",,"23.65","12.26","25.96","percent of total billed charges",,
"ANA REFLEX TO AUTOIMMUNE PANEL","86039","HCPCS","Both",,,"33.5","16.75","Ambetter","Health Exchange","",,"62",,"20.77","12.26","25.96","percent of total billed charges",,
"ANA REFLEX TO AUTOIMMUNE PANEL","86039","HCPCS","Both",,,"33.5","16.75","Caresource","Health Exchange","",,"62",,"20.77","12.26","25.96","percent of total billed charges",,
"ANA REFLEX TO AUTOIMMUNE PANEL","86039","HCPCS","Both",,,"33.5","16.75","Cigna","Commercial","",,"59",,"19.63","12.26","25.96","percent of total billed charges",,
"ANA REFLEX TO AUTOIMMUNE PANEL","86039","HCPCS","Both",,,"33.5","16.75","Humana","Commercial","",,"78",,"25.96","12.26","25.96","percent of total billed charges",,
"ANA REFLEX TO AUTOIMMUNE PANEL","86039","HCPCS","Both",,,"33.5","16.75","UHC","Commercial","",,"75",,"25.26","12.26","25.96","percent of total billed charges",,
"ANA REFLEX TO AUTOIMMUNE PANEL","86039","HCPCS","Both",,,"33.5","16.75","Medicaid",,"",,"37",,"12.26","12.26","25.96","percent of total billed charges",,
"BODY FLUIDS, CELL COUNT","89050","HCPCS","Both",,,"35","17.5","Alliant","Health Exchange","",,"62",,"21.7","12.81","27.12","percent of total billed charges",,
"BODY FLUIDS, CELL COUNT","89050","HCPCS","Both",,,"35","17.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"18.9","12.81","27.12","percent of total billed charges",,
"BODY FLUIDS, CELL COUNT","89050","HCPCS","Both",,,"35","17.5","Medicare",,"",,"54",,"18.97","12.81","27.12","percent of total billed charges",,
"BODY FLUIDS, CELL COUNT","89050","HCPCS","Both",,,"35","17.5","Humana","Medicare Advantage","",,"54",,"18.97","12.81","27.12","percent of total billed charges",,
"BODY FLUIDS, CELL COUNT","89050","HCPCS","Both",,,"35","17.5","UHC","Medicare Advantage","",,"54",,"18.97","12.81","27.12","percent of total billed charges",,
"BODY FLUIDS, CELL COUNT","89050","HCPCS","Both",,,"35","17.5","Clover","Medicare Advantage","",,"54",,"18.97","12.81","27.12","percent of total billed charges",,
"BODY FLUIDS, CELL COUNT","89050","HCPCS","Both",,,"35","17.5","Wellcare","Medicare Advantage","",,"54",,"18.97","12.81","27.12","percent of total billed charges",,
"BODY FLUIDS, CELL COUNT","89050","HCPCS","Both",,,"35","17.5","Amerigroup","Medicaid Managed Care","",,"37",,"12.81","12.81","27.12","percent of total billed charges",,
"BODY FLUIDS, CELL COUNT","89050","HCPCS","Both",,,"35","17.5","Caresource","Medicaid Managed Care","",,"40",,"14","12.81","27.12","percent of total billed charges",,
"BODY FLUIDS, CELL COUNT","89050","HCPCS","Both",,,"35","17.5","Wellcare","Medicaid Managed Care","",,"40",,"14.18","12.81","27.12","percent of total billed charges",,
"BODY FLUIDS, CELL COUNT","89050","HCPCS","Both",,,"35","17.5","Aetna","Commercial","",,"64",,"22.33","12.81","27.12","percent of total billed charges",,
"BODY FLUIDS, CELL COUNT","89050","HCPCS","Both",,,"35","17.5","Blue Cross Blue Shield","Pathways","",,"71",,"24.71","12.81","27.12","percent of total billed charges",,
"BODY FLUIDS, CELL COUNT","89050","HCPCS","Both",,,"35","17.5","Blue Cross Blue Shield","HMO","",,"71",,"24.71","12.81","27.12","percent of total billed charges",,
"BODY FLUIDS, CELL COUNT","89050","HCPCS","Both",,,"35","17.5","Blue Cross Blue Shield","PPO","",,"71",,"24.71","12.81","27.12","percent of total billed charges",,
"BODY FLUIDS, CELL COUNT","89050","HCPCS","Both",,,"35","17.5","Ambetter","Health Exchange","",,"62",,"21.7","12.81","27.12","percent of total billed charges",,
"BODY FLUIDS, CELL COUNT","89050","HCPCS","Both",,,"35","17.5","Caresource","Health Exchange","",,"62",,"21.7","12.81","27.12","percent of total billed charges",,
"BODY FLUIDS, CELL COUNT","89050","HCPCS","Both",,,"35","17.5","Cigna","Commercial","",,"59",,"20.51","12.81","27.12","percent of total billed charges",,
"BODY FLUIDS, CELL COUNT","89050","HCPCS","Both",,,"35","17.5","Humana","Commercial","",,"78",,"27.12","12.81","27.12","percent of total billed charges",,
"BODY FLUIDS, CELL COUNT","89050","HCPCS","Both",,,"35","17.5","UHC","Commercial","",,"75",,"26.39","12.81","27.12","percent of total billed charges",,
"BODY FLUIDS, CELL COUNT","89050","HCPCS","Both",,,"35","17.5","Medicaid",,"",,"37",,"12.81","12.81","27.12","percent of total billed charges",,
"CHLORIDE; BODY FLUID","82438","HCPCS","Both",,,"36","18","Alliant","Health Exchange","",,"62",,"22.32","13.18","27.9","percent of total billed charges",,
"CHLORIDE; BODY FLUID","82438","HCPCS","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage","",,"54",,"19.44","13.18","27.9","percent of total billed charges",,
"CHLORIDE; BODY FLUID","82438","HCPCS","Both",,,"36","18","Medicare",,"",,"54",,"19.51","13.18","27.9","percent of total billed charges",,
"CHLORIDE; BODY FLUID","82438","HCPCS","Both",,,"36","18","Humana","Medicare Advantage","",,"54",,"19.51","13.18","27.9","percent of total billed charges",,
"CHLORIDE; BODY FLUID","82438","HCPCS","Both",,,"36","18","UHC","Medicare Advantage","",,"54",,"19.51","13.18","27.9","percent of total billed charges",,
"CHLORIDE; BODY FLUID","82438","HCPCS","Both",,,"36","18","Clover","Medicare Advantage","",,"54",,"19.51","13.18","27.9","percent of total billed charges",,
"CHLORIDE; BODY FLUID","82438","HCPCS","Both",,,"36","18","Wellcare","Medicare Advantage","",,"54",,"19.51","13.18","27.9","percent of total billed charges",,
"CHLORIDE; BODY FLUID","82438","HCPCS","Both",,,"36","18","Amerigroup","Medicaid Managed Care","",,"37",,"13.18","13.18","27.9","percent of total billed charges",,
"CHLORIDE; BODY FLUID","82438","HCPCS","Both",,,"36","18","Caresource","Medicaid Managed Care","",,"40",,"14.4","13.18","27.9","percent of total billed charges",,
"CHLORIDE; BODY FLUID","82438","HCPCS","Both",,,"36","18","Wellcare","Medicaid Managed Care","",,"40",,"14.58","13.18","27.9","percent of total billed charges",,
"CHLORIDE; BODY FLUID","82438","HCPCS","Both",,,"36","18","Aetna","Commercial","",,"64",,"22.97","13.18","27.9","percent of total billed charges",,
"CHLORIDE; BODY FLUID","82438","HCPCS","Both",,,"36","18","Blue Cross Blue Shield","Pathways","",,"71",,"25.42","13.18","27.9","percent of total billed charges",,
"CHLORIDE; BODY FLUID","82438","HCPCS","Both",,,"36","18","Blue Cross Blue Shield","HMO","",,"71",,"25.42","13.18","27.9","percent of total billed charges",,
"CHLORIDE; BODY FLUID","82438","HCPCS","Both",,,"36","18","Blue Cross Blue Shield","PPO","",,"71",,"25.42","13.18","27.9","percent of total billed charges",,
"CHLORIDE; BODY FLUID","82438","HCPCS","Both",,,"36","18","Ambetter","Health Exchange","",,"62",,"22.32","13.18","27.9","percent of total billed charges",,
"CHLORIDE; BODY FLUID","82438","HCPCS","Both",,,"36","18","Caresource","Health Exchange","",,"62",,"22.32","13.18","27.9","percent of total billed charges",,
"CHLORIDE; BODY FLUID","82438","HCPCS","Both",,,"36","18","Cigna","Commercial","",,"59",,"21.1","13.18","27.9","percent of total billed charges",,
"CHLORIDE; BODY FLUID","82438","HCPCS","Both",,,"36","18","Humana","Commercial","",,"78",,"27.9","13.18","27.9","percent of total billed charges",,
"CHLORIDE; BODY FLUID","82438","HCPCS","Both",,,"36","18","UHC","Commercial","",,"75",,"27.14","13.18","27.9","percent of total billed charges",,
"CHLORIDE; BODY FLUID","82438","HCPCS","Both",,,"36","18","Medicaid",,"",,"37",,"13.18","13.18","27.9","percent of total billed charges",,
"STOOL CULTURE:S,S,E TOXIN1,2,CAMPY","87045","HCPCS","Both",,,"19","9.5","Alliant","Health Exchange","",,"62",,"11.78","6.95","14.72","percent of total billed charges",,
"STOOL CULTURE:S,S,E TOXIN1,2,CAMPY","87045","HCPCS","Both",,,"19","9.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"10.26","6.95","14.72","percent of total billed charges",,
"STOOL CULTURE:S,S,E TOXIN1,2,CAMPY","87045","HCPCS","Both",,,"19","9.5","Medicare",,"",,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"STOOL CULTURE:S,S,E TOXIN1,2,CAMPY","87045","HCPCS","Both",,,"19","9.5","Humana","Medicare Advantage","",,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"STOOL CULTURE:S,S,E TOXIN1,2,CAMPY","87045","HCPCS","Both",,,"19","9.5","UHC","Medicare Advantage","",,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"STOOL CULTURE:S,S,E TOXIN1,2,CAMPY","87045","HCPCS","Both",,,"19","9.5","Clover","Medicare Advantage","",,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"STOOL CULTURE:S,S,E TOXIN1,2,CAMPY","87045","HCPCS","Both",,,"19","9.5","Wellcare","Medicare Advantage","",,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"STOOL CULTURE:S,S,E TOXIN1,2,CAMPY","87045","HCPCS","Both",,,"19","9.5","Amerigroup","Medicaid Managed Care","",,"37",,"6.95","6.95","14.72","percent of total billed charges",,
"STOOL CULTURE:S,S,E TOXIN1,2,CAMPY","87045","HCPCS","Both",,,"19","9.5","Caresource","Medicaid Managed Care","",,"40",,"7.6","6.95","14.72","percent of total billed charges",,
"STOOL CULTURE:S,S,E TOXIN1,2,CAMPY","87045","HCPCS","Both",,,"19","9.5","Wellcare","Medicaid Managed Care","",,"40",,"7.7","6.95","14.72","percent of total billed charges",,
"STOOL CULTURE:S,S,E TOXIN1,2,CAMPY","87045","HCPCS","Both",,,"19","9.5","Aetna","Commercial","",,"64",,"12.12","6.95","14.72","percent of total billed charges",,
"STOOL CULTURE:S,S,E TOXIN1,2,CAMPY","87045","HCPCS","Both",,,"19","9.5","Blue Cross Blue Shield","Pathways","",,"71",,"13.41","6.95","14.72","percent of total billed charges",,
"STOOL CULTURE:S,S,E TOXIN1,2,CAMPY","87045","HCPCS","Both",,,"19","9.5","Blue Cross Blue Shield","HMO","",,"71",,"13.41","6.95","14.72","percent of total billed charges",,
"STOOL CULTURE:S,S,E TOXIN1,2,CAMPY","87045","HCPCS","Both",,,"19","9.5","Blue Cross Blue Shield","PPO","",,"71",,"13.41","6.95","14.72","percent of total billed charges",,
"STOOL CULTURE:S,S,E TOXIN1,2,CAMPY","87045","HCPCS","Both",,,"19","9.5","Ambetter","Health Exchange","",,"62",,"11.78","6.95","14.72","percent of total billed charges",,
"STOOL CULTURE:S,S,E TOXIN1,2,CAMPY","87045","HCPCS","Both",,,"19","9.5","Caresource","Health Exchange","",,"62",,"11.78","6.95","14.72","percent of total billed charges",,
"STOOL CULTURE:S,S,E TOXIN1,2,CAMPY","87045","HCPCS","Both",,,"19","9.5","Cigna","Commercial","",,"59",,"11.13","6.95","14.72","percent of total billed charges",,
"STOOL CULTURE:S,S,E TOXIN1,2,CAMPY","87045","HCPCS","Both",,,"19","9.5","Humana","Commercial","",,"78",,"14.72","6.95","14.72","percent of total billed charges",,
"STOOL CULTURE:S,S,E TOXIN1,2,CAMPY","87045","HCPCS","Both",,,"19","9.5","UHC","Commercial","",,"75",,"14.33","6.95","14.72","percent of total billed charges",,
"STOOL CULTURE:S,S,E TOXIN1,2,CAMPY","87045","HCPCS","Both",,,"19","9.5","Medicaid",,"",,"37",,"6.95","6.95","14.72","percent of total billed charges",,
"GRAM STAIN","87205","HCPCS","Both",,,"5.5","2.75","Alliant","Health Exchange","",,"62",,"3.41","2.01","4.26","percent of total billed charges",,
"GRAM STAIN","87205","HCPCS","Both",,,"5.5","2.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"2.97","2.01","4.26","percent of total billed charges",,
"GRAM STAIN","87205","HCPCS","Both",,,"5.5","2.75","Medicare",,"",,"54",,"2.98","2.01","4.26","percent of total billed charges",,
"GRAM STAIN","87205","HCPCS","Both",,,"5.5","2.75","Humana","Medicare Advantage","",,"54",,"2.98","2.01","4.26","percent of total billed charges",,
"GRAM STAIN","87205","HCPCS","Both",,,"5.5","2.75","UHC","Medicare Advantage","",,"54",,"2.98","2.01","4.26","percent of total billed charges",,
"GRAM STAIN","87205","HCPCS","Both",,,"5.5","2.75","Clover","Medicare Advantage","",,"54",,"2.98","2.01","4.26","percent of total billed charges",,
"GRAM STAIN","87205","HCPCS","Both",,,"5.5","2.75","Wellcare","Medicare Advantage","",,"54",,"2.98","2.01","4.26","percent of total billed charges",,
"GRAM STAIN","87205","HCPCS","Both",,,"5.5","2.75","Amerigroup","Medicaid Managed Care","",,"37",,"2.01","2.01","4.26","percent of total billed charges",,
"GRAM STAIN","87205","HCPCS","Both",,,"5.5","2.75","Caresource","Medicaid Managed Care","",,"40",,"2.2","2.01","4.26","percent of total billed charges",,
"GRAM STAIN","87205","HCPCS","Both",,,"5.5","2.75","Wellcare","Medicaid Managed Care","",,"40",,"2.23","2.01","4.26","percent of total billed charges",,
"GRAM STAIN","87205","HCPCS","Both",,,"5.5","2.75","Aetna","Commercial","",,"64",,"3.51","2.01","4.26","percent of total billed charges",,
"GRAM STAIN","87205","HCPCS","Both",,,"5.5","2.75","Blue Cross Blue Shield","Pathways","",,"71",,"3.88","2.01","4.26","percent of total billed charges",,
"GRAM STAIN","87205","HCPCS","Both",,,"5.5","2.75","Blue Cross Blue Shield","HMO","",,"71",,"3.88","2.01","4.26","percent of total billed charges",,
"GRAM STAIN","87205","HCPCS","Both",,,"5.5","2.75","Blue Cross Blue Shield","PPO","",,"71",,"3.88","2.01","4.26","percent of total billed charges",,
"GRAM STAIN","87205","HCPCS","Both",,,"5.5","2.75","Ambetter","Health Exchange","",,"62",,"3.41","2.01","4.26","percent of total billed charges",,
"GRAM STAIN","87205","HCPCS","Both",,,"5.5","2.75","Caresource","Health Exchange","",,"62",,"3.41","2.01","4.26","percent of total billed charges",,
"GRAM STAIN","87205","HCPCS","Both",,,"5.5","2.75","Cigna","Commercial","",,"59",,"3.22","2.01","4.26","percent of total billed charges",,
"GRAM STAIN","87205","HCPCS","Both",,,"5.5","2.75","Humana","Commercial","",,"78",,"4.26","2.01","4.26","percent of total billed charges",,
"GRAM STAIN","87205","HCPCS","Both",,,"5.5","2.75","UHC","Commercial","",,"75",,"4.15","2.01","4.26","percent of total billed charges",,
"GRAM STAIN","87205","HCPCS","Both",,,"5.5","2.75","Medicaid",,"",,"37",,"2.01","2.01","4.26","percent of total billed charges",,
"NEISSERIA GONORRHOEAE, AMPLIFIED URINE","87591","HCPCS","Both",,,"108.8","54.4","Alliant","Health Exchange","",,"62",,"67.46","39.82","84.32","percent of total billed charges",,
"NEISSERIA GONORRHOEAE, AMPLIFIED URINE","87591","HCPCS","Both",,,"108.8","54.4","Pruitt Healthcare","Medicare Advantage","",,"54",,"58.75","39.82","84.32","percent of total billed charges",,
"NEISSERIA GONORRHOEAE, AMPLIFIED URINE","87591","HCPCS","Both",,,"108.8","54.4","Medicare",,"",,"54",,"58.97","39.82","84.32","percent of total billed charges",,
"NEISSERIA GONORRHOEAE, AMPLIFIED URINE","87591","HCPCS","Both",,,"108.8","54.4","Humana","Medicare Advantage","",,"54",,"58.97","39.82","84.32","percent of total billed charges",,
"NEISSERIA GONORRHOEAE, AMPLIFIED URINE","87591","HCPCS","Both",,,"108.8","54.4","UHC","Medicare Advantage","",,"54",,"58.97","39.82","84.32","percent of total billed charges",,
"NEISSERIA GONORRHOEAE, AMPLIFIED URINE","87591","HCPCS","Both",,,"108.8","54.4","Clover","Medicare Advantage","",,"54",,"58.97","39.82","84.32","percent of total billed charges",,
"NEISSERIA GONORRHOEAE, AMPLIFIED URINE","87591","HCPCS","Both",,,"108.8","54.4","Wellcare","Medicare Advantage","",,"54",,"58.97","39.82","84.32","percent of total billed charges",,
"NEISSERIA GONORRHOEAE, AMPLIFIED URINE","87591","HCPCS","Both",,,"108.8","54.4","Amerigroup","Medicaid Managed Care","",,"37",,"39.82","39.82","84.32","percent of total billed charges",,
"NEISSERIA GONORRHOEAE, AMPLIFIED URINE","87591","HCPCS","Both",,,"108.8","54.4","Caresource","Medicaid Managed Care","",,"40",,"43.52","39.82","84.32","percent of total billed charges",,
"NEISSERIA GONORRHOEAE, AMPLIFIED URINE","87591","HCPCS","Both",,,"108.8","54.4","Wellcare","Medicaid Managed Care","",,"40",,"44.06","39.82","84.32","percent of total billed charges",,
"NEISSERIA GONORRHOEAE, AMPLIFIED URINE","87591","HCPCS","Both",,,"108.8","54.4","Aetna","Commercial","",,"64",,"69.41","39.82","84.32","percent of total billed charges",,
"NEISSERIA GONORRHOEAE, AMPLIFIED URINE","87591","HCPCS","Both",,,"108.8","54.4","Blue Cross Blue Shield","Pathways","",,"71",,"76.81","39.82","84.32","percent of total billed charges",,
"NEISSERIA GONORRHOEAE, AMPLIFIED URINE","87591","HCPCS","Both",,,"108.8","54.4","Blue Cross Blue Shield","HMO","",,"71",,"76.81","39.82","84.32","percent of total billed charges",,
"NEISSERIA GONORRHOEAE, AMPLIFIED URINE","87591","HCPCS","Both",,,"108.8","54.4","Blue Cross Blue Shield","PPO","",,"71",,"76.81","39.82","84.32","percent of total billed charges",,
"NEISSERIA GONORRHOEAE, AMPLIFIED URINE","87591","HCPCS","Both",,,"108.8","54.4","Ambetter","Health Exchange","",,"62",,"67.46","39.82","84.32","percent of total billed charges",,
"NEISSERIA GONORRHOEAE, AMPLIFIED URINE","87591","HCPCS","Both",,,"108.8","54.4","Caresource","Health Exchange","",,"62",,"67.46","39.82","84.32","percent of total billed charges",,
"NEISSERIA GONORRHOEAE, AMPLIFIED URINE","87591","HCPCS","Both",,,"108.8","54.4","Cigna","Commercial","",,"59",,"63.76","39.82","84.32","percent of total billed charges",,
"NEISSERIA GONORRHOEAE, AMPLIFIED URINE","87591","HCPCS","Both",,,"108.8","54.4","Humana","Commercial","",,"78",,"84.32","39.82","84.32","percent of total billed charges",,
"NEISSERIA GONORRHOEAE, AMPLIFIED URINE","87591","HCPCS","Both",,,"108.8","54.4","UHC","Commercial","",,"75",,"82.04","39.82","84.32","percent of total billed charges",,
"NEISSERIA GONORRHOEAE, AMPLIFIED URINE","87591","HCPCS","Both",,,"108.8","54.4","Medicaid",,"",,"37",,"39.82","39.82","84.32","percent of total billed charges",,
"CULTURE,TUBERCLE OR ACID-FAST BACILLI","87116","HCPCS","Both",,,"52.5","26.25","Alliant","Health Exchange","",,"62",,"32.55","19.22","40.69","percent of total billed charges",,
"CULTURE,TUBERCLE OR ACID-FAST BACILLI","87116","HCPCS","Both",,,"52.5","26.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"28.35","19.22","40.69","percent of total billed charges",,
"CULTURE,TUBERCLE OR ACID-FAST BACILLI","87116","HCPCS","Both",,,"52.5","26.25","Medicare",,"",,"54",,"28.46","19.22","40.69","percent of total billed charges",,
"CULTURE,TUBERCLE OR ACID-FAST BACILLI","87116","HCPCS","Both",,,"52.5","26.25","Humana","Medicare Advantage","",,"54",,"28.46","19.22","40.69","percent of total billed charges",,
"CULTURE,TUBERCLE OR ACID-FAST BACILLI","87116","HCPCS","Both",,,"52.5","26.25","UHC","Medicare Advantage","",,"54",,"28.46","19.22","40.69","percent of total billed charges",,
"CULTURE,TUBERCLE OR ACID-FAST BACILLI","87116","HCPCS","Both",,,"52.5","26.25","Clover","Medicare Advantage","",,"54",,"28.46","19.22","40.69","percent of total billed charges",,
"CULTURE,TUBERCLE OR ACID-FAST BACILLI","87116","HCPCS","Both",,,"52.5","26.25","Wellcare","Medicare Advantage","",,"54",,"28.46","19.22","40.69","percent of total billed charges",,
"CULTURE,TUBERCLE OR ACID-FAST BACILLI","87116","HCPCS","Both",,,"52.5","26.25","Amerigroup","Medicaid Managed Care","",,"37",,"19.22","19.22","40.69","percent of total billed charges",,
"CULTURE,TUBERCLE OR ACID-FAST BACILLI","87116","HCPCS","Both",,,"52.5","26.25","Caresource","Medicaid Managed Care","",,"40",,"21","19.22","40.69","percent of total billed charges",,
"CULTURE,TUBERCLE OR ACID-FAST BACILLI","87116","HCPCS","Both",,,"52.5","26.25","Wellcare","Medicaid Managed Care","",,"40",,"21.26","19.22","40.69","percent of total billed charges",,
"CULTURE,TUBERCLE OR ACID-FAST BACILLI","87116","HCPCS","Both",,,"52.5","26.25","Aetna","Commercial","",,"64",,"33.49","19.22","40.69","percent of total billed charges",,
"CULTURE,TUBERCLE OR ACID-FAST BACILLI","87116","HCPCS","Both",,,"52.5","26.25","Blue Cross Blue Shield","Pathways","",,"71",,"37.06","19.22","40.69","percent of total billed charges",,
"CULTURE,TUBERCLE OR ACID-FAST BACILLI","87116","HCPCS","Both",,,"52.5","26.25","Blue Cross Blue Shield","HMO","",,"71",,"37.06","19.22","40.69","percent of total billed charges",,
"CULTURE,TUBERCLE OR ACID-FAST BACILLI","87116","HCPCS","Both",,,"52.5","26.25","Blue Cross Blue Shield","PPO","",,"71",,"37.06","19.22","40.69","percent of total billed charges",,
"CULTURE,TUBERCLE OR ACID-FAST BACILLI","87116","HCPCS","Both",,,"52.5","26.25","Ambetter","Health Exchange","",,"62",,"32.55","19.22","40.69","percent of total billed charges",,
"CULTURE,TUBERCLE OR ACID-FAST BACILLI","87116","HCPCS","Both",,,"52.5","26.25","Caresource","Health Exchange","",,"62",,"32.55","19.22","40.69","percent of total billed charges",,
"CULTURE,TUBERCLE OR ACID-FAST BACILLI","87116","HCPCS","Both",,,"52.5","26.25","Cigna","Commercial","",,"59",,"30.76","19.22","40.69","percent of total billed charges",,
"CULTURE,TUBERCLE OR ACID-FAST BACILLI","87116","HCPCS","Both",,,"52.5","26.25","Humana","Commercial","",,"78",,"40.69","19.22","40.69","percent of total billed charges",,
"CULTURE,TUBERCLE OR ACID-FAST BACILLI","87116","HCPCS","Both",,,"52.5","26.25","UHC","Commercial","",,"75",,"39.58","19.22","40.69","percent of total billed charges",,
"CULTURE,TUBERCLE OR ACID-FAST BACILLI","87116","HCPCS","Both",,,"52.5","26.25","Medicaid",,"",,"37",,"19.22","19.22","40.69","percent of total billed charges",,
"CULTURE BLOOD SET #1","87040","HCPCS","Both",,,"15.5","7.75","Alliant","Health Exchange","",,"62",,"9.61","5.67","12.01","percent of total billed charges",,
"CULTURE BLOOD SET #1","87040","HCPCS","Both",,,"15.5","7.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"8.37","5.67","12.01","percent of total billed charges",,
"CULTURE BLOOD SET #1","87040","HCPCS","Both",,,"15.5","7.75","Medicare",,"",,"54",,"8.4","5.67","12.01","percent of total billed charges",,
"CULTURE BLOOD SET #1","87040","HCPCS","Both",,,"15.5","7.75","Humana","Medicare Advantage","",,"54",,"8.4","5.67","12.01","percent of total billed charges",,
"CULTURE BLOOD SET #1","87040","HCPCS","Both",,,"15.5","7.75","UHC","Medicare Advantage","",,"54",,"8.4","5.67","12.01","percent of total billed charges",,
"CULTURE BLOOD SET #1","87040","HCPCS","Both",,,"15.5","7.75","Clover","Medicare Advantage","",,"54",,"8.4","5.67","12.01","percent of total billed charges",,
"CULTURE BLOOD SET #1","87040","HCPCS","Both",,,"15.5","7.75","Wellcare","Medicare Advantage","",,"54",,"8.4","5.67","12.01","percent of total billed charges",,
"CULTURE BLOOD SET #1","87040","HCPCS","Both",,,"15.5","7.75","Amerigroup","Medicaid Managed Care","",,"37",,"5.67","5.67","12.01","percent of total billed charges",,
"CULTURE BLOOD SET #1","87040","HCPCS","Both",,,"15.5","7.75","Caresource","Medicaid Managed Care","",,"40",,"6.2","5.67","12.01","percent of total billed charges",,
"CULTURE BLOOD SET #1","87040","HCPCS","Both",,,"15.5","7.75","Wellcare","Medicaid Managed Care","",,"40",,"6.28","5.67","12.01","percent of total billed charges",,
"CULTURE BLOOD SET #1","87040","HCPCS","Both",,,"15.5","7.75","Aetna","Commercial","",,"64",,"9.89","5.67","12.01","percent of total billed charges",,
"CULTURE BLOOD SET #1","87040","HCPCS","Both",,,"15.5","7.75","Blue Cross Blue Shield","Pathways","",,"71",,"10.94","5.67","12.01","percent of total billed charges",,
"CULTURE BLOOD SET #1","87040","HCPCS","Both",,,"15.5","7.75","Blue Cross Blue Shield","HMO","",,"71",,"10.94","5.67","12.01","percent of total billed charges",,
"CULTURE BLOOD SET #1","87040","HCPCS","Both",,,"15.5","7.75","Blue Cross Blue Shield","PPO","",,"71",,"10.94","5.67","12.01","percent of total billed charges",,
"CULTURE BLOOD SET #1","87040","HCPCS","Both",,,"15.5","7.75","Ambetter","Health Exchange","",,"62",,"9.61","5.67","12.01","percent of total billed charges",,
"CULTURE BLOOD SET #1","87040","HCPCS","Both",,,"15.5","7.75","Caresource","Health Exchange","",,"62",,"9.61","5.67","12.01","percent of total billed charges",,
"CULTURE BLOOD SET #1","87040","HCPCS","Both",,,"15.5","7.75","Cigna","Commercial","",,"59",,"9.08","5.67","12.01","percent of total billed charges",,
"CULTURE BLOOD SET #1","87040","HCPCS","Both",,,"15.5","7.75","Humana","Commercial","",,"78",,"12.01","5.67","12.01","percent of total billed charges",,
"CULTURE BLOOD SET #1","87040","HCPCS","Both",,,"15.5","7.75","UHC","Commercial","",,"75",,"11.69","5.67","12.01","percent of total billed charges",,
"CULTURE BLOOD SET #1","87040","HCPCS","Both",,,"15.5","7.75","Medicaid",,"",,"37",,"5.67","5.67","12.01","percent of total billed charges",,
"CULTURE ANAEROBE","87075","HCPCS","Both",,,"12","6","Alliant","Health Exchange","",,"62",,"7.44","4.39","9.3","percent of total billed charges",,
"CULTURE ANAEROBE","87075","HCPCS","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage","",,"54",,"6.48","4.39","9.3","percent of total billed charges",,
"CULTURE ANAEROBE","87075","HCPCS","Both",,,"12","6","Medicare",,"",,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"CULTURE ANAEROBE","87075","HCPCS","Both",,,"12","6","Humana","Medicare Advantage","",,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"CULTURE ANAEROBE","87075","HCPCS","Both",,,"12","6","UHC","Medicare Advantage","",,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"CULTURE ANAEROBE","87075","HCPCS","Both",,,"12","6","Clover","Medicare Advantage","",,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"CULTURE ANAEROBE","87075","HCPCS","Both",,,"12","6","Wellcare","Medicare Advantage","",,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"CULTURE ANAEROBE","87075","HCPCS","Both",,,"12","6","Amerigroup","Medicaid Managed Care","",,"37",,"4.39","4.39","9.3","percent of total billed charges",,
"CULTURE ANAEROBE","87075","HCPCS","Both",,,"12","6","Caresource","Medicaid Managed Care","",,"40",,"4.8","4.39","9.3","percent of total billed charges",,
"CULTURE ANAEROBE","87075","HCPCS","Both",,,"12","6","Wellcare","Medicaid Managed Care","",,"40",,"4.86","4.39","9.3","percent of total billed charges",,
"CULTURE ANAEROBE","87075","HCPCS","Both",,,"12","6","Aetna","Commercial","",,"64",,"7.66","4.39","9.3","percent of total billed charges",,
"CULTURE ANAEROBE","87075","HCPCS","Both",,,"12","6","Blue Cross Blue Shield","Pathways","",,"71",,"8.47","4.39","9.3","percent of total billed charges",,
"CULTURE ANAEROBE","87075","HCPCS","Both",,,"12","6","Blue Cross Blue Shield","HMO","",,"71",,"8.47","4.39","9.3","percent of total billed charges",,
"CULTURE ANAEROBE","87075","HCPCS","Both",,,"12","6","Blue Cross Blue Shield","PPO","",,"71",,"8.47","4.39","9.3","percent of total billed charges",,
"CULTURE ANAEROBE","87075","HCPCS","Both",,,"12","6","Ambetter","Health Exchange","",,"62",,"7.44","4.39","9.3","percent of total billed charges",,
"CULTURE ANAEROBE","87075","HCPCS","Both",,,"12","6","Caresource","Health Exchange","",,"62",,"7.44","4.39","9.3","percent of total billed charges",,
"CULTURE ANAEROBE","87075","HCPCS","Both",,,"12","6","Cigna","Commercial","",,"59",,"7.03","4.39","9.3","percent of total billed charges",,
"CULTURE ANAEROBE","87075","HCPCS","Both",,,"12","6","Humana","Commercial","",,"78",,"9.3","4.39","9.3","percent of total billed charges",,
"CULTURE ANAEROBE","87075","HCPCS","Both",,,"12","6","UHC","Commercial","",,"75",,"9.05","4.39","9.3","percent of total billed charges",,
"CULTURE ANAEROBE","87075","HCPCS","Both",,,"12","6","Medicaid",,"",,"37",,"4.39","4.39","9.3","percent of total billed charges",,
"CULTURE FUNGAL, NON-BLOOD OR SKIN","87102","HCPCS","Both",,,"61.5","30.75","Alliant","Health Exchange","",,"62",,"38.13","22.51","47.66","percent of total billed charges",,
"CULTURE FUNGAL, NON-BLOOD OR SKIN","87102","HCPCS","Both",,,"61.5","30.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"33.21","22.51","47.66","percent of total billed charges",,
"CULTURE FUNGAL, NON-BLOOD OR SKIN","87102","HCPCS","Both",,,"61.5","30.75","Medicare",,"",,"54",,"33.33","22.51","47.66","percent of total billed charges",,
"CULTURE FUNGAL, NON-BLOOD OR SKIN","87102","HCPCS","Both",,,"61.5","30.75","Humana","Medicare Advantage","",,"54",,"33.33","22.51","47.66","percent of total billed charges",,
"CULTURE FUNGAL, NON-BLOOD OR SKIN","87102","HCPCS","Both",,,"61.5","30.75","UHC","Medicare Advantage","",,"54",,"33.33","22.51","47.66","percent of total billed charges",,
"CULTURE FUNGAL, NON-BLOOD OR SKIN","87102","HCPCS","Both",,,"61.5","30.75","Clover","Medicare Advantage","",,"54",,"33.33","22.51","47.66","percent of total billed charges",,
"CULTURE FUNGAL, NON-BLOOD OR SKIN","87102","HCPCS","Both",,,"61.5","30.75","Wellcare","Medicare Advantage","",,"54",,"33.33","22.51","47.66","percent of total billed charges",,
"CULTURE FUNGAL, NON-BLOOD OR SKIN","87102","HCPCS","Both",,,"61.5","30.75","Amerigroup","Medicaid Managed Care","",,"37",,"22.51","22.51","47.66","percent of total billed charges",,
"CULTURE FUNGAL, NON-BLOOD OR SKIN","87102","HCPCS","Both",,,"61.5","30.75","Caresource","Medicaid Managed Care","",,"40",,"24.6","22.51","47.66","percent of total billed charges",,
"CULTURE FUNGAL, NON-BLOOD OR SKIN","87102","HCPCS","Both",,,"61.5","30.75","Wellcare","Medicaid Managed Care","",,"40",,"24.91","22.51","47.66","percent of total billed charges",,
"CULTURE FUNGAL, NON-BLOOD OR SKIN","87102","HCPCS","Both",,,"61.5","30.75","Aetna","Commercial","",,"64",,"39.24","22.51","47.66","percent of total billed charges",,
"CULTURE FUNGAL, NON-BLOOD OR SKIN","87102","HCPCS","Both",,,"61.5","30.75","Blue Cross Blue Shield","Pathways","",,"71",,"43.42","22.51","47.66","percent of total billed charges",,
"CULTURE FUNGAL, NON-BLOOD OR SKIN","87102","HCPCS","Both",,,"61.5","30.75","Blue Cross Blue Shield","HMO","",,"71",,"43.42","22.51","47.66","percent of total billed charges",,
"CULTURE FUNGAL, NON-BLOOD OR SKIN","87102","HCPCS","Both",,,"61.5","30.75","Blue Cross Blue Shield","PPO","",,"71",,"43.42","22.51","47.66","percent of total billed charges",,
"CULTURE FUNGAL, NON-BLOOD OR SKIN","87102","HCPCS","Both",,,"61.5","30.75","Ambetter","Health Exchange","",,"62",,"38.13","22.51","47.66","percent of total billed charges",,
"CULTURE FUNGAL, NON-BLOOD OR SKIN","87102","HCPCS","Both",,,"61.5","30.75","Caresource","Health Exchange","",,"62",,"38.13","22.51","47.66","percent of total billed charges",,
"CULTURE FUNGAL, NON-BLOOD OR SKIN","87102","HCPCS","Both",,,"61.5","30.75","Cigna","Commercial","",,"59",,"36.04","22.51","47.66","percent of total billed charges",,
"CULTURE FUNGAL, NON-BLOOD OR SKIN","87102","HCPCS","Both",,,"61.5","30.75","Humana","Commercial","",,"78",,"47.66","22.51","47.66","percent of total billed charges",,
"CULTURE FUNGAL, NON-BLOOD OR SKIN","87102","HCPCS","Both",,,"61.5","30.75","UHC","Commercial","",,"75",,"46.37","22.51","47.66","percent of total billed charges",,
"CULTURE FUNGAL, NON-BLOOD OR SKIN","87102","HCPCS","Both",,,"61.5","30.75","Medicaid",,"",,"37",,"22.51","22.51","47.66","percent of total billed charges",,
"OVA & PARASITES MICROSCOPIC","87177","HCPCS","Both",,,"26.5","13.25","Alliant","Health Exchange","",,"62",,"16.43","9.7","20.54","percent of total billed charges",,
"OVA & PARASITES MICROSCOPIC","87177","HCPCS","Both",,,"26.5","13.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"14.31","9.7","20.54","percent of total billed charges",,
"OVA & PARASITES MICROSCOPIC","87177","HCPCS","Both",,,"26.5","13.25","Medicare",,"",,"54",,"14.36","9.7","20.54","percent of total billed charges",,
"OVA & PARASITES MICROSCOPIC","87177","HCPCS","Both",,,"26.5","13.25","Humana","Medicare Advantage","",,"54",,"14.36","9.7","20.54","percent of total billed charges",,
"OVA & PARASITES MICROSCOPIC","87177","HCPCS","Both",,,"26.5","13.25","UHC","Medicare Advantage","",,"54",,"14.36","9.7","20.54","percent of total billed charges",,
"OVA & PARASITES MICROSCOPIC","87177","HCPCS","Both",,,"26.5","13.25","Clover","Medicare Advantage","",,"54",,"14.36","9.7","20.54","percent of total billed charges",,
"OVA & PARASITES MICROSCOPIC","87177","HCPCS","Both",,,"26.5","13.25","Wellcare","Medicare Advantage","",,"54",,"14.36","9.7","20.54","percent of total billed charges",,
"OVA & PARASITES MICROSCOPIC","87177","HCPCS","Both",,,"26.5","13.25","Amerigroup","Medicaid Managed Care","",,"37",,"9.7","9.7","20.54","percent of total billed charges",,
"OVA & PARASITES MICROSCOPIC","87177","HCPCS","Both",,,"26.5","13.25","Caresource","Medicaid Managed Care","",,"40",,"10.6","9.7","20.54","percent of total billed charges",,
"OVA & PARASITES MICROSCOPIC","87177","HCPCS","Both",,,"26.5","13.25","Wellcare","Medicaid Managed Care","",,"40",,"10.73","9.7","20.54","percent of total billed charges",,
"OVA & PARASITES MICROSCOPIC","87177","HCPCS","Both",,,"26.5","13.25","Aetna","Commercial","",,"64",,"16.91","9.7","20.54","percent of total billed charges",,
"OVA & PARASITES MICROSCOPIC","87177","HCPCS","Both",,,"26.5","13.25","Blue Cross Blue Shield","Pathways","",,"71",,"18.71","9.7","20.54","percent of total billed charges",,
"OVA & PARASITES MICROSCOPIC","87177","HCPCS","Both",,,"26.5","13.25","Blue Cross Blue Shield","HMO","",,"71",,"18.71","9.7","20.54","percent of total billed charges",,
"OVA & PARASITES MICROSCOPIC","87177","HCPCS","Both",,,"26.5","13.25","Blue Cross Blue Shield","PPO","",,"71",,"18.71","9.7","20.54","percent of total billed charges",,
"OVA & PARASITES MICROSCOPIC","87177","HCPCS","Both",,,"26.5","13.25","Ambetter","Health Exchange","",,"62",,"16.43","9.7","20.54","percent of total billed charges",,
"OVA & PARASITES MICROSCOPIC","87177","HCPCS","Both",,,"26.5","13.25","Caresource","Health Exchange","",,"62",,"16.43","9.7","20.54","percent of total billed charges",,
"OVA & PARASITES MICROSCOPIC","87177","HCPCS","Both",,,"26.5","13.25","Cigna","Commercial","",,"59",,"15.53","9.7","20.54","percent of total billed charges",,
"OVA & PARASITES MICROSCOPIC","87177","HCPCS","Both",,,"26.5","13.25","Humana","Commercial","",,"78",,"20.54","9.7","20.54","percent of total billed charges",,
"OVA & PARASITES MICROSCOPIC","87177","HCPCS","Both",,,"26.5","13.25","UHC","Commercial","",,"75",,"19.98","9.7","20.54","percent of total billed charges",,
"OVA & PARASITES MICROSCOPIC","87177","HCPCS","Both",,,"26.5","13.25","Medicaid",,"",,"37",,"9.7","9.7","20.54","percent of total billed charges",,
"OCCULT BLOOD,FECES1-3","82272","HCPCS","Both",,,"6","3","Alliant","Health Exchange","",,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"OCCULT BLOOD,FECES1-3","82272","HCPCS","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage","",,"54",,"3.24","2.2","4.65","percent of total billed charges",,
"OCCULT BLOOD,FECES1-3","82272","HCPCS","Both",,,"6","3","Medicare",,"",,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"OCCULT BLOOD,FECES1-3","82272","HCPCS","Both",,,"6","3","Humana","Medicare Advantage","",,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"OCCULT BLOOD,FECES1-3","82272","HCPCS","Both",,,"6","3","UHC","Medicare Advantage","",,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"OCCULT BLOOD,FECES1-3","82272","HCPCS","Both",,,"6","3","Clover","Medicare Advantage","",,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"OCCULT BLOOD,FECES1-3","82272","HCPCS","Both",,,"6","3","Wellcare","Medicare Advantage","",,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"OCCULT BLOOD,FECES1-3","82272","HCPCS","Both",,,"6","3","Amerigroup","Medicaid Managed Care","",,"37",,"2.2","2.2","4.65","percent of total billed charges",,
"OCCULT BLOOD,FECES1-3","82272","HCPCS","Both",,,"6","3","Caresource","Medicaid Managed Care","",,"40",,"2.4","2.2","4.65","percent of total billed charges",,
"OCCULT BLOOD,FECES1-3","82272","HCPCS","Both",,,"6","3","Wellcare","Medicaid Managed Care","",,"40",,"2.43","2.2","4.65","percent of total billed charges",,
"OCCULT BLOOD,FECES1-3","82272","HCPCS","Both",,,"6","3","Aetna","Commercial","",,"64",,"3.83","2.2","4.65","percent of total billed charges",,
"OCCULT BLOOD,FECES1-3","82272","HCPCS","Both",,,"6","3","Blue Cross Blue Shield","Pathways","",,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"OCCULT BLOOD,FECES1-3","82272","HCPCS","Both",,,"6","3","Blue Cross Blue Shield","HMO","",,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"OCCULT BLOOD,FECES1-3","82272","HCPCS","Both",,,"6","3","Blue Cross Blue Shield","PPO","",,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"OCCULT BLOOD,FECES1-3","82272","HCPCS","Both",,,"6","3","Ambetter","Health Exchange","",,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"OCCULT BLOOD,FECES1-3","82272","HCPCS","Both",,,"6","3","Caresource","Health Exchange","",,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"OCCULT BLOOD,FECES1-3","82272","HCPCS","Both",,,"6","3","Cigna","Commercial","",,"59",,"3.52","2.2","4.65","percent of total billed charges",,
"OCCULT BLOOD,FECES1-3","82272","HCPCS","Both",,,"6","3","Humana","Commercial","",,"78",,"4.65","2.2","4.65","percent of total billed charges",,
"OCCULT BLOOD,FECES1-3","82272","HCPCS","Both",,,"6","3","UHC","Commercial","",,"75",,"4.52","2.2","4.65","percent of total billed charges",,
"OCCULT BLOOD,FECES1-3","82272","HCPCS","Both",,,"6","3","Medicaid",,"",,"37",,"2.2","2.2","4.65","percent of total billed charges",,
"HERPES CULTURE","87255","HCPCS","Both",,,"326.5","163.25","Alliant","Health Exchange","",,"62",,"202.43","119.5","253.04","percent of total billed charges",,
"HERPES CULTURE","87255","HCPCS","Both",,,"326.5","163.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"176.31","119.5","253.04","percent of total billed charges",,
"HERPES CULTURE","87255","HCPCS","Both",,,"326.5","163.25","Medicare",,"",,"54",,"176.96","119.5","253.04","percent of total billed charges",,
"HERPES CULTURE","87255","HCPCS","Both",,,"326.5","163.25","Humana","Medicare Advantage","",,"54",,"176.96","119.5","253.04","percent of total billed charges",,
"HERPES CULTURE","87255","HCPCS","Both",,,"326.5","163.25","UHC","Medicare Advantage","",,"54",,"176.96","119.5","253.04","percent of total billed charges",,
"HERPES CULTURE","87255","HCPCS","Both",,,"326.5","163.25","Clover","Medicare Advantage","",,"54",,"176.96","119.5","253.04","percent of total billed charges",,
"HERPES CULTURE","87255","HCPCS","Both",,,"326.5","163.25","Wellcare","Medicare Advantage","",,"54",,"176.96","119.5","253.04","percent of total billed charges",,
"HERPES CULTURE","87255","HCPCS","Both",,,"326.5","163.25","Amerigroup","Medicaid Managed Care","",,"37",,"119.5","119.5","253.04","percent of total billed charges",,
"HERPES CULTURE","87255","HCPCS","Both",,,"326.5","163.25","Caresource","Medicaid Managed Care","",,"40",,"130.6","119.5","253.04","percent of total billed charges",,
"HERPES CULTURE","87255","HCPCS","Both",,,"326.5","163.25","Wellcare","Medicaid Managed Care","",,"40",,"132.23","119.5","253.04","percent of total billed charges",,
"HERPES CULTURE","87255","HCPCS","Both",,,"326.5","163.25","Aetna","Commercial","",,"64",,"208.31","119.5","253.04","percent of total billed charges",,
"HERPES CULTURE","87255","HCPCS","Both",,,"326.5","163.25","Blue Cross Blue Shield","Pathways","",,"71",,"230.51","119.5","253.04","percent of total billed charges",,
"HERPES CULTURE","87255","HCPCS","Both",,,"326.5","163.25","Blue Cross Blue Shield","HMO","",,"71",,"230.51","119.5","253.04","percent of total billed charges",,
"HERPES CULTURE","87255","HCPCS","Both",,,"326.5","163.25","Blue Cross Blue Shield","PPO","",,"71",,"230.51","119.5","253.04","percent of total billed charges",,
"HERPES CULTURE","87255","HCPCS","Both",,,"326.5","163.25","Ambetter","Health Exchange","",,"62",,"202.43","119.5","253.04","percent of total billed charges",,
"HERPES CULTURE","87255","HCPCS","Both",,,"326.5","163.25","Caresource","Health Exchange","",,"62",,"202.43","119.5","253.04","percent of total billed charges",,
"HERPES CULTURE","87255","HCPCS","Both",,,"326.5","163.25","Cigna","Commercial","",,"59",,"191.33","119.5","253.04","percent of total billed charges",,
"HERPES CULTURE","87255","HCPCS","Both",,,"326.5","163.25","Humana","Commercial","",,"78",,"253.04","119.5","253.04","percent of total billed charges",,
"HERPES CULTURE","87255","HCPCS","Both",,,"326.5","163.25","UHC","Commercial","",,"75",,"246.18","119.5","253.04","percent of total billed charges",,
"HERPES CULTURE","87255","HCPCS","Both",,,"326.5","163.25","Medicaid",,"",,"37",,"119.5","119.5","253.04","percent of total billed charges",,
"RED BLOOD CELLS, LEUKOCYTES REDUCED @ UN","P9016","HCPCS","Both",,,"478.56","239.28","Alliant","Health Exchange","BL",,"62",,"296.71","175.15","370.88","percent of total billed charges",,
"RED BLOOD CELLS, LEUKOCYTES REDUCED @ UN","P9016","HCPCS","Both",,,"478.56","239.28","Pruitt Healthcare","Medicare Advantage","BL",,"54",,"258.42","175.15","370.88","percent of total billed charges",,
"RED BLOOD CELLS, LEUKOCYTES REDUCED @ UN","P9016","HCPCS","Both",,,"478.56","239.28","Medicare",,"BL",,"54",,"259.38","175.15","370.88","percent of total billed charges",,
"RED BLOOD CELLS, LEUKOCYTES REDUCED @ UN","P9016","HCPCS","Both",,,"478.56","239.28","Humana","Medicare Advantage","BL",,"54",,"259.38","175.15","370.88","percent of total billed charges",,
"RED BLOOD CELLS, LEUKOCYTES REDUCED @ UN","P9016","HCPCS","Both",,,"478.56","239.28","UHC","Medicare Advantage","BL",,"54",,"259.38","175.15","370.88","percent of total billed charges",,
"RED BLOOD CELLS, LEUKOCYTES REDUCED @ UN","P9016","HCPCS","Both",,,"478.56","239.28","Clover","Medicare Advantage","BL",,"54",,"259.38","175.15","370.88","percent of total billed charges",,
"RED BLOOD CELLS, LEUKOCYTES REDUCED @ UN","P9016","HCPCS","Both",,,"478.56","239.28","Wellcare","Medicare Advantage","BL",,"54",,"259.38","175.15","370.88","percent of total billed charges",,
"RED BLOOD CELLS, LEUKOCYTES REDUCED @ UN","P9016","HCPCS","Both",,,"478.56","239.28","Amerigroup","Medicaid Managed Care","BL",,"37",,"175.15","175.15","370.88","percent of total billed charges",,
"RED BLOOD CELLS, LEUKOCYTES REDUCED @ UN","P9016","HCPCS","Both",,,"478.56","239.28","Caresource","Medicaid Managed Care","BL",,"40",,"191.42","175.15","370.88","percent of total billed charges",,
"RED BLOOD CELLS, LEUKOCYTES REDUCED @ UN","P9016","HCPCS","Both",,,"478.56","239.28","Wellcare","Medicaid Managed Care","BL",,"40",,"193.82","175.15","370.88","percent of total billed charges",,
"RED BLOOD CELLS, LEUKOCYTES REDUCED @ UN","P9016","HCPCS","Both",,,"478.56","239.28","Aetna","Commercial","BL",,"64",,"305.32","175.15","370.88","percent of total billed charges",,
"RED BLOOD CELLS, LEUKOCYTES REDUCED @ UN","P9016","HCPCS","Both",,,"478.56","239.28","Blue Cross Blue Shield","Pathways","BL",,"71",,"337.86","175.15","370.88","percent of total billed charges",,
"RED BLOOD CELLS, LEUKOCYTES REDUCED @ UN","P9016","HCPCS","Both",,,"478.56","239.28","Blue Cross Blue Shield","HMO","BL",,"71",,"337.86","175.15","370.88","percent of total billed charges",,
"RED BLOOD CELLS, LEUKOCYTES REDUCED @ UN","P9016","HCPCS","Both",,,"478.56","239.28","Blue Cross Blue Shield","PPO","BL",,"71",,"337.86","175.15","370.88","percent of total billed charges",,
"RED BLOOD CELLS, LEUKOCYTES REDUCED @ UN","P9016","HCPCS","Both",,,"478.56","239.28","Ambetter","Health Exchange","BL",,"62",,"296.71","175.15","370.88","percent of total billed charges",,
"RED BLOOD CELLS, LEUKOCYTES REDUCED @ UN","P9016","HCPCS","Both",,,"478.56","239.28","Caresource","Health Exchange","BL",,"62",,"296.71","175.15","370.88","percent of total billed charges",,
"RED BLOOD CELLS, LEUKOCYTES REDUCED @ UN","P9016","HCPCS","Both",,,"478.56","239.28","Cigna","Commercial","BL",,"59",,"280.44","175.15","370.88","percent of total billed charges",,
"RED BLOOD CELLS, LEUKOCYTES REDUCED @ UN","P9016","HCPCS","Both",,,"478.56","239.28","Humana","Commercial","BL",,"78",,"370.88","175.15","370.88","percent of total billed charges",,
"RED BLOOD CELLS, LEUKOCYTES REDUCED @ UN","P9016","HCPCS","Both",,,"478.56","239.28","UHC","Commercial","BL",,"75",,"360.83","175.15","370.88","percent of total billed charges",,
"RED BLOOD CELLS, LEUKOCYTES REDUCED @ UN","P9016","HCPCS","Both",,,"478.56","239.28","Medicaid",,"BL",,"37",,"175.15","175.15","370.88","percent of total billed charges",,
"RED BLOOD CELLS @ UNIT","P9021","HCPCS","Both",,,"615.5","307.75","Alliant","Health Exchange","BL",,"62",,"381.61","225.27","477.01","percent of total billed charges",,
"RED BLOOD CELLS @ UNIT","P9021","HCPCS","Both",,,"615.5","307.75","Pruitt Healthcare","Medicare Advantage","BL",,"54",,"332.37","225.27","477.01","percent of total billed charges",,
"RED BLOOD CELLS @ UNIT","P9021","HCPCS","Both",,,"615.5","307.75","Medicare",,"BL",,"54",,"333.6","225.27","477.01","percent of total billed charges",,
"RED BLOOD CELLS @ UNIT","P9021","HCPCS","Both",,,"615.5","307.75","Humana","Medicare Advantage","BL",,"54",,"333.6","225.27","477.01","percent of total billed charges",,
"RED BLOOD CELLS @ UNIT","P9021","HCPCS","Both",,,"615.5","307.75","UHC","Medicare Advantage","BL",,"54",,"333.6","225.27","477.01","percent of total billed charges",,
"RED BLOOD CELLS @ UNIT","P9021","HCPCS","Both",,,"615.5","307.75","Clover","Medicare Advantage","BL",,"54",,"333.6","225.27","477.01","percent of total billed charges",,
"RED BLOOD CELLS @ UNIT","P9021","HCPCS","Both",,,"615.5","307.75","Wellcare","Medicare Advantage","BL",,"54",,"333.6","225.27","477.01","percent of total billed charges",,
"RED BLOOD CELLS @ UNIT","P9021","HCPCS","Both",,,"615.5","307.75","Amerigroup","Medicaid Managed Care","BL",,"37",,"225.27","225.27","477.01","percent of total billed charges",,
"RED BLOOD CELLS @ UNIT","P9021","HCPCS","Both",,,"615.5","307.75","Caresource","Medicaid Managed Care","BL",,"40",,"246.2","225.27","477.01","percent of total billed charges",,
"RED BLOOD CELLS @ UNIT","P9021","HCPCS","Both",,,"615.5","307.75","Wellcare","Medicaid Managed Care","BL",,"40",,"249.28","225.27","477.01","percent of total billed charges",,
"RED BLOOD CELLS @ UNIT","P9021","HCPCS","Both",,,"615.5","307.75","Aetna","Commercial","BL",,"64",,"392.69","225.27","477.01","percent of total billed charges",,
"RED BLOOD CELLS @ UNIT","P9021","HCPCS","Both",,,"615.5","307.75","Blue Cross Blue Shield","Pathways","BL",,"71",,"434.54","225.27","477.01","percent of total billed charges",,
"RED BLOOD CELLS @ UNIT","P9021","HCPCS","Both",,,"615.5","307.75","Blue Cross Blue Shield","HMO","BL",,"71",,"434.54","225.27","477.01","percent of total billed charges",,
"RED BLOOD CELLS @ UNIT","P9021","HCPCS","Both",,,"615.5","307.75","Blue Cross Blue Shield","PPO","BL",,"71",,"434.54","225.27","477.01","percent of total billed charges",,
"RED BLOOD CELLS @ UNIT","P9021","HCPCS","Both",,,"615.5","307.75","Ambetter","Health Exchange","BL",,"62",,"381.61","225.27","477.01","percent of total billed charges",,
"RED BLOOD CELLS @ UNIT","P9021","HCPCS","Both",,,"615.5","307.75","Caresource","Health Exchange","BL",,"62",,"381.61","225.27","477.01","percent of total billed charges",,
"RED BLOOD CELLS @ UNIT","P9021","HCPCS","Both",,,"615.5","307.75","Cigna","Commercial","BL",,"59",,"360.68","225.27","477.01","percent of total billed charges",,
"RED BLOOD CELLS @ UNIT","P9021","HCPCS","Both",,,"615.5","307.75","Humana","Commercial","BL",,"78",,"477.01","225.27","477.01","percent of total billed charges",,
"RED BLOOD CELLS @ UNIT","P9021","HCPCS","Both",,,"615.5","307.75","UHC","Commercial","BL",,"75",,"464.09","225.27","477.01","percent of total billed charges",,
"RED BLOOD CELLS @ UNIT","P9021","HCPCS","Both",,,"615.5","307.75","Medicaid",,"BL",,"37",,"225.27","225.27","477.01","percent of total billed charges",,
"ABO, BLOOD TYPE","86900","HCPCS","Both",,,"112","56","Alliant","Health Exchange","",,"62",,"69.44","40.99","86.8","percent of total billed charges",,
"ABO, BLOOD TYPE","86900","HCPCS","Both",,,"112","56","Pruitt Healthcare","Medicare Advantage","",,"54",,"60.48","40.99","86.8","percent of total billed charges",,
"ABO, BLOOD TYPE","86900","HCPCS","Both",,,"112","56","Medicare",,"",,"54",,"60.7","40.99","86.8","percent of total billed charges",,
"ABO, BLOOD TYPE","86900","HCPCS","Both",,,"112","56","Humana","Medicare Advantage","",,"54",,"60.7","40.99","86.8","percent of total billed charges",,
"ABO, BLOOD TYPE","86900","HCPCS","Both",,,"112","56","UHC","Medicare Advantage","",,"54",,"60.7","40.99","86.8","percent of total billed charges",,
"ABO, BLOOD TYPE","86900","HCPCS","Both",,,"112","56","Clover","Medicare Advantage","",,"54",,"60.7","40.99","86.8","percent of total billed charges",,
"ABO, BLOOD TYPE","86900","HCPCS","Both",,,"112","56","Wellcare","Medicare Advantage","",,"54",,"60.7","40.99","86.8","percent of total billed charges",,
"ABO, BLOOD TYPE","86900","HCPCS","Both",,,"112","56","Amerigroup","Medicaid Managed Care","",,"37",,"40.99","40.99","86.8","percent of total billed charges",,
"ABO, BLOOD TYPE","86900","HCPCS","Both",,,"112","56","Caresource","Medicaid Managed Care","",,"40",,"44.8","40.99","86.8","percent of total billed charges",,
"ABO, BLOOD TYPE","86900","HCPCS","Both",,,"112","56","Wellcare","Medicaid Managed Care","",,"40",,"45.36","40.99","86.8","percent of total billed charges",,
"ABO, BLOOD TYPE","86900","HCPCS","Both",,,"112","56","Aetna","Commercial","",,"64",,"71.46","40.99","86.8","percent of total billed charges",,
"ABO, BLOOD TYPE","86900","HCPCS","Both",,,"112","56","Blue Cross Blue Shield","Pathways","",,"71",,"79.07","40.99","86.8","percent of total billed charges",,
"ABO, BLOOD TYPE","86900","HCPCS","Both",,,"112","56","Blue Cross Blue Shield","HMO","",,"71",,"79.07","40.99","86.8","percent of total billed charges",,
"ABO, BLOOD TYPE","86900","HCPCS","Both",,,"112","56","Blue Cross Blue Shield","PPO","",,"71",,"79.07","40.99","86.8","percent of total billed charges",,
"ABO, BLOOD TYPE","86900","HCPCS","Both",,,"112","56","Ambetter","Health Exchange","",,"62",,"69.44","40.99","86.8","percent of total billed charges",,
"ABO, BLOOD TYPE","86900","HCPCS","Both",,,"112","56","Caresource","Health Exchange","",,"62",,"69.44","40.99","86.8","percent of total billed charges",,
"ABO, BLOOD TYPE","86900","HCPCS","Both",,,"112","56","Cigna","Commercial","",,"59",,"65.63","40.99","86.8","percent of total billed charges",,
"ABO, BLOOD TYPE","86900","HCPCS","Both",,,"112","56","Humana","Commercial","",,"78",,"86.8","40.99","86.8","percent of total billed charges",,
"ABO, BLOOD TYPE","86900","HCPCS","Both",,,"112","56","UHC","Commercial","",,"75",,"84.45","40.99","86.8","percent of total billed charges",,
"ABO, BLOOD TYPE","86900","HCPCS","Both",,,"112","56","Medicaid",,"",,"37",,"40.99","40.99","86.8","percent of total billed charges",,
"GABAPENTIN,SERUM","80171","HCPCS","Both",,,"52","26","Alliant","Health Exchange","",,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"GABAPENTIN,SERUM","80171","HCPCS","Both",,,"52","26","Pruitt Healthcare","Medicare Advantage","",,"54",,"28.08","19.03","40.3","percent of total billed charges",,
"GABAPENTIN,SERUM","80171","HCPCS","Both",,,"52","26","Medicare",,"",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"GABAPENTIN,SERUM","80171","HCPCS","Both",,,"52","26","Humana","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"GABAPENTIN,SERUM","80171","HCPCS","Both",,,"52","26","UHC","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"GABAPENTIN,SERUM","80171","HCPCS","Both",,,"52","26","Clover","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"GABAPENTIN,SERUM","80171","HCPCS","Both",,,"52","26","Wellcare","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"GABAPENTIN,SERUM","80171","HCPCS","Both",,,"52","26","Amerigroup","Medicaid Managed Care","",,"37",,"19.03","19.03","40.3","percent of total billed charges",,
"GABAPENTIN,SERUM","80171","HCPCS","Both",,,"52","26","Caresource","Medicaid Managed Care","",,"40",,"20.8","19.03","40.3","percent of total billed charges",,
"GABAPENTIN,SERUM","80171","HCPCS","Both",,,"52","26","Wellcare","Medicaid Managed Care","",,"40",,"21.06","19.03","40.3","percent of total billed charges",,
"GABAPENTIN,SERUM","80171","HCPCS","Both",,,"52","26","Aetna","Commercial","",,"64",,"33.18","19.03","40.3","percent of total billed charges",,
"GABAPENTIN,SERUM","80171","HCPCS","Both",,,"52","26","Blue Cross Blue Shield","Pathways","",,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"GABAPENTIN,SERUM","80171","HCPCS","Both",,,"52","26","Blue Cross Blue Shield","HMO","",,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"GABAPENTIN,SERUM","80171","HCPCS","Both",,,"52","26","Blue Cross Blue Shield","PPO","",,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"GABAPENTIN,SERUM","80171","HCPCS","Both",,,"52","26","Ambetter","Health Exchange","",,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"GABAPENTIN,SERUM","80171","HCPCS","Both",,,"52","26","Caresource","Health Exchange","",,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"GABAPENTIN,SERUM","80171","HCPCS","Both",,,"52","26","Cigna","Commercial","",,"59",,"30.47","19.03","40.3","percent of total billed charges",,
"GABAPENTIN,SERUM","80171","HCPCS","Both",,,"52","26","Humana","Commercial","",,"78",,"40.3","19.03","40.3","percent of total billed charges",,
"GABAPENTIN,SERUM","80171","HCPCS","Both",,,"52","26","UHC","Commercial","",,"75",,"39.21","19.03","40.3","percent of total billed charges",,
"GABAPENTIN,SERUM","80171","HCPCS","Both",,,"52","26","Medicaid",,"",,"37",,"19.03","19.03","40.3","percent of total billed charges",,
"IMMUNOCHEMICAL FOBT, STOOL","82274","HCPCS","Both",,,"114.5","57.25","Alliant","Health Exchange","QW",,"62",,"70.99","41.91","88.74","percent of total billed charges",,
"IMMUNOCHEMICAL FOBT, STOOL","82274","HCPCS","Both",,,"114.5","57.25","Pruitt Healthcare","Medicare Advantage","QW",,"54",,"61.83","41.91","88.74","percent of total billed charges",,
"IMMUNOCHEMICAL FOBT, STOOL","82274","HCPCS","Both",,,"114.5","57.25","Medicare",,"QW",,"54",,"62.06","41.91","88.74","percent of total billed charges",,
"IMMUNOCHEMICAL FOBT, STOOL","82274","HCPCS","Both",,,"114.5","57.25","Humana","Medicare Advantage","QW",,"54",,"62.06","41.91","88.74","percent of total billed charges",,
"IMMUNOCHEMICAL FOBT, STOOL","82274","HCPCS","Both",,,"114.5","57.25","UHC","Medicare Advantage","QW",,"54",,"62.06","41.91","88.74","percent of total billed charges",,
"IMMUNOCHEMICAL FOBT, STOOL","82274","HCPCS","Both",,,"114.5","57.25","Clover","Medicare Advantage","QW",,"54",,"62.06","41.91","88.74","percent of total billed charges",,
"IMMUNOCHEMICAL FOBT, STOOL","82274","HCPCS","Both",,,"114.5","57.25","Wellcare","Medicare Advantage","QW",,"54",,"62.06","41.91","88.74","percent of total billed charges",,
"IMMUNOCHEMICAL FOBT, STOOL","82274","HCPCS","Both",,,"114.5","57.25","Amerigroup","Medicaid Managed Care","QW",,"37",,"41.91","41.91","88.74","percent of total billed charges",,
"IMMUNOCHEMICAL FOBT, STOOL","82274","HCPCS","Both",,,"114.5","57.25","Caresource","Medicaid Managed Care","QW",,"40",,"45.8","41.91","88.74","percent of total billed charges",,
"IMMUNOCHEMICAL FOBT, STOOL","82274","HCPCS","Both",,,"114.5","57.25","Wellcare","Medicaid Managed Care","QW",,"40",,"46.37","41.91","88.74","percent of total billed charges",,
"IMMUNOCHEMICAL FOBT, STOOL","82274","HCPCS","Both",,,"114.5","57.25","Aetna","Commercial","QW",,"64",,"73.05","41.91","88.74","percent of total billed charges",,
"IMMUNOCHEMICAL FOBT, STOOL","82274","HCPCS","Both",,,"114.5","57.25","Blue Cross Blue Shield","Pathways","QW",,"71",,"80.84","41.91","88.74","percent of total billed charges",,
"IMMUNOCHEMICAL FOBT, STOOL","82274","HCPCS","Both",,,"114.5","57.25","Blue Cross Blue Shield","HMO","QW",,"71",,"80.84","41.91","88.74","percent of total billed charges",,
"IMMUNOCHEMICAL FOBT, STOOL","82274","HCPCS","Both",,,"114.5","57.25","Blue Cross Blue Shield","PPO","QW",,"71",,"80.84","41.91","88.74","percent of total billed charges",,
"IMMUNOCHEMICAL FOBT, STOOL","82274","HCPCS","Both",,,"114.5","57.25","Ambetter","Health Exchange","QW",,"62",,"70.99","41.91","88.74","percent of total billed charges",,
"IMMUNOCHEMICAL FOBT, STOOL","82274","HCPCS","Both",,,"114.5","57.25","Caresource","Health Exchange","QW",,"62",,"70.99","41.91","88.74","percent of total billed charges",,
"IMMUNOCHEMICAL FOBT, STOOL","82274","HCPCS","Both",,,"114.5","57.25","Cigna","Commercial","QW",,"59",,"67.1","41.91","88.74","percent of total billed charges",,
"IMMUNOCHEMICAL FOBT, STOOL","82274","HCPCS","Both",,,"114.5","57.25","Humana","Commercial","QW",,"78",,"88.74","41.91","88.74","percent of total billed charges",,
"IMMUNOCHEMICAL FOBT, STOOL","82274","HCPCS","Both",,,"114.5","57.25","UHC","Commercial","QW",,"75",,"86.33","41.91","88.74","percent of total billed charges",,
"IMMUNOCHEMICAL FOBT, STOOL","82274","HCPCS","Both",,,"114.5","57.25","Medicaid",,"QW",,"37",,"41.91","41.91","88.74","percent of total billed charges",,
"COLD AGGLUTININS; SCREEN","86156","HCPCS","Both",,,"48","24","Alliant","Health Exchange","",,"62",,"29.76","17.57","37.2","percent of total billed charges",,
"COLD AGGLUTININS; SCREEN","86156","HCPCS","Both",,,"48","24","Pruitt Healthcare","Medicare Advantage","",,"54",,"25.92","17.57","37.2","percent of total billed charges",,
"COLD AGGLUTININS; SCREEN","86156","HCPCS","Both",,,"48","24","Medicare",,"",,"54",,"26.02","17.57","37.2","percent of total billed charges",,
"COLD AGGLUTININS; SCREEN","86156","HCPCS","Both",,,"48","24","Humana","Medicare Advantage","",,"54",,"26.02","17.57","37.2","percent of total billed charges",,
"COLD AGGLUTININS; SCREEN","86156","HCPCS","Both",,,"48","24","UHC","Medicare Advantage","",,"54",,"26.02","17.57","37.2","percent of total billed charges",,
"COLD AGGLUTININS; SCREEN","86156","HCPCS","Both",,,"48","24","Clover","Medicare Advantage","",,"54",,"26.02","17.57","37.2","percent of total billed charges",,
"COLD AGGLUTININS; SCREEN","86156","HCPCS","Both",,,"48","24","Wellcare","Medicare Advantage","",,"54",,"26.02","17.57","37.2","percent of total billed charges",,
"COLD AGGLUTININS; SCREEN","86156","HCPCS","Both",,,"48","24","Amerigroup","Medicaid Managed Care","",,"37",,"17.57","17.57","37.2","percent of total billed charges",,
"COLD AGGLUTININS; SCREEN","86156","HCPCS","Both",,,"48","24","Caresource","Medicaid Managed Care","",,"40",,"19.2","17.57","37.2","percent of total billed charges",,
"COLD AGGLUTININS; SCREEN","86156","HCPCS","Both",,,"48","24","Wellcare","Medicaid Managed Care","",,"40",,"19.44","17.57","37.2","percent of total billed charges",,
"COLD AGGLUTININS; SCREEN","86156","HCPCS","Both",,,"48","24","Aetna","Commercial","",,"64",,"30.62","17.57","37.2","percent of total billed charges",,
"COLD AGGLUTININS; SCREEN","86156","HCPCS","Both",,,"48","24","Blue Cross Blue Shield","Pathways","",,"71",,"33.89","17.57","37.2","percent of total billed charges",,
"COLD AGGLUTININS; SCREEN","86156","HCPCS","Both",,,"48","24","Blue Cross Blue Shield","HMO","",,"71",,"33.89","17.57","37.2","percent of total billed charges",,
"COLD AGGLUTININS; SCREEN","86156","HCPCS","Both",,,"48","24","Blue Cross Blue Shield","PPO","",,"71",,"33.89","17.57","37.2","percent of total billed charges",,
"COLD AGGLUTININS; SCREEN","86156","HCPCS","Both",,,"48","24","Ambetter","Health Exchange","",,"62",,"29.76","17.57","37.2","percent of total billed charges",,
"COLD AGGLUTININS; SCREEN","86156","HCPCS","Both",,,"48","24","Caresource","Health Exchange","",,"62",,"29.76","17.57","37.2","percent of total billed charges",,
"COLD AGGLUTININS; SCREEN","86156","HCPCS","Both",,,"48","24","Cigna","Commercial","",,"59",,"28.13","17.57","37.2","percent of total billed charges",,
"COLD AGGLUTININS; SCREEN","86156","HCPCS","Both",,,"48","24","Humana","Commercial","",,"78",,"37.2","17.57","37.2","percent of total billed charges",,
"COLD AGGLUTININS; SCREEN","86156","HCPCS","Both",,,"48","24","UHC","Commercial","",,"75",,"36.19","17.57","37.2","percent of total billed charges",,
"COLD AGGLUTININS; SCREEN","86156","HCPCS","Both",,,"48","24","Medicaid",,"",,"37",,"17.57","17.57","37.2","percent of total billed charges",,
"LACTATE DEHYDROGENASE (LDH) ISOENZYMES","83625","HCPCS","Both",,,"84","42","Alliant","Health Exchange","",,"62",,"52.08","30.74","65.1","percent of total billed charges",,
"LACTATE DEHYDROGENASE (LDH) ISOENZYMES","83625","HCPCS","Both",,,"84","42","Pruitt Healthcare","Medicare Advantage","",,"54",,"45.36","30.74","65.1","percent of total billed charges",,
"LACTATE DEHYDROGENASE (LDH) ISOENZYMES","83625","HCPCS","Both",,,"84","42","Medicare",,"",,"54",,"45.53","30.74","65.1","percent of total billed charges",,
"LACTATE DEHYDROGENASE (LDH) ISOENZYMES","83625","HCPCS","Both",,,"84","42","Humana","Medicare Advantage","",,"54",,"45.53","30.74","65.1","percent of total billed charges",,
"LACTATE DEHYDROGENASE (LDH) ISOENZYMES","83625","HCPCS","Both",,,"84","42","UHC","Medicare Advantage","",,"54",,"45.53","30.74","65.1","percent of total billed charges",,
"LACTATE DEHYDROGENASE (LDH) ISOENZYMES","83625","HCPCS","Both",,,"84","42","Clover","Medicare Advantage","",,"54",,"45.53","30.74","65.1","percent of total billed charges",,
"LACTATE DEHYDROGENASE (LDH) ISOENZYMES","83625","HCPCS","Both",,,"84","42","Wellcare","Medicare Advantage","",,"54",,"45.53","30.74","65.1","percent of total billed charges",,
"LACTATE DEHYDROGENASE (LDH) ISOENZYMES","83625","HCPCS","Both",,,"84","42","Amerigroup","Medicaid Managed Care","",,"37",,"30.74","30.74","65.1","percent of total billed charges",,
"LACTATE DEHYDROGENASE (LDH) ISOENZYMES","83625","HCPCS","Both",,,"84","42","Caresource","Medicaid Managed Care","",,"40",,"33.6","30.74","65.1","percent of total billed charges",,
"LACTATE DEHYDROGENASE (LDH) ISOENZYMES","83625","HCPCS","Both",,,"84","42","Wellcare","Medicaid Managed Care","",,"40",,"34.02","30.74","65.1","percent of total billed charges",,
"LACTATE DEHYDROGENASE (LDH) ISOENZYMES","83625","HCPCS","Both",,,"84","42","Aetna","Commercial","",,"64",,"53.59","30.74","65.1","percent of total billed charges",,
"LACTATE DEHYDROGENASE (LDH) ISOENZYMES","83625","HCPCS","Both",,,"84","42","Blue Cross Blue Shield","Pathways","",,"71",,"59.3","30.74","65.1","percent of total billed charges",,
"LACTATE DEHYDROGENASE (LDH) ISOENZYMES","83625","HCPCS","Both",,,"84","42","Blue Cross Blue Shield","HMO","",,"71",,"59.3","30.74","65.1","percent of total billed charges",,
"LACTATE DEHYDROGENASE (LDH) ISOENZYMES","83625","HCPCS","Both",,,"84","42","Blue Cross Blue Shield","PPO","",,"71",,"59.3","30.74","65.1","percent of total billed charges",,
"LACTATE DEHYDROGENASE (LDH) ISOENZYMES","83625","HCPCS","Both",,,"84","42","Ambetter","Health Exchange","",,"62",,"52.08","30.74","65.1","percent of total billed charges",,
"LACTATE DEHYDROGENASE (LDH) ISOENZYMES","83625","HCPCS","Both",,,"84","42","Caresource","Health Exchange","",,"62",,"52.08","30.74","65.1","percent of total billed charges",,
"LACTATE DEHYDROGENASE (LDH) ISOENZYMES","83625","HCPCS","Both",,,"84","42","Cigna","Commercial","",,"59",,"49.22","30.74","65.1","percent of total billed charges",,
"LACTATE DEHYDROGENASE (LDH) ISOENZYMES","83625","HCPCS","Both",,,"84","42","Humana","Commercial","",,"78",,"65.1","30.74","65.1","percent of total billed charges",,
"LACTATE DEHYDROGENASE (LDH) ISOENZYMES","83625","HCPCS","Both",,,"84","42","UHC","Commercial","",,"75",,"63.34","30.74","65.1","percent of total billed charges",,
"LACTATE DEHYDROGENASE (LDH) ISOENZYMES","83625","HCPCS","Both",,,"84","42","Medicaid",,"",,"37",,"30.74","30.74","65.1","percent of total billed charges",,
"PHENYTOIN; TOTAL, SERUM","80185","HCPCS","Both",,,"27","13.5","Alliant","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"PHENYTOIN; TOTAL, SERUM","80185","HCPCS","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"14.58","9.88","20.92","percent of total billed charges",,
"PHENYTOIN; TOTAL, SERUM","80185","HCPCS","Both",,,"27","13.5","Medicare",,"",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PHENYTOIN; TOTAL, SERUM","80185","HCPCS","Both",,,"27","13.5","Humana","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PHENYTOIN; TOTAL, SERUM","80185","HCPCS","Both",,,"27","13.5","UHC","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PHENYTOIN; TOTAL, SERUM","80185","HCPCS","Both",,,"27","13.5","Clover","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PHENYTOIN; TOTAL, SERUM","80185","HCPCS","Both",,,"27","13.5","Wellcare","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PHENYTOIN; TOTAL, SERUM","80185","HCPCS","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care","",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"PHENYTOIN; TOTAL, SERUM","80185","HCPCS","Both",,,"27","13.5","Caresource","Medicaid Managed Care","",,"40",,"10.8","9.88","20.92","percent of total billed charges",,
"PHENYTOIN; TOTAL, SERUM","80185","HCPCS","Both",,,"27","13.5","Wellcare","Medicaid Managed Care","",,"40",,"10.94","9.88","20.92","percent of total billed charges",,
"PHENYTOIN; TOTAL, SERUM","80185","HCPCS","Both",,,"27","13.5","Aetna","Commercial","",,"64",,"17.23","9.88","20.92","percent of total billed charges",,
"PHENYTOIN; TOTAL, SERUM","80185","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"PHENYTOIN; TOTAL, SERUM","80185","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","HMO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"PHENYTOIN; TOTAL, SERUM","80185","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","PPO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"PHENYTOIN; TOTAL, SERUM","80185","HCPCS","Both",,,"27","13.5","Ambetter","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"PHENYTOIN; TOTAL, SERUM","80185","HCPCS","Both",,,"27","13.5","Caresource","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"PHENYTOIN; TOTAL, SERUM","80185","HCPCS","Both",,,"27","13.5","Cigna","Commercial","",,"59",,"15.82","9.88","20.92","percent of total billed charges",,
"PHENYTOIN; TOTAL, SERUM","80185","HCPCS","Both",,,"27","13.5","Humana","Commercial","",,"78",,"20.92","9.88","20.92","percent of total billed charges",,
"PHENYTOIN; TOTAL, SERUM","80185","HCPCS","Both",,,"27","13.5","UHC","Commercial","",,"75",,"20.36","9.88","20.92","percent of total billed charges",,
"PHENYTOIN; TOTAL, SERUM","80185","HCPCS","Both",,,"27","13.5","Medicaid",,"",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"DRUG TEST(S) 1-7 DRUG CLASS(ES) (local)","G0480","HCPCS","Both",,,"68","34","Alliant","Health Exchange","",,"62",,"42.16","24.89","88.74","percent of total billed charges",,
"DRUG TEST(S) 1-7 DRUG CLASS(ES) (local)","G0480","HCPCS","Both",,,"68","34","Pruitt Healthcare","Medicare Advantage","",,"54",,"36.72","24.89","88.74","percent of total billed charges",,
"DRUG TEST(S) 1-7 DRUG CLASS(ES) (local)","G0480","HCPCS","Both",,,"68","34","Medicare",,"",,"54",,"36.86","24.89","88.74","percent of total billed charges",,
"DRUG TEST(S) 1-7 DRUG CLASS(ES) (local)","G0480","HCPCS","Both",,,"68","34","Humana","Medicare Advantage","",,"54",,"36.86","24.89","88.74","percent of total billed charges",,
"DRUG TEST(S) 1-7 DRUG CLASS(ES) (local)","G0480","HCPCS","Both",,,"68","34","UHC","Medicare Advantage","",,"54",,"36.86","24.89","88.74","percent of total billed charges",,
"DRUG TEST(S) 1-7 DRUG CLASS(ES) (local)","G0480","HCPCS","Both",,,"68","34","Clover","Medicare Advantage","",,"54",,"36.86","24.89","88.74","percent of total billed charges",,
"DRUG TEST(S) 1-7 DRUG CLASS(ES) (local)","G0480","HCPCS","Both",,,"68","34","Wellcare","Medicare Advantage","",,"54",,"36.86","24.89","88.74","percent of total billed charges",,
"DRUG TEST(S) 1-7 DRUG CLASS(ES) (local)","G0480","HCPCS","Both",,,"68","34","Amerigroup","Medicaid Managed Care","",,"37",,"24.89","24.89","88.74","percent of total billed charges",,
"DRUG TEST(S) 1-7 DRUG CLASS(ES) (local)","G0480","HCPCS","Both",,,"68","34","Caresource","Medicaid Managed Care","",,"40",,"27.2","24.89","88.74","percent of total billed charges",,
"DRUG TEST(S) 1-7 DRUG CLASS(ES) (local)","G0480","HCPCS","Both",,,"68","34","Wellcare","Medicaid Managed Care","",,"40",,"27.54","24.89","88.74","percent of total billed charges",,
"DRUG TEST(S) 1-7 DRUG CLASS(ES) (local)","G0480","HCPCS","Both",,,"68","34","Aetna","Commercial","",,"64",,"43.38","24.89","88.74","percent of total billed charges",,
"DRUG TEST(S) 1-7 DRUG CLASS(ES) (local)","G0480","HCPCS","Both",,,"68","34","Blue Cross Blue Shield","Pathways","",,"71",,"48.01","24.89","88.74","percent of total billed charges",,
"DRUG TEST(S) 1-7 DRUG CLASS(ES) (local)","G0480","HCPCS","Both",,,"68","34","Blue Cross Blue Shield","HMO","",,"71",,"48.01","24.89","88.74","percent of total billed charges",,
"DRUG TEST(S) 1-7 DRUG CLASS(ES) (local)","G0480","HCPCS","Both",,,"68","34","Blue Cross Blue Shield","PPO","",,"71",,"48.01","24.89","88.74","percent of total billed charges",,
"DRUG TEST(S) 1-7 DRUG CLASS(ES) (local)","G0480","HCPCS","Both",,,"68","34","Ambetter","Health Exchange","",,"62",,"42.16","24.89","88.74","percent of total billed charges",,
"DRUG TEST(S) 1-7 DRUG CLASS(ES) (local)","G0480","HCPCS","Both",,,"68","34","Caresource","Health Exchange","",,"62",,"42.16","24.89","88.74","percent of total billed charges",,
"DRUG TEST(S) 1-7 DRUG CLASS(ES) (local)","G0480","HCPCS","Both",,,"68","34","Cigna","Commercial","",,"59",,"39.85","24.89","88.74","percent of total billed charges",,
"DRUG TEST(S) 1-7 DRUG CLASS(ES) (local)","G0480","HCPCS","Both",,,"68","34","Humana","Commercial","",,"78",,"52.7","24.89","88.74","percent of total billed charges",,
"DRUG TEST(S) 1-7 DRUG CLASS(ES) (local)","G0480","HCPCS","Both",,,"68","34","UHC","Commercial","",,"75",,"51.27","24.89","88.74","percent of total billed charges",,
"DRUG TEST(S) 1-7 DRUG CLASS(ES) (local)","G0480","HCPCS","Both",,,"68","34","Medicaid",,"",,"37",,"24.89","24.89","88.74","percent of total billed charges",,
"VITAMIN B12","82607","HCPCS","Both",,,"22","11","Alliant","Health Exchange","",,"62",,"13.64","8.05","17.05","percent of total billed charges",,
"VITAMIN B12","82607","HCPCS","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage","",,"54",,"11.88","8.05","17.05","percent of total billed charges",,
"VITAMIN B12","82607","HCPCS","Both",,,"22","11","Medicare",,"",,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"VITAMIN B12","82607","HCPCS","Both",,,"22","11","Humana","Medicare Advantage","",,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"VITAMIN B12","82607","HCPCS","Both",,,"22","11","UHC","Medicare Advantage","",,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"VITAMIN B12","82607","HCPCS","Both",,,"22","11","Clover","Medicare Advantage","",,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"VITAMIN B12","82607","HCPCS","Both",,,"22","11","Wellcare","Medicare Advantage","",,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"VITAMIN B12","82607","HCPCS","Both",,,"22","11","Amerigroup","Medicaid Managed Care","",,"37",,"8.05","8.05","17.05","percent of total billed charges",,
"VITAMIN B12","82607","HCPCS","Both",,,"22","11","Caresource","Medicaid Managed Care","",,"40",,"8.8","8.05","17.05","percent of total billed charges",,
"VITAMIN B12","82607","HCPCS","Both",,,"22","11","Wellcare","Medicaid Managed Care","",,"40",,"8.91","8.05","17.05","percent of total billed charges",,
"VITAMIN B12","82607","HCPCS","Both",,,"22","11","Aetna","Commercial","",,"64",,"14.04","8.05","17.05","percent of total billed charges",,
"VITAMIN B12","82607","HCPCS","Both",,,"22","11","Blue Cross Blue Shield","Pathways","",,"71",,"15.53","8.05","17.05","percent of total billed charges",,
"VITAMIN B12","82607","HCPCS","Both",,,"22","11","Blue Cross Blue Shield","HMO","",,"71",,"15.53","8.05","17.05","percent of total billed charges",,
"VITAMIN B12","82607","HCPCS","Both",,,"22","11","Blue Cross Blue Shield","PPO","",,"71",,"15.53","8.05","17.05","percent of total billed charges",,
"VITAMIN B12","82607","HCPCS","Both",,,"22","11","Ambetter","Health Exchange","",,"62",,"13.64","8.05","17.05","percent of total billed charges",,
"VITAMIN B12","82607","HCPCS","Both",,,"22","11","Caresource","Health Exchange","",,"62",,"13.64","8.05","17.05","percent of total billed charges",,
"VITAMIN B12","82607","HCPCS","Both",,,"22","11","Cigna","Commercial","",,"59",,"12.89","8.05","17.05","percent of total billed charges",,
"VITAMIN B12","82607","HCPCS","Both",,,"22","11","Humana","Commercial","",,"78",,"17.05","8.05","17.05","percent of total billed charges",,
"VITAMIN B12","82607","HCPCS","Both",,,"22","11","UHC","Commercial","",,"75",,"16.59","8.05","17.05","percent of total billed charges",,
"VITAMIN B12","82607","HCPCS","Both",,,"22","11","Medicaid",,"",,"37",,"8.05","8.05","17.05","percent of total billed charges",,
"IRON","83540","HCPCS","Both",,,"9.5","4.75","Alliant","Health Exchange","",,"62",,"5.89","3.48","7.36","percent of total billed charges",,
"IRON","83540","HCPCS","Both",,,"9.5","4.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"5.13","3.48","7.36","percent of total billed charges",,
"IRON","83540","HCPCS","Both",,,"9.5","4.75","Medicare",,"",,"54",,"5.15","3.48","7.36","percent of total billed charges",,
"IRON","83540","HCPCS","Both",,,"9.5","4.75","Humana","Medicare Advantage","",,"54",,"5.15","3.48","7.36","percent of total billed charges",,
"IRON","83540","HCPCS","Both",,,"9.5","4.75","UHC","Medicare Advantage","",,"54",,"5.15","3.48","7.36","percent of total billed charges",,
"IRON","83540","HCPCS","Both",,,"9.5","4.75","Clover","Medicare Advantage","",,"54",,"5.15","3.48","7.36","percent of total billed charges",,
"IRON","83540","HCPCS","Both",,,"9.5","4.75","Wellcare","Medicare Advantage","",,"54",,"5.15","3.48","7.36","percent of total billed charges",,
"IRON","83540","HCPCS","Both",,,"9.5","4.75","Amerigroup","Medicaid Managed Care","",,"37",,"3.48","3.48","7.36","percent of total billed charges",,
"IRON","83540","HCPCS","Both",,,"9.5","4.75","Caresource","Medicaid Managed Care","",,"40",,"3.8","3.48","7.36","percent of total billed charges",,
"IRON","83540","HCPCS","Both",,,"9.5","4.75","Wellcare","Medicaid Managed Care","",,"40",,"3.85","3.48","7.36","percent of total billed charges",,
"IRON","83540","HCPCS","Both",,,"9.5","4.75","Aetna","Commercial","",,"64",,"6.06","3.48","7.36","percent of total billed charges",,
"IRON","83540","HCPCS","Both",,,"9.5","4.75","Blue Cross Blue Shield","Pathways","",,"71",,"6.71","3.48","7.36","percent of total billed charges",,
"IRON","83540","HCPCS","Both",,,"9.5","4.75","Blue Cross Blue Shield","HMO","",,"71",,"6.71","3.48","7.36","percent of total billed charges",,
"IRON","83540","HCPCS","Both",,,"9.5","4.75","Blue Cross Blue Shield","PPO","",,"71",,"6.71","3.48","7.36","percent of total billed charges",,
"IRON","83540","HCPCS","Both",,,"9.5","4.75","Ambetter","Health Exchange","",,"62",,"5.89","3.48","7.36","percent of total billed charges",,
"IRON","83540","HCPCS","Both",,,"9.5","4.75","Caresource","Health Exchange","",,"62",,"5.89","3.48","7.36","percent of total billed charges",,
"IRON","83540","HCPCS","Both",,,"9.5","4.75","Cigna","Commercial","",,"59",,"5.57","3.48","7.36","percent of total billed charges",,
"IRON","83540","HCPCS","Both",,,"9.5","4.75","Humana","Commercial","",,"78",,"7.36","3.48","7.36","percent of total billed charges",,
"IRON","83540","HCPCS","Both",,,"9.5","4.75","UHC","Commercial","",,"75",,"7.16","3.48","7.36","percent of total billed charges",,
"IRON","83540","HCPCS","Both",,,"9.5","4.75","Medicaid",,"",,"37",,"3.48","3.48","7.36","percent of total billed charges",,
"IRON BINDING CAPACITY","83550","HCPCS","Both",,,"13","6.5","Alliant","Health Exchange","",,"62",,"8.06","4.76","10.08","percent of total billed charges",,
"IRON BINDING CAPACITY","83550","HCPCS","Both",,,"13","6.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"7.02","4.76","10.08","percent of total billed charges",,
"IRON BINDING CAPACITY","83550","HCPCS","Both",,,"13","6.5","Medicare",,"",,"54",,"7.05","4.76","10.08","percent of total billed charges",,
"IRON BINDING CAPACITY","83550","HCPCS","Both",,,"13","6.5","Humana","Medicare Advantage","",,"54",,"7.05","4.76","10.08","percent of total billed charges",,
"IRON BINDING CAPACITY","83550","HCPCS","Both",,,"13","6.5","UHC","Medicare Advantage","",,"54",,"7.05","4.76","10.08","percent of total billed charges",,
"IRON BINDING CAPACITY","83550","HCPCS","Both",,,"13","6.5","Clover","Medicare Advantage","",,"54",,"7.05","4.76","10.08","percent of total billed charges",,
"IRON BINDING CAPACITY","83550","HCPCS","Both",,,"13","6.5","Wellcare","Medicare Advantage","",,"54",,"7.05","4.76","10.08","percent of total billed charges",,
"IRON BINDING CAPACITY","83550","HCPCS","Both",,,"13","6.5","Amerigroup","Medicaid Managed Care","",,"37",,"4.76","4.76","10.08","percent of total billed charges",,
"IRON BINDING CAPACITY","83550","HCPCS","Both",,,"13","6.5","Caresource","Medicaid Managed Care","",,"40",,"5.2","4.76","10.08","percent of total billed charges",,
"IRON BINDING CAPACITY","83550","HCPCS","Both",,,"13","6.5","Wellcare","Medicaid Managed Care","",,"40",,"5.26","4.76","10.08","percent of total billed charges",,
"IRON BINDING CAPACITY","83550","HCPCS","Both",,,"13","6.5","Aetna","Commercial","",,"64",,"8.29","4.76","10.08","percent of total billed charges",,
"IRON BINDING CAPACITY","83550","HCPCS","Both",,,"13","6.5","Blue Cross Blue Shield","Pathways","",,"71",,"9.18","4.76","10.08","percent of total billed charges",,
"IRON BINDING CAPACITY","83550","HCPCS","Both",,,"13","6.5","Blue Cross Blue Shield","HMO","",,"71",,"9.18","4.76","10.08","percent of total billed charges",,
"IRON BINDING CAPACITY","83550","HCPCS","Both",,,"13","6.5","Blue Cross Blue Shield","PPO","",,"71",,"9.18","4.76","10.08","percent of total billed charges",,
"IRON BINDING CAPACITY","83550","HCPCS","Both",,,"13","6.5","Ambetter","Health Exchange","",,"62",,"8.06","4.76","10.08","percent of total billed charges",,
"IRON BINDING CAPACITY","83550","HCPCS","Both",,,"13","6.5","Caresource","Health Exchange","",,"62",,"8.06","4.76","10.08","percent of total billed charges",,
"IRON BINDING CAPACITY","83550","HCPCS","Both",,,"13","6.5","Cigna","Commercial","",,"59",,"7.62","4.76","10.08","percent of total billed charges",,
"IRON BINDING CAPACITY","83550","HCPCS","Both",,,"13","6.5","Humana","Commercial","",,"78",,"10.08","4.76","10.08","percent of total billed charges",,
"IRON BINDING CAPACITY","83550","HCPCS","Both",,,"13","6.5","UHC","Commercial","",,"75",,"9.8","4.76","10.08","percent of total billed charges",,
"IRON BINDING CAPACITY","83550","HCPCS","Both",,,"13","6.5","Medicaid",,"",,"37",,"4.76","4.76","10.08","percent of total billed charges",,
"LITHIUM","80178","HCPCS","Both",,,"8.5","4.25","Alliant","Health Exchange","",,"62",,"5.27","3.11","6.59","percent of total billed charges",,
"LITHIUM","80178","HCPCS","Both",,,"8.5","4.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"4.59","3.11","6.59","percent of total billed charges",,
"LITHIUM","80178","HCPCS","Both",,,"8.5","4.25","Medicare",,"",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"LITHIUM","80178","HCPCS","Both",,,"8.5","4.25","Humana","Medicare Advantage","",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"LITHIUM","80178","HCPCS","Both",,,"8.5","4.25","UHC","Medicare Advantage","",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"LITHIUM","80178","HCPCS","Both",,,"8.5","4.25","Clover","Medicare Advantage","",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"LITHIUM","80178","HCPCS","Both",,,"8.5","4.25","Wellcare","Medicare Advantage","",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"LITHIUM","80178","HCPCS","Both",,,"8.5","4.25","Amerigroup","Medicaid Managed Care","",,"37",,"3.11","3.11","6.59","percent of total billed charges",,
"LITHIUM","80178","HCPCS","Both",,,"8.5","4.25","Caresource","Medicaid Managed Care","",,"40",,"3.4","3.11","6.59","percent of total billed charges",,
"LITHIUM","80178","HCPCS","Both",,,"8.5","4.25","Wellcare","Medicaid Managed Care","",,"40",,"3.44","3.11","6.59","percent of total billed charges",,
"LITHIUM","80178","HCPCS","Both",,,"8.5","4.25","Aetna","Commercial","",,"64",,"5.42","3.11","6.59","percent of total billed charges",,
"LITHIUM","80178","HCPCS","Both",,,"8.5","4.25","Blue Cross Blue Shield","Pathways","",,"71",,"6","3.11","6.59","percent of total billed charges",,
"LITHIUM","80178","HCPCS","Both",,,"8.5","4.25","Blue Cross Blue Shield","HMO","",,"71",,"6","3.11","6.59","percent of total billed charges",,
"LITHIUM","80178","HCPCS","Both",,,"8.5","4.25","Blue Cross Blue Shield","PPO","",,"71",,"6","3.11","6.59","percent of total billed charges",,
"LITHIUM","80178","HCPCS","Both",,,"8.5","4.25","Ambetter","Health Exchange","",,"62",,"5.27","3.11","6.59","percent of total billed charges",,
"LITHIUM","80178","HCPCS","Both",,,"8.5","4.25","Caresource","Health Exchange","",,"62",,"5.27","3.11","6.59","percent of total billed charges",,
"LITHIUM","80178","HCPCS","Both",,,"8.5","4.25","Cigna","Commercial","",,"59",,"4.98","3.11","6.59","percent of total billed charges",,
"LITHIUM","80178","HCPCS","Both",,,"8.5","4.25","Humana","Commercial","",,"78",,"6.59","3.11","6.59","percent of total billed charges",,
"LITHIUM","80178","HCPCS","Both",,,"8.5","4.25","UHC","Commercial","",,"75",,"6.41","3.11","6.59","percent of total billed charges",,
"LITHIUM","80178","HCPCS","Both",,,"8.5","4.25","Medicaid",,"",,"37",,"3.11","3.11","6.59","percent of total billed charges",,
"MAGNESIUM SERUM","83735","HCPCS","Both",,,"6.5","3.25","Alliant","Health Exchange","",,"62",,"4.03","2.38","5.04","percent of total billed charges",,
"MAGNESIUM SERUM","83735","HCPCS","Both",,,"6.5","3.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"3.51","2.38","5.04","percent of total billed charges",,
"MAGNESIUM SERUM","83735","HCPCS","Both",,,"6.5","3.25","Medicare",,"",,"54",,"3.52","2.38","5.04","percent of total billed charges",,
"MAGNESIUM SERUM","83735","HCPCS","Both",,,"6.5","3.25","Humana","Medicare Advantage","",,"54",,"3.52","2.38","5.04","percent of total billed charges",,
"MAGNESIUM SERUM","83735","HCPCS","Both",,,"6.5","3.25","UHC","Medicare Advantage","",,"54",,"3.52","2.38","5.04","percent of total billed charges",,
"MAGNESIUM SERUM","83735","HCPCS","Both",,,"6.5","3.25","Clover","Medicare Advantage","",,"54",,"3.52","2.38","5.04","percent of total billed charges",,
"MAGNESIUM SERUM","83735","HCPCS","Both",,,"6.5","3.25","Wellcare","Medicare Advantage","",,"54",,"3.52","2.38","5.04","percent of total billed charges",,
"MAGNESIUM SERUM","83735","HCPCS","Both",,,"6.5","3.25","Amerigroup","Medicaid Managed Care","",,"37",,"2.38","2.38","5.04","percent of total billed charges",,
"MAGNESIUM SERUM","83735","HCPCS","Both",,,"6.5","3.25","Caresource","Medicaid Managed Care","",,"40",,"2.6","2.38","5.04","percent of total billed charges",,
"MAGNESIUM SERUM","83735","HCPCS","Both",,,"6.5","3.25","Wellcare","Medicaid Managed Care","",,"40",,"2.63","2.38","5.04","percent of total billed charges",,
"MAGNESIUM SERUM","83735","HCPCS","Both",,,"6.5","3.25","Aetna","Commercial","",,"64",,"4.15","2.38","5.04","percent of total billed charges",,
"MAGNESIUM SERUM","83735","HCPCS","Both",,,"6.5","3.25","Blue Cross Blue Shield","Pathways","",,"71",,"4.59","2.38","5.04","percent of total billed charges",,
"MAGNESIUM SERUM","83735","HCPCS","Both",,,"6.5","3.25","Blue Cross Blue Shield","HMO","",,"71",,"4.59","2.38","5.04","percent of total billed charges",,
"MAGNESIUM SERUM","83735","HCPCS","Both",,,"6.5","3.25","Blue Cross Blue Shield","PPO","",,"71",,"4.59","2.38","5.04","percent of total billed charges",,
"MAGNESIUM SERUM","83735","HCPCS","Both",,,"6.5","3.25","Ambetter","Health Exchange","",,"62",,"4.03","2.38","5.04","percent of total billed charges",,
"MAGNESIUM SERUM","83735","HCPCS","Both",,,"6.5","3.25","Caresource","Health Exchange","",,"62",,"4.03","2.38","5.04","percent of total billed charges",,
"MAGNESIUM SERUM","83735","HCPCS","Both",,,"6.5","3.25","Cigna","Commercial","",,"59",,"3.81","2.38","5.04","percent of total billed charges",,
"MAGNESIUM SERUM","83735","HCPCS","Both",,,"6.5","3.25","Humana","Commercial","",,"78",,"5.04","2.38","5.04","percent of total billed charges",,
"MAGNESIUM SERUM","83735","HCPCS","Both",,,"6.5","3.25","UHC","Commercial","",,"75",,"4.9","2.38","5.04","percent of total billed charges",,
"MAGNESIUM SERUM","83735","HCPCS","Both",,,"6.5","3.25","Medicaid",,"",,"37",,"2.38","2.38","5.04","percent of total billed charges",,
"PROTEIN ELECTROPHORESIS; SERUM","84165","HCPCS","Both",,,"13.5","6.75","Alliant","Health Exchange","",,"62",,"8.37","4.94","10.46","percent of total billed charges",,
"PROTEIN ELECTROPHORESIS; SERUM","84165","HCPCS","Both",,,"13.5","6.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"7.29","4.94","10.46","percent of total billed charges",,
"PROTEIN ELECTROPHORESIS; SERUM","84165","HCPCS","Both",,,"13.5","6.75","Medicare",,"",,"54",,"7.32","4.94","10.46","percent of total billed charges",,
"PROTEIN ELECTROPHORESIS; SERUM","84165","HCPCS","Both",,,"13.5","6.75","Humana","Medicare Advantage","",,"54",,"7.32","4.94","10.46","percent of total billed charges",,
"PROTEIN ELECTROPHORESIS; SERUM","84165","HCPCS","Both",,,"13.5","6.75","UHC","Medicare Advantage","",,"54",,"7.32","4.94","10.46","percent of total billed charges",,
"PROTEIN ELECTROPHORESIS; SERUM","84165","HCPCS","Both",,,"13.5","6.75","Clover","Medicare Advantage","",,"54",,"7.32","4.94","10.46","percent of total billed charges",,
"PROTEIN ELECTROPHORESIS; SERUM","84165","HCPCS","Both",,,"13.5","6.75","Wellcare","Medicare Advantage","",,"54",,"7.32","4.94","10.46","percent of total billed charges",,
"PROTEIN ELECTROPHORESIS; SERUM","84165","HCPCS","Both",,,"13.5","6.75","Amerigroup","Medicaid Managed Care","",,"37",,"4.94","4.94","10.46","percent of total billed charges",,
"PROTEIN ELECTROPHORESIS; SERUM","84165","HCPCS","Both",,,"13.5","6.75","Caresource","Medicaid Managed Care","",,"40",,"5.4","4.94","10.46","percent of total billed charges",,
"PROTEIN ELECTROPHORESIS; SERUM","84165","HCPCS","Both",,,"13.5","6.75","Wellcare","Medicaid Managed Care","",,"40",,"5.47","4.94","10.46","percent of total billed charges",,
"PROTEIN ELECTROPHORESIS; SERUM","84165","HCPCS","Both",,,"13.5","6.75","Aetna","Commercial","",,"64",,"8.61","4.94","10.46","percent of total billed charges",,
"PROTEIN ELECTROPHORESIS; SERUM","84165","HCPCS","Both",,,"13.5","6.75","Blue Cross Blue Shield","Pathways","",,"71",,"9.53","4.94","10.46","percent of total billed charges",,
"PROTEIN ELECTROPHORESIS; SERUM","84165","HCPCS","Both",,,"13.5","6.75","Blue Cross Blue Shield","HMO","",,"71",,"9.53","4.94","10.46","percent of total billed charges",,
"PROTEIN ELECTROPHORESIS; SERUM","84165","HCPCS","Both",,,"13.5","6.75","Blue Cross Blue Shield","PPO","",,"71",,"9.53","4.94","10.46","percent of total billed charges",,
"PROTEIN ELECTROPHORESIS; SERUM","84165","HCPCS","Both",,,"13.5","6.75","Ambetter","Health Exchange","",,"62",,"8.37","4.94","10.46","percent of total billed charges",,
"PROTEIN ELECTROPHORESIS; SERUM","84165","HCPCS","Both",,,"13.5","6.75","Caresource","Health Exchange","",,"62",,"8.37","4.94","10.46","percent of total billed charges",,
"PROTEIN ELECTROPHORESIS; SERUM","84165","HCPCS","Both",,,"13.5","6.75","Cigna","Commercial","",,"59",,"7.91","4.94","10.46","percent of total billed charges",,
"PROTEIN ELECTROPHORESIS; SERUM","84165","HCPCS","Both",,,"13.5","6.75","Humana","Commercial","",,"78",,"10.46","4.94","10.46","percent of total billed charges",,
"PROTEIN ELECTROPHORESIS; SERUM","84165","HCPCS","Both",,,"13.5","6.75","UHC","Commercial","",,"75",,"10.18","4.94","10.46","percent of total billed charges",,
"PROTEIN ELECTROPHORESIS; SERUM","84165","HCPCS","Both",,,"13.5","6.75","Medicaid",,"",,"37",,"4.94","4.94","10.46","percent of total billed charges",,
"RUBELLA  AB IGG","86762","HCPCS","Both",,,"21","10.5","Alliant","Health Exchange","",,"62",,"13.02","7.69","16.28","percent of total billed charges",,
"RUBELLA  AB IGG","86762","HCPCS","Both",,,"21","10.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"11.34","7.69","16.28","percent of total billed charges",,
"RUBELLA  AB IGG","86762","HCPCS","Both",,,"21","10.5","Medicare",,"",,"54",,"11.38","7.69","16.28","percent of total billed charges",,
"RUBELLA  AB IGG","86762","HCPCS","Both",,,"21","10.5","Humana","Medicare Advantage","",,"54",,"11.38","7.69","16.28","percent of total billed charges",,
"RUBELLA  AB IGG","86762","HCPCS","Both",,,"21","10.5","UHC","Medicare Advantage","",,"54",,"11.38","7.69","16.28","percent of total billed charges",,
"RUBELLA  AB IGG","86762","HCPCS","Both",,,"21","10.5","Clover","Medicare Advantage","",,"54",,"11.38","7.69","16.28","percent of total billed charges",,
"RUBELLA  AB IGG","86762","HCPCS","Both",,,"21","10.5","Wellcare","Medicare Advantage","",,"54",,"11.38","7.69","16.28","percent of total billed charges",,
"RUBELLA  AB IGG","86762","HCPCS","Both",,,"21","10.5","Amerigroup","Medicaid Managed Care","",,"37",,"7.69","7.69","16.28","percent of total billed charges",,
"RUBELLA  AB IGG","86762","HCPCS","Both",,,"21","10.5","Caresource","Medicaid Managed Care","",,"40",,"8.4","7.69","16.28","percent of total billed charges",,
"RUBELLA  AB IGG","86762","HCPCS","Both",,,"21","10.5","Wellcare","Medicaid Managed Care","",,"40",,"8.51","7.69","16.28","percent of total billed charges",,
"RUBELLA  AB IGG","86762","HCPCS","Both",,,"21","10.5","Aetna","Commercial","",,"64",,"13.4","7.69","16.28","percent of total billed charges",,
"RUBELLA  AB IGG","86762","HCPCS","Both",,,"21","10.5","Blue Cross Blue Shield","Pathways","",,"71",,"14.83","7.69","16.28","percent of total billed charges",,
"RUBELLA  AB IGG","86762","HCPCS","Both",,,"21","10.5","Blue Cross Blue Shield","HMO","",,"71",,"14.83","7.69","16.28","percent of total billed charges",,
"RUBELLA  AB IGG","86762","HCPCS","Both",,,"21","10.5","Blue Cross Blue Shield","PPO","",,"71",,"14.83","7.69","16.28","percent of total billed charges",,
"RUBELLA  AB IGG","86762","HCPCS","Both",,,"21","10.5","Ambetter","Health Exchange","",,"62",,"13.02","7.69","16.28","percent of total billed charges",,
"RUBELLA  AB IGG","86762","HCPCS","Both",,,"21","10.5","Caresource","Health Exchange","",,"62",,"13.02","7.69","16.28","percent of total billed charges",,
"RUBELLA  AB IGG","86762","HCPCS","Both",,,"21","10.5","Cigna","Commercial","",,"59",,"12.31","7.69","16.28","percent of total billed charges",,
"RUBELLA  AB IGG","86762","HCPCS","Both",,,"21","10.5","Humana","Commercial","",,"78",,"16.28","7.69","16.28","percent of total billed charges",,
"RUBELLA  AB IGG","86762","HCPCS","Both",,,"21","10.5","UHC","Commercial","",,"75",,"15.83","7.69","16.28","percent of total billed charges",,
"RUBELLA  AB IGG","86762","HCPCS","Both",,,"21","10.5","Medicaid",,"",,"37",,"7.69","7.69","16.28","percent of total billed charges",,
"T3 TOTAL","84480","HCPCS","Both",,,"158.88","79.44","Alliant","Health Exchange","",,"62",,"98.51","58.15","123.13","percent of total billed charges",,
"T3 TOTAL","84480","HCPCS","Both",,,"158.88","79.44","Pruitt Healthcare","Medicare Advantage","",,"54",,"85.8","58.15","123.13","percent of total billed charges",,
"T3 TOTAL","84480","HCPCS","Both",,,"158.88","79.44","Medicare",,"",,"54",,"86.11","58.15","123.13","percent of total billed charges",,
"T3 TOTAL","84480","HCPCS","Both",,,"158.88","79.44","Humana","Medicare Advantage","",,"54",,"86.11","58.15","123.13","percent of total billed charges",,
"T3 TOTAL","84480","HCPCS","Both",,,"158.88","79.44","UHC","Medicare Advantage","",,"54",,"86.11","58.15","123.13","percent of total billed charges",,
"T3 TOTAL","84480","HCPCS","Both",,,"158.88","79.44","Clover","Medicare Advantage","",,"54",,"86.11","58.15","123.13","percent of total billed charges",,
"T3 TOTAL","84480","HCPCS","Both",,,"158.88","79.44","Wellcare","Medicare Advantage","",,"54",,"86.11","58.15","123.13","percent of total billed charges",,
"T3 TOTAL","84480","HCPCS","Both",,,"158.88","79.44","Amerigroup","Medicaid Managed Care","",,"37",,"58.15","58.15","123.13","percent of total billed charges",,
"T3 TOTAL","84480","HCPCS","Both",,,"158.88","79.44","Caresource","Medicaid Managed Care","",,"40",,"63.55","58.15","123.13","percent of total billed charges",,
"T3 TOTAL","84480","HCPCS","Both",,,"158.88","79.44","Wellcare","Medicaid Managed Care","",,"40",,"64.35","58.15","123.13","percent of total billed charges",,
"T3 TOTAL","84480","HCPCS","Both",,,"158.88","79.44","Aetna","Commercial","",,"64",,"101.37","58.15","123.13","percent of total billed charges",,
"T3 TOTAL","84480","HCPCS","Both",,,"158.88","79.44","Blue Cross Blue Shield","Pathways","",,"71",,"112.17","58.15","123.13","percent of total billed charges",,
"T3 TOTAL","84480","HCPCS","Both",,,"158.88","79.44","Blue Cross Blue Shield","HMO","",,"71",,"112.17","58.15","123.13","percent of total billed charges",,
"T3 TOTAL","84480","HCPCS","Both",,,"158.88","79.44","Blue Cross Blue Shield","PPO","",,"71",,"112.17","58.15","123.13","percent of total billed charges",,
"T3 TOTAL","84480","HCPCS","Both",,,"158.88","79.44","Ambetter","Health Exchange","",,"62",,"98.51","58.15","123.13","percent of total billed charges",,
"T3 TOTAL","84480","HCPCS","Both",,,"158.88","79.44","Caresource","Health Exchange","",,"62",,"98.51","58.15","123.13","percent of total billed charges",,
"T3 TOTAL","84480","HCPCS","Both",,,"158.88","79.44","Cigna","Commercial","",,"59",,"93.1","58.15","123.13","percent of total billed charges",,
"T3 TOTAL","84480","HCPCS","Both",,,"158.88","79.44","Humana","Commercial","",,"78",,"123.13","58.15","123.13","percent of total billed charges",,
"T3 TOTAL","84480","HCPCS","Both",,,"158.88","79.44","UHC","Commercial","",,"75",,"119.8","58.15","123.13","percent of total billed charges",,
"T3 TOTAL","84480","HCPCS","Both",,,"158.88","79.44","Medicaid",,"",,"37",,"58.15","58.15","123.13","percent of total billed charges",,
"T-4 TOTAL (THYROXINE)","84436","HCPCS","Both",,,"36","18","Alliant","Health Exchange","",,"62",,"22.32","13.18","27.9","percent of total billed charges",,
"T-4 TOTAL (THYROXINE)","84436","HCPCS","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage","",,"54",,"19.44","13.18","27.9","percent of total billed charges",,
"T-4 TOTAL (THYROXINE)","84436","HCPCS","Both",,,"36","18","Medicare",,"",,"54",,"19.51","13.18","27.9","percent of total billed charges",,
"T-4 TOTAL (THYROXINE)","84436","HCPCS","Both",,,"36","18","Humana","Medicare Advantage","",,"54",,"19.51","13.18","27.9","percent of total billed charges",,
"T-4 TOTAL (THYROXINE)","84436","HCPCS","Both",,,"36","18","UHC","Medicare Advantage","",,"54",,"19.51","13.18","27.9","percent of total billed charges",,
"T-4 TOTAL (THYROXINE)","84436","HCPCS","Both",,,"36","18","Clover","Medicare Advantage","",,"54",,"19.51","13.18","27.9","percent of total billed charges",,
"T-4 TOTAL (THYROXINE)","84436","HCPCS","Both",,,"36","18","Wellcare","Medicare Advantage","",,"54",,"19.51","13.18","27.9","percent of total billed charges",,
"T-4 TOTAL (THYROXINE)","84436","HCPCS","Both",,,"36","18","Amerigroup","Medicaid Managed Care","",,"37",,"13.18","13.18","27.9","percent of total billed charges",,
"T-4 TOTAL (THYROXINE)","84436","HCPCS","Both",,,"36","18","Caresource","Medicaid Managed Care","",,"40",,"14.4","13.18","27.9","percent of total billed charges",,
"T-4 TOTAL (THYROXINE)","84436","HCPCS","Both",,,"36","18","Wellcare","Medicaid Managed Care","",,"40",,"14.58","13.18","27.9","percent of total billed charges",,
"T-4 TOTAL (THYROXINE)","84436","HCPCS","Both",,,"36","18","Aetna","Commercial","",,"64",,"22.97","13.18","27.9","percent of total billed charges",,
"T-4 TOTAL (THYROXINE)","84436","HCPCS","Both",,,"36","18","Blue Cross Blue Shield","Pathways","",,"71",,"25.42","13.18","27.9","percent of total billed charges",,
"T-4 TOTAL (THYROXINE)","84436","HCPCS","Both",,,"36","18","Blue Cross Blue Shield","HMO","",,"71",,"25.42","13.18","27.9","percent of total billed charges",,
"T-4 TOTAL (THYROXINE)","84436","HCPCS","Both",,,"36","18","Blue Cross Blue Shield","PPO","",,"71",,"25.42","13.18","27.9","percent of total billed charges",,
"T-4 TOTAL (THYROXINE)","84436","HCPCS","Both",,,"36","18","Ambetter","Health Exchange","",,"62",,"22.32","13.18","27.9","percent of total billed charges",,
"T-4 TOTAL (THYROXINE)","84436","HCPCS","Both",,,"36","18","Caresource","Health Exchange","",,"62",,"22.32","13.18","27.9","percent of total billed charges",,
"T-4 TOTAL (THYROXINE)","84436","HCPCS","Both",,,"36","18","Cigna","Commercial","",,"59",,"21.1","13.18","27.9","percent of total billed charges",,
"T-4 TOTAL (THYROXINE)","84436","HCPCS","Both",,,"36","18","Humana","Commercial","",,"78",,"27.9","13.18","27.9","percent of total billed charges",,
"T-4 TOTAL (THYROXINE)","84436","HCPCS","Both",,,"36","18","UHC","Commercial","",,"75",,"27.14","13.18","27.9","percent of total billed charges",,
"T-4 TOTAL (THYROXINE)","84436","HCPCS","Both",,,"36","18","Medicaid",,"",,"37",,"13.18","13.18","27.9","percent of total billed charges",,
"T3 UPTAKE","84479","HCPCS","Both",,,"27.5","13.75","Alliant","Health Exchange","",,"62",,"17.05","10.06","21.31","percent of total billed charges",,
"T3 UPTAKE","84479","HCPCS","Both",,,"27.5","13.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"14.85","10.06","21.31","percent of total billed charges",,
"T3 UPTAKE","84479","HCPCS","Both",,,"27.5","13.75","Medicare",,"",,"54",,"14.9","10.06","21.31","percent of total billed charges",,
"T3 UPTAKE","84479","HCPCS","Both",,,"27.5","13.75","Humana","Medicare Advantage","",,"54",,"14.9","10.06","21.31","percent of total billed charges",,
"T3 UPTAKE","84479","HCPCS","Both",,,"27.5","13.75","UHC","Medicare Advantage","",,"54",,"14.9","10.06","21.31","percent of total billed charges",,
"T3 UPTAKE","84479","HCPCS","Both",,,"27.5","13.75","Clover","Medicare Advantage","",,"54",,"14.9","10.06","21.31","percent of total billed charges",,
"T3 UPTAKE","84479","HCPCS","Both",,,"27.5","13.75","Wellcare","Medicare Advantage","",,"54",,"14.9","10.06","21.31","percent of total billed charges",,
"T3 UPTAKE","84479","HCPCS","Both",,,"27.5","13.75","Amerigroup","Medicaid Managed Care","",,"37",,"10.06","10.06","21.31","percent of total billed charges",,
"T3 UPTAKE","84479","HCPCS","Both",,,"27.5","13.75","Caresource","Medicaid Managed Care","",,"40",,"11","10.06","21.31","percent of total billed charges",,
"T3 UPTAKE","84479","HCPCS","Both",,,"27.5","13.75","Wellcare","Medicaid Managed Care","",,"40",,"11.14","10.06","21.31","percent of total billed charges",,
"T3 UPTAKE","84479","HCPCS","Both",,,"27.5","13.75","Aetna","Commercial","",,"64",,"17.55","10.06","21.31","percent of total billed charges",,
"T3 UPTAKE","84479","HCPCS","Both",,,"27.5","13.75","Blue Cross Blue Shield","Pathways","",,"71",,"19.42","10.06","21.31","percent of total billed charges",,
"T3 UPTAKE","84479","HCPCS","Both",,,"27.5","13.75","Blue Cross Blue Shield","HMO","",,"71",,"19.42","10.06","21.31","percent of total billed charges",,
"T3 UPTAKE","84479","HCPCS","Both",,,"27.5","13.75","Blue Cross Blue Shield","PPO","",,"71",,"19.42","10.06","21.31","percent of total billed charges",,
"T3 UPTAKE","84479","HCPCS","Both",,,"27.5","13.75","Ambetter","Health Exchange","",,"62",,"17.05","10.06","21.31","percent of total billed charges",,
"T3 UPTAKE","84479","HCPCS","Both",,,"27.5","13.75","Caresource","Health Exchange","",,"62",,"17.05","10.06","21.31","percent of total billed charges",,
"T3 UPTAKE","84479","HCPCS","Both",,,"27.5","13.75","Cigna","Commercial","",,"59",,"16.11","10.06","21.31","percent of total billed charges",,
"T3 UPTAKE","84479","HCPCS","Both",,,"27.5","13.75","Humana","Commercial","",,"78",,"21.31","10.06","21.31","percent of total billed charges",,
"T3 UPTAKE","84479","HCPCS","Both",,,"27.5","13.75","UHC","Commercial","",,"75",,"20.74","10.06","21.31","percent of total billed charges",,
"T3 UPTAKE","84479","HCPCS","Both",,,"27.5","13.75","Medicaid",,"",,"37",,"10.06","10.06","21.31","percent of total billed charges",,
"TRIGLYCERIDES","84478","HCPCS","Both",,,"15","7.5","Alliant","Health Exchange","",,"62",,"9.3","5.49","11.62","percent of total billed charges",,
"TRIGLYCERIDES","84478","HCPCS","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"8.1","5.49","11.62","percent of total billed charges",,
"TRIGLYCERIDES","84478","HCPCS","Both",,,"15","7.5","Medicare",,"",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"TRIGLYCERIDES","84478","HCPCS","Both",,,"15","7.5","Humana","Medicare Advantage","",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"TRIGLYCERIDES","84478","HCPCS","Both",,,"15","7.5","UHC","Medicare Advantage","",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"TRIGLYCERIDES","84478","HCPCS","Both",,,"15","7.5","Clover","Medicare Advantage","",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"TRIGLYCERIDES","84478","HCPCS","Both",,,"15","7.5","Wellcare","Medicare Advantage","",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"TRIGLYCERIDES","84478","HCPCS","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care","",,"37",,"5.49","5.49","11.62","percent of total billed charges",,
"TRIGLYCERIDES","84478","HCPCS","Both",,,"15","7.5","Caresource","Medicaid Managed Care","",,"40",,"6","5.49","11.62","percent of total billed charges",,
"TRIGLYCERIDES","84478","HCPCS","Both",,,"15","7.5","Wellcare","Medicaid Managed Care","",,"40",,"6.08","5.49","11.62","percent of total billed charges",,
"TRIGLYCERIDES","84478","HCPCS","Both",,,"15","7.5","Aetna","Commercial","",,"64",,"9.57","5.49","11.62","percent of total billed charges",,
"TRIGLYCERIDES","84478","HCPCS","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways","",,"71",,"10.59","5.49","11.62","percent of total billed charges",,
"TRIGLYCERIDES","84478","HCPCS","Both",,,"15","7.5","Blue Cross Blue Shield","HMO","",,"71",,"10.59","5.49","11.62","percent of total billed charges",,
"TRIGLYCERIDES","84478","HCPCS","Both",,,"15","7.5","Blue Cross Blue Shield","PPO","",,"71",,"10.59","5.49","11.62","percent of total billed charges",,
"TRIGLYCERIDES","84478","HCPCS","Both",,,"15","7.5","Ambetter","Health Exchange","",,"62",,"9.3","5.49","11.62","percent of total billed charges",,
"TRIGLYCERIDES","84478","HCPCS","Both",,,"15","7.5","Caresource","Health Exchange","",,"62",,"9.3","5.49","11.62","percent of total billed charges",,
"TRIGLYCERIDES","84478","HCPCS","Both",,,"15","7.5","Cigna","Commercial","",,"59",,"8.79","5.49","11.62","percent of total billed charges",,
"TRIGLYCERIDES","84478","HCPCS","Both",,,"15","7.5","Humana","Commercial","",,"78",,"11.62","5.49","11.62","percent of total billed charges",,
"TRIGLYCERIDES","84478","HCPCS","Both",,,"15","7.5","UHC","Commercial","",,"75",,"11.31","5.49","11.62","percent of total billed charges",,
"TRIGLYCERIDES","84478","HCPCS","Both",,,"15","7.5","Medicaid",,"",,"37",,"5.49","5.49","11.62","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST (COOMBS)DIRECT","86880","HCPCS","Both",,,"39","19.5","Alliant","Health Exchange","",,"62",,"24.18","14.27","30.22","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST (COOMBS)DIRECT","86880","HCPCS","Both",,,"39","19.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"21.06","14.27","30.22","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST (COOMBS)DIRECT","86880","HCPCS","Both",,,"39","19.5","Medicare",,"",,"54",,"21.14","14.27","30.22","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST (COOMBS)DIRECT","86880","HCPCS","Both",,,"39","19.5","Humana","Medicare Advantage","",,"54",,"21.14","14.27","30.22","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST (COOMBS)DIRECT","86880","HCPCS","Both",,,"39","19.5","UHC","Medicare Advantage","",,"54",,"21.14","14.27","30.22","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST (COOMBS)DIRECT","86880","HCPCS","Both",,,"39","19.5","Clover","Medicare Advantage","",,"54",,"21.14","14.27","30.22","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST (COOMBS)DIRECT","86880","HCPCS","Both",,,"39","19.5","Wellcare","Medicare Advantage","",,"54",,"21.14","14.27","30.22","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST (COOMBS)DIRECT","86880","HCPCS","Both",,,"39","19.5","Amerigroup","Medicaid Managed Care","",,"37",,"14.27","14.27","30.22","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST (COOMBS)DIRECT","86880","HCPCS","Both",,,"39","19.5","Caresource","Medicaid Managed Care","",,"40",,"15.6","14.27","30.22","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST (COOMBS)DIRECT","86880","HCPCS","Both",,,"39","19.5","Wellcare","Medicaid Managed Care","",,"40",,"15.8","14.27","30.22","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST (COOMBS)DIRECT","86880","HCPCS","Both",,,"39","19.5","Aetna","Commercial","",,"64",,"24.88","14.27","30.22","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST (COOMBS)DIRECT","86880","HCPCS","Both",,,"39","19.5","Blue Cross Blue Shield","Pathways","",,"71",,"27.53","14.27","30.22","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST (COOMBS)DIRECT","86880","HCPCS","Both",,,"39","19.5","Blue Cross Blue Shield","HMO","",,"71",,"27.53","14.27","30.22","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST (COOMBS)DIRECT","86880","HCPCS","Both",,,"39","19.5","Blue Cross Blue Shield","PPO","",,"71",,"27.53","14.27","30.22","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST (COOMBS)DIRECT","86880","HCPCS","Both",,,"39","19.5","Ambetter","Health Exchange","",,"62",,"24.18","14.27","30.22","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST (COOMBS)DIRECT","86880","HCPCS","Both",,,"39","19.5","Caresource","Health Exchange","",,"62",,"24.18","14.27","30.22","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST (COOMBS)DIRECT","86880","HCPCS","Both",,,"39","19.5","Cigna","Commercial","",,"59",,"22.85","14.27","30.22","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST (COOMBS)DIRECT","86880","HCPCS","Both",,,"39","19.5","Humana","Commercial","",,"78",,"30.22","14.27","30.22","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST (COOMBS)DIRECT","86880","HCPCS","Both",,,"39","19.5","UHC","Commercial","",,"75",,"29.41","14.27","30.22","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST (COOMBS)DIRECT","86880","HCPCS","Both",,,"39","19.5","Medicaid",,"",,"37",,"14.27","14.27","30.22","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST (COOMBS); INDIRE","86885","HCPCS","Both",,,"26.5","13.25","Alliant","Health Exchange","",,"62",,"16.43","9.7","20.54","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST (COOMBS); INDIRE","86885","HCPCS","Both",,,"26.5","13.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"14.31","9.7","20.54","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST (COOMBS); INDIRE","86885","HCPCS","Both",,,"26.5","13.25","Medicare",,"",,"54",,"14.36","9.7","20.54","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST (COOMBS); INDIRE","86885","HCPCS","Both",,,"26.5","13.25","Humana","Medicare Advantage","",,"54",,"14.36","9.7","20.54","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST (COOMBS); INDIRE","86885","HCPCS","Both",,,"26.5","13.25","UHC","Medicare Advantage","",,"54",,"14.36","9.7","20.54","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST (COOMBS); INDIRE","86885","HCPCS","Both",,,"26.5","13.25","Clover","Medicare Advantage","",,"54",,"14.36","9.7","20.54","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST (COOMBS); INDIRE","86885","HCPCS","Both",,,"26.5","13.25","Wellcare","Medicare Advantage","",,"54",,"14.36","9.7","20.54","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST (COOMBS); INDIRE","86885","HCPCS","Both",,,"26.5","13.25","Amerigroup","Medicaid Managed Care","",,"37",,"9.7","9.7","20.54","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST (COOMBS); INDIRE","86885","HCPCS","Both",,,"26.5","13.25","Caresource","Medicaid Managed Care","",,"40",,"10.6","9.7","20.54","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST (COOMBS); INDIRE","86885","HCPCS","Both",,,"26.5","13.25","Wellcare","Medicaid Managed Care","",,"40",,"10.73","9.7","20.54","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST (COOMBS); INDIRE","86885","HCPCS","Both",,,"26.5","13.25","Aetna","Commercial","",,"64",,"16.91","9.7","20.54","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST (COOMBS); INDIRE","86885","HCPCS","Both",,,"26.5","13.25","Blue Cross Blue Shield","Pathways","",,"71",,"18.71","9.7","20.54","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST (COOMBS); INDIRE","86885","HCPCS","Both",,,"26.5","13.25","Blue Cross Blue Shield","HMO","",,"71",,"18.71","9.7","20.54","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST (COOMBS); INDIRE","86885","HCPCS","Both",,,"26.5","13.25","Blue Cross Blue Shield","PPO","",,"71",,"18.71","9.7","20.54","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST (COOMBS); INDIRE","86885","HCPCS","Both",,,"26.5","13.25","Ambetter","Health Exchange","",,"62",,"16.43","9.7","20.54","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST (COOMBS); INDIRE","86885","HCPCS","Both",,,"26.5","13.25","Caresource","Health Exchange","",,"62",,"16.43","9.7","20.54","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST (COOMBS); INDIRE","86885","HCPCS","Both",,,"26.5","13.25","Cigna","Commercial","",,"59",,"15.53","9.7","20.54","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST (COOMBS); INDIRE","86885","HCPCS","Both",,,"26.5","13.25","Humana","Commercial","",,"78",,"20.54","9.7","20.54","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST (COOMBS); INDIRE","86885","HCPCS","Both",,,"26.5","13.25","UHC","Commercial","",,"75",,"19.98","9.7","20.54","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST (COOMBS); INDIRE","86885","HCPCS","Both",,,"26.5","13.25","Medicaid",,"",,"37",,"9.7","9.7","20.54","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST; INDIR, TITER","86886","HCPCS","Both",,,"133","66.5","Alliant","Health Exchange","",,"62",,"82.46","48.68","103.08","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST; INDIR, TITER","86886","HCPCS","Both",,,"133","66.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"71.82","48.68","103.08","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST; INDIR, TITER","86886","HCPCS","Both",,,"133","66.5","Medicare",,"",,"54",,"72.09","48.68","103.08","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST; INDIR, TITER","86886","HCPCS","Both",,,"133","66.5","Humana","Medicare Advantage","",,"54",,"72.09","48.68","103.08","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST; INDIR, TITER","86886","HCPCS","Both",,,"133","66.5","UHC","Medicare Advantage","",,"54",,"72.09","48.68","103.08","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST; INDIR, TITER","86886","HCPCS","Both",,,"133","66.5","Clover","Medicare Advantage","",,"54",,"72.09","48.68","103.08","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST; INDIR, TITER","86886","HCPCS","Both",,,"133","66.5","Wellcare","Medicare Advantage","",,"54",,"72.09","48.68","103.08","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST; INDIR, TITER","86886","HCPCS","Both",,,"133","66.5","Amerigroup","Medicaid Managed Care","",,"37",,"48.68","48.68","103.08","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST; INDIR, TITER","86886","HCPCS","Both",,,"133","66.5","Caresource","Medicaid Managed Care","",,"40",,"53.2","48.68","103.08","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST; INDIR, TITER","86886","HCPCS","Both",,,"133","66.5","Wellcare","Medicaid Managed Care","",,"40",,"53.86","48.68","103.08","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST; INDIR, TITER","86886","HCPCS","Both",,,"133","66.5","Aetna","Commercial","",,"64",,"84.85","48.68","103.08","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST; INDIR, TITER","86886","HCPCS","Both",,,"133","66.5","Blue Cross Blue Shield","Pathways","",,"71",,"93.9","48.68","103.08","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST; INDIR, TITER","86886","HCPCS","Both",,,"133","66.5","Blue Cross Blue Shield","HMO","",,"71",,"93.9","48.68","103.08","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST; INDIR, TITER","86886","HCPCS","Both",,,"133","66.5","Blue Cross Blue Shield","PPO","",,"71",,"93.9","48.68","103.08","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST; INDIR, TITER","86886","HCPCS","Both",,,"133","66.5","Ambetter","Health Exchange","",,"62",,"82.46","48.68","103.08","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST; INDIR, TITER","86886","HCPCS","Both",,,"133","66.5","Caresource","Health Exchange","",,"62",,"82.46","48.68","103.08","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST; INDIR, TITER","86886","HCPCS","Both",,,"133","66.5","Cigna","Commercial","",,"59",,"77.94","48.68","103.08","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST; INDIR, TITER","86886","HCPCS","Both",,,"133","66.5","Humana","Commercial","",,"78",,"103.08","48.68","103.08","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST; INDIR, TITER","86886","HCPCS","Both",,,"133","66.5","UHC","Commercial","",,"75",,"100.28","48.68","103.08","percent of total billed charges",,
"ANTIHUMAN GLOBULIN TEST; INDIR, TITER","86886","HCPCS","Both",,,"133","66.5","Medicaid",,"",,"37",,"48.68","48.68","103.08","percent of total billed charges",,
"SEMEN ANALYSIS; MOTILITY AND COUNT","89310","HCPCS","Both",,,"62.5","31.25","Alliant","Health Exchange","",,"62",,"38.75","22.88","48.44","percent of total billed charges",,
"SEMEN ANALYSIS; MOTILITY AND COUNT","89310","HCPCS","Both",,,"62.5","31.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"33.75","22.88","48.44","percent of total billed charges",,
"SEMEN ANALYSIS; MOTILITY AND COUNT","89310","HCPCS","Both",,,"62.5","31.25","Medicare",,"",,"54",,"33.88","22.88","48.44","percent of total billed charges",,
"SEMEN ANALYSIS; MOTILITY AND COUNT","89310","HCPCS","Both",,,"62.5","31.25","Humana","Medicare Advantage","",,"54",,"33.88","22.88","48.44","percent of total billed charges",,
"SEMEN ANALYSIS; MOTILITY AND COUNT","89310","HCPCS","Both",,,"62.5","31.25","UHC","Medicare Advantage","",,"54",,"33.88","22.88","48.44","percent of total billed charges",,
"SEMEN ANALYSIS; MOTILITY AND COUNT","89310","HCPCS","Both",,,"62.5","31.25","Clover","Medicare Advantage","",,"54",,"33.88","22.88","48.44","percent of total billed charges",,
"SEMEN ANALYSIS; MOTILITY AND COUNT","89310","HCPCS","Both",,,"62.5","31.25","Wellcare","Medicare Advantage","",,"54",,"33.88","22.88","48.44","percent of total billed charges",,
"SEMEN ANALYSIS; MOTILITY AND COUNT","89310","HCPCS","Both",,,"62.5","31.25","Amerigroup","Medicaid Managed Care","",,"37",,"22.88","22.88","48.44","percent of total billed charges",,
"SEMEN ANALYSIS; MOTILITY AND COUNT","89310","HCPCS","Both",,,"62.5","31.25","Caresource","Medicaid Managed Care","",,"40",,"25","22.88","48.44","percent of total billed charges",,
"SEMEN ANALYSIS; MOTILITY AND COUNT","89310","HCPCS","Both",,,"62.5","31.25","Wellcare","Medicaid Managed Care","",,"40",,"25.31","22.88","48.44","percent of total billed charges",,
"SEMEN ANALYSIS; MOTILITY AND COUNT","89310","HCPCS","Both",,,"62.5","31.25","Aetna","Commercial","",,"64",,"39.88","22.88","48.44","percent of total billed charges",,
"SEMEN ANALYSIS; MOTILITY AND COUNT","89310","HCPCS","Both",,,"62.5","31.25","Blue Cross Blue Shield","Pathways","",,"71",,"44.12","22.88","48.44","percent of total billed charges",,
"SEMEN ANALYSIS; MOTILITY AND COUNT","89310","HCPCS","Both",,,"62.5","31.25","Blue Cross Blue Shield","HMO","",,"71",,"44.12","22.88","48.44","percent of total billed charges",,
"SEMEN ANALYSIS; MOTILITY AND COUNT","89310","HCPCS","Both",,,"62.5","31.25","Blue Cross Blue Shield","PPO","",,"71",,"44.12","22.88","48.44","percent of total billed charges",,
"SEMEN ANALYSIS; MOTILITY AND COUNT","89310","HCPCS","Both",,,"62.5","31.25","Ambetter","Health Exchange","",,"62",,"38.75","22.88","48.44","percent of total billed charges",,
"SEMEN ANALYSIS; MOTILITY AND COUNT","89310","HCPCS","Both",,,"62.5","31.25","Caresource","Health Exchange","",,"62",,"38.75","22.88","48.44","percent of total billed charges",,
"SEMEN ANALYSIS; MOTILITY AND COUNT","89310","HCPCS","Both",,,"62.5","31.25","Cigna","Commercial","",,"59",,"36.62","22.88","48.44","percent of total billed charges",,
"SEMEN ANALYSIS; MOTILITY AND COUNT","89310","HCPCS","Both",,,"62.5","31.25","Humana","Commercial","",,"78",,"48.44","22.88","48.44","percent of total billed charges",,
"SEMEN ANALYSIS; MOTILITY AND COUNT","89310","HCPCS","Both",,,"62.5","31.25","UHC","Commercial","",,"75",,"47.12","22.88","48.44","percent of total billed charges",,
"SEMEN ANALYSIS; MOTILITY AND COUNT","89310","HCPCS","Both",,,"62.5","31.25","Medicaid",,"",,"37",,"22.88","22.88","48.44","percent of total billed charges",,
"DIGOXIN","80162","HCPCS","Both",,,"27","13.5","Alliant","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"DIGOXIN","80162","HCPCS","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"14.58","9.88","20.92","percent of total billed charges",,
"DIGOXIN","80162","HCPCS","Both",,,"27","13.5","Medicare",,"",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"DIGOXIN","80162","HCPCS","Both",,,"27","13.5","Humana","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"DIGOXIN","80162","HCPCS","Both",,,"27","13.5","UHC","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"DIGOXIN","80162","HCPCS","Both",,,"27","13.5","Clover","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"DIGOXIN","80162","HCPCS","Both",,,"27","13.5","Wellcare","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"DIGOXIN","80162","HCPCS","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care","",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"DIGOXIN","80162","HCPCS","Both",,,"27","13.5","Caresource","Medicaid Managed Care","",,"40",,"10.8","9.88","20.92","percent of total billed charges",,
"DIGOXIN","80162","HCPCS","Both",,,"27","13.5","Wellcare","Medicaid Managed Care","",,"40",,"10.94","9.88","20.92","percent of total billed charges",,
"DIGOXIN","80162","HCPCS","Both",,,"27","13.5","Aetna","Commercial","",,"64",,"17.23","9.88","20.92","percent of total billed charges",,
"DIGOXIN","80162","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"DIGOXIN","80162","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","HMO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"DIGOXIN","80162","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","PPO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"DIGOXIN","80162","HCPCS","Both",,,"27","13.5","Ambetter","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"DIGOXIN","80162","HCPCS","Both",,,"27","13.5","Caresource","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"DIGOXIN","80162","HCPCS","Both",,,"27","13.5","Cigna","Commercial","",,"59",,"15.82","9.88","20.92","percent of total billed charges",,
"DIGOXIN","80162","HCPCS","Both",,,"27","13.5","Humana","Commercial","",,"78",,"20.92","9.88","20.92","percent of total billed charges",,
"DIGOXIN","80162","HCPCS","Both",,,"27","13.5","UHC","Commercial","",,"75",,"20.36","9.88","20.92","percent of total billed charges",,
"DIGOXIN","80162","HCPCS","Both",,,"27","13.5","Medicaid",,"",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"PPD (TB); INTRADERMAL","86580","HCPCS","Both",,,"17.5","8.75","Alliant","Health Exchange","",,"62",,"10.85","6.4","13.56","percent of total billed charges",,
"PPD (TB); INTRADERMAL","86580","HCPCS","Both",,,"17.5","8.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"9.45","6.4","13.56","percent of total billed charges",,
"PPD (TB); INTRADERMAL","86580","HCPCS","Both",,,"17.5","8.75","Medicare",,"",,"54",,"9.49","6.4","13.56","percent of total billed charges",,
"PPD (TB); INTRADERMAL","86580","HCPCS","Both",,,"17.5","8.75","Humana","Medicare Advantage","",,"54",,"9.49","6.4","13.56","percent of total billed charges",,
"PPD (TB); INTRADERMAL","86580","HCPCS","Both",,,"17.5","8.75","UHC","Medicare Advantage","",,"54",,"9.49","6.4","13.56","percent of total billed charges",,
"PPD (TB); INTRADERMAL","86580","HCPCS","Both",,,"17.5","8.75","Clover","Medicare Advantage","",,"54",,"9.49","6.4","13.56","percent of total billed charges",,
"PPD (TB); INTRADERMAL","86580","HCPCS","Both",,,"17.5","8.75","Wellcare","Medicare Advantage","",,"54",,"9.49","6.4","13.56","percent of total billed charges",,
"PPD (TB); INTRADERMAL","86580","HCPCS","Both",,,"17.5","8.75","Amerigroup","Medicaid Managed Care","",,"37",,"6.4","6.4","13.56","percent of total billed charges",,
"PPD (TB); INTRADERMAL","86580","HCPCS","Both",,,"17.5","8.75","Caresource","Medicaid Managed Care","",,"40",,"7","6.4","13.56","percent of total billed charges",,
"PPD (TB); INTRADERMAL","86580","HCPCS","Both",,,"17.5","8.75","Wellcare","Medicaid Managed Care","",,"40",,"7.09","6.4","13.56","percent of total billed charges",,
"PPD (TB); INTRADERMAL","86580","HCPCS","Both",,,"17.5","8.75","Aetna","Commercial","",,"64",,"11.16","6.4","13.56","percent of total billed charges",,
"PPD (TB); INTRADERMAL","86580","HCPCS","Both",,,"17.5","8.75","Blue Cross Blue Shield","Pathways","",,"71",,"12.35","6.4","13.56","percent of total billed charges",,
"PPD (TB); INTRADERMAL","86580","HCPCS","Both",,,"17.5","8.75","Blue Cross Blue Shield","HMO","",,"71",,"12.35","6.4","13.56","percent of total billed charges",,
"PPD (TB); INTRADERMAL","86580","HCPCS","Both",,,"17.5","8.75","Blue Cross Blue Shield","PPO","",,"71",,"12.35","6.4","13.56","percent of total billed charges",,
"PPD (TB); INTRADERMAL","86580","HCPCS","Both",,,"17.5","8.75","Ambetter","Health Exchange","",,"62",,"10.85","6.4","13.56","percent of total billed charges",,
"PPD (TB); INTRADERMAL","86580","HCPCS","Both",,,"17.5","8.75","Caresource","Health Exchange","",,"62",,"10.85","6.4","13.56","percent of total billed charges",,
"PPD (TB); INTRADERMAL","86580","HCPCS","Both",,,"17.5","8.75","Cigna","Commercial","",,"59",,"10.26","6.4","13.56","percent of total billed charges",,
"PPD (TB); INTRADERMAL","86580","HCPCS","Both",,,"17.5","8.75","Humana","Commercial","",,"78",,"13.56","6.4","13.56","percent of total billed charges",,
"PPD (TB); INTRADERMAL","86580","HCPCS","Both",,,"17.5","8.75","UHC","Commercial","",,"75",,"13.2","6.4","13.56","percent of total billed charges",,
"PPD (TB); INTRADERMAL","86580","HCPCS","Both",,,"17.5","8.75","Medicaid",,"",,"37",,"6.4","6.4","13.56","percent of total billed charges",,
"ALCOHOL","80320","HCPCS","Both",,,"3.5","1.75","Alliant","Health Exchange","",,"62",,"2.17","1.28","2.71","percent of total billed charges",,
"ALCOHOL","80320","HCPCS","Both",,,"3.5","1.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"1.89","1.28","2.71","percent of total billed charges",,
"ALCOHOL","80320","HCPCS","Both",,,"3.5","1.75","Medicare",,"",,"54",,"1.9","1.28","2.71","percent of total billed charges",,
"ALCOHOL","80320","HCPCS","Both",,,"3.5","1.75","Humana","Medicare Advantage","",,"54",,"1.9","1.28","2.71","percent of total billed charges",,
"ALCOHOL","80320","HCPCS","Both",,,"3.5","1.75","UHC","Medicare Advantage","",,"54",,"1.9","1.28","2.71","percent of total billed charges",,
"ALCOHOL","80320","HCPCS","Both",,,"3.5","1.75","Clover","Medicare Advantage","",,"54",,"1.9","1.28","2.71","percent of total billed charges",,
"ALCOHOL","80320","HCPCS","Both",,,"3.5","1.75","Wellcare","Medicare Advantage","",,"54",,"1.9","1.28","2.71","percent of total billed charges",,
"ALCOHOL","80320","HCPCS","Both",,,"3.5","1.75","Amerigroup","Medicaid Managed Care","",,"37",,"1.28","1.28","2.71","percent of total billed charges",,
"ALCOHOL","80320","HCPCS","Both",,,"3.5","1.75","Caresource","Medicaid Managed Care","",,"40",,"1.4","1.28","2.71","percent of total billed charges",,
"ALCOHOL","80320","HCPCS","Both",,,"3.5","1.75","Wellcare","Medicaid Managed Care","",,"40",,"1.42","1.28","2.71","percent of total billed charges",,
"ALCOHOL","80320","HCPCS","Both",,,"3.5","1.75","Aetna","Commercial","",,"64",,"2.23","1.28","2.71","percent of total billed charges",,
"ALCOHOL","80320","HCPCS","Both",,,"3.5","1.75","Blue Cross Blue Shield","Pathways","",,"71",,"2.47","1.28","2.71","percent of total billed charges",,
"ALCOHOL","80320","HCPCS","Both",,,"3.5","1.75","Blue Cross Blue Shield","HMO","",,"71",,"2.47","1.28","2.71","percent of total billed charges",,
"ALCOHOL","80320","HCPCS","Both",,,"3.5","1.75","Blue Cross Blue Shield","PPO","",,"71",,"2.47","1.28","2.71","percent of total billed charges",,
"ALCOHOL","80320","HCPCS","Both",,,"3.5","1.75","Ambetter","Health Exchange","",,"62",,"2.17","1.28","2.71","percent of total billed charges",,
"ALCOHOL","80320","HCPCS","Both",,,"3.5","1.75","Caresource","Health Exchange","",,"62",,"2.17","1.28","2.71","percent of total billed charges",,
"ALCOHOL","80320","HCPCS","Both",,,"3.5","1.75","Cigna","Commercial","",,"59",,"2.05","1.28","2.71","percent of total billed charges",,
"ALCOHOL","80320","HCPCS","Both",,,"3.5","1.75","Humana","Commercial","",,"78",,"2.71","1.28","2.71","percent of total billed charges",,
"ALCOHOL","80320","HCPCS","Both",,,"3.5","1.75","UHC","Commercial","",,"75",,"2.64","1.28","2.71","percent of total billed charges",,
"ALCOHOL","80320","HCPCS","Both",,,"3.5","1.75","Medicaid",,"",,"37",,"1.28","1.28","2.71","percent of total billed charges",,
"CKMB; CREATINE KINASE MB","82553","HCPCS","Both",,,"19.5","9.75","Alliant","Health Exchange","",,"62",,"12.09","7.14","15.11","percent of total billed charges",,
"CKMB; CREATINE KINASE MB","82553","HCPCS","Both",,,"19.5","9.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"10.53","7.14","15.11","percent of total billed charges",,
"CKMB; CREATINE KINASE MB","82553","HCPCS","Both",,,"19.5","9.75","Medicare",,"",,"54",,"10.57","7.14","15.11","percent of total billed charges",,
"CKMB; CREATINE KINASE MB","82553","HCPCS","Both",,,"19.5","9.75","Humana","Medicare Advantage","",,"54",,"10.57","7.14","15.11","percent of total billed charges",,
"CKMB; CREATINE KINASE MB","82553","HCPCS","Both",,,"19.5","9.75","UHC","Medicare Advantage","",,"54",,"10.57","7.14","15.11","percent of total billed charges",,
"CKMB; CREATINE KINASE MB","82553","HCPCS","Both",,,"19.5","9.75","Clover","Medicare Advantage","",,"54",,"10.57","7.14","15.11","percent of total billed charges",,
"CKMB; CREATINE KINASE MB","82553","HCPCS","Both",,,"19.5","9.75","Wellcare","Medicare Advantage","",,"54",,"10.57","7.14","15.11","percent of total billed charges",,
"CKMB; CREATINE KINASE MB","82553","HCPCS","Both",,,"19.5","9.75","Amerigroup","Medicaid Managed Care","",,"37",,"7.14","7.14","15.11","percent of total billed charges",,
"CKMB; CREATINE KINASE MB","82553","HCPCS","Both",,,"19.5","9.75","Caresource","Medicaid Managed Care","",,"40",,"7.8","7.14","15.11","percent of total billed charges",,
"CKMB; CREATINE KINASE MB","82553","HCPCS","Both",,,"19.5","9.75","Wellcare","Medicaid Managed Care","",,"40",,"7.9","7.14","15.11","percent of total billed charges",,
"CKMB; CREATINE KINASE MB","82553","HCPCS","Both",,,"19.5","9.75","Aetna","Commercial","",,"64",,"12.44","7.14","15.11","percent of total billed charges",,
"CKMB; CREATINE KINASE MB","82553","HCPCS","Both",,,"19.5","9.75","Blue Cross Blue Shield","Pathways","",,"71",,"13.77","7.14","15.11","percent of total billed charges",,
"CKMB; CREATINE KINASE MB","82553","HCPCS","Both",,,"19.5","9.75","Blue Cross Blue Shield","HMO","",,"71",,"13.77","7.14","15.11","percent of total billed charges",,
"CKMB; CREATINE KINASE MB","82553","HCPCS","Both",,,"19.5","9.75","Blue Cross Blue Shield","PPO","",,"71",,"13.77","7.14","15.11","percent of total billed charges",,
"CKMB; CREATINE KINASE MB","82553","HCPCS","Both",,,"19.5","9.75","Ambetter","Health Exchange","",,"62",,"12.09","7.14","15.11","percent of total billed charges",,
"CKMB; CREATINE KINASE MB","82553","HCPCS","Both",,,"19.5","9.75","Caresource","Health Exchange","",,"62",,"12.09","7.14","15.11","percent of total billed charges",,
"CKMB; CREATINE KINASE MB","82553","HCPCS","Both",,,"19.5","9.75","Cigna","Commercial","",,"59",,"11.43","7.14","15.11","percent of total billed charges",,
"CKMB; CREATINE KINASE MB","82553","HCPCS","Both",,,"19.5","9.75","Humana","Commercial","",,"78",,"15.11","7.14","15.11","percent of total billed charges",,
"CKMB; CREATINE KINASE MB","82553","HCPCS","Both",,,"19.5","9.75","UHC","Commercial","",,"75",,"14.7","7.14","15.11","percent of total billed charges",,
"CKMB; CREATINE KINASE MB","82553","HCPCS","Both",,,"19.5","9.75","Medicaid",,"",,"37",,"7.14","7.14","15.11","percent of total billed charges",,
"DNA DOUBLE STRANDED ANTIBODY","86225","HCPCS","Both",,,"41","20.5","Alliant","Health Exchange","",,"62",,"25.42","15.01","31.78","percent of total billed charges",,
"DNA DOUBLE STRANDED ANTIBODY","86225","HCPCS","Both",,,"41","20.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"22.14","15.01","31.78","percent of total billed charges",,
"DNA DOUBLE STRANDED ANTIBODY","86225","HCPCS","Both",,,"41","20.5","Medicare",,"",,"54",,"22.22","15.01","31.78","percent of total billed charges",,
"DNA DOUBLE STRANDED ANTIBODY","86225","HCPCS","Both",,,"41","20.5","Humana","Medicare Advantage","",,"54",,"22.22","15.01","31.78","percent of total billed charges",,
"DNA DOUBLE STRANDED ANTIBODY","86225","HCPCS","Both",,,"41","20.5","UHC","Medicare Advantage","",,"54",,"22.22","15.01","31.78","percent of total billed charges",,
"DNA DOUBLE STRANDED ANTIBODY","86225","HCPCS","Both",,,"41","20.5","Clover","Medicare Advantage","",,"54",,"22.22","15.01","31.78","percent of total billed charges",,
"DNA DOUBLE STRANDED ANTIBODY","86225","HCPCS","Both",,,"41","20.5","Wellcare","Medicare Advantage","",,"54",,"22.22","15.01","31.78","percent of total billed charges",,
"DNA DOUBLE STRANDED ANTIBODY","86225","HCPCS","Both",,,"41","20.5","Amerigroup","Medicaid Managed Care","",,"37",,"15.01","15.01","31.78","percent of total billed charges",,
"DNA DOUBLE STRANDED ANTIBODY","86225","HCPCS","Both",,,"41","20.5","Caresource","Medicaid Managed Care","",,"40",,"16.4","15.01","31.78","percent of total billed charges",,
"DNA DOUBLE STRANDED ANTIBODY","86225","HCPCS","Both",,,"41","20.5","Wellcare","Medicaid Managed Care","",,"40",,"16.6","15.01","31.78","percent of total billed charges",,
"DNA DOUBLE STRANDED ANTIBODY","86225","HCPCS","Both",,,"41","20.5","Aetna","Commercial","",,"64",,"26.16","15.01","31.78","percent of total billed charges",,
"DNA DOUBLE STRANDED ANTIBODY","86225","HCPCS","Both",,,"41","20.5","Blue Cross Blue Shield","Pathways","",,"71",,"28.95","15.01","31.78","percent of total billed charges",,
"DNA DOUBLE STRANDED ANTIBODY","86225","HCPCS","Both",,,"41","20.5","Blue Cross Blue Shield","HMO","",,"71",,"28.95","15.01","31.78","percent of total billed charges",,
"DNA DOUBLE STRANDED ANTIBODY","86225","HCPCS","Both",,,"41","20.5","Blue Cross Blue Shield","PPO","",,"71",,"28.95","15.01","31.78","percent of total billed charges",,
"DNA DOUBLE STRANDED ANTIBODY","86225","HCPCS","Both",,,"41","20.5","Ambetter","Health Exchange","",,"62",,"25.42","15.01","31.78","percent of total billed charges",,
"DNA DOUBLE STRANDED ANTIBODY","86225","HCPCS","Both",,,"41","20.5","Caresource","Health Exchange","",,"62",,"25.42","15.01","31.78","percent of total billed charges",,
"DNA DOUBLE STRANDED ANTIBODY","86225","HCPCS","Both",,,"41","20.5","Cigna","Commercial","",,"59",,"24.03","15.01","31.78","percent of total billed charges",,
"DNA DOUBLE STRANDED ANTIBODY","86225","HCPCS","Both",,,"41","20.5","Humana","Commercial","",,"78",,"31.78","15.01","31.78","percent of total billed charges",,
"DNA DOUBLE STRANDED ANTIBODY","86225","HCPCS","Both",,,"41","20.5","UHC","Commercial","",,"75",,"30.91","15.01","31.78","percent of total billed charges",,
"DNA DOUBLE STRANDED ANTIBODY","86225","HCPCS","Both",,,"41","20.5","Medicaid",,"",,"37",,"15.01","15.01","31.78","percent of total billed charges",,
"FIBRINOGEN","85384","HCPCS","Both",,,"112","56","Alliant","Health Exchange","",,"62",,"69.44","40.99","86.8","percent of total billed charges",,
"FIBRINOGEN","85384","HCPCS","Both",,,"112","56","Pruitt Healthcare","Medicare Advantage","",,"54",,"60.48","40.99","86.8","percent of total billed charges",,
"FIBRINOGEN","85384","HCPCS","Both",,,"112","56","Medicare",,"",,"54",,"60.7","40.99","86.8","percent of total billed charges",,
"FIBRINOGEN","85384","HCPCS","Both",,,"112","56","Humana","Medicare Advantage","",,"54",,"60.7","40.99","86.8","percent of total billed charges",,
"FIBRINOGEN","85384","HCPCS","Both",,,"112","56","UHC","Medicare Advantage","",,"54",,"60.7","40.99","86.8","percent of total billed charges",,
"FIBRINOGEN","85384","HCPCS","Both",,,"112","56","Clover","Medicare Advantage","",,"54",,"60.7","40.99","86.8","percent of total billed charges",,
"FIBRINOGEN","85384","HCPCS","Both",,,"112","56","Wellcare","Medicare Advantage","",,"54",,"60.7","40.99","86.8","percent of total billed charges",,
"FIBRINOGEN","85384","HCPCS","Both",,,"112","56","Amerigroup","Medicaid Managed Care","",,"37",,"40.99","40.99","86.8","percent of total billed charges",,
"FIBRINOGEN","85384","HCPCS","Both",,,"112","56","Caresource","Medicaid Managed Care","",,"40",,"44.8","40.99","86.8","percent of total billed charges",,
"FIBRINOGEN","85384","HCPCS","Both",,,"112","56","Wellcare","Medicaid Managed Care","",,"40",,"45.36","40.99","86.8","percent of total billed charges",,
"FIBRINOGEN","85384","HCPCS","Both",,,"112","56","Aetna","Commercial","",,"64",,"71.46","40.99","86.8","percent of total billed charges",,
"FIBRINOGEN","85384","HCPCS","Both",,,"112","56","Blue Cross Blue Shield","Pathways","",,"71",,"79.07","40.99","86.8","percent of total billed charges",,
"FIBRINOGEN","85384","HCPCS","Both",,,"112","56","Blue Cross Blue Shield","HMO","",,"71",,"79.07","40.99","86.8","percent of total billed charges",,
"FIBRINOGEN","85384","HCPCS","Both",,,"112","56","Blue Cross Blue Shield","PPO","",,"71",,"79.07","40.99","86.8","percent of total billed charges",,
"FIBRINOGEN","85384","HCPCS","Both",,,"112","56","Ambetter","Health Exchange","",,"62",,"69.44","40.99","86.8","percent of total billed charges",,
"FIBRINOGEN","85384","HCPCS","Both",,,"112","56","Caresource","Health Exchange","",,"62",,"69.44","40.99","86.8","percent of total billed charges",,
"FIBRINOGEN","85384","HCPCS","Both",,,"112","56","Cigna","Commercial","",,"59",,"65.63","40.99","86.8","percent of total billed charges",,
"FIBRINOGEN","85384","HCPCS","Both",,,"112","56","Humana","Commercial","",,"78",,"86.8","40.99","86.8","percent of total billed charges",,
"FIBRINOGEN","85384","HCPCS","Both",,,"112","56","UHC","Commercial","",,"75",,"84.45","40.99","86.8","percent of total billed charges",,
"FIBRINOGEN","85384","HCPCS","Both",,,"112","56","Medicaid",,"",,"37",,"40.99","40.99","86.8","percent of total billed charges",,
"LIPASE","83690","HCPCS","Both",,,"77","38.5","Alliant","Health Exchange","",,"62",,"47.74","28.18","59.68","percent of total billed charges",,
"LIPASE","83690","HCPCS","Both",,,"77","38.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"41.58","28.18","59.68","percent of total billed charges",,
"LIPASE","83690","HCPCS","Both",,,"77","38.5","Medicare",,"",,"54",,"41.73","28.18","59.68","percent of total billed charges",,
"LIPASE","83690","HCPCS","Both",,,"77","38.5","Humana","Medicare Advantage","",,"54",,"41.73","28.18","59.68","percent of total billed charges",,
"LIPASE","83690","HCPCS","Both",,,"77","38.5","UHC","Medicare Advantage","",,"54",,"41.73","28.18","59.68","percent of total billed charges",,
"LIPASE","83690","HCPCS","Both",,,"77","38.5","Clover","Medicare Advantage","",,"54",,"41.73","28.18","59.68","percent of total billed charges",,
"LIPASE","83690","HCPCS","Both",,,"77","38.5","Wellcare","Medicare Advantage","",,"54",,"41.73","28.18","59.68","percent of total billed charges",,
"LIPASE","83690","HCPCS","Both",,,"77","38.5","Amerigroup","Medicaid Managed Care","",,"37",,"28.18","28.18","59.68","percent of total billed charges",,
"LIPASE","83690","HCPCS","Both",,,"77","38.5","Caresource","Medicaid Managed Care","",,"40",,"30.8","28.18","59.68","percent of total billed charges",,
"LIPASE","83690","HCPCS","Both",,,"77","38.5","Wellcare","Medicaid Managed Care","",,"40",,"31.18","28.18","59.68","percent of total billed charges",,
"LIPASE","83690","HCPCS","Both",,,"77","38.5","Aetna","Commercial","",,"64",,"49.13","28.18","59.68","percent of total billed charges",,
"LIPASE","83690","HCPCS","Both",,,"77","38.5","Blue Cross Blue Shield","Pathways","",,"71",,"54.36","28.18","59.68","percent of total billed charges",,
"LIPASE","83690","HCPCS","Both",,,"77","38.5","Blue Cross Blue Shield","HMO","",,"71",,"54.36","28.18","59.68","percent of total billed charges",,
"LIPASE","83690","HCPCS","Both",,,"77","38.5","Blue Cross Blue Shield","PPO","",,"71",,"54.36","28.18","59.68","percent of total billed charges",,
"LIPASE","83690","HCPCS","Both",,,"77","38.5","Ambetter","Health Exchange","",,"62",,"47.74","28.18","59.68","percent of total billed charges",,
"LIPASE","83690","HCPCS","Both",,,"77","38.5","Caresource","Health Exchange","",,"62",,"47.74","28.18","59.68","percent of total billed charges",,
"LIPASE","83690","HCPCS","Both",,,"77","38.5","Cigna","Commercial","",,"59",,"45.12","28.18","59.68","percent of total billed charges",,
"LIPASE","83690","HCPCS","Both",,,"77","38.5","Humana","Commercial","",,"78",,"59.68","28.18","59.68","percent of total billed charges",,
"LIPASE","83690","HCPCS","Both",,,"77","38.5","UHC","Commercial","",,"75",,"58.06","28.18","59.68","percent of total billed charges",,
"LIPASE","83690","HCPCS","Both",,,"77","38.5","Medicaid",,"",,"37",,"28.18","28.18","59.68","percent of total billed charges",,
"THEOPHYLLIN","80198","HCPCS","Both",,,"101","50.5","Alliant","Health Exchange","",,"62",,"62.62","36.97","78.28","percent of total billed charges",,
"THEOPHYLLIN","80198","HCPCS","Both",,,"101","50.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"54.54","36.97","78.28","percent of total billed charges",,
"THEOPHYLLIN","80198","HCPCS","Both",,,"101","50.5","Medicare",,"",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"THEOPHYLLIN","80198","HCPCS","Both",,,"101","50.5","Humana","Medicare Advantage","",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"THEOPHYLLIN","80198","HCPCS","Both",,,"101","50.5","UHC","Medicare Advantage","",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"THEOPHYLLIN","80198","HCPCS","Both",,,"101","50.5","Clover","Medicare Advantage","",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"THEOPHYLLIN","80198","HCPCS","Both",,,"101","50.5","Wellcare","Medicare Advantage","",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"THEOPHYLLIN","80198","HCPCS","Both",,,"101","50.5","Amerigroup","Medicaid Managed Care","",,"37",,"36.97","36.97","78.28","percent of total billed charges",,
"THEOPHYLLIN","80198","HCPCS","Both",,,"101","50.5","Caresource","Medicaid Managed Care","",,"40",,"40.4","36.97","78.28","percent of total billed charges",,
"THEOPHYLLIN","80198","HCPCS","Both",,,"101","50.5","Wellcare","Medicaid Managed Care","",,"40",,"40.9","36.97","78.28","percent of total billed charges",,
"THEOPHYLLIN","80198","HCPCS","Both",,,"101","50.5","Aetna","Commercial","",,"64",,"64.44","36.97","78.28","percent of total billed charges",,
"THEOPHYLLIN","80198","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","Pathways","",,"71",,"71.31","36.97","78.28","percent of total billed charges",,
"THEOPHYLLIN","80198","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","HMO","",,"71",,"71.31","36.97","78.28","percent of total billed charges",,
"THEOPHYLLIN","80198","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","PPO","",,"71",,"71.31","36.97","78.28","percent of total billed charges",,
"THEOPHYLLIN","80198","HCPCS","Both",,,"101","50.5","Ambetter","Health Exchange","",,"62",,"62.62","36.97","78.28","percent of total billed charges",,
"THEOPHYLLIN","80198","HCPCS","Both",,,"101","50.5","Caresource","Health Exchange","",,"62",,"62.62","36.97","78.28","percent of total billed charges",,
"THEOPHYLLIN","80198","HCPCS","Both",,,"101","50.5","Cigna","Commercial","",,"59",,"59.19","36.97","78.28","percent of total billed charges",,
"THEOPHYLLIN","80198","HCPCS","Both",,,"101","50.5","Humana","Commercial","",,"78",,"78.28","36.97","78.28","percent of total billed charges",,
"THEOPHYLLIN","80198","HCPCS","Both",,,"101","50.5","UHC","Commercial","",,"75",,"76.15","36.97","78.28","percent of total billed charges",,
"THEOPHYLLIN","80198","HCPCS","Both",,,"101","50.5","Medicaid",,"",,"37",,"36.97","36.97","78.28","percent of total billed charges",,
"MUMPS VIRUS IGG","86735","HCPCS","Both",,,"94","47","Alliant","Health Exchange","",,"62",,"58.28","34.4","72.85","percent of total billed charges",,
"MUMPS VIRUS IGG","86735","HCPCS","Both",,,"94","47","Pruitt Healthcare","Medicare Advantage","",,"54",,"50.76","34.4","72.85","percent of total billed charges",,
"MUMPS VIRUS IGG","86735","HCPCS","Both",,,"94","47","Medicare",,"",,"54",,"50.95","34.4","72.85","percent of total billed charges",,
"MUMPS VIRUS IGG","86735","HCPCS","Both",,,"94","47","Humana","Medicare Advantage","",,"54",,"50.95","34.4","72.85","percent of total billed charges",,
"MUMPS VIRUS IGG","86735","HCPCS","Both",,,"94","47","UHC","Medicare Advantage","",,"54",,"50.95","34.4","72.85","percent of total billed charges",,
"MUMPS VIRUS IGG","86735","HCPCS","Both",,,"94","47","Clover","Medicare Advantage","",,"54",,"50.95","34.4","72.85","percent of total billed charges",,
"MUMPS VIRUS IGG","86735","HCPCS","Both",,,"94","47","Wellcare","Medicare Advantage","",,"54",,"50.95","34.4","72.85","percent of total billed charges",,
"MUMPS VIRUS IGG","86735","HCPCS","Both",,,"94","47","Amerigroup","Medicaid Managed Care","",,"37",,"34.4","34.4","72.85","percent of total billed charges",,
"MUMPS VIRUS IGG","86735","HCPCS","Both",,,"94","47","Caresource","Medicaid Managed Care","",,"40",,"37.6","34.4","72.85","percent of total billed charges",,
"MUMPS VIRUS IGG","86735","HCPCS","Both",,,"94","47","Wellcare","Medicaid Managed Care","",,"40",,"38.07","34.4","72.85","percent of total billed charges",,
"MUMPS VIRUS IGG","86735","HCPCS","Both",,,"94","47","Aetna","Commercial","",,"64",,"59.97","34.4","72.85","percent of total billed charges",,
"MUMPS VIRUS IGG","86735","HCPCS","Both",,,"94","47","Blue Cross Blue Shield","Pathways","",,"71",,"66.36","34.4","72.85","percent of total billed charges",,
"MUMPS VIRUS IGG","86735","HCPCS","Both",,,"94","47","Blue Cross Blue Shield","HMO","",,"71",,"66.36","34.4","72.85","percent of total billed charges",,
"MUMPS VIRUS IGG","86735","HCPCS","Both",,,"94","47","Blue Cross Blue Shield","PPO","",,"71",,"66.36","34.4","72.85","percent of total billed charges",,
"MUMPS VIRUS IGG","86735","HCPCS","Both",,,"94","47","Ambetter","Health Exchange","",,"62",,"58.28","34.4","72.85","percent of total billed charges",,
"MUMPS VIRUS IGG","86735","HCPCS","Both",,,"94","47","Caresource","Health Exchange","",,"62",,"58.28","34.4","72.85","percent of total billed charges",,
"MUMPS VIRUS IGG","86735","HCPCS","Both",,,"94","47","Cigna","Commercial","",,"59",,"55.08","34.4","72.85","percent of total billed charges",,
"MUMPS VIRUS IGG","86735","HCPCS","Both",,,"94","47","Humana","Commercial","",,"78",,"72.85","34.4","72.85","percent of total billed charges",,
"MUMPS VIRUS IGG","86735","HCPCS","Both",,,"94","47","UHC","Commercial","",,"75",,"70.88","34.4","72.85","percent of total billed charges",,
"MUMPS VIRUS IGG","86735","HCPCS","Both",,,"94","47","Medicaid",,"",,"37",,"34.4","34.4","72.85","percent of total billed charges",,
"T PALLIDUM AB","86780","HCPCS","Both",,,"16.5","8.25","Alliant","Health Exchange","",,"62",,"10.23","6.04","12.79","percent of total billed charges",,
"T PALLIDUM AB","86780","HCPCS","Both",,,"16.5","8.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"8.91","6.04","12.79","percent of total billed charges",,
"T PALLIDUM AB","86780","HCPCS","Both",,,"16.5","8.25","Medicare",,"",,"54",,"8.94","6.04","12.79","percent of total billed charges",,
"T PALLIDUM AB","86780","HCPCS","Both",,,"16.5","8.25","Humana","Medicare Advantage","",,"54",,"8.94","6.04","12.79","percent of total billed charges",,
"T PALLIDUM AB","86780","HCPCS","Both",,,"16.5","8.25","UHC","Medicare Advantage","",,"54",,"8.94","6.04","12.79","percent of total billed charges",,
"T PALLIDUM AB","86780","HCPCS","Both",,,"16.5","8.25","Clover","Medicare Advantage","",,"54",,"8.94","6.04","12.79","percent of total billed charges",,
"T PALLIDUM AB","86780","HCPCS","Both",,,"16.5","8.25","Wellcare","Medicare Advantage","",,"54",,"8.94","6.04","12.79","percent of total billed charges",,
"T PALLIDUM AB","86780","HCPCS","Both",,,"16.5","8.25","Amerigroup","Medicaid Managed Care","",,"37",,"6.04","6.04","12.79","percent of total billed charges",,
"T PALLIDUM AB","86780","HCPCS","Both",,,"16.5","8.25","Caresource","Medicaid Managed Care","",,"40",,"6.6","6.04","12.79","percent of total billed charges",,
"T PALLIDUM AB","86780","HCPCS","Both",,,"16.5","8.25","Wellcare","Medicaid Managed Care","",,"40",,"6.68","6.04","12.79","percent of total billed charges",,
"T PALLIDUM AB","86780","HCPCS","Both",,,"16.5","8.25","Aetna","Commercial","",,"64",,"10.53","6.04","12.79","percent of total billed charges",,
"T PALLIDUM AB","86780","HCPCS","Both",,,"16.5","8.25","Blue Cross Blue Shield","Pathways","",,"71",,"11.65","6.04","12.79","percent of total billed charges",,
"T PALLIDUM AB","86780","HCPCS","Both",,,"16.5","8.25","Blue Cross Blue Shield","HMO","",,"71",,"11.65","6.04","12.79","percent of total billed charges",,
"T PALLIDUM AB","86780","HCPCS","Both",,,"16.5","8.25","Blue Cross Blue Shield","PPO","",,"71",,"11.65","6.04","12.79","percent of total billed charges",,
"T PALLIDUM AB","86780","HCPCS","Both",,,"16.5","8.25","Ambetter","Health Exchange","",,"62",,"10.23","6.04","12.79","percent of total billed charges",,
"T PALLIDUM AB","86780","HCPCS","Both",,,"16.5","8.25","Caresource","Health Exchange","",,"62",,"10.23","6.04","12.79","percent of total billed charges",,
"T PALLIDUM AB","86780","HCPCS","Both",,,"16.5","8.25","Cigna","Commercial","",,"59",,"9.67","6.04","12.79","percent of total billed charges",,
"T PALLIDUM AB","86780","HCPCS","Both",,,"16.5","8.25","Humana","Commercial","",,"78",,"12.79","6.04","12.79","percent of total billed charges",,
"T PALLIDUM AB","86780","HCPCS","Both",,,"16.5","8.25","UHC","Commercial","",,"75",,"12.44","6.04","12.79","percent of total billed charges",,
"T PALLIDUM AB","86780","HCPCS","Both",,,"16.5","8.25","Medicaid",,"",,"37",,"6.04","6.04","12.79","percent of total billed charges",,
"THYROID STIMULATING HORMONE (TSH)","84443","HCPCS","Both",,,"25","12.5","Alliant","Health Exchange","",,"62",,"15.5","9.15","19.38","percent of total billed charges",,
"THYROID STIMULATING HORMONE (TSH)","84443","HCPCS","Both",,,"25","12.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"13.5","9.15","19.38","percent of total billed charges",,
"THYROID STIMULATING HORMONE (TSH)","84443","HCPCS","Both",,,"25","12.5","Medicare",,"",,"54",,"13.55","9.15","19.38","percent of total billed charges",,
"THYROID STIMULATING HORMONE (TSH)","84443","HCPCS","Both",,,"25","12.5","Humana","Medicare Advantage","",,"54",,"13.55","9.15","19.38","percent of total billed charges",,
"THYROID STIMULATING HORMONE (TSH)","84443","HCPCS","Both",,,"25","12.5","UHC","Medicare Advantage","",,"54",,"13.55","9.15","19.38","percent of total billed charges",,
"THYROID STIMULATING HORMONE (TSH)","84443","HCPCS","Both",,,"25","12.5","Clover","Medicare Advantage","",,"54",,"13.55","9.15","19.38","percent of total billed charges",,
"THYROID STIMULATING HORMONE (TSH)","84443","HCPCS","Both",,,"25","12.5","Wellcare","Medicare Advantage","",,"54",,"13.55","9.15","19.38","percent of total billed charges",,
"THYROID STIMULATING HORMONE (TSH)","84443","HCPCS","Both",,,"25","12.5","Amerigroup","Medicaid Managed Care","",,"37",,"9.15","9.15","19.38","percent of total billed charges",,
"THYROID STIMULATING HORMONE (TSH)","84443","HCPCS","Both",,,"25","12.5","Caresource","Medicaid Managed Care","",,"40",,"10","9.15","19.38","percent of total billed charges",,
"THYROID STIMULATING HORMONE (TSH)","84443","HCPCS","Both",,,"25","12.5","Wellcare","Medicaid Managed Care","",,"40",,"10.12","9.15","19.38","percent of total billed charges",,
"THYROID STIMULATING HORMONE (TSH)","84443","HCPCS","Both",,,"25","12.5","Aetna","Commercial","",,"64",,"15.95","9.15","19.38","percent of total billed charges",,
"THYROID STIMULATING HORMONE (TSH)","84443","HCPCS","Both",,,"25","12.5","Blue Cross Blue Shield","Pathways","",,"71",,"17.65","9.15","19.38","percent of total billed charges",,
"THYROID STIMULATING HORMONE (TSH)","84443","HCPCS","Both",,,"25","12.5","Blue Cross Blue Shield","HMO","",,"71",,"17.65","9.15","19.38","percent of total billed charges",,
"THYROID STIMULATING HORMONE (TSH)","84443","HCPCS","Both",,,"25","12.5","Blue Cross Blue Shield","PPO","",,"71",,"17.65","9.15","19.38","percent of total billed charges",,
"THYROID STIMULATING HORMONE (TSH)","84443","HCPCS","Both",,,"25","12.5","Ambetter","Health Exchange","",,"62",,"15.5","9.15","19.38","percent of total billed charges",,
"THYROID STIMULATING HORMONE (TSH)","84443","HCPCS","Both",,,"25","12.5","Caresource","Health Exchange","",,"62",,"15.5","9.15","19.38","percent of total billed charges",,
"THYROID STIMULATING HORMONE (TSH)","84443","HCPCS","Both",,,"25","12.5","Cigna","Commercial","",,"59",,"14.65","9.15","19.38","percent of total billed charges",,
"THYROID STIMULATING HORMONE (TSH)","84443","HCPCS","Both",,,"25","12.5","Humana","Commercial","",,"78",,"19.38","9.15","19.38","percent of total billed charges",,
"THYROID STIMULATING HORMONE (TSH)","84443","HCPCS","Both",,,"25","12.5","UHC","Commercial","",,"75",,"18.85","9.15","19.38","percent of total billed charges",,
"THYROID STIMULATING HORMONE (TSH)","84443","HCPCS","Both",,,"25","12.5","Medicaid",,"",,"37",,"9.15","9.15","19.38","percent of total billed charges",,
"HISTOPLASMA TOTAL AB;SERUM","86698","HCPCS","Both",,,"90","45","Alliant","Health Exchange","",,"62",,"55.8","32.94","69.75","percent of total billed charges",,
"HISTOPLASMA TOTAL AB;SERUM","86698","HCPCS","Both",,,"90","45","Pruitt Healthcare","Medicare Advantage","",,"54",,"48.6","32.94","69.75","percent of total billed charges",,
"HISTOPLASMA TOTAL AB;SERUM","86698","HCPCS","Both",,,"90","45","Medicare",,"",,"54",,"48.78","32.94","69.75","percent of total billed charges",,
"HISTOPLASMA TOTAL AB;SERUM","86698","HCPCS","Both",,,"90","45","Humana","Medicare Advantage","",,"54",,"48.78","32.94","69.75","percent of total billed charges",,
"HISTOPLASMA TOTAL AB;SERUM","86698","HCPCS","Both",,,"90","45","UHC","Medicare Advantage","",,"54",,"48.78","32.94","69.75","percent of total billed charges",,
"HISTOPLASMA TOTAL AB;SERUM","86698","HCPCS","Both",,,"90","45","Clover","Medicare Advantage","",,"54",,"48.78","32.94","69.75","percent of total billed charges",,
"HISTOPLASMA TOTAL AB;SERUM","86698","HCPCS","Both",,,"90","45","Wellcare","Medicare Advantage","",,"54",,"48.78","32.94","69.75","percent of total billed charges",,
"HISTOPLASMA TOTAL AB;SERUM","86698","HCPCS","Both",,,"90","45","Amerigroup","Medicaid Managed Care","",,"37",,"32.94","32.94","69.75","percent of total billed charges",,
"HISTOPLASMA TOTAL AB;SERUM","86698","HCPCS","Both",,,"90","45","Caresource","Medicaid Managed Care","",,"40",,"36","32.94","69.75","percent of total billed charges",,
"HISTOPLASMA TOTAL AB;SERUM","86698","HCPCS","Both",,,"90","45","Wellcare","Medicaid Managed Care","",,"40",,"36.45","32.94","69.75","percent of total billed charges",,
"HISTOPLASMA TOTAL AB;SERUM","86698","HCPCS","Both",,,"90","45","Aetna","Commercial","",,"64",,"57.42","32.94","69.75","percent of total billed charges",,
"HISTOPLASMA TOTAL AB;SERUM","86698","HCPCS","Both",,,"90","45","Blue Cross Blue Shield","Pathways","",,"71",,"63.54","32.94","69.75","percent of total billed charges",,
"HISTOPLASMA TOTAL AB;SERUM","86698","HCPCS","Both",,,"90","45","Blue Cross Blue Shield","HMO","",,"71",,"63.54","32.94","69.75","percent of total billed charges",,
"HISTOPLASMA TOTAL AB;SERUM","86698","HCPCS","Both",,,"90","45","Blue Cross Blue Shield","PPO","",,"71",,"63.54","32.94","69.75","percent of total billed charges",,
"HISTOPLASMA TOTAL AB;SERUM","86698","HCPCS","Both",,,"90","45","Ambetter","Health Exchange","",,"62",,"55.8","32.94","69.75","percent of total billed charges",,
"HISTOPLASMA TOTAL AB;SERUM","86698","HCPCS","Both",,,"90","45","Caresource","Health Exchange","",,"62",,"55.8","32.94","69.75","percent of total billed charges",,
"HISTOPLASMA TOTAL AB;SERUM","86698","HCPCS","Both",,,"90","45","Cigna","Commercial","",,"59",,"52.74","32.94","69.75","percent of total billed charges",,
"HISTOPLASMA TOTAL AB;SERUM","86698","HCPCS","Both",,,"90","45","Humana","Commercial","",,"78",,"69.75","32.94","69.75","percent of total billed charges",,
"HISTOPLASMA TOTAL AB;SERUM","86698","HCPCS","Both",,,"90","45","UHC","Commercial","",,"75",,"67.86","32.94","69.75","percent of total billed charges",,
"HISTOPLASMA TOTAL AB;SERUM","86698","HCPCS","Both",,,"90","45","Medicaid",,"",,"37",,"32.94","32.94","69.75","percent of total billed charges",,
"PLASMA FROZEN W/IN 24 HRS","P9017","HCPCS","Both",,,"246","123","Alliant","Health Exchange","BL",,"62",,"152.52","90.04","190.65","percent of total billed charges",,
"PLASMA FROZEN W/IN 24 HRS","P9017","HCPCS","Both",,,"246","123","Pruitt Healthcare","Medicare Advantage","BL",,"54",,"132.84","90.04","190.65","percent of total billed charges",,
"PLASMA FROZEN W/IN 24 HRS","P9017","HCPCS","Both",,,"246","123","Medicare",,"BL",,"54",,"133.33","90.04","190.65","percent of total billed charges",,
"PLASMA FROZEN W/IN 24 HRS","P9017","HCPCS","Both",,,"246","123","Humana","Medicare Advantage","BL",,"54",,"133.33","90.04","190.65","percent of total billed charges",,
"PLASMA FROZEN W/IN 24 HRS","P9017","HCPCS","Both",,,"246","123","UHC","Medicare Advantage","BL",,"54",,"133.33","90.04","190.65","percent of total billed charges",,
"PLASMA FROZEN W/IN 24 HRS","P9017","HCPCS","Both",,,"246","123","Clover","Medicare Advantage","BL",,"54",,"133.33","90.04","190.65","percent of total billed charges",,
"PLASMA FROZEN W/IN 24 HRS","P9017","HCPCS","Both",,,"246","123","Wellcare","Medicare Advantage","BL",,"54",,"133.33","90.04","190.65","percent of total billed charges",,
"PLASMA FROZEN W/IN 24 HRS","P9017","HCPCS","Both",,,"246","123","Amerigroup","Medicaid Managed Care","BL",,"37",,"90.04","90.04","190.65","percent of total billed charges",,
"PLASMA FROZEN W/IN 24 HRS","P9017","HCPCS","Both",,,"246","123","Caresource","Medicaid Managed Care","BL",,"40",,"98.4","90.04","190.65","percent of total billed charges",,
"PLASMA FROZEN W/IN 24 HRS","P9017","HCPCS","Both",,,"246","123","Wellcare","Medicaid Managed Care","BL",,"40",,"99.63","90.04","190.65","percent of total billed charges",,
"PLASMA FROZEN W/IN 24 HRS","P9017","HCPCS","Both",,,"246","123","Aetna","Commercial","BL",,"64",,"156.95","90.04","190.65","percent of total billed charges",,
"PLASMA FROZEN W/IN 24 HRS","P9017","HCPCS","Both",,,"246","123","Blue Cross Blue Shield","Pathways","BL",,"71",,"173.68","90.04","190.65","percent of total billed charges",,
"PLASMA FROZEN W/IN 24 HRS","P9017","HCPCS","Both",,,"246","123","Blue Cross Blue Shield","HMO","BL",,"71",,"173.68","90.04","190.65","percent of total billed charges",,
"PLASMA FROZEN W/IN 24 HRS","P9017","HCPCS","Both",,,"246","123","Blue Cross Blue Shield","PPO","BL",,"71",,"173.68","90.04","190.65","percent of total billed charges",,
"PLASMA FROZEN W/IN 24 HRS","P9017","HCPCS","Both",,,"246","123","Ambetter","Health Exchange","BL",,"62",,"152.52","90.04","190.65","percent of total billed charges",,
"PLASMA FROZEN W/IN 24 HRS","P9017","HCPCS","Both",,,"246","123","Caresource","Health Exchange","BL",,"62",,"152.52","90.04","190.65","percent of total billed charges",,
"PLASMA FROZEN W/IN 24 HRS","P9017","HCPCS","Both",,,"246","123","Cigna","Commercial","BL",,"59",,"144.16","90.04","190.65","percent of total billed charges",,
"PLASMA FROZEN W/IN 24 HRS","P9017","HCPCS","Both",,,"246","123","Humana","Commercial","BL",,"78",,"190.65","90.04","190.65","percent of total billed charges",,
"PLASMA FROZEN W/IN 24 HRS","P9017","HCPCS","Both",,,"246","123","UHC","Commercial","BL",,"75",,"185.48","90.04","190.65","percent of total billed charges",,
"PLASMA FROZEN W/IN 24 HRS","P9017","HCPCS","Both",,,"246","123","Medicaid",,"BL",,"37",,"90.04","90.04","190.65","percent of total billed charges",,
"PORPHOBILINOGEN,URINE 24HR OR RANDOM","84110","HCPCS","Both",,,"61.5","30.75","Alliant","Health Exchange","",,"62",,"38.13","22.51","47.66","percent of total billed charges",,
"PORPHOBILINOGEN,URINE 24HR OR RANDOM","84110","HCPCS","Both",,,"61.5","30.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"33.21","22.51","47.66","percent of total billed charges",,
"PORPHOBILINOGEN,URINE 24HR OR RANDOM","84110","HCPCS","Both",,,"61.5","30.75","Medicare",,"",,"54",,"33.33","22.51","47.66","percent of total billed charges",,
"PORPHOBILINOGEN,URINE 24HR OR RANDOM","84110","HCPCS","Both",,,"61.5","30.75","Humana","Medicare Advantage","",,"54",,"33.33","22.51","47.66","percent of total billed charges",,
"PORPHOBILINOGEN,URINE 24HR OR RANDOM","84110","HCPCS","Both",,,"61.5","30.75","UHC","Medicare Advantage","",,"54",,"33.33","22.51","47.66","percent of total billed charges",,
"PORPHOBILINOGEN,URINE 24HR OR RANDOM","84110","HCPCS","Both",,,"61.5","30.75","Clover","Medicare Advantage","",,"54",,"33.33","22.51","47.66","percent of total billed charges",,
"PORPHOBILINOGEN,URINE 24HR OR RANDOM","84110","HCPCS","Both",,,"61.5","30.75","Wellcare","Medicare Advantage","",,"54",,"33.33","22.51","47.66","percent of total billed charges",,
"PORPHOBILINOGEN,URINE 24HR OR RANDOM","84110","HCPCS","Both",,,"61.5","30.75","Amerigroup","Medicaid Managed Care","",,"37",,"22.51","22.51","47.66","percent of total billed charges",,
"PORPHOBILINOGEN,URINE 24HR OR RANDOM","84110","HCPCS","Both",,,"61.5","30.75","Caresource","Medicaid Managed Care","",,"40",,"24.6","22.51","47.66","percent of total billed charges",,
"PORPHOBILINOGEN,URINE 24HR OR RANDOM","84110","HCPCS","Both",,,"61.5","30.75","Wellcare","Medicaid Managed Care","",,"40",,"24.91","22.51","47.66","percent of total billed charges",,
"PORPHOBILINOGEN,URINE 24HR OR RANDOM","84110","HCPCS","Both",,,"61.5","30.75","Aetna","Commercial","",,"64",,"39.24","22.51","47.66","percent of total billed charges",,
"PORPHOBILINOGEN,URINE 24HR OR RANDOM","84110","HCPCS","Both",,,"61.5","30.75","Blue Cross Blue Shield","Pathways","",,"71",,"43.42","22.51","47.66","percent of total billed charges",,
"PORPHOBILINOGEN,URINE 24HR OR RANDOM","84110","HCPCS","Both",,,"61.5","30.75","Blue Cross Blue Shield","HMO","",,"71",,"43.42","22.51","47.66","percent of total billed charges",,
"PORPHOBILINOGEN,URINE 24HR OR RANDOM","84110","HCPCS","Both",,,"61.5","30.75","Blue Cross Blue Shield","PPO","",,"71",,"43.42","22.51","47.66","percent of total billed charges",,
"PORPHOBILINOGEN,URINE 24HR OR RANDOM","84110","HCPCS","Both",,,"61.5","30.75","Ambetter","Health Exchange","",,"62",,"38.13","22.51","47.66","percent of total billed charges",,
"PORPHOBILINOGEN,URINE 24HR OR RANDOM","84110","HCPCS","Both",,,"61.5","30.75","Caresource","Health Exchange","",,"62",,"38.13","22.51","47.66","percent of total billed charges",,
"PORPHOBILINOGEN,URINE 24HR OR RANDOM","84110","HCPCS","Both",,,"61.5","30.75","Cigna","Commercial","",,"59",,"36.04","22.51","47.66","percent of total billed charges",,
"PORPHOBILINOGEN,URINE 24HR OR RANDOM","84110","HCPCS","Both",,,"61.5","30.75","Humana","Commercial","",,"78",,"47.66","22.51","47.66","percent of total billed charges",,
"PORPHOBILINOGEN,URINE 24HR OR RANDOM","84110","HCPCS","Both",,,"61.5","30.75","UHC","Commercial","",,"75",,"46.37","22.51","47.66","percent of total billed charges",,
"PORPHOBILINOGEN,URINE 24HR OR RANDOM","84110","HCPCS","Both",,,"61.5","30.75","Medicaid",,"",,"37",,"22.51","22.51","47.66","percent of total billed charges",,
"PORPHYRINS,URINE 24 HR OR RANDOM","84120","HCPCS","Both",,,"106.5","53.25","Alliant","Health Exchange","",,"62",,"66.03","38.98","82.54","percent of total billed charges",,
"PORPHYRINS,URINE 24 HR OR RANDOM","84120","HCPCS","Both",,,"106.5","53.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"57.51","38.98","82.54","percent of total billed charges",,
"PORPHYRINS,URINE 24 HR OR RANDOM","84120","HCPCS","Both",,,"106.5","53.25","Medicare",,"",,"54",,"57.72","38.98","82.54","percent of total billed charges",,
"PORPHYRINS,URINE 24 HR OR RANDOM","84120","HCPCS","Both",,,"106.5","53.25","Humana","Medicare Advantage","",,"54",,"57.72","38.98","82.54","percent of total billed charges",,
"PORPHYRINS,URINE 24 HR OR RANDOM","84120","HCPCS","Both",,,"106.5","53.25","UHC","Medicare Advantage","",,"54",,"57.72","38.98","82.54","percent of total billed charges",,
"PORPHYRINS,URINE 24 HR OR RANDOM","84120","HCPCS","Both",,,"106.5","53.25","Clover","Medicare Advantage","",,"54",,"57.72","38.98","82.54","percent of total billed charges",,
"PORPHYRINS,URINE 24 HR OR RANDOM","84120","HCPCS","Both",,,"106.5","53.25","Wellcare","Medicare Advantage","",,"54",,"57.72","38.98","82.54","percent of total billed charges",,
"PORPHYRINS,URINE 24 HR OR RANDOM","84120","HCPCS","Both",,,"106.5","53.25","Amerigroup","Medicaid Managed Care","",,"37",,"38.98","38.98","82.54","percent of total billed charges",,
"PORPHYRINS,URINE 24 HR OR RANDOM","84120","HCPCS","Both",,,"106.5","53.25","Caresource","Medicaid Managed Care","",,"40",,"42.6","38.98","82.54","percent of total billed charges",,
"PORPHYRINS,URINE 24 HR OR RANDOM","84120","HCPCS","Both",,,"106.5","53.25","Wellcare","Medicaid Managed Care","",,"40",,"43.13","38.98","82.54","percent of total billed charges",,
"PORPHYRINS,URINE 24 HR OR RANDOM","84120","HCPCS","Both",,,"106.5","53.25","Aetna","Commercial","",,"64",,"67.95","38.98","82.54","percent of total billed charges",,
"PORPHYRINS,URINE 24 HR OR RANDOM","84120","HCPCS","Both",,,"106.5","53.25","Blue Cross Blue Shield","Pathways","",,"71",,"75.19","38.98","82.54","percent of total billed charges",,
"PORPHYRINS,URINE 24 HR OR RANDOM","84120","HCPCS","Both",,,"106.5","53.25","Blue Cross Blue Shield","HMO","",,"71",,"75.19","38.98","82.54","percent of total billed charges",,
"PORPHYRINS,URINE 24 HR OR RANDOM","84120","HCPCS","Both",,,"106.5","53.25","Blue Cross Blue Shield","PPO","",,"71",,"75.19","38.98","82.54","percent of total billed charges",,
"PORPHYRINS,URINE 24 HR OR RANDOM","84120","HCPCS","Both",,,"106.5","53.25","Ambetter","Health Exchange","",,"62",,"66.03","38.98","82.54","percent of total billed charges",,
"PORPHYRINS,URINE 24 HR OR RANDOM","84120","HCPCS","Both",,,"106.5","53.25","Caresource","Health Exchange","",,"62",,"66.03","38.98","82.54","percent of total billed charges",,
"PORPHYRINS,URINE 24 HR OR RANDOM","84120","HCPCS","Both",,,"106.5","53.25","Cigna","Commercial","",,"59",,"62.41","38.98","82.54","percent of total billed charges",,
"PORPHYRINS,URINE 24 HR OR RANDOM","84120","HCPCS","Both",,,"106.5","53.25","Humana","Commercial","",,"78",,"82.54","38.98","82.54","percent of total billed charges",,
"PORPHYRINS,URINE 24 HR OR RANDOM","84120","HCPCS","Both",,,"106.5","53.25","UHC","Commercial","",,"75",,"80.3","38.98","82.54","percent of total billed charges",,
"PORPHYRINS,URINE 24 HR OR RANDOM","84120","HCPCS","Both",,,"106.5","53.25","Medicaid",,"",,"37",,"38.98","38.98","82.54","percent of total billed charges",,
"RH, BLOOD TYPE","86901","HCPCS","Both",,,"34","17","Alliant","Health Exchange","",,"62",,"21.08","12.44","26.35","percent of total billed charges",,
"RH, BLOOD TYPE","86901","HCPCS","Both",,,"34","17","Pruitt Healthcare","Medicare Advantage","",,"54",,"18.36","12.44","26.35","percent of total billed charges",,
"RH, BLOOD TYPE","86901","HCPCS","Both",,,"34","17","Medicare",,"",,"54",,"18.43","12.44","26.35","percent of total billed charges",,
"RH, BLOOD TYPE","86901","HCPCS","Both",,,"34","17","Humana","Medicare Advantage","",,"54",,"18.43","12.44","26.35","percent of total billed charges",,
"RH, BLOOD TYPE","86901","HCPCS","Both",,,"34","17","UHC","Medicare Advantage","",,"54",,"18.43","12.44","26.35","percent of total billed charges",,
"RH, BLOOD TYPE","86901","HCPCS","Both",,,"34","17","Clover","Medicare Advantage","",,"54",,"18.43","12.44","26.35","percent of total billed charges",,
"RH, BLOOD TYPE","86901","HCPCS","Both",,,"34","17","Wellcare","Medicare Advantage","",,"54",,"18.43","12.44","26.35","percent of total billed charges",,
"RH, BLOOD TYPE","86901","HCPCS","Both",,,"34","17","Amerigroup","Medicaid Managed Care","",,"37",,"12.44","12.44","26.35","percent of total billed charges",,
"RH, BLOOD TYPE","86901","HCPCS","Both",,,"34","17","Caresource","Medicaid Managed Care","",,"40",,"13.6","12.44","26.35","percent of total billed charges",,
"RH, BLOOD TYPE","86901","HCPCS","Both",,,"34","17","Wellcare","Medicaid Managed Care","",,"40",,"13.77","12.44","26.35","percent of total billed charges",,
"RH, BLOOD TYPE","86901","HCPCS","Both",,,"34","17","Aetna","Commercial","",,"64",,"21.69","12.44","26.35","percent of total billed charges",,
"RH, BLOOD TYPE","86901","HCPCS","Both",,,"34","17","Blue Cross Blue Shield","Pathways","",,"71",,"24","12.44","26.35","percent of total billed charges",,
"RH, BLOOD TYPE","86901","HCPCS","Both",,,"34","17","Blue Cross Blue Shield","HMO","",,"71",,"24","12.44","26.35","percent of total billed charges",,
"RH, BLOOD TYPE","86901","HCPCS","Both",,,"34","17","Blue Cross Blue Shield","PPO","",,"71",,"24","12.44","26.35","percent of total billed charges",,
"RH, BLOOD TYPE","86901","HCPCS","Both",,,"34","17","Ambetter","Health Exchange","",,"62",,"21.08","12.44","26.35","percent of total billed charges",,
"RH, BLOOD TYPE","86901","HCPCS","Both",,,"34","17","Caresource","Health Exchange","",,"62",,"21.08","12.44","26.35","percent of total billed charges",,
"RH, BLOOD TYPE","86901","HCPCS","Both",,,"34","17","Cigna","Commercial","",,"59",,"19.92","12.44","26.35","percent of total billed charges",,
"RH, BLOOD TYPE","86901","HCPCS","Both",,,"34","17","Humana","Commercial","",,"78",,"26.35","12.44","26.35","percent of total billed charges",,
"RH, BLOOD TYPE","86901","HCPCS","Both",,,"34","17","UHC","Commercial","",,"75",,"25.64","12.44","26.35","percent of total billed charges",,
"RH, BLOOD TYPE","86901","HCPCS","Both",,,"34","17","Medicaid",,"",,"37",,"12.44","12.44","26.35","percent of total billed charges",,
"PARATHYROID HORMONE INTACT","83970","HCPCS","Both",,,"41.5","20.75","Alliant","Health Exchange","",,"62",,"25.73","15.19","32.16","percent of total billed charges",,
"PARATHYROID HORMONE INTACT","83970","HCPCS","Both",,,"41.5","20.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"22.41","15.19","32.16","percent of total billed charges",,
"PARATHYROID HORMONE INTACT","83970","HCPCS","Both",,,"41.5","20.75","Medicare",,"",,"54",,"22.49","15.19","32.16","percent of total billed charges",,
"PARATHYROID HORMONE INTACT","83970","HCPCS","Both",,,"41.5","20.75","Humana","Medicare Advantage","",,"54",,"22.49","15.19","32.16","percent of total billed charges",,
"PARATHYROID HORMONE INTACT","83970","HCPCS","Both",,,"41.5","20.75","UHC","Medicare Advantage","",,"54",,"22.49","15.19","32.16","percent of total billed charges",,
"PARATHYROID HORMONE INTACT","83970","HCPCS","Both",,,"41.5","20.75","Clover","Medicare Advantage","",,"54",,"22.49","15.19","32.16","percent of total billed charges",,
"PARATHYROID HORMONE INTACT","83970","HCPCS","Both",,,"41.5","20.75","Wellcare","Medicare Advantage","",,"54",,"22.49","15.19","32.16","percent of total billed charges",,
"PARATHYROID HORMONE INTACT","83970","HCPCS","Both",,,"41.5","20.75","Amerigroup","Medicaid Managed Care","",,"37",,"15.19","15.19","32.16","percent of total billed charges",,
"PARATHYROID HORMONE INTACT","83970","HCPCS","Both",,,"41.5","20.75","Caresource","Medicaid Managed Care","",,"40",,"16.6","15.19","32.16","percent of total billed charges",,
"PARATHYROID HORMONE INTACT","83970","HCPCS","Both",,,"41.5","20.75","Wellcare","Medicaid Managed Care","",,"40",,"16.81","15.19","32.16","percent of total billed charges",,
"PARATHYROID HORMONE INTACT","83970","HCPCS","Both",,,"41.5","20.75","Aetna","Commercial","",,"64",,"26.48","15.19","32.16","percent of total billed charges",,
"PARATHYROID HORMONE INTACT","83970","HCPCS","Both",,,"41.5","20.75","Blue Cross Blue Shield","Pathways","",,"71",,"29.3","15.19","32.16","percent of total billed charges",,
"PARATHYROID HORMONE INTACT","83970","HCPCS","Both",,,"41.5","20.75","Blue Cross Blue Shield","HMO","",,"71",,"29.3","15.19","32.16","percent of total billed charges",,
"PARATHYROID HORMONE INTACT","83970","HCPCS","Both",,,"41.5","20.75","Blue Cross Blue Shield","PPO","",,"71",,"29.3","15.19","32.16","percent of total billed charges",,
"PARATHYROID HORMONE INTACT","83970","HCPCS","Both",,,"41.5","20.75","Ambetter","Health Exchange","",,"62",,"25.73","15.19","32.16","percent of total billed charges",,
"PARATHYROID HORMONE INTACT","83970","HCPCS","Both",,,"41.5","20.75","Caresource","Health Exchange","",,"62",,"25.73","15.19","32.16","percent of total billed charges",,
"PARATHYROID HORMONE INTACT","83970","HCPCS","Both",,,"41.5","20.75","Cigna","Commercial","",,"59",,"24.32","15.19","32.16","percent of total billed charges",,
"PARATHYROID HORMONE INTACT","83970","HCPCS","Both",,,"41.5","20.75","Humana","Commercial","",,"78",,"32.16","15.19","32.16","percent of total billed charges",,
"PARATHYROID HORMONE INTACT","83970","HCPCS","Both",,,"41.5","20.75","UHC","Commercial","",,"75",,"31.29","15.19","32.16","percent of total billed charges",,
"PARATHYROID HORMONE INTACT","83970","HCPCS","Both",,,"41.5","20.75","Medicaid",,"",,"37",,"15.19","15.19","32.16","percent of total billed charges",,
"RENIN ACTIVITY","84244","HCPCS","Both",,,"95","47.5","Alliant","Health Exchange","",,"62",,"58.9","34.77","73.62","percent of total billed charges",,
"RENIN ACTIVITY","84244","HCPCS","Both",,,"95","47.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"51.3","34.77","73.62","percent of total billed charges",,
"RENIN ACTIVITY","84244","HCPCS","Both",,,"95","47.5","Medicare",,"",,"54",,"51.49","34.77","73.62","percent of total billed charges",,
"RENIN ACTIVITY","84244","HCPCS","Both",,,"95","47.5","Humana","Medicare Advantage","",,"54",,"51.49","34.77","73.62","percent of total billed charges",,
"RENIN ACTIVITY","84244","HCPCS","Both",,,"95","47.5","UHC","Medicare Advantage","",,"54",,"51.49","34.77","73.62","percent of total billed charges",,
"RENIN ACTIVITY","84244","HCPCS","Both",,,"95","47.5","Clover","Medicare Advantage","",,"54",,"51.49","34.77","73.62","percent of total billed charges",,
"RENIN ACTIVITY","84244","HCPCS","Both",,,"95","47.5","Wellcare","Medicare Advantage","",,"54",,"51.49","34.77","73.62","percent of total billed charges",,
"RENIN ACTIVITY","84244","HCPCS","Both",,,"95","47.5","Amerigroup","Medicaid Managed Care","",,"37",,"34.77","34.77","73.62","percent of total billed charges",,
"RENIN ACTIVITY","84244","HCPCS","Both",,,"95","47.5","Caresource","Medicaid Managed Care","",,"40",,"38","34.77","73.62","percent of total billed charges",,
"RENIN ACTIVITY","84244","HCPCS","Both",,,"95","47.5","Wellcare","Medicaid Managed Care","",,"40",,"38.48","34.77","73.62","percent of total billed charges",,
"RENIN ACTIVITY","84244","HCPCS","Both",,,"95","47.5","Aetna","Commercial","",,"64",,"60.61","34.77","73.62","percent of total billed charges",,
"RENIN ACTIVITY","84244","HCPCS","Both",,,"95","47.5","Blue Cross Blue Shield","Pathways","",,"71",,"67.07","34.77","73.62","percent of total billed charges",,
"RENIN ACTIVITY","84244","HCPCS","Both",,,"95","47.5","Blue Cross Blue Shield","HMO","",,"71",,"67.07","34.77","73.62","percent of total billed charges",,
"RENIN ACTIVITY","84244","HCPCS","Both",,,"95","47.5","Blue Cross Blue Shield","PPO","",,"71",,"67.07","34.77","73.62","percent of total billed charges",,
"RENIN ACTIVITY","84244","HCPCS","Both",,,"95","47.5","Ambetter","Health Exchange","",,"62",,"58.9","34.77","73.62","percent of total billed charges",,
"RENIN ACTIVITY","84244","HCPCS","Both",,,"95","47.5","Caresource","Health Exchange","",,"62",,"58.9","34.77","73.62","percent of total billed charges",,
"RENIN ACTIVITY","84244","HCPCS","Both",,,"95","47.5","Cigna","Commercial","",,"59",,"55.67","34.77","73.62","percent of total billed charges",,
"RENIN ACTIVITY","84244","HCPCS","Both",,,"95","47.5","Humana","Commercial","",,"78",,"73.62","34.77","73.62","percent of total billed charges",,
"RENIN ACTIVITY","84244","HCPCS","Both",,,"95","47.5","UHC","Commercial","",,"75",,"71.63","34.77","73.62","percent of total billed charges",,
"RENIN ACTIVITY","84244","HCPCS","Both",,,"95","47.5","Medicaid",,"",,"37",,"34.77","34.77","73.62","percent of total billed charges",,
"VANILLYLMANDELIC ACID (VMA);URINE 24 HR","84585","HCPCS","Both",,,"112.5","56.25","Alliant","Health Exchange","",,"62",,"69.75","41.18","87.19","percent of total billed charges",,
"VANILLYLMANDELIC ACID (VMA);URINE 24 HR","84585","HCPCS","Both",,,"112.5","56.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"60.75","41.18","87.19","percent of total billed charges",,
"VANILLYLMANDELIC ACID (VMA);URINE 24 HR","84585","HCPCS","Both",,,"112.5","56.25","Medicare",,"",,"54",,"60.98","41.18","87.19","percent of total billed charges",,
"VANILLYLMANDELIC ACID (VMA);URINE 24 HR","84585","HCPCS","Both",,,"112.5","56.25","Humana","Medicare Advantage","",,"54",,"60.98","41.18","87.19","percent of total billed charges",,
"VANILLYLMANDELIC ACID (VMA);URINE 24 HR","84585","HCPCS","Both",,,"112.5","56.25","UHC","Medicare Advantage","",,"54",,"60.98","41.18","87.19","percent of total billed charges",,
"VANILLYLMANDELIC ACID (VMA);URINE 24 HR","84585","HCPCS","Both",,,"112.5","56.25","Clover","Medicare Advantage","",,"54",,"60.98","41.18","87.19","percent of total billed charges",,
"VANILLYLMANDELIC ACID (VMA);URINE 24 HR","84585","HCPCS","Both",,,"112.5","56.25","Wellcare","Medicare Advantage","",,"54",,"60.98","41.18","87.19","percent of total billed charges",,
"VANILLYLMANDELIC ACID (VMA);URINE 24 HR","84585","HCPCS","Both",,,"112.5","56.25","Amerigroup","Medicaid Managed Care","",,"37",,"41.18","41.18","87.19","percent of total billed charges",,
"VANILLYLMANDELIC ACID (VMA);URINE 24 HR","84585","HCPCS","Both",,,"112.5","56.25","Caresource","Medicaid Managed Care","",,"40",,"45","41.18","87.19","percent of total billed charges",,
"VANILLYLMANDELIC ACID (VMA);URINE 24 HR","84585","HCPCS","Both",,,"112.5","56.25","Wellcare","Medicaid Managed Care","",,"40",,"45.56","41.18","87.19","percent of total billed charges",,
"VANILLYLMANDELIC ACID (VMA);URINE 24 HR","84585","HCPCS","Both",,,"112.5","56.25","Aetna","Commercial","",,"64",,"71.78","41.18","87.19","percent of total billed charges",,
"VANILLYLMANDELIC ACID (VMA);URINE 24 HR","84585","HCPCS","Both",,,"112.5","56.25","Blue Cross Blue Shield","Pathways","",,"71",,"79.42","41.18","87.19","percent of total billed charges",,
"VANILLYLMANDELIC ACID (VMA);URINE 24 HR","84585","HCPCS","Both",,,"112.5","56.25","Blue Cross Blue Shield","HMO","",,"71",,"79.42","41.18","87.19","percent of total billed charges",,
"VANILLYLMANDELIC ACID (VMA);URINE 24 HR","84585","HCPCS","Both",,,"112.5","56.25","Blue Cross Blue Shield","PPO","",,"71",,"79.42","41.18","87.19","percent of total billed charges",,
"VANILLYLMANDELIC ACID (VMA);URINE 24 HR","84585","HCPCS","Both",,,"112.5","56.25","Ambetter","Health Exchange","",,"62",,"69.75","41.18","87.19","percent of total billed charges",,
"VANILLYLMANDELIC ACID (VMA);URINE 24 HR","84585","HCPCS","Both",,,"112.5","56.25","Caresource","Health Exchange","",,"62",,"69.75","41.18","87.19","percent of total billed charges",,
"VANILLYLMANDELIC ACID (VMA);URINE 24 HR","84585","HCPCS","Both",,,"112.5","56.25","Cigna","Commercial","",,"59",,"65.92","41.18","87.19","percent of total billed charges",,
"VANILLYLMANDELIC ACID (VMA);URINE 24 HR","84585","HCPCS","Both",,,"112.5","56.25","Humana","Commercial","",,"78",,"87.19","41.18","87.19","percent of total billed charges",,
"VANILLYLMANDELIC ACID (VMA);URINE 24 HR","84585","HCPCS","Both",,,"112.5","56.25","UHC","Commercial","",,"75",,"84.82","41.18","87.19","percent of total billed charges",,
"VANILLYLMANDELIC ACID (VMA);URINE 24 HR","84585","HCPCS","Both",,,"112.5","56.25","Medicaid",,"",,"37",,"41.18","41.18","87.19","percent of total billed charges",,
"METANEPHRINES FRACTIONATED,24 HR URINE","83835","HCPCS","Both",,,"73","36.5","Alliant","Health Exchange","",,"62",,"45.26","26.72","56.58","percent of total billed charges",,
"METANEPHRINES FRACTIONATED,24 HR URINE","83835","HCPCS","Both",,,"73","36.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"39.42","26.72","56.58","percent of total billed charges",,
"METANEPHRINES FRACTIONATED,24 HR URINE","83835","HCPCS","Both",,,"73","36.5","Medicare",,"",,"54",,"39.57","26.72","56.58","percent of total billed charges",,
"METANEPHRINES FRACTIONATED,24 HR URINE","83835","HCPCS","Both",,,"73","36.5","Humana","Medicare Advantage","",,"54",,"39.57","26.72","56.58","percent of total billed charges",,
"METANEPHRINES FRACTIONATED,24 HR URINE","83835","HCPCS","Both",,,"73","36.5","UHC","Medicare Advantage","",,"54",,"39.57","26.72","56.58","percent of total billed charges",,
"METANEPHRINES FRACTIONATED,24 HR URINE","83835","HCPCS","Both",,,"73","36.5","Clover","Medicare Advantage","",,"54",,"39.57","26.72","56.58","percent of total billed charges",,
"METANEPHRINES FRACTIONATED,24 HR URINE","83835","HCPCS","Both",,,"73","36.5","Wellcare","Medicare Advantage","",,"54",,"39.57","26.72","56.58","percent of total billed charges",,
"METANEPHRINES FRACTIONATED,24 HR URINE","83835","HCPCS","Both",,,"73","36.5","Amerigroup","Medicaid Managed Care","",,"37",,"26.72","26.72","56.58","percent of total billed charges",,
"METANEPHRINES FRACTIONATED,24 HR URINE","83835","HCPCS","Both",,,"73","36.5","Caresource","Medicaid Managed Care","",,"40",,"29.2","26.72","56.58","percent of total billed charges",,
"METANEPHRINES FRACTIONATED,24 HR URINE","83835","HCPCS","Both",,,"73","36.5","Wellcare","Medicaid Managed Care","",,"40",,"29.56","26.72","56.58","percent of total billed charges",,
"METANEPHRINES FRACTIONATED,24 HR URINE","83835","HCPCS","Both",,,"73","36.5","Aetna","Commercial","",,"64",,"46.57","26.72","56.58","percent of total billed charges",,
"METANEPHRINES FRACTIONATED,24 HR URINE","83835","HCPCS","Both",,,"73","36.5","Blue Cross Blue Shield","Pathways","",,"71",,"51.54","26.72","56.58","percent of total billed charges",,
"METANEPHRINES FRACTIONATED,24 HR URINE","83835","HCPCS","Both",,,"73","36.5","Blue Cross Blue Shield","HMO","",,"71",,"51.54","26.72","56.58","percent of total billed charges",,
"METANEPHRINES FRACTIONATED,24 HR URINE","83835","HCPCS","Both",,,"73","36.5","Blue Cross Blue Shield","PPO","",,"71",,"51.54","26.72","56.58","percent of total billed charges",,
"METANEPHRINES FRACTIONATED,24 HR URINE","83835","HCPCS","Both",,,"73","36.5","Ambetter","Health Exchange","",,"62",,"45.26","26.72","56.58","percent of total billed charges",,
"METANEPHRINES FRACTIONATED,24 HR URINE","83835","HCPCS","Both",,,"73","36.5","Caresource","Health Exchange","",,"62",,"45.26","26.72","56.58","percent of total billed charges",,
"METANEPHRINES FRACTIONATED,24 HR URINE","83835","HCPCS","Both",,,"73","36.5","Cigna","Commercial","",,"59",,"42.78","26.72","56.58","percent of total billed charges",,
"METANEPHRINES FRACTIONATED,24 HR URINE","83835","HCPCS","Both",,,"73","36.5","Humana","Commercial","",,"78",,"56.58","26.72","56.58","percent of total billed charges",,
"METANEPHRINES FRACTIONATED,24 HR URINE","83835","HCPCS","Both",,,"73","36.5","UHC","Commercial","",,"75",,"55.04","26.72","56.58","percent of total billed charges",,
"METANEPHRINES FRACTIONATED,24 HR URINE","83835","HCPCS","Both",,,"73","36.5","Medicaid",,"",,"37",,"26.72","26.72","56.58","percent of total billed charges",,
"CARCINOEMBRYONIC ANTIGEN (CEA)","82378","HCPCS","Both",,,"57","28.5","Alliant","Health Exchange","",,"62",,"35.34","20.86","44.18","percent of total billed charges",,
"CARCINOEMBRYONIC ANTIGEN (CEA)","82378","HCPCS","Both",,,"57","28.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"30.78","20.86","44.18","percent of total billed charges",,
"CARCINOEMBRYONIC ANTIGEN (CEA)","82378","HCPCS","Both",,,"57","28.5","Medicare",,"",,"54",,"30.89","20.86","44.18","percent of total billed charges",,
"CARCINOEMBRYONIC ANTIGEN (CEA)","82378","HCPCS","Both",,,"57","28.5","Humana","Medicare Advantage","",,"54",,"30.89","20.86","44.18","percent of total billed charges",,
"CARCINOEMBRYONIC ANTIGEN (CEA)","82378","HCPCS","Both",,,"57","28.5","UHC","Medicare Advantage","",,"54",,"30.89","20.86","44.18","percent of total billed charges",,
"CARCINOEMBRYONIC ANTIGEN (CEA)","82378","HCPCS","Both",,,"57","28.5","Clover","Medicare Advantage","",,"54",,"30.89","20.86","44.18","percent of total billed charges",,
"CARCINOEMBRYONIC ANTIGEN (CEA)","82378","HCPCS","Both",,,"57","28.5","Wellcare","Medicare Advantage","",,"54",,"30.89","20.86","44.18","percent of total billed charges",,
"CARCINOEMBRYONIC ANTIGEN (CEA)","82378","HCPCS","Both",,,"57","28.5","Amerigroup","Medicaid Managed Care","",,"37",,"20.86","20.86","44.18","percent of total billed charges",,
"CARCINOEMBRYONIC ANTIGEN (CEA)","82378","HCPCS","Both",,,"57","28.5","Caresource","Medicaid Managed Care","",,"40",,"22.8","20.86","44.18","percent of total billed charges",,
"CARCINOEMBRYONIC ANTIGEN (CEA)","82378","HCPCS","Both",,,"57","28.5","Wellcare","Medicaid Managed Care","",,"40",,"23.08","20.86","44.18","percent of total billed charges",,
"CARCINOEMBRYONIC ANTIGEN (CEA)","82378","HCPCS","Both",,,"57","28.5","Aetna","Commercial","",,"64",,"36.37","20.86","44.18","percent of total billed charges",,
"CARCINOEMBRYONIC ANTIGEN (CEA)","82378","HCPCS","Both",,,"57","28.5","Blue Cross Blue Shield","Pathways","",,"71",,"40.24","20.86","44.18","percent of total billed charges",,
"CARCINOEMBRYONIC ANTIGEN (CEA)","82378","HCPCS","Both",,,"57","28.5","Blue Cross Blue Shield","HMO","",,"71",,"40.24","20.86","44.18","percent of total billed charges",,
"CARCINOEMBRYONIC ANTIGEN (CEA)","82378","HCPCS","Both",,,"57","28.5","Blue Cross Blue Shield","PPO","",,"71",,"40.24","20.86","44.18","percent of total billed charges",,
"CARCINOEMBRYONIC ANTIGEN (CEA)","82378","HCPCS","Both",,,"57","28.5","Ambetter","Health Exchange","",,"62",,"35.34","20.86","44.18","percent of total billed charges",,
"CARCINOEMBRYONIC ANTIGEN (CEA)","82378","HCPCS","Both",,,"57","28.5","Caresource","Health Exchange","",,"62",,"35.34","20.86","44.18","percent of total billed charges",,
"CARCINOEMBRYONIC ANTIGEN (CEA)","82378","HCPCS","Both",,,"57","28.5","Cigna","Commercial","",,"59",,"33.4","20.86","44.18","percent of total billed charges",,
"CARCINOEMBRYONIC ANTIGEN (CEA)","82378","HCPCS","Both",,,"57","28.5","Humana","Commercial","",,"78",,"44.18","20.86","44.18","percent of total billed charges",,
"CARCINOEMBRYONIC ANTIGEN (CEA)","82378","HCPCS","Both",,,"57","28.5","UHC","Commercial","",,"75",,"42.98","20.86","44.18","percent of total billed charges",,
"CARCINOEMBRYONIC ANTIGEN (CEA)","82378","HCPCS","Both",,,"57","28.5","Medicaid",,"",,"37",,"20.86","20.86","44.18","percent of total billed charges",,
"FECAL FAT; QUALITATIVE","82705","HCPCS","Both",,,"37","18.5","Alliant","Health Exchange","",,"62",,"22.94","13.54","28.68","percent of total billed charges",,
"FECAL FAT; QUALITATIVE","82705","HCPCS","Both",,,"37","18.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"19.98","13.54","28.68","percent of total billed charges",,
"FECAL FAT; QUALITATIVE","82705","HCPCS","Both",,,"37","18.5","Medicare",,"",,"54",,"20.05","13.54","28.68","percent of total billed charges",,
"FECAL FAT; QUALITATIVE","82705","HCPCS","Both",,,"37","18.5","Humana","Medicare Advantage","",,"54",,"20.05","13.54","28.68","percent of total billed charges",,
"FECAL FAT; QUALITATIVE","82705","HCPCS","Both",,,"37","18.5","UHC","Medicare Advantage","",,"54",,"20.05","13.54","28.68","percent of total billed charges",,
"FECAL FAT; QUALITATIVE","82705","HCPCS","Both",,,"37","18.5","Clover","Medicare Advantage","",,"54",,"20.05","13.54","28.68","percent of total billed charges",,
"FECAL FAT; QUALITATIVE","82705","HCPCS","Both",,,"37","18.5","Wellcare","Medicare Advantage","",,"54",,"20.05","13.54","28.68","percent of total billed charges",,
"FECAL FAT; QUALITATIVE","82705","HCPCS","Both",,,"37","18.5","Amerigroup","Medicaid Managed Care","",,"37",,"13.54","13.54","28.68","percent of total billed charges",,
"FECAL FAT; QUALITATIVE","82705","HCPCS","Both",,,"37","18.5","Caresource","Medicaid Managed Care","",,"40",,"14.8","13.54","28.68","percent of total billed charges",,
"FECAL FAT; QUALITATIVE","82705","HCPCS","Both",,,"37","18.5","Wellcare","Medicaid Managed Care","",,"40",,"14.99","13.54","28.68","percent of total billed charges",,
"FECAL FAT; QUALITATIVE","82705","HCPCS","Both",,,"37","18.5","Aetna","Commercial","",,"64",,"23.61","13.54","28.68","percent of total billed charges",,
"FECAL FAT; QUALITATIVE","82705","HCPCS","Both",,,"37","18.5","Blue Cross Blue Shield","Pathways","",,"71",,"26.12","13.54","28.68","percent of total billed charges",,
"FECAL FAT; QUALITATIVE","82705","HCPCS","Both",,,"37","18.5","Blue Cross Blue Shield","HMO","",,"71",,"26.12","13.54","28.68","percent of total billed charges",,
"FECAL FAT; QUALITATIVE","82705","HCPCS","Both",,,"37","18.5","Blue Cross Blue Shield","PPO","",,"71",,"26.12","13.54","28.68","percent of total billed charges",,
"FECAL FAT; QUALITATIVE","82705","HCPCS","Both",,,"37","18.5","Ambetter","Health Exchange","",,"62",,"22.94","13.54","28.68","percent of total billed charges",,
"FECAL FAT; QUALITATIVE","82705","HCPCS","Both",,,"37","18.5","Caresource","Health Exchange","",,"62",,"22.94","13.54","28.68","percent of total billed charges",,
"FECAL FAT; QUALITATIVE","82705","HCPCS","Both",,,"37","18.5","Cigna","Commercial","",,"59",,"21.68","13.54","28.68","percent of total billed charges",,
"FECAL FAT; QUALITATIVE","82705","HCPCS","Both",,,"37","18.5","Humana","Commercial","",,"78",,"28.68","13.54","28.68","percent of total billed charges",,
"FECAL FAT; QUALITATIVE","82705","HCPCS","Both",,,"37","18.5","UHC","Commercial","",,"75",,"27.9","13.54","28.68","percent of total billed charges",,
"FECAL FAT; QUALITATIVE","82705","HCPCS","Both",,,"37","18.5","Medicaid",,"",,"37",,"13.54","13.54","28.68","percent of total billed charges",,
"GLUCOSE-6-PHOSPHATE DEHYDROGENASE QUANT","82955","HCPCS","Both",,,"34.5","17.25","Alliant","Health Exchange","",,"62",,"21.39","12.63","26.74","percent of total billed charges",,
"GLUCOSE-6-PHOSPHATE DEHYDROGENASE QUANT","82955","HCPCS","Both",,,"34.5","17.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"18.63","12.63","26.74","percent of total billed charges",,
"GLUCOSE-6-PHOSPHATE DEHYDROGENASE QUANT","82955","HCPCS","Both",,,"34.5","17.25","Medicare",,"",,"54",,"18.7","12.63","26.74","percent of total billed charges",,
"GLUCOSE-6-PHOSPHATE DEHYDROGENASE QUANT","82955","HCPCS","Both",,,"34.5","17.25","Humana","Medicare Advantage","",,"54",,"18.7","12.63","26.74","percent of total billed charges",,
"GLUCOSE-6-PHOSPHATE DEHYDROGENASE QUANT","82955","HCPCS","Both",,,"34.5","17.25","UHC","Medicare Advantage","",,"54",,"18.7","12.63","26.74","percent of total billed charges",,
"GLUCOSE-6-PHOSPHATE DEHYDROGENASE QUANT","82955","HCPCS","Both",,,"34.5","17.25","Clover","Medicare Advantage","",,"54",,"18.7","12.63","26.74","percent of total billed charges",,
"GLUCOSE-6-PHOSPHATE DEHYDROGENASE QUANT","82955","HCPCS","Both",,,"34.5","17.25","Wellcare","Medicare Advantage","",,"54",,"18.7","12.63","26.74","percent of total billed charges",,
"GLUCOSE-6-PHOSPHATE DEHYDROGENASE QUANT","82955","HCPCS","Both",,,"34.5","17.25","Amerigroup","Medicaid Managed Care","",,"37",,"12.63","12.63","26.74","percent of total billed charges",,
"GLUCOSE-6-PHOSPHATE DEHYDROGENASE QUANT","82955","HCPCS","Both",,,"34.5","17.25","Caresource","Medicaid Managed Care","",,"40",,"13.8","12.63","26.74","percent of total billed charges",,
"GLUCOSE-6-PHOSPHATE DEHYDROGENASE QUANT","82955","HCPCS","Both",,,"34.5","17.25","Wellcare","Medicaid Managed Care","",,"40",,"13.97","12.63","26.74","percent of total billed charges",,
"GLUCOSE-6-PHOSPHATE DEHYDROGENASE QUANT","82955","HCPCS","Both",,,"34.5","17.25","Aetna","Commercial","",,"64",,"22.01","12.63","26.74","percent of total billed charges",,
"GLUCOSE-6-PHOSPHATE DEHYDROGENASE QUANT","82955","HCPCS","Both",,,"34.5","17.25","Blue Cross Blue Shield","Pathways","",,"71",,"24.36","12.63","26.74","percent of total billed charges",,
"GLUCOSE-6-PHOSPHATE DEHYDROGENASE QUANT","82955","HCPCS","Both",,,"34.5","17.25","Blue Cross Blue Shield","HMO","",,"71",,"24.36","12.63","26.74","percent of total billed charges",,
"GLUCOSE-6-PHOSPHATE DEHYDROGENASE QUANT","82955","HCPCS","Both",,,"34.5","17.25","Blue Cross Blue Shield","PPO","",,"71",,"24.36","12.63","26.74","percent of total billed charges",,
"GLUCOSE-6-PHOSPHATE DEHYDROGENASE QUANT","82955","HCPCS","Both",,,"34.5","17.25","Ambetter","Health Exchange","",,"62",,"21.39","12.63","26.74","percent of total billed charges",,
"GLUCOSE-6-PHOSPHATE DEHYDROGENASE QUANT","82955","HCPCS","Both",,,"34.5","17.25","Caresource","Health Exchange","",,"62",,"21.39","12.63","26.74","percent of total billed charges",,
"GLUCOSE-6-PHOSPHATE DEHYDROGENASE QUANT","82955","HCPCS","Both",,,"34.5","17.25","Cigna","Commercial","",,"59",,"20.22","12.63","26.74","percent of total billed charges",,
"GLUCOSE-6-PHOSPHATE DEHYDROGENASE QUANT","82955","HCPCS","Both",,,"34.5","17.25","Humana","Commercial","",,"78",,"26.74","12.63","26.74","percent of total billed charges",,
"GLUCOSE-6-PHOSPHATE DEHYDROGENASE QUANT","82955","HCPCS","Both",,,"34.5","17.25","UHC","Commercial","",,"75",,"26.01","12.63","26.74","percent of total billed charges",,
"GLUCOSE-6-PHOSPHATE DEHYDROGENASE QUANT","82955","HCPCS","Both",,,"34.5","17.25","Medicaid",,"",,"37",,"12.63","12.63","26.74","percent of total billed charges",,
"ACETAMINOPHEN","80329","HCPCS","Both",,,"9.5","4.75","Alliant","Health Exchange","",,"62",,"5.89","3.48","7.36","percent of total billed charges",,
"ACETAMINOPHEN","80329","HCPCS","Both",,,"9.5","4.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"5.13","3.48","7.36","percent of total billed charges",,
"ACETAMINOPHEN","80329","HCPCS","Both",,,"9.5","4.75","Medicare",,"",,"54",,"5.15","3.48","7.36","percent of total billed charges",,
"ACETAMINOPHEN","80329","HCPCS","Both",,,"9.5","4.75","Humana","Medicare Advantage","",,"54",,"5.15","3.48","7.36","percent of total billed charges",,
"ACETAMINOPHEN","80329","HCPCS","Both",,,"9.5","4.75","UHC","Medicare Advantage","",,"54",,"5.15","3.48","7.36","percent of total billed charges",,
"ACETAMINOPHEN","80329","HCPCS","Both",,,"9.5","4.75","Clover","Medicare Advantage","",,"54",,"5.15","3.48","7.36","percent of total billed charges",,
"ACETAMINOPHEN","80329","HCPCS","Both",,,"9.5","4.75","Wellcare","Medicare Advantage","",,"54",,"5.15","3.48","7.36","percent of total billed charges",,
"ACETAMINOPHEN","80329","HCPCS","Both",,,"9.5","4.75","Amerigroup","Medicaid Managed Care","",,"37",,"3.48","3.48","7.36","percent of total billed charges",,
"ACETAMINOPHEN","80329","HCPCS","Both",,,"9.5","4.75","Caresource","Medicaid Managed Care","",,"40",,"3.8","3.48","7.36","percent of total billed charges",,
"ACETAMINOPHEN","80329","HCPCS","Both",,,"9.5","4.75","Wellcare","Medicaid Managed Care","",,"40",,"3.85","3.48","7.36","percent of total billed charges",,
"ACETAMINOPHEN","80329","HCPCS","Both",,,"9.5","4.75","Aetna","Commercial","",,"64",,"6.06","3.48","7.36","percent of total billed charges",,
"ACETAMINOPHEN","80329","HCPCS","Both",,,"9.5","4.75","Blue Cross Blue Shield","Pathways","",,"71",,"6.71","3.48","7.36","percent of total billed charges",,
"ACETAMINOPHEN","80329","HCPCS","Both",,,"9.5","4.75","Blue Cross Blue Shield","HMO","",,"71",,"6.71","3.48","7.36","percent of total billed charges",,
"ACETAMINOPHEN","80329","HCPCS","Both",,,"9.5","4.75","Blue Cross Blue Shield","PPO","",,"71",,"6.71","3.48","7.36","percent of total billed charges",,
"ACETAMINOPHEN","80329","HCPCS","Both",,,"9.5","4.75","Ambetter","Health Exchange","",,"62",,"5.89","3.48","7.36","percent of total billed charges",,
"ACETAMINOPHEN","80329","HCPCS","Both",,,"9.5","4.75","Caresource","Health Exchange","",,"62",,"5.89","3.48","7.36","percent of total billed charges",,
"ACETAMINOPHEN","80329","HCPCS","Both",,,"9.5","4.75","Cigna","Commercial","",,"59",,"5.57","3.48","7.36","percent of total billed charges",,
"ACETAMINOPHEN","80329","HCPCS","Both",,,"9.5","4.75","Humana","Commercial","",,"78",,"7.36","3.48","7.36","percent of total billed charges",,
"ACETAMINOPHEN","80329","HCPCS","Both",,,"9.5","4.75","UHC","Commercial","",,"75",,"7.16","3.48","7.36","percent of total billed charges",,
"ACETAMINOPHEN","80329","HCPCS","Both",,,"9.5","4.75","Medicaid",,"",,"37",,"3.48","3.48","7.36","percent of total billed charges",,
"THYROGLOBULIN ANTIBODY","86800","HCPCS","Both",,,"20","10","Alliant","Health Exchange","",,"62",,"12.4","7.32","15.5","percent of total billed charges",,
"THYROGLOBULIN ANTIBODY","86800","HCPCS","Both",,,"20","10","Pruitt Healthcare","Medicare Advantage","",,"54",,"10.8","7.32","15.5","percent of total billed charges",,
"THYROGLOBULIN ANTIBODY","86800","HCPCS","Both",,,"20","10","Medicare",,"",,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"THYROGLOBULIN ANTIBODY","86800","HCPCS","Both",,,"20","10","Humana","Medicare Advantage","",,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"THYROGLOBULIN ANTIBODY","86800","HCPCS","Both",,,"20","10","UHC","Medicare Advantage","",,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"THYROGLOBULIN ANTIBODY","86800","HCPCS","Both",,,"20","10","Clover","Medicare Advantage","",,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"THYROGLOBULIN ANTIBODY","86800","HCPCS","Both",,,"20","10","Wellcare","Medicare Advantage","",,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"THYROGLOBULIN ANTIBODY","86800","HCPCS","Both",,,"20","10","Amerigroup","Medicaid Managed Care","",,"37",,"7.32","7.32","15.5","percent of total billed charges",,
"THYROGLOBULIN ANTIBODY","86800","HCPCS","Both",,,"20","10","Caresource","Medicaid Managed Care","",,"40",,"8","7.32","15.5","percent of total billed charges",,
"THYROGLOBULIN ANTIBODY","86800","HCPCS","Both",,,"20","10","Wellcare","Medicaid Managed Care","",,"40",,"8.1","7.32","15.5","percent of total billed charges",,
"THYROGLOBULIN ANTIBODY","86800","HCPCS","Both",,,"20","10","Aetna","Commercial","",,"64",,"12.76","7.32","15.5","percent of total billed charges",,
"THYROGLOBULIN ANTIBODY","86800","HCPCS","Both",,,"20","10","Blue Cross Blue Shield","Pathways","",,"71",,"14.12","7.32","15.5","percent of total billed charges",,
"THYROGLOBULIN ANTIBODY","86800","HCPCS","Both",,,"20","10","Blue Cross Blue Shield","HMO","",,"71",,"14.12","7.32","15.5","percent of total billed charges",,
"THYROGLOBULIN ANTIBODY","86800","HCPCS","Both",,,"20","10","Blue Cross Blue Shield","PPO","",,"71",,"14.12","7.32","15.5","percent of total billed charges",,
"THYROGLOBULIN ANTIBODY","86800","HCPCS","Both",,,"20","10","Ambetter","Health Exchange","",,"62",,"12.4","7.32","15.5","percent of total billed charges",,
"THYROGLOBULIN ANTIBODY","86800","HCPCS","Both",,,"20","10","Caresource","Health Exchange","",,"62",,"12.4","7.32","15.5","percent of total billed charges",,
"THYROGLOBULIN ANTIBODY","86800","HCPCS","Both",,,"20","10","Cigna","Commercial","",,"59",,"11.72","7.32","15.5","percent of total billed charges",,
"THYROGLOBULIN ANTIBODY","86800","HCPCS","Both",,,"20","10","Humana","Commercial","",,"78",,"15.5","7.32","15.5","percent of total billed charges",,
"THYROGLOBULIN ANTIBODY","86800","HCPCS","Both",,,"20","10","UHC","Commercial","",,"75",,"15.08","7.32","15.5","percent of total billed charges",,
"THYROGLOBULIN ANTIBODY","86800","HCPCS","Both",,,"20","10","Medicaid",,"",,"37",,"7.32","7.32","15.5","percent of total billed charges",,
"GLUTAMYLTRANSFERASE,GAMMA (GGT)","82977","HCPCS","Both",,,"31","15.5","Alliant","Health Exchange","",,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"GLUTAMYLTRANSFERASE,GAMMA (GGT)","82977","HCPCS","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"16.74","11.35","24.02","percent of total billed charges",,
"GLUTAMYLTRANSFERASE,GAMMA (GGT)","82977","HCPCS","Both",,,"31","15.5","Medicare",,"",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"GLUTAMYLTRANSFERASE,GAMMA (GGT)","82977","HCPCS","Both",,,"31","15.5","Humana","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"GLUTAMYLTRANSFERASE,GAMMA (GGT)","82977","HCPCS","Both",,,"31","15.5","UHC","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"GLUTAMYLTRANSFERASE,GAMMA (GGT)","82977","HCPCS","Both",,,"31","15.5","Clover","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"GLUTAMYLTRANSFERASE,GAMMA (GGT)","82977","HCPCS","Both",,,"31","15.5","Wellcare","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"GLUTAMYLTRANSFERASE,GAMMA (GGT)","82977","HCPCS","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care","",,"37",,"11.35","11.35","24.02","percent of total billed charges",,
"GLUTAMYLTRANSFERASE,GAMMA (GGT)","82977","HCPCS","Both",,,"31","15.5","Caresource","Medicaid Managed Care","",,"40",,"12.4","11.35","24.02","percent of total billed charges",,
"GLUTAMYLTRANSFERASE,GAMMA (GGT)","82977","HCPCS","Both",,,"31","15.5","Wellcare","Medicaid Managed Care","",,"40",,"12.56","11.35","24.02","percent of total billed charges",,
"GLUTAMYLTRANSFERASE,GAMMA (GGT)","82977","HCPCS","Both",,,"31","15.5","Aetna","Commercial","",,"64",,"19.78","11.35","24.02","percent of total billed charges",,
"GLUTAMYLTRANSFERASE,GAMMA (GGT)","82977","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways","",,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"GLUTAMYLTRANSFERASE,GAMMA (GGT)","82977","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","HMO","",,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"GLUTAMYLTRANSFERASE,GAMMA (GGT)","82977","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","PPO","",,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"GLUTAMYLTRANSFERASE,GAMMA (GGT)","82977","HCPCS","Both",,,"31","15.5","Ambetter","Health Exchange","",,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"GLUTAMYLTRANSFERASE,GAMMA (GGT)","82977","HCPCS","Both",,,"31","15.5","Caresource","Health Exchange","",,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"GLUTAMYLTRANSFERASE,GAMMA (GGT)","82977","HCPCS","Both",,,"31","15.5","Cigna","Commercial","",,"59",,"18.17","11.35","24.02","percent of total billed charges",,
"GLUTAMYLTRANSFERASE,GAMMA (GGT)","82977","HCPCS","Both",,,"31","15.5","Humana","Commercial","",,"78",,"24.02","11.35","24.02","percent of total billed charges",,
"GLUTAMYLTRANSFERASE,GAMMA (GGT)","82977","HCPCS","Both",,,"31","15.5","UHC","Commercial","",,"75",,"23.37","11.35","24.02","percent of total billed charges",,
"GLUTAMYLTRANSFERASE,GAMMA (GGT)","82977","HCPCS","Both",,,"31","15.5","Medicaid",,"",,"37",,"11.35","11.35","24.02","percent of total billed charges",,
"DIRECT LDL CHOLESTEROL","83721","HCPCS","Both",,,"13","6.5","Alliant","Health Exchange","",,"62",,"8.06","4.76","10.08","percent of total billed charges",,
"DIRECT LDL CHOLESTEROL","83721","HCPCS","Both",,,"13","6.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"7.02","4.76","10.08","percent of total billed charges",,
"DIRECT LDL CHOLESTEROL","83721","HCPCS","Both",,,"13","6.5","Medicare",,"",,"54",,"7.05","4.76","10.08","percent of total billed charges",,
"DIRECT LDL CHOLESTEROL","83721","HCPCS","Both",,,"13","6.5","Humana","Medicare Advantage","",,"54",,"7.05","4.76","10.08","percent of total billed charges",,
"DIRECT LDL CHOLESTEROL","83721","HCPCS","Both",,,"13","6.5","UHC","Medicare Advantage","",,"54",,"7.05","4.76","10.08","percent of total billed charges",,
"DIRECT LDL CHOLESTEROL","83721","HCPCS","Both",,,"13","6.5","Clover","Medicare Advantage","",,"54",,"7.05","4.76","10.08","percent of total billed charges",,
"DIRECT LDL CHOLESTEROL","83721","HCPCS","Both",,,"13","6.5","Wellcare","Medicare Advantage","",,"54",,"7.05","4.76","10.08","percent of total billed charges",,
"DIRECT LDL CHOLESTEROL","83721","HCPCS","Both",,,"13","6.5","Amerigroup","Medicaid Managed Care","",,"37",,"4.76","4.76","10.08","percent of total billed charges",,
"DIRECT LDL CHOLESTEROL","83721","HCPCS","Both",,,"13","6.5","Caresource","Medicaid Managed Care","",,"40",,"5.2","4.76","10.08","percent of total billed charges",,
"DIRECT LDL CHOLESTEROL","83721","HCPCS","Both",,,"13","6.5","Wellcare","Medicaid Managed Care","",,"40",,"5.26","4.76","10.08","percent of total billed charges",,
"DIRECT LDL CHOLESTEROL","83721","HCPCS","Both",,,"13","6.5","Aetna","Commercial","",,"64",,"8.29","4.76","10.08","percent of total billed charges",,
"DIRECT LDL CHOLESTEROL","83721","HCPCS","Both",,,"13","6.5","Blue Cross Blue Shield","Pathways","",,"71",,"9.18","4.76","10.08","percent of total billed charges",,
"DIRECT LDL CHOLESTEROL","83721","HCPCS","Both",,,"13","6.5","Blue Cross Blue Shield","HMO","",,"71",,"9.18","4.76","10.08","percent of total billed charges",,
"DIRECT LDL CHOLESTEROL","83721","HCPCS","Both",,,"13","6.5","Blue Cross Blue Shield","PPO","",,"71",,"9.18","4.76","10.08","percent of total billed charges",,
"DIRECT LDL CHOLESTEROL","83721","HCPCS","Both",,,"13","6.5","Ambetter","Health Exchange","",,"62",,"8.06","4.76","10.08","percent of total billed charges",,
"DIRECT LDL CHOLESTEROL","83721","HCPCS","Both",,,"13","6.5","Caresource","Health Exchange","",,"62",,"8.06","4.76","10.08","percent of total billed charges",,
"DIRECT LDL CHOLESTEROL","83721","HCPCS","Both",,,"13","6.5","Cigna","Commercial","",,"59",,"7.62","4.76","10.08","percent of total billed charges",,
"DIRECT LDL CHOLESTEROL","83721","HCPCS","Both",,,"13","6.5","Humana","Commercial","",,"78",,"10.08","4.76","10.08","percent of total billed charges",,
"DIRECT LDL CHOLESTEROL","83721","HCPCS","Both",,,"13","6.5","UHC","Commercial","",,"75",,"9.8","4.76","10.08","percent of total billed charges",,
"DIRECT LDL CHOLESTEROL","83721","HCPCS","Both",,,"13","6.5","Medicaid",,"",,"37",,"4.76","4.76","10.08","percent of total billed charges",,
"HDL CHOLESTEROL","83718","HCPCS","Both",,,"59.5","29.75","Alliant","Health Exchange","",,"62",,"36.89","21.78","46.11","percent of total billed charges",,
"HDL CHOLESTEROL","83718","HCPCS","Both",,,"59.5","29.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.13","21.78","46.11","percent of total billed charges",,
"HDL CHOLESTEROL","83718","HCPCS","Both",,,"59.5","29.75","Medicare",,"",,"54",,"32.25","21.78","46.11","percent of total billed charges",,
"HDL CHOLESTEROL","83718","HCPCS","Both",,,"59.5","29.75","Humana","Medicare Advantage","",,"54",,"32.25","21.78","46.11","percent of total billed charges",,
"HDL CHOLESTEROL","83718","HCPCS","Both",,,"59.5","29.75","UHC","Medicare Advantage","",,"54",,"32.25","21.78","46.11","percent of total billed charges",,
"HDL CHOLESTEROL","83718","HCPCS","Both",,,"59.5","29.75","Clover","Medicare Advantage","",,"54",,"32.25","21.78","46.11","percent of total billed charges",,
"HDL CHOLESTEROL","83718","HCPCS","Both",,,"59.5","29.75","Wellcare","Medicare Advantage","",,"54",,"32.25","21.78","46.11","percent of total billed charges",,
"HDL CHOLESTEROL","83718","HCPCS","Both",,,"59.5","29.75","Amerigroup","Medicaid Managed Care","",,"37",,"21.78","21.78","46.11","percent of total billed charges",,
"HDL CHOLESTEROL","83718","HCPCS","Both",,,"59.5","29.75","Caresource","Medicaid Managed Care","",,"40",,"23.8","21.78","46.11","percent of total billed charges",,
"HDL CHOLESTEROL","83718","HCPCS","Both",,,"59.5","29.75","Wellcare","Medicaid Managed Care","",,"40",,"24.1","21.78","46.11","percent of total billed charges",,
"HDL CHOLESTEROL","83718","HCPCS","Both",,,"59.5","29.75","Aetna","Commercial","",,"64",,"37.96","21.78","46.11","percent of total billed charges",,
"HDL CHOLESTEROL","83718","HCPCS","Both",,,"59.5","29.75","Blue Cross Blue Shield","Pathways","",,"71",,"42.01","21.78","46.11","percent of total billed charges",,
"HDL CHOLESTEROL","83718","HCPCS","Both",,,"59.5","29.75","Blue Cross Blue Shield","HMO","",,"71",,"42.01","21.78","46.11","percent of total billed charges",,
"HDL CHOLESTEROL","83718","HCPCS","Both",,,"59.5","29.75","Blue Cross Blue Shield","PPO","",,"71",,"42.01","21.78","46.11","percent of total billed charges",,
"HDL CHOLESTEROL","83718","HCPCS","Both",,,"59.5","29.75","Ambetter","Health Exchange","",,"62",,"36.89","21.78","46.11","percent of total billed charges",,
"HDL CHOLESTEROL","83718","HCPCS","Both",,,"59.5","29.75","Caresource","Health Exchange","",,"62",,"36.89","21.78","46.11","percent of total billed charges",,
"HDL CHOLESTEROL","83718","HCPCS","Both",,,"59.5","29.75","Cigna","Commercial","",,"59",,"34.87","21.78","46.11","percent of total billed charges",,
"HDL CHOLESTEROL","83718","HCPCS","Both",,,"59.5","29.75","Humana","Commercial","",,"78",,"46.11","21.78","46.11","percent of total billed charges",,
"HDL CHOLESTEROL","83718","HCPCS","Both",,,"59.5","29.75","UHC","Commercial","",,"75",,"44.86","21.78","46.11","percent of total billed charges",,
"HDL CHOLESTEROL","83718","HCPCS","Both",,,"59.5","29.75","Medicaid",,"",,"37",,"21.78","21.78","46.11","percent of total billed charges",,
"CREATININE URINE RANDOM","82570","HCPCS","Both",,,"7.5","3.75","Alliant","Health Exchange","",,"62",,"4.65","2.74","5.81","percent of total billed charges",,
"CREATININE URINE RANDOM","82570","HCPCS","Both",,,"7.5","3.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"4.05","2.74","5.81","percent of total billed charges",,
"CREATININE URINE RANDOM","82570","HCPCS","Both",,,"7.5","3.75","Medicare",,"",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"CREATININE URINE RANDOM","82570","HCPCS","Both",,,"7.5","3.75","Humana","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"CREATININE URINE RANDOM","82570","HCPCS","Both",,,"7.5","3.75","UHC","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"CREATININE URINE RANDOM","82570","HCPCS","Both",,,"7.5","3.75","Clover","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"CREATININE URINE RANDOM","82570","HCPCS","Both",,,"7.5","3.75","Wellcare","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"CREATININE URINE RANDOM","82570","HCPCS","Both",,,"7.5","3.75","Amerigroup","Medicaid Managed Care","",,"37",,"2.74","2.74","5.81","percent of total billed charges",,
"CREATININE URINE RANDOM","82570","HCPCS","Both",,,"7.5","3.75","Caresource","Medicaid Managed Care","",,"40",,"3","2.74","5.81","percent of total billed charges",,
"CREATININE URINE RANDOM","82570","HCPCS","Both",,,"7.5","3.75","Wellcare","Medicaid Managed Care","",,"40",,"3.04","2.74","5.81","percent of total billed charges",,
"CREATININE URINE RANDOM","82570","HCPCS","Both",,,"7.5","3.75","Aetna","Commercial","",,"64",,"4.78","2.74","5.81","percent of total billed charges",,
"CREATININE URINE RANDOM","82570","HCPCS","Both",,,"7.5","3.75","Blue Cross Blue Shield","Pathways","",,"71",,"5.3","2.74","5.81","percent of total billed charges",,
"CREATININE URINE RANDOM","82570","HCPCS","Both",,,"7.5","3.75","Blue Cross Blue Shield","HMO","",,"71",,"5.3","2.74","5.81","percent of total billed charges",,
"CREATININE URINE RANDOM","82570","HCPCS","Both",,,"7.5","3.75","Blue Cross Blue Shield","PPO","",,"71",,"5.3","2.74","5.81","percent of total billed charges",,
"CREATININE URINE RANDOM","82570","HCPCS","Both",,,"7.5","3.75","Ambetter","Health Exchange","",,"62",,"4.65","2.74","5.81","percent of total billed charges",,
"CREATININE URINE RANDOM","82570","HCPCS","Both",,,"7.5","3.75","Caresource","Health Exchange","",,"62",,"4.65","2.74","5.81","percent of total billed charges",,
"CREATININE URINE RANDOM","82570","HCPCS","Both",,,"7.5","3.75","Cigna","Commercial","",,"59",,"4.39","2.74","5.81","percent of total billed charges",,
"CREATININE URINE RANDOM","82570","HCPCS","Both",,,"7.5","3.75","Humana","Commercial","",,"78",,"5.81","2.74","5.81","percent of total billed charges",,
"CREATININE URINE RANDOM","82570","HCPCS","Both",,,"7.5","3.75","UHC","Commercial","",,"75",,"5.66","2.74","5.81","percent of total billed charges",,
"CREATININE URINE RANDOM","82570","HCPCS","Both",,,"7.5","3.75","Medicaid",,"",,"37",,"2.74","2.74","5.81","percent of total billed charges",,
"ALDOLASE","82085","HCPCS","Both",,,"12","6","Alliant","Health Exchange","",,"62",,"7.44","4.39","9.3","percent of total billed charges",,
"ALDOLASE","82085","HCPCS","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage","",,"54",,"6.48","4.39","9.3","percent of total billed charges",,
"ALDOLASE","82085","HCPCS","Both",,,"12","6","Medicare",,"",,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"ALDOLASE","82085","HCPCS","Both",,,"12","6","Humana","Medicare Advantage","",,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"ALDOLASE","82085","HCPCS","Both",,,"12","6","UHC","Medicare Advantage","",,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"ALDOLASE","82085","HCPCS","Both",,,"12","6","Clover","Medicare Advantage","",,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"ALDOLASE","82085","HCPCS","Both",,,"12","6","Wellcare","Medicare Advantage","",,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"ALDOLASE","82085","HCPCS","Both",,,"12","6","Amerigroup","Medicaid Managed Care","",,"37",,"4.39","4.39","9.3","percent of total billed charges",,
"ALDOLASE","82085","HCPCS","Both",,,"12","6","Caresource","Medicaid Managed Care","",,"40",,"4.8","4.39","9.3","percent of total billed charges",,
"ALDOLASE","82085","HCPCS","Both",,,"12","6","Wellcare","Medicaid Managed Care","",,"40",,"4.86","4.39","9.3","percent of total billed charges",,
"ALDOLASE","82085","HCPCS","Both",,,"12","6","Aetna","Commercial","",,"64",,"7.66","4.39","9.3","percent of total billed charges",,
"ALDOLASE","82085","HCPCS","Both",,,"12","6","Blue Cross Blue Shield","Pathways","",,"71",,"8.47","4.39","9.3","percent of total billed charges",,
"ALDOLASE","82085","HCPCS","Both",,,"12","6","Blue Cross Blue Shield","HMO","",,"71",,"8.47","4.39","9.3","percent of total billed charges",,
"ALDOLASE","82085","HCPCS","Both",,,"12","6","Blue Cross Blue Shield","PPO","",,"71",,"8.47","4.39","9.3","percent of total billed charges",,
"ALDOLASE","82085","HCPCS","Both",,,"12","6","Ambetter","Health Exchange","",,"62",,"7.44","4.39","9.3","percent of total billed charges",,
"ALDOLASE","82085","HCPCS","Both",,,"12","6","Caresource","Health Exchange","",,"62",,"7.44","4.39","9.3","percent of total billed charges",,
"ALDOLASE","82085","HCPCS","Both",,,"12","6","Cigna","Commercial","",,"59",,"7.03","4.39","9.3","percent of total billed charges",,
"ALDOLASE","82085","HCPCS","Both",,,"12","6","Humana","Commercial","",,"78",,"9.3","4.39","9.3","percent of total billed charges",,
"ALDOLASE","82085","HCPCS","Both",,,"12","6","UHC","Commercial","",,"75",,"9.05","4.39","9.3","percent of total billed charges",,
"ALDOLASE","82085","HCPCS","Both",,,"12","6","Medicaid",,"",,"37",,"4.39","4.39","9.3","percent of total billed charges",,
"PROLACTIN","84146","HCPCS","Both",,,"195.5","97.75","Alliant","Health Exchange","",,"62",,"121.21","71.55","151.51","percent of total billed charges",,
"PROLACTIN","84146","HCPCS","Both",,,"195.5","97.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"105.57","71.55","151.51","percent of total billed charges",,
"PROLACTIN","84146","HCPCS","Both",,,"195.5","97.75","Medicare",,"",,"54",,"105.96","71.55","151.51","percent of total billed charges",,
"PROLACTIN","84146","HCPCS","Both",,,"195.5","97.75","Humana","Medicare Advantage","",,"54",,"105.96","71.55","151.51","percent of total billed charges",,
"PROLACTIN","84146","HCPCS","Both",,,"195.5","97.75","UHC","Medicare Advantage","",,"54",,"105.96","71.55","151.51","percent of total billed charges",,
"PROLACTIN","84146","HCPCS","Both",,,"195.5","97.75","Clover","Medicare Advantage","",,"54",,"105.96","71.55","151.51","percent of total billed charges",,
"PROLACTIN","84146","HCPCS","Both",,,"195.5","97.75","Wellcare","Medicare Advantage","",,"54",,"105.96","71.55","151.51","percent of total billed charges",,
"PROLACTIN","84146","HCPCS","Both",,,"195.5","97.75","Amerigroup","Medicaid Managed Care","",,"37",,"71.55","71.55","151.51","percent of total billed charges",,
"PROLACTIN","84146","HCPCS","Both",,,"195.5","97.75","Caresource","Medicaid Managed Care","",,"40",,"78.2","71.55","151.51","percent of total billed charges",,
"PROLACTIN","84146","HCPCS","Both",,,"195.5","97.75","Wellcare","Medicaid Managed Care","",,"40",,"79.18","71.55","151.51","percent of total billed charges",,
"PROLACTIN","84146","HCPCS","Both",,,"195.5","97.75","Aetna","Commercial","",,"64",,"124.73","71.55","151.51","percent of total billed charges",,
"PROLACTIN","84146","HCPCS","Both",,,"195.5","97.75","Blue Cross Blue Shield","Pathways","",,"71",,"138.02","71.55","151.51","percent of total billed charges",,
"PROLACTIN","84146","HCPCS","Both",,,"195.5","97.75","Blue Cross Blue Shield","HMO","",,"71",,"138.02","71.55","151.51","percent of total billed charges",,
"PROLACTIN","84146","HCPCS","Both",,,"195.5","97.75","Blue Cross Blue Shield","PPO","",,"71",,"138.02","71.55","151.51","percent of total billed charges",,
"PROLACTIN","84146","HCPCS","Both",,,"195.5","97.75","Ambetter","Health Exchange","",,"62",,"121.21","71.55","151.51","percent of total billed charges",,
"PROLACTIN","84146","HCPCS","Both",,,"195.5","97.75","Caresource","Health Exchange","",,"62",,"121.21","71.55","151.51","percent of total billed charges",,
"PROLACTIN","84146","HCPCS","Both",,,"195.5","97.75","Cigna","Commercial","",,"59",,"114.56","71.55","151.51","percent of total billed charges",,
"PROLACTIN","84146","HCPCS","Both",,,"195.5","97.75","Humana","Commercial","",,"78",,"151.51","71.55","151.51","percent of total billed charges",,
"PROLACTIN","84146","HCPCS","Both",,,"195.5","97.75","UHC","Commercial","",,"75",,"147.41","71.55","151.51","percent of total billed charges",,
"PROLACTIN","84146","HCPCS","Both",,,"195.5","97.75","Medicaid",,"",,"37",,"71.55","71.55","151.51","percent of total billed charges",,
"HERPES VIRUS TYPE 2 IGG SERUM","86696","HCPCS","Both",,,"50","25","Alliant","Health Exchange","",,"62",,"31","18.3","38.75","percent of total billed charges",,
"HERPES VIRUS TYPE 2 IGG SERUM","86696","HCPCS","Both",,,"50","25","Pruitt Healthcare","Medicare Advantage","",,"54",,"27","18.3","38.75","percent of total billed charges",,
"HERPES VIRUS TYPE 2 IGG SERUM","86696","HCPCS","Both",,,"50","25","Medicare",,"",,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"HERPES VIRUS TYPE 2 IGG SERUM","86696","HCPCS","Both",,,"50","25","Humana","Medicare Advantage","",,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"HERPES VIRUS TYPE 2 IGG SERUM","86696","HCPCS","Both",,,"50","25","UHC","Medicare Advantage","",,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"HERPES VIRUS TYPE 2 IGG SERUM","86696","HCPCS","Both",,,"50","25","Clover","Medicare Advantage","",,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"HERPES VIRUS TYPE 2 IGG SERUM","86696","HCPCS","Both",,,"50","25","Wellcare","Medicare Advantage","",,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"HERPES VIRUS TYPE 2 IGG SERUM","86696","HCPCS","Both",,,"50","25","Amerigroup","Medicaid Managed Care","",,"37",,"18.3","18.3","38.75","percent of total billed charges",,
"HERPES VIRUS TYPE 2 IGG SERUM","86696","HCPCS","Both",,,"50","25","Caresource","Medicaid Managed Care","",,"40",,"20","18.3","38.75","percent of total billed charges",,
"HERPES VIRUS TYPE 2 IGG SERUM","86696","HCPCS","Both",,,"50","25","Wellcare","Medicaid Managed Care","",,"40",,"20.25","18.3","38.75","percent of total billed charges",,
"HERPES VIRUS TYPE 2 IGG SERUM","86696","HCPCS","Both",,,"50","25","Aetna","Commercial","",,"64",,"31.9","18.3","38.75","percent of total billed charges",,
"HERPES VIRUS TYPE 2 IGG SERUM","86696","HCPCS","Both",,,"50","25","Blue Cross Blue Shield","Pathways","",,"71",,"35.3","18.3","38.75","percent of total billed charges",,
"HERPES VIRUS TYPE 2 IGG SERUM","86696","HCPCS","Both",,,"50","25","Blue Cross Blue Shield","HMO","",,"71",,"35.3","18.3","38.75","percent of total billed charges",,
"HERPES VIRUS TYPE 2 IGG SERUM","86696","HCPCS","Both",,,"50","25","Blue Cross Blue Shield","PPO","",,"71",,"35.3","18.3","38.75","percent of total billed charges",,
"HERPES VIRUS TYPE 2 IGG SERUM","86696","HCPCS","Both",,,"50","25","Ambetter","Health Exchange","",,"62",,"31","18.3","38.75","percent of total billed charges",,
"HERPES VIRUS TYPE 2 IGG SERUM","86696","HCPCS","Both",,,"50","25","Caresource","Health Exchange","",,"62",,"31","18.3","38.75","percent of total billed charges",,
"HERPES VIRUS TYPE 2 IGG SERUM","86696","HCPCS","Both",,,"50","25","Cigna","Commercial","",,"59",,"29.3","18.3","38.75","percent of total billed charges",,
"HERPES VIRUS TYPE 2 IGG SERUM","86696","HCPCS","Both",,,"50","25","Humana","Commercial","",,"78",,"38.75","18.3","38.75","percent of total billed charges",,
"HERPES VIRUS TYPE 2 IGG SERUM","86696","HCPCS","Both",,,"50","25","UHC","Commercial","",,"75",,"37.7","18.3","38.75","percent of total billed charges",,
"HERPES VIRUS TYPE 2 IGG SERUM","86696","HCPCS","Both",,,"50","25","Medicaid",,"",,"37",,"18.3","18.3","38.75","percent of total billed charges",,
"ACID FAST AND/OR FLURESCENT STAIN","87206","HCPCS","Both",,,"39","19.5","Alliant","Health Exchange","",,"62",,"24.18","14.27","30.22","percent of total billed charges",,
"ACID FAST AND/OR FLURESCENT STAIN","87206","HCPCS","Both",,,"39","19.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"21.06","14.27","30.22","percent of total billed charges",,
"ACID FAST AND/OR FLURESCENT STAIN","87206","HCPCS","Both",,,"39","19.5","Medicare",,"",,"54",,"21.14","14.27","30.22","percent of total billed charges",,
"ACID FAST AND/OR FLURESCENT STAIN","87206","HCPCS","Both",,,"39","19.5","Humana","Medicare Advantage","",,"54",,"21.14","14.27","30.22","percent of total billed charges",,
"ACID FAST AND/OR FLURESCENT STAIN","87206","HCPCS","Both",,,"39","19.5","UHC","Medicare Advantage","",,"54",,"21.14","14.27","30.22","percent of total billed charges",,
"ACID FAST AND/OR FLURESCENT STAIN","87206","HCPCS","Both",,,"39","19.5","Clover","Medicare Advantage","",,"54",,"21.14","14.27","30.22","percent of total billed charges",,
"ACID FAST AND/OR FLURESCENT STAIN","87206","HCPCS","Both",,,"39","19.5","Wellcare","Medicare Advantage","",,"54",,"21.14","14.27","30.22","percent of total billed charges",,
"ACID FAST AND/OR FLURESCENT STAIN","87206","HCPCS","Both",,,"39","19.5","Amerigroup","Medicaid Managed Care","",,"37",,"14.27","14.27","30.22","percent of total billed charges",,
"ACID FAST AND/OR FLURESCENT STAIN","87206","HCPCS","Both",,,"39","19.5","Caresource","Medicaid Managed Care","",,"40",,"15.6","14.27","30.22","percent of total billed charges",,
"ACID FAST AND/OR FLURESCENT STAIN","87206","HCPCS","Both",,,"39","19.5","Wellcare","Medicaid Managed Care","",,"40",,"15.8","14.27","30.22","percent of total billed charges",,
"ACID FAST AND/OR FLURESCENT STAIN","87206","HCPCS","Both",,,"39","19.5","Aetna","Commercial","",,"64",,"24.88","14.27","30.22","percent of total billed charges",,
"ACID FAST AND/OR FLURESCENT STAIN","87206","HCPCS","Both",,,"39","19.5","Blue Cross Blue Shield","Pathways","",,"71",,"27.53","14.27","30.22","percent of total billed charges",,
"ACID FAST AND/OR FLURESCENT STAIN","87206","HCPCS","Both",,,"39","19.5","Blue Cross Blue Shield","HMO","",,"71",,"27.53","14.27","30.22","percent of total billed charges",,
"ACID FAST AND/OR FLURESCENT STAIN","87206","HCPCS","Both",,,"39","19.5","Blue Cross Blue Shield","PPO","",,"71",,"27.53","14.27","30.22","percent of total billed charges",,
"ACID FAST AND/OR FLURESCENT STAIN","87206","HCPCS","Both",,,"39","19.5","Ambetter","Health Exchange","",,"62",,"24.18","14.27","30.22","percent of total billed charges",,
"ACID FAST AND/OR FLURESCENT STAIN","87206","HCPCS","Both",,,"39","19.5","Caresource","Health Exchange","",,"62",,"24.18","14.27","30.22","percent of total billed charges",,
"ACID FAST AND/OR FLURESCENT STAIN","87206","HCPCS","Both",,,"39","19.5","Cigna","Commercial","",,"59",,"22.85","14.27","30.22","percent of total billed charges",,
"ACID FAST AND/OR FLURESCENT STAIN","87206","HCPCS","Both",,,"39","19.5","Humana","Commercial","",,"78",,"30.22","14.27","30.22","percent of total billed charges",,
"ACID FAST AND/OR FLURESCENT STAIN","87206","HCPCS","Both",,,"39","19.5","UHC","Commercial","",,"75",,"29.41","14.27","30.22","percent of total billed charges",,
"ACID FAST AND/OR FLURESCENT STAIN","87206","HCPCS","Both",,,"39","19.5","Medicaid",,"",,"37",,"14.27","14.27","30.22","percent of total billed charges",,
"HUMAN GROWTH HORMONE","83003","HCPCS","Both",,,"102","51","Alliant","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"HUMAN GROWTH HORMONE","83003","HCPCS","Both",,,"102","51","Pruitt Healthcare","Medicare Advantage","",,"54",,"55.08","37.33","79.05","percent of total billed charges",,
"HUMAN GROWTH HORMONE","83003","HCPCS","Both",,,"102","51","Medicare",,"",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"HUMAN GROWTH HORMONE","83003","HCPCS","Both",,,"102","51","Humana","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"HUMAN GROWTH HORMONE","83003","HCPCS","Both",,,"102","51","UHC","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"HUMAN GROWTH HORMONE","83003","HCPCS","Both",,,"102","51","Clover","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"HUMAN GROWTH HORMONE","83003","HCPCS","Both",,,"102","51","Wellcare","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"HUMAN GROWTH HORMONE","83003","HCPCS","Both",,,"102","51","Amerigroup","Medicaid Managed Care","",,"37",,"37.33","37.33","79.05","percent of total billed charges",,
"HUMAN GROWTH HORMONE","83003","HCPCS","Both",,,"102","51","Caresource","Medicaid Managed Care","",,"40",,"40.8","37.33","79.05","percent of total billed charges",,
"HUMAN GROWTH HORMONE","83003","HCPCS","Both",,,"102","51","Wellcare","Medicaid Managed Care","",,"40",,"41.31","37.33","79.05","percent of total billed charges",,
"HUMAN GROWTH HORMONE","83003","HCPCS","Both",,,"102","51","Aetna","Commercial","",,"64",,"65.08","37.33","79.05","percent of total billed charges",,
"HUMAN GROWTH HORMONE","83003","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","Pathways","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"HUMAN GROWTH HORMONE","83003","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","HMO","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"HUMAN GROWTH HORMONE","83003","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","PPO","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"HUMAN GROWTH HORMONE","83003","HCPCS","Both",,,"102","51","Ambetter","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"HUMAN GROWTH HORMONE","83003","HCPCS","Both",,,"102","51","Caresource","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"HUMAN GROWTH HORMONE","83003","HCPCS","Both",,,"102","51","Cigna","Commercial","",,"59",,"59.77","37.33","79.05","percent of total billed charges",,
"HUMAN GROWTH HORMONE","83003","HCPCS","Both",,,"102","51","Humana","Commercial","",,"78",,"79.05","37.33","79.05","percent of total billed charges",,
"HUMAN GROWTH HORMONE","83003","HCPCS","Both",,,"102","51","UHC","Commercial","",,"75",,"76.91","37.33","79.05","percent of total billed charges",,
"HUMAN GROWTH HORMONE","83003","HCPCS","Both",,,"102","51","Medicaid",,"",,"37",,"37.33","37.33","79.05","percent of total billed charges",,
"IMMUNOFIXATION ELECTROPHORESIS URINE","86335","HCPCS","Both",,,"88","44","Alliant","Health Exchange","",,"62",,"54.56","32.21","68.2","percent of total billed charges",,
"IMMUNOFIXATION ELECTROPHORESIS URINE","86335","HCPCS","Both",,,"88","44","Pruitt Healthcare","Medicare Advantage","",,"54",,"47.52","32.21","68.2","percent of total billed charges",,
"IMMUNOFIXATION ELECTROPHORESIS URINE","86335","HCPCS","Both",,,"88","44","Medicare",,"",,"54",,"47.7","32.21","68.2","percent of total billed charges",,
"IMMUNOFIXATION ELECTROPHORESIS URINE","86335","HCPCS","Both",,,"88","44","Humana","Medicare Advantage","",,"54",,"47.7","32.21","68.2","percent of total billed charges",,
"IMMUNOFIXATION ELECTROPHORESIS URINE","86335","HCPCS","Both",,,"88","44","UHC","Medicare Advantage","",,"54",,"47.7","32.21","68.2","percent of total billed charges",,
"IMMUNOFIXATION ELECTROPHORESIS URINE","86335","HCPCS","Both",,,"88","44","Clover","Medicare Advantage","",,"54",,"47.7","32.21","68.2","percent of total billed charges",,
"IMMUNOFIXATION ELECTROPHORESIS URINE","86335","HCPCS","Both",,,"88","44","Wellcare","Medicare Advantage","",,"54",,"47.7","32.21","68.2","percent of total billed charges",,
"IMMUNOFIXATION ELECTROPHORESIS URINE","86335","HCPCS","Both",,,"88","44","Amerigroup","Medicaid Managed Care","",,"37",,"32.21","32.21","68.2","percent of total billed charges",,
"IMMUNOFIXATION ELECTROPHORESIS URINE","86335","HCPCS","Both",,,"88","44","Caresource","Medicaid Managed Care","",,"40",,"35.2","32.21","68.2","percent of total billed charges",,
"IMMUNOFIXATION ELECTROPHORESIS URINE","86335","HCPCS","Both",,,"88","44","Wellcare","Medicaid Managed Care","",,"40",,"35.64","32.21","68.2","percent of total billed charges",,
"IMMUNOFIXATION ELECTROPHORESIS URINE","86335","HCPCS","Both",,,"88","44","Aetna","Commercial","",,"64",,"56.14","32.21","68.2","percent of total billed charges",,
"IMMUNOFIXATION ELECTROPHORESIS URINE","86335","HCPCS","Both",,,"88","44","Blue Cross Blue Shield","Pathways","",,"71",,"62.13","32.21","68.2","percent of total billed charges",,
"IMMUNOFIXATION ELECTROPHORESIS URINE","86335","HCPCS","Both",,,"88","44","Blue Cross Blue Shield","HMO","",,"71",,"62.13","32.21","68.2","percent of total billed charges",,
"IMMUNOFIXATION ELECTROPHORESIS URINE","86335","HCPCS","Both",,,"88","44","Blue Cross Blue Shield","PPO","",,"71",,"62.13","32.21","68.2","percent of total billed charges",,
"IMMUNOFIXATION ELECTROPHORESIS URINE","86335","HCPCS","Both",,,"88","44","Ambetter","Health Exchange","",,"62",,"54.56","32.21","68.2","percent of total billed charges",,
"IMMUNOFIXATION ELECTROPHORESIS URINE","86335","HCPCS","Both",,,"88","44","Caresource","Health Exchange","",,"62",,"54.56","32.21","68.2","percent of total billed charges",,
"IMMUNOFIXATION ELECTROPHORESIS URINE","86335","HCPCS","Both",,,"88","44","Cigna","Commercial","",,"59",,"51.57","32.21","68.2","percent of total billed charges",,
"IMMUNOFIXATION ELECTROPHORESIS URINE","86335","HCPCS","Both",,,"88","44","Humana","Commercial","",,"78",,"68.2","32.21","68.2","percent of total billed charges",,
"IMMUNOFIXATION ELECTROPHORESIS URINE","86335","HCPCS","Both",,,"88","44","UHC","Commercial","",,"75",,"66.35","32.21","68.2","percent of total billed charges",,
"IMMUNOFIXATION ELECTROPHORESIS URINE","86335","HCPCS","Both",,,"88","44","Medicaid",,"",,"37",,"32.21","32.21","68.2","percent of total billed charges",,
"CARBAMAZEPINE (TEGRETOL)","80156","HCPCS","Both",,,"18","9","Alliant","Health Exchange","",,"62",,"11.16","6.59","13.95","percent of total billed charges",,
"CARBAMAZEPINE (TEGRETOL)","80156","HCPCS","Both",,,"18","9","Pruitt Healthcare","Medicare Advantage","",,"54",,"9.72","6.59","13.95","percent of total billed charges",,
"CARBAMAZEPINE (TEGRETOL)","80156","HCPCS","Both",,,"18","9","Medicare",,"",,"54",,"9.76","6.59","13.95","percent of total billed charges",,
"CARBAMAZEPINE (TEGRETOL)","80156","HCPCS","Both",,,"18","9","Humana","Medicare Advantage","",,"54",,"9.76","6.59","13.95","percent of total billed charges",,
"CARBAMAZEPINE (TEGRETOL)","80156","HCPCS","Both",,,"18","9","UHC","Medicare Advantage","",,"54",,"9.76","6.59","13.95","percent of total billed charges",,
"CARBAMAZEPINE (TEGRETOL)","80156","HCPCS","Both",,,"18","9","Clover","Medicare Advantage","",,"54",,"9.76","6.59","13.95","percent of total billed charges",,
"CARBAMAZEPINE (TEGRETOL)","80156","HCPCS","Both",,,"18","9","Wellcare","Medicare Advantage","",,"54",,"9.76","6.59","13.95","percent of total billed charges",,
"CARBAMAZEPINE (TEGRETOL)","80156","HCPCS","Both",,,"18","9","Amerigroup","Medicaid Managed Care","",,"37",,"6.59","6.59","13.95","percent of total billed charges",,
"CARBAMAZEPINE (TEGRETOL)","80156","HCPCS","Both",,,"18","9","Caresource","Medicaid Managed Care","",,"40",,"7.2","6.59","13.95","percent of total billed charges",,
"CARBAMAZEPINE (TEGRETOL)","80156","HCPCS","Both",,,"18","9","Wellcare","Medicaid Managed Care","",,"40",,"7.29","6.59","13.95","percent of total billed charges",,
"CARBAMAZEPINE (TEGRETOL)","80156","HCPCS","Both",,,"18","9","Aetna","Commercial","",,"64",,"11.48","6.59","13.95","percent of total billed charges",,
"CARBAMAZEPINE (TEGRETOL)","80156","HCPCS","Both",,,"18","9","Blue Cross Blue Shield","Pathways","",,"71",,"12.71","6.59","13.95","percent of total billed charges",,
"CARBAMAZEPINE (TEGRETOL)","80156","HCPCS","Both",,,"18","9","Blue Cross Blue Shield","HMO","",,"71",,"12.71","6.59","13.95","percent of total billed charges",,
"CARBAMAZEPINE (TEGRETOL)","80156","HCPCS","Both",,,"18","9","Blue Cross Blue Shield","PPO","",,"71",,"12.71","6.59","13.95","percent of total billed charges",,
"CARBAMAZEPINE (TEGRETOL)","80156","HCPCS","Both",,,"18","9","Ambetter","Health Exchange","",,"62",,"11.16","6.59","13.95","percent of total billed charges",,
"CARBAMAZEPINE (TEGRETOL)","80156","HCPCS","Both",,,"18","9","Caresource","Health Exchange","",,"62",,"11.16","6.59","13.95","percent of total billed charges",,
"CARBAMAZEPINE (TEGRETOL)","80156","HCPCS","Both",,,"18","9","Cigna","Commercial","",,"59",,"10.55","6.59","13.95","percent of total billed charges",,
"CARBAMAZEPINE (TEGRETOL)","80156","HCPCS","Both",,,"18","9","Humana","Commercial","",,"78",,"13.95","6.59","13.95","percent of total billed charges",,
"CARBAMAZEPINE (TEGRETOL)","80156","HCPCS","Both",,,"18","9","UHC","Commercial","",,"75",,"13.57","6.59","13.95","percent of total billed charges",,
"CARBAMAZEPINE (TEGRETOL)","80156","HCPCS","Both",,,"18","9","Medicaid",,"",,"37",,"6.59","6.59","13.95","percent of total billed charges",,
"GENTAMYCIN TROUGH","80170","HCPCS","Both",,,"118.5","59.25","Alliant","Health Exchange","",,"62",,"73.47","43.37","91.84","percent of total billed charges",,
"GENTAMYCIN TROUGH","80170","HCPCS","Both",,,"118.5","59.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"63.99","43.37","91.84","percent of total billed charges",,
"GENTAMYCIN TROUGH","80170","HCPCS","Both",,,"118.5","59.25","Medicare",,"",,"54",,"64.23","43.37","91.84","percent of total billed charges",,
"GENTAMYCIN TROUGH","80170","HCPCS","Both",,,"118.5","59.25","Humana","Medicare Advantage","",,"54",,"64.23","43.37","91.84","percent of total billed charges",,
"GENTAMYCIN TROUGH","80170","HCPCS","Both",,,"118.5","59.25","UHC","Medicare Advantage","",,"54",,"64.23","43.37","91.84","percent of total billed charges",,
"GENTAMYCIN TROUGH","80170","HCPCS","Both",,,"118.5","59.25","Clover","Medicare Advantage","",,"54",,"64.23","43.37","91.84","percent of total billed charges",,
"GENTAMYCIN TROUGH","80170","HCPCS","Both",,,"118.5","59.25","Wellcare","Medicare Advantage","",,"54",,"64.23","43.37","91.84","percent of total billed charges",,
"GENTAMYCIN TROUGH","80170","HCPCS","Both",,,"118.5","59.25","Amerigroup","Medicaid Managed Care","",,"37",,"43.37","43.37","91.84","percent of total billed charges",,
"GENTAMYCIN TROUGH","80170","HCPCS","Both",,,"118.5","59.25","Caresource","Medicaid Managed Care","",,"40",,"47.4","43.37","91.84","percent of total billed charges",,
"GENTAMYCIN TROUGH","80170","HCPCS","Both",,,"118.5","59.25","Wellcare","Medicaid Managed Care","",,"40",,"47.99","43.37","91.84","percent of total billed charges",,
"GENTAMYCIN TROUGH","80170","HCPCS","Both",,,"118.5","59.25","Aetna","Commercial","",,"64",,"75.6","43.37","91.84","percent of total billed charges",,
"GENTAMYCIN TROUGH","80170","HCPCS","Both",,,"118.5","59.25","Blue Cross Blue Shield","Pathways","",,"71",,"83.66","43.37","91.84","percent of total billed charges",,
"GENTAMYCIN TROUGH","80170","HCPCS","Both",,,"118.5","59.25","Blue Cross Blue Shield","HMO","",,"71",,"83.66","43.37","91.84","percent of total billed charges",,
"GENTAMYCIN TROUGH","80170","HCPCS","Both",,,"118.5","59.25","Blue Cross Blue Shield","PPO","",,"71",,"83.66","43.37","91.84","percent of total billed charges",,
"GENTAMYCIN TROUGH","80170","HCPCS","Both",,,"118.5","59.25","Ambetter","Health Exchange","",,"62",,"73.47","43.37","91.84","percent of total billed charges",,
"GENTAMYCIN TROUGH","80170","HCPCS","Both",,,"118.5","59.25","Caresource","Health Exchange","",,"62",,"73.47","43.37","91.84","percent of total billed charges",,
"GENTAMYCIN TROUGH","80170","HCPCS","Both",,,"118.5","59.25","Cigna","Commercial","",,"59",,"69.44","43.37","91.84","percent of total billed charges",,
"GENTAMYCIN TROUGH","80170","HCPCS","Both",,,"118.5","59.25","Humana","Commercial","",,"78",,"91.84","43.37","91.84","percent of total billed charges",,
"GENTAMYCIN TROUGH","80170","HCPCS","Both",,,"118.5","59.25","UHC","Commercial","",,"75",,"89.35","43.37","91.84","percent of total billed charges",,
"GENTAMYCIN TROUGH","80170","HCPCS","Both",,,"118.5","59.25","Medicaid",,"",,"37",,"43.37","43.37","91.84","percent of total billed charges",,
"LIPID PANEL","80061","HCPCS","Both",,,"19.5","9.75","Alliant","Health Exchange","",,"62",,"12.09","7.14","15.11","percent of total billed charges",,
"LIPID PANEL","80061","HCPCS","Both",,,"19.5","9.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"10.53","7.14","15.11","percent of total billed charges",,
"LIPID PANEL","80061","HCPCS","Both",,,"19.5","9.75","Medicare",,"",,"54",,"10.57","7.14","15.11","percent of total billed charges",,
"LIPID PANEL","80061","HCPCS","Both",,,"19.5","9.75","Humana","Medicare Advantage","",,"54",,"10.57","7.14","15.11","percent of total billed charges",,
"LIPID PANEL","80061","HCPCS","Both",,,"19.5","9.75","UHC","Medicare Advantage","",,"54",,"10.57","7.14","15.11","percent of total billed charges",,
"LIPID PANEL","80061","HCPCS","Both",,,"19.5","9.75","Clover","Medicare Advantage","",,"54",,"10.57","7.14","15.11","percent of total billed charges",,
"LIPID PANEL","80061","HCPCS","Both",,,"19.5","9.75","Wellcare","Medicare Advantage","",,"54",,"10.57","7.14","15.11","percent of total billed charges",,
"LIPID PANEL","80061","HCPCS","Both",,,"19.5","9.75","Amerigroup","Medicaid Managed Care","",,"37",,"7.14","7.14","15.11","percent of total billed charges",,
"LIPID PANEL","80061","HCPCS","Both",,,"19.5","9.75","Caresource","Medicaid Managed Care","",,"40",,"7.8","7.14","15.11","percent of total billed charges",,
"LIPID PANEL","80061","HCPCS","Both",,,"19.5","9.75","Wellcare","Medicaid Managed Care","",,"40",,"7.9","7.14","15.11","percent of total billed charges",,
"LIPID PANEL","80061","HCPCS","Both",,,"19.5","9.75","Aetna","Commercial","",,"64",,"12.44","7.14","15.11","percent of total billed charges",,
"LIPID PANEL","80061","HCPCS","Both",,,"19.5","9.75","Blue Cross Blue Shield","Pathways","",,"71",,"13.77","7.14","15.11","percent of total billed charges",,
"LIPID PANEL","80061","HCPCS","Both",,,"19.5","9.75","Blue Cross Blue Shield","HMO","",,"71",,"13.77","7.14","15.11","percent of total billed charges",,
"LIPID PANEL","80061","HCPCS","Both",,,"19.5","9.75","Blue Cross Blue Shield","PPO","",,"71",,"13.77","7.14","15.11","percent of total billed charges",,
"LIPID PANEL","80061","HCPCS","Both",,,"19.5","9.75","Ambetter","Health Exchange","",,"62",,"12.09","7.14","15.11","percent of total billed charges",,
"LIPID PANEL","80061","HCPCS","Both",,,"19.5","9.75","Caresource","Health Exchange","",,"62",,"12.09","7.14","15.11","percent of total billed charges",,
"LIPID PANEL","80061","HCPCS","Both",,,"19.5","9.75","Cigna","Commercial","",,"59",,"11.43","7.14","15.11","percent of total billed charges",,
"LIPID PANEL","80061","HCPCS","Both",,,"19.5","9.75","Humana","Commercial","",,"78",,"15.11","7.14","15.11","percent of total billed charges",,
"LIPID PANEL","80061","HCPCS","Both",,,"19.5","9.75","UHC","Commercial","",,"75",,"14.7","7.14","15.11","percent of total billed charges",,
"LIPID PANEL","80061","HCPCS","Both",,,"19.5","9.75","Medicaid",,"",,"37",,"7.14","7.14","15.11","percent of total billed charges",,
"OSMOLALITY; URINE","83935","HCPCS","Both",,,"20.5","10.25","Alliant","Health Exchange","",,"62",,"12.71","7.5","15.89","percent of total billed charges",,
"OSMOLALITY; URINE","83935","HCPCS","Both",,,"20.5","10.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"11.07","7.5","15.89","percent of total billed charges",,
"OSMOLALITY; URINE","83935","HCPCS","Both",,,"20.5","10.25","Medicare",,"",,"54",,"11.11","7.5","15.89","percent of total billed charges",,
"OSMOLALITY; URINE","83935","HCPCS","Both",,,"20.5","10.25","Humana","Medicare Advantage","",,"54",,"11.11","7.5","15.89","percent of total billed charges",,
"OSMOLALITY; URINE","83935","HCPCS","Both",,,"20.5","10.25","UHC","Medicare Advantage","",,"54",,"11.11","7.5","15.89","percent of total billed charges",,
"OSMOLALITY; URINE","83935","HCPCS","Both",,,"20.5","10.25","Clover","Medicare Advantage","",,"54",,"11.11","7.5","15.89","percent of total billed charges",,
"OSMOLALITY; URINE","83935","HCPCS","Both",,,"20.5","10.25","Wellcare","Medicare Advantage","",,"54",,"11.11","7.5","15.89","percent of total billed charges",,
"OSMOLALITY; URINE","83935","HCPCS","Both",,,"20.5","10.25","Amerigroup","Medicaid Managed Care","",,"37",,"7.5","7.5","15.89","percent of total billed charges",,
"OSMOLALITY; URINE","83935","HCPCS","Both",,,"20.5","10.25","Caresource","Medicaid Managed Care","",,"40",,"8.2","7.5","15.89","percent of total billed charges",,
"OSMOLALITY; URINE","83935","HCPCS","Both",,,"20.5","10.25","Wellcare","Medicaid Managed Care","",,"40",,"8.3","7.5","15.89","percent of total billed charges",,
"OSMOLALITY; URINE","83935","HCPCS","Both",,,"20.5","10.25","Aetna","Commercial","",,"64",,"13.08","7.5","15.89","percent of total billed charges",,
"OSMOLALITY; URINE","83935","HCPCS","Both",,,"20.5","10.25","Blue Cross Blue Shield","Pathways","",,"71",,"14.47","7.5","15.89","percent of total billed charges",,
"OSMOLALITY; URINE","83935","HCPCS","Both",,,"20.5","10.25","Blue Cross Blue Shield","HMO","",,"71",,"14.47","7.5","15.89","percent of total billed charges",,
"OSMOLALITY; URINE","83935","HCPCS","Both",,,"20.5","10.25","Blue Cross Blue Shield","PPO","",,"71",,"14.47","7.5","15.89","percent of total billed charges",,
"OSMOLALITY; URINE","83935","HCPCS","Both",,,"20.5","10.25","Ambetter","Health Exchange","",,"62",,"12.71","7.5","15.89","percent of total billed charges",,
"OSMOLALITY; URINE","83935","HCPCS","Both",,,"20.5","10.25","Caresource","Health Exchange","",,"62",,"12.71","7.5","15.89","percent of total billed charges",,
"OSMOLALITY; URINE","83935","HCPCS","Both",,,"20.5","10.25","Cigna","Commercial","",,"59",,"12.01","7.5","15.89","percent of total billed charges",,
"OSMOLALITY; URINE","83935","HCPCS","Both",,,"20.5","10.25","Humana","Commercial","",,"78",,"15.89","7.5","15.89","percent of total billed charges",,
"OSMOLALITY; URINE","83935","HCPCS","Both",,,"20.5","10.25","UHC","Commercial","",,"75",,"15.46","7.5","15.89","percent of total billed charges",,
"OSMOLALITY; URINE","83935","HCPCS","Both",,,"20.5","10.25","Medicaid",,"",,"37",,"7.5","7.5","15.89","percent of total billed charges",,
"TOBRAMYCIN PEAK","80200","HCPCS","Both",,,"108.5","54.25","Alliant","Health Exchange","",,"62",,"67.27","39.71","84.09","percent of total billed charges",,
"TOBRAMYCIN PEAK","80200","HCPCS","Both",,,"108.5","54.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"58.59","39.71","84.09","percent of total billed charges",,
"TOBRAMYCIN PEAK","80200","HCPCS","Both",,,"108.5","54.25","Medicare",,"",,"54",,"58.81","39.71","84.09","percent of total billed charges",,
"TOBRAMYCIN PEAK","80200","HCPCS","Both",,,"108.5","54.25","Humana","Medicare Advantage","",,"54",,"58.81","39.71","84.09","percent of total billed charges",,
"TOBRAMYCIN PEAK","80200","HCPCS","Both",,,"108.5","54.25","UHC","Medicare Advantage","",,"54",,"58.81","39.71","84.09","percent of total billed charges",,
"TOBRAMYCIN PEAK","80200","HCPCS","Both",,,"108.5","54.25","Clover","Medicare Advantage","",,"54",,"58.81","39.71","84.09","percent of total billed charges",,
"TOBRAMYCIN PEAK","80200","HCPCS","Both",,,"108.5","54.25","Wellcare","Medicare Advantage","",,"54",,"58.81","39.71","84.09","percent of total billed charges",,
"TOBRAMYCIN PEAK","80200","HCPCS","Both",,,"108.5","54.25","Amerigroup","Medicaid Managed Care","",,"37",,"39.71","39.71","84.09","percent of total billed charges",,
"TOBRAMYCIN PEAK","80200","HCPCS","Both",,,"108.5","54.25","Caresource","Medicaid Managed Care","",,"40",,"43.4","39.71","84.09","percent of total billed charges",,
"TOBRAMYCIN PEAK","80200","HCPCS","Both",,,"108.5","54.25","Wellcare","Medicaid Managed Care","",,"40",,"43.94","39.71","84.09","percent of total billed charges",,
"TOBRAMYCIN PEAK","80200","HCPCS","Both",,,"108.5","54.25","Aetna","Commercial","",,"64",,"69.22","39.71","84.09","percent of total billed charges",,
"TOBRAMYCIN PEAK","80200","HCPCS","Both",,,"108.5","54.25","Blue Cross Blue Shield","Pathways","",,"71",,"76.6","39.71","84.09","percent of total billed charges",,
"TOBRAMYCIN PEAK","80200","HCPCS","Both",,,"108.5","54.25","Blue Cross Blue Shield","HMO","",,"71",,"76.6","39.71","84.09","percent of total billed charges",,
"TOBRAMYCIN PEAK","80200","HCPCS","Both",,,"108.5","54.25","Blue Cross Blue Shield","PPO","",,"71",,"76.6","39.71","84.09","percent of total billed charges",,
"TOBRAMYCIN PEAK","80200","HCPCS","Both",,,"108.5","54.25","Ambetter","Health Exchange","",,"62",,"67.27","39.71","84.09","percent of total billed charges",,
"TOBRAMYCIN PEAK","80200","HCPCS","Both",,,"108.5","54.25","Caresource","Health Exchange","",,"62",,"67.27","39.71","84.09","percent of total billed charges",,
"TOBRAMYCIN PEAK","80200","HCPCS","Both",,,"108.5","54.25","Cigna","Commercial","",,"59",,"63.58","39.71","84.09","percent of total billed charges",,
"TOBRAMYCIN PEAK","80200","HCPCS","Both",,,"108.5","54.25","Humana","Commercial","",,"78",,"84.09","39.71","84.09","percent of total billed charges",,
"TOBRAMYCIN PEAK","80200","HCPCS","Both",,,"108.5","54.25","UHC","Commercial","",,"75",,"81.81","39.71","84.09","percent of total billed charges",,
"TOBRAMYCIN PEAK","80200","HCPCS","Both",,,"108.5","54.25","Medicaid",,"",,"37",,"39.71","39.71","84.09","percent of total billed charges",,
"TOBRAMYCIN TROUGH","80200","HCPCS","Both",,,"108.5","54.25","Alliant","Health Exchange","",,"62",,"67.27","39.71","84.09","percent of total billed charges",,
"TOBRAMYCIN TROUGH","80200","HCPCS","Both",,,"108.5","54.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"58.59","39.71","84.09","percent of total billed charges",,
"TOBRAMYCIN TROUGH","80200","HCPCS","Both",,,"108.5","54.25","Medicare",,"",,"54",,"58.81","39.71","84.09","percent of total billed charges",,
"TOBRAMYCIN TROUGH","80200","HCPCS","Both",,,"108.5","54.25","Humana","Medicare Advantage","",,"54",,"58.81","39.71","84.09","percent of total billed charges",,
"TOBRAMYCIN TROUGH","80200","HCPCS","Both",,,"108.5","54.25","UHC","Medicare Advantage","",,"54",,"58.81","39.71","84.09","percent of total billed charges",,
"TOBRAMYCIN TROUGH","80200","HCPCS","Both",,,"108.5","54.25","Clover","Medicare Advantage","",,"54",,"58.81","39.71","84.09","percent of total billed charges",,
"TOBRAMYCIN TROUGH","80200","HCPCS","Both",,,"108.5","54.25","Wellcare","Medicare Advantage","",,"54",,"58.81","39.71","84.09","percent of total billed charges",,
"TOBRAMYCIN TROUGH","80200","HCPCS","Both",,,"108.5","54.25","Amerigroup","Medicaid Managed Care","",,"37",,"39.71","39.71","84.09","percent of total billed charges",,
"TOBRAMYCIN TROUGH","80200","HCPCS","Both",,,"108.5","54.25","Caresource","Medicaid Managed Care","",,"40",,"43.4","39.71","84.09","percent of total billed charges",,
"TOBRAMYCIN TROUGH","80200","HCPCS","Both",,,"108.5","54.25","Wellcare","Medicaid Managed Care","",,"40",,"43.94","39.71","84.09","percent of total billed charges",,
"TOBRAMYCIN TROUGH","80200","HCPCS","Both",,,"108.5","54.25","Aetna","Commercial","",,"64",,"69.22","39.71","84.09","percent of total billed charges",,
"TOBRAMYCIN TROUGH","80200","HCPCS","Both",,,"108.5","54.25","Blue Cross Blue Shield","Pathways","",,"71",,"76.6","39.71","84.09","percent of total billed charges",,
"TOBRAMYCIN TROUGH","80200","HCPCS","Both",,,"108.5","54.25","Blue Cross Blue Shield","HMO","",,"71",,"76.6","39.71","84.09","percent of total billed charges",,
"TOBRAMYCIN TROUGH","80200","HCPCS","Both",,,"108.5","54.25","Blue Cross Blue Shield","PPO","",,"71",,"76.6","39.71","84.09","percent of total billed charges",,
"TOBRAMYCIN TROUGH","80200","HCPCS","Both",,,"108.5","54.25","Ambetter","Health Exchange","",,"62",,"67.27","39.71","84.09","percent of total billed charges",,
"TOBRAMYCIN TROUGH","80200","HCPCS","Both",,,"108.5","54.25","Caresource","Health Exchange","",,"62",,"67.27","39.71","84.09","percent of total billed charges",,
"TOBRAMYCIN TROUGH","80200","HCPCS","Both",,,"108.5","54.25","Cigna","Commercial","",,"59",,"63.58","39.71","84.09","percent of total billed charges",,
"TOBRAMYCIN TROUGH","80200","HCPCS","Both",,,"108.5","54.25","Humana","Commercial","",,"78",,"84.09","39.71","84.09","percent of total billed charges",,
"TOBRAMYCIN TROUGH","80200","HCPCS","Both",,,"108.5","54.25","UHC","Commercial","",,"75",,"81.81","39.71","84.09","percent of total billed charges",,
"TOBRAMYCIN TROUGH","80200","HCPCS","Both",,,"108.5","54.25","Medicaid",,"",,"37",,"39.71","39.71","84.09","percent of total billed charges",,
"PHENOBARBITAL","80184","HCPCS","Both",,,"19","9.5","Alliant","Health Exchange","",,"62",,"11.78","6.95","14.72","percent of total billed charges",,
"PHENOBARBITAL","80184","HCPCS","Both",,,"19","9.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"10.26","6.95","14.72","percent of total billed charges",,
"PHENOBARBITAL","80184","HCPCS","Both",,,"19","9.5","Medicare",,"",,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"PHENOBARBITAL","80184","HCPCS","Both",,,"19","9.5","Humana","Medicare Advantage","",,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"PHENOBARBITAL","80184","HCPCS","Both",,,"19","9.5","UHC","Medicare Advantage","",,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"PHENOBARBITAL","80184","HCPCS","Both",,,"19","9.5","Clover","Medicare Advantage","",,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"PHENOBARBITAL","80184","HCPCS","Both",,,"19","9.5","Wellcare","Medicare Advantage","",,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"PHENOBARBITAL","80184","HCPCS","Both",,,"19","9.5","Amerigroup","Medicaid Managed Care","",,"37",,"6.95","6.95","14.72","percent of total billed charges",,
"PHENOBARBITAL","80184","HCPCS","Both",,,"19","9.5","Caresource","Medicaid Managed Care","",,"40",,"7.6","6.95","14.72","percent of total billed charges",,
"PHENOBARBITAL","80184","HCPCS","Both",,,"19","9.5","Wellcare","Medicaid Managed Care","",,"40",,"7.7","6.95","14.72","percent of total billed charges",,
"PHENOBARBITAL","80184","HCPCS","Both",,,"19","9.5","Aetna","Commercial","",,"64",,"12.12","6.95","14.72","percent of total billed charges",,
"PHENOBARBITAL","80184","HCPCS","Both",,,"19","9.5","Blue Cross Blue Shield","Pathways","",,"71",,"13.41","6.95","14.72","percent of total billed charges",,
"PHENOBARBITAL","80184","HCPCS","Both",,,"19","9.5","Blue Cross Blue Shield","HMO","",,"71",,"13.41","6.95","14.72","percent of total billed charges",,
"PHENOBARBITAL","80184","HCPCS","Both",,,"19","9.5","Blue Cross Blue Shield","PPO","",,"71",,"13.41","6.95","14.72","percent of total billed charges",,
"PHENOBARBITAL","80184","HCPCS","Both",,,"19","9.5","Ambetter","Health Exchange","",,"62",,"11.78","6.95","14.72","percent of total billed charges",,
"PHENOBARBITAL","80184","HCPCS","Both",,,"19","9.5","Caresource","Health Exchange","",,"62",,"11.78","6.95","14.72","percent of total billed charges",,
"PHENOBARBITAL","80184","HCPCS","Both",,,"19","9.5","Cigna","Commercial","",,"59",,"11.13","6.95","14.72","percent of total billed charges",,
"PHENOBARBITAL","80184","HCPCS","Both",,,"19","9.5","Humana","Commercial","",,"78",,"14.72","6.95","14.72","percent of total billed charges",,
"PHENOBARBITAL","80184","HCPCS","Both",,,"19","9.5","UHC","Commercial","",,"75",,"14.33","6.95","14.72","percent of total billed charges",,
"PHENOBARBITAL","80184","HCPCS","Both",,,"19","9.5","Medicaid",,"",,"37",,"6.95","6.95","14.72","percent of total billed charges",,
"PROINSULIN","84206","HCPCS","Both",,,"127.5","63.75","Alliant","Health Exchange","",,"62",,"79.05","46.66","98.81","percent of total billed charges",,
"PROINSULIN","84206","HCPCS","Both",,,"127.5","63.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"68.85","46.66","98.81","percent of total billed charges",,
"PROINSULIN","84206","HCPCS","Both",,,"127.5","63.75","Medicare",,"",,"54",,"69.1","46.66","98.81","percent of total billed charges",,
"PROINSULIN","84206","HCPCS","Both",,,"127.5","63.75","Humana","Medicare Advantage","",,"54",,"69.1","46.66","98.81","percent of total billed charges",,
"PROINSULIN","84206","HCPCS","Both",,,"127.5","63.75","UHC","Medicare Advantage","",,"54",,"69.1","46.66","98.81","percent of total billed charges",,
"PROINSULIN","84206","HCPCS","Both",,,"127.5","63.75","Clover","Medicare Advantage","",,"54",,"69.1","46.66","98.81","percent of total billed charges",,
"PROINSULIN","84206","HCPCS","Both",,,"127.5","63.75","Wellcare","Medicare Advantage","",,"54",,"69.1","46.66","98.81","percent of total billed charges",,
"PROINSULIN","84206","HCPCS","Both",,,"127.5","63.75","Amerigroup","Medicaid Managed Care","",,"37",,"46.66","46.66","98.81","percent of total billed charges",,
"PROINSULIN","84206","HCPCS","Both",,,"127.5","63.75","Caresource","Medicaid Managed Care","",,"40",,"51","46.66","98.81","percent of total billed charges",,
"PROINSULIN","84206","HCPCS","Both",,,"127.5","63.75","Wellcare","Medicaid Managed Care","",,"40",,"51.64","46.66","98.81","percent of total billed charges",,
"PROINSULIN","84206","HCPCS","Both",,,"127.5","63.75","Aetna","Commercial","",,"64",,"81.34","46.66","98.81","percent of total billed charges",,
"PROINSULIN","84206","HCPCS","Both",,,"127.5","63.75","Blue Cross Blue Shield","Pathways","",,"71",,"90.02","46.66","98.81","percent of total billed charges",,
"PROINSULIN","84206","HCPCS","Both",,,"127.5","63.75","Blue Cross Blue Shield","HMO","",,"71",,"90.02","46.66","98.81","percent of total billed charges",,
"PROINSULIN","84206","HCPCS","Both",,,"127.5","63.75","Blue Cross Blue Shield","PPO","",,"71",,"90.02","46.66","98.81","percent of total billed charges",,
"PROINSULIN","84206","HCPCS","Both",,,"127.5","63.75","Ambetter","Health Exchange","",,"62",,"79.05","46.66","98.81","percent of total billed charges",,
"PROINSULIN","84206","HCPCS","Both",,,"127.5","63.75","Caresource","Health Exchange","",,"62",,"79.05","46.66","98.81","percent of total billed charges",,
"PROINSULIN","84206","HCPCS","Both",,,"127.5","63.75","Cigna","Commercial","",,"59",,"74.71","46.66","98.81","percent of total billed charges",,
"PROINSULIN","84206","HCPCS","Both",,,"127.5","63.75","Humana","Commercial","",,"78",,"98.81","46.66","98.81","percent of total billed charges",,
"PROINSULIN","84206","HCPCS","Both",,,"127.5","63.75","UHC","Commercial","",,"75",,"96.14","46.66","98.81","percent of total billed charges",,
"PROINSULIN","84206","HCPCS","Both",,,"127.5","63.75","Medicaid",,"",,"37",,"46.66","46.66","98.81","percent of total billed charges",,
"QUINIDINE","80194","HCPCS","Both",,,"104.5","52.25","Alliant","Health Exchange","",,"62",,"64.79","38.25","80.99","percent of total billed charges",,
"QUINIDINE","80194","HCPCS","Both",,,"104.5","52.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"56.43","38.25","80.99","percent of total billed charges",,
"QUINIDINE","80194","HCPCS","Both",,,"104.5","52.25","Medicare",,"",,"54",,"56.64","38.25","80.99","percent of total billed charges",,
"QUINIDINE","80194","HCPCS","Both",,,"104.5","52.25","Humana","Medicare Advantage","",,"54",,"56.64","38.25","80.99","percent of total billed charges",,
"QUINIDINE","80194","HCPCS","Both",,,"104.5","52.25","UHC","Medicare Advantage","",,"54",,"56.64","38.25","80.99","percent of total billed charges",,
"QUINIDINE","80194","HCPCS","Both",,,"104.5","52.25","Clover","Medicare Advantage","",,"54",,"56.64","38.25","80.99","percent of total billed charges",,
"QUINIDINE","80194","HCPCS","Both",,,"104.5","52.25","Wellcare","Medicare Advantage","",,"54",,"56.64","38.25","80.99","percent of total billed charges",,
"QUINIDINE","80194","HCPCS","Both",,,"104.5","52.25","Amerigroup","Medicaid Managed Care","",,"37",,"38.25","38.25","80.99","percent of total billed charges",,
"QUINIDINE","80194","HCPCS","Both",,,"104.5","52.25","Caresource","Medicaid Managed Care","",,"40",,"41.8","38.25","80.99","percent of total billed charges",,
"QUINIDINE","80194","HCPCS","Both",,,"104.5","52.25","Wellcare","Medicaid Managed Care","",,"40",,"42.32","38.25","80.99","percent of total billed charges",,
"QUINIDINE","80194","HCPCS","Both",,,"104.5","52.25","Aetna","Commercial","",,"64",,"66.67","38.25","80.99","percent of total billed charges",,
"QUINIDINE","80194","HCPCS","Both",,,"104.5","52.25","Blue Cross Blue Shield","Pathways","",,"71",,"73.78","38.25","80.99","percent of total billed charges",,
"QUINIDINE","80194","HCPCS","Both",,,"104.5","52.25","Blue Cross Blue Shield","HMO","",,"71",,"73.78","38.25","80.99","percent of total billed charges",,
"QUINIDINE","80194","HCPCS","Both",,,"104.5","52.25","Blue Cross Blue Shield","PPO","",,"71",,"73.78","38.25","80.99","percent of total billed charges",,
"QUINIDINE","80194","HCPCS","Both",,,"104.5","52.25","Ambetter","Health Exchange","",,"62",,"64.79","38.25","80.99","percent of total billed charges",,
"QUINIDINE","80194","HCPCS","Both",,,"104.5","52.25","Caresource","Health Exchange","",,"62",,"64.79","38.25","80.99","percent of total billed charges",,
"QUINIDINE","80194","HCPCS","Both",,,"104.5","52.25","Cigna","Commercial","",,"59",,"61.24","38.25","80.99","percent of total billed charges",,
"QUINIDINE","80194","HCPCS","Both",,,"104.5","52.25","Humana","Commercial","",,"78",,"80.99","38.25","80.99","percent of total billed charges",,
"QUINIDINE","80194","HCPCS","Both",,,"104.5","52.25","UHC","Commercial","",,"75",,"78.79","38.25","80.99","percent of total billed charges",,
"QUINIDINE","80194","HCPCS","Both",,,"104.5","52.25","Medicaid",,"",,"37",,"38.25","38.25","80.99","percent of total billed charges",,
"COPPER SERUM/PLASMA","82525","HCPCS","Both",,,"15.5","7.75","Alliant","Health Exchange","",,"62",,"9.61","5.67","12.01","percent of total billed charges",,
"COPPER SERUM/PLASMA","82525","HCPCS","Both",,,"15.5","7.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"8.37","5.67","12.01","percent of total billed charges",,
"COPPER SERUM/PLASMA","82525","HCPCS","Both",,,"15.5","7.75","Medicare",,"",,"54",,"8.4","5.67","12.01","percent of total billed charges",,
"COPPER SERUM/PLASMA","82525","HCPCS","Both",,,"15.5","7.75","Humana","Medicare Advantage","",,"54",,"8.4","5.67","12.01","percent of total billed charges",,
"COPPER SERUM/PLASMA","82525","HCPCS","Both",,,"15.5","7.75","UHC","Medicare Advantage","",,"54",,"8.4","5.67","12.01","percent of total billed charges",,
"COPPER SERUM/PLASMA","82525","HCPCS","Both",,,"15.5","7.75","Clover","Medicare Advantage","",,"54",,"8.4","5.67","12.01","percent of total billed charges",,
"COPPER SERUM/PLASMA","82525","HCPCS","Both",,,"15.5","7.75","Wellcare","Medicare Advantage","",,"54",,"8.4","5.67","12.01","percent of total billed charges",,
"COPPER SERUM/PLASMA","82525","HCPCS","Both",,,"15.5","7.75","Amerigroup","Medicaid Managed Care","",,"37",,"5.67","5.67","12.01","percent of total billed charges",,
"COPPER SERUM/PLASMA","82525","HCPCS","Both",,,"15.5","7.75","Caresource","Medicaid Managed Care","",,"40",,"6.2","5.67","12.01","percent of total billed charges",,
"COPPER SERUM/PLASMA","82525","HCPCS","Both",,,"15.5","7.75","Wellcare","Medicaid Managed Care","",,"40",,"6.28","5.67","12.01","percent of total billed charges",,
"COPPER SERUM/PLASMA","82525","HCPCS","Both",,,"15.5","7.75","Aetna","Commercial","",,"64",,"9.89","5.67","12.01","percent of total billed charges",,
"COPPER SERUM/PLASMA","82525","HCPCS","Both",,,"15.5","7.75","Blue Cross Blue Shield","Pathways","",,"71",,"10.94","5.67","12.01","percent of total billed charges",,
"COPPER SERUM/PLASMA","82525","HCPCS","Both",,,"15.5","7.75","Blue Cross Blue Shield","HMO","",,"71",,"10.94","5.67","12.01","percent of total billed charges",,
"COPPER SERUM/PLASMA","82525","HCPCS","Both",,,"15.5","7.75","Blue Cross Blue Shield","PPO","",,"71",,"10.94","5.67","12.01","percent of total billed charges",,
"COPPER SERUM/PLASMA","82525","HCPCS","Both",,,"15.5","7.75","Ambetter","Health Exchange","",,"62",,"9.61","5.67","12.01","percent of total billed charges",,
"COPPER SERUM/PLASMA","82525","HCPCS","Both",,,"15.5","7.75","Caresource","Health Exchange","",,"62",,"9.61","5.67","12.01","percent of total billed charges",,
"COPPER SERUM/PLASMA","82525","HCPCS","Both",,,"15.5","7.75","Cigna","Commercial","",,"59",,"9.08","5.67","12.01","percent of total billed charges",,
"COPPER SERUM/PLASMA","82525","HCPCS","Both",,,"15.5","7.75","Humana","Commercial","",,"78",,"12.01","5.67","12.01","percent of total billed charges",,
"COPPER SERUM/PLASMA","82525","HCPCS","Both",,,"15.5","7.75","UHC","Commercial","",,"75",,"11.69","5.67","12.01","percent of total billed charges",,
"COPPER SERUM/PLASMA","82525","HCPCS","Both",,,"15.5","7.75","Medicaid",,"",,"37",,"5.67","5.67","12.01","percent of total billed charges",,
"CERULOPLASMIN","82390","HCPCS","Both",,,"47","23.5","Alliant","Health Exchange","",,"62",,"29.14","17.2","36.43","percent of total billed charges",,
"CERULOPLASMIN","82390","HCPCS","Both",,,"47","23.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"25.38","17.2","36.43","percent of total billed charges",,
"CERULOPLASMIN","82390","HCPCS","Both",,,"47","23.5","Medicare",,"",,"54",,"25.47","17.2","36.43","percent of total billed charges",,
"CERULOPLASMIN","82390","HCPCS","Both",,,"47","23.5","Humana","Medicare Advantage","",,"54",,"25.47","17.2","36.43","percent of total billed charges",,
"CERULOPLASMIN","82390","HCPCS","Both",,,"47","23.5","UHC","Medicare Advantage","",,"54",,"25.47","17.2","36.43","percent of total billed charges",,
"CERULOPLASMIN","82390","HCPCS","Both",,,"47","23.5","Clover","Medicare Advantage","",,"54",,"25.47","17.2","36.43","percent of total billed charges",,
"CERULOPLASMIN","82390","HCPCS","Both",,,"47","23.5","Wellcare","Medicare Advantage","",,"54",,"25.47","17.2","36.43","percent of total billed charges",,
"CERULOPLASMIN","82390","HCPCS","Both",,,"47","23.5","Amerigroup","Medicaid Managed Care","",,"37",,"17.2","17.2","36.43","percent of total billed charges",,
"CERULOPLASMIN","82390","HCPCS","Both",,,"47","23.5","Caresource","Medicaid Managed Care","",,"40",,"18.8","17.2","36.43","percent of total billed charges",,
"CERULOPLASMIN","82390","HCPCS","Both",,,"47","23.5","Wellcare","Medicaid Managed Care","",,"40",,"19.04","17.2","36.43","percent of total billed charges",,
"CERULOPLASMIN","82390","HCPCS","Both",,,"47","23.5","Aetna","Commercial","",,"64",,"29.99","17.2","36.43","percent of total billed charges",,
"CERULOPLASMIN","82390","HCPCS","Both",,,"47","23.5","Blue Cross Blue Shield","Pathways","",,"71",,"33.18","17.2","36.43","percent of total billed charges",,
"CERULOPLASMIN","82390","HCPCS","Both",,,"47","23.5","Blue Cross Blue Shield","HMO","",,"71",,"33.18","17.2","36.43","percent of total billed charges",,
"CERULOPLASMIN","82390","HCPCS","Both",,,"47","23.5","Blue Cross Blue Shield","PPO","",,"71",,"33.18","17.2","36.43","percent of total billed charges",,
"CERULOPLASMIN","82390","HCPCS","Both",,,"47","23.5","Ambetter","Health Exchange","",,"62",,"29.14","17.2","36.43","percent of total billed charges",,
"CERULOPLASMIN","82390","HCPCS","Both",,,"47","23.5","Caresource","Health Exchange","",,"62",,"29.14","17.2","36.43","percent of total billed charges",,
"CERULOPLASMIN","82390","HCPCS","Both",,,"47","23.5","Cigna","Commercial","",,"59",,"27.54","17.2","36.43","percent of total billed charges",,
"CERULOPLASMIN","82390","HCPCS","Both",,,"47","23.5","Humana","Commercial","",,"78",,"36.43","17.2","36.43","percent of total billed charges",,
"CERULOPLASMIN","82390","HCPCS","Both",,,"47","23.5","UHC","Commercial","",,"75",,"35.44","17.2","36.43","percent of total billed charges",,
"CERULOPLASMIN","82390","HCPCS","Both",,,"47","23.5","Medicaid",,"",,"37",,"17.2","17.2","36.43","percent of total billed charges",,
"AMMONIA, PLASMA","82140","HCPCS","Both",,,"14.5","7.25","Alliant","Health Exchange","",,"62",,"8.99","5.31","11.24","percent of total billed charges",,
"AMMONIA, PLASMA","82140","HCPCS","Both",,,"14.5","7.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"7.83","5.31","11.24","percent of total billed charges",,
"AMMONIA, PLASMA","82140","HCPCS","Both",,,"14.5","7.25","Medicare",,"",,"54",,"7.86","5.31","11.24","percent of total billed charges",,
"AMMONIA, PLASMA","82140","HCPCS","Both",,,"14.5","7.25","Humana","Medicare Advantage","",,"54",,"7.86","5.31","11.24","percent of total billed charges",,
"AMMONIA, PLASMA","82140","HCPCS","Both",,,"14.5","7.25","UHC","Medicare Advantage","",,"54",,"7.86","5.31","11.24","percent of total billed charges",,
"AMMONIA, PLASMA","82140","HCPCS","Both",,,"14.5","7.25","Clover","Medicare Advantage","",,"54",,"7.86","5.31","11.24","percent of total billed charges",,
"AMMONIA, PLASMA","82140","HCPCS","Both",,,"14.5","7.25","Wellcare","Medicare Advantage","",,"54",,"7.86","5.31","11.24","percent of total billed charges",,
"AMMONIA, PLASMA","82140","HCPCS","Both",,,"14.5","7.25","Amerigroup","Medicaid Managed Care","",,"37",,"5.31","5.31","11.24","percent of total billed charges",,
"AMMONIA, PLASMA","82140","HCPCS","Both",,,"14.5","7.25","Caresource","Medicaid Managed Care","",,"40",,"5.8","5.31","11.24","percent of total billed charges",,
"AMMONIA, PLASMA","82140","HCPCS","Both",,,"14.5","7.25","Wellcare","Medicaid Managed Care","",,"40",,"5.87","5.31","11.24","percent of total billed charges",,
"AMMONIA, PLASMA","82140","HCPCS","Both",,,"14.5","7.25","Aetna","Commercial","",,"64",,"9.25","5.31","11.24","percent of total billed charges",,
"AMMONIA, PLASMA","82140","HCPCS","Both",,,"14.5","7.25","Blue Cross Blue Shield","Pathways","",,"71",,"10.24","5.31","11.24","percent of total billed charges",,
"AMMONIA, PLASMA","82140","HCPCS","Both",,,"14.5","7.25","Blue Cross Blue Shield","HMO","",,"71",,"10.24","5.31","11.24","percent of total billed charges",,
"AMMONIA, PLASMA","82140","HCPCS","Both",,,"14.5","7.25","Blue Cross Blue Shield","PPO","",,"71",,"10.24","5.31","11.24","percent of total billed charges",,
"AMMONIA, PLASMA","82140","HCPCS","Both",,,"14.5","7.25","Ambetter","Health Exchange","",,"62",,"8.99","5.31","11.24","percent of total billed charges",,
"AMMONIA, PLASMA","82140","HCPCS","Both",,,"14.5","7.25","Caresource","Health Exchange","",,"62",,"8.99","5.31","11.24","percent of total billed charges",,
"AMMONIA, PLASMA","82140","HCPCS","Both",,,"14.5","7.25","Cigna","Commercial","",,"59",,"8.5","5.31","11.24","percent of total billed charges",,
"AMMONIA, PLASMA","82140","HCPCS","Both",,,"14.5","7.25","Humana","Commercial","",,"78",,"11.24","5.31","11.24","percent of total billed charges",,
"AMMONIA, PLASMA","82140","HCPCS","Both",,,"14.5","7.25","UHC","Commercial","",,"75",,"10.93","5.31","11.24","percent of total billed charges",,
"AMMONIA, PLASMA","82140","HCPCS","Both",,,"14.5","7.25","Medicaid",,"",,"37",,"5.31","5.31","11.24","percent of total billed charges",,
"ALPHA-1-ANTITRYPSIN TOTAL","82103","HCPCS","Both",,,"44","22","Alliant","Health Exchange","",,"62",,"27.28","16.1","34.1","percent of total billed charges",,
"ALPHA-1-ANTITRYPSIN TOTAL","82103","HCPCS","Both",,,"44","22","Pruitt Healthcare","Medicare Advantage","",,"54",,"23.76","16.1","34.1","percent of total billed charges",,
"ALPHA-1-ANTITRYPSIN TOTAL","82103","HCPCS","Both",,,"44","22","Medicare",,"",,"54",,"23.85","16.1","34.1","percent of total billed charges",,
"ALPHA-1-ANTITRYPSIN TOTAL","82103","HCPCS","Both",,,"44","22","Humana","Medicare Advantage","",,"54",,"23.85","16.1","34.1","percent of total billed charges",,
"ALPHA-1-ANTITRYPSIN TOTAL","82103","HCPCS","Both",,,"44","22","UHC","Medicare Advantage","",,"54",,"23.85","16.1","34.1","percent of total billed charges",,
"ALPHA-1-ANTITRYPSIN TOTAL","82103","HCPCS","Both",,,"44","22","Clover","Medicare Advantage","",,"54",,"23.85","16.1","34.1","percent of total billed charges",,
"ALPHA-1-ANTITRYPSIN TOTAL","82103","HCPCS","Both",,,"44","22","Wellcare","Medicare Advantage","",,"54",,"23.85","16.1","34.1","percent of total billed charges",,
"ALPHA-1-ANTITRYPSIN TOTAL","82103","HCPCS","Both",,,"44","22","Amerigroup","Medicaid Managed Care","",,"37",,"16.1","16.1","34.1","percent of total billed charges",,
"ALPHA-1-ANTITRYPSIN TOTAL","82103","HCPCS","Both",,,"44","22","Caresource","Medicaid Managed Care","",,"40",,"17.6","16.1","34.1","percent of total billed charges",,
"ALPHA-1-ANTITRYPSIN TOTAL","82103","HCPCS","Both",,,"44","22","Wellcare","Medicaid Managed Care","",,"40",,"17.82","16.1","34.1","percent of total billed charges",,
"ALPHA-1-ANTITRYPSIN TOTAL","82103","HCPCS","Both",,,"44","22","Aetna","Commercial","",,"64",,"28.07","16.1","34.1","percent of total billed charges",,
"ALPHA-1-ANTITRYPSIN TOTAL","82103","HCPCS","Both",,,"44","22","Blue Cross Blue Shield","Pathways","",,"71",,"31.06","16.1","34.1","percent of total billed charges",,
"ALPHA-1-ANTITRYPSIN TOTAL","82103","HCPCS","Both",,,"44","22","Blue Cross Blue Shield","HMO","",,"71",,"31.06","16.1","34.1","percent of total billed charges",,
"ALPHA-1-ANTITRYPSIN TOTAL","82103","HCPCS","Both",,,"44","22","Blue Cross Blue Shield","PPO","",,"71",,"31.06","16.1","34.1","percent of total billed charges",,
"ALPHA-1-ANTITRYPSIN TOTAL","82103","HCPCS","Both",,,"44","22","Ambetter","Health Exchange","",,"62",,"27.28","16.1","34.1","percent of total billed charges",,
"ALPHA-1-ANTITRYPSIN TOTAL","82103","HCPCS","Both",,,"44","22","Caresource","Health Exchange","",,"62",,"27.28","16.1","34.1","percent of total billed charges",,
"ALPHA-1-ANTITRYPSIN TOTAL","82103","HCPCS","Both",,,"44","22","Cigna","Commercial","",,"59",,"25.78","16.1","34.1","percent of total billed charges",,
"ALPHA-1-ANTITRYPSIN TOTAL","82103","HCPCS","Both",,,"44","22","Humana","Commercial","",,"78",,"34.1","16.1","34.1","percent of total billed charges",,
"ALPHA-1-ANTITRYPSIN TOTAL","82103","HCPCS","Both",,,"44","22","UHC","Commercial","",,"75",,"33.18","16.1","34.1","percent of total billed charges",,
"ALPHA-1-ANTITRYPSIN TOTAL","82103","HCPCS","Both",,,"44","22","Medicaid",,"",,"37",,"16.1","16.1","34.1","percent of total billed charges",,
"HYDROXYPROGESTERONE, 17","83498","HCPCS","Both",,,"195","97.5","Alliant","Health Exchange","",,"62",,"120.9","71.37","151.12","percent of total billed charges",,
"HYDROXYPROGESTERONE, 17","83498","HCPCS","Both",,,"195","97.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"105.3","71.37","151.12","percent of total billed charges",,
"HYDROXYPROGESTERONE, 17","83498","HCPCS","Both",,,"195","97.5","Medicare",,"",,"54",,"105.69","71.37","151.12","percent of total billed charges",,
"HYDROXYPROGESTERONE, 17","83498","HCPCS","Both",,,"195","97.5","Humana","Medicare Advantage","",,"54",,"105.69","71.37","151.12","percent of total billed charges",,
"HYDROXYPROGESTERONE, 17","83498","HCPCS","Both",,,"195","97.5","UHC","Medicare Advantage","",,"54",,"105.69","71.37","151.12","percent of total billed charges",,
"HYDROXYPROGESTERONE, 17","83498","HCPCS","Both",,,"195","97.5","Clover","Medicare Advantage","",,"54",,"105.69","71.37","151.12","percent of total billed charges",,
"HYDROXYPROGESTERONE, 17","83498","HCPCS","Both",,,"195","97.5","Wellcare","Medicare Advantage","",,"54",,"105.69","71.37","151.12","percent of total billed charges",,
"HYDROXYPROGESTERONE, 17","83498","HCPCS","Both",,,"195","97.5","Amerigroup","Medicaid Managed Care","",,"37",,"71.37","71.37","151.12","percent of total billed charges",,
"HYDROXYPROGESTERONE, 17","83498","HCPCS","Both",,,"195","97.5","Caresource","Medicaid Managed Care","",,"40",,"78","71.37","151.12","percent of total billed charges",,
"HYDROXYPROGESTERONE, 17","83498","HCPCS","Both",,,"195","97.5","Wellcare","Medicaid Managed Care","",,"40",,"78.98","71.37","151.12","percent of total billed charges",,
"HYDROXYPROGESTERONE, 17","83498","HCPCS","Both",,,"195","97.5","Aetna","Commercial","",,"64",,"124.41","71.37","151.12","percent of total billed charges",,
"HYDROXYPROGESTERONE, 17","83498","HCPCS","Both",,,"195","97.5","Blue Cross Blue Shield","Pathways","",,"71",,"137.67","71.37","151.12","percent of total billed charges",,
"HYDROXYPROGESTERONE, 17","83498","HCPCS","Both",,,"195","97.5","Blue Cross Blue Shield","HMO","",,"71",,"137.67","71.37","151.12","percent of total billed charges",,
"HYDROXYPROGESTERONE, 17","83498","HCPCS","Both",,,"195","97.5","Blue Cross Blue Shield","PPO","",,"71",,"137.67","71.37","151.12","percent of total billed charges",,
"HYDROXYPROGESTERONE, 17","83498","HCPCS","Both",,,"195","97.5","Ambetter","Health Exchange","",,"62",,"120.9","71.37","151.12","percent of total billed charges",,
"HYDROXYPROGESTERONE, 17","83498","HCPCS","Both",,,"195","97.5","Caresource","Health Exchange","",,"62",,"120.9","71.37","151.12","percent of total billed charges",,
"HYDROXYPROGESTERONE, 17","83498","HCPCS","Both",,,"195","97.5","Cigna","Commercial","",,"59",,"114.27","71.37","151.12","percent of total billed charges",,
"HYDROXYPROGESTERONE, 17","83498","HCPCS","Both",,,"195","97.5","Humana","Commercial","",,"78",,"151.12","71.37","151.12","percent of total billed charges",,
"HYDROXYPROGESTERONE, 17","83498","HCPCS","Both",,,"195","97.5","UHC","Commercial","",,"75",,"147.03","71.37","151.12","percent of total billed charges",,
"HYDROXYPROGESTERONE, 17","83498","HCPCS","Both",,,"195","97.5","Medicaid",,"",,"37",,"71.37","71.37","151.12","percent of total billed charges",,
"KETOSTEROIDS, 17-(17-KS); URINE","83586","HCPCS","Both",,,"90","45","Alliant","Health Exchange","",,"62",,"55.8","32.94","69.75","percent of total billed charges",,
"KETOSTEROIDS, 17-(17-KS); URINE","83586","HCPCS","Both",,,"90","45","Pruitt Healthcare","Medicare Advantage","",,"54",,"48.6","32.94","69.75","percent of total billed charges",,
"KETOSTEROIDS, 17-(17-KS); URINE","83586","HCPCS","Both",,,"90","45","Medicare",,"",,"54",,"48.78","32.94","69.75","percent of total billed charges",,
"KETOSTEROIDS, 17-(17-KS); URINE","83586","HCPCS","Both",,,"90","45","Humana","Medicare Advantage","",,"54",,"48.78","32.94","69.75","percent of total billed charges",,
"KETOSTEROIDS, 17-(17-KS); URINE","83586","HCPCS","Both",,,"90","45","UHC","Medicare Advantage","",,"54",,"48.78","32.94","69.75","percent of total billed charges",,
"KETOSTEROIDS, 17-(17-KS); URINE","83586","HCPCS","Both",,,"90","45","Clover","Medicare Advantage","",,"54",,"48.78","32.94","69.75","percent of total billed charges",,
"KETOSTEROIDS, 17-(17-KS); URINE","83586","HCPCS","Both",,,"90","45","Wellcare","Medicare Advantage","",,"54",,"48.78","32.94","69.75","percent of total billed charges",,
"KETOSTEROIDS, 17-(17-KS); URINE","83586","HCPCS","Both",,,"90","45","Amerigroup","Medicaid Managed Care","",,"37",,"32.94","32.94","69.75","percent of total billed charges",,
"KETOSTEROIDS, 17-(17-KS); URINE","83586","HCPCS","Both",,,"90","45","Caresource","Medicaid Managed Care","",,"40",,"36","32.94","69.75","percent of total billed charges",,
"KETOSTEROIDS, 17-(17-KS); URINE","83586","HCPCS","Both",,,"90","45","Wellcare","Medicaid Managed Care","",,"40",,"36.45","32.94","69.75","percent of total billed charges",,
"KETOSTEROIDS, 17-(17-KS); URINE","83586","HCPCS","Both",,,"90","45","Aetna","Commercial","",,"64",,"57.42","32.94","69.75","percent of total billed charges",,
"KETOSTEROIDS, 17-(17-KS); URINE","83586","HCPCS","Both",,,"90","45","Blue Cross Blue Shield","Pathways","",,"71",,"63.54","32.94","69.75","percent of total billed charges",,
"KETOSTEROIDS, 17-(17-KS); URINE","83586","HCPCS","Both",,,"90","45","Blue Cross Blue Shield","HMO","",,"71",,"63.54","32.94","69.75","percent of total billed charges",,
"KETOSTEROIDS, 17-(17-KS); URINE","83586","HCPCS","Both",,,"90","45","Blue Cross Blue Shield","PPO","",,"71",,"63.54","32.94","69.75","percent of total billed charges",,
"KETOSTEROIDS, 17-(17-KS); URINE","83586","HCPCS","Both",,,"90","45","Ambetter","Health Exchange","",,"62",,"55.8","32.94","69.75","percent of total billed charges",,
"KETOSTEROIDS, 17-(17-KS); URINE","83586","HCPCS","Both",,,"90","45","Caresource","Health Exchange","",,"62",,"55.8","32.94","69.75","percent of total billed charges",,
"KETOSTEROIDS, 17-(17-KS); URINE","83586","HCPCS","Both",,,"90","45","Cigna","Commercial","",,"59",,"52.74","32.94","69.75","percent of total billed charges",,
"KETOSTEROIDS, 17-(17-KS); URINE","83586","HCPCS","Both",,,"90","45","Humana","Commercial","",,"78",,"69.75","32.94","69.75","percent of total billed charges",,
"KETOSTEROIDS, 17-(17-KS); URINE","83586","HCPCS","Both",,,"90","45","UHC","Commercial","",,"75",,"67.86","32.94","69.75","percent of total billed charges",,
"KETOSTEROIDS, 17-(17-KS); URINE","83586","HCPCS","Both",,,"90","45","Medicaid",,"",,"37",,"32.94","32.94","69.75","percent of total billed charges",,
"FOLLICLE STIMULATING HORMONE (FSH)","83001","HCPCS","Both",,,"210.5","105.25","Alliant","Health Exchange","",,"62",,"130.51","77.04","163.14","percent of total billed charges",,
"FOLLICLE STIMULATING HORMONE (FSH)","83001","HCPCS","Both",,,"210.5","105.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"113.67","77.04","163.14","percent of total billed charges",,
"FOLLICLE STIMULATING HORMONE (FSH)","83001","HCPCS","Both",,,"210.5","105.25","Medicare",,"",,"54",,"114.09","77.04","163.14","percent of total billed charges",,
"FOLLICLE STIMULATING HORMONE (FSH)","83001","HCPCS","Both",,,"210.5","105.25","Humana","Medicare Advantage","",,"54",,"114.09","77.04","163.14","percent of total billed charges",,
"FOLLICLE STIMULATING HORMONE (FSH)","83001","HCPCS","Both",,,"210.5","105.25","UHC","Medicare Advantage","",,"54",,"114.09","77.04","163.14","percent of total billed charges",,
"FOLLICLE STIMULATING HORMONE (FSH)","83001","HCPCS","Both",,,"210.5","105.25","Clover","Medicare Advantage","",,"54",,"114.09","77.04","163.14","percent of total billed charges",,
"FOLLICLE STIMULATING HORMONE (FSH)","83001","HCPCS","Both",,,"210.5","105.25","Wellcare","Medicare Advantage","",,"54",,"114.09","77.04","163.14","percent of total billed charges",,
"FOLLICLE STIMULATING HORMONE (FSH)","83001","HCPCS","Both",,,"210.5","105.25","Amerigroup","Medicaid Managed Care","",,"37",,"77.04","77.04","163.14","percent of total billed charges",,
"FOLLICLE STIMULATING HORMONE (FSH)","83001","HCPCS","Both",,,"210.5","105.25","Caresource","Medicaid Managed Care","",,"40",,"84.2","77.04","163.14","percent of total billed charges",,
"FOLLICLE STIMULATING HORMONE (FSH)","83001","HCPCS","Both",,,"210.5","105.25","Wellcare","Medicaid Managed Care","",,"40",,"85.25","77.04","163.14","percent of total billed charges",,
"FOLLICLE STIMULATING HORMONE (FSH)","83001","HCPCS","Both",,,"210.5","105.25","Aetna","Commercial","",,"64",,"134.3","77.04","163.14","percent of total billed charges",,
"FOLLICLE STIMULATING HORMONE (FSH)","83001","HCPCS","Both",,,"210.5","105.25","Blue Cross Blue Shield","Pathways","",,"71",,"148.61","77.04","163.14","percent of total billed charges",,
"FOLLICLE STIMULATING HORMONE (FSH)","83001","HCPCS","Both",,,"210.5","105.25","Blue Cross Blue Shield","HMO","",,"71",,"148.61","77.04","163.14","percent of total billed charges",,
"FOLLICLE STIMULATING HORMONE (FSH)","83001","HCPCS","Both",,,"210.5","105.25","Blue Cross Blue Shield","PPO","",,"71",,"148.61","77.04","163.14","percent of total billed charges",,
"FOLLICLE STIMULATING HORMONE (FSH)","83001","HCPCS","Both",,,"210.5","105.25","Ambetter","Health Exchange","",,"62",,"130.51","77.04","163.14","percent of total billed charges",,
"FOLLICLE STIMULATING HORMONE (FSH)","83001","HCPCS","Both",,,"210.5","105.25","Caresource","Health Exchange","",,"62",,"130.51","77.04","163.14","percent of total billed charges",,
"FOLLICLE STIMULATING HORMONE (FSH)","83001","HCPCS","Both",,,"210.5","105.25","Cigna","Commercial","",,"59",,"123.35","77.04","163.14","percent of total billed charges",,
"FOLLICLE STIMULATING HORMONE (FSH)","83001","HCPCS","Both",,,"210.5","105.25","Humana","Commercial","",,"78",,"163.14","77.04","163.14","percent of total billed charges",,
"FOLLICLE STIMULATING HORMONE (FSH)","83001","HCPCS","Both",,,"210.5","105.25","UHC","Commercial","",,"75",,"158.72","77.04","163.14","percent of total billed charges",,
"FOLLICLE STIMULATING HORMONE (FSH)","83001","HCPCS","Both",,,"210.5","105.25","Medicaid",,"",,"37",,"77.04","77.04","163.14","percent of total billed charges",,
"LUTEINIZING HORMONE (LH)","83002","HCPCS","Both",,,"225","112.5","Alliant","Health Exchange","",,"62",,"139.5","82.35","174.38","percent of total billed charges",,
"LUTEINIZING HORMONE (LH)","83002","HCPCS","Both",,,"225","112.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"121.5","82.35","174.38","percent of total billed charges",,
"LUTEINIZING HORMONE (LH)","83002","HCPCS","Both",,,"225","112.5","Medicare",,"",,"54",,"121.95","82.35","174.38","percent of total billed charges",,
"LUTEINIZING HORMONE (LH)","83002","HCPCS","Both",,,"225","112.5","Humana","Medicare Advantage","",,"54",,"121.95","82.35","174.38","percent of total billed charges",,
"LUTEINIZING HORMONE (LH)","83002","HCPCS","Both",,,"225","112.5","UHC","Medicare Advantage","",,"54",,"121.95","82.35","174.38","percent of total billed charges",,
"LUTEINIZING HORMONE (LH)","83002","HCPCS","Both",,,"225","112.5","Clover","Medicare Advantage","",,"54",,"121.95","82.35","174.38","percent of total billed charges",,
"LUTEINIZING HORMONE (LH)","83002","HCPCS","Both",,,"225","112.5","Wellcare","Medicare Advantage","",,"54",,"121.95","82.35","174.38","percent of total billed charges",,
"LUTEINIZING HORMONE (LH)","83002","HCPCS","Both",,,"225","112.5","Amerigroup","Medicaid Managed Care","",,"37",,"82.35","82.35","174.38","percent of total billed charges",,
"LUTEINIZING HORMONE (LH)","83002","HCPCS","Both",,,"225","112.5","Caresource","Medicaid Managed Care","",,"40",,"90","82.35","174.38","percent of total billed charges",,
"LUTEINIZING HORMONE (LH)","83002","HCPCS","Both",,,"225","112.5","Wellcare","Medicaid Managed Care","",,"40",,"91.12","82.35","174.38","percent of total billed charges",,
"LUTEINIZING HORMONE (LH)","83002","HCPCS","Both",,,"225","112.5","Aetna","Commercial","",,"64",,"143.55","82.35","174.38","percent of total billed charges",,
"LUTEINIZING HORMONE (LH)","83002","HCPCS","Both",,,"225","112.5","Blue Cross Blue Shield","Pathways","",,"71",,"158.85","82.35","174.38","percent of total billed charges",,
"LUTEINIZING HORMONE (LH)","83002","HCPCS","Both",,,"225","112.5","Blue Cross Blue Shield","HMO","",,"71",,"158.85","82.35","174.38","percent of total billed charges",,
"LUTEINIZING HORMONE (LH)","83002","HCPCS","Both",,,"225","112.5","Blue Cross Blue Shield","PPO","",,"71",,"158.85","82.35","174.38","percent of total billed charges",,
"LUTEINIZING HORMONE (LH)","83002","HCPCS","Both",,,"225","112.5","Ambetter","Health Exchange","",,"62",,"139.5","82.35","174.38","percent of total billed charges",,
"LUTEINIZING HORMONE (LH)","83002","HCPCS","Both",,,"225","112.5","Caresource","Health Exchange","",,"62",,"139.5","82.35","174.38","percent of total billed charges",,
"LUTEINIZING HORMONE (LH)","83002","HCPCS","Both",,,"225","112.5","Cigna","Commercial","",,"59",,"131.85","82.35","174.38","percent of total billed charges",,
"LUTEINIZING HORMONE (LH)","83002","HCPCS","Both",,,"225","112.5","Humana","Commercial","",,"78",,"174.38","82.35","174.38","percent of total billed charges",,
"LUTEINIZING HORMONE (LH)","83002","HCPCS","Both",,,"225","112.5","UHC","Commercial","",,"75",,"169.65","82.35","174.38","percent of total billed charges",,
"LUTEINIZING HORMONE (LH)","83002","HCPCS","Both",,,"225","112.5","Medicaid",,"",,"37",,"82.35","82.35","174.38","percent of total billed charges",,
"THYROXINE BINDING GLOBULINS (TBG)","84442","HCPCS","Both",,,"50.5","25.25","Alliant","Health Exchange","",,"62",,"31.31","18.48","39.14","percent of total billed charges",,
"THYROXINE BINDING GLOBULINS (TBG)","84442","HCPCS","Both",,,"50.5","25.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"27.27","18.48","39.14","percent of total billed charges",,
"THYROXINE BINDING GLOBULINS (TBG)","84442","HCPCS","Both",,,"50.5","25.25","Medicare",,"",,"54",,"27.37","18.48","39.14","percent of total billed charges",,
"THYROXINE BINDING GLOBULINS (TBG)","84442","HCPCS","Both",,,"50.5","25.25","Humana","Medicare Advantage","",,"54",,"27.37","18.48","39.14","percent of total billed charges",,
"THYROXINE BINDING GLOBULINS (TBG)","84442","HCPCS","Both",,,"50.5","25.25","UHC","Medicare Advantage","",,"54",,"27.37","18.48","39.14","percent of total billed charges",,
"THYROXINE BINDING GLOBULINS (TBG)","84442","HCPCS","Both",,,"50.5","25.25","Clover","Medicare Advantage","",,"54",,"27.37","18.48","39.14","percent of total billed charges",,
"THYROXINE BINDING GLOBULINS (TBG)","84442","HCPCS","Both",,,"50.5","25.25","Wellcare","Medicare Advantage","",,"54",,"27.37","18.48","39.14","percent of total billed charges",,
"THYROXINE BINDING GLOBULINS (TBG)","84442","HCPCS","Both",,,"50.5","25.25","Amerigroup","Medicaid Managed Care","",,"37",,"18.48","18.48","39.14","percent of total billed charges",,
"THYROXINE BINDING GLOBULINS (TBG)","84442","HCPCS","Both",,,"50.5","25.25","Caresource","Medicaid Managed Care","",,"40",,"20.2","18.48","39.14","percent of total billed charges",,
"THYROXINE BINDING GLOBULINS (TBG)","84442","HCPCS","Both",,,"50.5","25.25","Wellcare","Medicaid Managed Care","",,"40",,"20.45","18.48","39.14","percent of total billed charges",,
"THYROXINE BINDING GLOBULINS (TBG)","84442","HCPCS","Both",,,"50.5","25.25","Aetna","Commercial","",,"64",,"32.22","18.48","39.14","percent of total billed charges",,
"THYROXINE BINDING GLOBULINS (TBG)","84442","HCPCS","Both",,,"50.5","25.25","Blue Cross Blue Shield","Pathways","",,"71",,"35.65","18.48","39.14","percent of total billed charges",,
"THYROXINE BINDING GLOBULINS (TBG)","84442","HCPCS","Both",,,"50.5","25.25","Blue Cross Blue Shield","HMO","",,"71",,"35.65","18.48","39.14","percent of total billed charges",,
"THYROXINE BINDING GLOBULINS (TBG)","84442","HCPCS","Both",,,"50.5","25.25","Blue Cross Blue Shield","PPO","",,"71",,"35.65","18.48","39.14","percent of total billed charges",,
"THYROXINE BINDING GLOBULINS (TBG)","84442","HCPCS","Both",,,"50.5","25.25","Ambetter","Health Exchange","",,"62",,"31.31","18.48","39.14","percent of total billed charges",,
"THYROXINE BINDING GLOBULINS (TBG)","84442","HCPCS","Both",,,"50.5","25.25","Caresource","Health Exchange","",,"62",,"31.31","18.48","39.14","percent of total billed charges",,
"THYROXINE BINDING GLOBULINS (TBG)","84442","HCPCS","Both",,,"50.5","25.25","Cigna","Commercial","",,"59",,"29.59","18.48","39.14","percent of total billed charges",,
"THYROXINE BINDING GLOBULINS (TBG)","84442","HCPCS","Both",,,"50.5","25.25","Humana","Commercial","",,"78",,"39.14","18.48","39.14","percent of total billed charges",,
"THYROXINE BINDING GLOBULINS (TBG)","84442","HCPCS","Both",,,"50.5","25.25","UHC","Commercial","",,"75",,"38.08","18.48","39.14","percent of total billed charges",,
"THYROXINE BINDING GLOBULINS (TBG)","84442","HCPCS","Both",,,"50.5","25.25","Medicaid",,"",,"37",,"18.48","18.48","39.14","percent of total billed charges",,
"ANGIOTENSIN 1-CONVERTING ENZYME (ACE)","82164","HCPCS","Both",,,"18.5","9.25","Alliant","Health Exchange","",,"62",,"11.47","6.77","14.34","percent of total billed charges",,
"ANGIOTENSIN 1-CONVERTING ENZYME (ACE)","82164","HCPCS","Both",,,"18.5","9.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"9.99","6.77","14.34","percent of total billed charges",,
"ANGIOTENSIN 1-CONVERTING ENZYME (ACE)","82164","HCPCS","Both",,,"18.5","9.25","Medicare",,"",,"54",,"10.03","6.77","14.34","percent of total billed charges",,
"ANGIOTENSIN 1-CONVERTING ENZYME (ACE)","82164","HCPCS","Both",,,"18.5","9.25","Humana","Medicare Advantage","",,"54",,"10.03","6.77","14.34","percent of total billed charges",,
"ANGIOTENSIN 1-CONVERTING ENZYME (ACE)","82164","HCPCS","Both",,,"18.5","9.25","UHC","Medicare Advantage","",,"54",,"10.03","6.77","14.34","percent of total billed charges",,
"ANGIOTENSIN 1-CONVERTING ENZYME (ACE)","82164","HCPCS","Both",,,"18.5","9.25","Clover","Medicare Advantage","",,"54",,"10.03","6.77","14.34","percent of total billed charges",,
"ANGIOTENSIN 1-CONVERTING ENZYME (ACE)","82164","HCPCS","Both",,,"18.5","9.25","Wellcare","Medicare Advantage","",,"54",,"10.03","6.77","14.34","percent of total billed charges",,
"ANGIOTENSIN 1-CONVERTING ENZYME (ACE)","82164","HCPCS","Both",,,"18.5","9.25","Amerigroup","Medicaid Managed Care","",,"37",,"6.77","6.77","14.34","percent of total billed charges",,
"ANGIOTENSIN 1-CONVERTING ENZYME (ACE)","82164","HCPCS","Both",,,"18.5","9.25","Caresource","Medicaid Managed Care","",,"40",,"7.4","6.77","14.34","percent of total billed charges",,
"ANGIOTENSIN 1-CONVERTING ENZYME (ACE)","82164","HCPCS","Both",,,"18.5","9.25","Wellcare","Medicaid Managed Care","",,"40",,"7.49","6.77","14.34","percent of total billed charges",,
"ANGIOTENSIN 1-CONVERTING ENZYME (ACE)","82164","HCPCS","Both",,,"18.5","9.25","Aetna","Commercial","",,"64",,"11.8","6.77","14.34","percent of total billed charges",,
"ANGIOTENSIN 1-CONVERTING ENZYME (ACE)","82164","HCPCS","Both",,,"18.5","9.25","Blue Cross Blue Shield","Pathways","",,"71",,"13.06","6.77","14.34","percent of total billed charges",,
"ANGIOTENSIN 1-CONVERTING ENZYME (ACE)","82164","HCPCS","Both",,,"18.5","9.25","Blue Cross Blue Shield","HMO","",,"71",,"13.06","6.77","14.34","percent of total billed charges",,
"ANGIOTENSIN 1-CONVERTING ENZYME (ACE)","82164","HCPCS","Both",,,"18.5","9.25","Blue Cross Blue Shield","PPO","",,"71",,"13.06","6.77","14.34","percent of total billed charges",,
"ANGIOTENSIN 1-CONVERTING ENZYME (ACE)","82164","HCPCS","Both",,,"18.5","9.25","Ambetter","Health Exchange","",,"62",,"11.47","6.77","14.34","percent of total billed charges",,
"ANGIOTENSIN 1-CONVERTING ENZYME (ACE)","82164","HCPCS","Both",,,"18.5","9.25","Caresource","Health Exchange","",,"62",,"11.47","6.77","14.34","percent of total billed charges",,
"ANGIOTENSIN 1-CONVERTING ENZYME (ACE)","82164","HCPCS","Both",,,"18.5","9.25","Cigna","Commercial","",,"59",,"10.84","6.77","14.34","percent of total billed charges",,
"ANGIOTENSIN 1-CONVERTING ENZYME (ACE)","82164","HCPCS","Both",,,"18.5","9.25","Humana","Commercial","",,"78",,"14.34","6.77","14.34","percent of total billed charges",,
"ANGIOTENSIN 1-CONVERTING ENZYME (ACE)","82164","HCPCS","Both",,,"18.5","9.25","UHC","Commercial","",,"75",,"13.95","6.77","14.34","percent of total billed charges",,
"ANGIOTENSIN 1-CONVERTING ENZYME (ACE)","82164","HCPCS","Both",,,"18.5","9.25","Medicaid",,"",,"37",,"6.77","6.77","14.34","percent of total billed charges",,
"LYSOZYME","85549","HCPCS","Both",,,"135","67.5","Alliant","Health Exchange","",,"62",,"83.7","49.41","104.62","percent of total billed charges",,
"LYSOZYME","85549","HCPCS","Both",,,"135","67.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"72.9","49.41","104.62","percent of total billed charges",,
"LYSOZYME","85549","HCPCS","Both",,,"135","67.5","Medicare",,"",,"54",,"73.17","49.41","104.62","percent of total billed charges",,
"LYSOZYME","85549","HCPCS","Both",,,"135","67.5","Humana","Medicare Advantage","",,"54",,"73.17","49.41","104.62","percent of total billed charges",,
"LYSOZYME","85549","HCPCS","Both",,,"135","67.5","UHC","Medicare Advantage","",,"54",,"73.17","49.41","104.62","percent of total billed charges",,
"LYSOZYME","85549","HCPCS","Both",,,"135","67.5","Clover","Medicare Advantage","",,"54",,"73.17","49.41","104.62","percent of total billed charges",,
"LYSOZYME","85549","HCPCS","Both",,,"135","67.5","Wellcare","Medicare Advantage","",,"54",,"73.17","49.41","104.62","percent of total billed charges",,
"LYSOZYME","85549","HCPCS","Both",,,"135","67.5","Amerigroup","Medicaid Managed Care","",,"37",,"49.41","49.41","104.62","percent of total billed charges",,
"LYSOZYME","85549","HCPCS","Both",,,"135","67.5","Caresource","Medicaid Managed Care","",,"40",,"54","49.41","104.62","percent of total billed charges",,
"LYSOZYME","85549","HCPCS","Both",,,"135","67.5","Wellcare","Medicaid Managed Care","",,"40",,"54.68","49.41","104.62","percent of total billed charges",,
"LYSOZYME","85549","HCPCS","Both",,,"135","67.5","Aetna","Commercial","",,"64",,"86.13","49.41","104.62","percent of total billed charges",,
"LYSOZYME","85549","HCPCS","Both",,,"135","67.5","Blue Cross Blue Shield","Pathways","",,"71",,"95.31","49.41","104.62","percent of total billed charges",,
"LYSOZYME","85549","HCPCS","Both",,,"135","67.5","Blue Cross Blue Shield","HMO","",,"71",,"95.31","49.41","104.62","percent of total billed charges",,
"LYSOZYME","85549","HCPCS","Both",,,"135","67.5","Blue Cross Blue Shield","PPO","",,"71",,"95.31","49.41","104.62","percent of total billed charges",,
"LYSOZYME","85549","HCPCS","Both",,,"135","67.5","Ambetter","Health Exchange","",,"62",,"83.7","49.41","104.62","percent of total billed charges",,
"LYSOZYME","85549","HCPCS","Both",,,"135","67.5","Caresource","Health Exchange","",,"62",,"83.7","49.41","104.62","percent of total billed charges",,
"LYSOZYME","85549","HCPCS","Both",,,"135","67.5","Cigna","Commercial","",,"59",,"79.11","49.41","104.62","percent of total billed charges",,
"LYSOZYME","85549","HCPCS","Both",,,"135","67.5","Humana","Commercial","",,"78",,"104.62","49.41","104.62","percent of total billed charges",,
"LYSOZYME","85549","HCPCS","Both",,,"135","67.5","UHC","Commercial","",,"75",,"101.79","49.41","104.62","percent of total billed charges",,
"LYSOZYME","85549","HCPCS","Both",,,"135","67.5","Medicaid",,"",,"37",,"49.41","49.41","104.62","percent of total billed charges",,
"ALPHA-FETOPROTEIN (AFP) TUMOR MARKER","82105","HCPCS","Both",,,"22","11","Alliant","Health Exchange","",,"62",,"13.64","8.05","17.05","percent of total billed charges",,
"ALPHA-FETOPROTEIN (AFP) TUMOR MARKER","82105","HCPCS","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage","",,"54",,"11.88","8.05","17.05","percent of total billed charges",,
"ALPHA-FETOPROTEIN (AFP) TUMOR MARKER","82105","HCPCS","Both",,,"22","11","Medicare",,"",,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"ALPHA-FETOPROTEIN (AFP) TUMOR MARKER","82105","HCPCS","Both",,,"22","11","Humana","Medicare Advantage","",,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"ALPHA-FETOPROTEIN (AFP) TUMOR MARKER","82105","HCPCS","Both",,,"22","11","UHC","Medicare Advantage","",,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"ALPHA-FETOPROTEIN (AFP) TUMOR MARKER","82105","HCPCS","Both",,,"22","11","Clover","Medicare Advantage","",,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"ALPHA-FETOPROTEIN (AFP) TUMOR MARKER","82105","HCPCS","Both",,,"22","11","Wellcare","Medicare Advantage","",,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"ALPHA-FETOPROTEIN (AFP) TUMOR MARKER","82105","HCPCS","Both",,,"22","11","Amerigroup","Medicaid Managed Care","",,"37",,"8.05","8.05","17.05","percent of total billed charges",,
"ALPHA-FETOPROTEIN (AFP) TUMOR MARKER","82105","HCPCS","Both",,,"22","11","Caresource","Medicaid Managed Care","",,"40",,"8.8","8.05","17.05","percent of total billed charges",,
"ALPHA-FETOPROTEIN (AFP) TUMOR MARKER","82105","HCPCS","Both",,,"22","11","Wellcare","Medicaid Managed Care","",,"40",,"8.91","8.05","17.05","percent of total billed charges",,
"ALPHA-FETOPROTEIN (AFP) TUMOR MARKER","82105","HCPCS","Both",,,"22","11","Aetna","Commercial","",,"64",,"14.04","8.05","17.05","percent of total billed charges",,
"ALPHA-FETOPROTEIN (AFP) TUMOR MARKER","82105","HCPCS","Both",,,"22","11","Blue Cross Blue Shield","Pathways","",,"71",,"15.53","8.05","17.05","percent of total billed charges",,
"ALPHA-FETOPROTEIN (AFP) TUMOR MARKER","82105","HCPCS","Both",,,"22","11","Blue Cross Blue Shield","HMO","",,"71",,"15.53","8.05","17.05","percent of total billed charges",,
"ALPHA-FETOPROTEIN (AFP) TUMOR MARKER","82105","HCPCS","Both",,,"22","11","Blue Cross Blue Shield","PPO","",,"71",,"15.53","8.05","17.05","percent of total billed charges",,
"ALPHA-FETOPROTEIN (AFP) TUMOR MARKER","82105","HCPCS","Both",,,"22","11","Ambetter","Health Exchange","",,"62",,"13.64","8.05","17.05","percent of total billed charges",,
"ALPHA-FETOPROTEIN (AFP) TUMOR MARKER","82105","HCPCS","Both",,,"22","11","Caresource","Health Exchange","",,"62",,"13.64","8.05","17.05","percent of total billed charges",,
"ALPHA-FETOPROTEIN (AFP) TUMOR MARKER","82105","HCPCS","Both",,,"22","11","Cigna","Commercial","",,"59",,"12.89","8.05","17.05","percent of total billed charges",,
"ALPHA-FETOPROTEIN (AFP) TUMOR MARKER","82105","HCPCS","Both",,,"22","11","Humana","Commercial","",,"78",,"17.05","8.05","17.05","percent of total billed charges",,
"ALPHA-FETOPROTEIN (AFP) TUMOR MARKER","82105","HCPCS","Both",,,"22","11","UHC","Commercial","",,"75",,"16.59","8.05","17.05","percent of total billed charges",,
"ALPHA-FETOPROTEIN (AFP) TUMOR MARKER","82105","HCPCS","Both",,,"22","11","Medicaid",,"",,"37",,"8.05","8.05","17.05","percent of total billed charges",,
"STREP SCREEN,GROUP A","87880","HCPCS","Both",,,"39.5","19.75","Alliant","Health Exchange","QW",,"62",,"24.49","14.46","30.61","percent of total billed charges",,
"STREP SCREEN,GROUP A","87880","HCPCS","Both",,,"39.5","19.75","Pruitt Healthcare","Medicare Advantage","QW",,"54",,"21.33","14.46","30.61","percent of total billed charges",,
"STREP SCREEN,GROUP A","87880","HCPCS","Both",,,"39.5","19.75","Medicare",,"QW",,"54",,"21.41","14.46","30.61","percent of total billed charges",,
"STREP SCREEN,GROUP A","87880","HCPCS","Both",,,"39.5","19.75","Humana","Medicare Advantage","QW",,"54",,"21.41","14.46","30.61","percent of total billed charges",,
"STREP SCREEN,GROUP A","87880","HCPCS","Both",,,"39.5","19.75","UHC","Medicare Advantage","QW",,"54",,"21.41","14.46","30.61","percent of total billed charges",,
"STREP SCREEN,GROUP A","87880","HCPCS","Both",,,"39.5","19.75","Clover","Medicare Advantage","QW",,"54",,"21.41","14.46","30.61","percent of total billed charges",,
"STREP SCREEN,GROUP A","87880","HCPCS","Both",,,"39.5","19.75","Wellcare","Medicare Advantage","QW",,"54",,"21.41","14.46","30.61","percent of total billed charges",,
"STREP SCREEN,GROUP A","87880","HCPCS","Both",,,"39.5","19.75","Amerigroup","Medicaid Managed Care","QW",,"37",,"14.46","14.46","30.61","percent of total billed charges",,
"STREP SCREEN,GROUP A","87880","HCPCS","Both",,,"39.5","19.75","Caresource","Medicaid Managed Care","QW",,"40",,"15.8","14.46","30.61","percent of total billed charges",,
"STREP SCREEN,GROUP A","87880","HCPCS","Both",,,"39.5","19.75","Wellcare","Medicaid Managed Care","QW",,"40",,"16","14.46","30.61","percent of total billed charges",,
"STREP SCREEN,GROUP A","87880","HCPCS","Both",,,"39.5","19.75","Aetna","Commercial","QW",,"64",,"25.2","14.46","30.61","percent of total billed charges",,
"STREP SCREEN,GROUP A","87880","HCPCS","Both",,,"39.5","19.75","Blue Cross Blue Shield","Pathways","QW",,"71",,"27.89","14.46","30.61","percent of total billed charges",,
"STREP SCREEN,GROUP A","87880","HCPCS","Both",,,"39.5","19.75","Blue Cross Blue Shield","HMO","QW",,"71",,"27.89","14.46","30.61","percent of total billed charges",,
"STREP SCREEN,GROUP A","87880","HCPCS","Both",,,"39.5","19.75","Blue Cross Blue Shield","PPO","QW",,"71",,"27.89","14.46","30.61","percent of total billed charges",,
"STREP SCREEN,GROUP A","87880","HCPCS","Both",,,"39.5","19.75","Ambetter","Health Exchange","QW",,"62",,"24.49","14.46","30.61","percent of total billed charges",,
"STREP SCREEN,GROUP A","87880","HCPCS","Both",,,"39.5","19.75","Caresource","Health Exchange","QW",,"62",,"24.49","14.46","30.61","percent of total billed charges",,
"STREP SCREEN,GROUP A","87880","HCPCS","Both",,,"39.5","19.75","Cigna","Commercial","QW",,"59",,"23.15","14.46","30.61","percent of total billed charges",,
"STREP SCREEN,GROUP A","87880","HCPCS","Both",,,"39.5","19.75","Humana","Commercial","QW",,"78",,"30.61","14.46","30.61","percent of total billed charges",,
"STREP SCREEN,GROUP A","87880","HCPCS","Both",,,"39.5","19.75","UHC","Commercial","QW",,"75",,"29.78","14.46","30.61","percent of total billed charges",,
"STREP SCREEN,GROUP A","87880","HCPCS","Both",,,"39.5","19.75","Medicaid",,"QW",,"37",,"14.46","14.46","30.61","percent of total billed charges",,
"ZINC SERUM/PLASMA","84630","HCPCS","Both",,,"14","7","Alliant","Health Exchange","",,"62",,"8.68","5.12","10.85","percent of total billed charges",,
"ZINC SERUM/PLASMA","84630","HCPCS","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage","",,"54",,"7.56","5.12","10.85","percent of total billed charges",,
"ZINC SERUM/PLASMA","84630","HCPCS","Both",,,"14","7","Medicare",,"",,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"ZINC SERUM/PLASMA","84630","HCPCS","Both",,,"14","7","Humana","Medicare Advantage","",,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"ZINC SERUM/PLASMA","84630","HCPCS","Both",,,"14","7","UHC","Medicare Advantage","",,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"ZINC SERUM/PLASMA","84630","HCPCS","Both",,,"14","7","Clover","Medicare Advantage","",,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"ZINC SERUM/PLASMA","84630","HCPCS","Both",,,"14","7","Wellcare","Medicare Advantage","",,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"ZINC SERUM/PLASMA","84630","HCPCS","Both",,,"14","7","Amerigroup","Medicaid Managed Care","",,"37",,"5.12","5.12","10.85","percent of total billed charges",,
"ZINC SERUM/PLASMA","84630","HCPCS","Both",,,"14","7","Caresource","Medicaid Managed Care","",,"40",,"5.6","5.12","10.85","percent of total billed charges",,
"ZINC SERUM/PLASMA","84630","HCPCS","Both",,,"14","7","Wellcare","Medicaid Managed Care","",,"40",,"5.67","5.12","10.85","percent of total billed charges",,
"ZINC SERUM/PLASMA","84630","HCPCS","Both",,,"14","7","Aetna","Commercial","",,"64",,"8.93","5.12","10.85","percent of total billed charges",,
"ZINC SERUM/PLASMA","84630","HCPCS","Both",,,"14","7","Blue Cross Blue Shield","Pathways","",,"71",,"9.88","5.12","10.85","percent of total billed charges",,
"ZINC SERUM/PLASMA","84630","HCPCS","Both",,,"14","7","Blue Cross Blue Shield","HMO","",,"71",,"9.88","5.12","10.85","percent of total billed charges",,
"ZINC SERUM/PLASMA","84630","HCPCS","Both",,,"14","7","Blue Cross Blue Shield","PPO","",,"71",,"9.88","5.12","10.85","percent of total billed charges",,
"ZINC SERUM/PLASMA","84630","HCPCS","Both",,,"14","7","Ambetter","Health Exchange","",,"62",,"8.68","5.12","10.85","percent of total billed charges",,
"ZINC SERUM/PLASMA","84630","HCPCS","Both",,,"14","7","Caresource","Health Exchange","",,"62",,"8.68","5.12","10.85","percent of total billed charges",,
"ZINC SERUM/PLASMA","84630","HCPCS","Both",,,"14","7","Cigna","Commercial","",,"59",,"8.2","5.12","10.85","percent of total billed charges",,
"ZINC SERUM/PLASMA","84630","HCPCS","Both",,,"14","7","Humana","Commercial","",,"78",,"10.85","5.12","10.85","percent of total billed charges",,
"ZINC SERUM/PLASMA","84630","HCPCS","Both",,,"14","7","UHC","Commercial","",,"75",,"10.56","5.12","10.85","percent of total billed charges",,
"ZINC SERUM/PLASMA","84630","HCPCS","Both",,,"14","7","Medicaid",,"",,"37",,"5.12","5.12","10.85","percent of total billed charges",,
"LEUKOCYTE ALKALINE PHOSPHATASE","85540","HCPCS","Both",,,"44","22","Alliant","Health Exchange","",,"62",,"27.28","16.1","34.1","percent of total billed charges",,
"LEUKOCYTE ALKALINE PHOSPHATASE","85540","HCPCS","Both",,,"44","22","Pruitt Healthcare","Medicare Advantage","",,"54",,"23.76","16.1","34.1","percent of total billed charges",,
"LEUKOCYTE ALKALINE PHOSPHATASE","85540","HCPCS","Both",,,"44","22","Medicare",,"",,"54",,"23.85","16.1","34.1","percent of total billed charges",,
"LEUKOCYTE ALKALINE PHOSPHATASE","85540","HCPCS","Both",,,"44","22","Humana","Medicare Advantage","",,"54",,"23.85","16.1","34.1","percent of total billed charges",,
"LEUKOCYTE ALKALINE PHOSPHATASE","85540","HCPCS","Both",,,"44","22","UHC","Medicare Advantage","",,"54",,"23.85","16.1","34.1","percent of total billed charges",,
"LEUKOCYTE ALKALINE PHOSPHATASE","85540","HCPCS","Both",,,"44","22","Clover","Medicare Advantage","",,"54",,"23.85","16.1","34.1","percent of total billed charges",,
"LEUKOCYTE ALKALINE PHOSPHATASE","85540","HCPCS","Both",,,"44","22","Wellcare","Medicare Advantage","",,"54",,"23.85","16.1","34.1","percent of total billed charges",,
"LEUKOCYTE ALKALINE PHOSPHATASE","85540","HCPCS","Both",,,"44","22","Amerigroup","Medicaid Managed Care","",,"37",,"16.1","16.1","34.1","percent of total billed charges",,
"LEUKOCYTE ALKALINE PHOSPHATASE","85540","HCPCS","Both",,,"44","22","Caresource","Medicaid Managed Care","",,"40",,"17.6","16.1","34.1","percent of total billed charges",,
"LEUKOCYTE ALKALINE PHOSPHATASE","85540","HCPCS","Both",,,"44","22","Wellcare","Medicaid Managed Care","",,"40",,"17.82","16.1","34.1","percent of total billed charges",,
"LEUKOCYTE ALKALINE PHOSPHATASE","85540","HCPCS","Both",,,"44","22","Aetna","Commercial","",,"64",,"28.07","16.1","34.1","percent of total billed charges",,
"LEUKOCYTE ALKALINE PHOSPHATASE","85540","HCPCS","Both",,,"44","22","Blue Cross Blue Shield","Pathways","",,"71",,"31.06","16.1","34.1","percent of total billed charges",,
"LEUKOCYTE ALKALINE PHOSPHATASE","85540","HCPCS","Both",,,"44","22","Blue Cross Blue Shield","HMO","",,"71",,"31.06","16.1","34.1","percent of total billed charges",,
"LEUKOCYTE ALKALINE PHOSPHATASE","85540","HCPCS","Both",,,"44","22","Blue Cross Blue Shield","PPO","",,"71",,"31.06","16.1","34.1","percent of total billed charges",,
"LEUKOCYTE ALKALINE PHOSPHATASE","85540","HCPCS","Both",,,"44","22","Ambetter","Health Exchange","",,"62",,"27.28","16.1","34.1","percent of total billed charges",,
"LEUKOCYTE ALKALINE PHOSPHATASE","85540","HCPCS","Both",,,"44","22","Caresource","Health Exchange","",,"62",,"27.28","16.1","34.1","percent of total billed charges",,
"LEUKOCYTE ALKALINE PHOSPHATASE","85540","HCPCS","Both",,,"44","22","Cigna","Commercial","",,"59",,"25.78","16.1","34.1","percent of total billed charges",,
"LEUKOCYTE ALKALINE PHOSPHATASE","85540","HCPCS","Both",,,"44","22","Humana","Commercial","",,"78",,"34.1","16.1","34.1","percent of total billed charges",,
"LEUKOCYTE ALKALINE PHOSPHATASE","85540","HCPCS","Both",,,"44","22","UHC","Commercial","",,"75",,"33.18","16.1","34.1","percent of total billed charges",,
"LEUKOCYTE ALKALINE PHOSPHATASE","85540","HCPCS","Both",,,"44","22","Medicaid",,"",,"37",,"16.1","16.1","34.1","percent of total billed charges",,
"FERRITIN","82728","HCPCS","Both",,,"20","10","Alliant","Health Exchange","",,"62",,"12.4","7.32","15.5","percent of total billed charges",,
"FERRITIN","82728","HCPCS","Both",,,"20","10","Pruitt Healthcare","Medicare Advantage","",,"54",,"10.8","7.32","15.5","percent of total billed charges",,
"FERRITIN","82728","HCPCS","Both",,,"20","10","Medicare",,"",,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"FERRITIN","82728","HCPCS","Both",,,"20","10","Humana","Medicare Advantage","",,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"FERRITIN","82728","HCPCS","Both",,,"20","10","UHC","Medicare Advantage","",,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"FERRITIN","82728","HCPCS","Both",,,"20","10","Clover","Medicare Advantage","",,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"FERRITIN","82728","HCPCS","Both",,,"20","10","Wellcare","Medicare Advantage","",,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"FERRITIN","82728","HCPCS","Both",,,"20","10","Amerigroup","Medicaid Managed Care","",,"37",,"7.32","7.32","15.5","percent of total billed charges",,
"FERRITIN","82728","HCPCS","Both",,,"20","10","Caresource","Medicaid Managed Care","",,"40",,"8","7.32","15.5","percent of total billed charges",,
"FERRITIN","82728","HCPCS","Both",,,"20","10","Wellcare","Medicaid Managed Care","",,"40",,"8.1","7.32","15.5","percent of total billed charges",,
"FERRITIN","82728","HCPCS","Both",,,"20","10","Aetna","Commercial","",,"64",,"12.76","7.32","15.5","percent of total billed charges",,
"FERRITIN","82728","HCPCS","Both",,,"20","10","Blue Cross Blue Shield","Pathways","",,"71",,"14.12","7.32","15.5","percent of total billed charges",,
"FERRITIN","82728","HCPCS","Both",,,"20","10","Blue Cross Blue Shield","HMO","",,"71",,"14.12","7.32","15.5","percent of total billed charges",,
"FERRITIN","82728","HCPCS","Both",,,"20","10","Blue Cross Blue Shield","PPO","",,"71",,"14.12","7.32","15.5","percent of total billed charges",,
"FERRITIN","82728","HCPCS","Both",,,"20","10","Ambetter","Health Exchange","",,"62",,"12.4","7.32","15.5","percent of total billed charges",,
"FERRITIN","82728","HCPCS","Both",,,"20","10","Caresource","Health Exchange","",,"62",,"12.4","7.32","15.5","percent of total billed charges",,
"FERRITIN","82728","HCPCS","Both",,,"20","10","Cigna","Commercial","",,"59",,"11.72","7.32","15.5","percent of total billed charges",,
"FERRITIN","82728","HCPCS","Both",,,"20","10","Humana","Commercial","",,"78",,"15.5","7.32","15.5","percent of total billed charges",,
"FERRITIN","82728","HCPCS","Both",,,"20","10","UHC","Commercial","",,"75",,"15.08","7.32","15.5","percent of total billed charges",,
"FERRITIN","82728","HCPCS","Both",,,"20","10","Medicaid",,"",,"37",,"7.32","7.32","15.5","percent of total billed charges",,
"CRYOGLOBULIN QUALITATIVE","82595","HCPCS","Both",,,"46","23","Alliant","Health Exchange","",,"62",,"28.52","16.84","35.65","percent of total billed charges",,
"CRYOGLOBULIN QUALITATIVE","82595","HCPCS","Both",,,"46","23","Pruitt Healthcare","Medicare Advantage","",,"54",,"24.84","16.84","35.65","percent of total billed charges",,
"CRYOGLOBULIN QUALITATIVE","82595","HCPCS","Both",,,"46","23","Medicare",,"",,"54",,"24.93","16.84","35.65","percent of total billed charges",,
"CRYOGLOBULIN QUALITATIVE","82595","HCPCS","Both",,,"46","23","Humana","Medicare Advantage","",,"54",,"24.93","16.84","35.65","percent of total billed charges",,
"CRYOGLOBULIN QUALITATIVE","82595","HCPCS","Both",,,"46","23","UHC","Medicare Advantage","",,"54",,"24.93","16.84","35.65","percent of total billed charges",,
"CRYOGLOBULIN QUALITATIVE","82595","HCPCS","Both",,,"46","23","Clover","Medicare Advantage","",,"54",,"24.93","16.84","35.65","percent of total billed charges",,
"CRYOGLOBULIN QUALITATIVE","82595","HCPCS","Both",,,"46","23","Wellcare","Medicare Advantage","",,"54",,"24.93","16.84","35.65","percent of total billed charges",,
"CRYOGLOBULIN QUALITATIVE","82595","HCPCS","Both",,,"46","23","Amerigroup","Medicaid Managed Care","",,"37",,"16.84","16.84","35.65","percent of total billed charges",,
"CRYOGLOBULIN QUALITATIVE","82595","HCPCS","Both",,,"46","23","Caresource","Medicaid Managed Care","",,"40",,"18.4","16.84","35.65","percent of total billed charges",,
"CRYOGLOBULIN QUALITATIVE","82595","HCPCS","Both",,,"46","23","Wellcare","Medicaid Managed Care","",,"40",,"18.63","16.84","35.65","percent of total billed charges",,
"CRYOGLOBULIN QUALITATIVE","82595","HCPCS","Both",,,"46","23","Aetna","Commercial","",,"64",,"29.35","16.84","35.65","percent of total billed charges",,
"CRYOGLOBULIN QUALITATIVE","82595","HCPCS","Both",,,"46","23","Blue Cross Blue Shield","Pathways","",,"71",,"32.48","16.84","35.65","percent of total billed charges",,
"CRYOGLOBULIN QUALITATIVE","82595","HCPCS","Both",,,"46","23","Blue Cross Blue Shield","HMO","",,"71",,"32.48","16.84","35.65","percent of total billed charges",,
"CRYOGLOBULIN QUALITATIVE","82595","HCPCS","Both",,,"46","23","Blue Cross Blue Shield","PPO","",,"71",,"32.48","16.84","35.65","percent of total billed charges",,
"CRYOGLOBULIN QUALITATIVE","82595","HCPCS","Both",,,"46","23","Ambetter","Health Exchange","",,"62",,"28.52","16.84","35.65","percent of total billed charges",,
"CRYOGLOBULIN QUALITATIVE","82595","HCPCS","Both",,,"46","23","Caresource","Health Exchange","",,"62",,"28.52","16.84","35.65","percent of total billed charges",,
"CRYOGLOBULIN QUALITATIVE","82595","HCPCS","Both",,,"46","23","Cigna","Commercial","",,"59",,"26.96","16.84","35.65","percent of total billed charges",,
"CRYOGLOBULIN QUALITATIVE","82595","HCPCS","Both",,,"46","23","Humana","Commercial","",,"78",,"35.65","16.84","35.65","percent of total billed charges",,
"CRYOGLOBULIN QUALITATIVE","82595","HCPCS","Both",,,"46","23","UHC","Commercial","",,"75",,"34.68","16.84","35.65","percent of total billed charges",,
"CRYOGLOBULIN QUALITATIVE","82595","HCPCS","Both",,,"46","23","Medicaid",,"",,"37",,"16.84","16.84","35.65","percent of total billed charges",,
"THYROID PEROXIDASE ANTIBODY (TPO)","86376","HCPCS","Both",,,"43.5","21.75","Alliant","Health Exchange","",,"62",,"26.97","15.92","33.71","percent of total billed charges",,
"THYROID PEROXIDASE ANTIBODY (TPO)","86376","HCPCS","Both",,,"43.5","21.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"23.49","15.92","33.71","percent of total billed charges",,
"THYROID PEROXIDASE ANTIBODY (TPO)","86376","HCPCS","Both",,,"43.5","21.75","Medicare",,"",,"54",,"23.58","15.92","33.71","percent of total billed charges",,
"THYROID PEROXIDASE ANTIBODY (TPO)","86376","HCPCS","Both",,,"43.5","21.75","Humana","Medicare Advantage","",,"54",,"23.58","15.92","33.71","percent of total billed charges",,
"THYROID PEROXIDASE ANTIBODY (TPO)","86376","HCPCS","Both",,,"43.5","21.75","UHC","Medicare Advantage","",,"54",,"23.58","15.92","33.71","percent of total billed charges",,
"THYROID PEROXIDASE ANTIBODY (TPO)","86376","HCPCS","Both",,,"43.5","21.75","Clover","Medicare Advantage","",,"54",,"23.58","15.92","33.71","percent of total billed charges",,
"THYROID PEROXIDASE ANTIBODY (TPO)","86376","HCPCS","Both",,,"43.5","21.75","Wellcare","Medicare Advantage","",,"54",,"23.58","15.92","33.71","percent of total billed charges",,
"THYROID PEROXIDASE ANTIBODY (TPO)","86376","HCPCS","Both",,,"43.5","21.75","Amerigroup","Medicaid Managed Care","",,"37",,"15.92","15.92","33.71","percent of total billed charges",,
"THYROID PEROXIDASE ANTIBODY (TPO)","86376","HCPCS","Both",,,"43.5","21.75","Caresource","Medicaid Managed Care","",,"40",,"17.4","15.92","33.71","percent of total billed charges",,
"THYROID PEROXIDASE ANTIBODY (TPO)","86376","HCPCS","Both",,,"43.5","21.75","Wellcare","Medicaid Managed Care","",,"40",,"17.62","15.92","33.71","percent of total billed charges",,
"THYROID PEROXIDASE ANTIBODY (TPO)","86376","HCPCS","Both",,,"43.5","21.75","Aetna","Commercial","",,"64",,"27.75","15.92","33.71","percent of total billed charges",,
"THYROID PEROXIDASE ANTIBODY (TPO)","86376","HCPCS","Both",,,"43.5","21.75","Blue Cross Blue Shield","Pathways","",,"71",,"30.71","15.92","33.71","percent of total billed charges",,
"THYROID PEROXIDASE ANTIBODY (TPO)","86376","HCPCS","Both",,,"43.5","21.75","Blue Cross Blue Shield","HMO","",,"71",,"30.71","15.92","33.71","percent of total billed charges",,
"THYROID PEROXIDASE ANTIBODY (TPO)","86376","HCPCS","Both",,,"43.5","21.75","Blue Cross Blue Shield","PPO","",,"71",,"30.71","15.92","33.71","percent of total billed charges",,
"THYROID PEROXIDASE ANTIBODY (TPO)","86376","HCPCS","Both",,,"43.5","21.75","Ambetter","Health Exchange","",,"62",,"26.97","15.92","33.71","percent of total billed charges",,
"THYROID PEROXIDASE ANTIBODY (TPO)","86376","HCPCS","Both",,,"43.5","21.75","Caresource","Health Exchange","",,"62",,"26.97","15.92","33.71","percent of total billed charges",,
"THYROID PEROXIDASE ANTIBODY (TPO)","86376","HCPCS","Both",,,"43.5","21.75","Cigna","Commercial","",,"59",,"25.49","15.92","33.71","percent of total billed charges",,
"THYROID PEROXIDASE ANTIBODY (TPO)","86376","HCPCS","Both",,,"43.5","21.75","Humana","Commercial","",,"78",,"33.71","15.92","33.71","percent of total billed charges",,
"THYROID PEROXIDASE ANTIBODY (TPO)","86376","HCPCS","Both",,,"43.5","21.75","UHC","Commercial","",,"75",,"32.8","15.92","33.71","percent of total billed charges",,
"THYROID PEROXIDASE ANTIBODY (TPO)","86376","HCPCS","Both",,,"43.5","21.75","Medicaid",,"",,"37",,"15.92","15.92","33.71","percent of total billed charges",,
"HEMOGLOBIN; GLYCOSYLATED (A1C)","83036","HCPCS","Both",,,"14","7","Alliant","Health Exchange","",,"62",,"8.68","5.12","10.85","percent of total billed charges",,
"HEMOGLOBIN; GLYCOSYLATED (A1C)","83036","HCPCS","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage","",,"54",,"7.56","5.12","10.85","percent of total billed charges",,
"HEMOGLOBIN; GLYCOSYLATED (A1C)","83036","HCPCS","Both",,,"14","7","Medicare",,"",,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"HEMOGLOBIN; GLYCOSYLATED (A1C)","83036","HCPCS","Both",,,"14","7","Humana","Medicare Advantage","",,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"HEMOGLOBIN; GLYCOSYLATED (A1C)","83036","HCPCS","Both",,,"14","7","UHC","Medicare Advantage","",,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"HEMOGLOBIN; GLYCOSYLATED (A1C)","83036","HCPCS","Both",,,"14","7","Clover","Medicare Advantage","",,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"HEMOGLOBIN; GLYCOSYLATED (A1C)","83036","HCPCS","Both",,,"14","7","Wellcare","Medicare Advantage","",,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"HEMOGLOBIN; GLYCOSYLATED (A1C)","83036","HCPCS","Both",,,"14","7","Amerigroup","Medicaid Managed Care","",,"37",,"5.12","5.12","10.85","percent of total billed charges",,
"HEMOGLOBIN; GLYCOSYLATED (A1C)","83036","HCPCS","Both",,,"14","7","Caresource","Medicaid Managed Care","",,"40",,"5.6","5.12","10.85","percent of total billed charges",,
"HEMOGLOBIN; GLYCOSYLATED (A1C)","83036","HCPCS","Both",,,"14","7","Wellcare","Medicaid Managed Care","",,"40",,"5.67","5.12","10.85","percent of total billed charges",,
"HEMOGLOBIN; GLYCOSYLATED (A1C)","83036","HCPCS","Both",,,"14","7","Aetna","Commercial","",,"64",,"8.93","5.12","10.85","percent of total billed charges",,
"HEMOGLOBIN; GLYCOSYLATED (A1C)","83036","HCPCS","Both",,,"14","7","Blue Cross Blue Shield","Pathways","",,"71",,"9.88","5.12","10.85","percent of total billed charges",,
"HEMOGLOBIN; GLYCOSYLATED (A1C)","83036","HCPCS","Both",,,"14","7","Blue Cross Blue Shield","HMO","",,"71",,"9.88","5.12","10.85","percent of total billed charges",,
"HEMOGLOBIN; GLYCOSYLATED (A1C)","83036","HCPCS","Both",,,"14","7","Blue Cross Blue Shield","PPO","",,"71",,"9.88","5.12","10.85","percent of total billed charges",,
"HEMOGLOBIN; GLYCOSYLATED (A1C)","83036","HCPCS","Both",,,"14","7","Ambetter","Health Exchange","",,"62",,"8.68","5.12","10.85","percent of total billed charges",,
"HEMOGLOBIN; GLYCOSYLATED (A1C)","83036","HCPCS","Both",,,"14","7","Caresource","Health Exchange","",,"62",,"8.68","5.12","10.85","percent of total billed charges",,
"HEMOGLOBIN; GLYCOSYLATED (A1C)","83036","HCPCS","Both",,,"14","7","Cigna","Commercial","",,"59",,"8.2","5.12","10.85","percent of total billed charges",,
"HEMOGLOBIN; GLYCOSYLATED (A1C)","83036","HCPCS","Both",,,"14","7","Humana","Commercial","",,"78",,"10.85","5.12","10.85","percent of total billed charges",,
"HEMOGLOBIN; GLYCOSYLATED (A1C)","83036","HCPCS","Both",,,"14","7","UHC","Commercial","",,"75",,"10.56","5.12","10.85","percent of total billed charges",,
"HEMOGLOBIN; GLYCOSYLATED (A1C)","83036","HCPCS","Both",,,"14","7","Medicaid",,"",,"37",,"5.12","5.12","10.85","percent of total billed charges",,
"SALICYLATE","80329","HCPCS","Both",,,"9.5","4.75","Alliant","Health Exchange","",,"62",,"5.89","3.48","7.36","percent of total billed charges",,
"SALICYLATE","80329","HCPCS","Both",,,"9.5","4.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"5.13","3.48","7.36","percent of total billed charges",,
"SALICYLATE","80329","HCPCS","Both",,,"9.5","4.75","Medicare",,"",,"54",,"5.15","3.48","7.36","percent of total billed charges",,
"SALICYLATE","80329","HCPCS","Both",,,"9.5","4.75","Humana","Medicare Advantage","",,"54",,"5.15","3.48","7.36","percent of total billed charges",,
"SALICYLATE","80329","HCPCS","Both",,,"9.5","4.75","UHC","Medicare Advantage","",,"54",,"5.15","3.48","7.36","percent of total billed charges",,
"SALICYLATE","80329","HCPCS","Both",,,"9.5","4.75","Clover","Medicare Advantage","",,"54",,"5.15","3.48","7.36","percent of total billed charges",,
"SALICYLATE","80329","HCPCS","Both",,,"9.5","4.75","Wellcare","Medicare Advantage","",,"54",,"5.15","3.48","7.36","percent of total billed charges",,
"SALICYLATE","80329","HCPCS","Both",,,"9.5","4.75","Amerigroup","Medicaid Managed Care","",,"37",,"3.48","3.48","7.36","percent of total billed charges",,
"SALICYLATE","80329","HCPCS","Both",,,"9.5","4.75","Caresource","Medicaid Managed Care","",,"40",,"3.8","3.48","7.36","percent of total billed charges",,
"SALICYLATE","80329","HCPCS","Both",,,"9.5","4.75","Wellcare","Medicaid Managed Care","",,"40",,"3.85","3.48","7.36","percent of total billed charges",,
"SALICYLATE","80329","HCPCS","Both",,,"9.5","4.75","Aetna","Commercial","",,"64",,"6.06","3.48","7.36","percent of total billed charges",,
"SALICYLATE","80329","HCPCS","Both",,,"9.5","4.75","Blue Cross Blue Shield","Pathways","",,"71",,"6.71","3.48","7.36","percent of total billed charges",,
"SALICYLATE","80329","HCPCS","Both",,,"9.5","4.75","Blue Cross Blue Shield","HMO","",,"71",,"6.71","3.48","7.36","percent of total billed charges",,
"SALICYLATE","80329","HCPCS","Both",,,"9.5","4.75","Blue Cross Blue Shield","PPO","",,"71",,"6.71","3.48","7.36","percent of total billed charges",,
"SALICYLATE","80329","HCPCS","Both",,,"9.5","4.75","Ambetter","Health Exchange","",,"62",,"5.89","3.48","7.36","percent of total billed charges",,
"SALICYLATE","80329","HCPCS","Both",,,"9.5","4.75","Caresource","Health Exchange","",,"62",,"5.89","3.48","7.36","percent of total billed charges",,
"SALICYLATE","80329","HCPCS","Both",,,"9.5","4.75","Cigna","Commercial","",,"59",,"5.57","3.48","7.36","percent of total billed charges",,
"SALICYLATE","80329","HCPCS","Both",,,"9.5","4.75","Humana","Commercial","",,"78",,"7.36","3.48","7.36","percent of total billed charges",,
"SALICYLATE","80329","HCPCS","Both",,,"9.5","4.75","UHC","Commercial","",,"75",,"7.16","3.48","7.36","percent of total billed charges",,
"SALICYLATE","80329","HCPCS","Both",,,"9.5","4.75","Medicaid",,"",,"37",,"3.48","3.48","7.36","percent of total billed charges",,
"TOXOPLASMA IgM ANTIBODIES","86778","HCPCS","Both",,,"103.5","51.75","Alliant","Health Exchange","",,"62",,"64.17","37.88","80.21","percent of total billed charges",,
"TOXOPLASMA IgM ANTIBODIES","86778","HCPCS","Both",,,"103.5","51.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"55.89","37.88","80.21","percent of total billed charges",,
"TOXOPLASMA IgM ANTIBODIES","86778","HCPCS","Both",,,"103.5","51.75","Medicare",,"",,"54",,"56.1","37.88","80.21","percent of total billed charges",,
"TOXOPLASMA IgM ANTIBODIES","86778","HCPCS","Both",,,"103.5","51.75","Humana","Medicare Advantage","",,"54",,"56.1","37.88","80.21","percent of total billed charges",,
"TOXOPLASMA IgM ANTIBODIES","86778","HCPCS","Both",,,"103.5","51.75","UHC","Medicare Advantage","",,"54",,"56.1","37.88","80.21","percent of total billed charges",,
"TOXOPLASMA IgM ANTIBODIES","86778","HCPCS","Both",,,"103.5","51.75","Clover","Medicare Advantage","",,"54",,"56.1","37.88","80.21","percent of total billed charges",,
"TOXOPLASMA IgM ANTIBODIES","86778","HCPCS","Both",,,"103.5","51.75","Wellcare","Medicare Advantage","",,"54",,"56.1","37.88","80.21","percent of total billed charges",,
"TOXOPLASMA IgM ANTIBODIES","86778","HCPCS","Both",,,"103.5","51.75","Amerigroup","Medicaid Managed Care","",,"37",,"37.88","37.88","80.21","percent of total billed charges",,
"TOXOPLASMA IgM ANTIBODIES","86778","HCPCS","Both",,,"103.5","51.75","Caresource","Medicaid Managed Care","",,"40",,"41.4","37.88","80.21","percent of total billed charges",,
"TOXOPLASMA IgM ANTIBODIES","86778","HCPCS","Both",,,"103.5","51.75","Wellcare","Medicaid Managed Care","",,"40",,"41.92","37.88","80.21","percent of total billed charges",,
"TOXOPLASMA IgM ANTIBODIES","86778","HCPCS","Both",,,"103.5","51.75","Aetna","Commercial","",,"64",,"66.03","37.88","80.21","percent of total billed charges",,
"TOXOPLASMA IgM ANTIBODIES","86778","HCPCS","Both",,,"103.5","51.75","Blue Cross Blue Shield","Pathways","",,"71",,"73.07","37.88","80.21","percent of total billed charges",,
"TOXOPLASMA IgM ANTIBODIES","86778","HCPCS","Both",,,"103.5","51.75","Blue Cross Blue Shield","HMO","",,"71",,"73.07","37.88","80.21","percent of total billed charges",,
"TOXOPLASMA IgM ANTIBODIES","86778","HCPCS","Both",,,"103.5","51.75","Blue Cross Blue Shield","PPO","",,"71",,"73.07","37.88","80.21","percent of total billed charges",,
"TOXOPLASMA IgM ANTIBODIES","86778","HCPCS","Both",,,"103.5","51.75","Ambetter","Health Exchange","",,"62",,"64.17","37.88","80.21","percent of total billed charges",,
"TOXOPLASMA IgM ANTIBODIES","86778","HCPCS","Both",,,"103.5","51.75","Caresource","Health Exchange","",,"62",,"64.17","37.88","80.21","percent of total billed charges",,
"TOXOPLASMA IgM ANTIBODIES","86778","HCPCS","Both",,,"103.5","51.75","Cigna","Commercial","",,"59",,"60.65","37.88","80.21","percent of total billed charges",,
"TOXOPLASMA IgM ANTIBODIES","86778","HCPCS","Both",,,"103.5","51.75","Humana","Commercial","",,"78",,"80.21","37.88","80.21","percent of total billed charges",,
"TOXOPLASMA IgM ANTIBODIES","86778","HCPCS","Both",,,"103.5","51.75","UHC","Commercial","",,"75",,"78.04","37.88","80.21","percent of total billed charges",,
"TOXOPLASMA IgM ANTIBODIES","86778","HCPCS","Both",,,"103.5","51.75","Medicaid",,"",,"37",,"37.88","37.88","80.21","percent of total billed charges",,
"IMMUNOGLOBULIN PANEL IGA,IGG,IGM","82784","HCPCS","Both",,,"11.5","5.75","Alliant","Health Exchange","",,"62",,"7.13","4.21","8.91","percent of total billed charges",,
"IMMUNOGLOBULIN PANEL IGA,IGG,IGM","82784","HCPCS","Both",,,"11.5","5.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"6.21","4.21","8.91","percent of total billed charges",,
"IMMUNOGLOBULIN PANEL IGA,IGG,IGM","82784","HCPCS","Both",,,"11.5","5.75","Medicare",,"",,"54",,"6.23","4.21","8.91","percent of total billed charges",,
"IMMUNOGLOBULIN PANEL IGA,IGG,IGM","82784","HCPCS","Both",,,"11.5","5.75","Humana","Medicare Advantage","",,"54",,"6.23","4.21","8.91","percent of total billed charges",,
"IMMUNOGLOBULIN PANEL IGA,IGG,IGM","82784","HCPCS","Both",,,"11.5","5.75","UHC","Medicare Advantage","",,"54",,"6.23","4.21","8.91","percent of total billed charges",,
"IMMUNOGLOBULIN PANEL IGA,IGG,IGM","82784","HCPCS","Both",,,"11.5","5.75","Clover","Medicare Advantage","",,"54",,"6.23","4.21","8.91","percent of total billed charges",,
"IMMUNOGLOBULIN PANEL IGA,IGG,IGM","82784","HCPCS","Both",,,"11.5","5.75","Wellcare","Medicare Advantage","",,"54",,"6.23","4.21","8.91","percent of total billed charges",,
"IMMUNOGLOBULIN PANEL IGA,IGG,IGM","82784","HCPCS","Both",,,"11.5","5.75","Amerigroup","Medicaid Managed Care","",,"37",,"4.21","4.21","8.91","percent of total billed charges",,
"IMMUNOGLOBULIN PANEL IGA,IGG,IGM","82784","HCPCS","Both",,,"11.5","5.75","Caresource","Medicaid Managed Care","",,"40",,"4.6","4.21","8.91","percent of total billed charges",,
"IMMUNOGLOBULIN PANEL IGA,IGG,IGM","82784","HCPCS","Both",,,"11.5","5.75","Wellcare","Medicaid Managed Care","",,"40",,"4.66","4.21","8.91","percent of total billed charges",,
"IMMUNOGLOBULIN PANEL IGA,IGG,IGM","82784","HCPCS","Both",,,"11.5","5.75","Aetna","Commercial","",,"64",,"7.34","4.21","8.91","percent of total billed charges",,
"IMMUNOGLOBULIN PANEL IGA,IGG,IGM","82784","HCPCS","Both",,,"11.5","5.75","Blue Cross Blue Shield","Pathways","",,"71",,"8.12","4.21","8.91","percent of total billed charges",,
"IMMUNOGLOBULIN PANEL IGA,IGG,IGM","82784","HCPCS","Both",,,"11.5","5.75","Blue Cross Blue Shield","HMO","",,"71",,"8.12","4.21","8.91","percent of total billed charges",,
"IMMUNOGLOBULIN PANEL IGA,IGG,IGM","82784","HCPCS","Both",,,"11.5","5.75","Blue Cross Blue Shield","PPO","",,"71",,"8.12","4.21","8.91","percent of total billed charges",,
"IMMUNOGLOBULIN PANEL IGA,IGG,IGM","82784","HCPCS","Both",,,"11.5","5.75","Ambetter","Health Exchange","",,"62",,"7.13","4.21","8.91","percent of total billed charges",,
"IMMUNOGLOBULIN PANEL IGA,IGG,IGM","82784","HCPCS","Both",,,"11.5","5.75","Caresource","Health Exchange","",,"62",,"7.13","4.21","8.91","percent of total billed charges",,
"IMMUNOGLOBULIN PANEL IGA,IGG,IGM","82784","HCPCS","Both",,,"11.5","5.75","Cigna","Commercial","",,"59",,"6.74","4.21","8.91","percent of total billed charges",,
"IMMUNOGLOBULIN PANEL IGA,IGG,IGM","82784","HCPCS","Both",,,"11.5","5.75","Humana","Commercial","",,"78",,"8.91","4.21","8.91","percent of total billed charges",,
"IMMUNOGLOBULIN PANEL IGA,IGG,IGM","82784","HCPCS","Both",,,"11.5","5.75","UHC","Commercial","",,"75",,"8.67","4.21","8.91","percent of total billed charges",,
"IMMUNOGLOBULIN PANEL IGA,IGG,IGM","82784","HCPCS","Both",,,"11.5","5.75","Medicaid",,"",,"37",,"4.21","4.21","8.91","percent of total billed charges",,
"HEPATIC FUNCTION PANEL","80076","HCPCS","Both",,,"12","6","Alliant","Health Exchange","",,"62",,"7.44","4.39","9.3","percent of total billed charges",,
"HEPATIC FUNCTION PANEL","80076","HCPCS","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage","",,"54",,"6.48","4.39","9.3","percent of total billed charges",,
"HEPATIC FUNCTION PANEL","80076","HCPCS","Both",,,"12","6","Medicare",,"",,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"HEPATIC FUNCTION PANEL","80076","HCPCS","Both",,,"12","6","Humana","Medicare Advantage","",,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"HEPATIC FUNCTION PANEL","80076","HCPCS","Both",,,"12","6","UHC","Medicare Advantage","",,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"HEPATIC FUNCTION PANEL","80076","HCPCS","Both",,,"12","6","Clover","Medicare Advantage","",,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"HEPATIC FUNCTION PANEL","80076","HCPCS","Both",,,"12","6","Wellcare","Medicare Advantage","",,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"HEPATIC FUNCTION PANEL","80076","HCPCS","Both",,,"12","6","Amerigroup","Medicaid Managed Care","",,"37",,"4.39","4.39","9.3","percent of total billed charges",,
"HEPATIC FUNCTION PANEL","80076","HCPCS","Both",,,"12","6","Caresource","Medicaid Managed Care","",,"40",,"4.8","4.39","9.3","percent of total billed charges",,
"HEPATIC FUNCTION PANEL","80076","HCPCS","Both",,,"12","6","Wellcare","Medicaid Managed Care","",,"40",,"4.86","4.39","9.3","percent of total billed charges",,
"HEPATIC FUNCTION PANEL","80076","HCPCS","Both",,,"12","6","Aetna","Commercial","",,"64",,"7.66","4.39","9.3","percent of total billed charges",,
"HEPATIC FUNCTION PANEL","80076","HCPCS","Both",,,"12","6","Blue Cross Blue Shield","Pathways","",,"71",,"8.47","4.39","9.3","percent of total billed charges",,
"HEPATIC FUNCTION PANEL","80076","HCPCS","Both",,,"12","6","Blue Cross Blue Shield","HMO","",,"71",,"8.47","4.39","9.3","percent of total billed charges",,
"HEPATIC FUNCTION PANEL","80076","HCPCS","Both",,,"12","6","Blue Cross Blue Shield","PPO","",,"71",,"8.47","4.39","9.3","percent of total billed charges",,
"HEPATIC FUNCTION PANEL","80076","HCPCS","Both",,,"12","6","Ambetter","Health Exchange","",,"62",,"7.44","4.39","9.3","percent of total billed charges",,
"HEPATIC FUNCTION PANEL","80076","HCPCS","Both",,,"12","6","Caresource","Health Exchange","",,"62",,"7.44","4.39","9.3","percent of total billed charges",,
"HEPATIC FUNCTION PANEL","80076","HCPCS","Both",,,"12","6","Cigna","Commercial","",,"59",,"7.03","4.39","9.3","percent of total billed charges",,
"HEPATIC FUNCTION PANEL","80076","HCPCS","Both",,,"12","6","Humana","Commercial","",,"78",,"9.3","4.39","9.3","percent of total billed charges",,
"HEPATIC FUNCTION PANEL","80076","HCPCS","Both",,,"12","6","UHC","Commercial","",,"75",,"9.05","4.39","9.3","percent of total billed charges",,
"HEPATIC FUNCTION PANEL","80076","HCPCS","Both",,,"12","6","Medicaid",,"",,"37",,"4.39","4.39","9.3","percent of total billed charges",,
"HEMOGLOBIN ELECTROPHORESIS","83020","HCPCS","Both",,,"16.5","8.25","Alliant","Health Exchange","",,"62",,"10.23","6.04","12.79","percent of total billed charges",,
"HEMOGLOBIN ELECTROPHORESIS","83020","HCPCS","Both",,,"16.5","8.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"8.91","6.04","12.79","percent of total billed charges",,
"HEMOGLOBIN ELECTROPHORESIS","83020","HCPCS","Both",,,"16.5","8.25","Medicare",,"",,"54",,"8.94","6.04","12.79","percent of total billed charges",,
"HEMOGLOBIN ELECTROPHORESIS","83020","HCPCS","Both",,,"16.5","8.25","Humana","Medicare Advantage","",,"54",,"8.94","6.04","12.79","percent of total billed charges",,
"HEMOGLOBIN ELECTROPHORESIS","83020","HCPCS","Both",,,"16.5","8.25","UHC","Medicare Advantage","",,"54",,"8.94","6.04","12.79","percent of total billed charges",,
"HEMOGLOBIN ELECTROPHORESIS","83020","HCPCS","Both",,,"16.5","8.25","Clover","Medicare Advantage","",,"54",,"8.94","6.04","12.79","percent of total billed charges",,
"HEMOGLOBIN ELECTROPHORESIS","83020","HCPCS","Both",,,"16.5","8.25","Wellcare","Medicare Advantage","",,"54",,"8.94","6.04","12.79","percent of total billed charges",,
"HEMOGLOBIN ELECTROPHORESIS","83020","HCPCS","Both",,,"16.5","8.25","Amerigroup","Medicaid Managed Care","",,"37",,"6.04","6.04","12.79","percent of total billed charges",,
"HEMOGLOBIN ELECTROPHORESIS","83020","HCPCS","Both",,,"16.5","8.25","Caresource","Medicaid Managed Care","",,"40",,"6.6","6.04","12.79","percent of total billed charges",,
"HEMOGLOBIN ELECTROPHORESIS","83020","HCPCS","Both",,,"16.5","8.25","Wellcare","Medicaid Managed Care","",,"40",,"6.68","6.04","12.79","percent of total billed charges",,
"HEMOGLOBIN ELECTROPHORESIS","83020","HCPCS","Both",,,"16.5","8.25","Aetna","Commercial","",,"64",,"10.53","6.04","12.79","percent of total billed charges",,
"HEMOGLOBIN ELECTROPHORESIS","83020","HCPCS","Both",,,"16.5","8.25","Blue Cross Blue Shield","Pathways","",,"71",,"11.65","6.04","12.79","percent of total billed charges",,
"HEMOGLOBIN ELECTROPHORESIS","83020","HCPCS","Both",,,"16.5","8.25","Blue Cross Blue Shield","HMO","",,"71",,"11.65","6.04","12.79","percent of total billed charges",,
"HEMOGLOBIN ELECTROPHORESIS","83020","HCPCS","Both",,,"16.5","8.25","Blue Cross Blue Shield","PPO","",,"71",,"11.65","6.04","12.79","percent of total billed charges",,
"HEMOGLOBIN ELECTROPHORESIS","83020","HCPCS","Both",,,"16.5","8.25","Ambetter","Health Exchange","",,"62",,"10.23","6.04","12.79","percent of total billed charges",,
"HEMOGLOBIN ELECTROPHORESIS","83020","HCPCS","Both",,,"16.5","8.25","Caresource","Health Exchange","",,"62",,"10.23","6.04","12.79","percent of total billed charges",,
"HEMOGLOBIN ELECTROPHORESIS","83020","HCPCS","Both",,,"16.5","8.25","Cigna","Commercial","",,"59",,"9.67","6.04","12.79","percent of total billed charges",,
"HEMOGLOBIN ELECTROPHORESIS","83020","HCPCS","Both",,,"16.5","8.25","Humana","Commercial","",,"78",,"12.79","6.04","12.79","percent of total billed charges",,
"HEMOGLOBIN ELECTROPHORESIS","83020","HCPCS","Both",,,"16.5","8.25","UHC","Commercial","",,"75",,"12.44","6.04","12.79","percent of total billed charges",,
"HEMOGLOBIN ELECTROPHORESIS","83020","HCPCS","Both",,,"16.5","8.25","Medicaid",,"",,"37",,"6.04","6.04","12.79","percent of total billed charges",,
"CORTISOL FREE SERUM","82530","HCPCS","Both",,,"21","10.5","Alliant","Health Exchange","",,"62",,"13.02","7.69","16.28","percent of total billed charges",,
"CORTISOL FREE SERUM","82530","HCPCS","Both",,,"21","10.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"11.34","7.69","16.28","percent of total billed charges",,
"CORTISOL FREE SERUM","82530","HCPCS","Both",,,"21","10.5","Medicare",,"",,"54",,"11.38","7.69","16.28","percent of total billed charges",,
"CORTISOL FREE SERUM","82530","HCPCS","Both",,,"21","10.5","Humana","Medicare Advantage","",,"54",,"11.38","7.69","16.28","percent of total billed charges",,
"CORTISOL FREE SERUM","82530","HCPCS","Both",,,"21","10.5","UHC","Medicare Advantage","",,"54",,"11.38","7.69","16.28","percent of total billed charges",,
"CORTISOL FREE SERUM","82530","HCPCS","Both",,,"21","10.5","Clover","Medicare Advantage","",,"54",,"11.38","7.69","16.28","percent of total billed charges",,
"CORTISOL FREE SERUM","82530","HCPCS","Both",,,"21","10.5","Wellcare","Medicare Advantage","",,"54",,"11.38","7.69","16.28","percent of total billed charges",,
"CORTISOL FREE SERUM","82530","HCPCS","Both",,,"21","10.5","Amerigroup","Medicaid Managed Care","",,"37",,"7.69","7.69","16.28","percent of total billed charges",,
"CORTISOL FREE SERUM","82530","HCPCS","Both",,,"21","10.5","Caresource","Medicaid Managed Care","",,"40",,"8.4","7.69","16.28","percent of total billed charges",,
"CORTISOL FREE SERUM","82530","HCPCS","Both",,,"21","10.5","Wellcare","Medicaid Managed Care","",,"40",,"8.51","7.69","16.28","percent of total billed charges",,
"CORTISOL FREE SERUM","82530","HCPCS","Both",,,"21","10.5","Aetna","Commercial","",,"64",,"13.4","7.69","16.28","percent of total billed charges",,
"CORTISOL FREE SERUM","82530","HCPCS","Both",,,"21","10.5","Blue Cross Blue Shield","Pathways","",,"71",,"14.83","7.69","16.28","percent of total billed charges",,
"CORTISOL FREE SERUM","82530","HCPCS","Both",,,"21","10.5","Blue Cross Blue Shield","HMO","",,"71",,"14.83","7.69","16.28","percent of total billed charges",,
"CORTISOL FREE SERUM","82530","HCPCS","Both",,,"21","10.5","Blue Cross Blue Shield","PPO","",,"71",,"14.83","7.69","16.28","percent of total billed charges",,
"CORTISOL FREE SERUM","82530","HCPCS","Both",,,"21","10.5","Ambetter","Health Exchange","",,"62",,"13.02","7.69","16.28","percent of total billed charges",,
"CORTISOL FREE SERUM","82530","HCPCS","Both",,,"21","10.5","Caresource","Health Exchange","",,"62",,"13.02","7.69","16.28","percent of total billed charges",,
"CORTISOL FREE SERUM","82530","HCPCS","Both",,,"21","10.5","Cigna","Commercial","",,"59",,"12.31","7.69","16.28","percent of total billed charges",,
"CORTISOL FREE SERUM","82530","HCPCS","Both",,,"21","10.5","Humana","Commercial","",,"78",,"16.28","7.69","16.28","percent of total billed charges",,
"CORTISOL FREE SERUM","82530","HCPCS","Both",,,"21","10.5","UHC","Commercial","",,"75",,"15.83","7.69","16.28","percent of total billed charges",,
"CORTISOL FREE SERUM","82530","HCPCS","Both",,,"21","10.5","Medicaid",,"",,"37",,"7.69","7.69","16.28","percent of total billed charges",,
"INSULIN; TOTAL","83525","HCPCS","Both",,,"144.5","72.25","Alliant","Health Exchange","",,"62",,"89.59","52.89","111.99","percent of total billed charges",,
"INSULIN; TOTAL","83525","HCPCS","Both",,,"144.5","72.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"78.03","52.89","111.99","percent of total billed charges",,
"INSULIN; TOTAL","83525","HCPCS","Both",,,"144.5","72.25","Medicare",,"",,"54",,"78.32","52.89","111.99","percent of total billed charges",,
"INSULIN; TOTAL","83525","HCPCS","Both",,,"144.5","72.25","Humana","Medicare Advantage","",,"54",,"78.32","52.89","111.99","percent of total billed charges",,
"INSULIN; TOTAL","83525","HCPCS","Both",,,"144.5","72.25","UHC","Medicare Advantage","",,"54",,"78.32","52.89","111.99","percent of total billed charges",,
"INSULIN; TOTAL","83525","HCPCS","Both",,,"144.5","72.25","Clover","Medicare Advantage","",,"54",,"78.32","52.89","111.99","percent of total billed charges",,
"INSULIN; TOTAL","83525","HCPCS","Both",,,"144.5","72.25","Wellcare","Medicare Advantage","",,"54",,"78.32","52.89","111.99","percent of total billed charges",,
"INSULIN; TOTAL","83525","HCPCS","Both",,,"144.5","72.25","Amerigroup","Medicaid Managed Care","",,"37",,"52.89","52.89","111.99","percent of total billed charges",,
"INSULIN; TOTAL","83525","HCPCS","Both",,,"144.5","72.25","Caresource","Medicaid Managed Care","",,"40",,"57.8","52.89","111.99","percent of total billed charges",,
"INSULIN; TOTAL","83525","HCPCS","Both",,,"144.5","72.25","Wellcare","Medicaid Managed Care","",,"40",,"58.52","52.89","111.99","percent of total billed charges",,
"INSULIN; TOTAL","83525","HCPCS","Both",,,"144.5","72.25","Aetna","Commercial","",,"64",,"92.19","52.89","111.99","percent of total billed charges",,
"INSULIN; TOTAL","83525","HCPCS","Both",,,"144.5","72.25","Blue Cross Blue Shield","Pathways","",,"71",,"102.02","52.89","111.99","percent of total billed charges",,
"INSULIN; TOTAL","83525","HCPCS","Both",,,"144.5","72.25","Blue Cross Blue Shield","HMO","",,"71",,"102.02","52.89","111.99","percent of total billed charges",,
"INSULIN; TOTAL","83525","HCPCS","Both",,,"144.5","72.25","Blue Cross Blue Shield","PPO","",,"71",,"102.02","52.89","111.99","percent of total billed charges",,
"INSULIN; TOTAL","83525","HCPCS","Both",,,"144.5","72.25","Ambetter","Health Exchange","",,"62",,"89.59","52.89","111.99","percent of total billed charges",,
"INSULIN; TOTAL","83525","HCPCS","Both",,,"144.5","72.25","Caresource","Health Exchange","",,"62",,"89.59","52.89","111.99","percent of total billed charges",,
"INSULIN; TOTAL","83525","HCPCS","Both",,,"144.5","72.25","Cigna","Commercial","",,"59",,"84.68","52.89","111.99","percent of total billed charges",,
"INSULIN; TOTAL","83525","HCPCS","Both",,,"144.5","72.25","Humana","Commercial","",,"78",,"111.99","52.89","111.99","percent of total billed charges",,
"INSULIN; TOTAL","83525","HCPCS","Both",,,"144.5","72.25","UHC","Commercial","",,"75",,"108.95","52.89","111.99","percent of total billed charges",,
"INSULIN; TOTAL","83525","HCPCS","Both",,,"144.5","72.25","Medicaid",,"",,"37",,"52.89","52.89","111.99","percent of total billed charges",,
"ASPERGILLUS IGG, IGM, IGA ANTIBODIES","86606","HCPCS","Both",,,"109.5","54.75","Alliant","Health Exchange","",,"62",,"67.89","40.08","84.86","percent of total billed charges",,
"ASPERGILLUS IGG, IGM, IGA ANTIBODIES","86606","HCPCS","Both",,,"109.5","54.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"59.13","40.08","84.86","percent of total billed charges",,
"ASPERGILLUS IGG, IGM, IGA ANTIBODIES","86606","HCPCS","Both",,,"109.5","54.75","Medicare",,"",,"54",,"59.35","40.08","84.86","percent of total billed charges",,
"ASPERGILLUS IGG, IGM, IGA ANTIBODIES","86606","HCPCS","Both",,,"109.5","54.75","Humana","Medicare Advantage","",,"54",,"59.35","40.08","84.86","percent of total billed charges",,
"ASPERGILLUS IGG, IGM, IGA ANTIBODIES","86606","HCPCS","Both",,,"109.5","54.75","UHC","Medicare Advantage","",,"54",,"59.35","40.08","84.86","percent of total billed charges",,
"ASPERGILLUS IGG, IGM, IGA ANTIBODIES","86606","HCPCS","Both",,,"109.5","54.75","Clover","Medicare Advantage","",,"54",,"59.35","40.08","84.86","percent of total billed charges",,
"ASPERGILLUS IGG, IGM, IGA ANTIBODIES","86606","HCPCS","Both",,,"109.5","54.75","Wellcare","Medicare Advantage","",,"54",,"59.35","40.08","84.86","percent of total billed charges",,
"ASPERGILLUS IGG, IGM, IGA ANTIBODIES","86606","HCPCS","Both",,,"109.5","54.75","Amerigroup","Medicaid Managed Care","",,"37",,"40.08","40.08","84.86","percent of total billed charges",,
"ASPERGILLUS IGG, IGM, IGA ANTIBODIES","86606","HCPCS","Both",,,"109.5","54.75","Caresource","Medicaid Managed Care","",,"40",,"43.8","40.08","84.86","percent of total billed charges",,
"ASPERGILLUS IGG, IGM, IGA ANTIBODIES","86606","HCPCS","Both",,,"109.5","54.75","Wellcare","Medicaid Managed Care","",,"40",,"44.35","40.08","84.86","percent of total billed charges",,
"ASPERGILLUS IGG, IGM, IGA ANTIBODIES","86606","HCPCS","Both",,,"109.5","54.75","Aetna","Commercial","",,"64",,"69.86","40.08","84.86","percent of total billed charges",,
"ASPERGILLUS IGG, IGM, IGA ANTIBODIES","86606","HCPCS","Both",,,"109.5","54.75","Blue Cross Blue Shield","Pathways","",,"71",,"77.31","40.08","84.86","percent of total billed charges",,
"ASPERGILLUS IGG, IGM, IGA ANTIBODIES","86606","HCPCS","Both",,,"109.5","54.75","Blue Cross Blue Shield","HMO","",,"71",,"77.31","40.08","84.86","percent of total billed charges",,
"ASPERGILLUS IGG, IGM, IGA ANTIBODIES","86606","HCPCS","Both",,,"109.5","54.75","Blue Cross Blue Shield","PPO","",,"71",,"77.31","40.08","84.86","percent of total billed charges",,
"ASPERGILLUS IGG, IGM, IGA ANTIBODIES","86606","HCPCS","Both",,,"109.5","54.75","Ambetter","Health Exchange","",,"62",,"67.89","40.08","84.86","percent of total billed charges",,
"ASPERGILLUS IGG, IGM, IGA ANTIBODIES","86606","HCPCS","Both",,,"109.5","54.75","Caresource","Health Exchange","",,"62",,"67.89","40.08","84.86","percent of total billed charges",,
"ASPERGILLUS IGG, IGM, IGA ANTIBODIES","86606","HCPCS","Both",,,"109.5","54.75","Cigna","Commercial","",,"59",,"64.17","40.08","84.86","percent of total billed charges",,
"ASPERGILLUS IGG, IGM, IGA ANTIBODIES","86606","HCPCS","Both",,,"109.5","54.75","Humana","Commercial","",,"78",,"84.86","40.08","84.86","percent of total billed charges",,
"ASPERGILLUS IGG, IGM, IGA ANTIBODIES","86606","HCPCS","Both",,,"109.5","54.75","UHC","Commercial","",,"75",,"82.56","40.08","84.86","percent of total billed charges",,
"ASPERGILLUS IGG, IGM, IGA ANTIBODIES","86606","HCPCS","Both",,,"109.5","54.75","Medicaid",,"",,"37",,"40.08","40.08","84.86","percent of total billed charges",,
"C-REACTIVE PROTEIN","86140","HCPCS","Both",,,"7.5","3.75","Alliant","Health Exchange","",,"62",,"4.65","2.74","5.81","percent of total billed charges",,
"C-REACTIVE PROTEIN","86140","HCPCS","Both",,,"7.5","3.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"4.05","2.74","5.81","percent of total billed charges",,
"C-REACTIVE PROTEIN","86140","HCPCS","Both",,,"7.5","3.75","Medicare",,"",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"C-REACTIVE PROTEIN","86140","HCPCS","Both",,,"7.5","3.75","Humana","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"C-REACTIVE PROTEIN","86140","HCPCS","Both",,,"7.5","3.75","UHC","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"C-REACTIVE PROTEIN","86140","HCPCS","Both",,,"7.5","3.75","Clover","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"C-REACTIVE PROTEIN","86140","HCPCS","Both",,,"7.5","3.75","Wellcare","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"C-REACTIVE PROTEIN","86140","HCPCS","Both",,,"7.5","3.75","Amerigroup","Medicaid Managed Care","",,"37",,"2.74","2.74","5.81","percent of total billed charges",,
"C-REACTIVE PROTEIN","86140","HCPCS","Both",,,"7.5","3.75","Caresource","Medicaid Managed Care","",,"40",,"3","2.74","5.81","percent of total billed charges",,
"C-REACTIVE PROTEIN","86140","HCPCS","Both",,,"7.5","3.75","Wellcare","Medicaid Managed Care","",,"40",,"3.04","2.74","5.81","percent of total billed charges",,
"C-REACTIVE PROTEIN","86140","HCPCS","Both",,,"7.5","3.75","Aetna","Commercial","",,"64",,"4.78","2.74","5.81","percent of total billed charges",,
"C-REACTIVE PROTEIN","86140","HCPCS","Both",,,"7.5","3.75","Blue Cross Blue Shield","Pathways","",,"71",,"5.3","2.74","5.81","percent of total billed charges",,
"C-REACTIVE PROTEIN","86140","HCPCS","Both",,,"7.5","3.75","Blue Cross Blue Shield","HMO","",,"71",,"5.3","2.74","5.81","percent of total billed charges",,
"C-REACTIVE PROTEIN","86140","HCPCS","Both",,,"7.5","3.75","Blue Cross Blue Shield","PPO","",,"71",,"5.3","2.74","5.81","percent of total billed charges",,
"C-REACTIVE PROTEIN","86140","HCPCS","Both",,,"7.5","3.75","Ambetter","Health Exchange","",,"62",,"4.65","2.74","5.81","percent of total billed charges",,
"C-REACTIVE PROTEIN","86140","HCPCS","Both",,,"7.5","3.75","Caresource","Health Exchange","",,"62",,"4.65","2.74","5.81","percent of total billed charges",,
"C-REACTIVE PROTEIN","86140","HCPCS","Both",,,"7.5","3.75","Cigna","Commercial","",,"59",,"4.39","2.74","5.81","percent of total billed charges",,
"C-REACTIVE PROTEIN","86140","HCPCS","Both",,,"7.5","3.75","Humana","Commercial","",,"78",,"5.81","2.74","5.81","percent of total billed charges",,
"C-REACTIVE PROTEIN","86140","HCPCS","Both",,,"7.5","3.75","UHC","Commercial","",,"75",,"5.66","2.74","5.81","percent of total billed charges",,
"C-REACTIVE PROTEIN","86140","HCPCS","Both",,,"7.5","3.75","Medicaid",,"",,"37",,"2.74","2.74","5.81","percent of total billed charges",,
"HEPATITIS B CORE ANTIBODIES, TOTAL","86704","HCPCS","Both",,,"22","11","Alliant","Health Exchange","",,"62",,"13.64","8.05","17.05","percent of total billed charges",,
"HEPATITIS B CORE ANTIBODIES, TOTAL","86704","HCPCS","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage","",,"54",,"11.88","8.05","17.05","percent of total billed charges",,
"HEPATITIS B CORE ANTIBODIES, TOTAL","86704","HCPCS","Both",,,"22","11","Medicare",,"",,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"HEPATITIS B CORE ANTIBODIES, TOTAL","86704","HCPCS","Both",,,"22","11","Humana","Medicare Advantage","",,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"HEPATITIS B CORE ANTIBODIES, TOTAL","86704","HCPCS","Both",,,"22","11","UHC","Medicare Advantage","",,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"HEPATITIS B CORE ANTIBODIES, TOTAL","86704","HCPCS","Both",,,"22","11","Clover","Medicare Advantage","",,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"HEPATITIS B CORE ANTIBODIES, TOTAL","86704","HCPCS","Both",,,"22","11","Wellcare","Medicare Advantage","",,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"HEPATITIS B CORE ANTIBODIES, TOTAL","86704","HCPCS","Both",,,"22","11","Amerigroup","Medicaid Managed Care","",,"37",,"8.05","8.05","17.05","percent of total billed charges",,
"HEPATITIS B CORE ANTIBODIES, TOTAL","86704","HCPCS","Both",,,"22","11","Caresource","Medicaid Managed Care","",,"40",,"8.8","8.05","17.05","percent of total billed charges",,
"HEPATITIS B CORE ANTIBODIES, TOTAL","86704","HCPCS","Both",,,"22","11","Wellcare","Medicaid Managed Care","",,"40",,"8.91","8.05","17.05","percent of total billed charges",,
"HEPATITIS B CORE ANTIBODIES, TOTAL","86704","HCPCS","Both",,,"22","11","Aetna","Commercial","",,"64",,"14.04","8.05","17.05","percent of total billed charges",,
"HEPATITIS B CORE ANTIBODIES, TOTAL","86704","HCPCS","Both",,,"22","11","Blue Cross Blue Shield","Pathways","",,"71",,"15.53","8.05","17.05","percent of total billed charges",,
"HEPATITIS B CORE ANTIBODIES, TOTAL","86704","HCPCS","Both",,,"22","11","Blue Cross Blue Shield","HMO","",,"71",,"15.53","8.05","17.05","percent of total billed charges",,
"HEPATITIS B CORE ANTIBODIES, TOTAL","86704","HCPCS","Both",,,"22","11","Blue Cross Blue Shield","PPO","",,"71",,"15.53","8.05","17.05","percent of total billed charges",,
"HEPATITIS B CORE ANTIBODIES, TOTAL","86704","HCPCS","Both",,,"22","11","Ambetter","Health Exchange","",,"62",,"13.64","8.05","17.05","percent of total billed charges",,
"HEPATITIS B CORE ANTIBODIES, TOTAL","86704","HCPCS","Both",,,"22","11","Caresource","Health Exchange","",,"62",,"13.64","8.05","17.05","percent of total billed charges",,
"HEPATITIS B CORE ANTIBODIES, TOTAL","86704","HCPCS","Both",,,"22","11","Cigna","Commercial","",,"59",,"12.89","8.05","17.05","percent of total billed charges",,
"HEPATITIS B CORE ANTIBODIES, TOTAL","86704","HCPCS","Both",,,"22","11","Humana","Commercial","",,"78",,"17.05","8.05","17.05","percent of total billed charges",,
"HEPATITIS B CORE ANTIBODIES, TOTAL","86704","HCPCS","Both",,,"22","11","UHC","Commercial","",,"75",,"16.59","8.05","17.05","percent of total billed charges",,
"HEPATITIS B CORE ANTIBODIES, TOTAL","86704","HCPCS","Both",,,"22","11","Medicaid",,"",,"37",,"8.05","8.05","17.05","percent of total billed charges",,
"HEPATITIS B SURFACE ANTIGEN (HBsAg)","87340","HCPCS","Both",,,"63.5","31.75","Alliant","Health Exchange","",,"62",,"39.37","23.24","49.21","percent of total billed charges",,
"HEPATITIS B SURFACE ANTIGEN (HBsAg)","87340","HCPCS","Both",,,"63.5","31.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"34.29","23.24","49.21","percent of total billed charges",,
"HEPATITIS B SURFACE ANTIGEN (HBsAg)","87340","HCPCS","Both",,,"63.5","31.75","Medicare",,"",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"HEPATITIS B SURFACE ANTIGEN (HBsAg)","87340","HCPCS","Both",,,"63.5","31.75","Humana","Medicare Advantage","",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"HEPATITIS B SURFACE ANTIGEN (HBsAg)","87340","HCPCS","Both",,,"63.5","31.75","UHC","Medicare Advantage","",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"HEPATITIS B SURFACE ANTIGEN (HBsAg)","87340","HCPCS","Both",,,"63.5","31.75","Clover","Medicare Advantage","",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"HEPATITIS B SURFACE ANTIGEN (HBsAg)","87340","HCPCS","Both",,,"63.5","31.75","Wellcare","Medicare Advantage","",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"HEPATITIS B SURFACE ANTIGEN (HBsAg)","87340","HCPCS","Both",,,"63.5","31.75","Amerigroup","Medicaid Managed Care","",,"37",,"23.24","23.24","49.21","percent of total billed charges",,
"HEPATITIS B SURFACE ANTIGEN (HBsAg)","87340","HCPCS","Both",,,"63.5","31.75","Caresource","Medicaid Managed Care","",,"40",,"25.4","23.24","49.21","percent of total billed charges",,
"HEPATITIS B SURFACE ANTIGEN (HBsAg)","87340","HCPCS","Both",,,"63.5","31.75","Wellcare","Medicaid Managed Care","",,"40",,"25.72","23.24","49.21","percent of total billed charges",,
"HEPATITIS B SURFACE ANTIGEN (HBsAg)","87340","HCPCS","Both",,,"63.5","31.75","Aetna","Commercial","",,"64",,"40.51","23.24","49.21","percent of total billed charges",,
"HEPATITIS B SURFACE ANTIGEN (HBsAg)","87340","HCPCS","Both",,,"63.5","31.75","Blue Cross Blue Shield","Pathways","",,"71",,"44.83","23.24","49.21","percent of total billed charges",,
"HEPATITIS B SURFACE ANTIGEN (HBsAg)","87340","HCPCS","Both",,,"63.5","31.75","Blue Cross Blue Shield","HMO","",,"71",,"44.83","23.24","49.21","percent of total billed charges",,
"HEPATITIS B SURFACE ANTIGEN (HBsAg)","87340","HCPCS","Both",,,"63.5","31.75","Blue Cross Blue Shield","PPO","",,"71",,"44.83","23.24","49.21","percent of total billed charges",,
"HEPATITIS B SURFACE ANTIGEN (HBsAg)","87340","HCPCS","Both",,,"63.5","31.75","Ambetter","Health Exchange","",,"62",,"39.37","23.24","49.21","percent of total billed charges",,
"HEPATITIS B SURFACE ANTIGEN (HBsAg)","87340","HCPCS","Both",,,"63.5","31.75","Caresource","Health Exchange","",,"62",,"39.37","23.24","49.21","percent of total billed charges",,
"HEPATITIS B SURFACE ANTIGEN (HBsAg)","87340","HCPCS","Both",,,"63.5","31.75","Cigna","Commercial","",,"59",,"37.21","23.24","49.21","percent of total billed charges",,
"HEPATITIS B SURFACE ANTIGEN (HBsAg)","87340","HCPCS","Both",,,"63.5","31.75","Humana","Commercial","",,"78",,"49.21","23.24","49.21","percent of total billed charges",,
"HEPATITIS B SURFACE ANTIGEN (HBsAg)","87340","HCPCS","Both",,,"63.5","31.75","UHC","Commercial","",,"75",,"47.88","23.24","49.21","percent of total billed charges",,
"HEPATITIS B SURFACE ANTIGEN (HBsAg)","87340","HCPCS","Both",,,"63.5","31.75","Medicaid",,"",,"37",,"23.24","23.24","49.21","percent of total billed charges",,
"HAPTOGLOBIN","83010","HCPCS","Both",,,"17","8.5","Alliant","Health Exchange","",,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"HAPTOGLOBIN","83010","HCPCS","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"9.18","6.22","13.18","percent of total billed charges",,
"HAPTOGLOBIN","83010","HCPCS","Both",,,"17","8.5","Medicare",,"",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"HAPTOGLOBIN","83010","HCPCS","Both",,,"17","8.5","Humana","Medicare Advantage","",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"HAPTOGLOBIN","83010","HCPCS","Both",,,"17","8.5","UHC","Medicare Advantage","",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"HAPTOGLOBIN","83010","HCPCS","Both",,,"17","8.5","Clover","Medicare Advantage","",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"HAPTOGLOBIN","83010","HCPCS","Both",,,"17","8.5","Wellcare","Medicare Advantage","",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"HAPTOGLOBIN","83010","HCPCS","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care","",,"37",,"6.22","6.22","13.18","percent of total billed charges",,
"HAPTOGLOBIN","83010","HCPCS","Both",,,"17","8.5","Caresource","Medicaid Managed Care","",,"40",,"6.8","6.22","13.18","percent of total billed charges",,
"HAPTOGLOBIN","83010","HCPCS","Both",,,"17","8.5","Wellcare","Medicaid Managed Care","",,"40",,"6.89","6.22","13.18","percent of total billed charges",,
"HAPTOGLOBIN","83010","HCPCS","Both",,,"17","8.5","Aetna","Commercial","",,"64",,"10.85","6.22","13.18","percent of total billed charges",,
"HAPTOGLOBIN","83010","HCPCS","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways","",,"71",,"12","6.22","13.18","percent of total billed charges",,
"HAPTOGLOBIN","83010","HCPCS","Both",,,"17","8.5","Blue Cross Blue Shield","HMO","",,"71",,"12","6.22","13.18","percent of total billed charges",,
"HAPTOGLOBIN","83010","HCPCS","Both",,,"17","8.5","Blue Cross Blue Shield","PPO","",,"71",,"12","6.22","13.18","percent of total billed charges",,
"HAPTOGLOBIN","83010","HCPCS","Both",,,"17","8.5","Ambetter","Health Exchange","",,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"HAPTOGLOBIN","83010","HCPCS","Both",,,"17","8.5","Caresource","Health Exchange","",,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"HAPTOGLOBIN","83010","HCPCS","Both",,,"17","8.5","Cigna","Commercial","",,"59",,"9.96","6.22","13.18","percent of total billed charges",,
"HAPTOGLOBIN","83010","HCPCS","Both",,,"17","8.5","Humana","Commercial","",,"78",,"13.18","6.22","13.18","percent of total billed charges",,
"HAPTOGLOBIN","83010","HCPCS","Both",,,"17","8.5","UHC","Commercial","",,"75",,"12.82","6.22","13.18","percent of total billed charges",,
"HAPTOGLOBIN","83010","HCPCS","Both",,,"17","8.5","Medicaid",,"",,"37",,"6.22","6.22","13.18","percent of total billed charges",,
"LEGIONELLA PNEUMOPHILA AB IGM BY IFA","86713","HCPCS","Both",,,"19","9.5","Alliant","Health Exchange","",,"62",,"11.78","6.95","14.72","percent of total billed charges",,
"LEGIONELLA PNEUMOPHILA AB IGM BY IFA","86713","HCPCS","Both",,,"19","9.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"10.26","6.95","14.72","percent of total billed charges",,
"LEGIONELLA PNEUMOPHILA AB IGM BY IFA","86713","HCPCS","Both",,,"19","9.5","Medicare",,"",,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"LEGIONELLA PNEUMOPHILA AB IGM BY IFA","86713","HCPCS","Both",,,"19","9.5","Humana","Medicare Advantage","",,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"LEGIONELLA PNEUMOPHILA AB IGM BY IFA","86713","HCPCS","Both",,,"19","9.5","UHC","Medicare Advantage","",,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"LEGIONELLA PNEUMOPHILA AB IGM BY IFA","86713","HCPCS","Both",,,"19","9.5","Clover","Medicare Advantage","",,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"LEGIONELLA PNEUMOPHILA AB IGM BY IFA","86713","HCPCS","Both",,,"19","9.5","Wellcare","Medicare Advantage","",,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"LEGIONELLA PNEUMOPHILA AB IGM BY IFA","86713","HCPCS","Both",,,"19","9.5","Amerigroup","Medicaid Managed Care","",,"37",,"6.95","6.95","14.72","percent of total billed charges",,
"LEGIONELLA PNEUMOPHILA AB IGM BY IFA","86713","HCPCS","Both",,,"19","9.5","Caresource","Medicaid Managed Care","",,"40",,"7.6","6.95","14.72","percent of total billed charges",,
"LEGIONELLA PNEUMOPHILA AB IGM BY IFA","86713","HCPCS","Both",,,"19","9.5","Wellcare","Medicaid Managed Care","",,"40",,"7.7","6.95","14.72","percent of total billed charges",,
"LEGIONELLA PNEUMOPHILA AB IGM BY IFA","86713","HCPCS","Both",,,"19","9.5","Aetna","Commercial","",,"64",,"12.12","6.95","14.72","percent of total billed charges",,
"LEGIONELLA PNEUMOPHILA AB IGM BY IFA","86713","HCPCS","Both",,,"19","9.5","Blue Cross Blue Shield","Pathways","",,"71",,"13.41","6.95","14.72","percent of total billed charges",,
"LEGIONELLA PNEUMOPHILA AB IGM BY IFA","86713","HCPCS","Both",,,"19","9.5","Blue Cross Blue Shield","HMO","",,"71",,"13.41","6.95","14.72","percent of total billed charges",,
"LEGIONELLA PNEUMOPHILA AB IGM BY IFA","86713","HCPCS","Both",,,"19","9.5","Blue Cross Blue Shield","PPO","",,"71",,"13.41","6.95","14.72","percent of total billed charges",,
"LEGIONELLA PNEUMOPHILA AB IGM BY IFA","86713","HCPCS","Both",,,"19","9.5","Ambetter","Health Exchange","",,"62",,"11.78","6.95","14.72","percent of total billed charges",,
"LEGIONELLA PNEUMOPHILA AB IGM BY IFA","86713","HCPCS","Both",,,"19","9.5","Caresource","Health Exchange","",,"62",,"11.78","6.95","14.72","percent of total billed charges",,
"LEGIONELLA PNEUMOPHILA AB IGM BY IFA","86713","HCPCS","Both",,,"19","9.5","Cigna","Commercial","",,"59",,"11.13","6.95","14.72","percent of total billed charges",,
"LEGIONELLA PNEUMOPHILA AB IGM BY IFA","86713","HCPCS","Both",,,"19","9.5","Humana","Commercial","",,"78",,"14.72","6.95","14.72","percent of total billed charges",,
"LEGIONELLA PNEUMOPHILA AB IGM BY IFA","86713","HCPCS","Both",,,"19","9.5","UHC","Commercial","",,"75",,"14.33","6.95","14.72","percent of total billed charges",,
"LEGIONELLA PNEUMOPHILA AB IGM BY IFA","86713","HCPCS","Both",,,"19","9.5","Medicaid",,"",,"37",,"6.95","6.95","14.72","percent of total billed charges",,
"CHOLINESTERASE RBC","82482","HCPCS","Both",,,"57.5","28.75","Alliant","Health Exchange","",,"62",,"35.65","21.04","44.56","percent of total billed charges",,
"CHOLINESTERASE RBC","82482","HCPCS","Both",,,"57.5","28.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"31.05","21.04","44.56","percent of total billed charges",,
"CHOLINESTERASE RBC","82482","HCPCS","Both",,,"57.5","28.75","Medicare",,"",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"CHOLINESTERASE RBC","82482","HCPCS","Both",,,"57.5","28.75","Humana","Medicare Advantage","",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"CHOLINESTERASE RBC","82482","HCPCS","Both",,,"57.5","28.75","UHC","Medicare Advantage","",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"CHOLINESTERASE RBC","82482","HCPCS","Both",,,"57.5","28.75","Clover","Medicare Advantage","",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"CHOLINESTERASE RBC","82482","HCPCS","Both",,,"57.5","28.75","Wellcare","Medicare Advantage","",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"CHOLINESTERASE RBC","82482","HCPCS","Both",,,"57.5","28.75","Amerigroup","Medicaid Managed Care","",,"37",,"21.04","21.04","44.56","percent of total billed charges",,
"CHOLINESTERASE RBC","82482","HCPCS","Both",,,"57.5","28.75","Caresource","Medicaid Managed Care","",,"40",,"23","21.04","44.56","percent of total billed charges",,
"CHOLINESTERASE RBC","82482","HCPCS","Both",,,"57.5","28.75","Wellcare","Medicaid Managed Care","",,"40",,"23.29","21.04","44.56","percent of total billed charges",,
"CHOLINESTERASE RBC","82482","HCPCS","Both",,,"57.5","28.75","Aetna","Commercial","",,"64",,"36.68","21.04","44.56","percent of total billed charges",,
"CHOLINESTERASE RBC","82482","HCPCS","Both",,,"57.5","28.75","Blue Cross Blue Shield","Pathways","",,"71",,"40.6","21.04","44.56","percent of total billed charges",,
"CHOLINESTERASE RBC","82482","HCPCS","Both",,,"57.5","28.75","Blue Cross Blue Shield","HMO","",,"71",,"40.6","21.04","44.56","percent of total billed charges",,
"CHOLINESTERASE RBC","82482","HCPCS","Both",,,"57.5","28.75","Blue Cross Blue Shield","PPO","",,"71",,"40.6","21.04","44.56","percent of total billed charges",,
"CHOLINESTERASE RBC","82482","HCPCS","Both",,,"57.5","28.75","Ambetter","Health Exchange","",,"62",,"35.65","21.04","44.56","percent of total billed charges",,
"CHOLINESTERASE RBC","82482","HCPCS","Both",,,"57.5","28.75","Caresource","Health Exchange","",,"62",,"35.65","21.04","44.56","percent of total billed charges",,
"CHOLINESTERASE RBC","82482","HCPCS","Both",,,"57.5","28.75","Cigna","Commercial","",,"59",,"33.7","21.04","44.56","percent of total billed charges",,
"CHOLINESTERASE RBC","82482","HCPCS","Both",,,"57.5","28.75","Humana","Commercial","",,"78",,"44.56","21.04","44.56","percent of total billed charges",,
"CHOLINESTERASE RBC","82482","HCPCS","Both",,,"57.5","28.75","UHC","Commercial","",,"75",,"43.36","21.04","44.56","percent of total billed charges",,
"CHOLINESTERASE RBC","82482","HCPCS","Both",,,"57.5","28.75","Medicaid",,"",,"37",,"21.04","21.04","44.56","percent of total billed charges",,
"CALCITONIN","82308","HCPCS","Both",,,"192","96","Alliant","Health Exchange","",,"62",,"119.04","70.27","148.8","percent of total billed charges",,
"CALCITONIN","82308","HCPCS","Both",,,"192","96","Pruitt Healthcare","Medicare Advantage","",,"54",,"103.68","70.27","148.8","percent of total billed charges",,
"CALCITONIN","82308","HCPCS","Both",,,"192","96","Medicare",,"",,"54",,"104.06","70.27","148.8","percent of total billed charges",,
"CALCITONIN","82308","HCPCS","Both",,,"192","96","Humana","Medicare Advantage","",,"54",,"104.06","70.27","148.8","percent of total billed charges",,
"CALCITONIN","82308","HCPCS","Both",,,"192","96","UHC","Medicare Advantage","",,"54",,"104.06","70.27","148.8","percent of total billed charges",,
"CALCITONIN","82308","HCPCS","Both",,,"192","96","Clover","Medicare Advantage","",,"54",,"104.06","70.27","148.8","percent of total billed charges",,
"CALCITONIN","82308","HCPCS","Both",,,"192","96","Wellcare","Medicare Advantage","",,"54",,"104.06","70.27","148.8","percent of total billed charges",,
"CALCITONIN","82308","HCPCS","Both",,,"192","96","Amerigroup","Medicaid Managed Care","",,"37",,"70.27","70.27","148.8","percent of total billed charges",,
"CALCITONIN","82308","HCPCS","Both",,,"192","96","Caresource","Medicaid Managed Care","",,"40",,"76.8","70.27","148.8","percent of total billed charges",,
"CALCITONIN","82308","HCPCS","Both",,,"192","96","Wellcare","Medicaid Managed Care","",,"40",,"77.76","70.27","148.8","percent of total billed charges",,
"CALCITONIN","82308","HCPCS","Both",,,"192","96","Aetna","Commercial","",,"64",,"122.5","70.27","148.8","percent of total billed charges",,
"CALCITONIN","82308","HCPCS","Both",,,"192","96","Blue Cross Blue Shield","Pathways","",,"71",,"135.55","70.27","148.8","percent of total billed charges",,
"CALCITONIN","82308","HCPCS","Both",,,"192","96","Blue Cross Blue Shield","HMO","",,"71",,"135.55","70.27","148.8","percent of total billed charges",,
"CALCITONIN","82308","HCPCS","Both",,,"192","96","Blue Cross Blue Shield","PPO","",,"71",,"135.55","70.27","148.8","percent of total billed charges",,
"CALCITONIN","82308","HCPCS","Both",,,"192","96","Ambetter","Health Exchange","",,"62",,"119.04","70.27","148.8","percent of total billed charges",,
"CALCITONIN","82308","HCPCS","Both",,,"192","96","Caresource","Health Exchange","",,"62",,"119.04","70.27","148.8","percent of total billed charges",,
"CALCITONIN","82308","HCPCS","Both",,,"192","96","Cigna","Commercial","",,"59",,"112.51","70.27","148.8","percent of total billed charges",,
"CALCITONIN","82308","HCPCS","Both",,,"192","96","Humana","Commercial","",,"78",,"148.8","70.27","148.8","percent of total billed charges",,
"CALCITONIN","82308","HCPCS","Both",,,"192","96","UHC","Commercial","",,"75",,"144.77","70.27","148.8","percent of total billed charges",,
"CALCITONIN","82308","HCPCS","Both",,,"192","96","Medicaid",,"",,"37",,"70.27","70.27","148.8","percent of total billed charges",,
"TESTOSTERONE;TOTAL","84403","HCPCS","Both",,,"108.5","54.25","Alliant","Health Exchange","",,"62",,"67.27","39.71","84.09","percent of total billed charges",,
"TESTOSTERONE;TOTAL","84403","HCPCS","Both",,,"108.5","54.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"58.59","39.71","84.09","percent of total billed charges",,
"TESTOSTERONE;TOTAL","84403","HCPCS","Both",,,"108.5","54.25","Medicare",,"",,"54",,"58.81","39.71","84.09","percent of total billed charges",,
"TESTOSTERONE;TOTAL","84403","HCPCS","Both",,,"108.5","54.25","Humana","Medicare Advantage","",,"54",,"58.81","39.71","84.09","percent of total billed charges",,
"TESTOSTERONE;TOTAL","84403","HCPCS","Both",,,"108.5","54.25","UHC","Medicare Advantage","",,"54",,"58.81","39.71","84.09","percent of total billed charges",,
"TESTOSTERONE;TOTAL","84403","HCPCS","Both",,,"108.5","54.25","Clover","Medicare Advantage","",,"54",,"58.81","39.71","84.09","percent of total billed charges",,
"TESTOSTERONE;TOTAL","84403","HCPCS","Both",,,"108.5","54.25","Wellcare","Medicare Advantage","",,"54",,"58.81","39.71","84.09","percent of total billed charges",,
"TESTOSTERONE;TOTAL","84403","HCPCS","Both",,,"108.5","54.25","Amerigroup","Medicaid Managed Care","",,"37",,"39.71","39.71","84.09","percent of total billed charges",,
"TESTOSTERONE;TOTAL","84403","HCPCS","Both",,,"108.5","54.25","Caresource","Medicaid Managed Care","",,"40",,"43.4","39.71","84.09","percent of total billed charges",,
"TESTOSTERONE;TOTAL","84403","HCPCS","Both",,,"108.5","54.25","Wellcare","Medicaid Managed Care","",,"40",,"43.94","39.71","84.09","percent of total billed charges",,
"TESTOSTERONE;TOTAL","84403","HCPCS","Both",,,"108.5","54.25","Aetna","Commercial","",,"64",,"69.22","39.71","84.09","percent of total billed charges",,
"TESTOSTERONE;TOTAL","84403","HCPCS","Both",,,"108.5","54.25","Blue Cross Blue Shield","Pathways","",,"71",,"76.6","39.71","84.09","percent of total billed charges",,
"TESTOSTERONE;TOTAL","84403","HCPCS","Both",,,"108.5","54.25","Blue Cross Blue Shield","HMO","",,"71",,"76.6","39.71","84.09","percent of total billed charges",,
"TESTOSTERONE;TOTAL","84403","HCPCS","Both",,,"108.5","54.25","Blue Cross Blue Shield","PPO","",,"71",,"76.6","39.71","84.09","percent of total billed charges",,
"TESTOSTERONE;TOTAL","84403","HCPCS","Both",,,"108.5","54.25","Ambetter","Health Exchange","",,"62",,"67.27","39.71","84.09","percent of total billed charges",,
"TESTOSTERONE;TOTAL","84403","HCPCS","Both",,,"108.5","54.25","Caresource","Health Exchange","",,"62",,"67.27","39.71","84.09","percent of total billed charges",,
"TESTOSTERONE;TOTAL","84403","HCPCS","Both",,,"108.5","54.25","Cigna","Commercial","",,"59",,"63.58","39.71","84.09","percent of total billed charges",,
"TESTOSTERONE;TOTAL","84403","HCPCS","Both",,,"108.5","54.25","Humana","Commercial","",,"78",,"84.09","39.71","84.09","percent of total billed charges",,
"TESTOSTERONE;TOTAL","84403","HCPCS","Both",,,"108.5","54.25","UHC","Commercial","",,"75",,"81.81","39.71","84.09","percent of total billed charges",,
"TESTOSTERONE;TOTAL","84403","HCPCS","Both",,,"108.5","54.25","Medicaid",,"",,"37",,"39.71","39.71","84.09","percent of total billed charges",,
"IMMUNOFIXATION SERUM","86334","HCPCS","Both",,,"33","16.5","Alliant","Health Exchange","",,"62",,"20.46","12.08","25.58","percent of total billed charges",,
"IMMUNOFIXATION SERUM","86334","HCPCS","Both",,,"33","16.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"17.82","12.08","25.58","percent of total billed charges",,
"IMMUNOFIXATION SERUM","86334","HCPCS","Both",,,"33","16.5","Medicare",,"",,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"IMMUNOFIXATION SERUM","86334","HCPCS","Both",,,"33","16.5","Humana","Medicare Advantage","",,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"IMMUNOFIXATION SERUM","86334","HCPCS","Both",,,"33","16.5","UHC","Medicare Advantage","",,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"IMMUNOFIXATION SERUM","86334","HCPCS","Both",,,"33","16.5","Clover","Medicare Advantage","",,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"IMMUNOFIXATION SERUM","86334","HCPCS","Both",,,"33","16.5","Wellcare","Medicare Advantage","",,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"IMMUNOFIXATION SERUM","86334","HCPCS","Both",,,"33","16.5","Amerigroup","Medicaid Managed Care","",,"37",,"12.08","12.08","25.58","percent of total billed charges",,
"IMMUNOFIXATION SERUM","86334","HCPCS","Both",,,"33","16.5","Caresource","Medicaid Managed Care","",,"40",,"13.2","12.08","25.58","percent of total billed charges",,
"IMMUNOFIXATION SERUM","86334","HCPCS","Both",,,"33","16.5","Wellcare","Medicaid Managed Care","",,"40",,"13.36","12.08","25.58","percent of total billed charges",,
"IMMUNOFIXATION SERUM","86334","HCPCS","Both",,,"33","16.5","Aetna","Commercial","",,"64",,"21.05","12.08","25.58","percent of total billed charges",,
"IMMUNOFIXATION SERUM","86334","HCPCS","Both",,,"33","16.5","Blue Cross Blue Shield","Pathways","",,"71",,"23.3","12.08","25.58","percent of total billed charges",,
"IMMUNOFIXATION SERUM","86334","HCPCS","Both",,,"33","16.5","Blue Cross Blue Shield","HMO","",,"71",,"23.3","12.08","25.58","percent of total billed charges",,
"IMMUNOFIXATION SERUM","86334","HCPCS","Both",,,"33","16.5","Blue Cross Blue Shield","PPO","",,"71",,"23.3","12.08","25.58","percent of total billed charges",,
"IMMUNOFIXATION SERUM","86334","HCPCS","Both",,,"33","16.5","Ambetter","Health Exchange","",,"62",,"20.46","12.08","25.58","percent of total billed charges",,
"IMMUNOFIXATION SERUM","86334","HCPCS","Both",,,"33","16.5","Caresource","Health Exchange","",,"62",,"20.46","12.08","25.58","percent of total billed charges",,
"IMMUNOFIXATION SERUM","86334","HCPCS","Both",,,"33","16.5","Cigna","Commercial","",,"59",,"19.34","12.08","25.58","percent of total billed charges",,
"IMMUNOFIXATION SERUM","86334","HCPCS","Both",,,"33","16.5","Humana","Commercial","",,"78",,"25.58","12.08","25.58","percent of total billed charges",,
"IMMUNOFIXATION SERUM","86334","HCPCS","Both",,,"33","16.5","UHC","Commercial","",,"75",,"24.88","12.08","25.58","percent of total billed charges",,
"IMMUNOFIXATION SERUM","86334","HCPCS","Both",,,"33","16.5","Medicaid",,"",,"37",,"12.08","12.08","25.58","percent of total billed charges",,
"HYDROXYINDOLACETIC ACID, 5-(HIAA) URINE","83497","HCPCS","Both",,,"93","46.5","Alliant","Health Exchange","",,"62",,"57.66","34.04","72.08","percent of total billed charges",,
"HYDROXYINDOLACETIC ACID, 5-(HIAA) URINE","83497","HCPCS","Both",,,"93","46.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"50.22","34.04","72.08","percent of total billed charges",,
"HYDROXYINDOLACETIC ACID, 5-(HIAA) URINE","83497","HCPCS","Both",,,"93","46.5","Medicare",,"",,"54",,"50.41","34.04","72.08","percent of total billed charges",,
"HYDROXYINDOLACETIC ACID, 5-(HIAA) URINE","83497","HCPCS","Both",,,"93","46.5","Humana","Medicare Advantage","",,"54",,"50.41","34.04","72.08","percent of total billed charges",,
"HYDROXYINDOLACETIC ACID, 5-(HIAA) URINE","83497","HCPCS","Both",,,"93","46.5","UHC","Medicare Advantage","",,"54",,"50.41","34.04","72.08","percent of total billed charges",,
"HYDROXYINDOLACETIC ACID, 5-(HIAA) URINE","83497","HCPCS","Both",,,"93","46.5","Clover","Medicare Advantage","",,"54",,"50.41","34.04","72.08","percent of total billed charges",,
"HYDROXYINDOLACETIC ACID, 5-(HIAA) URINE","83497","HCPCS","Both",,,"93","46.5","Wellcare","Medicare Advantage","",,"54",,"50.41","34.04","72.08","percent of total billed charges",,
"HYDROXYINDOLACETIC ACID, 5-(HIAA) URINE","83497","HCPCS","Both",,,"93","46.5","Amerigroup","Medicaid Managed Care","",,"37",,"34.04","34.04","72.08","percent of total billed charges",,
"HYDROXYINDOLACETIC ACID, 5-(HIAA) URINE","83497","HCPCS","Both",,,"93","46.5","Caresource","Medicaid Managed Care","",,"40",,"37.2","34.04","72.08","percent of total billed charges",,
"HYDROXYINDOLACETIC ACID, 5-(HIAA) URINE","83497","HCPCS","Both",,,"93","46.5","Wellcare","Medicaid Managed Care","",,"40",,"37.66","34.04","72.08","percent of total billed charges",,
"HYDROXYINDOLACETIC ACID, 5-(HIAA) URINE","83497","HCPCS","Both",,,"93","46.5","Aetna","Commercial","",,"64",,"59.33","34.04","72.08","percent of total billed charges",,
"HYDROXYINDOLACETIC ACID, 5-(HIAA) URINE","83497","HCPCS","Both",,,"93","46.5","Blue Cross Blue Shield","Pathways","",,"71",,"65.66","34.04","72.08","percent of total billed charges",,
"HYDROXYINDOLACETIC ACID, 5-(HIAA) URINE","83497","HCPCS","Both",,,"93","46.5","Blue Cross Blue Shield","HMO","",,"71",,"65.66","34.04","72.08","percent of total billed charges",,
"HYDROXYINDOLACETIC ACID, 5-(HIAA) URINE","83497","HCPCS","Both",,,"93","46.5","Blue Cross Blue Shield","PPO","",,"71",,"65.66","34.04","72.08","percent of total billed charges",,
"HYDROXYINDOLACETIC ACID, 5-(HIAA) URINE","83497","HCPCS","Both",,,"93","46.5","Ambetter","Health Exchange","",,"62",,"57.66","34.04","72.08","percent of total billed charges",,
"HYDROXYINDOLACETIC ACID, 5-(HIAA) URINE","83497","HCPCS","Both",,,"93","46.5","Caresource","Health Exchange","",,"62",,"57.66","34.04","72.08","percent of total billed charges",,
"HYDROXYINDOLACETIC ACID, 5-(HIAA) URINE","83497","HCPCS","Both",,,"93","46.5","Cigna","Commercial","",,"59",,"54.5","34.04","72.08","percent of total billed charges",,
"HYDROXYINDOLACETIC ACID, 5-(HIAA) URINE","83497","HCPCS","Both",,,"93","46.5","Humana","Commercial","",,"78",,"72.08","34.04","72.08","percent of total billed charges",,
"HYDROXYINDOLACETIC ACID, 5-(HIAA) URINE","83497","HCPCS","Both",,,"93","46.5","UHC","Commercial","",,"75",,"70.12","34.04","72.08","percent of total billed charges",,
"HYDROXYINDOLACETIC ACID, 5-(HIAA) URINE","83497","HCPCS","Both",,,"93","46.5","Medicaid",,"",,"37",,"34.04","34.04","72.08","percent of total billed charges",,
"AMIKACIN PEAK","80150","HCPCS","Both",,,"109.5","54.75","Alliant","Health Exchange","",,"62",,"67.89","40.08","84.86","percent of total billed charges",,
"AMIKACIN PEAK","80150","HCPCS","Both",,,"109.5","54.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"59.13","40.08","84.86","percent of total billed charges",,
"AMIKACIN PEAK","80150","HCPCS","Both",,,"109.5","54.75","Medicare",,"",,"54",,"59.35","40.08","84.86","percent of total billed charges",,
"AMIKACIN PEAK","80150","HCPCS","Both",,,"109.5","54.75","Humana","Medicare Advantage","",,"54",,"59.35","40.08","84.86","percent of total billed charges",,
"AMIKACIN PEAK","80150","HCPCS","Both",,,"109.5","54.75","UHC","Medicare Advantage","",,"54",,"59.35","40.08","84.86","percent of total billed charges",,
"AMIKACIN PEAK","80150","HCPCS","Both",,,"109.5","54.75","Clover","Medicare Advantage","",,"54",,"59.35","40.08","84.86","percent of total billed charges",,
"AMIKACIN PEAK","80150","HCPCS","Both",,,"109.5","54.75","Wellcare","Medicare Advantage","",,"54",,"59.35","40.08","84.86","percent of total billed charges",,
"AMIKACIN PEAK","80150","HCPCS","Both",,,"109.5","54.75","Amerigroup","Medicaid Managed Care","",,"37",,"40.08","40.08","84.86","percent of total billed charges",,
"AMIKACIN PEAK","80150","HCPCS","Both",,,"109.5","54.75","Caresource","Medicaid Managed Care","",,"40",,"43.8","40.08","84.86","percent of total billed charges",,
"AMIKACIN PEAK","80150","HCPCS","Both",,,"109.5","54.75","Wellcare","Medicaid Managed Care","",,"40",,"44.35","40.08","84.86","percent of total billed charges",,
"AMIKACIN PEAK","80150","HCPCS","Both",,,"109.5","54.75","Aetna","Commercial","",,"64",,"69.86","40.08","84.86","percent of total billed charges",,
"AMIKACIN PEAK","80150","HCPCS","Both",,,"109.5","54.75","Blue Cross Blue Shield","Pathways","",,"71",,"77.31","40.08","84.86","percent of total billed charges",,
"AMIKACIN PEAK","80150","HCPCS","Both",,,"109.5","54.75","Blue Cross Blue Shield","HMO","",,"71",,"77.31","40.08","84.86","percent of total billed charges",,
"AMIKACIN PEAK","80150","HCPCS","Both",,,"109.5","54.75","Blue Cross Blue Shield","PPO","",,"71",,"77.31","40.08","84.86","percent of total billed charges",,
"AMIKACIN PEAK","80150","HCPCS","Both",,,"109.5","54.75","Ambetter","Health Exchange","",,"62",,"67.89","40.08","84.86","percent of total billed charges",,
"AMIKACIN PEAK","80150","HCPCS","Both",,,"109.5","54.75","Caresource","Health Exchange","",,"62",,"67.89","40.08","84.86","percent of total billed charges",,
"AMIKACIN PEAK","80150","HCPCS","Both",,,"109.5","54.75","Cigna","Commercial","",,"59",,"64.17","40.08","84.86","percent of total billed charges",,
"AMIKACIN PEAK","80150","HCPCS","Both",,,"109.5","54.75","Humana","Commercial","",,"78",,"84.86","40.08","84.86","percent of total billed charges",,
"AMIKACIN PEAK","80150","HCPCS","Both",,,"109.5","54.75","UHC","Commercial","",,"75",,"82.56","40.08","84.86","percent of total billed charges",,
"AMIKACIN PEAK","80150","HCPCS","Both",,,"109.5","54.75","Medicaid",,"",,"37",,"40.08","40.08","84.86","percent of total billed charges",,
"AMIKACIN TROUGH","80150","HCPCS","Both",,,"109.5","54.75","Alliant","Health Exchange","",,"62",,"67.89","40.08","84.86","percent of total billed charges",,
"AMIKACIN TROUGH","80150","HCPCS","Both",,,"109.5","54.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"59.13","40.08","84.86","percent of total billed charges",,
"AMIKACIN TROUGH","80150","HCPCS","Both",,,"109.5","54.75","Medicare",,"",,"54",,"59.35","40.08","84.86","percent of total billed charges",,
"AMIKACIN TROUGH","80150","HCPCS","Both",,,"109.5","54.75","Humana","Medicare Advantage","",,"54",,"59.35","40.08","84.86","percent of total billed charges",,
"AMIKACIN TROUGH","80150","HCPCS","Both",,,"109.5","54.75","UHC","Medicare Advantage","",,"54",,"59.35","40.08","84.86","percent of total billed charges",,
"AMIKACIN TROUGH","80150","HCPCS","Both",,,"109.5","54.75","Clover","Medicare Advantage","",,"54",,"59.35","40.08","84.86","percent of total billed charges",,
"AMIKACIN TROUGH","80150","HCPCS","Both",,,"109.5","54.75","Wellcare","Medicare Advantage","",,"54",,"59.35","40.08","84.86","percent of total billed charges",,
"AMIKACIN TROUGH","80150","HCPCS","Both",,,"109.5","54.75","Amerigroup","Medicaid Managed Care","",,"37",,"40.08","40.08","84.86","percent of total billed charges",,
"AMIKACIN TROUGH","80150","HCPCS","Both",,,"109.5","54.75","Caresource","Medicaid Managed Care","",,"40",,"43.8","40.08","84.86","percent of total billed charges",,
"AMIKACIN TROUGH","80150","HCPCS","Both",,,"109.5","54.75","Wellcare","Medicaid Managed Care","",,"40",,"44.35","40.08","84.86","percent of total billed charges",,
"AMIKACIN TROUGH","80150","HCPCS","Both",,,"109.5","54.75","Aetna","Commercial","",,"64",,"69.86","40.08","84.86","percent of total billed charges",,
"AMIKACIN TROUGH","80150","HCPCS","Both",,,"109.5","54.75","Blue Cross Blue Shield","Pathways","",,"71",,"77.31","40.08","84.86","percent of total billed charges",,
"AMIKACIN TROUGH","80150","HCPCS","Both",,,"109.5","54.75","Blue Cross Blue Shield","HMO","",,"71",,"77.31","40.08","84.86","percent of total billed charges",,
"AMIKACIN TROUGH","80150","HCPCS","Both",,,"109.5","54.75","Blue Cross Blue Shield","PPO","",,"71",,"77.31","40.08","84.86","percent of total billed charges",,
"AMIKACIN TROUGH","80150","HCPCS","Both",,,"109.5","54.75","Ambetter","Health Exchange","",,"62",,"67.89","40.08","84.86","percent of total billed charges",,
"AMIKACIN TROUGH","80150","HCPCS","Both",,,"109.5","54.75","Caresource","Health Exchange","",,"62",,"67.89","40.08","84.86","percent of total billed charges",,
"AMIKACIN TROUGH","80150","HCPCS","Both",,,"109.5","54.75","Cigna","Commercial","",,"59",,"64.17","40.08","84.86","percent of total billed charges",,
"AMIKACIN TROUGH","80150","HCPCS","Both",,,"109.5","54.75","Humana","Commercial","",,"78",,"84.86","40.08","84.86","percent of total billed charges",,
"AMIKACIN TROUGH","80150","HCPCS","Both",,,"109.5","54.75","UHC","Commercial","",,"75",,"82.56","40.08","84.86","percent of total billed charges",,
"AMIKACIN TROUGH","80150","HCPCS","Both",,,"109.5","54.75","Medicaid",,"",,"37",,"40.08","40.08","84.86","percent of total billed charges",,
"VALPROIC ACID; DEPAKENE","80164","HCPCS","Both",,,"27","13.5","Alliant","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"VALPROIC ACID; DEPAKENE","80164","HCPCS","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"14.58","9.88","20.92","percent of total billed charges",,
"VALPROIC ACID; DEPAKENE","80164","HCPCS","Both",,,"27","13.5","Medicare",,"",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"VALPROIC ACID; DEPAKENE","80164","HCPCS","Both",,,"27","13.5","Humana","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"VALPROIC ACID; DEPAKENE","80164","HCPCS","Both",,,"27","13.5","UHC","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"VALPROIC ACID; DEPAKENE","80164","HCPCS","Both",,,"27","13.5","Clover","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"VALPROIC ACID; DEPAKENE","80164","HCPCS","Both",,,"27","13.5","Wellcare","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"VALPROIC ACID; DEPAKENE","80164","HCPCS","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care","",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"VALPROIC ACID; DEPAKENE","80164","HCPCS","Both",,,"27","13.5","Caresource","Medicaid Managed Care","",,"40",,"10.8","9.88","20.92","percent of total billed charges",,
"VALPROIC ACID; DEPAKENE","80164","HCPCS","Both",,,"27","13.5","Wellcare","Medicaid Managed Care","",,"40",,"10.94","9.88","20.92","percent of total billed charges",,
"VALPROIC ACID; DEPAKENE","80164","HCPCS","Both",,,"27","13.5","Aetna","Commercial","",,"64",,"17.23","9.88","20.92","percent of total billed charges",,
"VALPROIC ACID; DEPAKENE","80164","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"VALPROIC ACID; DEPAKENE","80164","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","HMO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"VALPROIC ACID; DEPAKENE","80164","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","PPO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"VALPROIC ACID; DEPAKENE","80164","HCPCS","Both",,,"27","13.5","Ambetter","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"VALPROIC ACID; DEPAKENE","80164","HCPCS","Both",,,"27","13.5","Caresource","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"VALPROIC ACID; DEPAKENE","80164","HCPCS","Both",,,"27","13.5","Cigna","Commercial","",,"59",,"15.82","9.88","20.92","percent of total billed charges",,
"VALPROIC ACID; DEPAKENE","80164","HCPCS","Both",,,"27","13.5","Humana","Commercial","",,"78",,"20.92","9.88","20.92","percent of total billed charges",,
"VALPROIC ACID; DEPAKENE","80164","HCPCS","Both",,,"27","13.5","UHC","Commercial","",,"75",,"20.36","9.88","20.92","percent of total billed charges",,
"VALPROIC ACID; DEPAKENE","80164","HCPCS","Both",,,"27","13.5","Medicaid",,"",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"HEPATITIS Be ANTIGEN (HBeAg)","87350","HCPCS","Both",,,"83","41.5","Alliant","Health Exchange","",,"62",,"51.46","30.38","64.32","percent of total billed charges",,
"HEPATITIS Be ANTIGEN (HBeAg)","87350","HCPCS","Both",,,"83","41.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"44.82","30.38","64.32","percent of total billed charges",,
"HEPATITIS Be ANTIGEN (HBeAg)","87350","HCPCS","Both",,,"83","41.5","Medicare",,"",,"54",,"44.99","30.38","64.32","percent of total billed charges",,
"HEPATITIS Be ANTIGEN (HBeAg)","87350","HCPCS","Both",,,"83","41.5","Humana","Medicare Advantage","",,"54",,"44.99","30.38","64.32","percent of total billed charges",,
"HEPATITIS Be ANTIGEN (HBeAg)","87350","HCPCS","Both",,,"83","41.5","UHC","Medicare Advantage","",,"54",,"44.99","30.38","64.32","percent of total billed charges",,
"HEPATITIS Be ANTIGEN (HBeAg)","87350","HCPCS","Both",,,"83","41.5","Clover","Medicare Advantage","",,"54",,"44.99","30.38","64.32","percent of total billed charges",,
"HEPATITIS Be ANTIGEN (HBeAg)","87350","HCPCS","Both",,,"83","41.5","Wellcare","Medicare Advantage","",,"54",,"44.99","30.38","64.32","percent of total billed charges",,
"HEPATITIS Be ANTIGEN (HBeAg)","87350","HCPCS","Both",,,"83","41.5","Amerigroup","Medicaid Managed Care","",,"37",,"30.38","30.38","64.32","percent of total billed charges",,
"HEPATITIS Be ANTIGEN (HBeAg)","87350","HCPCS","Both",,,"83","41.5","Caresource","Medicaid Managed Care","",,"40",,"33.2","30.38","64.32","percent of total billed charges",,
"HEPATITIS Be ANTIGEN (HBeAg)","87350","HCPCS","Both",,,"83","41.5","Wellcare","Medicaid Managed Care","",,"40",,"33.62","30.38","64.32","percent of total billed charges",,
"HEPATITIS Be ANTIGEN (HBeAg)","87350","HCPCS","Both",,,"83","41.5","Aetna","Commercial","",,"64",,"52.95","30.38","64.32","percent of total billed charges",,
"HEPATITIS Be ANTIGEN (HBeAg)","87350","HCPCS","Both",,,"83","41.5","Blue Cross Blue Shield","Pathways","",,"71",,"58.6","30.38","64.32","percent of total billed charges",,
"HEPATITIS Be ANTIGEN (HBeAg)","87350","HCPCS","Both",,,"83","41.5","Blue Cross Blue Shield","HMO","",,"71",,"58.6","30.38","64.32","percent of total billed charges",,
"HEPATITIS Be ANTIGEN (HBeAg)","87350","HCPCS","Both",,,"83","41.5","Blue Cross Blue Shield","PPO","",,"71",,"58.6","30.38","64.32","percent of total billed charges",,
"HEPATITIS Be ANTIGEN (HBeAg)","87350","HCPCS","Both",,,"83","41.5","Ambetter","Health Exchange","",,"62",,"51.46","30.38","64.32","percent of total billed charges",,
"HEPATITIS Be ANTIGEN (HBeAg)","87350","HCPCS","Both",,,"83","41.5","Caresource","Health Exchange","",,"62",,"51.46","30.38","64.32","percent of total billed charges",,
"HEPATITIS Be ANTIGEN (HBeAg)","87350","HCPCS","Both",,,"83","41.5","Cigna","Commercial","",,"59",,"48.64","30.38","64.32","percent of total billed charges",,
"HEPATITIS Be ANTIGEN (HBeAg)","87350","HCPCS","Both",,,"83","41.5","Humana","Commercial","",,"78",,"64.32","30.38","64.32","percent of total billed charges",,
"HEPATITIS Be ANTIGEN (HBeAg)","87350","HCPCS","Both",,,"83","41.5","UHC","Commercial","",,"75",,"62.58","30.38","64.32","percent of total billed charges",,
"HEPATITIS Be ANTIGEN (HBeAg)","87350","HCPCS","Both",,,"83","41.5","Medicaid",,"",,"37",,"30.38","30.38","64.32","percent of total billed charges",,
"ERYTHROPOIETIN","82668","HCPCS","Both",,,"81","40.5","Alliant","Health Exchange","",,"62",,"50.22","29.65","62.78","percent of total billed charges",,
"ERYTHROPOIETIN","82668","HCPCS","Both",,,"81","40.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"43.74","29.65","62.78","percent of total billed charges",,
"ERYTHROPOIETIN","82668","HCPCS","Both",,,"81","40.5","Medicare",,"",,"54",,"43.9","29.65","62.78","percent of total billed charges",,
"ERYTHROPOIETIN","82668","HCPCS","Both",,,"81","40.5","Humana","Medicare Advantage","",,"54",,"43.9","29.65","62.78","percent of total billed charges",,
"ERYTHROPOIETIN","82668","HCPCS","Both",,,"81","40.5","UHC","Medicare Advantage","",,"54",,"43.9","29.65","62.78","percent of total billed charges",,
"ERYTHROPOIETIN","82668","HCPCS","Both",,,"81","40.5","Clover","Medicare Advantage","",,"54",,"43.9","29.65","62.78","percent of total billed charges",,
"ERYTHROPOIETIN","82668","HCPCS","Both",,,"81","40.5","Wellcare","Medicare Advantage","",,"54",,"43.9","29.65","62.78","percent of total billed charges",,
"ERYTHROPOIETIN","82668","HCPCS","Both",,,"81","40.5","Amerigroup","Medicaid Managed Care","",,"37",,"29.65","29.65","62.78","percent of total billed charges",,
"ERYTHROPOIETIN","82668","HCPCS","Both",,,"81","40.5","Caresource","Medicaid Managed Care","",,"40",,"32.4","29.65","62.78","percent of total billed charges",,
"ERYTHROPOIETIN","82668","HCPCS","Both",,,"81","40.5","Wellcare","Medicaid Managed Care","",,"40",,"32.8","29.65","62.78","percent of total billed charges",,
"ERYTHROPOIETIN","82668","HCPCS","Both",,,"81","40.5","Aetna","Commercial","",,"64",,"51.68","29.65","62.78","percent of total billed charges",,
"ERYTHROPOIETIN","82668","HCPCS","Both",,,"81","40.5","Blue Cross Blue Shield","Pathways","",,"71",,"57.19","29.65","62.78","percent of total billed charges",,
"ERYTHROPOIETIN","82668","HCPCS","Both",,,"81","40.5","Blue Cross Blue Shield","HMO","",,"71",,"57.19","29.65","62.78","percent of total billed charges",,
"ERYTHROPOIETIN","82668","HCPCS","Both",,,"81","40.5","Blue Cross Blue Shield","PPO","",,"71",,"57.19","29.65","62.78","percent of total billed charges",,
"ERYTHROPOIETIN","82668","HCPCS","Both",,,"81","40.5","Ambetter","Health Exchange","",,"62",,"50.22","29.65","62.78","percent of total billed charges",,
"ERYTHROPOIETIN","82668","HCPCS","Both",,,"81","40.5","Caresource","Health Exchange","",,"62",,"50.22","29.65","62.78","percent of total billed charges",,
"ERYTHROPOIETIN","82668","HCPCS","Both",,,"81","40.5","Cigna","Commercial","",,"59",,"47.47","29.65","62.78","percent of total billed charges",,
"ERYTHROPOIETIN","82668","HCPCS","Both",,,"81","40.5","Humana","Commercial","",,"78",,"62.78","29.65","62.78","percent of total billed charges",,
"ERYTHROPOIETIN","82668","HCPCS","Both",,,"81","40.5","UHC","Commercial","",,"75",,"61.07","29.65","62.78","percent of total billed charges",,
"ERYTHROPOIETIN","82668","HCPCS","Both",,,"81","40.5","Medicaid",,"",,"37",,"29.65","29.65","62.78","percent of total billed charges",,
"VANCOMYCIN TROUGH","80202","HCPCS","Both",,,"35.5","17.75","Alliant","Health Exchange","",,"62",,"22.01","12.99","27.51","percent of total billed charges",,
"VANCOMYCIN TROUGH","80202","HCPCS","Both",,,"35.5","17.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"19.17","12.99","27.51","percent of total billed charges",,
"VANCOMYCIN TROUGH","80202","HCPCS","Both",,,"35.5","17.75","Medicare",,"",,"54",,"19.24","12.99","27.51","percent of total billed charges",,
"VANCOMYCIN TROUGH","80202","HCPCS","Both",,,"35.5","17.75","Humana","Medicare Advantage","",,"54",,"19.24","12.99","27.51","percent of total billed charges",,
"VANCOMYCIN TROUGH","80202","HCPCS","Both",,,"35.5","17.75","UHC","Medicare Advantage","",,"54",,"19.24","12.99","27.51","percent of total billed charges",,
"VANCOMYCIN TROUGH","80202","HCPCS","Both",,,"35.5","17.75","Clover","Medicare Advantage","",,"54",,"19.24","12.99","27.51","percent of total billed charges",,
"VANCOMYCIN TROUGH","80202","HCPCS","Both",,,"35.5","17.75","Wellcare","Medicare Advantage","",,"54",,"19.24","12.99","27.51","percent of total billed charges",,
"VANCOMYCIN TROUGH","80202","HCPCS","Both",,,"35.5","17.75","Amerigroup","Medicaid Managed Care","",,"37",,"12.99","12.99","27.51","percent of total billed charges",,
"VANCOMYCIN TROUGH","80202","HCPCS","Both",,,"35.5","17.75","Caresource","Medicaid Managed Care","",,"40",,"14.2","12.99","27.51","percent of total billed charges",,
"VANCOMYCIN TROUGH","80202","HCPCS","Both",,,"35.5","17.75","Wellcare","Medicaid Managed Care","",,"40",,"14.38","12.99","27.51","percent of total billed charges",,
"VANCOMYCIN TROUGH","80202","HCPCS","Both",,,"35.5","17.75","Aetna","Commercial","",,"64",,"22.65","12.99","27.51","percent of total billed charges",,
"VANCOMYCIN TROUGH","80202","HCPCS","Both",,,"35.5","17.75","Blue Cross Blue Shield","Pathways","",,"71",,"25.06","12.99","27.51","percent of total billed charges",,
"VANCOMYCIN TROUGH","80202","HCPCS","Both",,,"35.5","17.75","Blue Cross Blue Shield","HMO","",,"71",,"25.06","12.99","27.51","percent of total billed charges",,
"VANCOMYCIN TROUGH","80202","HCPCS","Both",,,"35.5","17.75","Blue Cross Blue Shield","PPO","",,"71",,"25.06","12.99","27.51","percent of total billed charges",,
"VANCOMYCIN TROUGH","80202","HCPCS","Both",,,"35.5","17.75","Ambetter","Health Exchange","",,"62",,"22.01","12.99","27.51","percent of total billed charges",,
"VANCOMYCIN TROUGH","80202","HCPCS","Both",,,"35.5","17.75","Caresource","Health Exchange","",,"62",,"22.01","12.99","27.51","percent of total billed charges",,
"VANCOMYCIN TROUGH","80202","HCPCS","Both",,,"35.5","17.75","Cigna","Commercial","",,"59",,"20.8","12.99","27.51","percent of total billed charges",,
"VANCOMYCIN TROUGH","80202","HCPCS","Both",,,"35.5","17.75","Humana","Commercial","",,"78",,"27.51","12.99","27.51","percent of total billed charges",,
"VANCOMYCIN TROUGH","80202","HCPCS","Both",,,"35.5","17.75","UHC","Commercial","",,"75",,"26.77","12.99","27.51","percent of total billed charges",,
"VANCOMYCIN TROUGH","80202","HCPCS","Both",,,"35.5","17.75","Medicaid",,"",,"37",,"12.99","12.99","27.51","percent of total billed charges",,
"COMPLEMENT C3","86160","HCPCS","Both",,,"43","21.5","Alliant","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C3","86160","HCPCS","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"23.22","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C3","86160","HCPCS","Both",,,"43","21.5","Medicare",,"",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C3","86160","HCPCS","Both",,,"43","21.5","Humana","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C3","86160","HCPCS","Both",,,"43","21.5","UHC","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C3","86160","HCPCS","Both",,,"43","21.5","Clover","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C3","86160","HCPCS","Both",,,"43","21.5","Wellcare","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C3","86160","HCPCS","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care","",,"37",,"15.74","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C3","86160","HCPCS","Both",,,"43","21.5","Caresource","Medicaid Managed Care","",,"40",,"17.2","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C3","86160","HCPCS","Both",,,"43","21.5","Wellcare","Medicaid Managed Care","",,"40",,"17.42","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C3","86160","HCPCS","Both",,,"43","21.5","Aetna","Commercial","",,"64",,"27.43","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C3","86160","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C3","86160","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","HMO","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C3","86160","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","PPO","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C3","86160","HCPCS","Both",,,"43","21.5","Ambetter","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C3","86160","HCPCS","Both",,,"43","21.5","Caresource","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C3","86160","HCPCS","Both",,,"43","21.5","Cigna","Commercial","",,"59",,"25.2","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C3","86160","HCPCS","Both",,,"43","21.5","Humana","Commercial","",,"78",,"33.33","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C3","86160","HCPCS","Both",,,"43","21.5","UHC","Commercial","",,"75",,"32.42","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C3","86160","HCPCS","Both",,,"43","21.5","Medicaid",,"",,"37",,"15.74","15.74","33.33","percent of total billed charges",,
"CARDIOLIPIN ANTIBODIES IGM, IGA, IGG","86147","HCPCS","Both",,,"219","109.5","Alliant","Health Exchange","",,"62",,"135.78","80.15","169.72","percent of total billed charges",,
"CARDIOLIPIN ANTIBODIES IGM, IGA, IGG","86147","HCPCS","Both",,,"219","109.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"118.26","80.15","169.72","percent of total billed charges",,
"CARDIOLIPIN ANTIBODIES IGM, IGA, IGG","86147","HCPCS","Both",,,"219","109.5","Medicare",,"",,"54",,"118.7","80.15","169.72","percent of total billed charges",,
"CARDIOLIPIN ANTIBODIES IGM, IGA, IGG","86147","HCPCS","Both",,,"219","109.5","Humana","Medicare Advantage","",,"54",,"118.7","80.15","169.72","percent of total billed charges",,
"CARDIOLIPIN ANTIBODIES IGM, IGA, IGG","86147","HCPCS","Both",,,"219","109.5","UHC","Medicare Advantage","",,"54",,"118.7","80.15","169.72","percent of total billed charges",,
"CARDIOLIPIN ANTIBODIES IGM, IGA, IGG","86147","HCPCS","Both",,,"219","109.5","Clover","Medicare Advantage","",,"54",,"118.7","80.15","169.72","percent of total billed charges",,
"CARDIOLIPIN ANTIBODIES IGM, IGA, IGG","86147","HCPCS","Both",,,"219","109.5","Wellcare","Medicare Advantage","",,"54",,"118.7","80.15","169.72","percent of total billed charges",,
"CARDIOLIPIN ANTIBODIES IGM, IGA, IGG","86147","HCPCS","Both",,,"219","109.5","Amerigroup","Medicaid Managed Care","",,"37",,"80.15","80.15","169.72","percent of total billed charges",,
"CARDIOLIPIN ANTIBODIES IGM, IGA, IGG","86147","HCPCS","Both",,,"219","109.5","Caresource","Medicaid Managed Care","",,"40",,"87.6","80.15","169.72","percent of total billed charges",,
"CARDIOLIPIN ANTIBODIES IGM, IGA, IGG","86147","HCPCS","Both",,,"219","109.5","Wellcare","Medicaid Managed Care","",,"40",,"88.7","80.15","169.72","percent of total billed charges",,
"CARDIOLIPIN ANTIBODIES IGM, IGA, IGG","86147","HCPCS","Both",,,"219","109.5","Aetna","Commercial","",,"64",,"139.72","80.15","169.72","percent of total billed charges",,
"CARDIOLIPIN ANTIBODIES IGM, IGA, IGG","86147","HCPCS","Both",,,"219","109.5","Blue Cross Blue Shield","Pathways","",,"71",,"154.61","80.15","169.72","percent of total billed charges",,
"CARDIOLIPIN ANTIBODIES IGM, IGA, IGG","86147","HCPCS","Both",,,"219","109.5","Blue Cross Blue Shield","HMO","",,"71",,"154.61","80.15","169.72","percent of total billed charges",,
"CARDIOLIPIN ANTIBODIES IGM, IGA, IGG","86147","HCPCS","Both",,,"219","109.5","Blue Cross Blue Shield","PPO","",,"71",,"154.61","80.15","169.72","percent of total billed charges",,
"CARDIOLIPIN ANTIBODIES IGM, IGA, IGG","86147","HCPCS","Both",,,"219","109.5","Ambetter","Health Exchange","",,"62",,"135.78","80.15","169.72","percent of total billed charges",,
"CARDIOLIPIN ANTIBODIES IGM, IGA, IGG","86147","HCPCS","Both",,,"219","109.5","Caresource","Health Exchange","",,"62",,"135.78","80.15","169.72","percent of total billed charges",,
"CARDIOLIPIN ANTIBODIES IGM, IGA, IGG","86147","HCPCS","Both",,,"219","109.5","Cigna","Commercial","",,"59",,"128.33","80.15","169.72","percent of total billed charges",,
"CARDIOLIPIN ANTIBODIES IGM, IGA, IGG","86147","HCPCS","Both",,,"219","109.5","Humana","Commercial","",,"78",,"169.72","80.15","169.72","percent of total billed charges",,
"CARDIOLIPIN ANTIBODIES IGM, IGA, IGG","86147","HCPCS","Both",,,"219","109.5","UHC","Commercial","",,"75",,"165.13","80.15","169.72","percent of total billed charges",,
"CARDIOLIPIN ANTIBODIES IGM, IGA, IGG","86147","HCPCS","Both",,,"219","109.5","Medicaid",,"",,"37",,"80.15","80.15","169.72","percent of total billed charges",,
"MYOGLOBIN SERUM","83874","HCPCS","Both",,,"93","46.5","Alliant","Health Exchange","",,"62",,"57.66","34.04","72.08","percent of total billed charges",,
"MYOGLOBIN SERUM","83874","HCPCS","Both",,,"93","46.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"50.22","34.04","72.08","percent of total billed charges",,
"MYOGLOBIN SERUM","83874","HCPCS","Both",,,"93","46.5","Medicare",,"",,"54",,"50.41","34.04","72.08","percent of total billed charges",,
"MYOGLOBIN SERUM","83874","HCPCS","Both",,,"93","46.5","Humana","Medicare Advantage","",,"54",,"50.41","34.04","72.08","percent of total billed charges",,
"MYOGLOBIN SERUM","83874","HCPCS","Both",,,"93","46.5","UHC","Medicare Advantage","",,"54",,"50.41","34.04","72.08","percent of total billed charges",,
"MYOGLOBIN SERUM","83874","HCPCS","Both",,,"93","46.5","Clover","Medicare Advantage","",,"54",,"50.41","34.04","72.08","percent of total billed charges",,
"MYOGLOBIN SERUM","83874","HCPCS","Both",,,"93","46.5","Wellcare","Medicare Advantage","",,"54",,"50.41","34.04","72.08","percent of total billed charges",,
"MYOGLOBIN SERUM","83874","HCPCS","Both",,,"93","46.5","Amerigroup","Medicaid Managed Care","",,"37",,"34.04","34.04","72.08","percent of total billed charges",,
"MYOGLOBIN SERUM","83874","HCPCS","Both",,,"93","46.5","Caresource","Medicaid Managed Care","",,"40",,"37.2","34.04","72.08","percent of total billed charges",,
"MYOGLOBIN SERUM","83874","HCPCS","Both",,,"93","46.5","Wellcare","Medicaid Managed Care","",,"40",,"37.66","34.04","72.08","percent of total billed charges",,
"MYOGLOBIN SERUM","83874","HCPCS","Both",,,"93","46.5","Aetna","Commercial","",,"64",,"59.33","34.04","72.08","percent of total billed charges",,
"MYOGLOBIN SERUM","83874","HCPCS","Both",,,"93","46.5","Blue Cross Blue Shield","Pathways","",,"71",,"65.66","34.04","72.08","percent of total billed charges",,
"MYOGLOBIN SERUM","83874","HCPCS","Both",,,"93","46.5","Blue Cross Blue Shield","HMO","",,"71",,"65.66","34.04","72.08","percent of total billed charges",,
"MYOGLOBIN SERUM","83874","HCPCS","Both",,,"93","46.5","Blue Cross Blue Shield","PPO","",,"71",,"65.66","34.04","72.08","percent of total billed charges",,
"MYOGLOBIN SERUM","83874","HCPCS","Both",,,"93","46.5","Ambetter","Health Exchange","",,"62",,"57.66","34.04","72.08","percent of total billed charges",,
"MYOGLOBIN SERUM","83874","HCPCS","Both",,,"93","46.5","Caresource","Health Exchange","",,"62",,"57.66","34.04","72.08","percent of total billed charges",,
"MYOGLOBIN SERUM","83874","HCPCS","Both",,,"93","46.5","Cigna","Commercial","",,"59",,"54.5","34.04","72.08","percent of total billed charges",,
"MYOGLOBIN SERUM","83874","HCPCS","Both",,,"93","46.5","Humana","Commercial","",,"78",,"72.08","34.04","72.08","percent of total billed charges",,
"MYOGLOBIN SERUM","83874","HCPCS","Both",,,"93","46.5","UHC","Commercial","",,"75",,"70.12","34.04","72.08","percent of total billed charges",,
"MYOGLOBIN SERUM","83874","HCPCS","Both",,,"93","46.5","Medicaid",,"",,"37",,"34.04","34.04","72.08","percent of total billed charges",,
"CAROTENE TOTAL","82380","HCPCS","Both",,,"66.5","33.25","Alliant","Health Exchange","",,"62",,"41.23","24.34","51.54","percent of total billed charges",,
"CAROTENE TOTAL","82380","HCPCS","Both",,,"66.5","33.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"35.91","24.34","51.54","percent of total billed charges",,
"CAROTENE TOTAL","82380","HCPCS","Both",,,"66.5","33.25","Medicare",,"",,"54",,"36.04","24.34","51.54","percent of total billed charges",,
"CAROTENE TOTAL","82380","HCPCS","Both",,,"66.5","33.25","Humana","Medicare Advantage","",,"54",,"36.04","24.34","51.54","percent of total billed charges",,
"CAROTENE TOTAL","82380","HCPCS","Both",,,"66.5","33.25","UHC","Medicare Advantage","",,"54",,"36.04","24.34","51.54","percent of total billed charges",,
"CAROTENE TOTAL","82380","HCPCS","Both",,,"66.5","33.25","Clover","Medicare Advantage","",,"54",,"36.04","24.34","51.54","percent of total billed charges",,
"CAROTENE TOTAL","82380","HCPCS","Both",,,"66.5","33.25","Wellcare","Medicare Advantage","",,"54",,"36.04","24.34","51.54","percent of total billed charges",,
"CAROTENE TOTAL","82380","HCPCS","Both",,,"66.5","33.25","Amerigroup","Medicaid Managed Care","",,"37",,"24.34","24.34","51.54","percent of total billed charges",,
"CAROTENE TOTAL","82380","HCPCS","Both",,,"66.5","33.25","Caresource","Medicaid Managed Care","",,"40",,"26.6","24.34","51.54","percent of total billed charges",,
"CAROTENE TOTAL","82380","HCPCS","Both",,,"66.5","33.25","Wellcare","Medicaid Managed Care","",,"40",,"26.93","24.34","51.54","percent of total billed charges",,
"CAROTENE TOTAL","82380","HCPCS","Both",,,"66.5","33.25","Aetna","Commercial","",,"64",,"42.43","24.34","51.54","percent of total billed charges",,
"CAROTENE TOTAL","82380","HCPCS","Both",,,"66.5","33.25","Blue Cross Blue Shield","Pathways","",,"71",,"46.95","24.34","51.54","percent of total billed charges",,
"CAROTENE TOTAL","82380","HCPCS","Both",,,"66.5","33.25","Blue Cross Blue Shield","HMO","",,"71",,"46.95","24.34","51.54","percent of total billed charges",,
"CAROTENE TOTAL","82380","HCPCS","Both",,,"66.5","33.25","Blue Cross Blue Shield","PPO","",,"71",,"46.95","24.34","51.54","percent of total billed charges",,
"CAROTENE TOTAL","82380","HCPCS","Both",,,"66.5","33.25","Ambetter","Health Exchange","",,"62",,"41.23","24.34","51.54","percent of total billed charges",,
"CAROTENE TOTAL","82380","HCPCS","Both",,,"66.5","33.25","Caresource","Health Exchange","",,"62",,"41.23","24.34","51.54","percent of total billed charges",,
"CAROTENE TOTAL","82380","HCPCS","Both",,,"66.5","33.25","Cigna","Commercial","",,"59",,"38.97","24.34","51.54","percent of total billed charges",,
"CAROTENE TOTAL","82380","HCPCS","Both",,,"66.5","33.25","Humana","Commercial","",,"78",,"51.54","24.34","51.54","percent of total billed charges",,
"CAROTENE TOTAL","82380","HCPCS","Both",,,"66.5","33.25","UHC","Commercial","",,"75",,"50.14","24.34","51.54","percent of total billed charges",,
"CAROTENE TOTAL","82380","HCPCS","Both",,,"66.5","33.25","Medicaid",,"",,"37",,"24.34","24.34","51.54","percent of total billed charges",,
"HLA B27","86812","HCPCS","Both",,,"185","92.5","Alliant","Health Exchange","",,"62",,"114.7","67.71","143.38","percent of total billed charges",,
"HLA B27","86812","HCPCS","Both",,,"185","92.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"99.9","67.71","143.38","percent of total billed charges",,
"HLA B27","86812","HCPCS","Both",,,"185","92.5","Medicare",,"",,"54",,"100.27","67.71","143.38","percent of total billed charges",,
"HLA B27","86812","HCPCS","Both",,,"185","92.5","Humana","Medicare Advantage","",,"54",,"100.27","67.71","143.38","percent of total billed charges",,
"HLA B27","86812","HCPCS","Both",,,"185","92.5","UHC","Medicare Advantage","",,"54",,"100.27","67.71","143.38","percent of total billed charges",,
"HLA B27","86812","HCPCS","Both",,,"185","92.5","Clover","Medicare Advantage","",,"54",,"100.27","67.71","143.38","percent of total billed charges",,
"HLA B27","86812","HCPCS","Both",,,"185","92.5","Wellcare","Medicare Advantage","",,"54",,"100.27","67.71","143.38","percent of total billed charges",,
"HLA B27","86812","HCPCS","Both",,,"185","92.5","Amerigroup","Medicaid Managed Care","",,"37",,"67.71","67.71","143.38","percent of total billed charges",,
"HLA B27","86812","HCPCS","Both",,,"185","92.5","Caresource","Medicaid Managed Care","",,"40",,"74","67.71","143.38","percent of total billed charges",,
"HLA B27","86812","HCPCS","Both",,,"185","92.5","Wellcare","Medicaid Managed Care","",,"40",,"74.93","67.71","143.38","percent of total billed charges",,
"HLA B27","86812","HCPCS","Both",,,"185","92.5","Aetna","Commercial","",,"64",,"118.03","67.71","143.38","percent of total billed charges",,
"HLA B27","86812","HCPCS","Both",,,"185","92.5","Blue Cross Blue Shield","Pathways","",,"71",,"130.61","67.71","143.38","percent of total billed charges",,
"HLA B27","86812","HCPCS","Both",,,"185","92.5","Blue Cross Blue Shield","HMO","",,"71",,"130.61","67.71","143.38","percent of total billed charges",,
"HLA B27","86812","HCPCS","Both",,,"185","92.5","Blue Cross Blue Shield","PPO","",,"71",,"130.61","67.71","143.38","percent of total billed charges",,
"HLA B27","86812","HCPCS","Both",,,"185","92.5","Ambetter","Health Exchange","",,"62",,"114.7","67.71","143.38","percent of total billed charges",,
"HLA B27","86812","HCPCS","Both",,,"185","92.5","Caresource","Health Exchange","",,"62",,"114.7","67.71","143.38","percent of total billed charges",,
"HLA B27","86812","HCPCS","Both",,,"185","92.5","Cigna","Commercial","",,"59",,"108.41","67.71","143.38","percent of total billed charges",,
"HLA B27","86812","HCPCS","Both",,,"185","92.5","Humana","Commercial","",,"78",,"143.38","67.71","143.38","percent of total billed charges",,
"HLA B27","86812","HCPCS","Both",,,"185","92.5","UHC","Commercial","",,"75",,"139.49","67.71","143.38","percent of total billed charges",,
"HLA B27","86812","HCPCS","Both",,,"185","92.5","Medicaid",,"",,"37",,"67.71","67.71","143.38","percent of total billed charges",,
"ESTRADIOL","82670","HCPCS","Both",,,"35","17.5","Alliant","Health Exchange","",,"62",,"21.7","12.81","27.12","percent of total billed charges",,
"ESTRADIOL","82670","HCPCS","Both",,,"35","17.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"18.9","12.81","27.12","percent of total billed charges",,
"ESTRADIOL","82670","HCPCS","Both",,,"35","17.5","Medicare",,"",,"54",,"18.97","12.81","27.12","percent of total billed charges",,
"ESTRADIOL","82670","HCPCS","Both",,,"35","17.5","Humana","Medicare Advantage","",,"54",,"18.97","12.81","27.12","percent of total billed charges",,
"ESTRADIOL","82670","HCPCS","Both",,,"35","17.5","UHC","Medicare Advantage","",,"54",,"18.97","12.81","27.12","percent of total billed charges",,
"ESTRADIOL","82670","HCPCS","Both",,,"35","17.5","Clover","Medicare Advantage","",,"54",,"18.97","12.81","27.12","percent of total billed charges",,
"ESTRADIOL","82670","HCPCS","Both",,,"35","17.5","Wellcare","Medicare Advantage","",,"54",,"18.97","12.81","27.12","percent of total billed charges",,
"ESTRADIOL","82670","HCPCS","Both",,,"35","17.5","Amerigroup","Medicaid Managed Care","",,"37",,"12.81","12.81","27.12","percent of total billed charges",,
"ESTRADIOL","82670","HCPCS","Both",,,"35","17.5","Caresource","Medicaid Managed Care","",,"40",,"14","12.81","27.12","percent of total billed charges",,
"ESTRADIOL","82670","HCPCS","Both",,,"35","17.5","Wellcare","Medicaid Managed Care","",,"40",,"14.18","12.81","27.12","percent of total billed charges",,
"ESTRADIOL","82670","HCPCS","Both",,,"35","17.5","Aetna","Commercial","",,"64",,"22.33","12.81","27.12","percent of total billed charges",,
"ESTRADIOL","82670","HCPCS","Both",,,"35","17.5","Blue Cross Blue Shield","Pathways","",,"71",,"24.71","12.81","27.12","percent of total billed charges",,
"ESTRADIOL","82670","HCPCS","Both",,,"35","17.5","Blue Cross Blue Shield","HMO","",,"71",,"24.71","12.81","27.12","percent of total billed charges",,
"ESTRADIOL","82670","HCPCS","Both",,,"35","17.5","Blue Cross Blue Shield","PPO","",,"71",,"24.71","12.81","27.12","percent of total billed charges",,
"ESTRADIOL","82670","HCPCS","Both",,,"35","17.5","Ambetter","Health Exchange","",,"62",,"21.7","12.81","27.12","percent of total billed charges",,
"ESTRADIOL","82670","HCPCS","Both",,,"35","17.5","Caresource","Health Exchange","",,"62",,"21.7","12.81","27.12","percent of total billed charges",,
"ESTRADIOL","82670","HCPCS","Both",,,"35","17.5","Cigna","Commercial","",,"59",,"20.51","12.81","27.12","percent of total billed charges",,
"ESTRADIOL","82670","HCPCS","Both",,,"35","17.5","Humana","Commercial","",,"78",,"27.12","12.81","27.12","percent of total billed charges",,
"ESTRADIOL","82670","HCPCS","Both",,,"35","17.5","UHC","Commercial","",,"75",,"26.39","12.81","27.12","percent of total billed charges",,
"ESTRADIOL","82670","HCPCS","Both",,,"35","17.5","Medicaid",,"",,"37",,"12.81","12.81","27.12","percent of total billed charges",,
"PARIETAL CELL  AUTOANTIBODY","86255","HCPCS","Both",,,"87","43.5","Alliant","Health Exchange","",,"62",,"53.94","31.84","67.42","percent of total billed charges",,
"PARIETAL CELL  AUTOANTIBODY","86255","HCPCS","Both",,,"87","43.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"46.98","31.84","67.42","percent of total billed charges",,
"PARIETAL CELL  AUTOANTIBODY","86255","HCPCS","Both",,,"87","43.5","Medicare",,"",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"PARIETAL CELL  AUTOANTIBODY","86255","HCPCS","Both",,,"87","43.5","Humana","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"PARIETAL CELL  AUTOANTIBODY","86255","HCPCS","Both",,,"87","43.5","UHC","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"PARIETAL CELL  AUTOANTIBODY","86255","HCPCS","Both",,,"87","43.5","Clover","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"PARIETAL CELL  AUTOANTIBODY","86255","HCPCS","Both",,,"87","43.5","Wellcare","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"PARIETAL CELL  AUTOANTIBODY","86255","HCPCS","Both",,,"87","43.5","Amerigroup","Medicaid Managed Care","",,"37",,"31.84","31.84","67.42","percent of total billed charges",,
"PARIETAL CELL  AUTOANTIBODY","86255","HCPCS","Both",,,"87","43.5","Caresource","Medicaid Managed Care","",,"40",,"34.8","31.84","67.42","percent of total billed charges",,
"PARIETAL CELL  AUTOANTIBODY","86255","HCPCS","Both",,,"87","43.5","Wellcare","Medicaid Managed Care","",,"40",,"35.24","31.84","67.42","percent of total billed charges",,
"PARIETAL CELL  AUTOANTIBODY","86255","HCPCS","Both",,,"87","43.5","Aetna","Commercial","",,"64",,"55.51","31.84","67.42","percent of total billed charges",,
"PARIETAL CELL  AUTOANTIBODY","86255","HCPCS","Both",,,"87","43.5","Blue Cross Blue Shield","Pathways","",,"71",,"61.42","31.84","67.42","percent of total billed charges",,
"PARIETAL CELL  AUTOANTIBODY","86255","HCPCS","Both",,,"87","43.5","Blue Cross Blue Shield","HMO","",,"71",,"61.42","31.84","67.42","percent of total billed charges",,
"PARIETAL CELL  AUTOANTIBODY","86255","HCPCS","Both",,,"87","43.5","Blue Cross Blue Shield","PPO","",,"71",,"61.42","31.84","67.42","percent of total billed charges",,
"PARIETAL CELL  AUTOANTIBODY","86255","HCPCS","Both",,,"87","43.5","Ambetter","Health Exchange","",,"62",,"53.94","31.84","67.42","percent of total billed charges",,
"PARIETAL CELL  AUTOANTIBODY","86255","HCPCS","Both",,,"87","43.5","Caresource","Health Exchange","",,"62",,"53.94","31.84","67.42","percent of total billed charges",,
"PARIETAL CELL  AUTOANTIBODY","86255","HCPCS","Both",,,"87","43.5","Cigna","Commercial","",,"59",,"50.98","31.84","67.42","percent of total billed charges",,
"PARIETAL CELL  AUTOANTIBODY","86255","HCPCS","Both",,,"87","43.5","Humana","Commercial","",,"78",,"67.42","31.84","67.42","percent of total billed charges",,
"PARIETAL CELL  AUTOANTIBODY","86255","HCPCS","Both",,,"87","43.5","UHC","Commercial","",,"75",,"65.6","31.84","67.42","percent of total billed charges",,
"PARIETAL CELL  AUTOANTIBODY","86255","HCPCS","Both",,,"87","43.5","Medicaid",,"",,"37",,"31.84","31.84","67.42","percent of total billed charges",,
"C-PEPTIDE","84681","HCPCS","Both",,,"26","13","Alliant","Health Exchange","",,"62",,"16.12","9.52","20.15","percent of total billed charges",,
"C-PEPTIDE","84681","HCPCS","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage","",,"54",,"14.04","9.52","20.15","percent of total billed charges",,
"C-PEPTIDE","84681","HCPCS","Both",,,"26","13","Medicare",,"",,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"C-PEPTIDE","84681","HCPCS","Both",,,"26","13","Humana","Medicare Advantage","",,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"C-PEPTIDE","84681","HCPCS","Both",,,"26","13","UHC","Medicare Advantage","",,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"C-PEPTIDE","84681","HCPCS","Both",,,"26","13","Clover","Medicare Advantage","",,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"C-PEPTIDE","84681","HCPCS","Both",,,"26","13","Wellcare","Medicare Advantage","",,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"C-PEPTIDE","84681","HCPCS","Both",,,"26","13","Amerigroup","Medicaid Managed Care","",,"37",,"9.52","9.52","20.15","percent of total billed charges",,
"C-PEPTIDE","84681","HCPCS","Both",,,"26","13","Caresource","Medicaid Managed Care","",,"40",,"10.4","9.52","20.15","percent of total billed charges",,
"C-PEPTIDE","84681","HCPCS","Both",,,"26","13","Wellcare","Medicaid Managed Care","",,"40",,"10.53","9.52","20.15","percent of total billed charges",,
"C-PEPTIDE","84681","HCPCS","Both",,,"26","13","Aetna","Commercial","",,"64",,"16.59","9.52","20.15","percent of total billed charges",,
"C-PEPTIDE","84681","HCPCS","Both",,,"26","13","Blue Cross Blue Shield","Pathways","",,"71",,"18.36","9.52","20.15","percent of total billed charges",,
"C-PEPTIDE","84681","HCPCS","Both",,,"26","13","Blue Cross Blue Shield","HMO","",,"71",,"18.36","9.52","20.15","percent of total billed charges",,
"C-PEPTIDE","84681","HCPCS","Both",,,"26","13","Blue Cross Blue Shield","PPO","",,"71",,"18.36","9.52","20.15","percent of total billed charges",,
"C-PEPTIDE","84681","HCPCS","Both",,,"26","13","Ambetter","Health Exchange","",,"62",,"16.12","9.52","20.15","percent of total billed charges",,
"C-PEPTIDE","84681","HCPCS","Both",,,"26","13","Caresource","Health Exchange","",,"62",,"16.12","9.52","20.15","percent of total billed charges",,
"C-PEPTIDE","84681","HCPCS","Both",,,"26","13","Cigna","Commercial","",,"59",,"15.24","9.52","20.15","percent of total billed charges",,
"C-PEPTIDE","84681","HCPCS","Both",,,"26","13","Humana","Commercial","",,"78",,"20.15","9.52","20.15","percent of total billed charges",,
"C-PEPTIDE","84681","HCPCS","Both",,,"26","13","UHC","Commercial","",,"75",,"19.6","9.52","20.15","percent of total billed charges",,
"C-PEPTIDE","84681","HCPCS","Both",,,"26","13","Medicaid",,"",,"37",,"9.52","9.52","20.15","percent of total billed charges",,
"ALKALINE PHOSPHATASE ISOENZYMES","84080","HCPCS","Both",,,"64.5","32.25","Alliant","Health Exchange","",,"62",,"39.99","23.61","49.99","percent of total billed charges",,
"ALKALINE PHOSPHATASE ISOENZYMES","84080","HCPCS","Both",,,"64.5","32.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"34.83","23.61","49.99","percent of total billed charges",,
"ALKALINE PHOSPHATASE ISOENZYMES","84080","HCPCS","Both",,,"64.5","32.25","Medicare",,"",,"54",,"34.96","23.61","49.99","percent of total billed charges",,
"ALKALINE PHOSPHATASE ISOENZYMES","84080","HCPCS","Both",,,"64.5","32.25","Humana","Medicare Advantage","",,"54",,"34.96","23.61","49.99","percent of total billed charges",,
"ALKALINE PHOSPHATASE ISOENZYMES","84080","HCPCS","Both",,,"64.5","32.25","UHC","Medicare Advantage","",,"54",,"34.96","23.61","49.99","percent of total billed charges",,
"ALKALINE PHOSPHATASE ISOENZYMES","84080","HCPCS","Both",,,"64.5","32.25","Clover","Medicare Advantage","",,"54",,"34.96","23.61","49.99","percent of total billed charges",,
"ALKALINE PHOSPHATASE ISOENZYMES","84080","HCPCS","Both",,,"64.5","32.25","Wellcare","Medicare Advantage","",,"54",,"34.96","23.61","49.99","percent of total billed charges",,
"ALKALINE PHOSPHATASE ISOENZYMES","84080","HCPCS","Both",,,"64.5","32.25","Amerigroup","Medicaid Managed Care","",,"37",,"23.61","23.61","49.99","percent of total billed charges",,
"ALKALINE PHOSPHATASE ISOENZYMES","84080","HCPCS","Both",,,"64.5","32.25","Caresource","Medicaid Managed Care","",,"40",,"25.8","23.61","49.99","percent of total billed charges",,
"ALKALINE PHOSPHATASE ISOENZYMES","84080","HCPCS","Both",,,"64.5","32.25","Wellcare","Medicaid Managed Care","",,"40",,"26.12","23.61","49.99","percent of total billed charges",,
"ALKALINE PHOSPHATASE ISOENZYMES","84080","HCPCS","Both",,,"64.5","32.25","Aetna","Commercial","",,"64",,"41.15","23.61","49.99","percent of total billed charges",,
"ALKALINE PHOSPHATASE ISOENZYMES","84080","HCPCS","Both",,,"64.5","32.25","Blue Cross Blue Shield","Pathways","",,"71",,"45.54","23.61","49.99","percent of total billed charges",,
"ALKALINE PHOSPHATASE ISOENZYMES","84080","HCPCS","Both",,,"64.5","32.25","Blue Cross Blue Shield","HMO","",,"71",,"45.54","23.61","49.99","percent of total billed charges",,
"ALKALINE PHOSPHATASE ISOENZYMES","84080","HCPCS","Both",,,"64.5","32.25","Blue Cross Blue Shield","PPO","",,"71",,"45.54","23.61","49.99","percent of total billed charges",,
"ALKALINE PHOSPHATASE ISOENZYMES","84080","HCPCS","Both",,,"64.5","32.25","Ambetter","Health Exchange","",,"62",,"39.99","23.61","49.99","percent of total billed charges",,
"ALKALINE PHOSPHATASE ISOENZYMES","84080","HCPCS","Both",,,"64.5","32.25","Caresource","Health Exchange","",,"62",,"39.99","23.61","49.99","percent of total billed charges",,
"ALKALINE PHOSPHATASE ISOENZYMES","84080","HCPCS","Both",,,"64.5","32.25","Cigna","Commercial","",,"59",,"37.8","23.61","49.99","percent of total billed charges",,
"ALKALINE PHOSPHATASE ISOENZYMES","84080","HCPCS","Both",,,"64.5","32.25","Humana","Commercial","",,"78",,"49.99","23.61","49.99","percent of total billed charges",,
"ALKALINE PHOSPHATASE ISOENZYMES","84080","HCPCS","Both",,,"64.5","32.25","UHC","Commercial","",,"75",,"48.63","23.61","49.99","percent of total billed charges",,
"ALKALINE PHOSPHATASE ISOENZYMES","84080","HCPCS","Both",,,"64.5","32.25","Medicaid",,"",,"37",,"23.61","23.61","49.99","percent of total billed charges",,
"CYTOLOGY NON-GYN","88112","HCPCS","Both",,,"49","24.5","Alliant","Health Exchange","",,"62",,"30.38","17.93","37.98","percent of total billed charges",,
"CYTOLOGY NON-GYN","88112","HCPCS","Both",,,"49","24.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"26.46","17.93","37.98","percent of total billed charges",,
"CYTOLOGY NON-GYN","88112","HCPCS","Both",,,"49","24.5","Medicare",,"",,"54",,"26.56","17.93","37.98","percent of total billed charges",,
"CYTOLOGY NON-GYN","88112","HCPCS","Both",,,"49","24.5","Humana","Medicare Advantage","",,"54",,"26.56","17.93","37.98","percent of total billed charges",,
"CYTOLOGY NON-GYN","88112","HCPCS","Both",,,"49","24.5","UHC","Medicare Advantage","",,"54",,"26.56","17.93","37.98","percent of total billed charges",,
"CYTOLOGY NON-GYN","88112","HCPCS","Both",,,"49","24.5","Clover","Medicare Advantage","",,"54",,"26.56","17.93","37.98","percent of total billed charges",,
"CYTOLOGY NON-GYN","88112","HCPCS","Both",,,"49","24.5","Wellcare","Medicare Advantage","",,"54",,"26.56","17.93","37.98","percent of total billed charges",,
"CYTOLOGY NON-GYN","88112","HCPCS","Both",,,"49","24.5","Amerigroup","Medicaid Managed Care","",,"37",,"17.93","17.93","37.98","percent of total billed charges",,
"CYTOLOGY NON-GYN","88112","HCPCS","Both",,,"49","24.5","Caresource","Medicaid Managed Care","",,"40",,"19.6","17.93","37.98","percent of total billed charges",,
"CYTOLOGY NON-GYN","88112","HCPCS","Both",,,"49","24.5","Wellcare","Medicaid Managed Care","",,"40",,"19.85","17.93","37.98","percent of total billed charges",,
"CYTOLOGY NON-GYN","88112","HCPCS","Both",,,"49","24.5","Aetna","Commercial","",,"64",,"31.26","17.93","37.98","percent of total billed charges",,
"CYTOLOGY NON-GYN","88112","HCPCS","Both",,,"49","24.5","Blue Cross Blue Shield","Pathways","",,"71",,"34.59","17.93","37.98","percent of total billed charges",,
"CYTOLOGY NON-GYN","88112","HCPCS","Both",,,"49","24.5","Blue Cross Blue Shield","HMO","",,"71",,"34.59","17.93","37.98","percent of total billed charges",,
"CYTOLOGY NON-GYN","88112","HCPCS","Both",,,"49","24.5","Blue Cross Blue Shield","PPO","",,"71",,"34.59","17.93","37.98","percent of total billed charges",,
"CYTOLOGY NON-GYN","88112","HCPCS","Both",,,"49","24.5","Ambetter","Health Exchange","",,"62",,"30.38","17.93","37.98","percent of total billed charges",,
"CYTOLOGY NON-GYN","88112","HCPCS","Both",,,"49","24.5","Caresource","Health Exchange","",,"62",,"30.38","17.93","37.98","percent of total billed charges",,
"CYTOLOGY NON-GYN","88112","HCPCS","Both",,,"49","24.5","Cigna","Commercial","",,"59",,"28.71","17.93","37.98","percent of total billed charges",,
"CYTOLOGY NON-GYN","88112","HCPCS","Both",,,"49","24.5","Humana","Commercial","",,"78",,"37.98","17.93","37.98","percent of total billed charges",,
"CYTOLOGY NON-GYN","88112","HCPCS","Both",,,"49","24.5","UHC","Commercial","",,"75",,"36.95","17.93","37.98","percent of total billed charges",,
"CYTOLOGY NON-GYN","88112","HCPCS","Both",,,"49","24.5","Medicaid",,"",,"37",,"17.93","17.93","37.98","percent of total billed charges",,
"CANCER ANTIGEN 15-3","86300","HCPCS","Both",,,"149","74.5","Alliant","Health Exchange","",,"62",,"92.38","54.53","115.48","percent of total billed charges",,
"CANCER ANTIGEN 15-3","86300","HCPCS","Both",,,"149","74.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"80.46","54.53","115.48","percent of total billed charges",,
"CANCER ANTIGEN 15-3","86300","HCPCS","Both",,,"149","74.5","Medicare",,"",,"54",,"80.76","54.53","115.48","percent of total billed charges",,
"CANCER ANTIGEN 15-3","86300","HCPCS","Both",,,"149","74.5","Humana","Medicare Advantage","",,"54",,"80.76","54.53","115.48","percent of total billed charges",,
"CANCER ANTIGEN 15-3","86300","HCPCS","Both",,,"149","74.5","UHC","Medicare Advantage","",,"54",,"80.76","54.53","115.48","percent of total billed charges",,
"CANCER ANTIGEN 15-3","86300","HCPCS","Both",,,"149","74.5","Clover","Medicare Advantage","",,"54",,"80.76","54.53","115.48","percent of total billed charges",,
"CANCER ANTIGEN 15-3","86300","HCPCS","Both",,,"149","74.5","Wellcare","Medicare Advantage","",,"54",,"80.76","54.53","115.48","percent of total billed charges",,
"CANCER ANTIGEN 15-3","86300","HCPCS","Both",,,"149","74.5","Amerigroup","Medicaid Managed Care","",,"37",,"54.53","54.53","115.48","percent of total billed charges",,
"CANCER ANTIGEN 15-3","86300","HCPCS","Both",,,"149","74.5","Caresource","Medicaid Managed Care","",,"40",,"59.6","54.53","115.48","percent of total billed charges",,
"CANCER ANTIGEN 15-3","86300","HCPCS","Both",,,"149","74.5","Wellcare","Medicaid Managed Care","",,"40",,"60.35","54.53","115.48","percent of total billed charges",,
"CANCER ANTIGEN 15-3","86300","HCPCS","Both",,,"149","74.5","Aetna","Commercial","",,"64",,"95.06","54.53","115.48","percent of total billed charges",,
"CANCER ANTIGEN 15-3","86300","HCPCS","Both",,,"149","74.5","Blue Cross Blue Shield","Pathways","",,"71",,"105.19","54.53","115.48","percent of total billed charges",,
"CANCER ANTIGEN 15-3","86300","HCPCS","Both",,,"149","74.5","Blue Cross Blue Shield","HMO","",,"71",,"105.19","54.53","115.48","percent of total billed charges",,
"CANCER ANTIGEN 15-3","86300","HCPCS","Both",,,"149","74.5","Blue Cross Blue Shield","PPO","",,"71",,"105.19","54.53","115.48","percent of total billed charges",,
"CANCER ANTIGEN 15-3","86300","HCPCS","Both",,,"149","74.5","Ambetter","Health Exchange","",,"62",,"92.38","54.53","115.48","percent of total billed charges",,
"CANCER ANTIGEN 15-3","86300","HCPCS","Both",,,"149","74.5","Caresource","Health Exchange","",,"62",,"92.38","54.53","115.48","percent of total billed charges",,
"CANCER ANTIGEN 15-3","86300","HCPCS","Both",,,"149","74.5","Cigna","Commercial","",,"59",,"87.31","54.53","115.48","percent of total billed charges",,
"CANCER ANTIGEN 15-3","86300","HCPCS","Both",,,"149","74.5","Humana","Commercial","",,"78",,"115.48","54.53","115.48","percent of total billed charges",,
"CANCER ANTIGEN 15-3","86300","HCPCS","Both",,,"149","74.5","UHC","Commercial","",,"75",,"112.35","54.53","115.48","percent of total billed charges",,
"CANCER ANTIGEN 15-3","86300","HCPCS","Both",,,"149","74.5","Medicaid",,"",,"37",,"54.53","54.53","115.48","percent of total billed charges",,
"DEOXYCORTISOL, 11- QUANT","82634","HCPCS","Both",,,"210.5","105.25","Alliant","Health Exchange","",,"62",,"130.51","77.04","163.14","percent of total billed charges",,
"DEOXYCORTISOL, 11- QUANT","82634","HCPCS","Both",,,"210.5","105.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"113.67","77.04","163.14","percent of total billed charges",,
"DEOXYCORTISOL, 11- QUANT","82634","HCPCS","Both",,,"210.5","105.25","Medicare",,"",,"54",,"114.09","77.04","163.14","percent of total billed charges",,
"DEOXYCORTISOL, 11- QUANT","82634","HCPCS","Both",,,"210.5","105.25","Humana","Medicare Advantage","",,"54",,"114.09","77.04","163.14","percent of total billed charges",,
"DEOXYCORTISOL, 11- QUANT","82634","HCPCS","Both",,,"210.5","105.25","UHC","Medicare Advantage","",,"54",,"114.09","77.04","163.14","percent of total billed charges",,
"DEOXYCORTISOL, 11- QUANT","82634","HCPCS","Both",,,"210.5","105.25","Clover","Medicare Advantage","",,"54",,"114.09","77.04","163.14","percent of total billed charges",,
"DEOXYCORTISOL, 11- QUANT","82634","HCPCS","Both",,,"210.5","105.25","Wellcare","Medicare Advantage","",,"54",,"114.09","77.04","163.14","percent of total billed charges",,
"DEOXYCORTISOL, 11- QUANT","82634","HCPCS","Both",,,"210.5","105.25","Amerigroup","Medicaid Managed Care","",,"37",,"77.04","77.04","163.14","percent of total billed charges",,
"DEOXYCORTISOL, 11- QUANT","82634","HCPCS","Both",,,"210.5","105.25","Caresource","Medicaid Managed Care","",,"40",,"84.2","77.04","163.14","percent of total billed charges",,
"DEOXYCORTISOL, 11- QUANT","82634","HCPCS","Both",,,"210.5","105.25","Wellcare","Medicaid Managed Care","",,"40",,"85.25","77.04","163.14","percent of total billed charges",,
"DEOXYCORTISOL, 11- QUANT","82634","HCPCS","Both",,,"210.5","105.25","Aetna","Commercial","",,"64",,"134.3","77.04","163.14","percent of total billed charges",,
"DEOXYCORTISOL, 11- QUANT","82634","HCPCS","Both",,,"210.5","105.25","Blue Cross Blue Shield","Pathways","",,"71",,"148.61","77.04","163.14","percent of total billed charges",,
"DEOXYCORTISOL, 11- QUANT","82634","HCPCS","Both",,,"210.5","105.25","Blue Cross Blue Shield","HMO","",,"71",,"148.61","77.04","163.14","percent of total billed charges",,
"DEOXYCORTISOL, 11- QUANT","82634","HCPCS","Both",,,"210.5","105.25","Blue Cross Blue Shield","PPO","",,"71",,"148.61","77.04","163.14","percent of total billed charges",,
"DEOXYCORTISOL, 11- QUANT","82634","HCPCS","Both",,,"210.5","105.25","Ambetter","Health Exchange","",,"62",,"130.51","77.04","163.14","percent of total billed charges",,
"DEOXYCORTISOL, 11- QUANT","82634","HCPCS","Both",,,"210.5","105.25","Caresource","Health Exchange","",,"62",,"130.51","77.04","163.14","percent of total billed charges",,
"DEOXYCORTISOL, 11- QUANT","82634","HCPCS","Both",,,"210.5","105.25","Cigna","Commercial","",,"59",,"123.35","77.04","163.14","percent of total billed charges",,
"DEOXYCORTISOL, 11- QUANT","82634","HCPCS","Both",,,"210.5","105.25","Humana","Commercial","",,"78",,"163.14","77.04","163.14","percent of total billed charges",,
"DEOXYCORTISOL, 11- QUANT","82634","HCPCS","Both",,,"210.5","105.25","UHC","Commercial","",,"75",,"158.72","77.04","163.14","percent of total billed charges",,
"DEOXYCORTISOL, 11- QUANT","82634","HCPCS","Both",,,"210.5","105.25","Medicaid",,"",,"37",,"77.04","77.04","163.14","percent of total billed charges",,
"WET MOUNT","87210","HCPCS","Both",,,"17.5","8.75","Alliant","Health Exchange","",,"62",,"10.85","6.4","13.56","percent of total billed charges",,
"WET MOUNT","87210","HCPCS","Both",,,"17.5","8.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"9.45","6.4","13.56","percent of total billed charges",,
"WET MOUNT","87210","HCPCS","Both",,,"17.5","8.75","Medicare",,"",,"54",,"9.49","6.4","13.56","percent of total billed charges",,
"WET MOUNT","87210","HCPCS","Both",,,"17.5","8.75","Humana","Medicare Advantage","",,"54",,"9.49","6.4","13.56","percent of total billed charges",,
"WET MOUNT","87210","HCPCS","Both",,,"17.5","8.75","UHC","Medicare Advantage","",,"54",,"9.49","6.4","13.56","percent of total billed charges",,
"WET MOUNT","87210","HCPCS","Both",,,"17.5","8.75","Clover","Medicare Advantage","",,"54",,"9.49","6.4","13.56","percent of total billed charges",,
"WET MOUNT","87210","HCPCS","Both",,,"17.5","8.75","Wellcare","Medicare Advantage","",,"54",,"9.49","6.4","13.56","percent of total billed charges",,
"WET MOUNT","87210","HCPCS","Both",,,"17.5","8.75","Amerigroup","Medicaid Managed Care","",,"37",,"6.4","6.4","13.56","percent of total billed charges",,
"WET MOUNT","87210","HCPCS","Both",,,"17.5","8.75","Caresource","Medicaid Managed Care","",,"40",,"7","6.4","13.56","percent of total billed charges",,
"WET MOUNT","87210","HCPCS","Both",,,"17.5","8.75","Wellcare","Medicaid Managed Care","",,"40",,"7.09","6.4","13.56","percent of total billed charges",,
"WET MOUNT","87210","HCPCS","Both",,,"17.5","8.75","Aetna","Commercial","",,"64",,"11.16","6.4","13.56","percent of total billed charges",,
"WET MOUNT","87210","HCPCS","Both",,,"17.5","8.75","Blue Cross Blue Shield","Pathways","",,"71",,"12.35","6.4","13.56","percent of total billed charges",,
"WET MOUNT","87210","HCPCS","Both",,,"17.5","8.75","Blue Cross Blue Shield","HMO","",,"71",,"12.35","6.4","13.56","percent of total billed charges",,
"WET MOUNT","87210","HCPCS","Both",,,"17.5","8.75","Blue Cross Blue Shield","PPO","",,"71",,"12.35","6.4","13.56","percent of total billed charges",,
"WET MOUNT","87210","HCPCS","Both",,,"17.5","8.75","Ambetter","Health Exchange","",,"62",,"10.85","6.4","13.56","percent of total billed charges",,
"WET MOUNT","87210","HCPCS","Both",,,"17.5","8.75","Caresource","Health Exchange","",,"62",,"10.85","6.4","13.56","percent of total billed charges",,
"WET MOUNT","87210","HCPCS","Both",,,"17.5","8.75","Cigna","Commercial","",,"59",,"10.26","6.4","13.56","percent of total billed charges",,
"WET MOUNT","87210","HCPCS","Both",,,"17.5","8.75","Humana","Commercial","",,"78",,"13.56","6.4","13.56","percent of total billed charges",,
"WET MOUNT","87210","HCPCS","Both",,,"17.5","8.75","UHC","Commercial","",,"75",,"13.2","6.4","13.56","percent of total billed charges",,
"WET MOUNT","87210","HCPCS","Both",,,"17.5","8.75","Medicaid",,"",,"37",,"6.4","6.4","13.56","percent of total billed charges",,
"ALBUMIN; URINE, QUANTITATIVE","82042","HCPCS","Both",,,"38","19","Alliant","Health Exchange","",,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"ALBUMIN; URINE, QUANTITATIVE","82042","HCPCS","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage","",,"54",,"20.52","13.91","29.45","percent of total billed charges",,
"ALBUMIN; URINE, QUANTITATIVE","82042","HCPCS","Both",,,"38","19","Medicare",,"",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"ALBUMIN; URINE, QUANTITATIVE","82042","HCPCS","Both",,,"38","19","Humana","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"ALBUMIN; URINE, QUANTITATIVE","82042","HCPCS","Both",,,"38","19","UHC","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"ALBUMIN; URINE, QUANTITATIVE","82042","HCPCS","Both",,,"38","19","Clover","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"ALBUMIN; URINE, QUANTITATIVE","82042","HCPCS","Both",,,"38","19","Wellcare","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"ALBUMIN; URINE, QUANTITATIVE","82042","HCPCS","Both",,,"38","19","Amerigroup","Medicaid Managed Care","",,"37",,"13.91","13.91","29.45","percent of total billed charges",,
"ALBUMIN; URINE, QUANTITATIVE","82042","HCPCS","Both",,,"38","19","Caresource","Medicaid Managed Care","",,"40",,"15.2","13.91","29.45","percent of total billed charges",,
"ALBUMIN; URINE, QUANTITATIVE","82042","HCPCS","Both",,,"38","19","Wellcare","Medicaid Managed Care","",,"40",,"15.39","13.91","29.45","percent of total billed charges",,
"ALBUMIN; URINE, QUANTITATIVE","82042","HCPCS","Both",,,"38","19","Aetna","Commercial","",,"64",,"24.24","13.91","29.45","percent of total billed charges",,
"ALBUMIN; URINE, QUANTITATIVE","82042","HCPCS","Both",,,"38","19","Blue Cross Blue Shield","Pathways","",,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"ALBUMIN; URINE, QUANTITATIVE","82042","HCPCS","Both",,,"38","19","Blue Cross Blue Shield","HMO","",,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"ALBUMIN; URINE, QUANTITATIVE","82042","HCPCS","Both",,,"38","19","Blue Cross Blue Shield","PPO","",,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"ALBUMIN; URINE, QUANTITATIVE","82042","HCPCS","Both",,,"38","19","Ambetter","Health Exchange","",,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"ALBUMIN; URINE, QUANTITATIVE","82042","HCPCS","Both",,,"38","19","Caresource","Health Exchange","",,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"ALBUMIN; URINE, QUANTITATIVE","82042","HCPCS","Both",,,"38","19","Cigna","Commercial","",,"59",,"22.27","13.91","29.45","percent of total billed charges",,
"ALBUMIN; URINE, QUANTITATIVE","82042","HCPCS","Both",,,"38","19","Humana","Commercial","",,"78",,"29.45","13.91","29.45","percent of total billed charges",,
"ALBUMIN; URINE, QUANTITATIVE","82042","HCPCS","Both",,,"38","19","UHC","Commercial","",,"75",,"28.65","13.91","29.45","percent of total billed charges",,
"ALBUMIN; URINE, QUANTITATIVE","82042","HCPCS","Both",,,"38","19","Medicaid",,"",,"37",,"13.91","13.91","29.45","percent of total billed charges",,
"ROTAVIRUS (ANTIGEN)","87425","HCPCS","Both",,,"86","43","Alliant","Health Exchange","",,"62",,"53.32","31.48","66.65","percent of total billed charges",,
"ROTAVIRUS (ANTIGEN)","87425","HCPCS","Both",,,"86","43","Pruitt Healthcare","Medicare Advantage","",,"54",,"46.44","31.48","66.65","percent of total billed charges",,
"ROTAVIRUS (ANTIGEN)","87425","HCPCS","Both",,,"86","43","Medicare",,"",,"54",,"46.61","31.48","66.65","percent of total billed charges",,
"ROTAVIRUS (ANTIGEN)","87425","HCPCS","Both",,,"86","43","Humana","Medicare Advantage","",,"54",,"46.61","31.48","66.65","percent of total billed charges",,
"ROTAVIRUS (ANTIGEN)","87425","HCPCS","Both",,,"86","43","UHC","Medicare Advantage","",,"54",,"46.61","31.48","66.65","percent of total billed charges",,
"ROTAVIRUS (ANTIGEN)","87425","HCPCS","Both",,,"86","43","Clover","Medicare Advantage","",,"54",,"46.61","31.48","66.65","percent of total billed charges",,
"ROTAVIRUS (ANTIGEN)","87425","HCPCS","Both",,,"86","43","Wellcare","Medicare Advantage","",,"54",,"46.61","31.48","66.65","percent of total billed charges",,
"ROTAVIRUS (ANTIGEN)","87425","HCPCS","Both",,,"86","43","Amerigroup","Medicaid Managed Care","",,"37",,"31.48","31.48","66.65","percent of total billed charges",,
"ROTAVIRUS (ANTIGEN)","87425","HCPCS","Both",,,"86","43","Caresource","Medicaid Managed Care","",,"40",,"34.4","31.48","66.65","percent of total billed charges",,
"ROTAVIRUS (ANTIGEN)","87425","HCPCS","Both",,,"86","43","Wellcare","Medicaid Managed Care","",,"40",,"34.83","31.48","66.65","percent of total billed charges",,
"ROTAVIRUS (ANTIGEN)","87425","HCPCS","Both",,,"86","43","Aetna","Commercial","",,"64",,"54.87","31.48","66.65","percent of total billed charges",,
"ROTAVIRUS (ANTIGEN)","87425","HCPCS","Both",,,"86","43","Blue Cross Blue Shield","Pathways","",,"71",,"60.72","31.48","66.65","percent of total billed charges",,
"ROTAVIRUS (ANTIGEN)","87425","HCPCS","Both",,,"86","43","Blue Cross Blue Shield","HMO","",,"71",,"60.72","31.48","66.65","percent of total billed charges",,
"ROTAVIRUS (ANTIGEN)","87425","HCPCS","Both",,,"86","43","Blue Cross Blue Shield","PPO","",,"71",,"60.72","31.48","66.65","percent of total billed charges",,
"ROTAVIRUS (ANTIGEN)","87425","HCPCS","Both",,,"86","43","Ambetter","Health Exchange","",,"62",,"53.32","31.48","66.65","percent of total billed charges",,
"ROTAVIRUS (ANTIGEN)","87425","HCPCS","Both",,,"86","43","Caresource","Health Exchange","",,"62",,"53.32","31.48","66.65","percent of total billed charges",,
"ROTAVIRUS (ANTIGEN)","87425","HCPCS","Both",,,"86","43","Cigna","Commercial","",,"59",,"50.4","31.48","66.65","percent of total billed charges",,
"ROTAVIRUS (ANTIGEN)","87425","HCPCS","Both",,,"86","43","Humana","Commercial","",,"78",,"66.65","31.48","66.65","percent of total billed charges",,
"ROTAVIRUS (ANTIGEN)","87425","HCPCS","Both",,,"86","43","UHC","Commercial","",,"75",,"64.84","31.48","66.65","percent of total billed charges",,
"ROTAVIRUS (ANTIGEN)","87425","HCPCS","Both",,,"86","43","Medicaid",,"",,"37",,"31.48","31.48","66.65","percent of total billed charges",,
"VENIPUNCTURE","36415","HCPCS","Both",,,"4.5","2.25","Alliant","Health Exchange","",,"62",,"2.79","1.65","3.49","percent of total billed charges",,
"VENIPUNCTURE","36415","HCPCS","Both",,,"4.5","2.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"2.43","1.65","3.49","percent of total billed charges",,
"VENIPUNCTURE","36415","HCPCS","Both",,,"4.5","2.25","Medicare",,"",,"54",,"2.44","1.65","3.49","percent of total billed charges",,
"VENIPUNCTURE","36415","HCPCS","Both",,,"4.5","2.25","Humana","Medicare Advantage","",,"54",,"2.44","1.65","3.49","percent of total billed charges",,
"VENIPUNCTURE","36415","HCPCS","Both",,,"4.5","2.25","UHC","Medicare Advantage","",,"54",,"2.44","1.65","3.49","percent of total billed charges",,
"VENIPUNCTURE","36415","HCPCS","Both",,,"4.5","2.25","Clover","Medicare Advantage","",,"54",,"2.44","1.65","3.49","percent of total billed charges",,
"VENIPUNCTURE","36415","HCPCS","Both",,,"4.5","2.25","Wellcare","Medicare Advantage","",,"54",,"2.44","1.65","3.49","percent of total billed charges",,
"VENIPUNCTURE","36415","HCPCS","Both",,,"4.5","2.25","Amerigroup","Medicaid Managed Care","",,"37",,"1.65","1.65","3.49","percent of total billed charges",,
"VENIPUNCTURE","36415","HCPCS","Both",,,"4.5","2.25","Caresource","Medicaid Managed Care","",,"40",,"1.8","1.65","3.49","percent of total billed charges",,
"VENIPUNCTURE","36415","HCPCS","Both",,,"4.5","2.25","Wellcare","Medicaid Managed Care","",,"40",,"1.82","1.65","3.49","percent of total billed charges",,
"VENIPUNCTURE","36415","HCPCS","Both",,,"4.5","2.25","Aetna","Commercial","",,"64",,"2.87","1.65","3.49","percent of total billed charges",,
"VENIPUNCTURE","36415","HCPCS","Both",,,"4.5","2.25","Blue Cross Blue Shield","Pathways","",,"71",,"3.18","1.65","3.49","percent of total billed charges",,
"VENIPUNCTURE","36415","HCPCS","Both",,,"4.5","2.25","Blue Cross Blue Shield","HMO","",,"71",,"3.18","1.65","3.49","percent of total billed charges",,
"VENIPUNCTURE","36415","HCPCS","Both",,,"4.5","2.25","Blue Cross Blue Shield","PPO","",,"71",,"3.18","1.65","3.49","percent of total billed charges",,
"VENIPUNCTURE","36415","HCPCS","Both",,,"4.5","2.25","Ambetter","Health Exchange","",,"62",,"2.79","1.65","3.49","percent of total billed charges",,
"VENIPUNCTURE","36415","HCPCS","Both",,,"4.5","2.25","Caresource","Health Exchange","",,"62",,"2.79","1.65","3.49","percent of total billed charges",,
"VENIPUNCTURE","36415","HCPCS","Both",,,"4.5","2.25","Cigna","Commercial","",,"59",,"2.64","1.65","3.49","percent of total billed charges",,
"VENIPUNCTURE","36415","HCPCS","Both",,,"4.5","2.25","Humana","Commercial","",,"78",,"3.49","1.65","3.49","percent of total billed charges",,
"VENIPUNCTURE","36415","HCPCS","Both",,,"4.5","2.25","UHC","Commercial","",,"75",,"3.39","1.65","3.49","percent of total billed charges",,
"VENIPUNCTURE","36415","HCPCS","Both",,,"4.5","2.25","Medicaid",,"",,"37",,"1.65","1.65","3.49","percent of total billed charges",,
"VIRAL CULTURE","87252","HCPCS","Both",,,"159.5","79.75","Alliant","Health Exchange","",,"62",,"98.89","58.38","123.61","percent of total billed charges",,
"VIRAL CULTURE","87252","HCPCS","Both",,,"159.5","79.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"86.13","58.38","123.61","percent of total billed charges",,
"VIRAL CULTURE","87252","HCPCS","Both",,,"159.5","79.75","Medicare",,"",,"54",,"86.45","58.38","123.61","percent of total billed charges",,
"VIRAL CULTURE","87252","HCPCS","Both",,,"159.5","79.75","Humana","Medicare Advantage","",,"54",,"86.45","58.38","123.61","percent of total billed charges",,
"VIRAL CULTURE","87252","HCPCS","Both",,,"159.5","79.75","UHC","Medicare Advantage","",,"54",,"86.45","58.38","123.61","percent of total billed charges",,
"VIRAL CULTURE","87252","HCPCS","Both",,,"159.5","79.75","Clover","Medicare Advantage","",,"54",,"86.45","58.38","123.61","percent of total billed charges",,
"VIRAL CULTURE","87252","HCPCS","Both",,,"159.5","79.75","Wellcare","Medicare Advantage","",,"54",,"86.45","58.38","123.61","percent of total billed charges",,
"VIRAL CULTURE","87252","HCPCS","Both",,,"159.5","79.75","Amerigroup","Medicaid Managed Care","",,"37",,"58.38","58.38","123.61","percent of total billed charges",,
"VIRAL CULTURE","87252","HCPCS","Both",,,"159.5","79.75","Caresource","Medicaid Managed Care","",,"40",,"63.8","58.38","123.61","percent of total billed charges",,
"VIRAL CULTURE","87252","HCPCS","Both",,,"159.5","79.75","Wellcare","Medicaid Managed Care","",,"40",,"64.6","58.38","123.61","percent of total billed charges",,
"VIRAL CULTURE","87252","HCPCS","Both",,,"159.5","79.75","Aetna","Commercial","",,"64",,"101.76","58.38","123.61","percent of total billed charges",,
"VIRAL CULTURE","87252","HCPCS","Both",,,"159.5","79.75","Blue Cross Blue Shield","Pathways","",,"71",,"112.61","58.38","123.61","percent of total billed charges",,
"VIRAL CULTURE","87252","HCPCS","Both",,,"159.5","79.75","Blue Cross Blue Shield","HMO","",,"71",,"112.61","58.38","123.61","percent of total billed charges",,
"VIRAL CULTURE","87252","HCPCS","Both",,,"159.5","79.75","Blue Cross Blue Shield","PPO","",,"71",,"112.61","58.38","123.61","percent of total billed charges",,
"VIRAL CULTURE","87252","HCPCS","Both",,,"159.5","79.75","Ambetter","Health Exchange","",,"62",,"98.89","58.38","123.61","percent of total billed charges",,
"VIRAL CULTURE","87252","HCPCS","Both",,,"159.5","79.75","Caresource","Health Exchange","",,"62",,"98.89","58.38","123.61","percent of total billed charges",,
"VIRAL CULTURE","87252","HCPCS","Both",,,"159.5","79.75","Cigna","Commercial","",,"59",,"93.47","58.38","123.61","percent of total billed charges",,
"VIRAL CULTURE","87252","HCPCS","Both",,,"159.5","79.75","Humana","Commercial","",,"78",,"123.61","58.38","123.61","percent of total billed charges",,
"VIRAL CULTURE","87252","HCPCS","Both",,,"159.5","79.75","UHC","Commercial","",,"75",,"120.26","58.38","123.61","percent of total billed charges",,
"VIRAL CULTURE","87252","HCPCS","Both",,,"159.5","79.75","Medicaid",,"",,"37",,"58.38","58.38","123.61","percent of total billed charges",,
"ADRENOCORTICOTROPIC HORMONE (ACTH)","82024","HCPCS","Both",,,"48.5","24.25","Alliant","Health Exchange","",,"62",,"30.07","17.75","37.59","percent of total billed charges",,
"ADRENOCORTICOTROPIC HORMONE (ACTH)","82024","HCPCS","Both",,,"48.5","24.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"26.19","17.75","37.59","percent of total billed charges",,
"ADRENOCORTICOTROPIC HORMONE (ACTH)","82024","HCPCS","Both",,,"48.5","24.25","Medicare",,"",,"54",,"26.29","17.75","37.59","percent of total billed charges",,
"ADRENOCORTICOTROPIC HORMONE (ACTH)","82024","HCPCS","Both",,,"48.5","24.25","Humana","Medicare Advantage","",,"54",,"26.29","17.75","37.59","percent of total billed charges",,
"ADRENOCORTICOTROPIC HORMONE (ACTH)","82024","HCPCS","Both",,,"48.5","24.25","UHC","Medicare Advantage","",,"54",,"26.29","17.75","37.59","percent of total billed charges",,
"ADRENOCORTICOTROPIC HORMONE (ACTH)","82024","HCPCS","Both",,,"48.5","24.25","Clover","Medicare Advantage","",,"54",,"26.29","17.75","37.59","percent of total billed charges",,
"ADRENOCORTICOTROPIC HORMONE (ACTH)","82024","HCPCS","Both",,,"48.5","24.25","Wellcare","Medicare Advantage","",,"54",,"26.29","17.75","37.59","percent of total billed charges",,
"ADRENOCORTICOTROPIC HORMONE (ACTH)","82024","HCPCS","Both",,,"48.5","24.25","Amerigroup","Medicaid Managed Care","",,"37",,"17.75","17.75","37.59","percent of total billed charges",,
"ADRENOCORTICOTROPIC HORMONE (ACTH)","82024","HCPCS","Both",,,"48.5","24.25","Caresource","Medicaid Managed Care","",,"40",,"19.4","17.75","37.59","percent of total billed charges",,
"ADRENOCORTICOTROPIC HORMONE (ACTH)","82024","HCPCS","Both",,,"48.5","24.25","Wellcare","Medicaid Managed Care","",,"40",,"19.64","17.75","37.59","percent of total billed charges",,
"ADRENOCORTICOTROPIC HORMONE (ACTH)","82024","HCPCS","Both",,,"48.5","24.25","Aetna","Commercial","",,"64",,"30.94","17.75","37.59","percent of total billed charges",,
"ADRENOCORTICOTROPIC HORMONE (ACTH)","82024","HCPCS","Both",,,"48.5","24.25","Blue Cross Blue Shield","Pathways","",,"71",,"34.24","17.75","37.59","percent of total billed charges",,
"ADRENOCORTICOTROPIC HORMONE (ACTH)","82024","HCPCS","Both",,,"48.5","24.25","Blue Cross Blue Shield","HMO","",,"71",,"34.24","17.75","37.59","percent of total billed charges",,
"ADRENOCORTICOTROPIC HORMONE (ACTH)","82024","HCPCS","Both",,,"48.5","24.25","Blue Cross Blue Shield","PPO","",,"71",,"34.24","17.75","37.59","percent of total billed charges",,
"ADRENOCORTICOTROPIC HORMONE (ACTH)","82024","HCPCS","Both",,,"48.5","24.25","Ambetter","Health Exchange","",,"62",,"30.07","17.75","37.59","percent of total billed charges",,
"ADRENOCORTICOTROPIC HORMONE (ACTH)","82024","HCPCS","Both",,,"48.5","24.25","Caresource","Health Exchange","",,"62",,"30.07","17.75","37.59","percent of total billed charges",,
"ADRENOCORTICOTROPIC HORMONE (ACTH)","82024","HCPCS","Both",,,"48.5","24.25","Cigna","Commercial","",,"59",,"28.42","17.75","37.59","percent of total billed charges",,
"ADRENOCORTICOTROPIC HORMONE (ACTH)","82024","HCPCS","Both",,,"48.5","24.25","Humana","Commercial","",,"78",,"37.59","17.75","37.59","percent of total billed charges",,
"ADRENOCORTICOTROPIC HORMONE (ACTH)","82024","HCPCS","Both",,,"48.5","24.25","UHC","Commercial","",,"75",,"36.57","17.75","37.59","percent of total billed charges",,
"ADRENOCORTICOTROPIC HORMONE (ACTH)","82024","HCPCS","Both",,,"48.5","24.25","Medicaid",,"",,"37",,"17.75","17.75","37.59","percent of total billed charges",,
"CALCIUM IONIZED","82330","HCPCS","Both",,,"17","8.5","Alliant","Health Exchange","",,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"CALCIUM IONIZED","82330","HCPCS","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"9.18","6.22","13.18","percent of total billed charges",,
"CALCIUM IONIZED","82330","HCPCS","Both",,,"17","8.5","Medicare",,"",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"CALCIUM IONIZED","82330","HCPCS","Both",,,"17","8.5","Humana","Medicare Advantage","",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"CALCIUM IONIZED","82330","HCPCS","Both",,,"17","8.5","UHC","Medicare Advantage","",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"CALCIUM IONIZED","82330","HCPCS","Both",,,"17","8.5","Clover","Medicare Advantage","",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"CALCIUM IONIZED","82330","HCPCS","Both",,,"17","8.5","Wellcare","Medicare Advantage","",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"CALCIUM IONIZED","82330","HCPCS","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care","",,"37",,"6.22","6.22","13.18","percent of total billed charges",,
"CALCIUM IONIZED","82330","HCPCS","Both",,,"17","8.5","Caresource","Medicaid Managed Care","",,"40",,"6.8","6.22","13.18","percent of total billed charges",,
"CALCIUM IONIZED","82330","HCPCS","Both",,,"17","8.5","Wellcare","Medicaid Managed Care","",,"40",,"6.89","6.22","13.18","percent of total billed charges",,
"CALCIUM IONIZED","82330","HCPCS","Both",,,"17","8.5","Aetna","Commercial","",,"64",,"10.85","6.22","13.18","percent of total billed charges",,
"CALCIUM IONIZED","82330","HCPCS","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways","",,"71",,"12","6.22","13.18","percent of total billed charges",,
"CALCIUM IONIZED","82330","HCPCS","Both",,,"17","8.5","Blue Cross Blue Shield","HMO","",,"71",,"12","6.22","13.18","percent of total billed charges",,
"CALCIUM IONIZED","82330","HCPCS","Both",,,"17","8.5","Blue Cross Blue Shield","PPO","",,"71",,"12","6.22","13.18","percent of total billed charges",,
"CALCIUM IONIZED","82330","HCPCS","Both",,,"17","8.5","Ambetter","Health Exchange","",,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"CALCIUM IONIZED","82330","HCPCS","Both",,,"17","8.5","Caresource","Health Exchange","",,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"CALCIUM IONIZED","82330","HCPCS","Both",,,"17","8.5","Cigna","Commercial","",,"59",,"9.96","6.22","13.18","percent of total billed charges",,
"CALCIUM IONIZED","82330","HCPCS","Both",,,"17","8.5","Humana","Commercial","",,"78",,"13.18","6.22","13.18","percent of total billed charges",,
"CALCIUM IONIZED","82330","HCPCS","Both",,,"17","8.5","UHC","Commercial","",,"75",,"12.82","6.22","13.18","percent of total billed charges",,
"CALCIUM IONIZED","82330","HCPCS","Both",,,"17","8.5","Medicaid",,"",,"37",,"6.22","6.22","13.18","percent of total billed charges",,
"HEPATITIS B SURFACE ANTIBODY (HBsAb)","86706","HCPCS","Both",,,"28","14","Alliant","Health Exchange","",,"62",,"17.36","10.25","21.7","percent of total billed charges",,
"HEPATITIS B SURFACE ANTIBODY (HBsAb)","86706","HCPCS","Both",,,"28","14","Pruitt Healthcare","Medicare Advantage","",,"54",,"15.12","10.25","21.7","percent of total billed charges",,
"HEPATITIS B SURFACE ANTIBODY (HBsAb)","86706","HCPCS","Both",,,"28","14","Medicare",,"",,"54",,"15.18","10.25","21.7","percent of total billed charges",,
"HEPATITIS B SURFACE ANTIBODY (HBsAb)","86706","HCPCS","Both",,,"28","14","Humana","Medicare Advantage","",,"54",,"15.18","10.25","21.7","percent of total billed charges",,
"HEPATITIS B SURFACE ANTIBODY (HBsAb)","86706","HCPCS","Both",,,"28","14","UHC","Medicare Advantage","",,"54",,"15.18","10.25","21.7","percent of total billed charges",,
"HEPATITIS B SURFACE ANTIBODY (HBsAb)","86706","HCPCS","Both",,,"28","14","Clover","Medicare Advantage","",,"54",,"15.18","10.25","21.7","percent of total billed charges",,
"HEPATITIS B SURFACE ANTIBODY (HBsAb)","86706","HCPCS","Both",,,"28","14","Wellcare","Medicare Advantage","",,"54",,"15.18","10.25","21.7","percent of total billed charges",,
"HEPATITIS B SURFACE ANTIBODY (HBsAb)","86706","HCPCS","Both",,,"28","14","Amerigroup","Medicaid Managed Care","",,"37",,"10.25","10.25","21.7","percent of total billed charges",,
"HEPATITIS B SURFACE ANTIBODY (HBsAb)","86706","HCPCS","Both",,,"28","14","Caresource","Medicaid Managed Care","",,"40",,"11.2","10.25","21.7","percent of total billed charges",,
"HEPATITIS B SURFACE ANTIBODY (HBsAb)","86706","HCPCS","Both",,,"28","14","Wellcare","Medicaid Managed Care","",,"40",,"11.34","10.25","21.7","percent of total billed charges",,
"HEPATITIS B SURFACE ANTIBODY (HBsAb)","86706","HCPCS","Both",,,"28","14","Aetna","Commercial","",,"64",,"17.86","10.25","21.7","percent of total billed charges",,
"HEPATITIS B SURFACE ANTIBODY (HBsAb)","86706","HCPCS","Both",,,"28","14","Blue Cross Blue Shield","Pathways","",,"71",,"19.77","10.25","21.7","percent of total billed charges",,
"HEPATITIS B SURFACE ANTIBODY (HBsAb)","86706","HCPCS","Both",,,"28","14","Blue Cross Blue Shield","HMO","",,"71",,"19.77","10.25","21.7","percent of total billed charges",,
"HEPATITIS B SURFACE ANTIBODY (HBsAb)","86706","HCPCS","Both",,,"28","14","Blue Cross Blue Shield","PPO","",,"71",,"19.77","10.25","21.7","percent of total billed charges",,
"HEPATITIS B SURFACE ANTIBODY (HBsAb)","86706","HCPCS","Both",,,"28","14","Ambetter","Health Exchange","",,"62",,"17.36","10.25","21.7","percent of total billed charges",,
"HEPATITIS B SURFACE ANTIBODY (HBsAb)","86706","HCPCS","Both",,,"28","14","Caresource","Health Exchange","",,"62",,"17.36","10.25","21.7","percent of total billed charges",,
"HEPATITIS B SURFACE ANTIBODY (HBsAb)","86706","HCPCS","Both",,,"28","14","Cigna","Commercial","",,"59",,"16.41","10.25","21.7","percent of total billed charges",,
"HEPATITIS B SURFACE ANTIBODY (HBsAb)","86706","HCPCS","Both",,,"28","14","Humana","Commercial","",,"78",,"21.7","10.25","21.7","percent of total billed charges",,
"HEPATITIS B SURFACE ANTIBODY (HBsAb)","86706","HCPCS","Both",,,"28","14","UHC","Commercial","",,"75",,"21.11","10.25","21.7","percent of total billed charges",,
"HEPATITIS B SURFACE ANTIBODY (HBsAb)","86706","HCPCS","Both",,,"28","14","Medicaid",,"",,"37",,"10.25","10.25","21.7","percent of total billed charges",,
"ANTIBODY SCREEN","86850","HCPCS","Both",,,"50","25","Alliant","Health Exchange","",,"62",,"31","18.3","38.75","percent of total billed charges",,
"ANTIBODY SCREEN","86850","HCPCS","Both",,,"50","25","Pruitt Healthcare","Medicare Advantage","",,"54",,"27","18.3","38.75","percent of total billed charges",,
"ANTIBODY SCREEN","86850","HCPCS","Both",,,"50","25","Medicare",,"",,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"ANTIBODY SCREEN","86850","HCPCS","Both",,,"50","25","Humana","Medicare Advantage","",,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"ANTIBODY SCREEN","86850","HCPCS","Both",,,"50","25","UHC","Medicare Advantage","",,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"ANTIBODY SCREEN","86850","HCPCS","Both",,,"50","25","Clover","Medicare Advantage","",,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"ANTIBODY SCREEN","86850","HCPCS","Both",,,"50","25","Wellcare","Medicare Advantage","",,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"ANTIBODY SCREEN","86850","HCPCS","Both",,,"50","25","Amerigroup","Medicaid Managed Care","",,"37",,"18.3","18.3","38.75","percent of total billed charges",,
"ANTIBODY SCREEN","86850","HCPCS","Both",,,"50","25","Caresource","Medicaid Managed Care","",,"40",,"20","18.3","38.75","percent of total billed charges",,
"ANTIBODY SCREEN","86850","HCPCS","Both",,,"50","25","Wellcare","Medicaid Managed Care","",,"40",,"20.25","18.3","38.75","percent of total billed charges",,
"ANTIBODY SCREEN","86850","HCPCS","Both",,,"50","25","Aetna","Commercial","",,"64",,"31.9","18.3","38.75","percent of total billed charges",,
"ANTIBODY SCREEN","86850","HCPCS","Both",,,"50","25","Blue Cross Blue Shield","Pathways","",,"71",,"35.3","18.3","38.75","percent of total billed charges",,
"ANTIBODY SCREEN","86850","HCPCS","Both",,,"50","25","Blue Cross Blue Shield","HMO","",,"71",,"35.3","18.3","38.75","percent of total billed charges",,
"ANTIBODY SCREEN","86850","HCPCS","Both",,,"50","25","Blue Cross Blue Shield","PPO","",,"71",,"35.3","18.3","38.75","percent of total billed charges",,
"ANTIBODY SCREEN","86850","HCPCS","Both",,,"50","25","Ambetter","Health Exchange","",,"62",,"31","18.3","38.75","percent of total billed charges",,
"ANTIBODY SCREEN","86850","HCPCS","Both",,,"50","25","Caresource","Health Exchange","",,"62",,"31","18.3","38.75","percent of total billed charges",,
"ANTIBODY SCREEN","86850","HCPCS","Both",,,"50","25","Cigna","Commercial","",,"59",,"29.3","18.3","38.75","percent of total billed charges",,
"ANTIBODY SCREEN","86850","HCPCS","Both",,,"50","25","Humana","Commercial","",,"78",,"38.75","18.3","38.75","percent of total billed charges",,
"ANTIBODY SCREEN","86850","HCPCS","Both",,,"50","25","UHC","Commercial","",,"75",,"37.7","18.3","38.75","percent of total billed charges",,
"ANTIBODY SCREEN","86850","HCPCS","Both",,,"50","25","Medicaid",,"",,"37",,"18.3","18.3","38.75","percent of total billed charges",,
"CORTISOL TOTAL; SERUM","82533","HCPCS","Both",,,"71","35.5","Alliant","Health Exchange","",,"62",,"44.02","25.99","55.02","percent of total billed charges",,
"CORTISOL TOTAL; SERUM","82533","HCPCS","Both",,,"71","35.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"38.34","25.99","55.02","percent of total billed charges",,
"CORTISOL TOTAL; SERUM","82533","HCPCS","Both",,,"71","35.5","Medicare",,"",,"54",,"38.48","25.99","55.02","percent of total billed charges",,
"CORTISOL TOTAL; SERUM","82533","HCPCS","Both",,,"71","35.5","Humana","Medicare Advantage","",,"54",,"38.48","25.99","55.02","percent of total billed charges",,
"CORTISOL TOTAL; SERUM","82533","HCPCS","Both",,,"71","35.5","UHC","Medicare Advantage","",,"54",,"38.48","25.99","55.02","percent of total billed charges",,
"CORTISOL TOTAL; SERUM","82533","HCPCS","Both",,,"71","35.5","Clover","Medicare Advantage","",,"54",,"38.48","25.99","55.02","percent of total billed charges",,
"CORTISOL TOTAL; SERUM","82533","HCPCS","Both",,,"71","35.5","Wellcare","Medicare Advantage","",,"54",,"38.48","25.99","55.02","percent of total billed charges",,
"CORTISOL TOTAL; SERUM","82533","HCPCS","Both",,,"71","35.5","Amerigroup","Medicaid Managed Care","",,"37",,"25.99","25.99","55.02","percent of total billed charges",,
"CORTISOL TOTAL; SERUM","82533","HCPCS","Both",,,"71","35.5","Caresource","Medicaid Managed Care","",,"40",,"28.4","25.99","55.02","percent of total billed charges",,
"CORTISOL TOTAL; SERUM","82533","HCPCS","Both",,,"71","35.5","Wellcare","Medicaid Managed Care","",,"40",,"28.76","25.99","55.02","percent of total billed charges",,
"CORTISOL TOTAL; SERUM","82533","HCPCS","Both",,,"71","35.5","Aetna","Commercial","",,"64",,"45.3","25.99","55.02","percent of total billed charges",,
"CORTISOL TOTAL; SERUM","82533","HCPCS","Both",,,"71","35.5","Blue Cross Blue Shield","Pathways","",,"71",,"50.13","25.99","55.02","percent of total billed charges",,
"CORTISOL TOTAL; SERUM","82533","HCPCS","Both",,,"71","35.5","Blue Cross Blue Shield","HMO","",,"71",,"50.13","25.99","55.02","percent of total billed charges",,
"CORTISOL TOTAL; SERUM","82533","HCPCS","Both",,,"71","35.5","Blue Cross Blue Shield","PPO","",,"71",,"50.13","25.99","55.02","percent of total billed charges",,
"CORTISOL TOTAL; SERUM","82533","HCPCS","Both",,,"71","35.5","Ambetter","Health Exchange","",,"62",,"44.02","25.99","55.02","percent of total billed charges",,
"CORTISOL TOTAL; SERUM","82533","HCPCS","Both",,,"71","35.5","Caresource","Health Exchange","",,"62",,"44.02","25.99","55.02","percent of total billed charges",,
"CORTISOL TOTAL; SERUM","82533","HCPCS","Both",,,"71","35.5","Cigna","Commercial","",,"59",,"41.61","25.99","55.02","percent of total billed charges",,
"CORTISOL TOTAL; SERUM","82533","HCPCS","Both",,,"71","35.5","Humana","Commercial","",,"78",,"55.02","25.99","55.02","percent of total billed charges",,
"CORTISOL TOTAL; SERUM","82533","HCPCS","Both",,,"71","35.5","UHC","Commercial","",,"75",,"53.53","25.99","55.02","percent of total billed charges",,
"CORTISOL TOTAL; SERUM","82533","HCPCS","Both",,,"71","35.5","Medicaid",,"",,"37",,"25.99","25.99","55.02","percent of total billed charges",,
"FREE T4","84439","HCPCS","Both",,,"13","6.5","Alliant","Health Exchange","",,"62",,"8.06","4.76","10.08","percent of total billed charges",,
"FREE T4","84439","HCPCS","Both",,,"13","6.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"7.02","4.76","10.08","percent of total billed charges",,
"FREE T4","84439","HCPCS","Both",,,"13","6.5","Medicare",,"",,"54",,"7.05","4.76","10.08","percent of total billed charges",,
"FREE T4","84439","HCPCS","Both",,,"13","6.5","Humana","Medicare Advantage","",,"54",,"7.05","4.76","10.08","percent of total billed charges",,
"FREE T4","84439","HCPCS","Both",,,"13","6.5","UHC","Medicare Advantage","",,"54",,"7.05","4.76","10.08","percent of total billed charges",,
"FREE T4","84439","HCPCS","Both",,,"13","6.5","Clover","Medicare Advantage","",,"54",,"7.05","4.76","10.08","percent of total billed charges",,
"FREE T4","84439","HCPCS","Both",,,"13","6.5","Wellcare","Medicare Advantage","",,"54",,"7.05","4.76","10.08","percent of total billed charges",,
"FREE T4","84439","HCPCS","Both",,,"13","6.5","Amerigroup","Medicaid Managed Care","",,"37",,"4.76","4.76","10.08","percent of total billed charges",,
"FREE T4","84439","HCPCS","Both",,,"13","6.5","Caresource","Medicaid Managed Care","",,"40",,"5.2","4.76","10.08","percent of total billed charges",,
"FREE T4","84439","HCPCS","Both",,,"13","6.5","Wellcare","Medicaid Managed Care","",,"40",,"5.26","4.76","10.08","percent of total billed charges",,
"FREE T4","84439","HCPCS","Both",,,"13","6.5","Aetna","Commercial","",,"64",,"8.29","4.76","10.08","percent of total billed charges",,
"FREE T4","84439","HCPCS","Both",,,"13","6.5","Blue Cross Blue Shield","Pathways","",,"71",,"9.18","4.76","10.08","percent of total billed charges",,
"FREE T4","84439","HCPCS","Both",,,"13","6.5","Blue Cross Blue Shield","HMO","",,"71",,"9.18","4.76","10.08","percent of total billed charges",,
"FREE T4","84439","HCPCS","Both",,,"13","6.5","Blue Cross Blue Shield","PPO","",,"71",,"9.18","4.76","10.08","percent of total billed charges",,
"FREE T4","84439","HCPCS","Both",,,"13","6.5","Ambetter","Health Exchange","",,"62",,"8.06","4.76","10.08","percent of total billed charges",,
"FREE T4","84439","HCPCS","Both",,,"13","6.5","Caresource","Health Exchange","",,"62",,"8.06","4.76","10.08","percent of total billed charges",,
"FREE T4","84439","HCPCS","Both",,,"13","6.5","Cigna","Commercial","",,"59",,"7.62","4.76","10.08","percent of total billed charges",,
"FREE T4","84439","HCPCS","Both",,,"13","6.5","Humana","Commercial","",,"78",,"10.08","4.76","10.08","percent of total billed charges",,
"FREE T4","84439","HCPCS","Both",,,"13","6.5","UHC","Commercial","",,"75",,"9.8","4.76","10.08","percent of total billed charges",,
"FREE T4","84439","HCPCS","Both",,,"13","6.5","Medicaid",,"",,"37",,"4.76","4.76","10.08","percent of total billed charges",,
"DHEA SULFATE","82627","HCPCS","Both",,,"57.5","28.75","Alliant","Health Exchange","",,"62",,"35.65","21.04","44.56","percent of total billed charges",,
"DHEA SULFATE","82627","HCPCS","Both",,,"57.5","28.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"31.05","21.04","44.56","percent of total billed charges",,
"DHEA SULFATE","82627","HCPCS","Both",,,"57.5","28.75","Medicare",,"",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"DHEA SULFATE","82627","HCPCS","Both",,,"57.5","28.75","Humana","Medicare Advantage","",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"DHEA SULFATE","82627","HCPCS","Both",,,"57.5","28.75","UHC","Medicare Advantage","",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"DHEA SULFATE","82627","HCPCS","Both",,,"57.5","28.75","Clover","Medicare Advantage","",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"DHEA SULFATE","82627","HCPCS","Both",,,"57.5","28.75","Wellcare","Medicare Advantage","",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"DHEA SULFATE","82627","HCPCS","Both",,,"57.5","28.75","Amerigroup","Medicaid Managed Care","",,"37",,"21.04","21.04","44.56","percent of total billed charges",,
"DHEA SULFATE","82627","HCPCS","Both",,,"57.5","28.75","Caresource","Medicaid Managed Care","",,"40",,"23","21.04","44.56","percent of total billed charges",,
"DHEA SULFATE","82627","HCPCS","Both",,,"57.5","28.75","Wellcare","Medicaid Managed Care","",,"40",,"23.29","21.04","44.56","percent of total billed charges",,
"DHEA SULFATE","82627","HCPCS","Both",,,"57.5","28.75","Aetna","Commercial","",,"64",,"36.68","21.04","44.56","percent of total billed charges",,
"DHEA SULFATE","82627","HCPCS","Both",,,"57.5","28.75","Blue Cross Blue Shield","Pathways","",,"71",,"40.6","21.04","44.56","percent of total billed charges",,
"DHEA SULFATE","82627","HCPCS","Both",,,"57.5","28.75","Blue Cross Blue Shield","HMO","",,"71",,"40.6","21.04","44.56","percent of total billed charges",,
"DHEA SULFATE","82627","HCPCS","Both",,,"57.5","28.75","Blue Cross Blue Shield","PPO","",,"71",,"40.6","21.04","44.56","percent of total billed charges",,
"DHEA SULFATE","82627","HCPCS","Both",,,"57.5","28.75","Ambetter","Health Exchange","",,"62",,"35.65","21.04","44.56","percent of total billed charges",,
"DHEA SULFATE","82627","HCPCS","Both",,,"57.5","28.75","Caresource","Health Exchange","",,"62",,"35.65","21.04","44.56","percent of total billed charges",,
"DHEA SULFATE","82627","HCPCS","Both",,,"57.5","28.75","Cigna","Commercial","",,"59",,"33.7","21.04","44.56","percent of total billed charges",,
"DHEA SULFATE","82627","HCPCS","Both",,,"57.5","28.75","Humana","Commercial","",,"78",,"44.56","21.04","44.56","percent of total billed charges",,
"DHEA SULFATE","82627","HCPCS","Both",,,"57.5","28.75","UHC","Commercial","",,"75",,"43.36","21.04","44.56","percent of total billed charges",,
"DHEA SULFATE","82627","HCPCS","Both",,,"57.5","28.75","Medicaid",,"",,"37",,"21.04","21.04","44.56","percent of total billed charges",,
"CMV IGG QUANT","86644","HCPCS","Both",,,"50.5","25.25","Alliant","Health Exchange","",,"62",,"31.31","18.48","39.14","percent of total billed charges",,
"CMV IGG QUANT","86644","HCPCS","Both",,,"50.5","25.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"27.27","18.48","39.14","percent of total billed charges",,
"CMV IGG QUANT","86644","HCPCS","Both",,,"50.5","25.25","Medicare",,"",,"54",,"27.37","18.48","39.14","percent of total billed charges",,
"CMV IGG QUANT","86644","HCPCS","Both",,,"50.5","25.25","Humana","Medicare Advantage","",,"54",,"27.37","18.48","39.14","percent of total billed charges",,
"CMV IGG QUANT","86644","HCPCS","Both",,,"50.5","25.25","UHC","Medicare Advantage","",,"54",,"27.37","18.48","39.14","percent of total billed charges",,
"CMV IGG QUANT","86644","HCPCS","Both",,,"50.5","25.25","Clover","Medicare Advantage","",,"54",,"27.37","18.48","39.14","percent of total billed charges",,
"CMV IGG QUANT","86644","HCPCS","Both",,,"50.5","25.25","Wellcare","Medicare Advantage","",,"54",,"27.37","18.48","39.14","percent of total billed charges",,
"CMV IGG QUANT","86644","HCPCS","Both",,,"50.5","25.25","Amerigroup","Medicaid Managed Care","",,"37",,"18.48","18.48","39.14","percent of total billed charges",,
"CMV IGG QUANT","86644","HCPCS","Both",,,"50.5","25.25","Caresource","Medicaid Managed Care","",,"40",,"20.2","18.48","39.14","percent of total billed charges",,
"CMV IGG QUANT","86644","HCPCS","Both",,,"50.5","25.25","Wellcare","Medicaid Managed Care","",,"40",,"20.45","18.48","39.14","percent of total billed charges",,
"CMV IGG QUANT","86644","HCPCS","Both",,,"50.5","25.25","Aetna","Commercial","",,"64",,"32.22","18.48","39.14","percent of total billed charges",,
"CMV IGG QUANT","86644","HCPCS","Both",,,"50.5","25.25","Blue Cross Blue Shield","Pathways","",,"71",,"35.65","18.48","39.14","percent of total billed charges",,
"CMV IGG QUANT","86644","HCPCS","Both",,,"50.5","25.25","Blue Cross Blue Shield","HMO","",,"71",,"35.65","18.48","39.14","percent of total billed charges",,
"CMV IGG QUANT","86644","HCPCS","Both",,,"50.5","25.25","Blue Cross Blue Shield","PPO","",,"71",,"35.65","18.48","39.14","percent of total billed charges",,
"CMV IGG QUANT","86644","HCPCS","Both",,,"50.5","25.25","Ambetter","Health Exchange","",,"62",,"31.31","18.48","39.14","percent of total billed charges",,
"CMV IGG QUANT","86644","HCPCS","Both",,,"50.5","25.25","Caresource","Health Exchange","",,"62",,"31.31","18.48","39.14","percent of total billed charges",,
"CMV IGG QUANT","86644","HCPCS","Both",,,"50.5","25.25","Cigna","Commercial","",,"59",,"29.59","18.48","39.14","percent of total billed charges",,
"CMV IGG QUANT","86644","HCPCS","Both",,,"50.5","25.25","Humana","Commercial","",,"78",,"39.14","18.48","39.14","percent of total billed charges",,
"CMV IGG QUANT","86644","HCPCS","Both",,,"50.5","25.25","UHC","Commercial","",,"75",,"38.08","18.48","39.14","percent of total billed charges",,
"CMV IGG QUANT","86644","HCPCS","Both",,,"50.5","25.25","Medicaid",,"",,"37",,"18.48","18.48","39.14","percent of total billed charges",,
"CMV IGM QUANT","86645","HCPCS","Both",,,"73","36.5","Alliant","Health Exchange","",,"62",,"45.26","26.72","56.58","percent of total billed charges",,
"CMV IGM QUANT","86645","HCPCS","Both",,,"73","36.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"39.42","26.72","56.58","percent of total billed charges",,
"CMV IGM QUANT","86645","HCPCS","Both",,,"73","36.5","Medicare",,"",,"54",,"39.57","26.72","56.58","percent of total billed charges",,
"CMV IGM QUANT","86645","HCPCS","Both",,,"73","36.5","Humana","Medicare Advantage","",,"54",,"39.57","26.72","56.58","percent of total billed charges",,
"CMV IGM QUANT","86645","HCPCS","Both",,,"73","36.5","UHC","Medicare Advantage","",,"54",,"39.57","26.72","56.58","percent of total billed charges",,
"CMV IGM QUANT","86645","HCPCS","Both",,,"73","36.5","Clover","Medicare Advantage","",,"54",,"39.57","26.72","56.58","percent of total billed charges",,
"CMV IGM QUANT","86645","HCPCS","Both",,,"73","36.5","Wellcare","Medicare Advantage","",,"54",,"39.57","26.72","56.58","percent of total billed charges",,
"CMV IGM QUANT","86645","HCPCS","Both",,,"73","36.5","Amerigroup","Medicaid Managed Care","",,"37",,"26.72","26.72","56.58","percent of total billed charges",,
"CMV IGM QUANT","86645","HCPCS","Both",,,"73","36.5","Caresource","Medicaid Managed Care","",,"40",,"29.2","26.72","56.58","percent of total billed charges",,
"CMV IGM QUANT","86645","HCPCS","Both",,,"73","36.5","Wellcare","Medicaid Managed Care","",,"40",,"29.56","26.72","56.58","percent of total billed charges",,
"CMV IGM QUANT","86645","HCPCS","Both",,,"73","36.5","Aetna","Commercial","",,"64",,"46.57","26.72","56.58","percent of total billed charges",,
"CMV IGM QUANT","86645","HCPCS","Both",,,"73","36.5","Blue Cross Blue Shield","Pathways","",,"71",,"51.54","26.72","56.58","percent of total billed charges",,
"CMV IGM QUANT","86645","HCPCS","Both",,,"73","36.5","Blue Cross Blue Shield","HMO","",,"71",,"51.54","26.72","56.58","percent of total billed charges",,
"CMV IGM QUANT","86645","HCPCS","Both",,,"73","36.5","Blue Cross Blue Shield","PPO","",,"71",,"51.54","26.72","56.58","percent of total billed charges",,
"CMV IGM QUANT","86645","HCPCS","Both",,,"73","36.5","Ambetter","Health Exchange","",,"62",,"45.26","26.72","56.58","percent of total billed charges",,
"CMV IGM QUANT","86645","HCPCS","Both",,,"73","36.5","Caresource","Health Exchange","",,"62",,"45.26","26.72","56.58","percent of total billed charges",,
"CMV IGM QUANT","86645","HCPCS","Both",,,"73","36.5","Cigna","Commercial","",,"59",,"42.78","26.72","56.58","percent of total billed charges",,
"CMV IGM QUANT","86645","HCPCS","Both",,,"73","36.5","Humana","Commercial","",,"78",,"56.58","26.72","56.58","percent of total billed charges",,
"CMV IGM QUANT","86645","HCPCS","Both",,,"73","36.5","UHC","Commercial","",,"75",,"55.04","26.72","56.58","percent of total billed charges",,
"CMV IGM QUANT","86645","HCPCS","Both",,,"73","36.5","Medicaid",,"",,"37",,"26.72","26.72","56.58","percent of total billed charges",,
"EBV NUCLEAR AG IGG","86664","HCPCS","Both",,,"119.5","59.75","Alliant","Health Exchange","",,"62",,"74.09","43.74","92.61","percent of total billed charges",,
"EBV NUCLEAR AG IGG","86664","HCPCS","Both",,,"119.5","59.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"64.53","43.74","92.61","percent of total billed charges",,
"EBV NUCLEAR AG IGG","86664","HCPCS","Both",,,"119.5","59.75","Medicare",,"",,"54",,"64.77","43.74","92.61","percent of total billed charges",,
"EBV NUCLEAR AG IGG","86664","HCPCS","Both",,,"119.5","59.75","Humana","Medicare Advantage","",,"54",,"64.77","43.74","92.61","percent of total billed charges",,
"EBV NUCLEAR AG IGG","86664","HCPCS","Both",,,"119.5","59.75","UHC","Medicare Advantage","",,"54",,"64.77","43.74","92.61","percent of total billed charges",,
"EBV NUCLEAR AG IGG","86664","HCPCS","Both",,,"119.5","59.75","Clover","Medicare Advantage","",,"54",,"64.77","43.74","92.61","percent of total billed charges",,
"EBV NUCLEAR AG IGG","86664","HCPCS","Both",,,"119.5","59.75","Wellcare","Medicare Advantage","",,"54",,"64.77","43.74","92.61","percent of total billed charges",,
"EBV NUCLEAR AG IGG","86664","HCPCS","Both",,,"119.5","59.75","Amerigroup","Medicaid Managed Care","",,"37",,"43.74","43.74","92.61","percent of total billed charges",,
"EBV NUCLEAR AG IGG","86664","HCPCS","Both",,,"119.5","59.75","Caresource","Medicaid Managed Care","",,"40",,"47.8","43.74","92.61","percent of total billed charges",,
"EBV NUCLEAR AG IGG","86664","HCPCS","Both",,,"119.5","59.75","Wellcare","Medicaid Managed Care","",,"40",,"48.4","43.74","92.61","percent of total billed charges",,
"EBV NUCLEAR AG IGG","86664","HCPCS","Both",,,"119.5","59.75","Aetna","Commercial","",,"64",,"76.24","43.74","92.61","percent of total billed charges",,
"EBV NUCLEAR AG IGG","86664","HCPCS","Both",,,"119.5","59.75","Blue Cross Blue Shield","Pathways","",,"71",,"84.37","43.74","92.61","percent of total billed charges",,
"EBV NUCLEAR AG IGG","86664","HCPCS","Both",,,"119.5","59.75","Blue Cross Blue Shield","HMO","",,"71",,"84.37","43.74","92.61","percent of total billed charges",,
"EBV NUCLEAR AG IGG","86664","HCPCS","Both",,,"119.5","59.75","Blue Cross Blue Shield","PPO","",,"71",,"84.37","43.74","92.61","percent of total billed charges",,
"EBV NUCLEAR AG IGG","86664","HCPCS","Both",,,"119.5","59.75","Ambetter","Health Exchange","",,"62",,"74.09","43.74","92.61","percent of total billed charges",,
"EBV NUCLEAR AG IGG","86664","HCPCS","Both",,,"119.5","59.75","Caresource","Health Exchange","",,"62",,"74.09","43.74","92.61","percent of total billed charges",,
"EBV NUCLEAR AG IGG","86664","HCPCS","Both",,,"119.5","59.75","Cigna","Commercial","",,"59",,"70.03","43.74","92.61","percent of total billed charges",,
"EBV NUCLEAR AG IGG","86664","HCPCS","Both",,,"119.5","59.75","Humana","Commercial","",,"78",,"92.61","43.74","92.61","percent of total billed charges",,
"EBV NUCLEAR AG IGG","86664","HCPCS","Both",,,"119.5","59.75","UHC","Commercial","",,"75",,"90.1","43.74","92.61","percent of total billed charges",,
"EBV NUCLEAR AG IGG","86664","HCPCS","Both",,,"119.5","59.75","Medicaid",,"",,"37",,"43.74","43.74","92.61","percent of total billed charges",,
"COMPATIBILITY TEST @ UNIT; IMMED SPIN","86920","HCPCS","Both",,,"157.25","78.625","Alliant","Health Exchange","",,"62",,"97.5","57.55","121.87","percent of total billed charges",,
"COMPATIBILITY TEST @ UNIT; IMMED SPIN","86920","HCPCS","Both",,,"157.25","78.625","Pruitt Healthcare","Medicare Advantage","",,"54",,"84.92","57.55","121.87","percent of total billed charges",,
"COMPATIBILITY TEST @ UNIT; IMMED SPIN","86920","HCPCS","Both",,,"157.25","78.625","Medicare",,"",,"54",,"85.23","57.55","121.87","percent of total billed charges",,
"COMPATIBILITY TEST @ UNIT; IMMED SPIN","86920","HCPCS","Both",,,"157.25","78.625","Humana","Medicare Advantage","",,"54",,"85.23","57.55","121.87","percent of total billed charges",,
"COMPATIBILITY TEST @ UNIT; IMMED SPIN","86920","HCPCS","Both",,,"157.25","78.625","UHC","Medicare Advantage","",,"54",,"85.23","57.55","121.87","percent of total billed charges",,
"COMPATIBILITY TEST @ UNIT; IMMED SPIN","86920","HCPCS","Both",,,"157.25","78.625","Clover","Medicare Advantage","",,"54",,"85.23","57.55","121.87","percent of total billed charges",,
"COMPATIBILITY TEST @ UNIT; IMMED SPIN","86920","HCPCS","Both",,,"157.25","78.625","Wellcare","Medicare Advantage","",,"54",,"85.23","57.55","121.87","percent of total billed charges",,
"COMPATIBILITY TEST @ UNIT; IMMED SPIN","86920","HCPCS","Both",,,"157.25","78.625","Amerigroup","Medicaid Managed Care","",,"37",,"57.55","57.55","121.87","percent of total billed charges",,
"COMPATIBILITY TEST @ UNIT; IMMED SPIN","86920","HCPCS","Both",,,"157.25","78.625","Caresource","Medicaid Managed Care","",,"40",,"62.9","57.55","121.87","percent of total billed charges",,
"COMPATIBILITY TEST @ UNIT; IMMED SPIN","86920","HCPCS","Both",,,"157.25","78.625","Wellcare","Medicaid Managed Care","",,"40",,"63.69","57.55","121.87","percent of total billed charges",,
"COMPATIBILITY TEST @ UNIT; IMMED SPIN","86920","HCPCS","Both",,,"157.25","78.625","Aetna","Commercial","",,"64",,"100.33","57.55","121.87","percent of total billed charges",,
"COMPATIBILITY TEST @ UNIT; IMMED SPIN","86920","HCPCS","Both",,,"157.25","78.625","Blue Cross Blue Shield","Pathways","",,"71",,"111.02","57.55","121.87","percent of total billed charges",,
"COMPATIBILITY TEST @ UNIT; IMMED SPIN","86920","HCPCS","Both",,,"157.25","78.625","Blue Cross Blue Shield","HMO","",,"71",,"111.02","57.55","121.87","percent of total billed charges",,
"COMPATIBILITY TEST @ UNIT; IMMED SPIN","86920","HCPCS","Both",,,"157.25","78.625","Blue Cross Blue Shield","PPO","",,"71",,"111.02","57.55","121.87","percent of total billed charges",,
"COMPATIBILITY TEST @ UNIT; IMMED SPIN","86920","HCPCS","Both",,,"157.25","78.625","Ambetter","Health Exchange","",,"62",,"97.5","57.55","121.87","percent of total billed charges",,
"COMPATIBILITY TEST @ UNIT; IMMED SPIN","86920","HCPCS","Both",,,"157.25","78.625","Caresource","Health Exchange","",,"62",,"97.5","57.55","121.87","percent of total billed charges",,
"COMPATIBILITY TEST @ UNIT; IMMED SPIN","86920","HCPCS","Both",,,"157.25","78.625","Cigna","Commercial","",,"59",,"92.15","57.55","121.87","percent of total billed charges",,
"COMPATIBILITY TEST @ UNIT; IMMED SPIN","86920","HCPCS","Both",,,"157.25","78.625","Humana","Commercial","",,"78",,"121.87","57.55","121.87","percent of total billed charges",,
"COMPATIBILITY TEST @ UNIT; IMMED SPIN","86920","HCPCS","Both",,,"157.25","78.625","UHC","Commercial","",,"75",,"118.57","57.55","121.87","percent of total billed charges",,
"COMPATIBILITY TEST @ UNIT; IMMED SPIN","86920","HCPCS","Both",,,"157.25","78.625","Medicaid",,"",,"37",,"57.55","57.55","121.87","percent of total billed charges",,
"PSA; TOTAL","84153","HCPCS","Both",,,"27","13.5","Alliant","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"PSA; TOTAL","84153","HCPCS","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"14.58","9.88","20.92","percent of total billed charges",,
"PSA; TOTAL","84153","HCPCS","Both",,,"27","13.5","Medicare",,"",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PSA; TOTAL","84153","HCPCS","Both",,,"27","13.5","Humana","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PSA; TOTAL","84153","HCPCS","Both",,,"27","13.5","UHC","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PSA; TOTAL","84153","HCPCS","Both",,,"27","13.5","Clover","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PSA; TOTAL","84153","HCPCS","Both",,,"27","13.5","Wellcare","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PSA; TOTAL","84153","HCPCS","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care","",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"PSA; TOTAL","84153","HCPCS","Both",,,"27","13.5","Caresource","Medicaid Managed Care","",,"40",,"10.8","9.88","20.92","percent of total billed charges",,
"PSA; TOTAL","84153","HCPCS","Both",,,"27","13.5","Wellcare","Medicaid Managed Care","",,"40",,"10.94","9.88","20.92","percent of total billed charges",,
"PSA; TOTAL","84153","HCPCS","Both",,,"27","13.5","Aetna","Commercial","",,"64",,"17.23","9.88","20.92","percent of total billed charges",,
"PSA; TOTAL","84153","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"PSA; TOTAL","84153","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","HMO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"PSA; TOTAL","84153","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","PPO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"PSA; TOTAL","84153","HCPCS","Both",,,"27","13.5","Ambetter","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"PSA; TOTAL","84153","HCPCS","Both",,,"27","13.5","Caresource","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"PSA; TOTAL","84153","HCPCS","Both",,,"27","13.5","Cigna","Commercial","",,"59",,"15.82","9.88","20.92","percent of total billed charges",,
"PSA; TOTAL","84153","HCPCS","Both",,,"27","13.5","Humana","Commercial","",,"78",,"20.92","9.88","20.92","percent of total billed charges",,
"PSA; TOTAL","84153","HCPCS","Both",,,"27","13.5","UHC","Commercial","",,"75",,"20.36","9.88","20.92","percent of total billed charges",,
"PSA; TOTAL","84153","HCPCS","Both",,,"27","13.5","Medicaid",,"",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"PROCAINAMIDE AND NAPA","80192","HCPCS","Both",,,"120.5","60.25","Alliant","Health Exchange","",,"62",,"74.71","44.1","93.39","percent of total billed charges",,
"PROCAINAMIDE AND NAPA","80192","HCPCS","Both",,,"120.5","60.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"65.07","44.1","93.39","percent of total billed charges",,
"PROCAINAMIDE AND NAPA","80192","HCPCS","Both",,,"120.5","60.25","Medicare",,"",,"54",,"65.31","44.1","93.39","percent of total billed charges",,
"PROCAINAMIDE AND NAPA","80192","HCPCS","Both",,,"120.5","60.25","Humana","Medicare Advantage","",,"54",,"65.31","44.1","93.39","percent of total billed charges",,
"PROCAINAMIDE AND NAPA","80192","HCPCS","Both",,,"120.5","60.25","UHC","Medicare Advantage","",,"54",,"65.31","44.1","93.39","percent of total billed charges",,
"PROCAINAMIDE AND NAPA","80192","HCPCS","Both",,,"120.5","60.25","Clover","Medicare Advantage","",,"54",,"65.31","44.1","93.39","percent of total billed charges",,
"PROCAINAMIDE AND NAPA","80192","HCPCS","Both",,,"120.5","60.25","Wellcare","Medicare Advantage","",,"54",,"65.31","44.1","93.39","percent of total billed charges",,
"PROCAINAMIDE AND NAPA","80192","HCPCS","Both",,,"120.5","60.25","Amerigroup","Medicaid Managed Care","",,"37",,"44.1","44.1","93.39","percent of total billed charges",,
"PROCAINAMIDE AND NAPA","80192","HCPCS","Both",,,"120.5","60.25","Caresource","Medicaid Managed Care","",,"40",,"48.2","44.1","93.39","percent of total billed charges",,
"PROCAINAMIDE AND NAPA","80192","HCPCS","Both",,,"120.5","60.25","Wellcare","Medicaid Managed Care","",,"40",,"48.8","44.1","93.39","percent of total billed charges",,
"PROCAINAMIDE AND NAPA","80192","HCPCS","Both",,,"120.5","60.25","Aetna","Commercial","",,"64",,"76.88","44.1","93.39","percent of total billed charges",,
"PROCAINAMIDE AND NAPA","80192","HCPCS","Both",,,"120.5","60.25","Blue Cross Blue Shield","Pathways","",,"71",,"85.07","44.1","93.39","percent of total billed charges",,
"PROCAINAMIDE AND NAPA","80192","HCPCS","Both",,,"120.5","60.25","Blue Cross Blue Shield","HMO","",,"71",,"85.07","44.1","93.39","percent of total billed charges",,
"PROCAINAMIDE AND NAPA","80192","HCPCS","Both",,,"120.5","60.25","Blue Cross Blue Shield","PPO","",,"71",,"85.07","44.1","93.39","percent of total billed charges",,
"PROCAINAMIDE AND NAPA","80192","HCPCS","Both",,,"120.5","60.25","Ambetter","Health Exchange","",,"62",,"74.71","44.1","93.39","percent of total billed charges",,
"PROCAINAMIDE AND NAPA","80192","HCPCS","Both",,,"120.5","60.25","Caresource","Health Exchange","",,"62",,"74.71","44.1","93.39","percent of total billed charges",,
"PROCAINAMIDE AND NAPA","80192","HCPCS","Both",,,"120.5","60.25","Cigna","Commercial","",,"59",,"70.61","44.1","93.39","percent of total billed charges",,
"PROCAINAMIDE AND NAPA","80192","HCPCS","Both",,,"120.5","60.25","Humana","Commercial","",,"78",,"93.39","44.1","93.39","percent of total billed charges",,
"PROCAINAMIDE AND NAPA","80192","HCPCS","Both",,,"120.5","60.25","UHC","Commercial","",,"75",,"90.86","44.1","93.39","percent of total billed charges",,
"PROCAINAMIDE AND NAPA","80192","HCPCS","Both",,,"120.5","60.25","Medicaid",,"",,"37",,"44.1","44.1","93.39","percent of total billed charges",,
"FREE T3","84481","HCPCS","Both",,,"111.5","55.75","Alliant","Health Exchange","",,"62",,"69.13","40.81","86.41","percent of total billed charges",,
"FREE T3","84481","HCPCS","Both",,,"111.5","55.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"60.21","40.81","86.41","percent of total billed charges",,
"FREE T3","84481","HCPCS","Both",,,"111.5","55.75","Medicare",,"",,"54",,"60.43","40.81","86.41","percent of total billed charges",,
"FREE T3","84481","HCPCS","Both",,,"111.5","55.75","Humana","Medicare Advantage","",,"54",,"60.43","40.81","86.41","percent of total billed charges",,
"FREE T3","84481","HCPCS","Both",,,"111.5","55.75","UHC","Medicare Advantage","",,"54",,"60.43","40.81","86.41","percent of total billed charges",,
"FREE T3","84481","HCPCS","Both",,,"111.5","55.75","Clover","Medicare Advantage","",,"54",,"60.43","40.81","86.41","percent of total billed charges",,
"FREE T3","84481","HCPCS","Both",,,"111.5","55.75","Wellcare","Medicare Advantage","",,"54",,"60.43","40.81","86.41","percent of total billed charges",,
"FREE T3","84481","HCPCS","Both",,,"111.5","55.75","Amerigroup","Medicaid Managed Care","",,"37",,"40.81","40.81","86.41","percent of total billed charges",,
"FREE T3","84481","HCPCS","Both",,,"111.5","55.75","Caresource","Medicaid Managed Care","",,"40",,"44.6","40.81","86.41","percent of total billed charges",,
"FREE T3","84481","HCPCS","Both",,,"111.5","55.75","Wellcare","Medicaid Managed Care","",,"40",,"45.16","40.81","86.41","percent of total billed charges",,
"FREE T3","84481","HCPCS","Both",,,"111.5","55.75","Aetna","Commercial","",,"64",,"71.14","40.81","86.41","percent of total billed charges",,
"FREE T3","84481","HCPCS","Both",,,"111.5","55.75","Blue Cross Blue Shield","Pathways","",,"71",,"78.72","40.81","86.41","percent of total billed charges",,
"FREE T3","84481","HCPCS","Both",,,"111.5","55.75","Blue Cross Blue Shield","HMO","",,"71",,"78.72","40.81","86.41","percent of total billed charges",,
"FREE T3","84481","HCPCS","Both",,,"111.5","55.75","Blue Cross Blue Shield","PPO","",,"71",,"78.72","40.81","86.41","percent of total billed charges",,
"FREE T3","84481","HCPCS","Both",,,"111.5","55.75","Ambetter","Health Exchange","",,"62",,"69.13","40.81","86.41","percent of total billed charges",,
"FREE T3","84481","HCPCS","Both",,,"111.5","55.75","Caresource","Health Exchange","",,"62",,"69.13","40.81","86.41","percent of total billed charges",,
"FREE T3","84481","HCPCS","Both",,,"111.5","55.75","Cigna","Commercial","",,"59",,"65.34","40.81","86.41","percent of total billed charges",,
"FREE T3","84481","HCPCS","Both",,,"111.5","55.75","Humana","Commercial","",,"78",,"86.41","40.81","86.41","percent of total billed charges",,
"FREE T3","84481","HCPCS","Both",,,"111.5","55.75","UHC","Commercial","",,"75",,"84.07","40.81","86.41","percent of total billed charges",,
"FREE T3","84481","HCPCS","Both",,,"111.5","55.75","Medicaid",,"",,"37",,"40.81","40.81","86.41","percent of total billed charges",,
"PROGESTERONE","84144","HCPCS","Both",,,"170.88","85.44","Alliant","Health Exchange","",,"62",,"105.95","62.54","132.43","percent of total billed charges",,
"PROGESTERONE","84144","HCPCS","Both",,,"170.88","85.44","Pruitt Healthcare","Medicare Advantage","",,"54",,"92.28","62.54","132.43","percent of total billed charges",,
"PROGESTERONE","84144","HCPCS","Both",,,"170.88","85.44","Medicare",,"",,"54",,"92.62","62.54","132.43","percent of total billed charges",,
"PROGESTERONE","84144","HCPCS","Both",,,"170.88","85.44","Humana","Medicare Advantage","",,"54",,"92.62","62.54","132.43","percent of total billed charges",,
"PROGESTERONE","84144","HCPCS","Both",,,"170.88","85.44","UHC","Medicare Advantage","",,"54",,"92.62","62.54","132.43","percent of total billed charges",,
"PROGESTERONE","84144","HCPCS","Both",,,"170.88","85.44","Clover","Medicare Advantage","",,"54",,"92.62","62.54","132.43","percent of total billed charges",,
"PROGESTERONE","84144","HCPCS","Both",,,"170.88","85.44","Wellcare","Medicare Advantage","",,"54",,"92.62","62.54","132.43","percent of total billed charges",,
"PROGESTERONE","84144","HCPCS","Both",,,"170.88","85.44","Amerigroup","Medicaid Managed Care","",,"37",,"62.54","62.54","132.43","percent of total billed charges",,
"PROGESTERONE","84144","HCPCS","Both",,,"170.88","85.44","Caresource","Medicaid Managed Care","",,"40",,"68.35","62.54","132.43","percent of total billed charges",,
"PROGESTERONE","84144","HCPCS","Both",,,"170.88","85.44","Wellcare","Medicaid Managed Care","",,"40",,"69.21","62.54","132.43","percent of total billed charges",,
"PROGESTERONE","84144","HCPCS","Both",,,"170.88","85.44","Aetna","Commercial","",,"64",,"109.02","62.54","132.43","percent of total billed charges",,
"PROGESTERONE","84144","HCPCS","Both",,,"170.88","85.44","Blue Cross Blue Shield","Pathways","",,"71",,"120.64","62.54","132.43","percent of total billed charges",,
"PROGESTERONE","84144","HCPCS","Both",,,"170.88","85.44","Blue Cross Blue Shield","HMO","",,"71",,"120.64","62.54","132.43","percent of total billed charges",,
"PROGESTERONE","84144","HCPCS","Both",,,"170.88","85.44","Blue Cross Blue Shield","PPO","",,"71",,"120.64","62.54","132.43","percent of total billed charges",,
"PROGESTERONE","84144","HCPCS","Both",,,"170.88","85.44","Ambetter","Health Exchange","",,"62",,"105.95","62.54","132.43","percent of total billed charges",,
"PROGESTERONE","84144","HCPCS","Both",,,"170.88","85.44","Caresource","Health Exchange","",,"62",,"105.95","62.54","132.43","percent of total billed charges",,
"PROGESTERONE","84144","HCPCS","Both",,,"170.88","85.44","Cigna","Commercial","",,"59",,"100.14","62.54","132.43","percent of total billed charges",,
"PROGESTERONE","84144","HCPCS","Both",,,"170.88","85.44","Humana","Commercial","",,"78",,"132.43","62.54","132.43","percent of total billed charges",,
"PROGESTERONE","84144","HCPCS","Both",,,"170.88","85.44","UHC","Commercial","",,"75",,"128.84","62.54","132.43","percent of total billed charges",,
"PROGESTERONE","84144","HCPCS","Both",,,"170.88","85.44","Medicaid",,"",,"37",,"62.54","62.54","132.43","percent of total billed charges",,
"B BURGDORFERI Ab REFLX IMMUNOBLOT","86618","HCPCS","Both",,,"21.5","10.75","Alliant","Health Exchange","",,"62",,"13.33","7.87","16.66","percent of total billed charges",,
"B BURGDORFERI Ab REFLX IMMUNOBLOT","86618","HCPCS","Both",,,"21.5","10.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"11.61","7.87","16.66","percent of total billed charges",,
"B BURGDORFERI Ab REFLX IMMUNOBLOT","86618","HCPCS","Both",,,"21.5","10.75","Medicare",,"",,"54",,"11.65","7.87","16.66","percent of total billed charges",,
"B BURGDORFERI Ab REFLX IMMUNOBLOT","86618","HCPCS","Both",,,"21.5","10.75","Humana","Medicare Advantage","",,"54",,"11.65","7.87","16.66","percent of total billed charges",,
"B BURGDORFERI Ab REFLX IMMUNOBLOT","86618","HCPCS","Both",,,"21.5","10.75","UHC","Medicare Advantage","",,"54",,"11.65","7.87","16.66","percent of total billed charges",,
"B BURGDORFERI Ab REFLX IMMUNOBLOT","86618","HCPCS","Both",,,"21.5","10.75","Clover","Medicare Advantage","",,"54",,"11.65","7.87","16.66","percent of total billed charges",,
"B BURGDORFERI Ab REFLX IMMUNOBLOT","86618","HCPCS","Both",,,"21.5","10.75","Wellcare","Medicare Advantage","",,"54",,"11.65","7.87","16.66","percent of total billed charges",,
"B BURGDORFERI Ab REFLX IMMUNOBLOT","86618","HCPCS","Both",,,"21.5","10.75","Amerigroup","Medicaid Managed Care","",,"37",,"7.87","7.87","16.66","percent of total billed charges",,
"B BURGDORFERI Ab REFLX IMMUNOBLOT","86618","HCPCS","Both",,,"21.5","10.75","Caresource","Medicaid Managed Care","",,"40",,"8.6","7.87","16.66","percent of total billed charges",,
"B BURGDORFERI Ab REFLX IMMUNOBLOT","86618","HCPCS","Both",,,"21.5","10.75","Wellcare","Medicaid Managed Care","",,"40",,"8.71","7.87","16.66","percent of total billed charges",,
"B BURGDORFERI Ab REFLX IMMUNOBLOT","86618","HCPCS","Both",,,"21.5","10.75","Aetna","Commercial","",,"64",,"13.72","7.87","16.66","percent of total billed charges",,
"B BURGDORFERI Ab REFLX IMMUNOBLOT","86618","HCPCS","Both",,,"21.5","10.75","Blue Cross Blue Shield","Pathways","",,"71",,"15.18","7.87","16.66","percent of total billed charges",,
"B BURGDORFERI Ab REFLX IMMUNOBLOT","86618","HCPCS","Both",,,"21.5","10.75","Blue Cross Blue Shield","HMO","",,"71",,"15.18","7.87","16.66","percent of total billed charges",,
"B BURGDORFERI Ab REFLX IMMUNOBLOT","86618","HCPCS","Both",,,"21.5","10.75","Blue Cross Blue Shield","PPO","",,"71",,"15.18","7.87","16.66","percent of total billed charges",,
"B BURGDORFERI Ab REFLX IMMUNOBLOT","86618","HCPCS","Both",,,"21.5","10.75","Ambetter","Health Exchange","",,"62",,"13.33","7.87","16.66","percent of total billed charges",,
"B BURGDORFERI Ab REFLX IMMUNOBLOT","86618","HCPCS","Both",,,"21.5","10.75","Caresource","Health Exchange","",,"62",,"13.33","7.87","16.66","percent of total billed charges",,
"B BURGDORFERI Ab REFLX IMMUNOBLOT","86618","HCPCS","Both",,,"21.5","10.75","Cigna","Commercial","",,"59",,"12.6","7.87","16.66","percent of total billed charges",,
"B BURGDORFERI Ab REFLX IMMUNOBLOT","86618","HCPCS","Both",,,"21.5","10.75","Humana","Commercial","",,"78",,"16.66","7.87","16.66","percent of total billed charges",,
"B BURGDORFERI Ab REFLX IMMUNOBLOT","86618","HCPCS","Both",,,"21.5","10.75","UHC","Commercial","",,"75",,"16.21","7.87","16.66","percent of total billed charges",,
"B BURGDORFERI Ab REFLX IMMUNOBLOT","86618","HCPCS","Both",,,"21.5","10.75","Medicaid",,"",,"37",,"7.87","7.87","16.66","percent of total billed charges",,
"TROPONIN I (QUANTITATIVE)","84484","HCPCS","Both",,,"18","9","Alliant","Health Exchange","",,"62",,"11.16","6.59","13.95","percent of total billed charges",,
"TROPONIN I (QUANTITATIVE)","84484","HCPCS","Both",,,"18","9","Pruitt Healthcare","Medicare Advantage","",,"54",,"9.72","6.59","13.95","percent of total billed charges",,
"TROPONIN I (QUANTITATIVE)","84484","HCPCS","Both",,,"18","9","Medicare",,"",,"54",,"9.76","6.59","13.95","percent of total billed charges",,
"TROPONIN I (QUANTITATIVE)","84484","HCPCS","Both",,,"18","9","Humana","Medicare Advantage","",,"54",,"9.76","6.59","13.95","percent of total billed charges",,
"TROPONIN I (QUANTITATIVE)","84484","HCPCS","Both",,,"18","9","UHC","Medicare Advantage","",,"54",,"9.76","6.59","13.95","percent of total billed charges",,
"TROPONIN I (QUANTITATIVE)","84484","HCPCS","Both",,,"18","9","Clover","Medicare Advantage","",,"54",,"9.76","6.59","13.95","percent of total billed charges",,
"TROPONIN I (QUANTITATIVE)","84484","HCPCS","Both",,,"18","9","Wellcare","Medicare Advantage","",,"54",,"9.76","6.59","13.95","percent of total billed charges",,
"TROPONIN I (QUANTITATIVE)","84484","HCPCS","Both",,,"18","9","Amerigroup","Medicaid Managed Care","",,"37",,"6.59","6.59","13.95","percent of total billed charges",,
"TROPONIN I (QUANTITATIVE)","84484","HCPCS","Both",,,"18","9","Caresource","Medicaid Managed Care","",,"40",,"7.2","6.59","13.95","percent of total billed charges",,
"TROPONIN I (QUANTITATIVE)","84484","HCPCS","Both",,,"18","9","Wellcare","Medicaid Managed Care","",,"40",,"7.29","6.59","13.95","percent of total billed charges",,
"TROPONIN I (QUANTITATIVE)","84484","HCPCS","Both",,,"18","9","Aetna","Commercial","",,"64",,"11.48","6.59","13.95","percent of total billed charges",,
"TROPONIN I (QUANTITATIVE)","84484","HCPCS","Both",,,"18","9","Blue Cross Blue Shield","Pathways","",,"71",,"12.71","6.59","13.95","percent of total billed charges",,
"TROPONIN I (QUANTITATIVE)","84484","HCPCS","Both",,,"18","9","Blue Cross Blue Shield","HMO","",,"71",,"12.71","6.59","13.95","percent of total billed charges",,
"TROPONIN I (QUANTITATIVE)","84484","HCPCS","Both",,,"18","9","Blue Cross Blue Shield","PPO","",,"71",,"12.71","6.59","13.95","percent of total billed charges",,
"TROPONIN I (QUANTITATIVE)","84484","HCPCS","Both",,,"18","9","Ambetter","Health Exchange","",,"62",,"11.16","6.59","13.95","percent of total billed charges",,
"TROPONIN I (QUANTITATIVE)","84484","HCPCS","Both",,,"18","9","Caresource","Health Exchange","",,"62",,"11.16","6.59","13.95","percent of total billed charges",,
"TROPONIN I (QUANTITATIVE)","84484","HCPCS","Both",,,"18","9","Cigna","Commercial","",,"59",,"10.55","6.59","13.95","percent of total billed charges",,
"TROPONIN I (QUANTITATIVE)","84484","HCPCS","Both",,,"18","9","Humana","Commercial","",,"78",,"13.95","6.59","13.95","percent of total billed charges",,
"TROPONIN I (QUANTITATIVE)","84484","HCPCS","Both",,,"18","9","UHC","Commercial","",,"75",,"13.57","6.59","13.95","percent of total billed charges",,
"TROPONIN I (QUANTITATIVE)","84484","HCPCS","Both",,,"18","9","Medicaid",,"",,"37",,"6.59","6.59","13.95","percent of total billed charges",,
"ETHOSUXIMIDE","80168","HCPCS","Both",,,"117.5","58.75","Alliant","Health Exchange","",,"62",,"72.85","43","91.06","percent of total billed charges",,
"ETHOSUXIMIDE","80168","HCPCS","Both",,,"117.5","58.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"63.45","43","91.06","percent of total billed charges",,
"ETHOSUXIMIDE","80168","HCPCS","Both",,,"117.5","58.75","Medicare",,"",,"54",,"63.68","43","91.06","percent of total billed charges",,
"ETHOSUXIMIDE","80168","HCPCS","Both",,,"117.5","58.75","Humana","Medicare Advantage","",,"54",,"63.68","43","91.06","percent of total billed charges",,
"ETHOSUXIMIDE","80168","HCPCS","Both",,,"117.5","58.75","UHC","Medicare Advantage","",,"54",,"63.68","43","91.06","percent of total billed charges",,
"ETHOSUXIMIDE","80168","HCPCS","Both",,,"117.5","58.75","Clover","Medicare Advantage","",,"54",,"63.68","43","91.06","percent of total billed charges",,
"ETHOSUXIMIDE","80168","HCPCS","Both",,,"117.5","58.75","Wellcare","Medicare Advantage","",,"54",,"63.68","43","91.06","percent of total billed charges",,
"ETHOSUXIMIDE","80168","HCPCS","Both",,,"117.5","58.75","Amerigroup","Medicaid Managed Care","",,"37",,"43","43","91.06","percent of total billed charges",,
"ETHOSUXIMIDE","80168","HCPCS","Both",,,"117.5","58.75","Caresource","Medicaid Managed Care","",,"40",,"47","43","91.06","percent of total billed charges",,
"ETHOSUXIMIDE","80168","HCPCS","Both",,,"117.5","58.75","Wellcare","Medicaid Managed Care","",,"40",,"47.59","43","91.06","percent of total billed charges",,
"ETHOSUXIMIDE","80168","HCPCS","Both",,,"117.5","58.75","Aetna","Commercial","",,"64",,"74.96","43","91.06","percent of total billed charges",,
"ETHOSUXIMIDE","80168","HCPCS","Both",,,"117.5","58.75","Blue Cross Blue Shield","Pathways","",,"71",,"82.96","43","91.06","percent of total billed charges",,
"ETHOSUXIMIDE","80168","HCPCS","Both",,,"117.5","58.75","Blue Cross Blue Shield","HMO","",,"71",,"82.96","43","91.06","percent of total billed charges",,
"ETHOSUXIMIDE","80168","HCPCS","Both",,,"117.5","58.75","Blue Cross Blue Shield","PPO","",,"71",,"82.96","43","91.06","percent of total billed charges",,
"ETHOSUXIMIDE","80168","HCPCS","Both",,,"117.5","58.75","Ambetter","Health Exchange","",,"62",,"72.85","43","91.06","percent of total billed charges",,
"ETHOSUXIMIDE","80168","HCPCS","Both",,,"117.5","58.75","Caresource","Health Exchange","",,"62",,"72.85","43","91.06","percent of total billed charges",,
"ETHOSUXIMIDE","80168","HCPCS","Both",,,"117.5","58.75","Cigna","Commercial","",,"59",,"68.85","43","91.06","percent of total billed charges",,
"ETHOSUXIMIDE","80168","HCPCS","Both",,,"117.5","58.75","Humana","Commercial","",,"78",,"91.06","43","91.06","percent of total billed charges",,
"ETHOSUXIMIDE","80168","HCPCS","Both",,,"117.5","58.75","UHC","Commercial","",,"75",,"88.6","43","91.06","percent of total billed charges",,
"ETHOSUXIMIDE","80168","HCPCS","Both",,,"117.5","58.75","Medicaid",,"",,"37",,"43","43","91.06","percent of total billed charges",,
"ESTRIOL UNCONJUGATED","82677","HCPCS","Both",,,"173.5","86.75","Alliant","Health Exchange","",,"62",,"107.57","63.5","134.46","percent of total billed charges",,
"ESTRIOL UNCONJUGATED","82677","HCPCS","Both",,,"173.5","86.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"93.69","63.5","134.46","percent of total billed charges",,
"ESTRIOL UNCONJUGATED","82677","HCPCS","Both",,,"173.5","86.75","Medicare",,"",,"54",,"94.04","63.5","134.46","percent of total billed charges",,
"ESTRIOL UNCONJUGATED","82677","HCPCS","Both",,,"173.5","86.75","Humana","Medicare Advantage","",,"54",,"94.04","63.5","134.46","percent of total billed charges",,
"ESTRIOL UNCONJUGATED","82677","HCPCS","Both",,,"173.5","86.75","UHC","Medicare Advantage","",,"54",,"94.04","63.5","134.46","percent of total billed charges",,
"ESTRIOL UNCONJUGATED","82677","HCPCS","Both",,,"173.5","86.75","Clover","Medicare Advantage","",,"54",,"94.04","63.5","134.46","percent of total billed charges",,
"ESTRIOL UNCONJUGATED","82677","HCPCS","Both",,,"173.5","86.75","Wellcare","Medicare Advantage","",,"54",,"94.04","63.5","134.46","percent of total billed charges",,
"ESTRIOL UNCONJUGATED","82677","HCPCS","Both",,,"173.5","86.75","Amerigroup","Medicaid Managed Care","",,"37",,"63.5","63.5","134.46","percent of total billed charges",,
"ESTRIOL UNCONJUGATED","82677","HCPCS","Both",,,"173.5","86.75","Caresource","Medicaid Managed Care","",,"40",,"69.4","63.5","134.46","percent of total billed charges",,
"ESTRIOL UNCONJUGATED","82677","HCPCS","Both",,,"173.5","86.75","Wellcare","Medicaid Managed Care","",,"40",,"70.27","63.5","134.46","percent of total billed charges",,
"ESTRIOL UNCONJUGATED","82677","HCPCS","Both",,,"173.5","86.75","Aetna","Commercial","",,"64",,"110.69","63.5","134.46","percent of total billed charges",,
"ESTRIOL UNCONJUGATED","82677","HCPCS","Both",,,"173.5","86.75","Blue Cross Blue Shield","Pathways","",,"71",,"122.49","63.5","134.46","percent of total billed charges",,
"ESTRIOL UNCONJUGATED","82677","HCPCS","Both",,,"173.5","86.75","Blue Cross Blue Shield","HMO","",,"71",,"122.49","63.5","134.46","percent of total billed charges",,
"ESTRIOL UNCONJUGATED","82677","HCPCS","Both",,,"173.5","86.75","Blue Cross Blue Shield","PPO","",,"71",,"122.49","63.5","134.46","percent of total billed charges",,
"ESTRIOL UNCONJUGATED","82677","HCPCS","Both",,,"173.5","86.75","Ambetter","Health Exchange","",,"62",,"107.57","63.5","134.46","percent of total billed charges",,
"ESTRIOL UNCONJUGATED","82677","HCPCS","Both",,,"173.5","86.75","Caresource","Health Exchange","",,"62",,"107.57","63.5","134.46","percent of total billed charges",,
"ESTRIOL UNCONJUGATED","82677","HCPCS","Both",,,"173.5","86.75","Cigna","Commercial","",,"59",,"101.67","63.5","134.46","percent of total billed charges",,
"ESTRIOL UNCONJUGATED","82677","HCPCS","Both",,,"173.5","86.75","Humana","Commercial","",,"78",,"134.46","63.5","134.46","percent of total billed charges",,
"ESTRIOL UNCONJUGATED","82677","HCPCS","Both",,,"173.5","86.75","UHC","Commercial","",,"75",,"130.82","63.5","134.46","percent of total billed charges",,
"ESTRIOL UNCONJUGATED","82677","HCPCS","Both",,,"173.5","86.75","Medicaid",,"",,"37",,"63.5","63.5","134.46","percent of total billed charges",,
"LEAD BLOOD (DO NOT USE)","83655","HCPCS","Both",,,"87","43.5","Alliant","Health Exchange","",,"62",,"53.94","31.84","67.42","percent of total billed charges",,
"LEAD BLOOD (DO NOT USE)","83655","HCPCS","Both",,,"87","43.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"46.98","31.84","67.42","percent of total billed charges",,
"LEAD BLOOD (DO NOT USE)","83655","HCPCS","Both",,,"87","43.5","Medicare",,"",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"LEAD BLOOD (DO NOT USE)","83655","HCPCS","Both",,,"87","43.5","Humana","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"LEAD BLOOD (DO NOT USE)","83655","HCPCS","Both",,,"87","43.5","UHC","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"LEAD BLOOD (DO NOT USE)","83655","HCPCS","Both",,,"87","43.5","Clover","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"LEAD BLOOD (DO NOT USE)","83655","HCPCS","Both",,,"87","43.5","Wellcare","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"LEAD BLOOD (DO NOT USE)","83655","HCPCS","Both",,,"87","43.5","Amerigroup","Medicaid Managed Care","",,"37",,"31.84","31.84","67.42","percent of total billed charges",,
"LEAD BLOOD (DO NOT USE)","83655","HCPCS","Both",,,"87","43.5","Caresource","Medicaid Managed Care","",,"40",,"34.8","31.84","67.42","percent of total billed charges",,
"LEAD BLOOD (DO NOT USE)","83655","HCPCS","Both",,,"87","43.5","Wellcare","Medicaid Managed Care","",,"40",,"35.24","31.84","67.42","percent of total billed charges",,
"LEAD BLOOD (DO NOT USE)","83655","HCPCS","Both",,,"87","43.5","Aetna","Commercial","",,"64",,"55.51","31.84","67.42","percent of total billed charges",,
"LEAD BLOOD (DO NOT USE)","83655","HCPCS","Both",,,"87","43.5","Blue Cross Blue Shield","Pathways","",,"71",,"61.42","31.84","67.42","percent of total billed charges",,
"LEAD BLOOD (DO NOT USE)","83655","HCPCS","Both",,,"87","43.5","Blue Cross Blue Shield","HMO","",,"71",,"61.42","31.84","67.42","percent of total billed charges",,
"LEAD BLOOD (DO NOT USE)","83655","HCPCS","Both",,,"87","43.5","Blue Cross Blue Shield","PPO","",,"71",,"61.42","31.84","67.42","percent of total billed charges",,
"LEAD BLOOD (DO NOT USE)","83655","HCPCS","Both",,,"87","43.5","Ambetter","Health Exchange","",,"62",,"53.94","31.84","67.42","percent of total billed charges",,
"LEAD BLOOD (DO NOT USE)","83655","HCPCS","Both",,,"87","43.5","Caresource","Health Exchange","",,"62",,"53.94","31.84","67.42","percent of total billed charges",,
"LEAD BLOOD (DO NOT USE)","83655","HCPCS","Both",,,"87","43.5","Cigna","Commercial","",,"59",,"50.98","31.84","67.42","percent of total billed charges",,
"LEAD BLOOD (DO NOT USE)","83655","HCPCS","Both",,,"87","43.5","Humana","Commercial","",,"78",,"67.42","31.84","67.42","percent of total billed charges",,
"LEAD BLOOD (DO NOT USE)","83655","HCPCS","Both",,,"87","43.5","UHC","Commercial","",,"75",,"65.6","31.84","67.42","percent of total billed charges",,
"LEAD BLOOD (DO NOT USE)","83655","HCPCS","Both",,,"87","43.5","Medicaid",,"",,"37",,"31.84","31.84","67.42","percent of total billed charges",,
"KETONES SERUM","82009","HCPCS","Both",,,"9","4.5","Alliant","Health Exchange","",,"62",,"5.58","3.29","6.98","percent of total billed charges",,
"KETONES SERUM","82009","HCPCS","Both",,,"9","4.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"4.86","3.29","6.98","percent of total billed charges",,
"KETONES SERUM","82009","HCPCS","Both",,,"9","4.5","Medicare",,"",,"54",,"4.88","3.29","6.98","percent of total billed charges",,
"KETONES SERUM","82009","HCPCS","Both",,,"9","4.5","Humana","Medicare Advantage","",,"54",,"4.88","3.29","6.98","percent of total billed charges",,
"KETONES SERUM","82009","HCPCS","Both",,,"9","4.5","UHC","Medicare Advantage","",,"54",,"4.88","3.29","6.98","percent of total billed charges",,
"KETONES SERUM","82009","HCPCS","Both",,,"9","4.5","Clover","Medicare Advantage","",,"54",,"4.88","3.29","6.98","percent of total billed charges",,
"KETONES SERUM","82009","HCPCS","Both",,,"9","4.5","Wellcare","Medicare Advantage","",,"54",,"4.88","3.29","6.98","percent of total billed charges",,
"KETONES SERUM","82009","HCPCS","Both",,,"9","4.5","Amerigroup","Medicaid Managed Care","",,"37",,"3.29","3.29","6.98","percent of total billed charges",,
"KETONES SERUM","82009","HCPCS","Both",,,"9","4.5","Caresource","Medicaid Managed Care","",,"40",,"3.6","3.29","6.98","percent of total billed charges",,
"KETONES SERUM","82009","HCPCS","Both",,,"9","4.5","Wellcare","Medicaid Managed Care","",,"40",,"3.65","3.29","6.98","percent of total billed charges",,
"KETONES SERUM","82009","HCPCS","Both",,,"9","4.5","Aetna","Commercial","",,"64",,"5.74","3.29","6.98","percent of total billed charges",,
"KETONES SERUM","82009","HCPCS","Both",,,"9","4.5","Blue Cross Blue Shield","Pathways","",,"71",,"6.35","3.29","6.98","percent of total billed charges",,
"KETONES SERUM","82009","HCPCS","Both",,,"9","4.5","Blue Cross Blue Shield","HMO","",,"71",,"6.35","3.29","6.98","percent of total billed charges",,
"KETONES SERUM","82009","HCPCS","Both",,,"9","4.5","Blue Cross Blue Shield","PPO","",,"71",,"6.35","3.29","6.98","percent of total billed charges",,
"KETONES SERUM","82009","HCPCS","Both",,,"9","4.5","Ambetter","Health Exchange","",,"62",,"5.58","3.29","6.98","percent of total billed charges",,
"KETONES SERUM","82009","HCPCS","Both",,,"9","4.5","Caresource","Health Exchange","",,"62",,"5.58","3.29","6.98","percent of total billed charges",,
"KETONES SERUM","82009","HCPCS","Both",,,"9","4.5","Cigna","Commercial","",,"59",,"5.27","3.29","6.98","percent of total billed charges",,
"KETONES SERUM","82009","HCPCS","Both",,,"9","4.5","Humana","Commercial","",,"78",,"6.98","3.29","6.98","percent of total billed charges",,
"KETONES SERUM","82009","HCPCS","Both",,,"9","4.5","UHC","Commercial","",,"75",,"6.79","3.29","6.98","percent of total billed charges",,
"KETONES SERUM","82009","HCPCS","Both",,,"9","4.5","Medicaid",,"",,"37",,"3.29","3.29","6.98","percent of total billed charges",,
"RNP ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Alliant","Health Exchange","",,"62",,"28.83","17.02","36.04","percent of total billed charges",,
"RNP ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"25.11","17.02","36.04","percent of total billed charges",,
"RNP ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Medicare",,"",,"54",,"25.2","17.02","36.04","percent of total billed charges",,
"RNP ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Humana","Medicare Advantage","",,"54",,"25.2","17.02","36.04","percent of total billed charges",,
"RNP ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","UHC","Medicare Advantage","",,"54",,"25.2","17.02","36.04","percent of total billed charges",,
"RNP ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Clover","Medicare Advantage","",,"54",,"25.2","17.02","36.04","percent of total billed charges",,
"RNP ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Wellcare","Medicare Advantage","",,"54",,"25.2","17.02","36.04","percent of total billed charges",,
"RNP ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Amerigroup","Medicaid Managed Care","",,"37",,"17.02","17.02","36.04","percent of total billed charges",,
"RNP ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Caresource","Medicaid Managed Care","",,"40",,"18.6","17.02","36.04","percent of total billed charges",,
"RNP ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Wellcare","Medicaid Managed Care","",,"40",,"18.83","17.02","36.04","percent of total billed charges",,
"RNP ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Aetna","Commercial","",,"64",,"29.67","17.02","36.04","percent of total billed charges",,
"RNP ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Blue Cross Blue Shield","Pathways","",,"71",,"32.83","17.02","36.04","percent of total billed charges",,
"RNP ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Blue Cross Blue Shield","HMO","",,"71",,"32.83","17.02","36.04","percent of total billed charges",,
"RNP ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Blue Cross Blue Shield","PPO","",,"71",,"32.83","17.02","36.04","percent of total billed charges",,
"RNP ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Ambetter","Health Exchange","",,"62",,"28.83","17.02","36.04","percent of total billed charges",,
"RNP ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Caresource","Health Exchange","",,"62",,"28.83","17.02","36.04","percent of total billed charges",,
"RNP ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Cigna","Commercial","",,"59",,"27.25","17.02","36.04","percent of total billed charges",,
"RNP ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Humana","Commercial","",,"78",,"36.04","17.02","36.04","percent of total billed charges",,
"RNP ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","UHC","Commercial","",,"75",,"35.06","17.02","36.04","percent of total billed charges",,
"RNP ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Medicaid",,"",,"37",,"17.02","17.02","36.04","percent of total billed charges",,
"VASOPRESSIN (ANTIDIURETIC HORMONE,ADH)","84588","HCPCS","Both",,,"243","121.5","Alliant","Health Exchange","",,"62",,"150.66","88.94","188.32","percent of total billed charges",,
"VASOPRESSIN (ANTIDIURETIC HORMONE,ADH)","84588","HCPCS","Both",,,"243","121.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"131.22","88.94","188.32","percent of total billed charges",,
"VASOPRESSIN (ANTIDIURETIC HORMONE,ADH)","84588","HCPCS","Both",,,"243","121.5","Medicare",,"",,"54",,"131.71","88.94","188.32","percent of total billed charges",,
"VASOPRESSIN (ANTIDIURETIC HORMONE,ADH)","84588","HCPCS","Both",,,"243","121.5","Humana","Medicare Advantage","",,"54",,"131.71","88.94","188.32","percent of total billed charges",,
"VASOPRESSIN (ANTIDIURETIC HORMONE,ADH)","84588","HCPCS","Both",,,"243","121.5","UHC","Medicare Advantage","",,"54",,"131.71","88.94","188.32","percent of total billed charges",,
"VASOPRESSIN (ANTIDIURETIC HORMONE,ADH)","84588","HCPCS","Both",,,"243","121.5","Clover","Medicare Advantage","",,"54",,"131.71","88.94","188.32","percent of total billed charges",,
"VASOPRESSIN (ANTIDIURETIC HORMONE,ADH)","84588","HCPCS","Both",,,"243","121.5","Wellcare","Medicare Advantage","",,"54",,"131.71","88.94","188.32","percent of total billed charges",,
"VASOPRESSIN (ANTIDIURETIC HORMONE,ADH)","84588","HCPCS","Both",,,"243","121.5","Amerigroup","Medicaid Managed Care","",,"37",,"88.94","88.94","188.32","percent of total billed charges",,
"VASOPRESSIN (ANTIDIURETIC HORMONE,ADH)","84588","HCPCS","Both",,,"243","121.5","Caresource","Medicaid Managed Care","",,"40",,"97.2","88.94","188.32","percent of total billed charges",,
"VASOPRESSIN (ANTIDIURETIC HORMONE,ADH)","84588","HCPCS","Both",,,"243","121.5","Wellcare","Medicaid Managed Care","",,"40",,"98.42","88.94","188.32","percent of total billed charges",,
"VASOPRESSIN (ANTIDIURETIC HORMONE,ADH)","84588","HCPCS","Both",,,"243","121.5","Aetna","Commercial","",,"64",,"155.03","88.94","188.32","percent of total billed charges",,
"VASOPRESSIN (ANTIDIURETIC HORMONE,ADH)","84588","HCPCS","Both",,,"243","121.5","Blue Cross Blue Shield","Pathways","",,"71",,"171.56","88.94","188.32","percent of total billed charges",,
"VASOPRESSIN (ANTIDIURETIC HORMONE,ADH)","84588","HCPCS","Both",,,"243","121.5","Blue Cross Blue Shield","HMO","",,"71",,"171.56","88.94","188.32","percent of total billed charges",,
"VASOPRESSIN (ANTIDIURETIC HORMONE,ADH)","84588","HCPCS","Both",,,"243","121.5","Blue Cross Blue Shield","PPO","",,"71",,"171.56","88.94","188.32","percent of total billed charges",,
"VASOPRESSIN (ANTIDIURETIC HORMONE,ADH)","84588","HCPCS","Both",,,"243","121.5","Ambetter","Health Exchange","",,"62",,"150.66","88.94","188.32","percent of total billed charges",,
"VASOPRESSIN (ANTIDIURETIC HORMONE,ADH)","84588","HCPCS","Both",,,"243","121.5","Caresource","Health Exchange","",,"62",,"150.66","88.94","188.32","percent of total billed charges",,
"VASOPRESSIN (ANTIDIURETIC HORMONE,ADH)","84588","HCPCS","Both",,,"243","121.5","Cigna","Commercial","",,"59",,"142.4","88.94","188.32","percent of total billed charges",,
"VASOPRESSIN (ANTIDIURETIC HORMONE,ADH)","84588","HCPCS","Both",,,"243","121.5","Humana","Commercial","",,"78",,"188.32","88.94","188.32","percent of total billed charges",,
"VASOPRESSIN (ANTIDIURETIC HORMONE,ADH)","84588","HCPCS","Both",,,"243","121.5","UHC","Commercial","",,"75",,"183.22","88.94","188.32","percent of total billed charges",,
"VASOPRESSIN (ANTIDIURETIC HORMONE,ADH)","84588","HCPCS","Both",,,"243","121.5","Medicaid",,"",,"37",,"88.94","88.94","188.32","percent of total billed charges",,
"CALCIUM URINE RANDOM","82340","HCPCS","Both",,,"43","21.5","Alliant","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"CALCIUM URINE RANDOM","82340","HCPCS","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"23.22","15.74","33.33","percent of total billed charges",,
"CALCIUM URINE RANDOM","82340","HCPCS","Both",,,"43","21.5","Medicare",,"",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"CALCIUM URINE RANDOM","82340","HCPCS","Both",,,"43","21.5","Humana","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"CALCIUM URINE RANDOM","82340","HCPCS","Both",,,"43","21.5","UHC","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"CALCIUM URINE RANDOM","82340","HCPCS","Both",,,"43","21.5","Clover","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"CALCIUM URINE RANDOM","82340","HCPCS","Both",,,"43","21.5","Wellcare","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"CALCIUM URINE RANDOM","82340","HCPCS","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care","",,"37",,"15.74","15.74","33.33","percent of total billed charges",,
"CALCIUM URINE RANDOM","82340","HCPCS","Both",,,"43","21.5","Caresource","Medicaid Managed Care","",,"40",,"17.2","15.74","33.33","percent of total billed charges",,
"CALCIUM URINE RANDOM","82340","HCPCS","Both",,,"43","21.5","Wellcare","Medicaid Managed Care","",,"40",,"17.42","15.74","33.33","percent of total billed charges",,
"CALCIUM URINE RANDOM","82340","HCPCS","Both",,,"43","21.5","Aetna","Commercial","",,"64",,"27.43","15.74","33.33","percent of total billed charges",,
"CALCIUM URINE RANDOM","82340","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"CALCIUM URINE RANDOM","82340","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","HMO","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"CALCIUM URINE RANDOM","82340","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","PPO","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"CALCIUM URINE RANDOM","82340","HCPCS","Both",,,"43","21.5","Ambetter","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"CALCIUM URINE RANDOM","82340","HCPCS","Both",,,"43","21.5","Caresource","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"CALCIUM URINE RANDOM","82340","HCPCS","Both",,,"43","21.5","Cigna","Commercial","",,"59",,"25.2","15.74","33.33","percent of total billed charges",,
"CALCIUM URINE RANDOM","82340","HCPCS","Both",,,"43","21.5","Humana","Commercial","",,"78",,"33.33","15.74","33.33","percent of total billed charges",,
"CALCIUM URINE RANDOM","82340","HCPCS","Both",,,"43","21.5","UHC","Commercial","",,"75",,"32.42","15.74","33.33","percent of total billed charges",,
"CALCIUM URINE RANDOM","82340","HCPCS","Both",,,"43","21.5","Medicaid",,"",,"37",,"15.74","15.74","33.33","percent of total billed charges",,
"FACTOR VIII ACTIVITY","85240","HCPCS","Both",,,"129","64.5","Alliant","Health Exchange","",,"62",,"79.98","47.21","99.98","percent of total billed charges",,
"FACTOR VIII ACTIVITY","85240","HCPCS","Both",,,"129","64.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"69.66","47.21","99.98","percent of total billed charges",,
"FACTOR VIII ACTIVITY","85240","HCPCS","Both",,,"129","64.5","Medicare",,"",,"54",,"69.92","47.21","99.98","percent of total billed charges",,
"FACTOR VIII ACTIVITY","85240","HCPCS","Both",,,"129","64.5","Humana","Medicare Advantage","",,"54",,"69.92","47.21","99.98","percent of total billed charges",,
"FACTOR VIII ACTIVITY","85240","HCPCS","Both",,,"129","64.5","UHC","Medicare Advantage","",,"54",,"69.92","47.21","99.98","percent of total billed charges",,
"FACTOR VIII ACTIVITY","85240","HCPCS","Both",,,"129","64.5","Clover","Medicare Advantage","",,"54",,"69.92","47.21","99.98","percent of total billed charges",,
"FACTOR VIII ACTIVITY","85240","HCPCS","Both",,,"129","64.5","Wellcare","Medicare Advantage","",,"54",,"69.92","47.21","99.98","percent of total billed charges",,
"FACTOR VIII ACTIVITY","85240","HCPCS","Both",,,"129","64.5","Amerigroup","Medicaid Managed Care","",,"37",,"47.21","47.21","99.98","percent of total billed charges",,
"FACTOR VIII ACTIVITY","85240","HCPCS","Both",,,"129","64.5","Caresource","Medicaid Managed Care","",,"40",,"51.6","47.21","99.98","percent of total billed charges",,
"FACTOR VIII ACTIVITY","85240","HCPCS","Both",,,"129","64.5","Wellcare","Medicaid Managed Care","",,"40",,"52.24","47.21","99.98","percent of total billed charges",,
"FACTOR VIII ACTIVITY","85240","HCPCS","Both",,,"129","64.5","Aetna","Commercial","",,"64",,"82.3","47.21","99.98","percent of total billed charges",,
"FACTOR VIII ACTIVITY","85240","HCPCS","Both",,,"129","64.5","Blue Cross Blue Shield","Pathways","",,"71",,"91.07","47.21","99.98","percent of total billed charges",,
"FACTOR VIII ACTIVITY","85240","HCPCS","Both",,,"129","64.5","Blue Cross Blue Shield","HMO","",,"71",,"91.07","47.21","99.98","percent of total billed charges",,
"FACTOR VIII ACTIVITY","85240","HCPCS","Both",,,"129","64.5","Blue Cross Blue Shield","PPO","",,"71",,"91.07","47.21","99.98","percent of total billed charges",,
"FACTOR VIII ACTIVITY","85240","HCPCS","Both",,,"129","64.5","Ambetter","Health Exchange","",,"62",,"79.98","47.21","99.98","percent of total billed charges",,
"FACTOR VIII ACTIVITY","85240","HCPCS","Both",,,"129","64.5","Caresource","Health Exchange","",,"62",,"79.98","47.21","99.98","percent of total billed charges",,
"FACTOR VIII ACTIVITY","85240","HCPCS","Both",,,"129","64.5","Cigna","Commercial","",,"59",,"75.59","47.21","99.98","percent of total billed charges",,
"FACTOR VIII ACTIVITY","85240","HCPCS","Both",,,"129","64.5","Humana","Commercial","",,"78",,"99.98","47.21","99.98","percent of total billed charges",,
"FACTOR VIII ACTIVITY","85240","HCPCS","Both",,,"129","64.5","UHC","Commercial","",,"75",,"97.27","47.21","99.98","percent of total billed charges",,
"FACTOR VIII ACTIVITY","85240","HCPCS","Both",,,"129","64.5","Medicaid",,"",,"37",,"47.21","47.21","99.98","percent of total billed charges",,
"FACTOR IX  ACTIVITY","85250","HCPCS","Both",,,"137","68.5","Alliant","Health Exchange","",,"62",,"84.94","50.14","106.18","percent of total billed charges",,
"FACTOR IX  ACTIVITY","85250","HCPCS","Both",,,"137","68.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"73.98","50.14","106.18","percent of total billed charges",,
"FACTOR IX  ACTIVITY","85250","HCPCS","Both",,,"137","68.5","Medicare",,"",,"54",,"74.25","50.14","106.18","percent of total billed charges",,
"FACTOR IX  ACTIVITY","85250","HCPCS","Both",,,"137","68.5","Humana","Medicare Advantage","",,"54",,"74.25","50.14","106.18","percent of total billed charges",,
"FACTOR IX  ACTIVITY","85250","HCPCS","Both",,,"137","68.5","UHC","Medicare Advantage","",,"54",,"74.25","50.14","106.18","percent of total billed charges",,
"FACTOR IX  ACTIVITY","85250","HCPCS","Both",,,"137","68.5","Clover","Medicare Advantage","",,"54",,"74.25","50.14","106.18","percent of total billed charges",,
"FACTOR IX  ACTIVITY","85250","HCPCS","Both",,,"137","68.5","Wellcare","Medicare Advantage","",,"54",,"74.25","50.14","106.18","percent of total billed charges",,
"FACTOR IX  ACTIVITY","85250","HCPCS","Both",,,"137","68.5","Amerigroup","Medicaid Managed Care","",,"37",,"50.14","50.14","106.18","percent of total billed charges",,
"FACTOR IX  ACTIVITY","85250","HCPCS","Both",,,"137","68.5","Caresource","Medicaid Managed Care","",,"40",,"54.8","50.14","106.18","percent of total billed charges",,
"FACTOR IX  ACTIVITY","85250","HCPCS","Both",,,"137","68.5","Wellcare","Medicaid Managed Care","",,"40",,"55.49","50.14","106.18","percent of total billed charges",,
"FACTOR IX  ACTIVITY","85250","HCPCS","Both",,,"137","68.5","Aetna","Commercial","",,"64",,"87.41","50.14","106.18","percent of total billed charges",,
"FACTOR IX  ACTIVITY","85250","HCPCS","Both",,,"137","68.5","Blue Cross Blue Shield","Pathways","",,"71",,"96.72","50.14","106.18","percent of total billed charges",,
"FACTOR IX  ACTIVITY","85250","HCPCS","Both",,,"137","68.5","Blue Cross Blue Shield","HMO","",,"71",,"96.72","50.14","106.18","percent of total billed charges",,
"FACTOR IX  ACTIVITY","85250","HCPCS","Both",,,"137","68.5","Blue Cross Blue Shield","PPO","",,"71",,"96.72","50.14","106.18","percent of total billed charges",,
"FACTOR IX  ACTIVITY","85250","HCPCS","Both",,,"137","68.5","Ambetter","Health Exchange","",,"62",,"84.94","50.14","106.18","percent of total billed charges",,
"FACTOR IX  ACTIVITY","85250","HCPCS","Both",,,"137","68.5","Caresource","Health Exchange","",,"62",,"84.94","50.14","106.18","percent of total billed charges",,
"FACTOR IX  ACTIVITY","85250","HCPCS","Both",,,"137","68.5","Cigna","Commercial","",,"59",,"80.28","50.14","106.18","percent of total billed charges",,
"FACTOR IX  ACTIVITY","85250","HCPCS","Both",,,"137","68.5","Humana","Commercial","",,"78",,"106.18","50.14","106.18","percent of total billed charges",,
"FACTOR IX  ACTIVITY","85250","HCPCS","Both",,,"137","68.5","UHC","Commercial","",,"75",,"103.3","50.14","106.18","percent of total billed charges",,
"FACTOR IX  ACTIVITY","85250","HCPCS","Both",,,"137","68.5","Medicaid",,"",,"37",,"50.14","50.14","106.18","percent of total billed charges",,
"CANCER ANTIGEN 125","86304","HCPCS","Both",,,"26","13","Alliant","Health Exchange","",,"62",,"16.12","9.52","20.15","percent of total billed charges",,
"CANCER ANTIGEN 125","86304","HCPCS","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage","",,"54",,"14.04","9.52","20.15","percent of total billed charges",,
"CANCER ANTIGEN 125","86304","HCPCS","Both",,,"26","13","Medicare",,"",,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"CANCER ANTIGEN 125","86304","HCPCS","Both",,,"26","13","Humana","Medicare Advantage","",,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"CANCER ANTIGEN 125","86304","HCPCS","Both",,,"26","13","UHC","Medicare Advantage","",,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"CANCER ANTIGEN 125","86304","HCPCS","Both",,,"26","13","Clover","Medicare Advantage","",,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"CANCER ANTIGEN 125","86304","HCPCS","Both",,,"26","13","Wellcare","Medicare Advantage","",,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"CANCER ANTIGEN 125","86304","HCPCS","Both",,,"26","13","Amerigroup","Medicaid Managed Care","",,"37",,"9.52","9.52","20.15","percent of total billed charges",,
"CANCER ANTIGEN 125","86304","HCPCS","Both",,,"26","13","Caresource","Medicaid Managed Care","",,"40",,"10.4","9.52","20.15","percent of total billed charges",,
"CANCER ANTIGEN 125","86304","HCPCS","Both",,,"26","13","Wellcare","Medicaid Managed Care","",,"40",,"10.53","9.52","20.15","percent of total billed charges",,
"CANCER ANTIGEN 125","86304","HCPCS","Both",,,"26","13","Aetna","Commercial","",,"64",,"16.59","9.52","20.15","percent of total billed charges",,
"CANCER ANTIGEN 125","86304","HCPCS","Both",,,"26","13","Blue Cross Blue Shield","Pathways","",,"71",,"18.36","9.52","20.15","percent of total billed charges",,
"CANCER ANTIGEN 125","86304","HCPCS","Both",,,"26","13","Blue Cross Blue Shield","HMO","",,"71",,"18.36","9.52","20.15","percent of total billed charges",,
"CANCER ANTIGEN 125","86304","HCPCS","Both",,,"26","13","Blue Cross Blue Shield","PPO","",,"71",,"18.36","9.52","20.15","percent of total billed charges",,
"CANCER ANTIGEN 125","86304","HCPCS","Both",,,"26","13","Ambetter","Health Exchange","",,"62",,"16.12","9.52","20.15","percent of total billed charges",,
"CANCER ANTIGEN 125","86304","HCPCS","Both",,,"26","13","Caresource","Health Exchange","",,"62",,"16.12","9.52","20.15","percent of total billed charges",,
"CANCER ANTIGEN 125","86304","HCPCS","Both",,,"26","13","Cigna","Commercial","",,"59",,"15.24","9.52","20.15","percent of total billed charges",,
"CANCER ANTIGEN 125","86304","HCPCS","Both",,,"26","13","Humana","Commercial","",,"78",,"20.15","9.52","20.15","percent of total billed charges",,
"CANCER ANTIGEN 125","86304","HCPCS","Both",,,"26","13","UHC","Commercial","",,"75",,"19.6","9.52","20.15","percent of total billed charges",,
"CANCER ANTIGEN 125","86304","HCPCS","Both",,,"26","13","Medicaid",,"",,"37",,"9.52","9.52","20.15","percent of total billed charges",,
"IMMUNOGLOBULIN E","82785","HCPCS","Both",,,"180","90","Alliant","Health Exchange","",,"62",,"111.6","65.88","139.5","percent of total billed charges",,
"IMMUNOGLOBULIN E","82785","HCPCS","Both",,,"180","90","Pruitt Healthcare","Medicare Advantage","",,"54",,"97.2","65.88","139.5","percent of total billed charges",,
"IMMUNOGLOBULIN E","82785","HCPCS","Both",,,"180","90","Medicare",,"",,"54",,"97.56","65.88","139.5","percent of total billed charges",,
"IMMUNOGLOBULIN E","82785","HCPCS","Both",,,"180","90","Humana","Medicare Advantage","",,"54",,"97.56","65.88","139.5","percent of total billed charges",,
"IMMUNOGLOBULIN E","82785","HCPCS","Both",,,"180","90","UHC","Medicare Advantage","",,"54",,"97.56","65.88","139.5","percent of total billed charges",,
"IMMUNOGLOBULIN E","82785","HCPCS","Both",,,"180","90","Clover","Medicare Advantage","",,"54",,"97.56","65.88","139.5","percent of total billed charges",,
"IMMUNOGLOBULIN E","82785","HCPCS","Both",,,"180","90","Wellcare","Medicare Advantage","",,"54",,"97.56","65.88","139.5","percent of total billed charges",,
"IMMUNOGLOBULIN E","82785","HCPCS","Both",,,"180","90","Amerigroup","Medicaid Managed Care","",,"37",,"65.88","65.88","139.5","percent of total billed charges",,
"IMMUNOGLOBULIN E","82785","HCPCS","Both",,,"180","90","Caresource","Medicaid Managed Care","",,"40",,"72","65.88","139.5","percent of total billed charges",,
"IMMUNOGLOBULIN E","82785","HCPCS","Both",,,"180","90","Wellcare","Medicaid Managed Care","",,"40",,"72.9","65.88","139.5","percent of total billed charges",,
"IMMUNOGLOBULIN E","82785","HCPCS","Both",,,"180","90","Aetna","Commercial","",,"64",,"114.84","65.88","139.5","percent of total billed charges",,
"IMMUNOGLOBULIN E","82785","HCPCS","Both",,,"180","90","Blue Cross Blue Shield","Pathways","",,"71",,"127.08","65.88","139.5","percent of total billed charges",,
"IMMUNOGLOBULIN E","82785","HCPCS","Both",,,"180","90","Blue Cross Blue Shield","HMO","",,"71",,"127.08","65.88","139.5","percent of total billed charges",,
"IMMUNOGLOBULIN E","82785","HCPCS","Both",,,"180","90","Blue Cross Blue Shield","PPO","",,"71",,"127.08","65.88","139.5","percent of total billed charges",,
"IMMUNOGLOBULIN E","82785","HCPCS","Both",,,"180","90","Ambetter","Health Exchange","",,"62",,"111.6","65.88","139.5","percent of total billed charges",,
"IMMUNOGLOBULIN E","82785","HCPCS","Both",,,"180","90","Caresource","Health Exchange","",,"62",,"111.6","65.88","139.5","percent of total billed charges",,
"IMMUNOGLOBULIN E","82785","HCPCS","Both",,,"180","90","Cigna","Commercial","",,"59",,"105.48","65.88","139.5","percent of total billed charges",,
"IMMUNOGLOBULIN E","82785","HCPCS","Both",,,"180","90","Humana","Commercial","",,"78",,"139.5","65.88","139.5","percent of total billed charges",,
"IMMUNOGLOBULIN E","82785","HCPCS","Both",,,"180","90","UHC","Commercial","",,"75",,"135.72","65.88","139.5","percent of total billed charges",,
"IMMUNOGLOBULIN E","82785","HCPCS","Both",,,"180","90","Medicaid",,"",,"37",,"65.88","65.88","139.5","percent of total billed charges",,
"MICROALBUMIN, URINE, QUANTITATIVE","82043","HCPCS","Both",,,"8.5","4.25","Alliant","Health Exchange","",,"62",,"5.27","3.11","6.59","percent of total billed charges",,
"MICROALBUMIN, URINE, QUANTITATIVE","82043","HCPCS","Both",,,"8.5","4.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"4.59","3.11","6.59","percent of total billed charges",,
"MICROALBUMIN, URINE, QUANTITATIVE","82043","HCPCS","Both",,,"8.5","4.25","Medicare",,"",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"MICROALBUMIN, URINE, QUANTITATIVE","82043","HCPCS","Both",,,"8.5","4.25","Humana","Medicare Advantage","",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"MICROALBUMIN, URINE, QUANTITATIVE","82043","HCPCS","Both",,,"8.5","4.25","UHC","Medicare Advantage","",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"MICROALBUMIN, URINE, QUANTITATIVE","82043","HCPCS","Both",,,"8.5","4.25","Clover","Medicare Advantage","",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"MICROALBUMIN, URINE, QUANTITATIVE","82043","HCPCS","Both",,,"8.5","4.25","Wellcare","Medicare Advantage","",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"MICROALBUMIN, URINE, QUANTITATIVE","82043","HCPCS","Both",,,"8.5","4.25","Amerigroup","Medicaid Managed Care","",,"37",,"3.11","3.11","6.59","percent of total billed charges",,
"MICROALBUMIN, URINE, QUANTITATIVE","82043","HCPCS","Both",,,"8.5","4.25","Caresource","Medicaid Managed Care","",,"40",,"3.4","3.11","6.59","percent of total billed charges",,
"MICROALBUMIN, URINE, QUANTITATIVE","82043","HCPCS","Both",,,"8.5","4.25","Wellcare","Medicaid Managed Care","",,"40",,"3.44","3.11","6.59","percent of total billed charges",,
"MICROALBUMIN, URINE, QUANTITATIVE","82043","HCPCS","Both",,,"8.5","4.25","Aetna","Commercial","",,"64",,"5.42","3.11","6.59","percent of total billed charges",,
"MICROALBUMIN, URINE, QUANTITATIVE","82043","HCPCS","Both",,,"8.5","4.25","Blue Cross Blue Shield","Pathways","",,"71",,"6","3.11","6.59","percent of total billed charges",,
"MICROALBUMIN, URINE, QUANTITATIVE","82043","HCPCS","Both",,,"8.5","4.25","Blue Cross Blue Shield","HMO","",,"71",,"6","3.11","6.59","percent of total billed charges",,
"MICROALBUMIN, URINE, QUANTITATIVE","82043","HCPCS","Both",,,"8.5","4.25","Blue Cross Blue Shield","PPO","",,"71",,"6","3.11","6.59","percent of total billed charges",,
"MICROALBUMIN, URINE, QUANTITATIVE","82043","HCPCS","Both",,,"8.5","4.25","Ambetter","Health Exchange","",,"62",,"5.27","3.11","6.59","percent of total billed charges",,
"MICROALBUMIN, URINE, QUANTITATIVE","82043","HCPCS","Both",,,"8.5","4.25","Caresource","Health Exchange","",,"62",,"5.27","3.11","6.59","percent of total billed charges",,
"MICROALBUMIN, URINE, QUANTITATIVE","82043","HCPCS","Both",,,"8.5","4.25","Cigna","Commercial","",,"59",,"4.98","3.11","6.59","percent of total billed charges",,
"MICROALBUMIN, URINE, QUANTITATIVE","82043","HCPCS","Both",,,"8.5","4.25","Humana","Commercial","",,"78",,"6.59","3.11","6.59","percent of total billed charges",,
"MICROALBUMIN, URINE, QUANTITATIVE","82043","HCPCS","Both",,,"8.5","4.25","UHC","Commercial","",,"75",,"6.41","3.11","6.59","percent of total billed charges",,
"MICROALBUMIN, URINE, QUANTITATIVE","82043","HCPCS","Both",,,"8.5","4.25","Medicaid",,"",,"37",,"3.11","3.11","6.59","percent of total billed charges",,
"TRANSFERRIN","84466","HCPCS","Both",,,"154.5","77.25","Alliant","Health Exchange","",,"62",,"95.79","56.55","119.74","percent of total billed charges",,
"TRANSFERRIN","84466","HCPCS","Both",,,"154.5","77.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"83.43","56.55","119.74","percent of total billed charges",,
"TRANSFERRIN","84466","HCPCS","Both",,,"154.5","77.25","Medicare",,"",,"54",,"83.74","56.55","119.74","percent of total billed charges",,
"TRANSFERRIN","84466","HCPCS","Both",,,"154.5","77.25","Humana","Medicare Advantage","",,"54",,"83.74","56.55","119.74","percent of total billed charges",,
"TRANSFERRIN","84466","HCPCS","Both",,,"154.5","77.25","UHC","Medicare Advantage","",,"54",,"83.74","56.55","119.74","percent of total billed charges",,
"TRANSFERRIN","84466","HCPCS","Both",,,"154.5","77.25","Clover","Medicare Advantage","",,"54",,"83.74","56.55","119.74","percent of total billed charges",,
"TRANSFERRIN","84466","HCPCS","Both",,,"154.5","77.25","Wellcare","Medicare Advantage","",,"54",,"83.74","56.55","119.74","percent of total billed charges",,
"TRANSFERRIN","84466","HCPCS","Both",,,"154.5","77.25","Amerigroup","Medicaid Managed Care","",,"37",,"56.55","56.55","119.74","percent of total billed charges",,
"TRANSFERRIN","84466","HCPCS","Both",,,"154.5","77.25","Caresource","Medicaid Managed Care","",,"40",,"61.8","56.55","119.74","percent of total billed charges",,
"TRANSFERRIN","84466","HCPCS","Both",,,"154.5","77.25","Wellcare","Medicaid Managed Care","",,"40",,"62.57","56.55","119.74","percent of total billed charges",,
"TRANSFERRIN","84466","HCPCS","Both",,,"154.5","77.25","Aetna","Commercial","",,"64",,"98.57","56.55","119.74","percent of total billed charges",,
"TRANSFERRIN","84466","HCPCS","Both",,,"154.5","77.25","Blue Cross Blue Shield","Pathways","",,"71",,"109.08","56.55","119.74","percent of total billed charges",,
"TRANSFERRIN","84466","HCPCS","Both",,,"154.5","77.25","Blue Cross Blue Shield","HMO","",,"71",,"109.08","56.55","119.74","percent of total billed charges",,
"TRANSFERRIN","84466","HCPCS","Both",,,"154.5","77.25","Blue Cross Blue Shield","PPO","",,"71",,"109.08","56.55","119.74","percent of total billed charges",,
"TRANSFERRIN","84466","HCPCS","Both",,,"154.5","77.25","Ambetter","Health Exchange","",,"62",,"95.79","56.55","119.74","percent of total billed charges",,
"TRANSFERRIN","84466","HCPCS","Both",,,"154.5","77.25","Caresource","Health Exchange","",,"62",,"95.79","56.55","119.74","percent of total billed charges",,
"TRANSFERRIN","84466","HCPCS","Both",,,"154.5","77.25","Cigna","Commercial","",,"59",,"90.54","56.55","119.74","percent of total billed charges",,
"TRANSFERRIN","84466","HCPCS","Both",,,"154.5","77.25","Humana","Commercial","",,"78",,"119.74","56.55","119.74","percent of total billed charges",,
"TRANSFERRIN","84466","HCPCS","Both",,,"154.5","77.25","UHC","Commercial","",,"75",,"116.49","56.55","119.74","percent of total billed charges",,
"TRANSFERRIN","84466","HCPCS","Both",,,"154.5","77.25","Medicaid",,"",,"37",,"56.55","56.55","119.74","percent of total billed charges",,
"DRUG TEST(S) 8-14 DRUG CLASS/MEDICINAL","G0481","HCPCS","Both",,,"156.5","78.25","Alliant","Health Exchange","",,"62",,"97.03","57.28","121.29","percent of total billed charges",,
"DRUG TEST(S) 8-14 DRUG CLASS/MEDICINAL","G0481","HCPCS","Both",,,"156.5","78.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"84.51","57.28","121.29","percent of total billed charges",,
"DRUG TEST(S) 8-14 DRUG CLASS/MEDICINAL","G0481","HCPCS","Both",,,"156.5","78.25","Medicare",,"",,"54",,"84.82","57.28","121.29","percent of total billed charges",,
"DRUG TEST(S) 8-14 DRUG CLASS/MEDICINAL","G0481","HCPCS","Both",,,"156.5","78.25","Humana","Medicare Advantage","",,"54",,"84.82","57.28","121.29","percent of total billed charges",,
"DRUG TEST(S) 8-14 DRUG CLASS/MEDICINAL","G0481","HCPCS","Both",,,"156.5","78.25","UHC","Medicare Advantage","",,"54",,"84.82","57.28","121.29","percent of total billed charges",,
"DRUG TEST(S) 8-14 DRUG CLASS/MEDICINAL","G0481","HCPCS","Both",,,"156.5","78.25","Clover","Medicare Advantage","",,"54",,"84.82","57.28","121.29","percent of total billed charges",,
"DRUG TEST(S) 8-14 DRUG CLASS/MEDICINAL","G0481","HCPCS","Both",,,"156.5","78.25","Wellcare","Medicare Advantage","",,"54",,"84.82","57.28","121.29","percent of total billed charges",,
"DRUG TEST(S) 8-14 DRUG CLASS/MEDICINAL","G0481","HCPCS","Both",,,"156.5","78.25","Amerigroup","Medicaid Managed Care","",,"37",,"57.28","57.28","121.29","percent of total billed charges",,
"DRUG TEST(S) 8-14 DRUG CLASS/MEDICINAL","G0481","HCPCS","Both",,,"156.5","78.25","Caresource","Medicaid Managed Care","",,"40",,"62.6","57.28","121.29","percent of total billed charges",,
"DRUG TEST(S) 8-14 DRUG CLASS/MEDICINAL","G0481","HCPCS","Both",,,"156.5","78.25","Wellcare","Medicaid Managed Care","",,"40",,"63.38","57.28","121.29","percent of total billed charges",,
"DRUG TEST(S) 8-14 DRUG CLASS/MEDICINAL","G0481","HCPCS","Both",,,"156.5","78.25","Aetna","Commercial","",,"64",,"99.85","57.28","121.29","percent of total billed charges",,
"DRUG TEST(S) 8-14 DRUG CLASS/MEDICINAL","G0481","HCPCS","Both",,,"156.5","78.25","Blue Cross Blue Shield","Pathways","",,"71",,"110.49","57.28","121.29","percent of total billed charges",,
"DRUG TEST(S) 8-14 DRUG CLASS/MEDICINAL","G0481","HCPCS","Both",,,"156.5","78.25","Blue Cross Blue Shield","HMO","",,"71",,"110.49","57.28","121.29","percent of total billed charges",,
"DRUG TEST(S) 8-14 DRUG CLASS/MEDICINAL","G0481","HCPCS","Both",,,"156.5","78.25","Blue Cross Blue Shield","PPO","",,"71",,"110.49","57.28","121.29","percent of total billed charges",,
"DRUG TEST(S) 8-14 DRUG CLASS/MEDICINAL","G0481","HCPCS","Both",,,"156.5","78.25","Ambetter","Health Exchange","",,"62",,"97.03","57.28","121.29","percent of total billed charges",,
"DRUG TEST(S) 8-14 DRUG CLASS/MEDICINAL","G0481","HCPCS","Both",,,"156.5","78.25","Caresource","Health Exchange","",,"62",,"97.03","57.28","121.29","percent of total billed charges",,
"DRUG TEST(S) 8-14 DRUG CLASS/MEDICINAL","G0481","HCPCS","Both",,,"156.5","78.25","Cigna","Commercial","",,"59",,"91.71","57.28","121.29","percent of total billed charges",,
"DRUG TEST(S) 8-14 DRUG CLASS/MEDICINAL","G0481","HCPCS","Both",,,"156.5","78.25","Humana","Commercial","",,"78",,"121.29","57.28","121.29","percent of total billed charges",,
"DRUG TEST(S) 8-14 DRUG CLASS/MEDICINAL","G0481","HCPCS","Both",,,"156.5","78.25","UHC","Commercial","",,"75",,"118","57.28","121.29","percent of total billed charges",,
"DRUG TEST(S) 8-14 DRUG CLASS/MEDICINAL","G0481","HCPCS","Both",,,"156.5","78.25","Medicaid",,"",,"37",,"57.28","57.28","121.29","percent of total billed charges",,
"RESPIRATORY SYNCYTIAL VIRUS","87807","HCPCS","Both",,,"19.5","9.75","Alliant","Health Exchange","QW",,"62",,"12.09","7.14","15.11","percent of total billed charges",,
"RESPIRATORY SYNCYTIAL VIRUS","87807","HCPCS","Both",,,"19.5","9.75","Pruitt Healthcare","Medicare Advantage","QW",,"54",,"10.53","7.14","15.11","percent of total billed charges",,
"RESPIRATORY SYNCYTIAL VIRUS","87807","HCPCS","Both",,,"19.5","9.75","Medicare",,"QW",,"54",,"10.57","7.14","15.11","percent of total billed charges",,
"RESPIRATORY SYNCYTIAL VIRUS","87807","HCPCS","Both",,,"19.5","9.75","Humana","Medicare Advantage","QW",,"54",,"10.57","7.14","15.11","percent of total billed charges",,
"RESPIRATORY SYNCYTIAL VIRUS","87807","HCPCS","Both",,,"19.5","9.75","UHC","Medicare Advantage","QW",,"54",,"10.57","7.14","15.11","percent of total billed charges",,
"RESPIRATORY SYNCYTIAL VIRUS","87807","HCPCS","Both",,,"19.5","9.75","Clover","Medicare Advantage","QW",,"54",,"10.57","7.14","15.11","percent of total billed charges",,
"RESPIRATORY SYNCYTIAL VIRUS","87807","HCPCS","Both",,,"19.5","9.75","Wellcare","Medicare Advantage","QW",,"54",,"10.57","7.14","15.11","percent of total billed charges",,
"RESPIRATORY SYNCYTIAL VIRUS","87807","HCPCS","Both",,,"19.5","9.75","Amerigroup","Medicaid Managed Care","QW",,"37",,"7.14","7.14","15.11","percent of total billed charges",,
"RESPIRATORY SYNCYTIAL VIRUS","87807","HCPCS","Both",,,"19.5","9.75","Caresource","Medicaid Managed Care","QW",,"40",,"7.8","7.14","15.11","percent of total billed charges",,
"RESPIRATORY SYNCYTIAL VIRUS","87807","HCPCS","Both",,,"19.5","9.75","Wellcare","Medicaid Managed Care","QW",,"40",,"7.9","7.14","15.11","percent of total billed charges",,
"RESPIRATORY SYNCYTIAL VIRUS","87807","HCPCS","Both",,,"19.5","9.75","Aetna","Commercial","QW",,"64",,"12.44","7.14","15.11","percent of total billed charges",,
"RESPIRATORY SYNCYTIAL VIRUS","87807","HCPCS","Both",,,"19.5","9.75","Blue Cross Blue Shield","Pathways","QW",,"71",,"13.77","7.14","15.11","percent of total billed charges",,
"RESPIRATORY SYNCYTIAL VIRUS","87807","HCPCS","Both",,,"19.5","9.75","Blue Cross Blue Shield","HMO","QW",,"71",,"13.77","7.14","15.11","percent of total billed charges",,
"RESPIRATORY SYNCYTIAL VIRUS","87807","HCPCS","Both",,,"19.5","9.75","Blue Cross Blue Shield","PPO","QW",,"71",,"13.77","7.14","15.11","percent of total billed charges",,
"RESPIRATORY SYNCYTIAL VIRUS","87807","HCPCS","Both",,,"19.5","9.75","Ambetter","Health Exchange","QW",,"62",,"12.09","7.14","15.11","percent of total billed charges",,
"RESPIRATORY SYNCYTIAL VIRUS","87807","HCPCS","Both",,,"19.5","9.75","Caresource","Health Exchange","QW",,"62",,"12.09","7.14","15.11","percent of total billed charges",,
"RESPIRATORY SYNCYTIAL VIRUS","87807","HCPCS","Both",,,"19.5","9.75","Cigna","Commercial","QW",,"59",,"11.43","7.14","15.11","percent of total billed charges",,
"RESPIRATORY SYNCYTIAL VIRUS","87807","HCPCS","Both",,,"19.5","9.75","Humana","Commercial","QW",,"78",,"15.11","7.14","15.11","percent of total billed charges",,
"RESPIRATORY SYNCYTIAL VIRUS","87807","HCPCS","Both",,,"19.5","9.75","UHC","Commercial","QW",,"75",,"14.7","7.14","15.11","percent of total billed charges",,
"RESPIRATORY SYNCYTIAL VIRUS","87807","HCPCS","Both",,,"19.5","9.75","Medicaid",,"QW",,"37",,"7.14","7.14","15.11","percent of total billed charges",,
"BASIC METABOLIC PANEL","80048","HCPCS","Both",,,"8.5","4.25","Alliant","Health Exchange","",,"62",,"5.27","3.11","6.59","percent of total billed charges",,
"BASIC METABOLIC PANEL","80048","HCPCS","Both",,,"8.5","4.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"4.59","3.11","6.59","percent of total billed charges",,
"BASIC METABOLIC PANEL","80048","HCPCS","Both",,,"8.5","4.25","Medicare",,"",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"BASIC METABOLIC PANEL","80048","HCPCS","Both",,,"8.5","4.25","Humana","Medicare Advantage","",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"BASIC METABOLIC PANEL","80048","HCPCS","Both",,,"8.5","4.25","UHC","Medicare Advantage","",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"BASIC METABOLIC PANEL","80048","HCPCS","Both",,,"8.5","4.25","Clover","Medicare Advantage","",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"BASIC METABOLIC PANEL","80048","HCPCS","Both",,,"8.5","4.25","Wellcare","Medicare Advantage","",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"BASIC METABOLIC PANEL","80048","HCPCS","Both",,,"8.5","4.25","Amerigroup","Medicaid Managed Care","",,"37",,"3.11","3.11","6.59","percent of total billed charges",,
"BASIC METABOLIC PANEL","80048","HCPCS","Both",,,"8.5","4.25","Caresource","Medicaid Managed Care","",,"40",,"3.4","3.11","6.59","percent of total billed charges",,
"BASIC METABOLIC PANEL","80048","HCPCS","Both",,,"8.5","4.25","Wellcare","Medicaid Managed Care","",,"40",,"3.44","3.11","6.59","percent of total billed charges",,
"BASIC METABOLIC PANEL","80048","HCPCS","Both",,,"8.5","4.25","Aetna","Commercial","",,"64",,"5.42","3.11","6.59","percent of total billed charges",,
"BASIC METABOLIC PANEL","80048","HCPCS","Both",,,"8.5","4.25","Blue Cross Blue Shield","Pathways","",,"71",,"6","3.11","6.59","percent of total billed charges",,
"BASIC METABOLIC PANEL","80048","HCPCS","Both",,,"8.5","4.25","Blue Cross Blue Shield","HMO","",,"71",,"6","3.11","6.59","percent of total billed charges",,
"BASIC METABOLIC PANEL","80048","HCPCS","Both",,,"8.5","4.25","Blue Cross Blue Shield","PPO","",,"71",,"6","3.11","6.59","percent of total billed charges",,
"BASIC METABOLIC PANEL","80048","HCPCS","Both",,,"8.5","4.25","Ambetter","Health Exchange","",,"62",,"5.27","3.11","6.59","percent of total billed charges",,
"BASIC METABOLIC PANEL","80048","HCPCS","Both",,,"8.5","4.25","Caresource","Health Exchange","",,"62",,"5.27","3.11","6.59","percent of total billed charges",,
"BASIC METABOLIC PANEL","80048","HCPCS","Both",,,"8.5","4.25","Cigna","Commercial","",,"59",,"4.98","3.11","6.59","percent of total billed charges",,
"BASIC METABOLIC PANEL","80048","HCPCS","Both",,,"8.5","4.25","Humana","Commercial","",,"78",,"6.59","3.11","6.59","percent of total billed charges",,
"BASIC METABOLIC PANEL","80048","HCPCS","Both",,,"8.5","4.25","UHC","Commercial","",,"75",,"6.41","3.11","6.59","percent of total billed charges",,
"BASIC METABOLIC PANEL","80048","HCPCS","Both",,,"8.5","4.25","Medicaid",,"",,"37",,"3.11","3.11","6.59","percent of total billed charges",,
"CHLAMYDIA  AMPLIFIED URINE","87491","HCPCS","Both",,,"59.5","29.75","Alliant","Health Exchange","",,"62",,"36.89","21.78","46.11","percent of total billed charges",,
"CHLAMYDIA  AMPLIFIED URINE","87491","HCPCS","Both",,,"59.5","29.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.13","21.78","46.11","percent of total billed charges",,
"CHLAMYDIA  AMPLIFIED URINE","87491","HCPCS","Both",,,"59.5","29.75","Medicare",,"",,"54",,"32.25","21.78","46.11","percent of total billed charges",,
"CHLAMYDIA  AMPLIFIED URINE","87491","HCPCS","Both",,,"59.5","29.75","Humana","Medicare Advantage","",,"54",,"32.25","21.78","46.11","percent of total billed charges",,
"CHLAMYDIA  AMPLIFIED URINE","87491","HCPCS","Both",,,"59.5","29.75","UHC","Medicare Advantage","",,"54",,"32.25","21.78","46.11","percent of total billed charges",,
"CHLAMYDIA  AMPLIFIED URINE","87491","HCPCS","Both",,,"59.5","29.75","Clover","Medicare Advantage","",,"54",,"32.25","21.78","46.11","percent of total billed charges",,
"CHLAMYDIA  AMPLIFIED URINE","87491","HCPCS","Both",,,"59.5","29.75","Wellcare","Medicare Advantage","",,"54",,"32.25","21.78","46.11","percent of total billed charges",,
"CHLAMYDIA  AMPLIFIED URINE","87491","HCPCS","Both",,,"59.5","29.75","Amerigroup","Medicaid Managed Care","",,"37",,"21.78","21.78","46.11","percent of total billed charges",,
"CHLAMYDIA  AMPLIFIED URINE","87491","HCPCS","Both",,,"59.5","29.75","Caresource","Medicaid Managed Care","",,"40",,"23.8","21.78","46.11","percent of total billed charges",,
"CHLAMYDIA  AMPLIFIED URINE","87491","HCPCS","Both",,,"59.5","29.75","Wellcare","Medicaid Managed Care","",,"40",,"24.1","21.78","46.11","percent of total billed charges",,
"CHLAMYDIA  AMPLIFIED URINE","87491","HCPCS","Both",,,"59.5","29.75","Aetna","Commercial","",,"64",,"37.96","21.78","46.11","percent of total billed charges",,
"CHLAMYDIA  AMPLIFIED URINE","87491","HCPCS","Both",,,"59.5","29.75","Blue Cross Blue Shield","Pathways","",,"71",,"42.01","21.78","46.11","percent of total billed charges",,
"CHLAMYDIA  AMPLIFIED URINE","87491","HCPCS","Both",,,"59.5","29.75","Blue Cross Blue Shield","HMO","",,"71",,"42.01","21.78","46.11","percent of total billed charges",,
"CHLAMYDIA  AMPLIFIED URINE","87491","HCPCS","Both",,,"59.5","29.75","Blue Cross Blue Shield","PPO","",,"71",,"42.01","21.78","46.11","percent of total billed charges",,
"CHLAMYDIA  AMPLIFIED URINE","87491","HCPCS","Both",,,"59.5","29.75","Ambetter","Health Exchange","",,"62",,"36.89","21.78","46.11","percent of total billed charges",,
"CHLAMYDIA  AMPLIFIED URINE","87491","HCPCS","Both",,,"59.5","29.75","Caresource","Health Exchange","",,"62",,"36.89","21.78","46.11","percent of total billed charges",,
"CHLAMYDIA  AMPLIFIED URINE","87491","HCPCS","Both",,,"59.5","29.75","Cigna","Commercial","",,"59",,"34.87","21.78","46.11","percent of total billed charges",,
"CHLAMYDIA  AMPLIFIED URINE","87491","HCPCS","Both",,,"59.5","29.75","Humana","Commercial","",,"78",,"46.11","21.78","46.11","percent of total billed charges",,
"CHLAMYDIA  AMPLIFIED URINE","87491","HCPCS","Both",,,"59.5","29.75","UHC","Commercial","",,"75",,"44.86","21.78","46.11","percent of total billed charges",,
"CHLAMYDIA  AMPLIFIED URINE","87491","HCPCS","Both",,,"59.5","29.75","Medicaid",,"",,"37",,"21.78","21.78","46.11","percent of total billed charges",,
"SUSCEPTIBILITY STUDIES,MICRODILUTION","87186","HCPCS","Both",,,"13","6.5","Alliant","Health Exchange","",,"62",,"8.06","4.76","10.08","percent of total billed charges",,
"SUSCEPTIBILITY STUDIES,MICRODILUTION","87186","HCPCS","Both",,,"13","6.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"7.02","4.76","10.08","percent of total billed charges",,
"SUSCEPTIBILITY STUDIES,MICRODILUTION","87186","HCPCS","Both",,,"13","6.5","Medicare",,"",,"54",,"7.05","4.76","10.08","percent of total billed charges",,
"SUSCEPTIBILITY STUDIES,MICRODILUTION","87186","HCPCS","Both",,,"13","6.5","Humana","Medicare Advantage","",,"54",,"7.05","4.76","10.08","percent of total billed charges",,
"SUSCEPTIBILITY STUDIES,MICRODILUTION","87186","HCPCS","Both",,,"13","6.5","UHC","Medicare Advantage","",,"54",,"7.05","4.76","10.08","percent of total billed charges",,
"SUSCEPTIBILITY STUDIES,MICRODILUTION","87186","HCPCS","Both",,,"13","6.5","Clover","Medicare Advantage","",,"54",,"7.05","4.76","10.08","percent of total billed charges",,
"SUSCEPTIBILITY STUDIES,MICRODILUTION","87186","HCPCS","Both",,,"13","6.5","Wellcare","Medicare Advantage","",,"54",,"7.05","4.76","10.08","percent of total billed charges",,
"SUSCEPTIBILITY STUDIES,MICRODILUTION","87186","HCPCS","Both",,,"13","6.5","Amerigroup","Medicaid Managed Care","",,"37",,"4.76","4.76","10.08","percent of total billed charges",,
"SUSCEPTIBILITY STUDIES,MICRODILUTION","87186","HCPCS","Both",,,"13","6.5","Caresource","Medicaid Managed Care","",,"40",,"5.2","4.76","10.08","percent of total billed charges",,
"SUSCEPTIBILITY STUDIES,MICRODILUTION","87186","HCPCS","Both",,,"13","6.5","Wellcare","Medicaid Managed Care","",,"40",,"5.26","4.76","10.08","percent of total billed charges",,
"SUSCEPTIBILITY STUDIES,MICRODILUTION","87186","HCPCS","Both",,,"13","6.5","Aetna","Commercial","",,"64",,"8.29","4.76","10.08","percent of total billed charges",,
"SUSCEPTIBILITY STUDIES,MICRODILUTION","87186","HCPCS","Both",,,"13","6.5","Blue Cross Blue Shield","Pathways","",,"71",,"9.18","4.76","10.08","percent of total billed charges",,
"SUSCEPTIBILITY STUDIES,MICRODILUTION","87186","HCPCS","Both",,,"13","6.5","Blue Cross Blue Shield","HMO","",,"71",,"9.18","4.76","10.08","percent of total billed charges",,
"SUSCEPTIBILITY STUDIES,MICRODILUTION","87186","HCPCS","Both",,,"13","6.5","Blue Cross Blue Shield","PPO","",,"71",,"9.18","4.76","10.08","percent of total billed charges",,
"SUSCEPTIBILITY STUDIES,MICRODILUTION","87186","HCPCS","Both",,,"13","6.5","Ambetter","Health Exchange","",,"62",,"8.06","4.76","10.08","percent of total billed charges",,
"SUSCEPTIBILITY STUDIES,MICRODILUTION","87186","HCPCS","Both",,,"13","6.5","Caresource","Health Exchange","",,"62",,"8.06","4.76","10.08","percent of total billed charges",,
"SUSCEPTIBILITY STUDIES,MICRODILUTION","87186","HCPCS","Both",,,"13","6.5","Cigna","Commercial","",,"59",,"7.62","4.76","10.08","percent of total billed charges",,
"SUSCEPTIBILITY STUDIES,MICRODILUTION","87186","HCPCS","Both",,,"13","6.5","Humana","Commercial","",,"78",,"10.08","4.76","10.08","percent of total billed charges",,
"SUSCEPTIBILITY STUDIES,MICRODILUTION","87186","HCPCS","Both",,,"13","6.5","UHC","Commercial","",,"75",,"9.8","4.76","10.08","percent of total billed charges",,
"SUSCEPTIBILITY STUDIES,MICRODILUTION","87186","HCPCS","Both",,,"13","6.5","Medicaid",,"",,"37",,"4.76","4.76","10.08","percent of total billed charges",,
"CULTURE THROAT","87081","HCPCS","Both",,,"48","24","Alliant","Health Exchange","",,"62",,"29.76","17.57","37.2","percent of total billed charges",,
"CULTURE THROAT","87081","HCPCS","Both",,,"48","24","Pruitt Healthcare","Medicare Advantage","",,"54",,"25.92","17.57","37.2","percent of total billed charges",,
"CULTURE THROAT","87081","HCPCS","Both",,,"48","24","Medicare",,"",,"54",,"26.02","17.57","37.2","percent of total billed charges",,
"CULTURE THROAT","87081","HCPCS","Both",,,"48","24","Humana","Medicare Advantage","",,"54",,"26.02","17.57","37.2","percent of total billed charges",,
"CULTURE THROAT","87081","HCPCS","Both",,,"48","24","UHC","Medicare Advantage","",,"54",,"26.02","17.57","37.2","percent of total billed charges",,
"CULTURE THROAT","87081","HCPCS","Both",,,"48","24","Clover","Medicare Advantage","",,"54",,"26.02","17.57","37.2","percent of total billed charges",,
"CULTURE THROAT","87081","HCPCS","Both",,,"48","24","Wellcare","Medicare Advantage","",,"54",,"26.02","17.57","37.2","percent of total billed charges",,
"CULTURE THROAT","87081","HCPCS","Both",,,"48","24","Amerigroup","Medicaid Managed Care","",,"37",,"17.57","17.57","37.2","percent of total billed charges",,
"CULTURE THROAT","87081","HCPCS","Both",,,"48","24","Caresource","Medicaid Managed Care","",,"40",,"19.2","17.57","37.2","percent of total billed charges",,
"CULTURE THROAT","87081","HCPCS","Both",,,"48","24","Wellcare","Medicaid Managed Care","",,"40",,"19.44","17.57","37.2","percent of total billed charges",,
"CULTURE THROAT","87081","HCPCS","Both",,,"48","24","Aetna","Commercial","",,"64",,"30.62","17.57","37.2","percent of total billed charges",,
"CULTURE THROAT","87081","HCPCS","Both",,,"48","24","Blue Cross Blue Shield","Pathways","",,"71",,"33.89","17.57","37.2","percent of total billed charges",,
"CULTURE THROAT","87081","HCPCS","Both",,,"48","24","Blue Cross Blue Shield","HMO","",,"71",,"33.89","17.57","37.2","percent of total billed charges",,
"CULTURE THROAT","87081","HCPCS","Both",,,"48","24","Blue Cross Blue Shield","PPO","",,"71",,"33.89","17.57","37.2","percent of total billed charges",,
"CULTURE THROAT","87081","HCPCS","Both",,,"48","24","Ambetter","Health Exchange","",,"62",,"29.76","17.57","37.2","percent of total billed charges",,
"CULTURE THROAT","87081","HCPCS","Both",,,"48","24","Caresource","Health Exchange","",,"62",,"29.76","17.57","37.2","percent of total billed charges",,
"CULTURE THROAT","87081","HCPCS","Both",,,"48","24","Cigna","Commercial","",,"59",,"28.13","17.57","37.2","percent of total billed charges",,
"CULTURE THROAT","87081","HCPCS","Both",,,"48","24","Humana","Commercial","",,"78",,"37.2","17.57","37.2","percent of total billed charges",,
"CULTURE THROAT","87081","HCPCS","Both",,,"48","24","UHC","Commercial","",,"75",,"36.19","17.57","37.2","percent of total billed charges",,
"CULTURE THROAT","87081","HCPCS","Both",,,"48","24","Medicaid",,"",,"37",,"17.57","17.57","37.2","percent of total billed charges",,
"PPD (TB); INTRADERMAL (PRENATAL)","86580","HCPCS","Both",,,"17.5","8.75","Alliant","Health Exchange","",,"62",,"10.85","6.4","13.56","percent of total billed charges",,
"PPD (TB); INTRADERMAL (PRENATAL)","86580","HCPCS","Both",,,"17.5","8.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"9.45","6.4","13.56","percent of total billed charges",,
"PPD (TB); INTRADERMAL (PRENATAL)","86580","HCPCS","Both",,,"17.5","8.75","Medicare",,"",,"54",,"9.49","6.4","13.56","percent of total billed charges",,
"PPD (TB); INTRADERMAL (PRENATAL)","86580","HCPCS","Both",,,"17.5","8.75","Humana","Medicare Advantage","",,"54",,"9.49","6.4","13.56","percent of total billed charges",,
"PPD (TB); INTRADERMAL (PRENATAL)","86580","HCPCS","Both",,,"17.5","8.75","UHC","Medicare Advantage","",,"54",,"9.49","6.4","13.56","percent of total billed charges",,
"PPD (TB); INTRADERMAL (PRENATAL)","86580","HCPCS","Both",,,"17.5","8.75","Clover","Medicare Advantage","",,"54",,"9.49","6.4","13.56","percent of total billed charges",,
"PPD (TB); INTRADERMAL (PRENATAL)","86580","HCPCS","Both",,,"17.5","8.75","Wellcare","Medicare Advantage","",,"54",,"9.49","6.4","13.56","percent of total billed charges",,
"PPD (TB); INTRADERMAL (PRENATAL)","86580","HCPCS","Both",,,"17.5","8.75","Amerigroup","Medicaid Managed Care","",,"37",,"6.4","6.4","13.56","percent of total billed charges",,
"PPD (TB); INTRADERMAL (PRENATAL)","86580","HCPCS","Both",,,"17.5","8.75","Caresource","Medicaid Managed Care","",,"40",,"7","6.4","13.56","percent of total billed charges",,
"PPD (TB); INTRADERMAL (PRENATAL)","86580","HCPCS","Both",,,"17.5","8.75","Wellcare","Medicaid Managed Care","",,"40",,"7.09","6.4","13.56","percent of total billed charges",,
"PPD (TB); INTRADERMAL (PRENATAL)","86580","HCPCS","Both",,,"17.5","8.75","Aetna","Commercial","",,"64",,"11.16","6.4","13.56","percent of total billed charges",,
"PPD (TB); INTRADERMAL (PRENATAL)","86580","HCPCS","Both",,,"17.5","8.75","Blue Cross Blue Shield","Pathways","",,"71",,"12.35","6.4","13.56","percent of total billed charges",,
"PPD (TB); INTRADERMAL (PRENATAL)","86580","HCPCS","Both",,,"17.5","8.75","Blue Cross Blue Shield","HMO","",,"71",,"12.35","6.4","13.56","percent of total billed charges",,
"PPD (TB); INTRADERMAL (PRENATAL)","86580","HCPCS","Both",,,"17.5","8.75","Blue Cross Blue Shield","PPO","",,"71",,"12.35","6.4","13.56","percent of total billed charges",,
"PPD (TB); INTRADERMAL (PRENATAL)","86580","HCPCS","Both",,,"17.5","8.75","Ambetter","Health Exchange","",,"62",,"10.85","6.4","13.56","percent of total billed charges",,
"PPD (TB); INTRADERMAL (PRENATAL)","86580","HCPCS","Both",,,"17.5","8.75","Caresource","Health Exchange","",,"62",,"10.85","6.4","13.56","percent of total billed charges",,
"PPD (TB); INTRADERMAL (PRENATAL)","86580","HCPCS","Both",,,"17.5","8.75","Cigna","Commercial","",,"59",,"10.26","6.4","13.56","percent of total billed charges",,
"PPD (TB); INTRADERMAL (PRENATAL)","86580","HCPCS","Both",,,"17.5","8.75","Humana","Commercial","",,"78",,"13.56","6.4","13.56","percent of total billed charges",,
"PPD (TB); INTRADERMAL (PRENATAL)","86580","HCPCS","Both",,,"17.5","8.75","UHC","Commercial","",,"75",,"13.2","6.4","13.56","percent of total billed charges",,
"PPD (TB); INTRADERMAL (PRENATAL)","86580","HCPCS","Both",,,"17.5","8.75","Medicaid",,"",,"37",,"6.4","6.4","13.56","percent of total billed charges",,
"CULTURE URINE","87086","HCPCS","Both",,,"8","4","Alliant","Health Exchange","",,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"CULTURE URINE","87086","HCPCS","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage","",,"54",,"4.32","2.93","6.2","percent of total billed charges",,
"CULTURE URINE","87086","HCPCS","Both",,,"8","4","Medicare",,"",,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"CULTURE URINE","87086","HCPCS","Both",,,"8","4","Humana","Medicare Advantage","",,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"CULTURE URINE","87086","HCPCS","Both",,,"8","4","UHC","Medicare Advantage","",,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"CULTURE URINE","87086","HCPCS","Both",,,"8","4","Clover","Medicare Advantage","",,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"CULTURE URINE","87086","HCPCS","Both",,,"8","4","Wellcare","Medicare Advantage","",,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"CULTURE URINE","87086","HCPCS","Both",,,"8","4","Amerigroup","Medicaid Managed Care","",,"37",,"2.93","2.93","6.2","percent of total billed charges",,
"CULTURE URINE","87086","HCPCS","Both",,,"8","4","Caresource","Medicaid Managed Care","",,"40",,"3.2","2.93","6.2","percent of total billed charges",,
"CULTURE URINE","87086","HCPCS","Both",,,"8","4","Wellcare","Medicaid Managed Care","",,"40",,"3.24","2.93","6.2","percent of total billed charges",,
"CULTURE URINE","87086","HCPCS","Both",,,"8","4","Aetna","Commercial","",,"64",,"5.1","2.93","6.2","percent of total billed charges",,
"CULTURE URINE","87086","HCPCS","Both",,,"8","4","Blue Cross Blue Shield","Pathways","",,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"CULTURE URINE","87086","HCPCS","Both",,,"8","4","Blue Cross Blue Shield","HMO","",,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"CULTURE URINE","87086","HCPCS","Both",,,"8","4","Blue Cross Blue Shield","PPO","",,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"CULTURE URINE","87086","HCPCS","Both",,,"8","4","Ambetter","Health Exchange","",,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"CULTURE URINE","87086","HCPCS","Both",,,"8","4","Caresource","Health Exchange","",,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"CULTURE URINE","87086","HCPCS","Both",,,"8","4","Cigna","Commercial","",,"59",,"4.69","2.93","6.2","percent of total billed charges",,
"CULTURE URINE","87086","HCPCS","Both",,,"8","4","Humana","Commercial","",,"78",,"6.2","2.93","6.2","percent of total billed charges",,
"CULTURE URINE","87086","HCPCS","Both",,,"8","4","UHC","Commercial","",,"75",,"6.03","2.93","6.2","percent of total billed charges",,
"CULTURE URINE","87086","HCPCS","Both",,,"8","4","Medicaid",,"",,"37",,"2.93","2.93","6.2","percent of total billed charges",,
"CD4/CD8 ENUMERATION","86360","HCPCS","Both",,,"58.5","29.25","Alliant","Health Exchange","",,"62",,"36.27","21.41","45.34","percent of total billed charges",,
"CD4/CD8 ENUMERATION","86360","HCPCS","Both",,,"58.5","29.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"31.59","21.41","45.34","percent of total billed charges",,
"CD4/CD8 ENUMERATION","86360","HCPCS","Both",,,"58.5","29.25","Medicare",,"",,"54",,"31.71","21.41","45.34","percent of total billed charges",,
"CD4/CD8 ENUMERATION","86360","HCPCS","Both",,,"58.5","29.25","Humana","Medicare Advantage","",,"54",,"31.71","21.41","45.34","percent of total billed charges",,
"CD4/CD8 ENUMERATION","86360","HCPCS","Both",,,"58.5","29.25","UHC","Medicare Advantage","",,"54",,"31.71","21.41","45.34","percent of total billed charges",,
"CD4/CD8 ENUMERATION","86360","HCPCS","Both",,,"58.5","29.25","Clover","Medicare Advantage","",,"54",,"31.71","21.41","45.34","percent of total billed charges",,
"CD4/CD8 ENUMERATION","86360","HCPCS","Both",,,"58.5","29.25","Wellcare","Medicare Advantage","",,"54",,"31.71","21.41","45.34","percent of total billed charges",,
"CD4/CD8 ENUMERATION","86360","HCPCS","Both",,,"58.5","29.25","Amerigroup","Medicaid Managed Care","",,"37",,"21.41","21.41","45.34","percent of total billed charges",,
"CD4/CD8 ENUMERATION","86360","HCPCS","Both",,,"58.5","29.25","Caresource","Medicaid Managed Care","",,"40",,"23.4","21.41","45.34","percent of total billed charges",,
"CD4/CD8 ENUMERATION","86360","HCPCS","Both",,,"58.5","29.25","Wellcare","Medicaid Managed Care","",,"40",,"23.69","21.41","45.34","percent of total billed charges",,
"CD4/CD8 ENUMERATION","86360","HCPCS","Both",,,"58.5","29.25","Aetna","Commercial","",,"64",,"37.32","21.41","45.34","percent of total billed charges",,
"CD4/CD8 ENUMERATION","86360","HCPCS","Both",,,"58.5","29.25","Blue Cross Blue Shield","Pathways","",,"71",,"41.3","21.41","45.34","percent of total billed charges",,
"CD4/CD8 ENUMERATION","86360","HCPCS","Both",,,"58.5","29.25","Blue Cross Blue Shield","HMO","",,"71",,"41.3","21.41","45.34","percent of total billed charges",,
"CD4/CD8 ENUMERATION","86360","HCPCS","Both",,,"58.5","29.25","Blue Cross Blue Shield","PPO","",,"71",,"41.3","21.41","45.34","percent of total billed charges",,
"CD4/CD8 ENUMERATION","86360","HCPCS","Both",,,"58.5","29.25","Ambetter","Health Exchange","",,"62",,"36.27","21.41","45.34","percent of total billed charges",,
"CD4/CD8 ENUMERATION","86360","HCPCS","Both",,,"58.5","29.25","Caresource","Health Exchange","",,"62",,"36.27","21.41","45.34","percent of total billed charges",,
"CD4/CD8 ENUMERATION","86360","HCPCS","Both",,,"58.5","29.25","Cigna","Commercial","",,"59",,"34.28","21.41","45.34","percent of total billed charges",,
"CD4/CD8 ENUMERATION","86360","HCPCS","Both",,,"58.5","29.25","Humana","Commercial","",,"78",,"45.34","21.41","45.34","percent of total billed charges",,
"CD4/CD8 ENUMERATION","86360","HCPCS","Both",,,"58.5","29.25","UHC","Commercial","",,"75",,"44.11","21.41","45.34","percent of total billed charges",,
"CD4/CD8 ENUMERATION","86360","HCPCS","Both",,,"58.5","29.25","Medicaid",,"",,"37",,"21.41","21.41","45.34","percent of total billed charges",,
"LAMOTRIGINE","80175","HCPCS","Both",,,"16.5","8.25","Alliant","Health Exchange","",,"62",,"10.23","6.04","12.79","percent of total billed charges",,
"LAMOTRIGINE","80175","HCPCS","Both",,,"16.5","8.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"8.91","6.04","12.79","percent of total billed charges",,
"LAMOTRIGINE","80175","HCPCS","Both",,,"16.5","8.25","Medicare",,"",,"54",,"8.94","6.04","12.79","percent of total billed charges",,
"LAMOTRIGINE","80175","HCPCS","Both",,,"16.5","8.25","Humana","Medicare Advantage","",,"54",,"8.94","6.04","12.79","percent of total billed charges",,
"LAMOTRIGINE","80175","HCPCS","Both",,,"16.5","8.25","UHC","Medicare Advantage","",,"54",,"8.94","6.04","12.79","percent of total billed charges",,
"LAMOTRIGINE","80175","HCPCS","Both",,,"16.5","8.25","Clover","Medicare Advantage","",,"54",,"8.94","6.04","12.79","percent of total billed charges",,
"LAMOTRIGINE","80175","HCPCS","Both",,,"16.5","8.25","Wellcare","Medicare Advantage","",,"54",,"8.94","6.04","12.79","percent of total billed charges",,
"LAMOTRIGINE","80175","HCPCS","Both",,,"16.5","8.25","Amerigroup","Medicaid Managed Care","",,"37",,"6.04","6.04","12.79","percent of total billed charges",,
"LAMOTRIGINE","80175","HCPCS","Both",,,"16.5","8.25","Caresource","Medicaid Managed Care","",,"40",,"6.6","6.04","12.79","percent of total billed charges",,
"LAMOTRIGINE","80175","HCPCS","Both",,,"16.5","8.25","Wellcare","Medicaid Managed Care","",,"40",,"6.68","6.04","12.79","percent of total billed charges",,
"LAMOTRIGINE","80175","HCPCS","Both",,,"16.5","8.25","Aetna","Commercial","",,"64",,"10.53","6.04","12.79","percent of total billed charges",,
"LAMOTRIGINE","80175","HCPCS","Both",,,"16.5","8.25","Blue Cross Blue Shield","Pathways","",,"71",,"11.65","6.04","12.79","percent of total billed charges",,
"LAMOTRIGINE","80175","HCPCS","Both",,,"16.5","8.25","Blue Cross Blue Shield","HMO","",,"71",,"11.65","6.04","12.79","percent of total billed charges",,
"LAMOTRIGINE","80175","HCPCS","Both",,,"16.5","8.25","Blue Cross Blue Shield","PPO","",,"71",,"11.65","6.04","12.79","percent of total billed charges",,
"LAMOTRIGINE","80175","HCPCS","Both",,,"16.5","8.25","Ambetter","Health Exchange","",,"62",,"10.23","6.04","12.79","percent of total billed charges",,
"LAMOTRIGINE","80175","HCPCS","Both",,,"16.5","8.25","Caresource","Health Exchange","",,"62",,"10.23","6.04","12.79","percent of total billed charges",,
"LAMOTRIGINE","80175","HCPCS","Both",,,"16.5","8.25","Cigna","Commercial","",,"59",,"9.67","6.04","12.79","percent of total billed charges",,
"LAMOTRIGINE","80175","HCPCS","Both",,,"16.5","8.25","Humana","Commercial","",,"78",,"12.79","6.04","12.79","percent of total billed charges",,
"LAMOTRIGINE","80175","HCPCS","Both",,,"16.5","8.25","UHC","Commercial","",,"75",,"12.44","6.04","12.79","percent of total billed charges",,
"LAMOTRIGINE","80175","HCPCS","Both",,,"16.5","8.25","Medicaid",,"",,"37",,"6.04","6.04","12.79","percent of total billed charges",,
"HEPATITIS Be ANTIBODY (HBeAb)","86707","HCPCS","Both",,,"84","42","Alliant","Health Exchange","",,"62",,"52.08","30.74","65.1","percent of total billed charges",,
"HEPATITIS Be ANTIBODY (HBeAb)","86707","HCPCS","Both",,,"84","42","Pruitt Healthcare","Medicare Advantage","",,"54",,"45.36","30.74","65.1","percent of total billed charges",,
"HEPATITIS Be ANTIBODY (HBeAb)","86707","HCPCS","Both",,,"84","42","Medicare",,"",,"54",,"45.53","30.74","65.1","percent of total billed charges",,
"HEPATITIS Be ANTIBODY (HBeAb)","86707","HCPCS","Both",,,"84","42","Humana","Medicare Advantage","",,"54",,"45.53","30.74","65.1","percent of total billed charges",,
"HEPATITIS Be ANTIBODY (HBeAb)","86707","HCPCS","Both",,,"84","42","UHC","Medicare Advantage","",,"54",,"45.53","30.74","65.1","percent of total billed charges",,
"HEPATITIS Be ANTIBODY (HBeAb)","86707","HCPCS","Both",,,"84","42","Clover","Medicare Advantage","",,"54",,"45.53","30.74","65.1","percent of total billed charges",,
"HEPATITIS Be ANTIBODY (HBeAb)","86707","HCPCS","Both",,,"84","42","Wellcare","Medicare Advantage","",,"54",,"45.53","30.74","65.1","percent of total billed charges",,
"HEPATITIS Be ANTIBODY (HBeAb)","86707","HCPCS","Both",,,"84","42","Amerigroup","Medicaid Managed Care","",,"37",,"30.74","30.74","65.1","percent of total billed charges",,
"HEPATITIS Be ANTIBODY (HBeAb)","86707","HCPCS","Both",,,"84","42","Caresource","Medicaid Managed Care","",,"40",,"33.6","30.74","65.1","percent of total billed charges",,
"HEPATITIS Be ANTIBODY (HBeAb)","86707","HCPCS","Both",,,"84","42","Wellcare","Medicaid Managed Care","",,"40",,"34.02","30.74","65.1","percent of total billed charges",,
"HEPATITIS Be ANTIBODY (HBeAb)","86707","HCPCS","Both",,,"84","42","Aetna","Commercial","",,"64",,"53.59","30.74","65.1","percent of total billed charges",,
"HEPATITIS Be ANTIBODY (HBeAb)","86707","HCPCS","Both",,,"84","42","Blue Cross Blue Shield","Pathways","",,"71",,"59.3","30.74","65.1","percent of total billed charges",,
"HEPATITIS Be ANTIBODY (HBeAb)","86707","HCPCS","Both",,,"84","42","Blue Cross Blue Shield","HMO","",,"71",,"59.3","30.74","65.1","percent of total billed charges",,
"HEPATITIS Be ANTIBODY (HBeAb)","86707","HCPCS","Both",,,"84","42","Blue Cross Blue Shield","PPO","",,"71",,"59.3","30.74","65.1","percent of total billed charges",,
"HEPATITIS Be ANTIBODY (HBeAb)","86707","HCPCS","Both",,,"84","42","Ambetter","Health Exchange","",,"62",,"52.08","30.74","65.1","percent of total billed charges",,
"HEPATITIS Be ANTIBODY (HBeAb)","86707","HCPCS","Both",,,"84","42","Caresource","Health Exchange","",,"62",,"52.08","30.74","65.1","percent of total billed charges",,
"HEPATITIS Be ANTIBODY (HBeAb)","86707","HCPCS","Both",,,"84","42","Cigna","Commercial","",,"59",,"49.22","30.74","65.1","percent of total billed charges",,
"HEPATITIS Be ANTIBODY (HBeAb)","86707","HCPCS","Both",,,"84","42","Humana","Commercial","",,"78",,"65.1","30.74","65.1","percent of total billed charges",,
"HEPATITIS Be ANTIBODY (HBeAb)","86707","HCPCS","Both",,,"84","42","UHC","Commercial","",,"75",,"63.34","30.74","65.1","percent of total billed charges",,
"HEPATITIS Be ANTIBODY (HBeAb)","86707","HCPCS","Both",,,"84","42","Medicaid",,"",,"37",,"30.74","30.74","65.1","percent of total billed charges",,
"HEPATITIS A  TOTAL ANTIBODY","86708","HCPCS","Both",,,"89","44.5","Alliant","Health Exchange","",,"62",,"55.18","32.57","68.98","percent of total billed charges",,
"HEPATITIS A  TOTAL ANTIBODY","86708","HCPCS","Both",,,"89","44.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"48.06","32.57","68.98","percent of total billed charges",,
"HEPATITIS A  TOTAL ANTIBODY","86708","HCPCS","Both",,,"89","44.5","Medicare",,"",,"54",,"48.24","32.57","68.98","percent of total billed charges",,
"HEPATITIS A  TOTAL ANTIBODY","86708","HCPCS","Both",,,"89","44.5","Humana","Medicare Advantage","",,"54",,"48.24","32.57","68.98","percent of total billed charges",,
"HEPATITIS A  TOTAL ANTIBODY","86708","HCPCS","Both",,,"89","44.5","UHC","Medicare Advantage","",,"54",,"48.24","32.57","68.98","percent of total billed charges",,
"HEPATITIS A  TOTAL ANTIBODY","86708","HCPCS","Both",,,"89","44.5","Clover","Medicare Advantage","",,"54",,"48.24","32.57","68.98","percent of total billed charges",,
"HEPATITIS A  TOTAL ANTIBODY","86708","HCPCS","Both",,,"89","44.5","Wellcare","Medicare Advantage","",,"54",,"48.24","32.57","68.98","percent of total billed charges",,
"HEPATITIS A  TOTAL ANTIBODY","86708","HCPCS","Both",,,"89","44.5","Amerigroup","Medicaid Managed Care","",,"37",,"32.57","32.57","68.98","percent of total billed charges",,
"HEPATITIS A  TOTAL ANTIBODY","86708","HCPCS","Both",,,"89","44.5","Caresource","Medicaid Managed Care","",,"40",,"35.6","32.57","68.98","percent of total billed charges",,
"HEPATITIS A  TOTAL ANTIBODY","86708","HCPCS","Both",,,"89","44.5","Wellcare","Medicaid Managed Care","",,"40",,"36.04","32.57","68.98","percent of total billed charges",,
"HEPATITIS A  TOTAL ANTIBODY","86708","HCPCS","Both",,,"89","44.5","Aetna","Commercial","",,"64",,"56.78","32.57","68.98","percent of total billed charges",,
"HEPATITIS A  TOTAL ANTIBODY","86708","HCPCS","Both",,,"89","44.5","Blue Cross Blue Shield","Pathways","",,"71",,"62.83","32.57","68.98","percent of total billed charges",,
"HEPATITIS A  TOTAL ANTIBODY","86708","HCPCS","Both",,,"89","44.5","Blue Cross Blue Shield","HMO","",,"71",,"62.83","32.57","68.98","percent of total billed charges",,
"HEPATITIS A  TOTAL ANTIBODY","86708","HCPCS","Both",,,"89","44.5","Blue Cross Blue Shield","PPO","",,"71",,"62.83","32.57","68.98","percent of total billed charges",,
"HEPATITIS A  TOTAL ANTIBODY","86708","HCPCS","Both",,,"89","44.5","Ambetter","Health Exchange","",,"62",,"55.18","32.57","68.98","percent of total billed charges",,
"HEPATITIS A  TOTAL ANTIBODY","86708","HCPCS","Both",,,"89","44.5","Caresource","Health Exchange","",,"62",,"55.18","32.57","68.98","percent of total billed charges",,
"HEPATITIS A  TOTAL ANTIBODY","86708","HCPCS","Both",,,"89","44.5","Cigna","Commercial","",,"59",,"52.15","32.57","68.98","percent of total billed charges",,
"HEPATITIS A  TOTAL ANTIBODY","86708","HCPCS","Both",,,"89","44.5","Humana","Commercial","",,"78",,"68.98","32.57","68.98","percent of total billed charges",,
"HEPATITIS A  TOTAL ANTIBODY","86708","HCPCS","Both",,,"89","44.5","UHC","Commercial","",,"75",,"67.11","32.57","68.98","percent of total billed charges",,
"HEPATITIS A  TOTAL ANTIBODY","86708","HCPCS","Both",,,"89","44.5","Medicaid",,"",,"37",,"32.57","32.57","68.98","percent of total billed charges",,
"HEPATITIS C ANTIBODY","86803","HCPCS","Both",,,"29","14.5","Alliant","Health Exchange","",,"62",,"17.98","10.61","22.48","percent of total billed charges",,
"HEPATITIS C ANTIBODY","86803","HCPCS","Both",,,"29","14.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"15.66","10.61","22.48","percent of total billed charges",,
"HEPATITIS C ANTIBODY","86803","HCPCS","Both",,,"29","14.5","Medicare",,"",,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"HEPATITIS C ANTIBODY","86803","HCPCS","Both",,,"29","14.5","Humana","Medicare Advantage","",,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"HEPATITIS C ANTIBODY","86803","HCPCS","Both",,,"29","14.5","UHC","Medicare Advantage","",,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"HEPATITIS C ANTIBODY","86803","HCPCS","Both",,,"29","14.5","Clover","Medicare Advantage","",,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"HEPATITIS C ANTIBODY","86803","HCPCS","Both",,,"29","14.5","Wellcare","Medicare Advantage","",,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"HEPATITIS C ANTIBODY","86803","HCPCS","Both",,,"29","14.5","Amerigroup","Medicaid Managed Care","",,"37",,"10.61","10.61","22.48","percent of total billed charges",,
"HEPATITIS C ANTIBODY","86803","HCPCS","Both",,,"29","14.5","Caresource","Medicaid Managed Care","",,"40",,"11.6","10.61","22.48","percent of total billed charges",,
"HEPATITIS C ANTIBODY","86803","HCPCS","Both",,,"29","14.5","Wellcare","Medicaid Managed Care","",,"40",,"11.74","10.61","22.48","percent of total billed charges",,
"HEPATITIS C ANTIBODY","86803","HCPCS","Both",,,"29","14.5","Aetna","Commercial","",,"64",,"18.5","10.61","22.48","percent of total billed charges",,
"HEPATITIS C ANTIBODY","86803","HCPCS","Both",,,"29","14.5","Blue Cross Blue Shield","Pathways","",,"71",,"20.47","10.61","22.48","percent of total billed charges",,
"HEPATITIS C ANTIBODY","86803","HCPCS","Both",,,"29","14.5","Blue Cross Blue Shield","HMO","",,"71",,"20.47","10.61","22.48","percent of total billed charges",,
"HEPATITIS C ANTIBODY","86803","HCPCS","Both",,,"29","14.5","Blue Cross Blue Shield","PPO","",,"71",,"20.47","10.61","22.48","percent of total billed charges",,
"HEPATITIS C ANTIBODY","86803","HCPCS","Both",,,"29","14.5","Ambetter","Health Exchange","",,"62",,"17.98","10.61","22.48","percent of total billed charges",,
"HEPATITIS C ANTIBODY","86803","HCPCS","Both",,,"29","14.5","Caresource","Health Exchange","",,"62",,"17.98","10.61","22.48","percent of total billed charges",,
"HEPATITIS C ANTIBODY","86803","HCPCS","Both",,,"29","14.5","Cigna","Commercial","",,"59",,"16.99","10.61","22.48","percent of total billed charges",,
"HEPATITIS C ANTIBODY","86803","HCPCS","Both",,,"29","14.5","Humana","Commercial","",,"78",,"22.48","10.61","22.48","percent of total billed charges",,
"HEPATITIS C ANTIBODY","86803","HCPCS","Both",,,"29","14.5","UHC","Commercial","",,"75",,"21.87","10.61","22.48","percent of total billed charges",,
"HEPATITIS C ANTIBODY","86803","HCPCS","Both",,,"29","14.5","Medicaid",,"",,"37",,"10.61","10.61","22.48","percent of total billed charges",,
"HIV 1/2 MULITSPOT (HIV CONFIRMATION)","86701","HCPCS","Both",,,"139","69.5","Alliant","Health Exchange","",,"62",,"86.18","50.87","107.72","percent of total billed charges",,
"HIV 1/2 MULITSPOT (HIV CONFIRMATION)","86701","HCPCS","Both",,,"139","69.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"75.06","50.87","107.72","percent of total billed charges",,
"HIV 1/2 MULITSPOT (HIV CONFIRMATION)","86701","HCPCS","Both",,,"139","69.5","Medicare",,"",,"54",,"75.34","50.87","107.72","percent of total billed charges",,
"HIV 1/2 MULITSPOT (HIV CONFIRMATION)","86701","HCPCS","Both",,,"139","69.5","Humana","Medicare Advantage","",,"54",,"75.34","50.87","107.72","percent of total billed charges",,
"HIV 1/2 MULITSPOT (HIV CONFIRMATION)","86701","HCPCS","Both",,,"139","69.5","UHC","Medicare Advantage","",,"54",,"75.34","50.87","107.72","percent of total billed charges",,
"HIV 1/2 MULITSPOT (HIV CONFIRMATION)","86701","HCPCS","Both",,,"139","69.5","Clover","Medicare Advantage","",,"54",,"75.34","50.87","107.72","percent of total billed charges",,
"HIV 1/2 MULITSPOT (HIV CONFIRMATION)","86701","HCPCS","Both",,,"139","69.5","Wellcare","Medicare Advantage","",,"54",,"75.34","50.87","107.72","percent of total billed charges",,
"HIV 1/2 MULITSPOT (HIV CONFIRMATION)","86701","HCPCS","Both",,,"139","69.5","Amerigroup","Medicaid Managed Care","",,"37",,"50.87","50.87","107.72","percent of total billed charges",,
"HIV 1/2 MULITSPOT (HIV CONFIRMATION)","86701","HCPCS","Both",,,"139","69.5","Caresource","Medicaid Managed Care","",,"40",,"55.6","50.87","107.72","percent of total billed charges",,
"HIV 1/2 MULITSPOT (HIV CONFIRMATION)","86701","HCPCS","Both",,,"139","69.5","Wellcare","Medicaid Managed Care","",,"40",,"56.3","50.87","107.72","percent of total billed charges",,
"HIV 1/2 MULITSPOT (HIV CONFIRMATION)","86701","HCPCS","Both",,,"139","69.5","Aetna","Commercial","",,"64",,"88.68","50.87","107.72","percent of total billed charges",,
"HIV 1/2 MULITSPOT (HIV CONFIRMATION)","86701","HCPCS","Both",,,"139","69.5","Blue Cross Blue Shield","Pathways","",,"71",,"98.13","50.87","107.72","percent of total billed charges",,
"HIV 1/2 MULITSPOT (HIV CONFIRMATION)","86701","HCPCS","Both",,,"139","69.5","Blue Cross Blue Shield","HMO","",,"71",,"98.13","50.87","107.72","percent of total billed charges",,
"HIV 1/2 MULITSPOT (HIV CONFIRMATION)","86701","HCPCS","Both",,,"139","69.5","Blue Cross Blue Shield","PPO","",,"71",,"98.13","50.87","107.72","percent of total billed charges",,
"HIV 1/2 MULITSPOT (HIV CONFIRMATION)","86701","HCPCS","Both",,,"139","69.5","Ambetter","Health Exchange","",,"62",,"86.18","50.87","107.72","percent of total billed charges",,
"HIV 1/2 MULITSPOT (HIV CONFIRMATION)","86701","HCPCS","Both",,,"139","69.5","Caresource","Health Exchange","",,"62",,"86.18","50.87","107.72","percent of total billed charges",,
"HIV 1/2 MULITSPOT (HIV CONFIRMATION)","86701","HCPCS","Both",,,"139","69.5","Cigna","Commercial","",,"59",,"81.45","50.87","107.72","percent of total billed charges",,
"HIV 1/2 MULITSPOT (HIV CONFIRMATION)","86701","HCPCS","Both",,,"139","69.5","Humana","Commercial","",,"78",,"107.72","50.87","107.72","percent of total billed charges",,
"HIV 1/2 MULITSPOT (HIV CONFIRMATION)","86701","HCPCS","Both",,,"139","69.5","UHC","Commercial","",,"75",,"104.81","50.87","107.72","percent of total billed charges",,
"HIV 1/2 MULITSPOT (HIV CONFIRMATION)","86701","HCPCS","Both",,,"139","69.5","Medicaid",,"",,"37",,"50.87","50.87","107.72","percent of total billed charges",,
"FECAL LEUKOCYTES","89055","HCPCS","Both",,,"8.5","4.25","Alliant","Health Exchange","",,"62",,"5.27","3.11","6.59","percent of total billed charges",,
"FECAL LEUKOCYTES","89055","HCPCS","Both",,,"8.5","4.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"4.59","3.11","6.59","percent of total billed charges",,
"FECAL LEUKOCYTES","89055","HCPCS","Both",,,"8.5","4.25","Medicare",,"",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"FECAL LEUKOCYTES","89055","HCPCS","Both",,,"8.5","4.25","Humana","Medicare Advantage","",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"FECAL LEUKOCYTES","89055","HCPCS","Both",,,"8.5","4.25","UHC","Medicare Advantage","",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"FECAL LEUKOCYTES","89055","HCPCS","Both",,,"8.5","4.25","Clover","Medicare Advantage","",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"FECAL LEUKOCYTES","89055","HCPCS","Both",,,"8.5","4.25","Wellcare","Medicare Advantage","",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"FECAL LEUKOCYTES","89055","HCPCS","Both",,,"8.5","4.25","Amerigroup","Medicaid Managed Care","",,"37",,"3.11","3.11","6.59","percent of total billed charges",,
"FECAL LEUKOCYTES","89055","HCPCS","Both",,,"8.5","4.25","Caresource","Medicaid Managed Care","",,"40",,"3.4","3.11","6.59","percent of total billed charges",,
"FECAL LEUKOCYTES","89055","HCPCS","Both",,,"8.5","4.25","Wellcare","Medicaid Managed Care","",,"40",,"3.44","3.11","6.59","percent of total billed charges",,
"FECAL LEUKOCYTES","89055","HCPCS","Both",,,"8.5","4.25","Aetna","Commercial","",,"64",,"5.42","3.11","6.59","percent of total billed charges",,
"FECAL LEUKOCYTES","89055","HCPCS","Both",,,"8.5","4.25","Blue Cross Blue Shield","Pathways","",,"71",,"6","3.11","6.59","percent of total billed charges",,
"FECAL LEUKOCYTES","89055","HCPCS","Both",,,"8.5","4.25","Blue Cross Blue Shield","HMO","",,"71",,"6","3.11","6.59","percent of total billed charges",,
"FECAL LEUKOCYTES","89055","HCPCS","Both",,,"8.5","4.25","Blue Cross Blue Shield","PPO","",,"71",,"6","3.11","6.59","percent of total billed charges",,
"FECAL LEUKOCYTES","89055","HCPCS","Both",,,"8.5","4.25","Ambetter","Health Exchange","",,"62",,"5.27","3.11","6.59","percent of total billed charges",,
"FECAL LEUKOCYTES","89055","HCPCS","Both",,,"8.5","4.25","Caresource","Health Exchange","",,"62",,"5.27","3.11","6.59","percent of total billed charges",,
"FECAL LEUKOCYTES","89055","HCPCS","Both",,,"8.5","4.25","Cigna","Commercial","",,"59",,"4.98","3.11","6.59","percent of total billed charges",,
"FECAL LEUKOCYTES","89055","HCPCS","Both",,,"8.5","4.25","Humana","Commercial","",,"78",,"6.59","3.11","6.59","percent of total billed charges",,
"FECAL LEUKOCYTES","89055","HCPCS","Both",,,"8.5","4.25","UHC","Commercial","",,"75",,"6.41","3.11","6.59","percent of total billed charges",,
"FECAL LEUKOCYTES","89055","HCPCS","Both",,,"8.5","4.25","Medicaid",,"",,"37",,"3.11","3.11","6.59","percent of total billed charges",,
"HEPATITIS PANEL ACUTE","80074","HCPCS","Both",,,"252.5","126.25","Alliant","Health Exchange","",,"62",,"156.55","92.42","195.69","percent of total billed charges",,
"HEPATITIS PANEL ACUTE","80074","HCPCS","Both",,,"252.5","126.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"136.35","92.42","195.69","percent of total billed charges",,
"HEPATITIS PANEL ACUTE","80074","HCPCS","Both",,,"252.5","126.25","Medicare",,"",,"54",,"136.86","92.42","195.69","percent of total billed charges",,
"HEPATITIS PANEL ACUTE","80074","HCPCS","Both",,,"252.5","126.25","Humana","Medicare Advantage","",,"54",,"136.86","92.42","195.69","percent of total billed charges",,
"HEPATITIS PANEL ACUTE","80074","HCPCS","Both",,,"252.5","126.25","UHC","Medicare Advantage","",,"54",,"136.86","92.42","195.69","percent of total billed charges",,
"HEPATITIS PANEL ACUTE","80074","HCPCS","Both",,,"252.5","126.25","Clover","Medicare Advantage","",,"54",,"136.86","92.42","195.69","percent of total billed charges",,
"HEPATITIS PANEL ACUTE","80074","HCPCS","Both",,,"252.5","126.25","Wellcare","Medicare Advantage","",,"54",,"136.86","92.42","195.69","percent of total billed charges",,
"HEPATITIS PANEL ACUTE","80074","HCPCS","Both",,,"252.5","126.25","Amerigroup","Medicaid Managed Care","",,"37",,"92.42","92.42","195.69","percent of total billed charges",,
"HEPATITIS PANEL ACUTE","80074","HCPCS","Both",,,"252.5","126.25","Caresource","Medicaid Managed Care","",,"40",,"101","92.42","195.69","percent of total billed charges",,
"HEPATITIS PANEL ACUTE","80074","HCPCS","Both",,,"252.5","126.25","Wellcare","Medicaid Managed Care","",,"40",,"102.26","92.42","195.69","percent of total billed charges",,
"HEPATITIS PANEL ACUTE","80074","HCPCS","Both",,,"252.5","126.25","Aetna","Commercial","",,"64",,"161.1","92.42","195.69","percent of total billed charges",,
"HEPATITIS PANEL ACUTE","80074","HCPCS","Both",,,"252.5","126.25","Blue Cross Blue Shield","Pathways","",,"71",,"178.26","92.42","195.69","percent of total billed charges",,
"HEPATITIS PANEL ACUTE","80074","HCPCS","Both",,,"252.5","126.25","Blue Cross Blue Shield","HMO","",,"71",,"178.26","92.42","195.69","percent of total billed charges",,
"HEPATITIS PANEL ACUTE","80074","HCPCS","Both",,,"252.5","126.25","Blue Cross Blue Shield","PPO","",,"71",,"178.26","92.42","195.69","percent of total billed charges",,
"HEPATITIS PANEL ACUTE","80074","HCPCS","Both",,,"252.5","126.25","Ambetter","Health Exchange","",,"62",,"156.55","92.42","195.69","percent of total billed charges",,
"HEPATITIS PANEL ACUTE","80074","HCPCS","Both",,,"252.5","126.25","Caresource","Health Exchange","",,"62",,"156.55","92.42","195.69","percent of total billed charges",,
"HEPATITIS PANEL ACUTE","80074","HCPCS","Both",,,"252.5","126.25","Cigna","Commercial","",,"59",,"147.96","92.42","195.69","percent of total billed charges",,
"HEPATITIS PANEL ACUTE","80074","HCPCS","Both",,,"252.5","126.25","Humana","Commercial","",,"78",,"195.69","92.42","195.69","percent of total billed charges",,
"HEPATITIS PANEL ACUTE","80074","HCPCS","Both",,,"252.5","126.25","UHC","Commercial","",,"75",,"190.38","92.42","195.69","percent of total billed charges",,
"HEPATITIS PANEL ACUTE","80074","HCPCS","Both",,,"252.5","126.25","Medicaid",,"",,"37",,"92.42","92.42","195.69","percent of total billed charges",,
"HEPATITIS B CORE ANTIBODY, IgM","86705","HCPCS","Both",,,"30.5","15.25","Alliant","Health Exchange","",,"62",,"18.91","11.16","23.64","percent of total billed charges",,
"HEPATITIS B CORE ANTIBODY, IgM","86705","HCPCS","Both",,,"30.5","15.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"16.47","11.16","23.64","percent of total billed charges",,
"HEPATITIS B CORE ANTIBODY, IgM","86705","HCPCS","Both",,,"30.5","15.25","Medicare",,"",,"54",,"16.53","11.16","23.64","percent of total billed charges",,
"HEPATITIS B CORE ANTIBODY, IgM","86705","HCPCS","Both",,,"30.5","15.25","Humana","Medicare Advantage","",,"54",,"16.53","11.16","23.64","percent of total billed charges",,
"HEPATITIS B CORE ANTIBODY, IgM","86705","HCPCS","Both",,,"30.5","15.25","UHC","Medicare Advantage","",,"54",,"16.53","11.16","23.64","percent of total billed charges",,
"HEPATITIS B CORE ANTIBODY, IgM","86705","HCPCS","Both",,,"30.5","15.25","Clover","Medicare Advantage","",,"54",,"16.53","11.16","23.64","percent of total billed charges",,
"HEPATITIS B CORE ANTIBODY, IgM","86705","HCPCS","Both",,,"30.5","15.25","Wellcare","Medicare Advantage","",,"54",,"16.53","11.16","23.64","percent of total billed charges",,
"HEPATITIS B CORE ANTIBODY, IgM","86705","HCPCS","Both",,,"30.5","15.25","Amerigroup","Medicaid Managed Care","",,"37",,"11.16","11.16","23.64","percent of total billed charges",,
"HEPATITIS B CORE ANTIBODY, IgM","86705","HCPCS","Both",,,"30.5","15.25","Caresource","Medicaid Managed Care","",,"40",,"12.2","11.16","23.64","percent of total billed charges",,
"HEPATITIS B CORE ANTIBODY, IgM","86705","HCPCS","Both",,,"30.5","15.25","Wellcare","Medicaid Managed Care","",,"40",,"12.35","11.16","23.64","percent of total billed charges",,
"HEPATITIS B CORE ANTIBODY, IgM","86705","HCPCS","Both",,,"30.5","15.25","Aetna","Commercial","",,"64",,"19.46","11.16","23.64","percent of total billed charges",,
"HEPATITIS B CORE ANTIBODY, IgM","86705","HCPCS","Both",,,"30.5","15.25","Blue Cross Blue Shield","Pathways","",,"71",,"21.53","11.16","23.64","percent of total billed charges",,
"HEPATITIS B CORE ANTIBODY, IgM","86705","HCPCS","Both",,,"30.5","15.25","Blue Cross Blue Shield","HMO","",,"71",,"21.53","11.16","23.64","percent of total billed charges",,
"HEPATITIS B CORE ANTIBODY, IgM","86705","HCPCS","Both",,,"30.5","15.25","Blue Cross Blue Shield","PPO","",,"71",,"21.53","11.16","23.64","percent of total billed charges",,
"HEPATITIS B CORE ANTIBODY, IgM","86705","HCPCS","Both",,,"30.5","15.25","Ambetter","Health Exchange","",,"62",,"18.91","11.16","23.64","percent of total billed charges",,
"HEPATITIS B CORE ANTIBODY, IgM","86705","HCPCS","Both",,,"30.5","15.25","Caresource","Health Exchange","",,"62",,"18.91","11.16","23.64","percent of total billed charges",,
"HEPATITIS B CORE ANTIBODY, IgM","86705","HCPCS","Both",,,"30.5","15.25","Cigna","Commercial","",,"59",,"17.87","11.16","23.64","percent of total billed charges",,
"HEPATITIS B CORE ANTIBODY, IgM","86705","HCPCS","Both",,,"30.5","15.25","Humana","Commercial","",,"78",,"23.64","11.16","23.64","percent of total billed charges",,
"HEPATITIS B CORE ANTIBODY, IgM","86705","HCPCS","Both",,,"30.5","15.25","UHC","Commercial","",,"75",,"23","11.16","23.64","percent of total billed charges",,
"HEPATITIS B CORE ANTIBODY, IgM","86705","HCPCS","Both",,,"30.5","15.25","Medicaid",,"",,"37",,"11.16","11.16","23.64","percent of total billed charges",,
"HEPATITIS A ANTIBODY,  IgM","86709","HCPCS","Both",,,"29","14.5","Alliant","Health Exchange","",,"62",,"17.98","10.61","22.48","percent of total billed charges",,
"HEPATITIS A ANTIBODY,  IgM","86709","HCPCS","Both",,,"29","14.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"15.66","10.61","22.48","percent of total billed charges",,
"HEPATITIS A ANTIBODY,  IgM","86709","HCPCS","Both",,,"29","14.5","Medicare",,"",,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"HEPATITIS A ANTIBODY,  IgM","86709","HCPCS","Both",,,"29","14.5","Humana","Medicare Advantage","",,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"HEPATITIS A ANTIBODY,  IgM","86709","HCPCS","Both",,,"29","14.5","UHC","Medicare Advantage","",,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"HEPATITIS A ANTIBODY,  IgM","86709","HCPCS","Both",,,"29","14.5","Clover","Medicare Advantage","",,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"HEPATITIS A ANTIBODY,  IgM","86709","HCPCS","Both",,,"29","14.5","Wellcare","Medicare Advantage","",,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"HEPATITIS A ANTIBODY,  IgM","86709","HCPCS","Both",,,"29","14.5","Amerigroup","Medicaid Managed Care","",,"37",,"10.61","10.61","22.48","percent of total billed charges",,
"HEPATITIS A ANTIBODY,  IgM","86709","HCPCS","Both",,,"29","14.5","Caresource","Medicaid Managed Care","",,"40",,"11.6","10.61","22.48","percent of total billed charges",,
"HEPATITIS A ANTIBODY,  IgM","86709","HCPCS","Both",,,"29","14.5","Wellcare","Medicaid Managed Care","",,"40",,"11.74","10.61","22.48","percent of total billed charges",,
"HEPATITIS A ANTIBODY,  IgM","86709","HCPCS","Both",,,"29","14.5","Aetna","Commercial","",,"64",,"18.5","10.61","22.48","percent of total billed charges",,
"HEPATITIS A ANTIBODY,  IgM","86709","HCPCS","Both",,,"29","14.5","Blue Cross Blue Shield","Pathways","",,"71",,"20.47","10.61","22.48","percent of total billed charges",,
"HEPATITIS A ANTIBODY,  IgM","86709","HCPCS","Both",,,"29","14.5","Blue Cross Blue Shield","HMO","",,"71",,"20.47","10.61","22.48","percent of total billed charges",,
"HEPATITIS A ANTIBODY,  IgM","86709","HCPCS","Both",,,"29","14.5","Blue Cross Blue Shield","PPO","",,"71",,"20.47","10.61","22.48","percent of total billed charges",,
"HEPATITIS A ANTIBODY,  IgM","86709","HCPCS","Both",,,"29","14.5","Ambetter","Health Exchange","",,"62",,"17.98","10.61","22.48","percent of total billed charges",,
"HEPATITIS A ANTIBODY,  IgM","86709","HCPCS","Both",,,"29","14.5","Caresource","Health Exchange","",,"62",,"17.98","10.61","22.48","percent of total billed charges",,
"HEPATITIS A ANTIBODY,  IgM","86709","HCPCS","Both",,,"29","14.5","Cigna","Commercial","",,"59",,"16.99","10.61","22.48","percent of total billed charges",,
"HEPATITIS A ANTIBODY,  IgM","86709","HCPCS","Both",,,"29","14.5","Humana","Commercial","",,"78",,"22.48","10.61","22.48","percent of total billed charges",,
"HEPATITIS A ANTIBODY,  IgM","86709","HCPCS","Both",,,"29","14.5","UHC","Commercial","",,"75",,"21.87","10.61","22.48","percent of total billed charges",,
"HEPATITIS A ANTIBODY,  IgM","86709","HCPCS","Both",,,"29","14.5","Medicaid",,"",,"37",,"10.61","10.61","22.48","percent of total billed charges",,
"FOLIC ACID; SERUM","82746","HCPCS","Both",,,"14.5","7.25","Alliant","Health Exchange","",,"62",,"8.99","5.31","11.24","percent of total billed charges",,
"FOLIC ACID; SERUM","82746","HCPCS","Both",,,"14.5","7.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"7.83","5.31","11.24","percent of total billed charges",,
"FOLIC ACID; SERUM","82746","HCPCS","Both",,,"14.5","7.25","Medicare",,"",,"54",,"7.86","5.31","11.24","percent of total billed charges",,
"FOLIC ACID; SERUM","82746","HCPCS","Both",,,"14.5","7.25","Humana","Medicare Advantage","",,"54",,"7.86","5.31","11.24","percent of total billed charges",,
"FOLIC ACID; SERUM","82746","HCPCS","Both",,,"14.5","7.25","UHC","Medicare Advantage","",,"54",,"7.86","5.31","11.24","percent of total billed charges",,
"FOLIC ACID; SERUM","82746","HCPCS","Both",,,"14.5","7.25","Clover","Medicare Advantage","",,"54",,"7.86","5.31","11.24","percent of total billed charges",,
"FOLIC ACID; SERUM","82746","HCPCS","Both",,,"14.5","7.25","Wellcare","Medicare Advantage","",,"54",,"7.86","5.31","11.24","percent of total billed charges",,
"FOLIC ACID; SERUM","82746","HCPCS","Both",,,"14.5","7.25","Amerigroup","Medicaid Managed Care","",,"37",,"5.31","5.31","11.24","percent of total billed charges",,
"FOLIC ACID; SERUM","82746","HCPCS","Both",,,"14.5","7.25","Caresource","Medicaid Managed Care","",,"40",,"5.8","5.31","11.24","percent of total billed charges",,
"FOLIC ACID; SERUM","82746","HCPCS","Both",,,"14.5","7.25","Wellcare","Medicaid Managed Care","",,"40",,"5.87","5.31","11.24","percent of total billed charges",,
"FOLIC ACID; SERUM","82746","HCPCS","Both",,,"14.5","7.25","Aetna","Commercial","",,"64",,"9.25","5.31","11.24","percent of total billed charges",,
"FOLIC ACID; SERUM","82746","HCPCS","Both",,,"14.5","7.25","Blue Cross Blue Shield","Pathways","",,"71",,"10.24","5.31","11.24","percent of total billed charges",,
"FOLIC ACID; SERUM","82746","HCPCS","Both",,,"14.5","7.25","Blue Cross Blue Shield","HMO","",,"71",,"10.24","5.31","11.24","percent of total billed charges",,
"FOLIC ACID; SERUM","82746","HCPCS","Both",,,"14.5","7.25","Blue Cross Blue Shield","PPO","",,"71",,"10.24","5.31","11.24","percent of total billed charges",,
"FOLIC ACID; SERUM","82746","HCPCS","Both",,,"14.5","7.25","Ambetter","Health Exchange","",,"62",,"8.99","5.31","11.24","percent of total billed charges",,
"FOLIC ACID; SERUM","82746","HCPCS","Both",,,"14.5","7.25","Caresource","Health Exchange","",,"62",,"8.99","5.31","11.24","percent of total billed charges",,
"FOLIC ACID; SERUM","82746","HCPCS","Both",,,"14.5","7.25","Cigna","Commercial","",,"59",,"8.5","5.31","11.24","percent of total billed charges",,
"FOLIC ACID; SERUM","82746","HCPCS","Both",,,"14.5","7.25","Humana","Commercial","",,"78",,"11.24","5.31","11.24","percent of total billed charges",,
"FOLIC ACID; SERUM","82746","HCPCS","Both",,,"14.5","7.25","UHC","Commercial","",,"75",,"10.93","5.31","11.24","percent of total billed charges",,
"FOLIC ACID; SERUM","82746","HCPCS","Both",,,"14.5","7.25","Medicaid",,"",,"37",,"5.31","5.31","11.24","percent of total billed charges",,
"MYOGLOBIN URINE","83874","HCPCS","Both",,,"93","46.5","Alliant","Health Exchange","",,"62",,"57.66","34.04","72.08","percent of total billed charges",,
"MYOGLOBIN URINE","83874","HCPCS","Both",,,"93","46.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"50.22","34.04","72.08","percent of total billed charges",,
"MYOGLOBIN URINE","83874","HCPCS","Both",,,"93","46.5","Medicare",,"",,"54",,"50.41","34.04","72.08","percent of total billed charges",,
"MYOGLOBIN URINE","83874","HCPCS","Both",,,"93","46.5","Humana","Medicare Advantage","",,"54",,"50.41","34.04","72.08","percent of total billed charges",,
"MYOGLOBIN URINE","83874","HCPCS","Both",,,"93","46.5","UHC","Medicare Advantage","",,"54",,"50.41","34.04","72.08","percent of total billed charges",,
"MYOGLOBIN URINE","83874","HCPCS","Both",,,"93","46.5","Clover","Medicare Advantage","",,"54",,"50.41","34.04","72.08","percent of total billed charges",,
"MYOGLOBIN URINE","83874","HCPCS","Both",,,"93","46.5","Wellcare","Medicare Advantage","",,"54",,"50.41","34.04","72.08","percent of total billed charges",,
"MYOGLOBIN URINE","83874","HCPCS","Both",,,"93","46.5","Amerigroup","Medicaid Managed Care","",,"37",,"34.04","34.04","72.08","percent of total billed charges",,
"MYOGLOBIN URINE","83874","HCPCS","Both",,,"93","46.5","Caresource","Medicaid Managed Care","",,"40",,"37.2","34.04","72.08","percent of total billed charges",,
"MYOGLOBIN URINE","83874","HCPCS","Both",,,"93","46.5","Wellcare","Medicaid Managed Care","",,"40",,"37.66","34.04","72.08","percent of total billed charges",,
"MYOGLOBIN URINE","83874","HCPCS","Both",,,"93","46.5","Aetna","Commercial","",,"64",,"59.33","34.04","72.08","percent of total billed charges",,
"MYOGLOBIN URINE","83874","HCPCS","Both",,,"93","46.5","Blue Cross Blue Shield","Pathways","",,"71",,"65.66","34.04","72.08","percent of total billed charges",,
"MYOGLOBIN URINE","83874","HCPCS","Both",,,"93","46.5","Blue Cross Blue Shield","HMO","",,"71",,"65.66","34.04","72.08","percent of total billed charges",,
"MYOGLOBIN URINE","83874","HCPCS","Both",,,"93","46.5","Blue Cross Blue Shield","PPO","",,"71",,"65.66","34.04","72.08","percent of total billed charges",,
"MYOGLOBIN URINE","83874","HCPCS","Both",,,"93","46.5","Ambetter","Health Exchange","",,"62",,"57.66","34.04","72.08","percent of total billed charges",,
"MYOGLOBIN URINE","83874","HCPCS","Both",,,"93","46.5","Caresource","Health Exchange","",,"62",,"57.66","34.04","72.08","percent of total billed charges",,
"MYOGLOBIN URINE","83874","HCPCS","Both",,,"93","46.5","Cigna","Commercial","",,"59",,"54.5","34.04","72.08","percent of total billed charges",,
"MYOGLOBIN URINE","83874","HCPCS","Both",,,"93","46.5","Humana","Commercial","",,"78",,"72.08","34.04","72.08","percent of total billed charges",,
"MYOGLOBIN URINE","83874","HCPCS","Both",,,"93","46.5","UHC","Commercial","",,"75",,"70.12","34.04","72.08","percent of total billed charges",,
"MYOGLOBIN URINE","83874","HCPCS","Both",,,"93","46.5","Medicaid",,"",,"37",,"34.04","34.04","72.08","percent of total billed charges",,
"HHV-6 AB IGG/IGM","86790","HCPCS","Both",,,"15","7.5","Alliant","Health Exchange","",,"62",,"9.3","5.49","11.62","percent of total billed charges",,
"HHV-6 AB IGG/IGM","86790","HCPCS","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"8.1","5.49","11.62","percent of total billed charges",,
"HHV-6 AB IGG/IGM","86790","HCPCS","Both",,,"15","7.5","Medicare",,"",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"HHV-6 AB IGG/IGM","86790","HCPCS","Both",,,"15","7.5","Humana","Medicare Advantage","",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"HHV-6 AB IGG/IGM","86790","HCPCS","Both",,,"15","7.5","UHC","Medicare Advantage","",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"HHV-6 AB IGG/IGM","86790","HCPCS","Both",,,"15","7.5","Clover","Medicare Advantage","",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"HHV-6 AB IGG/IGM","86790","HCPCS","Both",,,"15","7.5","Wellcare","Medicare Advantage","",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"HHV-6 AB IGG/IGM","86790","HCPCS","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care","",,"37",,"5.49","5.49","11.62","percent of total billed charges",,
"HHV-6 AB IGG/IGM","86790","HCPCS","Both",,,"15","7.5","Caresource","Medicaid Managed Care","",,"40",,"6","5.49","11.62","percent of total billed charges",,
"HHV-6 AB IGG/IGM","86790","HCPCS","Both",,,"15","7.5","Wellcare","Medicaid Managed Care","",,"40",,"6.08","5.49","11.62","percent of total billed charges",,
"HHV-6 AB IGG/IGM","86790","HCPCS","Both",,,"15","7.5","Aetna","Commercial","",,"64",,"9.57","5.49","11.62","percent of total billed charges",,
"HHV-6 AB IGG/IGM","86790","HCPCS","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways","",,"71",,"10.59","5.49","11.62","percent of total billed charges",,
"HHV-6 AB IGG/IGM","86790","HCPCS","Both",,,"15","7.5","Blue Cross Blue Shield","HMO","",,"71",,"10.59","5.49","11.62","percent of total billed charges",,
"HHV-6 AB IGG/IGM","86790","HCPCS","Both",,,"15","7.5","Blue Cross Blue Shield","PPO","",,"71",,"10.59","5.49","11.62","percent of total billed charges",,
"HHV-6 AB IGG/IGM","86790","HCPCS","Both",,,"15","7.5","Ambetter","Health Exchange","",,"62",,"9.3","5.49","11.62","percent of total billed charges",,
"HHV-6 AB IGG/IGM","86790","HCPCS","Both",,,"15","7.5","Caresource","Health Exchange","",,"62",,"9.3","5.49","11.62","percent of total billed charges",,
"HHV-6 AB IGG/IGM","86790","HCPCS","Both",,,"15","7.5","Cigna","Commercial","",,"59",,"8.79","5.49","11.62","percent of total billed charges",,
"HHV-6 AB IGG/IGM","86790","HCPCS","Both",,,"15","7.5","Humana","Commercial","",,"78",,"11.62","5.49","11.62","percent of total billed charges",,
"HHV-6 AB IGG/IGM","86790","HCPCS","Both",,,"15","7.5","UHC","Commercial","",,"75",,"11.31","5.49","11.62","percent of total billed charges",,
"HHV-6 AB IGG/IGM","86790","HCPCS","Both",,,"15","7.5","Medicaid",,"",,"37",,"5.49","5.49","11.62","percent of total billed charges",,
"ANA WITH REFLEX TITER AND PATTERN","86038","HCPCS","Both",,,"34.5","17.25","Alliant","Health Exchange","",,"62",,"21.39","12.63","26.74","percent of total billed charges",,
"ANA WITH REFLEX TITER AND PATTERN","86038","HCPCS","Both",,,"34.5","17.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"18.63","12.63","26.74","percent of total billed charges",,
"ANA WITH REFLEX TITER AND PATTERN","86038","HCPCS","Both",,,"34.5","17.25","Medicare",,"",,"54",,"18.7","12.63","26.74","percent of total billed charges",,
"ANA WITH REFLEX TITER AND PATTERN","86038","HCPCS","Both",,,"34.5","17.25","Humana","Medicare Advantage","",,"54",,"18.7","12.63","26.74","percent of total billed charges",,
"ANA WITH REFLEX TITER AND PATTERN","86038","HCPCS","Both",,,"34.5","17.25","UHC","Medicare Advantage","",,"54",,"18.7","12.63","26.74","percent of total billed charges",,
"ANA WITH REFLEX TITER AND PATTERN","86038","HCPCS","Both",,,"34.5","17.25","Clover","Medicare Advantage","",,"54",,"18.7","12.63","26.74","percent of total billed charges",,
"ANA WITH REFLEX TITER AND PATTERN","86038","HCPCS","Both",,,"34.5","17.25","Wellcare","Medicare Advantage","",,"54",,"18.7","12.63","26.74","percent of total billed charges",,
"ANA WITH REFLEX TITER AND PATTERN","86038","HCPCS","Both",,,"34.5","17.25","Amerigroup","Medicaid Managed Care","",,"37",,"12.63","12.63","26.74","percent of total billed charges",,
"ANA WITH REFLEX TITER AND PATTERN","86038","HCPCS","Both",,,"34.5","17.25","Caresource","Medicaid Managed Care","",,"40",,"13.8","12.63","26.74","percent of total billed charges",,
"ANA WITH REFLEX TITER AND PATTERN","86038","HCPCS","Both",,,"34.5","17.25","Wellcare","Medicaid Managed Care","",,"40",,"13.97","12.63","26.74","percent of total billed charges",,
"ANA WITH REFLEX TITER AND PATTERN","86038","HCPCS","Both",,,"34.5","17.25","Aetna","Commercial","",,"64",,"22.01","12.63","26.74","percent of total billed charges",,
"ANA WITH REFLEX TITER AND PATTERN","86038","HCPCS","Both",,,"34.5","17.25","Blue Cross Blue Shield","Pathways","",,"71",,"24.36","12.63","26.74","percent of total billed charges",,
"ANA WITH REFLEX TITER AND PATTERN","86038","HCPCS","Both",,,"34.5","17.25","Blue Cross Blue Shield","HMO","",,"71",,"24.36","12.63","26.74","percent of total billed charges",,
"ANA WITH REFLEX TITER AND PATTERN","86038","HCPCS","Both",,,"34.5","17.25","Blue Cross Blue Shield","PPO","",,"71",,"24.36","12.63","26.74","percent of total billed charges",,
"ANA WITH REFLEX TITER AND PATTERN","86038","HCPCS","Both",,,"34.5","17.25","Ambetter","Health Exchange","",,"62",,"21.39","12.63","26.74","percent of total billed charges",,
"ANA WITH REFLEX TITER AND PATTERN","86038","HCPCS","Both",,,"34.5","17.25","Caresource","Health Exchange","",,"62",,"21.39","12.63","26.74","percent of total billed charges",,
"ANA WITH REFLEX TITER AND PATTERN","86038","HCPCS","Both",,,"34.5","17.25","Cigna","Commercial","",,"59",,"20.22","12.63","26.74","percent of total billed charges",,
"ANA WITH REFLEX TITER AND PATTERN","86038","HCPCS","Both",,,"34.5","17.25","Humana","Commercial","",,"78",,"26.74","12.63","26.74","percent of total billed charges",,
"ANA WITH REFLEX TITER AND PATTERN","86038","HCPCS","Both",,,"34.5","17.25","UHC","Commercial","",,"75",,"26.01","12.63","26.74","percent of total billed charges",,
"ANA WITH REFLEX TITER AND PATTERN","86038","HCPCS","Both",,,"34.5","17.25","Medicaid",,"",,"37",,"12.63","12.63","26.74","percent of total billed charges",,
"ANTIBODY IDENTIFICATION,RBC ANTIBODIES","86870","HCPCS","Both",,,"63","31.5","Alliant","Health Exchange","",,"62",,"39.06","23.06","48.82","percent of total billed charges",,
"ANTIBODY IDENTIFICATION,RBC ANTIBODIES","86870","HCPCS","Both",,,"63","31.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"34.02","23.06","48.82","percent of total billed charges",,
"ANTIBODY IDENTIFICATION,RBC ANTIBODIES","86870","HCPCS","Both",,,"63","31.5","Medicare",,"",,"54",,"34.15","23.06","48.82","percent of total billed charges",,
"ANTIBODY IDENTIFICATION,RBC ANTIBODIES","86870","HCPCS","Both",,,"63","31.5","Humana","Medicare Advantage","",,"54",,"34.15","23.06","48.82","percent of total billed charges",,
"ANTIBODY IDENTIFICATION,RBC ANTIBODIES","86870","HCPCS","Both",,,"63","31.5","UHC","Medicare Advantage","",,"54",,"34.15","23.06","48.82","percent of total billed charges",,
"ANTIBODY IDENTIFICATION,RBC ANTIBODIES","86870","HCPCS","Both",,,"63","31.5","Clover","Medicare Advantage","",,"54",,"34.15","23.06","48.82","percent of total billed charges",,
"ANTIBODY IDENTIFICATION,RBC ANTIBODIES","86870","HCPCS","Both",,,"63","31.5","Wellcare","Medicare Advantage","",,"54",,"34.15","23.06","48.82","percent of total billed charges",,
"ANTIBODY IDENTIFICATION,RBC ANTIBODIES","86870","HCPCS","Both",,,"63","31.5","Amerigroup","Medicaid Managed Care","",,"37",,"23.06","23.06","48.82","percent of total billed charges",,
"ANTIBODY IDENTIFICATION,RBC ANTIBODIES","86870","HCPCS","Both",,,"63","31.5","Caresource","Medicaid Managed Care","",,"40",,"25.2","23.06","48.82","percent of total billed charges",,
"ANTIBODY IDENTIFICATION,RBC ANTIBODIES","86870","HCPCS","Both",,,"63","31.5","Wellcare","Medicaid Managed Care","",,"40",,"25.52","23.06","48.82","percent of total billed charges",,
"ANTIBODY IDENTIFICATION,RBC ANTIBODIES","86870","HCPCS","Both",,,"63","31.5","Aetna","Commercial","",,"64",,"40.19","23.06","48.82","percent of total billed charges",,
"ANTIBODY IDENTIFICATION,RBC ANTIBODIES","86870","HCPCS","Both",,,"63","31.5","Blue Cross Blue Shield","Pathways","",,"71",,"44.48","23.06","48.82","percent of total billed charges",,
"ANTIBODY IDENTIFICATION,RBC ANTIBODIES","86870","HCPCS","Both",,,"63","31.5","Blue Cross Blue Shield","HMO","",,"71",,"44.48","23.06","48.82","percent of total billed charges",,
"ANTIBODY IDENTIFICATION,RBC ANTIBODIES","86870","HCPCS","Both",,,"63","31.5","Blue Cross Blue Shield","PPO","",,"71",,"44.48","23.06","48.82","percent of total billed charges",,
"ANTIBODY IDENTIFICATION,RBC ANTIBODIES","86870","HCPCS","Both",,,"63","31.5","Ambetter","Health Exchange","",,"62",,"39.06","23.06","48.82","percent of total billed charges",,
"ANTIBODY IDENTIFICATION,RBC ANTIBODIES","86870","HCPCS","Both",,,"63","31.5","Caresource","Health Exchange","",,"62",,"39.06","23.06","48.82","percent of total billed charges",,
"ANTIBODY IDENTIFICATION,RBC ANTIBODIES","86870","HCPCS","Both",,,"63","31.5","Cigna","Commercial","",,"59",,"36.92","23.06","48.82","percent of total billed charges",,
"ANTIBODY IDENTIFICATION,RBC ANTIBODIES","86870","HCPCS","Both",,,"63","31.5","Humana","Commercial","",,"78",,"48.82","23.06","48.82","percent of total billed charges",,
"ANTIBODY IDENTIFICATION,RBC ANTIBODIES","86870","HCPCS","Both",,,"63","31.5","UHC","Commercial","",,"75",,"47.5","23.06","48.82","percent of total billed charges",,
"ANTIBODY IDENTIFICATION,RBC ANTIBODIES","86870","HCPCS","Both",,,"63","31.5","Medicaid",,"",,"37",,"23.06","23.06","48.82","percent of total billed charges",,
"BLOOD TYPING; Rh PHENOTYPING, COMPLETE","86906","HCPCS","Both",,,"56.5","28.25","Alliant","Health Exchange","",,"62",,"35.03","20.68","43.79","percent of total billed charges",,
"BLOOD TYPING; Rh PHENOTYPING, COMPLETE","86906","HCPCS","Both",,,"56.5","28.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"30.51","20.68","43.79","percent of total billed charges",,
"BLOOD TYPING; Rh PHENOTYPING, COMPLETE","86906","HCPCS","Both",,,"56.5","28.25","Medicare",,"",,"54",,"30.62","20.68","43.79","percent of total billed charges",,
"BLOOD TYPING; Rh PHENOTYPING, COMPLETE","86906","HCPCS","Both",,,"56.5","28.25","Humana","Medicare Advantage","",,"54",,"30.62","20.68","43.79","percent of total billed charges",,
"BLOOD TYPING; Rh PHENOTYPING, COMPLETE","86906","HCPCS","Both",,,"56.5","28.25","UHC","Medicare Advantage","",,"54",,"30.62","20.68","43.79","percent of total billed charges",,
"BLOOD TYPING; Rh PHENOTYPING, COMPLETE","86906","HCPCS","Both",,,"56.5","28.25","Clover","Medicare Advantage","",,"54",,"30.62","20.68","43.79","percent of total billed charges",,
"BLOOD TYPING; Rh PHENOTYPING, COMPLETE","86906","HCPCS","Both",,,"56.5","28.25","Wellcare","Medicare Advantage","",,"54",,"30.62","20.68","43.79","percent of total billed charges",,
"BLOOD TYPING; Rh PHENOTYPING, COMPLETE","86906","HCPCS","Both",,,"56.5","28.25","Amerigroup","Medicaid Managed Care","",,"37",,"20.68","20.68","43.79","percent of total billed charges",,
"BLOOD TYPING; Rh PHENOTYPING, COMPLETE","86906","HCPCS","Both",,,"56.5","28.25","Caresource","Medicaid Managed Care","",,"40",,"22.6","20.68","43.79","percent of total billed charges",,
"BLOOD TYPING; Rh PHENOTYPING, COMPLETE","86906","HCPCS","Both",,,"56.5","28.25","Wellcare","Medicaid Managed Care","",,"40",,"22.88","20.68","43.79","percent of total billed charges",,
"BLOOD TYPING; Rh PHENOTYPING, COMPLETE","86906","HCPCS","Both",,,"56.5","28.25","Aetna","Commercial","",,"64",,"36.05","20.68","43.79","percent of total billed charges",,
"BLOOD TYPING; Rh PHENOTYPING, COMPLETE","86906","HCPCS","Both",,,"56.5","28.25","Blue Cross Blue Shield","Pathways","",,"71",,"39.89","20.68","43.79","percent of total billed charges",,
"BLOOD TYPING; Rh PHENOTYPING, COMPLETE","86906","HCPCS","Both",,,"56.5","28.25","Blue Cross Blue Shield","HMO","",,"71",,"39.89","20.68","43.79","percent of total billed charges",,
"BLOOD TYPING; Rh PHENOTYPING, COMPLETE","86906","HCPCS","Both",,,"56.5","28.25","Blue Cross Blue Shield","PPO","",,"71",,"39.89","20.68","43.79","percent of total billed charges",,
"BLOOD TYPING; Rh PHENOTYPING, COMPLETE","86906","HCPCS","Both",,,"56.5","28.25","Ambetter","Health Exchange","",,"62",,"35.03","20.68","43.79","percent of total billed charges",,
"BLOOD TYPING; Rh PHENOTYPING, COMPLETE","86906","HCPCS","Both",,,"56.5","28.25","Caresource","Health Exchange","",,"62",,"35.03","20.68","43.79","percent of total billed charges",,
"BLOOD TYPING; Rh PHENOTYPING, COMPLETE","86906","HCPCS","Both",,,"56.5","28.25","Cigna","Commercial","",,"59",,"33.11","20.68","43.79","percent of total billed charges",,
"BLOOD TYPING; Rh PHENOTYPING, COMPLETE","86906","HCPCS","Both",,,"56.5","28.25","Humana","Commercial","",,"78",,"43.79","20.68","43.79","percent of total billed charges",,
"BLOOD TYPING; Rh PHENOTYPING, COMPLETE","86906","HCPCS","Both",,,"56.5","28.25","UHC","Commercial","",,"75",,"42.6","20.68","43.79","percent of total billed charges",,
"BLOOD TYPING; Rh PHENOTYPING, COMPLETE","86906","HCPCS","Both",,,"56.5","28.25","Medicaid",,"",,"37",,"20.68","20.68","43.79","percent of total billed charges",,
"C-REACTIVE PROTEIN HIGH SENSITIVITY","86141","HCPCS","Both",,,"42.5","21.25","Alliant","Health Exchange","",,"62",,"26.35","15.56","32.94","percent of total billed charges",,
"C-REACTIVE PROTEIN HIGH SENSITIVITY","86141","HCPCS","Both",,,"42.5","21.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"22.95","15.56","32.94","percent of total billed charges",,
"C-REACTIVE PROTEIN HIGH SENSITIVITY","86141","HCPCS","Both",,,"42.5","21.25","Medicare",,"",,"54",,"23.04","15.56","32.94","percent of total billed charges",,
"C-REACTIVE PROTEIN HIGH SENSITIVITY","86141","HCPCS","Both",,,"42.5","21.25","Humana","Medicare Advantage","",,"54",,"23.04","15.56","32.94","percent of total billed charges",,
"C-REACTIVE PROTEIN HIGH SENSITIVITY","86141","HCPCS","Both",,,"42.5","21.25","UHC","Medicare Advantage","",,"54",,"23.04","15.56","32.94","percent of total billed charges",,
"C-REACTIVE PROTEIN HIGH SENSITIVITY","86141","HCPCS","Both",,,"42.5","21.25","Clover","Medicare Advantage","",,"54",,"23.04","15.56","32.94","percent of total billed charges",,
"C-REACTIVE PROTEIN HIGH SENSITIVITY","86141","HCPCS","Both",,,"42.5","21.25","Wellcare","Medicare Advantage","",,"54",,"23.04","15.56","32.94","percent of total billed charges",,
"C-REACTIVE PROTEIN HIGH SENSITIVITY","86141","HCPCS","Both",,,"42.5","21.25","Amerigroup","Medicaid Managed Care","",,"37",,"15.56","15.56","32.94","percent of total billed charges",,
"C-REACTIVE PROTEIN HIGH SENSITIVITY","86141","HCPCS","Both",,,"42.5","21.25","Caresource","Medicaid Managed Care","",,"40",,"17","15.56","32.94","percent of total billed charges",,
"C-REACTIVE PROTEIN HIGH SENSITIVITY","86141","HCPCS","Both",,,"42.5","21.25","Wellcare","Medicaid Managed Care","",,"40",,"17.21","15.56","32.94","percent of total billed charges",,
"C-REACTIVE PROTEIN HIGH SENSITIVITY","86141","HCPCS","Both",,,"42.5","21.25","Aetna","Commercial","",,"64",,"27.12","15.56","32.94","percent of total billed charges",,
"C-REACTIVE PROTEIN HIGH SENSITIVITY","86141","HCPCS","Both",,,"42.5","21.25","Blue Cross Blue Shield","Pathways","",,"71",,"30","15.56","32.94","percent of total billed charges",,
"C-REACTIVE PROTEIN HIGH SENSITIVITY","86141","HCPCS","Both",,,"42.5","21.25","Blue Cross Blue Shield","HMO","",,"71",,"30","15.56","32.94","percent of total billed charges",,
"C-REACTIVE PROTEIN HIGH SENSITIVITY","86141","HCPCS","Both",,,"42.5","21.25","Blue Cross Blue Shield","PPO","",,"71",,"30","15.56","32.94","percent of total billed charges",,
"C-REACTIVE PROTEIN HIGH SENSITIVITY","86141","HCPCS","Both",,,"42.5","21.25","Ambetter","Health Exchange","",,"62",,"26.35","15.56","32.94","percent of total billed charges",,
"C-REACTIVE PROTEIN HIGH SENSITIVITY","86141","HCPCS","Both",,,"42.5","21.25","Caresource","Health Exchange","",,"62",,"26.35","15.56","32.94","percent of total billed charges",,
"C-REACTIVE PROTEIN HIGH SENSITIVITY","86141","HCPCS","Both",,,"42.5","21.25","Cigna","Commercial","",,"59",,"24.9","15.56","32.94","percent of total billed charges",,
"C-REACTIVE PROTEIN HIGH SENSITIVITY","86141","HCPCS","Both",,,"42.5","21.25","Humana","Commercial","",,"78",,"32.94","15.56","32.94","percent of total billed charges",,
"C-REACTIVE PROTEIN HIGH SENSITIVITY","86141","HCPCS","Both",,,"42.5","21.25","UHC","Commercial","",,"75",,"32.04","15.56","32.94","percent of total billed charges",,
"C-REACTIVE PROTEIN HIGH SENSITIVITY","86141","HCPCS","Both",,,"42.5","21.25","Medicaid",,"",,"37",,"15.56","15.56","32.94","percent of total billed charges",,
"PORPHYRINS ERYTHROCYTE","84202","HCPCS","Both",,,"103.5","51.75","Alliant","Health Exchange","",,"62",,"64.17","37.88","80.21","percent of total billed charges",,
"PORPHYRINS ERYTHROCYTE","84202","HCPCS","Both",,,"103.5","51.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"55.89","37.88","80.21","percent of total billed charges",,
"PORPHYRINS ERYTHROCYTE","84202","HCPCS","Both",,,"103.5","51.75","Medicare",,"",,"54",,"56.1","37.88","80.21","percent of total billed charges",,
"PORPHYRINS ERYTHROCYTE","84202","HCPCS","Both",,,"103.5","51.75","Humana","Medicare Advantage","",,"54",,"56.1","37.88","80.21","percent of total billed charges",,
"PORPHYRINS ERYTHROCYTE","84202","HCPCS","Both",,,"103.5","51.75","UHC","Medicare Advantage","",,"54",,"56.1","37.88","80.21","percent of total billed charges",,
"PORPHYRINS ERYTHROCYTE","84202","HCPCS","Both",,,"103.5","51.75","Clover","Medicare Advantage","",,"54",,"56.1","37.88","80.21","percent of total billed charges",,
"PORPHYRINS ERYTHROCYTE","84202","HCPCS","Both",,,"103.5","51.75","Wellcare","Medicare Advantage","",,"54",,"56.1","37.88","80.21","percent of total billed charges",,
"PORPHYRINS ERYTHROCYTE","84202","HCPCS","Both",,,"103.5","51.75","Amerigroup","Medicaid Managed Care","",,"37",,"37.88","37.88","80.21","percent of total billed charges",,
"PORPHYRINS ERYTHROCYTE","84202","HCPCS","Both",,,"103.5","51.75","Caresource","Medicaid Managed Care","",,"40",,"41.4","37.88","80.21","percent of total billed charges",,
"PORPHYRINS ERYTHROCYTE","84202","HCPCS","Both",,,"103.5","51.75","Wellcare","Medicaid Managed Care","",,"40",,"41.92","37.88","80.21","percent of total billed charges",,
"PORPHYRINS ERYTHROCYTE","84202","HCPCS","Both",,,"103.5","51.75","Aetna","Commercial","",,"64",,"66.03","37.88","80.21","percent of total billed charges",,
"PORPHYRINS ERYTHROCYTE","84202","HCPCS","Both",,,"103.5","51.75","Blue Cross Blue Shield","Pathways","",,"71",,"73.07","37.88","80.21","percent of total billed charges",,
"PORPHYRINS ERYTHROCYTE","84202","HCPCS","Both",,,"103.5","51.75","Blue Cross Blue Shield","HMO","",,"71",,"73.07","37.88","80.21","percent of total billed charges",,
"PORPHYRINS ERYTHROCYTE","84202","HCPCS","Both",,,"103.5","51.75","Blue Cross Blue Shield","PPO","",,"71",,"73.07","37.88","80.21","percent of total billed charges",,
"PORPHYRINS ERYTHROCYTE","84202","HCPCS","Both",,,"103.5","51.75","Ambetter","Health Exchange","",,"62",,"64.17","37.88","80.21","percent of total billed charges",,
"PORPHYRINS ERYTHROCYTE","84202","HCPCS","Both",,,"103.5","51.75","Caresource","Health Exchange","",,"62",,"64.17","37.88","80.21","percent of total billed charges",,
"PORPHYRINS ERYTHROCYTE","84202","HCPCS","Both",,,"103.5","51.75","Cigna","Commercial","",,"59",,"60.65","37.88","80.21","percent of total billed charges",,
"PORPHYRINS ERYTHROCYTE","84202","HCPCS","Both",,,"103.5","51.75","Humana","Commercial","",,"78",,"80.21","37.88","80.21","percent of total billed charges",,
"PORPHYRINS ERYTHROCYTE","84202","HCPCS","Both",,,"103.5","51.75","UHC","Commercial","",,"75",,"78.04","37.88","80.21","percent of total billed charges",,
"PORPHYRINS ERYTHROCYTE","84202","HCPCS","Both",,,"103.5","51.75","Medicaid",,"",,"37",,"37.88","37.88","80.21","percent of total billed charges",,
"CH50","86162","HCPCS","Both",,,"25.5","12.75","Alliant","Health Exchange","",,"62",,"15.81","9.33","19.76","percent of total billed charges",,
"CH50","86162","HCPCS","Both",,,"25.5","12.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"13.77","9.33","19.76","percent of total billed charges",,
"CH50","86162","HCPCS","Both",,,"25.5","12.75","Medicare",,"",,"54",,"13.82","9.33","19.76","percent of total billed charges",,
"CH50","86162","HCPCS","Both",,,"25.5","12.75","Humana","Medicare Advantage","",,"54",,"13.82","9.33","19.76","percent of total billed charges",,
"CH50","86162","HCPCS","Both",,,"25.5","12.75","UHC","Medicare Advantage","",,"54",,"13.82","9.33","19.76","percent of total billed charges",,
"CH50","86162","HCPCS","Both",,,"25.5","12.75","Clover","Medicare Advantage","",,"54",,"13.82","9.33","19.76","percent of total billed charges",,
"CH50","86162","HCPCS","Both",,,"25.5","12.75","Wellcare","Medicare Advantage","",,"54",,"13.82","9.33","19.76","percent of total billed charges",,
"CH50","86162","HCPCS","Both",,,"25.5","12.75","Amerigroup","Medicaid Managed Care","",,"37",,"9.33","9.33","19.76","percent of total billed charges",,
"CH50","86162","HCPCS","Both",,,"25.5","12.75","Caresource","Medicaid Managed Care","",,"40",,"10.2","9.33","19.76","percent of total billed charges",,
"CH50","86162","HCPCS","Both",,,"25.5","12.75","Wellcare","Medicaid Managed Care","",,"40",,"10.33","9.33","19.76","percent of total billed charges",,
"CH50","86162","HCPCS","Both",,,"25.5","12.75","Aetna","Commercial","",,"64",,"16.27","9.33","19.76","percent of total billed charges",,
"CH50","86162","HCPCS","Both",,,"25.5","12.75","Blue Cross Blue Shield","Pathways","",,"71",,"18","9.33","19.76","percent of total billed charges",,
"CH50","86162","HCPCS","Both",,,"25.5","12.75","Blue Cross Blue Shield","HMO","",,"71",,"18","9.33","19.76","percent of total billed charges",,
"CH50","86162","HCPCS","Both",,,"25.5","12.75","Blue Cross Blue Shield","PPO","",,"71",,"18","9.33","19.76","percent of total billed charges",,
"CH50","86162","HCPCS","Both",,,"25.5","12.75","Ambetter","Health Exchange","",,"62",,"15.81","9.33","19.76","percent of total billed charges",,
"CH50","86162","HCPCS","Both",,,"25.5","12.75","Caresource","Health Exchange","",,"62",,"15.81","9.33","19.76","percent of total billed charges",,
"CH50","86162","HCPCS","Both",,,"25.5","12.75","Cigna","Commercial","",,"59",,"14.94","9.33","19.76","percent of total billed charges",,
"CH50","86162","HCPCS","Both",,,"25.5","12.75","Humana","Commercial","",,"78",,"19.76","9.33","19.76","percent of total billed charges",,
"CH50","86162","HCPCS","Both",,,"25.5","12.75","UHC","Commercial","",,"75",,"19.23","9.33","19.76","percent of total billed charges",,
"CH50","86162","HCPCS","Both",,,"25.5","12.75","Medicaid",,"",,"37",,"9.33","9.33","19.76","percent of total billed charges",,
"HLA TYPING; A,B, OR C, MULTIPLE ANTIGENS","86813","HCPCS","Both",,,"415.5","207.75","Alliant","Health Exchange","",,"62",,"257.61","152.07","322.01","percent of total billed charges",,
"HLA TYPING; A,B, OR C, MULTIPLE ANTIGENS","86813","HCPCS","Both",,,"415.5","207.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"224.37","152.07","322.01","percent of total billed charges",,
"HLA TYPING; A,B, OR C, MULTIPLE ANTIGENS","86813","HCPCS","Both",,,"415.5","207.75","Medicare",,"",,"54",,"225.2","152.07","322.01","percent of total billed charges",,
"HLA TYPING; A,B, OR C, MULTIPLE ANTIGENS","86813","HCPCS","Both",,,"415.5","207.75","Humana","Medicare Advantage","",,"54",,"225.2","152.07","322.01","percent of total billed charges",,
"HLA TYPING; A,B, OR C, MULTIPLE ANTIGENS","86813","HCPCS","Both",,,"415.5","207.75","UHC","Medicare Advantage","",,"54",,"225.2","152.07","322.01","percent of total billed charges",,
"HLA TYPING; A,B, OR C, MULTIPLE ANTIGENS","86813","HCPCS","Both",,,"415.5","207.75","Clover","Medicare Advantage","",,"54",,"225.2","152.07","322.01","percent of total billed charges",,
"HLA TYPING; A,B, OR C, MULTIPLE ANTIGENS","86813","HCPCS","Both",,,"415.5","207.75","Wellcare","Medicare Advantage","",,"54",,"225.2","152.07","322.01","percent of total billed charges",,
"HLA TYPING; A,B, OR C, MULTIPLE ANTIGENS","86813","HCPCS","Both",,,"415.5","207.75","Amerigroup","Medicaid Managed Care","",,"37",,"152.07","152.07","322.01","percent of total billed charges",,
"HLA TYPING; A,B, OR C, MULTIPLE ANTIGENS","86813","HCPCS","Both",,,"415.5","207.75","Caresource","Medicaid Managed Care","",,"40",,"166.2","152.07","322.01","percent of total billed charges",,
"HLA TYPING; A,B, OR C, MULTIPLE ANTIGENS","86813","HCPCS","Both",,,"415.5","207.75","Wellcare","Medicaid Managed Care","",,"40",,"168.28","152.07","322.01","percent of total billed charges",,
"HLA TYPING; A,B, OR C, MULTIPLE ANTIGENS","86813","HCPCS","Both",,,"415.5","207.75","Aetna","Commercial","",,"64",,"265.09","152.07","322.01","percent of total billed charges",,
"HLA TYPING; A,B, OR C, MULTIPLE ANTIGENS","86813","HCPCS","Both",,,"415.5","207.75","Blue Cross Blue Shield","Pathways","",,"71",,"293.34","152.07","322.01","percent of total billed charges",,
"HLA TYPING; A,B, OR C, MULTIPLE ANTIGENS","86813","HCPCS","Both",,,"415.5","207.75","Blue Cross Blue Shield","HMO","",,"71",,"293.34","152.07","322.01","percent of total billed charges",,
"HLA TYPING; A,B, OR C, MULTIPLE ANTIGENS","86813","HCPCS","Both",,,"415.5","207.75","Blue Cross Blue Shield","PPO","",,"71",,"293.34","152.07","322.01","percent of total billed charges",,
"HLA TYPING; A,B, OR C, MULTIPLE ANTIGENS","86813","HCPCS","Both",,,"415.5","207.75","Ambetter","Health Exchange","",,"62",,"257.61","152.07","322.01","percent of total billed charges",,
"HLA TYPING; A,B, OR C, MULTIPLE ANTIGENS","86813","HCPCS","Both",,,"415.5","207.75","Caresource","Health Exchange","",,"62",,"257.61","152.07","322.01","percent of total billed charges",,
"HLA TYPING; A,B, OR C, MULTIPLE ANTIGENS","86813","HCPCS","Both",,,"415.5","207.75","Cigna","Commercial","",,"59",,"243.48","152.07","322.01","percent of total billed charges",,
"HLA TYPING; A,B, OR C, MULTIPLE ANTIGENS","86813","HCPCS","Both",,,"415.5","207.75","Humana","Commercial","",,"78",,"322.01","152.07","322.01","percent of total billed charges",,
"HLA TYPING; A,B, OR C, MULTIPLE ANTIGENS","86813","HCPCS","Both",,,"415.5","207.75","UHC","Commercial","",,"75",,"313.29","152.07","322.01","percent of total billed charges",,
"HLA TYPING; A,B, OR C, MULTIPLE ANTIGENS","86813","HCPCS","Both",,,"415.5","207.75","Medicaid",,"",,"37",,"152.07","152.07","322.01","percent of total billed charges",,
"VARICELLA ZOSTER IGM","86787","HCPCS","Both",,,"93","46.5","Alliant","Health Exchange","",,"62",,"57.66","34.04","72.08","percent of total billed charges",,
"VARICELLA ZOSTER IGM","86787","HCPCS","Both",,,"93","46.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"50.22","34.04","72.08","percent of total billed charges",,
"VARICELLA ZOSTER IGM","86787","HCPCS","Both",,,"93","46.5","Medicare",,"",,"54",,"50.41","34.04","72.08","percent of total billed charges",,
"VARICELLA ZOSTER IGM","86787","HCPCS","Both",,,"93","46.5","Humana","Medicare Advantage","",,"54",,"50.41","34.04","72.08","percent of total billed charges",,
"VARICELLA ZOSTER IGM","86787","HCPCS","Both",,,"93","46.5","UHC","Medicare Advantage","",,"54",,"50.41","34.04","72.08","percent of total billed charges",,
"VARICELLA ZOSTER IGM","86787","HCPCS","Both",,,"93","46.5","Clover","Medicare Advantage","",,"54",,"50.41","34.04","72.08","percent of total billed charges",,
"VARICELLA ZOSTER IGM","86787","HCPCS","Both",,,"93","46.5","Wellcare","Medicare Advantage","",,"54",,"50.41","34.04","72.08","percent of total billed charges",,
"VARICELLA ZOSTER IGM","86787","HCPCS","Both",,,"93","46.5","Amerigroup","Medicaid Managed Care","",,"37",,"34.04","34.04","72.08","percent of total billed charges",,
"VARICELLA ZOSTER IGM","86787","HCPCS","Both",,,"93","46.5","Caresource","Medicaid Managed Care","",,"40",,"37.2","34.04","72.08","percent of total billed charges",,
"VARICELLA ZOSTER IGM","86787","HCPCS","Both",,,"93","46.5","Wellcare","Medicaid Managed Care","",,"40",,"37.66","34.04","72.08","percent of total billed charges",,
"VARICELLA ZOSTER IGM","86787","HCPCS","Both",,,"93","46.5","Aetna","Commercial","",,"64",,"59.33","34.04","72.08","percent of total billed charges",,
"VARICELLA ZOSTER IGM","86787","HCPCS","Both",,,"93","46.5","Blue Cross Blue Shield","Pathways","",,"71",,"65.66","34.04","72.08","percent of total billed charges",,
"VARICELLA ZOSTER IGM","86787","HCPCS","Both",,,"93","46.5","Blue Cross Blue Shield","HMO","",,"71",,"65.66","34.04","72.08","percent of total billed charges",,
"VARICELLA ZOSTER IGM","86787","HCPCS","Both",,,"93","46.5","Blue Cross Blue Shield","PPO","",,"71",,"65.66","34.04","72.08","percent of total billed charges",,
"VARICELLA ZOSTER IGM","86787","HCPCS","Both",,,"93","46.5","Ambetter","Health Exchange","",,"62",,"57.66","34.04","72.08","percent of total billed charges",,
"VARICELLA ZOSTER IGM","86787","HCPCS","Both",,,"93","46.5","Caresource","Health Exchange","",,"62",,"57.66","34.04","72.08","percent of total billed charges",,
"VARICELLA ZOSTER IGM","86787","HCPCS","Both",,,"93","46.5","Cigna","Commercial","",,"59",,"54.5","34.04","72.08","percent of total billed charges",,
"VARICELLA ZOSTER IGM","86787","HCPCS","Both",,,"93","46.5","Humana","Commercial","",,"78",,"72.08","34.04","72.08","percent of total billed charges",,
"VARICELLA ZOSTER IGM","86787","HCPCS","Both",,,"93","46.5","UHC","Commercial","",,"75",,"70.12","34.04","72.08","percent of total billed charges",,
"VARICELLA ZOSTER IGM","86787","HCPCS","Both",,,"93","46.5","Medicaid",,"",,"37",,"34.04","34.04","72.08","percent of total billed charges",,
"HIV 1/2 SCREEN W REFLX","87389","HCPCS","Both",,,"35","17.5","Alliant","Health Exchange","",,"62",,"21.7","12.81","27.12","percent of total billed charges",,
"HIV 1/2 SCREEN W REFLX","87389","HCPCS","Both",,,"35","17.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"18.9","12.81","27.12","percent of total billed charges",,
"HIV 1/2 SCREEN W REFLX","87389","HCPCS","Both",,,"35","17.5","Medicare",,"",,"54",,"18.97","12.81","27.12","percent of total billed charges",,
"HIV 1/2 SCREEN W REFLX","87389","HCPCS","Both",,,"35","17.5","Humana","Medicare Advantage","",,"54",,"18.97","12.81","27.12","percent of total billed charges",,
"HIV 1/2 SCREEN W REFLX","87389","HCPCS","Both",,,"35","17.5","UHC","Medicare Advantage","",,"54",,"18.97","12.81","27.12","percent of total billed charges",,
"HIV 1/2 SCREEN W REFLX","87389","HCPCS","Both",,,"35","17.5","Clover","Medicare Advantage","",,"54",,"18.97","12.81","27.12","percent of total billed charges",,
"HIV 1/2 SCREEN W REFLX","87389","HCPCS","Both",,,"35","17.5","Wellcare","Medicare Advantage","",,"54",,"18.97","12.81","27.12","percent of total billed charges",,
"HIV 1/2 SCREEN W REFLX","87389","HCPCS","Both",,,"35","17.5","Amerigroup","Medicaid Managed Care","",,"37",,"12.81","12.81","27.12","percent of total billed charges",,
"HIV 1/2 SCREEN W REFLX","87389","HCPCS","Both",,,"35","17.5","Caresource","Medicaid Managed Care","",,"40",,"14","12.81","27.12","percent of total billed charges",,
"HIV 1/2 SCREEN W REFLX","87389","HCPCS","Both",,,"35","17.5","Wellcare","Medicaid Managed Care","",,"40",,"14.18","12.81","27.12","percent of total billed charges",,
"HIV 1/2 SCREEN W REFLX","87389","HCPCS","Both",,,"35","17.5","Aetna","Commercial","",,"64",,"22.33","12.81","27.12","percent of total billed charges",,
"HIV 1/2 SCREEN W REFLX","87389","HCPCS","Both",,,"35","17.5","Blue Cross Blue Shield","Pathways","",,"71",,"24.71","12.81","27.12","percent of total billed charges",,
"HIV 1/2 SCREEN W REFLX","87389","HCPCS","Both",,,"35","17.5","Blue Cross Blue Shield","HMO","",,"71",,"24.71","12.81","27.12","percent of total billed charges",,
"HIV 1/2 SCREEN W REFLX","87389","HCPCS","Both",,,"35","17.5","Blue Cross Blue Shield","PPO","",,"71",,"24.71","12.81","27.12","percent of total billed charges",,
"HIV 1/2 SCREEN W REFLX","87389","HCPCS","Both",,,"35","17.5","Ambetter","Health Exchange","",,"62",,"21.7","12.81","27.12","percent of total billed charges",,
"HIV 1/2 SCREEN W REFLX","87389","HCPCS","Both",,,"35","17.5","Caresource","Health Exchange","",,"62",,"21.7","12.81","27.12","percent of total billed charges",,
"HIV 1/2 SCREEN W REFLX","87389","HCPCS","Both",,,"35","17.5","Cigna","Commercial","",,"59",,"20.51","12.81","27.12","percent of total billed charges",,
"HIV 1/2 SCREEN W REFLX","87389","HCPCS","Both",,,"35","17.5","Humana","Commercial","",,"78",,"27.12","12.81","27.12","percent of total billed charges",,
"HIV 1/2 SCREEN W REFLX","87389","HCPCS","Both",,,"35","17.5","UHC","Commercial","",,"75",,"26.39","12.81","27.12","percent of total billed charges",,
"HIV 1/2 SCREEN W REFLX","87389","HCPCS","Both",,,"35","17.5","Medicaid",,"",,"37",,"12.81","12.81","27.12","percent of total billed charges",,
"MEASLES VIRUS IGG","86765","HCPCS","Both",,,"93","46.5","Alliant","Health Exchange","",,"62",,"57.66","34.04","72.08","percent of total billed charges",,
"MEASLES VIRUS IGG","86765","HCPCS","Both",,,"93","46.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"50.22","34.04","72.08","percent of total billed charges",,
"MEASLES VIRUS IGG","86765","HCPCS","Both",,,"93","46.5","Medicare",,"",,"54",,"50.41","34.04","72.08","percent of total billed charges",,
"MEASLES VIRUS IGG","86765","HCPCS","Both",,,"93","46.5","Humana","Medicare Advantage","",,"54",,"50.41","34.04","72.08","percent of total billed charges",,
"MEASLES VIRUS IGG","86765","HCPCS","Both",,,"93","46.5","UHC","Medicare Advantage","",,"54",,"50.41","34.04","72.08","percent of total billed charges",,
"MEASLES VIRUS IGG","86765","HCPCS","Both",,,"93","46.5","Clover","Medicare Advantage","",,"54",,"50.41","34.04","72.08","percent of total billed charges",,
"MEASLES VIRUS IGG","86765","HCPCS","Both",,,"93","46.5","Wellcare","Medicare Advantage","",,"54",,"50.41","34.04","72.08","percent of total billed charges",,
"MEASLES VIRUS IGG","86765","HCPCS","Both",,,"93","46.5","Amerigroup","Medicaid Managed Care","",,"37",,"34.04","34.04","72.08","percent of total billed charges",,
"MEASLES VIRUS IGG","86765","HCPCS","Both",,,"93","46.5","Caresource","Medicaid Managed Care","",,"40",,"37.2","34.04","72.08","percent of total billed charges",,
"MEASLES VIRUS IGG","86765","HCPCS","Both",,,"93","46.5","Wellcare","Medicaid Managed Care","",,"40",,"37.66","34.04","72.08","percent of total billed charges",,
"MEASLES VIRUS IGG","86765","HCPCS","Both",,,"93","46.5","Aetna","Commercial","",,"64",,"59.33","34.04","72.08","percent of total billed charges",,
"MEASLES VIRUS IGG","86765","HCPCS","Both",,,"93","46.5","Blue Cross Blue Shield","Pathways","",,"71",,"65.66","34.04","72.08","percent of total billed charges",,
"MEASLES VIRUS IGG","86765","HCPCS","Both",,,"93","46.5","Blue Cross Blue Shield","HMO","",,"71",,"65.66","34.04","72.08","percent of total billed charges",,
"MEASLES VIRUS IGG","86765","HCPCS","Both",,,"93","46.5","Blue Cross Blue Shield","PPO","",,"71",,"65.66","34.04","72.08","percent of total billed charges",,
"MEASLES VIRUS IGG","86765","HCPCS","Both",,,"93","46.5","Ambetter","Health Exchange","",,"62",,"57.66","34.04","72.08","percent of total billed charges",,
"MEASLES VIRUS IGG","86765","HCPCS","Both",,,"93","46.5","Caresource","Health Exchange","",,"62",,"57.66","34.04","72.08","percent of total billed charges",,
"MEASLES VIRUS IGG","86765","HCPCS","Both",,,"93","46.5","Cigna","Commercial","",,"59",,"54.5","34.04","72.08","percent of total billed charges",,
"MEASLES VIRUS IGG","86765","HCPCS","Both",,,"93","46.5","Humana","Commercial","",,"78",,"72.08","34.04","72.08","percent of total billed charges",,
"MEASLES VIRUS IGG","86765","HCPCS","Both",,,"93","46.5","UHC","Commercial","",,"75",,"70.12","34.04","72.08","percent of total billed charges",,
"MEASLES VIRUS IGG","86765","HCPCS","Both",,,"93","46.5","Medicaid",,"",,"37",,"34.04","34.04","72.08","percent of total billed charges",,
"TESTOSTERONE; FREE DON'T ORDER","84402","HCPCS","Both",,,"148.8","74.4","Alliant","Health Exchange","",,"62",,"92.26","54.46","115.32","percent of total billed charges",,
"TESTOSTERONE; FREE DON'T ORDER","84402","HCPCS","Both",,,"148.8","74.4","Pruitt Healthcare","Medicare Advantage","",,"54",,"80.35","54.46","115.32","percent of total billed charges",,
"TESTOSTERONE; FREE DON'T ORDER","84402","HCPCS","Both",,,"148.8","74.4","Medicare",,"",,"54",,"80.65","54.46","115.32","percent of total billed charges",,
"TESTOSTERONE; FREE DON'T ORDER","84402","HCPCS","Both",,,"148.8","74.4","Humana","Medicare Advantage","",,"54",,"80.65","54.46","115.32","percent of total billed charges",,
"TESTOSTERONE; FREE DON'T ORDER","84402","HCPCS","Both",,,"148.8","74.4","UHC","Medicare Advantage","",,"54",,"80.65","54.46","115.32","percent of total billed charges",,
"TESTOSTERONE; FREE DON'T ORDER","84402","HCPCS","Both",,,"148.8","74.4","Clover","Medicare Advantage","",,"54",,"80.65","54.46","115.32","percent of total billed charges",,
"TESTOSTERONE; FREE DON'T ORDER","84402","HCPCS","Both",,,"148.8","74.4","Wellcare","Medicare Advantage","",,"54",,"80.65","54.46","115.32","percent of total billed charges",,
"TESTOSTERONE; FREE DON'T ORDER","84402","HCPCS","Both",,,"148.8","74.4","Amerigroup","Medicaid Managed Care","",,"37",,"54.46","54.46","115.32","percent of total billed charges",,
"TESTOSTERONE; FREE DON'T ORDER","84402","HCPCS","Both",,,"148.8","74.4","Caresource","Medicaid Managed Care","",,"40",,"59.52","54.46","115.32","percent of total billed charges",,
"TESTOSTERONE; FREE DON'T ORDER","84402","HCPCS","Both",,,"148.8","74.4","Wellcare","Medicaid Managed Care","",,"40",,"60.26","54.46","115.32","percent of total billed charges",,
"TESTOSTERONE; FREE DON'T ORDER","84402","HCPCS","Both",,,"148.8","74.4","Aetna","Commercial","",,"64",,"94.93","54.46","115.32","percent of total billed charges",,
"TESTOSTERONE; FREE DON'T ORDER","84402","HCPCS","Both",,,"148.8","74.4","Blue Cross Blue Shield","Pathways","",,"71",,"105.05","54.46","115.32","percent of total billed charges",,
"TESTOSTERONE; FREE DON'T ORDER","84402","HCPCS","Both",,,"148.8","74.4","Blue Cross Blue Shield","HMO","",,"71",,"105.05","54.46","115.32","percent of total billed charges",,
"TESTOSTERONE; FREE DON'T ORDER","84402","HCPCS","Both",,,"148.8","74.4","Blue Cross Blue Shield","PPO","",,"71",,"105.05","54.46","115.32","percent of total billed charges",,
"TESTOSTERONE; FREE DON'T ORDER","84402","HCPCS","Both",,,"148.8","74.4","Ambetter","Health Exchange","",,"62",,"92.26","54.46","115.32","percent of total billed charges",,
"TESTOSTERONE; FREE DON'T ORDER","84402","HCPCS","Both",,,"148.8","74.4","Caresource","Health Exchange","",,"62",,"92.26","54.46","115.32","percent of total billed charges",,
"TESTOSTERONE; FREE DON'T ORDER","84402","HCPCS","Both",,,"148.8","74.4","Cigna","Commercial","",,"59",,"87.2","54.46","115.32","percent of total billed charges",,
"TESTOSTERONE; FREE DON'T ORDER","84402","HCPCS","Both",,,"148.8","74.4","Humana","Commercial","",,"78",,"115.32","54.46","115.32","percent of total billed charges",,
"TESTOSTERONE; FREE DON'T ORDER","84402","HCPCS","Both",,,"148.8","74.4","UHC","Commercial","",,"75",,"112.2","54.46","115.32","percent of total billed charges",,
"TESTOSTERONE; FREE DON'T ORDER","84402","HCPCS","Both",,,"148.8","74.4","Medicaid",,"",,"37",,"54.46","54.46","115.32","percent of total billed charges",,
"POTASSIUM; URINE","84133","HCPCS","Both",,,"7","3.5","Alliant","Health Exchange","",,"62",,"4.34","2.56","5.42","percent of total billed charges",,
"POTASSIUM; URINE","84133","HCPCS","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"3.78","2.56","5.42","percent of total billed charges",,
"POTASSIUM; URINE","84133","HCPCS","Both",,,"7","3.5","Medicare",,"",,"54",,"3.79","2.56","5.42","percent of total billed charges",,
"POTASSIUM; URINE","84133","HCPCS","Both",,,"7","3.5","Humana","Medicare Advantage","",,"54",,"3.79","2.56","5.42","percent of total billed charges",,
"POTASSIUM; URINE","84133","HCPCS","Both",,,"7","3.5","UHC","Medicare Advantage","",,"54",,"3.79","2.56","5.42","percent of total billed charges",,
"POTASSIUM; URINE","84133","HCPCS","Both",,,"7","3.5","Clover","Medicare Advantage","",,"54",,"3.79","2.56","5.42","percent of total billed charges",,
"POTASSIUM; URINE","84133","HCPCS","Both",,,"7","3.5","Wellcare","Medicare Advantage","",,"54",,"3.79","2.56","5.42","percent of total billed charges",,
"POTASSIUM; URINE","84133","HCPCS","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care","",,"37",,"2.56","2.56","5.42","percent of total billed charges",,
"POTASSIUM; URINE","84133","HCPCS","Both",,,"7","3.5","Caresource","Medicaid Managed Care","",,"40",,"2.8","2.56","5.42","percent of total billed charges",,
"POTASSIUM; URINE","84133","HCPCS","Both",,,"7","3.5","Wellcare","Medicaid Managed Care","",,"40",,"2.84","2.56","5.42","percent of total billed charges",,
"POTASSIUM; URINE","84133","HCPCS","Both",,,"7","3.5","Aetna","Commercial","",,"64",,"4.47","2.56","5.42","percent of total billed charges",,
"POTASSIUM; URINE","84133","HCPCS","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways","",,"71",,"4.94","2.56","5.42","percent of total billed charges",,
"POTASSIUM; URINE","84133","HCPCS","Both",,,"7","3.5","Blue Cross Blue Shield","HMO","",,"71",,"4.94","2.56","5.42","percent of total billed charges",,
"POTASSIUM; URINE","84133","HCPCS","Both",,,"7","3.5","Blue Cross Blue Shield","PPO","",,"71",,"4.94","2.56","5.42","percent of total billed charges",,
"POTASSIUM; URINE","84133","HCPCS","Both",,,"7","3.5","Ambetter","Health Exchange","",,"62",,"4.34","2.56","5.42","percent of total billed charges",,
"POTASSIUM; URINE","84133","HCPCS","Both",,,"7","3.5","Caresource","Health Exchange","",,"62",,"4.34","2.56","5.42","percent of total billed charges",,
"POTASSIUM; URINE","84133","HCPCS","Both",,,"7","3.5","Cigna","Commercial","",,"59",,"4.1","2.56","5.42","percent of total billed charges",,
"POTASSIUM; URINE","84133","HCPCS","Both",,,"7","3.5","Humana","Commercial","",,"78",,"5.42","2.56","5.42","percent of total billed charges",,
"POTASSIUM; URINE","84133","HCPCS","Both",,,"7","3.5","UHC","Commercial","",,"75",,"5.28","2.56","5.42","percent of total billed charges",,
"POTASSIUM; URINE","84133","HCPCS","Both",,,"7","3.5","Medicaid",,"",,"37",,"2.56","2.56","5.42","percent of total billed charges",,
"COMPLEMENT C1q","86160","HCPCS","Both",,,"43","21.5","Alliant","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C1q","86160","HCPCS","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"23.22","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C1q","86160","HCPCS","Both",,,"43","21.5","Medicare",,"",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C1q","86160","HCPCS","Both",,,"43","21.5","Humana","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C1q","86160","HCPCS","Both",,,"43","21.5","UHC","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C1q","86160","HCPCS","Both",,,"43","21.5","Clover","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C1q","86160","HCPCS","Both",,,"43","21.5","Wellcare","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C1q","86160","HCPCS","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care","",,"37",,"15.74","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C1q","86160","HCPCS","Both",,,"43","21.5","Caresource","Medicaid Managed Care","",,"40",,"17.2","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C1q","86160","HCPCS","Both",,,"43","21.5","Wellcare","Medicaid Managed Care","",,"40",,"17.42","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C1q","86160","HCPCS","Both",,,"43","21.5","Aetna","Commercial","",,"64",,"27.43","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C1q","86160","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C1q","86160","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","HMO","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C1q","86160","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","PPO","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C1q","86160","HCPCS","Both",,,"43","21.5","Ambetter","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C1q","86160","HCPCS","Both",,,"43","21.5","Caresource","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C1q","86160","HCPCS","Both",,,"43","21.5","Cigna","Commercial","",,"59",,"25.2","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C1q","86160","HCPCS","Both",,,"43","21.5","Humana","Commercial","",,"78",,"33.33","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C1q","86160","HCPCS","Both",,,"43","21.5","UHC","Commercial","",,"75",,"32.42","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C1q","86160","HCPCS","Both",,,"43","21.5","Medicaid",,"",,"37",,"15.74","15.74","33.33","percent of total billed charges",,
"ESTROGENS TOTAL; FRACTIONATED","82671","HCPCS","Both",,,"40.5","20.25","Alliant","Health Exchange","",,"62",,"25.11","14.82","31.39","percent of total billed charges",,
"ESTROGENS TOTAL; FRACTIONATED","82671","HCPCS","Both",,,"40.5","20.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"21.87","14.82","31.39","percent of total billed charges",,
"ESTROGENS TOTAL; FRACTIONATED","82671","HCPCS","Both",,,"40.5","20.25","Medicare",,"",,"54",,"21.95","14.82","31.39","percent of total billed charges",,
"ESTROGENS TOTAL; FRACTIONATED","82671","HCPCS","Both",,,"40.5","20.25","Humana","Medicare Advantage","",,"54",,"21.95","14.82","31.39","percent of total billed charges",,
"ESTROGENS TOTAL; FRACTIONATED","82671","HCPCS","Both",,,"40.5","20.25","UHC","Medicare Advantage","",,"54",,"21.95","14.82","31.39","percent of total billed charges",,
"ESTROGENS TOTAL; FRACTIONATED","82671","HCPCS","Both",,,"40.5","20.25","Clover","Medicare Advantage","",,"54",,"21.95","14.82","31.39","percent of total billed charges",,
"ESTROGENS TOTAL; FRACTIONATED","82671","HCPCS","Both",,,"40.5","20.25","Wellcare","Medicare Advantage","",,"54",,"21.95","14.82","31.39","percent of total billed charges",,
"ESTROGENS TOTAL; FRACTIONATED","82671","HCPCS","Both",,,"40.5","20.25","Amerigroup","Medicaid Managed Care","",,"37",,"14.82","14.82","31.39","percent of total billed charges",,
"ESTROGENS TOTAL; FRACTIONATED","82671","HCPCS","Both",,,"40.5","20.25","Caresource","Medicaid Managed Care","",,"40",,"16.2","14.82","31.39","percent of total billed charges",,
"ESTROGENS TOTAL; FRACTIONATED","82671","HCPCS","Both",,,"40.5","20.25","Wellcare","Medicaid Managed Care","",,"40",,"16.4","14.82","31.39","percent of total billed charges",,
"ESTROGENS TOTAL; FRACTIONATED","82671","HCPCS","Both",,,"40.5","20.25","Aetna","Commercial","",,"64",,"25.84","14.82","31.39","percent of total billed charges",,
"ESTROGENS TOTAL; FRACTIONATED","82671","HCPCS","Both",,,"40.5","20.25","Blue Cross Blue Shield","Pathways","",,"71",,"28.59","14.82","31.39","percent of total billed charges",,
"ESTROGENS TOTAL; FRACTIONATED","82671","HCPCS","Both",,,"40.5","20.25","Blue Cross Blue Shield","HMO","",,"71",,"28.59","14.82","31.39","percent of total billed charges",,
"ESTROGENS TOTAL; FRACTIONATED","82671","HCPCS","Both",,,"40.5","20.25","Blue Cross Blue Shield","PPO","",,"71",,"28.59","14.82","31.39","percent of total billed charges",,
"ESTROGENS TOTAL; FRACTIONATED","82671","HCPCS","Both",,,"40.5","20.25","Ambetter","Health Exchange","",,"62",,"25.11","14.82","31.39","percent of total billed charges",,
"ESTROGENS TOTAL; FRACTIONATED","82671","HCPCS","Both",,,"40.5","20.25","Caresource","Health Exchange","",,"62",,"25.11","14.82","31.39","percent of total billed charges",,
"ESTROGENS TOTAL; FRACTIONATED","82671","HCPCS","Both",,,"40.5","20.25","Cigna","Commercial","",,"59",,"23.73","14.82","31.39","percent of total billed charges",,
"ESTROGENS TOTAL; FRACTIONATED","82671","HCPCS","Both",,,"40.5","20.25","Humana","Commercial","",,"78",,"31.39","14.82","31.39","percent of total billed charges",,
"ESTROGENS TOTAL; FRACTIONATED","82671","HCPCS","Both",,,"40.5","20.25","UHC","Commercial","",,"75",,"30.54","14.82","31.39","percent of total billed charges",,
"ESTROGENS TOTAL; FRACTIONATED","82671","HCPCS","Both",,,"40.5","20.25","Medicaid",,"",,"37",,"14.82","14.82","31.39","percent of total billed charges",,
"PLATELETS, PHERESIS","P9034","HCPCS","Both",,,"1322","661","Alliant","Health Exchange","BL",,"62",,"819.64","483.85","1024.55","percent of total billed charges",,
"PLATELETS, PHERESIS","P9034","HCPCS","Both",,,"1322","661","Pruitt Healthcare","Medicare Advantage","BL",,"54",,"713.88","483.85","1024.55","percent of total billed charges",,
"PLATELETS, PHERESIS","P9034","HCPCS","Both",,,"1322","661","Medicare",,"BL",,"54",,"716.52","483.85","1024.55","percent of total billed charges",,
"PLATELETS, PHERESIS","P9034","HCPCS","Both",,,"1322","661","Humana","Medicare Advantage","BL",,"54",,"716.52","483.85","1024.55","percent of total billed charges",,
"PLATELETS, PHERESIS","P9034","HCPCS","Both",,,"1322","661","UHC","Medicare Advantage","BL",,"54",,"716.52","483.85","1024.55","percent of total billed charges",,
"PLATELETS, PHERESIS","P9034","HCPCS","Both",,,"1322","661","Clover","Medicare Advantage","BL",,"54",,"716.52","483.85","1024.55","percent of total billed charges",,
"PLATELETS, PHERESIS","P9034","HCPCS","Both",,,"1322","661","Wellcare","Medicare Advantage","BL",,"54",,"716.52","483.85","1024.55","percent of total billed charges",,
"PLATELETS, PHERESIS","P9034","HCPCS","Both",,,"1322","661","Amerigroup","Medicaid Managed Care","BL",,"37",,"483.85","483.85","1024.55","percent of total billed charges",,
"PLATELETS, PHERESIS","P9034","HCPCS","Both",,,"1322","661","Caresource","Medicaid Managed Care","BL",,"40",,"528.8","483.85","1024.55","percent of total billed charges",,
"PLATELETS, PHERESIS","P9034","HCPCS","Both",,,"1322","661","Wellcare","Medicaid Managed Care","BL",,"40",,"535.41","483.85","1024.55","percent of total billed charges",,
"PLATELETS, PHERESIS","P9034","HCPCS","Both",,,"1322","661","Aetna","Commercial","BL",,"64",,"843.44","483.85","1024.55","percent of total billed charges",,
"PLATELETS, PHERESIS","P9034","HCPCS","Both",,,"1322","661","Blue Cross Blue Shield","Pathways","BL",,"71",,"933.33","483.85","1024.55","percent of total billed charges",,
"PLATELETS, PHERESIS","P9034","HCPCS","Both",,,"1322","661","Blue Cross Blue Shield","HMO","BL",,"71",,"933.33","483.85","1024.55","percent of total billed charges",,
"PLATELETS, PHERESIS","P9034","HCPCS","Both",,,"1322","661","Blue Cross Blue Shield","PPO","BL",,"71",,"933.33","483.85","1024.55","percent of total billed charges",,
"PLATELETS, PHERESIS","P9034","HCPCS","Both",,,"1322","661","Ambetter","Health Exchange","BL",,"62",,"819.64","483.85","1024.55","percent of total billed charges",,
"PLATELETS, PHERESIS","P9034","HCPCS","Both",,,"1322","661","Caresource","Health Exchange","BL",,"62",,"819.64","483.85","1024.55","percent of total billed charges",,
"PLATELETS, PHERESIS","P9034","HCPCS","Both",,,"1322","661","Cigna","Commercial","BL",,"59",,"774.69","483.85","1024.55","percent of total billed charges",,
"PLATELETS, PHERESIS","P9034","HCPCS","Both",,,"1322","661","Humana","Commercial","BL",,"78",,"1024.55","483.85","1024.55","percent of total billed charges",,
"PLATELETS, PHERESIS","P9034","HCPCS","Both",,,"1322","661","UHC","Commercial","BL",,"75",,"996.79","483.85","1024.55","percent of total billed charges",,
"PLATELETS, PHERESIS","P9034","HCPCS","Both",,,"1322","661","Medicaid",,"BL",,"37",,"483.85","483.85","1024.55","percent of total billed charges",,
"HELICOBACTER PYLORI ANTIGEN ,STOOL","87338","HCPCS","Both",,,"47","23.5","Alliant","Health Exchange","",,"62",,"29.14","17.2","36.43","percent of total billed charges",,
"HELICOBACTER PYLORI ANTIGEN ,STOOL","87338","HCPCS","Both",,,"47","23.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"25.38","17.2","36.43","percent of total billed charges",,
"HELICOBACTER PYLORI ANTIGEN ,STOOL","87338","HCPCS","Both",,,"47","23.5","Medicare",,"",,"54",,"25.47","17.2","36.43","percent of total billed charges",,
"HELICOBACTER PYLORI ANTIGEN ,STOOL","87338","HCPCS","Both",,,"47","23.5","Humana","Medicare Advantage","",,"54",,"25.47","17.2","36.43","percent of total billed charges",,
"HELICOBACTER PYLORI ANTIGEN ,STOOL","87338","HCPCS","Both",,,"47","23.5","UHC","Medicare Advantage","",,"54",,"25.47","17.2","36.43","percent of total billed charges",,
"HELICOBACTER PYLORI ANTIGEN ,STOOL","87338","HCPCS","Both",,,"47","23.5","Clover","Medicare Advantage","",,"54",,"25.47","17.2","36.43","percent of total billed charges",,
"HELICOBACTER PYLORI ANTIGEN ,STOOL","87338","HCPCS","Both",,,"47","23.5","Wellcare","Medicare Advantage","",,"54",,"25.47","17.2","36.43","percent of total billed charges",,
"HELICOBACTER PYLORI ANTIGEN ,STOOL","87338","HCPCS","Both",,,"47","23.5","Amerigroup","Medicaid Managed Care","",,"37",,"17.2","17.2","36.43","percent of total billed charges",,
"HELICOBACTER PYLORI ANTIGEN ,STOOL","87338","HCPCS","Both",,,"47","23.5","Caresource","Medicaid Managed Care","",,"40",,"18.8","17.2","36.43","percent of total billed charges",,
"HELICOBACTER PYLORI ANTIGEN ,STOOL","87338","HCPCS","Both",,,"47","23.5","Wellcare","Medicaid Managed Care","",,"40",,"19.04","17.2","36.43","percent of total billed charges",,
"HELICOBACTER PYLORI ANTIGEN ,STOOL","87338","HCPCS","Both",,,"47","23.5","Aetna","Commercial","",,"64",,"29.99","17.2","36.43","percent of total billed charges",,
"HELICOBACTER PYLORI ANTIGEN ,STOOL","87338","HCPCS","Both",,,"47","23.5","Blue Cross Blue Shield","Pathways","",,"71",,"33.18","17.2","36.43","percent of total billed charges",,
"HELICOBACTER PYLORI ANTIGEN ,STOOL","87338","HCPCS","Both",,,"47","23.5","Blue Cross Blue Shield","HMO","",,"71",,"33.18","17.2","36.43","percent of total billed charges",,
"HELICOBACTER PYLORI ANTIGEN ,STOOL","87338","HCPCS","Both",,,"47","23.5","Blue Cross Blue Shield","PPO","",,"71",,"33.18","17.2","36.43","percent of total billed charges",,
"HELICOBACTER PYLORI ANTIGEN ,STOOL","87338","HCPCS","Both",,,"47","23.5","Ambetter","Health Exchange","",,"62",,"29.14","17.2","36.43","percent of total billed charges",,
"HELICOBACTER PYLORI ANTIGEN ,STOOL","87338","HCPCS","Both",,,"47","23.5","Caresource","Health Exchange","",,"62",,"29.14","17.2","36.43","percent of total billed charges",,
"HELICOBACTER PYLORI ANTIGEN ,STOOL","87338","HCPCS","Both",,,"47","23.5","Cigna","Commercial","",,"59",,"27.54","17.2","36.43","percent of total billed charges",,
"HELICOBACTER PYLORI ANTIGEN ,STOOL","87338","HCPCS","Both",,,"47","23.5","Humana","Commercial","",,"78",,"36.43","17.2","36.43","percent of total billed charges",,
"HELICOBACTER PYLORI ANTIGEN ,STOOL","87338","HCPCS","Both",,,"47","23.5","UHC","Commercial","",,"75",,"35.44","17.2","36.43","percent of total billed charges",,
"HELICOBACTER PYLORI ANTIGEN ,STOOL","87338","HCPCS","Both",,,"47","23.5","Medicaid",,"",,"37",,"17.2","17.2","36.43","percent of total billed charges",,
"RENAL FUNCTION PANEL","80069","HCPCS","Both",,,"26","13","Alliant","Health Exchange","",,"62",,"16.12","9.52","20.15","percent of total billed charges",,
"RENAL FUNCTION PANEL","80069","HCPCS","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage","",,"54",,"14.04","9.52","20.15","percent of total billed charges",,
"RENAL FUNCTION PANEL","80069","HCPCS","Both",,,"26","13","Medicare",,"",,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"RENAL FUNCTION PANEL","80069","HCPCS","Both",,,"26","13","Humana","Medicare Advantage","",,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"RENAL FUNCTION PANEL","80069","HCPCS","Both",,,"26","13","UHC","Medicare Advantage","",,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"RENAL FUNCTION PANEL","80069","HCPCS","Both",,,"26","13","Clover","Medicare Advantage","",,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"RENAL FUNCTION PANEL","80069","HCPCS","Both",,,"26","13","Wellcare","Medicare Advantage","",,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"RENAL FUNCTION PANEL","80069","HCPCS","Both",,,"26","13","Amerigroup","Medicaid Managed Care","",,"37",,"9.52","9.52","20.15","percent of total billed charges",,
"RENAL FUNCTION PANEL","80069","HCPCS","Both",,,"26","13","Caresource","Medicaid Managed Care","",,"40",,"10.4","9.52","20.15","percent of total billed charges",,
"RENAL FUNCTION PANEL","80069","HCPCS","Both",,,"26","13","Wellcare","Medicaid Managed Care","",,"40",,"10.53","9.52","20.15","percent of total billed charges",,
"RENAL FUNCTION PANEL","80069","HCPCS","Both",,,"26","13","Aetna","Commercial","",,"64",,"16.59","9.52","20.15","percent of total billed charges",,
"RENAL FUNCTION PANEL","80069","HCPCS","Both",,,"26","13","Blue Cross Blue Shield","Pathways","",,"71",,"18.36","9.52","20.15","percent of total billed charges",,
"RENAL FUNCTION PANEL","80069","HCPCS","Both",,,"26","13","Blue Cross Blue Shield","HMO","",,"71",,"18.36","9.52","20.15","percent of total billed charges",,
"RENAL FUNCTION PANEL","80069","HCPCS","Both",,,"26","13","Blue Cross Blue Shield","PPO","",,"71",,"18.36","9.52","20.15","percent of total billed charges",,
"RENAL FUNCTION PANEL","80069","HCPCS","Both",,,"26","13","Ambetter","Health Exchange","",,"62",,"16.12","9.52","20.15","percent of total billed charges",,
"RENAL FUNCTION PANEL","80069","HCPCS","Both",,,"26","13","Caresource","Health Exchange","",,"62",,"16.12","9.52","20.15","percent of total billed charges",,
"RENAL FUNCTION PANEL","80069","HCPCS","Both",,,"26","13","Cigna","Commercial","",,"59",,"15.24","9.52","20.15","percent of total billed charges",,
"RENAL FUNCTION PANEL","80069","HCPCS","Both",,,"26","13","Humana","Commercial","",,"78",,"20.15","9.52","20.15","percent of total billed charges",,
"RENAL FUNCTION PANEL","80069","HCPCS","Both",,,"26","13","UHC","Commercial","",,"75",,"19.6","9.52","20.15","percent of total billed charges",,
"RENAL FUNCTION PANEL","80069","HCPCS","Both",,,"26","13","Medicaid",,"",,"37",,"9.52","9.52","20.15","percent of total billed charges",,
"ALDOSTERONE","82088","HCPCS","Both",,,"175.5","87.75","Alliant","Health Exchange","",,"62",,"108.81","64.23","136.01","percent of total billed charges",,
"ALDOSTERONE","82088","HCPCS","Both",,,"175.5","87.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"94.77","64.23","136.01","percent of total billed charges",,
"ALDOSTERONE","82088","HCPCS","Both",,,"175.5","87.75","Medicare",,"",,"54",,"95.12","64.23","136.01","percent of total billed charges",,
"ALDOSTERONE","82088","HCPCS","Both",,,"175.5","87.75","Humana","Medicare Advantage","",,"54",,"95.12","64.23","136.01","percent of total billed charges",,
"ALDOSTERONE","82088","HCPCS","Both",,,"175.5","87.75","UHC","Medicare Advantage","",,"54",,"95.12","64.23","136.01","percent of total billed charges",,
"ALDOSTERONE","82088","HCPCS","Both",,,"175.5","87.75","Clover","Medicare Advantage","",,"54",,"95.12","64.23","136.01","percent of total billed charges",,
"ALDOSTERONE","82088","HCPCS","Both",,,"175.5","87.75","Wellcare","Medicare Advantage","",,"54",,"95.12","64.23","136.01","percent of total billed charges",,
"ALDOSTERONE","82088","HCPCS","Both",,,"175.5","87.75","Amerigroup","Medicaid Managed Care","",,"37",,"64.23","64.23","136.01","percent of total billed charges",,
"ALDOSTERONE","82088","HCPCS","Both",,,"175.5","87.75","Caresource","Medicaid Managed Care","",,"40",,"70.2","64.23","136.01","percent of total billed charges",,
"ALDOSTERONE","82088","HCPCS","Both",,,"175.5","87.75","Wellcare","Medicaid Managed Care","",,"40",,"71.08","64.23","136.01","percent of total billed charges",,
"ALDOSTERONE","82088","HCPCS","Both",,,"175.5","87.75","Aetna","Commercial","",,"64",,"111.97","64.23","136.01","percent of total billed charges",,
"ALDOSTERONE","82088","HCPCS","Both",,,"175.5","87.75","Blue Cross Blue Shield","Pathways","",,"71",,"123.9","64.23","136.01","percent of total billed charges",,
"ALDOSTERONE","82088","HCPCS","Both",,,"175.5","87.75","Blue Cross Blue Shield","HMO","",,"71",,"123.9","64.23","136.01","percent of total billed charges",,
"ALDOSTERONE","82088","HCPCS","Both",,,"175.5","87.75","Blue Cross Blue Shield","PPO","",,"71",,"123.9","64.23","136.01","percent of total billed charges",,
"ALDOSTERONE","82088","HCPCS","Both",,,"175.5","87.75","Ambetter","Health Exchange","",,"62",,"108.81","64.23","136.01","percent of total billed charges",,
"ALDOSTERONE","82088","HCPCS","Both",,,"175.5","87.75","Caresource","Health Exchange","",,"62",,"108.81","64.23","136.01","percent of total billed charges",,
"ALDOSTERONE","82088","HCPCS","Both",,,"175.5","87.75","Cigna","Commercial","",,"59",,"102.84","64.23","136.01","percent of total billed charges",,
"ALDOSTERONE","82088","HCPCS","Both",,,"175.5","87.75","Humana","Commercial","",,"78",,"136.01","64.23","136.01","percent of total billed charges",,
"ALDOSTERONE","82088","HCPCS","Both",,,"175.5","87.75","UHC","Commercial","",,"75",,"132.33","64.23","136.01","percent of total billed charges",,
"ALDOSTERONE","82088","HCPCS","Both",,,"175.5","87.75","Medicaid",,"",,"37",,"64.23","64.23","136.01","percent of total billed charges",,
"ANTI-STREPTOLYSIN O (ASO) TITER","86060","HCPCS","Both",,,"30","15","Alliant","Health Exchange","",,"62",,"18.6","10.98","23.25","percent of total billed charges",,
"ANTI-STREPTOLYSIN O (ASO) TITER","86060","HCPCS","Both",,,"30","15","Pruitt Healthcare","Medicare Advantage","",,"54",,"16.2","10.98","23.25","percent of total billed charges",,
"ANTI-STREPTOLYSIN O (ASO) TITER","86060","HCPCS","Both",,,"30","15","Medicare",,"",,"54",,"16.26","10.98","23.25","percent of total billed charges",,
"ANTI-STREPTOLYSIN O (ASO) TITER","86060","HCPCS","Both",,,"30","15","Humana","Medicare Advantage","",,"54",,"16.26","10.98","23.25","percent of total billed charges",,
"ANTI-STREPTOLYSIN O (ASO) TITER","86060","HCPCS","Both",,,"30","15","UHC","Medicare Advantage","",,"54",,"16.26","10.98","23.25","percent of total billed charges",,
"ANTI-STREPTOLYSIN O (ASO) TITER","86060","HCPCS","Both",,,"30","15","Clover","Medicare Advantage","",,"54",,"16.26","10.98","23.25","percent of total billed charges",,
"ANTI-STREPTOLYSIN O (ASO) TITER","86060","HCPCS","Both",,,"30","15","Wellcare","Medicare Advantage","",,"54",,"16.26","10.98","23.25","percent of total billed charges",,
"ANTI-STREPTOLYSIN O (ASO) TITER","86060","HCPCS","Both",,,"30","15","Amerigroup","Medicaid Managed Care","",,"37",,"10.98","10.98","23.25","percent of total billed charges",,
"ANTI-STREPTOLYSIN O (ASO) TITER","86060","HCPCS","Both",,,"30","15","Caresource","Medicaid Managed Care","",,"40",,"12","10.98","23.25","percent of total billed charges",,
"ANTI-STREPTOLYSIN O (ASO) TITER","86060","HCPCS","Both",,,"30","15","Wellcare","Medicaid Managed Care","",,"40",,"12.15","10.98","23.25","percent of total billed charges",,
"ANTI-STREPTOLYSIN O (ASO) TITER","86060","HCPCS","Both",,,"30","15","Aetna","Commercial","",,"64",,"19.14","10.98","23.25","percent of total billed charges",,
"ANTI-STREPTOLYSIN O (ASO) TITER","86060","HCPCS","Both",,,"30","15","Blue Cross Blue Shield","Pathways","",,"71",,"21.18","10.98","23.25","percent of total billed charges",,
"ANTI-STREPTOLYSIN O (ASO) TITER","86060","HCPCS","Both",,,"30","15","Blue Cross Blue Shield","HMO","",,"71",,"21.18","10.98","23.25","percent of total billed charges",,
"ANTI-STREPTOLYSIN O (ASO) TITER","86060","HCPCS","Both",,,"30","15","Blue Cross Blue Shield","PPO","",,"71",,"21.18","10.98","23.25","percent of total billed charges",,
"ANTI-STREPTOLYSIN O (ASO) TITER","86060","HCPCS","Both",,,"30","15","Ambetter","Health Exchange","",,"62",,"18.6","10.98","23.25","percent of total billed charges",,
"ANTI-STREPTOLYSIN O (ASO) TITER","86060","HCPCS","Both",,,"30","15","Caresource","Health Exchange","",,"62",,"18.6","10.98","23.25","percent of total billed charges",,
"ANTI-STREPTOLYSIN O (ASO) TITER","86060","HCPCS","Both",,,"30","15","Cigna","Commercial","",,"59",,"17.58","10.98","23.25","percent of total billed charges",,
"ANTI-STREPTOLYSIN O (ASO) TITER","86060","HCPCS","Both",,,"30","15","Humana","Commercial","",,"78",,"23.25","10.98","23.25","percent of total billed charges",,
"ANTI-STREPTOLYSIN O (ASO) TITER","86060","HCPCS","Both",,,"30","15","UHC","Commercial","",,"75",,"22.62","10.98","23.25","percent of total billed charges",,
"ANTI-STREPTOLYSIN O (ASO) TITER","86060","HCPCS","Both",,,"30","15","Medicaid",,"",,"37",,"10.98","10.98","23.25","percent of total billed charges",,
"ANTISTREPTOLYSIN O; SCREEN","86063","HCPCS","Both",,,"42","21","Alliant","Health Exchange","",,"62",,"26.04","15.37","32.55","percent of total billed charges",,
"ANTISTREPTOLYSIN O; SCREEN","86063","HCPCS","Both",,,"42","21","Pruitt Healthcare","Medicare Advantage","",,"54",,"22.68","15.37","32.55","percent of total billed charges",,
"ANTISTREPTOLYSIN O; SCREEN","86063","HCPCS","Both",,,"42","21","Medicare",,"",,"54",,"22.76","15.37","32.55","percent of total billed charges",,
"ANTISTREPTOLYSIN O; SCREEN","86063","HCPCS","Both",,,"42","21","Humana","Medicare Advantage","",,"54",,"22.76","15.37","32.55","percent of total billed charges",,
"ANTISTREPTOLYSIN O; SCREEN","86063","HCPCS","Both",,,"42","21","UHC","Medicare Advantage","",,"54",,"22.76","15.37","32.55","percent of total billed charges",,
"ANTISTREPTOLYSIN O; SCREEN","86063","HCPCS","Both",,,"42","21","Clover","Medicare Advantage","",,"54",,"22.76","15.37","32.55","percent of total billed charges",,
"ANTISTREPTOLYSIN O; SCREEN","86063","HCPCS","Both",,,"42","21","Wellcare","Medicare Advantage","",,"54",,"22.76","15.37","32.55","percent of total billed charges",,
"ANTISTREPTOLYSIN O; SCREEN","86063","HCPCS","Both",,,"42","21","Amerigroup","Medicaid Managed Care","",,"37",,"15.37","15.37","32.55","percent of total billed charges",,
"ANTISTREPTOLYSIN O; SCREEN","86063","HCPCS","Both",,,"42","21","Caresource","Medicaid Managed Care","",,"40",,"16.8","15.37","32.55","percent of total billed charges",,
"ANTISTREPTOLYSIN O; SCREEN","86063","HCPCS","Both",,,"42","21","Wellcare","Medicaid Managed Care","",,"40",,"17.01","15.37","32.55","percent of total billed charges",,
"ANTISTREPTOLYSIN O; SCREEN","86063","HCPCS","Both",,,"42","21","Aetna","Commercial","",,"64",,"26.8","15.37","32.55","percent of total billed charges",,
"ANTISTREPTOLYSIN O; SCREEN","86063","HCPCS","Both",,,"42","21","Blue Cross Blue Shield","Pathways","",,"71",,"29.65","15.37","32.55","percent of total billed charges",,
"ANTISTREPTOLYSIN O; SCREEN","86063","HCPCS","Both",,,"42","21","Blue Cross Blue Shield","HMO","",,"71",,"29.65","15.37","32.55","percent of total billed charges",,
"ANTISTREPTOLYSIN O; SCREEN","86063","HCPCS","Both",,,"42","21","Blue Cross Blue Shield","PPO","",,"71",,"29.65","15.37","32.55","percent of total billed charges",,
"ANTISTREPTOLYSIN O; SCREEN","86063","HCPCS","Both",,,"42","21","Ambetter","Health Exchange","",,"62",,"26.04","15.37","32.55","percent of total billed charges",,
"ANTISTREPTOLYSIN O; SCREEN","86063","HCPCS","Both",,,"42","21","Caresource","Health Exchange","",,"62",,"26.04","15.37","32.55","percent of total billed charges",,
"ANTISTREPTOLYSIN O; SCREEN","86063","HCPCS","Both",,,"42","21","Cigna","Commercial","",,"59",,"24.61","15.37","32.55","percent of total billed charges",,
"ANTISTREPTOLYSIN O; SCREEN","86063","HCPCS","Both",,,"42","21","Humana","Commercial","",,"78",,"32.55","15.37","32.55","percent of total billed charges",,
"ANTISTREPTOLYSIN O; SCREEN","86063","HCPCS","Both",,,"42","21","UHC","Commercial","",,"75",,"31.67","15.37","32.55","percent of total billed charges",,
"ANTISTREPTOLYSIN O; SCREEN","86063","HCPCS","Both",,,"42","21","Medicaid",,"",,"37",,"15.37","15.37","32.55","percent of total billed charges",,
"CHLORIDE, URINE","82436","HCPCS","Both",,,"37","18.5","Alliant","Health Exchange","",,"62",,"22.94","13.54","28.68","percent of total billed charges",,
"CHLORIDE, URINE","82436","HCPCS","Both",,,"37","18.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"19.98","13.54","28.68","percent of total billed charges",,
"CHLORIDE, URINE","82436","HCPCS","Both",,,"37","18.5","Medicare",,"",,"54",,"20.05","13.54","28.68","percent of total billed charges",,
"CHLORIDE, URINE","82436","HCPCS","Both",,,"37","18.5","Humana","Medicare Advantage","",,"54",,"20.05","13.54","28.68","percent of total billed charges",,
"CHLORIDE, URINE","82436","HCPCS","Both",,,"37","18.5","UHC","Medicare Advantage","",,"54",,"20.05","13.54","28.68","percent of total billed charges",,
"CHLORIDE, URINE","82436","HCPCS","Both",,,"37","18.5","Clover","Medicare Advantage","",,"54",,"20.05","13.54","28.68","percent of total billed charges",,
"CHLORIDE, URINE","82436","HCPCS","Both",,,"37","18.5","Wellcare","Medicare Advantage","",,"54",,"20.05","13.54","28.68","percent of total billed charges",,
"CHLORIDE, URINE","82436","HCPCS","Both",,,"37","18.5","Amerigroup","Medicaid Managed Care","",,"37",,"13.54","13.54","28.68","percent of total billed charges",,
"CHLORIDE, URINE","82436","HCPCS","Both",,,"37","18.5","Caresource","Medicaid Managed Care","",,"40",,"14.8","13.54","28.68","percent of total billed charges",,
"CHLORIDE, URINE","82436","HCPCS","Both",,,"37","18.5","Wellcare","Medicaid Managed Care","",,"40",,"14.99","13.54","28.68","percent of total billed charges",,
"CHLORIDE, URINE","82436","HCPCS","Both",,,"37","18.5","Aetna","Commercial","",,"64",,"23.61","13.54","28.68","percent of total billed charges",,
"CHLORIDE, URINE","82436","HCPCS","Both",,,"37","18.5","Blue Cross Blue Shield","Pathways","",,"71",,"26.12","13.54","28.68","percent of total billed charges",,
"CHLORIDE, URINE","82436","HCPCS","Both",,,"37","18.5","Blue Cross Blue Shield","HMO","",,"71",,"26.12","13.54","28.68","percent of total billed charges",,
"CHLORIDE, URINE","82436","HCPCS","Both",,,"37","18.5","Blue Cross Blue Shield","PPO","",,"71",,"26.12","13.54","28.68","percent of total billed charges",,
"CHLORIDE, URINE","82436","HCPCS","Both",,,"37","18.5","Ambetter","Health Exchange","",,"62",,"22.94","13.54","28.68","percent of total billed charges",,
"CHLORIDE, URINE","82436","HCPCS","Both",,,"37","18.5","Caresource","Health Exchange","",,"62",,"22.94","13.54","28.68","percent of total billed charges",,
"CHLORIDE, URINE","82436","HCPCS","Both",,,"37","18.5","Cigna","Commercial","",,"59",,"21.68","13.54","28.68","percent of total billed charges",,
"CHLORIDE, URINE","82436","HCPCS","Both",,,"37","18.5","Humana","Commercial","",,"78",,"28.68","13.54","28.68","percent of total billed charges",,
"CHLORIDE, URINE","82436","HCPCS","Both",,,"37","18.5","UHC","Commercial","",,"75",,"27.9","13.54","28.68","percent of total billed charges",,
"CHLORIDE, URINE","82436","HCPCS","Both",,,"37","18.5","Medicaid",,"",,"37",,"13.54","13.54","28.68","percent of total billed charges",,
"GLUCOSE, CSF","82945","HCPCS","Both",,,"29","14.5","Alliant","Health Exchange","",,"62",,"17.98","10.61","22.48","percent of total billed charges",,
"GLUCOSE, CSF","82945","HCPCS","Both",,,"29","14.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"15.66","10.61","22.48","percent of total billed charges",,
"GLUCOSE, CSF","82945","HCPCS","Both",,,"29","14.5","Medicare",,"",,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"GLUCOSE, CSF","82945","HCPCS","Both",,,"29","14.5","Humana","Medicare Advantage","",,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"GLUCOSE, CSF","82945","HCPCS","Both",,,"29","14.5","UHC","Medicare Advantage","",,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"GLUCOSE, CSF","82945","HCPCS","Both",,,"29","14.5","Clover","Medicare Advantage","",,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"GLUCOSE, CSF","82945","HCPCS","Both",,,"29","14.5","Wellcare","Medicare Advantage","",,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"GLUCOSE, CSF","82945","HCPCS","Both",,,"29","14.5","Amerigroup","Medicaid Managed Care","",,"37",,"10.61","10.61","22.48","percent of total billed charges",,
"GLUCOSE, CSF","82945","HCPCS","Both",,,"29","14.5","Caresource","Medicaid Managed Care","",,"40",,"11.6","10.61","22.48","percent of total billed charges",,
"GLUCOSE, CSF","82945","HCPCS","Both",,,"29","14.5","Wellcare","Medicaid Managed Care","",,"40",,"11.74","10.61","22.48","percent of total billed charges",,
"GLUCOSE, CSF","82945","HCPCS","Both",,,"29","14.5","Aetna","Commercial","",,"64",,"18.5","10.61","22.48","percent of total billed charges",,
"GLUCOSE, CSF","82945","HCPCS","Both",,,"29","14.5","Blue Cross Blue Shield","Pathways","",,"71",,"20.47","10.61","22.48","percent of total billed charges",,
"GLUCOSE, CSF","82945","HCPCS","Both",,,"29","14.5","Blue Cross Blue Shield","HMO","",,"71",,"20.47","10.61","22.48","percent of total billed charges",,
"GLUCOSE, CSF","82945","HCPCS","Both",,,"29","14.5","Blue Cross Blue Shield","PPO","",,"71",,"20.47","10.61","22.48","percent of total billed charges",,
"GLUCOSE, CSF","82945","HCPCS","Both",,,"29","14.5","Ambetter","Health Exchange","",,"62",,"17.98","10.61","22.48","percent of total billed charges",,
"GLUCOSE, CSF","82945","HCPCS","Both",,,"29","14.5","Caresource","Health Exchange","",,"62",,"17.98","10.61","22.48","percent of total billed charges",,
"GLUCOSE, CSF","82945","HCPCS","Both",,,"29","14.5","Cigna","Commercial","",,"59",,"16.99","10.61","22.48","percent of total billed charges",,
"GLUCOSE, CSF","82945","HCPCS","Both",,,"29","14.5","Humana","Commercial","",,"78",,"22.48","10.61","22.48","percent of total billed charges",,
"GLUCOSE, CSF","82945","HCPCS","Both",,,"29","14.5","UHC","Commercial","",,"75",,"21.87","10.61","22.48","percent of total billed charges",,
"GLUCOSE, CSF","82945","HCPCS","Both",,,"29","14.5","Medicaid",,"",,"37",,"10.61","10.61","22.48","percent of total billed charges",,
"LACTIC ACID PLASMA","83605","HCPCS","Both",,,"17","8.5","Alliant","Health Exchange","",,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"LACTIC ACID PLASMA","83605","HCPCS","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"9.18","6.22","13.18","percent of total billed charges",,
"LACTIC ACID PLASMA","83605","HCPCS","Both",,,"17","8.5","Medicare",,"",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"LACTIC ACID PLASMA","83605","HCPCS","Both",,,"17","8.5","Humana","Medicare Advantage","",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"LACTIC ACID PLASMA","83605","HCPCS","Both",,,"17","8.5","UHC","Medicare Advantage","",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"LACTIC ACID PLASMA","83605","HCPCS","Both",,,"17","8.5","Clover","Medicare Advantage","",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"LACTIC ACID PLASMA","83605","HCPCS","Both",,,"17","8.5","Wellcare","Medicare Advantage","",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"LACTIC ACID PLASMA","83605","HCPCS","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care","",,"37",,"6.22","6.22","13.18","percent of total billed charges",,
"LACTIC ACID PLASMA","83605","HCPCS","Both",,,"17","8.5","Caresource","Medicaid Managed Care","",,"40",,"6.8","6.22","13.18","percent of total billed charges",,
"LACTIC ACID PLASMA","83605","HCPCS","Both",,,"17","8.5","Wellcare","Medicaid Managed Care","",,"40",,"6.89","6.22","13.18","percent of total billed charges",,
"LACTIC ACID PLASMA","83605","HCPCS","Both",,,"17","8.5","Aetna","Commercial","",,"64",,"10.85","6.22","13.18","percent of total billed charges",,
"LACTIC ACID PLASMA","83605","HCPCS","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways","",,"71",,"12","6.22","13.18","percent of total billed charges",,
"LACTIC ACID PLASMA","83605","HCPCS","Both",,,"17","8.5","Blue Cross Blue Shield","HMO","",,"71",,"12","6.22","13.18","percent of total billed charges",,
"LACTIC ACID PLASMA","83605","HCPCS","Both",,,"17","8.5","Blue Cross Blue Shield","PPO","",,"71",,"12","6.22","13.18","percent of total billed charges",,
"LACTIC ACID PLASMA","83605","HCPCS","Both",,,"17","8.5","Ambetter","Health Exchange","",,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"LACTIC ACID PLASMA","83605","HCPCS","Both",,,"17","8.5","Caresource","Health Exchange","",,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"LACTIC ACID PLASMA","83605","HCPCS","Both",,,"17","8.5","Cigna","Commercial","",,"59",,"9.96","6.22","13.18","percent of total billed charges",,
"LACTIC ACID PLASMA","83605","HCPCS","Both",,,"17","8.5","Humana","Commercial","",,"78",,"13.18","6.22","13.18","percent of total billed charges",,
"LACTIC ACID PLASMA","83605","HCPCS","Both",,,"17","8.5","UHC","Commercial","",,"75",,"12.82","6.22","13.18","percent of total billed charges",,
"LACTIC ACID PLASMA","83605","HCPCS","Both",,,"17","8.5","Medicaid",,"",,"37",,"6.22","6.22","13.18","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA);FREE","84154","HCPCS","Both",,,"55","27.5","Alliant","Health Exchange","",,"62",,"34.1","20.13","42.62","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA);FREE","84154","HCPCS","Both",,,"55","27.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"29.7","20.13","42.62","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA);FREE","84154","HCPCS","Both",,,"55","27.5","Medicare",,"",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA);FREE","84154","HCPCS","Both",,,"55","27.5","Humana","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA);FREE","84154","HCPCS","Both",,,"55","27.5","UHC","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA);FREE","84154","HCPCS","Both",,,"55","27.5","Clover","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA);FREE","84154","HCPCS","Both",,,"55","27.5","Wellcare","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA);FREE","84154","HCPCS","Both",,,"55","27.5","Amerigroup","Medicaid Managed Care","",,"37",,"20.13","20.13","42.62","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA);FREE","84154","HCPCS","Both",,,"55","27.5","Caresource","Medicaid Managed Care","",,"40",,"22","20.13","42.62","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA);FREE","84154","HCPCS","Both",,,"55","27.5","Wellcare","Medicaid Managed Care","",,"40",,"22.28","20.13","42.62","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA);FREE","84154","HCPCS","Both",,,"55","27.5","Aetna","Commercial","",,"64",,"35.09","20.13","42.62","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA);FREE","84154","HCPCS","Both",,,"55","27.5","Blue Cross Blue Shield","Pathways","",,"71",,"38.83","20.13","42.62","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA);FREE","84154","HCPCS","Both",,,"55","27.5","Blue Cross Blue Shield","HMO","",,"71",,"38.83","20.13","42.62","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA);FREE","84154","HCPCS","Both",,,"55","27.5","Blue Cross Blue Shield","PPO","",,"71",,"38.83","20.13","42.62","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA);FREE","84154","HCPCS","Both",,,"55","27.5","Ambetter","Health Exchange","",,"62",,"34.1","20.13","42.62","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA);FREE","84154","HCPCS","Both",,,"55","27.5","Caresource","Health Exchange","",,"62",,"34.1","20.13","42.62","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA);FREE","84154","HCPCS","Both",,,"55","27.5","Cigna","Commercial","",,"59",,"32.23","20.13","42.62","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA);FREE","84154","HCPCS","Both",,,"55","27.5","Humana","Commercial","",,"78",,"42.62","20.13","42.62","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA);FREE","84154","HCPCS","Both",,,"55","27.5","UHC","Commercial","",,"75",,"41.47","20.13","42.62","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA);FREE","84154","HCPCS","Both",,,"55","27.5","Medicaid",,"",,"37",,"20.13","20.13","42.62","percent of total billed charges",,
"PREALBUMIN","84134","HCPCS","Both",,,"18","9","Alliant","Health Exchange","",,"62",,"11.16","6.59","13.95","percent of total billed charges",,
"PREALBUMIN","84134","HCPCS","Both",,,"18","9","Pruitt Healthcare","Medicare Advantage","",,"54",,"9.72","6.59","13.95","percent of total billed charges",,
"PREALBUMIN","84134","HCPCS","Both",,,"18","9","Medicare",,"",,"54",,"9.76","6.59","13.95","percent of total billed charges",,
"PREALBUMIN","84134","HCPCS","Both",,,"18","9","Humana","Medicare Advantage","",,"54",,"9.76","6.59","13.95","percent of total billed charges",,
"PREALBUMIN","84134","HCPCS","Both",,,"18","9","UHC","Medicare Advantage","",,"54",,"9.76","6.59","13.95","percent of total billed charges",,
"PREALBUMIN","84134","HCPCS","Both",,,"18","9","Clover","Medicare Advantage","",,"54",,"9.76","6.59","13.95","percent of total billed charges",,
"PREALBUMIN","84134","HCPCS","Both",,,"18","9","Wellcare","Medicare Advantage","",,"54",,"9.76","6.59","13.95","percent of total billed charges",,
"PREALBUMIN","84134","HCPCS","Both",,,"18","9","Amerigroup","Medicaid Managed Care","",,"37",,"6.59","6.59","13.95","percent of total billed charges",,
"PREALBUMIN","84134","HCPCS","Both",,,"18","9","Caresource","Medicaid Managed Care","",,"40",,"7.2","6.59","13.95","percent of total billed charges",,
"PREALBUMIN","84134","HCPCS","Both",,,"18","9","Wellcare","Medicaid Managed Care","",,"40",,"7.29","6.59","13.95","percent of total billed charges",,
"PREALBUMIN","84134","HCPCS","Both",,,"18","9","Aetna","Commercial","",,"64",,"11.48","6.59","13.95","percent of total billed charges",,
"PREALBUMIN","84134","HCPCS","Both",,,"18","9","Blue Cross Blue Shield","Pathways","",,"71",,"12.71","6.59","13.95","percent of total billed charges",,
"PREALBUMIN","84134","HCPCS","Both",,,"18","9","Blue Cross Blue Shield","HMO","",,"71",,"12.71","6.59","13.95","percent of total billed charges",,
"PREALBUMIN","84134","HCPCS","Both",,,"18","9","Blue Cross Blue Shield","PPO","",,"71",,"12.71","6.59","13.95","percent of total billed charges",,
"PREALBUMIN","84134","HCPCS","Both",,,"18","9","Ambetter","Health Exchange","",,"62",,"11.16","6.59","13.95","percent of total billed charges",,
"PREALBUMIN","84134","HCPCS","Both",,,"18","9","Caresource","Health Exchange","",,"62",,"11.16","6.59","13.95","percent of total billed charges",,
"PREALBUMIN","84134","HCPCS","Both",,,"18","9","Cigna","Commercial","",,"59",,"10.55","6.59","13.95","percent of total billed charges",,
"PREALBUMIN","84134","HCPCS","Both",,,"18","9","Humana","Commercial","",,"78",,"13.95","6.59","13.95","percent of total billed charges",,
"PREALBUMIN","84134","HCPCS","Both",,,"18","9","UHC","Commercial","",,"75",,"13.57","6.59","13.95","percent of total billed charges",,
"PREALBUMIN","84134","HCPCS","Both",,,"18","9","Medicaid",,"",,"37",,"6.59","6.59","13.95","percent of total billed charges",,
"SODIUM URINE RANDOM","84300","HCPCS","Both",,,"7.5","3.75","Alliant","Health Exchange","",,"62",,"4.65","2.74","5.81","percent of total billed charges",,
"SODIUM URINE RANDOM","84300","HCPCS","Both",,,"7.5","3.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"4.05","2.74","5.81","percent of total billed charges",,
"SODIUM URINE RANDOM","84300","HCPCS","Both",,,"7.5","3.75","Medicare",,"",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"SODIUM URINE RANDOM","84300","HCPCS","Both",,,"7.5","3.75","Humana","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"SODIUM URINE RANDOM","84300","HCPCS","Both",,,"7.5","3.75","UHC","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"SODIUM URINE RANDOM","84300","HCPCS","Both",,,"7.5","3.75","Clover","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"SODIUM URINE RANDOM","84300","HCPCS","Both",,,"7.5","3.75","Wellcare","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"SODIUM URINE RANDOM","84300","HCPCS","Both",,,"7.5","3.75","Amerigroup","Medicaid Managed Care","",,"37",,"2.74","2.74","5.81","percent of total billed charges",,
"SODIUM URINE RANDOM","84300","HCPCS","Both",,,"7.5","3.75","Caresource","Medicaid Managed Care","",,"40",,"3","2.74","5.81","percent of total billed charges",,
"SODIUM URINE RANDOM","84300","HCPCS","Both",,,"7.5","3.75","Wellcare","Medicaid Managed Care","",,"40",,"3.04","2.74","5.81","percent of total billed charges",,
"SODIUM URINE RANDOM","84300","HCPCS","Both",,,"7.5","3.75","Aetna","Commercial","",,"64",,"4.78","2.74","5.81","percent of total billed charges",,
"SODIUM URINE RANDOM","84300","HCPCS","Both",,,"7.5","3.75","Blue Cross Blue Shield","Pathways","",,"71",,"5.3","2.74","5.81","percent of total billed charges",,
"SODIUM URINE RANDOM","84300","HCPCS","Both",,,"7.5","3.75","Blue Cross Blue Shield","HMO","",,"71",,"5.3","2.74","5.81","percent of total billed charges",,
"SODIUM URINE RANDOM","84300","HCPCS","Both",,,"7.5","3.75","Blue Cross Blue Shield","PPO","",,"71",,"5.3","2.74","5.81","percent of total billed charges",,
"SODIUM URINE RANDOM","84300","HCPCS","Both",,,"7.5","3.75","Ambetter","Health Exchange","",,"62",,"4.65","2.74","5.81","percent of total billed charges",,
"SODIUM URINE RANDOM","84300","HCPCS","Both",,,"7.5","3.75","Caresource","Health Exchange","",,"62",,"4.65","2.74","5.81","percent of total billed charges",,
"SODIUM URINE RANDOM","84300","HCPCS","Both",,,"7.5","3.75","Cigna","Commercial","",,"59",,"4.39","2.74","5.81","percent of total billed charges",,
"SODIUM URINE RANDOM","84300","HCPCS","Both",,,"7.5","3.75","Humana","Commercial","",,"78",,"5.81","2.74","5.81","percent of total billed charges",,
"SODIUM URINE RANDOM","84300","HCPCS","Both",,,"7.5","3.75","UHC","Commercial","",,"75",,"5.66","2.74","5.81","percent of total billed charges",,
"SODIUM URINE RANDOM","84300","HCPCS","Both",,,"7.5","3.75","Medicaid",,"",,"37",,"2.74","2.74","5.81","percent of total billed charges",,
"THYROID STIMULATING IMMUNOGLOBULIN (TSI)","84445","HCPCS","Both",,,"63.5","31.75","Alliant","Health Exchange","",,"62",,"39.37","23.24","49.21","percent of total billed charges",,
"THYROID STIMULATING IMMUNOGLOBULIN (TSI)","84445","HCPCS","Both",,,"63.5","31.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"34.29","23.24","49.21","percent of total billed charges",,
"THYROID STIMULATING IMMUNOGLOBULIN (TSI)","84445","HCPCS","Both",,,"63.5","31.75","Medicare",,"",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"THYROID STIMULATING IMMUNOGLOBULIN (TSI)","84445","HCPCS","Both",,,"63.5","31.75","Humana","Medicare Advantage","",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"THYROID STIMULATING IMMUNOGLOBULIN (TSI)","84445","HCPCS","Both",,,"63.5","31.75","UHC","Medicare Advantage","",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"THYROID STIMULATING IMMUNOGLOBULIN (TSI)","84445","HCPCS","Both",,,"63.5","31.75","Clover","Medicare Advantage","",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"THYROID STIMULATING IMMUNOGLOBULIN (TSI)","84445","HCPCS","Both",,,"63.5","31.75","Wellcare","Medicare Advantage","",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"THYROID STIMULATING IMMUNOGLOBULIN (TSI)","84445","HCPCS","Both",,,"63.5","31.75","Amerigroup","Medicaid Managed Care","",,"37",,"23.24","23.24","49.21","percent of total billed charges",,
"THYROID STIMULATING IMMUNOGLOBULIN (TSI)","84445","HCPCS","Both",,,"63.5","31.75","Caresource","Medicaid Managed Care","",,"40",,"25.4","23.24","49.21","percent of total billed charges",,
"THYROID STIMULATING IMMUNOGLOBULIN (TSI)","84445","HCPCS","Both",,,"63.5","31.75","Wellcare","Medicaid Managed Care","",,"40",,"25.72","23.24","49.21","percent of total billed charges",,
"THYROID STIMULATING IMMUNOGLOBULIN (TSI)","84445","HCPCS","Both",,,"63.5","31.75","Aetna","Commercial","",,"64",,"40.51","23.24","49.21","percent of total billed charges",,
"THYROID STIMULATING IMMUNOGLOBULIN (TSI)","84445","HCPCS","Both",,,"63.5","31.75","Blue Cross Blue Shield","Pathways","",,"71",,"44.83","23.24","49.21","percent of total billed charges",,
"THYROID STIMULATING IMMUNOGLOBULIN (TSI)","84445","HCPCS","Both",,,"63.5","31.75","Blue Cross Blue Shield","HMO","",,"71",,"44.83","23.24","49.21","percent of total billed charges",,
"THYROID STIMULATING IMMUNOGLOBULIN (TSI)","84445","HCPCS","Both",,,"63.5","31.75","Blue Cross Blue Shield","PPO","",,"71",,"44.83","23.24","49.21","percent of total billed charges",,
"THYROID STIMULATING IMMUNOGLOBULIN (TSI)","84445","HCPCS","Both",,,"63.5","31.75","Ambetter","Health Exchange","",,"62",,"39.37","23.24","49.21","percent of total billed charges",,
"THYROID STIMULATING IMMUNOGLOBULIN (TSI)","84445","HCPCS","Both",,,"63.5","31.75","Caresource","Health Exchange","",,"62",,"39.37","23.24","49.21","percent of total billed charges",,
"THYROID STIMULATING IMMUNOGLOBULIN (TSI)","84445","HCPCS","Both",,,"63.5","31.75","Cigna","Commercial","",,"59",,"37.21","23.24","49.21","percent of total billed charges",,
"THYROID STIMULATING IMMUNOGLOBULIN (TSI)","84445","HCPCS","Both",,,"63.5","31.75","Humana","Commercial","",,"78",,"49.21","23.24","49.21","percent of total billed charges",,
"THYROID STIMULATING IMMUNOGLOBULIN (TSI)","84445","HCPCS","Both",,,"63.5","31.75","UHC","Commercial","",,"75",,"47.88","23.24","49.21","percent of total billed charges",,
"THYROID STIMULATING IMMUNOGLOBULIN (TSI)","84445","HCPCS","Both",,,"63.5","31.75","Medicaid",,"",,"37",,"23.24","23.24","49.21","percent of total billed charges",,
"URIC ACID,OTHER SOURCE","84560","HCPCS","Both",,,"50","25","Alliant","Health Exchange","",,"62",,"31","18.3","38.75","percent of total billed charges",,
"URIC ACID,OTHER SOURCE","84560","HCPCS","Both",,,"50","25","Pruitt Healthcare","Medicare Advantage","",,"54",,"27","18.3","38.75","percent of total billed charges",,
"URIC ACID,OTHER SOURCE","84560","HCPCS","Both",,,"50","25","Medicare",,"",,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"URIC ACID,OTHER SOURCE","84560","HCPCS","Both",,,"50","25","Humana","Medicare Advantage","",,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"URIC ACID,OTHER SOURCE","84560","HCPCS","Both",,,"50","25","UHC","Medicare Advantage","",,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"URIC ACID,OTHER SOURCE","84560","HCPCS","Both",,,"50","25","Clover","Medicare Advantage","",,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"URIC ACID,OTHER SOURCE","84560","HCPCS","Both",,,"50","25","Wellcare","Medicare Advantage","",,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"URIC ACID,OTHER SOURCE","84560","HCPCS","Both",,,"50","25","Amerigroup","Medicaid Managed Care","",,"37",,"18.3","18.3","38.75","percent of total billed charges",,
"URIC ACID,OTHER SOURCE","84560","HCPCS","Both",,,"50","25","Caresource","Medicaid Managed Care","",,"40",,"20","18.3","38.75","percent of total billed charges",,
"URIC ACID,OTHER SOURCE","84560","HCPCS","Both",,,"50","25","Wellcare","Medicaid Managed Care","",,"40",,"20.25","18.3","38.75","percent of total billed charges",,
"URIC ACID,OTHER SOURCE","84560","HCPCS","Both",,,"50","25","Aetna","Commercial","",,"64",,"31.9","18.3","38.75","percent of total billed charges",,
"URIC ACID,OTHER SOURCE","84560","HCPCS","Both",,,"50","25","Blue Cross Blue Shield","Pathways","",,"71",,"35.3","18.3","38.75","percent of total billed charges",,
"URIC ACID,OTHER SOURCE","84560","HCPCS","Both",,,"50","25","Blue Cross Blue Shield","HMO","",,"71",,"35.3","18.3","38.75","percent of total billed charges",,
"URIC ACID,OTHER SOURCE","84560","HCPCS","Both",,,"50","25","Blue Cross Blue Shield","PPO","",,"71",,"35.3","18.3","38.75","percent of total billed charges",,
"URIC ACID,OTHER SOURCE","84560","HCPCS","Both",,,"50","25","Ambetter","Health Exchange","",,"62",,"31","18.3","38.75","percent of total billed charges",,
"URIC ACID,OTHER SOURCE","84560","HCPCS","Both",,,"50","25","Caresource","Health Exchange","",,"62",,"31","18.3","38.75","percent of total billed charges",,
"URIC ACID,OTHER SOURCE","84560","HCPCS","Both",,,"50","25","Cigna","Commercial","",,"59",,"29.3","18.3","38.75","percent of total billed charges",,
"URIC ACID,OTHER SOURCE","84560","HCPCS","Both",,,"50","25","Humana","Commercial","",,"78",,"38.75","18.3","38.75","percent of total billed charges",,
"URIC ACID,OTHER SOURCE","84560","HCPCS","Both",,,"50","25","UHC","Commercial","",,"75",,"37.7","18.3","38.75","percent of total billed charges",,
"URIC ACID,OTHER SOURCE","84560","HCPCS","Both",,,"50","25","Medicaid",,"",,"37",,"18.3","18.3","38.75","percent of total billed charges",,
"CHROMATIN AB IGG(HISTONE AB)","86235","HCPCS","Both",,,"46.5","23.25","Alliant","Health Exchange","",,"62",,"28.83","17.02","36.04","percent of total billed charges",,
"CHROMATIN AB IGG(HISTONE AB)","86235","HCPCS","Both",,,"46.5","23.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"25.11","17.02","36.04","percent of total billed charges",,
"CHROMATIN AB IGG(HISTONE AB)","86235","HCPCS","Both",,,"46.5","23.25","Medicare",,"",,"54",,"25.2","17.02","36.04","percent of total billed charges",,
"CHROMATIN AB IGG(HISTONE AB)","86235","HCPCS","Both",,,"46.5","23.25","Humana","Medicare Advantage","",,"54",,"25.2","17.02","36.04","percent of total billed charges",,
"CHROMATIN AB IGG(HISTONE AB)","86235","HCPCS","Both",,,"46.5","23.25","UHC","Medicare Advantage","",,"54",,"25.2","17.02","36.04","percent of total billed charges",,
"CHROMATIN AB IGG(HISTONE AB)","86235","HCPCS","Both",,,"46.5","23.25","Clover","Medicare Advantage","",,"54",,"25.2","17.02","36.04","percent of total billed charges",,
"CHROMATIN AB IGG(HISTONE AB)","86235","HCPCS","Both",,,"46.5","23.25","Wellcare","Medicare Advantage","",,"54",,"25.2","17.02","36.04","percent of total billed charges",,
"CHROMATIN AB IGG(HISTONE AB)","86235","HCPCS","Both",,,"46.5","23.25","Amerigroup","Medicaid Managed Care","",,"37",,"17.02","17.02","36.04","percent of total billed charges",,
"CHROMATIN AB IGG(HISTONE AB)","86235","HCPCS","Both",,,"46.5","23.25","Caresource","Medicaid Managed Care","",,"40",,"18.6","17.02","36.04","percent of total billed charges",,
"CHROMATIN AB IGG(HISTONE AB)","86235","HCPCS","Both",,,"46.5","23.25","Wellcare","Medicaid Managed Care","",,"40",,"18.83","17.02","36.04","percent of total billed charges",,
"CHROMATIN AB IGG(HISTONE AB)","86235","HCPCS","Both",,,"46.5","23.25","Aetna","Commercial","",,"64",,"29.67","17.02","36.04","percent of total billed charges",,
"CHROMATIN AB IGG(HISTONE AB)","86235","HCPCS","Both",,,"46.5","23.25","Blue Cross Blue Shield","Pathways","",,"71",,"32.83","17.02","36.04","percent of total billed charges",,
"CHROMATIN AB IGG(HISTONE AB)","86235","HCPCS","Both",,,"46.5","23.25","Blue Cross Blue Shield","HMO","",,"71",,"32.83","17.02","36.04","percent of total billed charges",,
"CHROMATIN AB IGG(HISTONE AB)","86235","HCPCS","Both",,,"46.5","23.25","Blue Cross Blue Shield","PPO","",,"71",,"32.83","17.02","36.04","percent of total billed charges",,
"CHROMATIN AB IGG(HISTONE AB)","86235","HCPCS","Both",,,"46.5","23.25","Ambetter","Health Exchange","",,"62",,"28.83","17.02","36.04","percent of total billed charges",,
"CHROMATIN AB IGG(HISTONE AB)","86235","HCPCS","Both",,,"46.5","23.25","Caresource","Health Exchange","",,"62",,"28.83","17.02","36.04","percent of total billed charges",,
"CHROMATIN AB IGG(HISTONE AB)","86235","HCPCS","Both",,,"46.5","23.25","Cigna","Commercial","",,"59",,"27.25","17.02","36.04","percent of total billed charges",,
"CHROMATIN AB IGG(HISTONE AB)","86235","HCPCS","Both",,,"46.5","23.25","Humana","Commercial","",,"78",,"36.04","17.02","36.04","percent of total billed charges",,
"CHROMATIN AB IGG(HISTONE AB)","86235","HCPCS","Both",,,"46.5","23.25","UHC","Commercial","",,"75",,"35.06","17.02","36.04","percent of total billed charges",,
"CHROMATIN AB IGG(HISTONE AB)","86235","HCPCS","Both",,,"46.5","23.25","Medicaid",,"",,"37",,"17.02","17.02","36.04","percent of total billed charges",,
"CRYSTAL IDENTIFICATION, BODY FLUIDS","89060","HCPCS","Both",,,"62.5","31.25","Alliant","Health Exchange","",,"62",,"38.75","22.88","48.44","percent of total billed charges",,
"CRYSTAL IDENTIFICATION, BODY FLUIDS","89060","HCPCS","Both",,,"62.5","31.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"33.75","22.88","48.44","percent of total billed charges",,
"CRYSTAL IDENTIFICATION, BODY FLUIDS","89060","HCPCS","Both",,,"62.5","31.25","Medicare",,"",,"54",,"33.88","22.88","48.44","percent of total billed charges",,
"CRYSTAL IDENTIFICATION, BODY FLUIDS","89060","HCPCS","Both",,,"62.5","31.25","Humana","Medicare Advantage","",,"54",,"33.88","22.88","48.44","percent of total billed charges",,
"CRYSTAL IDENTIFICATION, BODY FLUIDS","89060","HCPCS","Both",,,"62.5","31.25","UHC","Medicare Advantage","",,"54",,"33.88","22.88","48.44","percent of total billed charges",,
"CRYSTAL IDENTIFICATION, BODY FLUIDS","89060","HCPCS","Both",,,"62.5","31.25","Clover","Medicare Advantage","",,"54",,"33.88","22.88","48.44","percent of total billed charges",,
"CRYSTAL IDENTIFICATION, BODY FLUIDS","89060","HCPCS","Both",,,"62.5","31.25","Wellcare","Medicare Advantage","",,"54",,"33.88","22.88","48.44","percent of total billed charges",,
"CRYSTAL IDENTIFICATION, BODY FLUIDS","89060","HCPCS","Both",,,"62.5","31.25","Amerigroup","Medicaid Managed Care","",,"37",,"22.88","22.88","48.44","percent of total billed charges",,
"CRYSTAL IDENTIFICATION, BODY FLUIDS","89060","HCPCS","Both",,,"62.5","31.25","Caresource","Medicaid Managed Care","",,"40",,"25","22.88","48.44","percent of total billed charges",,
"CRYSTAL IDENTIFICATION, BODY FLUIDS","89060","HCPCS","Both",,,"62.5","31.25","Wellcare","Medicaid Managed Care","",,"40",,"25.31","22.88","48.44","percent of total billed charges",,
"CRYSTAL IDENTIFICATION, BODY FLUIDS","89060","HCPCS","Both",,,"62.5","31.25","Aetna","Commercial","",,"64",,"39.88","22.88","48.44","percent of total billed charges",,
"CRYSTAL IDENTIFICATION, BODY FLUIDS","89060","HCPCS","Both",,,"62.5","31.25","Blue Cross Blue Shield","Pathways","",,"71",,"44.12","22.88","48.44","percent of total billed charges",,
"CRYSTAL IDENTIFICATION, BODY FLUIDS","89060","HCPCS","Both",,,"62.5","31.25","Blue Cross Blue Shield","HMO","",,"71",,"44.12","22.88","48.44","percent of total billed charges",,
"CRYSTAL IDENTIFICATION, BODY FLUIDS","89060","HCPCS","Both",,,"62.5","31.25","Blue Cross Blue Shield","PPO","",,"71",,"44.12","22.88","48.44","percent of total billed charges",,
"CRYSTAL IDENTIFICATION, BODY FLUIDS","89060","HCPCS","Both",,,"62.5","31.25","Ambetter","Health Exchange","",,"62",,"38.75","22.88","48.44","percent of total billed charges",,
"CRYSTAL IDENTIFICATION, BODY FLUIDS","89060","HCPCS","Both",,,"62.5","31.25","Caresource","Health Exchange","",,"62",,"38.75","22.88","48.44","percent of total billed charges",,
"CRYSTAL IDENTIFICATION, BODY FLUIDS","89060","HCPCS","Both",,,"62.5","31.25","Cigna","Commercial","",,"59",,"36.62","22.88","48.44","percent of total billed charges",,
"CRYSTAL IDENTIFICATION, BODY FLUIDS","89060","HCPCS","Both",,,"62.5","31.25","Humana","Commercial","",,"78",,"48.44","22.88","48.44","percent of total billed charges",,
"CRYSTAL IDENTIFICATION, BODY FLUIDS","89060","HCPCS","Both",,,"62.5","31.25","UHC","Commercial","",,"75",,"47.12","22.88","48.44","percent of total billed charges",,
"CRYSTAL IDENTIFICATION, BODY FLUIDS","89060","HCPCS","Both",,,"62.5","31.25","Medicaid",,"",,"37",,"22.88","22.88","48.44","percent of total billed charges",,
"CREATINE KINASE (CK), ISOENZYMES","82552","HCPCS","Both",,,"96","48","Alliant","Health Exchange","",,"62",,"59.52","35.14","74.4","percent of total billed charges",,
"CREATINE KINASE (CK), ISOENZYMES","82552","HCPCS","Both",,,"96","48","Pruitt Healthcare","Medicare Advantage","",,"54",,"51.84","35.14","74.4","percent of total billed charges",,
"CREATINE KINASE (CK), ISOENZYMES","82552","HCPCS","Both",,,"96","48","Medicare",,"",,"54",,"52.03","35.14","74.4","percent of total billed charges",,
"CREATINE KINASE (CK), ISOENZYMES","82552","HCPCS","Both",,,"96","48","Humana","Medicare Advantage","",,"54",,"52.03","35.14","74.4","percent of total billed charges",,
"CREATINE KINASE (CK), ISOENZYMES","82552","HCPCS","Both",,,"96","48","UHC","Medicare Advantage","",,"54",,"52.03","35.14","74.4","percent of total billed charges",,
"CREATINE KINASE (CK), ISOENZYMES","82552","HCPCS","Both",,,"96","48","Clover","Medicare Advantage","",,"54",,"52.03","35.14","74.4","percent of total billed charges",,
"CREATINE KINASE (CK), ISOENZYMES","82552","HCPCS","Both",,,"96","48","Wellcare","Medicare Advantage","",,"54",,"52.03","35.14","74.4","percent of total billed charges",,
"CREATINE KINASE (CK), ISOENZYMES","82552","HCPCS","Both",,,"96","48","Amerigroup","Medicaid Managed Care","",,"37",,"35.14","35.14","74.4","percent of total billed charges",,
"CREATINE KINASE (CK), ISOENZYMES","82552","HCPCS","Both",,,"96","48","Caresource","Medicaid Managed Care","",,"40",,"38.4","35.14","74.4","percent of total billed charges",,
"CREATINE KINASE (CK), ISOENZYMES","82552","HCPCS","Both",,,"96","48","Wellcare","Medicaid Managed Care","",,"40",,"38.88","35.14","74.4","percent of total billed charges",,
"CREATINE KINASE (CK), ISOENZYMES","82552","HCPCS","Both",,,"96","48","Aetna","Commercial","",,"64",,"61.25","35.14","74.4","percent of total billed charges",,
"CREATINE KINASE (CK), ISOENZYMES","82552","HCPCS","Both",,,"96","48","Blue Cross Blue Shield","Pathways","",,"71",,"67.78","35.14","74.4","percent of total billed charges",,
"CREATINE KINASE (CK), ISOENZYMES","82552","HCPCS","Both",,,"96","48","Blue Cross Blue Shield","HMO","",,"71",,"67.78","35.14","74.4","percent of total billed charges",,
"CREATINE KINASE (CK), ISOENZYMES","82552","HCPCS","Both",,,"96","48","Blue Cross Blue Shield","PPO","",,"71",,"67.78","35.14","74.4","percent of total billed charges",,
"CREATINE KINASE (CK), ISOENZYMES","82552","HCPCS","Both",,,"96","48","Ambetter","Health Exchange","",,"62",,"59.52","35.14","74.4","percent of total billed charges",,
"CREATINE KINASE (CK), ISOENZYMES","82552","HCPCS","Both",,,"96","48","Caresource","Health Exchange","",,"62",,"59.52","35.14","74.4","percent of total billed charges",,
"CREATINE KINASE (CK), ISOENZYMES","82552","HCPCS","Both",,,"96","48","Cigna","Commercial","",,"59",,"56.26","35.14","74.4","percent of total billed charges",,
"CREATINE KINASE (CK), ISOENZYMES","82552","HCPCS","Both",,,"96","48","Humana","Commercial","",,"78",,"74.4","35.14","74.4","percent of total billed charges",,
"CREATINE KINASE (CK), ISOENZYMES","82552","HCPCS","Both",,,"96","48","UHC","Commercial","",,"75",,"72.38","35.14","74.4","percent of total billed charges",,
"CREATINE KINASE (CK), ISOENZYMES","82552","HCPCS","Both",,,"96","48","Medicaid",,"",,"37",,"35.14","35.14","74.4","percent of total billed charges",,
"COMPLEMENT C4","86160","HCPCS","Both",,,"43","21.5","Alliant","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C4","86160","HCPCS","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"23.22","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C4","86160","HCPCS","Both",,,"43","21.5","Medicare",,"",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C4","86160","HCPCS","Both",,,"43","21.5","Humana","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C4","86160","HCPCS","Both",,,"43","21.5","UHC","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C4","86160","HCPCS","Both",,,"43","21.5","Clover","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C4","86160","HCPCS","Both",,,"43","21.5","Wellcare","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C4","86160","HCPCS","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care","",,"37",,"15.74","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C4","86160","HCPCS","Both",,,"43","21.5","Caresource","Medicaid Managed Care","",,"40",,"17.2","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C4","86160","HCPCS","Both",,,"43","21.5","Wellcare","Medicaid Managed Care","",,"40",,"17.42","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C4","86160","HCPCS","Both",,,"43","21.5","Aetna","Commercial","",,"64",,"27.43","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C4","86160","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C4","86160","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","HMO","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C4","86160","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","PPO","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C4","86160","HCPCS","Both",,,"43","21.5","Ambetter","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C4","86160","HCPCS","Both",,,"43","21.5","Caresource","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C4","86160","HCPCS","Both",,,"43","21.5","Cigna","Commercial","",,"59",,"25.2","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C4","86160","HCPCS","Both",,,"43","21.5","Humana","Commercial","",,"78",,"33.33","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C4","86160","HCPCS","Both",,,"43","21.5","UHC","Commercial","",,"75",,"32.42","15.74","33.33","percent of total billed charges",,
"COMPLEMENT C4","86160","HCPCS","Both",,,"43","21.5","Medicaid",,"",,"37",,"15.74","15.74","33.33","percent of total billed charges",,
"KEPPRA","80177","HCPCS","Both",,,"40","20","Alliant","Health Exchange","",,"62",,"24.8","14.64","31","percent of total billed charges",,
"KEPPRA","80177","HCPCS","Both",,,"40","20","Pruitt Healthcare","Medicare Advantage","",,"54",,"21.6","14.64","31","percent of total billed charges",,
"KEPPRA","80177","HCPCS","Both",,,"40","20","Medicare",,"",,"54",,"21.68","14.64","31","percent of total billed charges",,
"KEPPRA","80177","HCPCS","Both",,,"40","20","Humana","Medicare Advantage","",,"54",,"21.68","14.64","31","percent of total billed charges",,
"KEPPRA","80177","HCPCS","Both",,,"40","20","UHC","Medicare Advantage","",,"54",,"21.68","14.64","31","percent of total billed charges",,
"KEPPRA","80177","HCPCS","Both",,,"40","20","Clover","Medicare Advantage","",,"54",,"21.68","14.64","31","percent of total billed charges",,
"KEPPRA","80177","HCPCS","Both",,,"40","20","Wellcare","Medicare Advantage","",,"54",,"21.68","14.64","31","percent of total billed charges",,
"KEPPRA","80177","HCPCS","Both",,,"40","20","Amerigroup","Medicaid Managed Care","",,"37",,"14.64","14.64","31","percent of total billed charges",,
"KEPPRA","80177","HCPCS","Both",,,"40","20","Caresource","Medicaid Managed Care","",,"40",,"16","14.64","31","percent of total billed charges",,
"KEPPRA","80177","HCPCS","Both",,,"40","20","Wellcare","Medicaid Managed Care","",,"40",,"16.2","14.64","31","percent of total billed charges",,
"KEPPRA","80177","HCPCS","Both",,,"40","20","Aetna","Commercial","",,"64",,"25.52","14.64","31","percent of total billed charges",,
"KEPPRA","80177","HCPCS","Both",,,"40","20","Blue Cross Blue Shield","Pathways","",,"71",,"28.24","14.64","31","percent of total billed charges",,
"KEPPRA","80177","HCPCS","Both",,,"40","20","Blue Cross Blue Shield","HMO","",,"71",,"28.24","14.64","31","percent of total billed charges",,
"KEPPRA","80177","HCPCS","Both",,,"40","20","Blue Cross Blue Shield","PPO","",,"71",,"28.24","14.64","31","percent of total billed charges",,
"KEPPRA","80177","HCPCS","Both",,,"40","20","Ambetter","Health Exchange","",,"62",,"24.8","14.64","31","percent of total billed charges",,
"KEPPRA","80177","HCPCS","Both",,,"40","20","Caresource","Health Exchange","",,"62",,"24.8","14.64","31","percent of total billed charges",,
"KEPPRA","80177","HCPCS","Both",,,"40","20","Cigna","Commercial","",,"59",,"23.44","14.64","31","percent of total billed charges",,
"KEPPRA","80177","HCPCS","Both",,,"40","20","Humana","Commercial","",,"78",,"31","14.64","31","percent of total billed charges",,
"KEPPRA","80177","HCPCS","Both",,,"40","20","UHC","Commercial","",,"75",,"30.16","14.64","31","percent of total billed charges",,
"KEPPRA","80177","HCPCS","Both",,,"40","20","Medicaid",,"",,"37",,"14.64","14.64","31","percent of total billed charges",,
"PSA (MEDICARE > 50 YRS), SCREENING","G0103","HCPCS","Both",,,"19.5","9.75","Alliant","Health Exchange","",,"62",,"12.09","7.14","15.11","percent of total billed charges",,
"PSA (MEDICARE > 50 YRS), SCREENING","G0103","HCPCS","Both",,,"19.5","9.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"10.53","7.14","15.11","percent of total billed charges",,
"PSA (MEDICARE > 50 YRS), SCREENING","G0103","HCPCS","Both",,,"19.5","9.75","Medicare",,"",,"54",,"10.57","7.14","15.11","percent of total billed charges",,
"PSA (MEDICARE > 50 YRS), SCREENING","G0103","HCPCS","Both",,,"19.5","9.75","Humana","Medicare Advantage","",,"54",,"10.57","7.14","15.11","percent of total billed charges",,
"PSA (MEDICARE > 50 YRS), SCREENING","G0103","HCPCS","Both",,,"19.5","9.75","UHC","Medicare Advantage","",,"54",,"10.57","7.14","15.11","percent of total billed charges",,
"PSA (MEDICARE > 50 YRS), SCREENING","G0103","HCPCS","Both",,,"19.5","9.75","Clover","Medicare Advantage","",,"54",,"10.57","7.14","15.11","percent of total billed charges",,
"PSA (MEDICARE > 50 YRS), SCREENING","G0103","HCPCS","Both",,,"19.5","9.75","Wellcare","Medicare Advantage","",,"54",,"10.57","7.14","15.11","percent of total billed charges",,
"PSA (MEDICARE > 50 YRS), SCREENING","G0103","HCPCS","Both",,,"19.5","9.75","Amerigroup","Medicaid Managed Care","",,"37",,"7.14","7.14","15.11","percent of total billed charges",,
"PSA (MEDICARE > 50 YRS), SCREENING","G0103","HCPCS","Both",,,"19.5","9.75","Caresource","Medicaid Managed Care","",,"40",,"7.8","7.14","15.11","percent of total billed charges",,
"PSA (MEDICARE > 50 YRS), SCREENING","G0103","HCPCS","Both",,,"19.5","9.75","Wellcare","Medicaid Managed Care","",,"40",,"7.9","7.14","15.11","percent of total billed charges",,
"PSA (MEDICARE > 50 YRS), SCREENING","G0103","HCPCS","Both",,,"19.5","9.75","Aetna","Commercial","",,"64",,"12.44","7.14","15.11","percent of total billed charges",,
"PSA (MEDICARE > 50 YRS), SCREENING","G0103","HCPCS","Both",,,"19.5","9.75","Blue Cross Blue Shield","Pathways","",,"71",,"13.77","7.14","15.11","percent of total billed charges",,
"PSA (MEDICARE > 50 YRS), SCREENING","G0103","HCPCS","Both",,,"19.5","9.75","Blue Cross Blue Shield","HMO","",,"71",,"13.77","7.14","15.11","percent of total billed charges",,
"PSA (MEDICARE > 50 YRS), SCREENING","G0103","HCPCS","Both",,,"19.5","9.75","Blue Cross Blue Shield","PPO","",,"71",,"13.77","7.14","15.11","percent of total billed charges",,
"PSA (MEDICARE > 50 YRS), SCREENING","G0103","HCPCS","Both",,,"19.5","9.75","Ambetter","Health Exchange","",,"62",,"12.09","7.14","15.11","percent of total billed charges",,
"PSA (MEDICARE > 50 YRS), SCREENING","G0103","HCPCS","Both",,,"19.5","9.75","Caresource","Health Exchange","",,"62",,"12.09","7.14","15.11","percent of total billed charges",,
"PSA (MEDICARE > 50 YRS), SCREENING","G0103","HCPCS","Both",,,"19.5","9.75","Cigna","Commercial","",,"59",,"11.43","7.14","15.11","percent of total billed charges",,
"PSA (MEDICARE > 50 YRS), SCREENING","G0103","HCPCS","Both",,,"19.5","9.75","Humana","Commercial","",,"78",,"15.11","7.14","15.11","percent of total billed charges",,
"PSA (MEDICARE > 50 YRS), SCREENING","G0103","HCPCS","Both",,,"19.5","9.75","UHC","Commercial","",,"75",,"14.7","7.14","15.11","percent of total billed charges",,
"PSA (MEDICARE > 50 YRS), SCREENING","G0103","HCPCS","Both",,,"19.5","9.75","Medicaid",,"",,"37",,"7.14","7.14","15.11","percent of total billed charges",,
"BLOOD TYPING; RBC ANTIGENS OTHER THAN AB","86905","HCPCS","Both",,,"202","101","Alliant","Health Exchange","",,"62",,"125.24","73.93","156.55","percent of total billed charges",,
"BLOOD TYPING; RBC ANTIGENS OTHER THAN AB","86905","HCPCS","Both",,,"202","101","Pruitt Healthcare","Medicare Advantage","",,"54",,"109.08","73.93","156.55","percent of total billed charges",,
"BLOOD TYPING; RBC ANTIGENS OTHER THAN AB","86905","HCPCS","Both",,,"202","101","Medicare",,"",,"54",,"109.48","73.93","156.55","percent of total billed charges",,
"BLOOD TYPING; RBC ANTIGENS OTHER THAN AB","86905","HCPCS","Both",,,"202","101","Humana","Medicare Advantage","",,"54",,"109.48","73.93","156.55","percent of total billed charges",,
"BLOOD TYPING; RBC ANTIGENS OTHER THAN AB","86905","HCPCS","Both",,,"202","101","UHC","Medicare Advantage","",,"54",,"109.48","73.93","156.55","percent of total billed charges",,
"BLOOD TYPING; RBC ANTIGENS OTHER THAN AB","86905","HCPCS","Both",,,"202","101","Clover","Medicare Advantage","",,"54",,"109.48","73.93","156.55","percent of total billed charges",,
"BLOOD TYPING; RBC ANTIGENS OTHER THAN AB","86905","HCPCS","Both",,,"202","101","Wellcare","Medicare Advantage","",,"54",,"109.48","73.93","156.55","percent of total billed charges",,
"BLOOD TYPING; RBC ANTIGENS OTHER THAN AB","86905","HCPCS","Both",,,"202","101","Amerigroup","Medicaid Managed Care","",,"37",,"73.93","73.93","156.55","percent of total billed charges",,
"BLOOD TYPING; RBC ANTIGENS OTHER THAN AB","86905","HCPCS","Both",,,"202","101","Caresource","Medicaid Managed Care","",,"40",,"80.8","73.93","156.55","percent of total billed charges",,
"BLOOD TYPING; RBC ANTIGENS OTHER THAN AB","86905","HCPCS","Both",,,"202","101","Wellcare","Medicaid Managed Care","",,"40",,"81.81","73.93","156.55","percent of total billed charges",,
"BLOOD TYPING; RBC ANTIGENS OTHER THAN AB","86905","HCPCS","Both",,,"202","101","Aetna","Commercial","",,"64",,"128.88","73.93","156.55","percent of total billed charges",,
"BLOOD TYPING; RBC ANTIGENS OTHER THAN AB","86905","HCPCS","Both",,,"202","101","Blue Cross Blue Shield","Pathways","",,"71",,"142.61","73.93","156.55","percent of total billed charges",,
"BLOOD TYPING; RBC ANTIGENS OTHER THAN AB","86905","HCPCS","Both",,,"202","101","Blue Cross Blue Shield","HMO","",,"71",,"142.61","73.93","156.55","percent of total billed charges",,
"BLOOD TYPING; RBC ANTIGENS OTHER THAN AB","86905","HCPCS","Both",,,"202","101","Blue Cross Blue Shield","PPO","",,"71",,"142.61","73.93","156.55","percent of total billed charges",,
"BLOOD TYPING; RBC ANTIGENS OTHER THAN AB","86905","HCPCS","Both",,,"202","101","Ambetter","Health Exchange","",,"62",,"125.24","73.93","156.55","percent of total billed charges",,
"BLOOD TYPING; RBC ANTIGENS OTHER THAN AB","86905","HCPCS","Both",,,"202","101","Caresource","Health Exchange","",,"62",,"125.24","73.93","156.55","percent of total billed charges",,
"BLOOD TYPING; RBC ANTIGENS OTHER THAN AB","86905","HCPCS","Both",,,"202","101","Cigna","Commercial","",,"59",,"118.37","73.93","156.55","percent of total billed charges",,
"BLOOD TYPING; RBC ANTIGENS OTHER THAN AB","86905","HCPCS","Both",,,"202","101","Humana","Commercial","",,"78",,"156.55","73.93","156.55","percent of total billed charges",,
"BLOOD TYPING; RBC ANTIGENS OTHER THAN AB","86905","HCPCS","Both",,,"202","101","UHC","Commercial","",,"75",,"152.31","73.93","156.55","percent of total billed charges",,
"BLOOD TYPING; RBC ANTIGENS OTHER THAN AB","86905","HCPCS","Both",,,"202","101","Medicaid",,"",,"37",,"73.93","73.93","156.55","percent of total billed charges",,
"SPUTUM CULTURE","87070","HCPCS","Both",,,"26","13","Alliant","Health Exchange","",,"62",,"16.12","9.52","20.15","percent of total billed charges",,
"SPUTUM CULTURE","87070","HCPCS","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage","",,"54",,"14.04","9.52","20.15","percent of total billed charges",,
"SPUTUM CULTURE","87070","HCPCS","Both",,,"26","13","Medicare",,"",,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"SPUTUM CULTURE","87070","HCPCS","Both",,,"26","13","Humana","Medicare Advantage","",,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"SPUTUM CULTURE","87070","HCPCS","Both",,,"26","13","UHC","Medicare Advantage","",,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"SPUTUM CULTURE","87070","HCPCS","Both",,,"26","13","Clover","Medicare Advantage","",,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"SPUTUM CULTURE","87070","HCPCS","Both",,,"26","13","Wellcare","Medicare Advantage","",,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"SPUTUM CULTURE","87070","HCPCS","Both",,,"26","13","Amerigroup","Medicaid Managed Care","",,"37",,"9.52","9.52","20.15","percent of total billed charges",,
"SPUTUM CULTURE","87070","HCPCS","Both",,,"26","13","Caresource","Medicaid Managed Care","",,"40",,"10.4","9.52","20.15","percent of total billed charges",,
"SPUTUM CULTURE","87070","HCPCS","Both",,,"26","13","Wellcare","Medicaid Managed Care","",,"40",,"10.53","9.52","20.15","percent of total billed charges",,
"SPUTUM CULTURE","87070","HCPCS","Both",,,"26","13","Aetna","Commercial","",,"64",,"16.59","9.52","20.15","percent of total billed charges",,
"SPUTUM CULTURE","87070","HCPCS","Both",,,"26","13","Blue Cross Blue Shield","Pathways","",,"71",,"18.36","9.52","20.15","percent of total billed charges",,
"SPUTUM CULTURE","87070","HCPCS","Both",,,"26","13","Blue Cross Blue Shield","HMO","",,"71",,"18.36","9.52","20.15","percent of total billed charges",,
"SPUTUM CULTURE","87070","HCPCS","Both",,,"26","13","Blue Cross Blue Shield","PPO","",,"71",,"18.36","9.52","20.15","percent of total billed charges",,
"SPUTUM CULTURE","87070","HCPCS","Both",,,"26","13","Ambetter","Health Exchange","",,"62",,"16.12","9.52","20.15","percent of total billed charges",,
"SPUTUM CULTURE","87070","HCPCS","Both",,,"26","13","Caresource","Health Exchange","",,"62",,"16.12","9.52","20.15","percent of total billed charges",,
"SPUTUM CULTURE","87070","HCPCS","Both",,,"26","13","Cigna","Commercial","",,"59",,"15.24","9.52","20.15","percent of total billed charges",,
"SPUTUM CULTURE","87070","HCPCS","Both",,,"26","13","Humana","Commercial","",,"78",,"20.15","9.52","20.15","percent of total billed charges",,
"SPUTUM CULTURE","87070","HCPCS","Both",,,"26","13","UHC","Commercial","",,"75",,"19.6","9.52","20.15","percent of total billed charges",,
"SPUTUM CULTURE","87070","HCPCS","Both",,,"26","13","Medicaid",,"",,"37",,"9.52","9.52","20.15","percent of total billed charges",,
"ANITBODY ELUTION (RBC), EACH ELUTION","86860","HCPCS","Both",,,"106.5","53.25","Alliant","Health Exchange","",,"62",,"66.03","38.98","82.54","percent of total billed charges",,
"ANITBODY ELUTION (RBC), EACH ELUTION","86860","HCPCS","Both",,,"106.5","53.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"57.51","38.98","82.54","percent of total billed charges",,
"ANITBODY ELUTION (RBC), EACH ELUTION","86860","HCPCS","Both",,,"106.5","53.25","Medicare",,"",,"54",,"57.72","38.98","82.54","percent of total billed charges",,
"ANITBODY ELUTION (RBC), EACH ELUTION","86860","HCPCS","Both",,,"106.5","53.25","Humana","Medicare Advantage","",,"54",,"57.72","38.98","82.54","percent of total billed charges",,
"ANITBODY ELUTION (RBC), EACH ELUTION","86860","HCPCS","Both",,,"106.5","53.25","UHC","Medicare Advantage","",,"54",,"57.72","38.98","82.54","percent of total billed charges",,
"ANITBODY ELUTION (RBC), EACH ELUTION","86860","HCPCS","Both",,,"106.5","53.25","Clover","Medicare Advantage","",,"54",,"57.72","38.98","82.54","percent of total billed charges",,
"ANITBODY ELUTION (RBC), EACH ELUTION","86860","HCPCS","Both",,,"106.5","53.25","Wellcare","Medicare Advantage","",,"54",,"57.72","38.98","82.54","percent of total billed charges",,
"ANITBODY ELUTION (RBC), EACH ELUTION","86860","HCPCS","Both",,,"106.5","53.25","Amerigroup","Medicaid Managed Care","",,"37",,"38.98","38.98","82.54","percent of total billed charges",,
"ANITBODY ELUTION (RBC), EACH ELUTION","86860","HCPCS","Both",,,"106.5","53.25","Caresource","Medicaid Managed Care","",,"40",,"42.6","38.98","82.54","percent of total billed charges",,
"ANITBODY ELUTION (RBC), EACH ELUTION","86860","HCPCS","Both",,,"106.5","53.25","Wellcare","Medicaid Managed Care","",,"40",,"43.13","38.98","82.54","percent of total billed charges",,
"ANITBODY ELUTION (RBC), EACH ELUTION","86860","HCPCS","Both",,,"106.5","53.25","Aetna","Commercial","",,"64",,"67.95","38.98","82.54","percent of total billed charges",,
"ANITBODY ELUTION (RBC), EACH ELUTION","86860","HCPCS","Both",,,"106.5","53.25","Blue Cross Blue Shield","Pathways","",,"71",,"75.19","38.98","82.54","percent of total billed charges",,
"ANITBODY ELUTION (RBC), EACH ELUTION","86860","HCPCS","Both",,,"106.5","53.25","Blue Cross Blue Shield","HMO","",,"71",,"75.19","38.98","82.54","percent of total billed charges",,
"ANITBODY ELUTION (RBC), EACH ELUTION","86860","HCPCS","Both",,,"106.5","53.25","Blue Cross Blue Shield","PPO","",,"71",,"75.19","38.98","82.54","percent of total billed charges",,
"ANITBODY ELUTION (RBC), EACH ELUTION","86860","HCPCS","Both",,,"106.5","53.25","Ambetter","Health Exchange","",,"62",,"66.03","38.98","82.54","percent of total billed charges",,
"ANITBODY ELUTION (RBC), EACH ELUTION","86860","HCPCS","Both",,,"106.5","53.25","Caresource","Health Exchange","",,"62",,"66.03","38.98","82.54","percent of total billed charges",,
"ANITBODY ELUTION (RBC), EACH ELUTION","86860","HCPCS","Both",,,"106.5","53.25","Cigna","Commercial","",,"59",,"62.41","38.98","82.54","percent of total billed charges",,
"ANITBODY ELUTION (RBC), EACH ELUTION","86860","HCPCS","Both",,,"106.5","53.25","Humana","Commercial","",,"78",,"82.54","38.98","82.54","percent of total billed charges",,
"ANITBODY ELUTION (RBC), EACH ELUTION","86860","HCPCS","Both",,,"106.5","53.25","UHC","Commercial","",,"75",,"80.3","38.98","82.54","percent of total billed charges",,
"ANITBODY ELUTION (RBC), EACH ELUTION","86860","HCPCS","Both",,,"106.5","53.25","Medicaid",,"",,"37",,"38.98","38.98","82.54","percent of total billed charges",,
"EPSTEIN BARR VCA IGG","86665","HCPCS","Both",,,"56.5","28.25","Alliant","Health Exchange","",,"62",,"35.03","20.68","43.79","percent of total billed charges",,
"EPSTEIN BARR VCA IGG","86665","HCPCS","Both",,,"56.5","28.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"30.51","20.68","43.79","percent of total billed charges",,
"EPSTEIN BARR VCA IGG","86665","HCPCS","Both",,,"56.5","28.25","Medicare",,"",,"54",,"30.62","20.68","43.79","percent of total billed charges",,
"EPSTEIN BARR VCA IGG","86665","HCPCS","Both",,,"56.5","28.25","Humana","Medicare Advantage","",,"54",,"30.62","20.68","43.79","percent of total billed charges",,
"EPSTEIN BARR VCA IGG","86665","HCPCS","Both",,,"56.5","28.25","UHC","Medicare Advantage","",,"54",,"30.62","20.68","43.79","percent of total billed charges",,
"EPSTEIN BARR VCA IGG","86665","HCPCS","Both",,,"56.5","28.25","Clover","Medicare Advantage","",,"54",,"30.62","20.68","43.79","percent of total billed charges",,
"EPSTEIN BARR VCA IGG","86665","HCPCS","Both",,,"56.5","28.25","Wellcare","Medicare Advantage","",,"54",,"30.62","20.68","43.79","percent of total billed charges",,
"EPSTEIN BARR VCA IGG","86665","HCPCS","Both",,,"56.5","28.25","Amerigroup","Medicaid Managed Care","",,"37",,"20.68","20.68","43.79","percent of total billed charges",,
"EPSTEIN BARR VCA IGG","86665","HCPCS","Both",,,"56.5","28.25","Caresource","Medicaid Managed Care","",,"40",,"22.6","20.68","43.79","percent of total billed charges",,
"EPSTEIN BARR VCA IGG","86665","HCPCS","Both",,,"56.5","28.25","Wellcare","Medicaid Managed Care","",,"40",,"22.88","20.68","43.79","percent of total billed charges",,
"EPSTEIN BARR VCA IGG","86665","HCPCS","Both",,,"56.5","28.25","Aetna","Commercial","",,"64",,"36.05","20.68","43.79","percent of total billed charges",,
"EPSTEIN BARR VCA IGG","86665","HCPCS","Both",,,"56.5","28.25","Blue Cross Blue Shield","Pathways","",,"71",,"39.89","20.68","43.79","percent of total billed charges",,
"EPSTEIN BARR VCA IGG","86665","HCPCS","Both",,,"56.5","28.25","Blue Cross Blue Shield","HMO","",,"71",,"39.89","20.68","43.79","percent of total billed charges",,
"EPSTEIN BARR VCA IGG","86665","HCPCS","Both",,,"56.5","28.25","Blue Cross Blue Shield","PPO","",,"71",,"39.89","20.68","43.79","percent of total billed charges",,
"EPSTEIN BARR VCA IGG","86665","HCPCS","Both",,,"56.5","28.25","Ambetter","Health Exchange","",,"62",,"35.03","20.68","43.79","percent of total billed charges",,
"EPSTEIN BARR VCA IGG","86665","HCPCS","Both",,,"56.5","28.25","Caresource","Health Exchange","",,"62",,"35.03","20.68","43.79","percent of total billed charges",,
"EPSTEIN BARR VCA IGG","86665","HCPCS","Both",,,"56.5","28.25","Cigna","Commercial","",,"59",,"33.11","20.68","43.79","percent of total billed charges",,
"EPSTEIN BARR VCA IGG","86665","HCPCS","Both",,,"56.5","28.25","Humana","Commercial","",,"78",,"43.79","20.68","43.79","percent of total billed charges",,
"EPSTEIN BARR VCA IGG","86665","HCPCS","Both",,,"56.5","28.25","UHC","Commercial","",,"75",,"42.6","20.68","43.79","percent of total billed charges",,
"EPSTEIN BARR VCA IGG","86665","HCPCS","Both",,,"56.5","28.25","Medicaid",,"",,"37",,"20.68","20.68","43.79","percent of total billed charges",,
"COMPATABILITY TEST @ UNIT, INCUBATION TC","86921","HCPCS","Both",,,"157.25","78.625","Alliant","Health Exchange","",,"62",,"97.5","57.55","121.87","percent of total billed charges",,
"COMPATABILITY TEST @ UNIT, INCUBATION TC","86921","HCPCS","Both",,,"157.25","78.625","Pruitt Healthcare","Medicare Advantage","",,"54",,"84.92","57.55","121.87","percent of total billed charges",,
"COMPATABILITY TEST @ UNIT, INCUBATION TC","86921","HCPCS","Both",,,"157.25","78.625","Medicare",,"",,"54",,"85.23","57.55","121.87","percent of total billed charges",,
"COMPATABILITY TEST @ UNIT, INCUBATION TC","86921","HCPCS","Both",,,"157.25","78.625","Humana","Medicare Advantage","",,"54",,"85.23","57.55","121.87","percent of total billed charges",,
"COMPATABILITY TEST @ UNIT, INCUBATION TC","86921","HCPCS","Both",,,"157.25","78.625","UHC","Medicare Advantage","",,"54",,"85.23","57.55","121.87","percent of total billed charges",,
"COMPATABILITY TEST @ UNIT, INCUBATION TC","86921","HCPCS","Both",,,"157.25","78.625","Clover","Medicare Advantage","",,"54",,"85.23","57.55","121.87","percent of total billed charges",,
"COMPATABILITY TEST @ UNIT, INCUBATION TC","86921","HCPCS","Both",,,"157.25","78.625","Wellcare","Medicare Advantage","",,"54",,"85.23","57.55","121.87","percent of total billed charges",,
"COMPATABILITY TEST @ UNIT, INCUBATION TC","86921","HCPCS","Both",,,"157.25","78.625","Amerigroup","Medicaid Managed Care","",,"37",,"57.55","57.55","121.87","percent of total billed charges",,
"COMPATABILITY TEST @ UNIT, INCUBATION TC","86921","HCPCS","Both",,,"157.25","78.625","Caresource","Medicaid Managed Care","",,"40",,"62.9","57.55","121.87","percent of total billed charges",,
"COMPATABILITY TEST @ UNIT, INCUBATION TC","86921","HCPCS","Both",,,"157.25","78.625","Wellcare","Medicaid Managed Care","",,"40",,"63.69","57.55","121.87","percent of total billed charges",,
"COMPATABILITY TEST @ UNIT, INCUBATION TC","86921","HCPCS","Both",,,"157.25","78.625","Aetna","Commercial","",,"64",,"100.33","57.55","121.87","percent of total billed charges",,
"COMPATABILITY TEST @ UNIT, INCUBATION TC","86921","HCPCS","Both",,,"157.25","78.625","Blue Cross Blue Shield","Pathways","",,"71",,"111.02","57.55","121.87","percent of total billed charges",,
"COMPATABILITY TEST @ UNIT, INCUBATION TC","86921","HCPCS","Both",,,"157.25","78.625","Blue Cross Blue Shield","HMO","",,"71",,"111.02","57.55","121.87","percent of total billed charges",,
"COMPATABILITY TEST @ UNIT, INCUBATION TC","86921","HCPCS","Both",,,"157.25","78.625","Blue Cross Blue Shield","PPO","",,"71",,"111.02","57.55","121.87","percent of total billed charges",,
"COMPATABILITY TEST @ UNIT, INCUBATION TC","86921","HCPCS","Both",,,"157.25","78.625","Ambetter","Health Exchange","",,"62",,"97.5","57.55","121.87","percent of total billed charges",,
"COMPATABILITY TEST @ UNIT, INCUBATION TC","86921","HCPCS","Both",,,"157.25","78.625","Caresource","Health Exchange","",,"62",,"97.5","57.55","121.87","percent of total billed charges",,
"COMPATABILITY TEST @ UNIT, INCUBATION TC","86921","HCPCS","Both",,,"157.25","78.625","Cigna","Commercial","",,"59",,"92.15","57.55","121.87","percent of total billed charges",,
"COMPATABILITY TEST @ UNIT, INCUBATION TC","86921","HCPCS","Both",,,"157.25","78.625","Humana","Commercial","",,"78",,"121.87","57.55","121.87","percent of total billed charges",,
"COMPATABILITY TEST @ UNIT, INCUBATION TC","86921","HCPCS","Both",,,"157.25","78.625","UHC","Commercial","",,"75",,"118.57","57.55","121.87","percent of total billed charges",,
"COMPATABILITY TEST @ UNIT, INCUBATION TC","86921","HCPCS","Both",,,"157.25","78.625","Medicaid",,"",,"37",,"57.55","57.55","121.87","percent of total billed charges",,
"COMPATABILITY TEST @ UNIT, ANTIGLOBULIN","86922","HCPCS","Both",,,"157.25","78.625","Alliant","Health Exchange","",,"62",,"97.5","57.55","121.87","percent of total billed charges",,
"COMPATABILITY TEST @ UNIT, ANTIGLOBULIN","86922","HCPCS","Both",,,"157.25","78.625","Pruitt Healthcare","Medicare Advantage","",,"54",,"84.92","57.55","121.87","percent of total billed charges",,
"COMPATABILITY TEST @ UNIT, ANTIGLOBULIN","86922","HCPCS","Both",,,"157.25","78.625","Medicare",,"",,"54",,"85.23","57.55","121.87","percent of total billed charges",,
"COMPATABILITY TEST @ UNIT, ANTIGLOBULIN","86922","HCPCS","Both",,,"157.25","78.625","Humana","Medicare Advantage","",,"54",,"85.23","57.55","121.87","percent of total billed charges",,
"COMPATABILITY TEST @ UNIT, ANTIGLOBULIN","86922","HCPCS","Both",,,"157.25","78.625","UHC","Medicare Advantage","",,"54",,"85.23","57.55","121.87","percent of total billed charges",,
"COMPATABILITY TEST @ UNIT, ANTIGLOBULIN","86922","HCPCS","Both",,,"157.25","78.625","Clover","Medicare Advantage","",,"54",,"85.23","57.55","121.87","percent of total billed charges",,
"COMPATABILITY TEST @ UNIT, ANTIGLOBULIN","86922","HCPCS","Both",,,"157.25","78.625","Wellcare","Medicare Advantage","",,"54",,"85.23","57.55","121.87","percent of total billed charges",,
"COMPATABILITY TEST @ UNIT, ANTIGLOBULIN","86922","HCPCS","Both",,,"157.25","78.625","Amerigroup","Medicaid Managed Care","",,"37",,"57.55","57.55","121.87","percent of total billed charges",,
"COMPATABILITY TEST @ UNIT, ANTIGLOBULIN","86922","HCPCS","Both",,,"157.25","78.625","Caresource","Medicaid Managed Care","",,"40",,"62.9","57.55","121.87","percent of total billed charges",,
"COMPATABILITY TEST @ UNIT, ANTIGLOBULIN","86922","HCPCS","Both",,,"157.25","78.625","Wellcare","Medicaid Managed Care","",,"40",,"63.69","57.55","121.87","percent of total billed charges",,
"COMPATABILITY TEST @ UNIT, ANTIGLOBULIN","86922","HCPCS","Both",,,"157.25","78.625","Aetna","Commercial","",,"64",,"100.33","57.55","121.87","percent of total billed charges",,
"COMPATABILITY TEST @ UNIT, ANTIGLOBULIN","86922","HCPCS","Both",,,"157.25","78.625","Blue Cross Blue Shield","Pathways","",,"71",,"111.02","57.55","121.87","percent of total billed charges",,
"COMPATABILITY TEST @ UNIT, ANTIGLOBULIN","86922","HCPCS","Both",,,"157.25","78.625","Blue Cross Blue Shield","HMO","",,"71",,"111.02","57.55","121.87","percent of total billed charges",,
"COMPATABILITY TEST @ UNIT, ANTIGLOBULIN","86922","HCPCS","Both",,,"157.25","78.625","Blue Cross Blue Shield","PPO","",,"71",,"111.02","57.55","121.87","percent of total billed charges",,
"COMPATABILITY TEST @ UNIT, ANTIGLOBULIN","86922","HCPCS","Both",,,"157.25","78.625","Ambetter","Health Exchange","",,"62",,"97.5","57.55","121.87","percent of total billed charges",,
"COMPATABILITY TEST @ UNIT, ANTIGLOBULIN","86922","HCPCS","Both",,,"157.25","78.625","Caresource","Health Exchange","",,"62",,"97.5","57.55","121.87","percent of total billed charges",,
"COMPATABILITY TEST @ UNIT, ANTIGLOBULIN","86922","HCPCS","Both",,,"157.25","78.625","Cigna","Commercial","",,"59",,"92.15","57.55","121.87","percent of total billed charges",,
"COMPATABILITY TEST @ UNIT, ANTIGLOBULIN","86922","HCPCS","Both",,,"157.25","78.625","Humana","Commercial","",,"78",,"121.87","57.55","121.87","percent of total billed charges",,
"COMPATABILITY TEST @ UNIT, ANTIGLOBULIN","86922","HCPCS","Both",,,"157.25","78.625","UHC","Commercial","",,"75",,"118.57","57.55","121.87","percent of total billed charges",,
"COMPATABILITY TEST @ UNIT, ANTIGLOBULIN","86922","HCPCS","Both",,,"157.25","78.625","Medicaid",,"",,"37",,"57.55","57.55","121.87","percent of total billed charges",,
"ANTITHROMBIN III ACTIVITY","85300","HCPCS","Both",,,"85","42.5","Alliant","Health Exchange","",,"62",,"52.7","31.11","65.88","percent of total billed charges",,
"ANTITHROMBIN III ACTIVITY","85300","HCPCS","Both",,,"85","42.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"45.9","31.11","65.88","percent of total billed charges",,
"ANTITHROMBIN III ACTIVITY","85300","HCPCS","Both",,,"85","42.5","Medicare",,"",,"54",,"46.07","31.11","65.88","percent of total billed charges",,
"ANTITHROMBIN III ACTIVITY","85300","HCPCS","Both",,,"85","42.5","Humana","Medicare Advantage","",,"54",,"46.07","31.11","65.88","percent of total billed charges",,
"ANTITHROMBIN III ACTIVITY","85300","HCPCS","Both",,,"85","42.5","UHC","Medicare Advantage","",,"54",,"46.07","31.11","65.88","percent of total billed charges",,
"ANTITHROMBIN III ACTIVITY","85300","HCPCS","Both",,,"85","42.5","Clover","Medicare Advantage","",,"54",,"46.07","31.11","65.88","percent of total billed charges",,
"ANTITHROMBIN III ACTIVITY","85300","HCPCS","Both",,,"85","42.5","Wellcare","Medicare Advantage","",,"54",,"46.07","31.11","65.88","percent of total billed charges",,
"ANTITHROMBIN III ACTIVITY","85300","HCPCS","Both",,,"85","42.5","Amerigroup","Medicaid Managed Care","",,"37",,"31.11","31.11","65.88","percent of total billed charges",,
"ANTITHROMBIN III ACTIVITY","85300","HCPCS","Both",,,"85","42.5","Caresource","Medicaid Managed Care","",,"40",,"34","31.11","65.88","percent of total billed charges",,
"ANTITHROMBIN III ACTIVITY","85300","HCPCS","Both",,,"85","42.5","Wellcare","Medicaid Managed Care","",,"40",,"34.43","31.11","65.88","percent of total billed charges",,
"ANTITHROMBIN III ACTIVITY","85300","HCPCS","Both",,,"85","42.5","Aetna","Commercial","",,"64",,"54.23","31.11","65.88","percent of total billed charges",,
"ANTITHROMBIN III ACTIVITY","85300","HCPCS","Both",,,"85","42.5","Blue Cross Blue Shield","Pathways","",,"71",,"60.01","31.11","65.88","percent of total billed charges",,
"ANTITHROMBIN III ACTIVITY","85300","HCPCS","Both",,,"85","42.5","Blue Cross Blue Shield","HMO","",,"71",,"60.01","31.11","65.88","percent of total billed charges",,
"ANTITHROMBIN III ACTIVITY","85300","HCPCS","Both",,,"85","42.5","Blue Cross Blue Shield","PPO","",,"71",,"60.01","31.11","65.88","percent of total billed charges",,
"ANTITHROMBIN III ACTIVITY","85300","HCPCS","Both",,,"85","42.5","Ambetter","Health Exchange","",,"62",,"52.7","31.11","65.88","percent of total billed charges",,
"ANTITHROMBIN III ACTIVITY","85300","HCPCS","Both",,,"85","42.5","Caresource","Health Exchange","",,"62",,"52.7","31.11","65.88","percent of total billed charges",,
"ANTITHROMBIN III ACTIVITY","85300","HCPCS","Both",,,"85","42.5","Cigna","Commercial","",,"59",,"49.81","31.11","65.88","percent of total billed charges",,
"ANTITHROMBIN III ACTIVITY","85300","HCPCS","Both",,,"85","42.5","Humana","Commercial","",,"78",,"65.88","31.11","65.88","percent of total billed charges",,
"ANTITHROMBIN III ACTIVITY","85300","HCPCS","Both",,,"85","42.5","UHC","Commercial","",,"75",,"64.09","31.11","65.88","percent of total billed charges",,
"ANTITHROMBIN III ACTIVITY","85300","HCPCS","Both",,,"85","42.5","Medicaid",,"",,"37",,"31.11","31.11","65.88","percent of total billed charges",,
"PROTEIN C ANTIGEN TOTAL","85302","HCPCS","Both",,,"87","43.5","Alliant","Health Exchange","",,"62",,"53.94","31.84","67.42","percent of total billed charges",,
"PROTEIN C ANTIGEN TOTAL","85302","HCPCS","Both",,,"87","43.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"46.98","31.84","67.42","percent of total billed charges",,
"PROTEIN C ANTIGEN TOTAL","85302","HCPCS","Both",,,"87","43.5","Medicare",,"",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"PROTEIN C ANTIGEN TOTAL","85302","HCPCS","Both",,,"87","43.5","Humana","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"PROTEIN C ANTIGEN TOTAL","85302","HCPCS","Both",,,"87","43.5","UHC","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"PROTEIN C ANTIGEN TOTAL","85302","HCPCS","Both",,,"87","43.5","Clover","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"PROTEIN C ANTIGEN TOTAL","85302","HCPCS","Both",,,"87","43.5","Wellcare","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"PROTEIN C ANTIGEN TOTAL","85302","HCPCS","Both",,,"87","43.5","Amerigroup","Medicaid Managed Care","",,"37",,"31.84","31.84","67.42","percent of total billed charges",,
"PROTEIN C ANTIGEN TOTAL","85302","HCPCS","Both",,,"87","43.5","Caresource","Medicaid Managed Care","",,"40",,"34.8","31.84","67.42","percent of total billed charges",,
"PROTEIN C ANTIGEN TOTAL","85302","HCPCS","Both",,,"87","43.5","Wellcare","Medicaid Managed Care","",,"40",,"35.24","31.84","67.42","percent of total billed charges",,
"PROTEIN C ANTIGEN TOTAL","85302","HCPCS","Both",,,"87","43.5","Aetna","Commercial","",,"64",,"55.51","31.84","67.42","percent of total billed charges",,
"PROTEIN C ANTIGEN TOTAL","85302","HCPCS","Both",,,"87","43.5","Blue Cross Blue Shield","Pathways","",,"71",,"61.42","31.84","67.42","percent of total billed charges",,
"PROTEIN C ANTIGEN TOTAL","85302","HCPCS","Both",,,"87","43.5","Blue Cross Blue Shield","HMO","",,"71",,"61.42","31.84","67.42","percent of total billed charges",,
"PROTEIN C ANTIGEN TOTAL","85302","HCPCS","Both",,,"87","43.5","Blue Cross Blue Shield","PPO","",,"71",,"61.42","31.84","67.42","percent of total billed charges",,
"PROTEIN C ANTIGEN TOTAL","85302","HCPCS","Both",,,"87","43.5","Ambetter","Health Exchange","",,"62",,"53.94","31.84","67.42","percent of total billed charges",,
"PROTEIN C ANTIGEN TOTAL","85302","HCPCS","Both",,,"87","43.5","Caresource","Health Exchange","",,"62",,"53.94","31.84","67.42","percent of total billed charges",,
"PROTEIN C ANTIGEN TOTAL","85302","HCPCS","Both",,,"87","43.5","Cigna","Commercial","",,"59",,"50.98","31.84","67.42","percent of total billed charges",,
"PROTEIN C ANTIGEN TOTAL","85302","HCPCS","Both",,,"87","43.5","Humana","Commercial","",,"78",,"67.42","31.84","67.42","percent of total billed charges",,
"PROTEIN C ANTIGEN TOTAL","85302","HCPCS","Both",,,"87","43.5","UHC","Commercial","",,"75",,"65.6","31.84","67.42","percent of total billed charges",,
"PROTEIN C ANTIGEN TOTAL","85302","HCPCS","Both",,,"87","43.5","Medicaid",,"",,"37",,"31.84","31.84","67.42","percent of total billed charges",,
"PROTEIN S ANTIGEN TOTAL","85305","HCPCS","Both",,,"153","76.5","Alliant","Health Exchange","",,"62",,"94.86","56","118.58","percent of total billed charges",,
"PROTEIN S ANTIGEN TOTAL","85305","HCPCS","Both",,,"153","76.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"82.62","56","118.58","percent of total billed charges",,
"PROTEIN S ANTIGEN TOTAL","85305","HCPCS","Both",,,"153","76.5","Medicare",,"",,"54",,"82.93","56","118.58","percent of total billed charges",,
"PROTEIN S ANTIGEN TOTAL","85305","HCPCS","Both",,,"153","76.5","Humana","Medicare Advantage","",,"54",,"82.93","56","118.58","percent of total billed charges",,
"PROTEIN S ANTIGEN TOTAL","85305","HCPCS","Both",,,"153","76.5","UHC","Medicare Advantage","",,"54",,"82.93","56","118.58","percent of total billed charges",,
"PROTEIN S ANTIGEN TOTAL","85305","HCPCS","Both",,,"153","76.5","Clover","Medicare Advantage","",,"54",,"82.93","56","118.58","percent of total billed charges",,
"PROTEIN S ANTIGEN TOTAL","85305","HCPCS","Both",,,"153","76.5","Wellcare","Medicare Advantage","",,"54",,"82.93","56","118.58","percent of total billed charges",,
"PROTEIN S ANTIGEN TOTAL","85305","HCPCS","Both",,,"153","76.5","Amerigroup","Medicaid Managed Care","",,"37",,"56","56","118.58","percent of total billed charges",,
"PROTEIN S ANTIGEN TOTAL","85305","HCPCS","Both",,,"153","76.5","Caresource","Medicaid Managed Care","",,"40",,"61.2","56","118.58","percent of total billed charges",,
"PROTEIN S ANTIGEN TOTAL","85305","HCPCS","Both",,,"153","76.5","Wellcare","Medicaid Managed Care","",,"40",,"61.96","56","118.58","percent of total billed charges",,
"PROTEIN S ANTIGEN TOTAL","85305","HCPCS","Both",,,"153","76.5","Aetna","Commercial","",,"64",,"97.61","56","118.58","percent of total billed charges",,
"PROTEIN S ANTIGEN TOTAL","85305","HCPCS","Both",,,"153","76.5","Blue Cross Blue Shield","Pathways","",,"71",,"108.02","56","118.58","percent of total billed charges",,
"PROTEIN S ANTIGEN TOTAL","85305","HCPCS","Both",,,"153","76.5","Blue Cross Blue Shield","HMO","",,"71",,"108.02","56","118.58","percent of total billed charges",,
"PROTEIN S ANTIGEN TOTAL","85305","HCPCS","Both",,,"153","76.5","Blue Cross Blue Shield","PPO","",,"71",,"108.02","56","118.58","percent of total billed charges",,
"PROTEIN S ANTIGEN TOTAL","85305","HCPCS","Both",,,"153","76.5","Ambetter","Health Exchange","",,"62",,"94.86","56","118.58","percent of total billed charges",,
"PROTEIN S ANTIGEN TOTAL","85305","HCPCS","Both",,,"153","76.5","Caresource","Health Exchange","",,"62",,"94.86","56","118.58","percent of total billed charges",,
"PROTEIN S ANTIGEN TOTAL","85305","HCPCS","Both",,,"153","76.5","Cigna","Commercial","",,"59",,"89.66","56","118.58","percent of total billed charges",,
"PROTEIN S ANTIGEN TOTAL","85305","HCPCS","Both",,,"153","76.5","Humana","Commercial","",,"78",,"118.58","56","118.58","percent of total billed charges",,
"PROTEIN S ANTIGEN TOTAL","85305","HCPCS","Both",,,"153","76.5","UHC","Commercial","",,"75",,"115.36","56","118.58","percent of total billed charges",,
"PROTEIN S ANTIGEN TOTAL","85305","HCPCS","Both",,,"153","76.5","Medicaid",,"",,"37",,"56","56","118.58","percent of total billed charges",,
"CULTURE ORGANISM ID","87077","HCPCS","Both",,,"11.5","5.75","Alliant","Health Exchange","",,"62",,"7.13","4.21","8.91","percent of total billed charges",,
"CULTURE ORGANISM ID","87077","HCPCS","Both",,,"11.5","5.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"6.21","4.21","8.91","percent of total billed charges",,
"CULTURE ORGANISM ID","87077","HCPCS","Both",,,"11.5","5.75","Medicare",,"",,"54",,"6.23","4.21","8.91","percent of total billed charges",,
"CULTURE ORGANISM ID","87077","HCPCS","Both",,,"11.5","5.75","Humana","Medicare Advantage","",,"54",,"6.23","4.21","8.91","percent of total billed charges",,
"CULTURE ORGANISM ID","87077","HCPCS","Both",,,"11.5","5.75","UHC","Medicare Advantage","",,"54",,"6.23","4.21","8.91","percent of total billed charges",,
"CULTURE ORGANISM ID","87077","HCPCS","Both",,,"11.5","5.75","Clover","Medicare Advantage","",,"54",,"6.23","4.21","8.91","percent of total billed charges",,
"CULTURE ORGANISM ID","87077","HCPCS","Both",,,"11.5","5.75","Wellcare","Medicare Advantage","",,"54",,"6.23","4.21","8.91","percent of total billed charges",,
"CULTURE ORGANISM ID","87077","HCPCS","Both",,,"11.5","5.75","Amerigroup","Medicaid Managed Care","",,"37",,"4.21","4.21","8.91","percent of total billed charges",,
"CULTURE ORGANISM ID","87077","HCPCS","Both",,,"11.5","5.75","Caresource","Medicaid Managed Care","",,"40",,"4.6","4.21","8.91","percent of total billed charges",,
"CULTURE ORGANISM ID","87077","HCPCS","Both",,,"11.5","5.75","Wellcare","Medicaid Managed Care","",,"40",,"4.66","4.21","8.91","percent of total billed charges",,
"CULTURE ORGANISM ID","87077","HCPCS","Both",,,"11.5","5.75","Aetna","Commercial","",,"64",,"7.34","4.21","8.91","percent of total billed charges",,
"CULTURE ORGANISM ID","87077","HCPCS","Both",,,"11.5","5.75","Blue Cross Blue Shield","Pathways","",,"71",,"8.12","4.21","8.91","percent of total billed charges",,
"CULTURE ORGANISM ID","87077","HCPCS","Both",,,"11.5","5.75","Blue Cross Blue Shield","HMO","",,"71",,"8.12","4.21","8.91","percent of total billed charges",,
"CULTURE ORGANISM ID","87077","HCPCS","Both",,,"11.5","5.75","Blue Cross Blue Shield","PPO","",,"71",,"8.12","4.21","8.91","percent of total billed charges",,
"CULTURE ORGANISM ID","87077","HCPCS","Both",,,"11.5","5.75","Ambetter","Health Exchange","",,"62",,"7.13","4.21","8.91","percent of total billed charges",,
"CULTURE ORGANISM ID","87077","HCPCS","Both",,,"11.5","5.75","Caresource","Health Exchange","",,"62",,"7.13","4.21","8.91","percent of total billed charges",,
"CULTURE ORGANISM ID","87077","HCPCS","Both",,,"11.5","5.75","Cigna","Commercial","",,"59",,"6.74","4.21","8.91","percent of total billed charges",,
"CULTURE ORGANISM ID","87077","HCPCS","Both",,,"11.5","5.75","Humana","Commercial","",,"78",,"8.91","4.21","8.91","percent of total billed charges",,
"CULTURE ORGANISM ID","87077","HCPCS","Both",,,"11.5","5.75","UHC","Commercial","",,"75",,"8.67","4.21","8.91","percent of total billed charges",,
"CULTURE ORGANISM ID","87077","HCPCS","Both",,,"11.5","5.75","Medicaid",,"",,"37",,"4.21","4.21","8.91","percent of total billed charges",,
"CULTURE, BODY FLUID","87070","HCPCS","Both",,,"26","13","Alliant","Health Exchange","",,"62",,"16.12","9.52","20.15","percent of total billed charges",,
"CULTURE, BODY FLUID","87070","HCPCS","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage","",,"54",,"14.04","9.52","20.15","percent of total billed charges",,
"CULTURE, BODY FLUID","87070","HCPCS","Both",,,"26","13","Medicare",,"",,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"CULTURE, BODY FLUID","87070","HCPCS","Both",,,"26","13","Humana","Medicare Advantage","",,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"CULTURE, BODY FLUID","87070","HCPCS","Both",,,"26","13","UHC","Medicare Advantage","",,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"CULTURE, BODY FLUID","87070","HCPCS","Both",,,"26","13","Clover","Medicare Advantage","",,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"CULTURE, BODY FLUID","87070","HCPCS","Both",,,"26","13","Wellcare","Medicare Advantage","",,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"CULTURE, BODY FLUID","87070","HCPCS","Both",,,"26","13","Amerigroup","Medicaid Managed Care","",,"37",,"9.52","9.52","20.15","percent of total billed charges",,
"CULTURE, BODY FLUID","87070","HCPCS","Both",,,"26","13","Caresource","Medicaid Managed Care","",,"40",,"10.4","9.52","20.15","percent of total billed charges",,
"CULTURE, BODY FLUID","87070","HCPCS","Both",,,"26","13","Wellcare","Medicaid Managed Care","",,"40",,"10.53","9.52","20.15","percent of total billed charges",,
"CULTURE, BODY FLUID","87070","HCPCS","Both",,,"26","13","Aetna","Commercial","",,"64",,"16.59","9.52","20.15","percent of total billed charges",,
"CULTURE, BODY FLUID","87070","HCPCS","Both",,,"26","13","Blue Cross Blue Shield","Pathways","",,"71",,"18.36","9.52","20.15","percent of total billed charges",,
"CULTURE, BODY FLUID","87070","HCPCS","Both",,,"26","13","Blue Cross Blue Shield","HMO","",,"71",,"18.36","9.52","20.15","percent of total billed charges",,
"CULTURE, BODY FLUID","87070","HCPCS","Both",,,"26","13","Blue Cross Blue Shield","PPO","",,"71",,"18.36","9.52","20.15","percent of total billed charges",,
"CULTURE, BODY FLUID","87070","HCPCS","Both",,,"26","13","Ambetter","Health Exchange","",,"62",,"16.12","9.52","20.15","percent of total billed charges",,
"CULTURE, BODY FLUID","87070","HCPCS","Both",,,"26","13","Caresource","Health Exchange","",,"62",,"16.12","9.52","20.15","percent of total billed charges",,
"CULTURE, BODY FLUID","87070","HCPCS","Both",,,"26","13","Cigna","Commercial","",,"59",,"15.24","9.52","20.15","percent of total billed charges",,
"CULTURE, BODY FLUID","87070","HCPCS","Both",,,"26","13","Humana","Commercial","",,"78",,"20.15","9.52","20.15","percent of total billed charges",,
"CULTURE, BODY FLUID","87070","HCPCS","Both",,,"26","13","UHC","Commercial","",,"75",,"19.6","9.52","20.15","percent of total billed charges",,
"CULTURE, BODY FLUID","87070","HCPCS","Both",,,"26","13","Medicaid",,"",,"37",,"9.52","9.52","20.15","percent of total billed charges",,
"METHYLMALONIC ACID;SERUM","83921","HCPCS","Both",,,"26.5","13.25","Alliant","Health Exchange","",,"62",,"16.43","9.7","20.54","percent of total billed charges",,
"METHYLMALONIC ACID;SERUM","83921","HCPCS","Both",,,"26.5","13.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"14.31","9.7","20.54","percent of total billed charges",,
"METHYLMALONIC ACID;SERUM","83921","HCPCS","Both",,,"26.5","13.25","Medicare",,"",,"54",,"14.36","9.7","20.54","percent of total billed charges",,
"METHYLMALONIC ACID;SERUM","83921","HCPCS","Both",,,"26.5","13.25","Humana","Medicare Advantage","",,"54",,"14.36","9.7","20.54","percent of total billed charges",,
"METHYLMALONIC ACID;SERUM","83921","HCPCS","Both",,,"26.5","13.25","UHC","Medicare Advantage","",,"54",,"14.36","9.7","20.54","percent of total billed charges",,
"METHYLMALONIC ACID;SERUM","83921","HCPCS","Both",,,"26.5","13.25","Clover","Medicare Advantage","",,"54",,"14.36","9.7","20.54","percent of total billed charges",,
"METHYLMALONIC ACID;SERUM","83921","HCPCS","Both",,,"26.5","13.25","Wellcare","Medicare Advantage","",,"54",,"14.36","9.7","20.54","percent of total billed charges",,
"METHYLMALONIC ACID;SERUM","83921","HCPCS","Both",,,"26.5","13.25","Amerigroup","Medicaid Managed Care","",,"37",,"9.7","9.7","20.54","percent of total billed charges",,
"METHYLMALONIC ACID;SERUM","83921","HCPCS","Both",,,"26.5","13.25","Caresource","Medicaid Managed Care","",,"40",,"10.6","9.7","20.54","percent of total billed charges",,
"METHYLMALONIC ACID;SERUM","83921","HCPCS","Both",,,"26.5","13.25","Wellcare","Medicaid Managed Care","",,"40",,"10.73","9.7","20.54","percent of total billed charges",,
"METHYLMALONIC ACID;SERUM","83921","HCPCS","Both",,,"26.5","13.25","Aetna","Commercial","",,"64",,"16.91","9.7","20.54","percent of total billed charges",,
"METHYLMALONIC ACID;SERUM","83921","HCPCS","Both",,,"26.5","13.25","Blue Cross Blue Shield","Pathways","",,"71",,"18.71","9.7","20.54","percent of total billed charges",,
"METHYLMALONIC ACID;SERUM","83921","HCPCS","Both",,,"26.5","13.25","Blue Cross Blue Shield","HMO","",,"71",,"18.71","9.7","20.54","percent of total billed charges",,
"METHYLMALONIC ACID;SERUM","83921","HCPCS","Both",,,"26.5","13.25","Blue Cross Blue Shield","PPO","",,"71",,"18.71","9.7","20.54","percent of total billed charges",,
"METHYLMALONIC ACID;SERUM","83921","HCPCS","Both",,,"26.5","13.25","Ambetter","Health Exchange","",,"62",,"16.43","9.7","20.54","percent of total billed charges",,
"METHYLMALONIC ACID;SERUM","83921","HCPCS","Both",,,"26.5","13.25","Caresource","Health Exchange","",,"62",,"16.43","9.7","20.54","percent of total billed charges",,
"METHYLMALONIC ACID;SERUM","83921","HCPCS","Both",,,"26.5","13.25","Cigna","Commercial","",,"59",,"15.53","9.7","20.54","percent of total billed charges",,
"METHYLMALONIC ACID;SERUM","83921","HCPCS","Both",,,"26.5","13.25","Humana","Commercial","",,"78",,"20.54","9.7","20.54","percent of total billed charges",,
"METHYLMALONIC ACID;SERUM","83921","HCPCS","Both",,,"26.5","13.25","UHC","Commercial","",,"75",,"19.98","9.7","20.54","percent of total billed charges",,
"METHYLMALONIC ACID;SERUM","83921","HCPCS","Both",,,"26.5","13.25","Medicaid",,"",,"37",,"9.7","9.7","20.54","percent of total billed charges",,
"URINALYSIS, DIP STICK","81003","HCPCS","Both",,,"11","5.5","Alliant","Health Exchange","",,"62",,"6.82","4.03","8.52","percent of total billed charges",,
"URINALYSIS, DIP STICK","81003","HCPCS","Both",,,"11","5.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"5.94","4.03","8.52","percent of total billed charges",,
"URINALYSIS, DIP STICK","81003","HCPCS","Both",,,"11","5.5","Medicare",,"",,"54",,"5.96","4.03","8.52","percent of total billed charges",,
"URINALYSIS, DIP STICK","81003","HCPCS","Both",,,"11","5.5","Humana","Medicare Advantage","",,"54",,"5.96","4.03","8.52","percent of total billed charges",,
"URINALYSIS, DIP STICK","81003","HCPCS","Both",,,"11","5.5","UHC","Medicare Advantage","",,"54",,"5.96","4.03","8.52","percent of total billed charges",,
"URINALYSIS, DIP STICK","81003","HCPCS","Both",,,"11","5.5","Clover","Medicare Advantage","",,"54",,"5.96","4.03","8.52","percent of total billed charges",,
"URINALYSIS, DIP STICK","81003","HCPCS","Both",,,"11","5.5","Wellcare","Medicare Advantage","",,"54",,"5.96","4.03","8.52","percent of total billed charges",,
"URINALYSIS, DIP STICK","81003","HCPCS","Both",,,"11","5.5","Amerigroup","Medicaid Managed Care","",,"37",,"4.03","4.03","8.52","percent of total billed charges",,
"URINALYSIS, DIP STICK","81003","HCPCS","Both",,,"11","5.5","Caresource","Medicaid Managed Care","",,"40",,"4.4","4.03","8.52","percent of total billed charges",,
"URINALYSIS, DIP STICK","81003","HCPCS","Both",,,"11","5.5","Wellcare","Medicaid Managed Care","",,"40",,"4.46","4.03","8.52","percent of total billed charges",,
"URINALYSIS, DIP STICK","81003","HCPCS","Both",,,"11","5.5","Aetna","Commercial","",,"64",,"7.02","4.03","8.52","percent of total billed charges",,
"URINALYSIS, DIP STICK","81003","HCPCS","Both",,,"11","5.5","Blue Cross Blue Shield","Pathways","",,"71",,"7.77","4.03","8.52","percent of total billed charges",,
"URINALYSIS, DIP STICK","81003","HCPCS","Both",,,"11","5.5","Blue Cross Blue Shield","HMO","",,"71",,"7.77","4.03","8.52","percent of total billed charges",,
"URINALYSIS, DIP STICK","81003","HCPCS","Both",,,"11","5.5","Blue Cross Blue Shield","PPO","",,"71",,"7.77","4.03","8.52","percent of total billed charges",,
"URINALYSIS, DIP STICK","81003","HCPCS","Both",,,"11","5.5","Ambetter","Health Exchange","",,"62",,"6.82","4.03","8.52","percent of total billed charges",,
"URINALYSIS, DIP STICK","81003","HCPCS","Both",,,"11","5.5","Caresource","Health Exchange","",,"62",,"6.82","4.03","8.52","percent of total billed charges",,
"URINALYSIS, DIP STICK","81003","HCPCS","Both",,,"11","5.5","Cigna","Commercial","",,"59",,"6.45","4.03","8.52","percent of total billed charges",,
"URINALYSIS, DIP STICK","81003","HCPCS","Both",,,"11","5.5","Humana","Commercial","",,"78",,"8.52","4.03","8.52","percent of total billed charges",,
"URINALYSIS, DIP STICK","81003","HCPCS","Both",,,"11","5.5","UHC","Commercial","",,"75",,"8.29","4.03","8.52","percent of total billed charges",,
"URINALYSIS, DIP STICK","81003","HCPCS","Both",,,"11","5.5","Medicaid",,"",,"37",,"4.03","4.03","8.52","percent of total billed charges",,
"EHRLICHIA CHAFFEENSIS AB IGG/IGM","86666","HCPCS","Both",,,"73.5","36.75","Alliant","Health Exchange","",,"62",,"45.57","26.9","56.96","percent of total billed charges",,
"EHRLICHIA CHAFFEENSIS AB IGG/IGM","86666","HCPCS","Both",,,"73.5","36.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"39.69","26.9","56.96","percent of total billed charges",,
"EHRLICHIA CHAFFEENSIS AB IGG/IGM","86666","HCPCS","Both",,,"73.5","36.75","Medicare",,"",,"54",,"39.84","26.9","56.96","percent of total billed charges",,
"EHRLICHIA CHAFFEENSIS AB IGG/IGM","86666","HCPCS","Both",,,"73.5","36.75","Humana","Medicare Advantage","",,"54",,"39.84","26.9","56.96","percent of total billed charges",,
"EHRLICHIA CHAFFEENSIS AB IGG/IGM","86666","HCPCS","Both",,,"73.5","36.75","UHC","Medicare Advantage","",,"54",,"39.84","26.9","56.96","percent of total billed charges",,
"EHRLICHIA CHAFFEENSIS AB IGG/IGM","86666","HCPCS","Both",,,"73.5","36.75","Clover","Medicare Advantage","",,"54",,"39.84","26.9","56.96","percent of total billed charges",,
"EHRLICHIA CHAFFEENSIS AB IGG/IGM","86666","HCPCS","Both",,,"73.5","36.75","Wellcare","Medicare Advantage","",,"54",,"39.84","26.9","56.96","percent of total billed charges",,
"EHRLICHIA CHAFFEENSIS AB IGG/IGM","86666","HCPCS","Both",,,"73.5","36.75","Amerigroup","Medicaid Managed Care","",,"37",,"26.9","26.9","56.96","percent of total billed charges",,
"EHRLICHIA CHAFFEENSIS AB IGG/IGM","86666","HCPCS","Both",,,"73.5","36.75","Caresource","Medicaid Managed Care","",,"40",,"29.4","26.9","56.96","percent of total billed charges",,
"EHRLICHIA CHAFFEENSIS AB IGG/IGM","86666","HCPCS","Both",,,"73.5","36.75","Wellcare","Medicaid Managed Care","",,"40",,"29.77","26.9","56.96","percent of total billed charges",,
"EHRLICHIA CHAFFEENSIS AB IGG/IGM","86666","HCPCS","Both",,,"73.5","36.75","Aetna","Commercial","",,"64",,"46.89","26.9","56.96","percent of total billed charges",,
"EHRLICHIA CHAFFEENSIS AB IGG/IGM","86666","HCPCS","Both",,,"73.5","36.75","Blue Cross Blue Shield","Pathways","",,"71",,"51.89","26.9","56.96","percent of total billed charges",,
"EHRLICHIA CHAFFEENSIS AB IGG/IGM","86666","HCPCS","Both",,,"73.5","36.75","Blue Cross Blue Shield","HMO","",,"71",,"51.89","26.9","56.96","percent of total billed charges",,
"EHRLICHIA CHAFFEENSIS AB IGG/IGM","86666","HCPCS","Both",,,"73.5","36.75","Blue Cross Blue Shield","PPO","",,"71",,"51.89","26.9","56.96","percent of total billed charges",,
"EHRLICHIA CHAFFEENSIS AB IGG/IGM","86666","HCPCS","Both",,,"73.5","36.75","Ambetter","Health Exchange","",,"62",,"45.57","26.9","56.96","percent of total billed charges",,
"EHRLICHIA CHAFFEENSIS AB IGG/IGM","86666","HCPCS","Both",,,"73.5","36.75","Caresource","Health Exchange","",,"62",,"45.57","26.9","56.96","percent of total billed charges",,
"EHRLICHIA CHAFFEENSIS AB IGG/IGM","86666","HCPCS","Both",,,"73.5","36.75","Cigna","Commercial","",,"59",,"43.07","26.9","56.96","percent of total billed charges",,
"EHRLICHIA CHAFFEENSIS AB IGG/IGM","86666","HCPCS","Both",,,"73.5","36.75","Humana","Commercial","",,"78",,"56.96","26.9","56.96","percent of total billed charges",,
"EHRLICHIA CHAFFEENSIS AB IGG/IGM","86666","HCPCS","Both",,,"73.5","36.75","UHC","Commercial","",,"75",,"55.42","26.9","56.96","percent of total billed charges",,
"EHRLICHIA CHAFFEENSIS AB IGG/IGM","86666","HCPCS","Both",,,"73.5","36.75","Medicaid",,"",,"37",,"26.9","26.9","56.96","percent of total billed charges",,
"GONADOTROPIN, (HCG); QUANTITATIVE","84702","HCPCS","Both",,,"26.35","13.175","Alliant","Health Exchange","",,"62",,"16.34","9.64","20.42","percent of total billed charges",,
"GONADOTROPIN, (HCG); QUANTITATIVE","84702","HCPCS","Both",,,"26.35","13.175","Pruitt Healthcare","Medicare Advantage","",,"54",,"14.23","9.64","20.42","percent of total billed charges",,
"GONADOTROPIN, (HCG); QUANTITATIVE","84702","HCPCS","Both",,,"26.35","13.175","Medicare",,"",,"54",,"14.28","9.64","20.42","percent of total billed charges",,
"GONADOTROPIN, (HCG); QUANTITATIVE","84702","HCPCS","Both",,,"26.35","13.175","Humana","Medicare Advantage","",,"54",,"14.28","9.64","20.42","percent of total billed charges",,
"GONADOTROPIN, (HCG); QUANTITATIVE","84702","HCPCS","Both",,,"26.35","13.175","UHC","Medicare Advantage","",,"54",,"14.28","9.64","20.42","percent of total billed charges",,
"GONADOTROPIN, (HCG); QUANTITATIVE","84702","HCPCS","Both",,,"26.35","13.175","Clover","Medicare Advantage","",,"54",,"14.28","9.64","20.42","percent of total billed charges",,
"GONADOTROPIN, (HCG); QUANTITATIVE","84702","HCPCS","Both",,,"26.35","13.175","Wellcare","Medicare Advantage","",,"54",,"14.28","9.64","20.42","percent of total billed charges",,
"GONADOTROPIN, (HCG); QUANTITATIVE","84702","HCPCS","Both",,,"26.35","13.175","Amerigroup","Medicaid Managed Care","",,"37",,"9.64","9.64","20.42","percent of total billed charges",,
"GONADOTROPIN, (HCG); QUANTITATIVE","84702","HCPCS","Both",,,"26.35","13.175","Caresource","Medicaid Managed Care","",,"40",,"10.54","9.64","20.42","percent of total billed charges",,
"GONADOTROPIN, (HCG); QUANTITATIVE","84702","HCPCS","Both",,,"26.35","13.175","Wellcare","Medicaid Managed Care","",,"40",,"10.67","9.64","20.42","percent of total billed charges",,
"GONADOTROPIN, (HCG); QUANTITATIVE","84702","HCPCS","Both",,,"26.35","13.175","Aetna","Commercial","",,"64",,"16.81","9.64","20.42","percent of total billed charges",,
"GONADOTROPIN, (HCG); QUANTITATIVE","84702","HCPCS","Both",,,"26.35","13.175","Blue Cross Blue Shield","Pathways","",,"71",,"18.6","9.64","20.42","percent of total billed charges",,
"GONADOTROPIN, (HCG); QUANTITATIVE","84702","HCPCS","Both",,,"26.35","13.175","Blue Cross Blue Shield","HMO","",,"71",,"18.6","9.64","20.42","percent of total billed charges",,
"GONADOTROPIN, (HCG); QUANTITATIVE","84702","HCPCS","Both",,,"26.35","13.175","Blue Cross Blue Shield","PPO","",,"71",,"18.6","9.64","20.42","percent of total billed charges",,
"GONADOTROPIN, (HCG); QUANTITATIVE","84702","HCPCS","Both",,,"26.35","13.175","Ambetter","Health Exchange","",,"62",,"16.34","9.64","20.42","percent of total billed charges",,
"GONADOTROPIN, (HCG); QUANTITATIVE","84702","HCPCS","Both",,,"26.35","13.175","Caresource","Health Exchange","",,"62",,"16.34","9.64","20.42","percent of total billed charges",,
"GONADOTROPIN, (HCG); QUANTITATIVE","84702","HCPCS","Both",,,"26.35","13.175","Cigna","Commercial","",,"59",,"15.44","9.64","20.42","percent of total billed charges",,
"GONADOTROPIN, (HCG); QUANTITATIVE","84702","HCPCS","Both",,,"26.35","13.175","Humana","Commercial","",,"78",,"20.42","9.64","20.42","percent of total billed charges",,
"GONADOTROPIN, (HCG); QUANTITATIVE","84702","HCPCS","Both",,,"26.35","13.175","UHC","Commercial","",,"75",,"19.87","9.64","20.42","percent of total billed charges",,
"GONADOTROPIN, (HCG); QUANTITATIVE","84702","HCPCS","Both",,,"26.35","13.175","Medicaid",,"",,"37",,"9.64","9.64","20.42","percent of total billed charges",,
"D-dimer, QUANTITATIVE","85379","HCPCS","Both",,,"15","7.5","Alliant","Health Exchange","",,"62",,"9.3","5.49","11.62","percent of total billed charges",,
"D-dimer, QUANTITATIVE","85379","HCPCS","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"8.1","5.49","11.62","percent of total billed charges",,
"D-dimer, QUANTITATIVE","85379","HCPCS","Both",,,"15","7.5","Medicare",,"",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"D-dimer, QUANTITATIVE","85379","HCPCS","Both",,,"15","7.5","Humana","Medicare Advantage","",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"D-dimer, QUANTITATIVE","85379","HCPCS","Both",,,"15","7.5","UHC","Medicare Advantage","",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"D-dimer, QUANTITATIVE","85379","HCPCS","Both",,,"15","7.5","Clover","Medicare Advantage","",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"D-dimer, QUANTITATIVE","85379","HCPCS","Both",,,"15","7.5","Wellcare","Medicare Advantage","",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"D-dimer, QUANTITATIVE","85379","HCPCS","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care","",,"37",,"5.49","5.49","11.62","percent of total billed charges",,
"D-dimer, QUANTITATIVE","85379","HCPCS","Both",,,"15","7.5","Caresource","Medicaid Managed Care","",,"40",,"6","5.49","11.62","percent of total billed charges",,
"D-dimer, QUANTITATIVE","85379","HCPCS","Both",,,"15","7.5","Wellcare","Medicaid Managed Care","",,"40",,"6.08","5.49","11.62","percent of total billed charges",,
"D-dimer, QUANTITATIVE","85379","HCPCS","Both",,,"15","7.5","Aetna","Commercial","",,"64",,"9.57","5.49","11.62","percent of total billed charges",,
"D-dimer, QUANTITATIVE","85379","HCPCS","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways","",,"71",,"10.59","5.49","11.62","percent of total billed charges",,
"D-dimer, QUANTITATIVE","85379","HCPCS","Both",,,"15","7.5","Blue Cross Blue Shield","HMO","",,"71",,"10.59","5.49","11.62","percent of total billed charges",,
"D-dimer, QUANTITATIVE","85379","HCPCS","Both",,,"15","7.5","Blue Cross Blue Shield","PPO","",,"71",,"10.59","5.49","11.62","percent of total billed charges",,
"D-dimer, QUANTITATIVE","85379","HCPCS","Both",,,"15","7.5","Ambetter","Health Exchange","",,"62",,"9.3","5.49","11.62","percent of total billed charges",,
"D-dimer, QUANTITATIVE","85379","HCPCS","Both",,,"15","7.5","Caresource","Health Exchange","",,"62",,"9.3","5.49","11.62","percent of total billed charges",,
"D-dimer, QUANTITATIVE","85379","HCPCS","Both",,,"15","7.5","Cigna","Commercial","",,"59",,"8.79","5.49","11.62","percent of total billed charges",,
"D-dimer, QUANTITATIVE","85379","HCPCS","Both",,,"15","7.5","Humana","Commercial","",,"78",,"11.62","5.49","11.62","percent of total billed charges",,
"D-dimer, QUANTITATIVE","85379","HCPCS","Both",,,"15","7.5","UHC","Commercial","",,"75",,"11.31","5.49","11.62","percent of total billed charges",,
"D-dimer, QUANTITATIVE","85379","HCPCS","Both",,,"15","7.5","Medicaid",,"",,"37",,"5.49","5.49","11.62","percent of total billed charges",,
"HOMOCYSTEINE","83090","HCPCS","Both",,,"33","16.5","Alliant","Health Exchange","",,"62",,"20.46","12.08","25.58","percent of total billed charges",,
"HOMOCYSTEINE","83090","HCPCS","Both",,,"33","16.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"17.82","12.08","25.58","percent of total billed charges",,
"HOMOCYSTEINE","83090","HCPCS","Both",,,"33","16.5","Medicare",,"",,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"HOMOCYSTEINE","83090","HCPCS","Both",,,"33","16.5","Humana","Medicare Advantage","",,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"HOMOCYSTEINE","83090","HCPCS","Both",,,"33","16.5","UHC","Medicare Advantage","",,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"HOMOCYSTEINE","83090","HCPCS","Both",,,"33","16.5","Clover","Medicare Advantage","",,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"HOMOCYSTEINE","83090","HCPCS","Both",,,"33","16.5","Wellcare","Medicare Advantage","",,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"HOMOCYSTEINE","83090","HCPCS","Both",,,"33","16.5","Amerigroup","Medicaid Managed Care","",,"37",,"12.08","12.08","25.58","percent of total billed charges",,
"HOMOCYSTEINE","83090","HCPCS","Both",,,"33","16.5","Caresource","Medicaid Managed Care","",,"40",,"13.2","12.08","25.58","percent of total billed charges",,
"HOMOCYSTEINE","83090","HCPCS","Both",,,"33","16.5","Wellcare","Medicaid Managed Care","",,"40",,"13.36","12.08","25.58","percent of total billed charges",,
"HOMOCYSTEINE","83090","HCPCS","Both",,,"33","16.5","Aetna","Commercial","",,"64",,"21.05","12.08","25.58","percent of total billed charges",,
"HOMOCYSTEINE","83090","HCPCS","Both",,,"33","16.5","Blue Cross Blue Shield","Pathways","",,"71",,"23.3","12.08","25.58","percent of total billed charges",,
"HOMOCYSTEINE","83090","HCPCS","Both",,,"33","16.5","Blue Cross Blue Shield","HMO","",,"71",,"23.3","12.08","25.58","percent of total billed charges",,
"HOMOCYSTEINE","83090","HCPCS","Both",,,"33","16.5","Blue Cross Blue Shield","PPO","",,"71",,"23.3","12.08","25.58","percent of total billed charges",,
"HOMOCYSTEINE","83090","HCPCS","Both",,,"33","16.5","Ambetter","Health Exchange","",,"62",,"20.46","12.08","25.58","percent of total billed charges",,
"HOMOCYSTEINE","83090","HCPCS","Both",,,"33","16.5","Caresource","Health Exchange","",,"62",,"20.46","12.08","25.58","percent of total billed charges",,
"HOMOCYSTEINE","83090","HCPCS","Both",,,"33","16.5","Cigna","Commercial","",,"59",,"19.34","12.08","25.58","percent of total billed charges",,
"HOMOCYSTEINE","83090","HCPCS","Both",,,"33","16.5","Humana","Commercial","",,"78",,"25.58","12.08","25.58","percent of total billed charges",,
"HOMOCYSTEINE","83090","HCPCS","Both",,,"33","16.5","UHC","Commercial","",,"75",,"24.88","12.08","25.58","percent of total billed charges",,
"HOMOCYSTEINE","83090","HCPCS","Both",,,"33","16.5","Medicaid",,"",,"37",,"12.08","12.08","25.58","percent of total billed charges",,
"FACTOR V ACTIVITY","85220","HCPCS","Both",,,"126.5","63.25","Alliant","Health Exchange","",,"62",,"78.43","46.3","98.04","percent of total billed charges",,
"FACTOR V ACTIVITY","85220","HCPCS","Both",,,"126.5","63.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"68.31","46.3","98.04","percent of total billed charges",,
"FACTOR V ACTIVITY","85220","HCPCS","Both",,,"126.5","63.25","Medicare",,"",,"54",,"68.56","46.3","98.04","percent of total billed charges",,
"FACTOR V ACTIVITY","85220","HCPCS","Both",,,"126.5","63.25","Humana","Medicare Advantage","",,"54",,"68.56","46.3","98.04","percent of total billed charges",,
"FACTOR V ACTIVITY","85220","HCPCS","Both",,,"126.5","63.25","UHC","Medicare Advantage","",,"54",,"68.56","46.3","98.04","percent of total billed charges",,
"FACTOR V ACTIVITY","85220","HCPCS","Both",,,"126.5","63.25","Clover","Medicare Advantage","",,"54",,"68.56","46.3","98.04","percent of total billed charges",,
"FACTOR V ACTIVITY","85220","HCPCS","Both",,,"126.5","63.25","Wellcare","Medicare Advantage","",,"54",,"68.56","46.3","98.04","percent of total billed charges",,
"FACTOR V ACTIVITY","85220","HCPCS","Both",,,"126.5","63.25","Amerigroup","Medicaid Managed Care","",,"37",,"46.3","46.3","98.04","percent of total billed charges",,
"FACTOR V ACTIVITY","85220","HCPCS","Both",,,"126.5","63.25","Caresource","Medicaid Managed Care","",,"40",,"50.6","46.3","98.04","percent of total billed charges",,
"FACTOR V ACTIVITY","85220","HCPCS","Both",,,"126.5","63.25","Wellcare","Medicaid Managed Care","",,"40",,"51.23","46.3","98.04","percent of total billed charges",,
"FACTOR V ACTIVITY","85220","HCPCS","Both",,,"126.5","63.25","Aetna","Commercial","",,"64",,"80.71","46.3","98.04","percent of total billed charges",,
"FACTOR V ACTIVITY","85220","HCPCS","Both",,,"126.5","63.25","Blue Cross Blue Shield","Pathways","",,"71",,"89.31","46.3","98.04","percent of total billed charges",,
"FACTOR V ACTIVITY","85220","HCPCS","Both",,,"126.5","63.25","Blue Cross Blue Shield","HMO","",,"71",,"89.31","46.3","98.04","percent of total billed charges",,
"FACTOR V ACTIVITY","85220","HCPCS","Both",,,"126.5","63.25","Blue Cross Blue Shield","PPO","",,"71",,"89.31","46.3","98.04","percent of total billed charges",,
"FACTOR V ACTIVITY","85220","HCPCS","Both",,,"126.5","63.25","Ambetter","Health Exchange","",,"62",,"78.43","46.3","98.04","percent of total billed charges",,
"FACTOR V ACTIVITY","85220","HCPCS","Both",,,"126.5","63.25","Caresource","Health Exchange","",,"62",,"78.43","46.3","98.04","percent of total billed charges",,
"FACTOR V ACTIVITY","85220","HCPCS","Both",,,"126.5","63.25","Cigna","Commercial","",,"59",,"74.13","46.3","98.04","percent of total billed charges",,
"FACTOR V ACTIVITY","85220","HCPCS","Both",,,"126.5","63.25","Humana","Commercial","",,"78",,"98.04","46.3","98.04","percent of total billed charges",,
"FACTOR V ACTIVITY","85220","HCPCS","Both",,,"126.5","63.25","UHC","Commercial","",,"75",,"95.38","46.3","98.04","percent of total billed charges",,
"FACTOR V ACTIVITY","85220","HCPCS","Both",,,"126.5","63.25","Medicaid",,"",,"37",,"46.3","46.3","98.04","percent of total billed charges",,
"FACTOR II ACTIVITY","85210","HCPCS","Both",,,"93","46.5","Alliant","Health Exchange","",,"62",,"57.66","34.04","72.08","percent of total billed charges",,
"FACTOR II ACTIVITY","85210","HCPCS","Both",,,"93","46.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"50.22","34.04","72.08","percent of total billed charges",,
"FACTOR II ACTIVITY","85210","HCPCS","Both",,,"93","46.5","Medicare",,"",,"54",,"50.41","34.04","72.08","percent of total billed charges",,
"FACTOR II ACTIVITY","85210","HCPCS","Both",,,"93","46.5","Humana","Medicare Advantage","",,"54",,"50.41","34.04","72.08","percent of total billed charges",,
"FACTOR II ACTIVITY","85210","HCPCS","Both",,,"93","46.5","UHC","Medicare Advantage","",,"54",,"50.41","34.04","72.08","percent of total billed charges",,
"FACTOR II ACTIVITY","85210","HCPCS","Both",,,"93","46.5","Clover","Medicare Advantage","",,"54",,"50.41","34.04","72.08","percent of total billed charges",,
"FACTOR II ACTIVITY","85210","HCPCS","Both",,,"93","46.5","Wellcare","Medicare Advantage","",,"54",,"50.41","34.04","72.08","percent of total billed charges",,
"FACTOR II ACTIVITY","85210","HCPCS","Both",,,"93","46.5","Amerigroup","Medicaid Managed Care","",,"37",,"34.04","34.04","72.08","percent of total billed charges",,
"FACTOR II ACTIVITY","85210","HCPCS","Both",,,"93","46.5","Caresource","Medicaid Managed Care","",,"40",,"37.2","34.04","72.08","percent of total billed charges",,
"FACTOR II ACTIVITY","85210","HCPCS","Both",,,"93","46.5","Wellcare","Medicaid Managed Care","",,"40",,"37.66","34.04","72.08","percent of total billed charges",,
"FACTOR II ACTIVITY","85210","HCPCS","Both",,,"93","46.5","Aetna","Commercial","",,"64",,"59.33","34.04","72.08","percent of total billed charges",,
"FACTOR II ACTIVITY","85210","HCPCS","Both",,,"93","46.5","Blue Cross Blue Shield","Pathways","",,"71",,"65.66","34.04","72.08","percent of total billed charges",,
"FACTOR II ACTIVITY","85210","HCPCS","Both",,,"93","46.5","Blue Cross Blue Shield","HMO","",,"71",,"65.66","34.04","72.08","percent of total billed charges",,
"FACTOR II ACTIVITY","85210","HCPCS","Both",,,"93","46.5","Blue Cross Blue Shield","PPO","",,"71",,"65.66","34.04","72.08","percent of total billed charges",,
"FACTOR II ACTIVITY","85210","HCPCS","Both",,,"93","46.5","Ambetter","Health Exchange","",,"62",,"57.66","34.04","72.08","percent of total billed charges",,
"FACTOR II ACTIVITY","85210","HCPCS","Both",,,"93","46.5","Caresource","Health Exchange","",,"62",,"57.66","34.04","72.08","percent of total billed charges",,
"FACTOR II ACTIVITY","85210","HCPCS","Both",,,"93","46.5","Cigna","Commercial","",,"59",,"54.5","34.04","72.08","percent of total billed charges",,
"FACTOR II ACTIVITY","85210","HCPCS","Both",,,"93","46.5","Humana","Commercial","",,"78",,"72.08","34.04","72.08","percent of total billed charges",,
"FACTOR II ACTIVITY","85210","HCPCS","Both",,,"93","46.5","UHC","Commercial","",,"75",,"70.12","34.04","72.08","percent of total billed charges",,
"FACTOR II ACTIVITY","85210","HCPCS","Both",,,"93","46.5","Medicaid",,"",,"37",,"34.04","34.04","72.08","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLASMA @ UNIT","P9017","HCPCS","Both",,,"246","123","Alliant","Health Exchange","BL",,"62",,"152.52","90.04","190.65","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLASMA @ UNIT","P9017","HCPCS","Both",,,"246","123","Pruitt Healthcare","Medicare Advantage","BL",,"54",,"132.84","90.04","190.65","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLASMA @ UNIT","P9017","HCPCS","Both",,,"246","123","Medicare",,"BL",,"54",,"133.33","90.04","190.65","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLASMA @ UNIT","P9017","HCPCS","Both",,,"246","123","Humana","Medicare Advantage","BL",,"54",,"133.33","90.04","190.65","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLASMA @ UNIT","P9017","HCPCS","Both",,,"246","123","UHC","Medicare Advantage","BL",,"54",,"133.33","90.04","190.65","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLASMA @ UNIT","P9017","HCPCS","Both",,,"246","123","Clover","Medicare Advantage","BL",,"54",,"133.33","90.04","190.65","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLASMA @ UNIT","P9017","HCPCS","Both",,,"246","123","Wellcare","Medicare Advantage","BL",,"54",,"133.33","90.04","190.65","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLASMA @ UNIT","P9017","HCPCS","Both",,,"246","123","Amerigroup","Medicaid Managed Care","BL",,"37",,"90.04","90.04","190.65","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLASMA @ UNIT","P9017","HCPCS","Both",,,"246","123","Caresource","Medicaid Managed Care","BL",,"40",,"98.4","90.04","190.65","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLASMA @ UNIT","P9017","HCPCS","Both",,,"246","123","Wellcare","Medicaid Managed Care","BL",,"40",,"99.63","90.04","190.65","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLASMA @ UNIT","P9017","HCPCS","Both",,,"246","123","Aetna","Commercial","BL",,"64",,"156.95","90.04","190.65","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLASMA @ UNIT","P9017","HCPCS","Both",,,"246","123","Blue Cross Blue Shield","Pathways","BL",,"71",,"173.68","90.04","190.65","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLASMA @ UNIT","P9017","HCPCS","Both",,,"246","123","Blue Cross Blue Shield","HMO","BL",,"71",,"173.68","90.04","190.65","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLASMA @ UNIT","P9017","HCPCS","Both",,,"246","123","Blue Cross Blue Shield","PPO","BL",,"71",,"173.68","90.04","190.65","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLASMA @ UNIT","P9017","HCPCS","Both",,,"246","123","Ambetter","Health Exchange","BL",,"62",,"152.52","90.04","190.65","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLASMA @ UNIT","P9017","HCPCS","Both",,,"246","123","Caresource","Health Exchange","BL",,"62",,"152.52","90.04","190.65","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLASMA @ UNIT","P9017","HCPCS","Both",,,"246","123","Cigna","Commercial","BL",,"59",,"144.16","90.04","190.65","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLASMA @ UNIT","P9017","HCPCS","Both",,,"246","123","Humana","Commercial","BL",,"78",,"190.65","90.04","190.65","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLASMA @ UNIT","P9017","HCPCS","Both",,,"246","123","UHC","Commercial","BL",,"75",,"185.48","90.04","190.65","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLASMA @ UNIT","P9017","HCPCS","Both",,,"246","123","Medicaid",,"BL",,"37",,"90.04","90.04","190.65","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLATELETS @ UNI","P9019","HCPCS","Both",,,"280.5","140.25","Alliant","Health Exchange","BL",,"62",,"173.91","102.66","217.39","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLATELETS @ UNI","P9019","HCPCS","Both",,,"280.5","140.25","Pruitt Healthcare","Medicare Advantage","BL",,"54",,"151.47","102.66","217.39","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLATELETS @ UNI","P9019","HCPCS","Both",,,"280.5","140.25","Medicare",,"BL",,"54",,"152.03","102.66","217.39","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLATELETS @ UNI","P9019","HCPCS","Both",,,"280.5","140.25","Humana","Medicare Advantage","BL",,"54",,"152.03","102.66","217.39","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLATELETS @ UNI","P9019","HCPCS","Both",,,"280.5","140.25","UHC","Medicare Advantage","BL",,"54",,"152.03","102.66","217.39","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLATELETS @ UNI","P9019","HCPCS","Both",,,"280.5","140.25","Clover","Medicare Advantage","BL",,"54",,"152.03","102.66","217.39","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLATELETS @ UNI","P9019","HCPCS","Both",,,"280.5","140.25","Wellcare","Medicare Advantage","BL",,"54",,"152.03","102.66","217.39","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLATELETS @ UNI","P9019","HCPCS","Both",,,"280.5","140.25","Amerigroup","Medicaid Managed Care","BL",,"37",,"102.66","102.66","217.39","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLATELETS @ UNI","P9019","HCPCS","Both",,,"280.5","140.25","Caresource","Medicaid Managed Care","BL",,"40",,"112.2","102.66","217.39","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLATELETS @ UNI","P9019","HCPCS","Both",,,"280.5","140.25","Wellcare","Medicaid Managed Care","BL",,"40",,"113.6","102.66","217.39","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLATELETS @ UNI","P9019","HCPCS","Both",,,"280.5","140.25","Aetna","Commercial","BL",,"64",,"178.96","102.66","217.39","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLATELETS @ UNI","P9019","HCPCS","Both",,,"280.5","140.25","Blue Cross Blue Shield","Pathways","BL",,"71",,"198.03","102.66","217.39","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLATELETS @ UNI","P9019","HCPCS","Both",,,"280.5","140.25","Blue Cross Blue Shield","HMO","BL",,"71",,"198.03","102.66","217.39","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLATELETS @ UNI","P9019","HCPCS","Both",,,"280.5","140.25","Blue Cross Blue Shield","PPO","BL",,"71",,"198.03","102.66","217.39","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLATELETS @ UNI","P9019","HCPCS","Both",,,"280.5","140.25","Ambetter","Health Exchange","BL",,"62",,"173.91","102.66","217.39","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLATELETS @ UNI","P9019","HCPCS","Both",,,"280.5","140.25","Caresource","Health Exchange","BL",,"62",,"173.91","102.66","217.39","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLATELETS @ UNI","P9019","HCPCS","Both",,,"280.5","140.25","Cigna","Commercial","BL",,"59",,"164.37","102.66","217.39","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLATELETS @ UNI","P9019","HCPCS","Both",,,"280.5","140.25","Humana","Commercial","BL",,"78",,"217.39","102.66","217.39","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLATELETS @ UNI","P9019","HCPCS","Both",,,"280.5","140.25","UHC","Commercial","BL",,"75",,"211.5","102.66","217.39","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLATELETS @ UNI","P9019","HCPCS","Both",,,"280.5","140.25","Medicaid",,"BL",,"37",,"102.66","102.66","217.39","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE RBC'S @ UNIT","P9021","HCPCS","Both",,,"615.5","307.75","Alliant","Health Exchange","BL",,"62",,"381.61","225.27","477.01","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE RBC'S @ UNIT","P9021","HCPCS","Both",,,"615.5","307.75","Pruitt Healthcare","Medicare Advantage","BL",,"54",,"332.37","225.27","477.01","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE RBC'S @ UNIT","P9021","HCPCS","Both",,,"615.5","307.75","Medicare",,"BL",,"54",,"333.6","225.27","477.01","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE RBC'S @ UNIT","P9021","HCPCS","Both",,,"615.5","307.75","Humana","Medicare Advantage","BL",,"54",,"333.6","225.27","477.01","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE RBC'S @ UNIT","P9021","HCPCS","Both",,,"615.5","307.75","UHC","Medicare Advantage","BL",,"54",,"333.6","225.27","477.01","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE RBC'S @ UNIT","P9021","HCPCS","Both",,,"615.5","307.75","Clover","Medicare Advantage","BL",,"54",,"333.6","225.27","477.01","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE RBC'S @ UNIT","P9021","HCPCS","Both",,,"615.5","307.75","Wellcare","Medicare Advantage","BL",,"54",,"333.6","225.27","477.01","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE RBC'S @ UNIT","P9021","HCPCS","Both",,,"615.5","307.75","Amerigroup","Medicaid Managed Care","BL",,"37",,"225.27","225.27","477.01","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE RBC'S @ UNIT","P9021","HCPCS","Both",,,"615.5","307.75","Caresource","Medicaid Managed Care","BL",,"40",,"246.2","225.27","477.01","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE RBC'S @ UNIT","P9021","HCPCS","Both",,,"615.5","307.75","Wellcare","Medicaid Managed Care","BL",,"40",,"249.28","225.27","477.01","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE RBC'S @ UNIT","P9021","HCPCS","Both",,,"615.5","307.75","Aetna","Commercial","BL",,"64",,"392.69","225.27","477.01","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE RBC'S @ UNIT","P9021","HCPCS","Both",,,"615.5","307.75","Blue Cross Blue Shield","Pathways","BL",,"71",,"434.54","225.27","477.01","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE RBC'S @ UNIT","P9021","HCPCS","Both",,,"615.5","307.75","Blue Cross Blue Shield","HMO","BL",,"71",,"434.54","225.27","477.01","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE RBC'S @ UNIT","P9021","HCPCS","Both",,,"615.5","307.75","Blue Cross Blue Shield","PPO","BL",,"71",,"434.54","225.27","477.01","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE RBC'S @ UNIT","P9021","HCPCS","Both",,,"615.5","307.75","Ambetter","Health Exchange","BL",,"62",,"381.61","225.27","477.01","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE RBC'S @ UNIT","P9021","HCPCS","Both",,,"615.5","307.75","Caresource","Health Exchange","BL",,"62",,"381.61","225.27","477.01","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE RBC'S @ UNIT","P9021","HCPCS","Both",,,"615.5","307.75","Cigna","Commercial","BL",,"59",,"360.68","225.27","477.01","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE RBC'S @ UNIT","P9021","HCPCS","Both",,,"615.5","307.75","Humana","Commercial","BL",,"78",,"477.01","225.27","477.01","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE RBC'S @ UNIT","P9021","HCPCS","Both",,,"615.5","307.75","UHC","Commercial","BL",,"75",,"464.09","225.27","477.01","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE RBC'S @ UNIT","P9021","HCPCS","Both",,,"615.5","307.75","Medicaid",,"BL",,"37",,"225.27","225.27","477.01","percent of total billed charges",,
"OCCULT BLOOD, GASTRIC","82271","HCPCS","Both",,,"6.5","3.25","Alliant","Health Exchange","",,"62",,"4.03","2.38","5.04","percent of total billed charges",,
"OCCULT BLOOD, GASTRIC","82271","HCPCS","Both",,,"6.5","3.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"3.51","2.38","5.04","percent of total billed charges",,
"OCCULT BLOOD, GASTRIC","82271","HCPCS","Both",,,"6.5","3.25","Medicare",,"",,"54",,"3.52","2.38","5.04","percent of total billed charges",,
"OCCULT BLOOD, GASTRIC","82271","HCPCS","Both",,,"6.5","3.25","Humana","Medicare Advantage","",,"54",,"3.52","2.38","5.04","percent of total billed charges",,
"OCCULT BLOOD, GASTRIC","82271","HCPCS","Both",,,"6.5","3.25","UHC","Medicare Advantage","",,"54",,"3.52","2.38","5.04","percent of total billed charges",,
"OCCULT BLOOD, GASTRIC","82271","HCPCS","Both",,,"6.5","3.25","Clover","Medicare Advantage","",,"54",,"3.52","2.38","5.04","percent of total billed charges",,
"OCCULT BLOOD, GASTRIC","82271","HCPCS","Both",,,"6.5","3.25","Wellcare","Medicare Advantage","",,"54",,"3.52","2.38","5.04","percent of total billed charges",,
"OCCULT BLOOD, GASTRIC","82271","HCPCS","Both",,,"6.5","3.25","Amerigroup","Medicaid Managed Care","",,"37",,"2.38","2.38","5.04","percent of total billed charges",,
"OCCULT BLOOD, GASTRIC","82271","HCPCS","Both",,,"6.5","3.25","Caresource","Medicaid Managed Care","",,"40",,"2.6","2.38","5.04","percent of total billed charges",,
"OCCULT BLOOD, GASTRIC","82271","HCPCS","Both",,,"6.5","3.25","Wellcare","Medicaid Managed Care","",,"40",,"2.63","2.38","5.04","percent of total billed charges",,
"OCCULT BLOOD, GASTRIC","82271","HCPCS","Both",,,"6.5","3.25","Aetna","Commercial","",,"64",,"4.15","2.38","5.04","percent of total billed charges",,
"OCCULT BLOOD, GASTRIC","82271","HCPCS","Both",,,"6.5","3.25","Blue Cross Blue Shield","Pathways","",,"71",,"4.59","2.38","5.04","percent of total billed charges",,
"OCCULT BLOOD, GASTRIC","82271","HCPCS","Both",,,"6.5","3.25","Blue Cross Blue Shield","HMO","",,"71",,"4.59","2.38","5.04","percent of total billed charges",,
"OCCULT BLOOD, GASTRIC","82271","HCPCS","Both",,,"6.5","3.25","Blue Cross Blue Shield","PPO","",,"71",,"4.59","2.38","5.04","percent of total billed charges",,
"OCCULT BLOOD, GASTRIC","82271","HCPCS","Both",,,"6.5","3.25","Ambetter","Health Exchange","",,"62",,"4.03","2.38","5.04","percent of total billed charges",,
"OCCULT BLOOD, GASTRIC","82271","HCPCS","Both",,,"6.5","3.25","Caresource","Health Exchange","",,"62",,"4.03","2.38","5.04","percent of total billed charges",,
"OCCULT BLOOD, GASTRIC","82271","HCPCS","Both",,,"6.5","3.25","Cigna","Commercial","",,"59",,"3.81","2.38","5.04","percent of total billed charges",,
"OCCULT BLOOD, GASTRIC","82271","HCPCS","Both",,,"6.5","3.25","Humana","Commercial","",,"78",,"5.04","2.38","5.04","percent of total billed charges",,
"OCCULT BLOOD, GASTRIC","82271","HCPCS","Both",,,"6.5","3.25","UHC","Commercial","",,"75",,"4.9","2.38","5.04","percent of total billed charges",,
"OCCULT BLOOD, GASTRIC","82271","HCPCS","Both",,,"6.5","3.25","Medicaid",,"",,"37",,"2.38","2.38","5.04","percent of total billed charges",,
"PH, BODY FLUID, EXCEPT BLOOD","83986","HCPCS","Both",,,"27","13.5","Alliant","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"PH, BODY FLUID, EXCEPT BLOOD","83986","HCPCS","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"14.58","9.88","20.92","percent of total billed charges",,
"PH, BODY FLUID, EXCEPT BLOOD","83986","HCPCS","Both",,,"27","13.5","Medicare",,"",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PH, BODY FLUID, EXCEPT BLOOD","83986","HCPCS","Both",,,"27","13.5","Humana","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PH, BODY FLUID, EXCEPT BLOOD","83986","HCPCS","Both",,,"27","13.5","UHC","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PH, BODY FLUID, EXCEPT BLOOD","83986","HCPCS","Both",,,"27","13.5","Clover","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PH, BODY FLUID, EXCEPT BLOOD","83986","HCPCS","Both",,,"27","13.5","Wellcare","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PH, BODY FLUID, EXCEPT BLOOD","83986","HCPCS","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care","",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"PH, BODY FLUID, EXCEPT BLOOD","83986","HCPCS","Both",,,"27","13.5","Caresource","Medicaid Managed Care","",,"40",,"10.8","9.88","20.92","percent of total billed charges",,
"PH, BODY FLUID, EXCEPT BLOOD","83986","HCPCS","Both",,,"27","13.5","Wellcare","Medicaid Managed Care","",,"40",,"10.94","9.88","20.92","percent of total billed charges",,
"PH, BODY FLUID, EXCEPT BLOOD","83986","HCPCS","Both",,,"27","13.5","Aetna","Commercial","",,"64",,"17.23","9.88","20.92","percent of total billed charges",,
"PH, BODY FLUID, EXCEPT BLOOD","83986","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"PH, BODY FLUID, EXCEPT BLOOD","83986","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","HMO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"PH, BODY FLUID, EXCEPT BLOOD","83986","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","PPO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"PH, BODY FLUID, EXCEPT BLOOD","83986","HCPCS","Both",,,"27","13.5","Ambetter","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"PH, BODY FLUID, EXCEPT BLOOD","83986","HCPCS","Both",,,"27","13.5","Caresource","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"PH, BODY FLUID, EXCEPT BLOOD","83986","HCPCS","Both",,,"27","13.5","Cigna","Commercial","",,"59",,"15.82","9.88","20.92","percent of total billed charges",,
"PH, BODY FLUID, EXCEPT BLOOD","83986","HCPCS","Both",,,"27","13.5","Humana","Commercial","",,"78",,"20.92","9.88","20.92","percent of total billed charges",,
"PH, BODY FLUID, EXCEPT BLOOD","83986","HCPCS","Both",,,"27","13.5","UHC","Commercial","",,"75",,"20.36","9.88","20.92","percent of total billed charges",,
"PH, BODY FLUID, EXCEPT BLOOD","83986","HCPCS","Both",,,"27","13.5","Medicaid",,"",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"LIPOPROTEIN (a)","83695","HCPCS","Both",,,"93","46.5","Alliant","Health Exchange","",,"62",,"57.66","34.04","72.08","percent of total billed charges",,
"LIPOPROTEIN (a)","83695","HCPCS","Both",,,"93","46.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"50.22","34.04","72.08","percent of total billed charges",,
"LIPOPROTEIN (a)","83695","HCPCS","Both",,,"93","46.5","Medicare",,"",,"54",,"50.41","34.04","72.08","percent of total billed charges",,
"LIPOPROTEIN (a)","83695","HCPCS","Both",,,"93","46.5","Humana","Medicare Advantage","",,"54",,"50.41","34.04","72.08","percent of total billed charges",,
"LIPOPROTEIN (a)","83695","HCPCS","Both",,,"93","46.5","UHC","Medicare Advantage","",,"54",,"50.41","34.04","72.08","percent of total billed charges",,
"LIPOPROTEIN (a)","83695","HCPCS","Both",,,"93","46.5","Clover","Medicare Advantage","",,"54",,"50.41","34.04","72.08","percent of total billed charges",,
"LIPOPROTEIN (a)","83695","HCPCS","Both",,,"93","46.5","Wellcare","Medicare Advantage","",,"54",,"50.41","34.04","72.08","percent of total billed charges",,
"LIPOPROTEIN (a)","83695","HCPCS","Both",,,"93","46.5","Amerigroup","Medicaid Managed Care","",,"37",,"34.04","34.04","72.08","percent of total billed charges",,
"LIPOPROTEIN (a)","83695","HCPCS","Both",,,"93","46.5","Caresource","Medicaid Managed Care","",,"40",,"37.2","34.04","72.08","percent of total billed charges",,
"LIPOPROTEIN (a)","83695","HCPCS","Both",,,"93","46.5","Wellcare","Medicaid Managed Care","",,"40",,"37.66","34.04","72.08","percent of total billed charges",,
"LIPOPROTEIN (a)","83695","HCPCS","Both",,,"93","46.5","Aetna","Commercial","",,"64",,"59.33","34.04","72.08","percent of total billed charges",,
"LIPOPROTEIN (a)","83695","HCPCS","Both",,,"93","46.5","Blue Cross Blue Shield","Pathways","",,"71",,"65.66","34.04","72.08","percent of total billed charges",,
"LIPOPROTEIN (a)","83695","HCPCS","Both",,,"93","46.5","Blue Cross Blue Shield","HMO","",,"71",,"65.66","34.04","72.08","percent of total billed charges",,
"LIPOPROTEIN (a)","83695","HCPCS","Both",,,"93","46.5","Blue Cross Blue Shield","PPO","",,"71",,"65.66","34.04","72.08","percent of total billed charges",,
"LIPOPROTEIN (a)","83695","HCPCS","Both",,,"93","46.5","Ambetter","Health Exchange","",,"62",,"57.66","34.04","72.08","percent of total billed charges",,
"LIPOPROTEIN (a)","83695","HCPCS","Both",,,"93","46.5","Caresource","Health Exchange","",,"62",,"57.66","34.04","72.08","percent of total billed charges",,
"LIPOPROTEIN (a)","83695","HCPCS","Both",,,"93","46.5","Cigna","Commercial","",,"59",,"54.5","34.04","72.08","percent of total billed charges",,
"LIPOPROTEIN (a)","83695","HCPCS","Both",,,"93","46.5","Humana","Commercial","",,"78",,"72.08","34.04","72.08","percent of total billed charges",,
"LIPOPROTEIN (a)","83695","HCPCS","Both",,,"93","46.5","UHC","Commercial","",,"75",,"70.12","34.04","72.08","percent of total billed charges",,
"LIPOPROTEIN (a)","83695","HCPCS","Both",,,"93","46.5","Medicaid",,"",,"37",,"34.04","34.04","72.08","percent of total billed charges",,
"LIPOPROTEIN, BLOOD; QUANT PART NUMBERS","83704","HCPCS","Both",,,"226.5","113.25","Alliant","Health Exchange","",,"62",,"140.43","82.9","175.54","percent of total billed charges",,
"LIPOPROTEIN, BLOOD; QUANT PART NUMBERS","83704","HCPCS","Both",,,"226.5","113.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"122.31","82.9","175.54","percent of total billed charges",,
"LIPOPROTEIN, BLOOD; QUANT PART NUMBERS","83704","HCPCS","Both",,,"226.5","113.25","Medicare",,"",,"54",,"122.76","82.9","175.54","percent of total billed charges",,
"LIPOPROTEIN, BLOOD; QUANT PART NUMBERS","83704","HCPCS","Both",,,"226.5","113.25","Humana","Medicare Advantage","",,"54",,"122.76","82.9","175.54","percent of total billed charges",,
"LIPOPROTEIN, BLOOD; QUANT PART NUMBERS","83704","HCPCS","Both",,,"226.5","113.25","UHC","Medicare Advantage","",,"54",,"122.76","82.9","175.54","percent of total billed charges",,
"LIPOPROTEIN, BLOOD; QUANT PART NUMBERS","83704","HCPCS","Both",,,"226.5","113.25","Clover","Medicare Advantage","",,"54",,"122.76","82.9","175.54","percent of total billed charges",,
"LIPOPROTEIN, BLOOD; QUANT PART NUMBERS","83704","HCPCS","Both",,,"226.5","113.25","Wellcare","Medicare Advantage","",,"54",,"122.76","82.9","175.54","percent of total billed charges",,
"LIPOPROTEIN, BLOOD; QUANT PART NUMBERS","83704","HCPCS","Both",,,"226.5","113.25","Amerigroup","Medicaid Managed Care","",,"37",,"82.9","82.9","175.54","percent of total billed charges",,
"LIPOPROTEIN, BLOOD; QUANT PART NUMBERS","83704","HCPCS","Both",,,"226.5","113.25","Caresource","Medicaid Managed Care","",,"40",,"90.6","82.9","175.54","percent of total billed charges",,
"LIPOPROTEIN, BLOOD; QUANT PART NUMBERS","83704","HCPCS","Both",,,"226.5","113.25","Wellcare","Medicaid Managed Care","",,"40",,"91.73","82.9","175.54","percent of total billed charges",,
"LIPOPROTEIN, BLOOD; QUANT PART NUMBERS","83704","HCPCS","Both",,,"226.5","113.25","Aetna","Commercial","",,"64",,"144.51","82.9","175.54","percent of total billed charges",,
"LIPOPROTEIN, BLOOD; QUANT PART NUMBERS","83704","HCPCS","Both",,,"226.5","113.25","Blue Cross Blue Shield","Pathways","",,"71",,"159.91","82.9","175.54","percent of total billed charges",,
"LIPOPROTEIN, BLOOD; QUANT PART NUMBERS","83704","HCPCS","Both",,,"226.5","113.25","Blue Cross Blue Shield","HMO","",,"71",,"159.91","82.9","175.54","percent of total billed charges",,
"LIPOPROTEIN, BLOOD; QUANT PART NUMBERS","83704","HCPCS","Both",,,"226.5","113.25","Blue Cross Blue Shield","PPO","",,"71",,"159.91","82.9","175.54","percent of total billed charges",,
"LIPOPROTEIN, BLOOD; QUANT PART NUMBERS","83704","HCPCS","Both",,,"226.5","113.25","Ambetter","Health Exchange","",,"62",,"140.43","82.9","175.54","percent of total billed charges",,
"LIPOPROTEIN, BLOOD; QUANT PART NUMBERS","83704","HCPCS","Both",,,"226.5","113.25","Caresource","Health Exchange","",,"62",,"140.43","82.9","175.54","percent of total billed charges",,
"LIPOPROTEIN, BLOOD; QUANT PART NUMBERS","83704","HCPCS","Both",,,"226.5","113.25","Cigna","Commercial","",,"59",,"132.73","82.9","175.54","percent of total billed charges",,
"LIPOPROTEIN, BLOOD; QUANT PART NUMBERS","83704","HCPCS","Both",,,"226.5","113.25","Humana","Commercial","",,"78",,"175.54","82.9","175.54","percent of total billed charges",,
"LIPOPROTEIN, BLOOD; QUANT PART NUMBERS","83704","HCPCS","Both",,,"226.5","113.25","UHC","Commercial","",,"75",,"170.78","82.9","175.54","percent of total billed charges",,
"LIPOPROTEIN, BLOOD; QUANT PART NUMBERS","83704","HCPCS","Both",,,"226.5","113.25","Medicaid",,"",,"37",,"82.9","82.9","175.54","percent of total billed charges",,
"CATECHOLAMINES; FRACTIONATED 24 HR URINE","82384","HCPCS","Both",,,"182","91","Alliant","Health Exchange","",,"62",,"112.84","66.61","141.05","percent of total billed charges",,
"CATECHOLAMINES; FRACTIONATED 24 HR URINE","82384","HCPCS","Both",,,"182","91","Pruitt Healthcare","Medicare Advantage","",,"54",,"98.28","66.61","141.05","percent of total billed charges",,
"CATECHOLAMINES; FRACTIONATED 24 HR URINE","82384","HCPCS","Both",,,"182","91","Medicare",,"",,"54",,"98.64","66.61","141.05","percent of total billed charges",,
"CATECHOLAMINES; FRACTIONATED 24 HR URINE","82384","HCPCS","Both",,,"182","91","Humana","Medicare Advantage","",,"54",,"98.64","66.61","141.05","percent of total billed charges",,
"CATECHOLAMINES; FRACTIONATED 24 HR URINE","82384","HCPCS","Both",,,"182","91","UHC","Medicare Advantage","",,"54",,"98.64","66.61","141.05","percent of total billed charges",,
"CATECHOLAMINES; FRACTIONATED 24 HR URINE","82384","HCPCS","Both",,,"182","91","Clover","Medicare Advantage","",,"54",,"98.64","66.61","141.05","percent of total billed charges",,
"CATECHOLAMINES; FRACTIONATED 24 HR URINE","82384","HCPCS","Both",,,"182","91","Wellcare","Medicare Advantage","",,"54",,"98.64","66.61","141.05","percent of total billed charges",,
"CATECHOLAMINES; FRACTIONATED 24 HR URINE","82384","HCPCS","Both",,,"182","91","Amerigroup","Medicaid Managed Care","",,"37",,"66.61","66.61","141.05","percent of total billed charges",,
"CATECHOLAMINES; FRACTIONATED 24 HR URINE","82384","HCPCS","Both",,,"182","91","Caresource","Medicaid Managed Care","",,"40",,"72.8","66.61","141.05","percent of total billed charges",,
"CATECHOLAMINES; FRACTIONATED 24 HR URINE","82384","HCPCS","Both",,,"182","91","Wellcare","Medicaid Managed Care","",,"40",,"73.71","66.61","141.05","percent of total billed charges",,
"CATECHOLAMINES; FRACTIONATED 24 HR URINE","82384","HCPCS","Both",,,"182","91","Aetna","Commercial","",,"64",,"116.12","66.61","141.05","percent of total billed charges",,
"CATECHOLAMINES; FRACTIONATED 24 HR URINE","82384","HCPCS","Both",,,"182","91","Blue Cross Blue Shield","Pathways","",,"71",,"128.49","66.61","141.05","percent of total billed charges",,
"CATECHOLAMINES; FRACTIONATED 24 HR URINE","82384","HCPCS","Both",,,"182","91","Blue Cross Blue Shield","HMO","",,"71",,"128.49","66.61","141.05","percent of total billed charges",,
"CATECHOLAMINES; FRACTIONATED 24 HR URINE","82384","HCPCS","Both",,,"182","91","Blue Cross Blue Shield","PPO","",,"71",,"128.49","66.61","141.05","percent of total billed charges",,
"CATECHOLAMINES; FRACTIONATED 24 HR URINE","82384","HCPCS","Both",,,"182","91","Ambetter","Health Exchange","",,"62",,"112.84","66.61","141.05","percent of total billed charges",,
"CATECHOLAMINES; FRACTIONATED 24 HR URINE","82384","HCPCS","Both",,,"182","91","Caresource","Health Exchange","",,"62",,"112.84","66.61","141.05","percent of total billed charges",,
"CATECHOLAMINES; FRACTIONATED 24 HR URINE","82384","HCPCS","Both",,,"182","91","Cigna","Commercial","",,"59",,"106.65","66.61","141.05","percent of total billed charges",,
"CATECHOLAMINES; FRACTIONATED 24 HR URINE","82384","HCPCS","Both",,,"182","91","Humana","Commercial","",,"78",,"141.05","66.61","141.05","percent of total billed charges",,
"CATECHOLAMINES; FRACTIONATED 24 HR URINE","82384","HCPCS","Both",,,"182","91","UHC","Commercial","",,"75",,"137.23","66.61","141.05","percent of total billed charges",,
"CATECHOLAMINES; FRACTIONATED 24 HR URINE","82384","HCPCS","Both",,,"182","91","Medicaid",,"",,"37",,"66.61","66.61","141.05","percent of total billed charges",,
"PRIMIDONE (MYSOLINE) LEVEL","80188","HCPCS","Both",,,"43","21.5","Alliant","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"PRIMIDONE (MYSOLINE) LEVEL","80188","HCPCS","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"23.22","15.74","33.33","percent of total billed charges",,
"PRIMIDONE (MYSOLINE) LEVEL","80188","HCPCS","Both",,,"43","21.5","Medicare",,"",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"PRIMIDONE (MYSOLINE) LEVEL","80188","HCPCS","Both",,,"43","21.5","Humana","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"PRIMIDONE (MYSOLINE) LEVEL","80188","HCPCS","Both",,,"43","21.5","UHC","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"PRIMIDONE (MYSOLINE) LEVEL","80188","HCPCS","Both",,,"43","21.5","Clover","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"PRIMIDONE (MYSOLINE) LEVEL","80188","HCPCS","Both",,,"43","21.5","Wellcare","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"PRIMIDONE (MYSOLINE) LEVEL","80188","HCPCS","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care","",,"37",,"15.74","15.74","33.33","percent of total billed charges",,
"PRIMIDONE (MYSOLINE) LEVEL","80188","HCPCS","Both",,,"43","21.5","Caresource","Medicaid Managed Care","",,"40",,"17.2","15.74","33.33","percent of total billed charges",,
"PRIMIDONE (MYSOLINE) LEVEL","80188","HCPCS","Both",,,"43","21.5","Wellcare","Medicaid Managed Care","",,"40",,"17.42","15.74","33.33","percent of total billed charges",,
"PRIMIDONE (MYSOLINE) LEVEL","80188","HCPCS","Both",,,"43","21.5","Aetna","Commercial","",,"64",,"27.43","15.74","33.33","percent of total billed charges",,
"PRIMIDONE (MYSOLINE) LEVEL","80188","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"PRIMIDONE (MYSOLINE) LEVEL","80188","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","HMO","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"PRIMIDONE (MYSOLINE) LEVEL","80188","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","PPO","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"PRIMIDONE (MYSOLINE) LEVEL","80188","HCPCS","Both",,,"43","21.5","Ambetter","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"PRIMIDONE (MYSOLINE) LEVEL","80188","HCPCS","Both",,,"43","21.5","Caresource","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"PRIMIDONE (MYSOLINE) LEVEL","80188","HCPCS","Both",,,"43","21.5","Cigna","Commercial","",,"59",,"25.2","15.74","33.33","percent of total billed charges",,
"PRIMIDONE (MYSOLINE) LEVEL","80188","HCPCS","Both",,,"43","21.5","Humana","Commercial","",,"78",,"33.33","15.74","33.33","percent of total billed charges",,
"PRIMIDONE (MYSOLINE) LEVEL","80188","HCPCS","Both",,,"43","21.5","UHC","Commercial","",,"75",,"32.42","15.74","33.33","percent of total billed charges",,
"PRIMIDONE (MYSOLINE) LEVEL","80188","HCPCS","Both",,,"43","21.5","Medicaid",,"",,"37",,"15.74","15.74","33.33","percent of total billed charges",,
"CYCLOSPORINE A","80158","HCPCS","Both",,,"22.5","11.25","Alliant","Health Exchange","",,"62",,"13.95","8.24","17.44","percent of total billed charges",,
"CYCLOSPORINE A","80158","HCPCS","Both",,,"22.5","11.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"12.15","8.24","17.44","percent of total billed charges",,
"CYCLOSPORINE A","80158","HCPCS","Both",,,"22.5","11.25","Medicare",,"",,"54",,"12.2","8.24","17.44","percent of total billed charges",,
"CYCLOSPORINE A","80158","HCPCS","Both",,,"22.5","11.25","Humana","Medicare Advantage","",,"54",,"12.2","8.24","17.44","percent of total billed charges",,
"CYCLOSPORINE A","80158","HCPCS","Both",,,"22.5","11.25","UHC","Medicare Advantage","",,"54",,"12.2","8.24","17.44","percent of total billed charges",,
"CYCLOSPORINE A","80158","HCPCS","Both",,,"22.5","11.25","Clover","Medicare Advantage","",,"54",,"12.2","8.24","17.44","percent of total billed charges",,
"CYCLOSPORINE A","80158","HCPCS","Both",,,"22.5","11.25","Wellcare","Medicare Advantage","",,"54",,"12.2","8.24","17.44","percent of total billed charges",,
"CYCLOSPORINE A","80158","HCPCS","Both",,,"22.5","11.25","Amerigroup","Medicaid Managed Care","",,"37",,"8.24","8.24","17.44","percent of total billed charges",,
"CYCLOSPORINE A","80158","HCPCS","Both",,,"22.5","11.25","Caresource","Medicaid Managed Care","",,"40",,"9","8.24","17.44","percent of total billed charges",,
"CYCLOSPORINE A","80158","HCPCS","Both",,,"22.5","11.25","Wellcare","Medicaid Managed Care","",,"40",,"9.11","8.24","17.44","percent of total billed charges",,
"CYCLOSPORINE A","80158","HCPCS","Both",,,"22.5","11.25","Aetna","Commercial","",,"64",,"14.36","8.24","17.44","percent of total billed charges",,
"CYCLOSPORINE A","80158","HCPCS","Both",,,"22.5","11.25","Blue Cross Blue Shield","Pathways","",,"71",,"15.88","8.24","17.44","percent of total billed charges",,
"CYCLOSPORINE A","80158","HCPCS","Both",,,"22.5","11.25","Blue Cross Blue Shield","HMO","",,"71",,"15.88","8.24","17.44","percent of total billed charges",,
"CYCLOSPORINE A","80158","HCPCS","Both",,,"22.5","11.25","Blue Cross Blue Shield","PPO","",,"71",,"15.88","8.24","17.44","percent of total billed charges",,
"CYCLOSPORINE A","80158","HCPCS","Both",,,"22.5","11.25","Ambetter","Health Exchange","",,"62",,"13.95","8.24","17.44","percent of total billed charges",,
"CYCLOSPORINE A","80158","HCPCS","Both",,,"22.5","11.25","Caresource","Health Exchange","",,"62",,"13.95","8.24","17.44","percent of total billed charges",,
"CYCLOSPORINE A","80158","HCPCS","Both",,,"22.5","11.25","Cigna","Commercial","",,"59",,"13.18","8.24","17.44","percent of total billed charges",,
"CYCLOSPORINE A","80158","HCPCS","Both",,,"22.5","11.25","Humana","Commercial","",,"78",,"17.44","8.24","17.44","percent of total billed charges",,
"CYCLOSPORINE A","80158","HCPCS","Both",,,"22.5","11.25","UHC","Commercial","",,"75",,"16.96","8.24","17.44","percent of total billed charges",,
"CYCLOSPORINE A","80158","HCPCS","Both",,,"22.5","11.25","Medicaid",,"",,"37",,"8.24","8.24","17.44","percent of total billed charges",,
"ENDOMYSIAL IGG","86256","HCPCS","Both",,,"87","43.5","Alliant","Health Exchange","",,"62",,"53.94","31.84","67.42","percent of total billed charges",,
"ENDOMYSIAL IGG","86256","HCPCS","Both",,,"87","43.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"46.98","31.84","67.42","percent of total billed charges",,
"ENDOMYSIAL IGG","86256","HCPCS","Both",,,"87","43.5","Medicare",,"",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"ENDOMYSIAL IGG","86256","HCPCS","Both",,,"87","43.5","Humana","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"ENDOMYSIAL IGG","86256","HCPCS","Both",,,"87","43.5","UHC","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"ENDOMYSIAL IGG","86256","HCPCS","Both",,,"87","43.5","Clover","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"ENDOMYSIAL IGG","86256","HCPCS","Both",,,"87","43.5","Wellcare","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"ENDOMYSIAL IGG","86256","HCPCS","Both",,,"87","43.5","Amerigroup","Medicaid Managed Care","",,"37",,"31.84","31.84","67.42","percent of total billed charges",,
"ENDOMYSIAL IGG","86256","HCPCS","Both",,,"87","43.5","Caresource","Medicaid Managed Care","",,"40",,"34.8","31.84","67.42","percent of total billed charges",,
"ENDOMYSIAL IGG","86256","HCPCS","Both",,,"87","43.5","Wellcare","Medicaid Managed Care","",,"40",,"35.24","31.84","67.42","percent of total billed charges",,
"ENDOMYSIAL IGG","86256","HCPCS","Both",,,"87","43.5","Aetna","Commercial","",,"64",,"55.51","31.84","67.42","percent of total billed charges",,
"ENDOMYSIAL IGG","86256","HCPCS","Both",,,"87","43.5","Blue Cross Blue Shield","Pathways","",,"71",,"61.42","31.84","67.42","percent of total billed charges",,
"ENDOMYSIAL IGG","86256","HCPCS","Both",,,"87","43.5","Blue Cross Blue Shield","HMO","",,"71",,"61.42","31.84","67.42","percent of total billed charges",,
"ENDOMYSIAL IGG","86256","HCPCS","Both",,,"87","43.5","Blue Cross Blue Shield","PPO","",,"71",,"61.42","31.84","67.42","percent of total billed charges",,
"ENDOMYSIAL IGG","86256","HCPCS","Both",,,"87","43.5","Ambetter","Health Exchange","",,"62",,"53.94","31.84","67.42","percent of total billed charges",,
"ENDOMYSIAL IGG","86256","HCPCS","Both",,,"87","43.5","Caresource","Health Exchange","",,"62",,"53.94","31.84","67.42","percent of total billed charges",,
"ENDOMYSIAL IGG","86256","HCPCS","Both",,,"87","43.5","Cigna","Commercial","",,"59",,"50.98","31.84","67.42","percent of total billed charges",,
"ENDOMYSIAL IGG","86256","HCPCS","Both",,,"87","43.5","Humana","Commercial","",,"78",,"67.42","31.84","67.42","percent of total billed charges",,
"ENDOMYSIAL IGG","86256","HCPCS","Both",,,"87","43.5","UHC","Commercial","",,"75",,"65.6","31.84","67.42","percent of total billed charges",,
"ENDOMYSIAL IGG","86256","HCPCS","Both",,,"87","43.5","Medicaid",,"",,"37",,"31.84","31.84","67.42","percent of total billed charges",,
"FECAL FAT; QUANTITATIVE","82710","HCPCS","Both",,,"21","10.5","Alliant","Health Exchange","",,"62",,"13.02","7.69","16.28","percent of total billed charges",,
"FECAL FAT; QUANTITATIVE","82710","HCPCS","Both",,,"21","10.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"11.34","7.69","16.28","percent of total billed charges",,
"FECAL FAT; QUANTITATIVE","82710","HCPCS","Both",,,"21","10.5","Medicare",,"",,"54",,"11.38","7.69","16.28","percent of total billed charges",,
"FECAL FAT; QUANTITATIVE","82710","HCPCS","Both",,,"21","10.5","Humana","Medicare Advantage","",,"54",,"11.38","7.69","16.28","percent of total billed charges",,
"FECAL FAT; QUANTITATIVE","82710","HCPCS","Both",,,"21","10.5","UHC","Medicare Advantage","",,"54",,"11.38","7.69","16.28","percent of total billed charges",,
"FECAL FAT; QUANTITATIVE","82710","HCPCS","Both",,,"21","10.5","Clover","Medicare Advantage","",,"54",,"11.38","7.69","16.28","percent of total billed charges",,
"FECAL FAT; QUANTITATIVE","82710","HCPCS","Both",,,"21","10.5","Wellcare","Medicare Advantage","",,"54",,"11.38","7.69","16.28","percent of total billed charges",,
"FECAL FAT; QUANTITATIVE","82710","HCPCS","Both",,,"21","10.5","Amerigroup","Medicaid Managed Care","",,"37",,"7.69","7.69","16.28","percent of total billed charges",,
"FECAL FAT; QUANTITATIVE","82710","HCPCS","Both",,,"21","10.5","Caresource","Medicaid Managed Care","",,"40",,"8.4","7.69","16.28","percent of total billed charges",,
"FECAL FAT; QUANTITATIVE","82710","HCPCS","Both",,,"21","10.5","Wellcare","Medicaid Managed Care","",,"40",,"8.51","7.69","16.28","percent of total billed charges",,
"FECAL FAT; QUANTITATIVE","82710","HCPCS","Both",,,"21","10.5","Aetna","Commercial","",,"64",,"13.4","7.69","16.28","percent of total billed charges",,
"FECAL FAT; QUANTITATIVE","82710","HCPCS","Both",,,"21","10.5","Blue Cross Blue Shield","Pathways","",,"71",,"14.83","7.69","16.28","percent of total billed charges",,
"FECAL FAT; QUANTITATIVE","82710","HCPCS","Both",,,"21","10.5","Blue Cross Blue Shield","HMO","",,"71",,"14.83","7.69","16.28","percent of total billed charges",,
"FECAL FAT; QUANTITATIVE","82710","HCPCS","Both",,,"21","10.5","Blue Cross Blue Shield","PPO","",,"71",,"14.83","7.69","16.28","percent of total billed charges",,
"FECAL FAT; QUANTITATIVE","82710","HCPCS","Both",,,"21","10.5","Ambetter","Health Exchange","",,"62",,"13.02","7.69","16.28","percent of total billed charges",,
"FECAL FAT; QUANTITATIVE","82710","HCPCS","Both",,,"21","10.5","Caresource","Health Exchange","",,"62",,"13.02","7.69","16.28","percent of total billed charges",,
"FECAL FAT; QUANTITATIVE","82710","HCPCS","Both",,,"21","10.5","Cigna","Commercial","",,"59",,"12.31","7.69","16.28","percent of total billed charges",,
"FECAL FAT; QUANTITATIVE","82710","HCPCS","Both",,,"21","10.5","Humana","Commercial","",,"78",,"16.28","7.69","16.28","percent of total billed charges",,
"FECAL FAT; QUANTITATIVE","82710","HCPCS","Both",,,"21","10.5","UHC","Commercial","",,"75",,"15.83","7.69","16.28","percent of total billed charges",,
"FECAL FAT; QUANTITATIVE","82710","HCPCS","Both",,,"21","10.5","Medicaid",,"",,"37",,"7.69","7.69","16.28","percent of total billed charges",,
"CREATININE CLEARANCE, 24 HR URINE","82575","HCPCS","Both",,,"28.5","14.25","Alliant","Health Exchange","",,"62",,"17.67","10.43","22.09","percent of total billed charges",,
"CREATININE CLEARANCE, 24 HR URINE","82575","HCPCS","Both",,,"28.5","14.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"15.39","10.43","22.09","percent of total billed charges",,
"CREATININE CLEARANCE, 24 HR URINE","82575","HCPCS","Both",,,"28.5","14.25","Medicare",,"",,"54",,"15.45","10.43","22.09","percent of total billed charges",,
"CREATININE CLEARANCE, 24 HR URINE","82575","HCPCS","Both",,,"28.5","14.25","Humana","Medicare Advantage","",,"54",,"15.45","10.43","22.09","percent of total billed charges",,
"CREATININE CLEARANCE, 24 HR URINE","82575","HCPCS","Both",,,"28.5","14.25","UHC","Medicare Advantage","",,"54",,"15.45","10.43","22.09","percent of total billed charges",,
"CREATININE CLEARANCE, 24 HR URINE","82575","HCPCS","Both",,,"28.5","14.25","Clover","Medicare Advantage","",,"54",,"15.45","10.43","22.09","percent of total billed charges",,
"CREATININE CLEARANCE, 24 HR URINE","82575","HCPCS","Both",,,"28.5","14.25","Wellcare","Medicare Advantage","",,"54",,"15.45","10.43","22.09","percent of total billed charges",,
"CREATININE CLEARANCE, 24 HR URINE","82575","HCPCS","Both",,,"28.5","14.25","Amerigroup","Medicaid Managed Care","",,"37",,"10.43","10.43","22.09","percent of total billed charges",,
"CREATININE CLEARANCE, 24 HR URINE","82575","HCPCS","Both",,,"28.5","14.25","Caresource","Medicaid Managed Care","",,"40",,"11.4","10.43","22.09","percent of total billed charges",,
"CREATININE CLEARANCE, 24 HR URINE","82575","HCPCS","Both",,,"28.5","14.25","Wellcare","Medicaid Managed Care","",,"40",,"11.54","10.43","22.09","percent of total billed charges",,
"CREATININE CLEARANCE, 24 HR URINE","82575","HCPCS","Both",,,"28.5","14.25","Aetna","Commercial","",,"64",,"18.18","10.43","22.09","percent of total billed charges",,
"CREATININE CLEARANCE, 24 HR URINE","82575","HCPCS","Both",,,"28.5","14.25","Blue Cross Blue Shield","Pathways","",,"71",,"20.12","10.43","22.09","percent of total billed charges",,
"CREATININE CLEARANCE, 24 HR URINE","82575","HCPCS","Both",,,"28.5","14.25","Blue Cross Blue Shield","HMO","",,"71",,"20.12","10.43","22.09","percent of total billed charges",,
"CREATININE CLEARANCE, 24 HR URINE","82575","HCPCS","Both",,,"28.5","14.25","Blue Cross Blue Shield","PPO","",,"71",,"20.12","10.43","22.09","percent of total billed charges",,
"CREATININE CLEARANCE, 24 HR URINE","82575","HCPCS","Both",,,"28.5","14.25","Ambetter","Health Exchange","",,"62",,"17.67","10.43","22.09","percent of total billed charges",,
"CREATININE CLEARANCE, 24 HR URINE","82575","HCPCS","Both",,,"28.5","14.25","Caresource","Health Exchange","",,"62",,"17.67","10.43","22.09","percent of total billed charges",,
"CREATININE CLEARANCE, 24 HR URINE","82575","HCPCS","Both",,,"28.5","14.25","Cigna","Commercial","",,"59",,"16.7","10.43","22.09","percent of total billed charges",,
"CREATININE CLEARANCE, 24 HR URINE","82575","HCPCS","Both",,,"28.5","14.25","Humana","Commercial","",,"78",,"22.09","10.43","22.09","percent of total billed charges",,
"CREATININE CLEARANCE, 24 HR URINE","82575","HCPCS","Both",,,"28.5","14.25","UHC","Commercial","",,"75",,"21.49","10.43","22.09","percent of total billed charges",,
"CREATININE CLEARANCE, 24 HR URINE","82575","HCPCS","Both",,,"28.5","14.25","Medicaid",,"",,"37",,"10.43","10.43","22.09","percent of total billed charges",,
"PROTEIN ELECTROPHORESIS URINE","84166","HCPCS","Both",,,"59","29.5","Alliant","Health Exchange","",,"62",,"36.58","21.59","45.72","percent of total billed charges",,
"PROTEIN ELECTROPHORESIS URINE","84166","HCPCS","Both",,,"59","29.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"31.86","21.59","45.72","percent of total billed charges",,
"PROTEIN ELECTROPHORESIS URINE","84166","HCPCS","Both",,,"59","29.5","Medicare",,"",,"54",,"31.98","21.59","45.72","percent of total billed charges",,
"PROTEIN ELECTROPHORESIS URINE","84166","HCPCS","Both",,,"59","29.5","Humana","Medicare Advantage","",,"54",,"31.98","21.59","45.72","percent of total billed charges",,
"PROTEIN ELECTROPHORESIS URINE","84166","HCPCS","Both",,,"59","29.5","UHC","Medicare Advantage","",,"54",,"31.98","21.59","45.72","percent of total billed charges",,
"PROTEIN ELECTROPHORESIS URINE","84166","HCPCS","Both",,,"59","29.5","Clover","Medicare Advantage","",,"54",,"31.98","21.59","45.72","percent of total billed charges",,
"PROTEIN ELECTROPHORESIS URINE","84166","HCPCS","Both",,,"59","29.5","Wellcare","Medicare Advantage","",,"54",,"31.98","21.59","45.72","percent of total billed charges",,
"PROTEIN ELECTROPHORESIS URINE","84166","HCPCS","Both",,,"59","29.5","Amerigroup","Medicaid Managed Care","",,"37",,"21.59","21.59","45.72","percent of total billed charges",,
"PROTEIN ELECTROPHORESIS URINE","84166","HCPCS","Both",,,"59","29.5","Caresource","Medicaid Managed Care","",,"40",,"23.6","21.59","45.72","percent of total billed charges",,
"PROTEIN ELECTROPHORESIS URINE","84166","HCPCS","Both",,,"59","29.5","Wellcare","Medicaid Managed Care","",,"40",,"23.9","21.59","45.72","percent of total billed charges",,
"PROTEIN ELECTROPHORESIS URINE","84166","HCPCS","Both",,,"59","29.5","Aetna","Commercial","",,"64",,"37.64","21.59","45.72","percent of total billed charges",,
"PROTEIN ELECTROPHORESIS URINE","84166","HCPCS","Both",,,"59","29.5","Blue Cross Blue Shield","Pathways","",,"71",,"41.65","21.59","45.72","percent of total billed charges",,
"PROTEIN ELECTROPHORESIS URINE","84166","HCPCS","Both",,,"59","29.5","Blue Cross Blue Shield","HMO","",,"71",,"41.65","21.59","45.72","percent of total billed charges",,
"PROTEIN ELECTROPHORESIS URINE","84166","HCPCS","Both",,,"59","29.5","Blue Cross Blue Shield","PPO","",,"71",,"41.65","21.59","45.72","percent of total billed charges",,
"PROTEIN ELECTROPHORESIS URINE","84166","HCPCS","Both",,,"59","29.5","Ambetter","Health Exchange","",,"62",,"36.58","21.59","45.72","percent of total billed charges",,
"PROTEIN ELECTROPHORESIS URINE","84166","HCPCS","Both",,,"59","29.5","Caresource","Health Exchange","",,"62",,"36.58","21.59","45.72","percent of total billed charges",,
"PROTEIN ELECTROPHORESIS URINE","84166","HCPCS","Both",,,"59","29.5","Cigna","Commercial","",,"59",,"34.57","21.59","45.72","percent of total billed charges",,
"PROTEIN ELECTROPHORESIS URINE","84166","HCPCS","Both",,,"59","29.5","Humana","Commercial","",,"78",,"45.72","21.59","45.72","percent of total billed charges",,
"PROTEIN ELECTROPHORESIS URINE","84166","HCPCS","Both",,,"59","29.5","UHC","Commercial","",,"75",,"44.49","21.59","45.72","percent of total billed charges",,
"PROTEIN ELECTROPHORESIS URINE","84166","HCPCS","Both",,,"59","29.5","Medicaid",,"",,"37",,"21.59","21.59","45.72","percent of total billed charges",,
"INFLUENZA A","87804","HCPCS","Both",,,"47","23.5","Alliant","Health Exchange","59",,"62",,"29.14","17.2","36.43","percent of total billed charges",,
"INFLUENZA A","87804","HCPCS","Both",,,"47","23.5","Pruitt Healthcare","Medicare Advantage","59",,"54",,"25.38","17.2","36.43","percent of total billed charges",,
"INFLUENZA A","87804","HCPCS","Both",,,"47","23.5","Medicare",,"59",,"54",,"25.47","17.2","36.43","percent of total billed charges",,
"INFLUENZA A","87804","HCPCS","Both",,,"47","23.5","Humana","Medicare Advantage","59",,"54",,"25.47","17.2","36.43","percent of total billed charges",,
"INFLUENZA A","87804","HCPCS","Both",,,"47","23.5","UHC","Medicare Advantage","59",,"54",,"25.47","17.2","36.43","percent of total billed charges",,
"INFLUENZA A","87804","HCPCS","Both",,,"47","23.5","Clover","Medicare Advantage","59",,"54",,"25.47","17.2","36.43","percent of total billed charges",,
"INFLUENZA A","87804","HCPCS","Both",,,"47","23.5","Wellcare","Medicare Advantage","59",,"54",,"25.47","17.2","36.43","percent of total billed charges",,
"INFLUENZA A","87804","HCPCS","Both",,,"47","23.5","Amerigroup","Medicaid Managed Care","59",,"37",,"17.2","17.2","36.43","percent of total billed charges",,
"INFLUENZA A","87804","HCPCS","Both",,,"47","23.5","Caresource","Medicaid Managed Care","59",,"40",,"18.8","17.2","36.43","percent of total billed charges",,
"INFLUENZA A","87804","HCPCS","Both",,,"47","23.5","Wellcare","Medicaid Managed Care","59",,"40",,"19.04","17.2","36.43","percent of total billed charges",,
"INFLUENZA A","87804","HCPCS","Both",,,"47","23.5","Aetna","Commercial","59",,"64",,"29.99","17.2","36.43","percent of total billed charges",,
"INFLUENZA A","87804","HCPCS","Both",,,"47","23.5","Blue Cross Blue Shield","Pathways","59",,"71",,"33.18","17.2","36.43","percent of total billed charges",,
"INFLUENZA A","87804","HCPCS","Both",,,"47","23.5","Blue Cross Blue Shield","HMO","59",,"71",,"33.18","17.2","36.43","percent of total billed charges",,
"INFLUENZA A","87804","HCPCS","Both",,,"47","23.5","Blue Cross Blue Shield","PPO","59",,"71",,"33.18","17.2","36.43","percent of total billed charges",,
"INFLUENZA A","87804","HCPCS","Both",,,"47","23.5","Ambetter","Health Exchange","59",,"62",,"29.14","17.2","36.43","percent of total billed charges",,
"INFLUENZA A","87804","HCPCS","Both",,,"47","23.5","Caresource","Health Exchange","59",,"62",,"29.14","17.2","36.43","percent of total billed charges",,
"INFLUENZA A","87804","HCPCS","Both",,,"47","23.5","Cigna","Commercial","59",,"59",,"27.54","17.2","36.43","percent of total billed charges",,
"INFLUENZA A","87804","HCPCS","Both",,,"47","23.5","Humana","Commercial","59",,"78",,"36.43","17.2","36.43","percent of total billed charges",,
"INFLUENZA A","87804","HCPCS","Both",,,"47","23.5","UHC","Commercial","59",,"75",,"35.44","17.2","36.43","percent of total billed charges",,
"INFLUENZA A","87804","HCPCS","Both",,,"47","23.5","Medicaid",,"59",,"37",,"17.2","17.2","36.43","percent of total billed charges",,
"INFLUENZA B","87804","HCPCS","Both",,,"47","23.5","Alliant","Health Exchange","",,"62",,"29.14","17.2","36.43","percent of total billed charges",,
"INFLUENZA B","87804","HCPCS","Both",,,"47","23.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"25.38","17.2","36.43","percent of total billed charges",,
"INFLUENZA B","87804","HCPCS","Both",,,"47","23.5","Medicare",,"",,"54",,"25.47","17.2","36.43","percent of total billed charges",,
"INFLUENZA B","87804","HCPCS","Both",,,"47","23.5","Humana","Medicare Advantage","",,"54",,"25.47","17.2","36.43","percent of total billed charges",,
"INFLUENZA B","87804","HCPCS","Both",,,"47","23.5","UHC","Medicare Advantage","",,"54",,"25.47","17.2","36.43","percent of total billed charges",,
"INFLUENZA B","87804","HCPCS","Both",,,"47","23.5","Clover","Medicare Advantage","",,"54",,"25.47","17.2","36.43","percent of total billed charges",,
"INFLUENZA B","87804","HCPCS","Both",,,"47","23.5","Wellcare","Medicare Advantage","",,"54",,"25.47","17.2","36.43","percent of total billed charges",,
"INFLUENZA B","87804","HCPCS","Both",,,"47","23.5","Amerigroup","Medicaid Managed Care","",,"37",,"17.2","17.2","36.43","percent of total billed charges",,
"INFLUENZA B","87804","HCPCS","Both",,,"47","23.5","Caresource","Medicaid Managed Care","",,"40",,"18.8","17.2","36.43","percent of total billed charges",,
"INFLUENZA B","87804","HCPCS","Both",,,"47","23.5","Wellcare","Medicaid Managed Care","",,"40",,"19.04","17.2","36.43","percent of total billed charges",,
"INFLUENZA B","87804","HCPCS","Both",,,"47","23.5","Aetna","Commercial","",,"64",,"29.99","17.2","36.43","percent of total billed charges",,
"INFLUENZA B","87804","HCPCS","Both",,,"47","23.5","Blue Cross Blue Shield","Pathways","",,"71",,"33.18","17.2","36.43","percent of total billed charges",,
"INFLUENZA B","87804","HCPCS","Both",,,"47","23.5","Blue Cross Blue Shield","HMO","",,"71",,"33.18","17.2","36.43","percent of total billed charges",,
"INFLUENZA B","87804","HCPCS","Both",,,"47","23.5","Blue Cross Blue Shield","PPO","",,"71",,"33.18","17.2","36.43","percent of total billed charges",,
"INFLUENZA B","87804","HCPCS","Both",,,"47","23.5","Ambetter","Health Exchange","",,"62",,"29.14","17.2","36.43","percent of total billed charges",,
"INFLUENZA B","87804","HCPCS","Both",,,"47","23.5","Caresource","Health Exchange","",,"62",,"29.14","17.2","36.43","percent of total billed charges",,
"INFLUENZA B","87804","HCPCS","Both",,,"47","23.5","Cigna","Commercial","",,"59",,"27.54","17.2","36.43","percent of total billed charges",,
"INFLUENZA B","87804","HCPCS","Both",,,"47","23.5","Humana","Commercial","",,"78",,"36.43","17.2","36.43","percent of total billed charges",,
"INFLUENZA B","87804","HCPCS","Both",,,"47","23.5","UHC","Commercial","",,"75",,"35.44","17.2","36.43","percent of total billed charges",,
"INFLUENZA B","87804","HCPCS","Both",,,"47","23.5","Medicaid",,"",,"37",,"17.2","17.2","36.43","percent of total billed charges",,
"PHENYTOIN ; FREE","80186","HCPCS","Both",,,"17","8.5","Alliant","Health Exchange","",,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"PHENYTOIN ; FREE","80186","HCPCS","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"9.18","6.22","13.18","percent of total billed charges",,
"PHENYTOIN ; FREE","80186","HCPCS","Both",,,"17","8.5","Medicare",,"",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"PHENYTOIN ; FREE","80186","HCPCS","Both",,,"17","8.5","Humana","Medicare Advantage","",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"PHENYTOIN ; FREE","80186","HCPCS","Both",,,"17","8.5","UHC","Medicare Advantage","",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"PHENYTOIN ; FREE","80186","HCPCS","Both",,,"17","8.5","Clover","Medicare Advantage","",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"PHENYTOIN ; FREE","80186","HCPCS","Both",,,"17","8.5","Wellcare","Medicare Advantage","",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"PHENYTOIN ; FREE","80186","HCPCS","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care","",,"37",,"6.22","6.22","13.18","percent of total billed charges",,
"PHENYTOIN ; FREE","80186","HCPCS","Both",,,"17","8.5","Caresource","Medicaid Managed Care","",,"40",,"6.8","6.22","13.18","percent of total billed charges",,
"PHENYTOIN ; FREE","80186","HCPCS","Both",,,"17","8.5","Wellcare","Medicaid Managed Care","",,"40",,"6.89","6.22","13.18","percent of total billed charges",,
"PHENYTOIN ; FREE","80186","HCPCS","Both",,,"17","8.5","Aetna","Commercial","",,"64",,"10.85","6.22","13.18","percent of total billed charges",,
"PHENYTOIN ; FREE","80186","HCPCS","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways","",,"71",,"12","6.22","13.18","percent of total billed charges",,
"PHENYTOIN ; FREE","80186","HCPCS","Both",,,"17","8.5","Blue Cross Blue Shield","HMO","",,"71",,"12","6.22","13.18","percent of total billed charges",,
"PHENYTOIN ; FREE","80186","HCPCS","Both",,,"17","8.5","Blue Cross Blue Shield","PPO","",,"71",,"12","6.22","13.18","percent of total billed charges",,
"PHENYTOIN ; FREE","80186","HCPCS","Both",,,"17","8.5","Ambetter","Health Exchange","",,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"PHENYTOIN ; FREE","80186","HCPCS","Both",,,"17","8.5","Caresource","Health Exchange","",,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"PHENYTOIN ; FREE","80186","HCPCS","Both",,,"17","8.5","Cigna","Commercial","",,"59",,"9.96","6.22","13.18","percent of total billed charges",,
"PHENYTOIN ; FREE","80186","HCPCS","Both",,,"17","8.5","Humana","Commercial","",,"78",,"13.18","6.22","13.18","percent of total billed charges",,
"PHENYTOIN ; FREE","80186","HCPCS","Both",,,"17","8.5","UHC","Commercial","",,"75",,"12.82","6.22","13.18","percent of total billed charges",,
"PHENYTOIN ; FREE","80186","HCPCS","Both",,,"17","8.5","Medicaid",,"",,"37",,"6.22","6.22","13.18","percent of total billed charges",,
"VANCOMYCIN PEAK","80202","HCPCS","Both",,,"35.5","17.75","Alliant","Health Exchange","",,"62",,"22.01","12.99","27.51","percent of total billed charges",,
"VANCOMYCIN PEAK","80202","HCPCS","Both",,,"35.5","17.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"19.17","12.99","27.51","percent of total billed charges",,
"VANCOMYCIN PEAK","80202","HCPCS","Both",,,"35.5","17.75","Medicare",,"",,"54",,"19.24","12.99","27.51","percent of total billed charges",,
"VANCOMYCIN PEAK","80202","HCPCS","Both",,,"35.5","17.75","Humana","Medicare Advantage","",,"54",,"19.24","12.99","27.51","percent of total billed charges",,
"VANCOMYCIN PEAK","80202","HCPCS","Both",,,"35.5","17.75","UHC","Medicare Advantage","",,"54",,"19.24","12.99","27.51","percent of total billed charges",,
"VANCOMYCIN PEAK","80202","HCPCS","Both",,,"35.5","17.75","Clover","Medicare Advantage","",,"54",,"19.24","12.99","27.51","percent of total billed charges",,
"VANCOMYCIN PEAK","80202","HCPCS","Both",,,"35.5","17.75","Wellcare","Medicare Advantage","",,"54",,"19.24","12.99","27.51","percent of total billed charges",,
"VANCOMYCIN PEAK","80202","HCPCS","Both",,,"35.5","17.75","Amerigroup","Medicaid Managed Care","",,"37",,"12.99","12.99","27.51","percent of total billed charges",,
"VANCOMYCIN PEAK","80202","HCPCS","Both",,,"35.5","17.75","Caresource","Medicaid Managed Care","",,"40",,"14.2","12.99","27.51","percent of total billed charges",,
"VANCOMYCIN PEAK","80202","HCPCS","Both",,,"35.5","17.75","Wellcare","Medicaid Managed Care","",,"40",,"14.38","12.99","27.51","percent of total billed charges",,
"VANCOMYCIN PEAK","80202","HCPCS","Both",,,"35.5","17.75","Aetna","Commercial","",,"64",,"22.65","12.99","27.51","percent of total billed charges",,
"VANCOMYCIN PEAK","80202","HCPCS","Both",,,"35.5","17.75","Blue Cross Blue Shield","Pathways","",,"71",,"25.06","12.99","27.51","percent of total billed charges",,
"VANCOMYCIN PEAK","80202","HCPCS","Both",,,"35.5","17.75","Blue Cross Blue Shield","HMO","",,"71",,"25.06","12.99","27.51","percent of total billed charges",,
"VANCOMYCIN PEAK","80202","HCPCS","Both",,,"35.5","17.75","Blue Cross Blue Shield","PPO","",,"71",,"25.06","12.99","27.51","percent of total billed charges",,
"VANCOMYCIN PEAK","80202","HCPCS","Both",,,"35.5","17.75","Ambetter","Health Exchange","",,"62",,"22.01","12.99","27.51","percent of total billed charges",,
"VANCOMYCIN PEAK","80202","HCPCS","Both",,,"35.5","17.75","Caresource","Health Exchange","",,"62",,"22.01","12.99","27.51","percent of total billed charges",,
"VANCOMYCIN PEAK","80202","HCPCS","Both",,,"35.5","17.75","Cigna","Commercial","",,"59",,"20.8","12.99","27.51","percent of total billed charges",,
"VANCOMYCIN PEAK","80202","HCPCS","Both",,,"35.5","17.75","Humana","Commercial","",,"78",,"27.51","12.99","27.51","percent of total billed charges",,
"VANCOMYCIN PEAK","80202","HCPCS","Both",,,"35.5","17.75","UHC","Commercial","",,"75",,"26.77","12.99","27.51","percent of total billed charges",,
"VANCOMYCIN PEAK","80202","HCPCS","Both",,,"35.5","17.75","Medicaid",,"",,"37",,"12.99","12.99","27.51","percent of total billed charges",,
"GENTAMYCIN PEAK","80170","HCPCS","Both",,,"118.5","59.25","Alliant","Health Exchange","",,"62",,"73.47","43.37","91.84","percent of total billed charges",,
"GENTAMYCIN PEAK","80170","HCPCS","Both",,,"118.5","59.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"63.99","43.37","91.84","percent of total billed charges",,
"GENTAMYCIN PEAK","80170","HCPCS","Both",,,"118.5","59.25","Medicare",,"",,"54",,"64.23","43.37","91.84","percent of total billed charges",,
"GENTAMYCIN PEAK","80170","HCPCS","Both",,,"118.5","59.25","Humana","Medicare Advantage","",,"54",,"64.23","43.37","91.84","percent of total billed charges",,
"GENTAMYCIN PEAK","80170","HCPCS","Both",,,"118.5","59.25","UHC","Medicare Advantage","",,"54",,"64.23","43.37","91.84","percent of total billed charges",,
"GENTAMYCIN PEAK","80170","HCPCS","Both",,,"118.5","59.25","Clover","Medicare Advantage","",,"54",,"64.23","43.37","91.84","percent of total billed charges",,
"GENTAMYCIN PEAK","80170","HCPCS","Both",,,"118.5","59.25","Wellcare","Medicare Advantage","",,"54",,"64.23","43.37","91.84","percent of total billed charges",,
"GENTAMYCIN PEAK","80170","HCPCS","Both",,,"118.5","59.25","Amerigroup","Medicaid Managed Care","",,"37",,"43.37","43.37","91.84","percent of total billed charges",,
"GENTAMYCIN PEAK","80170","HCPCS","Both",,,"118.5","59.25","Caresource","Medicaid Managed Care","",,"40",,"47.4","43.37","91.84","percent of total billed charges",,
"GENTAMYCIN PEAK","80170","HCPCS","Both",,,"118.5","59.25","Wellcare","Medicaid Managed Care","",,"40",,"47.99","43.37","91.84","percent of total billed charges",,
"GENTAMYCIN PEAK","80170","HCPCS","Both",,,"118.5","59.25","Aetna","Commercial","",,"64",,"75.6","43.37","91.84","percent of total billed charges",,
"GENTAMYCIN PEAK","80170","HCPCS","Both",,,"118.5","59.25","Blue Cross Blue Shield","Pathways","",,"71",,"83.66","43.37","91.84","percent of total billed charges",,
"GENTAMYCIN PEAK","80170","HCPCS","Both",,,"118.5","59.25","Blue Cross Blue Shield","HMO","",,"71",,"83.66","43.37","91.84","percent of total billed charges",,
"GENTAMYCIN PEAK","80170","HCPCS","Both",,,"118.5","59.25","Blue Cross Blue Shield","PPO","",,"71",,"83.66","43.37","91.84","percent of total billed charges",,
"GENTAMYCIN PEAK","80170","HCPCS","Both",,,"118.5","59.25","Ambetter","Health Exchange","",,"62",,"73.47","43.37","91.84","percent of total billed charges",,
"GENTAMYCIN PEAK","80170","HCPCS","Both",,,"118.5","59.25","Caresource","Health Exchange","",,"62",,"73.47","43.37","91.84","percent of total billed charges",,
"GENTAMYCIN PEAK","80170","HCPCS","Both",,,"118.5","59.25","Cigna","Commercial","",,"59",,"69.44","43.37","91.84","percent of total billed charges",,
"GENTAMYCIN PEAK","80170","HCPCS","Both",,,"118.5","59.25","Humana","Commercial","",,"78",,"91.84","43.37","91.84","percent of total billed charges",,
"GENTAMYCIN PEAK","80170","HCPCS","Both",,,"118.5","59.25","UHC","Commercial","",,"75",,"89.35","43.37","91.84","percent of total billed charges",,
"GENTAMYCIN PEAK","80170","HCPCS","Both",,,"118.5","59.25","Medicaid",,"",,"37",,"43.37","43.37","91.84","percent of total billed charges",,
"PROTEIN C ACTIVITY (FUNCTIONAL)","85303","HCPCS","Both",,,"180","90","Alliant","Health Exchange","",,"62",,"111.6","65.88","139.5","percent of total billed charges",,
"PROTEIN C ACTIVITY (FUNCTIONAL)","85303","HCPCS","Both",,,"180","90","Pruitt Healthcare","Medicare Advantage","",,"54",,"97.2","65.88","139.5","percent of total billed charges",,
"PROTEIN C ACTIVITY (FUNCTIONAL)","85303","HCPCS","Both",,,"180","90","Medicare",,"",,"54",,"97.56","65.88","139.5","percent of total billed charges",,
"PROTEIN C ACTIVITY (FUNCTIONAL)","85303","HCPCS","Both",,,"180","90","Humana","Medicare Advantage","",,"54",,"97.56","65.88","139.5","percent of total billed charges",,
"PROTEIN C ACTIVITY (FUNCTIONAL)","85303","HCPCS","Both",,,"180","90","UHC","Medicare Advantage","",,"54",,"97.56","65.88","139.5","percent of total billed charges",,
"PROTEIN C ACTIVITY (FUNCTIONAL)","85303","HCPCS","Both",,,"180","90","Clover","Medicare Advantage","",,"54",,"97.56","65.88","139.5","percent of total billed charges",,
"PROTEIN C ACTIVITY (FUNCTIONAL)","85303","HCPCS","Both",,,"180","90","Wellcare","Medicare Advantage","",,"54",,"97.56","65.88","139.5","percent of total billed charges",,
"PROTEIN C ACTIVITY (FUNCTIONAL)","85303","HCPCS","Both",,,"180","90","Amerigroup","Medicaid Managed Care","",,"37",,"65.88","65.88","139.5","percent of total billed charges",,
"PROTEIN C ACTIVITY (FUNCTIONAL)","85303","HCPCS","Both",,,"180","90","Caresource","Medicaid Managed Care","",,"40",,"72","65.88","139.5","percent of total billed charges",,
"PROTEIN C ACTIVITY (FUNCTIONAL)","85303","HCPCS","Both",,,"180","90","Wellcare","Medicaid Managed Care","",,"40",,"72.9","65.88","139.5","percent of total billed charges",,
"PROTEIN C ACTIVITY (FUNCTIONAL)","85303","HCPCS","Both",,,"180","90","Aetna","Commercial","",,"64",,"114.84","65.88","139.5","percent of total billed charges",,
"PROTEIN C ACTIVITY (FUNCTIONAL)","85303","HCPCS","Both",,,"180","90","Blue Cross Blue Shield","Pathways","",,"71",,"127.08","65.88","139.5","percent of total billed charges",,
"PROTEIN C ACTIVITY (FUNCTIONAL)","85303","HCPCS","Both",,,"180","90","Blue Cross Blue Shield","HMO","",,"71",,"127.08","65.88","139.5","percent of total billed charges",,
"PROTEIN C ACTIVITY (FUNCTIONAL)","85303","HCPCS","Both",,,"180","90","Blue Cross Blue Shield","PPO","",,"71",,"127.08","65.88","139.5","percent of total billed charges",,
"PROTEIN C ACTIVITY (FUNCTIONAL)","85303","HCPCS","Both",,,"180","90","Ambetter","Health Exchange","",,"62",,"111.6","65.88","139.5","percent of total billed charges",,
"PROTEIN C ACTIVITY (FUNCTIONAL)","85303","HCPCS","Both",,,"180","90","Caresource","Health Exchange","",,"62",,"111.6","65.88","139.5","percent of total billed charges",,
"PROTEIN C ACTIVITY (FUNCTIONAL)","85303","HCPCS","Both",,,"180","90","Cigna","Commercial","",,"59",,"105.48","65.88","139.5","percent of total billed charges",,
"PROTEIN C ACTIVITY (FUNCTIONAL)","85303","HCPCS","Both",,,"180","90","Humana","Commercial","",,"78",,"139.5","65.88","139.5","percent of total billed charges",,
"PROTEIN C ACTIVITY (FUNCTIONAL)","85303","HCPCS","Both",,,"180","90","UHC","Commercial","",,"75",,"135.72","65.88","139.5","percent of total billed charges",,
"PROTEIN C ACTIVITY (FUNCTIONAL)","85303","HCPCS","Both",,,"180","90","Medicaid",,"",,"37",,"65.88","65.88","139.5","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE RBC'S LEUKO RED","P9016","HCPCS","Both",,,"478.56","239.28","Alliant","Health Exchange","BL",,"62",,"296.71","175.15","370.88","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE RBC'S LEUKO RED","P9016","HCPCS","Both",,,"478.56","239.28","Pruitt Healthcare","Medicare Advantage","BL",,"54",,"258.42","175.15","370.88","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE RBC'S LEUKO RED","P9016","HCPCS","Both",,,"478.56","239.28","Medicare",,"BL",,"54",,"259.38","175.15","370.88","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE RBC'S LEUKO RED","P9016","HCPCS","Both",,,"478.56","239.28","Humana","Medicare Advantage","BL",,"54",,"259.38","175.15","370.88","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE RBC'S LEUKO RED","P9016","HCPCS","Both",,,"478.56","239.28","UHC","Medicare Advantage","BL",,"54",,"259.38","175.15","370.88","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE RBC'S LEUKO RED","P9016","HCPCS","Both",,,"478.56","239.28","Clover","Medicare Advantage","BL",,"54",,"259.38","175.15","370.88","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE RBC'S LEUKO RED","P9016","HCPCS","Both",,,"478.56","239.28","Wellcare","Medicare Advantage","BL",,"54",,"259.38","175.15","370.88","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE RBC'S LEUKO RED","P9016","HCPCS","Both",,,"478.56","239.28","Amerigroup","Medicaid Managed Care","BL",,"37",,"175.15","175.15","370.88","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE RBC'S LEUKO RED","P9016","HCPCS","Both",,,"478.56","239.28","Caresource","Medicaid Managed Care","BL",,"40",,"191.42","175.15","370.88","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE RBC'S LEUKO RED","P9016","HCPCS","Both",,,"478.56","239.28","Wellcare","Medicaid Managed Care","BL",,"40",,"193.82","175.15","370.88","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE RBC'S LEUKO RED","P9016","HCPCS","Both",,,"478.56","239.28","Aetna","Commercial","BL",,"64",,"305.32","175.15","370.88","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE RBC'S LEUKO RED","P9016","HCPCS","Both",,,"478.56","239.28","Blue Cross Blue Shield","Pathways","BL",,"71",,"337.86","175.15","370.88","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE RBC'S LEUKO RED","P9016","HCPCS","Both",,,"478.56","239.28","Blue Cross Blue Shield","HMO","BL",,"71",,"337.86","175.15","370.88","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE RBC'S LEUKO RED","P9016","HCPCS","Both",,,"478.56","239.28","Blue Cross Blue Shield","PPO","BL",,"71",,"337.86","175.15","370.88","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE RBC'S LEUKO RED","P9016","HCPCS","Both",,,"478.56","239.28","Ambetter","Health Exchange","BL",,"62",,"296.71","175.15","370.88","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE RBC'S LEUKO RED","P9016","HCPCS","Both",,,"478.56","239.28","Caresource","Health Exchange","BL",,"62",,"296.71","175.15","370.88","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE RBC'S LEUKO RED","P9016","HCPCS","Both",,,"478.56","239.28","Cigna","Commercial","BL",,"59",,"280.44","175.15","370.88","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE RBC'S LEUKO RED","P9016","HCPCS","Both",,,"478.56","239.28","Humana","Commercial","BL",,"78",,"370.88","175.15","370.88","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE RBC'S LEUKO RED","P9016","HCPCS","Both",,,"478.56","239.28","UHC","Commercial","BL",,"75",,"360.83","175.15","370.88","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE RBC'S LEUKO RED","P9016","HCPCS","Both",,,"478.56","239.28","Medicaid",,"BL",,"37",,"175.15","175.15","370.88","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLATELETS @ UNI","P9034","HCPCS","Both",,,"1322","661","Alliant","Health Exchange","BL",,"62",,"819.64","483.85","1024.55","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLATELETS @ UNI","P9034","HCPCS","Both",,,"1322","661","Pruitt Healthcare","Medicare Advantage","BL",,"54",,"713.88","483.85","1024.55","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLATELETS @ UNI","P9034","HCPCS","Both",,,"1322","661","Medicare",,"BL",,"54",,"716.52","483.85","1024.55","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLATELETS @ UNI","P9034","HCPCS","Both",,,"1322","661","Humana","Medicare Advantage","BL",,"54",,"716.52","483.85","1024.55","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLATELETS @ UNI","P9034","HCPCS","Both",,,"1322","661","UHC","Medicare Advantage","BL",,"54",,"716.52","483.85","1024.55","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLATELETS @ UNI","P9034","HCPCS","Both",,,"1322","661","Clover","Medicare Advantage","BL",,"54",,"716.52","483.85","1024.55","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLATELETS @ UNI","P9034","HCPCS","Both",,,"1322","661","Wellcare","Medicare Advantage","BL",,"54",,"716.52","483.85","1024.55","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLATELETS @ UNI","P9034","HCPCS","Both",,,"1322","661","Amerigroup","Medicaid Managed Care","BL",,"37",,"483.85","483.85","1024.55","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLATELETS @ UNI","P9034","HCPCS","Both",,,"1322","661","Caresource","Medicaid Managed Care","BL",,"40",,"528.8","483.85","1024.55","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLATELETS @ UNI","P9034","HCPCS","Both",,,"1322","661","Wellcare","Medicaid Managed Care","BL",,"40",,"535.41","483.85","1024.55","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLATELETS @ UNI","P9034","HCPCS","Both",,,"1322","661","Aetna","Commercial","BL",,"64",,"843.44","483.85","1024.55","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLATELETS @ UNI","P9034","HCPCS","Both",,,"1322","661","Blue Cross Blue Shield","Pathways","BL",,"71",,"933.33","483.85","1024.55","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLATELETS @ UNI","P9034","HCPCS","Both",,,"1322","661","Blue Cross Blue Shield","HMO","BL",,"71",,"933.33","483.85","1024.55","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLATELETS @ UNI","P9034","HCPCS","Both",,,"1322","661","Blue Cross Blue Shield","PPO","BL",,"71",,"933.33","483.85","1024.55","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLATELETS @ UNI","P9034","HCPCS","Both",,,"1322","661","Ambetter","Health Exchange","BL",,"62",,"819.64","483.85","1024.55","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLATELETS @ UNI","P9034","HCPCS","Both",,,"1322","661","Caresource","Health Exchange","BL",,"62",,"819.64","483.85","1024.55","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLATELETS @ UNI","P9034","HCPCS","Both",,,"1322","661","Cigna","Commercial","BL",,"59",,"774.69","483.85","1024.55","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLATELETS @ UNI","P9034","HCPCS","Both",,,"1322","661","Humana","Commercial","BL",,"78",,"1024.55","483.85","1024.55","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLATELETS @ UNI","P9034","HCPCS","Both",,,"1322","661","UHC","Commercial","BL",,"75",,"996.79","483.85","1024.55","percent of total billed charges",,
"BLOOD PROCESSING/STORAGE PLATELETS @ UNI","P9034","HCPCS","Both",,,"1322","661","Medicaid",,"BL",,"37",,"483.85","483.85","1024.55","percent of total billed charges",,
"TRANSFUSION BLOOD OR BLOOD COMPONENTS","36430","HCPCS","Both",,,"407.75","203.875","Alliant","Health Exchange","",,"62",,"252.8","149.24","316.01","percent of total billed charges",,
"TRANSFUSION BLOOD OR BLOOD COMPONENTS","36430","HCPCS","Both",,,"407.75","203.875","Pruitt Healthcare","Medicare Advantage","",,"54",,"220.18","149.24","316.01","percent of total billed charges",,
"TRANSFUSION BLOOD OR BLOOD COMPONENTS","36430","HCPCS","Both",,,"407.75","203.875","Medicare",,"",,"54",,"221","149.24","316.01","percent of total billed charges",,
"TRANSFUSION BLOOD OR BLOOD COMPONENTS","36430","HCPCS","Both",,,"407.75","203.875","Humana","Medicare Advantage","",,"54",,"221","149.24","316.01","percent of total billed charges",,
"TRANSFUSION BLOOD OR BLOOD COMPONENTS","36430","HCPCS","Both",,,"407.75","203.875","UHC","Medicare Advantage","",,"54",,"221","149.24","316.01","percent of total billed charges",,
"TRANSFUSION BLOOD OR BLOOD COMPONENTS","36430","HCPCS","Both",,,"407.75","203.875","Clover","Medicare Advantage","",,"54",,"221","149.24","316.01","percent of total billed charges",,
"TRANSFUSION BLOOD OR BLOOD COMPONENTS","36430","HCPCS","Both",,,"407.75","203.875","Wellcare","Medicare Advantage","",,"54",,"221","149.24","316.01","percent of total billed charges",,
"TRANSFUSION BLOOD OR BLOOD COMPONENTS","36430","HCPCS","Both",,,"407.75","203.875","Amerigroup","Medicaid Managed Care","",,"37",,"149.24","149.24","316.01","percent of total billed charges",,
"TRANSFUSION BLOOD OR BLOOD COMPONENTS","36430","HCPCS","Both",,,"407.75","203.875","Caresource","Medicaid Managed Care","",,"40",,"163.1","149.24","316.01","percent of total billed charges",,
"TRANSFUSION BLOOD OR BLOOD COMPONENTS","36430","HCPCS","Both",,,"407.75","203.875","Wellcare","Medicaid Managed Care","",,"40",,"165.14","149.24","316.01","percent of total billed charges",,
"TRANSFUSION BLOOD OR BLOOD COMPONENTS","36430","HCPCS","Both",,,"407.75","203.875","Aetna","Commercial","",,"64",,"260.14","149.24","316.01","percent of total billed charges",,
"TRANSFUSION BLOOD OR BLOOD COMPONENTS","36430","HCPCS","Both",,,"407.75","203.875","Blue Cross Blue Shield","Pathways","",,"71",,"287.87","149.24","316.01","percent of total billed charges",,
"TRANSFUSION BLOOD OR BLOOD COMPONENTS","36430","HCPCS","Both",,,"407.75","203.875","Blue Cross Blue Shield","HMO","",,"71",,"287.87","149.24","316.01","percent of total billed charges",,
"TRANSFUSION BLOOD OR BLOOD COMPONENTS","36430","HCPCS","Both",,,"407.75","203.875","Blue Cross Blue Shield","PPO","",,"71",,"287.87","149.24","316.01","percent of total billed charges",,
"TRANSFUSION BLOOD OR BLOOD COMPONENTS","36430","HCPCS","Both",,,"407.75","203.875","Ambetter","Health Exchange","",,"62",,"252.8","149.24","316.01","percent of total billed charges",,
"TRANSFUSION BLOOD OR BLOOD COMPONENTS","36430","HCPCS","Both",,,"407.75","203.875","Caresource","Health Exchange","",,"62",,"252.8","149.24","316.01","percent of total billed charges",,
"TRANSFUSION BLOOD OR BLOOD COMPONENTS","36430","HCPCS","Both",,,"407.75","203.875","Cigna","Commercial","",,"59",,"238.94","149.24","316.01","percent of total billed charges",,
"TRANSFUSION BLOOD OR BLOOD COMPONENTS","36430","HCPCS","Both",,,"407.75","203.875","Humana","Commercial","",,"78",,"316.01","149.24","316.01","percent of total billed charges",,
"TRANSFUSION BLOOD OR BLOOD COMPONENTS","36430","HCPCS","Both",,,"407.75","203.875","UHC","Commercial","",,"75",,"307.44","149.24","316.01","percent of total billed charges",,
"TRANSFUSION BLOOD OR BLOOD COMPONENTS","36430","HCPCS","Both",,,"407.75","203.875","Medicaid",,"",,"37",,"149.24","149.24","316.01","percent of total billed charges",,
"CANCER ANTIGEN 19-9","86301","HCPCS","Both",,,"53.5","26.75","Alliant","Health Exchange","",,"62",,"33.17","19.58","41.46","percent of total billed charges",,
"CANCER ANTIGEN 19-9","86301","HCPCS","Both",,,"53.5","26.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"28.89","19.58","41.46","percent of total billed charges",,
"CANCER ANTIGEN 19-9","86301","HCPCS","Both",,,"53.5","26.75","Medicare",,"",,"54",,"29","19.58","41.46","percent of total billed charges",,
"CANCER ANTIGEN 19-9","86301","HCPCS","Both",,,"53.5","26.75","Humana","Medicare Advantage","",,"54",,"29","19.58","41.46","percent of total billed charges",,
"CANCER ANTIGEN 19-9","86301","HCPCS","Both",,,"53.5","26.75","UHC","Medicare Advantage","",,"54",,"29","19.58","41.46","percent of total billed charges",,
"CANCER ANTIGEN 19-9","86301","HCPCS","Both",,,"53.5","26.75","Clover","Medicare Advantage","",,"54",,"29","19.58","41.46","percent of total billed charges",,
"CANCER ANTIGEN 19-9","86301","HCPCS","Both",,,"53.5","26.75","Wellcare","Medicare Advantage","",,"54",,"29","19.58","41.46","percent of total billed charges",,
"CANCER ANTIGEN 19-9","86301","HCPCS","Both",,,"53.5","26.75","Amerigroup","Medicaid Managed Care","",,"37",,"19.58","19.58","41.46","percent of total billed charges",,
"CANCER ANTIGEN 19-9","86301","HCPCS","Both",,,"53.5","26.75","Caresource","Medicaid Managed Care","",,"40",,"21.4","19.58","41.46","percent of total billed charges",,
"CANCER ANTIGEN 19-9","86301","HCPCS","Both",,,"53.5","26.75","Wellcare","Medicaid Managed Care","",,"40",,"21.67","19.58","41.46","percent of total billed charges",,
"CANCER ANTIGEN 19-9","86301","HCPCS","Both",,,"53.5","26.75","Aetna","Commercial","",,"64",,"34.13","19.58","41.46","percent of total billed charges",,
"CANCER ANTIGEN 19-9","86301","HCPCS","Both",,,"53.5","26.75","Blue Cross Blue Shield","Pathways","",,"71",,"37.77","19.58","41.46","percent of total billed charges",,
"CANCER ANTIGEN 19-9","86301","HCPCS","Both",,,"53.5","26.75","Blue Cross Blue Shield","HMO","",,"71",,"37.77","19.58","41.46","percent of total billed charges",,
"CANCER ANTIGEN 19-9","86301","HCPCS","Both",,,"53.5","26.75","Blue Cross Blue Shield","PPO","",,"71",,"37.77","19.58","41.46","percent of total billed charges",,
"CANCER ANTIGEN 19-9","86301","HCPCS","Both",,,"53.5","26.75","Ambetter","Health Exchange","",,"62",,"33.17","19.58","41.46","percent of total billed charges",,
"CANCER ANTIGEN 19-9","86301","HCPCS","Both",,,"53.5","26.75","Caresource","Health Exchange","",,"62",,"33.17","19.58","41.46","percent of total billed charges",,
"CANCER ANTIGEN 19-9","86301","HCPCS","Both",,,"53.5","26.75","Cigna","Commercial","",,"59",,"31.35","19.58","41.46","percent of total billed charges",,
"CANCER ANTIGEN 19-9","86301","HCPCS","Both",,,"53.5","26.75","Humana","Commercial","",,"78",,"41.46","19.58","41.46","percent of total billed charges",,
"CANCER ANTIGEN 19-9","86301","HCPCS","Both",,,"53.5","26.75","UHC","Commercial","",,"75",,"40.34","19.58","41.46","percent of total billed charges",,
"CANCER ANTIGEN 19-9","86301","HCPCS","Both",,,"53.5","26.75","Medicaid",,"",,"37",,"19.58","19.58","41.46","percent of total billed charges",,
"INTRINSIC FACTOR ANTIBODIES","86340","HCPCS","Both",,,"65.5","32.75","Alliant","Health Exchange","",,"62",,"40.61","23.97","50.76","percent of total billed charges",,
"INTRINSIC FACTOR ANTIBODIES","86340","HCPCS","Both",,,"65.5","32.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"35.37","23.97","50.76","percent of total billed charges",,
"INTRINSIC FACTOR ANTIBODIES","86340","HCPCS","Both",,,"65.5","32.75","Medicare",,"",,"54",,"35.5","23.97","50.76","percent of total billed charges",,
"INTRINSIC FACTOR ANTIBODIES","86340","HCPCS","Both",,,"65.5","32.75","Humana","Medicare Advantage","",,"54",,"35.5","23.97","50.76","percent of total billed charges",,
"INTRINSIC FACTOR ANTIBODIES","86340","HCPCS","Both",,,"65.5","32.75","UHC","Medicare Advantage","",,"54",,"35.5","23.97","50.76","percent of total billed charges",,
"INTRINSIC FACTOR ANTIBODIES","86340","HCPCS","Both",,,"65.5","32.75","Clover","Medicare Advantage","",,"54",,"35.5","23.97","50.76","percent of total billed charges",,
"INTRINSIC FACTOR ANTIBODIES","86340","HCPCS","Both",,,"65.5","32.75","Wellcare","Medicare Advantage","",,"54",,"35.5","23.97","50.76","percent of total billed charges",,
"INTRINSIC FACTOR ANTIBODIES","86340","HCPCS","Both",,,"65.5","32.75","Amerigroup","Medicaid Managed Care","",,"37",,"23.97","23.97","50.76","percent of total billed charges",,
"INTRINSIC FACTOR ANTIBODIES","86340","HCPCS","Both",,,"65.5","32.75","Caresource","Medicaid Managed Care","",,"40",,"26.2","23.97","50.76","percent of total billed charges",,
"INTRINSIC FACTOR ANTIBODIES","86340","HCPCS","Both",,,"65.5","32.75","Wellcare","Medicaid Managed Care","",,"40",,"26.53","23.97","50.76","percent of total billed charges",,
"INTRINSIC FACTOR ANTIBODIES","86340","HCPCS","Both",,,"65.5","32.75","Aetna","Commercial","",,"64",,"41.79","23.97","50.76","percent of total billed charges",,
"INTRINSIC FACTOR ANTIBODIES","86340","HCPCS","Both",,,"65.5","32.75","Blue Cross Blue Shield","Pathways","",,"71",,"46.24","23.97","50.76","percent of total billed charges",,
"INTRINSIC FACTOR ANTIBODIES","86340","HCPCS","Both",,,"65.5","32.75","Blue Cross Blue Shield","HMO","",,"71",,"46.24","23.97","50.76","percent of total billed charges",,
"INTRINSIC FACTOR ANTIBODIES","86340","HCPCS","Both",,,"65.5","32.75","Blue Cross Blue Shield","PPO","",,"71",,"46.24","23.97","50.76","percent of total billed charges",,
"INTRINSIC FACTOR ANTIBODIES","86340","HCPCS","Both",,,"65.5","32.75","Ambetter","Health Exchange","",,"62",,"40.61","23.97","50.76","percent of total billed charges",,
"INTRINSIC FACTOR ANTIBODIES","86340","HCPCS","Both",,,"65.5","32.75","Caresource","Health Exchange","",,"62",,"40.61","23.97","50.76","percent of total billed charges",,
"INTRINSIC FACTOR ANTIBODIES","86340","HCPCS","Both",,,"65.5","32.75","Cigna","Commercial","",,"59",,"38.38","23.97","50.76","percent of total billed charges",,
"INTRINSIC FACTOR ANTIBODIES","86340","HCPCS","Both",,,"65.5","32.75","Humana","Commercial","",,"78",,"50.76","23.97","50.76","percent of total billed charges",,
"INTRINSIC FACTOR ANTIBODIES","86340","HCPCS","Both",,,"65.5","32.75","UHC","Commercial","",,"75",,"49.39","23.97","50.76","percent of total billed charges",,
"INTRINSIC FACTOR ANTIBODIES","86340","HCPCS","Both",,,"65.5","32.75","Medicaid",,"",,"37",,"23.97","23.97","50.76","percent of total billed charges",,
"HERPES VIRUS TYPE 1 IGG SERUM","86695","HCPCS","Both",,,"16.5","8.25","Alliant","Health Exchange","",,"62",,"10.23","6.04","12.79","percent of total billed charges",,
"HERPES VIRUS TYPE 1 IGG SERUM","86695","HCPCS","Both",,,"16.5","8.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"8.91","6.04","12.79","percent of total billed charges",,
"HERPES VIRUS TYPE 1 IGG SERUM","86695","HCPCS","Both",,,"16.5","8.25","Medicare",,"",,"54",,"8.94","6.04","12.79","percent of total billed charges",,
"HERPES VIRUS TYPE 1 IGG SERUM","86695","HCPCS","Both",,,"16.5","8.25","Humana","Medicare Advantage","",,"54",,"8.94","6.04","12.79","percent of total billed charges",,
"HERPES VIRUS TYPE 1 IGG SERUM","86695","HCPCS","Both",,,"16.5","8.25","UHC","Medicare Advantage","",,"54",,"8.94","6.04","12.79","percent of total billed charges",,
"HERPES VIRUS TYPE 1 IGG SERUM","86695","HCPCS","Both",,,"16.5","8.25","Clover","Medicare Advantage","",,"54",,"8.94","6.04","12.79","percent of total billed charges",,
"HERPES VIRUS TYPE 1 IGG SERUM","86695","HCPCS","Both",,,"16.5","8.25","Wellcare","Medicare Advantage","",,"54",,"8.94","6.04","12.79","percent of total billed charges",,
"HERPES VIRUS TYPE 1 IGG SERUM","86695","HCPCS","Both",,,"16.5","8.25","Amerigroup","Medicaid Managed Care","",,"37",,"6.04","6.04","12.79","percent of total billed charges",,
"HERPES VIRUS TYPE 1 IGG SERUM","86695","HCPCS","Both",,,"16.5","8.25","Caresource","Medicaid Managed Care","",,"40",,"6.6","6.04","12.79","percent of total billed charges",,
"HERPES VIRUS TYPE 1 IGG SERUM","86695","HCPCS","Both",,,"16.5","8.25","Wellcare","Medicaid Managed Care","",,"40",,"6.68","6.04","12.79","percent of total billed charges",,
"HERPES VIRUS TYPE 1 IGG SERUM","86695","HCPCS","Both",,,"16.5","8.25","Aetna","Commercial","",,"64",,"10.53","6.04","12.79","percent of total billed charges",,
"HERPES VIRUS TYPE 1 IGG SERUM","86695","HCPCS","Both",,,"16.5","8.25","Blue Cross Blue Shield","Pathways","",,"71",,"11.65","6.04","12.79","percent of total billed charges",,
"HERPES VIRUS TYPE 1 IGG SERUM","86695","HCPCS","Both",,,"16.5","8.25","Blue Cross Blue Shield","HMO","",,"71",,"11.65","6.04","12.79","percent of total billed charges",,
"HERPES VIRUS TYPE 1 IGG SERUM","86695","HCPCS","Both",,,"16.5","8.25","Blue Cross Blue Shield","PPO","",,"71",,"11.65","6.04","12.79","percent of total billed charges",,
"HERPES VIRUS TYPE 1 IGG SERUM","86695","HCPCS","Both",,,"16.5","8.25","Ambetter","Health Exchange","",,"62",,"10.23","6.04","12.79","percent of total billed charges",,
"HERPES VIRUS TYPE 1 IGG SERUM","86695","HCPCS","Both",,,"16.5","8.25","Caresource","Health Exchange","",,"62",,"10.23","6.04","12.79","percent of total billed charges",,
"HERPES VIRUS TYPE 1 IGG SERUM","86695","HCPCS","Both",,,"16.5","8.25","Cigna","Commercial","",,"59",,"9.67","6.04","12.79","percent of total billed charges",,
"HERPES VIRUS TYPE 1 IGG SERUM","86695","HCPCS","Both",,,"16.5","8.25","Humana","Commercial","",,"78",,"12.79","6.04","12.79","percent of total billed charges",,
"HERPES VIRUS TYPE 1 IGG SERUM","86695","HCPCS","Both",,,"16.5","8.25","UHC","Commercial","",,"75",,"12.44","6.04","12.79","percent of total billed charges",,
"HERPES VIRUS TYPE 1 IGG SERUM","86695","HCPCS","Both",,,"16.5","8.25","Medicaid",,"",,"37",,"6.04","6.04","12.79","percent of total billed charges",,
"SOUTHEASTERN RESP ALLERGY PANEL","86003","HCPCS","Both",,,"6.5","3.25","Alliant","Health Exchange","",,"62",,"4.03","2.38","5.04","percent of total billed charges",,
"SOUTHEASTERN RESP ALLERGY PANEL","86003","HCPCS","Both",,,"6.5","3.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"3.51","2.38","5.04","percent of total billed charges",,
"SOUTHEASTERN RESP ALLERGY PANEL","86003","HCPCS","Both",,,"6.5","3.25","Medicare",,"",,"54",,"3.52","2.38","5.04","percent of total billed charges",,
"SOUTHEASTERN RESP ALLERGY PANEL","86003","HCPCS","Both",,,"6.5","3.25","Humana","Medicare Advantage","",,"54",,"3.52","2.38","5.04","percent of total billed charges",,
"SOUTHEASTERN RESP ALLERGY PANEL","86003","HCPCS","Both",,,"6.5","3.25","UHC","Medicare Advantage","",,"54",,"3.52","2.38","5.04","percent of total billed charges",,
"SOUTHEASTERN RESP ALLERGY PANEL","86003","HCPCS","Both",,,"6.5","3.25","Clover","Medicare Advantage","",,"54",,"3.52","2.38","5.04","percent of total billed charges",,
"SOUTHEASTERN RESP ALLERGY PANEL","86003","HCPCS","Both",,,"6.5","3.25","Wellcare","Medicare Advantage","",,"54",,"3.52","2.38","5.04","percent of total billed charges",,
"SOUTHEASTERN RESP ALLERGY PANEL","86003","HCPCS","Both",,,"6.5","3.25","Amerigroup","Medicaid Managed Care","",,"37",,"2.38","2.38","5.04","percent of total billed charges",,
"SOUTHEASTERN RESP ALLERGY PANEL","86003","HCPCS","Both",,,"6.5","3.25","Caresource","Medicaid Managed Care","",,"40",,"2.6","2.38","5.04","percent of total billed charges",,
"SOUTHEASTERN RESP ALLERGY PANEL","86003","HCPCS","Both",,,"6.5","3.25","Wellcare","Medicaid Managed Care","",,"40",,"2.63","2.38","5.04","percent of total billed charges",,
"SOUTHEASTERN RESP ALLERGY PANEL","86003","HCPCS","Both",,,"6.5","3.25","Aetna","Commercial","",,"64",,"4.15","2.38","5.04","percent of total billed charges",,
"SOUTHEASTERN RESP ALLERGY PANEL","86003","HCPCS","Both",,,"6.5","3.25","Blue Cross Blue Shield","Pathways","",,"71",,"4.59","2.38","5.04","percent of total billed charges",,
"SOUTHEASTERN RESP ALLERGY PANEL","86003","HCPCS","Both",,,"6.5","3.25","Blue Cross Blue Shield","HMO","",,"71",,"4.59","2.38","5.04","percent of total billed charges",,
"SOUTHEASTERN RESP ALLERGY PANEL","86003","HCPCS","Both",,,"6.5","3.25","Blue Cross Blue Shield","PPO","",,"71",,"4.59","2.38","5.04","percent of total billed charges",,
"SOUTHEASTERN RESP ALLERGY PANEL","86003","HCPCS","Both",,,"6.5","3.25","Ambetter","Health Exchange","",,"62",,"4.03","2.38","5.04","percent of total billed charges",,
"SOUTHEASTERN RESP ALLERGY PANEL","86003","HCPCS","Both",,,"6.5","3.25","Caresource","Health Exchange","",,"62",,"4.03","2.38","5.04","percent of total billed charges",,
"SOUTHEASTERN RESP ALLERGY PANEL","86003","HCPCS","Both",,,"6.5","3.25","Cigna","Commercial","",,"59",,"3.81","2.38","5.04","percent of total billed charges",,
"SOUTHEASTERN RESP ALLERGY PANEL","86003","HCPCS","Both",,,"6.5","3.25","Humana","Commercial","",,"78",,"5.04","2.38","5.04","percent of total billed charges",,
"SOUTHEASTERN RESP ALLERGY PANEL","86003","HCPCS","Both",,,"6.5","3.25","UHC","Commercial","",,"75",,"4.9","2.38","5.04","percent of total billed charges",,
"SOUTHEASTERN RESP ALLERGY PANEL","86003","HCPCS","Both",,,"6.5","3.25","Medicaid",,"",,"37",,"2.38","2.38","5.04","percent of total billed charges",,
"5' NUCLEOTIDASE","83915","HCPCS","Both",,,"81","40.5","Alliant","Health Exchange","",,"62",,"50.22","29.65","62.78","percent of total billed charges",,
"5' NUCLEOTIDASE","83915","HCPCS","Both",,,"81","40.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"43.74","29.65","62.78","percent of total billed charges",,
"5' NUCLEOTIDASE","83915","HCPCS","Both",,,"81","40.5","Medicare",,"",,"54",,"43.9","29.65","62.78","percent of total billed charges",,
"5' NUCLEOTIDASE","83915","HCPCS","Both",,,"81","40.5","Humana","Medicare Advantage","",,"54",,"43.9","29.65","62.78","percent of total billed charges",,
"5' NUCLEOTIDASE","83915","HCPCS","Both",,,"81","40.5","UHC","Medicare Advantage","",,"54",,"43.9","29.65","62.78","percent of total billed charges",,
"5' NUCLEOTIDASE","83915","HCPCS","Both",,,"81","40.5","Clover","Medicare Advantage","",,"54",,"43.9","29.65","62.78","percent of total billed charges",,
"5' NUCLEOTIDASE","83915","HCPCS","Both",,,"81","40.5","Wellcare","Medicare Advantage","",,"54",,"43.9","29.65","62.78","percent of total billed charges",,
"5' NUCLEOTIDASE","83915","HCPCS","Both",,,"81","40.5","Amerigroup","Medicaid Managed Care","",,"37",,"29.65","29.65","62.78","percent of total billed charges",,
"5' NUCLEOTIDASE","83915","HCPCS","Both",,,"81","40.5","Caresource","Medicaid Managed Care","",,"40",,"32.4","29.65","62.78","percent of total billed charges",,
"5' NUCLEOTIDASE","83915","HCPCS","Both",,,"81","40.5","Wellcare","Medicaid Managed Care","",,"40",,"32.8","29.65","62.78","percent of total billed charges",,
"5' NUCLEOTIDASE","83915","HCPCS","Both",,,"81","40.5","Aetna","Commercial","",,"64",,"51.68","29.65","62.78","percent of total billed charges",,
"5' NUCLEOTIDASE","83915","HCPCS","Both",,,"81","40.5","Blue Cross Blue Shield","Pathways","",,"71",,"57.19","29.65","62.78","percent of total billed charges",,
"5' NUCLEOTIDASE","83915","HCPCS","Both",,,"81","40.5","Blue Cross Blue Shield","HMO","",,"71",,"57.19","29.65","62.78","percent of total billed charges",,
"5' NUCLEOTIDASE","83915","HCPCS","Both",,,"81","40.5","Blue Cross Blue Shield","PPO","",,"71",,"57.19","29.65","62.78","percent of total billed charges",,
"5' NUCLEOTIDASE","83915","HCPCS","Both",,,"81","40.5","Ambetter","Health Exchange","",,"62",,"50.22","29.65","62.78","percent of total billed charges",,
"5' NUCLEOTIDASE","83915","HCPCS","Both",,,"81","40.5","Caresource","Health Exchange","",,"62",,"50.22","29.65","62.78","percent of total billed charges",,
"5' NUCLEOTIDASE","83915","HCPCS","Both",,,"81","40.5","Cigna","Commercial","",,"59",,"47.47","29.65","62.78","percent of total billed charges",,
"5' NUCLEOTIDASE","83915","HCPCS","Both",,,"81","40.5","Humana","Commercial","",,"78",,"62.78","29.65","62.78","percent of total billed charges",,
"5' NUCLEOTIDASE","83915","HCPCS","Both",,,"81","40.5","UHC","Commercial","",,"75",,"61.07","29.65","62.78","percent of total billed charges",,
"5' NUCLEOTIDASE","83915","HCPCS","Both",,,"81","40.5","Medicaid",,"",,"37",,"29.65","29.65","62.78","percent of total billed charges",,
"BETA-2 MICROGLOBULIN","82232","HCPCS","Both",,,"20","10","Alliant","Health Exchange","",,"62",,"12.4","7.32","15.5","percent of total billed charges",,
"BETA-2 MICROGLOBULIN","82232","HCPCS","Both",,,"20","10","Pruitt Healthcare","Medicare Advantage","",,"54",,"10.8","7.32","15.5","percent of total billed charges",,
"BETA-2 MICROGLOBULIN","82232","HCPCS","Both",,,"20","10","Medicare",,"",,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"BETA-2 MICROGLOBULIN","82232","HCPCS","Both",,,"20","10","Humana","Medicare Advantage","",,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"BETA-2 MICROGLOBULIN","82232","HCPCS","Both",,,"20","10","UHC","Medicare Advantage","",,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"BETA-2 MICROGLOBULIN","82232","HCPCS","Both",,,"20","10","Clover","Medicare Advantage","",,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"BETA-2 MICROGLOBULIN","82232","HCPCS","Both",,,"20","10","Wellcare","Medicare Advantage","",,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"BETA-2 MICROGLOBULIN","82232","HCPCS","Both",,,"20","10","Amerigroup","Medicaid Managed Care","",,"37",,"7.32","7.32","15.5","percent of total billed charges",,
"BETA-2 MICROGLOBULIN","82232","HCPCS","Both",,,"20","10","Caresource","Medicaid Managed Care","",,"40",,"8","7.32","15.5","percent of total billed charges",,
"BETA-2 MICROGLOBULIN","82232","HCPCS","Both",,,"20","10","Wellcare","Medicaid Managed Care","",,"40",,"8.1","7.32","15.5","percent of total billed charges",,
"BETA-2 MICROGLOBULIN","82232","HCPCS","Both",,,"20","10","Aetna","Commercial","",,"64",,"12.76","7.32","15.5","percent of total billed charges",,
"BETA-2 MICROGLOBULIN","82232","HCPCS","Both",,,"20","10","Blue Cross Blue Shield","Pathways","",,"71",,"14.12","7.32","15.5","percent of total billed charges",,
"BETA-2 MICROGLOBULIN","82232","HCPCS","Both",,,"20","10","Blue Cross Blue Shield","HMO","",,"71",,"14.12","7.32","15.5","percent of total billed charges",,
"BETA-2 MICROGLOBULIN","82232","HCPCS","Both",,,"20","10","Blue Cross Blue Shield","PPO","",,"71",,"14.12","7.32","15.5","percent of total billed charges",,
"BETA-2 MICROGLOBULIN","82232","HCPCS","Both",,,"20","10","Ambetter","Health Exchange","",,"62",,"12.4","7.32","15.5","percent of total billed charges",,
"BETA-2 MICROGLOBULIN","82232","HCPCS","Both",,,"20","10","Caresource","Health Exchange","",,"62",,"12.4","7.32","15.5","percent of total billed charges",,
"BETA-2 MICROGLOBULIN","82232","HCPCS","Both",,,"20","10","Cigna","Commercial","",,"59",,"11.72","7.32","15.5","percent of total billed charges",,
"BETA-2 MICROGLOBULIN","82232","HCPCS","Both",,,"20","10","Humana","Commercial","",,"78",,"15.5","7.32","15.5","percent of total billed charges",,
"BETA-2 MICROGLOBULIN","82232","HCPCS","Both",,,"20","10","UHC","Commercial","",,"75",,"15.08","7.32","15.5","percent of total billed charges",,
"BETA-2 MICROGLOBULIN","82232","HCPCS","Both",,,"20","10","Medicaid",,"",,"37",,"7.32","7.32","15.5","percent of total billed charges",,
"INSULIN GROWTH FACTOR 1","84305","HCPCS","Both",,,"91","45.5","Alliant","Health Exchange","",,"62",,"56.42","33.31","70.53","percent of total billed charges",,
"INSULIN GROWTH FACTOR 1","84305","HCPCS","Both",,,"91","45.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"49.14","33.31","70.53","percent of total billed charges",,
"INSULIN GROWTH FACTOR 1","84305","HCPCS","Both",,,"91","45.5","Medicare",,"",,"54",,"49.32","33.31","70.53","percent of total billed charges",,
"INSULIN GROWTH FACTOR 1","84305","HCPCS","Both",,,"91","45.5","Humana","Medicare Advantage","",,"54",,"49.32","33.31","70.53","percent of total billed charges",,
"INSULIN GROWTH FACTOR 1","84305","HCPCS","Both",,,"91","45.5","UHC","Medicare Advantage","",,"54",,"49.32","33.31","70.53","percent of total billed charges",,
"INSULIN GROWTH FACTOR 1","84305","HCPCS","Both",,,"91","45.5","Clover","Medicare Advantage","",,"54",,"49.32","33.31","70.53","percent of total billed charges",,
"INSULIN GROWTH FACTOR 1","84305","HCPCS","Both",,,"91","45.5","Wellcare","Medicare Advantage","",,"54",,"49.32","33.31","70.53","percent of total billed charges",,
"INSULIN GROWTH FACTOR 1","84305","HCPCS","Both",,,"91","45.5","Amerigroup","Medicaid Managed Care","",,"37",,"33.31","33.31","70.53","percent of total billed charges",,
"INSULIN GROWTH FACTOR 1","84305","HCPCS","Both",,,"91","45.5","Caresource","Medicaid Managed Care","",,"40",,"36.4","33.31","70.53","percent of total billed charges",,
"INSULIN GROWTH FACTOR 1","84305","HCPCS","Both",,,"91","45.5","Wellcare","Medicaid Managed Care","",,"40",,"36.86","33.31","70.53","percent of total billed charges",,
"INSULIN GROWTH FACTOR 1","84305","HCPCS","Both",,,"91","45.5","Aetna","Commercial","",,"64",,"58.06","33.31","70.53","percent of total billed charges",,
"INSULIN GROWTH FACTOR 1","84305","HCPCS","Both",,,"91","45.5","Blue Cross Blue Shield","Pathways","",,"71",,"64.25","33.31","70.53","percent of total billed charges",,
"INSULIN GROWTH FACTOR 1","84305","HCPCS","Both",,,"91","45.5","Blue Cross Blue Shield","HMO","",,"71",,"64.25","33.31","70.53","percent of total billed charges",,
"INSULIN GROWTH FACTOR 1","84305","HCPCS","Both",,,"91","45.5","Blue Cross Blue Shield","PPO","",,"71",,"64.25","33.31","70.53","percent of total billed charges",,
"INSULIN GROWTH FACTOR 1","84305","HCPCS","Both",,,"91","45.5","Ambetter","Health Exchange","",,"62",,"56.42","33.31","70.53","percent of total billed charges",,
"INSULIN GROWTH FACTOR 1","84305","HCPCS","Both",,,"91","45.5","Caresource","Health Exchange","",,"62",,"56.42","33.31","70.53","percent of total billed charges",,
"INSULIN GROWTH FACTOR 1","84305","HCPCS","Both",,,"91","45.5","Cigna","Commercial","",,"59",,"53.33","33.31","70.53","percent of total billed charges",,
"INSULIN GROWTH FACTOR 1","84305","HCPCS","Both",,,"91","45.5","Humana","Commercial","",,"78",,"70.53","33.31","70.53","percent of total billed charges",,
"INSULIN GROWTH FACTOR 1","84305","HCPCS","Both",,,"91","45.5","UHC","Commercial","",,"75",,"68.61","33.31","70.53","percent of total billed charges",,
"INSULIN GROWTH FACTOR 1","84305","HCPCS","Both",,,"91","45.5","Medicaid",,"",,"37",,"33.31","33.31","70.53","percent of total billed charges",,
"PLATELETS  EACH UNIT","P9019","HCPCS","Both",,,"280.5","140.25","Alliant","Health Exchange","BL",,"62",,"173.91","102.66","217.39","percent of total billed charges",,
"PLATELETS  EACH UNIT","P9019","HCPCS","Both",,,"280.5","140.25","Pruitt Healthcare","Medicare Advantage","BL",,"54",,"151.47","102.66","217.39","percent of total billed charges",,
"PLATELETS  EACH UNIT","P9019","HCPCS","Both",,,"280.5","140.25","Medicare",,"BL",,"54",,"152.03","102.66","217.39","percent of total billed charges",,
"PLATELETS  EACH UNIT","P9019","HCPCS","Both",,,"280.5","140.25","Humana","Medicare Advantage","BL",,"54",,"152.03","102.66","217.39","percent of total billed charges",,
"PLATELETS  EACH UNIT","P9019","HCPCS","Both",,,"280.5","140.25","UHC","Medicare Advantage","BL",,"54",,"152.03","102.66","217.39","percent of total billed charges",,
"PLATELETS  EACH UNIT","P9019","HCPCS","Both",,,"280.5","140.25","Clover","Medicare Advantage","BL",,"54",,"152.03","102.66","217.39","percent of total billed charges",,
"PLATELETS  EACH UNIT","P9019","HCPCS","Both",,,"280.5","140.25","Wellcare","Medicare Advantage","BL",,"54",,"152.03","102.66","217.39","percent of total billed charges",,
"PLATELETS  EACH UNIT","P9019","HCPCS","Both",,,"280.5","140.25","Amerigroup","Medicaid Managed Care","BL",,"37",,"102.66","102.66","217.39","percent of total billed charges",,
"PLATELETS  EACH UNIT","P9019","HCPCS","Both",,,"280.5","140.25","Caresource","Medicaid Managed Care","BL",,"40",,"112.2","102.66","217.39","percent of total billed charges",,
"PLATELETS  EACH UNIT","P9019","HCPCS","Both",,,"280.5","140.25","Wellcare","Medicaid Managed Care","BL",,"40",,"113.6","102.66","217.39","percent of total billed charges",,
"PLATELETS  EACH UNIT","P9019","HCPCS","Both",,,"280.5","140.25","Aetna","Commercial","BL",,"64",,"178.96","102.66","217.39","percent of total billed charges",,
"PLATELETS  EACH UNIT","P9019","HCPCS","Both",,,"280.5","140.25","Blue Cross Blue Shield","Pathways","BL",,"71",,"198.03","102.66","217.39","percent of total billed charges",,
"PLATELETS  EACH UNIT","P9019","HCPCS","Both",,,"280.5","140.25","Blue Cross Blue Shield","HMO","BL",,"71",,"198.03","102.66","217.39","percent of total billed charges",,
"PLATELETS  EACH UNIT","P9019","HCPCS","Both",,,"280.5","140.25","Blue Cross Blue Shield","PPO","BL",,"71",,"198.03","102.66","217.39","percent of total billed charges",,
"PLATELETS  EACH UNIT","P9019","HCPCS","Both",,,"280.5","140.25","Ambetter","Health Exchange","BL",,"62",,"173.91","102.66","217.39","percent of total billed charges",,
"PLATELETS  EACH UNIT","P9019","HCPCS","Both",,,"280.5","140.25","Caresource","Health Exchange","BL",,"62",,"173.91","102.66","217.39","percent of total billed charges",,
"PLATELETS  EACH UNIT","P9019","HCPCS","Both",,,"280.5","140.25","Cigna","Commercial","BL",,"59",,"164.37","102.66","217.39","percent of total billed charges",,
"PLATELETS  EACH UNIT","P9019","HCPCS","Both",,,"280.5","140.25","Humana","Commercial","BL",,"78",,"217.39","102.66","217.39","percent of total billed charges",,
"PLATELETS  EACH UNIT","P9019","HCPCS","Both",,,"280.5","140.25","UHC","Commercial","BL",,"75",,"211.5","102.66","217.39","percent of total billed charges",,
"PLATELETS  EACH UNIT","P9019","HCPCS","Both",,,"280.5","140.25","Medicaid",,"BL",,"37",,"102.66","102.66","217.39","percent of total billed charges",,
"HEPATITIS C GENOTYPE","87902","HCPCS","Both",,,"357.5","178.75","Alliant","Health Exchange","",,"62",,"221.65","130.84","277.06","percent of total billed charges",,
"HEPATITIS C GENOTYPE","87902","HCPCS","Both",,,"357.5","178.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"193.05","130.84","277.06","percent of total billed charges",,
"HEPATITIS C GENOTYPE","87902","HCPCS","Both",,,"357.5","178.75","Medicare",,"",,"54",,"193.76","130.84","277.06","percent of total billed charges",,
"HEPATITIS C GENOTYPE","87902","HCPCS","Both",,,"357.5","178.75","Humana","Medicare Advantage","",,"54",,"193.76","130.84","277.06","percent of total billed charges",,
"HEPATITIS C GENOTYPE","87902","HCPCS","Both",,,"357.5","178.75","UHC","Medicare Advantage","",,"54",,"193.76","130.84","277.06","percent of total billed charges",,
"HEPATITIS C GENOTYPE","87902","HCPCS","Both",,,"357.5","178.75","Clover","Medicare Advantage","",,"54",,"193.76","130.84","277.06","percent of total billed charges",,
"HEPATITIS C GENOTYPE","87902","HCPCS","Both",,,"357.5","178.75","Wellcare","Medicare Advantage","",,"54",,"193.76","130.84","277.06","percent of total billed charges",,
"HEPATITIS C GENOTYPE","87902","HCPCS","Both",,,"357.5","178.75","Amerigroup","Medicaid Managed Care","",,"37",,"130.84","130.84","277.06","percent of total billed charges",,
"HEPATITIS C GENOTYPE","87902","HCPCS","Both",,,"357.5","178.75","Caresource","Medicaid Managed Care","",,"40",,"143","130.84","277.06","percent of total billed charges",,
"HEPATITIS C GENOTYPE","87902","HCPCS","Both",,,"357.5","178.75","Wellcare","Medicaid Managed Care","",,"40",,"144.79","130.84","277.06","percent of total billed charges",,
"HEPATITIS C GENOTYPE","87902","HCPCS","Both",,,"357.5","178.75","Aetna","Commercial","",,"64",,"228.08","130.84","277.06","percent of total billed charges",,
"HEPATITIS C GENOTYPE","87902","HCPCS","Both",,,"357.5","178.75","Blue Cross Blue Shield","Pathways","",,"71",,"252.4","130.84","277.06","percent of total billed charges",,
"HEPATITIS C GENOTYPE","87902","HCPCS","Both",,,"357.5","178.75","Blue Cross Blue Shield","HMO","",,"71",,"252.4","130.84","277.06","percent of total billed charges",,
"HEPATITIS C GENOTYPE","87902","HCPCS","Both",,,"357.5","178.75","Blue Cross Blue Shield","PPO","",,"71",,"252.4","130.84","277.06","percent of total billed charges",,
"HEPATITIS C GENOTYPE","87902","HCPCS","Both",,,"357.5","178.75","Ambetter","Health Exchange","",,"62",,"221.65","130.84","277.06","percent of total billed charges",,
"HEPATITIS C GENOTYPE","87902","HCPCS","Both",,,"357.5","178.75","Caresource","Health Exchange","",,"62",,"221.65","130.84","277.06","percent of total billed charges",,
"HEPATITIS C GENOTYPE","87902","HCPCS","Both",,,"357.5","178.75","Cigna","Commercial","",,"59",,"209.49","130.84","277.06","percent of total billed charges",,
"HEPATITIS C GENOTYPE","87902","HCPCS","Both",,,"357.5","178.75","Humana","Commercial","",,"78",,"277.06","130.84","277.06","percent of total billed charges",,
"HEPATITIS C GENOTYPE","87902","HCPCS","Both",,,"357.5","178.75","UHC","Commercial","",,"75",,"269.56","130.84","277.06","percent of total billed charges",,
"HEPATITIS C GENOTYPE","87902","HCPCS","Both",,,"357.5","178.75","Medicaid",,"",,"37",,"130.84","130.84","277.06","percent of total billed charges",,
"HEPATITIS C RNA QUANT","87522","HCPCS","Both",,,"53.5","26.75","Alliant","Health Exchange","",,"62",,"33.17","19.58","41.46","percent of total billed charges",,
"HEPATITIS C RNA QUANT","87522","HCPCS","Both",,,"53.5","26.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"28.89","19.58","41.46","percent of total billed charges",,
"HEPATITIS C RNA QUANT","87522","HCPCS","Both",,,"53.5","26.75","Medicare",,"",,"54",,"29","19.58","41.46","percent of total billed charges",,
"HEPATITIS C RNA QUANT","87522","HCPCS","Both",,,"53.5","26.75","Humana","Medicare Advantage","",,"54",,"29","19.58","41.46","percent of total billed charges",,
"HEPATITIS C RNA QUANT","87522","HCPCS","Both",,,"53.5","26.75","UHC","Medicare Advantage","",,"54",,"29","19.58","41.46","percent of total billed charges",,
"HEPATITIS C RNA QUANT","87522","HCPCS","Both",,,"53.5","26.75","Clover","Medicare Advantage","",,"54",,"29","19.58","41.46","percent of total billed charges",,
"HEPATITIS C RNA QUANT","87522","HCPCS","Both",,,"53.5","26.75","Wellcare","Medicare Advantage","",,"54",,"29","19.58","41.46","percent of total billed charges",,
"HEPATITIS C RNA QUANT","87522","HCPCS","Both",,,"53.5","26.75","Amerigroup","Medicaid Managed Care","",,"37",,"19.58","19.58","41.46","percent of total billed charges",,
"HEPATITIS C RNA QUANT","87522","HCPCS","Both",,,"53.5","26.75","Caresource","Medicaid Managed Care","",,"40",,"21.4","19.58","41.46","percent of total billed charges",,
"HEPATITIS C RNA QUANT","87522","HCPCS","Both",,,"53.5","26.75","Wellcare","Medicaid Managed Care","",,"40",,"21.67","19.58","41.46","percent of total billed charges",,
"HEPATITIS C RNA QUANT","87522","HCPCS","Both",,,"53.5","26.75","Aetna","Commercial","",,"64",,"34.13","19.58","41.46","percent of total billed charges",,
"HEPATITIS C RNA QUANT","87522","HCPCS","Both",,,"53.5","26.75","Blue Cross Blue Shield","Pathways","",,"71",,"37.77","19.58","41.46","percent of total billed charges",,
"HEPATITIS C RNA QUANT","87522","HCPCS","Both",,,"53.5","26.75","Blue Cross Blue Shield","HMO","",,"71",,"37.77","19.58","41.46","percent of total billed charges",,
"HEPATITIS C RNA QUANT","87522","HCPCS","Both",,,"53.5","26.75","Blue Cross Blue Shield","PPO","",,"71",,"37.77","19.58","41.46","percent of total billed charges",,
"HEPATITIS C RNA QUANT","87522","HCPCS","Both",,,"53.5","26.75","Ambetter","Health Exchange","",,"62",,"33.17","19.58","41.46","percent of total billed charges",,
"HEPATITIS C RNA QUANT","87522","HCPCS","Both",,,"53.5","26.75","Caresource","Health Exchange","",,"62",,"33.17","19.58","41.46","percent of total billed charges",,
"HEPATITIS C RNA QUANT","87522","HCPCS","Both",,,"53.5","26.75","Cigna","Commercial","",,"59",,"31.35","19.58","41.46","percent of total billed charges",,
"HEPATITIS C RNA QUANT","87522","HCPCS","Both",,,"53.5","26.75","Humana","Commercial","",,"78",,"41.46","19.58","41.46","percent of total billed charges",,
"HEPATITIS C RNA QUANT","87522","HCPCS","Both",,,"53.5","26.75","UHC","Commercial","",,"75",,"40.34","19.58","41.46","percent of total billed charges",,
"HEPATITIS C RNA QUANT","87522","HCPCS","Both",,,"53.5","26.75","Medicaid",,"",,"37",,"19.58","19.58","41.46","percent of total billed charges",,
"FOLIC ACID; RBC","82747","HCPCS","Both",,,"45","22.5","Alliant","Health Exchange","",,"62",,"27.9","16.47","34.88","percent of total billed charges",,
"FOLIC ACID; RBC","82747","HCPCS","Both",,,"45","22.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"24.3","16.47","34.88","percent of total billed charges",,
"FOLIC ACID; RBC","82747","HCPCS","Both",,,"45","22.5","Medicare",,"",,"54",,"24.39","16.47","34.88","percent of total billed charges",,
"FOLIC ACID; RBC","82747","HCPCS","Both",,,"45","22.5","Humana","Medicare Advantage","",,"54",,"24.39","16.47","34.88","percent of total billed charges",,
"FOLIC ACID; RBC","82747","HCPCS","Both",,,"45","22.5","UHC","Medicare Advantage","",,"54",,"24.39","16.47","34.88","percent of total billed charges",,
"FOLIC ACID; RBC","82747","HCPCS","Both",,,"45","22.5","Clover","Medicare Advantage","",,"54",,"24.39","16.47","34.88","percent of total billed charges",,
"FOLIC ACID; RBC","82747","HCPCS","Both",,,"45","22.5","Wellcare","Medicare Advantage","",,"54",,"24.39","16.47","34.88","percent of total billed charges",,
"FOLIC ACID; RBC","82747","HCPCS","Both",,,"45","22.5","Amerigroup","Medicaid Managed Care","",,"37",,"16.47","16.47","34.88","percent of total billed charges",,
"FOLIC ACID; RBC","82747","HCPCS","Both",,,"45","22.5","Caresource","Medicaid Managed Care","",,"40",,"18","16.47","34.88","percent of total billed charges",,
"FOLIC ACID; RBC","82747","HCPCS","Both",,,"45","22.5","Wellcare","Medicaid Managed Care","",,"40",,"18.23","16.47","34.88","percent of total billed charges",,
"FOLIC ACID; RBC","82747","HCPCS","Both",,,"45","22.5","Aetna","Commercial","",,"64",,"28.71","16.47","34.88","percent of total billed charges",,
"FOLIC ACID; RBC","82747","HCPCS","Both",,,"45","22.5","Blue Cross Blue Shield","Pathways","",,"71",,"31.77","16.47","34.88","percent of total billed charges",,
"FOLIC ACID; RBC","82747","HCPCS","Both",,,"45","22.5","Blue Cross Blue Shield","HMO","",,"71",,"31.77","16.47","34.88","percent of total billed charges",,
"FOLIC ACID; RBC","82747","HCPCS","Both",,,"45","22.5","Blue Cross Blue Shield","PPO","",,"71",,"31.77","16.47","34.88","percent of total billed charges",,
"FOLIC ACID; RBC","82747","HCPCS","Both",,,"45","22.5","Ambetter","Health Exchange","",,"62",,"27.9","16.47","34.88","percent of total billed charges",,
"FOLIC ACID; RBC","82747","HCPCS","Both",,,"45","22.5","Caresource","Health Exchange","",,"62",,"27.9","16.47","34.88","percent of total billed charges",,
"FOLIC ACID; RBC","82747","HCPCS","Both",,,"45","22.5","Cigna","Commercial","",,"59",,"26.37","16.47","34.88","percent of total billed charges",,
"FOLIC ACID; RBC","82747","HCPCS","Both",,,"45","22.5","Humana","Commercial","",,"78",,"34.88","16.47","34.88","percent of total billed charges",,
"FOLIC ACID; RBC","82747","HCPCS","Both",,,"45","22.5","UHC","Commercial","",,"75",,"33.93","16.47","34.88","percent of total billed charges",,
"FOLIC ACID; RBC","82747","HCPCS","Both",,,"45","22.5","Medicaid",,"",,"37",,"16.47","16.47","34.88","percent of total billed charges",,
"PROTEIN S ANTIGEN, FREE","85306","HCPCS","Both",,,"201","100.5","Alliant","Health Exchange","",,"62",,"124.62","73.57","155.78","percent of total billed charges",,
"PROTEIN S ANTIGEN, FREE","85306","HCPCS","Both",,,"201","100.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"108.54","73.57","155.78","percent of total billed charges",,
"PROTEIN S ANTIGEN, FREE","85306","HCPCS","Both",,,"201","100.5","Medicare",,"",,"54",,"108.94","73.57","155.78","percent of total billed charges",,
"PROTEIN S ANTIGEN, FREE","85306","HCPCS","Both",,,"201","100.5","Humana","Medicare Advantage","",,"54",,"108.94","73.57","155.78","percent of total billed charges",,
"PROTEIN S ANTIGEN, FREE","85306","HCPCS","Both",,,"201","100.5","UHC","Medicare Advantage","",,"54",,"108.94","73.57","155.78","percent of total billed charges",,
"PROTEIN S ANTIGEN, FREE","85306","HCPCS","Both",,,"201","100.5","Clover","Medicare Advantage","",,"54",,"108.94","73.57","155.78","percent of total billed charges",,
"PROTEIN S ANTIGEN, FREE","85306","HCPCS","Both",,,"201","100.5","Wellcare","Medicare Advantage","",,"54",,"108.94","73.57","155.78","percent of total billed charges",,
"PROTEIN S ANTIGEN, FREE","85306","HCPCS","Both",,,"201","100.5","Amerigroup","Medicaid Managed Care","",,"37",,"73.57","73.57","155.78","percent of total billed charges",,
"PROTEIN S ANTIGEN, FREE","85306","HCPCS","Both",,,"201","100.5","Caresource","Medicaid Managed Care","",,"40",,"80.4","73.57","155.78","percent of total billed charges",,
"PROTEIN S ANTIGEN, FREE","85306","HCPCS","Both",,,"201","100.5","Wellcare","Medicaid Managed Care","",,"40",,"81.4","73.57","155.78","percent of total billed charges",,
"PROTEIN S ANTIGEN, FREE","85306","HCPCS","Both",,,"201","100.5","Aetna","Commercial","",,"64",,"128.24","73.57","155.78","percent of total billed charges",,
"PROTEIN S ANTIGEN, FREE","85306","HCPCS","Both",,,"201","100.5","Blue Cross Blue Shield","Pathways","",,"71",,"141.91","73.57","155.78","percent of total billed charges",,
"PROTEIN S ANTIGEN, FREE","85306","HCPCS","Both",,,"201","100.5","Blue Cross Blue Shield","HMO","",,"71",,"141.91","73.57","155.78","percent of total billed charges",,
"PROTEIN S ANTIGEN, FREE","85306","HCPCS","Both",,,"201","100.5","Blue Cross Blue Shield","PPO","",,"71",,"141.91","73.57","155.78","percent of total billed charges",,
"PROTEIN S ANTIGEN, FREE","85306","HCPCS","Both",,,"201","100.5","Ambetter","Health Exchange","",,"62",,"124.62","73.57","155.78","percent of total billed charges",,
"PROTEIN S ANTIGEN, FREE","85306","HCPCS","Both",,,"201","100.5","Caresource","Health Exchange","",,"62",,"124.62","73.57","155.78","percent of total billed charges",,
"PROTEIN S ANTIGEN, FREE","85306","HCPCS","Both",,,"201","100.5","Cigna","Commercial","",,"59",,"117.79","73.57","155.78","percent of total billed charges",,
"PROTEIN S ANTIGEN, FREE","85306","HCPCS","Both",,,"201","100.5","Humana","Commercial","",,"78",,"155.78","73.57","155.78","percent of total billed charges",,
"PROTEIN S ANTIGEN, FREE","85306","HCPCS","Both",,,"201","100.5","UHC","Commercial","",,"75",,"151.55","73.57","155.78","percent of total billed charges",,
"PROTEIN S ANTIGEN, FREE","85306","HCPCS","Both",,,"201","100.5","Medicaid",,"",,"37",,"73.57","73.57","155.78","percent of total billed charges",,
"ANTITHROMBIN III ANTIGEN","85301","HCPCS","Both",,,"78","39","Alliant","Health Exchange","",,"62",,"48.36","28.55","60.45","percent of total billed charges",,
"ANTITHROMBIN III ANTIGEN","85301","HCPCS","Both",,,"78","39","Pruitt Healthcare","Medicare Advantage","",,"54",,"42.12","28.55","60.45","percent of total billed charges",,
"ANTITHROMBIN III ANTIGEN","85301","HCPCS","Both",,,"78","39","Medicare",,"",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"ANTITHROMBIN III ANTIGEN","85301","HCPCS","Both",,,"78","39","Humana","Medicare Advantage","",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"ANTITHROMBIN III ANTIGEN","85301","HCPCS","Both",,,"78","39","UHC","Medicare Advantage","",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"ANTITHROMBIN III ANTIGEN","85301","HCPCS","Both",,,"78","39","Clover","Medicare Advantage","",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"ANTITHROMBIN III ANTIGEN","85301","HCPCS","Both",,,"78","39","Wellcare","Medicare Advantage","",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"ANTITHROMBIN III ANTIGEN","85301","HCPCS","Both",,,"78","39","Amerigroup","Medicaid Managed Care","",,"37",,"28.55","28.55","60.45","percent of total billed charges",,
"ANTITHROMBIN III ANTIGEN","85301","HCPCS","Both",,,"78","39","Caresource","Medicaid Managed Care","",,"40",,"31.2","28.55","60.45","percent of total billed charges",,
"ANTITHROMBIN III ANTIGEN","85301","HCPCS","Both",,,"78","39","Wellcare","Medicaid Managed Care","",,"40",,"31.59","28.55","60.45","percent of total billed charges",,
"ANTITHROMBIN III ANTIGEN","85301","HCPCS","Both",,,"78","39","Aetna","Commercial","",,"64",,"49.76","28.55","60.45","percent of total billed charges",,
"ANTITHROMBIN III ANTIGEN","85301","HCPCS","Both",,,"78","39","Blue Cross Blue Shield","Pathways","",,"71",,"55.07","28.55","60.45","percent of total billed charges",,
"ANTITHROMBIN III ANTIGEN","85301","HCPCS","Both",,,"78","39","Blue Cross Blue Shield","HMO","",,"71",,"55.07","28.55","60.45","percent of total billed charges",,
"ANTITHROMBIN III ANTIGEN","85301","HCPCS","Both",,,"78","39","Blue Cross Blue Shield","PPO","",,"71",,"55.07","28.55","60.45","percent of total billed charges",,
"ANTITHROMBIN III ANTIGEN","85301","HCPCS","Both",,,"78","39","Ambetter","Health Exchange","",,"62",,"48.36","28.55","60.45","percent of total billed charges",,
"ANTITHROMBIN III ANTIGEN","85301","HCPCS","Both",,,"78","39","Caresource","Health Exchange","",,"62",,"48.36","28.55","60.45","percent of total billed charges",,
"ANTITHROMBIN III ANTIGEN","85301","HCPCS","Both",,,"78","39","Cigna","Commercial","",,"59",,"45.71","28.55","60.45","percent of total billed charges",,
"ANTITHROMBIN III ANTIGEN","85301","HCPCS","Both",,,"78","39","Humana","Commercial","",,"78",,"60.45","28.55","60.45","percent of total billed charges",,
"ANTITHROMBIN III ANTIGEN","85301","HCPCS","Both",,,"78","39","UHC","Commercial","",,"75",,"58.81","28.55","60.45","percent of total billed charges",,
"ANTITHROMBIN III ANTIGEN","85301","HCPCS","Both",,,"78","39","Medicaid",,"",,"37",,"28.55","28.55","60.45","percent of total billed charges",,
"OXALATE, URINE 24 HR OR RANDOM","83945","HCPCS","Both",,,"92","46","Alliant","Health Exchange","",,"62",,"57.04","33.67","71.3","percent of total billed charges",,
"OXALATE, URINE 24 HR OR RANDOM","83945","HCPCS","Both",,,"92","46","Pruitt Healthcare","Medicare Advantage","",,"54",,"49.68","33.67","71.3","percent of total billed charges",,
"OXALATE, URINE 24 HR OR RANDOM","83945","HCPCS","Both",,,"92","46","Medicare",,"",,"54",,"49.86","33.67","71.3","percent of total billed charges",,
"OXALATE, URINE 24 HR OR RANDOM","83945","HCPCS","Both",,,"92","46","Humana","Medicare Advantage","",,"54",,"49.86","33.67","71.3","percent of total billed charges",,
"OXALATE, URINE 24 HR OR RANDOM","83945","HCPCS","Both",,,"92","46","UHC","Medicare Advantage","",,"54",,"49.86","33.67","71.3","percent of total billed charges",,
"OXALATE, URINE 24 HR OR RANDOM","83945","HCPCS","Both",,,"92","46","Clover","Medicare Advantage","",,"54",,"49.86","33.67","71.3","percent of total billed charges",,
"OXALATE, URINE 24 HR OR RANDOM","83945","HCPCS","Both",,,"92","46","Wellcare","Medicare Advantage","",,"54",,"49.86","33.67","71.3","percent of total billed charges",,
"OXALATE, URINE 24 HR OR RANDOM","83945","HCPCS","Both",,,"92","46","Amerigroup","Medicaid Managed Care","",,"37",,"33.67","33.67","71.3","percent of total billed charges",,
"OXALATE, URINE 24 HR OR RANDOM","83945","HCPCS","Both",,,"92","46","Caresource","Medicaid Managed Care","",,"40",,"36.8","33.67","71.3","percent of total billed charges",,
"OXALATE, URINE 24 HR OR RANDOM","83945","HCPCS","Both",,,"92","46","Wellcare","Medicaid Managed Care","",,"40",,"37.26","33.67","71.3","percent of total billed charges",,
"OXALATE, URINE 24 HR OR RANDOM","83945","HCPCS","Both",,,"92","46","Aetna","Commercial","",,"64",,"58.7","33.67","71.3","percent of total billed charges",,
"OXALATE, URINE 24 HR OR RANDOM","83945","HCPCS","Both",,,"92","46","Blue Cross Blue Shield","Pathways","",,"71",,"64.95","33.67","71.3","percent of total billed charges",,
"OXALATE, URINE 24 HR OR RANDOM","83945","HCPCS","Both",,,"92","46","Blue Cross Blue Shield","HMO","",,"71",,"64.95","33.67","71.3","percent of total billed charges",,
"OXALATE, URINE 24 HR OR RANDOM","83945","HCPCS","Both",,,"92","46","Blue Cross Blue Shield","PPO","",,"71",,"64.95","33.67","71.3","percent of total billed charges",,
"OXALATE, URINE 24 HR OR RANDOM","83945","HCPCS","Both",,,"92","46","Ambetter","Health Exchange","",,"62",,"57.04","33.67","71.3","percent of total billed charges",,
"OXALATE, URINE 24 HR OR RANDOM","83945","HCPCS","Both",,,"92","46","Caresource","Health Exchange","",,"62",,"57.04","33.67","71.3","percent of total billed charges",,
"OXALATE, URINE 24 HR OR RANDOM","83945","HCPCS","Both",,,"92","46","Cigna","Commercial","",,"59",,"53.91","33.67","71.3","percent of total billed charges",,
"OXALATE, URINE 24 HR OR RANDOM","83945","HCPCS","Both",,,"92","46","Humana","Commercial","",,"78",,"71.3","33.67","71.3","percent of total billed charges",,
"OXALATE, URINE 24 HR OR RANDOM","83945","HCPCS","Both",,,"92","46","UHC","Commercial","",,"75",,"69.37","33.67","71.3","percent of total billed charges",,
"OXALATE, URINE 24 HR OR RANDOM","83945","HCPCS","Both",,,"92","46","Medicaid",,"",,"37",,"33.67","33.67","71.3","percent of total billed charges",,
"CITRIC ACID 24 HR URINE OR RANDOM","82507","HCPCS","Both",,,"199","99.5","Alliant","Health Exchange","",,"62",,"123.38","72.83","154.22","percent of total billed charges",,
"CITRIC ACID 24 HR URINE OR RANDOM","82507","HCPCS","Both",,,"199","99.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"107.46","72.83","154.22","percent of total billed charges",,
"CITRIC ACID 24 HR URINE OR RANDOM","82507","HCPCS","Both",,,"199","99.5","Medicare",,"",,"54",,"107.86","72.83","154.22","percent of total billed charges",,
"CITRIC ACID 24 HR URINE OR RANDOM","82507","HCPCS","Both",,,"199","99.5","Humana","Medicare Advantage","",,"54",,"107.86","72.83","154.22","percent of total billed charges",,
"CITRIC ACID 24 HR URINE OR RANDOM","82507","HCPCS","Both",,,"199","99.5","UHC","Medicare Advantage","",,"54",,"107.86","72.83","154.22","percent of total billed charges",,
"CITRIC ACID 24 HR URINE OR RANDOM","82507","HCPCS","Both",,,"199","99.5","Clover","Medicare Advantage","",,"54",,"107.86","72.83","154.22","percent of total billed charges",,
"CITRIC ACID 24 HR URINE OR RANDOM","82507","HCPCS","Both",,,"199","99.5","Wellcare","Medicare Advantage","",,"54",,"107.86","72.83","154.22","percent of total billed charges",,
"CITRIC ACID 24 HR URINE OR RANDOM","82507","HCPCS","Both",,,"199","99.5","Amerigroup","Medicaid Managed Care","",,"37",,"72.83","72.83","154.22","percent of total billed charges",,
"CITRIC ACID 24 HR URINE OR RANDOM","82507","HCPCS","Both",,,"199","99.5","Caresource","Medicaid Managed Care","",,"40",,"79.6","72.83","154.22","percent of total billed charges",,
"CITRIC ACID 24 HR URINE OR RANDOM","82507","HCPCS","Both",,,"199","99.5","Wellcare","Medicaid Managed Care","",,"40",,"80.6","72.83","154.22","percent of total billed charges",,
"CITRIC ACID 24 HR URINE OR RANDOM","82507","HCPCS","Both",,,"199","99.5","Aetna","Commercial","",,"64",,"126.96","72.83","154.22","percent of total billed charges",,
"CITRIC ACID 24 HR URINE OR RANDOM","82507","HCPCS","Both",,,"199","99.5","Blue Cross Blue Shield","Pathways","",,"71",,"140.49","72.83","154.22","percent of total billed charges",,
"CITRIC ACID 24 HR URINE OR RANDOM","82507","HCPCS","Both",,,"199","99.5","Blue Cross Blue Shield","HMO","",,"71",,"140.49","72.83","154.22","percent of total billed charges",,
"CITRIC ACID 24 HR URINE OR RANDOM","82507","HCPCS","Both",,,"199","99.5","Blue Cross Blue Shield","PPO","",,"71",,"140.49","72.83","154.22","percent of total billed charges",,
"CITRIC ACID 24 HR URINE OR RANDOM","82507","HCPCS","Both",,,"199","99.5","Ambetter","Health Exchange","",,"62",,"123.38","72.83","154.22","percent of total billed charges",,
"CITRIC ACID 24 HR URINE OR RANDOM","82507","HCPCS","Both",,,"199","99.5","Caresource","Health Exchange","",,"62",,"123.38","72.83","154.22","percent of total billed charges",,
"CITRIC ACID 24 HR URINE OR RANDOM","82507","HCPCS","Both",,,"199","99.5","Cigna","Commercial","",,"59",,"116.61","72.83","154.22","percent of total billed charges",,
"CITRIC ACID 24 HR URINE OR RANDOM","82507","HCPCS","Both",,,"199","99.5","Humana","Commercial","",,"78",,"154.22","72.83","154.22","percent of total billed charges",,
"CITRIC ACID 24 HR URINE OR RANDOM","82507","HCPCS","Both",,,"199","99.5","UHC","Commercial","",,"75",,"150.05","72.83","154.22","percent of total billed charges",,
"CITRIC ACID 24 HR URINE OR RANDOM","82507","HCPCS","Both",,,"199","99.5","Medicaid",,"",,"37",,"72.83","72.83","154.22","percent of total billed charges",,
"KAPPA AND LAMBDA LIGHT CHAINS URINE","83883","HCPCS","Both",,,"17","8.5","Alliant","Health Exchange","",,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"KAPPA AND LAMBDA LIGHT CHAINS URINE","83883","HCPCS","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"9.18","6.22","13.18","percent of total billed charges",,
"KAPPA AND LAMBDA LIGHT CHAINS URINE","83883","HCPCS","Both",,,"17","8.5","Medicare",,"",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"KAPPA AND LAMBDA LIGHT CHAINS URINE","83883","HCPCS","Both",,,"17","8.5","Humana","Medicare Advantage","",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"KAPPA AND LAMBDA LIGHT CHAINS URINE","83883","HCPCS","Both",,,"17","8.5","UHC","Medicare Advantage","",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"KAPPA AND LAMBDA LIGHT CHAINS URINE","83883","HCPCS","Both",,,"17","8.5","Clover","Medicare Advantage","",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"KAPPA AND LAMBDA LIGHT CHAINS URINE","83883","HCPCS","Both",,,"17","8.5","Wellcare","Medicare Advantage","",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"KAPPA AND LAMBDA LIGHT CHAINS URINE","83883","HCPCS","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care","",,"37",,"6.22","6.22","13.18","percent of total billed charges",,
"KAPPA AND LAMBDA LIGHT CHAINS URINE","83883","HCPCS","Both",,,"17","8.5","Caresource","Medicaid Managed Care","",,"40",,"6.8","6.22","13.18","percent of total billed charges",,
"KAPPA AND LAMBDA LIGHT CHAINS URINE","83883","HCPCS","Both",,,"17","8.5","Wellcare","Medicaid Managed Care","",,"40",,"6.89","6.22","13.18","percent of total billed charges",,
"KAPPA AND LAMBDA LIGHT CHAINS URINE","83883","HCPCS","Both",,,"17","8.5","Aetna","Commercial","",,"64",,"10.85","6.22","13.18","percent of total billed charges",,
"KAPPA AND LAMBDA LIGHT CHAINS URINE","83883","HCPCS","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways","",,"71",,"12","6.22","13.18","percent of total billed charges",,
"KAPPA AND LAMBDA LIGHT CHAINS URINE","83883","HCPCS","Both",,,"17","8.5","Blue Cross Blue Shield","HMO","",,"71",,"12","6.22","13.18","percent of total billed charges",,
"KAPPA AND LAMBDA LIGHT CHAINS URINE","83883","HCPCS","Both",,,"17","8.5","Blue Cross Blue Shield","PPO","",,"71",,"12","6.22","13.18","percent of total billed charges",,
"KAPPA AND LAMBDA LIGHT CHAINS URINE","83883","HCPCS","Both",,,"17","8.5","Ambetter","Health Exchange","",,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"KAPPA AND LAMBDA LIGHT CHAINS URINE","83883","HCPCS","Both",,,"17","8.5","Caresource","Health Exchange","",,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"KAPPA AND LAMBDA LIGHT CHAINS URINE","83883","HCPCS","Both",,,"17","8.5","Cigna","Commercial","",,"59",,"9.96","6.22","13.18","percent of total billed charges",,
"KAPPA AND LAMBDA LIGHT CHAINS URINE","83883","HCPCS","Both",,,"17","8.5","Humana","Commercial","",,"78",,"13.18","6.22","13.18","percent of total billed charges",,
"KAPPA AND LAMBDA LIGHT CHAINS URINE","83883","HCPCS","Both",,,"17","8.5","UHC","Commercial","",,"75",,"12.82","6.22","13.18","percent of total billed charges",,
"KAPPA AND LAMBDA LIGHT CHAINS URINE","83883","HCPCS","Both",,,"17","8.5","Medicaid",,"",,"37",,"6.22","6.22","13.18","percent of total billed charges",,
"MITOCHONDRIAL  M2  ANTIBODIES","83516","HCPCS","Both",,,"27.5","13.75","Alliant","Health Exchange","",,"62",,"17.05","10.06","21.31","percent of total billed charges",,
"MITOCHONDRIAL  M2  ANTIBODIES","83516","HCPCS","Both",,,"27.5","13.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"14.85","10.06","21.31","percent of total billed charges",,
"MITOCHONDRIAL  M2  ANTIBODIES","83516","HCPCS","Both",,,"27.5","13.75","Medicare",,"",,"54",,"14.9","10.06","21.31","percent of total billed charges",,
"MITOCHONDRIAL  M2  ANTIBODIES","83516","HCPCS","Both",,,"27.5","13.75","Humana","Medicare Advantage","",,"54",,"14.9","10.06","21.31","percent of total billed charges",,
"MITOCHONDRIAL  M2  ANTIBODIES","83516","HCPCS","Both",,,"27.5","13.75","UHC","Medicare Advantage","",,"54",,"14.9","10.06","21.31","percent of total billed charges",,
"MITOCHONDRIAL  M2  ANTIBODIES","83516","HCPCS","Both",,,"27.5","13.75","Clover","Medicare Advantage","",,"54",,"14.9","10.06","21.31","percent of total billed charges",,
"MITOCHONDRIAL  M2  ANTIBODIES","83516","HCPCS","Both",,,"27.5","13.75","Wellcare","Medicare Advantage","",,"54",,"14.9","10.06","21.31","percent of total billed charges",,
"MITOCHONDRIAL  M2  ANTIBODIES","83516","HCPCS","Both",,,"27.5","13.75","Amerigroup","Medicaid Managed Care","",,"37",,"10.06","10.06","21.31","percent of total billed charges",,
"MITOCHONDRIAL  M2  ANTIBODIES","83516","HCPCS","Both",,,"27.5","13.75","Caresource","Medicaid Managed Care","",,"40",,"11","10.06","21.31","percent of total billed charges",,
"MITOCHONDRIAL  M2  ANTIBODIES","83516","HCPCS","Both",,,"27.5","13.75","Wellcare","Medicaid Managed Care","",,"40",,"11.14","10.06","21.31","percent of total billed charges",,
"MITOCHONDRIAL  M2  ANTIBODIES","83516","HCPCS","Both",,,"27.5","13.75","Aetna","Commercial","",,"64",,"17.55","10.06","21.31","percent of total billed charges",,
"MITOCHONDRIAL  M2  ANTIBODIES","83516","HCPCS","Both",,,"27.5","13.75","Blue Cross Blue Shield","Pathways","",,"71",,"19.42","10.06","21.31","percent of total billed charges",,
"MITOCHONDRIAL  M2  ANTIBODIES","83516","HCPCS","Both",,,"27.5","13.75","Blue Cross Blue Shield","HMO","",,"71",,"19.42","10.06","21.31","percent of total billed charges",,
"MITOCHONDRIAL  M2  ANTIBODIES","83516","HCPCS","Both",,,"27.5","13.75","Blue Cross Blue Shield","PPO","",,"71",,"19.42","10.06","21.31","percent of total billed charges",,
"MITOCHONDRIAL  M2  ANTIBODIES","83516","HCPCS","Both",,,"27.5","13.75","Ambetter","Health Exchange","",,"62",,"17.05","10.06","21.31","percent of total billed charges",,
"MITOCHONDRIAL  M2  ANTIBODIES","83516","HCPCS","Both",,,"27.5","13.75","Caresource","Health Exchange","",,"62",,"17.05","10.06","21.31","percent of total billed charges",,
"MITOCHONDRIAL  M2  ANTIBODIES","83516","HCPCS","Both",,,"27.5","13.75","Cigna","Commercial","",,"59",,"16.11","10.06","21.31","percent of total billed charges",,
"MITOCHONDRIAL  M2  ANTIBODIES","83516","HCPCS","Both",,,"27.5","13.75","Humana","Commercial","",,"78",,"21.31","10.06","21.31","percent of total billed charges",,
"MITOCHONDRIAL  M2  ANTIBODIES","83516","HCPCS","Both",,,"27.5","13.75","UHC","Commercial","",,"75",,"20.74","10.06","21.31","percent of total billed charges",,
"MITOCHONDRIAL  M2  ANTIBODIES","83516","HCPCS","Both",,,"27.5","13.75","Medicaid",,"",,"37",,"10.06","10.06","21.31","percent of total billed charges",,
"VON WILLEBRAND FACTOR ANTIGEN","85246","HCPCS","Both",,,"165.5","82.75","Alliant","Health Exchange","",,"62",,"102.61","60.57","128.26","percent of total billed charges",,
"VON WILLEBRAND FACTOR ANTIGEN","85246","HCPCS","Both",,,"165.5","82.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"89.37","60.57","128.26","percent of total billed charges",,
"VON WILLEBRAND FACTOR ANTIGEN","85246","HCPCS","Both",,,"165.5","82.75","Medicare",,"",,"54",,"89.7","60.57","128.26","percent of total billed charges",,
"VON WILLEBRAND FACTOR ANTIGEN","85246","HCPCS","Both",,,"165.5","82.75","Humana","Medicare Advantage","",,"54",,"89.7","60.57","128.26","percent of total billed charges",,
"VON WILLEBRAND FACTOR ANTIGEN","85246","HCPCS","Both",,,"165.5","82.75","UHC","Medicare Advantage","",,"54",,"89.7","60.57","128.26","percent of total billed charges",,
"VON WILLEBRAND FACTOR ANTIGEN","85246","HCPCS","Both",,,"165.5","82.75","Clover","Medicare Advantage","",,"54",,"89.7","60.57","128.26","percent of total billed charges",,
"VON WILLEBRAND FACTOR ANTIGEN","85246","HCPCS","Both",,,"165.5","82.75","Wellcare","Medicare Advantage","",,"54",,"89.7","60.57","128.26","percent of total billed charges",,
"VON WILLEBRAND FACTOR ANTIGEN","85246","HCPCS","Both",,,"165.5","82.75","Amerigroup","Medicaid Managed Care","",,"37",,"60.57","60.57","128.26","percent of total billed charges",,
"VON WILLEBRAND FACTOR ANTIGEN","85246","HCPCS","Both",,,"165.5","82.75","Caresource","Medicaid Managed Care","",,"40",,"66.2","60.57","128.26","percent of total billed charges",,
"VON WILLEBRAND FACTOR ANTIGEN","85246","HCPCS","Both",,,"165.5","82.75","Wellcare","Medicaid Managed Care","",,"40",,"67.03","60.57","128.26","percent of total billed charges",,
"VON WILLEBRAND FACTOR ANTIGEN","85246","HCPCS","Both",,,"165.5","82.75","Aetna","Commercial","",,"64",,"105.59","60.57","128.26","percent of total billed charges",,
"VON WILLEBRAND FACTOR ANTIGEN","85246","HCPCS","Both",,,"165.5","82.75","Blue Cross Blue Shield","Pathways","",,"71",,"116.84","60.57","128.26","percent of total billed charges",,
"VON WILLEBRAND FACTOR ANTIGEN","85246","HCPCS","Both",,,"165.5","82.75","Blue Cross Blue Shield","HMO","",,"71",,"116.84","60.57","128.26","percent of total billed charges",,
"VON WILLEBRAND FACTOR ANTIGEN","85246","HCPCS","Both",,,"165.5","82.75","Blue Cross Blue Shield","PPO","",,"71",,"116.84","60.57","128.26","percent of total billed charges",,
"VON WILLEBRAND FACTOR ANTIGEN","85246","HCPCS","Both",,,"165.5","82.75","Ambetter","Health Exchange","",,"62",,"102.61","60.57","128.26","percent of total billed charges",,
"VON WILLEBRAND FACTOR ANTIGEN","85246","HCPCS","Both",,,"165.5","82.75","Caresource","Health Exchange","",,"62",,"102.61","60.57","128.26","percent of total billed charges",,
"VON WILLEBRAND FACTOR ANTIGEN","85246","HCPCS","Both",,,"165.5","82.75","Cigna","Commercial","",,"59",,"96.98","60.57","128.26","percent of total billed charges",,
"VON WILLEBRAND FACTOR ANTIGEN","85246","HCPCS","Both",,,"165.5","82.75","Humana","Commercial","",,"78",,"128.26","60.57","128.26","percent of total billed charges",,
"VON WILLEBRAND FACTOR ANTIGEN","85246","HCPCS","Both",,,"165.5","82.75","UHC","Commercial","",,"75",,"124.79","60.57","128.26","percent of total billed charges",,
"VON WILLEBRAND FACTOR ANTIGEN","85246","HCPCS","Both",,,"165.5","82.75","Medicaid",,"",,"37",,"60.57","60.57","128.26","percent of total billed charges",,
"CHROMIUM SERUM","82495","HCPCS","Both",,,"145","72.5","Alliant","Health Exchange","",,"62",,"89.9","53.07","112.38","percent of total billed charges",,
"CHROMIUM SERUM","82495","HCPCS","Both",,,"145","72.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"78.3","53.07","112.38","percent of total billed charges",,
"CHROMIUM SERUM","82495","HCPCS","Both",,,"145","72.5","Medicare",,"",,"54",,"78.59","53.07","112.38","percent of total billed charges",,
"CHROMIUM SERUM","82495","HCPCS","Both",,,"145","72.5","Humana","Medicare Advantage","",,"54",,"78.59","53.07","112.38","percent of total billed charges",,
"CHROMIUM SERUM","82495","HCPCS","Both",,,"145","72.5","UHC","Medicare Advantage","",,"54",,"78.59","53.07","112.38","percent of total billed charges",,
"CHROMIUM SERUM","82495","HCPCS","Both",,,"145","72.5","Clover","Medicare Advantage","",,"54",,"78.59","53.07","112.38","percent of total billed charges",,
"CHROMIUM SERUM","82495","HCPCS","Both",,,"145","72.5","Wellcare","Medicare Advantage","",,"54",,"78.59","53.07","112.38","percent of total billed charges",,
"CHROMIUM SERUM","82495","HCPCS","Both",,,"145","72.5","Amerigroup","Medicaid Managed Care","",,"37",,"53.07","53.07","112.38","percent of total billed charges",,
"CHROMIUM SERUM","82495","HCPCS","Both",,,"145","72.5","Caresource","Medicaid Managed Care","",,"40",,"58","53.07","112.38","percent of total billed charges",,
"CHROMIUM SERUM","82495","HCPCS","Both",,,"145","72.5","Wellcare","Medicaid Managed Care","",,"40",,"58.72","53.07","112.38","percent of total billed charges",,
"CHROMIUM SERUM","82495","HCPCS","Both",,,"145","72.5","Aetna","Commercial","",,"64",,"92.51","53.07","112.38","percent of total billed charges",,
"CHROMIUM SERUM","82495","HCPCS","Both",,,"145","72.5","Blue Cross Blue Shield","Pathways","",,"71",,"102.37","53.07","112.38","percent of total billed charges",,
"CHROMIUM SERUM","82495","HCPCS","Both",,,"145","72.5","Blue Cross Blue Shield","HMO","",,"71",,"102.37","53.07","112.38","percent of total billed charges",,
"CHROMIUM SERUM","82495","HCPCS","Both",,,"145","72.5","Blue Cross Blue Shield","PPO","",,"71",,"102.37","53.07","112.38","percent of total billed charges",,
"CHROMIUM SERUM","82495","HCPCS","Both",,,"145","72.5","Ambetter","Health Exchange","",,"62",,"89.9","53.07","112.38","percent of total billed charges",,
"CHROMIUM SERUM","82495","HCPCS","Both",,,"145","72.5","Caresource","Health Exchange","",,"62",,"89.9","53.07","112.38","percent of total billed charges",,
"CHROMIUM SERUM","82495","HCPCS","Both",,,"145","72.5","Cigna","Commercial","",,"59",,"84.97","53.07","112.38","percent of total billed charges",,
"CHROMIUM SERUM","82495","HCPCS","Both",,,"145","72.5","Humana","Commercial","",,"78",,"112.38","53.07","112.38","percent of total billed charges",,
"CHROMIUM SERUM","82495","HCPCS","Both",,,"145","72.5","UHC","Commercial","",,"75",,"109.33","53.07","112.38","percent of total billed charges",,
"CHROMIUM SERUM","82495","HCPCS","Both",,,"145","72.5","Medicaid",,"",,"37",,"53.07","53.07","112.38","percent of total billed charges",,
"CELL COUNT AND DIFFERENTIAL, CSF","89051","HCPCS","Both",,,"13.5","6.75","Alliant","Health Exchange","",,"62",,"8.37","4.94","10.46","percent of total billed charges",,
"CELL COUNT AND DIFFERENTIAL, CSF","89051","HCPCS","Both",,,"13.5","6.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"7.29","4.94","10.46","percent of total billed charges",,
"CELL COUNT AND DIFFERENTIAL, CSF","89051","HCPCS","Both",,,"13.5","6.75","Medicare",,"",,"54",,"7.32","4.94","10.46","percent of total billed charges",,
"CELL COUNT AND DIFFERENTIAL, CSF","89051","HCPCS","Both",,,"13.5","6.75","Humana","Medicare Advantage","",,"54",,"7.32","4.94","10.46","percent of total billed charges",,
"CELL COUNT AND DIFFERENTIAL, CSF","89051","HCPCS","Both",,,"13.5","6.75","UHC","Medicare Advantage","",,"54",,"7.32","4.94","10.46","percent of total billed charges",,
"CELL COUNT AND DIFFERENTIAL, CSF","89051","HCPCS","Both",,,"13.5","6.75","Clover","Medicare Advantage","",,"54",,"7.32","4.94","10.46","percent of total billed charges",,
"CELL COUNT AND DIFFERENTIAL, CSF","89051","HCPCS","Both",,,"13.5","6.75","Wellcare","Medicare Advantage","",,"54",,"7.32","4.94","10.46","percent of total billed charges",,
"CELL COUNT AND DIFFERENTIAL, CSF","89051","HCPCS","Both",,,"13.5","6.75","Amerigroup","Medicaid Managed Care","",,"37",,"4.94","4.94","10.46","percent of total billed charges",,
"CELL COUNT AND DIFFERENTIAL, CSF","89051","HCPCS","Both",,,"13.5","6.75","Caresource","Medicaid Managed Care","",,"40",,"5.4","4.94","10.46","percent of total billed charges",,
"CELL COUNT AND DIFFERENTIAL, CSF","89051","HCPCS","Both",,,"13.5","6.75","Wellcare","Medicaid Managed Care","",,"40",,"5.47","4.94","10.46","percent of total billed charges",,
"CELL COUNT AND DIFFERENTIAL, CSF","89051","HCPCS","Both",,,"13.5","6.75","Aetna","Commercial","",,"64",,"8.61","4.94","10.46","percent of total billed charges",,
"CELL COUNT AND DIFFERENTIAL, CSF","89051","HCPCS","Both",,,"13.5","6.75","Blue Cross Blue Shield","Pathways","",,"71",,"9.53","4.94","10.46","percent of total billed charges",,
"CELL COUNT AND DIFFERENTIAL, CSF","89051","HCPCS","Both",,,"13.5","6.75","Blue Cross Blue Shield","HMO","",,"71",,"9.53","4.94","10.46","percent of total billed charges",,
"CELL COUNT AND DIFFERENTIAL, CSF","89051","HCPCS","Both",,,"13.5","6.75","Blue Cross Blue Shield","PPO","",,"71",,"9.53","4.94","10.46","percent of total billed charges",,
"CELL COUNT AND DIFFERENTIAL, CSF","89051","HCPCS","Both",,,"13.5","6.75","Ambetter","Health Exchange","",,"62",,"8.37","4.94","10.46","percent of total billed charges",,
"CELL COUNT AND DIFFERENTIAL, CSF","89051","HCPCS","Both",,,"13.5","6.75","Caresource","Health Exchange","",,"62",,"8.37","4.94","10.46","percent of total billed charges",,
"CELL COUNT AND DIFFERENTIAL, CSF","89051","HCPCS","Both",,,"13.5","6.75","Cigna","Commercial","",,"59",,"7.91","4.94","10.46","percent of total billed charges",,
"CELL COUNT AND DIFFERENTIAL, CSF","89051","HCPCS","Both",,,"13.5","6.75","Humana","Commercial","",,"78",,"10.46","4.94","10.46","percent of total billed charges",,
"CELL COUNT AND DIFFERENTIAL, CSF","89051","HCPCS","Both",,,"13.5","6.75","UHC","Commercial","",,"75",,"10.18","4.94","10.46","percent of total billed charges",,
"CELL COUNT AND DIFFERENTIAL, CSF","89051","HCPCS","Both",,,"13.5","6.75","Medicaid",,"",,"37",,"4.94","4.94","10.46","percent of total billed charges",,
"SODIUM FECAL","84302","HCPCS","Both",,,"25.5","12.75","Alliant","Health Exchange","",,"62",,"15.81","9.33","19.76","percent of total billed charges",,
"SODIUM FECAL","84302","HCPCS","Both",,,"25.5","12.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"13.77","9.33","19.76","percent of total billed charges",,
"SODIUM FECAL","84302","HCPCS","Both",,,"25.5","12.75","Medicare",,"",,"54",,"13.82","9.33","19.76","percent of total billed charges",,
"SODIUM FECAL","84302","HCPCS","Both",,,"25.5","12.75","Humana","Medicare Advantage","",,"54",,"13.82","9.33","19.76","percent of total billed charges",,
"SODIUM FECAL","84302","HCPCS","Both",,,"25.5","12.75","UHC","Medicare Advantage","",,"54",,"13.82","9.33","19.76","percent of total billed charges",,
"SODIUM FECAL","84302","HCPCS","Both",,,"25.5","12.75","Clover","Medicare Advantage","",,"54",,"13.82","9.33","19.76","percent of total billed charges",,
"SODIUM FECAL","84302","HCPCS","Both",,,"25.5","12.75","Wellcare","Medicare Advantage","",,"54",,"13.82","9.33","19.76","percent of total billed charges",,
"SODIUM FECAL","84302","HCPCS","Both",,,"25.5","12.75","Amerigroup","Medicaid Managed Care","",,"37",,"9.33","9.33","19.76","percent of total billed charges",,
"SODIUM FECAL","84302","HCPCS","Both",,,"25.5","12.75","Caresource","Medicaid Managed Care","",,"40",,"10.2","9.33","19.76","percent of total billed charges",,
"SODIUM FECAL","84302","HCPCS","Both",,,"25.5","12.75","Wellcare","Medicaid Managed Care","",,"40",,"10.33","9.33","19.76","percent of total billed charges",,
"SODIUM FECAL","84302","HCPCS","Both",,,"25.5","12.75","Aetna","Commercial","",,"64",,"16.27","9.33","19.76","percent of total billed charges",,
"SODIUM FECAL","84302","HCPCS","Both",,,"25.5","12.75","Blue Cross Blue Shield","Pathways","",,"71",,"18","9.33","19.76","percent of total billed charges",,
"SODIUM FECAL","84302","HCPCS","Both",,,"25.5","12.75","Blue Cross Blue Shield","HMO","",,"71",,"18","9.33","19.76","percent of total billed charges",,
"SODIUM FECAL","84302","HCPCS","Both",,,"25.5","12.75","Blue Cross Blue Shield","PPO","",,"71",,"18","9.33","19.76","percent of total billed charges",,
"SODIUM FECAL","84302","HCPCS","Both",,,"25.5","12.75","Ambetter","Health Exchange","",,"62",,"15.81","9.33","19.76","percent of total billed charges",,
"SODIUM FECAL","84302","HCPCS","Both",,,"25.5","12.75","Caresource","Health Exchange","",,"62",,"15.81","9.33","19.76","percent of total billed charges",,
"SODIUM FECAL","84302","HCPCS","Both",,,"25.5","12.75","Cigna","Commercial","",,"59",,"14.94","9.33","19.76","percent of total billed charges",,
"SODIUM FECAL","84302","HCPCS","Both",,,"25.5","12.75","Humana","Commercial","",,"78",,"19.76","9.33","19.76","percent of total billed charges",,
"SODIUM FECAL","84302","HCPCS","Both",,,"25.5","12.75","UHC","Commercial","",,"75",,"19.23","9.33","19.76","percent of total billed charges",,
"SODIUM FECAL","84302","HCPCS","Both",,,"25.5","12.75","Medicaid",,"",,"37",,"9.33","9.33","19.76","percent of total billed charges",,
"POTASSIUM FECAL","84999","HCPCS","Both",,,"16.5","8.25","Alliant","Health Exchange","",,"62",,"10.23","6.04","12.79","percent of total billed charges",,
"POTASSIUM FECAL","84999","HCPCS","Both",,,"16.5","8.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"8.91","6.04","12.79","percent of total billed charges",,
"POTASSIUM FECAL","84999","HCPCS","Both",,,"16.5","8.25","Medicare",,"",,"54",,"8.94","6.04","12.79","percent of total billed charges",,
"POTASSIUM FECAL","84999","HCPCS","Both",,,"16.5","8.25","Humana","Medicare Advantage","",,"54",,"8.94","6.04","12.79","percent of total billed charges",,
"POTASSIUM FECAL","84999","HCPCS","Both",,,"16.5","8.25","UHC","Medicare Advantage","",,"54",,"8.94","6.04","12.79","percent of total billed charges",,
"POTASSIUM FECAL","84999","HCPCS","Both",,,"16.5","8.25","Clover","Medicare Advantage","",,"54",,"8.94","6.04","12.79","percent of total billed charges",,
"POTASSIUM FECAL","84999","HCPCS","Both",,,"16.5","8.25","Wellcare","Medicare Advantage","",,"54",,"8.94","6.04","12.79","percent of total billed charges",,
"POTASSIUM FECAL","84999","HCPCS","Both",,,"16.5","8.25","Amerigroup","Medicaid Managed Care","",,"37",,"6.04","6.04","12.79","percent of total billed charges",,
"POTASSIUM FECAL","84999","HCPCS","Both",,,"16.5","8.25","Caresource","Medicaid Managed Care","",,"40",,"6.6","6.04","12.79","percent of total billed charges",,
"POTASSIUM FECAL","84999","HCPCS","Both",,,"16.5","8.25","Wellcare","Medicaid Managed Care","",,"40",,"6.68","6.04","12.79","percent of total billed charges",,
"POTASSIUM FECAL","84999","HCPCS","Both",,,"16.5","8.25","Aetna","Commercial","",,"64",,"10.53","6.04","12.79","percent of total billed charges",,
"POTASSIUM FECAL","84999","HCPCS","Both",,,"16.5","8.25","Blue Cross Blue Shield","Pathways","",,"71",,"11.65","6.04","12.79","percent of total billed charges",,
"POTASSIUM FECAL","84999","HCPCS","Both",,,"16.5","8.25","Blue Cross Blue Shield","HMO","",,"71",,"11.65","6.04","12.79","percent of total billed charges",,
"POTASSIUM FECAL","84999","HCPCS","Both",,,"16.5","8.25","Blue Cross Blue Shield","PPO","",,"71",,"11.65","6.04","12.79","percent of total billed charges",,
"POTASSIUM FECAL","84999","HCPCS","Both",,,"16.5","8.25","Ambetter","Health Exchange","",,"62",,"10.23","6.04","12.79","percent of total billed charges",,
"POTASSIUM FECAL","84999","HCPCS","Both",,,"16.5","8.25","Caresource","Health Exchange","",,"62",,"10.23","6.04","12.79","percent of total billed charges",,
"POTASSIUM FECAL","84999","HCPCS","Both",,,"16.5","8.25","Cigna","Commercial","",,"59",,"9.67","6.04","12.79","percent of total billed charges",,
"POTASSIUM FECAL","84999","HCPCS","Both",,,"16.5","8.25","Humana","Commercial","",,"78",,"12.79","6.04","12.79","percent of total billed charges",,
"POTASSIUM FECAL","84999","HCPCS","Both",,,"16.5","8.25","UHC","Commercial","",,"75",,"12.44","6.04","12.79","percent of total billed charges",,
"POTASSIUM FECAL","84999","HCPCS","Both",,,"16.5","8.25","Medicaid",,"",,"37",,"6.04","6.04","12.79","percent of total billed charges",,
"GIARDIA SPECIFIC ANTIGEN STOOL","87329","HCPCS","Both",,,"15","7.5","Alliant","Health Exchange","",,"62",,"9.3","5.49","11.62","percent of total billed charges",,
"GIARDIA SPECIFIC ANTIGEN STOOL","87329","HCPCS","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"8.1","5.49","11.62","percent of total billed charges",,
"GIARDIA SPECIFIC ANTIGEN STOOL","87329","HCPCS","Both",,,"15","7.5","Medicare",,"",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"GIARDIA SPECIFIC ANTIGEN STOOL","87329","HCPCS","Both",,,"15","7.5","Humana","Medicare Advantage","",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"GIARDIA SPECIFIC ANTIGEN STOOL","87329","HCPCS","Both",,,"15","7.5","UHC","Medicare Advantage","",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"GIARDIA SPECIFIC ANTIGEN STOOL","87329","HCPCS","Both",,,"15","7.5","Clover","Medicare Advantage","",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"GIARDIA SPECIFIC ANTIGEN STOOL","87329","HCPCS","Both",,,"15","7.5","Wellcare","Medicare Advantage","",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"GIARDIA SPECIFIC ANTIGEN STOOL","87329","HCPCS","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care","",,"37",,"5.49","5.49","11.62","percent of total billed charges",,
"GIARDIA SPECIFIC ANTIGEN STOOL","87329","HCPCS","Both",,,"15","7.5","Caresource","Medicaid Managed Care","",,"40",,"6","5.49","11.62","percent of total billed charges",,
"GIARDIA SPECIFIC ANTIGEN STOOL","87329","HCPCS","Both",,,"15","7.5","Wellcare","Medicaid Managed Care","",,"40",,"6.08","5.49","11.62","percent of total billed charges",,
"GIARDIA SPECIFIC ANTIGEN STOOL","87329","HCPCS","Both",,,"15","7.5","Aetna","Commercial","",,"64",,"9.57","5.49","11.62","percent of total billed charges",,
"GIARDIA SPECIFIC ANTIGEN STOOL","87329","HCPCS","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways","",,"71",,"10.59","5.49","11.62","percent of total billed charges",,
"GIARDIA SPECIFIC ANTIGEN STOOL","87329","HCPCS","Both",,,"15","7.5","Blue Cross Blue Shield","HMO","",,"71",,"10.59","5.49","11.62","percent of total billed charges",,
"GIARDIA SPECIFIC ANTIGEN STOOL","87329","HCPCS","Both",,,"15","7.5","Blue Cross Blue Shield","PPO","",,"71",,"10.59","5.49","11.62","percent of total billed charges",,
"GIARDIA SPECIFIC ANTIGEN STOOL","87329","HCPCS","Both",,,"15","7.5","Ambetter","Health Exchange","",,"62",,"9.3","5.49","11.62","percent of total billed charges",,
"GIARDIA SPECIFIC ANTIGEN STOOL","87329","HCPCS","Both",,,"15","7.5","Caresource","Health Exchange","",,"62",,"9.3","5.49","11.62","percent of total billed charges",,
"GIARDIA SPECIFIC ANTIGEN STOOL","87329","HCPCS","Both",,,"15","7.5","Cigna","Commercial","",,"59",,"8.79","5.49","11.62","percent of total billed charges",,
"GIARDIA SPECIFIC ANTIGEN STOOL","87329","HCPCS","Both",,,"15","7.5","Humana","Commercial","",,"78",,"11.62","5.49","11.62","percent of total billed charges",,
"GIARDIA SPECIFIC ANTIGEN STOOL","87329","HCPCS","Both",,,"15","7.5","UHC","Commercial","",,"75",,"11.31","5.49","11.62","percent of total billed charges",,
"GIARDIA SPECIFIC ANTIGEN STOOL","87329","HCPCS","Both",,,"15","7.5","Medicaid",,"",,"37",,"5.49","5.49","11.62","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL","84153","HCPCS","Both",,,"27","13.5","Alliant","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL","84153","HCPCS","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"14.58","9.88","20.92","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL","84153","HCPCS","Both",,,"27","13.5","Medicare",,"",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL","84153","HCPCS","Both",,,"27","13.5","Humana","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL","84153","HCPCS","Both",,,"27","13.5","UHC","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL","84153","HCPCS","Both",,,"27","13.5","Clover","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL","84153","HCPCS","Both",,,"27","13.5","Wellcare","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL","84153","HCPCS","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care","",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL","84153","HCPCS","Both",,,"27","13.5","Caresource","Medicaid Managed Care","",,"40",,"10.8","9.88","20.92","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL","84153","HCPCS","Both",,,"27","13.5","Wellcare","Medicaid Managed Care","",,"40",,"10.94","9.88","20.92","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL","84153","HCPCS","Both",,,"27","13.5","Aetna","Commercial","",,"64",,"17.23","9.88","20.92","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL","84153","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL","84153","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","HMO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL","84153","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","PPO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL","84153","HCPCS","Both",,,"27","13.5","Ambetter","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL","84153","HCPCS","Both",,,"27","13.5","Caresource","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL","84153","HCPCS","Both",,,"27","13.5","Cigna","Commercial","",,"59",,"15.82","9.88","20.92","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL","84153","HCPCS","Both",,,"27","13.5","Humana","Commercial","",,"78",,"20.92","9.88","20.92","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL","84153","HCPCS","Both",,,"27","13.5","UHC","Commercial","",,"75",,"20.36","9.88","20.92","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL","84153","HCPCS","Both",,,"27","13.5","Medicaid",,"",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"SIROLIMUS","80195","HCPCS","Both",,,"17","8.5","Alliant","Health Exchange","",,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"SIROLIMUS","80195","HCPCS","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"9.18","6.22","13.18","percent of total billed charges",,
"SIROLIMUS","80195","HCPCS","Both",,,"17","8.5","Medicare",,"",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"SIROLIMUS","80195","HCPCS","Both",,,"17","8.5","Humana","Medicare Advantage","",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"SIROLIMUS","80195","HCPCS","Both",,,"17","8.5","UHC","Medicare Advantage","",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"SIROLIMUS","80195","HCPCS","Both",,,"17","8.5","Clover","Medicare Advantage","",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"SIROLIMUS","80195","HCPCS","Both",,,"17","8.5","Wellcare","Medicare Advantage","",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"SIROLIMUS","80195","HCPCS","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care","",,"37",,"6.22","6.22","13.18","percent of total billed charges",,
"SIROLIMUS","80195","HCPCS","Both",,,"17","8.5","Caresource","Medicaid Managed Care","",,"40",,"6.8","6.22","13.18","percent of total billed charges",,
"SIROLIMUS","80195","HCPCS","Both",,,"17","8.5","Wellcare","Medicaid Managed Care","",,"40",,"6.89","6.22","13.18","percent of total billed charges",,
"SIROLIMUS","80195","HCPCS","Both",,,"17","8.5","Aetna","Commercial","",,"64",,"10.85","6.22","13.18","percent of total billed charges",,
"SIROLIMUS","80195","HCPCS","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways","",,"71",,"12","6.22","13.18","percent of total billed charges",,
"SIROLIMUS","80195","HCPCS","Both",,,"17","8.5","Blue Cross Blue Shield","HMO","",,"71",,"12","6.22","13.18","percent of total billed charges",,
"SIROLIMUS","80195","HCPCS","Both",,,"17","8.5","Blue Cross Blue Shield","PPO","",,"71",,"12","6.22","13.18","percent of total billed charges",,
"SIROLIMUS","80195","HCPCS","Both",,,"17","8.5","Ambetter","Health Exchange","",,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"SIROLIMUS","80195","HCPCS","Both",,,"17","8.5","Caresource","Health Exchange","",,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"SIROLIMUS","80195","HCPCS","Both",,,"17","8.5","Cigna","Commercial","",,"59",,"9.96","6.22","13.18","percent of total billed charges",,
"SIROLIMUS","80195","HCPCS","Both",,,"17","8.5","Humana","Commercial","",,"78",,"13.18","6.22","13.18","percent of total billed charges",,
"SIROLIMUS","80195","HCPCS","Both",,,"17","8.5","UHC","Commercial","",,"75",,"12.82","6.22","13.18","percent of total billed charges",,
"SIROLIMUS","80195","HCPCS","Both",,,"17","8.5","Medicaid",,"",,"37",,"6.22","6.22","13.18","percent of total billed charges",,
"SMOOTH MUSCLE Ab (F-ACTIN), IFA REFLEX","83516","HCPCS","Both",,,"27.5","13.75","Alliant","Health Exchange","",,"62",,"17.05","10.06","21.31","percent of total billed charges",,
"SMOOTH MUSCLE Ab (F-ACTIN), IFA REFLEX","83516","HCPCS","Both",,,"27.5","13.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"14.85","10.06","21.31","percent of total billed charges",,
"SMOOTH MUSCLE Ab (F-ACTIN), IFA REFLEX","83516","HCPCS","Both",,,"27.5","13.75","Medicare",,"",,"54",,"14.9","10.06","21.31","percent of total billed charges",,
"SMOOTH MUSCLE Ab (F-ACTIN), IFA REFLEX","83516","HCPCS","Both",,,"27.5","13.75","Humana","Medicare Advantage","",,"54",,"14.9","10.06","21.31","percent of total billed charges",,
"SMOOTH MUSCLE Ab (F-ACTIN), IFA REFLEX","83516","HCPCS","Both",,,"27.5","13.75","UHC","Medicare Advantage","",,"54",,"14.9","10.06","21.31","percent of total billed charges",,
"SMOOTH MUSCLE Ab (F-ACTIN), IFA REFLEX","83516","HCPCS","Both",,,"27.5","13.75","Clover","Medicare Advantage","",,"54",,"14.9","10.06","21.31","percent of total billed charges",,
"SMOOTH MUSCLE Ab (F-ACTIN), IFA REFLEX","83516","HCPCS","Both",,,"27.5","13.75","Wellcare","Medicare Advantage","",,"54",,"14.9","10.06","21.31","percent of total billed charges",,
"SMOOTH MUSCLE Ab (F-ACTIN), IFA REFLEX","83516","HCPCS","Both",,,"27.5","13.75","Amerigroup","Medicaid Managed Care","",,"37",,"10.06","10.06","21.31","percent of total billed charges",,
"SMOOTH MUSCLE Ab (F-ACTIN), IFA REFLEX","83516","HCPCS","Both",,,"27.5","13.75","Caresource","Medicaid Managed Care","",,"40",,"11","10.06","21.31","percent of total billed charges",,
"SMOOTH MUSCLE Ab (F-ACTIN), IFA REFLEX","83516","HCPCS","Both",,,"27.5","13.75","Wellcare","Medicaid Managed Care","",,"40",,"11.14","10.06","21.31","percent of total billed charges",,
"SMOOTH MUSCLE Ab (F-ACTIN), IFA REFLEX","83516","HCPCS","Both",,,"27.5","13.75","Aetna","Commercial","",,"64",,"17.55","10.06","21.31","percent of total billed charges",,
"SMOOTH MUSCLE Ab (F-ACTIN), IFA REFLEX","83516","HCPCS","Both",,,"27.5","13.75","Blue Cross Blue Shield","Pathways","",,"71",,"19.42","10.06","21.31","percent of total billed charges",,
"SMOOTH MUSCLE Ab (F-ACTIN), IFA REFLEX","83516","HCPCS","Both",,,"27.5","13.75","Blue Cross Blue Shield","HMO","",,"71",,"19.42","10.06","21.31","percent of total billed charges",,
"SMOOTH MUSCLE Ab (F-ACTIN), IFA REFLEX","83516","HCPCS","Both",,,"27.5","13.75","Blue Cross Blue Shield","PPO","",,"71",,"19.42","10.06","21.31","percent of total billed charges",,
"SMOOTH MUSCLE Ab (F-ACTIN), IFA REFLEX","83516","HCPCS","Both",,,"27.5","13.75","Ambetter","Health Exchange","",,"62",,"17.05","10.06","21.31","percent of total billed charges",,
"SMOOTH MUSCLE Ab (F-ACTIN), IFA REFLEX","83516","HCPCS","Both",,,"27.5","13.75","Caresource","Health Exchange","",,"62",,"17.05","10.06","21.31","percent of total billed charges",,
"SMOOTH MUSCLE Ab (F-ACTIN), IFA REFLEX","83516","HCPCS","Both",,,"27.5","13.75","Cigna","Commercial","",,"59",,"16.11","10.06","21.31","percent of total billed charges",,
"SMOOTH MUSCLE Ab (F-ACTIN), IFA REFLEX","83516","HCPCS","Both",,,"27.5","13.75","Humana","Commercial","",,"78",,"21.31","10.06","21.31","percent of total billed charges",,
"SMOOTH MUSCLE Ab (F-ACTIN), IFA REFLEX","83516","HCPCS","Both",,,"27.5","13.75","UHC","Commercial","",,"75",,"20.74","10.06","21.31","percent of total billed charges",,
"SMOOTH MUSCLE Ab (F-ACTIN), IFA REFLEX","83516","HCPCS","Both",,,"27.5","13.75","Medicaid",,"",,"37",,"10.06","10.06","21.31","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR BLOCKING AB","83516","HCPCS","Both",,,"27.5","13.75","Alliant","Health Exchange","",,"62",,"17.05","10.06","21.31","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR BLOCKING AB","83516","HCPCS","Both",,,"27.5","13.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"14.85","10.06","21.31","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR BLOCKING AB","83516","HCPCS","Both",,,"27.5","13.75","Medicare",,"",,"54",,"14.9","10.06","21.31","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR BLOCKING AB","83516","HCPCS","Both",,,"27.5","13.75","Humana","Medicare Advantage","",,"54",,"14.9","10.06","21.31","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR BLOCKING AB","83516","HCPCS","Both",,,"27.5","13.75","UHC","Medicare Advantage","",,"54",,"14.9","10.06","21.31","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR BLOCKING AB","83516","HCPCS","Both",,,"27.5","13.75","Clover","Medicare Advantage","",,"54",,"14.9","10.06","21.31","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR BLOCKING AB","83516","HCPCS","Both",,,"27.5","13.75","Wellcare","Medicare Advantage","",,"54",,"14.9","10.06","21.31","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR BLOCKING AB","83516","HCPCS","Both",,,"27.5","13.75","Amerigroup","Medicaid Managed Care","",,"37",,"10.06","10.06","21.31","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR BLOCKING AB","83516","HCPCS","Both",,,"27.5","13.75","Caresource","Medicaid Managed Care","",,"40",,"11","10.06","21.31","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR BLOCKING AB","83516","HCPCS","Both",,,"27.5","13.75","Wellcare","Medicaid Managed Care","",,"40",,"11.14","10.06","21.31","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR BLOCKING AB","83516","HCPCS","Both",,,"27.5","13.75","Aetna","Commercial","",,"64",,"17.55","10.06","21.31","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR BLOCKING AB","83516","HCPCS","Both",,,"27.5","13.75","Blue Cross Blue Shield","Pathways","",,"71",,"19.42","10.06","21.31","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR BLOCKING AB","83516","HCPCS","Both",,,"27.5","13.75","Blue Cross Blue Shield","HMO","",,"71",,"19.42","10.06","21.31","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR BLOCKING AB","83516","HCPCS","Both",,,"27.5","13.75","Blue Cross Blue Shield","PPO","",,"71",,"19.42","10.06","21.31","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR BLOCKING AB","83516","HCPCS","Both",,,"27.5","13.75","Ambetter","Health Exchange","",,"62",,"17.05","10.06","21.31","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR BLOCKING AB","83516","HCPCS","Both",,,"27.5","13.75","Caresource","Health Exchange","",,"62",,"17.05","10.06","21.31","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR BLOCKING AB","83516","HCPCS","Both",,,"27.5","13.75","Cigna","Commercial","",,"59",,"16.11","10.06","21.31","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR BLOCKING AB","83516","HCPCS","Both",,,"27.5","13.75","Humana","Commercial","",,"78",,"21.31","10.06","21.31","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR BLOCKING AB","83516","HCPCS","Both",,,"27.5","13.75","UHC","Commercial","",,"75",,"20.74","10.06","21.31","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR BLOCKING AB","83516","HCPCS","Both",,,"27.5","13.75","Medicaid",,"",,"37",,"10.06","10.06","21.31","percent of total billed charges",,
"CHLAMYDIA TRACHOMATIS CULTURE","87110","HCPCS","Both",,,"141","70.5","Alliant","Health Exchange","",,"62",,"87.42","51.61","109.28","percent of total billed charges",,
"CHLAMYDIA TRACHOMATIS CULTURE","87110","HCPCS","Both",,,"141","70.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"76.14","51.61","109.28","percent of total billed charges",,
"CHLAMYDIA TRACHOMATIS CULTURE","87110","HCPCS","Both",,,"141","70.5","Medicare",,"",,"54",,"76.42","51.61","109.28","percent of total billed charges",,
"CHLAMYDIA TRACHOMATIS CULTURE","87110","HCPCS","Both",,,"141","70.5","Humana","Medicare Advantage","",,"54",,"76.42","51.61","109.28","percent of total billed charges",,
"CHLAMYDIA TRACHOMATIS CULTURE","87110","HCPCS","Both",,,"141","70.5","UHC","Medicare Advantage","",,"54",,"76.42","51.61","109.28","percent of total billed charges",,
"CHLAMYDIA TRACHOMATIS CULTURE","87110","HCPCS","Both",,,"141","70.5","Clover","Medicare Advantage","",,"54",,"76.42","51.61","109.28","percent of total billed charges",,
"CHLAMYDIA TRACHOMATIS CULTURE","87110","HCPCS","Both",,,"141","70.5","Wellcare","Medicare Advantage","",,"54",,"76.42","51.61","109.28","percent of total billed charges",,
"CHLAMYDIA TRACHOMATIS CULTURE","87110","HCPCS","Both",,,"141","70.5","Amerigroup","Medicaid Managed Care","",,"37",,"51.61","51.61","109.28","percent of total billed charges",,
"CHLAMYDIA TRACHOMATIS CULTURE","87110","HCPCS","Both",,,"141","70.5","Caresource","Medicaid Managed Care","",,"40",,"56.4","51.61","109.28","percent of total billed charges",,
"CHLAMYDIA TRACHOMATIS CULTURE","87110","HCPCS","Both",,,"141","70.5","Wellcare","Medicaid Managed Care","",,"40",,"57.1","51.61","109.28","percent of total billed charges",,
"CHLAMYDIA TRACHOMATIS CULTURE","87110","HCPCS","Both",,,"141","70.5","Aetna","Commercial","",,"64",,"89.96","51.61","109.28","percent of total billed charges",,
"CHLAMYDIA TRACHOMATIS CULTURE","87110","HCPCS","Both",,,"141","70.5","Blue Cross Blue Shield","Pathways","",,"71",,"99.55","51.61","109.28","percent of total billed charges",,
"CHLAMYDIA TRACHOMATIS CULTURE","87110","HCPCS","Both",,,"141","70.5","Blue Cross Blue Shield","HMO","",,"71",,"99.55","51.61","109.28","percent of total billed charges",,
"CHLAMYDIA TRACHOMATIS CULTURE","87110","HCPCS","Both",,,"141","70.5","Blue Cross Blue Shield","PPO","",,"71",,"99.55","51.61","109.28","percent of total billed charges",,
"CHLAMYDIA TRACHOMATIS CULTURE","87110","HCPCS","Both",,,"141","70.5","Ambetter","Health Exchange","",,"62",,"87.42","51.61","109.28","percent of total billed charges",,
"CHLAMYDIA TRACHOMATIS CULTURE","87110","HCPCS","Both",,,"141","70.5","Caresource","Health Exchange","",,"62",,"87.42","51.61","109.28","percent of total billed charges",,
"CHLAMYDIA TRACHOMATIS CULTURE","87110","HCPCS","Both",,,"141","70.5","Cigna","Commercial","",,"59",,"82.63","51.61","109.28","percent of total billed charges",,
"CHLAMYDIA TRACHOMATIS CULTURE","87110","HCPCS","Both",,,"141","70.5","Humana","Commercial","",,"78",,"109.28","51.61","109.28","percent of total billed charges",,
"CHLAMYDIA TRACHOMATIS CULTURE","87110","HCPCS","Both",,,"141","70.5","UHC","Commercial","",,"75",,"106.31","51.61","109.28","percent of total billed charges",,
"CHLAMYDIA TRACHOMATIS CULTURE","87110","HCPCS","Both",,,"141","70.5","Medicaid",,"",,"37",,"51.61","51.61","109.28","percent of total billed charges",,
"CRYPTOSPORIDIUM ANTIGEN","87328","HCPCS","Both",,,"86","43","Alliant","Health Exchange","",,"62",,"53.32","31.48","66.65","percent of total billed charges",,
"CRYPTOSPORIDIUM ANTIGEN","87328","HCPCS","Both",,,"86","43","Pruitt Healthcare","Medicare Advantage","",,"54",,"46.44","31.48","66.65","percent of total billed charges",,
"CRYPTOSPORIDIUM ANTIGEN","87328","HCPCS","Both",,,"86","43","Medicare",,"",,"54",,"46.61","31.48","66.65","percent of total billed charges",,
"CRYPTOSPORIDIUM ANTIGEN","87328","HCPCS","Both",,,"86","43","Humana","Medicare Advantage","",,"54",,"46.61","31.48","66.65","percent of total billed charges",,
"CRYPTOSPORIDIUM ANTIGEN","87328","HCPCS","Both",,,"86","43","UHC","Medicare Advantage","",,"54",,"46.61","31.48","66.65","percent of total billed charges",,
"CRYPTOSPORIDIUM ANTIGEN","87328","HCPCS","Both",,,"86","43","Clover","Medicare Advantage","",,"54",,"46.61","31.48","66.65","percent of total billed charges",,
"CRYPTOSPORIDIUM ANTIGEN","87328","HCPCS","Both",,,"86","43","Wellcare","Medicare Advantage","",,"54",,"46.61","31.48","66.65","percent of total billed charges",,
"CRYPTOSPORIDIUM ANTIGEN","87328","HCPCS","Both",,,"86","43","Amerigroup","Medicaid Managed Care","",,"37",,"31.48","31.48","66.65","percent of total billed charges",,
"CRYPTOSPORIDIUM ANTIGEN","87328","HCPCS","Both",,,"86","43","Caresource","Medicaid Managed Care","",,"40",,"34.4","31.48","66.65","percent of total billed charges",,
"CRYPTOSPORIDIUM ANTIGEN","87328","HCPCS","Both",,,"86","43","Wellcare","Medicaid Managed Care","",,"40",,"34.83","31.48","66.65","percent of total billed charges",,
"CRYPTOSPORIDIUM ANTIGEN","87328","HCPCS","Both",,,"86","43","Aetna","Commercial","",,"64",,"54.87","31.48","66.65","percent of total billed charges",,
"CRYPTOSPORIDIUM ANTIGEN","87328","HCPCS","Both",,,"86","43","Blue Cross Blue Shield","Pathways","",,"71",,"60.72","31.48","66.65","percent of total billed charges",,
"CRYPTOSPORIDIUM ANTIGEN","87328","HCPCS","Both",,,"86","43","Blue Cross Blue Shield","HMO","",,"71",,"60.72","31.48","66.65","percent of total billed charges",,
"CRYPTOSPORIDIUM ANTIGEN","87328","HCPCS","Both",,,"86","43","Blue Cross Blue Shield","PPO","",,"71",,"60.72","31.48","66.65","percent of total billed charges",,
"CRYPTOSPORIDIUM ANTIGEN","87328","HCPCS","Both",,,"86","43","Ambetter","Health Exchange","",,"62",,"53.32","31.48","66.65","percent of total billed charges",,
"CRYPTOSPORIDIUM ANTIGEN","87328","HCPCS","Both",,,"86","43","Caresource","Health Exchange","",,"62",,"53.32","31.48","66.65","percent of total billed charges",,
"CRYPTOSPORIDIUM ANTIGEN","87328","HCPCS","Both",,,"86","43","Cigna","Commercial","",,"59",,"50.4","31.48","66.65","percent of total billed charges",,
"CRYPTOSPORIDIUM ANTIGEN","87328","HCPCS","Both",,,"86","43","Humana","Commercial","",,"78",,"66.65","31.48","66.65","percent of total billed charges",,
"CRYPTOSPORIDIUM ANTIGEN","87328","HCPCS","Both",,,"86","43","UHC","Commercial","",,"75",,"64.84","31.48","66.65","percent of total billed charges",,
"CRYPTOSPORIDIUM ANTIGEN","87328","HCPCS","Both",,,"86","43","Medicaid",,"",,"37",,"31.48","31.48","66.65","percent of total billed charges",,
"STONE ANALYSIS","82365","HCPCS","Both",,,"165.5","82.75","Alliant","Health Exchange","",,"62",,"102.61","60.57","128.26","percent of total billed charges",,
"STONE ANALYSIS","82365","HCPCS","Both",,,"165.5","82.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"89.37","60.57","128.26","percent of total billed charges",,
"STONE ANALYSIS","82365","HCPCS","Both",,,"165.5","82.75","Medicare",,"",,"54",,"89.7","60.57","128.26","percent of total billed charges",,
"STONE ANALYSIS","82365","HCPCS","Both",,,"165.5","82.75","Humana","Medicare Advantage","",,"54",,"89.7","60.57","128.26","percent of total billed charges",,
"STONE ANALYSIS","82365","HCPCS","Both",,,"165.5","82.75","UHC","Medicare Advantage","",,"54",,"89.7","60.57","128.26","percent of total billed charges",,
"STONE ANALYSIS","82365","HCPCS","Both",,,"165.5","82.75","Clover","Medicare Advantage","",,"54",,"89.7","60.57","128.26","percent of total billed charges",,
"STONE ANALYSIS","82365","HCPCS","Both",,,"165.5","82.75","Wellcare","Medicare Advantage","",,"54",,"89.7","60.57","128.26","percent of total billed charges",,
"STONE ANALYSIS","82365","HCPCS","Both",,,"165.5","82.75","Amerigroup","Medicaid Managed Care","",,"37",,"60.57","60.57","128.26","percent of total billed charges",,
"STONE ANALYSIS","82365","HCPCS","Both",,,"165.5","82.75","Caresource","Medicaid Managed Care","",,"40",,"66.2","60.57","128.26","percent of total billed charges",,
"STONE ANALYSIS","82365","HCPCS","Both",,,"165.5","82.75","Wellcare","Medicaid Managed Care","",,"40",,"67.03","60.57","128.26","percent of total billed charges",,
"STONE ANALYSIS","82365","HCPCS","Both",,,"165.5","82.75","Aetna","Commercial","",,"64",,"105.59","60.57","128.26","percent of total billed charges",,
"STONE ANALYSIS","82365","HCPCS","Both",,,"165.5","82.75","Blue Cross Blue Shield","Pathways","",,"71",,"116.84","60.57","128.26","percent of total billed charges",,
"STONE ANALYSIS","82365","HCPCS","Both",,,"165.5","82.75","Blue Cross Blue Shield","HMO","",,"71",,"116.84","60.57","128.26","percent of total billed charges",,
"STONE ANALYSIS","82365","HCPCS","Both",,,"165.5","82.75","Blue Cross Blue Shield","PPO","",,"71",,"116.84","60.57","128.26","percent of total billed charges",,
"STONE ANALYSIS","82365","HCPCS","Both",,,"165.5","82.75","Ambetter","Health Exchange","",,"62",,"102.61","60.57","128.26","percent of total billed charges",,
"STONE ANALYSIS","82365","HCPCS","Both",,,"165.5","82.75","Caresource","Health Exchange","",,"62",,"102.61","60.57","128.26","percent of total billed charges",,
"STONE ANALYSIS","82365","HCPCS","Both",,,"165.5","82.75","Cigna","Commercial","",,"59",,"96.98","60.57","128.26","percent of total billed charges",,
"STONE ANALYSIS","82365","HCPCS","Both",,,"165.5","82.75","Humana","Commercial","",,"78",,"128.26","60.57","128.26","percent of total billed charges",,
"STONE ANALYSIS","82365","HCPCS","Both",,,"165.5","82.75","UHC","Commercial","",,"75",,"124.79","60.57","128.26","percent of total billed charges",,
"STONE ANALYSIS","82365","HCPCS","Both",,,"165.5","82.75","Medicaid",,"",,"37",,"60.57","60.57","128.26","percent of total billed charges",,
"GLUCOSE,SERUM","82947","HCPCS","Both",,,"9","4.5","Alliant","Health Exchange","",,"62",,"5.58","3.29","6.98","percent of total billed charges",,
"GLUCOSE,SERUM","82947","HCPCS","Both",,,"9","4.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"4.86","3.29","6.98","percent of total billed charges",,
"GLUCOSE,SERUM","82947","HCPCS","Both",,,"9","4.5","Medicare",,"",,"54",,"4.88","3.29","6.98","percent of total billed charges",,
"GLUCOSE,SERUM","82947","HCPCS","Both",,,"9","4.5","Humana","Medicare Advantage","",,"54",,"4.88","3.29","6.98","percent of total billed charges",,
"GLUCOSE,SERUM","82947","HCPCS","Both",,,"9","4.5","UHC","Medicare Advantage","",,"54",,"4.88","3.29","6.98","percent of total billed charges",,
"GLUCOSE,SERUM","82947","HCPCS","Both",,,"9","4.5","Clover","Medicare Advantage","",,"54",,"4.88","3.29","6.98","percent of total billed charges",,
"GLUCOSE,SERUM","82947","HCPCS","Both",,,"9","4.5","Wellcare","Medicare Advantage","",,"54",,"4.88","3.29","6.98","percent of total billed charges",,
"GLUCOSE,SERUM","82947","HCPCS","Both",,,"9","4.5","Amerigroup","Medicaid Managed Care","",,"37",,"3.29","3.29","6.98","percent of total billed charges",,
"GLUCOSE,SERUM","82947","HCPCS","Both",,,"9","4.5","Caresource","Medicaid Managed Care","",,"40",,"3.6","3.29","6.98","percent of total billed charges",,
"GLUCOSE,SERUM","82947","HCPCS","Both",,,"9","4.5","Wellcare","Medicaid Managed Care","",,"40",,"3.65","3.29","6.98","percent of total billed charges",,
"GLUCOSE,SERUM","82947","HCPCS","Both",,,"9","4.5","Aetna","Commercial","",,"64",,"5.74","3.29","6.98","percent of total billed charges",,
"GLUCOSE,SERUM","82947","HCPCS","Both",,,"9","4.5","Blue Cross Blue Shield","Pathways","",,"71",,"6.35","3.29","6.98","percent of total billed charges",,
"GLUCOSE,SERUM","82947","HCPCS","Both",,,"9","4.5","Blue Cross Blue Shield","HMO","",,"71",,"6.35","3.29","6.98","percent of total billed charges",,
"GLUCOSE,SERUM","82947","HCPCS","Both",,,"9","4.5","Blue Cross Blue Shield","PPO","",,"71",,"6.35","3.29","6.98","percent of total billed charges",,
"GLUCOSE,SERUM","82947","HCPCS","Both",,,"9","4.5","Ambetter","Health Exchange","",,"62",,"5.58","3.29","6.98","percent of total billed charges",,
"GLUCOSE,SERUM","82947","HCPCS","Both",,,"9","4.5","Caresource","Health Exchange","",,"62",,"5.58","3.29","6.98","percent of total billed charges",,
"GLUCOSE,SERUM","82947","HCPCS","Both",,,"9","4.5","Cigna","Commercial","",,"59",,"5.27","3.29","6.98","percent of total billed charges",,
"GLUCOSE,SERUM","82947","HCPCS","Both",,,"9","4.5","Humana","Commercial","",,"78",,"6.98","3.29","6.98","percent of total billed charges",,
"GLUCOSE,SERUM","82947","HCPCS","Both",,,"9","4.5","UHC","Commercial","",,"75",,"6.79","3.29","6.98","percent of total billed charges",,
"GLUCOSE,SERUM","82947","HCPCS","Both",,,"9","4.5","Medicaid",,"",,"37",,"3.29","3.29","6.98","percent of total billed charges",,
"CDC TESTING SARS-CoV2 COVID-19","U0001","HCPCS","Both",,,"108","54","Alliant","Health Exchange","",,"62",,"66.96","39.53","83.7","percent of total billed charges",,
"CDC TESTING SARS-CoV2 COVID-19","U0001","HCPCS","Both",,,"108","54","Pruitt Healthcare","Medicare Advantage","",,"54",,"58.32","39.53","83.7","percent of total billed charges",,
"CDC TESTING SARS-CoV2 COVID-19","U0001","HCPCS","Both",,,"108","54","Medicare",,"",,"54",,"58.54","39.53","83.7","percent of total billed charges",,
"CDC TESTING SARS-CoV2 COVID-19","U0001","HCPCS","Both",,,"108","54","Humana","Medicare Advantage","",,"54",,"58.54","39.53","83.7","percent of total billed charges",,
"CDC TESTING SARS-CoV2 COVID-19","U0001","HCPCS","Both",,,"108","54","UHC","Medicare Advantage","",,"54",,"58.54","39.53","83.7","percent of total billed charges",,
"CDC TESTING SARS-CoV2 COVID-19","U0001","HCPCS","Both",,,"108","54","Clover","Medicare Advantage","",,"54",,"58.54","39.53","83.7","percent of total billed charges",,
"CDC TESTING SARS-CoV2 COVID-19","U0001","HCPCS","Both",,,"108","54","Wellcare","Medicare Advantage","",,"54",,"58.54","39.53","83.7","percent of total billed charges",,
"CDC TESTING SARS-CoV2 COVID-19","U0001","HCPCS","Both",,,"108","54","Amerigroup","Medicaid Managed Care","",,"37",,"39.53","39.53","83.7","percent of total billed charges",,
"CDC TESTING SARS-CoV2 COVID-19","U0001","HCPCS","Both",,,"108","54","Caresource","Medicaid Managed Care","",,"40",,"43.2","39.53","83.7","percent of total billed charges",,
"CDC TESTING SARS-CoV2 COVID-19","U0001","HCPCS","Both",,,"108","54","Wellcare","Medicaid Managed Care","",,"40",,"43.74","39.53","83.7","percent of total billed charges",,
"CDC TESTING SARS-CoV2 COVID-19","U0001","HCPCS","Both",,,"108","54","Aetna","Commercial","",,"64",,"68.9","39.53","83.7","percent of total billed charges",,
"CDC TESTING SARS-CoV2 COVID-19","U0001","HCPCS","Both",,,"108","54","Blue Cross Blue Shield","Pathways","",,"71",,"76.25","39.53","83.7","percent of total billed charges",,
"CDC TESTING SARS-CoV2 COVID-19","U0001","HCPCS","Both",,,"108","54","Blue Cross Blue Shield","HMO","",,"71",,"76.25","39.53","83.7","percent of total billed charges",,
"CDC TESTING SARS-CoV2 COVID-19","U0001","HCPCS","Both",,,"108","54","Blue Cross Blue Shield","PPO","",,"71",,"76.25","39.53","83.7","percent of total billed charges",,
"CDC TESTING SARS-CoV2 COVID-19","U0001","HCPCS","Both",,,"108","54","Ambetter","Health Exchange","",,"62",,"66.96","39.53","83.7","percent of total billed charges",,
"CDC TESTING SARS-CoV2 COVID-19","U0001","HCPCS","Both",,,"108","54","Caresource","Health Exchange","",,"62",,"66.96","39.53","83.7","percent of total billed charges",,
"CDC TESTING SARS-CoV2 COVID-19","U0001","HCPCS","Both",,,"108","54","Cigna","Commercial","",,"59",,"63.29","39.53","83.7","percent of total billed charges",,
"CDC TESTING SARS-CoV2 COVID-19","U0001","HCPCS","Both",,,"108","54","Humana","Commercial","",,"78",,"83.7","39.53","83.7","percent of total billed charges",,
"CDC TESTING SARS-CoV2 COVID-19","U0001","HCPCS","Both",,,"108","54","UHC","Commercial","",,"75",,"81.43","39.53","83.7","percent of total billed charges",,
"CDC TESTING SARS-CoV2 COVID-19","U0001","HCPCS","Both",,,"108","54","Medicaid",,"",,"37",,"39.53","39.53","83.7","percent of total billed charges",,
"NON CDC TESTING SARS-CoV2 COVID-19","U0002","HCPCS","Both",,,"154","77","Alliant","Health Exchange","",,"62",,"95.48","56.36","119.35","percent of total billed charges",,
"NON CDC TESTING SARS-CoV2 COVID-19","U0002","HCPCS","Both",,,"154","77","Pruitt Healthcare","Medicare Advantage","",,"54",,"83.16","56.36","119.35","percent of total billed charges",,
"NON CDC TESTING SARS-CoV2 COVID-19","U0002","HCPCS","Both",,,"154","77","Medicare",,"",,"54",,"83.47","56.36","119.35","percent of total billed charges",,
"NON CDC TESTING SARS-CoV2 COVID-19","U0002","HCPCS","Both",,,"154","77","Humana","Medicare Advantage","",,"54",,"83.47","56.36","119.35","percent of total billed charges",,
"NON CDC TESTING SARS-CoV2 COVID-19","U0002","HCPCS","Both",,,"154","77","UHC","Medicare Advantage","",,"54",,"83.47","56.36","119.35","percent of total billed charges",,
"NON CDC TESTING SARS-CoV2 COVID-19","U0002","HCPCS","Both",,,"154","77","Clover","Medicare Advantage","",,"54",,"83.47","56.36","119.35","percent of total billed charges",,
"NON CDC TESTING SARS-CoV2 COVID-19","U0002","HCPCS","Both",,,"154","77","Wellcare","Medicare Advantage","",,"54",,"83.47","56.36","119.35","percent of total billed charges",,
"NON CDC TESTING SARS-CoV2 COVID-19","U0002","HCPCS","Both",,,"154","77","Amerigroup","Medicaid Managed Care","",,"37",,"56.36","56.36","119.35","percent of total billed charges",,
"NON CDC TESTING SARS-CoV2 COVID-19","U0002","HCPCS","Both",,,"154","77","Caresource","Medicaid Managed Care","",,"40",,"61.6","56.36","119.35","percent of total billed charges",,
"NON CDC TESTING SARS-CoV2 COVID-19","U0002","HCPCS","Both",,,"154","77","Wellcare","Medicaid Managed Care","",,"40",,"62.37","56.36","119.35","percent of total billed charges",,
"NON CDC TESTING SARS-CoV2 COVID-19","U0002","HCPCS","Both",,,"154","77","Aetna","Commercial","",,"64",,"98.25","56.36","119.35","percent of total billed charges",,
"NON CDC TESTING SARS-CoV2 COVID-19","U0002","HCPCS","Both",,,"154","77","Blue Cross Blue Shield","Pathways","",,"71",,"108.72","56.36","119.35","percent of total billed charges",,
"NON CDC TESTING SARS-CoV2 COVID-19","U0002","HCPCS","Both",,,"154","77","Blue Cross Blue Shield","HMO","",,"71",,"108.72","56.36","119.35","percent of total billed charges",,
"NON CDC TESTING SARS-CoV2 COVID-19","U0002","HCPCS","Both",,,"154","77","Blue Cross Blue Shield","PPO","",,"71",,"108.72","56.36","119.35","percent of total billed charges",,
"NON CDC TESTING SARS-CoV2 COVID-19","U0002","HCPCS","Both",,,"154","77","Ambetter","Health Exchange","",,"62",,"95.48","56.36","119.35","percent of total billed charges",,
"NON CDC TESTING SARS-CoV2 COVID-19","U0002","HCPCS","Both",,,"154","77","Caresource","Health Exchange","",,"62",,"95.48","56.36","119.35","percent of total billed charges",,
"NON CDC TESTING SARS-CoV2 COVID-19","U0002","HCPCS","Both",,,"154","77","Cigna","Commercial","",,"59",,"90.24","56.36","119.35","percent of total billed charges",,
"NON CDC TESTING SARS-CoV2 COVID-19","U0002","HCPCS","Both",,,"154","77","Humana","Commercial","",,"78",,"119.35","56.36","119.35","percent of total billed charges",,
"NON CDC TESTING SARS-CoV2 COVID-19","U0002","HCPCS","Both",,,"154","77","UHC","Commercial","",,"75",,"116.12","56.36","119.35","percent of total billed charges",,
"NON CDC TESTING SARS-CoV2 COVID-19","U0002","HCPCS","Both",,,"154","77","Medicaid",,"",,"37",,"56.36","56.36","119.35","percent of total billed charges",,
"US CAROTID DOPPLER","93880","HCPCS","Both",,,"220.8","110.4","Alliant","Health Exchange","",,"62",,"136.9","80.81","171.12","percent of total billed charges",,
"US CAROTID DOPPLER","93880","HCPCS","Both",,,"220.8","110.4","Pruitt Healthcare","Medicare Advantage","",,"54",,"119.23","80.81","171.12","percent of total billed charges",,
"US CAROTID DOPPLER","93880","HCPCS","Both",,,"220.8","110.4","Medicare",,"",,"54",,"119.67","80.81","171.12","percent of total billed charges",,
"US CAROTID DOPPLER","93880","HCPCS","Both",,,"220.8","110.4","Humana","Medicare Advantage","",,"54",,"119.67","80.81","171.12","percent of total billed charges",,
"US CAROTID DOPPLER","93880","HCPCS","Both",,,"220.8","110.4","UHC","Medicare Advantage","",,"54",,"119.67","80.81","171.12","percent of total billed charges",,
"US CAROTID DOPPLER","93880","HCPCS","Both",,,"220.8","110.4","Clover","Medicare Advantage","",,"54",,"119.67","80.81","171.12","percent of total billed charges",,
"US CAROTID DOPPLER","93880","HCPCS","Both",,,"220.8","110.4","Wellcare","Medicare Advantage","",,"54",,"119.67","80.81","171.12","percent of total billed charges",,
"US CAROTID DOPPLER","93880","HCPCS","Both",,,"220.8","110.4","Amerigroup","Medicaid Managed Care","",,"37",,"80.81","80.81","171.12","percent of total billed charges",,
"US CAROTID DOPPLER","93880","HCPCS","Both",,,"220.8","110.4","Caresource","Medicaid Managed Care","",,"40",,"88.32","80.81","171.12","percent of total billed charges",,
"US CAROTID DOPPLER","93880","HCPCS","Both",,,"220.8","110.4","Wellcare","Medicaid Managed Care","",,"40",,"89.42","80.81","171.12","percent of total billed charges",,
"US CAROTID DOPPLER","93880","HCPCS","Both",,,"220.8","110.4","Aetna","Commercial","",,"64",,"140.87","80.81","171.12","percent of total billed charges",,
"US CAROTID DOPPLER","93880","HCPCS","Both",,,"220.8","110.4","Blue Cross Blue Shield","Pathways","",,"71",,"155.88","80.81","171.12","percent of total billed charges",,
"US CAROTID DOPPLER","93880","HCPCS","Both",,,"220.8","110.4","Blue Cross Blue Shield","HMO","",,"71",,"155.88","80.81","171.12","percent of total billed charges",,
"US CAROTID DOPPLER","93880","HCPCS","Both",,,"220.8","110.4","Blue Cross Blue Shield","PPO","",,"71",,"155.88","80.81","171.12","percent of total billed charges",,
"US CAROTID DOPPLER","93880","HCPCS","Both",,,"220.8","110.4","Ambetter","Health Exchange","",,"62",,"136.9","80.81","171.12","percent of total billed charges",,
"US CAROTID DOPPLER","93880","HCPCS","Both",,,"220.8","110.4","Caresource","Health Exchange","",,"62",,"136.9","80.81","171.12","percent of total billed charges",,
"US CAROTID DOPPLER","93880","HCPCS","Both",,,"220.8","110.4","Cigna","Commercial","",,"59",,"129.39","80.81","171.12","percent of total billed charges",,
"US CAROTID DOPPLER","93880","HCPCS","Both",,,"220.8","110.4","Humana","Commercial","",,"78",,"171.12","80.81","171.12","percent of total billed charges",,
"US CAROTID DOPPLER","93880","HCPCS","Both",,,"220.8","110.4","UHC","Commercial","",,"75",,"166.48","80.81","171.12","percent of total billed charges",,
"US CAROTID DOPPLER","93880","HCPCS","Both",,,"220.8","110.4","Medicaid",,"",,"37",,"80.81","80.81","171.12","percent of total billed charges",,
"US UPPER EXTREM ARTERY BILAT","93930","HCPCS","Both",,,"483.5","241.75","Alliant","Health Exchange","",,"62",,"299.77","176.96","374.71","percent of total billed charges",,
"US UPPER EXTREM ARTERY BILAT","93930","HCPCS","Both",,,"483.5","241.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"261.09","176.96","374.71","percent of total billed charges",,
"US UPPER EXTREM ARTERY BILAT","93930","HCPCS","Both",,,"483.5","241.75","Medicare",,"",,"54",,"262.06","176.96","374.71","percent of total billed charges",,
"US UPPER EXTREM ARTERY BILAT","93930","HCPCS","Both",,,"483.5","241.75","Humana","Medicare Advantage","",,"54",,"262.06","176.96","374.71","percent of total billed charges",,
"US UPPER EXTREM ARTERY BILAT","93930","HCPCS","Both",,,"483.5","241.75","UHC","Medicare Advantage","",,"54",,"262.06","176.96","374.71","percent of total billed charges",,
"US UPPER EXTREM ARTERY BILAT","93930","HCPCS","Both",,,"483.5","241.75","Clover","Medicare Advantage","",,"54",,"262.06","176.96","374.71","percent of total billed charges",,
"US UPPER EXTREM ARTERY BILAT","93930","HCPCS","Both",,,"483.5","241.75","Wellcare","Medicare Advantage","",,"54",,"262.06","176.96","374.71","percent of total billed charges",,
"US UPPER EXTREM ARTERY BILAT","93930","HCPCS","Both",,,"483.5","241.75","Amerigroup","Medicaid Managed Care","",,"37",,"176.96","176.96","374.71","percent of total billed charges",,
"US UPPER EXTREM ARTERY BILAT","93930","HCPCS","Both",,,"483.5","241.75","Caresource","Medicaid Managed Care","",,"40",,"193.4","176.96","374.71","percent of total billed charges",,
"US UPPER EXTREM ARTERY BILAT","93930","HCPCS","Both",,,"483.5","241.75","Wellcare","Medicaid Managed Care","",,"40",,"195.82","176.96","374.71","percent of total billed charges",,
"US UPPER EXTREM ARTERY BILAT","93930","HCPCS","Both",,,"483.5","241.75","Aetna","Commercial","",,"64",,"308.47","176.96","374.71","percent of total billed charges",,
"US UPPER EXTREM ARTERY BILAT","93930","HCPCS","Both",,,"483.5","241.75","Blue Cross Blue Shield","Pathways","",,"71",,"341.35","176.96","374.71","percent of total billed charges",,
"US UPPER EXTREM ARTERY BILAT","93930","HCPCS","Both",,,"483.5","241.75","Blue Cross Blue Shield","HMO","",,"71",,"341.35","176.96","374.71","percent of total billed charges",,
"US UPPER EXTREM ARTERY BILAT","93930","HCPCS","Both",,,"483.5","241.75","Blue Cross Blue Shield","PPO","",,"71",,"341.35","176.96","374.71","percent of total billed charges",,
"US UPPER EXTREM ARTERY BILAT","93930","HCPCS","Both",,,"483.5","241.75","Ambetter","Health Exchange","",,"62",,"299.77","176.96","374.71","percent of total billed charges",,
"US UPPER EXTREM ARTERY BILAT","93930","HCPCS","Both",,,"483.5","241.75","Caresource","Health Exchange","",,"62",,"299.77","176.96","374.71","percent of total billed charges",,
"US UPPER EXTREM ARTERY BILAT","93930","HCPCS","Both",,,"483.5","241.75","Cigna","Commercial","",,"59",,"283.33","176.96","374.71","percent of total billed charges",,
"US UPPER EXTREM ARTERY BILAT","93930","HCPCS","Both",,,"483.5","241.75","Humana","Commercial","",,"78",,"374.71","176.96","374.71","percent of total billed charges",,
"US UPPER EXTREM ARTERY BILAT","93930","HCPCS","Both",,,"483.5","241.75","UHC","Commercial","",,"75",,"364.56","176.96","374.71","percent of total billed charges",,
"US UPPER EXTREM ARTERY BILAT","93930","HCPCS","Both",,,"483.5","241.75","Medicaid",,"",,"37",,"176.96","176.96","374.71","percent of total billed charges",,
"US LOWER EXTREM ARTERY BILATE","93925","HCPCS","Both",,,"483.5","241.75","Alliant","Health Exchange","",,"62",,"299.77","176.96","374.71","percent of total billed charges",,
"US LOWER EXTREM ARTERY BILATE","93925","HCPCS","Both",,,"483.5","241.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"261.09","176.96","374.71","percent of total billed charges",,
"US LOWER EXTREM ARTERY BILATE","93925","HCPCS","Both",,,"483.5","241.75","Medicare",,"",,"54",,"262.06","176.96","374.71","percent of total billed charges",,
"US LOWER EXTREM ARTERY BILATE","93925","HCPCS","Both",,,"483.5","241.75","Humana","Medicare Advantage","",,"54",,"262.06","176.96","374.71","percent of total billed charges",,
"US LOWER EXTREM ARTERY BILATE","93925","HCPCS","Both",,,"483.5","241.75","UHC","Medicare Advantage","",,"54",,"262.06","176.96","374.71","percent of total billed charges",,
"US LOWER EXTREM ARTERY BILATE","93925","HCPCS","Both",,,"483.5","241.75","Clover","Medicare Advantage","",,"54",,"262.06","176.96","374.71","percent of total billed charges",,
"US LOWER EXTREM ARTERY BILATE","93925","HCPCS","Both",,,"483.5","241.75","Wellcare","Medicare Advantage","",,"54",,"262.06","176.96","374.71","percent of total billed charges",,
"US LOWER EXTREM ARTERY BILATE","93925","HCPCS","Both",,,"483.5","241.75","Amerigroup","Medicaid Managed Care","",,"37",,"176.96","176.96","374.71","percent of total billed charges",,
"US LOWER EXTREM ARTERY BILATE","93925","HCPCS","Both",,,"483.5","241.75","Caresource","Medicaid Managed Care","",,"40",,"193.4","176.96","374.71","percent of total billed charges",,
"US LOWER EXTREM ARTERY BILATE","93925","HCPCS","Both",,,"483.5","241.75","Wellcare","Medicaid Managed Care","",,"40",,"195.82","176.96","374.71","percent of total billed charges",,
"US LOWER EXTREM ARTERY BILATE","93925","HCPCS","Both",,,"483.5","241.75","Aetna","Commercial","",,"64",,"308.47","176.96","374.71","percent of total billed charges",,
"US LOWER EXTREM ARTERY BILATE","93925","HCPCS","Both",,,"483.5","241.75","Blue Cross Blue Shield","Pathways","",,"71",,"341.35","176.96","374.71","percent of total billed charges",,
"US LOWER EXTREM ARTERY BILATE","93925","HCPCS","Both",,,"483.5","241.75","Blue Cross Blue Shield","HMO","",,"71",,"341.35","176.96","374.71","percent of total billed charges",,
"US LOWER EXTREM ARTERY BILATE","93925","HCPCS","Both",,,"483.5","241.75","Blue Cross Blue Shield","PPO","",,"71",,"341.35","176.96","374.71","percent of total billed charges",,
"US LOWER EXTREM ARTERY BILATE","93925","HCPCS","Both",,,"483.5","241.75","Ambetter","Health Exchange","",,"62",,"299.77","176.96","374.71","percent of total billed charges",,
"US LOWER EXTREM ARTERY BILATE","93925","HCPCS","Both",,,"483.5","241.75","Caresource","Health Exchange","",,"62",,"299.77","176.96","374.71","percent of total billed charges",,
"US LOWER EXTREM ARTERY BILATE","93925","HCPCS","Both",,,"483.5","241.75","Cigna","Commercial","",,"59",,"283.33","176.96","374.71","percent of total billed charges",,
"US LOWER EXTREM ARTERY BILATE","93925","HCPCS","Both",,,"483.5","241.75","Humana","Commercial","",,"78",,"374.71","176.96","374.71","percent of total billed charges",,
"US LOWER EXTREM ARTERY BILATE","93925","HCPCS","Both",,,"483.5","241.75","UHC","Commercial","",,"75",,"364.56","176.96","374.71","percent of total billed charges",,
"US LOWER EXTREM ARTERY BILATE","93925","HCPCS","Both",,,"483.5","241.75","Medicaid",,"",,"37",,"176.96","176.96","374.71","percent of total billed charges",,
"US VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"391","195.5","Alliant","Health Exchange","",,"62",,"242.42","35.52","303.03","percent of total billed charges",,
"US VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"391","195.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"211.14","35.52","303.03","percent of total billed charges",,
"US VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"391","195.5","Medicare",,"",,"54",,"211.92","35.52","303.03","percent of total billed charges",,
"US VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"391","195.5","Humana","Medicare Advantage","",,"54",,"211.92","35.52","303.03","percent of total billed charges",,
"US VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"391","195.5","UHC","Medicare Advantage","",,"54",,"211.92","35.52","303.03","percent of total billed charges",,
"US VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"391","195.5","Clover","Medicare Advantage","",,"54",,"211.92","35.52","303.03","percent of total billed charges",,
"US VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"391","195.5","Wellcare","Medicare Advantage","",,"54",,"211.92","35.52","303.03","percent of total billed charges",,
"US VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"391","195.5","Amerigroup","Medicaid Managed Care","",,"37",,"143.11","35.52","303.03","percent of total billed charges",,
"US VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"391","195.5","Caresource","Medicaid Managed Care","",,"40",,"156.4","35.52","303.03","percent of total billed charges",,
"US VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"391","195.5","Wellcare","Medicaid Managed Care","",,"40",,"158.36","35.52","303.03","percent of total billed charges",,
"US VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"391","195.5","Aetna","Commercial","",,"64",,"249.46","35.52","303.03","percent of total billed charges",,
"US VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"391","195.5","Blue Cross Blue Shield","Pathways","",,"71",,"276.05","35.52","303.03","percent of total billed charges",,
"US VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"391","195.5","Blue Cross Blue Shield","HMO","",,"71",,"276.05","35.52","303.03","percent of total billed charges",,
"US VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"391","195.5","Blue Cross Blue Shield","PPO","",,"71",,"276.05","35.52","303.03","percent of total billed charges",,
"US VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"391","195.5","Ambetter","Health Exchange","",,"62",,"242.42","35.52","303.03","percent of total billed charges",,
"US VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"391","195.5","Caresource","Health Exchange","",,"62",,"242.42","35.52","303.03","percent of total billed charges",,
"US VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"391","195.5","Cigna","Commercial","",,"59",,"229.13","35.52","303.03","percent of total billed charges",,
"US VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"391","195.5","Humana","Commercial","",,"78",,"303.03","35.52","303.03","percent of total billed charges",,
"US VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"391","195.5","UHC","Commercial","",,"75",,"294.81","35.52","303.03","percent of total billed charges",,
"US VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"391","195.5","Medicaid",,"",,"37",,"143.11","35.52","303.03","percent of total billed charges",,
"US UPPER EXTREM ARTERY UNILATERAL","93931","HCPCS","Both",,,"310.5","155.25","Alliant","Health Exchange","",,"62",,"192.51","113.64","240.64","percent of total billed charges",,
"US UPPER EXTREM ARTERY UNILATERAL","93931","HCPCS","Both",,,"310.5","155.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"167.67","113.64","240.64","percent of total billed charges",,
"US UPPER EXTREM ARTERY UNILATERAL","93931","HCPCS","Both",,,"310.5","155.25","Medicare",,"",,"54",,"168.29","113.64","240.64","percent of total billed charges",,
"US UPPER EXTREM ARTERY UNILATERAL","93931","HCPCS","Both",,,"310.5","155.25","Humana","Medicare Advantage","",,"54",,"168.29","113.64","240.64","percent of total billed charges",,
"US UPPER EXTREM ARTERY UNILATERAL","93931","HCPCS","Both",,,"310.5","155.25","UHC","Medicare Advantage","",,"54",,"168.29","113.64","240.64","percent of total billed charges",,
"US UPPER EXTREM ARTERY UNILATERAL","93931","HCPCS","Both",,,"310.5","155.25","Clover","Medicare Advantage","",,"54",,"168.29","113.64","240.64","percent of total billed charges",,
"US UPPER EXTREM ARTERY UNILATERAL","93931","HCPCS","Both",,,"310.5","155.25","Wellcare","Medicare Advantage","",,"54",,"168.29","113.64","240.64","percent of total billed charges",,
"US UPPER EXTREM ARTERY UNILATERAL","93931","HCPCS","Both",,,"310.5","155.25","Amerigroup","Medicaid Managed Care","",,"37",,"113.64","113.64","240.64","percent of total billed charges",,
"US UPPER EXTREM ARTERY UNILATERAL","93931","HCPCS","Both",,,"310.5","155.25","Caresource","Medicaid Managed Care","",,"40",,"124.2","113.64","240.64","percent of total billed charges",,
"US UPPER EXTREM ARTERY UNILATERAL","93931","HCPCS","Both",,,"310.5","155.25","Wellcare","Medicaid Managed Care","",,"40",,"125.75","113.64","240.64","percent of total billed charges",,
"US UPPER EXTREM ARTERY UNILATERAL","93931","HCPCS","Both",,,"310.5","155.25","Aetna","Commercial","",,"64",,"198.1","113.64","240.64","percent of total billed charges",,
"US UPPER EXTREM ARTERY UNILATERAL","93931","HCPCS","Both",,,"310.5","155.25","Blue Cross Blue Shield","Pathways","",,"71",,"219.21","113.64","240.64","percent of total billed charges",,
"US UPPER EXTREM ARTERY UNILATERAL","93931","HCPCS","Both",,,"310.5","155.25","Blue Cross Blue Shield","HMO","",,"71",,"219.21","113.64","240.64","percent of total billed charges",,
"US UPPER EXTREM ARTERY UNILATERAL","93931","HCPCS","Both",,,"310.5","155.25","Blue Cross Blue Shield","PPO","",,"71",,"219.21","113.64","240.64","percent of total billed charges",,
"US UPPER EXTREM ARTERY UNILATERAL","93931","HCPCS","Both",,,"310.5","155.25","Ambetter","Health Exchange","",,"62",,"192.51","113.64","240.64","percent of total billed charges",,
"US UPPER EXTREM ARTERY UNILATERAL","93931","HCPCS","Both",,,"310.5","155.25","Caresource","Health Exchange","",,"62",,"192.51","113.64","240.64","percent of total billed charges",,
"US UPPER EXTREM ARTERY UNILATERAL","93931","HCPCS","Both",,,"310.5","155.25","Cigna","Commercial","",,"59",,"181.95","113.64","240.64","percent of total billed charges",,
"US UPPER EXTREM ARTERY UNILATERAL","93931","HCPCS","Both",,,"310.5","155.25","Humana","Commercial","",,"78",,"240.64","113.64","240.64","percent of total billed charges",,
"US UPPER EXTREM ARTERY UNILATERAL","93931","HCPCS","Both",,,"310.5","155.25","UHC","Commercial","",,"75",,"234.12","113.64","240.64","percent of total billed charges",,
"US UPPER EXTREM ARTERY UNILATERAL","93931","HCPCS","Both",,,"310.5","155.25","Medicaid",,"",,"37",,"113.64","113.64","240.64","percent of total billed charges",,
"US LOWER EXTREMITY ARTERY UNILATERAL","93926","HCPCS","Both",,,"295","147.5","Alliant","Health Exchange","",,"62",,"182.9","107.97","228.62","percent of total billed charges",,
"US LOWER EXTREMITY ARTERY UNILATERAL","93926","HCPCS","Both",,,"295","147.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"159.3","107.97","228.62","percent of total billed charges",,
"US LOWER EXTREMITY ARTERY UNILATERAL","93926","HCPCS","Both",,,"295","147.5","Medicare",,"",,"54",,"159.89","107.97","228.62","percent of total billed charges",,
"US LOWER EXTREMITY ARTERY UNILATERAL","93926","HCPCS","Both",,,"295","147.5","Humana","Medicare Advantage","",,"54",,"159.89","107.97","228.62","percent of total billed charges",,
"US LOWER EXTREMITY ARTERY UNILATERAL","93926","HCPCS","Both",,,"295","147.5","UHC","Medicare Advantage","",,"54",,"159.89","107.97","228.62","percent of total billed charges",,
"US LOWER EXTREMITY ARTERY UNILATERAL","93926","HCPCS","Both",,,"295","147.5","Clover","Medicare Advantage","",,"54",,"159.89","107.97","228.62","percent of total billed charges",,
"US LOWER EXTREMITY ARTERY UNILATERAL","93926","HCPCS","Both",,,"295","147.5","Wellcare","Medicare Advantage","",,"54",,"159.89","107.97","228.62","percent of total billed charges",,
"US LOWER EXTREMITY ARTERY UNILATERAL","93926","HCPCS","Both",,,"295","147.5","Amerigroup","Medicaid Managed Care","",,"37",,"107.97","107.97","228.62","percent of total billed charges",,
"US LOWER EXTREMITY ARTERY UNILATERAL","93926","HCPCS","Both",,,"295","147.5","Caresource","Medicaid Managed Care","",,"40",,"118","107.97","228.62","percent of total billed charges",,
"US LOWER EXTREMITY ARTERY UNILATERAL","93926","HCPCS","Both",,,"295","147.5","Wellcare","Medicaid Managed Care","",,"40",,"119.48","107.97","228.62","percent of total billed charges",,
"US LOWER EXTREMITY ARTERY UNILATERAL","93926","HCPCS","Both",,,"295","147.5","Aetna","Commercial","",,"64",,"188.21","107.97","228.62","percent of total billed charges",,
"US LOWER EXTREMITY ARTERY UNILATERAL","93926","HCPCS","Both",,,"295","147.5","Blue Cross Blue Shield","Pathways","",,"71",,"208.27","107.97","228.62","percent of total billed charges",,
"US LOWER EXTREMITY ARTERY UNILATERAL","93926","HCPCS","Both",,,"295","147.5","Blue Cross Blue Shield","HMO","",,"71",,"208.27","107.97","228.62","percent of total billed charges",,
"US LOWER EXTREMITY ARTERY UNILATERAL","93926","HCPCS","Both",,,"295","147.5","Blue Cross Blue Shield","PPO","",,"71",,"208.27","107.97","228.62","percent of total billed charges",,
"US LOWER EXTREMITY ARTERY UNILATERAL","93926","HCPCS","Both",,,"295","147.5","Ambetter","Health Exchange","",,"62",,"182.9","107.97","228.62","percent of total billed charges",,
"US LOWER EXTREMITY ARTERY UNILATERAL","93926","HCPCS","Both",,,"295","147.5","Caresource","Health Exchange","",,"62",,"182.9","107.97","228.62","percent of total billed charges",,
"US LOWER EXTREMITY ARTERY UNILATERAL","93926","HCPCS","Both",,,"295","147.5","Cigna","Commercial","",,"59",,"172.87","107.97","228.62","percent of total billed charges",,
"US LOWER EXTREMITY ARTERY UNILATERAL","93926","HCPCS","Both",,,"295","147.5","Humana","Commercial","",,"78",,"228.62","107.97","228.62","percent of total billed charges",,
"US LOWER EXTREMITY ARTERY UNILATERAL","93926","HCPCS","Both",,,"295","147.5","UHC","Commercial","",,"75",,"222.43","107.97","228.62","percent of total billed charges",,
"US LOWER EXTREMITY ARTERY UNILATERAL","93926","HCPCS","Both",,,"295","147.5","Medicaid",,"",,"37",,"107.97","107.97","228.62","percent of total billed charges",,
"US VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"802.4","401.2","Alliant","Health Exchange","",,"62",,"497.49","22.85","621.86","percent of total billed charges",,
"US VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"802.4","401.2","Pruitt Healthcare","Medicare Advantage","",,"54",,"433.3","22.85","621.86","percent of total billed charges",,
"US VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"802.4","401.2","Medicare",,"",,"54",,"434.9","22.85","621.86","percent of total billed charges",,
"US VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"802.4","401.2","Humana","Medicare Advantage","",,"54",,"434.9","22.85","621.86","percent of total billed charges",,
"US VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"802.4","401.2","UHC","Medicare Advantage","",,"54",,"434.9","22.85","621.86","percent of total billed charges",,
"US VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"802.4","401.2","Clover","Medicare Advantage","",,"54",,"434.9","22.85","621.86","percent of total billed charges",,
"US VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"802.4","401.2","Wellcare","Medicare Advantage","",,"54",,"434.9","22.85","621.86","percent of total billed charges",,
"US VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"802.4","401.2","Amerigroup","Medicaid Managed Care","",,"37",,"293.68","22.85","621.86","percent of total billed charges",,
"US VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"802.4","401.2","Caresource","Medicaid Managed Care","",,"40",,"320.96","22.85","621.86","percent of total billed charges",,
"US VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"802.4","401.2","Wellcare","Medicaid Managed Care","",,"40",,"324.97","22.85","621.86","percent of total billed charges",,
"US VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"802.4","401.2","Aetna","Commercial","",,"64",,"511.93","22.85","621.86","percent of total billed charges",,
"US VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"802.4","401.2","Blue Cross Blue Shield","Pathways","",,"71",,"566.49","22.85","621.86","percent of total billed charges",,
"US VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"802.4","401.2","Blue Cross Blue Shield","HMO","",,"71",,"566.49","22.85","621.86","percent of total billed charges",,
"US VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"802.4","401.2","Blue Cross Blue Shield","PPO","",,"71",,"566.49","22.85","621.86","percent of total billed charges",,
"US VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"802.4","401.2","Ambetter","Health Exchange","",,"62",,"497.49","22.85","621.86","percent of total billed charges",,
"US VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"802.4","401.2","Caresource","Health Exchange","",,"62",,"497.49","22.85","621.86","percent of total billed charges",,
"US VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"802.4","401.2","Cigna","Commercial","",,"59",,"470.21","22.85","621.86","percent of total billed charges",,
"US VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"802.4","401.2","Humana","Commercial","",,"78",,"621.86","22.85","621.86","percent of total billed charges",,
"US VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"802.4","401.2","UHC","Commercial","",,"75",,"605.01","22.85","621.86","percent of total billed charges",,
"US VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"802.4","401.2","Medicaid",,"",,"37",,"293.68","22.85","621.86","percent of total billed charges",,
"US DUPLEX OF AORTA","93978","HCPCS","Both",,,"278.4","139.2","Alliant","Health Exchange","",,"62",,"172.61","101.89","215.76","percent of total billed charges",,
"US DUPLEX OF AORTA","93978","HCPCS","Both",,,"278.4","139.2","Pruitt Healthcare","Medicare Advantage","",,"54",,"150.34","101.89","215.76","percent of total billed charges",,
"US DUPLEX OF AORTA","93978","HCPCS","Both",,,"278.4","139.2","Medicare",,"",,"54",,"150.89","101.89","215.76","percent of total billed charges",,
"US DUPLEX OF AORTA","93978","HCPCS","Both",,,"278.4","139.2","Humana","Medicare Advantage","",,"54",,"150.89","101.89","215.76","percent of total billed charges",,
"US DUPLEX OF AORTA","93978","HCPCS","Both",,,"278.4","139.2","UHC","Medicare Advantage","",,"54",,"150.89","101.89","215.76","percent of total billed charges",,
"US DUPLEX OF AORTA","93978","HCPCS","Both",,,"278.4","139.2","Clover","Medicare Advantage","",,"54",,"150.89","101.89","215.76","percent of total billed charges",,
"US DUPLEX OF AORTA","93978","HCPCS","Both",,,"278.4","139.2","Wellcare","Medicare Advantage","",,"54",,"150.89","101.89","215.76","percent of total billed charges",,
"US DUPLEX OF AORTA","93978","HCPCS","Both",,,"278.4","139.2","Amerigroup","Medicaid Managed Care","",,"37",,"101.89","101.89","215.76","percent of total billed charges",,
"US DUPLEX OF AORTA","93978","HCPCS","Both",,,"278.4","139.2","Caresource","Medicaid Managed Care","",,"40",,"111.36","101.89","215.76","percent of total billed charges",,
"US DUPLEX OF AORTA","93978","HCPCS","Both",,,"278.4","139.2","Wellcare","Medicaid Managed Care","",,"40",,"112.75","101.89","215.76","percent of total billed charges",,
"US DUPLEX OF AORTA","93978","HCPCS","Both",,,"278.4","139.2","Aetna","Commercial","",,"64",,"177.62","101.89","215.76","percent of total billed charges",,
"US DUPLEX OF AORTA","93978","HCPCS","Both",,,"278.4","139.2","Blue Cross Blue Shield","Pathways","",,"71",,"196.55","101.89","215.76","percent of total billed charges",,
"US DUPLEX OF AORTA","93978","HCPCS","Both",,,"278.4","139.2","Blue Cross Blue Shield","HMO","",,"71",,"196.55","101.89","215.76","percent of total billed charges",,
"US DUPLEX OF AORTA","93978","HCPCS","Both",,,"278.4","139.2","Blue Cross Blue Shield","PPO","",,"71",,"196.55","101.89","215.76","percent of total billed charges",,
"US DUPLEX OF AORTA","93978","HCPCS","Both",,,"278.4","139.2","Ambetter","Health Exchange","",,"62",,"172.61","101.89","215.76","percent of total billed charges",,
"US DUPLEX OF AORTA","93978","HCPCS","Both",,,"278.4","139.2","Caresource","Health Exchange","",,"62",,"172.61","101.89","215.76","percent of total billed charges",,
"US DUPLEX OF AORTA","93978","HCPCS","Both",,,"278.4","139.2","Cigna","Commercial","",,"59",,"163.14","101.89","215.76","percent of total billed charges",,
"US DUPLEX OF AORTA","93978","HCPCS","Both",,,"278.4","139.2","Humana","Commercial","",,"78",,"215.76","101.89","215.76","percent of total billed charges",,
"US DUPLEX OF AORTA","93978","HCPCS","Both",,,"278.4","139.2","UHC","Commercial","",,"75",,"209.91","101.89","215.76","percent of total billed charges",,
"US DUPLEX OF AORTA","93978","HCPCS","Both",,,"278.4","139.2","Medicaid",,"",,"37",,"101.89","101.89","215.76","percent of total billed charges",,
"U/S UNLISTED  PROCEDURE","76999","HCPCS","Both",,,"45","22.5","Alliant","Health Exchange","",,"62",,"27.9","16.47","34.88","percent of total billed charges",,
"U/S UNLISTED  PROCEDURE","76999","HCPCS","Both",,,"45","22.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"24.3","16.47","34.88","percent of total billed charges",,
"U/S UNLISTED  PROCEDURE","76999","HCPCS","Both",,,"45","22.5","Medicare",,"",,"54",,"24.39","16.47","34.88","percent of total billed charges",,
"U/S UNLISTED  PROCEDURE","76999","HCPCS","Both",,,"45","22.5","Humana","Medicare Advantage","",,"54",,"24.39","16.47","34.88","percent of total billed charges",,
"U/S UNLISTED  PROCEDURE","76999","HCPCS","Both",,,"45","22.5","UHC","Medicare Advantage","",,"54",,"24.39","16.47","34.88","percent of total billed charges",,
"U/S UNLISTED  PROCEDURE","76999","HCPCS","Both",,,"45","22.5","Clover","Medicare Advantage","",,"54",,"24.39","16.47","34.88","percent of total billed charges",,
"U/S UNLISTED  PROCEDURE","76999","HCPCS","Both",,,"45","22.5","Wellcare","Medicare Advantage","",,"54",,"24.39","16.47","34.88","percent of total billed charges",,
"U/S UNLISTED  PROCEDURE","76999","HCPCS","Both",,,"45","22.5","Amerigroup","Medicaid Managed Care","",,"37",,"16.47","16.47","34.88","percent of total billed charges",,
"U/S UNLISTED  PROCEDURE","76999","HCPCS","Both",,,"45","22.5","Caresource","Medicaid Managed Care","",,"40",,"18","16.47","34.88","percent of total billed charges",,
"U/S UNLISTED  PROCEDURE","76999","HCPCS","Both",,,"45","22.5","Wellcare","Medicaid Managed Care","",,"40",,"18.23","16.47","34.88","percent of total billed charges",,
"U/S UNLISTED  PROCEDURE","76999","HCPCS","Both",,,"45","22.5","Aetna","Commercial","",,"64",,"28.71","16.47","34.88","percent of total billed charges",,
"U/S UNLISTED  PROCEDURE","76999","HCPCS","Both",,,"45","22.5","Blue Cross Blue Shield","Pathways","",,"71",,"31.77","16.47","34.88","percent of total billed charges",,
"U/S UNLISTED  PROCEDURE","76999","HCPCS","Both",,,"45","22.5","Blue Cross Blue Shield","HMO","",,"71",,"31.77","16.47","34.88","percent of total billed charges",,
"U/S UNLISTED  PROCEDURE","76999","HCPCS","Both",,,"45","22.5","Blue Cross Blue Shield","PPO","",,"71",,"31.77","16.47","34.88","percent of total billed charges",,
"U/S UNLISTED  PROCEDURE","76999","HCPCS","Both",,,"45","22.5","Ambetter","Health Exchange","",,"62",,"27.9","16.47","34.88","percent of total billed charges",,
"U/S UNLISTED  PROCEDURE","76999","HCPCS","Both",,,"45","22.5","Caresource","Health Exchange","",,"62",,"27.9","16.47","34.88","percent of total billed charges",,
"U/S UNLISTED  PROCEDURE","76999","HCPCS","Both",,,"45","22.5","Cigna","Commercial","",,"59",,"26.37","16.47","34.88","percent of total billed charges",,
"U/S UNLISTED  PROCEDURE","76999","HCPCS","Both",,,"45","22.5","Humana","Commercial","",,"78",,"34.88","16.47","34.88","percent of total billed charges",,
"U/S UNLISTED  PROCEDURE","76999","HCPCS","Both",,,"45","22.5","UHC","Commercial","",,"75",,"33.93","16.47","34.88","percent of total billed charges",,
"U/S UNLISTED  PROCEDURE","76999","HCPCS","Both",,,"45","22.5","Medicaid",,"",,"37",,"16.47","16.47","34.88","percent of total billed charges",,
"MM SCREEN DIGITAL BRST TOMOSYNTHESIS BIL","77063","HCPCS","Both",,,"122","61","Alliant","Health Exchange","",,"62",,"75.64","44.65","94.55","percent of total billed charges",,
"MM SCREEN DIGITAL BRST TOMOSYNTHESIS BIL","77063","HCPCS","Both",,,"122","61","Pruitt Healthcare","Medicare Advantage","",,"54",,"65.88","44.65","94.55","percent of total billed charges",,
"MM SCREEN DIGITAL BRST TOMOSYNTHESIS BIL","77063","HCPCS","Both",,,"122","61","Medicare",,"",,"54",,"66.12","44.65","94.55","percent of total billed charges",,
"MM SCREEN DIGITAL BRST TOMOSYNTHESIS BIL","77063","HCPCS","Both",,,"122","61","Humana","Medicare Advantage","",,"54",,"66.12","44.65","94.55","percent of total billed charges",,
"MM SCREEN DIGITAL BRST TOMOSYNTHESIS BIL","77063","HCPCS","Both",,,"122","61","UHC","Medicare Advantage","",,"54",,"66.12","44.65","94.55","percent of total billed charges",,
"MM SCREEN DIGITAL BRST TOMOSYNTHESIS BIL","77063","HCPCS","Both",,,"122","61","Clover","Medicare Advantage","",,"54",,"66.12","44.65","94.55","percent of total billed charges",,
"MM SCREEN DIGITAL BRST TOMOSYNTHESIS BIL","77063","HCPCS","Both",,,"122","61","Wellcare","Medicare Advantage","",,"54",,"66.12","44.65","94.55","percent of total billed charges",,
"MM SCREEN DIGITAL BRST TOMOSYNTHESIS BIL","77063","HCPCS","Both",,,"122","61","Amerigroup","Medicaid Managed Care","",,"37",,"44.65","44.65","94.55","percent of total billed charges",,
"MM SCREEN DIGITAL BRST TOMOSYNTHESIS BIL","77063","HCPCS","Both",,,"122","61","Caresource","Medicaid Managed Care","",,"40",,"48.8","44.65","94.55","percent of total billed charges",,
"MM SCREEN DIGITAL BRST TOMOSYNTHESIS BIL","77063","HCPCS","Both",,,"122","61","Wellcare","Medicaid Managed Care","",,"40",,"49.41","44.65","94.55","percent of total billed charges",,
"MM SCREEN DIGITAL BRST TOMOSYNTHESIS BIL","77063","HCPCS","Both",,,"122","61","Aetna","Commercial","",,"64",,"77.84","44.65","94.55","percent of total billed charges",,
"MM SCREEN DIGITAL BRST TOMOSYNTHESIS BIL","77063","HCPCS","Both",,,"122","61","Blue Cross Blue Shield","Pathways","",,"71",,"86.13","44.65","94.55","percent of total billed charges",,
"MM SCREEN DIGITAL BRST TOMOSYNTHESIS BIL","77063","HCPCS","Both",,,"122","61","Blue Cross Blue Shield","HMO","",,"71",,"86.13","44.65","94.55","percent of total billed charges",,
"MM SCREEN DIGITAL BRST TOMOSYNTHESIS BIL","77063","HCPCS","Both",,,"122","61","Blue Cross Blue Shield","PPO","",,"71",,"86.13","44.65","94.55","percent of total billed charges",,
"MM SCREEN DIGITAL BRST TOMOSYNTHESIS BIL","77063","HCPCS","Both",,,"122","61","Ambetter","Health Exchange","",,"62",,"75.64","44.65","94.55","percent of total billed charges",,
"MM SCREEN DIGITAL BRST TOMOSYNTHESIS BIL","77063","HCPCS","Both",,,"122","61","Caresource","Health Exchange","",,"62",,"75.64","44.65","94.55","percent of total billed charges",,
"MM SCREEN DIGITAL BRST TOMOSYNTHESIS BIL","77063","HCPCS","Both",,,"122","61","Cigna","Commercial","",,"59",,"71.49","44.65","94.55","percent of total billed charges",,
"MM SCREEN DIGITAL BRST TOMOSYNTHESIS BIL","77063","HCPCS","Both",,,"122","61","Humana","Commercial","",,"78",,"94.55","44.65","94.55","percent of total billed charges",,
"MM SCREEN DIGITAL BRST TOMOSYNTHESIS BIL","77063","HCPCS","Both",,,"122","61","UHC","Commercial","",,"75",,"91.99","44.65","94.55","percent of total billed charges",,
"MM SCREEN DIGITAL BRST TOMOSYNTHESIS BIL","77063","HCPCS","Both",,,"122","61","Medicaid",,"",,"37",,"44.65","44.65","94.55","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD R","77065","HCPCS","Both",,,"796.5","398.25","Alliant","Health Exchange","RT",,"62",,"493.83","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD R","77065","HCPCS","Both",,,"796.5","398.25","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"430.11","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD R","77065","HCPCS","Both",,,"796.5","398.25","Medicare",,"RT",,"54",,"431.7","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD R","77065","HCPCS","Both",,,"796.5","398.25","Humana","Medicare Advantage","RT",,"54",,"431.7","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD R","77065","HCPCS","Both",,,"796.5","398.25","UHC","Medicare Advantage","RT",,"54",,"431.7","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD R","77065","HCPCS","Both",,,"796.5","398.25","Clover","Medicare Advantage","RT",,"54",,"431.7","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD R","77065","HCPCS","Both",,,"796.5","398.25","Wellcare","Medicare Advantage","RT",,"54",,"431.7","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD R","77065","HCPCS","Both",,,"796.5","398.25","Amerigroup","Medicaid Managed Care","RT",,"37",,"291.52","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD R","77065","HCPCS","Both",,,"796.5","398.25","Caresource","Medicaid Managed Care","RT",,"40",,"318.6","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD R","77065","HCPCS","Both",,,"796.5","398.25","Wellcare","Medicaid Managed Care","RT",,"40",,"322.58","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD R","77065","HCPCS","Both",,,"796.5","398.25","Aetna","Commercial","RT",,"64",,"508.17","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD R","77065","HCPCS","Both",,,"796.5","398.25","Blue Cross Blue Shield","Pathways","RT",,"71",,"562.33","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD R","77065","HCPCS","Both",,,"796.5","398.25","Blue Cross Blue Shield","HMO","RT",,"71",,"562.33","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD R","77065","HCPCS","Both",,,"796.5","398.25","Blue Cross Blue Shield","PPO","RT",,"71",,"562.33","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD R","77065","HCPCS","Both",,,"796.5","398.25","Ambetter","Health Exchange","RT",,"62",,"493.83","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD R","77065","HCPCS","Both",,,"796.5","398.25","Caresource","Health Exchange","RT",,"62",,"493.83","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD R","77065","HCPCS","Both",,,"796.5","398.25","Cigna","Commercial","RT",,"59",,"466.75","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD R","77065","HCPCS","Both",,,"796.5","398.25","Humana","Commercial","RT",,"78",,"617.29","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD R","77065","HCPCS","Both",,,"796.5","398.25","UHC","Commercial","RT",,"75",,"600.56","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD R","77065","HCPCS","Both",,,"796.5","398.25","Medicaid",,"RT",,"37",,"291.52","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO BILATERAL W/CAD","77066","HCPCS","Both",,,"1061.88","530.94","Alliant","Health Exchange","",,"62",,"658.37","388.65","822.96","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO BILATERAL W/CAD","77066","HCPCS","Both",,,"1061.88","530.94","Pruitt Healthcare","Medicare Advantage","",,"54",,"573.42","388.65","822.96","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO BILATERAL W/CAD","77066","HCPCS","Both",,,"1061.88","530.94","Medicare",,"",,"54",,"575.54","388.65","822.96","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO BILATERAL W/CAD","77066","HCPCS","Both",,,"1061.88","530.94","Humana","Medicare Advantage","",,"54",,"575.54","388.65","822.96","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO BILATERAL W/CAD","77066","HCPCS","Both",,,"1061.88","530.94","UHC","Medicare Advantage","",,"54",,"575.54","388.65","822.96","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO BILATERAL W/CAD","77066","HCPCS","Both",,,"1061.88","530.94","Clover","Medicare Advantage","",,"54",,"575.54","388.65","822.96","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO BILATERAL W/CAD","77066","HCPCS","Both",,,"1061.88","530.94","Wellcare","Medicare Advantage","",,"54",,"575.54","388.65","822.96","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO BILATERAL W/CAD","77066","HCPCS","Both",,,"1061.88","530.94","Amerigroup","Medicaid Managed Care","",,"37",,"388.65","388.65","822.96","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO BILATERAL W/CAD","77066","HCPCS","Both",,,"1061.88","530.94","Caresource","Medicaid Managed Care","",,"40",,"424.75","388.65","822.96","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO BILATERAL W/CAD","77066","HCPCS","Both",,,"1061.88","530.94","Wellcare","Medicaid Managed Care","",,"40",,"430.06","388.65","822.96","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO BILATERAL W/CAD","77066","HCPCS","Both",,,"1061.88","530.94","Aetna","Commercial","",,"64",,"677.48","388.65","822.96","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO BILATERAL W/CAD","77066","HCPCS","Both",,,"1061.88","530.94","Blue Cross Blue Shield","Pathways","",,"71",,"749.69","388.65","822.96","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO BILATERAL W/CAD","77066","HCPCS","Both",,,"1061.88","530.94","Blue Cross Blue Shield","HMO","",,"71",,"749.69","388.65","822.96","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO BILATERAL W/CAD","77066","HCPCS","Both",,,"1061.88","530.94","Blue Cross Blue Shield","PPO","",,"71",,"749.69","388.65","822.96","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO BILATERAL W/CAD","77066","HCPCS","Both",,,"1061.88","530.94","Ambetter","Health Exchange","",,"62",,"658.37","388.65","822.96","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO BILATERAL W/CAD","77066","HCPCS","Both",,,"1061.88","530.94","Caresource","Health Exchange","",,"62",,"658.37","388.65","822.96","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO BILATERAL W/CAD","77066","HCPCS","Both",,,"1061.88","530.94","Cigna","Commercial","",,"59",,"622.26","388.65","822.96","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO BILATERAL W/CAD","77066","HCPCS","Both",,,"1061.88","530.94","Humana","Commercial","",,"78",,"822.96","388.65","822.96","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO BILATERAL W/CAD","77066","HCPCS","Both",,,"1061.88","530.94","UHC","Commercial","",,"75",,"800.66","388.65","822.96","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO BILATERAL W/CAD","77066","HCPCS","Both",,,"1061.88","530.94","Medicaid",,"",,"37",,"388.65","388.65","822.96","percent of total billed charges",,
"MM SCREENING MAMMO BILATERAL 2 V W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Alliant","Health Exchange","",,"62",,"554.08","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO BILATERAL 2 V W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Pruitt Healthcare","Medicare Advantage","",,"54",,"482.58","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO BILATERAL 2 V W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Medicare",,"",,"54",,"484.37","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO BILATERAL 2 V W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Humana","Medicare Advantage","",,"54",,"484.37","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO BILATERAL 2 V W/CAD","77067","HCPCS","Both",,,"893.67","446.835","UHC","Medicare Advantage","",,"54",,"484.37","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO BILATERAL 2 V W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Clover","Medicare Advantage","",,"54",,"484.37","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO BILATERAL 2 V W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Wellcare","Medicare Advantage","",,"54",,"484.37","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO BILATERAL 2 V W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Amerigroup","Medicaid Managed Care","",,"37",,"327.08","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO BILATERAL 2 V W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Caresource","Medicaid Managed Care","",,"40",,"357.47","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO BILATERAL 2 V W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Wellcare","Medicaid Managed Care","",,"40",,"361.94","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO BILATERAL 2 V W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Aetna","Commercial","",,"64",,"570.16","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO BILATERAL 2 V W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Blue Cross Blue Shield","Pathways","",,"71",,"630.93","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO BILATERAL 2 V W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Blue Cross Blue Shield","HMO","",,"71",,"630.93","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO BILATERAL 2 V W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Blue Cross Blue Shield","PPO","",,"71",,"630.93","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO BILATERAL 2 V W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Ambetter","Health Exchange","",,"62",,"554.08","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO BILATERAL 2 V W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Caresource","Health Exchange","",,"62",,"554.08","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO BILATERAL 2 V W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Cigna","Commercial","",,"59",,"523.69","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO BILATERAL 2 V W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Humana","Commercial","",,"78",,"692.59","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO BILATERAL 2 V W/CAD","77067","HCPCS","Both",,,"893.67","446.835","UHC","Commercial","",,"75",,"673.83","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO BILATERAL 2 V W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Medicaid",,"",,"37",,"327.08","327.08","692.59","percent of total billed charges",,
"BD DEXA STUD ONE OR MORE SITES AXIA SKEL","77080","HCPCS","Both",,,"109","54.5","Alliant","Health Exchange","",,"62",,"67.58","39.89","84.48","percent of total billed charges",,
"BD DEXA STUD ONE OR MORE SITES AXIA SKEL","77080","HCPCS","Both",,,"109","54.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"58.86","39.89","84.48","percent of total billed charges",,
"BD DEXA STUD ONE OR MORE SITES AXIA SKEL","77080","HCPCS","Both",,,"109","54.5","Medicare",,"",,"54",,"59.08","39.89","84.48","percent of total billed charges",,
"BD DEXA STUD ONE OR MORE SITES AXIA SKEL","77080","HCPCS","Both",,,"109","54.5","Humana","Medicare Advantage","",,"54",,"59.08","39.89","84.48","percent of total billed charges",,
"BD DEXA STUD ONE OR MORE SITES AXIA SKEL","77080","HCPCS","Both",,,"109","54.5","UHC","Medicare Advantage","",,"54",,"59.08","39.89","84.48","percent of total billed charges",,
"BD DEXA STUD ONE OR MORE SITES AXIA SKEL","77080","HCPCS","Both",,,"109","54.5","Clover","Medicare Advantage","",,"54",,"59.08","39.89","84.48","percent of total billed charges",,
"BD DEXA STUD ONE OR MORE SITES AXIA SKEL","77080","HCPCS","Both",,,"109","54.5","Wellcare","Medicare Advantage","",,"54",,"59.08","39.89","84.48","percent of total billed charges",,
"BD DEXA STUD ONE OR MORE SITES AXIA SKEL","77080","HCPCS","Both",,,"109","54.5","Amerigroup","Medicaid Managed Care","",,"37",,"39.89","39.89","84.48","percent of total billed charges",,
"BD DEXA STUD ONE OR MORE SITES AXIA SKEL","77080","HCPCS","Both",,,"109","54.5","Caresource","Medicaid Managed Care","",,"40",,"43.6","39.89","84.48","percent of total billed charges",,
"BD DEXA STUD ONE OR MORE SITES AXIA SKEL","77080","HCPCS","Both",,,"109","54.5","Wellcare","Medicaid Managed Care","",,"40",,"44.14","39.89","84.48","percent of total billed charges",,
"BD DEXA STUD ONE OR MORE SITES AXIA SKEL","77080","HCPCS","Both",,,"109","54.5","Aetna","Commercial","",,"64",,"69.54","39.89","84.48","percent of total billed charges",,
"BD DEXA STUD ONE OR MORE SITES AXIA SKEL","77080","HCPCS","Both",,,"109","54.5","Blue Cross Blue Shield","Pathways","",,"71",,"76.95","39.89","84.48","percent of total billed charges",,
"BD DEXA STUD ONE OR MORE SITES AXIA SKEL","77080","HCPCS","Both",,,"109","54.5","Blue Cross Blue Shield","HMO","",,"71",,"76.95","39.89","84.48","percent of total billed charges",,
"BD DEXA STUD ONE OR MORE SITES AXIA SKEL","77080","HCPCS","Both",,,"109","54.5","Blue Cross Blue Shield","PPO","",,"71",,"76.95","39.89","84.48","percent of total billed charges",,
"BD DEXA STUD ONE OR MORE SITES AXIA SKEL","77080","HCPCS","Both",,,"109","54.5","Ambetter","Health Exchange","",,"62",,"67.58","39.89","84.48","percent of total billed charges",,
"BD DEXA STUD ONE OR MORE SITES AXIA SKEL","77080","HCPCS","Both",,,"109","54.5","Caresource","Health Exchange","",,"62",,"67.58","39.89","84.48","percent of total billed charges",,
"BD DEXA STUD ONE OR MORE SITES AXIA SKEL","77080","HCPCS","Both",,,"109","54.5","Cigna","Commercial","",,"59",,"63.87","39.89","84.48","percent of total billed charges",,
"BD DEXA STUD ONE OR MORE SITES AXIA SKEL","77080","HCPCS","Both",,,"109","54.5","Humana","Commercial","",,"78",,"84.48","39.89","84.48","percent of total billed charges",,
"BD DEXA STUD ONE OR MORE SITES AXIA SKEL","77080","HCPCS","Both",,,"109","54.5","UHC","Commercial","",,"75",,"82.19","39.89","84.48","percent of total billed charges",,
"BD DEXA STUD ONE OR MORE SITES AXIA SKEL","77080","HCPCS","Both",,,"109","54.5","Medicaid",,"",,"37",,"39.89","39.89","84.48","percent of total billed charges",,
"TACROLIMUS","80197","HCPCS","Both",,,"17","8.5","Alliant","Health Exchange","",,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"TACROLIMUS","80197","HCPCS","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"9.18","6.22","13.18","percent of total billed charges",,
"TACROLIMUS","80197","HCPCS","Both",,,"17","8.5","Medicare",,"",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"TACROLIMUS","80197","HCPCS","Both",,,"17","8.5","Humana","Medicare Advantage","",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"TACROLIMUS","80197","HCPCS","Both",,,"17","8.5","UHC","Medicare Advantage","",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"TACROLIMUS","80197","HCPCS","Both",,,"17","8.5","Clover","Medicare Advantage","",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"TACROLIMUS","80197","HCPCS","Both",,,"17","8.5","Wellcare","Medicare Advantage","",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"TACROLIMUS","80197","HCPCS","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care","",,"37",,"6.22","6.22","13.18","percent of total billed charges",,
"TACROLIMUS","80197","HCPCS","Both",,,"17","8.5","Caresource","Medicaid Managed Care","",,"40",,"6.8","6.22","13.18","percent of total billed charges",,
"TACROLIMUS","80197","HCPCS","Both",,,"17","8.5","Wellcare","Medicaid Managed Care","",,"40",,"6.89","6.22","13.18","percent of total billed charges",,
"TACROLIMUS","80197","HCPCS","Both",,,"17","8.5","Aetna","Commercial","",,"64",,"10.85","6.22","13.18","percent of total billed charges",,
"TACROLIMUS","80197","HCPCS","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways","",,"71",,"12","6.22","13.18","percent of total billed charges",,
"TACROLIMUS","80197","HCPCS","Both",,,"17","8.5","Blue Cross Blue Shield","HMO","",,"71",,"12","6.22","13.18","percent of total billed charges",,
"TACROLIMUS","80197","HCPCS","Both",,,"17","8.5","Blue Cross Blue Shield","PPO","",,"71",,"12","6.22","13.18","percent of total billed charges",,
"TACROLIMUS","80197","HCPCS","Both",,,"17","8.5","Ambetter","Health Exchange","",,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"TACROLIMUS","80197","HCPCS","Both",,,"17","8.5","Caresource","Health Exchange","",,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"TACROLIMUS","80197","HCPCS","Both",,,"17","8.5","Cigna","Commercial","",,"59",,"9.96","6.22","13.18","percent of total billed charges",,
"TACROLIMUS","80197","HCPCS","Both",,,"17","8.5","Humana","Commercial","",,"78",,"13.18","6.22","13.18","percent of total billed charges",,
"TACROLIMUS","80197","HCPCS","Both",,,"17","8.5","UHC","Commercial","",,"75",,"12.82","6.22","13.18","percent of total billed charges",,
"TACROLIMUS","80197","HCPCS","Both",,,"17","8.5","Medicaid",,"",,"37",,"6.22","6.22","13.18","percent of total billed charges",,
"DRUG TEST(s) presumptive SCREENING","80307","HCPCS","Both",,,"542.5","271.25","Alliant","Health Exchange","",,"62",,"336.35","198.56","420.44","percent of total billed charges",,
"DRUG TEST(s) presumptive SCREENING","80307","HCPCS","Both",,,"542.5","271.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"292.95","198.56","420.44","percent of total billed charges",,
"DRUG TEST(s) presumptive SCREENING","80307","HCPCS","Both",,,"542.5","271.25","Medicare",,"",,"54",,"294.04","198.56","420.44","percent of total billed charges",,
"DRUG TEST(s) presumptive SCREENING","80307","HCPCS","Both",,,"542.5","271.25","Humana","Medicare Advantage","",,"54",,"294.04","198.56","420.44","percent of total billed charges",,
"DRUG TEST(s) presumptive SCREENING","80307","HCPCS","Both",,,"542.5","271.25","UHC","Medicare Advantage","",,"54",,"294.04","198.56","420.44","percent of total billed charges",,
"DRUG TEST(s) presumptive SCREENING","80307","HCPCS","Both",,,"542.5","271.25","Clover","Medicare Advantage","",,"54",,"294.04","198.56","420.44","percent of total billed charges",,
"DRUG TEST(s) presumptive SCREENING","80307","HCPCS","Both",,,"542.5","271.25","Wellcare","Medicare Advantage","",,"54",,"294.04","198.56","420.44","percent of total billed charges",,
"DRUG TEST(s) presumptive SCREENING","80307","HCPCS","Both",,,"542.5","271.25","Amerigroup","Medicaid Managed Care","",,"37",,"198.56","198.56","420.44","percent of total billed charges",,
"DRUG TEST(s) presumptive SCREENING","80307","HCPCS","Both",,,"542.5","271.25","Caresource","Medicaid Managed Care","",,"40",,"217","198.56","420.44","percent of total billed charges",,
"DRUG TEST(s) presumptive SCREENING","80307","HCPCS","Both",,,"542.5","271.25","Wellcare","Medicaid Managed Care","",,"40",,"219.71","198.56","420.44","percent of total billed charges",,
"DRUG TEST(s) presumptive SCREENING","80307","HCPCS","Both",,,"542.5","271.25","Aetna","Commercial","",,"64",,"346.12","198.56","420.44","percent of total billed charges",,
"DRUG TEST(s) presumptive SCREENING","80307","HCPCS","Both",,,"542.5","271.25","Blue Cross Blue Shield","Pathways","",,"71",,"383","198.56","420.44","percent of total billed charges",,
"DRUG TEST(s) presumptive SCREENING","80307","HCPCS","Both",,,"542.5","271.25","Blue Cross Blue Shield","HMO","",,"71",,"383","198.56","420.44","percent of total billed charges",,
"DRUG TEST(s) presumptive SCREENING","80307","HCPCS","Both",,,"542.5","271.25","Blue Cross Blue Shield","PPO","",,"71",,"383","198.56","420.44","percent of total billed charges",,
"DRUG TEST(s) presumptive SCREENING","80307","HCPCS","Both",,,"542.5","271.25","Ambetter","Health Exchange","",,"62",,"336.35","198.56","420.44","percent of total billed charges",,
"DRUG TEST(s) presumptive SCREENING","80307","HCPCS","Both",,,"542.5","271.25","Caresource","Health Exchange","",,"62",,"336.35","198.56","420.44","percent of total billed charges",,
"DRUG TEST(s) presumptive SCREENING","80307","HCPCS","Both",,,"542.5","271.25","Cigna","Commercial","",,"59",,"317.9","198.56","420.44","percent of total billed charges",,
"DRUG TEST(s) presumptive SCREENING","80307","HCPCS","Both",,,"542.5","271.25","Humana","Commercial","",,"78",,"420.44","198.56","420.44","percent of total billed charges",,
"DRUG TEST(s) presumptive SCREENING","80307","HCPCS","Both",,,"542.5","271.25","UHC","Commercial","",,"75",,"409.04","198.56","420.44","percent of total billed charges",,
"DRUG TEST(s) presumptive SCREENING","80307","HCPCS","Both",,,"542.5","271.25","Medicaid",,"",,"37",,"198.56","198.56","420.44","percent of total billed charges",,
"VITAMIN D  25 OH TOTAL","82306","HCPCS","Both",,,"29.5","14.75","Alliant","Health Exchange","",,"62",,"18.29","10.8","22.86","percent of total billed charges",,
"VITAMIN D  25 OH TOTAL","82306","HCPCS","Both",,,"29.5","14.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"15.93","10.8","22.86","percent of total billed charges",,
"VITAMIN D  25 OH TOTAL","82306","HCPCS","Both",,,"29.5","14.75","Medicare",,"",,"54",,"15.99","10.8","22.86","percent of total billed charges",,
"VITAMIN D  25 OH TOTAL","82306","HCPCS","Both",,,"29.5","14.75","Humana","Medicare Advantage","",,"54",,"15.99","10.8","22.86","percent of total billed charges",,
"VITAMIN D  25 OH TOTAL","82306","HCPCS","Both",,,"29.5","14.75","UHC","Medicare Advantage","",,"54",,"15.99","10.8","22.86","percent of total billed charges",,
"VITAMIN D  25 OH TOTAL","82306","HCPCS","Both",,,"29.5","14.75","Clover","Medicare Advantage","",,"54",,"15.99","10.8","22.86","percent of total billed charges",,
"VITAMIN D  25 OH TOTAL","82306","HCPCS","Both",,,"29.5","14.75","Wellcare","Medicare Advantage","",,"54",,"15.99","10.8","22.86","percent of total billed charges",,
"VITAMIN D  25 OH TOTAL","82306","HCPCS","Both",,,"29.5","14.75","Amerigroup","Medicaid Managed Care","",,"37",,"10.8","10.8","22.86","percent of total billed charges",,
"VITAMIN D  25 OH TOTAL","82306","HCPCS","Both",,,"29.5","14.75","Caresource","Medicaid Managed Care","",,"40",,"11.8","10.8","22.86","percent of total billed charges",,
"VITAMIN D  25 OH TOTAL","82306","HCPCS","Both",,,"29.5","14.75","Wellcare","Medicaid Managed Care","",,"40",,"11.95","10.8","22.86","percent of total billed charges",,
"VITAMIN D  25 OH TOTAL","82306","HCPCS","Both",,,"29.5","14.75","Aetna","Commercial","",,"64",,"18.82","10.8","22.86","percent of total billed charges",,
"VITAMIN D  25 OH TOTAL","82306","HCPCS","Both",,,"29.5","14.75","Blue Cross Blue Shield","Pathways","",,"71",,"20.83","10.8","22.86","percent of total billed charges",,
"VITAMIN D  25 OH TOTAL","82306","HCPCS","Both",,,"29.5","14.75","Blue Cross Blue Shield","HMO","",,"71",,"20.83","10.8","22.86","percent of total billed charges",,
"VITAMIN D  25 OH TOTAL","82306","HCPCS","Both",,,"29.5","14.75","Blue Cross Blue Shield","PPO","",,"71",,"20.83","10.8","22.86","percent of total billed charges",,
"VITAMIN D  25 OH TOTAL","82306","HCPCS","Both",,,"29.5","14.75","Ambetter","Health Exchange","",,"62",,"18.29","10.8","22.86","percent of total billed charges",,
"VITAMIN D  25 OH TOTAL","82306","HCPCS","Both",,,"29.5","14.75","Caresource","Health Exchange","",,"62",,"18.29","10.8","22.86","percent of total billed charges",,
"VITAMIN D  25 OH TOTAL","82306","HCPCS","Both",,,"29.5","14.75","Cigna","Commercial","",,"59",,"17.29","10.8","22.86","percent of total billed charges",,
"VITAMIN D  25 OH TOTAL","82306","HCPCS","Both",,,"29.5","14.75","Humana","Commercial","",,"78",,"22.86","10.8","22.86","percent of total billed charges",,
"VITAMIN D  25 OH TOTAL","82306","HCPCS","Both",,,"29.5","14.75","UHC","Commercial","",,"75",,"22.24","10.8","22.86","percent of total billed charges",,
"VITAMIN D  25 OH TOTAL","82306","HCPCS","Both",,,"29.5","14.75","Medicaid",,"",,"37",,"10.8","10.8","22.86","percent of total billed charges",,
"VITAMIN D 1,25-DIHYDROXY","82652","HCPCS","Both",,,"48","24","Alliant","Health Exchange","",,"62",,"29.76","17.57","37.2","percent of total billed charges",,
"VITAMIN D 1,25-DIHYDROXY","82652","HCPCS","Both",,,"48","24","Pruitt Healthcare","Medicare Advantage","",,"54",,"25.92","17.57","37.2","percent of total billed charges",,
"VITAMIN D 1,25-DIHYDROXY","82652","HCPCS","Both",,,"48","24","Medicare",,"",,"54",,"26.02","17.57","37.2","percent of total billed charges",,
"VITAMIN D 1,25-DIHYDROXY","82652","HCPCS","Both",,,"48","24","Humana","Medicare Advantage","",,"54",,"26.02","17.57","37.2","percent of total billed charges",,
"VITAMIN D 1,25-DIHYDROXY","82652","HCPCS","Both",,,"48","24","UHC","Medicare Advantage","",,"54",,"26.02","17.57","37.2","percent of total billed charges",,
"VITAMIN D 1,25-DIHYDROXY","82652","HCPCS","Both",,,"48","24","Clover","Medicare Advantage","",,"54",,"26.02","17.57","37.2","percent of total billed charges",,
"VITAMIN D 1,25-DIHYDROXY","82652","HCPCS","Both",,,"48","24","Wellcare","Medicare Advantage","",,"54",,"26.02","17.57","37.2","percent of total billed charges",,
"VITAMIN D 1,25-DIHYDROXY","82652","HCPCS","Both",,,"48","24","Amerigroup","Medicaid Managed Care","",,"37",,"17.57","17.57","37.2","percent of total billed charges",,
"VITAMIN D 1,25-DIHYDROXY","82652","HCPCS","Both",,,"48","24","Caresource","Medicaid Managed Care","",,"40",,"19.2","17.57","37.2","percent of total billed charges",,
"VITAMIN D 1,25-DIHYDROXY","82652","HCPCS","Both",,,"48","24","Wellcare","Medicaid Managed Care","",,"40",,"19.44","17.57","37.2","percent of total billed charges",,
"VITAMIN D 1,25-DIHYDROXY","82652","HCPCS","Both",,,"48","24","Aetna","Commercial","",,"64",,"30.62","17.57","37.2","percent of total billed charges",,
"VITAMIN D 1,25-DIHYDROXY","82652","HCPCS","Both",,,"48","24","Blue Cross Blue Shield","Pathways","",,"71",,"33.89","17.57","37.2","percent of total billed charges",,
"VITAMIN D 1,25-DIHYDROXY","82652","HCPCS","Both",,,"48","24","Blue Cross Blue Shield","HMO","",,"71",,"33.89","17.57","37.2","percent of total billed charges",,
"VITAMIN D 1,25-DIHYDROXY","82652","HCPCS","Both",,,"48","24","Blue Cross Blue Shield","PPO","",,"71",,"33.89","17.57","37.2","percent of total billed charges",,
"VITAMIN D 1,25-DIHYDROXY","82652","HCPCS","Both",,,"48","24","Ambetter","Health Exchange","",,"62",,"29.76","17.57","37.2","percent of total billed charges",,
"VITAMIN D 1,25-DIHYDROXY","82652","HCPCS","Both",,,"48","24","Caresource","Health Exchange","",,"62",,"29.76","17.57","37.2","percent of total billed charges",,
"VITAMIN D 1,25-DIHYDROXY","82652","HCPCS","Both",,,"48","24","Cigna","Commercial","",,"59",,"28.13","17.57","37.2","percent of total billed charges",,
"VITAMIN D 1,25-DIHYDROXY","82652","HCPCS","Both",,,"48","24","Humana","Commercial","",,"78",,"37.2","17.57","37.2","percent of total billed charges",,
"VITAMIN D 1,25-DIHYDROXY","82652","HCPCS","Both",,,"48","24","UHC","Commercial","",,"75",,"36.19","17.57","37.2","percent of total billed charges",,
"VITAMIN D 1,25-DIHYDROXY","82652","HCPCS","Both",,,"48","24","Medicaid",,"",,"37",,"17.57","17.57","37.2","percent of total billed charges",,
"OSMOLALITY, SERUM","83930","HCPCS","Both",,,"8.5","4.25","Alliant","Health Exchange","",,"62",,"5.27","3.11","6.59","percent of total billed charges",,
"OSMOLALITY, SERUM","83930","HCPCS","Both",,,"8.5","4.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"4.59","3.11","6.59","percent of total billed charges",,
"OSMOLALITY, SERUM","83930","HCPCS","Both",,,"8.5","4.25","Medicare",,"",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"OSMOLALITY, SERUM","83930","HCPCS","Both",,,"8.5","4.25","Humana","Medicare Advantage","",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"OSMOLALITY, SERUM","83930","HCPCS","Both",,,"8.5","4.25","UHC","Medicare Advantage","",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"OSMOLALITY, SERUM","83930","HCPCS","Both",,,"8.5","4.25","Clover","Medicare Advantage","",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"OSMOLALITY, SERUM","83930","HCPCS","Both",,,"8.5","4.25","Wellcare","Medicare Advantage","",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"OSMOLALITY, SERUM","83930","HCPCS","Both",,,"8.5","4.25","Amerigroup","Medicaid Managed Care","",,"37",,"3.11","3.11","6.59","percent of total billed charges",,
"OSMOLALITY, SERUM","83930","HCPCS","Both",,,"8.5","4.25","Caresource","Medicaid Managed Care","",,"40",,"3.4","3.11","6.59","percent of total billed charges",,
"OSMOLALITY, SERUM","83930","HCPCS","Both",,,"8.5","4.25","Wellcare","Medicaid Managed Care","",,"40",,"3.44","3.11","6.59","percent of total billed charges",,
"OSMOLALITY, SERUM","83930","HCPCS","Both",,,"8.5","4.25","Aetna","Commercial","",,"64",,"5.42","3.11","6.59","percent of total billed charges",,
"OSMOLALITY, SERUM","83930","HCPCS","Both",,,"8.5","4.25","Blue Cross Blue Shield","Pathways","",,"71",,"6","3.11","6.59","percent of total billed charges",,
"OSMOLALITY, SERUM","83930","HCPCS","Both",,,"8.5","4.25","Blue Cross Blue Shield","HMO","",,"71",,"6","3.11","6.59","percent of total billed charges",,
"OSMOLALITY, SERUM","83930","HCPCS","Both",,,"8.5","4.25","Blue Cross Blue Shield","PPO","",,"71",,"6","3.11","6.59","percent of total billed charges",,
"OSMOLALITY, SERUM","83930","HCPCS","Both",,,"8.5","4.25","Ambetter","Health Exchange","",,"62",,"5.27","3.11","6.59","percent of total billed charges",,
"OSMOLALITY, SERUM","83930","HCPCS","Both",,,"8.5","4.25","Caresource","Health Exchange","",,"62",,"5.27","3.11","6.59","percent of total billed charges",,
"OSMOLALITY, SERUM","83930","HCPCS","Both",,,"8.5","4.25","Cigna","Commercial","",,"59",,"4.98","3.11","6.59","percent of total billed charges",,
"OSMOLALITY, SERUM","83930","HCPCS","Both",,,"8.5","4.25","Humana","Commercial","",,"78",,"6.59","3.11","6.59","percent of total billed charges",,
"OSMOLALITY, SERUM","83930","HCPCS","Both",,,"8.5","4.25","UHC","Commercial","",,"75",,"6.41","3.11","6.59","percent of total billed charges",,
"OSMOLALITY, SERUM","83930","HCPCS","Both",,,"8.5","4.25","Medicaid",,"",,"37",,"3.11","3.11","6.59","percent of total billed charges",,
"PROTEIN URINE RANDOM","84156","HCPCS","Both",,,"5.5","2.75","Alliant","Health Exchange","",,"62",,"3.41","2.01","4.26","percent of total billed charges",,
"PROTEIN URINE RANDOM","84156","HCPCS","Both",,,"5.5","2.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"2.97","2.01","4.26","percent of total billed charges",,
"PROTEIN URINE RANDOM","84156","HCPCS","Both",,,"5.5","2.75","Medicare",,"",,"54",,"2.98","2.01","4.26","percent of total billed charges",,
"PROTEIN URINE RANDOM","84156","HCPCS","Both",,,"5.5","2.75","Humana","Medicare Advantage","",,"54",,"2.98","2.01","4.26","percent of total billed charges",,
"PROTEIN URINE RANDOM","84156","HCPCS","Both",,,"5.5","2.75","UHC","Medicare Advantage","",,"54",,"2.98","2.01","4.26","percent of total billed charges",,
"PROTEIN URINE RANDOM","84156","HCPCS","Both",,,"5.5","2.75","Clover","Medicare Advantage","",,"54",,"2.98","2.01","4.26","percent of total billed charges",,
"PROTEIN URINE RANDOM","84156","HCPCS","Both",,,"5.5","2.75","Wellcare","Medicare Advantage","",,"54",,"2.98","2.01","4.26","percent of total billed charges",,
"PROTEIN URINE RANDOM","84156","HCPCS","Both",,,"5.5","2.75","Amerigroup","Medicaid Managed Care","",,"37",,"2.01","2.01","4.26","percent of total billed charges",,
"PROTEIN URINE RANDOM","84156","HCPCS","Both",,,"5.5","2.75","Caresource","Medicaid Managed Care","",,"40",,"2.2","2.01","4.26","percent of total billed charges",,
"PROTEIN URINE RANDOM","84156","HCPCS","Both",,,"5.5","2.75","Wellcare","Medicaid Managed Care","",,"40",,"2.23","2.01","4.26","percent of total billed charges",,
"PROTEIN URINE RANDOM","84156","HCPCS","Both",,,"5.5","2.75","Aetna","Commercial","",,"64",,"3.51","2.01","4.26","percent of total billed charges",,
"PROTEIN URINE RANDOM","84156","HCPCS","Both",,,"5.5","2.75","Blue Cross Blue Shield","Pathways","",,"71",,"3.88","2.01","4.26","percent of total billed charges",,
"PROTEIN URINE RANDOM","84156","HCPCS","Both",,,"5.5","2.75","Blue Cross Blue Shield","HMO","",,"71",,"3.88","2.01","4.26","percent of total billed charges",,
"PROTEIN URINE RANDOM","84156","HCPCS","Both",,,"5.5","2.75","Blue Cross Blue Shield","PPO","",,"71",,"3.88","2.01","4.26","percent of total billed charges",,
"PROTEIN URINE RANDOM","84156","HCPCS","Both",,,"5.5","2.75","Ambetter","Health Exchange","",,"62",,"3.41","2.01","4.26","percent of total billed charges",,
"PROTEIN URINE RANDOM","84156","HCPCS","Both",,,"5.5","2.75","Caresource","Health Exchange","",,"62",,"3.41","2.01","4.26","percent of total billed charges",,
"PROTEIN URINE RANDOM","84156","HCPCS","Both",,,"5.5","2.75","Cigna","Commercial","",,"59",,"3.22","2.01","4.26","percent of total billed charges",,
"PROTEIN URINE RANDOM","84156","HCPCS","Both",,,"5.5","2.75","Humana","Commercial","",,"78",,"4.26","2.01","4.26","percent of total billed charges",,
"PROTEIN URINE RANDOM","84156","HCPCS","Both",,,"5.5","2.75","UHC","Commercial","",,"75",,"4.15","2.01","4.26","percent of total billed charges",,
"PROTEIN URINE RANDOM","84156","HCPCS","Both",,,"5.5","2.75","Medicaid",,"",,"37",,"2.01","2.01","4.26","percent of total billed charges",,
"PROTEIN,  CSF","84157","HCPCS","Both",,,"27","13.5","Alliant","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"PROTEIN,  CSF","84157","HCPCS","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"14.58","9.88","20.92","percent of total billed charges",,
"PROTEIN,  CSF","84157","HCPCS","Both",,,"27","13.5","Medicare",,"",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PROTEIN,  CSF","84157","HCPCS","Both",,,"27","13.5","Humana","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PROTEIN,  CSF","84157","HCPCS","Both",,,"27","13.5","UHC","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PROTEIN,  CSF","84157","HCPCS","Both",,,"27","13.5","Clover","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PROTEIN,  CSF","84157","HCPCS","Both",,,"27","13.5","Wellcare","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PROTEIN,  CSF","84157","HCPCS","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care","",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"PROTEIN,  CSF","84157","HCPCS","Both",,,"27","13.5","Caresource","Medicaid Managed Care","",,"40",,"10.8","9.88","20.92","percent of total billed charges",,
"PROTEIN,  CSF","84157","HCPCS","Both",,,"27","13.5","Wellcare","Medicaid Managed Care","",,"40",,"10.94","9.88","20.92","percent of total billed charges",,
"PROTEIN,  CSF","84157","HCPCS","Both",,,"27","13.5","Aetna","Commercial","",,"64",,"17.23","9.88","20.92","percent of total billed charges",,
"PROTEIN,  CSF","84157","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"PROTEIN,  CSF","84157","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","HMO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"PROTEIN,  CSF","84157","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","PPO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"PROTEIN,  CSF","84157","HCPCS","Both",,,"27","13.5","Ambetter","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"PROTEIN,  CSF","84157","HCPCS","Both",,,"27","13.5","Caresource","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"PROTEIN,  CSF","84157","HCPCS","Both",,,"27","13.5","Cigna","Commercial","",,"59",,"15.82","9.88","20.92","percent of total billed charges",,
"PROTEIN,  CSF","84157","HCPCS","Both",,,"27","13.5","Humana","Commercial","",,"78",,"20.92","9.88","20.92","percent of total billed charges",,
"PROTEIN,  CSF","84157","HCPCS","Both",,,"27","13.5","UHC","Commercial","",,"75",,"20.36","9.88","20.92","percent of total billed charges",,
"PROTEIN,  CSF","84157","HCPCS","Both",,,"27","13.5","Medicaid",,"",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"VITAMIN B6","84207","HCPCS","Both",,,"80","40","Alliant","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"VITAMIN B6","84207","HCPCS","Both",,,"80","40","Pruitt Healthcare","Medicare Advantage","",,"54",,"43.2","29.28","62","percent of total billed charges",,
"VITAMIN B6","84207","HCPCS","Both",,,"80","40","Medicare",,"",,"54",,"43.36","29.28","62","percent of total billed charges",,
"VITAMIN B6","84207","HCPCS","Both",,,"80","40","Humana","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"VITAMIN B6","84207","HCPCS","Both",,,"80","40","UHC","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"VITAMIN B6","84207","HCPCS","Both",,,"80","40","Clover","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"VITAMIN B6","84207","HCPCS","Both",,,"80","40","Wellcare","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"VITAMIN B6","84207","HCPCS","Both",,,"80","40","Amerigroup","Medicaid Managed Care","",,"37",,"29.28","29.28","62","percent of total billed charges",,
"VITAMIN B6","84207","HCPCS","Both",,,"80","40","Caresource","Medicaid Managed Care","",,"40",,"32","29.28","62","percent of total billed charges",,
"VITAMIN B6","84207","HCPCS","Both",,,"80","40","Wellcare","Medicaid Managed Care","",,"40",,"32.4","29.28","62","percent of total billed charges",,
"VITAMIN B6","84207","HCPCS","Both",,,"80","40","Aetna","Commercial","",,"64",,"51.04","29.28","62","percent of total billed charges",,
"VITAMIN B6","84207","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","Pathways","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"VITAMIN B6","84207","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","HMO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"VITAMIN B6","84207","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","PPO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"VITAMIN B6","84207","HCPCS","Both",,,"80","40","Ambetter","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"VITAMIN B6","84207","HCPCS","Both",,,"80","40","Caresource","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"VITAMIN B6","84207","HCPCS","Both",,,"80","40","Cigna","Commercial","",,"59",,"46.88","29.28","62","percent of total billed charges",,
"VITAMIN B6","84207","HCPCS","Both",,,"80","40","Humana","Commercial","",,"78",,"62","29.28","62","percent of total billed charges",,
"VITAMIN B6","84207","HCPCS","Both",,,"80","40","UHC","Commercial","",,"75",,"60.32","29.28","62","percent of total billed charges",,
"VITAMIN B6","84207","HCPCS","Both",,,"80","40","Medicaid",,"",,"37",,"29.28","29.28","62","percent of total billed charges",,
"SEX HORMONE BINDING GLOBULIN (SHBG)","84270","HCPCS","Both",,,"105.5","52.75","Alliant","Health Exchange","",,"62",,"65.41","38.61","81.76","percent of total billed charges",,
"SEX HORMONE BINDING GLOBULIN (SHBG)","84270","HCPCS","Both",,,"105.5","52.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"56.97","38.61","81.76","percent of total billed charges",,
"SEX HORMONE BINDING GLOBULIN (SHBG)","84270","HCPCS","Both",,,"105.5","52.75","Medicare",,"",,"54",,"57.18","38.61","81.76","percent of total billed charges",,
"SEX HORMONE BINDING GLOBULIN (SHBG)","84270","HCPCS","Both",,,"105.5","52.75","Humana","Medicare Advantage","",,"54",,"57.18","38.61","81.76","percent of total billed charges",,
"SEX HORMONE BINDING GLOBULIN (SHBG)","84270","HCPCS","Both",,,"105.5","52.75","UHC","Medicare Advantage","",,"54",,"57.18","38.61","81.76","percent of total billed charges",,
"SEX HORMONE BINDING GLOBULIN (SHBG)","84270","HCPCS","Both",,,"105.5","52.75","Clover","Medicare Advantage","",,"54",,"57.18","38.61","81.76","percent of total billed charges",,
"SEX HORMONE BINDING GLOBULIN (SHBG)","84270","HCPCS","Both",,,"105.5","52.75","Wellcare","Medicare Advantage","",,"54",,"57.18","38.61","81.76","percent of total billed charges",,
"SEX HORMONE BINDING GLOBULIN (SHBG)","84270","HCPCS","Both",,,"105.5","52.75","Amerigroup","Medicaid Managed Care","",,"37",,"38.61","38.61","81.76","percent of total billed charges",,
"SEX HORMONE BINDING GLOBULIN (SHBG)","84270","HCPCS","Both",,,"105.5","52.75","Caresource","Medicaid Managed Care","",,"40",,"42.2","38.61","81.76","percent of total billed charges",,
"SEX HORMONE BINDING GLOBULIN (SHBG)","84270","HCPCS","Both",,,"105.5","52.75","Wellcare","Medicaid Managed Care","",,"40",,"42.73","38.61","81.76","percent of total billed charges",,
"SEX HORMONE BINDING GLOBULIN (SHBG)","84270","HCPCS","Both",,,"105.5","52.75","Aetna","Commercial","",,"64",,"67.31","38.61","81.76","percent of total billed charges",,
"SEX HORMONE BINDING GLOBULIN (SHBG)","84270","HCPCS","Both",,,"105.5","52.75","Blue Cross Blue Shield","Pathways","",,"71",,"74.48","38.61","81.76","percent of total billed charges",,
"SEX HORMONE BINDING GLOBULIN (SHBG)","84270","HCPCS","Both",,,"105.5","52.75","Blue Cross Blue Shield","HMO","",,"71",,"74.48","38.61","81.76","percent of total billed charges",,
"SEX HORMONE BINDING GLOBULIN (SHBG)","84270","HCPCS","Both",,,"105.5","52.75","Blue Cross Blue Shield","PPO","",,"71",,"74.48","38.61","81.76","percent of total billed charges",,
"SEX HORMONE BINDING GLOBULIN (SHBG)","84270","HCPCS","Both",,,"105.5","52.75","Ambetter","Health Exchange","",,"62",,"65.41","38.61","81.76","percent of total billed charges",,
"SEX HORMONE BINDING GLOBULIN (SHBG)","84270","HCPCS","Both",,,"105.5","52.75","Caresource","Health Exchange","",,"62",,"65.41","38.61","81.76","percent of total billed charges",,
"SEX HORMONE BINDING GLOBULIN (SHBG)","84270","HCPCS","Both",,,"105.5","52.75","Cigna","Commercial","",,"59",,"61.82","38.61","81.76","percent of total billed charges",,
"SEX HORMONE BINDING GLOBULIN (SHBG)","84270","HCPCS","Both",,,"105.5","52.75","Humana","Commercial","",,"78",,"81.76","38.61","81.76","percent of total billed charges",,
"SEX HORMONE BINDING GLOBULIN (SHBG)","84270","HCPCS","Both",,,"105.5","52.75","UHC","Commercial","",,"75",,"79.55","38.61","81.76","percent of total billed charges",,
"SEX HORMONE BINDING GLOBULIN (SHBG)","84270","HCPCS","Both",,,"105.5","52.75","Medicaid",,"",,"37",,"38.61","38.61","81.76","percent of total billed charges",,
"VITAMIN B1 (THIAMINE)","84425","HCPCS","Both",,,"28","14","Alliant","Health Exchange","",,"62",,"17.36","10.25","21.7","percent of total billed charges",,
"VITAMIN B1 (THIAMINE)","84425","HCPCS","Both",,,"28","14","Pruitt Healthcare","Medicare Advantage","",,"54",,"15.12","10.25","21.7","percent of total billed charges",,
"VITAMIN B1 (THIAMINE)","84425","HCPCS","Both",,,"28","14","Medicare",,"",,"54",,"15.18","10.25","21.7","percent of total billed charges",,
"VITAMIN B1 (THIAMINE)","84425","HCPCS","Both",,,"28","14","Humana","Medicare Advantage","",,"54",,"15.18","10.25","21.7","percent of total billed charges",,
"VITAMIN B1 (THIAMINE)","84425","HCPCS","Both",,,"28","14","UHC","Medicare Advantage","",,"54",,"15.18","10.25","21.7","percent of total billed charges",,
"VITAMIN B1 (THIAMINE)","84425","HCPCS","Both",,,"28","14","Clover","Medicare Advantage","",,"54",,"15.18","10.25","21.7","percent of total billed charges",,
"VITAMIN B1 (THIAMINE)","84425","HCPCS","Both",,,"28","14","Wellcare","Medicare Advantage","",,"54",,"15.18","10.25","21.7","percent of total billed charges",,
"VITAMIN B1 (THIAMINE)","84425","HCPCS","Both",,,"28","14","Amerigroup","Medicaid Managed Care","",,"37",,"10.25","10.25","21.7","percent of total billed charges",,
"VITAMIN B1 (THIAMINE)","84425","HCPCS","Both",,,"28","14","Caresource","Medicaid Managed Care","",,"40",,"11.2","10.25","21.7","percent of total billed charges",,
"VITAMIN B1 (THIAMINE)","84425","HCPCS","Both",,,"28","14","Wellcare","Medicaid Managed Care","",,"40",,"11.34","10.25","21.7","percent of total billed charges",,
"VITAMIN B1 (THIAMINE)","84425","HCPCS","Both",,,"28","14","Aetna","Commercial","",,"64",,"17.86","10.25","21.7","percent of total billed charges",,
"VITAMIN B1 (THIAMINE)","84425","HCPCS","Both",,,"28","14","Blue Cross Blue Shield","Pathways","",,"71",,"19.77","10.25","21.7","percent of total billed charges",,
"VITAMIN B1 (THIAMINE)","84425","HCPCS","Both",,,"28","14","Blue Cross Blue Shield","HMO","",,"71",,"19.77","10.25","21.7","percent of total billed charges",,
"VITAMIN B1 (THIAMINE)","84425","HCPCS","Both",,,"28","14","Blue Cross Blue Shield","PPO","",,"71",,"19.77","10.25","21.7","percent of total billed charges",,
"VITAMIN B1 (THIAMINE)","84425","HCPCS","Both",,,"28","14","Ambetter","Health Exchange","",,"62",,"17.36","10.25","21.7","percent of total billed charges",,
"VITAMIN B1 (THIAMINE)","84425","HCPCS","Both",,,"28","14","Caresource","Health Exchange","",,"62",,"17.36","10.25","21.7","percent of total billed charges",,
"VITAMIN B1 (THIAMINE)","84425","HCPCS","Both",,,"28","14","Cigna","Commercial","",,"59",,"16.41","10.25","21.7","percent of total billed charges",,
"VITAMIN B1 (THIAMINE)","84425","HCPCS","Both",,,"28","14","Humana","Commercial","",,"78",,"21.7","10.25","21.7","percent of total billed charges",,
"VITAMIN B1 (THIAMINE)","84425","HCPCS","Both",,,"28","14","UHC","Commercial","",,"75",,"21.11","10.25","21.7","percent of total billed charges",,
"VITAMIN B1 (THIAMINE)","84425","HCPCS","Both",,,"28","14","Medicaid",,"",,"37",,"10.25","10.25","21.7","percent of total billed charges",,
"NIACIN (VITAMIN B3)","84591","HCPCS","Both",,,"219","109.5","Alliant","Health Exchange","",,"62",,"135.78","80.15","169.72","percent of total billed charges",,
"NIACIN (VITAMIN B3)","84591","HCPCS","Both",,,"219","109.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"118.26","80.15","169.72","percent of total billed charges",,
"NIACIN (VITAMIN B3)","84591","HCPCS","Both",,,"219","109.5","Medicare",,"",,"54",,"118.7","80.15","169.72","percent of total billed charges",,
"NIACIN (VITAMIN B3)","84591","HCPCS","Both",,,"219","109.5","Humana","Medicare Advantage","",,"54",,"118.7","80.15","169.72","percent of total billed charges",,
"NIACIN (VITAMIN B3)","84591","HCPCS","Both",,,"219","109.5","UHC","Medicare Advantage","",,"54",,"118.7","80.15","169.72","percent of total billed charges",,
"NIACIN (VITAMIN B3)","84591","HCPCS","Both",,,"219","109.5","Clover","Medicare Advantage","",,"54",,"118.7","80.15","169.72","percent of total billed charges",,
"NIACIN (VITAMIN B3)","84591","HCPCS","Both",,,"219","109.5","Wellcare","Medicare Advantage","",,"54",,"118.7","80.15","169.72","percent of total billed charges",,
"NIACIN (VITAMIN B3)","84591","HCPCS","Both",,,"219","109.5","Amerigroup","Medicaid Managed Care","",,"37",,"80.15","80.15","169.72","percent of total billed charges",,
"NIACIN (VITAMIN B3)","84591","HCPCS","Both",,,"219","109.5","Caresource","Medicaid Managed Care","",,"40",,"87.6","80.15","169.72","percent of total billed charges",,
"NIACIN (VITAMIN B3)","84591","HCPCS","Both",,,"219","109.5","Wellcare","Medicaid Managed Care","",,"40",,"88.7","80.15","169.72","percent of total billed charges",,
"NIACIN (VITAMIN B3)","84591","HCPCS","Both",,,"219","109.5","Aetna","Commercial","",,"64",,"139.72","80.15","169.72","percent of total billed charges",,
"NIACIN (VITAMIN B3)","84591","HCPCS","Both",,,"219","109.5","Blue Cross Blue Shield","Pathways","",,"71",,"154.61","80.15","169.72","percent of total billed charges",,
"NIACIN (VITAMIN B3)","84591","HCPCS","Both",,,"219","109.5","Blue Cross Blue Shield","HMO","",,"71",,"154.61","80.15","169.72","percent of total billed charges",,
"NIACIN (VITAMIN B3)","84591","HCPCS","Both",,,"219","109.5","Blue Cross Blue Shield","PPO","",,"71",,"154.61","80.15","169.72","percent of total billed charges",,
"NIACIN (VITAMIN B3)","84591","HCPCS","Both",,,"219","109.5","Ambetter","Health Exchange","",,"62",,"135.78","80.15","169.72","percent of total billed charges",,
"NIACIN (VITAMIN B3)","84591","HCPCS","Both",,,"219","109.5","Caresource","Health Exchange","",,"62",,"135.78","80.15","169.72","percent of total billed charges",,
"NIACIN (VITAMIN B3)","84591","HCPCS","Both",,,"219","109.5","Cigna","Commercial","",,"59",,"128.33","80.15","169.72","percent of total billed charges",,
"NIACIN (VITAMIN B3)","84591","HCPCS","Both",,,"219","109.5","Humana","Commercial","",,"78",,"169.72","80.15","169.72","percent of total billed charges",,
"NIACIN (VITAMIN B3)","84591","HCPCS","Both",,,"219","109.5","UHC","Commercial","",,"75",,"165.13","80.15","169.72","percent of total billed charges",,
"NIACIN (VITAMIN B3)","84591","HCPCS","Both",,,"219","109.5","Medicaid",,"",,"37",,"80.15","80.15","169.72","percent of total billed charges",,
"ALPHA-GAL IgE","86008","HCPCS","Both",,,"71","35.5","Alliant","Health Exchange","",,"62",,"44.02","25.99","55.02","percent of total billed charges",,
"ALPHA-GAL IgE","86008","HCPCS","Both",,,"71","35.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"38.34","25.99","55.02","percent of total billed charges",,
"ALPHA-GAL IgE","86008","HCPCS","Both",,,"71","35.5","Medicare",,"",,"54",,"38.48","25.99","55.02","percent of total billed charges",,
"ALPHA-GAL IgE","86008","HCPCS","Both",,,"71","35.5","Humana","Medicare Advantage","",,"54",,"38.48","25.99","55.02","percent of total billed charges",,
"ALPHA-GAL IgE","86008","HCPCS","Both",,,"71","35.5","UHC","Medicare Advantage","",,"54",,"38.48","25.99","55.02","percent of total billed charges",,
"ALPHA-GAL IgE","86008","HCPCS","Both",,,"71","35.5","Clover","Medicare Advantage","",,"54",,"38.48","25.99","55.02","percent of total billed charges",,
"ALPHA-GAL IgE","86008","HCPCS","Both",,,"71","35.5","Wellcare","Medicare Advantage","",,"54",,"38.48","25.99","55.02","percent of total billed charges",,
"ALPHA-GAL IgE","86008","HCPCS","Both",,,"71","35.5","Amerigroup","Medicaid Managed Care","",,"37",,"25.99","25.99","55.02","percent of total billed charges",,
"ALPHA-GAL IgE","86008","HCPCS","Both",,,"71","35.5","Caresource","Medicaid Managed Care","",,"40",,"28.4","25.99","55.02","percent of total billed charges",,
"ALPHA-GAL IgE","86008","HCPCS","Both",,,"71","35.5","Wellcare","Medicaid Managed Care","",,"40",,"28.76","25.99","55.02","percent of total billed charges",,
"ALPHA-GAL IgE","86008","HCPCS","Both",,,"71","35.5","Aetna","Commercial","",,"64",,"45.3","25.99","55.02","percent of total billed charges",,
"ALPHA-GAL IgE","86008","HCPCS","Both",,,"71","35.5","Blue Cross Blue Shield","Pathways","",,"71",,"50.13","25.99","55.02","percent of total billed charges",,
"ALPHA-GAL IgE","86008","HCPCS","Both",,,"71","35.5","Blue Cross Blue Shield","HMO","",,"71",,"50.13","25.99","55.02","percent of total billed charges",,
"ALPHA-GAL IgE","86008","HCPCS","Both",,,"71","35.5","Blue Cross Blue Shield","PPO","",,"71",,"50.13","25.99","55.02","percent of total billed charges",,
"ALPHA-GAL IgE","86008","HCPCS","Both",,,"71","35.5","Ambetter","Health Exchange","",,"62",,"44.02","25.99","55.02","percent of total billed charges",,
"ALPHA-GAL IgE","86008","HCPCS","Both",,,"71","35.5","Caresource","Health Exchange","",,"62",,"44.02","25.99","55.02","percent of total billed charges",,
"ALPHA-GAL IgE","86008","HCPCS","Both",,,"71","35.5","Cigna","Commercial","",,"59",,"41.61","25.99","55.02","percent of total billed charges",,
"ALPHA-GAL IgE","86008","HCPCS","Both",,,"71","35.5","Humana","Commercial","",,"78",,"55.02","25.99","55.02","percent of total billed charges",,
"ALPHA-GAL IgE","86008","HCPCS","Both",,,"71","35.5","UHC","Commercial","",,"75",,"53.53","25.99","55.02","percent of total billed charges",,
"ALPHA-GAL IgE","86008","HCPCS","Both",,,"71","35.5","Medicaid",,"",,"37",,"25.99","25.99","55.02","percent of total billed charges",,
"PLATELET ANTIBODY, INDIRECT IgG","86022","HCPCS","Both",,,"132","66","Alliant","Health Exchange","",,"62",,"81.84","48.31","102.3","percent of total billed charges",,
"PLATELET ANTIBODY, INDIRECT IgG","86022","HCPCS","Both",,,"132","66","Pruitt Healthcare","Medicare Advantage","",,"54",,"71.28","48.31","102.3","percent of total billed charges",,
"PLATELET ANTIBODY, INDIRECT IgG","86022","HCPCS","Both",,,"132","66","Medicare",,"",,"54",,"71.54","48.31","102.3","percent of total billed charges",,
"PLATELET ANTIBODY, INDIRECT IgG","86022","HCPCS","Both",,,"132","66","Humana","Medicare Advantage","",,"54",,"71.54","48.31","102.3","percent of total billed charges",,
"PLATELET ANTIBODY, INDIRECT IgG","86022","HCPCS","Both",,,"132","66","UHC","Medicare Advantage","",,"54",,"71.54","48.31","102.3","percent of total billed charges",,
"PLATELET ANTIBODY, INDIRECT IgG","86022","HCPCS","Both",,,"132","66","Clover","Medicare Advantage","",,"54",,"71.54","48.31","102.3","percent of total billed charges",,
"PLATELET ANTIBODY, INDIRECT IgG","86022","HCPCS","Both",,,"132","66","Wellcare","Medicare Advantage","",,"54",,"71.54","48.31","102.3","percent of total billed charges",,
"PLATELET ANTIBODY, INDIRECT IgG","86022","HCPCS","Both",,,"132","66","Amerigroup","Medicaid Managed Care","",,"37",,"48.31","48.31","102.3","percent of total billed charges",,
"PLATELET ANTIBODY, INDIRECT IgG","86022","HCPCS","Both",,,"132","66","Caresource","Medicaid Managed Care","",,"40",,"52.8","48.31","102.3","percent of total billed charges",,
"PLATELET ANTIBODY, INDIRECT IgG","86022","HCPCS","Both",,,"132","66","Wellcare","Medicaid Managed Care","",,"40",,"53.46","48.31","102.3","percent of total billed charges",,
"PLATELET ANTIBODY, INDIRECT IgG","86022","HCPCS","Both",,,"132","66","Aetna","Commercial","",,"64",,"84.22","48.31","102.3","percent of total billed charges",,
"PLATELET ANTIBODY, INDIRECT IgG","86022","HCPCS","Both",,,"132","66","Blue Cross Blue Shield","Pathways","",,"71",,"93.19","48.31","102.3","percent of total billed charges",,
"PLATELET ANTIBODY, INDIRECT IgG","86022","HCPCS","Both",,,"132","66","Blue Cross Blue Shield","HMO","",,"71",,"93.19","48.31","102.3","percent of total billed charges",,
"PLATELET ANTIBODY, INDIRECT IgG","86022","HCPCS","Both",,,"132","66","Blue Cross Blue Shield","PPO","",,"71",,"93.19","48.31","102.3","percent of total billed charges",,
"PLATELET ANTIBODY, INDIRECT IgG","86022","HCPCS","Both",,,"132","66","Ambetter","Health Exchange","",,"62",,"81.84","48.31","102.3","percent of total billed charges",,
"PLATELET ANTIBODY, INDIRECT IgG","86022","HCPCS","Both",,,"132","66","Caresource","Health Exchange","",,"62",,"81.84","48.31","102.3","percent of total billed charges",,
"PLATELET ANTIBODY, INDIRECT IgG","86022","HCPCS","Both",,,"132","66","Cigna","Commercial","",,"59",,"77.35","48.31","102.3","percent of total billed charges",,
"PLATELET ANTIBODY, INDIRECT IgG","86022","HCPCS","Both",,,"132","66","Humana","Commercial","",,"78",,"102.3","48.31","102.3","percent of total billed charges",,
"PLATELET ANTIBODY, INDIRECT IgG","86022","HCPCS","Both",,,"132","66","UHC","Commercial","",,"75",,"99.53","48.31","102.3","percent of total billed charges",,
"PLATELET ANTIBODY, INDIRECT IgG","86022","HCPCS","Both",,,"132","66","Medicaid",,"",,"37",,"48.31","48.31","102.3","percent of total billed charges",,
"CYCLIC CITRULLINATED PEPTIDE (CCP) IGG","86200","HCPCS","Both",,,"16","8","Alliant","Health Exchange","",,"62",,"9.92","5.86","12.4","percent of total billed charges",,
"CYCLIC CITRULLINATED PEPTIDE (CCP) IGG","86200","HCPCS","Both",,,"16","8","Pruitt Healthcare","Medicare Advantage","",,"54",,"8.64","5.86","12.4","percent of total billed charges",,
"CYCLIC CITRULLINATED PEPTIDE (CCP) IGG","86200","HCPCS","Both",,,"16","8","Medicare",,"",,"54",,"8.67","5.86","12.4","percent of total billed charges",,
"CYCLIC CITRULLINATED PEPTIDE (CCP) IGG","86200","HCPCS","Both",,,"16","8","Humana","Medicare Advantage","",,"54",,"8.67","5.86","12.4","percent of total billed charges",,
"CYCLIC CITRULLINATED PEPTIDE (CCP) IGG","86200","HCPCS","Both",,,"16","8","UHC","Medicare Advantage","",,"54",,"8.67","5.86","12.4","percent of total billed charges",,
"CYCLIC CITRULLINATED PEPTIDE (CCP) IGG","86200","HCPCS","Both",,,"16","8","Clover","Medicare Advantage","",,"54",,"8.67","5.86","12.4","percent of total billed charges",,
"CYCLIC CITRULLINATED PEPTIDE (CCP) IGG","86200","HCPCS","Both",,,"16","8","Wellcare","Medicare Advantage","",,"54",,"8.67","5.86","12.4","percent of total billed charges",,
"CYCLIC CITRULLINATED PEPTIDE (CCP) IGG","86200","HCPCS","Both",,,"16","8","Amerigroup","Medicaid Managed Care","",,"37",,"5.86","5.86","12.4","percent of total billed charges",,
"CYCLIC CITRULLINATED PEPTIDE (CCP) IGG","86200","HCPCS","Both",,,"16","8","Caresource","Medicaid Managed Care","",,"40",,"6.4","5.86","12.4","percent of total billed charges",,
"CYCLIC CITRULLINATED PEPTIDE (CCP) IGG","86200","HCPCS","Both",,,"16","8","Wellcare","Medicaid Managed Care","",,"40",,"6.48","5.86","12.4","percent of total billed charges",,
"CYCLIC CITRULLINATED PEPTIDE (CCP) IGG","86200","HCPCS","Both",,,"16","8","Aetna","Commercial","",,"64",,"10.21","5.86","12.4","percent of total billed charges",,
"CYCLIC CITRULLINATED PEPTIDE (CCP) IGG","86200","HCPCS","Both",,,"16","8","Blue Cross Blue Shield","Pathways","",,"71",,"11.3","5.86","12.4","percent of total billed charges",,
"CYCLIC CITRULLINATED PEPTIDE (CCP) IGG","86200","HCPCS","Both",,,"16","8","Blue Cross Blue Shield","HMO","",,"71",,"11.3","5.86","12.4","percent of total billed charges",,
"CYCLIC CITRULLINATED PEPTIDE (CCP) IGG","86200","HCPCS","Both",,,"16","8","Blue Cross Blue Shield","PPO","",,"71",,"11.3","5.86","12.4","percent of total billed charges",,
"CYCLIC CITRULLINATED PEPTIDE (CCP) IGG","86200","HCPCS","Both",,,"16","8","Ambetter","Health Exchange","",,"62",,"9.92","5.86","12.4","percent of total billed charges",,
"CYCLIC CITRULLINATED PEPTIDE (CCP) IGG","86200","HCPCS","Both",,,"16","8","Caresource","Health Exchange","",,"62",,"9.92","5.86","12.4","percent of total billed charges",,
"CYCLIC CITRULLINATED PEPTIDE (CCP) IGG","86200","HCPCS","Both",,,"16","8","Cigna","Commercial","",,"59",,"9.38","5.86","12.4","percent of total billed charges",,
"CYCLIC CITRULLINATED PEPTIDE (CCP) IGG","86200","HCPCS","Both",,,"16","8","Humana","Commercial","",,"78",,"12.4","5.86","12.4","percent of total billed charges",,
"CYCLIC CITRULLINATED PEPTIDE (CCP) IGG","86200","HCPCS","Both",,,"16","8","UHC","Commercial","",,"75",,"12.06","5.86","12.4","percent of total billed charges",,
"CYCLIC CITRULLINATED PEPTIDE (CCP) IGG","86200","HCPCS","Both",,,"16","8","Medicaid",,"",,"37",,"5.86","5.86","12.4","percent of total billed charges",,
"JO-1 ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Alliant","Health Exchange","",,"62",,"28.83","17.02","36.04","percent of total billed charges",,
"JO-1 ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"25.11","17.02","36.04","percent of total billed charges",,
"JO-1 ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Medicare",,"",,"54",,"25.2","17.02","36.04","percent of total billed charges",,
"JO-1 ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Humana","Medicare Advantage","",,"54",,"25.2","17.02","36.04","percent of total billed charges",,
"JO-1 ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","UHC","Medicare Advantage","",,"54",,"25.2","17.02","36.04","percent of total billed charges",,
"JO-1 ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Clover","Medicare Advantage","",,"54",,"25.2","17.02","36.04","percent of total billed charges",,
"JO-1 ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Wellcare","Medicare Advantage","",,"54",,"25.2","17.02","36.04","percent of total billed charges",,
"JO-1 ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Amerigroup","Medicaid Managed Care","",,"37",,"17.02","17.02","36.04","percent of total billed charges",,
"JO-1 ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Caresource","Medicaid Managed Care","",,"40",,"18.6","17.02","36.04","percent of total billed charges",,
"JO-1 ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Wellcare","Medicaid Managed Care","",,"40",,"18.83","17.02","36.04","percent of total billed charges",,
"JO-1 ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Aetna","Commercial","",,"64",,"29.67","17.02","36.04","percent of total billed charges",,
"JO-1 ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Blue Cross Blue Shield","Pathways","",,"71",,"32.83","17.02","36.04","percent of total billed charges",,
"JO-1 ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Blue Cross Blue Shield","HMO","",,"71",,"32.83","17.02","36.04","percent of total billed charges",,
"JO-1 ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Blue Cross Blue Shield","PPO","",,"71",,"32.83","17.02","36.04","percent of total billed charges",,
"JO-1 ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Ambetter","Health Exchange","",,"62",,"28.83","17.02","36.04","percent of total billed charges",,
"JO-1 ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Caresource","Health Exchange","",,"62",,"28.83","17.02","36.04","percent of total billed charges",,
"JO-1 ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Cigna","Commercial","",,"59",,"27.25","17.02","36.04","percent of total billed charges",,
"JO-1 ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Humana","Commercial","",,"78",,"36.04","17.02","36.04","percent of total billed charges",,
"JO-1 ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","UHC","Commercial","",,"75",,"35.06","17.02","36.04","percent of total billed charges",,
"JO-1 ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Medicaid",,"",,"37",,"17.02","17.02","36.04","percent of total billed charges",,
"QUANTIFERON TB GOLD PLUS","86480","HCPCS","Both",,,"321","160.5","Alliant","Health Exchange","",,"62",,"199.02","117.49","248.78","percent of total billed charges",,
"QUANTIFERON TB GOLD PLUS","86480","HCPCS","Both",,,"321","160.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"173.34","117.49","248.78","percent of total billed charges",,
"QUANTIFERON TB GOLD PLUS","86480","HCPCS","Both",,,"321","160.5","Medicare",,"",,"54",,"173.98","117.49","248.78","percent of total billed charges",,
"QUANTIFERON TB GOLD PLUS","86480","HCPCS","Both",,,"321","160.5","Humana","Medicare Advantage","",,"54",,"173.98","117.49","248.78","percent of total billed charges",,
"QUANTIFERON TB GOLD PLUS","86480","HCPCS","Both",,,"321","160.5","UHC","Medicare Advantage","",,"54",,"173.98","117.49","248.78","percent of total billed charges",,
"QUANTIFERON TB GOLD PLUS","86480","HCPCS","Both",,,"321","160.5","Clover","Medicare Advantage","",,"54",,"173.98","117.49","248.78","percent of total billed charges",,
"QUANTIFERON TB GOLD PLUS","86480","HCPCS","Both",,,"321","160.5","Wellcare","Medicare Advantage","",,"54",,"173.98","117.49","248.78","percent of total billed charges",,
"QUANTIFERON TB GOLD PLUS","86480","HCPCS","Both",,,"321","160.5","Amerigroup","Medicaid Managed Care","",,"37",,"117.49","117.49","248.78","percent of total billed charges",,
"QUANTIFERON TB GOLD PLUS","86480","HCPCS","Both",,,"321","160.5","Caresource","Medicaid Managed Care","",,"40",,"128.4","117.49","248.78","percent of total billed charges",,
"QUANTIFERON TB GOLD PLUS","86480","HCPCS","Both",,,"321","160.5","Wellcare","Medicaid Managed Care","",,"40",,"130","117.49","248.78","percent of total billed charges",,
"QUANTIFERON TB GOLD PLUS","86480","HCPCS","Both",,,"321","160.5","Aetna","Commercial","",,"64",,"204.8","117.49","248.78","percent of total billed charges",,
"QUANTIFERON TB GOLD PLUS","86480","HCPCS","Both",,,"321","160.5","Blue Cross Blue Shield","Pathways","",,"71",,"226.63","117.49","248.78","percent of total billed charges",,
"QUANTIFERON TB GOLD PLUS","86480","HCPCS","Both",,,"321","160.5","Blue Cross Blue Shield","HMO","",,"71",,"226.63","117.49","248.78","percent of total billed charges",,
"QUANTIFERON TB GOLD PLUS","86480","HCPCS","Both",,,"321","160.5","Blue Cross Blue Shield","PPO","",,"71",,"226.63","117.49","248.78","percent of total billed charges",,
"QUANTIFERON TB GOLD PLUS","86480","HCPCS","Both",,,"321","160.5","Ambetter","Health Exchange","",,"62",,"199.02","117.49","248.78","percent of total billed charges",,
"QUANTIFERON TB GOLD PLUS","86480","HCPCS","Both",,,"321","160.5","Caresource","Health Exchange","",,"62",,"199.02","117.49","248.78","percent of total billed charges",,
"QUANTIFERON TB GOLD PLUS","86480","HCPCS","Both",,,"321","160.5","Cigna","Commercial","",,"59",,"188.11","117.49","248.78","percent of total billed charges",,
"QUANTIFERON TB GOLD PLUS","86480","HCPCS","Both",,,"321","160.5","Humana","Commercial","",,"78",,"248.78","117.49","248.78","percent of total billed charges",,
"QUANTIFERON TB GOLD PLUS","86480","HCPCS","Both",,,"321","160.5","UHC","Commercial","",,"75",,"242.03","117.49","248.78","percent of total billed charges",,
"QUANTIFERON TB GOLD PLUS","86480","HCPCS","Both",,,"321","160.5","Medicaid",,"",,"37",,"117.49","117.49","248.78","percent of total billed charges",,
"VDRL, SERUM WITH REFLEX TITER","86592","HCPCS","Both",,,"8.5","4.25","Alliant","Health Exchange","",,"62",,"5.27","3.11","6.59","percent of total billed charges",,
"VDRL, SERUM WITH REFLEX TITER","86592","HCPCS","Both",,,"8.5","4.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"4.59","3.11","6.59","percent of total billed charges",,
"VDRL, SERUM WITH REFLEX TITER","86592","HCPCS","Both",,,"8.5","4.25","Medicare",,"",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"VDRL, SERUM WITH REFLEX TITER","86592","HCPCS","Both",,,"8.5","4.25","Humana","Medicare Advantage","",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"VDRL, SERUM WITH REFLEX TITER","86592","HCPCS","Both",,,"8.5","4.25","UHC","Medicare Advantage","",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"VDRL, SERUM WITH REFLEX TITER","86592","HCPCS","Both",,,"8.5","4.25","Clover","Medicare Advantage","",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"VDRL, SERUM WITH REFLEX TITER","86592","HCPCS","Both",,,"8.5","4.25","Wellcare","Medicare Advantage","",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"VDRL, SERUM WITH REFLEX TITER","86592","HCPCS","Both",,,"8.5","4.25","Amerigroup","Medicaid Managed Care","",,"37",,"3.11","3.11","6.59","percent of total billed charges",,
"VDRL, SERUM WITH REFLEX TITER","86592","HCPCS","Both",,,"8.5","4.25","Caresource","Medicaid Managed Care","",,"40",,"3.4","3.11","6.59","percent of total billed charges",,
"VDRL, SERUM WITH REFLEX TITER","86592","HCPCS","Both",,,"8.5","4.25","Wellcare","Medicaid Managed Care","",,"40",,"3.44","3.11","6.59","percent of total billed charges",,
"VDRL, SERUM WITH REFLEX TITER","86592","HCPCS","Both",,,"8.5","4.25","Aetna","Commercial","",,"64",,"5.42","3.11","6.59","percent of total billed charges",,
"VDRL, SERUM WITH REFLEX TITER","86592","HCPCS","Both",,,"8.5","4.25","Blue Cross Blue Shield","Pathways","",,"71",,"6","3.11","6.59","percent of total billed charges",,
"VDRL, SERUM WITH REFLEX TITER","86592","HCPCS","Both",,,"8.5","4.25","Blue Cross Blue Shield","HMO","",,"71",,"6","3.11","6.59","percent of total billed charges",,
"VDRL, SERUM WITH REFLEX TITER","86592","HCPCS","Both",,,"8.5","4.25","Blue Cross Blue Shield","PPO","",,"71",,"6","3.11","6.59","percent of total billed charges",,
"VDRL, SERUM WITH REFLEX TITER","86592","HCPCS","Both",,,"8.5","4.25","Ambetter","Health Exchange","",,"62",,"5.27","3.11","6.59","percent of total billed charges",,
"VDRL, SERUM WITH REFLEX TITER","86592","HCPCS","Both",,,"8.5","4.25","Caresource","Health Exchange","",,"62",,"5.27","3.11","6.59","percent of total billed charges",,
"VDRL, SERUM WITH REFLEX TITER","86592","HCPCS","Both",,,"8.5","4.25","Cigna","Commercial","",,"59",,"4.98","3.11","6.59","percent of total billed charges",,
"VDRL, SERUM WITH REFLEX TITER","86592","HCPCS","Both",,,"8.5","4.25","Humana","Commercial","",,"78",,"6.59","3.11","6.59","percent of total billed charges",,
"VDRL, SERUM WITH REFLEX TITER","86592","HCPCS","Both",,,"8.5","4.25","UHC","Commercial","",,"75",,"6.41","3.11","6.59","percent of total billed charges",,
"VDRL, SERUM WITH REFLEX TITER","86592","HCPCS","Both",,,"8.5","4.25","Medicaid",,"",,"37",,"3.11","3.11","6.59","percent of total billed charges",,
"FUNGAL ANTIBODIES","86671","HCPCS","Both",,,"88","44","Alliant","Health Exchange","",,"62",,"54.56","32.21","68.2","percent of total billed charges",,
"FUNGAL ANTIBODIES","86671","HCPCS","Both",,,"88","44","Pruitt Healthcare","Medicare Advantage","",,"54",,"47.52","32.21","68.2","percent of total billed charges",,
"FUNGAL ANTIBODIES","86671","HCPCS","Both",,,"88","44","Medicare",,"",,"54",,"47.7","32.21","68.2","percent of total billed charges",,
"FUNGAL ANTIBODIES","86671","HCPCS","Both",,,"88","44","Humana","Medicare Advantage","",,"54",,"47.7","32.21","68.2","percent of total billed charges",,
"FUNGAL ANTIBODIES","86671","HCPCS","Both",,,"88","44","UHC","Medicare Advantage","",,"54",,"47.7","32.21","68.2","percent of total billed charges",,
"FUNGAL ANTIBODIES","86671","HCPCS","Both",,,"88","44","Clover","Medicare Advantage","",,"54",,"47.7","32.21","68.2","percent of total billed charges",,
"FUNGAL ANTIBODIES","86671","HCPCS","Both",,,"88","44","Wellcare","Medicare Advantage","",,"54",,"47.7","32.21","68.2","percent of total billed charges",,
"FUNGAL ANTIBODIES","86671","HCPCS","Both",,,"88","44","Amerigroup","Medicaid Managed Care","",,"37",,"32.21","32.21","68.2","percent of total billed charges",,
"FUNGAL ANTIBODIES","86671","HCPCS","Both",,,"88","44","Caresource","Medicaid Managed Care","",,"40",,"35.2","32.21","68.2","percent of total billed charges",,
"FUNGAL ANTIBODIES","86671","HCPCS","Both",,,"88","44","Wellcare","Medicaid Managed Care","",,"40",,"35.64","32.21","68.2","percent of total billed charges",,
"FUNGAL ANTIBODIES","86671","HCPCS","Both",,,"88","44","Aetna","Commercial","",,"64",,"56.14","32.21","68.2","percent of total billed charges",,
"FUNGAL ANTIBODIES","86671","HCPCS","Both",,,"88","44","Blue Cross Blue Shield","Pathways","",,"71",,"62.13","32.21","68.2","percent of total billed charges",,
"FUNGAL ANTIBODIES","86671","HCPCS","Both",,,"88","44","Blue Cross Blue Shield","HMO","",,"71",,"62.13","32.21","68.2","percent of total billed charges",,
"FUNGAL ANTIBODIES","86671","HCPCS","Both",,,"88","44","Blue Cross Blue Shield","PPO","",,"71",,"62.13","32.21","68.2","percent of total billed charges",,
"FUNGAL ANTIBODIES","86671","HCPCS","Both",,,"88","44","Ambetter","Health Exchange","",,"62",,"54.56","32.21","68.2","percent of total billed charges",,
"FUNGAL ANTIBODIES","86671","HCPCS","Both",,,"88","44","Caresource","Health Exchange","",,"62",,"54.56","32.21","68.2","percent of total billed charges",,
"FUNGAL ANTIBODIES","86671","HCPCS","Both",,,"88","44","Cigna","Commercial","",,"59",,"51.57","32.21","68.2","percent of total billed charges",,
"FUNGAL ANTIBODIES","86671","HCPCS","Both",,,"88","44","Humana","Commercial","",,"78",,"68.2","32.21","68.2","percent of total billed charges",,
"FUNGAL ANTIBODIES","86671","HCPCS","Both",,,"88","44","UHC","Commercial","",,"75",,"66.35","32.21","68.2","percent of total billed charges",,
"FUNGAL ANTIBODIES","86671","HCPCS","Both",,,"88","44","Medicaid",,"",,"37",,"32.21","32.21","68.2","percent of total billed charges",,
"HTLV OR HIV ANTIBODY CONFIRMATORY TEST","86689","HCPCS","Both",,,"139","69.5","Alliant","Health Exchange","",,"62",,"86.18","50.87","107.72","percent of total billed charges",,
"HTLV OR HIV ANTIBODY CONFIRMATORY TEST","86689","HCPCS","Both",,,"139","69.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"75.06","50.87","107.72","percent of total billed charges",,
"HTLV OR HIV ANTIBODY CONFIRMATORY TEST","86689","HCPCS","Both",,,"139","69.5","Medicare",,"",,"54",,"75.34","50.87","107.72","percent of total billed charges",,
"HTLV OR HIV ANTIBODY CONFIRMATORY TEST","86689","HCPCS","Both",,,"139","69.5","Humana","Medicare Advantage","",,"54",,"75.34","50.87","107.72","percent of total billed charges",,
"HTLV OR HIV ANTIBODY CONFIRMATORY TEST","86689","HCPCS","Both",,,"139","69.5","UHC","Medicare Advantage","",,"54",,"75.34","50.87","107.72","percent of total billed charges",,
"HTLV OR HIV ANTIBODY CONFIRMATORY TEST","86689","HCPCS","Both",,,"139","69.5","Clover","Medicare Advantage","",,"54",,"75.34","50.87","107.72","percent of total billed charges",,
"HTLV OR HIV ANTIBODY CONFIRMATORY TEST","86689","HCPCS","Both",,,"139","69.5","Wellcare","Medicare Advantage","",,"54",,"75.34","50.87","107.72","percent of total billed charges",,
"HTLV OR HIV ANTIBODY CONFIRMATORY TEST","86689","HCPCS","Both",,,"139","69.5","Amerigroup","Medicaid Managed Care","",,"37",,"50.87","50.87","107.72","percent of total billed charges",,
"HTLV OR HIV ANTIBODY CONFIRMATORY TEST","86689","HCPCS","Both",,,"139","69.5","Caresource","Medicaid Managed Care","",,"40",,"55.6","50.87","107.72","percent of total billed charges",,
"HTLV OR HIV ANTIBODY CONFIRMATORY TEST","86689","HCPCS","Both",,,"139","69.5","Wellcare","Medicaid Managed Care","",,"40",,"56.3","50.87","107.72","percent of total billed charges",,
"HTLV OR HIV ANTIBODY CONFIRMATORY TEST","86689","HCPCS","Both",,,"139","69.5","Aetna","Commercial","",,"64",,"88.68","50.87","107.72","percent of total billed charges",,
"HTLV OR HIV ANTIBODY CONFIRMATORY TEST","86689","HCPCS","Both",,,"139","69.5","Blue Cross Blue Shield","Pathways","",,"71",,"98.13","50.87","107.72","percent of total billed charges",,
"HTLV OR HIV ANTIBODY CONFIRMATORY TEST","86689","HCPCS","Both",,,"139","69.5","Blue Cross Blue Shield","HMO","",,"71",,"98.13","50.87","107.72","percent of total billed charges",,
"HTLV OR HIV ANTIBODY CONFIRMATORY TEST","86689","HCPCS","Both",,,"139","69.5","Blue Cross Blue Shield","PPO","",,"71",,"98.13","50.87","107.72","percent of total billed charges",,
"HTLV OR HIV ANTIBODY CONFIRMATORY TEST","86689","HCPCS","Both",,,"139","69.5","Ambetter","Health Exchange","",,"62",,"86.18","50.87","107.72","percent of total billed charges",,
"HTLV OR HIV ANTIBODY CONFIRMATORY TEST","86689","HCPCS","Both",,,"139","69.5","Caresource","Health Exchange","",,"62",,"86.18","50.87","107.72","percent of total billed charges",,
"HTLV OR HIV ANTIBODY CONFIRMATORY TEST","86689","HCPCS","Both",,,"139","69.5","Cigna","Commercial","",,"59",,"81.45","50.87","107.72","percent of total billed charges",,
"HTLV OR HIV ANTIBODY CONFIRMATORY TEST","86689","HCPCS","Both",,,"139","69.5","Humana","Commercial","",,"78",,"107.72","50.87","107.72","percent of total billed charges",,
"HTLV OR HIV ANTIBODY CONFIRMATORY TEST","86689","HCPCS","Both",,,"139","69.5","UHC","Commercial","",,"75",,"104.81","50.87","107.72","percent of total billed charges",,
"HTLV OR HIV ANTIBODY CONFIRMATORY TEST","86689","HCPCS","Both",,,"139","69.5","Medicaid",,"",,"37",,"50.87","50.87","107.72","percent of total billed charges",,
"ANTIBODY SARS CORONAVIRUS 2 SARS-CoV-2","86769","HCPCS","Both",,,"141.5","70.75","Alliant","Health Exchange","",,"62",,"87.73","51.79","109.66","percent of total billed charges",,
"ANTIBODY SARS CORONAVIRUS 2 SARS-CoV-2","86769","HCPCS","Both",,,"141.5","70.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"76.41","51.79","109.66","percent of total billed charges",,
"ANTIBODY SARS CORONAVIRUS 2 SARS-CoV-2","86769","HCPCS","Both",,,"141.5","70.75","Medicare",,"",,"54",,"76.69","51.79","109.66","percent of total billed charges",,
"ANTIBODY SARS CORONAVIRUS 2 SARS-CoV-2","86769","HCPCS","Both",,,"141.5","70.75","Humana","Medicare Advantage","",,"54",,"76.69","51.79","109.66","percent of total billed charges",,
"ANTIBODY SARS CORONAVIRUS 2 SARS-CoV-2","86769","HCPCS","Both",,,"141.5","70.75","UHC","Medicare Advantage","",,"54",,"76.69","51.79","109.66","percent of total billed charges",,
"ANTIBODY SARS CORONAVIRUS 2 SARS-CoV-2","86769","HCPCS","Both",,,"141.5","70.75","Clover","Medicare Advantage","",,"54",,"76.69","51.79","109.66","percent of total billed charges",,
"ANTIBODY SARS CORONAVIRUS 2 SARS-CoV-2","86769","HCPCS","Both",,,"141.5","70.75","Wellcare","Medicare Advantage","",,"54",,"76.69","51.79","109.66","percent of total billed charges",,
"ANTIBODY SARS CORONAVIRUS 2 SARS-CoV-2","86769","HCPCS","Both",,,"141.5","70.75","Amerigroup","Medicaid Managed Care","",,"37",,"51.79","51.79","109.66","percent of total billed charges",,
"ANTIBODY SARS CORONAVIRUS 2 SARS-CoV-2","86769","HCPCS","Both",,,"141.5","70.75","Caresource","Medicaid Managed Care","",,"40",,"56.6","51.79","109.66","percent of total billed charges",,
"ANTIBODY SARS CORONAVIRUS 2 SARS-CoV-2","86769","HCPCS","Both",,,"141.5","70.75","Wellcare","Medicaid Managed Care","",,"40",,"57.31","51.79","109.66","percent of total billed charges",,
"ANTIBODY SARS CORONAVIRUS 2 SARS-CoV-2","86769","HCPCS","Both",,,"141.5","70.75","Aetna","Commercial","",,"64",,"90.28","51.79","109.66","percent of total billed charges",,
"ANTIBODY SARS CORONAVIRUS 2 SARS-CoV-2","86769","HCPCS","Both",,,"141.5","70.75","Blue Cross Blue Shield","Pathways","",,"71",,"99.9","51.79","109.66","percent of total billed charges",,
"ANTIBODY SARS CORONAVIRUS 2 SARS-CoV-2","86769","HCPCS","Both",,,"141.5","70.75","Blue Cross Blue Shield","HMO","",,"71",,"99.9","51.79","109.66","percent of total billed charges",,
"ANTIBODY SARS CORONAVIRUS 2 SARS-CoV-2","86769","HCPCS","Both",,,"141.5","70.75","Blue Cross Blue Shield","PPO","",,"71",,"99.9","51.79","109.66","percent of total billed charges",,
"ANTIBODY SARS CORONAVIRUS 2 SARS-CoV-2","86769","HCPCS","Both",,,"141.5","70.75","Ambetter","Health Exchange","",,"62",,"87.73","51.79","109.66","percent of total billed charges",,
"ANTIBODY SARS CORONAVIRUS 2 SARS-CoV-2","86769","HCPCS","Both",,,"141.5","70.75","Caresource","Health Exchange","",,"62",,"87.73","51.79","109.66","percent of total billed charges",,
"ANTIBODY SARS CORONAVIRUS 2 SARS-CoV-2","86769","HCPCS","Both",,,"141.5","70.75","Cigna","Commercial","",,"59",,"82.92","51.79","109.66","percent of total billed charges",,
"ANTIBODY SARS CORONAVIRUS 2 SARS-CoV-2","86769","HCPCS","Both",,,"141.5","70.75","Humana","Commercial","",,"78",,"109.66","51.79","109.66","percent of total billed charges",,
"ANTIBODY SARS CORONAVIRUS 2 SARS-CoV-2","86769","HCPCS","Both",,,"141.5","70.75","UHC","Commercial","",,"75",,"106.69","51.79","109.66","percent of total billed charges",,
"ANTIBODY SARS CORONAVIRUS 2 SARS-CoV-2","86769","HCPCS","Both",,,"141.5","70.75","Medicaid",,"",,"37",,"51.79","51.79","109.66","percent of total billed charges",,
"SARS ANTIGEN FIA W/FLU A & B","87428","HCPCS","Both",,,"153","76.5","Alliant","Health Exchange","QW",,"62",,"94.86","56","118.58","percent of total billed charges",,
"SARS ANTIGEN FIA W/FLU A & B","87428","HCPCS","Both",,,"153","76.5","Pruitt Healthcare","Medicare Advantage","QW",,"54",,"82.62","56","118.58","percent of total billed charges",,
"SARS ANTIGEN FIA W/FLU A & B","87428","HCPCS","Both",,,"153","76.5","Medicare",,"QW",,"54",,"82.93","56","118.58","percent of total billed charges",,
"SARS ANTIGEN FIA W/FLU A & B","87428","HCPCS","Both",,,"153","76.5","Humana","Medicare Advantage","QW",,"54",,"82.93","56","118.58","percent of total billed charges",,
"SARS ANTIGEN FIA W/FLU A & B","87428","HCPCS","Both",,,"153","76.5","UHC","Medicare Advantage","QW",,"54",,"82.93","56","118.58","percent of total billed charges",,
"SARS ANTIGEN FIA W/FLU A & B","87428","HCPCS","Both",,,"153","76.5","Clover","Medicare Advantage","QW",,"54",,"82.93","56","118.58","percent of total billed charges",,
"SARS ANTIGEN FIA W/FLU A & B","87428","HCPCS","Both",,,"153","76.5","Wellcare","Medicare Advantage","QW",,"54",,"82.93","56","118.58","percent of total billed charges",,
"SARS ANTIGEN FIA W/FLU A & B","87428","HCPCS","Both",,,"153","76.5","Amerigroup","Medicaid Managed Care","QW",,"37",,"56","56","118.58","percent of total billed charges",,
"SARS ANTIGEN FIA W/FLU A & B","87428","HCPCS","Both",,,"153","76.5","Caresource","Medicaid Managed Care","QW",,"40",,"61.2","56","118.58","percent of total billed charges",,
"SARS ANTIGEN FIA W/FLU A & B","87428","HCPCS","Both",,,"153","76.5","Wellcare","Medicaid Managed Care","QW",,"40",,"61.96","56","118.58","percent of total billed charges",,
"SARS ANTIGEN FIA W/FLU A & B","87428","HCPCS","Both",,,"153","76.5","Aetna","Commercial","QW",,"64",,"97.61","56","118.58","percent of total billed charges",,
"SARS ANTIGEN FIA W/FLU A & B","87428","HCPCS","Both",,,"153","76.5","Blue Cross Blue Shield","Pathways","QW",,"71",,"108.02","56","118.58","percent of total billed charges",,
"SARS ANTIGEN FIA W/FLU A & B","87428","HCPCS","Both",,,"153","76.5","Blue Cross Blue Shield","HMO","QW",,"71",,"108.02","56","118.58","percent of total billed charges",,
"SARS ANTIGEN FIA W/FLU A & B","87428","HCPCS","Both",,,"153","76.5","Blue Cross Blue Shield","PPO","QW",,"71",,"108.02","56","118.58","percent of total billed charges",,
"SARS ANTIGEN FIA W/FLU A & B","87428","HCPCS","Both",,,"153","76.5","Ambetter","Health Exchange","QW",,"62",,"94.86","56","118.58","percent of total billed charges",,
"SARS ANTIGEN FIA W/FLU A & B","87428","HCPCS","Both",,,"153","76.5","Caresource","Health Exchange","QW",,"62",,"94.86","56","118.58","percent of total billed charges",,
"SARS ANTIGEN FIA W/FLU A & B","87428","HCPCS","Both",,,"153","76.5","Cigna","Commercial","QW",,"59",,"89.66","56","118.58","percent of total billed charges",,
"SARS ANTIGEN FIA W/FLU A & B","87428","HCPCS","Both",,,"153","76.5","Humana","Commercial","QW",,"78",,"118.58","56","118.58","percent of total billed charges",,
"SARS ANTIGEN FIA W/FLU A & B","87428","HCPCS","Both",,,"153","76.5","UHC","Commercial","QW",,"75",,"115.36","56","118.58","percent of total billed charges",,
"SARS ANTIGEN FIA W/FLU A & B","87428","HCPCS","Both",,,"153","76.5","Medicaid",,"QW",,"37",,"56","56","118.58","percent of total billed charges",,
"CMV BY PCR QUALITATIVE","87496","HCPCS","Both",,,"44","22","Alliant","Health Exchange","",,"62",,"27.28","16.1","34.1","percent of total billed charges",,
"CMV BY PCR QUALITATIVE","87496","HCPCS","Both",,,"44","22","Pruitt Healthcare","Medicare Advantage","",,"54",,"23.76","16.1","34.1","percent of total billed charges",,
"CMV BY PCR QUALITATIVE","87496","HCPCS","Both",,,"44","22","Medicare",,"",,"54",,"23.85","16.1","34.1","percent of total billed charges",,
"CMV BY PCR QUALITATIVE","87496","HCPCS","Both",,,"44","22","Humana","Medicare Advantage","",,"54",,"23.85","16.1","34.1","percent of total billed charges",,
"CMV BY PCR QUALITATIVE","87496","HCPCS","Both",,,"44","22","UHC","Medicare Advantage","",,"54",,"23.85","16.1","34.1","percent of total billed charges",,
"CMV BY PCR QUALITATIVE","87496","HCPCS","Both",,,"44","22","Clover","Medicare Advantage","",,"54",,"23.85","16.1","34.1","percent of total billed charges",,
"CMV BY PCR QUALITATIVE","87496","HCPCS","Both",,,"44","22","Wellcare","Medicare Advantage","",,"54",,"23.85","16.1","34.1","percent of total billed charges",,
"CMV BY PCR QUALITATIVE","87496","HCPCS","Both",,,"44","22","Amerigroup","Medicaid Managed Care","",,"37",,"16.1","16.1","34.1","percent of total billed charges",,
"CMV BY PCR QUALITATIVE","87496","HCPCS","Both",,,"44","22","Caresource","Medicaid Managed Care","",,"40",,"17.6","16.1","34.1","percent of total billed charges",,
"CMV BY PCR QUALITATIVE","87496","HCPCS","Both",,,"44","22","Wellcare","Medicaid Managed Care","",,"40",,"17.82","16.1","34.1","percent of total billed charges",,
"CMV BY PCR QUALITATIVE","87496","HCPCS","Both",,,"44","22","Aetna","Commercial","",,"64",,"28.07","16.1","34.1","percent of total billed charges",,
"CMV BY PCR QUALITATIVE","87496","HCPCS","Both",,,"44","22","Blue Cross Blue Shield","Pathways","",,"71",,"31.06","16.1","34.1","percent of total billed charges",,
"CMV BY PCR QUALITATIVE","87496","HCPCS","Both",,,"44","22","Blue Cross Blue Shield","HMO","",,"71",,"31.06","16.1","34.1","percent of total billed charges",,
"CMV BY PCR QUALITATIVE","87496","HCPCS","Both",,,"44","22","Blue Cross Blue Shield","PPO","",,"71",,"31.06","16.1","34.1","percent of total billed charges",,
"CMV BY PCR QUALITATIVE","87496","HCPCS","Both",,,"44","22","Ambetter","Health Exchange","",,"62",,"27.28","16.1","34.1","percent of total billed charges",,
"CMV BY PCR QUALITATIVE","87496","HCPCS","Both",,,"44","22","Caresource","Health Exchange","",,"62",,"27.28","16.1","34.1","percent of total billed charges",,
"CMV BY PCR QUALITATIVE","87496","HCPCS","Both",,,"44","22","Cigna","Commercial","",,"59",,"25.78","16.1","34.1","percent of total billed charges",,
"CMV BY PCR QUALITATIVE","87496","HCPCS","Both",,,"44","22","Humana","Commercial","",,"78",,"34.1","16.1","34.1","percent of total billed charges",,
"CMV BY PCR QUALITATIVE","87496","HCPCS","Both",,,"44","22","UHC","Commercial","",,"75",,"33.18","16.1","34.1","percent of total billed charges",,
"CMV BY PCR QUALITATIVE","87496","HCPCS","Both",,,"44","22","Medicaid",,"",,"37",,"16.1","16.1","34.1","percent of total billed charges",,
"CMV DNA QUANTIFICATION BY PCR","87497","HCPCS","Both",,,"53.5","26.75","Alliant","Health Exchange","",,"62",,"33.17","19.58","41.46","percent of total billed charges",,
"CMV DNA QUANTIFICATION BY PCR","87497","HCPCS","Both",,,"53.5","26.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"28.89","19.58","41.46","percent of total billed charges",,
"CMV DNA QUANTIFICATION BY PCR","87497","HCPCS","Both",,,"53.5","26.75","Medicare",,"",,"54",,"29","19.58","41.46","percent of total billed charges",,
"CMV DNA QUANTIFICATION BY PCR","87497","HCPCS","Both",,,"53.5","26.75","Humana","Medicare Advantage","",,"54",,"29","19.58","41.46","percent of total billed charges",,
"CMV DNA QUANTIFICATION BY PCR","87497","HCPCS","Both",,,"53.5","26.75","UHC","Medicare Advantage","",,"54",,"29","19.58","41.46","percent of total billed charges",,
"CMV DNA QUANTIFICATION BY PCR","87497","HCPCS","Both",,,"53.5","26.75","Clover","Medicare Advantage","",,"54",,"29","19.58","41.46","percent of total billed charges",,
"CMV DNA QUANTIFICATION BY PCR","87497","HCPCS","Both",,,"53.5","26.75","Wellcare","Medicare Advantage","",,"54",,"29","19.58","41.46","percent of total billed charges",,
"CMV DNA QUANTIFICATION BY PCR","87497","HCPCS","Both",,,"53.5","26.75","Amerigroup","Medicaid Managed Care","",,"37",,"19.58","19.58","41.46","percent of total billed charges",,
"CMV DNA QUANTIFICATION BY PCR","87497","HCPCS","Both",,,"53.5","26.75","Caresource","Medicaid Managed Care","",,"40",,"21.4","19.58","41.46","percent of total billed charges",,
"CMV DNA QUANTIFICATION BY PCR","87497","HCPCS","Both",,,"53.5","26.75","Wellcare","Medicaid Managed Care","",,"40",,"21.67","19.58","41.46","percent of total billed charges",,
"CMV DNA QUANTIFICATION BY PCR","87497","HCPCS","Both",,,"53.5","26.75","Aetna","Commercial","",,"64",,"34.13","19.58","41.46","percent of total billed charges",,
"CMV DNA QUANTIFICATION BY PCR","87497","HCPCS","Both",,,"53.5","26.75","Blue Cross Blue Shield","Pathways","",,"71",,"37.77","19.58","41.46","percent of total billed charges",,
"CMV DNA QUANTIFICATION BY PCR","87497","HCPCS","Both",,,"53.5","26.75","Blue Cross Blue Shield","HMO","",,"71",,"37.77","19.58","41.46","percent of total billed charges",,
"CMV DNA QUANTIFICATION BY PCR","87497","HCPCS","Both",,,"53.5","26.75","Blue Cross Blue Shield","PPO","",,"71",,"37.77","19.58","41.46","percent of total billed charges",,
"CMV DNA QUANTIFICATION BY PCR","87497","HCPCS","Both",,,"53.5","26.75","Ambetter","Health Exchange","",,"62",,"33.17","19.58","41.46","percent of total billed charges",,
"CMV DNA QUANTIFICATION BY PCR","87497","HCPCS","Both",,,"53.5","26.75","Caresource","Health Exchange","",,"62",,"33.17","19.58","41.46","percent of total billed charges",,
"CMV DNA QUANTIFICATION BY PCR","87497","HCPCS","Both",,,"53.5","26.75","Cigna","Commercial","",,"59",,"31.35","19.58","41.46","percent of total billed charges",,
"CMV DNA QUANTIFICATION BY PCR","87497","HCPCS","Both",,,"53.5","26.75","Humana","Commercial","",,"78",,"41.46","19.58","41.46","percent of total billed charges",,
"CMV DNA QUANTIFICATION BY PCR","87497","HCPCS","Both",,,"53.5","26.75","UHC","Commercial","",,"75",,"40.34","19.58","41.46","percent of total billed charges",,
"CMV DNA QUANTIFICATION BY PCR","87497","HCPCS","Both",,,"53.5","26.75","Medicaid",,"",,"37",,"19.58","19.58","41.46","percent of total billed charges",,
"HERPES SIMPLEX PCR, FLUIDS","87529","HCPCS","Both",,,"85","42.5","Alliant","Health Exchange","",,"62",,"52.7","31.11","65.88","percent of total billed charges",,
"HERPES SIMPLEX PCR, FLUIDS","87529","HCPCS","Both",,,"85","42.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"45.9","31.11","65.88","percent of total billed charges",,
"HERPES SIMPLEX PCR, FLUIDS","87529","HCPCS","Both",,,"85","42.5","Medicare",,"",,"54",,"46.07","31.11","65.88","percent of total billed charges",,
"HERPES SIMPLEX PCR, FLUIDS","87529","HCPCS","Both",,,"85","42.5","Humana","Medicare Advantage","",,"54",,"46.07","31.11","65.88","percent of total billed charges",,
"HERPES SIMPLEX PCR, FLUIDS","87529","HCPCS","Both",,,"85","42.5","UHC","Medicare Advantage","",,"54",,"46.07","31.11","65.88","percent of total billed charges",,
"HERPES SIMPLEX PCR, FLUIDS","87529","HCPCS","Both",,,"85","42.5","Clover","Medicare Advantage","",,"54",,"46.07","31.11","65.88","percent of total billed charges",,
"HERPES SIMPLEX PCR, FLUIDS","87529","HCPCS","Both",,,"85","42.5","Wellcare","Medicare Advantage","",,"54",,"46.07","31.11","65.88","percent of total billed charges",,
"HERPES SIMPLEX PCR, FLUIDS","87529","HCPCS","Both",,,"85","42.5","Amerigroup","Medicaid Managed Care","",,"37",,"31.11","31.11","65.88","percent of total billed charges",,
"HERPES SIMPLEX PCR, FLUIDS","87529","HCPCS","Both",,,"85","42.5","Caresource","Medicaid Managed Care","",,"40",,"34","31.11","65.88","percent of total billed charges",,
"HERPES SIMPLEX PCR, FLUIDS","87529","HCPCS","Both",,,"85","42.5","Wellcare","Medicaid Managed Care","",,"40",,"34.43","31.11","65.88","percent of total billed charges",,
"HERPES SIMPLEX PCR, FLUIDS","87529","HCPCS","Both",,,"85","42.5","Aetna","Commercial","",,"64",,"54.23","31.11","65.88","percent of total billed charges",,
"HERPES SIMPLEX PCR, FLUIDS","87529","HCPCS","Both",,,"85","42.5","Blue Cross Blue Shield","Pathways","",,"71",,"60.01","31.11","65.88","percent of total billed charges",,
"HERPES SIMPLEX PCR, FLUIDS","87529","HCPCS","Both",,,"85","42.5","Blue Cross Blue Shield","HMO","",,"71",,"60.01","31.11","65.88","percent of total billed charges",,
"HERPES SIMPLEX PCR, FLUIDS","87529","HCPCS","Both",,,"85","42.5","Blue Cross Blue Shield","PPO","",,"71",,"60.01","31.11","65.88","percent of total billed charges",,
"HERPES SIMPLEX PCR, FLUIDS","87529","HCPCS","Both",,,"85","42.5","Ambetter","Health Exchange","",,"62",,"52.7","31.11","65.88","percent of total billed charges",,
"HERPES SIMPLEX PCR, FLUIDS","87529","HCPCS","Both",,,"85","42.5","Caresource","Health Exchange","",,"62",,"52.7","31.11","65.88","percent of total billed charges",,
"HERPES SIMPLEX PCR, FLUIDS","87529","HCPCS","Both",,,"85","42.5","Cigna","Commercial","",,"59",,"49.81","31.11","65.88","percent of total billed charges",,
"HERPES SIMPLEX PCR, FLUIDS","87529","HCPCS","Both",,,"85","42.5","Humana","Commercial","",,"78",,"65.88","31.11","65.88","percent of total billed charges",,
"HERPES SIMPLEX PCR, FLUIDS","87529","HCPCS","Both",,,"85","42.5","UHC","Commercial","",,"75",,"64.09","31.11","65.88","percent of total billed charges",,
"HERPES SIMPLEX PCR, FLUIDS","87529","HCPCS","Both",,,"85","42.5","Medicaid",,"",,"37",,"31.11","31.11","65.88","percent of total billed charges",,
"SARS-CoV2 COVID-19 AMPLIFIED PROBE TECHN","87635","HCPCS","Both",,,"200","100","Alliant","Health Exchange","",,"62",,"124","73.2","155","percent of total billed charges",,
"SARS-CoV2 COVID-19 AMPLIFIED PROBE TECHN","87635","HCPCS","Both",,,"200","100","Pruitt Healthcare","Medicare Advantage","",,"54",,"108","73.2","155","percent of total billed charges",,
"SARS-CoV2 COVID-19 AMPLIFIED PROBE TECHN","87635","HCPCS","Both",,,"200","100","Medicare",,"",,"54",,"108.4","73.2","155","percent of total billed charges",,
"SARS-CoV2 COVID-19 AMPLIFIED PROBE TECHN","87635","HCPCS","Both",,,"200","100","Humana","Medicare Advantage","",,"54",,"108.4","73.2","155","percent of total billed charges",,
"SARS-CoV2 COVID-19 AMPLIFIED PROBE TECHN","87635","HCPCS","Both",,,"200","100","UHC","Medicare Advantage","",,"54",,"108.4","73.2","155","percent of total billed charges",,
"SARS-CoV2 COVID-19 AMPLIFIED PROBE TECHN","87635","HCPCS","Both",,,"200","100","Clover","Medicare Advantage","",,"54",,"108.4","73.2","155","percent of total billed charges",,
"SARS-CoV2 COVID-19 AMPLIFIED PROBE TECHN","87635","HCPCS","Both",,,"200","100","Wellcare","Medicare Advantage","",,"54",,"108.4","73.2","155","percent of total billed charges",,
"SARS-CoV2 COVID-19 AMPLIFIED PROBE TECHN","87635","HCPCS","Both",,,"200","100","Amerigroup","Medicaid Managed Care","",,"37",,"73.2","73.2","155","percent of total billed charges",,
"SARS-CoV2 COVID-19 AMPLIFIED PROBE TECHN","87635","HCPCS","Both",,,"200","100","Caresource","Medicaid Managed Care","",,"40",,"80","73.2","155","percent of total billed charges",,
"SARS-CoV2 COVID-19 AMPLIFIED PROBE TECHN","87635","HCPCS","Both",,,"200","100","Wellcare","Medicaid Managed Care","",,"40",,"81","73.2","155","percent of total billed charges",,
"SARS-CoV2 COVID-19 AMPLIFIED PROBE TECHN","87635","HCPCS","Both",,,"200","100","Aetna","Commercial","",,"64",,"127.6","73.2","155","percent of total billed charges",,
"SARS-CoV2 COVID-19 AMPLIFIED PROBE TECHN","87635","HCPCS","Both",,,"200","100","Blue Cross Blue Shield","Pathways","",,"71",,"141.2","73.2","155","percent of total billed charges",,
"SARS-CoV2 COVID-19 AMPLIFIED PROBE TECHN","87635","HCPCS","Both",,,"200","100","Blue Cross Blue Shield","HMO","",,"71",,"141.2","73.2","155","percent of total billed charges",,
"SARS-CoV2 COVID-19 AMPLIFIED PROBE TECHN","87635","HCPCS","Both",,,"200","100","Blue Cross Blue Shield","PPO","",,"71",,"141.2","73.2","155","percent of total billed charges",,
"SARS-CoV2 COVID-19 AMPLIFIED PROBE TECHN","87635","HCPCS","Both",,,"200","100","Ambetter","Health Exchange","",,"62",,"124","73.2","155","percent of total billed charges",,
"SARS-CoV2 COVID-19 AMPLIFIED PROBE TECHN","87635","HCPCS","Both",,,"200","100","Caresource","Health Exchange","",,"62",,"124","73.2","155","percent of total billed charges",,
"SARS-CoV2 COVID-19 AMPLIFIED PROBE TECHN","87635","HCPCS","Both",,,"200","100","Cigna","Commercial","",,"59",,"117.2","73.2","155","percent of total billed charges",,
"SARS-CoV2 COVID-19 AMPLIFIED PROBE TECHN","87635","HCPCS","Both",,,"200","100","Humana","Commercial","",,"78",,"155","73.2","155","percent of total billed charges",,
"SARS-CoV2 COVID-19 AMPLIFIED PROBE TECHN","87635","HCPCS","Both",,,"200","100","UHC","Commercial","",,"75",,"150.8","73.2","155","percent of total billed charges",,
"SARS-CoV2 COVID-19 AMPLIFIED PROBE TECHN","87635","HCPCS","Both",,,"200","100","Medicaid",,"",,"37",,"73.2","73.2","155","percent of total billed charges",,
"BK VIRUS QUANT PCR BLOOD","87799","HCPCS","Both",,,"53.5","26.75","Alliant","Health Exchange","",,"62",,"33.17","19.58","41.46","percent of total billed charges",,
"BK VIRUS QUANT PCR BLOOD","87799","HCPCS","Both",,,"53.5","26.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"28.89","19.58","41.46","percent of total billed charges",,
"BK VIRUS QUANT PCR BLOOD","87799","HCPCS","Both",,,"53.5","26.75","Medicare",,"",,"54",,"29","19.58","41.46","percent of total billed charges",,
"BK VIRUS QUANT PCR BLOOD","87799","HCPCS","Both",,,"53.5","26.75","Humana","Medicare Advantage","",,"54",,"29","19.58","41.46","percent of total billed charges",,
"BK VIRUS QUANT PCR BLOOD","87799","HCPCS","Both",,,"53.5","26.75","UHC","Medicare Advantage","",,"54",,"29","19.58","41.46","percent of total billed charges",,
"BK VIRUS QUANT PCR BLOOD","87799","HCPCS","Both",,,"53.5","26.75","Clover","Medicare Advantage","",,"54",,"29","19.58","41.46","percent of total billed charges",,
"BK VIRUS QUANT PCR BLOOD","87799","HCPCS","Both",,,"53.5","26.75","Wellcare","Medicare Advantage","",,"54",,"29","19.58","41.46","percent of total billed charges",,
"BK VIRUS QUANT PCR BLOOD","87799","HCPCS","Both",,,"53.5","26.75","Amerigroup","Medicaid Managed Care","",,"37",,"19.58","19.58","41.46","percent of total billed charges",,
"BK VIRUS QUANT PCR BLOOD","87799","HCPCS","Both",,,"53.5","26.75","Caresource","Medicaid Managed Care","",,"40",,"21.4","19.58","41.46","percent of total billed charges",,
"BK VIRUS QUANT PCR BLOOD","87799","HCPCS","Both",,,"53.5","26.75","Wellcare","Medicaid Managed Care","",,"40",,"21.67","19.58","41.46","percent of total billed charges",,
"BK VIRUS QUANT PCR BLOOD","87799","HCPCS","Both",,,"53.5","26.75","Aetna","Commercial","",,"64",,"34.13","19.58","41.46","percent of total billed charges",,
"BK VIRUS QUANT PCR BLOOD","87799","HCPCS","Both",,,"53.5","26.75","Blue Cross Blue Shield","Pathways","",,"71",,"37.77","19.58","41.46","percent of total billed charges",,
"BK VIRUS QUANT PCR BLOOD","87799","HCPCS","Both",,,"53.5","26.75","Blue Cross Blue Shield","HMO","",,"71",,"37.77","19.58","41.46","percent of total billed charges",,
"BK VIRUS QUANT PCR BLOOD","87799","HCPCS","Both",,,"53.5","26.75","Blue Cross Blue Shield","PPO","",,"71",,"37.77","19.58","41.46","percent of total billed charges",,
"BK VIRUS QUANT PCR BLOOD","87799","HCPCS","Both",,,"53.5","26.75","Ambetter","Health Exchange","",,"62",,"33.17","19.58","41.46","percent of total billed charges",,
"BK VIRUS QUANT PCR BLOOD","87799","HCPCS","Both",,,"53.5","26.75","Caresource","Health Exchange","",,"62",,"33.17","19.58","41.46","percent of total billed charges",,
"BK VIRUS QUANT PCR BLOOD","87799","HCPCS","Both",,,"53.5","26.75","Cigna","Commercial","",,"59",,"31.35","19.58","41.46","percent of total billed charges",,
"BK VIRUS QUANT PCR BLOOD","87799","HCPCS","Both",,,"53.5","26.75","Humana","Commercial","",,"78",,"41.46","19.58","41.46","percent of total billed charges",,
"BK VIRUS QUANT PCR BLOOD","87799","HCPCS","Both",,,"53.5","26.75","UHC","Commercial","",,"75",,"40.34","19.58","41.46","percent of total billed charges",,
"BK VIRUS QUANT PCR BLOOD","87799","HCPCS","Both",,,"53.5","26.75","Medicaid",,"",,"37",,"19.58","19.58","41.46","percent of total billed charges",,
"CULTURE BLOOD SET #2","87040","HCPCS","Both",,,"15.5","7.75","Alliant","Health Exchange","",,"62",,"9.61","5.67","12.01","percent of total billed charges",,
"CULTURE BLOOD SET #2","87040","HCPCS","Both",,,"15.5","7.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"8.37","5.67","12.01","percent of total billed charges",,
"CULTURE BLOOD SET #2","87040","HCPCS","Both",,,"15.5","7.75","Medicare",,"",,"54",,"8.4","5.67","12.01","percent of total billed charges",,
"CULTURE BLOOD SET #2","87040","HCPCS","Both",,,"15.5","7.75","Humana","Medicare Advantage","",,"54",,"8.4","5.67","12.01","percent of total billed charges",,
"CULTURE BLOOD SET #2","87040","HCPCS","Both",,,"15.5","7.75","UHC","Medicare Advantage","",,"54",,"8.4","5.67","12.01","percent of total billed charges",,
"CULTURE BLOOD SET #2","87040","HCPCS","Both",,,"15.5","7.75","Clover","Medicare Advantage","",,"54",,"8.4","5.67","12.01","percent of total billed charges",,
"CULTURE BLOOD SET #2","87040","HCPCS","Both",,,"15.5","7.75","Wellcare","Medicare Advantage","",,"54",,"8.4","5.67","12.01","percent of total billed charges",,
"CULTURE BLOOD SET #2","87040","HCPCS","Both",,,"15.5","7.75","Amerigroup","Medicaid Managed Care","",,"37",,"5.67","5.67","12.01","percent of total billed charges",,
"CULTURE BLOOD SET #2","87040","HCPCS","Both",,,"15.5","7.75","Caresource","Medicaid Managed Care","",,"40",,"6.2","5.67","12.01","percent of total billed charges",,
"CULTURE BLOOD SET #2","87040","HCPCS","Both",,,"15.5","7.75","Wellcare","Medicaid Managed Care","",,"40",,"6.28","5.67","12.01","percent of total billed charges",,
"CULTURE BLOOD SET #2","87040","HCPCS","Both",,,"15.5","7.75","Aetna","Commercial","",,"64",,"9.89","5.67","12.01","percent of total billed charges",,
"CULTURE BLOOD SET #2","87040","HCPCS","Both",,,"15.5","7.75","Blue Cross Blue Shield","Pathways","",,"71",,"10.94","5.67","12.01","percent of total billed charges",,
"CULTURE BLOOD SET #2","87040","HCPCS","Both",,,"15.5","7.75","Blue Cross Blue Shield","HMO","",,"71",,"10.94","5.67","12.01","percent of total billed charges",,
"CULTURE BLOOD SET #2","87040","HCPCS","Both",,,"15.5","7.75","Blue Cross Blue Shield","PPO","",,"71",,"10.94","5.67","12.01","percent of total billed charges",,
"CULTURE BLOOD SET #2","87040","HCPCS","Both",,,"15.5","7.75","Ambetter","Health Exchange","",,"62",,"9.61","5.67","12.01","percent of total billed charges",,
"CULTURE BLOOD SET #2","87040","HCPCS","Both",,,"15.5","7.75","Caresource","Health Exchange","",,"62",,"9.61","5.67","12.01","percent of total billed charges",,
"CULTURE BLOOD SET #2","87040","HCPCS","Both",,,"15.5","7.75","Cigna","Commercial","",,"59",,"9.08","5.67","12.01","percent of total billed charges",,
"CULTURE BLOOD SET #2","87040","HCPCS","Both",,,"15.5","7.75","Humana","Commercial","",,"78",,"12.01","5.67","12.01","percent of total billed charges",,
"CULTURE BLOOD SET #2","87040","HCPCS","Both",,,"15.5","7.75","UHC","Commercial","",,"75",,"11.69","5.67","12.01","percent of total billed charges",,
"CULTURE BLOOD SET #2","87040","HCPCS","Both",,,"15.5","7.75","Medicaid",,"",,"37",,"5.67","5.67","12.01","percent of total billed charges",,
"PROTEIN 24HR URINE","84156","HCPCS","Both",,,"5.5","2.75","Alliant","Health Exchange","",,"62",,"3.41","2.01","4.26","percent of total billed charges",,
"PROTEIN 24HR URINE","84156","HCPCS","Both",,,"5.5","2.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"2.97","2.01","4.26","percent of total billed charges",,
"PROTEIN 24HR URINE","84156","HCPCS","Both",,,"5.5","2.75","Medicare",,"",,"54",,"2.98","2.01","4.26","percent of total billed charges",,
"PROTEIN 24HR URINE","84156","HCPCS","Both",,,"5.5","2.75","Humana","Medicare Advantage","",,"54",,"2.98","2.01","4.26","percent of total billed charges",,
"PROTEIN 24HR URINE","84156","HCPCS","Both",,,"5.5","2.75","UHC","Medicare Advantage","",,"54",,"2.98","2.01","4.26","percent of total billed charges",,
"PROTEIN 24HR URINE","84156","HCPCS","Both",,,"5.5","2.75","Clover","Medicare Advantage","",,"54",,"2.98","2.01","4.26","percent of total billed charges",,
"PROTEIN 24HR URINE","84156","HCPCS","Both",,,"5.5","2.75","Wellcare","Medicare Advantage","",,"54",,"2.98","2.01","4.26","percent of total billed charges",,
"PROTEIN 24HR URINE","84156","HCPCS","Both",,,"5.5","2.75","Amerigroup","Medicaid Managed Care","",,"37",,"2.01","2.01","4.26","percent of total billed charges",,
"PROTEIN 24HR URINE","84156","HCPCS","Both",,,"5.5","2.75","Caresource","Medicaid Managed Care","",,"40",,"2.2","2.01","4.26","percent of total billed charges",,
"PROTEIN 24HR URINE","84156","HCPCS","Both",,,"5.5","2.75","Wellcare","Medicaid Managed Care","",,"40",,"2.23","2.01","4.26","percent of total billed charges",,
"PROTEIN 24HR URINE","84156","HCPCS","Both",,,"5.5","2.75","Aetna","Commercial","",,"64",,"3.51","2.01","4.26","percent of total billed charges",,
"PROTEIN 24HR URINE","84156","HCPCS","Both",,,"5.5","2.75","Blue Cross Blue Shield","Pathways","",,"71",,"3.88","2.01","4.26","percent of total billed charges",,
"PROTEIN 24HR URINE","84156","HCPCS","Both",,,"5.5","2.75","Blue Cross Blue Shield","HMO","",,"71",,"3.88","2.01","4.26","percent of total billed charges",,
"PROTEIN 24HR URINE","84156","HCPCS","Both",,,"5.5","2.75","Blue Cross Blue Shield","PPO","",,"71",,"3.88","2.01","4.26","percent of total billed charges",,
"PROTEIN 24HR URINE","84156","HCPCS","Both",,,"5.5","2.75","Ambetter","Health Exchange","",,"62",,"3.41","2.01","4.26","percent of total billed charges",,
"PROTEIN 24HR URINE","84156","HCPCS","Both",,,"5.5","2.75","Caresource","Health Exchange","",,"62",,"3.41","2.01","4.26","percent of total billed charges",,
"PROTEIN 24HR URINE","84156","HCPCS","Both",,,"5.5","2.75","Cigna","Commercial","",,"59",,"3.22","2.01","4.26","percent of total billed charges",,
"PROTEIN 24HR URINE","84156","HCPCS","Both",,,"5.5","2.75","Humana","Commercial","",,"78",,"4.26","2.01","4.26","percent of total billed charges",,
"PROTEIN 24HR URINE","84156","HCPCS","Both",,,"5.5","2.75","UHC","Commercial","",,"75",,"4.15","2.01","4.26","percent of total billed charges",,
"PROTEIN 24HR URINE","84156","HCPCS","Both",,,"5.5","2.75","Medicaid",,"",,"37",,"2.01","2.01","4.26","percent of total billed charges",,
"CREATININE 24HR URINE","82570","HCPCS","Both",,,"7.5","3.75","Alliant","Health Exchange","",,"62",,"4.65","2.74","5.81","percent of total billed charges",,
"CREATININE 24HR URINE","82570","HCPCS","Both",,,"7.5","3.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"4.05","2.74","5.81","percent of total billed charges",,
"CREATININE 24HR URINE","82570","HCPCS","Both",,,"7.5","3.75","Medicare",,"",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"CREATININE 24HR URINE","82570","HCPCS","Both",,,"7.5","3.75","Humana","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"CREATININE 24HR URINE","82570","HCPCS","Both",,,"7.5","3.75","UHC","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"CREATININE 24HR URINE","82570","HCPCS","Both",,,"7.5","3.75","Clover","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"CREATININE 24HR URINE","82570","HCPCS","Both",,,"7.5","3.75","Wellcare","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"CREATININE 24HR URINE","82570","HCPCS","Both",,,"7.5","3.75","Amerigroup","Medicaid Managed Care","",,"37",,"2.74","2.74","5.81","percent of total billed charges",,
"CREATININE 24HR URINE","82570","HCPCS","Both",,,"7.5","3.75","Caresource","Medicaid Managed Care","",,"40",,"3","2.74","5.81","percent of total billed charges",,
"CREATININE 24HR URINE","82570","HCPCS","Both",,,"7.5","3.75","Wellcare","Medicaid Managed Care","",,"40",,"3.04","2.74","5.81","percent of total billed charges",,
"CREATININE 24HR URINE","82570","HCPCS","Both",,,"7.5","3.75","Aetna","Commercial","",,"64",,"4.78","2.74","5.81","percent of total billed charges",,
"CREATININE 24HR URINE","82570","HCPCS","Both",,,"7.5","3.75","Blue Cross Blue Shield","Pathways","",,"71",,"5.3","2.74","5.81","percent of total billed charges",,
"CREATININE 24HR URINE","82570","HCPCS","Both",,,"7.5","3.75","Blue Cross Blue Shield","HMO","",,"71",,"5.3","2.74","5.81","percent of total billed charges",,
"CREATININE 24HR URINE","82570","HCPCS","Both",,,"7.5","3.75","Blue Cross Blue Shield","PPO","",,"71",,"5.3","2.74","5.81","percent of total billed charges",,
"CREATININE 24HR URINE","82570","HCPCS","Both",,,"7.5","3.75","Ambetter","Health Exchange","",,"62",,"4.65","2.74","5.81","percent of total billed charges",,
"CREATININE 24HR URINE","82570","HCPCS","Both",,,"7.5","3.75","Caresource","Health Exchange","",,"62",,"4.65","2.74","5.81","percent of total billed charges",,
"CREATININE 24HR URINE","82570","HCPCS","Both",,,"7.5","3.75","Cigna","Commercial","",,"59",,"4.39","2.74","5.81","percent of total billed charges",,
"CREATININE 24HR URINE","82570","HCPCS","Both",,,"7.5","3.75","Humana","Commercial","",,"78",,"5.81","2.74","5.81","percent of total billed charges",,
"CREATININE 24HR URINE","82570","HCPCS","Both",,,"7.5","3.75","UHC","Commercial","",,"75",,"5.66","2.74","5.81","percent of total billed charges",,
"CREATININE 24HR URINE","82570","HCPCS","Both",,,"7.5","3.75","Medicaid",,"",,"37",,"2.74","2.74","5.81","percent of total billed charges",,
"COBALT BLOOD","83018","HCPCS","Both",,,"156.5","78.25","Alliant","Health Exchange","",,"62",,"97.03","57.28","121.29","percent of total billed charges",,
"COBALT BLOOD","83018","HCPCS","Both",,,"156.5","78.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"84.51","57.28","121.29","percent of total billed charges",,
"COBALT BLOOD","83018","HCPCS","Both",,,"156.5","78.25","Medicare",,"",,"54",,"84.82","57.28","121.29","percent of total billed charges",,
"COBALT BLOOD","83018","HCPCS","Both",,,"156.5","78.25","Humana","Medicare Advantage","",,"54",,"84.82","57.28","121.29","percent of total billed charges",,
"COBALT BLOOD","83018","HCPCS","Both",,,"156.5","78.25","UHC","Medicare Advantage","",,"54",,"84.82","57.28","121.29","percent of total billed charges",,
"COBALT BLOOD","83018","HCPCS","Both",,,"156.5","78.25","Clover","Medicare Advantage","",,"54",,"84.82","57.28","121.29","percent of total billed charges",,
"COBALT BLOOD","83018","HCPCS","Both",,,"156.5","78.25","Wellcare","Medicare Advantage","",,"54",,"84.82","57.28","121.29","percent of total billed charges",,
"COBALT BLOOD","83018","HCPCS","Both",,,"156.5","78.25","Amerigroup","Medicaid Managed Care","",,"37",,"57.28","57.28","121.29","percent of total billed charges",,
"COBALT BLOOD","83018","HCPCS","Both",,,"156.5","78.25","Caresource","Medicaid Managed Care","",,"40",,"62.6","57.28","121.29","percent of total billed charges",,
"COBALT BLOOD","83018","HCPCS","Both",,,"156.5","78.25","Wellcare","Medicaid Managed Care","",,"40",,"63.38","57.28","121.29","percent of total billed charges",,
"COBALT BLOOD","83018","HCPCS","Both",,,"156.5","78.25","Aetna","Commercial","",,"64",,"99.85","57.28","121.29","percent of total billed charges",,
"COBALT BLOOD","83018","HCPCS","Both",,,"156.5","78.25","Blue Cross Blue Shield","Pathways","",,"71",,"110.49","57.28","121.29","percent of total billed charges",,
"COBALT BLOOD","83018","HCPCS","Both",,,"156.5","78.25","Blue Cross Blue Shield","HMO","",,"71",,"110.49","57.28","121.29","percent of total billed charges",,
"COBALT BLOOD","83018","HCPCS","Both",,,"156.5","78.25","Blue Cross Blue Shield","PPO","",,"71",,"110.49","57.28","121.29","percent of total billed charges",,
"COBALT BLOOD","83018","HCPCS","Both",,,"156.5","78.25","Ambetter","Health Exchange","",,"62",,"97.03","57.28","121.29","percent of total billed charges",,
"COBALT BLOOD","83018","HCPCS","Both",,,"156.5","78.25","Caresource","Health Exchange","",,"62",,"97.03","57.28","121.29","percent of total billed charges",,
"COBALT BLOOD","83018","HCPCS","Both",,,"156.5","78.25","Cigna","Commercial","",,"59",,"91.71","57.28","121.29","percent of total billed charges",,
"COBALT BLOOD","83018","HCPCS","Both",,,"156.5","78.25","Humana","Commercial","",,"78",,"121.29","57.28","121.29","percent of total billed charges",,
"COBALT BLOOD","83018","HCPCS","Both",,,"156.5","78.25","UHC","Commercial","",,"75",,"118","57.28","121.29","percent of total billed charges",,
"COBALT BLOOD","83018","HCPCS","Both",,,"156.5","78.25","Medicaid",,"",,"37",,"57.28","57.28","121.29","percent of total billed charges",,
"SJOGREN SS-A ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Alliant","Health Exchange","",,"62",,"28.83","17.02","36.04","percent of total billed charges",,
"SJOGREN SS-A ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"25.11","17.02","36.04","percent of total billed charges",,
"SJOGREN SS-A ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Medicare",,"",,"54",,"25.2","17.02","36.04","percent of total billed charges",,
"SJOGREN SS-A ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Humana","Medicare Advantage","",,"54",,"25.2","17.02","36.04","percent of total billed charges",,
"SJOGREN SS-A ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","UHC","Medicare Advantage","",,"54",,"25.2","17.02","36.04","percent of total billed charges",,
"SJOGREN SS-A ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Clover","Medicare Advantage","",,"54",,"25.2","17.02","36.04","percent of total billed charges",,
"SJOGREN SS-A ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Wellcare","Medicare Advantage","",,"54",,"25.2","17.02","36.04","percent of total billed charges",,
"SJOGREN SS-A ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Amerigroup","Medicaid Managed Care","",,"37",,"17.02","17.02","36.04","percent of total billed charges",,
"SJOGREN SS-A ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Caresource","Medicaid Managed Care","",,"40",,"18.6","17.02","36.04","percent of total billed charges",,
"SJOGREN SS-A ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Wellcare","Medicaid Managed Care","",,"40",,"18.83","17.02","36.04","percent of total billed charges",,
"SJOGREN SS-A ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Aetna","Commercial","",,"64",,"29.67","17.02","36.04","percent of total billed charges",,
"SJOGREN SS-A ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Blue Cross Blue Shield","Pathways","",,"71",,"32.83","17.02","36.04","percent of total billed charges",,
"SJOGREN SS-A ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Blue Cross Blue Shield","HMO","",,"71",,"32.83","17.02","36.04","percent of total billed charges",,
"SJOGREN SS-A ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Blue Cross Blue Shield","PPO","",,"71",,"32.83","17.02","36.04","percent of total billed charges",,
"SJOGREN SS-A ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Ambetter","Health Exchange","",,"62",,"28.83","17.02","36.04","percent of total billed charges",,
"SJOGREN SS-A ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Caresource","Health Exchange","",,"62",,"28.83","17.02","36.04","percent of total billed charges",,
"SJOGREN SS-A ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Cigna","Commercial","",,"59",,"27.25","17.02","36.04","percent of total billed charges",,
"SJOGREN SS-A ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Humana","Commercial","",,"78",,"36.04","17.02","36.04","percent of total billed charges",,
"SJOGREN SS-A ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","UHC","Commercial","",,"75",,"35.06","17.02","36.04","percent of total billed charges",,
"SJOGREN SS-A ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Medicaid",,"",,"37",,"17.02","17.02","36.04","percent of total billed charges",,
"SJOGREN SS-B ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Alliant","Health Exchange","",,"62",,"28.83","17.02","36.04","percent of total billed charges",,
"SJOGREN SS-B ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"25.11","17.02","36.04","percent of total billed charges",,
"SJOGREN SS-B ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Medicare",,"",,"54",,"25.2","17.02","36.04","percent of total billed charges",,
"SJOGREN SS-B ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Humana","Medicare Advantage","",,"54",,"25.2","17.02","36.04","percent of total billed charges",,
"SJOGREN SS-B ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","UHC","Medicare Advantage","",,"54",,"25.2","17.02","36.04","percent of total billed charges",,
"SJOGREN SS-B ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Clover","Medicare Advantage","",,"54",,"25.2","17.02","36.04","percent of total billed charges",,
"SJOGREN SS-B ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Wellcare","Medicare Advantage","",,"54",,"25.2","17.02","36.04","percent of total billed charges",,
"SJOGREN SS-B ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Amerigroup","Medicaid Managed Care","",,"37",,"17.02","17.02","36.04","percent of total billed charges",,
"SJOGREN SS-B ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Caresource","Medicaid Managed Care","",,"40",,"18.6","17.02","36.04","percent of total billed charges",,
"SJOGREN SS-B ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Wellcare","Medicaid Managed Care","",,"40",,"18.83","17.02","36.04","percent of total billed charges",,
"SJOGREN SS-B ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Aetna","Commercial","",,"64",,"29.67","17.02","36.04","percent of total billed charges",,
"SJOGREN SS-B ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Blue Cross Blue Shield","Pathways","",,"71",,"32.83","17.02","36.04","percent of total billed charges",,
"SJOGREN SS-B ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Blue Cross Blue Shield","HMO","",,"71",,"32.83","17.02","36.04","percent of total billed charges",,
"SJOGREN SS-B ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Blue Cross Blue Shield","PPO","",,"71",,"32.83","17.02","36.04","percent of total billed charges",,
"SJOGREN SS-B ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Ambetter","Health Exchange","",,"62",,"28.83","17.02","36.04","percent of total billed charges",,
"SJOGREN SS-B ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Caresource","Health Exchange","",,"62",,"28.83","17.02","36.04","percent of total billed charges",,
"SJOGREN SS-B ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Cigna","Commercial","",,"59",,"27.25","17.02","36.04","percent of total billed charges",,
"SJOGREN SS-B ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Humana","Commercial","",,"78",,"36.04","17.02","36.04","percent of total billed charges",,
"SJOGREN SS-B ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","UHC","Commercial","",,"75",,"35.06","17.02","36.04","percent of total billed charges",,
"SJOGREN SS-B ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Medicaid",,"",,"37",,"17.02","17.02","36.04","percent of total billed charges",,
"CANCER ANTIGEN 27.29","86300","HCPCS","Both",,,"149","74.5","Alliant","Health Exchange","",,"62",,"92.38","54.53","115.48","percent of total billed charges",,
"CANCER ANTIGEN 27.29","86300","HCPCS","Both",,,"149","74.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"80.46","54.53","115.48","percent of total billed charges",,
"CANCER ANTIGEN 27.29","86300","HCPCS","Both",,,"149","74.5","Medicare",,"",,"54",,"80.76","54.53","115.48","percent of total billed charges",,
"CANCER ANTIGEN 27.29","86300","HCPCS","Both",,,"149","74.5","Humana","Medicare Advantage","",,"54",,"80.76","54.53","115.48","percent of total billed charges",,
"CANCER ANTIGEN 27.29","86300","HCPCS","Both",,,"149","74.5","UHC","Medicare Advantage","",,"54",,"80.76","54.53","115.48","percent of total billed charges",,
"CANCER ANTIGEN 27.29","86300","HCPCS","Both",,,"149","74.5","Clover","Medicare Advantage","",,"54",,"80.76","54.53","115.48","percent of total billed charges",,
"CANCER ANTIGEN 27.29","86300","HCPCS","Both",,,"149","74.5","Wellcare","Medicare Advantage","",,"54",,"80.76","54.53","115.48","percent of total billed charges",,
"CANCER ANTIGEN 27.29","86300","HCPCS","Both",,,"149","74.5","Amerigroup","Medicaid Managed Care","",,"37",,"54.53","54.53","115.48","percent of total billed charges",,
"CANCER ANTIGEN 27.29","86300","HCPCS","Both",,,"149","74.5","Caresource","Medicaid Managed Care","",,"40",,"59.6","54.53","115.48","percent of total billed charges",,
"CANCER ANTIGEN 27.29","86300","HCPCS","Both",,,"149","74.5","Wellcare","Medicaid Managed Care","",,"40",,"60.35","54.53","115.48","percent of total billed charges",,
"CANCER ANTIGEN 27.29","86300","HCPCS","Both",,,"149","74.5","Aetna","Commercial","",,"64",,"95.06","54.53","115.48","percent of total billed charges",,
"CANCER ANTIGEN 27.29","86300","HCPCS","Both",,,"149","74.5","Blue Cross Blue Shield","Pathways","",,"71",,"105.19","54.53","115.48","percent of total billed charges",,
"CANCER ANTIGEN 27.29","86300","HCPCS","Both",,,"149","74.5","Blue Cross Blue Shield","HMO","",,"71",,"105.19","54.53","115.48","percent of total billed charges",,
"CANCER ANTIGEN 27.29","86300","HCPCS","Both",,,"149","74.5","Blue Cross Blue Shield","PPO","",,"71",,"105.19","54.53","115.48","percent of total billed charges",,
"CANCER ANTIGEN 27.29","86300","HCPCS","Both",,,"149","74.5","Ambetter","Health Exchange","",,"62",,"92.38","54.53","115.48","percent of total billed charges",,
"CANCER ANTIGEN 27.29","86300","HCPCS","Both",,,"149","74.5","Caresource","Health Exchange","",,"62",,"92.38","54.53","115.48","percent of total billed charges",,
"CANCER ANTIGEN 27.29","86300","HCPCS","Both",,,"149","74.5","Cigna","Commercial","",,"59",,"87.31","54.53","115.48","percent of total billed charges",,
"CANCER ANTIGEN 27.29","86300","HCPCS","Both",,,"149","74.5","Humana","Commercial","",,"78",,"115.48","54.53","115.48","percent of total billed charges",,
"CANCER ANTIGEN 27.29","86300","HCPCS","Both",,,"149","74.5","UHC","Commercial","",,"75",,"112.35","54.53","115.48","percent of total billed charges",,
"CANCER ANTIGEN 27.29","86300","HCPCS","Both",,,"149","74.5","Medicaid",,"",,"37",,"54.53","54.53","115.48","percent of total billed charges",,
"CALCIUM 24HR URINE","82340","HCPCS","Both",,,"43","21.5","Alliant","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"CALCIUM 24HR URINE","82340","HCPCS","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"23.22","15.74","33.33","percent of total billed charges",,
"CALCIUM 24HR URINE","82340","HCPCS","Both",,,"43","21.5","Medicare",,"",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"CALCIUM 24HR URINE","82340","HCPCS","Both",,,"43","21.5","Humana","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"CALCIUM 24HR URINE","82340","HCPCS","Both",,,"43","21.5","UHC","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"CALCIUM 24HR URINE","82340","HCPCS","Both",,,"43","21.5","Clover","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"CALCIUM 24HR URINE","82340","HCPCS","Both",,,"43","21.5","Wellcare","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"CALCIUM 24HR URINE","82340","HCPCS","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care","",,"37",,"15.74","15.74","33.33","percent of total billed charges",,
"CALCIUM 24HR URINE","82340","HCPCS","Both",,,"43","21.5","Caresource","Medicaid Managed Care","",,"40",,"17.2","15.74","33.33","percent of total billed charges",,
"CALCIUM 24HR URINE","82340","HCPCS","Both",,,"43","21.5","Wellcare","Medicaid Managed Care","",,"40",,"17.42","15.74","33.33","percent of total billed charges",,
"CALCIUM 24HR URINE","82340","HCPCS","Both",,,"43","21.5","Aetna","Commercial","",,"64",,"27.43","15.74","33.33","percent of total billed charges",,
"CALCIUM 24HR URINE","82340","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"CALCIUM 24HR URINE","82340","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","HMO","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"CALCIUM 24HR URINE","82340","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","PPO","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"CALCIUM 24HR URINE","82340","HCPCS","Both",,,"43","21.5","Ambetter","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"CALCIUM 24HR URINE","82340","HCPCS","Both",,,"43","21.5","Caresource","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"CALCIUM 24HR URINE","82340","HCPCS","Both",,,"43","21.5","Cigna","Commercial","",,"59",,"25.2","15.74","33.33","percent of total billed charges",,
"CALCIUM 24HR URINE","82340","HCPCS","Both",,,"43","21.5","Humana","Commercial","",,"78",,"33.33","15.74","33.33","percent of total billed charges",,
"CALCIUM 24HR URINE","82340","HCPCS","Both",,,"43","21.5","UHC","Commercial","",,"75",,"32.42","15.74","33.33","percent of total billed charges",,
"CALCIUM 24HR URINE","82340","HCPCS","Both",,,"43","21.5","Medicaid",,"",,"37",,"15.74","15.74","33.33","percent of total billed charges",,
"SODIUM 24HR URINE","84300","HCPCS","Both",,,"7.5","3.75","Alliant","Health Exchange","",,"62",,"4.65","2.74","5.81","percent of total billed charges",,
"SODIUM 24HR URINE","84300","HCPCS","Both",,,"7.5","3.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"4.05","2.74","5.81","percent of total billed charges",,
"SODIUM 24HR URINE","84300","HCPCS","Both",,,"7.5","3.75","Medicare",,"",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"SODIUM 24HR URINE","84300","HCPCS","Both",,,"7.5","3.75","Humana","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"SODIUM 24HR URINE","84300","HCPCS","Both",,,"7.5","3.75","UHC","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"SODIUM 24HR URINE","84300","HCPCS","Both",,,"7.5","3.75","Clover","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"SODIUM 24HR URINE","84300","HCPCS","Both",,,"7.5","3.75","Wellcare","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"SODIUM 24HR URINE","84300","HCPCS","Both",,,"7.5","3.75","Amerigroup","Medicaid Managed Care","",,"37",,"2.74","2.74","5.81","percent of total billed charges",,
"SODIUM 24HR URINE","84300","HCPCS","Both",,,"7.5","3.75","Caresource","Medicaid Managed Care","",,"40",,"3","2.74","5.81","percent of total billed charges",,
"SODIUM 24HR URINE","84300","HCPCS","Both",,,"7.5","3.75","Wellcare","Medicaid Managed Care","",,"40",,"3.04","2.74","5.81","percent of total billed charges",,
"SODIUM 24HR URINE","84300","HCPCS","Both",,,"7.5","3.75","Aetna","Commercial","",,"64",,"4.78","2.74","5.81","percent of total billed charges",,
"SODIUM 24HR URINE","84300","HCPCS","Both",,,"7.5","3.75","Blue Cross Blue Shield","Pathways","",,"71",,"5.3","2.74","5.81","percent of total billed charges",,
"SODIUM 24HR URINE","84300","HCPCS","Both",,,"7.5","3.75","Blue Cross Blue Shield","HMO","",,"71",,"5.3","2.74","5.81","percent of total billed charges",,
"SODIUM 24HR URINE","84300","HCPCS","Both",,,"7.5","3.75","Blue Cross Blue Shield","PPO","",,"71",,"5.3","2.74","5.81","percent of total billed charges",,
"SODIUM 24HR URINE","84300","HCPCS","Both",,,"7.5","3.75","Ambetter","Health Exchange","",,"62",,"4.65","2.74","5.81","percent of total billed charges",,
"SODIUM 24HR URINE","84300","HCPCS","Both",,,"7.5","3.75","Caresource","Health Exchange","",,"62",,"4.65","2.74","5.81","percent of total billed charges",,
"SODIUM 24HR URINE","84300","HCPCS","Both",,,"7.5","3.75","Cigna","Commercial","",,"59",,"4.39","2.74","5.81","percent of total billed charges",,
"SODIUM 24HR URINE","84300","HCPCS","Both",,,"7.5","3.75","Humana","Commercial","",,"78",,"5.81","2.74","5.81","percent of total billed charges",,
"SODIUM 24HR URINE","84300","HCPCS","Both",,,"7.5","3.75","UHC","Commercial","",,"75",,"5.66","2.74","5.81","percent of total billed charges",,
"SODIUM 24HR URINE","84300","HCPCS","Both",,,"7.5","3.75","Medicaid",,"",,"37",,"2.74","2.74","5.81","percent of total billed charges",,
"URIC ACID 24HR URINE","84560","HCPCS","Both",,,"50","25","Alliant","Health Exchange","",,"62",,"31","18.3","38.75","percent of total billed charges",,
"URIC ACID 24HR URINE","84560","HCPCS","Both",,,"50","25","Pruitt Healthcare","Medicare Advantage","",,"54",,"27","18.3","38.75","percent of total billed charges",,
"URIC ACID 24HR URINE","84560","HCPCS","Both",,,"50","25","Medicare",,"",,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"URIC ACID 24HR URINE","84560","HCPCS","Both",,,"50","25","Humana","Medicare Advantage","",,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"URIC ACID 24HR URINE","84560","HCPCS","Both",,,"50","25","UHC","Medicare Advantage","",,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"URIC ACID 24HR URINE","84560","HCPCS","Both",,,"50","25","Clover","Medicare Advantage","",,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"URIC ACID 24HR URINE","84560","HCPCS","Both",,,"50","25","Wellcare","Medicare Advantage","",,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"URIC ACID 24HR URINE","84560","HCPCS","Both",,,"50","25","Amerigroup","Medicaid Managed Care","",,"37",,"18.3","18.3","38.75","percent of total billed charges",,
"URIC ACID 24HR URINE","84560","HCPCS","Both",,,"50","25","Caresource","Medicaid Managed Care","",,"40",,"20","18.3","38.75","percent of total billed charges",,
"URIC ACID 24HR URINE","84560","HCPCS","Both",,,"50","25","Wellcare","Medicaid Managed Care","",,"40",,"20.25","18.3","38.75","percent of total billed charges",,
"URIC ACID 24HR URINE","84560","HCPCS","Both",,,"50","25","Aetna","Commercial","",,"64",,"31.9","18.3","38.75","percent of total billed charges",,
"URIC ACID 24HR URINE","84560","HCPCS","Both",,,"50","25","Blue Cross Blue Shield","Pathways","",,"71",,"35.3","18.3","38.75","percent of total billed charges",,
"URIC ACID 24HR URINE","84560","HCPCS","Both",,,"50","25","Blue Cross Blue Shield","HMO","",,"71",,"35.3","18.3","38.75","percent of total billed charges",,
"URIC ACID 24HR URINE","84560","HCPCS","Both",,,"50","25","Blue Cross Blue Shield","PPO","",,"71",,"35.3","18.3","38.75","percent of total billed charges",,
"URIC ACID 24HR URINE","84560","HCPCS","Both",,,"50","25","Ambetter","Health Exchange","",,"62",,"31","18.3","38.75","percent of total billed charges",,
"URIC ACID 24HR URINE","84560","HCPCS","Both",,,"50","25","Caresource","Health Exchange","",,"62",,"31","18.3","38.75","percent of total billed charges",,
"URIC ACID 24HR URINE","84560","HCPCS","Both",,,"50","25","Cigna","Commercial","",,"59",,"29.3","18.3","38.75","percent of total billed charges",,
"URIC ACID 24HR URINE","84560","HCPCS","Both",,,"50","25","Humana","Commercial","",,"78",,"38.75","18.3","38.75","percent of total billed charges",,
"URIC ACID 24HR URINE","84560","HCPCS","Both",,,"50","25","UHC","Commercial","",,"75",,"37.7","18.3","38.75","percent of total billed charges",,
"URIC ACID 24HR URINE","84560","HCPCS","Both",,,"50","25","Medicaid",,"",,"37",,"18.3","18.3","38.75","percent of total billed charges",,
"MAGNESIUM 24HR URINE","83735","HCPCS","Both",,,"6.5","3.25","Alliant","Health Exchange","",,"62",,"4.03","2.38","5.04","percent of total billed charges",,
"MAGNESIUM 24HR URINE","83735","HCPCS","Both",,,"6.5","3.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"3.51","2.38","5.04","percent of total billed charges",,
"MAGNESIUM 24HR URINE","83735","HCPCS","Both",,,"6.5","3.25","Medicare",,"",,"54",,"3.52","2.38","5.04","percent of total billed charges",,
"MAGNESIUM 24HR URINE","83735","HCPCS","Both",,,"6.5","3.25","Humana","Medicare Advantage","",,"54",,"3.52","2.38","5.04","percent of total billed charges",,
"MAGNESIUM 24HR URINE","83735","HCPCS","Both",,,"6.5","3.25","UHC","Medicare Advantage","",,"54",,"3.52","2.38","5.04","percent of total billed charges",,
"MAGNESIUM 24HR URINE","83735","HCPCS","Both",,,"6.5","3.25","Clover","Medicare Advantage","",,"54",,"3.52","2.38","5.04","percent of total billed charges",,
"MAGNESIUM 24HR URINE","83735","HCPCS","Both",,,"6.5","3.25","Wellcare","Medicare Advantage","",,"54",,"3.52","2.38","5.04","percent of total billed charges",,
"MAGNESIUM 24HR URINE","83735","HCPCS","Both",,,"6.5","3.25","Amerigroup","Medicaid Managed Care","",,"37",,"2.38","2.38","5.04","percent of total billed charges",,
"MAGNESIUM 24HR URINE","83735","HCPCS","Both",,,"6.5","3.25","Caresource","Medicaid Managed Care","",,"40",,"2.6","2.38","5.04","percent of total billed charges",,
"MAGNESIUM 24HR URINE","83735","HCPCS","Both",,,"6.5","3.25","Wellcare","Medicaid Managed Care","",,"40",,"2.63","2.38","5.04","percent of total billed charges",,
"MAGNESIUM 24HR URINE","83735","HCPCS","Both",,,"6.5","3.25","Aetna","Commercial","",,"64",,"4.15","2.38","5.04","percent of total billed charges",,
"MAGNESIUM 24HR URINE","83735","HCPCS","Both",,,"6.5","3.25","Blue Cross Blue Shield","Pathways","",,"71",,"4.59","2.38","5.04","percent of total billed charges",,
"MAGNESIUM 24HR URINE","83735","HCPCS","Both",,,"6.5","3.25","Blue Cross Blue Shield","HMO","",,"71",,"4.59","2.38","5.04","percent of total billed charges",,
"MAGNESIUM 24HR URINE","83735","HCPCS","Both",,,"6.5","3.25","Blue Cross Blue Shield","PPO","",,"71",,"4.59","2.38","5.04","percent of total billed charges",,
"MAGNESIUM 24HR URINE","83735","HCPCS","Both",,,"6.5","3.25","Ambetter","Health Exchange","",,"62",,"4.03","2.38","5.04","percent of total billed charges",,
"MAGNESIUM 24HR URINE","83735","HCPCS","Both",,,"6.5","3.25","Caresource","Health Exchange","",,"62",,"4.03","2.38","5.04","percent of total billed charges",,
"MAGNESIUM 24HR URINE","83735","HCPCS","Both",,,"6.5","3.25","Cigna","Commercial","",,"59",,"3.81","2.38","5.04","percent of total billed charges",,
"MAGNESIUM 24HR URINE","83735","HCPCS","Both",,,"6.5","3.25","Humana","Commercial","",,"78",,"5.04","2.38","5.04","percent of total billed charges",,
"MAGNESIUM 24HR URINE","83735","HCPCS","Both",,,"6.5","3.25","UHC","Commercial","",,"75",,"4.9","2.38","5.04","percent of total billed charges",,
"MAGNESIUM 24HR URINE","83735","HCPCS","Both",,,"6.5","3.25","Medicaid",,"",,"37",,"2.38","2.38","5.04","percent of total billed charges",,
"T3 REVERSE","84482","HCPCS","Both",,,"19.5","9.75","Alliant","Health Exchange","",,"62",,"12.09","7.14","15.11","percent of total billed charges",,
"T3 REVERSE","84482","HCPCS","Both",,,"19.5","9.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"10.53","7.14","15.11","percent of total billed charges",,
"T3 REVERSE","84482","HCPCS","Both",,,"19.5","9.75","Medicare",,"",,"54",,"10.57","7.14","15.11","percent of total billed charges",,
"T3 REVERSE","84482","HCPCS","Both",,,"19.5","9.75","Humana","Medicare Advantage","",,"54",,"10.57","7.14","15.11","percent of total billed charges",,
"T3 REVERSE","84482","HCPCS","Both",,,"19.5","9.75","UHC","Medicare Advantage","",,"54",,"10.57","7.14","15.11","percent of total billed charges",,
"T3 REVERSE","84482","HCPCS","Both",,,"19.5","9.75","Clover","Medicare Advantage","",,"54",,"10.57","7.14","15.11","percent of total billed charges",,
"T3 REVERSE","84482","HCPCS","Both",,,"19.5","9.75","Wellcare","Medicare Advantage","",,"54",,"10.57","7.14","15.11","percent of total billed charges",,
"T3 REVERSE","84482","HCPCS","Both",,,"19.5","9.75","Amerigroup","Medicaid Managed Care","",,"37",,"7.14","7.14","15.11","percent of total billed charges",,
"T3 REVERSE","84482","HCPCS","Both",,,"19.5","9.75","Caresource","Medicaid Managed Care","",,"40",,"7.8","7.14","15.11","percent of total billed charges",,
"T3 REVERSE","84482","HCPCS","Both",,,"19.5","9.75","Wellcare","Medicaid Managed Care","",,"40",,"7.9","7.14","15.11","percent of total billed charges",,
"T3 REVERSE","84482","HCPCS","Both",,,"19.5","9.75","Aetna","Commercial","",,"64",,"12.44","7.14","15.11","percent of total billed charges",,
"T3 REVERSE","84482","HCPCS","Both",,,"19.5","9.75","Blue Cross Blue Shield","Pathways","",,"71",,"13.77","7.14","15.11","percent of total billed charges",,
"T3 REVERSE","84482","HCPCS","Both",,,"19.5","9.75","Blue Cross Blue Shield","HMO","",,"71",,"13.77","7.14","15.11","percent of total billed charges",,
"T3 REVERSE","84482","HCPCS","Both",,,"19.5","9.75","Blue Cross Blue Shield","PPO","",,"71",,"13.77","7.14","15.11","percent of total billed charges",,
"T3 REVERSE","84482","HCPCS","Both",,,"19.5","9.75","Ambetter","Health Exchange","",,"62",,"12.09","7.14","15.11","percent of total billed charges",,
"T3 REVERSE","84482","HCPCS","Both",,,"19.5","9.75","Caresource","Health Exchange","",,"62",,"12.09","7.14","15.11","percent of total billed charges",,
"T3 REVERSE","84482","HCPCS","Both",,,"19.5","9.75","Cigna","Commercial","",,"59",,"11.43","7.14","15.11","percent of total billed charges",,
"T3 REVERSE","84482","HCPCS","Both",,,"19.5","9.75","Humana","Commercial","",,"78",,"15.11","7.14","15.11","percent of total billed charges",,
"T3 REVERSE","84482","HCPCS","Both",,,"19.5","9.75","UHC","Commercial","",,"75",,"14.7","7.14","15.11","percent of total billed charges",,
"T3 REVERSE","84482","HCPCS","Both",,,"19.5","9.75","Medicaid",,"",,"37",,"7.14","7.14","15.11","percent of total billed charges",,
"KAPPA LAMBDA FREE LIGHT CHAINS","83883","HCPCS","Both",,,"17","8.5","Alliant","Health Exchange","",,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"KAPPA LAMBDA FREE LIGHT CHAINS","83883","HCPCS","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"9.18","6.22","13.18","percent of total billed charges",,
"KAPPA LAMBDA FREE LIGHT CHAINS","83883","HCPCS","Both",,,"17","8.5","Medicare",,"",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"KAPPA LAMBDA FREE LIGHT CHAINS","83883","HCPCS","Both",,,"17","8.5","Humana","Medicare Advantage","",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"KAPPA LAMBDA FREE LIGHT CHAINS","83883","HCPCS","Both",,,"17","8.5","UHC","Medicare Advantage","",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"KAPPA LAMBDA FREE LIGHT CHAINS","83883","HCPCS","Both",,,"17","8.5","Clover","Medicare Advantage","",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"KAPPA LAMBDA FREE LIGHT CHAINS","83883","HCPCS","Both",,,"17","8.5","Wellcare","Medicare Advantage","",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"KAPPA LAMBDA FREE LIGHT CHAINS","83883","HCPCS","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care","",,"37",,"6.22","6.22","13.18","percent of total billed charges",,
"KAPPA LAMBDA FREE LIGHT CHAINS","83883","HCPCS","Both",,,"17","8.5","Caresource","Medicaid Managed Care","",,"40",,"6.8","6.22","13.18","percent of total billed charges",,
"KAPPA LAMBDA FREE LIGHT CHAINS","83883","HCPCS","Both",,,"17","8.5","Wellcare","Medicaid Managed Care","",,"40",,"6.89","6.22","13.18","percent of total billed charges",,
"KAPPA LAMBDA FREE LIGHT CHAINS","83883","HCPCS","Both",,,"17","8.5","Aetna","Commercial","",,"64",,"10.85","6.22","13.18","percent of total billed charges",,
"KAPPA LAMBDA FREE LIGHT CHAINS","83883","HCPCS","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways","",,"71",,"12","6.22","13.18","percent of total billed charges",,
"KAPPA LAMBDA FREE LIGHT CHAINS","83883","HCPCS","Both",,,"17","8.5","Blue Cross Blue Shield","HMO","",,"71",,"12","6.22","13.18","percent of total billed charges",,
"KAPPA LAMBDA FREE LIGHT CHAINS","83883","HCPCS","Both",,,"17","8.5","Blue Cross Blue Shield","PPO","",,"71",,"12","6.22","13.18","percent of total billed charges",,
"KAPPA LAMBDA FREE LIGHT CHAINS","83883","HCPCS","Both",,,"17","8.5","Ambetter","Health Exchange","",,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"KAPPA LAMBDA FREE LIGHT CHAINS","83883","HCPCS","Both",,,"17","8.5","Caresource","Health Exchange","",,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"KAPPA LAMBDA FREE LIGHT CHAINS","83883","HCPCS","Both",,,"17","8.5","Cigna","Commercial","",,"59",,"9.96","6.22","13.18","percent of total billed charges",,
"KAPPA LAMBDA FREE LIGHT CHAINS","83883","HCPCS","Both",,,"17","8.5","Humana","Commercial","",,"78",,"13.18","6.22","13.18","percent of total billed charges",,
"KAPPA LAMBDA FREE LIGHT CHAINS","83883","HCPCS","Both",,,"17","8.5","UHC","Commercial","",,"75",,"12.82","6.22","13.18","percent of total billed charges",,
"KAPPA LAMBDA FREE LIGHT CHAINS","83883","HCPCS","Both",,,"17","8.5","Medicaid",,"",,"37",,"6.22","6.22","13.18","percent of total billed charges",,
"CELIAC SEROLOGY PANEL","83516","HCPCS","Both",,,"27.5","13.75","Alliant","Health Exchange","x4",,"62",,"17.05","10.06","21.31","percent of total billed charges",,
"CELIAC SEROLOGY PANEL","83516","HCPCS","Both",,,"27.5","13.75","Pruitt Healthcare","Medicare Advantage","x4",,"54",,"14.85","10.06","21.31","percent of total billed charges",,
"CELIAC SEROLOGY PANEL","83516","HCPCS","Both",,,"27.5","13.75","Medicare",,"x4",,"54",,"14.9","10.06","21.31","percent of total billed charges",,
"CELIAC SEROLOGY PANEL","83516","HCPCS","Both",,,"27.5","13.75","Humana","Medicare Advantage","x4",,"54",,"14.9","10.06","21.31","percent of total billed charges",,
"CELIAC SEROLOGY PANEL","83516","HCPCS","Both",,,"27.5","13.75","UHC","Medicare Advantage","x4",,"54",,"14.9","10.06","21.31","percent of total billed charges",,
"CELIAC SEROLOGY PANEL","83516","HCPCS","Both",,,"27.5","13.75","Clover","Medicare Advantage","x4",,"54",,"14.9","10.06","21.31","percent of total billed charges",,
"CELIAC SEROLOGY PANEL","83516","HCPCS","Both",,,"27.5","13.75","Wellcare","Medicare Advantage","x4",,"54",,"14.9","10.06","21.31","percent of total billed charges",,
"CELIAC SEROLOGY PANEL","83516","HCPCS","Both",,,"27.5","13.75","Amerigroup","Medicaid Managed Care","x4",,"37",,"10.06","10.06","21.31","percent of total billed charges",,
"CELIAC SEROLOGY PANEL","83516","HCPCS","Both",,,"27.5","13.75","Caresource","Medicaid Managed Care","x4",,"40",,"11","10.06","21.31","percent of total billed charges",,
"CELIAC SEROLOGY PANEL","83516","HCPCS","Both",,,"27.5","13.75","Wellcare","Medicaid Managed Care","x4",,"40",,"11.14","10.06","21.31","percent of total billed charges",,
"CELIAC SEROLOGY PANEL","83516","HCPCS","Both",,,"27.5","13.75","Aetna","Commercial","x4",,"64",,"17.55","10.06","21.31","percent of total billed charges",,
"CELIAC SEROLOGY PANEL","83516","HCPCS","Both",,,"27.5","13.75","Blue Cross Blue Shield","Pathways","x4",,"71",,"19.42","10.06","21.31","percent of total billed charges",,
"CELIAC SEROLOGY PANEL","83516","HCPCS","Both",,,"27.5","13.75","Blue Cross Blue Shield","HMO","x4",,"71",,"19.42","10.06","21.31","percent of total billed charges",,
"CELIAC SEROLOGY PANEL","83516","HCPCS","Both",,,"27.5","13.75","Blue Cross Blue Shield","PPO","x4",,"71",,"19.42","10.06","21.31","percent of total billed charges",,
"CELIAC SEROLOGY PANEL","83516","HCPCS","Both",,,"27.5","13.75","Ambetter","Health Exchange","x4",,"62",,"17.05","10.06","21.31","percent of total billed charges",,
"CELIAC SEROLOGY PANEL","83516","HCPCS","Both",,,"27.5","13.75","Caresource","Health Exchange","x4",,"62",,"17.05","10.06","21.31","percent of total billed charges",,
"CELIAC SEROLOGY PANEL","83516","HCPCS","Both",,,"27.5","13.75","Cigna","Commercial","x4",,"59",,"16.11","10.06","21.31","percent of total billed charges",,
"CELIAC SEROLOGY PANEL","83516","HCPCS","Both",,,"27.5","13.75","Humana","Commercial","x4",,"78",,"21.31","10.06","21.31","percent of total billed charges",,
"CELIAC SEROLOGY PANEL","83516","HCPCS","Both",,,"27.5","13.75","UHC","Commercial","x4",,"75",,"20.74","10.06","21.31","percent of total billed charges",,
"CELIAC SEROLOGY PANEL","83516","HCPCS","Both",,,"27.5","13.75","Medicaid",,"x4",,"37",,"10.06","10.06","21.31","percent of total billed charges",,
"HEPATITIS D(ELTA) AB","86692","HCPCS","Both",,,"122.5","61.25","Alliant","Health Exchange","",,"62",,"75.95","44.84","94.94","percent of total billed charges",,
"HEPATITIS D(ELTA) AB","86692","HCPCS","Both",,,"122.5","61.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"66.15","44.84","94.94","percent of total billed charges",,
"HEPATITIS D(ELTA) AB","86692","HCPCS","Both",,,"122.5","61.25","Medicare",,"",,"54",,"66.4","44.84","94.94","percent of total billed charges",,
"HEPATITIS D(ELTA) AB","86692","HCPCS","Both",,,"122.5","61.25","Humana","Medicare Advantage","",,"54",,"66.4","44.84","94.94","percent of total billed charges",,
"HEPATITIS D(ELTA) AB","86692","HCPCS","Both",,,"122.5","61.25","UHC","Medicare Advantage","",,"54",,"66.4","44.84","94.94","percent of total billed charges",,
"HEPATITIS D(ELTA) AB","86692","HCPCS","Both",,,"122.5","61.25","Clover","Medicare Advantage","",,"54",,"66.4","44.84","94.94","percent of total billed charges",,
"HEPATITIS D(ELTA) AB","86692","HCPCS","Both",,,"122.5","61.25","Wellcare","Medicare Advantage","",,"54",,"66.4","44.84","94.94","percent of total billed charges",,
"HEPATITIS D(ELTA) AB","86692","HCPCS","Both",,,"122.5","61.25","Amerigroup","Medicaid Managed Care","",,"37",,"44.84","44.84","94.94","percent of total billed charges",,
"HEPATITIS D(ELTA) AB","86692","HCPCS","Both",,,"122.5","61.25","Caresource","Medicaid Managed Care","",,"40",,"49","44.84","94.94","percent of total billed charges",,
"HEPATITIS D(ELTA) AB","86692","HCPCS","Both",,,"122.5","61.25","Wellcare","Medicaid Managed Care","",,"40",,"49.61","44.84","94.94","percent of total billed charges",,
"HEPATITIS D(ELTA) AB","86692","HCPCS","Both",,,"122.5","61.25","Aetna","Commercial","",,"64",,"78.16","44.84","94.94","percent of total billed charges",,
"HEPATITIS D(ELTA) AB","86692","HCPCS","Both",,,"122.5","61.25","Blue Cross Blue Shield","Pathways","",,"71",,"86.48","44.84","94.94","percent of total billed charges",,
"HEPATITIS D(ELTA) AB","86692","HCPCS","Both",,,"122.5","61.25","Blue Cross Blue Shield","HMO","",,"71",,"86.48","44.84","94.94","percent of total billed charges",,
"HEPATITIS D(ELTA) AB","86692","HCPCS","Both",,,"122.5","61.25","Blue Cross Blue Shield","PPO","",,"71",,"86.48","44.84","94.94","percent of total billed charges",,
"HEPATITIS D(ELTA) AB","86692","HCPCS","Both",,,"122.5","61.25","Ambetter","Health Exchange","",,"62",,"75.95","44.84","94.94","percent of total billed charges",,
"HEPATITIS D(ELTA) AB","86692","HCPCS","Both",,,"122.5","61.25","Caresource","Health Exchange","",,"62",,"75.95","44.84","94.94","percent of total billed charges",,
"HEPATITIS D(ELTA) AB","86692","HCPCS","Both",,,"122.5","61.25","Cigna","Commercial","",,"59",,"71.78","44.84","94.94","percent of total billed charges",,
"HEPATITIS D(ELTA) AB","86692","HCPCS","Both",,,"122.5","61.25","Humana","Commercial","",,"78",,"94.94","44.84","94.94","percent of total billed charges",,
"HEPATITIS D(ELTA) AB","86692","HCPCS","Both",,,"122.5","61.25","UHC","Commercial","",,"75",,"92.36","44.84","94.94","percent of total billed charges",,
"HEPATITIS D(ELTA) AB","86692","HCPCS","Both",,,"122.5","61.25","Medicaid",,"",,"37",,"44.84","44.84","94.94","percent of total billed charges",,
"BILE ACIDS FRACTIONATED AND TOTAL","83789","HCPCS","Both",,,"43","21.5","Alliant","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"BILE ACIDS FRACTIONATED AND TOTAL","83789","HCPCS","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"23.22","15.74","33.33","percent of total billed charges",,
"BILE ACIDS FRACTIONATED AND TOTAL","83789","HCPCS","Both",,,"43","21.5","Medicare",,"",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"BILE ACIDS FRACTIONATED AND TOTAL","83789","HCPCS","Both",,,"43","21.5","Humana","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"BILE ACIDS FRACTIONATED AND TOTAL","83789","HCPCS","Both",,,"43","21.5","UHC","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"BILE ACIDS FRACTIONATED AND TOTAL","83789","HCPCS","Both",,,"43","21.5","Clover","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"BILE ACIDS FRACTIONATED AND TOTAL","83789","HCPCS","Both",,,"43","21.5","Wellcare","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"BILE ACIDS FRACTIONATED AND TOTAL","83789","HCPCS","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care","",,"37",,"15.74","15.74","33.33","percent of total billed charges",,
"BILE ACIDS FRACTIONATED AND TOTAL","83789","HCPCS","Both",,,"43","21.5","Caresource","Medicaid Managed Care","",,"40",,"17.2","15.74","33.33","percent of total billed charges",,
"BILE ACIDS FRACTIONATED AND TOTAL","83789","HCPCS","Both",,,"43","21.5","Wellcare","Medicaid Managed Care","",,"40",,"17.42","15.74","33.33","percent of total billed charges",,
"BILE ACIDS FRACTIONATED AND TOTAL","83789","HCPCS","Both",,,"43","21.5","Aetna","Commercial","",,"64",,"27.43","15.74","33.33","percent of total billed charges",,
"BILE ACIDS FRACTIONATED AND TOTAL","83789","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"BILE ACIDS FRACTIONATED AND TOTAL","83789","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","HMO","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"BILE ACIDS FRACTIONATED AND TOTAL","83789","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","PPO","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"BILE ACIDS FRACTIONATED AND TOTAL","83789","HCPCS","Both",,,"43","21.5","Ambetter","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"BILE ACIDS FRACTIONATED AND TOTAL","83789","HCPCS","Both",,,"43","21.5","Caresource","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"BILE ACIDS FRACTIONATED AND TOTAL","83789","HCPCS","Both",,,"43","21.5","Cigna","Commercial","",,"59",,"25.2","15.74","33.33","percent of total billed charges",,
"BILE ACIDS FRACTIONATED AND TOTAL","83789","HCPCS","Both",,,"43","21.5","Humana","Commercial","",,"78",,"33.33","15.74","33.33","percent of total billed charges",,
"BILE ACIDS FRACTIONATED AND TOTAL","83789","HCPCS","Both",,,"43","21.5","UHC","Commercial","",,"75",,"32.42","15.74","33.33","percent of total billed charges",,
"BILE ACIDS FRACTIONATED AND TOTAL","83789","HCPCS","Both",,,"43","21.5","Medicaid",,"",,"37",,"15.74","15.74","33.33","percent of total billed charges",,
"UREA NITROGEN, URINE 24 HR OR RANDON","84540","HCPCS","Both",,,"34","17","Alliant","Health Exchange","",,"62",,"21.08","12.44","26.35","percent of total billed charges",,
"UREA NITROGEN, URINE 24 HR OR RANDON","84540","HCPCS","Both",,,"34","17","Pruitt Healthcare","Medicare Advantage","",,"54",,"18.36","12.44","26.35","percent of total billed charges",,
"UREA NITROGEN, URINE 24 HR OR RANDON","84540","HCPCS","Both",,,"34","17","Medicare",,"",,"54",,"18.43","12.44","26.35","percent of total billed charges",,
"UREA NITROGEN, URINE 24 HR OR RANDON","84540","HCPCS","Both",,,"34","17","Humana","Medicare Advantage","",,"54",,"18.43","12.44","26.35","percent of total billed charges",,
"UREA NITROGEN, URINE 24 HR OR RANDON","84540","HCPCS","Both",,,"34","17","UHC","Medicare Advantage","",,"54",,"18.43","12.44","26.35","percent of total billed charges",,
"UREA NITROGEN, URINE 24 HR OR RANDON","84540","HCPCS","Both",,,"34","17","Clover","Medicare Advantage","",,"54",,"18.43","12.44","26.35","percent of total billed charges",,
"UREA NITROGEN, URINE 24 HR OR RANDON","84540","HCPCS","Both",,,"34","17","Wellcare","Medicare Advantage","",,"54",,"18.43","12.44","26.35","percent of total billed charges",,
"UREA NITROGEN, URINE 24 HR OR RANDON","84540","HCPCS","Both",,,"34","17","Amerigroup","Medicaid Managed Care","",,"37",,"12.44","12.44","26.35","percent of total billed charges",,
"UREA NITROGEN, URINE 24 HR OR RANDON","84540","HCPCS","Both",,,"34","17","Caresource","Medicaid Managed Care","",,"40",,"13.6","12.44","26.35","percent of total billed charges",,
"UREA NITROGEN, URINE 24 HR OR RANDON","84540","HCPCS","Both",,,"34","17","Wellcare","Medicaid Managed Care","",,"40",,"13.77","12.44","26.35","percent of total billed charges",,
"UREA NITROGEN, URINE 24 HR OR RANDON","84540","HCPCS","Both",,,"34","17","Aetna","Commercial","",,"64",,"21.69","12.44","26.35","percent of total billed charges",,
"UREA NITROGEN, URINE 24 HR OR RANDON","84540","HCPCS","Both",,,"34","17","Blue Cross Blue Shield","Pathways","",,"71",,"24","12.44","26.35","percent of total billed charges",,
"UREA NITROGEN, URINE 24 HR OR RANDON","84540","HCPCS","Both",,,"34","17","Blue Cross Blue Shield","HMO","",,"71",,"24","12.44","26.35","percent of total billed charges",,
"UREA NITROGEN, URINE 24 HR OR RANDON","84540","HCPCS","Both",,,"34","17","Blue Cross Blue Shield","PPO","",,"71",,"24","12.44","26.35","percent of total billed charges",,
"UREA NITROGEN, URINE 24 HR OR RANDON","84540","HCPCS","Both",,,"34","17","Ambetter","Health Exchange","",,"62",,"21.08","12.44","26.35","percent of total billed charges",,
"UREA NITROGEN, URINE 24 HR OR RANDON","84540","HCPCS","Both",,,"34","17","Caresource","Health Exchange","",,"62",,"21.08","12.44","26.35","percent of total billed charges",,
"UREA NITROGEN, URINE 24 HR OR RANDON","84540","HCPCS","Both",,,"34","17","Cigna","Commercial","",,"59",,"19.92","12.44","26.35","percent of total billed charges",,
"UREA NITROGEN, URINE 24 HR OR RANDON","84540","HCPCS","Both",,,"34","17","Humana","Commercial","",,"78",,"26.35","12.44","26.35","percent of total billed charges",,
"UREA NITROGEN, URINE 24 HR OR RANDON","84540","HCPCS","Both",,,"34","17","UHC","Commercial","",,"75",,"25.64","12.44","26.35","percent of total billed charges",,
"UREA NITROGEN, URINE 24 HR OR RANDON","84540","HCPCS","Both",,,"34","17","Medicaid",,"",,"37",,"12.44","12.44","26.35","percent of total billed charges",,
"BK VIRUS QUANT PCR URINE","87799","HCPCS","Both",,,"53.5","26.75","Alliant","Health Exchange","",,"62",,"33.17","19.58","41.46","percent of total billed charges",,
"BK VIRUS QUANT PCR URINE","87799","HCPCS","Both",,,"53.5","26.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"28.89","19.58","41.46","percent of total billed charges",,
"BK VIRUS QUANT PCR URINE","87799","HCPCS","Both",,,"53.5","26.75","Medicare",,"",,"54",,"29","19.58","41.46","percent of total billed charges",,
"BK VIRUS QUANT PCR URINE","87799","HCPCS","Both",,,"53.5","26.75","Humana","Medicare Advantage","",,"54",,"29","19.58","41.46","percent of total billed charges",,
"BK VIRUS QUANT PCR URINE","87799","HCPCS","Both",,,"53.5","26.75","UHC","Medicare Advantage","",,"54",,"29","19.58","41.46","percent of total billed charges",,
"BK VIRUS QUANT PCR URINE","87799","HCPCS","Both",,,"53.5","26.75","Clover","Medicare Advantage","",,"54",,"29","19.58","41.46","percent of total billed charges",,
"BK VIRUS QUANT PCR URINE","87799","HCPCS","Both",,,"53.5","26.75","Wellcare","Medicare Advantage","",,"54",,"29","19.58","41.46","percent of total billed charges",,
"BK VIRUS QUANT PCR URINE","87799","HCPCS","Both",,,"53.5","26.75","Amerigroup","Medicaid Managed Care","",,"37",,"19.58","19.58","41.46","percent of total billed charges",,
"BK VIRUS QUANT PCR URINE","87799","HCPCS","Both",,,"53.5","26.75","Caresource","Medicaid Managed Care","",,"40",,"21.4","19.58","41.46","percent of total billed charges",,
"BK VIRUS QUANT PCR URINE","87799","HCPCS","Both",,,"53.5","26.75","Wellcare","Medicaid Managed Care","",,"40",,"21.67","19.58","41.46","percent of total billed charges",,
"BK VIRUS QUANT PCR URINE","87799","HCPCS","Both",,,"53.5","26.75","Aetna","Commercial","",,"64",,"34.13","19.58","41.46","percent of total billed charges",,
"BK VIRUS QUANT PCR URINE","87799","HCPCS","Both",,,"53.5","26.75","Blue Cross Blue Shield","Pathways","",,"71",,"37.77","19.58","41.46","percent of total billed charges",,
"BK VIRUS QUANT PCR URINE","87799","HCPCS","Both",,,"53.5","26.75","Blue Cross Blue Shield","HMO","",,"71",,"37.77","19.58","41.46","percent of total billed charges",,
"BK VIRUS QUANT PCR URINE","87799","HCPCS","Both",,,"53.5","26.75","Blue Cross Blue Shield","PPO","",,"71",,"37.77","19.58","41.46","percent of total billed charges",,
"BK VIRUS QUANT PCR URINE","87799","HCPCS","Both",,,"53.5","26.75","Ambetter","Health Exchange","",,"62",,"33.17","19.58","41.46","percent of total billed charges",,
"BK VIRUS QUANT PCR URINE","87799","HCPCS","Both",,,"53.5","26.75","Caresource","Health Exchange","",,"62",,"33.17","19.58","41.46","percent of total billed charges",,
"BK VIRUS QUANT PCR URINE","87799","HCPCS","Both",,,"53.5","26.75","Cigna","Commercial","",,"59",,"31.35","19.58","41.46","percent of total billed charges",,
"BK VIRUS QUANT PCR URINE","87799","HCPCS","Both",,,"53.5","26.75","Humana","Commercial","",,"78",,"41.46","19.58","41.46","percent of total billed charges",,
"BK VIRUS QUANT PCR URINE","87799","HCPCS","Both",,,"53.5","26.75","UHC","Commercial","",,"75",,"40.34","19.58","41.46","percent of total billed charges",,
"BK VIRUS QUANT PCR URINE","87799","HCPCS","Both",,,"53.5","26.75","Medicaid",,"",,"37",,"19.58","19.58","41.46","percent of total billed charges",,
"ANCA W/REFLEX MPO/PR3","86255","HCPCS","Both",,,"87","43.5","Alliant","Health Exchange","",,"62",,"53.94","31.84","67.42","percent of total billed charges",,
"ANCA W/REFLEX MPO/PR3","86255","HCPCS","Both",,,"87","43.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"46.98","31.84","67.42","percent of total billed charges",,
"ANCA W/REFLEX MPO/PR3","86255","HCPCS","Both",,,"87","43.5","Medicare",,"",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"ANCA W/REFLEX MPO/PR3","86255","HCPCS","Both",,,"87","43.5","Humana","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"ANCA W/REFLEX MPO/PR3","86255","HCPCS","Both",,,"87","43.5","UHC","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"ANCA W/REFLEX MPO/PR3","86255","HCPCS","Both",,,"87","43.5","Clover","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"ANCA W/REFLEX MPO/PR3","86255","HCPCS","Both",,,"87","43.5","Wellcare","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"ANCA W/REFLEX MPO/PR3","86255","HCPCS","Both",,,"87","43.5","Amerigroup","Medicaid Managed Care","",,"37",,"31.84","31.84","67.42","percent of total billed charges",,
"ANCA W/REFLEX MPO/PR3","86255","HCPCS","Both",,,"87","43.5","Caresource","Medicaid Managed Care","",,"40",,"34.8","31.84","67.42","percent of total billed charges",,
"ANCA W/REFLEX MPO/PR3","86255","HCPCS","Both",,,"87","43.5","Wellcare","Medicaid Managed Care","",,"40",,"35.24","31.84","67.42","percent of total billed charges",,
"ANCA W/REFLEX MPO/PR3","86255","HCPCS","Both",,,"87","43.5","Aetna","Commercial","",,"64",,"55.51","31.84","67.42","percent of total billed charges",,
"ANCA W/REFLEX MPO/PR3","86255","HCPCS","Both",,,"87","43.5","Blue Cross Blue Shield","Pathways","",,"71",,"61.42","31.84","67.42","percent of total billed charges",,
"ANCA W/REFLEX MPO/PR3","86255","HCPCS","Both",,,"87","43.5","Blue Cross Blue Shield","HMO","",,"71",,"61.42","31.84","67.42","percent of total billed charges",,
"ANCA W/REFLEX MPO/PR3","86255","HCPCS","Both",,,"87","43.5","Blue Cross Blue Shield","PPO","",,"71",,"61.42","31.84","67.42","percent of total billed charges",,
"ANCA W/REFLEX MPO/PR3","86255","HCPCS","Both",,,"87","43.5","Ambetter","Health Exchange","",,"62",,"53.94","31.84","67.42","percent of total billed charges",,
"ANCA W/REFLEX MPO/PR3","86255","HCPCS","Both",,,"87","43.5","Caresource","Health Exchange","",,"62",,"53.94","31.84","67.42","percent of total billed charges",,
"ANCA W/REFLEX MPO/PR3","86255","HCPCS","Both",,,"87","43.5","Cigna","Commercial","",,"59",,"50.98","31.84","67.42","percent of total billed charges",,
"ANCA W/REFLEX MPO/PR3","86255","HCPCS","Both",,,"87","43.5","Humana","Commercial","",,"78",,"67.42","31.84","67.42","percent of total billed charges",,
"ANCA W/REFLEX MPO/PR3","86255","HCPCS","Both",,,"87","43.5","UHC","Commercial","",,"75",,"65.6","31.84","67.42","percent of total billed charges",,
"ANCA W/REFLEX MPO/PR3","86255","HCPCS","Both",,,"87","43.5","Medicaid",,"",,"37",,"31.84","31.84","67.42","percent of total billed charges",,
"OXCARBAZEPINE METABOLITE","80183","HCPCS","Both",,,"95","47.5","Alliant","Health Exchange","",,"62",,"58.9","34.77","73.62","percent of total billed charges",,
"OXCARBAZEPINE METABOLITE","80183","HCPCS","Both",,,"95","47.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"51.3","34.77","73.62","percent of total billed charges",,
"OXCARBAZEPINE METABOLITE","80183","HCPCS","Both",,,"95","47.5","Medicare",,"",,"54",,"51.49","34.77","73.62","percent of total billed charges",,
"OXCARBAZEPINE METABOLITE","80183","HCPCS","Both",,,"95","47.5","Humana","Medicare Advantage","",,"54",,"51.49","34.77","73.62","percent of total billed charges",,
"OXCARBAZEPINE METABOLITE","80183","HCPCS","Both",,,"95","47.5","UHC","Medicare Advantage","",,"54",,"51.49","34.77","73.62","percent of total billed charges",,
"OXCARBAZEPINE METABOLITE","80183","HCPCS","Both",,,"95","47.5","Clover","Medicare Advantage","",,"54",,"51.49","34.77","73.62","percent of total billed charges",,
"OXCARBAZEPINE METABOLITE","80183","HCPCS","Both",,,"95","47.5","Wellcare","Medicare Advantage","",,"54",,"51.49","34.77","73.62","percent of total billed charges",,
"OXCARBAZEPINE METABOLITE","80183","HCPCS","Both",,,"95","47.5","Amerigroup","Medicaid Managed Care","",,"37",,"34.77","34.77","73.62","percent of total billed charges",,
"OXCARBAZEPINE METABOLITE","80183","HCPCS","Both",,,"95","47.5","Caresource","Medicaid Managed Care","",,"40",,"38","34.77","73.62","percent of total billed charges",,
"OXCARBAZEPINE METABOLITE","80183","HCPCS","Both",,,"95","47.5","Wellcare","Medicaid Managed Care","",,"40",,"38.48","34.77","73.62","percent of total billed charges",,
"OXCARBAZEPINE METABOLITE","80183","HCPCS","Both",,,"95","47.5","Aetna","Commercial","",,"64",,"60.61","34.77","73.62","percent of total billed charges",,
"OXCARBAZEPINE METABOLITE","80183","HCPCS","Both",,,"95","47.5","Blue Cross Blue Shield","Pathways","",,"71",,"67.07","34.77","73.62","percent of total billed charges",,
"OXCARBAZEPINE METABOLITE","80183","HCPCS","Both",,,"95","47.5","Blue Cross Blue Shield","HMO","",,"71",,"67.07","34.77","73.62","percent of total billed charges",,
"OXCARBAZEPINE METABOLITE","80183","HCPCS","Both",,,"95","47.5","Blue Cross Blue Shield","PPO","",,"71",,"67.07","34.77","73.62","percent of total billed charges",,
"OXCARBAZEPINE METABOLITE","80183","HCPCS","Both",,,"95","47.5","Ambetter","Health Exchange","",,"62",,"58.9","34.77","73.62","percent of total billed charges",,
"OXCARBAZEPINE METABOLITE","80183","HCPCS","Both",,,"95","47.5","Caresource","Health Exchange","",,"62",,"58.9","34.77","73.62","percent of total billed charges",,
"OXCARBAZEPINE METABOLITE","80183","HCPCS","Both",,,"95","47.5","Cigna","Commercial","",,"59",,"55.67","34.77","73.62","percent of total billed charges",,
"OXCARBAZEPINE METABOLITE","80183","HCPCS","Both",,,"95","47.5","Humana","Commercial","",,"78",,"73.62","34.77","73.62","percent of total billed charges",,
"OXCARBAZEPINE METABOLITE","80183","HCPCS","Both",,,"95","47.5","UHC","Commercial","",,"75",,"71.63","34.77","73.62","percent of total billed charges",,
"OXCARBAZEPINE METABOLITE","80183","HCPCS","Both",,,"95","47.5","Medicaid",,"",,"37",,"34.77","34.77","73.62","percent of total billed charges",,
"AFB CULTURE, NON-RESPIRATORY","87116","HCPCS","Both",,,"52.5","26.25","Alliant","Health Exchange","",,"62",,"32.55","19.22","40.69","percent of total billed charges",,
"AFB CULTURE, NON-RESPIRATORY","87116","HCPCS","Both",,,"52.5","26.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"28.35","19.22","40.69","percent of total billed charges",,
"AFB CULTURE, NON-RESPIRATORY","87116","HCPCS","Both",,,"52.5","26.25","Medicare",,"",,"54",,"28.46","19.22","40.69","percent of total billed charges",,
"AFB CULTURE, NON-RESPIRATORY","87116","HCPCS","Both",,,"52.5","26.25","Humana","Medicare Advantage","",,"54",,"28.46","19.22","40.69","percent of total billed charges",,
"AFB CULTURE, NON-RESPIRATORY","87116","HCPCS","Both",,,"52.5","26.25","UHC","Medicare Advantage","",,"54",,"28.46","19.22","40.69","percent of total billed charges",,
"AFB CULTURE, NON-RESPIRATORY","87116","HCPCS","Both",,,"52.5","26.25","Clover","Medicare Advantage","",,"54",,"28.46","19.22","40.69","percent of total billed charges",,
"AFB CULTURE, NON-RESPIRATORY","87116","HCPCS","Both",,,"52.5","26.25","Wellcare","Medicare Advantage","",,"54",,"28.46","19.22","40.69","percent of total billed charges",,
"AFB CULTURE, NON-RESPIRATORY","87116","HCPCS","Both",,,"52.5","26.25","Amerigroup","Medicaid Managed Care","",,"37",,"19.22","19.22","40.69","percent of total billed charges",,
"AFB CULTURE, NON-RESPIRATORY","87116","HCPCS","Both",,,"52.5","26.25","Caresource","Medicaid Managed Care","",,"40",,"21","19.22","40.69","percent of total billed charges",,
"AFB CULTURE, NON-RESPIRATORY","87116","HCPCS","Both",,,"52.5","26.25","Wellcare","Medicaid Managed Care","",,"40",,"21.26","19.22","40.69","percent of total billed charges",,
"AFB CULTURE, NON-RESPIRATORY","87116","HCPCS","Both",,,"52.5","26.25","Aetna","Commercial","",,"64",,"33.49","19.22","40.69","percent of total billed charges",,
"AFB CULTURE, NON-RESPIRATORY","87116","HCPCS","Both",,,"52.5","26.25","Blue Cross Blue Shield","Pathways","",,"71",,"37.06","19.22","40.69","percent of total billed charges",,
"AFB CULTURE, NON-RESPIRATORY","87116","HCPCS","Both",,,"52.5","26.25","Blue Cross Blue Shield","HMO","",,"71",,"37.06","19.22","40.69","percent of total billed charges",,
"AFB CULTURE, NON-RESPIRATORY","87116","HCPCS","Both",,,"52.5","26.25","Blue Cross Blue Shield","PPO","",,"71",,"37.06","19.22","40.69","percent of total billed charges",,
"AFB CULTURE, NON-RESPIRATORY","87116","HCPCS","Both",,,"52.5","26.25","Ambetter","Health Exchange","",,"62",,"32.55","19.22","40.69","percent of total billed charges",,
"AFB CULTURE, NON-RESPIRATORY","87116","HCPCS","Both",,,"52.5","26.25","Caresource","Health Exchange","",,"62",,"32.55","19.22","40.69","percent of total billed charges",,
"AFB CULTURE, NON-RESPIRATORY","87116","HCPCS","Both",,,"52.5","26.25","Cigna","Commercial","",,"59",,"30.76","19.22","40.69","percent of total billed charges",,
"AFB CULTURE, NON-RESPIRATORY","87116","HCPCS","Both",,,"52.5","26.25","Humana","Commercial","",,"78",,"40.69","19.22","40.69","percent of total billed charges",,
"AFB CULTURE, NON-RESPIRATORY","87116","HCPCS","Both",,,"52.5","26.25","UHC","Commercial","",,"75",,"39.58","19.22","40.69","percent of total billed charges",,
"AFB CULTURE, NON-RESPIRATORY","87116","HCPCS","Both",,,"52.5","26.25","Medicaid",,"",,"37",,"19.22","19.22","40.69","percent of total billed charges",,
"LDH TOTAL BODY FLUID","83615","HCPCS","Both",,,"7.5","3.75","Alliant","Health Exchange","",,"62",,"4.65","2.74","5.81","percent of total billed charges",,
"LDH TOTAL BODY FLUID","83615","HCPCS","Both",,,"7.5","3.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"4.05","2.74","5.81","percent of total billed charges",,
"LDH TOTAL BODY FLUID","83615","HCPCS","Both",,,"7.5","3.75","Medicare",,"",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"LDH TOTAL BODY FLUID","83615","HCPCS","Both",,,"7.5","3.75","Humana","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"LDH TOTAL BODY FLUID","83615","HCPCS","Both",,,"7.5","3.75","UHC","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"LDH TOTAL BODY FLUID","83615","HCPCS","Both",,,"7.5","3.75","Clover","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"LDH TOTAL BODY FLUID","83615","HCPCS","Both",,,"7.5","3.75","Wellcare","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"LDH TOTAL BODY FLUID","83615","HCPCS","Both",,,"7.5","3.75","Amerigroup","Medicaid Managed Care","",,"37",,"2.74","2.74","5.81","percent of total billed charges",,
"LDH TOTAL BODY FLUID","83615","HCPCS","Both",,,"7.5","3.75","Caresource","Medicaid Managed Care","",,"40",,"3","2.74","5.81","percent of total billed charges",,
"LDH TOTAL BODY FLUID","83615","HCPCS","Both",,,"7.5","3.75","Wellcare","Medicaid Managed Care","",,"40",,"3.04","2.74","5.81","percent of total billed charges",,
"LDH TOTAL BODY FLUID","83615","HCPCS","Both",,,"7.5","3.75","Aetna","Commercial","",,"64",,"4.78","2.74","5.81","percent of total billed charges",,
"LDH TOTAL BODY FLUID","83615","HCPCS","Both",,,"7.5","3.75","Blue Cross Blue Shield","Pathways","",,"71",,"5.3","2.74","5.81","percent of total billed charges",,
"LDH TOTAL BODY FLUID","83615","HCPCS","Both",,,"7.5","3.75","Blue Cross Blue Shield","HMO","",,"71",,"5.3","2.74","5.81","percent of total billed charges",,
"LDH TOTAL BODY FLUID","83615","HCPCS","Both",,,"7.5","3.75","Blue Cross Blue Shield","PPO","",,"71",,"5.3","2.74","5.81","percent of total billed charges",,
"LDH TOTAL BODY FLUID","83615","HCPCS","Both",,,"7.5","3.75","Ambetter","Health Exchange","",,"62",,"4.65","2.74","5.81","percent of total billed charges",,
"LDH TOTAL BODY FLUID","83615","HCPCS","Both",,,"7.5","3.75","Caresource","Health Exchange","",,"62",,"4.65","2.74","5.81","percent of total billed charges",,
"LDH TOTAL BODY FLUID","83615","HCPCS","Both",,,"7.5","3.75","Cigna","Commercial","",,"59",,"4.39","2.74","5.81","percent of total billed charges",,
"LDH TOTAL BODY FLUID","83615","HCPCS","Both",,,"7.5","3.75","Humana","Commercial","",,"78",,"5.81","2.74","5.81","percent of total billed charges",,
"LDH TOTAL BODY FLUID","83615","HCPCS","Both",,,"7.5","3.75","UHC","Commercial","",,"75",,"5.66","2.74","5.81","percent of total billed charges",,
"LDH TOTAL BODY FLUID","83615","HCPCS","Both",,,"7.5","3.75","Medicaid",,"",,"37",,"2.74","2.74","5.81","percent of total billed charges",,
"AMYLASE  BODY FLUID","82150","HCPCS","Both",,,"61.5","30.75","Alliant","Health Exchange","",,"62",,"38.13","22.51","47.66","percent of total billed charges",,
"AMYLASE  BODY FLUID","82150","HCPCS","Both",,,"61.5","30.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"33.21","22.51","47.66","percent of total billed charges",,
"AMYLASE  BODY FLUID","82150","HCPCS","Both",,,"61.5","30.75","Medicare",,"",,"54",,"33.33","22.51","47.66","percent of total billed charges",,
"AMYLASE  BODY FLUID","82150","HCPCS","Both",,,"61.5","30.75","Humana","Medicare Advantage","",,"54",,"33.33","22.51","47.66","percent of total billed charges",,
"AMYLASE  BODY FLUID","82150","HCPCS","Both",,,"61.5","30.75","UHC","Medicare Advantage","",,"54",,"33.33","22.51","47.66","percent of total billed charges",,
"AMYLASE  BODY FLUID","82150","HCPCS","Both",,,"61.5","30.75","Clover","Medicare Advantage","",,"54",,"33.33","22.51","47.66","percent of total billed charges",,
"AMYLASE  BODY FLUID","82150","HCPCS","Both",,,"61.5","30.75","Wellcare","Medicare Advantage","",,"54",,"33.33","22.51","47.66","percent of total billed charges",,
"AMYLASE  BODY FLUID","82150","HCPCS","Both",,,"61.5","30.75","Amerigroup","Medicaid Managed Care","",,"37",,"22.51","22.51","47.66","percent of total billed charges",,
"AMYLASE  BODY FLUID","82150","HCPCS","Both",,,"61.5","30.75","Caresource","Medicaid Managed Care","",,"40",,"24.6","22.51","47.66","percent of total billed charges",,
"AMYLASE  BODY FLUID","82150","HCPCS","Both",,,"61.5","30.75","Wellcare","Medicaid Managed Care","",,"40",,"24.91","22.51","47.66","percent of total billed charges",,
"AMYLASE  BODY FLUID","82150","HCPCS","Both",,,"61.5","30.75","Aetna","Commercial","",,"64",,"39.24","22.51","47.66","percent of total billed charges",,
"AMYLASE  BODY FLUID","82150","HCPCS","Both",,,"61.5","30.75","Blue Cross Blue Shield","Pathways","",,"71",,"43.42","22.51","47.66","percent of total billed charges",,
"AMYLASE  BODY FLUID","82150","HCPCS","Both",,,"61.5","30.75","Blue Cross Blue Shield","HMO","",,"71",,"43.42","22.51","47.66","percent of total billed charges",,
"AMYLASE  BODY FLUID","82150","HCPCS","Both",,,"61.5","30.75","Blue Cross Blue Shield","PPO","",,"71",,"43.42","22.51","47.66","percent of total billed charges",,
"AMYLASE  BODY FLUID","82150","HCPCS","Both",,,"61.5","30.75","Ambetter","Health Exchange","",,"62",,"38.13","22.51","47.66","percent of total billed charges",,
"AMYLASE  BODY FLUID","82150","HCPCS","Both",,,"61.5","30.75","Caresource","Health Exchange","",,"62",,"38.13","22.51","47.66","percent of total billed charges",,
"AMYLASE  BODY FLUID","82150","HCPCS","Both",,,"61.5","30.75","Cigna","Commercial","",,"59",,"36.04","22.51","47.66","percent of total billed charges",,
"AMYLASE  BODY FLUID","82150","HCPCS","Both",,,"61.5","30.75","Humana","Commercial","",,"78",,"47.66","22.51","47.66","percent of total billed charges",,
"AMYLASE  BODY FLUID","82150","HCPCS","Both",,,"61.5","30.75","UHC","Commercial","",,"75",,"46.37","22.51","47.66","percent of total billed charges",,
"AMYLASE  BODY FLUID","82150","HCPCS","Both",,,"61.5","30.75","Medicaid",,"",,"37",,"22.51","22.51","47.66","percent of total billed charges",,
"PROTEIN BODY FLUID","84157","HCPCS","Both",,,"27","13.5","Alliant","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"PROTEIN BODY FLUID","84157","HCPCS","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"14.58","9.88","20.92","percent of total billed charges",,
"PROTEIN BODY FLUID","84157","HCPCS","Both",,,"27","13.5","Medicare",,"",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PROTEIN BODY FLUID","84157","HCPCS","Both",,,"27","13.5","Humana","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PROTEIN BODY FLUID","84157","HCPCS","Both",,,"27","13.5","UHC","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PROTEIN BODY FLUID","84157","HCPCS","Both",,,"27","13.5","Clover","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PROTEIN BODY FLUID","84157","HCPCS","Both",,,"27","13.5","Wellcare","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PROTEIN BODY FLUID","84157","HCPCS","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care","",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"PROTEIN BODY FLUID","84157","HCPCS","Both",,,"27","13.5","Caresource","Medicaid Managed Care","",,"40",,"10.8","9.88","20.92","percent of total billed charges",,
"PROTEIN BODY FLUID","84157","HCPCS","Both",,,"27","13.5","Wellcare","Medicaid Managed Care","",,"40",,"10.94","9.88","20.92","percent of total billed charges",,
"PROTEIN BODY FLUID","84157","HCPCS","Both",,,"27","13.5","Aetna","Commercial","",,"64",,"17.23","9.88","20.92","percent of total billed charges",,
"PROTEIN BODY FLUID","84157","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"PROTEIN BODY FLUID","84157","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","HMO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"PROTEIN BODY FLUID","84157","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","PPO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"PROTEIN BODY FLUID","84157","HCPCS","Both",,,"27","13.5","Ambetter","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"PROTEIN BODY FLUID","84157","HCPCS","Both",,,"27","13.5","Caresource","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"PROTEIN BODY FLUID","84157","HCPCS","Both",,,"27","13.5","Cigna","Commercial","",,"59",,"15.82","9.88","20.92","percent of total billed charges",,
"PROTEIN BODY FLUID","84157","HCPCS","Both",,,"27","13.5","Humana","Commercial","",,"78",,"20.92","9.88","20.92","percent of total billed charges",,
"PROTEIN BODY FLUID","84157","HCPCS","Both",,,"27","13.5","UHC","Commercial","",,"75",,"20.36","9.88","20.92","percent of total billed charges",,
"PROTEIN BODY FLUID","84157","HCPCS","Both",,,"27","13.5","Medicaid",,"",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"GLUCOSE BODY FLUID","82945","HCPCS","Both",,,"29","14.5","Alliant","Health Exchange","",,"62",,"17.98","10.61","22.48","percent of total billed charges",,
"GLUCOSE BODY FLUID","82945","HCPCS","Both",,,"29","14.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"15.66","10.61","22.48","percent of total billed charges",,
"GLUCOSE BODY FLUID","82945","HCPCS","Both",,,"29","14.5","Medicare",,"",,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"GLUCOSE BODY FLUID","82945","HCPCS","Both",,,"29","14.5","Humana","Medicare Advantage","",,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"GLUCOSE BODY FLUID","82945","HCPCS","Both",,,"29","14.5","UHC","Medicare Advantage","",,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"GLUCOSE BODY FLUID","82945","HCPCS","Both",,,"29","14.5","Clover","Medicare Advantage","",,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"GLUCOSE BODY FLUID","82945","HCPCS","Both",,,"29","14.5","Wellcare","Medicare Advantage","",,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"GLUCOSE BODY FLUID","82945","HCPCS","Both",,,"29","14.5","Amerigroup","Medicaid Managed Care","",,"37",,"10.61","10.61","22.48","percent of total billed charges",,
"GLUCOSE BODY FLUID","82945","HCPCS","Both",,,"29","14.5","Caresource","Medicaid Managed Care","",,"40",,"11.6","10.61","22.48","percent of total billed charges",,
"GLUCOSE BODY FLUID","82945","HCPCS","Both",,,"29","14.5","Wellcare","Medicaid Managed Care","",,"40",,"11.74","10.61","22.48","percent of total billed charges",,
"GLUCOSE BODY FLUID","82945","HCPCS","Both",,,"29","14.5","Aetna","Commercial","",,"64",,"18.5","10.61","22.48","percent of total billed charges",,
"GLUCOSE BODY FLUID","82945","HCPCS","Both",,,"29","14.5","Blue Cross Blue Shield","Pathways","",,"71",,"20.47","10.61","22.48","percent of total billed charges",,
"GLUCOSE BODY FLUID","82945","HCPCS","Both",,,"29","14.5","Blue Cross Blue Shield","HMO","",,"71",,"20.47","10.61","22.48","percent of total billed charges",,
"GLUCOSE BODY FLUID","82945","HCPCS","Both",,,"29","14.5","Blue Cross Blue Shield","PPO","",,"71",,"20.47","10.61","22.48","percent of total billed charges",,
"GLUCOSE BODY FLUID","82945","HCPCS","Both",,,"29","14.5","Ambetter","Health Exchange","",,"62",,"17.98","10.61","22.48","percent of total billed charges",,
"GLUCOSE BODY FLUID","82945","HCPCS","Both",,,"29","14.5","Caresource","Health Exchange","",,"62",,"17.98","10.61","22.48","percent of total billed charges",,
"GLUCOSE BODY FLUID","82945","HCPCS","Both",,,"29","14.5","Cigna","Commercial","",,"59",,"16.99","10.61","22.48","percent of total billed charges",,
"GLUCOSE BODY FLUID","82945","HCPCS","Both",,,"29","14.5","Humana","Commercial","",,"78",,"22.48","10.61","22.48","percent of total billed charges",,
"GLUCOSE BODY FLUID","82945","HCPCS","Both",,,"29","14.5","UHC","Commercial","",,"75",,"21.87","10.61","22.48","percent of total billed charges",,
"GLUCOSE BODY FLUID","82945","HCPCS","Both",,,"29","14.5","Medicaid",,"",,"37",,"10.61","10.61","22.48","percent of total billed charges",,
"CELL COUNT, BODY FLUID (SEND OUT)","89051","HCPCS","Both",,,"13.5","6.75","Alliant","Health Exchange","",,"62",,"8.37","4.94","10.46","percent of total billed charges",,
"CELL COUNT, BODY FLUID (SEND OUT)","89051","HCPCS","Both",,,"13.5","6.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"7.29","4.94","10.46","percent of total billed charges",,
"CELL COUNT, BODY FLUID (SEND OUT)","89051","HCPCS","Both",,,"13.5","6.75","Medicare",,"",,"54",,"7.32","4.94","10.46","percent of total billed charges",,
"CELL COUNT, BODY FLUID (SEND OUT)","89051","HCPCS","Both",,,"13.5","6.75","Humana","Medicare Advantage","",,"54",,"7.32","4.94","10.46","percent of total billed charges",,
"CELL COUNT, BODY FLUID (SEND OUT)","89051","HCPCS","Both",,,"13.5","6.75","UHC","Medicare Advantage","",,"54",,"7.32","4.94","10.46","percent of total billed charges",,
"CELL COUNT, BODY FLUID (SEND OUT)","89051","HCPCS","Both",,,"13.5","6.75","Clover","Medicare Advantage","",,"54",,"7.32","4.94","10.46","percent of total billed charges",,
"CELL COUNT, BODY FLUID (SEND OUT)","89051","HCPCS","Both",,,"13.5","6.75","Wellcare","Medicare Advantage","",,"54",,"7.32","4.94","10.46","percent of total billed charges",,
"CELL COUNT, BODY FLUID (SEND OUT)","89051","HCPCS","Both",,,"13.5","6.75","Amerigroup","Medicaid Managed Care","",,"37",,"4.94","4.94","10.46","percent of total billed charges",,
"CELL COUNT, BODY FLUID (SEND OUT)","89051","HCPCS","Both",,,"13.5","6.75","Caresource","Medicaid Managed Care","",,"40",,"5.4","4.94","10.46","percent of total billed charges",,
"CELL COUNT, BODY FLUID (SEND OUT)","89051","HCPCS","Both",,,"13.5","6.75","Wellcare","Medicaid Managed Care","",,"40",,"5.47","4.94","10.46","percent of total billed charges",,
"CELL COUNT, BODY FLUID (SEND OUT)","89051","HCPCS","Both",,,"13.5","6.75","Aetna","Commercial","",,"64",,"8.61","4.94","10.46","percent of total billed charges",,
"CELL COUNT, BODY FLUID (SEND OUT)","89051","HCPCS","Both",,,"13.5","6.75","Blue Cross Blue Shield","Pathways","",,"71",,"9.53","4.94","10.46","percent of total billed charges",,
"CELL COUNT, BODY FLUID (SEND OUT)","89051","HCPCS","Both",,,"13.5","6.75","Blue Cross Blue Shield","HMO","",,"71",,"9.53","4.94","10.46","percent of total billed charges",,
"CELL COUNT, BODY FLUID (SEND OUT)","89051","HCPCS","Both",,,"13.5","6.75","Blue Cross Blue Shield","PPO","",,"71",,"9.53","4.94","10.46","percent of total billed charges",,
"CELL COUNT, BODY FLUID (SEND OUT)","89051","HCPCS","Both",,,"13.5","6.75","Ambetter","Health Exchange","",,"62",,"8.37","4.94","10.46","percent of total billed charges",,
"CELL COUNT, BODY FLUID (SEND OUT)","89051","HCPCS","Both",,,"13.5","6.75","Caresource","Health Exchange","",,"62",,"8.37","4.94","10.46","percent of total billed charges",,
"CELL COUNT, BODY FLUID (SEND OUT)","89051","HCPCS","Both",,,"13.5","6.75","Cigna","Commercial","",,"59",,"7.91","4.94","10.46","percent of total billed charges",,
"CELL COUNT, BODY FLUID (SEND OUT)","89051","HCPCS","Both",,,"13.5","6.75","Humana","Commercial","",,"78",,"10.46","4.94","10.46","percent of total billed charges",,
"CELL COUNT, BODY FLUID (SEND OUT)","89051","HCPCS","Both",,,"13.5","6.75","UHC","Commercial","",,"75",,"10.18","4.94","10.46","percent of total billed charges",,
"CELL COUNT, BODY FLUID (SEND OUT)","89051","HCPCS","Both",,,"13.5","6.75","Medicaid",,"",,"37",,"4.94","4.94","10.46","percent of total billed charges",,
"GRAM STAIN (REF LAB)","87205","HCPCS","Both",,,"5.5","2.75","Alliant","Health Exchange","",,"62",,"3.41","2.01","4.26","percent of total billed charges",,
"GRAM STAIN (REF LAB)","87205","HCPCS","Both",,,"5.5","2.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"2.97","2.01","4.26","percent of total billed charges",,
"GRAM STAIN (REF LAB)","87205","HCPCS","Both",,,"5.5","2.75","Medicare",,"",,"54",,"2.98","2.01","4.26","percent of total billed charges",,
"GRAM STAIN (REF LAB)","87205","HCPCS","Both",,,"5.5","2.75","Humana","Medicare Advantage","",,"54",,"2.98","2.01","4.26","percent of total billed charges",,
"GRAM STAIN (REF LAB)","87205","HCPCS","Both",,,"5.5","2.75","UHC","Medicare Advantage","",,"54",,"2.98","2.01","4.26","percent of total billed charges",,
"GRAM STAIN (REF LAB)","87205","HCPCS","Both",,,"5.5","2.75","Clover","Medicare Advantage","",,"54",,"2.98","2.01","4.26","percent of total billed charges",,
"GRAM STAIN (REF LAB)","87205","HCPCS","Both",,,"5.5","2.75","Wellcare","Medicare Advantage","",,"54",,"2.98","2.01","4.26","percent of total billed charges",,
"GRAM STAIN (REF LAB)","87205","HCPCS","Both",,,"5.5","2.75","Amerigroup","Medicaid Managed Care","",,"37",,"2.01","2.01","4.26","percent of total billed charges",,
"GRAM STAIN (REF LAB)","87205","HCPCS","Both",,,"5.5","2.75","Caresource","Medicaid Managed Care","",,"40",,"2.2","2.01","4.26","percent of total billed charges",,
"GRAM STAIN (REF LAB)","87205","HCPCS","Both",,,"5.5","2.75","Wellcare","Medicaid Managed Care","",,"40",,"2.23","2.01","4.26","percent of total billed charges",,
"GRAM STAIN (REF LAB)","87205","HCPCS","Both",,,"5.5","2.75","Aetna","Commercial","",,"64",,"3.51","2.01","4.26","percent of total billed charges",,
"GRAM STAIN (REF LAB)","87205","HCPCS","Both",,,"5.5","2.75","Blue Cross Blue Shield","Pathways","",,"71",,"3.88","2.01","4.26","percent of total billed charges",,
"GRAM STAIN (REF LAB)","87205","HCPCS","Both",,,"5.5","2.75","Blue Cross Blue Shield","HMO","",,"71",,"3.88","2.01","4.26","percent of total billed charges",,
"GRAM STAIN (REF LAB)","87205","HCPCS","Both",,,"5.5","2.75","Blue Cross Blue Shield","PPO","",,"71",,"3.88","2.01","4.26","percent of total billed charges",,
"GRAM STAIN (REF LAB)","87205","HCPCS","Both",,,"5.5","2.75","Ambetter","Health Exchange","",,"62",,"3.41","2.01","4.26","percent of total billed charges",,
"GRAM STAIN (REF LAB)","87205","HCPCS","Both",,,"5.5","2.75","Caresource","Health Exchange","",,"62",,"3.41","2.01","4.26","percent of total billed charges",,
"GRAM STAIN (REF LAB)","87205","HCPCS","Both",,,"5.5","2.75","Cigna","Commercial","",,"59",,"3.22","2.01","4.26","percent of total billed charges",,
"GRAM STAIN (REF LAB)","87205","HCPCS","Both",,,"5.5","2.75","Humana","Commercial","",,"78",,"4.26","2.01","4.26","percent of total billed charges",,
"GRAM STAIN (REF LAB)","87205","HCPCS","Both",,,"5.5","2.75","UHC","Commercial","",,"75",,"4.15","2.01","4.26","percent of total billed charges",,
"GRAM STAIN (REF LAB)","87205","HCPCS","Both",,,"5.5","2.75","Medicaid",,"",,"37",,"2.01","2.01","4.26","percent of total billed charges",,
"SCL-70 ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Alliant","Health Exchange","",,"62",,"28.83","17.02","36.04","percent of total billed charges",,
"SCL-70 ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"25.11","17.02","36.04","percent of total billed charges",,
"SCL-70 ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Medicare",,"",,"54",,"25.2","17.02","36.04","percent of total billed charges",,
"SCL-70 ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Humana","Medicare Advantage","",,"54",,"25.2","17.02","36.04","percent of total billed charges",,
"SCL-70 ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","UHC","Medicare Advantage","",,"54",,"25.2","17.02","36.04","percent of total billed charges",,
"SCL-70 ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Clover","Medicare Advantage","",,"54",,"25.2","17.02","36.04","percent of total billed charges",,
"SCL-70 ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Wellcare","Medicare Advantage","",,"54",,"25.2","17.02","36.04","percent of total billed charges",,
"SCL-70 ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Amerigroup","Medicaid Managed Care","",,"37",,"17.02","17.02","36.04","percent of total billed charges",,
"SCL-70 ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Caresource","Medicaid Managed Care","",,"40",,"18.6","17.02","36.04","percent of total billed charges",,
"SCL-70 ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Wellcare","Medicaid Managed Care","",,"40",,"18.83","17.02","36.04","percent of total billed charges",,
"SCL-70 ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Aetna","Commercial","",,"64",,"29.67","17.02","36.04","percent of total billed charges",,
"SCL-70 ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Blue Cross Blue Shield","Pathways","",,"71",,"32.83","17.02","36.04","percent of total billed charges",,
"SCL-70 ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Blue Cross Blue Shield","HMO","",,"71",,"32.83","17.02","36.04","percent of total billed charges",,
"SCL-70 ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Blue Cross Blue Shield","PPO","",,"71",,"32.83","17.02","36.04","percent of total billed charges",,
"SCL-70 ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Ambetter","Health Exchange","",,"62",,"28.83","17.02","36.04","percent of total billed charges",,
"SCL-70 ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Caresource","Health Exchange","",,"62",,"28.83","17.02","36.04","percent of total billed charges",,
"SCL-70 ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Cigna","Commercial","",,"59",,"27.25","17.02","36.04","percent of total billed charges",,
"SCL-70 ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Humana","Commercial","",,"78",,"36.04","17.02","36.04","percent of total billed charges",,
"SCL-70 ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","UHC","Commercial","",,"75",,"35.06","17.02","36.04","percent of total billed charges",,
"SCL-70 ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Medicaid",,"",,"37",,"17.02","17.02","36.04","percent of total billed charges",,
"CENTROMERE AB","86235","HCPCS","Both",,,"46.5","23.25","Alliant","Health Exchange","",,"62",,"28.83","17.02","36.04","percent of total billed charges",,
"CENTROMERE AB","86235","HCPCS","Both",,,"46.5","23.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"25.11","17.02","36.04","percent of total billed charges",,
"CENTROMERE AB","86235","HCPCS","Both",,,"46.5","23.25","Medicare",,"",,"54",,"25.2","17.02","36.04","percent of total billed charges",,
"CENTROMERE AB","86235","HCPCS","Both",,,"46.5","23.25","Humana","Medicare Advantage","",,"54",,"25.2","17.02","36.04","percent of total billed charges",,
"CENTROMERE AB","86235","HCPCS","Both",,,"46.5","23.25","UHC","Medicare Advantage","",,"54",,"25.2","17.02","36.04","percent of total billed charges",,
"CENTROMERE AB","86235","HCPCS","Both",,,"46.5","23.25","Clover","Medicare Advantage","",,"54",,"25.2","17.02","36.04","percent of total billed charges",,
"CENTROMERE AB","86235","HCPCS","Both",,,"46.5","23.25","Wellcare","Medicare Advantage","",,"54",,"25.2","17.02","36.04","percent of total billed charges",,
"CENTROMERE AB","86235","HCPCS","Both",,,"46.5","23.25","Amerigroup","Medicaid Managed Care","",,"37",,"17.02","17.02","36.04","percent of total billed charges",,
"CENTROMERE AB","86235","HCPCS","Both",,,"46.5","23.25","Caresource","Medicaid Managed Care","",,"40",,"18.6","17.02","36.04","percent of total billed charges",,
"CENTROMERE AB","86235","HCPCS","Both",,,"46.5","23.25","Wellcare","Medicaid Managed Care","",,"40",,"18.83","17.02","36.04","percent of total billed charges",,
"CENTROMERE AB","86235","HCPCS","Both",,,"46.5","23.25","Aetna","Commercial","",,"64",,"29.67","17.02","36.04","percent of total billed charges",,
"CENTROMERE AB","86235","HCPCS","Both",,,"46.5","23.25","Blue Cross Blue Shield","Pathways","",,"71",,"32.83","17.02","36.04","percent of total billed charges",,
"CENTROMERE AB","86235","HCPCS","Both",,,"46.5","23.25","Blue Cross Blue Shield","HMO","",,"71",,"32.83","17.02","36.04","percent of total billed charges",,
"CENTROMERE AB","86235","HCPCS","Both",,,"46.5","23.25","Blue Cross Blue Shield","PPO","",,"71",,"32.83","17.02","36.04","percent of total billed charges",,
"CENTROMERE AB","86235","HCPCS","Both",,,"46.5","23.25","Ambetter","Health Exchange","",,"62",,"28.83","17.02","36.04","percent of total billed charges",,
"CENTROMERE AB","86235","HCPCS","Both",,,"46.5","23.25","Caresource","Health Exchange","",,"62",,"28.83","17.02","36.04","percent of total billed charges",,
"CENTROMERE AB","86235","HCPCS","Both",,,"46.5","23.25","Cigna","Commercial","",,"59",,"27.25","17.02","36.04","percent of total billed charges",,
"CENTROMERE AB","86235","HCPCS","Both",,,"46.5","23.25","Humana","Commercial","",,"78",,"36.04","17.02","36.04","percent of total billed charges",,
"CENTROMERE AB","86235","HCPCS","Both",,,"46.5","23.25","UHC","Commercial","",,"75",,"35.06","17.02","36.04","percent of total billed charges",,
"CENTROMERE AB","86235","HCPCS","Both",,,"46.5","23.25","Medicaid",,"",,"37",,"17.02","17.02","36.04","percent of total billed charges",,
"CULTURE MRSA","87081","HCPCS","Both",,,"48","24","Alliant","Health Exchange","",,"62",,"29.76","17.57","37.2","percent of total billed charges",,
"CULTURE MRSA","87081","HCPCS","Both",,,"48","24","Pruitt Healthcare","Medicare Advantage","",,"54",,"25.92","17.57","37.2","percent of total billed charges",,
"CULTURE MRSA","87081","HCPCS","Both",,,"48","24","Medicare",,"",,"54",,"26.02","17.57","37.2","percent of total billed charges",,
"CULTURE MRSA","87081","HCPCS","Both",,,"48","24","Humana","Medicare Advantage","",,"54",,"26.02","17.57","37.2","percent of total billed charges",,
"CULTURE MRSA","87081","HCPCS","Both",,,"48","24","UHC","Medicare Advantage","",,"54",,"26.02","17.57","37.2","percent of total billed charges",,
"CULTURE MRSA","87081","HCPCS","Both",,,"48","24","Clover","Medicare Advantage","",,"54",,"26.02","17.57","37.2","percent of total billed charges",,
"CULTURE MRSA","87081","HCPCS","Both",,,"48","24","Wellcare","Medicare Advantage","",,"54",,"26.02","17.57","37.2","percent of total billed charges",,
"CULTURE MRSA","87081","HCPCS","Both",,,"48","24","Amerigroup","Medicaid Managed Care","",,"37",,"17.57","17.57","37.2","percent of total billed charges",,
"CULTURE MRSA","87081","HCPCS","Both",,,"48","24","Caresource","Medicaid Managed Care","",,"40",,"19.2","17.57","37.2","percent of total billed charges",,
"CULTURE MRSA","87081","HCPCS","Both",,,"48","24","Wellcare","Medicaid Managed Care","",,"40",,"19.44","17.57","37.2","percent of total billed charges",,
"CULTURE MRSA","87081","HCPCS","Both",,,"48","24","Aetna","Commercial","",,"64",,"30.62","17.57","37.2","percent of total billed charges",,
"CULTURE MRSA","87081","HCPCS","Both",,,"48","24","Blue Cross Blue Shield","Pathways","",,"71",,"33.89","17.57","37.2","percent of total billed charges",,
"CULTURE MRSA","87081","HCPCS","Both",,,"48","24","Blue Cross Blue Shield","HMO","",,"71",,"33.89","17.57","37.2","percent of total billed charges",,
"CULTURE MRSA","87081","HCPCS","Both",,,"48","24","Blue Cross Blue Shield","PPO","",,"71",,"33.89","17.57","37.2","percent of total billed charges",,
"CULTURE MRSA","87081","HCPCS","Both",,,"48","24","Ambetter","Health Exchange","",,"62",,"29.76","17.57","37.2","percent of total billed charges",,
"CULTURE MRSA","87081","HCPCS","Both",,,"48","24","Caresource","Health Exchange","",,"62",,"29.76","17.57","37.2","percent of total billed charges",,
"CULTURE MRSA","87081","HCPCS","Both",,,"48","24","Cigna","Commercial","",,"59",,"28.13","17.57","37.2","percent of total billed charges",,
"CULTURE MRSA","87081","HCPCS","Both",,,"48","24","Humana","Commercial","",,"78",,"37.2","17.57","37.2","percent of total billed charges",,
"CULTURE MRSA","87081","HCPCS","Both",,,"48","24","UHC","Commercial","",,"75",,"36.19","17.57","37.2","percent of total billed charges",,
"CULTURE MRSA","87081","HCPCS","Both",,,"48","24","Medicaid",,"",,"37",,"17.57","17.57","37.2","percent of total billed charges",,
"COPPER, URINE","82525","HCPCS","Both",,,"15.5","7.75","Alliant","Health Exchange","",,"62",,"9.61","5.67","12.01","percent of total billed charges",,
"COPPER, URINE","82525","HCPCS","Both",,,"15.5","7.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"8.37","5.67","12.01","percent of total billed charges",,
"COPPER, URINE","82525","HCPCS","Both",,,"15.5","7.75","Medicare",,"",,"54",,"8.4","5.67","12.01","percent of total billed charges",,
"COPPER, URINE","82525","HCPCS","Both",,,"15.5","7.75","Humana","Medicare Advantage","",,"54",,"8.4","5.67","12.01","percent of total billed charges",,
"COPPER, URINE","82525","HCPCS","Both",,,"15.5","7.75","UHC","Medicare Advantage","",,"54",,"8.4","5.67","12.01","percent of total billed charges",,
"COPPER, URINE","82525","HCPCS","Both",,,"15.5","7.75","Clover","Medicare Advantage","",,"54",,"8.4","5.67","12.01","percent of total billed charges",,
"COPPER, URINE","82525","HCPCS","Both",,,"15.5","7.75","Wellcare","Medicare Advantage","",,"54",,"8.4","5.67","12.01","percent of total billed charges",,
"COPPER, URINE","82525","HCPCS","Both",,,"15.5","7.75","Amerigroup","Medicaid Managed Care","",,"37",,"5.67","5.67","12.01","percent of total billed charges",,
"COPPER, URINE","82525","HCPCS","Both",,,"15.5","7.75","Caresource","Medicaid Managed Care","",,"40",,"6.2","5.67","12.01","percent of total billed charges",,
"COPPER, URINE","82525","HCPCS","Both",,,"15.5","7.75","Wellcare","Medicaid Managed Care","",,"40",,"6.28","5.67","12.01","percent of total billed charges",,
"COPPER, URINE","82525","HCPCS","Both",,,"15.5","7.75","Aetna","Commercial","",,"64",,"9.89","5.67","12.01","percent of total billed charges",,
"COPPER, URINE","82525","HCPCS","Both",,,"15.5","7.75","Blue Cross Blue Shield","Pathways","",,"71",,"10.94","5.67","12.01","percent of total billed charges",,
"COPPER, URINE","82525","HCPCS","Both",,,"15.5","7.75","Blue Cross Blue Shield","HMO","",,"71",,"10.94","5.67","12.01","percent of total billed charges",,
"COPPER, URINE","82525","HCPCS","Both",,,"15.5","7.75","Blue Cross Blue Shield","PPO","",,"71",,"10.94","5.67","12.01","percent of total billed charges",,
"COPPER, URINE","82525","HCPCS","Both",,,"15.5","7.75","Ambetter","Health Exchange","",,"62",,"9.61","5.67","12.01","percent of total billed charges",,
"COPPER, URINE","82525","HCPCS","Both",,,"15.5","7.75","Caresource","Health Exchange","",,"62",,"9.61","5.67","12.01","percent of total billed charges",,
"COPPER, URINE","82525","HCPCS","Both",,,"15.5","7.75","Cigna","Commercial","",,"59",,"9.08","5.67","12.01","percent of total billed charges",,
"COPPER, URINE","82525","HCPCS","Both",,,"15.5","7.75","Humana","Commercial","",,"78",,"12.01","5.67","12.01","percent of total billed charges",,
"COPPER, URINE","82525","HCPCS","Both",,,"15.5","7.75","UHC","Commercial","",,"75",,"11.69","5.67","12.01","percent of total billed charges",,
"COPPER, URINE","82525","HCPCS","Both",,,"15.5","7.75","Medicaid",,"",,"37",,"5.67","5.67","12.01","percent of total billed charges",,
"VITAMIN E ALPHA","84446","HCPCS","Both",,,"29","14.5","Alliant","Health Exchange","",,"62",,"17.98","10.61","22.48","percent of total billed charges",,
"VITAMIN E ALPHA","84446","HCPCS","Both",,,"29","14.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"15.66","10.61","22.48","percent of total billed charges",,
"VITAMIN E ALPHA","84446","HCPCS","Both",,,"29","14.5","Medicare",,"",,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"VITAMIN E ALPHA","84446","HCPCS","Both",,,"29","14.5","Humana","Medicare Advantage","",,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"VITAMIN E ALPHA","84446","HCPCS","Both",,,"29","14.5","UHC","Medicare Advantage","",,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"VITAMIN E ALPHA","84446","HCPCS","Both",,,"29","14.5","Clover","Medicare Advantage","",,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"VITAMIN E ALPHA","84446","HCPCS","Both",,,"29","14.5","Wellcare","Medicare Advantage","",,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"VITAMIN E ALPHA","84446","HCPCS","Both",,,"29","14.5","Amerigroup","Medicaid Managed Care","",,"37",,"10.61","10.61","22.48","percent of total billed charges",,
"VITAMIN E ALPHA","84446","HCPCS","Both",,,"29","14.5","Caresource","Medicaid Managed Care","",,"40",,"11.6","10.61","22.48","percent of total billed charges",,
"VITAMIN E ALPHA","84446","HCPCS","Both",,,"29","14.5","Wellcare","Medicaid Managed Care","",,"40",,"11.74","10.61","22.48","percent of total billed charges",,
"VITAMIN E ALPHA","84446","HCPCS","Both",,,"29","14.5","Aetna","Commercial","",,"64",,"18.5","10.61","22.48","percent of total billed charges",,
"VITAMIN E ALPHA","84446","HCPCS","Both",,,"29","14.5","Blue Cross Blue Shield","Pathways","",,"71",,"20.47","10.61","22.48","percent of total billed charges",,
"VITAMIN E ALPHA","84446","HCPCS","Both",,,"29","14.5","Blue Cross Blue Shield","HMO","",,"71",,"20.47","10.61","22.48","percent of total billed charges",,
"VITAMIN E ALPHA","84446","HCPCS","Both",,,"29","14.5","Blue Cross Blue Shield","PPO","",,"71",,"20.47","10.61","22.48","percent of total billed charges",,
"VITAMIN E ALPHA","84446","HCPCS","Both",,,"29","14.5","Ambetter","Health Exchange","",,"62",,"17.98","10.61","22.48","percent of total billed charges",,
"VITAMIN E ALPHA","84446","HCPCS","Both",,,"29","14.5","Caresource","Health Exchange","",,"62",,"17.98","10.61","22.48","percent of total billed charges",,
"VITAMIN E ALPHA","84446","HCPCS","Both",,,"29","14.5","Cigna","Commercial","",,"59",,"16.99","10.61","22.48","percent of total billed charges",,
"VITAMIN E ALPHA","84446","HCPCS","Both",,,"29","14.5","Humana","Commercial","",,"78",,"22.48","10.61","22.48","percent of total billed charges",,
"VITAMIN E ALPHA","84446","HCPCS","Both",,,"29","14.5","UHC","Commercial","",,"75",,"21.87","10.61","22.48","percent of total billed charges",,
"VITAMIN E ALPHA","84446","HCPCS","Both",,,"29","14.5","Medicaid",,"",,"37",,"10.61","10.61","22.48","percent of total billed charges",,
"VITAMIN E GAMMA","84591","HCPCS","Both",,,"219","109.5","Alliant","Health Exchange","",,"62",,"135.78","80.15","169.72","percent of total billed charges",,
"VITAMIN E GAMMA","84591","HCPCS","Both",,,"219","109.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"118.26","80.15","169.72","percent of total billed charges",,
"VITAMIN E GAMMA","84591","HCPCS","Both",,,"219","109.5","Medicare",,"",,"54",,"118.7","80.15","169.72","percent of total billed charges",,
"VITAMIN E GAMMA","84591","HCPCS","Both",,,"219","109.5","Humana","Medicare Advantage","",,"54",,"118.7","80.15","169.72","percent of total billed charges",,
"VITAMIN E GAMMA","84591","HCPCS","Both",,,"219","109.5","UHC","Medicare Advantage","",,"54",,"118.7","80.15","169.72","percent of total billed charges",,
"VITAMIN E GAMMA","84591","HCPCS","Both",,,"219","109.5","Clover","Medicare Advantage","",,"54",,"118.7","80.15","169.72","percent of total billed charges",,
"VITAMIN E GAMMA","84591","HCPCS","Both",,,"219","109.5","Wellcare","Medicare Advantage","",,"54",,"118.7","80.15","169.72","percent of total billed charges",,
"VITAMIN E GAMMA","84591","HCPCS","Both",,,"219","109.5","Amerigroup","Medicaid Managed Care","",,"37",,"80.15","80.15","169.72","percent of total billed charges",,
"VITAMIN E GAMMA","84591","HCPCS","Both",,,"219","109.5","Caresource","Medicaid Managed Care","",,"40",,"87.6","80.15","169.72","percent of total billed charges",,
"VITAMIN E GAMMA","84591","HCPCS","Both",,,"219","109.5","Wellcare","Medicaid Managed Care","",,"40",,"88.7","80.15","169.72","percent of total billed charges",,
"VITAMIN E GAMMA","84591","HCPCS","Both",,,"219","109.5","Aetna","Commercial","",,"64",,"139.72","80.15","169.72","percent of total billed charges",,
"VITAMIN E GAMMA","84591","HCPCS","Both",,,"219","109.5","Blue Cross Blue Shield","Pathways","",,"71",,"154.61","80.15","169.72","percent of total billed charges",,
"VITAMIN E GAMMA","84591","HCPCS","Both",,,"219","109.5","Blue Cross Blue Shield","HMO","",,"71",,"154.61","80.15","169.72","percent of total billed charges",,
"VITAMIN E GAMMA","84591","HCPCS","Both",,,"219","109.5","Blue Cross Blue Shield","PPO","",,"71",,"154.61","80.15","169.72","percent of total billed charges",,
"VITAMIN E GAMMA","84591","HCPCS","Both",,,"219","109.5","Ambetter","Health Exchange","",,"62",,"135.78","80.15","169.72","percent of total billed charges",,
"VITAMIN E GAMMA","84591","HCPCS","Both",,,"219","109.5","Caresource","Health Exchange","",,"62",,"135.78","80.15","169.72","percent of total billed charges",,
"VITAMIN E GAMMA","84591","HCPCS","Both",,,"219","109.5","Cigna","Commercial","",,"59",,"128.33","80.15","169.72","percent of total billed charges",,
"VITAMIN E GAMMA","84591","HCPCS","Both",,,"219","109.5","Humana","Commercial","",,"78",,"169.72","80.15","169.72","percent of total billed charges",,
"VITAMIN E GAMMA","84591","HCPCS","Both",,,"219","109.5","UHC","Commercial","",,"75",,"165.13","80.15","169.72","percent of total billed charges",,
"VITAMIN E GAMMA","84591","HCPCS","Both",,,"219","109.5","Medicaid",,"",,"37",,"80.15","80.15","169.72","percent of total billed charges",,
"TOPIRAMATE","80201","HCPCS","Both",,,"30.5","15.25","Alliant","Health Exchange","",,"62",,"18.91","11.16","23.64","percent of total billed charges",,
"TOPIRAMATE","80201","HCPCS","Both",,,"30.5","15.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"16.47","11.16","23.64","percent of total billed charges",,
"TOPIRAMATE","80201","HCPCS","Both",,,"30.5","15.25","Medicare",,"",,"54",,"16.53","11.16","23.64","percent of total billed charges",,
"TOPIRAMATE","80201","HCPCS","Both",,,"30.5","15.25","Humana","Medicare Advantage","",,"54",,"16.53","11.16","23.64","percent of total billed charges",,
"TOPIRAMATE","80201","HCPCS","Both",,,"30.5","15.25","UHC","Medicare Advantage","",,"54",,"16.53","11.16","23.64","percent of total billed charges",,
"TOPIRAMATE","80201","HCPCS","Both",,,"30.5","15.25","Clover","Medicare Advantage","",,"54",,"16.53","11.16","23.64","percent of total billed charges",,
"TOPIRAMATE","80201","HCPCS","Both",,,"30.5","15.25","Wellcare","Medicare Advantage","",,"54",,"16.53","11.16","23.64","percent of total billed charges",,
"TOPIRAMATE","80201","HCPCS","Both",,,"30.5","15.25","Amerigroup","Medicaid Managed Care","",,"37",,"11.16","11.16","23.64","percent of total billed charges",,
"TOPIRAMATE","80201","HCPCS","Both",,,"30.5","15.25","Caresource","Medicaid Managed Care","",,"40",,"12.2","11.16","23.64","percent of total billed charges",,
"TOPIRAMATE","80201","HCPCS","Both",,,"30.5","15.25","Wellcare","Medicaid Managed Care","",,"40",,"12.35","11.16","23.64","percent of total billed charges",,
"TOPIRAMATE","80201","HCPCS","Both",,,"30.5","15.25","Aetna","Commercial","",,"64",,"19.46","11.16","23.64","percent of total billed charges",,
"TOPIRAMATE","80201","HCPCS","Both",,,"30.5","15.25","Blue Cross Blue Shield","Pathways","",,"71",,"21.53","11.16","23.64","percent of total billed charges",,
"TOPIRAMATE","80201","HCPCS","Both",,,"30.5","15.25","Blue Cross Blue Shield","HMO","",,"71",,"21.53","11.16","23.64","percent of total billed charges",,
"TOPIRAMATE","80201","HCPCS","Both",,,"30.5","15.25","Blue Cross Blue Shield","PPO","",,"71",,"21.53","11.16","23.64","percent of total billed charges",,
"TOPIRAMATE","80201","HCPCS","Both",,,"30.5","15.25","Ambetter","Health Exchange","",,"62",,"18.91","11.16","23.64","percent of total billed charges",,
"TOPIRAMATE","80201","HCPCS","Both",,,"30.5","15.25","Caresource","Health Exchange","",,"62",,"18.91","11.16","23.64","percent of total billed charges",,
"TOPIRAMATE","80201","HCPCS","Both",,,"30.5","15.25","Cigna","Commercial","",,"59",,"17.87","11.16","23.64","percent of total billed charges",,
"TOPIRAMATE","80201","HCPCS","Both",,,"30.5","15.25","Humana","Commercial","",,"78",,"23.64","11.16","23.64","percent of total billed charges",,
"TOPIRAMATE","80201","HCPCS","Both",,,"30.5","15.25","UHC","Commercial","",,"75",,"23","11.16","23.64","percent of total billed charges",,
"TOPIRAMATE","80201","HCPCS","Both",,,"30.5","15.25","Medicaid",,"",,"37",,"11.16","11.16","23.64","percent of total billed charges",,
"VITAMIN A","84590","HCPCS","Both",,,"14.5","7.25","Alliant","Health Exchange","",,"62",,"8.99","5.31","11.24","percent of total billed charges",,
"VITAMIN A","84590","HCPCS","Both",,,"14.5","7.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"7.83","5.31","11.24","percent of total billed charges",,
"VITAMIN A","84590","HCPCS","Both",,,"14.5","7.25","Medicare",,"",,"54",,"7.86","5.31","11.24","percent of total billed charges",,
"VITAMIN A","84590","HCPCS","Both",,,"14.5","7.25","Humana","Medicare Advantage","",,"54",,"7.86","5.31","11.24","percent of total billed charges",,
"VITAMIN A","84590","HCPCS","Both",,,"14.5","7.25","UHC","Medicare Advantage","",,"54",,"7.86","5.31","11.24","percent of total billed charges",,
"VITAMIN A","84590","HCPCS","Both",,,"14.5","7.25","Clover","Medicare Advantage","",,"54",,"7.86","5.31","11.24","percent of total billed charges",,
"VITAMIN A","84590","HCPCS","Both",,,"14.5","7.25","Wellcare","Medicare Advantage","",,"54",,"7.86","5.31","11.24","percent of total billed charges",,
"VITAMIN A","84590","HCPCS","Both",,,"14.5","7.25","Amerigroup","Medicaid Managed Care","",,"37",,"5.31","5.31","11.24","percent of total billed charges",,
"VITAMIN A","84590","HCPCS","Both",,,"14.5","7.25","Caresource","Medicaid Managed Care","",,"40",,"5.8","5.31","11.24","percent of total billed charges",,
"VITAMIN A","84590","HCPCS","Both",,,"14.5","7.25","Wellcare","Medicaid Managed Care","",,"40",,"5.87","5.31","11.24","percent of total billed charges",,
"VITAMIN A","84590","HCPCS","Both",,,"14.5","7.25","Aetna","Commercial","",,"64",,"9.25","5.31","11.24","percent of total billed charges",,
"VITAMIN A","84590","HCPCS","Both",,,"14.5","7.25","Blue Cross Blue Shield","Pathways","",,"71",,"10.24","5.31","11.24","percent of total billed charges",,
"VITAMIN A","84590","HCPCS","Both",,,"14.5","7.25","Blue Cross Blue Shield","HMO","",,"71",,"10.24","5.31","11.24","percent of total billed charges",,
"VITAMIN A","84590","HCPCS","Both",,,"14.5","7.25","Blue Cross Blue Shield","PPO","",,"71",,"10.24","5.31","11.24","percent of total billed charges",,
"VITAMIN A","84590","HCPCS","Both",,,"14.5","7.25","Ambetter","Health Exchange","",,"62",,"8.99","5.31","11.24","percent of total billed charges",,
"VITAMIN A","84590","HCPCS","Both",,,"14.5","7.25","Caresource","Health Exchange","",,"62",,"8.99","5.31","11.24","percent of total billed charges",,
"VITAMIN A","84590","HCPCS","Both",,,"14.5","7.25","Cigna","Commercial","",,"59",,"8.5","5.31","11.24","percent of total billed charges",,
"VITAMIN A","84590","HCPCS","Both",,,"14.5","7.25","Humana","Commercial","",,"78",,"11.24","5.31","11.24","percent of total billed charges",,
"VITAMIN A","84590","HCPCS","Both",,,"14.5","7.25","UHC","Commercial","",,"75",,"10.93","5.31","11.24","percent of total billed charges",,
"VITAMIN A","84590","HCPCS","Both",,,"14.5","7.25","Medicaid",,"",,"37",,"5.31","5.31","11.24","percent of total billed charges",,
"SMITH (Sm) ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Alliant","Health Exchange","",,"62",,"28.83","17.02","36.04","percent of total billed charges",,
"SMITH (Sm) ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"25.11","17.02","36.04","percent of total billed charges",,
"SMITH (Sm) ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Medicare",,"",,"54",,"25.2","17.02","36.04","percent of total billed charges",,
"SMITH (Sm) ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Humana","Medicare Advantage","",,"54",,"25.2","17.02","36.04","percent of total billed charges",,
"SMITH (Sm) ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","UHC","Medicare Advantage","",,"54",,"25.2","17.02","36.04","percent of total billed charges",,
"SMITH (Sm) ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Clover","Medicare Advantage","",,"54",,"25.2","17.02","36.04","percent of total billed charges",,
"SMITH (Sm) ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Wellcare","Medicare Advantage","",,"54",,"25.2","17.02","36.04","percent of total billed charges",,
"SMITH (Sm) ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Amerigroup","Medicaid Managed Care","",,"37",,"17.02","17.02","36.04","percent of total billed charges",,
"SMITH (Sm) ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Caresource","Medicaid Managed Care","",,"40",,"18.6","17.02","36.04","percent of total billed charges",,
"SMITH (Sm) ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Wellcare","Medicaid Managed Care","",,"40",,"18.83","17.02","36.04","percent of total billed charges",,
"SMITH (Sm) ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Aetna","Commercial","",,"64",,"29.67","17.02","36.04","percent of total billed charges",,
"SMITH (Sm) ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Blue Cross Blue Shield","Pathways","",,"71",,"32.83","17.02","36.04","percent of total billed charges",,
"SMITH (Sm) ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Blue Cross Blue Shield","HMO","",,"71",,"32.83","17.02","36.04","percent of total billed charges",,
"SMITH (Sm) ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Blue Cross Blue Shield","PPO","",,"71",,"32.83","17.02","36.04","percent of total billed charges",,
"SMITH (Sm) ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Ambetter","Health Exchange","",,"62",,"28.83","17.02","36.04","percent of total billed charges",,
"SMITH (Sm) ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Caresource","Health Exchange","",,"62",,"28.83","17.02","36.04","percent of total billed charges",,
"SMITH (Sm) ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Cigna","Commercial","",,"59",,"27.25","17.02","36.04","percent of total billed charges",,
"SMITH (Sm) ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Humana","Commercial","",,"78",,"36.04","17.02","36.04","percent of total billed charges",,
"SMITH (Sm) ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","UHC","Commercial","",,"75",,"35.06","17.02","36.04","percent of total billed charges",,
"SMITH (Sm) ANTIBODY","86235","HCPCS","Both",,,"46.5","23.25","Medicaid",,"",,"37",,"17.02","17.02","36.04","percent of total billed charges",,
"FRAGILE X SCREEN","81243","HCPCS","Both",,,"83","41.5","Alliant","Health Exchange","",,"62",,"51.46","30.38","64.32","percent of total billed charges",,
"FRAGILE X SCREEN","81243","HCPCS","Both",,,"83","41.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"44.82","30.38","64.32","percent of total billed charges",,
"FRAGILE X SCREEN","81243","HCPCS","Both",,,"83","41.5","Medicare",,"",,"54",,"44.99","30.38","64.32","percent of total billed charges",,
"FRAGILE X SCREEN","81243","HCPCS","Both",,,"83","41.5","Humana","Medicare Advantage","",,"54",,"44.99","30.38","64.32","percent of total billed charges",,
"FRAGILE X SCREEN","81243","HCPCS","Both",,,"83","41.5","UHC","Medicare Advantage","",,"54",,"44.99","30.38","64.32","percent of total billed charges",,
"FRAGILE X SCREEN","81243","HCPCS","Both",,,"83","41.5","Clover","Medicare Advantage","",,"54",,"44.99","30.38","64.32","percent of total billed charges",,
"FRAGILE X SCREEN","81243","HCPCS","Both",,,"83","41.5","Wellcare","Medicare Advantage","",,"54",,"44.99","30.38","64.32","percent of total billed charges",,
"FRAGILE X SCREEN","81243","HCPCS","Both",,,"83","41.5","Amerigroup","Medicaid Managed Care","",,"37",,"30.38","30.38","64.32","percent of total billed charges",,
"FRAGILE X SCREEN","81243","HCPCS","Both",,,"83","41.5","Caresource","Medicaid Managed Care","",,"40",,"33.2","30.38","64.32","percent of total billed charges",,
"FRAGILE X SCREEN","81243","HCPCS","Both",,,"83","41.5","Wellcare","Medicaid Managed Care","",,"40",,"33.62","30.38","64.32","percent of total billed charges",,
"FRAGILE X SCREEN","81243","HCPCS","Both",,,"83","41.5","Aetna","Commercial","",,"64",,"52.95","30.38","64.32","percent of total billed charges",,
"FRAGILE X SCREEN","81243","HCPCS","Both",,,"83","41.5","Blue Cross Blue Shield","Pathways","",,"71",,"58.6","30.38","64.32","percent of total billed charges",,
"FRAGILE X SCREEN","81243","HCPCS","Both",,,"83","41.5","Blue Cross Blue Shield","HMO","",,"71",,"58.6","30.38","64.32","percent of total billed charges",,
"FRAGILE X SCREEN","81243","HCPCS","Both",,,"83","41.5","Blue Cross Blue Shield","PPO","",,"71",,"58.6","30.38","64.32","percent of total billed charges",,
"FRAGILE X SCREEN","81243","HCPCS","Both",,,"83","41.5","Ambetter","Health Exchange","",,"62",,"51.46","30.38","64.32","percent of total billed charges",,
"FRAGILE X SCREEN","81243","HCPCS","Both",,,"83","41.5","Caresource","Health Exchange","",,"62",,"51.46","30.38","64.32","percent of total billed charges",,
"FRAGILE X SCREEN","81243","HCPCS","Both",,,"83","41.5","Cigna","Commercial","",,"59",,"48.64","30.38","64.32","percent of total billed charges",,
"FRAGILE X SCREEN","81243","HCPCS","Both",,,"83","41.5","Humana","Commercial","",,"78",,"64.32","30.38","64.32","percent of total billed charges",,
"FRAGILE X SCREEN","81243","HCPCS","Both",,,"83","41.5","UHC","Commercial","",,"75",,"62.58","30.38","64.32","percent of total billed charges",,
"FRAGILE X SCREEN","81243","HCPCS","Both",,,"83","41.5","Medicaid",,"",,"37",,"30.38","30.38","64.32","percent of total billed charges",,
"LEAD BLOOD, VENIPUNCTURE","83655","HCPCS","Both",,,"87","43.5","Alliant","Health Exchange","",,"62",,"53.94","31.84","67.42","percent of total billed charges",,
"LEAD BLOOD, VENIPUNCTURE","83655","HCPCS","Both",,,"87","43.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"46.98","31.84","67.42","percent of total billed charges",,
"LEAD BLOOD, VENIPUNCTURE","83655","HCPCS","Both",,,"87","43.5","Medicare",,"",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"LEAD BLOOD, VENIPUNCTURE","83655","HCPCS","Both",,,"87","43.5","Humana","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"LEAD BLOOD, VENIPUNCTURE","83655","HCPCS","Both",,,"87","43.5","UHC","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"LEAD BLOOD, VENIPUNCTURE","83655","HCPCS","Both",,,"87","43.5","Clover","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"LEAD BLOOD, VENIPUNCTURE","83655","HCPCS","Both",,,"87","43.5","Wellcare","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"LEAD BLOOD, VENIPUNCTURE","83655","HCPCS","Both",,,"87","43.5","Amerigroup","Medicaid Managed Care","",,"37",,"31.84","31.84","67.42","percent of total billed charges",,
"LEAD BLOOD, VENIPUNCTURE","83655","HCPCS","Both",,,"87","43.5","Caresource","Medicaid Managed Care","",,"40",,"34.8","31.84","67.42","percent of total billed charges",,
"LEAD BLOOD, VENIPUNCTURE","83655","HCPCS","Both",,,"87","43.5","Wellcare","Medicaid Managed Care","",,"40",,"35.24","31.84","67.42","percent of total billed charges",,
"LEAD BLOOD, VENIPUNCTURE","83655","HCPCS","Both",,,"87","43.5","Aetna","Commercial","",,"64",,"55.51","31.84","67.42","percent of total billed charges",,
"LEAD BLOOD, VENIPUNCTURE","83655","HCPCS","Both",,,"87","43.5","Blue Cross Blue Shield","Pathways","",,"71",,"61.42","31.84","67.42","percent of total billed charges",,
"LEAD BLOOD, VENIPUNCTURE","83655","HCPCS","Both",,,"87","43.5","Blue Cross Blue Shield","HMO","",,"71",,"61.42","31.84","67.42","percent of total billed charges",,
"LEAD BLOOD, VENIPUNCTURE","83655","HCPCS","Both",,,"87","43.5","Blue Cross Blue Shield","PPO","",,"71",,"61.42","31.84","67.42","percent of total billed charges",,
"LEAD BLOOD, VENIPUNCTURE","83655","HCPCS","Both",,,"87","43.5","Ambetter","Health Exchange","",,"62",,"53.94","31.84","67.42","percent of total billed charges",,
"LEAD BLOOD, VENIPUNCTURE","83655","HCPCS","Both",,,"87","43.5","Caresource","Health Exchange","",,"62",,"53.94","31.84","67.42","percent of total billed charges",,
"LEAD BLOOD, VENIPUNCTURE","83655","HCPCS","Both",,,"87","43.5","Cigna","Commercial","",,"59",,"50.98","31.84","67.42","percent of total billed charges",,
"LEAD BLOOD, VENIPUNCTURE","83655","HCPCS","Both",,,"87","43.5","Humana","Commercial","",,"78",,"67.42","31.84","67.42","percent of total billed charges",,
"LEAD BLOOD, VENIPUNCTURE","83655","HCPCS","Both",,,"87","43.5","UHC","Commercial","",,"75",,"65.6","31.84","67.42","percent of total billed charges",,
"LEAD BLOOD, VENIPUNCTURE","83655","HCPCS","Both",,,"87","43.5","Medicaid",,"",,"37",,"31.84","31.84","67.42","percent of total billed charges",,
"RNA POLYMERASE III AB","83520","HCPCS","Both",,,"55","27.5","Alliant","Health Exchange","",,"62",,"34.1","20.13","42.62","percent of total billed charges",,
"RNA POLYMERASE III AB","83520","HCPCS","Both",,,"55","27.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"29.7","20.13","42.62","percent of total billed charges",,
"RNA POLYMERASE III AB","83520","HCPCS","Both",,,"55","27.5","Medicare",,"",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"RNA POLYMERASE III AB","83520","HCPCS","Both",,,"55","27.5","Humana","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"RNA POLYMERASE III AB","83520","HCPCS","Both",,,"55","27.5","UHC","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"RNA POLYMERASE III AB","83520","HCPCS","Both",,,"55","27.5","Clover","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"RNA POLYMERASE III AB","83520","HCPCS","Both",,,"55","27.5","Wellcare","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"RNA POLYMERASE III AB","83520","HCPCS","Both",,,"55","27.5","Amerigroup","Medicaid Managed Care","",,"37",,"20.13","20.13","42.62","percent of total billed charges",,
"RNA POLYMERASE III AB","83520","HCPCS","Both",,,"55","27.5","Caresource","Medicaid Managed Care","",,"40",,"22","20.13","42.62","percent of total billed charges",,
"RNA POLYMERASE III AB","83520","HCPCS","Both",,,"55","27.5","Wellcare","Medicaid Managed Care","",,"40",,"22.28","20.13","42.62","percent of total billed charges",,
"RNA POLYMERASE III AB","83520","HCPCS","Both",,,"55","27.5","Aetna","Commercial","",,"64",,"35.09","20.13","42.62","percent of total billed charges",,
"RNA POLYMERASE III AB","83520","HCPCS","Both",,,"55","27.5","Blue Cross Blue Shield","Pathways","",,"71",,"38.83","20.13","42.62","percent of total billed charges",,
"RNA POLYMERASE III AB","83520","HCPCS","Both",,,"55","27.5","Blue Cross Blue Shield","HMO","",,"71",,"38.83","20.13","42.62","percent of total billed charges",,
"RNA POLYMERASE III AB","83520","HCPCS","Both",,,"55","27.5","Blue Cross Blue Shield","PPO","",,"71",,"38.83","20.13","42.62","percent of total billed charges",,
"RNA POLYMERASE III AB","83520","HCPCS","Both",,,"55","27.5","Ambetter","Health Exchange","",,"62",,"34.1","20.13","42.62","percent of total billed charges",,
"RNA POLYMERASE III AB","83520","HCPCS","Both",,,"55","27.5","Caresource","Health Exchange","",,"62",,"34.1","20.13","42.62","percent of total billed charges",,
"RNA POLYMERASE III AB","83520","HCPCS","Both",,,"55","27.5","Cigna","Commercial","",,"59",,"32.23","20.13","42.62","percent of total billed charges",,
"RNA POLYMERASE III AB","83520","HCPCS","Both",,,"55","27.5","Humana","Commercial","",,"78",,"42.62","20.13","42.62","percent of total billed charges",,
"RNA POLYMERASE III AB","83520","HCPCS","Both",,,"55","27.5","UHC","Commercial","",,"75",,"41.47","20.13","42.62","percent of total billed charges",,
"RNA POLYMERASE III AB","83520","HCPCS","Both",,,"55","27.5","Medicaid",,"",,"37",,"20.13","20.13","42.62","percent of total billed charges",,
"HEMOCHROMATOSIS (HFE) 3 MUTATION","81256","HCPCS","Both",,,"277.5","138.75","Alliant","Health Exchange","",,"62",,"172.05","101.56","215.06","percent of total billed charges",,
"HEMOCHROMATOSIS (HFE) 3 MUTATION","81256","HCPCS","Both",,,"277.5","138.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"149.85","101.56","215.06","percent of total billed charges",,
"HEMOCHROMATOSIS (HFE) 3 MUTATION","81256","HCPCS","Both",,,"277.5","138.75","Medicare",,"",,"54",,"150.4","101.56","215.06","percent of total billed charges",,
"HEMOCHROMATOSIS (HFE) 3 MUTATION","81256","HCPCS","Both",,,"277.5","138.75","Humana","Medicare Advantage","",,"54",,"150.4","101.56","215.06","percent of total billed charges",,
"HEMOCHROMATOSIS (HFE) 3 MUTATION","81256","HCPCS","Both",,,"277.5","138.75","UHC","Medicare Advantage","",,"54",,"150.4","101.56","215.06","percent of total billed charges",,
"HEMOCHROMATOSIS (HFE) 3 MUTATION","81256","HCPCS","Both",,,"277.5","138.75","Clover","Medicare Advantage","",,"54",,"150.4","101.56","215.06","percent of total billed charges",,
"HEMOCHROMATOSIS (HFE) 3 MUTATION","81256","HCPCS","Both",,,"277.5","138.75","Wellcare","Medicare Advantage","",,"54",,"150.4","101.56","215.06","percent of total billed charges",,
"HEMOCHROMATOSIS (HFE) 3 MUTATION","81256","HCPCS","Both",,,"277.5","138.75","Amerigroup","Medicaid Managed Care","",,"37",,"101.56","101.56","215.06","percent of total billed charges",,
"HEMOCHROMATOSIS (HFE) 3 MUTATION","81256","HCPCS","Both",,,"277.5","138.75","Caresource","Medicaid Managed Care","",,"40",,"111","101.56","215.06","percent of total billed charges",,
"HEMOCHROMATOSIS (HFE) 3 MUTATION","81256","HCPCS","Both",,,"277.5","138.75","Wellcare","Medicaid Managed Care","",,"40",,"112.39","101.56","215.06","percent of total billed charges",,
"HEMOCHROMATOSIS (HFE) 3 MUTATION","81256","HCPCS","Both",,,"277.5","138.75","Aetna","Commercial","",,"64",,"177.04","101.56","215.06","percent of total billed charges",,
"HEMOCHROMATOSIS (HFE) 3 MUTATION","81256","HCPCS","Both",,,"277.5","138.75","Blue Cross Blue Shield","Pathways","",,"71",,"195.92","101.56","215.06","percent of total billed charges",,
"HEMOCHROMATOSIS (HFE) 3 MUTATION","81256","HCPCS","Both",,,"277.5","138.75","Blue Cross Blue Shield","HMO","",,"71",,"195.92","101.56","215.06","percent of total billed charges",,
"HEMOCHROMATOSIS (HFE) 3 MUTATION","81256","HCPCS","Both",,,"277.5","138.75","Blue Cross Blue Shield","PPO","",,"71",,"195.92","101.56","215.06","percent of total billed charges",,
"HEMOCHROMATOSIS (HFE) 3 MUTATION","81256","HCPCS","Both",,,"277.5","138.75","Ambetter","Health Exchange","",,"62",,"172.05","101.56","215.06","percent of total billed charges",,
"HEMOCHROMATOSIS (HFE) 3 MUTATION","81256","HCPCS","Both",,,"277.5","138.75","Caresource","Health Exchange","",,"62",,"172.05","101.56","215.06","percent of total billed charges",,
"HEMOCHROMATOSIS (HFE) 3 MUTATION","81256","HCPCS","Both",,,"277.5","138.75","Cigna","Commercial","",,"59",,"162.61","101.56","215.06","percent of total billed charges",,
"HEMOCHROMATOSIS (HFE) 3 MUTATION","81256","HCPCS","Both",,,"277.5","138.75","Humana","Commercial","",,"78",,"215.06","101.56","215.06","percent of total billed charges",,
"HEMOCHROMATOSIS (HFE) 3 MUTATION","81256","HCPCS","Both",,,"277.5","138.75","UHC","Commercial","",,"75",,"209.24","101.56","215.06","percent of total billed charges",,
"HEMOCHROMATOSIS (HFE) 3 MUTATION","81256","HCPCS","Both",,,"277.5","138.75","Medicaid",,"",,"37",,"101.56","101.56","215.06","percent of total billed charges",,
"CLOSTRIDIUM DIFFICLE TOXIN","87324","HCPCS","Both",,,"38.5","19.25","Alliant","Health Exchange","",,"62",,"23.87","14.09","29.84","percent of total billed charges",,
"CLOSTRIDIUM DIFFICLE TOXIN","87324","HCPCS","Both",,,"38.5","19.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"20.79","14.09","29.84","percent of total billed charges",,
"CLOSTRIDIUM DIFFICLE TOXIN","87324","HCPCS","Both",,,"38.5","19.25","Medicare",,"",,"54",,"20.87","14.09","29.84","percent of total billed charges",,
"CLOSTRIDIUM DIFFICLE TOXIN","87324","HCPCS","Both",,,"38.5","19.25","Humana","Medicare Advantage","",,"54",,"20.87","14.09","29.84","percent of total billed charges",,
"CLOSTRIDIUM DIFFICLE TOXIN","87324","HCPCS","Both",,,"38.5","19.25","UHC","Medicare Advantage","",,"54",,"20.87","14.09","29.84","percent of total billed charges",,
"CLOSTRIDIUM DIFFICLE TOXIN","87324","HCPCS","Both",,,"38.5","19.25","Clover","Medicare Advantage","",,"54",,"20.87","14.09","29.84","percent of total billed charges",,
"CLOSTRIDIUM DIFFICLE TOXIN","87324","HCPCS","Both",,,"38.5","19.25","Wellcare","Medicare Advantage","",,"54",,"20.87","14.09","29.84","percent of total billed charges",,
"CLOSTRIDIUM DIFFICLE TOXIN","87324","HCPCS","Both",,,"38.5","19.25","Amerigroup","Medicaid Managed Care","",,"37",,"14.09","14.09","29.84","percent of total billed charges",,
"CLOSTRIDIUM DIFFICLE TOXIN","87324","HCPCS","Both",,,"38.5","19.25","Caresource","Medicaid Managed Care","",,"40",,"15.4","14.09","29.84","percent of total billed charges",,
"CLOSTRIDIUM DIFFICLE TOXIN","87324","HCPCS","Both",,,"38.5","19.25","Wellcare","Medicaid Managed Care","",,"40",,"15.59","14.09","29.84","percent of total billed charges",,
"CLOSTRIDIUM DIFFICLE TOXIN","87324","HCPCS","Both",,,"38.5","19.25","Aetna","Commercial","",,"64",,"24.56","14.09","29.84","percent of total billed charges",,
"CLOSTRIDIUM DIFFICLE TOXIN","87324","HCPCS","Both",,,"38.5","19.25","Blue Cross Blue Shield","Pathways","",,"71",,"27.18","14.09","29.84","percent of total billed charges",,
"CLOSTRIDIUM DIFFICLE TOXIN","87324","HCPCS","Both",,,"38.5","19.25","Blue Cross Blue Shield","HMO","",,"71",,"27.18","14.09","29.84","percent of total billed charges",,
"CLOSTRIDIUM DIFFICLE TOXIN","87324","HCPCS","Both",,,"38.5","19.25","Blue Cross Blue Shield","PPO","",,"71",,"27.18","14.09","29.84","percent of total billed charges",,
"CLOSTRIDIUM DIFFICLE TOXIN","87324","HCPCS","Both",,,"38.5","19.25","Ambetter","Health Exchange","",,"62",,"23.87","14.09","29.84","percent of total billed charges",,
"CLOSTRIDIUM DIFFICLE TOXIN","87324","HCPCS","Both",,,"38.5","19.25","Caresource","Health Exchange","",,"62",,"23.87","14.09","29.84","percent of total billed charges",,
"CLOSTRIDIUM DIFFICLE TOXIN","87324","HCPCS","Both",,,"38.5","19.25","Cigna","Commercial","",,"59",,"22.56","14.09","29.84","percent of total billed charges",,
"CLOSTRIDIUM DIFFICLE TOXIN","87324","HCPCS","Both",,,"38.5","19.25","Humana","Commercial","",,"78",,"29.84","14.09","29.84","percent of total billed charges",,
"CLOSTRIDIUM DIFFICLE TOXIN","87324","HCPCS","Both",,,"38.5","19.25","UHC","Commercial","",,"75",,"29.03","14.09","29.84","percent of total billed charges",,
"CLOSTRIDIUM DIFFICLE TOXIN","87324","HCPCS","Both",,,"38.5","19.25","Medicaid",,"",,"37",,"14.09","14.09","29.84","percent of total billed charges",,
"CLOSTRIDIUM DIFFICLE ANTIGEN","87449","HCPCS","Both",,,"38","19","Alliant","Health Exchange","",,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"CLOSTRIDIUM DIFFICLE ANTIGEN","87449","HCPCS","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage","",,"54",,"20.52","13.91","29.45","percent of total billed charges",,
"CLOSTRIDIUM DIFFICLE ANTIGEN","87449","HCPCS","Both",,,"38","19","Medicare",,"",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"CLOSTRIDIUM DIFFICLE ANTIGEN","87449","HCPCS","Both",,,"38","19","Humana","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"CLOSTRIDIUM DIFFICLE ANTIGEN","87449","HCPCS","Both",,,"38","19","UHC","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"CLOSTRIDIUM DIFFICLE ANTIGEN","87449","HCPCS","Both",,,"38","19","Clover","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"CLOSTRIDIUM DIFFICLE ANTIGEN","87449","HCPCS","Both",,,"38","19","Wellcare","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"CLOSTRIDIUM DIFFICLE ANTIGEN","87449","HCPCS","Both",,,"38","19","Amerigroup","Medicaid Managed Care","",,"37",,"13.91","13.91","29.45","percent of total billed charges",,
"CLOSTRIDIUM DIFFICLE ANTIGEN","87449","HCPCS","Both",,,"38","19","Caresource","Medicaid Managed Care","",,"40",,"15.2","13.91","29.45","percent of total billed charges",,
"CLOSTRIDIUM DIFFICLE ANTIGEN","87449","HCPCS","Both",,,"38","19","Wellcare","Medicaid Managed Care","",,"40",,"15.39","13.91","29.45","percent of total billed charges",,
"CLOSTRIDIUM DIFFICLE ANTIGEN","87449","HCPCS","Both",,,"38","19","Aetna","Commercial","",,"64",,"24.24","13.91","29.45","percent of total billed charges",,
"CLOSTRIDIUM DIFFICLE ANTIGEN","87449","HCPCS","Both",,,"38","19","Blue Cross Blue Shield","Pathways","",,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"CLOSTRIDIUM DIFFICLE ANTIGEN","87449","HCPCS","Both",,,"38","19","Blue Cross Blue Shield","HMO","",,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"CLOSTRIDIUM DIFFICLE ANTIGEN","87449","HCPCS","Both",,,"38","19","Blue Cross Blue Shield","PPO","",,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"CLOSTRIDIUM DIFFICLE ANTIGEN","87449","HCPCS","Both",,,"38","19","Ambetter","Health Exchange","",,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"CLOSTRIDIUM DIFFICLE ANTIGEN","87449","HCPCS","Both",,,"38","19","Caresource","Health Exchange","",,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"CLOSTRIDIUM DIFFICLE ANTIGEN","87449","HCPCS","Both",,,"38","19","Cigna","Commercial","",,"59",,"22.27","13.91","29.45","percent of total billed charges",,
"CLOSTRIDIUM DIFFICLE ANTIGEN","87449","HCPCS","Both",,,"38","19","Humana","Commercial","",,"78",,"29.45","13.91","29.45","percent of total billed charges",,
"CLOSTRIDIUM DIFFICLE ANTIGEN","87449","HCPCS","Both",,,"38","19","UHC","Commercial","",,"75",,"28.65","13.91","29.45","percent of total billed charges",,
"CLOSTRIDIUM DIFFICLE ANTIGEN","87449","HCPCS","Both",,,"38","19","Medicaid",,"",,"37",,"13.91","13.91","29.45","percent of total billed charges",,
"FUNGUS CULTURE AND STAIN","87102","HCPCS","Both",,,"61.5","30.75","Alliant","Health Exchange","",,"62",,"38.13","22.51","47.66","percent of total billed charges",,
"FUNGUS CULTURE AND STAIN","87102","HCPCS","Both",,,"61.5","30.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"33.21","22.51","47.66","percent of total billed charges",,
"FUNGUS CULTURE AND STAIN","87102","HCPCS","Both",,,"61.5","30.75","Medicare",,"",,"54",,"33.33","22.51","47.66","percent of total billed charges",,
"FUNGUS CULTURE AND STAIN","87102","HCPCS","Both",,,"61.5","30.75","Humana","Medicare Advantage","",,"54",,"33.33","22.51","47.66","percent of total billed charges",,
"FUNGUS CULTURE AND STAIN","87102","HCPCS","Both",,,"61.5","30.75","UHC","Medicare Advantage","",,"54",,"33.33","22.51","47.66","percent of total billed charges",,
"FUNGUS CULTURE AND STAIN","87102","HCPCS","Both",,,"61.5","30.75","Clover","Medicare Advantage","",,"54",,"33.33","22.51","47.66","percent of total billed charges",,
"FUNGUS CULTURE AND STAIN","87102","HCPCS","Both",,,"61.5","30.75","Wellcare","Medicare Advantage","",,"54",,"33.33","22.51","47.66","percent of total billed charges",,
"FUNGUS CULTURE AND STAIN","87102","HCPCS","Both",,,"61.5","30.75","Amerigroup","Medicaid Managed Care","",,"37",,"22.51","22.51","47.66","percent of total billed charges",,
"FUNGUS CULTURE AND STAIN","87102","HCPCS","Both",,,"61.5","30.75","Caresource","Medicaid Managed Care","",,"40",,"24.6","22.51","47.66","percent of total billed charges",,
"FUNGUS CULTURE AND STAIN","87102","HCPCS","Both",,,"61.5","30.75","Wellcare","Medicaid Managed Care","",,"40",,"24.91","22.51","47.66","percent of total billed charges",,
"FUNGUS CULTURE AND STAIN","87102","HCPCS","Both",,,"61.5","30.75","Aetna","Commercial","",,"64",,"39.24","22.51","47.66","percent of total billed charges",,
"FUNGUS CULTURE AND STAIN","87102","HCPCS","Both",,,"61.5","30.75","Blue Cross Blue Shield","Pathways","",,"71",,"43.42","22.51","47.66","percent of total billed charges",,
"FUNGUS CULTURE AND STAIN","87102","HCPCS","Both",,,"61.5","30.75","Blue Cross Blue Shield","HMO","",,"71",,"43.42","22.51","47.66","percent of total billed charges",,
"FUNGUS CULTURE AND STAIN","87102","HCPCS","Both",,,"61.5","30.75","Blue Cross Blue Shield","PPO","",,"71",,"43.42","22.51","47.66","percent of total billed charges",,
"FUNGUS CULTURE AND STAIN","87102","HCPCS","Both",,,"61.5","30.75","Ambetter","Health Exchange","",,"62",,"38.13","22.51","47.66","percent of total billed charges",,
"FUNGUS CULTURE AND STAIN","87102","HCPCS","Both",,,"61.5","30.75","Caresource","Health Exchange","",,"62",,"38.13","22.51","47.66","percent of total billed charges",,
"FUNGUS CULTURE AND STAIN","87102","HCPCS","Both",,,"61.5","30.75","Cigna","Commercial","",,"59",,"36.04","22.51","47.66","percent of total billed charges",,
"FUNGUS CULTURE AND STAIN","87102","HCPCS","Both",,,"61.5","30.75","Humana","Commercial","",,"78",,"47.66","22.51","47.66","percent of total billed charges",,
"FUNGUS CULTURE AND STAIN","87102","HCPCS","Both",,,"61.5","30.75","UHC","Commercial","",,"75",,"46.37","22.51","47.66","percent of total billed charges",,
"FUNGUS CULTURE AND STAIN","87102","HCPCS","Both",,,"61.5","30.75","Medicaid",,"",,"37",,"22.51","22.51","47.66","percent of total billed charges",,
"THYROGLOBULIN QUANT AND ANTIBODY","84432","HCPCS","Both",,,"20","10","Alliant","Health Exchange","",,"62",,"12.4","7.32","15.5","percent of total billed charges",,
"THYROGLOBULIN QUANT AND ANTIBODY","84432","HCPCS","Both",,,"20","10","Pruitt Healthcare","Medicare Advantage","",,"54",,"10.8","7.32","15.5","percent of total billed charges",,
"THYROGLOBULIN QUANT AND ANTIBODY","84432","HCPCS","Both",,,"20","10","Medicare",,"",,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"THYROGLOBULIN QUANT AND ANTIBODY","84432","HCPCS","Both",,,"20","10","Humana","Medicare Advantage","",,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"THYROGLOBULIN QUANT AND ANTIBODY","84432","HCPCS","Both",,,"20","10","UHC","Medicare Advantage","",,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"THYROGLOBULIN QUANT AND ANTIBODY","84432","HCPCS","Both",,,"20","10","Clover","Medicare Advantage","",,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"THYROGLOBULIN QUANT AND ANTIBODY","84432","HCPCS","Both",,,"20","10","Wellcare","Medicare Advantage","",,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"THYROGLOBULIN QUANT AND ANTIBODY","84432","HCPCS","Both",,,"20","10","Amerigroup","Medicaid Managed Care","",,"37",,"7.32","7.32","15.5","percent of total billed charges",,
"THYROGLOBULIN QUANT AND ANTIBODY","84432","HCPCS","Both",,,"20","10","Caresource","Medicaid Managed Care","",,"40",,"8","7.32","15.5","percent of total billed charges",,
"THYROGLOBULIN QUANT AND ANTIBODY","84432","HCPCS","Both",,,"20","10","Wellcare","Medicaid Managed Care","",,"40",,"8.1","7.32","15.5","percent of total billed charges",,
"THYROGLOBULIN QUANT AND ANTIBODY","84432","HCPCS","Both",,,"20","10","Aetna","Commercial","",,"64",,"12.76","7.32","15.5","percent of total billed charges",,
"THYROGLOBULIN QUANT AND ANTIBODY","84432","HCPCS","Both",,,"20","10","Blue Cross Blue Shield","Pathways","",,"71",,"14.12","7.32","15.5","percent of total billed charges",,
"THYROGLOBULIN QUANT AND ANTIBODY","84432","HCPCS","Both",,,"20","10","Blue Cross Blue Shield","HMO","",,"71",,"14.12","7.32","15.5","percent of total billed charges",,
"THYROGLOBULIN QUANT AND ANTIBODY","84432","HCPCS","Both",,,"20","10","Blue Cross Blue Shield","PPO","",,"71",,"14.12","7.32","15.5","percent of total billed charges",,
"THYROGLOBULIN QUANT AND ANTIBODY","84432","HCPCS","Both",,,"20","10","Ambetter","Health Exchange","",,"62",,"12.4","7.32","15.5","percent of total billed charges",,
"THYROGLOBULIN QUANT AND ANTIBODY","84432","HCPCS","Both",,,"20","10","Caresource","Health Exchange","",,"62",,"12.4","7.32","15.5","percent of total billed charges",,
"THYROGLOBULIN QUANT AND ANTIBODY","84432","HCPCS","Both",,,"20","10","Cigna","Commercial","",,"59",,"11.72","7.32","15.5","percent of total billed charges",,
"THYROGLOBULIN QUANT AND ANTIBODY","84432","HCPCS","Both",,,"20","10","Humana","Commercial","",,"78",,"15.5","7.32","15.5","percent of total billed charges",,
"THYROGLOBULIN QUANT AND ANTIBODY","84432","HCPCS","Both",,,"20","10","UHC","Commercial","",,"75",,"15.08","7.32","15.5","percent of total billed charges",,
"THYROGLOBULIN QUANT AND ANTIBODY","84432","HCPCS","Both",,,"20","10","Medicaid",,"",,"37",,"7.32","7.32","15.5","percent of total billed charges",,
"LATEX ALLERGEN","86003","HCPCS","Both",,,"6.5","3.25","Alliant","Health Exchange","",,"62",,"4.03","2.38","5.04","percent of total billed charges",,
"LATEX ALLERGEN","86003","HCPCS","Both",,,"6.5","3.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"3.51","2.38","5.04","percent of total billed charges",,
"LATEX ALLERGEN","86003","HCPCS","Both",,,"6.5","3.25","Medicare",,"",,"54",,"3.52","2.38","5.04","percent of total billed charges",,
"LATEX ALLERGEN","86003","HCPCS","Both",,,"6.5","3.25","Humana","Medicare Advantage","",,"54",,"3.52","2.38","5.04","percent of total billed charges",,
"LATEX ALLERGEN","86003","HCPCS","Both",,,"6.5","3.25","UHC","Medicare Advantage","",,"54",,"3.52","2.38","5.04","percent of total billed charges",,
"LATEX ALLERGEN","86003","HCPCS","Both",,,"6.5","3.25","Clover","Medicare Advantage","",,"54",,"3.52","2.38","5.04","percent of total billed charges",,
"LATEX ALLERGEN","86003","HCPCS","Both",,,"6.5","3.25","Wellcare","Medicare Advantage","",,"54",,"3.52","2.38","5.04","percent of total billed charges",,
"LATEX ALLERGEN","86003","HCPCS","Both",,,"6.5","3.25","Amerigroup","Medicaid Managed Care","",,"37",,"2.38","2.38","5.04","percent of total billed charges",,
"LATEX ALLERGEN","86003","HCPCS","Both",,,"6.5","3.25","Caresource","Medicaid Managed Care","",,"40",,"2.6","2.38","5.04","percent of total billed charges",,
"LATEX ALLERGEN","86003","HCPCS","Both",,,"6.5","3.25","Wellcare","Medicaid Managed Care","",,"40",,"2.63","2.38","5.04","percent of total billed charges",,
"LATEX ALLERGEN","86003","HCPCS","Both",,,"6.5","3.25","Aetna","Commercial","",,"64",,"4.15","2.38","5.04","percent of total billed charges",,
"LATEX ALLERGEN","86003","HCPCS","Both",,,"6.5","3.25","Blue Cross Blue Shield","Pathways","",,"71",,"4.59","2.38","5.04","percent of total billed charges",,
"LATEX ALLERGEN","86003","HCPCS","Both",,,"6.5","3.25","Blue Cross Blue Shield","HMO","",,"71",,"4.59","2.38","5.04","percent of total billed charges",,
"LATEX ALLERGEN","86003","HCPCS","Both",,,"6.5","3.25","Blue Cross Blue Shield","PPO","",,"71",,"4.59","2.38","5.04","percent of total billed charges",,
"LATEX ALLERGEN","86003","HCPCS","Both",,,"6.5","3.25","Ambetter","Health Exchange","",,"62",,"4.03","2.38","5.04","percent of total billed charges",,
"LATEX ALLERGEN","86003","HCPCS","Both",,,"6.5","3.25","Caresource","Health Exchange","",,"62",,"4.03","2.38","5.04","percent of total billed charges",,
"LATEX ALLERGEN","86003","HCPCS","Both",,,"6.5","3.25","Cigna","Commercial","",,"59",,"3.81","2.38","5.04","percent of total billed charges",,
"LATEX ALLERGEN","86003","HCPCS","Both",,,"6.5","3.25","Humana","Commercial","",,"78",,"5.04","2.38","5.04","percent of total billed charges",,
"LATEX ALLERGEN","86003","HCPCS","Both",,,"6.5","3.25","UHC","Commercial","",,"75",,"4.9","2.38","5.04","percent of total billed charges",,
"LATEX ALLERGEN","86003","HCPCS","Both",,,"6.5","3.25","Medicaid",,"",,"37",,"2.38","2.38","5.04","percent of total billed charges",,
"URIC ACID BODY FLUID","84560","HCPCS","Both",,,"50","25","Alliant","Health Exchange","",,"62",,"31","18.3","38.75","percent of total billed charges",,
"URIC ACID BODY FLUID","84560","HCPCS","Both",,,"50","25","Pruitt Healthcare","Medicare Advantage","",,"54",,"27","18.3","38.75","percent of total billed charges",,
"URIC ACID BODY FLUID","84560","HCPCS","Both",,,"50","25","Medicare",,"",,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"URIC ACID BODY FLUID","84560","HCPCS","Both",,,"50","25","Humana","Medicare Advantage","",,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"URIC ACID BODY FLUID","84560","HCPCS","Both",,,"50","25","UHC","Medicare Advantage","",,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"URIC ACID BODY FLUID","84560","HCPCS","Both",,,"50","25","Clover","Medicare Advantage","",,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"URIC ACID BODY FLUID","84560","HCPCS","Both",,,"50","25","Wellcare","Medicare Advantage","",,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"URIC ACID BODY FLUID","84560","HCPCS","Both",,,"50","25","Amerigroup","Medicaid Managed Care","",,"37",,"18.3","18.3","38.75","percent of total billed charges",,
"URIC ACID BODY FLUID","84560","HCPCS","Both",,,"50","25","Caresource","Medicaid Managed Care","",,"40",,"20","18.3","38.75","percent of total billed charges",,
"URIC ACID BODY FLUID","84560","HCPCS","Both",,,"50","25","Wellcare","Medicaid Managed Care","",,"40",,"20.25","18.3","38.75","percent of total billed charges",,
"URIC ACID BODY FLUID","84560","HCPCS","Both",,,"50","25","Aetna","Commercial","",,"64",,"31.9","18.3","38.75","percent of total billed charges",,
"URIC ACID BODY FLUID","84560","HCPCS","Both",,,"50","25","Blue Cross Blue Shield","Pathways","",,"71",,"35.3","18.3","38.75","percent of total billed charges",,
"URIC ACID BODY FLUID","84560","HCPCS","Both",,,"50","25","Blue Cross Blue Shield","HMO","",,"71",,"35.3","18.3","38.75","percent of total billed charges",,
"URIC ACID BODY FLUID","84560","HCPCS","Both",,,"50","25","Blue Cross Blue Shield","PPO","",,"71",,"35.3","18.3","38.75","percent of total billed charges",,
"URIC ACID BODY FLUID","84560","HCPCS","Both",,,"50","25","Ambetter","Health Exchange","",,"62",,"31","18.3","38.75","percent of total billed charges",,
"URIC ACID BODY FLUID","84560","HCPCS","Both",,,"50","25","Caresource","Health Exchange","",,"62",,"31","18.3","38.75","percent of total billed charges",,
"URIC ACID BODY FLUID","84560","HCPCS","Both",,,"50","25","Cigna","Commercial","",,"59",,"29.3","18.3","38.75","percent of total billed charges",,
"URIC ACID BODY FLUID","84560","HCPCS","Both",,,"50","25","Humana","Commercial","",,"78",,"38.75","18.3","38.75","percent of total billed charges",,
"URIC ACID BODY FLUID","84560","HCPCS","Both",,,"50","25","UHC","Commercial","",,"75",,"37.7","18.3","38.75","percent of total billed charges",,
"URIC ACID BODY FLUID","84560","HCPCS","Both",,,"50","25","Medicaid",,"",,"37",,"18.3","18.3","38.75","percent of total billed charges",,
"N-TELOPEPTIDE RANDOM URINE","82523","HCPCS","Both",,,"131","65.5","Alliant","Health Exchange","",,"62",,"81.22","47.95","101.52","percent of total billed charges",,
"N-TELOPEPTIDE RANDOM URINE","82523","HCPCS","Both",,,"131","65.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"70.74","47.95","101.52","percent of total billed charges",,
"N-TELOPEPTIDE RANDOM URINE","82523","HCPCS","Both",,,"131","65.5","Medicare",,"",,"54",,"71","47.95","101.52","percent of total billed charges",,
"N-TELOPEPTIDE RANDOM URINE","82523","HCPCS","Both",,,"131","65.5","Humana","Medicare Advantage","",,"54",,"71","47.95","101.52","percent of total billed charges",,
"N-TELOPEPTIDE RANDOM URINE","82523","HCPCS","Both",,,"131","65.5","UHC","Medicare Advantage","",,"54",,"71","47.95","101.52","percent of total billed charges",,
"N-TELOPEPTIDE RANDOM URINE","82523","HCPCS","Both",,,"131","65.5","Clover","Medicare Advantage","",,"54",,"71","47.95","101.52","percent of total billed charges",,
"N-TELOPEPTIDE RANDOM URINE","82523","HCPCS","Both",,,"131","65.5","Wellcare","Medicare Advantage","",,"54",,"71","47.95","101.52","percent of total billed charges",,
"N-TELOPEPTIDE RANDOM URINE","82523","HCPCS","Both",,,"131","65.5","Amerigroup","Medicaid Managed Care","",,"37",,"47.95","47.95","101.52","percent of total billed charges",,
"N-TELOPEPTIDE RANDOM URINE","82523","HCPCS","Both",,,"131","65.5","Caresource","Medicaid Managed Care","",,"40",,"52.4","47.95","101.52","percent of total billed charges",,
"N-TELOPEPTIDE RANDOM URINE","82523","HCPCS","Both",,,"131","65.5","Wellcare","Medicaid Managed Care","",,"40",,"53.06","47.95","101.52","percent of total billed charges",,
"N-TELOPEPTIDE RANDOM URINE","82523","HCPCS","Both",,,"131","65.5","Aetna","Commercial","",,"64",,"83.58","47.95","101.52","percent of total billed charges",,
"N-TELOPEPTIDE RANDOM URINE","82523","HCPCS","Both",,,"131","65.5","Blue Cross Blue Shield","Pathways","",,"71",,"92.49","47.95","101.52","percent of total billed charges",,
"N-TELOPEPTIDE RANDOM URINE","82523","HCPCS","Both",,,"131","65.5","Blue Cross Blue Shield","HMO","",,"71",,"92.49","47.95","101.52","percent of total billed charges",,
"N-TELOPEPTIDE RANDOM URINE","82523","HCPCS","Both",,,"131","65.5","Blue Cross Blue Shield","PPO","",,"71",,"92.49","47.95","101.52","percent of total billed charges",,
"N-TELOPEPTIDE RANDOM URINE","82523","HCPCS","Both",,,"131","65.5","Ambetter","Health Exchange","",,"62",,"81.22","47.95","101.52","percent of total billed charges",,
"N-TELOPEPTIDE RANDOM URINE","82523","HCPCS","Both",,,"131","65.5","Caresource","Health Exchange","",,"62",,"81.22","47.95","101.52","percent of total billed charges",,
"N-TELOPEPTIDE RANDOM URINE","82523","HCPCS","Both",,,"131","65.5","Cigna","Commercial","",,"59",,"76.77","47.95","101.52","percent of total billed charges",,
"N-TELOPEPTIDE RANDOM URINE","82523","HCPCS","Both",,,"131","65.5","Humana","Commercial","",,"78",,"101.52","47.95","101.52","percent of total billed charges",,
"N-TELOPEPTIDE RANDOM URINE","82523","HCPCS","Both",,,"131","65.5","UHC","Commercial","",,"75",,"98.77","47.95","101.52","percent of total billed charges",,
"N-TELOPEPTIDE RANDOM URINE","82523","HCPCS","Both",,,"131","65.5","Medicaid",,"",,"37",,"47.95","47.95","101.52","percent of total billed charges",,
"EOSINOPHIL COUNT URINE","81015","HCPCS","Both",,,"4","2","Alliant","Health Exchange","",,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"EOSINOPHIL COUNT URINE","81015","HCPCS","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage","",,"54",,"2.16","1.46","3.1","percent of total billed charges",,
"EOSINOPHIL COUNT URINE","81015","HCPCS","Both",,,"4","2","Medicare",,"",,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"EOSINOPHIL COUNT URINE","81015","HCPCS","Both",,,"4","2","Humana","Medicare Advantage","",,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"EOSINOPHIL COUNT URINE","81015","HCPCS","Both",,,"4","2","UHC","Medicare Advantage","",,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"EOSINOPHIL COUNT URINE","81015","HCPCS","Both",,,"4","2","Clover","Medicare Advantage","",,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"EOSINOPHIL COUNT URINE","81015","HCPCS","Both",,,"4","2","Wellcare","Medicare Advantage","",,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"EOSINOPHIL COUNT URINE","81015","HCPCS","Both",,,"4","2","Amerigroup","Medicaid Managed Care","",,"37",,"1.46","1.46","3.1","percent of total billed charges",,
"EOSINOPHIL COUNT URINE","81015","HCPCS","Both",,,"4","2","Caresource","Medicaid Managed Care","",,"40",,"1.6","1.46","3.1","percent of total billed charges",,
"EOSINOPHIL COUNT URINE","81015","HCPCS","Both",,,"4","2","Wellcare","Medicaid Managed Care","",,"40",,"1.62","1.46","3.1","percent of total billed charges",,
"EOSINOPHIL COUNT URINE","81015","HCPCS","Both",,,"4","2","Aetna","Commercial","",,"64",,"2.55","1.46","3.1","percent of total billed charges",,
"EOSINOPHIL COUNT URINE","81015","HCPCS","Both",,,"4","2","Blue Cross Blue Shield","Pathways","",,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"EOSINOPHIL COUNT URINE","81015","HCPCS","Both",,,"4","2","Blue Cross Blue Shield","HMO","",,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"EOSINOPHIL COUNT URINE","81015","HCPCS","Both",,,"4","2","Blue Cross Blue Shield","PPO","",,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"EOSINOPHIL COUNT URINE","81015","HCPCS","Both",,,"4","2","Ambetter","Health Exchange","",,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"EOSINOPHIL COUNT URINE","81015","HCPCS","Both",,,"4","2","Caresource","Health Exchange","",,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"EOSINOPHIL COUNT URINE","81015","HCPCS","Both",,,"4","2","Cigna","Commercial","",,"59",,"2.34","1.46","3.1","percent of total billed charges",,
"EOSINOPHIL COUNT URINE","81015","HCPCS","Both",,,"4","2","Humana","Commercial","",,"78",,"3.1","1.46","3.1","percent of total billed charges",,
"EOSINOPHIL COUNT URINE","81015","HCPCS","Both",,,"4","2","UHC","Commercial","",,"75",,"3.02","1.46","3.1","percent of total billed charges",,
"EOSINOPHIL COUNT URINE","81015","HCPCS","Both",,,"4","2","Medicaid",,"",,"37",,"1.46","1.46","3.1","percent of total billed charges",,
"ANTI-MULLERIAN HORMONE (AMH)","83520","HCPCS","Both",,,"55","27.5","Alliant","Health Exchange","",,"62",,"34.1","20.13","42.62","percent of total billed charges",,
"ANTI-MULLERIAN HORMONE (AMH)","83520","HCPCS","Both",,,"55","27.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"29.7","20.13","42.62","percent of total billed charges",,
"ANTI-MULLERIAN HORMONE (AMH)","83520","HCPCS","Both",,,"55","27.5","Medicare",,"",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"ANTI-MULLERIAN HORMONE (AMH)","83520","HCPCS","Both",,,"55","27.5","Humana","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"ANTI-MULLERIAN HORMONE (AMH)","83520","HCPCS","Both",,,"55","27.5","UHC","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"ANTI-MULLERIAN HORMONE (AMH)","83520","HCPCS","Both",,,"55","27.5","Clover","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"ANTI-MULLERIAN HORMONE (AMH)","83520","HCPCS","Both",,,"55","27.5","Wellcare","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"ANTI-MULLERIAN HORMONE (AMH)","83520","HCPCS","Both",,,"55","27.5","Amerigroup","Medicaid Managed Care","",,"37",,"20.13","20.13","42.62","percent of total billed charges",,
"ANTI-MULLERIAN HORMONE (AMH)","83520","HCPCS","Both",,,"55","27.5","Caresource","Medicaid Managed Care","",,"40",,"22","20.13","42.62","percent of total billed charges",,
"ANTI-MULLERIAN HORMONE (AMH)","83520","HCPCS","Both",,,"55","27.5","Wellcare","Medicaid Managed Care","",,"40",,"22.28","20.13","42.62","percent of total billed charges",,
"ANTI-MULLERIAN HORMONE (AMH)","83520","HCPCS","Both",,,"55","27.5","Aetna","Commercial","",,"64",,"35.09","20.13","42.62","percent of total billed charges",,
"ANTI-MULLERIAN HORMONE (AMH)","83520","HCPCS","Both",,,"55","27.5","Blue Cross Blue Shield","Pathways","",,"71",,"38.83","20.13","42.62","percent of total billed charges",,
"ANTI-MULLERIAN HORMONE (AMH)","83520","HCPCS","Both",,,"55","27.5","Blue Cross Blue Shield","HMO","",,"71",,"38.83","20.13","42.62","percent of total billed charges",,
"ANTI-MULLERIAN HORMONE (AMH)","83520","HCPCS","Both",,,"55","27.5","Blue Cross Blue Shield","PPO","",,"71",,"38.83","20.13","42.62","percent of total billed charges",,
"ANTI-MULLERIAN HORMONE (AMH)","83520","HCPCS","Both",,,"55","27.5","Ambetter","Health Exchange","",,"62",,"34.1","20.13","42.62","percent of total billed charges",,
"ANTI-MULLERIAN HORMONE (AMH)","83520","HCPCS","Both",,,"55","27.5","Caresource","Health Exchange","",,"62",,"34.1","20.13","42.62","percent of total billed charges",,
"ANTI-MULLERIAN HORMONE (AMH)","83520","HCPCS","Both",,,"55","27.5","Cigna","Commercial","",,"59",,"32.23","20.13","42.62","percent of total billed charges",,
"ANTI-MULLERIAN HORMONE (AMH)","83520","HCPCS","Both",,,"55","27.5","Humana","Commercial","",,"78",,"42.62","20.13","42.62","percent of total billed charges",,
"ANTI-MULLERIAN HORMONE (AMH)","83520","HCPCS","Both",,,"55","27.5","UHC","Commercial","",,"75",,"41.47","20.13","42.62","percent of total billed charges",,
"ANTI-MULLERIAN HORMONE (AMH)","83520","HCPCS","Both",,,"55","27.5","Medicaid",,"",,"37",,"20.13","20.13","42.62","percent of total billed charges",,
"VALPROIC ACID, FREE AND TOTAL","80164","HCPCS","Both",,,"27","13.5","Alliant","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"VALPROIC ACID, FREE AND TOTAL","80164","HCPCS","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"14.58","9.88","20.92","percent of total billed charges",,
"VALPROIC ACID, FREE AND TOTAL","80164","HCPCS","Both",,,"27","13.5","Medicare",,"",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"VALPROIC ACID, FREE AND TOTAL","80164","HCPCS","Both",,,"27","13.5","Humana","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"VALPROIC ACID, FREE AND TOTAL","80164","HCPCS","Both",,,"27","13.5","UHC","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"VALPROIC ACID, FREE AND TOTAL","80164","HCPCS","Both",,,"27","13.5","Clover","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"VALPROIC ACID, FREE AND TOTAL","80164","HCPCS","Both",,,"27","13.5","Wellcare","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"VALPROIC ACID, FREE AND TOTAL","80164","HCPCS","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care","",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"VALPROIC ACID, FREE AND TOTAL","80164","HCPCS","Both",,,"27","13.5","Caresource","Medicaid Managed Care","",,"40",,"10.8","9.88","20.92","percent of total billed charges",,
"VALPROIC ACID, FREE AND TOTAL","80164","HCPCS","Both",,,"27","13.5","Wellcare","Medicaid Managed Care","",,"40",,"10.94","9.88","20.92","percent of total billed charges",,
"VALPROIC ACID, FREE AND TOTAL","80164","HCPCS","Both",,,"27","13.5","Aetna","Commercial","",,"64",,"17.23","9.88","20.92","percent of total billed charges",,
"VALPROIC ACID, FREE AND TOTAL","80164","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"VALPROIC ACID, FREE AND TOTAL","80164","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","HMO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"VALPROIC ACID, FREE AND TOTAL","80164","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","PPO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"VALPROIC ACID, FREE AND TOTAL","80164","HCPCS","Both",,,"27","13.5","Ambetter","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"VALPROIC ACID, FREE AND TOTAL","80164","HCPCS","Both",,,"27","13.5","Caresource","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"VALPROIC ACID, FREE AND TOTAL","80164","HCPCS","Both",,,"27","13.5","Cigna","Commercial","",,"59",,"15.82","9.88","20.92","percent of total billed charges",,
"VALPROIC ACID, FREE AND TOTAL","80164","HCPCS","Both",,,"27","13.5","Humana","Commercial","",,"78",,"20.92","9.88","20.92","percent of total billed charges",,
"VALPROIC ACID, FREE AND TOTAL","80164","HCPCS","Both",,,"27","13.5","UHC","Commercial","",,"75",,"20.36","9.88","20.92","percent of total billed charges",,
"VALPROIC ACID, FREE AND TOTAL","80164","HCPCS","Both",,,"27","13.5","Medicaid",,"",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"STREP PNEUMO ANTIBODIES IGG(14)","86317","HCPCS","Both",,,"143","71.5","Alliant","Health Exchange","",,"62",,"88.66","52.34","110.82","percent of total billed charges",,
"STREP PNEUMO ANTIBODIES IGG(14)","86317","HCPCS","Both",,,"143","71.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"77.22","52.34","110.82","percent of total billed charges",,
"STREP PNEUMO ANTIBODIES IGG(14)","86317","HCPCS","Both",,,"143","71.5","Medicare",,"",,"54",,"77.51","52.34","110.82","percent of total billed charges",,
"STREP PNEUMO ANTIBODIES IGG(14)","86317","HCPCS","Both",,,"143","71.5","Humana","Medicare Advantage","",,"54",,"77.51","52.34","110.82","percent of total billed charges",,
"STREP PNEUMO ANTIBODIES IGG(14)","86317","HCPCS","Both",,,"143","71.5","UHC","Medicare Advantage","",,"54",,"77.51","52.34","110.82","percent of total billed charges",,
"STREP PNEUMO ANTIBODIES IGG(14)","86317","HCPCS","Both",,,"143","71.5","Clover","Medicare Advantage","",,"54",,"77.51","52.34","110.82","percent of total billed charges",,
"STREP PNEUMO ANTIBODIES IGG(14)","86317","HCPCS","Both",,,"143","71.5","Wellcare","Medicare Advantage","",,"54",,"77.51","52.34","110.82","percent of total billed charges",,
"STREP PNEUMO ANTIBODIES IGG(14)","86317","HCPCS","Both",,,"143","71.5","Amerigroup","Medicaid Managed Care","",,"37",,"52.34","52.34","110.82","percent of total billed charges",,
"STREP PNEUMO ANTIBODIES IGG(14)","86317","HCPCS","Both",,,"143","71.5","Caresource","Medicaid Managed Care","",,"40",,"57.2","52.34","110.82","percent of total billed charges",,
"STREP PNEUMO ANTIBODIES IGG(14)","86317","HCPCS","Both",,,"143","71.5","Wellcare","Medicaid Managed Care","",,"40",,"57.92","52.34","110.82","percent of total billed charges",,
"STREP PNEUMO ANTIBODIES IGG(14)","86317","HCPCS","Both",,,"143","71.5","Aetna","Commercial","",,"64",,"91.23","52.34","110.82","percent of total billed charges",,
"STREP PNEUMO ANTIBODIES IGG(14)","86317","HCPCS","Both",,,"143","71.5","Blue Cross Blue Shield","Pathways","",,"71",,"100.96","52.34","110.82","percent of total billed charges",,
"STREP PNEUMO ANTIBODIES IGG(14)","86317","HCPCS","Both",,,"143","71.5","Blue Cross Blue Shield","HMO","",,"71",,"100.96","52.34","110.82","percent of total billed charges",,
"STREP PNEUMO ANTIBODIES IGG(14)","86317","HCPCS","Both",,,"143","71.5","Blue Cross Blue Shield","PPO","",,"71",,"100.96","52.34","110.82","percent of total billed charges",,
"STREP PNEUMO ANTIBODIES IGG(14)","86317","HCPCS","Both",,,"143","71.5","Ambetter","Health Exchange","",,"62",,"88.66","52.34","110.82","percent of total billed charges",,
"STREP PNEUMO ANTIBODIES IGG(14)","86317","HCPCS","Both",,,"143","71.5","Caresource","Health Exchange","",,"62",,"88.66","52.34","110.82","percent of total billed charges",,
"STREP PNEUMO ANTIBODIES IGG(14)","86317","HCPCS","Both",,,"143","71.5","Cigna","Commercial","",,"59",,"83.8","52.34","110.82","percent of total billed charges",,
"STREP PNEUMO ANTIBODIES IGG(14)","86317","HCPCS","Both",,,"143","71.5","Humana","Commercial","",,"78",,"110.82","52.34","110.82","percent of total billed charges",,
"STREP PNEUMO ANTIBODIES IGG(14)","86317","HCPCS","Both",,,"143","71.5","UHC","Commercial","",,"75",,"107.82","52.34","110.82","percent of total billed charges",,
"STREP PNEUMO ANTIBODIES IGG(14)","86317","HCPCS","Both",,,"143","71.5","Medicaid",,"",,"37",,"52.34","52.34","110.82","percent of total billed charges",,
"DEXAMETHASONE","80299","HCPCS","Both",,,"86","43","Alliant","Health Exchange","",,"62",,"53.32","31.48","66.65","percent of total billed charges",,
"DEXAMETHASONE","80299","HCPCS","Both",,,"86","43","Pruitt Healthcare","Medicare Advantage","",,"54",,"46.44","31.48","66.65","percent of total billed charges",,
"DEXAMETHASONE","80299","HCPCS","Both",,,"86","43","Medicare",,"",,"54",,"46.61","31.48","66.65","percent of total billed charges",,
"DEXAMETHASONE","80299","HCPCS","Both",,,"86","43","Humana","Medicare Advantage","",,"54",,"46.61","31.48","66.65","percent of total billed charges",,
"DEXAMETHASONE","80299","HCPCS","Both",,,"86","43","UHC","Medicare Advantage","",,"54",,"46.61","31.48","66.65","percent of total billed charges",,
"DEXAMETHASONE","80299","HCPCS","Both",,,"86","43","Clover","Medicare Advantage","",,"54",,"46.61","31.48","66.65","percent of total billed charges",,
"DEXAMETHASONE","80299","HCPCS","Both",,,"86","43","Wellcare","Medicare Advantage","",,"54",,"46.61","31.48","66.65","percent of total billed charges",,
"DEXAMETHASONE","80299","HCPCS","Both",,,"86","43","Amerigroup","Medicaid Managed Care","",,"37",,"31.48","31.48","66.65","percent of total billed charges",,
"DEXAMETHASONE","80299","HCPCS","Both",,,"86","43","Caresource","Medicaid Managed Care","",,"40",,"34.4","31.48","66.65","percent of total billed charges",,
"DEXAMETHASONE","80299","HCPCS","Both",,,"86","43","Wellcare","Medicaid Managed Care","",,"40",,"34.83","31.48","66.65","percent of total billed charges",,
"DEXAMETHASONE","80299","HCPCS","Both",,,"86","43","Aetna","Commercial","",,"64",,"54.87","31.48","66.65","percent of total billed charges",,
"DEXAMETHASONE","80299","HCPCS","Both",,,"86","43","Blue Cross Blue Shield","Pathways","",,"71",,"60.72","31.48","66.65","percent of total billed charges",,
"DEXAMETHASONE","80299","HCPCS","Both",,,"86","43","Blue Cross Blue Shield","HMO","",,"71",,"60.72","31.48","66.65","percent of total billed charges",,
"DEXAMETHASONE","80299","HCPCS","Both",,,"86","43","Blue Cross Blue Shield","PPO","",,"71",,"60.72","31.48","66.65","percent of total billed charges",,
"DEXAMETHASONE","80299","HCPCS","Both",,,"86","43","Ambetter","Health Exchange","",,"62",,"53.32","31.48","66.65","percent of total billed charges",,
"DEXAMETHASONE","80299","HCPCS","Both",,,"86","43","Caresource","Health Exchange","",,"62",,"53.32","31.48","66.65","percent of total billed charges",,
"DEXAMETHASONE","80299","HCPCS","Both",,,"86","43","Cigna","Commercial","",,"59",,"50.4","31.48","66.65","percent of total billed charges",,
"DEXAMETHASONE","80299","HCPCS","Both",,,"86","43","Humana","Commercial","",,"78",,"66.65","31.48","66.65","percent of total billed charges",,
"DEXAMETHASONE","80299","HCPCS","Both",,,"86","43","UHC","Commercial","",,"75",,"64.84","31.48","66.65","percent of total billed charges",,
"DEXAMETHASONE","80299","HCPCS","Both",,,"86","43","Medicaid",,"",,"37",,"31.48","31.48","66.65","percent of total billed charges",,
"HIV-1 PCR QUANTITATIVE","87536","HCPCS","Both",,,"370.5","185.25","Alliant","Health Exchange","",,"62",,"229.71","135.6","287.14","percent of total billed charges",,
"HIV-1 PCR QUANTITATIVE","87536","HCPCS","Both",,,"370.5","185.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"200.07","135.6","287.14","percent of total billed charges",,
"HIV-1 PCR QUANTITATIVE","87536","HCPCS","Both",,,"370.5","185.25","Medicare",,"",,"54",,"200.81","135.6","287.14","percent of total billed charges",,
"HIV-1 PCR QUANTITATIVE","87536","HCPCS","Both",,,"370.5","185.25","Humana","Medicare Advantage","",,"54",,"200.81","135.6","287.14","percent of total billed charges",,
"HIV-1 PCR QUANTITATIVE","87536","HCPCS","Both",,,"370.5","185.25","UHC","Medicare Advantage","",,"54",,"200.81","135.6","287.14","percent of total billed charges",,
"HIV-1 PCR QUANTITATIVE","87536","HCPCS","Both",,,"370.5","185.25","Clover","Medicare Advantage","",,"54",,"200.81","135.6","287.14","percent of total billed charges",,
"HIV-1 PCR QUANTITATIVE","87536","HCPCS","Both",,,"370.5","185.25","Wellcare","Medicare Advantage","",,"54",,"200.81","135.6","287.14","percent of total billed charges",,
"HIV-1 PCR QUANTITATIVE","87536","HCPCS","Both",,,"370.5","185.25","Amerigroup","Medicaid Managed Care","",,"37",,"135.6","135.6","287.14","percent of total billed charges",,
"HIV-1 PCR QUANTITATIVE","87536","HCPCS","Both",,,"370.5","185.25","Caresource","Medicaid Managed Care","",,"40",,"148.2","135.6","287.14","percent of total billed charges",,
"HIV-1 PCR QUANTITATIVE","87536","HCPCS","Both",,,"370.5","185.25","Wellcare","Medicaid Managed Care","",,"40",,"150.05","135.6","287.14","percent of total billed charges",,
"HIV-1 PCR QUANTITATIVE","87536","HCPCS","Both",,,"370.5","185.25","Aetna","Commercial","",,"64",,"236.38","135.6","287.14","percent of total billed charges",,
"HIV-1 PCR QUANTITATIVE","87536","HCPCS","Both",,,"370.5","185.25","Blue Cross Blue Shield","Pathways","",,"71",,"261.57","135.6","287.14","percent of total billed charges",,
"HIV-1 PCR QUANTITATIVE","87536","HCPCS","Both",,,"370.5","185.25","Blue Cross Blue Shield","HMO","",,"71",,"261.57","135.6","287.14","percent of total billed charges",,
"HIV-1 PCR QUANTITATIVE","87536","HCPCS","Both",,,"370.5","185.25","Blue Cross Blue Shield","PPO","",,"71",,"261.57","135.6","287.14","percent of total billed charges",,
"HIV-1 PCR QUANTITATIVE","87536","HCPCS","Both",,,"370.5","185.25","Ambetter","Health Exchange","",,"62",,"229.71","135.6","287.14","percent of total billed charges",,
"HIV-1 PCR QUANTITATIVE","87536","HCPCS","Both",,,"370.5","185.25","Caresource","Health Exchange","",,"62",,"229.71","135.6","287.14","percent of total billed charges",,
"HIV-1 PCR QUANTITATIVE","87536","HCPCS","Both",,,"370.5","185.25","Cigna","Commercial","",,"59",,"217.11","135.6","287.14","percent of total billed charges",,
"HIV-1 PCR QUANTITATIVE","87536","HCPCS","Both",,,"370.5","185.25","Humana","Commercial","",,"78",,"287.14","135.6","287.14","percent of total billed charges",,
"HIV-1 PCR QUANTITATIVE","87536","HCPCS","Both",,,"370.5","185.25","UHC","Commercial","",,"75",,"279.36","135.6","287.14","percent of total billed charges",,
"HIV-1 PCR QUANTITATIVE","87536","HCPCS","Both",,,"370.5","185.25","Medicaid",,"",,"37",,"135.6","135.6","287.14","percent of total billed charges",,
"TISSUE TRANSGLUTAMINASE IgA","83516","HCPCS","Both",,,"27.5","13.75","Alliant","Health Exchange","",,"62",,"17.05","10.06","21.31","percent of total billed charges",,
"TISSUE TRANSGLUTAMINASE IgA","83516","HCPCS","Both",,,"27.5","13.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"14.85","10.06","21.31","percent of total billed charges",,
"TISSUE TRANSGLUTAMINASE IgA","83516","HCPCS","Both",,,"27.5","13.75","Medicare",,"",,"54",,"14.9","10.06","21.31","percent of total billed charges",,
"TISSUE TRANSGLUTAMINASE IgA","83516","HCPCS","Both",,,"27.5","13.75","Humana","Medicare Advantage","",,"54",,"14.9","10.06","21.31","percent of total billed charges",,
"TISSUE TRANSGLUTAMINASE IgA","83516","HCPCS","Both",,,"27.5","13.75","UHC","Medicare Advantage","",,"54",,"14.9","10.06","21.31","percent of total billed charges",,
"TISSUE TRANSGLUTAMINASE IgA","83516","HCPCS","Both",,,"27.5","13.75","Clover","Medicare Advantage","",,"54",,"14.9","10.06","21.31","percent of total billed charges",,
"TISSUE TRANSGLUTAMINASE IgA","83516","HCPCS","Both",,,"27.5","13.75","Wellcare","Medicare Advantage","",,"54",,"14.9","10.06","21.31","percent of total billed charges",,
"TISSUE TRANSGLUTAMINASE IgA","83516","HCPCS","Both",,,"27.5","13.75","Amerigroup","Medicaid Managed Care","",,"37",,"10.06","10.06","21.31","percent of total billed charges",,
"TISSUE TRANSGLUTAMINASE IgA","83516","HCPCS","Both",,,"27.5","13.75","Caresource","Medicaid Managed Care","",,"40",,"11","10.06","21.31","percent of total billed charges",,
"TISSUE TRANSGLUTAMINASE IgA","83516","HCPCS","Both",,,"27.5","13.75","Wellcare","Medicaid Managed Care","",,"40",,"11.14","10.06","21.31","percent of total billed charges",,
"TISSUE TRANSGLUTAMINASE IgA","83516","HCPCS","Both",,,"27.5","13.75","Aetna","Commercial","",,"64",,"17.55","10.06","21.31","percent of total billed charges",,
"TISSUE TRANSGLUTAMINASE IgA","83516","HCPCS","Both",,,"27.5","13.75","Blue Cross Blue Shield","Pathways","",,"71",,"19.42","10.06","21.31","percent of total billed charges",,
"TISSUE TRANSGLUTAMINASE IgA","83516","HCPCS","Both",,,"27.5","13.75","Blue Cross Blue Shield","HMO","",,"71",,"19.42","10.06","21.31","percent of total billed charges",,
"TISSUE TRANSGLUTAMINASE IgA","83516","HCPCS","Both",,,"27.5","13.75","Blue Cross Blue Shield","PPO","",,"71",,"19.42","10.06","21.31","percent of total billed charges",,
"TISSUE TRANSGLUTAMINASE IgA","83516","HCPCS","Both",,,"27.5","13.75","Ambetter","Health Exchange","",,"62",,"17.05","10.06","21.31","percent of total billed charges",,
"TISSUE TRANSGLUTAMINASE IgA","83516","HCPCS","Both",,,"27.5","13.75","Caresource","Health Exchange","",,"62",,"17.05","10.06","21.31","percent of total billed charges",,
"TISSUE TRANSGLUTAMINASE IgA","83516","HCPCS","Both",,,"27.5","13.75","Cigna","Commercial","",,"59",,"16.11","10.06","21.31","percent of total billed charges",,
"TISSUE TRANSGLUTAMINASE IgA","83516","HCPCS","Both",,,"27.5","13.75","Humana","Commercial","",,"78",,"21.31","10.06","21.31","percent of total billed charges",,
"TISSUE TRANSGLUTAMINASE IgA","83516","HCPCS","Both",,,"27.5","13.75","UHC","Commercial","",,"75",,"20.74","10.06","21.31","percent of total billed charges",,
"TISSUE TRANSGLUTAMINASE IgA","83516","HCPCS","Both",,,"27.5","13.75","Medicaid",,"",,"37",,"10.06","10.06","21.31","percent of total billed charges",,
"EPSTEIN BARR VCA IGM","86665","HCPCS","Both",,,"56.5","28.25","Alliant","Health Exchange","",,"62",,"35.03","20.68","43.79","percent of total billed charges",,
"EPSTEIN BARR VCA IGM","86665","HCPCS","Both",,,"56.5","28.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"30.51","20.68","43.79","percent of total billed charges",,
"EPSTEIN BARR VCA IGM","86665","HCPCS","Both",,,"56.5","28.25","Medicare",,"",,"54",,"30.62","20.68","43.79","percent of total billed charges",,
"EPSTEIN BARR VCA IGM","86665","HCPCS","Both",,,"56.5","28.25","Humana","Medicare Advantage","",,"54",,"30.62","20.68","43.79","percent of total billed charges",,
"EPSTEIN BARR VCA IGM","86665","HCPCS","Both",,,"56.5","28.25","UHC","Medicare Advantage","",,"54",,"30.62","20.68","43.79","percent of total billed charges",,
"EPSTEIN BARR VCA IGM","86665","HCPCS","Both",,,"56.5","28.25","Clover","Medicare Advantage","",,"54",,"30.62","20.68","43.79","percent of total billed charges",,
"EPSTEIN BARR VCA IGM","86665","HCPCS","Both",,,"56.5","28.25","Wellcare","Medicare Advantage","",,"54",,"30.62","20.68","43.79","percent of total billed charges",,
"EPSTEIN BARR VCA IGM","86665","HCPCS","Both",,,"56.5","28.25","Amerigroup","Medicaid Managed Care","",,"37",,"20.68","20.68","43.79","percent of total billed charges",,
"EPSTEIN BARR VCA IGM","86665","HCPCS","Both",,,"56.5","28.25","Caresource","Medicaid Managed Care","",,"40",,"22.6","20.68","43.79","percent of total billed charges",,
"EPSTEIN BARR VCA IGM","86665","HCPCS","Both",,,"56.5","28.25","Wellcare","Medicaid Managed Care","",,"40",,"22.88","20.68","43.79","percent of total billed charges",,
"EPSTEIN BARR VCA IGM","86665","HCPCS","Both",,,"56.5","28.25","Aetna","Commercial","",,"64",,"36.05","20.68","43.79","percent of total billed charges",,
"EPSTEIN BARR VCA IGM","86665","HCPCS","Both",,,"56.5","28.25","Blue Cross Blue Shield","Pathways","",,"71",,"39.89","20.68","43.79","percent of total billed charges",,
"EPSTEIN BARR VCA IGM","86665","HCPCS","Both",,,"56.5","28.25","Blue Cross Blue Shield","HMO","",,"71",,"39.89","20.68","43.79","percent of total billed charges",,
"EPSTEIN BARR VCA IGM","86665","HCPCS","Both",,,"56.5","28.25","Blue Cross Blue Shield","PPO","",,"71",,"39.89","20.68","43.79","percent of total billed charges",,
"EPSTEIN BARR VCA IGM","86665","HCPCS","Both",,,"56.5","28.25","Ambetter","Health Exchange","",,"62",,"35.03","20.68","43.79","percent of total billed charges",,
"EPSTEIN BARR VCA IGM","86665","HCPCS","Both",,,"56.5","28.25","Caresource","Health Exchange","",,"62",,"35.03","20.68","43.79","percent of total billed charges",,
"EPSTEIN BARR VCA IGM","86665","HCPCS","Both",,,"56.5","28.25","Cigna","Commercial","",,"59",,"33.11","20.68","43.79","percent of total billed charges",,
"EPSTEIN BARR VCA IGM","86665","HCPCS","Both",,,"56.5","28.25","Humana","Commercial","",,"78",,"43.79","20.68","43.79","percent of total billed charges",,
"EPSTEIN BARR VCA IGM","86665","HCPCS","Both",,,"56.5","28.25","UHC","Commercial","",,"75",,"42.6","20.68","43.79","percent of total billed charges",,
"EPSTEIN BARR VCA IGM","86665","HCPCS","Both",,,"56.5","28.25","Medicaid",,"",,"37",,"20.68","20.68","43.79","percent of total billed charges",,
"EPSTEIN BARR EARLY ANTIGEN IgG","86663","HCPCS","Both",,,"100","50","Alliant","Health Exchange","",,"62",,"62","36.6","77.5","percent of total billed charges",,
"EPSTEIN BARR EARLY ANTIGEN IgG","86663","HCPCS","Both",,,"100","50","Pruitt Healthcare","Medicare Advantage","",,"54",,"54","36.6","77.5","percent of total billed charges",,
"EPSTEIN BARR EARLY ANTIGEN IgG","86663","HCPCS","Both",,,"100","50","Medicare",,"",,"54",,"54.2","36.6","77.5","percent of total billed charges",,
"EPSTEIN BARR EARLY ANTIGEN IgG","86663","HCPCS","Both",,,"100","50","Humana","Medicare Advantage","",,"54",,"54.2","36.6","77.5","percent of total billed charges",,
"EPSTEIN BARR EARLY ANTIGEN IgG","86663","HCPCS","Both",,,"100","50","UHC","Medicare Advantage","",,"54",,"54.2","36.6","77.5","percent of total billed charges",,
"EPSTEIN BARR EARLY ANTIGEN IgG","86663","HCPCS","Both",,,"100","50","Clover","Medicare Advantage","",,"54",,"54.2","36.6","77.5","percent of total billed charges",,
"EPSTEIN BARR EARLY ANTIGEN IgG","86663","HCPCS","Both",,,"100","50","Wellcare","Medicare Advantage","",,"54",,"54.2","36.6","77.5","percent of total billed charges",,
"EPSTEIN BARR EARLY ANTIGEN IgG","86663","HCPCS","Both",,,"100","50","Amerigroup","Medicaid Managed Care","",,"37",,"36.6","36.6","77.5","percent of total billed charges",,
"EPSTEIN BARR EARLY ANTIGEN IgG","86663","HCPCS","Both",,,"100","50","Caresource","Medicaid Managed Care","",,"40",,"40","36.6","77.5","percent of total billed charges",,
"EPSTEIN BARR EARLY ANTIGEN IgG","86663","HCPCS","Both",,,"100","50","Wellcare","Medicaid Managed Care","",,"40",,"40.5","36.6","77.5","percent of total billed charges",,
"EPSTEIN BARR EARLY ANTIGEN IgG","86663","HCPCS","Both",,,"100","50","Aetna","Commercial","",,"64",,"63.8","36.6","77.5","percent of total billed charges",,
"EPSTEIN BARR EARLY ANTIGEN IgG","86663","HCPCS","Both",,,"100","50","Blue Cross Blue Shield","Pathways","",,"71",,"70.6","36.6","77.5","percent of total billed charges",,
"EPSTEIN BARR EARLY ANTIGEN IgG","86663","HCPCS","Both",,,"100","50","Blue Cross Blue Shield","HMO","",,"71",,"70.6","36.6","77.5","percent of total billed charges",,
"EPSTEIN BARR EARLY ANTIGEN IgG","86663","HCPCS","Both",,,"100","50","Blue Cross Blue Shield","PPO","",,"71",,"70.6","36.6","77.5","percent of total billed charges",,
"EPSTEIN BARR EARLY ANTIGEN IgG","86663","HCPCS","Both",,,"100","50","Ambetter","Health Exchange","",,"62",,"62","36.6","77.5","percent of total billed charges",,
"EPSTEIN BARR EARLY ANTIGEN IgG","86663","HCPCS","Both",,,"100","50","Caresource","Health Exchange","",,"62",,"62","36.6","77.5","percent of total billed charges",,
"EPSTEIN BARR EARLY ANTIGEN IgG","86663","HCPCS","Both",,,"100","50","Cigna","Commercial","",,"59",,"58.6","36.6","77.5","percent of total billed charges",,
"EPSTEIN BARR EARLY ANTIGEN IgG","86663","HCPCS","Both",,,"100","50","Humana","Commercial","",,"78",,"77.5","36.6","77.5","percent of total billed charges",,
"EPSTEIN BARR EARLY ANTIGEN IgG","86663","HCPCS","Both",,,"100","50","UHC","Commercial","",,"75",,"75.4","36.6","77.5","percent of total billed charges",,
"EPSTEIN BARR EARLY ANTIGEN IgG","86663","HCPCS","Both",,,"100","50","Medicaid",,"",,"37",,"36.6","36.6","77.5","percent of total billed charges",,
"CULTURE, AFB","87116","HCPCS","Both",,,"52.5","26.25","Alliant","Health Exchange","",,"62",,"32.55","19.22","40.69","percent of total billed charges",,
"CULTURE, AFB","87116","HCPCS","Both",,,"52.5","26.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"28.35","19.22","40.69","percent of total billed charges",,
"CULTURE, AFB","87116","HCPCS","Both",,,"52.5","26.25","Medicare",,"",,"54",,"28.46","19.22","40.69","percent of total billed charges",,
"CULTURE, AFB","87116","HCPCS","Both",,,"52.5","26.25","Humana","Medicare Advantage","",,"54",,"28.46","19.22","40.69","percent of total billed charges",,
"CULTURE, AFB","87116","HCPCS","Both",,,"52.5","26.25","UHC","Medicare Advantage","",,"54",,"28.46","19.22","40.69","percent of total billed charges",,
"CULTURE, AFB","87116","HCPCS","Both",,,"52.5","26.25","Clover","Medicare Advantage","",,"54",,"28.46","19.22","40.69","percent of total billed charges",,
"CULTURE, AFB","87116","HCPCS","Both",,,"52.5","26.25","Wellcare","Medicare Advantage","",,"54",,"28.46","19.22","40.69","percent of total billed charges",,
"CULTURE, AFB","87116","HCPCS","Both",,,"52.5","26.25","Amerigroup","Medicaid Managed Care","",,"37",,"19.22","19.22","40.69","percent of total billed charges",,
"CULTURE, AFB","87116","HCPCS","Both",,,"52.5","26.25","Caresource","Medicaid Managed Care","",,"40",,"21","19.22","40.69","percent of total billed charges",,
"CULTURE, AFB","87116","HCPCS","Both",,,"52.5","26.25","Wellcare","Medicaid Managed Care","",,"40",,"21.26","19.22","40.69","percent of total billed charges",,
"CULTURE, AFB","87116","HCPCS","Both",,,"52.5","26.25","Aetna","Commercial","",,"64",,"33.49","19.22","40.69","percent of total billed charges",,
"CULTURE, AFB","87116","HCPCS","Both",,,"52.5","26.25","Blue Cross Blue Shield","Pathways","",,"71",,"37.06","19.22","40.69","percent of total billed charges",,
"CULTURE, AFB","87116","HCPCS","Both",,,"52.5","26.25","Blue Cross Blue Shield","HMO","",,"71",,"37.06","19.22","40.69","percent of total billed charges",,
"CULTURE, AFB","87116","HCPCS","Both",,,"52.5","26.25","Blue Cross Blue Shield","PPO","",,"71",,"37.06","19.22","40.69","percent of total billed charges",,
"CULTURE, AFB","87116","HCPCS","Both",,,"52.5","26.25","Ambetter","Health Exchange","",,"62",,"32.55","19.22","40.69","percent of total billed charges",,
"CULTURE, AFB","87116","HCPCS","Both",,,"52.5","26.25","Caresource","Health Exchange","",,"62",,"32.55","19.22","40.69","percent of total billed charges",,
"CULTURE, AFB","87116","HCPCS","Both",,,"52.5","26.25","Cigna","Commercial","",,"59",,"30.76","19.22","40.69","percent of total billed charges",,
"CULTURE, AFB","87116","HCPCS","Both",,,"52.5","26.25","Humana","Commercial","",,"78",,"40.69","19.22","40.69","percent of total billed charges",,
"CULTURE, AFB","87116","HCPCS","Both",,,"52.5","26.25","UHC","Commercial","",,"75",,"39.58","19.22","40.69","percent of total billed charges",,
"CULTURE, AFB","87116","HCPCS","Both",,,"52.5","26.25","Medicaid",,"",,"37",,"19.22","19.22","40.69","percent of total billed charges",,
"CONCENTRATION FOR INFECTIOUS AGENTS","87015","HCPCS","Both",,,"52.5","26.25","Alliant","Health Exchange","",,"62",,"32.55","19.22","40.69","percent of total billed charges",,
"CONCENTRATION FOR INFECTIOUS AGENTS","87015","HCPCS","Both",,,"52.5","26.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"28.35","19.22","40.69","percent of total billed charges",,
"CONCENTRATION FOR INFECTIOUS AGENTS","87015","HCPCS","Both",,,"52.5","26.25","Medicare",,"",,"54",,"28.46","19.22","40.69","percent of total billed charges",,
"CONCENTRATION FOR INFECTIOUS AGENTS","87015","HCPCS","Both",,,"52.5","26.25","Humana","Medicare Advantage","",,"54",,"28.46","19.22","40.69","percent of total billed charges",,
"CONCENTRATION FOR INFECTIOUS AGENTS","87015","HCPCS","Both",,,"52.5","26.25","UHC","Medicare Advantage","",,"54",,"28.46","19.22","40.69","percent of total billed charges",,
"CONCENTRATION FOR INFECTIOUS AGENTS","87015","HCPCS","Both",,,"52.5","26.25","Clover","Medicare Advantage","",,"54",,"28.46","19.22","40.69","percent of total billed charges",,
"CONCENTRATION FOR INFECTIOUS AGENTS","87015","HCPCS","Both",,,"52.5","26.25","Wellcare","Medicare Advantage","",,"54",,"28.46","19.22","40.69","percent of total billed charges",,
"CONCENTRATION FOR INFECTIOUS AGENTS","87015","HCPCS","Both",,,"52.5","26.25","Amerigroup","Medicaid Managed Care","",,"37",,"19.22","19.22","40.69","percent of total billed charges",,
"CONCENTRATION FOR INFECTIOUS AGENTS","87015","HCPCS","Both",,,"52.5","26.25","Caresource","Medicaid Managed Care","",,"40",,"21","19.22","40.69","percent of total billed charges",,
"CONCENTRATION FOR INFECTIOUS AGENTS","87015","HCPCS","Both",,,"52.5","26.25","Wellcare","Medicaid Managed Care","",,"40",,"21.26","19.22","40.69","percent of total billed charges",,
"CONCENTRATION FOR INFECTIOUS AGENTS","87015","HCPCS","Both",,,"52.5","26.25","Aetna","Commercial","",,"64",,"33.49","19.22","40.69","percent of total billed charges",,
"CONCENTRATION FOR INFECTIOUS AGENTS","87015","HCPCS","Both",,,"52.5","26.25","Blue Cross Blue Shield","Pathways","",,"71",,"37.06","19.22","40.69","percent of total billed charges",,
"CONCENTRATION FOR INFECTIOUS AGENTS","87015","HCPCS","Both",,,"52.5","26.25","Blue Cross Blue Shield","HMO","",,"71",,"37.06","19.22","40.69","percent of total billed charges",,
"CONCENTRATION FOR INFECTIOUS AGENTS","87015","HCPCS","Both",,,"52.5","26.25","Blue Cross Blue Shield","PPO","",,"71",,"37.06","19.22","40.69","percent of total billed charges",,
"CONCENTRATION FOR INFECTIOUS AGENTS","87015","HCPCS","Both",,,"52.5","26.25","Ambetter","Health Exchange","",,"62",,"32.55","19.22","40.69","percent of total billed charges",,
"CONCENTRATION FOR INFECTIOUS AGENTS","87015","HCPCS","Both",,,"52.5","26.25","Caresource","Health Exchange","",,"62",,"32.55","19.22","40.69","percent of total billed charges",,
"CONCENTRATION FOR INFECTIOUS AGENTS","87015","HCPCS","Both",,,"52.5","26.25","Cigna","Commercial","",,"59",,"30.76","19.22","40.69","percent of total billed charges",,
"CONCENTRATION FOR INFECTIOUS AGENTS","87015","HCPCS","Both",,,"52.5","26.25","Humana","Commercial","",,"78",,"40.69","19.22","40.69","percent of total billed charges",,
"CONCENTRATION FOR INFECTIOUS AGENTS","87015","HCPCS","Both",,,"52.5","26.25","UHC","Commercial","",,"75",,"39.58","19.22","40.69","percent of total billed charges",,
"CONCENTRATION FOR INFECTIOUS AGENTS","87015","HCPCS","Both",,,"52.5","26.25","Medicaid",,"",,"37",,"19.22","19.22","40.69","percent of total billed charges",,
"TSH RECEPTOR ANTIBODY","83520","HCPCS","Both",,,"55","27.5","Alliant","Health Exchange","",,"62",,"34.1","20.13","42.62","percent of total billed charges",,
"TSH RECEPTOR ANTIBODY","83520","HCPCS","Both",,,"55","27.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"29.7","20.13","42.62","percent of total billed charges",,
"TSH RECEPTOR ANTIBODY","83520","HCPCS","Both",,,"55","27.5","Medicare",,"",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"TSH RECEPTOR ANTIBODY","83520","HCPCS","Both",,,"55","27.5","Humana","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"TSH RECEPTOR ANTIBODY","83520","HCPCS","Both",,,"55","27.5","UHC","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"TSH RECEPTOR ANTIBODY","83520","HCPCS","Both",,,"55","27.5","Clover","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"TSH RECEPTOR ANTIBODY","83520","HCPCS","Both",,,"55","27.5","Wellcare","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"TSH RECEPTOR ANTIBODY","83520","HCPCS","Both",,,"55","27.5","Amerigroup","Medicaid Managed Care","",,"37",,"20.13","20.13","42.62","percent of total billed charges",,
"TSH RECEPTOR ANTIBODY","83520","HCPCS","Both",,,"55","27.5","Caresource","Medicaid Managed Care","",,"40",,"22","20.13","42.62","percent of total billed charges",,
"TSH RECEPTOR ANTIBODY","83520","HCPCS","Both",,,"55","27.5","Wellcare","Medicaid Managed Care","",,"40",,"22.28","20.13","42.62","percent of total billed charges",,
"TSH RECEPTOR ANTIBODY","83520","HCPCS","Both",,,"55","27.5","Aetna","Commercial","",,"64",,"35.09","20.13","42.62","percent of total billed charges",,
"TSH RECEPTOR ANTIBODY","83520","HCPCS","Both",,,"55","27.5","Blue Cross Blue Shield","Pathways","",,"71",,"38.83","20.13","42.62","percent of total billed charges",,
"TSH RECEPTOR ANTIBODY","83520","HCPCS","Both",,,"55","27.5","Blue Cross Blue Shield","HMO","",,"71",,"38.83","20.13","42.62","percent of total billed charges",,
"TSH RECEPTOR ANTIBODY","83520","HCPCS","Both",,,"55","27.5","Blue Cross Blue Shield","PPO","",,"71",,"38.83","20.13","42.62","percent of total billed charges",,
"TSH RECEPTOR ANTIBODY","83520","HCPCS","Both",,,"55","27.5","Ambetter","Health Exchange","",,"62",,"34.1","20.13","42.62","percent of total billed charges",,
"TSH RECEPTOR ANTIBODY","83520","HCPCS","Both",,,"55","27.5","Caresource","Health Exchange","",,"62",,"34.1","20.13","42.62","percent of total billed charges",,
"TSH RECEPTOR ANTIBODY","83520","HCPCS","Both",,,"55","27.5","Cigna","Commercial","",,"59",,"32.23","20.13","42.62","percent of total billed charges",,
"TSH RECEPTOR ANTIBODY","83520","HCPCS","Both",,,"55","27.5","Humana","Commercial","",,"78",,"42.62","20.13","42.62","percent of total billed charges",,
"TSH RECEPTOR ANTIBODY","83520","HCPCS","Both",,,"55","27.5","UHC","Commercial","",,"75",,"41.47","20.13","42.62","percent of total billed charges",,
"TSH RECEPTOR ANTIBODY","83520","HCPCS","Both",,,"55","27.5","Medicaid",,"",,"37",,"20.13","20.13","42.62","percent of total billed charges",,
"ISLET CELL AB IGG","86341","HCPCS","Both",,,"140","70","Alliant","Health Exchange","",,"62",,"86.8","51.24","108.5","percent of total billed charges",,
"ISLET CELL AB IGG","86341","HCPCS","Both",,,"140","70","Pruitt Healthcare","Medicare Advantage","",,"54",,"75.6","51.24","108.5","percent of total billed charges",,
"ISLET CELL AB IGG","86341","HCPCS","Both",,,"140","70","Medicare",,"",,"54",,"75.88","51.24","108.5","percent of total billed charges",,
"ISLET CELL AB IGG","86341","HCPCS","Both",,,"140","70","Humana","Medicare Advantage","",,"54",,"75.88","51.24","108.5","percent of total billed charges",,
"ISLET CELL AB IGG","86341","HCPCS","Both",,,"140","70","UHC","Medicare Advantage","",,"54",,"75.88","51.24","108.5","percent of total billed charges",,
"ISLET CELL AB IGG","86341","HCPCS","Both",,,"140","70","Clover","Medicare Advantage","",,"54",,"75.88","51.24","108.5","percent of total billed charges",,
"ISLET CELL AB IGG","86341","HCPCS","Both",,,"140","70","Wellcare","Medicare Advantage","",,"54",,"75.88","51.24","108.5","percent of total billed charges",,
"ISLET CELL AB IGG","86341","HCPCS","Both",,,"140","70","Amerigroup","Medicaid Managed Care","",,"37",,"51.24","51.24","108.5","percent of total billed charges",,
"ISLET CELL AB IGG","86341","HCPCS","Both",,,"140","70","Caresource","Medicaid Managed Care","",,"40",,"56","51.24","108.5","percent of total billed charges",,
"ISLET CELL AB IGG","86341","HCPCS","Both",,,"140","70","Wellcare","Medicaid Managed Care","",,"40",,"56.7","51.24","108.5","percent of total billed charges",,
"ISLET CELL AB IGG","86341","HCPCS","Both",,,"140","70","Aetna","Commercial","",,"64",,"89.32","51.24","108.5","percent of total billed charges",,
"ISLET CELL AB IGG","86341","HCPCS","Both",,,"140","70","Blue Cross Blue Shield","Pathways","",,"71",,"98.84","51.24","108.5","percent of total billed charges",,
"ISLET CELL AB IGG","86341","HCPCS","Both",,,"140","70","Blue Cross Blue Shield","HMO","",,"71",,"98.84","51.24","108.5","percent of total billed charges",,
"ISLET CELL AB IGG","86341","HCPCS","Both",,,"140","70","Blue Cross Blue Shield","PPO","",,"71",,"98.84","51.24","108.5","percent of total billed charges",,
"ISLET CELL AB IGG","86341","HCPCS","Both",,,"140","70","Ambetter","Health Exchange","",,"62",,"86.8","51.24","108.5","percent of total billed charges",,
"ISLET CELL AB IGG","86341","HCPCS","Both",,,"140","70","Caresource","Health Exchange","",,"62",,"86.8","51.24","108.5","percent of total billed charges",,
"ISLET CELL AB IGG","86341","HCPCS","Both",,,"140","70","Cigna","Commercial","",,"59",,"82.04","51.24","108.5","percent of total billed charges",,
"ISLET CELL AB IGG","86341","HCPCS","Both",,,"140","70","Humana","Commercial","",,"78",,"108.5","51.24","108.5","percent of total billed charges",,
"ISLET CELL AB IGG","86341","HCPCS","Both",,,"140","70","UHC","Commercial","",,"75",,"105.56","51.24","108.5","percent of total billed charges",,
"ISLET CELL AB IGG","86341","HCPCS","Both",,,"140","70","Medicaid",,"",,"37",,"51.24","51.24","108.5","percent of total billed charges",,
"DIHYDROTESTOSTERONE","82642","HCPCS","Both",,,"150","75","Alliant","Health Exchange","",,"62",,"93","54.9","116.25","percent of total billed charges",,
"DIHYDROTESTOSTERONE","82642","HCPCS","Both",,,"150","75","Pruitt Healthcare","Medicare Advantage","",,"54",,"81","54.9","116.25","percent of total billed charges",,
"DIHYDROTESTOSTERONE","82642","HCPCS","Both",,,"150","75","Medicare",,"",,"54",,"81.3","54.9","116.25","percent of total billed charges",,
"DIHYDROTESTOSTERONE","82642","HCPCS","Both",,,"150","75","Humana","Medicare Advantage","",,"54",,"81.3","54.9","116.25","percent of total billed charges",,
"DIHYDROTESTOSTERONE","82642","HCPCS","Both",,,"150","75","UHC","Medicare Advantage","",,"54",,"81.3","54.9","116.25","percent of total billed charges",,
"DIHYDROTESTOSTERONE","82642","HCPCS","Both",,,"150","75","Clover","Medicare Advantage","",,"54",,"81.3","54.9","116.25","percent of total billed charges",,
"DIHYDROTESTOSTERONE","82642","HCPCS","Both",,,"150","75","Wellcare","Medicare Advantage","",,"54",,"81.3","54.9","116.25","percent of total billed charges",,
"DIHYDROTESTOSTERONE","82642","HCPCS","Both",,,"150","75","Amerigroup","Medicaid Managed Care","",,"37",,"54.9","54.9","116.25","percent of total billed charges",,
"DIHYDROTESTOSTERONE","82642","HCPCS","Both",,,"150","75","Caresource","Medicaid Managed Care","",,"40",,"60","54.9","116.25","percent of total billed charges",,
"DIHYDROTESTOSTERONE","82642","HCPCS","Both",,,"150","75","Wellcare","Medicaid Managed Care","",,"40",,"60.75","54.9","116.25","percent of total billed charges",,
"DIHYDROTESTOSTERONE","82642","HCPCS","Both",,,"150","75","Aetna","Commercial","",,"64",,"95.7","54.9","116.25","percent of total billed charges",,
"DIHYDROTESTOSTERONE","82642","HCPCS","Both",,,"150","75","Blue Cross Blue Shield","Pathways","",,"71",,"105.9","54.9","116.25","percent of total billed charges",,
"DIHYDROTESTOSTERONE","82642","HCPCS","Both",,,"150","75","Blue Cross Blue Shield","HMO","",,"71",,"105.9","54.9","116.25","percent of total billed charges",,
"DIHYDROTESTOSTERONE","82642","HCPCS","Both",,,"150","75","Blue Cross Blue Shield","PPO","",,"71",,"105.9","54.9","116.25","percent of total billed charges",,
"DIHYDROTESTOSTERONE","82642","HCPCS","Both",,,"150","75","Ambetter","Health Exchange","",,"62",,"93","54.9","116.25","percent of total billed charges",,
"DIHYDROTESTOSTERONE","82642","HCPCS","Both",,,"150","75","Caresource","Health Exchange","",,"62",,"93","54.9","116.25","percent of total billed charges",,
"DIHYDROTESTOSTERONE","82642","HCPCS","Both",,,"150","75","Cigna","Commercial","",,"59",,"87.9","54.9","116.25","percent of total billed charges",,
"DIHYDROTESTOSTERONE","82642","HCPCS","Both",,,"150","75","Humana","Commercial","",,"78",,"116.25","54.9","116.25","percent of total billed charges",,
"DIHYDROTESTOSTERONE","82642","HCPCS","Both",,,"150","75","UHC","Commercial","",,"75",,"113.1","54.9","116.25","percent of total billed charges",,
"DIHYDROTESTOSTERONE","82642","HCPCS","Both",,,"150","75","Medicaid",,"",,"37",,"54.9","54.9","116.25","percent of total billed charges",,
"IBD PANEL","86671","HCPCS","Both",,,"88","44","Alliant","Health Exchange","",,"62",,"54.56","32.21","68.2","percent of total billed charges",,
"IBD PANEL","86671","HCPCS","Both",,,"88","44","Pruitt Healthcare","Medicare Advantage","",,"54",,"47.52","32.21","68.2","percent of total billed charges",,
"IBD PANEL","86671","HCPCS","Both",,,"88","44","Medicare",,"",,"54",,"47.7","32.21","68.2","percent of total billed charges",,
"IBD PANEL","86671","HCPCS","Both",,,"88","44","Humana","Medicare Advantage","",,"54",,"47.7","32.21","68.2","percent of total billed charges",,
"IBD PANEL","86671","HCPCS","Both",,,"88","44","UHC","Medicare Advantage","",,"54",,"47.7","32.21","68.2","percent of total billed charges",,
"IBD PANEL","86671","HCPCS","Both",,,"88","44","Clover","Medicare Advantage","",,"54",,"47.7","32.21","68.2","percent of total billed charges",,
"IBD PANEL","86671","HCPCS","Both",,,"88","44","Wellcare","Medicare Advantage","",,"54",,"47.7","32.21","68.2","percent of total billed charges",,
"IBD PANEL","86671","HCPCS","Both",,,"88","44","Amerigroup","Medicaid Managed Care","",,"37",,"32.21","32.21","68.2","percent of total billed charges",,
"IBD PANEL","86671","HCPCS","Both",,,"88","44","Caresource","Medicaid Managed Care","",,"40",,"35.2","32.21","68.2","percent of total billed charges",,
"IBD PANEL","86671","HCPCS","Both",,,"88","44","Wellcare","Medicaid Managed Care","",,"40",,"35.64","32.21","68.2","percent of total billed charges",,
"IBD PANEL","86671","HCPCS","Both",,,"88","44","Aetna","Commercial","",,"64",,"56.14","32.21","68.2","percent of total billed charges",,
"IBD PANEL","86671","HCPCS","Both",,,"88","44","Blue Cross Blue Shield","Pathways","",,"71",,"62.13","32.21","68.2","percent of total billed charges",,
"IBD PANEL","86671","HCPCS","Both",,,"88","44","Blue Cross Blue Shield","HMO","",,"71",,"62.13","32.21","68.2","percent of total billed charges",,
"IBD PANEL","86671","HCPCS","Both",,,"88","44","Blue Cross Blue Shield","PPO","",,"71",,"62.13","32.21","68.2","percent of total billed charges",,
"IBD PANEL","86671","HCPCS","Both",,,"88","44","Ambetter","Health Exchange","",,"62",,"54.56","32.21","68.2","percent of total billed charges",,
"IBD PANEL","86671","HCPCS","Both",,,"88","44","Caresource","Health Exchange","",,"62",,"54.56","32.21","68.2","percent of total billed charges",,
"IBD PANEL","86671","HCPCS","Both",,,"88","44","Cigna","Commercial","",,"59",,"51.57","32.21","68.2","percent of total billed charges",,
"IBD PANEL","86671","HCPCS","Both",,,"88","44","Humana","Commercial","",,"78",,"68.2","32.21","68.2","percent of total billed charges",,
"IBD PANEL","86671","HCPCS","Both",,,"88","44","UHC","Commercial","",,"75",,"66.35","32.21","68.2","percent of total billed charges",,
"IBD PANEL","86671","HCPCS","Both",,,"88","44","Medicaid",,"",,"37",,"32.21","32.21","68.2","percent of total billed charges",,
"EBV PCR VIRAL LOAD","87799","HCPCS","Both",,,"53.5","26.75","Alliant","Health Exchange","",,"62",,"33.17","19.58","41.46","percent of total billed charges",,
"EBV PCR VIRAL LOAD","87799","HCPCS","Both",,,"53.5","26.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"28.89","19.58","41.46","percent of total billed charges",,
"EBV PCR VIRAL LOAD","87799","HCPCS","Both",,,"53.5","26.75","Medicare",,"",,"54",,"29","19.58","41.46","percent of total billed charges",,
"EBV PCR VIRAL LOAD","87799","HCPCS","Both",,,"53.5","26.75","Humana","Medicare Advantage","",,"54",,"29","19.58","41.46","percent of total billed charges",,
"EBV PCR VIRAL LOAD","87799","HCPCS","Both",,,"53.5","26.75","UHC","Medicare Advantage","",,"54",,"29","19.58","41.46","percent of total billed charges",,
"EBV PCR VIRAL LOAD","87799","HCPCS","Both",,,"53.5","26.75","Clover","Medicare Advantage","",,"54",,"29","19.58","41.46","percent of total billed charges",,
"EBV PCR VIRAL LOAD","87799","HCPCS","Both",,,"53.5","26.75","Wellcare","Medicare Advantage","",,"54",,"29","19.58","41.46","percent of total billed charges",,
"EBV PCR VIRAL LOAD","87799","HCPCS","Both",,,"53.5","26.75","Amerigroup","Medicaid Managed Care","",,"37",,"19.58","19.58","41.46","percent of total billed charges",,
"EBV PCR VIRAL LOAD","87799","HCPCS","Both",,,"53.5","26.75","Caresource","Medicaid Managed Care","",,"40",,"21.4","19.58","41.46","percent of total billed charges",,
"EBV PCR VIRAL LOAD","87799","HCPCS","Both",,,"53.5","26.75","Wellcare","Medicaid Managed Care","",,"40",,"21.67","19.58","41.46","percent of total billed charges",,
"EBV PCR VIRAL LOAD","87799","HCPCS","Both",,,"53.5","26.75","Aetna","Commercial","",,"64",,"34.13","19.58","41.46","percent of total billed charges",,
"EBV PCR VIRAL LOAD","87799","HCPCS","Both",,,"53.5","26.75","Blue Cross Blue Shield","Pathways","",,"71",,"37.77","19.58","41.46","percent of total billed charges",,
"EBV PCR VIRAL LOAD","87799","HCPCS","Both",,,"53.5","26.75","Blue Cross Blue Shield","HMO","",,"71",,"37.77","19.58","41.46","percent of total billed charges",,
"EBV PCR VIRAL LOAD","87799","HCPCS","Both",,,"53.5","26.75","Blue Cross Blue Shield","PPO","",,"71",,"37.77","19.58","41.46","percent of total billed charges",,
"EBV PCR VIRAL LOAD","87799","HCPCS","Both",,,"53.5","26.75","Ambetter","Health Exchange","",,"62",,"33.17","19.58","41.46","percent of total billed charges",,
"EBV PCR VIRAL LOAD","87799","HCPCS","Both",,,"53.5","26.75","Caresource","Health Exchange","",,"62",,"33.17","19.58","41.46","percent of total billed charges",,
"EBV PCR VIRAL LOAD","87799","HCPCS","Both",,,"53.5","26.75","Cigna","Commercial","",,"59",,"31.35","19.58","41.46","percent of total billed charges",,
"EBV PCR VIRAL LOAD","87799","HCPCS","Both",,,"53.5","26.75","Humana","Commercial","",,"78",,"41.46","19.58","41.46","percent of total billed charges",,
"EBV PCR VIRAL LOAD","87799","HCPCS","Both",,,"53.5","26.75","UHC","Commercial","",,"75",,"40.34","19.58","41.46","percent of total billed charges",,
"EBV PCR VIRAL LOAD","87799","HCPCS","Both",,,"53.5","26.75","Medicaid",,"",,"37",,"19.58","19.58","41.46","percent of total billed charges",,
"C1 ESTERASE INHIBITOR FUNCTIONAL","86161","HCPCS","Both",,,"86","43","Alliant","Health Exchange","",,"62",,"53.32","31.48","66.65","percent of total billed charges",,
"C1 ESTERASE INHIBITOR FUNCTIONAL","86161","HCPCS","Both",,,"86","43","Pruitt Healthcare","Medicare Advantage","",,"54",,"46.44","31.48","66.65","percent of total billed charges",,
"C1 ESTERASE INHIBITOR FUNCTIONAL","86161","HCPCS","Both",,,"86","43","Medicare",,"",,"54",,"46.61","31.48","66.65","percent of total billed charges",,
"C1 ESTERASE INHIBITOR FUNCTIONAL","86161","HCPCS","Both",,,"86","43","Humana","Medicare Advantage","",,"54",,"46.61","31.48","66.65","percent of total billed charges",,
"C1 ESTERASE INHIBITOR FUNCTIONAL","86161","HCPCS","Both",,,"86","43","UHC","Medicare Advantage","",,"54",,"46.61","31.48","66.65","percent of total billed charges",,
"C1 ESTERASE INHIBITOR FUNCTIONAL","86161","HCPCS","Both",,,"86","43","Clover","Medicare Advantage","",,"54",,"46.61","31.48","66.65","percent of total billed charges",,
"C1 ESTERASE INHIBITOR FUNCTIONAL","86161","HCPCS","Both",,,"86","43","Wellcare","Medicare Advantage","",,"54",,"46.61","31.48","66.65","percent of total billed charges",,
"C1 ESTERASE INHIBITOR FUNCTIONAL","86161","HCPCS","Both",,,"86","43","Amerigroup","Medicaid Managed Care","",,"37",,"31.48","31.48","66.65","percent of total billed charges",,
"C1 ESTERASE INHIBITOR FUNCTIONAL","86161","HCPCS","Both",,,"86","43","Caresource","Medicaid Managed Care","",,"40",,"34.4","31.48","66.65","percent of total billed charges",,
"C1 ESTERASE INHIBITOR FUNCTIONAL","86161","HCPCS","Both",,,"86","43","Wellcare","Medicaid Managed Care","",,"40",,"34.83","31.48","66.65","percent of total billed charges",,
"C1 ESTERASE INHIBITOR FUNCTIONAL","86161","HCPCS","Both",,,"86","43","Aetna","Commercial","",,"64",,"54.87","31.48","66.65","percent of total billed charges",,
"C1 ESTERASE INHIBITOR FUNCTIONAL","86161","HCPCS","Both",,,"86","43","Blue Cross Blue Shield","Pathways","",,"71",,"60.72","31.48","66.65","percent of total billed charges",,
"C1 ESTERASE INHIBITOR FUNCTIONAL","86161","HCPCS","Both",,,"86","43","Blue Cross Blue Shield","HMO","",,"71",,"60.72","31.48","66.65","percent of total billed charges",,
"C1 ESTERASE INHIBITOR FUNCTIONAL","86161","HCPCS","Both",,,"86","43","Blue Cross Blue Shield","PPO","",,"71",,"60.72","31.48","66.65","percent of total billed charges",,
"C1 ESTERASE INHIBITOR FUNCTIONAL","86161","HCPCS","Both",,,"86","43","Ambetter","Health Exchange","",,"62",,"53.32","31.48","66.65","percent of total billed charges",,
"C1 ESTERASE INHIBITOR FUNCTIONAL","86161","HCPCS","Both",,,"86","43","Caresource","Health Exchange","",,"62",,"53.32","31.48","66.65","percent of total billed charges",,
"C1 ESTERASE INHIBITOR FUNCTIONAL","86161","HCPCS","Both",,,"86","43","Cigna","Commercial","",,"59",,"50.4","31.48","66.65","percent of total billed charges",,
"C1 ESTERASE INHIBITOR FUNCTIONAL","86161","HCPCS","Both",,,"86","43","Humana","Commercial","",,"78",,"66.65","31.48","66.65","percent of total billed charges",,
"C1 ESTERASE INHIBITOR FUNCTIONAL","86161","HCPCS","Both",,,"86","43","UHC","Commercial","",,"75",,"64.84","31.48","66.65","percent of total billed charges",,
"C1 ESTERASE INHIBITOR FUNCTIONAL","86161","HCPCS","Both",,,"86","43","Medicaid",,"",,"37",,"31.48","31.48","66.65","percent of total billed charges",,
"CRYOGLOBULIN + % CRIT","82595","HCPCS","Both",,,"46","23","Alliant","Health Exchange","",,"62",,"28.52","16.84","35.65","percent of total billed charges",,
"CRYOGLOBULIN + % CRIT","82595","HCPCS","Both",,,"46","23","Pruitt Healthcare","Medicare Advantage","",,"54",,"24.84","16.84","35.65","percent of total billed charges",,
"CRYOGLOBULIN + % CRIT","82595","HCPCS","Both",,,"46","23","Medicare",,"",,"54",,"24.93","16.84","35.65","percent of total billed charges",,
"CRYOGLOBULIN + % CRIT","82595","HCPCS","Both",,,"46","23","Humana","Medicare Advantage","",,"54",,"24.93","16.84","35.65","percent of total billed charges",,
"CRYOGLOBULIN + % CRIT","82595","HCPCS","Both",,,"46","23","UHC","Medicare Advantage","",,"54",,"24.93","16.84","35.65","percent of total billed charges",,
"CRYOGLOBULIN + % CRIT","82595","HCPCS","Both",,,"46","23","Clover","Medicare Advantage","",,"54",,"24.93","16.84","35.65","percent of total billed charges",,
"CRYOGLOBULIN + % CRIT","82595","HCPCS","Both",,,"46","23","Wellcare","Medicare Advantage","",,"54",,"24.93","16.84","35.65","percent of total billed charges",,
"CRYOGLOBULIN + % CRIT","82595","HCPCS","Both",,,"46","23","Amerigroup","Medicaid Managed Care","",,"37",,"16.84","16.84","35.65","percent of total billed charges",,
"CRYOGLOBULIN + % CRIT","82595","HCPCS","Both",,,"46","23","Caresource","Medicaid Managed Care","",,"40",,"18.4","16.84","35.65","percent of total billed charges",,
"CRYOGLOBULIN + % CRIT","82595","HCPCS","Both",,,"46","23","Wellcare","Medicaid Managed Care","",,"40",,"18.63","16.84","35.65","percent of total billed charges",,
"CRYOGLOBULIN + % CRIT","82595","HCPCS","Both",,,"46","23","Aetna","Commercial","",,"64",,"29.35","16.84","35.65","percent of total billed charges",,
"CRYOGLOBULIN + % CRIT","82595","HCPCS","Both",,,"46","23","Blue Cross Blue Shield","Pathways","",,"71",,"32.48","16.84","35.65","percent of total billed charges",,
"CRYOGLOBULIN + % CRIT","82595","HCPCS","Both",,,"46","23","Blue Cross Blue Shield","HMO","",,"71",,"32.48","16.84","35.65","percent of total billed charges",,
"CRYOGLOBULIN + % CRIT","82595","HCPCS","Both",,,"46","23","Blue Cross Blue Shield","PPO","",,"71",,"32.48","16.84","35.65","percent of total billed charges",,
"CRYOGLOBULIN + % CRIT","82595","HCPCS","Both",,,"46","23","Ambetter","Health Exchange","",,"62",,"28.52","16.84","35.65","percent of total billed charges",,
"CRYOGLOBULIN + % CRIT","82595","HCPCS","Both",,,"46","23","Caresource","Health Exchange","",,"62",,"28.52","16.84","35.65","percent of total billed charges",,
"CRYOGLOBULIN + % CRIT","82595","HCPCS","Both",,,"46","23","Cigna","Commercial","",,"59",,"26.96","16.84","35.65","percent of total billed charges",,
"CRYOGLOBULIN + % CRIT","82595","HCPCS","Both",,,"46","23","Humana","Commercial","",,"78",,"35.65","16.84","35.65","percent of total billed charges",,
"CRYOGLOBULIN + % CRIT","82595","HCPCS","Both",,,"46","23","UHC","Commercial","",,"75",,"34.68","16.84","35.65","percent of total billed charges",,
"CRYOGLOBULIN + % CRIT","82595","HCPCS","Both",,,"46","23","Medicaid",,"",,"37",,"16.84","16.84","35.65","percent of total billed charges",,
"METANEPHRINES, PLASMA (FREE)","83835","HCPCS","Both",,,"73","36.5","Alliant","Health Exchange","",,"62",,"45.26","26.72","56.58","percent of total billed charges",,
"METANEPHRINES, PLASMA (FREE)","83835","HCPCS","Both",,,"73","36.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"39.42","26.72","56.58","percent of total billed charges",,
"METANEPHRINES, PLASMA (FREE)","83835","HCPCS","Both",,,"73","36.5","Medicare",,"",,"54",,"39.57","26.72","56.58","percent of total billed charges",,
"METANEPHRINES, PLASMA (FREE)","83835","HCPCS","Both",,,"73","36.5","Humana","Medicare Advantage","",,"54",,"39.57","26.72","56.58","percent of total billed charges",,
"METANEPHRINES, PLASMA (FREE)","83835","HCPCS","Both",,,"73","36.5","UHC","Medicare Advantage","",,"54",,"39.57","26.72","56.58","percent of total billed charges",,
"METANEPHRINES, PLASMA (FREE)","83835","HCPCS","Both",,,"73","36.5","Clover","Medicare Advantage","",,"54",,"39.57","26.72","56.58","percent of total billed charges",,
"METANEPHRINES, PLASMA (FREE)","83835","HCPCS","Both",,,"73","36.5","Wellcare","Medicare Advantage","",,"54",,"39.57","26.72","56.58","percent of total billed charges",,
"METANEPHRINES, PLASMA (FREE)","83835","HCPCS","Both",,,"73","36.5","Amerigroup","Medicaid Managed Care","",,"37",,"26.72","26.72","56.58","percent of total billed charges",,
"METANEPHRINES, PLASMA (FREE)","83835","HCPCS","Both",,,"73","36.5","Caresource","Medicaid Managed Care","",,"40",,"29.2","26.72","56.58","percent of total billed charges",,
"METANEPHRINES, PLASMA (FREE)","83835","HCPCS","Both",,,"73","36.5","Wellcare","Medicaid Managed Care","",,"40",,"29.56","26.72","56.58","percent of total billed charges",,
"METANEPHRINES, PLASMA (FREE)","83835","HCPCS","Both",,,"73","36.5","Aetna","Commercial","",,"64",,"46.57","26.72","56.58","percent of total billed charges",,
"METANEPHRINES, PLASMA (FREE)","83835","HCPCS","Both",,,"73","36.5","Blue Cross Blue Shield","Pathways","",,"71",,"51.54","26.72","56.58","percent of total billed charges",,
"METANEPHRINES, PLASMA (FREE)","83835","HCPCS","Both",,,"73","36.5","Blue Cross Blue Shield","HMO","",,"71",,"51.54","26.72","56.58","percent of total billed charges",,
"METANEPHRINES, PLASMA (FREE)","83835","HCPCS","Both",,,"73","36.5","Blue Cross Blue Shield","PPO","",,"71",,"51.54","26.72","56.58","percent of total billed charges",,
"METANEPHRINES, PLASMA (FREE)","83835","HCPCS","Both",,,"73","36.5","Ambetter","Health Exchange","",,"62",,"45.26","26.72","56.58","percent of total billed charges",,
"METANEPHRINES, PLASMA (FREE)","83835","HCPCS","Both",,,"73","36.5","Caresource","Health Exchange","",,"62",,"45.26","26.72","56.58","percent of total billed charges",,
"METANEPHRINES, PLASMA (FREE)","83835","HCPCS","Both",,,"73","36.5","Cigna","Commercial","",,"59",,"42.78","26.72","56.58","percent of total billed charges",,
"METANEPHRINES, PLASMA (FREE)","83835","HCPCS","Both",,,"73","36.5","Humana","Commercial","",,"78",,"56.58","26.72","56.58","percent of total billed charges",,
"METANEPHRINES, PLASMA (FREE)","83835","HCPCS","Both",,,"73","36.5","UHC","Commercial","",,"75",,"55.04","26.72","56.58","percent of total billed charges",,
"METANEPHRINES, PLASMA (FREE)","83835","HCPCS","Both",,,"73","36.5","Medicaid",,"",,"37",,"26.72","26.72","56.58","percent of total billed charges",,
"BARTONELLA HENSELAE IGG/IGM","86611","HCPCS","Both",,,"149","74.5","Alliant","Health Exchange","",,"62",,"92.38","54.53","115.48","percent of total billed charges",,
"BARTONELLA HENSELAE IGG/IGM","86611","HCPCS","Both",,,"149","74.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"80.46","54.53","115.48","percent of total billed charges",,
"BARTONELLA HENSELAE IGG/IGM","86611","HCPCS","Both",,,"149","74.5","Medicare",,"",,"54",,"80.76","54.53","115.48","percent of total billed charges",,
"BARTONELLA HENSELAE IGG/IGM","86611","HCPCS","Both",,,"149","74.5","Humana","Medicare Advantage","",,"54",,"80.76","54.53","115.48","percent of total billed charges",,
"BARTONELLA HENSELAE IGG/IGM","86611","HCPCS","Both",,,"149","74.5","UHC","Medicare Advantage","",,"54",,"80.76","54.53","115.48","percent of total billed charges",,
"BARTONELLA HENSELAE IGG/IGM","86611","HCPCS","Both",,,"149","74.5","Clover","Medicare Advantage","",,"54",,"80.76","54.53","115.48","percent of total billed charges",,
"BARTONELLA HENSELAE IGG/IGM","86611","HCPCS","Both",,,"149","74.5","Wellcare","Medicare Advantage","",,"54",,"80.76","54.53","115.48","percent of total billed charges",,
"BARTONELLA HENSELAE IGG/IGM","86611","HCPCS","Both",,,"149","74.5","Amerigroup","Medicaid Managed Care","",,"37",,"54.53","54.53","115.48","percent of total billed charges",,
"BARTONELLA HENSELAE IGG/IGM","86611","HCPCS","Both",,,"149","74.5","Caresource","Medicaid Managed Care","",,"40",,"59.6","54.53","115.48","percent of total billed charges",,
"BARTONELLA HENSELAE IGG/IGM","86611","HCPCS","Both",,,"149","74.5","Wellcare","Medicaid Managed Care","",,"40",,"60.35","54.53","115.48","percent of total billed charges",,
"BARTONELLA HENSELAE IGG/IGM","86611","HCPCS","Both",,,"149","74.5","Aetna","Commercial","",,"64",,"95.06","54.53","115.48","percent of total billed charges",,
"BARTONELLA HENSELAE IGG/IGM","86611","HCPCS","Both",,,"149","74.5","Blue Cross Blue Shield","Pathways","",,"71",,"105.19","54.53","115.48","percent of total billed charges",,
"BARTONELLA HENSELAE IGG/IGM","86611","HCPCS","Both",,,"149","74.5","Blue Cross Blue Shield","HMO","",,"71",,"105.19","54.53","115.48","percent of total billed charges",,
"BARTONELLA HENSELAE IGG/IGM","86611","HCPCS","Both",,,"149","74.5","Blue Cross Blue Shield","PPO","",,"71",,"105.19","54.53","115.48","percent of total billed charges",,
"BARTONELLA HENSELAE IGG/IGM","86611","HCPCS","Both",,,"149","74.5","Ambetter","Health Exchange","",,"62",,"92.38","54.53","115.48","percent of total billed charges",,
"BARTONELLA HENSELAE IGG/IGM","86611","HCPCS","Both",,,"149","74.5","Caresource","Health Exchange","",,"62",,"92.38","54.53","115.48","percent of total billed charges",,
"BARTONELLA HENSELAE IGG/IGM","86611","HCPCS","Both",,,"149","74.5","Cigna","Commercial","",,"59",,"87.31","54.53","115.48","percent of total billed charges",,
"BARTONELLA HENSELAE IGG/IGM","86611","HCPCS","Both",,,"149","74.5","Humana","Commercial","",,"78",,"115.48","54.53","115.48","percent of total billed charges",,
"BARTONELLA HENSELAE IGG/IGM","86611","HCPCS","Both",,,"149","74.5","UHC","Commercial","",,"75",,"112.35","54.53","115.48","percent of total billed charges",,
"BARTONELLA HENSELAE IGG/IGM","86611","HCPCS","Both",,,"149","74.5","Medicaid",,"",,"37",,"54.53","54.53","115.48","percent of total billed charges",,
"NICOTINE + COTININE, SERUM","80323","HCPCS","Both",,,"682.5","341.25","Alliant","Health Exchange","",,"62",,"423.15","249.8","528.94","percent of total billed charges",,
"NICOTINE + COTININE, SERUM","80323","HCPCS","Both",,,"682.5","341.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"368.55","249.8","528.94","percent of total billed charges",,
"NICOTINE + COTININE, SERUM","80323","HCPCS","Both",,,"682.5","341.25","Medicare",,"",,"54",,"369.92","249.8","528.94","percent of total billed charges",,
"NICOTINE + COTININE, SERUM","80323","HCPCS","Both",,,"682.5","341.25","Humana","Medicare Advantage","",,"54",,"369.92","249.8","528.94","percent of total billed charges",,
"NICOTINE + COTININE, SERUM","80323","HCPCS","Both",,,"682.5","341.25","UHC","Medicare Advantage","",,"54",,"369.92","249.8","528.94","percent of total billed charges",,
"NICOTINE + COTININE, SERUM","80323","HCPCS","Both",,,"682.5","341.25","Clover","Medicare Advantage","",,"54",,"369.92","249.8","528.94","percent of total billed charges",,
"NICOTINE + COTININE, SERUM","80323","HCPCS","Both",,,"682.5","341.25","Wellcare","Medicare Advantage","",,"54",,"369.92","249.8","528.94","percent of total billed charges",,
"NICOTINE + COTININE, SERUM","80323","HCPCS","Both",,,"682.5","341.25","Amerigroup","Medicaid Managed Care","",,"37",,"249.8","249.8","528.94","percent of total billed charges",,
"NICOTINE + COTININE, SERUM","80323","HCPCS","Both",,,"682.5","341.25","Caresource","Medicaid Managed Care","",,"40",,"273","249.8","528.94","percent of total billed charges",,
"NICOTINE + COTININE, SERUM","80323","HCPCS","Both",,,"682.5","341.25","Wellcare","Medicaid Managed Care","",,"40",,"276.41","249.8","528.94","percent of total billed charges",,
"NICOTINE + COTININE, SERUM","80323","HCPCS","Both",,,"682.5","341.25","Aetna","Commercial","",,"64",,"435.44","249.8","528.94","percent of total billed charges",,
"NICOTINE + COTININE, SERUM","80323","HCPCS","Both",,,"682.5","341.25","Blue Cross Blue Shield","Pathways","",,"71",,"481.84","249.8","528.94","percent of total billed charges",,
"NICOTINE + COTININE, SERUM","80323","HCPCS","Both",,,"682.5","341.25","Blue Cross Blue Shield","HMO","",,"71",,"481.84","249.8","528.94","percent of total billed charges",,
"NICOTINE + COTININE, SERUM","80323","HCPCS","Both",,,"682.5","341.25","Blue Cross Blue Shield","PPO","",,"71",,"481.84","249.8","528.94","percent of total billed charges",,
"NICOTINE + COTININE, SERUM","80323","HCPCS","Both",,,"682.5","341.25","Ambetter","Health Exchange","",,"62",,"423.15","249.8","528.94","percent of total billed charges",,
"NICOTINE + COTININE, SERUM","80323","HCPCS","Both",,,"682.5","341.25","Caresource","Health Exchange","",,"62",,"423.15","249.8","528.94","percent of total billed charges",,
"NICOTINE + COTININE, SERUM","80323","HCPCS","Both",,,"682.5","341.25","Cigna","Commercial","",,"59",,"399.94","249.8","528.94","percent of total billed charges",,
"NICOTINE + COTININE, SERUM","80323","HCPCS","Both",,,"682.5","341.25","Humana","Commercial","",,"78",,"528.94","249.8","528.94","percent of total billed charges",,
"NICOTINE + COTININE, SERUM","80323","HCPCS","Both",,,"682.5","341.25","UHC","Commercial","",,"75",,"514.6","249.8","528.94","percent of total billed charges",,
"NICOTINE + COTININE, SERUM","80323","HCPCS","Both",,,"682.5","341.25","Medicaid",,"",,"37",,"249.8","249.8","528.94","percent of total billed charges",,
"TRICHOMONAS, FEMALE (APTIMA)","87798","HCPCS","Both",,,"51","25.5","Alliant","Health Exchange","",,"62",,"31.62","18.67","39.52","percent of total billed charges",,
"TRICHOMONAS, FEMALE (APTIMA)","87798","HCPCS","Both",,,"51","25.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"27.54","18.67","39.52","percent of total billed charges",,
"TRICHOMONAS, FEMALE (APTIMA)","87798","HCPCS","Both",,,"51","25.5","Medicare",,"",,"54",,"27.64","18.67","39.52","percent of total billed charges",,
"TRICHOMONAS, FEMALE (APTIMA)","87798","HCPCS","Both",,,"51","25.5","Humana","Medicare Advantage","",,"54",,"27.64","18.67","39.52","percent of total billed charges",,
"TRICHOMONAS, FEMALE (APTIMA)","87798","HCPCS","Both",,,"51","25.5","UHC","Medicare Advantage","",,"54",,"27.64","18.67","39.52","percent of total billed charges",,
"TRICHOMONAS, FEMALE (APTIMA)","87798","HCPCS","Both",,,"51","25.5","Clover","Medicare Advantage","",,"54",,"27.64","18.67","39.52","percent of total billed charges",,
"TRICHOMONAS, FEMALE (APTIMA)","87798","HCPCS","Both",,,"51","25.5","Wellcare","Medicare Advantage","",,"54",,"27.64","18.67","39.52","percent of total billed charges",,
"TRICHOMONAS, FEMALE (APTIMA)","87798","HCPCS","Both",,,"51","25.5","Amerigroup","Medicaid Managed Care","",,"37",,"18.67","18.67","39.52","percent of total billed charges",,
"TRICHOMONAS, FEMALE (APTIMA)","87798","HCPCS","Both",,,"51","25.5","Caresource","Medicaid Managed Care","",,"40",,"20.4","18.67","39.52","percent of total billed charges",,
"TRICHOMONAS, FEMALE (APTIMA)","87798","HCPCS","Both",,,"51","25.5","Wellcare","Medicaid Managed Care","",,"40",,"20.66","18.67","39.52","percent of total billed charges",,
"TRICHOMONAS, FEMALE (APTIMA)","87798","HCPCS","Both",,,"51","25.5","Aetna","Commercial","",,"64",,"32.54","18.67","39.52","percent of total billed charges",,
"TRICHOMONAS, FEMALE (APTIMA)","87798","HCPCS","Both",,,"51","25.5","Blue Cross Blue Shield","Pathways","",,"71",,"36.01","18.67","39.52","percent of total billed charges",,
"TRICHOMONAS, FEMALE (APTIMA)","87798","HCPCS","Both",,,"51","25.5","Blue Cross Blue Shield","HMO","",,"71",,"36.01","18.67","39.52","percent of total billed charges",,
"TRICHOMONAS, FEMALE (APTIMA)","87798","HCPCS","Both",,,"51","25.5","Blue Cross Blue Shield","PPO","",,"71",,"36.01","18.67","39.52","percent of total billed charges",,
"TRICHOMONAS, FEMALE (APTIMA)","87798","HCPCS","Both",,,"51","25.5","Ambetter","Health Exchange","",,"62",,"31.62","18.67","39.52","percent of total billed charges",,
"TRICHOMONAS, FEMALE (APTIMA)","87798","HCPCS","Both",,,"51","25.5","Caresource","Health Exchange","",,"62",,"31.62","18.67","39.52","percent of total billed charges",,
"TRICHOMONAS, FEMALE (APTIMA)","87798","HCPCS","Both",,,"51","25.5","Cigna","Commercial","",,"59",,"29.89","18.67","39.52","percent of total billed charges",,
"TRICHOMONAS, FEMALE (APTIMA)","87798","HCPCS","Both",,,"51","25.5","Humana","Commercial","",,"78",,"39.52","18.67","39.52","percent of total billed charges",,
"TRICHOMONAS, FEMALE (APTIMA)","87798","HCPCS","Both",,,"51","25.5","UHC","Commercial","",,"75",,"38.45","18.67","39.52","percent of total billed charges",,
"TRICHOMONAS, FEMALE (APTIMA)","87798","HCPCS","Both",,,"51","25.5","Medicaid",,"",,"37",,"18.67","18.67","39.52","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR BINDING AUTOAB","83519","HCPCS","Both",,,"96","48","Alliant","Health Exchange","",,"62",,"59.52","35.14","74.4","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR BINDING AUTOAB","83519","HCPCS","Both",,,"96","48","Pruitt Healthcare","Medicare Advantage","",,"54",,"51.84","35.14","74.4","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR BINDING AUTOAB","83519","HCPCS","Both",,,"96","48","Medicare",,"",,"54",,"52.03","35.14","74.4","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR BINDING AUTOAB","83519","HCPCS","Both",,,"96","48","Humana","Medicare Advantage","",,"54",,"52.03","35.14","74.4","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR BINDING AUTOAB","83519","HCPCS","Both",,,"96","48","UHC","Medicare Advantage","",,"54",,"52.03","35.14","74.4","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR BINDING AUTOAB","83519","HCPCS","Both",,,"96","48","Clover","Medicare Advantage","",,"54",,"52.03","35.14","74.4","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR BINDING AUTOAB","83519","HCPCS","Both",,,"96","48","Wellcare","Medicare Advantage","",,"54",,"52.03","35.14","74.4","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR BINDING AUTOAB","83519","HCPCS","Both",,,"96","48","Amerigroup","Medicaid Managed Care","",,"37",,"35.14","35.14","74.4","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR BINDING AUTOAB","83519","HCPCS","Both",,,"96","48","Caresource","Medicaid Managed Care","",,"40",,"38.4","35.14","74.4","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR BINDING AUTOAB","83519","HCPCS","Both",,,"96","48","Wellcare","Medicaid Managed Care","",,"40",,"38.88","35.14","74.4","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR BINDING AUTOAB","83519","HCPCS","Both",,,"96","48","Aetna","Commercial","",,"64",,"61.25","35.14","74.4","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR BINDING AUTOAB","83519","HCPCS","Both",,,"96","48","Blue Cross Blue Shield","Pathways","",,"71",,"67.78","35.14","74.4","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR BINDING AUTOAB","83519","HCPCS","Both",,,"96","48","Blue Cross Blue Shield","HMO","",,"71",,"67.78","35.14","74.4","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR BINDING AUTOAB","83519","HCPCS","Both",,,"96","48","Blue Cross Blue Shield","PPO","",,"71",,"67.78","35.14","74.4","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR BINDING AUTOAB","83519","HCPCS","Both",,,"96","48","Ambetter","Health Exchange","",,"62",,"59.52","35.14","74.4","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR BINDING AUTOAB","83519","HCPCS","Both",,,"96","48","Caresource","Health Exchange","",,"62",,"59.52","35.14","74.4","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR BINDING AUTOAB","83519","HCPCS","Both",,,"96","48","Cigna","Commercial","",,"59",,"56.26","35.14","74.4","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR BINDING AUTOAB","83519","HCPCS","Both",,,"96","48","Humana","Commercial","",,"78",,"74.4","35.14","74.4","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR BINDING AUTOAB","83519","HCPCS","Both",,,"96","48","UHC","Commercial","",,"75",,"72.38","35.14","74.4","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR BINDING AUTOAB","83519","HCPCS","Both",,,"96","48","Medicaid",,"",,"37",,"35.14","35.14","74.4","percent of total billed charges",,
"FACTOR V LEIDEN","81241","HCPCS","Both",,,"615.55","307.775","Alliant","Health Exchange","",,"62",,"381.64","225.29","477.05","percent of total billed charges",,
"FACTOR V LEIDEN","81241","HCPCS","Both",,,"615.55","307.775","Pruitt Healthcare","Medicare Advantage","",,"54",,"332.4","225.29","477.05","percent of total billed charges",,
"FACTOR V LEIDEN","81241","HCPCS","Both",,,"615.55","307.775","Medicare",,"",,"54",,"333.63","225.29","477.05","percent of total billed charges",,
"FACTOR V LEIDEN","81241","HCPCS","Both",,,"615.55","307.775","Humana","Medicare Advantage","",,"54",,"333.63","225.29","477.05","percent of total billed charges",,
"FACTOR V LEIDEN","81241","HCPCS","Both",,,"615.55","307.775","UHC","Medicare Advantage","",,"54",,"333.63","225.29","477.05","percent of total billed charges",,
"FACTOR V LEIDEN","81241","HCPCS","Both",,,"615.55","307.775","Clover","Medicare Advantage","",,"54",,"333.63","225.29","477.05","percent of total billed charges",,
"FACTOR V LEIDEN","81241","HCPCS","Both",,,"615.55","307.775","Wellcare","Medicare Advantage","",,"54",,"333.63","225.29","477.05","percent of total billed charges",,
"FACTOR V LEIDEN","81241","HCPCS","Both",,,"615.55","307.775","Amerigroup","Medicaid Managed Care","",,"37",,"225.29","225.29","477.05","percent of total billed charges",,
"FACTOR V LEIDEN","81241","HCPCS","Both",,,"615.55","307.775","Caresource","Medicaid Managed Care","",,"40",,"246.22","225.29","477.05","percent of total billed charges",,
"FACTOR V LEIDEN","81241","HCPCS","Both",,,"615.55","307.775","Wellcare","Medicaid Managed Care","",,"40",,"249.3","225.29","477.05","percent of total billed charges",,
"FACTOR V LEIDEN","81241","HCPCS","Both",,,"615.55","307.775","Aetna","Commercial","",,"64",,"392.72","225.29","477.05","percent of total billed charges",,
"FACTOR V LEIDEN","81241","HCPCS","Both",,,"615.55","307.775","Blue Cross Blue Shield","Pathways","",,"71",,"434.58","225.29","477.05","percent of total billed charges",,
"FACTOR V LEIDEN","81241","HCPCS","Both",,,"615.55","307.775","Blue Cross Blue Shield","HMO","",,"71",,"434.58","225.29","477.05","percent of total billed charges",,
"FACTOR V LEIDEN","81241","HCPCS","Both",,,"615.55","307.775","Blue Cross Blue Shield","PPO","",,"71",,"434.58","225.29","477.05","percent of total billed charges",,
"FACTOR V LEIDEN","81241","HCPCS","Both",,,"615.55","307.775","Ambetter","Health Exchange","",,"62",,"381.64","225.29","477.05","percent of total billed charges",,
"FACTOR V LEIDEN","81241","HCPCS","Both",,,"615.55","307.775","Caresource","Health Exchange","",,"62",,"381.64","225.29","477.05","percent of total billed charges",,
"FACTOR V LEIDEN","81241","HCPCS","Both",,,"615.55","307.775","Cigna","Commercial","",,"59",,"360.71","225.29","477.05","percent of total billed charges",,
"FACTOR V LEIDEN","81241","HCPCS","Both",,,"615.55","307.775","Humana","Commercial","",,"78",,"477.05","225.29","477.05","percent of total billed charges",,
"FACTOR V LEIDEN","81241","HCPCS","Both",,,"615.55","307.775","UHC","Commercial","",,"75",,"464.12","225.29","477.05","percent of total billed charges",,
"FACTOR V LEIDEN","81241","HCPCS","Both",,,"615.55","307.775","Medicaid",,"",,"37",,"225.29","225.29","477.05","percent of total billed charges",,
"HALOPERIDOL","80173","HCPCS","Both",,,"104.5","52.25","Alliant","Health Exchange","",,"62",,"64.79","38.25","80.99","percent of total billed charges",,
"HALOPERIDOL","80173","HCPCS","Both",,,"104.5","52.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"56.43","38.25","80.99","percent of total billed charges",,
"HALOPERIDOL","80173","HCPCS","Both",,,"104.5","52.25","Medicare",,"",,"54",,"56.64","38.25","80.99","percent of total billed charges",,
"HALOPERIDOL","80173","HCPCS","Both",,,"104.5","52.25","Humana","Medicare Advantage","",,"54",,"56.64","38.25","80.99","percent of total billed charges",,
"HALOPERIDOL","80173","HCPCS","Both",,,"104.5","52.25","UHC","Medicare Advantage","",,"54",,"56.64","38.25","80.99","percent of total billed charges",,
"HALOPERIDOL","80173","HCPCS","Both",,,"104.5","52.25","Clover","Medicare Advantage","",,"54",,"56.64","38.25","80.99","percent of total billed charges",,
"HALOPERIDOL","80173","HCPCS","Both",,,"104.5","52.25","Wellcare","Medicare Advantage","",,"54",,"56.64","38.25","80.99","percent of total billed charges",,
"HALOPERIDOL","80173","HCPCS","Both",,,"104.5","52.25","Amerigroup","Medicaid Managed Care","",,"37",,"38.25","38.25","80.99","percent of total billed charges",,
"HALOPERIDOL","80173","HCPCS","Both",,,"104.5","52.25","Caresource","Medicaid Managed Care","",,"40",,"41.8","38.25","80.99","percent of total billed charges",,
"HALOPERIDOL","80173","HCPCS","Both",,,"104.5","52.25","Wellcare","Medicaid Managed Care","",,"40",,"42.32","38.25","80.99","percent of total billed charges",,
"HALOPERIDOL","80173","HCPCS","Both",,,"104.5","52.25","Aetna","Commercial","",,"64",,"66.67","38.25","80.99","percent of total billed charges",,
"HALOPERIDOL","80173","HCPCS","Both",,,"104.5","52.25","Blue Cross Blue Shield","Pathways","",,"71",,"73.78","38.25","80.99","percent of total billed charges",,
"HALOPERIDOL","80173","HCPCS","Both",,,"104.5","52.25","Blue Cross Blue Shield","HMO","",,"71",,"73.78","38.25","80.99","percent of total billed charges",,
"HALOPERIDOL","80173","HCPCS","Both",,,"104.5","52.25","Blue Cross Blue Shield","PPO","",,"71",,"73.78","38.25","80.99","percent of total billed charges",,
"HALOPERIDOL","80173","HCPCS","Both",,,"104.5","52.25","Ambetter","Health Exchange","",,"62",,"64.79","38.25","80.99","percent of total billed charges",,
"HALOPERIDOL","80173","HCPCS","Both",,,"104.5","52.25","Caresource","Health Exchange","",,"62",,"64.79","38.25","80.99","percent of total billed charges",,
"HALOPERIDOL","80173","HCPCS","Both",,,"104.5","52.25","Cigna","Commercial","",,"59",,"61.24","38.25","80.99","percent of total billed charges",,
"HALOPERIDOL","80173","HCPCS","Both",,,"104.5","52.25","Humana","Commercial","",,"78",,"80.99","38.25","80.99","percent of total billed charges",,
"HALOPERIDOL","80173","HCPCS","Both",,,"104.5","52.25","UHC","Commercial","",,"75",,"78.79","38.25","80.99","percent of total billed charges",,
"HALOPERIDOL","80173","HCPCS","Both",,,"104.5","52.25","Medicaid",,"",,"37",,"38.25","38.25","80.99","percent of total billed charges",,
"THIN PREP","88175","HCPCS","Both",,,"189","94.5","Alliant","Health Exchange","",,"62",,"117.18","69.17","146.48","percent of total billed charges",,
"THIN PREP","88175","HCPCS","Both",,,"189","94.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"102.06","69.17","146.48","percent of total billed charges",,
"THIN PREP","88175","HCPCS","Both",,,"189","94.5","Medicare",,"",,"54",,"102.44","69.17","146.48","percent of total billed charges",,
"THIN PREP","88175","HCPCS","Both",,,"189","94.5","Humana","Medicare Advantage","",,"54",,"102.44","69.17","146.48","percent of total billed charges",,
"THIN PREP","88175","HCPCS","Both",,,"189","94.5","UHC","Medicare Advantage","",,"54",,"102.44","69.17","146.48","percent of total billed charges",,
"THIN PREP","88175","HCPCS","Both",,,"189","94.5","Clover","Medicare Advantage","",,"54",,"102.44","69.17","146.48","percent of total billed charges",,
"THIN PREP","88175","HCPCS","Both",,,"189","94.5","Wellcare","Medicare Advantage","",,"54",,"102.44","69.17","146.48","percent of total billed charges",,
"THIN PREP","88175","HCPCS","Both",,,"189","94.5","Amerigroup","Medicaid Managed Care","",,"37",,"69.17","69.17","146.48","percent of total billed charges",,
"THIN PREP","88175","HCPCS","Both",,,"189","94.5","Caresource","Medicaid Managed Care","",,"40",,"75.6","69.17","146.48","percent of total billed charges",,
"THIN PREP","88175","HCPCS","Both",,,"189","94.5","Wellcare","Medicaid Managed Care","",,"40",,"76.54","69.17","146.48","percent of total billed charges",,
"THIN PREP","88175","HCPCS","Both",,,"189","94.5","Aetna","Commercial","",,"64",,"120.58","69.17","146.48","percent of total billed charges",,
"THIN PREP","88175","HCPCS","Both",,,"189","94.5","Blue Cross Blue Shield","Pathways","",,"71",,"133.43","69.17","146.48","percent of total billed charges",,
"THIN PREP","88175","HCPCS","Both",,,"189","94.5","Blue Cross Blue Shield","HMO","",,"71",,"133.43","69.17","146.48","percent of total billed charges",,
"THIN PREP","88175","HCPCS","Both",,,"189","94.5","Blue Cross Blue Shield","PPO","",,"71",,"133.43","69.17","146.48","percent of total billed charges",,
"THIN PREP","88175","HCPCS","Both",,,"189","94.5","Ambetter","Health Exchange","",,"62",,"117.18","69.17","146.48","percent of total billed charges",,
"THIN PREP","88175","HCPCS","Both",,,"189","94.5","Caresource","Health Exchange","",,"62",,"117.18","69.17","146.48","percent of total billed charges",,
"THIN PREP","88175","HCPCS","Both",,,"189","94.5","Cigna","Commercial","",,"59",,"110.75","69.17","146.48","percent of total billed charges",,
"THIN PREP","88175","HCPCS","Both",,,"189","94.5","Humana","Commercial","",,"78",,"146.48","69.17","146.48","percent of total billed charges",,
"THIN PREP","88175","HCPCS","Both",,,"189","94.5","UHC","Commercial","",,"75",,"142.51","69.17","146.48","percent of total billed charges",,
"THIN PREP","88175","HCPCS","Both",,,"189","94.5","Medicaid",,"",,"37",,"69.17","69.17","146.48","percent of total billed charges",,
"FECAL LACTOFERRIN","83630","HCPCS","Both",,,"84","42","Alliant","Health Exchange","",,"62",,"52.08","30.74","65.1","percent of total billed charges",,
"FECAL LACTOFERRIN","83630","HCPCS","Both",,,"84","42","Pruitt Healthcare","Medicare Advantage","",,"54",,"45.36","30.74","65.1","percent of total billed charges",,
"FECAL LACTOFERRIN","83630","HCPCS","Both",,,"84","42","Medicare",,"",,"54",,"45.53","30.74","65.1","percent of total billed charges",,
"FECAL LACTOFERRIN","83630","HCPCS","Both",,,"84","42","Humana","Medicare Advantage","",,"54",,"45.53","30.74","65.1","percent of total billed charges",,
"FECAL LACTOFERRIN","83630","HCPCS","Both",,,"84","42","UHC","Medicare Advantage","",,"54",,"45.53","30.74","65.1","percent of total billed charges",,
"FECAL LACTOFERRIN","83630","HCPCS","Both",,,"84","42","Clover","Medicare Advantage","",,"54",,"45.53","30.74","65.1","percent of total billed charges",,
"FECAL LACTOFERRIN","83630","HCPCS","Both",,,"84","42","Wellcare","Medicare Advantage","",,"54",,"45.53","30.74","65.1","percent of total billed charges",,
"FECAL LACTOFERRIN","83630","HCPCS","Both",,,"84","42","Amerigroup","Medicaid Managed Care","",,"37",,"30.74","30.74","65.1","percent of total billed charges",,
"FECAL LACTOFERRIN","83630","HCPCS","Both",,,"84","42","Caresource","Medicaid Managed Care","",,"40",,"33.6","30.74","65.1","percent of total billed charges",,
"FECAL LACTOFERRIN","83630","HCPCS","Both",,,"84","42","Wellcare","Medicaid Managed Care","",,"40",,"34.02","30.74","65.1","percent of total billed charges",,
"FECAL LACTOFERRIN","83630","HCPCS","Both",,,"84","42","Aetna","Commercial","",,"64",,"53.59","30.74","65.1","percent of total billed charges",,
"FECAL LACTOFERRIN","83630","HCPCS","Both",,,"84","42","Blue Cross Blue Shield","Pathways","",,"71",,"59.3","30.74","65.1","percent of total billed charges",,
"FECAL LACTOFERRIN","83630","HCPCS","Both",,,"84","42","Blue Cross Blue Shield","HMO","",,"71",,"59.3","30.74","65.1","percent of total billed charges",,
"FECAL LACTOFERRIN","83630","HCPCS","Both",,,"84","42","Blue Cross Blue Shield","PPO","",,"71",,"59.3","30.74","65.1","percent of total billed charges",,
"FECAL LACTOFERRIN","83630","HCPCS","Both",,,"84","42","Ambetter","Health Exchange","",,"62",,"52.08","30.74","65.1","percent of total billed charges",,
"FECAL LACTOFERRIN","83630","HCPCS","Both",,,"84","42","Caresource","Health Exchange","",,"62",,"52.08","30.74","65.1","percent of total billed charges",,
"FECAL LACTOFERRIN","83630","HCPCS","Both",,,"84","42","Cigna","Commercial","",,"59",,"49.22","30.74","65.1","percent of total billed charges",,
"FECAL LACTOFERRIN","83630","HCPCS","Both",,,"84","42","Humana","Commercial","",,"78",,"65.1","30.74","65.1","percent of total billed charges",,
"FECAL LACTOFERRIN","83630","HCPCS","Both",,,"84","42","UHC","Commercial","",,"75",,"63.34","30.74","65.1","percent of total billed charges",,
"FECAL LACTOFERRIN","83630","HCPCS","Both",,,"84","42","Medicaid",,"",,"37",,"30.74","30.74","65.1","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR MODULATING AB","83516","HCPCS","Both",,,"27.5","13.75","Alliant","Health Exchange","",,"62",,"17.05","10.06","21.31","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR MODULATING AB","83516","HCPCS","Both",,,"27.5","13.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"14.85","10.06","21.31","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR MODULATING AB","83516","HCPCS","Both",,,"27.5","13.75","Medicare",,"",,"54",,"14.9","10.06","21.31","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR MODULATING AB","83516","HCPCS","Both",,,"27.5","13.75","Humana","Medicare Advantage","",,"54",,"14.9","10.06","21.31","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR MODULATING AB","83516","HCPCS","Both",,,"27.5","13.75","UHC","Medicare Advantage","",,"54",,"14.9","10.06","21.31","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR MODULATING AB","83516","HCPCS","Both",,,"27.5","13.75","Clover","Medicare Advantage","",,"54",,"14.9","10.06","21.31","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR MODULATING AB","83516","HCPCS","Both",,,"27.5","13.75","Wellcare","Medicare Advantage","",,"54",,"14.9","10.06","21.31","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR MODULATING AB","83516","HCPCS","Both",,,"27.5","13.75","Amerigroup","Medicaid Managed Care","",,"37",,"10.06","10.06","21.31","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR MODULATING AB","83516","HCPCS","Both",,,"27.5","13.75","Caresource","Medicaid Managed Care","",,"40",,"11","10.06","21.31","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR MODULATING AB","83516","HCPCS","Both",,,"27.5","13.75","Wellcare","Medicaid Managed Care","",,"40",,"11.14","10.06","21.31","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR MODULATING AB","83516","HCPCS","Both",,,"27.5","13.75","Aetna","Commercial","",,"64",,"17.55","10.06","21.31","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR MODULATING AB","83516","HCPCS","Both",,,"27.5","13.75","Blue Cross Blue Shield","Pathways","",,"71",,"19.42","10.06","21.31","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR MODULATING AB","83516","HCPCS","Both",,,"27.5","13.75","Blue Cross Blue Shield","HMO","",,"71",,"19.42","10.06","21.31","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR MODULATING AB","83516","HCPCS","Both",,,"27.5","13.75","Blue Cross Blue Shield","PPO","",,"71",,"19.42","10.06","21.31","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR MODULATING AB","83516","HCPCS","Both",,,"27.5","13.75","Ambetter","Health Exchange","",,"62",,"17.05","10.06","21.31","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR MODULATING AB","83516","HCPCS","Both",,,"27.5","13.75","Caresource","Health Exchange","",,"62",,"17.05","10.06","21.31","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR MODULATING AB","83516","HCPCS","Both",,,"27.5","13.75","Cigna","Commercial","",,"59",,"16.11","10.06","21.31","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR MODULATING AB","83516","HCPCS","Both",,,"27.5","13.75","Humana","Commercial","",,"78",,"21.31","10.06","21.31","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR MODULATING AB","83516","HCPCS","Both",,,"27.5","13.75","UHC","Commercial","",,"75",,"20.74","10.06","21.31","percent of total billed charges",,
"ACETYLCHOLINE RECEPTOR MODULATING AB","83516","HCPCS","Both",,,"27.5","13.75","Medicaid",,"",,"37",,"10.06","10.06","21.31","percent of total billed charges",,
"NEISSERIA GONORRHOEAE, AMPLIFIED SWAB","87591","HCPCS","Both",,,"108.8","54.4","Alliant","Health Exchange","",,"62",,"67.46","39.82","84.32","percent of total billed charges",,
"NEISSERIA GONORRHOEAE, AMPLIFIED SWAB","87591","HCPCS","Both",,,"108.8","54.4","Pruitt Healthcare","Medicare Advantage","",,"54",,"58.75","39.82","84.32","percent of total billed charges",,
"NEISSERIA GONORRHOEAE, AMPLIFIED SWAB","87591","HCPCS","Both",,,"108.8","54.4","Medicare",,"",,"54",,"58.97","39.82","84.32","percent of total billed charges",,
"NEISSERIA GONORRHOEAE, AMPLIFIED SWAB","87591","HCPCS","Both",,,"108.8","54.4","Humana","Medicare Advantage","",,"54",,"58.97","39.82","84.32","percent of total billed charges",,
"NEISSERIA GONORRHOEAE, AMPLIFIED SWAB","87591","HCPCS","Both",,,"108.8","54.4","UHC","Medicare Advantage","",,"54",,"58.97","39.82","84.32","percent of total billed charges",,
"NEISSERIA GONORRHOEAE, AMPLIFIED SWAB","87591","HCPCS","Both",,,"108.8","54.4","Clover","Medicare Advantage","",,"54",,"58.97","39.82","84.32","percent of total billed charges",,
"NEISSERIA GONORRHOEAE, AMPLIFIED SWAB","87591","HCPCS","Both",,,"108.8","54.4","Wellcare","Medicare Advantage","",,"54",,"58.97","39.82","84.32","percent of total billed charges",,
"NEISSERIA GONORRHOEAE, AMPLIFIED SWAB","87591","HCPCS","Both",,,"108.8","54.4","Amerigroup","Medicaid Managed Care","",,"37",,"39.82","39.82","84.32","percent of total billed charges",,
"NEISSERIA GONORRHOEAE, AMPLIFIED SWAB","87591","HCPCS","Both",,,"108.8","54.4","Caresource","Medicaid Managed Care","",,"40",,"43.52","39.82","84.32","percent of total billed charges",,
"NEISSERIA GONORRHOEAE, AMPLIFIED SWAB","87591","HCPCS","Both",,,"108.8","54.4","Wellcare","Medicaid Managed Care","",,"40",,"44.06","39.82","84.32","percent of total billed charges",,
"NEISSERIA GONORRHOEAE, AMPLIFIED SWAB","87591","HCPCS","Both",,,"108.8","54.4","Aetna","Commercial","",,"64",,"69.41","39.82","84.32","percent of total billed charges",,
"NEISSERIA GONORRHOEAE, AMPLIFIED SWAB","87591","HCPCS","Both",,,"108.8","54.4","Blue Cross Blue Shield","Pathways","",,"71",,"76.81","39.82","84.32","percent of total billed charges",,
"NEISSERIA GONORRHOEAE, AMPLIFIED SWAB","87591","HCPCS","Both",,,"108.8","54.4","Blue Cross Blue Shield","HMO","",,"71",,"76.81","39.82","84.32","percent of total billed charges",,
"NEISSERIA GONORRHOEAE, AMPLIFIED SWAB","87591","HCPCS","Both",,,"108.8","54.4","Blue Cross Blue Shield","PPO","",,"71",,"76.81","39.82","84.32","percent of total billed charges",,
"NEISSERIA GONORRHOEAE, AMPLIFIED SWAB","87591","HCPCS","Both",,,"108.8","54.4","Ambetter","Health Exchange","",,"62",,"67.46","39.82","84.32","percent of total billed charges",,
"NEISSERIA GONORRHOEAE, AMPLIFIED SWAB","87591","HCPCS","Both",,,"108.8","54.4","Caresource","Health Exchange","",,"62",,"67.46","39.82","84.32","percent of total billed charges",,
"NEISSERIA GONORRHOEAE, AMPLIFIED SWAB","87591","HCPCS","Both",,,"108.8","54.4","Cigna","Commercial","",,"59",,"63.76","39.82","84.32","percent of total billed charges",,
"NEISSERIA GONORRHOEAE, AMPLIFIED SWAB","87591","HCPCS","Both",,,"108.8","54.4","Humana","Commercial","",,"78",,"84.32","39.82","84.32","percent of total billed charges",,
"NEISSERIA GONORRHOEAE, AMPLIFIED SWAB","87591","HCPCS","Both",,,"108.8","54.4","UHC","Commercial","",,"75",,"82.04","39.82","84.32","percent of total billed charges",,
"NEISSERIA GONORRHOEAE, AMPLIFIED SWAB","87591","HCPCS","Both",,,"108.8","54.4","Medicaid",,"",,"37",,"39.82","39.82","84.32","percent of total billed charges",,
"CHLAMYDIA  AMPLIFIED SWAB","87491","HCPCS","Both",,,"59.5","29.75","Alliant","Health Exchange","",,"62",,"36.89","21.78","46.11","percent of total billed charges",,
"CHLAMYDIA  AMPLIFIED SWAB","87491","HCPCS","Both",,,"59.5","29.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.13","21.78","46.11","percent of total billed charges",,
"CHLAMYDIA  AMPLIFIED SWAB","87491","HCPCS","Both",,,"59.5","29.75","Medicare",,"",,"54",,"32.25","21.78","46.11","percent of total billed charges",,
"CHLAMYDIA  AMPLIFIED SWAB","87491","HCPCS","Both",,,"59.5","29.75","Humana","Medicare Advantage","",,"54",,"32.25","21.78","46.11","percent of total billed charges",,
"CHLAMYDIA  AMPLIFIED SWAB","87491","HCPCS","Both",,,"59.5","29.75","UHC","Medicare Advantage","",,"54",,"32.25","21.78","46.11","percent of total billed charges",,
"CHLAMYDIA  AMPLIFIED SWAB","87491","HCPCS","Both",,,"59.5","29.75","Clover","Medicare Advantage","",,"54",,"32.25","21.78","46.11","percent of total billed charges",,
"CHLAMYDIA  AMPLIFIED SWAB","87491","HCPCS","Both",,,"59.5","29.75","Wellcare","Medicare Advantage","",,"54",,"32.25","21.78","46.11","percent of total billed charges",,
"CHLAMYDIA  AMPLIFIED SWAB","87491","HCPCS","Both",,,"59.5","29.75","Amerigroup","Medicaid Managed Care","",,"37",,"21.78","21.78","46.11","percent of total billed charges",,
"CHLAMYDIA  AMPLIFIED SWAB","87491","HCPCS","Both",,,"59.5","29.75","Caresource","Medicaid Managed Care","",,"40",,"23.8","21.78","46.11","percent of total billed charges",,
"CHLAMYDIA  AMPLIFIED SWAB","87491","HCPCS","Both",,,"59.5","29.75","Wellcare","Medicaid Managed Care","",,"40",,"24.1","21.78","46.11","percent of total billed charges",,
"CHLAMYDIA  AMPLIFIED SWAB","87491","HCPCS","Both",,,"59.5","29.75","Aetna","Commercial","",,"64",,"37.96","21.78","46.11","percent of total billed charges",,
"CHLAMYDIA  AMPLIFIED SWAB","87491","HCPCS","Both",,,"59.5","29.75","Blue Cross Blue Shield","Pathways","",,"71",,"42.01","21.78","46.11","percent of total billed charges",,
"CHLAMYDIA  AMPLIFIED SWAB","87491","HCPCS","Both",,,"59.5","29.75","Blue Cross Blue Shield","HMO","",,"71",,"42.01","21.78","46.11","percent of total billed charges",,
"CHLAMYDIA  AMPLIFIED SWAB","87491","HCPCS","Both",,,"59.5","29.75","Blue Cross Blue Shield","PPO","",,"71",,"42.01","21.78","46.11","percent of total billed charges",,
"CHLAMYDIA  AMPLIFIED SWAB","87491","HCPCS","Both",,,"59.5","29.75","Ambetter","Health Exchange","",,"62",,"36.89","21.78","46.11","percent of total billed charges",,
"CHLAMYDIA  AMPLIFIED SWAB","87491","HCPCS","Both",,,"59.5","29.75","Caresource","Health Exchange","",,"62",,"36.89","21.78","46.11","percent of total billed charges",,
"CHLAMYDIA  AMPLIFIED SWAB","87491","HCPCS","Both",,,"59.5","29.75","Cigna","Commercial","",,"59",,"34.87","21.78","46.11","percent of total billed charges",,
"CHLAMYDIA  AMPLIFIED SWAB","87491","HCPCS","Both",,,"59.5","29.75","Humana","Commercial","",,"78",,"46.11","21.78","46.11","percent of total billed charges",,
"CHLAMYDIA  AMPLIFIED SWAB","87491","HCPCS","Both",,,"59.5","29.75","UHC","Commercial","",,"75",,"44.86","21.78","46.11","percent of total billed charges",,
"CHLAMYDIA  AMPLIFIED SWAB","87491","HCPCS","Both",,,"59.5","29.75","Medicaid",,"",,"37",,"21.78","21.78","46.11","percent of total billed charges",,
"IGF BINDING PROTEIN 3","82397","HCPCS","Both",,,"101","50.5","Alliant","Health Exchange","",,"62",,"62.62","36.97","78.28","percent of total billed charges",,
"IGF BINDING PROTEIN 3","82397","HCPCS","Both",,,"101","50.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"54.54","36.97","78.28","percent of total billed charges",,
"IGF BINDING PROTEIN 3","82397","HCPCS","Both",,,"101","50.5","Medicare",,"",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"IGF BINDING PROTEIN 3","82397","HCPCS","Both",,,"101","50.5","Humana","Medicare Advantage","",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"IGF BINDING PROTEIN 3","82397","HCPCS","Both",,,"101","50.5","UHC","Medicare Advantage","",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"IGF BINDING PROTEIN 3","82397","HCPCS","Both",,,"101","50.5","Clover","Medicare Advantage","",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"IGF BINDING PROTEIN 3","82397","HCPCS","Both",,,"101","50.5","Wellcare","Medicare Advantage","",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"IGF BINDING PROTEIN 3","82397","HCPCS","Both",,,"101","50.5","Amerigroup","Medicaid Managed Care","",,"37",,"36.97","36.97","78.28","percent of total billed charges",,
"IGF BINDING PROTEIN 3","82397","HCPCS","Both",,,"101","50.5","Caresource","Medicaid Managed Care","",,"40",,"40.4","36.97","78.28","percent of total billed charges",,
"IGF BINDING PROTEIN 3","82397","HCPCS","Both",,,"101","50.5","Wellcare","Medicaid Managed Care","",,"40",,"40.9","36.97","78.28","percent of total billed charges",,
"IGF BINDING PROTEIN 3","82397","HCPCS","Both",,,"101","50.5","Aetna","Commercial","",,"64",,"64.44","36.97","78.28","percent of total billed charges",,
"IGF BINDING PROTEIN 3","82397","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","Pathways","",,"71",,"71.31","36.97","78.28","percent of total billed charges",,
"IGF BINDING PROTEIN 3","82397","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","HMO","",,"71",,"71.31","36.97","78.28","percent of total billed charges",,
"IGF BINDING PROTEIN 3","82397","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","PPO","",,"71",,"71.31","36.97","78.28","percent of total billed charges",,
"IGF BINDING PROTEIN 3","82397","HCPCS","Both",,,"101","50.5","Ambetter","Health Exchange","",,"62",,"62.62","36.97","78.28","percent of total billed charges",,
"IGF BINDING PROTEIN 3","82397","HCPCS","Both",,,"101","50.5","Caresource","Health Exchange","",,"62",,"62.62","36.97","78.28","percent of total billed charges",,
"IGF BINDING PROTEIN 3","82397","HCPCS","Both",,,"101","50.5","Cigna","Commercial","",,"59",,"59.19","36.97","78.28","percent of total billed charges",,
"IGF BINDING PROTEIN 3","82397","HCPCS","Both",,,"101","50.5","Humana","Commercial","",,"78",,"78.28","36.97","78.28","percent of total billed charges",,
"IGF BINDING PROTEIN 3","82397","HCPCS","Both",,,"101","50.5","UHC","Commercial","",,"75",,"76.15","36.97","78.28","percent of total billed charges",,
"IGF BINDING PROTEIN 3","82397","HCPCS","Both",,,"101","50.5","Medicaid",,"",,"37",,"36.97","36.97","78.28","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 8-14 DRUGS","G0481","HCPCS","Both",,,"156.5","78.25","Alliant","Health Exchange","",,"62",,"97.03","57.28","121.29","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 8-14 DRUGS","G0481","HCPCS","Both",,,"156.5","78.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"84.51","57.28","121.29","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 8-14 DRUGS","G0481","HCPCS","Both",,,"156.5","78.25","Medicare",,"",,"54",,"84.82","57.28","121.29","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 8-14 DRUGS","G0481","HCPCS","Both",,,"156.5","78.25","Humana","Medicare Advantage","",,"54",,"84.82","57.28","121.29","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 8-14 DRUGS","G0481","HCPCS","Both",,,"156.5","78.25","UHC","Medicare Advantage","",,"54",,"84.82","57.28","121.29","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 8-14 DRUGS","G0481","HCPCS","Both",,,"156.5","78.25","Clover","Medicare Advantage","",,"54",,"84.82","57.28","121.29","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 8-14 DRUGS","G0481","HCPCS","Both",,,"156.5","78.25","Wellcare","Medicare Advantage","",,"54",,"84.82","57.28","121.29","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 8-14 DRUGS","G0481","HCPCS","Both",,,"156.5","78.25","Amerigroup","Medicaid Managed Care","",,"37",,"57.28","57.28","121.29","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 8-14 DRUGS","G0481","HCPCS","Both",,,"156.5","78.25","Caresource","Medicaid Managed Care","",,"40",,"62.6","57.28","121.29","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 8-14 DRUGS","G0481","HCPCS","Both",,,"156.5","78.25","Wellcare","Medicaid Managed Care","",,"40",,"63.38","57.28","121.29","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 8-14 DRUGS","G0481","HCPCS","Both",,,"156.5","78.25","Aetna","Commercial","",,"64",,"99.85","57.28","121.29","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 8-14 DRUGS","G0481","HCPCS","Both",,,"156.5","78.25","Blue Cross Blue Shield","Pathways","",,"71",,"110.49","57.28","121.29","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 8-14 DRUGS","G0481","HCPCS","Both",,,"156.5","78.25","Blue Cross Blue Shield","HMO","",,"71",,"110.49","57.28","121.29","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 8-14 DRUGS","G0481","HCPCS","Both",,,"156.5","78.25","Blue Cross Blue Shield","PPO","",,"71",,"110.49","57.28","121.29","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 8-14 DRUGS","G0481","HCPCS","Both",,,"156.5","78.25","Ambetter","Health Exchange","",,"62",,"97.03","57.28","121.29","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 8-14 DRUGS","G0481","HCPCS","Both",,,"156.5","78.25","Caresource","Health Exchange","",,"62",,"97.03","57.28","121.29","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 8-14 DRUGS","G0481","HCPCS","Both",,,"156.5","78.25","Cigna","Commercial","",,"59",,"91.71","57.28","121.29","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 8-14 DRUGS","G0481","HCPCS","Both",,,"156.5","78.25","Humana","Commercial","",,"78",,"121.29","57.28","121.29","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 8-14 DRUGS","G0481","HCPCS","Both",,,"156.5","78.25","UHC","Commercial","",,"75",,"118","57.28","121.29","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 8-14 DRUGS","G0481","HCPCS","Both",,,"156.5","78.25","Medicaid",,"",,"37",,"57.28","57.28","121.29","percent of total billed charges",,
"APOLIPOPROTEIN A-1","82172","HCPCS","Both",,,"111.5","55.75","Alliant","Health Exchange","",,"62",,"69.13","40.81","86.41","percent of total billed charges",,
"APOLIPOPROTEIN A-1","82172","HCPCS","Both",,,"111.5","55.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"60.21","40.81","86.41","percent of total billed charges",,
"APOLIPOPROTEIN A-1","82172","HCPCS","Both",,,"111.5","55.75","Medicare",,"",,"54",,"60.43","40.81","86.41","percent of total billed charges",,
"APOLIPOPROTEIN A-1","82172","HCPCS","Both",,,"111.5","55.75","Humana","Medicare Advantage","",,"54",,"60.43","40.81","86.41","percent of total billed charges",,
"APOLIPOPROTEIN A-1","82172","HCPCS","Both",,,"111.5","55.75","UHC","Medicare Advantage","",,"54",,"60.43","40.81","86.41","percent of total billed charges",,
"APOLIPOPROTEIN A-1","82172","HCPCS","Both",,,"111.5","55.75","Clover","Medicare Advantage","",,"54",,"60.43","40.81","86.41","percent of total billed charges",,
"APOLIPOPROTEIN A-1","82172","HCPCS","Both",,,"111.5","55.75","Wellcare","Medicare Advantage","",,"54",,"60.43","40.81","86.41","percent of total billed charges",,
"APOLIPOPROTEIN A-1","82172","HCPCS","Both",,,"111.5","55.75","Amerigroup","Medicaid Managed Care","",,"37",,"40.81","40.81","86.41","percent of total billed charges",,
"APOLIPOPROTEIN A-1","82172","HCPCS","Both",,,"111.5","55.75","Caresource","Medicaid Managed Care","",,"40",,"44.6","40.81","86.41","percent of total billed charges",,
"APOLIPOPROTEIN A-1","82172","HCPCS","Both",,,"111.5","55.75","Wellcare","Medicaid Managed Care","",,"40",,"45.16","40.81","86.41","percent of total billed charges",,
"APOLIPOPROTEIN A-1","82172","HCPCS","Both",,,"111.5","55.75","Aetna","Commercial","",,"64",,"71.14","40.81","86.41","percent of total billed charges",,
"APOLIPOPROTEIN A-1","82172","HCPCS","Both",,,"111.5","55.75","Blue Cross Blue Shield","Pathways","",,"71",,"78.72","40.81","86.41","percent of total billed charges",,
"APOLIPOPROTEIN A-1","82172","HCPCS","Both",,,"111.5","55.75","Blue Cross Blue Shield","HMO","",,"71",,"78.72","40.81","86.41","percent of total billed charges",,
"APOLIPOPROTEIN A-1","82172","HCPCS","Both",,,"111.5","55.75","Blue Cross Blue Shield","PPO","",,"71",,"78.72","40.81","86.41","percent of total billed charges",,
"APOLIPOPROTEIN A-1","82172","HCPCS","Both",,,"111.5","55.75","Ambetter","Health Exchange","",,"62",,"69.13","40.81","86.41","percent of total billed charges",,
"APOLIPOPROTEIN A-1","82172","HCPCS","Both",,,"111.5","55.75","Caresource","Health Exchange","",,"62",,"69.13","40.81","86.41","percent of total billed charges",,
"APOLIPOPROTEIN A-1","82172","HCPCS","Both",,,"111.5","55.75","Cigna","Commercial","",,"59",,"65.34","40.81","86.41","percent of total billed charges",,
"APOLIPOPROTEIN A-1","82172","HCPCS","Both",,,"111.5","55.75","Humana","Commercial","",,"78",,"86.41","40.81","86.41","percent of total billed charges",,
"APOLIPOPROTEIN A-1","82172","HCPCS","Both",,,"111.5","55.75","UHC","Commercial","",,"75",,"84.07","40.81","86.41","percent of total billed charges",,
"APOLIPOPROTEIN A-1","82172","HCPCS","Both",,,"111.5","55.75","Medicaid",,"",,"37",,"40.81","40.81","86.41","percent of total billed charges",,
"APOLIPOPROTEIN B","82172","HCPCS","Both",,,"111.5","55.75","Alliant","Health Exchange","",,"62",,"69.13","40.81","86.41","percent of total billed charges",,
"APOLIPOPROTEIN B","82172","HCPCS","Both",,,"111.5","55.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"60.21","40.81","86.41","percent of total billed charges",,
"APOLIPOPROTEIN B","82172","HCPCS","Both",,,"111.5","55.75","Medicare",,"",,"54",,"60.43","40.81","86.41","percent of total billed charges",,
"APOLIPOPROTEIN B","82172","HCPCS","Both",,,"111.5","55.75","Humana","Medicare Advantage","",,"54",,"60.43","40.81","86.41","percent of total billed charges",,
"APOLIPOPROTEIN B","82172","HCPCS","Both",,,"111.5","55.75","UHC","Medicare Advantage","",,"54",,"60.43","40.81","86.41","percent of total billed charges",,
"APOLIPOPROTEIN B","82172","HCPCS","Both",,,"111.5","55.75","Clover","Medicare Advantage","",,"54",,"60.43","40.81","86.41","percent of total billed charges",,
"APOLIPOPROTEIN B","82172","HCPCS","Both",,,"111.5","55.75","Wellcare","Medicare Advantage","",,"54",,"60.43","40.81","86.41","percent of total billed charges",,
"APOLIPOPROTEIN B","82172","HCPCS","Both",,,"111.5","55.75","Amerigroup","Medicaid Managed Care","",,"37",,"40.81","40.81","86.41","percent of total billed charges",,
"APOLIPOPROTEIN B","82172","HCPCS","Both",,,"111.5","55.75","Caresource","Medicaid Managed Care","",,"40",,"44.6","40.81","86.41","percent of total billed charges",,
"APOLIPOPROTEIN B","82172","HCPCS","Both",,,"111.5","55.75","Wellcare","Medicaid Managed Care","",,"40",,"45.16","40.81","86.41","percent of total billed charges",,
"APOLIPOPROTEIN B","82172","HCPCS","Both",,,"111.5","55.75","Aetna","Commercial","",,"64",,"71.14","40.81","86.41","percent of total billed charges",,
"APOLIPOPROTEIN B","82172","HCPCS","Both",,,"111.5","55.75","Blue Cross Blue Shield","Pathways","",,"71",,"78.72","40.81","86.41","percent of total billed charges",,
"APOLIPOPROTEIN B","82172","HCPCS","Both",,,"111.5","55.75","Blue Cross Blue Shield","HMO","",,"71",,"78.72","40.81","86.41","percent of total billed charges",,
"APOLIPOPROTEIN B","82172","HCPCS","Both",,,"111.5","55.75","Blue Cross Blue Shield","PPO","",,"71",,"78.72","40.81","86.41","percent of total billed charges",,
"APOLIPOPROTEIN B","82172","HCPCS","Both",,,"111.5","55.75","Ambetter","Health Exchange","",,"62",,"69.13","40.81","86.41","percent of total billed charges",,
"APOLIPOPROTEIN B","82172","HCPCS","Both",,,"111.5","55.75","Caresource","Health Exchange","",,"62",,"69.13","40.81","86.41","percent of total billed charges",,
"APOLIPOPROTEIN B","82172","HCPCS","Both",,,"111.5","55.75","Cigna","Commercial","",,"59",,"65.34","40.81","86.41","percent of total billed charges",,
"APOLIPOPROTEIN B","82172","HCPCS","Both",,,"111.5","55.75","Humana","Commercial","",,"78",,"86.41","40.81","86.41","percent of total billed charges",,
"APOLIPOPROTEIN B","82172","HCPCS","Both",,,"111.5","55.75","UHC","Commercial","",,"75",,"84.07","40.81","86.41","percent of total billed charges",,
"APOLIPOPROTEIN B","82172","HCPCS","Both",,,"111.5","55.75","Medicaid",,"",,"37",,"40.81","40.81","86.41","percent of total billed charges",,
"SOLUBLE TRANSFERRIN REC","84238","HCPCS","Both",,,"260.5","130.25","Alliant","Health Exchange","",,"62",,"161.51","95.34","201.89","percent of total billed charges",,
"SOLUBLE TRANSFERRIN REC","84238","HCPCS","Both",,,"260.5","130.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"140.67","95.34","201.89","percent of total billed charges",,
"SOLUBLE TRANSFERRIN REC","84238","HCPCS","Both",,,"260.5","130.25","Medicare",,"",,"54",,"141.19","95.34","201.89","percent of total billed charges",,
"SOLUBLE TRANSFERRIN REC","84238","HCPCS","Both",,,"260.5","130.25","Humana","Medicare Advantage","",,"54",,"141.19","95.34","201.89","percent of total billed charges",,
"SOLUBLE TRANSFERRIN REC","84238","HCPCS","Both",,,"260.5","130.25","UHC","Medicare Advantage","",,"54",,"141.19","95.34","201.89","percent of total billed charges",,
"SOLUBLE TRANSFERRIN REC","84238","HCPCS","Both",,,"260.5","130.25","Clover","Medicare Advantage","",,"54",,"141.19","95.34","201.89","percent of total billed charges",,
"SOLUBLE TRANSFERRIN REC","84238","HCPCS","Both",,,"260.5","130.25","Wellcare","Medicare Advantage","",,"54",,"141.19","95.34","201.89","percent of total billed charges",,
"SOLUBLE TRANSFERRIN REC","84238","HCPCS","Both",,,"260.5","130.25","Amerigroup","Medicaid Managed Care","",,"37",,"95.34","95.34","201.89","percent of total billed charges",,
"SOLUBLE TRANSFERRIN REC","84238","HCPCS","Both",,,"260.5","130.25","Caresource","Medicaid Managed Care","",,"40",,"104.2","95.34","201.89","percent of total billed charges",,
"SOLUBLE TRANSFERRIN REC","84238","HCPCS","Both",,,"260.5","130.25","Wellcare","Medicaid Managed Care","",,"40",,"105.5","95.34","201.89","percent of total billed charges",,
"SOLUBLE TRANSFERRIN REC","84238","HCPCS","Both",,,"260.5","130.25","Aetna","Commercial","",,"64",,"166.2","95.34","201.89","percent of total billed charges",,
"SOLUBLE TRANSFERRIN REC","84238","HCPCS","Both",,,"260.5","130.25","Blue Cross Blue Shield","Pathways","",,"71",,"183.91","95.34","201.89","percent of total billed charges",,
"SOLUBLE TRANSFERRIN REC","84238","HCPCS","Both",,,"260.5","130.25","Blue Cross Blue Shield","HMO","",,"71",,"183.91","95.34","201.89","percent of total billed charges",,
"SOLUBLE TRANSFERRIN REC","84238","HCPCS","Both",,,"260.5","130.25","Blue Cross Blue Shield","PPO","",,"71",,"183.91","95.34","201.89","percent of total billed charges",,
"SOLUBLE TRANSFERRIN REC","84238","HCPCS","Both",,,"260.5","130.25","Ambetter","Health Exchange","",,"62",,"161.51","95.34","201.89","percent of total billed charges",,
"SOLUBLE TRANSFERRIN REC","84238","HCPCS","Both",,,"260.5","130.25","Caresource","Health Exchange","",,"62",,"161.51","95.34","201.89","percent of total billed charges",,
"SOLUBLE TRANSFERRIN REC","84238","HCPCS","Both",,,"260.5","130.25","Cigna","Commercial","",,"59",,"152.65","95.34","201.89","percent of total billed charges",,
"SOLUBLE TRANSFERRIN REC","84238","HCPCS","Both",,,"260.5","130.25","Humana","Commercial","",,"78",,"201.89","95.34","201.89","percent of total billed charges",,
"SOLUBLE TRANSFERRIN REC","84238","HCPCS","Both",,,"260.5","130.25","UHC","Commercial","",,"75",,"196.42","95.34","201.89","percent of total billed charges",,
"SOLUBLE TRANSFERRIN REC","84238","HCPCS","Both",,,"260.5","130.25","Medicaid",,"",,"37",,"95.34","95.34","201.89","percent of total billed charges",,
"MTHFR","81291","HCPCS","Both",,,"187","93.5","Alliant","Health Exchange","",,"62",,"115.94","68.44","144.93","percent of total billed charges",,
"MTHFR","81291","HCPCS","Both",,,"187","93.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"100.98","68.44","144.93","percent of total billed charges",,
"MTHFR","81291","HCPCS","Both",,,"187","93.5","Medicare",,"",,"54",,"101.35","68.44","144.93","percent of total billed charges",,
"MTHFR","81291","HCPCS","Both",,,"187","93.5","Humana","Medicare Advantage","",,"54",,"101.35","68.44","144.93","percent of total billed charges",,
"MTHFR","81291","HCPCS","Both",,,"187","93.5","UHC","Medicare Advantage","",,"54",,"101.35","68.44","144.93","percent of total billed charges",,
"MTHFR","81291","HCPCS","Both",,,"187","93.5","Clover","Medicare Advantage","",,"54",,"101.35","68.44","144.93","percent of total billed charges",,
"MTHFR","81291","HCPCS","Both",,,"187","93.5","Wellcare","Medicare Advantage","",,"54",,"101.35","68.44","144.93","percent of total billed charges",,
"MTHFR","81291","HCPCS","Both",,,"187","93.5","Amerigroup","Medicaid Managed Care","",,"37",,"68.44","68.44","144.93","percent of total billed charges",,
"MTHFR","81291","HCPCS","Both",,,"187","93.5","Caresource","Medicaid Managed Care","",,"40",,"74.8","68.44","144.93","percent of total billed charges",,
"MTHFR","81291","HCPCS","Both",,,"187","93.5","Wellcare","Medicaid Managed Care","",,"40",,"75.74","68.44","144.93","percent of total billed charges",,
"MTHFR","81291","HCPCS","Both",,,"187","93.5","Aetna","Commercial","",,"64",,"119.31","68.44","144.93","percent of total billed charges",,
"MTHFR","81291","HCPCS","Both",,,"187","93.5","Blue Cross Blue Shield","Pathways","",,"71",,"132.02","68.44","144.93","percent of total billed charges",,
"MTHFR","81291","HCPCS","Both",,,"187","93.5","Blue Cross Blue Shield","HMO","",,"71",,"132.02","68.44","144.93","percent of total billed charges",,
"MTHFR","81291","HCPCS","Both",,,"187","93.5","Blue Cross Blue Shield","PPO","",,"71",,"132.02","68.44","144.93","percent of total billed charges",,
"MTHFR","81291","HCPCS","Both",,,"187","93.5","Ambetter","Health Exchange","",,"62",,"115.94","68.44","144.93","percent of total billed charges",,
"MTHFR","81291","HCPCS","Both",,,"187","93.5","Caresource","Health Exchange","",,"62",,"115.94","68.44","144.93","percent of total billed charges",,
"MTHFR","81291","HCPCS","Both",,,"187","93.5","Cigna","Commercial","",,"59",,"109.58","68.44","144.93","percent of total billed charges",,
"MTHFR","81291","HCPCS","Both",,,"187","93.5","Humana","Commercial","",,"78",,"144.93","68.44","144.93","percent of total billed charges",,
"MTHFR","81291","HCPCS","Both",,,"187","93.5","UHC","Commercial","",,"75",,"141","68.44","144.93","percent of total billed charges",,
"MTHFR","81291","HCPCS","Both",,,"187","93.5","Medicaid",,"",,"37",,"68.44","68.44","144.93","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 15-21 DRUGS","G0482","HCPCS","Both",,,"1064","532","Alliant","Health Exchange","",,"62",,"659.68","389.42","824.6","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 15-21 DRUGS","G0482","HCPCS","Both",,,"1064","532","Pruitt Healthcare","Medicare Advantage","",,"54",,"574.56","389.42","824.6","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 15-21 DRUGS","G0482","HCPCS","Both",,,"1064","532","Medicare",,"",,"54",,"576.69","389.42","824.6","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 15-21 DRUGS","G0482","HCPCS","Both",,,"1064","532","Humana","Medicare Advantage","",,"54",,"576.69","389.42","824.6","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 15-21 DRUGS","G0482","HCPCS","Both",,,"1064","532","UHC","Medicare Advantage","",,"54",,"576.69","389.42","824.6","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 15-21 DRUGS","G0482","HCPCS","Both",,,"1064","532","Clover","Medicare Advantage","",,"54",,"576.69","389.42","824.6","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 15-21 DRUGS","G0482","HCPCS","Both",,,"1064","532","Wellcare","Medicare Advantage","",,"54",,"576.69","389.42","824.6","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 15-21 DRUGS","G0482","HCPCS","Both",,,"1064","532","Amerigroup","Medicaid Managed Care","",,"37",,"389.42","389.42","824.6","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 15-21 DRUGS","G0482","HCPCS","Both",,,"1064","532","Caresource","Medicaid Managed Care","",,"40",,"425.6","389.42","824.6","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 15-21 DRUGS","G0482","HCPCS","Both",,,"1064","532","Wellcare","Medicaid Managed Care","",,"40",,"430.92","389.42","824.6","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 15-21 DRUGS","G0482","HCPCS","Both",,,"1064","532","Aetna","Commercial","",,"64",,"678.83","389.42","824.6","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 15-21 DRUGS","G0482","HCPCS","Both",,,"1064","532","Blue Cross Blue Shield","Pathways","",,"71",,"751.18","389.42","824.6","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 15-21 DRUGS","G0482","HCPCS","Both",,,"1064","532","Blue Cross Blue Shield","HMO","",,"71",,"751.18","389.42","824.6","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 15-21 DRUGS","G0482","HCPCS","Both",,,"1064","532","Blue Cross Blue Shield","PPO","",,"71",,"751.18","389.42","824.6","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 15-21 DRUGS","G0482","HCPCS","Both",,,"1064","532","Ambetter","Health Exchange","",,"62",,"659.68","389.42","824.6","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 15-21 DRUGS","G0482","HCPCS","Both",,,"1064","532","Caresource","Health Exchange","",,"62",,"659.68","389.42","824.6","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 15-21 DRUGS","G0482","HCPCS","Both",,,"1064","532","Cigna","Commercial","",,"59",,"623.5","389.42","824.6","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 15-21 DRUGS","G0482","HCPCS","Both",,,"1064","532","Humana","Commercial","",,"78",,"824.6","389.42","824.6","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 15-21 DRUGS","G0482","HCPCS","Both",,,"1064","532","UHC","Commercial","",,"75",,"802.26","389.42","824.6","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 15-21 DRUGS","G0482","HCPCS","Both",,,"1064","532","Medicaid",,"",,"37",,"389.42","389.42","824.6","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 22 or > DRUGS","G0483","HCPCS","Both",,,"1321","660.5","Alliant","Health Exchange","",,"62",,"819.02","483.49","1023.78","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 22 or > DRUGS","G0483","HCPCS","Both",,,"1321","660.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"713.34","483.49","1023.78","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 22 or > DRUGS","G0483","HCPCS","Both",,,"1321","660.5","Medicare",,"",,"54",,"715.98","483.49","1023.78","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 22 or > DRUGS","G0483","HCPCS","Both",,,"1321","660.5","Humana","Medicare Advantage","",,"54",,"715.98","483.49","1023.78","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 22 or > DRUGS","G0483","HCPCS","Both",,,"1321","660.5","UHC","Medicare Advantage","",,"54",,"715.98","483.49","1023.78","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 22 or > DRUGS","G0483","HCPCS","Both",,,"1321","660.5","Clover","Medicare Advantage","",,"54",,"715.98","483.49","1023.78","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 22 or > DRUGS","G0483","HCPCS","Both",,,"1321","660.5","Wellcare","Medicare Advantage","",,"54",,"715.98","483.49","1023.78","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 22 or > DRUGS","G0483","HCPCS","Both",,,"1321","660.5","Amerigroup","Medicaid Managed Care","",,"37",,"483.49","483.49","1023.78","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 22 or > DRUGS","G0483","HCPCS","Both",,,"1321","660.5","Caresource","Medicaid Managed Care","",,"40",,"528.4","483.49","1023.78","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 22 or > DRUGS","G0483","HCPCS","Both",,,"1321","660.5","Wellcare","Medicaid Managed Care","",,"40",,"535","483.49","1023.78","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 22 or > DRUGS","G0483","HCPCS","Both",,,"1321","660.5","Aetna","Commercial","",,"64",,"842.8","483.49","1023.78","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 22 or > DRUGS","G0483","HCPCS","Both",,,"1321","660.5","Blue Cross Blue Shield","Pathways","",,"71",,"932.63","483.49","1023.78","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 22 or > DRUGS","G0483","HCPCS","Both",,,"1321","660.5","Blue Cross Blue Shield","HMO","",,"71",,"932.63","483.49","1023.78","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 22 or > DRUGS","G0483","HCPCS","Both",,,"1321","660.5","Blue Cross Blue Shield","PPO","",,"71",,"932.63","483.49","1023.78","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 22 or > DRUGS","G0483","HCPCS","Both",,,"1321","660.5","Ambetter","Health Exchange","",,"62",,"819.02","483.49","1023.78","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 22 or > DRUGS","G0483","HCPCS","Both",,,"1321","660.5","Caresource","Health Exchange","",,"62",,"819.02","483.49","1023.78","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 22 or > DRUGS","G0483","HCPCS","Both",,,"1321","660.5","Cigna","Commercial","",,"59",,"774.11","483.49","1023.78","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 22 or > DRUGS","G0483","HCPCS","Both",,,"1321","660.5","Humana","Commercial","",,"78",,"1023.78","483.49","1023.78","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 22 or > DRUGS","G0483","HCPCS","Both",,,"1321","660.5","UHC","Commercial","",,"75",,"996.03","483.49","1023.78","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 22 or > DRUGS","G0483","HCPCS","Both",,,"1321","660.5","Medicaid",,"",,"37",,"483.49","483.49","1023.78","percent of total billed charges",,
"AMPHETAMINES 1 OR 2","80324","HCPCS","Both",,,"612","306","Alliant","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"AMPHETAMINES 1 OR 2","80324","HCPCS","Both",,,"612","306","Pruitt Healthcare","Medicare Advantage","",,"54",,"330.48","223.99","474.3","percent of total billed charges",,
"AMPHETAMINES 1 OR 2","80324","HCPCS","Both",,,"612","306","Medicare",,"",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"AMPHETAMINES 1 OR 2","80324","HCPCS","Both",,,"612","306","Humana","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"AMPHETAMINES 1 OR 2","80324","HCPCS","Both",,,"612","306","UHC","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"AMPHETAMINES 1 OR 2","80324","HCPCS","Both",,,"612","306","Clover","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"AMPHETAMINES 1 OR 2","80324","HCPCS","Both",,,"612","306","Wellcare","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"AMPHETAMINES 1 OR 2","80324","HCPCS","Both",,,"612","306","Amerigroup","Medicaid Managed Care","",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"AMPHETAMINES 1 OR 2","80324","HCPCS","Both",,,"612","306","Caresource","Medicaid Managed Care","",,"40",,"244.8","223.99","474.3","percent of total billed charges",,
"AMPHETAMINES 1 OR 2","80324","HCPCS","Both",,,"612","306","Wellcare","Medicaid Managed Care","",,"40",,"247.86","223.99","474.3","percent of total billed charges",,
"AMPHETAMINES 1 OR 2","80324","HCPCS","Both",,,"612","306","Aetna","Commercial","",,"64",,"390.46","223.99","474.3","percent of total billed charges",,
"AMPHETAMINES 1 OR 2","80324","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","Pathways","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"AMPHETAMINES 1 OR 2","80324","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","HMO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"AMPHETAMINES 1 OR 2","80324","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","PPO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"AMPHETAMINES 1 OR 2","80324","HCPCS","Both",,,"612","306","Ambetter","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"AMPHETAMINES 1 OR 2","80324","HCPCS","Both",,,"612","306","Caresource","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"AMPHETAMINES 1 OR 2","80324","HCPCS","Both",,,"612","306","Cigna","Commercial","",,"59",,"358.63","223.99","474.3","percent of total billed charges",,
"AMPHETAMINES 1 OR 2","80324","HCPCS","Both",,,"612","306","Humana","Commercial","",,"78",,"474.3","223.99","474.3","percent of total billed charges",,
"AMPHETAMINES 1 OR 2","80324","HCPCS","Both",,,"612","306","UHC","Commercial","",,"75",,"461.45","223.99","474.3","percent of total billed charges",,
"AMPHETAMINES 1 OR 2","80324","HCPCS","Both",,,"612","306","Medicaid",,"",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"AMPHETAMINES 3 OR 4","80325","HCPCS","Both",,,"612","306","Alliant","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"AMPHETAMINES 3 OR 4","80325","HCPCS","Both",,,"612","306","Pruitt Healthcare","Medicare Advantage","",,"54",,"330.48","223.99","474.3","percent of total billed charges",,
"AMPHETAMINES 3 OR 4","80325","HCPCS","Both",,,"612","306","Medicare",,"",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"AMPHETAMINES 3 OR 4","80325","HCPCS","Both",,,"612","306","Humana","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"AMPHETAMINES 3 OR 4","80325","HCPCS","Both",,,"612","306","UHC","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"AMPHETAMINES 3 OR 4","80325","HCPCS","Both",,,"612","306","Clover","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"AMPHETAMINES 3 OR 4","80325","HCPCS","Both",,,"612","306","Wellcare","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"AMPHETAMINES 3 OR 4","80325","HCPCS","Both",,,"612","306","Amerigroup","Medicaid Managed Care","",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"AMPHETAMINES 3 OR 4","80325","HCPCS","Both",,,"612","306","Caresource","Medicaid Managed Care","",,"40",,"244.8","223.99","474.3","percent of total billed charges",,
"AMPHETAMINES 3 OR 4","80325","HCPCS","Both",,,"612","306","Wellcare","Medicaid Managed Care","",,"40",,"247.86","223.99","474.3","percent of total billed charges",,
"AMPHETAMINES 3 OR 4","80325","HCPCS","Both",,,"612","306","Aetna","Commercial","",,"64",,"390.46","223.99","474.3","percent of total billed charges",,
"AMPHETAMINES 3 OR 4","80325","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","Pathways","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"AMPHETAMINES 3 OR 4","80325","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","HMO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"AMPHETAMINES 3 OR 4","80325","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","PPO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"AMPHETAMINES 3 OR 4","80325","HCPCS","Both",,,"612","306","Ambetter","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"AMPHETAMINES 3 OR 4","80325","HCPCS","Both",,,"612","306","Caresource","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"AMPHETAMINES 3 OR 4","80325","HCPCS","Both",,,"612","306","Cigna","Commercial","",,"59",,"358.63","223.99","474.3","percent of total billed charges",,
"AMPHETAMINES 3 OR 4","80325","HCPCS","Both",,,"612","306","Humana","Commercial","",,"78",,"474.3","223.99","474.3","percent of total billed charges",,
"AMPHETAMINES 3 OR 4","80325","HCPCS","Both",,,"612","306","UHC","Commercial","",,"75",,"461.45","223.99","474.3","percent of total billed charges",,
"AMPHETAMINES 3 OR 4","80325","HCPCS","Both",,,"612","306","Medicaid",,"",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 1 OR 2","80332","HCPCS","Both",,,"612","306","Alliant","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 1 OR 2","80332","HCPCS","Both",,,"612","306","Pruitt Healthcare","Medicare Advantage","",,"54",,"330.48","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 1 OR 2","80332","HCPCS","Both",,,"612","306","Medicare",,"",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 1 OR 2","80332","HCPCS","Both",,,"612","306","Humana","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 1 OR 2","80332","HCPCS","Both",,,"612","306","UHC","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 1 OR 2","80332","HCPCS","Both",,,"612","306","Clover","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 1 OR 2","80332","HCPCS","Both",,,"612","306","Wellcare","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 1 OR 2","80332","HCPCS","Both",,,"612","306","Amerigroup","Medicaid Managed Care","",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 1 OR 2","80332","HCPCS","Both",,,"612","306","Caresource","Medicaid Managed Care","",,"40",,"244.8","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 1 OR 2","80332","HCPCS","Both",,,"612","306","Wellcare","Medicaid Managed Care","",,"40",,"247.86","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 1 OR 2","80332","HCPCS","Both",,,"612","306","Aetna","Commercial","",,"64",,"390.46","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 1 OR 2","80332","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","Pathways","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 1 OR 2","80332","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","HMO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 1 OR 2","80332","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","PPO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 1 OR 2","80332","HCPCS","Both",,,"612","306","Ambetter","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 1 OR 2","80332","HCPCS","Both",,,"612","306","Caresource","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 1 OR 2","80332","HCPCS","Both",,,"612","306","Cigna","Commercial","",,"59",,"358.63","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 1 OR 2","80332","HCPCS","Both",,,"612","306","Humana","Commercial","",,"78",,"474.3","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 1 OR 2","80332","HCPCS","Both",,,"612","306","UHC","Commercial","",,"75",,"461.45","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 1 OR 2","80332","HCPCS","Both",,,"612","306","Medicaid",,"",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 3-5","80333","HCPCS","Both",,,"612","306","Alliant","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 3-5","80333","HCPCS","Both",,,"612","306","Pruitt Healthcare","Medicare Advantage","",,"54",,"330.48","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 3-5","80333","HCPCS","Both",,,"612","306","Medicare",,"",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 3-5","80333","HCPCS","Both",,,"612","306","Humana","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 3-5","80333","HCPCS","Both",,,"612","306","UHC","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 3-5","80333","HCPCS","Both",,,"612","306","Clover","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 3-5","80333","HCPCS","Both",,,"612","306","Wellcare","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 3-5","80333","HCPCS","Both",,,"612","306","Amerigroup","Medicaid Managed Care","",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 3-5","80333","HCPCS","Both",,,"612","306","Caresource","Medicaid Managed Care","",,"40",,"244.8","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 3-5","80333","HCPCS","Both",,,"612","306","Wellcare","Medicaid Managed Care","",,"40",,"247.86","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 3-5","80333","HCPCS","Both",,,"612","306","Aetna","Commercial","",,"64",,"390.46","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 3-5","80333","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","Pathways","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 3-5","80333","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","HMO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 3-5","80333","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","PPO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 3-5","80333","HCPCS","Both",,,"612","306","Ambetter","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 3-5","80333","HCPCS","Both",,,"612","306","Caresource","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 3-5","80333","HCPCS","Both",,,"612","306","Cigna","Commercial","",,"59",,"358.63","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 3-5","80333","HCPCS","Both",,,"612","306","Humana","Commercial","",,"78",,"474.3","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 3-5","80333","HCPCS","Both",,,"612","306","UHC","Commercial","",,"75",,"461.45","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 3-5","80333","HCPCS","Both",,,"612","306","Medicaid",,"",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 6 OR MORE","80334","HCPCS","Both",,,"612","306","Alliant","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 6 OR MORE","80334","HCPCS","Both",,,"612","306","Pruitt Healthcare","Medicare Advantage","",,"54",,"330.48","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 6 OR MORE","80334","HCPCS","Both",,,"612","306","Medicare",,"",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 6 OR MORE","80334","HCPCS","Both",,,"612","306","Humana","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 6 OR MORE","80334","HCPCS","Both",,,"612","306","UHC","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 6 OR MORE","80334","HCPCS","Both",,,"612","306","Clover","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 6 OR MORE","80334","HCPCS","Both",,,"612","306","Wellcare","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 6 OR MORE","80334","HCPCS","Both",,,"612","306","Amerigroup","Medicaid Managed Care","",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 6 OR MORE","80334","HCPCS","Both",,,"612","306","Caresource","Medicaid Managed Care","",,"40",,"244.8","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 6 OR MORE","80334","HCPCS","Both",,,"612","306","Wellcare","Medicaid Managed Care","",,"40",,"247.86","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 6 OR MORE","80334","HCPCS","Both",,,"612","306","Aetna","Commercial","",,"64",,"390.46","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 6 OR MORE","80334","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","Pathways","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 6 OR MORE","80334","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","HMO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 6 OR MORE","80334","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","PPO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 6 OR MORE","80334","HCPCS","Both",,,"612","306","Ambetter","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 6 OR MORE","80334","HCPCS","Both",,,"612","306","Caresource","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 6 OR MORE","80334","HCPCS","Both",,,"612","306","Cigna","Commercial","",,"59",,"358.63","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 6 OR MORE","80334","HCPCS","Both",,,"612","306","Humana","Commercial","",,"78",,"474.3","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 6 OR MORE","80334","HCPCS","Both",,,"612","306","UHC","Commercial","",,"75",,"461.45","223.99","474.3","percent of total billed charges",,
"ANTIDEPRESSANTS,SSRI 6 OR MORE","80334","HCPCS","Both",,,"612","306","Medicaid",,"",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"BARBITURATES","80345","HCPCS","Both",,,"612","306","Alliant","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"BARBITURATES","80345","HCPCS","Both",,,"612","306","Pruitt Healthcare","Medicare Advantage","",,"54",,"330.48","223.99","474.3","percent of total billed charges",,
"BARBITURATES","80345","HCPCS","Both",,,"612","306","Medicare",,"",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"BARBITURATES","80345","HCPCS","Both",,,"612","306","Humana","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"BARBITURATES","80345","HCPCS","Both",,,"612","306","UHC","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"BARBITURATES","80345","HCPCS","Both",,,"612","306","Clover","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"BARBITURATES","80345","HCPCS","Both",,,"612","306","Wellcare","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"BARBITURATES","80345","HCPCS","Both",,,"612","306","Amerigroup","Medicaid Managed Care","",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"BARBITURATES","80345","HCPCS","Both",,,"612","306","Caresource","Medicaid Managed Care","",,"40",,"244.8","223.99","474.3","percent of total billed charges",,
"BARBITURATES","80345","HCPCS","Both",,,"612","306","Wellcare","Medicaid Managed Care","",,"40",,"247.86","223.99","474.3","percent of total billed charges",,
"BARBITURATES","80345","HCPCS","Both",,,"612","306","Aetna","Commercial","",,"64",,"390.46","223.99","474.3","percent of total billed charges",,
"BARBITURATES","80345","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","Pathways","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"BARBITURATES","80345","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","HMO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"BARBITURATES","80345","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","PPO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"BARBITURATES","80345","HCPCS","Both",,,"612","306","Ambetter","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"BARBITURATES","80345","HCPCS","Both",,,"612","306","Caresource","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"BARBITURATES","80345","HCPCS","Both",,,"612","306","Cigna","Commercial","",,"59",,"358.63","223.99","474.3","percent of total billed charges",,
"BARBITURATES","80345","HCPCS","Both",,,"612","306","Humana","Commercial","",,"78",,"474.3","223.99","474.3","percent of total billed charges",,
"BARBITURATES","80345","HCPCS","Both",,,"612","306","UHC","Commercial","",,"75",,"461.45","223.99","474.3","percent of total billed charges",,
"BARBITURATES","80345","HCPCS","Both",,,"612","306","Medicaid",,"",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"BENZODIAZEPINES","80346","HCPCS","Both",,,"612","306","Alliant","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"BENZODIAZEPINES","80346","HCPCS","Both",,,"612","306","Pruitt Healthcare","Medicare Advantage","",,"54",,"330.48","223.99","474.3","percent of total billed charges",,
"BENZODIAZEPINES","80346","HCPCS","Both",,,"612","306","Medicare",,"",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"BENZODIAZEPINES","80346","HCPCS","Both",,,"612","306","Humana","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"BENZODIAZEPINES","80346","HCPCS","Both",,,"612","306","UHC","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"BENZODIAZEPINES","80346","HCPCS","Both",,,"612","306","Clover","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"BENZODIAZEPINES","80346","HCPCS","Both",,,"612","306","Wellcare","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"BENZODIAZEPINES","80346","HCPCS","Both",,,"612","306","Amerigroup","Medicaid Managed Care","",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"BENZODIAZEPINES","80346","HCPCS","Both",,,"612","306","Caresource","Medicaid Managed Care","",,"40",,"244.8","223.99","474.3","percent of total billed charges",,
"BENZODIAZEPINES","80346","HCPCS","Both",,,"612","306","Wellcare","Medicaid Managed Care","",,"40",,"247.86","223.99","474.3","percent of total billed charges",,
"BENZODIAZEPINES","80346","HCPCS","Both",,,"612","306","Aetna","Commercial","",,"64",,"390.46","223.99","474.3","percent of total billed charges",,
"BENZODIAZEPINES","80346","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","Pathways","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"BENZODIAZEPINES","80346","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","HMO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"BENZODIAZEPINES","80346","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","PPO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"BENZODIAZEPINES","80346","HCPCS","Both",,,"612","306","Ambetter","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"BENZODIAZEPINES","80346","HCPCS","Both",,,"612","306","Caresource","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"BENZODIAZEPINES","80346","HCPCS","Both",,,"612","306","Cigna","Commercial","",,"59",,"358.63","223.99","474.3","percent of total billed charges",,
"BENZODIAZEPINES","80346","HCPCS","Both",,,"612","306","Humana","Commercial","",,"78",,"474.3","223.99","474.3","percent of total billed charges",,
"BENZODIAZEPINES","80346","HCPCS","Both",,,"612","306","UHC","Commercial","",,"75",,"461.45","223.99","474.3","percent of total billed charges",,
"BENZODIAZEPINES","80346","HCPCS","Both",,,"612","306","Medicaid",,"",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"BUPRENORPHINE","80348","HCPCS","Both",,,"612","306","Alliant","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"BUPRENORPHINE","80348","HCPCS","Both",,,"612","306","Pruitt Healthcare","Medicare Advantage","",,"54",,"330.48","223.99","474.3","percent of total billed charges",,
"BUPRENORPHINE","80348","HCPCS","Both",,,"612","306","Medicare",,"",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"BUPRENORPHINE","80348","HCPCS","Both",,,"612","306","Humana","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"BUPRENORPHINE","80348","HCPCS","Both",,,"612","306","UHC","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"BUPRENORPHINE","80348","HCPCS","Both",,,"612","306","Clover","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"BUPRENORPHINE","80348","HCPCS","Both",,,"612","306","Wellcare","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"BUPRENORPHINE","80348","HCPCS","Both",,,"612","306","Amerigroup","Medicaid Managed Care","",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"BUPRENORPHINE","80348","HCPCS","Both",,,"612","306","Caresource","Medicaid Managed Care","",,"40",,"244.8","223.99","474.3","percent of total billed charges",,
"BUPRENORPHINE","80348","HCPCS","Both",,,"612","306","Wellcare","Medicaid Managed Care","",,"40",,"247.86","223.99","474.3","percent of total billed charges",,
"BUPRENORPHINE","80348","HCPCS","Both",,,"612","306","Aetna","Commercial","",,"64",,"390.46","223.99","474.3","percent of total billed charges",,
"BUPRENORPHINE","80348","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","Pathways","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"BUPRENORPHINE","80348","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","HMO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"BUPRENORPHINE","80348","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","PPO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"BUPRENORPHINE","80348","HCPCS","Both",,,"612","306","Ambetter","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"BUPRENORPHINE","80348","HCPCS","Both",,,"612","306","Caresource","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"BUPRENORPHINE","80348","HCPCS","Both",,,"612","306","Cigna","Commercial","",,"59",,"358.63","223.99","474.3","percent of total billed charges",,
"BUPRENORPHINE","80348","HCPCS","Both",,,"612","306","Humana","Commercial","",,"78",,"474.3","223.99","474.3","percent of total billed charges",,
"BUPRENORPHINE","80348","HCPCS","Both",,,"612","306","UHC","Commercial","",,"75",,"461.45","223.99","474.3","percent of total billed charges",,
"BUPRENORPHINE","80348","HCPCS","Both",,,"612","306","Medicaid",,"",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"CANNABINOIDS,NATURAL","80349","HCPCS","Both",,,"612","306","Alliant","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"CANNABINOIDS,NATURAL","80349","HCPCS","Both",,,"612","306","Pruitt Healthcare","Medicare Advantage","",,"54",,"330.48","223.99","474.3","percent of total billed charges",,
"CANNABINOIDS,NATURAL","80349","HCPCS","Both",,,"612","306","Medicare",,"",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"CANNABINOIDS,NATURAL","80349","HCPCS","Both",,,"612","306","Humana","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"CANNABINOIDS,NATURAL","80349","HCPCS","Both",,,"612","306","UHC","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"CANNABINOIDS,NATURAL","80349","HCPCS","Both",,,"612","306","Clover","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"CANNABINOIDS,NATURAL","80349","HCPCS","Both",,,"612","306","Wellcare","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"CANNABINOIDS,NATURAL","80349","HCPCS","Both",,,"612","306","Amerigroup","Medicaid Managed Care","",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"CANNABINOIDS,NATURAL","80349","HCPCS","Both",,,"612","306","Caresource","Medicaid Managed Care","",,"40",,"244.8","223.99","474.3","percent of total billed charges",,
"CANNABINOIDS,NATURAL","80349","HCPCS","Both",,,"612","306","Wellcare","Medicaid Managed Care","",,"40",,"247.86","223.99","474.3","percent of total billed charges",,
"CANNABINOIDS,NATURAL","80349","HCPCS","Both",,,"612","306","Aetna","Commercial","",,"64",,"390.46","223.99","474.3","percent of total billed charges",,
"CANNABINOIDS,NATURAL","80349","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","Pathways","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"CANNABINOIDS,NATURAL","80349","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","HMO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"CANNABINOIDS,NATURAL","80349","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","PPO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"CANNABINOIDS,NATURAL","80349","HCPCS","Both",,,"612","306","Ambetter","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"CANNABINOIDS,NATURAL","80349","HCPCS","Both",,,"612","306","Caresource","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"CANNABINOIDS,NATURAL","80349","HCPCS","Both",,,"612","306","Cigna","Commercial","",,"59",,"358.63","223.99","474.3","percent of total billed charges",,
"CANNABINOIDS,NATURAL","80349","HCPCS","Both",,,"612","306","Humana","Commercial","",,"78",,"474.3","223.99","474.3","percent of total billed charges",,
"CANNABINOIDS,NATURAL","80349","HCPCS","Both",,,"612","306","UHC","Commercial","",,"75",,"461.45","223.99","474.3","percent of total billed charges",,
"CANNABINOIDS,NATURAL","80349","HCPCS","Both",,,"612","306","Medicaid",,"",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"COCAINE","80353","HCPCS","Both",,,"612","306","Alliant","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"COCAINE","80353","HCPCS","Both",,,"612","306","Pruitt Healthcare","Medicare Advantage","",,"54",,"330.48","223.99","474.3","percent of total billed charges",,
"COCAINE","80353","HCPCS","Both",,,"612","306","Medicare",,"",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"COCAINE","80353","HCPCS","Both",,,"612","306","Humana","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"COCAINE","80353","HCPCS","Both",,,"612","306","UHC","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"COCAINE","80353","HCPCS","Both",,,"612","306","Clover","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"COCAINE","80353","HCPCS","Both",,,"612","306","Wellcare","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"COCAINE","80353","HCPCS","Both",,,"612","306","Amerigroup","Medicaid Managed Care","",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"COCAINE","80353","HCPCS","Both",,,"612","306","Caresource","Medicaid Managed Care","",,"40",,"244.8","223.99","474.3","percent of total billed charges",,
"COCAINE","80353","HCPCS","Both",,,"612","306","Wellcare","Medicaid Managed Care","",,"40",,"247.86","223.99","474.3","percent of total billed charges",,
"COCAINE","80353","HCPCS","Both",,,"612","306","Aetna","Commercial","",,"64",,"390.46","223.99","474.3","percent of total billed charges",,
"COCAINE","80353","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","Pathways","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"COCAINE","80353","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","HMO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"COCAINE","80353","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","PPO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"COCAINE","80353","HCPCS","Both",,,"612","306","Ambetter","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"COCAINE","80353","HCPCS","Both",,,"612","306","Caresource","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"COCAINE","80353","HCPCS","Both",,,"612","306","Cigna","Commercial","",,"59",,"358.63","223.99","474.3","percent of total billed charges",,
"COCAINE","80353","HCPCS","Both",,,"612","306","Humana","Commercial","",,"78",,"474.3","223.99","474.3","percent of total billed charges",,
"COCAINE","80353","HCPCS","Both",,,"612","306","UHC","Commercial","",,"75",,"461.45","223.99","474.3","percent of total billed charges",,
"COCAINE","80353","HCPCS","Both",,,"612","306","Medicaid",,"",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"FENTANYL SERUM/PLASMA QUANT","80354","HCPCS","Both",,,"612","306","Alliant","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"FENTANYL SERUM/PLASMA QUANT","80354","HCPCS","Both",,,"612","306","Pruitt Healthcare","Medicare Advantage","",,"54",,"330.48","223.99","474.3","percent of total billed charges",,
"FENTANYL SERUM/PLASMA QUANT","80354","HCPCS","Both",,,"612","306","Medicare",,"",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"FENTANYL SERUM/PLASMA QUANT","80354","HCPCS","Both",,,"612","306","Humana","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"FENTANYL SERUM/PLASMA QUANT","80354","HCPCS","Both",,,"612","306","UHC","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"FENTANYL SERUM/PLASMA QUANT","80354","HCPCS","Both",,,"612","306","Clover","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"FENTANYL SERUM/PLASMA QUANT","80354","HCPCS","Both",,,"612","306","Wellcare","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"FENTANYL SERUM/PLASMA QUANT","80354","HCPCS","Both",,,"612","306","Amerigroup","Medicaid Managed Care","",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"FENTANYL SERUM/PLASMA QUANT","80354","HCPCS","Both",,,"612","306","Caresource","Medicaid Managed Care","",,"40",,"244.8","223.99","474.3","percent of total billed charges",,
"FENTANYL SERUM/PLASMA QUANT","80354","HCPCS","Both",,,"612","306","Wellcare","Medicaid Managed Care","",,"40",,"247.86","223.99","474.3","percent of total billed charges",,
"FENTANYL SERUM/PLASMA QUANT","80354","HCPCS","Both",,,"612","306","Aetna","Commercial","",,"64",,"390.46","223.99","474.3","percent of total billed charges",,
"FENTANYL SERUM/PLASMA QUANT","80354","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","Pathways","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"FENTANYL SERUM/PLASMA QUANT","80354","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","HMO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"FENTANYL SERUM/PLASMA QUANT","80354","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","PPO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"FENTANYL SERUM/PLASMA QUANT","80354","HCPCS","Both",,,"612","306","Ambetter","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"FENTANYL SERUM/PLASMA QUANT","80354","HCPCS","Both",,,"612","306","Caresource","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"FENTANYL SERUM/PLASMA QUANT","80354","HCPCS","Both",,,"612","306","Cigna","Commercial","",,"59",,"358.63","223.99","474.3","percent of total billed charges",,
"FENTANYL SERUM/PLASMA QUANT","80354","HCPCS","Both",,,"612","306","Humana","Commercial","",,"78",,"474.3","223.99","474.3","percent of total billed charges",,
"FENTANYL SERUM/PLASMA QUANT","80354","HCPCS","Both",,,"612","306","UHC","Commercial","",,"75",,"461.45","223.99","474.3","percent of total billed charges",,
"FENTANYL SERUM/PLASMA QUANT","80354","HCPCS","Both",,,"612","306","Medicaid",,"",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"ECSTASY (MDMA)","80359","HCPCS","Both",,,"612","306","Alliant","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"ECSTASY (MDMA)","80359","HCPCS","Both",,,"612","306","Pruitt Healthcare","Medicare Advantage","",,"54",,"330.48","223.99","474.3","percent of total billed charges",,
"ECSTASY (MDMA)","80359","HCPCS","Both",,,"612","306","Medicare",,"",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"ECSTASY (MDMA)","80359","HCPCS","Both",,,"612","306","Humana","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"ECSTASY (MDMA)","80359","HCPCS","Both",,,"612","306","UHC","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"ECSTASY (MDMA)","80359","HCPCS","Both",,,"612","306","Clover","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"ECSTASY (MDMA)","80359","HCPCS","Both",,,"612","306","Wellcare","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"ECSTASY (MDMA)","80359","HCPCS","Both",,,"612","306","Amerigroup","Medicaid Managed Care","",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"ECSTASY (MDMA)","80359","HCPCS","Both",,,"612","306","Caresource","Medicaid Managed Care","",,"40",,"244.8","223.99","474.3","percent of total billed charges",,
"ECSTASY (MDMA)","80359","HCPCS","Both",,,"612","306","Wellcare","Medicaid Managed Care","",,"40",,"247.86","223.99","474.3","percent of total billed charges",,
"ECSTASY (MDMA)","80359","HCPCS","Both",,,"612","306","Aetna","Commercial","",,"64",,"390.46","223.99","474.3","percent of total billed charges",,
"ECSTASY (MDMA)","80359","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","Pathways","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"ECSTASY (MDMA)","80359","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","HMO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"ECSTASY (MDMA)","80359","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","PPO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"ECSTASY (MDMA)","80359","HCPCS","Both",,,"612","306","Ambetter","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"ECSTASY (MDMA)","80359","HCPCS","Both",,,"612","306","Caresource","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"ECSTASY (MDMA)","80359","HCPCS","Both",,,"612","306","Cigna","Commercial","",,"59",,"358.63","223.99","474.3","percent of total billed charges",,
"ECSTASY (MDMA)","80359","HCPCS","Both",,,"612","306","Humana","Commercial","",,"78",,"474.3","223.99","474.3","percent of total billed charges",,
"ECSTASY (MDMA)","80359","HCPCS","Both",,,"612","306","UHC","Commercial","",,"75",,"461.45","223.99","474.3","percent of total billed charges",,
"ECSTASY (MDMA)","80359","HCPCS","Both",,,"612","306","Medicaid",,"",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"GABAPENTIN, URINE","80355","HCPCS","Both",,,"612","306","Alliant","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"GABAPENTIN, URINE","80355","HCPCS","Both",,,"612","306","Pruitt Healthcare","Medicare Advantage","",,"54",,"330.48","223.99","474.3","percent of total billed charges",,
"GABAPENTIN, URINE","80355","HCPCS","Both",,,"612","306","Medicare",,"",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"GABAPENTIN, URINE","80355","HCPCS","Both",,,"612","306","Humana","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"GABAPENTIN, URINE","80355","HCPCS","Both",,,"612","306","UHC","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"GABAPENTIN, URINE","80355","HCPCS","Both",,,"612","306","Clover","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"GABAPENTIN, URINE","80355","HCPCS","Both",,,"612","306","Wellcare","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"GABAPENTIN, URINE","80355","HCPCS","Both",,,"612","306","Amerigroup","Medicaid Managed Care","",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"GABAPENTIN, URINE","80355","HCPCS","Both",,,"612","306","Caresource","Medicaid Managed Care","",,"40",,"244.8","223.99","474.3","percent of total billed charges",,
"GABAPENTIN, URINE","80355","HCPCS","Both",,,"612","306","Wellcare","Medicaid Managed Care","",,"40",,"247.86","223.99","474.3","percent of total billed charges",,
"GABAPENTIN, URINE","80355","HCPCS","Both",,,"612","306","Aetna","Commercial","",,"64",,"390.46","223.99","474.3","percent of total billed charges",,
"GABAPENTIN, URINE","80355","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","Pathways","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"GABAPENTIN, URINE","80355","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","HMO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"GABAPENTIN, URINE","80355","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","PPO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"GABAPENTIN, URINE","80355","HCPCS","Both",,,"612","306","Ambetter","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"GABAPENTIN, URINE","80355","HCPCS","Both",,,"612","306","Caresource","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"GABAPENTIN, URINE","80355","HCPCS","Both",,,"612","306","Cigna","Commercial","",,"59",,"358.63","223.99","474.3","percent of total billed charges",,
"GABAPENTIN, URINE","80355","HCPCS","Both",,,"612","306","Humana","Commercial","",,"78",,"474.3","223.99","474.3","percent of total billed charges",,
"GABAPENTIN, URINE","80355","HCPCS","Both",,,"612","306","UHC","Commercial","",,"75",,"461.45","223.99","474.3","percent of total billed charges",,
"GABAPENTIN, URINE","80355","HCPCS","Both",,,"612","306","Medicaid",,"",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"METHADONE","80358","HCPCS","Both",,,"612","306","Alliant","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"METHADONE","80358","HCPCS","Both",,,"612","306","Pruitt Healthcare","Medicare Advantage","",,"54",,"330.48","223.99","474.3","percent of total billed charges",,
"METHADONE","80358","HCPCS","Both",,,"612","306","Medicare",,"",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"METHADONE","80358","HCPCS","Both",,,"612","306","Humana","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"METHADONE","80358","HCPCS","Both",,,"612","306","UHC","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"METHADONE","80358","HCPCS","Both",,,"612","306","Clover","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"METHADONE","80358","HCPCS","Both",,,"612","306","Wellcare","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"METHADONE","80358","HCPCS","Both",,,"612","306","Amerigroup","Medicaid Managed Care","",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"METHADONE","80358","HCPCS","Both",,,"612","306","Caresource","Medicaid Managed Care","",,"40",,"244.8","223.99","474.3","percent of total billed charges",,
"METHADONE","80358","HCPCS","Both",,,"612","306","Wellcare","Medicaid Managed Care","",,"40",,"247.86","223.99","474.3","percent of total billed charges",,
"METHADONE","80358","HCPCS","Both",,,"612","306","Aetna","Commercial","",,"64",,"390.46","223.99","474.3","percent of total billed charges",,
"METHADONE","80358","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","Pathways","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"METHADONE","80358","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","HMO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"METHADONE","80358","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","PPO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"METHADONE","80358","HCPCS","Both",,,"612","306","Ambetter","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"METHADONE","80358","HCPCS","Both",,,"612","306","Caresource","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"METHADONE","80358","HCPCS","Both",,,"612","306","Cigna","Commercial","",,"59",,"358.63","223.99","474.3","percent of total billed charges",,
"METHADONE","80358","HCPCS","Both",,,"612","306","Humana","Commercial","",,"78",,"474.3","223.99","474.3","percent of total billed charges",,
"METHADONE","80358","HCPCS","Both",,,"612","306","UHC","Commercial","",,"75",,"461.45","223.99","474.3","percent of total billed charges",,
"METHADONE","80358","HCPCS","Both",,,"612","306","Medicaid",,"",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"METHYLPHENIDATE","80360","HCPCS","Both",,,"612","306","Alliant","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"METHYLPHENIDATE","80360","HCPCS","Both",,,"612","306","Pruitt Healthcare","Medicare Advantage","",,"54",,"330.48","223.99","474.3","percent of total billed charges",,
"METHYLPHENIDATE","80360","HCPCS","Both",,,"612","306","Medicare",,"",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"METHYLPHENIDATE","80360","HCPCS","Both",,,"612","306","Humana","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"METHYLPHENIDATE","80360","HCPCS","Both",,,"612","306","UHC","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"METHYLPHENIDATE","80360","HCPCS","Both",,,"612","306","Clover","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"METHYLPHENIDATE","80360","HCPCS","Both",,,"612","306","Wellcare","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"METHYLPHENIDATE","80360","HCPCS","Both",,,"612","306","Amerigroup","Medicaid Managed Care","",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"METHYLPHENIDATE","80360","HCPCS","Both",,,"612","306","Caresource","Medicaid Managed Care","",,"40",,"244.8","223.99","474.3","percent of total billed charges",,
"METHYLPHENIDATE","80360","HCPCS","Both",,,"612","306","Wellcare","Medicaid Managed Care","",,"40",,"247.86","223.99","474.3","percent of total billed charges",,
"METHYLPHENIDATE","80360","HCPCS","Both",,,"612","306","Aetna","Commercial","",,"64",,"390.46","223.99","474.3","percent of total billed charges",,
"METHYLPHENIDATE","80360","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","Pathways","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"METHYLPHENIDATE","80360","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","HMO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"METHYLPHENIDATE","80360","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","PPO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"METHYLPHENIDATE","80360","HCPCS","Both",,,"612","306","Ambetter","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"METHYLPHENIDATE","80360","HCPCS","Both",,,"612","306","Caresource","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"METHYLPHENIDATE","80360","HCPCS","Both",,,"612","306","Cigna","Commercial","",,"59",,"358.63","223.99","474.3","percent of total billed charges",,
"METHYLPHENIDATE","80360","HCPCS","Both",,,"612","306","Humana","Commercial","",,"78",,"474.3","223.99","474.3","percent of total billed charges",,
"METHYLPHENIDATE","80360","HCPCS","Both",,,"612","306","UHC","Commercial","",,"75",,"461.45","223.99","474.3","percent of total billed charges",,
"METHYLPHENIDATE","80360","HCPCS","Both",,,"612","306","Medicaid",,"",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"OPIATES","80361","HCPCS","Both",,,"612","306","Alliant","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"OPIATES","80361","HCPCS","Both",,,"612","306","Pruitt Healthcare","Medicare Advantage","",,"54",,"330.48","223.99","474.3","percent of total billed charges",,
"OPIATES","80361","HCPCS","Both",,,"612","306","Medicare",,"",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"OPIATES","80361","HCPCS","Both",,,"612","306","Humana","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"OPIATES","80361","HCPCS","Both",,,"612","306","UHC","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"OPIATES","80361","HCPCS","Both",,,"612","306","Clover","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"OPIATES","80361","HCPCS","Both",,,"612","306","Wellcare","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"OPIATES","80361","HCPCS","Both",,,"612","306","Amerigroup","Medicaid Managed Care","",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"OPIATES","80361","HCPCS","Both",,,"612","306","Caresource","Medicaid Managed Care","",,"40",,"244.8","223.99","474.3","percent of total billed charges",,
"OPIATES","80361","HCPCS","Both",,,"612","306","Wellcare","Medicaid Managed Care","",,"40",,"247.86","223.99","474.3","percent of total billed charges",,
"OPIATES","80361","HCPCS","Both",,,"612","306","Aetna","Commercial","",,"64",,"390.46","223.99","474.3","percent of total billed charges",,
"OPIATES","80361","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","Pathways","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"OPIATES","80361","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","HMO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"OPIATES","80361","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","PPO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"OPIATES","80361","HCPCS","Both",,,"612","306","Ambetter","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"OPIATES","80361","HCPCS","Both",,,"612","306","Caresource","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"OPIATES","80361","HCPCS","Both",,,"612","306","Cigna","Commercial","",,"59",,"358.63","223.99","474.3","percent of total billed charges",,
"OPIATES","80361","HCPCS","Both",,,"612","306","Humana","Commercial","",,"78",,"474.3","223.99","474.3","percent of total billed charges",,
"OPIATES","80361","HCPCS","Both",,,"612","306","UHC","Commercial","",,"75",,"461.45","223.99","474.3","percent of total billed charges",,
"OPIATES","80361","HCPCS","Both",,,"612","306","Medicaid",,"",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"OPIOIDS 1 OR 2","80362","HCPCS","Both",,,"612","306","Alliant","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"OPIOIDS 1 OR 2","80362","HCPCS","Both",,,"612","306","Pruitt Healthcare","Medicare Advantage","",,"54",,"330.48","223.99","474.3","percent of total billed charges",,
"OPIOIDS 1 OR 2","80362","HCPCS","Both",,,"612","306","Medicare",,"",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"OPIOIDS 1 OR 2","80362","HCPCS","Both",,,"612","306","Humana","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"OPIOIDS 1 OR 2","80362","HCPCS","Both",,,"612","306","UHC","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"OPIOIDS 1 OR 2","80362","HCPCS","Both",,,"612","306","Clover","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"OPIOIDS 1 OR 2","80362","HCPCS","Both",,,"612","306","Wellcare","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"OPIOIDS 1 OR 2","80362","HCPCS","Both",,,"612","306","Amerigroup","Medicaid Managed Care","",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"OPIOIDS 1 OR 2","80362","HCPCS","Both",,,"612","306","Caresource","Medicaid Managed Care","",,"40",,"244.8","223.99","474.3","percent of total billed charges",,
"OPIOIDS 1 OR 2","80362","HCPCS","Both",,,"612","306","Wellcare","Medicaid Managed Care","",,"40",,"247.86","223.99","474.3","percent of total billed charges",,
"OPIOIDS 1 OR 2","80362","HCPCS","Both",,,"612","306","Aetna","Commercial","",,"64",,"390.46","223.99","474.3","percent of total billed charges",,
"OPIOIDS 1 OR 2","80362","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","Pathways","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"OPIOIDS 1 OR 2","80362","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","HMO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"OPIOIDS 1 OR 2","80362","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","PPO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"OPIOIDS 1 OR 2","80362","HCPCS","Both",,,"612","306","Ambetter","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"OPIOIDS 1 OR 2","80362","HCPCS","Both",,,"612","306","Caresource","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"OPIOIDS 1 OR 2","80362","HCPCS","Both",,,"612","306","Cigna","Commercial","",,"59",,"358.63","223.99","474.3","percent of total billed charges",,
"OPIOIDS 1 OR 2","80362","HCPCS","Both",,,"612","306","Humana","Commercial","",,"78",,"474.3","223.99","474.3","percent of total billed charges",,
"OPIOIDS 1 OR 2","80362","HCPCS","Both",,,"612","306","UHC","Commercial","",,"75",,"461.45","223.99","474.3","percent of total billed charges",,
"OPIOIDS 1 OR 2","80362","HCPCS","Both",,,"612","306","Medicaid",,"",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"OPIOIDS 3 OR 4","80363","HCPCS","Both",,,"612","306","Alliant","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"OPIOIDS 3 OR 4","80363","HCPCS","Both",,,"612","306","Pruitt Healthcare","Medicare Advantage","",,"54",,"330.48","223.99","474.3","percent of total billed charges",,
"OPIOIDS 3 OR 4","80363","HCPCS","Both",,,"612","306","Medicare",,"",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"OPIOIDS 3 OR 4","80363","HCPCS","Both",,,"612","306","Humana","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"OPIOIDS 3 OR 4","80363","HCPCS","Both",,,"612","306","UHC","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"OPIOIDS 3 OR 4","80363","HCPCS","Both",,,"612","306","Clover","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"OPIOIDS 3 OR 4","80363","HCPCS","Both",,,"612","306","Wellcare","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"OPIOIDS 3 OR 4","80363","HCPCS","Both",,,"612","306","Amerigroup","Medicaid Managed Care","",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"OPIOIDS 3 OR 4","80363","HCPCS","Both",,,"612","306","Caresource","Medicaid Managed Care","",,"40",,"244.8","223.99","474.3","percent of total billed charges",,
"OPIOIDS 3 OR 4","80363","HCPCS","Both",,,"612","306","Wellcare","Medicaid Managed Care","",,"40",,"247.86","223.99","474.3","percent of total billed charges",,
"OPIOIDS 3 OR 4","80363","HCPCS","Both",,,"612","306","Aetna","Commercial","",,"64",,"390.46","223.99","474.3","percent of total billed charges",,
"OPIOIDS 3 OR 4","80363","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","Pathways","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"OPIOIDS 3 OR 4","80363","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","HMO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"OPIOIDS 3 OR 4","80363","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","PPO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"OPIOIDS 3 OR 4","80363","HCPCS","Both",,,"612","306","Ambetter","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"OPIOIDS 3 OR 4","80363","HCPCS","Both",,,"612","306","Caresource","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"OPIOIDS 3 OR 4","80363","HCPCS","Both",,,"612","306","Cigna","Commercial","",,"59",,"358.63","223.99","474.3","percent of total billed charges",,
"OPIOIDS 3 OR 4","80363","HCPCS","Both",,,"612","306","Humana","Commercial","",,"78",,"474.3","223.99","474.3","percent of total billed charges",,
"OPIOIDS 3 OR 4","80363","HCPCS","Both",,,"612","306","UHC","Commercial","",,"75",,"461.45","223.99","474.3","percent of total billed charges",,
"OPIOIDS 3 OR 4","80363","HCPCS","Both",,,"612","306","Medicaid",,"",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"OPIOIDS 5 OR MORE","80364","HCPCS","Both",,,"612","306","Alliant","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"OPIOIDS 5 OR MORE","80364","HCPCS","Both",,,"612","306","Pruitt Healthcare","Medicare Advantage","",,"54",,"330.48","223.99","474.3","percent of total billed charges",,
"OPIOIDS 5 OR MORE","80364","HCPCS","Both",,,"612","306","Medicare",,"",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"OPIOIDS 5 OR MORE","80364","HCPCS","Both",,,"612","306","Humana","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"OPIOIDS 5 OR MORE","80364","HCPCS","Both",,,"612","306","UHC","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"OPIOIDS 5 OR MORE","80364","HCPCS","Both",,,"612","306","Clover","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"OPIOIDS 5 OR MORE","80364","HCPCS","Both",,,"612","306","Wellcare","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"OPIOIDS 5 OR MORE","80364","HCPCS","Both",,,"612","306","Amerigroup","Medicaid Managed Care","",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"OPIOIDS 5 OR MORE","80364","HCPCS","Both",,,"612","306","Caresource","Medicaid Managed Care","",,"40",,"244.8","223.99","474.3","percent of total billed charges",,
"OPIOIDS 5 OR MORE","80364","HCPCS","Both",,,"612","306","Wellcare","Medicaid Managed Care","",,"40",,"247.86","223.99","474.3","percent of total billed charges",,
"OPIOIDS 5 OR MORE","80364","HCPCS","Both",,,"612","306","Aetna","Commercial","",,"64",,"390.46","223.99","474.3","percent of total billed charges",,
"OPIOIDS 5 OR MORE","80364","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","Pathways","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"OPIOIDS 5 OR MORE","80364","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","HMO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"OPIOIDS 5 OR MORE","80364","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","PPO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"OPIOIDS 5 OR MORE","80364","HCPCS","Both",,,"612","306","Ambetter","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"OPIOIDS 5 OR MORE","80364","HCPCS","Both",,,"612","306","Caresource","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"OPIOIDS 5 OR MORE","80364","HCPCS","Both",,,"612","306","Cigna","Commercial","",,"59",,"358.63","223.99","474.3","percent of total billed charges",,
"OPIOIDS 5 OR MORE","80364","HCPCS","Both",,,"612","306","Humana","Commercial","",,"78",,"474.3","223.99","474.3","percent of total billed charges",,
"OPIOIDS 5 OR MORE","80364","HCPCS","Both",,,"612","306","UHC","Commercial","",,"75",,"461.45","223.99","474.3","percent of total billed charges",,
"OPIOIDS 5 OR MORE","80364","HCPCS","Both",,,"612","306","Medicaid",,"",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"PREGABALIN","80366","HCPCS","Both",,,"612","306","Alliant","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"PREGABALIN","80366","HCPCS","Both",,,"612","306","Pruitt Healthcare","Medicare Advantage","",,"54",,"330.48","223.99","474.3","percent of total billed charges",,
"PREGABALIN","80366","HCPCS","Both",,,"612","306","Medicare",,"",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"PREGABALIN","80366","HCPCS","Both",,,"612","306","Humana","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"PREGABALIN","80366","HCPCS","Both",,,"612","306","UHC","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"PREGABALIN","80366","HCPCS","Both",,,"612","306","Clover","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"PREGABALIN","80366","HCPCS","Both",,,"612","306","Wellcare","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"PREGABALIN","80366","HCPCS","Both",,,"612","306","Amerigroup","Medicaid Managed Care","",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"PREGABALIN","80366","HCPCS","Both",,,"612","306","Caresource","Medicaid Managed Care","",,"40",,"244.8","223.99","474.3","percent of total billed charges",,
"PREGABALIN","80366","HCPCS","Both",,,"612","306","Wellcare","Medicaid Managed Care","",,"40",,"247.86","223.99","474.3","percent of total billed charges",,
"PREGABALIN","80366","HCPCS","Both",,,"612","306","Aetna","Commercial","",,"64",,"390.46","223.99","474.3","percent of total billed charges",,
"PREGABALIN","80366","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","Pathways","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"PREGABALIN","80366","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","HMO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"PREGABALIN","80366","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","PPO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"PREGABALIN","80366","HCPCS","Both",,,"612","306","Ambetter","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"PREGABALIN","80366","HCPCS","Both",,,"612","306","Caresource","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"PREGABALIN","80366","HCPCS","Both",,,"612","306","Cigna","Commercial","",,"59",,"358.63","223.99","474.3","percent of total billed charges",,
"PREGABALIN","80366","HCPCS","Both",,,"612","306","Humana","Commercial","",,"78",,"474.3","223.99","474.3","percent of total billed charges",,
"PREGABALIN","80366","HCPCS","Both",,,"612","306","UHC","Commercial","",,"75",,"461.45","223.99","474.3","percent of total billed charges",,
"PREGABALIN","80366","HCPCS","Both",,,"612","306","Medicaid",,"",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"SEDATIVE HYPNOTICS (INCL SLEEP AIDS)","80368","HCPCS","Both",,,"612","306","Alliant","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"SEDATIVE HYPNOTICS (INCL SLEEP AIDS)","80368","HCPCS","Both",,,"612","306","Pruitt Healthcare","Medicare Advantage","",,"54",,"330.48","223.99","474.3","percent of total billed charges",,
"SEDATIVE HYPNOTICS (INCL SLEEP AIDS)","80368","HCPCS","Both",,,"612","306","Medicare",,"",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"SEDATIVE HYPNOTICS (INCL SLEEP AIDS)","80368","HCPCS","Both",,,"612","306","Humana","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"SEDATIVE HYPNOTICS (INCL SLEEP AIDS)","80368","HCPCS","Both",,,"612","306","UHC","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"SEDATIVE HYPNOTICS (INCL SLEEP AIDS)","80368","HCPCS","Both",,,"612","306","Clover","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"SEDATIVE HYPNOTICS (INCL SLEEP AIDS)","80368","HCPCS","Both",,,"612","306","Wellcare","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"SEDATIVE HYPNOTICS (INCL SLEEP AIDS)","80368","HCPCS","Both",,,"612","306","Amerigroup","Medicaid Managed Care","",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"SEDATIVE HYPNOTICS (INCL SLEEP AIDS)","80368","HCPCS","Both",,,"612","306","Caresource","Medicaid Managed Care","",,"40",,"244.8","223.99","474.3","percent of total billed charges",,
"SEDATIVE HYPNOTICS (INCL SLEEP AIDS)","80368","HCPCS","Both",,,"612","306","Wellcare","Medicaid Managed Care","",,"40",,"247.86","223.99","474.3","percent of total billed charges",,
"SEDATIVE HYPNOTICS (INCL SLEEP AIDS)","80368","HCPCS","Both",,,"612","306","Aetna","Commercial","",,"64",,"390.46","223.99","474.3","percent of total billed charges",,
"SEDATIVE HYPNOTICS (INCL SLEEP AIDS)","80368","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","Pathways","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"SEDATIVE HYPNOTICS (INCL SLEEP AIDS)","80368","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","HMO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"SEDATIVE HYPNOTICS (INCL SLEEP AIDS)","80368","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","PPO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"SEDATIVE HYPNOTICS (INCL SLEEP AIDS)","80368","HCPCS","Both",,,"612","306","Ambetter","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"SEDATIVE HYPNOTICS (INCL SLEEP AIDS)","80368","HCPCS","Both",,,"612","306","Caresource","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"SEDATIVE HYPNOTICS (INCL SLEEP AIDS)","80368","HCPCS","Both",,,"612","306","Cigna","Commercial","",,"59",,"358.63","223.99","474.3","percent of total billed charges",,
"SEDATIVE HYPNOTICS (INCL SLEEP AIDS)","80368","HCPCS","Both",,,"612","306","Humana","Commercial","",,"78",,"474.3","223.99","474.3","percent of total billed charges",,
"SEDATIVE HYPNOTICS (INCL SLEEP AIDS)","80368","HCPCS","Both",,,"612","306","UHC","Commercial","",,"75",,"461.45","223.99","474.3","percent of total billed charges",,
"SEDATIVE HYPNOTICS (INCL SLEEP AIDS)","80368","HCPCS","Both",,,"612","306","Medicaid",,"",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"SKELETAL MUSCLE RELAXANTS","80369","HCPCS","Both",,,"612","306","Alliant","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"SKELETAL MUSCLE RELAXANTS","80369","HCPCS","Both",,,"612","306","Pruitt Healthcare","Medicare Advantage","",,"54",,"330.48","223.99","474.3","percent of total billed charges",,
"SKELETAL MUSCLE RELAXANTS","80369","HCPCS","Both",,,"612","306","Medicare",,"",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"SKELETAL MUSCLE RELAXANTS","80369","HCPCS","Both",,,"612","306","Humana","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"SKELETAL MUSCLE RELAXANTS","80369","HCPCS","Both",,,"612","306","UHC","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"SKELETAL MUSCLE RELAXANTS","80369","HCPCS","Both",,,"612","306","Clover","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"SKELETAL MUSCLE RELAXANTS","80369","HCPCS","Both",,,"612","306","Wellcare","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"SKELETAL MUSCLE RELAXANTS","80369","HCPCS","Both",,,"612","306","Amerigroup","Medicaid Managed Care","",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"SKELETAL MUSCLE RELAXANTS","80369","HCPCS","Both",,,"612","306","Caresource","Medicaid Managed Care","",,"40",,"244.8","223.99","474.3","percent of total billed charges",,
"SKELETAL MUSCLE RELAXANTS","80369","HCPCS","Both",,,"612","306","Wellcare","Medicaid Managed Care","",,"40",,"247.86","223.99","474.3","percent of total billed charges",,
"SKELETAL MUSCLE RELAXANTS","80369","HCPCS","Both",,,"612","306","Aetna","Commercial","",,"64",,"390.46","223.99","474.3","percent of total billed charges",,
"SKELETAL MUSCLE RELAXANTS","80369","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","Pathways","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"SKELETAL MUSCLE RELAXANTS","80369","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","HMO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"SKELETAL MUSCLE RELAXANTS","80369","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","PPO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"SKELETAL MUSCLE RELAXANTS","80369","HCPCS","Both",,,"612","306","Ambetter","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"SKELETAL MUSCLE RELAXANTS","80369","HCPCS","Both",,,"612","306","Caresource","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"SKELETAL MUSCLE RELAXANTS","80369","HCPCS","Both",,,"612","306","Cigna","Commercial","",,"59",,"358.63","223.99","474.3","percent of total billed charges",,
"SKELETAL MUSCLE RELAXANTS","80369","HCPCS","Both",,,"612","306","Humana","Commercial","",,"78",,"474.3","223.99","474.3","percent of total billed charges",,
"SKELETAL MUSCLE RELAXANTS","80369","HCPCS","Both",,,"612","306","UHC","Commercial","",,"75",,"461.45","223.99","474.3","percent of total billed charges",,
"SKELETAL MUSCLE RELAXANTS","80369","HCPCS","Both",,,"612","306","Medicaid",,"",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"TAPENTADOL","80372","HCPCS","Both",,,"612","306","Alliant","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"TAPENTADOL","80372","HCPCS","Both",,,"612","306","Pruitt Healthcare","Medicare Advantage","",,"54",,"330.48","223.99","474.3","percent of total billed charges",,
"TAPENTADOL","80372","HCPCS","Both",,,"612","306","Medicare",,"",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"TAPENTADOL","80372","HCPCS","Both",,,"612","306","Humana","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"TAPENTADOL","80372","HCPCS","Both",,,"612","306","UHC","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"TAPENTADOL","80372","HCPCS","Both",,,"612","306","Clover","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"TAPENTADOL","80372","HCPCS","Both",,,"612","306","Wellcare","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"TAPENTADOL","80372","HCPCS","Both",,,"612","306","Amerigroup","Medicaid Managed Care","",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"TAPENTADOL","80372","HCPCS","Both",,,"612","306","Caresource","Medicaid Managed Care","",,"40",,"244.8","223.99","474.3","percent of total billed charges",,
"TAPENTADOL","80372","HCPCS","Both",,,"612","306","Wellcare","Medicaid Managed Care","",,"40",,"247.86","223.99","474.3","percent of total billed charges",,
"TAPENTADOL","80372","HCPCS","Both",,,"612","306","Aetna","Commercial","",,"64",,"390.46","223.99","474.3","percent of total billed charges",,
"TAPENTADOL","80372","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","Pathways","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"TAPENTADOL","80372","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","HMO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"TAPENTADOL","80372","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","PPO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"TAPENTADOL","80372","HCPCS","Both",,,"612","306","Ambetter","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"TAPENTADOL","80372","HCPCS","Both",,,"612","306","Caresource","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"TAPENTADOL","80372","HCPCS","Both",,,"612","306","Cigna","Commercial","",,"59",,"358.63","223.99","474.3","percent of total billed charges",,
"TAPENTADOL","80372","HCPCS","Both",,,"612","306","Humana","Commercial","",,"78",,"474.3","223.99","474.3","percent of total billed charges",,
"TAPENTADOL","80372","HCPCS","Both",,,"612","306","UHC","Commercial","",,"75",,"461.45","223.99","474.3","percent of total billed charges",,
"TAPENTADOL","80372","HCPCS","Both",,,"612","306","Medicaid",,"",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"TRAMADOL","80373","HCPCS","Both",,,"612","306","Alliant","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"TRAMADOL","80373","HCPCS","Both",,,"612","306","Pruitt Healthcare","Medicare Advantage","",,"54",,"330.48","223.99","474.3","percent of total billed charges",,
"TRAMADOL","80373","HCPCS","Both",,,"612","306","Medicare",,"",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"TRAMADOL","80373","HCPCS","Both",,,"612","306","Humana","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"TRAMADOL","80373","HCPCS","Both",,,"612","306","UHC","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"TRAMADOL","80373","HCPCS","Both",,,"612","306","Clover","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"TRAMADOL","80373","HCPCS","Both",,,"612","306","Wellcare","Medicare Advantage","",,"54",,"331.7","223.99","474.3","percent of total billed charges",,
"TRAMADOL","80373","HCPCS","Both",,,"612","306","Amerigroup","Medicaid Managed Care","",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"TRAMADOL","80373","HCPCS","Both",,,"612","306","Caresource","Medicaid Managed Care","",,"40",,"244.8","223.99","474.3","percent of total billed charges",,
"TRAMADOL","80373","HCPCS","Both",,,"612","306","Wellcare","Medicaid Managed Care","",,"40",,"247.86","223.99","474.3","percent of total billed charges",,
"TRAMADOL","80373","HCPCS","Both",,,"612","306","Aetna","Commercial","",,"64",,"390.46","223.99","474.3","percent of total billed charges",,
"TRAMADOL","80373","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","Pathways","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"TRAMADOL","80373","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","HMO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"TRAMADOL","80373","HCPCS","Both",,,"612","306","Blue Cross Blue Shield","PPO","",,"71",,"432.07","223.99","474.3","percent of total billed charges",,
"TRAMADOL","80373","HCPCS","Both",,,"612","306","Ambetter","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"TRAMADOL","80373","HCPCS","Both",,,"612","306","Caresource","Health Exchange","",,"62",,"379.44","223.99","474.3","percent of total billed charges",,
"TRAMADOL","80373","HCPCS","Both",,,"612","306","Cigna","Commercial","",,"59",,"358.63","223.99","474.3","percent of total billed charges",,
"TRAMADOL","80373","HCPCS","Both",,,"612","306","Humana","Commercial","",,"78",,"474.3","223.99","474.3","percent of total billed charges",,
"TRAMADOL","80373","HCPCS","Both",,,"612","306","UHC","Commercial","",,"75",,"461.45","223.99","474.3","percent of total billed charges",,
"TRAMADOL","80373","HCPCS","Both",,,"612","306","Medicaid",,"",,"37",,"223.99","223.99","474.3","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 1-7 DRUGS","G0480","HCPCS","Both",,,"114.5","57.25","Alliant","Health Exchange","",,"62",,"70.99","24.89","88.74","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 1-7 DRUGS","G0480","HCPCS","Both",,,"114.5","57.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"61.83","24.89","88.74","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 1-7 DRUGS","G0480","HCPCS","Both",,,"114.5","57.25","Medicare",,"",,"54",,"62.06","24.89","88.74","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 1-7 DRUGS","G0480","HCPCS","Both",,,"114.5","57.25","Humana","Medicare Advantage","",,"54",,"62.06","24.89","88.74","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 1-7 DRUGS","G0480","HCPCS","Both",,,"114.5","57.25","UHC","Medicare Advantage","",,"54",,"62.06","24.89","88.74","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 1-7 DRUGS","G0480","HCPCS","Both",,,"114.5","57.25","Clover","Medicare Advantage","",,"54",,"62.06","24.89","88.74","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 1-7 DRUGS","G0480","HCPCS","Both",,,"114.5","57.25","Wellcare","Medicare Advantage","",,"54",,"62.06","24.89","88.74","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 1-7 DRUGS","G0480","HCPCS","Both",,,"114.5","57.25","Amerigroup","Medicaid Managed Care","",,"37",,"41.91","24.89","88.74","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 1-7 DRUGS","G0480","HCPCS","Both",,,"114.5","57.25","Caresource","Medicaid Managed Care","",,"40",,"45.8","24.89","88.74","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 1-7 DRUGS","G0480","HCPCS","Both",,,"114.5","57.25","Wellcare","Medicaid Managed Care","",,"40",,"46.37","24.89","88.74","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 1-7 DRUGS","G0480","HCPCS","Both",,,"114.5","57.25","Aetna","Commercial","",,"64",,"73.05","24.89","88.74","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 1-7 DRUGS","G0480","HCPCS","Both",,,"114.5","57.25","Blue Cross Blue Shield","Pathways","",,"71",,"80.84","24.89","88.74","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 1-7 DRUGS","G0480","HCPCS","Both",,,"114.5","57.25","Blue Cross Blue Shield","HMO","",,"71",,"80.84","24.89","88.74","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 1-7 DRUGS","G0480","HCPCS","Both",,,"114.5","57.25","Blue Cross Blue Shield","PPO","",,"71",,"80.84","24.89","88.74","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 1-7 DRUGS","G0480","HCPCS","Both",,,"114.5","57.25","Ambetter","Health Exchange","",,"62",,"70.99","24.89","88.74","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 1-7 DRUGS","G0480","HCPCS","Both",,,"114.5","57.25","Caresource","Health Exchange","",,"62",,"70.99","24.89","88.74","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 1-7 DRUGS","G0480","HCPCS","Both",,,"114.5","57.25","Cigna","Commercial","",,"59",,"67.1","24.89","88.74","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 1-7 DRUGS","G0480","HCPCS","Both",,,"114.5","57.25","Humana","Commercial","",,"78",,"88.74","24.89","88.74","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 1-7 DRUGS","G0480","HCPCS","Both",,,"114.5","57.25","UHC","Commercial","",,"75",,"86.33","24.89","88.74","percent of total billed charges",,
"DRUG TEST(S) DEFINITIVE 1-7 DRUGS","G0480","HCPCS","Both",,,"114.5","57.25","Medicaid",,"",,"37",,"41.91","24.89","88.74","percent of total billed charges",,
"TRICHOMONAS, MALE (APTIMA)","87798","HCPCS","Both",,,"51","25.5","Alliant","Health Exchange","",,"62",,"31.62","18.67","39.52","percent of total billed charges",,
"TRICHOMONAS, MALE (APTIMA)","87798","HCPCS","Both",,,"51","25.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"27.54","18.67","39.52","percent of total billed charges",,
"TRICHOMONAS, MALE (APTIMA)","87798","HCPCS","Both",,,"51","25.5","Medicare",,"",,"54",,"27.64","18.67","39.52","percent of total billed charges",,
"TRICHOMONAS, MALE (APTIMA)","87798","HCPCS","Both",,,"51","25.5","Humana","Medicare Advantage","",,"54",,"27.64","18.67","39.52","percent of total billed charges",,
"TRICHOMONAS, MALE (APTIMA)","87798","HCPCS","Both",,,"51","25.5","UHC","Medicare Advantage","",,"54",,"27.64","18.67","39.52","percent of total billed charges",,
"TRICHOMONAS, MALE (APTIMA)","87798","HCPCS","Both",,,"51","25.5","Clover","Medicare Advantage","",,"54",,"27.64","18.67","39.52","percent of total billed charges",,
"TRICHOMONAS, MALE (APTIMA)","87798","HCPCS","Both",,,"51","25.5","Wellcare","Medicare Advantage","",,"54",,"27.64","18.67","39.52","percent of total billed charges",,
"TRICHOMONAS, MALE (APTIMA)","87798","HCPCS","Both",,,"51","25.5","Amerigroup","Medicaid Managed Care","",,"37",,"18.67","18.67","39.52","percent of total billed charges",,
"TRICHOMONAS, MALE (APTIMA)","87798","HCPCS","Both",,,"51","25.5","Caresource","Medicaid Managed Care","",,"40",,"20.4","18.67","39.52","percent of total billed charges",,
"TRICHOMONAS, MALE (APTIMA)","87798","HCPCS","Both",,,"51","25.5","Wellcare","Medicaid Managed Care","",,"40",,"20.66","18.67","39.52","percent of total billed charges",,
"TRICHOMONAS, MALE (APTIMA)","87798","HCPCS","Both",,,"51","25.5","Aetna","Commercial","",,"64",,"32.54","18.67","39.52","percent of total billed charges",,
"TRICHOMONAS, MALE (APTIMA)","87798","HCPCS","Both",,,"51","25.5","Blue Cross Blue Shield","Pathways","",,"71",,"36.01","18.67","39.52","percent of total billed charges",,
"TRICHOMONAS, MALE (APTIMA)","87798","HCPCS","Both",,,"51","25.5","Blue Cross Blue Shield","HMO","",,"71",,"36.01","18.67","39.52","percent of total billed charges",,
"TRICHOMONAS, MALE (APTIMA)","87798","HCPCS","Both",,,"51","25.5","Blue Cross Blue Shield","PPO","",,"71",,"36.01","18.67","39.52","percent of total billed charges",,
"TRICHOMONAS, MALE (APTIMA)","87798","HCPCS","Both",,,"51","25.5","Ambetter","Health Exchange","",,"62",,"31.62","18.67","39.52","percent of total billed charges",,
"TRICHOMONAS, MALE (APTIMA)","87798","HCPCS","Both",,,"51","25.5","Caresource","Health Exchange","",,"62",,"31.62","18.67","39.52","percent of total billed charges",,
"TRICHOMONAS, MALE (APTIMA)","87798","HCPCS","Both",,,"51","25.5","Cigna","Commercial","",,"59",,"29.89","18.67","39.52","percent of total billed charges",,
"TRICHOMONAS, MALE (APTIMA)","87798","HCPCS","Both",,,"51","25.5","Humana","Commercial","",,"78",,"39.52","18.67","39.52","percent of total billed charges",,
"TRICHOMONAS, MALE (APTIMA)","87798","HCPCS","Both",,,"51","25.5","UHC","Commercial","",,"75",,"38.45","18.67","39.52","percent of total billed charges",,
"TRICHOMONAS, MALE (APTIMA)","87798","HCPCS","Both",,,"51","25.5","Medicaid",,"",,"37",,"18.67","18.67","39.52","percent of total billed charges",,
"PRO-BNP","83880","HCPCS","Both",,,"57.5","28.75","Alliant","Health Exchange","",,"62",,"35.65","21.04","44.56","percent of total billed charges",,
"PRO-BNP","83880","HCPCS","Both",,,"57.5","28.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"31.05","21.04","44.56","percent of total billed charges",,
"PRO-BNP","83880","HCPCS","Both",,,"57.5","28.75","Medicare",,"",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"PRO-BNP","83880","HCPCS","Both",,,"57.5","28.75","Humana","Medicare Advantage","",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"PRO-BNP","83880","HCPCS","Both",,,"57.5","28.75","UHC","Medicare Advantage","",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"PRO-BNP","83880","HCPCS","Both",,,"57.5","28.75","Clover","Medicare Advantage","",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"PRO-BNP","83880","HCPCS","Both",,,"57.5","28.75","Wellcare","Medicare Advantage","",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"PRO-BNP","83880","HCPCS","Both",,,"57.5","28.75","Amerigroup","Medicaid Managed Care","",,"37",,"21.04","21.04","44.56","percent of total billed charges",,
"PRO-BNP","83880","HCPCS","Both",,,"57.5","28.75","Caresource","Medicaid Managed Care","",,"40",,"23","21.04","44.56","percent of total billed charges",,
"PRO-BNP","83880","HCPCS","Both",,,"57.5","28.75","Wellcare","Medicaid Managed Care","",,"40",,"23.29","21.04","44.56","percent of total billed charges",,
"PRO-BNP","83880","HCPCS","Both",,,"57.5","28.75","Aetna","Commercial","",,"64",,"36.68","21.04","44.56","percent of total billed charges",,
"PRO-BNP","83880","HCPCS","Both",,,"57.5","28.75","Blue Cross Blue Shield","Pathways","",,"71",,"40.6","21.04","44.56","percent of total billed charges",,
"PRO-BNP","83880","HCPCS","Both",,,"57.5","28.75","Blue Cross Blue Shield","HMO","",,"71",,"40.6","21.04","44.56","percent of total billed charges",,
"PRO-BNP","83880","HCPCS","Both",,,"57.5","28.75","Blue Cross Blue Shield","PPO","",,"71",,"40.6","21.04","44.56","percent of total billed charges",,
"PRO-BNP","83880","HCPCS","Both",,,"57.5","28.75","Ambetter","Health Exchange","",,"62",,"35.65","21.04","44.56","percent of total billed charges",,
"PRO-BNP","83880","HCPCS","Both",,,"57.5","28.75","Caresource","Health Exchange","",,"62",,"35.65","21.04","44.56","percent of total billed charges",,
"PRO-BNP","83880","HCPCS","Both",,,"57.5","28.75","Cigna","Commercial","",,"59",,"33.7","21.04","44.56","percent of total billed charges",,
"PRO-BNP","83880","HCPCS","Both",,,"57.5","28.75","Humana","Commercial","",,"78",,"44.56","21.04","44.56","percent of total billed charges",,
"PRO-BNP","83880","HCPCS","Both",,,"57.5","28.75","UHC","Commercial","",,"75",,"43.36","21.04","44.56","percent of total billed charges",,
"PRO-BNP","83880","HCPCS","Both",,,"57.5","28.75","Medicaid",,"",,"37",,"21.04","21.04","44.56","percent of total billed charges",,
"MAGNESIUM RBC","83735","HCPCS","Both",,,"6.5","3.25","Alliant","Health Exchange","",,"62",,"4.03","2.38","5.04","percent of total billed charges",,
"MAGNESIUM RBC","83735","HCPCS","Both",,,"6.5","3.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"3.51","2.38","5.04","percent of total billed charges",,
"MAGNESIUM RBC","83735","HCPCS","Both",,,"6.5","3.25","Medicare",,"",,"54",,"3.52","2.38","5.04","percent of total billed charges",,
"MAGNESIUM RBC","83735","HCPCS","Both",,,"6.5","3.25","Humana","Medicare Advantage","",,"54",,"3.52","2.38","5.04","percent of total billed charges",,
"MAGNESIUM RBC","83735","HCPCS","Both",,,"6.5","3.25","UHC","Medicare Advantage","",,"54",,"3.52","2.38","5.04","percent of total billed charges",,
"MAGNESIUM RBC","83735","HCPCS","Both",,,"6.5","3.25","Clover","Medicare Advantage","",,"54",,"3.52","2.38","5.04","percent of total billed charges",,
"MAGNESIUM RBC","83735","HCPCS","Both",,,"6.5","3.25","Wellcare","Medicare Advantage","",,"54",,"3.52","2.38","5.04","percent of total billed charges",,
"MAGNESIUM RBC","83735","HCPCS","Both",,,"6.5","3.25","Amerigroup","Medicaid Managed Care","",,"37",,"2.38","2.38","5.04","percent of total billed charges",,
"MAGNESIUM RBC","83735","HCPCS","Both",,,"6.5","3.25","Caresource","Medicaid Managed Care","",,"40",,"2.6","2.38","5.04","percent of total billed charges",,
"MAGNESIUM RBC","83735","HCPCS","Both",,,"6.5","3.25","Wellcare","Medicaid Managed Care","",,"40",,"2.63","2.38","5.04","percent of total billed charges",,
"MAGNESIUM RBC","83735","HCPCS","Both",,,"6.5","3.25","Aetna","Commercial","",,"64",,"4.15","2.38","5.04","percent of total billed charges",,
"MAGNESIUM RBC","83735","HCPCS","Both",,,"6.5","3.25","Blue Cross Blue Shield","Pathways","",,"71",,"4.59","2.38","5.04","percent of total billed charges",,
"MAGNESIUM RBC","83735","HCPCS","Both",,,"6.5","3.25","Blue Cross Blue Shield","HMO","",,"71",,"4.59","2.38","5.04","percent of total billed charges",,
"MAGNESIUM RBC","83735","HCPCS","Both",,,"6.5","3.25","Blue Cross Blue Shield","PPO","",,"71",,"4.59","2.38","5.04","percent of total billed charges",,
"MAGNESIUM RBC","83735","HCPCS","Both",,,"6.5","3.25","Ambetter","Health Exchange","",,"62",,"4.03","2.38","5.04","percent of total billed charges",,
"MAGNESIUM RBC","83735","HCPCS","Both",,,"6.5","3.25","Caresource","Health Exchange","",,"62",,"4.03","2.38","5.04","percent of total billed charges",,
"MAGNESIUM RBC","83735","HCPCS","Both",,,"6.5","3.25","Cigna","Commercial","",,"59",,"3.81","2.38","5.04","percent of total billed charges",,
"MAGNESIUM RBC","83735","HCPCS","Both",,,"6.5","3.25","Humana","Commercial","",,"78",,"5.04","2.38","5.04","percent of total billed charges",,
"MAGNESIUM RBC","83735","HCPCS","Both",,,"6.5","3.25","UHC","Commercial","",,"75",,"4.9","2.38","5.04","percent of total billed charges",,
"MAGNESIUM RBC","83735","HCPCS","Both",,,"6.5","3.25","Medicaid",,"",,"37",,"2.38","2.38","5.04","percent of total billed charges",,
"EKG ROUTINE 12 LEAD","93005","HCPCS","Both",,,"140.12","70.06","Alliant","Health Exchange","",,"62",,"86.87","51.28","108.59","percent of total billed charges",,
"EKG ROUTINE 12 LEAD","93005","HCPCS","Both",,,"140.12","70.06","Pruitt Healthcare","Medicare Advantage","",,"54",,"75.66","51.28","108.59","percent of total billed charges",,
"EKG ROUTINE 12 LEAD","93005","HCPCS","Both",,,"140.12","70.06","Medicare",,"",,"54",,"75.95","51.28","108.59","percent of total billed charges",,
"EKG ROUTINE 12 LEAD","93005","HCPCS","Both",,,"140.12","70.06","Humana","Medicare Advantage","",,"54",,"75.95","51.28","108.59","percent of total billed charges",,
"EKG ROUTINE 12 LEAD","93005","HCPCS","Both",,,"140.12","70.06","UHC","Medicare Advantage","",,"54",,"75.95","51.28","108.59","percent of total billed charges",,
"EKG ROUTINE 12 LEAD","93005","HCPCS","Both",,,"140.12","70.06","Clover","Medicare Advantage","",,"54",,"75.95","51.28","108.59","percent of total billed charges",,
"EKG ROUTINE 12 LEAD","93005","HCPCS","Both",,,"140.12","70.06","Wellcare","Medicare Advantage","",,"54",,"75.95","51.28","108.59","percent of total billed charges",,
"EKG ROUTINE 12 LEAD","93005","HCPCS","Both",,,"140.12","70.06","Amerigroup","Medicaid Managed Care","",,"37",,"51.28","51.28","108.59","percent of total billed charges",,
"EKG ROUTINE 12 LEAD","93005","HCPCS","Both",,,"140.12","70.06","Caresource","Medicaid Managed Care","",,"40",,"56.05","51.28","108.59","percent of total billed charges",,
"EKG ROUTINE 12 LEAD","93005","HCPCS","Both",,,"140.12","70.06","Wellcare","Medicaid Managed Care","",,"40",,"56.75","51.28","108.59","percent of total billed charges",,
"EKG ROUTINE 12 LEAD","93005","HCPCS","Both",,,"140.12","70.06","Aetna","Commercial","",,"64",,"89.4","51.28","108.59","percent of total billed charges",,
"EKG ROUTINE 12 LEAD","93005","HCPCS","Both",,,"140.12","70.06","Blue Cross Blue Shield","Pathways","",,"71",,"98.92","51.28","108.59","percent of total billed charges",,
"EKG ROUTINE 12 LEAD","93005","HCPCS","Both",,,"140.12","70.06","Blue Cross Blue Shield","HMO","",,"71",,"98.92","51.28","108.59","percent of total billed charges",,
"EKG ROUTINE 12 LEAD","93005","HCPCS","Both",,,"140.12","70.06","Blue Cross Blue Shield","PPO","",,"71",,"98.92","51.28","108.59","percent of total billed charges",,
"EKG ROUTINE 12 LEAD","93005","HCPCS","Both",,,"140.12","70.06","Ambetter","Health Exchange","",,"62",,"86.87","51.28","108.59","percent of total billed charges",,
"EKG ROUTINE 12 LEAD","93005","HCPCS","Both",,,"140.12","70.06","Caresource","Health Exchange","",,"62",,"86.87","51.28","108.59","percent of total billed charges",,
"EKG ROUTINE 12 LEAD","93005","HCPCS","Both",,,"140.12","70.06","Cigna","Commercial","",,"59",,"82.11","51.28","108.59","percent of total billed charges",,
"EKG ROUTINE 12 LEAD","93005","HCPCS","Both",,,"140.12","70.06","Humana","Commercial","",,"78",,"108.59","51.28","108.59","percent of total billed charges",,
"EKG ROUTINE 12 LEAD","93005","HCPCS","Both",,,"140.12","70.06","UHC","Commercial","",,"75",,"105.65","51.28","108.59","percent of total billed charges",,
"EKG ROUTINE 12 LEAD","93005","HCPCS","Both",,,"140.12","70.06","Medicaid",,"",,"37",,"51.28","51.28","108.59","percent of total billed charges",,
"RHYTHM ECG,TRACING ONLY W/O INTERP/REPOR","93041","HCPCS","Both",,,"65.5","32.75","Alliant","Health Exchange","",,"62",,"40.61","23.97","50.76","percent of total billed charges",,
"RHYTHM ECG,TRACING ONLY W/O INTERP/REPOR","93041","HCPCS","Both",,,"65.5","32.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"35.37","23.97","50.76","percent of total billed charges",,
"RHYTHM ECG,TRACING ONLY W/O INTERP/REPOR","93041","HCPCS","Both",,,"65.5","32.75","Medicare",,"",,"54",,"35.5","23.97","50.76","percent of total billed charges",,
"RHYTHM ECG,TRACING ONLY W/O INTERP/REPOR","93041","HCPCS","Both",,,"65.5","32.75","Humana","Medicare Advantage","",,"54",,"35.5","23.97","50.76","percent of total billed charges",,
"RHYTHM ECG,TRACING ONLY W/O INTERP/REPOR","93041","HCPCS","Both",,,"65.5","32.75","UHC","Medicare Advantage","",,"54",,"35.5","23.97","50.76","percent of total billed charges",,
"RHYTHM ECG,TRACING ONLY W/O INTERP/REPOR","93041","HCPCS","Both",,,"65.5","32.75","Clover","Medicare Advantage","",,"54",,"35.5","23.97","50.76","percent of total billed charges",,
"RHYTHM ECG,TRACING ONLY W/O INTERP/REPOR","93041","HCPCS","Both",,,"65.5","32.75","Wellcare","Medicare Advantage","",,"54",,"35.5","23.97","50.76","percent of total billed charges",,
"RHYTHM ECG,TRACING ONLY W/O INTERP/REPOR","93041","HCPCS","Both",,,"65.5","32.75","Amerigroup","Medicaid Managed Care","",,"37",,"23.97","23.97","50.76","percent of total billed charges",,
"RHYTHM ECG,TRACING ONLY W/O INTERP/REPOR","93041","HCPCS","Both",,,"65.5","32.75","Caresource","Medicaid Managed Care","",,"40",,"26.2","23.97","50.76","percent of total billed charges",,
"RHYTHM ECG,TRACING ONLY W/O INTERP/REPOR","93041","HCPCS","Both",,,"65.5","32.75","Wellcare","Medicaid Managed Care","",,"40",,"26.53","23.97","50.76","percent of total billed charges",,
"RHYTHM ECG,TRACING ONLY W/O INTERP/REPOR","93041","HCPCS","Both",,,"65.5","32.75","Aetna","Commercial","",,"64",,"41.79","23.97","50.76","percent of total billed charges",,
"RHYTHM ECG,TRACING ONLY W/O INTERP/REPOR","93041","HCPCS","Both",,,"65.5","32.75","Blue Cross Blue Shield","Pathways","",,"71",,"46.24","23.97","50.76","percent of total billed charges",,
"RHYTHM ECG,TRACING ONLY W/O INTERP/REPOR","93041","HCPCS","Both",,,"65.5","32.75","Blue Cross Blue Shield","HMO","",,"71",,"46.24","23.97","50.76","percent of total billed charges",,
"RHYTHM ECG,TRACING ONLY W/O INTERP/REPOR","93041","HCPCS","Both",,,"65.5","32.75","Blue Cross Blue Shield","PPO","",,"71",,"46.24","23.97","50.76","percent of total billed charges",,
"RHYTHM ECG,TRACING ONLY W/O INTERP/REPOR","93041","HCPCS","Both",,,"65.5","32.75","Ambetter","Health Exchange","",,"62",,"40.61","23.97","50.76","percent of total billed charges",,
"RHYTHM ECG,TRACING ONLY W/O INTERP/REPOR","93041","HCPCS","Both",,,"65.5","32.75","Caresource","Health Exchange","",,"62",,"40.61","23.97","50.76","percent of total billed charges",,
"RHYTHM ECG,TRACING ONLY W/O INTERP/REPOR","93041","HCPCS","Both",,,"65.5","32.75","Cigna","Commercial","",,"59",,"38.38","23.97","50.76","percent of total billed charges",,
"RHYTHM ECG,TRACING ONLY W/O INTERP/REPOR","93041","HCPCS","Both",,,"65.5","32.75","Humana","Commercial","",,"78",,"50.76","23.97","50.76","percent of total billed charges",,
"RHYTHM ECG,TRACING ONLY W/O INTERP/REPOR","93041","HCPCS","Both",,,"65.5","32.75","UHC","Commercial","",,"75",,"49.39","23.97","50.76","percent of total billed charges",,
"RHYTHM ECG,TRACING ONLY W/O INTERP/REPOR","93041","HCPCS","Both",,,"65.5","32.75","Medicaid",,"",,"37",,"23.97","23.97","50.76","percent of total billed charges",,
"EKG INTERP/ REPORT","93010","HCPCS","Both",,,"25","12.5","Alliant","Health Exchange","",,"62",,"15.5","9.15","19.38","percent of total billed charges",,
"EKG INTERP/ REPORT","93010","HCPCS","Both",,,"25","12.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"13.5","9.15","19.38","percent of total billed charges",,
"EKG INTERP/ REPORT","93010","HCPCS","Both",,,"25","12.5","Medicare",,"",,"54",,"13.55","9.15","19.38","percent of total billed charges",,
"EKG INTERP/ REPORT","93010","HCPCS","Both",,,"25","12.5","Humana","Medicare Advantage","",,"54",,"13.55","9.15","19.38","percent of total billed charges",,
"EKG INTERP/ REPORT","93010","HCPCS","Both",,,"25","12.5","UHC","Medicare Advantage","",,"54",,"13.55","9.15","19.38","percent of total billed charges",,
"EKG INTERP/ REPORT","93010","HCPCS","Both",,,"25","12.5","Clover","Medicare Advantage","",,"54",,"13.55","9.15","19.38","percent of total billed charges",,
"EKG INTERP/ REPORT","93010","HCPCS","Both",,,"25","12.5","Wellcare","Medicare Advantage","",,"54",,"13.55","9.15","19.38","percent of total billed charges",,
"EKG INTERP/ REPORT","93010","HCPCS","Both",,,"25","12.5","Amerigroup","Medicaid Managed Care","",,"37",,"9.15","9.15","19.38","percent of total billed charges",,
"EKG INTERP/ REPORT","93010","HCPCS","Both",,,"25","12.5","Caresource","Medicaid Managed Care","",,"40",,"10","9.15","19.38","percent of total billed charges",,
"EKG INTERP/ REPORT","93010","HCPCS","Both",,,"25","12.5","Wellcare","Medicaid Managed Care","",,"40",,"10.12","9.15","19.38","percent of total billed charges",,
"EKG INTERP/ REPORT","93010","HCPCS","Both",,,"25","12.5","Aetna","Commercial","",,"64",,"15.95","9.15","19.38","percent of total billed charges",,
"EKG INTERP/ REPORT","93010","HCPCS","Both",,,"25","12.5","Blue Cross Blue Shield","Pathways","",,"71",,"17.65","9.15","19.38","percent of total billed charges",,
"EKG INTERP/ REPORT","93010","HCPCS","Both",,,"25","12.5","Blue Cross Blue Shield","HMO","",,"71",,"17.65","9.15","19.38","percent of total billed charges",,
"EKG INTERP/ REPORT","93010","HCPCS","Both",,,"25","12.5","Blue Cross Blue Shield","PPO","",,"71",,"17.65","9.15","19.38","percent of total billed charges",,
"EKG INTERP/ REPORT","93010","HCPCS","Both",,,"25","12.5","Ambetter","Health Exchange","",,"62",,"15.5","9.15","19.38","percent of total billed charges",,
"EKG INTERP/ REPORT","93010","HCPCS","Both",,,"25","12.5","Caresource","Health Exchange","",,"62",,"15.5","9.15","19.38","percent of total billed charges",,
"EKG INTERP/ REPORT","93010","HCPCS","Both",,,"25","12.5","Cigna","Commercial","",,"59",,"14.65","9.15","19.38","percent of total billed charges",,
"EKG INTERP/ REPORT","93010","HCPCS","Both",,,"25","12.5","Humana","Commercial","",,"78",,"19.38","9.15","19.38","percent of total billed charges",,
"EKG INTERP/ REPORT","93010","HCPCS","Both",,,"25","12.5","UHC","Commercial","",,"75",,"18.85","9.15","19.38","percent of total billed charges",,
"EKG INTERP/ REPORT","93010","HCPCS","Both",,,"25","12.5","Medicaid",,"",,"37",,"9.15","9.15","19.38","percent of total billed charges",,
"SIX MIN WALK TEST","94618","HCPCS","Both",,,"112","56","Alliant","Health Exchange","",,"62",,"69.44","40.99","86.8","percent of total billed charges",,
"SIX MIN WALK TEST","94618","HCPCS","Both",,,"112","56","Pruitt Healthcare","Medicare Advantage","",,"54",,"60.48","40.99","86.8","percent of total billed charges",,
"SIX MIN WALK TEST","94618","HCPCS","Both",,,"112","56","Medicare",,"",,"54",,"60.7","40.99","86.8","percent of total billed charges",,
"SIX MIN WALK TEST","94618","HCPCS","Both",,,"112","56","Humana","Medicare Advantage","",,"54",,"60.7","40.99","86.8","percent of total billed charges",,
"SIX MIN WALK TEST","94618","HCPCS","Both",,,"112","56","UHC","Medicare Advantage","",,"54",,"60.7","40.99","86.8","percent of total billed charges",,
"SIX MIN WALK TEST","94618","HCPCS","Both",,,"112","56","Clover","Medicare Advantage","",,"54",,"60.7","40.99","86.8","percent of total billed charges",,
"SIX MIN WALK TEST","94618","HCPCS","Both",,,"112","56","Wellcare","Medicare Advantage","",,"54",,"60.7","40.99","86.8","percent of total billed charges",,
"SIX MIN WALK TEST","94618","HCPCS","Both",,,"112","56","Amerigroup","Medicaid Managed Care","",,"37",,"40.99","40.99","86.8","percent of total billed charges",,
"SIX MIN WALK TEST","94618","HCPCS","Both",,,"112","56","Caresource","Medicaid Managed Care","",,"40",,"44.8","40.99","86.8","percent of total billed charges",,
"SIX MIN WALK TEST","94618","HCPCS","Both",,,"112","56","Wellcare","Medicaid Managed Care","",,"40",,"45.36","40.99","86.8","percent of total billed charges",,
"SIX MIN WALK TEST","94618","HCPCS","Both",,,"112","56","Aetna","Commercial","",,"64",,"71.46","40.99","86.8","percent of total billed charges",,
"SIX MIN WALK TEST","94618","HCPCS","Both",,,"112","56","Blue Cross Blue Shield","Pathways","",,"71",,"79.07","40.99","86.8","percent of total billed charges",,
"SIX MIN WALK TEST","94618","HCPCS","Both",,,"112","56","Blue Cross Blue Shield","HMO","",,"71",,"79.07","40.99","86.8","percent of total billed charges",,
"SIX MIN WALK TEST","94618","HCPCS","Both",,,"112","56","Blue Cross Blue Shield","PPO","",,"71",,"79.07","40.99","86.8","percent of total billed charges",,
"SIX MIN WALK TEST","94618","HCPCS","Both",,,"112","56","Ambetter","Health Exchange","",,"62",,"69.44","40.99","86.8","percent of total billed charges",,
"SIX MIN WALK TEST","94618","HCPCS","Both",,,"112","56","Caresource","Health Exchange","",,"62",,"69.44","40.99","86.8","percent of total billed charges",,
"SIX MIN WALK TEST","94618","HCPCS","Both",,,"112","56","Cigna","Commercial","",,"59",,"65.63","40.99","86.8","percent of total billed charges",,
"SIX MIN WALK TEST","94618","HCPCS","Both",,,"112","56","Humana","Commercial","",,"78",,"86.8","40.99","86.8","percent of total billed charges",,
"SIX MIN WALK TEST","94618","HCPCS","Both",,,"112","56","UHC","Commercial","",,"75",,"84.45","40.99","86.8","percent of total billed charges",,
"SIX MIN WALK TEST","94618","HCPCS","Both",,,"112","56","Medicaid",,"",,"37",,"40.99","40.99","86.8","percent of total billed charges",,
"OXYGEN (O2) SENSOR FOR PULSE OX; SINGLE","94760","HCPCS","Both",,,"14","7","Alliant","Health Exchange","",,"62",,"8.68","5.12","10.85","percent of total billed charges",,
"OXYGEN (O2) SENSOR FOR PULSE OX; SINGLE","94760","HCPCS","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage","",,"54",,"7.56","5.12","10.85","percent of total billed charges",,
"OXYGEN (O2) SENSOR FOR PULSE OX; SINGLE","94760","HCPCS","Both",,,"14","7","Medicare",,"",,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"OXYGEN (O2) SENSOR FOR PULSE OX; SINGLE","94760","HCPCS","Both",,,"14","7","Humana","Medicare Advantage","",,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"OXYGEN (O2) SENSOR FOR PULSE OX; SINGLE","94760","HCPCS","Both",,,"14","7","UHC","Medicare Advantage","",,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"OXYGEN (O2) SENSOR FOR PULSE OX; SINGLE","94760","HCPCS","Both",,,"14","7","Clover","Medicare Advantage","",,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"OXYGEN (O2) SENSOR FOR PULSE OX; SINGLE","94760","HCPCS","Both",,,"14","7","Wellcare","Medicare Advantage","",,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"OXYGEN (O2) SENSOR FOR PULSE OX; SINGLE","94760","HCPCS","Both",,,"14","7","Amerigroup","Medicaid Managed Care","",,"37",,"5.12","5.12","10.85","percent of total billed charges",,
"OXYGEN (O2) SENSOR FOR PULSE OX; SINGLE","94760","HCPCS","Both",,,"14","7","Caresource","Medicaid Managed Care","",,"40",,"5.6","5.12","10.85","percent of total billed charges",,
"OXYGEN (O2) SENSOR FOR PULSE OX; SINGLE","94760","HCPCS","Both",,,"14","7","Wellcare","Medicaid Managed Care","",,"40",,"5.67","5.12","10.85","percent of total billed charges",,
"OXYGEN (O2) SENSOR FOR PULSE OX; SINGLE","94760","HCPCS","Both",,,"14","7","Aetna","Commercial","",,"64",,"8.93","5.12","10.85","percent of total billed charges",,
"OXYGEN (O2) SENSOR FOR PULSE OX; SINGLE","94760","HCPCS","Both",,,"14","7","Blue Cross Blue Shield","Pathways","",,"71",,"9.88","5.12","10.85","percent of total billed charges",,
"OXYGEN (O2) SENSOR FOR PULSE OX; SINGLE","94760","HCPCS","Both",,,"14","7","Blue Cross Blue Shield","HMO","",,"71",,"9.88","5.12","10.85","percent of total billed charges",,
"OXYGEN (O2) SENSOR FOR PULSE OX; SINGLE","94760","HCPCS","Both",,,"14","7","Blue Cross Blue Shield","PPO","",,"71",,"9.88","5.12","10.85","percent of total billed charges",,
"OXYGEN (O2) SENSOR FOR PULSE OX; SINGLE","94760","HCPCS","Both",,,"14","7","Ambetter","Health Exchange","",,"62",,"8.68","5.12","10.85","percent of total billed charges",,
"OXYGEN (O2) SENSOR FOR PULSE OX; SINGLE","94760","HCPCS","Both",,,"14","7","Caresource","Health Exchange","",,"62",,"8.68","5.12","10.85","percent of total billed charges",,
"OXYGEN (O2) SENSOR FOR PULSE OX; SINGLE","94760","HCPCS","Both",,,"14","7","Cigna","Commercial","",,"59",,"8.2","5.12","10.85","percent of total billed charges",,
"OXYGEN (O2) SENSOR FOR PULSE OX; SINGLE","94760","HCPCS","Both",,,"14","7","Humana","Commercial","",,"78",,"10.85","5.12","10.85","percent of total billed charges",,
"OXYGEN (O2) SENSOR FOR PULSE OX; SINGLE","94760","HCPCS","Both",,,"14","7","UHC","Commercial","",,"75",,"10.56","5.12","10.85","percent of total billed charges",,
"OXYGEN (O2) SENSOR FOR PULSE OX; SINGLE","94760","HCPCS","Both",,,"14","7","Medicaid",,"",,"37",,"5.12","5.12","10.85","percent of total billed charges",,
"TRACH CARE","31502","HCPCS","Both",,,"165","82.5","Alliant","Health Exchange","",,"62",,"102.3","60.39","127.88","percent of total billed charges",,
"TRACH CARE","31502","HCPCS","Both",,,"165","82.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"89.1","60.39","127.88","percent of total billed charges",,
"TRACH CARE","31502","HCPCS","Both",,,"165","82.5","Medicare",,"",,"54",,"89.43","60.39","127.88","percent of total billed charges",,
"TRACH CARE","31502","HCPCS","Both",,,"165","82.5","Humana","Medicare Advantage","",,"54",,"89.43","60.39","127.88","percent of total billed charges",,
"TRACH CARE","31502","HCPCS","Both",,,"165","82.5","UHC","Medicare Advantage","",,"54",,"89.43","60.39","127.88","percent of total billed charges",,
"TRACH CARE","31502","HCPCS","Both",,,"165","82.5","Clover","Medicare Advantage","",,"54",,"89.43","60.39","127.88","percent of total billed charges",,
"TRACH CARE","31502","HCPCS","Both",,,"165","82.5","Wellcare","Medicare Advantage","",,"54",,"89.43","60.39","127.88","percent of total billed charges",,
"TRACH CARE","31502","HCPCS","Both",,,"165","82.5","Amerigroup","Medicaid Managed Care","",,"37",,"60.39","60.39","127.88","percent of total billed charges",,
"TRACH CARE","31502","HCPCS","Both",,,"165","82.5","Caresource","Medicaid Managed Care","",,"40",,"66","60.39","127.88","percent of total billed charges",,
"TRACH CARE","31502","HCPCS","Both",,,"165","82.5","Wellcare","Medicaid Managed Care","",,"40",,"66.82","60.39","127.88","percent of total billed charges",,
"TRACH CARE","31502","HCPCS","Both",,,"165","82.5","Aetna","Commercial","",,"64",,"105.27","60.39","127.88","percent of total billed charges",,
"TRACH CARE","31502","HCPCS","Both",,,"165","82.5","Blue Cross Blue Shield","Pathways","",,"71",,"116.49","60.39","127.88","percent of total billed charges",,
"TRACH CARE","31502","HCPCS","Both",,,"165","82.5","Blue Cross Blue Shield","HMO","",,"71",,"116.49","60.39","127.88","percent of total billed charges",,
"TRACH CARE","31502","HCPCS","Both",,,"165","82.5","Blue Cross Blue Shield","PPO","",,"71",,"116.49","60.39","127.88","percent of total billed charges",,
"TRACH CARE","31502","HCPCS","Both",,,"165","82.5","Ambetter","Health Exchange","",,"62",,"102.3","60.39","127.88","percent of total billed charges",,
"TRACH CARE","31502","HCPCS","Both",,,"165","82.5","Caresource","Health Exchange","",,"62",,"102.3","60.39","127.88","percent of total billed charges",,
"TRACH CARE","31502","HCPCS","Both",,,"165","82.5","Cigna","Commercial","",,"59",,"96.69","60.39","127.88","percent of total billed charges",,
"TRACH CARE","31502","HCPCS","Both",,,"165","82.5","Humana","Commercial","",,"78",,"127.88","60.39","127.88","percent of total billed charges",,
"TRACH CARE","31502","HCPCS","Both",,,"165","82.5","UHC","Commercial","",,"75",,"124.41","60.39","127.88","percent of total billed charges",,
"TRACH CARE","31502","HCPCS","Both",,,"165","82.5","Medicaid",,"",,"37",,"60.39","60.39","127.88","percent of total billed charges",,
"PFT EMPLOYMENT","94060","HCPCS","Both",,,"838.5","419.25","Alliant","Health Exchange","",,"62",,"519.87","306.89","649.84","percent of total billed charges",,
"PFT EMPLOYMENT","94060","HCPCS","Both",,,"838.5","419.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"452.79","306.89","649.84","percent of total billed charges",,
"PFT EMPLOYMENT","94060","HCPCS","Both",,,"838.5","419.25","Medicare",,"",,"54",,"454.47","306.89","649.84","percent of total billed charges",,
"PFT EMPLOYMENT","94060","HCPCS","Both",,,"838.5","419.25","Humana","Medicare Advantage","",,"54",,"454.47","306.89","649.84","percent of total billed charges",,
"PFT EMPLOYMENT","94060","HCPCS","Both",,,"838.5","419.25","UHC","Medicare Advantage","",,"54",,"454.47","306.89","649.84","percent of total billed charges",,
"PFT EMPLOYMENT","94060","HCPCS","Both",,,"838.5","419.25","Clover","Medicare Advantage","",,"54",,"454.47","306.89","649.84","percent of total billed charges",,
"PFT EMPLOYMENT","94060","HCPCS","Both",,,"838.5","419.25","Wellcare","Medicare Advantage","",,"54",,"454.47","306.89","649.84","percent of total billed charges",,
"PFT EMPLOYMENT","94060","HCPCS","Both",,,"838.5","419.25","Amerigroup","Medicaid Managed Care","",,"37",,"306.89","306.89","649.84","percent of total billed charges",,
"PFT EMPLOYMENT","94060","HCPCS","Both",,,"838.5","419.25","Caresource","Medicaid Managed Care","",,"40",,"335.4","306.89","649.84","percent of total billed charges",,
"PFT EMPLOYMENT","94060","HCPCS","Both",,,"838.5","419.25","Wellcare","Medicaid Managed Care","",,"40",,"339.59","306.89","649.84","percent of total billed charges",,
"PFT EMPLOYMENT","94060","HCPCS","Both",,,"838.5","419.25","Aetna","Commercial","",,"64",,"534.96","306.89","649.84","percent of total billed charges",,
"PFT EMPLOYMENT","94060","HCPCS","Both",,,"838.5","419.25","Blue Cross Blue Shield","Pathways","",,"71",,"591.98","306.89","649.84","percent of total billed charges",,
"PFT EMPLOYMENT","94060","HCPCS","Both",,,"838.5","419.25","Blue Cross Blue Shield","HMO","",,"71",,"591.98","306.89","649.84","percent of total billed charges",,
"PFT EMPLOYMENT","94060","HCPCS","Both",,,"838.5","419.25","Blue Cross Blue Shield","PPO","",,"71",,"591.98","306.89","649.84","percent of total billed charges",,
"PFT EMPLOYMENT","94060","HCPCS","Both",,,"838.5","419.25","Ambetter","Health Exchange","",,"62",,"519.87","306.89","649.84","percent of total billed charges",,
"PFT EMPLOYMENT","94060","HCPCS","Both",,,"838.5","419.25","Caresource","Health Exchange","",,"62",,"519.87","306.89","649.84","percent of total billed charges",,
"PFT EMPLOYMENT","94060","HCPCS","Both",,,"838.5","419.25","Cigna","Commercial","",,"59",,"491.36","306.89","649.84","percent of total billed charges",,
"PFT EMPLOYMENT","94060","HCPCS","Both",,,"838.5","419.25","Humana","Commercial","",,"78",,"649.84","306.89","649.84","percent of total billed charges",,
"PFT EMPLOYMENT","94060","HCPCS","Both",,,"838.5","419.25","UHC","Commercial","",,"75",,"632.23","306.89","649.84","percent of total billed charges",,
"PFT EMPLOYMENT","94060","HCPCS","Both",,,"838.5","419.25","Medicaid",,"",,"37",,"306.89","306.89","649.84","percent of total billed charges",,
"CPT INITIAL","94667","HCPCS","Both",,,"112","56","Alliant","Health Exchange","",,"62",,"69.44","40.99","86.8","percent of total billed charges",,
"CPT INITIAL","94667","HCPCS","Both",,,"112","56","Pruitt Healthcare","Medicare Advantage","",,"54",,"60.48","40.99","86.8","percent of total billed charges",,
"CPT INITIAL","94667","HCPCS","Both",,,"112","56","Medicare",,"",,"54",,"60.7","40.99","86.8","percent of total billed charges",,
"CPT INITIAL","94667","HCPCS","Both",,,"112","56","Humana","Medicare Advantage","",,"54",,"60.7","40.99","86.8","percent of total billed charges",,
"CPT INITIAL","94667","HCPCS","Both",,,"112","56","UHC","Medicare Advantage","",,"54",,"60.7","40.99","86.8","percent of total billed charges",,
"CPT INITIAL","94667","HCPCS","Both",,,"112","56","Clover","Medicare Advantage","",,"54",,"60.7","40.99","86.8","percent of total billed charges",,
"CPT INITIAL","94667","HCPCS","Both",,,"112","56","Wellcare","Medicare Advantage","",,"54",,"60.7","40.99","86.8","percent of total billed charges",,
"CPT INITIAL","94667","HCPCS","Both",,,"112","56","Amerigroup","Medicaid Managed Care","",,"37",,"40.99","40.99","86.8","percent of total billed charges",,
"CPT INITIAL","94667","HCPCS","Both",,,"112","56","Caresource","Medicaid Managed Care","",,"40",,"44.8","40.99","86.8","percent of total billed charges",,
"CPT INITIAL","94667","HCPCS","Both",,,"112","56","Wellcare","Medicaid Managed Care","",,"40",,"45.36","40.99","86.8","percent of total billed charges",,
"CPT INITIAL","94667","HCPCS","Both",,,"112","56","Aetna","Commercial","",,"64",,"71.46","40.99","86.8","percent of total billed charges",,
"CPT INITIAL","94667","HCPCS","Both",,,"112","56","Blue Cross Blue Shield","Pathways","",,"71",,"79.07","40.99","86.8","percent of total billed charges",,
"CPT INITIAL","94667","HCPCS","Both",,,"112","56","Blue Cross Blue Shield","HMO","",,"71",,"79.07","40.99","86.8","percent of total billed charges",,
"CPT INITIAL","94667","HCPCS","Both",,,"112","56","Blue Cross Blue Shield","PPO","",,"71",,"79.07","40.99","86.8","percent of total billed charges",,
"CPT INITIAL","94667","HCPCS","Both",,,"112","56","Ambetter","Health Exchange","",,"62",,"69.44","40.99","86.8","percent of total billed charges",,
"CPT INITIAL","94667","HCPCS","Both",,,"112","56","Caresource","Health Exchange","",,"62",,"69.44","40.99","86.8","percent of total billed charges",,
"CPT INITIAL","94667","HCPCS","Both",,,"112","56","Cigna","Commercial","",,"59",,"65.63","40.99","86.8","percent of total billed charges",,
"CPT INITIAL","94667","HCPCS","Both",,,"112","56","Humana","Commercial","",,"78",,"86.8","40.99","86.8","percent of total billed charges",,
"CPT INITIAL","94667","HCPCS","Both",,,"112","56","UHC","Commercial","",,"75",,"84.45","40.99","86.8","percent of total billed charges",,
"CPT INITIAL","94667","HCPCS","Both",,,"112","56","Medicaid",,"",,"37",,"40.99","40.99","86.8","percent of total billed charges",,
"INTUBATION ENDOTRACHEAL EMERGENCY","31500","HCPCS","Both",,,"401.28","200.64","Alliant","Health Exchange","",,"62",,"248.79","146.87","323.95","percent of total billed charges",,
"INTUBATION ENDOTRACHEAL EMERGENCY","31500","HCPCS","Both",,,"401.28","200.64","Pruitt Healthcare","Medicare Advantage","",,"54",,"216.69","146.87","323.95","percent of total billed charges",,
"INTUBATION ENDOTRACHEAL EMERGENCY","31500","HCPCS","Both",,,"401.28","200.64","Medicare",,"",,"54",,"217.49","146.87","323.95","percent of total billed charges",,
"INTUBATION ENDOTRACHEAL EMERGENCY","31500","HCPCS","Both",,,"401.28","200.64","Humana","Medicare Advantage","",,"54",,"217.49","146.87","323.95","percent of total billed charges",,
"INTUBATION ENDOTRACHEAL EMERGENCY","31500","HCPCS","Both",,,"401.28","200.64","UHC","Medicare Advantage","",,"54",,"217.49","146.87","323.95","percent of total billed charges",,
"INTUBATION ENDOTRACHEAL EMERGENCY","31500","HCPCS","Both",,,"401.28","200.64","Clover","Medicare Advantage","",,"54",,"217.49","146.87","323.95","percent of total billed charges",,
"INTUBATION ENDOTRACHEAL EMERGENCY","31500","HCPCS","Both",,,"401.28","200.64","Wellcare","Medicare Advantage","",,"54",,"217.49","146.87","323.95","percent of total billed charges",,
"INTUBATION ENDOTRACHEAL EMERGENCY","31500","HCPCS","Both",,,"401.28","200.64","Amerigroup","Medicaid Managed Care","",,"37",,"146.87","146.87","323.95","percent of total billed charges",,
"INTUBATION ENDOTRACHEAL EMERGENCY","31500","HCPCS","Both",,,"401.28","200.64","Caresource","Medicaid Managed Care","",,"40",,"160.51","146.87","323.95","percent of total billed charges",,
"INTUBATION ENDOTRACHEAL EMERGENCY","31500","HCPCS","Both",,,"401.28","200.64","Wellcare","Medicaid Managed Care","",,"40",,"162.52","146.87","323.95","percent of total billed charges",,
"INTUBATION ENDOTRACHEAL EMERGENCY","31500","HCPCS","Both",,,"401.28","200.64","Aetna","Commercial","",,"64",,"256.02","146.87","323.95","percent of total billed charges",,
"INTUBATION ENDOTRACHEAL EMERGENCY","31500","HCPCS","Both",,,"401.28","200.64","Blue Cross Blue Shield","Pathways","",,"71",,"283.3","146.87","323.95","percent of total billed charges",,
"INTUBATION ENDOTRACHEAL EMERGENCY","31500","HCPCS","Both",,,"401.28","200.64","Blue Cross Blue Shield","HMO","",,"71",,"283.3","146.87","323.95","percent of total billed charges",,
"INTUBATION ENDOTRACHEAL EMERGENCY","31500","HCPCS","Both",,,"401.28","200.64","Blue Cross Blue Shield","PPO","",,"71",,"283.3","146.87","323.95","percent of total billed charges",,
"INTUBATION ENDOTRACHEAL EMERGENCY","31500","HCPCS","Both",,,"401.28","200.64","Ambetter","Health Exchange","",,"62",,"248.79","146.87","323.95","percent of total billed charges",,
"INTUBATION ENDOTRACHEAL EMERGENCY","31500","HCPCS","Both",,,"401.28","200.64","Caresource","Health Exchange","",,"62",,"248.79","146.87","323.95","percent of total billed charges",,
"INTUBATION ENDOTRACHEAL EMERGENCY","31500","HCPCS","Both",,,"401.28","200.64","Cigna","Commercial","",,"59",,"235.15","146.87","323.95","percent of total billed charges",,
"INTUBATION ENDOTRACHEAL EMERGENCY","31500","HCPCS","Both",,,"401.28","200.64","Humana","Commercial","",,"78",,"310.99","146.87","323.95","percent of total billed charges",,
"INTUBATION ENDOTRACHEAL EMERGENCY","31500","HCPCS","Both",,,"401.28","200.64","UHC","Commercial","",,"75",,"302.57","146.87","323.95","percent of total billed charges",,
"INTUBATION ENDOTRACHEAL EMERGENCY","31500","HCPCS","Both",,,"401.28","200.64","Medicaid",,"",,"37",,"146.87","146.87","323.95","percent of total billed charges",,
"CPR","92950","HCPCS","Both",,,"502","251","Alliant","Health Exchange","",,"62",,"311.24","183.73","389.05","percent of total billed charges",,
"CPR","92950","HCPCS","Both",,,"502","251","Pruitt Healthcare","Medicare Advantage","",,"54",,"271.08","183.73","389.05","percent of total billed charges",,
"CPR","92950","HCPCS","Both",,,"502","251","Medicare",,"",,"54",,"272.08","183.73","389.05","percent of total billed charges",,
"CPR","92950","HCPCS","Both",,,"502","251","Humana","Medicare Advantage","",,"54",,"272.08","183.73","389.05","percent of total billed charges",,
"CPR","92950","HCPCS","Both",,,"502","251","UHC","Medicare Advantage","",,"54",,"272.08","183.73","389.05","percent of total billed charges",,
"CPR","92950","HCPCS","Both",,,"502","251","Clover","Medicare Advantage","",,"54",,"272.08","183.73","389.05","percent of total billed charges",,
"CPR","92950","HCPCS","Both",,,"502","251","Wellcare","Medicare Advantage","",,"54",,"272.08","183.73","389.05","percent of total billed charges",,
"CPR","92950","HCPCS","Both",,,"502","251","Amerigroup","Medicaid Managed Care","",,"37",,"183.73","183.73","389.05","percent of total billed charges",,
"CPR","92950","HCPCS","Both",,,"502","251","Caresource","Medicaid Managed Care","",,"40",,"200.8","183.73","389.05","percent of total billed charges",,
"CPR","92950","HCPCS","Both",,,"502","251","Wellcare","Medicaid Managed Care","",,"40",,"203.31","183.73","389.05","percent of total billed charges",,
"CPR","92950","HCPCS","Both",,,"502","251","Aetna","Commercial","",,"64",,"320.28","183.73","389.05","percent of total billed charges",,
"CPR","92950","HCPCS","Both",,,"502","251","Blue Cross Blue Shield","Pathways","",,"71",,"354.41","183.73","389.05","percent of total billed charges",,
"CPR","92950","HCPCS","Both",,,"502","251","Blue Cross Blue Shield","HMO","",,"71",,"354.41","183.73","389.05","percent of total billed charges",,
"CPR","92950","HCPCS","Both",,,"502","251","Blue Cross Blue Shield","PPO","",,"71",,"354.41","183.73","389.05","percent of total billed charges",,
"CPR","92950","HCPCS","Both",,,"502","251","Ambetter","Health Exchange","",,"62",,"311.24","183.73","389.05","percent of total billed charges",,
"CPR","92950","HCPCS","Both",,,"502","251","Caresource","Health Exchange","",,"62",,"311.24","183.73","389.05","percent of total billed charges",,
"CPR","92950","HCPCS","Both",,,"502","251","Cigna","Commercial","",,"59",,"294.17","183.73","389.05","percent of total billed charges",,
"CPR","92950","HCPCS","Both",,,"502","251","Humana","Commercial","",,"78",,"389.05","183.73","389.05","percent of total billed charges",,
"CPR","92950","HCPCS","Both",,,"502","251","UHC","Commercial","",,"75",,"378.51","183.73","389.05","percent of total billed charges",,
"CPR","92950","HCPCS","Both",,,"502","251","Medicaid",,"",,"37",,"183.73","183.73","389.05","percent of total billed charges",,
"ABG","82803","HCPCS","Both",,,"145.92","72.96","Alliant","Health Exchange","",,"62",,"90.47","53.41","113.09","percent of total billed charges",,
"ABG","82803","HCPCS","Both",,,"145.92","72.96","Pruitt Healthcare","Medicare Advantage","",,"54",,"78.8","53.41","113.09","percent of total billed charges",,
"ABG","82803","HCPCS","Both",,,"145.92","72.96","Medicare",,"",,"54",,"79.09","53.41","113.09","percent of total billed charges",,
"ABG","82803","HCPCS","Both",,,"145.92","72.96","Humana","Medicare Advantage","",,"54",,"79.09","53.41","113.09","percent of total billed charges",,
"ABG","82803","HCPCS","Both",,,"145.92","72.96","UHC","Medicare Advantage","",,"54",,"79.09","53.41","113.09","percent of total billed charges",,
"ABG","82803","HCPCS","Both",,,"145.92","72.96","Clover","Medicare Advantage","",,"54",,"79.09","53.41","113.09","percent of total billed charges",,
"ABG","82803","HCPCS","Both",,,"145.92","72.96","Wellcare","Medicare Advantage","",,"54",,"79.09","53.41","113.09","percent of total billed charges",,
"ABG","82803","HCPCS","Both",,,"145.92","72.96","Amerigroup","Medicaid Managed Care","",,"37",,"53.41","53.41","113.09","percent of total billed charges",,
"ABG","82803","HCPCS","Both",,,"145.92","72.96","Caresource","Medicaid Managed Care","",,"40",,"58.37","53.41","113.09","percent of total billed charges",,
"ABG","82803","HCPCS","Both",,,"145.92","72.96","Wellcare","Medicaid Managed Care","",,"40",,"59.1","53.41","113.09","percent of total billed charges",,
"ABG","82803","HCPCS","Both",,,"145.92","72.96","Aetna","Commercial","",,"64",,"93.1","53.41","113.09","percent of total billed charges",,
"ABG","82803","HCPCS","Both",,,"145.92","72.96","Blue Cross Blue Shield","Pathways","",,"71",,"103.02","53.41","113.09","percent of total billed charges",,
"ABG","82803","HCPCS","Both",,,"145.92","72.96","Blue Cross Blue Shield","HMO","",,"71",,"103.02","53.41","113.09","percent of total billed charges",,
"ABG","82803","HCPCS","Both",,,"145.92","72.96","Blue Cross Blue Shield","PPO","",,"71",,"103.02","53.41","113.09","percent of total billed charges",,
"ABG","82803","HCPCS","Both",,,"145.92","72.96","Ambetter","Health Exchange","",,"62",,"90.47","53.41","113.09","percent of total billed charges",,
"ABG","82803","HCPCS","Both",,,"145.92","72.96","Caresource","Health Exchange","",,"62",,"90.47","53.41","113.09","percent of total billed charges",,
"ABG","82803","HCPCS","Both",,,"145.92","72.96","Cigna","Commercial","",,"59",,"85.51","53.41","113.09","percent of total billed charges",,
"ABG","82803","HCPCS","Both",,,"145.92","72.96","Humana","Commercial","",,"78",,"113.09","53.41","113.09","percent of total billed charges",,
"ABG","82803","HCPCS","Both",,,"145.92","72.96","UHC","Commercial","",,"75",,"110.02","53.41","113.09","percent of total billed charges",,
"ABG","82803","HCPCS","Both",,,"145.92","72.96","Medicaid",,"",,"37",,"53.41","53.41","113.09","percent of total billed charges",,
"PFT SCREENING","94060","HCPCS","Both",,,"838.5","419.25","Alliant","Health Exchange","",,"62",,"519.87","306.89","649.84","percent of total billed charges",,
"PFT SCREENING","94060","HCPCS","Both",,,"838.5","419.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"452.79","306.89","649.84","percent of total billed charges",,
"PFT SCREENING","94060","HCPCS","Both",,,"838.5","419.25","Medicare",,"",,"54",,"454.47","306.89","649.84","percent of total billed charges",,
"PFT SCREENING","94060","HCPCS","Both",,,"838.5","419.25","Humana","Medicare Advantage","",,"54",,"454.47","306.89","649.84","percent of total billed charges",,
"PFT SCREENING","94060","HCPCS","Both",,,"838.5","419.25","UHC","Medicare Advantage","",,"54",,"454.47","306.89","649.84","percent of total billed charges",,
"PFT SCREENING","94060","HCPCS","Both",,,"838.5","419.25","Clover","Medicare Advantage","",,"54",,"454.47","306.89","649.84","percent of total billed charges",,
"PFT SCREENING","94060","HCPCS","Both",,,"838.5","419.25","Wellcare","Medicare Advantage","",,"54",,"454.47","306.89","649.84","percent of total billed charges",,
"PFT SCREENING","94060","HCPCS","Both",,,"838.5","419.25","Amerigroup","Medicaid Managed Care","",,"37",,"306.89","306.89","649.84","percent of total billed charges",,
"PFT SCREENING","94060","HCPCS","Both",,,"838.5","419.25","Caresource","Medicaid Managed Care","",,"40",,"335.4","306.89","649.84","percent of total billed charges",,
"PFT SCREENING","94060","HCPCS","Both",,,"838.5","419.25","Wellcare","Medicaid Managed Care","",,"40",,"339.59","306.89","649.84","percent of total billed charges",,
"PFT SCREENING","94060","HCPCS","Both",,,"838.5","419.25","Aetna","Commercial","",,"64",,"534.96","306.89","649.84","percent of total billed charges",,
"PFT SCREENING","94060","HCPCS","Both",,,"838.5","419.25","Blue Cross Blue Shield","Pathways","",,"71",,"591.98","306.89","649.84","percent of total billed charges",,
"PFT SCREENING","94060","HCPCS","Both",,,"838.5","419.25","Blue Cross Blue Shield","HMO","",,"71",,"591.98","306.89","649.84","percent of total billed charges",,
"PFT SCREENING","94060","HCPCS","Both",,,"838.5","419.25","Blue Cross Blue Shield","PPO","",,"71",,"591.98","306.89","649.84","percent of total billed charges",,
"PFT SCREENING","94060","HCPCS","Both",,,"838.5","419.25","Ambetter","Health Exchange","",,"62",,"519.87","306.89","649.84","percent of total billed charges",,
"PFT SCREENING","94060","HCPCS","Both",,,"838.5","419.25","Caresource","Health Exchange","",,"62",,"519.87","306.89","649.84","percent of total billed charges",,
"PFT SCREENING","94060","HCPCS","Both",,,"838.5","419.25","Cigna","Commercial","",,"59",,"491.36","306.89","649.84","percent of total billed charges",,
"PFT SCREENING","94060","HCPCS","Both",,,"838.5","419.25","Humana","Commercial","",,"78",,"649.84","306.89","649.84","percent of total billed charges",,
"PFT SCREENING","94060","HCPCS","Both",,,"838.5","419.25","UHC","Commercial","",,"75",,"632.23","306.89","649.84","percent of total billed charges",,
"PFT SCREENING","94060","HCPCS","Both",,,"838.5","419.25","Medicaid",,"",,"37",,"306.89","306.89","649.84","percent of total billed charges",,
"INCENTIVE SPIROMETRY TREATMENT","94010","HCPCS","Both",,,"250","125","Alliant","Health Exchange","",,"62",,"155","91.5","193.75","percent of total billed charges",,
"INCENTIVE SPIROMETRY TREATMENT","94010","HCPCS","Both",,,"250","125","Pruitt Healthcare","Medicare Advantage","",,"54",,"135","91.5","193.75","percent of total billed charges",,
"INCENTIVE SPIROMETRY TREATMENT","94010","HCPCS","Both",,,"250","125","Medicare",,"",,"54",,"135.5","91.5","193.75","percent of total billed charges",,
"INCENTIVE SPIROMETRY TREATMENT","94010","HCPCS","Both",,,"250","125","Humana","Medicare Advantage","",,"54",,"135.5","91.5","193.75","percent of total billed charges",,
"INCENTIVE SPIROMETRY TREATMENT","94010","HCPCS","Both",,,"250","125","UHC","Medicare Advantage","",,"54",,"135.5","91.5","193.75","percent of total billed charges",,
"INCENTIVE SPIROMETRY TREATMENT","94010","HCPCS","Both",,,"250","125","Clover","Medicare Advantage","",,"54",,"135.5","91.5","193.75","percent of total billed charges",,
"INCENTIVE SPIROMETRY TREATMENT","94010","HCPCS","Both",,,"250","125","Wellcare","Medicare Advantage","",,"54",,"135.5","91.5","193.75","percent of total billed charges",,
"INCENTIVE SPIROMETRY TREATMENT","94010","HCPCS","Both",,,"250","125","Amerigroup","Medicaid Managed Care","",,"37",,"91.5","91.5","193.75","percent of total billed charges",,
"INCENTIVE SPIROMETRY TREATMENT","94010","HCPCS","Both",,,"250","125","Caresource","Medicaid Managed Care","",,"40",,"100","91.5","193.75","percent of total billed charges",,
"INCENTIVE SPIROMETRY TREATMENT","94010","HCPCS","Both",,,"250","125","Wellcare","Medicaid Managed Care","",,"40",,"101.25","91.5","193.75","percent of total billed charges",,
"INCENTIVE SPIROMETRY TREATMENT","94010","HCPCS","Both",,,"250","125","Aetna","Commercial","",,"64",,"159.5","91.5","193.75","percent of total billed charges",,
"INCENTIVE SPIROMETRY TREATMENT","94010","HCPCS","Both",,,"250","125","Blue Cross Blue Shield","Pathways","",,"71",,"176.5","91.5","193.75","percent of total billed charges",,
"INCENTIVE SPIROMETRY TREATMENT","94010","HCPCS","Both",,,"250","125","Blue Cross Blue Shield","HMO","",,"71",,"176.5","91.5","193.75","percent of total billed charges",,
"INCENTIVE SPIROMETRY TREATMENT","94010","HCPCS","Both",,,"250","125","Blue Cross Blue Shield","PPO","",,"71",,"176.5","91.5","193.75","percent of total billed charges",,
"INCENTIVE SPIROMETRY TREATMENT","94010","HCPCS","Both",,,"250","125","Ambetter","Health Exchange","",,"62",,"155","91.5","193.75","percent of total billed charges",,
"INCENTIVE SPIROMETRY TREATMENT","94010","HCPCS","Both",,,"250","125","Caresource","Health Exchange","",,"62",,"155","91.5","193.75","percent of total billed charges",,
"INCENTIVE SPIROMETRY TREATMENT","94010","HCPCS","Both",,,"250","125","Cigna","Commercial","",,"59",,"146.5","91.5","193.75","percent of total billed charges",,
"INCENTIVE SPIROMETRY TREATMENT","94010","HCPCS","Both",,,"250","125","Humana","Commercial","",,"78",,"193.75","91.5","193.75","percent of total billed charges",,
"INCENTIVE SPIROMETRY TREATMENT","94010","HCPCS","Both",,,"250","125","UHC","Commercial","",,"75",,"188.5","91.5","193.75","percent of total billed charges",,
"INCENTIVE SPIROMETRY TREATMENT","94010","HCPCS","Both",,,"250","125","Medicaid",,"",,"37",,"91.5","91.5","193.75","percent of total billed charges",,
"HOLTER MONITOR REVIEW/INTERP BY PHYSICIA","93227","HCPCS","Both",,,"227.55","113.775","Alliant","Health Exchange","",,"62",,"141.08","83.28","176.35","percent of total billed charges",,
"HOLTER MONITOR REVIEW/INTERP BY PHYSICIA","93227","HCPCS","Both",,,"227.55","113.775","Pruitt Healthcare","Medicare Advantage","",,"54",,"122.88","83.28","176.35","percent of total billed charges",,
"HOLTER MONITOR REVIEW/INTERP BY PHYSICIA","93227","HCPCS","Both",,,"227.55","113.775","Medicare",,"",,"54",,"123.33","83.28","176.35","percent of total billed charges",,
"HOLTER MONITOR REVIEW/INTERP BY PHYSICIA","93227","HCPCS","Both",,,"227.55","113.775","Humana","Medicare Advantage","",,"54",,"123.33","83.28","176.35","percent of total billed charges",,
"HOLTER MONITOR REVIEW/INTERP BY PHYSICIA","93227","HCPCS","Both",,,"227.55","113.775","UHC","Medicare Advantage","",,"54",,"123.33","83.28","176.35","percent of total billed charges",,
"HOLTER MONITOR REVIEW/INTERP BY PHYSICIA","93227","HCPCS","Both",,,"227.55","113.775","Clover","Medicare Advantage","",,"54",,"123.33","83.28","176.35","percent of total billed charges",,
"HOLTER MONITOR REVIEW/INTERP BY PHYSICIA","93227","HCPCS","Both",,,"227.55","113.775","Wellcare","Medicare Advantage","",,"54",,"123.33","83.28","176.35","percent of total billed charges",,
"HOLTER MONITOR REVIEW/INTERP BY PHYSICIA","93227","HCPCS","Both",,,"227.55","113.775","Amerigroup","Medicaid Managed Care","",,"37",,"83.28","83.28","176.35","percent of total billed charges",,
"HOLTER MONITOR REVIEW/INTERP BY PHYSICIA","93227","HCPCS","Both",,,"227.55","113.775","Caresource","Medicaid Managed Care","",,"40",,"91.02","83.28","176.35","percent of total billed charges",,
"HOLTER MONITOR REVIEW/INTERP BY PHYSICIA","93227","HCPCS","Both",,,"227.55","113.775","Wellcare","Medicaid Managed Care","",,"40",,"92.16","83.28","176.35","percent of total billed charges",,
"HOLTER MONITOR REVIEW/INTERP BY PHYSICIA","93227","HCPCS","Both",,,"227.55","113.775","Aetna","Commercial","",,"64",,"145.18","83.28","176.35","percent of total billed charges",,
"HOLTER MONITOR REVIEW/INTERP BY PHYSICIA","93227","HCPCS","Both",,,"227.55","113.775","Blue Cross Blue Shield","Pathways","",,"71",,"160.65","83.28","176.35","percent of total billed charges",,
"HOLTER MONITOR REVIEW/INTERP BY PHYSICIA","93227","HCPCS","Both",,,"227.55","113.775","Blue Cross Blue Shield","HMO","",,"71",,"160.65","83.28","176.35","percent of total billed charges",,
"HOLTER MONITOR REVIEW/INTERP BY PHYSICIA","93227","HCPCS","Both",,,"227.55","113.775","Blue Cross Blue Shield","PPO","",,"71",,"160.65","83.28","176.35","percent of total billed charges",,
"HOLTER MONITOR REVIEW/INTERP BY PHYSICIA","93227","HCPCS","Both",,,"227.55","113.775","Ambetter","Health Exchange","",,"62",,"141.08","83.28","176.35","percent of total billed charges",,
"HOLTER MONITOR REVIEW/INTERP BY PHYSICIA","93227","HCPCS","Both",,,"227.55","113.775","Caresource","Health Exchange","",,"62",,"141.08","83.28","176.35","percent of total billed charges",,
"HOLTER MONITOR REVIEW/INTERP BY PHYSICIA","93227","HCPCS","Both",,,"227.55","113.775","Cigna","Commercial","",,"59",,"133.34","83.28","176.35","percent of total billed charges",,
"HOLTER MONITOR REVIEW/INTERP BY PHYSICIA","93227","HCPCS","Both",,,"227.55","113.775","Humana","Commercial","",,"78",,"176.35","83.28","176.35","percent of total billed charges",,
"HOLTER MONITOR REVIEW/INTERP BY PHYSICIA","93227","HCPCS","Both",,,"227.55","113.775","UHC","Commercial","",,"75",,"171.57","83.28","176.35","percent of total billed charges",,
"HOLTER MONITOR REVIEW/INTERP BY PHYSICIA","93227","HCPCS","Both",,,"227.55","113.775","Medicaid",,"",,"37",,"83.28","83.28","176.35","percent of total billed charges",,
"ARTERIAL PUNCTURE","36600","HCPCS","Both",,,"112","56","Alliant","Health Exchange","",,"62",,"69.44","40.99","86.8","percent of total billed charges",,
"ARTERIAL PUNCTURE","36600","HCPCS","Both",,,"112","56","Pruitt Healthcare","Medicare Advantage","",,"54",,"60.48","40.99","86.8","percent of total billed charges",,
"ARTERIAL PUNCTURE","36600","HCPCS","Both",,,"112","56","Medicare",,"",,"54",,"60.7","40.99","86.8","percent of total billed charges",,
"ARTERIAL PUNCTURE","36600","HCPCS","Both",,,"112","56","Humana","Medicare Advantage","",,"54",,"60.7","40.99","86.8","percent of total billed charges",,
"ARTERIAL PUNCTURE","36600","HCPCS","Both",,,"112","56","UHC","Medicare Advantage","",,"54",,"60.7","40.99","86.8","percent of total billed charges",,
"ARTERIAL PUNCTURE","36600","HCPCS","Both",,,"112","56","Clover","Medicare Advantage","",,"54",,"60.7","40.99","86.8","percent of total billed charges",,
"ARTERIAL PUNCTURE","36600","HCPCS","Both",,,"112","56","Wellcare","Medicare Advantage","",,"54",,"60.7","40.99","86.8","percent of total billed charges",,
"ARTERIAL PUNCTURE","36600","HCPCS","Both",,,"112","56","Amerigroup","Medicaid Managed Care","",,"37",,"40.99","40.99","86.8","percent of total billed charges",,
"ARTERIAL PUNCTURE","36600","HCPCS","Both",,,"112","56","Caresource","Medicaid Managed Care","",,"40",,"44.8","40.99","86.8","percent of total billed charges",,
"ARTERIAL PUNCTURE","36600","HCPCS","Both",,,"112","56","Wellcare","Medicaid Managed Care","",,"40",,"45.36","40.99","86.8","percent of total billed charges",,
"ARTERIAL PUNCTURE","36600","HCPCS","Both",,,"112","56","Aetna","Commercial","",,"64",,"71.46","40.99","86.8","percent of total billed charges",,
"ARTERIAL PUNCTURE","36600","HCPCS","Both",,,"112","56","Blue Cross Blue Shield","Pathways","",,"71",,"79.07","40.99","86.8","percent of total billed charges",,
"ARTERIAL PUNCTURE","36600","HCPCS","Both",,,"112","56","Blue Cross Blue Shield","HMO","",,"71",,"79.07","40.99","86.8","percent of total billed charges",,
"ARTERIAL PUNCTURE","36600","HCPCS","Both",,,"112","56","Blue Cross Blue Shield","PPO","",,"71",,"79.07","40.99","86.8","percent of total billed charges",,
"ARTERIAL PUNCTURE","36600","HCPCS","Both",,,"112","56","Ambetter","Health Exchange","",,"62",,"69.44","40.99","86.8","percent of total billed charges",,
"ARTERIAL PUNCTURE","36600","HCPCS","Both",,,"112","56","Caresource","Health Exchange","",,"62",,"69.44","40.99","86.8","percent of total billed charges",,
"ARTERIAL PUNCTURE","36600","HCPCS","Both",,,"112","56","Cigna","Commercial","",,"59",,"65.63","40.99","86.8","percent of total billed charges",,
"ARTERIAL PUNCTURE","36600","HCPCS","Both",,,"112","56","Humana","Commercial","",,"78",,"86.8","40.99","86.8","percent of total billed charges",,
"ARTERIAL PUNCTURE","36600","HCPCS","Both",,,"112","56","UHC","Commercial","",,"75",,"84.45","40.99","86.8","percent of total billed charges",,
"ARTERIAL PUNCTURE","36600","HCPCS","Both",,,"112","56","Medicaid",,"",,"37",,"40.99","40.99","86.8","percent of total billed charges",,
"VENTILATION ASSIST INITIAL DAY","94002","HCPCS","Both",,,"815.04","407.52","Alliant","Health Exchange","",,"62",,"505.32","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST INITIAL DAY","94002","HCPCS","Both",,,"815.04","407.52","Pruitt Healthcare","Medicare Advantage","",,"54",,"440.12","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST INITIAL DAY","94002","HCPCS","Both",,,"815.04","407.52","Medicare",,"",,"54",,"441.75","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST INITIAL DAY","94002","HCPCS","Both",,,"815.04","407.52","Humana","Medicare Advantage","",,"54",,"441.75","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST INITIAL DAY","94002","HCPCS","Both",,,"815.04","407.52","UHC","Medicare Advantage","",,"54",,"441.75","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST INITIAL DAY","94002","HCPCS","Both",,,"815.04","407.52","Clover","Medicare Advantage","",,"54",,"441.75","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST INITIAL DAY","94002","HCPCS","Both",,,"815.04","407.52","Wellcare","Medicare Advantage","",,"54",,"441.75","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST INITIAL DAY","94002","HCPCS","Both",,,"815.04","407.52","Amerigroup","Medicaid Managed Care","",,"37",,"298.3","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST INITIAL DAY","94002","HCPCS","Both",,,"815.04","407.52","Caresource","Medicaid Managed Care","",,"40",,"326.02","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST INITIAL DAY","94002","HCPCS","Both",,,"815.04","407.52","Wellcare","Medicaid Managed Care","",,"40",,"330.09","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST INITIAL DAY","94002","HCPCS","Both",,,"815.04","407.52","Aetna","Commercial","",,"64",,"520","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST INITIAL DAY","94002","HCPCS","Both",,,"815.04","407.52","Blue Cross Blue Shield","Pathways","",,"71",,"575.42","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST INITIAL DAY","94002","HCPCS","Both",,,"815.04","407.52","Blue Cross Blue Shield","HMO","",,"71",,"575.42","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST INITIAL DAY","94002","HCPCS","Both",,,"815.04","407.52","Blue Cross Blue Shield","PPO","",,"71",,"575.42","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST INITIAL DAY","94002","HCPCS","Both",,,"815.04","407.52","Ambetter","Health Exchange","",,"62",,"505.32","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST INITIAL DAY","94002","HCPCS","Both",,,"815.04","407.52","Caresource","Health Exchange","",,"62",,"505.32","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST INITIAL DAY","94002","HCPCS","Both",,,"815.04","407.52","Cigna","Commercial","",,"59",,"477.61","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST INITIAL DAY","94002","HCPCS","Both",,,"815.04","407.52","Humana","Commercial","",,"78",,"631.66","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST INITIAL DAY","94002","HCPCS","Both",,,"815.04","407.52","UHC","Commercial","",,"75",,"614.54","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST INITIAL DAY","94002","HCPCS","Both",,,"815.04","407.52","Medicaid",,"",,"37",,"298.3","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST SUB DAY","94003","HCPCS","Both",,,"485.5","242.75","Alliant","Health Exchange","",,"62",,"301.01","177.69","376.26","percent of total billed charges",,
"VENTILATION ASSIST SUB DAY","94003","HCPCS","Both",,,"485.5","242.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"262.17","177.69","376.26","percent of total billed charges",,
"VENTILATION ASSIST SUB DAY","94003","HCPCS","Both",,,"485.5","242.75","Medicare",,"",,"54",,"263.14","177.69","376.26","percent of total billed charges",,
"VENTILATION ASSIST SUB DAY","94003","HCPCS","Both",,,"485.5","242.75","Humana","Medicare Advantage","",,"54",,"263.14","177.69","376.26","percent of total billed charges",,
"VENTILATION ASSIST SUB DAY","94003","HCPCS","Both",,,"485.5","242.75","UHC","Medicare Advantage","",,"54",,"263.14","177.69","376.26","percent of total billed charges",,
"VENTILATION ASSIST SUB DAY","94003","HCPCS","Both",,,"485.5","242.75","Clover","Medicare Advantage","",,"54",,"263.14","177.69","376.26","percent of total billed charges",,
"VENTILATION ASSIST SUB DAY","94003","HCPCS","Both",,,"485.5","242.75","Wellcare","Medicare Advantage","",,"54",,"263.14","177.69","376.26","percent of total billed charges",,
"VENTILATION ASSIST SUB DAY","94003","HCPCS","Both",,,"485.5","242.75","Amerigroup","Medicaid Managed Care","",,"37",,"177.69","177.69","376.26","percent of total billed charges",,
"VENTILATION ASSIST SUB DAY","94003","HCPCS","Both",,,"485.5","242.75","Caresource","Medicaid Managed Care","",,"40",,"194.2","177.69","376.26","percent of total billed charges",,
"VENTILATION ASSIST SUB DAY","94003","HCPCS","Both",,,"485.5","242.75","Wellcare","Medicaid Managed Care","",,"40",,"196.63","177.69","376.26","percent of total billed charges",,
"VENTILATION ASSIST SUB DAY","94003","HCPCS","Both",,,"485.5","242.75","Aetna","Commercial","",,"64",,"309.75","177.69","376.26","percent of total billed charges",,
"VENTILATION ASSIST SUB DAY","94003","HCPCS","Both",,,"485.5","242.75","Blue Cross Blue Shield","Pathways","",,"71",,"342.76","177.69","376.26","percent of total billed charges",,
"VENTILATION ASSIST SUB DAY","94003","HCPCS","Both",,,"485.5","242.75","Blue Cross Blue Shield","HMO","",,"71",,"342.76","177.69","376.26","percent of total billed charges",,
"VENTILATION ASSIST SUB DAY","94003","HCPCS","Both",,,"485.5","242.75","Blue Cross Blue Shield","PPO","",,"71",,"342.76","177.69","376.26","percent of total billed charges",,
"VENTILATION ASSIST SUB DAY","94003","HCPCS","Both",,,"485.5","242.75","Ambetter","Health Exchange","",,"62",,"301.01","177.69","376.26","percent of total billed charges",,
"VENTILATION ASSIST SUB DAY","94003","HCPCS","Both",,,"485.5","242.75","Caresource","Health Exchange","",,"62",,"301.01","177.69","376.26","percent of total billed charges",,
"VENTILATION ASSIST SUB DAY","94003","HCPCS","Both",,,"485.5","242.75","Cigna","Commercial","",,"59",,"284.5","177.69","376.26","percent of total billed charges",,
"VENTILATION ASSIST SUB DAY","94003","HCPCS","Both",,,"485.5","242.75","Humana","Commercial","",,"78",,"376.26","177.69","376.26","percent of total billed charges",,
"VENTILATION ASSIST SUB DAY","94003","HCPCS","Both",,,"485.5","242.75","UHC","Commercial","",,"75",,"366.07","177.69","376.26","percent of total billed charges",,
"VENTILATION ASSIST SUB DAY","94003","HCPCS","Both",,,"485.5","242.75","Medicaid",,"",,"37",,"177.69","177.69","376.26","percent of total billed charges",,
"HOLTER MONITOR UP TO 48hrsRECORDING ONLY","93225","HCPCS","Both",,,"390","195","Alliant","Health Exchange","",,"62",,"241.8","142.74","302.25","percent of total billed charges",,
"HOLTER MONITOR UP TO 48hrsRECORDING ONLY","93225","HCPCS","Both",,,"390","195","Pruitt Healthcare","Medicare Advantage","",,"54",,"210.6","142.74","302.25","percent of total billed charges",,
"HOLTER MONITOR UP TO 48hrsRECORDING ONLY","93225","HCPCS","Both",,,"390","195","Medicare",,"",,"54",,"211.38","142.74","302.25","percent of total billed charges",,
"HOLTER MONITOR UP TO 48hrsRECORDING ONLY","93225","HCPCS","Both",,,"390","195","Humana","Medicare Advantage","",,"54",,"211.38","142.74","302.25","percent of total billed charges",,
"HOLTER MONITOR UP TO 48hrsRECORDING ONLY","93225","HCPCS","Both",,,"390","195","UHC","Medicare Advantage","",,"54",,"211.38","142.74","302.25","percent of total billed charges",,
"HOLTER MONITOR UP TO 48hrsRECORDING ONLY","93225","HCPCS","Both",,,"390","195","Clover","Medicare Advantage","",,"54",,"211.38","142.74","302.25","percent of total billed charges",,
"HOLTER MONITOR UP TO 48hrsRECORDING ONLY","93225","HCPCS","Both",,,"390","195","Wellcare","Medicare Advantage","",,"54",,"211.38","142.74","302.25","percent of total billed charges",,
"HOLTER MONITOR UP TO 48hrsRECORDING ONLY","93225","HCPCS","Both",,,"390","195","Amerigroup","Medicaid Managed Care","",,"37",,"142.74","142.74","302.25","percent of total billed charges",,
"HOLTER MONITOR UP TO 48hrsRECORDING ONLY","93225","HCPCS","Both",,,"390","195","Caresource","Medicaid Managed Care","",,"40",,"156","142.74","302.25","percent of total billed charges",,
"HOLTER MONITOR UP TO 48hrsRECORDING ONLY","93225","HCPCS","Both",,,"390","195","Wellcare","Medicaid Managed Care","",,"40",,"157.95","142.74","302.25","percent of total billed charges",,
"HOLTER MONITOR UP TO 48hrsRECORDING ONLY","93225","HCPCS","Both",,,"390","195","Aetna","Commercial","",,"64",,"248.82","142.74","302.25","percent of total billed charges",,
"HOLTER MONITOR UP TO 48hrsRECORDING ONLY","93225","HCPCS","Both",,,"390","195","Blue Cross Blue Shield","Pathways","",,"71",,"275.34","142.74","302.25","percent of total billed charges",,
"HOLTER MONITOR UP TO 48hrsRECORDING ONLY","93225","HCPCS","Both",,,"390","195","Blue Cross Blue Shield","HMO","",,"71",,"275.34","142.74","302.25","percent of total billed charges",,
"HOLTER MONITOR UP TO 48hrsRECORDING ONLY","93225","HCPCS","Both",,,"390","195","Blue Cross Blue Shield","PPO","",,"71",,"275.34","142.74","302.25","percent of total billed charges",,
"HOLTER MONITOR UP TO 48hrsRECORDING ONLY","93225","HCPCS","Both",,,"390","195","Ambetter","Health Exchange","",,"62",,"241.8","142.74","302.25","percent of total billed charges",,
"HOLTER MONITOR UP TO 48hrsRECORDING ONLY","93225","HCPCS","Both",,,"390","195","Caresource","Health Exchange","",,"62",,"241.8","142.74","302.25","percent of total billed charges",,
"HOLTER MONITOR UP TO 48hrsRECORDING ONLY","93225","HCPCS","Both",,,"390","195","Cigna","Commercial","",,"59",,"228.54","142.74","302.25","percent of total billed charges",,
"HOLTER MONITOR UP TO 48hrsRECORDING ONLY","93225","HCPCS","Both",,,"390","195","Humana","Commercial","",,"78",,"302.25","142.74","302.25","percent of total billed charges",,
"HOLTER MONITOR UP TO 48hrsRECORDING ONLY","93225","HCPCS","Both",,,"390","195","UHC","Commercial","",,"75",,"294.06","142.74","302.25","percent of total billed charges",,
"HOLTER MONITOR UP TO 48hrsRECORDING ONLY","93225","HCPCS","Both",,,"390","195","Medicaid",,"",,"37",,"142.74","142.74","302.25","percent of total billed charges",,
"PULSE OXIMETRY SINGLE","94760","HCPCS","Both",,,"14","7","Alliant","Health Exchange","",,"62",,"8.68","5.12","10.85","percent of total billed charges",,
"PULSE OXIMETRY SINGLE","94760","HCPCS","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage","",,"54",,"7.56","5.12","10.85","percent of total billed charges",,
"PULSE OXIMETRY SINGLE","94760","HCPCS","Both",,,"14","7","Medicare",,"",,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"PULSE OXIMETRY SINGLE","94760","HCPCS","Both",,,"14","7","Humana","Medicare Advantage","",,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"PULSE OXIMETRY SINGLE","94760","HCPCS","Both",,,"14","7","UHC","Medicare Advantage","",,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"PULSE OXIMETRY SINGLE","94760","HCPCS","Both",,,"14","7","Clover","Medicare Advantage","",,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"PULSE OXIMETRY SINGLE","94760","HCPCS","Both",,,"14","7","Wellcare","Medicare Advantage","",,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"PULSE OXIMETRY SINGLE","94760","HCPCS","Both",,,"14","7","Amerigroup","Medicaid Managed Care","",,"37",,"5.12","5.12","10.85","percent of total billed charges",,
"PULSE OXIMETRY SINGLE","94760","HCPCS","Both",,,"14","7","Caresource","Medicaid Managed Care","",,"40",,"5.6","5.12","10.85","percent of total billed charges",,
"PULSE OXIMETRY SINGLE","94760","HCPCS","Both",,,"14","7","Wellcare","Medicaid Managed Care","",,"40",,"5.67","5.12","10.85","percent of total billed charges",,
"PULSE OXIMETRY SINGLE","94760","HCPCS","Both",,,"14","7","Aetna","Commercial","",,"64",,"8.93","5.12","10.85","percent of total billed charges",,
"PULSE OXIMETRY SINGLE","94760","HCPCS","Both",,,"14","7","Blue Cross Blue Shield","Pathways","",,"71",,"9.88","5.12","10.85","percent of total billed charges",,
"PULSE OXIMETRY SINGLE","94760","HCPCS","Both",,,"14","7","Blue Cross Blue Shield","HMO","",,"71",,"9.88","5.12","10.85","percent of total billed charges",,
"PULSE OXIMETRY SINGLE","94760","HCPCS","Both",,,"14","7","Blue Cross Blue Shield","PPO","",,"71",,"9.88","5.12","10.85","percent of total billed charges",,
"PULSE OXIMETRY SINGLE","94760","HCPCS","Both",,,"14","7","Ambetter","Health Exchange","",,"62",,"8.68","5.12","10.85","percent of total billed charges",,
"PULSE OXIMETRY SINGLE","94760","HCPCS","Both",,,"14","7","Caresource","Health Exchange","",,"62",,"8.68","5.12","10.85","percent of total billed charges",,
"PULSE OXIMETRY SINGLE","94760","HCPCS","Both",,,"14","7","Cigna","Commercial","",,"59",,"8.2","5.12","10.85","percent of total billed charges",,
"PULSE OXIMETRY SINGLE","94760","HCPCS","Both",,,"14","7","Humana","Commercial","",,"78",,"10.85","5.12","10.85","percent of total billed charges",,
"PULSE OXIMETRY SINGLE","94760","HCPCS","Both",,,"14","7","UHC","Commercial","",,"75",,"10.56","5.12","10.85","percent of total billed charges",,
"PULSE OXIMETRY SINGLE","94760","HCPCS","Both",,,"14","7","Medicaid",,"",,"37",,"5.12","5.12","10.85","percent of total billed charges",,
"PULSE OXIMETER BY CONT OVERNIGHT MONITOR","94762","HCPCS","Both",,,"205.5","102.75","Alliant","Health Exchange","",,"62",,"127.41","75.21","159.26","percent of total billed charges",,
"PULSE OXIMETER BY CONT OVERNIGHT MONITOR","94762","HCPCS","Both",,,"205.5","102.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"110.97","75.21","159.26","percent of total billed charges",,
"PULSE OXIMETER BY CONT OVERNIGHT MONITOR","94762","HCPCS","Both",,,"205.5","102.75","Medicare",,"",,"54",,"111.38","75.21","159.26","percent of total billed charges",,
"PULSE OXIMETER BY CONT OVERNIGHT MONITOR","94762","HCPCS","Both",,,"205.5","102.75","Humana","Medicare Advantage","",,"54",,"111.38","75.21","159.26","percent of total billed charges",,
"PULSE OXIMETER BY CONT OVERNIGHT MONITOR","94762","HCPCS","Both",,,"205.5","102.75","UHC","Medicare Advantage","",,"54",,"111.38","75.21","159.26","percent of total billed charges",,
"PULSE OXIMETER BY CONT OVERNIGHT MONITOR","94762","HCPCS","Both",,,"205.5","102.75","Clover","Medicare Advantage","",,"54",,"111.38","75.21","159.26","percent of total billed charges",,
"PULSE OXIMETER BY CONT OVERNIGHT MONITOR","94762","HCPCS","Both",,,"205.5","102.75","Wellcare","Medicare Advantage","",,"54",,"111.38","75.21","159.26","percent of total billed charges",,
"PULSE OXIMETER BY CONT OVERNIGHT MONITOR","94762","HCPCS","Both",,,"205.5","102.75","Amerigroup","Medicaid Managed Care","",,"37",,"75.21","75.21","159.26","percent of total billed charges",,
"PULSE OXIMETER BY CONT OVERNIGHT MONITOR","94762","HCPCS","Both",,,"205.5","102.75","Caresource","Medicaid Managed Care","",,"40",,"82.2","75.21","159.26","percent of total billed charges",,
"PULSE OXIMETER BY CONT OVERNIGHT MONITOR","94762","HCPCS","Both",,,"205.5","102.75","Wellcare","Medicaid Managed Care","",,"40",,"83.23","75.21","159.26","percent of total billed charges",,
"PULSE OXIMETER BY CONT OVERNIGHT MONITOR","94762","HCPCS","Both",,,"205.5","102.75","Aetna","Commercial","",,"64",,"131.11","75.21","159.26","percent of total billed charges",,
"PULSE OXIMETER BY CONT OVERNIGHT MONITOR","94762","HCPCS","Both",,,"205.5","102.75","Blue Cross Blue Shield","Pathways","",,"71",,"145.08","75.21","159.26","percent of total billed charges",,
"PULSE OXIMETER BY CONT OVERNIGHT MONITOR","94762","HCPCS","Both",,,"205.5","102.75","Blue Cross Blue Shield","HMO","",,"71",,"145.08","75.21","159.26","percent of total billed charges",,
"PULSE OXIMETER BY CONT OVERNIGHT MONITOR","94762","HCPCS","Both",,,"205.5","102.75","Blue Cross Blue Shield","PPO","",,"71",,"145.08","75.21","159.26","percent of total billed charges",,
"PULSE OXIMETER BY CONT OVERNIGHT MONITOR","94762","HCPCS","Both",,,"205.5","102.75","Ambetter","Health Exchange","",,"62",,"127.41","75.21","159.26","percent of total billed charges",,
"PULSE OXIMETER BY CONT OVERNIGHT MONITOR","94762","HCPCS","Both",,,"205.5","102.75","Caresource","Health Exchange","",,"62",,"127.41","75.21","159.26","percent of total billed charges",,
"PULSE OXIMETER BY CONT OVERNIGHT MONITOR","94762","HCPCS","Both",,,"205.5","102.75","Cigna","Commercial","",,"59",,"120.42","75.21","159.26","percent of total billed charges",,
"PULSE OXIMETER BY CONT OVERNIGHT MONITOR","94762","HCPCS","Both",,,"205.5","102.75","Humana","Commercial","",,"78",,"159.26","75.21","159.26","percent of total billed charges",,
"PULSE OXIMETER BY CONT OVERNIGHT MONITOR","94762","HCPCS","Both",,,"205.5","102.75","UHC","Commercial","",,"75",,"154.95","75.21","159.26","percent of total billed charges",,
"PULSE OXIMETER BY CONT OVERNIGHT MONITOR","94762","HCPCS","Both",,,"205.5","102.75","Medicaid",,"",,"37",,"75.21","75.21","159.26","percent of total billed charges",,
"MDI INITIAL","94640","HCPCS","Both",,,"140.98","70.49","Alliant","Health Exchange","",,"62",,"87.41","18.3","148.41","percent of total billed charges",,
"MDI INITIAL","94640","HCPCS","Both",,,"140.98","70.49","Pruitt Healthcare","Medicare Advantage","",,"54",,"76.13","18.3","148.41","percent of total billed charges",,
"MDI INITIAL","94640","HCPCS","Both",,,"140.98","70.49","Medicare",,"",,"54",,"76.41","18.3","148.41","percent of total billed charges",,
"MDI INITIAL","94640","HCPCS","Both",,,"140.98","70.49","Humana","Medicare Advantage","",,"54",,"76.41","18.3","148.41","percent of total billed charges",,
"MDI INITIAL","94640","HCPCS","Both",,,"140.98","70.49","UHC","Medicare Advantage","",,"54",,"76.41","18.3","148.41","percent of total billed charges",,
"MDI INITIAL","94640","HCPCS","Both",,,"140.98","70.49","Clover","Medicare Advantage","",,"54",,"76.41","18.3","148.41","percent of total billed charges",,
"MDI INITIAL","94640","HCPCS","Both",,,"140.98","70.49","Wellcare","Medicare Advantage","",,"54",,"76.41","18.3","148.41","percent of total billed charges",,
"MDI INITIAL","94640","HCPCS","Both",,,"140.98","70.49","Amerigroup","Medicaid Managed Care","",,"37",,"51.6","18.3","148.41","percent of total billed charges",,
"MDI INITIAL","94640","HCPCS","Both",,,"140.98","70.49","Caresource","Medicaid Managed Care","",,"40",,"56.39","18.3","148.41","percent of total billed charges",,
"MDI INITIAL","94640","HCPCS","Both",,,"140.98","70.49","Wellcare","Medicaid Managed Care","",,"40",,"57.1","18.3","148.41","percent of total billed charges",,
"MDI INITIAL","94640","HCPCS","Both",,,"140.98","70.49","Aetna","Commercial","",,"64",,"89.95","18.3","148.41","percent of total billed charges",,
"MDI INITIAL","94640","HCPCS","Both",,,"140.98","70.49","Blue Cross Blue Shield","Pathways","",,"71",,"99.53","18.3","148.41","percent of total billed charges",,
"MDI INITIAL","94640","HCPCS","Both",,,"140.98","70.49","Blue Cross Blue Shield","HMO","",,"71",,"99.53","18.3","148.41","percent of total billed charges",,
"MDI INITIAL","94640","HCPCS","Both",,,"140.98","70.49","Blue Cross Blue Shield","PPO","",,"71",,"99.53","18.3","148.41","percent of total billed charges",,
"MDI INITIAL","94640","HCPCS","Both",,,"140.98","70.49","Ambetter","Health Exchange","",,"62",,"87.41","18.3","148.41","percent of total billed charges",,
"MDI INITIAL","94640","HCPCS","Both",,,"140.98","70.49","Caresource","Health Exchange","",,"62",,"87.41","18.3","148.41","percent of total billed charges",,
"MDI INITIAL","94640","HCPCS","Both",,,"140.98","70.49","Cigna","Commercial","",,"59",,"82.61","18.3","148.41","percent of total billed charges",,
"MDI INITIAL","94640","HCPCS","Both",,,"140.98","70.49","Humana","Commercial","",,"78",,"109.26","18.3","148.41","percent of total billed charges",,
"MDI INITIAL","94640","HCPCS","Both",,,"140.98","70.49","UHC","Commercial","",,"75",,"106.3","18.3","148.41","percent of total billed charges",,
"MDI INITIAL","94640","HCPCS","Both",,,"140.98","70.49","Medicaid",,"",,"37",,"51.6","18.3","148.41","percent of total billed charges",,
"CPT SUBSEQUENT","94668","HCPCS","Both",,,"116.11","58.055","Alliant","Health Exchange","",,"62",,"71.99","42.5","89.99","percent of total billed charges",,
"CPT SUBSEQUENT","94668","HCPCS","Both",,,"116.11","58.055","Pruitt Healthcare","Medicare Advantage","",,"54",,"62.7","42.5","89.99","percent of total billed charges",,
"CPT SUBSEQUENT","94668","HCPCS","Both",,,"116.11","58.055","Medicare",,"",,"54",,"62.93","42.5","89.99","percent of total billed charges",,
"CPT SUBSEQUENT","94668","HCPCS","Both",,,"116.11","58.055","Humana","Medicare Advantage","",,"54",,"62.93","42.5","89.99","percent of total billed charges",,
"CPT SUBSEQUENT","94668","HCPCS","Both",,,"116.11","58.055","UHC","Medicare Advantage","",,"54",,"62.93","42.5","89.99","percent of total billed charges",,
"CPT SUBSEQUENT","94668","HCPCS","Both",,,"116.11","58.055","Clover","Medicare Advantage","",,"54",,"62.93","42.5","89.99","percent of total billed charges",,
"CPT SUBSEQUENT","94668","HCPCS","Both",,,"116.11","58.055","Wellcare","Medicare Advantage","",,"54",,"62.93","42.5","89.99","percent of total billed charges",,
"CPT SUBSEQUENT","94668","HCPCS","Both",,,"116.11","58.055","Amerigroup","Medicaid Managed Care","",,"37",,"42.5","42.5","89.99","percent of total billed charges",,
"CPT SUBSEQUENT","94668","HCPCS","Both",,,"116.11","58.055","Caresource","Medicaid Managed Care","",,"40",,"46.44","42.5","89.99","percent of total billed charges",,
"CPT SUBSEQUENT","94668","HCPCS","Both",,,"116.11","58.055","Wellcare","Medicaid Managed Care","",,"40",,"47.02","42.5","89.99","percent of total billed charges",,
"CPT SUBSEQUENT","94668","HCPCS","Both",,,"116.11","58.055","Aetna","Commercial","",,"64",,"74.08","42.5","89.99","percent of total billed charges",,
"CPT SUBSEQUENT","94668","HCPCS","Both",,,"116.11","58.055","Blue Cross Blue Shield","Pathways","",,"71",,"81.97","42.5","89.99","percent of total billed charges",,
"CPT SUBSEQUENT","94668","HCPCS","Both",,,"116.11","58.055","Blue Cross Blue Shield","HMO","",,"71",,"81.97","42.5","89.99","percent of total billed charges",,
"CPT SUBSEQUENT","94668","HCPCS","Both",,,"116.11","58.055","Blue Cross Blue Shield","PPO","",,"71",,"81.97","42.5","89.99","percent of total billed charges",,
"CPT SUBSEQUENT","94668","HCPCS","Both",,,"116.11","58.055","Ambetter","Health Exchange","",,"62",,"71.99","42.5","89.99","percent of total billed charges",,
"CPT SUBSEQUENT","94668","HCPCS","Both",,,"116.11","58.055","Caresource","Health Exchange","",,"62",,"71.99","42.5","89.99","percent of total billed charges",,
"CPT SUBSEQUENT","94668","HCPCS","Both",,,"116.11","58.055","Cigna","Commercial","",,"59",,"68.04","42.5","89.99","percent of total billed charges",,
"CPT SUBSEQUENT","94668","HCPCS","Both",,,"116.11","58.055","Humana","Commercial","",,"78",,"89.99","42.5","89.99","percent of total billed charges",,
"CPT SUBSEQUENT","94668","HCPCS","Both",,,"116.11","58.055","UHC","Commercial","",,"75",,"87.55","42.5","89.99","percent of total billed charges",,
"CPT SUBSEQUENT","94668","HCPCS","Both",,,"116.11","58.055","Medicaid",,"",,"37",,"42.5","42.5","89.99","percent of total billed charges",,
"NT SUCTION/SPUTUM INDUCTION","31720","HCPCS","Both",,,"195","97.5","Alliant","Health Exchange","",,"62",,"120.9","71.37","151.12","percent of total billed charges",,
"NT SUCTION/SPUTUM INDUCTION","31720","HCPCS","Both",,,"195","97.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"105.3","71.37","151.12","percent of total billed charges",,
"NT SUCTION/SPUTUM INDUCTION","31720","HCPCS","Both",,,"195","97.5","Medicare",,"",,"54",,"105.69","71.37","151.12","percent of total billed charges",,
"NT SUCTION/SPUTUM INDUCTION","31720","HCPCS","Both",,,"195","97.5","Humana","Medicare Advantage","",,"54",,"105.69","71.37","151.12","percent of total billed charges",,
"NT SUCTION/SPUTUM INDUCTION","31720","HCPCS","Both",,,"195","97.5","UHC","Medicare Advantage","",,"54",,"105.69","71.37","151.12","percent of total billed charges",,
"NT SUCTION/SPUTUM INDUCTION","31720","HCPCS","Both",,,"195","97.5","Clover","Medicare Advantage","",,"54",,"105.69","71.37","151.12","percent of total billed charges",,
"NT SUCTION/SPUTUM INDUCTION","31720","HCPCS","Both",,,"195","97.5","Wellcare","Medicare Advantage","",,"54",,"105.69","71.37","151.12","percent of total billed charges",,
"NT SUCTION/SPUTUM INDUCTION","31720","HCPCS","Both",,,"195","97.5","Amerigroup","Medicaid Managed Care","",,"37",,"71.37","71.37","151.12","percent of total billed charges",,
"NT SUCTION/SPUTUM INDUCTION","31720","HCPCS","Both",,,"195","97.5","Caresource","Medicaid Managed Care","",,"40",,"78","71.37","151.12","percent of total billed charges",,
"NT SUCTION/SPUTUM INDUCTION","31720","HCPCS","Both",,,"195","97.5","Wellcare","Medicaid Managed Care","",,"40",,"78.98","71.37","151.12","percent of total billed charges",,
"NT SUCTION/SPUTUM INDUCTION","31720","HCPCS","Both",,,"195","97.5","Aetna","Commercial","",,"64",,"124.41","71.37","151.12","percent of total billed charges",,
"NT SUCTION/SPUTUM INDUCTION","31720","HCPCS","Both",,,"195","97.5","Blue Cross Blue Shield","Pathways","",,"71",,"137.67","71.37","151.12","percent of total billed charges",,
"NT SUCTION/SPUTUM INDUCTION","31720","HCPCS","Both",,,"195","97.5","Blue Cross Blue Shield","HMO","",,"71",,"137.67","71.37","151.12","percent of total billed charges",,
"NT SUCTION/SPUTUM INDUCTION","31720","HCPCS","Both",,,"195","97.5","Blue Cross Blue Shield","PPO","",,"71",,"137.67","71.37","151.12","percent of total billed charges",,
"NT SUCTION/SPUTUM INDUCTION","31720","HCPCS","Both",,,"195","97.5","Ambetter","Health Exchange","",,"62",,"120.9","71.37","151.12","percent of total billed charges",,
"NT SUCTION/SPUTUM INDUCTION","31720","HCPCS","Both",,,"195","97.5","Caresource","Health Exchange","",,"62",,"120.9","71.37","151.12","percent of total billed charges",,
"NT SUCTION/SPUTUM INDUCTION","31720","HCPCS","Both",,,"195","97.5","Cigna","Commercial","",,"59",,"114.27","71.37","151.12","percent of total billed charges",,
"NT SUCTION/SPUTUM INDUCTION","31720","HCPCS","Both",,,"195","97.5","Humana","Commercial","",,"78",,"151.12","71.37","151.12","percent of total billed charges",,
"NT SUCTION/SPUTUM INDUCTION","31720","HCPCS","Both",,,"195","97.5","UHC","Commercial","",,"75",,"147.03","71.37","151.12","percent of total billed charges",,
"NT SUCTION/SPUTUM INDUCTION","31720","HCPCS","Both",,,"195","97.5","Medicaid",,"",,"37",,"71.37","71.37","151.12","percent of total billed charges",,
"CPAP CONTINUOUS POSITIVE AIRWAY","94660","HCPCS","Both",,,"329","164.5","Alliant","Health Exchange","",,"62",,"203.98","120.41","254.98","percent of total billed charges",,
"CPAP CONTINUOUS POSITIVE AIRWAY","94660","HCPCS","Both",,,"329","164.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"177.66","120.41","254.98","percent of total billed charges",,
"CPAP CONTINUOUS POSITIVE AIRWAY","94660","HCPCS","Both",,,"329","164.5","Medicare",,"",,"54",,"178.32","120.41","254.98","percent of total billed charges",,
"CPAP CONTINUOUS POSITIVE AIRWAY","94660","HCPCS","Both",,,"329","164.5","Humana","Medicare Advantage","",,"54",,"178.32","120.41","254.98","percent of total billed charges",,
"CPAP CONTINUOUS POSITIVE AIRWAY","94660","HCPCS","Both",,,"329","164.5","UHC","Medicare Advantage","",,"54",,"178.32","120.41","254.98","percent of total billed charges",,
"CPAP CONTINUOUS POSITIVE AIRWAY","94660","HCPCS","Both",,,"329","164.5","Clover","Medicare Advantage","",,"54",,"178.32","120.41","254.98","percent of total billed charges",,
"CPAP CONTINUOUS POSITIVE AIRWAY","94660","HCPCS","Both",,,"329","164.5","Wellcare","Medicare Advantage","",,"54",,"178.32","120.41","254.98","percent of total billed charges",,
"CPAP CONTINUOUS POSITIVE AIRWAY","94660","HCPCS","Both",,,"329","164.5","Amerigroup","Medicaid Managed Care","",,"37",,"120.41","120.41","254.98","percent of total billed charges",,
"CPAP CONTINUOUS POSITIVE AIRWAY","94660","HCPCS","Both",,,"329","164.5","Caresource","Medicaid Managed Care","",,"40",,"131.6","120.41","254.98","percent of total billed charges",,
"CPAP CONTINUOUS POSITIVE AIRWAY","94660","HCPCS","Both",,,"329","164.5","Wellcare","Medicaid Managed Care","",,"40",,"133.24","120.41","254.98","percent of total billed charges",,
"CPAP CONTINUOUS POSITIVE AIRWAY","94660","HCPCS","Both",,,"329","164.5","Aetna","Commercial","",,"64",,"209.9","120.41","254.98","percent of total billed charges",,
"CPAP CONTINUOUS POSITIVE AIRWAY","94660","HCPCS","Both",,,"329","164.5","Blue Cross Blue Shield","Pathways","",,"71",,"232.27","120.41","254.98","percent of total billed charges",,
"CPAP CONTINUOUS POSITIVE AIRWAY","94660","HCPCS","Both",,,"329","164.5","Blue Cross Blue Shield","HMO","",,"71",,"232.27","120.41","254.98","percent of total billed charges",,
"CPAP CONTINUOUS POSITIVE AIRWAY","94660","HCPCS","Both",,,"329","164.5","Blue Cross Blue Shield","PPO","",,"71",,"232.27","120.41","254.98","percent of total billed charges",,
"CPAP CONTINUOUS POSITIVE AIRWAY","94660","HCPCS","Both",,,"329","164.5","Ambetter","Health Exchange","",,"62",,"203.98","120.41","254.98","percent of total billed charges",,
"CPAP CONTINUOUS POSITIVE AIRWAY","94660","HCPCS","Both",,,"329","164.5","Caresource","Health Exchange","",,"62",,"203.98","120.41","254.98","percent of total billed charges",,
"CPAP CONTINUOUS POSITIVE AIRWAY","94660","HCPCS","Both",,,"329","164.5","Cigna","Commercial","",,"59",,"192.79","120.41","254.98","percent of total billed charges",,
"CPAP CONTINUOUS POSITIVE AIRWAY","94660","HCPCS","Both",,,"329","164.5","Humana","Commercial","",,"78",,"254.98","120.41","254.98","percent of total billed charges",,
"CPAP CONTINUOUS POSITIVE AIRWAY","94660","HCPCS","Both",,,"329","164.5","UHC","Commercial","",,"75",,"248.07","120.41","254.98","percent of total billed charges",,
"CPAP CONTINUOUS POSITIVE AIRWAY","94660","HCPCS","Both",,,"329","164.5","Medicaid",,"",,"37",,"120.41","120.41","254.98","percent of total billed charges",,
"EVENT MONITOR CONNECTION","93270","HCPCS","Both",,,"140","70","Alliant","Health Exchange","",,"62",,"86.8","51.24","108.5","percent of total billed charges",,
"EVENT MONITOR CONNECTION","93270","HCPCS","Both",,,"140","70","Pruitt Healthcare","Medicare Advantage","",,"54",,"75.6","51.24","108.5","percent of total billed charges",,
"EVENT MONITOR CONNECTION","93270","HCPCS","Both",,,"140","70","Medicare",,"",,"54",,"75.88","51.24","108.5","percent of total billed charges",,
"EVENT MONITOR CONNECTION","93270","HCPCS","Both",,,"140","70","Humana","Medicare Advantage","",,"54",,"75.88","51.24","108.5","percent of total billed charges",,
"EVENT MONITOR CONNECTION","93270","HCPCS","Both",,,"140","70","UHC","Medicare Advantage","",,"54",,"75.88","51.24","108.5","percent of total billed charges",,
"EVENT MONITOR CONNECTION","93270","HCPCS","Both",,,"140","70","Clover","Medicare Advantage","",,"54",,"75.88","51.24","108.5","percent of total billed charges",,
"EVENT MONITOR CONNECTION","93270","HCPCS","Both",,,"140","70","Wellcare","Medicare Advantage","",,"54",,"75.88","51.24","108.5","percent of total billed charges",,
"EVENT MONITOR CONNECTION","93270","HCPCS","Both",,,"140","70","Amerigroup","Medicaid Managed Care","",,"37",,"51.24","51.24","108.5","percent of total billed charges",,
"EVENT MONITOR CONNECTION","93270","HCPCS","Both",,,"140","70","Caresource","Medicaid Managed Care","",,"40",,"56","51.24","108.5","percent of total billed charges",,
"EVENT MONITOR CONNECTION","93270","HCPCS","Both",,,"140","70","Wellcare","Medicaid Managed Care","",,"40",,"56.7","51.24","108.5","percent of total billed charges",,
"EVENT MONITOR CONNECTION","93270","HCPCS","Both",,,"140","70","Aetna","Commercial","",,"64",,"89.32","51.24","108.5","percent of total billed charges",,
"EVENT MONITOR CONNECTION","93270","HCPCS","Both",,,"140","70","Blue Cross Blue Shield","Pathways","",,"71",,"98.84","51.24","108.5","percent of total billed charges",,
"EVENT MONITOR CONNECTION","93270","HCPCS","Both",,,"140","70","Blue Cross Blue Shield","HMO","",,"71",,"98.84","51.24","108.5","percent of total billed charges",,
"EVENT MONITOR CONNECTION","93270","HCPCS","Both",,,"140","70","Blue Cross Blue Shield","PPO","",,"71",,"98.84","51.24","108.5","percent of total billed charges",,
"EVENT MONITOR CONNECTION","93270","HCPCS","Both",,,"140","70","Ambetter","Health Exchange","",,"62",,"86.8","51.24","108.5","percent of total billed charges",,
"EVENT MONITOR CONNECTION","93270","HCPCS","Both",,,"140","70","Caresource","Health Exchange","",,"62",,"86.8","51.24","108.5","percent of total billed charges",,
"EVENT MONITOR CONNECTION","93270","HCPCS","Both",,,"140","70","Cigna","Commercial","",,"59",,"82.04","51.24","108.5","percent of total billed charges",,
"EVENT MONITOR CONNECTION","93270","HCPCS","Both",,,"140","70","Humana","Commercial","",,"78",,"108.5","51.24","108.5","percent of total billed charges",,
"EVENT MONITOR CONNECTION","93270","HCPCS","Both",,,"140","70","UHC","Commercial","",,"75",,"105.56","51.24","108.5","percent of total billed charges",,
"EVENT MONITOR CONNECTION","93270","HCPCS","Both",,,"140","70","Medicaid",,"",,"37",,"51.24","51.24","108.5","percent of total billed charges",,
"CONTINUOUS NEB INITIAL","94644","HCPCS","Both",,,"390.5","195.25","Alliant","Health Exchange","",,"62",,"242.11","142.92","302.64","percent of total billed charges",,
"CONTINUOUS NEB INITIAL","94644","HCPCS","Both",,,"390.5","195.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"210.87","142.92","302.64","percent of total billed charges",,
"CONTINUOUS NEB INITIAL","94644","HCPCS","Both",,,"390.5","195.25","Medicare",,"",,"54",,"211.65","142.92","302.64","percent of total billed charges",,
"CONTINUOUS NEB INITIAL","94644","HCPCS","Both",,,"390.5","195.25","Humana","Medicare Advantage","",,"54",,"211.65","142.92","302.64","percent of total billed charges",,
"CONTINUOUS NEB INITIAL","94644","HCPCS","Both",,,"390.5","195.25","UHC","Medicare Advantage","",,"54",,"211.65","142.92","302.64","percent of total billed charges",,
"CONTINUOUS NEB INITIAL","94644","HCPCS","Both",,,"390.5","195.25","Clover","Medicare Advantage","",,"54",,"211.65","142.92","302.64","percent of total billed charges",,
"CONTINUOUS NEB INITIAL","94644","HCPCS","Both",,,"390.5","195.25","Wellcare","Medicare Advantage","",,"54",,"211.65","142.92","302.64","percent of total billed charges",,
"CONTINUOUS NEB INITIAL","94644","HCPCS","Both",,,"390.5","195.25","Amerigroup","Medicaid Managed Care","",,"37",,"142.92","142.92","302.64","percent of total billed charges",,
"CONTINUOUS NEB INITIAL","94644","HCPCS","Both",,,"390.5","195.25","Caresource","Medicaid Managed Care","",,"40",,"156.2","142.92","302.64","percent of total billed charges",,
"CONTINUOUS NEB INITIAL","94644","HCPCS","Both",,,"390.5","195.25","Wellcare","Medicaid Managed Care","",,"40",,"158.15","142.92","302.64","percent of total billed charges",,
"CONTINUOUS NEB INITIAL","94644","HCPCS","Both",,,"390.5","195.25","Aetna","Commercial","",,"64",,"249.14","142.92","302.64","percent of total billed charges",,
"CONTINUOUS NEB INITIAL","94644","HCPCS","Both",,,"390.5","195.25","Blue Cross Blue Shield","Pathways","",,"71",,"275.69","142.92","302.64","percent of total billed charges",,
"CONTINUOUS NEB INITIAL","94644","HCPCS","Both",,,"390.5","195.25","Blue Cross Blue Shield","HMO","",,"71",,"275.69","142.92","302.64","percent of total billed charges",,
"CONTINUOUS NEB INITIAL","94644","HCPCS","Both",,,"390.5","195.25","Blue Cross Blue Shield","PPO","",,"71",,"275.69","142.92","302.64","percent of total billed charges",,
"CONTINUOUS NEB INITIAL","94644","HCPCS","Both",,,"390.5","195.25","Ambetter","Health Exchange","",,"62",,"242.11","142.92","302.64","percent of total billed charges",,
"CONTINUOUS NEB INITIAL","94644","HCPCS","Both",,,"390.5","195.25","Caresource","Health Exchange","",,"62",,"242.11","142.92","302.64","percent of total billed charges",,
"CONTINUOUS NEB INITIAL","94644","HCPCS","Both",,,"390.5","195.25","Cigna","Commercial","",,"59",,"228.83","142.92","302.64","percent of total billed charges",,
"CONTINUOUS NEB INITIAL","94644","HCPCS","Both",,,"390.5","195.25","Humana","Commercial","",,"78",,"302.64","142.92","302.64","percent of total billed charges",,
"CONTINUOUS NEB INITIAL","94644","HCPCS","Both",,,"390.5","195.25","UHC","Commercial","",,"75",,"294.44","142.92","302.64","percent of total billed charges",,
"CONTINUOUS NEB INITIAL","94644","HCPCS","Both",,,"390.5","195.25","Medicaid",,"",,"37",,"142.92","142.92","302.64","percent of total billed charges",,
"CONTINUOUS NEB SUBSEQUENT","94645","HCPCS","Both",,,"36","18","Alliant","Health Exchange","",,"62",,"22.32","13.18","27.9","percent of total billed charges",,
"CONTINUOUS NEB SUBSEQUENT","94645","HCPCS","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage","",,"54",,"19.44","13.18","27.9","percent of total billed charges",,
"CONTINUOUS NEB SUBSEQUENT","94645","HCPCS","Both",,,"36","18","Medicare",,"",,"54",,"19.51","13.18","27.9","percent of total billed charges",,
"CONTINUOUS NEB SUBSEQUENT","94645","HCPCS","Both",,,"36","18","Humana","Medicare Advantage","",,"54",,"19.51","13.18","27.9","percent of total billed charges",,
"CONTINUOUS NEB SUBSEQUENT","94645","HCPCS","Both",,,"36","18","UHC","Medicare Advantage","",,"54",,"19.51","13.18","27.9","percent of total billed charges",,
"CONTINUOUS NEB SUBSEQUENT","94645","HCPCS","Both",,,"36","18","Clover","Medicare Advantage","",,"54",,"19.51","13.18","27.9","percent of total billed charges",,
"CONTINUOUS NEB SUBSEQUENT","94645","HCPCS","Both",,,"36","18","Wellcare","Medicare Advantage","",,"54",,"19.51","13.18","27.9","percent of total billed charges",,
"CONTINUOUS NEB SUBSEQUENT","94645","HCPCS","Both",,,"36","18","Amerigroup","Medicaid Managed Care","",,"37",,"13.18","13.18","27.9","percent of total billed charges",,
"CONTINUOUS NEB SUBSEQUENT","94645","HCPCS","Both",,,"36","18","Caresource","Medicaid Managed Care","",,"40",,"14.4","13.18","27.9","percent of total billed charges",,
"CONTINUOUS NEB SUBSEQUENT","94645","HCPCS","Both",,,"36","18","Wellcare","Medicaid Managed Care","",,"40",,"14.58","13.18","27.9","percent of total billed charges",,
"CONTINUOUS NEB SUBSEQUENT","94645","HCPCS","Both",,,"36","18","Aetna","Commercial","",,"64",,"22.97","13.18","27.9","percent of total billed charges",,
"CONTINUOUS NEB SUBSEQUENT","94645","HCPCS","Both",,,"36","18","Blue Cross Blue Shield","Pathways","",,"71",,"25.42","13.18","27.9","percent of total billed charges",,
"CONTINUOUS NEB SUBSEQUENT","94645","HCPCS","Both",,,"36","18","Blue Cross Blue Shield","HMO","",,"71",,"25.42","13.18","27.9","percent of total billed charges",,
"CONTINUOUS NEB SUBSEQUENT","94645","HCPCS","Both",,,"36","18","Blue Cross Blue Shield","PPO","",,"71",,"25.42","13.18","27.9","percent of total billed charges",,
"CONTINUOUS NEB SUBSEQUENT","94645","HCPCS","Both",,,"36","18","Ambetter","Health Exchange","",,"62",,"22.32","13.18","27.9","percent of total billed charges",,
"CONTINUOUS NEB SUBSEQUENT","94645","HCPCS","Both",,,"36","18","Caresource","Health Exchange","",,"62",,"22.32","13.18","27.9","percent of total billed charges",,
"CONTINUOUS NEB SUBSEQUENT","94645","HCPCS","Both",,,"36","18","Cigna","Commercial","",,"59",,"21.1","13.18","27.9","percent of total billed charges",,
"CONTINUOUS NEB SUBSEQUENT","94645","HCPCS","Both",,,"36","18","Humana","Commercial","",,"78",,"27.9","13.18","27.9","percent of total billed charges",,
"CONTINUOUS NEB SUBSEQUENT","94645","HCPCS","Both",,,"36","18","UHC","Commercial","",,"75",,"27.14","13.18","27.9","percent of total billed charges",,
"CONTINUOUS NEB SUBSEQUENT","94645","HCPCS","Both",,,"36","18","Medicaid",,"",,"37",,"13.18","13.18","27.9","percent of total billed charges",,
"NEB TX SUBSEQUENT","94640","HCPCS","Both",,,"191.5","95.75","Alliant","Health Exchange","76",,"62",,"118.73","18.3","148.41","percent of total billed charges",,
"NEB TX SUBSEQUENT","94640","HCPCS","Both",,,"191.5","95.75","Pruitt Healthcare","Medicare Advantage","76",,"54",,"103.41","18.3","148.41","percent of total billed charges",,
"NEB TX SUBSEQUENT","94640","HCPCS","Both",,,"191.5","95.75","Medicare",,"76",,"54",,"103.79","18.3","148.41","percent of total billed charges",,
"NEB TX SUBSEQUENT","94640","HCPCS","Both",,,"191.5","95.75","Humana","Medicare Advantage","76",,"54",,"103.79","18.3","148.41","percent of total billed charges",,
"NEB TX SUBSEQUENT","94640","HCPCS","Both",,,"191.5","95.75","UHC","Medicare Advantage","76",,"54",,"103.79","18.3","148.41","percent of total billed charges",,
"NEB TX SUBSEQUENT","94640","HCPCS","Both",,,"191.5","95.75","Clover","Medicare Advantage","76",,"54",,"103.79","18.3","148.41","percent of total billed charges",,
"NEB TX SUBSEQUENT","94640","HCPCS","Both",,,"191.5","95.75","Wellcare","Medicare Advantage","76",,"54",,"103.79","18.3","148.41","percent of total billed charges",,
"NEB TX SUBSEQUENT","94640","HCPCS","Both",,,"191.5","95.75","Amerigroup","Medicaid Managed Care","76",,"37",,"70.09","18.3","148.41","percent of total billed charges",,
"NEB TX SUBSEQUENT","94640","HCPCS","Both",,,"191.5","95.75","Caresource","Medicaid Managed Care","76",,"40",,"76.6","18.3","148.41","percent of total billed charges",,
"NEB TX SUBSEQUENT","94640","HCPCS","Both",,,"191.5","95.75","Wellcare","Medicaid Managed Care","76",,"40",,"77.56","18.3","148.41","percent of total billed charges",,
"NEB TX SUBSEQUENT","94640","HCPCS","Both",,,"191.5","95.75","Aetna","Commercial","76",,"64",,"122.18","18.3","148.41","percent of total billed charges",,
"NEB TX SUBSEQUENT","94640","HCPCS","Both",,,"191.5","95.75","Blue Cross Blue Shield","Pathways","76",,"71",,"135.2","18.3","148.41","percent of total billed charges",,
"NEB TX SUBSEQUENT","94640","HCPCS","Both",,,"191.5","95.75","Blue Cross Blue Shield","HMO","76",,"71",,"135.2","18.3","148.41","percent of total billed charges",,
"NEB TX SUBSEQUENT","94640","HCPCS","Both",,,"191.5","95.75","Blue Cross Blue Shield","PPO","76",,"71",,"135.2","18.3","148.41","percent of total billed charges",,
"NEB TX SUBSEQUENT","94640","HCPCS","Both",,,"191.5","95.75","Ambetter","Health Exchange","76",,"62",,"118.73","18.3","148.41","percent of total billed charges",,
"NEB TX SUBSEQUENT","94640","HCPCS","Both",,,"191.5","95.75","Caresource","Health Exchange","76",,"62",,"118.73","18.3","148.41","percent of total billed charges",,
"NEB TX SUBSEQUENT","94640","HCPCS","Both",,,"191.5","95.75","Cigna","Commercial","76",,"59",,"112.22","18.3","148.41","percent of total billed charges",,
"NEB TX SUBSEQUENT","94640","HCPCS","Both",,,"191.5","95.75","Humana","Commercial","76",,"78",,"148.41","18.3","148.41","percent of total billed charges",,
"NEB TX SUBSEQUENT","94640","HCPCS","Both",,,"191.5","95.75","UHC","Commercial","76",,"75",,"144.39","18.3","148.41","percent of total billed charges",,
"NEB TX SUBSEQUENT","94640","HCPCS","Both",,,"191.5","95.75","Medicaid",,"76",,"37",,"70.09","18.3","148.41","percent of total billed charges",,
"MDI SUBSEQUENT","94640","HCPCS","Both",,,"191.5","95.75","Alliant","Health Exchange","76",,"62",,"118.73","18.3","148.41","percent of total billed charges",,
"MDI SUBSEQUENT","94640","HCPCS","Both",,,"191.5","95.75","Pruitt Healthcare","Medicare Advantage","76",,"54",,"103.41","18.3","148.41","percent of total billed charges",,
"MDI SUBSEQUENT","94640","HCPCS","Both",,,"191.5","95.75","Medicare",,"76",,"54",,"103.79","18.3","148.41","percent of total billed charges",,
"MDI SUBSEQUENT","94640","HCPCS","Both",,,"191.5","95.75","Humana","Medicare Advantage","76",,"54",,"103.79","18.3","148.41","percent of total billed charges",,
"MDI SUBSEQUENT","94640","HCPCS","Both",,,"191.5","95.75","UHC","Medicare Advantage","76",,"54",,"103.79","18.3","148.41","percent of total billed charges",,
"MDI SUBSEQUENT","94640","HCPCS","Both",,,"191.5","95.75","Clover","Medicare Advantage","76",,"54",,"103.79","18.3","148.41","percent of total billed charges",,
"MDI SUBSEQUENT","94640","HCPCS","Both",,,"191.5","95.75","Wellcare","Medicare Advantage","76",,"54",,"103.79","18.3","148.41","percent of total billed charges",,
"MDI SUBSEQUENT","94640","HCPCS","Both",,,"191.5","95.75","Amerigroup","Medicaid Managed Care","76",,"37",,"70.09","18.3","148.41","percent of total billed charges",,
"MDI SUBSEQUENT","94640","HCPCS","Both",,,"191.5","95.75","Caresource","Medicaid Managed Care","76",,"40",,"76.6","18.3","148.41","percent of total billed charges",,
"MDI SUBSEQUENT","94640","HCPCS","Both",,,"191.5","95.75","Wellcare","Medicaid Managed Care","76",,"40",,"77.56","18.3","148.41","percent of total billed charges",,
"MDI SUBSEQUENT","94640","HCPCS","Both",,,"191.5","95.75","Aetna","Commercial","76",,"64",,"122.18","18.3","148.41","percent of total billed charges",,
"MDI SUBSEQUENT","94640","HCPCS","Both",,,"191.5","95.75","Blue Cross Blue Shield","Pathways","76",,"71",,"135.2","18.3","148.41","percent of total billed charges",,
"MDI SUBSEQUENT","94640","HCPCS","Both",,,"191.5","95.75","Blue Cross Blue Shield","HMO","76",,"71",,"135.2","18.3","148.41","percent of total billed charges",,
"MDI SUBSEQUENT","94640","HCPCS","Both",,,"191.5","95.75","Blue Cross Blue Shield","PPO","76",,"71",,"135.2","18.3","148.41","percent of total billed charges",,
"MDI SUBSEQUENT","94640","HCPCS","Both",,,"191.5","95.75","Ambetter","Health Exchange","76",,"62",,"118.73","18.3","148.41","percent of total billed charges",,
"MDI SUBSEQUENT","94640","HCPCS","Both",,,"191.5","95.75","Caresource","Health Exchange","76",,"62",,"118.73","18.3","148.41","percent of total billed charges",,
"MDI SUBSEQUENT","94640","HCPCS","Both",,,"191.5","95.75","Cigna","Commercial","76",,"59",,"112.22","18.3","148.41","percent of total billed charges",,
"MDI SUBSEQUENT","94640","HCPCS","Both",,,"191.5","95.75","Humana","Commercial","76",,"78",,"148.41","18.3","148.41","percent of total billed charges",,
"MDI SUBSEQUENT","94640","HCPCS","Both",,,"191.5","95.75","UHC","Commercial","76",,"75",,"144.39","18.3","148.41","percent of total billed charges",,
"MDI SUBSEQUENT","94640","HCPCS","Both",,,"191.5","95.75","Medicaid",,"76",,"37",,"70.09","18.3","148.41","percent of total billed charges",,
"VEST THERAPY SUB","94669","HCPCS","Both",,,"550","275","Alliant","Health Exchange","",,"62",,"341","201.3","426.25","percent of total billed charges",,
"VEST THERAPY SUB","94669","HCPCS","Both",,,"550","275","Pruitt Healthcare","Medicare Advantage","",,"54",,"297","201.3","426.25","percent of total billed charges",,
"VEST THERAPY SUB","94669","HCPCS","Both",,,"550","275","Medicare",,"",,"54",,"298.1","201.3","426.25","percent of total billed charges",,
"VEST THERAPY SUB","94669","HCPCS","Both",,,"550","275","Humana","Medicare Advantage","",,"54",,"298.1","201.3","426.25","percent of total billed charges",,
"VEST THERAPY SUB","94669","HCPCS","Both",,,"550","275","UHC","Medicare Advantage","",,"54",,"298.1","201.3","426.25","percent of total billed charges",,
"VEST THERAPY SUB","94669","HCPCS","Both",,,"550","275","Clover","Medicare Advantage","",,"54",,"298.1","201.3","426.25","percent of total billed charges",,
"VEST THERAPY SUB","94669","HCPCS","Both",,,"550","275","Wellcare","Medicare Advantage","",,"54",,"298.1","201.3","426.25","percent of total billed charges",,
"VEST THERAPY SUB","94669","HCPCS","Both",,,"550","275","Amerigroup","Medicaid Managed Care","",,"37",,"201.3","201.3","426.25","percent of total billed charges",,
"VEST THERAPY SUB","94669","HCPCS","Both",,,"550","275","Caresource","Medicaid Managed Care","",,"40",,"220","201.3","426.25","percent of total billed charges",,
"VEST THERAPY SUB","94669","HCPCS","Both",,,"550","275","Wellcare","Medicaid Managed Care","",,"40",,"222.75","201.3","426.25","percent of total billed charges",,
"VEST THERAPY SUB","94669","HCPCS","Both",,,"550","275","Aetna","Commercial","",,"64",,"350.9","201.3","426.25","percent of total billed charges",,
"VEST THERAPY SUB","94669","HCPCS","Both",,,"550","275","Blue Cross Blue Shield","Pathways","",,"71",,"388.3","201.3","426.25","percent of total billed charges",,
"VEST THERAPY SUB","94669","HCPCS","Both",,,"550","275","Blue Cross Blue Shield","HMO","",,"71",,"388.3","201.3","426.25","percent of total billed charges",,
"VEST THERAPY SUB","94669","HCPCS","Both",,,"550","275","Blue Cross Blue Shield","PPO","",,"71",,"388.3","201.3","426.25","percent of total billed charges",,
"VEST THERAPY SUB","94669","HCPCS","Both",,,"550","275","Ambetter","Health Exchange","",,"62",,"341","201.3","426.25","percent of total billed charges",,
"VEST THERAPY SUB","94669","HCPCS","Both",,,"550","275","Caresource","Health Exchange","",,"62",,"341","201.3","426.25","percent of total billed charges",,
"VEST THERAPY SUB","94669","HCPCS","Both",,,"550","275","Cigna","Commercial","",,"59",,"322.3","201.3","426.25","percent of total billed charges",,
"VEST THERAPY SUB","94669","HCPCS","Both",,,"550","275","Humana","Commercial","",,"78",,"426.25","201.3","426.25","percent of total billed charges",,
"VEST THERAPY SUB","94669","HCPCS","Both",,,"550","275","UHC","Commercial","",,"75",,"414.7","201.3","426.25","percent of total billed charges",,
"VEST THERAPY SUB","94669","HCPCS","Both",,,"550","275","Medicaid",,"",,"37",,"201.3","201.3","426.25","percent of total billed charges",,
"NIV - NON INVASIVIVE VENTILAT SUB DAY","94003","HCPCS","Both",,,"485.5","242.75","Alliant","Health Exchange","",,"62",,"301.01","177.69","376.26","percent of total billed charges",,
"NIV - NON INVASIVIVE VENTILAT SUB DAY","94003","HCPCS","Both",,,"485.5","242.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"262.17","177.69","376.26","percent of total billed charges",,
"NIV - NON INVASIVIVE VENTILAT SUB DAY","94003","HCPCS","Both",,,"485.5","242.75","Medicare",,"",,"54",,"263.14","177.69","376.26","percent of total billed charges",,
"NIV - NON INVASIVIVE VENTILAT SUB DAY","94003","HCPCS","Both",,,"485.5","242.75","Humana","Medicare Advantage","",,"54",,"263.14","177.69","376.26","percent of total billed charges",,
"NIV - NON INVASIVIVE VENTILAT SUB DAY","94003","HCPCS","Both",,,"485.5","242.75","UHC","Medicare Advantage","",,"54",,"263.14","177.69","376.26","percent of total billed charges",,
"NIV - NON INVASIVIVE VENTILAT SUB DAY","94003","HCPCS","Both",,,"485.5","242.75","Clover","Medicare Advantage","",,"54",,"263.14","177.69","376.26","percent of total billed charges",,
"NIV - NON INVASIVIVE VENTILAT SUB DAY","94003","HCPCS","Both",,,"485.5","242.75","Wellcare","Medicare Advantage","",,"54",,"263.14","177.69","376.26","percent of total billed charges",,
"NIV - NON INVASIVIVE VENTILAT SUB DAY","94003","HCPCS","Both",,,"485.5","242.75","Amerigroup","Medicaid Managed Care","",,"37",,"177.69","177.69","376.26","percent of total billed charges",,
"NIV - NON INVASIVIVE VENTILAT SUB DAY","94003","HCPCS","Both",,,"485.5","242.75","Caresource","Medicaid Managed Care","",,"40",,"194.2","177.69","376.26","percent of total billed charges",,
"NIV - NON INVASIVIVE VENTILAT SUB DAY","94003","HCPCS","Both",,,"485.5","242.75","Wellcare","Medicaid Managed Care","",,"40",,"196.63","177.69","376.26","percent of total billed charges",,
"NIV - NON INVASIVIVE VENTILAT SUB DAY","94003","HCPCS","Both",,,"485.5","242.75","Aetna","Commercial","",,"64",,"309.75","177.69","376.26","percent of total billed charges",,
"NIV - NON INVASIVIVE VENTILAT SUB DAY","94003","HCPCS","Both",,,"485.5","242.75","Blue Cross Blue Shield","Pathways","",,"71",,"342.76","177.69","376.26","percent of total billed charges",,
"NIV - NON INVASIVIVE VENTILAT SUB DAY","94003","HCPCS","Both",,,"485.5","242.75","Blue Cross Blue Shield","HMO","",,"71",,"342.76","177.69","376.26","percent of total billed charges",,
"NIV - NON INVASIVIVE VENTILAT SUB DAY","94003","HCPCS","Both",,,"485.5","242.75","Blue Cross Blue Shield","PPO","",,"71",,"342.76","177.69","376.26","percent of total billed charges",,
"NIV - NON INVASIVIVE VENTILAT SUB DAY","94003","HCPCS","Both",,,"485.5","242.75","Ambetter","Health Exchange","",,"62",,"301.01","177.69","376.26","percent of total billed charges",,
"NIV - NON INVASIVIVE VENTILAT SUB DAY","94003","HCPCS","Both",,,"485.5","242.75","Caresource","Health Exchange","",,"62",,"301.01","177.69","376.26","percent of total billed charges",,
"NIV - NON INVASIVIVE VENTILAT SUB DAY","94003","HCPCS","Both",,,"485.5","242.75","Cigna","Commercial","",,"59",,"284.5","177.69","376.26","percent of total billed charges",,
"NIV - NON INVASIVIVE VENTILAT SUB DAY","94003","HCPCS","Both",,,"485.5","242.75","Humana","Commercial","",,"78",,"376.26","177.69","376.26","percent of total billed charges",,
"NIV - NON INVASIVIVE VENTILAT SUB DAY","94003","HCPCS","Both",,,"485.5","242.75","UHC","Commercial","",,"75",,"366.07","177.69","376.26","percent of total billed charges",,
"NIV - NON INVASIVIVE VENTILAT SUB DAY","94003","HCPCS","Both",,,"485.5","242.75","Medicaid",,"",,"37",,"177.69","177.69","376.26","percent of total billed charges",,
"MDI SUB 2nd MED","94640","HCPCS","Both",,,"70","35","Alliant","Health Exchange","76",,"62",,"43.4","18.3","148.41","percent of total billed charges",,
"MDI SUB 2nd MED","94640","HCPCS","Both",,,"70","35","Pruitt Healthcare","Medicare Advantage","76",,"54",,"37.8","18.3","148.41","percent of total billed charges",,
"MDI SUB 2nd MED","94640","HCPCS","Both",,,"70","35","Medicare",,"76",,"54",,"37.94","18.3","148.41","percent of total billed charges",,
"MDI SUB 2nd MED","94640","HCPCS","Both",,,"70","35","Humana","Medicare Advantage","76",,"54",,"37.94","18.3","148.41","percent of total billed charges",,
"MDI SUB 2nd MED","94640","HCPCS","Both",,,"70","35","UHC","Medicare Advantage","76",,"54",,"37.94","18.3","148.41","percent of total billed charges",,
"MDI SUB 2nd MED","94640","HCPCS","Both",,,"70","35","Clover","Medicare Advantage","76",,"54",,"37.94","18.3","148.41","percent of total billed charges",,
"MDI SUB 2nd MED","94640","HCPCS","Both",,,"70","35","Wellcare","Medicare Advantage","76",,"54",,"37.94","18.3","148.41","percent of total billed charges",,
"MDI SUB 2nd MED","94640","HCPCS","Both",,,"70","35","Amerigroup","Medicaid Managed Care","76",,"37",,"25.62","18.3","148.41","percent of total billed charges",,
"MDI SUB 2nd MED","94640","HCPCS","Both",,,"70","35","Caresource","Medicaid Managed Care","76",,"40",,"28","18.3","148.41","percent of total billed charges",,
"MDI SUB 2nd MED","94640","HCPCS","Both",,,"70","35","Wellcare","Medicaid Managed Care","76",,"40",,"28.35","18.3","148.41","percent of total billed charges",,
"MDI SUB 2nd MED","94640","HCPCS","Both",,,"70","35","Aetna","Commercial","76",,"64",,"44.66","18.3","148.41","percent of total billed charges",,
"MDI SUB 2nd MED","94640","HCPCS","Both",,,"70","35","Blue Cross Blue Shield","Pathways","76",,"71",,"49.42","18.3","148.41","percent of total billed charges",,
"MDI SUB 2nd MED","94640","HCPCS","Both",,,"70","35","Blue Cross Blue Shield","HMO","76",,"71",,"49.42","18.3","148.41","percent of total billed charges",,
"MDI SUB 2nd MED","94640","HCPCS","Both",,,"70","35","Blue Cross Blue Shield","PPO","76",,"71",,"49.42","18.3","148.41","percent of total billed charges",,
"MDI SUB 2nd MED","94640","HCPCS","Both",,,"70","35","Ambetter","Health Exchange","76",,"62",,"43.4","18.3","148.41","percent of total billed charges",,
"MDI SUB 2nd MED","94640","HCPCS","Both",,,"70","35","Caresource","Health Exchange","76",,"62",,"43.4","18.3","148.41","percent of total billed charges",,
"MDI SUB 2nd MED","94640","HCPCS","Both",,,"70","35","Cigna","Commercial","76",,"59",,"41.02","18.3","148.41","percent of total billed charges",,
"MDI SUB 2nd MED","94640","HCPCS","Both",,,"70","35","Humana","Commercial","76",,"78",,"54.25","18.3","148.41","percent of total billed charges",,
"MDI SUB 2nd MED","94640","HCPCS","Both",,,"70","35","UHC","Commercial","76",,"75",,"52.78","18.3","148.41","percent of total billed charges",,
"MDI SUB 2nd MED","94640","HCPCS","Both",,,"70","35","Medicaid",,"76",,"37",,"25.62","18.3","148.41","percent of total billed charges",,
"NEB TX SUB PRN","94640","HCPCS","Both",,,"50","25","Alliant","Health Exchange","76",,"62",,"31","18.3","148.41","percent of total billed charges",,
"NEB TX SUB PRN","94640","HCPCS","Both",,,"50","25","Pruitt Healthcare","Medicare Advantage","76",,"54",,"27","18.3","148.41","percent of total billed charges",,
"NEB TX SUB PRN","94640","HCPCS","Both",,,"50","25","Medicare",,"76",,"54",,"27.1","18.3","148.41","percent of total billed charges",,
"NEB TX SUB PRN","94640","HCPCS","Both",,,"50","25","Humana","Medicare Advantage","76",,"54",,"27.1","18.3","148.41","percent of total billed charges",,
"NEB TX SUB PRN","94640","HCPCS","Both",,,"50","25","UHC","Medicare Advantage","76",,"54",,"27.1","18.3","148.41","percent of total billed charges",,
"NEB TX SUB PRN","94640","HCPCS","Both",,,"50","25","Clover","Medicare Advantage","76",,"54",,"27.1","18.3","148.41","percent of total billed charges",,
"NEB TX SUB PRN","94640","HCPCS","Both",,,"50","25","Wellcare","Medicare Advantage","76",,"54",,"27.1","18.3","148.41","percent of total billed charges",,
"NEB TX SUB PRN","94640","HCPCS","Both",,,"50","25","Amerigroup","Medicaid Managed Care","76",,"37",,"18.3","18.3","148.41","percent of total billed charges",,
"NEB TX SUB PRN","94640","HCPCS","Both",,,"50","25","Caresource","Medicaid Managed Care","76",,"40",,"20","18.3","148.41","percent of total billed charges",,
"NEB TX SUB PRN","94640","HCPCS","Both",,,"50","25","Wellcare","Medicaid Managed Care","76",,"40",,"20.25","18.3","148.41","percent of total billed charges",,
"NEB TX SUB PRN","94640","HCPCS","Both",,,"50","25","Aetna","Commercial","76",,"64",,"31.9","18.3","148.41","percent of total billed charges",,
"NEB TX SUB PRN","94640","HCPCS","Both",,,"50","25","Blue Cross Blue Shield","Pathways","76",,"71",,"35.3","18.3","148.41","percent of total billed charges",,
"NEB TX SUB PRN","94640","HCPCS","Both",,,"50","25","Blue Cross Blue Shield","HMO","76",,"71",,"35.3","18.3","148.41","percent of total billed charges",,
"NEB TX SUB PRN","94640","HCPCS","Both",,,"50","25","Blue Cross Blue Shield","PPO","76",,"71",,"35.3","18.3","148.41","percent of total billed charges",,
"NEB TX SUB PRN","94640","HCPCS","Both",,,"50","25","Ambetter","Health Exchange","76",,"62",,"31","18.3","148.41","percent of total billed charges",,
"NEB TX SUB PRN","94640","HCPCS","Both",,,"50","25","Caresource","Health Exchange","76",,"62",,"31","18.3","148.41","percent of total billed charges",,
"NEB TX SUB PRN","94640","HCPCS","Both",,,"50","25","Cigna","Commercial","76",,"59",,"29.3","18.3","148.41","percent of total billed charges",,
"NEB TX SUB PRN","94640","HCPCS","Both",,,"50","25","Humana","Commercial","76",,"78",,"38.75","18.3","148.41","percent of total billed charges",,
"NEB TX SUB PRN","94640","HCPCS","Both",,,"50","25","UHC","Commercial","76",,"75",,"37.7","18.3","148.41","percent of total billed charges",,
"NEB TX SUB PRN","94640","HCPCS","Both",,,"50","25","Medicaid",,"76",,"37",,"18.3","18.3","148.41","percent of total billed charges",,
"PULSE OXIMETRY SINGLE EA ADD'L","94760","HCPCS","Both",,,"14","7","Alliant","Health Exchange","76",,"62",,"8.68","5.12","10.85","percent of total billed charges",,
"PULSE OXIMETRY SINGLE EA ADD'L","94760","HCPCS","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage","76",,"54",,"7.56","5.12","10.85","percent of total billed charges",,
"PULSE OXIMETRY SINGLE EA ADD'L","94760","HCPCS","Both",,,"14","7","Medicare",,"76",,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"PULSE OXIMETRY SINGLE EA ADD'L","94760","HCPCS","Both",,,"14","7","Humana","Medicare Advantage","76",,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"PULSE OXIMETRY SINGLE EA ADD'L","94760","HCPCS","Both",,,"14","7","UHC","Medicare Advantage","76",,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"PULSE OXIMETRY SINGLE EA ADD'L","94760","HCPCS","Both",,,"14","7","Clover","Medicare Advantage","76",,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"PULSE OXIMETRY SINGLE EA ADD'L","94760","HCPCS","Both",,,"14","7","Wellcare","Medicare Advantage","76",,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"PULSE OXIMETRY SINGLE EA ADD'L","94760","HCPCS","Both",,,"14","7","Amerigroup","Medicaid Managed Care","76",,"37",,"5.12","5.12","10.85","percent of total billed charges",,
"PULSE OXIMETRY SINGLE EA ADD'L","94760","HCPCS","Both",,,"14","7","Caresource","Medicaid Managed Care","76",,"40",,"5.6","5.12","10.85","percent of total billed charges",,
"PULSE OXIMETRY SINGLE EA ADD'L","94760","HCPCS","Both",,,"14","7","Wellcare","Medicaid Managed Care","76",,"40",,"5.67","5.12","10.85","percent of total billed charges",,
"PULSE OXIMETRY SINGLE EA ADD'L","94760","HCPCS","Both",,,"14","7","Aetna","Commercial","76",,"64",,"8.93","5.12","10.85","percent of total billed charges",,
"PULSE OXIMETRY SINGLE EA ADD'L","94760","HCPCS","Both",,,"14","7","Blue Cross Blue Shield","Pathways","76",,"71",,"9.88","5.12","10.85","percent of total billed charges",,
"PULSE OXIMETRY SINGLE EA ADD'L","94760","HCPCS","Both",,,"14","7","Blue Cross Blue Shield","HMO","76",,"71",,"9.88","5.12","10.85","percent of total billed charges",,
"PULSE OXIMETRY SINGLE EA ADD'L","94760","HCPCS","Both",,,"14","7","Blue Cross Blue Shield","PPO","76",,"71",,"9.88","5.12","10.85","percent of total billed charges",,
"PULSE OXIMETRY SINGLE EA ADD'L","94760","HCPCS","Both",,,"14","7","Ambetter","Health Exchange","76",,"62",,"8.68","5.12","10.85","percent of total billed charges",,
"PULSE OXIMETRY SINGLE EA ADD'L","94760","HCPCS","Both",,,"14","7","Caresource","Health Exchange","76",,"62",,"8.68","5.12","10.85","percent of total billed charges",,
"PULSE OXIMETRY SINGLE EA ADD'L","94760","HCPCS","Both",,,"14","7","Cigna","Commercial","76",,"59",,"8.2","5.12","10.85","percent of total billed charges",,
"PULSE OXIMETRY SINGLE EA ADD'L","94760","HCPCS","Both",,,"14","7","Humana","Commercial","76",,"78",,"10.85","5.12","10.85","percent of total billed charges",,
"PULSE OXIMETRY SINGLE EA ADD'L","94760","HCPCS","Both",,,"14","7","UHC","Commercial","76",,"75",,"10.56","5.12","10.85","percent of total billed charges",,
"PULSE OXIMETRY SINGLE EA ADD'L","94760","HCPCS","Both",,,"14","7","Medicaid",,"76",,"37",,"5.12","5.12","10.85","percent of total billed charges",,
"NEB TREATMENT INITIAL","94640","HCPCS","Both",,,"191.5","95.75","Alliant","Health Exchange","",,"62",,"118.73","18.3","148.41","percent of total billed charges",,
"NEB TREATMENT INITIAL","94640","HCPCS","Both",,,"191.5","95.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"103.41","18.3","148.41","percent of total billed charges",,
"NEB TREATMENT INITIAL","94640","HCPCS","Both",,,"191.5","95.75","Medicare",,"",,"54",,"103.79","18.3","148.41","percent of total billed charges",,
"NEB TREATMENT INITIAL","94640","HCPCS","Both",,,"191.5","95.75","Humana","Medicare Advantage","",,"54",,"103.79","18.3","148.41","percent of total billed charges",,
"NEB TREATMENT INITIAL","94640","HCPCS","Both",,,"191.5","95.75","UHC","Medicare Advantage","",,"54",,"103.79","18.3","148.41","percent of total billed charges",,
"NEB TREATMENT INITIAL","94640","HCPCS","Both",,,"191.5","95.75","Clover","Medicare Advantage","",,"54",,"103.79","18.3","148.41","percent of total billed charges",,
"NEB TREATMENT INITIAL","94640","HCPCS","Both",,,"191.5","95.75","Wellcare","Medicare Advantage","",,"54",,"103.79","18.3","148.41","percent of total billed charges",,
"NEB TREATMENT INITIAL","94640","HCPCS","Both",,,"191.5","95.75","Amerigroup","Medicaid Managed Care","",,"37",,"70.09","18.3","148.41","percent of total billed charges",,
"NEB TREATMENT INITIAL","94640","HCPCS","Both",,,"191.5","95.75","Caresource","Medicaid Managed Care","",,"40",,"76.6","18.3","148.41","percent of total billed charges",,
"NEB TREATMENT INITIAL","94640","HCPCS","Both",,,"191.5","95.75","Wellcare","Medicaid Managed Care","",,"40",,"77.56","18.3","148.41","percent of total billed charges",,
"NEB TREATMENT INITIAL","94640","HCPCS","Both",,,"191.5","95.75","Aetna","Commercial","",,"64",,"122.18","18.3","148.41","percent of total billed charges",,
"NEB TREATMENT INITIAL","94640","HCPCS","Both",,,"191.5","95.75","Blue Cross Blue Shield","Pathways","",,"71",,"135.2","18.3","148.41","percent of total billed charges",,
"NEB TREATMENT INITIAL","94640","HCPCS","Both",,,"191.5","95.75","Blue Cross Blue Shield","HMO","",,"71",,"135.2","18.3","148.41","percent of total billed charges",,
"NEB TREATMENT INITIAL","94640","HCPCS","Both",,,"191.5","95.75","Blue Cross Blue Shield","PPO","",,"71",,"135.2","18.3","148.41","percent of total billed charges",,
"NEB TREATMENT INITIAL","94640","HCPCS","Both",,,"191.5","95.75","Ambetter","Health Exchange","",,"62",,"118.73","18.3","148.41","percent of total billed charges",,
"NEB TREATMENT INITIAL","94640","HCPCS","Both",,,"191.5","95.75","Caresource","Health Exchange","",,"62",,"118.73","18.3","148.41","percent of total billed charges",,
"NEB TREATMENT INITIAL","94640","HCPCS","Both",,,"191.5","95.75","Cigna","Commercial","",,"59",,"112.22","18.3","148.41","percent of total billed charges",,
"NEB TREATMENT INITIAL","94640","HCPCS","Both",,,"191.5","95.75","Humana","Commercial","",,"78",,"148.41","18.3","148.41","percent of total billed charges",,
"NEB TREATMENT INITIAL","94640","HCPCS","Both",,,"191.5","95.75","UHC","Commercial","",,"75",,"144.39","18.3","148.41","percent of total billed charges",,
"NEB TREATMENT INITIAL","94640","HCPCS","Both",,,"191.5","95.75","Medicaid",,"",,"37",,"70.09","18.3","148.41","percent of total billed charges",,
"PFT PRE AND POST","94060","HCPCS","Both",,,"838.5","419.25","Alliant","Health Exchange","",,"62",,"519.87","306.89","649.84","percent of total billed charges",,
"PFT PRE AND POST","94060","HCPCS","Both",,,"838.5","419.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"452.79","306.89","649.84","percent of total billed charges",,
"PFT PRE AND POST","94060","HCPCS","Both",,,"838.5","419.25","Medicare",,"",,"54",,"454.47","306.89","649.84","percent of total billed charges",,
"PFT PRE AND POST","94060","HCPCS","Both",,,"838.5","419.25","Humana","Medicare Advantage","",,"54",,"454.47","306.89","649.84","percent of total billed charges",,
"PFT PRE AND POST","94060","HCPCS","Both",,,"838.5","419.25","UHC","Medicare Advantage","",,"54",,"454.47","306.89","649.84","percent of total billed charges",,
"PFT PRE AND POST","94060","HCPCS","Both",,,"838.5","419.25","Clover","Medicare Advantage","",,"54",,"454.47","306.89","649.84","percent of total billed charges",,
"PFT PRE AND POST","94060","HCPCS","Both",,,"838.5","419.25","Wellcare","Medicare Advantage","",,"54",,"454.47","306.89","649.84","percent of total billed charges",,
"PFT PRE AND POST","94060","HCPCS","Both",,,"838.5","419.25","Amerigroup","Medicaid Managed Care","",,"37",,"306.89","306.89","649.84","percent of total billed charges",,
"PFT PRE AND POST","94060","HCPCS","Both",,,"838.5","419.25","Caresource","Medicaid Managed Care","",,"40",,"335.4","306.89","649.84","percent of total billed charges",,
"PFT PRE AND POST","94060","HCPCS","Both",,,"838.5","419.25","Wellcare","Medicaid Managed Care","",,"40",,"339.59","306.89","649.84","percent of total billed charges",,
"PFT PRE AND POST","94060","HCPCS","Both",,,"838.5","419.25","Aetna","Commercial","",,"64",,"534.96","306.89","649.84","percent of total billed charges",,
"PFT PRE AND POST","94060","HCPCS","Both",,,"838.5","419.25","Blue Cross Blue Shield","Pathways","",,"71",,"591.98","306.89","649.84","percent of total billed charges",,
"PFT PRE AND POST","94060","HCPCS","Both",,,"838.5","419.25","Blue Cross Blue Shield","HMO","",,"71",,"591.98","306.89","649.84","percent of total billed charges",,
"PFT PRE AND POST","94060","HCPCS","Both",,,"838.5","419.25","Blue Cross Blue Shield","PPO","",,"71",,"591.98","306.89","649.84","percent of total billed charges",,
"PFT PRE AND POST","94060","HCPCS","Both",,,"838.5","419.25","Ambetter","Health Exchange","",,"62",,"519.87","306.89","649.84","percent of total billed charges",,
"PFT PRE AND POST","94060","HCPCS","Both",,,"838.5","419.25","Caresource","Health Exchange","",,"62",,"519.87","306.89","649.84","percent of total billed charges",,
"PFT PRE AND POST","94060","HCPCS","Both",,,"838.5","419.25","Cigna","Commercial","",,"59",,"491.36","306.89","649.84","percent of total billed charges",,
"PFT PRE AND POST","94060","HCPCS","Both",,,"838.5","419.25","Humana","Commercial","",,"78",,"649.84","306.89","649.84","percent of total billed charges",,
"PFT PRE AND POST","94060","HCPCS","Both",,,"838.5","419.25","UHC","Commercial","",,"75",,"632.23","306.89","649.84","percent of total billed charges",,
"PFT PRE AND POST","94060","HCPCS","Both",,,"838.5","419.25","Medicaid",,"",,"37",,"306.89","306.89","649.84","percent of total billed charges",,
"NEB TX SUB 2nd MED","94640","HCPCS","Both",,,"191.5","95.75","Alliant","Health Exchange","76",,"62",,"118.73","18.3","148.41","percent of total billed charges",,
"NEB TX SUB 2nd MED","94640","HCPCS","Both",,,"191.5","95.75","Pruitt Healthcare","Medicare Advantage","76",,"54",,"103.41","18.3","148.41","percent of total billed charges",,
"NEB TX SUB 2nd MED","94640","HCPCS","Both",,,"191.5","95.75","Medicare",,"76",,"54",,"103.79","18.3","148.41","percent of total billed charges",,
"NEB TX SUB 2nd MED","94640","HCPCS","Both",,,"191.5","95.75","Humana","Medicare Advantage","76",,"54",,"103.79","18.3","148.41","percent of total billed charges",,
"NEB TX SUB 2nd MED","94640","HCPCS","Both",,,"191.5","95.75","UHC","Medicare Advantage","76",,"54",,"103.79","18.3","148.41","percent of total billed charges",,
"NEB TX SUB 2nd MED","94640","HCPCS","Both",,,"191.5","95.75","Clover","Medicare Advantage","76",,"54",,"103.79","18.3","148.41","percent of total billed charges",,
"NEB TX SUB 2nd MED","94640","HCPCS","Both",,,"191.5","95.75","Wellcare","Medicare Advantage","76",,"54",,"103.79","18.3","148.41","percent of total billed charges",,
"NEB TX SUB 2nd MED","94640","HCPCS","Both",,,"191.5","95.75","Amerigroup","Medicaid Managed Care","76",,"37",,"70.09","18.3","148.41","percent of total billed charges",,
"NEB TX SUB 2nd MED","94640","HCPCS","Both",,,"191.5","95.75","Caresource","Medicaid Managed Care","76",,"40",,"76.6","18.3","148.41","percent of total billed charges",,
"NEB TX SUB 2nd MED","94640","HCPCS","Both",,,"191.5","95.75","Wellcare","Medicaid Managed Care","76",,"40",,"77.56","18.3","148.41","percent of total billed charges",,
"NEB TX SUB 2nd MED","94640","HCPCS","Both",,,"191.5","95.75","Aetna","Commercial","76",,"64",,"122.18","18.3","148.41","percent of total billed charges",,
"NEB TX SUB 2nd MED","94640","HCPCS","Both",,,"191.5","95.75","Blue Cross Blue Shield","Pathways","76",,"71",,"135.2","18.3","148.41","percent of total billed charges",,
"NEB TX SUB 2nd MED","94640","HCPCS","Both",,,"191.5","95.75","Blue Cross Blue Shield","HMO","76",,"71",,"135.2","18.3","148.41","percent of total billed charges",,
"NEB TX SUB 2nd MED","94640","HCPCS","Both",,,"191.5","95.75","Blue Cross Blue Shield","PPO","76",,"71",,"135.2","18.3","148.41","percent of total billed charges",,
"NEB TX SUB 2nd MED","94640","HCPCS","Both",,,"191.5","95.75","Ambetter","Health Exchange","76",,"62",,"118.73","18.3","148.41","percent of total billed charges",,
"NEB TX SUB 2nd MED","94640","HCPCS","Both",,,"191.5","95.75","Caresource","Health Exchange","76",,"62",,"118.73","18.3","148.41","percent of total billed charges",,
"NEB TX SUB 2nd MED","94640","HCPCS","Both",,,"191.5","95.75","Cigna","Commercial","76",,"59",,"112.22","18.3","148.41","percent of total billed charges",,
"NEB TX SUB 2nd MED","94640","HCPCS","Both",,,"191.5","95.75","Humana","Commercial","76",,"78",,"148.41","18.3","148.41","percent of total billed charges",,
"NEB TX SUB 2nd MED","94640","HCPCS","Both",,,"191.5","95.75","UHC","Commercial","76",,"75",,"144.39","18.3","148.41","percent of total billed charges",,
"NEB TX SUB 2nd MED","94640","HCPCS","Both",,,"191.5","95.75","Medicaid",,"76",,"37",,"70.09","18.3","148.41","percent of total billed charges",,
"VEST INITIAL THERAP","94669","HCPCS","Both",,,"550","275","Alliant","Health Exchange","",,"62",,"341","201.3","426.25","percent of total billed charges",,
"VEST INITIAL THERAP","94669","HCPCS","Both",,,"550","275","Pruitt Healthcare","Medicare Advantage","",,"54",,"297","201.3","426.25","percent of total billed charges",,
"VEST INITIAL THERAP","94669","HCPCS","Both",,,"550","275","Medicare",,"",,"54",,"298.1","201.3","426.25","percent of total billed charges",,
"VEST INITIAL THERAP","94669","HCPCS","Both",,,"550","275","Humana","Medicare Advantage","",,"54",,"298.1","201.3","426.25","percent of total billed charges",,
"VEST INITIAL THERAP","94669","HCPCS","Both",,,"550","275","UHC","Medicare Advantage","",,"54",,"298.1","201.3","426.25","percent of total billed charges",,
"VEST INITIAL THERAP","94669","HCPCS","Both",,,"550","275","Clover","Medicare Advantage","",,"54",,"298.1","201.3","426.25","percent of total billed charges",,
"VEST INITIAL THERAP","94669","HCPCS","Both",,,"550","275","Wellcare","Medicare Advantage","",,"54",,"298.1","201.3","426.25","percent of total billed charges",,
"VEST INITIAL THERAP","94669","HCPCS","Both",,,"550","275","Amerigroup","Medicaid Managed Care","",,"37",,"201.3","201.3","426.25","percent of total billed charges",,
"VEST INITIAL THERAP","94669","HCPCS","Both",,,"550","275","Caresource","Medicaid Managed Care","",,"40",,"220","201.3","426.25","percent of total billed charges",,
"VEST INITIAL THERAP","94669","HCPCS","Both",,,"550","275","Wellcare","Medicaid Managed Care","",,"40",,"222.75","201.3","426.25","percent of total billed charges",,
"VEST INITIAL THERAP","94669","HCPCS","Both",,,"550","275","Aetna","Commercial","",,"64",,"350.9","201.3","426.25","percent of total billed charges",,
"VEST INITIAL THERAP","94669","HCPCS","Both",,,"550","275","Blue Cross Blue Shield","Pathways","",,"71",,"388.3","201.3","426.25","percent of total billed charges",,
"VEST INITIAL THERAP","94669","HCPCS","Both",,,"550","275","Blue Cross Blue Shield","HMO","",,"71",,"388.3","201.3","426.25","percent of total billed charges",,
"VEST INITIAL THERAP","94669","HCPCS","Both",,,"550","275","Blue Cross Blue Shield","PPO","",,"71",,"388.3","201.3","426.25","percent of total billed charges",,
"VEST INITIAL THERAP","94669","HCPCS","Both",,,"550","275","Ambetter","Health Exchange","",,"62",,"341","201.3","426.25","percent of total billed charges",,
"VEST INITIAL THERAP","94669","HCPCS","Both",,,"550","275","Caresource","Health Exchange","",,"62",,"341","201.3","426.25","percent of total billed charges",,
"VEST INITIAL THERAP","94669","HCPCS","Both",,,"550","275","Cigna","Commercial","",,"59",,"322.3","201.3","426.25","percent of total billed charges",,
"VEST INITIAL THERAP","94669","HCPCS","Both",,,"550","275","Humana","Commercial","",,"78",,"426.25","201.3","426.25","percent of total billed charges",,
"VEST INITIAL THERAP","94669","HCPCS","Both",,,"550","275","UHC","Commercial","",,"75",,"414.7","201.3","426.25","percent of total billed charges",,
"VEST INITIAL THERAP","94669","HCPCS","Both",,,"550","275","Medicaid",,"",,"37",,"201.3","201.3","426.25","percent of total billed charges",,
"SMOKING & TOBACCO USE CESSATION VISIT","99406","HCPCS","Both",,,"33","16.5","Alliant","Health Exchange","",,"62",,"20.46","12.08","25.58","percent of total billed charges",,
"SMOKING & TOBACCO USE CESSATION VISIT","99406","HCPCS","Both",,,"33","16.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"17.82","12.08","25.58","percent of total billed charges",,
"SMOKING & TOBACCO USE CESSATION VISIT","99406","HCPCS","Both",,,"33","16.5","Medicare",,"",,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"SMOKING & TOBACCO USE CESSATION VISIT","99406","HCPCS","Both",,,"33","16.5","Humana","Medicare Advantage","",,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"SMOKING & TOBACCO USE CESSATION VISIT","99406","HCPCS","Both",,,"33","16.5","UHC","Medicare Advantage","",,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"SMOKING & TOBACCO USE CESSATION VISIT","99406","HCPCS","Both",,,"33","16.5","Clover","Medicare Advantage","",,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"SMOKING & TOBACCO USE CESSATION VISIT","99406","HCPCS","Both",,,"33","16.5","Wellcare","Medicare Advantage","",,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"SMOKING & TOBACCO USE CESSATION VISIT","99406","HCPCS","Both",,,"33","16.5","Amerigroup","Medicaid Managed Care","",,"37",,"12.08","12.08","25.58","percent of total billed charges",,
"SMOKING & TOBACCO USE CESSATION VISIT","99406","HCPCS","Both",,,"33","16.5","Caresource","Medicaid Managed Care","",,"40",,"13.2","12.08","25.58","percent of total billed charges",,
"SMOKING & TOBACCO USE CESSATION VISIT","99406","HCPCS","Both",,,"33","16.5","Wellcare","Medicaid Managed Care","",,"40",,"13.36","12.08","25.58","percent of total billed charges",,
"SMOKING & TOBACCO USE CESSATION VISIT","99406","HCPCS","Both",,,"33","16.5","Aetna","Commercial","",,"64",,"21.05","12.08","25.58","percent of total billed charges",,
"SMOKING & TOBACCO USE CESSATION VISIT","99406","HCPCS","Both",,,"33","16.5","Blue Cross Blue Shield","Pathways","",,"71",,"23.3","12.08","25.58","percent of total billed charges",,
"SMOKING & TOBACCO USE CESSATION VISIT","99406","HCPCS","Both",,,"33","16.5","Blue Cross Blue Shield","HMO","",,"71",,"23.3","12.08","25.58","percent of total billed charges",,
"SMOKING & TOBACCO USE CESSATION VISIT","99406","HCPCS","Both",,,"33","16.5","Blue Cross Blue Shield","PPO","",,"71",,"23.3","12.08","25.58","percent of total billed charges",,
"SMOKING & TOBACCO USE CESSATION VISIT","99406","HCPCS","Both",,,"33","16.5","Ambetter","Health Exchange","",,"62",,"20.46","12.08","25.58","percent of total billed charges",,
"SMOKING & TOBACCO USE CESSATION VISIT","99406","HCPCS","Both",,,"33","16.5","Caresource","Health Exchange","",,"62",,"20.46","12.08","25.58","percent of total billed charges",,
"SMOKING & TOBACCO USE CESSATION VISIT","99406","HCPCS","Both",,,"33","16.5","Cigna","Commercial","",,"59",,"19.34","12.08","25.58","percent of total billed charges",,
"SMOKING & TOBACCO USE CESSATION VISIT","99406","HCPCS","Both",,,"33","16.5","Humana","Commercial","",,"78",,"25.58","12.08","25.58","percent of total billed charges",,
"SMOKING & TOBACCO USE CESSATION VISIT","99406","HCPCS","Both",,,"33","16.5","UHC","Commercial","",,"75",,"24.88","12.08","25.58","percent of total billed charges",,
"SMOKING & TOBACCO USE CESSATION VISIT","99406","HCPCS","Both",,,"33","16.5","Medicaid",,"",,"37",,"12.08","12.08","25.58","percent of total billed charges",,
"LO SAGITAL CONTROL RIGID ANT POST PANL","L0627","HCPCS","Both",,,"2085","1042.5","Alliant","Health Exchange","",,"62",,"1292.7","763.11","1615.88","percent of total billed charges",,
"LO SAGITAL CONTROL RIGID ANT POST PANL","L0627","HCPCS","Both",,,"2085","1042.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"1125.9","763.11","1615.88","percent of total billed charges",,
"LO SAGITAL CONTROL RIGID ANT POST PANL","L0627","HCPCS","Both",,,"2085","1042.5","Medicare",,"",,"54",,"1130.07","763.11","1615.88","percent of total billed charges",,
"LO SAGITAL CONTROL RIGID ANT POST PANL","L0627","HCPCS","Both",,,"2085","1042.5","Humana","Medicare Advantage","",,"54",,"1130.07","763.11","1615.88","percent of total billed charges",,
"LO SAGITAL CONTROL RIGID ANT POST PANL","L0627","HCPCS","Both",,,"2085","1042.5","UHC","Medicare Advantage","",,"54",,"1130.07","763.11","1615.88","percent of total billed charges",,
"LO SAGITAL CONTROL RIGID ANT POST PANL","L0627","HCPCS","Both",,,"2085","1042.5","Clover","Medicare Advantage","",,"54",,"1130.07","763.11","1615.88","percent of total billed charges",,
"LO SAGITAL CONTROL RIGID ANT POST PANL","L0627","HCPCS","Both",,,"2085","1042.5","Wellcare","Medicare Advantage","",,"54",,"1130.07","763.11","1615.88","percent of total billed charges",,
"LO SAGITAL CONTROL RIGID ANT POST PANL","L0627","HCPCS","Both",,,"2085","1042.5","Amerigroup","Medicaid Managed Care","",,"37",,"763.11","763.11","1615.88","percent of total billed charges",,
"LO SAGITAL CONTROL RIGID ANT POST PANL","L0627","HCPCS","Both",,,"2085","1042.5","Caresource","Medicaid Managed Care","",,"40",,"834","763.11","1615.88","percent of total billed charges",,
"LO SAGITAL CONTROL RIGID ANT POST PANL","L0627","HCPCS","Both",,,"2085","1042.5","Wellcare","Medicaid Managed Care","",,"40",,"844.42","763.11","1615.88","percent of total billed charges",,
"LO SAGITAL CONTROL RIGID ANT POST PANL","L0627","HCPCS","Both",,,"2085","1042.5","Aetna","Commercial","",,"64",,"1330.23","763.11","1615.88","percent of total billed charges",,
"LO SAGITAL CONTROL RIGID ANT POST PANL","L0627","HCPCS","Both",,,"2085","1042.5","Blue Cross Blue Shield","Pathways","",,"71",,"1472.01","763.11","1615.88","percent of total billed charges",,
"LO SAGITAL CONTROL RIGID ANT POST PANL","L0627","HCPCS","Both",,,"2085","1042.5","Blue Cross Blue Shield","HMO","",,"71",,"1472.01","763.11","1615.88","percent of total billed charges",,
"LO SAGITAL CONTROL RIGID ANT POST PANL","L0627","HCPCS","Both",,,"2085","1042.5","Blue Cross Blue Shield","PPO","",,"71",,"1472.01","763.11","1615.88","percent of total billed charges",,
"LO SAGITAL CONTROL RIGID ANT POST PANL","L0627","HCPCS","Both",,,"2085","1042.5","Ambetter","Health Exchange","",,"62",,"1292.7","763.11","1615.88","percent of total billed charges",,
"LO SAGITAL CONTROL RIGID ANT POST PANL","L0627","HCPCS","Both",,,"2085","1042.5","Caresource","Health Exchange","",,"62",,"1292.7","763.11","1615.88","percent of total billed charges",,
"LO SAGITAL CONTROL RIGID ANT POST PANL","L0627","HCPCS","Both",,,"2085","1042.5","Cigna","Commercial","",,"59",,"1221.81","763.11","1615.88","percent of total billed charges",,
"LO SAGITAL CONTROL RIGID ANT POST PANL","L0627","HCPCS","Both",,,"2085","1042.5","Humana","Commercial","",,"78",,"1615.88","763.11","1615.88","percent of total billed charges",,
"LO SAGITAL CONTROL RIGID ANT POST PANL","L0627","HCPCS","Both",,,"2085","1042.5","UHC","Commercial","",,"75",,"1572.09","763.11","1615.88","percent of total billed charges",,
"LO SAGITAL CONTROL RIGID ANT POST PANL","L0627","HCPCS","Both",,,"2085","1042.5","Medicaid",,"",,"37",,"763.11","763.11","1615.88","percent of total billed charges",,
"PT ELECTRICL STIM UNATTENDED WOUND CARE","97014","HCPCS","Both",,,"131.75","65.875","Alliant","Health Exchange","",,"62",,"81.68","28.36","102.11","percent of total billed charges",,
"PT ELECTRICL STIM UNATTENDED WOUND CARE","97014","HCPCS","Both",,,"131.75","65.875","Pruitt Healthcare","Medicare Advantage","",,"54",,"71.15","28.36","102.11","percent of total billed charges",,
"PT ELECTRICL STIM UNATTENDED WOUND CARE","97014","HCPCS","Both",,,"131.75","65.875","Medicare",,"",,"54",,"71.41","28.36","102.11","percent of total billed charges",,
"PT ELECTRICL STIM UNATTENDED WOUND CARE","97014","HCPCS","Both",,,"131.75","65.875","Humana","Medicare Advantage","",,"54",,"71.41","28.36","102.11","percent of total billed charges",,
"PT ELECTRICL STIM UNATTENDED WOUND CARE","97014","HCPCS","Both",,,"131.75","65.875","UHC","Medicare Advantage","",,"54",,"71.41","28.36","102.11","percent of total billed charges",,
"PT ELECTRICL STIM UNATTENDED WOUND CARE","97014","HCPCS","Both",,,"131.75","65.875","Clover","Medicare Advantage","",,"54",,"71.41","28.36","102.11","percent of total billed charges",,
"PT ELECTRICL STIM UNATTENDED WOUND CARE","97014","HCPCS","Both",,,"131.75","65.875","Wellcare","Medicare Advantage","",,"54",,"71.41","28.36","102.11","percent of total billed charges",,
"PT ELECTRICL STIM UNATTENDED WOUND CARE","97014","HCPCS","Both",,,"131.75","65.875","Amerigroup","Medicaid Managed Care","",,"37",,"48.22","28.36","102.11","percent of total billed charges",,
"PT ELECTRICL STIM UNATTENDED WOUND CARE","97014","HCPCS","Both",,,"131.75","65.875","Caresource","Medicaid Managed Care","",,"40",,"52.7","28.36","102.11","percent of total billed charges",,
"PT ELECTRICL STIM UNATTENDED WOUND CARE","97014","HCPCS","Both",,,"131.75","65.875","Wellcare","Medicaid Managed Care","",,"40",,"53.36","28.36","102.11","percent of total billed charges",,
"PT ELECTRICL STIM UNATTENDED WOUND CARE","97014","HCPCS","Both",,,"131.75","65.875","Aetna","Commercial","",,"64",,"84.06","28.36","102.11","percent of total billed charges",,
"PT ELECTRICL STIM UNATTENDED WOUND CARE","97014","HCPCS","Both",,,"131.75","65.875","Blue Cross Blue Shield","Pathways","",,"71",,"93.02","28.36","102.11","percent of total billed charges",,
"PT ELECTRICL STIM UNATTENDED WOUND CARE","97014","HCPCS","Both",,,"131.75","65.875","Blue Cross Blue Shield","HMO","",,"71",,"93.02","28.36","102.11","percent of total billed charges",,
"PT ELECTRICL STIM UNATTENDED WOUND CARE","97014","HCPCS","Both",,,"131.75","65.875","Blue Cross Blue Shield","PPO","",,"71",,"93.02","28.36","102.11","percent of total billed charges",,
"PT ELECTRICL STIM UNATTENDED WOUND CARE","97014","HCPCS","Both",,,"131.75","65.875","Ambetter","Health Exchange","",,"62",,"81.68","28.36","102.11","percent of total billed charges",,
"PT ELECTRICL STIM UNATTENDED WOUND CARE","97014","HCPCS","Both",,,"131.75","65.875","Caresource","Health Exchange","",,"62",,"81.68","28.36","102.11","percent of total billed charges",,
"PT ELECTRICL STIM UNATTENDED WOUND CARE","97014","HCPCS","Both",,,"131.75","65.875","Cigna","Commercial","",,"59",,"77.21","28.36","102.11","percent of total billed charges",,
"PT ELECTRICL STIM UNATTENDED WOUND CARE","97014","HCPCS","Both",,,"131.75","65.875","Humana","Commercial","",,"78",,"102.11","28.36","102.11","percent of total billed charges",,
"PT ELECTRICL STIM UNATTENDED WOUND CARE","97014","HCPCS","Both",,,"131.75","65.875","UHC","Commercial","",,"75",,"99.34","28.36","102.11","percent of total billed charges",,
"PT ELECTRICL STIM UNATTENDED WOUND CARE","97014","HCPCS","Both",,,"131.75","65.875","Medicaid",,"",,"37",,"48.22","28.36","102.11","percent of total billed charges",,
"PT ULTRASOUND/PHONOPHERESIS EA 15 MINS","97035","HCPCS","Both",,,"105.5","52.75","Alliant","Health Exchange","GP",,"62",,"65.41","38.61","81.76","percent of total billed charges",,
"PT ULTRASOUND/PHONOPHERESIS EA 15 MINS","97035","HCPCS","Both",,,"105.5","52.75","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"56.97","38.61","81.76","percent of total billed charges",,
"PT ULTRASOUND/PHONOPHERESIS EA 15 MINS","97035","HCPCS","Both",,,"105.5","52.75","Medicare",,"GP",,"54",,"57.18","38.61","81.76","percent of total billed charges",,
"PT ULTRASOUND/PHONOPHERESIS EA 15 MINS","97035","HCPCS","Both",,,"105.5","52.75","Humana","Medicare Advantage","GP",,"54",,"57.18","38.61","81.76","percent of total billed charges",,
"PT ULTRASOUND/PHONOPHERESIS EA 15 MINS","97035","HCPCS","Both",,,"105.5","52.75","UHC","Medicare Advantage","GP",,"54",,"57.18","38.61","81.76","percent of total billed charges",,
"PT ULTRASOUND/PHONOPHERESIS EA 15 MINS","97035","HCPCS","Both",,,"105.5","52.75","Clover","Medicare Advantage","GP",,"54",,"57.18","38.61","81.76","percent of total billed charges",,
"PT ULTRASOUND/PHONOPHERESIS EA 15 MINS","97035","HCPCS","Both",,,"105.5","52.75","Wellcare","Medicare Advantage","GP",,"54",,"57.18","38.61","81.76","percent of total billed charges",,
"PT ULTRASOUND/PHONOPHERESIS EA 15 MINS","97035","HCPCS","Both",,,"105.5","52.75","Amerigroup","Medicaid Managed Care","GP",,"37",,"38.61","38.61","81.76","percent of total billed charges",,
"PT ULTRASOUND/PHONOPHERESIS EA 15 MINS","97035","HCPCS","Both",,,"105.5","52.75","Caresource","Medicaid Managed Care","GP",,"40",,"42.2","38.61","81.76","percent of total billed charges",,
"PT ULTRASOUND/PHONOPHERESIS EA 15 MINS","97035","HCPCS","Both",,,"105.5","52.75","Wellcare","Medicaid Managed Care","GP",,"40",,"42.73","38.61","81.76","percent of total billed charges",,
"PT ULTRASOUND/PHONOPHERESIS EA 15 MINS","97035","HCPCS","Both",,,"105.5","52.75","Aetna","Commercial","GP",,"64",,"67.31","38.61","81.76","percent of total billed charges",,
"PT ULTRASOUND/PHONOPHERESIS EA 15 MINS","97035","HCPCS","Both",,,"105.5","52.75","Blue Cross Blue Shield","Pathways","GP",,"71",,"74.48","38.61","81.76","percent of total billed charges",,
"PT ULTRASOUND/PHONOPHERESIS EA 15 MINS","97035","HCPCS","Both",,,"105.5","52.75","Blue Cross Blue Shield","HMO","GP",,"71",,"74.48","38.61","81.76","percent of total billed charges",,
"PT ULTRASOUND/PHONOPHERESIS EA 15 MINS","97035","HCPCS","Both",,,"105.5","52.75","Blue Cross Blue Shield","PPO","GP",,"71",,"74.48","38.61","81.76","percent of total billed charges",,
"PT ULTRASOUND/PHONOPHERESIS EA 15 MINS","97035","HCPCS","Both",,,"105.5","52.75","Ambetter","Health Exchange","GP",,"62",,"65.41","38.61","81.76","percent of total billed charges",,
"PT ULTRASOUND/PHONOPHERESIS EA 15 MINS","97035","HCPCS","Both",,,"105.5","52.75","Caresource","Health Exchange","GP",,"62",,"65.41","38.61","81.76","percent of total billed charges",,
"PT ULTRASOUND/PHONOPHERESIS EA 15 MINS","97035","HCPCS","Both",,,"105.5","52.75","Cigna","Commercial","GP",,"59",,"61.82","38.61","81.76","percent of total billed charges",,
"PT ULTRASOUND/PHONOPHERESIS EA 15 MINS","97035","HCPCS","Both",,,"105.5","52.75","Humana","Commercial","GP",,"78",,"81.76","38.61","81.76","percent of total billed charges",,
"PT ULTRASOUND/PHONOPHERESIS EA 15 MINS","97035","HCPCS","Both",,,"105.5","52.75","UHC","Commercial","GP",,"75",,"79.55","38.61","81.76","percent of total billed charges",,
"PT ULTRASOUND/PHONOPHERESIS EA 15 MINS","97035","HCPCS","Both",,,"105.5","52.75","Medicaid",,"GP",,"37",,"38.61","38.61","81.76","percent of total billed charges",,
"PT THERAP ACTIV EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Alliant","Health Exchange","GP",,"62",,"167.59","98.93","209.48","percent of total billed charges",,
"PT THERAP ACTIV EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"145.96","98.93","209.48","percent of total billed charges",,
"PT THERAP ACTIV EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Medicare",,"GP",,"54",,"146.5","98.93","209.48","percent of total billed charges",,
"PT THERAP ACTIV EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Humana","Medicare Advantage","GP",,"54",,"146.5","98.93","209.48","percent of total billed charges",,
"PT THERAP ACTIV EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","UHC","Medicare Advantage","GP",,"54",,"146.5","98.93","209.48","percent of total billed charges",,
"PT THERAP ACTIV EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Clover","Medicare Advantage","GP",,"54",,"146.5","98.93","209.48","percent of total billed charges",,
"PT THERAP ACTIV EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Wellcare","Medicare Advantage","GP",,"54",,"146.5","98.93","209.48","percent of total billed charges",,
"PT THERAP ACTIV EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Amerigroup","Medicaid Managed Care","GP",,"37",,"98.93","98.93","209.48","percent of total billed charges",,
"PT THERAP ACTIV EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Caresource","Medicaid Managed Care","GP",,"40",,"108.12","98.93","209.48","percent of total billed charges",,
"PT THERAP ACTIV EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Wellcare","Medicaid Managed Care","GP",,"40",,"109.47","98.93","209.48","percent of total billed charges",,
"PT THERAP ACTIV EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Aetna","Commercial","GP",,"64",,"172.45","98.93","209.48","percent of total billed charges",,
"PT THERAP ACTIV EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Blue Cross Blue Shield","Pathways","GP",,"71",,"190.83","98.93","209.48","percent of total billed charges",,
"PT THERAP ACTIV EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Blue Cross Blue Shield","HMO","GP",,"71",,"190.83","98.93","209.48","percent of total billed charges",,
"PT THERAP ACTIV EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Blue Cross Blue Shield","PPO","GP",,"71",,"190.83","98.93","209.48","percent of total billed charges",,
"PT THERAP ACTIV EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Ambetter","Health Exchange","GP",,"62",,"167.59","98.93","209.48","percent of total billed charges",,
"PT THERAP ACTIV EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Caresource","Health Exchange","GP",,"62",,"167.59","98.93","209.48","percent of total billed charges",,
"PT THERAP ACTIV EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Cigna","Commercial","GP",,"59",,"158.4","98.93","209.48","percent of total billed charges",,
"PT THERAP ACTIV EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Humana","Commercial","GP",,"78",,"209.48","98.93","209.48","percent of total billed charges",,
"PT THERAP ACTIV EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","UHC","Commercial","GP",,"75",,"203.81","98.93","209.48","percent of total billed charges",,
"PT THERAP ACTIV EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Medicaid",,"GP",,"37",,"98.93","98.93","209.48","percent of total billed charges",,
"PT MASSAGE EA 15 MINS","97124","HCPCS","Both",,,"75.5","37.75","Alliant","Health Exchange","GP",,"62",,"46.81","27.63","58.51","percent of total billed charges",,
"PT MASSAGE EA 15 MINS","97124","HCPCS","Both",,,"75.5","37.75","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"40.77","27.63","58.51","percent of total billed charges",,
"PT MASSAGE EA 15 MINS","97124","HCPCS","Both",,,"75.5","37.75","Medicare",,"GP",,"54",,"40.92","27.63","58.51","percent of total billed charges",,
"PT MASSAGE EA 15 MINS","97124","HCPCS","Both",,,"75.5","37.75","Humana","Medicare Advantage","GP",,"54",,"40.92","27.63","58.51","percent of total billed charges",,
"PT MASSAGE EA 15 MINS","97124","HCPCS","Both",,,"75.5","37.75","UHC","Medicare Advantage","GP",,"54",,"40.92","27.63","58.51","percent of total billed charges",,
"PT MASSAGE EA 15 MINS","97124","HCPCS","Both",,,"75.5","37.75","Clover","Medicare Advantage","GP",,"54",,"40.92","27.63","58.51","percent of total billed charges",,
"PT MASSAGE EA 15 MINS","97124","HCPCS","Both",,,"75.5","37.75","Wellcare","Medicare Advantage","GP",,"54",,"40.92","27.63","58.51","percent of total billed charges",,
"PT MASSAGE EA 15 MINS","97124","HCPCS","Both",,,"75.5","37.75","Amerigroup","Medicaid Managed Care","GP",,"37",,"27.63","27.63","58.51","percent of total billed charges",,
"PT MASSAGE EA 15 MINS","97124","HCPCS","Both",,,"75.5","37.75","Caresource","Medicaid Managed Care","GP",,"40",,"30.2","27.63","58.51","percent of total billed charges",,
"PT MASSAGE EA 15 MINS","97124","HCPCS","Both",,,"75.5","37.75","Wellcare","Medicaid Managed Care","GP",,"40",,"30.58","27.63","58.51","percent of total billed charges",,
"PT MASSAGE EA 15 MINS","97124","HCPCS","Both",,,"75.5","37.75","Aetna","Commercial","GP",,"64",,"48.17","27.63","58.51","percent of total billed charges",,
"PT MASSAGE EA 15 MINS","97124","HCPCS","Both",,,"75.5","37.75","Blue Cross Blue Shield","Pathways","GP",,"71",,"53.3","27.63","58.51","percent of total billed charges",,
"PT MASSAGE EA 15 MINS","97124","HCPCS","Both",,,"75.5","37.75","Blue Cross Blue Shield","HMO","GP",,"71",,"53.3","27.63","58.51","percent of total billed charges",,
"PT MASSAGE EA 15 MINS","97124","HCPCS","Both",,,"75.5","37.75","Blue Cross Blue Shield","PPO","GP",,"71",,"53.3","27.63","58.51","percent of total billed charges",,
"PT MASSAGE EA 15 MINS","97124","HCPCS","Both",,,"75.5","37.75","Ambetter","Health Exchange","GP",,"62",,"46.81","27.63","58.51","percent of total billed charges",,
"PT MASSAGE EA 15 MINS","97124","HCPCS","Both",,,"75.5","37.75","Caresource","Health Exchange","GP",,"62",,"46.81","27.63","58.51","percent of total billed charges",,
"PT MASSAGE EA 15 MINS","97124","HCPCS","Both",,,"75.5","37.75","Cigna","Commercial","GP",,"59",,"44.24","27.63","58.51","percent of total billed charges",,
"PT MASSAGE EA 15 MINS","97124","HCPCS","Both",,,"75.5","37.75","Humana","Commercial","GP",,"78",,"58.51","27.63","58.51","percent of total billed charges",,
"PT MASSAGE EA 15 MINS","97124","HCPCS","Both",,,"75.5","37.75","UHC","Commercial","GP",,"75",,"56.93","27.63","58.51","percent of total billed charges",,
"PT MASSAGE EA 15 MINS","97124","HCPCS","Both",,,"75.5","37.75","Medicaid",,"GP",,"37",,"27.63","27.63","58.51","percent of total billed charges",,
"PT NEUROMUSCULAR REED EA 15 MIN","97112","HCPCS","Both",,,"277.1","138.55","Alliant","Health Exchange","GP",,"62",,"171.8","59.66","214.75","percent of total billed charges",,
"PT NEUROMUSCULAR REED EA 15 MIN","97112","HCPCS","Both",,,"277.1","138.55","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"149.63","59.66","214.75","percent of total billed charges",,
"PT NEUROMUSCULAR REED EA 15 MIN","97112","HCPCS","Both",,,"277.1","138.55","Medicare",,"GP",,"54",,"150.19","59.66","214.75","percent of total billed charges",,
"PT NEUROMUSCULAR REED EA 15 MIN","97112","HCPCS","Both",,,"277.1","138.55","Humana","Medicare Advantage","GP",,"54",,"150.19","59.66","214.75","percent of total billed charges",,
"PT NEUROMUSCULAR REED EA 15 MIN","97112","HCPCS","Both",,,"277.1","138.55","UHC","Medicare Advantage","GP",,"54",,"150.19","59.66","214.75","percent of total billed charges",,
"PT NEUROMUSCULAR REED EA 15 MIN","97112","HCPCS","Both",,,"277.1","138.55","Clover","Medicare Advantage","GP",,"54",,"150.19","59.66","214.75","percent of total billed charges",,
"PT NEUROMUSCULAR REED EA 15 MIN","97112","HCPCS","Both",,,"277.1","138.55","Wellcare","Medicare Advantage","GP",,"54",,"150.19","59.66","214.75","percent of total billed charges",,
"PT NEUROMUSCULAR REED EA 15 MIN","97112","HCPCS","Both",,,"277.1","138.55","Amerigroup","Medicaid Managed Care","GP",,"37",,"101.42","59.66","214.75","percent of total billed charges",,
"PT NEUROMUSCULAR REED EA 15 MIN","97112","HCPCS","Both",,,"277.1","138.55","Caresource","Medicaid Managed Care","GP",,"40",,"110.84","59.66","214.75","percent of total billed charges",,
"PT NEUROMUSCULAR REED EA 15 MIN","97112","HCPCS","Both",,,"277.1","138.55","Wellcare","Medicaid Managed Care","GP",,"40",,"112.23","59.66","214.75","percent of total billed charges",,
"PT NEUROMUSCULAR REED EA 15 MIN","97112","HCPCS","Both",,,"277.1","138.55","Aetna","Commercial","GP",,"64",,"176.79","59.66","214.75","percent of total billed charges",,
"PT NEUROMUSCULAR REED EA 15 MIN","97112","HCPCS","Both",,,"277.1","138.55","Blue Cross Blue Shield","Pathways","GP",,"71",,"195.63","59.66","214.75","percent of total billed charges",,
"PT NEUROMUSCULAR REED EA 15 MIN","97112","HCPCS","Both",,,"277.1","138.55","Blue Cross Blue Shield","HMO","GP",,"71",,"195.63","59.66","214.75","percent of total billed charges",,
"PT NEUROMUSCULAR REED EA 15 MIN","97112","HCPCS","Both",,,"277.1","138.55","Blue Cross Blue Shield","PPO","GP",,"71",,"195.63","59.66","214.75","percent of total billed charges",,
"PT NEUROMUSCULAR REED EA 15 MIN","97112","HCPCS","Both",,,"277.1","138.55","Ambetter","Health Exchange","GP",,"62",,"171.8","59.66","214.75","percent of total billed charges",,
"PT NEUROMUSCULAR REED EA 15 MIN","97112","HCPCS","Both",,,"277.1","138.55","Caresource","Health Exchange","GP",,"62",,"171.8","59.66","214.75","percent of total billed charges",,
"PT NEUROMUSCULAR REED EA 15 MIN","97112","HCPCS","Both",,,"277.1","138.55","Cigna","Commercial","GP",,"59",,"162.38","59.66","214.75","percent of total billed charges",,
"PT NEUROMUSCULAR REED EA 15 MIN","97112","HCPCS","Both",,,"277.1","138.55","Humana","Commercial","GP",,"78",,"214.75","59.66","214.75","percent of total billed charges",,
"PT NEUROMUSCULAR REED EA 15 MIN","97112","HCPCS","Both",,,"277.1","138.55","UHC","Commercial","GP",,"75",,"208.93","59.66","214.75","percent of total billed charges",,
"PT NEUROMUSCULAR REED EA 15 MIN","97112","HCPCS","Both",,,"277.1","138.55","Medicaid",,"GP",,"37",,"101.42","59.66","214.75","percent of total billed charges",,
"PT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Alliant","Health Exchange","GP",,"62",,"21.39","12.63","26.74","percent of total billed charges",,
"PT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"18.63","12.63","26.74","percent of total billed charges",,
"PT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Medicare",,"GP",,"54",,"18.7","12.63","26.74","percent of total billed charges",,
"PT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Humana","Medicare Advantage","GP",,"54",,"18.7","12.63","26.74","percent of total billed charges",,
"PT GROUP","97150","HCPCS","Both",,,"34.5","17.25","UHC","Medicare Advantage","GP",,"54",,"18.7","12.63","26.74","percent of total billed charges",,
"PT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Clover","Medicare Advantage","GP",,"54",,"18.7","12.63","26.74","percent of total billed charges",,
"PT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Wellcare","Medicare Advantage","GP",,"54",,"18.7","12.63","26.74","percent of total billed charges",,
"PT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Amerigroup","Medicaid Managed Care","GP",,"37",,"12.63","12.63","26.74","percent of total billed charges",,
"PT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Caresource","Medicaid Managed Care","GP",,"40",,"13.8","12.63","26.74","percent of total billed charges",,
"PT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Wellcare","Medicaid Managed Care","GP",,"40",,"13.97","12.63","26.74","percent of total billed charges",,
"PT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Aetna","Commercial","GP",,"64",,"22.01","12.63","26.74","percent of total billed charges",,
"PT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Blue Cross Blue Shield","Pathways","GP",,"71",,"24.36","12.63","26.74","percent of total billed charges",,
"PT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Blue Cross Blue Shield","HMO","GP",,"71",,"24.36","12.63","26.74","percent of total billed charges",,
"PT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Blue Cross Blue Shield","PPO","GP",,"71",,"24.36","12.63","26.74","percent of total billed charges",,
"PT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Ambetter","Health Exchange","GP",,"62",,"21.39","12.63","26.74","percent of total billed charges",,
"PT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Caresource","Health Exchange","GP",,"62",,"21.39","12.63","26.74","percent of total billed charges",,
"PT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Cigna","Commercial","GP",,"59",,"20.22","12.63","26.74","percent of total billed charges",,
"PT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Humana","Commercial","GP",,"78",,"26.74","12.63","26.74","percent of total billed charges",,
"PT GROUP","97150","HCPCS","Both",,,"34.5","17.25","UHC","Commercial","GP",,"75",,"26.01","12.63","26.74","percent of total billed charges",,
"PT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Medicaid",,"GP",,"37",,"12.63","12.63","26.74","percent of total billed charges",,
"PT ELECTRICAL STIM UNATTENDED","97014","HCPCS","Both",,,"131.75","65.875","Alliant","Health Exchange","GP",,"62",,"81.68","28.36","102.11","percent of total billed charges",,
"PT ELECTRICAL STIM UNATTENDED","97014","HCPCS","Both",,,"131.75","65.875","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"71.15","28.36","102.11","percent of total billed charges",,
"PT ELECTRICAL STIM UNATTENDED","97014","HCPCS","Both",,,"131.75","65.875","Medicare",,"GP",,"54",,"71.41","28.36","102.11","percent of total billed charges",,
"PT ELECTRICAL STIM UNATTENDED","97014","HCPCS","Both",,,"131.75","65.875","Humana","Medicare Advantage","GP",,"54",,"71.41","28.36","102.11","percent of total billed charges",,
"PT ELECTRICAL STIM UNATTENDED","97014","HCPCS","Both",,,"131.75","65.875","UHC","Medicare Advantage","GP",,"54",,"71.41","28.36","102.11","percent of total billed charges",,
"PT ELECTRICAL STIM UNATTENDED","97014","HCPCS","Both",,,"131.75","65.875","Clover","Medicare Advantage","GP",,"54",,"71.41","28.36","102.11","percent of total billed charges",,
"PT ELECTRICAL STIM UNATTENDED","97014","HCPCS","Both",,,"131.75","65.875","Wellcare","Medicare Advantage","GP",,"54",,"71.41","28.36","102.11","percent of total billed charges",,
"PT ELECTRICAL STIM UNATTENDED","97014","HCPCS","Both",,,"131.75","65.875","Amerigroup","Medicaid Managed Care","GP",,"37",,"48.22","28.36","102.11","percent of total billed charges",,
"PT ELECTRICAL STIM UNATTENDED","97014","HCPCS","Both",,,"131.75","65.875","Caresource","Medicaid Managed Care","GP",,"40",,"52.7","28.36","102.11","percent of total billed charges",,
"PT ELECTRICAL STIM UNATTENDED","97014","HCPCS","Both",,,"131.75","65.875","Wellcare","Medicaid Managed Care","GP",,"40",,"53.36","28.36","102.11","percent of total billed charges",,
"PT ELECTRICAL STIM UNATTENDED","97014","HCPCS","Both",,,"131.75","65.875","Aetna","Commercial","GP",,"64",,"84.06","28.36","102.11","percent of total billed charges",,
"PT ELECTRICAL STIM UNATTENDED","97014","HCPCS","Both",,,"131.75","65.875","Blue Cross Blue Shield","Pathways","GP",,"71",,"93.02","28.36","102.11","percent of total billed charges",,
"PT ELECTRICAL STIM UNATTENDED","97014","HCPCS","Both",,,"131.75","65.875","Blue Cross Blue Shield","HMO","GP",,"71",,"93.02","28.36","102.11","percent of total billed charges",,
"PT ELECTRICAL STIM UNATTENDED","97014","HCPCS","Both",,,"131.75","65.875","Blue Cross Blue Shield","PPO","GP",,"71",,"93.02","28.36","102.11","percent of total billed charges",,
"PT ELECTRICAL STIM UNATTENDED","97014","HCPCS","Both",,,"131.75","65.875","Ambetter","Health Exchange","GP",,"62",,"81.68","28.36","102.11","percent of total billed charges",,
"PT ELECTRICAL STIM UNATTENDED","97014","HCPCS","Both",,,"131.75","65.875","Caresource","Health Exchange","GP",,"62",,"81.68","28.36","102.11","percent of total billed charges",,
"PT ELECTRICAL STIM UNATTENDED","97014","HCPCS","Both",,,"131.75","65.875","Cigna","Commercial","GP",,"59",,"77.21","28.36","102.11","percent of total billed charges",,
"PT ELECTRICAL STIM UNATTENDED","97014","HCPCS","Both",,,"131.75","65.875","Humana","Commercial","GP",,"78",,"102.11","28.36","102.11","percent of total billed charges",,
"PT ELECTRICAL STIM UNATTENDED","97014","HCPCS","Both",,,"131.75","65.875","UHC","Commercial","GP",,"75",,"99.34","28.36","102.11","percent of total billed charges",,
"PT ELECTRICAL STIM UNATTENDED","97014","HCPCS","Both",,,"131.75","65.875","Medicaid",,"GP",,"37",,"48.22","28.36","102.11","percent of total billed charges",,
"PT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Alliant","Health Exchange","GP",,"62",,"14.57","8.6","18.21","percent of total billed charges",,
"PT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"12.69","8.6","18.21","percent of total billed charges",,
"PT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Medicare",,"GP",,"54",,"12.74","8.6","18.21","percent of total billed charges",,
"PT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Humana","Medicare Advantage","GP",,"54",,"12.74","8.6","18.21","percent of total billed charges",,
"PT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","UHC","Medicare Advantage","GP",,"54",,"12.74","8.6","18.21","percent of total billed charges",,
"PT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Clover","Medicare Advantage","GP",,"54",,"12.74","8.6","18.21","percent of total billed charges",,
"PT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Wellcare","Medicare Advantage","GP",,"54",,"12.74","8.6","18.21","percent of total billed charges",,
"PT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Amerigroup","Medicaid Managed Care","GP",,"37",,"8.6","8.6","18.21","percent of total billed charges",,
"PT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Caresource","Medicaid Managed Care","GP",,"40",,"9.4","8.6","18.21","percent of total billed charges",,
"PT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Wellcare","Medicaid Managed Care","GP",,"40",,"9.52","8.6","18.21","percent of total billed charges",,
"PT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Aetna","Commercial","GP",,"64",,"14.99","8.6","18.21","percent of total billed charges",,
"PT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Blue Cross Blue Shield","Pathways","GP",,"71",,"16.59","8.6","18.21","percent of total billed charges",,
"PT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Blue Cross Blue Shield","HMO","GP",,"71",,"16.59","8.6","18.21","percent of total billed charges",,
"PT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Blue Cross Blue Shield","PPO","GP",,"71",,"16.59","8.6","18.21","percent of total billed charges",,
"PT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Ambetter","Health Exchange","GP",,"62",,"14.57","8.6","18.21","percent of total billed charges",,
"PT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Caresource","Health Exchange","GP",,"62",,"14.57","8.6","18.21","percent of total billed charges",,
"PT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Cigna","Commercial","GP",,"59",,"13.77","8.6","18.21","percent of total billed charges",,
"PT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Humana","Commercial","GP",,"78",,"18.21","8.6","18.21","percent of total billed charges",,
"PT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","UHC","Commercial","GP",,"75",,"17.72","8.6","18.21","percent of total billed charges",,
"PT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Medicaid",,"GP",,"37",,"8.6","8.6","18.21","percent of total billed charges",,
"PT PERIPHERAL ARTERIAL DISEASE REHAB","93668","HCPCS","Both",,,"54","27","Alliant","Health Exchange","",,"62",,"33.48","19.76","41.85","percent of total billed charges",,
"PT PERIPHERAL ARTERIAL DISEASE REHAB","93668","HCPCS","Both",,,"54","27","Pruitt Healthcare","Medicare Advantage","",,"54",,"29.16","19.76","41.85","percent of total billed charges",,
"PT PERIPHERAL ARTERIAL DISEASE REHAB","93668","HCPCS","Both",,,"54","27","Medicare",,"",,"54",,"29.27","19.76","41.85","percent of total billed charges",,
"PT PERIPHERAL ARTERIAL DISEASE REHAB","93668","HCPCS","Both",,,"54","27","Humana","Medicare Advantage","",,"54",,"29.27","19.76","41.85","percent of total billed charges",,
"PT PERIPHERAL ARTERIAL DISEASE REHAB","93668","HCPCS","Both",,,"54","27","UHC","Medicare Advantage","",,"54",,"29.27","19.76","41.85","percent of total billed charges",,
"PT PERIPHERAL ARTERIAL DISEASE REHAB","93668","HCPCS","Both",,,"54","27","Clover","Medicare Advantage","",,"54",,"29.27","19.76","41.85","percent of total billed charges",,
"PT PERIPHERAL ARTERIAL DISEASE REHAB","93668","HCPCS","Both",,,"54","27","Wellcare","Medicare Advantage","",,"54",,"29.27","19.76","41.85","percent of total billed charges",,
"PT PERIPHERAL ARTERIAL DISEASE REHAB","93668","HCPCS","Both",,,"54","27","Amerigroup","Medicaid Managed Care","",,"37",,"19.76","19.76","41.85","percent of total billed charges",,
"PT PERIPHERAL ARTERIAL DISEASE REHAB","93668","HCPCS","Both",,,"54","27","Caresource","Medicaid Managed Care","",,"40",,"21.6","19.76","41.85","percent of total billed charges",,
"PT PERIPHERAL ARTERIAL DISEASE REHAB","93668","HCPCS","Both",,,"54","27","Wellcare","Medicaid Managed Care","",,"40",,"21.87","19.76","41.85","percent of total billed charges",,
"PT PERIPHERAL ARTERIAL DISEASE REHAB","93668","HCPCS","Both",,,"54","27","Aetna","Commercial","",,"64",,"34.45","19.76","41.85","percent of total billed charges",,
"PT PERIPHERAL ARTERIAL DISEASE REHAB","93668","HCPCS","Both",,,"54","27","Blue Cross Blue Shield","Pathways","",,"71",,"38.12","19.76","41.85","percent of total billed charges",,
"PT PERIPHERAL ARTERIAL DISEASE REHAB","93668","HCPCS","Both",,,"54","27","Blue Cross Blue Shield","HMO","",,"71",,"38.12","19.76","41.85","percent of total billed charges",,
"PT PERIPHERAL ARTERIAL DISEASE REHAB","93668","HCPCS","Both",,,"54","27","Blue Cross Blue Shield","PPO","",,"71",,"38.12","19.76","41.85","percent of total billed charges",,
"PT PERIPHERAL ARTERIAL DISEASE REHAB","93668","HCPCS","Both",,,"54","27","Ambetter","Health Exchange","",,"62",,"33.48","19.76","41.85","percent of total billed charges",,
"PT PERIPHERAL ARTERIAL DISEASE REHAB","93668","HCPCS","Both",,,"54","27","Caresource","Health Exchange","",,"62",,"33.48","19.76","41.85","percent of total billed charges",,
"PT PERIPHERAL ARTERIAL DISEASE REHAB","93668","HCPCS","Both",,,"54","27","Cigna","Commercial","",,"59",,"31.64","19.76","41.85","percent of total billed charges",,
"PT PERIPHERAL ARTERIAL DISEASE REHAB","93668","HCPCS","Both",,,"54","27","Humana","Commercial","",,"78",,"41.85","19.76","41.85","percent of total billed charges",,
"PT PERIPHERAL ARTERIAL DISEASE REHAB","93668","HCPCS","Both",,,"54","27","UHC","Commercial","",,"75",,"40.72","19.76","41.85","percent of total billed charges",,
"PT PERIPHERAL ARTERIAL DISEASE REHAB","93668","HCPCS","Both",,,"54","27","Medicaid",,"",,"37",,"19.76","19.76","41.85","percent of total billed charges",,
"PT TRACTION MECHANICAL","97012","HCPCS","Both",,,"89.5","44.75","Alliant","Health Exchange","GP",,"62",,"55.49","32.76","69.36","percent of total billed charges",,
"PT TRACTION MECHANICAL","97012","HCPCS","Both",,,"89.5","44.75","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"48.33","32.76","69.36","percent of total billed charges",,
"PT TRACTION MECHANICAL","97012","HCPCS","Both",,,"89.5","44.75","Medicare",,"GP",,"54",,"48.51","32.76","69.36","percent of total billed charges",,
"PT TRACTION MECHANICAL","97012","HCPCS","Both",,,"89.5","44.75","Humana","Medicare Advantage","GP",,"54",,"48.51","32.76","69.36","percent of total billed charges",,
"PT TRACTION MECHANICAL","97012","HCPCS","Both",,,"89.5","44.75","UHC","Medicare Advantage","GP",,"54",,"48.51","32.76","69.36","percent of total billed charges",,
"PT TRACTION MECHANICAL","97012","HCPCS","Both",,,"89.5","44.75","Clover","Medicare Advantage","GP",,"54",,"48.51","32.76","69.36","percent of total billed charges",,
"PT TRACTION MECHANICAL","97012","HCPCS","Both",,,"89.5","44.75","Wellcare","Medicare Advantage","GP",,"54",,"48.51","32.76","69.36","percent of total billed charges",,
"PT TRACTION MECHANICAL","97012","HCPCS","Both",,,"89.5","44.75","Amerigroup","Medicaid Managed Care","GP",,"37",,"32.76","32.76","69.36","percent of total billed charges",,
"PT TRACTION MECHANICAL","97012","HCPCS","Both",,,"89.5","44.75","Caresource","Medicaid Managed Care","GP",,"40",,"35.8","32.76","69.36","percent of total billed charges",,
"PT TRACTION MECHANICAL","97012","HCPCS","Both",,,"89.5","44.75","Wellcare","Medicaid Managed Care","GP",,"40",,"36.25","32.76","69.36","percent of total billed charges",,
"PT TRACTION MECHANICAL","97012","HCPCS","Both",,,"89.5","44.75","Aetna","Commercial","GP",,"64",,"57.1","32.76","69.36","percent of total billed charges",,
"PT TRACTION MECHANICAL","97012","HCPCS","Both",,,"89.5","44.75","Blue Cross Blue Shield","Pathways","GP",,"71",,"63.19","32.76","69.36","percent of total billed charges",,
"PT TRACTION MECHANICAL","97012","HCPCS","Both",,,"89.5","44.75","Blue Cross Blue Shield","HMO","GP",,"71",,"63.19","32.76","69.36","percent of total billed charges",,
"PT TRACTION MECHANICAL","97012","HCPCS","Both",,,"89.5","44.75","Blue Cross Blue Shield","PPO","GP",,"71",,"63.19","32.76","69.36","percent of total billed charges",,
"PT TRACTION MECHANICAL","97012","HCPCS","Both",,,"89.5","44.75","Ambetter","Health Exchange","GP",,"62",,"55.49","32.76","69.36","percent of total billed charges",,
"PT TRACTION MECHANICAL","97012","HCPCS","Both",,,"89.5","44.75","Caresource","Health Exchange","GP",,"62",,"55.49","32.76","69.36","percent of total billed charges",,
"PT TRACTION MECHANICAL","97012","HCPCS","Both",,,"89.5","44.75","Cigna","Commercial","GP",,"59",,"52.45","32.76","69.36","percent of total billed charges",,
"PT TRACTION MECHANICAL","97012","HCPCS","Both",,,"89.5","44.75","Humana","Commercial","GP",,"78",,"69.36","32.76","69.36","percent of total billed charges",,
"PT TRACTION MECHANICAL","97012","HCPCS","Both",,,"89.5","44.75","UHC","Commercial","GP",,"75",,"67.48","32.76","69.36","percent of total billed charges",,
"PT TRACTION MECHANICAL","97012","HCPCS","Both",,,"89.5","44.75","Medicaid",,"GP",,"37",,"32.76","32.76","69.36","percent of total billed charges",,
"PT MANUAL THERAPY TECHNIQUES EA 15 MIN","97140","HCPCS","Both",,,"314.65","157.325","Alliant","Health Exchange","GP",,"62",,"195.08","115.16","243.85","percent of total billed charges",,
"PT MANUAL THERAPY TECHNIQUES EA 15 MIN","97140","HCPCS","Both",,,"314.65","157.325","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"169.91","115.16","243.85","percent of total billed charges",,
"PT MANUAL THERAPY TECHNIQUES EA 15 MIN","97140","HCPCS","Both",,,"314.65","157.325","Medicare",,"GP",,"54",,"170.54","115.16","243.85","percent of total billed charges",,
"PT MANUAL THERAPY TECHNIQUES EA 15 MIN","97140","HCPCS","Both",,,"314.65","157.325","Humana","Medicare Advantage","GP",,"54",,"170.54","115.16","243.85","percent of total billed charges",,
"PT MANUAL THERAPY TECHNIQUES EA 15 MIN","97140","HCPCS","Both",,,"314.65","157.325","UHC","Medicare Advantage","GP",,"54",,"170.54","115.16","243.85","percent of total billed charges",,
"PT MANUAL THERAPY TECHNIQUES EA 15 MIN","97140","HCPCS","Both",,,"314.65","157.325","Clover","Medicare Advantage","GP",,"54",,"170.54","115.16","243.85","percent of total billed charges",,
"PT MANUAL THERAPY TECHNIQUES EA 15 MIN","97140","HCPCS","Both",,,"314.65","157.325","Wellcare","Medicare Advantage","GP",,"54",,"170.54","115.16","243.85","percent of total billed charges",,
"PT MANUAL THERAPY TECHNIQUES EA 15 MIN","97140","HCPCS","Both",,,"314.65","157.325","Amerigroup","Medicaid Managed Care","GP",,"37",,"115.16","115.16","243.85","percent of total billed charges",,
"PT MANUAL THERAPY TECHNIQUES EA 15 MIN","97140","HCPCS","Both",,,"314.65","157.325","Caresource","Medicaid Managed Care","GP",,"40",,"125.86","115.16","243.85","percent of total billed charges",,
"PT MANUAL THERAPY TECHNIQUES EA 15 MIN","97140","HCPCS","Both",,,"314.65","157.325","Wellcare","Medicaid Managed Care","GP",,"40",,"127.43","115.16","243.85","percent of total billed charges",,
"PT MANUAL THERAPY TECHNIQUES EA 15 MIN","97140","HCPCS","Both",,,"314.65","157.325","Aetna","Commercial","GP",,"64",,"200.75","115.16","243.85","percent of total billed charges",,
"PT MANUAL THERAPY TECHNIQUES EA 15 MIN","97140","HCPCS","Both",,,"314.65","157.325","Blue Cross Blue Shield","Pathways","GP",,"71",,"222.14","115.16","243.85","percent of total billed charges",,
"PT MANUAL THERAPY TECHNIQUES EA 15 MIN","97140","HCPCS","Both",,,"314.65","157.325","Blue Cross Blue Shield","HMO","GP",,"71",,"222.14","115.16","243.85","percent of total billed charges",,
"PT MANUAL THERAPY TECHNIQUES EA 15 MIN","97140","HCPCS","Both",,,"314.65","157.325","Blue Cross Blue Shield","PPO","GP",,"71",,"222.14","115.16","243.85","percent of total billed charges",,
"PT MANUAL THERAPY TECHNIQUES EA 15 MIN","97140","HCPCS","Both",,,"314.65","157.325","Ambetter","Health Exchange","GP",,"62",,"195.08","115.16","243.85","percent of total billed charges",,
"PT MANUAL THERAPY TECHNIQUES EA 15 MIN","97140","HCPCS","Both",,,"314.65","157.325","Caresource","Health Exchange","GP",,"62",,"195.08","115.16","243.85","percent of total billed charges",,
"PT MANUAL THERAPY TECHNIQUES EA 15 MIN","97140","HCPCS","Both",,,"314.65","157.325","Cigna","Commercial","GP",,"59",,"184.38","115.16","243.85","percent of total billed charges",,
"PT MANUAL THERAPY TECHNIQUES EA 15 MIN","97140","HCPCS","Both",,,"314.65","157.325","Humana","Commercial","GP",,"78",,"243.85","115.16","243.85","percent of total billed charges",,
"PT MANUAL THERAPY TECHNIQUES EA 15 MIN","97140","HCPCS","Both",,,"314.65","157.325","UHC","Commercial","GP",,"75",,"237.25","115.16","243.85","percent of total billed charges",,
"PT MANUAL THERAPY TECHNIQUES EA 15 MIN","97140","HCPCS","Both",,,"314.65","157.325","Medicaid",,"GP",,"37",,"115.16","115.16","243.85","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Alliant","Health Exchange","GP",,"62",,"169.76","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"147.86","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Medicare",,"GP",,"54",,"148.41","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Humana","Medicare Advantage","GP",,"54",,"148.41","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","UHC","Medicare Advantage","GP",,"54",,"148.41","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Clover","Medicare Advantage","GP",,"54",,"148.41","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Wellcare","Medicare Advantage","GP",,"54",,"148.41","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Amerigroup","Medicaid Managed Care","GP",,"37",,"100.21","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Caresource","Medicaid Managed Care","GP",,"40",,"109.52","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Wellcare","Medicaid Managed Care","GP",,"40",,"110.89","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Aetna","Commercial","GP",,"64",,"174.69","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Blue Cross Blue Shield","Pathways","GP",,"71",,"193.31","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Blue Cross Blue Shield","HMO","GP",,"71",,"193.31","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Blue Cross Blue Shield","PPO","GP",,"71",,"193.31","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Ambetter","Health Exchange","GP",,"62",,"169.76","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Caresource","Health Exchange","GP",,"62",,"169.76","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Cigna","Commercial","GP",,"59",,"160.45","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Humana","Commercial","GP",,"78",,"212.2","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","UHC","Commercial","GP",,"75",,"206.45","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Medicaid",,"GP",,"37",,"100.21","100.21","212.2","percent of total billed charges",,
"PT WHIRLPOOL","97022","HCPCS","Both",,,"168.5","84.25","Alliant","Health Exchange","GP",,"62",,"104.47","61.67","130.59","percent of total billed charges",,
"PT WHIRLPOOL","97022","HCPCS","Both",,,"168.5","84.25","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"90.99","61.67","130.59","percent of total billed charges",,
"PT WHIRLPOOL","97022","HCPCS","Both",,,"168.5","84.25","Medicare",,"GP",,"54",,"91.33","61.67","130.59","percent of total billed charges",,
"PT WHIRLPOOL","97022","HCPCS","Both",,,"168.5","84.25","Humana","Medicare Advantage","GP",,"54",,"91.33","61.67","130.59","percent of total billed charges",,
"PT WHIRLPOOL","97022","HCPCS","Both",,,"168.5","84.25","UHC","Medicare Advantage","GP",,"54",,"91.33","61.67","130.59","percent of total billed charges",,
"PT WHIRLPOOL","97022","HCPCS","Both",,,"168.5","84.25","Clover","Medicare Advantage","GP",,"54",,"91.33","61.67","130.59","percent of total billed charges",,
"PT WHIRLPOOL","97022","HCPCS","Both",,,"168.5","84.25","Wellcare","Medicare Advantage","GP",,"54",,"91.33","61.67","130.59","percent of total billed charges",,
"PT WHIRLPOOL","97022","HCPCS","Both",,,"168.5","84.25","Amerigroup","Medicaid Managed Care","GP",,"37",,"61.67","61.67","130.59","percent of total billed charges",,
"PT WHIRLPOOL","97022","HCPCS","Both",,,"168.5","84.25","Caresource","Medicaid Managed Care","GP",,"40",,"67.4","61.67","130.59","percent of total billed charges",,
"PT WHIRLPOOL","97022","HCPCS","Both",,,"168.5","84.25","Wellcare","Medicaid Managed Care","GP",,"40",,"68.24","61.67","130.59","percent of total billed charges",,
"PT WHIRLPOOL","97022","HCPCS","Both",,,"168.5","84.25","Aetna","Commercial","GP",,"64",,"107.5","61.67","130.59","percent of total billed charges",,
"PT WHIRLPOOL","97022","HCPCS","Both",,,"168.5","84.25","Blue Cross Blue Shield","Pathways","GP",,"71",,"118.96","61.67","130.59","percent of total billed charges",,
"PT WHIRLPOOL","97022","HCPCS","Both",,,"168.5","84.25","Blue Cross Blue Shield","HMO","GP",,"71",,"118.96","61.67","130.59","percent of total billed charges",,
"PT WHIRLPOOL","97022","HCPCS","Both",,,"168.5","84.25","Blue Cross Blue Shield","PPO","GP",,"71",,"118.96","61.67","130.59","percent of total billed charges",,
"PT WHIRLPOOL","97022","HCPCS","Both",,,"168.5","84.25","Ambetter","Health Exchange","GP",,"62",,"104.47","61.67","130.59","percent of total billed charges",,
"PT WHIRLPOOL","97022","HCPCS","Both",,,"168.5","84.25","Caresource","Health Exchange","GP",,"62",,"104.47","61.67","130.59","percent of total billed charges",,
"PT WHIRLPOOL","97022","HCPCS","Both",,,"168.5","84.25","Cigna","Commercial","GP",,"59",,"98.74","61.67","130.59","percent of total billed charges",,
"PT WHIRLPOOL","97022","HCPCS","Both",,,"168.5","84.25","Humana","Commercial","GP",,"78",,"130.59","61.67","130.59","percent of total billed charges",,
"PT WHIRLPOOL","97022","HCPCS","Both",,,"168.5","84.25","UHC","Commercial","GP",,"75",,"127.05","61.67","130.59","percent of total billed charges",,
"PT WHIRLPOOL","97022","HCPCS","Both",,,"168.5","84.25","Medicaid",,"GP",,"37",,"61.67","61.67","130.59","percent of total billed charges",,
"PT GAIT TRAINING EA 15MIN","97116","HCPCS","Both",,,"141.95","70.975","Alliant","Health Exchange","GP",,"62",,"88.01","51.95","110.01","percent of total billed charges",,
"PT GAIT TRAINING EA 15MIN","97116","HCPCS","Both",,,"141.95","70.975","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"76.65","51.95","110.01","percent of total billed charges",,
"PT GAIT TRAINING EA 15MIN","97116","HCPCS","Both",,,"141.95","70.975","Medicare",,"GP",,"54",,"76.94","51.95","110.01","percent of total billed charges",,
"PT GAIT TRAINING EA 15MIN","97116","HCPCS","Both",,,"141.95","70.975","Humana","Medicare Advantage","GP",,"54",,"76.94","51.95","110.01","percent of total billed charges",,
"PT GAIT TRAINING EA 15MIN","97116","HCPCS","Both",,,"141.95","70.975","UHC","Medicare Advantage","GP",,"54",,"76.94","51.95","110.01","percent of total billed charges",,
"PT GAIT TRAINING EA 15MIN","97116","HCPCS","Both",,,"141.95","70.975","Clover","Medicare Advantage","GP",,"54",,"76.94","51.95","110.01","percent of total billed charges",,
"PT GAIT TRAINING EA 15MIN","97116","HCPCS","Both",,,"141.95","70.975","Wellcare","Medicare Advantage","GP",,"54",,"76.94","51.95","110.01","percent of total billed charges",,
"PT GAIT TRAINING EA 15MIN","97116","HCPCS","Both",,,"141.95","70.975","Amerigroup","Medicaid Managed Care","GP",,"37",,"51.95","51.95","110.01","percent of total billed charges",,
"PT GAIT TRAINING EA 15MIN","97116","HCPCS","Both",,,"141.95","70.975","Caresource","Medicaid Managed Care","GP",,"40",,"56.78","51.95","110.01","percent of total billed charges",,
"PT GAIT TRAINING EA 15MIN","97116","HCPCS","Both",,,"141.95","70.975","Wellcare","Medicaid Managed Care","GP",,"40",,"57.49","51.95","110.01","percent of total billed charges",,
"PT GAIT TRAINING EA 15MIN","97116","HCPCS","Both",,,"141.95","70.975","Aetna","Commercial","GP",,"64",,"90.56","51.95","110.01","percent of total billed charges",,
"PT GAIT TRAINING EA 15MIN","97116","HCPCS","Both",,,"141.95","70.975","Blue Cross Blue Shield","Pathways","GP",,"71",,"100.22","51.95","110.01","percent of total billed charges",,
"PT GAIT TRAINING EA 15MIN","97116","HCPCS","Both",,,"141.95","70.975","Blue Cross Blue Shield","HMO","GP",,"71",,"100.22","51.95","110.01","percent of total billed charges",,
"PT GAIT TRAINING EA 15MIN","97116","HCPCS","Both",,,"141.95","70.975","Blue Cross Blue Shield","PPO","GP",,"71",,"100.22","51.95","110.01","percent of total billed charges",,
"PT GAIT TRAINING EA 15MIN","97116","HCPCS","Both",,,"141.95","70.975","Ambetter","Health Exchange","GP",,"62",,"88.01","51.95","110.01","percent of total billed charges",,
"PT GAIT TRAINING EA 15MIN","97116","HCPCS","Both",,,"141.95","70.975","Caresource","Health Exchange","GP",,"62",,"88.01","51.95","110.01","percent of total billed charges",,
"PT GAIT TRAINING EA 15MIN","97116","HCPCS","Both",,,"141.95","70.975","Cigna","Commercial","GP",,"59",,"83.18","51.95","110.01","percent of total billed charges",,
"PT GAIT TRAINING EA 15MIN","97116","HCPCS","Both",,,"141.95","70.975","Humana","Commercial","GP",,"78",,"110.01","51.95","110.01","percent of total billed charges",,
"PT GAIT TRAINING EA 15MIN","97116","HCPCS","Both",,,"141.95","70.975","UHC","Commercial","GP",,"75",,"107.03","51.95","110.01","percent of total billed charges",,
"PT GAIT TRAINING EA 15MIN","97116","HCPCS","Both",,,"141.95","70.975","Medicaid",,"GP",,"37",,"51.95","51.95","110.01","percent of total billed charges",,
"PT IONTOPHORESIS EA 15 MINS","97033","HCPCS","Both",,,"150","75","Alliant","Health Exchange","GP",,"62",,"93","54.9","116.25","percent of total billed charges",,
"PT IONTOPHORESIS EA 15 MINS","97033","HCPCS","Both",,,"150","75","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"81","54.9","116.25","percent of total billed charges",,
"PT IONTOPHORESIS EA 15 MINS","97033","HCPCS","Both",,,"150","75","Medicare",,"GP",,"54",,"81.3","54.9","116.25","percent of total billed charges",,
"PT IONTOPHORESIS EA 15 MINS","97033","HCPCS","Both",,,"150","75","Humana","Medicare Advantage","GP",,"54",,"81.3","54.9","116.25","percent of total billed charges",,
"PT IONTOPHORESIS EA 15 MINS","97033","HCPCS","Both",,,"150","75","UHC","Medicare Advantage","GP",,"54",,"81.3","54.9","116.25","percent of total billed charges",,
"PT IONTOPHORESIS EA 15 MINS","97033","HCPCS","Both",,,"150","75","Clover","Medicare Advantage","GP",,"54",,"81.3","54.9","116.25","percent of total billed charges",,
"PT IONTOPHORESIS EA 15 MINS","97033","HCPCS","Both",,,"150","75","Wellcare","Medicare Advantage","GP",,"54",,"81.3","54.9","116.25","percent of total billed charges",,
"PT IONTOPHORESIS EA 15 MINS","97033","HCPCS","Both",,,"150","75","Amerigroup","Medicaid Managed Care","GP",,"37",,"54.9","54.9","116.25","percent of total billed charges",,
"PT IONTOPHORESIS EA 15 MINS","97033","HCPCS","Both",,,"150","75","Caresource","Medicaid Managed Care","GP",,"40",,"60","54.9","116.25","percent of total billed charges",,
"PT IONTOPHORESIS EA 15 MINS","97033","HCPCS","Both",,,"150","75","Wellcare","Medicaid Managed Care","GP",,"40",,"60.75","54.9","116.25","percent of total billed charges",,
"PT IONTOPHORESIS EA 15 MINS","97033","HCPCS","Both",,,"150","75","Aetna","Commercial","GP",,"64",,"95.7","54.9","116.25","percent of total billed charges",,
"PT IONTOPHORESIS EA 15 MINS","97033","HCPCS","Both",,,"150","75","Blue Cross Blue Shield","Pathways","GP",,"71",,"105.9","54.9","116.25","percent of total billed charges",,
"PT IONTOPHORESIS EA 15 MINS","97033","HCPCS","Both",,,"150","75","Blue Cross Blue Shield","HMO","GP",,"71",,"105.9","54.9","116.25","percent of total billed charges",,
"PT IONTOPHORESIS EA 15 MINS","97033","HCPCS","Both",,,"150","75","Blue Cross Blue Shield","PPO","GP",,"71",,"105.9","54.9","116.25","percent of total billed charges",,
"PT IONTOPHORESIS EA 15 MINS","97033","HCPCS","Both",,,"150","75","Ambetter","Health Exchange","GP",,"62",,"93","54.9","116.25","percent of total billed charges",,
"PT IONTOPHORESIS EA 15 MINS","97033","HCPCS","Both",,,"150","75","Caresource","Health Exchange","GP",,"62",,"93","54.9","116.25","percent of total billed charges",,
"PT IONTOPHORESIS EA 15 MINS","97033","HCPCS","Both",,,"150","75","Cigna","Commercial","GP",,"59",,"87.9","54.9","116.25","percent of total billed charges",,
"PT IONTOPHORESIS EA 15 MINS","97033","HCPCS","Both",,,"150","75","Humana","Commercial","GP",,"78",,"116.25","54.9","116.25","percent of total billed charges",,
"PT IONTOPHORESIS EA 15 MINS","97033","HCPCS","Both",,,"150","75","UHC","Commercial","GP",,"75",,"113.1","54.9","116.25","percent of total billed charges",,
"PT IONTOPHORESIS EA 15 MINS","97033","HCPCS","Both",,,"150","75","Medicaid",,"GP",,"37",,"54.9","54.9","116.25","percent of total billed charges",,
"PT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Alliant","Health Exchange","GP",,"62",,"30.07","17.75","37.59","percent of total billed charges",,
"PT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"26.19","17.75","37.59","percent of total billed charges",,
"PT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Medicare",,"GP",,"54",,"26.29","17.75","37.59","percent of total billed charges",,
"PT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Humana","Medicare Advantage","GP",,"54",,"26.29","17.75","37.59","percent of total billed charges",,
"PT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","UHC","Medicare Advantage","GP",,"54",,"26.29","17.75","37.59","percent of total billed charges",,
"PT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Clover","Medicare Advantage","GP",,"54",,"26.29","17.75","37.59","percent of total billed charges",,
"PT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Wellcare","Medicare Advantage","GP",,"54",,"26.29","17.75","37.59","percent of total billed charges",,
"PT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Amerigroup","Medicaid Managed Care","GP",,"37",,"17.75","17.75","37.59","percent of total billed charges",,
"PT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Caresource","Medicaid Managed Care","GP",,"40",,"19.4","17.75","37.59","percent of total billed charges",,
"PT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Wellcare","Medicaid Managed Care","GP",,"40",,"19.64","17.75","37.59","percent of total billed charges",,
"PT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Aetna","Commercial","GP",,"64",,"30.94","17.75","37.59","percent of total billed charges",,
"PT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Blue Cross Blue Shield","Pathways","GP",,"71",,"34.24","17.75","37.59","percent of total billed charges",,
"PT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Blue Cross Blue Shield","HMO","GP",,"71",,"34.24","17.75","37.59","percent of total billed charges",,
"PT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Blue Cross Blue Shield","PPO","GP",,"71",,"34.24","17.75","37.59","percent of total billed charges",,
"PT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Ambetter","Health Exchange","GP",,"62",,"30.07","17.75","37.59","percent of total billed charges",,
"PT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Caresource","Health Exchange","GP",,"62",,"30.07","17.75","37.59","percent of total billed charges",,
"PT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Cigna","Commercial","GP",,"59",,"28.42","17.75","37.59","percent of total billed charges",,
"PT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Humana","Commercial","GP",,"78",,"37.59","17.75","37.59","percent of total billed charges",,
"PT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","UHC","Commercial","GP",,"75",,"36.57","17.75","37.59","percent of total billed charges",,
"PT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Medicaid",,"GP",,"37",,"17.75","17.75","37.59","percent of total billed charges",,
"PT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Alliant","Health Exchange","GP",,"62",,"62.62","36.97","78.28","percent of total billed charges",,
"PT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"54.54","36.97","78.28","percent of total billed charges",,
"PT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Medicare",,"GP",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"PT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Humana","Medicare Advantage","GP",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"PT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","UHC","Medicare Advantage","GP",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"PT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Clover","Medicare Advantage","GP",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"PT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Wellcare","Medicare Advantage","GP",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"PT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Amerigroup","Medicaid Managed Care","GP",,"37",,"36.97","36.97","78.28","percent of total billed charges",,
"PT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Caresource","Medicaid Managed Care","GP",,"40",,"40.4","36.97","78.28","percent of total billed charges",,
"PT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Wellcare","Medicaid Managed Care","GP",,"40",,"40.9","36.97","78.28","percent of total billed charges",,
"PT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Aetna","Commercial","GP",,"64",,"64.44","36.97","78.28","percent of total billed charges",,
"PT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","Pathways","GP",,"71",,"71.31","36.97","78.28","percent of total billed charges",,
"PT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","HMO","GP",,"71",,"71.31","36.97","78.28","percent of total billed charges",,
"PT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","PPO","GP",,"71",,"71.31","36.97","78.28","percent of total billed charges",,
"PT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Ambetter","Health Exchange","GP",,"62",,"62.62","36.97","78.28","percent of total billed charges",,
"PT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Caresource","Health Exchange","GP",,"62",,"62.62","36.97","78.28","percent of total billed charges",,
"PT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Cigna","Commercial","GP",,"59",,"59.19","36.97","78.28","percent of total billed charges",,
"PT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Humana","Commercial","GP",,"78",,"78.28","36.97","78.28","percent of total billed charges",,
"PT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","UHC","Commercial","GP",,"75",,"76.15","36.97","78.28","percent of total billed charges",,
"PT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Medicaid",,"GP",,"37",,"36.97","36.97","78.28","percent of total billed charges",,
"PT PROSTHETIC TRAINING EA 15 MINS","97761","HCPCS","Both",,,"50.5","25.25","Alliant","Health Exchange","GP",,"62",,"31.31","18.48","39.14","percent of total billed charges",,
"PT PROSTHETIC TRAINING EA 15 MINS","97761","HCPCS","Both",,,"50.5","25.25","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"27.27","18.48","39.14","percent of total billed charges",,
"PT PROSTHETIC TRAINING EA 15 MINS","97761","HCPCS","Both",,,"50.5","25.25","Medicare",,"GP",,"54",,"27.37","18.48","39.14","percent of total billed charges",,
"PT PROSTHETIC TRAINING EA 15 MINS","97761","HCPCS","Both",,,"50.5","25.25","Humana","Medicare Advantage","GP",,"54",,"27.37","18.48","39.14","percent of total billed charges",,
"PT PROSTHETIC TRAINING EA 15 MINS","97761","HCPCS","Both",,,"50.5","25.25","UHC","Medicare Advantage","GP",,"54",,"27.37","18.48","39.14","percent of total billed charges",,
"PT PROSTHETIC TRAINING EA 15 MINS","97761","HCPCS","Both",,,"50.5","25.25","Clover","Medicare Advantage","GP",,"54",,"27.37","18.48","39.14","percent of total billed charges",,
"PT PROSTHETIC TRAINING EA 15 MINS","97761","HCPCS","Both",,,"50.5","25.25","Wellcare","Medicare Advantage","GP",,"54",,"27.37","18.48","39.14","percent of total billed charges",,
"PT PROSTHETIC TRAINING EA 15 MINS","97761","HCPCS","Both",,,"50.5","25.25","Amerigroup","Medicaid Managed Care","GP",,"37",,"18.48","18.48","39.14","percent of total billed charges",,
"PT PROSTHETIC TRAINING EA 15 MINS","97761","HCPCS","Both",,,"50.5","25.25","Caresource","Medicaid Managed Care","GP",,"40",,"20.2","18.48","39.14","percent of total billed charges",,
"PT PROSTHETIC TRAINING EA 15 MINS","97761","HCPCS","Both",,,"50.5","25.25","Wellcare","Medicaid Managed Care","GP",,"40",,"20.45","18.48","39.14","percent of total billed charges",,
"PT PROSTHETIC TRAINING EA 15 MINS","97761","HCPCS","Both",,,"50.5","25.25","Aetna","Commercial","GP",,"64",,"32.22","18.48","39.14","percent of total billed charges",,
"PT PROSTHETIC TRAINING EA 15 MINS","97761","HCPCS","Both",,,"50.5","25.25","Blue Cross Blue Shield","Pathways","GP",,"71",,"35.65","18.48","39.14","percent of total billed charges",,
"PT PROSTHETIC TRAINING EA 15 MINS","97761","HCPCS","Both",,,"50.5","25.25","Blue Cross Blue Shield","HMO","GP",,"71",,"35.65","18.48","39.14","percent of total billed charges",,
"PT PROSTHETIC TRAINING EA 15 MINS","97761","HCPCS","Both",,,"50.5","25.25","Blue Cross Blue Shield","PPO","GP",,"71",,"35.65","18.48","39.14","percent of total billed charges",,
"PT PROSTHETIC TRAINING EA 15 MINS","97761","HCPCS","Both",,,"50.5","25.25","Ambetter","Health Exchange","GP",,"62",,"31.31","18.48","39.14","percent of total billed charges",,
"PT PROSTHETIC TRAINING EA 15 MINS","97761","HCPCS","Both",,,"50.5","25.25","Caresource","Health Exchange","GP",,"62",,"31.31","18.48","39.14","percent of total billed charges",,
"PT PROSTHETIC TRAINING EA 15 MINS","97761","HCPCS","Both",,,"50.5","25.25","Cigna","Commercial","GP",,"59",,"29.59","18.48","39.14","percent of total billed charges",,
"PT PROSTHETIC TRAINING EA 15 MINS","97761","HCPCS","Both",,,"50.5","25.25","Humana","Commercial","GP",,"78",,"39.14","18.48","39.14","percent of total billed charges",,
"PT PROSTHETIC TRAINING EA 15 MINS","97761","HCPCS","Both",,,"50.5","25.25","UHC","Commercial","GP",,"75",,"38.08","18.48","39.14","percent of total billed charges",,
"PT PROSTHETIC TRAINING EA 15 MINS","97761","HCPCS","Both",,,"50.5","25.25","Medicaid",,"GP",,"37",,"18.48","18.48","39.14","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Alliant","Health Exchange","GP",,"62",,"6.2","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"5.4","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Medicare",,"GP",,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Humana","Medicare Advantage","GP",,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","UHC","Medicare Advantage","GP",,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Clover","Medicare Advantage","GP",,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Wellcare","Medicare Advantage","GP",,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Amerigroup","Medicaid Managed Care","GP",,"37",,"3.66","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Caresource","Medicaid Managed Care","GP",,"40",,"4","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Wellcare","Medicaid Managed Care","GP",,"40",,"4.05","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Aetna","Commercial","GP",,"64",,"6.38","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Blue Cross Blue Shield","Pathways","GP",,"71",,"7.06","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Blue Cross Blue Shield","HMO","GP",,"71",,"7.06","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Blue Cross Blue Shield","PPO","GP",,"71",,"7.06","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Ambetter","Health Exchange","GP",,"62",,"6.2","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Caresource","Health Exchange","GP",,"62",,"6.2","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Cigna","Commercial","GP",,"59",,"5.86","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Humana","Commercial","GP",,"78",,"7.75","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","UHC","Commercial","GP",,"75",,"7.54","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Medicaid",,"GP",,"37",,"3.66","3.66","7.75","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT1st 20CM","97597","HCPCS","Both",,,"130","65","Alliant","Health Exchange","GP",,"62",,"80.6","47.58","100.75","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT1st 20CM","97597","HCPCS","Both",,,"130","65","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"70.2","47.58","100.75","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT1st 20CM","97597","HCPCS","Both",,,"130","65","Medicare",,"GP",,"54",,"70.46","47.58","100.75","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT1st 20CM","97597","HCPCS","Both",,,"130","65","Humana","Medicare Advantage","GP",,"54",,"70.46","47.58","100.75","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT1st 20CM","97597","HCPCS","Both",,,"130","65","UHC","Medicare Advantage","GP",,"54",,"70.46","47.58","100.75","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT1st 20CM","97597","HCPCS","Both",,,"130","65","Clover","Medicare Advantage","GP",,"54",,"70.46","47.58","100.75","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT1st 20CM","97597","HCPCS","Both",,,"130","65","Wellcare","Medicare Advantage","GP",,"54",,"70.46","47.58","100.75","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT1st 20CM","97597","HCPCS","Both",,,"130","65","Amerigroup","Medicaid Managed Care","GP",,"37",,"47.58","47.58","100.75","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT1st 20CM","97597","HCPCS","Both",,,"130","65","Caresource","Medicaid Managed Care","GP",,"40",,"52","47.58","100.75","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT1st 20CM","97597","HCPCS","Both",,,"130","65","Wellcare","Medicaid Managed Care","GP",,"40",,"52.65","47.58","100.75","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT1st 20CM","97597","HCPCS","Both",,,"130","65","Aetna","Commercial","GP",,"64",,"82.94","47.58","100.75","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT1st 20CM","97597","HCPCS","Both",,,"130","65","Blue Cross Blue Shield","Pathways","GP",,"71",,"91.78","47.58","100.75","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT1st 20CM","97597","HCPCS","Both",,,"130","65","Blue Cross Blue Shield","HMO","GP",,"71",,"91.78","47.58","100.75","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT1st 20CM","97597","HCPCS","Both",,,"130","65","Blue Cross Blue Shield","PPO","GP",,"71",,"91.78","47.58","100.75","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT1st 20CM","97597","HCPCS","Both",,,"130","65","Ambetter","Health Exchange","GP",,"62",,"80.6","47.58","100.75","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT1st 20CM","97597","HCPCS","Both",,,"130","65","Caresource","Health Exchange","GP",,"62",,"80.6","47.58","100.75","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT1st 20CM","97597","HCPCS","Both",,,"130","65","Cigna","Commercial","GP",,"59",,"76.18","47.58","100.75","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT1st 20CM","97597","HCPCS","Both",,,"130","65","Humana","Commercial","GP",,"78",,"100.75","47.58","100.75","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT1st 20CM","97597","HCPCS","Both",,,"130","65","UHC","Commercial","GP",,"75",,"98.02","47.58","100.75","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT1st 20CM","97597","HCPCS","Both",,,"130","65","Medicaid",,"GP",,"37",,"47.58","47.58","100.75","percent of total billed charges",,
"PT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Alliant","Health Exchange","GP",,"62",,"11.47","6.77","14.34","percent of total billed charges",,
"PT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"9.99","6.77","14.34","percent of total billed charges",,
"PT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Medicare",,"GP",,"54",,"10.03","6.77","14.34","percent of total billed charges",,
"PT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Humana","Medicare Advantage","GP",,"54",,"10.03","6.77","14.34","percent of total billed charges",,
"PT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","UHC","Medicare Advantage","GP",,"54",,"10.03","6.77","14.34","percent of total billed charges",,
"PT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Clover","Medicare Advantage","GP",,"54",,"10.03","6.77","14.34","percent of total billed charges",,
"PT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Wellcare","Medicare Advantage","GP",,"54",,"10.03","6.77","14.34","percent of total billed charges",,
"PT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Amerigroup","Medicaid Managed Care","GP",,"37",,"6.77","6.77","14.34","percent of total billed charges",,
"PT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Caresource","Medicaid Managed Care","GP",,"40",,"7.4","6.77","14.34","percent of total billed charges",,
"PT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Wellcare","Medicaid Managed Care","GP",,"40",,"7.49","6.77","14.34","percent of total billed charges",,
"PT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Aetna","Commercial","GP",,"64",,"11.8","6.77","14.34","percent of total billed charges",,
"PT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Blue Cross Blue Shield","Pathways","GP",,"71",,"13.06","6.77","14.34","percent of total billed charges",,
"PT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Blue Cross Blue Shield","HMO","GP",,"71",,"13.06","6.77","14.34","percent of total billed charges",,
"PT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Blue Cross Blue Shield","PPO","GP",,"71",,"13.06","6.77","14.34","percent of total billed charges",,
"PT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Ambetter","Health Exchange","GP",,"62",,"11.47","6.77","14.34","percent of total billed charges",,
"PT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Caresource","Health Exchange","GP",,"62",,"11.47","6.77","14.34","percent of total billed charges",,
"PT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Cigna","Commercial","GP",,"59",,"10.84","6.77","14.34","percent of total billed charges",,
"PT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Humana","Commercial","GP",,"78",,"14.34","6.77","14.34","percent of total billed charges",,
"PT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","UHC","Commercial","GP",,"75",,"13.95","6.77","14.34","percent of total billed charges",,
"PT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Medicaid",,"GP",,"37",,"6.77","6.77","14.34","percent of total billed charges",,
"PT ICE MASSAGE EA 15 MINS","97039","HCPCS","Both",,,"75.5","37.75","Alliant","Health Exchange","GP",,"62",,"46.81","27.63","58.51","percent of total billed charges",,
"PT ICE MASSAGE EA 15 MINS","97039","HCPCS","Both",,,"75.5","37.75","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"40.77","27.63","58.51","percent of total billed charges",,
"PT ICE MASSAGE EA 15 MINS","97039","HCPCS","Both",,,"75.5","37.75","Medicare",,"GP",,"54",,"40.92","27.63","58.51","percent of total billed charges",,
"PT ICE MASSAGE EA 15 MINS","97039","HCPCS","Both",,,"75.5","37.75","Humana","Medicare Advantage","GP",,"54",,"40.92","27.63","58.51","percent of total billed charges",,
"PT ICE MASSAGE EA 15 MINS","97039","HCPCS","Both",,,"75.5","37.75","UHC","Medicare Advantage","GP",,"54",,"40.92","27.63","58.51","percent of total billed charges",,
"PT ICE MASSAGE EA 15 MINS","97039","HCPCS","Both",,,"75.5","37.75","Clover","Medicare Advantage","GP",,"54",,"40.92","27.63","58.51","percent of total billed charges",,
"PT ICE MASSAGE EA 15 MINS","97039","HCPCS","Both",,,"75.5","37.75","Wellcare","Medicare Advantage","GP",,"54",,"40.92","27.63","58.51","percent of total billed charges",,
"PT ICE MASSAGE EA 15 MINS","97039","HCPCS","Both",,,"75.5","37.75","Amerigroup","Medicaid Managed Care","GP",,"37",,"27.63","27.63","58.51","percent of total billed charges",,
"PT ICE MASSAGE EA 15 MINS","97039","HCPCS","Both",,,"75.5","37.75","Caresource","Medicaid Managed Care","GP",,"40",,"30.2","27.63","58.51","percent of total billed charges",,
"PT ICE MASSAGE EA 15 MINS","97039","HCPCS","Both",,,"75.5","37.75","Wellcare","Medicaid Managed Care","GP",,"40",,"30.58","27.63","58.51","percent of total billed charges",,
"PT ICE MASSAGE EA 15 MINS","97039","HCPCS","Both",,,"75.5","37.75","Aetna","Commercial","GP",,"64",,"48.17","27.63","58.51","percent of total billed charges",,
"PT ICE MASSAGE EA 15 MINS","97039","HCPCS","Both",,,"75.5","37.75","Blue Cross Blue Shield","Pathways","GP",,"71",,"53.3","27.63","58.51","percent of total billed charges",,
"PT ICE MASSAGE EA 15 MINS","97039","HCPCS","Both",,,"75.5","37.75","Blue Cross Blue Shield","HMO","GP",,"71",,"53.3","27.63","58.51","percent of total billed charges",,
"PT ICE MASSAGE EA 15 MINS","97039","HCPCS","Both",,,"75.5","37.75","Blue Cross Blue Shield","PPO","GP",,"71",,"53.3","27.63","58.51","percent of total billed charges",,
"PT ICE MASSAGE EA 15 MINS","97039","HCPCS","Both",,,"75.5","37.75","Ambetter","Health Exchange","GP",,"62",,"46.81","27.63","58.51","percent of total billed charges",,
"PT ICE MASSAGE EA 15 MINS","97039","HCPCS","Both",,,"75.5","37.75","Caresource","Health Exchange","GP",,"62",,"46.81","27.63","58.51","percent of total billed charges",,
"PT ICE MASSAGE EA 15 MINS","97039","HCPCS","Both",,,"75.5","37.75","Cigna","Commercial","GP",,"59",,"44.24","27.63","58.51","percent of total billed charges",,
"PT ICE MASSAGE EA 15 MINS","97039","HCPCS","Both",,,"75.5","37.75","Humana","Commercial","GP",,"78",,"58.51","27.63","58.51","percent of total billed charges",,
"PT ICE MASSAGE EA 15 MINS","97039","HCPCS","Both",,,"75.5","37.75","UHC","Commercial","GP",,"75",,"56.93","27.63","58.51","percent of total billed charges",,
"PT ICE MASSAGE EA 15 MINS","97039","HCPCS","Both",,,"75.5","37.75","Medicaid",,"GP",,"37",,"27.63","27.63","58.51","percent of total billed charges",,
"PT VASOPNEUMATIC DEVICE","97016","HCPCS","Both",,,"54.5","27.25","Alliant","Health Exchange","GP",,"62",,"33.79","19.95","42.24","percent of total billed charges",,
"PT VASOPNEUMATIC DEVICE","97016","HCPCS","Both",,,"54.5","27.25","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"29.43","19.95","42.24","percent of total billed charges",,
"PT VASOPNEUMATIC DEVICE","97016","HCPCS","Both",,,"54.5","27.25","Medicare",,"GP",,"54",,"29.54","19.95","42.24","percent of total billed charges",,
"PT VASOPNEUMATIC DEVICE","97016","HCPCS","Both",,,"54.5","27.25","Humana","Medicare Advantage","GP",,"54",,"29.54","19.95","42.24","percent of total billed charges",,
"PT VASOPNEUMATIC DEVICE","97016","HCPCS","Both",,,"54.5","27.25","UHC","Medicare Advantage","GP",,"54",,"29.54","19.95","42.24","percent of total billed charges",,
"PT VASOPNEUMATIC DEVICE","97016","HCPCS","Both",,,"54.5","27.25","Clover","Medicare Advantage","GP",,"54",,"29.54","19.95","42.24","percent of total billed charges",,
"PT VASOPNEUMATIC DEVICE","97016","HCPCS","Both",,,"54.5","27.25","Wellcare","Medicare Advantage","GP",,"54",,"29.54","19.95","42.24","percent of total billed charges",,
"PT VASOPNEUMATIC DEVICE","97016","HCPCS","Both",,,"54.5","27.25","Amerigroup","Medicaid Managed Care","GP",,"37",,"19.95","19.95","42.24","percent of total billed charges",,
"PT VASOPNEUMATIC DEVICE","97016","HCPCS","Both",,,"54.5","27.25","Caresource","Medicaid Managed Care","GP",,"40",,"21.8","19.95","42.24","percent of total billed charges",,
"PT VASOPNEUMATIC DEVICE","97016","HCPCS","Both",,,"54.5","27.25","Wellcare","Medicaid Managed Care","GP",,"40",,"22.07","19.95","42.24","percent of total billed charges",,
"PT VASOPNEUMATIC DEVICE","97016","HCPCS","Both",,,"54.5","27.25","Aetna","Commercial","GP",,"64",,"34.77","19.95","42.24","percent of total billed charges",,
"PT VASOPNEUMATIC DEVICE","97016","HCPCS","Both",,,"54.5","27.25","Blue Cross Blue Shield","Pathways","GP",,"71",,"38.48","19.95","42.24","percent of total billed charges",,
"PT VASOPNEUMATIC DEVICE","97016","HCPCS","Both",,,"54.5","27.25","Blue Cross Blue Shield","HMO","GP",,"71",,"38.48","19.95","42.24","percent of total billed charges",,
"PT VASOPNEUMATIC DEVICE","97016","HCPCS","Both",,,"54.5","27.25","Blue Cross Blue Shield","PPO","GP",,"71",,"38.48","19.95","42.24","percent of total billed charges",,
"PT VASOPNEUMATIC DEVICE","97016","HCPCS","Both",,,"54.5","27.25","Ambetter","Health Exchange","GP",,"62",,"33.79","19.95","42.24","percent of total billed charges",,
"PT VASOPNEUMATIC DEVICE","97016","HCPCS","Both",,,"54.5","27.25","Caresource","Health Exchange","GP",,"62",,"33.79","19.95","42.24","percent of total billed charges",,
"PT VASOPNEUMATIC DEVICE","97016","HCPCS","Both",,,"54.5","27.25","Cigna","Commercial","GP",,"59",,"31.94","19.95","42.24","percent of total billed charges",,
"PT VASOPNEUMATIC DEVICE","97016","HCPCS","Both",,,"54.5","27.25","Humana","Commercial","GP",,"78",,"42.24","19.95","42.24","percent of total billed charges",,
"PT VASOPNEUMATIC DEVICE","97016","HCPCS","Both",,,"54.5","27.25","UHC","Commercial","GP",,"75",,"41.09","19.95","42.24","percent of total billed charges",,
"PT VASOPNEUMATIC DEVICE","97016","HCPCS","Both",,,"54.5","27.25","Medicaid",,"GP",,"37",,"19.95","19.95","42.24","percent of total billed charges",,
"PT ELECTRICAL STIM EA 15 MIN  ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Alliant","Health Exchange","GP",,"62",,"37.51","22.14","46.89","percent of total billed charges",,
"PT ELECTRICAL STIM EA 15 MIN  ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"32.67","22.14","46.89","percent of total billed charges",,
"PT ELECTRICAL STIM EA 15 MIN  ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Medicare",,"GP",,"54",,"32.79","22.14","46.89","percent of total billed charges",,
"PT ELECTRICAL STIM EA 15 MIN  ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Humana","Medicare Advantage","GP",,"54",,"32.79","22.14","46.89","percent of total billed charges",,
"PT ELECTRICAL STIM EA 15 MIN  ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","UHC","Medicare Advantage","GP",,"54",,"32.79","22.14","46.89","percent of total billed charges",,
"PT ELECTRICAL STIM EA 15 MIN  ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Clover","Medicare Advantage","GP",,"54",,"32.79","22.14","46.89","percent of total billed charges",,
"PT ELECTRICAL STIM EA 15 MIN  ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Wellcare","Medicare Advantage","GP",,"54",,"32.79","22.14","46.89","percent of total billed charges",,
"PT ELECTRICAL STIM EA 15 MIN  ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Amerigroup","Medicaid Managed Care","GP",,"37",,"22.14","22.14","46.89","percent of total billed charges",,
"PT ELECTRICAL STIM EA 15 MIN  ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Caresource","Medicaid Managed Care","GP",,"40",,"24.2","22.14","46.89","percent of total billed charges",,
"PT ELECTRICAL STIM EA 15 MIN  ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Wellcare","Medicaid Managed Care","GP",,"40",,"24.5","22.14","46.89","percent of total billed charges",,
"PT ELECTRICAL STIM EA 15 MIN  ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Aetna","Commercial","GP",,"64",,"38.6","22.14","46.89","percent of total billed charges",,
"PT ELECTRICAL STIM EA 15 MIN  ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Blue Cross Blue Shield","Pathways","GP",,"71",,"42.71","22.14","46.89","percent of total billed charges",,
"PT ELECTRICAL STIM EA 15 MIN  ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Blue Cross Blue Shield","HMO","GP",,"71",,"42.71","22.14","46.89","percent of total billed charges",,
"PT ELECTRICAL STIM EA 15 MIN  ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Blue Cross Blue Shield","PPO","GP",,"71",,"42.71","22.14","46.89","percent of total billed charges",,
"PT ELECTRICAL STIM EA 15 MIN  ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Ambetter","Health Exchange","GP",,"62",,"37.51","22.14","46.89","percent of total billed charges",,
"PT ELECTRICAL STIM EA 15 MIN  ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Caresource","Health Exchange","GP",,"62",,"37.51","22.14","46.89","percent of total billed charges",,
"PT ELECTRICAL STIM EA 15 MIN  ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Cigna","Commercial","GP",,"59",,"35.45","22.14","46.89","percent of total billed charges",,
"PT ELECTRICAL STIM EA 15 MIN  ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Humana","Commercial","GP",,"78",,"46.89","22.14","46.89","percent of total billed charges",,
"PT ELECTRICAL STIM EA 15 MIN  ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","UHC","Commercial","GP",,"75",,"45.62","22.14","46.89","percent of total billed charges",,
"PT ELECTRICAL STIM EA 15 MIN  ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Medicaid",,"GP",,"37",,"22.14","22.14","46.89","percent of total billed charges",,
"PT WHEELCHAIR MGMT EA 15 MIN","97542","HCPCS","Both",,,"88","44","Alliant","Health Exchange","GP",,"62",,"54.56","32.21","68.2","percent of total billed charges",,
"PT WHEELCHAIR MGMT EA 15 MIN","97542","HCPCS","Both",,,"88","44","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"47.52","32.21","68.2","percent of total billed charges",,
"PT WHEELCHAIR MGMT EA 15 MIN","97542","HCPCS","Both",,,"88","44","Medicare",,"GP",,"54",,"47.7","32.21","68.2","percent of total billed charges",,
"PT WHEELCHAIR MGMT EA 15 MIN","97542","HCPCS","Both",,,"88","44","Humana","Medicare Advantage","GP",,"54",,"47.7","32.21","68.2","percent of total billed charges",,
"PT WHEELCHAIR MGMT EA 15 MIN","97542","HCPCS","Both",,,"88","44","UHC","Medicare Advantage","GP",,"54",,"47.7","32.21","68.2","percent of total billed charges",,
"PT WHEELCHAIR MGMT EA 15 MIN","97542","HCPCS","Both",,,"88","44","Clover","Medicare Advantage","GP",,"54",,"47.7","32.21","68.2","percent of total billed charges",,
"PT WHEELCHAIR MGMT EA 15 MIN","97542","HCPCS","Both",,,"88","44","Wellcare","Medicare Advantage","GP",,"54",,"47.7","32.21","68.2","percent of total billed charges",,
"PT WHEELCHAIR MGMT EA 15 MIN","97542","HCPCS","Both",,,"88","44","Amerigroup","Medicaid Managed Care","GP",,"37",,"32.21","32.21","68.2","percent of total billed charges",,
"PT WHEELCHAIR MGMT EA 15 MIN","97542","HCPCS","Both",,,"88","44","Caresource","Medicaid Managed Care","GP",,"40",,"35.2","32.21","68.2","percent of total billed charges",,
"PT WHEELCHAIR MGMT EA 15 MIN","97542","HCPCS","Both",,,"88","44","Wellcare","Medicaid Managed Care","GP",,"40",,"35.64","32.21","68.2","percent of total billed charges",,
"PT WHEELCHAIR MGMT EA 15 MIN","97542","HCPCS","Both",,,"88","44","Aetna","Commercial","GP",,"64",,"56.14","32.21","68.2","percent of total billed charges",,
"PT WHEELCHAIR MGMT EA 15 MIN","97542","HCPCS","Both",,,"88","44","Blue Cross Blue Shield","Pathways","GP",,"71",,"62.13","32.21","68.2","percent of total billed charges",,
"PT WHEELCHAIR MGMT EA 15 MIN","97542","HCPCS","Both",,,"88","44","Blue Cross Blue Shield","HMO","GP",,"71",,"62.13","32.21","68.2","percent of total billed charges",,
"PT WHEELCHAIR MGMT EA 15 MIN","97542","HCPCS","Both",,,"88","44","Blue Cross Blue Shield","PPO","GP",,"71",,"62.13","32.21","68.2","percent of total billed charges",,
"PT WHEELCHAIR MGMT EA 15 MIN","97542","HCPCS","Both",,,"88","44","Ambetter","Health Exchange","GP",,"62",,"54.56","32.21","68.2","percent of total billed charges",,
"PT WHEELCHAIR MGMT EA 15 MIN","97542","HCPCS","Both",,,"88","44","Caresource","Health Exchange","GP",,"62",,"54.56","32.21","68.2","percent of total billed charges",,
"PT WHEELCHAIR MGMT EA 15 MIN","97542","HCPCS","Both",,,"88","44","Cigna","Commercial","GP",,"59",,"51.57","32.21","68.2","percent of total billed charges",,
"PT WHEELCHAIR MGMT EA 15 MIN","97542","HCPCS","Both",,,"88","44","Humana","Commercial","GP",,"78",,"68.2","32.21","68.2","percent of total billed charges",,
"PT WHEELCHAIR MGMT EA 15 MIN","97542","HCPCS","Both",,,"88","44","UHC","Commercial","GP",,"75",,"66.35","32.21","68.2","percent of total billed charges",,
"PT WHEELCHAIR MGMT EA 15 MIN","97542","HCPCS","Both",,,"88","44","Medicaid",,"GP",,"37",,"32.21","32.21","68.2","percent of total billed charges",,
"PT CONTRAST BATHS EA 15 MINS","97034","HCPCS","Both",,,"50","25","Alliant","Health Exchange","GP",,"62",,"31","18.3","38.75","percent of total billed charges",,
"PT CONTRAST BATHS EA 15 MINS","97034","HCPCS","Both",,,"50","25","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"27","18.3","38.75","percent of total billed charges",,
"PT CONTRAST BATHS EA 15 MINS","97034","HCPCS","Both",,,"50","25","Medicare",,"GP",,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"PT CONTRAST BATHS EA 15 MINS","97034","HCPCS","Both",,,"50","25","Humana","Medicare Advantage","GP",,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"PT CONTRAST BATHS EA 15 MINS","97034","HCPCS","Both",,,"50","25","UHC","Medicare Advantage","GP",,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"PT CONTRAST BATHS EA 15 MINS","97034","HCPCS","Both",,,"50","25","Clover","Medicare Advantage","GP",,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"PT CONTRAST BATHS EA 15 MINS","97034","HCPCS","Both",,,"50","25","Wellcare","Medicare Advantage","GP",,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"PT CONTRAST BATHS EA 15 MINS","97034","HCPCS","Both",,,"50","25","Amerigroup","Medicaid Managed Care","GP",,"37",,"18.3","18.3","38.75","percent of total billed charges",,
"PT CONTRAST BATHS EA 15 MINS","97034","HCPCS","Both",,,"50","25","Caresource","Medicaid Managed Care","GP",,"40",,"20","18.3","38.75","percent of total billed charges",,
"PT CONTRAST BATHS EA 15 MINS","97034","HCPCS","Both",,,"50","25","Wellcare","Medicaid Managed Care","GP",,"40",,"20.25","18.3","38.75","percent of total billed charges",,
"PT CONTRAST BATHS EA 15 MINS","97034","HCPCS","Both",,,"50","25","Aetna","Commercial","GP",,"64",,"31.9","18.3","38.75","percent of total billed charges",,
"PT CONTRAST BATHS EA 15 MINS","97034","HCPCS","Both",,,"50","25","Blue Cross Blue Shield","Pathways","GP",,"71",,"35.3","18.3","38.75","percent of total billed charges",,
"PT CONTRAST BATHS EA 15 MINS","97034","HCPCS","Both",,,"50","25","Blue Cross Blue Shield","HMO","GP",,"71",,"35.3","18.3","38.75","percent of total billed charges",,
"PT CONTRAST BATHS EA 15 MINS","97034","HCPCS","Both",,,"50","25","Blue Cross Blue Shield","PPO","GP",,"71",,"35.3","18.3","38.75","percent of total billed charges",,
"PT CONTRAST BATHS EA 15 MINS","97034","HCPCS","Both",,,"50","25","Ambetter","Health Exchange","GP",,"62",,"31","18.3","38.75","percent of total billed charges",,
"PT CONTRAST BATHS EA 15 MINS","97034","HCPCS","Both",,,"50","25","Caresource","Health Exchange","GP",,"62",,"31","18.3","38.75","percent of total billed charges",,
"PT CONTRAST BATHS EA 15 MINS","97034","HCPCS","Both",,,"50","25","Cigna","Commercial","GP",,"59",,"29.3","18.3","38.75","percent of total billed charges",,
"PT CONTRAST BATHS EA 15 MINS","97034","HCPCS","Both",,,"50","25","Humana","Commercial","GP",,"78",,"38.75","18.3","38.75","percent of total billed charges",,
"PT CONTRAST BATHS EA 15 MINS","97034","HCPCS","Both",,,"50","25","UHC","Commercial","GP",,"75",,"37.7","18.3","38.75","percent of total billed charges",,
"PT CONTRAST BATHS EA 15 MINS","97034","HCPCS","Both",,,"50","25","Medicaid",,"GP",,"37",,"18.3","18.3","38.75","percent of total billed charges",,
"PT STRAPPING ANKLE AND OR FOOT","29540","HCPCS","Both",,,"99","49.5","Alliant","Health Exchange","GP",,"62",,"61.38","36.23","76.73","percent of total billed charges",,
"PT STRAPPING ANKLE AND OR FOOT","29540","HCPCS","Both",,,"99","49.5","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"53.46","36.23","76.73","percent of total billed charges",,
"PT STRAPPING ANKLE AND OR FOOT","29540","HCPCS","Both",,,"99","49.5","Medicare",,"GP",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"PT STRAPPING ANKLE AND OR FOOT","29540","HCPCS","Both",,,"99","49.5","Humana","Medicare Advantage","GP",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"PT STRAPPING ANKLE AND OR FOOT","29540","HCPCS","Both",,,"99","49.5","UHC","Medicare Advantage","GP",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"PT STRAPPING ANKLE AND OR FOOT","29540","HCPCS","Both",,,"99","49.5","Clover","Medicare Advantage","GP",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"PT STRAPPING ANKLE AND OR FOOT","29540","HCPCS","Both",,,"99","49.5","Wellcare","Medicare Advantage","GP",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"PT STRAPPING ANKLE AND OR FOOT","29540","HCPCS","Both",,,"99","49.5","Amerigroup","Medicaid Managed Care","GP",,"37",,"36.23","36.23","76.73","percent of total billed charges",,
"PT STRAPPING ANKLE AND OR FOOT","29540","HCPCS","Both",,,"99","49.5","Caresource","Medicaid Managed Care","GP",,"40",,"39.6","36.23","76.73","percent of total billed charges",,
"PT STRAPPING ANKLE AND OR FOOT","29540","HCPCS","Both",,,"99","49.5","Wellcare","Medicaid Managed Care","GP",,"40",,"40.1","36.23","76.73","percent of total billed charges",,
"PT STRAPPING ANKLE AND OR FOOT","29540","HCPCS","Both",,,"99","49.5","Aetna","Commercial","GP",,"64",,"63.16","36.23","76.73","percent of total billed charges",,
"PT STRAPPING ANKLE AND OR FOOT","29540","HCPCS","Both",,,"99","49.5","Blue Cross Blue Shield","Pathways","GP",,"71",,"69.89","36.23","76.73","percent of total billed charges",,
"PT STRAPPING ANKLE AND OR FOOT","29540","HCPCS","Both",,,"99","49.5","Blue Cross Blue Shield","HMO","GP",,"71",,"69.89","36.23","76.73","percent of total billed charges",,
"PT STRAPPING ANKLE AND OR FOOT","29540","HCPCS","Both",,,"99","49.5","Blue Cross Blue Shield","PPO","GP",,"71",,"69.89","36.23","76.73","percent of total billed charges",,
"PT STRAPPING ANKLE AND OR FOOT","29540","HCPCS","Both",,,"99","49.5","Ambetter","Health Exchange","GP",,"62",,"61.38","36.23","76.73","percent of total billed charges",,
"PT STRAPPING ANKLE AND OR FOOT","29540","HCPCS","Both",,,"99","49.5","Caresource","Health Exchange","GP",,"62",,"61.38","36.23","76.73","percent of total billed charges",,
"PT STRAPPING ANKLE AND OR FOOT","29540","HCPCS","Both",,,"99","49.5","Cigna","Commercial","GP",,"59",,"58.01","36.23","76.73","percent of total billed charges",,
"PT STRAPPING ANKLE AND OR FOOT","29540","HCPCS","Both",,,"99","49.5","Humana","Commercial","GP",,"78",,"76.73","36.23","76.73","percent of total billed charges",,
"PT STRAPPING ANKLE AND OR FOOT","29540","HCPCS","Both",,,"99","49.5","UHC","Commercial","GP",,"75",,"74.65","36.23","76.73","percent of total billed charges",,
"PT STRAPPING ANKLE AND OR FOOT","29540","HCPCS","Both",,,"99","49.5","Medicaid",,"GP",,"37",,"36.23","36.23","76.73","percent of total billed charges",,
"PT STRAPPING KNEE","29530","HCPCS","Both",,,"112.5","56.25","Alliant","Health Exchange","GP",,"62",,"69.75","41.18","87.19","percent of total billed charges",,
"PT STRAPPING KNEE","29530","HCPCS","Both",,,"112.5","56.25","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"60.75","41.18","87.19","percent of total billed charges",,
"PT STRAPPING KNEE","29530","HCPCS","Both",,,"112.5","56.25","Medicare",,"GP",,"54",,"60.98","41.18","87.19","percent of total billed charges",,
"PT STRAPPING KNEE","29530","HCPCS","Both",,,"112.5","56.25","Humana","Medicare Advantage","GP",,"54",,"60.98","41.18","87.19","percent of total billed charges",,
"PT STRAPPING KNEE","29530","HCPCS","Both",,,"112.5","56.25","UHC","Medicare Advantage","GP",,"54",,"60.98","41.18","87.19","percent of total billed charges",,
"PT STRAPPING KNEE","29530","HCPCS","Both",,,"112.5","56.25","Clover","Medicare Advantage","GP",,"54",,"60.98","41.18","87.19","percent of total billed charges",,
"PT STRAPPING KNEE","29530","HCPCS","Both",,,"112.5","56.25","Wellcare","Medicare Advantage","GP",,"54",,"60.98","41.18","87.19","percent of total billed charges",,
"PT STRAPPING KNEE","29530","HCPCS","Both",,,"112.5","56.25","Amerigroup","Medicaid Managed Care","GP",,"37",,"41.18","41.18","87.19","percent of total billed charges",,
"PT STRAPPING KNEE","29530","HCPCS","Both",,,"112.5","56.25","Caresource","Medicaid Managed Care","GP",,"40",,"45","41.18","87.19","percent of total billed charges",,
"PT STRAPPING KNEE","29530","HCPCS","Both",,,"112.5","56.25","Wellcare","Medicaid Managed Care","GP",,"40",,"45.56","41.18","87.19","percent of total billed charges",,
"PT STRAPPING KNEE","29530","HCPCS","Both",,,"112.5","56.25","Aetna","Commercial","GP",,"64",,"71.78","41.18","87.19","percent of total billed charges",,
"PT STRAPPING KNEE","29530","HCPCS","Both",,,"112.5","56.25","Blue Cross Blue Shield","Pathways","GP",,"71",,"79.42","41.18","87.19","percent of total billed charges",,
"PT STRAPPING KNEE","29530","HCPCS","Both",,,"112.5","56.25","Blue Cross Blue Shield","HMO","GP",,"71",,"79.42","41.18","87.19","percent of total billed charges",,
"PT STRAPPING KNEE","29530","HCPCS","Both",,,"112.5","56.25","Blue Cross Blue Shield","PPO","GP",,"71",,"79.42","41.18","87.19","percent of total billed charges",,
"PT STRAPPING KNEE","29530","HCPCS","Both",,,"112.5","56.25","Ambetter","Health Exchange","GP",,"62",,"69.75","41.18","87.19","percent of total billed charges",,
"PT STRAPPING KNEE","29530","HCPCS","Both",,,"112.5","56.25","Caresource","Health Exchange","GP",,"62",,"69.75","41.18","87.19","percent of total billed charges",,
"PT STRAPPING KNEE","29530","HCPCS","Both",,,"112.5","56.25","Cigna","Commercial","GP",,"59",,"65.92","41.18","87.19","percent of total billed charges",,
"PT STRAPPING KNEE","29530","HCPCS","Both",,,"112.5","56.25","Humana","Commercial","GP",,"78",,"87.19","41.18","87.19","percent of total billed charges",,
"PT STRAPPING KNEE","29530","HCPCS","Both",,,"112.5","56.25","UHC","Commercial","GP",,"75",,"84.82","41.18","87.19","percent of total billed charges",,
"PT STRAPPING KNEE","29530","HCPCS","Both",,,"112.5","56.25","Medicaid",,"GP",,"37",,"41.18","41.18","87.19","percent of total billed charges",,
"PT STRAPPING UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Alliant","Health Exchange","GP",,"62",,"66.65","39.34","83.31","percent of total billed charges",,
"PT STRAPPING UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"58.05","39.34","83.31","percent of total billed charges",,
"PT STRAPPING UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Medicare",,"GP",,"54",,"58.26","39.34","83.31","percent of total billed charges",,
"PT STRAPPING UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Humana","Medicare Advantage","GP",,"54",,"58.26","39.34","83.31","percent of total billed charges",,
"PT STRAPPING UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","UHC","Medicare Advantage","GP",,"54",,"58.26","39.34","83.31","percent of total billed charges",,
"PT STRAPPING UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Clover","Medicare Advantage","GP",,"54",,"58.26","39.34","83.31","percent of total billed charges",,
"PT STRAPPING UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Wellcare","Medicare Advantage","GP",,"54",,"58.26","39.34","83.31","percent of total billed charges",,
"PT STRAPPING UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Amerigroup","Medicaid Managed Care","GP",,"37",,"39.34","39.34","83.31","percent of total billed charges",,
"PT STRAPPING UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Caresource","Medicaid Managed Care","GP",,"40",,"43","39.34","83.31","percent of total billed charges",,
"PT STRAPPING UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Wellcare","Medicaid Managed Care","GP",,"40",,"43.54","39.34","83.31","percent of total billed charges",,
"PT STRAPPING UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Aetna","Commercial","GP",,"64",,"68.59","39.34","83.31","percent of total billed charges",,
"PT STRAPPING UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Blue Cross Blue Shield","Pathways","GP",,"71",,"75.9","39.34","83.31","percent of total billed charges",,
"PT STRAPPING UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Blue Cross Blue Shield","HMO","GP",,"71",,"75.9","39.34","83.31","percent of total billed charges",,
"PT STRAPPING UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Blue Cross Blue Shield","PPO","GP",,"71",,"75.9","39.34","83.31","percent of total billed charges",,
"PT STRAPPING UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Ambetter","Health Exchange","GP",,"62",,"66.65","39.34","83.31","percent of total billed charges",,
"PT STRAPPING UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Caresource","Health Exchange","GP",,"62",,"66.65","39.34","83.31","percent of total billed charges",,
"PT STRAPPING UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Cigna","Commercial","GP",,"59",,"63","39.34","83.31","percent of total billed charges",,
"PT STRAPPING UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Humana","Commercial","GP",,"78",,"83.31","39.34","83.31","percent of total billed charges",,
"PT STRAPPING UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","UHC","Commercial","GP",,"75",,"81.06","39.34","83.31","percent of total billed charges",,
"PT STRAPPING UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Medicaid",,"GP",,"37",,"39.34","39.34","83.31","percent of total billed charges",,
"PT ORTHOTIC(S) FIT AND TRAIN EA 15 MIN","97760","HCPCS","Both",,,"65.5","32.75","Alliant","Health Exchange","GP",,"62",,"40.61","23.97","50.76","percent of total billed charges",,
"PT ORTHOTIC(S) FIT AND TRAIN EA 15 MIN","97760","HCPCS","Both",,,"65.5","32.75","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"35.37","23.97","50.76","percent of total billed charges",,
"PT ORTHOTIC(S) FIT AND TRAIN EA 15 MIN","97760","HCPCS","Both",,,"65.5","32.75","Medicare",,"GP",,"54",,"35.5","23.97","50.76","percent of total billed charges",,
"PT ORTHOTIC(S) FIT AND TRAIN EA 15 MIN","97760","HCPCS","Both",,,"65.5","32.75","Humana","Medicare Advantage","GP",,"54",,"35.5","23.97","50.76","percent of total billed charges",,
"PT ORTHOTIC(S) FIT AND TRAIN EA 15 MIN","97760","HCPCS","Both",,,"65.5","32.75","UHC","Medicare Advantage","GP",,"54",,"35.5","23.97","50.76","percent of total billed charges",,
"PT ORTHOTIC(S) FIT AND TRAIN EA 15 MIN","97760","HCPCS","Both",,,"65.5","32.75","Clover","Medicare Advantage","GP",,"54",,"35.5","23.97","50.76","percent of total billed charges",,
"PT ORTHOTIC(S) FIT AND TRAIN EA 15 MIN","97760","HCPCS","Both",,,"65.5","32.75","Wellcare","Medicare Advantage","GP",,"54",,"35.5","23.97","50.76","percent of total billed charges",,
"PT ORTHOTIC(S) FIT AND TRAIN EA 15 MIN","97760","HCPCS","Both",,,"65.5","32.75","Amerigroup","Medicaid Managed Care","GP",,"37",,"23.97","23.97","50.76","percent of total billed charges",,
"PT ORTHOTIC(S) FIT AND TRAIN EA 15 MIN","97760","HCPCS","Both",,,"65.5","32.75","Caresource","Medicaid Managed Care","GP",,"40",,"26.2","23.97","50.76","percent of total billed charges",,
"PT ORTHOTIC(S) FIT AND TRAIN EA 15 MIN","97760","HCPCS","Both",,,"65.5","32.75","Wellcare","Medicaid Managed Care","GP",,"40",,"26.53","23.97","50.76","percent of total billed charges",,
"PT ORTHOTIC(S) FIT AND TRAIN EA 15 MIN","97760","HCPCS","Both",,,"65.5","32.75","Aetna","Commercial","GP",,"64",,"41.79","23.97","50.76","percent of total billed charges",,
"PT ORTHOTIC(S) FIT AND TRAIN EA 15 MIN","97760","HCPCS","Both",,,"65.5","32.75","Blue Cross Blue Shield","Pathways","GP",,"71",,"46.24","23.97","50.76","percent of total billed charges",,
"PT ORTHOTIC(S) FIT AND TRAIN EA 15 MIN","97760","HCPCS","Both",,,"65.5","32.75","Blue Cross Blue Shield","HMO","GP",,"71",,"46.24","23.97","50.76","percent of total billed charges",,
"PT ORTHOTIC(S) FIT AND TRAIN EA 15 MIN","97760","HCPCS","Both",,,"65.5","32.75","Blue Cross Blue Shield","PPO","GP",,"71",,"46.24","23.97","50.76","percent of total billed charges",,
"PT ORTHOTIC(S) FIT AND TRAIN EA 15 MIN","97760","HCPCS","Both",,,"65.5","32.75","Ambetter","Health Exchange","GP",,"62",,"40.61","23.97","50.76","percent of total billed charges",,
"PT ORTHOTIC(S) FIT AND TRAIN EA 15 MIN","97760","HCPCS","Both",,,"65.5","32.75","Caresource","Health Exchange","GP",,"62",,"40.61","23.97","50.76","percent of total billed charges",,
"PT ORTHOTIC(S) FIT AND TRAIN EA 15 MIN","97760","HCPCS","Both",,,"65.5","32.75","Cigna","Commercial","GP",,"59",,"38.38","23.97","50.76","percent of total billed charges",,
"PT ORTHOTIC(S) FIT AND TRAIN EA 15 MIN","97760","HCPCS","Both",,,"65.5","32.75","Humana","Commercial","GP",,"78",,"50.76","23.97","50.76","percent of total billed charges",,
"PT ORTHOTIC(S) FIT AND TRAIN EA 15 MIN","97760","HCPCS","Both",,,"65.5","32.75","UHC","Commercial","GP",,"75",,"49.39","23.97","50.76","percent of total billed charges",,
"PT ORTHOTIC(S) FIT AND TRAIN EA 15 MIN","97760","HCPCS","Both",,,"65.5","32.75","Medicaid",,"GP",,"37",,"23.97","23.97","50.76","percent of total billed charges",,
"PT NEGATIVE PRESS WOUND THERAPY < 50CM","97605","HCPCS","Both",,,"130","65","Alliant","Health Exchange","GP",,"62",,"80.6","47.58","100.75","percent of total billed charges",,
"PT NEGATIVE PRESS WOUND THERAPY < 50CM","97605","HCPCS","Both",,,"130","65","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"70.2","47.58","100.75","percent of total billed charges",,
"PT NEGATIVE PRESS WOUND THERAPY < 50CM","97605","HCPCS","Both",,,"130","65","Medicare",,"GP",,"54",,"70.46","47.58","100.75","percent of total billed charges",,
"PT NEGATIVE PRESS WOUND THERAPY < 50CM","97605","HCPCS","Both",,,"130","65","Humana","Medicare Advantage","GP",,"54",,"70.46","47.58","100.75","percent of total billed charges",,
"PT NEGATIVE PRESS WOUND THERAPY < 50CM","97605","HCPCS","Both",,,"130","65","UHC","Medicare Advantage","GP",,"54",,"70.46","47.58","100.75","percent of total billed charges",,
"PT NEGATIVE PRESS WOUND THERAPY < 50CM","97605","HCPCS","Both",,,"130","65","Clover","Medicare Advantage","GP",,"54",,"70.46","47.58","100.75","percent of total billed charges",,
"PT NEGATIVE PRESS WOUND THERAPY < 50CM","97605","HCPCS","Both",,,"130","65","Wellcare","Medicare Advantage","GP",,"54",,"70.46","47.58","100.75","percent of total billed charges",,
"PT NEGATIVE PRESS WOUND THERAPY < 50CM","97605","HCPCS","Both",,,"130","65","Amerigroup","Medicaid Managed Care","GP",,"37",,"47.58","47.58","100.75","percent of total billed charges",,
"PT NEGATIVE PRESS WOUND THERAPY < 50CM","97605","HCPCS","Both",,,"130","65","Caresource","Medicaid Managed Care","GP",,"40",,"52","47.58","100.75","percent of total billed charges",,
"PT NEGATIVE PRESS WOUND THERAPY < 50CM","97605","HCPCS","Both",,,"130","65","Wellcare","Medicaid Managed Care","GP",,"40",,"52.65","47.58","100.75","percent of total billed charges",,
"PT NEGATIVE PRESS WOUND THERAPY < 50CM","97605","HCPCS","Both",,,"130","65","Aetna","Commercial","GP",,"64",,"82.94","47.58","100.75","percent of total billed charges",,
"PT NEGATIVE PRESS WOUND THERAPY < 50CM","97605","HCPCS","Both",,,"130","65","Blue Cross Blue Shield","Pathways","GP",,"71",,"91.78","47.58","100.75","percent of total billed charges",,
"PT NEGATIVE PRESS WOUND THERAPY < 50CM","97605","HCPCS","Both",,,"130","65","Blue Cross Blue Shield","HMO","GP",,"71",,"91.78","47.58","100.75","percent of total billed charges",,
"PT NEGATIVE PRESS WOUND THERAPY < 50CM","97605","HCPCS","Both",,,"130","65","Blue Cross Blue Shield","PPO","GP",,"71",,"91.78","47.58","100.75","percent of total billed charges",,
"PT NEGATIVE PRESS WOUND THERAPY < 50CM","97605","HCPCS","Both",,,"130","65","Ambetter","Health Exchange","GP",,"62",,"80.6","47.58","100.75","percent of total billed charges",,
"PT NEGATIVE PRESS WOUND THERAPY < 50CM","97605","HCPCS","Both",,,"130","65","Caresource","Health Exchange","GP",,"62",,"80.6","47.58","100.75","percent of total billed charges",,
"PT NEGATIVE PRESS WOUND THERAPY < 50CM","97605","HCPCS","Both",,,"130","65","Cigna","Commercial","GP",,"59",,"76.18","47.58","100.75","percent of total billed charges",,
"PT NEGATIVE PRESS WOUND THERAPY < 50CM","97605","HCPCS","Both",,,"130","65","Humana","Commercial","GP",,"78",,"100.75","47.58","100.75","percent of total billed charges",,
"PT NEGATIVE PRESS WOUND THERAPY < 50CM","97605","HCPCS","Both",,,"130","65","UHC","Commercial","GP",,"75",,"98.02","47.58","100.75","percent of total billed charges",,
"PT NEGATIVE PRESS WOUND THERAPY < 50CM","97605","HCPCS","Both",,,"130","65","Medicaid",,"GP",,"37",,"47.58","47.58","100.75","percent of total billed charges",,
"PT NEGATIVE PRESSURE WOUND THERAPY PUMP","E2402","HCPCS","Both",,,"131","65.5","Alliant","Health Exchange","",,"62",,"81.22","47.95","101.52","percent of total billed charges",,
"PT NEGATIVE PRESSURE WOUND THERAPY PUMP","E2402","HCPCS","Both",,,"131","65.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"70.74","47.95","101.52","percent of total billed charges",,
"PT NEGATIVE PRESSURE WOUND THERAPY PUMP","E2402","HCPCS","Both",,,"131","65.5","Medicare",,"",,"54",,"71","47.95","101.52","percent of total billed charges",,
"PT NEGATIVE PRESSURE WOUND THERAPY PUMP","E2402","HCPCS","Both",,,"131","65.5","Humana","Medicare Advantage","",,"54",,"71","47.95","101.52","percent of total billed charges",,
"PT NEGATIVE PRESSURE WOUND THERAPY PUMP","E2402","HCPCS","Both",,,"131","65.5","UHC","Medicare Advantage","",,"54",,"71","47.95","101.52","percent of total billed charges",,
"PT NEGATIVE PRESSURE WOUND THERAPY PUMP","E2402","HCPCS","Both",,,"131","65.5","Clover","Medicare Advantage","",,"54",,"71","47.95","101.52","percent of total billed charges",,
"PT NEGATIVE PRESSURE WOUND THERAPY PUMP","E2402","HCPCS","Both",,,"131","65.5","Wellcare","Medicare Advantage","",,"54",,"71","47.95","101.52","percent of total billed charges",,
"PT NEGATIVE PRESSURE WOUND THERAPY PUMP","E2402","HCPCS","Both",,,"131","65.5","Amerigroup","Medicaid Managed Care","",,"37",,"47.95","47.95","101.52","percent of total billed charges",,
"PT NEGATIVE PRESSURE WOUND THERAPY PUMP","E2402","HCPCS","Both",,,"131","65.5","Caresource","Medicaid Managed Care","",,"40",,"52.4","47.95","101.52","percent of total billed charges",,
"PT NEGATIVE PRESSURE WOUND THERAPY PUMP","E2402","HCPCS","Both",,,"131","65.5","Wellcare","Medicaid Managed Care","",,"40",,"53.06","47.95","101.52","percent of total billed charges",,
"PT NEGATIVE PRESSURE WOUND THERAPY PUMP","E2402","HCPCS","Both",,,"131","65.5","Aetna","Commercial","",,"64",,"83.58","47.95","101.52","percent of total billed charges",,
"PT NEGATIVE PRESSURE WOUND THERAPY PUMP","E2402","HCPCS","Both",,,"131","65.5","Blue Cross Blue Shield","Pathways","",,"71",,"92.49","47.95","101.52","percent of total billed charges",,
"PT NEGATIVE PRESSURE WOUND THERAPY PUMP","E2402","HCPCS","Both",,,"131","65.5","Blue Cross Blue Shield","HMO","",,"71",,"92.49","47.95","101.52","percent of total billed charges",,
"PT NEGATIVE PRESSURE WOUND THERAPY PUMP","E2402","HCPCS","Both",,,"131","65.5","Blue Cross Blue Shield","PPO","",,"71",,"92.49","47.95","101.52","percent of total billed charges",,
"PT NEGATIVE PRESSURE WOUND THERAPY PUMP","E2402","HCPCS","Both",,,"131","65.5","Ambetter","Health Exchange","",,"62",,"81.22","47.95","101.52","percent of total billed charges",,
"PT NEGATIVE PRESSURE WOUND THERAPY PUMP","E2402","HCPCS","Both",,,"131","65.5","Caresource","Health Exchange","",,"62",,"81.22","47.95","101.52","percent of total billed charges",,
"PT NEGATIVE PRESSURE WOUND THERAPY PUMP","E2402","HCPCS","Both",,,"131","65.5","Cigna","Commercial","",,"59",,"76.77","47.95","101.52","percent of total billed charges",,
"PT NEGATIVE PRESSURE WOUND THERAPY PUMP","E2402","HCPCS","Both",,,"131","65.5","Humana","Commercial","",,"78",,"101.52","47.95","101.52","percent of total billed charges",,
"PT NEGATIVE PRESSURE WOUND THERAPY PUMP","E2402","HCPCS","Both",,,"131","65.5","UHC","Commercial","",,"75",,"98.77","47.95","101.52","percent of total billed charges",,
"PT NEGATIVE PRESSURE WOUND THERAPY PUMP","E2402","HCPCS","Both",,,"131","65.5","Medicaid",,"",,"37",,"47.95","47.95","101.52","percent of total billed charges",,
"PT APPLIC MULTI-LAYER COMPRESS BEL KNEE","29581","HCPCS","Both",,,"99","49.5","Alliant","Health Exchange","50,GP",,"62",,"61.38","36.23","76.73","percent of total billed charges",,
"PT APPLIC MULTI-LAYER COMPRESS BEL KNEE","29581","HCPCS","Both",,,"99","49.5","Pruitt Healthcare","Medicare Advantage","50,GP",,"54",,"53.46","36.23","76.73","percent of total billed charges",,
"PT APPLIC MULTI-LAYER COMPRESS BEL KNEE","29581","HCPCS","Both",,,"99","49.5","Medicare",,"50,GP",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"PT APPLIC MULTI-LAYER COMPRESS BEL KNEE","29581","HCPCS","Both",,,"99","49.5","Humana","Medicare Advantage","50,GP",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"PT APPLIC MULTI-LAYER COMPRESS BEL KNEE","29581","HCPCS","Both",,,"99","49.5","UHC","Medicare Advantage","50,GP",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"PT APPLIC MULTI-LAYER COMPRESS BEL KNEE","29581","HCPCS","Both",,,"99","49.5","Clover","Medicare Advantage","50,GP",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"PT APPLIC MULTI-LAYER COMPRESS BEL KNEE","29581","HCPCS","Both",,,"99","49.5","Wellcare","Medicare Advantage","50,GP",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"PT APPLIC MULTI-LAYER COMPRESS BEL KNEE","29581","HCPCS","Both",,,"99","49.5","Amerigroup","Medicaid Managed Care","50,GP",,"37",,"36.23","36.23","76.73","percent of total billed charges",,
"PT APPLIC MULTI-LAYER COMPRESS BEL KNEE","29581","HCPCS","Both",,,"99","49.5","Caresource","Medicaid Managed Care","50,GP",,"40",,"39.6","36.23","76.73","percent of total billed charges",,
"PT APPLIC MULTI-LAYER COMPRESS BEL KNEE","29581","HCPCS","Both",,,"99","49.5","Wellcare","Medicaid Managed Care","50,GP",,"40",,"40.1","36.23","76.73","percent of total billed charges",,
"PT APPLIC MULTI-LAYER COMPRESS BEL KNEE","29581","HCPCS","Both",,,"99","49.5","Aetna","Commercial","50,GP",,"64",,"63.16","36.23","76.73","percent of total billed charges",,
"PT APPLIC MULTI-LAYER COMPRESS BEL KNEE","29581","HCPCS","Both",,,"99","49.5","Blue Cross Blue Shield","Pathways","50,GP",,"71",,"69.89","36.23","76.73","percent of total billed charges",,
"PT APPLIC MULTI-LAYER COMPRESS BEL KNEE","29581","HCPCS","Both",,,"99","49.5","Blue Cross Blue Shield","HMO","50,GP",,"71",,"69.89","36.23","76.73","percent of total billed charges",,
"PT APPLIC MULTI-LAYER COMPRESS BEL KNEE","29581","HCPCS","Both",,,"99","49.5","Blue Cross Blue Shield","PPO","50,GP",,"71",,"69.89","36.23","76.73","percent of total billed charges",,
"PT APPLIC MULTI-LAYER COMPRESS BEL KNEE","29581","HCPCS","Both",,,"99","49.5","Ambetter","Health Exchange","50,GP",,"62",,"61.38","36.23","76.73","percent of total billed charges",,
"PT APPLIC MULTI-LAYER COMPRESS BEL KNEE","29581","HCPCS","Both",,,"99","49.5","Caresource","Health Exchange","50,GP",,"62",,"61.38","36.23","76.73","percent of total billed charges",,
"PT APPLIC MULTI-LAYER COMPRESS BEL KNEE","29581","HCPCS","Both",,,"99","49.5","Cigna","Commercial","50,GP",,"59",,"58.01","36.23","76.73","percent of total billed charges",,
"PT APPLIC MULTI-LAYER COMPRESS BEL KNEE","29581","HCPCS","Both",,,"99","49.5","Humana","Commercial","50,GP",,"78",,"76.73","36.23","76.73","percent of total billed charges",,
"PT APPLIC MULTI-LAYER COMPRESS BEL KNEE","29581","HCPCS","Both",,,"99","49.5","UHC","Commercial","50,GP",,"75",,"74.65","36.23","76.73","percent of total billed charges",,
"PT APPLIC MULTI-LAYER COMPRESS BEL KNEE","29581","HCPCS","Both",,,"99","49.5","Medicaid",,"50,GP",,"37",,"36.23","36.23","76.73","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Alliant","Health Exchange","GP",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Medicare",,"GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Humana","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","UHC","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Clover","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care","GP",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care","GP",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care","GP",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Aetna","Commercial","GP",,"64",,"0.32","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways","GP",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO","GP",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO","GP",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Ambetter","Health Exchange","GP",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Caresource","Health Exchange","GP",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Cigna","Commercial","GP",,"59",,"0.29","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Humana","Commercial","GP",,"78",,"0.39","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","UHC","Commercial","GP",,"75",,"0.38","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Medicaid",,"GP",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Alliant","Health Exchange","GP",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Medicare",,"GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Humana","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","UHC","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Clover","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care","GP",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care","GP",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care","GP",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Aetna","Commercial","GP",,"64",,"0.32","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways","GP",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO","GP",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO","GP",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Ambetter","Health Exchange","GP",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Caresource","Health Exchange","GP",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Cigna","Commercial","GP",,"59",,"0.29","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Humana","Commercial","GP",,"78",,"0.39","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","UHC","Commercial","GP",,"75",,"0.38","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Medicaid",,"GP",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Medicare",,"GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Medicaid",,"GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Medicare",,"GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Medicaid",,"GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Medicare",,"GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Medicaid",,"GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Medicare",,"GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Medicaid",,"GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Medicare",,"GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Medicaid",,"GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Alliant","Health Exchange","GP",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Medicare",,"GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Humana","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","UHC","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Clover","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care","GP",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"PT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care","GP",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"PT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care","GP",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"PT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Aetna","Commercial","GP",,"64",,"0.32","0.18","0.39","percent of total billed charges",,
"PT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways","GP",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO","GP",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO","GP",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Ambetter","Health Exchange","GP",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Caresource","Health Exchange","GP",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Cigna","Commercial","GP",,"59",,"0.29","0.18","0.39","percent of total billed charges",,
"PT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Humana","Commercial","GP",,"78",,"0.39","0.18","0.39","percent of total billed charges",,
"PT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","UHC","Commercial","GP",,"75",,"0.38","0.18","0.39","percent of total billed charges",,
"PT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Medicaid",,"GP",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"PT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Medicare",,"GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Medicaid",,"GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT APPLIC MULTI-LAYER COMPRESS LOWER EXT","29581","HCPCS","Both",,,"99","49.5","Alliant","Health Exchange","GP",,"62",,"61.38","36.23","76.73","percent of total billed charges",,
"PT APPLIC MULTI-LAYER COMPRESS LOWER EXT","29581","HCPCS","Both",,,"99","49.5","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"53.46","36.23","76.73","percent of total billed charges",,
"PT APPLIC MULTI-LAYER COMPRESS LOWER EXT","29581","HCPCS","Both",,,"99","49.5","Medicare",,"GP",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"PT APPLIC MULTI-LAYER COMPRESS LOWER EXT","29581","HCPCS","Both",,,"99","49.5","Humana","Medicare Advantage","GP",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"PT APPLIC MULTI-LAYER COMPRESS LOWER EXT","29581","HCPCS","Both",,,"99","49.5","UHC","Medicare Advantage","GP",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"PT APPLIC MULTI-LAYER COMPRESS LOWER EXT","29581","HCPCS","Both",,,"99","49.5","Clover","Medicare Advantage","GP",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"PT APPLIC MULTI-LAYER COMPRESS LOWER EXT","29581","HCPCS","Both",,,"99","49.5","Wellcare","Medicare Advantage","GP",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"PT APPLIC MULTI-LAYER COMPRESS LOWER EXT","29581","HCPCS","Both",,,"99","49.5","Amerigroup","Medicaid Managed Care","GP",,"37",,"36.23","36.23","76.73","percent of total billed charges",,
"PT APPLIC MULTI-LAYER COMPRESS LOWER EXT","29581","HCPCS","Both",,,"99","49.5","Caresource","Medicaid Managed Care","GP",,"40",,"39.6","36.23","76.73","percent of total billed charges",,
"PT APPLIC MULTI-LAYER COMPRESS LOWER EXT","29581","HCPCS","Both",,,"99","49.5","Wellcare","Medicaid Managed Care","GP",,"40",,"40.1","36.23","76.73","percent of total billed charges",,
"PT APPLIC MULTI-LAYER COMPRESS LOWER EXT","29581","HCPCS","Both",,,"99","49.5","Aetna","Commercial","GP",,"64",,"63.16","36.23","76.73","percent of total billed charges",,
"PT APPLIC MULTI-LAYER COMPRESS LOWER EXT","29581","HCPCS","Both",,,"99","49.5","Blue Cross Blue Shield","Pathways","GP",,"71",,"69.89","36.23","76.73","percent of total billed charges",,
"PT APPLIC MULTI-LAYER COMPRESS LOWER EXT","29581","HCPCS","Both",,,"99","49.5","Blue Cross Blue Shield","HMO","GP",,"71",,"69.89","36.23","76.73","percent of total billed charges",,
"PT APPLIC MULTI-LAYER COMPRESS LOWER EXT","29581","HCPCS","Both",,,"99","49.5","Blue Cross Blue Shield","PPO","GP",,"71",,"69.89","36.23","76.73","percent of total billed charges",,
"PT APPLIC MULTI-LAYER COMPRESS LOWER EXT","29581","HCPCS","Both",,,"99","49.5","Ambetter","Health Exchange","GP",,"62",,"61.38","36.23","76.73","percent of total billed charges",,
"PT APPLIC MULTI-LAYER COMPRESS LOWER EXT","29581","HCPCS","Both",,,"99","49.5","Caresource","Health Exchange","GP",,"62",,"61.38","36.23","76.73","percent of total billed charges",,
"PT APPLIC MULTI-LAYER COMPRESS LOWER EXT","29581","HCPCS","Both",,,"99","49.5","Cigna","Commercial","GP",,"59",,"58.01","36.23","76.73","percent of total billed charges",,
"PT APPLIC MULTI-LAYER COMPRESS LOWER EXT","29581","HCPCS","Both",,,"99","49.5","Humana","Commercial","GP",,"78",,"76.73","36.23","76.73","percent of total billed charges",,
"PT APPLIC MULTI-LAYER COMPRESS LOWER EXT","29581","HCPCS","Both",,,"99","49.5","UHC","Commercial","GP",,"75",,"74.65","36.23","76.73","percent of total billed charges",,
"PT APPLIC MULTI-LAYER COMPRESS LOWER EXT","29581","HCPCS","Both",,,"99","49.5","Medicaid",,"GP",,"37",,"36.23","36.23","76.73","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT ea ADD'L 20CM","97598","HCPCS","Both",,,"21","10.5","Alliant","Health Exchange","GP",,"62",,"13.02","7.69","16.28","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT ea ADD'L 20CM","97598","HCPCS","Both",,,"21","10.5","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"11.34","7.69","16.28","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT ea ADD'L 20CM","97598","HCPCS","Both",,,"21","10.5","Medicare",,"GP",,"54",,"11.38","7.69","16.28","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT ea ADD'L 20CM","97598","HCPCS","Both",,,"21","10.5","Humana","Medicare Advantage","GP",,"54",,"11.38","7.69","16.28","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT ea ADD'L 20CM","97598","HCPCS","Both",,,"21","10.5","UHC","Medicare Advantage","GP",,"54",,"11.38","7.69","16.28","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT ea ADD'L 20CM","97598","HCPCS","Both",,,"21","10.5","Clover","Medicare Advantage","GP",,"54",,"11.38","7.69","16.28","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT ea ADD'L 20CM","97598","HCPCS","Both",,,"21","10.5","Wellcare","Medicare Advantage","GP",,"54",,"11.38","7.69","16.28","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT ea ADD'L 20CM","97598","HCPCS","Both",,,"21","10.5","Amerigroup","Medicaid Managed Care","GP",,"37",,"7.69","7.69","16.28","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT ea ADD'L 20CM","97598","HCPCS","Both",,,"21","10.5","Caresource","Medicaid Managed Care","GP",,"40",,"8.4","7.69","16.28","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT ea ADD'L 20CM","97598","HCPCS","Both",,,"21","10.5","Wellcare","Medicaid Managed Care","GP",,"40",,"8.51","7.69","16.28","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT ea ADD'L 20CM","97598","HCPCS","Both",,,"21","10.5","Aetna","Commercial","GP",,"64",,"13.4","7.69","16.28","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT ea ADD'L 20CM","97598","HCPCS","Both",,,"21","10.5","Blue Cross Blue Shield","Pathways","GP",,"71",,"14.83","7.69","16.28","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT ea ADD'L 20CM","97598","HCPCS","Both",,,"21","10.5","Blue Cross Blue Shield","HMO","GP",,"71",,"14.83","7.69","16.28","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT ea ADD'L 20CM","97598","HCPCS","Both",,,"21","10.5","Blue Cross Blue Shield","PPO","GP",,"71",,"14.83","7.69","16.28","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT ea ADD'L 20CM","97598","HCPCS","Both",,,"21","10.5","Ambetter","Health Exchange","GP",,"62",,"13.02","7.69","16.28","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT ea ADD'L 20CM","97598","HCPCS","Both",,,"21","10.5","Caresource","Health Exchange","GP",,"62",,"13.02","7.69","16.28","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT ea ADD'L 20CM","97598","HCPCS","Both",,,"21","10.5","Cigna","Commercial","GP",,"59",,"12.31","7.69","16.28","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT ea ADD'L 20CM","97598","HCPCS","Both",,,"21","10.5","Humana","Commercial","GP",,"78",,"16.28","7.69","16.28","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT ea ADD'L 20CM","97598","HCPCS","Both",,,"21","10.5","UHC","Commercial","GP",,"75",,"15.83","7.69","16.28","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT ea ADD'L 20CM","97598","HCPCS","Both",,,"21","10.5","Medicaid",,"GP",,"37",,"7.69","7.69","16.28","percent of total billed charges",,
"PT NEGATIVE PRESS WOUND THERAPY > 50CM","97606","HCPCS","Both",,,"231","115.5","Alliant","Health Exchange","GP",,"62",,"143.22","84.55","179.02","percent of total billed charges",,
"PT NEGATIVE PRESS WOUND THERAPY > 50CM","97606","HCPCS","Both",,,"231","115.5","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"124.74","84.55","179.02","percent of total billed charges",,
"PT NEGATIVE PRESS WOUND THERAPY > 50CM","97606","HCPCS","Both",,,"231","115.5","Medicare",,"GP",,"54",,"125.2","84.55","179.02","percent of total billed charges",,
"PT NEGATIVE PRESS WOUND THERAPY > 50CM","97606","HCPCS","Both",,,"231","115.5","Humana","Medicare Advantage","GP",,"54",,"125.2","84.55","179.02","percent of total billed charges",,
"PT NEGATIVE PRESS WOUND THERAPY > 50CM","97606","HCPCS","Both",,,"231","115.5","UHC","Medicare Advantage","GP",,"54",,"125.2","84.55","179.02","percent of total billed charges",,
"PT NEGATIVE PRESS WOUND THERAPY > 50CM","97606","HCPCS","Both",,,"231","115.5","Clover","Medicare Advantage","GP",,"54",,"125.2","84.55","179.02","percent of total billed charges",,
"PT NEGATIVE PRESS WOUND THERAPY > 50CM","97606","HCPCS","Both",,,"231","115.5","Wellcare","Medicare Advantage","GP",,"54",,"125.2","84.55","179.02","percent of total billed charges",,
"PT NEGATIVE PRESS WOUND THERAPY > 50CM","97606","HCPCS","Both",,,"231","115.5","Amerigroup","Medicaid Managed Care","GP",,"37",,"84.55","84.55","179.02","percent of total billed charges",,
"PT NEGATIVE PRESS WOUND THERAPY > 50CM","97606","HCPCS","Both",,,"231","115.5","Caresource","Medicaid Managed Care","GP",,"40",,"92.4","84.55","179.02","percent of total billed charges",,
"PT NEGATIVE PRESS WOUND THERAPY > 50CM","97606","HCPCS","Both",,,"231","115.5","Wellcare","Medicaid Managed Care","GP",,"40",,"93.56","84.55","179.02","percent of total billed charges",,
"PT NEGATIVE PRESS WOUND THERAPY > 50CM","97606","HCPCS","Both",,,"231","115.5","Aetna","Commercial","GP",,"64",,"147.38","84.55","179.02","percent of total billed charges",,
"PT NEGATIVE PRESS WOUND THERAPY > 50CM","97606","HCPCS","Both",,,"231","115.5","Blue Cross Blue Shield","Pathways","GP",,"71",,"163.09","84.55","179.02","percent of total billed charges",,
"PT NEGATIVE PRESS WOUND THERAPY > 50CM","97606","HCPCS","Both",,,"231","115.5","Blue Cross Blue Shield","HMO","GP",,"71",,"163.09","84.55","179.02","percent of total billed charges",,
"PT NEGATIVE PRESS WOUND THERAPY > 50CM","97606","HCPCS","Both",,,"231","115.5","Blue Cross Blue Shield","PPO","GP",,"71",,"163.09","84.55","179.02","percent of total billed charges",,
"PT NEGATIVE PRESS WOUND THERAPY > 50CM","97606","HCPCS","Both",,,"231","115.5","Ambetter","Health Exchange","GP",,"62",,"143.22","84.55","179.02","percent of total billed charges",,
"PT NEGATIVE PRESS WOUND THERAPY > 50CM","97606","HCPCS","Both",,,"231","115.5","Caresource","Health Exchange","GP",,"62",,"143.22","84.55","179.02","percent of total billed charges",,
"PT NEGATIVE PRESS WOUND THERAPY > 50CM","97606","HCPCS","Both",,,"231","115.5","Cigna","Commercial","GP",,"59",,"135.37","84.55","179.02","percent of total billed charges",,
"PT NEGATIVE PRESS WOUND THERAPY > 50CM","97606","HCPCS","Both",,,"231","115.5","Humana","Commercial","GP",,"78",,"179.02","84.55","179.02","percent of total billed charges",,
"PT NEGATIVE PRESS WOUND THERAPY > 50CM","97606","HCPCS","Both",,,"231","115.5","UHC","Commercial","GP",,"75",,"174.17","84.55","179.02","percent of total billed charges",,
"PT NEGATIVE PRESS WOUND THERAPY > 50CM","97606","HCPCS","Both",,,"231","115.5","Medicaid",,"GP",,"37",,"84.55","84.55","179.02","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Alliant","Health Exchange","GP",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Medicare",,"GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Humana","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","UHC","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Clover","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care","GP",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care","GP",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care","GP",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Aetna","Commercial","GP",,"64",,"0.32","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways","GP",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO","GP",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO","GP",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Ambetter","Health Exchange","GP",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Caresource","Health Exchange","GP",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Cigna","Commercial","GP",,"59",,"0.29","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Humana","Commercial","GP",,"78",,"0.39","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","UHC","Commercial","GP",,"75",,"0.38","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Medicaid",,"GP",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Alliant","Health Exchange","GP",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Medicare",,"GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Humana","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","UHC","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Clover","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care","GP",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care","GP",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care","GP",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Aetna","Commercial","GP",,"64",,"0.32","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways","GP",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO","GP",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO","GP",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Ambetter","Health Exchange","GP",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Caresource","Health Exchange","GP",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Cigna","Commercial","GP",,"59",,"0.29","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Humana","Commercial","GP",,"78",,"0.39","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","UHC","Commercial","GP",,"75",,"0.38","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Medicaid",,"GP",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Medicare",,"GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Medicaid",,"GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Medicare",,"GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Medicaid",,"GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Medicare",,"GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Medicaid",,"GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Medicare",,"GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Medicaid",,"GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Medicare",,"GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Medicaid",,"GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Medicare",,"GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Medicaid",,"GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Medicare",,"GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Medicaid",,"GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Medicare",,"GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Medicaid",,"GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Medicare",,"GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Medicaid",,"GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Medicare",,"GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Medicaid",,"GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Medicare",,"GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Medicaid",,"GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Medicare",,"GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Medicaid",,"GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT EVALUATION LOW COMPLEXITY","97161","HCPCS","Both",,,"575.66","287.83","Alliant","Health Exchange","GP",,"62",,"356.91","210.69","446.14","percent of total billed charges",,
"PT EVALUATION LOW COMPLEXITY","97161","HCPCS","Both",,,"575.66","287.83","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"310.86","210.69","446.14","percent of total billed charges",,
"PT EVALUATION LOW COMPLEXITY","97161","HCPCS","Both",,,"575.66","287.83","Medicare",,"GP",,"54",,"312.01","210.69","446.14","percent of total billed charges",,
"PT EVALUATION LOW COMPLEXITY","97161","HCPCS","Both",,,"575.66","287.83","Humana","Medicare Advantage","GP",,"54",,"312.01","210.69","446.14","percent of total billed charges",,
"PT EVALUATION LOW COMPLEXITY","97161","HCPCS","Both",,,"575.66","287.83","UHC","Medicare Advantage","GP",,"54",,"312.01","210.69","446.14","percent of total billed charges",,
"PT EVALUATION LOW COMPLEXITY","97161","HCPCS","Both",,,"575.66","287.83","Clover","Medicare Advantage","GP",,"54",,"312.01","210.69","446.14","percent of total billed charges",,
"PT EVALUATION LOW COMPLEXITY","97161","HCPCS","Both",,,"575.66","287.83","Wellcare","Medicare Advantage","GP",,"54",,"312.01","210.69","446.14","percent of total billed charges",,
"PT EVALUATION LOW COMPLEXITY","97161","HCPCS","Both",,,"575.66","287.83","Amerigroup","Medicaid Managed Care","GP",,"37",,"210.69","210.69","446.14","percent of total billed charges",,
"PT EVALUATION LOW COMPLEXITY","97161","HCPCS","Both",,,"575.66","287.83","Caresource","Medicaid Managed Care","GP",,"40",,"230.26","210.69","446.14","percent of total billed charges",,
"PT EVALUATION LOW COMPLEXITY","97161","HCPCS","Both",,,"575.66","287.83","Wellcare","Medicaid Managed Care","GP",,"40",,"233.14","210.69","446.14","percent of total billed charges",,
"PT EVALUATION LOW COMPLEXITY","97161","HCPCS","Both",,,"575.66","287.83","Aetna","Commercial","GP",,"64",,"367.27","210.69","446.14","percent of total billed charges",,
"PT EVALUATION LOW COMPLEXITY","97161","HCPCS","Both",,,"575.66","287.83","Blue Cross Blue Shield","Pathways","GP",,"71",,"406.42","210.69","446.14","percent of total billed charges",,
"PT EVALUATION LOW COMPLEXITY","97161","HCPCS","Both",,,"575.66","287.83","Blue Cross Blue Shield","HMO","GP",,"71",,"406.42","210.69","446.14","percent of total billed charges",,
"PT EVALUATION LOW COMPLEXITY","97161","HCPCS","Both",,,"575.66","287.83","Blue Cross Blue Shield","PPO","GP",,"71",,"406.42","210.69","446.14","percent of total billed charges",,
"PT EVALUATION LOW COMPLEXITY","97161","HCPCS","Both",,,"575.66","287.83","Ambetter","Health Exchange","GP",,"62",,"356.91","210.69","446.14","percent of total billed charges",,
"PT EVALUATION LOW COMPLEXITY","97161","HCPCS","Both",,,"575.66","287.83","Caresource","Health Exchange","GP",,"62",,"356.91","210.69","446.14","percent of total billed charges",,
"PT EVALUATION LOW COMPLEXITY","97161","HCPCS","Both",,,"575.66","287.83","Cigna","Commercial","GP",,"59",,"337.34","210.69","446.14","percent of total billed charges",,
"PT EVALUATION LOW COMPLEXITY","97161","HCPCS","Both",,,"575.66","287.83","Humana","Commercial","GP",,"78",,"446.14","210.69","446.14","percent of total billed charges",,
"PT EVALUATION LOW COMPLEXITY","97161","HCPCS","Both",,,"575.66","287.83","UHC","Commercial","GP",,"75",,"434.05","210.69","446.14","percent of total billed charges",,
"PT EVALUATION LOW COMPLEXITY","97161","HCPCS","Both",,,"575.66","287.83","Medicaid",,"GP",,"37",,"210.69","210.69","446.14","percent of total billed charges",,
"PT EVALUATION MODERATE COMPLEXITY","97162","HCPCS","Both",,,"239.04","119.52","Alliant","Health Exchange","GP",,"62",,"148.2","87.49","185.26","percent of total billed charges",,
"PT EVALUATION MODERATE COMPLEXITY","97162","HCPCS","Both",,,"239.04","119.52","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"129.08","87.49","185.26","percent of total billed charges",,
"PT EVALUATION MODERATE COMPLEXITY","97162","HCPCS","Both",,,"239.04","119.52","Medicare",,"GP",,"54",,"129.56","87.49","185.26","percent of total billed charges",,
"PT EVALUATION MODERATE COMPLEXITY","97162","HCPCS","Both",,,"239.04","119.52","Humana","Medicare Advantage","GP",,"54",,"129.56","87.49","185.26","percent of total billed charges",,
"PT EVALUATION MODERATE COMPLEXITY","97162","HCPCS","Both",,,"239.04","119.52","UHC","Medicare Advantage","GP",,"54",,"129.56","87.49","185.26","percent of total billed charges",,
"PT EVALUATION MODERATE COMPLEXITY","97162","HCPCS","Both",,,"239.04","119.52","Clover","Medicare Advantage","GP",,"54",,"129.56","87.49","185.26","percent of total billed charges",,
"PT EVALUATION MODERATE COMPLEXITY","97162","HCPCS","Both",,,"239.04","119.52","Wellcare","Medicare Advantage","GP",,"54",,"129.56","87.49","185.26","percent of total billed charges",,
"PT EVALUATION MODERATE COMPLEXITY","97162","HCPCS","Both",,,"239.04","119.52","Amerigroup","Medicaid Managed Care","GP",,"37",,"87.49","87.49","185.26","percent of total billed charges",,
"PT EVALUATION MODERATE COMPLEXITY","97162","HCPCS","Both",,,"239.04","119.52","Caresource","Medicaid Managed Care","GP",,"40",,"95.62","87.49","185.26","percent of total billed charges",,
"PT EVALUATION MODERATE COMPLEXITY","97162","HCPCS","Both",,,"239.04","119.52","Wellcare","Medicaid Managed Care","GP",,"40",,"96.81","87.49","185.26","percent of total billed charges",,
"PT EVALUATION MODERATE COMPLEXITY","97162","HCPCS","Both",,,"239.04","119.52","Aetna","Commercial","GP",,"64",,"152.51","87.49","185.26","percent of total billed charges",,
"PT EVALUATION MODERATE COMPLEXITY","97162","HCPCS","Both",,,"239.04","119.52","Blue Cross Blue Shield","Pathways","GP",,"71",,"168.76","87.49","185.26","percent of total billed charges",,
"PT EVALUATION MODERATE COMPLEXITY","97162","HCPCS","Both",,,"239.04","119.52","Blue Cross Blue Shield","HMO","GP",,"71",,"168.76","87.49","185.26","percent of total billed charges",,
"PT EVALUATION MODERATE COMPLEXITY","97162","HCPCS","Both",,,"239.04","119.52","Blue Cross Blue Shield","PPO","GP",,"71",,"168.76","87.49","185.26","percent of total billed charges",,
"PT EVALUATION MODERATE COMPLEXITY","97162","HCPCS","Both",,,"239.04","119.52","Ambetter","Health Exchange","GP",,"62",,"148.2","87.49","185.26","percent of total billed charges",,
"PT EVALUATION MODERATE COMPLEXITY","97162","HCPCS","Both",,,"239.04","119.52","Caresource","Health Exchange","GP",,"62",,"148.2","87.49","185.26","percent of total billed charges",,
"PT EVALUATION MODERATE COMPLEXITY","97162","HCPCS","Both",,,"239.04","119.52","Cigna","Commercial","GP",,"59",,"140.08","87.49","185.26","percent of total billed charges",,
"PT EVALUATION MODERATE COMPLEXITY","97162","HCPCS","Both",,,"239.04","119.52","Humana","Commercial","GP",,"78",,"185.26","87.49","185.26","percent of total billed charges",,
"PT EVALUATION MODERATE COMPLEXITY","97162","HCPCS","Both",,,"239.04","119.52","UHC","Commercial","GP",,"75",,"180.24","87.49","185.26","percent of total billed charges",,
"PT EVALUATION MODERATE COMPLEXITY","97162","HCPCS","Both",,,"239.04","119.52","Medicaid",,"GP",,"37",,"87.49","87.49","185.26","percent of total billed charges",,
"PT EVALUATION HIGH COMPLEXITY","97163","HCPCS","Both",,,"147","73.5","Alliant","Health Exchange","GP",,"62",,"91.14","53.8","113.92","percent of total billed charges",,
"PT EVALUATION HIGH COMPLEXITY","97163","HCPCS","Both",,,"147","73.5","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"79.38","53.8","113.92","percent of total billed charges",,
"PT EVALUATION HIGH COMPLEXITY","97163","HCPCS","Both",,,"147","73.5","Medicare",,"GP",,"54",,"79.67","53.8","113.92","percent of total billed charges",,
"PT EVALUATION HIGH COMPLEXITY","97163","HCPCS","Both",,,"147","73.5","Humana","Medicare Advantage","GP",,"54",,"79.67","53.8","113.92","percent of total billed charges",,
"PT EVALUATION HIGH COMPLEXITY","97163","HCPCS","Both",,,"147","73.5","UHC","Medicare Advantage","GP",,"54",,"79.67","53.8","113.92","percent of total billed charges",,
"PT EVALUATION HIGH COMPLEXITY","97163","HCPCS","Both",,,"147","73.5","Clover","Medicare Advantage","GP",,"54",,"79.67","53.8","113.92","percent of total billed charges",,
"PT EVALUATION HIGH COMPLEXITY","97163","HCPCS","Both",,,"147","73.5","Wellcare","Medicare Advantage","GP",,"54",,"79.67","53.8","113.92","percent of total billed charges",,
"PT EVALUATION HIGH COMPLEXITY","97163","HCPCS","Both",,,"147","73.5","Amerigroup","Medicaid Managed Care","GP",,"37",,"53.8","53.8","113.92","percent of total billed charges",,
"PT EVALUATION HIGH COMPLEXITY","97163","HCPCS","Both",,,"147","73.5","Caresource","Medicaid Managed Care","GP",,"40",,"58.8","53.8","113.92","percent of total billed charges",,
"PT EVALUATION HIGH COMPLEXITY","97163","HCPCS","Both",,,"147","73.5","Wellcare","Medicaid Managed Care","GP",,"40",,"59.54","53.8","113.92","percent of total billed charges",,
"PT EVALUATION HIGH COMPLEXITY","97163","HCPCS","Both",,,"147","73.5","Aetna","Commercial","GP",,"64",,"93.79","53.8","113.92","percent of total billed charges",,
"PT EVALUATION HIGH COMPLEXITY","97163","HCPCS","Both",,,"147","73.5","Blue Cross Blue Shield","Pathways","GP",,"71",,"103.78","53.8","113.92","percent of total billed charges",,
"PT EVALUATION HIGH COMPLEXITY","97163","HCPCS","Both",,,"147","73.5","Blue Cross Blue Shield","HMO","GP",,"71",,"103.78","53.8","113.92","percent of total billed charges",,
"PT EVALUATION HIGH COMPLEXITY","97163","HCPCS","Both",,,"147","73.5","Blue Cross Blue Shield","PPO","GP",,"71",,"103.78","53.8","113.92","percent of total billed charges",,
"PT EVALUATION HIGH COMPLEXITY","97163","HCPCS","Both",,,"147","73.5","Ambetter","Health Exchange","GP",,"62",,"91.14","53.8","113.92","percent of total billed charges",,
"PT EVALUATION HIGH COMPLEXITY","97163","HCPCS","Both",,,"147","73.5","Caresource","Health Exchange","GP",,"62",,"91.14","53.8","113.92","percent of total billed charges",,
"PT EVALUATION HIGH COMPLEXITY","97163","HCPCS","Both",,,"147","73.5","Cigna","Commercial","GP",,"59",,"86.14","53.8","113.92","percent of total billed charges",,
"PT EVALUATION HIGH COMPLEXITY","97163","HCPCS","Both",,,"147","73.5","Humana","Commercial","GP",,"78",,"113.92","53.8","113.92","percent of total billed charges",,
"PT EVALUATION HIGH COMPLEXITY","97163","HCPCS","Both",,,"147","73.5","UHC","Commercial","GP",,"75",,"110.84","53.8","113.92","percent of total billed charges",,
"PT EVALUATION HIGH COMPLEXITY","97163","HCPCS","Both",,,"147","73.5","Medicaid",,"GP",,"37",,"53.8","53.8","113.92","percent of total billed charges",,
"PT RE-EVALUATION OF PT ESTABLISHED PLAN","97164","HCPCS","Both",,,"170","85","Alliant","Health Exchange","GP",,"62",,"105.4","62.22","131.75","percent of total billed charges",,
"PT RE-EVALUATION OF PT ESTABLISHED PLAN","97164","HCPCS","Both",,,"170","85","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"91.8","62.22","131.75","percent of total billed charges",,
"PT RE-EVALUATION OF PT ESTABLISHED PLAN","97164","HCPCS","Both",,,"170","85","Medicare",,"GP",,"54",,"92.14","62.22","131.75","percent of total billed charges",,
"PT RE-EVALUATION OF PT ESTABLISHED PLAN","97164","HCPCS","Both",,,"170","85","Humana","Medicare Advantage","GP",,"54",,"92.14","62.22","131.75","percent of total billed charges",,
"PT RE-EVALUATION OF PT ESTABLISHED PLAN","97164","HCPCS","Both",,,"170","85","UHC","Medicare Advantage","GP",,"54",,"92.14","62.22","131.75","percent of total billed charges",,
"PT RE-EVALUATION OF PT ESTABLISHED PLAN","97164","HCPCS","Both",,,"170","85","Clover","Medicare Advantage","GP",,"54",,"92.14","62.22","131.75","percent of total billed charges",,
"PT RE-EVALUATION OF PT ESTABLISHED PLAN","97164","HCPCS","Both",,,"170","85","Wellcare","Medicare Advantage","GP",,"54",,"92.14","62.22","131.75","percent of total billed charges",,
"PT RE-EVALUATION OF PT ESTABLISHED PLAN","97164","HCPCS","Both",,,"170","85","Amerigroup","Medicaid Managed Care","GP",,"37",,"62.22","62.22","131.75","percent of total billed charges",,
"PT RE-EVALUATION OF PT ESTABLISHED PLAN","97164","HCPCS","Both",,,"170","85","Caresource","Medicaid Managed Care","GP",,"40",,"68","62.22","131.75","percent of total billed charges",,
"PT RE-EVALUATION OF PT ESTABLISHED PLAN","97164","HCPCS","Both",,,"170","85","Wellcare","Medicaid Managed Care","GP",,"40",,"68.85","62.22","131.75","percent of total billed charges",,
"PT RE-EVALUATION OF PT ESTABLISHED PLAN","97164","HCPCS","Both",,,"170","85","Aetna","Commercial","GP",,"64",,"108.46","62.22","131.75","percent of total billed charges",,
"PT RE-EVALUATION OF PT ESTABLISHED PLAN","97164","HCPCS","Both",,,"170","85","Blue Cross Blue Shield","Pathways","GP",,"71",,"120.02","62.22","131.75","percent of total billed charges",,
"PT RE-EVALUATION OF PT ESTABLISHED PLAN","97164","HCPCS","Both",,,"170","85","Blue Cross Blue Shield","HMO","GP",,"71",,"120.02","62.22","131.75","percent of total billed charges",,
"PT RE-EVALUATION OF PT ESTABLISHED PLAN","97164","HCPCS","Both",,,"170","85","Blue Cross Blue Shield","PPO","GP",,"71",,"120.02","62.22","131.75","percent of total billed charges",,
"PT RE-EVALUATION OF PT ESTABLISHED PLAN","97164","HCPCS","Both",,,"170","85","Ambetter","Health Exchange","GP",,"62",,"105.4","62.22","131.75","percent of total billed charges",,
"PT RE-EVALUATION OF PT ESTABLISHED PLAN","97164","HCPCS","Both",,,"170","85","Caresource","Health Exchange","GP",,"62",,"105.4","62.22","131.75","percent of total billed charges",,
"PT RE-EVALUATION OF PT ESTABLISHED PLAN","97164","HCPCS","Both",,,"170","85","Cigna","Commercial","GP",,"59",,"99.62","62.22","131.75","percent of total billed charges",,
"PT RE-EVALUATION OF PT ESTABLISHED PLAN","97164","HCPCS","Both",,,"170","85","Humana","Commercial","GP",,"78",,"131.75","62.22","131.75","percent of total billed charges",,
"PT RE-EVALUATION OF PT ESTABLISHED PLAN","97164","HCPCS","Both",,,"170","85","UHC","Commercial","GP",,"75",,"128.18","62.22","131.75","percent of total billed charges",,
"PT RE-EVALUATION OF PT ESTABLISHED PLAN","97164","HCPCS","Both",,,"170","85","Medicaid",,"GP",,"37",,"62.22","62.22","131.75","percent of total billed charges",,
"OT CIS RE-EVALUATION ESTABLISHED PLAN","97168","HCPCS","Both",,,"256.5","128.25","Alliant","Health Exchange","GO,HA",,"62",,"159.03","93.88","198.79","percent of total billed charges",,
"OT CIS RE-EVALUATION ESTABLISHED PLAN","97168","HCPCS","Both",,,"256.5","128.25","Pruitt Healthcare","Medicare Advantage","GO,HA",,"54",,"138.51","93.88","198.79","percent of total billed charges",,
"OT CIS RE-EVALUATION ESTABLISHED PLAN","97168","HCPCS","Both",,,"256.5","128.25","Medicare",,"GO,HA",,"54",,"139.02","93.88","198.79","percent of total billed charges",,
"OT CIS RE-EVALUATION ESTABLISHED PLAN","97168","HCPCS","Both",,,"256.5","128.25","Humana","Medicare Advantage","GO,HA",,"54",,"139.02","93.88","198.79","percent of total billed charges",,
"OT CIS RE-EVALUATION ESTABLISHED PLAN","97168","HCPCS","Both",,,"256.5","128.25","UHC","Medicare Advantage","GO,HA",,"54",,"139.02","93.88","198.79","percent of total billed charges",,
"OT CIS RE-EVALUATION ESTABLISHED PLAN","97168","HCPCS","Both",,,"256.5","128.25","Clover","Medicare Advantage","GO,HA",,"54",,"139.02","93.88","198.79","percent of total billed charges",,
"OT CIS RE-EVALUATION ESTABLISHED PLAN","97168","HCPCS","Both",,,"256.5","128.25","Wellcare","Medicare Advantage","GO,HA",,"54",,"139.02","93.88","198.79","percent of total billed charges",,
"OT CIS RE-EVALUATION ESTABLISHED PLAN","97168","HCPCS","Both",,,"256.5","128.25","Amerigroup","Medicaid Managed Care","GO,HA",,"37",,"93.88","93.88","198.79","percent of total billed charges",,
"OT CIS RE-EVALUATION ESTABLISHED PLAN","97168","HCPCS","Both",,,"256.5","128.25","Caresource","Medicaid Managed Care","GO,HA",,"40",,"102.6","93.88","198.79","percent of total billed charges",,
"OT CIS RE-EVALUATION ESTABLISHED PLAN","97168","HCPCS","Both",,,"256.5","128.25","Wellcare","Medicaid Managed Care","GO,HA",,"40",,"103.88","93.88","198.79","percent of total billed charges",,
"OT CIS RE-EVALUATION ESTABLISHED PLAN","97168","HCPCS","Both",,,"256.5","128.25","Aetna","Commercial","GO,HA",,"64",,"163.65","93.88","198.79","percent of total billed charges",,
"OT CIS RE-EVALUATION ESTABLISHED PLAN","97168","HCPCS","Both",,,"256.5","128.25","Blue Cross Blue Shield","Pathways","GO,HA",,"71",,"181.09","93.88","198.79","percent of total billed charges",,
"OT CIS RE-EVALUATION ESTABLISHED PLAN","97168","HCPCS","Both",,,"256.5","128.25","Blue Cross Blue Shield","HMO","GO,HA",,"71",,"181.09","93.88","198.79","percent of total billed charges",,
"OT CIS RE-EVALUATION ESTABLISHED PLAN","97168","HCPCS","Both",,,"256.5","128.25","Blue Cross Blue Shield","PPO","GO,HA",,"71",,"181.09","93.88","198.79","percent of total billed charges",,
"OT CIS RE-EVALUATION ESTABLISHED PLAN","97168","HCPCS","Both",,,"256.5","128.25","Ambetter","Health Exchange","GO,HA",,"62",,"159.03","93.88","198.79","percent of total billed charges",,
"OT CIS RE-EVALUATION ESTABLISHED PLAN","97168","HCPCS","Both",,,"256.5","128.25","Caresource","Health Exchange","GO,HA",,"62",,"159.03","93.88","198.79","percent of total billed charges",,
"OT CIS RE-EVALUATION ESTABLISHED PLAN","97168","HCPCS","Both",,,"256.5","128.25","Cigna","Commercial","GO,HA",,"59",,"150.31","93.88","198.79","percent of total billed charges",,
"OT CIS RE-EVALUATION ESTABLISHED PLAN","97168","HCPCS","Both",,,"256.5","128.25","Humana","Commercial","GO,HA",,"78",,"198.79","93.88","198.79","percent of total billed charges",,
"OT CIS RE-EVALUATION ESTABLISHED PLAN","97168","HCPCS","Both",,,"256.5","128.25","UHC","Commercial","GO,HA",,"75",,"193.4","93.88","198.79","percent of total billed charges",,
"OT CIS RE-EVALUATION ESTABLISHED PLAN","97168","HCPCS","Both",,,"256.5","128.25","Medicaid",,"GO,HA",,"37",,"93.88","93.88","198.79","percent of total billed charges",,
"OT ORTHOTICS FIT AND TRAIN EA 15mins","97760","HCPCS","Both",,,"65.5","32.75","Alliant","Health Exchange","GO",,"62",,"40.61","23.97","50.76","percent of total billed charges",,
"OT ORTHOTICS FIT AND TRAIN EA 15mins","97760","HCPCS","Both",,,"65.5","32.75","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"35.37","23.97","50.76","percent of total billed charges",,
"OT ORTHOTICS FIT AND TRAIN EA 15mins","97760","HCPCS","Both",,,"65.5","32.75","Medicare",,"GO",,"54",,"35.5","23.97","50.76","percent of total billed charges",,
"OT ORTHOTICS FIT AND TRAIN EA 15mins","97760","HCPCS","Both",,,"65.5","32.75","Humana","Medicare Advantage","GO",,"54",,"35.5","23.97","50.76","percent of total billed charges",,
"OT ORTHOTICS FIT AND TRAIN EA 15mins","97760","HCPCS","Both",,,"65.5","32.75","UHC","Medicare Advantage","GO",,"54",,"35.5","23.97","50.76","percent of total billed charges",,
"OT ORTHOTICS FIT AND TRAIN EA 15mins","97760","HCPCS","Both",,,"65.5","32.75","Clover","Medicare Advantage","GO",,"54",,"35.5","23.97","50.76","percent of total billed charges",,
"OT ORTHOTICS FIT AND TRAIN EA 15mins","97760","HCPCS","Both",,,"65.5","32.75","Wellcare","Medicare Advantage","GO",,"54",,"35.5","23.97","50.76","percent of total billed charges",,
"OT ORTHOTICS FIT AND TRAIN EA 15mins","97760","HCPCS","Both",,,"65.5","32.75","Amerigroup","Medicaid Managed Care","GO",,"37",,"23.97","23.97","50.76","percent of total billed charges",,
"OT ORTHOTICS FIT AND TRAIN EA 15mins","97760","HCPCS","Both",,,"65.5","32.75","Caresource","Medicaid Managed Care","GO",,"40",,"26.2","23.97","50.76","percent of total billed charges",,
"OT ORTHOTICS FIT AND TRAIN EA 15mins","97760","HCPCS","Both",,,"65.5","32.75","Wellcare","Medicaid Managed Care","GO",,"40",,"26.53","23.97","50.76","percent of total billed charges",,
"OT ORTHOTICS FIT AND TRAIN EA 15mins","97760","HCPCS","Both",,,"65.5","32.75","Aetna","Commercial","GO",,"64",,"41.79","23.97","50.76","percent of total billed charges",,
"OT ORTHOTICS FIT AND TRAIN EA 15mins","97760","HCPCS","Both",,,"65.5","32.75","Blue Cross Blue Shield","Pathways","GO",,"71",,"46.24","23.97","50.76","percent of total billed charges",,
"OT ORTHOTICS FIT AND TRAIN EA 15mins","97760","HCPCS","Both",,,"65.5","32.75","Blue Cross Blue Shield","HMO","GO",,"71",,"46.24","23.97","50.76","percent of total billed charges",,
"OT ORTHOTICS FIT AND TRAIN EA 15mins","97760","HCPCS","Both",,,"65.5","32.75","Blue Cross Blue Shield","PPO","GO",,"71",,"46.24","23.97","50.76","percent of total billed charges",,
"OT ORTHOTICS FIT AND TRAIN EA 15mins","97760","HCPCS","Both",,,"65.5","32.75","Ambetter","Health Exchange","GO",,"62",,"40.61","23.97","50.76","percent of total billed charges",,
"OT ORTHOTICS FIT AND TRAIN EA 15mins","97760","HCPCS","Both",,,"65.5","32.75","Caresource","Health Exchange","GO",,"62",,"40.61","23.97","50.76","percent of total billed charges",,
"OT ORTHOTICS FIT AND TRAIN EA 15mins","97760","HCPCS","Both",,,"65.5","32.75","Cigna","Commercial","GO",,"59",,"38.38","23.97","50.76","percent of total billed charges",,
"OT ORTHOTICS FIT AND TRAIN EA 15mins","97760","HCPCS","Both",,,"65.5","32.75","Humana","Commercial","GO",,"78",,"50.76","23.97","50.76","percent of total billed charges",,
"OT ORTHOTICS FIT AND TRAIN EA 15mins","97760","HCPCS","Both",,,"65.5","32.75","UHC","Commercial","GO",,"75",,"49.39","23.97","50.76","percent of total billed charges",,
"OT ORTHOTICS FIT AND TRAIN EA 15mins","97760","HCPCS","Both",,,"65.5","32.75","Medicaid",,"GO",,"37",,"23.97","23.97","50.76","percent of total billed charges",,
"OT ELECTRICAL STIMULATION (UNATTENDED)","97014","HCPCS","Both",,,"77.5","38.75","Alliant","Health Exchange","GO",,"62",,"48.05","28.36","102.11","percent of total billed charges",,
"OT ELECTRICAL STIMULATION (UNATTENDED)","97014","HCPCS","Both",,,"77.5","38.75","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"41.85","28.36","102.11","percent of total billed charges",,
"OT ELECTRICAL STIMULATION (UNATTENDED)","97014","HCPCS","Both",,,"77.5","38.75","Medicare",,"GO",,"54",,"42","28.36","102.11","percent of total billed charges",,
"OT ELECTRICAL STIMULATION (UNATTENDED)","97014","HCPCS","Both",,,"77.5","38.75","Humana","Medicare Advantage","GO",,"54",,"42","28.36","102.11","percent of total billed charges",,
"OT ELECTRICAL STIMULATION (UNATTENDED)","97014","HCPCS","Both",,,"77.5","38.75","UHC","Medicare Advantage","GO",,"54",,"42","28.36","102.11","percent of total billed charges",,
"OT ELECTRICAL STIMULATION (UNATTENDED)","97014","HCPCS","Both",,,"77.5","38.75","Clover","Medicare Advantage","GO",,"54",,"42","28.36","102.11","percent of total billed charges",,
"OT ELECTRICAL STIMULATION (UNATTENDED)","97014","HCPCS","Both",,,"77.5","38.75","Wellcare","Medicare Advantage","GO",,"54",,"42","28.36","102.11","percent of total billed charges",,
"OT ELECTRICAL STIMULATION (UNATTENDED)","97014","HCPCS","Both",,,"77.5","38.75","Amerigroup","Medicaid Managed Care","GO",,"37",,"28.36","28.36","102.11","percent of total billed charges",,
"OT ELECTRICAL STIMULATION (UNATTENDED)","97014","HCPCS","Both",,,"77.5","38.75","Caresource","Medicaid Managed Care","GO",,"40",,"31","28.36","102.11","percent of total billed charges",,
"OT ELECTRICAL STIMULATION (UNATTENDED)","97014","HCPCS","Both",,,"77.5","38.75","Wellcare","Medicaid Managed Care","GO",,"40",,"31.39","28.36","102.11","percent of total billed charges",,
"OT ELECTRICAL STIMULATION (UNATTENDED)","97014","HCPCS","Both",,,"77.5","38.75","Aetna","Commercial","GO",,"64",,"49.44","28.36","102.11","percent of total billed charges",,
"OT ELECTRICAL STIMULATION (UNATTENDED)","97014","HCPCS","Both",,,"77.5","38.75","Blue Cross Blue Shield","Pathways","GO",,"71",,"54.72","28.36","102.11","percent of total billed charges",,
"OT ELECTRICAL STIMULATION (UNATTENDED)","97014","HCPCS","Both",,,"77.5","38.75","Blue Cross Blue Shield","HMO","GO",,"71",,"54.72","28.36","102.11","percent of total billed charges",,
"OT ELECTRICAL STIMULATION (UNATTENDED)","97014","HCPCS","Both",,,"77.5","38.75","Blue Cross Blue Shield","PPO","GO",,"71",,"54.72","28.36","102.11","percent of total billed charges",,
"OT ELECTRICAL STIMULATION (UNATTENDED)","97014","HCPCS","Both",,,"77.5","38.75","Ambetter","Health Exchange","GO",,"62",,"48.05","28.36","102.11","percent of total billed charges",,
"OT ELECTRICAL STIMULATION (UNATTENDED)","97014","HCPCS","Both",,,"77.5","38.75","Caresource","Health Exchange","GO",,"62",,"48.05","28.36","102.11","percent of total billed charges",,
"OT ELECTRICAL STIMULATION (UNATTENDED)","97014","HCPCS","Both",,,"77.5","38.75","Cigna","Commercial","GO",,"59",,"45.42","28.36","102.11","percent of total billed charges",,
"OT ELECTRICAL STIMULATION (UNATTENDED)","97014","HCPCS","Both",,,"77.5","38.75","Humana","Commercial","GO",,"78",,"60.06","28.36","102.11","percent of total billed charges",,
"OT ELECTRICAL STIMULATION (UNATTENDED)","97014","HCPCS","Both",,,"77.5","38.75","UHC","Commercial","GO",,"75",,"58.44","28.36","102.11","percent of total billed charges",,
"OT ELECTRICAL STIMULATION (UNATTENDED)","97014","HCPCS","Both",,,"77.5","38.75","Medicaid",,"GO",,"37",,"28.36","28.36","102.11","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Alliant","Health Exchange","GO",,"62",,"169.76","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"147.86","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Medicare",,"GO",,"54",,"148.41","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Humana","Medicare Advantage","GO",,"54",,"148.41","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","UHC","Medicare Advantage","GO",,"54",,"148.41","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Clover","Medicare Advantage","GO",,"54",,"148.41","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Wellcare","Medicare Advantage","GO",,"54",,"148.41","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Amerigroup","Medicaid Managed Care","GO",,"37",,"100.21","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Caresource","Medicaid Managed Care","GO",,"40",,"109.52","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Wellcare","Medicaid Managed Care","GO",,"40",,"110.89","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Aetna","Commercial","GO",,"64",,"174.69","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Blue Cross Blue Shield","Pathways","GO",,"71",,"193.31","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Blue Cross Blue Shield","HMO","GO",,"71",,"193.31","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Blue Cross Blue Shield","PPO","GO",,"71",,"193.31","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Ambetter","Health Exchange","GO",,"62",,"169.76","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Caresource","Health Exchange","GO",,"62",,"169.76","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Cigna","Commercial","GO",,"59",,"160.45","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Humana","Commercial","GO",,"78",,"212.2","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","UHC","Commercial","GO",,"75",,"206.45","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Medicaid",,"GO",,"37",,"100.21","100.21","212.2","percent of total billed charges",,
"OT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Alliant","Health Exchange","GO",,"62",,"30.07","17.75","37.59","percent of total billed charges",,
"OT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"26.19","17.75","37.59","percent of total billed charges",,
"OT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Medicare",,"GO",,"54",,"26.29","17.75","37.59","percent of total billed charges",,
"OT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Humana","Medicare Advantage","GO",,"54",,"26.29","17.75","37.59","percent of total billed charges",,
"OT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","UHC","Medicare Advantage","GO",,"54",,"26.29","17.75","37.59","percent of total billed charges",,
"OT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Clover","Medicare Advantage","GO",,"54",,"26.29","17.75","37.59","percent of total billed charges",,
"OT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Wellcare","Medicare Advantage","GO",,"54",,"26.29","17.75","37.59","percent of total billed charges",,
"OT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Amerigroup","Medicaid Managed Care","GO",,"37",,"17.75","17.75","37.59","percent of total billed charges",,
"OT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Caresource","Medicaid Managed Care","GO",,"40",,"19.4","17.75","37.59","percent of total billed charges",,
"OT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Wellcare","Medicaid Managed Care","GO",,"40",,"19.64","17.75","37.59","percent of total billed charges",,
"OT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Aetna","Commercial","GO",,"64",,"30.94","17.75","37.59","percent of total billed charges",,
"OT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Blue Cross Blue Shield","Pathways","GO",,"71",,"34.24","17.75","37.59","percent of total billed charges",,
"OT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Blue Cross Blue Shield","HMO","GO",,"71",,"34.24","17.75","37.59","percent of total billed charges",,
"OT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Blue Cross Blue Shield","PPO","GO",,"71",,"34.24","17.75","37.59","percent of total billed charges",,
"OT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Ambetter","Health Exchange","GO",,"62",,"30.07","17.75","37.59","percent of total billed charges",,
"OT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Caresource","Health Exchange","GO",,"62",,"30.07","17.75","37.59","percent of total billed charges",,
"OT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Cigna","Commercial","GO",,"59",,"28.42","17.75","37.59","percent of total billed charges",,
"OT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Humana","Commercial","GO",,"78",,"37.59","17.75","37.59","percent of total billed charges",,
"OT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","UHC","Commercial","GO",,"75",,"36.57","17.75","37.59","percent of total billed charges",,
"OT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Medicaid",,"GO",,"37",,"17.75","17.75","37.59","percent of total billed charges",,
"OT ELECTRICAL STIM EA 15 MIN ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Alliant","Health Exchange","GO",,"62",,"37.51","22.14","46.89","percent of total billed charges",,
"OT ELECTRICAL STIM EA 15 MIN ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"32.67","22.14","46.89","percent of total billed charges",,
"OT ELECTRICAL STIM EA 15 MIN ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Medicare",,"GO",,"54",,"32.79","22.14","46.89","percent of total billed charges",,
"OT ELECTRICAL STIM EA 15 MIN ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Humana","Medicare Advantage","GO",,"54",,"32.79","22.14","46.89","percent of total billed charges",,
"OT ELECTRICAL STIM EA 15 MIN ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","UHC","Medicare Advantage","GO",,"54",,"32.79","22.14","46.89","percent of total billed charges",,
"OT ELECTRICAL STIM EA 15 MIN ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Clover","Medicare Advantage","GO",,"54",,"32.79","22.14","46.89","percent of total billed charges",,
"OT ELECTRICAL STIM EA 15 MIN ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Wellcare","Medicare Advantage","GO",,"54",,"32.79","22.14","46.89","percent of total billed charges",,
"OT ELECTRICAL STIM EA 15 MIN ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Amerigroup","Medicaid Managed Care","GO",,"37",,"22.14","22.14","46.89","percent of total billed charges",,
"OT ELECTRICAL STIM EA 15 MIN ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Caresource","Medicaid Managed Care","GO",,"40",,"24.2","22.14","46.89","percent of total billed charges",,
"OT ELECTRICAL STIM EA 15 MIN ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Wellcare","Medicaid Managed Care","GO",,"40",,"24.5","22.14","46.89","percent of total billed charges",,
"OT ELECTRICAL STIM EA 15 MIN ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Aetna","Commercial","GO",,"64",,"38.6","22.14","46.89","percent of total billed charges",,
"OT ELECTRICAL STIM EA 15 MIN ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Blue Cross Blue Shield","Pathways","GO",,"71",,"42.71","22.14","46.89","percent of total billed charges",,
"OT ELECTRICAL STIM EA 15 MIN ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Blue Cross Blue Shield","HMO","GO",,"71",,"42.71","22.14","46.89","percent of total billed charges",,
"OT ELECTRICAL STIM EA 15 MIN ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Blue Cross Blue Shield","PPO","GO",,"71",,"42.71","22.14","46.89","percent of total billed charges",,
"OT ELECTRICAL STIM EA 15 MIN ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Ambetter","Health Exchange","GO",,"62",,"37.51","22.14","46.89","percent of total billed charges",,
"OT ELECTRICAL STIM EA 15 MIN ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Caresource","Health Exchange","GO",,"62",,"37.51","22.14","46.89","percent of total billed charges",,
"OT ELECTRICAL STIM EA 15 MIN ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Cigna","Commercial","GO",,"59",,"35.45","22.14","46.89","percent of total billed charges",,
"OT ELECTRICAL STIM EA 15 MIN ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Humana","Commercial","GO",,"78",,"46.89","22.14","46.89","percent of total billed charges",,
"OT ELECTRICAL STIM EA 15 MIN ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","UHC","Commercial","GO",,"75",,"45.62","22.14","46.89","percent of total billed charges",,
"OT ELECTRICAL STIM EA 15 MIN ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Medicaid",,"GO",,"37",,"22.14","22.14","46.89","percent of total billed charges",,
"OT CRYOTHERAPY (15MIN)","97010","HCPCS","Both",,,"37","18.5","Alliant","Health Exchange","GO",,"62",,"22.94","13.54","28.68","percent of total billed charges",,
"OT CRYOTHERAPY (15MIN)","97010","HCPCS","Both",,,"37","18.5","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"19.98","13.54","28.68","percent of total billed charges",,
"OT CRYOTHERAPY (15MIN)","97010","HCPCS","Both",,,"37","18.5","Medicare",,"GO",,"54",,"20.05","13.54","28.68","percent of total billed charges",,
"OT CRYOTHERAPY (15MIN)","97010","HCPCS","Both",,,"37","18.5","Humana","Medicare Advantage","GO",,"54",,"20.05","13.54","28.68","percent of total billed charges",,
"OT CRYOTHERAPY (15MIN)","97010","HCPCS","Both",,,"37","18.5","UHC","Medicare Advantage","GO",,"54",,"20.05","13.54","28.68","percent of total billed charges",,
"OT CRYOTHERAPY (15MIN)","97010","HCPCS","Both",,,"37","18.5","Clover","Medicare Advantage","GO",,"54",,"20.05","13.54","28.68","percent of total billed charges",,
"OT CRYOTHERAPY (15MIN)","97010","HCPCS","Both",,,"37","18.5","Wellcare","Medicare Advantage","GO",,"54",,"20.05","13.54","28.68","percent of total billed charges",,
"OT CRYOTHERAPY (15MIN)","97010","HCPCS","Both",,,"37","18.5","Amerigroup","Medicaid Managed Care","GO",,"37",,"13.54","13.54","28.68","percent of total billed charges",,
"OT CRYOTHERAPY (15MIN)","97010","HCPCS","Both",,,"37","18.5","Caresource","Medicaid Managed Care","GO",,"40",,"14.8","13.54","28.68","percent of total billed charges",,
"OT CRYOTHERAPY (15MIN)","97010","HCPCS","Both",,,"37","18.5","Wellcare","Medicaid Managed Care","GO",,"40",,"14.99","13.54","28.68","percent of total billed charges",,
"OT CRYOTHERAPY (15MIN)","97010","HCPCS","Both",,,"37","18.5","Aetna","Commercial","GO",,"64",,"23.61","13.54","28.68","percent of total billed charges",,
"OT CRYOTHERAPY (15MIN)","97010","HCPCS","Both",,,"37","18.5","Blue Cross Blue Shield","Pathways","GO",,"71",,"26.12","13.54","28.68","percent of total billed charges",,
"OT CRYOTHERAPY (15MIN)","97010","HCPCS","Both",,,"37","18.5","Blue Cross Blue Shield","HMO","GO",,"71",,"26.12","13.54","28.68","percent of total billed charges",,
"OT CRYOTHERAPY (15MIN)","97010","HCPCS","Both",,,"37","18.5","Blue Cross Blue Shield","PPO","GO",,"71",,"26.12","13.54","28.68","percent of total billed charges",,
"OT CRYOTHERAPY (15MIN)","97010","HCPCS","Both",,,"37","18.5","Ambetter","Health Exchange","GO",,"62",,"22.94","13.54","28.68","percent of total billed charges",,
"OT CRYOTHERAPY (15MIN)","97010","HCPCS","Both",,,"37","18.5","Caresource","Health Exchange","GO",,"62",,"22.94","13.54","28.68","percent of total billed charges",,
"OT CRYOTHERAPY (15MIN)","97010","HCPCS","Both",,,"37","18.5","Cigna","Commercial","GO",,"59",,"21.68","13.54","28.68","percent of total billed charges",,
"OT CRYOTHERAPY (15MIN)","97010","HCPCS","Both",,,"37","18.5","Humana","Commercial","GO",,"78",,"28.68","13.54","28.68","percent of total billed charges",,
"OT CRYOTHERAPY (15MIN)","97010","HCPCS","Both",,,"37","18.5","UHC","Commercial","GO",,"75",,"27.9","13.54","28.68","percent of total billed charges",,
"OT CRYOTHERAPY (15MIN)","97010","HCPCS","Both",,,"37","18.5","Medicaid",,"GO",,"37",,"13.54","13.54","28.68","percent of total billed charges",,
"OT APPLICATION OF HOT/COLD PACK","97010","HCPCS","Both",,,"37","18.5","Alliant","Health Exchange","GO",,"62",,"22.94","13.54","28.68","percent of total billed charges",,
"OT APPLICATION OF HOT/COLD PACK","97010","HCPCS","Both",,,"37","18.5","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"19.98","13.54","28.68","percent of total billed charges",,
"OT APPLICATION OF HOT/COLD PACK","97010","HCPCS","Both",,,"37","18.5","Medicare",,"GO",,"54",,"20.05","13.54","28.68","percent of total billed charges",,
"OT APPLICATION OF HOT/COLD PACK","97010","HCPCS","Both",,,"37","18.5","Humana","Medicare Advantage","GO",,"54",,"20.05","13.54","28.68","percent of total billed charges",,
"OT APPLICATION OF HOT/COLD PACK","97010","HCPCS","Both",,,"37","18.5","UHC","Medicare Advantage","GO",,"54",,"20.05","13.54","28.68","percent of total billed charges",,
"OT APPLICATION OF HOT/COLD PACK","97010","HCPCS","Both",,,"37","18.5","Clover","Medicare Advantage","GO",,"54",,"20.05","13.54","28.68","percent of total billed charges",,
"OT APPLICATION OF HOT/COLD PACK","97010","HCPCS","Both",,,"37","18.5","Wellcare","Medicare Advantage","GO",,"54",,"20.05","13.54","28.68","percent of total billed charges",,
"OT APPLICATION OF HOT/COLD PACK","97010","HCPCS","Both",,,"37","18.5","Amerigroup","Medicaid Managed Care","GO",,"37",,"13.54","13.54","28.68","percent of total billed charges",,
"OT APPLICATION OF HOT/COLD PACK","97010","HCPCS","Both",,,"37","18.5","Caresource","Medicaid Managed Care","GO",,"40",,"14.8","13.54","28.68","percent of total billed charges",,
"OT APPLICATION OF HOT/COLD PACK","97010","HCPCS","Both",,,"37","18.5","Wellcare","Medicaid Managed Care","GO",,"40",,"14.99","13.54","28.68","percent of total billed charges",,
"OT APPLICATION OF HOT/COLD PACK","97010","HCPCS","Both",,,"37","18.5","Aetna","Commercial","GO",,"64",,"23.61","13.54","28.68","percent of total billed charges",,
"OT APPLICATION OF HOT/COLD PACK","97010","HCPCS","Both",,,"37","18.5","Blue Cross Blue Shield","Pathways","GO",,"71",,"26.12","13.54","28.68","percent of total billed charges",,
"OT APPLICATION OF HOT/COLD PACK","97010","HCPCS","Both",,,"37","18.5","Blue Cross Blue Shield","HMO","GO",,"71",,"26.12","13.54","28.68","percent of total billed charges",,
"OT APPLICATION OF HOT/COLD PACK","97010","HCPCS","Both",,,"37","18.5","Blue Cross Blue Shield","PPO","GO",,"71",,"26.12","13.54","28.68","percent of total billed charges",,
"OT APPLICATION OF HOT/COLD PACK","97010","HCPCS","Both",,,"37","18.5","Ambetter","Health Exchange","GO",,"62",,"22.94","13.54","28.68","percent of total billed charges",,
"OT APPLICATION OF HOT/COLD PACK","97010","HCPCS","Both",,,"37","18.5","Caresource","Health Exchange","GO",,"62",,"22.94","13.54","28.68","percent of total billed charges",,
"OT APPLICATION OF HOT/COLD PACK","97010","HCPCS","Both",,,"37","18.5","Cigna","Commercial","GO",,"59",,"21.68","13.54","28.68","percent of total billed charges",,
"OT APPLICATION OF HOT/COLD PACK","97010","HCPCS","Both",,,"37","18.5","Humana","Commercial","GO",,"78",,"28.68","13.54","28.68","percent of total billed charges",,
"OT APPLICATION OF HOT/COLD PACK","97010","HCPCS","Both",,,"37","18.5","UHC","Commercial","GO",,"75",,"27.9","13.54","28.68","percent of total billed charges",,
"OT APPLICATION OF HOT/COLD PACK","97010","HCPCS","Both",,,"37","18.5","Medicaid",,"GO",,"37",,"13.54","13.54","28.68","percent of total billed charges",,
"OT ULTRASOUND/PHONOPHERESIS  EA 15 MIN","97035","HCPCS","Both",,,"105.5","52.75","Alliant","Health Exchange","GO",,"62",,"65.41","38.61","81.76","percent of total billed charges",,
"OT ULTRASOUND/PHONOPHERESIS  EA 15 MIN","97035","HCPCS","Both",,,"105.5","52.75","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"56.97","38.61","81.76","percent of total billed charges",,
"OT ULTRASOUND/PHONOPHERESIS  EA 15 MIN","97035","HCPCS","Both",,,"105.5","52.75","Medicare",,"GO",,"54",,"57.18","38.61","81.76","percent of total billed charges",,
"OT ULTRASOUND/PHONOPHERESIS  EA 15 MIN","97035","HCPCS","Both",,,"105.5","52.75","Humana","Medicare Advantage","GO",,"54",,"57.18","38.61","81.76","percent of total billed charges",,
"OT ULTRASOUND/PHONOPHERESIS  EA 15 MIN","97035","HCPCS","Both",,,"105.5","52.75","UHC","Medicare Advantage","GO",,"54",,"57.18","38.61","81.76","percent of total billed charges",,
"OT ULTRASOUND/PHONOPHERESIS  EA 15 MIN","97035","HCPCS","Both",,,"105.5","52.75","Clover","Medicare Advantage","GO",,"54",,"57.18","38.61","81.76","percent of total billed charges",,
"OT ULTRASOUND/PHONOPHERESIS  EA 15 MIN","97035","HCPCS","Both",,,"105.5","52.75","Wellcare","Medicare Advantage","GO",,"54",,"57.18","38.61","81.76","percent of total billed charges",,
"OT ULTRASOUND/PHONOPHERESIS  EA 15 MIN","97035","HCPCS","Both",,,"105.5","52.75","Amerigroup","Medicaid Managed Care","GO",,"37",,"38.61","38.61","81.76","percent of total billed charges",,
"OT ULTRASOUND/PHONOPHERESIS  EA 15 MIN","97035","HCPCS","Both",,,"105.5","52.75","Caresource","Medicaid Managed Care","GO",,"40",,"42.2","38.61","81.76","percent of total billed charges",,
"OT ULTRASOUND/PHONOPHERESIS  EA 15 MIN","97035","HCPCS","Both",,,"105.5","52.75","Wellcare","Medicaid Managed Care","GO",,"40",,"42.73","38.61","81.76","percent of total billed charges",,
"OT ULTRASOUND/PHONOPHERESIS  EA 15 MIN","97035","HCPCS","Both",,,"105.5","52.75","Aetna","Commercial","GO",,"64",,"67.31","38.61","81.76","percent of total billed charges",,
"OT ULTRASOUND/PHONOPHERESIS  EA 15 MIN","97035","HCPCS","Both",,,"105.5","52.75","Blue Cross Blue Shield","Pathways","GO",,"71",,"74.48","38.61","81.76","percent of total billed charges",,
"OT ULTRASOUND/PHONOPHERESIS  EA 15 MIN","97035","HCPCS","Both",,,"105.5","52.75","Blue Cross Blue Shield","HMO","GO",,"71",,"74.48","38.61","81.76","percent of total billed charges",,
"OT ULTRASOUND/PHONOPHERESIS  EA 15 MIN","97035","HCPCS","Both",,,"105.5","52.75","Blue Cross Blue Shield","PPO","GO",,"71",,"74.48","38.61","81.76","percent of total billed charges",,
"OT ULTRASOUND/PHONOPHERESIS  EA 15 MIN","97035","HCPCS","Both",,,"105.5","52.75","Ambetter","Health Exchange","GO",,"62",,"65.41","38.61","81.76","percent of total billed charges",,
"OT ULTRASOUND/PHONOPHERESIS  EA 15 MIN","97035","HCPCS","Both",,,"105.5","52.75","Caresource","Health Exchange","GO",,"62",,"65.41","38.61","81.76","percent of total billed charges",,
"OT ULTRASOUND/PHONOPHERESIS  EA 15 MIN","97035","HCPCS","Both",,,"105.5","52.75","Cigna","Commercial","GO",,"59",,"61.82","38.61","81.76","percent of total billed charges",,
"OT ULTRASOUND/PHONOPHERESIS  EA 15 MIN","97035","HCPCS","Both",,,"105.5","52.75","Humana","Commercial","GO",,"78",,"81.76","38.61","81.76","percent of total billed charges",,
"OT ULTRASOUND/PHONOPHERESIS  EA 15 MIN","97035","HCPCS","Both",,,"105.5","52.75","UHC","Commercial","GO",,"75",,"79.55","38.61","81.76","percent of total billed charges",,
"OT ULTRASOUND/PHONOPHERESIS  EA 15 MIN","97035","HCPCS","Both",,,"105.5","52.75","Medicaid",,"GO",,"37",,"38.61","38.61","81.76","percent of total billed charges",,
"OT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Alliant","Health Exchange","GO",,"62",,"14.57","8.6","18.21","percent of total billed charges",,
"OT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"12.69","8.6","18.21","percent of total billed charges",,
"OT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Medicare",,"GO",,"54",,"12.74","8.6","18.21","percent of total billed charges",,
"OT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Humana","Medicare Advantage","GO",,"54",,"12.74","8.6","18.21","percent of total billed charges",,
"OT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","UHC","Medicare Advantage","GO",,"54",,"12.74","8.6","18.21","percent of total billed charges",,
"OT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Clover","Medicare Advantage","GO",,"54",,"12.74","8.6","18.21","percent of total billed charges",,
"OT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Wellcare","Medicare Advantage","GO",,"54",,"12.74","8.6","18.21","percent of total billed charges",,
"OT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Amerigroup","Medicaid Managed Care","GO",,"37",,"8.6","8.6","18.21","percent of total billed charges",,
"OT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Caresource","Medicaid Managed Care","GO",,"40",,"9.4","8.6","18.21","percent of total billed charges",,
"OT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Wellcare","Medicaid Managed Care","GO",,"40",,"9.52","8.6","18.21","percent of total billed charges",,
"OT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Aetna","Commercial","GO",,"64",,"14.99","8.6","18.21","percent of total billed charges",,
"OT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Blue Cross Blue Shield","Pathways","GO",,"71",,"16.59","8.6","18.21","percent of total billed charges",,
"OT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Blue Cross Blue Shield","HMO","GO",,"71",,"16.59","8.6","18.21","percent of total billed charges",,
"OT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Blue Cross Blue Shield","PPO","GO",,"71",,"16.59","8.6","18.21","percent of total billed charges",,
"OT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Ambetter","Health Exchange","GO",,"62",,"14.57","8.6","18.21","percent of total billed charges",,
"OT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Caresource","Health Exchange","GO",,"62",,"14.57","8.6","18.21","percent of total billed charges",,
"OT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Cigna","Commercial","GO",,"59",,"13.77","8.6","18.21","percent of total billed charges",,
"OT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Humana","Commercial","GO",,"78",,"18.21","8.6","18.21","percent of total billed charges",,
"OT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","UHC","Commercial","GO",,"75",,"17.72","8.6","18.21","percent of total billed charges",,
"OT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Medicaid",,"GO",,"37",,"8.6","8.6","18.21","percent of total billed charges",,
"OT WHIRLPOOL","97022","HCPCS","Both",,,"168.5","84.25","Alliant","Health Exchange","GO",,"62",,"104.47","61.67","130.59","percent of total billed charges",,
"OT WHIRLPOOL","97022","HCPCS","Both",,,"168.5","84.25","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"90.99","61.67","130.59","percent of total billed charges",,
"OT WHIRLPOOL","97022","HCPCS","Both",,,"168.5","84.25","Medicare",,"GO",,"54",,"91.33","61.67","130.59","percent of total billed charges",,
"OT WHIRLPOOL","97022","HCPCS","Both",,,"168.5","84.25","Humana","Medicare Advantage","GO",,"54",,"91.33","61.67","130.59","percent of total billed charges",,
"OT WHIRLPOOL","97022","HCPCS","Both",,,"168.5","84.25","UHC","Medicare Advantage","GO",,"54",,"91.33","61.67","130.59","percent of total billed charges",,
"OT WHIRLPOOL","97022","HCPCS","Both",,,"168.5","84.25","Clover","Medicare Advantage","GO",,"54",,"91.33","61.67","130.59","percent of total billed charges",,
"OT WHIRLPOOL","97022","HCPCS","Both",,,"168.5","84.25","Wellcare","Medicare Advantage","GO",,"54",,"91.33","61.67","130.59","percent of total billed charges",,
"OT WHIRLPOOL","97022","HCPCS","Both",,,"168.5","84.25","Amerigroup","Medicaid Managed Care","GO",,"37",,"61.67","61.67","130.59","percent of total billed charges",,
"OT WHIRLPOOL","97022","HCPCS","Both",,,"168.5","84.25","Caresource","Medicaid Managed Care","GO",,"40",,"67.4","61.67","130.59","percent of total billed charges",,
"OT WHIRLPOOL","97022","HCPCS","Both",,,"168.5","84.25","Wellcare","Medicaid Managed Care","GO",,"40",,"68.24","61.67","130.59","percent of total billed charges",,
"OT WHIRLPOOL","97022","HCPCS","Both",,,"168.5","84.25","Aetna","Commercial","GO",,"64",,"107.5","61.67","130.59","percent of total billed charges",,
"OT WHIRLPOOL","97022","HCPCS","Both",,,"168.5","84.25","Blue Cross Blue Shield","Pathways","GO",,"71",,"118.96","61.67","130.59","percent of total billed charges",,
"OT WHIRLPOOL","97022","HCPCS","Both",,,"168.5","84.25","Blue Cross Blue Shield","HMO","GO",,"71",,"118.96","61.67","130.59","percent of total billed charges",,
"OT WHIRLPOOL","97022","HCPCS","Both",,,"168.5","84.25","Blue Cross Blue Shield","PPO","GO",,"71",,"118.96","61.67","130.59","percent of total billed charges",,
"OT WHIRLPOOL","97022","HCPCS","Both",,,"168.5","84.25","Ambetter","Health Exchange","GO",,"62",,"104.47","61.67","130.59","percent of total billed charges",,
"OT WHIRLPOOL","97022","HCPCS","Both",,,"168.5","84.25","Caresource","Health Exchange","GO",,"62",,"104.47","61.67","130.59","percent of total billed charges",,
"OT WHIRLPOOL","97022","HCPCS","Both",,,"168.5","84.25","Cigna","Commercial","GO",,"59",,"98.74","61.67","130.59","percent of total billed charges",,
"OT WHIRLPOOL","97022","HCPCS","Both",,,"168.5","84.25","Humana","Commercial","GO",,"78",,"130.59","61.67","130.59","percent of total billed charges",,
"OT WHIRLPOOL","97022","HCPCS","Both",,,"168.5","84.25","UHC","Commercial","GO",,"75",,"127.05","61.67","130.59","percent of total billed charges",,
"OT WHIRLPOOL","97022","HCPCS","Both",,,"168.5","84.25","Medicaid",,"GO",,"37",,"61.67","61.67","130.59","percent of total billed charges",,
"OT NEUROMUSCULAR REED EA 15MIN","97112","HCPCS","Both",,,"277.1","138.55","Alliant","Health Exchange","GO",,"62",,"171.8","59.66","214.75","percent of total billed charges",,
"OT NEUROMUSCULAR REED EA 15MIN","97112","HCPCS","Both",,,"277.1","138.55","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"149.63","59.66","214.75","percent of total billed charges",,
"OT NEUROMUSCULAR REED EA 15MIN","97112","HCPCS","Both",,,"277.1","138.55","Medicare",,"GO",,"54",,"150.19","59.66","214.75","percent of total billed charges",,
"OT NEUROMUSCULAR REED EA 15MIN","97112","HCPCS","Both",,,"277.1","138.55","Humana","Medicare Advantage","GO",,"54",,"150.19","59.66","214.75","percent of total billed charges",,
"OT NEUROMUSCULAR REED EA 15MIN","97112","HCPCS","Both",,,"277.1","138.55","UHC","Medicare Advantage","GO",,"54",,"150.19","59.66","214.75","percent of total billed charges",,
"OT NEUROMUSCULAR REED EA 15MIN","97112","HCPCS","Both",,,"277.1","138.55","Clover","Medicare Advantage","GO",,"54",,"150.19","59.66","214.75","percent of total billed charges",,
"OT NEUROMUSCULAR REED EA 15MIN","97112","HCPCS","Both",,,"277.1","138.55","Wellcare","Medicare Advantage","GO",,"54",,"150.19","59.66","214.75","percent of total billed charges",,
"OT NEUROMUSCULAR REED EA 15MIN","97112","HCPCS","Both",,,"277.1","138.55","Amerigroup","Medicaid Managed Care","GO",,"37",,"101.42","59.66","214.75","percent of total billed charges",,
"OT NEUROMUSCULAR REED EA 15MIN","97112","HCPCS","Both",,,"277.1","138.55","Caresource","Medicaid Managed Care","GO",,"40",,"110.84","59.66","214.75","percent of total billed charges",,
"OT NEUROMUSCULAR REED EA 15MIN","97112","HCPCS","Both",,,"277.1","138.55","Wellcare","Medicaid Managed Care","GO",,"40",,"112.23","59.66","214.75","percent of total billed charges",,
"OT NEUROMUSCULAR REED EA 15MIN","97112","HCPCS","Both",,,"277.1","138.55","Aetna","Commercial","GO",,"64",,"176.79","59.66","214.75","percent of total billed charges",,
"OT NEUROMUSCULAR REED EA 15MIN","97112","HCPCS","Both",,,"277.1","138.55","Blue Cross Blue Shield","Pathways","GO",,"71",,"195.63","59.66","214.75","percent of total billed charges",,
"OT NEUROMUSCULAR REED EA 15MIN","97112","HCPCS","Both",,,"277.1","138.55","Blue Cross Blue Shield","HMO","GO",,"71",,"195.63","59.66","214.75","percent of total billed charges",,
"OT NEUROMUSCULAR REED EA 15MIN","97112","HCPCS","Both",,,"277.1","138.55","Blue Cross Blue Shield","PPO","GO",,"71",,"195.63","59.66","214.75","percent of total billed charges",,
"OT NEUROMUSCULAR REED EA 15MIN","97112","HCPCS","Both",,,"277.1","138.55","Ambetter","Health Exchange","GO",,"62",,"171.8","59.66","214.75","percent of total billed charges",,
"OT NEUROMUSCULAR REED EA 15MIN","97112","HCPCS","Both",,,"277.1","138.55","Caresource","Health Exchange","GO",,"62",,"171.8","59.66","214.75","percent of total billed charges",,
"OT NEUROMUSCULAR REED EA 15MIN","97112","HCPCS","Both",,,"277.1","138.55","Cigna","Commercial","GO",,"59",,"162.38","59.66","214.75","percent of total billed charges",,
"OT NEUROMUSCULAR REED EA 15MIN","97112","HCPCS","Both",,,"277.1","138.55","Humana","Commercial","GO",,"78",,"214.75","59.66","214.75","percent of total billed charges",,
"OT NEUROMUSCULAR REED EA 15MIN","97112","HCPCS","Both",,,"277.1","138.55","UHC","Commercial","GO",,"75",,"208.93","59.66","214.75","percent of total billed charges",,
"OT NEUROMUSCULAR REED EA 15MIN","97112","HCPCS","Both",,,"277.1","138.55","Medicaid",,"GO",,"37",,"101.42","59.66","214.75","percent of total billed charges",,
"OT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Alliant","Health Exchange","GO",,"62",,"11.47","6.77","14.34","percent of total billed charges",,
"OT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"9.99","6.77","14.34","percent of total billed charges",,
"OT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Medicare",,"GO",,"54",,"10.03","6.77","14.34","percent of total billed charges",,
"OT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Humana","Medicare Advantage","GO",,"54",,"10.03","6.77","14.34","percent of total billed charges",,
"OT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","UHC","Medicare Advantage","GO",,"54",,"10.03","6.77","14.34","percent of total billed charges",,
"OT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Clover","Medicare Advantage","GO",,"54",,"10.03","6.77","14.34","percent of total billed charges",,
"OT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Wellcare","Medicare Advantage","GO",,"54",,"10.03","6.77","14.34","percent of total billed charges",,
"OT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Amerigroup","Medicaid Managed Care","GO",,"37",,"6.77","6.77","14.34","percent of total billed charges",,
"OT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Caresource","Medicaid Managed Care","GO",,"40",,"7.4","6.77","14.34","percent of total billed charges",,
"OT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Wellcare","Medicaid Managed Care","GO",,"40",,"7.49","6.77","14.34","percent of total billed charges",,
"OT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Aetna","Commercial","GO",,"64",,"11.8","6.77","14.34","percent of total billed charges",,
"OT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Blue Cross Blue Shield","Pathways","GO",,"71",,"13.06","6.77","14.34","percent of total billed charges",,
"OT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Blue Cross Blue Shield","HMO","GO",,"71",,"13.06","6.77","14.34","percent of total billed charges",,
"OT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Blue Cross Blue Shield","PPO","GO",,"71",,"13.06","6.77","14.34","percent of total billed charges",,
"OT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Ambetter","Health Exchange","GO",,"62",,"11.47","6.77","14.34","percent of total billed charges",,
"OT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Caresource","Health Exchange","GO",,"62",,"11.47","6.77","14.34","percent of total billed charges",,
"OT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Cigna","Commercial","GO",,"59",,"10.84","6.77","14.34","percent of total billed charges",,
"OT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Humana","Commercial","GO",,"78",,"14.34","6.77","14.34","percent of total billed charges",,
"OT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","UHC","Commercial","GO",,"75",,"13.95","6.77","14.34","percent of total billed charges",,
"OT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Medicaid",,"GO",,"37",,"6.77","6.77","14.34","percent of total billed charges",,
"OT APPLICATION OF FINGER SPLINT STATIC","29130","HCPCS","Both",,,"51.5","25.75","Alliant","Health Exchange","GO",,"62",,"31.93","18.85","39.91","percent of total billed charges",,
"OT APPLICATION OF FINGER SPLINT STATIC","29130","HCPCS","Both",,,"51.5","25.75","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"27.81","18.85","39.91","percent of total billed charges",,
"OT APPLICATION OF FINGER SPLINT STATIC","29130","HCPCS","Both",,,"51.5","25.75","Medicare",,"GO",,"54",,"27.91","18.85","39.91","percent of total billed charges",,
"OT APPLICATION OF FINGER SPLINT STATIC","29130","HCPCS","Both",,,"51.5","25.75","Humana","Medicare Advantage","GO",,"54",,"27.91","18.85","39.91","percent of total billed charges",,
"OT APPLICATION OF FINGER SPLINT STATIC","29130","HCPCS","Both",,,"51.5","25.75","UHC","Medicare Advantage","GO",,"54",,"27.91","18.85","39.91","percent of total billed charges",,
"OT APPLICATION OF FINGER SPLINT STATIC","29130","HCPCS","Both",,,"51.5","25.75","Clover","Medicare Advantage","GO",,"54",,"27.91","18.85","39.91","percent of total billed charges",,
"OT APPLICATION OF FINGER SPLINT STATIC","29130","HCPCS","Both",,,"51.5","25.75","Wellcare","Medicare Advantage","GO",,"54",,"27.91","18.85","39.91","percent of total billed charges",,
"OT APPLICATION OF FINGER SPLINT STATIC","29130","HCPCS","Both",,,"51.5","25.75","Amerigroup","Medicaid Managed Care","GO",,"37",,"18.85","18.85","39.91","percent of total billed charges",,
"OT APPLICATION OF FINGER SPLINT STATIC","29130","HCPCS","Both",,,"51.5","25.75","Caresource","Medicaid Managed Care","GO",,"40",,"20.6","18.85","39.91","percent of total billed charges",,
"OT APPLICATION OF FINGER SPLINT STATIC","29130","HCPCS","Both",,,"51.5","25.75","Wellcare","Medicaid Managed Care","GO",,"40",,"20.86","18.85","39.91","percent of total billed charges",,
"OT APPLICATION OF FINGER SPLINT STATIC","29130","HCPCS","Both",,,"51.5","25.75","Aetna","Commercial","GO",,"64",,"32.86","18.85","39.91","percent of total billed charges",,
"OT APPLICATION OF FINGER SPLINT STATIC","29130","HCPCS","Both",,,"51.5","25.75","Blue Cross Blue Shield","Pathways","GO",,"71",,"36.36","18.85","39.91","percent of total billed charges",,
"OT APPLICATION OF FINGER SPLINT STATIC","29130","HCPCS","Both",,,"51.5","25.75","Blue Cross Blue Shield","HMO","GO",,"71",,"36.36","18.85","39.91","percent of total billed charges",,
"OT APPLICATION OF FINGER SPLINT STATIC","29130","HCPCS","Both",,,"51.5","25.75","Blue Cross Blue Shield","PPO","GO",,"71",,"36.36","18.85","39.91","percent of total billed charges",,
"OT APPLICATION OF FINGER SPLINT STATIC","29130","HCPCS","Both",,,"51.5","25.75","Ambetter","Health Exchange","GO",,"62",,"31.93","18.85","39.91","percent of total billed charges",,
"OT APPLICATION OF FINGER SPLINT STATIC","29130","HCPCS","Both",,,"51.5","25.75","Caresource","Health Exchange","GO",,"62",,"31.93","18.85","39.91","percent of total billed charges",,
"OT APPLICATION OF FINGER SPLINT STATIC","29130","HCPCS","Both",,,"51.5","25.75","Cigna","Commercial","GO",,"59",,"30.18","18.85","39.91","percent of total billed charges",,
"OT APPLICATION OF FINGER SPLINT STATIC","29130","HCPCS","Both",,,"51.5","25.75","Humana","Commercial","GO",,"78",,"39.91","18.85","39.91","percent of total billed charges",,
"OT APPLICATION OF FINGER SPLINT STATIC","29130","HCPCS","Both",,,"51.5","25.75","UHC","Commercial","GO",,"75",,"38.83","18.85","39.91","percent of total billed charges",,
"OT APPLICATION OF FINGER SPLINT STATIC","29130","HCPCS","Both",,,"51.5","25.75","Medicaid",,"GO",,"37",,"18.85","18.85","39.91","percent of total billed charges",,
"OT CONTRAST BATH EA 15 MIN","97034","HCPCS","Both",,,"50","25","Alliant","Health Exchange","GO",,"62",,"31","18.3","38.75","percent of total billed charges",,
"OT CONTRAST BATH EA 15 MIN","97034","HCPCS","Both",,,"50","25","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"27","18.3","38.75","percent of total billed charges",,
"OT CONTRAST BATH EA 15 MIN","97034","HCPCS","Both",,,"50","25","Medicare",,"GO",,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"OT CONTRAST BATH EA 15 MIN","97034","HCPCS","Both",,,"50","25","Humana","Medicare Advantage","GO",,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"OT CONTRAST BATH EA 15 MIN","97034","HCPCS","Both",,,"50","25","UHC","Medicare Advantage","GO",,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"OT CONTRAST BATH EA 15 MIN","97034","HCPCS","Both",,,"50","25","Clover","Medicare Advantage","GO",,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"OT CONTRAST BATH EA 15 MIN","97034","HCPCS","Both",,,"50","25","Wellcare","Medicare Advantage","GO",,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"OT CONTRAST BATH EA 15 MIN","97034","HCPCS","Both",,,"50","25","Amerigroup","Medicaid Managed Care","GO",,"37",,"18.3","18.3","38.75","percent of total billed charges",,
"OT CONTRAST BATH EA 15 MIN","97034","HCPCS","Both",,,"50","25","Caresource","Medicaid Managed Care","GO",,"40",,"20","18.3","38.75","percent of total billed charges",,
"OT CONTRAST BATH EA 15 MIN","97034","HCPCS","Both",,,"50","25","Wellcare","Medicaid Managed Care","GO",,"40",,"20.25","18.3","38.75","percent of total billed charges",,
"OT CONTRAST BATH EA 15 MIN","97034","HCPCS","Both",,,"50","25","Aetna","Commercial","GO",,"64",,"31.9","18.3","38.75","percent of total billed charges",,
"OT CONTRAST BATH EA 15 MIN","97034","HCPCS","Both",,,"50","25","Blue Cross Blue Shield","Pathways","GO",,"71",,"35.3","18.3","38.75","percent of total billed charges",,
"OT CONTRAST BATH EA 15 MIN","97034","HCPCS","Both",,,"50","25","Blue Cross Blue Shield","HMO","GO",,"71",,"35.3","18.3","38.75","percent of total billed charges",,
"OT CONTRAST BATH EA 15 MIN","97034","HCPCS","Both",,,"50","25","Blue Cross Blue Shield","PPO","GO",,"71",,"35.3","18.3","38.75","percent of total billed charges",,
"OT CONTRAST BATH EA 15 MIN","97034","HCPCS","Both",,,"50","25","Ambetter","Health Exchange","GO",,"62",,"31","18.3","38.75","percent of total billed charges",,
"OT CONTRAST BATH EA 15 MIN","97034","HCPCS","Both",,,"50","25","Caresource","Health Exchange","GO",,"62",,"31","18.3","38.75","percent of total billed charges",,
"OT CONTRAST BATH EA 15 MIN","97034","HCPCS","Both",,,"50","25","Cigna","Commercial","GO",,"59",,"29.3","18.3","38.75","percent of total billed charges",,
"OT CONTRAST BATH EA 15 MIN","97034","HCPCS","Both",,,"50","25","Humana","Commercial","GO",,"78",,"38.75","18.3","38.75","percent of total billed charges",,
"OT CONTRAST BATH EA 15 MIN","97034","HCPCS","Both",,,"50","25","UHC","Commercial","GO",,"75",,"37.7","18.3","38.75","percent of total billed charges",,
"OT CONTRAST BATH EA 15 MIN","97034","HCPCS","Both",,,"50","25","Medicaid",,"GO",,"37",,"18.3","18.3","38.75","percent of total billed charges",,
"OT ROM EXT/TRUNK","95851","HCPCS","Both",,,"10","5","Alliant","Health Exchange","GO",,"62",,"6.2","3.66","7.75","percent of total billed charges",,
"OT ROM EXT/TRUNK","95851","HCPCS","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"5.4","3.66","7.75","percent of total billed charges",,
"OT ROM EXT/TRUNK","95851","HCPCS","Both",,,"10","5","Medicare",,"GO",,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"OT ROM EXT/TRUNK","95851","HCPCS","Both",,,"10","5","Humana","Medicare Advantage","GO",,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"OT ROM EXT/TRUNK","95851","HCPCS","Both",,,"10","5","UHC","Medicare Advantage","GO",,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"OT ROM EXT/TRUNK","95851","HCPCS","Both",,,"10","5","Clover","Medicare Advantage","GO",,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"OT ROM EXT/TRUNK","95851","HCPCS","Both",,,"10","5","Wellcare","Medicare Advantage","GO",,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"OT ROM EXT/TRUNK","95851","HCPCS","Both",,,"10","5","Amerigroup","Medicaid Managed Care","GO",,"37",,"3.66","3.66","7.75","percent of total billed charges",,
"OT ROM EXT/TRUNK","95851","HCPCS","Both",,,"10","5","Caresource","Medicaid Managed Care","GO",,"40",,"4","3.66","7.75","percent of total billed charges",,
"OT ROM EXT/TRUNK","95851","HCPCS","Both",,,"10","5","Wellcare","Medicaid Managed Care","GO",,"40",,"4.05","3.66","7.75","percent of total billed charges",,
"OT ROM EXT/TRUNK","95851","HCPCS","Both",,,"10","5","Aetna","Commercial","GO",,"64",,"6.38","3.66","7.75","percent of total billed charges",,
"OT ROM EXT/TRUNK","95851","HCPCS","Both",,,"10","5","Blue Cross Blue Shield","Pathways","GO",,"71",,"7.06","3.66","7.75","percent of total billed charges",,
"OT ROM EXT/TRUNK","95851","HCPCS","Both",,,"10","5","Blue Cross Blue Shield","HMO","GO",,"71",,"7.06","3.66","7.75","percent of total billed charges",,
"OT ROM EXT/TRUNK","95851","HCPCS","Both",,,"10","5","Blue Cross Blue Shield","PPO","GO",,"71",,"7.06","3.66","7.75","percent of total billed charges",,
"OT ROM EXT/TRUNK","95851","HCPCS","Both",,,"10","5","Ambetter","Health Exchange","GO",,"62",,"6.2","3.66","7.75","percent of total billed charges",,
"OT ROM EXT/TRUNK","95851","HCPCS","Both",,,"10","5","Caresource","Health Exchange","GO",,"62",,"6.2","3.66","7.75","percent of total billed charges",,
"OT ROM EXT/TRUNK","95851","HCPCS","Both",,,"10","5","Cigna","Commercial","GO",,"59",,"5.86","3.66","7.75","percent of total billed charges",,
"OT ROM EXT/TRUNK","95851","HCPCS","Both",,,"10","5","Humana","Commercial","GO",,"78",,"7.75","3.66","7.75","percent of total billed charges",,
"OT ROM EXT/TRUNK","95851","HCPCS","Both",,,"10","5","UHC","Commercial","GO",,"75",,"7.54","3.66","7.75","percent of total billed charges",,
"OT ROM EXT/TRUNK","95851","HCPCS","Both",,,"10","5","Medicaid",,"GO",,"37",,"3.66","3.66","7.75","percent of total billed charges",,
"OT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Alliant","Health Exchange","GO",,"62",,"62.62","36.97","78.28","percent of total billed charges",,
"OT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"54.54","36.97","78.28","percent of total billed charges",,
"OT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Medicare",,"GO",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"OT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Humana","Medicare Advantage","GO",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"OT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","UHC","Medicare Advantage","GO",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"OT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Clover","Medicare Advantage","GO",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"OT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Wellcare","Medicare Advantage","GO",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"OT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Amerigroup","Medicaid Managed Care","GO",,"37",,"36.97","36.97","78.28","percent of total billed charges",,
"OT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Caresource","Medicaid Managed Care","GO",,"40",,"40.4","36.97","78.28","percent of total billed charges",,
"OT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Wellcare","Medicaid Managed Care","GO",,"40",,"40.9","36.97","78.28","percent of total billed charges",,
"OT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Aetna","Commercial","GO",,"64",,"64.44","36.97","78.28","percent of total billed charges",,
"OT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","Pathways","GO",,"71",,"71.31","36.97","78.28","percent of total billed charges",,
"OT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","HMO","GO",,"71",,"71.31","36.97","78.28","percent of total billed charges",,
"OT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","PPO","GO",,"71",,"71.31","36.97","78.28","percent of total billed charges",,
"OT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Ambetter","Health Exchange","GO",,"62",,"62.62","36.97","78.28","percent of total billed charges",,
"OT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Caresource","Health Exchange","GO",,"62",,"62.62","36.97","78.28","percent of total billed charges",,
"OT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Cigna","Commercial","GO",,"59",,"59.19","36.97","78.28","percent of total billed charges",,
"OT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Humana","Commercial","GO",,"78",,"78.28","36.97","78.28","percent of total billed charges",,
"OT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","UHC","Commercial","GO",,"75",,"76.15","36.97","78.28","percent of total billed charges",,
"OT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Medicaid",,"GO",,"37",,"36.97","36.97","78.28","percent of total billed charges",,
"OT COGNITIVE SKILLS EA 15 MIN","97129","HCPCS","Both",,,"88.5","44.25","Alliant","Health Exchange","GO",,"62",,"54.87","32.39","171.28","percent of total billed charges",,
"OT COGNITIVE SKILLS EA 15 MIN","97129","HCPCS","Both",,,"88.5","44.25","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"47.79","32.39","171.28","percent of total billed charges",,
"OT COGNITIVE SKILLS EA 15 MIN","97129","HCPCS","Both",,,"88.5","44.25","Medicare",,"GO",,"54",,"47.97","32.39","171.28","percent of total billed charges",,
"OT COGNITIVE SKILLS EA 15 MIN","97129","HCPCS","Both",,,"88.5","44.25","Humana","Medicare Advantage","GO",,"54",,"47.97","32.39","171.28","percent of total billed charges",,
"OT COGNITIVE SKILLS EA 15 MIN","97129","HCPCS","Both",,,"88.5","44.25","UHC","Medicare Advantage","GO",,"54",,"47.97","32.39","171.28","percent of total billed charges",,
"OT COGNITIVE SKILLS EA 15 MIN","97129","HCPCS","Both",,,"88.5","44.25","Clover","Medicare Advantage","GO",,"54",,"47.97","32.39","171.28","percent of total billed charges",,
"OT COGNITIVE SKILLS EA 15 MIN","97129","HCPCS","Both",,,"88.5","44.25","Wellcare","Medicare Advantage","GO",,"54",,"47.97","32.39","171.28","percent of total billed charges",,
"OT COGNITIVE SKILLS EA 15 MIN","97129","HCPCS","Both",,,"88.5","44.25","Amerigroup","Medicaid Managed Care","GO",,"37",,"32.39","32.39","171.28","percent of total billed charges",,
"OT COGNITIVE SKILLS EA 15 MIN","97129","HCPCS","Both",,,"88.5","44.25","Caresource","Medicaid Managed Care","GO",,"40",,"35.4","32.39","171.28","percent of total billed charges",,
"OT COGNITIVE SKILLS EA 15 MIN","97129","HCPCS","Both",,,"88.5","44.25","Wellcare","Medicaid Managed Care","GO",,"40",,"35.84","32.39","171.28","percent of total billed charges",,
"OT COGNITIVE SKILLS EA 15 MIN","97129","HCPCS","Both",,,"88.5","44.25","Aetna","Commercial","GO",,"64",,"56.46","32.39","171.28","percent of total billed charges",,
"OT COGNITIVE SKILLS EA 15 MIN","97129","HCPCS","Both",,,"88.5","44.25","Blue Cross Blue Shield","Pathways","GO",,"71",,"62.48","32.39","171.28","percent of total billed charges",,
"OT COGNITIVE SKILLS EA 15 MIN","97129","HCPCS","Both",,,"88.5","44.25","Blue Cross Blue Shield","HMO","GO",,"71",,"62.48","32.39","171.28","percent of total billed charges",,
"OT COGNITIVE SKILLS EA 15 MIN","97129","HCPCS","Both",,,"88.5","44.25","Blue Cross Blue Shield","PPO","GO",,"71",,"62.48","32.39","171.28","percent of total billed charges",,
"OT COGNITIVE SKILLS EA 15 MIN","97129","HCPCS","Both",,,"88.5","44.25","Ambetter","Health Exchange","GO",,"62",,"54.87","32.39","171.28","percent of total billed charges",,
"OT COGNITIVE SKILLS EA 15 MIN","97129","HCPCS","Both",,,"88.5","44.25","Caresource","Health Exchange","GO",,"62",,"54.87","32.39","171.28","percent of total billed charges",,
"OT COGNITIVE SKILLS EA 15 MIN","97129","HCPCS","Both",,,"88.5","44.25","Cigna","Commercial","GO",,"59",,"51.86","32.39","171.28","percent of total billed charges",,
"OT COGNITIVE SKILLS EA 15 MIN","97129","HCPCS","Both",,,"88.5","44.25","Humana","Commercial","GO",,"78",,"68.59","32.39","171.28","percent of total billed charges",,
"OT COGNITIVE SKILLS EA 15 MIN","97129","HCPCS","Both",,,"88.5","44.25","UHC","Commercial","GO",,"75",,"66.73","32.39","171.28","percent of total billed charges",,
"OT COGNITIVE SKILLS EA 15 MIN","97129","HCPCS","Both",,,"88.5","44.25","Medicaid",,"GO",,"37",,"32.39","32.39","171.28","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT 1st 20cm","97597","HCPCS","Both",,,"130","65","Alliant","Health Exchange","GO",,"62",,"80.6","47.58","100.75","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT 1st 20cm","97597","HCPCS","Both",,,"130","65","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"70.2","47.58","100.75","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT 1st 20cm","97597","HCPCS","Both",,,"130","65","Medicare",,"GO",,"54",,"70.46","47.58","100.75","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT 1st 20cm","97597","HCPCS","Both",,,"130","65","Humana","Medicare Advantage","GO",,"54",,"70.46","47.58","100.75","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT 1st 20cm","97597","HCPCS","Both",,,"130","65","UHC","Medicare Advantage","GO",,"54",,"70.46","47.58","100.75","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT 1st 20cm","97597","HCPCS","Both",,,"130","65","Clover","Medicare Advantage","GO",,"54",,"70.46","47.58","100.75","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT 1st 20cm","97597","HCPCS","Both",,,"130","65","Wellcare","Medicare Advantage","GO",,"54",,"70.46","47.58","100.75","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT 1st 20cm","97597","HCPCS","Both",,,"130","65","Amerigroup","Medicaid Managed Care","GO",,"37",,"47.58","47.58","100.75","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT 1st 20cm","97597","HCPCS","Both",,,"130","65","Caresource","Medicaid Managed Care","GO",,"40",,"52","47.58","100.75","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT 1st 20cm","97597","HCPCS","Both",,,"130","65","Wellcare","Medicaid Managed Care","GO",,"40",,"52.65","47.58","100.75","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT 1st 20cm","97597","HCPCS","Both",,,"130","65","Aetna","Commercial","GO",,"64",,"82.94","47.58","100.75","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT 1st 20cm","97597","HCPCS","Both",,,"130","65","Blue Cross Blue Shield","Pathways","GO",,"71",,"91.78","47.58","100.75","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT 1st 20cm","97597","HCPCS","Both",,,"130","65","Blue Cross Blue Shield","HMO","GO",,"71",,"91.78","47.58","100.75","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT 1st 20cm","97597","HCPCS","Both",,,"130","65","Blue Cross Blue Shield","PPO","GO",,"71",,"91.78","47.58","100.75","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT 1st 20cm","97597","HCPCS","Both",,,"130","65","Ambetter","Health Exchange","GO",,"62",,"80.6","47.58","100.75","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT 1st 20cm","97597","HCPCS","Both",,,"130","65","Caresource","Health Exchange","GO",,"62",,"80.6","47.58","100.75","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT 1st 20cm","97597","HCPCS","Both",,,"130","65","Cigna","Commercial","GO",,"59",,"76.18","47.58","100.75","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT 1st 20cm","97597","HCPCS","Both",,,"130","65","Humana","Commercial","GO",,"78",,"100.75","47.58","100.75","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT 1st 20cm","97597","HCPCS","Both",,,"130","65","UHC","Commercial","GO",,"75",,"98.02","47.58","100.75","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT 1st 20cm","97597","HCPCS","Both",,,"130","65","Medicaid",,"GO",,"37",,"47.58","47.58","100.75","percent of total billed charges",,
"OT PROSTHETIC TRAINING EA 15 MIN","97761","HCPCS","Both",,,"50.5","25.25","Alliant","Health Exchange","GO",,"62",,"31.31","18.48","39.14","percent of total billed charges",,
"OT PROSTHETIC TRAINING EA 15 MIN","97761","HCPCS","Both",,,"50.5","25.25","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"27.27","18.48","39.14","percent of total billed charges",,
"OT PROSTHETIC TRAINING EA 15 MIN","97761","HCPCS","Both",,,"50.5","25.25","Medicare",,"GO",,"54",,"27.37","18.48","39.14","percent of total billed charges",,
"OT PROSTHETIC TRAINING EA 15 MIN","97761","HCPCS","Both",,,"50.5","25.25","Humana","Medicare Advantage","GO",,"54",,"27.37","18.48","39.14","percent of total billed charges",,
"OT PROSTHETIC TRAINING EA 15 MIN","97761","HCPCS","Both",,,"50.5","25.25","UHC","Medicare Advantage","GO",,"54",,"27.37","18.48","39.14","percent of total billed charges",,
"OT PROSTHETIC TRAINING EA 15 MIN","97761","HCPCS","Both",,,"50.5","25.25","Clover","Medicare Advantage","GO",,"54",,"27.37","18.48","39.14","percent of total billed charges",,
"OT PROSTHETIC TRAINING EA 15 MIN","97761","HCPCS","Both",,,"50.5","25.25","Wellcare","Medicare Advantage","GO",,"54",,"27.37","18.48","39.14","percent of total billed charges",,
"OT PROSTHETIC TRAINING EA 15 MIN","97761","HCPCS","Both",,,"50.5","25.25","Amerigroup","Medicaid Managed Care","GO",,"37",,"18.48","18.48","39.14","percent of total billed charges",,
"OT PROSTHETIC TRAINING EA 15 MIN","97761","HCPCS","Both",,,"50.5","25.25","Caresource","Medicaid Managed Care","GO",,"40",,"20.2","18.48","39.14","percent of total billed charges",,
"OT PROSTHETIC TRAINING EA 15 MIN","97761","HCPCS","Both",,,"50.5","25.25","Wellcare","Medicaid Managed Care","GO",,"40",,"20.45","18.48","39.14","percent of total billed charges",,
"OT PROSTHETIC TRAINING EA 15 MIN","97761","HCPCS","Both",,,"50.5","25.25","Aetna","Commercial","GO",,"64",,"32.22","18.48","39.14","percent of total billed charges",,
"OT PROSTHETIC TRAINING EA 15 MIN","97761","HCPCS","Both",,,"50.5","25.25","Blue Cross Blue Shield","Pathways","GO",,"71",,"35.65","18.48","39.14","percent of total billed charges",,
"OT PROSTHETIC TRAINING EA 15 MIN","97761","HCPCS","Both",,,"50.5","25.25","Blue Cross Blue Shield","HMO","GO",,"71",,"35.65","18.48","39.14","percent of total billed charges",,
"OT PROSTHETIC TRAINING EA 15 MIN","97761","HCPCS","Both",,,"50.5","25.25","Blue Cross Blue Shield","PPO","GO",,"71",,"35.65","18.48","39.14","percent of total billed charges",,
"OT PROSTHETIC TRAINING EA 15 MIN","97761","HCPCS","Both",,,"50.5","25.25","Ambetter","Health Exchange","GO",,"62",,"31.31","18.48","39.14","percent of total billed charges",,
"OT PROSTHETIC TRAINING EA 15 MIN","97761","HCPCS","Both",,,"50.5","25.25","Caresource","Health Exchange","GO",,"62",,"31.31","18.48","39.14","percent of total billed charges",,
"OT PROSTHETIC TRAINING EA 15 MIN","97761","HCPCS","Both",,,"50.5","25.25","Cigna","Commercial","GO",,"59",,"29.59","18.48","39.14","percent of total billed charges",,
"OT PROSTHETIC TRAINING EA 15 MIN","97761","HCPCS","Both",,,"50.5","25.25","Humana","Commercial","GO",,"78",,"39.14","18.48","39.14","percent of total billed charges",,
"OT PROSTHETIC TRAINING EA 15 MIN","97761","HCPCS","Both",,,"50.5","25.25","UHC","Commercial","GO",,"75",,"38.08","18.48","39.14","percent of total billed charges",,
"OT PROSTHETIC TRAINING EA 15 MIN","97761","HCPCS","Both",,,"50.5","25.25","Medicaid",,"GO",,"37",,"18.48","18.48","39.14","percent of total billed charges",,
"OT VASOPENUMATIC DEVICE","97016","HCPCS","Both",,,"54.5","27.25","Alliant","Health Exchange","GO",,"62",,"33.79","19.95","42.24","percent of total billed charges",,
"OT VASOPENUMATIC DEVICE","97016","HCPCS","Both",,,"54.5","27.25","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"29.43","19.95","42.24","percent of total billed charges",,
"OT VASOPENUMATIC DEVICE","97016","HCPCS","Both",,,"54.5","27.25","Medicare",,"GO",,"54",,"29.54","19.95","42.24","percent of total billed charges",,
"OT VASOPENUMATIC DEVICE","97016","HCPCS","Both",,,"54.5","27.25","Humana","Medicare Advantage","GO",,"54",,"29.54","19.95","42.24","percent of total billed charges",,
"OT VASOPENUMATIC DEVICE","97016","HCPCS","Both",,,"54.5","27.25","UHC","Medicare Advantage","GO",,"54",,"29.54","19.95","42.24","percent of total billed charges",,
"OT VASOPENUMATIC DEVICE","97016","HCPCS","Both",,,"54.5","27.25","Clover","Medicare Advantage","GO",,"54",,"29.54","19.95","42.24","percent of total billed charges",,
"OT VASOPENUMATIC DEVICE","97016","HCPCS","Both",,,"54.5","27.25","Wellcare","Medicare Advantage","GO",,"54",,"29.54","19.95","42.24","percent of total billed charges",,
"OT VASOPENUMATIC DEVICE","97016","HCPCS","Both",,,"54.5","27.25","Amerigroup","Medicaid Managed Care","GO",,"37",,"19.95","19.95","42.24","percent of total billed charges",,
"OT VASOPENUMATIC DEVICE","97016","HCPCS","Both",,,"54.5","27.25","Caresource","Medicaid Managed Care","GO",,"40",,"21.8","19.95","42.24","percent of total billed charges",,
"OT VASOPENUMATIC DEVICE","97016","HCPCS","Both",,,"54.5","27.25","Wellcare","Medicaid Managed Care","GO",,"40",,"22.07","19.95","42.24","percent of total billed charges",,
"OT VASOPENUMATIC DEVICE","97016","HCPCS","Both",,,"54.5","27.25","Aetna","Commercial","GO",,"64",,"34.77","19.95","42.24","percent of total billed charges",,
"OT VASOPENUMATIC DEVICE","97016","HCPCS","Both",,,"54.5","27.25","Blue Cross Blue Shield","Pathways","GO",,"71",,"38.48","19.95","42.24","percent of total billed charges",,
"OT VASOPENUMATIC DEVICE","97016","HCPCS","Both",,,"54.5","27.25","Blue Cross Blue Shield","HMO","GO",,"71",,"38.48","19.95","42.24","percent of total billed charges",,
"OT VASOPENUMATIC DEVICE","97016","HCPCS","Both",,,"54.5","27.25","Blue Cross Blue Shield","PPO","GO",,"71",,"38.48","19.95","42.24","percent of total billed charges",,
"OT VASOPENUMATIC DEVICE","97016","HCPCS","Both",,,"54.5","27.25","Ambetter","Health Exchange","GO",,"62",,"33.79","19.95","42.24","percent of total billed charges",,
"OT VASOPENUMATIC DEVICE","97016","HCPCS","Both",,,"54.5","27.25","Caresource","Health Exchange","GO",,"62",,"33.79","19.95","42.24","percent of total billed charges",,
"OT VASOPENUMATIC DEVICE","97016","HCPCS","Both",,,"54.5","27.25","Cigna","Commercial","GO",,"59",,"31.94","19.95","42.24","percent of total billed charges",,
"OT VASOPENUMATIC DEVICE","97016","HCPCS","Both",,,"54.5","27.25","Humana","Commercial","GO",,"78",,"42.24","19.95","42.24","percent of total billed charges",,
"OT VASOPENUMATIC DEVICE","97016","HCPCS","Both",,,"54.5","27.25","UHC","Commercial","GO",,"75",,"41.09","19.95","42.24","percent of total billed charges",,
"OT VASOPENUMATIC DEVICE","97016","HCPCS","Both",,,"54.5","27.25","Medicaid",,"GO",,"37",,"19.95","19.95","42.24","percent of total billed charges",,
"OT IONTOPHORESIS EA 15 MIN","97033","HCPCS","Both",,,"150","75","Alliant","Health Exchange","GO",,"62",,"93","54.9","116.25","percent of total billed charges",,
"OT IONTOPHORESIS EA 15 MIN","97033","HCPCS","Both",,,"150","75","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"81","54.9","116.25","percent of total billed charges",,
"OT IONTOPHORESIS EA 15 MIN","97033","HCPCS","Both",,,"150","75","Medicare",,"GO",,"54",,"81.3","54.9","116.25","percent of total billed charges",,
"OT IONTOPHORESIS EA 15 MIN","97033","HCPCS","Both",,,"150","75","Humana","Medicare Advantage","GO",,"54",,"81.3","54.9","116.25","percent of total billed charges",,
"OT IONTOPHORESIS EA 15 MIN","97033","HCPCS","Both",,,"150","75","UHC","Medicare Advantage","GO",,"54",,"81.3","54.9","116.25","percent of total billed charges",,
"OT IONTOPHORESIS EA 15 MIN","97033","HCPCS","Both",,,"150","75","Clover","Medicare Advantage","GO",,"54",,"81.3","54.9","116.25","percent of total billed charges",,
"OT IONTOPHORESIS EA 15 MIN","97033","HCPCS","Both",,,"150","75","Wellcare","Medicare Advantage","GO",,"54",,"81.3","54.9","116.25","percent of total billed charges",,
"OT IONTOPHORESIS EA 15 MIN","97033","HCPCS","Both",,,"150","75","Amerigroup","Medicaid Managed Care","GO",,"37",,"54.9","54.9","116.25","percent of total billed charges",,
"OT IONTOPHORESIS EA 15 MIN","97033","HCPCS","Both",,,"150","75","Caresource","Medicaid Managed Care","GO",,"40",,"60","54.9","116.25","percent of total billed charges",,
"OT IONTOPHORESIS EA 15 MIN","97033","HCPCS","Both",,,"150","75","Wellcare","Medicaid Managed Care","GO",,"40",,"60.75","54.9","116.25","percent of total billed charges",,
"OT IONTOPHORESIS EA 15 MIN","97033","HCPCS","Both",,,"150","75","Aetna","Commercial","GO",,"64",,"95.7","54.9","116.25","percent of total billed charges",,
"OT IONTOPHORESIS EA 15 MIN","97033","HCPCS","Both",,,"150","75","Blue Cross Blue Shield","Pathways","GO",,"71",,"105.9","54.9","116.25","percent of total billed charges",,
"OT IONTOPHORESIS EA 15 MIN","97033","HCPCS","Both",,,"150","75","Blue Cross Blue Shield","HMO","GO",,"71",,"105.9","54.9","116.25","percent of total billed charges",,
"OT IONTOPHORESIS EA 15 MIN","97033","HCPCS","Both",,,"150","75","Blue Cross Blue Shield","PPO","GO",,"71",,"105.9","54.9","116.25","percent of total billed charges",,
"OT IONTOPHORESIS EA 15 MIN","97033","HCPCS","Both",,,"150","75","Ambetter","Health Exchange","GO",,"62",,"93","54.9","116.25","percent of total billed charges",,
"OT IONTOPHORESIS EA 15 MIN","97033","HCPCS","Both",,,"150","75","Caresource","Health Exchange","GO",,"62",,"93","54.9","116.25","percent of total billed charges",,
"OT IONTOPHORESIS EA 15 MIN","97033","HCPCS","Both",,,"150","75","Cigna","Commercial","GO",,"59",,"87.9","54.9","116.25","percent of total billed charges",,
"OT IONTOPHORESIS EA 15 MIN","97033","HCPCS","Both",,,"150","75","Humana","Commercial","GO",,"78",,"116.25","54.9","116.25","percent of total billed charges",,
"OT IONTOPHORESIS EA 15 MIN","97033","HCPCS","Both",,,"150","75","UHC","Commercial","GO",,"75",,"113.1","54.9","116.25","percent of total billed charges",,
"OT IONTOPHORESIS EA 15 MIN","97033","HCPCS","Both",,,"150","75","Medicaid",,"GO",,"37",,"54.9","54.9","116.25","percent of total billed charges",,
"OT SENSORY INTEGRATIVE TECH EA 15 MIN","97533","HCPCS","Both",,,"102","51","Alliant","Health Exchange","GO",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"OT SENSORY INTEGRATIVE TECH EA 15 MIN","97533","HCPCS","Both",,,"102","51","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"55.08","37.33","79.05","percent of total billed charges",,
"OT SENSORY INTEGRATIVE TECH EA 15 MIN","97533","HCPCS","Both",,,"102","51","Medicare",,"GO",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"OT SENSORY INTEGRATIVE TECH EA 15 MIN","97533","HCPCS","Both",,,"102","51","Humana","Medicare Advantage","GO",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"OT SENSORY INTEGRATIVE TECH EA 15 MIN","97533","HCPCS","Both",,,"102","51","UHC","Medicare Advantage","GO",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"OT SENSORY INTEGRATIVE TECH EA 15 MIN","97533","HCPCS","Both",,,"102","51","Clover","Medicare Advantage","GO",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"OT SENSORY INTEGRATIVE TECH EA 15 MIN","97533","HCPCS","Both",,,"102","51","Wellcare","Medicare Advantage","GO",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"OT SENSORY INTEGRATIVE TECH EA 15 MIN","97533","HCPCS","Both",,,"102","51","Amerigroup","Medicaid Managed Care","GO",,"37",,"37.33","37.33","79.05","percent of total billed charges",,
"OT SENSORY INTEGRATIVE TECH EA 15 MIN","97533","HCPCS","Both",,,"102","51","Caresource","Medicaid Managed Care","GO",,"40",,"40.8","37.33","79.05","percent of total billed charges",,
"OT SENSORY INTEGRATIVE TECH EA 15 MIN","97533","HCPCS","Both",,,"102","51","Wellcare","Medicaid Managed Care","GO",,"40",,"41.31","37.33","79.05","percent of total billed charges",,
"OT SENSORY INTEGRATIVE TECH EA 15 MIN","97533","HCPCS","Both",,,"102","51","Aetna","Commercial","GO",,"64",,"65.08","37.33","79.05","percent of total billed charges",,
"OT SENSORY INTEGRATIVE TECH EA 15 MIN","97533","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","Pathways","GO",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"OT SENSORY INTEGRATIVE TECH EA 15 MIN","97533","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","HMO","GO",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"OT SENSORY INTEGRATIVE TECH EA 15 MIN","97533","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","PPO","GO",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"OT SENSORY INTEGRATIVE TECH EA 15 MIN","97533","HCPCS","Both",,,"102","51","Ambetter","Health Exchange","GO",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"OT SENSORY INTEGRATIVE TECH EA 15 MIN","97533","HCPCS","Both",,,"102","51","Caresource","Health Exchange","GO",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"OT SENSORY INTEGRATIVE TECH EA 15 MIN","97533","HCPCS","Both",,,"102","51","Cigna","Commercial","GO",,"59",,"59.77","37.33","79.05","percent of total billed charges",,
"OT SENSORY INTEGRATIVE TECH EA 15 MIN","97533","HCPCS","Both",,,"102","51","Humana","Commercial","GO",,"78",,"79.05","37.33","79.05","percent of total billed charges",,
"OT SENSORY INTEGRATIVE TECH EA 15 MIN","97533","HCPCS","Both",,,"102","51","UHC","Commercial","GO",,"75",,"76.91","37.33","79.05","percent of total billed charges",,
"OT SENSORY INTEGRATIVE TECH EA 15 MIN","97533","HCPCS","Both",,,"102","51","Medicaid",,"GO",,"37",,"37.33","37.33","79.05","percent of total billed charges",,
"OT WHEELCHAIR MGMT EA 15 MIN","97542","HCPCS","Both",,,"88","44","Alliant","Health Exchange","GO",,"62",,"54.56","32.21","68.2","percent of total billed charges",,
"OT WHEELCHAIR MGMT EA 15 MIN","97542","HCPCS","Both",,,"88","44","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"47.52","32.21","68.2","percent of total billed charges",,
"OT WHEELCHAIR MGMT EA 15 MIN","97542","HCPCS","Both",,,"88","44","Medicare",,"GO",,"54",,"47.7","32.21","68.2","percent of total billed charges",,
"OT WHEELCHAIR MGMT EA 15 MIN","97542","HCPCS","Both",,,"88","44","Humana","Medicare Advantage","GO",,"54",,"47.7","32.21","68.2","percent of total billed charges",,
"OT WHEELCHAIR MGMT EA 15 MIN","97542","HCPCS","Both",,,"88","44","UHC","Medicare Advantage","GO",,"54",,"47.7","32.21","68.2","percent of total billed charges",,
"OT WHEELCHAIR MGMT EA 15 MIN","97542","HCPCS","Both",,,"88","44","Clover","Medicare Advantage","GO",,"54",,"47.7","32.21","68.2","percent of total billed charges",,
"OT WHEELCHAIR MGMT EA 15 MIN","97542","HCPCS","Both",,,"88","44","Wellcare","Medicare Advantage","GO",,"54",,"47.7","32.21","68.2","percent of total billed charges",,
"OT WHEELCHAIR MGMT EA 15 MIN","97542","HCPCS","Both",,,"88","44","Amerigroup","Medicaid Managed Care","GO",,"37",,"32.21","32.21","68.2","percent of total billed charges",,
"OT WHEELCHAIR MGMT EA 15 MIN","97542","HCPCS","Both",,,"88","44","Caresource","Medicaid Managed Care","GO",,"40",,"35.2","32.21","68.2","percent of total billed charges",,
"OT WHEELCHAIR MGMT EA 15 MIN","97542","HCPCS","Both",,,"88","44","Wellcare","Medicaid Managed Care","GO",,"40",,"35.64","32.21","68.2","percent of total billed charges",,
"OT WHEELCHAIR MGMT EA 15 MIN","97542","HCPCS","Both",,,"88","44","Aetna","Commercial","GO",,"64",,"56.14","32.21","68.2","percent of total billed charges",,
"OT WHEELCHAIR MGMT EA 15 MIN","97542","HCPCS","Both",,,"88","44","Blue Cross Blue Shield","Pathways","GO",,"71",,"62.13","32.21","68.2","percent of total billed charges",,
"OT WHEELCHAIR MGMT EA 15 MIN","97542","HCPCS","Both",,,"88","44","Blue Cross Blue Shield","HMO","GO",,"71",,"62.13","32.21","68.2","percent of total billed charges",,
"OT WHEELCHAIR MGMT EA 15 MIN","97542","HCPCS","Both",,,"88","44","Blue Cross Blue Shield","PPO","GO",,"71",,"62.13","32.21","68.2","percent of total billed charges",,
"OT WHEELCHAIR MGMT EA 15 MIN","97542","HCPCS","Both",,,"88","44","Ambetter","Health Exchange","GO",,"62",,"54.56","32.21","68.2","percent of total billed charges",,
"OT WHEELCHAIR MGMT EA 15 MIN","97542","HCPCS","Both",,,"88","44","Caresource","Health Exchange","GO",,"62",,"54.56","32.21","68.2","percent of total billed charges",,
"OT WHEELCHAIR MGMT EA 15 MIN","97542","HCPCS","Both",,,"88","44","Cigna","Commercial","GO",,"59",,"51.57","32.21","68.2","percent of total billed charges",,
"OT WHEELCHAIR MGMT EA 15 MIN","97542","HCPCS","Both",,,"88","44","Humana","Commercial","GO",,"78",,"68.2","32.21","68.2","percent of total billed charges",,
"OT WHEELCHAIR MGMT EA 15 MIN","97542","HCPCS","Both",,,"88","44","UHC","Commercial","GO",,"75",,"66.35","32.21","68.2","percent of total billed charges",,
"OT WHEELCHAIR MGMT EA 15 MIN","97542","HCPCS","Both",,,"88","44","Medicaid",,"GO",,"37",,"32.21","32.21","68.2","percent of total billed charges",,
"OT MASSAGE EA 15 MIN","97124","HCPCS","Both",,,"75.5","37.75","Alliant","Health Exchange","GO",,"62",,"46.81","27.63","58.51","percent of total billed charges",,
"OT MASSAGE EA 15 MIN","97124","HCPCS","Both",,,"75.5","37.75","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"40.77","27.63","58.51","percent of total billed charges",,
"OT MASSAGE EA 15 MIN","97124","HCPCS","Both",,,"75.5","37.75","Medicare",,"GO",,"54",,"40.92","27.63","58.51","percent of total billed charges",,
"OT MASSAGE EA 15 MIN","97124","HCPCS","Both",,,"75.5","37.75","Humana","Medicare Advantage","GO",,"54",,"40.92","27.63","58.51","percent of total billed charges",,
"OT MASSAGE EA 15 MIN","97124","HCPCS","Both",,,"75.5","37.75","UHC","Medicare Advantage","GO",,"54",,"40.92","27.63","58.51","percent of total billed charges",,
"OT MASSAGE EA 15 MIN","97124","HCPCS","Both",,,"75.5","37.75","Clover","Medicare Advantage","GO",,"54",,"40.92","27.63","58.51","percent of total billed charges",,
"OT MASSAGE EA 15 MIN","97124","HCPCS","Both",,,"75.5","37.75","Wellcare","Medicare Advantage","GO",,"54",,"40.92","27.63","58.51","percent of total billed charges",,
"OT MASSAGE EA 15 MIN","97124","HCPCS","Both",,,"75.5","37.75","Amerigroup","Medicaid Managed Care","GO",,"37",,"27.63","27.63","58.51","percent of total billed charges",,
"OT MASSAGE EA 15 MIN","97124","HCPCS","Both",,,"75.5","37.75","Caresource","Medicaid Managed Care","GO",,"40",,"30.2","27.63","58.51","percent of total billed charges",,
"OT MASSAGE EA 15 MIN","97124","HCPCS","Both",,,"75.5","37.75","Wellcare","Medicaid Managed Care","GO",,"40",,"30.58","27.63","58.51","percent of total billed charges",,
"OT MASSAGE EA 15 MIN","97124","HCPCS","Both",,,"75.5","37.75","Aetna","Commercial","GO",,"64",,"48.17","27.63","58.51","percent of total billed charges",,
"OT MASSAGE EA 15 MIN","97124","HCPCS","Both",,,"75.5","37.75","Blue Cross Blue Shield","Pathways","GO",,"71",,"53.3","27.63","58.51","percent of total billed charges",,
"OT MASSAGE EA 15 MIN","97124","HCPCS","Both",,,"75.5","37.75","Blue Cross Blue Shield","HMO","GO",,"71",,"53.3","27.63","58.51","percent of total billed charges",,
"OT MASSAGE EA 15 MIN","97124","HCPCS","Both",,,"75.5","37.75","Blue Cross Blue Shield","PPO","GO",,"71",,"53.3","27.63","58.51","percent of total billed charges",,
"OT MASSAGE EA 15 MIN","97124","HCPCS","Both",,,"75.5","37.75","Ambetter","Health Exchange","GO",,"62",,"46.81","27.63","58.51","percent of total billed charges",,
"OT MASSAGE EA 15 MIN","97124","HCPCS","Both",,,"75.5","37.75","Caresource","Health Exchange","GO",,"62",,"46.81","27.63","58.51","percent of total billed charges",,
"OT MASSAGE EA 15 MIN","97124","HCPCS","Both",,,"75.5","37.75","Cigna","Commercial","GO",,"59",,"44.24","27.63","58.51","percent of total billed charges",,
"OT MASSAGE EA 15 MIN","97124","HCPCS","Both",,,"75.5","37.75","Humana","Commercial","GO",,"78",,"58.51","27.63","58.51","percent of total billed charges",,
"OT MASSAGE EA 15 MIN","97124","HCPCS","Both",,,"75.5","37.75","UHC","Commercial","GO",,"75",,"56.93","27.63","58.51","percent of total billed charges",,
"OT MASSAGE EA 15 MIN","97124","HCPCS","Both",,,"75.5","37.75","Medicaid",,"GO",,"37",,"27.63","27.63","58.51","percent of total billed charges",,
"OT STRAPPING; SHOULDER","29240","HCPCS","Both",,,"91","45.5","Alliant","Health Exchange","GO",,"62",,"56.42","33.31","70.53","percent of total billed charges",,
"OT STRAPPING; SHOULDER","29240","HCPCS","Both",,,"91","45.5","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"49.14","33.31","70.53","percent of total billed charges",,
"OT STRAPPING; SHOULDER","29240","HCPCS","Both",,,"91","45.5","Medicare",,"GO",,"54",,"49.32","33.31","70.53","percent of total billed charges",,
"OT STRAPPING; SHOULDER","29240","HCPCS","Both",,,"91","45.5","Humana","Medicare Advantage","GO",,"54",,"49.32","33.31","70.53","percent of total billed charges",,
"OT STRAPPING; SHOULDER","29240","HCPCS","Both",,,"91","45.5","UHC","Medicare Advantage","GO",,"54",,"49.32","33.31","70.53","percent of total billed charges",,
"OT STRAPPING; SHOULDER","29240","HCPCS","Both",,,"91","45.5","Clover","Medicare Advantage","GO",,"54",,"49.32","33.31","70.53","percent of total billed charges",,
"OT STRAPPING; SHOULDER","29240","HCPCS","Both",,,"91","45.5","Wellcare","Medicare Advantage","GO",,"54",,"49.32","33.31","70.53","percent of total billed charges",,
"OT STRAPPING; SHOULDER","29240","HCPCS","Both",,,"91","45.5","Amerigroup","Medicaid Managed Care","GO",,"37",,"33.31","33.31","70.53","percent of total billed charges",,
"OT STRAPPING; SHOULDER","29240","HCPCS","Both",,,"91","45.5","Caresource","Medicaid Managed Care","GO",,"40",,"36.4","33.31","70.53","percent of total billed charges",,
"OT STRAPPING; SHOULDER","29240","HCPCS","Both",,,"91","45.5","Wellcare","Medicaid Managed Care","GO",,"40",,"36.86","33.31","70.53","percent of total billed charges",,
"OT STRAPPING; SHOULDER","29240","HCPCS","Both",,,"91","45.5","Aetna","Commercial","GO",,"64",,"58.06","33.31","70.53","percent of total billed charges",,
"OT STRAPPING; SHOULDER","29240","HCPCS","Both",,,"91","45.5","Blue Cross Blue Shield","Pathways","GO",,"71",,"64.25","33.31","70.53","percent of total billed charges",,
"OT STRAPPING; SHOULDER","29240","HCPCS","Both",,,"91","45.5","Blue Cross Blue Shield","HMO","GO",,"71",,"64.25","33.31","70.53","percent of total billed charges",,
"OT STRAPPING; SHOULDER","29240","HCPCS","Both",,,"91","45.5","Blue Cross Blue Shield","PPO","GO",,"71",,"64.25","33.31","70.53","percent of total billed charges",,
"OT STRAPPING; SHOULDER","29240","HCPCS","Both",,,"91","45.5","Ambetter","Health Exchange","GO",,"62",,"56.42","33.31","70.53","percent of total billed charges",,
"OT STRAPPING; SHOULDER","29240","HCPCS","Both",,,"91","45.5","Caresource","Health Exchange","GO",,"62",,"56.42","33.31","70.53","percent of total billed charges",,
"OT STRAPPING; SHOULDER","29240","HCPCS","Both",,,"91","45.5","Cigna","Commercial","GO",,"59",,"53.33","33.31","70.53","percent of total billed charges",,
"OT STRAPPING; SHOULDER","29240","HCPCS","Both",,,"91","45.5","Humana","Commercial","GO",,"78",,"70.53","33.31","70.53","percent of total billed charges",,
"OT STRAPPING; SHOULDER","29240","HCPCS","Both",,,"91","45.5","UHC","Commercial","GO",,"75",,"68.61","33.31","70.53","percent of total billed charges",,
"OT STRAPPING; SHOULDER","29240","HCPCS","Both",,,"91","45.5","Medicaid",,"GO",,"37",,"33.31","33.31","70.53","percent of total billed charges",,
"OT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Alliant","Health Exchange","GO",,"62",,"21.39","12.63","26.74","percent of total billed charges",,
"OT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"18.63","12.63","26.74","percent of total billed charges",,
"OT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Medicare",,"GO",,"54",,"18.7","12.63","26.74","percent of total billed charges",,
"OT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Humana","Medicare Advantage","GO",,"54",,"18.7","12.63","26.74","percent of total billed charges",,
"OT GROUP","97150","HCPCS","Both",,,"34.5","17.25","UHC","Medicare Advantage","GO",,"54",,"18.7","12.63","26.74","percent of total billed charges",,
"OT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Clover","Medicare Advantage","GO",,"54",,"18.7","12.63","26.74","percent of total billed charges",,
"OT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Wellcare","Medicare Advantage","GO",,"54",,"18.7","12.63","26.74","percent of total billed charges",,
"OT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Amerigroup","Medicaid Managed Care","GO",,"37",,"12.63","12.63","26.74","percent of total billed charges",,
"OT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Caresource","Medicaid Managed Care","GO",,"40",,"13.8","12.63","26.74","percent of total billed charges",,
"OT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Wellcare","Medicaid Managed Care","GO",,"40",,"13.97","12.63","26.74","percent of total billed charges",,
"OT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Aetna","Commercial","GO",,"64",,"22.01","12.63","26.74","percent of total billed charges",,
"OT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Blue Cross Blue Shield","Pathways","GO",,"71",,"24.36","12.63","26.74","percent of total billed charges",,
"OT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Blue Cross Blue Shield","HMO","GO",,"71",,"24.36","12.63","26.74","percent of total billed charges",,
"OT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Blue Cross Blue Shield","PPO","GO",,"71",,"24.36","12.63","26.74","percent of total billed charges",,
"OT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Ambetter","Health Exchange","GO",,"62",,"21.39","12.63","26.74","percent of total billed charges",,
"OT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Caresource","Health Exchange","GO",,"62",,"21.39","12.63","26.74","percent of total billed charges",,
"OT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Cigna","Commercial","GO",,"59",,"20.22","12.63","26.74","percent of total billed charges",,
"OT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Humana","Commercial","GO",,"78",,"26.74","12.63","26.74","percent of total billed charges",,
"OT GROUP","97150","HCPCS","Both",,,"34.5","17.25","UHC","Commercial","GO",,"75",,"26.01","12.63","26.74","percent of total billed charges",,
"OT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Medicaid",,"GO",,"37",,"12.63","12.63","26.74","percent of total billed charges",,
"OT THERAPEUCTIC ACT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Alliant","Health Exchange","GO",,"62",,"167.59","98.93","209.48","percent of total billed charges",,
"OT THERAPEUCTIC ACT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"145.96","98.93","209.48","percent of total billed charges",,
"OT THERAPEUCTIC ACT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Medicare",,"GO",,"54",,"146.5","98.93","209.48","percent of total billed charges",,
"OT THERAPEUCTIC ACT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Humana","Medicare Advantage","GO",,"54",,"146.5","98.93","209.48","percent of total billed charges",,
"OT THERAPEUCTIC ACT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","UHC","Medicare Advantage","GO",,"54",,"146.5","98.93","209.48","percent of total billed charges",,
"OT THERAPEUCTIC ACT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Clover","Medicare Advantage","GO",,"54",,"146.5","98.93","209.48","percent of total billed charges",,
"OT THERAPEUCTIC ACT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Wellcare","Medicare Advantage","GO",,"54",,"146.5","98.93","209.48","percent of total billed charges",,
"OT THERAPEUCTIC ACT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Amerigroup","Medicaid Managed Care","GO",,"37",,"98.93","98.93","209.48","percent of total billed charges",,
"OT THERAPEUCTIC ACT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Caresource","Medicaid Managed Care","GO",,"40",,"108.12","98.93","209.48","percent of total billed charges",,
"OT THERAPEUCTIC ACT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Wellcare","Medicaid Managed Care","GO",,"40",,"109.47","98.93","209.48","percent of total billed charges",,
"OT THERAPEUCTIC ACT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Aetna","Commercial","GO",,"64",,"172.45","98.93","209.48","percent of total billed charges",,
"OT THERAPEUCTIC ACT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Blue Cross Blue Shield","Pathways","GO",,"71",,"190.83","98.93","209.48","percent of total billed charges",,
"OT THERAPEUCTIC ACT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Blue Cross Blue Shield","HMO","GO",,"71",,"190.83","98.93","209.48","percent of total billed charges",,
"OT THERAPEUCTIC ACT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Blue Cross Blue Shield","PPO","GO",,"71",,"190.83","98.93","209.48","percent of total billed charges",,
"OT THERAPEUCTIC ACT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Ambetter","Health Exchange","GO",,"62",,"167.59","98.93","209.48","percent of total billed charges",,
"OT THERAPEUCTIC ACT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Caresource","Health Exchange","GO",,"62",,"167.59","98.93","209.48","percent of total billed charges",,
"OT THERAPEUCTIC ACT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Cigna","Commercial","GO",,"59",,"158.4","98.93","209.48","percent of total billed charges",,
"OT THERAPEUCTIC ACT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Humana","Commercial","GO",,"78",,"209.48","98.93","209.48","percent of total billed charges",,
"OT THERAPEUCTIC ACT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","UHC","Commercial","GO",,"75",,"203.81","98.93","209.48","percent of total billed charges",,
"OT THERAPEUCTIC ACT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Medicaid",,"GO",,"37",,"98.93","98.93","209.48","percent of total billed charges",,
"OT MANUAL THERAPY TECH 15 MINS","97140","HCPCS","Both",,,"314.65","157.325","Alliant","Health Exchange","GO",,"62",,"195.08","115.16","243.85","percent of total billed charges",,
"OT MANUAL THERAPY TECH 15 MINS","97140","HCPCS","Both",,,"314.65","157.325","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"169.91","115.16","243.85","percent of total billed charges",,
"OT MANUAL THERAPY TECH 15 MINS","97140","HCPCS","Both",,,"314.65","157.325","Medicare",,"GO",,"54",,"170.54","115.16","243.85","percent of total billed charges",,
"OT MANUAL THERAPY TECH 15 MINS","97140","HCPCS","Both",,,"314.65","157.325","Humana","Medicare Advantage","GO",,"54",,"170.54","115.16","243.85","percent of total billed charges",,
"OT MANUAL THERAPY TECH 15 MINS","97140","HCPCS","Both",,,"314.65","157.325","UHC","Medicare Advantage","GO",,"54",,"170.54","115.16","243.85","percent of total billed charges",,
"OT MANUAL THERAPY TECH 15 MINS","97140","HCPCS","Both",,,"314.65","157.325","Clover","Medicare Advantage","GO",,"54",,"170.54","115.16","243.85","percent of total billed charges",,
"OT MANUAL THERAPY TECH 15 MINS","97140","HCPCS","Both",,,"314.65","157.325","Wellcare","Medicare Advantage","GO",,"54",,"170.54","115.16","243.85","percent of total billed charges",,
"OT MANUAL THERAPY TECH 15 MINS","97140","HCPCS","Both",,,"314.65","157.325","Amerigroup","Medicaid Managed Care","GO",,"37",,"115.16","115.16","243.85","percent of total billed charges",,
"OT MANUAL THERAPY TECH 15 MINS","97140","HCPCS","Both",,,"314.65","157.325","Caresource","Medicaid Managed Care","GO",,"40",,"125.86","115.16","243.85","percent of total billed charges",,
"OT MANUAL THERAPY TECH 15 MINS","97140","HCPCS","Both",,,"314.65","157.325","Wellcare","Medicaid Managed Care","GO",,"40",,"127.43","115.16","243.85","percent of total billed charges",,
"OT MANUAL THERAPY TECH 15 MINS","97140","HCPCS","Both",,,"314.65","157.325","Aetna","Commercial","GO",,"64",,"200.75","115.16","243.85","percent of total billed charges",,
"OT MANUAL THERAPY TECH 15 MINS","97140","HCPCS","Both",,,"314.65","157.325","Blue Cross Blue Shield","Pathways","GO",,"71",,"222.14","115.16","243.85","percent of total billed charges",,
"OT MANUAL THERAPY TECH 15 MINS","97140","HCPCS","Both",,,"314.65","157.325","Blue Cross Blue Shield","HMO","GO",,"71",,"222.14","115.16","243.85","percent of total billed charges",,
"OT MANUAL THERAPY TECH 15 MINS","97140","HCPCS","Both",,,"314.65","157.325","Blue Cross Blue Shield","PPO","GO",,"71",,"222.14","115.16","243.85","percent of total billed charges",,
"OT MANUAL THERAPY TECH 15 MINS","97140","HCPCS","Both",,,"314.65","157.325","Ambetter","Health Exchange","GO",,"62",,"195.08","115.16","243.85","percent of total billed charges",,
"OT MANUAL THERAPY TECH 15 MINS","97140","HCPCS","Both",,,"314.65","157.325","Caresource","Health Exchange","GO",,"62",,"195.08","115.16","243.85","percent of total billed charges",,
"OT MANUAL THERAPY TECH 15 MINS","97140","HCPCS","Both",,,"314.65","157.325","Cigna","Commercial","GO",,"59",,"184.38","115.16","243.85","percent of total billed charges",,
"OT MANUAL THERAPY TECH 15 MINS","97140","HCPCS","Both",,,"314.65","157.325","Humana","Commercial","GO",,"78",,"243.85","115.16","243.85","percent of total billed charges",,
"OT MANUAL THERAPY TECH 15 MINS","97140","HCPCS","Both",,,"314.65","157.325","UHC","Commercial","GO",,"75",,"237.25","115.16","243.85","percent of total billed charges",,
"OT MANUAL THERAPY TECH 15 MINS","97140","HCPCS","Both",,,"314.65","157.325","Medicaid",,"GO",,"37",,"115.16","115.16","243.85","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY <50cm","G0456","HCPCS","Both",,,"82","41","Alliant","Health Exchange","GO",,"62",,"50.84","30.01","63.55","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY <50cm","G0456","HCPCS","Both",,,"82","41","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"44.28","30.01","63.55","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY <50cm","G0456","HCPCS","Both",,,"82","41","Medicare",,"GO",,"54",,"44.44","30.01","63.55","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY <50cm","G0456","HCPCS","Both",,,"82","41","Humana","Medicare Advantage","GO",,"54",,"44.44","30.01","63.55","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY <50cm","G0456","HCPCS","Both",,,"82","41","UHC","Medicare Advantage","GO",,"54",,"44.44","30.01","63.55","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY <50cm","G0456","HCPCS","Both",,,"82","41","Clover","Medicare Advantage","GO",,"54",,"44.44","30.01","63.55","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY <50cm","G0456","HCPCS","Both",,,"82","41","Wellcare","Medicare Advantage","GO",,"54",,"44.44","30.01","63.55","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY <50cm","G0456","HCPCS","Both",,,"82","41","Amerigroup","Medicaid Managed Care","GO",,"37",,"30.01","30.01","63.55","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY <50cm","G0456","HCPCS","Both",,,"82","41","Caresource","Medicaid Managed Care","GO",,"40",,"32.8","30.01","63.55","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY <50cm","G0456","HCPCS","Both",,,"82","41","Wellcare","Medicaid Managed Care","GO",,"40",,"33.21","30.01","63.55","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY <50cm","G0456","HCPCS","Both",,,"82","41","Aetna","Commercial","GO",,"64",,"52.32","30.01","63.55","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY <50cm","G0456","HCPCS","Both",,,"82","41","Blue Cross Blue Shield","Pathways","GO",,"71",,"57.89","30.01","63.55","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY <50cm","G0456","HCPCS","Both",,,"82","41","Blue Cross Blue Shield","HMO","GO",,"71",,"57.89","30.01","63.55","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY <50cm","G0456","HCPCS","Both",,,"82","41","Blue Cross Blue Shield","PPO","GO",,"71",,"57.89","30.01","63.55","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY <50cm","G0456","HCPCS","Both",,,"82","41","Ambetter","Health Exchange","GO",,"62",,"50.84","30.01","63.55","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY <50cm","G0456","HCPCS","Both",,,"82","41","Caresource","Health Exchange","GO",,"62",,"50.84","30.01","63.55","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY <50cm","G0456","HCPCS","Both",,,"82","41","Cigna","Commercial","GO",,"59",,"48.05","30.01","63.55","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY <50cm","G0456","HCPCS","Both",,,"82","41","Humana","Commercial","GO",,"78",,"63.55","30.01","63.55","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY <50cm","G0456","HCPCS","Both",,,"82","41","UHC","Commercial","GO",,"75",,"61.83","30.01","63.55","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY <50cm","G0456","HCPCS","Both",,,"82","41","Medicaid",,"GO",,"37",,"30.01","30.01","63.55","percent of total billed charges",,
"OT NEGATIVE PRESSURE WOUND THERAPY PUMP","E2402","HCPCS","Both",,,"131","65.5","Alliant","Health Exchange","GO",,"62",,"81.22","47.95","101.52","percent of total billed charges",,
"OT NEGATIVE PRESSURE WOUND THERAPY PUMP","E2402","HCPCS","Both",,,"131","65.5","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"70.74","47.95","101.52","percent of total billed charges",,
"OT NEGATIVE PRESSURE WOUND THERAPY PUMP","E2402","HCPCS","Both",,,"131","65.5","Medicare",,"GO",,"54",,"71","47.95","101.52","percent of total billed charges",,
"OT NEGATIVE PRESSURE WOUND THERAPY PUMP","E2402","HCPCS","Both",,,"131","65.5","Humana","Medicare Advantage","GO",,"54",,"71","47.95","101.52","percent of total billed charges",,
"OT NEGATIVE PRESSURE WOUND THERAPY PUMP","E2402","HCPCS","Both",,,"131","65.5","UHC","Medicare Advantage","GO",,"54",,"71","47.95","101.52","percent of total billed charges",,
"OT NEGATIVE PRESSURE WOUND THERAPY PUMP","E2402","HCPCS","Both",,,"131","65.5","Clover","Medicare Advantage","GO",,"54",,"71","47.95","101.52","percent of total billed charges",,
"OT NEGATIVE PRESSURE WOUND THERAPY PUMP","E2402","HCPCS","Both",,,"131","65.5","Wellcare","Medicare Advantage","GO",,"54",,"71","47.95","101.52","percent of total billed charges",,
"OT NEGATIVE PRESSURE WOUND THERAPY PUMP","E2402","HCPCS","Both",,,"131","65.5","Amerigroup","Medicaid Managed Care","GO",,"37",,"47.95","47.95","101.52","percent of total billed charges",,
"OT NEGATIVE PRESSURE WOUND THERAPY PUMP","E2402","HCPCS","Both",,,"131","65.5","Caresource","Medicaid Managed Care","GO",,"40",,"52.4","47.95","101.52","percent of total billed charges",,
"OT NEGATIVE PRESSURE WOUND THERAPY PUMP","E2402","HCPCS","Both",,,"131","65.5","Wellcare","Medicaid Managed Care","GO",,"40",,"53.06","47.95","101.52","percent of total billed charges",,
"OT NEGATIVE PRESSURE WOUND THERAPY PUMP","E2402","HCPCS","Both",,,"131","65.5","Aetna","Commercial","GO",,"64",,"83.58","47.95","101.52","percent of total billed charges",,
"OT NEGATIVE PRESSURE WOUND THERAPY PUMP","E2402","HCPCS","Both",,,"131","65.5","Blue Cross Blue Shield","Pathways","GO",,"71",,"92.49","47.95","101.52","percent of total billed charges",,
"OT NEGATIVE PRESSURE WOUND THERAPY PUMP","E2402","HCPCS","Both",,,"131","65.5","Blue Cross Blue Shield","HMO","GO",,"71",,"92.49","47.95","101.52","percent of total billed charges",,
"OT NEGATIVE PRESSURE WOUND THERAPY PUMP","E2402","HCPCS","Both",,,"131","65.5","Blue Cross Blue Shield","PPO","GO",,"71",,"92.49","47.95","101.52","percent of total billed charges",,
"OT NEGATIVE PRESSURE WOUND THERAPY PUMP","E2402","HCPCS","Both",,,"131","65.5","Ambetter","Health Exchange","GO",,"62",,"81.22","47.95","101.52","percent of total billed charges",,
"OT NEGATIVE PRESSURE WOUND THERAPY PUMP","E2402","HCPCS","Both",,,"131","65.5","Caresource","Health Exchange","GO",,"62",,"81.22","47.95","101.52","percent of total billed charges",,
"OT NEGATIVE PRESSURE WOUND THERAPY PUMP","E2402","HCPCS","Both",,,"131","65.5","Cigna","Commercial","GO",,"59",,"76.77","47.95","101.52","percent of total billed charges",,
"OT NEGATIVE PRESSURE WOUND THERAPY PUMP","E2402","HCPCS","Both",,,"131","65.5","Humana","Commercial","GO",,"78",,"101.52","47.95","101.52","percent of total billed charges",,
"OT NEGATIVE PRESSURE WOUND THERAPY PUMP","E2402","HCPCS","Both",,,"131","65.5","UHC","Commercial","GO",,"75",,"98.77","47.95","101.52","percent of total billed charges",,
"OT NEGATIVE PRESSURE WOUND THERAPY PUMP","E2402","HCPCS","Both",,,"131","65.5","Medicaid",,"GO",,"37",,"47.95","47.95","101.52","percent of total billed charges",,
"OT APPLICATION MULTI-LAYER VENOUS WOU","29581","HCPCS","Both",,,"99","49.5","Alliant","Health Exchange","GO",,"62",,"61.38","36.23","76.73","percent of total billed charges",,
"OT APPLICATION MULTI-LAYER VENOUS WOU","29581","HCPCS","Both",,,"99","49.5","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"53.46","36.23","76.73","percent of total billed charges",,
"OT APPLICATION MULTI-LAYER VENOUS WOU","29581","HCPCS","Both",,,"99","49.5","Medicare",,"GO",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"OT APPLICATION MULTI-LAYER VENOUS WOU","29581","HCPCS","Both",,,"99","49.5","Humana","Medicare Advantage","GO",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"OT APPLICATION MULTI-LAYER VENOUS WOU","29581","HCPCS","Both",,,"99","49.5","UHC","Medicare Advantage","GO",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"OT APPLICATION MULTI-LAYER VENOUS WOU","29581","HCPCS","Both",,,"99","49.5","Clover","Medicare Advantage","GO",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"OT APPLICATION MULTI-LAYER VENOUS WOU","29581","HCPCS","Both",,,"99","49.5","Wellcare","Medicare Advantage","GO",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"OT APPLICATION MULTI-LAYER VENOUS WOU","29581","HCPCS","Both",,,"99","49.5","Amerigroup","Medicaid Managed Care","GO",,"37",,"36.23","36.23","76.73","percent of total billed charges",,
"OT APPLICATION MULTI-LAYER VENOUS WOU","29581","HCPCS","Both",,,"99","49.5","Caresource","Medicaid Managed Care","GO",,"40",,"39.6","36.23","76.73","percent of total billed charges",,
"OT APPLICATION MULTI-LAYER VENOUS WOU","29581","HCPCS","Both",,,"99","49.5","Wellcare","Medicaid Managed Care","GO",,"40",,"40.1","36.23","76.73","percent of total billed charges",,
"OT APPLICATION MULTI-LAYER VENOUS WOU","29581","HCPCS","Both",,,"99","49.5","Aetna","Commercial","GO",,"64",,"63.16","36.23","76.73","percent of total billed charges",,
"OT APPLICATION MULTI-LAYER VENOUS WOU","29581","HCPCS","Both",,,"99","49.5","Blue Cross Blue Shield","Pathways","GO",,"71",,"69.89","36.23","76.73","percent of total billed charges",,
"OT APPLICATION MULTI-LAYER VENOUS WOU","29581","HCPCS","Both",,,"99","49.5","Blue Cross Blue Shield","HMO","GO",,"71",,"69.89","36.23","76.73","percent of total billed charges",,
"OT APPLICATION MULTI-LAYER VENOUS WOU","29581","HCPCS","Both",,,"99","49.5","Blue Cross Blue Shield","PPO","GO",,"71",,"69.89","36.23","76.73","percent of total billed charges",,
"OT APPLICATION MULTI-LAYER VENOUS WOU","29581","HCPCS","Both",,,"99","49.5","Ambetter","Health Exchange","GO",,"62",,"61.38","36.23","76.73","percent of total billed charges",,
"OT APPLICATION MULTI-LAYER VENOUS WOU","29581","HCPCS","Both",,,"99","49.5","Caresource","Health Exchange","GO",,"62",,"61.38","36.23","76.73","percent of total billed charges",,
"OT APPLICATION MULTI-LAYER VENOUS WOU","29581","HCPCS","Both",,,"99","49.5","Cigna","Commercial","GO",,"59",,"58.01","36.23","76.73","percent of total billed charges",,
"OT APPLICATION MULTI-LAYER VENOUS WOU","29581","HCPCS","Both",,,"99","49.5","Humana","Commercial","GO",,"78",,"76.73","36.23","76.73","percent of total billed charges",,
"OT APPLICATION MULTI-LAYER VENOUS WOU","29581","HCPCS","Both",,,"99","49.5","UHC","Commercial","GO",,"75",,"74.65","36.23","76.73","percent of total billed charges",,
"OT APPLICATION MULTI-LAYER VENOUS WOU","29581","HCPCS","Both",,,"99","49.5","Medicaid",,"GO",,"37",,"36.23","36.23","76.73","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Alliant","Health Exchange","GO",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Medicare",,"GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Humana","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","UHC","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Clover","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care","GO",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care","GO",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care","GO",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Aetna","Commercial","GO",,"64",,"0.32","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways","GO",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO","GO",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO","GO",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Ambetter","Health Exchange","GO",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Caresource","Health Exchange","GO",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Cigna","Commercial","GO",,"59",,"0.29","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Humana","Commercial","GO",,"78",,"0.39","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","UHC","Commercial","GO",,"75",,"0.38","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Medicaid",,"GO",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Alliant","Health Exchange","GO",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Medicare",,"GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Humana","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","UHC","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Clover","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care","GO",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care","GO",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care","GO",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Aetna","Commercial","GO",,"64",,"0.32","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways","GO",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO","GO",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO","GO",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Ambetter","Health Exchange","GO",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Caresource","Health Exchange","GO",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Cigna","Commercial","GO",,"59",,"0.29","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Humana","Commercial","GO",,"78",,"0.39","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","UHC","Commercial","GO",,"75",,"0.38","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Medicaid",,"GO",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Medicare",,"GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Medicaid",,"GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Medicare",,"GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Medicaid",,"GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Medicare",,"GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Medicaid",,"GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Medicare",,"GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Medicaid",,"GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Medicare",,"GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Medicaid",,"GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Alliant","Health Exchange","GO",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Medicare",,"GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Humana","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","UHC","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Clover","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care","GO",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care","GO",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care","GO",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Aetna","Commercial","GO",,"64",,"0.32","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways","GO",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO","GO",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO","GO",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Ambetter","Health Exchange","GO",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Caresource","Health Exchange","GO",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Cigna","Commercial","GO",,"59",,"0.29","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Humana","Commercial","GO",,"78",,"0.39","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","UHC","Commercial","GO",,"75",,"0.38","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Medicaid",,"GO",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Medicare",,"GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Medicaid",,"GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT APP MULTI-LAYER COMPRESSION UPPER EXT","29584","HCPCS","Both",,,"99","49.5","Alliant","Health Exchange","GO",,"62",,"61.38","36.23","76.73","percent of total billed charges",,
"OT APP MULTI-LAYER COMPRESSION UPPER EXT","29584","HCPCS","Both",,,"99","49.5","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"53.46","36.23","76.73","percent of total billed charges",,
"OT APP MULTI-LAYER COMPRESSION UPPER EXT","29584","HCPCS","Both",,,"99","49.5","Medicare",,"GO",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"OT APP MULTI-LAYER COMPRESSION UPPER EXT","29584","HCPCS","Both",,,"99","49.5","Humana","Medicare Advantage","GO",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"OT APP MULTI-LAYER COMPRESSION UPPER EXT","29584","HCPCS","Both",,,"99","49.5","UHC","Medicare Advantage","GO",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"OT APP MULTI-LAYER COMPRESSION UPPER EXT","29584","HCPCS","Both",,,"99","49.5","Clover","Medicare Advantage","GO",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"OT APP MULTI-LAYER COMPRESSION UPPER EXT","29584","HCPCS","Both",,,"99","49.5","Wellcare","Medicare Advantage","GO",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"OT APP MULTI-LAYER COMPRESSION UPPER EXT","29584","HCPCS","Both",,,"99","49.5","Amerigroup","Medicaid Managed Care","GO",,"37",,"36.23","36.23","76.73","percent of total billed charges",,
"OT APP MULTI-LAYER COMPRESSION UPPER EXT","29584","HCPCS","Both",,,"99","49.5","Caresource","Medicaid Managed Care","GO",,"40",,"39.6","36.23","76.73","percent of total billed charges",,
"OT APP MULTI-LAYER COMPRESSION UPPER EXT","29584","HCPCS","Both",,,"99","49.5","Wellcare","Medicaid Managed Care","GO",,"40",,"40.1","36.23","76.73","percent of total billed charges",,
"OT APP MULTI-LAYER COMPRESSION UPPER EXT","29584","HCPCS","Both",,,"99","49.5","Aetna","Commercial","GO",,"64",,"63.16","36.23","76.73","percent of total billed charges",,
"OT APP MULTI-LAYER COMPRESSION UPPER EXT","29584","HCPCS","Both",,,"99","49.5","Blue Cross Blue Shield","Pathways","GO",,"71",,"69.89","36.23","76.73","percent of total billed charges",,
"OT APP MULTI-LAYER COMPRESSION UPPER EXT","29584","HCPCS","Both",,,"99","49.5","Blue Cross Blue Shield","HMO","GO",,"71",,"69.89","36.23","76.73","percent of total billed charges",,
"OT APP MULTI-LAYER COMPRESSION UPPER EXT","29584","HCPCS","Both",,,"99","49.5","Blue Cross Blue Shield","PPO","GO",,"71",,"69.89","36.23","76.73","percent of total billed charges",,
"OT APP MULTI-LAYER COMPRESSION UPPER EXT","29584","HCPCS","Both",,,"99","49.5","Ambetter","Health Exchange","GO",,"62",,"61.38","36.23","76.73","percent of total billed charges",,
"OT APP MULTI-LAYER COMPRESSION UPPER EXT","29584","HCPCS","Both",,,"99","49.5","Caresource","Health Exchange","GO",,"62",,"61.38","36.23","76.73","percent of total billed charges",,
"OT APP MULTI-LAYER COMPRESSION UPPER EXT","29584","HCPCS","Both",,,"99","49.5","Cigna","Commercial","GO",,"59",,"58.01","36.23","76.73","percent of total billed charges",,
"OT APP MULTI-LAYER COMPRESSION UPPER EXT","29584","HCPCS","Both",,,"99","49.5","Humana","Commercial","GO",,"78",,"76.73","36.23","76.73","percent of total billed charges",,
"OT APP MULTI-LAYER COMPRESSION UPPER EXT","29584","HCPCS","Both",,,"99","49.5","UHC","Commercial","GO",,"75",,"74.65","36.23","76.73","percent of total billed charges",,
"OT APP MULTI-LAYER COMPRESSION UPPER EXT","29584","HCPCS","Both",,,"99","49.5","Medicaid",,"GO",,"37",,"36.23","36.23","76.73","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT EA ADD'L 20cm","97598","HCPCS","Both",,,"21","10.5","Alliant","Health Exchange","GO",,"62",,"13.02","7.69","16.28","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT EA ADD'L 20cm","97598","HCPCS","Both",,,"21","10.5","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"11.34","7.69","16.28","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT EA ADD'L 20cm","97598","HCPCS","Both",,,"21","10.5","Medicare",,"GO",,"54",,"11.38","7.69","16.28","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT EA ADD'L 20cm","97598","HCPCS","Both",,,"21","10.5","Humana","Medicare Advantage","GO",,"54",,"11.38","7.69","16.28","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT EA ADD'L 20cm","97598","HCPCS","Both",,,"21","10.5","UHC","Medicare Advantage","GO",,"54",,"11.38","7.69","16.28","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT EA ADD'L 20cm","97598","HCPCS","Both",,,"21","10.5","Clover","Medicare Advantage","GO",,"54",,"11.38","7.69","16.28","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT EA ADD'L 20cm","97598","HCPCS","Both",,,"21","10.5","Wellcare","Medicare Advantage","GO",,"54",,"11.38","7.69","16.28","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT EA ADD'L 20cm","97598","HCPCS","Both",,,"21","10.5","Amerigroup","Medicaid Managed Care","GO",,"37",,"7.69","7.69","16.28","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT EA ADD'L 20cm","97598","HCPCS","Both",,,"21","10.5","Caresource","Medicaid Managed Care","GO",,"40",,"8.4","7.69","16.28","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT EA ADD'L 20cm","97598","HCPCS","Both",,,"21","10.5","Wellcare","Medicaid Managed Care","GO",,"40",,"8.51","7.69","16.28","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT EA ADD'L 20cm","97598","HCPCS","Both",,,"21","10.5","Aetna","Commercial","GO",,"64",,"13.4","7.69","16.28","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT EA ADD'L 20cm","97598","HCPCS","Both",,,"21","10.5","Blue Cross Blue Shield","Pathways","GO",,"71",,"14.83","7.69","16.28","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT EA ADD'L 20cm","97598","HCPCS","Both",,,"21","10.5","Blue Cross Blue Shield","HMO","GO",,"71",,"14.83","7.69","16.28","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT EA ADD'L 20cm","97598","HCPCS","Both",,,"21","10.5","Blue Cross Blue Shield","PPO","GO",,"71",,"14.83","7.69","16.28","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT EA ADD'L 20cm","97598","HCPCS","Both",,,"21","10.5","Ambetter","Health Exchange","GO",,"62",,"13.02","7.69","16.28","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT EA ADD'L 20cm","97598","HCPCS","Both",,,"21","10.5","Caresource","Health Exchange","GO",,"62",,"13.02","7.69","16.28","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT EA ADD'L 20cm","97598","HCPCS","Both",,,"21","10.5","Cigna","Commercial","GO",,"59",,"12.31","7.69","16.28","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT EA ADD'L 20cm","97598","HCPCS","Both",,,"21","10.5","Humana","Commercial","GO",,"78",,"16.28","7.69","16.28","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT EA ADD'L 20cm","97598","HCPCS","Both",,,"21","10.5","UHC","Commercial","GO",,"75",,"15.83","7.69","16.28","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT EA ADD'L 20cm","97598","HCPCS","Both",,,"21","10.5","Medicaid",,"GO",,"37",,"7.69","7.69","16.28","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY >50cm","G0457","HCPCS","Both",,,"54","27","Alliant","Health Exchange","GO",,"62",,"33.48","19.76","41.85","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY >50cm","G0457","HCPCS","Both",,,"54","27","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"29.16","19.76","41.85","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY >50cm","G0457","HCPCS","Both",,,"54","27","Medicare",,"GO",,"54",,"29.27","19.76","41.85","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY >50cm","G0457","HCPCS","Both",,,"54","27","Humana","Medicare Advantage","GO",,"54",,"29.27","19.76","41.85","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY >50cm","G0457","HCPCS","Both",,,"54","27","UHC","Medicare Advantage","GO",,"54",,"29.27","19.76","41.85","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY >50cm","G0457","HCPCS","Both",,,"54","27","Clover","Medicare Advantage","GO",,"54",,"29.27","19.76","41.85","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY >50cm","G0457","HCPCS","Both",,,"54","27","Wellcare","Medicare Advantage","GO",,"54",,"29.27","19.76","41.85","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY >50cm","G0457","HCPCS","Both",,,"54","27","Amerigroup","Medicaid Managed Care","GO",,"37",,"19.76","19.76","41.85","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY >50cm","G0457","HCPCS","Both",,,"54","27","Caresource","Medicaid Managed Care","GO",,"40",,"21.6","19.76","41.85","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY >50cm","G0457","HCPCS","Both",,,"54","27","Wellcare","Medicaid Managed Care","GO",,"40",,"21.87","19.76","41.85","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY >50cm","G0457","HCPCS","Both",,,"54","27","Aetna","Commercial","GO",,"64",,"34.45","19.76","41.85","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY >50cm","G0457","HCPCS","Both",,,"54","27","Blue Cross Blue Shield","Pathways","GO",,"71",,"38.12","19.76","41.85","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY >50cm","G0457","HCPCS","Both",,,"54","27","Blue Cross Blue Shield","HMO","GO",,"71",,"38.12","19.76","41.85","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY >50cm","G0457","HCPCS","Both",,,"54","27","Blue Cross Blue Shield","PPO","GO",,"71",,"38.12","19.76","41.85","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY >50cm","G0457","HCPCS","Both",,,"54","27","Ambetter","Health Exchange","GO",,"62",,"33.48","19.76","41.85","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY >50cm","G0457","HCPCS","Both",,,"54","27","Caresource","Health Exchange","GO",,"62",,"33.48","19.76","41.85","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY >50cm","G0457","HCPCS","Both",,,"54","27","Cigna","Commercial","GO",,"59",,"31.64","19.76","41.85","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY >50cm","G0457","HCPCS","Both",,,"54","27","Humana","Commercial","GO",,"78",,"41.85","19.76","41.85","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY >50cm","G0457","HCPCS","Both",,,"54","27","UHC","Commercial","GO",,"75",,"40.72","19.76","41.85","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY >50cm","G0457","HCPCS","Both",,,"54","27","Medicaid",,"GO",,"37",,"19.76","19.76","41.85","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Alliant","Health Exchange","GO",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Medicare",,"GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Humana","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","UHC","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Clover","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care","GO",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care","GO",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care","GO",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Aetna","Commercial","GO",,"64",,"0.32","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways","GO",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO","GO",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO","GO",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Ambetter","Health Exchange","GO",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Caresource","Health Exchange","GO",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Cigna","Commercial","GO",,"59",,"0.29","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Humana","Commercial","GO",,"78",,"0.39","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","UHC","Commercial","GO",,"75",,"0.38","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Medicaid",,"GO",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Alliant","Health Exchange","GO",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Medicare",,"GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Humana","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","UHC","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Clover","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care","GO",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care","GO",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care","GO",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Aetna","Commercial","GO",,"64",,"0.32","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways","GO",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO","GO",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO","GO",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Ambetter","Health Exchange","GO",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Caresource","Health Exchange","GO",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Cigna","Commercial","GO",,"59",,"0.29","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Humana","Commercial","GO",,"78",,"0.39","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","UHC","Commercial","GO",,"75",,"0.38","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Medicaid",,"GO",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Medicare",,"GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Medicaid",,"GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Medicare",,"GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Medicaid",,"GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","G0",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","G0",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Medicare",,"G0",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","G0",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","G0",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","G0",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","G0",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","G0",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","G0",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","G0",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Aetna","Commercial","G0",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","G0",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","G0",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","G0",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","G0",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","G0",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Cigna","Commercial","G0",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Humana","Commercial","G0",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","UHC","Commercial","G0",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Medicaid",,"G0",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Medicare",,"GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Medicaid",,"GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Medicare",,"GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Medicaid",,"GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Medicare",,"GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Medicaid",,"GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Medicare",,"GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Medicaid",,"GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Medicare",,"GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Medicaid",,"GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Medicare",,"GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Medicaid",,"GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Medicare",,"GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Medicaid",,"GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Medicare",,"GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Medicaid",,"GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Medicare",,"GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Medicaid",,"GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT WFHO (wrist forearm hand orthosis)","L3808","HCPCS","Both",,,"614","307","Alliant","Health Exchange","",,"62",,"380.68","224.72","475.85","percent of total billed charges",,
"OT WFHO (wrist forearm hand orthosis)","L3808","HCPCS","Both",,,"614","307","Pruitt Healthcare","Medicare Advantage","",,"54",,"331.56","224.72","475.85","percent of total billed charges",,
"OT WFHO (wrist forearm hand orthosis)","L3808","HCPCS","Both",,,"614","307","Medicare",,"",,"54",,"332.79","224.72","475.85","percent of total billed charges",,
"OT WFHO (wrist forearm hand orthosis)","L3808","HCPCS","Both",,,"614","307","Humana","Medicare Advantage","",,"54",,"332.79","224.72","475.85","percent of total billed charges",,
"OT WFHO (wrist forearm hand orthosis)","L3808","HCPCS","Both",,,"614","307","UHC","Medicare Advantage","",,"54",,"332.79","224.72","475.85","percent of total billed charges",,
"OT WFHO (wrist forearm hand orthosis)","L3808","HCPCS","Both",,,"614","307","Clover","Medicare Advantage","",,"54",,"332.79","224.72","475.85","percent of total billed charges",,
"OT WFHO (wrist forearm hand orthosis)","L3808","HCPCS","Both",,,"614","307","Wellcare","Medicare Advantage","",,"54",,"332.79","224.72","475.85","percent of total billed charges",,
"OT WFHO (wrist forearm hand orthosis)","L3808","HCPCS","Both",,,"614","307","Amerigroup","Medicaid Managed Care","",,"37",,"224.72","224.72","475.85","percent of total billed charges",,
"OT WFHO (wrist forearm hand orthosis)","L3808","HCPCS","Both",,,"614","307","Caresource","Medicaid Managed Care","",,"40",,"245.6","224.72","475.85","percent of total billed charges",,
"OT WFHO (wrist forearm hand orthosis)","L3808","HCPCS","Both",,,"614","307","Wellcare","Medicaid Managed Care","",,"40",,"248.67","224.72","475.85","percent of total billed charges",,
"OT WFHO (wrist forearm hand orthosis)","L3808","HCPCS","Both",,,"614","307","Aetna","Commercial","",,"64",,"391.73","224.72","475.85","percent of total billed charges",,
"OT WFHO (wrist forearm hand orthosis)","L3808","HCPCS","Both",,,"614","307","Blue Cross Blue Shield","Pathways","",,"71",,"433.48","224.72","475.85","percent of total billed charges",,
"OT WFHO (wrist forearm hand orthosis)","L3808","HCPCS","Both",,,"614","307","Blue Cross Blue Shield","HMO","",,"71",,"433.48","224.72","475.85","percent of total billed charges",,
"OT WFHO (wrist forearm hand orthosis)","L3808","HCPCS","Both",,,"614","307","Blue Cross Blue Shield","PPO","",,"71",,"433.48","224.72","475.85","percent of total billed charges",,
"OT WFHO (wrist forearm hand orthosis)","L3808","HCPCS","Both",,,"614","307","Ambetter","Health Exchange","",,"62",,"380.68","224.72","475.85","percent of total billed charges",,
"OT WFHO (wrist forearm hand orthosis)","L3808","HCPCS","Both",,,"614","307","Caresource","Health Exchange","",,"62",,"380.68","224.72","475.85","percent of total billed charges",,
"OT WFHO (wrist forearm hand orthosis)","L3808","HCPCS","Both",,,"614","307","Cigna","Commercial","",,"59",,"359.8","224.72","475.85","percent of total billed charges",,
"OT WFHO (wrist forearm hand orthosis)","L3808","HCPCS","Both",,,"614","307","Humana","Commercial","",,"78",,"475.85","224.72","475.85","percent of total billed charges",,
"OT WFHO (wrist forearm hand orthosis)","L3808","HCPCS","Both",,,"614","307","UHC","Commercial","",,"75",,"462.96","224.72","475.85","percent of total billed charges",,
"OT WFHO (wrist forearm hand orthosis)","L3808","HCPCS","Both",,,"614","307","Medicaid",,"",,"37",,"224.72","224.72","475.85","percent of total billed charges",,
"OT CIS EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"391.5","195.75","Alliant","Health Exchange","GO,HA",,"62",,"242.73","137.56","303.41","percent of total billed charges",,
"OT CIS EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"391.5","195.75","Pruitt Healthcare","Medicare Advantage","GO,HA",,"54",,"211.41","137.56","303.41","percent of total billed charges",,
"OT CIS EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"391.5","195.75","Medicare",,"GO,HA",,"54",,"212.19","137.56","303.41","percent of total billed charges",,
"OT CIS EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"391.5","195.75","Humana","Medicare Advantage","GO,HA",,"54",,"212.19","137.56","303.41","percent of total billed charges",,
"OT CIS EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"391.5","195.75","UHC","Medicare Advantage","GO,HA",,"54",,"212.19","137.56","303.41","percent of total billed charges",,
"OT CIS EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"391.5","195.75","Clover","Medicare Advantage","GO,HA",,"54",,"212.19","137.56","303.41","percent of total billed charges",,
"OT CIS EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"391.5","195.75","Wellcare","Medicare Advantage","GO,HA",,"54",,"212.19","137.56","303.41","percent of total billed charges",,
"OT CIS EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"391.5","195.75","Amerigroup","Medicaid Managed Care","GO,HA",,"37",,"143.29","137.56","303.41","percent of total billed charges",,
"OT CIS EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"391.5","195.75","Caresource","Medicaid Managed Care","GO,HA",,"40",,"156.6","137.56","303.41","percent of total billed charges",,
"OT CIS EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"391.5","195.75","Wellcare","Medicaid Managed Care","GO,HA",,"40",,"158.56","137.56","303.41","percent of total billed charges",,
"OT CIS EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"391.5","195.75","Aetna","Commercial","GO,HA",,"64",,"249.78","137.56","303.41","percent of total billed charges",,
"OT CIS EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"391.5","195.75","Blue Cross Blue Shield","Pathways","GO,HA",,"71",,"276.4","137.56","303.41","percent of total billed charges",,
"OT CIS EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"391.5","195.75","Blue Cross Blue Shield","HMO","GO,HA",,"71",,"276.4","137.56","303.41","percent of total billed charges",,
"OT CIS EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"391.5","195.75","Blue Cross Blue Shield","PPO","GO,HA",,"71",,"276.4","137.56","303.41","percent of total billed charges",,
"OT CIS EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"391.5","195.75","Ambetter","Health Exchange","GO,HA",,"62",,"242.73","137.56","303.41","percent of total billed charges",,
"OT CIS EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"391.5","195.75","Caresource","Health Exchange","GO,HA",,"62",,"242.73","137.56","303.41","percent of total billed charges",,
"OT CIS EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"391.5","195.75","Cigna","Commercial","GO,HA",,"59",,"229.42","137.56","303.41","percent of total billed charges",,
"OT CIS EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"391.5","195.75","Humana","Commercial","GO,HA",,"78",,"303.41","137.56","303.41","percent of total billed charges",,
"OT CIS EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"391.5","195.75","UHC","Commercial","GO,HA",,"75",,"295.19","137.56","303.41","percent of total billed charges",,
"OT CIS EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"391.5","195.75","Medicaid",,"GO,HA",,"37",,"143.29","137.56","303.41","percent of total billed charges",,
"OT CIS EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Alliant","Health Exchange","HA",,"62",,"57.97","34.22","72.46","percent of total billed charges",,
"OT CIS EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Pruitt Healthcare","Medicare Advantage","HA",,"54",,"50.49","34.22","72.46","percent of total billed charges",,
"OT CIS EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Medicare",,"HA",,"54",,"50.68","34.22","72.46","percent of total billed charges",,
"OT CIS EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Humana","Medicare Advantage","HA",,"54",,"50.68","34.22","72.46","percent of total billed charges",,
"OT CIS EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","UHC","Medicare Advantage","HA",,"54",,"50.68","34.22","72.46","percent of total billed charges",,
"OT CIS EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Clover","Medicare Advantage","HA",,"54",,"50.68","34.22","72.46","percent of total billed charges",,
"OT CIS EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Wellcare","Medicare Advantage","HA",,"54",,"50.68","34.22","72.46","percent of total billed charges",,
"OT CIS EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Amerigroup","Medicaid Managed Care","HA",,"37",,"34.22","34.22","72.46","percent of total billed charges",,
"OT CIS EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Caresource","Medicaid Managed Care","HA",,"40",,"37.4","34.22","72.46","percent of total billed charges",,
"OT CIS EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Wellcare","Medicaid Managed Care","HA",,"40",,"37.87","34.22","72.46","percent of total billed charges",,
"OT CIS EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Aetna","Commercial","HA",,"64",,"59.65","34.22","72.46","percent of total billed charges",,
"OT CIS EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Blue Cross Blue Shield","Pathways","HA",,"71",,"66.01","34.22","72.46","percent of total billed charges",,
"OT CIS EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Blue Cross Blue Shield","HMO","HA",,"71",,"66.01","34.22","72.46","percent of total billed charges",,
"OT CIS EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Blue Cross Blue Shield","PPO","HA",,"71",,"66.01","34.22","72.46","percent of total billed charges",,
"OT CIS EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Ambetter","Health Exchange","HA",,"62",,"57.97","34.22","72.46","percent of total billed charges",,
"OT CIS EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Caresource","Health Exchange","HA",,"62",,"57.97","34.22","72.46","percent of total billed charges",,
"OT CIS EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Cigna","Commercial","HA",,"59",,"54.79","34.22","72.46","percent of total billed charges",,
"OT CIS EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Humana","Commercial","HA",,"78",,"72.46","34.22","72.46","percent of total billed charges",,
"OT CIS EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","UHC","Commercial","HA",,"75",,"70.5","34.22","72.46","percent of total billed charges",,
"OT CIS EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Medicaid",,"HA",,"37",,"34.22","34.22","72.46","percent of total billed charges",,
"OT CIS EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Alliant","Health Exchange","HA",,"62",,"68.51","40.44","85.64","percent of total billed charges",,
"OT CIS EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Pruitt Healthcare","Medicare Advantage","HA",,"54",,"59.67","40.44","85.64","percent of total billed charges",,
"OT CIS EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Medicare",,"HA",,"54",,"59.89","40.44","85.64","percent of total billed charges",,
"OT CIS EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Humana","Medicare Advantage","HA",,"54",,"59.89","40.44","85.64","percent of total billed charges",,
"OT CIS EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","UHC","Medicare Advantage","HA",,"54",,"59.89","40.44","85.64","percent of total billed charges",,
"OT CIS EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Clover","Medicare Advantage","HA",,"54",,"59.89","40.44","85.64","percent of total billed charges",,
"OT CIS EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Wellcare","Medicare Advantage","HA",,"54",,"59.89","40.44","85.64","percent of total billed charges",,
"OT CIS EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Amerigroup","Medicaid Managed Care","HA",,"37",,"40.44","40.44","85.64","percent of total billed charges",,
"OT CIS EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Caresource","Medicaid Managed Care","HA",,"40",,"44.2","40.44","85.64","percent of total billed charges",,
"OT CIS EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Wellcare","Medicaid Managed Care","HA",,"40",,"44.75","40.44","85.64","percent of total billed charges",,
"OT CIS EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Aetna","Commercial","HA",,"64",,"70.5","40.44","85.64","percent of total billed charges",,
"OT CIS EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Blue Cross Blue Shield","Pathways","HA",,"71",,"78.01","40.44","85.64","percent of total billed charges",,
"OT CIS EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Blue Cross Blue Shield","HMO","HA",,"71",,"78.01","40.44","85.64","percent of total billed charges",,
"OT CIS EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Blue Cross Blue Shield","PPO","HA",,"71",,"78.01","40.44","85.64","percent of total billed charges",,
"OT CIS EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Ambetter","Health Exchange","HA",,"62",,"68.51","40.44","85.64","percent of total billed charges",,
"OT CIS EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Caresource","Health Exchange","HA",,"62",,"68.51","40.44","85.64","percent of total billed charges",,
"OT CIS EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Cigna","Commercial","HA",,"59",,"64.75","40.44","85.64","percent of total billed charges",,
"OT CIS EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Humana","Commercial","HA",,"78",,"85.64","40.44","85.64","percent of total billed charges",,
"OT CIS EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","UHC","Commercial","HA",,"75",,"83.32","40.44","85.64","percent of total billed charges",,
"OT CIS EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Medicaid",,"HA",,"37",,"40.44","40.44","85.64","percent of total billed charges",,
"OT EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"375.84","187.92","Alliant","Health Exchange","GO",,"62",,"233.02","137.56","303.41","percent of total billed charges",,
"OT EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"375.84","187.92","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"202.95","137.56","303.41","percent of total billed charges",,
"OT EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"375.84","187.92","Medicare",,"GO",,"54",,"203.71","137.56","303.41","percent of total billed charges",,
"OT EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"375.84","187.92","Humana","Medicare Advantage","GO",,"54",,"203.71","137.56","303.41","percent of total billed charges",,
"OT EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"375.84","187.92","UHC","Medicare Advantage","GO",,"54",,"203.71","137.56","303.41","percent of total billed charges",,
"OT EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"375.84","187.92","Clover","Medicare Advantage","GO",,"54",,"203.71","137.56","303.41","percent of total billed charges",,
"OT EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"375.84","187.92","Wellcare","Medicare Advantage","GO",,"54",,"203.71","137.56","303.41","percent of total billed charges",,
"OT EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"375.84","187.92","Amerigroup","Medicaid Managed Care","GO",,"37",,"137.56","137.56","303.41","percent of total billed charges",,
"OT EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"375.84","187.92","Caresource","Medicaid Managed Care","GO",,"40",,"150.34","137.56","303.41","percent of total billed charges",,
"OT EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"375.84","187.92","Wellcare","Medicaid Managed Care","GO",,"40",,"152.22","137.56","303.41","percent of total billed charges",,
"OT EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"375.84","187.92","Aetna","Commercial","GO",,"64",,"239.79","137.56","303.41","percent of total billed charges",,
"OT EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"375.84","187.92","Blue Cross Blue Shield","Pathways","GO",,"71",,"265.34","137.56","303.41","percent of total billed charges",,
"OT EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"375.84","187.92","Blue Cross Blue Shield","HMO","GO",,"71",,"265.34","137.56","303.41","percent of total billed charges",,
"OT EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"375.84","187.92","Blue Cross Blue Shield","PPO","GO",,"71",,"265.34","137.56","303.41","percent of total billed charges",,
"OT EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"375.84","187.92","Ambetter","Health Exchange","GO",,"62",,"233.02","137.56","303.41","percent of total billed charges",,
"OT EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"375.84","187.92","Caresource","Health Exchange","GO",,"62",,"233.02","137.56","303.41","percent of total billed charges",,
"OT EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"375.84","187.92","Cigna","Commercial","GO",,"59",,"220.24","137.56","303.41","percent of total billed charges",,
"OT EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"375.84","187.92","Humana","Commercial","GO",,"78",,"291.28","137.56","303.41","percent of total billed charges",,
"OT EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"375.84","187.92","UHC","Commercial","GO",,"75",,"283.38","137.56","303.41","percent of total billed charges",,
"OT EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"375.84","187.92","Medicaid",,"GO",,"37",,"137.56","137.56","303.41","percent of total billed charges",,
"OT EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Alliant","Health Exchange","GO",,"62",,"57.97","34.22","72.46","percent of total billed charges",,
"OT EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"50.49","34.22","72.46","percent of total billed charges",,
"OT EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Medicare",,"GO",,"54",,"50.68","34.22","72.46","percent of total billed charges",,
"OT EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Humana","Medicare Advantage","GO",,"54",,"50.68","34.22","72.46","percent of total billed charges",,
"OT EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","UHC","Medicare Advantage","GO",,"54",,"50.68","34.22","72.46","percent of total billed charges",,
"OT EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Clover","Medicare Advantage","GO",,"54",,"50.68","34.22","72.46","percent of total billed charges",,
"OT EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Wellcare","Medicare Advantage","GO",,"54",,"50.68","34.22","72.46","percent of total billed charges",,
"OT EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Amerigroup","Medicaid Managed Care","GO",,"37",,"34.22","34.22","72.46","percent of total billed charges",,
"OT EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Caresource","Medicaid Managed Care","GO",,"40",,"37.4","34.22","72.46","percent of total billed charges",,
"OT EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Wellcare","Medicaid Managed Care","GO",,"40",,"37.87","34.22","72.46","percent of total billed charges",,
"OT EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Aetna","Commercial","GO",,"64",,"59.65","34.22","72.46","percent of total billed charges",,
"OT EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Blue Cross Blue Shield","Pathways","GO",,"71",,"66.01","34.22","72.46","percent of total billed charges",,
"OT EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Blue Cross Blue Shield","HMO","GO",,"71",,"66.01","34.22","72.46","percent of total billed charges",,
"OT EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Blue Cross Blue Shield","PPO","GO",,"71",,"66.01","34.22","72.46","percent of total billed charges",,
"OT EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Ambetter","Health Exchange","GO",,"62",,"57.97","34.22","72.46","percent of total billed charges",,
"OT EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Caresource","Health Exchange","GO",,"62",,"57.97","34.22","72.46","percent of total billed charges",,
"OT EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Cigna","Commercial","GO",,"59",,"54.79","34.22","72.46","percent of total billed charges",,
"OT EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Humana","Commercial","GO",,"78",,"72.46","34.22","72.46","percent of total billed charges",,
"OT EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","UHC","Commercial","GO",,"75",,"70.5","34.22","72.46","percent of total billed charges",,
"OT EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Medicaid",,"GO",,"37",,"34.22","34.22","72.46","percent of total billed charges",,
"OT EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Alliant","Health Exchange","GO",,"62",,"68.51","40.44","85.64","percent of total billed charges",,
"OT EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"59.67","40.44","85.64","percent of total billed charges",,
"OT EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Medicare",,"GO",,"54",,"59.89","40.44","85.64","percent of total billed charges",,
"OT EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Humana","Medicare Advantage","GO",,"54",,"59.89","40.44","85.64","percent of total billed charges",,
"OT EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","UHC","Medicare Advantage","GO",,"54",,"59.89","40.44","85.64","percent of total billed charges",,
"OT EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Clover","Medicare Advantage","GO",,"54",,"59.89","40.44","85.64","percent of total billed charges",,
"OT EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Wellcare","Medicare Advantage","GO",,"54",,"59.89","40.44","85.64","percent of total billed charges",,
"OT EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Amerigroup","Medicaid Managed Care","GO",,"37",,"40.44","40.44","85.64","percent of total billed charges",,
"OT EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Caresource","Medicaid Managed Care","GO",,"40",,"44.2","40.44","85.64","percent of total billed charges",,
"OT EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Wellcare","Medicaid Managed Care","GO",,"40",,"44.75","40.44","85.64","percent of total billed charges",,
"OT EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Aetna","Commercial","GO",,"64",,"70.5","40.44","85.64","percent of total billed charges",,
"OT EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Blue Cross Blue Shield","Pathways","GO",,"71",,"78.01","40.44","85.64","percent of total billed charges",,
"OT EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Blue Cross Blue Shield","HMO","GO",,"71",,"78.01","40.44","85.64","percent of total billed charges",,
"OT EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Blue Cross Blue Shield","PPO","GO",,"71",,"78.01","40.44","85.64","percent of total billed charges",,
"OT EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Ambetter","Health Exchange","GO",,"62",,"68.51","40.44","85.64","percent of total billed charges",,
"OT EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Caresource","Health Exchange","GO",,"62",,"68.51","40.44","85.64","percent of total billed charges",,
"OT EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Cigna","Commercial","GO",,"59",,"64.75","40.44","85.64","percent of total billed charges",,
"OT EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Humana","Commercial","GO",,"78",,"85.64","40.44","85.64","percent of total billed charges",,
"OT EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","UHC","Commercial","GO",,"75",,"83.32","40.44","85.64","percent of total billed charges",,
"OT EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Medicaid",,"GO",,"37",,"40.44","40.44","85.64","percent of total billed charges",,
"OT RE-EVALUATION","97168","HCPCS","Both",,,"256.5","128.25","Alliant","Health Exchange","GO",,"62",,"159.03","93.88","198.79","percent of total billed charges",,
"OT RE-EVALUATION","97168","HCPCS","Both",,,"256.5","128.25","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"138.51","93.88","198.79","percent of total billed charges",,
"OT RE-EVALUATION","97168","HCPCS","Both",,,"256.5","128.25","Medicare",,"GO",,"54",,"139.02","93.88","198.79","percent of total billed charges",,
"OT RE-EVALUATION","97168","HCPCS","Both",,,"256.5","128.25","Humana","Medicare Advantage","GO",,"54",,"139.02","93.88","198.79","percent of total billed charges",,
"OT RE-EVALUATION","97168","HCPCS","Both",,,"256.5","128.25","UHC","Medicare Advantage","GO",,"54",,"139.02","93.88","198.79","percent of total billed charges",,
"OT RE-EVALUATION","97168","HCPCS","Both",,,"256.5","128.25","Clover","Medicare Advantage","GO",,"54",,"139.02","93.88","198.79","percent of total billed charges",,
"OT RE-EVALUATION","97168","HCPCS","Both",,,"256.5","128.25","Wellcare","Medicare Advantage","GO",,"54",,"139.02","93.88","198.79","percent of total billed charges",,
"OT RE-EVALUATION","97168","HCPCS","Both",,,"256.5","128.25","Amerigroup","Medicaid Managed Care","GO",,"37",,"93.88","93.88","198.79","percent of total billed charges",,
"OT RE-EVALUATION","97168","HCPCS","Both",,,"256.5","128.25","Caresource","Medicaid Managed Care","GO",,"40",,"102.6","93.88","198.79","percent of total billed charges",,
"OT RE-EVALUATION","97168","HCPCS","Both",,,"256.5","128.25","Wellcare","Medicaid Managed Care","GO",,"40",,"103.88","93.88","198.79","percent of total billed charges",,
"OT RE-EVALUATION","97168","HCPCS","Both",,,"256.5","128.25","Aetna","Commercial","GO",,"64",,"163.65","93.88","198.79","percent of total billed charges",,
"OT RE-EVALUATION","97168","HCPCS","Both",,,"256.5","128.25","Blue Cross Blue Shield","Pathways","GO",,"71",,"181.09","93.88","198.79","percent of total billed charges",,
"OT RE-EVALUATION","97168","HCPCS","Both",,,"256.5","128.25","Blue Cross Blue Shield","HMO","GO",,"71",,"181.09","93.88","198.79","percent of total billed charges",,
"OT RE-EVALUATION","97168","HCPCS","Both",,,"256.5","128.25","Blue Cross Blue Shield","PPO","GO",,"71",,"181.09","93.88","198.79","percent of total billed charges",,
"OT RE-EVALUATION","97168","HCPCS","Both",,,"256.5","128.25","Ambetter","Health Exchange","GO",,"62",,"159.03","93.88","198.79","percent of total billed charges",,
"OT RE-EVALUATION","97168","HCPCS","Both",,,"256.5","128.25","Caresource","Health Exchange","GO",,"62",,"159.03","93.88","198.79","percent of total billed charges",,
"OT RE-EVALUATION","97168","HCPCS","Both",,,"256.5","128.25","Cigna","Commercial","GO",,"59",,"150.31","93.88","198.79","percent of total billed charges",,
"OT RE-EVALUATION","97168","HCPCS","Both",,,"256.5","128.25","Humana","Commercial","GO",,"78",,"198.79","93.88","198.79","percent of total billed charges",,
"OT RE-EVALUATION","97168","HCPCS","Both",,,"256.5","128.25","UHC","Commercial","GO",,"75",,"193.4","93.88","198.79","percent of total billed charges",,
"OT RE-EVALUATION","97168","HCPCS","Both",,,"256.5","128.25","Medicaid",,"GO",,"37",,"93.88","93.88","198.79","percent of total billed charges",,
"OT CIS THERAP ACTIV DIRECT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Alliant","Health Exchange","GO,HA",,"62",,"167.59","98.93","209.48","percent of total billed charges",,
"OT CIS THERAP ACTIV DIRECT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Pruitt Healthcare","Medicare Advantage","GO,HA",,"54",,"145.96","98.93","209.48","percent of total billed charges",,
"OT CIS THERAP ACTIV DIRECT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Medicare",,"GO,HA",,"54",,"146.5","98.93","209.48","percent of total billed charges",,
"OT CIS THERAP ACTIV DIRECT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Humana","Medicare Advantage","GO,HA",,"54",,"146.5","98.93","209.48","percent of total billed charges",,
"OT CIS THERAP ACTIV DIRECT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","UHC","Medicare Advantage","GO,HA",,"54",,"146.5","98.93","209.48","percent of total billed charges",,
"OT CIS THERAP ACTIV DIRECT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Clover","Medicare Advantage","GO,HA",,"54",,"146.5","98.93","209.48","percent of total billed charges",,
"OT CIS THERAP ACTIV DIRECT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Wellcare","Medicare Advantage","GO,HA",,"54",,"146.5","98.93","209.48","percent of total billed charges",,
"OT CIS THERAP ACTIV DIRECT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Amerigroup","Medicaid Managed Care","GO,HA",,"37",,"98.93","98.93","209.48","percent of total billed charges",,
"OT CIS THERAP ACTIV DIRECT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Caresource","Medicaid Managed Care","GO,HA",,"40",,"108.12","98.93","209.48","percent of total billed charges",,
"OT CIS THERAP ACTIV DIRECT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Wellcare","Medicaid Managed Care","GO,HA",,"40",,"109.47","98.93","209.48","percent of total billed charges",,
"OT CIS THERAP ACTIV DIRECT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Aetna","Commercial","GO,HA",,"64",,"172.45","98.93","209.48","percent of total billed charges",,
"OT CIS THERAP ACTIV DIRECT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Blue Cross Blue Shield","Pathways","GO,HA",,"71",,"190.83","98.93","209.48","percent of total billed charges",,
"OT CIS THERAP ACTIV DIRECT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Blue Cross Blue Shield","HMO","GO,HA",,"71",,"190.83","98.93","209.48","percent of total billed charges",,
"OT CIS THERAP ACTIV DIRECT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Blue Cross Blue Shield","PPO","GO,HA",,"71",,"190.83","98.93","209.48","percent of total billed charges",,
"OT CIS THERAP ACTIV DIRECT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Ambetter","Health Exchange","GO,HA",,"62",,"167.59","98.93","209.48","percent of total billed charges",,
"OT CIS THERAP ACTIV DIRECT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Caresource","Health Exchange","GO,HA",,"62",,"167.59","98.93","209.48","percent of total billed charges",,
"OT CIS THERAP ACTIV DIRECT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Cigna","Commercial","GO,HA",,"59",,"158.4","98.93","209.48","percent of total billed charges",,
"OT CIS THERAP ACTIV DIRECT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Humana","Commercial","GO,HA",,"78",,"209.48","98.93","209.48","percent of total billed charges",,
"OT CIS THERAP ACTIV DIRECT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","UHC","Commercial","GO,HA",,"75",,"203.81","98.93","209.48","percent of total billed charges",,
"OT CIS THERAP ACTIV DIRECT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Medicaid",,"GO,HA",,"37",,"98.93","98.93","209.48","percent of total billed charges",,
"OT CIS SENSORY INTRGRATIVE TECH 15 MIN","97533","HCPCS","Both",,,"102","51","Alliant","Health Exchange","GO,HA",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"OT CIS SENSORY INTRGRATIVE TECH 15 MIN","97533","HCPCS","Both",,,"102","51","Pruitt Healthcare","Medicare Advantage","GO,HA",,"54",,"55.08","37.33","79.05","percent of total billed charges",,
"OT CIS SENSORY INTRGRATIVE TECH 15 MIN","97533","HCPCS","Both",,,"102","51","Medicare",,"GO,HA",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"OT CIS SENSORY INTRGRATIVE TECH 15 MIN","97533","HCPCS","Both",,,"102","51","Humana","Medicare Advantage","GO,HA",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"OT CIS SENSORY INTRGRATIVE TECH 15 MIN","97533","HCPCS","Both",,,"102","51","UHC","Medicare Advantage","GO,HA",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"OT CIS SENSORY INTRGRATIVE TECH 15 MIN","97533","HCPCS","Both",,,"102","51","Clover","Medicare Advantage","GO,HA",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"OT CIS SENSORY INTRGRATIVE TECH 15 MIN","97533","HCPCS","Both",,,"102","51","Wellcare","Medicare Advantage","GO,HA",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"OT CIS SENSORY INTRGRATIVE TECH 15 MIN","97533","HCPCS","Both",,,"102","51","Amerigroup","Medicaid Managed Care","GO,HA",,"37",,"37.33","37.33","79.05","percent of total billed charges",,
"OT CIS SENSORY INTRGRATIVE TECH 15 MIN","97533","HCPCS","Both",,,"102","51","Caresource","Medicaid Managed Care","GO,HA",,"40",,"40.8","37.33","79.05","percent of total billed charges",,
"OT CIS SENSORY INTRGRATIVE TECH 15 MIN","97533","HCPCS","Both",,,"102","51","Wellcare","Medicaid Managed Care","GO,HA",,"40",,"41.31","37.33","79.05","percent of total billed charges",,
"OT CIS SENSORY INTRGRATIVE TECH 15 MIN","97533","HCPCS","Both",,,"102","51","Aetna","Commercial","GO,HA",,"64",,"65.08","37.33","79.05","percent of total billed charges",,
"OT CIS SENSORY INTRGRATIVE TECH 15 MIN","97533","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","Pathways","GO,HA",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"OT CIS SENSORY INTRGRATIVE TECH 15 MIN","97533","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","HMO","GO,HA",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"OT CIS SENSORY INTRGRATIVE TECH 15 MIN","97533","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","PPO","GO,HA",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"OT CIS SENSORY INTRGRATIVE TECH 15 MIN","97533","HCPCS","Both",,,"102","51","Ambetter","Health Exchange","GO,HA",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"OT CIS SENSORY INTRGRATIVE TECH 15 MIN","97533","HCPCS","Both",,,"102","51","Caresource","Health Exchange","GO,HA",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"OT CIS SENSORY INTRGRATIVE TECH 15 MIN","97533","HCPCS","Both",,,"102","51","Cigna","Commercial","GO,HA",,"59",,"59.77","37.33","79.05","percent of total billed charges",,
"OT CIS SENSORY INTRGRATIVE TECH 15 MIN","97533","HCPCS","Both",,,"102","51","Humana","Commercial","GO,HA",,"78",,"79.05","37.33","79.05","percent of total billed charges",,
"OT CIS SENSORY INTRGRATIVE TECH 15 MIN","97533","HCPCS","Both",,,"102","51","UHC","Commercial","GO,HA",,"75",,"76.91","37.33","79.05","percent of total billed charges",,
"OT CIS SENSORY INTRGRATIVE TECH 15 MIN","97533","HCPCS","Both",,,"102","51","Medicaid",,"GO,HA",,"37",,"37.33","37.33","79.05","percent of total billed charges",,
"OT CIS  ACTIVITIES of DAILY LIVING EA 15","97535","HCPCS","Both",,,"48.5","24.25","Alliant","Health Exchange","HA",,"62",,"30.07","17.75","37.59","percent of total billed charges",,
"OT CIS  ACTIVITIES of DAILY LIVING EA 15","97535","HCPCS","Both",,,"48.5","24.25","Pruitt Healthcare","Medicare Advantage","HA",,"54",,"26.19","17.75","37.59","percent of total billed charges",,
"OT CIS  ACTIVITIES of DAILY LIVING EA 15","97535","HCPCS","Both",,,"48.5","24.25","Medicare",,"HA",,"54",,"26.29","17.75","37.59","percent of total billed charges",,
"OT CIS  ACTIVITIES of DAILY LIVING EA 15","97535","HCPCS","Both",,,"48.5","24.25","Humana","Medicare Advantage","HA",,"54",,"26.29","17.75","37.59","percent of total billed charges",,
"OT CIS  ACTIVITIES of DAILY LIVING EA 15","97535","HCPCS","Both",,,"48.5","24.25","UHC","Medicare Advantage","HA",,"54",,"26.29","17.75","37.59","percent of total billed charges",,
"OT CIS  ACTIVITIES of DAILY LIVING EA 15","97535","HCPCS","Both",,,"48.5","24.25","Clover","Medicare Advantage","HA",,"54",,"26.29","17.75","37.59","percent of total billed charges",,
"OT CIS  ACTIVITIES of DAILY LIVING EA 15","97535","HCPCS","Both",,,"48.5","24.25","Wellcare","Medicare Advantage","HA",,"54",,"26.29","17.75","37.59","percent of total billed charges",,
"OT CIS  ACTIVITIES of DAILY LIVING EA 15","97535","HCPCS","Both",,,"48.5","24.25","Amerigroup","Medicaid Managed Care","HA",,"37",,"17.75","17.75","37.59","percent of total billed charges",,
"OT CIS  ACTIVITIES of DAILY LIVING EA 15","97535","HCPCS","Both",,,"48.5","24.25","Caresource","Medicaid Managed Care","HA",,"40",,"19.4","17.75","37.59","percent of total billed charges",,
"OT CIS  ACTIVITIES of DAILY LIVING EA 15","97535","HCPCS","Both",,,"48.5","24.25","Wellcare","Medicaid Managed Care","HA",,"40",,"19.64","17.75","37.59","percent of total billed charges",,
"OT CIS  ACTIVITIES of DAILY LIVING EA 15","97535","HCPCS","Both",,,"48.5","24.25","Aetna","Commercial","HA",,"64",,"30.94","17.75","37.59","percent of total billed charges",,
"OT CIS  ACTIVITIES of DAILY LIVING EA 15","97535","HCPCS","Both",,,"48.5","24.25","Blue Cross Blue Shield","Pathways","HA",,"71",,"34.24","17.75","37.59","percent of total billed charges",,
"OT CIS  ACTIVITIES of DAILY LIVING EA 15","97535","HCPCS","Both",,,"48.5","24.25","Blue Cross Blue Shield","HMO","HA",,"71",,"34.24","17.75","37.59","percent of total billed charges",,
"OT CIS  ACTIVITIES of DAILY LIVING EA 15","97535","HCPCS","Both",,,"48.5","24.25","Blue Cross Blue Shield","PPO","HA",,"71",,"34.24","17.75","37.59","percent of total billed charges",,
"OT CIS  ACTIVITIES of DAILY LIVING EA 15","97535","HCPCS","Both",,,"48.5","24.25","Ambetter","Health Exchange","HA",,"62",,"30.07","17.75","37.59","percent of total billed charges",,
"OT CIS  ACTIVITIES of DAILY LIVING EA 15","97535","HCPCS","Both",,,"48.5","24.25","Caresource","Health Exchange","HA",,"62",,"30.07","17.75","37.59","percent of total billed charges",,
"OT CIS  ACTIVITIES of DAILY LIVING EA 15","97535","HCPCS","Both",,,"48.5","24.25","Cigna","Commercial","HA",,"59",,"28.42","17.75","37.59","percent of total billed charges",,
"OT CIS  ACTIVITIES of DAILY LIVING EA 15","97535","HCPCS","Both",,,"48.5","24.25","Humana","Commercial","HA",,"78",,"37.59","17.75","37.59","percent of total billed charges",,
"OT CIS  ACTIVITIES of DAILY LIVING EA 15","97535","HCPCS","Both",,,"48.5","24.25","UHC","Commercial","HA",,"75",,"36.57","17.75","37.59","percent of total billed charges",,
"OT CIS  ACTIVITIES of DAILY LIVING EA 15","97535","HCPCS","Both",,,"48.5","24.25","Medicaid",,"HA",,"37",,"17.75","17.75","37.59","percent of total billed charges",,
"OT CIS WHEELCHAIR MANGMT PROP TRN 15 MIN","97542","HCPCS","Both",,,"88","44","Alliant","Health Exchange","GO,HA",,"62",,"54.56","32.21","68.2","percent of total billed charges",,
"OT CIS WHEELCHAIR MANGMT PROP TRN 15 MIN","97542","HCPCS","Both",,,"88","44","Pruitt Healthcare","Medicare Advantage","GO,HA",,"54",,"47.52","32.21","68.2","percent of total billed charges",,
"OT CIS WHEELCHAIR MANGMT PROP TRN 15 MIN","97542","HCPCS","Both",,,"88","44","Medicare",,"GO,HA",,"54",,"47.7","32.21","68.2","percent of total billed charges",,
"OT CIS WHEELCHAIR MANGMT PROP TRN 15 MIN","97542","HCPCS","Both",,,"88","44","Humana","Medicare Advantage","GO,HA",,"54",,"47.7","32.21","68.2","percent of total billed charges",,
"OT CIS WHEELCHAIR MANGMT PROP TRN 15 MIN","97542","HCPCS","Both",,,"88","44","UHC","Medicare Advantage","GO,HA",,"54",,"47.7","32.21","68.2","percent of total billed charges",,
"OT CIS WHEELCHAIR MANGMT PROP TRN 15 MIN","97542","HCPCS","Both",,,"88","44","Clover","Medicare Advantage","GO,HA",,"54",,"47.7","32.21","68.2","percent of total billed charges",,
"OT CIS WHEELCHAIR MANGMT PROP TRN 15 MIN","97542","HCPCS","Both",,,"88","44","Wellcare","Medicare Advantage","GO,HA",,"54",,"47.7","32.21","68.2","percent of total billed charges",,
"OT CIS WHEELCHAIR MANGMT PROP TRN 15 MIN","97542","HCPCS","Both",,,"88","44","Amerigroup","Medicaid Managed Care","GO,HA",,"37",,"32.21","32.21","68.2","percent of total billed charges",,
"OT CIS WHEELCHAIR MANGMT PROP TRN 15 MIN","97542","HCPCS","Both",,,"88","44","Caresource","Medicaid Managed Care","GO,HA",,"40",,"35.2","32.21","68.2","percent of total billed charges",,
"OT CIS WHEELCHAIR MANGMT PROP TRN 15 MIN","97542","HCPCS","Both",,,"88","44","Wellcare","Medicaid Managed Care","GO,HA",,"40",,"35.64","32.21","68.2","percent of total billed charges",,
"OT CIS WHEELCHAIR MANGMT PROP TRN 15 MIN","97542","HCPCS","Both",,,"88","44","Aetna","Commercial","GO,HA",,"64",,"56.14","32.21","68.2","percent of total billed charges",,
"OT CIS WHEELCHAIR MANGMT PROP TRN 15 MIN","97542","HCPCS","Both",,,"88","44","Blue Cross Blue Shield","Pathways","GO,HA",,"71",,"62.13","32.21","68.2","percent of total billed charges",,
"OT CIS WHEELCHAIR MANGMT PROP TRN 15 MIN","97542","HCPCS","Both",,,"88","44","Blue Cross Blue Shield","HMO","GO,HA",,"71",,"62.13","32.21","68.2","percent of total billed charges",,
"OT CIS WHEELCHAIR MANGMT PROP TRN 15 MIN","97542","HCPCS","Both",,,"88","44","Blue Cross Blue Shield","PPO","GO,HA",,"71",,"62.13","32.21","68.2","percent of total billed charges",,
"OT CIS WHEELCHAIR MANGMT PROP TRN 15 MIN","97542","HCPCS","Both",,,"88","44","Ambetter","Health Exchange","GO,HA",,"62",,"54.56","32.21","68.2","percent of total billed charges",,
"OT CIS WHEELCHAIR MANGMT PROP TRN 15 MIN","97542","HCPCS","Both",,,"88","44","Caresource","Health Exchange","GO,HA",,"62",,"54.56","32.21","68.2","percent of total billed charges",,
"OT CIS WHEELCHAIR MANGMT PROP TRN 15 MIN","97542","HCPCS","Both",,,"88","44","Cigna","Commercial","GO,HA",,"59",,"51.57","32.21","68.2","percent of total billed charges",,
"OT CIS WHEELCHAIR MANGMT PROP TRN 15 MIN","97542","HCPCS","Both",,,"88","44","Humana","Commercial","GO,HA",,"78",,"68.2","32.21","68.2","percent of total billed charges",,
"OT CIS WHEELCHAIR MANGMT PROP TRN 15 MIN","97542","HCPCS","Both",,,"88","44","UHC","Commercial","GO,HA",,"75",,"66.35","32.21","68.2","percent of total billed charges",,
"OT CIS WHEELCHAIR MANGMT PROP TRN 15 MIN","97542","HCPCS","Both",,,"88","44","Medicaid",,"GO,HA",,"37",,"32.21","32.21","68.2","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 1 (ED)","99281","HCPCS","Both",,,"122","61","Alliant","Health Exchange","",,"62",,"75.64","44.65","94.55","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 1 (ED)","99281","HCPCS","Both",,,"122","61","Pruitt Healthcare","Medicare Advantage","",,"54",,"65.88","44.65","94.55","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 1 (ED)","99281","HCPCS","Both",,,"122","61","Medicare",,"",,"54",,"66.12","44.65","94.55","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 1 (ED)","99281","HCPCS","Both",,,"122","61","Humana","Medicare Advantage","",,"54",,"66.12","44.65","94.55","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 1 (ED)","99281","HCPCS","Both",,,"122","61","UHC","Medicare Advantage","",,"54",,"66.12","44.65","94.55","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 1 (ED)","99281","HCPCS","Both",,,"122","61","Clover","Medicare Advantage","",,"54",,"66.12","44.65","94.55","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 1 (ED)","99281","HCPCS","Both",,,"122","61","Wellcare","Medicare Advantage","",,"54",,"66.12","44.65","94.55","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 1 (ED)","99281","HCPCS","Both",,,"122","61","Amerigroup","Medicaid Managed Care","",,"37",,"44.65","44.65","94.55","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 1 (ED)","99281","HCPCS","Both",,,"122","61","Caresource","Medicaid Managed Care","",,"40",,"48.8","44.65","94.55","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 1 (ED)","99281","HCPCS","Both",,,"122","61","Wellcare","Medicaid Managed Care","",,"40",,"49.41","44.65","94.55","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 1 (ED)","99281","HCPCS","Both",,,"122","61","Aetna","Commercial","",,"64",,"77.84","44.65","94.55","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 1 (ED)","99281","HCPCS","Both",,,"122","61","Blue Cross Blue Shield","Pathways","",,"71",,"86.13","44.65","94.55","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 1 (ED)","99281","HCPCS","Both",,,"122","61","Blue Cross Blue Shield","HMO","",,"71",,"86.13","44.65","94.55","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 1 (ED)","99281","HCPCS","Both",,,"122","61","Blue Cross Blue Shield","PPO","",,"71",,"86.13","44.65","94.55","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 1 (ED)","99281","HCPCS","Both",,,"122","61","Ambetter","Health Exchange","",,"62",,"75.64","44.65","94.55","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 1 (ED)","99281","HCPCS","Both",,,"122","61","Caresource","Health Exchange","",,"62",,"75.64","44.65","94.55","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 1 (ED)","99281","HCPCS","Both",,,"122","61","Cigna","Commercial","",,"59",,"71.49","44.65","94.55","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 1 (ED)","99281","HCPCS","Both",,,"122","61","Humana","Commercial","",,"78",,"94.55","44.65","94.55","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 1 (ED)","99281","HCPCS","Both",,,"122","61","UHC","Commercial","",,"75",,"91.99","44.65","94.55","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 1 (ED)","99281","HCPCS","Both",,,"122","61","Medicaid",,"",,"37",,"44.65","44.65","94.55","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 2 (ED)","99282","HCPCS","Both",,,"131.5","65.75","Alliant","Health Exchange","",,"62",,"81.53","48.13","101.91","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 2 (ED)","99282","HCPCS","Both",,,"131.5","65.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"71.01","48.13","101.91","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 2 (ED)","99282","HCPCS","Both",,,"131.5","65.75","Medicare",,"",,"54",,"71.27","48.13","101.91","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 2 (ED)","99282","HCPCS","Both",,,"131.5","65.75","Humana","Medicare Advantage","",,"54",,"71.27","48.13","101.91","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 2 (ED)","99282","HCPCS","Both",,,"131.5","65.75","UHC","Medicare Advantage","",,"54",,"71.27","48.13","101.91","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 2 (ED)","99282","HCPCS","Both",,,"131.5","65.75","Clover","Medicare Advantage","",,"54",,"71.27","48.13","101.91","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 2 (ED)","99282","HCPCS","Both",,,"131.5","65.75","Wellcare","Medicare Advantage","",,"54",,"71.27","48.13","101.91","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 2 (ED)","99282","HCPCS","Both",,,"131.5","65.75","Amerigroup","Medicaid Managed Care","",,"37",,"48.13","48.13","101.91","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 2 (ED)","99282","HCPCS","Both",,,"131.5","65.75","Caresource","Medicaid Managed Care","",,"40",,"52.6","48.13","101.91","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 2 (ED)","99282","HCPCS","Both",,,"131.5","65.75","Wellcare","Medicaid Managed Care","",,"40",,"53.26","48.13","101.91","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 2 (ED)","99282","HCPCS","Both",,,"131.5","65.75","Aetna","Commercial","",,"64",,"83.9","48.13","101.91","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 2 (ED)","99282","HCPCS","Both",,,"131.5","65.75","Blue Cross Blue Shield","Pathways","",,"71",,"92.84","48.13","101.91","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 2 (ED)","99282","HCPCS","Both",,,"131.5","65.75","Blue Cross Blue Shield","HMO","",,"71",,"92.84","48.13","101.91","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 2 (ED)","99282","HCPCS","Both",,,"131.5","65.75","Blue Cross Blue Shield","PPO","",,"71",,"92.84","48.13","101.91","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 2 (ED)","99282","HCPCS","Both",,,"131.5","65.75","Ambetter","Health Exchange","",,"62",,"81.53","48.13","101.91","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 2 (ED)","99282","HCPCS","Both",,,"131.5","65.75","Caresource","Health Exchange","",,"62",,"81.53","48.13","101.91","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 2 (ED)","99282","HCPCS","Both",,,"131.5","65.75","Cigna","Commercial","",,"59",,"77.06","48.13","101.91","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 2 (ED)","99282","HCPCS","Both",,,"131.5","65.75","Humana","Commercial","",,"78",,"101.91","48.13","101.91","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 2 (ED)","99282","HCPCS","Both",,,"131.5","65.75","UHC","Commercial","",,"75",,"99.15","48.13","101.91","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 2 (ED)","99282","HCPCS","Both",,,"131.5","65.75","Medicaid",,"",,"37",,"48.13","48.13","101.91","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 3 (ED)","99283","HCPCS","Both",,,"231.5","115.75","Alliant","Health Exchange","",,"62",,"143.53","84.73","179.41","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 3 (ED)","99283","HCPCS","Both",,,"231.5","115.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"125.01","84.73","179.41","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 3 (ED)","99283","HCPCS","Both",,,"231.5","115.75","Medicare",,"",,"54",,"125.47","84.73","179.41","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 3 (ED)","99283","HCPCS","Both",,,"231.5","115.75","Humana","Medicare Advantage","",,"54",,"125.47","84.73","179.41","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 3 (ED)","99283","HCPCS","Both",,,"231.5","115.75","UHC","Medicare Advantage","",,"54",,"125.47","84.73","179.41","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 3 (ED)","99283","HCPCS","Both",,,"231.5","115.75","Clover","Medicare Advantage","",,"54",,"125.47","84.73","179.41","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 3 (ED)","99283","HCPCS","Both",,,"231.5","115.75","Wellcare","Medicare Advantage","",,"54",,"125.47","84.73","179.41","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 3 (ED)","99283","HCPCS","Both",,,"231.5","115.75","Amerigroup","Medicaid Managed Care","",,"37",,"84.73","84.73","179.41","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 3 (ED)","99283","HCPCS","Both",,,"231.5","115.75","Caresource","Medicaid Managed Care","",,"40",,"92.6","84.73","179.41","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 3 (ED)","99283","HCPCS","Both",,,"231.5","115.75","Wellcare","Medicaid Managed Care","",,"40",,"93.76","84.73","179.41","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 3 (ED)","99283","HCPCS","Both",,,"231.5","115.75","Aetna","Commercial","",,"64",,"147.7","84.73","179.41","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 3 (ED)","99283","HCPCS","Both",,,"231.5","115.75","Blue Cross Blue Shield","Pathways","",,"71",,"163.44","84.73","179.41","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 3 (ED)","99283","HCPCS","Both",,,"231.5","115.75","Blue Cross Blue Shield","HMO","",,"71",,"163.44","84.73","179.41","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 3 (ED)","99283","HCPCS","Both",,,"231.5","115.75","Blue Cross Blue Shield","PPO","",,"71",,"163.44","84.73","179.41","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 3 (ED)","99283","HCPCS","Both",,,"231.5","115.75","Ambetter","Health Exchange","",,"62",,"143.53","84.73","179.41","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 3 (ED)","99283","HCPCS","Both",,,"231.5","115.75","Caresource","Health Exchange","",,"62",,"143.53","84.73","179.41","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 3 (ED)","99283","HCPCS","Both",,,"231.5","115.75","Cigna","Commercial","",,"59",,"135.66","84.73","179.41","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 3 (ED)","99283","HCPCS","Both",,,"231.5","115.75","Humana","Commercial","",,"78",,"179.41","84.73","179.41","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 3 (ED)","99283","HCPCS","Both",,,"231.5","115.75","UHC","Commercial","",,"75",,"174.55","84.73","179.41","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 3 (ED)","99283","HCPCS","Both",,,"231.5","115.75","Medicaid",,"",,"37",,"84.73","84.73","179.41","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 4 (ED)","99284","HCPCS","Both",,,"1047","523.5","Alliant","Health Exchange","",,"62",,"649.14","383.2","811.42","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 4 (ED)","99284","HCPCS","Both",,,"1047","523.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"565.38","383.2","811.42","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 4 (ED)","99284","HCPCS","Both",,,"1047","523.5","Medicare",,"",,"54",,"567.47","383.2","811.42","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 4 (ED)","99284","HCPCS","Both",,,"1047","523.5","Humana","Medicare Advantage","",,"54",,"567.47","383.2","811.42","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 4 (ED)","99284","HCPCS","Both",,,"1047","523.5","UHC","Medicare Advantage","",,"54",,"567.47","383.2","811.42","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 4 (ED)","99284","HCPCS","Both",,,"1047","523.5","Clover","Medicare Advantage","",,"54",,"567.47","383.2","811.42","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 4 (ED)","99284","HCPCS","Both",,,"1047","523.5","Wellcare","Medicare Advantage","",,"54",,"567.47","383.2","811.42","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 4 (ED)","99284","HCPCS","Both",,,"1047","523.5","Amerigroup","Medicaid Managed Care","",,"37",,"383.2","383.2","811.42","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 4 (ED)","99284","HCPCS","Both",,,"1047","523.5","Caresource","Medicaid Managed Care","",,"40",,"418.8","383.2","811.42","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 4 (ED)","99284","HCPCS","Both",,,"1047","523.5","Wellcare","Medicaid Managed Care","",,"40",,"424.04","383.2","811.42","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 4 (ED)","99284","HCPCS","Both",,,"1047","523.5","Aetna","Commercial","",,"64",,"667.99","383.2","811.42","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 4 (ED)","99284","HCPCS","Both",,,"1047","523.5","Blue Cross Blue Shield","Pathways","",,"71",,"739.18","383.2","811.42","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 4 (ED)","99284","HCPCS","Both",,,"1047","523.5","Blue Cross Blue Shield","HMO","",,"71",,"739.18","383.2","811.42","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 4 (ED)","99284","HCPCS","Both",,,"1047","523.5","Blue Cross Blue Shield","PPO","",,"71",,"739.18","383.2","811.42","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 4 (ED)","99284","HCPCS","Both",,,"1047","523.5","Ambetter","Health Exchange","",,"62",,"649.14","383.2","811.42","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 4 (ED)","99284","HCPCS","Both",,,"1047","523.5","Caresource","Health Exchange","",,"62",,"649.14","383.2","811.42","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 4 (ED)","99284","HCPCS","Both",,,"1047","523.5","Cigna","Commercial","",,"59",,"613.54","383.2","811.42","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 4 (ED)","99284","HCPCS","Both",,,"1047","523.5","Humana","Commercial","",,"78",,"811.42","383.2","811.42","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 4 (ED)","99284","HCPCS","Both",,,"1047","523.5","UHC","Commercial","",,"75",,"789.44","383.2","811.42","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 4 (ED)","99284","HCPCS","Both",,,"1047","523.5","Medicaid",,"",,"37",,"383.2","383.2","811.42","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 5 (ED)","99285","HCPCS","Both",,,"752.5","376.25","Alliant","Health Exchange","",,"62",,"466.55","275.42","583.19","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 5 (ED)","99285","HCPCS","Both",,,"752.5","376.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"406.35","275.42","583.19","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 5 (ED)","99285","HCPCS","Both",,,"752.5","376.25","Medicare",,"",,"54",,"407.86","275.42","583.19","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 5 (ED)","99285","HCPCS","Both",,,"752.5","376.25","Humana","Medicare Advantage","",,"54",,"407.86","275.42","583.19","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 5 (ED)","99285","HCPCS","Both",,,"752.5","376.25","UHC","Medicare Advantage","",,"54",,"407.86","275.42","583.19","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 5 (ED)","99285","HCPCS","Both",,,"752.5","376.25","Clover","Medicare Advantage","",,"54",,"407.86","275.42","583.19","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 5 (ED)","99285","HCPCS","Both",,,"752.5","376.25","Wellcare","Medicare Advantage","",,"54",,"407.86","275.42","583.19","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 5 (ED)","99285","HCPCS","Both",,,"752.5","376.25","Amerigroup","Medicaid Managed Care","",,"37",,"275.42","275.42","583.19","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 5 (ED)","99285","HCPCS","Both",,,"752.5","376.25","Caresource","Medicaid Managed Care","",,"40",,"301","275.42","583.19","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 5 (ED)","99285","HCPCS","Both",,,"752.5","376.25","Wellcare","Medicaid Managed Care","",,"40",,"304.76","275.42","583.19","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 5 (ED)","99285","HCPCS","Both",,,"752.5","376.25","Aetna","Commercial","",,"64",,"480.1","275.42","583.19","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 5 (ED)","99285","HCPCS","Both",,,"752.5","376.25","Blue Cross Blue Shield","Pathways","",,"71",,"531.26","275.42","583.19","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 5 (ED)","99285","HCPCS","Both",,,"752.5","376.25","Blue Cross Blue Shield","HMO","",,"71",,"531.26","275.42","583.19","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 5 (ED)","99285","HCPCS","Both",,,"752.5","376.25","Blue Cross Blue Shield","PPO","",,"71",,"531.26","275.42","583.19","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 5 (ED)","99285","HCPCS","Both",,,"752.5","376.25","Ambetter","Health Exchange","",,"62",,"466.55","275.42","583.19","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 5 (ED)","99285","HCPCS","Both",,,"752.5","376.25","Caresource","Health Exchange","",,"62",,"466.55","275.42","583.19","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 5 (ED)","99285","HCPCS","Both",,,"752.5","376.25","Cigna","Commercial","",,"59",,"440.96","275.42","583.19","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 5 (ED)","99285","HCPCS","Both",,,"752.5","376.25","Humana","Commercial","",,"78",,"583.19","275.42","583.19","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 5 (ED)","99285","HCPCS","Both",,,"752.5","376.25","UHC","Commercial","",,"75",,"567.38","275.42","583.19","percent of total billed charges",,
"EVALUATION & MANAGEMENT LEVEL 5 (ED)","99285","HCPCS","Both",,,"752.5","376.25","Medicaid",,"",,"37",,"275.42","275.42","583.19","percent of total billed charges",,
"EVALUATION & MANAGEMENT CRITICAL CARE(ED","99291","HCPCS","Both",,,"2153.5","1076.75","Alliant","Health Exchange","",,"62",,"1335.17","788.18","1668.96","percent of total billed charges",,
"EVALUATION & MANAGEMENT CRITICAL CARE(ED","99291","HCPCS","Both",,,"2153.5","1076.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"1162.89","788.18","1668.96","percent of total billed charges",,
"EVALUATION & MANAGEMENT CRITICAL CARE(ED","99291","HCPCS","Both",,,"2153.5","1076.75","Medicare",,"",,"54",,"1167.2","788.18","1668.96","percent of total billed charges",,
"EVALUATION & MANAGEMENT CRITICAL CARE(ED","99291","HCPCS","Both",,,"2153.5","1076.75","Humana","Medicare Advantage","",,"54",,"1167.2","788.18","1668.96","percent of total billed charges",,
"EVALUATION & MANAGEMENT CRITICAL CARE(ED","99291","HCPCS","Both",,,"2153.5","1076.75","UHC","Medicare Advantage","",,"54",,"1167.2","788.18","1668.96","percent of total billed charges",,
"EVALUATION & MANAGEMENT CRITICAL CARE(ED","99291","HCPCS","Both",,,"2153.5","1076.75","Clover","Medicare Advantage","",,"54",,"1167.2","788.18","1668.96","percent of total billed charges",,
"EVALUATION & MANAGEMENT CRITICAL CARE(ED","99291","HCPCS","Both",,,"2153.5","1076.75","Wellcare","Medicare Advantage","",,"54",,"1167.2","788.18","1668.96","percent of total billed charges",,
"EVALUATION & MANAGEMENT CRITICAL CARE(ED","99291","HCPCS","Both",,,"2153.5","1076.75","Amerigroup","Medicaid Managed Care","",,"37",,"788.18","788.18","1668.96","percent of total billed charges",,
"EVALUATION & MANAGEMENT CRITICAL CARE(ED","99291","HCPCS","Both",,,"2153.5","1076.75","Caresource","Medicaid Managed Care","",,"40",,"861.4","788.18","1668.96","percent of total billed charges",,
"EVALUATION & MANAGEMENT CRITICAL CARE(ED","99291","HCPCS","Both",,,"2153.5","1076.75","Wellcare","Medicaid Managed Care","",,"40",,"872.17","788.18","1668.96","percent of total billed charges",,
"EVALUATION & MANAGEMENT CRITICAL CARE(ED","99291","HCPCS","Both",,,"2153.5","1076.75","Aetna","Commercial","",,"64",,"1373.93","788.18","1668.96","percent of total billed charges",,
"EVALUATION & MANAGEMENT CRITICAL CARE(ED","99291","HCPCS","Both",,,"2153.5","1076.75","Blue Cross Blue Shield","Pathways","",,"71",,"1520.37","788.18","1668.96","percent of total billed charges",,
"EVALUATION & MANAGEMENT CRITICAL CARE(ED","99291","HCPCS","Both",,,"2153.5","1076.75","Blue Cross Blue Shield","HMO","",,"71",,"1520.37","788.18","1668.96","percent of total billed charges",,
"EVALUATION & MANAGEMENT CRITICAL CARE(ED","99291","HCPCS","Both",,,"2153.5","1076.75","Blue Cross Blue Shield","PPO","",,"71",,"1520.37","788.18","1668.96","percent of total billed charges",,
"EVALUATION & MANAGEMENT CRITICAL CARE(ED","99291","HCPCS","Both",,,"2153.5","1076.75","Ambetter","Health Exchange","",,"62",,"1335.17","788.18","1668.96","percent of total billed charges",,
"EVALUATION & MANAGEMENT CRITICAL CARE(ED","99291","HCPCS","Both",,,"2153.5","1076.75","Caresource","Health Exchange","",,"62",,"1335.17","788.18","1668.96","percent of total billed charges",,
"EVALUATION & MANAGEMENT CRITICAL CARE(ED","99291","HCPCS","Both",,,"2153.5","1076.75","Cigna","Commercial","",,"59",,"1261.95","788.18","1668.96","percent of total billed charges",,
"EVALUATION & MANAGEMENT CRITICAL CARE(ED","99291","HCPCS","Both",,,"2153.5","1076.75","Humana","Commercial","",,"78",,"1668.96","788.18","1668.96","percent of total billed charges",,
"EVALUATION & MANAGEMENT CRITICAL CARE(ED","99291","HCPCS","Both",,,"2153.5","1076.75","UHC","Commercial","",,"75",,"1623.74","788.18","1668.96","percent of total billed charges",,
"EVALUATION & MANAGEMENT CRITICAL CARE(ED","99291","HCPCS","Both",,,"2153.5","1076.75","Medicaid",,"",,"37",,"788.18","788.18","1668.96","percent of total billed charges",,
"CRITICAL CARE @ ADD'L 30 MINS","99292","HCPCS","Both",,,"178.5","89.25","Alliant","Health Exchange","",,"62",,"110.67","65.33","138.34","percent of total billed charges",,
"CRITICAL CARE @ ADD'L 30 MINS","99292","HCPCS","Both",,,"178.5","89.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"96.39","65.33","138.34","percent of total billed charges",,
"CRITICAL CARE @ ADD'L 30 MINS","99292","HCPCS","Both",,,"178.5","89.25","Medicare",,"",,"54",,"96.75","65.33","138.34","percent of total billed charges",,
"CRITICAL CARE @ ADD'L 30 MINS","99292","HCPCS","Both",,,"178.5","89.25","Humana","Medicare Advantage","",,"54",,"96.75","65.33","138.34","percent of total billed charges",,
"CRITICAL CARE @ ADD'L 30 MINS","99292","HCPCS","Both",,,"178.5","89.25","UHC","Medicare Advantage","",,"54",,"96.75","65.33","138.34","percent of total billed charges",,
"CRITICAL CARE @ ADD'L 30 MINS","99292","HCPCS","Both",,,"178.5","89.25","Clover","Medicare Advantage","",,"54",,"96.75","65.33","138.34","percent of total billed charges",,
"CRITICAL CARE @ ADD'L 30 MINS","99292","HCPCS","Both",,,"178.5","89.25","Wellcare","Medicare Advantage","",,"54",,"96.75","65.33","138.34","percent of total billed charges",,
"CRITICAL CARE @ ADD'L 30 MINS","99292","HCPCS","Both",,,"178.5","89.25","Amerigroup","Medicaid Managed Care","",,"37",,"65.33","65.33","138.34","percent of total billed charges",,
"CRITICAL CARE @ ADD'L 30 MINS","99292","HCPCS","Both",,,"178.5","89.25","Caresource","Medicaid Managed Care","",,"40",,"71.4","65.33","138.34","percent of total billed charges",,
"CRITICAL CARE @ ADD'L 30 MINS","99292","HCPCS","Both",,,"178.5","89.25","Wellcare","Medicaid Managed Care","",,"40",,"72.29","65.33","138.34","percent of total billed charges",,
"CRITICAL CARE @ ADD'L 30 MINS","99292","HCPCS","Both",,,"178.5","89.25","Aetna","Commercial","",,"64",,"113.88","65.33","138.34","percent of total billed charges",,
"CRITICAL CARE @ ADD'L 30 MINS","99292","HCPCS","Both",,,"178.5","89.25","Blue Cross Blue Shield","Pathways","",,"71",,"126.02","65.33","138.34","percent of total billed charges",,
"CRITICAL CARE @ ADD'L 30 MINS","99292","HCPCS","Both",,,"178.5","89.25","Blue Cross Blue Shield","HMO","",,"71",,"126.02","65.33","138.34","percent of total billed charges",,
"CRITICAL CARE @ ADD'L 30 MINS","99292","HCPCS","Both",,,"178.5","89.25","Blue Cross Blue Shield","PPO","",,"71",,"126.02","65.33","138.34","percent of total billed charges",,
"CRITICAL CARE @ ADD'L 30 MINS","99292","HCPCS","Both",,,"178.5","89.25","Ambetter","Health Exchange","",,"62",,"110.67","65.33","138.34","percent of total billed charges",,
"CRITICAL CARE @ ADD'L 30 MINS","99292","HCPCS","Both",,,"178.5","89.25","Caresource","Health Exchange","",,"62",,"110.67","65.33","138.34","percent of total billed charges",,
"CRITICAL CARE @ ADD'L 30 MINS","99292","HCPCS","Both",,,"178.5","89.25","Cigna","Commercial","",,"59",,"104.6","65.33","138.34","percent of total billed charges",,
"CRITICAL CARE @ ADD'L 30 MINS","99292","HCPCS","Both",,,"178.5","89.25","Humana","Commercial","",,"78",,"138.34","65.33","138.34","percent of total billed charges",,
"CRITICAL CARE @ ADD'L 30 MINS","99292","HCPCS","Both",,,"178.5","89.25","UHC","Commercial","",,"75",,"134.59","65.33","138.34","percent of total billed charges",,
"CRITICAL CARE @ ADD'L 30 MINS","99292","HCPCS","Both",,,"178.5","89.25","Medicaid",,"",,"37",,"65.33","65.33","138.34","percent of total billed charges",,
"SHOULDER (CLOSED TX) W MANIP W/ANESTHESI","23655","HCPCS","Both",,,"3244","1622","Alliant","Health Exchange","",,"62",,"2011.28","1187.3","2514.1","percent of total billed charges",,
"SHOULDER (CLOSED TX) W MANIP W/ANESTHESI","23655","HCPCS","Both",,,"3244","1622","Pruitt Healthcare","Medicare Advantage","",,"54",,"1751.76","1187.3","2514.1","percent of total billed charges",,
"SHOULDER (CLOSED TX) W MANIP W/ANESTHESI","23655","HCPCS","Both",,,"3244","1622","Medicare",,"",,"54",,"1758.25","1187.3","2514.1","percent of total billed charges",,
"SHOULDER (CLOSED TX) W MANIP W/ANESTHESI","23655","HCPCS","Both",,,"3244","1622","Humana","Medicare Advantage","",,"54",,"1758.25","1187.3","2514.1","percent of total billed charges",,
"SHOULDER (CLOSED TX) W MANIP W/ANESTHESI","23655","HCPCS","Both",,,"3244","1622","UHC","Medicare Advantage","",,"54",,"1758.25","1187.3","2514.1","percent of total billed charges",,
"SHOULDER (CLOSED TX) W MANIP W/ANESTHESI","23655","HCPCS","Both",,,"3244","1622","Clover","Medicare Advantage","",,"54",,"1758.25","1187.3","2514.1","percent of total billed charges",,
"SHOULDER (CLOSED TX) W MANIP W/ANESTHESI","23655","HCPCS","Both",,,"3244","1622","Wellcare","Medicare Advantage","",,"54",,"1758.25","1187.3","2514.1","percent of total billed charges",,
"SHOULDER (CLOSED TX) W MANIP W/ANESTHESI","23655","HCPCS","Both",,,"3244","1622","Amerigroup","Medicaid Managed Care","",,"37",,"1187.3","1187.3","2514.1","percent of total billed charges",,
"SHOULDER (CLOSED TX) W MANIP W/ANESTHESI","23655","HCPCS","Both",,,"3244","1622","Caresource","Medicaid Managed Care","",,"40",,"1297.6","1187.3","2514.1","percent of total billed charges",,
"SHOULDER (CLOSED TX) W MANIP W/ANESTHESI","23655","HCPCS","Both",,,"3244","1622","Wellcare","Medicaid Managed Care","",,"40",,"1313.82","1187.3","2514.1","percent of total billed charges",,
"SHOULDER (CLOSED TX) W MANIP W/ANESTHESI","23655","HCPCS","Both",,,"3244","1622","Aetna","Commercial","",,"64",,"2069.67","1187.3","2514.1","percent of total billed charges",,
"SHOULDER (CLOSED TX) W MANIP W/ANESTHESI","23655","HCPCS","Both",,,"3244","1622","Blue Cross Blue Shield","Pathways","",,"71",,"2290.26","1187.3","2514.1","percent of total billed charges",,
"SHOULDER (CLOSED TX) W MANIP W/ANESTHESI","23655","HCPCS","Both",,,"3244","1622","Blue Cross Blue Shield","HMO","",,"71",,"2290.26","1187.3","2514.1","percent of total billed charges",,
"SHOULDER (CLOSED TX) W MANIP W/ANESTHESI","23655","HCPCS","Both",,,"3244","1622","Blue Cross Blue Shield","PPO","",,"71",,"2290.26","1187.3","2514.1","percent of total billed charges",,
"SHOULDER (CLOSED TX) W MANIP W/ANESTHESI","23655","HCPCS","Both",,,"3244","1622","Ambetter","Health Exchange","",,"62",,"2011.28","1187.3","2514.1","percent of total billed charges",,
"SHOULDER (CLOSED TX) W MANIP W/ANESTHESI","23655","HCPCS","Both",,,"3244","1622","Caresource","Health Exchange","",,"62",,"2011.28","1187.3","2514.1","percent of total billed charges",,
"SHOULDER (CLOSED TX) W MANIP W/ANESTHESI","23655","HCPCS","Both",,,"3244","1622","Cigna","Commercial","",,"59",,"1900.98","1187.3","2514.1","percent of total billed charges",,
"SHOULDER (CLOSED TX) W MANIP W/ANESTHESI","23655","HCPCS","Both",,,"3244","1622","Humana","Commercial","",,"78",,"2514.1","1187.3","2514.1","percent of total billed charges",,
"SHOULDER (CLOSED TX) W MANIP W/ANESTHESI","23655","HCPCS","Both",,,"3244","1622","UHC","Commercial","",,"75",,"2445.98","1187.3","2514.1","percent of total billed charges",,
"SHOULDER (CLOSED TX) W MANIP W/ANESTHESI","23655","HCPCS","Both",,,"3244","1622","Medicaid",,"",,"37",,"1187.3","1187.3","2514.1","percent of total billed charges",,
"ORBITOTOMY WO BONE FLAP W DRAINAGE","67405","HCPCS","Both",,,"6203","3101.5","Alliant","Health Exchange","",,"62",,"3845.86","2270.3","4807.32","percent of total billed charges",,
"ORBITOTOMY WO BONE FLAP W DRAINAGE","67405","HCPCS","Both",,,"6203","3101.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"3349.62","2270.3","4807.32","percent of total billed charges",,
"ORBITOTOMY WO BONE FLAP W DRAINAGE","67405","HCPCS","Both",,,"6203","3101.5","Medicare",,"",,"54",,"3362.03","2270.3","4807.32","percent of total billed charges",,
"ORBITOTOMY WO BONE FLAP W DRAINAGE","67405","HCPCS","Both",,,"6203","3101.5","Humana","Medicare Advantage","",,"54",,"3362.03","2270.3","4807.32","percent of total billed charges",,
"ORBITOTOMY WO BONE FLAP W DRAINAGE","67405","HCPCS","Both",,,"6203","3101.5","UHC","Medicare Advantage","",,"54",,"3362.03","2270.3","4807.32","percent of total billed charges",,
"ORBITOTOMY WO BONE FLAP W DRAINAGE","67405","HCPCS","Both",,,"6203","3101.5","Clover","Medicare Advantage","",,"54",,"3362.03","2270.3","4807.32","percent of total billed charges",,
"ORBITOTOMY WO BONE FLAP W DRAINAGE","67405","HCPCS","Both",,,"6203","3101.5","Wellcare","Medicare Advantage","",,"54",,"3362.03","2270.3","4807.32","percent of total billed charges",,
"ORBITOTOMY WO BONE FLAP W DRAINAGE","67405","HCPCS","Both",,,"6203","3101.5","Amerigroup","Medicaid Managed Care","",,"37",,"2270.3","2270.3","4807.32","percent of total billed charges",,
"ORBITOTOMY WO BONE FLAP W DRAINAGE","67405","HCPCS","Both",,,"6203","3101.5","Caresource","Medicaid Managed Care","",,"40",,"2481.2","2270.3","4807.32","percent of total billed charges",,
"ORBITOTOMY WO BONE FLAP W DRAINAGE","67405","HCPCS","Both",,,"6203","3101.5","Wellcare","Medicaid Managed Care","",,"40",,"2512.22","2270.3","4807.32","percent of total billed charges",,
"ORBITOTOMY WO BONE FLAP W DRAINAGE","67405","HCPCS","Both",,,"6203","3101.5","Aetna","Commercial","",,"64",,"3957.51","2270.3","4807.32","percent of total billed charges",,
"ORBITOTOMY WO BONE FLAP W DRAINAGE","67405","HCPCS","Both",,,"6203","3101.5","Blue Cross Blue Shield","Pathways","",,"71",,"4379.32","2270.3","4807.32","percent of total billed charges",,
"ORBITOTOMY WO BONE FLAP W DRAINAGE","67405","HCPCS","Both",,,"6203","3101.5","Blue Cross Blue Shield","HMO","",,"71",,"4379.32","2270.3","4807.32","percent of total billed charges",,
"ORBITOTOMY WO BONE FLAP W DRAINAGE","67405","HCPCS","Both",,,"6203","3101.5","Blue Cross Blue Shield","PPO","",,"71",,"4379.32","2270.3","4807.32","percent of total billed charges",,
"ORBITOTOMY WO BONE FLAP W DRAINAGE","67405","HCPCS","Both",,,"6203","3101.5","Ambetter","Health Exchange","",,"62",,"3845.86","2270.3","4807.32","percent of total billed charges",,
"ORBITOTOMY WO BONE FLAP W DRAINAGE","67405","HCPCS","Both",,,"6203","3101.5","Caresource","Health Exchange","",,"62",,"3845.86","2270.3","4807.32","percent of total billed charges",,
"ORBITOTOMY WO BONE FLAP W DRAINAGE","67405","HCPCS","Both",,,"6203","3101.5","Cigna","Commercial","",,"59",,"3634.96","2270.3","4807.32","percent of total billed charges",,
"ORBITOTOMY WO BONE FLAP W DRAINAGE","67405","HCPCS","Both",,,"6203","3101.5","Humana","Commercial","",,"78",,"4807.32","2270.3","4807.32","percent of total billed charges",,
"ORBITOTOMY WO BONE FLAP W DRAINAGE","67405","HCPCS","Both",,,"6203","3101.5","UHC","Commercial","",,"75",,"4677.06","2270.3","4807.32","percent of total billed charges",,
"ORBITOTOMY WO BONE FLAP W DRAINAGE","67405","HCPCS","Both",,,"6203","3101.5","Medicaid",,"",,"37",,"2270.3","2270.3","4807.32","percent of total billed charges",,
"IVP EACH sequential same drug","96376","HCPCS","Both",,,"198.24","99.12","Alliant","Health Exchange","",,"62",,"122.91","72.56","153.64","percent of total billed charges",,
"IVP EACH sequential same drug","96376","HCPCS","Both",,,"198.24","99.12","Pruitt Healthcare","Medicare Advantage","",,"54",,"107.05","72.56","153.64","percent of total billed charges",,
"IVP EACH sequential same drug","96376","HCPCS","Both",,,"198.24","99.12","Medicare",,"",,"54",,"107.45","72.56","153.64","percent of total billed charges",,
"IVP EACH sequential same drug","96376","HCPCS","Both",,,"198.24","99.12","Humana","Medicare Advantage","",,"54",,"107.45","72.56","153.64","percent of total billed charges",,
"IVP EACH sequential same drug","96376","HCPCS","Both",,,"198.24","99.12","UHC","Medicare Advantage","",,"54",,"107.45","72.56","153.64","percent of total billed charges",,
"IVP EACH sequential same drug","96376","HCPCS","Both",,,"198.24","99.12","Clover","Medicare Advantage","",,"54",,"107.45","72.56","153.64","percent of total billed charges",,
"IVP EACH sequential same drug","96376","HCPCS","Both",,,"198.24","99.12","Wellcare","Medicare Advantage","",,"54",,"107.45","72.56","153.64","percent of total billed charges",,
"IVP EACH sequential same drug","96376","HCPCS","Both",,,"198.24","99.12","Amerigroup","Medicaid Managed Care","",,"37",,"72.56","72.56","153.64","percent of total billed charges",,
"IVP EACH sequential same drug","96376","HCPCS","Both",,,"198.24","99.12","Caresource","Medicaid Managed Care","",,"40",,"79.3","72.56","153.64","percent of total billed charges",,
"IVP EACH sequential same drug","96376","HCPCS","Both",,,"198.24","99.12","Wellcare","Medicaid Managed Care","",,"40",,"80.29","72.56","153.64","percent of total billed charges",,
"IVP EACH sequential same drug","96376","HCPCS","Both",,,"198.24","99.12","Aetna","Commercial","",,"64",,"126.48","72.56","153.64","percent of total billed charges",,
"IVP EACH sequential same drug","96376","HCPCS","Both",,,"198.24","99.12","Blue Cross Blue Shield","Pathways","",,"71",,"139.96","72.56","153.64","percent of total billed charges",,
"IVP EACH sequential same drug","96376","HCPCS","Both",,,"198.24","99.12","Blue Cross Blue Shield","HMO","",,"71",,"139.96","72.56","153.64","percent of total billed charges",,
"IVP EACH sequential same drug","96376","HCPCS","Both",,,"198.24","99.12","Blue Cross Blue Shield","PPO","",,"71",,"139.96","72.56","153.64","percent of total billed charges",,
"IVP EACH sequential same drug","96376","HCPCS","Both",,,"198.24","99.12","Ambetter","Health Exchange","",,"62",,"122.91","72.56","153.64","percent of total billed charges",,
"IVP EACH sequential same drug","96376","HCPCS","Both",,,"198.24","99.12","Caresource","Health Exchange","",,"62",,"122.91","72.56","153.64","percent of total billed charges",,
"IVP EACH sequential same drug","96376","HCPCS","Both",,,"198.24","99.12","Cigna","Commercial","",,"59",,"116.17","72.56","153.64","percent of total billed charges",,
"IVP EACH sequential same drug","96376","HCPCS","Both",,,"198.24","99.12","Humana","Commercial","",,"78",,"153.64","72.56","153.64","percent of total billed charges",,
"IVP EACH sequential same drug","96376","HCPCS","Both",,,"198.24","99.12","UHC","Commercial","",,"75",,"149.47","72.56","153.64","percent of total billed charges",,
"IVP EACH sequential same drug","96376","HCPCS","Both",,,"198.24","99.12","Medicaid",,"",,"37",,"72.56","72.56","153.64","percent of total billed charges",,
"IV INFUSION THERAPY @ ADD'L HR","96366","HCPCS","Both",,,"40","20","Alliant","Health Exchange","",,"62",,"24.8","14.64","31","percent of total billed charges",,
"IV INFUSION THERAPY @ ADD'L HR","96366","HCPCS","Both",,,"40","20","Pruitt Healthcare","Medicare Advantage","",,"54",,"21.6","14.64","31","percent of total billed charges",,
"IV INFUSION THERAPY @ ADD'L HR","96366","HCPCS","Both",,,"40","20","Medicare",,"",,"54",,"21.68","14.64","31","percent of total billed charges",,
"IV INFUSION THERAPY @ ADD'L HR","96366","HCPCS","Both",,,"40","20","Humana","Medicare Advantage","",,"54",,"21.68","14.64","31","percent of total billed charges",,
"IV INFUSION THERAPY @ ADD'L HR","96366","HCPCS","Both",,,"40","20","UHC","Medicare Advantage","",,"54",,"21.68","14.64","31","percent of total billed charges",,
"IV INFUSION THERAPY @ ADD'L HR","96366","HCPCS","Both",,,"40","20","Clover","Medicare Advantage","",,"54",,"21.68","14.64","31","percent of total billed charges",,
"IV INFUSION THERAPY @ ADD'L HR","96366","HCPCS","Both",,,"40","20","Wellcare","Medicare Advantage","",,"54",,"21.68","14.64","31","percent of total billed charges",,
"IV INFUSION THERAPY @ ADD'L HR","96366","HCPCS","Both",,,"40","20","Amerigroup","Medicaid Managed Care","",,"37",,"14.64","14.64","31","percent of total billed charges",,
"IV INFUSION THERAPY @ ADD'L HR","96366","HCPCS","Both",,,"40","20","Caresource","Medicaid Managed Care","",,"40",,"16","14.64","31","percent of total billed charges",,
"IV INFUSION THERAPY @ ADD'L HR","96366","HCPCS","Both",,,"40","20","Wellcare","Medicaid Managed Care","",,"40",,"16.2","14.64","31","percent of total billed charges",,
"IV INFUSION THERAPY @ ADD'L HR","96366","HCPCS","Both",,,"40","20","Aetna","Commercial","",,"64",,"25.52","14.64","31","percent of total billed charges",,
"IV INFUSION THERAPY @ ADD'L HR","96366","HCPCS","Both",,,"40","20","Blue Cross Blue Shield","Pathways","",,"71",,"28.24","14.64","31","percent of total billed charges",,
"IV INFUSION THERAPY @ ADD'L HR","96366","HCPCS","Both",,,"40","20","Blue Cross Blue Shield","HMO","",,"71",,"28.24","14.64","31","percent of total billed charges",,
"IV INFUSION THERAPY @ ADD'L HR","96366","HCPCS","Both",,,"40","20","Blue Cross Blue Shield","PPO","",,"71",,"28.24","14.64","31","percent of total billed charges",,
"IV INFUSION THERAPY @ ADD'L HR","96366","HCPCS","Both",,,"40","20","Ambetter","Health Exchange","",,"62",,"24.8","14.64","31","percent of total billed charges",,
"IV INFUSION THERAPY @ ADD'L HR","96366","HCPCS","Both",,,"40","20","Caresource","Health Exchange","",,"62",,"24.8","14.64","31","percent of total billed charges",,
"IV INFUSION THERAPY @ ADD'L HR","96366","HCPCS","Both",,,"40","20","Cigna","Commercial","",,"59",,"23.44","14.64","31","percent of total billed charges",,
"IV INFUSION THERAPY @ ADD'L HR","96366","HCPCS","Both",,,"40","20","Humana","Commercial","",,"78",,"31","14.64","31","percent of total billed charges",,
"IV INFUSION THERAPY @ ADD'L HR","96366","HCPCS","Both",,,"40","20","UHC","Commercial","",,"75",,"30.16","14.64","31","percent of total billed charges",,
"IV INFUSION THERAPY @ ADD'L HR","96366","HCPCS","Both",,,"40","20","Medicaid",,"",,"37",,"14.64","14.64","31","percent of total billed charges",,
"IVP each sequential new drug","96375","HCPCS","Both",,,"189.6","94.8","Alliant","Health Exchange","",,"62",,"117.55","69.39","146.94","percent of total billed charges",,
"IVP each sequential new drug","96375","HCPCS","Both",,,"189.6","94.8","Pruitt Healthcare","Medicare Advantage","",,"54",,"102.38","69.39","146.94","percent of total billed charges",,
"IVP each sequential new drug","96375","HCPCS","Both",,,"189.6","94.8","Medicare",,"",,"54",,"102.76","69.39","146.94","percent of total billed charges",,
"IVP each sequential new drug","96375","HCPCS","Both",,,"189.6","94.8","Humana","Medicare Advantage","",,"54",,"102.76","69.39","146.94","percent of total billed charges",,
"IVP each sequential new drug","96375","HCPCS","Both",,,"189.6","94.8","UHC","Medicare Advantage","",,"54",,"102.76","69.39","146.94","percent of total billed charges",,
"IVP each sequential new drug","96375","HCPCS","Both",,,"189.6","94.8","Clover","Medicare Advantage","",,"54",,"102.76","69.39","146.94","percent of total billed charges",,
"IVP each sequential new drug","96375","HCPCS","Both",,,"189.6","94.8","Wellcare","Medicare Advantage","",,"54",,"102.76","69.39","146.94","percent of total billed charges",,
"IVP each sequential new drug","96375","HCPCS","Both",,,"189.6","94.8","Amerigroup","Medicaid Managed Care","",,"37",,"69.39","69.39","146.94","percent of total billed charges",,
"IVP each sequential new drug","96375","HCPCS","Both",,,"189.6","94.8","Caresource","Medicaid Managed Care","",,"40",,"75.84","69.39","146.94","percent of total billed charges",,
"IVP each sequential new drug","96375","HCPCS","Both",,,"189.6","94.8","Wellcare","Medicaid Managed Care","",,"40",,"76.79","69.39","146.94","percent of total billed charges",,
"IVP each sequential new drug","96375","HCPCS","Both",,,"189.6","94.8","Aetna","Commercial","",,"64",,"120.96","69.39","146.94","percent of total billed charges",,
"IVP each sequential new drug","96375","HCPCS","Both",,,"189.6","94.8","Blue Cross Blue Shield","Pathways","",,"71",,"133.86","69.39","146.94","percent of total billed charges",,
"IVP each sequential new drug","96375","HCPCS","Both",,,"189.6","94.8","Blue Cross Blue Shield","HMO","",,"71",,"133.86","69.39","146.94","percent of total billed charges",,
"IVP each sequential new drug","96375","HCPCS","Both",,,"189.6","94.8","Blue Cross Blue Shield","PPO","",,"71",,"133.86","69.39","146.94","percent of total billed charges",,
"IVP each sequential new drug","96375","HCPCS","Both",,,"189.6","94.8","Ambetter","Health Exchange","",,"62",,"117.55","69.39","146.94","percent of total billed charges",,
"IVP each sequential new drug","96375","HCPCS","Both",,,"189.6","94.8","Caresource","Health Exchange","",,"62",,"117.55","69.39","146.94","percent of total billed charges",,
"IVP each sequential new drug","96375","HCPCS","Both",,,"189.6","94.8","Cigna","Commercial","",,"59",,"111.11","69.39","146.94","percent of total billed charges",,
"IVP each sequential new drug","96375","HCPCS","Both",,,"189.6","94.8","Humana","Commercial","",,"78",,"146.94","69.39","146.94","percent of total billed charges",,
"IVP each sequential new drug","96375","HCPCS","Both",,,"189.6","94.8","UHC","Commercial","",,"75",,"142.96","69.39","146.94","percent of total billed charges",,
"IVP each sequential new drug","96375","HCPCS","Both",,,"189.6","94.8","Medicaid",,"",,"37",,"69.39","69.39","146.94","percent of total billed charges",,
"IV INFUSION FOR THERAPY UP TO 1hr","96365","HCPCS","Both",,,"551.04","275.52","Alliant","Health Exchange","",,"62",,"341.64","201.68","427.06","percent of total billed charges",,
"IV INFUSION FOR THERAPY UP TO 1hr","96365","HCPCS","Both",,,"551.04","275.52","Pruitt Healthcare","Medicare Advantage","",,"54",,"297.56","201.68","427.06","percent of total billed charges",,
"IV INFUSION FOR THERAPY UP TO 1hr","96365","HCPCS","Both",,,"551.04","275.52","Medicare",,"",,"54",,"298.66","201.68","427.06","percent of total billed charges",,
"IV INFUSION FOR THERAPY UP TO 1hr","96365","HCPCS","Both",,,"551.04","275.52","Humana","Medicare Advantage","",,"54",,"298.66","201.68","427.06","percent of total billed charges",,
"IV INFUSION FOR THERAPY UP TO 1hr","96365","HCPCS","Both",,,"551.04","275.52","UHC","Medicare Advantage","",,"54",,"298.66","201.68","427.06","percent of total billed charges",,
"IV INFUSION FOR THERAPY UP TO 1hr","96365","HCPCS","Both",,,"551.04","275.52","Clover","Medicare Advantage","",,"54",,"298.66","201.68","427.06","percent of total billed charges",,
"IV INFUSION FOR THERAPY UP TO 1hr","96365","HCPCS","Both",,,"551.04","275.52","Wellcare","Medicare Advantage","",,"54",,"298.66","201.68","427.06","percent of total billed charges",,
"IV INFUSION FOR THERAPY UP TO 1hr","96365","HCPCS","Both",,,"551.04","275.52","Amerigroup","Medicaid Managed Care","",,"37",,"201.68","201.68","427.06","percent of total billed charges",,
"IV INFUSION FOR THERAPY UP TO 1hr","96365","HCPCS","Both",,,"551.04","275.52","Caresource","Medicaid Managed Care","",,"40",,"220.42","201.68","427.06","percent of total billed charges",,
"IV INFUSION FOR THERAPY UP TO 1hr","96365","HCPCS","Both",,,"551.04","275.52","Wellcare","Medicaid Managed Care","",,"40",,"223.17","201.68","427.06","percent of total billed charges",,
"IV INFUSION FOR THERAPY UP TO 1hr","96365","HCPCS","Both",,,"551.04","275.52","Aetna","Commercial","",,"64",,"351.56","201.68","427.06","percent of total billed charges",,
"IV INFUSION FOR THERAPY UP TO 1hr","96365","HCPCS","Both",,,"551.04","275.52","Blue Cross Blue Shield","Pathways","",,"71",,"389.03","201.68","427.06","percent of total billed charges",,
"IV INFUSION FOR THERAPY UP TO 1hr","96365","HCPCS","Both",,,"551.04","275.52","Blue Cross Blue Shield","HMO","",,"71",,"389.03","201.68","427.06","percent of total billed charges",,
"IV INFUSION FOR THERAPY UP TO 1hr","96365","HCPCS","Both",,,"551.04","275.52","Blue Cross Blue Shield","PPO","",,"71",,"389.03","201.68","427.06","percent of total billed charges",,
"IV INFUSION FOR THERAPY UP TO 1hr","96365","HCPCS","Both",,,"551.04","275.52","Ambetter","Health Exchange","",,"62",,"341.64","201.68","427.06","percent of total billed charges",,
"IV INFUSION FOR THERAPY UP TO 1hr","96365","HCPCS","Both",,,"551.04","275.52","Caresource","Health Exchange","",,"62",,"341.64","201.68","427.06","percent of total billed charges",,
"IV INFUSION FOR THERAPY UP TO 1hr","96365","HCPCS","Both",,,"551.04","275.52","Cigna","Commercial","",,"59",,"322.91","201.68","427.06","percent of total billed charges",,
"IV INFUSION FOR THERAPY UP TO 1hr","96365","HCPCS","Both",,,"551.04","275.52","Humana","Commercial","",,"78",,"427.06","201.68","427.06","percent of total billed charges",,
"IV INFUSION FOR THERAPY UP TO 1hr","96365","HCPCS","Both",,,"551.04","275.52","UHC","Commercial","",,"75",,"415.48","201.68","427.06","percent of total billed charges",,
"IV INFUSION FOR THERAPY UP TO 1hr","96365","HCPCS","Both",,,"551.04","275.52","Medicaid",,"",,"37",,"201.68","201.68","427.06","percent of total billed charges",,
"IV INF HYDRATION @ ADD'L HR","96361","HCPCS","Both",,,"181.92","90.96","Alliant","Health Exchange","",,"62",,"112.79","66.58","140.99","percent of total billed charges",,
"IV INF HYDRATION @ ADD'L HR","96361","HCPCS","Both",,,"181.92","90.96","Pruitt Healthcare","Medicare Advantage","",,"54",,"98.24","66.58","140.99","percent of total billed charges",,
"IV INF HYDRATION @ ADD'L HR","96361","HCPCS","Both",,,"181.92","90.96","Medicare",,"",,"54",,"98.6","66.58","140.99","percent of total billed charges",,
"IV INF HYDRATION @ ADD'L HR","96361","HCPCS","Both",,,"181.92","90.96","Humana","Medicare Advantage","",,"54",,"98.6","66.58","140.99","percent of total billed charges",,
"IV INF HYDRATION @ ADD'L HR","96361","HCPCS","Both",,,"181.92","90.96","UHC","Medicare Advantage","",,"54",,"98.6","66.58","140.99","percent of total billed charges",,
"IV INF HYDRATION @ ADD'L HR","96361","HCPCS","Both",,,"181.92","90.96","Clover","Medicare Advantage","",,"54",,"98.6","66.58","140.99","percent of total billed charges",,
"IV INF HYDRATION @ ADD'L HR","96361","HCPCS","Both",,,"181.92","90.96","Wellcare","Medicare Advantage","",,"54",,"98.6","66.58","140.99","percent of total billed charges",,
"IV INF HYDRATION @ ADD'L HR","96361","HCPCS","Both",,,"181.92","90.96","Amerigroup","Medicaid Managed Care","",,"37",,"66.58","66.58","140.99","percent of total billed charges",,
"IV INF HYDRATION @ ADD'L HR","96361","HCPCS","Both",,,"181.92","90.96","Caresource","Medicaid Managed Care","",,"40",,"72.77","66.58","140.99","percent of total billed charges",,
"IV INF HYDRATION @ ADD'L HR","96361","HCPCS","Both",,,"181.92","90.96","Wellcare","Medicaid Managed Care","",,"40",,"73.68","66.58","140.99","percent of total billed charges",,
"IV INF HYDRATION @ ADD'L HR","96361","HCPCS","Both",,,"181.92","90.96","Aetna","Commercial","",,"64",,"116.06","66.58","140.99","percent of total billed charges",,
"IV INF HYDRATION @ ADD'L HR","96361","HCPCS","Both",,,"181.92","90.96","Blue Cross Blue Shield","Pathways","",,"71",,"128.44","66.58","140.99","percent of total billed charges",,
"IV INF HYDRATION @ ADD'L HR","96361","HCPCS","Both",,,"181.92","90.96","Blue Cross Blue Shield","HMO","",,"71",,"128.44","66.58","140.99","percent of total billed charges",,
"IV INF HYDRATION @ ADD'L HR","96361","HCPCS","Both",,,"181.92","90.96","Blue Cross Blue Shield","PPO","",,"71",,"128.44","66.58","140.99","percent of total billed charges",,
"IV INF HYDRATION @ ADD'L HR","96361","HCPCS","Both",,,"181.92","90.96","Ambetter","Health Exchange","",,"62",,"112.79","66.58","140.99","percent of total billed charges",,
"IV INF HYDRATION @ ADD'L HR","96361","HCPCS","Both",,,"181.92","90.96","Caresource","Health Exchange","",,"62",,"112.79","66.58","140.99","percent of total billed charges",,
"IV INF HYDRATION @ ADD'L HR","96361","HCPCS","Both",,,"181.92","90.96","Cigna","Commercial","",,"59",,"106.61","66.58","140.99","percent of total billed charges",,
"IV INF HYDRATION @ ADD'L HR","96361","HCPCS","Both",,,"181.92","90.96","Humana","Commercial","",,"78",,"140.99","66.58","140.99","percent of total billed charges",,
"IV INF HYDRATION @ ADD'L HR","96361","HCPCS","Both",,,"181.92","90.96","UHC","Commercial","",,"75",,"137.17","66.58","140.99","percent of total billed charges",,
"IV INF HYDRATION @ ADD'L HR","96361","HCPCS","Both",,,"181.92","90.96","Medicaid",,"",,"37",,"66.58","66.58","140.99","percent of total billed charges",,
"IV PUSH single or initial DRUG","96374","HCPCS","Both",,,"259.2","129.6","Alliant","Health Exchange","",,"62",,"160.7","94.87","209.25","percent of total billed charges",,
"IV PUSH single or initial DRUG","96374","HCPCS","Both",,,"259.2","129.6","Pruitt Healthcare","Medicare Advantage","",,"54",,"139.97","94.87","209.25","percent of total billed charges",,
"IV PUSH single or initial DRUG","96374","HCPCS","Both",,,"259.2","129.6","Medicare",,"",,"54",,"140.49","94.87","209.25","percent of total billed charges",,
"IV PUSH single or initial DRUG","96374","HCPCS","Both",,,"259.2","129.6","Humana","Medicare Advantage","",,"54",,"140.49","94.87","209.25","percent of total billed charges",,
"IV PUSH single or initial DRUG","96374","HCPCS","Both",,,"259.2","129.6","UHC","Medicare Advantage","",,"54",,"140.49","94.87","209.25","percent of total billed charges",,
"IV PUSH single or initial DRUG","96374","HCPCS","Both",,,"259.2","129.6","Clover","Medicare Advantage","",,"54",,"140.49","94.87","209.25","percent of total billed charges",,
"IV PUSH single or initial DRUG","96374","HCPCS","Both",,,"259.2","129.6","Wellcare","Medicare Advantage","",,"54",,"140.49","94.87","209.25","percent of total billed charges",,
"IV PUSH single or initial DRUG","96374","HCPCS","Both",,,"259.2","129.6","Amerigroup","Medicaid Managed Care","",,"37",,"94.87","94.87","209.25","percent of total billed charges",,
"IV PUSH single or initial DRUG","96374","HCPCS","Both",,,"259.2","129.6","Caresource","Medicaid Managed Care","",,"40",,"103.68","94.87","209.25","percent of total billed charges",,
"IV PUSH single or initial DRUG","96374","HCPCS","Both",,,"259.2","129.6","Wellcare","Medicaid Managed Care","",,"40",,"104.98","94.87","209.25","percent of total billed charges",,
"IV PUSH single or initial DRUG","96374","HCPCS","Both",,,"259.2","129.6","Aetna","Commercial","",,"64",,"165.37","94.87","209.25","percent of total billed charges",,
"IV PUSH single or initial DRUG","96374","HCPCS","Both",,,"259.2","129.6","Blue Cross Blue Shield","Pathways","",,"71",,"183","94.87","209.25","percent of total billed charges",,
"IV PUSH single or initial DRUG","96374","HCPCS","Both",,,"259.2","129.6","Blue Cross Blue Shield","HMO","",,"71",,"183","94.87","209.25","percent of total billed charges",,
"IV PUSH single or initial DRUG","96374","HCPCS","Both",,,"259.2","129.6","Blue Cross Blue Shield","PPO","",,"71",,"183","94.87","209.25","percent of total billed charges",,
"IV PUSH single or initial DRUG","96374","HCPCS","Both",,,"259.2","129.6","Ambetter","Health Exchange","",,"62",,"160.7","94.87","209.25","percent of total billed charges",,
"IV PUSH single or initial DRUG","96374","HCPCS","Both",,,"259.2","129.6","Caresource","Health Exchange","",,"62",,"160.7","94.87","209.25","percent of total billed charges",,
"IV PUSH single or initial DRUG","96374","HCPCS","Both",,,"259.2","129.6","Cigna","Commercial","",,"59",,"151.89","94.87","209.25","percent of total billed charges",,
"IV PUSH single or initial DRUG","96374","HCPCS","Both",,,"259.2","129.6","Humana","Commercial","",,"78",,"200.88","94.87","209.25","percent of total billed charges",,
"IV PUSH single or initial DRUG","96374","HCPCS","Both",,,"259.2","129.6","UHC","Commercial","",,"75",,"195.44","94.87","209.25","percent of total billed charges",,
"IV PUSH single or initial DRUG","96374","HCPCS","Both",,,"259.2","129.6","Medicaid",,"",,"37",,"94.87","94.87","209.25","percent of total billed charges",,
"IM SUB Q INJECTION EACH","96372","HCPCS","Both",,,"330.92","165.46","Alliant","Health Exchange","",,"62",,"205.17","77.65","256.46","percent of total billed charges",,
"IM SUB Q INJECTION EACH","96372","HCPCS","Both",,,"330.92","165.46","Pruitt Healthcare","Medicare Advantage","",,"54",,"178.7","77.65","256.46","percent of total billed charges",,
"IM SUB Q INJECTION EACH","96372","HCPCS","Both",,,"330.92","165.46","Medicare",,"",,"54",,"179.36","77.65","256.46","percent of total billed charges",,
"IM SUB Q INJECTION EACH","96372","HCPCS","Both",,,"330.92","165.46","Humana","Medicare Advantage","",,"54",,"179.36","77.65","256.46","percent of total billed charges",,
"IM SUB Q INJECTION EACH","96372","HCPCS","Both",,,"330.92","165.46","UHC","Medicare Advantage","",,"54",,"179.36","77.65","256.46","percent of total billed charges",,
"IM SUB Q INJECTION EACH","96372","HCPCS","Both",,,"330.92","165.46","Clover","Medicare Advantage","",,"54",,"179.36","77.65","256.46","percent of total billed charges",,
"IM SUB Q INJECTION EACH","96372","HCPCS","Both",,,"330.92","165.46","Wellcare","Medicare Advantage","",,"54",,"179.36","77.65","256.46","percent of total billed charges",,
"IM SUB Q INJECTION EACH","96372","HCPCS","Both",,,"330.92","165.46","Amerigroup","Medicaid Managed Care","",,"37",,"121.12","77.65","256.46","percent of total billed charges",,
"IM SUB Q INJECTION EACH","96372","HCPCS","Both",,,"330.92","165.46","Caresource","Medicaid Managed Care","",,"40",,"132.37","77.65","256.46","percent of total billed charges",,
"IM SUB Q INJECTION EACH","96372","HCPCS","Both",,,"330.92","165.46","Wellcare","Medicaid Managed Care","",,"40",,"134.02","77.65","256.46","percent of total billed charges",,
"IM SUB Q INJECTION EACH","96372","HCPCS","Both",,,"330.92","165.46","Aetna","Commercial","",,"64",,"211.13","77.65","256.46","percent of total billed charges",,
"IM SUB Q INJECTION EACH","96372","HCPCS","Both",,,"330.92","165.46","Blue Cross Blue Shield","Pathways","",,"71",,"233.63","77.65","256.46","percent of total billed charges",,
"IM SUB Q INJECTION EACH","96372","HCPCS","Both",,,"330.92","165.46","Blue Cross Blue Shield","HMO","",,"71",,"233.63","77.65","256.46","percent of total billed charges",,
"IM SUB Q INJECTION EACH","96372","HCPCS","Both",,,"330.92","165.46","Blue Cross Blue Shield","PPO","",,"71",,"233.63","77.65","256.46","percent of total billed charges",,
"IM SUB Q INJECTION EACH","96372","HCPCS","Both",,,"330.92","165.46","Ambetter","Health Exchange","",,"62",,"205.17","77.65","256.46","percent of total billed charges",,
"IM SUB Q INJECTION EACH","96372","HCPCS","Both",,,"330.92","165.46","Caresource","Health Exchange","",,"62",,"205.17","77.65","256.46","percent of total billed charges",,
"IM SUB Q INJECTION EACH","96372","HCPCS","Both",,,"330.92","165.46","Cigna","Commercial","",,"59",,"193.92","77.65","256.46","percent of total billed charges",,
"IM SUB Q INJECTION EACH","96372","HCPCS","Both",,,"330.92","165.46","Humana","Commercial","",,"78",,"256.46","77.65","256.46","percent of total billed charges",,
"IM SUB Q INJECTION EACH","96372","HCPCS","Both",,,"330.92","165.46","UHC","Commercial","",,"75",,"249.51","77.65","256.46","percent of total billed charges",,
"IM SUB Q INJECTION EACH","96372","HCPCS","Both",,,"330.92","165.46","Medicaid",,"",,"37",,"121.12","77.65","256.46","percent of total billed charges",,
"IMMUNIZATION ADMIN 1ST VACCINE","90471","HCPCS","Both",,,"198.83","99.415","Alliant","Health Exchange","",,"62",,"123.27","72.77","154.09","percent of total billed charges",,
"IMMUNIZATION ADMIN 1ST VACCINE","90471","HCPCS","Both",,,"198.83","99.415","Pruitt Healthcare","Medicare Advantage","",,"54",,"107.37","72.77","154.09","percent of total billed charges",,
"IMMUNIZATION ADMIN 1ST VACCINE","90471","HCPCS","Both",,,"198.83","99.415","Medicare",,"",,"54",,"107.77","72.77","154.09","percent of total billed charges",,
"IMMUNIZATION ADMIN 1ST VACCINE","90471","HCPCS","Both",,,"198.83","99.415","Humana","Medicare Advantage","",,"54",,"107.77","72.77","154.09","percent of total billed charges",,
"IMMUNIZATION ADMIN 1ST VACCINE","90471","HCPCS","Both",,,"198.83","99.415","UHC","Medicare Advantage","",,"54",,"107.77","72.77","154.09","percent of total billed charges",,
"IMMUNIZATION ADMIN 1ST VACCINE","90471","HCPCS","Both",,,"198.83","99.415","Clover","Medicare Advantage","",,"54",,"107.77","72.77","154.09","percent of total billed charges",,
"IMMUNIZATION ADMIN 1ST VACCINE","90471","HCPCS","Both",,,"198.83","99.415","Wellcare","Medicare Advantage","",,"54",,"107.77","72.77","154.09","percent of total billed charges",,
"IMMUNIZATION ADMIN 1ST VACCINE","90471","HCPCS","Both",,,"198.83","99.415","Amerigroup","Medicaid Managed Care","",,"37",,"72.77","72.77","154.09","percent of total billed charges",,
"IMMUNIZATION ADMIN 1ST VACCINE","90471","HCPCS","Both",,,"198.83","99.415","Caresource","Medicaid Managed Care","",,"40",,"79.53","72.77","154.09","percent of total billed charges",,
"IMMUNIZATION ADMIN 1ST VACCINE","90471","HCPCS","Both",,,"198.83","99.415","Wellcare","Medicaid Managed Care","",,"40",,"80.53","72.77","154.09","percent of total billed charges",,
"IMMUNIZATION ADMIN 1ST VACCINE","90471","HCPCS","Both",,,"198.83","99.415","Aetna","Commercial","",,"64",,"126.85","72.77","154.09","percent of total billed charges",,
"IMMUNIZATION ADMIN 1ST VACCINE","90471","HCPCS","Both",,,"198.83","99.415","Blue Cross Blue Shield","Pathways","",,"71",,"140.37","72.77","154.09","percent of total billed charges",,
"IMMUNIZATION ADMIN 1ST VACCINE","90471","HCPCS","Both",,,"198.83","99.415","Blue Cross Blue Shield","HMO","",,"71",,"140.37","72.77","154.09","percent of total billed charges",,
"IMMUNIZATION ADMIN 1ST VACCINE","90471","HCPCS","Both",,,"198.83","99.415","Blue Cross Blue Shield","PPO","",,"71",,"140.37","72.77","154.09","percent of total billed charges",,
"IMMUNIZATION ADMIN 1ST VACCINE","90471","HCPCS","Both",,,"198.83","99.415","Ambetter","Health Exchange","",,"62",,"123.27","72.77","154.09","percent of total billed charges",,
"IMMUNIZATION ADMIN 1ST VACCINE","90471","HCPCS","Both",,,"198.83","99.415","Caresource","Health Exchange","",,"62",,"123.27","72.77","154.09","percent of total billed charges",,
"IMMUNIZATION ADMIN 1ST VACCINE","90471","HCPCS","Both",,,"198.83","99.415","Cigna","Commercial","",,"59",,"116.51","72.77","154.09","percent of total billed charges",,
"IMMUNIZATION ADMIN 1ST VACCINE","90471","HCPCS","Both",,,"198.83","99.415","Humana","Commercial","",,"78",,"154.09","72.77","154.09","percent of total billed charges",,
"IMMUNIZATION ADMIN 1ST VACCINE","90471","HCPCS","Both",,,"198.83","99.415","UHC","Commercial","",,"75",,"149.92","72.77","154.09","percent of total billed charges",,
"IMMUNIZATION ADMIN 1ST VACCINE","90471","HCPCS","Both",,,"198.83","99.415","Medicaid",,"",,"37",,"72.77","72.77","154.09","percent of total billed charges",,
"CHEMOTHERAPY ADMINISTRATION, INTRAVENOUS","96413","HCPCS","Both",,,"235","117.5","Alliant","Health Exchange","",,"62",,"145.7","86.01","182.12","percent of total billed charges",,
"CHEMOTHERAPY ADMINISTRATION, INTRAVENOUS","96413","HCPCS","Both",,,"235","117.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"126.9","86.01","182.12","percent of total billed charges",,
"CHEMOTHERAPY ADMINISTRATION, INTRAVENOUS","96413","HCPCS","Both",,,"235","117.5","Medicare",,"",,"54",,"127.37","86.01","182.12","percent of total billed charges",,
"CHEMOTHERAPY ADMINISTRATION, INTRAVENOUS","96413","HCPCS","Both",,,"235","117.5","Humana","Medicare Advantage","",,"54",,"127.37","86.01","182.12","percent of total billed charges",,
"CHEMOTHERAPY ADMINISTRATION, INTRAVENOUS","96413","HCPCS","Both",,,"235","117.5","UHC","Medicare Advantage","",,"54",,"127.37","86.01","182.12","percent of total billed charges",,
"CHEMOTHERAPY ADMINISTRATION, INTRAVENOUS","96413","HCPCS","Both",,,"235","117.5","Clover","Medicare Advantage","",,"54",,"127.37","86.01","182.12","percent of total billed charges",,
"CHEMOTHERAPY ADMINISTRATION, INTRAVENOUS","96413","HCPCS","Both",,,"235","117.5","Wellcare","Medicare Advantage","",,"54",,"127.37","86.01","182.12","percent of total billed charges",,
"CHEMOTHERAPY ADMINISTRATION, INTRAVENOUS","96413","HCPCS","Both",,,"235","117.5","Amerigroup","Medicaid Managed Care","",,"37",,"86.01","86.01","182.12","percent of total billed charges",,
"CHEMOTHERAPY ADMINISTRATION, INTRAVENOUS","96413","HCPCS","Both",,,"235","117.5","Caresource","Medicaid Managed Care","",,"40",,"94","86.01","182.12","percent of total billed charges",,
"CHEMOTHERAPY ADMINISTRATION, INTRAVENOUS","96413","HCPCS","Both",,,"235","117.5","Wellcare","Medicaid Managed Care","",,"40",,"95.18","86.01","182.12","percent of total billed charges",,
"CHEMOTHERAPY ADMINISTRATION, INTRAVENOUS","96413","HCPCS","Both",,,"235","117.5","Aetna","Commercial","",,"64",,"149.93","86.01","182.12","percent of total billed charges",,
"CHEMOTHERAPY ADMINISTRATION, INTRAVENOUS","96413","HCPCS","Both",,,"235","117.5","Blue Cross Blue Shield","Pathways","",,"71",,"165.91","86.01","182.12","percent of total billed charges",,
"CHEMOTHERAPY ADMINISTRATION, INTRAVENOUS","96413","HCPCS","Both",,,"235","117.5","Blue Cross Blue Shield","HMO","",,"71",,"165.91","86.01","182.12","percent of total billed charges",,
"CHEMOTHERAPY ADMINISTRATION, INTRAVENOUS","96413","HCPCS","Both",,,"235","117.5","Blue Cross Blue Shield","PPO","",,"71",,"165.91","86.01","182.12","percent of total billed charges",,
"CHEMOTHERAPY ADMINISTRATION, INTRAVENOUS","96413","HCPCS","Both",,,"235","117.5","Ambetter","Health Exchange","",,"62",,"145.7","86.01","182.12","percent of total billed charges",,
"CHEMOTHERAPY ADMINISTRATION, INTRAVENOUS","96413","HCPCS","Both",,,"235","117.5","Caresource","Health Exchange","",,"62",,"145.7","86.01","182.12","percent of total billed charges",,
"CHEMOTHERAPY ADMINISTRATION, INTRAVENOUS","96413","HCPCS","Both",,,"235","117.5","Cigna","Commercial","",,"59",,"137.71","86.01","182.12","percent of total billed charges",,
"CHEMOTHERAPY ADMINISTRATION, INTRAVENOUS","96413","HCPCS","Both",,,"235","117.5","Humana","Commercial","",,"78",,"182.12","86.01","182.12","percent of total billed charges",,
"CHEMOTHERAPY ADMINISTRATION, INTRAVENOUS","96413","HCPCS","Both",,,"235","117.5","UHC","Commercial","",,"75",,"177.19","86.01","182.12","percent of total billed charges",,
"CHEMOTHERAPY ADMINISTRATION, INTRAVENOUS","96413","HCPCS","Both",,,"235","117.5","Medicaid",,"",,"37",,"86.01","86.01","182.12","percent of total billed charges",,
"CHEMOTHERAPY ADMINISTRATION, SQ OR IM","Q0083","HCPCS","Both",,,"386","193","Alliant","Health Exchange","",,"62",,"239.32","141.28","299.15","percent of total billed charges",,
"CHEMOTHERAPY ADMINISTRATION, SQ OR IM","Q0083","HCPCS","Both",,,"386","193","Pruitt Healthcare","Medicare Advantage","",,"54",,"208.44","141.28","299.15","percent of total billed charges",,
"CHEMOTHERAPY ADMINISTRATION, SQ OR IM","Q0083","HCPCS","Both",,,"386","193","Medicare",,"",,"54",,"209.21","141.28","299.15","percent of total billed charges",,
"CHEMOTHERAPY ADMINISTRATION, SQ OR IM","Q0083","HCPCS","Both",,,"386","193","Humana","Medicare Advantage","",,"54",,"209.21","141.28","299.15","percent of total billed charges",,
"CHEMOTHERAPY ADMINISTRATION, SQ OR IM","Q0083","HCPCS","Both",,,"386","193","UHC","Medicare Advantage","",,"54",,"209.21","141.28","299.15","percent of total billed charges",,
"CHEMOTHERAPY ADMINISTRATION, SQ OR IM","Q0083","HCPCS","Both",,,"386","193","Clover","Medicare Advantage","",,"54",,"209.21","141.28","299.15","percent of total billed charges",,
"CHEMOTHERAPY ADMINISTRATION, SQ OR IM","Q0083","HCPCS","Both",,,"386","193","Wellcare","Medicare Advantage","",,"54",,"209.21","141.28","299.15","percent of total billed charges",,
"CHEMOTHERAPY ADMINISTRATION, SQ OR IM","Q0083","HCPCS","Both",,,"386","193","Amerigroup","Medicaid Managed Care","",,"37",,"141.28","141.28","299.15","percent of total billed charges",,
"CHEMOTHERAPY ADMINISTRATION, SQ OR IM","Q0083","HCPCS","Both",,,"386","193","Caresource","Medicaid Managed Care","",,"40",,"154.4","141.28","299.15","percent of total billed charges",,
"CHEMOTHERAPY ADMINISTRATION, SQ OR IM","Q0083","HCPCS","Both",,,"386","193","Wellcare","Medicaid Managed Care","",,"40",,"156.33","141.28","299.15","percent of total billed charges",,
"CHEMOTHERAPY ADMINISTRATION, SQ OR IM","Q0083","HCPCS","Both",,,"386","193","Aetna","Commercial","",,"64",,"246.27","141.28","299.15","percent of total billed charges",,
"CHEMOTHERAPY ADMINISTRATION, SQ OR IM","Q0083","HCPCS","Both",,,"386","193","Blue Cross Blue Shield","Pathways","",,"71",,"272.52","141.28","299.15","percent of total billed charges",,
"CHEMOTHERAPY ADMINISTRATION, SQ OR IM","Q0083","HCPCS","Both",,,"386","193","Blue Cross Blue Shield","HMO","",,"71",,"272.52","141.28","299.15","percent of total billed charges",,
"CHEMOTHERAPY ADMINISTRATION, SQ OR IM","Q0083","HCPCS","Both",,,"386","193","Blue Cross Blue Shield","PPO","",,"71",,"272.52","141.28","299.15","percent of total billed charges",,
"CHEMOTHERAPY ADMINISTRATION, SQ OR IM","Q0083","HCPCS","Both",,,"386","193","Ambetter","Health Exchange","",,"62",,"239.32","141.28","299.15","percent of total billed charges",,
"CHEMOTHERAPY ADMINISTRATION, SQ OR IM","Q0083","HCPCS","Both",,,"386","193","Caresource","Health Exchange","",,"62",,"239.32","141.28","299.15","percent of total billed charges",,
"CHEMOTHERAPY ADMINISTRATION, SQ OR IM","Q0083","HCPCS","Both",,,"386","193","Cigna","Commercial","",,"59",,"226.2","141.28","299.15","percent of total billed charges",,
"CHEMOTHERAPY ADMINISTRATION, SQ OR IM","Q0083","HCPCS","Both",,,"386","193","Humana","Commercial","",,"78",,"299.15","141.28","299.15","percent of total billed charges",,
"CHEMOTHERAPY ADMINISTRATION, SQ OR IM","Q0083","HCPCS","Both",,,"386","193","UHC","Commercial","",,"75",,"291.04","141.28","299.15","percent of total billed charges",,
"CHEMOTHERAPY ADMINISTRATION, SQ OR IM","Q0083","HCPCS","Both",,,"386","193","Medicaid",,"",,"37",,"141.28","141.28","299.15","percent of total billed charges",,
"IV INFUSION, HYDRATION 31mins to 1hr","96360","HCPCS","Both",,,"363.84","181.92","Alliant","Health Exchange","",,"62",,"225.58","133.17","293.73","percent of total billed charges",,
"IV INFUSION, HYDRATION 31mins to 1hr","96360","HCPCS","Both",,,"363.84","181.92","Pruitt Healthcare","Medicare Advantage","",,"54",,"196.47","133.17","293.73","percent of total billed charges",,
"IV INFUSION, HYDRATION 31mins to 1hr","96360","HCPCS","Both",,,"363.84","181.92","Medicare",,"",,"54",,"197.2","133.17","293.73","percent of total billed charges",,
"IV INFUSION, HYDRATION 31mins to 1hr","96360","HCPCS","Both",,,"363.84","181.92","Humana","Medicare Advantage","",,"54",,"197.2","133.17","293.73","percent of total billed charges",,
"IV INFUSION, HYDRATION 31mins to 1hr","96360","HCPCS","Both",,,"363.84","181.92","UHC","Medicare Advantage","",,"54",,"197.2","133.17","293.73","percent of total billed charges",,
"IV INFUSION, HYDRATION 31mins to 1hr","96360","HCPCS","Both",,,"363.84","181.92","Clover","Medicare Advantage","",,"54",,"197.2","133.17","293.73","percent of total billed charges",,
"IV INFUSION, HYDRATION 31mins to 1hr","96360","HCPCS","Both",,,"363.84","181.92","Wellcare","Medicare Advantage","",,"54",,"197.2","133.17","293.73","percent of total billed charges",,
"IV INFUSION, HYDRATION 31mins to 1hr","96360","HCPCS","Both",,,"363.84","181.92","Amerigroup","Medicaid Managed Care","",,"37",,"133.17","133.17","293.73","percent of total billed charges",,
"IV INFUSION, HYDRATION 31mins to 1hr","96360","HCPCS","Both",,,"363.84","181.92","Caresource","Medicaid Managed Care","",,"40",,"145.54","133.17","293.73","percent of total billed charges",,
"IV INFUSION, HYDRATION 31mins to 1hr","96360","HCPCS","Both",,,"363.84","181.92","Wellcare","Medicaid Managed Care","",,"40",,"147.36","133.17","293.73","percent of total billed charges",,
"IV INFUSION, HYDRATION 31mins to 1hr","96360","HCPCS","Both",,,"363.84","181.92","Aetna","Commercial","",,"64",,"232.13","133.17","293.73","percent of total billed charges",,
"IV INFUSION, HYDRATION 31mins to 1hr","96360","HCPCS","Both",,,"363.84","181.92","Blue Cross Blue Shield","Pathways","",,"71",,"256.87","133.17","293.73","percent of total billed charges",,
"IV INFUSION, HYDRATION 31mins to 1hr","96360","HCPCS","Both",,,"363.84","181.92","Blue Cross Blue Shield","HMO","",,"71",,"256.87","133.17","293.73","percent of total billed charges",,
"IV INFUSION, HYDRATION 31mins to 1hr","96360","HCPCS","Both",,,"363.84","181.92","Blue Cross Blue Shield","PPO","",,"71",,"256.87","133.17","293.73","percent of total billed charges",,
"IV INFUSION, HYDRATION 31mins to 1hr","96360","HCPCS","Both",,,"363.84","181.92","Ambetter","Health Exchange","",,"62",,"225.58","133.17","293.73","percent of total billed charges",,
"IV INFUSION, HYDRATION 31mins to 1hr","96360","HCPCS","Both",,,"363.84","181.92","Caresource","Health Exchange","",,"62",,"225.58","133.17","293.73","percent of total billed charges",,
"IV INFUSION, HYDRATION 31mins to 1hr","96360","HCPCS","Both",,,"363.84","181.92","Cigna","Commercial","",,"59",,"213.21","133.17","293.73","percent of total billed charges",,
"IV INFUSION, HYDRATION 31mins to 1hr","96360","HCPCS","Both",,,"363.84","181.92","Humana","Commercial","",,"78",,"281.98","133.17","293.73","percent of total billed charges",,
"IV INFUSION, HYDRATION 31mins to 1hr","96360","HCPCS","Both",,,"363.84","181.92","UHC","Commercial","",,"75",,"274.34","133.17","293.73","percent of total billed charges",,
"IV INFUSION, HYDRATION 31mins to 1hr","96360","HCPCS","Both",,,"363.84","181.92","Medicaid",,"",,"37",,"133.17","133.17","293.73","percent of total billed charges",,
"VAGINAL DELIVERY ONLY","59409","HCPCS","Both",,,"4541.5","2270.75","Alliant","Health Exchange","",,"62",,"2815.73","1662.19","3519.66","percent of total billed charges",,
"VAGINAL DELIVERY ONLY","59409","HCPCS","Both",,,"4541.5","2270.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"2452.41","1662.19","3519.66","percent of total billed charges",,
"VAGINAL DELIVERY ONLY","59409","HCPCS","Both",,,"4541.5","2270.75","Medicare",,"",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"VAGINAL DELIVERY ONLY","59409","HCPCS","Both",,,"4541.5","2270.75","Humana","Medicare Advantage","",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"VAGINAL DELIVERY ONLY","59409","HCPCS","Both",,,"4541.5","2270.75","UHC","Medicare Advantage","",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"VAGINAL DELIVERY ONLY","59409","HCPCS","Both",,,"4541.5","2270.75","Clover","Medicare Advantage","",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"VAGINAL DELIVERY ONLY","59409","HCPCS","Both",,,"4541.5","2270.75","Wellcare","Medicare Advantage","",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"VAGINAL DELIVERY ONLY","59409","HCPCS","Both",,,"4541.5","2270.75","Amerigroup","Medicaid Managed Care","",,"37",,"1662.19","1662.19","3519.66","percent of total billed charges",,
"VAGINAL DELIVERY ONLY","59409","HCPCS","Both",,,"4541.5","2270.75","Caresource","Medicaid Managed Care","",,"40",,"1816.6","1662.19","3519.66","percent of total billed charges",,
"VAGINAL DELIVERY ONLY","59409","HCPCS","Both",,,"4541.5","2270.75","Wellcare","Medicaid Managed Care","",,"40",,"1839.31","1662.19","3519.66","percent of total billed charges",,
"VAGINAL DELIVERY ONLY","59409","HCPCS","Both",,,"4541.5","2270.75","Aetna","Commercial","",,"64",,"2897.48","1662.19","3519.66","percent of total billed charges",,
"VAGINAL DELIVERY ONLY","59409","HCPCS","Both",,,"4541.5","2270.75","Blue Cross Blue Shield","Pathways","",,"71",,"3206.3","1662.19","3519.66","percent of total billed charges",,
"VAGINAL DELIVERY ONLY","59409","HCPCS","Both",,,"4541.5","2270.75","Blue Cross Blue Shield","HMO","",,"71",,"3206.3","1662.19","3519.66","percent of total billed charges",,
"VAGINAL DELIVERY ONLY","59409","HCPCS","Both",,,"4541.5","2270.75","Blue Cross Blue Shield","PPO","",,"71",,"3206.3","1662.19","3519.66","percent of total billed charges",,
"VAGINAL DELIVERY ONLY","59409","HCPCS","Both",,,"4541.5","2270.75","Ambetter","Health Exchange","",,"62",,"2815.73","1662.19","3519.66","percent of total billed charges",,
"VAGINAL DELIVERY ONLY","59409","HCPCS","Both",,,"4541.5","2270.75","Caresource","Health Exchange","",,"62",,"2815.73","1662.19","3519.66","percent of total billed charges",,
"VAGINAL DELIVERY ONLY","59409","HCPCS","Both",,,"4541.5","2270.75","Cigna","Commercial","",,"59",,"2661.32","1662.19","3519.66","percent of total billed charges",,
"VAGINAL DELIVERY ONLY","59409","HCPCS","Both",,,"4541.5","2270.75","Humana","Commercial","",,"78",,"3519.66","1662.19","3519.66","percent of total billed charges",,
"VAGINAL DELIVERY ONLY","59409","HCPCS","Both",,,"4541.5","2270.75","UHC","Commercial","",,"75",,"3424.29","1662.19","3519.66","percent of total billed charges",,
"VAGINAL DELIVERY ONLY","59409","HCPCS","Both",,,"4541.5","2270.75","Medicaid",,"",,"37",,"1662.19","1662.19","3519.66","percent of total billed charges",,
"IMMUNIZATION ADMIN EACH ADDN'L VACCINE","90472","HCPCS","Both",,,"51","25.5","Alliant","Health Exchange","",,"62",,"31.62","18.67","39.52","percent of total billed charges",,
"IMMUNIZATION ADMIN EACH ADDN'L VACCINE","90472","HCPCS","Both",,,"51","25.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"27.54","18.67","39.52","percent of total billed charges",,
"IMMUNIZATION ADMIN EACH ADDN'L VACCINE","90472","HCPCS","Both",,,"51","25.5","Medicare",,"",,"54",,"27.64","18.67","39.52","percent of total billed charges",,
"IMMUNIZATION ADMIN EACH ADDN'L VACCINE","90472","HCPCS","Both",,,"51","25.5","Humana","Medicare Advantage","",,"54",,"27.64","18.67","39.52","percent of total billed charges",,
"IMMUNIZATION ADMIN EACH ADDN'L VACCINE","90472","HCPCS","Both",,,"51","25.5","UHC","Medicare Advantage","",,"54",,"27.64","18.67","39.52","percent of total billed charges",,
"IMMUNIZATION ADMIN EACH ADDN'L VACCINE","90472","HCPCS","Both",,,"51","25.5","Clover","Medicare Advantage","",,"54",,"27.64","18.67","39.52","percent of total billed charges",,
"IMMUNIZATION ADMIN EACH ADDN'L VACCINE","90472","HCPCS","Both",,,"51","25.5","Wellcare","Medicare Advantage","",,"54",,"27.64","18.67","39.52","percent of total billed charges",,
"IMMUNIZATION ADMIN EACH ADDN'L VACCINE","90472","HCPCS","Both",,,"51","25.5","Amerigroup","Medicaid Managed Care","",,"37",,"18.67","18.67","39.52","percent of total billed charges",,
"IMMUNIZATION ADMIN EACH ADDN'L VACCINE","90472","HCPCS","Both",,,"51","25.5","Caresource","Medicaid Managed Care","",,"40",,"20.4","18.67","39.52","percent of total billed charges",,
"IMMUNIZATION ADMIN EACH ADDN'L VACCINE","90472","HCPCS","Both",,,"51","25.5","Wellcare","Medicaid Managed Care","",,"40",,"20.66","18.67","39.52","percent of total billed charges",,
"IMMUNIZATION ADMIN EACH ADDN'L VACCINE","90472","HCPCS","Both",,,"51","25.5","Aetna","Commercial","",,"64",,"32.54","18.67","39.52","percent of total billed charges",,
"IMMUNIZATION ADMIN EACH ADDN'L VACCINE","90472","HCPCS","Both",,,"51","25.5","Blue Cross Blue Shield","Pathways","",,"71",,"36.01","18.67","39.52","percent of total billed charges",,
"IMMUNIZATION ADMIN EACH ADDN'L VACCINE","90472","HCPCS","Both",,,"51","25.5","Blue Cross Blue Shield","HMO","",,"71",,"36.01","18.67","39.52","percent of total billed charges",,
"IMMUNIZATION ADMIN EACH ADDN'L VACCINE","90472","HCPCS","Both",,,"51","25.5","Blue Cross Blue Shield","PPO","",,"71",,"36.01","18.67","39.52","percent of total billed charges",,
"IMMUNIZATION ADMIN EACH ADDN'L VACCINE","90472","HCPCS","Both",,,"51","25.5","Ambetter","Health Exchange","",,"62",,"31.62","18.67","39.52","percent of total billed charges",,
"IMMUNIZATION ADMIN EACH ADDN'L VACCINE","90472","HCPCS","Both",,,"51","25.5","Caresource","Health Exchange","",,"62",,"31.62","18.67","39.52","percent of total billed charges",,
"IMMUNIZATION ADMIN EACH ADDN'L VACCINE","90472","HCPCS","Both",,,"51","25.5","Cigna","Commercial","",,"59",,"29.89","18.67","39.52","percent of total billed charges",,
"IMMUNIZATION ADMIN EACH ADDN'L VACCINE","90472","HCPCS","Both",,,"51","25.5","Humana","Commercial","",,"78",,"39.52","18.67","39.52","percent of total billed charges",,
"IMMUNIZATION ADMIN EACH ADDN'L VACCINE","90472","HCPCS","Both",,,"51","25.5","UHC","Commercial","",,"75",,"38.45","18.67","39.52","percent of total billed charges",,
"IMMUNIZATION ADMIN EACH ADDN'L VACCINE","90472","HCPCS","Both",,,"51","25.5","Medicaid",,"",,"37",,"18.67","18.67","39.52","percent of total billed charges",,
"SIMPLE 2.5CM OR LESS SCALP/NCK/AXIL/TRK/","12001","HCPCS","Both",,,"899.3","449.65","Alliant","Health Exchange","",,"62",,"557.57","193.61","696.96","percent of total billed charges",,
"SIMPLE 2.5CM OR LESS SCALP/NCK/AXIL/TRK/","12001","HCPCS","Both",,,"899.3","449.65","Pruitt Healthcare","Medicare Advantage","",,"54",,"485.62","193.61","696.96","percent of total billed charges",,
"SIMPLE 2.5CM OR LESS SCALP/NCK/AXIL/TRK/","12001","HCPCS","Both",,,"899.3","449.65","Medicare",,"",,"54",,"487.42","193.61","696.96","percent of total billed charges",,
"SIMPLE 2.5CM OR LESS SCALP/NCK/AXIL/TRK/","12001","HCPCS","Both",,,"899.3","449.65","Humana","Medicare Advantage","",,"54",,"487.42","193.61","696.96","percent of total billed charges",,
"SIMPLE 2.5CM OR LESS SCALP/NCK/AXIL/TRK/","12001","HCPCS","Both",,,"899.3","449.65","UHC","Medicare Advantage","",,"54",,"487.42","193.61","696.96","percent of total billed charges",,
"SIMPLE 2.5CM OR LESS SCALP/NCK/AXIL/TRK/","12001","HCPCS","Both",,,"899.3","449.65","Clover","Medicare Advantage","",,"54",,"487.42","193.61","696.96","percent of total billed charges",,
"SIMPLE 2.5CM OR LESS SCALP/NCK/AXIL/TRK/","12001","HCPCS","Both",,,"899.3","449.65","Wellcare","Medicare Advantage","",,"54",,"487.42","193.61","696.96","percent of total billed charges",,
"SIMPLE 2.5CM OR LESS SCALP/NCK/AXIL/TRK/","12001","HCPCS","Both",,,"899.3","449.65","Amerigroup","Medicaid Managed Care","",,"37",,"329.14","193.61","696.96","percent of total billed charges",,
"SIMPLE 2.5CM OR LESS SCALP/NCK/AXIL/TRK/","12001","HCPCS","Both",,,"899.3","449.65","Caresource","Medicaid Managed Care","",,"40",,"359.72","193.61","696.96","percent of total billed charges",,
"SIMPLE 2.5CM OR LESS SCALP/NCK/AXIL/TRK/","12001","HCPCS","Both",,,"899.3","449.65","Wellcare","Medicaid Managed Care","",,"40",,"364.22","193.61","696.96","percent of total billed charges",,
"SIMPLE 2.5CM OR LESS SCALP/NCK/AXIL/TRK/","12001","HCPCS","Both",,,"899.3","449.65","Aetna","Commercial","",,"64",,"573.75","193.61","696.96","percent of total billed charges",,
"SIMPLE 2.5CM OR LESS SCALP/NCK/AXIL/TRK/","12001","HCPCS","Both",,,"899.3","449.65","Blue Cross Blue Shield","Pathways","",,"71",,"634.91","193.61","696.96","percent of total billed charges",,
"SIMPLE 2.5CM OR LESS SCALP/NCK/AXIL/TRK/","12001","HCPCS","Both",,,"899.3","449.65","Blue Cross Blue Shield","HMO","",,"71",,"634.91","193.61","696.96","percent of total billed charges",,
"SIMPLE 2.5CM OR LESS SCALP/NCK/AXIL/TRK/","12001","HCPCS","Both",,,"899.3","449.65","Blue Cross Blue Shield","PPO","",,"71",,"634.91","193.61","696.96","percent of total billed charges",,
"SIMPLE 2.5CM OR LESS SCALP/NCK/AXIL/TRK/","12001","HCPCS","Both",,,"899.3","449.65","Ambetter","Health Exchange","",,"62",,"557.57","193.61","696.96","percent of total billed charges",,
"SIMPLE 2.5CM OR LESS SCALP/NCK/AXIL/TRK/","12001","HCPCS","Both",,,"899.3","449.65","Caresource","Health Exchange","",,"62",,"557.57","193.61","696.96","percent of total billed charges",,
"SIMPLE 2.5CM OR LESS SCALP/NCK/AXIL/TRK/","12001","HCPCS","Both",,,"899.3","449.65","Cigna","Commercial","",,"59",,"526.99","193.61","696.96","percent of total billed charges",,
"SIMPLE 2.5CM OR LESS SCALP/NCK/AXIL/TRK/","12001","HCPCS","Both",,,"899.3","449.65","Humana","Commercial","",,"78",,"696.96","193.61","696.96","percent of total billed charges",,
"SIMPLE 2.5CM OR LESS SCALP/NCK/AXIL/TRK/","12001","HCPCS","Both",,,"899.3","449.65","UHC","Commercial","",,"75",,"678.07","193.61","696.96","percent of total billed charges",,
"SIMPLE 2.5CM OR LESS SCALP/NCK/AXIL/TRK/","12001","HCPCS","Both",,,"899.3","449.65","Medicaid",,"",,"37",,"329.14","193.61","696.96","percent of total billed charges",,
"SIMPLE 2.6CM-7.5CM SCALP/NCK/AXIL/TRK/EX","12002","HCPCS","Both",,,"999.6","499.8","Alliant","Health Exchange","",,"62",,"619.75","215.21","774.69","percent of total billed charges",,
"SIMPLE 2.6CM-7.5CM SCALP/NCK/AXIL/TRK/EX","12002","HCPCS","Both",,,"999.6","499.8","Pruitt Healthcare","Medicare Advantage","",,"54",,"539.78","215.21","774.69","percent of total billed charges",,
"SIMPLE 2.6CM-7.5CM SCALP/NCK/AXIL/TRK/EX","12002","HCPCS","Both",,,"999.6","499.8","Medicare",,"",,"54",,"541.78","215.21","774.69","percent of total billed charges",,
"SIMPLE 2.6CM-7.5CM SCALP/NCK/AXIL/TRK/EX","12002","HCPCS","Both",,,"999.6","499.8","Humana","Medicare Advantage","",,"54",,"541.78","215.21","774.69","percent of total billed charges",,
"SIMPLE 2.6CM-7.5CM SCALP/NCK/AXIL/TRK/EX","12002","HCPCS","Both",,,"999.6","499.8","UHC","Medicare Advantage","",,"54",,"541.78","215.21","774.69","percent of total billed charges",,
"SIMPLE 2.6CM-7.5CM SCALP/NCK/AXIL/TRK/EX","12002","HCPCS","Both",,,"999.6","499.8","Clover","Medicare Advantage","",,"54",,"541.78","215.21","774.69","percent of total billed charges",,
"SIMPLE 2.6CM-7.5CM SCALP/NCK/AXIL/TRK/EX","12002","HCPCS","Both",,,"999.6","499.8","Wellcare","Medicare Advantage","",,"54",,"541.78","215.21","774.69","percent of total billed charges",,
"SIMPLE 2.6CM-7.5CM SCALP/NCK/AXIL/TRK/EX","12002","HCPCS","Both",,,"999.6","499.8","Amerigroup","Medicaid Managed Care","",,"37",,"365.85","215.21","774.69","percent of total billed charges",,
"SIMPLE 2.6CM-7.5CM SCALP/NCK/AXIL/TRK/EX","12002","HCPCS","Both",,,"999.6","499.8","Caresource","Medicaid Managed Care","",,"40",,"399.84","215.21","774.69","percent of total billed charges",,
"SIMPLE 2.6CM-7.5CM SCALP/NCK/AXIL/TRK/EX","12002","HCPCS","Both",,,"999.6","499.8","Wellcare","Medicaid Managed Care","",,"40",,"404.84","215.21","774.69","percent of total billed charges",,
"SIMPLE 2.6CM-7.5CM SCALP/NCK/AXIL/TRK/EX","12002","HCPCS","Both",,,"999.6","499.8","Aetna","Commercial","",,"64",,"637.74","215.21","774.69","percent of total billed charges",,
"SIMPLE 2.6CM-7.5CM SCALP/NCK/AXIL/TRK/EX","12002","HCPCS","Both",,,"999.6","499.8","Blue Cross Blue Shield","Pathways","",,"71",,"705.72","215.21","774.69","percent of total billed charges",,
"SIMPLE 2.6CM-7.5CM SCALP/NCK/AXIL/TRK/EX","12002","HCPCS","Both",,,"999.6","499.8","Blue Cross Blue Shield","HMO","",,"71",,"705.72","215.21","774.69","percent of total billed charges",,
"SIMPLE 2.6CM-7.5CM SCALP/NCK/AXIL/TRK/EX","12002","HCPCS","Both",,,"999.6","499.8","Blue Cross Blue Shield","PPO","",,"71",,"705.72","215.21","774.69","percent of total billed charges",,
"SIMPLE 2.6CM-7.5CM SCALP/NCK/AXIL/TRK/EX","12002","HCPCS","Both",,,"999.6","499.8","Ambetter","Health Exchange","",,"62",,"619.75","215.21","774.69","percent of total billed charges",,
"SIMPLE 2.6CM-7.5CM SCALP/NCK/AXIL/TRK/EX","12002","HCPCS","Both",,,"999.6","499.8","Caresource","Health Exchange","",,"62",,"619.75","215.21","774.69","percent of total billed charges",,
"SIMPLE 2.6CM-7.5CM SCALP/NCK/AXIL/TRK/EX","12002","HCPCS","Both",,,"999.6","499.8","Cigna","Commercial","",,"59",,"585.77","215.21","774.69","percent of total billed charges",,
"SIMPLE 2.6CM-7.5CM SCALP/NCK/AXIL/TRK/EX","12002","HCPCS","Both",,,"999.6","499.8","Humana","Commercial","",,"78",,"774.69","215.21","774.69","percent of total billed charges",,
"SIMPLE 2.6CM-7.5CM SCALP/NCK/AXIL/TRK/EX","12002","HCPCS","Both",,,"999.6","499.8","UHC","Commercial","",,"75",,"753.7","215.21","774.69","percent of total billed charges",,
"SIMPLE 2.6CM-7.5CM SCALP/NCK/AXIL/TRK/EX","12002","HCPCS","Both",,,"999.6","499.8","Medicaid",,"",,"37",,"365.85","215.21","774.69","percent of total billed charges",,
"SIMPLE 7.6CM-12.5CM SCALP/NCK/AXIL/TRK/E","12004","HCPCS","Both",,,"94.5","47.25","Alliant","Health Exchange","",,"62",,"58.59","34.59","73.24","percent of total billed charges",,
"SIMPLE 7.6CM-12.5CM SCALP/NCK/AXIL/TRK/E","12004","HCPCS","Both",,,"94.5","47.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"51.03","34.59","73.24","percent of total billed charges",,
"SIMPLE 7.6CM-12.5CM SCALP/NCK/AXIL/TRK/E","12004","HCPCS","Both",,,"94.5","47.25","Medicare",,"",,"54",,"51.22","34.59","73.24","percent of total billed charges",,
"SIMPLE 7.6CM-12.5CM SCALP/NCK/AXIL/TRK/E","12004","HCPCS","Both",,,"94.5","47.25","Humana","Medicare Advantage","",,"54",,"51.22","34.59","73.24","percent of total billed charges",,
"SIMPLE 7.6CM-12.5CM SCALP/NCK/AXIL/TRK/E","12004","HCPCS","Both",,,"94.5","47.25","UHC","Medicare Advantage","",,"54",,"51.22","34.59","73.24","percent of total billed charges",,
"SIMPLE 7.6CM-12.5CM SCALP/NCK/AXIL/TRK/E","12004","HCPCS","Both",,,"94.5","47.25","Clover","Medicare Advantage","",,"54",,"51.22","34.59","73.24","percent of total billed charges",,
"SIMPLE 7.6CM-12.5CM SCALP/NCK/AXIL/TRK/E","12004","HCPCS","Both",,,"94.5","47.25","Wellcare","Medicare Advantage","",,"54",,"51.22","34.59","73.24","percent of total billed charges",,
"SIMPLE 7.6CM-12.5CM SCALP/NCK/AXIL/TRK/E","12004","HCPCS","Both",,,"94.5","47.25","Amerigroup","Medicaid Managed Care","",,"37",,"34.59","34.59","73.24","percent of total billed charges",,
"SIMPLE 7.6CM-12.5CM SCALP/NCK/AXIL/TRK/E","12004","HCPCS","Both",,,"94.5","47.25","Caresource","Medicaid Managed Care","",,"40",,"37.8","34.59","73.24","percent of total billed charges",,
"SIMPLE 7.6CM-12.5CM SCALP/NCK/AXIL/TRK/E","12004","HCPCS","Both",,,"94.5","47.25","Wellcare","Medicaid Managed Care","",,"40",,"38.27","34.59","73.24","percent of total billed charges",,
"SIMPLE 7.6CM-12.5CM SCALP/NCK/AXIL/TRK/E","12004","HCPCS","Both",,,"94.5","47.25","Aetna","Commercial","",,"64",,"60.29","34.59","73.24","percent of total billed charges",,
"SIMPLE 7.6CM-12.5CM SCALP/NCK/AXIL/TRK/E","12004","HCPCS","Both",,,"94.5","47.25","Blue Cross Blue Shield","Pathways","",,"71",,"66.72","34.59","73.24","percent of total billed charges",,
"SIMPLE 7.6CM-12.5CM SCALP/NCK/AXIL/TRK/E","12004","HCPCS","Both",,,"94.5","47.25","Blue Cross Blue Shield","HMO","",,"71",,"66.72","34.59","73.24","percent of total billed charges",,
"SIMPLE 7.6CM-12.5CM SCALP/NCK/AXIL/TRK/E","12004","HCPCS","Both",,,"94.5","47.25","Blue Cross Blue Shield","PPO","",,"71",,"66.72","34.59","73.24","percent of total billed charges",,
"SIMPLE 7.6CM-12.5CM SCALP/NCK/AXIL/TRK/E","12004","HCPCS","Both",,,"94.5","47.25","Ambetter","Health Exchange","",,"62",,"58.59","34.59","73.24","percent of total billed charges",,
"SIMPLE 7.6CM-12.5CM SCALP/NCK/AXIL/TRK/E","12004","HCPCS","Both",,,"94.5","47.25","Caresource","Health Exchange","",,"62",,"58.59","34.59","73.24","percent of total billed charges",,
"SIMPLE 7.6CM-12.5CM SCALP/NCK/AXIL/TRK/E","12004","HCPCS","Both",,,"94.5","47.25","Cigna","Commercial","",,"59",,"55.38","34.59","73.24","percent of total billed charges",,
"SIMPLE 7.6CM-12.5CM SCALP/NCK/AXIL/TRK/E","12004","HCPCS","Both",,,"94.5","47.25","Humana","Commercial","",,"78",,"73.24","34.59","73.24","percent of total billed charges",,
"SIMPLE 7.6CM-12.5CM SCALP/NCK/AXIL/TRK/E","12004","HCPCS","Both",,,"94.5","47.25","UHC","Commercial","",,"75",,"71.25","34.59","73.24","percent of total billed charges",,
"SIMPLE 7.6CM-12.5CM SCALP/NCK/AXIL/TRK/E","12004","HCPCS","Both",,,"94.5","47.25","Medicaid",,"",,"37",,"34.59","34.59","73.24","percent of total billed charges",,
"SIMPLE 12.6CM-20.0CM SCALP/NCK/AXIL/TRK/","12005","HCPCS","Both",,,"283","141.5","Alliant","Health Exchange","",,"62",,"175.46","103.58","219.32","percent of total billed charges",,
"SIMPLE 12.6CM-20.0CM SCALP/NCK/AXIL/TRK/","12005","HCPCS","Both",,,"283","141.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"152.82","103.58","219.32","percent of total billed charges",,
"SIMPLE 12.6CM-20.0CM SCALP/NCK/AXIL/TRK/","12005","HCPCS","Both",,,"283","141.5","Medicare",,"",,"54",,"153.39","103.58","219.32","percent of total billed charges",,
"SIMPLE 12.6CM-20.0CM SCALP/NCK/AXIL/TRK/","12005","HCPCS","Both",,,"283","141.5","Humana","Medicare Advantage","",,"54",,"153.39","103.58","219.32","percent of total billed charges",,
"SIMPLE 12.6CM-20.0CM SCALP/NCK/AXIL/TRK/","12005","HCPCS","Both",,,"283","141.5","UHC","Medicare Advantage","",,"54",,"153.39","103.58","219.32","percent of total billed charges",,
"SIMPLE 12.6CM-20.0CM SCALP/NCK/AXIL/TRK/","12005","HCPCS","Both",,,"283","141.5","Clover","Medicare Advantage","",,"54",,"153.39","103.58","219.32","percent of total billed charges",,
"SIMPLE 12.6CM-20.0CM SCALP/NCK/AXIL/TRK/","12005","HCPCS","Both",,,"283","141.5","Wellcare","Medicare Advantage","",,"54",,"153.39","103.58","219.32","percent of total billed charges",,
"SIMPLE 12.6CM-20.0CM SCALP/NCK/AXIL/TRK/","12005","HCPCS","Both",,,"283","141.5","Amerigroup","Medicaid Managed Care","",,"37",,"103.58","103.58","219.32","percent of total billed charges",,
"SIMPLE 12.6CM-20.0CM SCALP/NCK/AXIL/TRK/","12005","HCPCS","Both",,,"283","141.5","Caresource","Medicaid Managed Care","",,"40",,"113.2","103.58","219.32","percent of total billed charges",,
"SIMPLE 12.6CM-20.0CM SCALP/NCK/AXIL/TRK/","12005","HCPCS","Both",,,"283","141.5","Wellcare","Medicaid Managed Care","",,"40",,"114.62","103.58","219.32","percent of total billed charges",,
"SIMPLE 12.6CM-20.0CM SCALP/NCK/AXIL/TRK/","12005","HCPCS","Both",,,"283","141.5","Aetna","Commercial","",,"64",,"180.55","103.58","219.32","percent of total billed charges",,
"SIMPLE 12.6CM-20.0CM SCALP/NCK/AXIL/TRK/","12005","HCPCS","Both",,,"283","141.5","Blue Cross Blue Shield","Pathways","",,"71",,"199.8","103.58","219.32","percent of total billed charges",,
"SIMPLE 12.6CM-20.0CM SCALP/NCK/AXIL/TRK/","12005","HCPCS","Both",,,"283","141.5","Blue Cross Blue Shield","HMO","",,"71",,"199.8","103.58","219.32","percent of total billed charges",,
"SIMPLE 12.6CM-20.0CM SCALP/NCK/AXIL/TRK/","12005","HCPCS","Both",,,"283","141.5","Blue Cross Blue Shield","PPO","",,"71",,"199.8","103.58","219.32","percent of total billed charges",,
"SIMPLE 12.6CM-20.0CM SCALP/NCK/AXIL/TRK/","12005","HCPCS","Both",,,"283","141.5","Ambetter","Health Exchange","",,"62",,"175.46","103.58","219.32","percent of total billed charges",,
"SIMPLE 12.6CM-20.0CM SCALP/NCK/AXIL/TRK/","12005","HCPCS","Both",,,"283","141.5","Caresource","Health Exchange","",,"62",,"175.46","103.58","219.32","percent of total billed charges",,
"SIMPLE 12.6CM-20.0CM SCALP/NCK/AXIL/TRK/","12005","HCPCS","Both",,,"283","141.5","Cigna","Commercial","",,"59",,"165.84","103.58","219.32","percent of total billed charges",,
"SIMPLE 12.6CM-20.0CM SCALP/NCK/AXIL/TRK/","12005","HCPCS","Both",,,"283","141.5","Humana","Commercial","",,"78",,"219.32","103.58","219.32","percent of total billed charges",,
"SIMPLE 12.6CM-20.0CM SCALP/NCK/AXIL/TRK/","12005","HCPCS","Both",,,"283","141.5","UHC","Commercial","",,"75",,"213.38","103.58","219.32","percent of total billed charges",,
"SIMPLE 12.6CM-20.0CM SCALP/NCK/AXIL/TRK/","12005","HCPCS","Both",,,"283","141.5","Medicaid",,"",,"37",,"103.58","103.58","219.32","percent of total billed charges",,
"SIMPLE 20.1CM-30.0CM SCALP/NCK/AXIL/TRK/","12006","HCPCS","Both",,,"268.5","134.25","Alliant","Health Exchange","",,"62",,"166.47","98.27","208.09","percent of total billed charges",,
"SIMPLE 20.1CM-30.0CM SCALP/NCK/AXIL/TRK/","12006","HCPCS","Both",,,"268.5","134.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"144.99","98.27","208.09","percent of total billed charges",,
"SIMPLE 20.1CM-30.0CM SCALP/NCK/AXIL/TRK/","12006","HCPCS","Both",,,"268.5","134.25","Medicare",,"",,"54",,"145.53","98.27","208.09","percent of total billed charges",,
"SIMPLE 20.1CM-30.0CM SCALP/NCK/AXIL/TRK/","12006","HCPCS","Both",,,"268.5","134.25","Humana","Medicare Advantage","",,"54",,"145.53","98.27","208.09","percent of total billed charges",,
"SIMPLE 20.1CM-30.0CM SCALP/NCK/AXIL/TRK/","12006","HCPCS","Both",,,"268.5","134.25","UHC","Medicare Advantage","",,"54",,"145.53","98.27","208.09","percent of total billed charges",,
"SIMPLE 20.1CM-30.0CM SCALP/NCK/AXIL/TRK/","12006","HCPCS","Both",,,"268.5","134.25","Clover","Medicare Advantage","",,"54",,"145.53","98.27","208.09","percent of total billed charges",,
"SIMPLE 20.1CM-30.0CM SCALP/NCK/AXIL/TRK/","12006","HCPCS","Both",,,"268.5","134.25","Wellcare","Medicare Advantage","",,"54",,"145.53","98.27","208.09","percent of total billed charges",,
"SIMPLE 20.1CM-30.0CM SCALP/NCK/AXIL/TRK/","12006","HCPCS","Both",,,"268.5","134.25","Amerigroup","Medicaid Managed Care","",,"37",,"98.27","98.27","208.09","percent of total billed charges",,
"SIMPLE 20.1CM-30.0CM SCALP/NCK/AXIL/TRK/","12006","HCPCS","Both",,,"268.5","134.25","Caresource","Medicaid Managed Care","",,"40",,"107.4","98.27","208.09","percent of total billed charges",,
"SIMPLE 20.1CM-30.0CM SCALP/NCK/AXIL/TRK/","12006","HCPCS","Both",,,"268.5","134.25","Wellcare","Medicaid Managed Care","",,"40",,"108.74","98.27","208.09","percent of total billed charges",,
"SIMPLE 20.1CM-30.0CM SCALP/NCK/AXIL/TRK/","12006","HCPCS","Both",,,"268.5","134.25","Aetna","Commercial","",,"64",,"171.3","98.27","208.09","percent of total billed charges",,
"SIMPLE 20.1CM-30.0CM SCALP/NCK/AXIL/TRK/","12006","HCPCS","Both",,,"268.5","134.25","Blue Cross Blue Shield","Pathways","",,"71",,"189.56","98.27","208.09","percent of total billed charges",,
"SIMPLE 20.1CM-30.0CM SCALP/NCK/AXIL/TRK/","12006","HCPCS","Both",,,"268.5","134.25","Blue Cross Blue Shield","HMO","",,"71",,"189.56","98.27","208.09","percent of total billed charges",,
"SIMPLE 20.1CM-30.0CM SCALP/NCK/AXIL/TRK/","12006","HCPCS","Both",,,"268.5","134.25","Blue Cross Blue Shield","PPO","",,"71",,"189.56","98.27","208.09","percent of total billed charges",,
"SIMPLE 20.1CM-30.0CM SCALP/NCK/AXIL/TRK/","12006","HCPCS","Both",,,"268.5","134.25","Ambetter","Health Exchange","",,"62",,"166.47","98.27","208.09","percent of total billed charges",,
"SIMPLE 20.1CM-30.0CM SCALP/NCK/AXIL/TRK/","12006","HCPCS","Both",,,"268.5","134.25","Caresource","Health Exchange","",,"62",,"166.47","98.27","208.09","percent of total billed charges",,
"SIMPLE 20.1CM-30.0CM SCALP/NCK/AXIL/TRK/","12006","HCPCS","Both",,,"268.5","134.25","Cigna","Commercial","",,"59",,"157.34","98.27","208.09","percent of total billed charges",,
"SIMPLE 20.1CM-30.0CM SCALP/NCK/AXIL/TRK/","12006","HCPCS","Both",,,"268.5","134.25","Humana","Commercial","",,"78",,"208.09","98.27","208.09","percent of total billed charges",,
"SIMPLE 20.1CM-30.0CM SCALP/NCK/AXIL/TRK/","12006","HCPCS","Both",,,"268.5","134.25","UHC","Commercial","",,"75",,"202.45","98.27","208.09","percent of total billed charges",,
"SIMPLE 20.1CM-30.0CM SCALP/NCK/AXIL/TRK/","12006","HCPCS","Both",,,"268.5","134.25","Medicaid",,"",,"37",,"98.27","98.27","208.09","percent of total billed charges",,
"INTERVASCULAR CANNULIZATION OR SHUNT REV","36815","HCPCS","Both",,,"8364","4182","Alliant","Health Exchange","",,"62",,"5185.68","3061.22","6482.1","percent of total billed charges",,
"INTERVASCULAR CANNULIZATION OR SHUNT REV","36815","HCPCS","Both",,,"8364","4182","Pruitt Healthcare","Medicare Advantage","",,"54",,"4516.56","3061.22","6482.1","percent of total billed charges",,
"INTERVASCULAR CANNULIZATION OR SHUNT REV","36815","HCPCS","Both",,,"8364","4182","Medicare",,"",,"54",,"4533.29","3061.22","6482.1","percent of total billed charges",,
"INTERVASCULAR CANNULIZATION OR SHUNT REV","36815","HCPCS","Both",,,"8364","4182","Humana","Medicare Advantage","",,"54",,"4533.29","3061.22","6482.1","percent of total billed charges",,
"INTERVASCULAR CANNULIZATION OR SHUNT REV","36815","HCPCS","Both",,,"8364","4182","UHC","Medicare Advantage","",,"54",,"4533.29","3061.22","6482.1","percent of total billed charges",,
"INTERVASCULAR CANNULIZATION OR SHUNT REV","36815","HCPCS","Both",,,"8364","4182","Clover","Medicare Advantage","",,"54",,"4533.29","3061.22","6482.1","percent of total billed charges",,
"INTERVASCULAR CANNULIZATION OR SHUNT REV","36815","HCPCS","Both",,,"8364","4182","Wellcare","Medicare Advantage","",,"54",,"4533.29","3061.22","6482.1","percent of total billed charges",,
"INTERVASCULAR CANNULIZATION OR SHUNT REV","36815","HCPCS","Both",,,"8364","4182","Amerigroup","Medicaid Managed Care","",,"37",,"3061.22","3061.22","6482.1","percent of total billed charges",,
"INTERVASCULAR CANNULIZATION OR SHUNT REV","36815","HCPCS","Both",,,"8364","4182","Caresource","Medicaid Managed Care","",,"40",,"3345.6","3061.22","6482.1","percent of total billed charges",,
"INTERVASCULAR CANNULIZATION OR SHUNT REV","36815","HCPCS","Both",,,"8364","4182","Wellcare","Medicaid Managed Care","",,"40",,"3387.42","3061.22","6482.1","percent of total billed charges",,
"INTERVASCULAR CANNULIZATION OR SHUNT REV","36815","HCPCS","Both",,,"8364","4182","Aetna","Commercial","",,"64",,"5336.23","3061.22","6482.1","percent of total billed charges",,
"INTERVASCULAR CANNULIZATION OR SHUNT REV","36815","HCPCS","Both",,,"8364","4182","Blue Cross Blue Shield","Pathways","",,"71",,"5904.98","3061.22","6482.1","percent of total billed charges",,
"INTERVASCULAR CANNULIZATION OR SHUNT REV","36815","HCPCS","Both",,,"8364","4182","Blue Cross Blue Shield","HMO","",,"71",,"5904.98","3061.22","6482.1","percent of total billed charges",,
"INTERVASCULAR CANNULIZATION OR SHUNT REV","36815","HCPCS","Both",,,"8364","4182","Blue Cross Blue Shield","PPO","",,"71",,"5904.98","3061.22","6482.1","percent of total billed charges",,
"INTERVASCULAR CANNULIZATION OR SHUNT REV","36815","HCPCS","Both",,,"8364","4182","Ambetter","Health Exchange","",,"62",,"5185.68","3061.22","6482.1","percent of total billed charges",,
"INTERVASCULAR CANNULIZATION OR SHUNT REV","36815","HCPCS","Both",,,"8364","4182","Caresource","Health Exchange","",,"62",,"5185.68","3061.22","6482.1","percent of total billed charges",,
"INTERVASCULAR CANNULIZATION OR SHUNT REV","36815","HCPCS","Both",,,"8364","4182","Cigna","Commercial","",,"59",,"4901.3","3061.22","6482.1","percent of total billed charges",,
"INTERVASCULAR CANNULIZATION OR SHUNT REV","36815","HCPCS","Both",,,"8364","4182","Humana","Commercial","",,"78",,"6482.1","3061.22","6482.1","percent of total billed charges",,
"INTERVASCULAR CANNULIZATION OR SHUNT REV","36815","HCPCS","Both",,,"8364","4182","UHC","Commercial","",,"75",,"6306.46","3061.22","6482.1","percent of total billed charges",,
"INTERVASCULAR CANNULIZATION OR SHUNT REV","36815","HCPCS","Both",,,"8364","4182","Medicaid",,"",,"37",,"3061.22","3061.22","6482.1","percent of total billed charges",,
"THROMBOLYSIS,CORONARY;BY IV INFUSION","92977","HCPCS","Both",,,"532","266","Alliant","Health Exchange","",,"62",,"329.84","194.71","412.3","percent of total billed charges",,
"THROMBOLYSIS,CORONARY;BY IV INFUSION","92977","HCPCS","Both",,,"532","266","Pruitt Healthcare","Medicare Advantage","",,"54",,"287.28","194.71","412.3","percent of total billed charges",,
"THROMBOLYSIS,CORONARY;BY IV INFUSION","92977","HCPCS","Both",,,"532","266","Medicare",,"",,"54",,"288.34","194.71","412.3","percent of total billed charges",,
"THROMBOLYSIS,CORONARY;BY IV INFUSION","92977","HCPCS","Both",,,"532","266","Humana","Medicare Advantage","",,"54",,"288.34","194.71","412.3","percent of total billed charges",,
"THROMBOLYSIS,CORONARY;BY IV INFUSION","92977","HCPCS","Both",,,"532","266","UHC","Medicare Advantage","",,"54",,"288.34","194.71","412.3","percent of total billed charges",,
"THROMBOLYSIS,CORONARY;BY IV INFUSION","92977","HCPCS","Both",,,"532","266","Clover","Medicare Advantage","",,"54",,"288.34","194.71","412.3","percent of total billed charges",,
"THROMBOLYSIS,CORONARY;BY IV INFUSION","92977","HCPCS","Both",,,"532","266","Wellcare","Medicare Advantage","",,"54",,"288.34","194.71","412.3","percent of total billed charges",,
"THROMBOLYSIS,CORONARY;BY IV INFUSION","92977","HCPCS","Both",,,"532","266","Amerigroup","Medicaid Managed Care","",,"37",,"194.71","194.71","412.3","percent of total billed charges",,
"THROMBOLYSIS,CORONARY;BY IV INFUSION","92977","HCPCS","Both",,,"532","266","Caresource","Medicaid Managed Care","",,"40",,"212.8","194.71","412.3","percent of total billed charges",,
"THROMBOLYSIS,CORONARY;BY IV INFUSION","92977","HCPCS","Both",,,"532","266","Wellcare","Medicaid Managed Care","",,"40",,"215.46","194.71","412.3","percent of total billed charges",,
"THROMBOLYSIS,CORONARY;BY IV INFUSION","92977","HCPCS","Both",,,"532","266","Aetna","Commercial","",,"64",,"339.42","194.71","412.3","percent of total billed charges",,
"THROMBOLYSIS,CORONARY;BY IV INFUSION","92977","HCPCS","Both",,,"532","266","Blue Cross Blue Shield","Pathways","",,"71",,"375.59","194.71","412.3","percent of total billed charges",,
"THROMBOLYSIS,CORONARY;BY IV INFUSION","92977","HCPCS","Both",,,"532","266","Blue Cross Blue Shield","HMO","",,"71",,"375.59","194.71","412.3","percent of total billed charges",,
"THROMBOLYSIS,CORONARY;BY IV INFUSION","92977","HCPCS","Both",,,"532","266","Blue Cross Blue Shield","PPO","",,"71",,"375.59","194.71","412.3","percent of total billed charges",,
"THROMBOLYSIS,CORONARY;BY IV INFUSION","92977","HCPCS","Both",,,"532","266","Ambetter","Health Exchange","",,"62",,"329.84","194.71","412.3","percent of total billed charges",,
"THROMBOLYSIS,CORONARY;BY IV INFUSION","92977","HCPCS","Both",,,"532","266","Caresource","Health Exchange","",,"62",,"329.84","194.71","412.3","percent of total billed charges",,
"THROMBOLYSIS,CORONARY;BY IV INFUSION","92977","HCPCS","Both",,,"532","266","Cigna","Commercial","",,"59",,"311.75","194.71","412.3","percent of total billed charges",,
"THROMBOLYSIS,CORONARY;BY IV INFUSION","92977","HCPCS","Both",,,"532","266","Humana","Commercial","",,"78",,"412.3","194.71","412.3","percent of total billed charges",,
"THROMBOLYSIS,CORONARY;BY IV INFUSION","92977","HCPCS","Both",,,"532","266","UHC","Commercial","",,"75",,"401.13","194.71","412.3","percent of total billed charges",,
"THROMBOLYSIS,CORONARY;BY IV INFUSION","92977","HCPCS","Both",,,"532","266","Medicaid",,"",,"37",,"194.71","194.71","412.3","percent of total billed charges",,
"SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC","62270","HCPCS","Both",,,"440.5","220.25","Alliant","Health Exchange","",,"62",,"273.11","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC","62270","HCPCS","Both",,,"440.5","220.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"237.87","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC","62270","HCPCS","Both",,,"440.5","220.25","Medicare",,"",,"54",,"238.75","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC","62270","HCPCS","Both",,,"440.5","220.25","Humana","Medicare Advantage","",,"54",,"238.75","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC","62270","HCPCS","Both",,,"440.5","220.25","UHC","Medicare Advantage","",,"54",,"238.75","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC","62270","HCPCS","Both",,,"440.5","220.25","Clover","Medicare Advantage","",,"54",,"238.75","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC","62270","HCPCS","Both",,,"440.5","220.25","Wellcare","Medicare Advantage","",,"54",,"238.75","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC","62270","HCPCS","Both",,,"440.5","220.25","Amerigroup","Medicaid Managed Care","",,"37",,"161.22","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC","62270","HCPCS","Both",,,"440.5","220.25","Caresource","Medicaid Managed Care","",,"40",,"176.2","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC","62270","HCPCS","Both",,,"440.5","220.25","Wellcare","Medicaid Managed Care","",,"40",,"178.4","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC","62270","HCPCS","Both",,,"440.5","220.25","Aetna","Commercial","",,"64",,"281.04","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC","62270","HCPCS","Both",,,"440.5","220.25","Blue Cross Blue Shield","Pathways","",,"71",,"310.99","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC","62270","HCPCS","Both",,,"440.5","220.25","Blue Cross Blue Shield","HMO","",,"71",,"310.99","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC","62270","HCPCS","Both",,,"440.5","220.25","Blue Cross Blue Shield","PPO","",,"71",,"310.99","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC","62270","HCPCS","Both",,,"440.5","220.25","Ambetter","Health Exchange","",,"62",,"273.11","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC","62270","HCPCS","Both",,,"440.5","220.25","Caresource","Health Exchange","",,"62",,"273.11","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC","62270","HCPCS","Both",,,"440.5","220.25","Cigna","Commercial","",,"59",,"258.13","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC","62270","HCPCS","Both",,,"440.5","220.25","Humana","Commercial","",,"78",,"341.39","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC","62270","HCPCS","Both",,,"440.5","220.25","UHC","Commercial","",,"75",,"332.14","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC","62270","HCPCS","Both",,,"440.5","220.25","Medicaid",,"",,"37",,"161.22","161.22","341.39","percent of total billed charges",,
"THORACENTESIS W/INSERTION TUBE","32556","HCPCS","Both",,,"1091.5","545.75","Alliant","Health Exchange","",,"62",,"676.73","399.49","845.91","percent of total billed charges",,
"THORACENTESIS W/INSERTION TUBE","32556","HCPCS","Both",,,"1091.5","545.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"589.41","399.49","845.91","percent of total billed charges",,
"THORACENTESIS W/INSERTION TUBE","32556","HCPCS","Both",,,"1091.5","545.75","Medicare",,"",,"54",,"591.59","399.49","845.91","percent of total billed charges",,
"THORACENTESIS W/INSERTION TUBE","32556","HCPCS","Both",,,"1091.5","545.75","Humana","Medicare Advantage","",,"54",,"591.59","399.49","845.91","percent of total billed charges",,
"THORACENTESIS W/INSERTION TUBE","32556","HCPCS","Both",,,"1091.5","545.75","UHC","Medicare Advantage","",,"54",,"591.59","399.49","845.91","percent of total billed charges",,
"THORACENTESIS W/INSERTION TUBE","32556","HCPCS","Both",,,"1091.5","545.75","Clover","Medicare Advantage","",,"54",,"591.59","399.49","845.91","percent of total billed charges",,
"THORACENTESIS W/INSERTION TUBE","32556","HCPCS","Both",,,"1091.5","545.75","Wellcare","Medicare Advantage","",,"54",,"591.59","399.49","845.91","percent of total billed charges",,
"THORACENTESIS W/INSERTION TUBE","32556","HCPCS","Both",,,"1091.5","545.75","Amerigroup","Medicaid Managed Care","",,"37",,"399.49","399.49","845.91","percent of total billed charges",,
"THORACENTESIS W/INSERTION TUBE","32556","HCPCS","Both",,,"1091.5","545.75","Caresource","Medicaid Managed Care","",,"40",,"436.6","399.49","845.91","percent of total billed charges",,
"THORACENTESIS W/INSERTION TUBE","32556","HCPCS","Both",,,"1091.5","545.75","Wellcare","Medicaid Managed Care","",,"40",,"442.06","399.49","845.91","percent of total billed charges",,
"THORACENTESIS W/INSERTION TUBE","32556","HCPCS","Both",,,"1091.5","545.75","Aetna","Commercial","",,"64",,"696.38","399.49","845.91","percent of total billed charges",,
"THORACENTESIS W/INSERTION TUBE","32556","HCPCS","Both",,,"1091.5","545.75","Blue Cross Blue Shield","Pathways","",,"71",,"770.6","399.49","845.91","percent of total billed charges",,
"THORACENTESIS W/INSERTION TUBE","32556","HCPCS","Both",,,"1091.5","545.75","Blue Cross Blue Shield","HMO","",,"71",,"770.6","399.49","845.91","percent of total billed charges",,
"THORACENTESIS W/INSERTION TUBE","32556","HCPCS","Both",,,"1091.5","545.75","Blue Cross Blue Shield","PPO","",,"71",,"770.6","399.49","845.91","percent of total billed charges",,
"THORACENTESIS W/INSERTION TUBE","32556","HCPCS","Both",,,"1091.5","545.75","Ambetter","Health Exchange","",,"62",,"676.73","399.49","845.91","percent of total billed charges",,
"THORACENTESIS W/INSERTION TUBE","32556","HCPCS","Both",,,"1091.5","545.75","Caresource","Health Exchange","",,"62",,"676.73","399.49","845.91","percent of total billed charges",,
"THORACENTESIS W/INSERTION TUBE","32556","HCPCS","Both",,,"1091.5","545.75","Cigna","Commercial","",,"59",,"639.62","399.49","845.91","percent of total billed charges",,
"THORACENTESIS W/INSERTION TUBE","32556","HCPCS","Both",,,"1091.5","545.75","Humana","Commercial","",,"78",,"845.91","399.49","845.91","percent of total billed charges",,
"THORACENTESIS W/INSERTION TUBE","32556","HCPCS","Both",,,"1091.5","545.75","UHC","Commercial","",,"75",,"822.99","399.49","845.91","percent of total billed charges",,
"THORACENTESIS W/INSERTION TUBE","32556","HCPCS","Both",,,"1091.5","545.75","Medicaid",,"",,"37",,"399.49","399.49","845.91","percent of total billed charges",,
"CPR INTUBATION","92950","HCPCS","Both",,,"502","251","Alliant","Health Exchange","",,"62",,"311.24","183.73","389.05","percent of total billed charges",,
"CPR INTUBATION","92950","HCPCS","Both",,,"502","251","Pruitt Healthcare","Medicare Advantage","",,"54",,"271.08","183.73","389.05","percent of total billed charges",,
"CPR INTUBATION","92950","HCPCS","Both",,,"502","251","Medicare",,"",,"54",,"272.08","183.73","389.05","percent of total billed charges",,
"CPR INTUBATION","92950","HCPCS","Both",,,"502","251","Humana","Medicare Advantage","",,"54",,"272.08","183.73","389.05","percent of total billed charges",,
"CPR INTUBATION","92950","HCPCS","Both",,,"502","251","UHC","Medicare Advantage","",,"54",,"272.08","183.73","389.05","percent of total billed charges",,
"CPR INTUBATION","92950","HCPCS","Both",,,"502","251","Clover","Medicare Advantage","",,"54",,"272.08","183.73","389.05","percent of total billed charges",,
"CPR INTUBATION","92950","HCPCS","Both",,,"502","251","Wellcare","Medicare Advantage","",,"54",,"272.08","183.73","389.05","percent of total billed charges",,
"CPR INTUBATION","92950","HCPCS","Both",,,"502","251","Amerigroup","Medicaid Managed Care","",,"37",,"183.73","183.73","389.05","percent of total billed charges",,
"CPR INTUBATION","92950","HCPCS","Both",,,"502","251","Caresource","Medicaid Managed Care","",,"40",,"200.8","183.73","389.05","percent of total billed charges",,
"CPR INTUBATION","92950","HCPCS","Both",,,"502","251","Wellcare","Medicaid Managed Care","",,"40",,"203.31","183.73","389.05","percent of total billed charges",,
"CPR INTUBATION","92950","HCPCS","Both",,,"502","251","Aetna","Commercial","",,"64",,"320.28","183.73","389.05","percent of total billed charges",,
"CPR INTUBATION","92950","HCPCS","Both",,,"502","251","Blue Cross Blue Shield","Pathways","",,"71",,"354.41","183.73","389.05","percent of total billed charges",,
"CPR INTUBATION","92950","HCPCS","Both",,,"502","251","Blue Cross Blue Shield","HMO","",,"71",,"354.41","183.73","389.05","percent of total billed charges",,
"CPR INTUBATION","92950","HCPCS","Both",,,"502","251","Blue Cross Blue Shield","PPO","",,"71",,"354.41","183.73","389.05","percent of total billed charges",,
"CPR INTUBATION","92950","HCPCS","Both",,,"502","251","Ambetter","Health Exchange","",,"62",,"311.24","183.73","389.05","percent of total billed charges",,
"CPR INTUBATION","92950","HCPCS","Both",,,"502","251","Caresource","Health Exchange","",,"62",,"311.24","183.73","389.05","percent of total billed charges",,
"CPR INTUBATION","92950","HCPCS","Both",,,"502","251","Cigna","Commercial","",,"59",,"294.17","183.73","389.05","percent of total billed charges",,
"CPR INTUBATION","92950","HCPCS","Both",,,"502","251","Humana","Commercial","",,"78",,"389.05","183.73","389.05","percent of total billed charges",,
"CPR INTUBATION","92950","HCPCS","Both",,,"502","251","UHC","Commercial","",,"75",,"378.51","183.73","389.05","percent of total billed charges",,
"CPR INTUBATION","92950","HCPCS","Both",,,"502","251","Medicaid",,"",,"37",,"183.73","183.73","389.05","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE","31603","HCPCS","Both",,,"407.5","203.75","Alliant","Health Exchange","",,"62",,"252.65","149.15","315.81","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE","31603","HCPCS","Both",,,"407.5","203.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"220.05","149.15","315.81","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE","31603","HCPCS","Both",,,"407.5","203.75","Medicare",,"",,"54",,"220.86","149.15","315.81","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE","31603","HCPCS","Both",,,"407.5","203.75","Humana","Medicare Advantage","",,"54",,"220.86","149.15","315.81","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE","31603","HCPCS","Both",,,"407.5","203.75","UHC","Medicare Advantage","",,"54",,"220.86","149.15","315.81","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE","31603","HCPCS","Both",,,"407.5","203.75","Clover","Medicare Advantage","",,"54",,"220.86","149.15","315.81","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE","31603","HCPCS","Both",,,"407.5","203.75","Wellcare","Medicare Advantage","",,"54",,"220.86","149.15","315.81","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE","31603","HCPCS","Both",,,"407.5","203.75","Amerigroup","Medicaid Managed Care","",,"37",,"149.15","149.15","315.81","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE","31603","HCPCS","Both",,,"407.5","203.75","Caresource","Medicaid Managed Care","",,"40",,"163","149.15","315.81","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE","31603","HCPCS","Both",,,"407.5","203.75","Wellcare","Medicaid Managed Care","",,"40",,"165.04","149.15","315.81","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE","31603","HCPCS","Both",,,"407.5","203.75","Aetna","Commercial","",,"64",,"259.98","149.15","315.81","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE","31603","HCPCS","Both",,,"407.5","203.75","Blue Cross Blue Shield","Pathways","",,"71",,"287.7","149.15","315.81","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE","31603","HCPCS","Both",,,"407.5","203.75","Blue Cross Blue Shield","HMO","",,"71",,"287.7","149.15","315.81","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE","31603","HCPCS","Both",,,"407.5","203.75","Blue Cross Blue Shield","PPO","",,"71",,"287.7","149.15","315.81","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE","31603","HCPCS","Both",,,"407.5","203.75","Ambetter","Health Exchange","",,"62",,"252.65","149.15","315.81","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE","31603","HCPCS","Both",,,"407.5","203.75","Caresource","Health Exchange","",,"62",,"252.65","149.15","315.81","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE","31603","HCPCS","Both",,,"407.5","203.75","Cigna","Commercial","",,"59",,"238.8","149.15","315.81","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE","31603","HCPCS","Both",,,"407.5","203.75","Humana","Commercial","",,"78",,"315.81","149.15","315.81","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE","31603","HCPCS","Both",,,"407.5","203.75","UHC","Commercial","",,"75",,"307.26","149.15","315.81","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE","31603","HCPCS","Both",,,"407.5","203.75","Medicaid",,"",,"37",,"149.15","149.15","315.81","percent of total billed charges",,
"INTUBATION, ENDOTRACHEAL, EMERGENCY","31500","HCPCS","Both",,,"401.28","200.64","Alliant","Health Exchange","",,"62",,"248.79","146.87","323.95","percent of total billed charges",,
"INTUBATION, ENDOTRACHEAL, EMERGENCY","31500","HCPCS","Both",,,"401.28","200.64","Pruitt Healthcare","Medicare Advantage","",,"54",,"216.69","146.87","323.95","percent of total billed charges",,
"INTUBATION, ENDOTRACHEAL, EMERGENCY","31500","HCPCS","Both",,,"401.28","200.64","Medicare",,"",,"54",,"217.49","146.87","323.95","percent of total billed charges",,
"INTUBATION, ENDOTRACHEAL, EMERGENCY","31500","HCPCS","Both",,,"401.28","200.64","Humana","Medicare Advantage","",,"54",,"217.49","146.87","323.95","percent of total billed charges",,
"INTUBATION, ENDOTRACHEAL, EMERGENCY","31500","HCPCS","Both",,,"401.28","200.64","UHC","Medicare Advantage","",,"54",,"217.49","146.87","323.95","percent of total billed charges",,
"INTUBATION, ENDOTRACHEAL, EMERGENCY","31500","HCPCS","Both",,,"401.28","200.64","Clover","Medicare Advantage","",,"54",,"217.49","146.87","323.95","percent of total billed charges",,
"INTUBATION, ENDOTRACHEAL, EMERGENCY","31500","HCPCS","Both",,,"401.28","200.64","Wellcare","Medicare Advantage","",,"54",,"217.49","146.87","323.95","percent of total billed charges",,
"INTUBATION, ENDOTRACHEAL, EMERGENCY","31500","HCPCS","Both",,,"401.28","200.64","Amerigroup","Medicaid Managed Care","",,"37",,"146.87","146.87","323.95","percent of total billed charges",,
"INTUBATION, ENDOTRACHEAL, EMERGENCY","31500","HCPCS","Both",,,"401.28","200.64","Caresource","Medicaid Managed Care","",,"40",,"160.51","146.87","323.95","percent of total billed charges",,
"INTUBATION, ENDOTRACHEAL, EMERGENCY","31500","HCPCS","Both",,,"401.28","200.64","Wellcare","Medicaid Managed Care","",,"40",,"162.52","146.87","323.95","percent of total billed charges",,
"INTUBATION, ENDOTRACHEAL, EMERGENCY","31500","HCPCS","Both",,,"401.28","200.64","Aetna","Commercial","",,"64",,"256.02","146.87","323.95","percent of total billed charges",,
"INTUBATION, ENDOTRACHEAL, EMERGENCY","31500","HCPCS","Both",,,"401.28","200.64","Blue Cross Blue Shield","Pathways","",,"71",,"283.3","146.87","323.95","percent of total billed charges",,
"INTUBATION, ENDOTRACHEAL, EMERGENCY","31500","HCPCS","Both",,,"401.28","200.64","Blue Cross Blue Shield","HMO","",,"71",,"283.3","146.87","323.95","percent of total billed charges",,
"INTUBATION, ENDOTRACHEAL, EMERGENCY","31500","HCPCS","Both",,,"401.28","200.64","Blue Cross Blue Shield","PPO","",,"71",,"283.3","146.87","323.95","percent of total billed charges",,
"INTUBATION, ENDOTRACHEAL, EMERGENCY","31500","HCPCS","Both",,,"401.28","200.64","Ambetter","Health Exchange","",,"62",,"248.79","146.87","323.95","percent of total billed charges",,
"INTUBATION, ENDOTRACHEAL, EMERGENCY","31500","HCPCS","Both",,,"401.28","200.64","Caresource","Health Exchange","",,"62",,"248.79","146.87","323.95","percent of total billed charges",,
"INTUBATION, ENDOTRACHEAL, EMERGENCY","31500","HCPCS","Both",,,"401.28","200.64","Cigna","Commercial","",,"59",,"235.15","146.87","323.95","percent of total billed charges",,
"INTUBATION, ENDOTRACHEAL, EMERGENCY","31500","HCPCS","Both",,,"401.28","200.64","Humana","Commercial","",,"78",,"310.99","146.87","323.95","percent of total billed charges",,
"INTUBATION, ENDOTRACHEAL, EMERGENCY","31500","HCPCS","Both",,,"401.28","200.64","UHC","Commercial","",,"75",,"302.57","146.87","323.95","percent of total billed charges",,
"INTUBATION, ENDOTRACHEAL, EMERGENCY","31500","HCPCS","Both",,,"401.28","200.64","Medicaid",,"",,"37",,"146.87","146.87","323.95","percent of total billed charges",,
"CARDIOVERSION;EXTERNAL","92960","HCPCS","Both",,,"1247.5","623.75","Alliant","Health Exchange","",,"62",,"773.45","456.58","966.81","percent of total billed charges",,
"CARDIOVERSION;EXTERNAL","92960","HCPCS","Both",,,"1247.5","623.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"673.65","456.58","966.81","percent of total billed charges",,
"CARDIOVERSION;EXTERNAL","92960","HCPCS","Both",,,"1247.5","623.75","Medicare",,"",,"54",,"676.15","456.58","966.81","percent of total billed charges",,
"CARDIOVERSION;EXTERNAL","92960","HCPCS","Both",,,"1247.5","623.75","Humana","Medicare Advantage","",,"54",,"676.15","456.58","966.81","percent of total billed charges",,
"CARDIOVERSION;EXTERNAL","92960","HCPCS","Both",,,"1247.5","623.75","UHC","Medicare Advantage","",,"54",,"676.15","456.58","966.81","percent of total billed charges",,
"CARDIOVERSION;EXTERNAL","92960","HCPCS","Both",,,"1247.5","623.75","Clover","Medicare Advantage","",,"54",,"676.15","456.58","966.81","percent of total billed charges",,
"CARDIOVERSION;EXTERNAL","92960","HCPCS","Both",,,"1247.5","623.75","Wellcare","Medicare Advantage","",,"54",,"676.15","456.58","966.81","percent of total billed charges",,
"CARDIOVERSION;EXTERNAL","92960","HCPCS","Both",,,"1247.5","623.75","Amerigroup","Medicaid Managed Care","",,"37",,"456.58","456.58","966.81","percent of total billed charges",,
"CARDIOVERSION;EXTERNAL","92960","HCPCS","Both",,,"1247.5","623.75","Caresource","Medicaid Managed Care","",,"40",,"499","456.58","966.81","percent of total billed charges",,
"CARDIOVERSION;EXTERNAL","92960","HCPCS","Both",,,"1247.5","623.75","Wellcare","Medicaid Managed Care","",,"40",,"505.24","456.58","966.81","percent of total billed charges",,
"CARDIOVERSION;EXTERNAL","92960","HCPCS","Both",,,"1247.5","623.75","Aetna","Commercial","",,"64",,"795.9","456.58","966.81","percent of total billed charges",,
"CARDIOVERSION;EXTERNAL","92960","HCPCS","Both",,,"1247.5","623.75","Blue Cross Blue Shield","Pathways","",,"71",,"880.73","456.58","966.81","percent of total billed charges",,
"CARDIOVERSION;EXTERNAL","92960","HCPCS","Both",,,"1247.5","623.75","Blue Cross Blue Shield","HMO","",,"71",,"880.73","456.58","966.81","percent of total billed charges",,
"CARDIOVERSION;EXTERNAL","92960","HCPCS","Both",,,"1247.5","623.75","Blue Cross Blue Shield","PPO","",,"71",,"880.73","456.58","966.81","percent of total billed charges",,
"CARDIOVERSION;EXTERNAL","92960","HCPCS","Both",,,"1247.5","623.75","Ambetter","Health Exchange","",,"62",,"773.45","456.58","966.81","percent of total billed charges",,
"CARDIOVERSION;EXTERNAL","92960","HCPCS","Both",,,"1247.5","623.75","Caresource","Health Exchange","",,"62",,"773.45","456.58","966.81","percent of total billed charges",,
"CARDIOVERSION;EXTERNAL","92960","HCPCS","Both",,,"1247.5","623.75","Cigna","Commercial","",,"59",,"731.04","456.58","966.81","percent of total billed charges",,
"CARDIOVERSION;EXTERNAL","92960","HCPCS","Both",,,"1247.5","623.75","Humana","Commercial","",,"78",,"966.81","456.58","966.81","percent of total billed charges",,
"CARDIOVERSION;EXTERNAL","92960","HCPCS","Both",,,"1247.5","623.75","UHC","Commercial","",,"75",,"940.62","456.58","966.81","percent of total billed charges",,
"CARDIOVERSION;EXTERNAL","92960","HCPCS","Both",,,"1247.5","623.75","Medicaid",,"",,"37",,"456.58","456.58","966.81","percent of total billed charges",,
"TEMPORARY TRANSCUTANEOUS PACING","92953","HCPCS","Both",,,"502","251","Alliant","Health Exchange","",,"62",,"311.24","183.73","389.05","percent of total billed charges",,
"TEMPORARY TRANSCUTANEOUS PACING","92953","HCPCS","Both",,,"502","251","Pruitt Healthcare","Medicare Advantage","",,"54",,"271.08","183.73","389.05","percent of total billed charges",,
"TEMPORARY TRANSCUTANEOUS PACING","92953","HCPCS","Both",,,"502","251","Medicare",,"",,"54",,"272.08","183.73","389.05","percent of total billed charges",,
"TEMPORARY TRANSCUTANEOUS PACING","92953","HCPCS","Both",,,"502","251","Humana","Medicare Advantage","",,"54",,"272.08","183.73","389.05","percent of total billed charges",,
"TEMPORARY TRANSCUTANEOUS PACING","92953","HCPCS","Both",,,"502","251","UHC","Medicare Advantage","",,"54",,"272.08","183.73","389.05","percent of total billed charges",,
"TEMPORARY TRANSCUTANEOUS PACING","92953","HCPCS","Both",,,"502","251","Clover","Medicare Advantage","",,"54",,"272.08","183.73","389.05","percent of total billed charges",,
"TEMPORARY TRANSCUTANEOUS PACING","92953","HCPCS","Both",,,"502","251","Wellcare","Medicare Advantage","",,"54",,"272.08","183.73","389.05","percent of total billed charges",,
"TEMPORARY TRANSCUTANEOUS PACING","92953","HCPCS","Both",,,"502","251","Amerigroup","Medicaid Managed Care","",,"37",,"183.73","183.73","389.05","percent of total billed charges",,
"TEMPORARY TRANSCUTANEOUS PACING","92953","HCPCS","Both",,,"502","251","Caresource","Medicaid Managed Care","",,"40",,"200.8","183.73","389.05","percent of total billed charges",,
"TEMPORARY TRANSCUTANEOUS PACING","92953","HCPCS","Both",,,"502","251","Wellcare","Medicaid Managed Care","",,"40",,"203.31","183.73","389.05","percent of total billed charges",,
"TEMPORARY TRANSCUTANEOUS PACING","92953","HCPCS","Both",,,"502","251","Aetna","Commercial","",,"64",,"320.28","183.73","389.05","percent of total billed charges",,
"TEMPORARY TRANSCUTANEOUS PACING","92953","HCPCS","Both",,,"502","251","Blue Cross Blue Shield","Pathways","",,"71",,"354.41","183.73","389.05","percent of total billed charges",,
"TEMPORARY TRANSCUTANEOUS PACING","92953","HCPCS","Both",,,"502","251","Blue Cross Blue Shield","HMO","",,"71",,"354.41","183.73","389.05","percent of total billed charges",,
"TEMPORARY TRANSCUTANEOUS PACING","92953","HCPCS","Both",,,"502","251","Blue Cross Blue Shield","PPO","",,"71",,"354.41","183.73","389.05","percent of total billed charges",,
"TEMPORARY TRANSCUTANEOUS PACING","92953","HCPCS","Both",,,"502","251","Ambetter","Health Exchange","",,"62",,"311.24","183.73","389.05","percent of total billed charges",,
"TEMPORARY TRANSCUTANEOUS PACING","92953","HCPCS","Both",,,"502","251","Caresource","Health Exchange","",,"62",,"311.24","183.73","389.05","percent of total billed charges",,
"TEMPORARY TRANSCUTANEOUS PACING","92953","HCPCS","Both",,,"502","251","Cigna","Commercial","",,"59",,"294.17","183.73","389.05","percent of total billed charges",,
"TEMPORARY TRANSCUTANEOUS PACING","92953","HCPCS","Both",,,"502","251","Humana","Commercial","",,"78",,"389.05","183.73","389.05","percent of total billed charges",,
"TEMPORARY TRANSCUTANEOUS PACING","92953","HCPCS","Both",,,"502","251","UHC","Commercial","",,"75",,"378.51","183.73","389.05","percent of total billed charges",,
"TEMPORARY TRANSCUTANEOUS PACING","92953","HCPCS","Both",,,"502","251","Medicaid",,"",,"37",,"183.73","183.73","389.05","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE","10060","HCPCS","Both",,,"162.5","81.25","Alliant","Health Exchange","",,"62",,"100.75","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE","10060","HCPCS","Both",,,"162.5","81.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"87.75","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE","10060","HCPCS","Both",,,"162.5","81.25","Medicare",,"",,"54",,"88.08","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE","10060","HCPCS","Both",,,"162.5","81.25","Humana","Medicare Advantage","",,"54",,"88.08","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE","10060","HCPCS","Both",,,"162.5","81.25","UHC","Medicare Advantage","",,"54",,"88.08","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE","10060","HCPCS","Both",,,"162.5","81.25","Clover","Medicare Advantage","",,"54",,"88.08","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE","10060","HCPCS","Both",,,"162.5","81.25","Wellcare","Medicare Advantage","",,"54",,"88.08","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE","10060","HCPCS","Both",,,"162.5","81.25","Amerigroup","Medicaid Managed Care","",,"37",,"59.48","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE","10060","HCPCS","Both",,,"162.5","81.25","Caresource","Medicaid Managed Care","",,"40",,"65","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE","10060","HCPCS","Both",,,"162.5","81.25","Wellcare","Medicaid Managed Care","",,"40",,"65.81","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE","10060","HCPCS","Both",,,"162.5","81.25","Aetna","Commercial","",,"64",,"103.68","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE","10060","HCPCS","Both",,,"162.5","81.25","Blue Cross Blue Shield","Pathways","",,"71",,"114.72","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE","10060","HCPCS","Both",,,"162.5","81.25","Blue Cross Blue Shield","HMO","",,"71",,"114.72","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE","10060","HCPCS","Both",,,"162.5","81.25","Blue Cross Blue Shield","PPO","",,"71",,"114.72","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE","10060","HCPCS","Both",,,"162.5","81.25","Ambetter","Health Exchange","",,"62",,"100.75","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE","10060","HCPCS","Both",,,"162.5","81.25","Caresource","Health Exchange","",,"62",,"100.75","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE","10060","HCPCS","Both",,,"162.5","81.25","Cigna","Commercial","",,"59",,"95.22","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE","10060","HCPCS","Both",,,"162.5","81.25","Humana","Commercial","",,"78",,"125.94","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE","10060","HCPCS","Both",,,"162.5","81.25","UHC","Commercial","",,"75",,"122.52","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE","10060","HCPCS","Both",,,"162.5","81.25","Medicaid",,"",,"37",,"59.48","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED","10061","HCPCS","Both",,,"222.5","111.25","Alliant","Health Exchange","",,"62",,"137.95","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED","10061","HCPCS","Both",,,"222.5","111.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"120.15","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED","10061","HCPCS","Both",,,"222.5","111.25","Medicare",,"",,"54",,"120.6","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED","10061","HCPCS","Both",,,"222.5","111.25","Humana","Medicare Advantage","",,"54",,"120.6","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED","10061","HCPCS","Both",,,"222.5","111.25","UHC","Medicare Advantage","",,"54",,"120.6","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED","10061","HCPCS","Both",,,"222.5","111.25","Clover","Medicare Advantage","",,"54",,"120.6","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED","10061","HCPCS","Both",,,"222.5","111.25","Wellcare","Medicare Advantage","",,"54",,"120.6","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED","10061","HCPCS","Both",,,"222.5","111.25","Amerigroup","Medicaid Managed Care","",,"37",,"81.44","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED","10061","HCPCS","Both",,,"222.5","111.25","Caresource","Medicaid Managed Care","",,"40",,"89","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED","10061","HCPCS","Both",,,"222.5","111.25","Wellcare","Medicaid Managed Care","",,"40",,"90.11","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED","10061","HCPCS","Both",,,"222.5","111.25","Aetna","Commercial","",,"64",,"141.96","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED","10061","HCPCS","Both",,,"222.5","111.25","Blue Cross Blue Shield","Pathways","",,"71",,"157.08","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED","10061","HCPCS","Both",,,"222.5","111.25","Blue Cross Blue Shield","HMO","",,"71",,"157.08","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED","10061","HCPCS","Both",,,"222.5","111.25","Blue Cross Blue Shield","PPO","",,"71",,"157.08","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED","10061","HCPCS","Both",,,"222.5","111.25","Ambetter","Health Exchange","",,"62",,"137.95","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED","10061","HCPCS","Both",,,"222.5","111.25","Caresource","Health Exchange","",,"62",,"137.95","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED","10061","HCPCS","Both",,,"222.5","111.25","Cigna","Commercial","",,"59",,"130.38","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED","10061","HCPCS","Both",,,"222.5","111.25","Humana","Commercial","",,"78",,"172.44","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED","10061","HCPCS","Both",,,"222.5","111.25","UHC","Commercial","",,"75",,"167.76","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED","10061","HCPCS","Both",,,"222.5","111.25","Medicaid",,"",,"37",,"81.44","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE HEMATOMA","10140","HCPCS","Both",,,"102","51","Alliant","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"INCISION & DRAINAGE HEMATOMA","10140","HCPCS","Both",,,"102","51","Pruitt Healthcare","Medicare Advantage","",,"54",,"55.08","37.33","79.05","percent of total billed charges",,
"INCISION & DRAINAGE HEMATOMA","10140","HCPCS","Both",,,"102","51","Medicare",,"",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"INCISION & DRAINAGE HEMATOMA","10140","HCPCS","Both",,,"102","51","Humana","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"INCISION & DRAINAGE HEMATOMA","10140","HCPCS","Both",,,"102","51","UHC","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"INCISION & DRAINAGE HEMATOMA","10140","HCPCS","Both",,,"102","51","Clover","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"INCISION & DRAINAGE HEMATOMA","10140","HCPCS","Both",,,"102","51","Wellcare","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"INCISION & DRAINAGE HEMATOMA","10140","HCPCS","Both",,,"102","51","Amerigroup","Medicaid Managed Care","",,"37",,"37.33","37.33","79.05","percent of total billed charges",,
"INCISION & DRAINAGE HEMATOMA","10140","HCPCS","Both",,,"102","51","Caresource","Medicaid Managed Care","",,"40",,"40.8","37.33","79.05","percent of total billed charges",,
"INCISION & DRAINAGE HEMATOMA","10140","HCPCS","Both",,,"102","51","Wellcare","Medicaid Managed Care","",,"40",,"41.31","37.33","79.05","percent of total billed charges",,
"INCISION & DRAINAGE HEMATOMA","10140","HCPCS","Both",,,"102","51","Aetna","Commercial","",,"64",,"65.08","37.33","79.05","percent of total billed charges",,
"INCISION & DRAINAGE HEMATOMA","10140","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","Pathways","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"INCISION & DRAINAGE HEMATOMA","10140","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","HMO","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"INCISION & DRAINAGE HEMATOMA","10140","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","PPO","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"INCISION & DRAINAGE HEMATOMA","10140","HCPCS","Both",,,"102","51","Ambetter","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"INCISION & DRAINAGE HEMATOMA","10140","HCPCS","Both",,,"102","51","Caresource","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"INCISION & DRAINAGE HEMATOMA","10140","HCPCS","Both",,,"102","51","Cigna","Commercial","",,"59",,"59.77","37.33","79.05","percent of total billed charges",,
"INCISION & DRAINAGE HEMATOMA","10140","HCPCS","Both",,,"102","51","Humana","Commercial","",,"78",,"79.05","37.33","79.05","percent of total billed charges",,
"INCISION & DRAINAGE HEMATOMA","10140","HCPCS","Both",,,"102","51","UHC","Commercial","",,"75",,"76.91","37.33","79.05","percent of total billed charges",,
"INCISION & DRAINAGE HEMATOMA","10140","HCPCS","Both",,,"102","51","Medicaid",,"",,"37",,"37.33","37.33","79.05","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST SIMPL","10080","HCPCS","Both",,,"426.5","213.25","Alliant","Health Exchange","",,"62",,"264.43","156.1","330.54","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST SIMPL","10080","HCPCS","Both",,,"426.5","213.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"230.31","156.1","330.54","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST SIMPL","10080","HCPCS","Both",,,"426.5","213.25","Medicare",,"",,"54",,"231.16","156.1","330.54","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST SIMPL","10080","HCPCS","Both",,,"426.5","213.25","Humana","Medicare Advantage","",,"54",,"231.16","156.1","330.54","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST SIMPL","10080","HCPCS","Both",,,"426.5","213.25","UHC","Medicare Advantage","",,"54",,"231.16","156.1","330.54","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST SIMPL","10080","HCPCS","Both",,,"426.5","213.25","Clover","Medicare Advantage","",,"54",,"231.16","156.1","330.54","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST SIMPL","10080","HCPCS","Both",,,"426.5","213.25","Wellcare","Medicare Advantage","",,"54",,"231.16","156.1","330.54","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST SIMPL","10080","HCPCS","Both",,,"426.5","213.25","Amerigroup","Medicaid Managed Care","",,"37",,"156.1","156.1","330.54","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST SIMPL","10080","HCPCS","Both",,,"426.5","213.25","Caresource","Medicaid Managed Care","",,"40",,"170.6","156.1","330.54","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST SIMPL","10080","HCPCS","Both",,,"426.5","213.25","Wellcare","Medicaid Managed Care","",,"40",,"172.73","156.1","330.54","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST SIMPL","10080","HCPCS","Both",,,"426.5","213.25","Aetna","Commercial","",,"64",,"272.11","156.1","330.54","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST SIMPL","10080","HCPCS","Both",,,"426.5","213.25","Blue Cross Blue Shield","Pathways","",,"71",,"301.11","156.1","330.54","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST SIMPL","10080","HCPCS","Both",,,"426.5","213.25","Blue Cross Blue Shield","HMO","",,"71",,"301.11","156.1","330.54","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST SIMPL","10080","HCPCS","Both",,,"426.5","213.25","Blue Cross Blue Shield","PPO","",,"71",,"301.11","156.1","330.54","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST SIMPL","10080","HCPCS","Both",,,"426.5","213.25","Ambetter","Health Exchange","",,"62",,"264.43","156.1","330.54","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST SIMPL","10080","HCPCS","Both",,,"426.5","213.25","Caresource","Health Exchange","",,"62",,"264.43","156.1","330.54","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST SIMPL","10080","HCPCS","Both",,,"426.5","213.25","Cigna","Commercial","",,"59",,"249.93","156.1","330.54","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST SIMPL","10080","HCPCS","Both",,,"426.5","213.25","Humana","Commercial","",,"78",,"330.54","156.1","330.54","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST SIMPL","10080","HCPCS","Both",,,"426.5","213.25","UHC","Commercial","",,"75",,"321.58","156.1","330.54","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST SIMPL","10080","HCPCS","Both",,,"426.5","213.25","Medicaid",,"",,"37",,"156.1","156.1","330.54","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST COMPL","10081","HCPCS","Both",,,"2265.5","1132.75","Alliant","Health Exchange","",,"62",,"1404.61","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST COMPL","10081","HCPCS","Both",,,"2265.5","1132.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"1223.37","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST COMPL","10081","HCPCS","Both",,,"2265.5","1132.75","Medicare",,"",,"54",,"1227.9","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST COMPL","10081","HCPCS","Both",,,"2265.5","1132.75","Humana","Medicare Advantage","",,"54",,"1227.9","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST COMPL","10081","HCPCS","Both",,,"2265.5","1132.75","UHC","Medicare Advantage","",,"54",,"1227.9","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST COMPL","10081","HCPCS","Both",,,"2265.5","1132.75","Clover","Medicare Advantage","",,"54",,"1227.9","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST COMPL","10081","HCPCS","Both",,,"2265.5","1132.75","Wellcare","Medicare Advantage","",,"54",,"1227.9","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST COMPL","10081","HCPCS","Both",,,"2265.5","1132.75","Amerigroup","Medicaid Managed Care","",,"37",,"829.17","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST COMPL","10081","HCPCS","Both",,,"2265.5","1132.75","Caresource","Medicaid Managed Care","",,"40",,"906.2","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST COMPL","10081","HCPCS","Both",,,"2265.5","1132.75","Wellcare","Medicaid Managed Care","",,"40",,"917.53","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST COMPL","10081","HCPCS","Both",,,"2265.5","1132.75","Aetna","Commercial","",,"64",,"1445.39","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST COMPL","10081","HCPCS","Both",,,"2265.5","1132.75","Blue Cross Blue Shield","Pathways","",,"71",,"1599.44","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST COMPL","10081","HCPCS","Both",,,"2265.5","1132.75","Blue Cross Blue Shield","HMO","",,"71",,"1599.44","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST COMPL","10081","HCPCS","Both",,,"2265.5","1132.75","Blue Cross Blue Shield","PPO","",,"71",,"1599.44","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST COMPL","10081","HCPCS","Both",,,"2265.5","1132.75","Ambetter","Health Exchange","",,"62",,"1404.61","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST COMPL","10081","HCPCS","Both",,,"2265.5","1132.75","Caresource","Health Exchange","",,"62",,"1404.61","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST COMPL","10081","HCPCS","Both",,,"2265.5","1132.75","Cigna","Commercial","",,"59",,"1327.58","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST COMPL","10081","HCPCS","Both",,,"2265.5","1132.75","Humana","Commercial","",,"78",,"1755.76","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST COMPL","10081","HCPCS","Both",,,"2265.5","1132.75","UHC","Commercial","",,"75",,"1708.19","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST COMPL","10081","HCPCS","Both",,,"2265.5","1132.75","Medicaid",,"",,"37",,"829.17","829.17","1755.76","percent of total billed charges",,
"AVULSION,NAIL PLATE, PART OR COMP,SIMPLE","11730","HCPCS","Both",,,"102.5","51.25","Alliant","Health Exchange","",,"62",,"63.55","37.52","79.44","percent of total billed charges",,
"AVULSION,NAIL PLATE, PART OR COMP,SIMPLE","11730","HCPCS","Both",,,"102.5","51.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"55.35","37.52","79.44","percent of total billed charges",,
"AVULSION,NAIL PLATE, PART OR COMP,SIMPLE","11730","HCPCS","Both",,,"102.5","51.25","Medicare",,"",,"54",,"55.56","37.52","79.44","percent of total billed charges",,
"AVULSION,NAIL PLATE, PART OR COMP,SIMPLE","11730","HCPCS","Both",,,"102.5","51.25","Humana","Medicare Advantage","",,"54",,"55.56","37.52","79.44","percent of total billed charges",,
"AVULSION,NAIL PLATE, PART OR COMP,SIMPLE","11730","HCPCS","Both",,,"102.5","51.25","UHC","Medicare Advantage","",,"54",,"55.56","37.52","79.44","percent of total billed charges",,
"AVULSION,NAIL PLATE, PART OR COMP,SIMPLE","11730","HCPCS","Both",,,"102.5","51.25","Clover","Medicare Advantage","",,"54",,"55.56","37.52","79.44","percent of total billed charges",,
"AVULSION,NAIL PLATE, PART OR COMP,SIMPLE","11730","HCPCS","Both",,,"102.5","51.25","Wellcare","Medicare Advantage","",,"54",,"55.56","37.52","79.44","percent of total billed charges",,
"AVULSION,NAIL PLATE, PART OR COMP,SIMPLE","11730","HCPCS","Both",,,"102.5","51.25","Amerigroup","Medicaid Managed Care","",,"37",,"37.52","37.52","79.44","percent of total billed charges",,
"AVULSION,NAIL PLATE, PART OR COMP,SIMPLE","11730","HCPCS","Both",,,"102.5","51.25","Caresource","Medicaid Managed Care","",,"40",,"41","37.52","79.44","percent of total billed charges",,
"AVULSION,NAIL PLATE, PART OR COMP,SIMPLE","11730","HCPCS","Both",,,"102.5","51.25","Wellcare","Medicaid Managed Care","",,"40",,"41.51","37.52","79.44","percent of total billed charges",,
"AVULSION,NAIL PLATE, PART OR COMP,SIMPLE","11730","HCPCS","Both",,,"102.5","51.25","Aetna","Commercial","",,"64",,"65.4","37.52","79.44","percent of total billed charges",,
"AVULSION,NAIL PLATE, PART OR COMP,SIMPLE","11730","HCPCS","Both",,,"102.5","51.25","Blue Cross Blue Shield","Pathways","",,"71",,"72.36","37.52","79.44","percent of total billed charges",,
"AVULSION,NAIL PLATE, PART OR COMP,SIMPLE","11730","HCPCS","Both",,,"102.5","51.25","Blue Cross Blue Shield","HMO","",,"71",,"72.36","37.52","79.44","percent of total billed charges",,
"AVULSION,NAIL PLATE, PART OR COMP,SIMPLE","11730","HCPCS","Both",,,"102.5","51.25","Blue Cross Blue Shield","PPO","",,"71",,"72.36","37.52","79.44","percent of total billed charges",,
"AVULSION,NAIL PLATE, PART OR COMP,SIMPLE","11730","HCPCS","Both",,,"102.5","51.25","Ambetter","Health Exchange","",,"62",,"63.55","37.52","79.44","percent of total billed charges",,
"AVULSION,NAIL PLATE, PART OR COMP,SIMPLE","11730","HCPCS","Both",,,"102.5","51.25","Caresource","Health Exchange","",,"62",,"63.55","37.52","79.44","percent of total billed charges",,
"AVULSION,NAIL PLATE, PART OR COMP,SIMPLE","11730","HCPCS","Both",,,"102.5","51.25","Cigna","Commercial","",,"59",,"60.06","37.52","79.44","percent of total billed charges",,
"AVULSION,NAIL PLATE, PART OR COMP,SIMPLE","11730","HCPCS","Both",,,"102.5","51.25","Humana","Commercial","",,"78",,"79.44","37.52","79.44","percent of total billed charges",,
"AVULSION,NAIL PLATE, PART OR COMP,SIMPLE","11730","HCPCS","Both",,,"102.5","51.25","UHC","Commercial","",,"75",,"77.28","37.52","79.44","percent of total billed charges",,
"AVULSION,NAIL PLATE, PART OR COMP,SIMPLE","11730","HCPCS","Both",,,"102.5","51.25","Medicaid",,"",,"37",,"37.52","37.52","79.44","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Alliant","Health Exchange","",,"62",,"220.41","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"191.97","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Medicare",,"",,"54",,"192.68","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Humana","Medicare Advantage","",,"54",,"192.68","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","UHC","Medicare Advantage","",,"54",,"192.68","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Clover","Medicare Advantage","",,"54",,"192.68","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Wellcare","Medicare Advantage","",,"54",,"192.68","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Amerigroup","Medicaid Managed Care","",,"37",,"130.11","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Caresource","Medicaid Managed Care","",,"40",,"142.2","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Wellcare","Medicaid Managed Care","",,"40",,"143.98","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Aetna","Commercial","",,"64",,"226.81","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Blue Cross Blue Shield","Pathways","",,"71",,"250.98","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Blue Cross Blue Shield","HMO","",,"71",,"250.98","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Blue Cross Blue Shield","PPO","",,"71",,"250.98","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Ambetter","Health Exchange","",,"62",,"220.41","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Caresource","Health Exchange","",,"62",,"220.41","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Cigna","Commercial","",,"59",,"208.32","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Humana","Commercial","",,"78",,"275.51","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","UHC","Commercial","",,"75",,"268.05","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Medicaid",,"",,"37",,"130.11","130.11","275.51","percent of total billed charges",,
"EXCISION OF PILONIDAL CYST/SINUS;SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Alliant","Health Exchange","",,"62",,"3214.7","1897.71","4018.38","percent of total billed charges",,
"EXCISION OF PILONIDAL CYST/SINUS;SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"2799.9","1897.71","4018.38","percent of total billed charges",,
"EXCISION OF PILONIDAL CYST/SINUS;SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Medicare",,"",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION OF PILONIDAL CYST/SINUS;SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Humana","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION OF PILONIDAL CYST/SINUS;SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","UHC","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION OF PILONIDAL CYST/SINUS;SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Clover","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION OF PILONIDAL CYST/SINUS;SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Wellcare","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION OF PILONIDAL CYST/SINUS;SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Amerigroup","Medicaid Managed Care","",,"37",,"1897.71","1897.71","4018.38","percent of total billed charges",,
"EXCISION OF PILONIDAL CYST/SINUS;SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Caresource","Medicaid Managed Care","",,"40",,"2074","1897.71","4018.38","percent of total billed charges",,
"EXCISION OF PILONIDAL CYST/SINUS;SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Wellcare","Medicaid Managed Care","",,"40",,"2099.93","1897.71","4018.38","percent of total billed charges",,
"EXCISION OF PILONIDAL CYST/SINUS;SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Aetna","Commercial","",,"64",,"3308.03","1897.71","4018.38","percent of total billed charges",,
"EXCISION OF PILONIDAL CYST/SINUS;SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Blue Cross Blue Shield","Pathways","",,"71",,"3660.61","1897.71","4018.38","percent of total billed charges",,
"EXCISION OF PILONIDAL CYST/SINUS;SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Blue Cross Blue Shield","HMO","",,"71",,"3660.61","1897.71","4018.38","percent of total billed charges",,
"EXCISION OF PILONIDAL CYST/SINUS;SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Blue Cross Blue Shield","PPO","",,"71",,"3660.61","1897.71","4018.38","percent of total billed charges",,
"EXCISION OF PILONIDAL CYST/SINUS;SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Ambetter","Health Exchange","",,"62",,"3214.7","1897.71","4018.38","percent of total billed charges",,
"EXCISION OF PILONIDAL CYST/SINUS;SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Caresource","Health Exchange","",,"62",,"3214.7","1897.71","4018.38","percent of total billed charges",,
"EXCISION OF PILONIDAL CYST/SINUS;SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Cigna","Commercial","",,"59",,"3038.41","1897.71","4018.38","percent of total billed charges",,
"EXCISION OF PILONIDAL CYST/SINUS;SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Humana","Commercial","",,"78",,"4018.38","1897.71","4018.38","percent of total billed charges",,
"EXCISION OF PILONIDAL CYST/SINUS;SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","UHC","Commercial","",,"75",,"3909.49","1897.71","4018.38","percent of total billed charges",,
"EXCISION OF PILONIDAL CYST/SINUS;SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Medicaid",,"",,"37",,"1897.71","1897.71","4018.38","percent of total billed charges",,
"EVACUATION OF SUBINGUAL HEMATOMA","11740","HCPCS","Both",,,"38","19","Alliant","Health Exchange","",,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"EVACUATION OF SUBINGUAL HEMATOMA","11740","HCPCS","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage","",,"54",,"20.52","13.91","29.45","percent of total billed charges",,
"EVACUATION OF SUBINGUAL HEMATOMA","11740","HCPCS","Both",,,"38","19","Medicare",,"",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"EVACUATION OF SUBINGUAL HEMATOMA","11740","HCPCS","Both",,,"38","19","Humana","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"EVACUATION OF SUBINGUAL HEMATOMA","11740","HCPCS","Both",,,"38","19","UHC","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"EVACUATION OF SUBINGUAL HEMATOMA","11740","HCPCS","Both",,,"38","19","Clover","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"EVACUATION OF SUBINGUAL HEMATOMA","11740","HCPCS","Both",,,"38","19","Wellcare","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"EVACUATION OF SUBINGUAL HEMATOMA","11740","HCPCS","Both",,,"38","19","Amerigroup","Medicaid Managed Care","",,"37",,"13.91","13.91","29.45","percent of total billed charges",,
"EVACUATION OF SUBINGUAL HEMATOMA","11740","HCPCS","Both",,,"38","19","Caresource","Medicaid Managed Care","",,"40",,"15.2","13.91","29.45","percent of total billed charges",,
"EVACUATION OF SUBINGUAL HEMATOMA","11740","HCPCS","Both",,,"38","19","Wellcare","Medicaid Managed Care","",,"40",,"15.39","13.91","29.45","percent of total billed charges",,
"EVACUATION OF SUBINGUAL HEMATOMA","11740","HCPCS","Both",,,"38","19","Aetna","Commercial","",,"64",,"24.24","13.91","29.45","percent of total billed charges",,
"EVACUATION OF SUBINGUAL HEMATOMA","11740","HCPCS","Both",,,"38","19","Blue Cross Blue Shield","Pathways","",,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"EVACUATION OF SUBINGUAL HEMATOMA","11740","HCPCS","Both",,,"38","19","Blue Cross Blue Shield","HMO","",,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"EVACUATION OF SUBINGUAL HEMATOMA","11740","HCPCS","Both",,,"38","19","Blue Cross Blue Shield","PPO","",,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"EVACUATION OF SUBINGUAL HEMATOMA","11740","HCPCS","Both",,,"38","19","Ambetter","Health Exchange","",,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"EVACUATION OF SUBINGUAL HEMATOMA","11740","HCPCS","Both",,,"38","19","Caresource","Health Exchange","",,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"EVACUATION OF SUBINGUAL HEMATOMA","11740","HCPCS","Both",,,"38","19","Cigna","Commercial","",,"59",,"22.27","13.91","29.45","percent of total billed charges",,
"EVACUATION OF SUBINGUAL HEMATOMA","11740","HCPCS","Both",,,"38","19","Humana","Commercial","",,"78",,"29.45","13.91","29.45","percent of total billed charges",,
"EVACUATION OF SUBINGUAL HEMATOMA","11740","HCPCS","Both",,,"38","19","UHC","Commercial","",,"75",,"28.65","13.91","29.45","percent of total billed charges",,
"EVACUATION OF SUBINGUAL HEMATOMA","11740","HCPCS","Both",,,"38","19","Medicaid",,"",,"37",,"13.91","13.91","29.45","percent of total billed charges",,
"DEBRIDEMENT;SKIN, & SUBCUTANEOUS TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Alliant","Health Exchange","",,"62",,"61.07","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT;SKIN, & SUBCUTANEOUS TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"53.19","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT;SKIN, & SUBCUTANEOUS TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Medicare",,"",,"54",,"53.39","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT;SKIN, & SUBCUTANEOUS TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Humana","Medicare Advantage","",,"54",,"53.39","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT;SKIN, & SUBCUTANEOUS TISSUE","11042","HCPCS","Both",,,"98.5","49.25","UHC","Medicare Advantage","",,"54",,"53.39","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT;SKIN, & SUBCUTANEOUS TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Clover","Medicare Advantage","",,"54",,"53.39","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT;SKIN, & SUBCUTANEOUS TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Wellcare","Medicare Advantage","",,"54",,"53.39","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT;SKIN, & SUBCUTANEOUS TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Amerigroup","Medicaid Managed Care","",,"37",,"36.05","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT;SKIN, & SUBCUTANEOUS TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Caresource","Medicaid Managed Care","",,"40",,"39.4","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT;SKIN, & SUBCUTANEOUS TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Wellcare","Medicaid Managed Care","",,"40",,"39.89","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT;SKIN, & SUBCUTANEOUS TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Aetna","Commercial","",,"64",,"62.84","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT;SKIN, & SUBCUTANEOUS TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Blue Cross Blue Shield","Pathways","",,"71",,"69.54","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT;SKIN, & SUBCUTANEOUS TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Blue Cross Blue Shield","HMO","",,"71",,"69.54","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT;SKIN, & SUBCUTANEOUS TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Blue Cross Blue Shield","PPO","",,"71",,"69.54","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT;SKIN, & SUBCUTANEOUS TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Ambetter","Health Exchange","",,"62",,"61.07","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT;SKIN, & SUBCUTANEOUS TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Caresource","Health Exchange","",,"62",,"61.07","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT;SKIN, & SUBCUTANEOUS TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Cigna","Commercial","",,"59",,"57.72","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT;SKIN, & SUBCUTANEOUS TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Humana","Commercial","",,"78",,"76.34","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT;SKIN, & SUBCUTANEOUS TISSUE","11042","HCPCS","Both",,,"98.5","49.25","UHC","Commercial","",,"75",,"74.27","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT;SKIN, & SUBCUTANEOUS TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Medicaid",,"",,"37",,"36.05","36.05","76.34","percent of total billed charges",,
"INCISION & DRAINAGE BARTHOLIN'S GLAND AB","56420","HCPCS","Both",,,"371.5","185.75","Alliant","Health Exchange","",,"62",,"230.33","135.97","287.91","percent of total billed charges",,
"INCISION & DRAINAGE BARTHOLIN'S GLAND AB","56420","HCPCS","Both",,,"371.5","185.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"200.61","135.97","287.91","percent of total billed charges",,
"INCISION & DRAINAGE BARTHOLIN'S GLAND AB","56420","HCPCS","Both",,,"371.5","185.75","Medicare",,"",,"54",,"201.35","135.97","287.91","percent of total billed charges",,
"INCISION & DRAINAGE BARTHOLIN'S GLAND AB","56420","HCPCS","Both",,,"371.5","185.75","Humana","Medicare Advantage","",,"54",,"201.35","135.97","287.91","percent of total billed charges",,
"INCISION & DRAINAGE BARTHOLIN'S GLAND AB","56420","HCPCS","Both",,,"371.5","185.75","UHC","Medicare Advantage","",,"54",,"201.35","135.97","287.91","percent of total billed charges",,
"INCISION & DRAINAGE BARTHOLIN'S GLAND AB","56420","HCPCS","Both",,,"371.5","185.75","Clover","Medicare Advantage","",,"54",,"201.35","135.97","287.91","percent of total billed charges",,
"INCISION & DRAINAGE BARTHOLIN'S GLAND AB","56420","HCPCS","Both",,,"371.5","185.75","Wellcare","Medicare Advantage","",,"54",,"201.35","135.97","287.91","percent of total billed charges",,
"INCISION & DRAINAGE BARTHOLIN'S GLAND AB","56420","HCPCS","Both",,,"371.5","185.75","Amerigroup","Medicaid Managed Care","",,"37",,"135.97","135.97","287.91","percent of total billed charges",,
"INCISION & DRAINAGE BARTHOLIN'S GLAND AB","56420","HCPCS","Both",,,"371.5","185.75","Caresource","Medicaid Managed Care","",,"40",,"148.6","135.97","287.91","percent of total billed charges",,
"INCISION & DRAINAGE BARTHOLIN'S GLAND AB","56420","HCPCS","Both",,,"371.5","185.75","Wellcare","Medicaid Managed Care","",,"40",,"150.46","135.97","287.91","percent of total billed charges",,
"INCISION & DRAINAGE BARTHOLIN'S GLAND AB","56420","HCPCS","Both",,,"371.5","185.75","Aetna","Commercial","",,"64",,"237.02","135.97","287.91","percent of total billed charges",,
"INCISION & DRAINAGE BARTHOLIN'S GLAND AB","56420","HCPCS","Both",,,"371.5","185.75","Blue Cross Blue Shield","Pathways","",,"71",,"262.28","135.97","287.91","percent of total billed charges",,
"INCISION & DRAINAGE BARTHOLIN'S GLAND AB","56420","HCPCS","Both",,,"371.5","185.75","Blue Cross Blue Shield","HMO","",,"71",,"262.28","135.97","287.91","percent of total billed charges",,
"INCISION & DRAINAGE BARTHOLIN'S GLAND AB","56420","HCPCS","Both",,,"371.5","185.75","Blue Cross Blue Shield","PPO","",,"71",,"262.28","135.97","287.91","percent of total billed charges",,
"INCISION & DRAINAGE BARTHOLIN'S GLAND AB","56420","HCPCS","Both",,,"371.5","185.75","Ambetter","Health Exchange","",,"62",,"230.33","135.97","287.91","percent of total billed charges",,
"INCISION & DRAINAGE BARTHOLIN'S GLAND AB","56420","HCPCS","Both",,,"371.5","185.75","Caresource","Health Exchange","",,"62",,"230.33","135.97","287.91","percent of total billed charges",,
"INCISION & DRAINAGE BARTHOLIN'S GLAND AB","56420","HCPCS","Both",,,"371.5","185.75","Cigna","Commercial","",,"59",,"217.7","135.97","287.91","percent of total billed charges",,
"INCISION & DRAINAGE BARTHOLIN'S GLAND AB","56420","HCPCS","Both",,,"371.5","185.75","Humana","Commercial","",,"78",,"287.91","135.97","287.91","percent of total billed charges",,
"INCISION & DRAINAGE BARTHOLIN'S GLAND AB","56420","HCPCS","Both",,,"371.5","185.75","UHC","Commercial","",,"75",,"280.11","135.97","287.91","percent of total billed charges",,
"INCISION & DRAINAGE BARTHOLIN'S GLAND AB","56420","HCPCS","Both",,,"371.5","185.75","Medicaid",,"",,"37",,"135.97","135.97","287.91","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS OR INFECTED SKIN","11000","HCPCS","Both",,,"75","37.5","Alliant","Health Exchange","",,"62",,"46.5","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS OR INFECTED SKIN","11000","HCPCS","Both",,,"75","37.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"40.5","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS OR INFECTED SKIN","11000","HCPCS","Both",,,"75","37.5","Medicare",,"",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS OR INFECTED SKIN","11000","HCPCS","Both",,,"75","37.5","Humana","Medicare Advantage","",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS OR INFECTED SKIN","11000","HCPCS","Both",,,"75","37.5","UHC","Medicare Advantage","",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS OR INFECTED SKIN","11000","HCPCS","Both",,,"75","37.5","Clover","Medicare Advantage","",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS OR INFECTED SKIN","11000","HCPCS","Both",,,"75","37.5","Wellcare","Medicare Advantage","",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS OR INFECTED SKIN","11000","HCPCS","Both",,,"75","37.5","Amerigroup","Medicaid Managed Care","",,"37",,"27.45","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS OR INFECTED SKIN","11000","HCPCS","Both",,,"75","37.5","Caresource","Medicaid Managed Care","",,"40",,"30","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS OR INFECTED SKIN","11000","HCPCS","Both",,,"75","37.5","Wellcare","Medicaid Managed Care","",,"40",,"30.38","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS OR INFECTED SKIN","11000","HCPCS","Both",,,"75","37.5","Aetna","Commercial","",,"64",,"47.85","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS OR INFECTED SKIN","11000","HCPCS","Both",,,"75","37.5","Blue Cross Blue Shield","Pathways","",,"71",,"52.95","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS OR INFECTED SKIN","11000","HCPCS","Both",,,"75","37.5","Blue Cross Blue Shield","HMO","",,"71",,"52.95","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS OR INFECTED SKIN","11000","HCPCS","Both",,,"75","37.5","Blue Cross Blue Shield","PPO","",,"71",,"52.95","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS OR INFECTED SKIN","11000","HCPCS","Both",,,"75","37.5","Ambetter","Health Exchange","",,"62",,"46.5","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS OR INFECTED SKIN","11000","HCPCS","Both",,,"75","37.5","Caresource","Health Exchange","",,"62",,"46.5","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS OR INFECTED SKIN","11000","HCPCS","Both",,,"75","37.5","Cigna","Commercial","",,"59",,"43.95","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS OR INFECTED SKIN","11000","HCPCS","Both",,,"75","37.5","Humana","Commercial","",,"78",,"58.12","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS OR INFECTED SKIN","11000","HCPCS","Both",,,"75","37.5","UHC","Commercial","",,"75",,"56.55","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS OR INFECTED SKIN","11000","HCPCS","Both",,,"75","37.5","Medicaid",,"",,"37",,"27.45","27.45","58.12","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY SUB T SI","10120","HCPCS","Both",,,"102","51","Alliant","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY SUB T SI","10120","HCPCS","Both",,,"102","51","Pruitt Healthcare","Medicare Advantage","",,"54",,"55.08","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY SUB T SI","10120","HCPCS","Both",,,"102","51","Medicare",,"",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY SUB T SI","10120","HCPCS","Both",,,"102","51","Humana","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY SUB T SI","10120","HCPCS","Both",,,"102","51","UHC","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY SUB T SI","10120","HCPCS","Both",,,"102","51","Clover","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY SUB T SI","10120","HCPCS","Both",,,"102","51","Wellcare","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY SUB T SI","10120","HCPCS","Both",,,"102","51","Amerigroup","Medicaid Managed Care","",,"37",,"37.33","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY SUB T SI","10120","HCPCS","Both",,,"102","51","Caresource","Medicaid Managed Care","",,"40",,"40.8","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY SUB T SI","10120","HCPCS","Both",,,"102","51","Wellcare","Medicaid Managed Care","",,"40",,"41.31","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY SUB T SI","10120","HCPCS","Both",,,"102","51","Aetna","Commercial","",,"64",,"65.08","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY SUB T SI","10120","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","Pathways","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY SUB T SI","10120","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","HMO","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY SUB T SI","10120","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","PPO","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY SUB T SI","10120","HCPCS","Both",,,"102","51","Ambetter","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY SUB T SI","10120","HCPCS","Both",,,"102","51","Caresource","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY SUB T SI","10120","HCPCS","Both",,,"102","51","Cigna","Commercial","",,"59",,"59.77","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY SUB T SI","10120","HCPCS","Both",,,"102","51","Humana","Commercial","",,"78",,"79.05","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY SUB T SI","10120","HCPCS","Both",,,"102","51","UHC","Commercial","",,"75",,"76.91","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY SUB T SI","10120","HCPCS","Both",,,"102","51","Medicaid",,"",,"37",,"37.33","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Alliant","Health Exchange","",,"62",,"70.68","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Pruitt Healthcare","Medicare Advantage","",,"54",,"61.56","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Medicare",,"",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Humana","Medicare Advantage","",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","UHC","Medicare Advantage","",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Clover","Medicare Advantage","",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Wellcare","Medicare Advantage","",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Amerigroup","Medicaid Managed Care","",,"37",,"41.72","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Caresource","Medicaid Managed Care","",,"40",,"45.6","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Wellcare","Medicaid Managed Care","",,"40",,"46.17","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Aetna","Commercial","",,"64",,"72.73","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Blue Cross Blue Shield","Pathways","",,"71",,"80.48","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Blue Cross Blue Shield","HMO","",,"71",,"80.48","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Blue Cross Blue Shield","PPO","",,"71",,"80.48","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Ambetter","Health Exchange","",,"62",,"70.68","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Caresource","Health Exchange","",,"62",,"70.68","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Cigna","Commercial","",,"59",,"66.8","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Humana","Commercial","",,"78",,"88.35","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","UHC","Commercial","",,"75",,"85.96","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Medicaid",,"",,"37",,"41.72","41.72","88.35","percent of total billed charges",,
"REMOVAL FOREIGN BODY,INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Alliant","Health Exchange","",,"62",,"84.01","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY,INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"73.17","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY,INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Medicare",,"",,"54",,"73.44","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY,INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Humana","Medicare Advantage","",,"54",,"73.44","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY,INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","UHC","Medicare Advantage","",,"54",,"73.44","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY,INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Clover","Medicare Advantage","",,"54",,"73.44","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY,INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Wellcare","Medicare Advantage","",,"54",,"73.44","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY,INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Amerigroup","Medicaid Managed Care","",,"37",,"49.59","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY,INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Caresource","Medicaid Managed Care","",,"40",,"54.2","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY,INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Wellcare","Medicaid Managed Care","",,"40",,"54.88","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY,INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Aetna","Commercial","",,"64",,"86.45","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY,INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Blue Cross Blue Shield","Pathways","",,"71",,"95.66","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY,INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Blue Cross Blue Shield","HMO","",,"71",,"95.66","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY,INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Blue Cross Blue Shield","PPO","",,"71",,"95.66","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY,INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Ambetter","Health Exchange","",,"62",,"84.01","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY,INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Caresource","Health Exchange","",,"62",,"84.01","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY,INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Cigna","Commercial","",,"59",,"79.4","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY,INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Humana","Commercial","",,"78",,"105.01","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY,INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","UHC","Commercial","",,"75",,"102.17","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY,INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Medicaid",,"",,"37",,"49.59","49.59","105.01","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE","65205","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE","65205","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE","65205","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE","65205","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE","65205","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE","65205","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE","65205","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE","65205","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE","65205","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE","65205","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE","65205","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE","65205","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE","65205","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE","65205","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE","65205","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE","65205","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE","65205","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE","65205","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE","65205","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE","65205","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"REMOVAL FOREIGN BODY EXTERNAL AUDITORY","69200","HCPCS","Both",,,"102","51","Alliant","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY EXTERNAL AUDITORY","69200","HCPCS","Both",,,"102","51","Pruitt Healthcare","Medicare Advantage","",,"54",,"55.08","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY EXTERNAL AUDITORY","69200","HCPCS","Both",,,"102","51","Medicare",,"",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY EXTERNAL AUDITORY","69200","HCPCS","Both",,,"102","51","Humana","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY EXTERNAL AUDITORY","69200","HCPCS","Both",,,"102","51","UHC","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY EXTERNAL AUDITORY","69200","HCPCS","Both",,,"102","51","Clover","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY EXTERNAL AUDITORY","69200","HCPCS","Both",,,"102","51","Wellcare","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY EXTERNAL AUDITORY","69200","HCPCS","Both",,,"102","51","Amerigroup","Medicaid Managed Care","",,"37",,"37.33","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY EXTERNAL AUDITORY","69200","HCPCS","Both",,,"102","51","Caresource","Medicaid Managed Care","",,"40",,"40.8","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY EXTERNAL AUDITORY","69200","HCPCS","Both",,,"102","51","Wellcare","Medicaid Managed Care","",,"40",,"41.31","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY EXTERNAL AUDITORY","69200","HCPCS","Both",,,"102","51","Aetna","Commercial","",,"64",,"65.08","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY EXTERNAL AUDITORY","69200","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","Pathways","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY EXTERNAL AUDITORY","69200","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","HMO","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY EXTERNAL AUDITORY","69200","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","PPO","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY EXTERNAL AUDITORY","69200","HCPCS","Both",,,"102","51","Ambetter","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY EXTERNAL AUDITORY","69200","HCPCS","Both",,,"102","51","Caresource","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY EXTERNAL AUDITORY","69200","HCPCS","Both",,,"102","51","Cigna","Commercial","",,"59",,"59.77","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY EXTERNAL AUDITORY","69200","HCPCS","Both",,,"102","51","Humana","Commercial","",,"78",,"79.05","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY EXTERNAL AUDITORY","69200","HCPCS","Both",,,"102","51","UHC","Commercial","",,"75",,"76.91","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY EXTERNAL AUDITORY","69200","HCPCS","Both",,,"102","51","Medicaid",,"",,"37",,"37.33","37.33","79.05","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,SIMPLE","30901","HCPCS","Both",,,"72","36","Alliant","Health Exchange","",,"62",,"44.64","26.35","55.8","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,SIMPLE","30901","HCPCS","Both",,,"72","36","Pruitt Healthcare","Medicare Advantage","",,"54",,"38.88","26.35","55.8","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,SIMPLE","30901","HCPCS","Both",,,"72","36","Medicare",,"",,"54",,"39.02","26.35","55.8","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,SIMPLE","30901","HCPCS","Both",,,"72","36","Humana","Medicare Advantage","",,"54",,"39.02","26.35","55.8","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,SIMPLE","30901","HCPCS","Both",,,"72","36","UHC","Medicare Advantage","",,"54",,"39.02","26.35","55.8","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,SIMPLE","30901","HCPCS","Both",,,"72","36","Clover","Medicare Advantage","",,"54",,"39.02","26.35","55.8","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,SIMPLE","30901","HCPCS","Both",,,"72","36","Wellcare","Medicare Advantage","",,"54",,"39.02","26.35","55.8","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,SIMPLE","30901","HCPCS","Both",,,"72","36","Amerigroup","Medicaid Managed Care","",,"37",,"26.35","26.35","55.8","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,SIMPLE","30901","HCPCS","Both",,,"72","36","Caresource","Medicaid Managed Care","",,"40",,"28.8","26.35","55.8","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,SIMPLE","30901","HCPCS","Both",,,"72","36","Wellcare","Medicaid Managed Care","",,"40",,"29.16","26.35","55.8","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,SIMPLE","30901","HCPCS","Both",,,"72","36","Aetna","Commercial","",,"64",,"45.94","26.35","55.8","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,SIMPLE","30901","HCPCS","Both",,,"72","36","Blue Cross Blue Shield","Pathways","",,"71",,"50.83","26.35","55.8","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,SIMPLE","30901","HCPCS","Both",,,"72","36","Blue Cross Blue Shield","HMO","",,"71",,"50.83","26.35","55.8","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,SIMPLE","30901","HCPCS","Both",,,"72","36","Blue Cross Blue Shield","PPO","",,"71",,"50.83","26.35","55.8","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,SIMPLE","30901","HCPCS","Both",,,"72","36","Ambetter","Health Exchange","",,"62",,"44.64","26.35","55.8","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,SIMPLE","30901","HCPCS","Both",,,"72","36","Caresource","Health Exchange","",,"62",,"44.64","26.35","55.8","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,SIMPLE","30901","HCPCS","Both",,,"72","36","Cigna","Commercial","",,"59",,"42.19","26.35","55.8","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,SIMPLE","30901","HCPCS","Both",,,"72","36","Humana","Commercial","",,"78",,"55.8","26.35","55.8","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,SIMPLE","30901","HCPCS","Both",,,"72","36","UHC","Commercial","",,"75",,"54.29","26.35","55.8","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,SIMPLE","30901","HCPCS","Both",,,"72","36","Medicaid",,"",,"37",,"26.35","26.35","55.8","percent of total billed charges",,
"DRAINAGE EXTERNAL EAR,ABCESS/HEMATOMA;SI","69000","HCPCS","Both",,,"426.5","213.25","Alliant","Health Exchange","",,"62",,"264.43","156.1","330.54","percent of total billed charges",,
"DRAINAGE EXTERNAL EAR,ABCESS/HEMATOMA;SI","69000","HCPCS","Both",,,"426.5","213.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"230.31","156.1","330.54","percent of total billed charges",,
"DRAINAGE EXTERNAL EAR,ABCESS/HEMATOMA;SI","69000","HCPCS","Both",,,"426.5","213.25","Medicare",,"",,"54",,"231.16","156.1","330.54","percent of total billed charges",,
"DRAINAGE EXTERNAL EAR,ABCESS/HEMATOMA;SI","69000","HCPCS","Both",,,"426.5","213.25","Humana","Medicare Advantage","",,"54",,"231.16","156.1","330.54","percent of total billed charges",,
"DRAINAGE EXTERNAL EAR,ABCESS/HEMATOMA;SI","69000","HCPCS","Both",,,"426.5","213.25","UHC","Medicare Advantage","",,"54",,"231.16","156.1","330.54","percent of total billed charges",,
"DRAINAGE EXTERNAL EAR,ABCESS/HEMATOMA;SI","69000","HCPCS","Both",,,"426.5","213.25","Clover","Medicare Advantage","",,"54",,"231.16","156.1","330.54","percent of total billed charges",,
"DRAINAGE EXTERNAL EAR,ABCESS/HEMATOMA;SI","69000","HCPCS","Both",,,"426.5","213.25","Wellcare","Medicare Advantage","",,"54",,"231.16","156.1","330.54","percent of total billed charges",,
"DRAINAGE EXTERNAL EAR,ABCESS/HEMATOMA;SI","69000","HCPCS","Both",,,"426.5","213.25","Amerigroup","Medicaid Managed Care","",,"37",,"156.1","156.1","330.54","percent of total billed charges",,
"DRAINAGE EXTERNAL EAR,ABCESS/HEMATOMA;SI","69000","HCPCS","Both",,,"426.5","213.25","Caresource","Medicaid Managed Care","",,"40",,"170.6","156.1","330.54","percent of total billed charges",,
"DRAINAGE EXTERNAL EAR,ABCESS/HEMATOMA;SI","69000","HCPCS","Both",,,"426.5","213.25","Wellcare","Medicaid Managed Care","",,"40",,"172.73","156.1","330.54","percent of total billed charges",,
"DRAINAGE EXTERNAL EAR,ABCESS/HEMATOMA;SI","69000","HCPCS","Both",,,"426.5","213.25","Aetna","Commercial","",,"64",,"272.11","156.1","330.54","percent of total billed charges",,
"DRAINAGE EXTERNAL EAR,ABCESS/HEMATOMA;SI","69000","HCPCS","Both",,,"426.5","213.25","Blue Cross Blue Shield","Pathways","",,"71",,"301.11","156.1","330.54","percent of total billed charges",,
"DRAINAGE EXTERNAL EAR,ABCESS/HEMATOMA;SI","69000","HCPCS","Both",,,"426.5","213.25","Blue Cross Blue Shield","HMO","",,"71",,"301.11","156.1","330.54","percent of total billed charges",,
"DRAINAGE EXTERNAL EAR,ABCESS/HEMATOMA;SI","69000","HCPCS","Both",,,"426.5","213.25","Blue Cross Blue Shield","PPO","",,"71",,"301.11","156.1","330.54","percent of total billed charges",,
"DRAINAGE EXTERNAL EAR,ABCESS/HEMATOMA;SI","69000","HCPCS","Both",,,"426.5","213.25","Ambetter","Health Exchange","",,"62",,"264.43","156.1","330.54","percent of total billed charges",,
"DRAINAGE EXTERNAL EAR,ABCESS/HEMATOMA;SI","69000","HCPCS","Both",,,"426.5","213.25","Caresource","Health Exchange","",,"62",,"264.43","156.1","330.54","percent of total billed charges",,
"DRAINAGE EXTERNAL EAR,ABCESS/HEMATOMA;SI","69000","HCPCS","Both",,,"426.5","213.25","Cigna","Commercial","",,"59",,"249.93","156.1","330.54","percent of total billed charges",,
"DRAINAGE EXTERNAL EAR,ABCESS/HEMATOMA;SI","69000","HCPCS","Both",,,"426.5","213.25","Humana","Commercial","",,"78",,"330.54","156.1","330.54","percent of total billed charges",,
"DRAINAGE EXTERNAL EAR,ABCESS/HEMATOMA;SI","69000","HCPCS","Both",,,"426.5","213.25","UHC","Commercial","",,"75",,"321.58","156.1","330.54","percent of total billed charges",,
"DRAINAGE EXTERNAL EAR,ABCESS/HEMATOMA;SI","69000","HCPCS","Both",,,"426.5","213.25","Medicaid",,"",,"37",,"156.1","156.1","330.54","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN","69210","HCPCS","Both",,,"42","21","Alliant","Health Exchange","",,"62",,"26.04","15.37","32.55","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN","69210","HCPCS","Both",,,"42","21","Pruitt Healthcare","Medicare Advantage","",,"54",,"22.68","15.37","32.55","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN","69210","HCPCS","Both",,,"42","21","Medicare",,"",,"54",,"22.76","15.37","32.55","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN","69210","HCPCS","Both",,,"42","21","Humana","Medicare Advantage","",,"54",,"22.76","15.37","32.55","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN","69210","HCPCS","Both",,,"42","21","UHC","Medicare Advantage","",,"54",,"22.76","15.37","32.55","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN","69210","HCPCS","Both",,,"42","21","Clover","Medicare Advantage","",,"54",,"22.76","15.37","32.55","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN","69210","HCPCS","Both",,,"42","21","Wellcare","Medicare Advantage","",,"54",,"22.76","15.37","32.55","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN","69210","HCPCS","Both",,,"42","21","Amerigroup","Medicaid Managed Care","",,"37",,"15.37","15.37","32.55","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN","69210","HCPCS","Both",,,"42","21","Caresource","Medicaid Managed Care","",,"40",,"16.8","15.37","32.55","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN","69210","HCPCS","Both",,,"42","21","Wellcare","Medicaid Managed Care","",,"40",,"17.01","15.37","32.55","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN","69210","HCPCS","Both",,,"42","21","Aetna","Commercial","",,"64",,"26.8","15.37","32.55","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN","69210","HCPCS","Both",,,"42","21","Blue Cross Blue Shield","Pathways","",,"71",,"29.65","15.37","32.55","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN","69210","HCPCS","Both",,,"42","21","Blue Cross Blue Shield","HMO","",,"71",,"29.65","15.37","32.55","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN","69210","HCPCS","Both",,,"42","21","Blue Cross Blue Shield","PPO","",,"71",,"29.65","15.37","32.55","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN","69210","HCPCS","Both",,,"42","21","Ambetter","Health Exchange","",,"62",,"26.04","15.37","32.55","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN","69210","HCPCS","Both",,,"42","21","Caresource","Health Exchange","",,"62",,"26.04","15.37","32.55","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN","69210","HCPCS","Both",,,"42","21","Cigna","Commercial","",,"59",,"24.61","15.37","32.55","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN","69210","HCPCS","Both",,,"42","21","Humana","Commercial","",,"78",,"32.55","15.37","32.55","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN","69210","HCPCS","Both",,,"42","21","UHC","Commercial","",,"75",,"31.67","15.37","32.55","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN","69210","HCPCS","Both",,,"42","21","Medicaid",,"",,"37",,"15.37","15.37","32.55","percent of total billed charges",,
"CLOSED TREATMENT OF CARPAL SCAPHOID FX","25622","HCPCS","Both",,,"418.5","209.25","Alliant","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TREATMENT OF CARPAL SCAPHOID FX","25622","HCPCS","Both",,,"418.5","209.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"225.99","153.17","324.34","percent of total billed charges",,
"CLOSED TREATMENT OF CARPAL SCAPHOID FX","25622","HCPCS","Both",,,"418.5","209.25","Medicare",,"",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TREATMENT OF CARPAL SCAPHOID FX","25622","HCPCS","Both",,,"418.5","209.25","Humana","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TREATMENT OF CARPAL SCAPHOID FX","25622","HCPCS","Both",,,"418.5","209.25","UHC","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TREATMENT OF CARPAL SCAPHOID FX","25622","HCPCS","Both",,,"418.5","209.25","Clover","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TREATMENT OF CARPAL SCAPHOID FX","25622","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TREATMENT OF CARPAL SCAPHOID FX","25622","HCPCS","Both",,,"418.5","209.25","Amerigroup","Medicaid Managed Care","",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TREATMENT OF CARPAL SCAPHOID FX","25622","HCPCS","Both",,,"418.5","209.25","Caresource","Medicaid Managed Care","",,"40",,"167.4","153.17","324.34","percent of total billed charges",,
"CLOSED TREATMENT OF CARPAL SCAPHOID FX","25622","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicaid Managed Care","",,"40",,"169.49","153.17","324.34","percent of total billed charges",,
"CLOSED TREATMENT OF CARPAL SCAPHOID FX","25622","HCPCS","Both",,,"418.5","209.25","Aetna","Commercial","",,"64",,"267","153.17","324.34","percent of total billed charges",,
"CLOSED TREATMENT OF CARPAL SCAPHOID FX","25622","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","Pathways","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TREATMENT OF CARPAL SCAPHOID FX","25622","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","HMO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TREATMENT OF CARPAL SCAPHOID FX","25622","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","PPO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TREATMENT OF CARPAL SCAPHOID FX","25622","HCPCS","Both",,,"418.5","209.25","Ambetter","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TREATMENT OF CARPAL SCAPHOID FX","25622","HCPCS","Both",,,"418.5","209.25","Caresource","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TREATMENT OF CARPAL SCAPHOID FX","25622","HCPCS","Both",,,"418.5","209.25","Cigna","Commercial","",,"59",,"245.24","153.17","324.34","percent of total billed charges",,
"CLOSED TREATMENT OF CARPAL SCAPHOID FX","25622","HCPCS","Both",,,"418.5","209.25","Humana","Commercial","",,"78",,"324.34","153.17","324.34","percent of total billed charges",,
"CLOSED TREATMENT OF CARPAL SCAPHOID FX","25622","HCPCS","Both",,,"418.5","209.25","UHC","Commercial","",,"75",,"315.55","153.17","324.34","percent of total billed charges",,
"CLOSED TREATMENT OF CARPAL SCAPHOID FX","25622","HCPCS","Both",,,"418.5","209.25","Medicaid",,"",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TX METACARPAL W/O MIN @ bone","26600","HCPCS","Both",,,"338.5","169.25","Alliant","Health Exchange","",,"62",,"209.87","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL W/O MIN @ bone","26600","HCPCS","Both",,,"338.5","169.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"182.79","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL W/O MIN @ bone","26600","HCPCS","Both",,,"338.5","169.25","Medicare",,"",,"54",,"183.47","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL W/O MIN @ bone","26600","HCPCS","Both",,,"338.5","169.25","Humana","Medicare Advantage","",,"54",,"183.47","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL W/O MIN @ bone","26600","HCPCS","Both",,,"338.5","169.25","UHC","Medicare Advantage","",,"54",,"183.47","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL W/O MIN @ bone","26600","HCPCS","Both",,,"338.5","169.25","Clover","Medicare Advantage","",,"54",,"183.47","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL W/O MIN @ bone","26600","HCPCS","Both",,,"338.5","169.25","Wellcare","Medicare Advantage","",,"54",,"183.47","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL W/O MIN @ bone","26600","HCPCS","Both",,,"338.5","169.25","Amerigroup","Medicaid Managed Care","",,"37",,"123.89","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL W/O MIN @ bone","26600","HCPCS","Both",,,"338.5","169.25","Caresource","Medicaid Managed Care","",,"40",,"135.4","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL W/O MIN @ bone","26600","HCPCS","Both",,,"338.5","169.25","Wellcare","Medicaid Managed Care","",,"40",,"137.09","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL W/O MIN @ bone","26600","HCPCS","Both",,,"338.5","169.25","Aetna","Commercial","",,"64",,"215.96","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL W/O MIN @ bone","26600","HCPCS","Both",,,"338.5","169.25","Blue Cross Blue Shield","Pathways","",,"71",,"238.98","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL W/O MIN @ bone","26600","HCPCS","Both",,,"338.5","169.25","Blue Cross Blue Shield","HMO","",,"71",,"238.98","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL W/O MIN @ bone","26600","HCPCS","Both",,,"338.5","169.25","Blue Cross Blue Shield","PPO","",,"71",,"238.98","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL W/O MIN @ bone","26600","HCPCS","Both",,,"338.5","169.25","Ambetter","Health Exchange","",,"62",,"209.87","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL W/O MIN @ bone","26600","HCPCS","Both",,,"338.5","169.25","Caresource","Health Exchange","",,"62",,"209.87","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL W/O MIN @ bone","26600","HCPCS","Both",,,"338.5","169.25","Cigna","Commercial","",,"59",,"198.36","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL W/O MIN @ bone","26600","HCPCS","Both",,,"338.5","169.25","Humana","Commercial","",,"78",,"262.34","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL W/O MIN @ bone","26600","HCPCS","Both",,,"338.5","169.25","UHC","Commercial","",,"75",,"255.23","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL W/O MIN @ bone","26600","HCPCS","Both",,,"338.5","169.25","Medicaid",,"",,"37",,"123.89","123.89","262.34","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/O ANESTHE","23650","HCPCS","Both",,,"356","178","Alliant","Health Exchange","",,"62",,"220.72","130.3","275.9","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/O ANESTHE","23650","HCPCS","Both",,,"356","178","Pruitt Healthcare","Medicare Advantage","",,"54",,"192.24","130.3","275.9","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/O ANESTHE","23650","HCPCS","Both",,,"356","178","Medicare",,"",,"54",,"192.95","130.3","275.9","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/O ANESTHE","23650","HCPCS","Both",,,"356","178","Humana","Medicare Advantage","",,"54",,"192.95","130.3","275.9","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/O ANESTHE","23650","HCPCS","Both",,,"356","178","UHC","Medicare Advantage","",,"54",,"192.95","130.3","275.9","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/O ANESTHE","23650","HCPCS","Both",,,"356","178","Clover","Medicare Advantage","",,"54",,"192.95","130.3","275.9","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/O ANESTHE","23650","HCPCS","Both",,,"356","178","Wellcare","Medicare Advantage","",,"54",,"192.95","130.3","275.9","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/O ANESTHE","23650","HCPCS","Both",,,"356","178","Amerigroup","Medicaid Managed Care","",,"37",,"130.3","130.3","275.9","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/O ANESTHE","23650","HCPCS","Both",,,"356","178","Caresource","Medicaid Managed Care","",,"40",,"142.4","130.3","275.9","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/O ANESTHE","23650","HCPCS","Both",,,"356","178","Wellcare","Medicaid Managed Care","",,"40",,"144.18","130.3","275.9","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/O ANESTHE","23650","HCPCS","Both",,,"356","178","Aetna","Commercial","",,"64",,"227.13","130.3","275.9","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/O ANESTHE","23650","HCPCS","Both",,,"356","178","Blue Cross Blue Shield","Pathways","",,"71",,"251.34","130.3","275.9","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/O ANESTHE","23650","HCPCS","Both",,,"356","178","Blue Cross Blue Shield","HMO","",,"71",,"251.34","130.3","275.9","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/O ANESTHE","23650","HCPCS","Both",,,"356","178","Blue Cross Blue Shield","PPO","",,"71",,"251.34","130.3","275.9","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/O ANESTHE","23650","HCPCS","Both",,,"356","178","Ambetter","Health Exchange","",,"62",,"220.72","130.3","275.9","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/O ANESTHE","23650","HCPCS","Both",,,"356","178","Caresource","Health Exchange","",,"62",,"220.72","130.3","275.9","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/O ANESTHE","23650","HCPCS","Both",,,"356","178","Cigna","Commercial","",,"59",,"208.62","130.3","275.9","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/O ANESTHE","23650","HCPCS","Both",,,"356","178","Humana","Commercial","",,"78",,"275.9","130.3","275.9","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/O ANESTHE","23650","HCPCS","Both",,,"356","178","UHC","Commercial","",,"75",,"268.42","130.3","275.9","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/O ANESTHE","23650","HCPCS","Both",,,"356","178","Medicaid",,"",,"37",,"130.3","130.3","275.9","percent of total billed charges",,
"TREATMENT CLOSED ELBOW DISLOCATION W/O","24600","HCPCS","Both",,,"418.5","209.25","Alliant","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"TREATMENT CLOSED ELBOW DISLOCATION W/O","24600","HCPCS","Both",,,"418.5","209.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"225.99","153.17","324.34","percent of total billed charges",,
"TREATMENT CLOSED ELBOW DISLOCATION W/O","24600","HCPCS","Both",,,"418.5","209.25","Medicare",,"",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"TREATMENT CLOSED ELBOW DISLOCATION W/O","24600","HCPCS","Both",,,"418.5","209.25","Humana","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"TREATMENT CLOSED ELBOW DISLOCATION W/O","24600","HCPCS","Both",,,"418.5","209.25","UHC","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"TREATMENT CLOSED ELBOW DISLOCATION W/O","24600","HCPCS","Both",,,"418.5","209.25","Clover","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"TREATMENT CLOSED ELBOW DISLOCATION W/O","24600","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"TREATMENT CLOSED ELBOW DISLOCATION W/O","24600","HCPCS","Both",,,"418.5","209.25","Amerigroup","Medicaid Managed Care","",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"TREATMENT CLOSED ELBOW DISLOCATION W/O","24600","HCPCS","Both",,,"418.5","209.25","Caresource","Medicaid Managed Care","",,"40",,"167.4","153.17","324.34","percent of total billed charges",,
"TREATMENT CLOSED ELBOW DISLOCATION W/O","24600","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicaid Managed Care","",,"40",,"169.49","153.17","324.34","percent of total billed charges",,
"TREATMENT CLOSED ELBOW DISLOCATION W/O","24600","HCPCS","Both",,,"418.5","209.25","Aetna","Commercial","",,"64",,"267","153.17","324.34","percent of total billed charges",,
"TREATMENT CLOSED ELBOW DISLOCATION W/O","24600","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","Pathways","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"TREATMENT CLOSED ELBOW DISLOCATION W/O","24600","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","HMO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"TREATMENT CLOSED ELBOW DISLOCATION W/O","24600","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","PPO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"TREATMENT CLOSED ELBOW DISLOCATION W/O","24600","HCPCS","Both",,,"418.5","209.25","Ambetter","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"TREATMENT CLOSED ELBOW DISLOCATION W/O","24600","HCPCS","Both",,,"418.5","209.25","Caresource","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"TREATMENT CLOSED ELBOW DISLOCATION W/O","24600","HCPCS","Both",,,"418.5","209.25","Cigna","Commercial","",,"59",,"245.24","153.17","324.34","percent of total billed charges",,
"TREATMENT CLOSED ELBOW DISLOCATION W/O","24600","HCPCS","Both",,,"418.5","209.25","Humana","Commercial","",,"78",,"324.34","153.17","324.34","percent of total billed charges",,
"TREATMENT CLOSED ELBOW DISLOCATION W/O","24600","HCPCS","Both",,,"418.5","209.25","UHC","Commercial","",,"75",,"315.55","153.17","324.34","percent of total billed charges",,
"TREATMENT CLOSED ELBOW DISLOCATION W/O","24600","HCPCS","Both",,,"418.5","209.25","Medicaid",,"",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"APPLICATION OF LONG ARM SPLINT SH TO HAN","29105","HCPCS","Both",,,"53","26.5","Alliant","Health Exchange","",,"62",,"32.86","19.4","41.08","percent of total billed charges",,
"APPLICATION OF LONG ARM SPLINT SH TO HAN","29105","HCPCS","Both",,,"53","26.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"28.62","19.4","41.08","percent of total billed charges",,
"APPLICATION OF LONG ARM SPLINT SH TO HAN","29105","HCPCS","Both",,,"53","26.5","Medicare",,"",,"54",,"28.73","19.4","41.08","percent of total billed charges",,
"APPLICATION OF LONG ARM SPLINT SH TO HAN","29105","HCPCS","Both",,,"53","26.5","Humana","Medicare Advantage","",,"54",,"28.73","19.4","41.08","percent of total billed charges",,
"APPLICATION OF LONG ARM SPLINT SH TO HAN","29105","HCPCS","Both",,,"53","26.5","UHC","Medicare Advantage","",,"54",,"28.73","19.4","41.08","percent of total billed charges",,
"APPLICATION OF LONG ARM SPLINT SH TO HAN","29105","HCPCS","Both",,,"53","26.5","Clover","Medicare Advantage","",,"54",,"28.73","19.4","41.08","percent of total billed charges",,
"APPLICATION OF LONG ARM SPLINT SH TO HAN","29105","HCPCS","Both",,,"53","26.5","Wellcare","Medicare Advantage","",,"54",,"28.73","19.4","41.08","percent of total billed charges",,
"APPLICATION OF LONG ARM SPLINT SH TO HAN","29105","HCPCS","Both",,,"53","26.5","Amerigroup","Medicaid Managed Care","",,"37",,"19.4","19.4","41.08","percent of total billed charges",,
"APPLICATION OF LONG ARM SPLINT SH TO HAN","29105","HCPCS","Both",,,"53","26.5","Caresource","Medicaid Managed Care","",,"40",,"21.2","19.4","41.08","percent of total billed charges",,
"APPLICATION OF LONG ARM SPLINT SH TO HAN","29105","HCPCS","Both",,,"53","26.5","Wellcare","Medicaid Managed Care","",,"40",,"21.46","19.4","41.08","percent of total billed charges",,
"APPLICATION OF LONG ARM SPLINT SH TO HAN","29105","HCPCS","Both",,,"53","26.5","Aetna","Commercial","",,"64",,"33.81","19.4","41.08","percent of total billed charges",,
"APPLICATION OF LONG ARM SPLINT SH TO HAN","29105","HCPCS","Both",,,"53","26.5","Blue Cross Blue Shield","Pathways","",,"71",,"37.42","19.4","41.08","percent of total billed charges",,
"APPLICATION OF LONG ARM SPLINT SH TO HAN","29105","HCPCS","Both",,,"53","26.5","Blue Cross Blue Shield","HMO","",,"71",,"37.42","19.4","41.08","percent of total billed charges",,
"APPLICATION OF LONG ARM SPLINT SH TO HAN","29105","HCPCS","Both",,,"53","26.5","Blue Cross Blue Shield","PPO","",,"71",,"37.42","19.4","41.08","percent of total billed charges",,
"APPLICATION OF LONG ARM SPLINT SH TO HAN","29105","HCPCS","Both",,,"53","26.5","Ambetter","Health Exchange","",,"62",,"32.86","19.4","41.08","percent of total billed charges",,
"APPLICATION OF LONG ARM SPLINT SH TO HAN","29105","HCPCS","Both",,,"53","26.5","Caresource","Health Exchange","",,"62",,"32.86","19.4","41.08","percent of total billed charges",,
"APPLICATION OF LONG ARM SPLINT SH TO HAN","29105","HCPCS","Both",,,"53","26.5","Cigna","Commercial","",,"59",,"31.06","19.4","41.08","percent of total billed charges",,
"APPLICATION OF LONG ARM SPLINT SH TO HAN","29105","HCPCS","Both",,,"53","26.5","Humana","Commercial","",,"78",,"41.08","19.4","41.08","percent of total billed charges",,
"APPLICATION OF LONG ARM SPLINT SH TO HAN","29105","HCPCS","Both",,,"53","26.5","UHC","Commercial","",,"75",,"39.96","19.4","41.08","percent of total billed charges",,
"APPLICATION OF LONG ARM SPLINT SH TO HAN","29105","HCPCS","Both",,,"53","26.5","Medicaid",,"",,"37",,"19.4","19.4","41.08","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT;STATIC","29125","HCPCS","Both",,,"341.7","170.85","Alliant","Health Exchange","",,"62",,"211.85","73.57","264.82","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT;STATIC","29125","HCPCS","Both",,,"341.7","170.85","Pruitt Healthcare","Medicare Advantage","",,"54",,"184.52","73.57","264.82","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT;STATIC","29125","HCPCS","Both",,,"341.7","170.85","Medicare",,"",,"54",,"185.2","73.57","264.82","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT;STATIC","29125","HCPCS","Both",,,"341.7","170.85","Humana","Medicare Advantage","",,"54",,"185.2","73.57","264.82","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT;STATIC","29125","HCPCS","Both",,,"341.7","170.85","UHC","Medicare Advantage","",,"54",,"185.2","73.57","264.82","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT;STATIC","29125","HCPCS","Both",,,"341.7","170.85","Clover","Medicare Advantage","",,"54",,"185.2","73.57","264.82","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT;STATIC","29125","HCPCS","Both",,,"341.7","170.85","Wellcare","Medicare Advantage","",,"54",,"185.2","73.57","264.82","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT;STATIC","29125","HCPCS","Both",,,"341.7","170.85","Amerigroup","Medicaid Managed Care","",,"37",,"125.06","73.57","264.82","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT;STATIC","29125","HCPCS","Both",,,"341.7","170.85","Caresource","Medicaid Managed Care","",,"40",,"136.68","73.57","264.82","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT;STATIC","29125","HCPCS","Both",,,"341.7","170.85","Wellcare","Medicaid Managed Care","",,"40",,"138.39","73.57","264.82","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT;STATIC","29125","HCPCS","Both",,,"341.7","170.85","Aetna","Commercial","",,"64",,"218","73.57","264.82","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT;STATIC","29125","HCPCS","Both",,,"341.7","170.85","Blue Cross Blue Shield","Pathways","",,"71",,"241.24","73.57","264.82","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT;STATIC","29125","HCPCS","Both",,,"341.7","170.85","Blue Cross Blue Shield","HMO","",,"71",,"241.24","73.57","264.82","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT;STATIC","29125","HCPCS","Both",,,"341.7","170.85","Blue Cross Blue Shield","PPO","",,"71",,"241.24","73.57","264.82","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT;STATIC","29125","HCPCS","Both",,,"341.7","170.85","Ambetter","Health Exchange","",,"62",,"211.85","73.57","264.82","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT;STATIC","29125","HCPCS","Both",,,"341.7","170.85","Caresource","Health Exchange","",,"62",,"211.85","73.57","264.82","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT;STATIC","29125","HCPCS","Both",,,"341.7","170.85","Cigna","Commercial","",,"59",,"200.24","73.57","264.82","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT;STATIC","29125","HCPCS","Both",,,"341.7","170.85","Humana","Commercial","",,"78",,"264.82","73.57","264.82","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT;STATIC","29125","HCPCS","Both",,,"341.7","170.85","UHC","Commercial","",,"75",,"257.64","73.57","264.82","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT;STATIC","29125","HCPCS","Both",,,"341.7","170.85","Medicaid",,"",,"37",,"125.06","73.57","264.82","percent of total billed charges",,
"APPLICATION FINGER SPLINT; STATIC","29130","HCPCS","Both",,,"51.5","25.75","Alliant","Health Exchange","",,"62",,"31.93","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; STATIC","29130","HCPCS","Both",,,"51.5","25.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"27.81","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; STATIC","29130","HCPCS","Both",,,"51.5","25.75","Medicare",,"",,"54",,"27.91","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; STATIC","29130","HCPCS","Both",,,"51.5","25.75","Humana","Medicare Advantage","",,"54",,"27.91","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; STATIC","29130","HCPCS","Both",,,"51.5","25.75","UHC","Medicare Advantage","",,"54",,"27.91","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; STATIC","29130","HCPCS","Both",,,"51.5","25.75","Clover","Medicare Advantage","",,"54",,"27.91","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; STATIC","29130","HCPCS","Both",,,"51.5","25.75","Wellcare","Medicare Advantage","",,"54",,"27.91","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; STATIC","29130","HCPCS","Both",,,"51.5","25.75","Amerigroup","Medicaid Managed Care","",,"37",,"18.85","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; STATIC","29130","HCPCS","Both",,,"51.5","25.75","Caresource","Medicaid Managed Care","",,"40",,"20.6","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; STATIC","29130","HCPCS","Both",,,"51.5","25.75","Wellcare","Medicaid Managed Care","",,"40",,"20.86","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; STATIC","29130","HCPCS","Both",,,"51.5","25.75","Aetna","Commercial","",,"64",,"32.86","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; STATIC","29130","HCPCS","Both",,,"51.5","25.75","Blue Cross Blue Shield","Pathways","",,"71",,"36.36","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; STATIC","29130","HCPCS","Both",,,"51.5","25.75","Blue Cross Blue Shield","HMO","",,"71",,"36.36","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; STATIC","29130","HCPCS","Both",,,"51.5","25.75","Blue Cross Blue Shield","PPO","",,"71",,"36.36","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; STATIC","29130","HCPCS","Both",,,"51.5","25.75","Ambetter","Health Exchange","",,"62",,"31.93","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; STATIC","29130","HCPCS","Both",,,"51.5","25.75","Caresource","Health Exchange","",,"62",,"31.93","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; STATIC","29130","HCPCS","Both",,,"51.5","25.75","Cigna","Commercial","",,"59",,"30.18","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; STATIC","29130","HCPCS","Both",,,"51.5","25.75","Humana","Commercial","",,"78",,"39.91","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; STATIC","29130","HCPCS","Both",,,"51.5","25.75","UHC","Commercial","",,"75",,"38.83","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; STATIC","29130","HCPCS","Both",,,"51.5","25.75","Medicaid",,"",,"37",,"18.85","18.85","39.91","percent of total billed charges",,
"APPLICATION LONG LEG SPLINT THIGH TO ANK","29505","HCPCS","Both",,,"87","43.5","Alliant","Health Exchange","",,"62",,"53.94","31.84","67.42","percent of total billed charges",,
"APPLICATION LONG LEG SPLINT THIGH TO ANK","29505","HCPCS","Both",,,"87","43.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"46.98","31.84","67.42","percent of total billed charges",,
"APPLICATION LONG LEG SPLINT THIGH TO ANK","29505","HCPCS","Both",,,"87","43.5","Medicare",,"",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"APPLICATION LONG LEG SPLINT THIGH TO ANK","29505","HCPCS","Both",,,"87","43.5","Humana","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"APPLICATION LONG LEG SPLINT THIGH TO ANK","29505","HCPCS","Both",,,"87","43.5","UHC","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"APPLICATION LONG LEG SPLINT THIGH TO ANK","29505","HCPCS","Both",,,"87","43.5","Clover","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"APPLICATION LONG LEG SPLINT THIGH TO ANK","29505","HCPCS","Both",,,"87","43.5","Wellcare","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"APPLICATION LONG LEG SPLINT THIGH TO ANK","29505","HCPCS","Both",,,"87","43.5","Amerigroup","Medicaid Managed Care","",,"37",,"31.84","31.84","67.42","percent of total billed charges",,
"APPLICATION LONG LEG SPLINT THIGH TO ANK","29505","HCPCS","Both",,,"87","43.5","Caresource","Medicaid Managed Care","",,"40",,"34.8","31.84","67.42","percent of total billed charges",,
"APPLICATION LONG LEG SPLINT THIGH TO ANK","29505","HCPCS","Both",,,"87","43.5","Wellcare","Medicaid Managed Care","",,"40",,"35.24","31.84","67.42","percent of total billed charges",,
"APPLICATION LONG LEG SPLINT THIGH TO ANK","29505","HCPCS","Both",,,"87","43.5","Aetna","Commercial","",,"64",,"55.51","31.84","67.42","percent of total billed charges",,
"APPLICATION LONG LEG SPLINT THIGH TO ANK","29505","HCPCS","Both",,,"87","43.5","Blue Cross Blue Shield","Pathways","",,"71",,"61.42","31.84","67.42","percent of total billed charges",,
"APPLICATION LONG LEG SPLINT THIGH TO ANK","29505","HCPCS","Both",,,"87","43.5","Blue Cross Blue Shield","HMO","",,"71",,"61.42","31.84","67.42","percent of total billed charges",,
"APPLICATION LONG LEG SPLINT THIGH TO ANK","29505","HCPCS","Both",,,"87","43.5","Blue Cross Blue Shield","PPO","",,"71",,"61.42","31.84","67.42","percent of total billed charges",,
"APPLICATION LONG LEG SPLINT THIGH TO ANK","29505","HCPCS","Both",,,"87","43.5","Ambetter","Health Exchange","",,"62",,"53.94","31.84","67.42","percent of total billed charges",,
"APPLICATION LONG LEG SPLINT THIGH TO ANK","29505","HCPCS","Both",,,"87","43.5","Caresource","Health Exchange","",,"62",,"53.94","31.84","67.42","percent of total billed charges",,
"APPLICATION LONG LEG SPLINT THIGH TO ANK","29505","HCPCS","Both",,,"87","43.5","Cigna","Commercial","",,"59",,"50.98","31.84","67.42","percent of total billed charges",,
"APPLICATION LONG LEG SPLINT THIGH TO ANK","29505","HCPCS","Both",,,"87","43.5","Humana","Commercial","",,"78",,"67.42","31.84","67.42","percent of total billed charges",,
"APPLICATION LONG LEG SPLINT THIGH TO ANK","29505","HCPCS","Both",,,"87","43.5","UHC","Commercial","",,"75",,"65.6","31.84","67.42","percent of total billed charges",,
"APPLICATION LONG LEG SPLINT THIGH TO ANK","29505","HCPCS","Both",,,"87","43.5","Medicaid",,"",,"37",,"31.84","31.84","67.42","percent of total billed charges",,
"APPLICATION SHORT LEG SPLINT CALF TO FOO","29515","HCPCS","Both",,,"266.5","133.25","Alliant","Health Exchange","",,"62",,"165.23","97.54","206.54","percent of total billed charges",,
"APPLICATION SHORT LEG SPLINT CALF TO FOO","29515","HCPCS","Both",,,"266.5","133.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"143.91","97.54","206.54","percent of total billed charges",,
"APPLICATION SHORT LEG SPLINT CALF TO FOO","29515","HCPCS","Both",,,"266.5","133.25","Medicare",,"",,"54",,"144.44","97.54","206.54","percent of total billed charges",,
"APPLICATION SHORT LEG SPLINT CALF TO FOO","29515","HCPCS","Both",,,"266.5","133.25","Humana","Medicare Advantage","",,"54",,"144.44","97.54","206.54","percent of total billed charges",,
"APPLICATION SHORT LEG SPLINT CALF TO FOO","29515","HCPCS","Both",,,"266.5","133.25","UHC","Medicare Advantage","",,"54",,"144.44","97.54","206.54","percent of total billed charges",,
"APPLICATION SHORT LEG SPLINT CALF TO FOO","29515","HCPCS","Both",,,"266.5","133.25","Clover","Medicare Advantage","",,"54",,"144.44","97.54","206.54","percent of total billed charges",,
"APPLICATION SHORT LEG SPLINT CALF TO FOO","29515","HCPCS","Both",,,"266.5","133.25","Wellcare","Medicare Advantage","",,"54",,"144.44","97.54","206.54","percent of total billed charges",,
"APPLICATION SHORT LEG SPLINT CALF TO FOO","29515","HCPCS","Both",,,"266.5","133.25","Amerigroup","Medicaid Managed Care","",,"37",,"97.54","97.54","206.54","percent of total billed charges",,
"APPLICATION SHORT LEG SPLINT CALF TO FOO","29515","HCPCS","Both",,,"266.5","133.25","Caresource","Medicaid Managed Care","",,"40",,"106.6","97.54","206.54","percent of total billed charges",,
"APPLICATION SHORT LEG SPLINT CALF TO FOO","29515","HCPCS","Both",,,"266.5","133.25","Wellcare","Medicaid Managed Care","",,"40",,"107.93","97.54","206.54","percent of total billed charges",,
"APPLICATION SHORT LEG SPLINT CALF TO FOO","29515","HCPCS","Both",,,"266.5","133.25","Aetna","Commercial","",,"64",,"170.03","97.54","206.54","percent of total billed charges",,
"APPLICATION SHORT LEG SPLINT CALF TO FOO","29515","HCPCS","Both",,,"266.5","133.25","Blue Cross Blue Shield","Pathways","",,"71",,"188.15","97.54","206.54","percent of total billed charges",,
"APPLICATION SHORT LEG SPLINT CALF TO FOO","29515","HCPCS","Both",,,"266.5","133.25","Blue Cross Blue Shield","HMO","",,"71",,"188.15","97.54","206.54","percent of total billed charges",,
"APPLICATION SHORT LEG SPLINT CALF TO FOO","29515","HCPCS","Both",,,"266.5","133.25","Blue Cross Blue Shield","PPO","",,"71",,"188.15","97.54","206.54","percent of total billed charges",,
"APPLICATION SHORT LEG SPLINT CALF TO FOO","29515","HCPCS","Both",,,"266.5","133.25","Ambetter","Health Exchange","",,"62",,"165.23","97.54","206.54","percent of total billed charges",,
"APPLICATION SHORT LEG SPLINT CALF TO FOO","29515","HCPCS","Both",,,"266.5","133.25","Caresource","Health Exchange","",,"62",,"165.23","97.54","206.54","percent of total billed charges",,
"APPLICATION SHORT LEG SPLINT CALF TO FOO","29515","HCPCS","Both",,,"266.5","133.25","Cigna","Commercial","",,"59",,"156.17","97.54","206.54","percent of total billed charges",,
"APPLICATION SHORT LEG SPLINT CALF TO FOO","29515","HCPCS","Both",,,"266.5","133.25","Humana","Commercial","",,"78",,"206.54","97.54","206.54","percent of total billed charges",,
"APPLICATION SHORT LEG SPLINT CALF TO FOO","29515","HCPCS","Both",,,"266.5","133.25","UHC","Commercial","",,"75",,"200.94","97.54","206.54","percent of total billed charges",,
"APPLICATION SHORT LEG SPLINT CALF TO FOO","29515","HCPCS","Both",,,"266.5","133.25","Medicaid",,"",,"37",,"97.54","97.54","206.54","percent of total billed charges",,
"INITIAL 1ST DEGREE","16000","HCPCS","Both",,,"102.5","51.25","Alliant","Health Exchange","",,"62",,"63.55","37.52","79.44","percent of total billed charges",,
"INITIAL 1ST DEGREE","16000","HCPCS","Both",,,"102.5","51.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"55.35","37.52","79.44","percent of total billed charges",,
"INITIAL 1ST DEGREE","16000","HCPCS","Both",,,"102.5","51.25","Medicare",,"",,"54",,"55.56","37.52","79.44","percent of total billed charges",,
"INITIAL 1ST DEGREE","16000","HCPCS","Both",,,"102.5","51.25","Humana","Medicare Advantage","",,"54",,"55.56","37.52","79.44","percent of total billed charges",,
"INITIAL 1ST DEGREE","16000","HCPCS","Both",,,"102.5","51.25","UHC","Medicare Advantage","",,"54",,"55.56","37.52","79.44","percent of total billed charges",,
"INITIAL 1ST DEGREE","16000","HCPCS","Both",,,"102.5","51.25","Clover","Medicare Advantage","",,"54",,"55.56","37.52","79.44","percent of total billed charges",,
"INITIAL 1ST DEGREE","16000","HCPCS","Both",,,"102.5","51.25","Wellcare","Medicare Advantage","",,"54",,"55.56","37.52","79.44","percent of total billed charges",,
"INITIAL 1ST DEGREE","16000","HCPCS","Both",,,"102.5","51.25","Amerigroup","Medicaid Managed Care","",,"37",,"37.52","37.52","79.44","percent of total billed charges",,
"INITIAL 1ST DEGREE","16000","HCPCS","Both",,,"102.5","51.25","Caresource","Medicaid Managed Care","",,"40",,"41","37.52","79.44","percent of total billed charges",,
"INITIAL 1ST DEGREE","16000","HCPCS","Both",,,"102.5","51.25","Wellcare","Medicaid Managed Care","",,"40",,"41.51","37.52","79.44","percent of total billed charges",,
"INITIAL 1ST DEGREE","16000","HCPCS","Both",,,"102.5","51.25","Aetna","Commercial","",,"64",,"65.4","37.52","79.44","percent of total billed charges",,
"INITIAL 1ST DEGREE","16000","HCPCS","Both",,,"102.5","51.25","Blue Cross Blue Shield","Pathways","",,"71",,"72.36","37.52","79.44","percent of total billed charges",,
"INITIAL 1ST DEGREE","16000","HCPCS","Both",,,"102.5","51.25","Blue Cross Blue Shield","HMO","",,"71",,"72.36","37.52","79.44","percent of total billed charges",,
"INITIAL 1ST DEGREE","16000","HCPCS","Both",,,"102.5","51.25","Blue Cross Blue Shield","PPO","",,"71",,"72.36","37.52","79.44","percent of total billed charges",,
"INITIAL 1ST DEGREE","16000","HCPCS","Both",,,"102.5","51.25","Ambetter","Health Exchange","",,"62",,"63.55","37.52","79.44","percent of total billed charges",,
"INITIAL 1ST DEGREE","16000","HCPCS","Both",,,"102.5","51.25","Caresource","Health Exchange","",,"62",,"63.55","37.52","79.44","percent of total billed charges",,
"INITIAL 1ST DEGREE","16000","HCPCS","Both",,,"102.5","51.25","Cigna","Commercial","",,"59",,"60.06","37.52","79.44","percent of total billed charges",,
"INITIAL 1ST DEGREE","16000","HCPCS","Both",,,"102.5","51.25","Humana","Commercial","",,"78",,"79.44","37.52","79.44","percent of total billed charges",,
"INITIAL 1ST DEGREE","16000","HCPCS","Both",,,"102.5","51.25","UHC","Commercial","",,"75",,"77.28","37.52","79.44","percent of total billed charges",,
"INITIAL 1ST DEGREE","16000","HCPCS","Both",,,"102.5","51.25","Medicaid",,"",,"37",,"37.52","37.52","79.44","percent of total billed charges",,
"DEBRIDEMENT, SMALL, W/O ANESTHESIA","16020","HCPCS","Both",,,"201","100.5","Alliant","Health Exchange","",,"62",,"124.62","73.57","155.78","percent of total billed charges",,
"DEBRIDEMENT, SMALL, W/O ANESTHESIA","16020","HCPCS","Both",,,"201","100.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"108.54","73.57","155.78","percent of total billed charges",,
"DEBRIDEMENT, SMALL, W/O ANESTHESIA","16020","HCPCS","Both",,,"201","100.5","Medicare",,"",,"54",,"108.94","73.57","155.78","percent of total billed charges",,
"DEBRIDEMENT, SMALL, W/O ANESTHESIA","16020","HCPCS","Both",,,"201","100.5","Humana","Medicare Advantage","",,"54",,"108.94","73.57","155.78","percent of total billed charges",,
"DEBRIDEMENT, SMALL, W/O ANESTHESIA","16020","HCPCS","Both",,,"201","100.5","UHC","Medicare Advantage","",,"54",,"108.94","73.57","155.78","percent of total billed charges",,
"DEBRIDEMENT, SMALL, W/O ANESTHESIA","16020","HCPCS","Both",,,"201","100.5","Clover","Medicare Advantage","",,"54",,"108.94","73.57","155.78","percent of total billed charges",,
"DEBRIDEMENT, SMALL, W/O ANESTHESIA","16020","HCPCS","Both",,,"201","100.5","Wellcare","Medicare Advantage","",,"54",,"108.94","73.57","155.78","percent of total billed charges",,
"DEBRIDEMENT, SMALL, W/O ANESTHESIA","16020","HCPCS","Both",,,"201","100.5","Amerigroup","Medicaid Managed Care","",,"37",,"73.57","73.57","155.78","percent of total billed charges",,
"DEBRIDEMENT, SMALL, W/O ANESTHESIA","16020","HCPCS","Both",,,"201","100.5","Caresource","Medicaid Managed Care","",,"40",,"80.4","73.57","155.78","percent of total billed charges",,
"DEBRIDEMENT, SMALL, W/O ANESTHESIA","16020","HCPCS","Both",,,"201","100.5","Wellcare","Medicaid Managed Care","",,"40",,"81.4","73.57","155.78","percent of total billed charges",,
"DEBRIDEMENT, SMALL, W/O ANESTHESIA","16020","HCPCS","Both",,,"201","100.5","Aetna","Commercial","",,"64",,"128.24","73.57","155.78","percent of total billed charges",,
"DEBRIDEMENT, SMALL, W/O ANESTHESIA","16020","HCPCS","Both",,,"201","100.5","Blue Cross Blue Shield","Pathways","",,"71",,"141.91","73.57","155.78","percent of total billed charges",,
"DEBRIDEMENT, SMALL, W/O ANESTHESIA","16020","HCPCS","Both",,,"201","100.5","Blue Cross Blue Shield","HMO","",,"71",,"141.91","73.57","155.78","percent of total billed charges",,
"DEBRIDEMENT, SMALL, W/O ANESTHESIA","16020","HCPCS","Both",,,"201","100.5","Blue Cross Blue Shield","PPO","",,"71",,"141.91","73.57","155.78","percent of total billed charges",,
"DEBRIDEMENT, SMALL, W/O ANESTHESIA","16020","HCPCS","Both",,,"201","100.5","Ambetter","Health Exchange","",,"62",,"124.62","73.57","155.78","percent of total billed charges",,
"DEBRIDEMENT, SMALL, W/O ANESTHESIA","16020","HCPCS","Both",,,"201","100.5","Caresource","Health Exchange","",,"62",,"124.62","73.57","155.78","percent of total billed charges",,
"DEBRIDEMENT, SMALL, W/O ANESTHESIA","16020","HCPCS","Both",,,"201","100.5","Cigna","Commercial","",,"59",,"117.79","73.57","155.78","percent of total billed charges",,
"DEBRIDEMENT, SMALL, W/O ANESTHESIA","16020","HCPCS","Both",,,"201","100.5","Humana","Commercial","",,"78",,"155.78","73.57","155.78","percent of total billed charges",,
"DEBRIDEMENT, SMALL, W/O ANESTHESIA","16020","HCPCS","Both",,,"201","100.5","UHC","Commercial","",,"75",,"151.55","73.57","155.78","percent of total billed charges",,
"DEBRIDEMENT, SMALL, W/O ANESTHESIA","16020","HCPCS","Both",,,"201","100.5","Medicaid",,"",,"37",,"73.57","73.57","155.78","percent of total billed charges",,
"DEBRIDEMENT MEDIUM W/O ANESTHESIA","16025","HCPCS","Both",,,"335","167.5","Alliant","Health Exchange","",,"62",,"207.7","122.61","259.62","percent of total billed charges",,
"DEBRIDEMENT MEDIUM W/O ANESTHESIA","16025","HCPCS","Both",,,"335","167.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"180.9","122.61","259.62","percent of total billed charges",,
"DEBRIDEMENT MEDIUM W/O ANESTHESIA","16025","HCPCS","Both",,,"335","167.5","Medicare",,"",,"54",,"181.57","122.61","259.62","percent of total billed charges",,
"DEBRIDEMENT MEDIUM W/O ANESTHESIA","16025","HCPCS","Both",,,"335","167.5","Humana","Medicare Advantage","",,"54",,"181.57","122.61","259.62","percent of total billed charges",,
"DEBRIDEMENT MEDIUM W/O ANESTHESIA","16025","HCPCS","Both",,,"335","167.5","UHC","Medicare Advantage","",,"54",,"181.57","122.61","259.62","percent of total billed charges",,
"DEBRIDEMENT MEDIUM W/O ANESTHESIA","16025","HCPCS","Both",,,"335","167.5","Clover","Medicare Advantage","",,"54",,"181.57","122.61","259.62","percent of total billed charges",,
"DEBRIDEMENT MEDIUM W/O ANESTHESIA","16025","HCPCS","Both",,,"335","167.5","Wellcare","Medicare Advantage","",,"54",,"181.57","122.61","259.62","percent of total billed charges",,
"DEBRIDEMENT MEDIUM W/O ANESTHESIA","16025","HCPCS","Both",,,"335","167.5","Amerigroup","Medicaid Managed Care","",,"37",,"122.61","122.61","259.62","percent of total billed charges",,
"DEBRIDEMENT MEDIUM W/O ANESTHESIA","16025","HCPCS","Both",,,"335","167.5","Caresource","Medicaid Managed Care","",,"40",,"134","122.61","259.62","percent of total billed charges",,
"DEBRIDEMENT MEDIUM W/O ANESTHESIA","16025","HCPCS","Both",,,"335","167.5","Wellcare","Medicaid Managed Care","",,"40",,"135.68","122.61","259.62","percent of total billed charges",,
"DEBRIDEMENT MEDIUM W/O ANESTHESIA","16025","HCPCS","Both",,,"335","167.5","Aetna","Commercial","",,"64",,"213.73","122.61","259.62","percent of total billed charges",,
"DEBRIDEMENT MEDIUM W/O ANESTHESIA","16025","HCPCS","Both",,,"335","167.5","Blue Cross Blue Shield","Pathways","",,"71",,"236.51","122.61","259.62","percent of total billed charges",,
"DEBRIDEMENT MEDIUM W/O ANESTHESIA","16025","HCPCS","Both",,,"335","167.5","Blue Cross Blue Shield","HMO","",,"71",,"236.51","122.61","259.62","percent of total billed charges",,
"DEBRIDEMENT MEDIUM W/O ANESTHESIA","16025","HCPCS","Both",,,"335","167.5","Blue Cross Blue Shield","PPO","",,"71",,"236.51","122.61","259.62","percent of total billed charges",,
"DEBRIDEMENT MEDIUM W/O ANESTHESIA","16025","HCPCS","Both",,,"335","167.5","Ambetter","Health Exchange","",,"62",,"207.7","122.61","259.62","percent of total billed charges",,
"DEBRIDEMENT MEDIUM W/O ANESTHESIA","16025","HCPCS","Both",,,"335","167.5","Caresource","Health Exchange","",,"62",,"207.7","122.61","259.62","percent of total billed charges",,
"DEBRIDEMENT MEDIUM W/O ANESTHESIA","16025","HCPCS","Both",,,"335","167.5","Cigna","Commercial","",,"59",,"196.31","122.61","259.62","percent of total billed charges",,
"DEBRIDEMENT MEDIUM W/O ANESTHESIA","16025","HCPCS","Both",,,"335","167.5","Humana","Commercial","",,"78",,"259.62","122.61","259.62","percent of total billed charges",,
"DEBRIDEMENT MEDIUM W/O ANESTHESIA","16025","HCPCS","Both",,,"335","167.5","UHC","Commercial","",,"75",,"252.59","122.61","259.62","percent of total billed charges",,
"DEBRIDEMENT MEDIUM W/O ANESTHESIA","16025","HCPCS","Both",,,"335","167.5","Medicaid",,"",,"37",,"122.61","122.61","259.62","percent of total billed charges",,
"SIMPLE 2.5CM OR LESS FACE/EAR/EYELD/LIPS","12011","HCPCS","Both",,,"186.72","93.36","Alliant","Health Exchange","",,"62",,"115.77","68.34","150.74","percent of total billed charges",,
"SIMPLE 2.5CM OR LESS FACE/EAR/EYELD/LIPS","12011","HCPCS","Both",,,"186.72","93.36","Pruitt Healthcare","Medicare Advantage","",,"54",,"100.83","68.34","150.74","percent of total billed charges",,
"SIMPLE 2.5CM OR LESS FACE/EAR/EYELD/LIPS","12011","HCPCS","Both",,,"186.72","93.36","Medicare",,"",,"54",,"101.2","68.34","150.74","percent of total billed charges",,
"SIMPLE 2.5CM OR LESS FACE/EAR/EYELD/LIPS","12011","HCPCS","Both",,,"186.72","93.36","Humana","Medicare Advantage","",,"54",,"101.2","68.34","150.74","percent of total billed charges",,
"SIMPLE 2.5CM OR LESS FACE/EAR/EYELD/LIPS","12011","HCPCS","Both",,,"186.72","93.36","UHC","Medicare Advantage","",,"54",,"101.2","68.34","150.74","percent of total billed charges",,
"SIMPLE 2.5CM OR LESS FACE/EAR/EYELD/LIPS","12011","HCPCS","Both",,,"186.72","93.36","Clover","Medicare Advantage","",,"54",,"101.2","68.34","150.74","percent of total billed charges",,
"SIMPLE 2.5CM OR LESS FACE/EAR/EYELD/LIPS","12011","HCPCS","Both",,,"186.72","93.36","Wellcare","Medicare Advantage","",,"54",,"101.2","68.34","150.74","percent of total billed charges",,
"SIMPLE 2.5CM OR LESS FACE/EAR/EYELD/LIPS","12011","HCPCS","Both",,,"186.72","93.36","Amerigroup","Medicaid Managed Care","",,"37",,"68.34","68.34","150.74","percent of total billed charges",,
"SIMPLE 2.5CM OR LESS FACE/EAR/EYELD/LIPS","12011","HCPCS","Both",,,"186.72","93.36","Caresource","Medicaid Managed Care","",,"40",,"74.69","68.34","150.74","percent of total billed charges",,
"SIMPLE 2.5CM OR LESS FACE/EAR/EYELD/LIPS","12011","HCPCS","Both",,,"186.72","93.36","Wellcare","Medicaid Managed Care","",,"40",,"75.62","68.34","150.74","percent of total billed charges",,
"SIMPLE 2.5CM OR LESS FACE/EAR/EYELD/LIPS","12011","HCPCS","Both",,,"186.72","93.36","Aetna","Commercial","",,"64",,"119.13","68.34","150.74","percent of total billed charges",,
"SIMPLE 2.5CM OR LESS FACE/EAR/EYELD/LIPS","12011","HCPCS","Both",,,"186.72","93.36","Blue Cross Blue Shield","Pathways","",,"71",,"131.82","68.34","150.74","percent of total billed charges",,
"SIMPLE 2.5CM OR LESS FACE/EAR/EYELD/LIPS","12011","HCPCS","Both",,,"186.72","93.36","Blue Cross Blue Shield","HMO","",,"71",,"131.82","68.34","150.74","percent of total billed charges",,
"SIMPLE 2.5CM OR LESS FACE/EAR/EYELD/LIPS","12011","HCPCS","Both",,,"186.72","93.36","Blue Cross Blue Shield","PPO","",,"71",,"131.82","68.34","150.74","percent of total billed charges",,
"SIMPLE 2.5CM OR LESS FACE/EAR/EYELD/LIPS","12011","HCPCS","Both",,,"186.72","93.36","Ambetter","Health Exchange","",,"62",,"115.77","68.34","150.74","percent of total billed charges",,
"SIMPLE 2.5CM OR LESS FACE/EAR/EYELD/LIPS","12011","HCPCS","Both",,,"186.72","93.36","Caresource","Health Exchange","",,"62",,"115.77","68.34","150.74","percent of total billed charges",,
"SIMPLE 2.5CM OR LESS FACE/EAR/EYELD/LIPS","12011","HCPCS","Both",,,"186.72","93.36","Cigna","Commercial","",,"59",,"109.42","68.34","150.74","percent of total billed charges",,
"SIMPLE 2.5CM OR LESS FACE/EAR/EYELD/LIPS","12011","HCPCS","Both",,,"186.72","93.36","Humana","Commercial","",,"78",,"144.71","68.34","150.74","percent of total billed charges",,
"SIMPLE 2.5CM OR LESS FACE/EAR/EYELD/LIPS","12011","HCPCS","Both",,,"186.72","93.36","UHC","Commercial","",,"75",,"140.79","68.34","150.74","percent of total billed charges",,
"SIMPLE 2.5CM OR LESS FACE/EAR/EYELD/LIPS","12011","HCPCS","Both",,,"186.72","93.36","Medicaid",,"",,"37",,"68.34","68.34","150.74","percent of total billed charges",,
"SIMPLE 2.6CM-5.0CM FACE/EAR/EYELD/LIPS","12013","HCPCS","Both",,,"160","80","Alliant","Health Exchange","",,"62",,"99.2","58.56","124","percent of total billed charges",,
"SIMPLE 2.6CM-5.0CM FACE/EAR/EYELD/LIPS","12013","HCPCS","Both",,,"160","80","Pruitt Healthcare","Medicare Advantage","",,"54",,"86.4","58.56","124","percent of total billed charges",,
"SIMPLE 2.6CM-5.0CM FACE/EAR/EYELD/LIPS","12013","HCPCS","Both",,,"160","80","Medicare",,"",,"54",,"86.72","58.56","124","percent of total billed charges",,
"SIMPLE 2.6CM-5.0CM FACE/EAR/EYELD/LIPS","12013","HCPCS","Both",,,"160","80","Humana","Medicare Advantage","",,"54",,"86.72","58.56","124","percent of total billed charges",,
"SIMPLE 2.6CM-5.0CM FACE/EAR/EYELD/LIPS","12013","HCPCS","Both",,,"160","80","UHC","Medicare Advantage","",,"54",,"86.72","58.56","124","percent of total billed charges",,
"SIMPLE 2.6CM-5.0CM FACE/EAR/EYELD/LIPS","12013","HCPCS","Both",,,"160","80","Clover","Medicare Advantage","",,"54",,"86.72","58.56","124","percent of total billed charges",,
"SIMPLE 2.6CM-5.0CM FACE/EAR/EYELD/LIPS","12013","HCPCS","Both",,,"160","80","Wellcare","Medicare Advantage","",,"54",,"86.72","58.56","124","percent of total billed charges",,
"SIMPLE 2.6CM-5.0CM FACE/EAR/EYELD/LIPS","12013","HCPCS","Both",,,"160","80","Amerigroup","Medicaid Managed Care","",,"37",,"58.56","58.56","124","percent of total billed charges",,
"SIMPLE 2.6CM-5.0CM FACE/EAR/EYELD/LIPS","12013","HCPCS","Both",,,"160","80","Caresource","Medicaid Managed Care","",,"40",,"64","58.56","124","percent of total billed charges",,
"SIMPLE 2.6CM-5.0CM FACE/EAR/EYELD/LIPS","12013","HCPCS","Both",,,"160","80","Wellcare","Medicaid Managed Care","",,"40",,"64.8","58.56","124","percent of total billed charges",,
"SIMPLE 2.6CM-5.0CM FACE/EAR/EYELD/LIPS","12013","HCPCS","Both",,,"160","80","Aetna","Commercial","",,"64",,"102.08","58.56","124","percent of total billed charges",,
"SIMPLE 2.6CM-5.0CM FACE/EAR/EYELD/LIPS","12013","HCPCS","Both",,,"160","80","Blue Cross Blue Shield","Pathways","",,"71",,"112.96","58.56","124","percent of total billed charges",,
"SIMPLE 2.6CM-5.0CM FACE/EAR/EYELD/LIPS","12013","HCPCS","Both",,,"160","80","Blue Cross Blue Shield","HMO","",,"71",,"112.96","58.56","124","percent of total billed charges",,
"SIMPLE 2.6CM-5.0CM FACE/EAR/EYELD/LIPS","12013","HCPCS","Both",,,"160","80","Blue Cross Blue Shield","PPO","",,"71",,"112.96","58.56","124","percent of total billed charges",,
"SIMPLE 2.6CM-5.0CM FACE/EAR/EYELD/LIPS","12013","HCPCS","Both",,,"160","80","Ambetter","Health Exchange","",,"62",,"99.2","58.56","124","percent of total billed charges",,
"SIMPLE 2.6CM-5.0CM FACE/EAR/EYELD/LIPS","12013","HCPCS","Both",,,"160","80","Caresource","Health Exchange","",,"62",,"99.2","58.56","124","percent of total billed charges",,
"SIMPLE 2.6CM-5.0CM FACE/EAR/EYELD/LIPS","12013","HCPCS","Both",,,"160","80","Cigna","Commercial","",,"59",,"93.76","58.56","124","percent of total billed charges",,
"SIMPLE 2.6CM-5.0CM FACE/EAR/EYELD/LIPS","12013","HCPCS","Both",,,"160","80","Humana","Commercial","",,"78",,"124","58.56","124","percent of total billed charges",,
"SIMPLE 2.6CM-5.0CM FACE/EAR/EYELD/LIPS","12013","HCPCS","Both",,,"160","80","UHC","Commercial","",,"75",,"120.64","58.56","124","percent of total billed charges",,
"SIMPLE 2.6CM-5.0CM FACE/EAR/EYELD/LIPS","12013","HCPCS","Both",,,"160","80","Medicaid",,"",,"37",,"58.56","58.56","124","percent of total billed charges",,
"SIMPLE 5.1CM-7.5CM FACE/EAR/EYELD/LIPS","12014","HCPCS","Both",,,"201","100.5","Alliant","Health Exchange","",,"62",,"124.62","73.57","155.78","percent of total billed charges",,
"SIMPLE 5.1CM-7.5CM FACE/EAR/EYELD/LIPS","12014","HCPCS","Both",,,"201","100.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"108.54","73.57","155.78","percent of total billed charges",,
"SIMPLE 5.1CM-7.5CM FACE/EAR/EYELD/LIPS","12014","HCPCS","Both",,,"201","100.5","Medicare",,"",,"54",,"108.94","73.57","155.78","percent of total billed charges",,
"SIMPLE 5.1CM-7.5CM FACE/EAR/EYELD/LIPS","12014","HCPCS","Both",,,"201","100.5","Humana","Medicare Advantage","",,"54",,"108.94","73.57","155.78","percent of total billed charges",,
"SIMPLE 5.1CM-7.5CM FACE/EAR/EYELD/LIPS","12014","HCPCS","Both",,,"201","100.5","UHC","Medicare Advantage","",,"54",,"108.94","73.57","155.78","percent of total billed charges",,
"SIMPLE 5.1CM-7.5CM FACE/EAR/EYELD/LIPS","12014","HCPCS","Both",,,"201","100.5","Clover","Medicare Advantage","",,"54",,"108.94","73.57","155.78","percent of total billed charges",,
"SIMPLE 5.1CM-7.5CM FACE/EAR/EYELD/LIPS","12014","HCPCS","Both",,,"201","100.5","Wellcare","Medicare Advantage","",,"54",,"108.94","73.57","155.78","percent of total billed charges",,
"SIMPLE 5.1CM-7.5CM FACE/EAR/EYELD/LIPS","12014","HCPCS","Both",,,"201","100.5","Amerigroup","Medicaid Managed Care","",,"37",,"73.57","73.57","155.78","percent of total billed charges",,
"SIMPLE 5.1CM-7.5CM FACE/EAR/EYELD/LIPS","12014","HCPCS","Both",,,"201","100.5","Caresource","Medicaid Managed Care","",,"40",,"80.4","73.57","155.78","percent of total billed charges",,
"SIMPLE 5.1CM-7.5CM FACE/EAR/EYELD/LIPS","12014","HCPCS","Both",,,"201","100.5","Wellcare","Medicaid Managed Care","",,"40",,"81.4","73.57","155.78","percent of total billed charges",,
"SIMPLE 5.1CM-7.5CM FACE/EAR/EYELD/LIPS","12014","HCPCS","Both",,,"201","100.5","Aetna","Commercial","",,"64",,"128.24","73.57","155.78","percent of total billed charges",,
"SIMPLE 5.1CM-7.5CM FACE/EAR/EYELD/LIPS","12014","HCPCS","Both",,,"201","100.5","Blue Cross Blue Shield","Pathways","",,"71",,"141.91","73.57","155.78","percent of total billed charges",,
"SIMPLE 5.1CM-7.5CM FACE/EAR/EYELD/LIPS","12014","HCPCS","Both",,,"201","100.5","Blue Cross Blue Shield","HMO","",,"71",,"141.91","73.57","155.78","percent of total billed charges",,
"SIMPLE 5.1CM-7.5CM FACE/EAR/EYELD/LIPS","12014","HCPCS","Both",,,"201","100.5","Blue Cross Blue Shield","PPO","",,"71",,"141.91","73.57","155.78","percent of total billed charges",,
"SIMPLE 5.1CM-7.5CM FACE/EAR/EYELD/LIPS","12014","HCPCS","Both",,,"201","100.5","Ambetter","Health Exchange","",,"62",,"124.62","73.57","155.78","percent of total billed charges",,
"SIMPLE 5.1CM-7.5CM FACE/EAR/EYELD/LIPS","12014","HCPCS","Both",,,"201","100.5","Caresource","Health Exchange","",,"62",,"124.62","73.57","155.78","percent of total billed charges",,
"SIMPLE 5.1CM-7.5CM FACE/EAR/EYELD/LIPS","12014","HCPCS","Both",,,"201","100.5","Cigna","Commercial","",,"59",,"117.79","73.57","155.78","percent of total billed charges",,
"SIMPLE 5.1CM-7.5CM FACE/EAR/EYELD/LIPS","12014","HCPCS","Both",,,"201","100.5","Humana","Commercial","",,"78",,"155.78","73.57","155.78","percent of total billed charges",,
"SIMPLE 5.1CM-7.5CM FACE/EAR/EYELD/LIPS","12014","HCPCS","Both",,,"201","100.5","UHC","Commercial","",,"75",,"151.55","73.57","155.78","percent of total billed charges",,
"SIMPLE 5.1CM-7.5CM FACE/EAR/EYELD/LIPS","12014","HCPCS","Both",,,"201","100.5","Medicaid",,"",,"37",,"73.57","73.57","155.78","percent of total billed charges",,
"SIMPLE 7.6CM-12.5CM FACE/EAR/EYELD/LIPS","12015","HCPCS","Both",,,"214","107","Alliant","Health Exchange","",,"62",,"132.68","78.32","165.85","percent of total billed charges",,
"SIMPLE 7.6CM-12.5CM FACE/EAR/EYELD/LIPS","12015","HCPCS","Both",,,"214","107","Pruitt Healthcare","Medicare Advantage","",,"54",,"115.56","78.32","165.85","percent of total billed charges",,
"SIMPLE 7.6CM-12.5CM FACE/EAR/EYELD/LIPS","12015","HCPCS","Both",,,"214","107","Medicare",,"",,"54",,"115.99","78.32","165.85","percent of total billed charges",,
"SIMPLE 7.6CM-12.5CM FACE/EAR/EYELD/LIPS","12015","HCPCS","Both",,,"214","107","Humana","Medicare Advantage","",,"54",,"115.99","78.32","165.85","percent of total billed charges",,
"SIMPLE 7.6CM-12.5CM FACE/EAR/EYELD/LIPS","12015","HCPCS","Both",,,"214","107","UHC","Medicare Advantage","",,"54",,"115.99","78.32","165.85","percent of total billed charges",,
"SIMPLE 7.6CM-12.5CM FACE/EAR/EYELD/LIPS","12015","HCPCS","Both",,,"214","107","Clover","Medicare Advantage","",,"54",,"115.99","78.32","165.85","percent of total billed charges",,
"SIMPLE 7.6CM-12.5CM FACE/EAR/EYELD/LIPS","12015","HCPCS","Both",,,"214","107","Wellcare","Medicare Advantage","",,"54",,"115.99","78.32","165.85","percent of total billed charges",,
"SIMPLE 7.6CM-12.5CM FACE/EAR/EYELD/LIPS","12015","HCPCS","Both",,,"214","107","Amerigroup","Medicaid Managed Care","",,"37",,"78.32","78.32","165.85","percent of total billed charges",,
"SIMPLE 7.6CM-12.5CM FACE/EAR/EYELD/LIPS","12015","HCPCS","Both",,,"214","107","Caresource","Medicaid Managed Care","",,"40",,"85.6","78.32","165.85","percent of total billed charges",,
"SIMPLE 7.6CM-12.5CM FACE/EAR/EYELD/LIPS","12015","HCPCS","Both",,,"214","107","Wellcare","Medicaid Managed Care","",,"40",,"86.67","78.32","165.85","percent of total billed charges",,
"SIMPLE 7.6CM-12.5CM FACE/EAR/EYELD/LIPS","12015","HCPCS","Both",,,"214","107","Aetna","Commercial","",,"64",,"136.53","78.32","165.85","percent of total billed charges",,
"SIMPLE 7.6CM-12.5CM FACE/EAR/EYELD/LIPS","12015","HCPCS","Both",,,"214","107","Blue Cross Blue Shield","Pathways","",,"71",,"151.08","78.32","165.85","percent of total billed charges",,
"SIMPLE 7.6CM-12.5CM FACE/EAR/EYELD/LIPS","12015","HCPCS","Both",,,"214","107","Blue Cross Blue Shield","HMO","",,"71",,"151.08","78.32","165.85","percent of total billed charges",,
"SIMPLE 7.6CM-12.5CM FACE/EAR/EYELD/LIPS","12015","HCPCS","Both",,,"214","107","Blue Cross Blue Shield","PPO","",,"71",,"151.08","78.32","165.85","percent of total billed charges",,
"SIMPLE 7.6CM-12.5CM FACE/EAR/EYELD/LIPS","12015","HCPCS","Both",,,"214","107","Ambetter","Health Exchange","",,"62",,"132.68","78.32","165.85","percent of total billed charges",,
"SIMPLE 7.6CM-12.5CM FACE/EAR/EYELD/LIPS","12015","HCPCS","Both",,,"214","107","Caresource","Health Exchange","",,"62",,"132.68","78.32","165.85","percent of total billed charges",,
"SIMPLE 7.6CM-12.5CM FACE/EAR/EYELD/LIPS","12015","HCPCS","Both",,,"214","107","Cigna","Commercial","",,"59",,"125.4","78.32","165.85","percent of total billed charges",,
"SIMPLE 7.6CM-12.5CM FACE/EAR/EYELD/LIPS","12015","HCPCS","Both",,,"214","107","Humana","Commercial","",,"78",,"165.85","78.32","165.85","percent of total billed charges",,
"SIMPLE 7.6CM-12.5CM FACE/EAR/EYELD/LIPS","12015","HCPCS","Both",,,"214","107","UHC","Commercial","",,"75",,"161.36","78.32","165.85","percent of total billed charges",,
"SIMPLE 7.6CM-12.5CM FACE/EAR/EYELD/LIPS","12015","HCPCS","Both",,,"214","107","Medicaid",,"",,"37",,"78.32","78.32","165.85","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS SCALP/AXIL/E","12031","HCPCS","Both",,,"746","373","Alliant","Health Exchange","",,"62",,"462.52","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS SCALP/AXIL/E","12031","HCPCS","Both",,,"746","373","Pruitt Healthcare","Medicare Advantage","",,"54",,"402.84","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS SCALP/AXIL/E","12031","HCPCS","Both",,,"746","373","Medicare",,"",,"54",,"404.33","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS SCALP/AXIL/E","12031","HCPCS","Both",,,"746","373","Humana","Medicare Advantage","",,"54",,"404.33","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS SCALP/AXIL/E","12031","HCPCS","Both",,,"746","373","UHC","Medicare Advantage","",,"54",,"404.33","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS SCALP/AXIL/E","12031","HCPCS","Both",,,"746","373","Clover","Medicare Advantage","",,"54",,"404.33","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS SCALP/AXIL/E","12031","HCPCS","Both",,,"746","373","Wellcare","Medicare Advantage","",,"54",,"404.33","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS SCALP/AXIL/E","12031","HCPCS","Both",,,"746","373","Amerigroup","Medicaid Managed Care","",,"37",,"273.04","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS SCALP/AXIL/E","12031","HCPCS","Both",,,"746","373","Caresource","Medicaid Managed Care","",,"40",,"298.4","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS SCALP/AXIL/E","12031","HCPCS","Both",,,"746","373","Wellcare","Medicaid Managed Care","",,"40",,"302.13","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS SCALP/AXIL/E","12031","HCPCS","Both",,,"746","373","Aetna","Commercial","",,"64",,"475.95","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS SCALP/AXIL/E","12031","HCPCS","Both",,,"746","373","Blue Cross Blue Shield","Pathways","",,"71",,"526.68","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS SCALP/AXIL/E","12031","HCPCS","Both",,,"746","373","Blue Cross Blue Shield","HMO","",,"71",,"526.68","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS SCALP/AXIL/E","12031","HCPCS","Both",,,"746","373","Blue Cross Blue Shield","PPO","",,"71",,"526.68","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS SCALP/AXIL/E","12031","HCPCS","Both",,,"746","373","Ambetter","Health Exchange","",,"62",,"462.52","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS SCALP/AXIL/E","12031","HCPCS","Both",,,"746","373","Caresource","Health Exchange","",,"62",,"462.52","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS SCALP/AXIL/E","12031","HCPCS","Both",,,"746","373","Cigna","Commercial","",,"59",,"437.16","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS SCALP/AXIL/E","12031","HCPCS","Both",,,"746","373","Humana","Commercial","",,"78",,"578.15","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS SCALP/AXIL/E","12031","HCPCS","Both",,,"746","373","UHC","Commercial","",,"75",,"562.48","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS SCALP/AXIL/E","12031","HCPCS","Both",,,"746","373","Medicaid",,"",,"37",,"273.04","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-7.5CM SCALP/AXIL/EXT","12032","HCPCS","Both",,,"233","116.5","Alliant","Health Exchange","",,"62",,"144.46","85.28","180.58","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-7.5CM SCALP/AXIL/EXT","12032","HCPCS","Both",,,"233","116.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"125.82","85.28","180.58","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-7.5CM SCALP/AXIL/EXT","12032","HCPCS","Both",,,"233","116.5","Medicare",,"",,"54",,"126.29","85.28","180.58","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-7.5CM SCALP/AXIL/EXT","12032","HCPCS","Both",,,"233","116.5","Humana","Medicare Advantage","",,"54",,"126.29","85.28","180.58","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-7.5CM SCALP/AXIL/EXT","12032","HCPCS","Both",,,"233","116.5","UHC","Medicare Advantage","",,"54",,"126.29","85.28","180.58","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-7.5CM SCALP/AXIL/EXT","12032","HCPCS","Both",,,"233","116.5","Clover","Medicare Advantage","",,"54",,"126.29","85.28","180.58","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-7.5CM SCALP/AXIL/EXT","12032","HCPCS","Both",,,"233","116.5","Wellcare","Medicare Advantage","",,"54",,"126.29","85.28","180.58","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-7.5CM SCALP/AXIL/EXT","12032","HCPCS","Both",,,"233","116.5","Amerigroup","Medicaid Managed Care","",,"37",,"85.28","85.28","180.58","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-7.5CM SCALP/AXIL/EXT","12032","HCPCS","Both",,,"233","116.5","Caresource","Medicaid Managed Care","",,"40",,"93.2","85.28","180.58","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-7.5CM SCALP/AXIL/EXT","12032","HCPCS","Both",,,"233","116.5","Wellcare","Medicaid Managed Care","",,"40",,"94.36","85.28","180.58","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-7.5CM SCALP/AXIL/EXT","12032","HCPCS","Both",,,"233","116.5","Aetna","Commercial","",,"64",,"148.65","85.28","180.58","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-7.5CM SCALP/AXIL/EXT","12032","HCPCS","Both",,,"233","116.5","Blue Cross Blue Shield","Pathways","",,"71",,"164.5","85.28","180.58","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-7.5CM SCALP/AXIL/EXT","12032","HCPCS","Both",,,"233","116.5","Blue Cross Blue Shield","HMO","",,"71",,"164.5","85.28","180.58","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-7.5CM SCALP/AXIL/EXT","12032","HCPCS","Both",,,"233","116.5","Blue Cross Blue Shield","PPO","",,"71",,"164.5","85.28","180.58","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-7.5CM SCALP/AXIL/EXT","12032","HCPCS","Both",,,"233","116.5","Ambetter","Health Exchange","",,"62",,"144.46","85.28","180.58","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-7.5CM SCALP/AXIL/EXT","12032","HCPCS","Both",,,"233","116.5","Caresource","Health Exchange","",,"62",,"144.46","85.28","180.58","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-7.5CM SCALP/AXIL/EXT","12032","HCPCS","Both",,,"233","116.5","Cigna","Commercial","",,"59",,"136.54","85.28","180.58","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-7.5CM SCALP/AXIL/EXT","12032","HCPCS","Both",,,"233","116.5","Humana","Commercial","",,"78",,"180.58","85.28","180.58","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-7.5CM SCALP/AXIL/EXT","12032","HCPCS","Both",,,"233","116.5","UHC","Commercial","",,"75",,"175.68","85.28","180.58","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-7.5CM SCALP/AXIL/EXT","12032","HCPCS","Both",,,"233","116.5","Medicaid",,"",,"37",,"85.28","85.28","180.58","percent of total billed charges",,
"LAYER CLOSURE 7.6CM-12.5CM SCALP/AXIL/EX","12034","HCPCS","Both",,,"289","144.5","Alliant","Health Exchange","",,"62",,"179.18","105.77","223.98","percent of total billed charges",,
"LAYER CLOSURE 7.6CM-12.5CM SCALP/AXIL/EX","12034","HCPCS","Both",,,"289","144.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"156.06","105.77","223.98","percent of total billed charges",,
"LAYER CLOSURE 7.6CM-12.5CM SCALP/AXIL/EX","12034","HCPCS","Both",,,"289","144.5","Medicare",,"",,"54",,"156.64","105.77","223.98","percent of total billed charges",,
"LAYER CLOSURE 7.6CM-12.5CM SCALP/AXIL/EX","12034","HCPCS","Both",,,"289","144.5","Humana","Medicare Advantage","",,"54",,"156.64","105.77","223.98","percent of total billed charges",,
"LAYER CLOSURE 7.6CM-12.5CM SCALP/AXIL/EX","12034","HCPCS","Both",,,"289","144.5","UHC","Medicare Advantage","",,"54",,"156.64","105.77","223.98","percent of total billed charges",,
"LAYER CLOSURE 7.6CM-12.5CM SCALP/AXIL/EX","12034","HCPCS","Both",,,"289","144.5","Clover","Medicare Advantage","",,"54",,"156.64","105.77","223.98","percent of total billed charges",,
"LAYER CLOSURE 7.6CM-12.5CM SCALP/AXIL/EX","12034","HCPCS","Both",,,"289","144.5","Wellcare","Medicare Advantage","",,"54",,"156.64","105.77","223.98","percent of total billed charges",,
"LAYER CLOSURE 7.6CM-12.5CM SCALP/AXIL/EX","12034","HCPCS","Both",,,"289","144.5","Amerigroup","Medicaid Managed Care","",,"37",,"105.77","105.77","223.98","percent of total billed charges",,
"LAYER CLOSURE 7.6CM-12.5CM SCALP/AXIL/EX","12034","HCPCS","Both",,,"289","144.5","Caresource","Medicaid Managed Care","",,"40",,"115.6","105.77","223.98","percent of total billed charges",,
"LAYER CLOSURE 7.6CM-12.5CM SCALP/AXIL/EX","12034","HCPCS","Both",,,"289","144.5","Wellcare","Medicaid Managed Care","",,"40",,"117.04","105.77","223.98","percent of total billed charges",,
"LAYER CLOSURE 7.6CM-12.5CM SCALP/AXIL/EX","12034","HCPCS","Both",,,"289","144.5","Aetna","Commercial","",,"64",,"184.38","105.77","223.98","percent of total billed charges",,
"LAYER CLOSURE 7.6CM-12.5CM SCALP/AXIL/EX","12034","HCPCS","Both",,,"289","144.5","Blue Cross Blue Shield","Pathways","",,"71",,"204.03","105.77","223.98","percent of total billed charges",,
"LAYER CLOSURE 7.6CM-12.5CM SCALP/AXIL/EX","12034","HCPCS","Both",,,"289","144.5","Blue Cross Blue Shield","HMO","",,"71",,"204.03","105.77","223.98","percent of total billed charges",,
"LAYER CLOSURE 7.6CM-12.5CM SCALP/AXIL/EX","12034","HCPCS","Both",,,"289","144.5","Blue Cross Blue Shield","PPO","",,"71",,"204.03","105.77","223.98","percent of total billed charges",,
"LAYER CLOSURE 7.6CM-12.5CM SCALP/AXIL/EX","12034","HCPCS","Both",,,"289","144.5","Ambetter","Health Exchange","",,"62",,"179.18","105.77","223.98","percent of total billed charges",,
"LAYER CLOSURE 7.6CM-12.5CM SCALP/AXIL/EX","12034","HCPCS","Both",,,"289","144.5","Caresource","Health Exchange","",,"62",,"179.18","105.77","223.98","percent of total billed charges",,
"LAYER CLOSURE 7.6CM-12.5CM SCALP/AXIL/EX","12034","HCPCS","Both",,,"289","144.5","Cigna","Commercial","",,"59",,"169.35","105.77","223.98","percent of total billed charges",,
"LAYER CLOSURE 7.6CM-12.5CM SCALP/AXIL/EX","12034","HCPCS","Both",,,"289","144.5","Humana","Commercial","",,"78",,"223.98","105.77","223.98","percent of total billed charges",,
"LAYER CLOSURE 7.6CM-12.5CM SCALP/AXIL/EX","12034","HCPCS","Both",,,"289","144.5","UHC","Commercial","",,"75",,"217.91","105.77","223.98","percent of total billed charges",,
"LAYER CLOSURE 7.6CM-12.5CM SCALP/AXIL/EX","12034","HCPCS","Both",,,"289","144.5","Medicaid",,"",,"37",,"105.77","105.77","223.98","percent of total billed charges",,
"LAYER CLOSURE 12.6CM-20.0CM SCALP/AXIL/E","12035","HCPCS","Both",,,"785.5","392.75","Alliant","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 12.6CM-20.0CM SCALP/AXIL/E","12035","HCPCS","Both",,,"785.5","392.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"424.17","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 12.6CM-20.0CM SCALP/AXIL/E","12035","HCPCS","Both",,,"785.5","392.75","Medicare",,"",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 12.6CM-20.0CM SCALP/AXIL/E","12035","HCPCS","Both",,,"785.5","392.75","Humana","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 12.6CM-20.0CM SCALP/AXIL/E","12035","HCPCS","Both",,,"785.5","392.75","UHC","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 12.6CM-20.0CM SCALP/AXIL/E","12035","HCPCS","Both",,,"785.5","392.75","Clover","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 12.6CM-20.0CM SCALP/AXIL/E","12035","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 12.6CM-20.0CM SCALP/AXIL/E","12035","HCPCS","Both",,,"785.5","392.75","Amerigroup","Medicaid Managed Care","",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 12.6CM-20.0CM SCALP/AXIL/E","12035","HCPCS","Both",,,"785.5","392.75","Caresource","Medicaid Managed Care","",,"40",,"314.2","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 12.6CM-20.0CM SCALP/AXIL/E","12035","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicaid Managed Care","",,"40",,"318.13","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 12.6CM-20.0CM SCALP/AXIL/E","12035","HCPCS","Both",,,"785.5","392.75","Aetna","Commercial","",,"64",,"501.15","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 12.6CM-20.0CM SCALP/AXIL/E","12035","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","Pathways","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 12.6CM-20.0CM SCALP/AXIL/E","12035","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","HMO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 12.6CM-20.0CM SCALP/AXIL/E","12035","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","PPO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 12.6CM-20.0CM SCALP/AXIL/E","12035","HCPCS","Both",,,"785.5","392.75","Ambetter","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 12.6CM-20.0CM SCALP/AXIL/E","12035","HCPCS","Both",,,"785.5","392.75","Caresource","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 12.6CM-20.0CM SCALP/AXIL/E","12035","HCPCS","Both",,,"785.5","392.75","Cigna","Commercial","",,"59",,"460.3","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 12.6CM-20.0CM SCALP/AXIL/E","12035","HCPCS","Both",,,"785.5","392.75","Humana","Commercial","",,"78",,"608.76","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 12.6CM-20.0CM SCALP/AXIL/E","12035","HCPCS","Both",,,"785.5","392.75","UHC","Commercial","",,"75",,"592.27","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 12.6CM-20.0CM SCALP/AXIL/E","12035","HCPCS","Both",,,"785.5","392.75","Medicaid",,"",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS NCK/HND/FEET","12041","HCPCS","Both",,,"329","164.5","Alliant","Health Exchange","",,"62",,"203.98","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS NCK/HND/FEET","12041","HCPCS","Both",,,"329","164.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"177.66","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS NCK/HND/FEET","12041","HCPCS","Both",,,"329","164.5","Medicare",,"",,"54",,"178.32","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS NCK/HND/FEET","12041","HCPCS","Both",,,"329","164.5","Humana","Medicare Advantage","",,"54",,"178.32","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS NCK/HND/FEET","12041","HCPCS","Both",,,"329","164.5","UHC","Medicare Advantage","",,"54",,"178.32","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS NCK/HND/FEET","12041","HCPCS","Both",,,"329","164.5","Clover","Medicare Advantage","",,"54",,"178.32","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS NCK/HND/FEET","12041","HCPCS","Both",,,"329","164.5","Wellcare","Medicare Advantage","",,"54",,"178.32","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS NCK/HND/FEET","12041","HCPCS","Both",,,"329","164.5","Amerigroup","Medicaid Managed Care","",,"37",,"120.41","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS NCK/HND/FEET","12041","HCPCS","Both",,,"329","164.5","Caresource","Medicaid Managed Care","",,"40",,"131.6","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS NCK/HND/FEET","12041","HCPCS","Both",,,"329","164.5","Wellcare","Medicaid Managed Care","",,"40",,"133.24","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS NCK/HND/FEET","12041","HCPCS","Both",,,"329","164.5","Aetna","Commercial","",,"64",,"209.9","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS NCK/HND/FEET","12041","HCPCS","Both",,,"329","164.5","Blue Cross Blue Shield","Pathways","",,"71",,"232.27","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS NCK/HND/FEET","12041","HCPCS","Both",,,"329","164.5","Blue Cross Blue Shield","HMO","",,"71",,"232.27","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS NCK/HND/FEET","12041","HCPCS","Both",,,"329","164.5","Blue Cross Blue Shield","PPO","",,"71",,"232.27","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS NCK/HND/FEET","12041","HCPCS","Both",,,"329","164.5","Ambetter","Health Exchange","",,"62",,"203.98","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS NCK/HND/FEET","12041","HCPCS","Both",,,"329","164.5","Caresource","Health Exchange","",,"62",,"203.98","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS NCK/HND/FEET","12041","HCPCS","Both",,,"329","164.5","Cigna","Commercial","",,"59",,"192.79","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS NCK/HND/FEET","12041","HCPCS","Both",,,"329","164.5","Humana","Commercial","",,"78",,"254.98","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS NCK/HND/FEET","12041","HCPCS","Both",,,"329","164.5","UHC","Commercial","",,"75",,"248.07","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS NCK/HND/FEET","12041","HCPCS","Both",,,"329","164.5","Medicaid",,"",,"37",,"120.41","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-7.5CM NCK/HND/FEET","12042","HCPCS","Both",,,"785.5","392.75","Alliant","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-7.5CM NCK/HND/FEET","12042","HCPCS","Both",,,"785.5","392.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"424.17","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-7.5CM NCK/HND/FEET","12042","HCPCS","Both",,,"785.5","392.75","Medicare",,"",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-7.5CM NCK/HND/FEET","12042","HCPCS","Both",,,"785.5","392.75","Humana","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-7.5CM NCK/HND/FEET","12042","HCPCS","Both",,,"785.5","392.75","UHC","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-7.5CM NCK/HND/FEET","12042","HCPCS","Both",,,"785.5","392.75","Clover","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-7.5CM NCK/HND/FEET","12042","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-7.5CM NCK/HND/FEET","12042","HCPCS","Both",,,"785.5","392.75","Amerigroup","Medicaid Managed Care","",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-7.5CM NCK/HND/FEET","12042","HCPCS","Both",,,"785.5","392.75","Caresource","Medicaid Managed Care","",,"40",,"314.2","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-7.5CM NCK/HND/FEET","12042","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicaid Managed Care","",,"40",,"318.13","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-7.5CM NCK/HND/FEET","12042","HCPCS","Both",,,"785.5","392.75","Aetna","Commercial","",,"64",,"501.15","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-7.5CM NCK/HND/FEET","12042","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","Pathways","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-7.5CM NCK/HND/FEET","12042","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","HMO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-7.5CM NCK/HND/FEET","12042","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","PPO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-7.5CM NCK/HND/FEET","12042","HCPCS","Both",,,"785.5","392.75","Ambetter","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-7.5CM NCK/HND/FEET","12042","HCPCS","Both",,,"785.5","392.75","Caresource","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-7.5CM NCK/HND/FEET","12042","HCPCS","Both",,,"785.5","392.75","Cigna","Commercial","",,"59",,"460.3","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-7.5CM NCK/HND/FEET","12042","HCPCS","Both",,,"785.5","392.75","Humana","Commercial","",,"78",,"608.76","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-7.5CM NCK/HND/FEET","12042","HCPCS","Both",,,"785.5","392.75","UHC","Commercial","",,"75",,"592.27","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-7.5CM NCK/HND/FEET","12042","HCPCS","Both",,,"785.5","392.75","Medicaid",,"",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 7.6CM-12.5CM NCK/HND/FEET","12044","HCPCS","Both",,,"785.5","392.75","Alliant","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 7.6CM-12.5CM NCK/HND/FEET","12044","HCPCS","Both",,,"785.5","392.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"424.17","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 7.6CM-12.5CM NCK/HND/FEET","12044","HCPCS","Both",,,"785.5","392.75","Medicare",,"",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 7.6CM-12.5CM NCK/HND/FEET","12044","HCPCS","Both",,,"785.5","392.75","Humana","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 7.6CM-12.5CM NCK/HND/FEET","12044","HCPCS","Both",,,"785.5","392.75","UHC","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 7.6CM-12.5CM NCK/HND/FEET","12044","HCPCS","Both",,,"785.5","392.75","Clover","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 7.6CM-12.5CM NCK/HND/FEET","12044","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 7.6CM-12.5CM NCK/HND/FEET","12044","HCPCS","Both",,,"785.5","392.75","Amerigroup","Medicaid Managed Care","",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 7.6CM-12.5CM NCK/HND/FEET","12044","HCPCS","Both",,,"785.5","392.75","Caresource","Medicaid Managed Care","",,"40",,"314.2","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 7.6CM-12.5CM NCK/HND/FEET","12044","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicaid Managed Care","",,"40",,"318.13","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 7.6CM-12.5CM NCK/HND/FEET","12044","HCPCS","Both",,,"785.5","392.75","Aetna","Commercial","",,"64",,"501.15","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 7.6CM-12.5CM NCK/HND/FEET","12044","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","Pathways","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 7.6CM-12.5CM NCK/HND/FEET","12044","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","HMO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 7.6CM-12.5CM NCK/HND/FEET","12044","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","PPO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 7.6CM-12.5CM NCK/HND/FEET","12044","HCPCS","Both",,,"785.5","392.75","Ambetter","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 7.6CM-12.5CM NCK/HND/FEET","12044","HCPCS","Both",,,"785.5","392.75","Caresource","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 7.6CM-12.5CM NCK/HND/FEET","12044","HCPCS","Both",,,"785.5","392.75","Cigna","Commercial","",,"59",,"460.3","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 7.6CM-12.5CM NCK/HND/FEET","12044","HCPCS","Both",,,"785.5","392.75","Humana","Commercial","",,"78",,"608.76","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 7.6CM-12.5CM NCK/HND/FEET","12044","HCPCS","Both",,,"785.5","392.75","UHC","Commercial","",,"75",,"592.27","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 7.6CM-12.5CM NCK/HND/FEET","12044","HCPCS","Both",,,"785.5","392.75","Medicaid",,"",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 12.6CM-20.0CM NCK/HND/FEET","12045","HCPCS","Both",,,"1429.5","714.75","Alliant","Health Exchange","",,"62",,"886.29","523.2","1107.86","percent of total billed charges",,
"LAYER CLOSURE 12.6CM-20.0CM NCK/HND/FEET","12045","HCPCS","Both",,,"1429.5","714.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"771.93","523.2","1107.86","percent of total billed charges",,
"LAYER CLOSURE 12.6CM-20.0CM NCK/HND/FEET","12045","HCPCS","Both",,,"1429.5","714.75","Medicare",,"",,"54",,"774.79","523.2","1107.86","percent of total billed charges",,
"LAYER CLOSURE 12.6CM-20.0CM NCK/HND/FEET","12045","HCPCS","Both",,,"1429.5","714.75","Humana","Medicare Advantage","",,"54",,"774.79","523.2","1107.86","percent of total billed charges",,
"LAYER CLOSURE 12.6CM-20.0CM NCK/HND/FEET","12045","HCPCS","Both",,,"1429.5","714.75","UHC","Medicare Advantage","",,"54",,"774.79","523.2","1107.86","percent of total billed charges",,
"LAYER CLOSURE 12.6CM-20.0CM NCK/HND/FEET","12045","HCPCS","Both",,,"1429.5","714.75","Clover","Medicare Advantage","",,"54",,"774.79","523.2","1107.86","percent of total billed charges",,
"LAYER CLOSURE 12.6CM-20.0CM NCK/HND/FEET","12045","HCPCS","Both",,,"1429.5","714.75","Wellcare","Medicare Advantage","",,"54",,"774.79","523.2","1107.86","percent of total billed charges",,
"LAYER CLOSURE 12.6CM-20.0CM NCK/HND/FEET","12045","HCPCS","Both",,,"1429.5","714.75","Amerigroup","Medicaid Managed Care","",,"37",,"523.2","523.2","1107.86","percent of total billed charges",,
"LAYER CLOSURE 12.6CM-20.0CM NCK/HND/FEET","12045","HCPCS","Both",,,"1429.5","714.75","Caresource","Medicaid Managed Care","",,"40",,"571.8","523.2","1107.86","percent of total billed charges",,
"LAYER CLOSURE 12.6CM-20.0CM NCK/HND/FEET","12045","HCPCS","Both",,,"1429.5","714.75","Wellcare","Medicaid Managed Care","",,"40",,"578.95","523.2","1107.86","percent of total billed charges",,
"LAYER CLOSURE 12.6CM-20.0CM NCK/HND/FEET","12045","HCPCS","Both",,,"1429.5","714.75","Aetna","Commercial","",,"64",,"912.02","523.2","1107.86","percent of total billed charges",,
"LAYER CLOSURE 12.6CM-20.0CM NCK/HND/FEET","12045","HCPCS","Both",,,"1429.5","714.75","Blue Cross Blue Shield","Pathways","",,"71",,"1009.23","523.2","1107.86","percent of total billed charges",,
"LAYER CLOSURE 12.6CM-20.0CM NCK/HND/FEET","12045","HCPCS","Both",,,"1429.5","714.75","Blue Cross Blue Shield","HMO","",,"71",,"1009.23","523.2","1107.86","percent of total billed charges",,
"LAYER CLOSURE 12.6CM-20.0CM NCK/HND/FEET","12045","HCPCS","Both",,,"1429.5","714.75","Blue Cross Blue Shield","PPO","",,"71",,"1009.23","523.2","1107.86","percent of total billed charges",,
"LAYER CLOSURE 12.6CM-20.0CM NCK/HND/FEET","12045","HCPCS","Both",,,"1429.5","714.75","Ambetter","Health Exchange","",,"62",,"886.29","523.2","1107.86","percent of total billed charges",,
"LAYER CLOSURE 12.6CM-20.0CM NCK/HND/FEET","12045","HCPCS","Both",,,"1429.5","714.75","Caresource","Health Exchange","",,"62",,"886.29","523.2","1107.86","percent of total billed charges",,
"LAYER CLOSURE 12.6CM-20.0CM NCK/HND/FEET","12045","HCPCS","Both",,,"1429.5","714.75","Cigna","Commercial","",,"59",,"837.69","523.2","1107.86","percent of total billed charges",,
"LAYER CLOSURE 12.6CM-20.0CM NCK/HND/FEET","12045","HCPCS","Both",,,"1429.5","714.75","Humana","Commercial","",,"78",,"1107.86","523.2","1107.86","percent of total billed charges",,
"LAYER CLOSURE 12.6CM-20.0CM NCK/HND/FEET","12045","HCPCS","Both",,,"1429.5","714.75","UHC","Commercial","",,"75",,"1077.84","523.2","1107.86","percent of total billed charges",,
"LAYER CLOSURE 12.6CM-20.0CM NCK/HND/FEET","12045","HCPCS","Both",,,"1429.5","714.75","Medicaid",,"",,"37",,"523.2","523.2","1107.86","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS FCE/EAR/EYE","12051","HCPCS","Both",,,"746","373","Alliant","Health Exchange","",,"62",,"462.52","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS FCE/EAR/EYE","12051","HCPCS","Both",,,"746","373","Pruitt Healthcare","Medicare Advantage","",,"54",,"402.84","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS FCE/EAR/EYE","12051","HCPCS","Both",,,"746","373","Medicare",,"",,"54",,"404.33","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS FCE/EAR/EYE","12051","HCPCS","Both",,,"746","373","Humana","Medicare Advantage","",,"54",,"404.33","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS FCE/EAR/EYE","12051","HCPCS","Both",,,"746","373","UHC","Medicare Advantage","",,"54",,"404.33","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS FCE/EAR/EYE","12051","HCPCS","Both",,,"746","373","Clover","Medicare Advantage","",,"54",,"404.33","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS FCE/EAR/EYE","12051","HCPCS","Both",,,"746","373","Wellcare","Medicare Advantage","",,"54",,"404.33","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS FCE/EAR/EYE","12051","HCPCS","Both",,,"746","373","Amerigroup","Medicaid Managed Care","",,"37",,"273.04","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS FCE/EAR/EYE","12051","HCPCS","Both",,,"746","373","Caresource","Medicaid Managed Care","",,"40",,"298.4","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS FCE/EAR/EYE","12051","HCPCS","Both",,,"746","373","Wellcare","Medicaid Managed Care","",,"40",,"302.13","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS FCE/EAR/EYE","12051","HCPCS","Both",,,"746","373","Aetna","Commercial","",,"64",,"475.95","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS FCE/EAR/EYE","12051","HCPCS","Both",,,"746","373","Blue Cross Blue Shield","Pathways","",,"71",,"526.68","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS FCE/EAR/EYE","12051","HCPCS","Both",,,"746","373","Blue Cross Blue Shield","HMO","",,"71",,"526.68","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS FCE/EAR/EYE","12051","HCPCS","Both",,,"746","373","Blue Cross Blue Shield","PPO","",,"71",,"526.68","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS FCE/EAR/EYE","12051","HCPCS","Both",,,"746","373","Ambetter","Health Exchange","",,"62",,"462.52","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS FCE/EAR/EYE","12051","HCPCS","Both",,,"746","373","Caresource","Health Exchange","",,"62",,"462.52","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS FCE/EAR/EYE","12051","HCPCS","Both",,,"746","373","Cigna","Commercial","",,"59",,"437.16","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS FCE/EAR/EYE","12051","HCPCS","Both",,,"746","373","Humana","Commercial","",,"78",,"578.15","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS FCE/EAR/EYE","12051","HCPCS","Both",,,"746","373","UHC","Commercial","",,"75",,"562.48","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS FCE/EAR/EYE","12051","HCPCS","Both",,,"746","373","Medicaid",,"",,"37",,"273.04","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-5.0CM FCE/EAR/EYELD","12052","HCPCS","Both",,,"240","120","Alliant","Health Exchange","",,"62",,"148.8","87.84","186","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-5.0CM FCE/EAR/EYELD","12052","HCPCS","Both",,,"240","120","Pruitt Healthcare","Medicare Advantage","",,"54",,"129.6","87.84","186","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-5.0CM FCE/EAR/EYELD","12052","HCPCS","Both",,,"240","120","Medicare",,"",,"54",,"130.08","87.84","186","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-5.0CM FCE/EAR/EYELD","12052","HCPCS","Both",,,"240","120","Humana","Medicare Advantage","",,"54",,"130.08","87.84","186","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-5.0CM FCE/EAR/EYELD","12052","HCPCS","Both",,,"240","120","UHC","Medicare Advantage","",,"54",,"130.08","87.84","186","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-5.0CM FCE/EAR/EYELD","12052","HCPCS","Both",,,"240","120","Clover","Medicare Advantage","",,"54",,"130.08","87.84","186","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-5.0CM FCE/EAR/EYELD","12052","HCPCS","Both",,,"240","120","Wellcare","Medicare Advantage","",,"54",,"130.08","87.84","186","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-5.0CM FCE/EAR/EYELD","12052","HCPCS","Both",,,"240","120","Amerigroup","Medicaid Managed Care","",,"37",,"87.84","87.84","186","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-5.0CM FCE/EAR/EYELD","12052","HCPCS","Both",,,"240","120","Caresource","Medicaid Managed Care","",,"40",,"96","87.84","186","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-5.0CM FCE/EAR/EYELD","12052","HCPCS","Both",,,"240","120","Wellcare","Medicaid Managed Care","",,"40",,"97.2","87.84","186","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-5.0CM FCE/EAR/EYELD","12052","HCPCS","Both",,,"240","120","Aetna","Commercial","",,"64",,"153.12","87.84","186","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-5.0CM FCE/EAR/EYELD","12052","HCPCS","Both",,,"240","120","Blue Cross Blue Shield","Pathways","",,"71",,"169.44","87.84","186","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-5.0CM FCE/EAR/EYELD","12052","HCPCS","Both",,,"240","120","Blue Cross Blue Shield","HMO","",,"71",,"169.44","87.84","186","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-5.0CM FCE/EAR/EYELD","12052","HCPCS","Both",,,"240","120","Blue Cross Blue Shield","PPO","",,"71",,"169.44","87.84","186","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-5.0CM FCE/EAR/EYELD","12052","HCPCS","Both",,,"240","120","Ambetter","Health Exchange","",,"62",,"148.8","87.84","186","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-5.0CM FCE/EAR/EYELD","12052","HCPCS","Both",,,"240","120","Caresource","Health Exchange","",,"62",,"148.8","87.84","186","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-5.0CM FCE/EAR/EYELD","12052","HCPCS","Both",,,"240","120","Cigna","Commercial","",,"59",,"140.64","87.84","186","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-5.0CM FCE/EAR/EYELD","12052","HCPCS","Both",,,"240","120","Humana","Commercial","",,"78",,"186","87.84","186","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-5.0CM FCE/EAR/EYELD","12052","HCPCS","Both",,,"240","120","UHC","Commercial","",,"75",,"180.96","87.84","186","percent of total billed charges",,
"LAYER CLOSURE 2.6CM-5.0CM FCE/EAR/EYELD","12052","HCPCS","Both",,,"240","120","Medicaid",,"",,"37",,"87.84","87.84","186","percent of total billed charges",,
"LAYER CLOSURE 5.1CM-7.5CM FACE/EAR/EYELD","12053","HCPCS","Both",,,"785.5","392.75","Alliant","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 5.1CM-7.5CM FACE/EAR/EYELD","12053","HCPCS","Both",,,"785.5","392.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"424.17","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 5.1CM-7.5CM FACE/EAR/EYELD","12053","HCPCS","Both",,,"785.5","392.75","Medicare",,"",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 5.1CM-7.5CM FACE/EAR/EYELD","12053","HCPCS","Both",,,"785.5","392.75","Humana","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 5.1CM-7.5CM FACE/EAR/EYELD","12053","HCPCS","Both",,,"785.5","392.75","UHC","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 5.1CM-7.5CM FACE/EAR/EYELD","12053","HCPCS","Both",,,"785.5","392.75","Clover","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 5.1CM-7.5CM FACE/EAR/EYELD","12053","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 5.1CM-7.5CM FACE/EAR/EYELD","12053","HCPCS","Both",,,"785.5","392.75","Amerigroup","Medicaid Managed Care","",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 5.1CM-7.5CM FACE/EAR/EYELD","12053","HCPCS","Both",,,"785.5","392.75","Caresource","Medicaid Managed Care","",,"40",,"314.2","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 5.1CM-7.5CM FACE/EAR/EYELD","12053","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicaid Managed Care","",,"40",,"318.13","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 5.1CM-7.5CM FACE/EAR/EYELD","12053","HCPCS","Both",,,"785.5","392.75","Aetna","Commercial","",,"64",,"501.15","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 5.1CM-7.5CM FACE/EAR/EYELD","12053","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","Pathways","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 5.1CM-7.5CM FACE/EAR/EYELD","12053","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","HMO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 5.1CM-7.5CM FACE/EAR/EYELD","12053","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","PPO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 5.1CM-7.5CM FACE/EAR/EYELD","12053","HCPCS","Both",,,"785.5","392.75","Ambetter","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 5.1CM-7.5CM FACE/EAR/EYELD","12053","HCPCS","Both",,,"785.5","392.75","Caresource","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 5.1CM-7.5CM FACE/EAR/EYELD","12053","HCPCS","Both",,,"785.5","392.75","Cigna","Commercial","",,"59",,"460.3","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 5.1CM-7.5CM FACE/EAR/EYELD","12053","HCPCS","Both",,,"785.5","392.75","Humana","Commercial","",,"78",,"608.76","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 5.1CM-7.5CM FACE/EAR/EYELD","12053","HCPCS","Both",,,"785.5","392.75","UHC","Commercial","",,"75",,"592.27","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 5.1CM-7.5CM FACE/EAR/EYELD","12053","HCPCS","Both",,,"785.5","392.75","Medicaid",,"",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 7.5CM-12.5CM FACE/EAR/EYEL","12054","HCPCS","Both",,,"274.5","137.25","Alliant","Health Exchange","",,"62",,"170.19","100.47","212.74","percent of total billed charges",,
"LAYER CLOSURE 7.5CM-12.5CM FACE/EAR/EYEL","12054","HCPCS","Both",,,"274.5","137.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"148.23","100.47","212.74","percent of total billed charges",,
"LAYER CLOSURE 7.5CM-12.5CM FACE/EAR/EYEL","12054","HCPCS","Both",,,"274.5","137.25","Medicare",,"",,"54",,"148.78","100.47","212.74","percent of total billed charges",,
"LAYER CLOSURE 7.5CM-12.5CM FACE/EAR/EYEL","12054","HCPCS","Both",,,"274.5","137.25","Humana","Medicare Advantage","",,"54",,"148.78","100.47","212.74","percent of total billed charges",,
"LAYER CLOSURE 7.5CM-12.5CM FACE/EAR/EYEL","12054","HCPCS","Both",,,"274.5","137.25","UHC","Medicare Advantage","",,"54",,"148.78","100.47","212.74","percent of total billed charges",,
"LAYER CLOSURE 7.5CM-12.5CM FACE/EAR/EYEL","12054","HCPCS","Both",,,"274.5","137.25","Clover","Medicare Advantage","",,"54",,"148.78","100.47","212.74","percent of total billed charges",,
"LAYER CLOSURE 7.5CM-12.5CM FACE/EAR/EYEL","12054","HCPCS","Both",,,"274.5","137.25","Wellcare","Medicare Advantage","",,"54",,"148.78","100.47","212.74","percent of total billed charges",,
"LAYER CLOSURE 7.5CM-12.5CM FACE/EAR/EYEL","12054","HCPCS","Both",,,"274.5","137.25","Amerigroup","Medicaid Managed Care","",,"37",,"100.47","100.47","212.74","percent of total billed charges",,
"LAYER CLOSURE 7.5CM-12.5CM FACE/EAR/EYEL","12054","HCPCS","Both",,,"274.5","137.25","Caresource","Medicaid Managed Care","",,"40",,"109.8","100.47","212.74","percent of total billed charges",,
"LAYER CLOSURE 7.5CM-12.5CM FACE/EAR/EYEL","12054","HCPCS","Both",,,"274.5","137.25","Wellcare","Medicaid Managed Care","",,"40",,"111.17","100.47","212.74","percent of total billed charges",,
"LAYER CLOSURE 7.5CM-12.5CM FACE/EAR/EYEL","12054","HCPCS","Both",,,"274.5","137.25","Aetna","Commercial","",,"64",,"175.13","100.47","212.74","percent of total billed charges",,
"LAYER CLOSURE 7.5CM-12.5CM FACE/EAR/EYEL","12054","HCPCS","Both",,,"274.5","137.25","Blue Cross Blue Shield","Pathways","",,"71",,"193.8","100.47","212.74","percent of total billed charges",,
"LAYER CLOSURE 7.5CM-12.5CM FACE/EAR/EYEL","12054","HCPCS","Both",,,"274.5","137.25","Blue Cross Blue Shield","HMO","",,"71",,"193.8","100.47","212.74","percent of total billed charges",,
"LAYER CLOSURE 7.5CM-12.5CM FACE/EAR/EYEL","12054","HCPCS","Both",,,"274.5","137.25","Blue Cross Blue Shield","PPO","",,"71",,"193.8","100.47","212.74","percent of total billed charges",,
"LAYER CLOSURE 7.5CM-12.5CM FACE/EAR/EYEL","12054","HCPCS","Both",,,"274.5","137.25","Ambetter","Health Exchange","",,"62",,"170.19","100.47","212.74","percent of total billed charges",,
"LAYER CLOSURE 7.5CM-12.5CM FACE/EAR/EYEL","12054","HCPCS","Both",,,"274.5","137.25","Caresource","Health Exchange","",,"62",,"170.19","100.47","212.74","percent of total billed charges",,
"LAYER CLOSURE 7.5CM-12.5CM FACE/EAR/EYEL","12054","HCPCS","Both",,,"274.5","137.25","Cigna","Commercial","",,"59",,"160.86","100.47","212.74","percent of total billed charges",,
"LAYER CLOSURE 7.5CM-12.5CM FACE/EAR/EYEL","12054","HCPCS","Both",,,"274.5","137.25","Humana","Commercial","",,"78",,"212.74","100.47","212.74","percent of total billed charges",,
"LAYER CLOSURE 7.5CM-12.5CM FACE/EAR/EYEL","12054","HCPCS","Both",,,"274.5","137.25","UHC","Commercial","",,"75",,"206.97","100.47","212.74","percent of total billed charges",,
"LAYER CLOSURE 7.5CM-12.5CM FACE/EAR/EYEL","12054","HCPCS","Both",,,"274.5","137.25","Medicaid",,"",,"37",,"100.47","100.47","212.74","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM TRUNK","13100","HCPCS","Both",,,"1228.5","614.25","Alliant","Health Exchange","",,"62",,"761.67","449.63","952.09","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM TRUNK","13100","HCPCS","Both",,,"1228.5","614.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"663.39","449.63","952.09","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM TRUNK","13100","HCPCS","Both",,,"1228.5","614.25","Medicare",,"",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM TRUNK","13100","HCPCS","Both",,,"1228.5","614.25","Humana","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM TRUNK","13100","HCPCS","Both",,,"1228.5","614.25","UHC","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM TRUNK","13100","HCPCS","Both",,,"1228.5","614.25","Clover","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM TRUNK","13100","HCPCS","Both",,,"1228.5","614.25","Wellcare","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM TRUNK","13100","HCPCS","Both",,,"1228.5","614.25","Amerigroup","Medicaid Managed Care","",,"37",,"449.63","449.63","952.09","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM TRUNK","13100","HCPCS","Both",,,"1228.5","614.25","Caresource","Medicaid Managed Care","",,"40",,"491.4","449.63","952.09","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM TRUNK","13100","HCPCS","Both",,,"1228.5","614.25","Wellcare","Medicaid Managed Care","",,"40",,"497.54","449.63","952.09","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM TRUNK","13100","HCPCS","Both",,,"1228.5","614.25","Aetna","Commercial","",,"64",,"783.78","449.63","952.09","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM TRUNK","13100","HCPCS","Both",,,"1228.5","614.25","Blue Cross Blue Shield","Pathways","",,"71",,"867.32","449.63","952.09","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM TRUNK","13100","HCPCS","Both",,,"1228.5","614.25","Blue Cross Blue Shield","HMO","",,"71",,"867.32","449.63","952.09","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM TRUNK","13100","HCPCS","Both",,,"1228.5","614.25","Blue Cross Blue Shield","PPO","",,"71",,"867.32","449.63","952.09","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM TRUNK","13100","HCPCS","Both",,,"1228.5","614.25","Ambetter","Health Exchange","",,"62",,"761.67","449.63","952.09","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM TRUNK","13100","HCPCS","Both",,,"1228.5","614.25","Caresource","Health Exchange","",,"62",,"761.67","449.63","952.09","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM TRUNK","13100","HCPCS","Both",,,"1228.5","614.25","Cigna","Commercial","",,"59",,"719.9","449.63","952.09","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM TRUNK","13100","HCPCS","Both",,,"1228.5","614.25","Humana","Commercial","",,"78",,"952.09","449.63","952.09","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM TRUNK","13100","HCPCS","Both",,,"1228.5","614.25","UHC","Commercial","",,"75",,"926.29","449.63","952.09","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM TRUNK","13100","HCPCS","Both",,,"1228.5","614.25","Medicaid",,"",,"37",,"449.63","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM TRUNK","13101","HCPCS","Both",,,"1228.5","614.25","Alliant","Health Exchange","",,"62",,"761.67","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM TRUNK","13101","HCPCS","Both",,,"1228.5","614.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"663.39","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM TRUNK","13101","HCPCS","Both",,,"1228.5","614.25","Medicare",,"",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM TRUNK","13101","HCPCS","Both",,,"1228.5","614.25","Humana","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM TRUNK","13101","HCPCS","Both",,,"1228.5","614.25","UHC","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM TRUNK","13101","HCPCS","Both",,,"1228.5","614.25","Clover","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM TRUNK","13101","HCPCS","Both",,,"1228.5","614.25","Wellcare","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM TRUNK","13101","HCPCS","Both",,,"1228.5","614.25","Amerigroup","Medicaid Managed Care","",,"37",,"449.63","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM TRUNK","13101","HCPCS","Both",,,"1228.5","614.25","Caresource","Medicaid Managed Care","",,"40",,"491.4","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM TRUNK","13101","HCPCS","Both",,,"1228.5","614.25","Wellcare","Medicaid Managed Care","",,"40",,"497.54","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM TRUNK","13101","HCPCS","Both",,,"1228.5","614.25","Aetna","Commercial","",,"64",,"783.78","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM TRUNK","13101","HCPCS","Both",,,"1228.5","614.25","Blue Cross Blue Shield","Pathways","",,"71",,"867.32","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM TRUNK","13101","HCPCS","Both",,,"1228.5","614.25","Blue Cross Blue Shield","HMO","",,"71",,"867.32","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM TRUNK","13101","HCPCS","Both",,,"1228.5","614.25","Blue Cross Blue Shield","PPO","",,"71",,"867.32","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM TRUNK","13101","HCPCS","Both",,,"1228.5","614.25","Ambetter","Health Exchange","",,"62",,"761.67","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM TRUNK","13101","HCPCS","Both",,,"1228.5","614.25","Caresource","Health Exchange","",,"62",,"761.67","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM TRUNK","13101","HCPCS","Both",,,"1228.5","614.25","Cigna","Commercial","",,"59",,"719.9","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM TRUNK","13101","HCPCS","Both",,,"1228.5","614.25","Humana","Commercial","",,"78",,"952.09","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM TRUNK","13101","HCPCS","Both",,,"1228.5","614.25","UHC","Commercial","",,"75",,"926.29","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM TRUNK","13101","HCPCS","Both",,,"1228.5","614.25","Medicaid",,"",,"37",,"449.63","449.63","952.09","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM SCALP/ARM/LEG","13120","HCPCS","Both",,,"785.5","392.75","Alliant","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM SCALP/ARM/LEG","13120","HCPCS","Both",,,"785.5","392.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"424.17","287.49","608.76","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM SCALP/ARM/LEG","13120","HCPCS","Both",,,"785.5","392.75","Medicare",,"",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM SCALP/ARM/LEG","13120","HCPCS","Both",,,"785.5","392.75","Humana","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM SCALP/ARM/LEG","13120","HCPCS","Both",,,"785.5","392.75","UHC","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM SCALP/ARM/LEG","13120","HCPCS","Both",,,"785.5","392.75","Clover","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM SCALP/ARM/LEG","13120","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM SCALP/ARM/LEG","13120","HCPCS","Both",,,"785.5","392.75","Amerigroup","Medicaid Managed Care","",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM SCALP/ARM/LEG","13120","HCPCS","Both",,,"785.5","392.75","Caresource","Medicaid Managed Care","",,"40",,"314.2","287.49","608.76","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM SCALP/ARM/LEG","13120","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicaid Managed Care","",,"40",,"318.13","287.49","608.76","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM SCALP/ARM/LEG","13120","HCPCS","Both",,,"785.5","392.75","Aetna","Commercial","",,"64",,"501.15","287.49","608.76","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM SCALP/ARM/LEG","13120","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","Pathways","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM SCALP/ARM/LEG","13120","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","HMO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM SCALP/ARM/LEG","13120","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","PPO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM SCALP/ARM/LEG","13120","HCPCS","Both",,,"785.5","392.75","Ambetter","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM SCALP/ARM/LEG","13120","HCPCS","Both",,,"785.5","392.75","Caresource","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM SCALP/ARM/LEG","13120","HCPCS","Both",,,"785.5","392.75","Cigna","Commercial","",,"59",,"460.3","287.49","608.76","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM SCALP/ARM/LEG","13120","HCPCS","Both",,,"785.5","392.75","Humana","Commercial","",,"78",,"608.76","287.49","608.76","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM SCALP/ARM/LEG","13120","HCPCS","Both",,,"785.5","392.75","UHC","Commercial","",,"75",,"592.27","287.49","608.76","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM SCALP/ARM/LEG","13120","HCPCS","Both",,,"785.5","392.75","Medicaid",,"",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.5CM-7.5CM SCALP/ARM/LEG","13121","HCPCS","Both",,,"785.5","392.75","Alliant","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.5CM-7.5CM SCALP/ARM/LEG","13121","HCPCS","Both",,,"785.5","392.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"424.17","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.5CM-7.5CM SCALP/ARM/LEG","13121","HCPCS","Both",,,"785.5","392.75","Medicare",,"",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.5CM-7.5CM SCALP/ARM/LEG","13121","HCPCS","Both",,,"785.5","392.75","Humana","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.5CM-7.5CM SCALP/ARM/LEG","13121","HCPCS","Both",,,"785.5","392.75","UHC","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.5CM-7.5CM SCALP/ARM/LEG","13121","HCPCS","Both",,,"785.5","392.75","Clover","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.5CM-7.5CM SCALP/ARM/LEG","13121","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.5CM-7.5CM SCALP/ARM/LEG","13121","HCPCS","Both",,,"785.5","392.75","Amerigroup","Medicaid Managed Care","",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.5CM-7.5CM SCALP/ARM/LEG","13121","HCPCS","Both",,,"785.5","392.75","Caresource","Medicaid Managed Care","",,"40",,"314.2","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.5CM-7.5CM SCALP/ARM/LEG","13121","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicaid Managed Care","",,"40",,"318.13","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.5CM-7.5CM SCALP/ARM/LEG","13121","HCPCS","Both",,,"785.5","392.75","Aetna","Commercial","",,"64",,"501.15","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.5CM-7.5CM SCALP/ARM/LEG","13121","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","Pathways","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.5CM-7.5CM SCALP/ARM/LEG","13121","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","HMO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.5CM-7.5CM SCALP/ARM/LEG","13121","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","PPO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.5CM-7.5CM SCALP/ARM/LEG","13121","HCPCS","Both",,,"785.5","392.75","Ambetter","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.5CM-7.5CM SCALP/ARM/LEG","13121","HCPCS","Both",,,"785.5","392.75","Caresource","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.5CM-7.5CM SCALP/ARM/LEG","13121","HCPCS","Both",,,"785.5","392.75","Cigna","Commercial","",,"59",,"460.3","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.5CM-7.5CM SCALP/ARM/LEG","13121","HCPCS","Both",,,"785.5","392.75","Humana","Commercial","",,"78",,"608.76","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.5CM-7.5CM SCALP/ARM/LEG","13121","HCPCS","Both",,,"785.5","392.75","UHC","Commercial","",,"75",,"592.27","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.5CM-7.5CM SCALP/ARM/LEG","13121","HCPCS","Both",,,"785.5","392.75","Medicaid",,"",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM FOREHD/CHK/CHIN/MOUT","13131","HCPCS","Both",,,"785.5","392.75","Alliant","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM FOREHD/CHK/CHIN/MOUT","13131","HCPCS","Both",,,"785.5","392.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"424.17","287.49","608.76","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM FOREHD/CHK/CHIN/MOUT","13131","HCPCS","Both",,,"785.5","392.75","Medicare",,"",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM FOREHD/CHK/CHIN/MOUT","13131","HCPCS","Both",,,"785.5","392.75","Humana","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM FOREHD/CHK/CHIN/MOUT","13131","HCPCS","Both",,,"785.5","392.75","UHC","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM FOREHD/CHK/CHIN/MOUT","13131","HCPCS","Both",,,"785.5","392.75","Clover","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM FOREHD/CHK/CHIN/MOUT","13131","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM FOREHD/CHK/CHIN/MOUT","13131","HCPCS","Both",,,"785.5","392.75","Amerigroup","Medicaid Managed Care","",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM FOREHD/CHK/CHIN/MOUT","13131","HCPCS","Both",,,"785.5","392.75","Caresource","Medicaid Managed Care","",,"40",,"314.2","287.49","608.76","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM FOREHD/CHK/CHIN/MOUT","13131","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicaid Managed Care","",,"40",,"318.13","287.49","608.76","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM FOREHD/CHK/CHIN/MOUT","13131","HCPCS","Both",,,"785.5","392.75","Aetna","Commercial","",,"64",,"501.15","287.49","608.76","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM FOREHD/CHK/CHIN/MOUT","13131","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","Pathways","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM FOREHD/CHK/CHIN/MOUT","13131","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","HMO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM FOREHD/CHK/CHIN/MOUT","13131","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","PPO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM FOREHD/CHK/CHIN/MOUT","13131","HCPCS","Both",,,"785.5","392.75","Ambetter","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM FOREHD/CHK/CHIN/MOUT","13131","HCPCS","Both",,,"785.5","392.75","Caresource","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM FOREHD/CHK/CHIN/MOUT","13131","HCPCS","Both",,,"785.5","392.75","Cigna","Commercial","",,"59",,"460.3","287.49","608.76","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM FOREHD/CHK/CHIN/MOUT","13131","HCPCS","Both",,,"785.5","392.75","Humana","Commercial","",,"78",,"608.76","287.49","608.76","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM FOREHD/CHK/CHIN/MOUT","13131","HCPCS","Both",,,"785.5","392.75","UHC","Commercial","",,"75",,"592.27","287.49","608.76","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM FOREHD/CHK/CHIN/MOUT","13131","HCPCS","Both",,,"785.5","392.75","Medicaid",,"",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM FOREHD/CHK/CHIN/MOUT","13132","HCPCS","Both",,,"1228.5","614.25","Alliant","Health Exchange","",,"62",,"761.67","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM FOREHD/CHK/CHIN/MOUT","13132","HCPCS","Both",,,"1228.5","614.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"663.39","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM FOREHD/CHK/CHIN/MOUT","13132","HCPCS","Both",,,"1228.5","614.25","Medicare",,"",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM FOREHD/CHK/CHIN/MOUT","13132","HCPCS","Both",,,"1228.5","614.25","Humana","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM FOREHD/CHK/CHIN/MOUT","13132","HCPCS","Both",,,"1228.5","614.25","UHC","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM FOREHD/CHK/CHIN/MOUT","13132","HCPCS","Both",,,"1228.5","614.25","Clover","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM FOREHD/CHK/CHIN/MOUT","13132","HCPCS","Both",,,"1228.5","614.25","Wellcare","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM FOREHD/CHK/CHIN/MOUT","13132","HCPCS","Both",,,"1228.5","614.25","Amerigroup","Medicaid Managed Care","",,"37",,"449.63","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM FOREHD/CHK/CHIN/MOUT","13132","HCPCS","Both",,,"1228.5","614.25","Caresource","Medicaid Managed Care","",,"40",,"491.4","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM FOREHD/CHK/CHIN/MOUT","13132","HCPCS","Both",,,"1228.5","614.25","Wellcare","Medicaid Managed Care","",,"40",,"497.54","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM FOREHD/CHK/CHIN/MOUT","13132","HCPCS","Both",,,"1228.5","614.25","Aetna","Commercial","",,"64",,"783.78","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM FOREHD/CHK/CHIN/MOUT","13132","HCPCS","Both",,,"1228.5","614.25","Blue Cross Blue Shield","Pathways","",,"71",,"867.32","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM FOREHD/CHK/CHIN/MOUT","13132","HCPCS","Both",,,"1228.5","614.25","Blue Cross Blue Shield","HMO","",,"71",,"867.32","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM FOREHD/CHK/CHIN/MOUT","13132","HCPCS","Both",,,"1228.5","614.25","Blue Cross Blue Shield","PPO","",,"71",,"867.32","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM FOREHD/CHK/CHIN/MOUT","13132","HCPCS","Both",,,"1228.5","614.25","Ambetter","Health Exchange","",,"62",,"761.67","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM FOREHD/CHK/CHIN/MOUT","13132","HCPCS","Both",,,"1228.5","614.25","Caresource","Health Exchange","",,"62",,"761.67","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM FOREHD/CHK/CHIN/MOUT","13132","HCPCS","Both",,,"1228.5","614.25","Cigna","Commercial","",,"59",,"719.9","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM FOREHD/CHK/CHIN/MOUT","13132","HCPCS","Both",,,"1228.5","614.25","Humana","Commercial","",,"78",,"952.09","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM FOREHD/CHK/CHIN/MOUT","13132","HCPCS","Both",,,"1228.5","614.25","UHC","Commercial","",,"75",,"926.29","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM FOREHD/CHK/CHIN/MOUT","13132","HCPCS","Both",,,"1228.5","614.25","Medicaid",,"",,"37",,"449.63","449.63","952.09","percent of total billed charges",,
"CENTRAL VENOUS CATH UNDER AGE 5","36555","HCPCS","Both",,,"2454.5","1227.25","Alliant","Health Exchange","",,"62",,"1521.79","898.35","1902.24","percent of total billed charges",,
"CENTRAL VENOUS CATH UNDER AGE 5","36555","HCPCS","Both",,,"2454.5","1227.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"1325.43","898.35","1902.24","percent of total billed charges",,
"CENTRAL VENOUS CATH UNDER AGE 5","36555","HCPCS","Both",,,"2454.5","1227.25","Medicare",,"",,"54",,"1330.34","898.35","1902.24","percent of total billed charges",,
"CENTRAL VENOUS CATH UNDER AGE 5","36555","HCPCS","Both",,,"2454.5","1227.25","Humana","Medicare Advantage","",,"54",,"1330.34","898.35","1902.24","percent of total billed charges",,
"CENTRAL VENOUS CATH UNDER AGE 5","36555","HCPCS","Both",,,"2454.5","1227.25","UHC","Medicare Advantage","",,"54",,"1330.34","898.35","1902.24","percent of total billed charges",,
"CENTRAL VENOUS CATH UNDER AGE 5","36555","HCPCS","Both",,,"2454.5","1227.25","Clover","Medicare Advantage","",,"54",,"1330.34","898.35","1902.24","percent of total billed charges",,
"CENTRAL VENOUS CATH UNDER AGE 5","36555","HCPCS","Both",,,"2454.5","1227.25","Wellcare","Medicare Advantage","",,"54",,"1330.34","898.35","1902.24","percent of total billed charges",,
"CENTRAL VENOUS CATH UNDER AGE 5","36555","HCPCS","Both",,,"2454.5","1227.25","Amerigroup","Medicaid Managed Care","",,"37",,"898.35","898.35","1902.24","percent of total billed charges",,
"CENTRAL VENOUS CATH UNDER AGE 5","36555","HCPCS","Both",,,"2454.5","1227.25","Caresource","Medicaid Managed Care","",,"40",,"981.8","898.35","1902.24","percent of total billed charges",,
"CENTRAL VENOUS CATH UNDER AGE 5","36555","HCPCS","Both",,,"2454.5","1227.25","Wellcare","Medicaid Managed Care","",,"40",,"994.07","898.35","1902.24","percent of total billed charges",,
"CENTRAL VENOUS CATH UNDER AGE 5","36555","HCPCS","Both",,,"2454.5","1227.25","Aetna","Commercial","",,"64",,"1565.97","898.35","1902.24","percent of total billed charges",,
"CENTRAL VENOUS CATH UNDER AGE 5","36555","HCPCS","Both",,,"2454.5","1227.25","Blue Cross Blue Shield","Pathways","",,"71",,"1732.88","898.35","1902.24","percent of total billed charges",,
"CENTRAL VENOUS CATH UNDER AGE 5","36555","HCPCS","Both",,,"2454.5","1227.25","Blue Cross Blue Shield","HMO","",,"71",,"1732.88","898.35","1902.24","percent of total billed charges",,
"CENTRAL VENOUS CATH UNDER AGE 5","36555","HCPCS","Both",,,"2454.5","1227.25","Blue Cross Blue Shield","PPO","",,"71",,"1732.88","898.35","1902.24","percent of total billed charges",,
"CENTRAL VENOUS CATH UNDER AGE 5","36555","HCPCS","Both",,,"2454.5","1227.25","Ambetter","Health Exchange","",,"62",,"1521.79","898.35","1902.24","percent of total billed charges",,
"CENTRAL VENOUS CATH UNDER AGE 5","36555","HCPCS","Both",,,"2454.5","1227.25","Caresource","Health Exchange","",,"62",,"1521.79","898.35","1902.24","percent of total billed charges",,
"CENTRAL VENOUS CATH UNDER AGE 5","36555","HCPCS","Both",,,"2454.5","1227.25","Cigna","Commercial","",,"59",,"1438.34","898.35","1902.24","percent of total billed charges",,
"CENTRAL VENOUS CATH UNDER AGE 5","36555","HCPCS","Both",,,"2454.5","1227.25","Humana","Commercial","",,"78",,"1902.24","898.35","1902.24","percent of total billed charges",,
"CENTRAL VENOUS CATH UNDER AGE 5","36555","HCPCS","Both",,,"2454.5","1227.25","UHC","Commercial","",,"75",,"1850.69","898.35","1902.24","percent of total billed charges",,
"CENTRAL VENOUS CATH UNDER AGE 5","36555","HCPCS","Both",,,"2454.5","1227.25","Medicaid",,"",,"37",,"898.35","898.35","1902.24","percent of total billed charges",,
"CENTRAL VENOUS CATH AGE 5 OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Alliant","Health Exchange","",,"62",,"1220.47","720.47","1525.59","percent of total billed charges",,
"CENTRAL VENOUS CATH AGE 5 OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"1062.99","720.47","1525.59","percent of total billed charges",,
"CENTRAL VENOUS CATH AGE 5 OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Medicare",,"",,"54",,"1066.93","720.47","1525.59","percent of total billed charges",,
"CENTRAL VENOUS CATH AGE 5 OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Humana","Medicare Advantage","",,"54",,"1066.93","720.47","1525.59","percent of total billed charges",,
"CENTRAL VENOUS CATH AGE 5 OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","UHC","Medicare Advantage","",,"54",,"1066.93","720.47","1525.59","percent of total billed charges",,
"CENTRAL VENOUS CATH AGE 5 OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Clover","Medicare Advantage","",,"54",,"1066.93","720.47","1525.59","percent of total billed charges",,
"CENTRAL VENOUS CATH AGE 5 OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Wellcare","Medicare Advantage","",,"54",,"1066.93","720.47","1525.59","percent of total billed charges",,
"CENTRAL VENOUS CATH AGE 5 OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Amerigroup","Medicaid Managed Care","",,"37",,"720.47","720.47","1525.59","percent of total billed charges",,
"CENTRAL VENOUS CATH AGE 5 OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Caresource","Medicaid Managed Care","",,"40",,"787.4","720.47","1525.59","percent of total billed charges",,
"CENTRAL VENOUS CATH AGE 5 OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Wellcare","Medicaid Managed Care","",,"40",,"797.24","720.47","1525.59","percent of total billed charges",,
"CENTRAL VENOUS CATH AGE 5 OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Aetna","Commercial","",,"64",,"1255.9","720.47","1525.59","percent of total billed charges",,
"CENTRAL VENOUS CATH AGE 5 OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Blue Cross Blue Shield","Pathways","",,"71",,"1389.76","720.47","1525.59","percent of total billed charges",,
"CENTRAL VENOUS CATH AGE 5 OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Blue Cross Blue Shield","HMO","",,"71",,"1389.76","720.47","1525.59","percent of total billed charges",,
"CENTRAL VENOUS CATH AGE 5 OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Blue Cross Blue Shield","PPO","",,"71",,"1389.76","720.47","1525.59","percent of total billed charges",,
"CENTRAL VENOUS CATH AGE 5 OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Ambetter","Health Exchange","",,"62",,"1220.47","720.47","1525.59","percent of total billed charges",,
"CENTRAL VENOUS CATH AGE 5 OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Caresource","Health Exchange","",,"62",,"1220.47","720.47","1525.59","percent of total billed charges",,
"CENTRAL VENOUS CATH AGE 5 OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Cigna","Commercial","",,"59",,"1153.54","720.47","1525.59","percent of total billed charges",,
"CENTRAL VENOUS CATH AGE 5 OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Humana","Commercial","",,"78",,"1525.59","720.47","1525.59","percent of total billed charges",,
"CENTRAL VENOUS CATH AGE 5 OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","UHC","Commercial","",,"75",,"1484.25","720.47","1525.59","percent of total billed charges",,
"CENTRAL VENOUS CATH AGE 5 OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Medicaid",,"",,"37",,"720.47","720.47","1525.59","percent of total billed charges",,
"GASTROSTOMY TUBE, REPOSITION","43761","HCPCS","Both",,,"1946.5","973.25","Alliant","Health Exchange","",,"62",,"1206.83","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE, REPOSITION","43761","HCPCS","Both",,,"1946.5","973.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"1051.11","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE, REPOSITION","43761","HCPCS","Both",,,"1946.5","973.25","Medicare",,"",,"54",,"1055","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE, REPOSITION","43761","HCPCS","Both",,,"1946.5","973.25","Humana","Medicare Advantage","",,"54",,"1055","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE, REPOSITION","43761","HCPCS","Both",,,"1946.5","973.25","UHC","Medicare Advantage","",,"54",,"1055","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE, REPOSITION","43761","HCPCS","Both",,,"1946.5","973.25","Clover","Medicare Advantage","",,"54",,"1055","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE, REPOSITION","43761","HCPCS","Both",,,"1946.5","973.25","Wellcare","Medicare Advantage","",,"54",,"1055","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE, REPOSITION","43761","HCPCS","Both",,,"1946.5","973.25","Amerigroup","Medicaid Managed Care","",,"37",,"712.42","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE, REPOSITION","43761","HCPCS","Both",,,"1946.5","973.25","Caresource","Medicaid Managed Care","",,"40",,"778.6","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE, REPOSITION","43761","HCPCS","Both",,,"1946.5","973.25","Wellcare","Medicaid Managed Care","",,"40",,"788.33","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE, REPOSITION","43761","HCPCS","Both",,,"1946.5","973.25","Aetna","Commercial","",,"64",,"1241.87","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE, REPOSITION","43761","HCPCS","Both",,,"1946.5","973.25","Blue Cross Blue Shield","Pathways","",,"71",,"1374.23","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE, REPOSITION","43761","HCPCS","Both",,,"1946.5","973.25","Blue Cross Blue Shield","HMO","",,"71",,"1374.23","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE, REPOSITION","43761","HCPCS","Both",,,"1946.5","973.25","Blue Cross Blue Shield","PPO","",,"71",,"1374.23","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE, REPOSITION","43761","HCPCS","Both",,,"1946.5","973.25","Ambetter","Health Exchange","",,"62",,"1206.83","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE, REPOSITION","43761","HCPCS","Both",,,"1946.5","973.25","Caresource","Health Exchange","",,"62",,"1206.83","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE, REPOSITION","43761","HCPCS","Both",,,"1946.5","973.25","Cigna","Commercial","",,"59",,"1140.65","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE, REPOSITION","43761","HCPCS","Both",,,"1946.5","973.25","Humana","Commercial","",,"78",,"1508.54","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE, REPOSITION","43761","HCPCS","Both",,,"1946.5","973.25","UHC","Commercial","",,"75",,"1467.66","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE, REPOSITION","43761","HCPCS","Both",,,"1946.5","973.25","Medicaid",,"",,"37",,"712.42","712.42","1508.54","percent of total billed charges",,
"PUNCTURE ASPIRATION OF ABSCESS/HEMA/CYST","10160","HCPCS","Both",,,"392","196","Alliant","Health Exchange","",,"62",,"243.04","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION OF ABSCESS/HEMA/CYST","10160","HCPCS","Both",,,"392","196","Pruitt Healthcare","Medicare Advantage","",,"54",,"211.68","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION OF ABSCESS/HEMA/CYST","10160","HCPCS","Both",,,"392","196","Medicare",,"",,"54",,"212.46","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION OF ABSCESS/HEMA/CYST","10160","HCPCS","Both",,,"392","196","Humana","Medicare Advantage","",,"54",,"212.46","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION OF ABSCESS/HEMA/CYST","10160","HCPCS","Both",,,"392","196","UHC","Medicare Advantage","",,"54",,"212.46","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION OF ABSCESS/HEMA/CYST","10160","HCPCS","Both",,,"392","196","Clover","Medicare Advantage","",,"54",,"212.46","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION OF ABSCESS/HEMA/CYST","10160","HCPCS","Both",,,"392","196","Wellcare","Medicare Advantage","",,"54",,"212.46","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION OF ABSCESS/HEMA/CYST","10160","HCPCS","Both",,,"392","196","Amerigroup","Medicaid Managed Care","",,"37",,"143.47","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION OF ABSCESS/HEMA/CYST","10160","HCPCS","Both",,,"392","196","Caresource","Medicaid Managed Care","",,"40",,"156.8","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION OF ABSCESS/HEMA/CYST","10160","HCPCS","Both",,,"392","196","Wellcare","Medicaid Managed Care","",,"40",,"158.76","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION OF ABSCESS/HEMA/CYST","10160","HCPCS","Both",,,"392","196","Aetna","Commercial","",,"64",,"250.1","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION OF ABSCESS/HEMA/CYST","10160","HCPCS","Both",,,"392","196","Blue Cross Blue Shield","Pathways","",,"71",,"276.75","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION OF ABSCESS/HEMA/CYST","10160","HCPCS","Both",,,"392","196","Blue Cross Blue Shield","HMO","",,"71",,"276.75","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION OF ABSCESS/HEMA/CYST","10160","HCPCS","Both",,,"392","196","Blue Cross Blue Shield","PPO","",,"71",,"276.75","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION OF ABSCESS/HEMA/CYST","10160","HCPCS","Both",,,"392","196","Ambetter","Health Exchange","",,"62",,"243.04","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION OF ABSCESS/HEMA/CYST","10160","HCPCS","Both",,,"392","196","Caresource","Health Exchange","",,"62",,"243.04","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION OF ABSCESS/HEMA/CYST","10160","HCPCS","Both",,,"392","196","Cigna","Commercial","",,"59",,"229.71","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION OF ABSCESS/HEMA/CYST","10160","HCPCS","Both",,,"392","196","Humana","Commercial","",,"78",,"303.8","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION OF ABSCESS/HEMA/CYST","10160","HCPCS","Both",,,"392","196","UHC","Commercial","",,"75",,"295.57","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION OF ABSCESS/HEMA/CYST","10160","HCPCS","Both",,,"392","196","Medicaid",,"",,"37",,"143.47","143.47","303.8","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM EYELD/NOSE/EAR/LIP","13152","HCPCS","Both",,,"1228.5","614.25","Alliant","Health Exchange","",,"62",,"761.67","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM EYELD/NOSE/EAR/LIP","13152","HCPCS","Both",,,"1228.5","614.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"663.39","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM EYELD/NOSE/EAR/LIP","13152","HCPCS","Both",,,"1228.5","614.25","Medicare",,"",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM EYELD/NOSE/EAR/LIP","13152","HCPCS","Both",,,"1228.5","614.25","Humana","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM EYELD/NOSE/EAR/LIP","13152","HCPCS","Both",,,"1228.5","614.25","UHC","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM EYELD/NOSE/EAR/LIP","13152","HCPCS","Both",,,"1228.5","614.25","Clover","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM EYELD/NOSE/EAR/LIP","13152","HCPCS","Both",,,"1228.5","614.25","Wellcare","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM EYELD/NOSE/EAR/LIP","13152","HCPCS","Both",,,"1228.5","614.25","Amerigroup","Medicaid Managed Care","",,"37",,"449.63","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM EYELD/NOSE/EAR/LIP","13152","HCPCS","Both",,,"1228.5","614.25","Caresource","Medicaid Managed Care","",,"40",,"491.4","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM EYELD/NOSE/EAR/LIP","13152","HCPCS","Both",,,"1228.5","614.25","Wellcare","Medicaid Managed Care","",,"40",,"497.54","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM EYELD/NOSE/EAR/LIP","13152","HCPCS","Both",,,"1228.5","614.25","Aetna","Commercial","",,"64",,"783.78","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM EYELD/NOSE/EAR/LIP","13152","HCPCS","Both",,,"1228.5","614.25","Blue Cross Blue Shield","Pathways","",,"71",,"867.32","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM EYELD/NOSE/EAR/LIP","13152","HCPCS","Both",,,"1228.5","614.25","Blue Cross Blue Shield","HMO","",,"71",,"867.32","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM EYELD/NOSE/EAR/LIP","13152","HCPCS","Both",,,"1228.5","614.25","Blue Cross Blue Shield","PPO","",,"71",,"867.32","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM EYELD/NOSE/EAR/LIP","13152","HCPCS","Both",,,"1228.5","614.25","Ambetter","Health Exchange","",,"62",,"761.67","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM EYELD/NOSE/EAR/LIP","13152","HCPCS","Both",,,"1228.5","614.25","Caresource","Health Exchange","",,"62",,"761.67","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM EYELD/NOSE/EAR/LIP","13152","HCPCS","Both",,,"1228.5","614.25","Cigna","Commercial","",,"59",,"719.9","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM EYELD/NOSE/EAR/LIP","13152","HCPCS","Both",,,"1228.5","614.25","Humana","Commercial","",,"78",,"952.09","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM EYELD/NOSE/EAR/LIP","13152","HCPCS","Both",,,"1228.5","614.25","UHC","Commercial","",,"75",,"926.29","449.63","952.09","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM EYELD/NOSE/EAR/LIP","13152","HCPCS","Both",,,"1228.5","614.25","Medicaid",,"",,"37",,"449.63","449.63","952.09","percent of total billed charges",,
"GASTRIC INTUBATION","43753","HCPCS","Both",,,"114","57","Alliant","Health Exchange","",,"62",,"70.68","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION","43753","HCPCS","Both",,,"114","57","Pruitt Healthcare","Medicare Advantage","",,"54",,"61.56","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION","43753","HCPCS","Both",,,"114","57","Medicare",,"",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION","43753","HCPCS","Both",,,"114","57","Humana","Medicare Advantage","",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION","43753","HCPCS","Both",,,"114","57","UHC","Medicare Advantage","",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION","43753","HCPCS","Both",,,"114","57","Clover","Medicare Advantage","",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION","43753","HCPCS","Both",,,"114","57","Wellcare","Medicare Advantage","",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION","43753","HCPCS","Both",,,"114","57","Amerigroup","Medicaid Managed Care","",,"37",,"41.72","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION","43753","HCPCS","Both",,,"114","57","Caresource","Medicaid Managed Care","",,"40",,"45.6","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION","43753","HCPCS","Both",,,"114","57","Wellcare","Medicaid Managed Care","",,"40",,"46.17","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION","43753","HCPCS","Both",,,"114","57","Aetna","Commercial","",,"64",,"72.73","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION","43753","HCPCS","Both",,,"114","57","Blue Cross Blue Shield","Pathways","",,"71",,"80.48","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION","43753","HCPCS","Both",,,"114","57","Blue Cross Blue Shield","HMO","",,"71",,"80.48","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION","43753","HCPCS","Both",,,"114","57","Blue Cross Blue Shield","PPO","",,"71",,"80.48","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION","43753","HCPCS","Both",,,"114","57","Ambetter","Health Exchange","",,"62",,"70.68","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION","43753","HCPCS","Both",,,"114","57","Caresource","Health Exchange","",,"62",,"70.68","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION","43753","HCPCS","Both",,,"114","57","Cigna","Commercial","",,"59",,"66.8","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION","43753","HCPCS","Both",,,"114","57","Humana","Commercial","",,"78",,"88.35","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION","43753","HCPCS","Both",,,"114","57","UHC","Commercial","",,"75",,"85.96","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION","43753","HCPCS","Both",,,"114","57","Medicaid",,"",,"37",,"41.72","41.72","88.35","percent of total billed charges",,
"ARTHROCENTESIS,INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Alliant","Health Exchange","",,"62",,"353.71","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"308.07","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Medicare",,"",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Humana","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","UHC","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Clover","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Wellcare","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Amerigroup","Medicaid Managed Care","",,"37",,"208.8","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Caresource","Medicaid Managed Care","",,"40",,"228.2","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Wellcare","Medicaid Managed Care","",,"40",,"231.05","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Aetna","Commercial","",,"64",,"363.98","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Blue Cross Blue Shield","Pathways","",,"71",,"402.77","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Blue Cross Blue Shield","HMO","",,"71",,"402.77","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Blue Cross Blue Shield","PPO","",,"71",,"402.77","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Ambetter","Health Exchange","",,"62",,"353.71","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Caresource","Health Exchange","",,"62",,"353.71","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Cigna","Commercial","",,"59",,"334.31","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Humana","Commercial","",,"78",,"442.14","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","UHC","Commercial","",,"75",,"430.16","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Medicaid",,"",,"37",,"208.8","208.8","442.14","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Alliant","Health Exchange","",,"62",,"83.08","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Pruitt Healthcare","Medicare Advantage","",,"54",,"72.36","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Medicare",,"",,"54",,"72.63","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Humana","Medicare Advantage","",,"54",,"72.63","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","UHC","Medicare Advantage","",,"54",,"72.63","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Clover","Medicare Advantage","",,"54",,"72.63","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Wellcare","Medicare Advantage","",,"54",,"72.63","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Amerigroup","Medicaid Managed Care","",,"37",,"49.04","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Caresource","Medicaid Managed Care","",,"40",,"53.6","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Wellcare","Medicaid Managed Care","",,"40",,"54.27","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Aetna","Commercial","",,"64",,"85.49","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Blue Cross Blue Shield","Pathways","",,"71",,"94.6","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Blue Cross Blue Shield","HMO","",,"71",,"94.6","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Blue Cross Blue Shield","PPO","",,"71",,"94.6","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Ambetter","Health Exchange","",,"62",,"83.08","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Caresource","Health Exchange","",,"62",,"83.08","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Cigna","Commercial","",,"59",,"78.52","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Humana","Commercial","",,"78",,"103.85","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","UHC","Commercial","",,"75",,"101.04","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Medicaid",,"",,"37",,"49.04","49.04","103.85","percent of total billed charges",,
"ARTHROCENTESIS; MAJOR JOINT OR BURSA","20610","HCPCS","Both",,,"57.5","28.75","Alliant","Health Exchange","",,"62",,"35.65","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS; MAJOR JOINT OR BURSA","20610","HCPCS","Both",,,"57.5","28.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"31.05","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS; MAJOR JOINT OR BURSA","20610","HCPCS","Both",,,"57.5","28.75","Medicare",,"",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS; MAJOR JOINT OR BURSA","20610","HCPCS","Both",,,"57.5","28.75","Humana","Medicare Advantage","",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS; MAJOR JOINT OR BURSA","20610","HCPCS","Both",,,"57.5","28.75","UHC","Medicare Advantage","",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS; MAJOR JOINT OR BURSA","20610","HCPCS","Both",,,"57.5","28.75","Clover","Medicare Advantage","",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS; MAJOR JOINT OR BURSA","20610","HCPCS","Both",,,"57.5","28.75","Wellcare","Medicare Advantage","",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS; MAJOR JOINT OR BURSA","20610","HCPCS","Both",,,"57.5","28.75","Amerigroup","Medicaid Managed Care","",,"37",,"21.04","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS; MAJOR JOINT OR BURSA","20610","HCPCS","Both",,,"57.5","28.75","Caresource","Medicaid Managed Care","",,"40",,"23","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS; MAJOR JOINT OR BURSA","20610","HCPCS","Both",,,"57.5","28.75","Wellcare","Medicaid Managed Care","",,"40",,"23.29","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS; MAJOR JOINT OR BURSA","20610","HCPCS","Both",,,"57.5","28.75","Aetna","Commercial","",,"64",,"36.68","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS; MAJOR JOINT OR BURSA","20610","HCPCS","Both",,,"57.5","28.75","Blue Cross Blue Shield","Pathways","",,"71",,"40.6","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS; MAJOR JOINT OR BURSA","20610","HCPCS","Both",,,"57.5","28.75","Blue Cross Blue Shield","HMO","",,"71",,"40.6","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS; MAJOR JOINT OR BURSA","20610","HCPCS","Both",,,"57.5","28.75","Blue Cross Blue Shield","PPO","",,"71",,"40.6","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS; MAJOR JOINT OR BURSA","20610","HCPCS","Both",,,"57.5","28.75","Ambetter","Health Exchange","",,"62",,"35.65","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS; MAJOR JOINT OR BURSA","20610","HCPCS","Both",,,"57.5","28.75","Caresource","Health Exchange","",,"62",,"35.65","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS; MAJOR JOINT OR BURSA","20610","HCPCS","Both",,,"57.5","28.75","Cigna","Commercial","",,"59",,"33.7","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS; MAJOR JOINT OR BURSA","20610","HCPCS","Both",,,"57.5","28.75","Humana","Commercial","",,"78",,"44.56","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS; MAJOR JOINT OR BURSA","20610","HCPCS","Both",,,"57.5","28.75","UHC","Commercial","",,"75",,"43.36","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS; MAJOR JOINT OR BURSA","20610","HCPCS","Both",,,"57.5","28.75","Medicaid",,"",,"37",,"21.04","21.04","44.56","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,COMPLE","30903","HCPCS","Both",,,"244","122","Alliant","Health Exchange","",,"62",,"151.28","89.3","189.1","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,COMPLE","30903","HCPCS","Both",,,"244","122","Pruitt Healthcare","Medicare Advantage","",,"54",,"131.76","89.3","189.1","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,COMPLE","30903","HCPCS","Both",,,"244","122","Medicare",,"",,"54",,"132.25","89.3","189.1","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,COMPLE","30903","HCPCS","Both",,,"244","122","Humana","Medicare Advantage","",,"54",,"132.25","89.3","189.1","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,COMPLE","30903","HCPCS","Both",,,"244","122","UHC","Medicare Advantage","",,"54",,"132.25","89.3","189.1","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,COMPLE","30903","HCPCS","Both",,,"244","122","Clover","Medicare Advantage","",,"54",,"132.25","89.3","189.1","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,COMPLE","30903","HCPCS","Both",,,"244","122","Wellcare","Medicare Advantage","",,"54",,"132.25","89.3","189.1","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,COMPLE","30903","HCPCS","Both",,,"244","122","Amerigroup","Medicaid Managed Care","",,"37",,"89.3","89.3","189.1","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,COMPLE","30903","HCPCS","Both",,,"244","122","Caresource","Medicaid Managed Care","",,"40",,"97.6","89.3","189.1","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,COMPLE","30903","HCPCS","Both",,,"244","122","Wellcare","Medicaid Managed Care","",,"40",,"98.82","89.3","189.1","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,COMPLE","30903","HCPCS","Both",,,"244","122","Aetna","Commercial","",,"64",,"155.67","89.3","189.1","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,COMPLE","30903","HCPCS","Both",,,"244","122","Blue Cross Blue Shield","Pathways","",,"71",,"172.26","89.3","189.1","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,COMPLE","30903","HCPCS","Both",,,"244","122","Blue Cross Blue Shield","HMO","",,"71",,"172.26","89.3","189.1","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,COMPLE","30903","HCPCS","Both",,,"244","122","Blue Cross Blue Shield","PPO","",,"71",,"172.26","89.3","189.1","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,COMPLE","30903","HCPCS","Both",,,"244","122","Ambetter","Health Exchange","",,"62",,"151.28","89.3","189.1","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,COMPLE","30903","HCPCS","Both",,,"244","122","Caresource","Health Exchange","",,"62",,"151.28","89.3","189.1","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,COMPLE","30903","HCPCS","Both",,,"244","122","Cigna","Commercial","",,"59",,"142.98","89.3","189.1","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,COMPLE","30903","HCPCS","Both",,,"244","122","Humana","Commercial","",,"78",,"189.1","89.3","189.1","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,COMPLE","30903","HCPCS","Both",,,"244","122","UHC","Commercial","",,"75",,"183.98","89.3","189.1","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,COMPLE","30903","HCPCS","Both",,,"244","122","Medicaid",,"",,"37",,"89.3","89.3","189.1","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26700","HCPCS","Both",,,"634.5","317.25","Alliant","Health Exchange","",,"62",,"393.39","232.23","491.74","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26700","HCPCS","Both",,,"634.5","317.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"342.63","232.23","491.74","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26700","HCPCS","Both",,,"634.5","317.25","Medicare",,"",,"54",,"343.9","232.23","491.74","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26700","HCPCS","Both",,,"634.5","317.25","Humana","Medicare Advantage","",,"54",,"343.9","232.23","491.74","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26700","HCPCS","Both",,,"634.5","317.25","UHC","Medicare Advantage","",,"54",,"343.9","232.23","491.74","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26700","HCPCS","Both",,,"634.5","317.25","Clover","Medicare Advantage","",,"54",,"343.9","232.23","491.74","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26700","HCPCS","Both",,,"634.5","317.25","Wellcare","Medicare Advantage","",,"54",,"343.9","232.23","491.74","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26700","HCPCS","Both",,,"634.5","317.25","Amerigroup","Medicaid Managed Care","",,"37",,"232.23","232.23","491.74","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26700","HCPCS","Both",,,"634.5","317.25","Caresource","Medicaid Managed Care","",,"40",,"253.8","232.23","491.74","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26700","HCPCS","Both",,,"634.5","317.25","Wellcare","Medicaid Managed Care","",,"40",,"256.97","232.23","491.74","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26700","HCPCS","Both",,,"634.5","317.25","Aetna","Commercial","",,"64",,"404.81","232.23","491.74","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26700","HCPCS","Both",,,"634.5","317.25","Blue Cross Blue Shield","Pathways","",,"71",,"447.96","232.23","491.74","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26700","HCPCS","Both",,,"634.5","317.25","Blue Cross Blue Shield","HMO","",,"71",,"447.96","232.23","491.74","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26700","HCPCS","Both",,,"634.5","317.25","Blue Cross Blue Shield","PPO","",,"71",,"447.96","232.23","491.74","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26700","HCPCS","Both",,,"634.5","317.25","Ambetter","Health Exchange","",,"62",,"393.39","232.23","491.74","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26700","HCPCS","Both",,,"634.5","317.25","Caresource","Health Exchange","",,"62",,"393.39","232.23","491.74","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26700","HCPCS","Both",,,"634.5","317.25","Cigna","Commercial","",,"59",,"371.82","232.23","491.74","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26700","HCPCS","Both",,,"634.5","317.25","Humana","Commercial","",,"78",,"491.74","232.23","491.74","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26700","HCPCS","Both",,,"634.5","317.25","UHC","Commercial","",,"75",,"478.41","232.23","491.74","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26700","HCPCS","Both",,,"634.5","317.25","Medicaid",,"",,"37",,"232.23","232.23","491.74","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26705","HCPCS","Both",,,"966.5","483.25","Alliant","Health Exchange","",,"62",,"599.23","353.74","749.04","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26705","HCPCS","Both",,,"966.5","483.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"521.91","353.74","749.04","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26705","HCPCS","Both",,,"966.5","483.25","Medicare",,"",,"54",,"523.84","353.74","749.04","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26705","HCPCS","Both",,,"966.5","483.25","Humana","Medicare Advantage","",,"54",,"523.84","353.74","749.04","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26705","HCPCS","Both",,,"966.5","483.25","UHC","Medicare Advantage","",,"54",,"523.84","353.74","749.04","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26705","HCPCS","Both",,,"966.5","483.25","Clover","Medicare Advantage","",,"54",,"523.84","353.74","749.04","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26705","HCPCS","Both",,,"966.5","483.25","Wellcare","Medicare Advantage","",,"54",,"523.84","353.74","749.04","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26705","HCPCS","Both",,,"966.5","483.25","Amerigroup","Medicaid Managed Care","",,"37",,"353.74","353.74","749.04","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26705","HCPCS","Both",,,"966.5","483.25","Caresource","Medicaid Managed Care","",,"40",,"386.6","353.74","749.04","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26705","HCPCS","Both",,,"966.5","483.25","Wellcare","Medicaid Managed Care","",,"40",,"391.43","353.74","749.04","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26705","HCPCS","Both",,,"966.5","483.25","Aetna","Commercial","",,"64",,"616.63","353.74","749.04","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26705","HCPCS","Both",,,"966.5","483.25","Blue Cross Blue Shield","Pathways","",,"71",,"682.35","353.74","749.04","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26705","HCPCS","Both",,,"966.5","483.25","Blue Cross Blue Shield","HMO","",,"71",,"682.35","353.74","749.04","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26705","HCPCS","Both",,,"966.5","483.25","Blue Cross Blue Shield","PPO","",,"71",,"682.35","353.74","749.04","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26705","HCPCS","Both",,,"966.5","483.25","Ambetter","Health Exchange","",,"62",,"599.23","353.74","749.04","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26705","HCPCS","Both",,,"966.5","483.25","Caresource","Health Exchange","",,"62",,"599.23","353.74","749.04","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26705","HCPCS","Both",,,"966.5","483.25","Cigna","Commercial","",,"59",,"566.37","353.74","749.04","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26705","HCPCS","Both",,,"966.5","483.25","Humana","Commercial","",,"78",,"749.04","353.74","749.04","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26705","HCPCS","Both",,,"966.5","483.25","UHC","Commercial","",,"75",,"728.74","353.74","749.04","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26705","HCPCS","Both",,,"966.5","483.25","Medicaid",,"",,"37",,"353.74","353.74","749.04","percent of total billed charges",,
"COLPORRHAPHY, SUTURE OF VAGINA (NON-OB)","57200","HCPCS","Both",,,"4541.5","2270.75","Alliant","Health Exchange","",,"62",,"2815.73","1662.19","3519.66","percent of total billed charges",,
"COLPORRHAPHY, SUTURE OF VAGINA (NON-OB)","57200","HCPCS","Both",,,"4541.5","2270.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"2452.41","1662.19","3519.66","percent of total billed charges",,
"COLPORRHAPHY, SUTURE OF VAGINA (NON-OB)","57200","HCPCS","Both",,,"4541.5","2270.75","Medicare",,"",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"COLPORRHAPHY, SUTURE OF VAGINA (NON-OB)","57200","HCPCS","Both",,,"4541.5","2270.75","Humana","Medicare Advantage","",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"COLPORRHAPHY, SUTURE OF VAGINA (NON-OB)","57200","HCPCS","Both",,,"4541.5","2270.75","UHC","Medicare Advantage","",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"COLPORRHAPHY, SUTURE OF VAGINA (NON-OB)","57200","HCPCS","Both",,,"4541.5","2270.75","Clover","Medicare Advantage","",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"COLPORRHAPHY, SUTURE OF VAGINA (NON-OB)","57200","HCPCS","Both",,,"4541.5","2270.75","Wellcare","Medicare Advantage","",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"COLPORRHAPHY, SUTURE OF VAGINA (NON-OB)","57200","HCPCS","Both",,,"4541.5","2270.75","Amerigroup","Medicaid Managed Care","",,"37",,"1662.19","1662.19","3519.66","percent of total billed charges",,
"COLPORRHAPHY, SUTURE OF VAGINA (NON-OB)","57200","HCPCS","Both",,,"4541.5","2270.75","Caresource","Medicaid Managed Care","",,"40",,"1816.6","1662.19","3519.66","percent of total billed charges",,
"COLPORRHAPHY, SUTURE OF VAGINA (NON-OB)","57200","HCPCS","Both",,,"4541.5","2270.75","Wellcare","Medicaid Managed Care","",,"40",,"1839.31","1662.19","3519.66","percent of total billed charges",,
"COLPORRHAPHY, SUTURE OF VAGINA (NON-OB)","57200","HCPCS","Both",,,"4541.5","2270.75","Aetna","Commercial","",,"64",,"2897.48","1662.19","3519.66","percent of total billed charges",,
"COLPORRHAPHY, SUTURE OF VAGINA (NON-OB)","57200","HCPCS","Both",,,"4541.5","2270.75","Blue Cross Blue Shield","Pathways","",,"71",,"3206.3","1662.19","3519.66","percent of total billed charges",,
"COLPORRHAPHY, SUTURE OF VAGINA (NON-OB)","57200","HCPCS","Both",,,"4541.5","2270.75","Blue Cross Blue Shield","HMO","",,"71",,"3206.3","1662.19","3519.66","percent of total billed charges",,
"COLPORRHAPHY, SUTURE OF VAGINA (NON-OB)","57200","HCPCS","Both",,,"4541.5","2270.75","Blue Cross Blue Shield","PPO","",,"71",,"3206.3","1662.19","3519.66","percent of total billed charges",,
"COLPORRHAPHY, SUTURE OF VAGINA (NON-OB)","57200","HCPCS","Both",,,"4541.5","2270.75","Ambetter","Health Exchange","",,"62",,"2815.73","1662.19","3519.66","percent of total billed charges",,
"COLPORRHAPHY, SUTURE OF VAGINA (NON-OB)","57200","HCPCS","Both",,,"4541.5","2270.75","Caresource","Health Exchange","",,"62",,"2815.73","1662.19","3519.66","percent of total billed charges",,
"COLPORRHAPHY, SUTURE OF VAGINA (NON-OB)","57200","HCPCS","Both",,,"4541.5","2270.75","Cigna","Commercial","",,"59",,"2661.32","1662.19","3519.66","percent of total billed charges",,
"COLPORRHAPHY, SUTURE OF VAGINA (NON-OB)","57200","HCPCS","Both",,,"4541.5","2270.75","Humana","Commercial","",,"78",,"3519.66","1662.19","3519.66","percent of total billed charges",,
"COLPORRHAPHY, SUTURE OF VAGINA (NON-OB)","57200","HCPCS","Both",,,"4541.5","2270.75","UHC","Commercial","",,"75",,"3424.29","1662.19","3519.66","percent of total billed charges",,
"COLPORRHAPHY, SUTURE OF VAGINA (NON-OB)","57200","HCPCS","Both",,,"4541.5","2270.75","Medicaid",,"",,"37",,"1662.19","1662.19","3519.66","percent of total billed charges",,
"VENTILATION ASSIST & MANAGEMENT","94002","HCPCS","Both",,,"815.04","407.52","Alliant","Health Exchange","",,"62",,"505.32","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST & MANAGEMENT","94002","HCPCS","Both",,,"815.04","407.52","Pruitt Healthcare","Medicare Advantage","",,"54",,"440.12","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST & MANAGEMENT","94002","HCPCS","Both",,,"815.04","407.52","Medicare",,"",,"54",,"441.75","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST & MANAGEMENT","94002","HCPCS","Both",,,"815.04","407.52","Humana","Medicare Advantage","",,"54",,"441.75","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST & MANAGEMENT","94002","HCPCS","Both",,,"815.04","407.52","UHC","Medicare Advantage","",,"54",,"441.75","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST & MANAGEMENT","94002","HCPCS","Both",,,"815.04","407.52","Clover","Medicare Advantage","",,"54",,"441.75","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST & MANAGEMENT","94002","HCPCS","Both",,,"815.04","407.52","Wellcare","Medicare Advantage","",,"54",,"441.75","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST & MANAGEMENT","94002","HCPCS","Both",,,"815.04","407.52","Amerigroup","Medicaid Managed Care","",,"37",,"298.3","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST & MANAGEMENT","94002","HCPCS","Both",,,"815.04","407.52","Caresource","Medicaid Managed Care","",,"40",,"326.02","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST & MANAGEMENT","94002","HCPCS","Both",,,"815.04","407.52","Wellcare","Medicaid Managed Care","",,"40",,"330.09","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST & MANAGEMENT","94002","HCPCS","Both",,,"815.04","407.52","Aetna","Commercial","",,"64",,"520","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST & MANAGEMENT","94002","HCPCS","Both",,,"815.04","407.52","Blue Cross Blue Shield","Pathways","",,"71",,"575.42","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST & MANAGEMENT","94002","HCPCS","Both",,,"815.04","407.52","Blue Cross Blue Shield","HMO","",,"71",,"575.42","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST & MANAGEMENT","94002","HCPCS","Both",,,"815.04","407.52","Blue Cross Blue Shield","PPO","",,"71",,"575.42","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST & MANAGEMENT","94002","HCPCS","Both",,,"815.04","407.52","Ambetter","Health Exchange","",,"62",,"505.32","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST & MANAGEMENT","94002","HCPCS","Both",,,"815.04","407.52","Caresource","Health Exchange","",,"62",,"505.32","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST & MANAGEMENT","94002","HCPCS","Both",,,"815.04","407.52","Cigna","Commercial","",,"59",,"477.61","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST & MANAGEMENT","94002","HCPCS","Both",,,"815.04","407.52","Humana","Commercial","",,"78",,"631.66","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST & MANAGEMENT","94002","HCPCS","Both",,,"815.04","407.52","UHC","Commercial","",,"75",,"614.54","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST & MANAGEMENT","94002","HCPCS","Both",,,"815.04","407.52","Medicaid",,"",,"37",,"298.3","177.69","631.66","percent of total billed charges",,
"CLOSED TX METATARSOPHALANGEAL JOINT","28630","HCPCS","Both",,,"418.5","209.25","Alliant","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX METATARSOPHALANGEAL JOINT","28630","HCPCS","Both",,,"418.5","209.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"225.99","153.17","324.34","percent of total billed charges",,
"CLOSED TX METATARSOPHALANGEAL JOINT","28630","HCPCS","Both",,,"418.5","209.25","Medicare",,"",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX METATARSOPHALANGEAL JOINT","28630","HCPCS","Both",,,"418.5","209.25","Humana","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX METATARSOPHALANGEAL JOINT","28630","HCPCS","Both",,,"418.5","209.25","UHC","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX METATARSOPHALANGEAL JOINT","28630","HCPCS","Both",,,"418.5","209.25","Clover","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX METATARSOPHALANGEAL JOINT","28630","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX METATARSOPHALANGEAL JOINT","28630","HCPCS","Both",,,"418.5","209.25","Amerigroup","Medicaid Managed Care","",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TX METATARSOPHALANGEAL JOINT","28630","HCPCS","Both",,,"418.5","209.25","Caresource","Medicaid Managed Care","",,"40",,"167.4","153.17","324.34","percent of total billed charges",,
"CLOSED TX METATARSOPHALANGEAL JOINT","28630","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicaid Managed Care","",,"40",,"169.49","153.17","324.34","percent of total billed charges",,
"CLOSED TX METATARSOPHALANGEAL JOINT","28630","HCPCS","Both",,,"418.5","209.25","Aetna","Commercial","",,"64",,"267","153.17","324.34","percent of total billed charges",,
"CLOSED TX METATARSOPHALANGEAL JOINT","28630","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","Pathways","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX METATARSOPHALANGEAL JOINT","28630","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","HMO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX METATARSOPHALANGEAL JOINT","28630","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","PPO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX METATARSOPHALANGEAL JOINT","28630","HCPCS","Both",,,"418.5","209.25","Ambetter","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX METATARSOPHALANGEAL JOINT","28630","HCPCS","Both",,,"418.5","209.25","Caresource","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX METATARSOPHALANGEAL JOINT","28630","HCPCS","Both",,,"418.5","209.25","Cigna","Commercial","",,"59",,"245.24","153.17","324.34","percent of total billed charges",,
"CLOSED TX METATARSOPHALANGEAL JOINT","28630","HCPCS","Both",,,"418.5","209.25","Humana","Commercial","",,"78",,"324.34","153.17","324.34","percent of total billed charges",,
"CLOSED TX METATARSOPHALANGEAL JOINT","28630","HCPCS","Both",,,"418.5","209.25","UHC","Commercial","",,"75",,"315.55","153.17","324.34","percent of total billed charges",,
"CLOSED TX METATARSOPHALANGEAL JOINT","28630","HCPCS","Both",,,"418.5","209.25","Medicaid",,"",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPAL DISLOCATION,TH","26641","HCPCS","Both",,,"418.5","209.25","Alliant","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPAL DISLOCATION,TH","26641","HCPCS","Both",,,"418.5","209.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"225.99","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPAL DISLOCATION,TH","26641","HCPCS","Both",,,"418.5","209.25","Medicare",,"",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPAL DISLOCATION,TH","26641","HCPCS","Both",,,"418.5","209.25","Humana","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPAL DISLOCATION,TH","26641","HCPCS","Both",,,"418.5","209.25","UHC","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPAL DISLOCATION,TH","26641","HCPCS","Both",,,"418.5","209.25","Clover","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPAL DISLOCATION,TH","26641","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPAL DISLOCATION,TH","26641","HCPCS","Both",,,"418.5","209.25","Amerigroup","Medicaid Managed Care","",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPAL DISLOCATION,TH","26641","HCPCS","Both",,,"418.5","209.25","Caresource","Medicaid Managed Care","",,"40",,"167.4","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPAL DISLOCATION,TH","26641","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicaid Managed Care","",,"40",,"169.49","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPAL DISLOCATION,TH","26641","HCPCS","Both",,,"418.5","209.25","Aetna","Commercial","",,"64",,"267","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPAL DISLOCATION,TH","26641","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","Pathways","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPAL DISLOCATION,TH","26641","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","HMO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPAL DISLOCATION,TH","26641","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","PPO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPAL DISLOCATION,TH","26641","HCPCS","Both",,,"418.5","209.25","Ambetter","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPAL DISLOCATION,TH","26641","HCPCS","Both",,,"418.5","209.25","Caresource","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPAL DISLOCATION,TH","26641","HCPCS","Both",,,"418.5","209.25","Cigna","Commercial","",,"59",,"245.24","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPAL DISLOCATION,TH","26641","HCPCS","Both",,,"418.5","209.25","Humana","Commercial","",,"78",,"324.34","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPAL DISLOCATION,TH","26641","HCPCS","Both",,,"418.5","209.25","UHC","Commercial","",,"75",,"315.55","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPAL DISLOCATION,TH","26641","HCPCS","Both",,,"418.5","209.25","Medicaid",,"",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 T0 2.0 CM","11402","HCPCS","Both",,,"160","80","Alliant","Health Exchange","",,"62",,"99.2","58.56","124","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 T0 2.0 CM","11402","HCPCS","Both",,,"160","80","Pruitt Healthcare","Medicare Advantage","",,"54",,"86.4","58.56","124","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 T0 2.0 CM","11402","HCPCS","Both",,,"160","80","Medicare",,"",,"54",,"86.72","58.56","124","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 T0 2.0 CM","11402","HCPCS","Both",,,"160","80","Humana","Medicare Advantage","",,"54",,"86.72","58.56","124","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 T0 2.0 CM","11402","HCPCS","Both",,,"160","80","UHC","Medicare Advantage","",,"54",,"86.72","58.56","124","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 T0 2.0 CM","11402","HCPCS","Both",,,"160","80","Clover","Medicare Advantage","",,"54",,"86.72","58.56","124","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 T0 2.0 CM","11402","HCPCS","Both",,,"160","80","Wellcare","Medicare Advantage","",,"54",,"86.72","58.56","124","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 T0 2.0 CM","11402","HCPCS","Both",,,"160","80","Amerigroup","Medicaid Managed Care","",,"37",,"58.56","58.56","124","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 T0 2.0 CM","11402","HCPCS","Both",,,"160","80","Caresource","Medicaid Managed Care","",,"40",,"64","58.56","124","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 T0 2.0 CM","11402","HCPCS","Both",,,"160","80","Wellcare","Medicaid Managed Care","",,"40",,"64.8","58.56","124","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 T0 2.0 CM","11402","HCPCS","Both",,,"160","80","Aetna","Commercial","",,"64",,"102.08","58.56","124","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 T0 2.0 CM","11402","HCPCS","Both",,,"160","80","Blue Cross Blue Shield","Pathways","",,"71",,"112.96","58.56","124","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 T0 2.0 CM","11402","HCPCS","Both",,,"160","80","Blue Cross Blue Shield","HMO","",,"71",,"112.96","58.56","124","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 T0 2.0 CM","11402","HCPCS","Both",,,"160","80","Blue Cross Blue Shield","PPO","",,"71",,"112.96","58.56","124","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 T0 2.0 CM","11402","HCPCS","Both",,,"160","80","Ambetter","Health Exchange","",,"62",,"99.2","58.56","124","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 T0 2.0 CM","11402","HCPCS","Both",,,"160","80","Caresource","Health Exchange","",,"62",,"99.2","58.56","124","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 T0 2.0 CM","11402","HCPCS","Both",,,"160","80","Cigna","Commercial","",,"59",,"93.76","58.56","124","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 T0 2.0 CM","11402","HCPCS","Both",,,"160","80","Humana","Commercial","",,"78",,"124","58.56","124","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 T0 2.0 CM","11402","HCPCS","Both",,,"160","80","UHC","Commercial","",,"75",,"120.64","58.56","124","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 T0 2.0 CM","11402","HCPCS","Both",,,"160","80","Medicaid",,"",,"37",,"58.56","58.56","124","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM TRUNK; @ add'l 5cm","13102","HCPCS","Both",,,"785.5","392.75","Alliant","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM TRUNK; @ add'l 5cm","13102","HCPCS","Both",,,"785.5","392.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"424.17","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM TRUNK; @ add'l 5cm","13102","HCPCS","Both",,,"785.5","392.75","Medicare",,"",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM TRUNK; @ add'l 5cm","13102","HCPCS","Both",,,"785.5","392.75","Humana","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM TRUNK; @ add'l 5cm","13102","HCPCS","Both",,,"785.5","392.75","UHC","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM TRUNK; @ add'l 5cm","13102","HCPCS","Both",,,"785.5","392.75","Clover","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM TRUNK; @ add'l 5cm","13102","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM TRUNK; @ add'l 5cm","13102","HCPCS","Both",,,"785.5","392.75","Amerigroup","Medicaid Managed Care","",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM TRUNK; @ add'l 5cm","13102","HCPCS","Both",,,"785.5","392.75","Caresource","Medicaid Managed Care","",,"40",,"314.2","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM TRUNK; @ add'l 5cm","13102","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicaid Managed Care","",,"40",,"318.13","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM TRUNK; @ add'l 5cm","13102","HCPCS","Both",,,"785.5","392.75","Aetna","Commercial","",,"64",,"501.15","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM TRUNK; @ add'l 5cm","13102","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","Pathways","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM TRUNK; @ add'l 5cm","13102","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","HMO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM TRUNK; @ add'l 5cm","13102","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","PPO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM TRUNK; @ add'l 5cm","13102","HCPCS","Both",,,"785.5","392.75","Ambetter","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM TRUNK; @ add'l 5cm","13102","HCPCS","Both",,,"785.5","392.75","Caresource","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM TRUNK; @ add'l 5cm","13102","HCPCS","Both",,,"785.5","392.75","Cigna","Commercial","",,"59",,"460.3","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM TRUNK; @ add'l 5cm","13102","HCPCS","Both",,,"785.5","392.75","Humana","Commercial","",,"78",,"608.76","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM TRUNK; @ add'l 5cm","13102","HCPCS","Both",,,"785.5","392.75","UHC","Commercial","",,"75",,"592.27","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.6CM-7.5CM TRUNK; @ add'l 5cm","13102","HCPCS","Both",,,"785.5","392.75","Medicaid",,"",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"WOUND CLOSURE BY ADHESIVE (DERMABOND)","G0168","HCPCS","Both",,,"23.5","11.75","Alliant","Health Exchange","",,"62",,"14.57","8.6","18.21","percent of total billed charges",,
"WOUND CLOSURE BY ADHESIVE (DERMABOND)","G0168","HCPCS","Both",,,"23.5","11.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"12.69","8.6","18.21","percent of total billed charges",,
"WOUND CLOSURE BY ADHESIVE (DERMABOND)","G0168","HCPCS","Both",,,"23.5","11.75","Medicare",,"",,"54",,"12.74","8.6","18.21","percent of total billed charges",,
"WOUND CLOSURE BY ADHESIVE (DERMABOND)","G0168","HCPCS","Both",,,"23.5","11.75","Humana","Medicare Advantage","",,"54",,"12.74","8.6","18.21","percent of total billed charges",,
"WOUND CLOSURE BY ADHESIVE (DERMABOND)","G0168","HCPCS","Both",,,"23.5","11.75","UHC","Medicare Advantage","",,"54",,"12.74","8.6","18.21","percent of total billed charges",,
"WOUND CLOSURE BY ADHESIVE (DERMABOND)","G0168","HCPCS","Both",,,"23.5","11.75","Clover","Medicare Advantage","",,"54",,"12.74","8.6","18.21","percent of total billed charges",,
"WOUND CLOSURE BY ADHESIVE (DERMABOND)","G0168","HCPCS","Both",,,"23.5","11.75","Wellcare","Medicare Advantage","",,"54",,"12.74","8.6","18.21","percent of total billed charges",,
"WOUND CLOSURE BY ADHESIVE (DERMABOND)","G0168","HCPCS","Both",,,"23.5","11.75","Amerigroup","Medicaid Managed Care","",,"37",,"8.6","8.6","18.21","percent of total billed charges",,
"WOUND CLOSURE BY ADHESIVE (DERMABOND)","G0168","HCPCS","Both",,,"23.5","11.75","Caresource","Medicaid Managed Care","",,"40",,"9.4","8.6","18.21","percent of total billed charges",,
"WOUND CLOSURE BY ADHESIVE (DERMABOND)","G0168","HCPCS","Both",,,"23.5","11.75","Wellcare","Medicaid Managed Care","",,"40",,"9.52","8.6","18.21","percent of total billed charges",,
"WOUND CLOSURE BY ADHESIVE (DERMABOND)","G0168","HCPCS","Both",,,"23.5","11.75","Aetna","Commercial","",,"64",,"14.99","8.6","18.21","percent of total billed charges",,
"WOUND CLOSURE BY ADHESIVE (DERMABOND)","G0168","HCPCS","Both",,,"23.5","11.75","Blue Cross Blue Shield","Pathways","",,"71",,"16.59","8.6","18.21","percent of total billed charges",,
"WOUND CLOSURE BY ADHESIVE (DERMABOND)","G0168","HCPCS","Both",,,"23.5","11.75","Blue Cross Blue Shield","HMO","",,"71",,"16.59","8.6","18.21","percent of total billed charges",,
"WOUND CLOSURE BY ADHESIVE (DERMABOND)","G0168","HCPCS","Both",,,"23.5","11.75","Blue Cross Blue Shield","PPO","",,"71",,"16.59","8.6","18.21","percent of total billed charges",,
"WOUND CLOSURE BY ADHESIVE (DERMABOND)","G0168","HCPCS","Both",,,"23.5","11.75","Ambetter","Health Exchange","",,"62",,"14.57","8.6","18.21","percent of total billed charges",,
"WOUND CLOSURE BY ADHESIVE (DERMABOND)","G0168","HCPCS","Both",,,"23.5","11.75","Caresource","Health Exchange","",,"62",,"14.57","8.6","18.21","percent of total billed charges",,
"WOUND CLOSURE BY ADHESIVE (DERMABOND)","G0168","HCPCS","Both",,,"23.5","11.75","Cigna","Commercial","",,"59",,"13.77","8.6","18.21","percent of total billed charges",,
"WOUND CLOSURE BY ADHESIVE (DERMABOND)","G0168","HCPCS","Both",,,"23.5","11.75","Humana","Commercial","",,"78",,"18.21","8.6","18.21","percent of total billed charges",,
"WOUND CLOSURE BY ADHESIVE (DERMABOND)","G0168","HCPCS","Both",,,"23.5","11.75","UHC","Commercial","",,"75",,"17.72","8.6","18.21","percent of total billed charges",,
"WOUND CLOSURE BY ADHESIVE (DERMABOND)","G0168","HCPCS","Both",,,"23.5","11.75","Medicaid",,"",,"37",,"8.6","8.6","18.21","percent of total billed charges",,
"DEBRIDEMENT LARGE  W/O ANESTHESIA","16030","HCPCS","Both",,,"325.5","162.75","Alliant","Health Exchange","",,"62",,"201.81","119.13","252.26","percent of total billed charges",,
"DEBRIDEMENT LARGE  W/O ANESTHESIA","16030","HCPCS","Both",,,"325.5","162.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"175.77","119.13","252.26","percent of total billed charges",,
"DEBRIDEMENT LARGE  W/O ANESTHESIA","16030","HCPCS","Both",,,"325.5","162.75","Medicare",,"",,"54",,"176.42","119.13","252.26","percent of total billed charges",,
"DEBRIDEMENT LARGE  W/O ANESTHESIA","16030","HCPCS","Both",,,"325.5","162.75","Humana","Medicare Advantage","",,"54",,"176.42","119.13","252.26","percent of total billed charges",,
"DEBRIDEMENT LARGE  W/O ANESTHESIA","16030","HCPCS","Both",,,"325.5","162.75","UHC","Medicare Advantage","",,"54",,"176.42","119.13","252.26","percent of total billed charges",,
"DEBRIDEMENT LARGE  W/O ANESTHESIA","16030","HCPCS","Both",,,"325.5","162.75","Clover","Medicare Advantage","",,"54",,"176.42","119.13","252.26","percent of total billed charges",,
"DEBRIDEMENT LARGE  W/O ANESTHESIA","16030","HCPCS","Both",,,"325.5","162.75","Wellcare","Medicare Advantage","",,"54",,"176.42","119.13","252.26","percent of total billed charges",,
"DEBRIDEMENT LARGE  W/O ANESTHESIA","16030","HCPCS","Both",,,"325.5","162.75","Amerigroup","Medicaid Managed Care","",,"37",,"119.13","119.13","252.26","percent of total billed charges",,
"DEBRIDEMENT LARGE  W/O ANESTHESIA","16030","HCPCS","Both",,,"325.5","162.75","Caresource","Medicaid Managed Care","",,"40",,"130.2","119.13","252.26","percent of total billed charges",,
"DEBRIDEMENT LARGE  W/O ANESTHESIA","16030","HCPCS","Both",,,"325.5","162.75","Wellcare","Medicaid Managed Care","",,"40",,"131.83","119.13","252.26","percent of total billed charges",,
"DEBRIDEMENT LARGE  W/O ANESTHESIA","16030","HCPCS","Both",,,"325.5","162.75","Aetna","Commercial","",,"64",,"207.67","119.13","252.26","percent of total billed charges",,
"DEBRIDEMENT LARGE  W/O ANESTHESIA","16030","HCPCS","Both",,,"325.5","162.75","Blue Cross Blue Shield","Pathways","",,"71",,"229.8","119.13","252.26","percent of total billed charges",,
"DEBRIDEMENT LARGE  W/O ANESTHESIA","16030","HCPCS","Both",,,"325.5","162.75","Blue Cross Blue Shield","HMO","",,"71",,"229.8","119.13","252.26","percent of total billed charges",,
"DEBRIDEMENT LARGE  W/O ANESTHESIA","16030","HCPCS","Both",,,"325.5","162.75","Blue Cross Blue Shield","PPO","",,"71",,"229.8","119.13","252.26","percent of total billed charges",,
"DEBRIDEMENT LARGE  W/O ANESTHESIA","16030","HCPCS","Both",,,"325.5","162.75","Ambetter","Health Exchange","",,"62",,"201.81","119.13","252.26","percent of total billed charges",,
"DEBRIDEMENT LARGE  W/O ANESTHESIA","16030","HCPCS","Both",,,"325.5","162.75","Caresource","Health Exchange","",,"62",,"201.81","119.13","252.26","percent of total billed charges",,
"DEBRIDEMENT LARGE  W/O ANESTHESIA","16030","HCPCS","Both",,,"325.5","162.75","Cigna","Commercial","",,"59",,"190.74","119.13","252.26","percent of total billed charges",,
"DEBRIDEMENT LARGE  W/O ANESTHESIA","16030","HCPCS","Both",,,"325.5","162.75","Humana","Commercial","",,"78",,"252.26","119.13","252.26","percent of total billed charges",,
"DEBRIDEMENT LARGE  W/O ANESTHESIA","16030","HCPCS","Both",,,"325.5","162.75","UHC","Commercial","",,"75",,"245.43","119.13","252.26","percent of total billed charges",,
"DEBRIDEMENT LARGE  W/O ANESTHESIA","16030","HCPCS","Both",,,"325.5","162.75","Medicaid",,"",,"37",,"119.13","119.13","252.26","percent of total billed charges",,
"REMOVAL EMBEDDED F.B., EYELID","67938","HCPCS","Both",,,"453","226.5","Alliant","Health Exchange","",,"62",,"280.86","165.8","351.08","percent of total billed charges",,
"REMOVAL EMBEDDED F.B., EYELID","67938","HCPCS","Both",,,"453","226.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"244.62","165.8","351.08","percent of total billed charges",,
"REMOVAL EMBEDDED F.B., EYELID","67938","HCPCS","Both",,,"453","226.5","Medicare",,"",,"54",,"245.53","165.8","351.08","percent of total billed charges",,
"REMOVAL EMBEDDED F.B., EYELID","67938","HCPCS","Both",,,"453","226.5","Humana","Medicare Advantage","",,"54",,"245.53","165.8","351.08","percent of total billed charges",,
"REMOVAL EMBEDDED F.B., EYELID","67938","HCPCS","Both",,,"453","226.5","UHC","Medicare Advantage","",,"54",,"245.53","165.8","351.08","percent of total billed charges",,
"REMOVAL EMBEDDED F.B., EYELID","67938","HCPCS","Both",,,"453","226.5","Clover","Medicare Advantage","",,"54",,"245.53","165.8","351.08","percent of total billed charges",,
"REMOVAL EMBEDDED F.B., EYELID","67938","HCPCS","Both",,,"453","226.5","Wellcare","Medicare Advantage","",,"54",,"245.53","165.8","351.08","percent of total billed charges",,
"REMOVAL EMBEDDED F.B., EYELID","67938","HCPCS","Both",,,"453","226.5","Amerigroup","Medicaid Managed Care","",,"37",,"165.8","165.8","351.08","percent of total billed charges",,
"REMOVAL EMBEDDED F.B., EYELID","67938","HCPCS","Both",,,"453","226.5","Caresource","Medicaid Managed Care","",,"40",,"181.2","165.8","351.08","percent of total billed charges",,
"REMOVAL EMBEDDED F.B., EYELID","67938","HCPCS","Both",,,"453","226.5","Wellcare","Medicaid Managed Care","",,"40",,"183.46","165.8","351.08","percent of total billed charges",,
"REMOVAL EMBEDDED F.B., EYELID","67938","HCPCS","Both",,,"453","226.5","Aetna","Commercial","",,"64",,"289.01","165.8","351.08","percent of total billed charges",,
"REMOVAL EMBEDDED F.B., EYELID","67938","HCPCS","Both",,,"453","226.5","Blue Cross Blue Shield","Pathways","",,"71",,"319.82","165.8","351.08","percent of total billed charges",,
"REMOVAL EMBEDDED F.B., EYELID","67938","HCPCS","Both",,,"453","226.5","Blue Cross Blue Shield","HMO","",,"71",,"319.82","165.8","351.08","percent of total billed charges",,
"REMOVAL EMBEDDED F.B., EYELID","67938","HCPCS","Both",,,"453","226.5","Blue Cross Blue Shield","PPO","",,"71",,"319.82","165.8","351.08","percent of total billed charges",,
"REMOVAL EMBEDDED F.B., EYELID","67938","HCPCS","Both",,,"453","226.5","Ambetter","Health Exchange","",,"62",,"280.86","165.8","351.08","percent of total billed charges",,
"REMOVAL EMBEDDED F.B., EYELID","67938","HCPCS","Both",,,"453","226.5","Caresource","Health Exchange","",,"62",,"280.86","165.8","351.08","percent of total billed charges",,
"REMOVAL EMBEDDED F.B., EYELID","67938","HCPCS","Both",,,"453","226.5","Cigna","Commercial","",,"59",,"265.46","165.8","351.08","percent of total billed charges",,
"REMOVAL EMBEDDED F.B., EYELID","67938","HCPCS","Both",,,"453","226.5","Humana","Commercial","",,"78",,"351.08","165.8","351.08","percent of total billed charges",,
"REMOVAL EMBEDDED F.B., EYELID","67938","HCPCS","Both",,,"453","226.5","UHC","Commercial","",,"75",,"341.56","165.8","351.08","percent of total billed charges",,
"REMOVAL EMBEDDED F.B., EYELID","67938","HCPCS","Both",,,"453","226.5","Medicaid",,"",,"37",,"165.8","165.8","351.08","percent of total billed charges",,
"EXCISION EXTERNAL EAR;PARTIAL;SIMPLE","69110","HCPCS","Both",,,"3502","1751","Alliant","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION EXTERNAL EAR;PARTIAL;SIMPLE","69110","HCPCS","Both",,,"3502","1751","Pruitt Healthcare","Medicare Advantage","",,"54",,"1891.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION EXTERNAL EAR;PARTIAL;SIMPLE","69110","HCPCS","Both",,,"3502","1751","Medicare",,"",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION EXTERNAL EAR;PARTIAL;SIMPLE","69110","HCPCS","Both",,,"3502","1751","Humana","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION EXTERNAL EAR;PARTIAL;SIMPLE","69110","HCPCS","Both",,,"3502","1751","UHC","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION EXTERNAL EAR;PARTIAL;SIMPLE","69110","HCPCS","Both",,,"3502","1751","Clover","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION EXTERNAL EAR;PARTIAL;SIMPLE","69110","HCPCS","Both",,,"3502","1751","Wellcare","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION EXTERNAL EAR;PARTIAL;SIMPLE","69110","HCPCS","Both",,,"3502","1751","Amerigroup","Medicaid Managed Care","",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"EXCISION EXTERNAL EAR;PARTIAL;SIMPLE","69110","HCPCS","Both",,,"3502","1751","Caresource","Medicaid Managed Care","",,"40",,"1400.8","1281.73","2714.05","percent of total billed charges",,
"EXCISION EXTERNAL EAR;PARTIAL;SIMPLE","69110","HCPCS","Both",,,"3502","1751","Wellcare","Medicaid Managed Care","",,"40",,"1418.31","1281.73","2714.05","percent of total billed charges",,
"EXCISION EXTERNAL EAR;PARTIAL;SIMPLE","69110","HCPCS","Both",,,"3502","1751","Aetna","Commercial","",,"64",,"2234.28","1281.73","2714.05","percent of total billed charges",,
"EXCISION EXTERNAL EAR;PARTIAL;SIMPLE","69110","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","Pathways","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION EXTERNAL EAR;PARTIAL;SIMPLE","69110","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","HMO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION EXTERNAL EAR;PARTIAL;SIMPLE","69110","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","PPO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION EXTERNAL EAR;PARTIAL;SIMPLE","69110","HCPCS","Both",,,"3502","1751","Ambetter","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION EXTERNAL EAR;PARTIAL;SIMPLE","69110","HCPCS","Both",,,"3502","1751","Caresource","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION EXTERNAL EAR;PARTIAL;SIMPLE","69110","HCPCS","Both",,,"3502","1751","Cigna","Commercial","",,"59",,"2052.17","1281.73","2714.05","percent of total billed charges",,
"EXCISION EXTERNAL EAR;PARTIAL;SIMPLE","69110","HCPCS","Both",,,"3502","1751","Humana","Commercial","",,"78",,"2714.05","1281.73","2714.05","percent of total billed charges",,
"EXCISION EXTERNAL EAR;PARTIAL;SIMPLE","69110","HCPCS","Both",,,"3502","1751","UHC","Commercial","",,"75",,"2640.51","1281.73","2714.05","percent of total billed charges",,
"EXCISION EXTERNAL EAR;PARTIAL;SIMPLE","69110","HCPCS","Both",,,"3502","1751","Medicaid",,"",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"ANOSCOPY; DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Alliant","Health Exchange","",,"62",,"96.41","56.91","120.51","percent of total billed charges",,
"ANOSCOPY; DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"83.97","56.91","120.51","percent of total billed charges",,
"ANOSCOPY; DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Medicare",,"",,"54",,"84.28","56.91","120.51","percent of total billed charges",,
"ANOSCOPY; DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Humana","Medicare Advantage","",,"54",,"84.28","56.91","120.51","percent of total billed charges",,
"ANOSCOPY; DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","UHC","Medicare Advantage","",,"54",,"84.28","56.91","120.51","percent of total billed charges",,
"ANOSCOPY; DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Clover","Medicare Advantage","",,"54",,"84.28","56.91","120.51","percent of total billed charges",,
"ANOSCOPY; DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Wellcare","Medicare Advantage","",,"54",,"84.28","56.91","120.51","percent of total billed charges",,
"ANOSCOPY; DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Amerigroup","Medicaid Managed Care","",,"37",,"56.91","56.91","120.51","percent of total billed charges",,
"ANOSCOPY; DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Caresource","Medicaid Managed Care","",,"40",,"62.2","56.91","120.51","percent of total billed charges",,
"ANOSCOPY; DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Wellcare","Medicaid Managed Care","",,"40",,"62.98","56.91","120.51","percent of total billed charges",,
"ANOSCOPY; DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Aetna","Commercial","",,"64",,"99.21","56.91","120.51","percent of total billed charges",,
"ANOSCOPY; DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Blue Cross Blue Shield","Pathways","",,"71",,"109.78","56.91","120.51","percent of total billed charges",,
"ANOSCOPY; DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Blue Cross Blue Shield","HMO","",,"71",,"109.78","56.91","120.51","percent of total billed charges",,
"ANOSCOPY; DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Blue Cross Blue Shield","PPO","",,"71",,"109.78","56.91","120.51","percent of total billed charges",,
"ANOSCOPY; DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Ambetter","Health Exchange","",,"62",,"96.41","56.91","120.51","percent of total billed charges",,
"ANOSCOPY; DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Caresource","Health Exchange","",,"62",,"96.41","56.91","120.51","percent of total billed charges",,
"ANOSCOPY; DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Cigna","Commercial","",,"59",,"91.12","56.91","120.51","percent of total billed charges",,
"ANOSCOPY; DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Humana","Commercial","",,"78",,"120.51","56.91","120.51","percent of total billed charges",,
"ANOSCOPY; DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","UHC","Commercial","",,"75",,"117.25","56.91","120.51","percent of total billed charges",,
"ANOSCOPY; DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Medicaid",,"",,"37",,"56.91","56.91","120.51","percent of total billed charges",,
"REPAIR, PRIMARY, ACHILLES TENDON","27650","HCPCS","Both",,,"10730.5","5365.25","Alliant","Health Exchange","",,"62",,"6652.91","3927.36","8316.14","percent of total billed charges",,
"REPAIR, PRIMARY, ACHILLES TENDON","27650","HCPCS","Both",,,"10730.5","5365.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"5794.47","3927.36","8316.14","percent of total billed charges",,
"REPAIR, PRIMARY, ACHILLES TENDON","27650","HCPCS","Both",,,"10730.5","5365.25","Medicare",,"",,"54",,"5815.93","3927.36","8316.14","percent of total billed charges",,
"REPAIR, PRIMARY, ACHILLES TENDON","27650","HCPCS","Both",,,"10730.5","5365.25","Humana","Medicare Advantage","",,"54",,"5815.93","3927.36","8316.14","percent of total billed charges",,
"REPAIR, PRIMARY, ACHILLES TENDON","27650","HCPCS","Both",,,"10730.5","5365.25","UHC","Medicare Advantage","",,"54",,"5815.93","3927.36","8316.14","percent of total billed charges",,
"REPAIR, PRIMARY, ACHILLES TENDON","27650","HCPCS","Both",,,"10730.5","5365.25","Clover","Medicare Advantage","",,"54",,"5815.93","3927.36","8316.14","percent of total billed charges",,
"REPAIR, PRIMARY, ACHILLES TENDON","27650","HCPCS","Both",,,"10730.5","5365.25","Wellcare","Medicare Advantage","",,"54",,"5815.93","3927.36","8316.14","percent of total billed charges",,
"REPAIR, PRIMARY, ACHILLES TENDON","27650","HCPCS","Both",,,"10730.5","5365.25","Amerigroup","Medicaid Managed Care","",,"37",,"3927.36","3927.36","8316.14","percent of total billed charges",,
"REPAIR, PRIMARY, ACHILLES TENDON","27650","HCPCS","Both",,,"10730.5","5365.25","Caresource","Medicaid Managed Care","",,"40",,"4292.2","3927.36","8316.14","percent of total billed charges",,
"REPAIR, PRIMARY, ACHILLES TENDON","27650","HCPCS","Both",,,"10730.5","5365.25","Wellcare","Medicaid Managed Care","",,"40",,"4345.85","3927.36","8316.14","percent of total billed charges",,
"REPAIR, PRIMARY, ACHILLES TENDON","27650","HCPCS","Both",,,"10730.5","5365.25","Aetna","Commercial","",,"64",,"6846.06","3927.36","8316.14","percent of total billed charges",,
"REPAIR, PRIMARY, ACHILLES TENDON","27650","HCPCS","Both",,,"10730.5","5365.25","Blue Cross Blue Shield","Pathways","",,"71",,"7575.73","3927.36","8316.14","percent of total billed charges",,
"REPAIR, PRIMARY, ACHILLES TENDON","27650","HCPCS","Both",,,"10730.5","5365.25","Blue Cross Blue Shield","HMO","",,"71",,"7575.73","3927.36","8316.14","percent of total billed charges",,
"REPAIR, PRIMARY, ACHILLES TENDON","27650","HCPCS","Both",,,"10730.5","5365.25","Blue Cross Blue Shield","PPO","",,"71",,"7575.73","3927.36","8316.14","percent of total billed charges",,
"REPAIR, PRIMARY, ACHILLES TENDON","27650","HCPCS","Both",,,"10730.5","5365.25","Ambetter","Health Exchange","",,"62",,"6652.91","3927.36","8316.14","percent of total billed charges",,
"REPAIR, PRIMARY, ACHILLES TENDON","27650","HCPCS","Both",,,"10730.5","5365.25","Caresource","Health Exchange","",,"62",,"6652.91","3927.36","8316.14","percent of total billed charges",,
"REPAIR, PRIMARY, ACHILLES TENDON","27650","HCPCS","Both",,,"10730.5","5365.25","Cigna","Commercial","",,"59",,"6288.07","3927.36","8316.14","percent of total billed charges",,
"REPAIR, PRIMARY, ACHILLES TENDON","27650","HCPCS","Both",,,"10730.5","5365.25","Humana","Commercial","",,"78",,"8316.14","3927.36","8316.14","percent of total billed charges",,
"REPAIR, PRIMARY, ACHILLES TENDON","27650","HCPCS","Both",,,"10730.5","5365.25","UHC","Commercial","",,"75",,"8090.8","3927.36","8316.14","percent of total billed charges",,
"REPAIR, PRIMARY, ACHILLES TENDON","27650","HCPCS","Both",,,"10730.5","5365.25","Medicaid",,"",,"37",,"3927.36","3927.36","8316.14","percent of total billed charges",,
"I & D SCROTAL WALL ABSCESS","55100","HCPCS","Both",,,"2265.5","1132.75","Alliant","Health Exchange","",,"62",,"1404.61","829.17","1755.76","percent of total billed charges",,
"I & D SCROTAL WALL ABSCESS","55100","HCPCS","Both",,,"2265.5","1132.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"1223.37","829.17","1755.76","percent of total billed charges",,
"I & D SCROTAL WALL ABSCESS","55100","HCPCS","Both",,,"2265.5","1132.75","Medicare",,"",,"54",,"1227.9","829.17","1755.76","percent of total billed charges",,
"I & D SCROTAL WALL ABSCESS","55100","HCPCS","Both",,,"2265.5","1132.75","Humana","Medicare Advantage","",,"54",,"1227.9","829.17","1755.76","percent of total billed charges",,
"I & D SCROTAL WALL ABSCESS","55100","HCPCS","Both",,,"2265.5","1132.75","UHC","Medicare Advantage","",,"54",,"1227.9","829.17","1755.76","percent of total billed charges",,
"I & D SCROTAL WALL ABSCESS","55100","HCPCS","Both",,,"2265.5","1132.75","Clover","Medicare Advantage","",,"54",,"1227.9","829.17","1755.76","percent of total billed charges",,
"I & D SCROTAL WALL ABSCESS","55100","HCPCS","Both",,,"2265.5","1132.75","Wellcare","Medicare Advantage","",,"54",,"1227.9","829.17","1755.76","percent of total billed charges",,
"I & D SCROTAL WALL ABSCESS","55100","HCPCS","Both",,,"2265.5","1132.75","Amerigroup","Medicaid Managed Care","",,"37",,"829.17","829.17","1755.76","percent of total billed charges",,
"I & D SCROTAL WALL ABSCESS","55100","HCPCS","Both",,,"2265.5","1132.75","Caresource","Medicaid Managed Care","",,"40",,"906.2","829.17","1755.76","percent of total billed charges",,
"I & D SCROTAL WALL ABSCESS","55100","HCPCS","Both",,,"2265.5","1132.75","Wellcare","Medicaid Managed Care","",,"40",,"917.53","829.17","1755.76","percent of total billed charges",,
"I & D SCROTAL WALL ABSCESS","55100","HCPCS","Both",,,"2265.5","1132.75","Aetna","Commercial","",,"64",,"1445.39","829.17","1755.76","percent of total billed charges",,
"I & D SCROTAL WALL ABSCESS","55100","HCPCS","Both",,,"2265.5","1132.75","Blue Cross Blue Shield","Pathways","",,"71",,"1599.44","829.17","1755.76","percent of total billed charges",,
"I & D SCROTAL WALL ABSCESS","55100","HCPCS","Both",,,"2265.5","1132.75","Blue Cross Blue Shield","HMO","",,"71",,"1599.44","829.17","1755.76","percent of total billed charges",,
"I & D SCROTAL WALL ABSCESS","55100","HCPCS","Both",,,"2265.5","1132.75","Blue Cross Blue Shield","PPO","",,"71",,"1599.44","829.17","1755.76","percent of total billed charges",,
"I & D SCROTAL WALL ABSCESS","55100","HCPCS","Both",,,"2265.5","1132.75","Ambetter","Health Exchange","",,"62",,"1404.61","829.17","1755.76","percent of total billed charges",,
"I & D SCROTAL WALL ABSCESS","55100","HCPCS","Both",,,"2265.5","1132.75","Caresource","Health Exchange","",,"62",,"1404.61","829.17","1755.76","percent of total billed charges",,
"I & D SCROTAL WALL ABSCESS","55100","HCPCS","Both",,,"2265.5","1132.75","Cigna","Commercial","",,"59",,"1327.58","829.17","1755.76","percent of total billed charges",,
"I & D SCROTAL WALL ABSCESS","55100","HCPCS","Both",,,"2265.5","1132.75","Humana","Commercial","",,"78",,"1755.76","829.17","1755.76","percent of total billed charges",,
"I & D SCROTAL WALL ABSCESS","55100","HCPCS","Both",,,"2265.5","1132.75","UHC","Commercial","",,"75",,"1708.19","829.17","1755.76","percent of total billed charges",,
"I & D SCROTAL WALL ABSCESS","55100","HCPCS","Both",,,"2265.5","1132.75","Medicaid",,"",,"37",,"829.17","829.17","1755.76","percent of total billed charges",,
"SIMPLE REPAIR OVER 30.0cm","12007","HCPCS","Both",,,"186.5","93.25","Alliant","Health Exchange","",,"62",,"115.63","68.26","144.54","percent of total billed charges",,
"SIMPLE REPAIR OVER 30.0cm","12007","HCPCS","Both",,,"186.5","93.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"100.71","68.26","144.54","percent of total billed charges",,
"SIMPLE REPAIR OVER 30.0cm","12007","HCPCS","Both",,,"186.5","93.25","Medicare",,"",,"54",,"101.08","68.26","144.54","percent of total billed charges",,
"SIMPLE REPAIR OVER 30.0cm","12007","HCPCS","Both",,,"186.5","93.25","Humana","Medicare Advantage","",,"54",,"101.08","68.26","144.54","percent of total billed charges",,
"SIMPLE REPAIR OVER 30.0cm","12007","HCPCS","Both",,,"186.5","93.25","UHC","Medicare Advantage","",,"54",,"101.08","68.26","144.54","percent of total billed charges",,
"SIMPLE REPAIR OVER 30.0cm","12007","HCPCS","Both",,,"186.5","93.25","Clover","Medicare Advantage","",,"54",,"101.08","68.26","144.54","percent of total billed charges",,
"SIMPLE REPAIR OVER 30.0cm","12007","HCPCS","Both",,,"186.5","93.25","Wellcare","Medicare Advantage","",,"54",,"101.08","68.26","144.54","percent of total billed charges",,
"SIMPLE REPAIR OVER 30.0cm","12007","HCPCS","Both",,,"186.5","93.25","Amerigroup","Medicaid Managed Care","",,"37",,"68.26","68.26","144.54","percent of total billed charges",,
"SIMPLE REPAIR OVER 30.0cm","12007","HCPCS","Both",,,"186.5","93.25","Caresource","Medicaid Managed Care","",,"40",,"74.6","68.26","144.54","percent of total billed charges",,
"SIMPLE REPAIR OVER 30.0cm","12007","HCPCS","Both",,,"186.5","93.25","Wellcare","Medicaid Managed Care","",,"40",,"75.53","68.26","144.54","percent of total billed charges",,
"SIMPLE REPAIR OVER 30.0cm","12007","HCPCS","Both",,,"186.5","93.25","Aetna","Commercial","",,"64",,"118.99","68.26","144.54","percent of total billed charges",,
"SIMPLE REPAIR OVER 30.0cm","12007","HCPCS","Both",,,"186.5","93.25","Blue Cross Blue Shield","Pathways","",,"71",,"131.67","68.26","144.54","percent of total billed charges",,
"SIMPLE REPAIR OVER 30.0cm","12007","HCPCS","Both",,,"186.5","93.25","Blue Cross Blue Shield","HMO","",,"71",,"131.67","68.26","144.54","percent of total billed charges",,
"SIMPLE REPAIR OVER 30.0cm","12007","HCPCS","Both",,,"186.5","93.25","Blue Cross Blue Shield","PPO","",,"71",,"131.67","68.26","144.54","percent of total billed charges",,
"SIMPLE REPAIR OVER 30.0cm","12007","HCPCS","Both",,,"186.5","93.25","Ambetter","Health Exchange","",,"62",,"115.63","68.26","144.54","percent of total billed charges",,
"SIMPLE REPAIR OVER 30.0cm","12007","HCPCS","Both",,,"186.5","93.25","Caresource","Health Exchange","",,"62",,"115.63","68.26","144.54","percent of total billed charges",,
"SIMPLE REPAIR OVER 30.0cm","12007","HCPCS","Both",,,"186.5","93.25","Cigna","Commercial","",,"59",,"109.29","68.26","144.54","percent of total billed charges",,
"SIMPLE REPAIR OVER 30.0cm","12007","HCPCS","Both",,,"186.5","93.25","Humana","Commercial","",,"78",,"144.54","68.26","144.54","percent of total billed charges",,
"SIMPLE REPAIR OVER 30.0cm","12007","HCPCS","Both",,,"186.5","93.25","UHC","Commercial","",,"75",,"140.62","68.26","144.54","percent of total billed charges",,
"SIMPLE REPAIR OVER 30.0cm","12007","HCPCS","Both",,,"186.5","93.25","Medicaid",,"",,"37",,"68.26","68.26","144.54","percent of total billed charges",,
"CHEMICAL CAUTERY TISSUE","17250","HCPCS","Both",,,"84","42","Alliant","Health Exchange","",,"62",,"52.08","30.74","65.1","percent of total billed charges",,
"CHEMICAL CAUTERY TISSUE","17250","HCPCS","Both",,,"84","42","Pruitt Healthcare","Medicare Advantage","",,"54",,"45.36","30.74","65.1","percent of total billed charges",,
"CHEMICAL CAUTERY TISSUE","17250","HCPCS","Both",,,"84","42","Medicare",,"",,"54",,"45.53","30.74","65.1","percent of total billed charges",,
"CHEMICAL CAUTERY TISSUE","17250","HCPCS","Both",,,"84","42","Humana","Medicare Advantage","",,"54",,"45.53","30.74","65.1","percent of total billed charges",,
"CHEMICAL CAUTERY TISSUE","17250","HCPCS","Both",,,"84","42","UHC","Medicare Advantage","",,"54",,"45.53","30.74","65.1","percent of total billed charges",,
"CHEMICAL CAUTERY TISSUE","17250","HCPCS","Both",,,"84","42","Clover","Medicare Advantage","",,"54",,"45.53","30.74","65.1","percent of total billed charges",,
"CHEMICAL CAUTERY TISSUE","17250","HCPCS","Both",,,"84","42","Wellcare","Medicare Advantage","",,"54",,"45.53","30.74","65.1","percent of total billed charges",,
"CHEMICAL CAUTERY TISSUE","17250","HCPCS","Both",,,"84","42","Amerigroup","Medicaid Managed Care","",,"37",,"30.74","30.74","65.1","percent of total billed charges",,
"CHEMICAL CAUTERY TISSUE","17250","HCPCS","Both",,,"84","42","Caresource","Medicaid Managed Care","",,"40",,"33.6","30.74","65.1","percent of total billed charges",,
"CHEMICAL CAUTERY TISSUE","17250","HCPCS","Both",,,"84","42","Wellcare","Medicaid Managed Care","",,"40",,"34.02","30.74","65.1","percent of total billed charges",,
"CHEMICAL CAUTERY TISSUE","17250","HCPCS","Both",,,"84","42","Aetna","Commercial","",,"64",,"53.59","30.74","65.1","percent of total billed charges",,
"CHEMICAL CAUTERY TISSUE","17250","HCPCS","Both",,,"84","42","Blue Cross Blue Shield","Pathways","",,"71",,"59.3","30.74","65.1","percent of total billed charges",,
"CHEMICAL CAUTERY TISSUE","17250","HCPCS","Both",,,"84","42","Blue Cross Blue Shield","HMO","",,"71",,"59.3","30.74","65.1","percent of total billed charges",,
"CHEMICAL CAUTERY TISSUE","17250","HCPCS","Both",,,"84","42","Blue Cross Blue Shield","PPO","",,"71",,"59.3","30.74","65.1","percent of total billed charges",,
"CHEMICAL CAUTERY TISSUE","17250","HCPCS","Both",,,"84","42","Ambetter","Health Exchange","",,"62",,"52.08","30.74","65.1","percent of total billed charges",,
"CHEMICAL CAUTERY TISSUE","17250","HCPCS","Both",,,"84","42","Caresource","Health Exchange","",,"62",,"52.08","30.74","65.1","percent of total billed charges",,
"CHEMICAL CAUTERY TISSUE","17250","HCPCS","Both",,,"84","42","Cigna","Commercial","",,"59",,"49.22","30.74","65.1","percent of total billed charges",,
"CHEMICAL CAUTERY TISSUE","17250","HCPCS","Both",,,"84","42","Humana","Commercial","",,"78",,"65.1","30.74","65.1","percent of total billed charges",,
"CHEMICAL CAUTERY TISSUE","17250","HCPCS","Both",,,"84","42","UHC","Commercial","",,"75",,"63.34","30.74","65.1","percent of total billed charges",,
"CHEMICAL CAUTERY TISSUE","17250","HCPCS","Both",,,"84","42","Medicaid",,"",,"37",,"30.74","30.74","65.1","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE,CORNE","65220","HCPCS","Both",,,"80","40","Alliant","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE,CORNE","65220","HCPCS","Both",,,"80","40","Pruitt Healthcare","Medicare Advantage","",,"54",,"43.2","29.28","62","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE,CORNE","65220","HCPCS","Both",,,"80","40","Medicare",,"",,"54",,"43.36","29.28","62","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE,CORNE","65220","HCPCS","Both",,,"80","40","Humana","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE,CORNE","65220","HCPCS","Both",,,"80","40","UHC","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE,CORNE","65220","HCPCS","Both",,,"80","40","Clover","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE,CORNE","65220","HCPCS","Both",,,"80","40","Wellcare","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE,CORNE","65220","HCPCS","Both",,,"80","40","Amerigroup","Medicaid Managed Care","",,"37",,"29.28","29.28","62","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE,CORNE","65220","HCPCS","Both",,,"80","40","Caresource","Medicaid Managed Care","",,"40",,"32","29.28","62","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE,CORNE","65220","HCPCS","Both",,,"80","40","Wellcare","Medicaid Managed Care","",,"40",,"32.4","29.28","62","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE,CORNE","65220","HCPCS","Both",,,"80","40","Aetna","Commercial","",,"64",,"51.04","29.28","62","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE,CORNE","65220","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","Pathways","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE,CORNE","65220","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","HMO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE,CORNE","65220","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","PPO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE,CORNE","65220","HCPCS","Both",,,"80","40","Ambetter","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE,CORNE","65220","HCPCS","Both",,,"80","40","Caresource","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE,CORNE","65220","HCPCS","Both",,,"80","40","Cigna","Commercial","",,"59",,"46.88","29.28","62","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE,CORNE","65220","HCPCS","Both",,,"80","40","Humana","Commercial","",,"78",,"62","29.28","62","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE,CORNE","65220","HCPCS","Both",,,"80","40","UHC","Commercial","",,"75",,"60.32","29.28","62","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE,CORNE","65220","HCPCS","Both",,,"80","40","Medicaid",,"",,"37",,"29.28","29.28","62","percent of total billed charges",,
"REMOVAL OF FOREIGN BODY, FOOT;SUBCUTANEO","28193","HCPCS","Both",,,"1823","911.5","Alliant","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"REMOVAL OF FOREIGN BODY, FOOT;SUBCUTANEO","28193","HCPCS","Both",,,"1823","911.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"984.42","667.22","1412.82","percent of total billed charges",,
"REMOVAL OF FOREIGN BODY, FOOT;SUBCUTANEO","28193","HCPCS","Both",,,"1823","911.5","Medicare",,"",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"REMOVAL OF FOREIGN BODY, FOOT;SUBCUTANEO","28193","HCPCS","Both",,,"1823","911.5","Humana","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"REMOVAL OF FOREIGN BODY, FOOT;SUBCUTANEO","28193","HCPCS","Both",,,"1823","911.5","UHC","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"REMOVAL OF FOREIGN BODY, FOOT;SUBCUTANEO","28193","HCPCS","Both",,,"1823","911.5","Clover","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"REMOVAL OF FOREIGN BODY, FOOT;SUBCUTANEO","28193","HCPCS","Both",,,"1823","911.5","Wellcare","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"REMOVAL OF FOREIGN BODY, FOOT;SUBCUTANEO","28193","HCPCS","Both",,,"1823","911.5","Amerigroup","Medicaid Managed Care","",,"37",,"667.22","667.22","1412.82","percent of total billed charges",,
"REMOVAL OF FOREIGN BODY, FOOT;SUBCUTANEO","28193","HCPCS","Both",,,"1823","911.5","Caresource","Medicaid Managed Care","",,"40",,"729.2","667.22","1412.82","percent of total billed charges",,
"REMOVAL OF FOREIGN BODY, FOOT;SUBCUTANEO","28193","HCPCS","Both",,,"1823","911.5","Wellcare","Medicaid Managed Care","",,"40",,"738.32","667.22","1412.82","percent of total billed charges",,
"REMOVAL OF FOREIGN BODY, FOOT;SUBCUTANEO","28193","HCPCS","Both",,,"1823","911.5","Aetna","Commercial","",,"64",,"1163.07","667.22","1412.82","percent of total billed charges",,
"REMOVAL OF FOREIGN BODY, FOOT;SUBCUTANEO","28193","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","Pathways","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"REMOVAL OF FOREIGN BODY, FOOT;SUBCUTANEO","28193","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","HMO","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"REMOVAL OF FOREIGN BODY, FOOT;SUBCUTANEO","28193","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","PPO","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"REMOVAL OF FOREIGN BODY, FOOT;SUBCUTANEO","28193","HCPCS","Both",,,"1823","911.5","Ambetter","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"REMOVAL OF FOREIGN BODY, FOOT;SUBCUTANEO","28193","HCPCS","Both",,,"1823","911.5","Caresource","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"REMOVAL OF FOREIGN BODY, FOOT;SUBCUTANEO","28193","HCPCS","Both",,,"1823","911.5","Cigna","Commercial","",,"59",,"1068.28","667.22","1412.82","percent of total billed charges",,
"REMOVAL OF FOREIGN BODY, FOOT;SUBCUTANEO","28193","HCPCS","Both",,,"1823","911.5","Humana","Commercial","",,"78",,"1412.82","667.22","1412.82","percent of total billed charges",,
"REMOVAL OF FOREIGN BODY, FOOT;SUBCUTANEO","28193","HCPCS","Both",,,"1823","911.5","UHC","Commercial","",,"75",,"1374.54","667.22","1412.82","percent of total billed charges",,
"REMOVAL OF FOREIGN BODY, FOOT;SUBCUTANEO","28193","HCPCS","Both",,,"1823","911.5","Medicaid",,"",,"37",,"667.22","667.22","1412.82","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","46050","HCPCS","Both",,,"1372","686","Alliant","Health Exchange","",,"62",,"850.64","502.15","1063.3","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","46050","HCPCS","Both",,,"1372","686","Pruitt Healthcare","Medicare Advantage","",,"54",,"740.88","502.15","1063.3","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","46050","HCPCS","Both",,,"1372","686","Medicare",,"",,"54",,"743.62","502.15","1063.3","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","46050","HCPCS","Both",,,"1372","686","Humana","Medicare Advantage","",,"54",,"743.62","502.15","1063.3","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","46050","HCPCS","Both",,,"1372","686","UHC","Medicare Advantage","",,"54",,"743.62","502.15","1063.3","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","46050","HCPCS","Both",,,"1372","686","Clover","Medicare Advantage","",,"54",,"743.62","502.15","1063.3","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","46050","HCPCS","Both",,,"1372","686","Wellcare","Medicare Advantage","",,"54",,"743.62","502.15","1063.3","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","46050","HCPCS","Both",,,"1372","686","Amerigroup","Medicaid Managed Care","",,"37",,"502.15","502.15","1063.3","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","46050","HCPCS","Both",,,"1372","686","Caresource","Medicaid Managed Care","",,"40",,"548.8","502.15","1063.3","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","46050","HCPCS","Both",,,"1372","686","Wellcare","Medicaid Managed Care","",,"40",,"555.66","502.15","1063.3","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","46050","HCPCS","Both",,,"1372","686","Aetna","Commercial","",,"64",,"875.34","502.15","1063.3","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","46050","HCPCS","Both",,,"1372","686","Blue Cross Blue Shield","Pathways","",,"71",,"968.63","502.15","1063.3","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","46050","HCPCS","Both",,,"1372","686","Blue Cross Blue Shield","HMO","",,"71",,"968.63","502.15","1063.3","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","46050","HCPCS","Both",,,"1372","686","Blue Cross Blue Shield","PPO","",,"71",,"968.63","502.15","1063.3","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","46050","HCPCS","Both",,,"1372","686","Ambetter","Health Exchange","",,"62",,"850.64","502.15","1063.3","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","46050","HCPCS","Both",,,"1372","686","Caresource","Health Exchange","",,"62",,"850.64","502.15","1063.3","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","46050","HCPCS","Both",,,"1372","686","Cigna","Commercial","",,"59",,"803.99","502.15","1063.3","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","46050","HCPCS","Both",,,"1372","686","Humana","Commercial","",,"78",,"1063.3","502.15","1063.3","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","46050","HCPCS","Both",,,"1372","686","UHC","Commercial","",,"75",,"1034.49","502.15","1063.3","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","46050","HCPCS","Both",,,"1372","686","Medicaid",,"",,"37",,"502.15","502.15","1063.3","percent of total billed charges",,
"ARTERIAL CATHETERIZATION OR CANNULATION","36620","HCPCS","Both",,,"124.5","62.25","Alliant","Health Exchange","",,"62",,"77.19","45.57","96.49","percent of total billed charges",,
"ARTERIAL CATHETERIZATION OR CANNULATION","36620","HCPCS","Both",,,"124.5","62.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"67.23","45.57","96.49","percent of total billed charges",,
"ARTERIAL CATHETERIZATION OR CANNULATION","36620","HCPCS","Both",,,"124.5","62.25","Medicare",,"",,"54",,"67.48","45.57","96.49","percent of total billed charges",,
"ARTERIAL CATHETERIZATION OR CANNULATION","36620","HCPCS","Both",,,"124.5","62.25","Humana","Medicare Advantage","",,"54",,"67.48","45.57","96.49","percent of total billed charges",,
"ARTERIAL CATHETERIZATION OR CANNULATION","36620","HCPCS","Both",,,"124.5","62.25","UHC","Medicare Advantage","",,"54",,"67.48","45.57","96.49","percent of total billed charges",,
"ARTERIAL CATHETERIZATION OR CANNULATION","36620","HCPCS","Both",,,"124.5","62.25","Clover","Medicare Advantage","",,"54",,"67.48","45.57","96.49","percent of total billed charges",,
"ARTERIAL CATHETERIZATION OR CANNULATION","36620","HCPCS","Both",,,"124.5","62.25","Wellcare","Medicare Advantage","",,"54",,"67.48","45.57","96.49","percent of total billed charges",,
"ARTERIAL CATHETERIZATION OR CANNULATION","36620","HCPCS","Both",,,"124.5","62.25","Amerigroup","Medicaid Managed Care","",,"37",,"45.57","45.57","96.49","percent of total billed charges",,
"ARTERIAL CATHETERIZATION OR CANNULATION","36620","HCPCS","Both",,,"124.5","62.25","Caresource","Medicaid Managed Care","",,"40",,"49.8","45.57","96.49","percent of total billed charges",,
"ARTERIAL CATHETERIZATION OR CANNULATION","36620","HCPCS","Both",,,"124.5","62.25","Wellcare","Medicaid Managed Care","",,"40",,"50.42","45.57","96.49","percent of total billed charges",,
"ARTERIAL CATHETERIZATION OR CANNULATION","36620","HCPCS","Both",,,"124.5","62.25","Aetna","Commercial","",,"64",,"79.43","45.57","96.49","percent of total billed charges",,
"ARTERIAL CATHETERIZATION OR CANNULATION","36620","HCPCS","Both",,,"124.5","62.25","Blue Cross Blue Shield","Pathways","",,"71",,"87.9","45.57","96.49","percent of total billed charges",,
"ARTERIAL CATHETERIZATION OR CANNULATION","36620","HCPCS","Both",,,"124.5","62.25","Blue Cross Blue Shield","HMO","",,"71",,"87.9","45.57","96.49","percent of total billed charges",,
"ARTERIAL CATHETERIZATION OR CANNULATION","36620","HCPCS","Both",,,"124.5","62.25","Blue Cross Blue Shield","PPO","",,"71",,"87.9","45.57","96.49","percent of total billed charges",,
"ARTERIAL CATHETERIZATION OR CANNULATION","36620","HCPCS","Both",,,"124.5","62.25","Ambetter","Health Exchange","",,"62",,"77.19","45.57","96.49","percent of total billed charges",,
"ARTERIAL CATHETERIZATION OR CANNULATION","36620","HCPCS","Both",,,"124.5","62.25","Caresource","Health Exchange","",,"62",,"77.19","45.57","96.49","percent of total billed charges",,
"ARTERIAL CATHETERIZATION OR CANNULATION","36620","HCPCS","Both",,,"124.5","62.25","Cigna","Commercial","",,"59",,"72.96","45.57","96.49","percent of total billed charges",,
"ARTERIAL CATHETERIZATION OR CANNULATION","36620","HCPCS","Both",,,"124.5","62.25","Humana","Commercial","",,"78",,"96.49","45.57","96.49","percent of total billed charges",,
"ARTERIAL CATHETERIZATION OR CANNULATION","36620","HCPCS","Both",,,"124.5","62.25","UHC","Commercial","",,"75",,"93.87","45.57","96.49","percent of total billed charges",,
"ARTERIAL CATHETERIZATION OR CANNULATION","36620","HCPCS","Both",,,"124.5","62.25","Medicaid",,"",,"37",,"45.57","45.57","96.49","percent of total billed charges",,
"APPLICATION,CAST,ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Alliant","Health Exchange","",,"62",,"53.94","31.84","67.42","percent of total billed charges",,
"APPLICATION,CAST,ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"46.98","31.84","67.42","percent of total billed charges",,
"APPLICATION,CAST,ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Medicare",,"",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"APPLICATION,CAST,ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Humana","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"APPLICATION,CAST,ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","UHC","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"APPLICATION,CAST,ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Clover","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"APPLICATION,CAST,ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Wellcare","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"APPLICATION,CAST,ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Amerigroup","Medicaid Managed Care","",,"37",,"31.84","31.84","67.42","percent of total billed charges",,
"APPLICATION,CAST,ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Caresource","Medicaid Managed Care","",,"40",,"34.8","31.84","67.42","percent of total billed charges",,
"APPLICATION,CAST,ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Wellcare","Medicaid Managed Care","",,"40",,"35.24","31.84","67.42","percent of total billed charges",,
"APPLICATION,CAST,ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Aetna","Commercial","",,"64",,"55.51","31.84","67.42","percent of total billed charges",,
"APPLICATION,CAST,ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Blue Cross Blue Shield","Pathways","",,"71",,"61.42","31.84","67.42","percent of total billed charges",,
"APPLICATION,CAST,ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Blue Cross Blue Shield","HMO","",,"71",,"61.42","31.84","67.42","percent of total billed charges",,
"APPLICATION,CAST,ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Blue Cross Blue Shield","PPO","",,"71",,"61.42","31.84","67.42","percent of total billed charges",,
"APPLICATION,CAST,ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Ambetter","Health Exchange","",,"62",,"53.94","31.84","67.42","percent of total billed charges",,
"APPLICATION,CAST,ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Caresource","Health Exchange","",,"62",,"53.94","31.84","67.42","percent of total billed charges",,
"APPLICATION,CAST,ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Cigna","Commercial","",,"59",,"50.98","31.84","67.42","percent of total billed charges",,
"APPLICATION,CAST,ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Humana","Commercial","",,"78",,"67.42","31.84","67.42","percent of total billed charges",,
"APPLICATION,CAST,ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","UHC","Commercial","",,"75",,"65.6","31.84","67.42","percent of total billed charges",,
"APPLICATION,CAST,ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Medicaid",,"",,"37",,"31.84","31.84","67.42","percent of total billed charges",,
"INJECTION SINGLE OR MULT TRIGGER POINTS","20552","HCPCS","Both",,,"570.5","285.25","Alliant","Health Exchange","",,"62",,"353.71","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE OR MULT TRIGGER POINTS","20552","HCPCS","Both",,,"570.5","285.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"308.07","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE OR MULT TRIGGER POINTS","20552","HCPCS","Both",,,"570.5","285.25","Medicare",,"",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE OR MULT TRIGGER POINTS","20552","HCPCS","Both",,,"570.5","285.25","Humana","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE OR MULT TRIGGER POINTS","20552","HCPCS","Both",,,"570.5","285.25","UHC","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE OR MULT TRIGGER POINTS","20552","HCPCS","Both",,,"570.5","285.25","Clover","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE OR MULT TRIGGER POINTS","20552","HCPCS","Both",,,"570.5","285.25","Wellcare","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE OR MULT TRIGGER POINTS","20552","HCPCS","Both",,,"570.5","285.25","Amerigroup","Medicaid Managed Care","",,"37",,"208.8","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE OR MULT TRIGGER POINTS","20552","HCPCS","Both",,,"570.5","285.25","Caresource","Medicaid Managed Care","",,"40",,"228.2","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE OR MULT TRIGGER POINTS","20552","HCPCS","Both",,,"570.5","285.25","Wellcare","Medicaid Managed Care","",,"40",,"231.05","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE OR MULT TRIGGER POINTS","20552","HCPCS","Both",,,"570.5","285.25","Aetna","Commercial","",,"64",,"363.98","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE OR MULT TRIGGER POINTS","20552","HCPCS","Both",,,"570.5","285.25","Blue Cross Blue Shield","Pathways","",,"71",,"402.77","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE OR MULT TRIGGER POINTS","20552","HCPCS","Both",,,"570.5","285.25","Blue Cross Blue Shield","HMO","",,"71",,"402.77","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE OR MULT TRIGGER POINTS","20552","HCPCS","Both",,,"570.5","285.25","Blue Cross Blue Shield","PPO","",,"71",,"402.77","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE OR MULT TRIGGER POINTS","20552","HCPCS","Both",,,"570.5","285.25","Ambetter","Health Exchange","",,"62",,"353.71","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE OR MULT TRIGGER POINTS","20552","HCPCS","Both",,,"570.5","285.25","Caresource","Health Exchange","",,"62",,"353.71","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE OR MULT TRIGGER POINTS","20552","HCPCS","Both",,,"570.5","285.25","Cigna","Commercial","",,"59",,"334.31","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE OR MULT TRIGGER POINTS","20552","HCPCS","Both",,,"570.5","285.25","Humana","Commercial","",,"78",,"442.14","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE OR MULT TRIGGER POINTS","20552","HCPCS","Both",,,"570.5","285.25","UHC","Commercial","",,"75",,"430.16","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE OR MULT TRIGGER POINTS","20552","HCPCS","Both",,,"570.5","285.25","Medicaid",,"",,"37",,"208.8","208.8","442.14","percent of total billed charges",,
"STRAPPING; UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Alliant","Health Exchange","",,"62",,"66.65","39.34","83.31","percent of total billed charges",,
"STRAPPING; UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"58.05","39.34","83.31","percent of total billed charges",,
"STRAPPING; UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Medicare",,"",,"54",,"58.26","39.34","83.31","percent of total billed charges",,
"STRAPPING; UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Humana","Medicare Advantage","",,"54",,"58.26","39.34","83.31","percent of total billed charges",,
"STRAPPING; UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","UHC","Medicare Advantage","",,"54",,"58.26","39.34","83.31","percent of total billed charges",,
"STRAPPING; UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Clover","Medicare Advantage","",,"54",,"58.26","39.34","83.31","percent of total billed charges",,
"STRAPPING; UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Wellcare","Medicare Advantage","",,"54",,"58.26","39.34","83.31","percent of total billed charges",,
"STRAPPING; UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Amerigroup","Medicaid Managed Care","",,"37",,"39.34","39.34","83.31","percent of total billed charges",,
"STRAPPING; UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Caresource","Medicaid Managed Care","",,"40",,"43","39.34","83.31","percent of total billed charges",,
"STRAPPING; UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Wellcare","Medicaid Managed Care","",,"40",,"43.54","39.34","83.31","percent of total billed charges",,
"STRAPPING; UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Aetna","Commercial","",,"64",,"68.59","39.34","83.31","percent of total billed charges",,
"STRAPPING; UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Blue Cross Blue Shield","Pathways","",,"71",,"75.9","39.34","83.31","percent of total billed charges",,
"STRAPPING; UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Blue Cross Blue Shield","HMO","",,"71",,"75.9","39.34","83.31","percent of total billed charges",,
"STRAPPING; UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Blue Cross Blue Shield","PPO","",,"71",,"75.9","39.34","83.31","percent of total billed charges",,
"STRAPPING; UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Ambetter","Health Exchange","",,"62",,"66.65","39.34","83.31","percent of total billed charges",,
"STRAPPING; UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Caresource","Health Exchange","",,"62",,"66.65","39.34","83.31","percent of total billed charges",,
"STRAPPING; UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Cigna","Commercial","",,"59",,"63","39.34","83.31","percent of total billed charges",,
"STRAPPING; UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Humana","Commercial","",,"78",,"83.31","39.34","83.31","percent of total billed charges",,
"STRAPPING; UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","UHC","Commercial","",,"75",,"81.06","39.34","83.31","percent of total billed charges",,
"STRAPPING; UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Medicaid",,"",,"37",,"39.34","39.34","83.31","percent of total billed charges",,
"REMOVAL FOREIGN OBJECT FROM PHARYNX","42809","HCPCS","Both",,,"256","128","Alliant","Health Exchange","",,"62",,"158.72","93.7","198.4","percent of total billed charges",,
"REMOVAL FOREIGN OBJECT FROM PHARYNX","42809","HCPCS","Both",,,"256","128","Pruitt Healthcare","Medicare Advantage","",,"54",,"138.24","93.7","198.4","percent of total billed charges",,
"REMOVAL FOREIGN OBJECT FROM PHARYNX","42809","HCPCS","Both",,,"256","128","Medicare",,"",,"54",,"138.75","93.7","198.4","percent of total billed charges",,
"REMOVAL FOREIGN OBJECT FROM PHARYNX","42809","HCPCS","Both",,,"256","128","Humana","Medicare Advantage","",,"54",,"138.75","93.7","198.4","percent of total billed charges",,
"REMOVAL FOREIGN OBJECT FROM PHARYNX","42809","HCPCS","Both",,,"256","128","UHC","Medicare Advantage","",,"54",,"138.75","93.7","198.4","percent of total billed charges",,
"REMOVAL FOREIGN OBJECT FROM PHARYNX","42809","HCPCS","Both",,,"256","128","Clover","Medicare Advantage","",,"54",,"138.75","93.7","198.4","percent of total billed charges",,
"REMOVAL FOREIGN OBJECT FROM PHARYNX","42809","HCPCS","Both",,,"256","128","Wellcare","Medicare Advantage","",,"54",,"138.75","93.7","198.4","percent of total billed charges",,
"REMOVAL FOREIGN OBJECT FROM PHARYNX","42809","HCPCS","Both",,,"256","128","Amerigroup","Medicaid Managed Care","",,"37",,"93.7","93.7","198.4","percent of total billed charges",,
"REMOVAL FOREIGN OBJECT FROM PHARYNX","42809","HCPCS","Both",,,"256","128","Caresource","Medicaid Managed Care","",,"40",,"102.4","93.7","198.4","percent of total billed charges",,
"REMOVAL FOREIGN OBJECT FROM PHARYNX","42809","HCPCS","Both",,,"256","128","Wellcare","Medicaid Managed Care","",,"40",,"103.68","93.7","198.4","percent of total billed charges",,
"REMOVAL FOREIGN OBJECT FROM PHARYNX","42809","HCPCS","Both",,,"256","128","Aetna","Commercial","",,"64",,"163.33","93.7","198.4","percent of total billed charges",,
"REMOVAL FOREIGN OBJECT FROM PHARYNX","42809","HCPCS","Both",,,"256","128","Blue Cross Blue Shield","Pathways","",,"71",,"180.74","93.7","198.4","percent of total billed charges",,
"REMOVAL FOREIGN OBJECT FROM PHARYNX","42809","HCPCS","Both",,,"256","128","Blue Cross Blue Shield","HMO","",,"71",,"180.74","93.7","198.4","percent of total billed charges",,
"REMOVAL FOREIGN OBJECT FROM PHARYNX","42809","HCPCS","Both",,,"256","128","Blue Cross Blue Shield","PPO","",,"71",,"180.74","93.7","198.4","percent of total billed charges",,
"REMOVAL FOREIGN OBJECT FROM PHARYNX","42809","HCPCS","Both",,,"256","128","Ambetter","Health Exchange","",,"62",,"158.72","93.7","198.4","percent of total billed charges",,
"REMOVAL FOREIGN OBJECT FROM PHARYNX","42809","HCPCS","Both",,,"256","128","Caresource","Health Exchange","",,"62",,"158.72","93.7","198.4","percent of total billed charges",,
"REMOVAL FOREIGN OBJECT FROM PHARYNX","42809","HCPCS","Both",,,"256","128","Cigna","Commercial","",,"59",,"150.02","93.7","198.4","percent of total billed charges",,
"REMOVAL FOREIGN OBJECT FROM PHARYNX","42809","HCPCS","Both",,,"256","128","Humana","Commercial","",,"78",,"198.4","93.7","198.4","percent of total billed charges",,
"REMOVAL FOREIGN OBJECT FROM PHARYNX","42809","HCPCS","Both",,,"256","128","UHC","Commercial","",,"75",,"193.02","93.7","198.4","percent of total billed charges",,
"REMOVAL FOREIGN OBJECT FROM PHARYNX","42809","HCPCS","Both",,,"256","128","Medicaid",,"",,"37",,"93.7","93.7","198.4","percent of total billed charges",,
"I & D OF EPIDIDYMIS,TESTIS &/OR SCROTAL","54700","HCPCS","Both",,,"3116","1558","Alliant","Health Exchange","",,"62",,"1931.92","1140.46","2414.9","percent of total billed charges",,
"I & D OF EPIDIDYMIS,TESTIS &/OR SCROTAL","54700","HCPCS","Both",,,"3116","1558","Pruitt Healthcare","Medicare Advantage","",,"54",,"1682.64","1140.46","2414.9","percent of total billed charges",,
"I & D OF EPIDIDYMIS,TESTIS &/OR SCROTAL","54700","HCPCS","Both",,,"3116","1558","Medicare",,"",,"54",,"1688.87","1140.46","2414.9","percent of total billed charges",,
"I & D OF EPIDIDYMIS,TESTIS &/OR SCROTAL","54700","HCPCS","Both",,,"3116","1558","Humana","Medicare Advantage","",,"54",,"1688.87","1140.46","2414.9","percent of total billed charges",,
"I & D OF EPIDIDYMIS,TESTIS &/OR SCROTAL","54700","HCPCS","Both",,,"3116","1558","UHC","Medicare Advantage","",,"54",,"1688.87","1140.46","2414.9","percent of total billed charges",,
"I & D OF EPIDIDYMIS,TESTIS &/OR SCROTAL","54700","HCPCS","Both",,,"3116","1558","Clover","Medicare Advantage","",,"54",,"1688.87","1140.46","2414.9","percent of total billed charges",,
"I & D OF EPIDIDYMIS,TESTIS &/OR SCROTAL","54700","HCPCS","Both",,,"3116","1558","Wellcare","Medicare Advantage","",,"54",,"1688.87","1140.46","2414.9","percent of total billed charges",,
"I & D OF EPIDIDYMIS,TESTIS &/OR SCROTAL","54700","HCPCS","Both",,,"3116","1558","Amerigroup","Medicaid Managed Care","",,"37",,"1140.46","1140.46","2414.9","percent of total billed charges",,
"I & D OF EPIDIDYMIS,TESTIS &/OR SCROTAL","54700","HCPCS","Both",,,"3116","1558","Caresource","Medicaid Managed Care","",,"40",,"1246.4","1140.46","2414.9","percent of total billed charges",,
"I & D OF EPIDIDYMIS,TESTIS &/OR SCROTAL","54700","HCPCS","Both",,,"3116","1558","Wellcare","Medicaid Managed Care","",,"40",,"1261.98","1140.46","2414.9","percent of total billed charges",,
"I & D OF EPIDIDYMIS,TESTIS &/OR SCROTAL","54700","HCPCS","Both",,,"3116","1558","Aetna","Commercial","",,"64",,"1988.01","1140.46","2414.9","percent of total billed charges",,
"I & D OF EPIDIDYMIS,TESTIS &/OR SCROTAL","54700","HCPCS","Both",,,"3116","1558","Blue Cross Blue Shield","Pathways","",,"71",,"2199.9","1140.46","2414.9","percent of total billed charges",,
"I & D OF EPIDIDYMIS,TESTIS &/OR SCROTAL","54700","HCPCS","Both",,,"3116","1558","Blue Cross Blue Shield","HMO","",,"71",,"2199.9","1140.46","2414.9","percent of total billed charges",,
"I & D OF EPIDIDYMIS,TESTIS &/OR SCROTAL","54700","HCPCS","Both",,,"3116","1558","Blue Cross Blue Shield","PPO","",,"71",,"2199.9","1140.46","2414.9","percent of total billed charges",,
"I & D OF EPIDIDYMIS,TESTIS &/OR SCROTAL","54700","HCPCS","Both",,,"3116","1558","Ambetter","Health Exchange","",,"62",,"1931.92","1140.46","2414.9","percent of total billed charges",,
"I & D OF EPIDIDYMIS,TESTIS &/OR SCROTAL","54700","HCPCS","Both",,,"3116","1558","Caresource","Health Exchange","",,"62",,"1931.92","1140.46","2414.9","percent of total billed charges",,
"I & D OF EPIDIDYMIS,TESTIS &/OR SCROTAL","54700","HCPCS","Both",,,"3116","1558","Cigna","Commercial","",,"59",,"1825.98","1140.46","2414.9","percent of total billed charges",,
"I & D OF EPIDIDYMIS,TESTIS &/OR SCROTAL","54700","HCPCS","Both",,,"3116","1558","Humana","Commercial","",,"78",,"2414.9","1140.46","2414.9","percent of total billed charges",,
"I & D OF EPIDIDYMIS,TESTIS &/OR SCROTAL","54700","HCPCS","Both",,,"3116","1558","UHC","Commercial","",,"75",,"2349.46","1140.46","2414.9","percent of total billed charges",,
"I & D OF EPIDIDYMIS,TESTIS &/OR SCROTAL","54700","HCPCS","Both",,,"3116","1558","Medicaid",,"",,"37",,"1140.46","1140.46","2414.9","percent of total billed charges",,
"CLOSED TX FX PHALANX W/MANIPULATION","28515","HCPCS","Both",,,"418.5","209.25","Alliant","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX FX PHALANX W/MANIPULATION","28515","HCPCS","Both",,,"418.5","209.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"225.99","153.17","324.34","percent of total billed charges",,
"CLOSED TX FX PHALANX W/MANIPULATION","28515","HCPCS","Both",,,"418.5","209.25","Medicare",,"",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX FX PHALANX W/MANIPULATION","28515","HCPCS","Both",,,"418.5","209.25","Humana","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX FX PHALANX W/MANIPULATION","28515","HCPCS","Both",,,"418.5","209.25","UHC","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX FX PHALANX W/MANIPULATION","28515","HCPCS","Both",,,"418.5","209.25","Clover","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX FX PHALANX W/MANIPULATION","28515","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX FX PHALANX W/MANIPULATION","28515","HCPCS","Both",,,"418.5","209.25","Amerigroup","Medicaid Managed Care","",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TX FX PHALANX W/MANIPULATION","28515","HCPCS","Both",,,"418.5","209.25","Caresource","Medicaid Managed Care","",,"40",,"167.4","153.17","324.34","percent of total billed charges",,
"CLOSED TX FX PHALANX W/MANIPULATION","28515","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicaid Managed Care","",,"40",,"169.49","153.17","324.34","percent of total billed charges",,
"CLOSED TX FX PHALANX W/MANIPULATION","28515","HCPCS","Both",,,"418.5","209.25","Aetna","Commercial","",,"64",,"267","153.17","324.34","percent of total billed charges",,
"CLOSED TX FX PHALANX W/MANIPULATION","28515","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","Pathways","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX FX PHALANX W/MANIPULATION","28515","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","HMO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX FX PHALANX W/MANIPULATION","28515","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","PPO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX FX PHALANX W/MANIPULATION","28515","HCPCS","Both",,,"418.5","209.25","Ambetter","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX FX PHALANX W/MANIPULATION","28515","HCPCS","Both",,,"418.5","209.25","Caresource","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX FX PHALANX W/MANIPULATION","28515","HCPCS","Both",,,"418.5","209.25","Cigna","Commercial","",,"59",,"245.24","153.17","324.34","percent of total billed charges",,
"CLOSED TX FX PHALANX W/MANIPULATION","28515","HCPCS","Both",,,"418.5","209.25","Humana","Commercial","",,"78",,"324.34","153.17","324.34","percent of total billed charges",,
"CLOSED TX FX PHALANX W/MANIPULATION","28515","HCPCS","Both",,,"418.5","209.25","UHC","Commercial","",,"75",,"315.55","153.17","324.34","percent of total billed charges",,
"CLOSED TX FX PHALANX W/MANIPULATION","28515","HCPCS","Both",,,"418.5","209.25","Medicaid",,"",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CATHETER NON-INDWELLING (STRAIGHT CATH)","51701","HCPCS","Both",,,"33.5","16.75","Alliant","Health Exchange","",,"62",,"20.77","12.26","25.96","percent of total billed charges",,
"CATHETER NON-INDWELLING (STRAIGHT CATH)","51701","HCPCS","Both",,,"33.5","16.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"18.09","12.26","25.96","percent of total billed charges",,
"CATHETER NON-INDWELLING (STRAIGHT CATH)","51701","HCPCS","Both",,,"33.5","16.75","Medicare",,"",,"54",,"18.16","12.26","25.96","percent of total billed charges",,
"CATHETER NON-INDWELLING (STRAIGHT CATH)","51701","HCPCS","Both",,,"33.5","16.75","Humana","Medicare Advantage","",,"54",,"18.16","12.26","25.96","percent of total billed charges",,
"CATHETER NON-INDWELLING (STRAIGHT CATH)","51701","HCPCS","Both",,,"33.5","16.75","UHC","Medicare Advantage","",,"54",,"18.16","12.26","25.96","percent of total billed charges",,
"CATHETER NON-INDWELLING (STRAIGHT CATH)","51701","HCPCS","Both",,,"33.5","16.75","Clover","Medicare Advantage","",,"54",,"18.16","12.26","25.96","percent of total billed charges",,
"CATHETER NON-INDWELLING (STRAIGHT CATH)","51701","HCPCS","Both",,,"33.5","16.75","Wellcare","Medicare Advantage","",,"54",,"18.16","12.26","25.96","percent of total billed charges",,
"CATHETER NON-INDWELLING (STRAIGHT CATH)","51701","HCPCS","Both",,,"33.5","16.75","Amerigroup","Medicaid Managed Care","",,"37",,"12.26","12.26","25.96","percent of total billed charges",,
"CATHETER NON-INDWELLING (STRAIGHT CATH)","51701","HCPCS","Both",,,"33.5","16.75","Caresource","Medicaid Managed Care","",,"40",,"13.4","12.26","25.96","percent of total billed charges",,
"CATHETER NON-INDWELLING (STRAIGHT CATH)","51701","HCPCS","Both",,,"33.5","16.75","Wellcare","Medicaid Managed Care","",,"40",,"13.57","12.26","25.96","percent of total billed charges",,
"CATHETER NON-INDWELLING (STRAIGHT CATH)","51701","HCPCS","Both",,,"33.5","16.75","Aetna","Commercial","",,"64",,"21.37","12.26","25.96","percent of total billed charges",,
"CATHETER NON-INDWELLING (STRAIGHT CATH)","51701","HCPCS","Both",,,"33.5","16.75","Blue Cross Blue Shield","Pathways","",,"71",,"23.65","12.26","25.96","percent of total billed charges",,
"CATHETER NON-INDWELLING (STRAIGHT CATH)","51701","HCPCS","Both",,,"33.5","16.75","Blue Cross Blue Shield","HMO","",,"71",,"23.65","12.26","25.96","percent of total billed charges",,
"CATHETER NON-INDWELLING (STRAIGHT CATH)","51701","HCPCS","Both",,,"33.5","16.75","Blue Cross Blue Shield","PPO","",,"71",,"23.65","12.26","25.96","percent of total billed charges",,
"CATHETER NON-INDWELLING (STRAIGHT CATH)","51701","HCPCS","Both",,,"33.5","16.75","Ambetter","Health Exchange","",,"62",,"20.77","12.26","25.96","percent of total billed charges",,
"CATHETER NON-INDWELLING (STRAIGHT CATH)","51701","HCPCS","Both",,,"33.5","16.75","Caresource","Health Exchange","",,"62",,"20.77","12.26","25.96","percent of total billed charges",,
"CATHETER NON-INDWELLING (STRAIGHT CATH)","51701","HCPCS","Both",,,"33.5","16.75","Cigna","Commercial","",,"59",,"19.63","12.26","25.96","percent of total billed charges",,
"CATHETER NON-INDWELLING (STRAIGHT CATH)","51701","HCPCS","Both",,,"33.5","16.75","Humana","Commercial","",,"78",,"25.96","12.26","25.96","percent of total billed charges",,
"CATHETER NON-INDWELLING (STRAIGHT CATH)","51701","HCPCS","Both",,,"33.5","16.75","UHC","Commercial","",,"75",,"25.26","12.26","25.96","percent of total billed charges",,
"CATHETER NON-INDWELLING (STRAIGHT CATH)","51701","HCPCS","Both",,,"33.5","16.75","Medicaid",,"",,"37",,"12.26","12.26","25.96","percent of total billed charges",,
"CATHETER INDWELLING SIMPLE","51702","HCPCS","Both",,,"112","56","Alliant","Health Exchange","",,"62",,"69.44","40.99","86.8","percent of total billed charges",,
"CATHETER INDWELLING SIMPLE","51702","HCPCS","Both",,,"112","56","Pruitt Healthcare","Medicare Advantage","",,"54",,"60.48","40.99","86.8","percent of total billed charges",,
"CATHETER INDWELLING SIMPLE","51702","HCPCS","Both",,,"112","56","Medicare",,"",,"54",,"60.7","40.99","86.8","percent of total billed charges",,
"CATHETER INDWELLING SIMPLE","51702","HCPCS","Both",,,"112","56","Humana","Medicare Advantage","",,"54",,"60.7","40.99","86.8","percent of total billed charges",,
"CATHETER INDWELLING SIMPLE","51702","HCPCS","Both",,,"112","56","UHC","Medicare Advantage","",,"54",,"60.7","40.99","86.8","percent of total billed charges",,
"CATHETER INDWELLING SIMPLE","51702","HCPCS","Both",,,"112","56","Clover","Medicare Advantage","",,"54",,"60.7","40.99","86.8","percent of total billed charges",,
"CATHETER INDWELLING SIMPLE","51702","HCPCS","Both",,,"112","56","Wellcare","Medicare Advantage","",,"54",,"60.7","40.99","86.8","percent of total billed charges",,
"CATHETER INDWELLING SIMPLE","51702","HCPCS","Both",,,"112","56","Amerigroup","Medicaid Managed Care","",,"37",,"40.99","40.99","86.8","percent of total billed charges",,
"CATHETER INDWELLING SIMPLE","51702","HCPCS","Both",,,"112","56","Caresource","Medicaid Managed Care","",,"40",,"44.8","40.99","86.8","percent of total billed charges",,
"CATHETER INDWELLING SIMPLE","51702","HCPCS","Both",,,"112","56","Wellcare","Medicaid Managed Care","",,"40",,"45.36","40.99","86.8","percent of total billed charges",,
"CATHETER INDWELLING SIMPLE","51702","HCPCS","Both",,,"112","56","Aetna","Commercial","",,"64",,"71.46","40.99","86.8","percent of total billed charges",,
"CATHETER INDWELLING SIMPLE","51702","HCPCS","Both",,,"112","56","Blue Cross Blue Shield","Pathways","",,"71",,"79.07","40.99","86.8","percent of total billed charges",,
"CATHETER INDWELLING SIMPLE","51702","HCPCS","Both",,,"112","56","Blue Cross Blue Shield","HMO","",,"71",,"79.07","40.99","86.8","percent of total billed charges",,
"CATHETER INDWELLING SIMPLE","51702","HCPCS","Both",,,"112","56","Blue Cross Blue Shield","PPO","",,"71",,"79.07","40.99","86.8","percent of total billed charges",,
"CATHETER INDWELLING SIMPLE","51702","HCPCS","Both",,,"112","56","Ambetter","Health Exchange","",,"62",,"69.44","40.99","86.8","percent of total billed charges",,
"CATHETER INDWELLING SIMPLE","51702","HCPCS","Both",,,"112","56","Caresource","Health Exchange","",,"62",,"69.44","40.99","86.8","percent of total billed charges",,
"CATHETER INDWELLING SIMPLE","51702","HCPCS","Both",,,"112","56","Cigna","Commercial","",,"59",,"65.63","40.99","86.8","percent of total billed charges",,
"CATHETER INDWELLING SIMPLE","51702","HCPCS","Both",,,"112","56","Humana","Commercial","",,"78",,"86.8","40.99","86.8","percent of total billed charges",,
"CATHETER INDWELLING SIMPLE","51702","HCPCS","Both",,,"112","56","UHC","Commercial","",,"75",,"84.45","40.99","86.8","percent of total billed charges",,
"CATHETER INDWELLING SIMPLE","51702","HCPCS","Both",,,"112","56","Medicaid",,"",,"37",,"40.99","40.99","86.8","percent of total billed charges",,
"CLOSED TX RADIAL HEAD SUBLUXATION","24640","HCPCS","Both",,,"97.5","48.75","Alliant","Health Exchange","",,"62",,"60.45","35.68","75.56","percent of total billed charges",,
"CLOSED TX RADIAL HEAD SUBLUXATION","24640","HCPCS","Both",,,"97.5","48.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.65","35.68","75.56","percent of total billed charges",,
"CLOSED TX RADIAL HEAD SUBLUXATION","24640","HCPCS","Both",,,"97.5","48.75","Medicare",,"",,"54",,"52.85","35.68","75.56","percent of total billed charges",,
"CLOSED TX RADIAL HEAD SUBLUXATION","24640","HCPCS","Both",,,"97.5","48.75","Humana","Medicare Advantage","",,"54",,"52.85","35.68","75.56","percent of total billed charges",,
"CLOSED TX RADIAL HEAD SUBLUXATION","24640","HCPCS","Both",,,"97.5","48.75","UHC","Medicare Advantage","",,"54",,"52.85","35.68","75.56","percent of total billed charges",,
"CLOSED TX RADIAL HEAD SUBLUXATION","24640","HCPCS","Both",,,"97.5","48.75","Clover","Medicare Advantage","",,"54",,"52.85","35.68","75.56","percent of total billed charges",,
"CLOSED TX RADIAL HEAD SUBLUXATION","24640","HCPCS","Both",,,"97.5","48.75","Wellcare","Medicare Advantage","",,"54",,"52.85","35.68","75.56","percent of total billed charges",,
"CLOSED TX RADIAL HEAD SUBLUXATION","24640","HCPCS","Both",,,"97.5","48.75","Amerigroup","Medicaid Managed Care","",,"37",,"35.68","35.68","75.56","percent of total billed charges",,
"CLOSED TX RADIAL HEAD SUBLUXATION","24640","HCPCS","Both",,,"97.5","48.75","Caresource","Medicaid Managed Care","",,"40",,"39","35.68","75.56","percent of total billed charges",,
"CLOSED TX RADIAL HEAD SUBLUXATION","24640","HCPCS","Both",,,"97.5","48.75","Wellcare","Medicaid Managed Care","",,"40",,"39.49","35.68","75.56","percent of total billed charges",,
"CLOSED TX RADIAL HEAD SUBLUXATION","24640","HCPCS","Both",,,"97.5","48.75","Aetna","Commercial","",,"64",,"62.2","35.68","75.56","percent of total billed charges",,
"CLOSED TX RADIAL HEAD SUBLUXATION","24640","HCPCS","Both",,,"97.5","48.75","Blue Cross Blue Shield","Pathways","",,"71",,"68.83","35.68","75.56","percent of total billed charges",,
"CLOSED TX RADIAL HEAD SUBLUXATION","24640","HCPCS","Both",,,"97.5","48.75","Blue Cross Blue Shield","HMO","",,"71",,"68.83","35.68","75.56","percent of total billed charges",,
"CLOSED TX RADIAL HEAD SUBLUXATION","24640","HCPCS","Both",,,"97.5","48.75","Blue Cross Blue Shield","PPO","",,"71",,"68.83","35.68","75.56","percent of total billed charges",,
"CLOSED TX RADIAL HEAD SUBLUXATION","24640","HCPCS","Both",,,"97.5","48.75","Ambetter","Health Exchange","",,"62",,"60.45","35.68","75.56","percent of total billed charges",,
"CLOSED TX RADIAL HEAD SUBLUXATION","24640","HCPCS","Both",,,"97.5","48.75","Caresource","Health Exchange","",,"62",,"60.45","35.68","75.56","percent of total billed charges",,
"CLOSED TX RADIAL HEAD SUBLUXATION","24640","HCPCS","Both",,,"97.5","48.75","Cigna","Commercial","",,"59",,"57.14","35.68","75.56","percent of total billed charges",,
"CLOSED TX RADIAL HEAD SUBLUXATION","24640","HCPCS","Both",,,"97.5","48.75","Humana","Commercial","",,"78",,"75.56","35.68","75.56","percent of total billed charges",,
"CLOSED TX RADIAL HEAD SUBLUXATION","24640","HCPCS","Both",,,"97.5","48.75","UHC","Commercial","",,"75",,"73.52","35.68","75.56","percent of total billed charges",,
"CLOSED TX RADIAL HEAD SUBLUXATION","24640","HCPCS","Both",,,"97.5","48.75","Medicaid",,"",,"37",,"35.68","35.68","75.56","percent of total billed charges",,
"CLOSED TX CARPOMETACARPA DX W/O ANESTHES","26670","HCPCS","Both",,,"418.5","209.25","Alliant","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPA DX W/O ANESTHES","26670","HCPCS","Both",,,"418.5","209.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"225.99","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPA DX W/O ANESTHES","26670","HCPCS","Both",,,"418.5","209.25","Medicare",,"",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPA DX W/O ANESTHES","26670","HCPCS","Both",,,"418.5","209.25","Humana","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPA DX W/O ANESTHES","26670","HCPCS","Both",,,"418.5","209.25","UHC","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPA DX W/O ANESTHES","26670","HCPCS","Both",,,"418.5","209.25","Clover","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPA DX W/O ANESTHES","26670","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPA DX W/O ANESTHES","26670","HCPCS","Both",,,"418.5","209.25","Amerigroup","Medicaid Managed Care","",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPA DX W/O ANESTHES","26670","HCPCS","Both",,,"418.5","209.25","Caresource","Medicaid Managed Care","",,"40",,"167.4","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPA DX W/O ANESTHES","26670","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicaid Managed Care","",,"40",,"169.49","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPA DX W/O ANESTHES","26670","HCPCS","Both",,,"418.5","209.25","Aetna","Commercial","",,"64",,"267","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPA DX W/O ANESTHES","26670","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","Pathways","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPA DX W/O ANESTHES","26670","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","HMO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPA DX W/O ANESTHES","26670","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","PPO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPA DX W/O ANESTHES","26670","HCPCS","Both",,,"418.5","209.25","Ambetter","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPA DX W/O ANESTHES","26670","HCPCS","Both",,,"418.5","209.25","Caresource","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPA DX W/O ANESTHES","26670","HCPCS","Both",,,"418.5","209.25","Cigna","Commercial","",,"59",,"245.24","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPA DX W/O ANESTHES","26670","HCPCS","Both",,,"418.5","209.25","Humana","Commercial","",,"78",,"324.34","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPA DX W/O ANESTHES","26670","HCPCS","Both",,,"418.5","209.25","UHC","Commercial","",,"75",,"315.55","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPA DX W/O ANESTHES","26670","HCPCS","Both",,,"418.5","209.25","Medicaid",,"",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM/ELBOW","23930","HCPCS","Both",,,"4118","2059","Alliant","Health Exchange","",,"62",,"2553.16","1507.19","3191.45","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM/ELBOW","23930","HCPCS","Both",,,"4118","2059","Pruitt Healthcare","Medicare Advantage","",,"54",,"2223.72","1507.19","3191.45","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM/ELBOW","23930","HCPCS","Both",,,"4118","2059","Medicare",,"",,"54",,"2231.96","1507.19","3191.45","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM/ELBOW","23930","HCPCS","Both",,,"4118","2059","Humana","Medicare Advantage","",,"54",,"2231.96","1507.19","3191.45","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM/ELBOW","23930","HCPCS","Both",,,"4118","2059","UHC","Medicare Advantage","",,"54",,"2231.96","1507.19","3191.45","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM/ELBOW","23930","HCPCS","Both",,,"4118","2059","Clover","Medicare Advantage","",,"54",,"2231.96","1507.19","3191.45","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM/ELBOW","23930","HCPCS","Both",,,"4118","2059","Wellcare","Medicare Advantage","",,"54",,"2231.96","1507.19","3191.45","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM/ELBOW","23930","HCPCS","Both",,,"4118","2059","Amerigroup","Medicaid Managed Care","",,"37",,"1507.19","1507.19","3191.45","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM/ELBOW","23930","HCPCS","Both",,,"4118","2059","Caresource","Medicaid Managed Care","",,"40",,"1647.2","1507.19","3191.45","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM/ELBOW","23930","HCPCS","Both",,,"4118","2059","Wellcare","Medicaid Managed Care","",,"40",,"1667.79","1507.19","3191.45","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM/ELBOW","23930","HCPCS","Both",,,"4118","2059","Aetna","Commercial","",,"64",,"2627.28","1507.19","3191.45","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM/ELBOW","23930","HCPCS","Both",,,"4118","2059","Blue Cross Blue Shield","Pathways","",,"71",,"2907.31","1507.19","3191.45","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM/ELBOW","23930","HCPCS","Both",,,"4118","2059","Blue Cross Blue Shield","HMO","",,"71",,"2907.31","1507.19","3191.45","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM/ELBOW","23930","HCPCS","Both",,,"4118","2059","Blue Cross Blue Shield","PPO","",,"71",,"2907.31","1507.19","3191.45","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM/ELBOW","23930","HCPCS","Both",,,"4118","2059","Ambetter","Health Exchange","",,"62",,"2553.16","1507.19","3191.45","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM/ELBOW","23930","HCPCS","Both",,,"4118","2059","Caresource","Health Exchange","",,"62",,"2553.16","1507.19","3191.45","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM/ELBOW","23930","HCPCS","Both",,,"4118","2059","Cigna","Commercial","",,"59",,"2413.15","1507.19","3191.45","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM/ELBOW","23930","HCPCS","Both",,,"4118","2059","Humana","Commercial","",,"78",,"3191.45","1507.19","3191.45","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM/ELBOW","23930","HCPCS","Both",,,"4118","2059","UHC","Commercial","",,"75",,"3104.97","1507.19","3191.45","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM/ELBOW","23930","HCPCS","Both",,,"4118","2059","Medicaid",,"",,"37",,"1507.19","1507.19","3191.45","percent of total billed charges",,
"CLOSED TX OF PATELLAR DISLOCATION W/O AN","27560","HCPCS","Both",,,"418.5","209.25","Alliant","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX OF PATELLAR DISLOCATION W/O AN","27560","HCPCS","Both",,,"418.5","209.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"225.99","153.17","324.34","percent of total billed charges",,
"CLOSED TX OF PATELLAR DISLOCATION W/O AN","27560","HCPCS","Both",,,"418.5","209.25","Medicare",,"",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX OF PATELLAR DISLOCATION W/O AN","27560","HCPCS","Both",,,"418.5","209.25","Humana","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX OF PATELLAR DISLOCATION W/O AN","27560","HCPCS","Both",,,"418.5","209.25","UHC","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX OF PATELLAR DISLOCATION W/O AN","27560","HCPCS","Both",,,"418.5","209.25","Clover","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX OF PATELLAR DISLOCATION W/O AN","27560","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX OF PATELLAR DISLOCATION W/O AN","27560","HCPCS","Both",,,"418.5","209.25","Amerigroup","Medicaid Managed Care","",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TX OF PATELLAR DISLOCATION W/O AN","27560","HCPCS","Both",,,"418.5","209.25","Caresource","Medicaid Managed Care","",,"40",,"167.4","153.17","324.34","percent of total billed charges",,
"CLOSED TX OF PATELLAR DISLOCATION W/O AN","27560","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicaid Managed Care","",,"40",,"169.49","153.17","324.34","percent of total billed charges",,
"CLOSED TX OF PATELLAR DISLOCATION W/O AN","27560","HCPCS","Both",,,"418.5","209.25","Aetna","Commercial","",,"64",,"267","153.17","324.34","percent of total billed charges",,
"CLOSED TX OF PATELLAR DISLOCATION W/O AN","27560","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","Pathways","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX OF PATELLAR DISLOCATION W/O AN","27560","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","HMO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX OF PATELLAR DISLOCATION W/O AN","27560","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","PPO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX OF PATELLAR DISLOCATION W/O AN","27560","HCPCS","Both",,,"418.5","209.25","Ambetter","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX OF PATELLAR DISLOCATION W/O AN","27560","HCPCS","Both",,,"418.5","209.25","Caresource","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX OF PATELLAR DISLOCATION W/O AN","27560","HCPCS","Both",,,"418.5","209.25","Cigna","Commercial","",,"59",,"245.24","153.17","324.34","percent of total billed charges",,
"CLOSED TX OF PATELLAR DISLOCATION W/O AN","27560","HCPCS","Both",,,"418.5","209.25","Humana","Commercial","",,"78",,"324.34","153.17","324.34","percent of total billed charges",,
"CLOSED TX OF PATELLAR DISLOCATION W/O AN","27560","HCPCS","Both",,,"418.5","209.25","UHC","Commercial","",,"75",,"315.55","153.17","324.34","percent of total billed charges",,
"CLOSED TX OF PATELLAR DISLOCATION W/O AN","27560","HCPCS","Both",,,"418.5","209.25","Medicaid",,"",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM EYELD/NOSE/EAR/LIP","13151","HCPCS","Both",,,"1228.5","614.25","Alliant","Health Exchange","",,"62",,"761.67","449.63","952.09","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM EYELD/NOSE/EAR/LIP","13151","HCPCS","Both",,,"1228.5","614.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"663.39","449.63","952.09","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM EYELD/NOSE/EAR/LIP","13151","HCPCS","Both",,,"1228.5","614.25","Medicare",,"",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM EYELD/NOSE/EAR/LIP","13151","HCPCS","Both",,,"1228.5","614.25","Humana","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM EYELD/NOSE/EAR/LIP","13151","HCPCS","Both",,,"1228.5","614.25","UHC","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM EYELD/NOSE/EAR/LIP","13151","HCPCS","Both",,,"1228.5","614.25","Clover","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM EYELD/NOSE/EAR/LIP","13151","HCPCS","Both",,,"1228.5","614.25","Wellcare","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM EYELD/NOSE/EAR/LIP","13151","HCPCS","Both",,,"1228.5","614.25","Amerigroup","Medicaid Managed Care","",,"37",,"449.63","449.63","952.09","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM EYELD/NOSE/EAR/LIP","13151","HCPCS","Both",,,"1228.5","614.25","Caresource","Medicaid Managed Care","",,"40",,"491.4","449.63","952.09","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM EYELD/NOSE/EAR/LIP","13151","HCPCS","Both",,,"1228.5","614.25","Wellcare","Medicaid Managed Care","",,"40",,"497.54","449.63","952.09","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM EYELD/NOSE/EAR/LIP","13151","HCPCS","Both",,,"1228.5","614.25","Aetna","Commercial","",,"64",,"783.78","449.63","952.09","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM EYELD/NOSE/EAR/LIP","13151","HCPCS","Both",,,"1228.5","614.25","Blue Cross Blue Shield","Pathways","",,"71",,"867.32","449.63","952.09","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM EYELD/NOSE/EAR/LIP","13151","HCPCS","Both",,,"1228.5","614.25","Blue Cross Blue Shield","HMO","",,"71",,"867.32","449.63","952.09","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM EYELD/NOSE/EAR/LIP","13151","HCPCS","Both",,,"1228.5","614.25","Blue Cross Blue Shield","PPO","",,"71",,"867.32","449.63","952.09","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM EYELD/NOSE/EAR/LIP","13151","HCPCS","Both",,,"1228.5","614.25","Ambetter","Health Exchange","",,"62",,"761.67","449.63","952.09","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM EYELD/NOSE/EAR/LIP","13151","HCPCS","Both",,,"1228.5","614.25","Caresource","Health Exchange","",,"62",,"761.67","449.63","952.09","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM EYELD/NOSE/EAR/LIP","13151","HCPCS","Both",,,"1228.5","614.25","Cigna","Commercial","",,"59",,"719.9","449.63","952.09","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM EYELD/NOSE/EAR/LIP","13151","HCPCS","Both",,,"1228.5","614.25","Humana","Commercial","",,"78",,"952.09","449.63","952.09","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM EYELD/NOSE/EAR/LIP","13151","HCPCS","Both",,,"1228.5","614.25","UHC","Commercial","",,"75",,"926.29","449.63","952.09","percent of total billed charges",,
"COMPLEX 1.1CM-2.5CM EYELD/NOSE/EAR/LIP","13151","HCPCS","Both",,,"1228.5","614.25","Medicaid",,"",,"37",,"449.63","449.63","952.09","percent of total billed charges",,
"ARTHROCENTESIS, SMALL JOINT(FING/TOES)","20600","HCPCS","Both",,,"570.5","285.25","Alliant","Health Exchange","",,"62",,"353.71","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, SMALL JOINT(FING/TOES)","20600","HCPCS","Both",,,"570.5","285.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"308.07","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, SMALL JOINT(FING/TOES)","20600","HCPCS","Both",,,"570.5","285.25","Medicare",,"",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, SMALL JOINT(FING/TOES)","20600","HCPCS","Both",,,"570.5","285.25","Humana","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, SMALL JOINT(FING/TOES)","20600","HCPCS","Both",,,"570.5","285.25","UHC","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, SMALL JOINT(FING/TOES)","20600","HCPCS","Both",,,"570.5","285.25","Clover","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, SMALL JOINT(FING/TOES)","20600","HCPCS","Both",,,"570.5","285.25","Wellcare","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, SMALL JOINT(FING/TOES)","20600","HCPCS","Both",,,"570.5","285.25","Amerigroup","Medicaid Managed Care","",,"37",,"208.8","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, SMALL JOINT(FING/TOES)","20600","HCPCS","Both",,,"570.5","285.25","Caresource","Medicaid Managed Care","",,"40",,"228.2","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, SMALL JOINT(FING/TOES)","20600","HCPCS","Both",,,"570.5","285.25","Wellcare","Medicaid Managed Care","",,"40",,"231.05","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, SMALL JOINT(FING/TOES)","20600","HCPCS","Both",,,"570.5","285.25","Aetna","Commercial","",,"64",,"363.98","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, SMALL JOINT(FING/TOES)","20600","HCPCS","Both",,,"570.5","285.25","Blue Cross Blue Shield","Pathways","",,"71",,"402.77","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, SMALL JOINT(FING/TOES)","20600","HCPCS","Both",,,"570.5","285.25","Blue Cross Blue Shield","HMO","",,"71",,"402.77","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, SMALL JOINT(FING/TOES)","20600","HCPCS","Both",,,"570.5","285.25","Blue Cross Blue Shield","PPO","",,"71",,"402.77","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, SMALL JOINT(FING/TOES)","20600","HCPCS","Both",,,"570.5","285.25","Ambetter","Health Exchange","",,"62",,"353.71","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, SMALL JOINT(FING/TOES)","20600","HCPCS","Both",,,"570.5","285.25","Caresource","Health Exchange","",,"62",,"353.71","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, SMALL JOINT(FING/TOES)","20600","HCPCS","Both",,,"570.5","285.25","Cigna","Commercial","",,"59",,"334.31","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, SMALL JOINT(FING/TOES)","20600","HCPCS","Both",,,"570.5","285.25","Humana","Commercial","",,"78",,"442.14","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, SMALL JOINT(FING/TOES)","20600","HCPCS","Both",,,"570.5","285.25","UHC","Commercial","",,"75",,"430.16","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, SMALL JOINT(FING/TOES)","20600","HCPCS","Both",,,"570.5","285.25","Medicaid",,"",,"37",,"208.8","208.8","442.14","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOCAT","26770","HCPCS","Both",,,"197","98.5","Alliant","Health Exchange","",,"62",,"122.14","72.1","152.68","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOCAT","26770","HCPCS","Both",,,"197","98.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"106.38","72.1","152.68","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOCAT","26770","HCPCS","Both",,,"197","98.5","Medicare",,"",,"54",,"106.77","72.1","152.68","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOCAT","26770","HCPCS","Both",,,"197","98.5","Humana","Medicare Advantage","",,"54",,"106.77","72.1","152.68","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOCAT","26770","HCPCS","Both",,,"197","98.5","UHC","Medicare Advantage","",,"54",,"106.77","72.1","152.68","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOCAT","26770","HCPCS","Both",,,"197","98.5","Clover","Medicare Advantage","",,"54",,"106.77","72.1","152.68","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOCAT","26770","HCPCS","Both",,,"197","98.5","Wellcare","Medicare Advantage","",,"54",,"106.77","72.1","152.68","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOCAT","26770","HCPCS","Both",,,"197","98.5","Amerigroup","Medicaid Managed Care","",,"37",,"72.1","72.1","152.68","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOCAT","26770","HCPCS","Both",,,"197","98.5","Caresource","Medicaid Managed Care","",,"40",,"78.8","72.1","152.68","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOCAT","26770","HCPCS","Both",,,"197","98.5","Wellcare","Medicaid Managed Care","",,"40",,"79.79","72.1","152.68","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOCAT","26770","HCPCS","Both",,,"197","98.5","Aetna","Commercial","",,"64",,"125.69","72.1","152.68","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOCAT","26770","HCPCS","Both",,,"197","98.5","Blue Cross Blue Shield","Pathways","",,"71",,"139.08","72.1","152.68","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOCAT","26770","HCPCS","Both",,,"197","98.5","Blue Cross Blue Shield","HMO","",,"71",,"139.08","72.1","152.68","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOCAT","26770","HCPCS","Both",,,"197","98.5","Blue Cross Blue Shield","PPO","",,"71",,"139.08","72.1","152.68","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOCAT","26770","HCPCS","Both",,,"197","98.5","Ambetter","Health Exchange","",,"62",,"122.14","72.1","152.68","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOCAT","26770","HCPCS","Both",,,"197","98.5","Caresource","Health Exchange","",,"62",,"122.14","72.1","152.68","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOCAT","26770","HCPCS","Both",,,"197","98.5","Cigna","Commercial","",,"59",,"115.44","72.1","152.68","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOCAT","26770","HCPCS","Both",,,"197","98.5","Humana","Commercial","",,"78",,"152.68","72.1","152.68","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOCAT","26770","HCPCS","Both",,,"197","98.5","UHC","Commercial","",,"75",,"148.54","72.1","152.68","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOCAT","26770","HCPCS","Both",,,"197","98.5","Medicaid",,"",,"37",,"72.1","72.1","152.68","percent of total billed charges",,
"AVULSION,NAIL PLATE, EA ADD'L","11732","HCPCS","Both",,,"224.5","112.25","Alliant","Health Exchange","",,"62",,"139.19","82.17","173.99","percent of total billed charges",,
"AVULSION,NAIL PLATE, EA ADD'L","11732","HCPCS","Both",,,"224.5","112.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"121.23","82.17","173.99","percent of total billed charges",,
"AVULSION,NAIL PLATE, EA ADD'L","11732","HCPCS","Both",,,"224.5","112.25","Medicare",,"",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"AVULSION,NAIL PLATE, EA ADD'L","11732","HCPCS","Both",,,"224.5","112.25","Humana","Medicare Advantage","",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"AVULSION,NAIL PLATE, EA ADD'L","11732","HCPCS","Both",,,"224.5","112.25","UHC","Medicare Advantage","",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"AVULSION,NAIL PLATE, EA ADD'L","11732","HCPCS","Both",,,"224.5","112.25","Clover","Medicare Advantage","",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"AVULSION,NAIL PLATE, EA ADD'L","11732","HCPCS","Both",,,"224.5","112.25","Wellcare","Medicare Advantage","",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"AVULSION,NAIL PLATE, EA ADD'L","11732","HCPCS","Both",,,"224.5","112.25","Amerigroup","Medicaid Managed Care","",,"37",,"82.17","82.17","173.99","percent of total billed charges",,
"AVULSION,NAIL PLATE, EA ADD'L","11732","HCPCS","Both",,,"224.5","112.25","Caresource","Medicaid Managed Care","",,"40",,"89.8","82.17","173.99","percent of total billed charges",,
"AVULSION,NAIL PLATE, EA ADD'L","11732","HCPCS","Both",,,"224.5","112.25","Wellcare","Medicaid Managed Care","",,"40",,"90.92","82.17","173.99","percent of total billed charges",,
"AVULSION,NAIL PLATE, EA ADD'L","11732","HCPCS","Both",,,"224.5","112.25","Aetna","Commercial","",,"64",,"143.23","82.17","173.99","percent of total billed charges",,
"AVULSION,NAIL PLATE, EA ADD'L","11732","HCPCS","Both",,,"224.5","112.25","Blue Cross Blue Shield","Pathways","",,"71",,"158.5","82.17","173.99","percent of total billed charges",,
"AVULSION,NAIL PLATE, EA ADD'L","11732","HCPCS","Both",,,"224.5","112.25","Blue Cross Blue Shield","HMO","",,"71",,"158.5","82.17","173.99","percent of total billed charges",,
"AVULSION,NAIL PLATE, EA ADD'L","11732","HCPCS","Both",,,"224.5","112.25","Blue Cross Blue Shield","PPO","",,"71",,"158.5","82.17","173.99","percent of total billed charges",,
"AVULSION,NAIL PLATE, EA ADD'L","11732","HCPCS","Both",,,"224.5","112.25","Ambetter","Health Exchange","",,"62",,"139.19","82.17","173.99","percent of total billed charges",,
"AVULSION,NAIL PLATE, EA ADD'L","11732","HCPCS","Both",,,"224.5","112.25","Caresource","Health Exchange","",,"62",,"139.19","82.17","173.99","percent of total billed charges",,
"AVULSION,NAIL PLATE, EA ADD'L","11732","HCPCS","Both",,,"224.5","112.25","Cigna","Commercial","",,"59",,"131.56","82.17","173.99","percent of total billed charges",,
"AVULSION,NAIL PLATE, EA ADD'L","11732","HCPCS","Both",,,"224.5","112.25","Humana","Commercial","",,"78",,"173.99","82.17","173.99","percent of total billed charges",,
"AVULSION,NAIL PLATE, EA ADD'L","11732","HCPCS","Both",,,"224.5","112.25","UHC","Commercial","",,"75",,"169.27","82.17","173.99","percent of total billed charges",,
"AVULSION,NAIL PLATE, EA ADD'L","11732","HCPCS","Both",,,"224.5","112.25","Medicaid",,"",,"37",,"82.17","82.17","173.99","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; < 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Alliant","Health Exchange","",,"62",,"45.57","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; < 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"39.69","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; < 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Medicare",,"",,"54",,"39.84","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; < 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Humana","Medicare Advantage","",,"54",,"39.84","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; < 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","UHC","Medicare Advantage","",,"54",,"39.84","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; < 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Clover","Medicare Advantage","",,"54",,"39.84","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; < 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Wellcare","Medicare Advantage","",,"54",,"39.84","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; < 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Amerigroup","Medicaid Managed Care","",,"37",,"26.9","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; < 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Caresource","Medicaid Managed Care","",,"40",,"29.4","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; < 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Wellcare","Medicaid Managed Care","",,"40",,"29.77","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; < 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Aetna","Commercial","",,"64",,"46.89","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; < 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Blue Cross Blue Shield","Pathways","",,"71",,"51.89","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; < 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Blue Cross Blue Shield","HMO","",,"71",,"51.89","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; < 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Blue Cross Blue Shield","PPO","",,"71",,"51.89","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; < 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Ambetter","Health Exchange","",,"62",,"45.57","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; < 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Caresource","Health Exchange","",,"62",,"45.57","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; < 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Cigna","Commercial","",,"59",,"43.07","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; < 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Humana","Commercial","",,"78",,"56.96","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; < 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","UHC","Commercial","",,"75",,"55.42","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; < 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Medicaid",,"",,"37",,"26.9","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; > 1 YEAR","36425","HCPCS","Both",,,"256","128","Alliant","Health Exchange","",,"62",,"158.72","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; > 1 YEAR","36425","HCPCS","Both",,,"256","128","Pruitt Healthcare","Medicare Advantage","",,"54",,"138.24","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; > 1 YEAR","36425","HCPCS","Both",,,"256","128","Medicare",,"",,"54",,"138.75","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; > 1 YEAR","36425","HCPCS","Both",,,"256","128","Humana","Medicare Advantage","",,"54",,"138.75","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; > 1 YEAR","36425","HCPCS","Both",,,"256","128","UHC","Medicare Advantage","",,"54",,"138.75","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; > 1 YEAR","36425","HCPCS","Both",,,"256","128","Clover","Medicare Advantage","",,"54",,"138.75","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; > 1 YEAR","36425","HCPCS","Both",,,"256","128","Wellcare","Medicare Advantage","",,"54",,"138.75","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; > 1 YEAR","36425","HCPCS","Both",,,"256","128","Amerigroup","Medicaid Managed Care","",,"37",,"93.7","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; > 1 YEAR","36425","HCPCS","Both",,,"256","128","Caresource","Medicaid Managed Care","",,"40",,"102.4","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; > 1 YEAR","36425","HCPCS","Both",,,"256","128","Wellcare","Medicaid Managed Care","",,"40",,"103.68","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; > 1 YEAR","36425","HCPCS","Both",,,"256","128","Aetna","Commercial","",,"64",,"163.33","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; > 1 YEAR","36425","HCPCS","Both",,,"256","128","Blue Cross Blue Shield","Pathways","",,"71",,"180.74","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; > 1 YEAR","36425","HCPCS","Both",,,"256","128","Blue Cross Blue Shield","HMO","",,"71",,"180.74","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; > 1 YEAR","36425","HCPCS","Both",,,"256","128","Blue Cross Blue Shield","PPO","",,"71",,"180.74","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; > 1 YEAR","36425","HCPCS","Both",,,"256","128","Ambetter","Health Exchange","",,"62",,"158.72","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; > 1 YEAR","36425","HCPCS","Both",,,"256","128","Caresource","Health Exchange","",,"62",,"158.72","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; > 1 YEAR","36425","HCPCS","Both",,,"256","128","Cigna","Commercial","",,"59",,"150.02","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; > 1 YEAR","36425","HCPCS","Both",,,"256","128","Humana","Commercial","",,"78",,"198.4","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; > 1 YEAR","36425","HCPCS","Both",,,"256","128","UHC","Commercial","",,"75",,"193.02","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; > 1 YEAR","36425","HCPCS","Both",,,"256","128","Medicaid",,"",,"37",,"93.7","93.7","198.4","percent of total billed charges",,
"FINE NEEDLE ASPIRATN; W/O IMAG GUID","10021","HCPCS","Both",,,"368","184","Alliant","Health Exchange","",,"62",,"228.16","134.69","285.2","percent of total billed charges",,
"FINE NEEDLE ASPIRATN; W/O IMAG GUID","10021","HCPCS","Both",,,"368","184","Pruitt Healthcare","Medicare Advantage","",,"54",,"198.72","134.69","285.2","percent of total billed charges",,
"FINE NEEDLE ASPIRATN; W/O IMAG GUID","10021","HCPCS","Both",,,"368","184","Medicare",,"",,"54",,"199.46","134.69","285.2","percent of total billed charges",,
"FINE NEEDLE ASPIRATN; W/O IMAG GUID","10021","HCPCS","Both",,,"368","184","Humana","Medicare Advantage","",,"54",,"199.46","134.69","285.2","percent of total billed charges",,
"FINE NEEDLE ASPIRATN; W/O IMAG GUID","10021","HCPCS","Both",,,"368","184","UHC","Medicare Advantage","",,"54",,"199.46","134.69","285.2","percent of total billed charges",,
"FINE NEEDLE ASPIRATN; W/O IMAG GUID","10021","HCPCS","Both",,,"368","184","Clover","Medicare Advantage","",,"54",,"199.46","134.69","285.2","percent of total billed charges",,
"FINE NEEDLE ASPIRATN; W/O IMAG GUID","10021","HCPCS","Both",,,"368","184","Wellcare","Medicare Advantage","",,"54",,"199.46","134.69","285.2","percent of total billed charges",,
"FINE NEEDLE ASPIRATN; W/O IMAG GUID","10021","HCPCS","Both",,,"368","184","Amerigroup","Medicaid Managed Care","",,"37",,"134.69","134.69","285.2","percent of total billed charges",,
"FINE NEEDLE ASPIRATN; W/O IMAG GUID","10021","HCPCS","Both",,,"368","184","Caresource","Medicaid Managed Care","",,"40",,"147.2","134.69","285.2","percent of total billed charges",,
"FINE NEEDLE ASPIRATN; W/O IMAG GUID","10021","HCPCS","Both",,,"368","184","Wellcare","Medicaid Managed Care","",,"40",,"149.04","134.69","285.2","percent of total billed charges",,
"FINE NEEDLE ASPIRATN; W/O IMAG GUID","10021","HCPCS","Both",,,"368","184","Aetna","Commercial","",,"64",,"234.78","134.69","285.2","percent of total billed charges",,
"FINE NEEDLE ASPIRATN; W/O IMAG GUID","10021","HCPCS","Both",,,"368","184","Blue Cross Blue Shield","Pathways","",,"71",,"259.81","134.69","285.2","percent of total billed charges",,
"FINE NEEDLE ASPIRATN; W/O IMAG GUID","10021","HCPCS","Both",,,"368","184","Blue Cross Blue Shield","HMO","",,"71",,"259.81","134.69","285.2","percent of total billed charges",,
"FINE NEEDLE ASPIRATN; W/O IMAG GUID","10021","HCPCS","Both",,,"368","184","Blue Cross Blue Shield","PPO","",,"71",,"259.81","134.69","285.2","percent of total billed charges",,
"FINE NEEDLE ASPIRATN; W/O IMAG GUID","10021","HCPCS","Both",,,"368","184","Ambetter","Health Exchange","",,"62",,"228.16","134.69","285.2","percent of total billed charges",,
"FINE NEEDLE ASPIRATN; W/O IMAG GUID","10021","HCPCS","Both",,,"368","184","Caresource","Health Exchange","",,"62",,"228.16","134.69","285.2","percent of total billed charges",,
"FINE NEEDLE ASPIRATN; W/O IMAG GUID","10021","HCPCS","Both",,,"368","184","Cigna","Commercial","",,"59",,"215.65","134.69","285.2","percent of total billed charges",,
"FINE NEEDLE ASPIRATN; W/O IMAG GUID","10021","HCPCS","Both",,,"368","184","Humana","Commercial","",,"78",,"285.2","134.69","285.2","percent of total billed charges",,
"FINE NEEDLE ASPIRATN; W/O IMAG GUID","10021","HCPCS","Both",,,"368","184","UHC","Commercial","",,"75",,"277.47","134.69","285.2","percent of total billed charges",,
"FINE NEEDLE ASPIRATN; W/O IMAG GUID","10021","HCPCS","Both",,,"368","184","Medicaid",,"",,"37",,"134.69","134.69","285.2","percent of total billed charges",,
"PARING OR CUTTING BENIGN LESION; SINGLE","11055","HCPCS","Both",,,"224.5","112.25","Alliant","Health Exchange","",,"62",,"139.19","82.17","173.99","percent of total billed charges",,
"PARING OR CUTTING BENIGN LESION; SINGLE","11055","HCPCS","Both",,,"224.5","112.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"121.23","82.17","173.99","percent of total billed charges",,
"PARING OR CUTTING BENIGN LESION; SINGLE","11055","HCPCS","Both",,,"224.5","112.25","Medicare",,"",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"PARING OR CUTTING BENIGN LESION; SINGLE","11055","HCPCS","Both",,,"224.5","112.25","Humana","Medicare Advantage","",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"PARING OR CUTTING BENIGN LESION; SINGLE","11055","HCPCS","Both",,,"224.5","112.25","UHC","Medicare Advantage","",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"PARING OR CUTTING BENIGN LESION; SINGLE","11055","HCPCS","Both",,,"224.5","112.25","Clover","Medicare Advantage","",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"PARING OR CUTTING BENIGN LESION; SINGLE","11055","HCPCS","Both",,,"224.5","112.25","Wellcare","Medicare Advantage","",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"PARING OR CUTTING BENIGN LESION; SINGLE","11055","HCPCS","Both",,,"224.5","112.25","Amerigroup","Medicaid Managed Care","",,"37",,"82.17","82.17","173.99","percent of total billed charges",,
"PARING OR CUTTING BENIGN LESION; SINGLE","11055","HCPCS","Both",,,"224.5","112.25","Caresource","Medicaid Managed Care","",,"40",,"89.8","82.17","173.99","percent of total billed charges",,
"PARING OR CUTTING BENIGN LESION; SINGLE","11055","HCPCS","Both",,,"224.5","112.25","Wellcare","Medicaid Managed Care","",,"40",,"90.92","82.17","173.99","percent of total billed charges",,
"PARING OR CUTTING BENIGN LESION; SINGLE","11055","HCPCS","Both",,,"224.5","112.25","Aetna","Commercial","",,"64",,"143.23","82.17","173.99","percent of total billed charges",,
"PARING OR CUTTING BENIGN LESION; SINGLE","11055","HCPCS","Both",,,"224.5","112.25","Blue Cross Blue Shield","Pathways","",,"71",,"158.5","82.17","173.99","percent of total billed charges",,
"PARING OR CUTTING BENIGN LESION; SINGLE","11055","HCPCS","Both",,,"224.5","112.25","Blue Cross Blue Shield","HMO","",,"71",,"158.5","82.17","173.99","percent of total billed charges",,
"PARING OR CUTTING BENIGN LESION; SINGLE","11055","HCPCS","Both",,,"224.5","112.25","Blue Cross Blue Shield","PPO","",,"71",,"158.5","82.17","173.99","percent of total billed charges",,
"PARING OR CUTTING BENIGN LESION; SINGLE","11055","HCPCS","Both",,,"224.5","112.25","Ambetter","Health Exchange","",,"62",,"139.19","82.17","173.99","percent of total billed charges",,
"PARING OR CUTTING BENIGN LESION; SINGLE","11055","HCPCS","Both",,,"224.5","112.25","Caresource","Health Exchange","",,"62",,"139.19","82.17","173.99","percent of total billed charges",,
"PARING OR CUTTING BENIGN LESION; SINGLE","11055","HCPCS","Both",,,"224.5","112.25","Cigna","Commercial","",,"59",,"131.56","82.17","173.99","percent of total billed charges",,
"PARING OR CUTTING BENIGN LESION; SINGLE","11055","HCPCS","Both",,,"224.5","112.25","Humana","Commercial","",,"78",,"173.99","82.17","173.99","percent of total billed charges",,
"PARING OR CUTTING BENIGN LESION; SINGLE","11055","HCPCS","Both",,,"224.5","112.25","UHC","Commercial","",,"75",,"169.27","82.17","173.99","percent of total billed charges",,
"PARING OR CUTTING BENIGN LESION; SINGLE","11055","HCPCS","Both",,,"224.5","112.25","Medicaid",,"",,"37",,"82.17","82.17","173.99","percent of total billed charges",,
"EXCISION BENIGN LESION 0.5cm OR LESS","11420","HCPCS","Both",,,"1823","911.5","Alliant","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 0.5cm OR LESS","11420","HCPCS","Both",,,"1823","911.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"984.42","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 0.5cm OR LESS","11420","HCPCS","Both",,,"1823","911.5","Medicare",,"",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 0.5cm OR LESS","11420","HCPCS","Both",,,"1823","911.5","Humana","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 0.5cm OR LESS","11420","HCPCS","Both",,,"1823","911.5","UHC","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 0.5cm OR LESS","11420","HCPCS","Both",,,"1823","911.5","Clover","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 0.5cm OR LESS","11420","HCPCS","Both",,,"1823","911.5","Wellcare","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 0.5cm OR LESS","11420","HCPCS","Both",,,"1823","911.5","Amerigroup","Medicaid Managed Care","",,"37",,"667.22","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 0.5cm OR LESS","11420","HCPCS","Both",,,"1823","911.5","Caresource","Medicaid Managed Care","",,"40",,"729.2","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 0.5cm OR LESS","11420","HCPCS","Both",,,"1823","911.5","Wellcare","Medicaid Managed Care","",,"40",,"738.32","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 0.5cm OR LESS","11420","HCPCS","Both",,,"1823","911.5","Aetna","Commercial","",,"64",,"1163.07","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 0.5cm OR LESS","11420","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","Pathways","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 0.5cm OR LESS","11420","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","HMO","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 0.5cm OR LESS","11420","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","PPO","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 0.5cm OR LESS","11420","HCPCS","Both",,,"1823","911.5","Ambetter","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 0.5cm OR LESS","11420","HCPCS","Both",,,"1823","911.5","Caresource","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 0.5cm OR LESS","11420","HCPCS","Both",,,"1823","911.5","Cigna","Commercial","",,"59",,"1068.28","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 0.5cm OR LESS","11420","HCPCS","Both",,,"1823","911.5","Humana","Commercial","",,"78",,"1412.82","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 0.5cm OR LESS","11420","HCPCS","Both",,,"1823","911.5","UHC","Commercial","",,"75",,"1374.54","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 0.5cm OR LESS","11420","HCPCS","Both",,,"1823","911.5","Medicaid",,"",,"37",,"667.22","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1cm TO 2.0cm","11422","HCPCS","Both",,,"1823","911.5","Alliant","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1cm TO 2.0cm","11422","HCPCS","Both",,,"1823","911.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"984.42","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1cm TO 2.0cm","11422","HCPCS","Both",,,"1823","911.5","Medicare",,"",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1cm TO 2.0cm","11422","HCPCS","Both",,,"1823","911.5","Humana","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1cm TO 2.0cm","11422","HCPCS","Both",,,"1823","911.5","UHC","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1cm TO 2.0cm","11422","HCPCS","Both",,,"1823","911.5","Clover","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1cm TO 2.0cm","11422","HCPCS","Both",,,"1823","911.5","Wellcare","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1cm TO 2.0cm","11422","HCPCS","Both",,,"1823","911.5","Amerigroup","Medicaid Managed Care","",,"37",,"667.22","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1cm TO 2.0cm","11422","HCPCS","Both",,,"1823","911.5","Caresource","Medicaid Managed Care","",,"40",,"729.2","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1cm TO 2.0cm","11422","HCPCS","Both",,,"1823","911.5","Wellcare","Medicaid Managed Care","",,"40",,"738.32","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1cm TO 2.0cm","11422","HCPCS","Both",,,"1823","911.5","Aetna","Commercial","",,"64",,"1163.07","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1cm TO 2.0cm","11422","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","Pathways","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1cm TO 2.0cm","11422","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","HMO","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1cm TO 2.0cm","11422","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","PPO","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1cm TO 2.0cm","11422","HCPCS","Both",,,"1823","911.5","Ambetter","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1cm TO 2.0cm","11422","HCPCS","Both",,,"1823","911.5","Caresource","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1cm TO 2.0cm","11422","HCPCS","Both",,,"1823","911.5","Cigna","Commercial","",,"59",,"1068.28","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1cm TO 2.0cm","11422","HCPCS","Both",,,"1823","911.5","Humana","Commercial","",,"78",,"1412.82","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1cm TO 2.0cm","11422","HCPCS","Both",,,"1823","911.5","UHC","Commercial","",,"75",,"1374.54","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1cm TO 2.0cm","11422","HCPCS","Both",,,"1823","911.5","Medicaid",,"",,"37",,"667.22","667.22","1412.82","percent of total billed charges",,
"DEBRIDEMENT NAIL 1-5","11720","HCPCS","Both",,,"224.5","112.25","Alliant","Health Exchange","",,"62",,"139.19","82.17","173.99","percent of total billed charges",,
"DEBRIDEMENT NAIL 1-5","11720","HCPCS","Both",,,"224.5","112.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"121.23","82.17","173.99","percent of total billed charges",,
"DEBRIDEMENT NAIL 1-5","11720","HCPCS","Both",,,"224.5","112.25","Medicare",,"",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"DEBRIDEMENT NAIL 1-5","11720","HCPCS","Both",,,"224.5","112.25","Humana","Medicare Advantage","",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"DEBRIDEMENT NAIL 1-5","11720","HCPCS","Both",,,"224.5","112.25","UHC","Medicare Advantage","",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"DEBRIDEMENT NAIL 1-5","11720","HCPCS","Both",,,"224.5","112.25","Clover","Medicare Advantage","",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"DEBRIDEMENT NAIL 1-5","11720","HCPCS","Both",,,"224.5","112.25","Wellcare","Medicare Advantage","",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"DEBRIDEMENT NAIL 1-5","11720","HCPCS","Both",,,"224.5","112.25","Amerigroup","Medicaid Managed Care","",,"37",,"82.17","82.17","173.99","percent of total billed charges",,
"DEBRIDEMENT NAIL 1-5","11720","HCPCS","Both",,,"224.5","112.25","Caresource","Medicaid Managed Care","",,"40",,"89.8","82.17","173.99","percent of total billed charges",,
"DEBRIDEMENT NAIL 1-5","11720","HCPCS","Both",,,"224.5","112.25","Wellcare","Medicaid Managed Care","",,"40",,"90.92","82.17","173.99","percent of total billed charges",,
"DEBRIDEMENT NAIL 1-5","11720","HCPCS","Both",,,"224.5","112.25","Aetna","Commercial","",,"64",,"143.23","82.17","173.99","percent of total billed charges",,
"DEBRIDEMENT NAIL 1-5","11720","HCPCS","Both",,,"224.5","112.25","Blue Cross Blue Shield","Pathways","",,"71",,"158.5","82.17","173.99","percent of total billed charges",,
"DEBRIDEMENT NAIL 1-5","11720","HCPCS","Both",,,"224.5","112.25","Blue Cross Blue Shield","HMO","",,"71",,"158.5","82.17","173.99","percent of total billed charges",,
"DEBRIDEMENT NAIL 1-5","11720","HCPCS","Both",,,"224.5","112.25","Blue Cross Blue Shield","PPO","",,"71",,"158.5","82.17","173.99","percent of total billed charges",,
"DEBRIDEMENT NAIL 1-5","11720","HCPCS","Both",,,"224.5","112.25","Ambetter","Health Exchange","",,"62",,"139.19","82.17","173.99","percent of total billed charges",,
"DEBRIDEMENT NAIL 1-5","11720","HCPCS","Both",,,"224.5","112.25","Caresource","Health Exchange","",,"62",,"139.19","82.17","173.99","percent of total billed charges",,
"DEBRIDEMENT NAIL 1-5","11720","HCPCS","Both",,,"224.5","112.25","Cigna","Commercial","",,"59",,"131.56","82.17","173.99","percent of total billed charges",,
"DEBRIDEMENT NAIL 1-5","11720","HCPCS","Both",,,"224.5","112.25","Humana","Commercial","",,"78",,"173.99","82.17","173.99","percent of total billed charges",,
"DEBRIDEMENT NAIL 1-5","11720","HCPCS","Both",,,"224.5","112.25","UHC","Commercial","",,"75",,"169.27","82.17","173.99","percent of total billed charges",,
"DEBRIDEMENT NAIL 1-5","11720","HCPCS","Both",,,"224.5","112.25","Medicaid",,"",,"37",,"82.17","82.17","173.99","percent of total billed charges",,
"EXCISION OF NAIL & NAIL MATRIX; PART/COM","11750","HCPCS","Both",,,"1051","525.5","Alliant","Health Exchange","",,"62",,"651.62","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & NAIL MATRIX; PART/COM","11750","HCPCS","Both",,,"1051","525.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"567.54","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & NAIL MATRIX; PART/COM","11750","HCPCS","Both",,,"1051","525.5","Medicare",,"",,"54",,"569.64","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & NAIL MATRIX; PART/COM","11750","HCPCS","Both",,,"1051","525.5","Humana","Medicare Advantage","",,"54",,"569.64","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & NAIL MATRIX; PART/COM","11750","HCPCS","Both",,,"1051","525.5","UHC","Medicare Advantage","",,"54",,"569.64","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & NAIL MATRIX; PART/COM","11750","HCPCS","Both",,,"1051","525.5","Clover","Medicare Advantage","",,"54",,"569.64","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & NAIL MATRIX; PART/COM","11750","HCPCS","Both",,,"1051","525.5","Wellcare","Medicare Advantage","",,"54",,"569.64","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & NAIL MATRIX; PART/COM","11750","HCPCS","Both",,,"1051","525.5","Amerigroup","Medicaid Managed Care","",,"37",,"384.67","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & NAIL MATRIX; PART/COM","11750","HCPCS","Both",,,"1051","525.5","Caresource","Medicaid Managed Care","",,"40",,"420.4","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & NAIL MATRIX; PART/COM","11750","HCPCS","Both",,,"1051","525.5","Wellcare","Medicaid Managed Care","",,"40",,"425.66","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & NAIL MATRIX; PART/COM","11750","HCPCS","Both",,,"1051","525.5","Aetna","Commercial","",,"64",,"670.54","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & NAIL MATRIX; PART/COM","11750","HCPCS","Both",,,"1051","525.5","Blue Cross Blue Shield","Pathways","",,"71",,"742.01","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & NAIL MATRIX; PART/COM","11750","HCPCS","Both",,,"1051","525.5","Blue Cross Blue Shield","HMO","",,"71",,"742.01","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & NAIL MATRIX; PART/COM","11750","HCPCS","Both",,,"1051","525.5","Blue Cross Blue Shield","PPO","",,"71",,"742.01","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & NAIL MATRIX; PART/COM","11750","HCPCS","Both",,,"1051","525.5","Ambetter","Health Exchange","",,"62",,"651.62","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & NAIL MATRIX; PART/COM","11750","HCPCS","Both",,,"1051","525.5","Caresource","Health Exchange","",,"62",,"651.62","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & NAIL MATRIX; PART/COM","11750","HCPCS","Both",,,"1051","525.5","Cigna","Commercial","",,"59",,"615.89","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & NAIL MATRIX; PART/COM","11750","HCPCS","Both",,,"1051","525.5","Humana","Commercial","",,"78",,"814.52","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & NAIL MATRIX; PART/COM","11750","HCPCS","Both",,,"1051","525.5","UHC","Commercial","",,"75",,"792.45","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & NAIL MATRIX; PART/COM","11750","HCPCS","Both",,,"1051","525.5","Medicaid",,"",,"37",,"384.67","384.67","814.52","percent of total billed charges",,
"REPAIR INTERMEDIATE 20.1CM TO 30.0CM","12036","HCPCS","Both",,,"1338.5","669.25","Alliant","Health Exchange","",,"62",,"829.87","489.89","1037.34","percent of total billed charges",,
"REPAIR INTERMEDIATE 20.1CM TO 30.0CM","12036","HCPCS","Both",,,"1338.5","669.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"722.79","489.89","1037.34","percent of total billed charges",,
"REPAIR INTERMEDIATE 20.1CM TO 30.0CM","12036","HCPCS","Both",,,"1338.5","669.25","Medicare",,"",,"54",,"725.47","489.89","1037.34","percent of total billed charges",,
"REPAIR INTERMEDIATE 20.1CM TO 30.0CM","12036","HCPCS","Both",,,"1338.5","669.25","Humana","Medicare Advantage","",,"54",,"725.47","489.89","1037.34","percent of total billed charges",,
"REPAIR INTERMEDIATE 20.1CM TO 30.0CM","12036","HCPCS","Both",,,"1338.5","669.25","UHC","Medicare Advantage","",,"54",,"725.47","489.89","1037.34","percent of total billed charges",,
"REPAIR INTERMEDIATE 20.1CM TO 30.0CM","12036","HCPCS","Both",,,"1338.5","669.25","Clover","Medicare Advantage","",,"54",,"725.47","489.89","1037.34","percent of total billed charges",,
"REPAIR INTERMEDIATE 20.1CM TO 30.0CM","12036","HCPCS","Both",,,"1338.5","669.25","Wellcare","Medicare Advantage","",,"54",,"725.47","489.89","1037.34","percent of total billed charges",,
"REPAIR INTERMEDIATE 20.1CM TO 30.0CM","12036","HCPCS","Both",,,"1338.5","669.25","Amerigroup","Medicaid Managed Care","",,"37",,"489.89","489.89","1037.34","percent of total billed charges",,
"REPAIR INTERMEDIATE 20.1CM TO 30.0CM","12036","HCPCS","Both",,,"1338.5","669.25","Caresource","Medicaid Managed Care","",,"40",,"535.4","489.89","1037.34","percent of total billed charges",,
"REPAIR INTERMEDIATE 20.1CM TO 30.0CM","12036","HCPCS","Both",,,"1338.5","669.25","Wellcare","Medicaid Managed Care","",,"40",,"542.09","489.89","1037.34","percent of total billed charges",,
"REPAIR INTERMEDIATE 20.1CM TO 30.0CM","12036","HCPCS","Both",,,"1338.5","669.25","Aetna","Commercial","",,"64",,"853.96","489.89","1037.34","percent of total billed charges",,
"REPAIR INTERMEDIATE 20.1CM TO 30.0CM","12036","HCPCS","Both",,,"1338.5","669.25","Blue Cross Blue Shield","Pathways","",,"71",,"944.98","489.89","1037.34","percent of total billed charges",,
"REPAIR INTERMEDIATE 20.1CM TO 30.0CM","12036","HCPCS","Both",,,"1338.5","669.25","Blue Cross Blue Shield","HMO","",,"71",,"944.98","489.89","1037.34","percent of total billed charges",,
"REPAIR INTERMEDIATE 20.1CM TO 30.0CM","12036","HCPCS","Both",,,"1338.5","669.25","Blue Cross Blue Shield","PPO","",,"71",,"944.98","489.89","1037.34","percent of total billed charges",,
"REPAIR INTERMEDIATE 20.1CM TO 30.0CM","12036","HCPCS","Both",,,"1338.5","669.25","Ambetter","Health Exchange","",,"62",,"829.87","489.89","1037.34","percent of total billed charges",,
"REPAIR INTERMEDIATE 20.1CM TO 30.0CM","12036","HCPCS","Both",,,"1338.5","669.25","Caresource","Health Exchange","",,"62",,"829.87","489.89","1037.34","percent of total billed charges",,
"REPAIR INTERMEDIATE 20.1CM TO 30.0CM","12036","HCPCS","Both",,,"1338.5","669.25","Cigna","Commercial","",,"59",,"784.36","489.89","1037.34","percent of total billed charges",,
"REPAIR INTERMEDIATE 20.1CM TO 30.0CM","12036","HCPCS","Both",,,"1338.5","669.25","Humana","Commercial","",,"78",,"1037.34","489.89","1037.34","percent of total billed charges",,
"REPAIR INTERMEDIATE 20.1CM TO 30.0CM","12036","HCPCS","Both",,,"1338.5","669.25","UHC","Commercial","",,"75",,"1009.23","489.89","1037.34","percent of total billed charges",,
"REPAIR INTERMEDIATE 20.1CM TO 30.0CM","12036","HCPCS","Both",,,"1338.5","669.25","Medicaid",,"",,"37",,"489.89","489.89","1037.34","percent of total billed charges",,
"REPAIR INTERMEDIATE NCK HND FT 12.6cm","12055","HCPCS","Both",,,"622.5","311.25","Alliant","Health Exchange","",,"62",,"385.95","227.84","482.44","percent of total billed charges",,
"REPAIR INTERMEDIATE NCK HND FT 12.6cm","12055","HCPCS","Both",,,"622.5","311.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"336.15","227.84","482.44","percent of total billed charges",,
"REPAIR INTERMEDIATE NCK HND FT 12.6cm","12055","HCPCS","Both",,,"622.5","311.25","Medicare",,"",,"54",,"337.4","227.84","482.44","percent of total billed charges",,
"REPAIR INTERMEDIATE NCK HND FT 12.6cm","12055","HCPCS","Both",,,"622.5","311.25","Humana","Medicare Advantage","",,"54",,"337.4","227.84","482.44","percent of total billed charges",,
"REPAIR INTERMEDIATE NCK HND FT 12.6cm","12055","HCPCS","Both",,,"622.5","311.25","UHC","Medicare Advantage","",,"54",,"337.4","227.84","482.44","percent of total billed charges",,
"REPAIR INTERMEDIATE NCK HND FT 12.6cm","12055","HCPCS","Both",,,"622.5","311.25","Clover","Medicare Advantage","",,"54",,"337.4","227.84","482.44","percent of total billed charges",,
"REPAIR INTERMEDIATE NCK HND FT 12.6cm","12055","HCPCS","Both",,,"622.5","311.25","Wellcare","Medicare Advantage","",,"54",,"337.4","227.84","482.44","percent of total billed charges",,
"REPAIR INTERMEDIATE NCK HND FT 12.6cm","12055","HCPCS","Both",,,"622.5","311.25","Amerigroup","Medicaid Managed Care","",,"37",,"227.84","227.84","482.44","percent of total billed charges",,
"REPAIR INTERMEDIATE NCK HND FT 12.6cm","12055","HCPCS","Both",,,"622.5","311.25","Caresource","Medicaid Managed Care","",,"40",,"249","227.84","482.44","percent of total billed charges",,
"REPAIR INTERMEDIATE NCK HND FT 12.6cm","12055","HCPCS","Both",,,"622.5","311.25","Wellcare","Medicaid Managed Care","",,"40",,"252.11","227.84","482.44","percent of total billed charges",,
"REPAIR INTERMEDIATE NCK HND FT 12.6cm","12055","HCPCS","Both",,,"622.5","311.25","Aetna","Commercial","",,"64",,"397.16","227.84","482.44","percent of total billed charges",,
"REPAIR INTERMEDIATE NCK HND FT 12.6cm","12055","HCPCS","Both",,,"622.5","311.25","Blue Cross Blue Shield","Pathways","",,"71",,"439.48","227.84","482.44","percent of total billed charges",,
"REPAIR INTERMEDIATE NCK HND FT 12.6cm","12055","HCPCS","Both",,,"622.5","311.25","Blue Cross Blue Shield","HMO","",,"71",,"439.48","227.84","482.44","percent of total billed charges",,
"REPAIR INTERMEDIATE NCK HND FT 12.6cm","12055","HCPCS","Both",,,"622.5","311.25","Blue Cross Blue Shield","PPO","",,"71",,"439.48","227.84","482.44","percent of total billed charges",,
"REPAIR INTERMEDIATE NCK HND FT 12.6cm","12055","HCPCS","Both",,,"622.5","311.25","Ambetter","Health Exchange","",,"62",,"385.95","227.84","482.44","percent of total billed charges",,
"REPAIR INTERMEDIATE NCK HND FT 12.6cm","12055","HCPCS","Both",,,"622.5","311.25","Caresource","Health Exchange","",,"62",,"385.95","227.84","482.44","percent of total billed charges",,
"REPAIR INTERMEDIATE NCK HND FT 12.6cm","12055","HCPCS","Both",,,"622.5","311.25","Cigna","Commercial","",,"59",,"364.78","227.84","482.44","percent of total billed charges",,
"REPAIR INTERMEDIATE NCK HND FT 12.6cm","12055","HCPCS","Both",,,"622.5","311.25","Humana","Commercial","",,"78",,"482.44","227.84","482.44","percent of total billed charges",,
"REPAIR INTERMEDIATE NCK HND FT 12.6cm","12055","HCPCS","Both",,,"622.5","311.25","UHC","Commercial","",,"75",,"469.36","227.84","482.44","percent of total billed charges",,
"REPAIR INTERMEDIATE NCK HND FT 12.6cm","12055","HCPCS","Both",,,"622.5","311.25","Medicaid",,"",,"37",,"227.84","227.84","482.44","percent of total billed charges",,
"COMPLEX 2.5CM-7.5CM SCALP/ARM/LEG","13122","HCPCS","Both",,,"785.5","392.75","Alliant","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.5CM-7.5CM SCALP/ARM/LEG","13122","HCPCS","Both",,,"785.5","392.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"424.17","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.5CM-7.5CM SCALP/ARM/LEG","13122","HCPCS","Both",,,"785.5","392.75","Medicare",,"",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.5CM-7.5CM SCALP/ARM/LEG","13122","HCPCS","Both",,,"785.5","392.75","Humana","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.5CM-7.5CM SCALP/ARM/LEG","13122","HCPCS","Both",,,"785.5","392.75","UHC","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.5CM-7.5CM SCALP/ARM/LEG","13122","HCPCS","Both",,,"785.5","392.75","Clover","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.5CM-7.5CM SCALP/ARM/LEG","13122","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.5CM-7.5CM SCALP/ARM/LEG","13122","HCPCS","Both",,,"785.5","392.75","Amerigroup","Medicaid Managed Care","",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.5CM-7.5CM SCALP/ARM/LEG","13122","HCPCS","Both",,,"785.5","392.75","Caresource","Medicaid Managed Care","",,"40",,"314.2","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.5CM-7.5CM SCALP/ARM/LEG","13122","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicaid Managed Care","",,"40",,"318.13","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.5CM-7.5CM SCALP/ARM/LEG","13122","HCPCS","Both",,,"785.5","392.75","Aetna","Commercial","",,"64",,"501.15","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.5CM-7.5CM SCALP/ARM/LEG","13122","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","Pathways","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.5CM-7.5CM SCALP/ARM/LEG","13122","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","HMO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.5CM-7.5CM SCALP/ARM/LEG","13122","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","PPO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.5CM-7.5CM SCALP/ARM/LEG","13122","HCPCS","Both",,,"785.5","392.75","Ambetter","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.5CM-7.5CM SCALP/ARM/LEG","13122","HCPCS","Both",,,"785.5","392.75","Caresource","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.5CM-7.5CM SCALP/ARM/LEG","13122","HCPCS","Both",,,"785.5","392.75","Cigna","Commercial","",,"59",,"460.3","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.5CM-7.5CM SCALP/ARM/LEG","13122","HCPCS","Both",,,"785.5","392.75","Humana","Commercial","",,"78",,"608.76","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.5CM-7.5CM SCALP/ARM/LEG","13122","HCPCS","Both",,,"785.5","392.75","UHC","Commercial","",,"75",,"592.27","287.49","608.76","percent of total billed charges",,
"COMPLEX 2.5CM-7.5CM SCALP/ARM/LEG","13122","HCPCS","Both",,,"785.5","392.75","Medicaid",,"",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13133","HCPCS","Both",,,"785.5","392.75","Alliant","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13133","HCPCS","Both",,,"785.5","392.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"424.17","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13133","HCPCS","Both",,,"785.5","392.75","Medicare",,"",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13133","HCPCS","Both",,,"785.5","392.75","Humana","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13133","HCPCS","Both",,,"785.5","392.75","UHC","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13133","HCPCS","Both",,,"785.5","392.75","Clover","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13133","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13133","HCPCS","Both",,,"785.5","392.75","Amerigroup","Medicaid Managed Care","",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13133","HCPCS","Both",,,"785.5","392.75","Caresource","Medicaid Managed Care","",,"40",,"314.2","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13133","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicaid Managed Care","",,"40",,"318.13","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13133","HCPCS","Both",,,"785.5","392.75","Aetna","Commercial","",,"64",,"501.15","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13133","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","Pathways","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13133","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","HMO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13133","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","PPO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13133","HCPCS","Both",,,"785.5","392.75","Ambetter","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13133","HCPCS","Both",,,"785.5","392.75","Caresource","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13133","HCPCS","Both",,,"785.5","392.75","Cigna","Commercial","",,"59",,"460.3","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13133","HCPCS","Both",,,"785.5","392.75","Humana","Commercial","",,"78",,"608.76","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13133","HCPCS","Both",,,"785.5","392.75","UHC","Commercial","",,"75",,"592.27","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13133","HCPCS","Both",,,"785.5","392.75","Medicaid",,"",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"REPAIR COMPLEX @ ADD'L 5cm OR LESS","13153","HCPCS","Both",,,"785.5","392.75","Alliant","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"REPAIR COMPLEX @ ADD'L 5cm OR LESS","13153","HCPCS","Both",,,"785.5","392.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"424.17","287.49","608.76","percent of total billed charges",,
"REPAIR COMPLEX @ ADD'L 5cm OR LESS","13153","HCPCS","Both",,,"785.5","392.75","Medicare",,"",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR COMPLEX @ ADD'L 5cm OR LESS","13153","HCPCS","Both",,,"785.5","392.75","Humana","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR COMPLEX @ ADD'L 5cm OR LESS","13153","HCPCS","Both",,,"785.5","392.75","UHC","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR COMPLEX @ ADD'L 5cm OR LESS","13153","HCPCS","Both",,,"785.5","392.75","Clover","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR COMPLEX @ ADD'L 5cm OR LESS","13153","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR COMPLEX @ ADD'L 5cm OR LESS","13153","HCPCS","Both",,,"785.5","392.75","Amerigroup","Medicaid Managed Care","",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"REPAIR COMPLEX @ ADD'L 5cm OR LESS","13153","HCPCS","Both",,,"785.5","392.75","Caresource","Medicaid Managed Care","",,"40",,"314.2","287.49","608.76","percent of total billed charges",,
"REPAIR COMPLEX @ ADD'L 5cm OR LESS","13153","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicaid Managed Care","",,"40",,"318.13","287.49","608.76","percent of total billed charges",,
"REPAIR COMPLEX @ ADD'L 5cm OR LESS","13153","HCPCS","Both",,,"785.5","392.75","Aetna","Commercial","",,"64",,"501.15","287.49","608.76","percent of total billed charges",,
"REPAIR COMPLEX @ ADD'L 5cm OR LESS","13153","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","Pathways","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"REPAIR COMPLEX @ ADD'L 5cm OR LESS","13153","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","HMO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"REPAIR COMPLEX @ ADD'L 5cm OR LESS","13153","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","PPO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"REPAIR COMPLEX @ ADD'L 5cm OR LESS","13153","HCPCS","Both",,,"785.5","392.75","Ambetter","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"REPAIR COMPLEX @ ADD'L 5cm OR LESS","13153","HCPCS","Both",,,"785.5","392.75","Caresource","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"REPAIR COMPLEX @ ADD'L 5cm OR LESS","13153","HCPCS","Both",,,"785.5","392.75","Cigna","Commercial","",,"59",,"460.3","287.49","608.76","percent of total billed charges",,
"REPAIR COMPLEX @ ADD'L 5cm OR LESS","13153","HCPCS","Both",,,"785.5","392.75","Humana","Commercial","",,"78",,"608.76","287.49","608.76","percent of total billed charges",,
"REPAIR COMPLEX @ ADD'L 5cm OR LESS","13153","HCPCS","Both",,,"785.5","392.75","UHC","Commercial","",,"75",,"592.27","287.49","608.76","percent of total billed charges",,
"REPAIR COMPLEX @ ADD'L 5cm OR LESS","13153","HCPCS","Both",,,"785.5","392.75","Medicaid",,"",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"SURG PREP RECIP SITE 1ST 100sq cm","15004","HCPCS","Both",,,"1278.5","639.25","Alliant","Health Exchange","",,"62",,"792.67","467.93","990.84","percent of total billed charges",,
"SURG PREP RECIP SITE 1ST 100sq cm","15004","HCPCS","Both",,,"1278.5","639.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"690.39","467.93","990.84","percent of total billed charges",,
"SURG PREP RECIP SITE 1ST 100sq cm","15004","HCPCS","Both",,,"1278.5","639.25","Medicare",,"",,"54",,"692.95","467.93","990.84","percent of total billed charges",,
"SURG PREP RECIP SITE 1ST 100sq cm","15004","HCPCS","Both",,,"1278.5","639.25","Humana","Medicare Advantage","",,"54",,"692.95","467.93","990.84","percent of total billed charges",,
"SURG PREP RECIP SITE 1ST 100sq cm","15004","HCPCS","Both",,,"1278.5","639.25","UHC","Medicare Advantage","",,"54",,"692.95","467.93","990.84","percent of total billed charges",,
"SURG PREP RECIP SITE 1ST 100sq cm","15004","HCPCS","Both",,,"1278.5","639.25","Clover","Medicare Advantage","",,"54",,"692.95","467.93","990.84","percent of total billed charges",,
"SURG PREP RECIP SITE 1ST 100sq cm","15004","HCPCS","Both",,,"1278.5","639.25","Wellcare","Medicare Advantage","",,"54",,"692.95","467.93","990.84","percent of total billed charges",,
"SURG PREP RECIP SITE 1ST 100sq cm","15004","HCPCS","Both",,,"1278.5","639.25","Amerigroup","Medicaid Managed Care","",,"37",,"467.93","467.93","990.84","percent of total billed charges",,
"SURG PREP RECIP SITE 1ST 100sq cm","15004","HCPCS","Both",,,"1278.5","639.25","Caresource","Medicaid Managed Care","",,"40",,"511.4","467.93","990.84","percent of total billed charges",,
"SURG PREP RECIP SITE 1ST 100sq cm","15004","HCPCS","Both",,,"1278.5","639.25","Wellcare","Medicaid Managed Care","",,"40",,"517.79","467.93","990.84","percent of total billed charges",,
"SURG PREP RECIP SITE 1ST 100sq cm","15004","HCPCS","Both",,,"1278.5","639.25","Aetna","Commercial","",,"64",,"815.68","467.93","990.84","percent of total billed charges",,
"SURG PREP RECIP SITE 1ST 100sq cm","15004","HCPCS","Both",,,"1278.5","639.25","Blue Cross Blue Shield","Pathways","",,"71",,"902.62","467.93","990.84","percent of total billed charges",,
"SURG PREP RECIP SITE 1ST 100sq cm","15004","HCPCS","Both",,,"1278.5","639.25","Blue Cross Blue Shield","HMO","",,"71",,"902.62","467.93","990.84","percent of total billed charges",,
"SURG PREP RECIP SITE 1ST 100sq cm","15004","HCPCS","Both",,,"1278.5","639.25","Blue Cross Blue Shield","PPO","",,"71",,"902.62","467.93","990.84","percent of total billed charges",,
"SURG PREP RECIP SITE 1ST 100sq cm","15004","HCPCS","Both",,,"1278.5","639.25","Ambetter","Health Exchange","",,"62",,"792.67","467.93","990.84","percent of total billed charges",,
"SURG PREP RECIP SITE 1ST 100sq cm","15004","HCPCS","Both",,,"1278.5","639.25","Caresource","Health Exchange","",,"62",,"792.67","467.93","990.84","percent of total billed charges",,
"SURG PREP RECIP SITE 1ST 100sq cm","15004","HCPCS","Both",,,"1278.5","639.25","Cigna","Commercial","",,"59",,"749.2","467.93","990.84","percent of total billed charges",,
"SURG PREP RECIP SITE 1ST 100sq cm","15004","HCPCS","Both",,,"1278.5","639.25","Humana","Commercial","",,"78",,"990.84","467.93","990.84","percent of total billed charges",,
"SURG PREP RECIP SITE 1ST 100sq cm","15004","HCPCS","Both",,,"1278.5","639.25","UHC","Commercial","",,"75",,"963.99","467.93","990.84","percent of total billed charges",,
"SURG PREP RECIP SITE 1ST 100sq cm","15004","HCPCS","Both",,,"1278.5","639.25","Medicaid",,"",,"37",,"467.93","467.93","990.84","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15100","HCPCS","Both",,,"7055.5","3527.75","Alliant","Health Exchange","",,"62",,"4374.41","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15100","HCPCS","Both",,,"7055.5","3527.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"3809.97","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15100","HCPCS","Both",,,"7055.5","3527.75","Medicare",,"",,"54",,"3824.08","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15100","HCPCS","Both",,,"7055.5","3527.75","Humana","Medicare Advantage","",,"54",,"3824.08","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15100","HCPCS","Both",,,"7055.5","3527.75","UHC","Medicare Advantage","",,"54",,"3824.08","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15100","HCPCS","Both",,,"7055.5","3527.75","Clover","Medicare Advantage","",,"54",,"3824.08","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15100","HCPCS","Both",,,"7055.5","3527.75","Wellcare","Medicare Advantage","",,"54",,"3824.08","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15100","HCPCS","Both",,,"7055.5","3527.75","Amerigroup","Medicaid Managed Care","",,"37",,"2582.31","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15100","HCPCS","Both",,,"7055.5","3527.75","Caresource","Medicaid Managed Care","",,"40",,"2822.2","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15100","HCPCS","Both",,,"7055.5","3527.75","Wellcare","Medicaid Managed Care","",,"40",,"2857.48","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15100","HCPCS","Both",,,"7055.5","3527.75","Aetna","Commercial","",,"64",,"4501.41","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15100","HCPCS","Both",,,"7055.5","3527.75","Blue Cross Blue Shield","Pathways","",,"71",,"4981.18","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15100","HCPCS","Both",,,"7055.5","3527.75","Blue Cross Blue Shield","HMO","",,"71",,"4981.18","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15100","HCPCS","Both",,,"7055.5","3527.75","Blue Cross Blue Shield","PPO","",,"71",,"4981.18","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15100","HCPCS","Both",,,"7055.5","3527.75","Ambetter","Health Exchange","",,"62",,"4374.41","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15100","HCPCS","Both",,,"7055.5","3527.75","Caresource","Health Exchange","",,"62",,"4374.41","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15100","HCPCS","Both",,,"7055.5","3527.75","Cigna","Commercial","",,"59",,"4134.52","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15100","HCPCS","Both",,,"7055.5","3527.75","Humana","Commercial","",,"78",,"5468.01","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15100","HCPCS","Both",,,"7055.5","3527.75","UHC","Commercial","",,"75",,"5319.85","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15100","HCPCS","Both",,,"7055.5","3527.75","Medicaid",,"",,"37",,"2582.31","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15101","HCPCS","Both",,,"7055.5","3527.75","Alliant","Health Exchange","",,"62",,"4374.41","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15101","HCPCS","Both",,,"7055.5","3527.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"3809.97","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15101","HCPCS","Both",,,"7055.5","3527.75","Medicare",,"",,"54",,"3824.08","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15101","HCPCS","Both",,,"7055.5","3527.75","Humana","Medicare Advantage","",,"54",,"3824.08","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15101","HCPCS","Both",,,"7055.5","3527.75","UHC","Medicare Advantage","",,"54",,"3824.08","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15101","HCPCS","Both",,,"7055.5","3527.75","Clover","Medicare Advantage","",,"54",,"3824.08","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15101","HCPCS","Both",,,"7055.5","3527.75","Wellcare","Medicare Advantage","",,"54",,"3824.08","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15101","HCPCS","Both",,,"7055.5","3527.75","Amerigroup","Medicaid Managed Care","",,"37",,"2582.31","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15101","HCPCS","Both",,,"7055.5","3527.75","Caresource","Medicaid Managed Care","",,"40",,"2822.2","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15101","HCPCS","Both",,,"7055.5","3527.75","Wellcare","Medicaid Managed Care","",,"40",,"2857.48","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15101","HCPCS","Both",,,"7055.5","3527.75","Aetna","Commercial","",,"64",,"4501.41","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15101","HCPCS","Both",,,"7055.5","3527.75","Blue Cross Blue Shield","Pathways","",,"71",,"4981.18","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15101","HCPCS","Both",,,"7055.5","3527.75","Blue Cross Blue Shield","HMO","",,"71",,"4981.18","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15101","HCPCS","Both",,,"7055.5","3527.75","Blue Cross Blue Shield","PPO","",,"71",,"4981.18","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15101","HCPCS","Both",,,"7055.5","3527.75","Ambetter","Health Exchange","",,"62",,"4374.41","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15101","HCPCS","Both",,,"7055.5","3527.75","Caresource","Health Exchange","",,"62",,"4374.41","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15101","HCPCS","Both",,,"7055.5","3527.75","Cigna","Commercial","",,"59",,"4134.52","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15101","HCPCS","Both",,,"7055.5","3527.75","Humana","Commercial","",,"78",,"5468.01","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15101","HCPCS","Both",,,"7055.5","3527.75","UHC","Commercial","",,"75",,"5319.85","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15101","HCPCS","Both",,,"7055.5","3527.75","Medicaid",,"",,"37",,"2582.31","2582.31","5468.01","percent of total billed charges",,
"EXCISION, EXCESS SKIN; OTHER AREA","15839","HCPCS","Both",,,"3502","1751","Alliant","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION, EXCESS SKIN; OTHER AREA","15839","HCPCS","Both",,,"3502","1751","Pruitt Healthcare","Medicare Advantage","",,"54",,"1891.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION, EXCESS SKIN; OTHER AREA","15839","HCPCS","Both",,,"3502","1751","Medicare",,"",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION, EXCESS SKIN; OTHER AREA","15839","HCPCS","Both",,,"3502","1751","Humana","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION, EXCESS SKIN; OTHER AREA","15839","HCPCS","Both",,,"3502","1751","UHC","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION, EXCESS SKIN; OTHER AREA","15839","HCPCS","Both",,,"3502","1751","Clover","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION, EXCESS SKIN; OTHER AREA","15839","HCPCS","Both",,,"3502","1751","Wellcare","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION, EXCESS SKIN; OTHER AREA","15839","HCPCS","Both",,,"3502","1751","Amerigroup","Medicaid Managed Care","",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"EXCISION, EXCESS SKIN; OTHER AREA","15839","HCPCS","Both",,,"3502","1751","Caresource","Medicaid Managed Care","",,"40",,"1400.8","1281.73","2714.05","percent of total billed charges",,
"EXCISION, EXCESS SKIN; OTHER AREA","15839","HCPCS","Both",,,"3502","1751","Wellcare","Medicaid Managed Care","",,"40",,"1418.31","1281.73","2714.05","percent of total billed charges",,
"EXCISION, EXCESS SKIN; OTHER AREA","15839","HCPCS","Both",,,"3502","1751","Aetna","Commercial","",,"64",,"2234.28","1281.73","2714.05","percent of total billed charges",,
"EXCISION, EXCESS SKIN; OTHER AREA","15839","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","Pathways","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION, EXCESS SKIN; OTHER AREA","15839","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","HMO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION, EXCESS SKIN; OTHER AREA","15839","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","PPO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION, EXCESS SKIN; OTHER AREA","15839","HCPCS","Both",,,"3502","1751","Ambetter","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION, EXCESS SKIN; OTHER AREA","15839","HCPCS","Both",,,"3502","1751","Caresource","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION, EXCESS SKIN; OTHER AREA","15839","HCPCS","Both",,,"3502","1751","Cigna","Commercial","",,"59",,"2052.17","1281.73","2714.05","percent of total billed charges",,
"EXCISION, EXCESS SKIN; OTHER AREA","15839","HCPCS","Both",,,"3502","1751","Humana","Commercial","",,"78",,"2714.05","1281.73","2714.05","percent of total billed charges",,
"EXCISION, EXCESS SKIN; OTHER AREA","15839","HCPCS","Both",,,"3502","1751","UHC","Commercial","",,"75",,"2640.51","1281.73","2714.05","percent of total billed charges",,
"EXCISION, EXCESS SKIN; OTHER AREA","15839","HCPCS","Both",,,"3502","1751","Medicaid",,"",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"REMOVAL OF SUTURES or STAPLES W/O ANESTH","15853","HCPCS","Both",,,"35","17.5","Alliant","Health Exchange","",,"62",,"21.7","12.81","27.12","percent of total billed charges",,
"REMOVAL OF SUTURES or STAPLES W/O ANESTH","15853","HCPCS","Both",,,"35","17.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"18.9","12.81","27.12","percent of total billed charges",,
"REMOVAL OF SUTURES or STAPLES W/O ANESTH","15853","HCPCS","Both",,,"35","17.5","Medicare",,"",,"54",,"18.97","12.81","27.12","percent of total billed charges",,
"REMOVAL OF SUTURES or STAPLES W/O ANESTH","15853","HCPCS","Both",,,"35","17.5","Humana","Medicare Advantage","",,"54",,"18.97","12.81","27.12","percent of total billed charges",,
"REMOVAL OF SUTURES or STAPLES W/O ANESTH","15853","HCPCS","Both",,,"35","17.5","UHC","Medicare Advantage","",,"54",,"18.97","12.81","27.12","percent of total billed charges",,
"REMOVAL OF SUTURES or STAPLES W/O ANESTH","15853","HCPCS","Both",,,"35","17.5","Clover","Medicare Advantage","",,"54",,"18.97","12.81","27.12","percent of total billed charges",,
"REMOVAL OF SUTURES or STAPLES W/O ANESTH","15853","HCPCS","Both",,,"35","17.5","Wellcare","Medicare Advantage","",,"54",,"18.97","12.81","27.12","percent of total billed charges",,
"REMOVAL OF SUTURES or STAPLES W/O ANESTH","15853","HCPCS","Both",,,"35","17.5","Amerigroup","Medicaid Managed Care","",,"37",,"12.81","12.81","27.12","percent of total billed charges",,
"REMOVAL OF SUTURES or STAPLES W/O ANESTH","15853","HCPCS","Both",,,"35","17.5","Caresource","Medicaid Managed Care","",,"40",,"14","12.81","27.12","percent of total billed charges",,
"REMOVAL OF SUTURES or STAPLES W/O ANESTH","15853","HCPCS","Both",,,"35","17.5","Wellcare","Medicaid Managed Care","",,"40",,"14.18","12.81","27.12","percent of total billed charges",,
"REMOVAL OF SUTURES or STAPLES W/O ANESTH","15853","HCPCS","Both",,,"35","17.5","Aetna","Commercial","",,"64",,"22.33","12.81","27.12","percent of total billed charges",,
"REMOVAL OF SUTURES or STAPLES W/O ANESTH","15853","HCPCS","Both",,,"35","17.5","Blue Cross Blue Shield","Pathways","",,"71",,"24.71","12.81","27.12","percent of total billed charges",,
"REMOVAL OF SUTURES or STAPLES W/O ANESTH","15853","HCPCS","Both",,,"35","17.5","Blue Cross Blue Shield","HMO","",,"71",,"24.71","12.81","27.12","percent of total billed charges",,
"REMOVAL OF SUTURES or STAPLES W/O ANESTH","15853","HCPCS","Both",,,"35","17.5","Blue Cross Blue Shield","PPO","",,"71",,"24.71","12.81","27.12","percent of total billed charges",,
"REMOVAL OF SUTURES or STAPLES W/O ANESTH","15853","HCPCS","Both",,,"35","17.5","Ambetter","Health Exchange","",,"62",,"21.7","12.81","27.12","percent of total billed charges",,
"REMOVAL OF SUTURES or STAPLES W/O ANESTH","15853","HCPCS","Both",,,"35","17.5","Caresource","Health Exchange","",,"62",,"21.7","12.81","27.12","percent of total billed charges",,
"REMOVAL OF SUTURES or STAPLES W/O ANESTH","15853","HCPCS","Both",,,"35","17.5","Cigna","Commercial","",,"59",,"20.51","12.81","27.12","percent of total billed charges",,
"REMOVAL OF SUTURES or STAPLES W/O ANESTH","15853","HCPCS","Both",,,"35","17.5","Humana","Commercial","",,"78",,"27.12","12.81","27.12","percent of total billed charges",,
"REMOVAL OF SUTURES or STAPLES W/O ANESTH","15853","HCPCS","Both",,,"35","17.5","UHC","Commercial","",,"75",,"26.39","12.81","27.12","percent of total billed charges",,
"REMOVAL OF SUTURES or STAPLES W/O ANESTH","15853","HCPCS","Both",,,"35","17.5","Medicaid",,"",,"37",,"12.81","12.81","27.12","percent of total billed charges",,
"REMOVAL SUTURES and STAPLE W/O ANESTHESI","15854","HCPCS","Both",,,"49","24.5","Alliant","Health Exchange","",,"62",,"30.38","17.93","37.98","percent of total billed charges",,
"REMOVAL SUTURES and STAPLE W/O ANESTHESI","15854","HCPCS","Both",,,"49","24.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"26.46","17.93","37.98","percent of total billed charges",,
"REMOVAL SUTURES and STAPLE W/O ANESTHESI","15854","HCPCS","Both",,,"49","24.5","Medicare",,"",,"54",,"26.56","17.93","37.98","percent of total billed charges",,
"REMOVAL SUTURES and STAPLE W/O ANESTHESI","15854","HCPCS","Both",,,"49","24.5","Humana","Medicare Advantage","",,"54",,"26.56","17.93","37.98","percent of total billed charges",,
"REMOVAL SUTURES and STAPLE W/O ANESTHESI","15854","HCPCS","Both",,,"49","24.5","UHC","Medicare Advantage","",,"54",,"26.56","17.93","37.98","percent of total billed charges",,
"REMOVAL SUTURES and STAPLE W/O ANESTHESI","15854","HCPCS","Both",,,"49","24.5","Clover","Medicare Advantage","",,"54",,"26.56","17.93","37.98","percent of total billed charges",,
"REMOVAL SUTURES and STAPLE W/O ANESTHESI","15854","HCPCS","Both",,,"49","24.5","Wellcare","Medicare Advantage","",,"54",,"26.56","17.93","37.98","percent of total billed charges",,
"REMOVAL SUTURES and STAPLE W/O ANESTHESI","15854","HCPCS","Both",,,"49","24.5","Amerigroup","Medicaid Managed Care","",,"37",,"17.93","17.93","37.98","percent of total billed charges",,
"REMOVAL SUTURES and STAPLE W/O ANESTHESI","15854","HCPCS","Both",,,"49","24.5","Caresource","Medicaid Managed Care","",,"40",,"19.6","17.93","37.98","percent of total billed charges",,
"REMOVAL SUTURES and STAPLE W/O ANESTHESI","15854","HCPCS","Both",,,"49","24.5","Wellcare","Medicaid Managed Care","",,"40",,"19.85","17.93","37.98","percent of total billed charges",,
"REMOVAL SUTURES and STAPLE W/O ANESTHESI","15854","HCPCS","Both",,,"49","24.5","Aetna","Commercial","",,"64",,"31.26","17.93","37.98","percent of total billed charges",,
"REMOVAL SUTURES and STAPLE W/O ANESTHESI","15854","HCPCS","Both",,,"49","24.5","Blue Cross Blue Shield","Pathways","",,"71",,"34.59","17.93","37.98","percent of total billed charges",,
"REMOVAL SUTURES and STAPLE W/O ANESTHESI","15854","HCPCS","Both",,,"49","24.5","Blue Cross Blue Shield","HMO","",,"71",,"34.59","17.93","37.98","percent of total billed charges",,
"REMOVAL SUTURES and STAPLE W/O ANESTHESI","15854","HCPCS","Both",,,"49","24.5","Blue Cross Blue Shield","PPO","",,"71",,"34.59","17.93","37.98","percent of total billed charges",,
"REMOVAL SUTURES and STAPLE W/O ANESTHESI","15854","HCPCS","Both",,,"49","24.5","Ambetter","Health Exchange","",,"62",,"30.38","17.93","37.98","percent of total billed charges",,
"REMOVAL SUTURES and STAPLE W/O ANESTHESI","15854","HCPCS","Both",,,"49","24.5","Caresource","Health Exchange","",,"62",,"30.38","17.93","37.98","percent of total billed charges",,
"REMOVAL SUTURES and STAPLE W/O ANESTHESI","15854","HCPCS","Both",,,"49","24.5","Cigna","Commercial","",,"59",,"28.71","17.93","37.98","percent of total billed charges",,
"REMOVAL SUTURES and STAPLE W/O ANESTHESI","15854","HCPCS","Both",,,"49","24.5","Humana","Commercial","",,"78",,"37.98","17.93","37.98","percent of total billed charges",,
"REMOVAL SUTURES and STAPLE W/O ANESTHESI","15854","HCPCS","Both",,,"49","24.5","UHC","Commercial","",,"75",,"36.95","17.93","37.98","percent of total billed charges",,
"REMOVAL SUTURES and STAPLE W/O ANESTHESI","15854","HCPCS","Both",,,"49","24.5","Medicaid",,"",,"37",,"17.93","17.93","37.98","percent of total billed charges",,
"MASTOTOMY W/EXPLORATION ABSCESS,DEEP","19020","HCPCS","Both",,,"267","133.5","Alliant","Health Exchange","",,"62",,"165.54","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLORATION ABSCESS,DEEP","19020","HCPCS","Both",,,"267","133.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"144.18","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLORATION ABSCESS,DEEP","19020","HCPCS","Both",,,"267","133.5","Medicare",,"",,"54",,"144.71","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLORATION ABSCESS,DEEP","19020","HCPCS","Both",,,"267","133.5","Humana","Medicare Advantage","",,"54",,"144.71","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLORATION ABSCESS,DEEP","19020","HCPCS","Both",,,"267","133.5","UHC","Medicare Advantage","",,"54",,"144.71","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLORATION ABSCESS,DEEP","19020","HCPCS","Both",,,"267","133.5","Clover","Medicare Advantage","",,"54",,"144.71","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLORATION ABSCESS,DEEP","19020","HCPCS","Both",,,"267","133.5","Wellcare","Medicare Advantage","",,"54",,"144.71","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLORATION ABSCESS,DEEP","19020","HCPCS","Both",,,"267","133.5","Amerigroup","Medicaid Managed Care","",,"37",,"97.72","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLORATION ABSCESS,DEEP","19020","HCPCS","Both",,,"267","133.5","Caresource","Medicaid Managed Care","",,"40",,"106.8","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLORATION ABSCESS,DEEP","19020","HCPCS","Both",,,"267","133.5","Wellcare","Medicaid Managed Care","",,"40",,"108.14","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLORATION ABSCESS,DEEP","19020","HCPCS","Both",,,"267","133.5","Aetna","Commercial","",,"64",,"170.35","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLORATION ABSCESS,DEEP","19020","HCPCS","Both",,,"267","133.5","Blue Cross Blue Shield","Pathways","",,"71",,"188.5","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLORATION ABSCESS,DEEP","19020","HCPCS","Both",,,"267","133.5","Blue Cross Blue Shield","HMO","",,"71",,"188.5","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLORATION ABSCESS,DEEP","19020","HCPCS","Both",,,"267","133.5","Blue Cross Blue Shield","PPO","",,"71",,"188.5","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLORATION ABSCESS,DEEP","19020","HCPCS","Both",,,"267","133.5","Ambetter","Health Exchange","",,"62",,"165.54","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLORATION ABSCESS,DEEP","19020","HCPCS","Both",,,"267","133.5","Caresource","Health Exchange","",,"62",,"165.54","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLORATION ABSCESS,DEEP","19020","HCPCS","Both",,,"267","133.5","Cigna","Commercial","",,"59",,"156.46","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLORATION ABSCESS,DEEP","19020","HCPCS","Both",,,"267","133.5","Humana","Commercial","",,"78",,"206.92","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLORATION ABSCESS,DEEP","19020","HCPCS","Both",,,"267","133.5","UHC","Commercial","",,"75",,"201.32","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLORATION ABSCESS,DEEP","19020","HCPCS","Both",,,"267","133.5","Medicaid",,"",,"37",,"97.72","97.72","206.92","percent of total billed charges",,
"EXPLORATION PENETRATING WOUND EXTREMITY","20103","HCPCS","Both",,,"2265.5","1132.75","Alliant","Health Exchange","",,"62",,"1404.61","829.17","1755.76","percent of total billed charges",,
"EXPLORATION PENETRATING WOUND EXTREMITY","20103","HCPCS","Both",,,"2265.5","1132.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"1223.37","829.17","1755.76","percent of total billed charges",,
"EXPLORATION PENETRATING WOUND EXTREMITY","20103","HCPCS","Both",,,"2265.5","1132.75","Medicare",,"",,"54",,"1227.9","829.17","1755.76","percent of total billed charges",,
"EXPLORATION PENETRATING WOUND EXTREMITY","20103","HCPCS","Both",,,"2265.5","1132.75","Humana","Medicare Advantage","",,"54",,"1227.9","829.17","1755.76","percent of total billed charges",,
"EXPLORATION PENETRATING WOUND EXTREMITY","20103","HCPCS","Both",,,"2265.5","1132.75","UHC","Medicare Advantage","",,"54",,"1227.9","829.17","1755.76","percent of total billed charges",,
"EXPLORATION PENETRATING WOUND EXTREMITY","20103","HCPCS","Both",,,"2265.5","1132.75","Clover","Medicare Advantage","",,"54",,"1227.9","829.17","1755.76","percent of total billed charges",,
"EXPLORATION PENETRATING WOUND EXTREMITY","20103","HCPCS","Both",,,"2265.5","1132.75","Wellcare","Medicare Advantage","",,"54",,"1227.9","829.17","1755.76","percent of total billed charges",,
"EXPLORATION PENETRATING WOUND EXTREMITY","20103","HCPCS","Both",,,"2265.5","1132.75","Amerigroup","Medicaid Managed Care","",,"37",,"829.17","829.17","1755.76","percent of total billed charges",,
"EXPLORATION PENETRATING WOUND EXTREMITY","20103","HCPCS","Both",,,"2265.5","1132.75","Caresource","Medicaid Managed Care","",,"40",,"906.2","829.17","1755.76","percent of total billed charges",,
"EXPLORATION PENETRATING WOUND EXTREMITY","20103","HCPCS","Both",,,"2265.5","1132.75","Wellcare","Medicaid Managed Care","",,"40",,"917.53","829.17","1755.76","percent of total billed charges",,
"EXPLORATION PENETRATING WOUND EXTREMITY","20103","HCPCS","Both",,,"2265.5","1132.75","Aetna","Commercial","",,"64",,"1445.39","829.17","1755.76","percent of total billed charges",,
"EXPLORATION PENETRATING WOUND EXTREMITY","20103","HCPCS","Both",,,"2265.5","1132.75","Blue Cross Blue Shield","Pathways","",,"71",,"1599.44","829.17","1755.76","percent of total billed charges",,
"EXPLORATION PENETRATING WOUND EXTREMITY","20103","HCPCS","Both",,,"2265.5","1132.75","Blue Cross Blue Shield","HMO","",,"71",,"1599.44","829.17","1755.76","percent of total billed charges",,
"EXPLORATION PENETRATING WOUND EXTREMITY","20103","HCPCS","Both",,,"2265.5","1132.75","Blue Cross Blue Shield","PPO","",,"71",,"1599.44","829.17","1755.76","percent of total billed charges",,
"EXPLORATION PENETRATING WOUND EXTREMITY","20103","HCPCS","Both",,,"2265.5","1132.75","Ambetter","Health Exchange","",,"62",,"1404.61","829.17","1755.76","percent of total billed charges",,
"EXPLORATION PENETRATING WOUND EXTREMITY","20103","HCPCS","Both",,,"2265.5","1132.75","Caresource","Health Exchange","",,"62",,"1404.61","829.17","1755.76","percent of total billed charges",,
"EXPLORATION PENETRATING WOUND EXTREMITY","20103","HCPCS","Both",,,"2265.5","1132.75","Cigna","Commercial","",,"59",,"1327.58","829.17","1755.76","percent of total billed charges",,
"EXPLORATION PENETRATING WOUND EXTREMITY","20103","HCPCS","Both",,,"2265.5","1132.75","Humana","Commercial","",,"78",,"1755.76","829.17","1755.76","percent of total billed charges",,
"EXPLORATION PENETRATING WOUND EXTREMITY","20103","HCPCS","Both",,,"2265.5","1132.75","UHC","Commercial","",,"75",,"1708.19","829.17","1755.76","percent of total billed charges",,
"EXPLORATION PENETRATING WOUND EXTREMITY","20103","HCPCS","Both",,,"2265.5","1132.75","Medicaid",,"",,"37",,"829.17","829.17","1755.76","percent of total billed charges",,
"INJECTION SINGLE TENDON SHEATH, LIG,APON","20550","HCPCS","Both",,,"570.5","285.25","Alliant","Health Exchange","",,"62",,"353.71","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE TENDON SHEATH, LIG,APON","20550","HCPCS","Both",,,"570.5","285.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"308.07","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE TENDON SHEATH, LIG,APON","20550","HCPCS","Both",,,"570.5","285.25","Medicare",,"",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE TENDON SHEATH, LIG,APON","20550","HCPCS","Both",,,"570.5","285.25","Humana","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE TENDON SHEATH, LIG,APON","20550","HCPCS","Both",,,"570.5","285.25","UHC","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE TENDON SHEATH, LIG,APON","20550","HCPCS","Both",,,"570.5","285.25","Clover","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE TENDON SHEATH, LIG,APON","20550","HCPCS","Both",,,"570.5","285.25","Wellcare","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE TENDON SHEATH, LIG,APON","20550","HCPCS","Both",,,"570.5","285.25","Amerigroup","Medicaid Managed Care","",,"37",,"208.8","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE TENDON SHEATH, LIG,APON","20550","HCPCS","Both",,,"570.5","285.25","Caresource","Medicaid Managed Care","",,"40",,"228.2","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE TENDON SHEATH, LIG,APON","20550","HCPCS","Both",,,"570.5","285.25","Wellcare","Medicaid Managed Care","",,"40",,"231.05","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE TENDON SHEATH, LIG,APON","20550","HCPCS","Both",,,"570.5","285.25","Aetna","Commercial","",,"64",,"363.98","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE TENDON SHEATH, LIG,APON","20550","HCPCS","Both",,,"570.5","285.25","Blue Cross Blue Shield","Pathways","",,"71",,"402.77","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE TENDON SHEATH, LIG,APON","20550","HCPCS","Both",,,"570.5","285.25","Blue Cross Blue Shield","HMO","",,"71",,"402.77","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE TENDON SHEATH, LIG,APON","20550","HCPCS","Both",,,"570.5","285.25","Blue Cross Blue Shield","PPO","",,"71",,"402.77","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE TENDON SHEATH, LIG,APON","20550","HCPCS","Both",,,"570.5","285.25","Ambetter","Health Exchange","",,"62",,"353.71","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE TENDON SHEATH, LIG,APON","20550","HCPCS","Both",,,"570.5","285.25","Caresource","Health Exchange","",,"62",,"353.71","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE TENDON SHEATH, LIG,APON","20550","HCPCS","Both",,,"570.5","285.25","Cigna","Commercial","",,"59",,"334.31","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE TENDON SHEATH, LIG,APON","20550","HCPCS","Both",,,"570.5","285.25","Humana","Commercial","",,"78",,"442.14","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE TENDON SHEATH, LIG,APON","20550","HCPCS","Both",,,"570.5","285.25","UHC","Commercial","",,"75",,"430.16","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE TENDON SHEATH, LIG,APON","20550","HCPCS","Both",,,"570.5","285.25","Medicaid",,"",,"37",,"208.8","208.8","442.14","percent of total billed charges",,
"REPLANTATION DIGIT EXCL THUMB","20822","HCPCS","Both",,,"6956.5","3478.25","Alliant","Health Exchange","",,"62",,"4313.03","2546.08","5391.29","percent of total billed charges",,
"REPLANTATION DIGIT EXCL THUMB","20822","HCPCS","Both",,,"6956.5","3478.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"3756.51","2546.08","5391.29","percent of total billed charges",,
"REPLANTATION DIGIT EXCL THUMB","20822","HCPCS","Both",,,"6956.5","3478.25","Medicare",,"",,"54",,"3770.42","2546.08","5391.29","percent of total billed charges",,
"REPLANTATION DIGIT EXCL THUMB","20822","HCPCS","Both",,,"6956.5","3478.25","Humana","Medicare Advantage","",,"54",,"3770.42","2546.08","5391.29","percent of total billed charges",,
"REPLANTATION DIGIT EXCL THUMB","20822","HCPCS","Both",,,"6956.5","3478.25","UHC","Medicare Advantage","",,"54",,"3770.42","2546.08","5391.29","percent of total billed charges",,
"REPLANTATION DIGIT EXCL THUMB","20822","HCPCS","Both",,,"6956.5","3478.25","Clover","Medicare Advantage","",,"54",,"3770.42","2546.08","5391.29","percent of total billed charges",,
"REPLANTATION DIGIT EXCL THUMB","20822","HCPCS","Both",,,"6956.5","3478.25","Wellcare","Medicare Advantage","",,"54",,"3770.42","2546.08","5391.29","percent of total billed charges",,
"REPLANTATION DIGIT EXCL THUMB","20822","HCPCS","Both",,,"6956.5","3478.25","Amerigroup","Medicaid Managed Care","",,"37",,"2546.08","2546.08","5391.29","percent of total billed charges",,
"REPLANTATION DIGIT EXCL THUMB","20822","HCPCS","Both",,,"6956.5","3478.25","Caresource","Medicaid Managed Care","",,"40",,"2782.6","2546.08","5391.29","percent of total billed charges",,
"REPLANTATION DIGIT EXCL THUMB","20822","HCPCS","Both",,,"6956.5","3478.25","Wellcare","Medicaid Managed Care","",,"40",,"2817.38","2546.08","5391.29","percent of total billed charges",,
"REPLANTATION DIGIT EXCL THUMB","20822","HCPCS","Both",,,"6956.5","3478.25","Aetna","Commercial","",,"64",,"4438.25","2546.08","5391.29","percent of total billed charges",,
"REPLANTATION DIGIT EXCL THUMB","20822","HCPCS","Both",,,"6956.5","3478.25","Blue Cross Blue Shield","Pathways","",,"71",,"4911.29","2546.08","5391.29","percent of total billed charges",,
"REPLANTATION DIGIT EXCL THUMB","20822","HCPCS","Both",,,"6956.5","3478.25","Blue Cross Blue Shield","HMO","",,"71",,"4911.29","2546.08","5391.29","percent of total billed charges",,
"REPLANTATION DIGIT EXCL THUMB","20822","HCPCS","Both",,,"6956.5","3478.25","Blue Cross Blue Shield","PPO","",,"71",,"4911.29","2546.08","5391.29","percent of total billed charges",,
"REPLANTATION DIGIT EXCL THUMB","20822","HCPCS","Both",,,"6956.5","3478.25","Ambetter","Health Exchange","",,"62",,"4313.03","2546.08","5391.29","percent of total billed charges",,
"REPLANTATION DIGIT EXCL THUMB","20822","HCPCS","Both",,,"6956.5","3478.25","Caresource","Health Exchange","",,"62",,"4313.03","2546.08","5391.29","percent of total billed charges",,
"REPLANTATION DIGIT EXCL THUMB","20822","HCPCS","Both",,,"6956.5","3478.25","Cigna","Commercial","",,"59",,"4076.51","2546.08","5391.29","percent of total billed charges",,
"REPLANTATION DIGIT EXCL THUMB","20822","HCPCS","Both",,,"6956.5","3478.25","Humana","Commercial","",,"78",,"5391.29","2546.08","5391.29","percent of total billed charges",,
"REPLANTATION DIGIT EXCL THUMB","20822","HCPCS","Both",,,"6956.5","3478.25","UHC","Commercial","",,"75",,"5245.2","2546.08","5391.29","percent of total billed charges",,
"REPLANTATION DIGIT EXCL THUMB","20822","HCPCS","Both",,,"6956.5","3478.25","Medicaid",,"",,"37",,"2546.08","2546.08","5391.29","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21011","HCPCS","Both",,,"1823","911.5","Alliant","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21011","HCPCS","Both",,,"1823","911.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"984.42","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21011","HCPCS","Both",,,"1823","911.5","Medicare",,"",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21011","HCPCS","Both",,,"1823","911.5","Humana","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21011","HCPCS","Both",,,"1823","911.5","UHC","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21011","HCPCS","Both",,,"1823","911.5","Clover","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21011","HCPCS","Both",,,"1823","911.5","Wellcare","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21011","HCPCS","Both",,,"1823","911.5","Amerigroup","Medicaid Managed Care","",,"37",,"667.22","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21011","HCPCS","Both",,,"1823","911.5","Caresource","Medicaid Managed Care","",,"40",,"729.2","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21011","HCPCS","Both",,,"1823","911.5","Wellcare","Medicaid Managed Care","",,"40",,"738.32","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21011","HCPCS","Both",,,"1823","911.5","Aetna","Commercial","",,"64",,"1163.07","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21011","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","Pathways","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21011","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","HMO","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21011","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","PPO","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21011","HCPCS","Both",,,"1823","911.5","Ambetter","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21011","HCPCS","Both",,,"1823","911.5","Caresource","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21011","HCPCS","Both",,,"1823","911.5","Cigna","Commercial","",,"59",,"1068.28","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21011","HCPCS","Both",,,"1823","911.5","Humana","Commercial","",,"78",,"1412.82","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21011","HCPCS","Both",,,"1823","911.5","UHC","Commercial","",,"75",,"1374.54","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21011","HCPCS","Both",,,"1823","911.5","Medicaid",,"",,"37",,"667.22","667.22","1412.82","percent of total billed charges",,
"CLOSED TX NASAL BONE FX W/O STABILIZATIO","21315","HCPCS","Both",,,"5047","2523.5","Alliant","Health Exchange","",,"62",,"3129.14","1847.2","3911.42","percent of total billed charges",,
"CLOSED TX NASAL BONE FX W/O STABILIZATIO","21315","HCPCS","Both",,,"5047","2523.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"2725.38","1847.2","3911.42","percent of total billed charges",,
"CLOSED TX NASAL BONE FX W/O STABILIZATIO","21315","HCPCS","Both",,,"5047","2523.5","Medicare",,"",,"54",,"2735.47","1847.2","3911.42","percent of total billed charges",,
"CLOSED TX NASAL BONE FX W/O STABILIZATIO","21315","HCPCS","Both",,,"5047","2523.5","Humana","Medicare Advantage","",,"54",,"2735.47","1847.2","3911.42","percent of total billed charges",,
"CLOSED TX NASAL BONE FX W/O STABILIZATIO","21315","HCPCS","Both",,,"5047","2523.5","UHC","Medicare Advantage","",,"54",,"2735.47","1847.2","3911.42","percent of total billed charges",,
"CLOSED TX NASAL BONE FX W/O STABILIZATIO","21315","HCPCS","Both",,,"5047","2523.5","Clover","Medicare Advantage","",,"54",,"2735.47","1847.2","3911.42","percent of total billed charges",,
"CLOSED TX NASAL BONE FX W/O STABILIZATIO","21315","HCPCS","Both",,,"5047","2523.5","Wellcare","Medicare Advantage","",,"54",,"2735.47","1847.2","3911.42","percent of total billed charges",,
"CLOSED TX NASAL BONE FX W/O STABILIZATIO","21315","HCPCS","Both",,,"5047","2523.5","Amerigroup","Medicaid Managed Care","",,"37",,"1847.2","1847.2","3911.42","percent of total billed charges",,
"CLOSED TX NASAL BONE FX W/O STABILIZATIO","21315","HCPCS","Both",,,"5047","2523.5","Caresource","Medicaid Managed Care","",,"40",,"2018.8","1847.2","3911.42","percent of total billed charges",,
"CLOSED TX NASAL BONE FX W/O STABILIZATIO","21315","HCPCS","Both",,,"5047","2523.5","Wellcare","Medicaid Managed Care","",,"40",,"2044.04","1847.2","3911.42","percent of total billed charges",,
"CLOSED TX NASAL BONE FX W/O STABILIZATIO","21315","HCPCS","Both",,,"5047","2523.5","Aetna","Commercial","",,"64",,"3219.99","1847.2","3911.42","percent of total billed charges",,
"CLOSED TX NASAL BONE FX W/O STABILIZATIO","21315","HCPCS","Both",,,"5047","2523.5","Blue Cross Blue Shield","Pathways","",,"71",,"3563.18","1847.2","3911.42","percent of total billed charges",,
"CLOSED TX NASAL BONE FX W/O STABILIZATIO","21315","HCPCS","Both",,,"5047","2523.5","Blue Cross Blue Shield","HMO","",,"71",,"3563.18","1847.2","3911.42","percent of total billed charges",,
"CLOSED TX NASAL BONE FX W/O STABILIZATIO","21315","HCPCS","Both",,,"5047","2523.5","Blue Cross Blue Shield","PPO","",,"71",,"3563.18","1847.2","3911.42","percent of total billed charges",,
"CLOSED TX NASAL BONE FX W/O STABILIZATIO","21315","HCPCS","Both",,,"5047","2523.5","Ambetter","Health Exchange","",,"62",,"3129.14","1847.2","3911.42","percent of total billed charges",,
"CLOSED TX NASAL BONE FX W/O STABILIZATIO","21315","HCPCS","Both",,,"5047","2523.5","Caresource","Health Exchange","",,"62",,"3129.14","1847.2","3911.42","percent of total billed charges",,
"CLOSED TX NASAL BONE FX W/O STABILIZATIO","21315","HCPCS","Both",,,"5047","2523.5","Cigna","Commercial","",,"59",,"2957.54","1847.2","3911.42","percent of total billed charges",,
"CLOSED TX NASAL BONE FX W/O STABILIZATIO","21315","HCPCS","Both",,,"5047","2523.5","Humana","Commercial","",,"78",,"3911.42","1847.2","3911.42","percent of total billed charges",,
"CLOSED TX NASAL BONE FX W/O STABILIZATIO","21315","HCPCS","Both",,,"5047","2523.5","UHC","Commercial","",,"75",,"3805.44","1847.2","3911.42","percent of total billed charges",,
"CLOSED TX NASAL BONE FX W/O STABILIZATIO","21315","HCPCS","Both",,,"5047","2523.5","Medicaid",,"",,"37",,"1847.2","1847.2","3911.42","percent of total billed charges",,
"CLOSED TX TEMPOROMANDIBULAR DISLOCAT","21480","HCPCS","Both",,,"244","122","Alliant","Health Exchange","",,"62",,"151.28","89.3","189.1","percent of total billed charges",,
"CLOSED TX TEMPOROMANDIBULAR DISLOCAT","21480","HCPCS","Both",,,"244","122","Pruitt Healthcare","Medicare Advantage","",,"54",,"131.76","89.3","189.1","percent of total billed charges",,
"CLOSED TX TEMPOROMANDIBULAR DISLOCAT","21480","HCPCS","Both",,,"244","122","Medicare",,"",,"54",,"132.25","89.3","189.1","percent of total billed charges",,
"CLOSED TX TEMPOROMANDIBULAR DISLOCAT","21480","HCPCS","Both",,,"244","122","Humana","Medicare Advantage","",,"54",,"132.25","89.3","189.1","percent of total billed charges",,
"CLOSED TX TEMPOROMANDIBULAR DISLOCAT","21480","HCPCS","Both",,,"244","122","UHC","Medicare Advantage","",,"54",,"132.25","89.3","189.1","percent of total billed charges",,
"CLOSED TX TEMPOROMANDIBULAR DISLOCAT","21480","HCPCS","Both",,,"244","122","Clover","Medicare Advantage","",,"54",,"132.25","89.3","189.1","percent of total billed charges",,
"CLOSED TX TEMPOROMANDIBULAR DISLOCAT","21480","HCPCS","Both",,,"244","122","Wellcare","Medicare Advantage","",,"54",,"132.25","89.3","189.1","percent of total billed charges",,
"CLOSED TX TEMPOROMANDIBULAR DISLOCAT","21480","HCPCS","Both",,,"244","122","Amerigroup","Medicaid Managed Care","",,"37",,"89.3","89.3","189.1","percent of total billed charges",,
"CLOSED TX TEMPOROMANDIBULAR DISLOCAT","21480","HCPCS","Both",,,"244","122","Caresource","Medicaid Managed Care","",,"40",,"97.6","89.3","189.1","percent of total billed charges",,
"CLOSED TX TEMPOROMANDIBULAR DISLOCAT","21480","HCPCS","Both",,,"244","122","Wellcare","Medicaid Managed Care","",,"40",,"98.82","89.3","189.1","percent of total billed charges",,
"CLOSED TX TEMPOROMANDIBULAR DISLOCAT","21480","HCPCS","Both",,,"244","122","Aetna","Commercial","",,"64",,"155.67","89.3","189.1","percent of total billed charges",,
"CLOSED TX TEMPOROMANDIBULAR DISLOCAT","21480","HCPCS","Both",,,"244","122","Blue Cross Blue Shield","Pathways","",,"71",,"172.26","89.3","189.1","percent of total billed charges",,
"CLOSED TX TEMPOROMANDIBULAR DISLOCAT","21480","HCPCS","Both",,,"244","122","Blue Cross Blue Shield","HMO","",,"71",,"172.26","89.3","189.1","percent of total billed charges",,
"CLOSED TX TEMPOROMANDIBULAR DISLOCAT","21480","HCPCS","Both",,,"244","122","Blue Cross Blue Shield","PPO","",,"71",,"172.26","89.3","189.1","percent of total billed charges",,
"CLOSED TX TEMPOROMANDIBULAR DISLOCAT","21480","HCPCS","Both",,,"244","122","Ambetter","Health Exchange","",,"62",,"151.28","89.3","189.1","percent of total billed charges",,
"CLOSED TX TEMPOROMANDIBULAR DISLOCAT","21480","HCPCS","Both",,,"244","122","Caresource","Health Exchange","",,"62",,"151.28","89.3","189.1","percent of total billed charges",,
"CLOSED TX TEMPOROMANDIBULAR DISLOCAT","21480","HCPCS","Both",,,"244","122","Cigna","Commercial","",,"59",,"142.98","89.3","189.1","percent of total billed charges",,
"CLOSED TX TEMPOROMANDIBULAR DISLOCAT","21480","HCPCS","Both",,,"244","122","Humana","Commercial","",,"78",,"189.1","89.3","189.1","percent of total billed charges",,
"CLOSED TX TEMPOROMANDIBULAR DISLOCAT","21480","HCPCS","Both",,,"244","122","UHC","Commercial","",,"75",,"183.98","89.3","189.1","percent of total billed charges",,
"CLOSED TX TEMPOROMANDIBULAR DISLOCAT","21480","HCPCS","Both",,,"244","122","Medicaid",,"",,"37",,"89.3","89.3","189.1","percent of total billed charges",,
"CLOSED TX CLAVICULAR FX W/O MANIPULATION","23500","HCPCS","Both",,,"418.5","209.25","Alliant","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX CLAVICULAR FX W/O MANIPULATION","23500","HCPCS","Both",,,"418.5","209.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"225.99","153.17","324.34","percent of total billed charges",,
"CLOSED TX CLAVICULAR FX W/O MANIPULATION","23500","HCPCS","Both",,,"418.5","209.25","Medicare",,"",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX CLAVICULAR FX W/O MANIPULATION","23500","HCPCS","Both",,,"418.5","209.25","Humana","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX CLAVICULAR FX W/O MANIPULATION","23500","HCPCS","Both",,,"418.5","209.25","UHC","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX CLAVICULAR FX W/O MANIPULATION","23500","HCPCS","Both",,,"418.5","209.25","Clover","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX CLAVICULAR FX W/O MANIPULATION","23500","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX CLAVICULAR FX W/O MANIPULATION","23500","HCPCS","Both",,,"418.5","209.25","Amerigroup","Medicaid Managed Care","",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TX CLAVICULAR FX W/O MANIPULATION","23500","HCPCS","Both",,,"418.5","209.25","Caresource","Medicaid Managed Care","",,"40",,"167.4","153.17","324.34","percent of total billed charges",,
"CLOSED TX CLAVICULAR FX W/O MANIPULATION","23500","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicaid Managed Care","",,"40",,"169.49","153.17","324.34","percent of total billed charges",,
"CLOSED TX CLAVICULAR FX W/O MANIPULATION","23500","HCPCS","Both",,,"418.5","209.25","Aetna","Commercial","",,"64",,"267","153.17","324.34","percent of total billed charges",,
"CLOSED TX CLAVICULAR FX W/O MANIPULATION","23500","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","Pathways","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX CLAVICULAR FX W/O MANIPULATION","23500","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","HMO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX CLAVICULAR FX W/O MANIPULATION","23500","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","PPO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX CLAVICULAR FX W/O MANIPULATION","23500","HCPCS","Both",,,"418.5","209.25","Ambetter","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX CLAVICULAR FX W/O MANIPULATION","23500","HCPCS","Both",,,"418.5","209.25","Caresource","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX CLAVICULAR FX W/O MANIPULATION","23500","HCPCS","Both",,,"418.5","209.25","Cigna","Commercial","",,"59",,"245.24","153.17","324.34","percent of total billed charges",,
"CLOSED TX CLAVICULAR FX W/O MANIPULATION","23500","HCPCS","Both",,,"418.5","209.25","Humana","Commercial","",,"78",,"324.34","153.17","324.34","percent of total billed charges",,
"CLOSED TX CLAVICULAR FX W/O MANIPULATION","23500","HCPCS","Both",,,"418.5","209.25","UHC","Commercial","",,"75",,"315.55","153.17","324.34","percent of total billed charges",,
"CLOSED TX CLAVICULAR FX W/O MANIPULATION","23500","HCPCS","Both",,,"418.5","209.25","Medicaid",,"",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TX ACROMIOCLAVICULAR DISLOCATION","23545","HCPCS","Both",,,"378","189","Alliant","Health Exchange","",,"62",,"234.36","138.35","292.95","percent of total billed charges",,
"CLOSED TX ACROMIOCLAVICULAR DISLOCATION","23545","HCPCS","Both",,,"378","189","Pruitt Healthcare","Medicare Advantage","",,"54",,"204.12","138.35","292.95","percent of total billed charges",,
"CLOSED TX ACROMIOCLAVICULAR DISLOCATION","23545","HCPCS","Both",,,"378","189","Medicare",,"",,"54",,"204.88","138.35","292.95","percent of total billed charges",,
"CLOSED TX ACROMIOCLAVICULAR DISLOCATION","23545","HCPCS","Both",,,"378","189","Humana","Medicare Advantage","",,"54",,"204.88","138.35","292.95","percent of total billed charges",,
"CLOSED TX ACROMIOCLAVICULAR DISLOCATION","23545","HCPCS","Both",,,"378","189","UHC","Medicare Advantage","",,"54",,"204.88","138.35","292.95","percent of total billed charges",,
"CLOSED TX ACROMIOCLAVICULAR DISLOCATION","23545","HCPCS","Both",,,"378","189","Clover","Medicare Advantage","",,"54",,"204.88","138.35","292.95","percent of total billed charges",,
"CLOSED TX ACROMIOCLAVICULAR DISLOCATION","23545","HCPCS","Both",,,"378","189","Wellcare","Medicare Advantage","",,"54",,"204.88","138.35","292.95","percent of total billed charges",,
"CLOSED TX ACROMIOCLAVICULAR DISLOCATION","23545","HCPCS","Both",,,"378","189","Amerigroup","Medicaid Managed Care","",,"37",,"138.35","138.35","292.95","percent of total billed charges",,
"CLOSED TX ACROMIOCLAVICULAR DISLOCATION","23545","HCPCS","Both",,,"378","189","Caresource","Medicaid Managed Care","",,"40",,"151.2","138.35","292.95","percent of total billed charges",,
"CLOSED TX ACROMIOCLAVICULAR DISLOCATION","23545","HCPCS","Both",,,"378","189","Wellcare","Medicaid Managed Care","",,"40",,"153.09","138.35","292.95","percent of total billed charges",,
"CLOSED TX ACROMIOCLAVICULAR DISLOCATION","23545","HCPCS","Both",,,"378","189","Aetna","Commercial","",,"64",,"241.16","138.35","292.95","percent of total billed charges",,
"CLOSED TX ACROMIOCLAVICULAR DISLOCATION","23545","HCPCS","Both",,,"378","189","Blue Cross Blue Shield","Pathways","",,"71",,"266.87","138.35","292.95","percent of total billed charges",,
"CLOSED TX ACROMIOCLAVICULAR DISLOCATION","23545","HCPCS","Both",,,"378","189","Blue Cross Blue Shield","HMO","",,"71",,"266.87","138.35","292.95","percent of total billed charges",,
"CLOSED TX ACROMIOCLAVICULAR DISLOCATION","23545","HCPCS","Both",,,"378","189","Blue Cross Blue Shield","PPO","",,"71",,"266.87","138.35","292.95","percent of total billed charges",,
"CLOSED TX ACROMIOCLAVICULAR DISLOCATION","23545","HCPCS","Both",,,"378","189","Ambetter","Health Exchange","",,"62",,"234.36","138.35","292.95","percent of total billed charges",,
"CLOSED TX ACROMIOCLAVICULAR DISLOCATION","23545","HCPCS","Both",,,"378","189","Caresource","Health Exchange","",,"62",,"234.36","138.35","292.95","percent of total billed charges",,
"CLOSED TX ACROMIOCLAVICULAR DISLOCATION","23545","HCPCS","Both",,,"378","189","Cigna","Commercial","",,"59",,"221.51","138.35","292.95","percent of total billed charges",,
"CLOSED TX ACROMIOCLAVICULAR DISLOCATION","23545","HCPCS","Both",,,"378","189","Humana","Commercial","",,"78",,"292.95","138.35","292.95","percent of total billed charges",,
"CLOSED TX ACROMIOCLAVICULAR DISLOCATION","23545","HCPCS","Both",,,"378","189","UHC","Commercial","",,"75",,"285.01","138.35","292.95","percent of total billed charges",,
"CLOSED TX ACROMIOCLAVICULAR DISLOCATION","23545","HCPCS","Both",,,"378","189","Medicaid",,"",,"37",,"138.35","138.35","292.95","percent of total billed charges",,
"CLOSED TX PROXIMAL HUMERAL W/MAN W/W/O T","23605","HCPCS","Both",,,"2608.5","1304.25","Alliant","Health Exchange","",,"62",,"1617.27","954.71","2021.59","percent of total billed charges",,
"CLOSED TX PROXIMAL HUMERAL W/MAN W/W/O T","23605","HCPCS","Both",,,"2608.5","1304.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"1408.59","954.71","2021.59","percent of total billed charges",,
"CLOSED TX PROXIMAL HUMERAL W/MAN W/W/O T","23605","HCPCS","Both",,,"2608.5","1304.25","Medicare",,"",,"54",,"1413.81","954.71","2021.59","percent of total billed charges",,
"CLOSED TX PROXIMAL HUMERAL W/MAN W/W/O T","23605","HCPCS","Both",,,"2608.5","1304.25","Humana","Medicare Advantage","",,"54",,"1413.81","954.71","2021.59","percent of total billed charges",,
"CLOSED TX PROXIMAL HUMERAL W/MAN W/W/O T","23605","HCPCS","Both",,,"2608.5","1304.25","UHC","Medicare Advantage","",,"54",,"1413.81","954.71","2021.59","percent of total billed charges",,
"CLOSED TX PROXIMAL HUMERAL W/MAN W/W/O T","23605","HCPCS","Both",,,"2608.5","1304.25","Clover","Medicare Advantage","",,"54",,"1413.81","954.71","2021.59","percent of total billed charges",,
"CLOSED TX PROXIMAL HUMERAL W/MAN W/W/O T","23605","HCPCS","Both",,,"2608.5","1304.25","Wellcare","Medicare Advantage","",,"54",,"1413.81","954.71","2021.59","percent of total billed charges",,
"CLOSED TX PROXIMAL HUMERAL W/MAN W/W/O T","23605","HCPCS","Both",,,"2608.5","1304.25","Amerigroup","Medicaid Managed Care","",,"37",,"954.71","954.71","2021.59","percent of total billed charges",,
"CLOSED TX PROXIMAL HUMERAL W/MAN W/W/O T","23605","HCPCS","Both",,,"2608.5","1304.25","Caresource","Medicaid Managed Care","",,"40",,"1043.4","954.71","2021.59","percent of total billed charges",,
"CLOSED TX PROXIMAL HUMERAL W/MAN W/W/O T","23605","HCPCS","Both",,,"2608.5","1304.25","Wellcare","Medicaid Managed Care","",,"40",,"1056.44","954.71","2021.59","percent of total billed charges",,
"CLOSED TX PROXIMAL HUMERAL W/MAN W/W/O T","23605","HCPCS","Both",,,"2608.5","1304.25","Aetna","Commercial","",,"64",,"1664.22","954.71","2021.59","percent of total billed charges",,
"CLOSED TX PROXIMAL HUMERAL W/MAN W/W/O T","23605","HCPCS","Both",,,"2608.5","1304.25","Blue Cross Blue Shield","Pathways","",,"71",,"1841.6","954.71","2021.59","percent of total billed charges",,
"CLOSED TX PROXIMAL HUMERAL W/MAN W/W/O T","23605","HCPCS","Both",,,"2608.5","1304.25","Blue Cross Blue Shield","HMO","",,"71",,"1841.6","954.71","2021.59","percent of total billed charges",,
"CLOSED TX PROXIMAL HUMERAL W/MAN W/W/O T","23605","HCPCS","Both",,,"2608.5","1304.25","Blue Cross Blue Shield","PPO","",,"71",,"1841.6","954.71","2021.59","percent of total billed charges",,
"CLOSED TX PROXIMAL HUMERAL W/MAN W/W/O T","23605","HCPCS","Both",,,"2608.5","1304.25","Ambetter","Health Exchange","",,"62",,"1617.27","954.71","2021.59","percent of total billed charges",,
"CLOSED TX PROXIMAL HUMERAL W/MAN W/W/O T","23605","HCPCS","Both",,,"2608.5","1304.25","Caresource","Health Exchange","",,"62",,"1617.27","954.71","2021.59","percent of total billed charges",,
"CLOSED TX PROXIMAL HUMERAL W/MAN W/W/O T","23605","HCPCS","Both",,,"2608.5","1304.25","Cigna","Commercial","",,"59",,"1528.58","954.71","2021.59","percent of total billed charges",,
"CLOSED TX PROXIMAL HUMERAL W/MAN W/W/O T","23605","HCPCS","Both",,,"2608.5","1304.25","Humana","Commercial","",,"78",,"2021.59","954.71","2021.59","percent of total billed charges",,
"CLOSED TX PROXIMAL HUMERAL W/MAN W/W/O T","23605","HCPCS","Both",,,"2608.5","1304.25","UHC","Commercial","",,"75",,"1966.81","954.71","2021.59","percent of total billed charges",,
"CLOSED TX PROXIMAL HUMERAL W/MAN W/W/O T","23605","HCPCS","Both",,,"2608.5","1304.25","Medicaid",,"",,"37",,"954.71","954.71","2021.59","percent of total billed charges",,
"CLOSED TREATMENT SHOULD DISLOCATION W MA","23675","HCPCS","Both",,,"4304","2152","Alliant","Health Exchange","",,"62",,"2668.48","1575.26","3335.6","percent of total billed charges",,
"CLOSED TREATMENT SHOULD DISLOCATION W MA","23675","HCPCS","Both",,,"4304","2152","Pruitt Healthcare","Medicare Advantage","",,"54",,"2324.16","1575.26","3335.6","percent of total billed charges",,
"CLOSED TREATMENT SHOULD DISLOCATION W MA","23675","HCPCS","Both",,,"4304","2152","Medicare",,"",,"54",,"2332.77","1575.26","3335.6","percent of total billed charges",,
"CLOSED TREATMENT SHOULD DISLOCATION W MA","23675","HCPCS","Both",,,"4304","2152","Humana","Medicare Advantage","",,"54",,"2332.77","1575.26","3335.6","percent of total billed charges",,
"CLOSED TREATMENT SHOULD DISLOCATION W MA","23675","HCPCS","Both",,,"4304","2152","UHC","Medicare Advantage","",,"54",,"2332.77","1575.26","3335.6","percent of total billed charges",,
"CLOSED TREATMENT SHOULD DISLOCATION W MA","23675","HCPCS","Both",,,"4304","2152","Clover","Medicare Advantage","",,"54",,"2332.77","1575.26","3335.6","percent of total billed charges",,
"CLOSED TREATMENT SHOULD DISLOCATION W MA","23675","HCPCS","Both",,,"4304","2152","Wellcare","Medicare Advantage","",,"54",,"2332.77","1575.26","3335.6","percent of total billed charges",,
"CLOSED TREATMENT SHOULD DISLOCATION W MA","23675","HCPCS","Both",,,"4304","2152","Amerigroup","Medicaid Managed Care","",,"37",,"1575.26","1575.26","3335.6","percent of total billed charges",,
"CLOSED TREATMENT SHOULD DISLOCATION W MA","23675","HCPCS","Both",,,"4304","2152","Caresource","Medicaid Managed Care","",,"40",,"1721.6","1575.26","3335.6","percent of total billed charges",,
"CLOSED TREATMENT SHOULD DISLOCATION W MA","23675","HCPCS","Both",,,"4304","2152","Wellcare","Medicaid Managed Care","",,"40",,"1743.12","1575.26","3335.6","percent of total billed charges",,
"CLOSED TREATMENT SHOULD DISLOCATION W MA","23675","HCPCS","Both",,,"4304","2152","Aetna","Commercial","",,"64",,"2745.95","1575.26","3335.6","percent of total billed charges",,
"CLOSED TREATMENT SHOULD DISLOCATION W MA","23675","HCPCS","Both",,,"4304","2152","Blue Cross Blue Shield","Pathways","",,"71",,"3038.62","1575.26","3335.6","percent of total billed charges",,
"CLOSED TREATMENT SHOULD DISLOCATION W MA","23675","HCPCS","Both",,,"4304","2152","Blue Cross Blue Shield","HMO","",,"71",,"3038.62","1575.26","3335.6","percent of total billed charges",,
"CLOSED TREATMENT SHOULD DISLOCATION W MA","23675","HCPCS","Both",,,"4304","2152","Blue Cross Blue Shield","PPO","",,"71",,"3038.62","1575.26","3335.6","percent of total billed charges",,
"CLOSED TREATMENT SHOULD DISLOCATION W MA","23675","HCPCS","Both",,,"4304","2152","Ambetter","Health Exchange","",,"62",,"2668.48","1575.26","3335.6","percent of total billed charges",,
"CLOSED TREATMENT SHOULD DISLOCATION W MA","23675","HCPCS","Both",,,"4304","2152","Caresource","Health Exchange","",,"62",,"2668.48","1575.26","3335.6","percent of total billed charges",,
"CLOSED TREATMENT SHOULD DISLOCATION W MA","23675","HCPCS","Both",,,"4304","2152","Cigna","Commercial","",,"59",,"2522.14","1575.26","3335.6","percent of total billed charges",,
"CLOSED TREATMENT SHOULD DISLOCATION W MA","23675","HCPCS","Both",,,"4304","2152","Humana","Commercial","",,"78",,"3335.6","1575.26","3335.6","percent of total billed charges",,
"CLOSED TREATMENT SHOULD DISLOCATION W MA","23675","HCPCS","Both",,,"4304","2152","UHC","Commercial","",,"75",,"3245.22","1575.26","3335.6","percent of total billed charges",,
"CLOSED TREATMENT SHOULD DISLOCATION W MA","23675","HCPCS","Both",,,"4304","2152","Medicaid",,"",,"37",,"1575.26","1575.26","3335.6","percent of total billed charges",,
"CLOSED TX ULNAR FX PROXIMAL W/O MANIP","24670","HCPCS","Both",,,"418.5","209.25","Alliant","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR FX PROXIMAL W/O MANIP","24670","HCPCS","Both",,,"418.5","209.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"225.99","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR FX PROXIMAL W/O MANIP","24670","HCPCS","Both",,,"418.5","209.25","Medicare",,"",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR FX PROXIMAL W/O MANIP","24670","HCPCS","Both",,,"418.5","209.25","Humana","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR FX PROXIMAL W/O MANIP","24670","HCPCS","Both",,,"418.5","209.25","UHC","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR FX PROXIMAL W/O MANIP","24670","HCPCS","Both",,,"418.5","209.25","Clover","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR FX PROXIMAL W/O MANIP","24670","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR FX PROXIMAL W/O MANIP","24670","HCPCS","Both",,,"418.5","209.25","Amerigroup","Medicaid Managed Care","",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR FX PROXIMAL W/O MANIP","24670","HCPCS","Both",,,"418.5","209.25","Caresource","Medicaid Managed Care","",,"40",,"167.4","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR FX PROXIMAL W/O MANIP","24670","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicaid Managed Care","",,"40",,"169.49","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR FX PROXIMAL W/O MANIP","24670","HCPCS","Both",,,"418.5","209.25","Aetna","Commercial","",,"64",,"267","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR FX PROXIMAL W/O MANIP","24670","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","Pathways","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR FX PROXIMAL W/O MANIP","24670","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","HMO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR FX PROXIMAL W/O MANIP","24670","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","PPO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR FX PROXIMAL W/O MANIP","24670","HCPCS","Both",,,"418.5","209.25","Ambetter","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR FX PROXIMAL W/O MANIP","24670","HCPCS","Both",,,"418.5","209.25","Caresource","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR FX PROXIMAL W/O MANIP","24670","HCPCS","Both",,,"418.5","209.25","Cigna","Commercial","",,"59",,"245.24","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR FX PROXIMAL W/O MANIP","24670","HCPCS","Both",,,"418.5","209.25","Humana","Commercial","",,"78",,"324.34","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR FX PROXIMAL W/O MANIP","24670","HCPCS","Both",,,"418.5","209.25","UHC","Commercial","",,"75",,"315.55","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR FX PROXIMAL W/O MANIP","24670","HCPCS","Both",,,"418.5","209.25","Medicaid",,"",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"ARTHROTOMY, WRIST JOINT W/EXPLORATION","25101","HCPCS","Both",,,"7200.5","3600.25","Alliant","Health Exchange","",,"62",,"4464.31","2635.38","5580.39","percent of total billed charges",,
"ARTHROTOMY, WRIST JOINT W/EXPLORATION","25101","HCPCS","Both",,,"7200.5","3600.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"3888.27","2635.38","5580.39","percent of total billed charges",,
"ARTHROTOMY, WRIST JOINT W/EXPLORATION","25101","HCPCS","Both",,,"7200.5","3600.25","Medicare",,"",,"54",,"3902.67","2635.38","5580.39","percent of total billed charges",,
"ARTHROTOMY, WRIST JOINT W/EXPLORATION","25101","HCPCS","Both",,,"7200.5","3600.25","Humana","Medicare Advantage","",,"54",,"3902.67","2635.38","5580.39","percent of total billed charges",,
"ARTHROTOMY, WRIST JOINT W/EXPLORATION","25101","HCPCS","Both",,,"7200.5","3600.25","UHC","Medicare Advantage","",,"54",,"3902.67","2635.38","5580.39","percent of total billed charges",,
"ARTHROTOMY, WRIST JOINT W/EXPLORATION","25101","HCPCS","Both",,,"7200.5","3600.25","Clover","Medicare Advantage","",,"54",,"3902.67","2635.38","5580.39","percent of total billed charges",,
"ARTHROTOMY, WRIST JOINT W/EXPLORATION","25101","HCPCS","Both",,,"7200.5","3600.25","Wellcare","Medicare Advantage","",,"54",,"3902.67","2635.38","5580.39","percent of total billed charges",,
"ARTHROTOMY, WRIST JOINT W/EXPLORATION","25101","HCPCS","Both",,,"7200.5","3600.25","Amerigroup","Medicaid Managed Care","",,"37",,"2635.38","2635.38","5580.39","percent of total billed charges",,
"ARTHROTOMY, WRIST JOINT W/EXPLORATION","25101","HCPCS","Both",,,"7200.5","3600.25","Caresource","Medicaid Managed Care","",,"40",,"2880.2","2635.38","5580.39","percent of total billed charges",,
"ARTHROTOMY, WRIST JOINT W/EXPLORATION","25101","HCPCS","Both",,,"7200.5","3600.25","Wellcare","Medicaid Managed Care","",,"40",,"2916.2","2635.38","5580.39","percent of total billed charges",,
"ARTHROTOMY, WRIST JOINT W/EXPLORATION","25101","HCPCS","Both",,,"7200.5","3600.25","Aetna","Commercial","",,"64",,"4593.92","2635.38","5580.39","percent of total billed charges",,
"ARTHROTOMY, WRIST JOINT W/EXPLORATION","25101","HCPCS","Both",,,"7200.5","3600.25","Blue Cross Blue Shield","Pathways","",,"71",,"5083.55","2635.38","5580.39","percent of total billed charges",,
"ARTHROTOMY, WRIST JOINT W/EXPLORATION","25101","HCPCS","Both",,,"7200.5","3600.25","Blue Cross Blue Shield","HMO","",,"71",,"5083.55","2635.38","5580.39","percent of total billed charges",,
"ARTHROTOMY, WRIST JOINT W/EXPLORATION","25101","HCPCS","Both",,,"7200.5","3600.25","Blue Cross Blue Shield","PPO","",,"71",,"5083.55","2635.38","5580.39","percent of total billed charges",,
"ARTHROTOMY, WRIST JOINT W/EXPLORATION","25101","HCPCS","Both",,,"7200.5","3600.25","Ambetter","Health Exchange","",,"62",,"4464.31","2635.38","5580.39","percent of total billed charges",,
"ARTHROTOMY, WRIST JOINT W/EXPLORATION","25101","HCPCS","Both",,,"7200.5","3600.25","Caresource","Health Exchange","",,"62",,"4464.31","2635.38","5580.39","percent of total billed charges",,
"ARTHROTOMY, WRIST JOINT W/EXPLORATION","25101","HCPCS","Both",,,"7200.5","3600.25","Cigna","Commercial","",,"59",,"4219.49","2635.38","5580.39","percent of total billed charges",,
"ARTHROTOMY, WRIST JOINT W/EXPLORATION","25101","HCPCS","Both",,,"7200.5","3600.25","Humana","Commercial","",,"78",,"5580.39","2635.38","5580.39","percent of total billed charges",,
"ARTHROTOMY, WRIST JOINT W/EXPLORATION","25101","HCPCS","Both",,,"7200.5","3600.25","UHC","Commercial","",,"75",,"5429.18","2635.38","5580.39","percent of total billed charges",,
"ARTHROTOMY, WRIST JOINT W/EXPLORATION","25101","HCPCS","Both",,,"7200.5","3600.25","Medicaid",,"",,"37",,"2635.38","2635.38","5580.39","percent of total billed charges",,
"CLOSED TX ULNAR SHAFT FX W/O MANIPULATIO","25530","HCPCS","Both",,,"418.5","209.25","Alliant","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR SHAFT FX W/O MANIPULATIO","25530","HCPCS","Both",,,"418.5","209.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"225.99","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR SHAFT FX W/O MANIPULATIO","25530","HCPCS","Both",,,"418.5","209.25","Medicare",,"",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR SHAFT FX W/O MANIPULATIO","25530","HCPCS","Both",,,"418.5","209.25","Humana","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR SHAFT FX W/O MANIPULATIO","25530","HCPCS","Both",,,"418.5","209.25","UHC","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR SHAFT FX W/O MANIPULATIO","25530","HCPCS","Both",,,"418.5","209.25","Clover","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR SHAFT FX W/O MANIPULATIO","25530","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR SHAFT FX W/O MANIPULATIO","25530","HCPCS","Both",,,"418.5","209.25","Amerigroup","Medicaid Managed Care","",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR SHAFT FX W/O MANIPULATIO","25530","HCPCS","Both",,,"418.5","209.25","Caresource","Medicaid Managed Care","",,"40",,"167.4","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR SHAFT FX W/O MANIPULATIO","25530","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicaid Managed Care","",,"40",,"169.49","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR SHAFT FX W/O MANIPULATIO","25530","HCPCS","Both",,,"418.5","209.25","Aetna","Commercial","",,"64",,"267","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR SHAFT FX W/O MANIPULATIO","25530","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","Pathways","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR SHAFT FX W/O MANIPULATIO","25530","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","HMO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR SHAFT FX W/O MANIPULATIO","25530","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","PPO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR SHAFT FX W/O MANIPULATIO","25530","HCPCS","Both",,,"418.5","209.25","Ambetter","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR SHAFT FX W/O MANIPULATIO","25530","HCPCS","Both",,,"418.5","209.25","Caresource","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR SHAFT FX W/O MANIPULATIO","25530","HCPCS","Both",,,"418.5","209.25","Cigna","Commercial","",,"59",,"245.24","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR SHAFT FX W/O MANIPULATIO","25530","HCPCS","Both",,,"418.5","209.25","Humana","Commercial","",,"78",,"324.34","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR SHAFT FX W/O MANIPULATIO","25530","HCPCS","Both",,,"418.5","209.25","UHC","Commercial","",,"75",,"315.55","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR SHAFT FX W/O MANIPULATIO","25530","HCPCS","Both",,,"418.5","209.25","Medicaid",,"",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX","25600","HCPCS","Both",,,"418.5","209.25","Alliant","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX","25600","HCPCS","Both",,,"418.5","209.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"225.99","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX","25600","HCPCS","Both",,,"418.5","209.25","Medicare",,"",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX","25600","HCPCS","Both",,,"418.5","209.25","Humana","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX","25600","HCPCS","Both",,,"418.5","209.25","UHC","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX","25600","HCPCS","Both",,,"418.5","209.25","Clover","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX","25600","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX","25600","HCPCS","Both",,,"418.5","209.25","Amerigroup","Medicaid Managed Care","",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX","25600","HCPCS","Both",,,"418.5","209.25","Caresource","Medicaid Managed Care","",,"40",,"167.4","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX","25600","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicaid Managed Care","",,"40",,"169.49","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX","25600","HCPCS","Both",,,"418.5","209.25","Aetna","Commercial","",,"64",,"267","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX","25600","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","Pathways","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX","25600","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","HMO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX","25600","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","PPO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX","25600","HCPCS","Both",,,"418.5","209.25","Ambetter","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX","25600","HCPCS","Both",,,"418.5","209.25","Caresource","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX","25600","HCPCS","Both",,,"418.5","209.25","Cigna","Commercial","",,"59",,"245.24","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX","25600","HCPCS","Both",,,"418.5","209.25","Humana","Commercial","",,"78",,"324.34","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX","25600","HCPCS","Both",,,"418.5","209.25","UHC","Commercial","",,"75",,"315.55","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX","25600","HCPCS","Both",,,"418.5","209.25","Medicaid",,"",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL RAD FX, W/MANIPULATION","25605","HCPCS","Both",,,"1245.5","622.75","Alliant","Health Exchange","",,"62",,"772.21","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RAD FX, W/MANIPULATION","25605","HCPCS","Both",,,"1245.5","622.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"672.57","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RAD FX, W/MANIPULATION","25605","HCPCS","Both",,,"1245.5","622.75","Medicare",,"",,"54",,"675.06","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RAD FX, W/MANIPULATION","25605","HCPCS","Both",,,"1245.5","622.75","Humana","Medicare Advantage","",,"54",,"675.06","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RAD FX, W/MANIPULATION","25605","HCPCS","Both",,,"1245.5","622.75","UHC","Medicare Advantage","",,"54",,"675.06","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RAD FX, W/MANIPULATION","25605","HCPCS","Both",,,"1245.5","622.75","Clover","Medicare Advantage","",,"54",,"675.06","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RAD FX, W/MANIPULATION","25605","HCPCS","Both",,,"1245.5","622.75","Wellcare","Medicare Advantage","",,"54",,"675.06","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RAD FX, W/MANIPULATION","25605","HCPCS","Both",,,"1245.5","622.75","Amerigroup","Medicaid Managed Care","",,"37",,"455.85","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RAD FX, W/MANIPULATION","25605","HCPCS","Both",,,"1245.5","622.75","Caresource","Medicaid Managed Care","",,"40",,"498.2","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RAD FX, W/MANIPULATION","25605","HCPCS","Both",,,"1245.5","622.75","Wellcare","Medicaid Managed Care","",,"40",,"504.43","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RAD FX, W/MANIPULATION","25605","HCPCS","Both",,,"1245.5","622.75","Aetna","Commercial","",,"64",,"794.63","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RAD FX, W/MANIPULATION","25605","HCPCS","Both",,,"1245.5","622.75","Blue Cross Blue Shield","Pathways","",,"71",,"879.32","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RAD FX, W/MANIPULATION","25605","HCPCS","Both",,,"1245.5","622.75","Blue Cross Blue Shield","HMO","",,"71",,"879.32","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RAD FX, W/MANIPULATION","25605","HCPCS","Both",,,"1245.5","622.75","Blue Cross Blue Shield","PPO","",,"71",,"879.32","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RAD FX, W/MANIPULATION","25605","HCPCS","Both",,,"1245.5","622.75","Ambetter","Health Exchange","",,"62",,"772.21","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RAD FX, W/MANIPULATION","25605","HCPCS","Both",,,"1245.5","622.75","Caresource","Health Exchange","",,"62",,"772.21","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RAD FX, W/MANIPULATION","25605","HCPCS","Both",,,"1245.5","622.75","Cigna","Commercial","",,"59",,"729.86","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RAD FX, W/MANIPULATION","25605","HCPCS","Both",,,"1245.5","622.75","Humana","Commercial","",,"78",,"965.26","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RAD FX, W/MANIPULATION","25605","HCPCS","Both",,,"1245.5","622.75","UHC","Commercial","",,"75",,"939.11","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RAD FX, W/MANIPULATION","25605","HCPCS","Both",,,"1245.5","622.75","Medicaid",,"",,"37",,"455.85","455.85","965.26","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Alliant","Health Exchange","",,"62",,"145.7","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"126.9","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Medicare",,"",,"54",,"127.37","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Humana","Medicare Advantage","",,"54",,"127.37","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","UHC","Medicare Advantage","",,"54",,"127.37","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Clover","Medicare Advantage","",,"54",,"127.37","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Wellcare","Medicare Advantage","",,"54",,"127.37","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Amerigroup","Medicaid Managed Care","",,"37",,"86.01","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Caresource","Medicaid Managed Care","",,"40",,"94","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Wellcare","Medicaid Managed Care","",,"40",,"95.18","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Aetna","Commercial","",,"64",,"149.93","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Blue Cross Blue Shield","Pathways","",,"71",,"165.91","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Blue Cross Blue Shield","HMO","",,"71",,"165.91","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Blue Cross Blue Shield","PPO","",,"71",,"165.91","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Ambetter","Health Exchange","",,"62",,"145.7","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Caresource","Health Exchange","",,"62",,"145.7","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Cigna","Commercial","",,"59",,"137.71","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Humana","Commercial","",,"78",,"182.12","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","UHC","Commercial","",,"75",,"177.19","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Medicaid",,"",,"37",,"86.01","86.01","182.12","percent of total billed charges",,
"DRAINAGE OF FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Alliant","Health Exchange","",,"62",,"175.46","103.58","219.32","percent of total billed charges",,
"DRAINAGE OF FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"152.82","103.58","219.32","percent of total billed charges",,
"DRAINAGE OF FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Medicare",,"",,"54",,"153.39","103.58","219.32","percent of total billed charges",,
"DRAINAGE OF FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Humana","Medicare Advantage","",,"54",,"153.39","103.58","219.32","percent of total billed charges",,
"DRAINAGE OF FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","UHC","Medicare Advantage","",,"54",,"153.39","103.58","219.32","percent of total billed charges",,
"DRAINAGE OF FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Clover","Medicare Advantage","",,"54",,"153.39","103.58","219.32","percent of total billed charges",,
"DRAINAGE OF FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Wellcare","Medicare Advantage","",,"54",,"153.39","103.58","219.32","percent of total billed charges",,
"DRAINAGE OF FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Amerigroup","Medicaid Managed Care","",,"37",,"103.58","103.58","219.32","percent of total billed charges",,
"DRAINAGE OF FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Caresource","Medicaid Managed Care","",,"40",,"113.2","103.58","219.32","percent of total billed charges",,
"DRAINAGE OF FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Wellcare","Medicaid Managed Care","",,"40",,"114.62","103.58","219.32","percent of total billed charges",,
"DRAINAGE OF FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Aetna","Commercial","",,"64",,"180.55","103.58","219.32","percent of total billed charges",,
"DRAINAGE OF FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Blue Cross Blue Shield","Pathways","",,"71",,"199.8","103.58","219.32","percent of total billed charges",,
"DRAINAGE OF FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Blue Cross Blue Shield","HMO","",,"71",,"199.8","103.58","219.32","percent of total billed charges",,
"DRAINAGE OF FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Blue Cross Blue Shield","PPO","",,"71",,"199.8","103.58","219.32","percent of total billed charges",,
"DRAINAGE OF FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Ambetter","Health Exchange","",,"62",,"175.46","103.58","219.32","percent of total billed charges",,
"DRAINAGE OF FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Caresource","Health Exchange","",,"62",,"175.46","103.58","219.32","percent of total billed charges",,
"DRAINAGE OF FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Cigna","Commercial","",,"59",,"165.84","103.58","219.32","percent of total billed charges",,
"DRAINAGE OF FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Humana","Commercial","",,"78",,"219.32","103.58","219.32","percent of total billed charges",,
"DRAINAGE OF FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","UHC","Commercial","",,"75",,"213.38","103.58","219.32","percent of total billed charges",,
"DRAINAGE OF FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Medicaid",,"",,"37",,"103.58","103.58","219.32","percent of total billed charges",,
"REPAIR, EXT TENDON, FINGER","26418","HCPCS","Both",,,"3701","1850.5","Alliant","Health Exchange","",,"62",,"2294.62","1354.57","2868.28","percent of total billed charges",,
"REPAIR, EXT TENDON, FINGER","26418","HCPCS","Both",,,"3701","1850.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"1998.54","1354.57","2868.28","percent of total billed charges",,
"REPAIR, EXT TENDON, FINGER","26418","HCPCS","Both",,,"3701","1850.5","Medicare",,"",,"54",,"2005.94","1354.57","2868.28","percent of total billed charges",,
"REPAIR, EXT TENDON, FINGER","26418","HCPCS","Both",,,"3701","1850.5","Humana","Medicare Advantage","",,"54",,"2005.94","1354.57","2868.28","percent of total billed charges",,
"REPAIR, EXT TENDON, FINGER","26418","HCPCS","Both",,,"3701","1850.5","UHC","Medicare Advantage","",,"54",,"2005.94","1354.57","2868.28","percent of total billed charges",,
"REPAIR, EXT TENDON, FINGER","26418","HCPCS","Both",,,"3701","1850.5","Clover","Medicare Advantage","",,"54",,"2005.94","1354.57","2868.28","percent of total billed charges",,
"REPAIR, EXT TENDON, FINGER","26418","HCPCS","Both",,,"3701","1850.5","Wellcare","Medicare Advantage","",,"54",,"2005.94","1354.57","2868.28","percent of total billed charges",,
"REPAIR, EXT TENDON, FINGER","26418","HCPCS","Both",,,"3701","1850.5","Amerigroup","Medicaid Managed Care","",,"37",,"1354.57","1354.57","2868.28","percent of total billed charges",,
"REPAIR, EXT TENDON, FINGER","26418","HCPCS","Both",,,"3701","1850.5","Caresource","Medicaid Managed Care","",,"40",,"1480.4","1354.57","2868.28","percent of total billed charges",,
"REPAIR, EXT TENDON, FINGER","26418","HCPCS","Both",,,"3701","1850.5","Wellcare","Medicaid Managed Care","",,"40",,"1498.91","1354.57","2868.28","percent of total billed charges",,
"REPAIR, EXT TENDON, FINGER","26418","HCPCS","Both",,,"3701","1850.5","Aetna","Commercial","",,"64",,"2361.24","1354.57","2868.28","percent of total billed charges",,
"REPAIR, EXT TENDON, FINGER","26418","HCPCS","Both",,,"3701","1850.5","Blue Cross Blue Shield","Pathways","",,"71",,"2612.91","1354.57","2868.28","percent of total billed charges",,
"REPAIR, EXT TENDON, FINGER","26418","HCPCS","Both",,,"3701","1850.5","Blue Cross Blue Shield","HMO","",,"71",,"2612.91","1354.57","2868.28","percent of total billed charges",,
"REPAIR, EXT TENDON, FINGER","26418","HCPCS","Both",,,"3701","1850.5","Blue Cross Blue Shield","PPO","",,"71",,"2612.91","1354.57","2868.28","percent of total billed charges",,
"REPAIR, EXT TENDON, FINGER","26418","HCPCS","Both",,,"3701","1850.5","Ambetter","Health Exchange","",,"62",,"2294.62","1354.57","2868.28","percent of total billed charges",,
"REPAIR, EXT TENDON, FINGER","26418","HCPCS","Both",,,"3701","1850.5","Caresource","Health Exchange","",,"62",,"2294.62","1354.57","2868.28","percent of total billed charges",,
"REPAIR, EXT TENDON, FINGER","26418","HCPCS","Both",,,"3701","1850.5","Cigna","Commercial","",,"59",,"2168.79","1354.57","2868.28","percent of total billed charges",,
"REPAIR, EXT TENDON, FINGER","26418","HCPCS","Both",,,"3701","1850.5","Humana","Commercial","",,"78",,"2868.28","1354.57","2868.28","percent of total billed charges",,
"REPAIR, EXT TENDON, FINGER","26418","HCPCS","Both",,,"3701","1850.5","UHC","Commercial","",,"75",,"2790.55","1354.57","2868.28","percent of total billed charges",,
"REPAIR, EXT TENDON, FINGER","26418","HCPCS","Both",,,"3701","1850.5","Medicaid",,"",,"37",,"1354.57","1354.57","2868.28","percent of total billed charges",,
"CLOSED TX METACARPAL FX W/MANIPULATION @","26605","HCPCS","Both",,,"338.5","169.25","Alliant","Health Exchange","",,"62",,"209.87","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL FX W/MANIPULATION @","26605","HCPCS","Both",,,"338.5","169.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"182.79","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL FX W/MANIPULATION @","26605","HCPCS","Both",,,"338.5","169.25","Medicare",,"",,"54",,"183.47","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL FX W/MANIPULATION @","26605","HCPCS","Both",,,"338.5","169.25","Humana","Medicare Advantage","",,"54",,"183.47","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL FX W/MANIPULATION @","26605","HCPCS","Both",,,"338.5","169.25","UHC","Medicare Advantage","",,"54",,"183.47","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL FX W/MANIPULATION @","26605","HCPCS","Both",,,"338.5","169.25","Clover","Medicare Advantage","",,"54",,"183.47","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL FX W/MANIPULATION @","26605","HCPCS","Both",,,"338.5","169.25","Wellcare","Medicare Advantage","",,"54",,"183.47","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL FX W/MANIPULATION @","26605","HCPCS","Both",,,"338.5","169.25","Amerigroup","Medicaid Managed Care","",,"37",,"123.89","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL FX W/MANIPULATION @","26605","HCPCS","Both",,,"338.5","169.25","Caresource","Medicaid Managed Care","",,"40",,"135.4","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL FX W/MANIPULATION @","26605","HCPCS","Both",,,"338.5","169.25","Wellcare","Medicaid Managed Care","",,"40",,"137.09","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL FX W/MANIPULATION @","26605","HCPCS","Both",,,"338.5","169.25","Aetna","Commercial","",,"64",,"215.96","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL FX W/MANIPULATION @","26605","HCPCS","Both",,,"338.5","169.25","Blue Cross Blue Shield","Pathways","",,"71",,"238.98","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL FX W/MANIPULATION @","26605","HCPCS","Both",,,"338.5","169.25","Blue Cross Blue Shield","HMO","",,"71",,"238.98","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL FX W/MANIPULATION @","26605","HCPCS","Both",,,"338.5","169.25","Blue Cross Blue Shield","PPO","",,"71",,"238.98","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL FX W/MANIPULATION @","26605","HCPCS","Both",,,"338.5","169.25","Ambetter","Health Exchange","",,"62",,"209.87","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL FX W/MANIPULATION @","26605","HCPCS","Both",,,"338.5","169.25","Caresource","Health Exchange","",,"62",,"209.87","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL FX W/MANIPULATION @","26605","HCPCS","Both",,,"338.5","169.25","Cigna","Commercial","",,"59",,"198.36","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL FX W/MANIPULATION @","26605","HCPCS","Both",,,"338.5","169.25","Humana","Commercial","",,"78",,"262.34","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL FX W/MANIPULATION @","26605","HCPCS","Both",,,"338.5","169.25","UHC","Commercial","",,"75",,"255.23","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL FX W/MANIPULATION @","26605","HCPCS","Both",,,"338.5","169.25","Medicaid",,"",,"37",,"123.89","123.89","262.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX","26720","HCPCS","Both",,,"418.5","209.25","Alliant","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX","26720","HCPCS","Both",,,"418.5","209.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"225.99","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX","26720","HCPCS","Both",,,"418.5","209.25","Medicare",,"",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX","26720","HCPCS","Both",,,"418.5","209.25","Humana","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX","26720","HCPCS","Both",,,"418.5","209.25","UHC","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX","26720","HCPCS","Both",,,"418.5","209.25","Clover","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX","26720","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX","26720","HCPCS","Both",,,"418.5","209.25","Amerigroup","Medicaid Managed Care","",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX","26720","HCPCS","Both",,,"418.5","209.25","Caresource","Medicaid Managed Care","",,"40",,"167.4","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX","26720","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicaid Managed Care","",,"40",,"169.49","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX","26720","HCPCS","Both",,,"418.5","209.25","Aetna","Commercial","",,"64",,"267","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX","26720","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","Pathways","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX","26720","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","HMO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX","26720","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","PPO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX","26720","HCPCS","Both",,,"418.5","209.25","Ambetter","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX","26720","HCPCS","Both",,,"418.5","209.25","Caresource","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX","26720","HCPCS","Both",,,"418.5","209.25","Cigna","Commercial","",,"59",,"245.24","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX","26720","HCPCS","Both",,,"418.5","209.25","Humana","Commercial","",,"78",,"324.34","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX","26720","HCPCS","Both",,,"418.5","209.25","UHC","Commercial","",,"75",,"315.55","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX","26720","HCPCS","Both",,,"418.5","209.25","Medicaid",,"",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX W/MANI","26725","HCPCS","Both",,,"418.5","209.25","Alliant","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX W/MANI","26725","HCPCS","Both",,,"418.5","209.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"225.99","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX W/MANI","26725","HCPCS","Both",,,"418.5","209.25","Medicare",,"",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX W/MANI","26725","HCPCS","Both",,,"418.5","209.25","Humana","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX W/MANI","26725","HCPCS","Both",,,"418.5","209.25","UHC","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX W/MANI","26725","HCPCS","Both",,,"418.5","209.25","Clover","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX W/MANI","26725","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX W/MANI","26725","HCPCS","Both",,,"418.5","209.25","Amerigroup","Medicaid Managed Care","",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX W/MANI","26725","HCPCS","Both",,,"418.5","209.25","Caresource","Medicaid Managed Care","",,"40",,"167.4","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX W/MANI","26725","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicaid Managed Care","",,"40",,"169.49","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX W/MANI","26725","HCPCS","Both",,,"418.5","209.25","Aetna","Commercial","",,"64",,"267","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX W/MANI","26725","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","Pathways","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX W/MANI","26725","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","HMO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX W/MANI","26725","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","PPO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX W/MANI","26725","HCPCS","Both",,,"418.5","209.25","Ambetter","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX W/MANI","26725","HCPCS","Both",,,"418.5","209.25","Caresource","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX W/MANI","26725","HCPCS","Both",,,"418.5","209.25","Cigna","Commercial","",,"59",,"245.24","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX W/MANI","26725","HCPCS","Both",,,"418.5","209.25","Humana","Commercial","",,"78",,"324.34","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX W/MANI","26725","HCPCS","Both",,,"418.5","209.25","UHC","Commercial","",,"75",,"315.55","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX W/MANI","26725","HCPCS","Both",,,"418.5","209.25","Medicaid",,"",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT W ANEST","26775","HCPCS","Both",,,"690","345","Alliant","Health Exchange","",,"62",,"427.8","252.54","534.75","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT W ANEST","26775","HCPCS","Both",,,"690","345","Pruitt Healthcare","Medicare Advantage","",,"54",,"372.6","252.54","534.75","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT W ANEST","26775","HCPCS","Both",,,"690","345","Medicare",,"",,"54",,"373.98","252.54","534.75","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT W ANEST","26775","HCPCS","Both",,,"690","345","Humana","Medicare Advantage","",,"54",,"373.98","252.54","534.75","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT W ANEST","26775","HCPCS","Both",,,"690","345","UHC","Medicare Advantage","",,"54",,"373.98","252.54","534.75","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT W ANEST","26775","HCPCS","Both",,,"690","345","Clover","Medicare Advantage","",,"54",,"373.98","252.54","534.75","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT W ANEST","26775","HCPCS","Both",,,"690","345","Wellcare","Medicare Advantage","",,"54",,"373.98","252.54","534.75","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT W ANEST","26775","HCPCS","Both",,,"690","345","Amerigroup","Medicaid Managed Care","",,"37",,"252.54","252.54","534.75","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT W ANEST","26775","HCPCS","Both",,,"690","345","Caresource","Medicaid Managed Care","",,"40",,"276","252.54","534.75","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT W ANEST","26775","HCPCS","Both",,,"690","345","Wellcare","Medicaid Managed Care","",,"40",,"279.45","252.54","534.75","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT W ANEST","26775","HCPCS","Both",,,"690","345","Aetna","Commercial","",,"64",,"440.22","252.54","534.75","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT W ANEST","26775","HCPCS","Both",,,"690","345","Blue Cross Blue Shield","Pathways","",,"71",,"487.14","252.54","534.75","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT W ANEST","26775","HCPCS","Both",,,"690","345","Blue Cross Blue Shield","HMO","",,"71",,"487.14","252.54","534.75","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT W ANEST","26775","HCPCS","Both",,,"690","345","Blue Cross Blue Shield","PPO","",,"71",,"487.14","252.54","534.75","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT W ANEST","26775","HCPCS","Both",,,"690","345","Ambetter","Health Exchange","",,"62",,"427.8","252.54","534.75","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT W ANEST","26775","HCPCS","Both",,,"690","345","Caresource","Health Exchange","",,"62",,"427.8","252.54","534.75","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT W ANEST","26775","HCPCS","Both",,,"690","345","Cigna","Commercial","",,"59",,"404.34","252.54","534.75","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT W ANEST","26775","HCPCS","Both",,,"690","345","Humana","Commercial","",,"78",,"534.75","252.54","534.75","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT W ANEST","26775","HCPCS","Both",,,"690","345","UHC","Commercial","",,"75",,"520.26","252.54","534.75","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT W ANEST","26775","HCPCS","Both",,,"690","345","Medicaid",,"",,"37",,"252.54","252.54","534.75","percent of total billed charges",,
"CLOSED TX FEMORAL FX, DISTAL END, NECK","27230","HCPCS","Both",,,"418.5","209.25","Alliant","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX FEMORAL FX, DISTAL END, NECK","27230","HCPCS","Both",,,"418.5","209.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"225.99","153.17","324.34","percent of total billed charges",,
"CLOSED TX FEMORAL FX, DISTAL END, NECK","27230","HCPCS","Both",,,"418.5","209.25","Medicare",,"",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX FEMORAL FX, DISTAL END, NECK","27230","HCPCS","Both",,,"418.5","209.25","Humana","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX FEMORAL FX, DISTAL END, NECK","27230","HCPCS","Both",,,"418.5","209.25","UHC","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX FEMORAL FX, DISTAL END, NECK","27230","HCPCS","Both",,,"418.5","209.25","Clover","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX FEMORAL FX, DISTAL END, NECK","27230","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX FEMORAL FX, DISTAL END, NECK","27230","HCPCS","Both",,,"418.5","209.25","Amerigroup","Medicaid Managed Care","",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TX FEMORAL FX, DISTAL END, NECK","27230","HCPCS","Both",,,"418.5","209.25","Caresource","Medicaid Managed Care","",,"40",,"167.4","153.17","324.34","percent of total billed charges",,
"CLOSED TX FEMORAL FX, DISTAL END, NECK","27230","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicaid Managed Care","",,"40",,"169.49","153.17","324.34","percent of total billed charges",,
"CLOSED TX FEMORAL FX, DISTAL END, NECK","27230","HCPCS","Both",,,"418.5","209.25","Aetna","Commercial","",,"64",,"267","153.17","324.34","percent of total billed charges",,
"CLOSED TX FEMORAL FX, DISTAL END, NECK","27230","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","Pathways","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX FEMORAL FX, DISTAL END, NECK","27230","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","HMO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX FEMORAL FX, DISTAL END, NECK","27230","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","PPO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX FEMORAL FX, DISTAL END, NECK","27230","HCPCS","Both",,,"418.5","209.25","Ambetter","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX FEMORAL FX, DISTAL END, NECK","27230","HCPCS","Both",,,"418.5","209.25","Caresource","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX FEMORAL FX, DISTAL END, NECK","27230","HCPCS","Both",,,"418.5","209.25","Cigna","Commercial","",,"59",,"245.24","153.17","324.34","percent of total billed charges",,
"CLOSED TX FEMORAL FX, DISTAL END, NECK","27230","HCPCS","Both",,,"418.5","209.25","Humana","Commercial","",,"78",,"324.34","153.17","324.34","percent of total billed charges",,
"CLOSED TX FEMORAL FX, DISTAL END, NECK","27230","HCPCS","Both",,,"418.5","209.25","UHC","Commercial","",,"75",,"315.55","153.17","324.34","percent of total billed charges",,
"CLOSED TX FEMORAL FX, DISTAL END, NECK","27230","HCPCS","Both",,,"418.5","209.25","Medicaid",,"",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"I & D DEEP ABCESS, BURSA, THIGH OR KNEE","27301","HCPCS","Both",,,"4118","2059","Alliant","Health Exchange","",,"62",,"2553.16","1507.19","3191.45","percent of total billed charges",,
"I & D DEEP ABCESS, BURSA, THIGH OR KNEE","27301","HCPCS","Both",,,"4118","2059","Pruitt Healthcare","Medicare Advantage","",,"54",,"2223.72","1507.19","3191.45","percent of total billed charges",,
"I & D DEEP ABCESS, BURSA, THIGH OR KNEE","27301","HCPCS","Both",,,"4118","2059","Medicare",,"",,"54",,"2231.96","1507.19","3191.45","percent of total billed charges",,
"I & D DEEP ABCESS, BURSA, THIGH OR KNEE","27301","HCPCS","Both",,,"4118","2059","Humana","Medicare Advantage","",,"54",,"2231.96","1507.19","3191.45","percent of total billed charges",,
"I & D DEEP ABCESS, BURSA, THIGH OR KNEE","27301","HCPCS","Both",,,"4118","2059","UHC","Medicare Advantage","",,"54",,"2231.96","1507.19","3191.45","percent of total billed charges",,
"I & D DEEP ABCESS, BURSA, THIGH OR KNEE","27301","HCPCS","Both",,,"4118","2059","Clover","Medicare Advantage","",,"54",,"2231.96","1507.19","3191.45","percent of total billed charges",,
"I & D DEEP ABCESS, BURSA, THIGH OR KNEE","27301","HCPCS","Both",,,"4118","2059","Wellcare","Medicare Advantage","",,"54",,"2231.96","1507.19","3191.45","percent of total billed charges",,
"I & D DEEP ABCESS, BURSA, THIGH OR KNEE","27301","HCPCS","Both",,,"4118","2059","Amerigroup","Medicaid Managed Care","",,"37",,"1507.19","1507.19","3191.45","percent of total billed charges",,
"I & D DEEP ABCESS, BURSA, THIGH OR KNEE","27301","HCPCS","Both",,,"4118","2059","Caresource","Medicaid Managed Care","",,"40",,"1647.2","1507.19","3191.45","percent of total billed charges",,
"I & D DEEP ABCESS, BURSA, THIGH OR KNEE","27301","HCPCS","Both",,,"4118","2059","Wellcare","Medicaid Managed Care","",,"40",,"1667.79","1507.19","3191.45","percent of total billed charges",,
"I & D DEEP ABCESS, BURSA, THIGH OR KNEE","27301","HCPCS","Both",,,"4118","2059","Aetna","Commercial","",,"64",,"2627.28","1507.19","3191.45","percent of total billed charges",,
"I & D DEEP ABCESS, BURSA, THIGH OR KNEE","27301","HCPCS","Both",,,"4118","2059","Blue Cross Blue Shield","Pathways","",,"71",,"2907.31","1507.19","3191.45","percent of total billed charges",,
"I & D DEEP ABCESS, BURSA, THIGH OR KNEE","27301","HCPCS","Both",,,"4118","2059","Blue Cross Blue Shield","HMO","",,"71",,"2907.31","1507.19","3191.45","percent of total billed charges",,
"I & D DEEP ABCESS, BURSA, THIGH OR KNEE","27301","HCPCS","Both",,,"4118","2059","Blue Cross Blue Shield","PPO","",,"71",,"2907.31","1507.19","3191.45","percent of total billed charges",,
"I & D DEEP ABCESS, BURSA, THIGH OR KNEE","27301","HCPCS","Both",,,"4118","2059","Ambetter","Health Exchange","",,"62",,"2553.16","1507.19","3191.45","percent of total billed charges",,
"I & D DEEP ABCESS, BURSA, THIGH OR KNEE","27301","HCPCS","Both",,,"4118","2059","Caresource","Health Exchange","",,"62",,"2553.16","1507.19","3191.45","percent of total billed charges",,
"I & D DEEP ABCESS, BURSA, THIGH OR KNEE","27301","HCPCS","Both",,,"4118","2059","Cigna","Commercial","",,"59",,"2413.15","1507.19","3191.45","percent of total billed charges",,
"I & D DEEP ABCESS, BURSA, THIGH OR KNEE","27301","HCPCS","Both",,,"4118","2059","Humana","Commercial","",,"78",,"3191.45","1507.19","3191.45","percent of total billed charges",,
"I & D DEEP ABCESS, BURSA, THIGH OR KNEE","27301","HCPCS","Both",,,"4118","2059","UHC","Commercial","",,"75",,"3104.97","1507.19","3191.45","percent of total billed charges",,
"I & D DEEP ABCESS, BURSA, THIGH OR KNEE","27301","HCPCS","Both",,,"4118","2059","Medicaid",,"",,"37",,"1507.19","1507.19","3191.45","percent of total billed charges",,
"CLOSED TX DISTAL FIB FX W/O MANIPULATION","27786","HCPCS","Both",,,"418.5","209.25","Alliant","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL FIB FX W/O MANIPULATION","27786","HCPCS","Both",,,"418.5","209.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"225.99","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL FIB FX W/O MANIPULATION","27786","HCPCS","Both",,,"418.5","209.25","Medicare",,"",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL FIB FX W/O MANIPULATION","27786","HCPCS","Both",,,"418.5","209.25","Humana","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL FIB FX W/O MANIPULATION","27786","HCPCS","Both",,,"418.5","209.25","UHC","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL FIB FX W/O MANIPULATION","27786","HCPCS","Both",,,"418.5","209.25","Clover","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL FIB FX W/O MANIPULATION","27786","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL FIB FX W/O MANIPULATION","27786","HCPCS","Both",,,"418.5","209.25","Amerigroup","Medicaid Managed Care","",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL FIB FX W/O MANIPULATION","27786","HCPCS","Both",,,"418.5","209.25","Caresource","Medicaid Managed Care","",,"40",,"167.4","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL FIB FX W/O MANIPULATION","27786","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicaid Managed Care","",,"40",,"169.49","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL FIB FX W/O MANIPULATION","27786","HCPCS","Both",,,"418.5","209.25","Aetna","Commercial","",,"64",,"267","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL FIB FX W/O MANIPULATION","27786","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","Pathways","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL FIB FX W/O MANIPULATION","27786","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","HMO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL FIB FX W/O MANIPULATION","27786","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","PPO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL FIB FX W/O MANIPULATION","27786","HCPCS","Both",,,"418.5","209.25","Ambetter","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL FIB FX W/O MANIPULATION","27786","HCPCS","Both",,,"418.5","209.25","Caresource","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL FIB FX W/O MANIPULATION","27786","HCPCS","Both",,,"418.5","209.25","Cigna","Commercial","",,"59",,"245.24","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL FIB FX W/O MANIPULATION","27786","HCPCS","Both",,,"418.5","209.25","Humana","Commercial","",,"78",,"324.34","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL FIB FX W/O MANIPULATION","27786","HCPCS","Both",,,"418.5","209.25","UHC","Commercial","",,"75",,"315.55","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL FIB FX W/O MANIPULATION","27786","HCPCS","Both",,,"418.5","209.25","Medicaid",,"",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"TRIMALLEOLAR FX REDUCTION","27818","HCPCS","Both",,,"2785","1392.5","Alliant","Health Exchange","",,"62",,"1726.7","462.99","2158.38","percent of total billed charges",,
"TRIMALLEOLAR FX REDUCTION","27818","HCPCS","Both",,,"2785","1392.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"1503.9","462.99","2158.38","percent of total billed charges",,
"TRIMALLEOLAR FX REDUCTION","27818","HCPCS","Both",,,"2785","1392.5","Medicare",,"",,"54",,"1509.47","462.99","2158.38","percent of total billed charges",,
"TRIMALLEOLAR FX REDUCTION","27818","HCPCS","Both",,,"2785","1392.5","Humana","Medicare Advantage","",,"54",,"1509.47","462.99","2158.38","percent of total billed charges",,
"TRIMALLEOLAR FX REDUCTION","27818","HCPCS","Both",,,"2785","1392.5","UHC","Medicare Advantage","",,"54",,"1509.47","462.99","2158.38","percent of total billed charges",,
"TRIMALLEOLAR FX REDUCTION","27818","HCPCS","Both",,,"2785","1392.5","Clover","Medicare Advantage","",,"54",,"1509.47","462.99","2158.38","percent of total billed charges",,
"TRIMALLEOLAR FX REDUCTION","27818","HCPCS","Both",,,"2785","1392.5","Wellcare","Medicare Advantage","",,"54",,"1509.47","462.99","2158.38","percent of total billed charges",,
"TRIMALLEOLAR FX REDUCTION","27818","HCPCS","Both",,,"2785","1392.5","Amerigroup","Medicaid Managed Care","",,"37",,"1019.31","462.99","2158.38","percent of total billed charges",,
"TRIMALLEOLAR FX REDUCTION","27818","HCPCS","Both",,,"2785","1392.5","Caresource","Medicaid Managed Care","",,"40",,"1114","462.99","2158.38","percent of total billed charges",,
"TRIMALLEOLAR FX REDUCTION","27818","HCPCS","Both",,,"2785","1392.5","Wellcare","Medicaid Managed Care","",,"40",,"1127.93","462.99","2158.38","percent of total billed charges",,
"TRIMALLEOLAR FX REDUCTION","27818","HCPCS","Both",,,"2785","1392.5","Aetna","Commercial","",,"64",,"1776.83","462.99","2158.38","percent of total billed charges",,
"TRIMALLEOLAR FX REDUCTION","27818","HCPCS","Both",,,"2785","1392.5","Blue Cross Blue Shield","Pathways","",,"71",,"1966.21","462.99","2158.38","percent of total billed charges",,
"TRIMALLEOLAR FX REDUCTION","27818","HCPCS","Both",,,"2785","1392.5","Blue Cross Blue Shield","HMO","",,"71",,"1966.21","462.99","2158.38","percent of total billed charges",,
"TRIMALLEOLAR FX REDUCTION","27818","HCPCS","Both",,,"2785","1392.5","Blue Cross Blue Shield","PPO","",,"71",,"1966.21","462.99","2158.38","percent of total billed charges",,
"TRIMALLEOLAR FX REDUCTION","27818","HCPCS","Both",,,"2785","1392.5","Ambetter","Health Exchange","",,"62",,"1726.7","462.99","2158.38","percent of total billed charges",,
"TRIMALLEOLAR FX REDUCTION","27818","HCPCS","Both",,,"2785","1392.5","Caresource","Health Exchange","",,"62",,"1726.7","462.99","2158.38","percent of total billed charges",,
"TRIMALLEOLAR FX REDUCTION","27818","HCPCS","Both",,,"2785","1392.5","Cigna","Commercial","",,"59",,"1632.01","462.99","2158.38","percent of total billed charges",,
"TRIMALLEOLAR FX REDUCTION","27818","HCPCS","Both",,,"2785","1392.5","Humana","Commercial","",,"78",,"2158.38","462.99","2158.38","percent of total billed charges",,
"TRIMALLEOLAR FX REDUCTION","27818","HCPCS","Both",,,"2785","1392.5","UHC","Commercial","",,"75",,"2099.89","462.99","2158.38","percent of total billed charges",,
"TRIMALLEOLAR FX REDUCTION","27818","HCPCS","Both",,,"2785","1392.5","Medicaid",,"",,"37",,"1019.31","462.99","2158.38","percent of total billed charges",,
"CLOSED TX FX DISTAL TIBIA W/O MANIPULATI","27825","HCPCS","Both",,,"2608.5","1304.25","Alliant","Health Exchange","",,"62",,"1617.27","954.71","2021.59","percent of total billed charges",,
"CLOSED TX FX DISTAL TIBIA W/O MANIPULATI","27825","HCPCS","Both",,,"2608.5","1304.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"1408.59","954.71","2021.59","percent of total billed charges",,
"CLOSED TX FX DISTAL TIBIA W/O MANIPULATI","27825","HCPCS","Both",,,"2608.5","1304.25","Medicare",,"",,"54",,"1413.81","954.71","2021.59","percent of total billed charges",,
"CLOSED TX FX DISTAL TIBIA W/O MANIPULATI","27825","HCPCS","Both",,,"2608.5","1304.25","Humana","Medicare Advantage","",,"54",,"1413.81","954.71","2021.59","percent of total billed charges",,
"CLOSED TX FX DISTAL TIBIA W/O MANIPULATI","27825","HCPCS","Both",,,"2608.5","1304.25","UHC","Medicare Advantage","",,"54",,"1413.81","954.71","2021.59","percent of total billed charges",,
"CLOSED TX FX DISTAL TIBIA W/O MANIPULATI","27825","HCPCS","Both",,,"2608.5","1304.25","Clover","Medicare Advantage","",,"54",,"1413.81","954.71","2021.59","percent of total billed charges",,
"CLOSED TX FX DISTAL TIBIA W/O MANIPULATI","27825","HCPCS","Both",,,"2608.5","1304.25","Wellcare","Medicare Advantage","",,"54",,"1413.81","954.71","2021.59","percent of total billed charges",,
"CLOSED TX FX DISTAL TIBIA W/O MANIPULATI","27825","HCPCS","Both",,,"2608.5","1304.25","Amerigroup","Medicaid Managed Care","",,"37",,"954.71","954.71","2021.59","percent of total billed charges",,
"CLOSED TX FX DISTAL TIBIA W/O MANIPULATI","27825","HCPCS","Both",,,"2608.5","1304.25","Caresource","Medicaid Managed Care","",,"40",,"1043.4","954.71","2021.59","percent of total billed charges",,
"CLOSED TX FX DISTAL TIBIA W/O MANIPULATI","27825","HCPCS","Both",,,"2608.5","1304.25","Wellcare","Medicaid Managed Care","",,"40",,"1056.44","954.71","2021.59","percent of total billed charges",,
"CLOSED TX FX DISTAL TIBIA W/O MANIPULATI","27825","HCPCS","Both",,,"2608.5","1304.25","Aetna","Commercial","",,"64",,"1664.22","954.71","2021.59","percent of total billed charges",,
"CLOSED TX FX DISTAL TIBIA W/O MANIPULATI","27825","HCPCS","Both",,,"2608.5","1304.25","Blue Cross Blue Shield","Pathways","",,"71",,"1841.6","954.71","2021.59","percent of total billed charges",,
"CLOSED TX FX DISTAL TIBIA W/O MANIPULATI","27825","HCPCS","Both",,,"2608.5","1304.25","Blue Cross Blue Shield","HMO","",,"71",,"1841.6","954.71","2021.59","percent of total billed charges",,
"CLOSED TX FX DISTAL TIBIA W/O MANIPULATI","27825","HCPCS","Both",,,"2608.5","1304.25","Blue Cross Blue Shield","PPO","",,"71",,"1841.6","954.71","2021.59","percent of total billed charges",,
"CLOSED TX FX DISTAL TIBIA W/O MANIPULATI","27825","HCPCS","Both",,,"2608.5","1304.25","Ambetter","Health Exchange","",,"62",,"1617.27","954.71","2021.59","percent of total billed charges",,
"CLOSED TX FX DISTAL TIBIA W/O MANIPULATI","27825","HCPCS","Both",,,"2608.5","1304.25","Caresource","Health Exchange","",,"62",,"1617.27","954.71","2021.59","percent of total billed charges",,
"CLOSED TX FX DISTAL TIBIA W/O MANIPULATI","27825","HCPCS","Both",,,"2608.5","1304.25","Cigna","Commercial","",,"59",,"1528.58","954.71","2021.59","percent of total billed charges",,
"CLOSED TX FX DISTAL TIBIA W/O MANIPULATI","27825","HCPCS","Both",,,"2608.5","1304.25","Humana","Commercial","",,"78",,"2021.59","954.71","2021.59","percent of total billed charges",,
"CLOSED TX FX DISTAL TIBIA W/O MANIPULATI","27825","HCPCS","Both",,,"2608.5","1304.25","UHC","Commercial","",,"75",,"1966.81","954.71","2021.59","percent of total billed charges",,
"CLOSED TX FX DISTAL TIBIA W/O MANIPULATI","27825","HCPCS","Both",,,"2608.5","1304.25","Medicaid",,"",,"37",,"954.71","954.71","2021.59","percent of total billed charges",,
"ARTHROTOMY INTERPHALANGEAL JOINT","28024","HCPCS","Both",,,"4945","2472.5","Alliant","Health Exchange","",,"62",,"3065.9","1809.87","3832.38","percent of total billed charges",,
"ARTHROTOMY INTERPHALANGEAL JOINT","28024","HCPCS","Both",,,"4945","2472.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"2670.3","1809.87","3832.38","percent of total billed charges",,
"ARTHROTOMY INTERPHALANGEAL JOINT","28024","HCPCS","Both",,,"4945","2472.5","Medicare",,"",,"54",,"2680.19","1809.87","3832.38","percent of total billed charges",,
"ARTHROTOMY INTERPHALANGEAL JOINT","28024","HCPCS","Both",,,"4945","2472.5","Humana","Medicare Advantage","",,"54",,"2680.19","1809.87","3832.38","percent of total billed charges",,
"ARTHROTOMY INTERPHALANGEAL JOINT","28024","HCPCS","Both",,,"4945","2472.5","UHC","Medicare Advantage","",,"54",,"2680.19","1809.87","3832.38","percent of total billed charges",,
"ARTHROTOMY INTERPHALANGEAL JOINT","28024","HCPCS","Both",,,"4945","2472.5","Clover","Medicare Advantage","",,"54",,"2680.19","1809.87","3832.38","percent of total billed charges",,
"ARTHROTOMY INTERPHALANGEAL JOINT","28024","HCPCS","Both",,,"4945","2472.5","Wellcare","Medicare Advantage","",,"54",,"2680.19","1809.87","3832.38","percent of total billed charges",,
"ARTHROTOMY INTERPHALANGEAL JOINT","28024","HCPCS","Both",,,"4945","2472.5","Amerigroup","Medicaid Managed Care","",,"37",,"1809.87","1809.87","3832.38","percent of total billed charges",,
"ARTHROTOMY INTERPHALANGEAL JOINT","28024","HCPCS","Both",,,"4945","2472.5","Caresource","Medicaid Managed Care","",,"40",,"1978","1809.87","3832.38","percent of total billed charges",,
"ARTHROTOMY INTERPHALANGEAL JOINT","28024","HCPCS","Both",,,"4945","2472.5","Wellcare","Medicaid Managed Care","",,"40",,"2002.72","1809.87","3832.38","percent of total billed charges",,
"ARTHROTOMY INTERPHALANGEAL JOINT","28024","HCPCS","Both",,,"4945","2472.5","Aetna","Commercial","",,"64",,"3154.91","1809.87","3832.38","percent of total billed charges",,
"ARTHROTOMY INTERPHALANGEAL JOINT","28024","HCPCS","Both",,,"4945","2472.5","Blue Cross Blue Shield","Pathways","",,"71",,"3491.17","1809.87","3832.38","percent of total billed charges",,
"ARTHROTOMY INTERPHALANGEAL JOINT","28024","HCPCS","Both",,,"4945","2472.5","Blue Cross Blue Shield","HMO","",,"71",,"3491.17","1809.87","3832.38","percent of total billed charges",,
"ARTHROTOMY INTERPHALANGEAL JOINT","28024","HCPCS","Both",,,"4945","2472.5","Blue Cross Blue Shield","PPO","",,"71",,"3491.17","1809.87","3832.38","percent of total billed charges",,
"ARTHROTOMY INTERPHALANGEAL JOINT","28024","HCPCS","Both",,,"4945","2472.5","Ambetter","Health Exchange","",,"62",,"3065.9","1809.87","3832.38","percent of total billed charges",,
"ARTHROTOMY INTERPHALANGEAL JOINT","28024","HCPCS","Both",,,"4945","2472.5","Caresource","Health Exchange","",,"62",,"3065.9","1809.87","3832.38","percent of total billed charges",,
"ARTHROTOMY INTERPHALANGEAL JOINT","28024","HCPCS","Both",,,"4945","2472.5","Cigna","Commercial","",,"59",,"2897.77","1809.87","3832.38","percent of total billed charges",,
"ARTHROTOMY INTERPHALANGEAL JOINT","28024","HCPCS","Both",,,"4945","2472.5","Humana","Commercial","",,"78",,"3832.38","1809.87","3832.38","percent of total billed charges",,
"ARTHROTOMY INTERPHALANGEAL JOINT","28024","HCPCS","Both",,,"4945","2472.5","UHC","Commercial","",,"75",,"3728.53","1809.87","3832.38","percent of total billed charges",,
"ARTHROTOMY INTERPHALANGEAL JOINT","28024","HCPCS","Both",,,"4945","2472.5","Medicaid",,"",,"37",,"1809.87","1809.87","3832.38","percent of total billed charges",,
"EXCISION, INTERDIGITAL NEUROMA","28080","HCPCS","Both",,,"4945","2472.5","Alliant","Health Exchange","",,"62",,"3065.9","1809.87","3832.38","percent of total billed charges",,
"EXCISION, INTERDIGITAL NEUROMA","28080","HCPCS","Both",,,"4945","2472.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"2670.3","1809.87","3832.38","percent of total billed charges",,
"EXCISION, INTERDIGITAL NEUROMA","28080","HCPCS","Both",,,"4945","2472.5","Medicare",,"",,"54",,"2680.19","1809.87","3832.38","percent of total billed charges",,
"EXCISION, INTERDIGITAL NEUROMA","28080","HCPCS","Both",,,"4945","2472.5","Humana","Medicare Advantage","",,"54",,"2680.19","1809.87","3832.38","percent of total billed charges",,
"EXCISION, INTERDIGITAL NEUROMA","28080","HCPCS","Both",,,"4945","2472.5","UHC","Medicare Advantage","",,"54",,"2680.19","1809.87","3832.38","percent of total billed charges",,
"EXCISION, INTERDIGITAL NEUROMA","28080","HCPCS","Both",,,"4945","2472.5","Clover","Medicare Advantage","",,"54",,"2680.19","1809.87","3832.38","percent of total billed charges",,
"EXCISION, INTERDIGITAL NEUROMA","28080","HCPCS","Both",,,"4945","2472.5","Wellcare","Medicare Advantage","",,"54",,"2680.19","1809.87","3832.38","percent of total billed charges",,
"EXCISION, INTERDIGITAL NEUROMA","28080","HCPCS","Both",,,"4945","2472.5","Amerigroup","Medicaid Managed Care","",,"37",,"1809.87","1809.87","3832.38","percent of total billed charges",,
"EXCISION, INTERDIGITAL NEUROMA","28080","HCPCS","Both",,,"4945","2472.5","Caresource","Medicaid Managed Care","",,"40",,"1978","1809.87","3832.38","percent of total billed charges",,
"EXCISION, INTERDIGITAL NEUROMA","28080","HCPCS","Both",,,"4945","2472.5","Wellcare","Medicaid Managed Care","",,"40",,"2002.72","1809.87","3832.38","percent of total billed charges",,
"EXCISION, INTERDIGITAL NEUROMA","28080","HCPCS","Both",,,"4945","2472.5","Aetna","Commercial","",,"64",,"3154.91","1809.87","3832.38","percent of total billed charges",,
"EXCISION, INTERDIGITAL NEUROMA","28080","HCPCS","Both",,,"4945","2472.5","Blue Cross Blue Shield","Pathways","",,"71",,"3491.17","1809.87","3832.38","percent of total billed charges",,
"EXCISION, INTERDIGITAL NEUROMA","28080","HCPCS","Both",,,"4945","2472.5","Blue Cross Blue Shield","HMO","",,"71",,"3491.17","1809.87","3832.38","percent of total billed charges",,
"EXCISION, INTERDIGITAL NEUROMA","28080","HCPCS","Both",,,"4945","2472.5","Blue Cross Blue Shield","PPO","",,"71",,"3491.17","1809.87","3832.38","percent of total billed charges",,
"EXCISION, INTERDIGITAL NEUROMA","28080","HCPCS","Both",,,"4945","2472.5","Ambetter","Health Exchange","",,"62",,"3065.9","1809.87","3832.38","percent of total billed charges",,
"EXCISION, INTERDIGITAL NEUROMA","28080","HCPCS","Both",,,"4945","2472.5","Caresource","Health Exchange","",,"62",,"3065.9","1809.87","3832.38","percent of total billed charges",,
"EXCISION, INTERDIGITAL NEUROMA","28080","HCPCS","Both",,,"4945","2472.5","Cigna","Commercial","",,"59",,"2897.77","1809.87","3832.38","percent of total billed charges",,
"EXCISION, INTERDIGITAL NEUROMA","28080","HCPCS","Both",,,"4945","2472.5","Humana","Commercial","",,"78",,"3832.38","1809.87","3832.38","percent of total billed charges",,
"EXCISION, INTERDIGITAL NEUROMA","28080","HCPCS","Both",,,"4945","2472.5","UHC","Commercial","",,"75",,"3728.53","1809.87","3832.38","percent of total billed charges",,
"EXCISION, INTERDIGITAL NEUROMA","28080","HCPCS","Both",,,"4945","2472.5","Medicaid",,"",,"37",,"1809.87","1809.87","3832.38","percent of total billed charges",,
"REMOVAL F.B.,FOOT; SUBCUTANEOUS","28190","HCPCS","Both",,,"1823","911.5","Alliant","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"REMOVAL F.B.,FOOT; SUBCUTANEOUS","28190","HCPCS","Both",,,"1823","911.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"984.42","667.22","1412.82","percent of total billed charges",,
"REMOVAL F.B.,FOOT; SUBCUTANEOUS","28190","HCPCS","Both",,,"1823","911.5","Medicare",,"",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"REMOVAL F.B.,FOOT; SUBCUTANEOUS","28190","HCPCS","Both",,,"1823","911.5","Humana","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"REMOVAL F.B.,FOOT; SUBCUTANEOUS","28190","HCPCS","Both",,,"1823","911.5","UHC","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"REMOVAL F.B.,FOOT; SUBCUTANEOUS","28190","HCPCS","Both",,,"1823","911.5","Clover","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"REMOVAL F.B.,FOOT; SUBCUTANEOUS","28190","HCPCS","Both",,,"1823","911.5","Wellcare","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"REMOVAL F.B.,FOOT; SUBCUTANEOUS","28190","HCPCS","Both",,,"1823","911.5","Amerigroup","Medicaid Managed Care","",,"37",,"667.22","667.22","1412.82","percent of total billed charges",,
"REMOVAL F.B.,FOOT; SUBCUTANEOUS","28190","HCPCS","Both",,,"1823","911.5","Caresource","Medicaid Managed Care","",,"40",,"729.2","667.22","1412.82","percent of total billed charges",,
"REMOVAL F.B.,FOOT; SUBCUTANEOUS","28190","HCPCS","Both",,,"1823","911.5","Wellcare","Medicaid Managed Care","",,"40",,"738.32","667.22","1412.82","percent of total billed charges",,
"REMOVAL F.B.,FOOT; SUBCUTANEOUS","28190","HCPCS","Both",,,"1823","911.5","Aetna","Commercial","",,"64",,"1163.07","667.22","1412.82","percent of total billed charges",,
"REMOVAL F.B.,FOOT; SUBCUTANEOUS","28190","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","Pathways","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"REMOVAL F.B.,FOOT; SUBCUTANEOUS","28190","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","HMO","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"REMOVAL F.B.,FOOT; SUBCUTANEOUS","28190","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","PPO","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"REMOVAL F.B.,FOOT; SUBCUTANEOUS","28190","HCPCS","Both",,,"1823","911.5","Ambetter","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"REMOVAL F.B.,FOOT; SUBCUTANEOUS","28190","HCPCS","Both",,,"1823","911.5","Caresource","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"REMOVAL F.B.,FOOT; SUBCUTANEOUS","28190","HCPCS","Both",,,"1823","911.5","Cigna","Commercial","",,"59",,"1068.28","667.22","1412.82","percent of total billed charges",,
"REMOVAL F.B.,FOOT; SUBCUTANEOUS","28190","HCPCS","Both",,,"1823","911.5","Humana","Commercial","",,"78",,"1412.82","667.22","1412.82","percent of total billed charges",,
"REMOVAL F.B.,FOOT; SUBCUTANEOUS","28190","HCPCS","Both",,,"1823","911.5","UHC","Commercial","",,"75",,"1374.54","667.22","1412.82","percent of total billed charges",,
"REMOVAL F.B.,FOOT; SUBCUTANEOUS","28190","HCPCS","Both",,,"1823","911.5","Medicaid",,"",,"37",,"667.22","667.22","1412.82","percent of total billed charges",,
"REMOVAL FB FOOT DEEP","28192","HCPCS","Both",,,"3502","1751","Alliant","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"REMOVAL FB FOOT DEEP","28192","HCPCS","Both",,,"3502","1751","Pruitt Healthcare","Medicare Advantage","",,"54",,"1891.08","1281.73","2714.05","percent of total billed charges",,
"REMOVAL FB FOOT DEEP","28192","HCPCS","Both",,,"3502","1751","Medicare",,"",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"REMOVAL FB FOOT DEEP","28192","HCPCS","Both",,,"3502","1751","Humana","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"REMOVAL FB FOOT DEEP","28192","HCPCS","Both",,,"3502","1751","UHC","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"REMOVAL FB FOOT DEEP","28192","HCPCS","Both",,,"3502","1751","Clover","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"REMOVAL FB FOOT DEEP","28192","HCPCS","Both",,,"3502","1751","Wellcare","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"REMOVAL FB FOOT DEEP","28192","HCPCS","Both",,,"3502","1751","Amerigroup","Medicaid Managed Care","",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"REMOVAL FB FOOT DEEP","28192","HCPCS","Both",,,"3502","1751","Caresource","Medicaid Managed Care","",,"40",,"1400.8","1281.73","2714.05","percent of total billed charges",,
"REMOVAL FB FOOT DEEP","28192","HCPCS","Both",,,"3502","1751","Wellcare","Medicaid Managed Care","",,"40",,"1418.31","1281.73","2714.05","percent of total billed charges",,
"REMOVAL FB FOOT DEEP","28192","HCPCS","Both",,,"3502","1751","Aetna","Commercial","",,"64",,"2234.28","1281.73","2714.05","percent of total billed charges",,
"REMOVAL FB FOOT DEEP","28192","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","Pathways","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"REMOVAL FB FOOT DEEP","28192","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","HMO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"REMOVAL FB FOOT DEEP","28192","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","PPO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"REMOVAL FB FOOT DEEP","28192","HCPCS","Both",,,"3502","1751","Ambetter","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"REMOVAL FB FOOT DEEP","28192","HCPCS","Both",,,"3502","1751","Caresource","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"REMOVAL FB FOOT DEEP","28192","HCPCS","Both",,,"3502","1751","Cigna","Commercial","",,"59",,"2052.17","1281.73","2714.05","percent of total billed charges",,
"REMOVAL FB FOOT DEEP","28192","HCPCS","Both",,,"3502","1751","Humana","Commercial","",,"78",,"2714.05","1281.73","2714.05","percent of total billed charges",,
"REMOVAL FB FOOT DEEP","28192","HCPCS","Both",,,"3502","1751","UHC","Commercial","",,"75",,"2640.51","1281.73","2714.05","percent of total billed charges",,
"REMOVAL FB FOOT DEEP","28192","HCPCS","Both",,,"3502","1751","Medicaid",,"",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"CLOSED TX TALUX FX W/MANIPULATION","28435","HCPCS","Both",,,"966.5","483.25","Alliant","Health Exchange","",,"62",,"599.23","353.74","749.04","percent of total billed charges",,
"CLOSED TX TALUX FX W/MANIPULATION","28435","HCPCS","Both",,,"966.5","483.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"521.91","353.74","749.04","percent of total billed charges",,
"CLOSED TX TALUX FX W/MANIPULATION","28435","HCPCS","Both",,,"966.5","483.25","Medicare",,"",,"54",,"523.84","353.74","749.04","percent of total billed charges",,
"CLOSED TX TALUX FX W/MANIPULATION","28435","HCPCS","Both",,,"966.5","483.25","Humana","Medicare Advantage","",,"54",,"523.84","353.74","749.04","percent of total billed charges",,
"CLOSED TX TALUX FX W/MANIPULATION","28435","HCPCS","Both",,,"966.5","483.25","UHC","Medicare Advantage","",,"54",,"523.84","353.74","749.04","percent of total billed charges",,
"CLOSED TX TALUX FX W/MANIPULATION","28435","HCPCS","Both",,,"966.5","483.25","Clover","Medicare Advantage","",,"54",,"523.84","353.74","749.04","percent of total billed charges",,
"CLOSED TX TALUX FX W/MANIPULATION","28435","HCPCS","Both",,,"966.5","483.25","Wellcare","Medicare Advantage","",,"54",,"523.84","353.74","749.04","percent of total billed charges",,
"CLOSED TX TALUX FX W/MANIPULATION","28435","HCPCS","Both",,,"966.5","483.25","Amerigroup","Medicaid Managed Care","",,"37",,"353.74","353.74","749.04","percent of total billed charges",,
"CLOSED TX TALUX FX W/MANIPULATION","28435","HCPCS","Both",,,"966.5","483.25","Caresource","Medicaid Managed Care","",,"40",,"386.6","353.74","749.04","percent of total billed charges",,
"CLOSED TX TALUX FX W/MANIPULATION","28435","HCPCS","Both",,,"966.5","483.25","Wellcare","Medicaid Managed Care","",,"40",,"391.43","353.74","749.04","percent of total billed charges",,
"CLOSED TX TALUX FX W/MANIPULATION","28435","HCPCS","Both",,,"966.5","483.25","Aetna","Commercial","",,"64",,"616.63","353.74","749.04","percent of total billed charges",,
"CLOSED TX TALUX FX W/MANIPULATION","28435","HCPCS","Both",,,"966.5","483.25","Blue Cross Blue Shield","Pathways","",,"71",,"682.35","353.74","749.04","percent of total billed charges",,
"CLOSED TX TALUX FX W/MANIPULATION","28435","HCPCS","Both",,,"966.5","483.25","Blue Cross Blue Shield","HMO","",,"71",,"682.35","353.74","749.04","percent of total billed charges",,
"CLOSED TX TALUX FX W/MANIPULATION","28435","HCPCS","Both",,,"966.5","483.25","Blue Cross Blue Shield","PPO","",,"71",,"682.35","353.74","749.04","percent of total billed charges",,
"CLOSED TX TALUX FX W/MANIPULATION","28435","HCPCS","Both",,,"966.5","483.25","Ambetter","Health Exchange","",,"62",,"599.23","353.74","749.04","percent of total billed charges",,
"CLOSED TX TALUX FX W/MANIPULATION","28435","HCPCS","Both",,,"966.5","483.25","Caresource","Health Exchange","",,"62",,"599.23","353.74","749.04","percent of total billed charges",,
"CLOSED TX TALUX FX W/MANIPULATION","28435","HCPCS","Both",,,"966.5","483.25","Cigna","Commercial","",,"59",,"566.37","353.74","749.04","percent of total billed charges",,
"CLOSED TX TALUX FX W/MANIPULATION","28435","HCPCS","Both",,,"966.5","483.25","Humana","Commercial","",,"78",,"749.04","353.74","749.04","percent of total billed charges",,
"CLOSED TX TALUX FX W/MANIPULATION","28435","HCPCS","Both",,,"966.5","483.25","UHC","Commercial","",,"75",,"728.74","353.74","749.04","percent of total billed charges",,
"CLOSED TX TALUX FX W/MANIPULATION","28435","HCPCS","Both",,,"966.5","483.25","Medicaid",,"",,"37",,"353.74","353.74","749.04","percent of total billed charges",,
"CLOSED TX METATARSAL FX W/MANIPULATION","28475","HCPCS","Both",,,"232","116","Alliant","Health Exchange","",,"62",,"143.84","84.91","179.8","percent of total billed charges",,
"CLOSED TX METATARSAL FX W/MANIPULATION","28475","HCPCS","Both",,,"232","116","Pruitt Healthcare","Medicare Advantage","",,"54",,"125.28","84.91","179.8","percent of total billed charges",,
"CLOSED TX METATARSAL FX W/MANIPULATION","28475","HCPCS","Both",,,"232","116","Medicare",,"",,"54",,"125.74","84.91","179.8","percent of total billed charges",,
"CLOSED TX METATARSAL FX W/MANIPULATION","28475","HCPCS","Both",,,"232","116","Humana","Medicare Advantage","",,"54",,"125.74","84.91","179.8","percent of total billed charges",,
"CLOSED TX METATARSAL FX W/MANIPULATION","28475","HCPCS","Both",,,"232","116","UHC","Medicare Advantage","",,"54",,"125.74","84.91","179.8","percent of total billed charges",,
"CLOSED TX METATARSAL FX W/MANIPULATION","28475","HCPCS","Both",,,"232","116","Clover","Medicare Advantage","",,"54",,"125.74","84.91","179.8","percent of total billed charges",,
"CLOSED TX METATARSAL FX W/MANIPULATION","28475","HCPCS","Both",,,"232","116","Wellcare","Medicare Advantage","",,"54",,"125.74","84.91","179.8","percent of total billed charges",,
"CLOSED TX METATARSAL FX W/MANIPULATION","28475","HCPCS","Both",,,"232","116","Amerigroup","Medicaid Managed Care","",,"37",,"84.91","84.91","179.8","percent of total billed charges",,
"CLOSED TX METATARSAL FX W/MANIPULATION","28475","HCPCS","Both",,,"232","116","Caresource","Medicaid Managed Care","",,"40",,"92.8","84.91","179.8","percent of total billed charges",,
"CLOSED TX METATARSAL FX W/MANIPULATION","28475","HCPCS","Both",,,"232","116","Wellcare","Medicaid Managed Care","",,"40",,"93.96","84.91","179.8","percent of total billed charges",,
"CLOSED TX METATARSAL FX W/MANIPULATION","28475","HCPCS","Both",,,"232","116","Aetna","Commercial","",,"64",,"148.02","84.91","179.8","percent of total billed charges",,
"CLOSED TX METATARSAL FX W/MANIPULATION","28475","HCPCS","Both",,,"232","116","Blue Cross Blue Shield","Pathways","",,"71",,"163.79","84.91","179.8","percent of total billed charges",,
"CLOSED TX METATARSAL FX W/MANIPULATION","28475","HCPCS","Both",,,"232","116","Blue Cross Blue Shield","HMO","",,"71",,"163.79","84.91","179.8","percent of total billed charges",,
"CLOSED TX METATARSAL FX W/MANIPULATION","28475","HCPCS","Both",,,"232","116","Blue Cross Blue Shield","PPO","",,"71",,"163.79","84.91","179.8","percent of total billed charges",,
"CLOSED TX METATARSAL FX W/MANIPULATION","28475","HCPCS","Both",,,"232","116","Ambetter","Health Exchange","",,"62",,"143.84","84.91","179.8","percent of total billed charges",,
"CLOSED TX METATARSAL FX W/MANIPULATION","28475","HCPCS","Both",,,"232","116","Caresource","Health Exchange","",,"62",,"143.84","84.91","179.8","percent of total billed charges",,
"CLOSED TX METATARSAL FX W/MANIPULATION","28475","HCPCS","Both",,,"232","116","Cigna","Commercial","",,"59",,"135.95","84.91","179.8","percent of total billed charges",,
"CLOSED TX METATARSAL FX W/MANIPULATION","28475","HCPCS","Both",,,"232","116","Humana","Commercial","",,"78",,"179.8","84.91","179.8","percent of total billed charges",,
"CLOSED TX METATARSAL FX W/MANIPULATION","28475","HCPCS","Both",,,"232","116","UHC","Commercial","",,"75",,"174.93","84.91","179.8","percent of total billed charges",,
"CLOSED TX METATARSAL FX W/MANIPULATION","28475","HCPCS","Both",,,"232","116","Medicaid",,"",,"37",,"84.91","84.91","179.8","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28660","HCPCS","Both",,,"418.5","209.25","Alliant","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28660","HCPCS","Both",,,"418.5","209.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"225.99","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28660","HCPCS","Both",,,"418.5","209.25","Medicare",,"",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28660","HCPCS","Both",,,"418.5","209.25","Humana","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28660","HCPCS","Both",,,"418.5","209.25","UHC","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28660","HCPCS","Both",,,"418.5","209.25","Clover","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28660","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28660","HCPCS","Both",,,"418.5","209.25","Amerigroup","Medicaid Managed Care","",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28660","HCPCS","Both",,,"418.5","209.25","Caresource","Medicaid Managed Care","",,"40",,"167.4","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28660","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicaid Managed Care","",,"40",,"169.49","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28660","HCPCS","Both",,,"418.5","209.25","Aetna","Commercial","",,"64",,"267","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28660","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","Pathways","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28660","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","HMO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28660","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","PPO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28660","HCPCS","Both",,,"418.5","209.25","Ambetter","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28660","HCPCS","Both",,,"418.5","209.25","Caresource","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28660","HCPCS","Both",,,"418.5","209.25","Cigna","Commercial","",,"59",,"245.24","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28660","HCPCS","Both",,,"418.5","209.25","Humana","Commercial","",,"78",,"324.34","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28660","HCPCS","Both",,,"418.5","209.25","UHC","Commercial","",,"75",,"315.55","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28660","HCPCS","Both",,,"418.5","209.25","Medicaid",,"",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28665","HCPCS","Both",,,"418.5","209.25","Alliant","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28665","HCPCS","Both",,,"418.5","209.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"225.99","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28665","HCPCS","Both",,,"418.5","209.25","Medicare",,"",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28665","HCPCS","Both",,,"418.5","209.25","Humana","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28665","HCPCS","Both",,,"418.5","209.25","UHC","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28665","HCPCS","Both",,,"418.5","209.25","Clover","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28665","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28665","HCPCS","Both",,,"418.5","209.25","Amerigroup","Medicaid Managed Care","",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28665","HCPCS","Both",,,"418.5","209.25","Caresource","Medicaid Managed Care","",,"40",,"167.4","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28665","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicaid Managed Care","",,"40",,"169.49","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28665","HCPCS","Both",,,"418.5","209.25","Aetna","Commercial","",,"64",,"267","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28665","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","Pathways","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28665","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","HMO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28665","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","PPO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28665","HCPCS","Both",,,"418.5","209.25","Ambetter","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28665","HCPCS","Both",,,"418.5","209.25","Caresource","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28665","HCPCS","Both",,,"418.5","209.25","Cigna","Commercial","",,"59",,"245.24","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28665","HCPCS","Both",,,"418.5","209.25","Humana","Commercial","",,"78",,"324.34","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28665","HCPCS","Both",,,"418.5","209.25","UHC","Commercial","",,"75",,"315.55","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28665","HCPCS","Both",,,"418.5","209.25","Medicaid",,"",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"APPLICATION CAST FIGURE OF EIGHT","29049","HCPCS","Both",,,"314.5","157.25","Alliant","Health Exchange","",,"62",,"194.99","115.11","243.74","percent of total billed charges",,
"APPLICATION CAST FIGURE OF EIGHT","29049","HCPCS","Both",,,"314.5","157.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"169.83","115.11","243.74","percent of total billed charges",,
"APPLICATION CAST FIGURE OF EIGHT","29049","HCPCS","Both",,,"314.5","157.25","Medicare",,"",,"54",,"170.46","115.11","243.74","percent of total billed charges",,
"APPLICATION CAST FIGURE OF EIGHT","29049","HCPCS","Both",,,"314.5","157.25","Humana","Medicare Advantage","",,"54",,"170.46","115.11","243.74","percent of total billed charges",,
"APPLICATION CAST FIGURE OF EIGHT","29049","HCPCS","Both",,,"314.5","157.25","UHC","Medicare Advantage","",,"54",,"170.46","115.11","243.74","percent of total billed charges",,
"APPLICATION CAST FIGURE OF EIGHT","29049","HCPCS","Both",,,"314.5","157.25","Clover","Medicare Advantage","",,"54",,"170.46","115.11","243.74","percent of total billed charges",,
"APPLICATION CAST FIGURE OF EIGHT","29049","HCPCS","Both",,,"314.5","157.25","Wellcare","Medicare Advantage","",,"54",,"170.46","115.11","243.74","percent of total billed charges",,
"APPLICATION CAST FIGURE OF EIGHT","29049","HCPCS","Both",,,"314.5","157.25","Amerigroup","Medicaid Managed Care","",,"37",,"115.11","115.11","243.74","percent of total billed charges",,
"APPLICATION CAST FIGURE OF EIGHT","29049","HCPCS","Both",,,"314.5","157.25","Caresource","Medicaid Managed Care","",,"40",,"125.8","115.11","243.74","percent of total billed charges",,
"APPLICATION CAST FIGURE OF EIGHT","29049","HCPCS","Both",,,"314.5","157.25","Wellcare","Medicaid Managed Care","",,"40",,"127.37","115.11","243.74","percent of total billed charges",,
"APPLICATION CAST FIGURE OF EIGHT","29049","HCPCS","Both",,,"314.5","157.25","Aetna","Commercial","",,"64",,"200.65","115.11","243.74","percent of total billed charges",,
"APPLICATION CAST FIGURE OF EIGHT","29049","HCPCS","Both",,,"314.5","157.25","Blue Cross Blue Shield","Pathways","",,"71",,"222.04","115.11","243.74","percent of total billed charges",,
"APPLICATION CAST FIGURE OF EIGHT","29049","HCPCS","Both",,,"314.5","157.25","Blue Cross Blue Shield","HMO","",,"71",,"222.04","115.11","243.74","percent of total billed charges",,
"APPLICATION CAST FIGURE OF EIGHT","29049","HCPCS","Both",,,"314.5","157.25","Blue Cross Blue Shield","PPO","",,"71",,"222.04","115.11","243.74","percent of total billed charges",,
"APPLICATION CAST FIGURE OF EIGHT","29049","HCPCS","Both",,,"314.5","157.25","Ambetter","Health Exchange","",,"62",,"194.99","115.11","243.74","percent of total billed charges",,
"APPLICATION CAST FIGURE OF EIGHT","29049","HCPCS","Both",,,"314.5","157.25","Caresource","Health Exchange","",,"62",,"194.99","115.11","243.74","percent of total billed charges",,
"APPLICATION CAST FIGURE OF EIGHT","29049","HCPCS","Both",,,"314.5","157.25","Cigna","Commercial","",,"59",,"184.3","115.11","243.74","percent of total billed charges",,
"APPLICATION CAST FIGURE OF EIGHT","29049","HCPCS","Both",,,"314.5","157.25","Humana","Commercial","",,"78",,"243.74","115.11","243.74","percent of total billed charges",,
"APPLICATION CAST FIGURE OF EIGHT","29049","HCPCS","Both",,,"314.5","157.25","UHC","Commercial","",,"75",,"237.13","115.11","243.74","percent of total billed charges",,
"APPLICATION CAST FIGURE OF EIGHT","29049","HCPCS","Both",,,"314.5","157.25","Medicaid",,"",,"37",,"115.11","115.11","243.74","percent of total billed charges",,
"APPLICATION CAST HAND & LOWER FOREARM","29085","HCPCS","Both",,,"296","148","Alliant","Health Exchange","",,"62",,"183.52","108.34","229.4","percent of total billed charges",,
"APPLICATION CAST HAND & LOWER FOREARM","29085","HCPCS","Both",,,"296","148","Pruitt Healthcare","Medicare Advantage","",,"54",,"159.84","108.34","229.4","percent of total billed charges",,
"APPLICATION CAST HAND & LOWER FOREARM","29085","HCPCS","Both",,,"296","148","Medicare",,"",,"54",,"160.43","108.34","229.4","percent of total billed charges",,
"APPLICATION CAST HAND & LOWER FOREARM","29085","HCPCS","Both",,,"296","148","Humana","Medicare Advantage","",,"54",,"160.43","108.34","229.4","percent of total billed charges",,
"APPLICATION CAST HAND & LOWER FOREARM","29085","HCPCS","Both",,,"296","148","UHC","Medicare Advantage","",,"54",,"160.43","108.34","229.4","percent of total billed charges",,
"APPLICATION CAST HAND & LOWER FOREARM","29085","HCPCS","Both",,,"296","148","Clover","Medicare Advantage","",,"54",,"160.43","108.34","229.4","percent of total billed charges",,
"APPLICATION CAST HAND & LOWER FOREARM","29085","HCPCS","Both",,,"296","148","Wellcare","Medicare Advantage","",,"54",,"160.43","108.34","229.4","percent of total billed charges",,
"APPLICATION CAST HAND & LOWER FOREARM","29085","HCPCS","Both",,,"296","148","Amerigroup","Medicaid Managed Care","",,"37",,"108.34","108.34","229.4","percent of total billed charges",,
"APPLICATION CAST HAND & LOWER FOREARM","29085","HCPCS","Both",,,"296","148","Caresource","Medicaid Managed Care","",,"40",,"118.4","108.34","229.4","percent of total billed charges",,
"APPLICATION CAST HAND & LOWER FOREARM","29085","HCPCS","Both",,,"296","148","Wellcare","Medicaid Managed Care","",,"40",,"119.88","108.34","229.4","percent of total billed charges",,
"APPLICATION CAST HAND & LOWER FOREARM","29085","HCPCS","Both",,,"296","148","Aetna","Commercial","",,"64",,"188.85","108.34","229.4","percent of total billed charges",,
"APPLICATION CAST HAND & LOWER FOREARM","29085","HCPCS","Both",,,"296","148","Blue Cross Blue Shield","Pathways","",,"71",,"208.98","108.34","229.4","percent of total billed charges",,
"APPLICATION CAST HAND & LOWER FOREARM","29085","HCPCS","Both",,,"296","148","Blue Cross Blue Shield","HMO","",,"71",,"208.98","108.34","229.4","percent of total billed charges",,
"APPLICATION CAST HAND & LOWER FOREARM","29085","HCPCS","Both",,,"296","148","Blue Cross Blue Shield","PPO","",,"71",,"208.98","108.34","229.4","percent of total billed charges",,
"APPLICATION CAST HAND & LOWER FOREARM","29085","HCPCS","Both",,,"296","148","Ambetter","Health Exchange","",,"62",,"183.52","108.34","229.4","percent of total billed charges",,
"APPLICATION CAST HAND & LOWER FOREARM","29085","HCPCS","Both",,,"296","148","Caresource","Health Exchange","",,"62",,"183.52","108.34","229.4","percent of total billed charges",,
"APPLICATION CAST HAND & LOWER FOREARM","29085","HCPCS","Both",,,"296","148","Cigna","Commercial","",,"59",,"173.46","108.34","229.4","percent of total billed charges",,
"APPLICATION CAST HAND & LOWER FOREARM","29085","HCPCS","Both",,,"296","148","Humana","Commercial","",,"78",,"229.4","108.34","229.4","percent of total billed charges",,
"APPLICATION CAST HAND & LOWER FOREARM","29085","HCPCS","Both",,,"296","148","UHC","Commercial","",,"75",,"223.18","108.34","229.4","percent of total billed charges",,
"APPLICATION CAST HAND & LOWER FOREARM","29085","HCPCS","Both",,,"296","148","Medicaid",,"",,"37",,"108.34","108.34","229.4","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; DYNAMIC","29126","HCPCS","Both",,,"262","131","Alliant","Health Exchange","",,"62",,"162.44","95.89","203.05","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; DYNAMIC","29126","HCPCS","Both",,,"262","131","Pruitt Healthcare","Medicare Advantage","",,"54",,"141.48","95.89","203.05","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; DYNAMIC","29126","HCPCS","Both",,,"262","131","Medicare",,"",,"54",,"142","95.89","203.05","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; DYNAMIC","29126","HCPCS","Both",,,"262","131","Humana","Medicare Advantage","",,"54",,"142","95.89","203.05","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; DYNAMIC","29126","HCPCS","Both",,,"262","131","UHC","Medicare Advantage","",,"54",,"142","95.89","203.05","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; DYNAMIC","29126","HCPCS","Both",,,"262","131","Clover","Medicare Advantage","",,"54",,"142","95.89","203.05","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; DYNAMIC","29126","HCPCS","Both",,,"262","131","Wellcare","Medicare Advantage","",,"54",,"142","95.89","203.05","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; DYNAMIC","29126","HCPCS","Both",,,"262","131","Amerigroup","Medicaid Managed Care","",,"37",,"95.89","95.89","203.05","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; DYNAMIC","29126","HCPCS","Both",,,"262","131","Caresource","Medicaid Managed Care","",,"40",,"104.8","95.89","203.05","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; DYNAMIC","29126","HCPCS","Both",,,"262","131","Wellcare","Medicaid Managed Care","",,"40",,"106.11","95.89","203.05","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; DYNAMIC","29126","HCPCS","Both",,,"262","131","Aetna","Commercial","",,"64",,"167.16","95.89","203.05","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; DYNAMIC","29126","HCPCS","Both",,,"262","131","Blue Cross Blue Shield","Pathways","",,"71",,"184.97","95.89","203.05","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; DYNAMIC","29126","HCPCS","Both",,,"262","131","Blue Cross Blue Shield","HMO","",,"71",,"184.97","95.89","203.05","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; DYNAMIC","29126","HCPCS","Both",,,"262","131","Blue Cross Blue Shield","PPO","",,"71",,"184.97","95.89","203.05","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; DYNAMIC","29126","HCPCS","Both",,,"262","131","Ambetter","Health Exchange","",,"62",,"162.44","95.89","203.05","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; DYNAMIC","29126","HCPCS","Both",,,"262","131","Caresource","Health Exchange","",,"62",,"162.44","95.89","203.05","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; DYNAMIC","29126","HCPCS","Both",,,"262","131","Cigna","Commercial","",,"59",,"153.53","95.89","203.05","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; DYNAMIC","29126","HCPCS","Both",,,"262","131","Humana","Commercial","",,"78",,"203.05","95.89","203.05","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; DYNAMIC","29126","HCPCS","Both",,,"262","131","UHC","Commercial","",,"75",,"197.55","95.89","203.05","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; DYNAMIC","29126","HCPCS","Both",,,"262","131","Medicaid",,"",,"37",,"95.89","95.89","203.05","percent of total billed charges",,
"APPLICATION FINGER SPLINT; DYNAMIC","29131","HCPCS","Both",,,"42.5","21.25","Alliant","Health Exchange","",,"62",,"26.35","15.56","32.94","percent of total billed charges",,
"APPLICATION FINGER SPLINT; DYNAMIC","29131","HCPCS","Both",,,"42.5","21.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"22.95","15.56","32.94","percent of total billed charges",,
"APPLICATION FINGER SPLINT; DYNAMIC","29131","HCPCS","Both",,,"42.5","21.25","Medicare",,"",,"54",,"23.04","15.56","32.94","percent of total billed charges",,
"APPLICATION FINGER SPLINT; DYNAMIC","29131","HCPCS","Both",,,"42.5","21.25","Humana","Medicare Advantage","",,"54",,"23.04","15.56","32.94","percent of total billed charges",,
"APPLICATION FINGER SPLINT; DYNAMIC","29131","HCPCS","Both",,,"42.5","21.25","UHC","Medicare Advantage","",,"54",,"23.04","15.56","32.94","percent of total billed charges",,
"APPLICATION FINGER SPLINT; DYNAMIC","29131","HCPCS","Both",,,"42.5","21.25","Clover","Medicare Advantage","",,"54",,"23.04","15.56","32.94","percent of total billed charges",,
"APPLICATION FINGER SPLINT; DYNAMIC","29131","HCPCS","Both",,,"42.5","21.25","Wellcare","Medicare Advantage","",,"54",,"23.04","15.56","32.94","percent of total billed charges",,
"APPLICATION FINGER SPLINT; DYNAMIC","29131","HCPCS","Both",,,"42.5","21.25","Amerigroup","Medicaid Managed Care","",,"37",,"15.56","15.56","32.94","percent of total billed charges",,
"APPLICATION FINGER SPLINT; DYNAMIC","29131","HCPCS","Both",,,"42.5","21.25","Caresource","Medicaid Managed Care","",,"40",,"17","15.56","32.94","percent of total billed charges",,
"APPLICATION FINGER SPLINT; DYNAMIC","29131","HCPCS","Both",,,"42.5","21.25","Wellcare","Medicaid Managed Care","",,"40",,"17.21","15.56","32.94","percent of total billed charges",,
"APPLICATION FINGER SPLINT; DYNAMIC","29131","HCPCS","Both",,,"42.5","21.25","Aetna","Commercial","",,"64",,"27.12","15.56","32.94","percent of total billed charges",,
"APPLICATION FINGER SPLINT; DYNAMIC","29131","HCPCS","Both",,,"42.5","21.25","Blue Cross Blue Shield","Pathways","",,"71",,"30","15.56","32.94","percent of total billed charges",,
"APPLICATION FINGER SPLINT; DYNAMIC","29131","HCPCS","Both",,,"42.5","21.25","Blue Cross Blue Shield","HMO","",,"71",,"30","15.56","32.94","percent of total billed charges",,
"APPLICATION FINGER SPLINT; DYNAMIC","29131","HCPCS","Both",,,"42.5","21.25","Blue Cross Blue Shield","PPO","",,"71",,"30","15.56","32.94","percent of total billed charges",,
"APPLICATION FINGER SPLINT; DYNAMIC","29131","HCPCS","Both",,,"42.5","21.25","Ambetter","Health Exchange","",,"62",,"26.35","15.56","32.94","percent of total billed charges",,
"APPLICATION FINGER SPLINT; DYNAMIC","29131","HCPCS","Both",,,"42.5","21.25","Caresource","Health Exchange","",,"62",,"26.35","15.56","32.94","percent of total billed charges",,
"APPLICATION FINGER SPLINT; DYNAMIC","29131","HCPCS","Both",,,"42.5","21.25","Cigna","Commercial","",,"59",,"24.9","15.56","32.94","percent of total billed charges",,
"APPLICATION FINGER SPLINT; DYNAMIC","29131","HCPCS","Both",,,"42.5","21.25","Humana","Commercial","",,"78",,"32.94","15.56","32.94","percent of total billed charges",,
"APPLICATION FINGER SPLINT; DYNAMIC","29131","HCPCS","Both",,,"42.5","21.25","UHC","Commercial","",,"75",,"32.04","15.56","32.94","percent of total billed charges",,
"APPLICATION FINGER SPLINT; DYNAMIC","29131","HCPCS","Both",,,"42.5","21.25","Medicaid",,"",,"37",,"15.56","15.56","32.94","percent of total billed charges",,
"STRAPPING; THORAX","29200","HCPCS","Both",,,"169.5","84.75","Alliant","Health Exchange","",,"62",,"105.09","62.04","131.36","percent of total billed charges",,
"STRAPPING; THORAX","29200","HCPCS","Both",,,"169.5","84.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"91.53","62.04","131.36","percent of total billed charges",,
"STRAPPING; THORAX","29200","HCPCS","Both",,,"169.5","84.75","Medicare",,"",,"54",,"91.87","62.04","131.36","percent of total billed charges",,
"STRAPPING; THORAX","29200","HCPCS","Both",,,"169.5","84.75","Humana","Medicare Advantage","",,"54",,"91.87","62.04","131.36","percent of total billed charges",,
"STRAPPING; THORAX","29200","HCPCS","Both",,,"169.5","84.75","UHC","Medicare Advantage","",,"54",,"91.87","62.04","131.36","percent of total billed charges",,
"STRAPPING; THORAX","29200","HCPCS","Both",,,"169.5","84.75","Clover","Medicare Advantage","",,"54",,"91.87","62.04","131.36","percent of total billed charges",,
"STRAPPING; THORAX","29200","HCPCS","Both",,,"169.5","84.75","Wellcare","Medicare Advantage","",,"54",,"91.87","62.04","131.36","percent of total billed charges",,
"STRAPPING; THORAX","29200","HCPCS","Both",,,"169.5","84.75","Amerigroup","Medicaid Managed Care","",,"37",,"62.04","62.04","131.36","percent of total billed charges",,
"STRAPPING; THORAX","29200","HCPCS","Both",,,"169.5","84.75","Caresource","Medicaid Managed Care","",,"40",,"67.8","62.04","131.36","percent of total billed charges",,
"STRAPPING; THORAX","29200","HCPCS","Both",,,"169.5","84.75","Wellcare","Medicaid Managed Care","",,"40",,"68.65","62.04","131.36","percent of total billed charges",,
"STRAPPING; THORAX","29200","HCPCS","Both",,,"169.5","84.75","Aetna","Commercial","",,"64",,"108.14","62.04","131.36","percent of total billed charges",,
"STRAPPING; THORAX","29200","HCPCS","Both",,,"169.5","84.75","Blue Cross Blue Shield","Pathways","",,"71",,"119.67","62.04","131.36","percent of total billed charges",,
"STRAPPING; THORAX","29200","HCPCS","Both",,,"169.5","84.75","Blue Cross Blue Shield","HMO","",,"71",,"119.67","62.04","131.36","percent of total billed charges",,
"STRAPPING; THORAX","29200","HCPCS","Both",,,"169.5","84.75","Blue Cross Blue Shield","PPO","",,"71",,"119.67","62.04","131.36","percent of total billed charges",,
"STRAPPING; THORAX","29200","HCPCS","Both",,,"169.5","84.75","Ambetter","Health Exchange","",,"62",,"105.09","62.04","131.36","percent of total billed charges",,
"STRAPPING; THORAX","29200","HCPCS","Both",,,"169.5","84.75","Caresource","Health Exchange","",,"62",,"105.09","62.04","131.36","percent of total billed charges",,
"STRAPPING; THORAX","29200","HCPCS","Both",,,"169.5","84.75","Cigna","Commercial","",,"59",,"99.33","62.04","131.36","percent of total billed charges",,
"STRAPPING; THORAX","29200","HCPCS","Both",,,"169.5","84.75","Humana","Commercial","",,"78",,"131.36","62.04","131.36","percent of total billed charges",,
"STRAPPING; THORAX","29200","HCPCS","Both",,,"169.5","84.75","UHC","Commercial","",,"75",,"127.8","62.04","131.36","percent of total billed charges",,
"STRAPPING; THORAX","29200","HCPCS","Both",,,"169.5","84.75","Medicaid",,"",,"37",,"62.04","62.04","131.36","percent of total billed charges",,
"STRAPPING; SHOULDER","29240","HCPCS","Both",,,"91","45.5","Alliant","Health Exchange","",,"62",,"56.42","33.31","70.53","percent of total billed charges",,
"STRAPPING; SHOULDER","29240","HCPCS","Both",,,"91","45.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"49.14","33.31","70.53","percent of total billed charges",,
"STRAPPING; SHOULDER","29240","HCPCS","Both",,,"91","45.5","Medicare",,"",,"54",,"49.32","33.31","70.53","percent of total billed charges",,
"STRAPPING; SHOULDER","29240","HCPCS","Both",,,"91","45.5","Humana","Medicare Advantage","",,"54",,"49.32","33.31","70.53","percent of total billed charges",,
"STRAPPING; SHOULDER","29240","HCPCS","Both",,,"91","45.5","UHC","Medicare Advantage","",,"54",,"49.32","33.31","70.53","percent of total billed charges",,
"STRAPPING; SHOULDER","29240","HCPCS","Both",,,"91","45.5","Clover","Medicare Advantage","",,"54",,"49.32","33.31","70.53","percent of total billed charges",,
"STRAPPING; SHOULDER","29240","HCPCS","Both",,,"91","45.5","Wellcare","Medicare Advantage","",,"54",,"49.32","33.31","70.53","percent of total billed charges",,
"STRAPPING; SHOULDER","29240","HCPCS","Both",,,"91","45.5","Amerigroup","Medicaid Managed Care","",,"37",,"33.31","33.31","70.53","percent of total billed charges",,
"STRAPPING; SHOULDER","29240","HCPCS","Both",,,"91","45.5","Caresource","Medicaid Managed Care","",,"40",,"36.4","33.31","70.53","percent of total billed charges",,
"STRAPPING; SHOULDER","29240","HCPCS","Both",,,"91","45.5","Wellcare","Medicaid Managed Care","",,"40",,"36.86","33.31","70.53","percent of total billed charges",,
"STRAPPING; SHOULDER","29240","HCPCS","Both",,,"91","45.5","Aetna","Commercial","",,"64",,"58.06","33.31","70.53","percent of total billed charges",,
"STRAPPING; SHOULDER","29240","HCPCS","Both",,,"91","45.5","Blue Cross Blue Shield","Pathways","",,"71",,"64.25","33.31","70.53","percent of total billed charges",,
"STRAPPING; SHOULDER","29240","HCPCS","Both",,,"91","45.5","Blue Cross Blue Shield","HMO","",,"71",,"64.25","33.31","70.53","percent of total billed charges",,
"STRAPPING; SHOULDER","29240","HCPCS","Both",,,"91","45.5","Blue Cross Blue Shield","PPO","",,"71",,"64.25","33.31","70.53","percent of total billed charges",,
"STRAPPING; SHOULDER","29240","HCPCS","Both",,,"91","45.5","Ambetter","Health Exchange","",,"62",,"56.42","33.31","70.53","percent of total billed charges",,
"STRAPPING; SHOULDER","29240","HCPCS","Both",,,"91","45.5","Caresource","Health Exchange","",,"62",,"56.42","33.31","70.53","percent of total billed charges",,
"STRAPPING; SHOULDER","29240","HCPCS","Both",,,"91","45.5","Cigna","Commercial","",,"59",,"53.33","33.31","70.53","percent of total billed charges",,
"STRAPPING; SHOULDER","29240","HCPCS","Both",,,"91","45.5","Humana","Commercial","",,"78",,"70.53","33.31","70.53","percent of total billed charges",,
"STRAPPING; SHOULDER","29240","HCPCS","Both",,,"91","45.5","UHC","Commercial","",,"75",,"68.61","33.31","70.53","percent of total billed charges",,
"STRAPPING; SHOULDER","29240","HCPCS","Both",,,"91","45.5","Medicaid",,"",,"37",,"33.31","33.31","70.53","percent of total billed charges",,
"STRAPPING; ELBOW OR WRIST","29260","HCPCS","Both",,,"169.5","84.75","Alliant","Health Exchange","",,"62",,"105.09","62.04","131.36","percent of total billed charges",,
"STRAPPING; ELBOW OR WRIST","29260","HCPCS","Both",,,"169.5","84.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"91.53","62.04","131.36","percent of total billed charges",,
"STRAPPING; ELBOW OR WRIST","29260","HCPCS","Both",,,"169.5","84.75","Medicare",,"",,"54",,"91.87","62.04","131.36","percent of total billed charges",,
"STRAPPING; ELBOW OR WRIST","29260","HCPCS","Both",,,"169.5","84.75","Humana","Medicare Advantage","",,"54",,"91.87","62.04","131.36","percent of total billed charges",,
"STRAPPING; ELBOW OR WRIST","29260","HCPCS","Both",,,"169.5","84.75","UHC","Medicare Advantage","",,"54",,"91.87","62.04","131.36","percent of total billed charges",,
"STRAPPING; ELBOW OR WRIST","29260","HCPCS","Both",,,"169.5","84.75","Clover","Medicare Advantage","",,"54",,"91.87","62.04","131.36","percent of total billed charges",,
"STRAPPING; ELBOW OR WRIST","29260","HCPCS","Both",,,"169.5","84.75","Wellcare","Medicare Advantage","",,"54",,"91.87","62.04","131.36","percent of total billed charges",,
"STRAPPING; ELBOW OR WRIST","29260","HCPCS","Both",,,"169.5","84.75","Amerigroup","Medicaid Managed Care","",,"37",,"62.04","62.04","131.36","percent of total billed charges",,
"STRAPPING; ELBOW OR WRIST","29260","HCPCS","Both",,,"169.5","84.75","Caresource","Medicaid Managed Care","",,"40",,"67.8","62.04","131.36","percent of total billed charges",,
"STRAPPING; ELBOW OR WRIST","29260","HCPCS","Both",,,"169.5","84.75","Wellcare","Medicaid Managed Care","",,"40",,"68.65","62.04","131.36","percent of total billed charges",,
"STRAPPING; ELBOW OR WRIST","29260","HCPCS","Both",,,"169.5","84.75","Aetna","Commercial","",,"64",,"108.14","62.04","131.36","percent of total billed charges",,
"STRAPPING; ELBOW OR WRIST","29260","HCPCS","Both",,,"169.5","84.75","Blue Cross Blue Shield","Pathways","",,"71",,"119.67","62.04","131.36","percent of total billed charges",,
"STRAPPING; ELBOW OR WRIST","29260","HCPCS","Both",,,"169.5","84.75","Blue Cross Blue Shield","HMO","",,"71",,"119.67","62.04","131.36","percent of total billed charges",,
"STRAPPING; ELBOW OR WRIST","29260","HCPCS","Both",,,"169.5","84.75","Blue Cross Blue Shield","PPO","",,"71",,"119.67","62.04","131.36","percent of total billed charges",,
"STRAPPING; ELBOW OR WRIST","29260","HCPCS","Both",,,"169.5","84.75","Ambetter","Health Exchange","",,"62",,"105.09","62.04","131.36","percent of total billed charges",,
"STRAPPING; ELBOW OR WRIST","29260","HCPCS","Both",,,"169.5","84.75","Caresource","Health Exchange","",,"62",,"105.09","62.04","131.36","percent of total billed charges",,
"STRAPPING; ELBOW OR WRIST","29260","HCPCS","Both",,,"169.5","84.75","Cigna","Commercial","",,"59",,"99.33","62.04","131.36","percent of total billed charges",,
"STRAPPING; ELBOW OR WRIST","29260","HCPCS","Both",,,"169.5","84.75","Humana","Commercial","",,"78",,"131.36","62.04","131.36","percent of total billed charges",,
"STRAPPING; ELBOW OR WRIST","29260","HCPCS","Both",,,"169.5","84.75","UHC","Commercial","",,"75",,"127.8","62.04","131.36","percent of total billed charges",,
"STRAPPING; ELBOW OR WRIST","29260","HCPCS","Both",,,"169.5","84.75","Medicaid",,"",,"37",,"62.04","62.04","131.36","percent of total billed charges",,
"STRAPPING; HAND OR FINGER","29280","HCPCS","Both",,,"169.5","84.75","Alliant","Health Exchange","",,"62",,"105.09","62.04","131.36","percent of total billed charges",,
"STRAPPING; HAND OR FINGER","29280","HCPCS","Both",,,"169.5","84.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"91.53","62.04","131.36","percent of total billed charges",,
"STRAPPING; HAND OR FINGER","29280","HCPCS","Both",,,"169.5","84.75","Medicare",,"",,"54",,"91.87","62.04","131.36","percent of total billed charges",,
"STRAPPING; HAND OR FINGER","29280","HCPCS","Both",,,"169.5","84.75","Humana","Medicare Advantage","",,"54",,"91.87","62.04","131.36","percent of total billed charges",,
"STRAPPING; HAND OR FINGER","29280","HCPCS","Both",,,"169.5","84.75","UHC","Medicare Advantage","",,"54",,"91.87","62.04","131.36","percent of total billed charges",,
"STRAPPING; HAND OR FINGER","29280","HCPCS","Both",,,"169.5","84.75","Clover","Medicare Advantage","",,"54",,"91.87","62.04","131.36","percent of total billed charges",,
"STRAPPING; HAND OR FINGER","29280","HCPCS","Both",,,"169.5","84.75","Wellcare","Medicare Advantage","",,"54",,"91.87","62.04","131.36","percent of total billed charges",,
"STRAPPING; HAND OR FINGER","29280","HCPCS","Both",,,"169.5","84.75","Amerigroup","Medicaid Managed Care","",,"37",,"62.04","62.04","131.36","percent of total billed charges",,
"STRAPPING; HAND OR FINGER","29280","HCPCS","Both",,,"169.5","84.75","Caresource","Medicaid Managed Care","",,"40",,"67.8","62.04","131.36","percent of total billed charges",,
"STRAPPING; HAND OR FINGER","29280","HCPCS","Both",,,"169.5","84.75","Wellcare","Medicaid Managed Care","",,"40",,"68.65","62.04","131.36","percent of total billed charges",,
"STRAPPING; HAND OR FINGER","29280","HCPCS","Both",,,"169.5","84.75","Aetna","Commercial","",,"64",,"108.14","62.04","131.36","percent of total billed charges",,
"STRAPPING; HAND OR FINGER","29280","HCPCS","Both",,,"169.5","84.75","Blue Cross Blue Shield","Pathways","",,"71",,"119.67","62.04","131.36","percent of total billed charges",,
"STRAPPING; HAND OR FINGER","29280","HCPCS","Both",,,"169.5","84.75","Blue Cross Blue Shield","HMO","",,"71",,"119.67","62.04","131.36","percent of total billed charges",,
"STRAPPING; HAND OR FINGER","29280","HCPCS","Both",,,"169.5","84.75","Blue Cross Blue Shield","PPO","",,"71",,"119.67","62.04","131.36","percent of total billed charges",,
"STRAPPING; HAND OR FINGER","29280","HCPCS","Both",,,"169.5","84.75","Ambetter","Health Exchange","",,"62",,"105.09","62.04","131.36","percent of total billed charges",,
"STRAPPING; HAND OR FINGER","29280","HCPCS","Both",,,"169.5","84.75","Caresource","Health Exchange","",,"62",,"105.09","62.04","131.36","percent of total billed charges",,
"STRAPPING; HAND OR FINGER","29280","HCPCS","Both",,,"169.5","84.75","Cigna","Commercial","",,"59",,"99.33","62.04","131.36","percent of total billed charges",,
"STRAPPING; HAND OR FINGER","29280","HCPCS","Both",,,"169.5","84.75","Humana","Commercial","",,"78",,"131.36","62.04","131.36","percent of total billed charges",,
"STRAPPING; HAND OR FINGER","29280","HCPCS","Both",,,"169.5","84.75","UHC","Commercial","",,"75",,"127.8","62.04","131.36","percent of total billed charges",,
"STRAPPING; HAND OR FINGER","29280","HCPCS","Both",,,"169.5","84.75","Medicaid",,"",,"37",,"62.04","62.04","131.36","percent of total billed charges",,
"APPLICATION SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Alliant","Health Exchange","",,"62",,"70.68","41.72","88.35","percent of total billed charges",,
"APPLICATION SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Pruitt Healthcare","Medicare Advantage","",,"54",,"61.56","41.72","88.35","percent of total billed charges",,
"APPLICATION SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Medicare",,"",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"APPLICATION SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Humana","Medicare Advantage","",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"APPLICATION SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","UHC","Medicare Advantage","",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"APPLICATION SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Clover","Medicare Advantage","",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"APPLICATION SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Wellcare","Medicare Advantage","",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"APPLICATION SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Amerigroup","Medicaid Managed Care","",,"37",,"41.72","41.72","88.35","percent of total billed charges",,
"APPLICATION SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Caresource","Medicaid Managed Care","",,"40",,"45.6","41.72","88.35","percent of total billed charges",,
"APPLICATION SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Wellcare","Medicaid Managed Care","",,"40",,"46.17","41.72","88.35","percent of total billed charges",,
"APPLICATION SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Aetna","Commercial","",,"64",,"72.73","41.72","88.35","percent of total billed charges",,
"APPLICATION SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Blue Cross Blue Shield","Pathways","",,"71",,"80.48","41.72","88.35","percent of total billed charges",,
"APPLICATION SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Blue Cross Blue Shield","HMO","",,"71",,"80.48","41.72","88.35","percent of total billed charges",,
"APPLICATION SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Blue Cross Blue Shield","PPO","",,"71",,"80.48","41.72","88.35","percent of total billed charges",,
"APPLICATION SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Ambetter","Health Exchange","",,"62",,"70.68","41.72","88.35","percent of total billed charges",,
"APPLICATION SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Caresource","Health Exchange","",,"62",,"70.68","41.72","88.35","percent of total billed charges",,
"APPLICATION SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Cigna","Commercial","",,"59",,"66.8","41.72","88.35","percent of total billed charges",,
"APPLICATION SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Humana","Commercial","",,"78",,"88.35","41.72","88.35","percent of total billed charges",,
"APPLICATION SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","UHC","Commercial","",,"75",,"85.96","41.72","88.35","percent of total billed charges",,
"APPLICATION SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Medicaid",,"",,"37",,"41.72","41.72","88.35","percent of total billed charges",,
"STRAPPING; KNEE","29530","HCPCS","Both",,,"112.5","56.25","Alliant","Health Exchange","",,"62",,"69.75","41.18","87.19","percent of total billed charges",,
"STRAPPING; KNEE","29530","HCPCS","Both",,,"112.5","56.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"60.75","41.18","87.19","percent of total billed charges",,
"STRAPPING; KNEE","29530","HCPCS","Both",,,"112.5","56.25","Medicare",,"",,"54",,"60.98","41.18","87.19","percent of total billed charges",,
"STRAPPING; KNEE","29530","HCPCS","Both",,,"112.5","56.25","Humana","Medicare Advantage","",,"54",,"60.98","41.18","87.19","percent of total billed charges",,
"STRAPPING; KNEE","29530","HCPCS","Both",,,"112.5","56.25","UHC","Medicare Advantage","",,"54",,"60.98","41.18","87.19","percent of total billed charges",,
"STRAPPING; KNEE","29530","HCPCS","Both",,,"112.5","56.25","Clover","Medicare Advantage","",,"54",,"60.98","41.18","87.19","percent of total billed charges",,
"STRAPPING; KNEE","29530","HCPCS","Both",,,"112.5","56.25","Wellcare","Medicare Advantage","",,"54",,"60.98","41.18","87.19","percent of total billed charges",,
"STRAPPING; KNEE","29530","HCPCS","Both",,,"112.5","56.25","Amerigroup","Medicaid Managed Care","",,"37",,"41.18","41.18","87.19","percent of total billed charges",,
"STRAPPING; KNEE","29530","HCPCS","Both",,,"112.5","56.25","Caresource","Medicaid Managed Care","",,"40",,"45","41.18","87.19","percent of total billed charges",,
"STRAPPING; KNEE","29530","HCPCS","Both",,,"112.5","56.25","Wellcare","Medicaid Managed Care","",,"40",,"45.56","41.18","87.19","percent of total billed charges",,
"STRAPPING; KNEE","29530","HCPCS","Both",,,"112.5","56.25","Aetna","Commercial","",,"64",,"71.78","41.18","87.19","percent of total billed charges",,
"STRAPPING; KNEE","29530","HCPCS","Both",,,"112.5","56.25","Blue Cross Blue Shield","Pathways","",,"71",,"79.42","41.18","87.19","percent of total billed charges",,
"STRAPPING; KNEE","29530","HCPCS","Both",,,"112.5","56.25","Blue Cross Blue Shield","HMO","",,"71",,"79.42","41.18","87.19","percent of total billed charges",,
"STRAPPING; KNEE","29530","HCPCS","Both",,,"112.5","56.25","Blue Cross Blue Shield","PPO","",,"71",,"79.42","41.18","87.19","percent of total billed charges",,
"STRAPPING; KNEE","29530","HCPCS","Both",,,"112.5","56.25","Ambetter","Health Exchange","",,"62",,"69.75","41.18","87.19","percent of total billed charges",,
"STRAPPING; KNEE","29530","HCPCS","Both",,,"112.5","56.25","Caresource","Health Exchange","",,"62",,"69.75","41.18","87.19","percent of total billed charges",,
"STRAPPING; KNEE","29530","HCPCS","Both",,,"112.5","56.25","Cigna","Commercial","",,"59",,"65.92","41.18","87.19","percent of total billed charges",,
"STRAPPING; KNEE","29530","HCPCS","Both",,,"112.5","56.25","Humana","Commercial","",,"78",,"87.19","41.18","87.19","percent of total billed charges",,
"STRAPPING; KNEE","29530","HCPCS","Both",,,"112.5","56.25","UHC","Commercial","",,"75",,"84.82","41.18","87.19","percent of total billed charges",,
"STRAPPING; KNEE","29530","HCPCS","Both",,,"112.5","56.25","Medicaid",,"",,"37",,"41.18","41.18","87.19","percent of total billed charges",,
"STRAPPING; ANKLE AND/OR FOOT","29540","HCPCS","Both",,,"99","49.5","Alliant","Health Exchange","",,"62",,"61.38","36.23","76.73","percent of total billed charges",,
"STRAPPING; ANKLE AND/OR FOOT","29540","HCPCS","Both",,,"99","49.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"53.46","36.23","76.73","percent of total billed charges",,
"STRAPPING; ANKLE AND/OR FOOT","29540","HCPCS","Both",,,"99","49.5","Medicare",,"",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"STRAPPING; ANKLE AND/OR FOOT","29540","HCPCS","Both",,,"99","49.5","Humana","Medicare Advantage","",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"STRAPPING; ANKLE AND/OR FOOT","29540","HCPCS","Both",,,"99","49.5","UHC","Medicare Advantage","",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"STRAPPING; ANKLE AND/OR FOOT","29540","HCPCS","Both",,,"99","49.5","Clover","Medicare Advantage","",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"STRAPPING; ANKLE AND/OR FOOT","29540","HCPCS","Both",,,"99","49.5","Wellcare","Medicare Advantage","",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"STRAPPING; ANKLE AND/OR FOOT","29540","HCPCS","Both",,,"99","49.5","Amerigroup","Medicaid Managed Care","",,"37",,"36.23","36.23","76.73","percent of total billed charges",,
"STRAPPING; ANKLE AND/OR FOOT","29540","HCPCS","Both",,,"99","49.5","Caresource","Medicaid Managed Care","",,"40",,"39.6","36.23","76.73","percent of total billed charges",,
"STRAPPING; ANKLE AND/OR FOOT","29540","HCPCS","Both",,,"99","49.5","Wellcare","Medicaid Managed Care","",,"40",,"40.1","36.23","76.73","percent of total billed charges",,
"STRAPPING; ANKLE AND/OR FOOT","29540","HCPCS","Both",,,"99","49.5","Aetna","Commercial","",,"64",,"63.16","36.23","76.73","percent of total billed charges",,
"STRAPPING; ANKLE AND/OR FOOT","29540","HCPCS","Both",,,"99","49.5","Blue Cross Blue Shield","Pathways","",,"71",,"69.89","36.23","76.73","percent of total billed charges",,
"STRAPPING; ANKLE AND/OR FOOT","29540","HCPCS","Both",,,"99","49.5","Blue Cross Blue Shield","HMO","",,"71",,"69.89","36.23","76.73","percent of total billed charges",,
"STRAPPING; ANKLE AND/OR FOOT","29540","HCPCS","Both",,,"99","49.5","Blue Cross Blue Shield","PPO","",,"71",,"69.89","36.23","76.73","percent of total billed charges",,
"STRAPPING; ANKLE AND/OR FOOT","29540","HCPCS","Both",,,"99","49.5","Ambetter","Health Exchange","",,"62",,"61.38","36.23","76.73","percent of total billed charges",,
"STRAPPING; ANKLE AND/OR FOOT","29540","HCPCS","Both",,,"99","49.5","Caresource","Health Exchange","",,"62",,"61.38","36.23","76.73","percent of total billed charges",,
"STRAPPING; ANKLE AND/OR FOOT","29540","HCPCS","Both",,,"99","49.5","Cigna","Commercial","",,"59",,"58.01","36.23","76.73","percent of total billed charges",,
"STRAPPING; ANKLE AND/OR FOOT","29540","HCPCS","Both",,,"99","49.5","Humana","Commercial","",,"78",,"76.73","36.23","76.73","percent of total billed charges",,
"STRAPPING; ANKLE AND/OR FOOT","29540","HCPCS","Both",,,"99","49.5","UHC","Commercial","",,"75",,"74.65","36.23","76.73","percent of total billed charges",,
"STRAPPING; ANKLE AND/OR FOOT","29540","HCPCS","Both",,,"99","49.5","Medicaid",,"",,"37",,"36.23","36.23","76.73","percent of total billed charges",,
"STRAPPING; TOES","29550","HCPCS","Both",,,"169.5","84.75","Alliant","Health Exchange","",,"62",,"105.09","62.04","131.36","percent of total billed charges",,
"STRAPPING; TOES","29550","HCPCS","Both",,,"169.5","84.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"91.53","62.04","131.36","percent of total billed charges",,
"STRAPPING; TOES","29550","HCPCS","Both",,,"169.5","84.75","Medicare",,"",,"54",,"91.87","62.04","131.36","percent of total billed charges",,
"STRAPPING; TOES","29550","HCPCS","Both",,,"169.5","84.75","Humana","Medicare Advantage","",,"54",,"91.87","62.04","131.36","percent of total billed charges",,
"STRAPPING; TOES","29550","HCPCS","Both",,,"169.5","84.75","UHC","Medicare Advantage","",,"54",,"91.87","62.04","131.36","percent of total billed charges",,
"STRAPPING; TOES","29550","HCPCS","Both",,,"169.5","84.75","Clover","Medicare Advantage","",,"54",,"91.87","62.04","131.36","percent of total billed charges",,
"STRAPPING; TOES","29550","HCPCS","Both",,,"169.5","84.75","Wellcare","Medicare Advantage","",,"54",,"91.87","62.04","131.36","percent of total billed charges",,
"STRAPPING; TOES","29550","HCPCS","Both",,,"169.5","84.75","Amerigroup","Medicaid Managed Care","",,"37",,"62.04","62.04","131.36","percent of total billed charges",,
"STRAPPING; TOES","29550","HCPCS","Both",,,"169.5","84.75","Caresource","Medicaid Managed Care","",,"40",,"67.8","62.04","131.36","percent of total billed charges",,
"STRAPPING; TOES","29550","HCPCS","Both",,,"169.5","84.75","Wellcare","Medicaid Managed Care","",,"40",,"68.65","62.04","131.36","percent of total billed charges",,
"STRAPPING; TOES","29550","HCPCS","Both",,,"169.5","84.75","Aetna","Commercial","",,"64",,"108.14","62.04","131.36","percent of total billed charges",,
"STRAPPING; TOES","29550","HCPCS","Both",,,"169.5","84.75","Blue Cross Blue Shield","Pathways","",,"71",,"119.67","62.04","131.36","percent of total billed charges",,
"STRAPPING; TOES","29550","HCPCS","Both",,,"169.5","84.75","Blue Cross Blue Shield","HMO","",,"71",,"119.67","62.04","131.36","percent of total billed charges",,
"STRAPPING; TOES","29550","HCPCS","Both",,,"169.5","84.75","Blue Cross Blue Shield","PPO","",,"71",,"119.67","62.04","131.36","percent of total billed charges",,
"STRAPPING; TOES","29550","HCPCS","Both",,,"169.5","84.75","Ambetter","Health Exchange","",,"62",,"105.09","62.04","131.36","percent of total billed charges",,
"STRAPPING; TOES","29550","HCPCS","Both",,,"169.5","84.75","Caresource","Health Exchange","",,"62",,"105.09","62.04","131.36","percent of total billed charges",,
"STRAPPING; TOES","29550","HCPCS","Both",,,"169.5","84.75","Cigna","Commercial","",,"59",,"99.33","62.04","131.36","percent of total billed charges",,
"STRAPPING; TOES","29550","HCPCS","Both",,,"169.5","84.75","Humana","Commercial","",,"78",,"131.36","62.04","131.36","percent of total billed charges",,
"STRAPPING; TOES","29550","HCPCS","Both",,,"169.5","84.75","UHC","Commercial","",,"75",,"127.8","62.04","131.36","percent of total billed charges",,
"STRAPPING; TOES","29550","HCPCS","Both",,,"169.5","84.75","Medicaid",,"",,"37",,"62.04","62.04","131.36","percent of total billed charges",,
"UNLISTED CASTING OR STRAPPING PROCEDURE","29799","HCPCS","Both",,,"296","148","Alliant","Health Exchange","",,"62",,"183.52","108.34","229.4","percent of total billed charges",,
"UNLISTED CASTING OR STRAPPING PROCEDURE","29799","HCPCS","Both",,,"296","148","Pruitt Healthcare","Medicare Advantage","",,"54",,"159.84","108.34","229.4","percent of total billed charges",,
"UNLISTED CASTING OR STRAPPING PROCEDURE","29799","HCPCS","Both",,,"296","148","Medicare",,"",,"54",,"160.43","108.34","229.4","percent of total billed charges",,
"UNLISTED CASTING OR STRAPPING PROCEDURE","29799","HCPCS","Both",,,"296","148","Humana","Medicare Advantage","",,"54",,"160.43","108.34","229.4","percent of total billed charges",,
"UNLISTED CASTING OR STRAPPING PROCEDURE","29799","HCPCS","Both",,,"296","148","UHC","Medicare Advantage","",,"54",,"160.43","108.34","229.4","percent of total billed charges",,
"UNLISTED CASTING OR STRAPPING PROCEDURE","29799","HCPCS","Both",,,"296","148","Clover","Medicare Advantage","",,"54",,"160.43","108.34","229.4","percent of total billed charges",,
"UNLISTED CASTING OR STRAPPING PROCEDURE","29799","HCPCS","Both",,,"296","148","Wellcare","Medicare Advantage","",,"54",,"160.43","108.34","229.4","percent of total billed charges",,
"UNLISTED CASTING OR STRAPPING PROCEDURE","29799","HCPCS","Both",,,"296","148","Amerigroup","Medicaid Managed Care","",,"37",,"108.34","108.34","229.4","percent of total billed charges",,
"UNLISTED CASTING OR STRAPPING PROCEDURE","29799","HCPCS","Both",,,"296","148","Caresource","Medicaid Managed Care","",,"40",,"118.4","108.34","229.4","percent of total billed charges",,
"UNLISTED CASTING OR STRAPPING PROCEDURE","29799","HCPCS","Both",,,"296","148","Wellcare","Medicaid Managed Care","",,"40",,"119.88","108.34","229.4","percent of total billed charges",,
"UNLISTED CASTING OR STRAPPING PROCEDURE","29799","HCPCS","Both",,,"296","148","Aetna","Commercial","",,"64",,"188.85","108.34","229.4","percent of total billed charges",,
"UNLISTED CASTING OR STRAPPING PROCEDURE","29799","HCPCS","Both",,,"296","148","Blue Cross Blue Shield","Pathways","",,"71",,"208.98","108.34","229.4","percent of total billed charges",,
"UNLISTED CASTING OR STRAPPING PROCEDURE","29799","HCPCS","Both",,,"296","148","Blue Cross Blue Shield","HMO","",,"71",,"208.98","108.34","229.4","percent of total billed charges",,
"UNLISTED CASTING OR STRAPPING PROCEDURE","29799","HCPCS","Both",,,"296","148","Blue Cross Blue Shield","PPO","",,"71",,"208.98","108.34","229.4","percent of total billed charges",,
"UNLISTED CASTING OR STRAPPING PROCEDURE","29799","HCPCS","Both",,,"296","148","Ambetter","Health Exchange","",,"62",,"183.52","108.34","229.4","percent of total billed charges",,
"UNLISTED CASTING OR STRAPPING PROCEDURE","29799","HCPCS","Both",,,"296","148","Caresource","Health Exchange","",,"62",,"183.52","108.34","229.4","percent of total billed charges",,
"UNLISTED CASTING OR STRAPPING PROCEDURE","29799","HCPCS","Both",,,"296","148","Cigna","Commercial","",,"59",,"173.46","108.34","229.4","percent of total billed charges",,
"UNLISTED CASTING OR STRAPPING PROCEDURE","29799","HCPCS","Both",,,"296","148","Humana","Commercial","",,"78",,"229.4","108.34","229.4","percent of total billed charges",,
"UNLISTED CASTING OR STRAPPING PROCEDURE","29799","HCPCS","Both",,,"296","148","UHC","Commercial","",,"75",,"223.18","108.34","229.4","percent of total billed charges",,
"UNLISTED CASTING OR STRAPPING PROCEDURE","29799","HCPCS","Both",,,"296","148","Medicaid",,"",,"37",,"108.34","108.34","229.4","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE, POSTERIOR","30905","HCPCS","Both",,,"153.5","76.75","Alliant","Health Exchange","",,"62",,"95.17","56.18","118.96","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE, POSTERIOR","30905","HCPCS","Both",,,"153.5","76.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"82.89","56.18","118.96","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE, POSTERIOR","30905","HCPCS","Both",,,"153.5","76.75","Medicare",,"",,"54",,"83.2","56.18","118.96","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE, POSTERIOR","30905","HCPCS","Both",,,"153.5","76.75","Humana","Medicare Advantage","",,"54",,"83.2","56.18","118.96","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE, POSTERIOR","30905","HCPCS","Both",,,"153.5","76.75","UHC","Medicare Advantage","",,"54",,"83.2","56.18","118.96","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE, POSTERIOR","30905","HCPCS","Both",,,"153.5","76.75","Clover","Medicare Advantage","",,"54",,"83.2","56.18","118.96","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE, POSTERIOR","30905","HCPCS","Both",,,"153.5","76.75","Wellcare","Medicare Advantage","",,"54",,"83.2","56.18","118.96","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE, POSTERIOR","30905","HCPCS","Both",,,"153.5","76.75","Amerigroup","Medicaid Managed Care","",,"37",,"56.18","56.18","118.96","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE, POSTERIOR","30905","HCPCS","Both",,,"153.5","76.75","Caresource","Medicaid Managed Care","",,"40",,"61.4","56.18","118.96","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE, POSTERIOR","30905","HCPCS","Both",,,"153.5","76.75","Wellcare","Medicaid Managed Care","",,"40",,"62.17","56.18","118.96","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE, POSTERIOR","30905","HCPCS","Both",,,"153.5","76.75","Aetna","Commercial","",,"64",,"97.93","56.18","118.96","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE, POSTERIOR","30905","HCPCS","Both",,,"153.5","76.75","Blue Cross Blue Shield","Pathways","",,"71",,"108.37","56.18","118.96","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE, POSTERIOR","30905","HCPCS","Both",,,"153.5","76.75","Blue Cross Blue Shield","HMO","",,"71",,"108.37","56.18","118.96","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE, POSTERIOR","30905","HCPCS","Both",,,"153.5","76.75","Blue Cross Blue Shield","PPO","",,"71",,"108.37","56.18","118.96","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE, POSTERIOR","30905","HCPCS","Both",,,"153.5","76.75","Ambetter","Health Exchange","",,"62",,"95.17","56.18","118.96","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE, POSTERIOR","30905","HCPCS","Both",,,"153.5","76.75","Caresource","Health Exchange","",,"62",,"95.17","56.18","118.96","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE, POSTERIOR","30905","HCPCS","Both",,,"153.5","76.75","Cigna","Commercial","",,"59",,"89.95","56.18","118.96","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE, POSTERIOR","30905","HCPCS","Both",,,"153.5","76.75","Humana","Commercial","",,"78",,"118.96","56.18","118.96","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE, POSTERIOR","30905","HCPCS","Both",,,"153.5","76.75","UHC","Commercial","",,"75",,"115.74","56.18","118.96","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE, POSTERIOR","30905","HCPCS","Both",,,"153.5","76.75","Medicaid",,"",,"37",,"56.18","56.18","118.96","percent of total billed charges",,
"TRACH TUBE CHANGE","31502","HCPCS","Both",,,"165","82.5","Alliant","Health Exchange","",,"62",,"102.3","60.39","127.88","percent of total billed charges",,
"TRACH TUBE CHANGE","31502","HCPCS","Both",,,"165","82.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"89.1","60.39","127.88","percent of total billed charges",,
"TRACH TUBE CHANGE","31502","HCPCS","Both",,,"165","82.5","Medicare",,"",,"54",,"89.43","60.39","127.88","percent of total billed charges",,
"TRACH TUBE CHANGE","31502","HCPCS","Both",,,"165","82.5","Humana","Medicare Advantage","",,"54",,"89.43","60.39","127.88","percent of total billed charges",,
"TRACH TUBE CHANGE","31502","HCPCS","Both",,,"165","82.5","UHC","Medicare Advantage","",,"54",,"89.43","60.39","127.88","percent of total billed charges",,
"TRACH TUBE CHANGE","31502","HCPCS","Both",,,"165","82.5","Clover","Medicare Advantage","",,"54",,"89.43","60.39","127.88","percent of total billed charges",,
"TRACH TUBE CHANGE","31502","HCPCS","Both",,,"165","82.5","Wellcare","Medicare Advantage","",,"54",,"89.43","60.39","127.88","percent of total billed charges",,
"TRACH TUBE CHANGE","31502","HCPCS","Both",,,"165","82.5","Amerigroup","Medicaid Managed Care","",,"37",,"60.39","60.39","127.88","percent of total billed charges",,
"TRACH TUBE CHANGE","31502","HCPCS","Both",,,"165","82.5","Caresource","Medicaid Managed Care","",,"40",,"66","60.39","127.88","percent of total billed charges",,
"TRACH TUBE CHANGE","31502","HCPCS","Both",,,"165","82.5","Wellcare","Medicaid Managed Care","",,"40",,"66.82","60.39","127.88","percent of total billed charges",,
"TRACH TUBE CHANGE","31502","HCPCS","Both",,,"165","82.5","Aetna","Commercial","",,"64",,"105.27","60.39","127.88","percent of total billed charges",,
"TRACH TUBE CHANGE","31502","HCPCS","Both",,,"165","82.5","Blue Cross Blue Shield","Pathways","",,"71",,"116.49","60.39","127.88","percent of total billed charges",,
"TRACH TUBE CHANGE","31502","HCPCS","Both",,,"165","82.5","Blue Cross Blue Shield","HMO","",,"71",,"116.49","60.39","127.88","percent of total billed charges",,
"TRACH TUBE CHANGE","31502","HCPCS","Both",,,"165","82.5","Blue Cross Blue Shield","PPO","",,"71",,"116.49","60.39","127.88","percent of total billed charges",,
"TRACH TUBE CHANGE","31502","HCPCS","Both",,,"165","82.5","Ambetter","Health Exchange","",,"62",,"102.3","60.39","127.88","percent of total billed charges",,
"TRACH TUBE CHANGE","31502","HCPCS","Both",,,"165","82.5","Caresource","Health Exchange","",,"62",,"102.3","60.39","127.88","percent of total billed charges",,
"TRACH TUBE CHANGE","31502","HCPCS","Both",,,"165","82.5","Cigna","Commercial","",,"59",,"96.69","60.39","127.88","percent of total billed charges",,
"TRACH TUBE CHANGE","31502","HCPCS","Both",,,"165","82.5","Humana","Commercial","",,"78",,"127.88","60.39","127.88","percent of total billed charges",,
"TRACH TUBE CHANGE","31502","HCPCS","Both",,,"165","82.5","UHC","Commercial","",,"75",,"124.41","60.39","127.88","percent of total billed charges",,
"TRACH TUBE CHANGE","31502","HCPCS","Both",,,"165","82.5","Medicaid",,"",,"37",,"60.39","60.39","127.88","percent of total billed charges",,
"LARYNGOSCOPY INDIRECT DIAGNOSITC","31525","HCPCS","Both",,,"4292","2146","Alliant","Health Exchange","",,"62",,"2661.04","1570.87","3326.3","percent of total billed charges",,
"LARYNGOSCOPY INDIRECT DIAGNOSITC","31525","HCPCS","Both",,,"4292","2146","Pruitt Healthcare","Medicare Advantage","",,"54",,"2317.68","1570.87","3326.3","percent of total billed charges",,
"LARYNGOSCOPY INDIRECT DIAGNOSITC","31525","HCPCS","Both",,,"4292","2146","Medicare",,"",,"54",,"2326.26","1570.87","3326.3","percent of total billed charges",,
"LARYNGOSCOPY INDIRECT DIAGNOSITC","31525","HCPCS","Both",,,"4292","2146","Humana","Medicare Advantage","",,"54",,"2326.26","1570.87","3326.3","percent of total billed charges",,
"LARYNGOSCOPY INDIRECT DIAGNOSITC","31525","HCPCS","Both",,,"4292","2146","UHC","Medicare Advantage","",,"54",,"2326.26","1570.87","3326.3","percent of total billed charges",,
"LARYNGOSCOPY INDIRECT DIAGNOSITC","31525","HCPCS","Both",,,"4292","2146","Clover","Medicare Advantage","",,"54",,"2326.26","1570.87","3326.3","percent of total billed charges",,
"LARYNGOSCOPY INDIRECT DIAGNOSITC","31525","HCPCS","Both",,,"4292","2146","Wellcare","Medicare Advantage","",,"54",,"2326.26","1570.87","3326.3","percent of total billed charges",,
"LARYNGOSCOPY INDIRECT DIAGNOSITC","31525","HCPCS","Both",,,"4292","2146","Amerigroup","Medicaid Managed Care","",,"37",,"1570.87","1570.87","3326.3","percent of total billed charges",,
"LARYNGOSCOPY INDIRECT DIAGNOSITC","31525","HCPCS","Both",,,"4292","2146","Caresource","Medicaid Managed Care","",,"40",,"1716.8","1570.87","3326.3","percent of total billed charges",,
"LARYNGOSCOPY INDIRECT DIAGNOSITC","31525","HCPCS","Both",,,"4292","2146","Wellcare","Medicaid Managed Care","",,"40",,"1738.26","1570.87","3326.3","percent of total billed charges",,
"LARYNGOSCOPY INDIRECT DIAGNOSITC","31525","HCPCS","Both",,,"4292","2146","Aetna","Commercial","",,"64",,"2738.3","1570.87","3326.3","percent of total billed charges",,
"LARYNGOSCOPY INDIRECT DIAGNOSITC","31525","HCPCS","Both",,,"4292","2146","Blue Cross Blue Shield","Pathways","",,"71",,"3030.15","1570.87","3326.3","percent of total billed charges",,
"LARYNGOSCOPY INDIRECT DIAGNOSITC","31525","HCPCS","Both",,,"4292","2146","Blue Cross Blue Shield","HMO","",,"71",,"3030.15","1570.87","3326.3","percent of total billed charges",,
"LARYNGOSCOPY INDIRECT DIAGNOSITC","31525","HCPCS","Both",,,"4292","2146","Blue Cross Blue Shield","PPO","",,"71",,"3030.15","1570.87","3326.3","percent of total billed charges",,
"LARYNGOSCOPY INDIRECT DIAGNOSITC","31525","HCPCS","Both",,,"4292","2146","Ambetter","Health Exchange","",,"62",,"2661.04","1570.87","3326.3","percent of total billed charges",,
"LARYNGOSCOPY INDIRECT DIAGNOSITC","31525","HCPCS","Both",,,"4292","2146","Caresource","Health Exchange","",,"62",,"2661.04","1570.87","3326.3","percent of total billed charges",,
"LARYNGOSCOPY INDIRECT DIAGNOSITC","31525","HCPCS","Both",,,"4292","2146","Cigna","Commercial","",,"59",,"2515.11","1570.87","3326.3","percent of total billed charges",,
"LARYNGOSCOPY INDIRECT DIAGNOSITC","31525","HCPCS","Both",,,"4292","2146","Humana","Commercial","",,"78",,"3326.3","1570.87","3326.3","percent of total billed charges",,
"LARYNGOSCOPY INDIRECT DIAGNOSITC","31525","HCPCS","Both",,,"4292","2146","UHC","Commercial","",,"75",,"3236.17","1570.87","3326.3","percent of total billed charges",,
"LARYNGOSCOPY INDIRECT DIAGNOSITC","31525","HCPCS","Both",,,"4292","2146","Medicaid",,"",,"37",,"1570.87","1570.87","3326.3","percent of total billed charges",,
"THORACOSTOMY (CHEST TUBE)","32551","HCPCS","Both",,,"1287.5","643.75","Alliant","Health Exchange","",,"62",,"798.25","471.22","997.81","percent of total billed charges",,
"THORACOSTOMY (CHEST TUBE)","32551","HCPCS","Both",,,"1287.5","643.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"695.25","471.22","997.81","percent of total billed charges",,
"THORACOSTOMY (CHEST TUBE)","32551","HCPCS","Both",,,"1287.5","643.75","Medicare",,"",,"54",,"697.82","471.22","997.81","percent of total billed charges",,
"THORACOSTOMY (CHEST TUBE)","32551","HCPCS","Both",,,"1287.5","643.75","Humana","Medicare Advantage","",,"54",,"697.82","471.22","997.81","percent of total billed charges",,
"THORACOSTOMY (CHEST TUBE)","32551","HCPCS","Both",,,"1287.5","643.75","UHC","Medicare Advantage","",,"54",,"697.82","471.22","997.81","percent of total billed charges",,
"THORACOSTOMY (CHEST TUBE)","32551","HCPCS","Both",,,"1287.5","643.75","Clover","Medicare Advantage","",,"54",,"697.82","471.22","997.81","percent of total billed charges",,
"THORACOSTOMY (CHEST TUBE)","32551","HCPCS","Both",,,"1287.5","643.75","Wellcare","Medicare Advantage","",,"54",,"697.82","471.22","997.81","percent of total billed charges",,
"THORACOSTOMY (CHEST TUBE)","32551","HCPCS","Both",,,"1287.5","643.75","Amerigroup","Medicaid Managed Care","",,"37",,"471.22","471.22","997.81","percent of total billed charges",,
"THORACOSTOMY (CHEST TUBE)","32551","HCPCS","Both",,,"1287.5","643.75","Caresource","Medicaid Managed Care","",,"40",,"515","471.22","997.81","percent of total billed charges",,
"THORACOSTOMY (CHEST TUBE)","32551","HCPCS","Both",,,"1287.5","643.75","Wellcare","Medicaid Managed Care","",,"40",,"521.44","471.22","997.81","percent of total billed charges",,
"THORACOSTOMY (CHEST TUBE)","32551","HCPCS","Both",,,"1287.5","643.75","Aetna","Commercial","",,"64",,"821.42","471.22","997.81","percent of total billed charges",,
"THORACOSTOMY (CHEST TUBE)","32551","HCPCS","Both",,,"1287.5","643.75","Blue Cross Blue Shield","Pathways","",,"71",,"908.97","471.22","997.81","percent of total billed charges",,
"THORACOSTOMY (CHEST TUBE)","32551","HCPCS","Both",,,"1287.5","643.75","Blue Cross Blue Shield","HMO","",,"71",,"908.97","471.22","997.81","percent of total billed charges",,
"THORACOSTOMY (CHEST TUBE)","32551","HCPCS","Both",,,"1287.5","643.75","Blue Cross Blue Shield","PPO","",,"71",,"908.97","471.22","997.81","percent of total billed charges",,
"THORACOSTOMY (CHEST TUBE)","32551","HCPCS","Both",,,"1287.5","643.75","Ambetter","Health Exchange","",,"62",,"798.25","471.22","997.81","percent of total billed charges",,
"THORACOSTOMY (CHEST TUBE)","32551","HCPCS","Both",,,"1287.5","643.75","Caresource","Health Exchange","",,"62",,"798.25","471.22","997.81","percent of total billed charges",,
"THORACOSTOMY (CHEST TUBE)","32551","HCPCS","Both",,,"1287.5","643.75","Cigna","Commercial","",,"59",,"754.47","471.22","997.81","percent of total billed charges",,
"THORACOSTOMY (CHEST TUBE)","32551","HCPCS","Both",,,"1287.5","643.75","Humana","Commercial","",,"78",,"997.81","471.22","997.81","percent of total billed charges",,
"THORACOSTOMY (CHEST TUBE)","32551","HCPCS","Both",,,"1287.5","643.75","UHC","Commercial","",,"75",,"970.78","471.22","997.81","percent of total billed charges",,
"THORACOSTOMY (CHEST TUBE)","32551","HCPCS","Both",,,"1287.5","643.75","Medicaid",,"",,"37",,"471.22","471.22","997.81","percent of total billed charges",,
"REPAIR BLOOD VESSEL DIRECT HAND FINGER","35207","HCPCS","Both",,,"7368.5","3684.25","Alliant","Health Exchange","",,"62",,"4568.47","2696.87","5710.59","percent of total billed charges",,
"REPAIR BLOOD VESSEL DIRECT HAND FINGER","35207","HCPCS","Both",,,"7368.5","3684.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"3978.99","2696.87","5710.59","percent of total billed charges",,
"REPAIR BLOOD VESSEL DIRECT HAND FINGER","35207","HCPCS","Both",,,"7368.5","3684.25","Medicare",,"",,"54",,"3993.73","2696.87","5710.59","percent of total billed charges",,
"REPAIR BLOOD VESSEL DIRECT HAND FINGER","35207","HCPCS","Both",,,"7368.5","3684.25","Humana","Medicare Advantage","",,"54",,"3993.73","2696.87","5710.59","percent of total billed charges",,
"REPAIR BLOOD VESSEL DIRECT HAND FINGER","35207","HCPCS","Both",,,"7368.5","3684.25","UHC","Medicare Advantage","",,"54",,"3993.73","2696.87","5710.59","percent of total billed charges",,
"REPAIR BLOOD VESSEL DIRECT HAND FINGER","35207","HCPCS","Both",,,"7368.5","3684.25","Clover","Medicare Advantage","",,"54",,"3993.73","2696.87","5710.59","percent of total billed charges",,
"REPAIR BLOOD VESSEL DIRECT HAND FINGER","35207","HCPCS","Both",,,"7368.5","3684.25","Wellcare","Medicare Advantage","",,"54",,"3993.73","2696.87","5710.59","percent of total billed charges",,
"REPAIR BLOOD VESSEL DIRECT HAND FINGER","35207","HCPCS","Both",,,"7368.5","3684.25","Amerigroup","Medicaid Managed Care","",,"37",,"2696.87","2696.87","5710.59","percent of total billed charges",,
"REPAIR BLOOD VESSEL DIRECT HAND FINGER","35207","HCPCS","Both",,,"7368.5","3684.25","Caresource","Medicaid Managed Care","",,"40",,"2947.4","2696.87","5710.59","percent of total billed charges",,
"REPAIR BLOOD VESSEL DIRECT HAND FINGER","35207","HCPCS","Both",,,"7368.5","3684.25","Wellcare","Medicaid Managed Care","",,"40",,"2984.24","2696.87","5710.59","percent of total billed charges",,
"REPAIR BLOOD VESSEL DIRECT HAND FINGER","35207","HCPCS","Both",,,"7368.5","3684.25","Aetna","Commercial","",,"64",,"4701.1","2696.87","5710.59","percent of total billed charges",,
"REPAIR BLOOD VESSEL DIRECT HAND FINGER","35207","HCPCS","Both",,,"7368.5","3684.25","Blue Cross Blue Shield","Pathways","",,"71",,"5202.16","2696.87","5710.59","percent of total billed charges",,
"REPAIR BLOOD VESSEL DIRECT HAND FINGER","35207","HCPCS","Both",,,"7368.5","3684.25","Blue Cross Blue Shield","HMO","",,"71",,"5202.16","2696.87","5710.59","percent of total billed charges",,
"REPAIR BLOOD VESSEL DIRECT HAND FINGER","35207","HCPCS","Both",,,"7368.5","3684.25","Blue Cross Blue Shield","PPO","",,"71",,"5202.16","2696.87","5710.59","percent of total billed charges",,
"REPAIR BLOOD VESSEL DIRECT HAND FINGER","35207","HCPCS","Both",,,"7368.5","3684.25","Ambetter","Health Exchange","",,"62",,"4568.47","2696.87","5710.59","percent of total billed charges",,
"REPAIR BLOOD VESSEL DIRECT HAND FINGER","35207","HCPCS","Both",,,"7368.5","3684.25","Caresource","Health Exchange","",,"62",,"4568.47","2696.87","5710.59","percent of total billed charges",,
"REPAIR BLOOD VESSEL DIRECT HAND FINGER","35207","HCPCS","Both",,,"7368.5","3684.25","Cigna","Commercial","",,"59",,"4317.94","2696.87","5710.59","percent of total billed charges",,
"REPAIR BLOOD VESSEL DIRECT HAND FINGER","35207","HCPCS","Both",,,"7368.5","3684.25","Humana","Commercial","",,"78",,"5710.59","2696.87","5710.59","percent of total billed charges",,
"REPAIR BLOOD VESSEL DIRECT HAND FINGER","35207","HCPCS","Both",,,"7368.5","3684.25","UHC","Commercial","",,"75",,"5555.85","2696.87","5710.59","percent of total billed charges",,
"REPAIR BLOOD VESSEL DIRECT HAND FINGER","35207","HCPCS","Both",,,"7368.5","3684.25","Medicaid",,"",,"37",,"2696.87","2696.87","5710.59","percent of total billed charges",,
"REPAIR BLOOD VESSEL, LOWER EXTREMITY","35226","HCPCS","Both",,,"1823","911.5","Alliant","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"REPAIR BLOOD VESSEL, LOWER EXTREMITY","35226","HCPCS","Both",,,"1823","911.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"984.42","667.22","1412.82","percent of total billed charges",,
"REPAIR BLOOD VESSEL, LOWER EXTREMITY","35226","HCPCS","Both",,,"1823","911.5","Medicare",,"",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"REPAIR BLOOD VESSEL, LOWER EXTREMITY","35226","HCPCS","Both",,,"1823","911.5","Humana","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"REPAIR BLOOD VESSEL, LOWER EXTREMITY","35226","HCPCS","Both",,,"1823","911.5","UHC","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"REPAIR BLOOD VESSEL, LOWER EXTREMITY","35226","HCPCS","Both",,,"1823","911.5","Clover","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"REPAIR BLOOD VESSEL, LOWER EXTREMITY","35226","HCPCS","Both",,,"1823","911.5","Wellcare","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"REPAIR BLOOD VESSEL, LOWER EXTREMITY","35226","HCPCS","Both",,,"1823","911.5","Amerigroup","Medicaid Managed Care","",,"37",,"667.22","667.22","1412.82","percent of total billed charges",,
"REPAIR BLOOD VESSEL, LOWER EXTREMITY","35226","HCPCS","Both",,,"1823","911.5","Caresource","Medicaid Managed Care","",,"40",,"729.2","667.22","1412.82","percent of total billed charges",,
"REPAIR BLOOD VESSEL, LOWER EXTREMITY","35226","HCPCS","Both",,,"1823","911.5","Wellcare","Medicaid Managed Care","",,"40",,"738.32","667.22","1412.82","percent of total billed charges",,
"REPAIR BLOOD VESSEL, LOWER EXTREMITY","35226","HCPCS","Both",,,"1823","911.5","Aetna","Commercial","",,"64",,"1163.07","667.22","1412.82","percent of total billed charges",,
"REPAIR BLOOD VESSEL, LOWER EXTREMITY","35226","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","Pathways","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"REPAIR BLOOD VESSEL, LOWER EXTREMITY","35226","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","HMO","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"REPAIR BLOOD VESSEL, LOWER EXTREMITY","35226","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","PPO","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"REPAIR BLOOD VESSEL, LOWER EXTREMITY","35226","HCPCS","Both",,,"1823","911.5","Ambetter","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"REPAIR BLOOD VESSEL, LOWER EXTREMITY","35226","HCPCS","Both",,,"1823","911.5","Caresource","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"REPAIR BLOOD VESSEL, LOWER EXTREMITY","35226","HCPCS","Both",,,"1823","911.5","Cigna","Commercial","",,"59",,"1068.28","667.22","1412.82","percent of total billed charges",,
"REPAIR BLOOD VESSEL, LOWER EXTREMITY","35226","HCPCS","Both",,,"1823","911.5","Humana","Commercial","",,"78",,"1412.82","667.22","1412.82","percent of total billed charges",,
"REPAIR BLOOD VESSEL, LOWER EXTREMITY","35226","HCPCS","Both",,,"1823","911.5","UHC","Commercial","",,"75",,"1374.54","667.22","1412.82","percent of total billed charges",,
"REPAIR BLOOD VESSEL, LOWER EXTREMITY","35226","HCPCS","Both",,,"1823","911.5","Medicaid",,"",,"37",,"667.22","667.22","1412.82","percent of total billed charges",,
"ER TRANSFUSION BLOOD OR BLOOD COMPONENTS","36430","HCPCS","Both",,,"407.75","203.875","Alliant","Health Exchange","",,"62",,"252.8","149.24","316.01","percent of total billed charges",,
"ER TRANSFUSION BLOOD OR BLOOD COMPONENTS","36430","HCPCS","Both",,,"407.75","203.875","Pruitt Healthcare","Medicare Advantage","",,"54",,"220.18","149.24","316.01","percent of total billed charges",,
"ER TRANSFUSION BLOOD OR BLOOD COMPONENTS","36430","HCPCS","Both",,,"407.75","203.875","Medicare",,"",,"54",,"221","149.24","316.01","percent of total billed charges",,
"ER TRANSFUSION BLOOD OR BLOOD COMPONENTS","36430","HCPCS","Both",,,"407.75","203.875","Humana","Medicare Advantage","",,"54",,"221","149.24","316.01","percent of total billed charges",,
"ER TRANSFUSION BLOOD OR BLOOD COMPONENTS","36430","HCPCS","Both",,,"407.75","203.875","UHC","Medicare Advantage","",,"54",,"221","149.24","316.01","percent of total billed charges",,
"ER TRANSFUSION BLOOD OR BLOOD COMPONENTS","36430","HCPCS","Both",,,"407.75","203.875","Clover","Medicare Advantage","",,"54",,"221","149.24","316.01","percent of total billed charges",,
"ER TRANSFUSION BLOOD OR BLOOD COMPONENTS","36430","HCPCS","Both",,,"407.75","203.875","Wellcare","Medicare Advantage","",,"54",,"221","149.24","316.01","percent of total billed charges",,
"ER TRANSFUSION BLOOD OR BLOOD COMPONENTS","36430","HCPCS","Both",,,"407.75","203.875","Amerigroup","Medicaid Managed Care","",,"37",,"149.24","149.24","316.01","percent of total billed charges",,
"ER TRANSFUSION BLOOD OR BLOOD COMPONENTS","36430","HCPCS","Both",,,"407.75","203.875","Caresource","Medicaid Managed Care","",,"40",,"163.1","149.24","316.01","percent of total billed charges",,
"ER TRANSFUSION BLOOD OR BLOOD COMPONENTS","36430","HCPCS","Both",,,"407.75","203.875","Wellcare","Medicaid Managed Care","",,"40",,"165.14","149.24","316.01","percent of total billed charges",,
"ER TRANSFUSION BLOOD OR BLOOD COMPONENTS","36430","HCPCS","Both",,,"407.75","203.875","Aetna","Commercial","",,"64",,"260.14","149.24","316.01","percent of total billed charges",,
"ER TRANSFUSION BLOOD OR BLOOD COMPONENTS","36430","HCPCS","Both",,,"407.75","203.875","Blue Cross Blue Shield","Pathways","",,"71",,"287.87","149.24","316.01","percent of total billed charges",,
"ER TRANSFUSION BLOOD OR BLOOD COMPONENTS","36430","HCPCS","Both",,,"407.75","203.875","Blue Cross Blue Shield","HMO","",,"71",,"287.87","149.24","316.01","percent of total billed charges",,
"ER TRANSFUSION BLOOD OR BLOOD COMPONENTS","36430","HCPCS","Both",,,"407.75","203.875","Blue Cross Blue Shield","PPO","",,"71",,"287.87","149.24","316.01","percent of total billed charges",,
"ER TRANSFUSION BLOOD OR BLOOD COMPONENTS","36430","HCPCS","Both",,,"407.75","203.875","Ambetter","Health Exchange","",,"62",,"252.8","149.24","316.01","percent of total billed charges",,
"ER TRANSFUSION BLOOD OR BLOOD COMPONENTS","36430","HCPCS","Both",,,"407.75","203.875","Caresource","Health Exchange","",,"62",,"252.8","149.24","316.01","percent of total billed charges",,
"ER TRANSFUSION BLOOD OR BLOOD COMPONENTS","36430","HCPCS","Both",,,"407.75","203.875","Cigna","Commercial","",,"59",,"238.94","149.24","316.01","percent of total billed charges",,
"ER TRANSFUSION BLOOD OR BLOOD COMPONENTS","36430","HCPCS","Both",,,"407.75","203.875","Humana","Commercial","",,"78",,"316.01","149.24","316.01","percent of total billed charges",,
"ER TRANSFUSION BLOOD OR BLOOD COMPONENTS","36430","HCPCS","Both",,,"407.75","203.875","UHC","Commercial","",,"75",,"307.44","149.24","316.01","percent of total billed charges",,
"ER TRANSFUSION BLOOD OR BLOOD COMPONENTS","36430","HCPCS","Both",,,"407.75","203.875","Medicaid",,"",,"37",,"149.24","149.24","316.01","percent of total billed charges",,
"REPAIR CV ACCESS DEVICE","36576","HCPCS","Both",,,"2454.5","1227.25","Alliant","Health Exchange","",,"62",,"1521.79","898.35","1902.24","percent of total billed charges",,
"REPAIR CV ACCESS DEVICE","36576","HCPCS","Both",,,"2454.5","1227.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"1325.43","898.35","1902.24","percent of total billed charges",,
"REPAIR CV ACCESS DEVICE","36576","HCPCS","Both",,,"2454.5","1227.25","Medicare",,"",,"54",,"1330.34","898.35","1902.24","percent of total billed charges",,
"REPAIR CV ACCESS DEVICE","36576","HCPCS","Both",,,"2454.5","1227.25","Humana","Medicare Advantage","",,"54",,"1330.34","898.35","1902.24","percent of total billed charges",,
"REPAIR CV ACCESS DEVICE","36576","HCPCS","Both",,,"2454.5","1227.25","UHC","Medicare Advantage","",,"54",,"1330.34","898.35","1902.24","percent of total billed charges",,
"REPAIR CV ACCESS DEVICE","36576","HCPCS","Both",,,"2454.5","1227.25","Clover","Medicare Advantage","",,"54",,"1330.34","898.35","1902.24","percent of total billed charges",,
"REPAIR CV ACCESS DEVICE","36576","HCPCS","Both",,,"2454.5","1227.25","Wellcare","Medicare Advantage","",,"54",,"1330.34","898.35","1902.24","percent of total billed charges",,
"REPAIR CV ACCESS DEVICE","36576","HCPCS","Both",,,"2454.5","1227.25","Amerigroup","Medicaid Managed Care","",,"37",,"898.35","898.35","1902.24","percent of total billed charges",,
"REPAIR CV ACCESS DEVICE","36576","HCPCS","Both",,,"2454.5","1227.25","Caresource","Medicaid Managed Care","",,"40",,"981.8","898.35","1902.24","percent of total billed charges",,
"REPAIR CV ACCESS DEVICE","36576","HCPCS","Both",,,"2454.5","1227.25","Wellcare","Medicaid Managed Care","",,"40",,"994.07","898.35","1902.24","percent of total billed charges",,
"REPAIR CV ACCESS DEVICE","36576","HCPCS","Both",,,"2454.5","1227.25","Aetna","Commercial","",,"64",,"1565.97","898.35","1902.24","percent of total billed charges",,
"REPAIR CV ACCESS DEVICE","36576","HCPCS","Both",,,"2454.5","1227.25","Blue Cross Blue Shield","Pathways","",,"71",,"1732.88","898.35","1902.24","percent of total billed charges",,
"REPAIR CV ACCESS DEVICE","36576","HCPCS","Both",,,"2454.5","1227.25","Blue Cross Blue Shield","HMO","",,"71",,"1732.88","898.35","1902.24","percent of total billed charges",,
"REPAIR CV ACCESS DEVICE","36576","HCPCS","Both",,,"2454.5","1227.25","Blue Cross Blue Shield","PPO","",,"71",,"1732.88","898.35","1902.24","percent of total billed charges",,
"REPAIR CV ACCESS DEVICE","36576","HCPCS","Both",,,"2454.5","1227.25","Ambetter","Health Exchange","",,"62",,"1521.79","898.35","1902.24","percent of total billed charges",,
"REPAIR CV ACCESS DEVICE","36576","HCPCS","Both",,,"2454.5","1227.25","Caresource","Health Exchange","",,"62",,"1521.79","898.35","1902.24","percent of total billed charges",,
"REPAIR CV ACCESS DEVICE","36576","HCPCS","Both",,,"2454.5","1227.25","Cigna","Commercial","",,"59",,"1438.34","898.35","1902.24","percent of total billed charges",,
"REPAIR CV ACCESS DEVICE","36576","HCPCS","Both",,,"2454.5","1227.25","Humana","Commercial","",,"78",,"1902.24","898.35","1902.24","percent of total billed charges",,
"REPAIR CV ACCESS DEVICE","36576","HCPCS","Both",,,"2454.5","1227.25","UHC","Commercial","",,"75",,"1850.69","898.35","1902.24","percent of total billed charges",,
"REPAIR CV ACCESS DEVICE","36576","HCPCS","Both",,,"2454.5","1227.25","Medicaid",,"",,"37",,"898.35","898.35","1902.24","percent of total billed charges",,
"PLACEMENT OF NEEDLE INTRAOSSEOUS INFUSIO","36680","HCPCS","Both",,,"384","192","Alliant","Health Exchange","",,"62",,"238.08","140.54","297.6","percent of total billed charges",,
"PLACEMENT OF NEEDLE INTRAOSSEOUS INFUSIO","36680","HCPCS","Both",,,"384","192","Pruitt Healthcare","Medicare Advantage","",,"54",,"207.36","140.54","297.6","percent of total billed charges",,
"PLACEMENT OF NEEDLE INTRAOSSEOUS INFUSIO","36680","HCPCS","Both",,,"384","192","Medicare",,"",,"54",,"208.13","140.54","297.6","percent of total billed charges",,
"PLACEMENT OF NEEDLE INTRAOSSEOUS INFUSIO","36680","HCPCS","Both",,,"384","192","Humana","Medicare Advantage","",,"54",,"208.13","140.54","297.6","percent of total billed charges",,
"PLACEMENT OF NEEDLE INTRAOSSEOUS INFUSIO","36680","HCPCS","Both",,,"384","192","UHC","Medicare Advantage","",,"54",,"208.13","140.54","297.6","percent of total billed charges",,
"PLACEMENT OF NEEDLE INTRAOSSEOUS INFUSIO","36680","HCPCS","Both",,,"384","192","Clover","Medicare Advantage","",,"54",,"208.13","140.54","297.6","percent of total billed charges",,
"PLACEMENT OF NEEDLE INTRAOSSEOUS INFUSIO","36680","HCPCS","Both",,,"384","192","Wellcare","Medicare Advantage","",,"54",,"208.13","140.54","297.6","percent of total billed charges",,
"PLACEMENT OF NEEDLE INTRAOSSEOUS INFUSIO","36680","HCPCS","Both",,,"384","192","Amerigroup","Medicaid Managed Care","",,"37",,"140.54","140.54","297.6","percent of total billed charges",,
"PLACEMENT OF NEEDLE INTRAOSSEOUS INFUSIO","36680","HCPCS","Both",,,"384","192","Caresource","Medicaid Managed Care","",,"40",,"153.6","140.54","297.6","percent of total billed charges",,
"PLACEMENT OF NEEDLE INTRAOSSEOUS INFUSIO","36680","HCPCS","Both",,,"384","192","Wellcare","Medicaid Managed Care","",,"40",,"155.52","140.54","297.6","percent of total billed charges",,
"PLACEMENT OF NEEDLE INTRAOSSEOUS INFUSIO","36680","HCPCS","Both",,,"384","192","Aetna","Commercial","",,"64",,"244.99","140.54","297.6","percent of total billed charges",,
"PLACEMENT OF NEEDLE INTRAOSSEOUS INFUSIO","36680","HCPCS","Both",,,"384","192","Blue Cross Blue Shield","Pathways","",,"71",,"271.1","140.54","297.6","percent of total billed charges",,
"PLACEMENT OF NEEDLE INTRAOSSEOUS INFUSIO","36680","HCPCS","Both",,,"384","192","Blue Cross Blue Shield","HMO","",,"71",,"271.1","140.54","297.6","percent of total billed charges",,
"PLACEMENT OF NEEDLE INTRAOSSEOUS INFUSIO","36680","HCPCS","Both",,,"384","192","Blue Cross Blue Shield","PPO","",,"71",,"271.1","140.54","297.6","percent of total billed charges",,
"PLACEMENT OF NEEDLE INTRAOSSEOUS INFUSIO","36680","HCPCS","Both",,,"384","192","Ambetter","Health Exchange","",,"62",,"238.08","140.54","297.6","percent of total billed charges",,
"PLACEMENT OF NEEDLE INTRAOSSEOUS INFUSIO","36680","HCPCS","Both",,,"384","192","Caresource","Health Exchange","",,"62",,"238.08","140.54","297.6","percent of total billed charges",,
"PLACEMENT OF NEEDLE INTRAOSSEOUS INFUSIO","36680","HCPCS","Both",,,"384","192","Cigna","Commercial","",,"59",,"225.02","140.54","297.6","percent of total billed charges",,
"PLACEMENT OF NEEDLE INTRAOSSEOUS INFUSIO","36680","HCPCS","Both",,,"384","192","Humana","Commercial","",,"78",,"297.6","140.54","297.6","percent of total billed charges",,
"PLACEMENT OF NEEDLE INTRAOSSEOUS INFUSIO","36680","HCPCS","Both",,,"384","192","UHC","Commercial","",,"75",,"289.54","140.54","297.6","percent of total billed charges",,
"PLACEMENT OF NEEDLE INTRAOSSEOUS INFUSIO","36680","HCPCS","Both",,,"384","192","Medicaid",,"",,"37",,"140.54","140.54","297.6","percent of total billed charges",,
"THROMBOLYSIS CEREBRAL BY IV INFUSION","37195","HCPCS","Both",,,"130","65","Alliant","Health Exchange","",,"62",,"80.6","47.58","100.75","percent of total billed charges",,
"THROMBOLYSIS CEREBRAL BY IV INFUSION","37195","HCPCS","Both",,,"130","65","Pruitt Healthcare","Medicare Advantage","",,"54",,"70.2","47.58","100.75","percent of total billed charges",,
"THROMBOLYSIS CEREBRAL BY IV INFUSION","37195","HCPCS","Both",,,"130","65","Medicare",,"",,"54",,"70.46","47.58","100.75","percent of total billed charges",,
"THROMBOLYSIS CEREBRAL BY IV INFUSION","37195","HCPCS","Both",,,"130","65","Humana","Medicare Advantage","",,"54",,"70.46","47.58","100.75","percent of total billed charges",,
"THROMBOLYSIS CEREBRAL BY IV INFUSION","37195","HCPCS","Both",,,"130","65","UHC","Medicare Advantage","",,"54",,"70.46","47.58","100.75","percent of total billed charges",,
"THROMBOLYSIS CEREBRAL BY IV INFUSION","37195","HCPCS","Both",,,"130","65","Clover","Medicare Advantage","",,"54",,"70.46","47.58","100.75","percent of total billed charges",,
"THROMBOLYSIS CEREBRAL BY IV INFUSION","37195","HCPCS","Both",,,"130","65","Wellcare","Medicare Advantage","",,"54",,"70.46","47.58","100.75","percent of total billed charges",,
"THROMBOLYSIS CEREBRAL BY IV INFUSION","37195","HCPCS","Both",,,"130","65","Amerigroup","Medicaid Managed Care","",,"37",,"47.58","47.58","100.75","percent of total billed charges",,
"THROMBOLYSIS CEREBRAL BY IV INFUSION","37195","HCPCS","Both",,,"130","65","Caresource","Medicaid Managed Care","",,"40",,"52","47.58","100.75","percent of total billed charges",,
"THROMBOLYSIS CEREBRAL BY IV INFUSION","37195","HCPCS","Both",,,"130","65","Wellcare","Medicaid Managed Care","",,"40",,"52.65","47.58","100.75","percent of total billed charges",,
"THROMBOLYSIS CEREBRAL BY IV INFUSION","37195","HCPCS","Both",,,"130","65","Aetna","Commercial","",,"64",,"82.94","47.58","100.75","percent of total billed charges",,
"THROMBOLYSIS CEREBRAL BY IV INFUSION","37195","HCPCS","Both",,,"130","65","Blue Cross Blue Shield","Pathways","",,"71",,"91.78","47.58","100.75","percent of total billed charges",,
"THROMBOLYSIS CEREBRAL BY IV INFUSION","37195","HCPCS","Both",,,"130","65","Blue Cross Blue Shield","HMO","",,"71",,"91.78","47.58","100.75","percent of total billed charges",,
"THROMBOLYSIS CEREBRAL BY IV INFUSION","37195","HCPCS","Both",,,"130","65","Blue Cross Blue Shield","PPO","",,"71",,"91.78","47.58","100.75","percent of total billed charges",,
"THROMBOLYSIS CEREBRAL BY IV INFUSION","37195","HCPCS","Both",,,"130","65","Ambetter","Health Exchange","",,"62",,"80.6","47.58","100.75","percent of total billed charges",,
"THROMBOLYSIS CEREBRAL BY IV INFUSION","37195","HCPCS","Both",,,"130","65","Caresource","Health Exchange","",,"62",,"80.6","47.58","100.75","percent of total billed charges",,
"THROMBOLYSIS CEREBRAL BY IV INFUSION","37195","HCPCS","Both",,,"130","65","Cigna","Commercial","",,"59",,"76.18","47.58","100.75","percent of total billed charges",,
"THROMBOLYSIS CEREBRAL BY IV INFUSION","37195","HCPCS","Both",,,"130","65","Humana","Commercial","",,"78",,"100.75","47.58","100.75","percent of total billed charges",,
"THROMBOLYSIS CEREBRAL BY IV INFUSION","37195","HCPCS","Both",,,"130","65","UHC","Commercial","",,"75",,"98.02","47.58","100.75","percent of total billed charges",,
"THROMBOLYSIS CEREBRAL BY IV INFUSION","37195","HCPCS","Both",,,"130","65","Medicaid",,"",,"37",,"47.58","47.58","100.75","percent of total billed charges",,
"TRANSCATHETER THERAPY, INFUSION THROMBOL","37200","HCPCS","Both",,,"3220","1610","Alliant","Health Exchange","",,"62",,"1996.4","1178.52","2495.5","percent of total billed charges",,
"TRANSCATHETER THERAPY, INFUSION THROMBOL","37200","HCPCS","Both",,,"3220","1610","Pruitt Healthcare","Medicare Advantage","",,"54",,"1738.8","1178.52","2495.5","percent of total billed charges",,
"TRANSCATHETER THERAPY, INFUSION THROMBOL","37200","HCPCS","Both",,,"3220","1610","Medicare",,"",,"54",,"1745.24","1178.52","2495.5","percent of total billed charges",,
"TRANSCATHETER THERAPY, INFUSION THROMBOL","37200","HCPCS","Both",,,"3220","1610","Humana","Medicare Advantage","",,"54",,"1745.24","1178.52","2495.5","percent of total billed charges",,
"TRANSCATHETER THERAPY, INFUSION THROMBOL","37200","HCPCS","Both",,,"3220","1610","UHC","Medicare Advantage","",,"54",,"1745.24","1178.52","2495.5","percent of total billed charges",,
"TRANSCATHETER THERAPY, INFUSION THROMBOL","37200","HCPCS","Both",,,"3220","1610","Clover","Medicare Advantage","",,"54",,"1745.24","1178.52","2495.5","percent of total billed charges",,
"TRANSCATHETER THERAPY, INFUSION THROMBOL","37200","HCPCS","Both",,,"3220","1610","Wellcare","Medicare Advantage","",,"54",,"1745.24","1178.52","2495.5","percent of total billed charges",,
"TRANSCATHETER THERAPY, INFUSION THROMBOL","37200","HCPCS","Both",,,"3220","1610","Amerigroup","Medicaid Managed Care","",,"37",,"1178.52","1178.52","2495.5","percent of total billed charges",,
"TRANSCATHETER THERAPY, INFUSION THROMBOL","37200","HCPCS","Both",,,"3220","1610","Caresource","Medicaid Managed Care","",,"40",,"1288","1178.52","2495.5","percent of total billed charges",,
"TRANSCATHETER THERAPY, INFUSION THROMBOL","37200","HCPCS","Both",,,"3220","1610","Wellcare","Medicaid Managed Care","",,"40",,"1304.1","1178.52","2495.5","percent of total billed charges",,
"TRANSCATHETER THERAPY, INFUSION THROMBOL","37200","HCPCS","Both",,,"3220","1610","Aetna","Commercial","",,"64",,"2054.36","1178.52","2495.5","percent of total billed charges",,
"TRANSCATHETER THERAPY, INFUSION THROMBOL","37200","HCPCS","Both",,,"3220","1610","Blue Cross Blue Shield","Pathways","",,"71",,"2273.32","1178.52","2495.5","percent of total billed charges",,
"TRANSCATHETER THERAPY, INFUSION THROMBOL","37200","HCPCS","Both",,,"3220","1610","Blue Cross Blue Shield","HMO","",,"71",,"2273.32","1178.52","2495.5","percent of total billed charges",,
"TRANSCATHETER THERAPY, INFUSION THROMBOL","37200","HCPCS","Both",,,"3220","1610","Blue Cross Blue Shield","PPO","",,"71",,"2273.32","1178.52","2495.5","percent of total billed charges",,
"TRANSCATHETER THERAPY, INFUSION THROMBOL","37200","HCPCS","Both",,,"3220","1610","Ambetter","Health Exchange","",,"62",,"1996.4","1178.52","2495.5","percent of total billed charges",,
"TRANSCATHETER THERAPY, INFUSION THROMBOL","37200","HCPCS","Both",,,"3220","1610","Caresource","Health Exchange","",,"62",,"1996.4","1178.52","2495.5","percent of total billed charges",,
"TRANSCATHETER THERAPY, INFUSION THROMBOL","37200","HCPCS","Both",,,"3220","1610","Cigna","Commercial","",,"59",,"1886.92","1178.52","2495.5","percent of total billed charges",,
"TRANSCATHETER THERAPY, INFUSION THROMBOL","37200","HCPCS","Both",,,"3220","1610","Humana","Commercial","",,"78",,"2495.5","1178.52","2495.5","percent of total billed charges",,
"TRANSCATHETER THERAPY, INFUSION THROMBOL","37200","HCPCS","Both",,,"3220","1610","UHC","Commercial","",,"75",,"2427.88","1178.52","2495.5","percent of total billed charges",,
"TRANSCATHETER THERAPY, INFUSION THROMBOL","37200","HCPCS","Both",,,"3220","1610","Medicaid",,"",,"37",,"1178.52","1178.52","2495.5","percent of total billed charges",,
"REPAIR LAC 2.5cm OR LESS, MOUTH","41250","HCPCS","Both",,,"244","122","Alliant","Health Exchange","",,"62",,"151.28","89.3","189.1","percent of total billed charges",,
"REPAIR LAC 2.5cm OR LESS, MOUTH","41250","HCPCS","Both",,,"244","122","Pruitt Healthcare","Medicare Advantage","",,"54",,"131.76","89.3","189.1","percent of total billed charges",,
"REPAIR LAC 2.5cm OR LESS, MOUTH","41250","HCPCS","Both",,,"244","122","Medicare",,"",,"54",,"132.25","89.3","189.1","percent of total billed charges",,
"REPAIR LAC 2.5cm OR LESS, MOUTH","41250","HCPCS","Both",,,"244","122","Humana","Medicare Advantage","",,"54",,"132.25","89.3","189.1","percent of total billed charges",,
"REPAIR LAC 2.5cm OR LESS, MOUTH","41250","HCPCS","Both",,,"244","122","UHC","Medicare Advantage","",,"54",,"132.25","89.3","189.1","percent of total billed charges",,
"REPAIR LAC 2.5cm OR LESS, MOUTH","41250","HCPCS","Both",,,"244","122","Clover","Medicare Advantage","",,"54",,"132.25","89.3","189.1","percent of total billed charges",,
"REPAIR LAC 2.5cm OR LESS, MOUTH","41250","HCPCS","Both",,,"244","122","Wellcare","Medicare Advantage","",,"54",,"132.25","89.3","189.1","percent of total billed charges",,
"REPAIR LAC 2.5cm OR LESS, MOUTH","41250","HCPCS","Both",,,"244","122","Amerigroup","Medicaid Managed Care","",,"37",,"89.3","89.3","189.1","percent of total billed charges",,
"REPAIR LAC 2.5cm OR LESS, MOUTH","41250","HCPCS","Both",,,"244","122","Caresource","Medicaid Managed Care","",,"40",,"97.6","89.3","189.1","percent of total billed charges",,
"REPAIR LAC 2.5cm OR LESS, MOUTH","41250","HCPCS","Both",,,"244","122","Wellcare","Medicaid Managed Care","",,"40",,"98.82","89.3","189.1","percent of total billed charges",,
"REPAIR LAC 2.5cm OR LESS, MOUTH","41250","HCPCS","Both",,,"244","122","Aetna","Commercial","",,"64",,"155.67","89.3","189.1","percent of total billed charges",,
"REPAIR LAC 2.5cm OR LESS, MOUTH","41250","HCPCS","Both",,,"244","122","Blue Cross Blue Shield","Pathways","",,"71",,"172.26","89.3","189.1","percent of total billed charges",,
"REPAIR LAC 2.5cm OR LESS, MOUTH","41250","HCPCS","Both",,,"244","122","Blue Cross Blue Shield","HMO","",,"71",,"172.26","89.3","189.1","percent of total billed charges",,
"REPAIR LAC 2.5cm OR LESS, MOUTH","41250","HCPCS","Both",,,"244","122","Blue Cross Blue Shield","PPO","",,"71",,"172.26","89.3","189.1","percent of total billed charges",,
"REPAIR LAC 2.5cm OR LESS, MOUTH","41250","HCPCS","Both",,,"244","122","Ambetter","Health Exchange","",,"62",,"151.28","89.3","189.1","percent of total billed charges",,
"REPAIR LAC 2.5cm OR LESS, MOUTH","41250","HCPCS","Both",,,"244","122","Caresource","Health Exchange","",,"62",,"151.28","89.3","189.1","percent of total billed charges",,
"REPAIR LAC 2.5cm OR LESS, MOUTH","41250","HCPCS","Both",,,"244","122","Cigna","Commercial","",,"59",,"142.98","89.3","189.1","percent of total billed charges",,
"REPAIR LAC 2.5cm OR LESS, MOUTH","41250","HCPCS","Both",,,"244","122","Humana","Commercial","",,"78",,"189.1","89.3","189.1","percent of total billed charges",,
"REPAIR LAC 2.5cm OR LESS, MOUTH","41250","HCPCS","Both",,,"244","122","UHC","Commercial","",,"75",,"183.98","89.3","189.1","percent of total billed charges",,
"REPAIR LAC 2.5cm OR LESS, MOUTH","41250","HCPCS","Both",,,"244","122","Medicaid",,"",,"37",,"89.3","89.3","189.1","percent of total billed charges",,
"REPAIR LAC TONGUE OVER 2.6CM","41252","HCPCS","Both",,,"1557","778.5","Alliant","Health Exchange","",,"62",,"965.34","569.86","1206.68","percent of total billed charges",,
"REPAIR LAC TONGUE OVER 2.6CM","41252","HCPCS","Both",,,"1557","778.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"840.78","569.86","1206.68","percent of total billed charges",,
"REPAIR LAC TONGUE OVER 2.6CM","41252","HCPCS","Both",,,"1557","778.5","Medicare",,"",,"54",,"843.89","569.86","1206.68","percent of total billed charges",,
"REPAIR LAC TONGUE OVER 2.6CM","41252","HCPCS","Both",,,"1557","778.5","Humana","Medicare Advantage","",,"54",,"843.89","569.86","1206.68","percent of total billed charges",,
"REPAIR LAC TONGUE OVER 2.6CM","41252","HCPCS","Both",,,"1557","778.5","UHC","Medicare Advantage","",,"54",,"843.89","569.86","1206.68","percent of total billed charges",,
"REPAIR LAC TONGUE OVER 2.6CM","41252","HCPCS","Both",,,"1557","778.5","Clover","Medicare Advantage","",,"54",,"843.89","569.86","1206.68","percent of total billed charges",,
"REPAIR LAC TONGUE OVER 2.6CM","41252","HCPCS","Both",,,"1557","778.5","Wellcare","Medicare Advantage","",,"54",,"843.89","569.86","1206.68","percent of total billed charges",,
"REPAIR LAC TONGUE OVER 2.6CM","41252","HCPCS","Both",,,"1557","778.5","Amerigroup","Medicaid Managed Care","",,"37",,"569.86","569.86","1206.68","percent of total billed charges",,
"REPAIR LAC TONGUE OVER 2.6CM","41252","HCPCS","Both",,,"1557","778.5","Caresource","Medicaid Managed Care","",,"40",,"622.8","569.86","1206.68","percent of total billed charges",,
"REPAIR LAC TONGUE OVER 2.6CM","41252","HCPCS","Both",,,"1557","778.5","Wellcare","Medicaid Managed Care","",,"40",,"630.58","569.86","1206.68","percent of total billed charges",,
"REPAIR LAC TONGUE OVER 2.6CM","41252","HCPCS","Both",,,"1557","778.5","Aetna","Commercial","",,"64",,"993.37","569.86","1206.68","percent of total billed charges",,
"REPAIR LAC TONGUE OVER 2.6CM","41252","HCPCS","Both",,,"1557","778.5","Blue Cross Blue Shield","Pathways","",,"71",,"1099.24","569.86","1206.68","percent of total billed charges",,
"REPAIR LAC TONGUE OVER 2.6CM","41252","HCPCS","Both",,,"1557","778.5","Blue Cross Blue Shield","HMO","",,"71",,"1099.24","569.86","1206.68","percent of total billed charges",,
"REPAIR LAC TONGUE OVER 2.6CM","41252","HCPCS","Both",,,"1557","778.5","Blue Cross Blue Shield","PPO","",,"71",,"1099.24","569.86","1206.68","percent of total billed charges",,
"REPAIR LAC TONGUE OVER 2.6CM","41252","HCPCS","Both",,,"1557","778.5","Ambetter","Health Exchange","",,"62",,"965.34","569.86","1206.68","percent of total billed charges",,
"REPAIR LAC TONGUE OVER 2.6CM","41252","HCPCS","Both",,,"1557","778.5","Caresource","Health Exchange","",,"62",,"965.34","569.86","1206.68","percent of total billed charges",,
"REPAIR LAC TONGUE OVER 2.6CM","41252","HCPCS","Both",,,"1557","778.5","Cigna","Commercial","",,"59",,"912.4","569.86","1206.68","percent of total billed charges",,
"REPAIR LAC TONGUE OVER 2.6CM","41252","HCPCS","Both",,,"1557","778.5","Humana","Commercial","",,"78",,"1206.68","569.86","1206.68","percent of total billed charges",,
"REPAIR LAC TONGUE OVER 2.6CM","41252","HCPCS","Both",,,"1557","778.5","UHC","Commercial","",,"75",,"1173.98","569.86","1206.68","percent of total billed charges",,
"REPAIR LAC TONGUE OVER 2.6CM","41252","HCPCS","Both",,,"1557","778.5","Medicaid",,"",,"37",,"569.86","569.86","1206.68","percent of total billed charges",,
"DRAINAGE ABSCESS,CYST,HEMATOMA DENTOALV","41800","HCPCS","Both",,,"182.5","91.25","Alliant","Health Exchange","",,"62",,"113.15","66.8","141.44","percent of total billed charges",,
"DRAINAGE ABSCESS,CYST,HEMATOMA DENTOALV","41800","HCPCS","Both",,,"182.5","91.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"98.55","66.8","141.44","percent of total billed charges",,
"DRAINAGE ABSCESS,CYST,HEMATOMA DENTOALV","41800","HCPCS","Both",,,"182.5","91.25","Medicare",,"",,"54",,"98.92","66.8","141.44","percent of total billed charges",,
"DRAINAGE ABSCESS,CYST,HEMATOMA DENTOALV","41800","HCPCS","Both",,,"182.5","91.25","Humana","Medicare Advantage","",,"54",,"98.92","66.8","141.44","percent of total billed charges",,
"DRAINAGE ABSCESS,CYST,HEMATOMA DENTOALV","41800","HCPCS","Both",,,"182.5","91.25","UHC","Medicare Advantage","",,"54",,"98.92","66.8","141.44","percent of total billed charges",,
"DRAINAGE ABSCESS,CYST,HEMATOMA DENTOALV","41800","HCPCS","Both",,,"182.5","91.25","Clover","Medicare Advantage","",,"54",,"98.92","66.8","141.44","percent of total billed charges",,
"DRAINAGE ABSCESS,CYST,HEMATOMA DENTOALV","41800","HCPCS","Both",,,"182.5","91.25","Wellcare","Medicare Advantage","",,"54",,"98.92","66.8","141.44","percent of total billed charges",,
"DRAINAGE ABSCESS,CYST,HEMATOMA DENTOALV","41800","HCPCS","Both",,,"182.5","91.25","Amerigroup","Medicaid Managed Care","",,"37",,"66.8","66.8","141.44","percent of total billed charges",,
"DRAINAGE ABSCESS,CYST,HEMATOMA DENTOALV","41800","HCPCS","Both",,,"182.5","91.25","Caresource","Medicaid Managed Care","",,"40",,"73","66.8","141.44","percent of total billed charges",,
"DRAINAGE ABSCESS,CYST,HEMATOMA DENTOALV","41800","HCPCS","Both",,,"182.5","91.25","Wellcare","Medicaid Managed Care","",,"40",,"73.91","66.8","141.44","percent of total billed charges",,
"DRAINAGE ABSCESS,CYST,HEMATOMA DENTOALV","41800","HCPCS","Both",,,"182.5","91.25","Aetna","Commercial","",,"64",,"116.44","66.8","141.44","percent of total billed charges",,
"DRAINAGE ABSCESS,CYST,HEMATOMA DENTOALV","41800","HCPCS","Both",,,"182.5","91.25","Blue Cross Blue Shield","Pathways","",,"71",,"128.84","66.8","141.44","percent of total billed charges",,
"DRAINAGE ABSCESS,CYST,HEMATOMA DENTOALV","41800","HCPCS","Both",,,"182.5","91.25","Blue Cross Blue Shield","HMO","",,"71",,"128.84","66.8","141.44","percent of total billed charges",,
"DRAINAGE ABSCESS,CYST,HEMATOMA DENTOALV","41800","HCPCS","Both",,,"182.5","91.25","Blue Cross Blue Shield","PPO","",,"71",,"128.84","66.8","141.44","percent of total billed charges",,
"DRAINAGE ABSCESS,CYST,HEMATOMA DENTOALV","41800","HCPCS","Both",,,"182.5","91.25","Ambetter","Health Exchange","",,"62",,"113.15","66.8","141.44","percent of total billed charges",,
"DRAINAGE ABSCESS,CYST,HEMATOMA DENTOALV","41800","HCPCS","Both",,,"182.5","91.25","Caresource","Health Exchange","",,"62",,"113.15","66.8","141.44","percent of total billed charges",,
"DRAINAGE ABSCESS,CYST,HEMATOMA DENTOALV","41800","HCPCS","Both",,,"182.5","91.25","Cigna","Commercial","",,"59",,"106.94","66.8","141.44","percent of total billed charges",,
"DRAINAGE ABSCESS,CYST,HEMATOMA DENTOALV","41800","HCPCS","Both",,,"182.5","91.25","Humana","Commercial","",,"78",,"141.44","66.8","141.44","percent of total billed charges",,
"DRAINAGE ABSCESS,CYST,HEMATOMA DENTOALV","41800","HCPCS","Both",,,"182.5","91.25","UHC","Commercial","",,"75",,"137.6","66.8","141.44","percent of total billed charges",,
"DRAINAGE ABSCESS,CYST,HEMATOMA DENTOALV","41800","HCPCS","Both",,,"182.5","91.25","Medicaid",,"",,"37",,"66.8","66.8","141.44","percent of total billed charges",,
"DRAINAGE OF ABSCESS OF PALATE, UVULA","42000","HCPCS","Both",,,"717.5","358.75","Alliant","Health Exchange","",,"62",,"444.85","262.6","556.06","percent of total billed charges",,
"DRAINAGE OF ABSCESS OF PALATE, UVULA","42000","HCPCS","Both",,,"717.5","358.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"387.45","262.6","556.06","percent of total billed charges",,
"DRAINAGE OF ABSCESS OF PALATE, UVULA","42000","HCPCS","Both",,,"717.5","358.75","Medicare",,"",,"54",,"388.89","262.6","556.06","percent of total billed charges",,
"DRAINAGE OF ABSCESS OF PALATE, UVULA","42000","HCPCS","Both",,,"717.5","358.75","Humana","Medicare Advantage","",,"54",,"388.89","262.6","556.06","percent of total billed charges",,
"DRAINAGE OF ABSCESS OF PALATE, UVULA","42000","HCPCS","Both",,,"717.5","358.75","UHC","Medicare Advantage","",,"54",,"388.89","262.6","556.06","percent of total billed charges",,
"DRAINAGE OF ABSCESS OF PALATE, UVULA","42000","HCPCS","Both",,,"717.5","358.75","Clover","Medicare Advantage","",,"54",,"388.89","262.6","556.06","percent of total billed charges",,
"DRAINAGE OF ABSCESS OF PALATE, UVULA","42000","HCPCS","Both",,,"717.5","358.75","Wellcare","Medicare Advantage","",,"54",,"388.89","262.6","556.06","percent of total billed charges",,
"DRAINAGE OF ABSCESS OF PALATE, UVULA","42000","HCPCS","Both",,,"717.5","358.75","Amerigroup","Medicaid Managed Care","",,"37",,"262.6","262.6","556.06","percent of total billed charges",,
"DRAINAGE OF ABSCESS OF PALATE, UVULA","42000","HCPCS","Both",,,"717.5","358.75","Caresource","Medicaid Managed Care","",,"40",,"287","262.6","556.06","percent of total billed charges",,
"DRAINAGE OF ABSCESS OF PALATE, UVULA","42000","HCPCS","Both",,,"717.5","358.75","Wellcare","Medicaid Managed Care","",,"40",,"290.59","262.6","556.06","percent of total billed charges",,
"DRAINAGE OF ABSCESS OF PALATE, UVULA","42000","HCPCS","Both",,,"717.5","358.75","Aetna","Commercial","",,"64",,"457.76","262.6","556.06","percent of total billed charges",,
"DRAINAGE OF ABSCESS OF PALATE, UVULA","42000","HCPCS","Both",,,"717.5","358.75","Blue Cross Blue Shield","Pathways","",,"71",,"506.55","262.6","556.06","percent of total billed charges",,
"DRAINAGE OF ABSCESS OF PALATE, UVULA","42000","HCPCS","Both",,,"717.5","358.75","Blue Cross Blue Shield","HMO","",,"71",,"506.55","262.6","556.06","percent of total billed charges",,
"DRAINAGE OF ABSCESS OF PALATE, UVULA","42000","HCPCS","Both",,,"717.5","358.75","Blue Cross Blue Shield","PPO","",,"71",,"506.55","262.6","556.06","percent of total billed charges",,
"DRAINAGE OF ABSCESS OF PALATE, UVULA","42000","HCPCS","Both",,,"717.5","358.75","Ambetter","Health Exchange","",,"62",,"444.85","262.6","556.06","percent of total billed charges",,
"DRAINAGE OF ABSCESS OF PALATE, UVULA","42000","HCPCS","Both",,,"717.5","358.75","Caresource","Health Exchange","",,"62",,"444.85","262.6","556.06","percent of total billed charges",,
"DRAINAGE OF ABSCESS OF PALATE, UVULA","42000","HCPCS","Both",,,"717.5","358.75","Cigna","Commercial","",,"59",,"420.46","262.6","556.06","percent of total billed charges",,
"DRAINAGE OF ABSCESS OF PALATE, UVULA","42000","HCPCS","Both",,,"717.5","358.75","Humana","Commercial","",,"78",,"556.06","262.6","556.06","percent of total billed charges",,
"DRAINAGE OF ABSCESS OF PALATE, UVULA","42000","HCPCS","Both",,,"717.5","358.75","UHC","Commercial","",,"75",,"541","262.6","556.06","percent of total billed charges",,
"DRAINAGE OF ABSCESS OF PALATE, UVULA","42000","HCPCS","Both",,,"717.5","358.75","Medicaid",,"",,"37",,"262.6","262.6","556.06","percent of total billed charges",,
"GASTROSTOMY TUBE CHANGE","43763","HCPCS","Both",,,"1946.5","973.25","Alliant","Health Exchange","",,"62",,"1206.83","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE CHANGE","43763","HCPCS","Both",,,"1946.5","973.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"1051.11","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE CHANGE","43763","HCPCS","Both",,,"1946.5","973.25","Medicare",,"",,"54",,"1055","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE CHANGE","43763","HCPCS","Both",,,"1946.5","973.25","Humana","Medicare Advantage","",,"54",,"1055","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE CHANGE","43763","HCPCS","Both",,,"1946.5","973.25","UHC","Medicare Advantage","",,"54",,"1055","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE CHANGE","43763","HCPCS","Both",,,"1946.5","973.25","Clover","Medicare Advantage","",,"54",,"1055","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE CHANGE","43763","HCPCS","Both",,,"1946.5","973.25","Wellcare","Medicare Advantage","",,"54",,"1055","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE CHANGE","43763","HCPCS","Both",,,"1946.5","973.25","Amerigroup","Medicaid Managed Care","",,"37",,"712.42","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE CHANGE","43763","HCPCS","Both",,,"1946.5","973.25","Caresource","Medicaid Managed Care","",,"40",,"778.6","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE CHANGE","43763","HCPCS","Both",,,"1946.5","973.25","Wellcare","Medicaid Managed Care","",,"40",,"788.33","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE CHANGE","43763","HCPCS","Both",,,"1946.5","973.25","Aetna","Commercial","",,"64",,"1241.87","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE CHANGE","43763","HCPCS","Both",,,"1946.5","973.25","Blue Cross Blue Shield","Pathways","",,"71",,"1374.23","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE CHANGE","43763","HCPCS","Both",,,"1946.5","973.25","Blue Cross Blue Shield","HMO","",,"71",,"1374.23","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE CHANGE","43763","HCPCS","Both",,,"1946.5","973.25","Blue Cross Blue Shield","PPO","",,"71",,"1374.23","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE CHANGE","43763","HCPCS","Both",,,"1946.5","973.25","Ambetter","Health Exchange","",,"62",,"1206.83","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE CHANGE","43763","HCPCS","Both",,,"1946.5","973.25","Caresource","Health Exchange","",,"62",,"1206.83","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE CHANGE","43763","HCPCS","Both",,,"1946.5","973.25","Cigna","Commercial","",,"59",,"1140.65","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE CHANGE","43763","HCPCS","Both",,,"1946.5","973.25","Humana","Commercial","",,"78",,"1508.54","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE CHANGE","43763","HCPCS","Both",,,"1946.5","973.25","UHC","Commercial","",,"75",,"1467.66","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE CHANGE","43763","HCPCS","Both",,,"1946.5","973.25","Medicaid",,"",,"37",,"712.42","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY, OPEN; W/O CONSTRUCT G TUBE","43830","HCPCS","Both",,,"5829.5","2914.75","Alliant","Health Exchange","",,"62",,"3614.29","2133.6","4517.86","percent of total billed charges",,
"GASTROSTOMY, OPEN; W/O CONSTRUCT G TUBE","43830","HCPCS","Both",,,"5829.5","2914.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"3147.93","2133.6","4517.86","percent of total billed charges",,
"GASTROSTOMY, OPEN; W/O CONSTRUCT G TUBE","43830","HCPCS","Both",,,"5829.5","2914.75","Medicare",,"",,"54",,"3159.59","2133.6","4517.86","percent of total billed charges",,
"GASTROSTOMY, OPEN; W/O CONSTRUCT G TUBE","43830","HCPCS","Both",,,"5829.5","2914.75","Humana","Medicare Advantage","",,"54",,"3159.59","2133.6","4517.86","percent of total billed charges",,
"GASTROSTOMY, OPEN; W/O CONSTRUCT G TUBE","43830","HCPCS","Both",,,"5829.5","2914.75","UHC","Medicare Advantage","",,"54",,"3159.59","2133.6","4517.86","percent of total billed charges",,
"GASTROSTOMY, OPEN; W/O CONSTRUCT G TUBE","43830","HCPCS","Both",,,"5829.5","2914.75","Clover","Medicare Advantage","",,"54",,"3159.59","2133.6","4517.86","percent of total billed charges",,
"GASTROSTOMY, OPEN; W/O CONSTRUCT G TUBE","43830","HCPCS","Both",,,"5829.5","2914.75","Wellcare","Medicare Advantage","",,"54",,"3159.59","2133.6","4517.86","percent of total billed charges",,
"GASTROSTOMY, OPEN; W/O CONSTRUCT G TUBE","43830","HCPCS","Both",,,"5829.5","2914.75","Amerigroup","Medicaid Managed Care","",,"37",,"2133.6","2133.6","4517.86","percent of total billed charges",,
"GASTROSTOMY, OPEN; W/O CONSTRUCT G TUBE","43830","HCPCS","Both",,,"5829.5","2914.75","Caresource","Medicaid Managed Care","",,"40",,"2331.8","2133.6","4517.86","percent of total billed charges",,
"GASTROSTOMY, OPEN; W/O CONSTRUCT G TUBE","43830","HCPCS","Both",,,"5829.5","2914.75","Wellcare","Medicaid Managed Care","",,"40",,"2360.95","2133.6","4517.86","percent of total billed charges",,
"GASTROSTOMY, OPEN; W/O CONSTRUCT G TUBE","43830","HCPCS","Both",,,"5829.5","2914.75","Aetna","Commercial","",,"64",,"3719.22","2133.6","4517.86","percent of total billed charges",,
"GASTROSTOMY, OPEN; W/O CONSTRUCT G TUBE","43830","HCPCS","Both",,,"5829.5","2914.75","Blue Cross Blue Shield","Pathways","",,"71",,"4115.63","2133.6","4517.86","percent of total billed charges",,
"GASTROSTOMY, OPEN; W/O CONSTRUCT G TUBE","43830","HCPCS","Both",,,"5829.5","2914.75","Blue Cross Blue Shield","HMO","",,"71",,"4115.63","2133.6","4517.86","percent of total billed charges",,
"GASTROSTOMY, OPEN; W/O CONSTRUCT G TUBE","43830","HCPCS","Both",,,"5829.5","2914.75","Blue Cross Blue Shield","PPO","",,"71",,"4115.63","2133.6","4517.86","percent of total billed charges",,
"GASTROSTOMY, OPEN; W/O CONSTRUCT G TUBE","43830","HCPCS","Both",,,"5829.5","2914.75","Ambetter","Health Exchange","",,"62",,"3614.29","2133.6","4517.86","percent of total billed charges",,
"GASTROSTOMY, OPEN; W/O CONSTRUCT G TUBE","43830","HCPCS","Both",,,"5829.5","2914.75","Caresource","Health Exchange","",,"62",,"3614.29","2133.6","4517.86","percent of total billed charges",,
"GASTROSTOMY, OPEN; W/O CONSTRUCT G TUBE","43830","HCPCS","Both",,,"5829.5","2914.75","Cigna","Commercial","",,"59",,"3416.09","2133.6","4517.86","percent of total billed charges",,
"GASTROSTOMY, OPEN; W/O CONSTRUCT G TUBE","43830","HCPCS","Both",,,"5829.5","2914.75","Humana","Commercial","",,"78",,"4517.86","2133.6","4517.86","percent of total billed charges",,
"GASTROSTOMY, OPEN; W/O CONSTRUCT G TUBE","43830","HCPCS","Both",,,"5829.5","2914.75","UHC","Commercial","",,"75",,"4395.44","2133.6","4517.86","percent of total billed charges",,
"GASTROSTOMY, OPEN; W/O CONSTRUCT G TUBE","43830","HCPCS","Both",,,"5829.5","2914.75","Medicaid",,"",,"37",,"2133.6","2133.6","4517.86","percent of total billed charges",,
"INCISION & DRAINAGE SUPRALEVATOR PELVI","45020","HCPCS","Both",,,"4433","2216.5","Alliant","Health Exchange","",,"62",,"2748.46","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUPRALEVATOR PELVI","45020","HCPCS","Both",,,"4433","2216.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"2393.82","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUPRALEVATOR PELVI","45020","HCPCS","Both",,,"4433","2216.5","Medicare",,"",,"54",,"2402.69","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUPRALEVATOR PELVI","45020","HCPCS","Both",,,"4433","2216.5","Humana","Medicare Advantage","",,"54",,"2402.69","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUPRALEVATOR PELVI","45020","HCPCS","Both",,,"4433","2216.5","UHC","Medicare Advantage","",,"54",,"2402.69","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUPRALEVATOR PELVI","45020","HCPCS","Both",,,"4433","2216.5","Clover","Medicare Advantage","",,"54",,"2402.69","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUPRALEVATOR PELVI","45020","HCPCS","Both",,,"4433","2216.5","Wellcare","Medicare Advantage","",,"54",,"2402.69","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUPRALEVATOR PELVI","45020","HCPCS","Both",,,"4433","2216.5","Amerigroup","Medicaid Managed Care","",,"37",,"1622.48","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUPRALEVATOR PELVI","45020","HCPCS","Both",,,"4433","2216.5","Caresource","Medicaid Managed Care","",,"40",,"1773.2","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUPRALEVATOR PELVI","45020","HCPCS","Both",,,"4433","2216.5","Wellcare","Medicaid Managed Care","",,"40",,"1795.36","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUPRALEVATOR PELVI","45020","HCPCS","Both",,,"4433","2216.5","Aetna","Commercial","",,"64",,"2828.25","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUPRALEVATOR PELVI","45020","HCPCS","Both",,,"4433","2216.5","Blue Cross Blue Shield","Pathways","",,"71",,"3129.7","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUPRALEVATOR PELVI","45020","HCPCS","Both",,,"4433","2216.5","Blue Cross Blue Shield","HMO","",,"71",,"3129.7","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUPRALEVATOR PELVI","45020","HCPCS","Both",,,"4433","2216.5","Blue Cross Blue Shield","PPO","",,"71",,"3129.7","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUPRALEVATOR PELVI","45020","HCPCS","Both",,,"4433","2216.5","Ambetter","Health Exchange","",,"62",,"2748.46","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUPRALEVATOR PELVI","45020","HCPCS","Both",,,"4433","2216.5","Caresource","Health Exchange","",,"62",,"2748.46","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUPRALEVATOR PELVI","45020","HCPCS","Both",,,"4433","2216.5","Cigna","Commercial","",,"59",,"2597.74","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUPRALEVATOR PELVI","45020","HCPCS","Both",,,"4433","2216.5","Humana","Commercial","",,"78",,"3435.58","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUPRALEVATOR PELVI","45020","HCPCS","Both",,,"4433","2216.5","UHC","Commercial","",,"75",,"3342.48","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUPRALEVATOR PELVI","45020","HCPCS","Both",,,"4433","2216.5","Medicaid",,"",,"37",,"1622.48","1622.48","3435.58","percent of total billed charges",,
"I & D  ISCHIORECTAL/PERIRECTAL ABSCESS","46040","HCPCS","Both",,,"400","200","Alliant","Health Exchange","",,"62",,"248","146.4","3094.19","percent of total billed charges",,
"I & D  ISCHIORECTAL/PERIRECTAL ABSCESS","46040","HCPCS","Both",,,"400","200","Pruitt Healthcare","Medicare Advantage","",,"54",,"216","146.4","3094.19","percent of total billed charges",,
"I & D  ISCHIORECTAL/PERIRECTAL ABSCESS","46040","HCPCS","Both",,,"400","200","Medicare",,"",,"54",,"216.8","146.4","3094.19","percent of total billed charges",,
"I & D  ISCHIORECTAL/PERIRECTAL ABSCESS","46040","HCPCS","Both",,,"400","200","Humana","Medicare Advantage","",,"54",,"216.8","146.4","3094.19","percent of total billed charges",,
"I & D  ISCHIORECTAL/PERIRECTAL ABSCESS","46040","HCPCS","Both",,,"400","200","UHC","Medicare Advantage","",,"54",,"216.8","146.4","3094.19","percent of total billed charges",,
"I & D  ISCHIORECTAL/PERIRECTAL ABSCESS","46040","HCPCS","Both",,,"400","200","Clover","Medicare Advantage","",,"54",,"216.8","146.4","3094.19","percent of total billed charges",,
"I & D  ISCHIORECTAL/PERIRECTAL ABSCESS","46040","HCPCS","Both",,,"400","200","Wellcare","Medicare Advantage","",,"54",,"216.8","146.4","3094.19","percent of total billed charges",,
"I & D  ISCHIORECTAL/PERIRECTAL ABSCESS","46040","HCPCS","Both",,,"400","200","Amerigroup","Medicaid Managed Care","",,"37",,"146.4","146.4","3094.19","percent of total billed charges",,
"I & D  ISCHIORECTAL/PERIRECTAL ABSCESS","46040","HCPCS","Both",,,"400","200","Caresource","Medicaid Managed Care","",,"40",,"160","146.4","3094.19","percent of total billed charges",,
"I & D  ISCHIORECTAL/PERIRECTAL ABSCESS","46040","HCPCS","Both",,,"400","200","Wellcare","Medicaid Managed Care","",,"40",,"162","146.4","3094.19","percent of total billed charges",,
"I & D  ISCHIORECTAL/PERIRECTAL ABSCESS","46040","HCPCS","Both",,,"400","200","Aetna","Commercial","",,"64",,"255.2","146.4","3094.19","percent of total billed charges",,
"I & D  ISCHIORECTAL/PERIRECTAL ABSCESS","46040","HCPCS","Both",,,"400","200","Blue Cross Blue Shield","Pathways","",,"71",,"282.4","146.4","3094.19","percent of total billed charges",,
"I & D  ISCHIORECTAL/PERIRECTAL ABSCESS","46040","HCPCS","Both",,,"400","200","Blue Cross Blue Shield","HMO","",,"71",,"282.4","146.4","3094.19","percent of total billed charges",,
"I & D  ISCHIORECTAL/PERIRECTAL ABSCESS","46040","HCPCS","Both",,,"400","200","Blue Cross Blue Shield","PPO","",,"71",,"282.4","146.4","3094.19","percent of total billed charges",,
"I & D  ISCHIORECTAL/PERIRECTAL ABSCESS","46040","HCPCS","Both",,,"400","200","Ambetter","Health Exchange","",,"62",,"248","146.4","3094.19","percent of total billed charges",,
"I & D  ISCHIORECTAL/PERIRECTAL ABSCESS","46040","HCPCS","Both",,,"400","200","Caresource","Health Exchange","",,"62",,"248","146.4","3094.19","percent of total billed charges",,
"I & D  ISCHIORECTAL/PERIRECTAL ABSCESS","46040","HCPCS","Both",,,"400","200","Cigna","Commercial","",,"59",,"234.4","146.4","3094.19","percent of total billed charges",,
"I & D  ISCHIORECTAL/PERIRECTAL ABSCESS","46040","HCPCS","Both",,,"400","200","Humana","Commercial","",,"78",,"310","146.4","3094.19","percent of total billed charges",,
"I & D  ISCHIORECTAL/PERIRECTAL ABSCESS","46040","HCPCS","Both",,,"400","200","UHC","Commercial","",,"75",,"301.6","146.4","3094.19","percent of total billed charges",,
"I & D  ISCHIORECTAL/PERIRECTAL ABSCESS","46040","HCPCS","Both",,,"400","200","Medicaid",,"",,"37",,"146.4","146.4","3094.19","percent of total billed charges",,
"INJECTION SCLEROSING SOLUT, HEMMORRHOID","46500","HCPCS","Both",,,"1372","686","Alliant","Health Exchange","",,"62",,"850.64","502.15","1063.3","percent of total billed charges",,
"INJECTION SCLEROSING SOLUT, HEMMORRHOID","46500","HCPCS","Both",,,"1372","686","Pruitt Healthcare","Medicare Advantage","",,"54",,"740.88","502.15","1063.3","percent of total billed charges",,
"INJECTION SCLEROSING SOLUT, HEMMORRHOID","46500","HCPCS","Both",,,"1372","686","Medicare",,"",,"54",,"743.62","502.15","1063.3","percent of total billed charges",,
"INJECTION SCLEROSING SOLUT, HEMMORRHOID","46500","HCPCS","Both",,,"1372","686","Humana","Medicare Advantage","",,"54",,"743.62","502.15","1063.3","percent of total billed charges",,
"INJECTION SCLEROSING SOLUT, HEMMORRHOID","46500","HCPCS","Both",,,"1372","686","UHC","Medicare Advantage","",,"54",,"743.62","502.15","1063.3","percent of total billed charges",,
"INJECTION SCLEROSING SOLUT, HEMMORRHOID","46500","HCPCS","Both",,,"1372","686","Clover","Medicare Advantage","",,"54",,"743.62","502.15","1063.3","percent of total billed charges",,
"INJECTION SCLEROSING SOLUT, HEMMORRHOID","46500","HCPCS","Both",,,"1372","686","Wellcare","Medicare Advantage","",,"54",,"743.62","502.15","1063.3","percent of total billed charges",,
"INJECTION SCLEROSING SOLUT, HEMMORRHOID","46500","HCPCS","Both",,,"1372","686","Amerigroup","Medicaid Managed Care","",,"37",,"502.15","502.15","1063.3","percent of total billed charges",,
"INJECTION SCLEROSING SOLUT, HEMMORRHOID","46500","HCPCS","Both",,,"1372","686","Caresource","Medicaid Managed Care","",,"40",,"548.8","502.15","1063.3","percent of total billed charges",,
"INJECTION SCLEROSING SOLUT, HEMMORRHOID","46500","HCPCS","Both",,,"1372","686","Wellcare","Medicaid Managed Care","",,"40",,"555.66","502.15","1063.3","percent of total billed charges",,
"INJECTION SCLEROSING SOLUT, HEMMORRHOID","46500","HCPCS","Both",,,"1372","686","Aetna","Commercial","",,"64",,"875.34","502.15","1063.3","percent of total billed charges",,
"INJECTION SCLEROSING SOLUT, HEMMORRHOID","46500","HCPCS","Both",,,"1372","686","Blue Cross Blue Shield","Pathways","",,"71",,"968.63","502.15","1063.3","percent of total billed charges",,
"INJECTION SCLEROSING SOLUT, HEMMORRHOID","46500","HCPCS","Both",,,"1372","686","Blue Cross Blue Shield","HMO","",,"71",,"968.63","502.15","1063.3","percent of total billed charges",,
"INJECTION SCLEROSING SOLUT, HEMMORRHOID","46500","HCPCS","Both",,,"1372","686","Blue Cross Blue Shield","PPO","",,"71",,"968.63","502.15","1063.3","percent of total billed charges",,
"INJECTION SCLEROSING SOLUT, HEMMORRHOID","46500","HCPCS","Both",,,"1372","686","Ambetter","Health Exchange","",,"62",,"850.64","502.15","1063.3","percent of total billed charges",,
"INJECTION SCLEROSING SOLUT, HEMMORRHOID","46500","HCPCS","Both",,,"1372","686","Caresource","Health Exchange","",,"62",,"850.64","502.15","1063.3","percent of total billed charges",,
"INJECTION SCLEROSING SOLUT, HEMMORRHOID","46500","HCPCS","Both",,,"1372","686","Cigna","Commercial","",,"59",,"803.99","502.15","1063.3","percent of total billed charges",,
"INJECTION SCLEROSING SOLUT, HEMMORRHOID","46500","HCPCS","Both",,,"1372","686","Humana","Commercial","",,"78",,"1063.3","502.15","1063.3","percent of total billed charges",,
"INJECTION SCLEROSING SOLUT, HEMMORRHOID","46500","HCPCS","Both",,,"1372","686","UHC","Commercial","",,"75",,"1034.49","502.15","1063.3","percent of total billed charges",,
"INJECTION SCLEROSING SOLUT, HEMMORRHOID","46500","HCPCS","Both",,,"1372","686","Medicaid",,"",,"37",,"502.15","502.15","1063.3","percent of total billed charges",,
"ABDOMINAL PARACENTESIS W/O IMAGING GUIDA","49082","HCPCS","Both",,,"1287.5","643.75","Alliant","Health Exchange","",,"62",,"798.25","471.22","997.81","percent of total billed charges",,
"ABDOMINAL PARACENTESIS W/O IMAGING GUIDA","49082","HCPCS","Both",,,"1287.5","643.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"695.25","471.22","997.81","percent of total billed charges",,
"ABDOMINAL PARACENTESIS W/O IMAGING GUIDA","49082","HCPCS","Both",,,"1287.5","643.75","Medicare",,"",,"54",,"697.82","471.22","997.81","percent of total billed charges",,
"ABDOMINAL PARACENTESIS W/O IMAGING GUIDA","49082","HCPCS","Both",,,"1287.5","643.75","Humana","Medicare Advantage","",,"54",,"697.82","471.22","997.81","percent of total billed charges",,
"ABDOMINAL PARACENTESIS W/O IMAGING GUIDA","49082","HCPCS","Both",,,"1287.5","643.75","UHC","Medicare Advantage","",,"54",,"697.82","471.22","997.81","percent of total billed charges",,
"ABDOMINAL PARACENTESIS W/O IMAGING GUIDA","49082","HCPCS","Both",,,"1287.5","643.75","Clover","Medicare Advantage","",,"54",,"697.82","471.22","997.81","percent of total billed charges",,
"ABDOMINAL PARACENTESIS W/O IMAGING GUIDA","49082","HCPCS","Both",,,"1287.5","643.75","Wellcare","Medicare Advantage","",,"54",,"697.82","471.22","997.81","percent of total billed charges",,
"ABDOMINAL PARACENTESIS W/O IMAGING GUIDA","49082","HCPCS","Both",,,"1287.5","643.75","Amerigroup","Medicaid Managed Care","",,"37",,"471.22","471.22","997.81","percent of total billed charges",,
"ABDOMINAL PARACENTESIS W/O IMAGING GUIDA","49082","HCPCS","Both",,,"1287.5","643.75","Caresource","Medicaid Managed Care","",,"40",,"515","471.22","997.81","percent of total billed charges",,
"ABDOMINAL PARACENTESIS W/O IMAGING GUIDA","49082","HCPCS","Both",,,"1287.5","643.75","Wellcare","Medicaid Managed Care","",,"40",,"521.44","471.22","997.81","percent of total billed charges",,
"ABDOMINAL PARACENTESIS W/O IMAGING GUIDA","49082","HCPCS","Both",,,"1287.5","643.75","Aetna","Commercial","",,"64",,"821.42","471.22","997.81","percent of total billed charges",,
"ABDOMINAL PARACENTESIS W/O IMAGING GUIDA","49082","HCPCS","Both",,,"1287.5","643.75","Blue Cross Blue Shield","Pathways","",,"71",,"908.97","471.22","997.81","percent of total billed charges",,
"ABDOMINAL PARACENTESIS W/O IMAGING GUIDA","49082","HCPCS","Both",,,"1287.5","643.75","Blue Cross Blue Shield","HMO","",,"71",,"908.97","471.22","997.81","percent of total billed charges",,
"ABDOMINAL PARACENTESIS W/O IMAGING GUIDA","49082","HCPCS","Both",,,"1287.5","643.75","Blue Cross Blue Shield","PPO","",,"71",,"908.97","471.22","997.81","percent of total billed charges",,
"ABDOMINAL PARACENTESIS W/O IMAGING GUIDA","49082","HCPCS","Both",,,"1287.5","643.75","Ambetter","Health Exchange","",,"62",,"798.25","471.22","997.81","percent of total billed charges",,
"ABDOMINAL PARACENTESIS W/O IMAGING GUIDA","49082","HCPCS","Both",,,"1287.5","643.75","Caresource","Health Exchange","",,"62",,"798.25","471.22","997.81","percent of total billed charges",,
"ABDOMINAL PARACENTESIS W/O IMAGING GUIDA","49082","HCPCS","Both",,,"1287.5","643.75","Cigna","Commercial","",,"59",,"754.47","471.22","997.81","percent of total billed charges",,
"ABDOMINAL PARACENTESIS W/O IMAGING GUIDA","49082","HCPCS","Both",,,"1287.5","643.75","Humana","Commercial","",,"78",,"997.81","471.22","997.81","percent of total billed charges",,
"ABDOMINAL PARACENTESIS W/O IMAGING GUIDA","49082","HCPCS","Both",,,"1287.5","643.75","UHC","Commercial","",,"75",,"970.78","471.22","997.81","percent of total billed charges",,
"ABDOMINAL PARACENTESIS W/O IMAGING GUIDA","49082","HCPCS","Both",,,"1287.5","643.75","Medicaid",,"",,"37",,"471.22","471.22","997.81","percent of total billed charges",,
"SUTURE, SEC, ABD WALL FOR EVIS/DEHIS","49900","HCPCS","Both",,,"1546.5","773.25","Alliant","Health Exchange","",,"62",,"958.83","566.02","1198.54","percent of total billed charges",,
"SUTURE, SEC, ABD WALL FOR EVIS/DEHIS","49900","HCPCS","Both",,,"1546.5","773.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"835.11","566.02","1198.54","percent of total billed charges",,
"SUTURE, SEC, ABD WALL FOR EVIS/DEHIS","49900","HCPCS","Both",,,"1546.5","773.25","Medicare",,"",,"54",,"838.2","566.02","1198.54","percent of total billed charges",,
"SUTURE, SEC, ABD WALL FOR EVIS/DEHIS","49900","HCPCS","Both",,,"1546.5","773.25","Humana","Medicare Advantage","",,"54",,"838.2","566.02","1198.54","percent of total billed charges",,
"SUTURE, SEC, ABD WALL FOR EVIS/DEHIS","49900","HCPCS","Both",,,"1546.5","773.25","UHC","Medicare Advantage","",,"54",,"838.2","566.02","1198.54","percent of total billed charges",,
"SUTURE, SEC, ABD WALL FOR EVIS/DEHIS","49900","HCPCS","Both",,,"1546.5","773.25","Clover","Medicare Advantage","",,"54",,"838.2","566.02","1198.54","percent of total billed charges",,
"SUTURE, SEC, ABD WALL FOR EVIS/DEHIS","49900","HCPCS","Both",,,"1546.5","773.25","Wellcare","Medicare Advantage","",,"54",,"838.2","566.02","1198.54","percent of total billed charges",,
"SUTURE, SEC, ABD WALL FOR EVIS/DEHIS","49900","HCPCS","Both",,,"1546.5","773.25","Amerigroup","Medicaid Managed Care","",,"37",,"566.02","566.02","1198.54","percent of total billed charges",,
"SUTURE, SEC, ABD WALL FOR EVIS/DEHIS","49900","HCPCS","Both",,,"1546.5","773.25","Caresource","Medicaid Managed Care","",,"40",,"618.6","566.02","1198.54","percent of total billed charges",,
"SUTURE, SEC, ABD WALL FOR EVIS/DEHIS","49900","HCPCS","Both",,,"1546.5","773.25","Wellcare","Medicaid Managed Care","",,"40",,"626.33","566.02","1198.54","percent of total billed charges",,
"SUTURE, SEC, ABD WALL FOR EVIS/DEHIS","49900","HCPCS","Both",,,"1546.5","773.25","Aetna","Commercial","",,"64",,"986.67","566.02","1198.54","percent of total billed charges",,
"SUTURE, SEC, ABD WALL FOR EVIS/DEHIS","49900","HCPCS","Both",,,"1546.5","773.25","Blue Cross Blue Shield","Pathways","",,"71",,"1091.83","566.02","1198.54","percent of total billed charges",,
"SUTURE, SEC, ABD WALL FOR EVIS/DEHIS","49900","HCPCS","Both",,,"1546.5","773.25","Blue Cross Blue Shield","HMO","",,"71",,"1091.83","566.02","1198.54","percent of total billed charges",,
"SUTURE, SEC, ABD WALL FOR EVIS/DEHIS","49900","HCPCS","Both",,,"1546.5","773.25","Blue Cross Blue Shield","PPO","",,"71",,"1091.83","566.02","1198.54","percent of total billed charges",,
"SUTURE, SEC, ABD WALL FOR EVIS/DEHIS","49900","HCPCS","Both",,,"1546.5","773.25","Ambetter","Health Exchange","",,"62",,"958.83","566.02","1198.54","percent of total billed charges",,
"SUTURE, SEC, ABD WALL FOR EVIS/DEHIS","49900","HCPCS","Both",,,"1546.5","773.25","Caresource","Health Exchange","",,"62",,"958.83","566.02","1198.54","percent of total billed charges",,
"SUTURE, SEC, ABD WALL FOR EVIS/DEHIS","49900","HCPCS","Both",,,"1546.5","773.25","Cigna","Commercial","",,"59",,"906.25","566.02","1198.54","percent of total billed charges",,
"SUTURE, SEC, ABD WALL FOR EVIS/DEHIS","49900","HCPCS","Both",,,"1546.5","773.25","Humana","Commercial","",,"78",,"1198.54","566.02","1198.54","percent of total billed charges",,
"SUTURE, SEC, ABD WALL FOR EVIS/DEHIS","49900","HCPCS","Both",,,"1546.5","773.25","UHC","Commercial","",,"75",,"1166.06","566.02","1198.54","percent of total billed charges",,
"SUTURE, SEC, ABD WALL FOR EVIS/DEHIS","49900","HCPCS","Both",,,"1546.5","773.25","Medicaid",,"",,"37",,"566.02","566.02","1198.54","percent of total billed charges",,
"BLADDER IRRIGATION;SIMPLE,LAVAGE &or INS","51700","HCPCS","Both",,,"477.5","238.75","Alliant","Health Exchange","",,"62",,"296.05","174.76","370.06","percent of total billed charges",,
"BLADDER IRRIGATION;SIMPLE,LAVAGE &or INS","51700","HCPCS","Both",,,"477.5","238.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"257.85","174.76","370.06","percent of total billed charges",,
"BLADDER IRRIGATION;SIMPLE,LAVAGE &or INS","51700","HCPCS","Both",,,"477.5","238.75","Medicare",,"",,"54",,"258.8","174.76","370.06","percent of total billed charges",,
"BLADDER IRRIGATION;SIMPLE,LAVAGE &or INS","51700","HCPCS","Both",,,"477.5","238.75","Humana","Medicare Advantage","",,"54",,"258.8","174.76","370.06","percent of total billed charges",,
"BLADDER IRRIGATION;SIMPLE,LAVAGE &or INS","51700","HCPCS","Both",,,"477.5","238.75","UHC","Medicare Advantage","",,"54",,"258.8","174.76","370.06","percent of total billed charges",,
"BLADDER IRRIGATION;SIMPLE,LAVAGE &or INS","51700","HCPCS","Both",,,"477.5","238.75","Clover","Medicare Advantage","",,"54",,"258.8","174.76","370.06","percent of total billed charges",,
"BLADDER IRRIGATION;SIMPLE,LAVAGE &or INS","51700","HCPCS","Both",,,"477.5","238.75","Wellcare","Medicare Advantage","",,"54",,"258.8","174.76","370.06","percent of total billed charges",,
"BLADDER IRRIGATION;SIMPLE,LAVAGE &or INS","51700","HCPCS","Both",,,"477.5","238.75","Amerigroup","Medicaid Managed Care","",,"37",,"174.76","174.76","370.06","percent of total billed charges",,
"BLADDER IRRIGATION;SIMPLE,LAVAGE &or INS","51700","HCPCS","Both",,,"477.5","238.75","Caresource","Medicaid Managed Care","",,"40",,"191","174.76","370.06","percent of total billed charges",,
"BLADDER IRRIGATION;SIMPLE,LAVAGE &or INS","51700","HCPCS","Both",,,"477.5","238.75","Wellcare","Medicaid Managed Care","",,"40",,"193.39","174.76","370.06","percent of total billed charges",,
"BLADDER IRRIGATION;SIMPLE,LAVAGE &or INS","51700","HCPCS","Both",,,"477.5","238.75","Aetna","Commercial","",,"64",,"304.64","174.76","370.06","percent of total billed charges",,
"BLADDER IRRIGATION;SIMPLE,LAVAGE &or INS","51700","HCPCS","Both",,,"477.5","238.75","Blue Cross Blue Shield","Pathways","",,"71",,"337.12","174.76","370.06","percent of total billed charges",,
"BLADDER IRRIGATION;SIMPLE,LAVAGE &or INS","51700","HCPCS","Both",,,"477.5","238.75","Blue Cross Blue Shield","HMO","",,"71",,"337.12","174.76","370.06","percent of total billed charges",,
"BLADDER IRRIGATION;SIMPLE,LAVAGE &or INS","51700","HCPCS","Both",,,"477.5","238.75","Blue Cross Blue Shield","PPO","",,"71",,"337.12","174.76","370.06","percent of total billed charges",,
"BLADDER IRRIGATION;SIMPLE,LAVAGE &or INS","51700","HCPCS","Both",,,"477.5","238.75","Ambetter","Health Exchange","",,"62",,"296.05","174.76","370.06","percent of total billed charges",,
"BLADDER IRRIGATION;SIMPLE,LAVAGE &or INS","51700","HCPCS","Both",,,"477.5","238.75","Caresource","Health Exchange","",,"62",,"296.05","174.76","370.06","percent of total billed charges",,
"BLADDER IRRIGATION;SIMPLE,LAVAGE &or INS","51700","HCPCS","Both",,,"477.5","238.75","Cigna","Commercial","",,"59",,"279.82","174.76","370.06","percent of total billed charges",,
"BLADDER IRRIGATION;SIMPLE,LAVAGE &or INS","51700","HCPCS","Both",,,"477.5","238.75","Humana","Commercial","",,"78",,"370.06","174.76","370.06","percent of total billed charges",,
"BLADDER IRRIGATION;SIMPLE,LAVAGE &or INS","51700","HCPCS","Both",,,"477.5","238.75","UHC","Commercial","",,"75",,"360.04","174.76","370.06","percent of total billed charges",,
"BLADDER IRRIGATION;SIMPLE,LAVAGE &or INS","51700","HCPCS","Both",,,"477.5","238.75","Medicaid",,"",,"37",,"174.76","174.76","370.06","percent of total billed charges",,
"CATHETER INDWELLING COMPLICATED","51703","HCPCS","Both",,,"256.5","128.25","Alliant","Health Exchange","",,"62",,"159.03","93.88","198.79","percent of total billed charges",,
"CATHETER INDWELLING COMPLICATED","51703","HCPCS","Both",,,"256.5","128.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"138.51","93.88","198.79","percent of total billed charges",,
"CATHETER INDWELLING COMPLICATED","51703","HCPCS","Both",,,"256.5","128.25","Medicare",,"",,"54",,"139.02","93.88","198.79","percent of total billed charges",,
"CATHETER INDWELLING COMPLICATED","51703","HCPCS","Both",,,"256.5","128.25","Humana","Medicare Advantage","",,"54",,"139.02","93.88","198.79","percent of total billed charges",,
"CATHETER INDWELLING COMPLICATED","51703","HCPCS","Both",,,"256.5","128.25","UHC","Medicare Advantage","",,"54",,"139.02","93.88","198.79","percent of total billed charges",,
"CATHETER INDWELLING COMPLICATED","51703","HCPCS","Both",,,"256.5","128.25","Clover","Medicare Advantage","",,"54",,"139.02","93.88","198.79","percent of total billed charges",,
"CATHETER INDWELLING COMPLICATED","51703","HCPCS","Both",,,"256.5","128.25","Wellcare","Medicare Advantage","",,"54",,"139.02","93.88","198.79","percent of total billed charges",,
"CATHETER INDWELLING COMPLICATED","51703","HCPCS","Both",,,"256.5","128.25","Amerigroup","Medicaid Managed Care","",,"37",,"93.88","93.88","198.79","percent of total billed charges",,
"CATHETER INDWELLING COMPLICATED","51703","HCPCS","Both",,,"256.5","128.25","Caresource","Medicaid Managed Care","",,"40",,"102.6","93.88","198.79","percent of total billed charges",,
"CATHETER INDWELLING COMPLICATED","51703","HCPCS","Both",,,"256.5","128.25","Wellcare","Medicaid Managed Care","",,"40",,"103.88","93.88","198.79","percent of total billed charges",,
"CATHETER INDWELLING COMPLICATED","51703","HCPCS","Both",,,"256.5","128.25","Aetna","Commercial","",,"64",,"163.65","93.88","198.79","percent of total billed charges",,
"CATHETER INDWELLING COMPLICATED","51703","HCPCS","Both",,,"256.5","128.25","Blue Cross Blue Shield","Pathways","",,"71",,"181.09","93.88","198.79","percent of total billed charges",,
"CATHETER INDWELLING COMPLICATED","51703","HCPCS","Both",,,"256.5","128.25","Blue Cross Blue Shield","HMO","",,"71",,"181.09","93.88","198.79","percent of total billed charges",,
"CATHETER INDWELLING COMPLICATED","51703","HCPCS","Both",,,"256.5","128.25","Blue Cross Blue Shield","PPO","",,"71",,"181.09","93.88","198.79","percent of total billed charges",,
"CATHETER INDWELLING COMPLICATED","51703","HCPCS","Both",,,"256.5","128.25","Ambetter","Health Exchange","",,"62",,"159.03","93.88","198.79","percent of total billed charges",,
"CATHETER INDWELLING COMPLICATED","51703","HCPCS","Both",,,"256.5","128.25","Caresource","Health Exchange","",,"62",,"159.03","93.88","198.79","percent of total billed charges",,
"CATHETER INDWELLING COMPLICATED","51703","HCPCS","Both",,,"256.5","128.25","Cigna","Commercial","",,"59",,"150.31","93.88","198.79","percent of total billed charges",,
"CATHETER INDWELLING COMPLICATED","51703","HCPCS","Both",,,"256.5","128.25","Humana","Commercial","",,"78",,"198.79","93.88","198.79","percent of total billed charges",,
"CATHETER INDWELLING COMPLICATED","51703","HCPCS","Both",,,"256.5","128.25","UHC","Commercial","",,"75",,"193.4","93.88","198.79","percent of total billed charges",,
"CATHETER INDWELLING COMPLICATED","51703","HCPCS","Both",,,"256.5","128.25","Medicaid",,"",,"37",,"93.88","93.88","198.79","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Alliant","Health Exchange","RT,TC",,"62",,"83.7","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Pruitt Healthcare","Medicare Advantage","RT,TC",,"54",,"72.9","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Medicare",,"RT,TC",,"54",,"73.17","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Humana","Medicare Advantage","RT,TC",,"54",,"73.17","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","UHC","Medicare Advantage","RT,TC",,"54",,"73.17","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Clover","Medicare Advantage","RT,TC",,"54",,"73.17","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Wellcare","Medicare Advantage","RT,TC",,"54",,"73.17","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Amerigroup","Medicaid Managed Care","RT,TC",,"37",,"49.41","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Caresource","Medicaid Managed Care","RT,TC",,"40",,"54","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Wellcare","Medicaid Managed Care","RT,TC",,"40",,"54.68","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Aetna","Commercial","RT,TC",,"64",,"86.13","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Blue Cross Blue Shield","Pathways","RT,TC",,"71",,"95.31","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Blue Cross Blue Shield","HMO","RT,TC",,"71",,"95.31","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Blue Cross Blue Shield","PPO","RT,TC",,"71",,"95.31","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Ambetter","Health Exchange","RT,TC",,"62",,"83.7","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Caresource","Health Exchange","RT,TC",,"62",,"83.7","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Cigna","Commercial","RT,TC",,"59",,"79.11","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Humana","Commercial","RT,TC",,"78",,"104.62","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","UHC","Commercial","RT,TC",,"75",,"101.79","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Medicaid",,"RT,TC",,"37",,"49.41","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Alliant","Health Exchange","RT,TC",,"62",,"419.43","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Pruitt Healthcare","Medicare Advantage","RT,TC",,"54",,"365.31","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Medicare",,"RT,TC",,"54",,"366.66","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Humana","Medicare Advantage","RT,TC",,"54",,"366.66","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","UHC","Medicare Advantage","RT,TC",,"54",,"366.66","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Clover","Medicare Advantage","RT,TC",,"54",,"366.66","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Wellcare","Medicare Advantage","RT,TC",,"54",,"366.66","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Amerigroup","Medicaid Managed Care","RT,TC",,"37",,"247.6","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Caresource","Medicaid Managed Care","RT,TC",,"40",,"270.6","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Wellcare","Medicaid Managed Care","RT,TC",,"40",,"273.98","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Aetna","Commercial","RT,TC",,"64",,"431.61","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","Pathways","RT,TC",,"71",,"477.61","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","HMO","RT,TC",,"71",,"477.61","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","PPO","RT,TC",,"71",,"477.61","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Ambetter","Health Exchange","RT,TC",,"62",,"419.43","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Caresource","Health Exchange","RT,TC",,"62",,"419.43","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Cigna","Commercial","RT,TC",,"59",,"396.43","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Humana","Commercial","RT,TC",,"78",,"524.29","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","UHC","Commercial","RT,TC",,"75",,"510.08","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Medicaid",,"RT,TC",,"37",,"247.6","59.19","524.29","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Alliant","Health Exchange","TC",,"62",,"638.65","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"556.24","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Medicare",,"TC",,"54",,"558.3","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Humana","Medicare Advantage","TC",,"54",,"558.3","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","UHC","Medicare Advantage","TC",,"54",,"558.3","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Clover","Medicare Advantage","TC",,"54",,"558.3","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Wellcare","Medicare Advantage","TC",,"54",,"558.3","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Amerigroup","Medicaid Managed Care","TC",,"37",,"377.01","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Caresource","Medicaid Managed Care","TC",,"40",,"412.03","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Wellcare","Medicaid Managed Care","TC",,"40",,"417.18","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Aetna","Commercial","TC",,"64",,"657.19","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Blue Cross Blue Shield","Pathways","TC",,"71",,"727.24","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Blue Cross Blue Shield","HMO","TC",,"71",,"727.24","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Blue Cross Blue Shield","PPO","TC",,"71",,"727.24","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Ambetter","Health Exchange","TC",,"62",,"638.65","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Caresource","Health Exchange","TC",,"62",,"638.65","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Cigna","Commercial","TC",,"59",,"603.63","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Humana","Commercial","TC",,"78",,"798.31","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","UHC","Commercial","TC",,"75",,"776.68","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Medicaid",,"TC",,"37",,"377.01","89.17","798.31","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"840","420","Alliant","Health Exchange","TC",,"62",,"520.8","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"840","420","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"453.6","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"840","420","Medicare",,"TC",,"54",,"455.28","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"840","420","Humana","Medicare Advantage","TC",,"54",,"455.28","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"840","420","UHC","Medicare Advantage","TC",,"54",,"455.28","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"840","420","Clover","Medicare Advantage","TC",,"54",,"455.28","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"840","420","Wellcare","Medicare Advantage","TC",,"54",,"455.28","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"840","420","Amerigroup","Medicaid Managed Care","TC",,"37",,"307.44","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"840","420","Caresource","Medicaid Managed Care","TC",,"40",,"336","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"840","420","Wellcare","Medicaid Managed Care","TC",,"40",,"340.2","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"840","420","Aetna","Commercial","TC",,"64",,"535.92","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"840","420","Blue Cross Blue Shield","Pathways","TC",,"71",,"593.04","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"840","420","Blue Cross Blue Shield","HMO","TC",,"71",,"593.04","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"840","420","Blue Cross Blue Shield","PPO","TC",,"71",,"593.04","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"840","420","Ambetter","Health Exchange","TC",,"62",,"520.8","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"840","420","Caresource","Health Exchange","TC",,"62",,"520.8","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"840","420","Cigna","Commercial","TC",,"59",,"492.24","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"840","420","Humana","Commercial","TC",,"78",,"651","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"840","420","UHC","Commercial","TC",,"75",,"633.36","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"840","420","Medicaid",,"TC",,"37",,"307.44","93.13","651","percent of total billed charges",,
"CT AH A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"425.5","212.75","Alliant","Health Exchange","TC",,"62",,"263.81","102.17","329.76","percent of total billed charges",,
"CT AH A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"425.5","212.75","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"229.77","102.17","329.76","percent of total billed charges",,
"CT AH A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"425.5","212.75","Medicare",,"TC",,"54",,"230.62","102.17","329.76","percent of total billed charges",,
"CT AH A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"425.5","212.75","Humana","Medicare Advantage","TC",,"54",,"230.62","102.17","329.76","percent of total billed charges",,
"CT AH A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"425.5","212.75","UHC","Medicare Advantage","TC",,"54",,"230.62","102.17","329.76","percent of total billed charges",,
"CT AH A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"425.5","212.75","Clover","Medicare Advantage","TC",,"54",,"230.62","102.17","329.76","percent of total billed charges",,
"CT AH A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"425.5","212.75","Wellcare","Medicare Advantage","TC",,"54",,"230.62","102.17","329.76","percent of total billed charges",,
"CT AH A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"425.5","212.75","Amerigroup","Medicaid Managed Care","TC",,"37",,"155.73","102.17","329.76","percent of total billed charges",,
"CT AH A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"425.5","212.75","Caresource","Medicaid Managed Care","TC",,"40",,"170.2","102.17","329.76","percent of total billed charges",,
"CT AH A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"425.5","212.75","Wellcare","Medicaid Managed Care","TC",,"40",,"172.33","102.17","329.76","percent of total billed charges",,
"CT AH A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"425.5","212.75","Aetna","Commercial","TC",,"64",,"271.47","102.17","329.76","percent of total billed charges",,
"CT AH A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"425.5","212.75","Blue Cross Blue Shield","Pathways","TC",,"71",,"300.4","102.17","329.76","percent of total billed charges",,
"CT AH A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"425.5","212.75","Blue Cross Blue Shield","HMO","TC",,"71",,"300.4","102.17","329.76","percent of total billed charges",,
"CT AH A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"425.5","212.75","Blue Cross Blue Shield","PPO","TC",,"71",,"300.4","102.17","329.76","percent of total billed charges",,
"CT AH A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"425.5","212.75","Ambetter","Health Exchange","TC",,"62",,"263.81","102.17","329.76","percent of total billed charges",,
"CT AH A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"425.5","212.75","Caresource","Health Exchange","TC",,"62",,"263.81","102.17","329.76","percent of total billed charges",,
"CT AH A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"425.5","212.75","Cigna","Commercial","TC",,"59",,"249.34","102.17","329.76","percent of total billed charges",,
"CT AH A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"425.5","212.75","Humana","Commercial","TC",,"78",,"329.76","102.17","329.76","percent of total billed charges",,
"CT AH A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"425.5","212.75","UHC","Commercial","TC",,"75",,"320.83","102.17","329.76","percent of total billed charges",,
"CT AH A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"425.5","212.75","Medicaid",,"TC",,"37",,"155.73","102.17","329.76","percent of total billed charges",,
"CT AH ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"1216.5","608.25","Alliant","Health Exchange","TC",,"62",,"754.23","92.8","942.79","percent of total billed charges",,
"CT AH ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"1216.5","608.25","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"656.91","92.8","942.79","percent of total billed charges",,
"CT AH ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"1216.5","608.25","Medicare",,"TC",,"54",,"659.34","92.8","942.79","percent of total billed charges",,
"CT AH ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"1216.5","608.25","Humana","Medicare Advantage","TC",,"54",,"659.34","92.8","942.79","percent of total billed charges",,
"CT AH ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"1216.5","608.25","UHC","Medicare Advantage","TC",,"54",,"659.34","92.8","942.79","percent of total billed charges",,
"CT AH ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"1216.5","608.25","Clover","Medicare Advantage","TC",,"54",,"659.34","92.8","942.79","percent of total billed charges",,
"CT AH ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"1216.5","608.25","Wellcare","Medicare Advantage","TC",,"54",,"659.34","92.8","942.79","percent of total billed charges",,
"CT AH ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"1216.5","608.25","Amerigroup","Medicaid Managed Care","TC",,"37",,"445.24","92.8","942.79","percent of total billed charges",,
"CT AH ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"1216.5","608.25","Caresource","Medicaid Managed Care","TC",,"40",,"486.6","92.8","942.79","percent of total billed charges",,
"CT AH ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"1216.5","608.25","Wellcare","Medicaid Managed Care","TC",,"40",,"492.68","92.8","942.79","percent of total billed charges",,
"CT AH ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"1216.5","608.25","Aetna","Commercial","TC",,"64",,"776.13","92.8","942.79","percent of total billed charges",,
"CT AH ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"1216.5","608.25","Blue Cross Blue Shield","Pathways","TC",,"71",,"858.85","92.8","942.79","percent of total billed charges",,
"CT AH ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"1216.5","608.25","Blue Cross Blue Shield","HMO","TC",,"71",,"858.85","92.8","942.79","percent of total billed charges",,
"CT AH ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"1216.5","608.25","Blue Cross Blue Shield","PPO","TC",,"71",,"858.85","92.8","942.79","percent of total billed charges",,
"CT AH ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"1216.5","608.25","Ambetter","Health Exchange","TC",,"62",,"754.23","92.8","942.79","percent of total billed charges",,
"CT AH ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"1216.5","608.25","Caresource","Health Exchange","TC",,"62",,"754.23","92.8","942.79","percent of total billed charges",,
"CT AH ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"1216.5","608.25","Cigna","Commercial","TC",,"59",,"712.87","92.8","942.79","percent of total billed charges",,
"CT AH ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"1216.5","608.25","Humana","Commercial","TC",,"78",,"942.79","92.8","942.79","percent of total billed charges",,
"CT AH ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"1216.5","608.25","UHC","Commercial","TC",,"75",,"917.24","92.8","942.79","percent of total billed charges",,
"CT AH ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"1216.5","608.25","Medicaid",,"TC",,"37",,"445.24","92.8","942.79","percent of total billed charges",,
"CT AH A/P W/O CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Alliant","Health Exchange","TC",,"62",,"638.65","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/O CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"556.24","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/O CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Medicare",,"TC",,"54",,"558.3","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/O CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Humana","Medicare Advantage","TC",,"54",,"558.3","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/O CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","UHC","Medicare Advantage","TC",,"54",,"558.3","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/O CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Clover","Medicare Advantage","TC",,"54",,"558.3","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/O CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Wellcare","Medicare Advantage","TC",,"54",,"558.3","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/O CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Amerigroup","Medicaid Managed Care","TC",,"37",,"377.01","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/O CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Caresource","Medicaid Managed Care","TC",,"40",,"412.03","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/O CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Wellcare","Medicaid Managed Care","TC",,"40",,"417.18","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/O CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Aetna","Commercial","TC",,"64",,"657.19","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/O CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Blue Cross Blue Shield","Pathways","TC",,"71",,"727.24","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/O CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Blue Cross Blue Shield","HMO","TC",,"71",,"727.24","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/O CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Blue Cross Blue Shield","PPO","TC",,"71",,"727.24","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/O CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Ambetter","Health Exchange","TC",,"62",,"638.65","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/O CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Caresource","Health Exchange","TC",,"62",,"638.65","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/O CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Cigna","Commercial","TC",,"59",,"603.63","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/O CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Humana","Commercial","TC",,"78",,"798.31","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/O CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","UHC","Commercial","TC",,"75",,"776.68","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/O CONTRAST","74176","HCPCS","Both",,,"1030.08","515.04","Medicaid",,"TC",,"37",,"377.01","89.17","798.31","percent of total billed charges",,
"CT AH ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"807","403.5","Alliant","Health Exchange","TC",,"62",,"500.34","89.54","625.43","percent of total billed charges",,
"CT AH ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"807","403.5","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"435.78","89.54","625.43","percent of total billed charges",,
"CT AH ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"807","403.5","Medicare",,"TC",,"54",,"437.39","89.54","625.43","percent of total billed charges",,
"CT AH ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"807","403.5","Humana","Medicare Advantage","TC",,"54",,"437.39","89.54","625.43","percent of total billed charges",,
"CT AH ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"807","403.5","UHC","Medicare Advantage","TC",,"54",,"437.39","89.54","625.43","percent of total billed charges",,
"CT AH ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"807","403.5","Clover","Medicare Advantage","TC",,"54",,"437.39","89.54","625.43","percent of total billed charges",,
"CT AH ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"807","403.5","Wellcare","Medicare Advantage","TC",,"54",,"437.39","89.54","625.43","percent of total billed charges",,
"CT AH ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"807","403.5","Amerigroup","Medicaid Managed Care","TC",,"37",,"295.36","89.54","625.43","percent of total billed charges",,
"CT AH ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"807","403.5","Caresource","Medicaid Managed Care","TC",,"40",,"322.8","89.54","625.43","percent of total billed charges",,
"CT AH ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"807","403.5","Wellcare","Medicaid Managed Care","TC",,"40",,"326.84","89.54","625.43","percent of total billed charges",,
"CT AH ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"807","403.5","Aetna","Commercial","TC",,"64",,"514.87","89.54","625.43","percent of total billed charges",,
"CT AH ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"807","403.5","Blue Cross Blue Shield","Pathways","TC",,"71",,"569.74","89.54","625.43","percent of total billed charges",,
"CT AH ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"807","403.5","Blue Cross Blue Shield","HMO","TC",,"71",,"569.74","89.54","625.43","percent of total billed charges",,
"CT AH ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"807","403.5","Blue Cross Blue Shield","PPO","TC",,"71",,"569.74","89.54","625.43","percent of total billed charges",,
"CT AH ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"807","403.5","Ambetter","Health Exchange","TC",,"62",,"500.34","89.54","625.43","percent of total billed charges",,
"CT AH ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"807","403.5","Caresource","Health Exchange","TC",,"62",,"500.34","89.54","625.43","percent of total billed charges",,
"CT AH ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"807","403.5","Cigna","Commercial","TC",,"59",,"472.9","89.54","625.43","percent of total billed charges",,
"CT AH ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"807","403.5","Humana","Commercial","TC",,"78",,"625.43","89.54","625.43","percent of total billed charges",,
"CT AH ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"807","403.5","UHC","Commercial","TC",,"75",,"608.48","89.54","625.43","percent of total billed charges",,
"CT AH ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"807","403.5","Medicaid",,"TC",,"37",,"295.36","89.54","625.43","percent of total billed charges",,
"CT AH ANGIOGRAPHY ABD AORTA & BILAT ILI","75635","HCPCS","Both",,,"357","178.5","Alliant","Health Exchange","TC",,"62",,"221.34","120.38","276.68","percent of total billed charges",,
"CT AH ANGIOGRAPHY ABD AORTA & BILAT ILI","75635","HCPCS","Both",,,"357","178.5","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"192.78","120.38","276.68","percent of total billed charges",,
"CT AH ANGIOGRAPHY ABD AORTA & BILAT ILI","75635","HCPCS","Both",,,"357","178.5","Medicare",,"TC",,"54",,"193.49","120.38","276.68","percent of total billed charges",,
"CT AH ANGIOGRAPHY ABD AORTA & BILAT ILI","75635","HCPCS","Both",,,"357","178.5","Humana","Medicare Advantage","TC",,"54",,"193.49","120.38","276.68","percent of total billed charges",,
"CT AH ANGIOGRAPHY ABD AORTA & BILAT ILI","75635","HCPCS","Both",,,"357","178.5","UHC","Medicare Advantage","TC",,"54",,"193.49","120.38","276.68","percent of total billed charges",,
"CT AH ANGIOGRAPHY ABD AORTA & BILAT ILI","75635","HCPCS","Both",,,"357","178.5","Clover","Medicare Advantage","TC",,"54",,"193.49","120.38","276.68","percent of total billed charges",,
"CT AH ANGIOGRAPHY ABD AORTA & BILAT ILI","75635","HCPCS","Both",,,"357","178.5","Wellcare","Medicare Advantage","TC",,"54",,"193.49","120.38","276.68","percent of total billed charges",,
"CT AH ANGIOGRAPHY ABD AORTA & BILAT ILI","75635","HCPCS","Both",,,"357","178.5","Amerigroup","Medicaid Managed Care","TC",,"37",,"130.66","120.38","276.68","percent of total billed charges",,
"CT AH ANGIOGRAPHY ABD AORTA & BILAT ILI","75635","HCPCS","Both",,,"357","178.5","Caresource","Medicaid Managed Care","TC",,"40",,"142.8","120.38","276.68","percent of total billed charges",,
"CT AH ANGIOGRAPHY ABD AORTA & BILAT ILI","75635","HCPCS","Both",,,"357","178.5","Wellcare","Medicaid Managed Care","TC",,"40",,"144.58","120.38","276.68","percent of total billed charges",,
"CT AH ANGIOGRAPHY ABD AORTA & BILAT ILI","75635","HCPCS","Both",,,"357","178.5","Aetna","Commercial","TC",,"64",,"227.77","120.38","276.68","percent of total billed charges",,
"CT AH ANGIOGRAPHY ABD AORTA & BILAT ILI","75635","HCPCS","Both",,,"357","178.5","Blue Cross Blue Shield","Pathways","TC",,"71",,"252.04","120.38","276.68","percent of total billed charges",,
"CT AH ANGIOGRAPHY ABD AORTA & BILAT ILI","75635","HCPCS","Both",,,"357","178.5","Blue Cross Blue Shield","HMO","TC",,"71",,"252.04","120.38","276.68","percent of total billed charges",,
"CT AH ANGIOGRAPHY ABD AORTA & BILAT ILI","75635","HCPCS","Both",,,"357","178.5","Blue Cross Blue Shield","PPO","TC",,"71",,"252.04","120.38","276.68","percent of total billed charges",,
"CT AH ANGIOGRAPHY ABD AORTA & BILAT ILI","75635","HCPCS","Both",,,"357","178.5","Ambetter","Health Exchange","TC",,"62",,"221.34","120.38","276.68","percent of total billed charges",,
"CT AH ANGIOGRAPHY ABD AORTA & BILAT ILI","75635","HCPCS","Both",,,"357","178.5","Caresource","Health Exchange","TC",,"62",,"221.34","120.38","276.68","percent of total billed charges",,
"CT AH ANGIOGRAPHY ABD AORTA & BILAT ILI","75635","HCPCS","Both",,,"357","178.5","Cigna","Commercial","TC",,"59",,"209.2","120.38","276.68","percent of total billed charges",,
"CT AH ANGIOGRAPHY ABD AORTA & BILAT ILI","75635","HCPCS","Both",,,"357","178.5","Humana","Commercial","TC",,"78",,"276.68","120.38","276.68","percent of total billed charges",,
"CT AH ANGIOGRAPHY ABD AORTA & BILAT ILI","75635","HCPCS","Both",,,"357","178.5","UHC","Commercial","TC",,"75",,"269.18","120.38","276.68","percent of total billed charges",,
"CT AH ANGIOGRAPHY ABD AORTA & BILAT ILI","75635","HCPCS","Both",,,"357","178.5","Medicaid",,"TC",,"37",,"130.66","120.38","276.68","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Alliant","Health Exchange","TC",,"62",,"752.99","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"655.83","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Medicare",,"TC",,"54",,"658.26","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Humana","Medicare Advantage","TC",,"54",,"658.26","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","UHC","Medicare Advantage","TC",,"54",,"658.26","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Clover","Medicare Advantage","TC",,"54",,"658.26","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Wellcare","Medicare Advantage","TC",,"54",,"658.26","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Amerigroup","Medicaid Managed Care","TC",,"37",,"444.51","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Caresource","Medicaid Managed Care","TC",,"40",,"485.8","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Wellcare","Medicaid Managed Care","TC",,"40",,"491.87","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Aetna","Commercial","TC",,"64",,"774.85","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Blue Cross Blue Shield","Pathways","TC",,"71",,"857.44","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Blue Cross Blue Shield","HMO","TC",,"71",,"857.44","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Blue Cross Blue Shield","PPO","TC",,"71",,"857.44","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Ambetter","Health Exchange","TC",,"62",,"752.99","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Caresource","Health Exchange","TC",,"62",,"752.99","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Cigna","Commercial","TC",,"59",,"711.7","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Humana","Commercial","TC",,"78",,"941.24","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","UHC","Commercial","TC",,"75",,"915.73","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Medicaid",,"TC",,"37",,"444.51","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 2 OR 3 VWS","72100","HCPCS","Both",,,"646","323","Alliant","Health Exchange","TC",,"62",,"400.52","11.52","780.18","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 2 OR 3 VWS","72100","HCPCS","Both",,,"646","323","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"348.84","11.52","780.18","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 2 OR 3 VWS","72100","HCPCS","Both",,,"646","323","Medicare",,"TC",,"54",,"350.13","11.52","780.18","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 2 OR 3 VWS","72100","HCPCS","Both",,,"646","323","Humana","Medicare Advantage","TC",,"54",,"350.13","11.52","780.18","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 2 OR 3 VWS","72100","HCPCS","Both",,,"646","323","UHC","Medicare Advantage","TC",,"54",,"350.13","11.52","780.18","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 2 OR 3 VWS","72100","HCPCS","Both",,,"646","323","Clover","Medicare Advantage","TC",,"54",,"350.13","11.52","780.18","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 2 OR 3 VWS","72100","HCPCS","Both",,,"646","323","Wellcare","Medicare Advantage","TC",,"54",,"350.13","11.52","780.18","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 2 OR 3 VWS","72100","HCPCS","Both",,,"646","323","Amerigroup","Medicaid Managed Care","TC",,"37",,"236.44","11.52","780.18","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 2 OR 3 VWS","72100","HCPCS","Both",,,"646","323","Caresource","Medicaid Managed Care","TC",,"40",,"258.4","11.52","780.18","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 2 OR 3 VWS","72100","HCPCS","Both",,,"646","323","Wellcare","Medicaid Managed Care","TC",,"40",,"261.63","11.52","780.18","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 2 OR 3 VWS","72100","HCPCS","Both",,,"646","323","Aetna","Commercial","TC",,"64",,"412.15","11.52","780.18","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 2 OR 3 VWS","72100","HCPCS","Both",,,"646","323","Blue Cross Blue Shield","Pathways","TC",,"71",,"456.08","11.52","780.18","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 2 OR 3 VWS","72100","HCPCS","Both",,,"646","323","Blue Cross Blue Shield","HMO","TC",,"71",,"456.08","11.52","780.18","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 2 OR 3 VWS","72100","HCPCS","Both",,,"646","323","Blue Cross Blue Shield","PPO","TC",,"71",,"456.08","11.52","780.18","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 2 OR 3 VWS","72100","HCPCS","Both",,,"646","323","Ambetter","Health Exchange","TC",,"62",,"400.52","11.52","780.18","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 2 OR 3 VWS","72100","HCPCS","Both",,,"646","323","Caresource","Health Exchange","TC",,"62",,"400.52","11.52","780.18","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 2 OR 3 VWS","72100","HCPCS","Both",,,"646","323","Cigna","Commercial","TC",,"59",,"378.56","11.52","780.18","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 2 OR 3 VWS","72100","HCPCS","Both",,,"646","323","Humana","Commercial","TC",,"78",,"500.65","11.52","780.18","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 2 OR 3 VWS","72100","HCPCS","Both",,,"646","323","UHC","Commercial","TC",,"75",,"487.08","11.52","780.18","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 2 OR 3 VWS","72100","HCPCS","Both",,,"646","323","Medicaid",,"TC",,"37",,"236.44","11.52","780.18","percent of total billed charges",,
"XR SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"36","18","Alliant","Health Exchange","TC",,"62",,"22.32","11.52","27.9","percent of total billed charges",,
"XR SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"19.44","11.52","27.9","percent of total billed charges",,
"XR SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"36","18","Medicare",,"TC",,"54",,"19.51","11.52","27.9","percent of total billed charges",,
"XR SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"36","18","Humana","Medicare Advantage","TC",,"54",,"19.51","11.52","27.9","percent of total billed charges",,
"XR SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"36","18","UHC","Medicare Advantage","TC",,"54",,"19.51","11.52","27.9","percent of total billed charges",,
"XR SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"36","18","Clover","Medicare Advantage","TC",,"54",,"19.51","11.52","27.9","percent of total billed charges",,
"XR SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"36","18","Wellcare","Medicare Advantage","TC",,"54",,"19.51","11.52","27.9","percent of total billed charges",,
"XR SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"36","18","Amerigroup","Medicaid Managed Care","TC",,"37",,"13.18","11.52","27.9","percent of total billed charges",,
"XR SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"36","18","Caresource","Medicaid Managed Care","TC",,"40",,"14.4","11.52","27.9","percent of total billed charges",,
"XR SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"36","18","Wellcare","Medicaid Managed Care","TC",,"40",,"14.58","11.52","27.9","percent of total billed charges",,
"XR SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"36","18","Aetna","Commercial","TC",,"64",,"22.97","11.52","27.9","percent of total billed charges",,
"XR SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"36","18","Blue Cross Blue Shield","Pathways","TC",,"71",,"25.42","11.52","27.9","percent of total billed charges",,
"XR SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"36","18","Blue Cross Blue Shield","HMO","TC",,"71",,"25.42","11.52","27.9","percent of total billed charges",,
"XR SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"36","18","Blue Cross Blue Shield","PPO","TC",,"71",,"25.42","11.52","27.9","percent of total billed charges",,
"XR SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"36","18","Ambetter","Health Exchange","TC",,"62",,"22.32","11.52","27.9","percent of total billed charges",,
"XR SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"36","18","Caresource","Health Exchange","TC",,"62",,"22.32","11.52","27.9","percent of total billed charges",,
"XR SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"36","18","Cigna","Commercial","TC",,"59",,"21.1","11.52","27.9","percent of total billed charges",,
"XR SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"36","18","Humana","Commercial","TC",,"78",,"27.9","11.52","27.9","percent of total billed charges",,
"XR SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"36","18","UHC","Commercial","TC",,"75",,"27.14","11.52","27.9","percent of total billed charges",,
"XR SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"36","18","Medicaid",,"TC",,"37",,"13.18","11.52","27.9","percent of total billed charges",,
"XR AH FINGERS MIN 2 VWS","73140","HCPCS","Both",,,"276.5","138.25","Alliant","Health Exchange","TC",,"62",,"171.43","7.18","364.29","percent of total billed charges",,
"XR AH FINGERS MIN 2 VWS","73140","HCPCS","Both",,,"276.5","138.25","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"149.31","7.18","364.29","percent of total billed charges",,
"XR AH FINGERS MIN 2 VWS","73140","HCPCS","Both",,,"276.5","138.25","Medicare",,"TC",,"54",,"149.86","7.18","364.29","percent of total billed charges",,
"XR AH FINGERS MIN 2 VWS","73140","HCPCS","Both",,,"276.5","138.25","Humana","Medicare Advantage","TC",,"54",,"149.86","7.18","364.29","percent of total billed charges",,
"XR AH FINGERS MIN 2 VWS","73140","HCPCS","Both",,,"276.5","138.25","UHC","Medicare Advantage","TC",,"54",,"149.86","7.18","364.29","percent of total billed charges",,
"XR AH FINGERS MIN 2 VWS","73140","HCPCS","Both",,,"276.5","138.25","Clover","Medicare Advantage","TC",,"54",,"149.86","7.18","364.29","percent of total billed charges",,
"XR AH FINGERS MIN 2 VWS","73140","HCPCS","Both",,,"276.5","138.25","Wellcare","Medicare Advantage","TC",,"54",,"149.86","7.18","364.29","percent of total billed charges",,
"XR AH FINGERS MIN 2 VWS","73140","HCPCS","Both",,,"276.5","138.25","Amerigroup","Medicaid Managed Care","TC",,"37",,"101.2","7.18","364.29","percent of total billed charges",,
"XR AH FINGERS MIN 2 VWS","73140","HCPCS","Both",,,"276.5","138.25","Caresource","Medicaid Managed Care","TC",,"40",,"110.6","7.18","364.29","percent of total billed charges",,
"XR AH FINGERS MIN 2 VWS","73140","HCPCS","Both",,,"276.5","138.25","Wellcare","Medicaid Managed Care","TC",,"40",,"111.98","7.18","364.29","percent of total billed charges",,
"XR AH FINGERS MIN 2 VWS","73140","HCPCS","Both",,,"276.5","138.25","Aetna","Commercial","TC",,"64",,"176.41","7.18","364.29","percent of total billed charges",,
"XR AH FINGERS MIN 2 VWS","73140","HCPCS","Both",,,"276.5","138.25","Blue Cross Blue Shield","Pathways","TC",,"71",,"195.21","7.18","364.29","percent of total billed charges",,
"XR AH FINGERS MIN 2 VWS","73140","HCPCS","Both",,,"276.5","138.25","Blue Cross Blue Shield","HMO","TC",,"71",,"195.21","7.18","364.29","percent of total billed charges",,
"XR AH FINGERS MIN 2 VWS","73140","HCPCS","Both",,,"276.5","138.25","Blue Cross Blue Shield","PPO","TC",,"71",,"195.21","7.18","364.29","percent of total billed charges",,
"XR AH FINGERS MIN 2 VWS","73140","HCPCS","Both",,,"276.5","138.25","Ambetter","Health Exchange","TC",,"62",,"171.43","7.18","364.29","percent of total billed charges",,
"XR AH FINGERS MIN 2 VWS","73140","HCPCS","Both",,,"276.5","138.25","Caresource","Health Exchange","TC",,"62",,"171.43","7.18","364.29","percent of total billed charges",,
"XR AH FINGERS MIN 2 VWS","73140","HCPCS","Both",,,"276.5","138.25","Cigna","Commercial","TC",,"59",,"162.03","7.18","364.29","percent of total billed charges",,
"XR AH FINGERS MIN 2 VWS","73140","HCPCS","Both",,,"276.5","138.25","Humana","Commercial","TC",,"78",,"214.29","7.18","364.29","percent of total billed charges",,
"XR AH FINGERS MIN 2 VWS","73140","HCPCS","Both",,,"276.5","138.25","UHC","Commercial","TC",,"75",,"208.48","7.18","364.29","percent of total billed charges",,
"XR AH FINGERS MIN 2 VWS","73140","HCPCS","Both",,,"276.5","138.25","Medicaid",,"TC",,"37",,"101.2","7.18","364.29","percent of total billed charges",,
"XR AH WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"701.5","350.75","Alliant","Health Exchange","LT,TC",,"62",,"434.93","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"701.5","350.75","Pruitt Healthcare","Medicare Advantage","LT,TC",,"54",,"378.81","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"701.5","350.75","Medicare",,"LT,TC",,"54",,"380.21","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"701.5","350.75","Humana","Medicare Advantage","LT,TC",,"54",,"380.21","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"701.5","350.75","UHC","Medicare Advantage","LT,TC",,"54",,"380.21","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"701.5","350.75","Clover","Medicare Advantage","LT,TC",,"54",,"380.21","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"701.5","350.75","Wellcare","Medicare Advantage","LT,TC",,"54",,"380.21","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"701.5","350.75","Amerigroup","Medicaid Managed Care","LT,TC",,"37",,"256.75","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"701.5","350.75","Caresource","Medicaid Managed Care","LT,TC",,"40",,"280.6","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"701.5","350.75","Wellcare","Medicaid Managed Care","LT,TC",,"40",,"284.11","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"701.5","350.75","Aetna","Commercial","LT,TC",,"64",,"447.56","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"701.5","350.75","Blue Cross Blue Shield","Pathways","LT,TC",,"71",,"495.26","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"701.5","350.75","Blue Cross Blue Shield","HMO","LT,TC",,"71",,"495.26","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"701.5","350.75","Blue Cross Blue Shield","PPO","LT,TC",,"71",,"495.26","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"701.5","350.75","Ambetter","Health Exchange","LT,TC",,"62",,"434.93","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"701.5","350.75","Caresource","Health Exchange","LT,TC",,"62",,"434.93","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"701.5","350.75","Cigna","Commercial","LT,TC",,"59",,"411.08","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"701.5","350.75","Humana","Commercial","LT,TC",,"78",,"543.66","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"701.5","350.75","UHC","Commercial","LT,TC",,"75",,"528.93","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"701.5","350.75","Medicaid",,"LT,TC",,"37",,"256.75","9","543.66","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"643.5","321.75","Alliant","Health Exchange","LT,TC",,"62",,"398.97","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"643.5","321.75","Pruitt Healthcare","Medicare Advantage","LT,TC",,"54",,"347.49","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"643.5","321.75","Medicare",,"LT,TC",,"54",,"348.78","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"643.5","321.75","Humana","Medicare Advantage","LT,TC",,"54",,"348.78","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"643.5","321.75","UHC","Medicare Advantage","LT,TC",,"54",,"348.78","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"643.5","321.75","Clover","Medicare Advantage","LT,TC",,"54",,"348.78","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"643.5","321.75","Wellcare","Medicare Advantage","LT,TC",,"54",,"348.78","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"643.5","321.75","Amerigroup","Medicaid Managed Care","LT,TC",,"37",,"235.52","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"643.5","321.75","Caresource","Medicaid Managed Care","LT,TC",,"40",,"257.4","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"643.5","321.75","Wellcare","Medicaid Managed Care","LT,TC",,"40",,"260.62","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"643.5","321.75","Aetna","Commercial","LT,TC",,"64",,"410.55","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"643.5","321.75","Blue Cross Blue Shield","Pathways","LT,TC",,"71",,"454.31","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"643.5","321.75","Blue Cross Blue Shield","HMO","LT,TC",,"71",,"454.31","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"643.5","321.75","Blue Cross Blue Shield","PPO","LT,TC",,"71",,"454.31","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"643.5","321.75","Ambetter","Health Exchange","LT,TC",,"62",,"398.97","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"643.5","321.75","Caresource","Health Exchange","LT,TC",,"62",,"398.97","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"643.5","321.75","Cigna","Commercial","LT,TC",,"59",,"377.09","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"643.5","321.75","Humana","Commercial","LT,TC",,"78",,"498.71","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"643.5","321.75","UHC","Commercial","LT,TC",,"75",,"485.2","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"643.5","321.75","Medicaid",,"LT,TC",,"37",,"235.52","8.3","566.58","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"365","182.5","Alliant","Health Exchange","LT,TC",,"62",,"226.3","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"365","182.5","Pruitt Healthcare","Medicare Advantage","LT,TC",,"54",,"197.1","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"365","182.5","Medicare",,"LT,TC",,"54",,"197.83","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"365","182.5","Humana","Medicare Advantage","LT,TC",,"54",,"197.83","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"365","182.5","UHC","Medicare Advantage","LT,TC",,"54",,"197.83","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"365","182.5","Clover","Medicare Advantage","LT,TC",,"54",,"197.83","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"365","182.5","Wellcare","Medicare Advantage","LT,TC",,"54",,"197.83","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"365","182.5","Amerigroup","Medicaid Managed Care","LT,TC",,"37",,"133.59","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"365","182.5","Caresource","Medicaid Managed Care","LT,TC",,"40",,"146","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"365","182.5","Wellcare","Medicaid Managed Care","LT,TC",,"40",,"147.83","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"365","182.5","Aetna","Commercial","LT,TC",,"64",,"232.87","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"365","182.5","Blue Cross Blue Shield","Pathways","LT,TC",,"71",,"257.69","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"365","182.5","Blue Cross Blue Shield","HMO","LT,TC",,"71",,"257.69","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"365","182.5","Blue Cross Blue Shield","PPO","LT,TC",,"71",,"257.69","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"365","182.5","Ambetter","Health Exchange","LT,TC",,"62",,"226.3","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"365","182.5","Caresource","Health Exchange","LT,TC",,"62",,"226.3","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"365","182.5","Cigna","Commercial","LT,TC",,"59",,"213.89","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"365","182.5","Humana","Commercial","LT,TC",,"78",,"282.88","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"365","182.5","UHC","Commercial","LT,TC",,"75",,"275.21","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"365","182.5","Medicaid",,"LT,TC",,"37",,"133.59","9","480.89","percent of total billed charges",,
"XR AH HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Alliant","Health Exchange","LT,TC",,"62",,"159.65","8.63","199.56","percent of total billed charges",,
"XR AH HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Pruitt Healthcare","Medicare Advantage","LT,TC",,"54",,"139.05","8.63","199.56","percent of total billed charges",,
"XR AH HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Medicare",,"LT,TC",,"54",,"139.56","8.63","199.56","percent of total billed charges",,
"XR AH HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Humana","Medicare Advantage","LT,TC",,"54",,"139.56","8.63","199.56","percent of total billed charges",,
"XR AH HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","UHC","Medicare Advantage","LT,TC",,"54",,"139.56","8.63","199.56","percent of total billed charges",,
"XR AH HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Clover","Medicare Advantage","LT,TC",,"54",,"139.56","8.63","199.56","percent of total billed charges",,
"XR AH HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Wellcare","Medicare Advantage","LT,TC",,"54",,"139.56","8.63","199.56","percent of total billed charges",,
"XR AH HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Amerigroup","Medicaid Managed Care","LT,TC",,"37",,"94.24","8.63","199.56","percent of total billed charges",,
"XR AH HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Caresource","Medicaid Managed Care","LT,TC",,"40",,"103","8.63","199.56","percent of total billed charges",,
"XR AH HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Wellcare","Medicaid Managed Care","LT,TC",,"40",,"104.29","8.63","199.56","percent of total billed charges",,
"XR AH HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Aetna","Commercial","LT,TC",,"64",,"164.28","8.63","199.56","percent of total billed charges",,
"XR AH HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Blue Cross Blue Shield","Pathways","LT,TC",,"71",,"181.8","8.63","199.56","percent of total billed charges",,
"XR AH HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Blue Cross Blue Shield","HMO","LT,TC",,"71",,"181.8","8.63","199.56","percent of total billed charges",,
"XR AH HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Blue Cross Blue Shield","PPO","LT,TC",,"71",,"181.8","8.63","199.56","percent of total billed charges",,
"XR AH HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Ambetter","Health Exchange","LT,TC",,"62",,"159.65","8.63","199.56","percent of total billed charges",,
"XR AH HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Caresource","Health Exchange","LT,TC",,"62",,"159.65","8.63","199.56","percent of total billed charges",,
"XR AH HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Cigna","Commercial","LT,TC",,"59",,"150.89","8.63","199.56","percent of total billed charges",,
"XR AH HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Humana","Commercial","LT,TC",,"78",,"199.56","8.63","199.56","percent of total billed charges",,
"XR AH HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","UHC","Commercial","LT,TC",,"75",,"194.16","8.63","199.56","percent of total billed charges",,
"XR AH HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Medicaid",,"LT,TC",,"37",,"94.24","8.63","199.56","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"797.34","398.67","Alliant","Health Exchange","LT,TC",,"62",,"494.35","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"797.34","398.67","Pruitt Healthcare","Medicare Advantage","LT,TC",,"54",,"430.56","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"797.34","398.67","Medicare",,"LT,TC",,"54",,"432.16","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"797.34","398.67","Humana","Medicare Advantage","LT,TC",,"54",,"432.16","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"797.34","398.67","UHC","Medicare Advantage","LT,TC",,"54",,"432.16","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"797.34","398.67","Clover","Medicare Advantage","LT,TC",,"54",,"432.16","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"797.34","398.67","Wellcare","Medicare Advantage","LT,TC",,"54",,"432.16","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"797.34","398.67","Amerigroup","Medicaid Managed Care","LT,TC",,"37",,"291.83","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"797.34","398.67","Caresource","Medicaid Managed Care","LT,TC",,"40",,"318.94","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"797.34","398.67","Wellcare","Medicaid Managed Care","LT,TC",,"40",,"322.92","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"797.34","398.67","Aetna","Commercial","LT,TC",,"64",,"508.7","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"797.34","398.67","Blue Cross Blue Shield","Pathways","LT,TC",,"71",,"562.92","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"797.34","398.67","Blue Cross Blue Shield","HMO","LT,TC",,"71",,"562.92","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"797.34","398.67","Blue Cross Blue Shield","PPO","LT,TC",,"71",,"562.92","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"797.34","398.67","Ambetter","Health Exchange","LT,TC",,"62",,"494.35","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"797.34","398.67","Caresource","Health Exchange","LT,TC",,"62",,"494.35","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"797.34","398.67","Cigna","Commercial","LT,TC",,"59",,"467.24","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"797.34","398.67","Humana","Commercial","LT,TC",,"78",,"617.94","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"797.34","398.67","UHC","Commercial","LT,TC",,"75",,"601.19","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"797.34","398.67","Medicaid",,"LT,TC",,"37",,"291.83","9.7","617.94","percent of total billed charges",,
"XR AH SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"153","76.5","Alliant","Health Exchange","LT,TC",,"62",,"94.86","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"153","76.5","Pruitt Healthcare","Medicare Advantage","LT,TC",,"54",,"82.62","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"153","76.5","Medicare",,"LT,TC",,"54",,"82.93","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"153","76.5","Humana","Medicare Advantage","LT,TC",,"54",,"82.93","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"153","76.5","UHC","Medicare Advantage","LT,TC",,"54",,"82.93","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"153","76.5","Clover","Medicare Advantage","LT,TC",,"54",,"82.93","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"153","76.5","Wellcare","Medicare Advantage","LT,TC",,"54",,"82.93","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"153","76.5","Amerigroup","Medicaid Managed Care","LT,TC",,"37",,"56","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"153","76.5","Caresource","Medicaid Managed Care","LT,TC",,"40",,"61.2","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"153","76.5","Wellcare","Medicaid Managed Care","LT,TC",,"40",,"61.96","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"153","76.5","Aetna","Commercial","LT,TC",,"64",,"97.61","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"153","76.5","Blue Cross Blue Shield","Pathways","LT,TC",,"71",,"108.02","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"153","76.5","Blue Cross Blue Shield","HMO","LT,TC",,"71",,"108.02","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"153","76.5","Blue Cross Blue Shield","PPO","LT,TC",,"71",,"108.02","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"153","76.5","Ambetter","Health Exchange","LT,TC",,"62",,"94.86","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"153","76.5","Caresource","Health Exchange","LT,TC",,"62",,"94.86","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"153","76.5","Cigna","Commercial","LT,TC",,"59",,"89.66","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"153","76.5","Humana","Commercial","LT,TC",,"78",,"118.58","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"153","76.5","UHC","Commercial","LT,TC",,"75",,"115.36","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"153","76.5","Medicaid",,"LT,TC",,"37",,"56","9.32","118.58","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"101","50.5","Alliant","Health Exchange","LT,TC",,"62",,"62.62","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"101","50.5","Pruitt Healthcare","Medicare Advantage","LT,TC",,"54",,"54.54","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"101","50.5","Medicare",,"LT,TC",,"54",,"54.74","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"101","50.5","Humana","Medicare Advantage","LT,TC",,"54",,"54.74","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"101","50.5","UHC","Medicare Advantage","LT,TC",,"54",,"54.74","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"101","50.5","Clover","Medicare Advantage","LT,TC",,"54",,"54.74","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"101","50.5","Wellcare","Medicare Advantage","LT,TC",,"54",,"54.74","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"101","50.5","Amerigroup","Medicaid Managed Care","LT,TC",,"37",,"36.97","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"101","50.5","Caresource","Medicaid Managed Care","LT,TC",,"40",,"40.4","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"101","50.5","Wellcare","Medicaid Managed Care","LT,TC",,"40",,"40.9","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"101","50.5","Aetna","Commercial","LT,TC",,"64",,"64.44","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","Pathways","LT,TC",,"71",,"71.31","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","HMO","LT,TC",,"71",,"71.31","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","PPO","LT,TC",,"71",,"71.31","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"101","50.5","Ambetter","Health Exchange","LT,TC",,"62",,"62.62","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"101","50.5","Caresource","Health Exchange","LT,TC",,"62",,"62.62","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"101","50.5","Cigna","Commercial","LT,TC",,"59",,"59.19","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"101","50.5","Humana","Commercial","LT,TC",,"78",,"78.28","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"101","50.5","UHC","Commercial","LT,TC",,"75",,"76.15","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"101","50.5","Medicaid",,"LT,TC",,"37",,"36.97","8.63","78.28","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"701.5","350.75","Alliant","Health Exchange","LT,TC",,"62",,"434.93","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"701.5","350.75","Pruitt Healthcare","Medicare Advantage","LT,TC",,"54",,"378.81","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"701.5","350.75","Medicare",,"LT,TC",,"54",,"380.21","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"701.5","350.75","Humana","Medicare Advantage","LT,TC",,"54",,"380.21","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"701.5","350.75","UHC","Medicare Advantage","LT,TC",,"54",,"380.21","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"701.5","350.75","Clover","Medicare Advantage","LT,TC",,"54",,"380.21","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"701.5","350.75","Wellcare","Medicare Advantage","LT,TC",,"54",,"380.21","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"701.5","350.75","Amerigroup","Medicaid Managed Care","LT,TC",,"37",,"256.75","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"701.5","350.75","Caresource","Medicaid Managed Care","LT,TC",,"40",,"280.6","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"701.5","350.75","Wellcare","Medicaid Managed Care","LT,TC",,"40",,"284.11","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"701.5","350.75","Aetna","Commercial","LT,TC",,"64",,"447.56","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"701.5","350.75","Blue Cross Blue Shield","Pathways","LT,TC",,"71",,"495.26","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"701.5","350.75","Blue Cross Blue Shield","HMO","LT,TC",,"71",,"495.26","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"701.5","350.75","Blue Cross Blue Shield","PPO","LT,TC",,"71",,"495.26","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"701.5","350.75","Ambetter","Health Exchange","LT,TC",,"62",,"434.93","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"701.5","350.75","Caresource","Health Exchange","LT,TC",,"62",,"434.93","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"701.5","350.75","Cigna","Commercial","LT,TC",,"59",,"411.08","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"701.5","350.75","Humana","Commercial","LT,TC",,"78",,"543.66","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"701.5","350.75","UHC","Commercial","LT,TC",,"75",,"528.93","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"701.5","350.75","Medicaid",,"LT,TC",,"37",,"256.75","8.67","569.66","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Alliant","Health Exchange","LT,TC",,"62",,"163.99","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Pruitt Healthcare","Medicare Advantage","LT,TC",,"54",,"142.83","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Medicare",,"LT,TC",,"54",,"143.36","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Humana","Medicare Advantage","LT,TC",,"54",,"143.36","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","UHC","Medicare Advantage","LT,TC",,"54",,"143.36","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Clover","Medicare Advantage","LT,TC",,"54",,"143.36","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Wellcare","Medicare Advantage","LT,TC",,"54",,"143.36","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Amerigroup","Medicaid Managed Care","LT,TC",,"37",,"96.81","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Caresource","Medicaid Managed Care","LT,TC",,"40",,"105.8","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Wellcare","Medicaid Managed Care","LT,TC",,"40",,"107.12","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Aetna","Commercial","LT,TC",,"64",,"168.75","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Blue Cross Blue Shield","Pathways","LT,TC",,"71",,"186.74","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Blue Cross Blue Shield","HMO","LT,TC",,"71",,"186.74","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Blue Cross Blue Shield","PPO","LT,TC",,"71",,"186.74","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Ambetter","Health Exchange","LT,TC",,"62",,"163.99","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Caresource","Health Exchange","LT,TC",,"62",,"163.99","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Cigna","Commercial","LT,TC",,"59",,"155","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Humana","Commercial","LT,TC",,"78",,"204.99","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","UHC","Commercial","LT,TC",,"75",,"199.43","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Medicaid",,"LT,TC",,"37",,"96.81","8.3","204.99","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"668","334","Alliant","Health Exchange","LT,TC",,"62",,"414.16","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"668","334","Pruitt Healthcare","Medicare Advantage","LT,TC",,"54",,"360.72","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"668","334","Medicare",,"LT,TC",,"54",,"362.06","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"668","334","Humana","Medicare Advantage","LT,TC",,"54",,"362.06","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"668","334","UHC","Medicare Advantage","LT,TC",,"54",,"362.06","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"668","334","Clover","Medicare Advantage","LT,TC",,"54",,"362.06","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"668","334","Wellcare","Medicare Advantage","LT,TC",,"54",,"362.06","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"668","334","Amerigroup","Medicaid Managed Care","LT,TC",,"37",,"244.49","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"668","334","Caresource","Medicaid Managed Care","LT,TC",,"40",,"267.2","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"668","334","Wellcare","Medicaid Managed Care","LT,TC",,"40",,"270.54","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"668","334","Aetna","Commercial","LT,TC",,"64",,"426.18","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"668","334","Blue Cross Blue Shield","Pathways","LT,TC",,"71",,"471.61","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"668","334","Blue Cross Blue Shield","HMO","LT,TC",,"71",,"471.61","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"668","334","Blue Cross Blue Shield","PPO","LT,TC",,"71",,"471.61","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"668","334","Ambetter","Health Exchange","LT,TC",,"62",,"414.16","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"668","334","Caresource","Health Exchange","LT,TC",,"62",,"414.16","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"668","334","Cigna","Commercial","LT,TC",,"59",,"391.45","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"668","334","Humana","Commercial","LT,TC",,"78",,"517.7","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"668","334","UHC","Commercial","LT,TC",,"75",,"503.67","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"668","334","Medicaid",,"LT,TC",,"37",,"244.49","9","598.26","percent of total billed charges",,
"XR AH TIBIA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"258.5","129.25","Alliant","Health Exchange","LT,TC",,"62",,"160.27","8.3","340.57","percent of total billed charges",,
"XR AH TIBIA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"258.5","129.25","Pruitt Healthcare","Medicare Advantage","LT,TC",,"54",,"139.59","8.3","340.57","percent of total billed charges",,
"XR AH TIBIA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"258.5","129.25","Medicare",,"LT,TC",,"54",,"140.11","8.3","340.57","percent of total billed charges",,
"XR AH TIBIA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"258.5","129.25","Humana","Medicare Advantage","LT,TC",,"54",,"140.11","8.3","340.57","percent of total billed charges",,
"XR AH TIBIA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"258.5","129.25","UHC","Medicare Advantage","LT,TC",,"54",,"140.11","8.3","340.57","percent of total billed charges",,
"XR AH TIBIA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"258.5","129.25","Clover","Medicare Advantage","LT,TC",,"54",,"140.11","8.3","340.57","percent of total billed charges",,
"XR AH TIBIA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"258.5","129.25","Wellcare","Medicare Advantage","LT,TC",,"54",,"140.11","8.3","340.57","percent of total billed charges",,
"XR AH TIBIA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"258.5","129.25","Amerigroup","Medicaid Managed Care","LT,TC",,"37",,"94.61","8.3","340.57","percent of total billed charges",,
"XR AH TIBIA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"258.5","129.25","Caresource","Medicaid Managed Care","LT,TC",,"40",,"103.4","8.3","340.57","percent of total billed charges",,
"XR AH TIBIA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"258.5","129.25","Wellcare","Medicaid Managed Care","LT,TC",,"40",,"104.69","8.3","340.57","percent of total billed charges",,
"XR AH TIBIA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"258.5","129.25","Aetna","Commercial","LT,TC",,"64",,"164.92","8.3","340.57","percent of total billed charges",,
"XR AH TIBIA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"258.5","129.25","Blue Cross Blue Shield","Pathways","LT,TC",,"71",,"182.5","8.3","340.57","percent of total billed charges",,
"XR AH TIBIA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"258.5","129.25","Blue Cross Blue Shield","HMO","LT,TC",,"71",,"182.5","8.3","340.57","percent of total billed charges",,
"XR AH TIBIA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"258.5","129.25","Blue Cross Blue Shield","PPO","LT,TC",,"71",,"182.5","8.3","340.57","percent of total billed charges",,
"XR AH TIBIA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"258.5","129.25","Ambetter","Health Exchange","LT,TC",,"62",,"160.27","8.3","340.57","percent of total billed charges",,
"XR AH TIBIA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"258.5","129.25","Caresource","Health Exchange","LT,TC",,"62",,"160.27","8.3","340.57","percent of total billed charges",,
"XR AH TIBIA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"258.5","129.25","Cigna","Commercial","LT,TC",,"59",,"151.48","8.3","340.57","percent of total billed charges",,
"XR AH TIBIA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"258.5","129.25","Humana","Commercial","LT,TC",,"78",,"200.34","8.3","340.57","percent of total billed charges",,
"XR AH TIBIA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"258.5","129.25","UHC","Commercial","LT,TC",,"75",,"194.91","8.3","340.57","percent of total billed charges",,
"XR AH TIBIA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"258.5","129.25","Medicaid",,"LT,TC",,"37",,"94.61","8.3","340.57","percent of total billed charges",,
"XR AH KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"722.5","361.25","Alliant","Health Exchange","LT,TC",,"62",,"447.95","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"722.5","361.25","Pruitt Healthcare","Medicare Advantage","LT,TC",,"54",,"390.15","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"722.5","361.25","Medicare",,"LT,TC",,"54",,"391.6","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"722.5","361.25","Humana","Medicare Advantage","LT,TC",,"54",,"391.6","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"722.5","361.25","UHC","Medicare Advantage","LT,TC",,"54",,"391.6","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"722.5","361.25","Clover","Medicare Advantage","LT,TC",,"54",,"391.6","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"722.5","361.25","Wellcare","Medicare Advantage","LT,TC",,"54",,"391.6","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"722.5","361.25","Amerigroup","Medicaid Managed Care","LT,TC",,"37",,"264.44","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"722.5","361.25","Caresource","Medicaid Managed Care","LT,TC",,"40",,"289","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"722.5","361.25","Wellcare","Medicaid Managed Care","LT,TC",,"40",,"292.61","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"722.5","361.25","Aetna","Commercial","LT,TC",,"64",,"460.96","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"722.5","361.25","Blue Cross Blue Shield","Pathways","LT,TC",,"71",,"510.08","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"722.5","361.25","Blue Cross Blue Shield","HMO","LT,TC",,"71",,"510.08","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"722.5","361.25","Blue Cross Blue Shield","PPO","LT,TC",,"71",,"510.08","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"722.5","361.25","Ambetter","Health Exchange","LT,TC",,"62",,"447.95","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"722.5","361.25","Caresource","Health Exchange","LT,TC",,"62",,"447.95","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"722.5","361.25","Cigna","Commercial","LT,TC",,"59",,"423.38","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"722.5","361.25","Humana","Commercial","LT,TC",,"78",,"559.94","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"722.5","361.25","UHC","Commercial","LT,TC",,"75",,"544.76","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"722.5","361.25","Medicaid",,"LT,TC",,"37",,"264.44","9.7","663.04","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"101","50.5","Alliant","Health Exchange","LT,TC",,"62",,"62.62","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"101","50.5","Pruitt Healthcare","Medicare Advantage","LT,TC",,"54",,"54.54","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"101","50.5","Medicare",,"LT,TC",,"54",,"54.74","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"101","50.5","Humana","Medicare Advantage","LT,TC",,"54",,"54.74","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"101","50.5","UHC","Medicare Advantage","LT,TC",,"54",,"54.74","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"101","50.5","Clover","Medicare Advantage","LT,TC",,"54",,"54.74","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"101","50.5","Wellcare","Medicare Advantage","LT,TC",,"54",,"54.74","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"101","50.5","Amerigroup","Medicaid Managed Care","LT,TC",,"37",,"36.97","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"101","50.5","Caresource","Medicaid Managed Care","LT,TC",,"40",,"40.4","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"101","50.5","Wellcare","Medicaid Managed Care","LT,TC",,"40",,"40.9","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"101","50.5","Aetna","Commercial","LT,TC",,"64",,"64.44","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","Pathways","LT,TC",,"71",,"71.31","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","HMO","LT,TC",,"71",,"71.31","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","PPO","LT,TC",,"71",,"71.31","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"101","50.5","Ambetter","Health Exchange","LT,TC",,"62",,"62.62","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"101","50.5","Caresource","Health Exchange","LT,TC",,"62",,"62.62","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"101","50.5","Cigna","Commercial","LT,TC",,"59",,"59.19","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"101","50.5","Humana","Commercial","LT,TC",,"78",,"78.28","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"101","50.5","UHC","Commercial","LT,TC",,"75",,"76.15","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"101","50.5","Medicaid",,"LT,TC",,"37",,"36.97","9.37","78.28","percent of total billed charges",,
"XR AH PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"109","54.5","Alliant","Health Exchange","TC",,"62",,"67.58","9","143.61","percent of total billed charges",,
"XR AH PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"109","54.5","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"58.86","9","143.61","percent of total billed charges",,
"XR AH PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"109","54.5","Medicare",,"TC",,"54",,"59.08","9","143.61","percent of total billed charges",,
"XR AH PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"109","54.5","Humana","Medicare Advantage","TC",,"54",,"59.08","9","143.61","percent of total billed charges",,
"XR AH PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"109","54.5","UHC","Medicare Advantage","TC",,"54",,"59.08","9","143.61","percent of total billed charges",,
"XR AH PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"109","54.5","Clover","Medicare Advantage","TC",,"54",,"59.08","9","143.61","percent of total billed charges",,
"XR AH PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"109","54.5","Wellcare","Medicare Advantage","TC",,"54",,"59.08","9","143.61","percent of total billed charges",,
"XR AH PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"109","54.5","Amerigroup","Medicaid Managed Care","TC",,"37",,"39.89","9","143.61","percent of total billed charges",,
"XR AH PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"109","54.5","Caresource","Medicaid Managed Care","TC",,"40",,"43.6","9","143.61","percent of total billed charges",,
"XR AH PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"109","54.5","Wellcare","Medicaid Managed Care","TC",,"40",,"44.14","9","143.61","percent of total billed charges",,
"XR AH PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"109","54.5","Aetna","Commercial","TC",,"64",,"69.54","9","143.61","percent of total billed charges",,
"XR AH PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"109","54.5","Blue Cross Blue Shield","Pathways","TC",,"71",,"76.95","9","143.61","percent of total billed charges",,
"XR AH PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"109","54.5","Blue Cross Blue Shield","HMO","TC",,"71",,"76.95","9","143.61","percent of total billed charges",,
"XR AH PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"109","54.5","Blue Cross Blue Shield","PPO","TC",,"71",,"76.95","9","143.61","percent of total billed charges",,
"XR AH PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"109","54.5","Ambetter","Health Exchange","TC",,"62",,"67.58","9","143.61","percent of total billed charges",,
"XR AH PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"109","54.5","Caresource","Health Exchange","TC",,"62",,"67.58","9","143.61","percent of total billed charges",,
"XR AH PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"109","54.5","Cigna","Commercial","TC",,"59",,"63.87","9","143.61","percent of total billed charges",,
"XR AH PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"109","54.5","Humana","Commercial","TC",,"78",,"84.48","9","143.61","percent of total billed charges",,
"XR AH PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"109","54.5","UHC","Commercial","TC",,"75",,"82.19","9","143.61","percent of total billed charges",,
"XR AH PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"109","54.5","Medicaid",,"TC",,"37",,"39.89","9","143.61","percent of total billed charges",,
"XR AH HIP UNILATERAL 2-3 VIEWS LEFT","73502","HCPCS","Both",,,"221.28","110.64","Alliant","Health Exchange","LT,TC",,"62",,"137.19","9","171.49","percent of total billed charges",,
"XR AH HIP UNILATERAL 2-3 VIEWS LEFT","73502","HCPCS","Both",,,"221.28","110.64","Pruitt Healthcare","Medicare Advantage","LT,TC",,"54",,"119.49","9","171.49","percent of total billed charges",,
"XR AH HIP UNILATERAL 2-3 VIEWS LEFT","73502","HCPCS","Both",,,"221.28","110.64","Medicare",,"LT,TC",,"54",,"119.93","9","171.49","percent of total billed charges",,
"XR AH HIP UNILATERAL 2-3 VIEWS LEFT","73502","HCPCS","Both",,,"221.28","110.64","Humana","Medicare Advantage","LT,TC",,"54",,"119.93","9","171.49","percent of total billed charges",,
"XR AH HIP UNILATERAL 2-3 VIEWS LEFT","73502","HCPCS","Both",,,"221.28","110.64","UHC","Medicare Advantage","LT,TC",,"54",,"119.93","9","171.49","percent of total billed charges",,
"XR AH HIP UNILATERAL 2-3 VIEWS LEFT","73502","HCPCS","Both",,,"221.28","110.64","Clover","Medicare Advantage","LT,TC",,"54",,"119.93","9","171.49","percent of total billed charges",,
"XR AH HIP UNILATERAL 2-3 VIEWS LEFT","73502","HCPCS","Both",,,"221.28","110.64","Wellcare","Medicare Advantage","LT,TC",,"54",,"119.93","9","171.49","percent of total billed charges",,
"XR AH HIP UNILATERAL 2-3 VIEWS LEFT","73502","HCPCS","Both",,,"221.28","110.64","Amerigroup","Medicaid Managed Care","LT,TC",,"37",,"80.99","9","171.49","percent of total billed charges",,
"XR AH HIP UNILATERAL 2-3 VIEWS LEFT","73502","HCPCS","Both",,,"221.28","110.64","Caresource","Medicaid Managed Care","LT,TC",,"40",,"88.51","9","171.49","percent of total billed charges",,
"XR AH HIP UNILATERAL 2-3 VIEWS LEFT","73502","HCPCS","Both",,,"221.28","110.64","Wellcare","Medicaid Managed Care","LT,TC",,"40",,"89.62","9","171.49","percent of total billed charges",,
"XR AH HIP UNILATERAL 2-3 VIEWS LEFT","73502","HCPCS","Both",,,"221.28","110.64","Aetna","Commercial","LT,TC",,"64",,"141.18","9","171.49","percent of total billed charges",,
"XR AH HIP UNILATERAL 2-3 VIEWS LEFT","73502","HCPCS","Both",,,"221.28","110.64","Blue Cross Blue Shield","Pathways","LT,TC",,"71",,"156.22","9","171.49","percent of total billed charges",,
"XR AH HIP UNILATERAL 2-3 VIEWS LEFT","73502","HCPCS","Both",,,"221.28","110.64","Blue Cross Blue Shield","HMO","LT,TC",,"71",,"156.22","9","171.49","percent of total billed charges",,
"XR AH HIP UNILATERAL 2-3 VIEWS LEFT","73502","HCPCS","Both",,,"221.28","110.64","Blue Cross Blue Shield","PPO","LT,TC",,"71",,"156.22","9","171.49","percent of total billed charges",,
"XR AH HIP UNILATERAL 2-3 VIEWS LEFT","73502","HCPCS","Both",,,"221.28","110.64","Ambetter","Health Exchange","LT,TC",,"62",,"137.19","9","171.49","percent of total billed charges",,
"XR AH HIP UNILATERAL 2-3 VIEWS LEFT","73502","HCPCS","Both",,,"221.28","110.64","Caresource","Health Exchange","LT,TC",,"62",,"137.19","9","171.49","percent of total billed charges",,
"XR AH HIP UNILATERAL 2-3 VIEWS LEFT","73502","HCPCS","Both",,,"221.28","110.64","Cigna","Commercial","LT,TC",,"59",,"129.67","9","171.49","percent of total billed charges",,
"XR AH HIP UNILATERAL 2-3 VIEWS LEFT","73502","HCPCS","Both",,,"221.28","110.64","Humana","Commercial","LT,TC",,"78",,"171.49","9","171.49","percent of total billed charges",,
"XR AH HIP UNILATERAL 2-3 VIEWS LEFT","73502","HCPCS","Both",,,"221.28","110.64","UHC","Commercial","LT,TC",,"75",,"166.85","9","171.49","percent of total billed charges",,
"XR AH HIP UNILATERAL 2-3 VIEWS LEFT","73502","HCPCS","Both",,,"221.28","110.64","Medicaid",,"LT,TC",,"37",,"80.99","9","171.49","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"701.5","350.75","Alliant","Health Exchange","RT,TC",,"62",,"434.93","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"701.5","350.75","Pruitt Healthcare","Medicare Advantage","RT,TC",,"54",,"378.81","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"701.5","350.75","Medicare",,"RT,TC",,"54",,"380.21","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"701.5","350.75","Humana","Medicare Advantage","RT,TC",,"54",,"380.21","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"701.5","350.75","UHC","Medicare Advantage","RT,TC",,"54",,"380.21","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"701.5","350.75","Clover","Medicare Advantage","RT,TC",,"54",,"380.21","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"701.5","350.75","Wellcare","Medicare Advantage","RT,TC",,"54",,"380.21","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"701.5","350.75","Amerigroup","Medicaid Managed Care","RT,TC",,"37",,"256.75","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"701.5","350.75","Caresource","Medicaid Managed Care","RT,TC",,"40",,"280.6","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"701.5","350.75","Wellcare","Medicaid Managed Care","RT,TC",,"40",,"284.11","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"701.5","350.75","Aetna","Commercial","RT,TC",,"64",,"447.56","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"701.5","350.75","Blue Cross Blue Shield","Pathways","RT,TC",,"71",,"495.26","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"701.5","350.75","Blue Cross Blue Shield","HMO","RT,TC",,"71",,"495.26","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"701.5","350.75","Blue Cross Blue Shield","PPO","RT,TC",,"71",,"495.26","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"701.5","350.75","Ambetter","Health Exchange","RT,TC",,"62",,"434.93","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"701.5","350.75","Caresource","Health Exchange","RT,TC",,"62",,"434.93","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"701.5","350.75","Cigna","Commercial","RT,TC",,"59",,"411.08","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"701.5","350.75","Humana","Commercial","RT,TC",,"78",,"543.66","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"701.5","350.75","UHC","Commercial","RT,TC",,"75",,"528.93","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"701.5","350.75","Medicaid",,"RT,TC",,"37",,"256.75","8.67","569.66","percent of total billed charges",,
"US AH LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"1065.5","532.75","Alliant","Health Exchange","TC",,"62",,"660.61","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"1065.5","532.75","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"575.37","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"1065.5","532.75","Medicare",,"TC",,"54",,"577.5","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"1065.5","532.75","Humana","Medicare Advantage","TC",,"54",,"577.5","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"1065.5","532.75","UHC","Medicare Advantage","TC",,"54",,"577.5","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"1065.5","532.75","Clover","Medicare Advantage","TC",,"54",,"577.5","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"1065.5","532.75","Wellcare","Medicare Advantage","TC",,"54",,"577.5","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"1065.5","532.75","Amerigroup","Medicaid Managed Care","TC",,"37",,"389.97","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"1065.5","532.75","Caresource","Medicaid Managed Care","TC",,"40",,"426.2","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"1065.5","532.75","Wellcare","Medicaid Managed Care","TC",,"40",,"431.53","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"1065.5","532.75","Aetna","Commercial","TC",,"64",,"679.79","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"1065.5","532.75","Blue Cross Blue Shield","Pathways","TC",,"71",,"752.24","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"1065.5","532.75","Blue Cross Blue Shield","HMO","TC",,"71",,"752.24","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"1065.5","532.75","Blue Cross Blue Shield","PPO","TC",,"71",,"752.24","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"1065.5","532.75","Ambetter","Health Exchange","TC",,"62",,"660.61","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"1065.5","532.75","Caresource","Health Exchange","TC",,"62",,"660.61","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"1065.5","532.75","Cigna","Commercial","TC",,"59",,"624.38","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"1065.5","532.75","Humana","Commercial","TC",,"78",,"825.76","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"1065.5","532.75","UHC","Commercial","TC",,"75",,"803.39","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"1065.5","532.75","Medicaid",,"TC",,"37",,"389.97","30.35","1235.33","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"240","120","Alliant","Health Exchange","TC",,"62",,"148.8","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"240","120","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"129.6","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"240","120","Medicare",,"TC",,"54",,"130.08","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"240","120","Humana","Medicare Advantage","TC",,"54",,"130.08","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"240","120","UHC","Medicare Advantage","TC",,"54",,"130.08","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"240","120","Clover","Medicare Advantage","TC",,"54",,"130.08","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"240","120","Wellcare","Medicare Advantage","TC",,"54",,"130.08","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"240","120","Amerigroup","Medicaid Managed Care","TC",,"37",,"87.84","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"240","120","Caresource","Medicaid Managed Care","TC",,"40",,"96","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"240","120","Wellcare","Medicaid Managed Care","TC",,"40",,"97.2","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"240","120","Aetna","Commercial","TC",,"64",,"153.12","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"240","120","Blue Cross Blue Shield","Pathways","TC",,"71",,"169.44","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"240","120","Blue Cross Blue Shield","HMO","TC",,"71",,"169.44","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"240","120","Blue Cross Blue Shield","PPO","TC",,"71",,"169.44","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"240","120","Ambetter","Health Exchange","TC",,"62",,"148.8","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"240","120","Caresource","Health Exchange","TC",,"62",,"148.8","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"240","120","Cigna","Commercial","TC",,"59",,"140.64","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"240","120","Humana","Commercial","TC",,"78",,"186","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"240","120","UHC","Commercial","TC",,"75",,"180.96","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"240","120","Medicaid",,"TC",,"37",,"87.84","41.15","316.2","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"101","50.5","Alliant","Health Exchange","RT,TC",,"62",,"62.62","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"101","50.5","Pruitt Healthcare","Medicare Advantage","RT,TC",,"54",,"54.54","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"101","50.5","Medicare",,"RT,TC",,"54",,"54.74","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"101","50.5","Humana","Medicare Advantage","RT,TC",,"54",,"54.74","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"101","50.5","UHC","Medicare Advantage","RT,TC",,"54",,"54.74","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"101","50.5","Clover","Medicare Advantage","RT,TC",,"54",,"54.74","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"101","50.5","Wellcare","Medicare Advantage","RT,TC",,"54",,"54.74","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"101","50.5","Amerigroup","Medicaid Managed Care","RT,TC",,"37",,"36.97","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"101","50.5","Caresource","Medicaid Managed Care","RT,TC",,"40",,"40.4","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"101","50.5","Wellcare","Medicaid Managed Care","RT,TC",,"40",,"40.9","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"101","50.5","Aetna","Commercial","RT,TC",,"64",,"64.44","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","Pathways","RT,TC",,"71",,"71.31","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","HMO","RT,TC",,"71",,"71.31","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","PPO","RT,TC",,"71",,"71.31","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"101","50.5","Ambetter","Health Exchange","RT,TC",,"62",,"62.62","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"101","50.5","Caresource","Health Exchange","RT,TC",,"62",,"62.62","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"101","50.5","Cigna","Commercial","RT,TC",,"59",,"59.19","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"101","50.5","Humana","Commercial","RT,TC",,"78",,"78.28","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"101","50.5","UHC","Commercial","RT,TC",,"75",,"76.15","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"101","50.5","Medicaid",,"RT,TC",,"37",,"36.97","8.63","78.28","percent of total billed charges",,
"XR AH SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"153","76.5","Alliant","Health Exchange","RT,TC",,"62",,"94.86","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"153","76.5","Pruitt Healthcare","Medicare Advantage","RT,TC",,"54",,"82.62","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"153","76.5","Medicare",,"RT,TC",,"54",,"82.93","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"153","76.5","Humana","Medicare Advantage","RT,TC",,"54",,"82.93","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"153","76.5","UHC","Medicare Advantage","RT,TC",,"54",,"82.93","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"153","76.5","Clover","Medicare Advantage","RT,TC",,"54",,"82.93","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"153","76.5","Wellcare","Medicare Advantage","RT,TC",,"54",,"82.93","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"153","76.5","Amerigroup","Medicaid Managed Care","RT,TC",,"37",,"56","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"153","76.5","Caresource","Medicaid Managed Care","RT,TC",,"40",,"61.2","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"153","76.5","Wellcare","Medicaid Managed Care","RT,TC",,"40",,"61.96","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"153","76.5","Aetna","Commercial","RT,TC",,"64",,"97.61","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"153","76.5","Blue Cross Blue Shield","Pathways","RT,TC",,"71",,"108.02","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"153","76.5","Blue Cross Blue Shield","HMO","RT,TC",,"71",,"108.02","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"153","76.5","Blue Cross Blue Shield","PPO","RT,TC",,"71",,"108.02","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"153","76.5","Ambetter","Health Exchange","RT,TC",,"62",,"94.86","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"153","76.5","Caresource","Health Exchange","RT,TC",,"62",,"94.86","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"153","76.5","Cigna","Commercial","RT,TC",,"59",,"89.66","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"153","76.5","Humana","Commercial","RT,TC",,"78",,"118.58","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"153","76.5","UHC","Commercial","RT,TC",,"75",,"115.36","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"153","76.5","Medicaid",,"RT,TC",,"37",,"56","9.32","118.58","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"797.34","398.67","Alliant","Health Exchange","RT,TC",,"62",,"494.35","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"797.34","398.67","Pruitt Healthcare","Medicare Advantage","RT,TC",,"54",,"430.56","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"797.34","398.67","Medicare",,"RT,TC",,"54",,"432.16","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"797.34","398.67","Humana","Medicare Advantage","RT,TC",,"54",,"432.16","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"797.34","398.67","UHC","Medicare Advantage","RT,TC",,"54",,"432.16","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"797.34","398.67","Clover","Medicare Advantage","RT,TC",,"54",,"432.16","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"797.34","398.67","Wellcare","Medicare Advantage","RT,TC",,"54",,"432.16","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"797.34","398.67","Amerigroup","Medicaid Managed Care","RT,TC",,"37",,"291.83","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"797.34","398.67","Caresource","Medicaid Managed Care","RT,TC",,"40",,"318.94","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"797.34","398.67","Wellcare","Medicaid Managed Care","RT,TC",,"40",,"322.92","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"797.34","398.67","Aetna","Commercial","RT,TC",,"64",,"508.7","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"797.34","398.67","Blue Cross Blue Shield","Pathways","RT,TC",,"71",,"562.92","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"797.34","398.67","Blue Cross Blue Shield","HMO","RT,TC",,"71",,"562.92","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"797.34","398.67","Blue Cross Blue Shield","PPO","RT,TC",,"71",,"562.92","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"797.34","398.67","Ambetter","Health Exchange","RT,TC",,"62",,"494.35","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"797.34","398.67","Caresource","Health Exchange","RT,TC",,"62",,"494.35","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"797.34","398.67","Cigna","Commercial","RT,TC",,"59",,"467.24","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"797.34","398.67","Humana","Commercial","RT,TC",,"78",,"617.94","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"797.34","398.67","UHC","Commercial","RT,TC",,"75",,"601.19","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"797.34","398.67","Medicaid",,"RT,TC",,"37",,"291.83","9.7","617.94","percent of total billed charges",,
"XR AH HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Alliant","Health Exchange","RT,TC",,"62",,"159.65","8.63","199.56","percent of total billed charges",,
"XR AH HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Pruitt Healthcare","Medicare Advantage","RT,TC",,"54",,"139.05","8.63","199.56","percent of total billed charges",,
"XR AH HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Medicare",,"RT,TC",,"54",,"139.56","8.63","199.56","percent of total billed charges",,
"XR AH HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Humana","Medicare Advantage","RT,TC",,"54",,"139.56","8.63","199.56","percent of total billed charges",,
"XR AH HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","UHC","Medicare Advantage","RT,TC",,"54",,"139.56","8.63","199.56","percent of total billed charges",,
"XR AH HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Clover","Medicare Advantage","RT,TC",,"54",,"139.56","8.63","199.56","percent of total billed charges",,
"XR AH HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Wellcare","Medicare Advantage","RT,TC",,"54",,"139.56","8.63","199.56","percent of total billed charges",,
"XR AH HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Amerigroup","Medicaid Managed Care","RT,TC",,"37",,"94.24","8.63","199.56","percent of total billed charges",,
"XR AH HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Caresource","Medicaid Managed Care","RT,TC",,"40",,"103","8.63","199.56","percent of total billed charges",,
"XR AH HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Wellcare","Medicaid Managed Care","RT,TC",,"40",,"104.29","8.63","199.56","percent of total billed charges",,
"XR AH HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Aetna","Commercial","RT,TC",,"64",,"164.28","8.63","199.56","percent of total billed charges",,
"XR AH HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Blue Cross Blue Shield","Pathways","RT,TC",,"71",,"181.8","8.63","199.56","percent of total billed charges",,
"XR AH HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Blue Cross Blue Shield","HMO","RT,TC",,"71",,"181.8","8.63","199.56","percent of total billed charges",,
"XR AH HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Blue Cross Blue Shield","PPO","RT,TC",,"71",,"181.8","8.63","199.56","percent of total billed charges",,
"XR AH HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Ambetter","Health Exchange","RT,TC",,"62",,"159.65","8.63","199.56","percent of total billed charges",,
"XR AH HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Caresource","Health Exchange","RT,TC",,"62",,"159.65","8.63","199.56","percent of total billed charges",,
"XR AH HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Cigna","Commercial","RT,TC",,"59",,"150.89","8.63","199.56","percent of total billed charges",,
"XR AH HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Humana","Commercial","RT,TC",,"78",,"199.56","8.63","199.56","percent of total billed charges",,
"XR AH HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","UHC","Commercial","RT,TC",,"75",,"194.16","8.63","199.56","percent of total billed charges",,
"XR AH HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Medicaid",,"RT,TC",,"37",,"94.24","8.63","199.56","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"365","182.5","Alliant","Health Exchange","RT,TC",,"62",,"226.3","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"365","182.5","Pruitt Healthcare","Medicare Advantage","RT,TC",,"54",,"197.1","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"365","182.5","Medicare",,"RT,TC",,"54",,"197.83","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"365","182.5","Humana","Medicare Advantage","RT,TC",,"54",,"197.83","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"365","182.5","UHC","Medicare Advantage","RT,TC",,"54",,"197.83","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"365","182.5","Clover","Medicare Advantage","RT,TC",,"54",,"197.83","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"365","182.5","Wellcare","Medicare Advantage","RT,TC",,"54",,"197.83","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"365","182.5","Amerigroup","Medicaid Managed Care","RT,TC",,"37",,"133.59","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"365","182.5","Caresource","Medicaid Managed Care","RT,TC",,"40",,"146","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"365","182.5","Wellcare","Medicaid Managed Care","RT,TC",,"40",,"147.83","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"365","182.5","Aetna","Commercial","RT,TC",,"64",,"232.87","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"365","182.5","Blue Cross Blue Shield","Pathways","RT,TC",,"71",,"257.69","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"365","182.5","Blue Cross Blue Shield","HMO","RT,TC",,"71",,"257.69","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"365","182.5","Blue Cross Blue Shield","PPO","RT,TC",,"71",,"257.69","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"365","182.5","Ambetter","Health Exchange","RT,TC",,"62",,"226.3","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"365","182.5","Caresource","Health Exchange","RT,TC",,"62",,"226.3","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"365","182.5","Cigna","Commercial","RT,TC",,"59",,"213.89","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"365","182.5","Humana","Commercial","RT,TC",,"78",,"282.88","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"365","182.5","UHC","Commercial","RT,TC",,"75",,"275.21","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"365","182.5","Medicaid",,"RT,TC",,"37",,"133.59","9","480.89","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"643.5","321.75","Alliant","Health Exchange","RT,TC",,"62",,"398.97","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"643.5","321.75","Pruitt Healthcare","Medicare Advantage","RT,TC",,"54",,"347.49","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"643.5","321.75","Medicare",,"RT,TC",,"54",,"348.78","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"643.5","321.75","Humana","Medicare Advantage","RT,TC",,"54",,"348.78","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"643.5","321.75","UHC","Medicare Advantage","RT,TC",,"54",,"348.78","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"643.5","321.75","Clover","Medicare Advantage","RT,TC",,"54",,"348.78","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"643.5","321.75","Wellcare","Medicare Advantage","RT,TC",,"54",,"348.78","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"643.5","321.75","Amerigroup","Medicaid Managed Care","RT,TC",,"37",,"235.52","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"643.5","321.75","Caresource","Medicaid Managed Care","RT,TC",,"40",,"257.4","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"643.5","321.75","Wellcare","Medicaid Managed Care","RT,TC",,"40",,"260.62","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"643.5","321.75","Aetna","Commercial","RT,TC",,"64",,"410.55","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"643.5","321.75","Blue Cross Blue Shield","Pathways","RT,TC",,"71",,"454.31","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"643.5","321.75","Blue Cross Blue Shield","HMO","RT,TC",,"71",,"454.31","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"643.5","321.75","Blue Cross Blue Shield","PPO","RT,TC",,"71",,"454.31","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"643.5","321.75","Ambetter","Health Exchange","RT,TC",,"62",,"398.97","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"643.5","321.75","Caresource","Health Exchange","RT,TC",,"62",,"398.97","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"643.5","321.75","Cigna","Commercial","RT,TC",,"59",,"377.09","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"643.5","321.75","Humana","Commercial","RT,TC",,"78",,"498.71","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"643.5","321.75","UHC","Commercial","RT,TC",,"75",,"485.2","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"643.5","321.75","Medicaid",,"RT,TC",,"37",,"235.52","8.3","566.58","percent of total billed charges",,
"XR AH WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"386","193","Alliant","Health Exchange","RT,TC",,"62",,"239.32","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"386","193","Pruitt Healthcare","Medicare Advantage","RT,TC",,"54",,"208.44","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"386","193","Medicare",,"RT,TC",,"54",,"209.21","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"386","193","Humana","Medicare Advantage","RT,TC",,"54",,"209.21","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"386","193","UHC","Medicare Advantage","RT,TC",,"54",,"209.21","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"386","193","Clover","Medicare Advantage","RT,TC",,"54",,"209.21","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"386","193","Wellcare","Medicare Advantage","RT,TC",,"54",,"209.21","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"386","193","Amerigroup","Medicaid Managed Care","RT,TC",,"37",,"141.28","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"386","193","Caresource","Medicaid Managed Care","RT,TC",,"40",,"154.4","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"386","193","Wellcare","Medicaid Managed Care","RT,TC",,"40",,"156.33","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"386","193","Aetna","Commercial","RT,TC",,"64",,"246.27","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"386","193","Blue Cross Blue Shield","Pathways","RT,TC",,"71",,"272.52","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"386","193","Blue Cross Blue Shield","HMO","RT,TC",,"71",,"272.52","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"386","193","Blue Cross Blue Shield","PPO","RT,TC",,"71",,"272.52","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"386","193","Ambetter","Health Exchange","RT,TC",,"62",,"239.32","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"386","193","Caresource","Health Exchange","RT,TC",,"62",,"239.32","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"386","193","Cigna","Commercial","RT,TC",,"59",,"226.2","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"386","193","Humana","Commercial","RT,TC",,"78",,"299.15","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"386","193","UHC","Commercial","RT,TC",,"75",,"291.04","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"386","193","Medicaid",,"RT,TC",,"37",,"141.28","9","543.66","percent of total billed charges",,
"XR AH HAND MINIMUM 3 VIEWS LEFT","73130","HCPCS","Both",,,"722.5","361.25","Alliant","Health Exchange","LT,TC",,"62",,"447.95","9","620.29","percent of total billed charges",,
"XR AH HAND MINIMUM 3 VIEWS LEFT","73130","HCPCS","Both",,,"722.5","361.25","Pruitt Healthcare","Medicare Advantage","LT,TC",,"54",,"390.15","9","620.29","percent of total billed charges",,
"XR AH HAND MINIMUM 3 VIEWS LEFT","73130","HCPCS","Both",,,"722.5","361.25","Medicare",,"LT,TC",,"54",,"391.6","9","620.29","percent of total billed charges",,
"XR AH HAND MINIMUM 3 VIEWS LEFT","73130","HCPCS","Both",,,"722.5","361.25","Humana","Medicare Advantage","LT,TC",,"54",,"391.6","9","620.29","percent of total billed charges",,
"XR AH HAND MINIMUM 3 VIEWS LEFT","73130","HCPCS","Both",,,"722.5","361.25","UHC","Medicare Advantage","LT,TC",,"54",,"391.6","9","620.29","percent of total billed charges",,
"XR AH HAND MINIMUM 3 VIEWS LEFT","73130","HCPCS","Both",,,"722.5","361.25","Clover","Medicare Advantage","LT,TC",,"54",,"391.6","9","620.29","percent of total billed charges",,
"XR AH HAND MINIMUM 3 VIEWS LEFT","73130","HCPCS","Both",,,"722.5","361.25","Wellcare","Medicare Advantage","LT,TC",,"54",,"391.6","9","620.29","percent of total billed charges",,
"XR AH HAND MINIMUM 3 VIEWS LEFT","73130","HCPCS","Both",,,"722.5","361.25","Amerigroup","Medicaid Managed Care","LT,TC",,"37",,"264.44","9","620.29","percent of total billed charges",,
"XR AH HAND MINIMUM 3 VIEWS LEFT","73130","HCPCS","Both",,,"722.5","361.25","Caresource","Medicaid Managed Care","LT,TC",,"40",,"289","9","620.29","percent of total billed charges",,
"XR AH HAND MINIMUM 3 VIEWS LEFT","73130","HCPCS","Both",,,"722.5","361.25","Wellcare","Medicaid Managed Care","LT,TC",,"40",,"292.61","9","620.29","percent of total billed charges",,
"XR AH HAND MINIMUM 3 VIEWS LEFT","73130","HCPCS","Both",,,"722.5","361.25","Aetna","Commercial","LT,TC",,"64",,"460.96","9","620.29","percent of total billed charges",,
"XR AH HAND MINIMUM 3 VIEWS LEFT","73130","HCPCS","Both",,,"722.5","361.25","Blue Cross Blue Shield","Pathways","LT,TC",,"71",,"510.08","9","620.29","percent of total billed charges",,
"XR AH HAND MINIMUM 3 VIEWS LEFT","73130","HCPCS","Both",,,"722.5","361.25","Blue Cross Blue Shield","HMO","LT,TC",,"71",,"510.08","9","620.29","percent of total billed charges",,
"XR AH HAND MINIMUM 3 VIEWS LEFT","73130","HCPCS","Both",,,"722.5","361.25","Blue Cross Blue Shield","PPO","LT,TC",,"71",,"510.08","9","620.29","percent of total billed charges",,
"XR AH HAND MINIMUM 3 VIEWS LEFT","73130","HCPCS","Both",,,"722.5","361.25","Ambetter","Health Exchange","LT,TC",,"62",,"447.95","9","620.29","percent of total billed charges",,
"XR AH HAND MINIMUM 3 VIEWS LEFT","73130","HCPCS","Both",,,"722.5","361.25","Caresource","Health Exchange","LT,TC",,"62",,"447.95","9","620.29","percent of total billed charges",,
"XR AH HAND MINIMUM 3 VIEWS LEFT","73130","HCPCS","Both",,,"722.5","361.25","Cigna","Commercial","LT,TC",,"59",,"423.38","9","620.29","percent of total billed charges",,
"XR AH HAND MINIMUM 3 VIEWS LEFT","73130","HCPCS","Both",,,"722.5","361.25","Humana","Commercial","LT,TC",,"78",,"559.94","9","620.29","percent of total billed charges",,
"XR AH HAND MINIMUM 3 VIEWS LEFT","73130","HCPCS","Both",,,"722.5","361.25","UHC","Commercial","LT,TC",,"75",,"544.76","9","620.29","percent of total billed charges",,
"XR AH HAND MINIMUM 3 VIEWS LEFT","73130","HCPCS","Both",,,"722.5","361.25","Medicaid",,"LT,TC",,"37",,"264.44","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"722.5","361.25","Alliant","Health Exchange","RT,TC",,"62",,"447.95","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"722.5","361.25","Pruitt Healthcare","Medicare Advantage","RT,TC",,"54",,"390.15","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"722.5","361.25","Medicare",,"RT,TC",,"54",,"391.6","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"722.5","361.25","Humana","Medicare Advantage","RT,TC",,"54",,"391.6","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"722.5","361.25","UHC","Medicare Advantage","RT,TC",,"54",,"391.6","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"722.5","361.25","Clover","Medicare Advantage","RT,TC",,"54",,"391.6","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"722.5","361.25","Wellcare","Medicare Advantage","RT,TC",,"54",,"391.6","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"722.5","361.25","Amerigroup","Medicaid Managed Care","RT,TC",,"37",,"264.44","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"722.5","361.25","Caresource","Medicaid Managed Care","RT,TC",,"40",,"289","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"722.5","361.25","Wellcare","Medicaid Managed Care","RT,TC",,"40",,"292.61","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"722.5","361.25","Aetna","Commercial","RT,TC",,"64",,"460.96","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"722.5","361.25","Blue Cross Blue Shield","Pathways","RT,TC",,"71",,"510.08","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"722.5","361.25","Blue Cross Blue Shield","HMO","RT,TC",,"71",,"510.08","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"722.5","361.25","Blue Cross Blue Shield","PPO","RT,TC",,"71",,"510.08","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"722.5","361.25","Ambetter","Health Exchange","RT,TC",,"62",,"447.95","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"722.5","361.25","Caresource","Health Exchange","RT,TC",,"62",,"447.95","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"722.5","361.25","Cigna","Commercial","RT,TC",,"59",,"423.38","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"722.5","361.25","Humana","Commercial","RT,TC",,"78",,"559.94","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"722.5","361.25","UHC","Commercial","RT,TC",,"75",,"544.76","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"722.5","361.25","Medicaid",,"RT,TC",,"37",,"264.44","9","620.29","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"101","50.5","Alliant","Health Exchange","RT,TC",,"62",,"62.62","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"101","50.5","Pruitt Healthcare","Medicare Advantage","RT,TC",,"54",,"54.54","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"101","50.5","Medicare",,"RT,TC",,"54",,"54.74","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"101","50.5","Humana","Medicare Advantage","RT,TC",,"54",,"54.74","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"101","50.5","UHC","Medicare Advantage","RT,TC",,"54",,"54.74","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"101","50.5","Clover","Medicare Advantage","RT,TC",,"54",,"54.74","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"101","50.5","Wellcare","Medicare Advantage","RT,TC",,"54",,"54.74","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"101","50.5","Amerigroup","Medicaid Managed Care","RT,TC",,"37",,"36.97","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"101","50.5","Caresource","Medicaid Managed Care","RT,TC",,"40",,"40.4","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"101","50.5","Wellcare","Medicaid Managed Care","RT,TC",,"40",,"40.9","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"101","50.5","Aetna","Commercial","RT,TC",,"64",,"64.44","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","Pathways","RT,TC",,"71",,"71.31","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","HMO","RT,TC",,"71",,"71.31","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","PPO","RT,TC",,"71",,"71.31","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"101","50.5","Ambetter","Health Exchange","RT,TC",,"62",,"62.62","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"101","50.5","Caresource","Health Exchange","RT,TC",,"62",,"62.62","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"101","50.5","Cigna","Commercial","RT,TC",,"59",,"59.19","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"101","50.5","Humana","Commercial","RT,TC",,"78",,"78.28","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"101","50.5","UHC","Commercial","RT,TC",,"75",,"76.15","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"101","50.5","Medicaid",,"RT,TC",,"37",,"36.97","9.37","78.28","percent of total billed charges",,
"XR AH KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"722.5","361.25","Alliant","Health Exchange","RT,TC",,"62",,"447.95","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"722.5","361.25","Pruitt Healthcare","Medicare Advantage","RT,TC",,"54",,"390.15","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"722.5","361.25","Medicare",,"RT,TC",,"54",,"391.6","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"722.5","361.25","Humana","Medicare Advantage","RT,TC",,"54",,"391.6","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"722.5","361.25","UHC","Medicare Advantage","RT,TC",,"54",,"391.6","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"722.5","361.25","Clover","Medicare Advantage","RT,TC",,"54",,"391.6","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"722.5","361.25","Wellcare","Medicare Advantage","RT,TC",,"54",,"391.6","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"722.5","361.25","Amerigroup","Medicaid Managed Care","RT,TC",,"37",,"264.44","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"722.5","361.25","Caresource","Medicaid Managed Care","RT,TC",,"40",,"289","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"722.5","361.25","Wellcare","Medicaid Managed Care","RT,TC",,"40",,"292.61","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"722.5","361.25","Aetna","Commercial","RT,TC",,"64",,"460.96","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"722.5","361.25","Blue Cross Blue Shield","Pathways","RT,TC",,"71",,"510.08","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"722.5","361.25","Blue Cross Blue Shield","HMO","RT,TC",,"71",,"510.08","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"722.5","361.25","Blue Cross Blue Shield","PPO","RT,TC",,"71",,"510.08","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"722.5","361.25","Ambetter","Health Exchange","RT,TC",,"62",,"447.95","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"722.5","361.25","Caresource","Health Exchange","RT,TC",,"62",,"447.95","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"722.5","361.25","Cigna","Commercial","RT,TC",,"59",,"423.38","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"722.5","361.25","Humana","Commercial","RT,TC",,"78",,"559.94","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"722.5","361.25","UHC","Commercial","RT,TC",,"75",,"544.76","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"722.5","361.25","Medicaid",,"RT,TC",,"37",,"264.44","9.7","663.04","percent of total billed charges",,
"XR AH TIBIA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"258.5","129.25","Alliant","Health Exchange","RT,TC",,"62",,"160.27","8.3","340.57","percent of total billed charges",,
"XR AH TIBIA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"258.5","129.25","Pruitt Healthcare","Medicare Advantage","RT,TC",,"54",,"139.59","8.3","340.57","percent of total billed charges",,
"XR AH TIBIA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"258.5","129.25","Medicare",,"RT,TC",,"54",,"140.11","8.3","340.57","percent of total billed charges",,
"XR AH TIBIA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"258.5","129.25","Humana","Medicare Advantage","RT,TC",,"54",,"140.11","8.3","340.57","percent of total billed charges",,
"XR AH TIBIA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"258.5","129.25","UHC","Medicare Advantage","RT,TC",,"54",,"140.11","8.3","340.57","percent of total billed charges",,
"XR AH TIBIA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"258.5","129.25","Clover","Medicare Advantage","RT,TC",,"54",,"140.11","8.3","340.57","percent of total billed charges",,
"XR AH TIBIA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"258.5","129.25","Wellcare","Medicare Advantage","RT,TC",,"54",,"140.11","8.3","340.57","percent of total billed charges",,
"XR AH TIBIA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"258.5","129.25","Amerigroup","Medicaid Managed Care","RT,TC",,"37",,"94.61","8.3","340.57","percent of total billed charges",,
"XR AH TIBIA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"258.5","129.25","Caresource","Medicaid Managed Care","RT,TC",,"40",,"103.4","8.3","340.57","percent of total billed charges",,
"XR AH TIBIA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"258.5","129.25","Wellcare","Medicaid Managed Care","RT,TC",,"40",,"104.69","8.3","340.57","percent of total billed charges",,
"XR AH TIBIA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"258.5","129.25","Aetna","Commercial","RT,TC",,"64",,"164.92","8.3","340.57","percent of total billed charges",,
"XR AH TIBIA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"258.5","129.25","Blue Cross Blue Shield","Pathways","RT,TC",,"71",,"182.5","8.3","340.57","percent of total billed charges",,
"XR AH TIBIA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"258.5","129.25","Blue Cross Blue Shield","HMO","RT,TC",,"71",,"182.5","8.3","340.57","percent of total billed charges",,
"XR AH TIBIA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"258.5","129.25","Blue Cross Blue Shield","PPO","RT,TC",,"71",,"182.5","8.3","340.57","percent of total billed charges",,
"XR AH TIBIA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"258.5","129.25","Ambetter","Health Exchange","RT,TC",,"62",,"160.27","8.3","340.57","percent of total billed charges",,
"XR AH TIBIA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"258.5","129.25","Caresource","Health Exchange","RT,TC",,"62",,"160.27","8.3","340.57","percent of total billed charges",,
"XR AH TIBIA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"258.5","129.25","Cigna","Commercial","RT,TC",,"59",,"151.48","8.3","340.57","percent of total billed charges",,
"XR AH TIBIA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"258.5","129.25","Humana","Commercial","RT,TC",,"78",,"200.34","8.3","340.57","percent of total billed charges",,
"XR AH TIBIA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"258.5","129.25","UHC","Commercial","RT,TC",,"75",,"194.91","8.3","340.57","percent of total billed charges",,
"XR AH TIBIA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"258.5","129.25","Medicaid",,"RT,TC",,"37",,"94.61","8.3","340.57","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"668","334","Alliant","Health Exchange","RT,TC",,"62",,"414.16","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"668","334","Pruitt Healthcare","Medicare Advantage","RT,TC",,"54",,"360.72","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"668","334","Medicare",,"RT,TC",,"54",,"362.06","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"668","334","Humana","Medicare Advantage","RT,TC",,"54",,"362.06","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"668","334","UHC","Medicare Advantage","RT,TC",,"54",,"362.06","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"668","334","Clover","Medicare Advantage","RT,TC",,"54",,"362.06","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"668","334","Wellcare","Medicare Advantage","RT,TC",,"54",,"362.06","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"668","334","Amerigroup","Medicaid Managed Care","RT,TC",,"37",,"244.49","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"668","334","Caresource","Medicaid Managed Care","RT,TC",,"40",,"267.2","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"668","334","Wellcare","Medicaid Managed Care","RT,TC",,"40",,"270.54","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"668","334","Aetna","Commercial","RT,TC",,"64",,"426.18","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"668","334","Blue Cross Blue Shield","Pathways","RT,TC",,"71",,"471.61","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"668","334","Blue Cross Blue Shield","HMO","RT,TC",,"71",,"471.61","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"668","334","Blue Cross Blue Shield","PPO","RT,TC",,"71",,"471.61","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"668","334","Ambetter","Health Exchange","RT,TC",,"62",,"414.16","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"668","334","Caresource","Health Exchange","RT,TC",,"62",,"414.16","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"668","334","Cigna","Commercial","RT,TC",,"59",,"391.45","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"668","334","Humana","Commercial","RT,TC",,"78",,"517.7","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"668","334","UHC","Commercial","RT,TC",,"75",,"503.67","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"668","334","Medicaid",,"RT,TC",,"37",,"244.49","9","598.26","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Alliant","Health Exchange","RT,TC",,"62",,"163.99","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Pruitt Healthcare","Medicare Advantage","RT,TC",,"54",,"142.83","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Medicare",,"RT,TC",,"54",,"143.36","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Humana","Medicare Advantage","RT,TC",,"54",,"143.36","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","UHC","Medicare Advantage","RT,TC",,"54",,"143.36","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Clover","Medicare Advantage","RT,TC",,"54",,"143.36","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Wellcare","Medicare Advantage","RT,TC",,"54",,"143.36","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Amerigroup","Medicaid Managed Care","RT,TC",,"37",,"96.81","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Caresource","Medicaid Managed Care","RT,TC",,"40",,"105.8","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Wellcare","Medicaid Managed Care","RT,TC",,"40",,"107.12","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Aetna","Commercial","RT,TC",,"64",,"168.75","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Blue Cross Blue Shield","Pathways","RT,TC",,"71",,"186.74","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Blue Cross Blue Shield","HMO","RT,TC",,"71",,"186.74","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Blue Cross Blue Shield","PPO","RT,TC",,"71",,"186.74","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Ambetter","Health Exchange","RT,TC",,"62",,"163.99","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Caresource","Health Exchange","RT,TC",,"62",,"163.99","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Cigna","Commercial","RT,TC",,"59",,"155","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Humana","Commercial","RT,TC",,"78",,"204.99","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","UHC","Commercial","RT,TC",,"75",,"199.43","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Medicaid",,"RT,TC",,"37",,"96.81","8.3","204.99","percent of total billed charges",,
"XR AH CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"397.5","198.75","Alliant","Health Exchange","TC",,"62",,"246.45","11.19","522.02","percent of total billed charges",,
"XR AH CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"397.5","198.75","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"214.65","11.19","522.02","percent of total billed charges",,
"XR AH CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"397.5","198.75","Medicare",,"TC",,"54",,"215.45","11.19","522.02","percent of total billed charges",,
"XR AH CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"397.5","198.75","Humana","Medicare Advantage","TC",,"54",,"215.45","11.19","522.02","percent of total billed charges",,
"XR AH CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"397.5","198.75","UHC","Medicare Advantage","TC",,"54",,"215.45","11.19","522.02","percent of total billed charges",,
"XR AH CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"397.5","198.75","Clover","Medicare Advantage","TC",,"54",,"215.45","11.19","522.02","percent of total billed charges",,
"XR AH CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"397.5","198.75","Wellcare","Medicare Advantage","TC",,"54",,"215.45","11.19","522.02","percent of total billed charges",,
"XR AH CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"397.5","198.75","Amerigroup","Medicaid Managed Care","TC",,"37",,"145.48","11.19","522.02","percent of total billed charges",,
"XR AH CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"397.5","198.75","Caresource","Medicaid Managed Care","TC",,"40",,"159","11.19","522.02","percent of total billed charges",,
"XR AH CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"397.5","198.75","Wellcare","Medicaid Managed Care","TC",,"40",,"160.99","11.19","522.02","percent of total billed charges",,
"XR AH CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"397.5","198.75","Aetna","Commercial","TC",,"64",,"253.6","11.19","522.02","percent of total billed charges",,
"XR AH CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"397.5","198.75","Blue Cross Blue Shield","Pathways","TC",,"71",,"280.64","11.19","522.02","percent of total billed charges",,
"XR AH CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"397.5","198.75","Blue Cross Blue Shield","HMO","TC",,"71",,"280.64","11.19","522.02","percent of total billed charges",,
"XR AH CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"397.5","198.75","Blue Cross Blue Shield","PPO","TC",,"71",,"280.64","11.19","522.02","percent of total billed charges",,
"XR AH CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"397.5","198.75","Ambetter","Health Exchange","TC",,"62",,"246.45","11.19","522.02","percent of total billed charges",,
"XR AH CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"397.5","198.75","Caresource","Health Exchange","TC",,"62",,"246.45","11.19","522.02","percent of total billed charges",,
"XR AH CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"397.5","198.75","Cigna","Commercial","TC",,"59",,"232.93","11.19","522.02","percent of total billed charges",,
"XR AH CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"397.5","198.75","Humana","Commercial","TC",,"78",,"308.06","11.19","522.02","percent of total billed charges",,
"XR AH CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"397.5","198.75","UHC","Commercial","TC",,"75",,"299.71","11.19","522.02","percent of total billed charges",,
"XR AH CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"397.5","198.75","Medicaid",,"TC",,"37",,"145.48","11.19","522.02","percent of total billed charges",,
"XR AH BIL RIBS W/ PA CHEST MIN 4 VWS","71111","HCPCS","Both",,,"72","36","Alliant","Health Exchange","TC",,"62",,"44.64","16.59","55.8","percent of total billed charges",,
"XR AH BIL RIBS W/ PA CHEST MIN 4 VWS","71111","HCPCS","Both",,,"72","36","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"38.88","16.59","55.8","percent of total billed charges",,
"XR AH BIL RIBS W/ PA CHEST MIN 4 VWS","71111","HCPCS","Both",,,"72","36","Medicare",,"TC",,"54",,"39.02","16.59","55.8","percent of total billed charges",,
"XR AH BIL RIBS W/ PA CHEST MIN 4 VWS","71111","HCPCS","Both",,,"72","36","Humana","Medicare Advantage","TC",,"54",,"39.02","16.59","55.8","percent of total billed charges",,
"XR AH BIL RIBS W/ PA CHEST MIN 4 VWS","71111","HCPCS","Both",,,"72","36","UHC","Medicare Advantage","TC",,"54",,"39.02","16.59","55.8","percent of total billed charges",,
"XR AH BIL RIBS W/ PA CHEST MIN 4 VWS","71111","HCPCS","Both",,,"72","36","Clover","Medicare Advantage","TC",,"54",,"39.02","16.59","55.8","percent of total billed charges",,
"XR AH BIL RIBS W/ PA CHEST MIN 4 VWS","71111","HCPCS","Both",,,"72","36","Wellcare","Medicare Advantage","TC",,"54",,"39.02","16.59","55.8","percent of total billed charges",,
"XR AH BIL RIBS W/ PA CHEST MIN 4 VWS","71111","HCPCS","Both",,,"72","36","Amerigroup","Medicaid Managed Care","TC",,"37",,"26.35","16.59","55.8","percent of total billed charges",,
"XR AH BIL RIBS W/ PA CHEST MIN 4 VWS","71111","HCPCS","Both",,,"72","36","Caresource","Medicaid Managed Care","TC",,"40",,"28.8","16.59","55.8","percent of total billed charges",,
"XR AH BIL RIBS W/ PA CHEST MIN 4 VWS","71111","HCPCS","Both",,,"72","36","Wellcare","Medicaid Managed Care","TC",,"40",,"29.16","16.59","55.8","percent of total billed charges",,
"XR AH BIL RIBS W/ PA CHEST MIN 4 VWS","71111","HCPCS","Both",,,"72","36","Aetna","Commercial","TC",,"64",,"45.94","16.59","55.8","percent of total billed charges",,
"XR AH BIL RIBS W/ PA CHEST MIN 4 VWS","71111","HCPCS","Both",,,"72","36","Blue Cross Blue Shield","Pathways","TC",,"71",,"50.83","16.59","55.8","percent of total billed charges",,
"XR AH BIL RIBS W/ PA CHEST MIN 4 VWS","71111","HCPCS","Both",,,"72","36","Blue Cross Blue Shield","HMO","TC",,"71",,"50.83","16.59","55.8","percent of total billed charges",,
"XR AH BIL RIBS W/ PA CHEST MIN 4 VWS","71111","HCPCS","Both",,,"72","36","Blue Cross Blue Shield","PPO","TC",,"71",,"50.83","16.59","55.8","percent of total billed charges",,
"XR AH BIL RIBS W/ PA CHEST MIN 4 VWS","71111","HCPCS","Both",,,"72","36","Ambetter","Health Exchange","TC",,"62",,"44.64","16.59","55.8","percent of total billed charges",,
"XR AH BIL RIBS W/ PA CHEST MIN 4 VWS","71111","HCPCS","Both",,,"72","36","Caresource","Health Exchange","TC",,"62",,"44.64","16.59","55.8","percent of total billed charges",,
"XR AH BIL RIBS W/ PA CHEST MIN 4 VWS","71111","HCPCS","Both",,,"72","36","Cigna","Commercial","TC",,"59",,"42.19","16.59","55.8","percent of total billed charges",,
"XR AH BIL RIBS W/ PA CHEST MIN 4 VWS","71111","HCPCS","Both",,,"72","36","Humana","Commercial","TC",,"78",,"55.8","16.59","55.8","percent of total billed charges",,
"XR AH BIL RIBS W/ PA CHEST MIN 4 VWS","71111","HCPCS","Both",,,"72","36","UHC","Commercial","TC",,"75",,"54.29","16.59","55.8","percent of total billed charges",,
"XR AH BIL RIBS W/ PA CHEST MIN 4 VWS","71111","HCPCS","Both",,,"72","36","Medicaid",,"TC",,"37",,"26.35","16.59","55.8","percent of total billed charges",,
"XR AH CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"126","63","Alliant","Health Exchange","TC",,"62",,"78.12","9.37","97.65","percent of total billed charges",,
"XR AH CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"126","63","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"68.04","9.37","97.65","percent of total billed charges",,
"XR AH CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"126","63","Medicare",,"TC",,"54",,"68.29","9.37","97.65","percent of total billed charges",,
"XR AH CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"126","63","Humana","Medicare Advantage","TC",,"54",,"68.29","9.37","97.65","percent of total billed charges",,
"XR AH CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"126","63","UHC","Medicare Advantage","TC",,"54",,"68.29","9.37","97.65","percent of total billed charges",,
"XR AH CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"126","63","Clover","Medicare Advantage","TC",,"54",,"68.29","9.37","97.65","percent of total billed charges",,
"XR AH CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"126","63","Wellcare","Medicare Advantage","TC",,"54",,"68.29","9.37","97.65","percent of total billed charges",,
"XR AH CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"126","63","Amerigroup","Medicaid Managed Care","TC",,"37",,"46.12","9.37","97.65","percent of total billed charges",,
"XR AH CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"126","63","Caresource","Medicaid Managed Care","TC",,"40",,"50.4","9.37","97.65","percent of total billed charges",,
"XR AH CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"126","63","Wellcare","Medicaid Managed Care","TC",,"40",,"51.03","9.37","97.65","percent of total billed charges",,
"XR AH CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"126","63","Aetna","Commercial","TC",,"64",,"80.39","9.37","97.65","percent of total billed charges",,
"XR AH CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"126","63","Blue Cross Blue Shield","Pathways","TC",,"71",,"88.96","9.37","97.65","percent of total billed charges",,
"XR AH CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"126","63","Blue Cross Blue Shield","HMO","TC",,"71",,"88.96","9.37","97.65","percent of total billed charges",,
"XR AH CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"126","63","Blue Cross Blue Shield","PPO","TC",,"71",,"88.96","9.37","97.65","percent of total billed charges",,
"XR AH CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"126","63","Ambetter","Health Exchange","TC",,"62",,"78.12","9.37","97.65","percent of total billed charges",,
"XR AH CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"126","63","Caresource","Health Exchange","TC",,"62",,"78.12","9.37","97.65","percent of total billed charges",,
"XR AH CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"126","63","Cigna","Commercial","TC",,"59",,"73.84","9.37","97.65","percent of total billed charges",,
"XR AH CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"126","63","Humana","Commercial","TC",,"78",,"97.65","9.37","97.65","percent of total billed charges",,
"XR AH CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"126","63","UHC","Commercial","TC",,"75",,"95","9.37","97.65","percent of total billed charges",,
"XR AH CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"126","63","Medicaid",,"TC",,"37",,"46.12","9.37","97.65","percent of total billed charges",,
"US AH VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"472","236","Alliant","Health Exchange","TC",,"62",,"292.64","22.85","621.86","percent of total billed charges",,
"US AH VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"472","236","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"254.88","22.85","621.86","percent of total billed charges",,
"US AH VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"472","236","Medicare",,"TC",,"54",,"255.82","22.85","621.86","percent of total billed charges",,
"US AH VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"472","236","Humana","Medicare Advantage","TC",,"54",,"255.82","22.85","621.86","percent of total billed charges",,
"US AH VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"472","236","UHC","Medicare Advantage","TC",,"54",,"255.82","22.85","621.86","percent of total billed charges",,
"US AH VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"472","236","Clover","Medicare Advantage","TC",,"54",,"255.82","22.85","621.86","percent of total billed charges",,
"US AH VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"472","236","Wellcare","Medicare Advantage","TC",,"54",,"255.82","22.85","621.86","percent of total billed charges",,
"US AH VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"472","236","Amerigroup","Medicaid Managed Care","TC",,"37",,"172.75","22.85","621.86","percent of total billed charges",,
"US AH VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"472","236","Caresource","Medicaid Managed Care","TC",,"40",,"188.8","22.85","621.86","percent of total billed charges",,
"US AH VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"472","236","Wellcare","Medicaid Managed Care","TC",,"40",,"191.16","22.85","621.86","percent of total billed charges",,
"US AH VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"472","236","Aetna","Commercial","TC",,"64",,"301.14","22.85","621.86","percent of total billed charges",,
"US AH VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"472","236","Blue Cross Blue Shield","Pathways","TC",,"71",,"333.23","22.85","621.86","percent of total billed charges",,
"US AH VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"472","236","Blue Cross Blue Shield","HMO","TC",,"71",,"333.23","22.85","621.86","percent of total billed charges",,
"US AH VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"472","236","Blue Cross Blue Shield","PPO","TC",,"71",,"333.23","22.85","621.86","percent of total billed charges",,
"US AH VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"472","236","Ambetter","Health Exchange","TC",,"62",,"292.64","22.85","621.86","percent of total billed charges",,
"US AH VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"472","236","Caresource","Health Exchange","TC",,"62",,"292.64","22.85","621.86","percent of total billed charges",,
"US AH VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"472","236","Cigna","Commercial","TC",,"59",,"276.59","22.85","621.86","percent of total billed charges",,
"US AH VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"472","236","Humana","Commercial","TC",,"78",,"365.8","22.85","621.86","percent of total billed charges",,
"US AH VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"472","236","UHC","Commercial","TC",,"75",,"355.89","22.85","621.86","percent of total billed charges",,
"US AH VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"472","236","Medicaid",,"TC",,"37",,"172.75","22.85","621.86","percent of total billed charges",,
"XR AH SPINE CERVICAL MIN 4 VWS","72050","HCPCS","Both",,,"530","265","Alliant","Health Exchange","TC",,"62",,"328.6","14.03","698.28","percent of total billed charges",,
"XR AH SPINE CERVICAL MIN 4 VWS","72050","HCPCS","Both",,,"530","265","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"286.2","14.03","698.28","percent of total billed charges",,
"XR AH SPINE CERVICAL MIN 4 VWS","72050","HCPCS","Both",,,"530","265","Medicare",,"TC",,"54",,"287.26","14.03","698.28","percent of total billed charges",,
"XR AH SPINE CERVICAL MIN 4 VWS","72050","HCPCS","Both",,,"530","265","Humana","Medicare Advantage","TC",,"54",,"287.26","14.03","698.28","percent of total billed charges",,
"XR AH SPINE CERVICAL MIN 4 VWS","72050","HCPCS","Both",,,"530","265","UHC","Medicare Advantage","TC",,"54",,"287.26","14.03","698.28","percent of total billed charges",,
"XR AH SPINE CERVICAL MIN 4 VWS","72050","HCPCS","Both",,,"530","265","Clover","Medicare Advantage","TC",,"54",,"287.26","14.03","698.28","percent of total billed charges",,
"XR AH SPINE CERVICAL MIN 4 VWS","72050","HCPCS","Both",,,"530","265","Wellcare","Medicare Advantage","TC",,"54",,"287.26","14.03","698.28","percent of total billed charges",,
"XR AH SPINE CERVICAL MIN 4 VWS","72050","HCPCS","Both",,,"530","265","Amerigroup","Medicaid Managed Care","TC",,"37",,"193.98","14.03","698.28","percent of total billed charges",,
"XR AH SPINE CERVICAL MIN 4 VWS","72050","HCPCS","Both",,,"530","265","Caresource","Medicaid Managed Care","TC",,"40",,"212","14.03","698.28","percent of total billed charges",,
"XR AH SPINE CERVICAL MIN 4 VWS","72050","HCPCS","Both",,,"530","265","Wellcare","Medicaid Managed Care","TC",,"40",,"214.65","14.03","698.28","percent of total billed charges",,
"XR AH SPINE CERVICAL MIN 4 VWS","72050","HCPCS","Both",,,"530","265","Aetna","Commercial","TC",,"64",,"338.14","14.03","698.28","percent of total billed charges",,
"XR AH SPINE CERVICAL MIN 4 VWS","72050","HCPCS","Both",,,"530","265","Blue Cross Blue Shield","Pathways","TC",,"71",,"374.18","14.03","698.28","percent of total billed charges",,
"XR AH SPINE CERVICAL MIN 4 VWS","72050","HCPCS","Both",,,"530","265","Blue Cross Blue Shield","HMO","TC",,"71",,"374.18","14.03","698.28","percent of total billed charges",,
"XR AH SPINE CERVICAL MIN 4 VWS","72050","HCPCS","Both",,,"530","265","Blue Cross Blue Shield","PPO","TC",,"71",,"374.18","14.03","698.28","percent of total billed charges",,
"XR AH SPINE CERVICAL MIN 4 VWS","72050","HCPCS","Both",,,"530","265","Ambetter","Health Exchange","TC",,"62",,"328.6","14.03","698.28","percent of total billed charges",,
"XR AH SPINE CERVICAL MIN 4 VWS","72050","HCPCS","Both",,,"530","265","Caresource","Health Exchange","TC",,"62",,"328.6","14.03","698.28","percent of total billed charges",,
"XR AH SPINE CERVICAL MIN 4 VWS","72050","HCPCS","Both",,,"530","265","Cigna","Commercial","TC",,"59",,"310.58","14.03","698.28","percent of total billed charges",,
"XR AH SPINE CERVICAL MIN 4 VWS","72050","HCPCS","Both",,,"530","265","Humana","Commercial","TC",,"78",,"410.75","14.03","698.28","percent of total billed charges",,
"XR AH SPINE CERVICAL MIN 4 VWS","72050","HCPCS","Both",,,"530","265","UHC","Commercial","TC",,"75",,"399.62","14.03","698.28","percent of total billed charges",,
"XR AH SPINE CERVICAL MIN 4 VWS","72050","HCPCS","Both",,,"530","265","Medicaid",,"TC",,"37",,"193.98","14.03","698.28","percent of total billed charges",,
"XR AH SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"590","295","Alliant","Health Exchange","TC",,"62",,"365.8","11.56","457.25","percent of total billed charges",,
"XR AH SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"590","295","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"318.6","11.56","457.25","percent of total billed charges",,
"XR AH SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"590","295","Medicare",,"TC",,"54",,"319.78","11.56","457.25","percent of total billed charges",,
"XR AH SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"590","295","Humana","Medicare Advantage","TC",,"54",,"319.78","11.56","457.25","percent of total billed charges",,
"XR AH SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"590","295","UHC","Medicare Advantage","TC",,"54",,"319.78","11.56","457.25","percent of total billed charges",,
"XR AH SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"590","295","Clover","Medicare Advantage","TC",,"54",,"319.78","11.56","457.25","percent of total billed charges",,
"XR AH SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"590","295","Wellcare","Medicare Advantage","TC",,"54",,"319.78","11.56","457.25","percent of total billed charges",,
"XR AH SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"590","295","Amerigroup","Medicaid Managed Care","TC",,"37",,"215.94","11.56","457.25","percent of total billed charges",,
"XR AH SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"590","295","Caresource","Medicaid Managed Care","TC",,"40",,"236","11.56","457.25","percent of total billed charges",,
"XR AH SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"590","295","Wellcare","Medicaid Managed Care","TC",,"40",,"238.95","11.56","457.25","percent of total billed charges",,
"XR AH SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"590","295","Aetna","Commercial","TC",,"64",,"376.42","11.56","457.25","percent of total billed charges",,
"XR AH SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"590","295","Blue Cross Blue Shield","Pathways","TC",,"71",,"416.54","11.56","457.25","percent of total billed charges",,
"XR AH SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"590","295","Blue Cross Blue Shield","HMO","TC",,"71",,"416.54","11.56","457.25","percent of total billed charges",,
"XR AH SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"590","295","Blue Cross Blue Shield","PPO","TC",,"71",,"416.54","11.56","457.25","percent of total billed charges",,
"XR AH SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"590","295","Ambetter","Health Exchange","TC",,"62",,"365.8","11.56","457.25","percent of total billed charges",,
"XR AH SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"590","295","Caresource","Health Exchange","TC",,"62",,"365.8","11.56","457.25","percent of total billed charges",,
"XR AH SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"590","295","Cigna","Commercial","TC",,"59",,"345.74","11.56","457.25","percent of total billed charges",,
"XR AH SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"590","295","Humana","Commercial","TC",,"78",,"457.25","11.56","457.25","percent of total billed charges",,
"XR AH SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"590","295","UHC","Commercial","TC",,"75",,"444.86","11.56","457.25","percent of total billed charges",,
"XR AH SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"590","295","Medicaid",,"TC",,"37",,"215.94","11.56","457.25","percent of total billed charges",,
"XR AH HIP UNILATERAL 2-3 VIEWS RIGHT","73502","HCPCS","Both",,,"221.28","110.64","Alliant","Health Exchange","LT,TC",,"62",,"137.19","9","171.49","percent of total billed charges",,
"XR AH HIP UNILATERAL 2-3 VIEWS RIGHT","73502","HCPCS","Both",,,"221.28","110.64","Pruitt Healthcare","Medicare Advantage","LT,TC",,"54",,"119.49","9","171.49","percent of total billed charges",,
"XR AH HIP UNILATERAL 2-3 VIEWS RIGHT","73502","HCPCS","Both",,,"221.28","110.64","Medicare",,"LT,TC",,"54",,"119.93","9","171.49","percent of total billed charges",,
"XR AH HIP UNILATERAL 2-3 VIEWS RIGHT","73502","HCPCS","Both",,,"221.28","110.64","Humana","Medicare Advantage","LT,TC",,"54",,"119.93","9","171.49","percent of total billed charges",,
"XR AH HIP UNILATERAL 2-3 VIEWS RIGHT","73502","HCPCS","Both",,,"221.28","110.64","UHC","Medicare Advantage","LT,TC",,"54",,"119.93","9","171.49","percent of total billed charges",,
"XR AH HIP UNILATERAL 2-3 VIEWS RIGHT","73502","HCPCS","Both",,,"221.28","110.64","Clover","Medicare Advantage","LT,TC",,"54",,"119.93","9","171.49","percent of total billed charges",,
"XR AH HIP UNILATERAL 2-3 VIEWS RIGHT","73502","HCPCS","Both",,,"221.28","110.64","Wellcare","Medicare Advantage","LT,TC",,"54",,"119.93","9","171.49","percent of total billed charges",,
"XR AH HIP UNILATERAL 2-3 VIEWS RIGHT","73502","HCPCS","Both",,,"221.28","110.64","Amerigroup","Medicaid Managed Care","LT,TC",,"37",,"80.99","9","171.49","percent of total billed charges",,
"XR AH HIP UNILATERAL 2-3 VIEWS RIGHT","73502","HCPCS","Both",,,"221.28","110.64","Caresource","Medicaid Managed Care","LT,TC",,"40",,"88.51","9","171.49","percent of total billed charges",,
"XR AH HIP UNILATERAL 2-3 VIEWS RIGHT","73502","HCPCS","Both",,,"221.28","110.64","Wellcare","Medicaid Managed Care","LT,TC",,"40",,"89.62","9","171.49","percent of total billed charges",,
"XR AH HIP UNILATERAL 2-3 VIEWS RIGHT","73502","HCPCS","Both",,,"221.28","110.64","Aetna","Commercial","LT,TC",,"64",,"141.18","9","171.49","percent of total billed charges",,
"XR AH HIP UNILATERAL 2-3 VIEWS RIGHT","73502","HCPCS","Both",,,"221.28","110.64","Blue Cross Blue Shield","Pathways","LT,TC",,"71",,"156.22","9","171.49","percent of total billed charges",,
"XR AH HIP UNILATERAL 2-3 VIEWS RIGHT","73502","HCPCS","Both",,,"221.28","110.64","Blue Cross Blue Shield","HMO","LT,TC",,"71",,"156.22","9","171.49","percent of total billed charges",,
"XR AH HIP UNILATERAL 2-3 VIEWS RIGHT","73502","HCPCS","Both",,,"221.28","110.64","Blue Cross Blue Shield","PPO","LT,TC",,"71",,"156.22","9","171.49","percent of total billed charges",,
"XR AH HIP UNILATERAL 2-3 VIEWS RIGHT","73502","HCPCS","Both",,,"221.28","110.64","Ambetter","Health Exchange","LT,TC",,"62",,"137.19","9","171.49","percent of total billed charges",,
"XR AH HIP UNILATERAL 2-3 VIEWS RIGHT","73502","HCPCS","Both",,,"221.28","110.64","Caresource","Health Exchange","LT,TC",,"62",,"137.19","9","171.49","percent of total billed charges",,
"XR AH HIP UNILATERAL 2-3 VIEWS RIGHT","73502","HCPCS","Both",,,"221.28","110.64","Cigna","Commercial","LT,TC",,"59",,"129.67","9","171.49","percent of total billed charges",,
"XR AH HIP UNILATERAL 2-3 VIEWS RIGHT","73502","HCPCS","Both",,,"221.28","110.64","Humana","Commercial","LT,TC",,"78",,"171.49","9","171.49","percent of total billed charges",,
"XR AH HIP UNILATERAL 2-3 VIEWS RIGHT","73502","HCPCS","Both",,,"221.28","110.64","UHC","Commercial","LT,TC",,"75",,"166.85","9","171.49","percent of total billed charges",,
"XR AH HIP UNILATERAL 2-3 VIEWS RIGHT","73502","HCPCS","Both",,,"221.28","110.64","Medicaid",,"LT,TC",,"37",,"80.99","9","171.49","percent of total billed charges",,
"XR AH ABDOMEN SINGLE ANTERPOSTERIOR","74018","HCPCS","Both",,,"459.84","229.92","Alliant","Health Exchange","TC",,"62",,"285.1","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN SINGLE ANTERPOSTERIOR","74018","HCPCS","Both",,,"459.84","229.92","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"248.31","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN SINGLE ANTERPOSTERIOR","74018","HCPCS","Both",,,"459.84","229.92","Medicare",,"TC",,"54",,"249.23","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN SINGLE ANTERPOSTERIOR","74018","HCPCS","Both",,,"459.84","229.92","Humana","Medicare Advantage","TC",,"54",,"249.23","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN SINGLE ANTERPOSTERIOR","74018","HCPCS","Both",,,"459.84","229.92","UHC","Medicare Advantage","TC",,"54",,"249.23","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN SINGLE ANTERPOSTERIOR","74018","HCPCS","Both",,,"459.84","229.92","Clover","Medicare Advantage","TC",,"54",,"249.23","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN SINGLE ANTERPOSTERIOR","74018","HCPCS","Both",,,"459.84","229.92","Wellcare","Medicare Advantage","TC",,"54",,"249.23","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN SINGLE ANTERPOSTERIOR","74018","HCPCS","Both",,,"459.84","229.92","Amerigroup","Medicaid Managed Care","TC",,"37",,"168.3","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN SINGLE ANTERPOSTERIOR","74018","HCPCS","Both",,,"459.84","229.92","Caresource","Medicaid Managed Care","TC",,"40",,"183.94","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN SINGLE ANTERPOSTERIOR","74018","HCPCS","Both",,,"459.84","229.92","Wellcare","Medicaid Managed Care","TC",,"40",,"186.24","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN SINGLE ANTERPOSTERIOR","74018","HCPCS","Both",,,"459.84","229.92","Aetna","Commercial","TC",,"64",,"293.38","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN SINGLE ANTERPOSTERIOR","74018","HCPCS","Both",,,"459.84","229.92","Blue Cross Blue Shield","Pathways","TC",,"71",,"324.65","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN SINGLE ANTERPOSTERIOR","74018","HCPCS","Both",,,"459.84","229.92","Blue Cross Blue Shield","HMO","TC",,"71",,"324.65","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN SINGLE ANTERPOSTERIOR","74018","HCPCS","Both",,,"459.84","229.92","Blue Cross Blue Shield","PPO","TC",,"71",,"324.65","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN SINGLE ANTERPOSTERIOR","74018","HCPCS","Both",,,"459.84","229.92","Ambetter","Health Exchange","TC",,"62",,"285.1","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN SINGLE ANTERPOSTERIOR","74018","HCPCS","Both",,,"459.84","229.92","Caresource","Health Exchange","TC",,"62",,"285.1","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN SINGLE ANTERPOSTERIOR","74018","HCPCS","Both",,,"459.84","229.92","Cigna","Commercial","TC",,"59",,"269.47","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN SINGLE ANTERPOSTERIOR","74018","HCPCS","Both",,,"459.84","229.92","Humana","Commercial","TC",,"78",,"356.38","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN SINGLE ANTERPOSTERIOR","74018","HCPCS","Both",,,"459.84","229.92","UHC","Commercial","TC",,"75",,"346.72","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN SINGLE ANTERPOSTERIOR","74018","HCPCS","Both",,,"459.84","229.92","Medicaid",,"TC",,"37",,"168.3","9.37","356.38","percent of total billed charges",,
"EMERGENCY ROOM CHARGE","99283","HCPCS","Both",,,"231.5","115.75","Alliant","Health Exchange","",,"62",,"143.53","84.73","179.41","percent of total billed charges",,
"EMERGENCY ROOM CHARGE","99283","HCPCS","Both",,,"231.5","115.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"125.01","84.73","179.41","percent of total billed charges",,
"EMERGENCY ROOM CHARGE","99283","HCPCS","Both",,,"231.5","115.75","Medicare",,"",,"54",,"125.47","84.73","179.41","percent of total billed charges",,
"EMERGENCY ROOM CHARGE","99283","HCPCS","Both",,,"231.5","115.75","Humana","Medicare Advantage","",,"54",,"125.47","84.73","179.41","percent of total billed charges",,
"EMERGENCY ROOM CHARGE","99283","HCPCS","Both",,,"231.5","115.75","UHC","Medicare Advantage","",,"54",,"125.47","84.73","179.41","percent of total billed charges",,
"EMERGENCY ROOM CHARGE","99283","HCPCS","Both",,,"231.5","115.75","Clover","Medicare Advantage","",,"54",,"125.47","84.73","179.41","percent of total billed charges",,
"EMERGENCY ROOM CHARGE","99283","HCPCS","Both",,,"231.5","115.75","Wellcare","Medicare Advantage","",,"54",,"125.47","84.73","179.41","percent of total billed charges",,
"EMERGENCY ROOM CHARGE","99283","HCPCS","Both",,,"231.5","115.75","Amerigroup","Medicaid Managed Care","",,"37",,"84.73","84.73","179.41","percent of total billed charges",,
"EMERGENCY ROOM CHARGE","99283","HCPCS","Both",,,"231.5","115.75","Caresource","Medicaid Managed Care","",,"40",,"92.6","84.73","179.41","percent of total billed charges",,
"EMERGENCY ROOM CHARGE","99283","HCPCS","Both",,,"231.5","115.75","Wellcare","Medicaid Managed Care","",,"40",,"93.76","84.73","179.41","percent of total billed charges",,
"EMERGENCY ROOM CHARGE","99283","HCPCS","Both",,,"231.5","115.75","Aetna","Commercial","",,"64",,"147.7","84.73","179.41","percent of total billed charges",,
"EMERGENCY ROOM CHARGE","99283","HCPCS","Both",,,"231.5","115.75","Blue Cross Blue Shield","Pathways","",,"71",,"163.44","84.73","179.41","percent of total billed charges",,
"EMERGENCY ROOM CHARGE","99283","HCPCS","Both",,,"231.5","115.75","Blue Cross Blue Shield","HMO","",,"71",,"163.44","84.73","179.41","percent of total billed charges",,
"EMERGENCY ROOM CHARGE","99283","HCPCS","Both",,,"231.5","115.75","Blue Cross Blue Shield","PPO","",,"71",,"163.44","84.73","179.41","percent of total billed charges",,
"EMERGENCY ROOM CHARGE","99283","HCPCS","Both",,,"231.5","115.75","Ambetter","Health Exchange","",,"62",,"143.53","84.73","179.41","percent of total billed charges",,
"EMERGENCY ROOM CHARGE","99283","HCPCS","Both",,,"231.5","115.75","Caresource","Health Exchange","",,"62",,"143.53","84.73","179.41","percent of total billed charges",,
"EMERGENCY ROOM CHARGE","99283","HCPCS","Both",,,"231.5","115.75","Cigna","Commercial","",,"59",,"135.66","84.73","179.41","percent of total billed charges",,
"EMERGENCY ROOM CHARGE","99283","HCPCS","Both",,,"231.5","115.75","Humana","Commercial","",,"78",,"179.41","84.73","179.41","percent of total billed charges",,
"EMERGENCY ROOM CHARGE","99283","HCPCS","Both",,,"231.5","115.75","UHC","Commercial","",,"75",,"174.55","84.73","179.41","percent of total billed charges",,
"EMERGENCY ROOM CHARGE","99283","HCPCS","Both",,,"231.5","115.75","Medicaid",,"",,"37",,"84.73","84.73","179.41","percent of total billed charges",,
"EMERGENCY ROOM CHARAGE","99284","HCPCS","Both",,,"1047","523.5","Alliant","Health Exchange","",,"62",,"649.14","383.2","811.42","percent of total billed charges",,
"EMERGENCY ROOM CHARAGE","99284","HCPCS","Both",,,"1047","523.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"565.38","383.2","811.42","percent of total billed charges",,
"EMERGENCY ROOM CHARAGE","99284","HCPCS","Both",,,"1047","523.5","Medicare",,"",,"54",,"567.47","383.2","811.42","percent of total billed charges",,
"EMERGENCY ROOM CHARAGE","99284","HCPCS","Both",,,"1047","523.5","Humana","Medicare Advantage","",,"54",,"567.47","383.2","811.42","percent of total billed charges",,
"EMERGENCY ROOM CHARAGE","99284","HCPCS","Both",,,"1047","523.5","UHC","Medicare Advantage","",,"54",,"567.47","383.2","811.42","percent of total billed charges",,
"EMERGENCY ROOM CHARAGE","99284","HCPCS","Both",,,"1047","523.5","Clover","Medicare Advantage","",,"54",,"567.47","383.2","811.42","percent of total billed charges",,
"EMERGENCY ROOM CHARAGE","99284","HCPCS","Both",,,"1047","523.5","Wellcare","Medicare Advantage","",,"54",,"567.47","383.2","811.42","percent of total billed charges",,
"EMERGENCY ROOM CHARAGE","99284","HCPCS","Both",,,"1047","523.5","Amerigroup","Medicaid Managed Care","",,"37",,"383.2","383.2","811.42","percent of total billed charges",,
"EMERGENCY ROOM CHARAGE","99284","HCPCS","Both",,,"1047","523.5","Caresource","Medicaid Managed Care","",,"40",,"418.8","383.2","811.42","percent of total billed charges",,
"EMERGENCY ROOM CHARAGE","99284","HCPCS","Both",,,"1047","523.5","Wellcare","Medicaid Managed Care","",,"40",,"424.04","383.2","811.42","percent of total billed charges",,
"EMERGENCY ROOM CHARAGE","99284","HCPCS","Both",,,"1047","523.5","Aetna","Commercial","",,"64",,"667.99","383.2","811.42","percent of total billed charges",,
"EMERGENCY ROOM CHARAGE","99284","HCPCS","Both",,,"1047","523.5","Blue Cross Blue Shield","Pathways","",,"71",,"739.18","383.2","811.42","percent of total billed charges",,
"EMERGENCY ROOM CHARAGE","99284","HCPCS","Both",,,"1047","523.5","Blue Cross Blue Shield","HMO","",,"71",,"739.18","383.2","811.42","percent of total billed charges",,
"EMERGENCY ROOM CHARAGE","99284","HCPCS","Both",,,"1047","523.5","Blue Cross Blue Shield","PPO","",,"71",,"739.18","383.2","811.42","percent of total billed charges",,
"EMERGENCY ROOM CHARAGE","99284","HCPCS","Both",,,"1047","523.5","Ambetter","Health Exchange","",,"62",,"649.14","383.2","811.42","percent of total billed charges",,
"EMERGENCY ROOM CHARAGE","99284","HCPCS","Both",,,"1047","523.5","Caresource","Health Exchange","",,"62",,"649.14","383.2","811.42","percent of total billed charges",,
"EMERGENCY ROOM CHARAGE","99284","HCPCS","Both",,,"1047","523.5","Cigna","Commercial","",,"59",,"613.54","383.2","811.42","percent of total billed charges",,
"EMERGENCY ROOM CHARAGE","99284","HCPCS","Both",,,"1047","523.5","Humana","Commercial","",,"78",,"811.42","383.2","811.42","percent of total billed charges",,
"EMERGENCY ROOM CHARAGE","99284","HCPCS","Both",,,"1047","523.5","UHC","Commercial","",,"75",,"789.44","383.2","811.42","percent of total billed charges",,
"EMERGENCY ROOM CHARAGE","99284","HCPCS","Both",,,"1047","523.5","Medicaid",,"",,"37",,"383.2","383.2","811.42","percent of total billed charges",,
"EMERGENCY ROOM CHARGE","99285","HCPCS","Both",,,"752.5","376.25","Alliant","Health Exchange","",,"62",,"466.55","275.42","583.19","percent of total billed charges",,
"EMERGENCY ROOM CHARGE","99285","HCPCS","Both",,,"752.5","376.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"406.35","275.42","583.19","percent of total billed charges",,
"EMERGENCY ROOM CHARGE","99285","HCPCS","Both",,,"752.5","376.25","Medicare",,"",,"54",,"407.86","275.42","583.19","percent of total billed charges",,
"EMERGENCY ROOM CHARGE","99285","HCPCS","Both",,,"752.5","376.25","Humana","Medicare Advantage","",,"54",,"407.86","275.42","583.19","percent of total billed charges",,
"EMERGENCY ROOM CHARGE","99285","HCPCS","Both",,,"752.5","376.25","UHC","Medicare Advantage","",,"54",,"407.86","275.42","583.19","percent of total billed charges",,
"EMERGENCY ROOM CHARGE","99285","HCPCS","Both",,,"752.5","376.25","Clover","Medicare Advantage","",,"54",,"407.86","275.42","583.19","percent of total billed charges",,
"EMERGENCY ROOM CHARGE","99285","HCPCS","Both",,,"752.5","376.25","Wellcare","Medicare Advantage","",,"54",,"407.86","275.42","583.19","percent of total billed charges",,
"EMERGENCY ROOM CHARGE","99285","HCPCS","Both",,,"752.5","376.25","Amerigroup","Medicaid Managed Care","",,"37",,"275.42","275.42","583.19","percent of total billed charges",,
"EMERGENCY ROOM CHARGE","99285","HCPCS","Both",,,"752.5","376.25","Caresource","Medicaid Managed Care","",,"40",,"301","275.42","583.19","percent of total billed charges",,
"EMERGENCY ROOM CHARGE","99285","HCPCS","Both",,,"752.5","376.25","Wellcare","Medicaid Managed Care","",,"40",,"304.76","275.42","583.19","percent of total billed charges",,
"EMERGENCY ROOM CHARGE","99285","HCPCS","Both",,,"752.5","376.25","Aetna","Commercial","",,"64",,"480.1","275.42","583.19","percent of total billed charges",,
"EMERGENCY ROOM CHARGE","99285","HCPCS","Both",,,"752.5","376.25","Blue Cross Blue Shield","Pathways","",,"71",,"531.26","275.42","583.19","percent of total billed charges",,
"EMERGENCY ROOM CHARGE","99285","HCPCS","Both",,,"752.5","376.25","Blue Cross Blue Shield","HMO","",,"71",,"531.26","275.42","583.19","percent of total billed charges",,
"EMERGENCY ROOM CHARGE","99285","HCPCS","Both",,,"752.5","376.25","Blue Cross Blue Shield","PPO","",,"71",,"531.26","275.42","583.19","percent of total billed charges",,
"EMERGENCY ROOM CHARGE","99285","HCPCS","Both",,,"752.5","376.25","Ambetter","Health Exchange","",,"62",,"466.55","275.42","583.19","percent of total billed charges",,
"EMERGENCY ROOM CHARGE","99285","HCPCS","Both",,,"752.5","376.25","Caresource","Health Exchange","",,"62",,"466.55","275.42","583.19","percent of total billed charges",,
"EMERGENCY ROOM CHARGE","99285","HCPCS","Both",,,"752.5","376.25","Cigna","Commercial","",,"59",,"440.96","275.42","583.19","percent of total billed charges",,
"EMERGENCY ROOM CHARGE","99285","HCPCS","Both",,,"752.5","376.25","Humana","Commercial","",,"78",,"583.19","275.42","583.19","percent of total billed charges",,
"EMERGENCY ROOM CHARGE","99285","HCPCS","Both",,,"752.5","376.25","UHC","Commercial","",,"75",,"567.38","275.42","583.19","percent of total billed charges",,
"EMERGENCY ROOM CHARGE","99285","HCPCS","Both",,,"752.5","376.25","Medicaid",,"",,"37",,"275.42","275.42","583.19","percent of total billed charges",,
"EMERGENCY ROOM   CPR","92950","HCPCS","Both",,,"502","251","Alliant","Health Exchange","",,"62",,"311.24","183.73","389.05","percent of total billed charges",,
"EMERGENCY ROOM   CPR","92950","HCPCS","Both",,,"502","251","Pruitt Healthcare","Medicare Advantage","",,"54",,"271.08","183.73","389.05","percent of total billed charges",,
"EMERGENCY ROOM   CPR","92950","HCPCS","Both",,,"502","251","Medicare",,"",,"54",,"272.08","183.73","389.05","percent of total billed charges",,
"EMERGENCY ROOM   CPR","92950","HCPCS","Both",,,"502","251","Humana","Medicare Advantage","",,"54",,"272.08","183.73","389.05","percent of total billed charges",,
"EMERGENCY ROOM   CPR","92950","HCPCS","Both",,,"502","251","UHC","Medicare Advantage","",,"54",,"272.08","183.73","389.05","percent of total billed charges",,
"EMERGENCY ROOM   CPR","92950","HCPCS","Both",,,"502","251","Clover","Medicare Advantage","",,"54",,"272.08","183.73","389.05","percent of total billed charges",,
"EMERGENCY ROOM   CPR","92950","HCPCS","Both",,,"502","251","Wellcare","Medicare Advantage","",,"54",,"272.08","183.73","389.05","percent of total billed charges",,
"EMERGENCY ROOM   CPR","92950","HCPCS","Both",,,"502","251","Amerigroup","Medicaid Managed Care","",,"37",,"183.73","183.73","389.05","percent of total billed charges",,
"EMERGENCY ROOM   CPR","92950","HCPCS","Both",,,"502","251","Caresource","Medicaid Managed Care","",,"40",,"200.8","183.73","389.05","percent of total billed charges",,
"EMERGENCY ROOM   CPR","92950","HCPCS","Both",,,"502","251","Wellcare","Medicaid Managed Care","",,"40",,"203.31","183.73","389.05","percent of total billed charges",,
"EMERGENCY ROOM   CPR","92950","HCPCS","Both",,,"502","251","Aetna","Commercial","",,"64",,"320.28","183.73","389.05","percent of total billed charges",,
"EMERGENCY ROOM   CPR","92950","HCPCS","Both",,,"502","251","Blue Cross Blue Shield","Pathways","",,"71",,"354.41","183.73","389.05","percent of total billed charges",,
"EMERGENCY ROOM   CPR","92950","HCPCS","Both",,,"502","251","Blue Cross Blue Shield","HMO","",,"71",,"354.41","183.73","389.05","percent of total billed charges",,
"EMERGENCY ROOM   CPR","92950","HCPCS","Both",,,"502","251","Blue Cross Blue Shield","PPO","",,"71",,"354.41","183.73","389.05","percent of total billed charges",,
"EMERGENCY ROOM   CPR","92950","HCPCS","Both",,,"502","251","Ambetter","Health Exchange","",,"62",,"311.24","183.73","389.05","percent of total billed charges",,
"EMERGENCY ROOM   CPR","92950","HCPCS","Both",,,"502","251","Caresource","Health Exchange","",,"62",,"311.24","183.73","389.05","percent of total billed charges",,
"EMERGENCY ROOM   CPR","92950","HCPCS","Both",,,"502","251","Cigna","Commercial","",,"59",,"294.17","183.73","389.05","percent of total billed charges",,
"EMERGENCY ROOM   CPR","92950","HCPCS","Both",,,"502","251","Humana","Commercial","",,"78",,"389.05","183.73","389.05","percent of total billed charges",,
"EMERGENCY ROOM   CPR","92950","HCPCS","Both",,,"502","251","UHC","Commercial","",,"75",,"378.51","183.73","389.05","percent of total billed charges",,
"EMERGENCY ROOM   CPR","92950","HCPCS","Both",,,"502","251","Medicaid",,"",,"37",,"183.73","183.73","389.05","percent of total billed charges",,
"EMERGENCY ROOM VAGINAL DELIVERY","59410","HCPCS","Both",,,"1448","724","Alliant","Health Exchange","",,"62",,"897.76","529.97","1122.2","percent of total billed charges",,
"EMERGENCY ROOM VAGINAL DELIVERY","59410","HCPCS","Both",,,"1448","724","Pruitt Healthcare","Medicare Advantage","",,"54",,"781.92","529.97","1122.2","percent of total billed charges",,
"EMERGENCY ROOM VAGINAL DELIVERY","59410","HCPCS","Both",,,"1448","724","Medicare",,"",,"54",,"784.82","529.97","1122.2","percent of total billed charges",,
"EMERGENCY ROOM VAGINAL DELIVERY","59410","HCPCS","Both",,,"1448","724","Humana","Medicare Advantage","",,"54",,"784.82","529.97","1122.2","percent of total billed charges",,
"EMERGENCY ROOM VAGINAL DELIVERY","59410","HCPCS","Both",,,"1448","724","UHC","Medicare Advantage","",,"54",,"784.82","529.97","1122.2","percent of total billed charges",,
"EMERGENCY ROOM VAGINAL DELIVERY","59410","HCPCS","Both",,,"1448","724","Clover","Medicare Advantage","",,"54",,"784.82","529.97","1122.2","percent of total billed charges",,
"EMERGENCY ROOM VAGINAL DELIVERY","59410","HCPCS","Both",,,"1448","724","Wellcare","Medicare Advantage","",,"54",,"784.82","529.97","1122.2","percent of total billed charges",,
"EMERGENCY ROOM VAGINAL DELIVERY","59410","HCPCS","Both",,,"1448","724","Amerigroup","Medicaid Managed Care","",,"37",,"529.97","529.97","1122.2","percent of total billed charges",,
"EMERGENCY ROOM VAGINAL DELIVERY","59410","HCPCS","Both",,,"1448","724","Caresource","Medicaid Managed Care","",,"40",,"579.2","529.97","1122.2","percent of total billed charges",,
"EMERGENCY ROOM VAGINAL DELIVERY","59410","HCPCS","Both",,,"1448","724","Wellcare","Medicaid Managed Care","",,"40",,"586.44","529.97","1122.2","percent of total billed charges",,
"EMERGENCY ROOM VAGINAL DELIVERY","59410","HCPCS","Both",,,"1448","724","Aetna","Commercial","",,"64",,"923.82","529.97","1122.2","percent of total billed charges",,
"EMERGENCY ROOM VAGINAL DELIVERY","59410","HCPCS","Both",,,"1448","724","Blue Cross Blue Shield","Pathways","",,"71",,"1022.29","529.97","1122.2","percent of total billed charges",,
"EMERGENCY ROOM VAGINAL DELIVERY","59410","HCPCS","Both",,,"1448","724","Blue Cross Blue Shield","HMO","",,"71",,"1022.29","529.97","1122.2","percent of total billed charges",,
"EMERGENCY ROOM VAGINAL DELIVERY","59410","HCPCS","Both",,,"1448","724","Blue Cross Blue Shield","PPO","",,"71",,"1022.29","529.97","1122.2","percent of total billed charges",,
"EMERGENCY ROOM VAGINAL DELIVERY","59410","HCPCS","Both",,,"1448","724","Ambetter","Health Exchange","",,"62",,"897.76","529.97","1122.2","percent of total billed charges",,
"EMERGENCY ROOM VAGINAL DELIVERY","59410","HCPCS","Both",,,"1448","724","Caresource","Health Exchange","",,"62",,"897.76","529.97","1122.2","percent of total billed charges",,
"EMERGENCY ROOM VAGINAL DELIVERY","59410","HCPCS","Both",,,"1448","724","Cigna","Commercial","",,"59",,"848.53","529.97","1122.2","percent of total billed charges",,
"EMERGENCY ROOM VAGINAL DELIVERY","59410","HCPCS","Both",,,"1448","724","Humana","Commercial","",,"78",,"1122.2","529.97","1122.2","percent of total billed charges",,
"EMERGENCY ROOM VAGINAL DELIVERY","59410","HCPCS","Both",,,"1448","724","UHC","Commercial","",,"75",,"1091.79","529.97","1122.2","percent of total billed charges",,
"EMERGENCY ROOM VAGINAL DELIVERY","59410","HCPCS","Both",,,"1448","724","Medicaid",,"",,"37",,"529.97","529.97","1122.2","percent of total billed charges",,
"EMERGENCY ROOM TPA ADMINISTRATION","92977","HCPCS","Both",,,"532","266","Alliant","Health Exchange","",,"62",,"329.84","194.71","412.3","percent of total billed charges",,
"EMERGENCY ROOM TPA ADMINISTRATION","92977","HCPCS","Both",,,"532","266","Pruitt Healthcare","Medicare Advantage","",,"54",,"287.28","194.71","412.3","percent of total billed charges",,
"EMERGENCY ROOM TPA ADMINISTRATION","92977","HCPCS","Both",,,"532","266","Medicare",,"",,"54",,"288.34","194.71","412.3","percent of total billed charges",,
"EMERGENCY ROOM TPA ADMINISTRATION","92977","HCPCS","Both",,,"532","266","Humana","Medicare Advantage","",,"54",,"288.34","194.71","412.3","percent of total billed charges",,
"EMERGENCY ROOM TPA ADMINISTRATION","92977","HCPCS","Both",,,"532","266","UHC","Medicare Advantage","",,"54",,"288.34","194.71","412.3","percent of total billed charges",,
"EMERGENCY ROOM TPA ADMINISTRATION","92977","HCPCS","Both",,,"532","266","Clover","Medicare Advantage","",,"54",,"288.34","194.71","412.3","percent of total billed charges",,
"EMERGENCY ROOM TPA ADMINISTRATION","92977","HCPCS","Both",,,"532","266","Wellcare","Medicare Advantage","",,"54",,"288.34","194.71","412.3","percent of total billed charges",,
"EMERGENCY ROOM TPA ADMINISTRATION","92977","HCPCS","Both",,,"532","266","Amerigroup","Medicaid Managed Care","",,"37",,"194.71","194.71","412.3","percent of total billed charges",,
"EMERGENCY ROOM TPA ADMINISTRATION","92977","HCPCS","Both",,,"532","266","Caresource","Medicaid Managed Care","",,"40",,"212.8","194.71","412.3","percent of total billed charges",,
"EMERGENCY ROOM TPA ADMINISTRATION","92977","HCPCS","Both",,,"532","266","Wellcare","Medicaid Managed Care","",,"40",,"215.46","194.71","412.3","percent of total billed charges",,
"EMERGENCY ROOM TPA ADMINISTRATION","92977","HCPCS","Both",,,"532","266","Aetna","Commercial","",,"64",,"339.42","194.71","412.3","percent of total billed charges",,
"EMERGENCY ROOM TPA ADMINISTRATION","92977","HCPCS","Both",,,"532","266","Blue Cross Blue Shield","Pathways","",,"71",,"375.59","194.71","412.3","percent of total billed charges",,
"EMERGENCY ROOM TPA ADMINISTRATION","92977","HCPCS","Both",,,"532","266","Blue Cross Blue Shield","HMO","",,"71",,"375.59","194.71","412.3","percent of total billed charges",,
"EMERGENCY ROOM TPA ADMINISTRATION","92977","HCPCS","Both",,,"532","266","Blue Cross Blue Shield","PPO","",,"71",,"375.59","194.71","412.3","percent of total billed charges",,
"EMERGENCY ROOM TPA ADMINISTRATION","92977","HCPCS","Both",,,"532","266","Ambetter","Health Exchange","",,"62",,"329.84","194.71","412.3","percent of total billed charges",,
"EMERGENCY ROOM TPA ADMINISTRATION","92977","HCPCS","Both",,,"532","266","Caresource","Health Exchange","",,"62",,"329.84","194.71","412.3","percent of total billed charges",,
"EMERGENCY ROOM TPA ADMINISTRATION","92977","HCPCS","Both",,,"532","266","Cigna","Commercial","",,"59",,"311.75","194.71","412.3","percent of total billed charges",,
"EMERGENCY ROOM TPA ADMINISTRATION","92977","HCPCS","Both",,,"532","266","Humana","Commercial","",,"78",,"412.3","194.71","412.3","percent of total billed charges",,
"EMERGENCY ROOM TPA ADMINISTRATION","92977","HCPCS","Both",,,"532","266","UHC","Commercial","",,"75",,"401.13","194.71","412.3","percent of total billed charges",,
"EMERGENCY ROOM TPA ADMINISTRATION","92977","HCPCS","Both",,,"532","266","Medicaid",,"",,"37",,"194.71","194.71","412.3","percent of total billed charges",,
"ER SUTURE 2.5 OR LESS","12001","HCPCS","Both",,,"529","264.5","Alliant","Health Exchange","",,"62",,"327.98","193.61","696.96","percent of total billed charges",,
"ER SUTURE 2.5 OR LESS","12001","HCPCS","Both",,,"529","264.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"285.66","193.61","696.96","percent of total billed charges",,
"ER SUTURE 2.5 OR LESS","12001","HCPCS","Both",,,"529","264.5","Medicare",,"",,"54",,"286.72","193.61","696.96","percent of total billed charges",,
"ER SUTURE 2.5 OR LESS","12001","HCPCS","Both",,,"529","264.5","Humana","Medicare Advantage","",,"54",,"286.72","193.61","696.96","percent of total billed charges",,
"ER SUTURE 2.5 OR LESS","12001","HCPCS","Both",,,"529","264.5","UHC","Medicare Advantage","",,"54",,"286.72","193.61","696.96","percent of total billed charges",,
"ER SUTURE 2.5 OR LESS","12001","HCPCS","Both",,,"529","264.5","Clover","Medicare Advantage","",,"54",,"286.72","193.61","696.96","percent of total billed charges",,
"ER SUTURE 2.5 OR LESS","12001","HCPCS","Both",,,"529","264.5","Wellcare","Medicare Advantage","",,"54",,"286.72","193.61","696.96","percent of total billed charges",,
"ER SUTURE 2.5 OR LESS","12001","HCPCS","Both",,,"529","264.5","Amerigroup","Medicaid Managed Care","",,"37",,"193.61","193.61","696.96","percent of total billed charges",,
"ER SUTURE 2.5 OR LESS","12001","HCPCS","Both",,,"529","264.5","Caresource","Medicaid Managed Care","",,"40",,"211.6","193.61","696.96","percent of total billed charges",,
"ER SUTURE 2.5 OR LESS","12001","HCPCS","Both",,,"529","264.5","Wellcare","Medicaid Managed Care","",,"40",,"214.24","193.61","696.96","percent of total billed charges",,
"ER SUTURE 2.5 OR LESS","12001","HCPCS","Both",,,"529","264.5","Aetna","Commercial","",,"64",,"337.5","193.61","696.96","percent of total billed charges",,
"ER SUTURE 2.5 OR LESS","12001","HCPCS","Both",,,"529","264.5","Blue Cross Blue Shield","Pathways","",,"71",,"373.47","193.61","696.96","percent of total billed charges",,
"ER SUTURE 2.5 OR LESS","12001","HCPCS","Both",,,"529","264.5","Blue Cross Blue Shield","HMO","",,"71",,"373.47","193.61","696.96","percent of total billed charges",,
"ER SUTURE 2.5 OR LESS","12001","HCPCS","Both",,,"529","264.5","Blue Cross Blue Shield","PPO","",,"71",,"373.47","193.61","696.96","percent of total billed charges",,
"ER SUTURE 2.5 OR LESS","12001","HCPCS","Both",,,"529","264.5","Ambetter","Health Exchange","",,"62",,"327.98","193.61","696.96","percent of total billed charges",,
"ER SUTURE 2.5 OR LESS","12001","HCPCS","Both",,,"529","264.5","Caresource","Health Exchange","",,"62",,"327.98","193.61","696.96","percent of total billed charges",,
"ER SUTURE 2.5 OR LESS","12001","HCPCS","Both",,,"529","264.5","Cigna","Commercial","",,"59",,"309.99","193.61","696.96","percent of total billed charges",,
"ER SUTURE 2.5 OR LESS","12001","HCPCS","Both",,,"529","264.5","Humana","Commercial","",,"78",,"409.98","193.61","696.96","percent of total billed charges",,
"ER SUTURE 2.5 OR LESS","12001","HCPCS","Both",,,"529","264.5","UHC","Commercial","",,"75",,"398.87","193.61","696.96","percent of total billed charges",,
"ER SUTURE 2.5 OR LESS","12001","HCPCS","Both",,,"529","264.5","Medicaid",,"",,"37",,"193.61","193.61","696.96","percent of total billed charges",,
"ER SUTURE 2.6 TO 7.5","12002","HCPCS","Both",,,"588","294","Alliant","Health Exchange","",,"62",,"364.56","215.21","774.69","percent of total billed charges",,
"ER SUTURE 2.6 TO 7.5","12002","HCPCS","Both",,,"588","294","Pruitt Healthcare","Medicare Advantage","",,"54",,"317.52","215.21","774.69","percent of total billed charges",,
"ER SUTURE 2.6 TO 7.5","12002","HCPCS","Both",,,"588","294","Medicare",,"",,"54",,"318.7","215.21","774.69","percent of total billed charges",,
"ER SUTURE 2.6 TO 7.5","12002","HCPCS","Both",,,"588","294","Humana","Medicare Advantage","",,"54",,"318.7","215.21","774.69","percent of total billed charges",,
"ER SUTURE 2.6 TO 7.5","12002","HCPCS","Both",,,"588","294","UHC","Medicare Advantage","",,"54",,"318.7","215.21","774.69","percent of total billed charges",,
"ER SUTURE 2.6 TO 7.5","12002","HCPCS","Both",,,"588","294","Clover","Medicare Advantage","",,"54",,"318.7","215.21","774.69","percent of total billed charges",,
"ER SUTURE 2.6 TO 7.5","12002","HCPCS","Both",,,"588","294","Wellcare","Medicare Advantage","",,"54",,"318.7","215.21","774.69","percent of total billed charges",,
"ER SUTURE 2.6 TO 7.5","12002","HCPCS","Both",,,"588","294","Amerigroup","Medicaid Managed Care","",,"37",,"215.21","215.21","774.69","percent of total billed charges",,
"ER SUTURE 2.6 TO 7.5","12002","HCPCS","Both",,,"588","294","Caresource","Medicaid Managed Care","",,"40",,"235.2","215.21","774.69","percent of total billed charges",,
"ER SUTURE 2.6 TO 7.5","12002","HCPCS","Both",,,"588","294","Wellcare","Medicaid Managed Care","",,"40",,"238.14","215.21","774.69","percent of total billed charges",,
"ER SUTURE 2.6 TO 7.5","12002","HCPCS","Both",,,"588","294","Aetna","Commercial","",,"64",,"375.14","215.21","774.69","percent of total billed charges",,
"ER SUTURE 2.6 TO 7.5","12002","HCPCS","Both",,,"588","294","Blue Cross Blue Shield","Pathways","",,"71",,"415.13","215.21","774.69","percent of total billed charges",,
"ER SUTURE 2.6 TO 7.5","12002","HCPCS","Both",,,"588","294","Blue Cross Blue Shield","HMO","",,"71",,"415.13","215.21","774.69","percent of total billed charges",,
"ER SUTURE 2.6 TO 7.5","12002","HCPCS","Both",,,"588","294","Blue Cross Blue Shield","PPO","",,"71",,"415.13","215.21","774.69","percent of total billed charges",,
"ER SUTURE 2.6 TO 7.5","12002","HCPCS","Both",,,"588","294","Ambetter","Health Exchange","",,"62",,"364.56","215.21","774.69","percent of total billed charges",,
"ER SUTURE 2.6 TO 7.5","12002","HCPCS","Both",,,"588","294","Caresource","Health Exchange","",,"62",,"364.56","215.21","774.69","percent of total billed charges",,
"ER SUTURE 2.6 TO 7.5","12002","HCPCS","Both",,,"588","294","Cigna","Commercial","",,"59",,"344.57","215.21","774.69","percent of total billed charges",,
"ER SUTURE 2.6 TO 7.5","12002","HCPCS","Both",,,"588","294","Humana","Commercial","",,"78",,"455.7","215.21","774.69","percent of total billed charges",,
"ER SUTURE 2.6 TO 7.5","12002","HCPCS","Both",,,"588","294","UHC","Commercial","",,"75",,"443.35","215.21","774.69","percent of total billed charges",,
"ER SUTURE 2.6 TO 7.5","12002","HCPCS","Both",,,"588","294","Medicaid",,"",,"37",,"215.21","215.21","774.69","percent of total billed charges",,
"ER SUTURE 7.6 TO 12.5","12004","HCPCS","Both",,,"94.5","47.25","Alliant","Health Exchange","",,"62",,"58.59","34.59","73.24","percent of total billed charges",,
"ER SUTURE 7.6 TO 12.5","12004","HCPCS","Both",,,"94.5","47.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"51.03","34.59","73.24","percent of total billed charges",,
"ER SUTURE 7.6 TO 12.5","12004","HCPCS","Both",,,"94.5","47.25","Medicare",,"",,"54",,"51.22","34.59","73.24","percent of total billed charges",,
"ER SUTURE 7.6 TO 12.5","12004","HCPCS","Both",,,"94.5","47.25","Humana","Medicare Advantage","",,"54",,"51.22","34.59","73.24","percent of total billed charges",,
"ER SUTURE 7.6 TO 12.5","12004","HCPCS","Both",,,"94.5","47.25","UHC","Medicare Advantage","",,"54",,"51.22","34.59","73.24","percent of total billed charges",,
"ER SUTURE 7.6 TO 12.5","12004","HCPCS","Both",,,"94.5","47.25","Clover","Medicare Advantage","",,"54",,"51.22","34.59","73.24","percent of total billed charges",,
"ER SUTURE 7.6 TO 12.5","12004","HCPCS","Both",,,"94.5","47.25","Wellcare","Medicare Advantage","",,"54",,"51.22","34.59","73.24","percent of total billed charges",,
"ER SUTURE 7.6 TO 12.5","12004","HCPCS","Both",,,"94.5","47.25","Amerigroup","Medicaid Managed Care","",,"37",,"34.59","34.59","73.24","percent of total billed charges",,
"ER SUTURE 7.6 TO 12.5","12004","HCPCS","Both",,,"94.5","47.25","Caresource","Medicaid Managed Care","",,"40",,"37.8","34.59","73.24","percent of total billed charges",,
"ER SUTURE 7.6 TO 12.5","12004","HCPCS","Both",,,"94.5","47.25","Wellcare","Medicaid Managed Care","",,"40",,"38.27","34.59","73.24","percent of total billed charges",,
"ER SUTURE 7.6 TO 12.5","12004","HCPCS","Both",,,"94.5","47.25","Aetna","Commercial","",,"64",,"60.29","34.59","73.24","percent of total billed charges",,
"ER SUTURE 7.6 TO 12.5","12004","HCPCS","Both",,,"94.5","47.25","Blue Cross Blue Shield","Pathways","",,"71",,"66.72","34.59","73.24","percent of total billed charges",,
"ER SUTURE 7.6 TO 12.5","12004","HCPCS","Both",,,"94.5","47.25","Blue Cross Blue Shield","HMO","",,"71",,"66.72","34.59","73.24","percent of total billed charges",,
"ER SUTURE 7.6 TO 12.5","12004","HCPCS","Both",,,"94.5","47.25","Blue Cross Blue Shield","PPO","",,"71",,"66.72","34.59","73.24","percent of total billed charges",,
"ER SUTURE 7.6 TO 12.5","12004","HCPCS","Both",,,"94.5","47.25","Ambetter","Health Exchange","",,"62",,"58.59","34.59","73.24","percent of total billed charges",,
"ER SUTURE 7.6 TO 12.5","12004","HCPCS","Both",,,"94.5","47.25","Caresource","Health Exchange","",,"62",,"58.59","34.59","73.24","percent of total billed charges",,
"ER SUTURE 7.6 TO 12.5","12004","HCPCS","Both",,,"94.5","47.25","Cigna","Commercial","",,"59",,"55.38","34.59","73.24","percent of total billed charges",,
"ER SUTURE 7.6 TO 12.5","12004","HCPCS","Both",,,"94.5","47.25","Humana","Commercial","",,"78",,"73.24","34.59","73.24","percent of total billed charges",,
"ER SUTURE 7.6 TO 12.5","12004","HCPCS","Both",,,"94.5","47.25","UHC","Commercial","",,"75",,"71.25","34.59","73.24","percent of total billed charges",,
"ER SUTURE 7.6 TO 12.5","12004","HCPCS","Both",,,"94.5","47.25","Medicaid",,"",,"37",,"34.59","34.59","73.24","percent of total billed charges",,
"ER SUTURE 12.5 OR GREATER","12005","HCPCS","Both",,,"283","141.5","Alliant","Health Exchange","",,"62",,"175.46","103.58","219.32","percent of total billed charges",,
"ER SUTURE 12.5 OR GREATER","12005","HCPCS","Both",,,"283","141.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"152.82","103.58","219.32","percent of total billed charges",,
"ER SUTURE 12.5 OR GREATER","12005","HCPCS","Both",,,"283","141.5","Medicare",,"",,"54",,"153.39","103.58","219.32","percent of total billed charges",,
"ER SUTURE 12.5 OR GREATER","12005","HCPCS","Both",,,"283","141.5","Humana","Medicare Advantage","",,"54",,"153.39","103.58","219.32","percent of total billed charges",,
"ER SUTURE 12.5 OR GREATER","12005","HCPCS","Both",,,"283","141.5","UHC","Medicare Advantage","",,"54",,"153.39","103.58","219.32","percent of total billed charges",,
"ER SUTURE 12.5 OR GREATER","12005","HCPCS","Both",,,"283","141.5","Clover","Medicare Advantage","",,"54",,"153.39","103.58","219.32","percent of total billed charges",,
"ER SUTURE 12.5 OR GREATER","12005","HCPCS","Both",,,"283","141.5","Wellcare","Medicare Advantage","",,"54",,"153.39","103.58","219.32","percent of total billed charges",,
"ER SUTURE 12.5 OR GREATER","12005","HCPCS","Both",,,"283","141.5","Amerigroup","Medicaid Managed Care","",,"37",,"103.58","103.58","219.32","percent of total billed charges",,
"ER SUTURE 12.5 OR GREATER","12005","HCPCS","Both",,,"283","141.5","Caresource","Medicaid Managed Care","",,"40",,"113.2","103.58","219.32","percent of total billed charges",,
"ER SUTURE 12.5 OR GREATER","12005","HCPCS","Both",,,"283","141.5","Wellcare","Medicaid Managed Care","",,"40",,"114.62","103.58","219.32","percent of total billed charges",,
"ER SUTURE 12.5 OR GREATER","12005","HCPCS","Both",,,"283","141.5","Aetna","Commercial","",,"64",,"180.55","103.58","219.32","percent of total billed charges",,
"ER SUTURE 12.5 OR GREATER","12005","HCPCS","Both",,,"283","141.5","Blue Cross Blue Shield","Pathways","",,"71",,"199.8","103.58","219.32","percent of total billed charges",,
"ER SUTURE 12.5 OR GREATER","12005","HCPCS","Both",,,"283","141.5","Blue Cross Blue Shield","HMO","",,"71",,"199.8","103.58","219.32","percent of total billed charges",,
"ER SUTURE 12.5 OR GREATER","12005","HCPCS","Both",,,"283","141.5","Blue Cross Blue Shield","PPO","",,"71",,"199.8","103.58","219.32","percent of total billed charges",,
"ER SUTURE 12.5 OR GREATER","12005","HCPCS","Both",,,"283","141.5","Ambetter","Health Exchange","",,"62",,"175.46","103.58","219.32","percent of total billed charges",,
"ER SUTURE 12.5 OR GREATER","12005","HCPCS","Both",,,"283","141.5","Caresource","Health Exchange","",,"62",,"175.46","103.58","219.32","percent of total billed charges",,
"ER SUTURE 12.5 OR GREATER","12005","HCPCS","Both",,,"283","141.5","Cigna","Commercial","",,"59",,"165.84","103.58","219.32","percent of total billed charges",,
"ER SUTURE 12.5 OR GREATER","12005","HCPCS","Both",,,"283","141.5","Humana","Commercial","",,"78",,"219.32","103.58","219.32","percent of total billed charges",,
"ER SUTURE 12.5 OR GREATER","12005","HCPCS","Both",,,"283","141.5","UHC","Commercial","",,"75",,"213.38","103.58","219.32","percent of total billed charges",,
"ER SUTURE 12.5 OR GREATER","12005","HCPCS","Both",,,"283","141.5","Medicaid",,"",,"37",,"103.58","103.58","219.32","percent of total billed charges",,
"REMOVAL FOREIGN BODY  (EAR)","69200","HCPCS","Both",,,"102","51","Alliant","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY  (EAR)","69200","HCPCS","Both",,,"102","51","Pruitt Healthcare","Medicare Advantage","",,"54",,"55.08","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY  (EAR)","69200","HCPCS","Both",,,"102","51","Medicare",,"",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY  (EAR)","69200","HCPCS","Both",,,"102","51","Humana","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY  (EAR)","69200","HCPCS","Both",,,"102","51","UHC","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY  (EAR)","69200","HCPCS","Both",,,"102","51","Clover","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY  (EAR)","69200","HCPCS","Both",,,"102","51","Wellcare","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY  (EAR)","69200","HCPCS","Both",,,"102","51","Amerigroup","Medicaid Managed Care","",,"37",,"37.33","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY  (EAR)","69200","HCPCS","Both",,,"102","51","Caresource","Medicaid Managed Care","",,"40",,"40.8","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY  (EAR)","69200","HCPCS","Both",,,"102","51","Wellcare","Medicaid Managed Care","",,"40",,"41.31","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY  (EAR)","69200","HCPCS","Both",,,"102","51","Aetna","Commercial","",,"64",,"65.08","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY  (EAR)","69200","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","Pathways","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY  (EAR)","69200","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","HMO","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY  (EAR)","69200","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","PPO","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY  (EAR)","69200","HCPCS","Both",,,"102","51","Ambetter","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY  (EAR)","69200","HCPCS","Both",,,"102","51","Caresource","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY  (EAR)","69200","HCPCS","Both",,,"102","51","Cigna","Commercial","",,"59",,"59.77","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY  (EAR)","69200","HCPCS","Both",,,"102","51","Humana","Commercial","",,"78",,"79.05","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY  (EAR)","69200","HCPCS","Both",,,"102","51","UHC","Commercial","",,"75",,"76.91","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY  (EAR)","69200","HCPCS","Both",,,"102","51","Medicaid",,"",,"37",,"37.33","37.33","79.05","percent of total billed charges",,
"REPAIR 2.5/LESS  F,ER,EY,N,LIP,MM","12011","HCPCS","Both",,,"194.5","97.25","Alliant","Health Exchange","",,"62",,"120.59","68.34","150.74","percent of total billed charges",,
"REPAIR 2.5/LESS  F,ER,EY,N,LIP,MM","12011","HCPCS","Both",,,"194.5","97.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"105.03","68.34","150.74","percent of total billed charges",,
"REPAIR 2.5/LESS  F,ER,EY,N,LIP,MM","12011","HCPCS","Both",,,"194.5","97.25","Medicare",,"",,"54",,"105.42","68.34","150.74","percent of total billed charges",,
"REPAIR 2.5/LESS  F,ER,EY,N,LIP,MM","12011","HCPCS","Both",,,"194.5","97.25","Humana","Medicare Advantage","",,"54",,"105.42","68.34","150.74","percent of total billed charges",,
"REPAIR 2.5/LESS  F,ER,EY,N,LIP,MM","12011","HCPCS","Both",,,"194.5","97.25","UHC","Medicare Advantage","",,"54",,"105.42","68.34","150.74","percent of total billed charges",,
"REPAIR 2.5/LESS  F,ER,EY,N,LIP,MM","12011","HCPCS","Both",,,"194.5","97.25","Clover","Medicare Advantage","",,"54",,"105.42","68.34","150.74","percent of total billed charges",,
"REPAIR 2.5/LESS  F,ER,EY,N,LIP,MM","12011","HCPCS","Both",,,"194.5","97.25","Wellcare","Medicare Advantage","",,"54",,"105.42","68.34","150.74","percent of total billed charges",,
"REPAIR 2.5/LESS  F,ER,EY,N,LIP,MM","12011","HCPCS","Both",,,"194.5","97.25","Amerigroup","Medicaid Managed Care","",,"37",,"71.19","68.34","150.74","percent of total billed charges",,
"REPAIR 2.5/LESS  F,ER,EY,N,LIP,MM","12011","HCPCS","Both",,,"194.5","97.25","Caresource","Medicaid Managed Care","",,"40",,"77.8","68.34","150.74","percent of total billed charges",,
"REPAIR 2.5/LESS  F,ER,EY,N,LIP,MM","12011","HCPCS","Both",,,"194.5","97.25","Wellcare","Medicaid Managed Care","",,"40",,"78.77","68.34","150.74","percent of total billed charges",,
"REPAIR 2.5/LESS  F,ER,EY,N,LIP,MM","12011","HCPCS","Both",,,"194.5","97.25","Aetna","Commercial","",,"64",,"124.09","68.34","150.74","percent of total billed charges",,
"REPAIR 2.5/LESS  F,ER,EY,N,LIP,MM","12011","HCPCS","Both",,,"194.5","97.25","Blue Cross Blue Shield","Pathways","",,"71",,"137.32","68.34","150.74","percent of total billed charges",,
"REPAIR 2.5/LESS  F,ER,EY,N,LIP,MM","12011","HCPCS","Both",,,"194.5","97.25","Blue Cross Blue Shield","HMO","",,"71",,"137.32","68.34","150.74","percent of total billed charges",,
"REPAIR 2.5/LESS  F,ER,EY,N,LIP,MM","12011","HCPCS","Both",,,"194.5","97.25","Blue Cross Blue Shield","PPO","",,"71",,"137.32","68.34","150.74","percent of total billed charges",,
"REPAIR 2.5/LESS  F,ER,EY,N,LIP,MM","12011","HCPCS","Both",,,"194.5","97.25","Ambetter","Health Exchange","",,"62",,"120.59","68.34","150.74","percent of total billed charges",,
"REPAIR 2.5/LESS  F,ER,EY,N,LIP,MM","12011","HCPCS","Both",,,"194.5","97.25","Caresource","Health Exchange","",,"62",,"120.59","68.34","150.74","percent of total billed charges",,
"REPAIR 2.5/LESS  F,ER,EY,N,LIP,MM","12011","HCPCS","Both",,,"194.5","97.25","Cigna","Commercial","",,"59",,"113.98","68.34","150.74","percent of total billed charges",,
"REPAIR 2.5/LESS  F,ER,EY,N,LIP,MM","12011","HCPCS","Both",,,"194.5","97.25","Humana","Commercial","",,"78",,"150.74","68.34","150.74","percent of total billed charges",,
"REPAIR 2.5/LESS  F,ER,EY,N,LIP,MM","12011","HCPCS","Both",,,"194.5","97.25","UHC","Commercial","",,"75",,"146.65","68.34","150.74","percent of total billed charges",,
"REPAIR 2.5/LESS  F,ER,EY,N,LIP,MM","12011","HCPCS","Both",,,"194.5","97.25","Medicaid",,"",,"37",,"71.19","68.34","150.74","percent of total billed charges",,
"REPAIR 2.6-5.0 F,ER,EY,N,LIP,MM","12013","HCPCS","Both",,,"160","80","Alliant","Health Exchange","",,"62",,"99.2","58.56","124","percent of total billed charges",,
"REPAIR 2.6-5.0 F,ER,EY,N,LIP,MM","12013","HCPCS","Both",,,"160","80","Pruitt Healthcare","Medicare Advantage","",,"54",,"86.4","58.56","124","percent of total billed charges",,
"REPAIR 2.6-5.0 F,ER,EY,N,LIP,MM","12013","HCPCS","Both",,,"160","80","Medicare",,"",,"54",,"86.72","58.56","124","percent of total billed charges",,
"REPAIR 2.6-5.0 F,ER,EY,N,LIP,MM","12013","HCPCS","Both",,,"160","80","Humana","Medicare Advantage","",,"54",,"86.72","58.56","124","percent of total billed charges",,
"REPAIR 2.6-5.0 F,ER,EY,N,LIP,MM","12013","HCPCS","Both",,,"160","80","UHC","Medicare Advantage","",,"54",,"86.72","58.56","124","percent of total billed charges",,
"REPAIR 2.6-5.0 F,ER,EY,N,LIP,MM","12013","HCPCS","Both",,,"160","80","Clover","Medicare Advantage","",,"54",,"86.72","58.56","124","percent of total billed charges",,
"REPAIR 2.6-5.0 F,ER,EY,N,LIP,MM","12013","HCPCS","Both",,,"160","80","Wellcare","Medicare Advantage","",,"54",,"86.72","58.56","124","percent of total billed charges",,
"REPAIR 2.6-5.0 F,ER,EY,N,LIP,MM","12013","HCPCS","Both",,,"160","80","Amerigroup","Medicaid Managed Care","",,"37",,"58.56","58.56","124","percent of total billed charges",,
"REPAIR 2.6-5.0 F,ER,EY,N,LIP,MM","12013","HCPCS","Both",,,"160","80","Caresource","Medicaid Managed Care","",,"40",,"64","58.56","124","percent of total billed charges",,
"REPAIR 2.6-5.0 F,ER,EY,N,LIP,MM","12013","HCPCS","Both",,,"160","80","Wellcare","Medicaid Managed Care","",,"40",,"64.8","58.56","124","percent of total billed charges",,
"REPAIR 2.6-5.0 F,ER,EY,N,LIP,MM","12013","HCPCS","Both",,,"160","80","Aetna","Commercial","",,"64",,"102.08","58.56","124","percent of total billed charges",,
"REPAIR 2.6-5.0 F,ER,EY,N,LIP,MM","12013","HCPCS","Both",,,"160","80","Blue Cross Blue Shield","Pathways","",,"71",,"112.96","58.56","124","percent of total billed charges",,
"REPAIR 2.6-5.0 F,ER,EY,N,LIP,MM","12013","HCPCS","Both",,,"160","80","Blue Cross Blue Shield","HMO","",,"71",,"112.96","58.56","124","percent of total billed charges",,
"REPAIR 2.6-5.0 F,ER,EY,N,LIP,MM","12013","HCPCS","Both",,,"160","80","Blue Cross Blue Shield","PPO","",,"71",,"112.96","58.56","124","percent of total billed charges",,
"REPAIR 2.6-5.0 F,ER,EY,N,LIP,MM","12013","HCPCS","Both",,,"160","80","Ambetter","Health Exchange","",,"62",,"99.2","58.56","124","percent of total billed charges",,
"REPAIR 2.6-5.0 F,ER,EY,N,LIP,MM","12013","HCPCS","Both",,,"160","80","Caresource","Health Exchange","",,"62",,"99.2","58.56","124","percent of total billed charges",,
"REPAIR 2.6-5.0 F,ER,EY,N,LIP,MM","12013","HCPCS","Both",,,"160","80","Cigna","Commercial","",,"59",,"93.76","58.56","124","percent of total billed charges",,
"REPAIR 2.6-5.0 F,ER,EY,N,LIP,MM","12013","HCPCS","Both",,,"160","80","Humana","Commercial","",,"78",,"124","58.56","124","percent of total billed charges",,
"REPAIR 2.6-5.0 F,ER,EY,N,LIP,MM","12013","HCPCS","Both",,,"160","80","UHC","Commercial","",,"75",,"120.64","58.56","124","percent of total billed charges",,
"REPAIR 2.6-5.0 F,ER,EY,N,LIP,MM","12013","HCPCS","Both",,,"160","80","Medicaid",,"",,"37",,"58.56","58.56","124","percent of total billed charges",,
"REPAIR 5.1-7.5 F,ER,EY,N,LIP,MM","12014","HCPCS","Both",,,"201","100.5","Alliant","Health Exchange","",,"62",,"124.62","73.57","155.78","percent of total billed charges",,
"REPAIR 5.1-7.5 F,ER,EY,N,LIP,MM","12014","HCPCS","Both",,,"201","100.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"108.54","73.57","155.78","percent of total billed charges",,
"REPAIR 5.1-7.5 F,ER,EY,N,LIP,MM","12014","HCPCS","Both",,,"201","100.5","Medicare",,"",,"54",,"108.94","73.57","155.78","percent of total billed charges",,
"REPAIR 5.1-7.5 F,ER,EY,N,LIP,MM","12014","HCPCS","Both",,,"201","100.5","Humana","Medicare Advantage","",,"54",,"108.94","73.57","155.78","percent of total billed charges",,
"REPAIR 5.1-7.5 F,ER,EY,N,LIP,MM","12014","HCPCS","Both",,,"201","100.5","UHC","Medicare Advantage","",,"54",,"108.94","73.57","155.78","percent of total billed charges",,
"REPAIR 5.1-7.5 F,ER,EY,N,LIP,MM","12014","HCPCS","Both",,,"201","100.5","Clover","Medicare Advantage","",,"54",,"108.94","73.57","155.78","percent of total billed charges",,
"REPAIR 5.1-7.5 F,ER,EY,N,LIP,MM","12014","HCPCS","Both",,,"201","100.5","Wellcare","Medicare Advantage","",,"54",,"108.94","73.57","155.78","percent of total billed charges",,
"REPAIR 5.1-7.5 F,ER,EY,N,LIP,MM","12014","HCPCS","Both",,,"201","100.5","Amerigroup","Medicaid Managed Care","",,"37",,"73.57","73.57","155.78","percent of total billed charges",,
"REPAIR 5.1-7.5 F,ER,EY,N,LIP,MM","12014","HCPCS","Both",,,"201","100.5","Caresource","Medicaid Managed Care","",,"40",,"80.4","73.57","155.78","percent of total billed charges",,
"REPAIR 5.1-7.5 F,ER,EY,N,LIP,MM","12014","HCPCS","Both",,,"201","100.5","Wellcare","Medicaid Managed Care","",,"40",,"81.4","73.57","155.78","percent of total billed charges",,
"REPAIR 5.1-7.5 F,ER,EY,N,LIP,MM","12014","HCPCS","Both",,,"201","100.5","Aetna","Commercial","",,"64",,"128.24","73.57","155.78","percent of total billed charges",,
"REPAIR 5.1-7.5 F,ER,EY,N,LIP,MM","12014","HCPCS","Both",,,"201","100.5","Blue Cross Blue Shield","Pathways","",,"71",,"141.91","73.57","155.78","percent of total billed charges",,
"REPAIR 5.1-7.5 F,ER,EY,N,LIP,MM","12014","HCPCS","Both",,,"201","100.5","Blue Cross Blue Shield","HMO","",,"71",,"141.91","73.57","155.78","percent of total billed charges",,
"REPAIR 5.1-7.5 F,ER,EY,N,LIP,MM","12014","HCPCS","Both",,,"201","100.5","Blue Cross Blue Shield","PPO","",,"71",,"141.91","73.57","155.78","percent of total billed charges",,
"REPAIR 5.1-7.5 F,ER,EY,N,LIP,MM","12014","HCPCS","Both",,,"201","100.5","Ambetter","Health Exchange","",,"62",,"124.62","73.57","155.78","percent of total billed charges",,
"REPAIR 5.1-7.5 F,ER,EY,N,LIP,MM","12014","HCPCS","Both",,,"201","100.5","Caresource","Health Exchange","",,"62",,"124.62","73.57","155.78","percent of total billed charges",,
"REPAIR 5.1-7.5 F,ER,EY,N,LIP,MM","12014","HCPCS","Both",,,"201","100.5","Cigna","Commercial","",,"59",,"117.79","73.57","155.78","percent of total billed charges",,
"REPAIR 5.1-7.5 F,ER,EY,N,LIP,MM","12014","HCPCS","Both",,,"201","100.5","Humana","Commercial","",,"78",,"155.78","73.57","155.78","percent of total billed charges",,
"REPAIR 5.1-7.5 F,ER,EY,N,LIP,MM","12014","HCPCS","Both",,,"201","100.5","UHC","Commercial","",,"75",,"151.55","73.57","155.78","percent of total billed charges",,
"REPAIR 5.1-7.5 F,ER,EY,N,LIP,MM","12014","HCPCS","Both",,,"201","100.5","Medicaid",,"",,"37",,"73.57","73.57","155.78","percent of total billed charges",,
"REPAIR 7.5-12.5 F,ER,EY,N,LIP,MM","12015","HCPCS","Both",,,"214","107","Alliant","Health Exchange","",,"62",,"132.68","78.32","165.85","percent of total billed charges",,
"REPAIR 7.5-12.5 F,ER,EY,N,LIP,MM","12015","HCPCS","Both",,,"214","107","Pruitt Healthcare","Medicare Advantage","",,"54",,"115.56","78.32","165.85","percent of total billed charges",,
"REPAIR 7.5-12.5 F,ER,EY,N,LIP,MM","12015","HCPCS","Both",,,"214","107","Medicare",,"",,"54",,"115.99","78.32","165.85","percent of total billed charges",,
"REPAIR 7.5-12.5 F,ER,EY,N,LIP,MM","12015","HCPCS","Both",,,"214","107","Humana","Medicare Advantage","",,"54",,"115.99","78.32","165.85","percent of total billed charges",,
"REPAIR 7.5-12.5 F,ER,EY,N,LIP,MM","12015","HCPCS","Both",,,"214","107","UHC","Medicare Advantage","",,"54",,"115.99","78.32","165.85","percent of total billed charges",,
"REPAIR 7.5-12.5 F,ER,EY,N,LIP,MM","12015","HCPCS","Both",,,"214","107","Clover","Medicare Advantage","",,"54",,"115.99","78.32","165.85","percent of total billed charges",,
"REPAIR 7.5-12.5 F,ER,EY,N,LIP,MM","12015","HCPCS","Both",,,"214","107","Wellcare","Medicare Advantage","",,"54",,"115.99","78.32","165.85","percent of total billed charges",,
"REPAIR 7.5-12.5 F,ER,EY,N,LIP,MM","12015","HCPCS","Both",,,"214","107","Amerigroup","Medicaid Managed Care","",,"37",,"78.32","78.32","165.85","percent of total billed charges",,
"REPAIR 7.5-12.5 F,ER,EY,N,LIP,MM","12015","HCPCS","Both",,,"214","107","Caresource","Medicaid Managed Care","",,"40",,"85.6","78.32","165.85","percent of total billed charges",,
"REPAIR 7.5-12.5 F,ER,EY,N,LIP,MM","12015","HCPCS","Both",,,"214","107","Wellcare","Medicaid Managed Care","",,"40",,"86.67","78.32","165.85","percent of total billed charges",,
"REPAIR 7.5-12.5 F,ER,EY,N,LIP,MM","12015","HCPCS","Both",,,"214","107","Aetna","Commercial","",,"64",,"136.53","78.32","165.85","percent of total billed charges",,
"REPAIR 7.5-12.5 F,ER,EY,N,LIP,MM","12015","HCPCS","Both",,,"214","107","Blue Cross Blue Shield","Pathways","",,"71",,"151.08","78.32","165.85","percent of total billed charges",,
"REPAIR 7.5-12.5 F,ER,EY,N,LIP,MM","12015","HCPCS","Both",,,"214","107","Blue Cross Blue Shield","HMO","",,"71",,"151.08","78.32","165.85","percent of total billed charges",,
"REPAIR 7.5-12.5 F,ER,EY,N,LIP,MM","12015","HCPCS","Both",,,"214","107","Blue Cross Blue Shield","PPO","",,"71",,"151.08","78.32","165.85","percent of total billed charges",,
"REPAIR 7.5-12.5 F,ER,EY,N,LIP,MM","12015","HCPCS","Both",,,"214","107","Ambetter","Health Exchange","",,"62",,"132.68","78.32","165.85","percent of total billed charges",,
"REPAIR 7.5-12.5 F,ER,EY,N,LIP,MM","12015","HCPCS","Both",,,"214","107","Caresource","Health Exchange","",,"62",,"132.68","78.32","165.85","percent of total billed charges",,
"REPAIR 7.5-12.5 F,ER,EY,N,LIP,MM","12015","HCPCS","Both",,,"214","107","Cigna","Commercial","",,"59",,"125.4","78.32","165.85","percent of total billed charges",,
"REPAIR 7.5-12.5 F,ER,EY,N,LIP,MM","12015","HCPCS","Both",,,"214","107","Humana","Commercial","",,"78",,"165.85","78.32","165.85","percent of total billed charges",,
"REPAIR 7.5-12.5 F,ER,EY,N,LIP,MM","12015","HCPCS","Both",,,"214","107","UHC","Commercial","",,"75",,"161.36","78.32","165.85","percent of total billed charges",,
"REPAIR 7.5-12.5 F,ER,EY,N,LIP,MM","12015","HCPCS","Both",,,"214","107","Medicaid",,"",,"37",,"78.32","78.32","165.85","percent of total billed charges",,
"REPAIR LAYER 2.5-5CM FACE","12052","HCPCS","Both",,,"240","120","Alliant","Health Exchange","",,"62",,"148.8","87.84","186","percent of total billed charges",,
"REPAIR LAYER 2.5-5CM FACE","12052","HCPCS","Both",,,"240","120","Pruitt Healthcare","Medicare Advantage","",,"54",,"129.6","87.84","186","percent of total billed charges",,
"REPAIR LAYER 2.5-5CM FACE","12052","HCPCS","Both",,,"240","120","Medicare",,"",,"54",,"130.08","87.84","186","percent of total billed charges",,
"REPAIR LAYER 2.5-5CM FACE","12052","HCPCS","Both",,,"240","120","Humana","Medicare Advantage","",,"54",,"130.08","87.84","186","percent of total billed charges",,
"REPAIR LAYER 2.5-5CM FACE","12052","HCPCS","Both",,,"240","120","UHC","Medicare Advantage","",,"54",,"130.08","87.84","186","percent of total billed charges",,
"REPAIR LAYER 2.5-5CM FACE","12052","HCPCS","Both",,,"240","120","Clover","Medicare Advantage","",,"54",,"130.08","87.84","186","percent of total billed charges",,
"REPAIR LAYER 2.5-5CM FACE","12052","HCPCS","Both",,,"240","120","Wellcare","Medicare Advantage","",,"54",,"130.08","87.84","186","percent of total billed charges",,
"REPAIR LAYER 2.5-5CM FACE","12052","HCPCS","Both",,,"240","120","Amerigroup","Medicaid Managed Care","",,"37",,"87.84","87.84","186","percent of total billed charges",,
"REPAIR LAYER 2.5-5CM FACE","12052","HCPCS","Both",,,"240","120","Caresource","Medicaid Managed Care","",,"40",,"96","87.84","186","percent of total billed charges",,
"REPAIR LAYER 2.5-5CM FACE","12052","HCPCS","Both",,,"240","120","Wellcare","Medicaid Managed Care","",,"40",,"97.2","87.84","186","percent of total billed charges",,
"REPAIR LAYER 2.5-5CM FACE","12052","HCPCS","Both",,,"240","120","Aetna","Commercial","",,"64",,"153.12","87.84","186","percent of total billed charges",,
"REPAIR LAYER 2.5-5CM FACE","12052","HCPCS","Both",,,"240","120","Blue Cross Blue Shield","Pathways","",,"71",,"169.44","87.84","186","percent of total billed charges",,
"REPAIR LAYER 2.5-5CM FACE","12052","HCPCS","Both",,,"240","120","Blue Cross Blue Shield","HMO","",,"71",,"169.44","87.84","186","percent of total billed charges",,
"REPAIR LAYER 2.5-5CM FACE","12052","HCPCS","Both",,,"240","120","Blue Cross Blue Shield","PPO","",,"71",,"169.44","87.84","186","percent of total billed charges",,
"REPAIR LAYER 2.5-5CM FACE","12052","HCPCS","Both",,,"240","120","Ambetter","Health Exchange","",,"62",,"148.8","87.84","186","percent of total billed charges",,
"REPAIR LAYER 2.5-5CM FACE","12052","HCPCS","Both",,,"240","120","Caresource","Health Exchange","",,"62",,"148.8","87.84","186","percent of total billed charges",,
"REPAIR LAYER 2.5-5CM FACE","12052","HCPCS","Both",,,"240","120","Cigna","Commercial","",,"59",,"140.64","87.84","186","percent of total billed charges",,
"REPAIR LAYER 2.5-5CM FACE","12052","HCPCS","Both",,,"240","120","Humana","Commercial","",,"78",,"186","87.84","186","percent of total billed charges",,
"REPAIR LAYER 2.5-5CM FACE","12052","HCPCS","Both",,,"240","120","UHC","Commercial","",,"75",,"180.96","87.84","186","percent of total billed charges",,
"REPAIR LAYER 2.5-5CM FACE","12052","HCPCS","Both",,,"240","120","Medicaid",,"",,"37",,"87.84","87.84","186","percent of total billed charges",,
"LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Alliant","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Pruitt Healthcare","Medicare Advantage","",,"54",,"55.08","37.33","79.05","percent of total billed charges",,
"LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Medicare",,"",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Humana","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"LONG ARM CAST","29065","HCPCS","Both",,,"102","51","UHC","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Clover","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Wellcare","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Amerigroup","Medicaid Managed Care","",,"37",,"37.33","37.33","79.05","percent of total billed charges",,
"LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Caresource","Medicaid Managed Care","",,"40",,"40.8","37.33","79.05","percent of total billed charges",,
"LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Wellcare","Medicaid Managed Care","",,"40",,"41.31","37.33","79.05","percent of total billed charges",,
"LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Aetna","Commercial","",,"64",,"65.08","37.33","79.05","percent of total billed charges",,
"LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","Pathways","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","HMO","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","PPO","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Ambetter","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Caresource","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Cigna","Commercial","",,"59",,"59.77","37.33","79.05","percent of total billed charges",,
"LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Humana","Commercial","",,"78",,"79.05","37.33","79.05","percent of total billed charges",,
"LONG ARM CAST","29065","HCPCS","Both",,,"102","51","UHC","Commercial","",,"75",,"76.91","37.33","79.05","percent of total billed charges",,
"LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Medicaid",,"",,"37",,"37.33","37.33","79.05","percent of total billed charges",,
"SHORT ARM CAST","29075","HCPCS","Both",,,"87","43.5","Alliant","Health Exchange","",,"62",,"53.94","31.84","67.42","percent of total billed charges",,
"SHORT ARM CAST","29075","HCPCS","Both",,,"87","43.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"46.98","31.84","67.42","percent of total billed charges",,
"SHORT ARM CAST","29075","HCPCS","Both",,,"87","43.5","Medicare",,"",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"SHORT ARM CAST","29075","HCPCS","Both",,,"87","43.5","Humana","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"SHORT ARM CAST","29075","HCPCS","Both",,,"87","43.5","UHC","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"SHORT ARM CAST","29075","HCPCS","Both",,,"87","43.5","Clover","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"SHORT ARM CAST","29075","HCPCS","Both",,,"87","43.5","Wellcare","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"SHORT ARM CAST","29075","HCPCS","Both",,,"87","43.5","Amerigroup","Medicaid Managed Care","",,"37",,"31.84","31.84","67.42","percent of total billed charges",,
"SHORT ARM CAST","29075","HCPCS","Both",,,"87","43.5","Caresource","Medicaid Managed Care","",,"40",,"34.8","31.84","67.42","percent of total billed charges",,
"SHORT ARM CAST","29075","HCPCS","Both",,,"87","43.5","Wellcare","Medicaid Managed Care","",,"40",,"35.24","31.84","67.42","percent of total billed charges",,
"SHORT ARM CAST","29075","HCPCS","Both",,,"87","43.5","Aetna","Commercial","",,"64",,"55.51","31.84","67.42","percent of total billed charges",,
"SHORT ARM CAST","29075","HCPCS","Both",,,"87","43.5","Blue Cross Blue Shield","Pathways","",,"71",,"61.42","31.84","67.42","percent of total billed charges",,
"SHORT ARM CAST","29075","HCPCS","Both",,,"87","43.5","Blue Cross Blue Shield","HMO","",,"71",,"61.42","31.84","67.42","percent of total billed charges",,
"SHORT ARM CAST","29075","HCPCS","Both",,,"87","43.5","Blue Cross Blue Shield","PPO","",,"71",,"61.42","31.84","67.42","percent of total billed charges",,
"SHORT ARM CAST","29075","HCPCS","Both",,,"87","43.5","Ambetter","Health Exchange","",,"62",,"53.94","31.84","67.42","percent of total billed charges",,
"SHORT ARM CAST","29075","HCPCS","Both",,,"87","43.5","Caresource","Health Exchange","",,"62",,"53.94","31.84","67.42","percent of total billed charges",,
"SHORT ARM CAST","29075","HCPCS","Both",,,"87","43.5","Cigna","Commercial","",,"59",,"50.98","31.84","67.42","percent of total billed charges",,
"SHORT ARM CAST","29075","HCPCS","Both",,,"87","43.5","Humana","Commercial","",,"78",,"67.42","31.84","67.42","percent of total billed charges",,
"SHORT ARM CAST","29075","HCPCS","Both",,,"87","43.5","UHC","Commercial","",,"75",,"65.6","31.84","67.42","percent of total billed charges",,
"SHORT ARM CAST","29075","HCPCS","Both",,,"87","43.5","Medicaid",,"",,"37",,"31.84","31.84","67.42","percent of total billed charges",,
"LONG LEG CAST","29345","HCPCS","Both",,,"134","67","Alliant","Health Exchange","",,"62",,"83.08","49.04","103.85","percent of total billed charges",,
"LONG LEG CAST","29345","HCPCS","Both",,,"134","67","Pruitt Healthcare","Medicare Advantage","",,"54",,"72.36","49.04","103.85","percent of total billed charges",,
"LONG LEG CAST","29345","HCPCS","Both",,,"134","67","Medicare",,"",,"54",,"72.63","49.04","103.85","percent of total billed charges",,
"LONG LEG CAST","29345","HCPCS","Both",,,"134","67","Humana","Medicare Advantage","",,"54",,"72.63","49.04","103.85","percent of total billed charges",,
"LONG LEG CAST","29345","HCPCS","Both",,,"134","67","UHC","Medicare Advantage","",,"54",,"72.63","49.04","103.85","percent of total billed charges",,
"LONG LEG CAST","29345","HCPCS","Both",,,"134","67","Clover","Medicare Advantage","",,"54",,"72.63","49.04","103.85","percent of total billed charges",,
"LONG LEG CAST","29345","HCPCS","Both",,,"134","67","Wellcare","Medicare Advantage","",,"54",,"72.63","49.04","103.85","percent of total billed charges",,
"LONG LEG CAST","29345","HCPCS","Both",,,"134","67","Amerigroup","Medicaid Managed Care","",,"37",,"49.04","49.04","103.85","percent of total billed charges",,
"LONG LEG CAST","29345","HCPCS","Both",,,"134","67","Caresource","Medicaid Managed Care","",,"40",,"53.6","49.04","103.85","percent of total billed charges",,
"LONG LEG CAST","29345","HCPCS","Both",,,"134","67","Wellcare","Medicaid Managed Care","",,"40",,"54.27","49.04","103.85","percent of total billed charges",,
"LONG LEG CAST","29345","HCPCS","Both",,,"134","67","Aetna","Commercial","",,"64",,"85.49","49.04","103.85","percent of total billed charges",,
"LONG LEG CAST","29345","HCPCS","Both",,,"134","67","Blue Cross Blue Shield","Pathways","",,"71",,"94.6","49.04","103.85","percent of total billed charges",,
"LONG LEG CAST","29345","HCPCS","Both",,,"134","67","Blue Cross Blue Shield","HMO","",,"71",,"94.6","49.04","103.85","percent of total billed charges",,
"LONG LEG CAST","29345","HCPCS","Both",,,"134","67","Blue Cross Blue Shield","PPO","",,"71",,"94.6","49.04","103.85","percent of total billed charges",,
"LONG LEG CAST","29345","HCPCS","Both",,,"134","67","Ambetter","Health Exchange","",,"62",,"83.08","49.04","103.85","percent of total billed charges",,
"LONG LEG CAST","29345","HCPCS","Both",,,"134","67","Caresource","Health Exchange","",,"62",,"83.08","49.04","103.85","percent of total billed charges",,
"LONG LEG CAST","29345","HCPCS","Both",,,"134","67","Cigna","Commercial","",,"59",,"78.52","49.04","103.85","percent of total billed charges",,
"LONG LEG CAST","29345","HCPCS","Both",,,"134","67","Humana","Commercial","",,"78",,"103.85","49.04","103.85","percent of total billed charges",,
"LONG LEG CAST","29345","HCPCS","Both",,,"134","67","UHC","Commercial","",,"75",,"101.04","49.04","103.85","percent of total billed charges",,
"LONG LEG CAST","29345","HCPCS","Both",,,"134","67","Medicaid",,"",,"37",,"49.04","49.04","103.85","percent of total billed charges",,
"SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Alliant","Health Exchange","",,"62",,"70.68","41.72","88.35","percent of total billed charges",,
"SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Pruitt Healthcare","Medicare Advantage","",,"54",,"61.56","41.72","88.35","percent of total billed charges",,
"SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Medicare",,"",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Humana","Medicare Advantage","",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","UHC","Medicare Advantage","",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Clover","Medicare Advantage","",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Wellcare","Medicare Advantage","",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Amerigroup","Medicaid Managed Care","",,"37",,"41.72","41.72","88.35","percent of total billed charges",,
"SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Caresource","Medicaid Managed Care","",,"40",,"45.6","41.72","88.35","percent of total billed charges",,
"SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Wellcare","Medicaid Managed Care","",,"40",,"46.17","41.72","88.35","percent of total billed charges",,
"SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Aetna","Commercial","",,"64",,"72.73","41.72","88.35","percent of total billed charges",,
"SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Blue Cross Blue Shield","Pathways","",,"71",,"80.48","41.72","88.35","percent of total billed charges",,
"SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Blue Cross Blue Shield","HMO","",,"71",,"80.48","41.72","88.35","percent of total billed charges",,
"SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Blue Cross Blue Shield","PPO","",,"71",,"80.48","41.72","88.35","percent of total billed charges",,
"SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Ambetter","Health Exchange","",,"62",,"70.68","41.72","88.35","percent of total billed charges",,
"SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Caresource","Health Exchange","",,"62",,"70.68","41.72","88.35","percent of total billed charges",,
"SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Cigna","Commercial","",,"59",,"66.8","41.72","88.35","percent of total billed charges",,
"SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Humana","Commercial","",,"78",,"88.35","41.72","88.35","percent of total billed charges",,
"SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","UHC","Commercial","",,"75",,"85.96","41.72","88.35","percent of total billed charges",,
"SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Medicaid",,"",,"37",,"41.72","41.72","88.35","percent of total billed charges",,
"LONG LEG SPLINT","29505","HCPCS","Both",,,"87","43.5","Alliant","Health Exchange","",,"62",,"53.94","31.84","67.42","percent of total billed charges",,
"LONG LEG SPLINT","29505","HCPCS","Both",,,"87","43.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"46.98","31.84","67.42","percent of total billed charges",,
"LONG LEG SPLINT","29505","HCPCS","Both",,,"87","43.5","Medicare",,"",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"LONG LEG SPLINT","29505","HCPCS","Both",,,"87","43.5","Humana","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"LONG LEG SPLINT","29505","HCPCS","Both",,,"87","43.5","UHC","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"LONG LEG SPLINT","29505","HCPCS","Both",,,"87","43.5","Clover","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"LONG LEG SPLINT","29505","HCPCS","Both",,,"87","43.5","Wellcare","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"LONG LEG SPLINT","29505","HCPCS","Both",,,"87","43.5","Amerigroup","Medicaid Managed Care","",,"37",,"31.84","31.84","67.42","percent of total billed charges",,
"LONG LEG SPLINT","29505","HCPCS","Both",,,"87","43.5","Caresource","Medicaid Managed Care","",,"40",,"34.8","31.84","67.42","percent of total billed charges",,
"LONG LEG SPLINT","29505","HCPCS","Both",,,"87","43.5","Wellcare","Medicaid Managed Care","",,"40",,"35.24","31.84","67.42","percent of total billed charges",,
"LONG LEG SPLINT","29505","HCPCS","Both",,,"87","43.5","Aetna","Commercial","",,"64",,"55.51","31.84","67.42","percent of total billed charges",,
"LONG LEG SPLINT","29505","HCPCS","Both",,,"87","43.5","Blue Cross Blue Shield","Pathways","",,"71",,"61.42","31.84","67.42","percent of total billed charges",,
"LONG LEG SPLINT","29505","HCPCS","Both",,,"87","43.5","Blue Cross Blue Shield","HMO","",,"71",,"61.42","31.84","67.42","percent of total billed charges",,
"LONG LEG SPLINT","29505","HCPCS","Both",,,"87","43.5","Blue Cross Blue Shield","PPO","",,"71",,"61.42","31.84","67.42","percent of total billed charges",,
"LONG LEG SPLINT","29505","HCPCS","Both",,,"87","43.5","Ambetter","Health Exchange","",,"62",,"53.94","31.84","67.42","percent of total billed charges",,
"LONG LEG SPLINT","29505","HCPCS","Both",,,"87","43.5","Caresource","Health Exchange","",,"62",,"53.94","31.84","67.42","percent of total billed charges",,
"LONG LEG SPLINT","29505","HCPCS","Both",,,"87","43.5","Cigna","Commercial","",,"59",,"50.98","31.84","67.42","percent of total billed charges",,
"LONG LEG SPLINT","29505","HCPCS","Both",,,"87","43.5","Humana","Commercial","",,"78",,"67.42","31.84","67.42","percent of total billed charges",,
"LONG LEG SPLINT","29505","HCPCS","Both",,,"87","43.5","UHC","Commercial","",,"75",,"65.6","31.84","67.42","percent of total billed charges",,
"LONG LEG SPLINT","29505","HCPCS","Both",,,"87","43.5","Medicaid",,"",,"37",,"31.84","31.84","67.42","percent of total billed charges",,
"SHORT LEG SPLINT","29515","HCPCS","Both",,,"266.5","133.25","Alliant","Health Exchange","",,"62",,"165.23","97.54","206.54","percent of total billed charges",,
"SHORT LEG SPLINT","29515","HCPCS","Both",,,"266.5","133.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"143.91","97.54","206.54","percent of total billed charges",,
"SHORT LEG SPLINT","29515","HCPCS","Both",,,"266.5","133.25","Medicare",,"",,"54",,"144.44","97.54","206.54","percent of total billed charges",,
"SHORT LEG SPLINT","29515","HCPCS","Both",,,"266.5","133.25","Humana","Medicare Advantage","",,"54",,"144.44","97.54","206.54","percent of total billed charges",,
"SHORT LEG SPLINT","29515","HCPCS","Both",,,"266.5","133.25","UHC","Medicare Advantage","",,"54",,"144.44","97.54","206.54","percent of total billed charges",,
"SHORT LEG SPLINT","29515","HCPCS","Both",,,"266.5","133.25","Clover","Medicare Advantage","",,"54",,"144.44","97.54","206.54","percent of total billed charges",,
"SHORT LEG SPLINT","29515","HCPCS","Both",,,"266.5","133.25","Wellcare","Medicare Advantage","",,"54",,"144.44","97.54","206.54","percent of total billed charges",,
"SHORT LEG SPLINT","29515","HCPCS","Both",,,"266.5","133.25","Amerigroup","Medicaid Managed Care","",,"37",,"97.54","97.54","206.54","percent of total billed charges",,
"SHORT LEG SPLINT","29515","HCPCS","Both",,,"266.5","133.25","Caresource","Medicaid Managed Care","",,"40",,"106.6","97.54","206.54","percent of total billed charges",,
"SHORT LEG SPLINT","29515","HCPCS","Both",,,"266.5","133.25","Wellcare","Medicaid Managed Care","",,"40",,"107.93","97.54","206.54","percent of total billed charges",,
"SHORT LEG SPLINT","29515","HCPCS","Both",,,"266.5","133.25","Aetna","Commercial","",,"64",,"170.03","97.54","206.54","percent of total billed charges",,
"SHORT LEG SPLINT","29515","HCPCS","Both",,,"266.5","133.25","Blue Cross Blue Shield","Pathways","",,"71",,"188.15","97.54","206.54","percent of total billed charges",,
"SHORT LEG SPLINT","29515","HCPCS","Both",,,"266.5","133.25","Blue Cross Blue Shield","HMO","",,"71",,"188.15","97.54","206.54","percent of total billed charges",,
"SHORT LEG SPLINT","29515","HCPCS","Both",,,"266.5","133.25","Blue Cross Blue Shield","PPO","",,"71",,"188.15","97.54","206.54","percent of total billed charges",,
"SHORT LEG SPLINT","29515","HCPCS","Both",,,"266.5","133.25","Ambetter","Health Exchange","",,"62",,"165.23","97.54","206.54","percent of total billed charges",,
"SHORT LEG SPLINT","29515","HCPCS","Both",,,"266.5","133.25","Caresource","Health Exchange","",,"62",,"165.23","97.54","206.54","percent of total billed charges",,
"SHORT LEG SPLINT","29515","HCPCS","Both",,,"266.5","133.25","Cigna","Commercial","",,"59",,"156.17","97.54","206.54","percent of total billed charges",,
"SHORT LEG SPLINT","29515","HCPCS","Both",,,"266.5","133.25","Humana","Commercial","",,"78",,"206.54","97.54","206.54","percent of total billed charges",,
"SHORT LEG SPLINT","29515","HCPCS","Both",,,"266.5","133.25","UHC","Commercial","",,"75",,"200.94","97.54","206.54","percent of total billed charges",,
"SHORT LEG SPLINT","29515","HCPCS","Both",,,"266.5","133.25","Medicaid",,"",,"37",,"97.54","97.54","206.54","percent of total billed charges",,
"FINGER SPLINT","29130","HCPCS","Both",,,"51.5","25.75","Alliant","Health Exchange","",,"62",,"31.93","18.85","39.91","percent of total billed charges",,
"FINGER SPLINT","29130","HCPCS","Both",,,"51.5","25.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"27.81","18.85","39.91","percent of total billed charges",,
"FINGER SPLINT","29130","HCPCS","Both",,,"51.5","25.75","Medicare",,"",,"54",,"27.91","18.85","39.91","percent of total billed charges",,
"FINGER SPLINT","29130","HCPCS","Both",,,"51.5","25.75","Humana","Medicare Advantage","",,"54",,"27.91","18.85","39.91","percent of total billed charges",,
"FINGER SPLINT","29130","HCPCS","Both",,,"51.5","25.75","UHC","Medicare Advantage","",,"54",,"27.91","18.85","39.91","percent of total billed charges",,
"FINGER SPLINT","29130","HCPCS","Both",,,"51.5","25.75","Clover","Medicare Advantage","",,"54",,"27.91","18.85","39.91","percent of total billed charges",,
"FINGER SPLINT","29130","HCPCS","Both",,,"51.5","25.75","Wellcare","Medicare Advantage","",,"54",,"27.91","18.85","39.91","percent of total billed charges",,
"FINGER SPLINT","29130","HCPCS","Both",,,"51.5","25.75","Amerigroup","Medicaid Managed Care","",,"37",,"18.85","18.85","39.91","percent of total billed charges",,
"FINGER SPLINT","29130","HCPCS","Both",,,"51.5","25.75","Caresource","Medicaid Managed Care","",,"40",,"20.6","18.85","39.91","percent of total billed charges",,
"FINGER SPLINT","29130","HCPCS","Both",,,"51.5","25.75","Wellcare","Medicaid Managed Care","",,"40",,"20.86","18.85","39.91","percent of total billed charges",,
"FINGER SPLINT","29130","HCPCS","Both",,,"51.5","25.75","Aetna","Commercial","",,"64",,"32.86","18.85","39.91","percent of total billed charges",,
"FINGER SPLINT","29130","HCPCS","Both",,,"51.5","25.75","Blue Cross Blue Shield","Pathways","",,"71",,"36.36","18.85","39.91","percent of total billed charges",,
"FINGER SPLINT","29130","HCPCS","Both",,,"51.5","25.75","Blue Cross Blue Shield","HMO","",,"71",,"36.36","18.85","39.91","percent of total billed charges",,
"FINGER SPLINT","29130","HCPCS","Both",,,"51.5","25.75","Blue Cross Blue Shield","PPO","",,"71",,"36.36","18.85","39.91","percent of total billed charges",,
"FINGER SPLINT","29130","HCPCS","Both",,,"51.5","25.75","Ambetter","Health Exchange","",,"62",,"31.93","18.85","39.91","percent of total billed charges",,
"FINGER SPLINT","29130","HCPCS","Both",,,"51.5","25.75","Caresource","Health Exchange","",,"62",,"31.93","18.85","39.91","percent of total billed charges",,
"FINGER SPLINT","29130","HCPCS","Both",,,"51.5","25.75","Cigna","Commercial","",,"59",,"30.18","18.85","39.91","percent of total billed charges",,
"FINGER SPLINT","29130","HCPCS","Both",,,"51.5","25.75","Humana","Commercial","",,"78",,"39.91","18.85","39.91","percent of total billed charges",,
"FINGER SPLINT","29130","HCPCS","Both",,,"51.5","25.75","UHC","Commercial","",,"75",,"38.83","18.85","39.91","percent of total billed charges",,
"FINGER SPLINT","29130","HCPCS","Both",,,"51.5","25.75","Medicaid",,"",,"37",,"18.85","18.85","39.91","percent of total billed charges",,
"WRIST SPLINT","29125","HCPCS","Both",,,"201","100.5","Alliant","Health Exchange","",,"62",,"124.62","73.57","264.82","percent of total billed charges",,
"WRIST SPLINT","29125","HCPCS","Both",,,"201","100.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"108.54","73.57","264.82","percent of total billed charges",,
"WRIST SPLINT","29125","HCPCS","Both",,,"201","100.5","Medicare",,"",,"54",,"108.94","73.57","264.82","percent of total billed charges",,
"WRIST SPLINT","29125","HCPCS","Both",,,"201","100.5","Humana","Medicare Advantage","",,"54",,"108.94","73.57","264.82","percent of total billed charges",,
"WRIST SPLINT","29125","HCPCS","Both",,,"201","100.5","UHC","Medicare Advantage","",,"54",,"108.94","73.57","264.82","percent of total billed charges",,
"WRIST SPLINT","29125","HCPCS","Both",,,"201","100.5","Clover","Medicare Advantage","",,"54",,"108.94","73.57","264.82","percent of total billed charges",,
"WRIST SPLINT","29125","HCPCS","Both",,,"201","100.5","Wellcare","Medicare Advantage","",,"54",,"108.94","73.57","264.82","percent of total billed charges",,
"WRIST SPLINT","29125","HCPCS","Both",,,"201","100.5","Amerigroup","Medicaid Managed Care","",,"37",,"73.57","73.57","264.82","percent of total billed charges",,
"WRIST SPLINT","29125","HCPCS","Both",,,"201","100.5","Caresource","Medicaid Managed Care","",,"40",,"80.4","73.57","264.82","percent of total billed charges",,
"WRIST SPLINT","29125","HCPCS","Both",,,"201","100.5","Wellcare","Medicaid Managed Care","",,"40",,"81.4","73.57","264.82","percent of total billed charges",,
"WRIST SPLINT","29125","HCPCS","Both",,,"201","100.5","Aetna","Commercial","",,"64",,"128.24","73.57","264.82","percent of total billed charges",,
"WRIST SPLINT","29125","HCPCS","Both",,,"201","100.5","Blue Cross Blue Shield","Pathways","",,"71",,"141.91","73.57","264.82","percent of total billed charges",,
"WRIST SPLINT","29125","HCPCS","Both",,,"201","100.5","Blue Cross Blue Shield","HMO","",,"71",,"141.91","73.57","264.82","percent of total billed charges",,
"WRIST SPLINT","29125","HCPCS","Both",,,"201","100.5","Blue Cross Blue Shield","PPO","",,"71",,"141.91","73.57","264.82","percent of total billed charges",,
"WRIST SPLINT","29125","HCPCS","Both",,,"201","100.5","Ambetter","Health Exchange","",,"62",,"124.62","73.57","264.82","percent of total billed charges",,
"WRIST SPLINT","29125","HCPCS","Both",,,"201","100.5","Caresource","Health Exchange","",,"62",,"124.62","73.57","264.82","percent of total billed charges",,
"WRIST SPLINT","29125","HCPCS","Both",,,"201","100.5","Cigna","Commercial","",,"59",,"117.79","73.57","264.82","percent of total billed charges",,
"WRIST SPLINT","29125","HCPCS","Both",,,"201","100.5","Humana","Commercial","",,"78",,"155.78","73.57","264.82","percent of total billed charges",,
"WRIST SPLINT","29125","HCPCS","Both",,,"201","100.5","UHC","Commercial","",,"75",,"151.55","73.57","264.82","percent of total billed charges",,
"WRIST SPLINT","29125","HCPCS","Both",,,"201","100.5","Medicaid",,"",,"37",,"73.57","73.57","264.82","percent of total billed charges",,
"REPAIR INTERMEDIATE LAYER 20.1-30.0","12046","HCPCS","Both",,,"400","200","Alliant","Health Exchange","",,"62",,"248","146.4","310","percent of total billed charges",,
"REPAIR INTERMEDIATE LAYER 20.1-30.0","12046","HCPCS","Both",,,"400","200","Pruitt Healthcare","Medicare Advantage","",,"54",,"216","146.4","310","percent of total billed charges",,
"REPAIR INTERMEDIATE LAYER 20.1-30.0","12046","HCPCS","Both",,,"400","200","Medicare",,"",,"54",,"216.8","146.4","310","percent of total billed charges",,
"REPAIR INTERMEDIATE LAYER 20.1-30.0","12046","HCPCS","Both",,,"400","200","Humana","Medicare Advantage","",,"54",,"216.8","146.4","310","percent of total billed charges",,
"REPAIR INTERMEDIATE LAYER 20.1-30.0","12046","HCPCS","Both",,,"400","200","UHC","Medicare Advantage","",,"54",,"216.8","146.4","310","percent of total billed charges",,
"REPAIR INTERMEDIATE LAYER 20.1-30.0","12046","HCPCS","Both",,,"400","200","Clover","Medicare Advantage","",,"54",,"216.8","146.4","310","percent of total billed charges",,
"REPAIR INTERMEDIATE LAYER 20.1-30.0","12046","HCPCS","Both",,,"400","200","Wellcare","Medicare Advantage","",,"54",,"216.8","146.4","310","percent of total billed charges",,
"REPAIR INTERMEDIATE LAYER 20.1-30.0","12046","HCPCS","Both",,,"400","200","Amerigroup","Medicaid Managed Care","",,"37",,"146.4","146.4","310","percent of total billed charges",,
"REPAIR INTERMEDIATE LAYER 20.1-30.0","12046","HCPCS","Both",,,"400","200","Caresource","Medicaid Managed Care","",,"40",,"160","146.4","310","percent of total billed charges",,
"REPAIR INTERMEDIATE LAYER 20.1-30.0","12046","HCPCS","Both",,,"400","200","Wellcare","Medicaid Managed Care","",,"40",,"162","146.4","310","percent of total billed charges",,
"REPAIR INTERMEDIATE LAYER 20.1-30.0","12046","HCPCS","Both",,,"400","200","Aetna","Commercial","",,"64",,"255.2","146.4","310","percent of total billed charges",,
"REPAIR INTERMEDIATE LAYER 20.1-30.0","12046","HCPCS","Both",,,"400","200","Blue Cross Blue Shield","Pathways","",,"71",,"282.4","146.4","310","percent of total billed charges",,
"REPAIR INTERMEDIATE LAYER 20.1-30.0","12046","HCPCS","Both",,,"400","200","Blue Cross Blue Shield","HMO","",,"71",,"282.4","146.4","310","percent of total billed charges",,
"REPAIR INTERMEDIATE LAYER 20.1-30.0","12046","HCPCS","Both",,,"400","200","Blue Cross Blue Shield","PPO","",,"71",,"282.4","146.4","310","percent of total billed charges",,
"REPAIR INTERMEDIATE LAYER 20.1-30.0","12046","HCPCS","Both",,,"400","200","Ambetter","Health Exchange","",,"62",,"248","146.4","310","percent of total billed charges",,
"REPAIR INTERMEDIATE LAYER 20.1-30.0","12046","HCPCS","Both",,,"400","200","Caresource","Health Exchange","",,"62",,"248","146.4","310","percent of total billed charges",,
"REPAIR INTERMEDIATE LAYER 20.1-30.0","12046","HCPCS","Both",,,"400","200","Cigna","Commercial","",,"59",,"234.4","146.4","310","percent of total billed charges",,
"REPAIR INTERMEDIATE LAYER 20.1-30.0","12046","HCPCS","Both",,,"400","200","Humana","Commercial","",,"78",,"310","146.4","310","percent of total billed charges",,
"REPAIR INTERMEDIATE LAYER 20.1-30.0","12046","HCPCS","Both",,,"400","200","UHC","Commercial","",,"75",,"301.6","146.4","310","percent of total billed charges",,
"REPAIR INTERMEDIATE LAYER 20.1-30.0","12046","HCPCS","Both",,,"400","200","Medicaid",,"",,"37",,"146.4","146.4","310","percent of total billed charges",,
"REPAIR, TENDON HAND","26410","HCPCS","Both",,,"467","233.5","Alliant","Health Exchange","",,"62",,"289.54","170.92","361.92","percent of total billed charges",,
"REPAIR, TENDON HAND","26410","HCPCS","Both",,,"467","233.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"252.18","170.92","361.92","percent of total billed charges",,
"REPAIR, TENDON HAND","26410","HCPCS","Both",,,"467","233.5","Medicare",,"",,"54",,"253.11","170.92","361.92","percent of total billed charges",,
"REPAIR, TENDON HAND","26410","HCPCS","Both",,,"467","233.5","Humana","Medicare Advantage","",,"54",,"253.11","170.92","361.92","percent of total billed charges",,
"REPAIR, TENDON HAND","26410","HCPCS","Both",,,"467","233.5","UHC","Medicare Advantage","",,"54",,"253.11","170.92","361.92","percent of total billed charges",,
"REPAIR, TENDON HAND","26410","HCPCS","Both",,,"467","233.5","Clover","Medicare Advantage","",,"54",,"253.11","170.92","361.92","percent of total billed charges",,
"REPAIR, TENDON HAND","26410","HCPCS","Both",,,"467","233.5","Wellcare","Medicare Advantage","",,"54",,"253.11","170.92","361.92","percent of total billed charges",,
"REPAIR, TENDON HAND","26410","HCPCS","Both",,,"467","233.5","Amerigroup","Medicaid Managed Care","",,"37",,"170.92","170.92","361.92","percent of total billed charges",,
"REPAIR, TENDON HAND","26410","HCPCS","Both",,,"467","233.5","Caresource","Medicaid Managed Care","",,"40",,"186.8","170.92","361.92","percent of total billed charges",,
"REPAIR, TENDON HAND","26410","HCPCS","Both",,,"467","233.5","Wellcare","Medicaid Managed Care","",,"40",,"189.14","170.92","361.92","percent of total billed charges",,
"REPAIR, TENDON HAND","26410","HCPCS","Both",,,"467","233.5","Aetna","Commercial","",,"64",,"297.95","170.92","361.92","percent of total billed charges",,
"REPAIR, TENDON HAND","26410","HCPCS","Both",,,"467","233.5","Blue Cross Blue Shield","Pathways","",,"71",,"329.7","170.92","361.92","percent of total billed charges",,
"REPAIR, TENDON HAND","26410","HCPCS","Both",,,"467","233.5","Blue Cross Blue Shield","HMO","",,"71",,"329.7","170.92","361.92","percent of total billed charges",,
"REPAIR, TENDON HAND","26410","HCPCS","Both",,,"467","233.5","Blue Cross Blue Shield","PPO","",,"71",,"329.7","170.92","361.92","percent of total billed charges",,
"REPAIR, TENDON HAND","26410","HCPCS","Both",,,"467","233.5","Ambetter","Health Exchange","",,"62",,"289.54","170.92","361.92","percent of total billed charges",,
"REPAIR, TENDON HAND","26410","HCPCS","Both",,,"467","233.5","Caresource","Health Exchange","",,"62",,"289.54","170.92","361.92","percent of total billed charges",,
"REPAIR, TENDON HAND","26410","HCPCS","Both",,,"467","233.5","Cigna","Commercial","",,"59",,"273.66","170.92","361.92","percent of total billed charges",,
"REPAIR, TENDON HAND","26410","HCPCS","Both",,,"467","233.5","Humana","Commercial","",,"78",,"361.92","170.92","361.92","percent of total billed charges",,
"REPAIR, TENDON HAND","26410","HCPCS","Both",,,"467","233.5","UHC","Commercial","",,"75",,"352.12","170.92","361.92","percent of total billed charges",,
"REPAIR, TENDON HAND","26410","HCPCS","Both",,,"467","233.5","Medicaid",,"",,"37",,"170.92","170.92","361.92","percent of total billed charges",,
"NORPLANT REMOVAL","11976","HCPCS","Both",,,"160","80","Alliant","Health Exchange","",,"62",,"99.2","58.56","124","percent of total billed charges",,
"NORPLANT REMOVAL","11976","HCPCS","Both",,,"160","80","Pruitt Healthcare","Medicare Advantage","",,"54",,"86.4","58.56","124","percent of total billed charges",,
"NORPLANT REMOVAL","11976","HCPCS","Both",,,"160","80","Medicare",,"",,"54",,"86.72","58.56","124","percent of total billed charges",,
"NORPLANT REMOVAL","11976","HCPCS","Both",,,"160","80","Humana","Medicare Advantage","",,"54",,"86.72","58.56","124","percent of total billed charges",,
"NORPLANT REMOVAL","11976","HCPCS","Both",,,"160","80","UHC","Medicare Advantage","",,"54",,"86.72","58.56","124","percent of total billed charges",,
"NORPLANT REMOVAL","11976","HCPCS","Both",,,"160","80","Clover","Medicare Advantage","",,"54",,"86.72","58.56","124","percent of total billed charges",,
"NORPLANT REMOVAL","11976","HCPCS","Both",,,"160","80","Wellcare","Medicare Advantage","",,"54",,"86.72","58.56","124","percent of total billed charges",,
"NORPLANT REMOVAL","11976","HCPCS","Both",,,"160","80","Amerigroup","Medicaid Managed Care","",,"37",,"58.56","58.56","124","percent of total billed charges",,
"NORPLANT REMOVAL","11976","HCPCS","Both",,,"160","80","Caresource","Medicaid Managed Care","",,"40",,"64","58.56","124","percent of total billed charges",,
"NORPLANT REMOVAL","11976","HCPCS","Both",,,"160","80","Wellcare","Medicaid Managed Care","",,"40",,"64.8","58.56","124","percent of total billed charges",,
"NORPLANT REMOVAL","11976","HCPCS","Both",,,"160","80","Aetna","Commercial","",,"64",,"102.08","58.56","124","percent of total billed charges",,
"NORPLANT REMOVAL","11976","HCPCS","Both",,,"160","80","Blue Cross Blue Shield","Pathways","",,"71",,"112.96","58.56","124","percent of total billed charges",,
"NORPLANT REMOVAL","11976","HCPCS","Both",,,"160","80","Blue Cross Blue Shield","HMO","",,"71",,"112.96","58.56","124","percent of total billed charges",,
"NORPLANT REMOVAL","11976","HCPCS","Both",,,"160","80","Blue Cross Blue Shield","PPO","",,"71",,"112.96","58.56","124","percent of total billed charges",,
"NORPLANT REMOVAL","11976","HCPCS","Both",,,"160","80","Ambetter","Health Exchange","",,"62",,"99.2","58.56","124","percent of total billed charges",,
"NORPLANT REMOVAL","11976","HCPCS","Both",,,"160","80","Caresource","Health Exchange","",,"62",,"99.2","58.56","124","percent of total billed charges",,
"NORPLANT REMOVAL","11976","HCPCS","Both",,,"160","80","Cigna","Commercial","",,"59",,"93.76","58.56","124","percent of total billed charges",,
"NORPLANT REMOVAL","11976","HCPCS","Both",,,"160","80","Humana","Commercial","",,"78",,"124","58.56","124","percent of total billed charges",,
"NORPLANT REMOVAL","11976","HCPCS","Both",,,"160","80","UHC","Commercial","",,"75",,"120.64","58.56","124","percent of total billed charges",,
"NORPLANT REMOVAL","11976","HCPCS","Both",,,"160","80","Medicaid",,"",,"37",,"58.56","58.56","124","percent of total billed charges",,
"LONG CYLINDER CAST APPLICATION","29365","HCPCS","Both",,,"134","67","Alliant","Health Exchange","",,"62",,"83.08","49.04","103.85","percent of total billed charges",,
"LONG CYLINDER CAST APPLICATION","29365","HCPCS","Both",,,"134","67","Pruitt Healthcare","Medicare Advantage","",,"54",,"72.36","49.04","103.85","percent of total billed charges",,
"LONG CYLINDER CAST APPLICATION","29365","HCPCS","Both",,,"134","67","Medicare",,"",,"54",,"72.63","49.04","103.85","percent of total billed charges",,
"LONG CYLINDER CAST APPLICATION","29365","HCPCS","Both",,,"134","67","Humana","Medicare Advantage","",,"54",,"72.63","49.04","103.85","percent of total billed charges",,
"LONG CYLINDER CAST APPLICATION","29365","HCPCS","Both",,,"134","67","UHC","Medicare Advantage","",,"54",,"72.63","49.04","103.85","percent of total billed charges",,
"LONG CYLINDER CAST APPLICATION","29365","HCPCS","Both",,,"134","67","Clover","Medicare Advantage","",,"54",,"72.63","49.04","103.85","percent of total billed charges",,
"LONG CYLINDER CAST APPLICATION","29365","HCPCS","Both",,,"134","67","Wellcare","Medicare Advantage","",,"54",,"72.63","49.04","103.85","percent of total billed charges",,
"LONG CYLINDER CAST APPLICATION","29365","HCPCS","Both",,,"134","67","Amerigroup","Medicaid Managed Care","",,"37",,"49.04","49.04","103.85","percent of total billed charges",,
"LONG CYLINDER CAST APPLICATION","29365","HCPCS","Both",,,"134","67","Caresource","Medicaid Managed Care","",,"40",,"53.6","49.04","103.85","percent of total billed charges",,
"LONG CYLINDER CAST APPLICATION","29365","HCPCS","Both",,,"134","67","Wellcare","Medicaid Managed Care","",,"40",,"54.27","49.04","103.85","percent of total billed charges",,
"LONG CYLINDER CAST APPLICATION","29365","HCPCS","Both",,,"134","67","Aetna","Commercial","",,"64",,"85.49","49.04","103.85","percent of total billed charges",,
"LONG CYLINDER CAST APPLICATION","29365","HCPCS","Both",,,"134","67","Blue Cross Blue Shield","Pathways","",,"71",,"94.6","49.04","103.85","percent of total billed charges",,
"LONG CYLINDER CAST APPLICATION","29365","HCPCS","Both",,,"134","67","Blue Cross Blue Shield","HMO","",,"71",,"94.6","49.04","103.85","percent of total billed charges",,
"LONG CYLINDER CAST APPLICATION","29365","HCPCS","Both",,,"134","67","Blue Cross Blue Shield","PPO","",,"71",,"94.6","49.04","103.85","percent of total billed charges",,
"LONG CYLINDER CAST APPLICATION","29365","HCPCS","Both",,,"134","67","Ambetter","Health Exchange","",,"62",,"83.08","49.04","103.85","percent of total billed charges",,
"LONG CYLINDER CAST APPLICATION","29365","HCPCS","Both",,,"134","67","Caresource","Health Exchange","",,"62",,"83.08","49.04","103.85","percent of total billed charges",,
"LONG CYLINDER CAST APPLICATION","29365","HCPCS","Both",,,"134","67","Cigna","Commercial","",,"59",,"78.52","49.04","103.85","percent of total billed charges",,
"LONG CYLINDER CAST APPLICATION","29365","HCPCS","Both",,,"134","67","Humana","Commercial","",,"78",,"103.85","49.04","103.85","percent of total billed charges",,
"LONG CYLINDER CAST APPLICATION","29365","HCPCS","Both",,,"134","67","UHC","Commercial","",,"75",,"101.04","49.04","103.85","percent of total billed charges",,
"LONG CYLINDER CAST APPLICATION","29365","HCPCS","Both",,,"134","67","Medicaid",,"",,"37",,"49.04","49.04","103.85","percent of total billed charges",,
"OFFICE VISIT  MINIMAL","99202","HCPCS","Both",,,"61","30.5","Alliant","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"OFFICE VISIT  MINIMAL","99202","HCPCS","Both",,,"61","30.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.94","22.33","47.28","percent of total billed charges",,
"OFFICE VISIT  MINIMAL","99202","HCPCS","Both",,,"61","30.5","Medicare",,"",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"OFFICE VISIT  MINIMAL","99202","HCPCS","Both",,,"61","30.5","Humana","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"OFFICE VISIT  MINIMAL","99202","HCPCS","Both",,,"61","30.5","UHC","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"OFFICE VISIT  MINIMAL","99202","HCPCS","Both",,,"61","30.5","Clover","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"OFFICE VISIT  MINIMAL","99202","HCPCS","Both",,,"61","30.5","Wellcare","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"OFFICE VISIT  MINIMAL","99202","HCPCS","Both",,,"61","30.5","Amerigroup","Medicaid Managed Care","",,"37",,"22.33","22.33","47.28","percent of total billed charges",,
"OFFICE VISIT  MINIMAL","99202","HCPCS","Both",,,"61","30.5","Caresource","Medicaid Managed Care","",,"40",,"24.4","22.33","47.28","percent of total billed charges",,
"OFFICE VISIT  MINIMAL","99202","HCPCS","Both",,,"61","30.5","Wellcare","Medicaid Managed Care","",,"40",,"24.7","22.33","47.28","percent of total billed charges",,
"OFFICE VISIT  MINIMAL","99202","HCPCS","Both",,,"61","30.5","Aetna","Commercial","",,"64",,"38.92","22.33","47.28","percent of total billed charges",,
"OFFICE VISIT  MINIMAL","99202","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","Pathways","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"OFFICE VISIT  MINIMAL","99202","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","HMO","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"OFFICE VISIT  MINIMAL","99202","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","PPO","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"OFFICE VISIT  MINIMAL","99202","HCPCS","Both",,,"61","30.5","Ambetter","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"OFFICE VISIT  MINIMAL","99202","HCPCS","Both",,,"61","30.5","Caresource","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"OFFICE VISIT  MINIMAL","99202","HCPCS","Both",,,"61","30.5","Cigna","Commercial","",,"59",,"35.75","22.33","47.28","percent of total billed charges",,
"OFFICE VISIT  MINIMAL","99202","HCPCS","Both",,,"61","30.5","Humana","Commercial","",,"78",,"47.28","22.33","47.28","percent of total billed charges",,
"OFFICE VISIT  MINIMAL","99202","HCPCS","Both",,,"61","30.5","UHC","Commercial","",,"75",,"45.99","22.33","47.28","percent of total billed charges",,
"OFFICE VISIT  MINIMAL","99202","HCPCS","Both",,,"61","30.5","Medicaid",,"",,"37",,"22.33","22.33","47.28","percent of total billed charges",,
"OFFICE VISIT DETAILED","99203","HCPCS","Both",,,"80","40","Alliant","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"OFFICE VISIT DETAILED","99203","HCPCS","Both",,,"80","40","Pruitt Healthcare","Medicare Advantage","",,"54",,"43.2","29.28","62","percent of total billed charges",,
"OFFICE VISIT DETAILED","99203","HCPCS","Both",,,"80","40","Medicare",,"",,"54",,"43.36","29.28","62","percent of total billed charges",,
"OFFICE VISIT DETAILED","99203","HCPCS","Both",,,"80","40","Humana","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"OFFICE VISIT DETAILED","99203","HCPCS","Both",,,"80","40","UHC","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"OFFICE VISIT DETAILED","99203","HCPCS","Both",,,"80","40","Clover","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"OFFICE VISIT DETAILED","99203","HCPCS","Both",,,"80","40","Wellcare","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"OFFICE VISIT DETAILED","99203","HCPCS","Both",,,"80","40","Amerigroup","Medicaid Managed Care","",,"37",,"29.28","29.28","62","percent of total billed charges",,
"OFFICE VISIT DETAILED","99203","HCPCS","Both",,,"80","40","Caresource","Medicaid Managed Care","",,"40",,"32","29.28","62","percent of total billed charges",,
"OFFICE VISIT DETAILED","99203","HCPCS","Both",,,"80","40","Wellcare","Medicaid Managed Care","",,"40",,"32.4","29.28","62","percent of total billed charges",,
"OFFICE VISIT DETAILED","99203","HCPCS","Both",,,"80","40","Aetna","Commercial","",,"64",,"51.04","29.28","62","percent of total billed charges",,
"OFFICE VISIT DETAILED","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","Pathways","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"OFFICE VISIT DETAILED","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","HMO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"OFFICE VISIT DETAILED","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","PPO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"OFFICE VISIT DETAILED","99203","HCPCS","Both",,,"80","40","Ambetter","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"OFFICE VISIT DETAILED","99203","HCPCS","Both",,,"80","40","Caresource","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"OFFICE VISIT DETAILED","99203","HCPCS","Both",,,"80","40","Cigna","Commercial","",,"59",,"46.88","29.28","62","percent of total billed charges",,
"OFFICE VISIT DETAILED","99203","HCPCS","Both",,,"80","40","Humana","Commercial","",,"78",,"62","29.28","62","percent of total billed charges",,
"OFFICE VISIT DETAILED","99203","HCPCS","Both",,,"80","40","UHC","Commercial","",,"75",,"60.32","29.28","62","percent of total billed charges",,
"OFFICE VISIT DETAILED","99203","HCPCS","Both",,,"80","40","Medicaid",,"",,"37",,"29.28","29.28","62","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE MODERATE","99204","HCPCS","Both",,,"128","64","Alliant","Health Exchange","",,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE MODERATE","99204","HCPCS","Both",,,"128","64","Pruitt Healthcare","Medicare Advantage","",,"54",,"69.12","46.85","99.2","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE MODERATE","99204","HCPCS","Both",,,"128","64","Medicare",,"",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE MODERATE","99204","HCPCS","Both",,,"128","64","Humana","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE MODERATE","99204","HCPCS","Both",,,"128","64","UHC","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE MODERATE","99204","HCPCS","Both",,,"128","64","Clover","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE MODERATE","99204","HCPCS","Both",,,"128","64","Wellcare","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE MODERATE","99204","HCPCS","Both",,,"128","64","Amerigroup","Medicaid Managed Care","",,"37",,"46.85","46.85","99.2","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE MODERATE","99204","HCPCS","Both",,,"128","64","Caresource","Medicaid Managed Care","",,"40",,"51.2","46.85","99.2","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE MODERATE","99204","HCPCS","Both",,,"128","64","Wellcare","Medicaid Managed Care","",,"40",,"51.84","46.85","99.2","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE MODERATE","99204","HCPCS","Both",,,"128","64","Aetna","Commercial","",,"64",,"81.66","46.85","99.2","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE MODERATE","99204","HCPCS","Both",,,"128","64","Blue Cross Blue Shield","Pathways","",,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE MODERATE","99204","HCPCS","Both",,,"128","64","Blue Cross Blue Shield","HMO","",,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE MODERATE","99204","HCPCS","Both",,,"128","64","Blue Cross Blue Shield","PPO","",,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE MODERATE","99204","HCPCS","Both",,,"128","64","Ambetter","Health Exchange","",,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE MODERATE","99204","HCPCS","Both",,,"128","64","Caresource","Health Exchange","",,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE MODERATE","99204","HCPCS","Both",,,"128","64","Cigna","Commercial","",,"59",,"75.01","46.85","99.2","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE MODERATE","99204","HCPCS","Both",,,"128","64","Humana","Commercial","",,"78",,"99.2","46.85","99.2","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE MODERATE","99204","HCPCS","Both",,,"128","64","UHC","Commercial","",,"75",,"96.51","46.85","99.2","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE MODERATE","99204","HCPCS","Both",,,"128","64","Medicaid",,"",,"37",,"46.85","46.85","99.2","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE COMPLEX","99205","HCPCS","Both",,,"167","83.5","Alliant","Health Exchange","",,"62",,"103.54","61.12","129.43","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE COMPLEX","99205","HCPCS","Both",,,"167","83.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"90.18","61.12","129.43","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE COMPLEX","99205","HCPCS","Both",,,"167","83.5","Medicare",,"",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE COMPLEX","99205","HCPCS","Both",,,"167","83.5","Humana","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE COMPLEX","99205","HCPCS","Both",,,"167","83.5","UHC","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE COMPLEX","99205","HCPCS","Both",,,"167","83.5","Clover","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE COMPLEX","99205","HCPCS","Both",,,"167","83.5","Wellcare","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE COMPLEX","99205","HCPCS","Both",,,"167","83.5","Amerigroup","Medicaid Managed Care","",,"37",,"61.12","61.12","129.43","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE COMPLEX","99205","HCPCS","Both",,,"167","83.5","Caresource","Medicaid Managed Care","",,"40",,"66.8","61.12","129.43","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE COMPLEX","99205","HCPCS","Both",,,"167","83.5","Wellcare","Medicaid Managed Care","",,"40",,"67.64","61.12","129.43","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE COMPLEX","99205","HCPCS","Both",,,"167","83.5","Aetna","Commercial","",,"64",,"106.55","61.12","129.43","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE COMPLEX","99205","HCPCS","Both",,,"167","83.5","Blue Cross Blue Shield","Pathways","",,"71",,"117.9","61.12","129.43","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE COMPLEX","99205","HCPCS","Both",,,"167","83.5","Blue Cross Blue Shield","HMO","",,"71",,"117.9","61.12","129.43","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE COMPLEX","99205","HCPCS","Both",,,"167","83.5","Blue Cross Blue Shield","PPO","",,"71",,"117.9","61.12","129.43","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE COMPLEX","99205","HCPCS","Both",,,"167","83.5","Ambetter","Health Exchange","",,"62",,"103.54","61.12","129.43","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE COMPLEX","99205","HCPCS","Both",,,"167","83.5","Caresource","Health Exchange","",,"62",,"103.54","61.12","129.43","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE COMPLEX","99205","HCPCS","Both",,,"167","83.5","Cigna","Commercial","",,"59",,"97.86","61.12","129.43","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE COMPLEX","99205","HCPCS","Both",,,"167","83.5","Humana","Commercial","",,"78",,"129.43","61.12","129.43","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE COMPLEX","99205","HCPCS","Both",,,"167","83.5","UHC","Commercial","",,"75",,"125.92","61.12","129.43","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE COMPLEX","99205","HCPCS","Both",,,"167","83.5","Medicaid",,"",,"37",,"61.12","61.12","129.43","percent of total billed charges",,
"OFFICE VISIT  MINIMAL","99212","HCPCS","Both",,,"55","27.5","Alliant","Health Exchange","",,"62",,"34.1","20.13","42.62","percent of total billed charges",,
"OFFICE VISIT  MINIMAL","99212","HCPCS","Both",,,"55","27.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"29.7","20.13","42.62","percent of total billed charges",,
"OFFICE VISIT  MINIMAL","99212","HCPCS","Both",,,"55","27.5","Medicare",,"",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"OFFICE VISIT  MINIMAL","99212","HCPCS","Both",,,"55","27.5","Humana","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"OFFICE VISIT  MINIMAL","99212","HCPCS","Both",,,"55","27.5","UHC","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"OFFICE VISIT  MINIMAL","99212","HCPCS","Both",,,"55","27.5","Clover","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"OFFICE VISIT  MINIMAL","99212","HCPCS","Both",,,"55","27.5","Wellcare","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"OFFICE VISIT  MINIMAL","99212","HCPCS","Both",,,"55","27.5","Amerigroup","Medicaid Managed Care","",,"37",,"20.13","20.13","42.62","percent of total billed charges",,
"OFFICE VISIT  MINIMAL","99212","HCPCS","Both",,,"55","27.5","Caresource","Medicaid Managed Care","",,"40",,"22","20.13","42.62","percent of total billed charges",,
"OFFICE VISIT  MINIMAL","99212","HCPCS","Both",,,"55","27.5","Wellcare","Medicaid Managed Care","",,"40",,"22.28","20.13","42.62","percent of total billed charges",,
"OFFICE VISIT  MINIMAL","99212","HCPCS","Both",,,"55","27.5","Aetna","Commercial","",,"64",,"35.09","20.13","42.62","percent of total billed charges",,
"OFFICE VISIT  MINIMAL","99212","HCPCS","Both",,,"55","27.5","Blue Cross Blue Shield","Pathways","",,"71",,"38.83","20.13","42.62","percent of total billed charges",,
"OFFICE VISIT  MINIMAL","99212","HCPCS","Both",,,"55","27.5","Blue Cross Blue Shield","HMO","",,"71",,"38.83","20.13","42.62","percent of total billed charges",,
"OFFICE VISIT  MINIMAL","99212","HCPCS","Both",,,"55","27.5","Blue Cross Blue Shield","PPO","",,"71",,"38.83","20.13","42.62","percent of total billed charges",,
"OFFICE VISIT  MINIMAL","99212","HCPCS","Both",,,"55","27.5","Ambetter","Health Exchange","",,"62",,"34.1","20.13","42.62","percent of total billed charges",,
"OFFICE VISIT  MINIMAL","99212","HCPCS","Both",,,"55","27.5","Caresource","Health Exchange","",,"62",,"34.1","20.13","42.62","percent of total billed charges",,
"OFFICE VISIT  MINIMAL","99212","HCPCS","Both",,,"55","27.5","Cigna","Commercial","",,"59",,"32.23","20.13","42.62","percent of total billed charges",,
"OFFICE VISIT  MINIMAL","99212","HCPCS","Both",,,"55","27.5","Humana","Commercial","",,"78",,"42.62","20.13","42.62","percent of total billed charges",,
"OFFICE VISIT  MINIMAL","99212","HCPCS","Both",,,"55","27.5","UHC","Commercial","",,"75",,"41.47","20.13","42.62","percent of total billed charges",,
"OFFICE VISIT  MINIMAL","99212","HCPCS","Both",,,"55","27.5","Medicaid",,"",,"37",,"20.13","20.13","42.62","percent of total billed charges",,
"OFFICE VISIT  DETAILED","99213","HCPCS","Both",,,"61","30.5","Alliant","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"OFFICE VISIT  DETAILED","99213","HCPCS","Both",,,"61","30.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.94","22.33","47.28","percent of total billed charges",,
"OFFICE VISIT  DETAILED","99213","HCPCS","Both",,,"61","30.5","Medicare",,"",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"OFFICE VISIT  DETAILED","99213","HCPCS","Both",,,"61","30.5","Humana","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"OFFICE VISIT  DETAILED","99213","HCPCS","Both",,,"61","30.5","UHC","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"OFFICE VISIT  DETAILED","99213","HCPCS","Both",,,"61","30.5","Clover","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"OFFICE VISIT  DETAILED","99213","HCPCS","Both",,,"61","30.5","Wellcare","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"OFFICE VISIT  DETAILED","99213","HCPCS","Both",,,"61","30.5","Amerigroup","Medicaid Managed Care","",,"37",,"22.33","22.33","47.28","percent of total billed charges",,
"OFFICE VISIT  DETAILED","99213","HCPCS","Both",,,"61","30.5","Caresource","Medicaid Managed Care","",,"40",,"24.4","22.33","47.28","percent of total billed charges",,
"OFFICE VISIT  DETAILED","99213","HCPCS","Both",,,"61","30.5","Wellcare","Medicaid Managed Care","",,"40",,"24.7","22.33","47.28","percent of total billed charges",,
"OFFICE VISIT  DETAILED","99213","HCPCS","Both",,,"61","30.5","Aetna","Commercial","",,"64",,"38.92","22.33","47.28","percent of total billed charges",,
"OFFICE VISIT  DETAILED","99213","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","Pathways","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"OFFICE VISIT  DETAILED","99213","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","HMO","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"OFFICE VISIT  DETAILED","99213","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","PPO","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"OFFICE VISIT  DETAILED","99213","HCPCS","Both",,,"61","30.5","Ambetter","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"OFFICE VISIT  DETAILED","99213","HCPCS","Both",,,"61","30.5","Caresource","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"OFFICE VISIT  DETAILED","99213","HCPCS","Both",,,"61","30.5","Cigna","Commercial","",,"59",,"35.75","22.33","47.28","percent of total billed charges",,
"OFFICE VISIT  DETAILED","99213","HCPCS","Both",,,"61","30.5","Humana","Commercial","",,"78",,"47.28","22.33","47.28","percent of total billed charges",,
"OFFICE VISIT  DETAILED","99213","HCPCS","Both",,,"61","30.5","UHC","Commercial","",,"75",,"45.99","22.33","47.28","percent of total billed charges",,
"OFFICE VISIT  DETAILED","99213","HCPCS","Both",,,"61","30.5","Medicaid",,"",,"37",,"22.33","22.33","47.28","percent of total billed charges",,
"OFFICE VISIT  MODERATE","99214","HCPCS","Both",,,"78","39","Alliant","Health Exchange","",,"62",,"48.36","28.55","60.45","percent of total billed charges",,
"OFFICE VISIT  MODERATE","99214","HCPCS","Both",,,"78","39","Pruitt Healthcare","Medicare Advantage","",,"54",,"42.12","28.55","60.45","percent of total billed charges",,
"OFFICE VISIT  MODERATE","99214","HCPCS","Both",,,"78","39","Medicare",,"",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"OFFICE VISIT  MODERATE","99214","HCPCS","Both",,,"78","39","Humana","Medicare Advantage","",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"OFFICE VISIT  MODERATE","99214","HCPCS","Both",,,"78","39","UHC","Medicare Advantage","",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"OFFICE VISIT  MODERATE","99214","HCPCS","Both",,,"78","39","Clover","Medicare Advantage","",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"OFFICE VISIT  MODERATE","99214","HCPCS","Both",,,"78","39","Wellcare","Medicare Advantage","",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"OFFICE VISIT  MODERATE","99214","HCPCS","Both",,,"78","39","Amerigroup","Medicaid Managed Care","",,"37",,"28.55","28.55","60.45","percent of total billed charges",,
"OFFICE VISIT  MODERATE","99214","HCPCS","Both",,,"78","39","Caresource","Medicaid Managed Care","",,"40",,"31.2","28.55","60.45","percent of total billed charges",,
"OFFICE VISIT  MODERATE","99214","HCPCS","Both",,,"78","39","Wellcare","Medicaid Managed Care","",,"40",,"31.59","28.55","60.45","percent of total billed charges",,
"OFFICE VISIT  MODERATE","99214","HCPCS","Both",,,"78","39","Aetna","Commercial","",,"64",,"49.76","28.55","60.45","percent of total billed charges",,
"OFFICE VISIT  MODERATE","99214","HCPCS","Both",,,"78","39","Blue Cross Blue Shield","Pathways","",,"71",,"55.07","28.55","60.45","percent of total billed charges",,
"OFFICE VISIT  MODERATE","99214","HCPCS","Both",,,"78","39","Blue Cross Blue Shield","HMO","",,"71",,"55.07","28.55","60.45","percent of total billed charges",,
"OFFICE VISIT  MODERATE","99214","HCPCS","Both",,,"78","39","Blue Cross Blue Shield","PPO","",,"71",,"55.07","28.55","60.45","percent of total billed charges",,
"OFFICE VISIT  MODERATE","99214","HCPCS","Both",,,"78","39","Ambetter","Health Exchange","",,"62",,"48.36","28.55","60.45","percent of total billed charges",,
"OFFICE VISIT  MODERATE","99214","HCPCS","Both",,,"78","39","Caresource","Health Exchange","",,"62",,"48.36","28.55","60.45","percent of total billed charges",,
"OFFICE VISIT  MODERATE","99214","HCPCS","Both",,,"78","39","Cigna","Commercial","",,"59",,"45.71","28.55","60.45","percent of total billed charges",,
"OFFICE VISIT  MODERATE","99214","HCPCS","Both",,,"78","39","Humana","Commercial","",,"78",,"60.45","28.55","60.45","percent of total billed charges",,
"OFFICE VISIT  MODERATE","99214","HCPCS","Both",,,"78","39","UHC","Commercial","",,"75",,"58.81","28.55","60.45","percent of total billed charges",,
"OFFICE VISIT  MODERATE","99214","HCPCS","Both",,,"78","39","Medicaid",,"",,"37",,"28.55","28.55","60.45","percent of total billed charges",,
"OFFICE VISIT MODERATE COMPLEX","99215","HCPCS","Both",,,"110","55","Alliant","Health Exchange","",,"62",,"68.2","40.26","85.25","percent of total billed charges",,
"OFFICE VISIT MODERATE COMPLEX","99215","HCPCS","Both",,,"110","55","Pruitt Healthcare","Medicare Advantage","",,"54",,"59.4","40.26","85.25","percent of total billed charges",,
"OFFICE VISIT MODERATE COMPLEX","99215","HCPCS","Both",,,"110","55","Medicare",,"",,"54",,"59.62","40.26","85.25","percent of total billed charges",,
"OFFICE VISIT MODERATE COMPLEX","99215","HCPCS","Both",,,"110","55","Humana","Medicare Advantage","",,"54",,"59.62","40.26","85.25","percent of total billed charges",,
"OFFICE VISIT MODERATE COMPLEX","99215","HCPCS","Both",,,"110","55","UHC","Medicare Advantage","",,"54",,"59.62","40.26","85.25","percent of total billed charges",,
"OFFICE VISIT MODERATE COMPLEX","99215","HCPCS","Both",,,"110","55","Clover","Medicare Advantage","",,"54",,"59.62","40.26","85.25","percent of total billed charges",,
"OFFICE VISIT MODERATE COMPLEX","99215","HCPCS","Both",,,"110","55","Wellcare","Medicare Advantage","",,"54",,"59.62","40.26","85.25","percent of total billed charges",,
"OFFICE VISIT MODERATE COMPLEX","99215","HCPCS","Both",,,"110","55","Amerigroup","Medicaid Managed Care","",,"37",,"40.26","40.26","85.25","percent of total billed charges",,
"OFFICE VISIT MODERATE COMPLEX","99215","HCPCS","Both",,,"110","55","Caresource","Medicaid Managed Care","",,"40",,"44","40.26","85.25","percent of total billed charges",,
"OFFICE VISIT MODERATE COMPLEX","99215","HCPCS","Both",,,"110","55","Wellcare","Medicaid Managed Care","",,"40",,"44.55","40.26","85.25","percent of total billed charges",,
"OFFICE VISIT MODERATE COMPLEX","99215","HCPCS","Both",,,"110","55","Aetna","Commercial","",,"64",,"70.18","40.26","85.25","percent of total billed charges",,
"OFFICE VISIT MODERATE COMPLEX","99215","HCPCS","Both",,,"110","55","Blue Cross Blue Shield","Pathways","",,"71",,"77.66","40.26","85.25","percent of total billed charges",,
"OFFICE VISIT MODERATE COMPLEX","99215","HCPCS","Both",,,"110","55","Blue Cross Blue Shield","HMO","",,"71",,"77.66","40.26","85.25","percent of total billed charges",,
"OFFICE VISIT MODERATE COMPLEX","99215","HCPCS","Both",,,"110","55","Blue Cross Blue Shield","PPO","",,"71",,"77.66","40.26","85.25","percent of total billed charges",,
"OFFICE VISIT MODERATE COMPLEX","99215","HCPCS","Both",,,"110","55","Ambetter","Health Exchange","",,"62",,"68.2","40.26","85.25","percent of total billed charges",,
"OFFICE VISIT MODERATE COMPLEX","99215","HCPCS","Both",,,"110","55","Caresource","Health Exchange","",,"62",,"68.2","40.26","85.25","percent of total billed charges",,
"OFFICE VISIT MODERATE COMPLEX","99215","HCPCS","Both",,,"110","55","Cigna","Commercial","",,"59",,"64.46","40.26","85.25","percent of total billed charges",,
"OFFICE VISIT MODERATE COMPLEX","99215","HCPCS","Both",,,"110","55","Humana","Commercial","",,"78",,"85.25","40.26","85.25","percent of total billed charges",,
"OFFICE VISIT MODERATE COMPLEX","99215","HCPCS","Both",,,"110","55","UHC","Commercial","",,"75",,"82.94","40.26","85.25","percent of total billed charges",,
"OFFICE VISIT MODERATE COMPLEX","99215","HCPCS","Both",,,"110","55","Medicaid",,"",,"37",,"40.26","40.26","85.25","percent of total billed charges",,
"CONSULTATIONS  INPT SIMPLE","99251","HCPCS","Both",,,"81","40.5","Alliant","Health Exchange","",,"62",,"50.22","29.65","62.78","percent of total billed charges",,
"CONSULTATIONS  INPT SIMPLE","99251","HCPCS","Both",,,"81","40.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"43.74","29.65","62.78","percent of total billed charges",,
"CONSULTATIONS  INPT SIMPLE","99251","HCPCS","Both",,,"81","40.5","Medicare",,"",,"54",,"43.9","29.65","62.78","percent of total billed charges",,
"CONSULTATIONS  INPT SIMPLE","99251","HCPCS","Both",,,"81","40.5","Humana","Medicare Advantage","",,"54",,"43.9","29.65","62.78","percent of total billed charges",,
"CONSULTATIONS  INPT SIMPLE","99251","HCPCS","Both",,,"81","40.5","UHC","Medicare Advantage","",,"54",,"43.9","29.65","62.78","percent of total billed charges",,
"CONSULTATIONS  INPT SIMPLE","99251","HCPCS","Both",,,"81","40.5","Clover","Medicare Advantage","",,"54",,"43.9","29.65","62.78","percent of total billed charges",,
"CONSULTATIONS  INPT SIMPLE","99251","HCPCS","Both",,,"81","40.5","Wellcare","Medicare Advantage","",,"54",,"43.9","29.65","62.78","percent of total billed charges",,
"CONSULTATIONS  INPT SIMPLE","99251","HCPCS","Both",,,"81","40.5","Amerigroup","Medicaid Managed Care","",,"37",,"29.65","29.65","62.78","percent of total billed charges",,
"CONSULTATIONS  INPT SIMPLE","99251","HCPCS","Both",,,"81","40.5","Caresource","Medicaid Managed Care","",,"40",,"32.4","29.65","62.78","percent of total billed charges",,
"CONSULTATIONS  INPT SIMPLE","99251","HCPCS","Both",,,"81","40.5","Wellcare","Medicaid Managed Care","",,"40",,"32.8","29.65","62.78","percent of total billed charges",,
"CONSULTATIONS  INPT SIMPLE","99251","HCPCS","Both",,,"81","40.5","Aetna","Commercial","",,"64",,"51.68","29.65","62.78","percent of total billed charges",,
"CONSULTATIONS  INPT SIMPLE","99251","HCPCS","Both",,,"81","40.5","Blue Cross Blue Shield","Pathways","",,"71",,"57.19","29.65","62.78","percent of total billed charges",,
"CONSULTATIONS  INPT SIMPLE","99251","HCPCS","Both",,,"81","40.5","Blue Cross Blue Shield","HMO","",,"71",,"57.19","29.65","62.78","percent of total billed charges",,
"CONSULTATIONS  INPT SIMPLE","99251","HCPCS","Both",,,"81","40.5","Blue Cross Blue Shield","PPO","",,"71",,"57.19","29.65","62.78","percent of total billed charges",,
"CONSULTATIONS  INPT SIMPLE","99251","HCPCS","Both",,,"81","40.5","Ambetter","Health Exchange","",,"62",,"50.22","29.65","62.78","percent of total billed charges",,
"CONSULTATIONS  INPT SIMPLE","99251","HCPCS","Both",,,"81","40.5","Caresource","Health Exchange","",,"62",,"50.22","29.65","62.78","percent of total billed charges",,
"CONSULTATIONS  INPT SIMPLE","99251","HCPCS","Both",,,"81","40.5","Cigna","Commercial","",,"59",,"47.47","29.65","62.78","percent of total billed charges",,
"CONSULTATIONS  INPT SIMPLE","99251","HCPCS","Both",,,"81","40.5","Humana","Commercial","",,"78",,"62.78","29.65","62.78","percent of total billed charges",,
"CONSULTATIONS  INPT SIMPLE","99251","HCPCS","Both",,,"81","40.5","UHC","Commercial","",,"75",,"61.07","29.65","62.78","percent of total billed charges",,
"CONSULTATIONS  INPT SIMPLE","99251","HCPCS","Both",,,"81","40.5","Medicaid",,"",,"37",,"29.65","29.65","62.78","percent of total billed charges",,
"CONSULTATIONS INPT MODERATE","99252","HCPCS","Both",,,"107","53.5","Alliant","Health Exchange","",,"62",,"66.34","39.16","82.92","percent of total billed charges",,
"CONSULTATIONS INPT MODERATE","99252","HCPCS","Both",,,"107","53.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"57.78","39.16","82.92","percent of total billed charges",,
"CONSULTATIONS INPT MODERATE","99252","HCPCS","Both",,,"107","53.5","Medicare",,"",,"54",,"57.99","39.16","82.92","percent of total billed charges",,
"CONSULTATIONS INPT MODERATE","99252","HCPCS","Both",,,"107","53.5","Humana","Medicare Advantage","",,"54",,"57.99","39.16","82.92","percent of total billed charges",,
"CONSULTATIONS INPT MODERATE","99252","HCPCS","Both",,,"107","53.5","UHC","Medicare Advantage","",,"54",,"57.99","39.16","82.92","percent of total billed charges",,
"CONSULTATIONS INPT MODERATE","99252","HCPCS","Both",,,"107","53.5","Clover","Medicare Advantage","",,"54",,"57.99","39.16","82.92","percent of total billed charges",,
"CONSULTATIONS INPT MODERATE","99252","HCPCS","Both",,,"107","53.5","Wellcare","Medicare Advantage","",,"54",,"57.99","39.16","82.92","percent of total billed charges",,
"CONSULTATIONS INPT MODERATE","99252","HCPCS","Both",,,"107","53.5","Amerigroup","Medicaid Managed Care","",,"37",,"39.16","39.16","82.92","percent of total billed charges",,
"CONSULTATIONS INPT MODERATE","99252","HCPCS","Both",,,"107","53.5","Caresource","Medicaid Managed Care","",,"40",,"42.8","39.16","82.92","percent of total billed charges",,
"CONSULTATIONS INPT MODERATE","99252","HCPCS","Both",,,"107","53.5","Wellcare","Medicaid Managed Care","",,"40",,"43.34","39.16","82.92","percent of total billed charges",,
"CONSULTATIONS INPT MODERATE","99252","HCPCS","Both",,,"107","53.5","Aetna","Commercial","",,"64",,"68.27","39.16","82.92","percent of total billed charges",,
"CONSULTATIONS INPT MODERATE","99252","HCPCS","Both",,,"107","53.5","Blue Cross Blue Shield","Pathways","",,"71",,"75.54","39.16","82.92","percent of total billed charges",,
"CONSULTATIONS INPT MODERATE","99252","HCPCS","Both",,,"107","53.5","Blue Cross Blue Shield","HMO","",,"71",,"75.54","39.16","82.92","percent of total billed charges",,
"CONSULTATIONS INPT MODERATE","99252","HCPCS","Both",,,"107","53.5","Blue Cross Blue Shield","PPO","",,"71",,"75.54","39.16","82.92","percent of total billed charges",,
"CONSULTATIONS INPT MODERATE","99252","HCPCS","Both",,,"107","53.5","Ambetter","Health Exchange","",,"62",,"66.34","39.16","82.92","percent of total billed charges",,
"CONSULTATIONS INPT MODERATE","99252","HCPCS","Both",,,"107","53.5","Caresource","Health Exchange","",,"62",,"66.34","39.16","82.92","percent of total billed charges",,
"CONSULTATIONS INPT MODERATE","99252","HCPCS","Both",,,"107","53.5","Cigna","Commercial","",,"59",,"62.7","39.16","82.92","percent of total billed charges",,
"CONSULTATIONS INPT MODERATE","99252","HCPCS","Both",,,"107","53.5","Humana","Commercial","",,"78",,"82.92","39.16","82.92","percent of total billed charges",,
"CONSULTATIONS INPT MODERATE","99252","HCPCS","Both",,,"107","53.5","UHC","Commercial","",,"75",,"80.68","39.16","82.92","percent of total billed charges",,
"CONSULTATIONS INPT MODERATE","99252","HCPCS","Both",,,"107","53.5","Medicaid",,"",,"37",,"39.16","39.16","82.92","percent of total billed charges",,
"COMSULTATIONS INPT LOW COMPLEXITY","99253","HCPCS","Both",,,"141","70.5","Alliant","Health Exchange","",,"62",,"87.42","51.61","109.28","percent of total billed charges",,
"COMSULTATIONS INPT LOW COMPLEXITY","99253","HCPCS","Both",,,"141","70.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"76.14","51.61","109.28","percent of total billed charges",,
"COMSULTATIONS INPT LOW COMPLEXITY","99253","HCPCS","Both",,,"141","70.5","Medicare",,"",,"54",,"76.42","51.61","109.28","percent of total billed charges",,
"COMSULTATIONS INPT LOW COMPLEXITY","99253","HCPCS","Both",,,"141","70.5","Humana","Medicare Advantage","",,"54",,"76.42","51.61","109.28","percent of total billed charges",,
"COMSULTATIONS INPT LOW COMPLEXITY","99253","HCPCS","Both",,,"141","70.5","UHC","Medicare Advantage","",,"54",,"76.42","51.61","109.28","percent of total billed charges",,
"COMSULTATIONS INPT LOW COMPLEXITY","99253","HCPCS","Both",,,"141","70.5","Clover","Medicare Advantage","",,"54",,"76.42","51.61","109.28","percent of total billed charges",,
"COMSULTATIONS INPT LOW COMPLEXITY","99253","HCPCS","Both",,,"141","70.5","Wellcare","Medicare Advantage","",,"54",,"76.42","51.61","109.28","percent of total billed charges",,
"COMSULTATIONS INPT LOW COMPLEXITY","99253","HCPCS","Both",,,"141","70.5","Amerigroup","Medicaid Managed Care","",,"37",,"51.61","51.61","109.28","percent of total billed charges",,
"COMSULTATIONS INPT LOW COMPLEXITY","99253","HCPCS","Both",,,"141","70.5","Caresource","Medicaid Managed Care","",,"40",,"56.4","51.61","109.28","percent of total billed charges",,
"COMSULTATIONS INPT LOW COMPLEXITY","99253","HCPCS","Both",,,"141","70.5","Wellcare","Medicaid Managed Care","",,"40",,"57.1","51.61","109.28","percent of total billed charges",,
"COMSULTATIONS INPT LOW COMPLEXITY","99253","HCPCS","Both",,,"141","70.5","Aetna","Commercial","",,"64",,"89.96","51.61","109.28","percent of total billed charges",,
"COMSULTATIONS INPT LOW COMPLEXITY","99253","HCPCS","Both",,,"141","70.5","Blue Cross Blue Shield","Pathways","",,"71",,"99.55","51.61","109.28","percent of total billed charges",,
"COMSULTATIONS INPT LOW COMPLEXITY","99253","HCPCS","Both",,,"141","70.5","Blue Cross Blue Shield","HMO","",,"71",,"99.55","51.61","109.28","percent of total billed charges",,
"COMSULTATIONS INPT LOW COMPLEXITY","99253","HCPCS","Both",,,"141","70.5","Blue Cross Blue Shield","PPO","",,"71",,"99.55","51.61","109.28","percent of total billed charges",,
"COMSULTATIONS INPT LOW COMPLEXITY","99253","HCPCS","Both",,,"141","70.5","Ambetter","Health Exchange","",,"62",,"87.42","51.61","109.28","percent of total billed charges",,
"COMSULTATIONS INPT LOW COMPLEXITY","99253","HCPCS","Both",,,"141","70.5","Caresource","Health Exchange","",,"62",,"87.42","51.61","109.28","percent of total billed charges",,
"COMSULTATIONS INPT LOW COMPLEXITY","99253","HCPCS","Both",,,"141","70.5","Cigna","Commercial","",,"59",,"82.63","51.61","109.28","percent of total billed charges",,
"COMSULTATIONS INPT LOW COMPLEXITY","99253","HCPCS","Both",,,"141","70.5","Humana","Commercial","",,"78",,"109.28","51.61","109.28","percent of total billed charges",,
"COMSULTATIONS INPT LOW COMPLEXITY","99253","HCPCS","Both",,,"141","70.5","UHC","Commercial","",,"75",,"106.31","51.61","109.28","percent of total billed charges",,
"COMSULTATIONS INPT LOW COMPLEXITY","99253","HCPCS","Both",,,"141","70.5","Medicaid",,"",,"37",,"51.61","51.61","109.28","percent of total billed charges",,
"CONSULTATIONS INPT MODERATE COMPLEXITY","99254","HCPCS","Both",,,"187","93.5","Alliant","Health Exchange","",,"62",,"115.94","68.44","144.93","percent of total billed charges",,
"CONSULTATIONS INPT MODERATE COMPLEXITY","99254","HCPCS","Both",,,"187","93.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"100.98","68.44","144.93","percent of total billed charges",,
"CONSULTATIONS INPT MODERATE COMPLEXITY","99254","HCPCS","Both",,,"187","93.5","Medicare",,"",,"54",,"101.35","68.44","144.93","percent of total billed charges",,
"CONSULTATIONS INPT MODERATE COMPLEXITY","99254","HCPCS","Both",,,"187","93.5","Humana","Medicare Advantage","",,"54",,"101.35","68.44","144.93","percent of total billed charges",,
"CONSULTATIONS INPT MODERATE COMPLEXITY","99254","HCPCS","Both",,,"187","93.5","UHC","Medicare Advantage","",,"54",,"101.35","68.44","144.93","percent of total billed charges",,
"CONSULTATIONS INPT MODERATE COMPLEXITY","99254","HCPCS","Both",,,"187","93.5","Clover","Medicare Advantage","",,"54",,"101.35","68.44","144.93","percent of total billed charges",,
"CONSULTATIONS INPT MODERATE COMPLEXITY","99254","HCPCS","Both",,,"187","93.5","Wellcare","Medicare Advantage","",,"54",,"101.35","68.44","144.93","percent of total billed charges",,
"CONSULTATIONS INPT MODERATE COMPLEXITY","99254","HCPCS","Both",,,"187","93.5","Amerigroup","Medicaid Managed Care","",,"37",,"68.44","68.44","144.93","percent of total billed charges",,
"CONSULTATIONS INPT MODERATE COMPLEXITY","99254","HCPCS","Both",,,"187","93.5","Caresource","Medicaid Managed Care","",,"40",,"74.8","68.44","144.93","percent of total billed charges",,
"CONSULTATIONS INPT MODERATE COMPLEXITY","99254","HCPCS","Both",,,"187","93.5","Wellcare","Medicaid Managed Care","",,"40",,"75.74","68.44","144.93","percent of total billed charges",,
"CONSULTATIONS INPT MODERATE COMPLEXITY","99254","HCPCS","Both",,,"187","93.5","Aetna","Commercial","",,"64",,"119.31","68.44","144.93","percent of total billed charges",,
"CONSULTATIONS INPT MODERATE COMPLEXITY","99254","HCPCS","Both",,,"187","93.5","Blue Cross Blue Shield","Pathways","",,"71",,"132.02","68.44","144.93","percent of total billed charges",,
"CONSULTATIONS INPT MODERATE COMPLEXITY","99254","HCPCS","Both",,,"187","93.5","Blue Cross Blue Shield","HMO","",,"71",,"132.02","68.44","144.93","percent of total billed charges",,
"CONSULTATIONS INPT MODERATE COMPLEXITY","99254","HCPCS","Both",,,"187","93.5","Blue Cross Blue Shield","PPO","",,"71",,"132.02","68.44","144.93","percent of total billed charges",,
"CONSULTATIONS INPT MODERATE COMPLEXITY","99254","HCPCS","Both",,,"187","93.5","Ambetter","Health Exchange","",,"62",,"115.94","68.44","144.93","percent of total billed charges",,
"CONSULTATIONS INPT MODERATE COMPLEXITY","99254","HCPCS","Both",,,"187","93.5","Caresource","Health Exchange","",,"62",,"115.94","68.44","144.93","percent of total billed charges",,
"CONSULTATIONS INPT MODERATE COMPLEXITY","99254","HCPCS","Both",,,"187","93.5","Cigna","Commercial","",,"59",,"109.58","68.44","144.93","percent of total billed charges",,
"CONSULTATIONS INPT MODERATE COMPLEXITY","99254","HCPCS","Both",,,"187","93.5","Humana","Commercial","",,"78",,"144.93","68.44","144.93","percent of total billed charges",,
"CONSULTATIONS INPT MODERATE COMPLEXITY","99254","HCPCS","Both",,,"187","93.5","UHC","Commercial","",,"75",,"141","68.44","144.93","percent of total billed charges",,
"CONSULTATIONS INPT MODERATE COMPLEXITY","99254","HCPCS","Both",,,"187","93.5","Medicaid",,"",,"37",,"68.44","68.44","144.93","percent of total billed charges",,
"CONSULTATIONS HIGH COMPLEXITY","99255","HCPCS","Both",,,"253","126.5","Alliant","Health Exchange","",,"62",,"156.86","92.6","196.08","percent of total billed charges",,
"CONSULTATIONS HIGH COMPLEXITY","99255","HCPCS","Both",,,"253","126.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"136.62","92.6","196.08","percent of total billed charges",,
"CONSULTATIONS HIGH COMPLEXITY","99255","HCPCS","Both",,,"253","126.5","Medicare",,"",,"54",,"137.13","92.6","196.08","percent of total billed charges",,
"CONSULTATIONS HIGH COMPLEXITY","99255","HCPCS","Both",,,"253","126.5","Humana","Medicare Advantage","",,"54",,"137.13","92.6","196.08","percent of total billed charges",,
"CONSULTATIONS HIGH COMPLEXITY","99255","HCPCS","Both",,,"253","126.5","UHC","Medicare Advantage","",,"54",,"137.13","92.6","196.08","percent of total billed charges",,
"CONSULTATIONS HIGH COMPLEXITY","99255","HCPCS","Both",,,"253","126.5","Clover","Medicare Advantage","",,"54",,"137.13","92.6","196.08","percent of total billed charges",,
"CONSULTATIONS HIGH COMPLEXITY","99255","HCPCS","Both",,,"253","126.5","Wellcare","Medicare Advantage","",,"54",,"137.13","92.6","196.08","percent of total billed charges",,
"CONSULTATIONS HIGH COMPLEXITY","99255","HCPCS","Both",,,"253","126.5","Amerigroup","Medicaid Managed Care","",,"37",,"92.6","92.6","196.08","percent of total billed charges",,
"CONSULTATIONS HIGH COMPLEXITY","99255","HCPCS","Both",,,"253","126.5","Caresource","Medicaid Managed Care","",,"40",,"101.2","92.6","196.08","percent of total billed charges",,
"CONSULTATIONS HIGH COMPLEXITY","99255","HCPCS","Both",,,"253","126.5","Wellcare","Medicaid Managed Care","",,"40",,"102.46","92.6","196.08","percent of total billed charges",,
"CONSULTATIONS HIGH COMPLEXITY","99255","HCPCS","Both",,,"253","126.5","Aetna","Commercial","",,"64",,"161.41","92.6","196.08","percent of total billed charges",,
"CONSULTATIONS HIGH COMPLEXITY","99255","HCPCS","Both",,,"253","126.5","Blue Cross Blue Shield","Pathways","",,"71",,"178.62","92.6","196.08","percent of total billed charges",,
"CONSULTATIONS HIGH COMPLEXITY","99255","HCPCS","Both",,,"253","126.5","Blue Cross Blue Shield","HMO","",,"71",,"178.62","92.6","196.08","percent of total billed charges",,
"CONSULTATIONS HIGH COMPLEXITY","99255","HCPCS","Both",,,"253","126.5","Blue Cross Blue Shield","PPO","",,"71",,"178.62","92.6","196.08","percent of total billed charges",,
"CONSULTATIONS HIGH COMPLEXITY","99255","HCPCS","Both",,,"253","126.5","Ambetter","Health Exchange","",,"62",,"156.86","92.6","196.08","percent of total billed charges",,
"CONSULTATIONS HIGH COMPLEXITY","99255","HCPCS","Both",,,"253","126.5","Caresource","Health Exchange","",,"62",,"156.86","92.6","196.08","percent of total billed charges",,
"CONSULTATIONS HIGH COMPLEXITY","99255","HCPCS","Both",,,"253","126.5","Cigna","Commercial","",,"59",,"148.26","92.6","196.08","percent of total billed charges",,
"CONSULTATIONS HIGH COMPLEXITY","99255","HCPCS","Both",,,"253","126.5","Humana","Commercial","",,"78",,"196.08","92.6","196.08","percent of total billed charges",,
"CONSULTATIONS HIGH COMPLEXITY","99255","HCPCS","Both",,,"253","126.5","UHC","Commercial","",,"75",,"190.76","92.6","196.08","percent of total billed charges",,
"CONSULTATIONS HIGH COMPLEXITY","99255","HCPCS","Both",,,"253","126.5","Medicaid",,"",,"37",,"92.6","92.6","196.08","percent of total billed charges",,
"REMOVAL FOREIGN BODY","10120","HCPCS","Both",,,"102","51","Alliant","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY","10120","HCPCS","Both",,,"102","51","Pruitt Healthcare","Medicare Advantage","",,"54",,"55.08","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY","10120","HCPCS","Both",,,"102","51","Medicare",,"",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY","10120","HCPCS","Both",,,"102","51","Humana","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY","10120","HCPCS","Both",,,"102","51","UHC","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY","10120","HCPCS","Both",,,"102","51","Clover","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY","10120","HCPCS","Both",,,"102","51","Wellcare","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY","10120","HCPCS","Both",,,"102","51","Amerigroup","Medicaid Managed Care","",,"37",,"37.33","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY","10120","HCPCS","Both",,,"102","51","Caresource","Medicaid Managed Care","",,"40",,"40.8","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY","10120","HCPCS","Both",,,"102","51","Wellcare","Medicaid Managed Care","",,"40",,"41.31","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY","10120","HCPCS","Both",,,"102","51","Aetna","Commercial","",,"64",,"65.08","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY","10120","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","Pathways","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY","10120","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","HMO","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY","10120","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","PPO","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY","10120","HCPCS","Both",,,"102","51","Ambetter","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY","10120","HCPCS","Both",,,"102","51","Caresource","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY","10120","HCPCS","Both",,,"102","51","Cigna","Commercial","",,"59",,"59.77","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY","10120","HCPCS","Both",,,"102","51","Humana","Commercial","",,"78",,"79.05","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY","10120","HCPCS","Both",,,"102","51","UHC","Commercial","",,"75",,"76.91","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY","10120","HCPCS","Both",,,"102","51","Medicaid",,"",,"37",,"37.33","37.33","79.05","percent of total billed charges",,
"INCISION/REMOVAL OF FOREIGN BODY","10121","HCPCS","Both",,,"114","57","Alliant","Health Exchange","",,"62",,"70.68","41.72","88.35","percent of total billed charges",,
"INCISION/REMOVAL OF FOREIGN BODY","10121","HCPCS","Both",,,"114","57","Pruitt Healthcare","Medicare Advantage","",,"54",,"61.56","41.72","88.35","percent of total billed charges",,
"INCISION/REMOVAL OF FOREIGN BODY","10121","HCPCS","Both",,,"114","57","Medicare",,"",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"INCISION/REMOVAL OF FOREIGN BODY","10121","HCPCS","Both",,,"114","57","Humana","Medicare Advantage","",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"INCISION/REMOVAL OF FOREIGN BODY","10121","HCPCS","Both",,,"114","57","UHC","Medicare Advantage","",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"INCISION/REMOVAL OF FOREIGN BODY","10121","HCPCS","Both",,,"114","57","Clover","Medicare Advantage","",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"INCISION/REMOVAL OF FOREIGN BODY","10121","HCPCS","Both",,,"114","57","Wellcare","Medicare Advantage","",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"INCISION/REMOVAL OF FOREIGN BODY","10121","HCPCS","Both",,,"114","57","Amerigroup","Medicaid Managed Care","",,"37",,"41.72","41.72","88.35","percent of total billed charges",,
"INCISION/REMOVAL OF FOREIGN BODY","10121","HCPCS","Both",,,"114","57","Caresource","Medicaid Managed Care","",,"40",,"45.6","41.72","88.35","percent of total billed charges",,
"INCISION/REMOVAL OF FOREIGN BODY","10121","HCPCS","Both",,,"114","57","Wellcare","Medicaid Managed Care","",,"40",,"46.17","41.72","88.35","percent of total billed charges",,
"INCISION/REMOVAL OF FOREIGN BODY","10121","HCPCS","Both",,,"114","57","Aetna","Commercial","",,"64",,"72.73","41.72","88.35","percent of total billed charges",,
"INCISION/REMOVAL OF FOREIGN BODY","10121","HCPCS","Both",,,"114","57","Blue Cross Blue Shield","Pathways","",,"71",,"80.48","41.72","88.35","percent of total billed charges",,
"INCISION/REMOVAL OF FOREIGN BODY","10121","HCPCS","Both",,,"114","57","Blue Cross Blue Shield","HMO","",,"71",,"80.48","41.72","88.35","percent of total billed charges",,
"INCISION/REMOVAL OF FOREIGN BODY","10121","HCPCS","Both",,,"114","57","Blue Cross Blue Shield","PPO","",,"71",,"80.48","41.72","88.35","percent of total billed charges",,
"INCISION/REMOVAL OF FOREIGN BODY","10121","HCPCS","Both",,,"114","57","Ambetter","Health Exchange","",,"62",,"70.68","41.72","88.35","percent of total billed charges",,
"INCISION/REMOVAL OF FOREIGN BODY","10121","HCPCS","Both",,,"114","57","Caresource","Health Exchange","",,"62",,"70.68","41.72","88.35","percent of total billed charges",,
"INCISION/REMOVAL OF FOREIGN BODY","10121","HCPCS","Both",,,"114","57","Cigna","Commercial","",,"59",,"66.8","41.72","88.35","percent of total billed charges",,
"INCISION/REMOVAL OF FOREIGN BODY","10121","HCPCS","Both",,,"114","57","Humana","Commercial","",,"78",,"88.35","41.72","88.35","percent of total billed charges",,
"INCISION/REMOVAL OF FOREIGN BODY","10121","HCPCS","Both",,,"114","57","UHC","Commercial","",,"75",,"85.96","41.72","88.35","percent of total billed charges",,
"INCISION/REMOVAL OF FOREIGN BODY","10121","HCPCS","Both",,,"114","57","Medicaid",,"",,"37",,"41.72","41.72","88.35","percent of total billed charges",,
"SUTURES 2.5 OR LESS","12001","HCPCS","Both",,,"529","264.5","Alliant","Health Exchange","",,"62",,"327.98","193.61","696.96","percent of total billed charges",,
"SUTURES 2.5 OR LESS","12001","HCPCS","Both",,,"529","264.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"285.66","193.61","696.96","percent of total billed charges",,
"SUTURES 2.5 OR LESS","12001","HCPCS","Both",,,"529","264.5","Medicare",,"",,"54",,"286.72","193.61","696.96","percent of total billed charges",,
"SUTURES 2.5 OR LESS","12001","HCPCS","Both",,,"529","264.5","Humana","Medicare Advantage","",,"54",,"286.72","193.61","696.96","percent of total billed charges",,
"SUTURES 2.5 OR LESS","12001","HCPCS","Both",,,"529","264.5","UHC","Medicare Advantage","",,"54",,"286.72","193.61","696.96","percent of total billed charges",,
"SUTURES 2.5 OR LESS","12001","HCPCS","Both",,,"529","264.5","Clover","Medicare Advantage","",,"54",,"286.72","193.61","696.96","percent of total billed charges",,
"SUTURES 2.5 OR LESS","12001","HCPCS","Both",,,"529","264.5","Wellcare","Medicare Advantage","",,"54",,"286.72","193.61","696.96","percent of total billed charges",,
"SUTURES 2.5 OR LESS","12001","HCPCS","Both",,,"529","264.5","Amerigroup","Medicaid Managed Care","",,"37",,"193.61","193.61","696.96","percent of total billed charges",,
"SUTURES 2.5 OR LESS","12001","HCPCS","Both",,,"529","264.5","Caresource","Medicaid Managed Care","",,"40",,"211.6","193.61","696.96","percent of total billed charges",,
"SUTURES 2.5 OR LESS","12001","HCPCS","Both",,,"529","264.5","Wellcare","Medicaid Managed Care","",,"40",,"214.24","193.61","696.96","percent of total billed charges",,
"SUTURES 2.5 OR LESS","12001","HCPCS","Both",,,"529","264.5","Aetna","Commercial","",,"64",,"337.5","193.61","696.96","percent of total billed charges",,
"SUTURES 2.5 OR LESS","12001","HCPCS","Both",,,"529","264.5","Blue Cross Blue Shield","Pathways","",,"71",,"373.47","193.61","696.96","percent of total billed charges",,
"SUTURES 2.5 OR LESS","12001","HCPCS","Both",,,"529","264.5","Blue Cross Blue Shield","HMO","",,"71",,"373.47","193.61","696.96","percent of total billed charges",,
"SUTURES 2.5 OR LESS","12001","HCPCS","Both",,,"529","264.5","Blue Cross Blue Shield","PPO","",,"71",,"373.47","193.61","696.96","percent of total billed charges",,
"SUTURES 2.5 OR LESS","12001","HCPCS","Both",,,"529","264.5","Ambetter","Health Exchange","",,"62",,"327.98","193.61","696.96","percent of total billed charges",,
"SUTURES 2.5 OR LESS","12001","HCPCS","Both",,,"529","264.5","Caresource","Health Exchange","",,"62",,"327.98","193.61","696.96","percent of total billed charges",,
"SUTURES 2.5 OR LESS","12001","HCPCS","Both",,,"529","264.5","Cigna","Commercial","",,"59",,"309.99","193.61","696.96","percent of total billed charges",,
"SUTURES 2.5 OR LESS","12001","HCPCS","Both",,,"529","264.5","Humana","Commercial","",,"78",,"409.98","193.61","696.96","percent of total billed charges",,
"SUTURES 2.5 OR LESS","12001","HCPCS","Both",,,"529","264.5","UHC","Commercial","",,"75",,"398.87","193.61","696.96","percent of total billed charges",,
"SUTURES 2.5 OR LESS","12001","HCPCS","Both",,,"529","264.5","Medicaid",,"",,"37",,"193.61","193.61","696.96","percent of total billed charges",,
"SUTURES 2.6 TO 7.5","12002","HCPCS","Both",,,"588","294","Alliant","Health Exchange","",,"62",,"364.56","215.21","774.69","percent of total billed charges",,
"SUTURES 2.6 TO 7.5","12002","HCPCS","Both",,,"588","294","Pruitt Healthcare","Medicare Advantage","",,"54",,"317.52","215.21","774.69","percent of total billed charges",,
"SUTURES 2.6 TO 7.5","12002","HCPCS","Both",,,"588","294","Medicare",,"",,"54",,"318.7","215.21","774.69","percent of total billed charges",,
"SUTURES 2.6 TO 7.5","12002","HCPCS","Both",,,"588","294","Humana","Medicare Advantage","",,"54",,"318.7","215.21","774.69","percent of total billed charges",,
"SUTURES 2.6 TO 7.5","12002","HCPCS","Both",,,"588","294","UHC","Medicare Advantage","",,"54",,"318.7","215.21","774.69","percent of total billed charges",,
"SUTURES 2.6 TO 7.5","12002","HCPCS","Both",,,"588","294","Clover","Medicare Advantage","",,"54",,"318.7","215.21","774.69","percent of total billed charges",,
"SUTURES 2.6 TO 7.5","12002","HCPCS","Both",,,"588","294","Wellcare","Medicare Advantage","",,"54",,"318.7","215.21","774.69","percent of total billed charges",,
"SUTURES 2.6 TO 7.5","12002","HCPCS","Both",,,"588","294","Amerigroup","Medicaid Managed Care","",,"37",,"215.21","215.21","774.69","percent of total billed charges",,
"SUTURES 2.6 TO 7.5","12002","HCPCS","Both",,,"588","294","Caresource","Medicaid Managed Care","",,"40",,"235.2","215.21","774.69","percent of total billed charges",,
"SUTURES 2.6 TO 7.5","12002","HCPCS","Both",,,"588","294","Wellcare","Medicaid Managed Care","",,"40",,"238.14","215.21","774.69","percent of total billed charges",,
"SUTURES 2.6 TO 7.5","12002","HCPCS","Both",,,"588","294","Aetna","Commercial","",,"64",,"375.14","215.21","774.69","percent of total billed charges",,
"SUTURES 2.6 TO 7.5","12002","HCPCS","Both",,,"588","294","Blue Cross Blue Shield","Pathways","",,"71",,"415.13","215.21","774.69","percent of total billed charges",,
"SUTURES 2.6 TO 7.5","12002","HCPCS","Both",,,"588","294","Blue Cross Blue Shield","HMO","",,"71",,"415.13","215.21","774.69","percent of total billed charges",,
"SUTURES 2.6 TO 7.5","12002","HCPCS","Both",,,"588","294","Blue Cross Blue Shield","PPO","",,"71",,"415.13","215.21","774.69","percent of total billed charges",,
"SUTURES 2.6 TO 7.5","12002","HCPCS","Both",,,"588","294","Ambetter","Health Exchange","",,"62",,"364.56","215.21","774.69","percent of total billed charges",,
"SUTURES 2.6 TO 7.5","12002","HCPCS","Both",,,"588","294","Caresource","Health Exchange","",,"62",,"364.56","215.21","774.69","percent of total billed charges",,
"SUTURES 2.6 TO 7.5","12002","HCPCS","Both",,,"588","294","Cigna","Commercial","",,"59",,"344.57","215.21","774.69","percent of total billed charges",,
"SUTURES 2.6 TO 7.5","12002","HCPCS","Both",,,"588","294","Humana","Commercial","",,"78",,"455.7","215.21","774.69","percent of total billed charges",,
"SUTURES 2.6 TO 7.5","12002","HCPCS","Both",,,"588","294","UHC","Commercial","",,"75",,"443.35","215.21","774.69","percent of total billed charges",,
"SUTURES 2.6 TO 7.5","12002","HCPCS","Both",,,"588","294","Medicaid",,"",,"37",,"215.21","215.21","774.69","percent of total billed charges",,
"SUTURES 7.6 TO 12.5","12004","HCPCS","Both",,,"94.5","47.25","Alliant","Health Exchange","",,"62",,"58.59","34.59","73.24","percent of total billed charges",,
"SUTURES 7.6 TO 12.5","12004","HCPCS","Both",,,"94.5","47.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"51.03","34.59","73.24","percent of total billed charges",,
"SUTURES 7.6 TO 12.5","12004","HCPCS","Both",,,"94.5","47.25","Medicare",,"",,"54",,"51.22","34.59","73.24","percent of total billed charges",,
"SUTURES 7.6 TO 12.5","12004","HCPCS","Both",,,"94.5","47.25","Humana","Medicare Advantage","",,"54",,"51.22","34.59","73.24","percent of total billed charges",,
"SUTURES 7.6 TO 12.5","12004","HCPCS","Both",,,"94.5","47.25","UHC","Medicare Advantage","",,"54",,"51.22","34.59","73.24","percent of total billed charges",,
"SUTURES 7.6 TO 12.5","12004","HCPCS","Both",,,"94.5","47.25","Clover","Medicare Advantage","",,"54",,"51.22","34.59","73.24","percent of total billed charges",,
"SUTURES 7.6 TO 12.5","12004","HCPCS","Both",,,"94.5","47.25","Wellcare","Medicare Advantage","",,"54",,"51.22","34.59","73.24","percent of total billed charges",,
"SUTURES 7.6 TO 12.5","12004","HCPCS","Both",,,"94.5","47.25","Amerigroup","Medicaid Managed Care","",,"37",,"34.59","34.59","73.24","percent of total billed charges",,
"SUTURES 7.6 TO 12.5","12004","HCPCS","Both",,,"94.5","47.25","Caresource","Medicaid Managed Care","",,"40",,"37.8","34.59","73.24","percent of total billed charges",,
"SUTURES 7.6 TO 12.5","12004","HCPCS","Both",,,"94.5","47.25","Wellcare","Medicaid Managed Care","",,"40",,"38.27","34.59","73.24","percent of total billed charges",,
"SUTURES 7.6 TO 12.5","12004","HCPCS","Both",,,"94.5","47.25","Aetna","Commercial","",,"64",,"60.29","34.59","73.24","percent of total billed charges",,
"SUTURES 7.6 TO 12.5","12004","HCPCS","Both",,,"94.5","47.25","Blue Cross Blue Shield","Pathways","",,"71",,"66.72","34.59","73.24","percent of total billed charges",,
"SUTURES 7.6 TO 12.5","12004","HCPCS","Both",,,"94.5","47.25","Blue Cross Blue Shield","HMO","",,"71",,"66.72","34.59","73.24","percent of total billed charges",,
"SUTURES 7.6 TO 12.5","12004","HCPCS","Both",,,"94.5","47.25","Blue Cross Blue Shield","PPO","",,"71",,"66.72","34.59","73.24","percent of total billed charges",,
"SUTURES 7.6 TO 12.5","12004","HCPCS","Both",,,"94.5","47.25","Ambetter","Health Exchange","",,"62",,"58.59","34.59","73.24","percent of total billed charges",,
"SUTURES 7.6 TO 12.5","12004","HCPCS","Both",,,"94.5","47.25","Caresource","Health Exchange","",,"62",,"58.59","34.59","73.24","percent of total billed charges",,
"SUTURES 7.6 TO 12.5","12004","HCPCS","Both",,,"94.5","47.25","Cigna","Commercial","",,"59",,"55.38","34.59","73.24","percent of total billed charges",,
"SUTURES 7.6 TO 12.5","12004","HCPCS","Both",,,"94.5","47.25","Humana","Commercial","",,"78",,"73.24","34.59","73.24","percent of total billed charges",,
"SUTURES 7.6 TO 12.5","12004","HCPCS","Both",,,"94.5","47.25","UHC","Commercial","",,"75",,"71.25","34.59","73.24","percent of total billed charges",,
"SUTURES 7.6 TO 12.5","12004","HCPCS","Both",,,"94.5","47.25","Medicaid",,"",,"37",,"34.59","34.59","73.24","percent of total billed charges",,
"SUTURES 12.5 TO GREATER","12005","HCPCS","Both",,,"283","141.5","Alliant","Health Exchange","",,"62",,"175.46","103.58","219.32","percent of total billed charges",,
"SUTURES 12.5 TO GREATER","12005","HCPCS","Both",,,"283","141.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"152.82","103.58","219.32","percent of total billed charges",,
"SUTURES 12.5 TO GREATER","12005","HCPCS","Both",,,"283","141.5","Medicare",,"",,"54",,"153.39","103.58","219.32","percent of total billed charges",,
"SUTURES 12.5 TO GREATER","12005","HCPCS","Both",,,"283","141.5","Humana","Medicare Advantage","",,"54",,"153.39","103.58","219.32","percent of total billed charges",,
"SUTURES 12.5 TO GREATER","12005","HCPCS","Both",,,"283","141.5","UHC","Medicare Advantage","",,"54",,"153.39","103.58","219.32","percent of total billed charges",,
"SUTURES 12.5 TO GREATER","12005","HCPCS","Both",,,"283","141.5","Clover","Medicare Advantage","",,"54",,"153.39","103.58","219.32","percent of total billed charges",,
"SUTURES 12.5 TO GREATER","12005","HCPCS","Both",,,"283","141.5","Wellcare","Medicare Advantage","",,"54",,"153.39","103.58","219.32","percent of total billed charges",,
"SUTURES 12.5 TO GREATER","12005","HCPCS","Both",,,"283","141.5","Amerigroup","Medicaid Managed Care","",,"37",,"103.58","103.58","219.32","percent of total billed charges",,
"SUTURES 12.5 TO GREATER","12005","HCPCS","Both",,,"283","141.5","Caresource","Medicaid Managed Care","",,"40",,"113.2","103.58","219.32","percent of total billed charges",,
"SUTURES 12.5 TO GREATER","12005","HCPCS","Both",,,"283","141.5","Wellcare","Medicaid Managed Care","",,"40",,"114.62","103.58","219.32","percent of total billed charges",,
"SUTURES 12.5 TO GREATER","12005","HCPCS","Both",,,"283","141.5","Aetna","Commercial","",,"64",,"180.55","103.58","219.32","percent of total billed charges",,
"SUTURES 12.5 TO GREATER","12005","HCPCS","Both",,,"283","141.5","Blue Cross Blue Shield","Pathways","",,"71",,"199.8","103.58","219.32","percent of total billed charges",,
"SUTURES 12.5 TO GREATER","12005","HCPCS","Both",,,"283","141.5","Blue Cross Blue Shield","HMO","",,"71",,"199.8","103.58","219.32","percent of total billed charges",,
"SUTURES 12.5 TO GREATER","12005","HCPCS","Both",,,"283","141.5","Blue Cross Blue Shield","PPO","",,"71",,"199.8","103.58","219.32","percent of total billed charges",,
"SUTURES 12.5 TO GREATER","12005","HCPCS","Both",,,"283","141.5","Ambetter","Health Exchange","",,"62",,"175.46","103.58","219.32","percent of total billed charges",,
"SUTURES 12.5 TO GREATER","12005","HCPCS","Both",,,"283","141.5","Caresource","Health Exchange","",,"62",,"175.46","103.58","219.32","percent of total billed charges",,
"SUTURES 12.5 TO GREATER","12005","HCPCS","Both",,,"283","141.5","Cigna","Commercial","",,"59",,"165.84","103.58","219.32","percent of total billed charges",,
"SUTURES 12.5 TO GREATER","12005","HCPCS","Both",,,"283","141.5","Humana","Commercial","",,"78",,"219.32","103.58","219.32","percent of total billed charges",,
"SUTURES 12.5 TO GREATER","12005","HCPCS","Both",,,"283","141.5","UHC","Commercial","",,"75",,"213.38","103.58","219.32","percent of total billed charges",,
"SUTURES 12.5 TO GREATER","12005","HCPCS","Both",,,"283","141.5","Medicaid",,"",,"37",,"103.58","103.58","219.32","percent of total billed charges",,
"CONSULTATION OUPT SIMPLE","99241","HCPCS","Both",,,"68","34","Alliant","Health Exchange","",,"62",,"42.16","24.89","52.7","percent of total billed charges",,
"CONSULTATION OUPT SIMPLE","99241","HCPCS","Both",,,"68","34","Pruitt Healthcare","Medicare Advantage","",,"54",,"36.72","24.89","52.7","percent of total billed charges",,
"CONSULTATION OUPT SIMPLE","99241","HCPCS","Both",,,"68","34","Medicare",,"",,"54",,"36.86","24.89","52.7","percent of total billed charges",,
"CONSULTATION OUPT SIMPLE","99241","HCPCS","Both",,,"68","34","Humana","Medicare Advantage","",,"54",,"36.86","24.89","52.7","percent of total billed charges",,
"CONSULTATION OUPT SIMPLE","99241","HCPCS","Both",,,"68","34","UHC","Medicare Advantage","",,"54",,"36.86","24.89","52.7","percent of total billed charges",,
"CONSULTATION OUPT SIMPLE","99241","HCPCS","Both",,,"68","34","Clover","Medicare Advantage","",,"54",,"36.86","24.89","52.7","percent of total billed charges",,
"CONSULTATION OUPT SIMPLE","99241","HCPCS","Both",,,"68","34","Wellcare","Medicare Advantage","",,"54",,"36.86","24.89","52.7","percent of total billed charges",,
"CONSULTATION OUPT SIMPLE","99241","HCPCS","Both",,,"68","34","Amerigroup","Medicaid Managed Care","",,"37",,"24.89","24.89","52.7","percent of total billed charges",,
"CONSULTATION OUPT SIMPLE","99241","HCPCS","Both",,,"68","34","Caresource","Medicaid Managed Care","",,"40",,"27.2","24.89","52.7","percent of total billed charges",,
"CONSULTATION OUPT SIMPLE","99241","HCPCS","Both",,,"68","34","Wellcare","Medicaid Managed Care","",,"40",,"27.54","24.89","52.7","percent of total billed charges",,
"CONSULTATION OUPT SIMPLE","99241","HCPCS","Both",,,"68","34","Aetna","Commercial","",,"64",,"43.38","24.89","52.7","percent of total billed charges",,
"CONSULTATION OUPT SIMPLE","99241","HCPCS","Both",,,"68","34","Blue Cross Blue Shield","Pathways","",,"71",,"48.01","24.89","52.7","percent of total billed charges",,
"CONSULTATION OUPT SIMPLE","99241","HCPCS","Both",,,"68","34","Blue Cross Blue Shield","HMO","",,"71",,"48.01","24.89","52.7","percent of total billed charges",,
"CONSULTATION OUPT SIMPLE","99241","HCPCS","Both",,,"68","34","Blue Cross Blue Shield","PPO","",,"71",,"48.01","24.89","52.7","percent of total billed charges",,
"CONSULTATION OUPT SIMPLE","99241","HCPCS","Both",,,"68","34","Ambetter","Health Exchange","",,"62",,"42.16","24.89","52.7","percent of total billed charges",,
"CONSULTATION OUPT SIMPLE","99241","HCPCS","Both",,,"68","34","Caresource","Health Exchange","",,"62",,"42.16","24.89","52.7","percent of total billed charges",,
"CONSULTATION OUPT SIMPLE","99241","HCPCS","Both",,,"68","34","Cigna","Commercial","",,"59",,"39.85","24.89","52.7","percent of total billed charges",,
"CONSULTATION OUPT SIMPLE","99241","HCPCS","Both",,,"68","34","Humana","Commercial","",,"78",,"52.7","24.89","52.7","percent of total billed charges",,
"CONSULTATION OUPT SIMPLE","99241","HCPCS","Both",,,"68","34","UHC","Commercial","",,"75",,"51.27","24.89","52.7","percent of total billed charges",,
"CONSULTATION OUPT SIMPLE","99241","HCPCS","Both",,,"68","34","Medicaid",,"",,"37",,"24.89","24.89","52.7","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE","99242","HCPCS","Both",,,"80","40","Alliant","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE","99242","HCPCS","Both",,,"80","40","Pruitt Healthcare","Medicare Advantage","",,"54",,"43.2","29.28","62","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE","99242","HCPCS","Both",,,"80","40","Medicare",,"",,"54",,"43.36","29.28","62","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE","99242","HCPCS","Both",,,"80","40","Humana","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE","99242","HCPCS","Both",,,"80","40","UHC","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE","99242","HCPCS","Both",,,"80","40","Clover","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE","99242","HCPCS","Both",,,"80","40","Wellcare","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE","99242","HCPCS","Both",,,"80","40","Amerigroup","Medicaid Managed Care","",,"37",,"29.28","29.28","62","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE","99242","HCPCS","Both",,,"80","40","Caresource","Medicaid Managed Care","",,"40",,"32","29.28","62","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE","99242","HCPCS","Both",,,"80","40","Wellcare","Medicaid Managed Care","",,"40",,"32.4","29.28","62","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE","99242","HCPCS","Both",,,"80","40","Aetna","Commercial","",,"64",,"51.04","29.28","62","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE","99242","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","Pathways","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE","99242","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","HMO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE","99242","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","PPO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE","99242","HCPCS","Both",,,"80","40","Ambetter","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE","99242","HCPCS","Both",,,"80","40","Caresource","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE","99242","HCPCS","Both",,,"80","40","Cigna","Commercial","",,"59",,"46.88","29.28","62","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE","99242","HCPCS","Both",,,"80","40","Humana","Commercial","",,"78",,"62","29.28","62","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE","99242","HCPCS","Both",,,"80","40","UHC","Commercial","",,"75",,"60.32","29.28","62","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE","99242","HCPCS","Both",,,"80","40","Medicaid",,"",,"37",,"29.28","29.28","62","percent of total billed charges",,
"CONSULTATION OUTPT LOW COMPLEXITY","99243","HCPCS","Both",,,"104","52","Alliant","Health Exchange","",,"62",,"64.48","38.06","80.68","percent of total billed charges",,
"CONSULTATION OUTPT LOW COMPLEXITY","99243","HCPCS","Both",,,"104","52","Pruitt Healthcare","Medicare Advantage","",,"54",,"56.16","38.06","80.68","percent of total billed charges",,
"CONSULTATION OUTPT LOW COMPLEXITY","99243","HCPCS","Both",,,"104","52","Medicare",,"",,"54",,"56.37","38.06","80.68","percent of total billed charges",,
"CONSULTATION OUTPT LOW COMPLEXITY","99243","HCPCS","Both",,,"104","52","Humana","Medicare Advantage","",,"54",,"56.37","38.06","80.68","percent of total billed charges",,
"CONSULTATION OUTPT LOW COMPLEXITY","99243","HCPCS","Both",,,"104","52","UHC","Medicare Advantage","",,"54",,"56.37","38.06","80.68","percent of total billed charges",,
"CONSULTATION OUTPT LOW COMPLEXITY","99243","HCPCS","Both",,,"104","52","Clover","Medicare Advantage","",,"54",,"56.37","38.06","80.68","percent of total billed charges",,
"CONSULTATION OUTPT LOW COMPLEXITY","99243","HCPCS","Both",,,"104","52","Wellcare","Medicare Advantage","",,"54",,"56.37","38.06","80.68","percent of total billed charges",,
"CONSULTATION OUTPT LOW COMPLEXITY","99243","HCPCS","Both",,,"104","52","Amerigroup","Medicaid Managed Care","",,"37",,"38.06","38.06","80.68","percent of total billed charges",,
"CONSULTATION OUTPT LOW COMPLEXITY","99243","HCPCS","Both",,,"104","52","Caresource","Medicaid Managed Care","",,"40",,"41.6","38.06","80.68","percent of total billed charges",,
"CONSULTATION OUTPT LOW COMPLEXITY","99243","HCPCS","Both",,,"104","52","Wellcare","Medicaid Managed Care","",,"40",,"42.12","38.06","80.68","percent of total billed charges",,
"CONSULTATION OUTPT LOW COMPLEXITY","99243","HCPCS","Both",,,"104","52","Aetna","Commercial","",,"64",,"66.35","38.06","80.68","percent of total billed charges",,
"CONSULTATION OUTPT LOW COMPLEXITY","99243","HCPCS","Both",,,"104","52","Blue Cross Blue Shield","Pathways","",,"71",,"73.42","38.06","80.68","percent of total billed charges",,
"CONSULTATION OUTPT LOW COMPLEXITY","99243","HCPCS","Both",,,"104","52","Blue Cross Blue Shield","HMO","",,"71",,"73.42","38.06","80.68","percent of total billed charges",,
"CONSULTATION OUTPT LOW COMPLEXITY","99243","HCPCS","Both",,,"104","52","Blue Cross Blue Shield","PPO","",,"71",,"73.42","38.06","80.68","percent of total billed charges",,
"CONSULTATION OUTPT LOW COMPLEXITY","99243","HCPCS","Both",,,"104","52","Ambetter","Health Exchange","",,"62",,"64.48","38.06","80.68","percent of total billed charges",,
"CONSULTATION OUTPT LOW COMPLEXITY","99243","HCPCS","Both",,,"104","52","Caresource","Health Exchange","",,"62",,"64.48","38.06","80.68","percent of total billed charges",,
"CONSULTATION OUTPT LOW COMPLEXITY","99243","HCPCS","Both",,,"104","52","Cigna","Commercial","",,"59",,"60.94","38.06","80.68","percent of total billed charges",,
"CONSULTATION OUTPT LOW COMPLEXITY","99243","HCPCS","Both",,,"104","52","Humana","Commercial","",,"78",,"80.6","38.06","80.68","percent of total billed charges",,
"CONSULTATION OUTPT LOW COMPLEXITY","99243","HCPCS","Both",,,"104","52","UHC","Commercial","",,"75",,"78.42","38.06","80.68","percent of total billed charges",,
"CONSULTATION OUTPT LOW COMPLEXITY","99243","HCPCS","Both",,,"104","52","Medicaid",,"",,"37",,"38.06","38.06","80.68","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE COMPLEX","99244","HCPCS","Both",,,"152.5","76.25","Alliant","Health Exchange","",,"62",,"94.55","55.82","118.19","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE COMPLEX","99244","HCPCS","Both",,,"152.5","76.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"82.35","55.82","118.19","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE COMPLEX","99244","HCPCS","Both",,,"152.5","76.25","Medicare",,"",,"54",,"82.66","55.82","118.19","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE COMPLEX","99244","HCPCS","Both",,,"152.5","76.25","Humana","Medicare Advantage","",,"54",,"82.66","55.82","118.19","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE COMPLEX","99244","HCPCS","Both",,,"152.5","76.25","UHC","Medicare Advantage","",,"54",,"82.66","55.82","118.19","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE COMPLEX","99244","HCPCS","Both",,,"152.5","76.25","Clover","Medicare Advantage","",,"54",,"82.66","55.82","118.19","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE COMPLEX","99244","HCPCS","Both",,,"152.5","76.25","Wellcare","Medicare Advantage","",,"54",,"82.66","55.82","118.19","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE COMPLEX","99244","HCPCS","Both",,,"152.5","76.25","Amerigroup","Medicaid Managed Care","",,"37",,"55.82","55.82","118.19","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE COMPLEX","99244","HCPCS","Both",,,"152.5","76.25","Caresource","Medicaid Managed Care","",,"40",,"61","55.82","118.19","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE COMPLEX","99244","HCPCS","Both",,,"152.5","76.25","Wellcare","Medicaid Managed Care","",,"40",,"61.76","55.82","118.19","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE COMPLEX","99244","HCPCS","Both",,,"152.5","76.25","Aetna","Commercial","",,"64",,"97.3","55.82","118.19","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE COMPLEX","99244","HCPCS","Both",,,"152.5","76.25","Blue Cross Blue Shield","Pathways","",,"71",,"107.66","55.82","118.19","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE COMPLEX","99244","HCPCS","Both",,,"152.5","76.25","Blue Cross Blue Shield","HMO","",,"71",,"107.66","55.82","118.19","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE COMPLEX","99244","HCPCS","Both",,,"152.5","76.25","Blue Cross Blue Shield","PPO","",,"71",,"107.66","55.82","118.19","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE COMPLEX","99244","HCPCS","Both",,,"152.5","76.25","Ambetter","Health Exchange","",,"62",,"94.55","55.82","118.19","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE COMPLEX","99244","HCPCS","Both",,,"152.5","76.25","Caresource","Health Exchange","",,"62",,"94.55","55.82","118.19","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE COMPLEX","99244","HCPCS","Both",,,"152.5","76.25","Cigna","Commercial","",,"59",,"89.36","55.82","118.19","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE COMPLEX","99244","HCPCS","Both",,,"152.5","76.25","Humana","Commercial","",,"78",,"118.19","55.82","118.19","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE COMPLEX","99244","HCPCS","Both",,,"152.5","76.25","UHC","Commercial","",,"75",,"114.98","55.82","118.19","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE COMPLEX","99244","HCPCS","Both",,,"152.5","76.25","Medicaid",,"",,"37",,"55.82","55.82","118.19","percent of total billed charges",,
"CONSULTATION OUTPT HIGH COMPLEXITY","99245","HCPCS","Both",,,"196","98","Alliant","Health Exchange","",,"62",,"121.52","71.74","151.9","percent of total billed charges",,
"CONSULTATION OUTPT HIGH COMPLEXITY","99245","HCPCS","Both",,,"196","98","Pruitt Healthcare","Medicare Advantage","",,"54",,"105.84","71.74","151.9","percent of total billed charges",,
"CONSULTATION OUTPT HIGH COMPLEXITY","99245","HCPCS","Both",,,"196","98","Medicare",,"",,"54",,"106.23","71.74","151.9","percent of total billed charges",,
"CONSULTATION OUTPT HIGH COMPLEXITY","99245","HCPCS","Both",,,"196","98","Humana","Medicare Advantage","",,"54",,"106.23","71.74","151.9","percent of total billed charges",,
"CONSULTATION OUTPT HIGH COMPLEXITY","99245","HCPCS","Both",,,"196","98","UHC","Medicare Advantage","",,"54",,"106.23","71.74","151.9","percent of total billed charges",,
"CONSULTATION OUTPT HIGH COMPLEXITY","99245","HCPCS","Both",,,"196","98","Clover","Medicare Advantage","",,"54",,"106.23","71.74","151.9","percent of total billed charges",,
"CONSULTATION OUTPT HIGH COMPLEXITY","99245","HCPCS","Both",,,"196","98","Wellcare","Medicare Advantage","",,"54",,"106.23","71.74","151.9","percent of total billed charges",,
"CONSULTATION OUTPT HIGH COMPLEXITY","99245","HCPCS","Both",,,"196","98","Amerigroup","Medicaid Managed Care","",,"37",,"71.74","71.74","151.9","percent of total billed charges",,
"CONSULTATION OUTPT HIGH COMPLEXITY","99245","HCPCS","Both",,,"196","98","Caresource","Medicaid Managed Care","",,"40",,"78.4","71.74","151.9","percent of total billed charges",,
"CONSULTATION OUTPT HIGH COMPLEXITY","99245","HCPCS","Both",,,"196","98","Wellcare","Medicaid Managed Care","",,"40",,"79.38","71.74","151.9","percent of total billed charges",,
"CONSULTATION OUTPT HIGH COMPLEXITY","99245","HCPCS","Both",,,"196","98","Aetna","Commercial","",,"64",,"125.05","71.74","151.9","percent of total billed charges",,
"CONSULTATION OUTPT HIGH COMPLEXITY","99245","HCPCS","Both",,,"196","98","Blue Cross Blue Shield","Pathways","",,"71",,"138.38","71.74","151.9","percent of total billed charges",,
"CONSULTATION OUTPT HIGH COMPLEXITY","99245","HCPCS","Both",,,"196","98","Blue Cross Blue Shield","HMO","",,"71",,"138.38","71.74","151.9","percent of total billed charges",,
"CONSULTATION OUTPT HIGH COMPLEXITY","99245","HCPCS","Both",,,"196","98","Blue Cross Blue Shield","PPO","",,"71",,"138.38","71.74","151.9","percent of total billed charges",,
"CONSULTATION OUTPT HIGH COMPLEXITY","99245","HCPCS","Both",,,"196","98","Ambetter","Health Exchange","",,"62",,"121.52","71.74","151.9","percent of total billed charges",,
"CONSULTATION OUTPT HIGH COMPLEXITY","99245","HCPCS","Both",,,"196","98","Caresource","Health Exchange","",,"62",,"121.52","71.74","151.9","percent of total billed charges",,
"CONSULTATION OUTPT HIGH COMPLEXITY","99245","HCPCS","Both",,,"196","98","Cigna","Commercial","",,"59",,"114.86","71.74","151.9","percent of total billed charges",,
"CONSULTATION OUTPT HIGH COMPLEXITY","99245","HCPCS","Both",,,"196","98","Humana","Commercial","",,"78",,"151.9","71.74","151.9","percent of total billed charges",,
"CONSULTATION OUTPT HIGH COMPLEXITY","99245","HCPCS","Both",,,"196","98","UHC","Commercial","",,"75",,"147.78","71.74","151.9","percent of total billed charges",,
"CONSULTATION OUTPT HIGH COMPLEXITY","99245","HCPCS","Both",,,"196","98","Medicaid",,"",,"37",,"71.74","71.74","151.9","percent of total billed charges",,
"HOSPITAL ADMISSION LOW COMPLEXITY","99221","HCPCS","Both",,,"235","117.5","Alliant","Health Exchange","",,"62",,"145.7","86.01","182.12","percent of total billed charges",,
"HOSPITAL ADMISSION LOW COMPLEXITY","99221","HCPCS","Both",,,"235","117.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"126.9","86.01","182.12","percent of total billed charges",,
"HOSPITAL ADMISSION LOW COMPLEXITY","99221","HCPCS","Both",,,"235","117.5","Medicare",,"",,"54",,"127.37","86.01","182.12","percent of total billed charges",,
"HOSPITAL ADMISSION LOW COMPLEXITY","99221","HCPCS","Both",,,"235","117.5","Humana","Medicare Advantage","",,"54",,"127.37","86.01","182.12","percent of total billed charges",,
"HOSPITAL ADMISSION LOW COMPLEXITY","99221","HCPCS","Both",,,"235","117.5","UHC","Medicare Advantage","",,"54",,"127.37","86.01","182.12","percent of total billed charges",,
"HOSPITAL ADMISSION LOW COMPLEXITY","99221","HCPCS","Both",,,"235","117.5","Clover","Medicare Advantage","",,"54",,"127.37","86.01","182.12","percent of total billed charges",,
"HOSPITAL ADMISSION LOW COMPLEXITY","99221","HCPCS","Both",,,"235","117.5","Wellcare","Medicare Advantage","",,"54",,"127.37","86.01","182.12","percent of total billed charges",,
"HOSPITAL ADMISSION LOW COMPLEXITY","99221","HCPCS","Both",,,"235","117.5","Amerigroup","Medicaid Managed Care","",,"37",,"86.01","86.01","182.12","percent of total billed charges",,
"HOSPITAL ADMISSION LOW COMPLEXITY","99221","HCPCS","Both",,,"235","117.5","Caresource","Medicaid Managed Care","",,"40",,"94","86.01","182.12","percent of total billed charges",,
"HOSPITAL ADMISSION LOW COMPLEXITY","99221","HCPCS","Both",,,"235","117.5","Wellcare","Medicaid Managed Care","",,"40",,"95.18","86.01","182.12","percent of total billed charges",,
"HOSPITAL ADMISSION LOW COMPLEXITY","99221","HCPCS","Both",,,"235","117.5","Aetna","Commercial","",,"64",,"149.93","86.01","182.12","percent of total billed charges",,
"HOSPITAL ADMISSION LOW COMPLEXITY","99221","HCPCS","Both",,,"235","117.5","Blue Cross Blue Shield","Pathways","",,"71",,"165.91","86.01","182.12","percent of total billed charges",,
"HOSPITAL ADMISSION LOW COMPLEXITY","99221","HCPCS","Both",,,"235","117.5","Blue Cross Blue Shield","HMO","",,"71",,"165.91","86.01","182.12","percent of total billed charges",,
"HOSPITAL ADMISSION LOW COMPLEXITY","99221","HCPCS","Both",,,"235","117.5","Blue Cross Blue Shield","PPO","",,"71",,"165.91","86.01","182.12","percent of total billed charges",,
"HOSPITAL ADMISSION LOW COMPLEXITY","99221","HCPCS","Both",,,"235","117.5","Ambetter","Health Exchange","",,"62",,"145.7","86.01","182.12","percent of total billed charges",,
"HOSPITAL ADMISSION LOW COMPLEXITY","99221","HCPCS","Both",,,"235","117.5","Caresource","Health Exchange","",,"62",,"145.7","86.01","182.12","percent of total billed charges",,
"HOSPITAL ADMISSION LOW COMPLEXITY","99221","HCPCS","Both",,,"235","117.5","Cigna","Commercial","",,"59",,"137.71","86.01","182.12","percent of total billed charges",,
"HOSPITAL ADMISSION LOW COMPLEXITY","99221","HCPCS","Both",,,"235","117.5","Humana","Commercial","",,"78",,"182.12","86.01","182.12","percent of total billed charges",,
"HOSPITAL ADMISSION LOW COMPLEXITY","99221","HCPCS","Both",,,"235","117.5","UHC","Commercial","",,"75",,"177.19","86.01","182.12","percent of total billed charges",,
"HOSPITAL ADMISSION LOW COMPLEXITY","99221","HCPCS","Both",,,"235","117.5","Medicaid",,"",,"37",,"86.01","86.01","182.12","percent of total billed charges",,
"HOSPITAL ADMISSION MODERATE COMPLEXITY","99222","HCPCS","Both",,,"267","133.5","Alliant","Health Exchange","",,"62",,"165.54","97.72","206.92","percent of total billed charges",,
"HOSPITAL ADMISSION MODERATE COMPLEXITY","99222","HCPCS","Both",,,"267","133.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"144.18","97.72","206.92","percent of total billed charges",,
"HOSPITAL ADMISSION MODERATE COMPLEXITY","99222","HCPCS","Both",,,"267","133.5","Medicare",,"",,"54",,"144.71","97.72","206.92","percent of total billed charges",,
"HOSPITAL ADMISSION MODERATE COMPLEXITY","99222","HCPCS","Both",,,"267","133.5","Humana","Medicare Advantage","",,"54",,"144.71","97.72","206.92","percent of total billed charges",,
"HOSPITAL ADMISSION MODERATE COMPLEXITY","99222","HCPCS","Both",,,"267","133.5","UHC","Medicare Advantage","",,"54",,"144.71","97.72","206.92","percent of total billed charges",,
"HOSPITAL ADMISSION MODERATE COMPLEXITY","99222","HCPCS","Both",,,"267","133.5","Clover","Medicare Advantage","",,"54",,"144.71","97.72","206.92","percent of total billed charges",,
"HOSPITAL ADMISSION MODERATE COMPLEXITY","99222","HCPCS","Both",,,"267","133.5","Wellcare","Medicare Advantage","",,"54",,"144.71","97.72","206.92","percent of total billed charges",,
"HOSPITAL ADMISSION MODERATE COMPLEXITY","99222","HCPCS","Both",,,"267","133.5","Amerigroup","Medicaid Managed Care","",,"37",,"97.72","97.72","206.92","percent of total billed charges",,
"HOSPITAL ADMISSION MODERATE COMPLEXITY","99222","HCPCS","Both",,,"267","133.5","Caresource","Medicaid Managed Care","",,"40",,"106.8","97.72","206.92","percent of total billed charges",,
"HOSPITAL ADMISSION MODERATE COMPLEXITY","99222","HCPCS","Both",,,"267","133.5","Wellcare","Medicaid Managed Care","",,"40",,"108.14","97.72","206.92","percent of total billed charges",,
"HOSPITAL ADMISSION MODERATE COMPLEXITY","99222","HCPCS","Both",,,"267","133.5","Aetna","Commercial","",,"64",,"170.35","97.72","206.92","percent of total billed charges",,
"HOSPITAL ADMISSION MODERATE COMPLEXITY","99222","HCPCS","Both",,,"267","133.5","Blue Cross Blue Shield","Pathways","",,"71",,"188.5","97.72","206.92","percent of total billed charges",,
"HOSPITAL ADMISSION MODERATE COMPLEXITY","99222","HCPCS","Both",,,"267","133.5","Blue Cross Blue Shield","HMO","",,"71",,"188.5","97.72","206.92","percent of total billed charges",,
"HOSPITAL ADMISSION MODERATE COMPLEXITY","99222","HCPCS","Both",,,"267","133.5","Blue Cross Blue Shield","PPO","",,"71",,"188.5","97.72","206.92","percent of total billed charges",,
"HOSPITAL ADMISSION MODERATE COMPLEXITY","99222","HCPCS","Both",,,"267","133.5","Ambetter","Health Exchange","",,"62",,"165.54","97.72","206.92","percent of total billed charges",,
"HOSPITAL ADMISSION MODERATE COMPLEXITY","99222","HCPCS","Both",,,"267","133.5","Caresource","Health Exchange","",,"62",,"165.54","97.72","206.92","percent of total billed charges",,
"HOSPITAL ADMISSION MODERATE COMPLEXITY","99222","HCPCS","Both",,,"267","133.5","Cigna","Commercial","",,"59",,"156.46","97.72","206.92","percent of total billed charges",,
"HOSPITAL ADMISSION MODERATE COMPLEXITY","99222","HCPCS","Both",,,"267","133.5","Humana","Commercial","",,"78",,"206.92","97.72","206.92","percent of total billed charges",,
"HOSPITAL ADMISSION MODERATE COMPLEXITY","99222","HCPCS","Both",,,"267","133.5","UHC","Commercial","",,"75",,"201.32","97.72","206.92","percent of total billed charges",,
"HOSPITAL ADMISSION MODERATE COMPLEXITY","99222","HCPCS","Both",,,"267","133.5","Medicaid",,"",,"37",,"97.72","97.72","206.92","percent of total billed charges",,
"HOSPITAL ADMISSION HIGH COMPLEXITY","99223","HCPCS","Both",,,"300","150","Alliant","Health Exchange","",,"62",,"186","109.8","232.5","percent of total billed charges",,
"HOSPITAL ADMISSION HIGH COMPLEXITY","99223","HCPCS","Both",,,"300","150","Pruitt Healthcare","Medicare Advantage","",,"54",,"162","109.8","232.5","percent of total billed charges",,
"HOSPITAL ADMISSION HIGH COMPLEXITY","99223","HCPCS","Both",,,"300","150","Medicare",,"",,"54",,"162.6","109.8","232.5","percent of total billed charges",,
"HOSPITAL ADMISSION HIGH COMPLEXITY","99223","HCPCS","Both",,,"300","150","Humana","Medicare Advantage","",,"54",,"162.6","109.8","232.5","percent of total billed charges",,
"HOSPITAL ADMISSION HIGH COMPLEXITY","99223","HCPCS","Both",,,"300","150","UHC","Medicare Advantage","",,"54",,"162.6","109.8","232.5","percent of total billed charges",,
"HOSPITAL ADMISSION HIGH COMPLEXITY","99223","HCPCS","Both",,,"300","150","Clover","Medicare Advantage","",,"54",,"162.6","109.8","232.5","percent of total billed charges",,
"HOSPITAL ADMISSION HIGH COMPLEXITY","99223","HCPCS","Both",,,"300","150","Wellcare","Medicare Advantage","",,"54",,"162.6","109.8","232.5","percent of total billed charges",,
"HOSPITAL ADMISSION HIGH COMPLEXITY","99223","HCPCS","Both",,,"300","150","Amerigroup","Medicaid Managed Care","",,"37",,"109.8","109.8","232.5","percent of total billed charges",,
"HOSPITAL ADMISSION HIGH COMPLEXITY","99223","HCPCS","Both",,,"300","150","Caresource","Medicaid Managed Care","",,"40",,"120","109.8","232.5","percent of total billed charges",,
"HOSPITAL ADMISSION HIGH COMPLEXITY","99223","HCPCS","Both",,,"300","150","Wellcare","Medicaid Managed Care","",,"40",,"121.5","109.8","232.5","percent of total billed charges",,
"HOSPITAL ADMISSION HIGH COMPLEXITY","99223","HCPCS","Both",,,"300","150","Aetna","Commercial","",,"64",,"191.4","109.8","232.5","percent of total billed charges",,
"HOSPITAL ADMISSION HIGH COMPLEXITY","99223","HCPCS","Both",,,"300","150","Blue Cross Blue Shield","Pathways","",,"71",,"211.8","109.8","232.5","percent of total billed charges",,
"HOSPITAL ADMISSION HIGH COMPLEXITY","99223","HCPCS","Both",,,"300","150","Blue Cross Blue Shield","HMO","",,"71",,"211.8","109.8","232.5","percent of total billed charges",,
"HOSPITAL ADMISSION HIGH COMPLEXITY","99223","HCPCS","Both",,,"300","150","Blue Cross Blue Shield","PPO","",,"71",,"211.8","109.8","232.5","percent of total billed charges",,
"HOSPITAL ADMISSION HIGH COMPLEXITY","99223","HCPCS","Both",,,"300","150","Ambetter","Health Exchange","",,"62",,"186","109.8","232.5","percent of total billed charges",,
"HOSPITAL ADMISSION HIGH COMPLEXITY","99223","HCPCS","Both",,,"300","150","Caresource","Health Exchange","",,"62",,"186","109.8","232.5","percent of total billed charges",,
"HOSPITAL ADMISSION HIGH COMPLEXITY","99223","HCPCS","Both",,,"300","150","Cigna","Commercial","",,"59",,"175.8","109.8","232.5","percent of total billed charges",,
"HOSPITAL ADMISSION HIGH COMPLEXITY","99223","HCPCS","Both",,,"300","150","Humana","Commercial","",,"78",,"232.5","109.8","232.5","percent of total billed charges",,
"HOSPITAL ADMISSION HIGH COMPLEXITY","99223","HCPCS","Both",,,"300","150","UHC","Commercial","",,"75",,"226.2","109.8","232.5","percent of total billed charges",,
"HOSPITAL ADMISSION HIGH COMPLEXITY","99223","HCPCS","Both",,,"300","150","Medicaid",,"",,"37",,"109.8","109.8","232.5","percent of total billed charges",,
"HOSPITAL DAILY VISIT LOW COMPLEXITY","99231","HCPCS","Both",,,"107","53.5","Alliant","Health Exchange","",,"62",,"66.34","39.16","82.92","percent of total billed charges",,
"HOSPITAL DAILY VISIT LOW COMPLEXITY","99231","HCPCS","Both",,,"107","53.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"57.78","39.16","82.92","percent of total billed charges",,
"HOSPITAL DAILY VISIT LOW COMPLEXITY","99231","HCPCS","Both",,,"107","53.5","Medicare",,"",,"54",,"57.99","39.16","82.92","percent of total billed charges",,
"HOSPITAL DAILY VISIT LOW COMPLEXITY","99231","HCPCS","Both",,,"107","53.5","Humana","Medicare Advantage","",,"54",,"57.99","39.16","82.92","percent of total billed charges",,
"HOSPITAL DAILY VISIT LOW COMPLEXITY","99231","HCPCS","Both",,,"107","53.5","UHC","Medicare Advantage","",,"54",,"57.99","39.16","82.92","percent of total billed charges",,
"HOSPITAL DAILY VISIT LOW COMPLEXITY","99231","HCPCS","Both",,,"107","53.5","Clover","Medicare Advantage","",,"54",,"57.99","39.16","82.92","percent of total billed charges",,
"HOSPITAL DAILY VISIT LOW COMPLEXITY","99231","HCPCS","Both",,,"107","53.5","Wellcare","Medicare Advantage","",,"54",,"57.99","39.16","82.92","percent of total billed charges",,
"HOSPITAL DAILY VISIT LOW COMPLEXITY","99231","HCPCS","Both",,,"107","53.5","Amerigroup","Medicaid Managed Care","",,"37",,"39.16","39.16","82.92","percent of total billed charges",,
"HOSPITAL DAILY VISIT LOW COMPLEXITY","99231","HCPCS","Both",,,"107","53.5","Caresource","Medicaid Managed Care","",,"40",,"42.8","39.16","82.92","percent of total billed charges",,
"HOSPITAL DAILY VISIT LOW COMPLEXITY","99231","HCPCS","Both",,,"107","53.5","Wellcare","Medicaid Managed Care","",,"40",,"43.34","39.16","82.92","percent of total billed charges",,
"HOSPITAL DAILY VISIT LOW COMPLEXITY","99231","HCPCS","Both",,,"107","53.5","Aetna","Commercial","",,"64",,"68.27","39.16","82.92","percent of total billed charges",,
"HOSPITAL DAILY VISIT LOW COMPLEXITY","99231","HCPCS","Both",,,"107","53.5","Blue Cross Blue Shield","Pathways","",,"71",,"75.54","39.16","82.92","percent of total billed charges",,
"HOSPITAL DAILY VISIT LOW COMPLEXITY","99231","HCPCS","Both",,,"107","53.5","Blue Cross Blue Shield","HMO","",,"71",,"75.54","39.16","82.92","percent of total billed charges",,
"HOSPITAL DAILY VISIT LOW COMPLEXITY","99231","HCPCS","Both",,,"107","53.5","Blue Cross Blue Shield","PPO","",,"71",,"75.54","39.16","82.92","percent of total billed charges",,
"HOSPITAL DAILY VISIT LOW COMPLEXITY","99231","HCPCS","Both",,,"107","53.5","Ambetter","Health Exchange","",,"62",,"66.34","39.16","82.92","percent of total billed charges",,
"HOSPITAL DAILY VISIT LOW COMPLEXITY","99231","HCPCS","Both",,,"107","53.5","Caresource","Health Exchange","",,"62",,"66.34","39.16","82.92","percent of total billed charges",,
"HOSPITAL DAILY VISIT LOW COMPLEXITY","99231","HCPCS","Both",,,"107","53.5","Cigna","Commercial","",,"59",,"62.7","39.16","82.92","percent of total billed charges",,
"HOSPITAL DAILY VISIT LOW COMPLEXITY","99231","HCPCS","Both",,,"107","53.5","Humana","Commercial","",,"78",,"82.92","39.16","82.92","percent of total billed charges",,
"HOSPITAL DAILY VISIT LOW COMPLEXITY","99231","HCPCS","Both",,,"107","53.5","UHC","Commercial","",,"75",,"80.68","39.16","82.92","percent of total billed charges",,
"HOSPITAL DAILY VISIT LOW COMPLEXITY","99231","HCPCS","Both",,,"107","53.5","Medicaid",,"",,"37",,"39.16","39.16","82.92","percent of total billed charges",,
"HOSPITAL DAILY VISIT MODERATE COMPLEXITY","99232","HCPCS","Both",,,"128","64","Alliant","Health Exchange","",,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"HOSPITAL DAILY VISIT MODERATE COMPLEXITY","99232","HCPCS","Both",,,"128","64","Pruitt Healthcare","Medicare Advantage","",,"54",,"69.12","46.85","99.2","percent of total billed charges",,
"HOSPITAL DAILY VISIT MODERATE COMPLEXITY","99232","HCPCS","Both",,,"128","64","Medicare",,"",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"HOSPITAL DAILY VISIT MODERATE COMPLEXITY","99232","HCPCS","Both",,,"128","64","Humana","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"HOSPITAL DAILY VISIT MODERATE COMPLEXITY","99232","HCPCS","Both",,,"128","64","UHC","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"HOSPITAL DAILY VISIT MODERATE COMPLEXITY","99232","HCPCS","Both",,,"128","64","Clover","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"HOSPITAL DAILY VISIT MODERATE COMPLEXITY","99232","HCPCS","Both",,,"128","64","Wellcare","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"HOSPITAL DAILY VISIT MODERATE COMPLEXITY","99232","HCPCS","Both",,,"128","64","Amerigroup","Medicaid Managed Care","",,"37",,"46.85","46.85","99.2","percent of total billed charges",,
"HOSPITAL DAILY VISIT MODERATE COMPLEXITY","99232","HCPCS","Both",,,"128","64","Caresource","Medicaid Managed Care","",,"40",,"51.2","46.85","99.2","percent of total billed charges",,
"HOSPITAL DAILY VISIT MODERATE COMPLEXITY","99232","HCPCS","Both",,,"128","64","Wellcare","Medicaid Managed Care","",,"40",,"51.84","46.85","99.2","percent of total billed charges",,
"HOSPITAL DAILY VISIT MODERATE COMPLEXITY","99232","HCPCS","Both",,,"128","64","Aetna","Commercial","",,"64",,"81.66","46.85","99.2","percent of total billed charges",,
"HOSPITAL DAILY VISIT MODERATE COMPLEXITY","99232","HCPCS","Both",,,"128","64","Blue Cross Blue Shield","Pathways","",,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"HOSPITAL DAILY VISIT MODERATE COMPLEXITY","99232","HCPCS","Both",,,"128","64","Blue Cross Blue Shield","HMO","",,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"HOSPITAL DAILY VISIT MODERATE COMPLEXITY","99232","HCPCS","Both",,,"128","64","Blue Cross Blue Shield","PPO","",,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"HOSPITAL DAILY VISIT MODERATE COMPLEXITY","99232","HCPCS","Both",,,"128","64","Ambetter","Health Exchange","",,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"HOSPITAL DAILY VISIT MODERATE COMPLEXITY","99232","HCPCS","Both",,,"128","64","Caresource","Health Exchange","",,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"HOSPITAL DAILY VISIT MODERATE COMPLEXITY","99232","HCPCS","Both",,,"128","64","Cigna","Commercial","",,"59",,"75.01","46.85","99.2","percent of total billed charges",,
"HOSPITAL DAILY VISIT MODERATE COMPLEXITY","99232","HCPCS","Both",,,"128","64","Humana","Commercial","",,"78",,"99.2","46.85","99.2","percent of total billed charges",,
"HOSPITAL DAILY VISIT MODERATE COMPLEXITY","99232","HCPCS","Both",,,"128","64","UHC","Commercial","",,"75",,"96.51","46.85","99.2","percent of total billed charges",,
"HOSPITAL DAILY VISIT MODERATE COMPLEXITY","99232","HCPCS","Both",,,"128","64","Medicaid",,"",,"37",,"46.85","46.85","99.2","percent of total billed charges",,
"HOSPITAL DAILY VISIT HIGH COMPLEXITY","99233","HCPCS","Both",,,"148","74","Alliant","Health Exchange","",,"62",,"91.76","54.17","114.7","percent of total billed charges",,
"HOSPITAL DAILY VISIT HIGH COMPLEXITY","99233","HCPCS","Both",,,"148","74","Pruitt Healthcare","Medicare Advantage","",,"54",,"79.92","54.17","114.7","percent of total billed charges",,
"HOSPITAL DAILY VISIT HIGH COMPLEXITY","99233","HCPCS","Both",,,"148","74","Medicare",,"",,"54",,"80.22","54.17","114.7","percent of total billed charges",,
"HOSPITAL DAILY VISIT HIGH COMPLEXITY","99233","HCPCS","Both",,,"148","74","Humana","Medicare Advantage","",,"54",,"80.22","54.17","114.7","percent of total billed charges",,
"HOSPITAL DAILY VISIT HIGH COMPLEXITY","99233","HCPCS","Both",,,"148","74","UHC","Medicare Advantage","",,"54",,"80.22","54.17","114.7","percent of total billed charges",,
"HOSPITAL DAILY VISIT HIGH COMPLEXITY","99233","HCPCS","Both",,,"148","74","Clover","Medicare Advantage","",,"54",,"80.22","54.17","114.7","percent of total billed charges",,
"HOSPITAL DAILY VISIT HIGH COMPLEXITY","99233","HCPCS","Both",,,"148","74","Wellcare","Medicare Advantage","",,"54",,"80.22","54.17","114.7","percent of total billed charges",,
"HOSPITAL DAILY VISIT HIGH COMPLEXITY","99233","HCPCS","Both",,,"148","74","Amerigroup","Medicaid Managed Care","",,"37",,"54.17","54.17","114.7","percent of total billed charges",,
"HOSPITAL DAILY VISIT HIGH COMPLEXITY","99233","HCPCS","Both",,,"148","74","Caresource","Medicaid Managed Care","",,"40",,"59.2","54.17","114.7","percent of total billed charges",,
"HOSPITAL DAILY VISIT HIGH COMPLEXITY","99233","HCPCS","Both",,,"148","74","Wellcare","Medicaid Managed Care","",,"40",,"59.94","54.17","114.7","percent of total billed charges",,
"HOSPITAL DAILY VISIT HIGH COMPLEXITY","99233","HCPCS","Both",,,"148","74","Aetna","Commercial","",,"64",,"94.42","54.17","114.7","percent of total billed charges",,
"HOSPITAL DAILY VISIT HIGH COMPLEXITY","99233","HCPCS","Both",,,"148","74","Blue Cross Blue Shield","Pathways","",,"71",,"104.49","54.17","114.7","percent of total billed charges",,
"HOSPITAL DAILY VISIT HIGH COMPLEXITY","99233","HCPCS","Both",,,"148","74","Blue Cross Blue Shield","HMO","",,"71",,"104.49","54.17","114.7","percent of total billed charges",,
"HOSPITAL DAILY VISIT HIGH COMPLEXITY","99233","HCPCS","Both",,,"148","74","Blue Cross Blue Shield","PPO","",,"71",,"104.49","54.17","114.7","percent of total billed charges",,
"HOSPITAL DAILY VISIT HIGH COMPLEXITY","99233","HCPCS","Both",,,"148","74","Ambetter","Health Exchange","",,"62",,"91.76","54.17","114.7","percent of total billed charges",,
"HOSPITAL DAILY VISIT HIGH COMPLEXITY","99233","HCPCS","Both",,,"148","74","Caresource","Health Exchange","",,"62",,"91.76","54.17","114.7","percent of total billed charges",,
"HOSPITAL DAILY VISIT HIGH COMPLEXITY","99233","HCPCS","Both",,,"148","74","Cigna","Commercial","",,"59",,"86.73","54.17","114.7","percent of total billed charges",,
"HOSPITAL DAILY VISIT HIGH COMPLEXITY","99233","HCPCS","Both",,,"148","74","Humana","Commercial","",,"78",,"114.7","54.17","114.7","percent of total billed charges",,
"HOSPITAL DAILY VISIT HIGH COMPLEXITY","99233","HCPCS","Both",,,"148","74","UHC","Commercial","",,"75",,"111.59","54.17","114.7","percent of total billed charges",,
"HOSPITAL DAILY VISIT HIGH COMPLEXITY","99233","HCPCS","Both",,,"148","74","Medicaid",,"",,"37",,"54.17","54.17","114.7","percent of total billed charges",,
"HOSPITAL DISCHARGE DAY MAMAGEMENT","99238","HCPCS","Both",,,"95","47.5","Alliant","Health Exchange","",,"62",,"58.9","34.77","73.62","percent of total billed charges",,
"HOSPITAL DISCHARGE DAY MAMAGEMENT","99238","HCPCS","Both",,,"95","47.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"51.3","34.77","73.62","percent of total billed charges",,
"HOSPITAL DISCHARGE DAY MAMAGEMENT","99238","HCPCS","Both",,,"95","47.5","Medicare",,"",,"54",,"51.49","34.77","73.62","percent of total billed charges",,
"HOSPITAL DISCHARGE DAY MAMAGEMENT","99238","HCPCS","Both",,,"95","47.5","Humana","Medicare Advantage","",,"54",,"51.49","34.77","73.62","percent of total billed charges",,
"HOSPITAL DISCHARGE DAY MAMAGEMENT","99238","HCPCS","Both",,,"95","47.5","UHC","Medicare Advantage","",,"54",,"51.49","34.77","73.62","percent of total billed charges",,
"HOSPITAL DISCHARGE DAY MAMAGEMENT","99238","HCPCS","Both",,,"95","47.5","Clover","Medicare Advantage","",,"54",,"51.49","34.77","73.62","percent of total billed charges",,
"HOSPITAL DISCHARGE DAY MAMAGEMENT","99238","HCPCS","Both",,,"95","47.5","Wellcare","Medicare Advantage","",,"54",,"51.49","34.77","73.62","percent of total billed charges",,
"HOSPITAL DISCHARGE DAY MAMAGEMENT","99238","HCPCS","Both",,,"95","47.5","Amerigroup","Medicaid Managed Care","",,"37",,"34.77","34.77","73.62","percent of total billed charges",,
"HOSPITAL DISCHARGE DAY MAMAGEMENT","99238","HCPCS","Both",,,"95","47.5","Caresource","Medicaid Managed Care","",,"40",,"38","34.77","73.62","percent of total billed charges",,
"HOSPITAL DISCHARGE DAY MAMAGEMENT","99238","HCPCS","Both",,,"95","47.5","Wellcare","Medicaid Managed Care","",,"40",,"38.48","34.77","73.62","percent of total billed charges",,
"HOSPITAL DISCHARGE DAY MAMAGEMENT","99238","HCPCS","Both",,,"95","47.5","Aetna","Commercial","",,"64",,"60.61","34.77","73.62","percent of total billed charges",,
"HOSPITAL DISCHARGE DAY MAMAGEMENT","99238","HCPCS","Both",,,"95","47.5","Blue Cross Blue Shield","Pathways","",,"71",,"67.07","34.77","73.62","percent of total billed charges",,
"HOSPITAL DISCHARGE DAY MAMAGEMENT","99238","HCPCS","Both",,,"95","47.5","Blue Cross Blue Shield","HMO","",,"71",,"67.07","34.77","73.62","percent of total billed charges",,
"HOSPITAL DISCHARGE DAY MAMAGEMENT","99238","HCPCS","Both",,,"95","47.5","Blue Cross Blue Shield","PPO","",,"71",,"67.07","34.77","73.62","percent of total billed charges",,
"HOSPITAL DISCHARGE DAY MAMAGEMENT","99238","HCPCS","Both",,,"95","47.5","Ambetter","Health Exchange","",,"62",,"58.9","34.77","73.62","percent of total billed charges",,
"HOSPITAL DISCHARGE DAY MAMAGEMENT","99238","HCPCS","Both",,,"95","47.5","Caresource","Health Exchange","",,"62",,"58.9","34.77","73.62","percent of total billed charges",,
"HOSPITAL DISCHARGE DAY MAMAGEMENT","99238","HCPCS","Both",,,"95","47.5","Cigna","Commercial","",,"59",,"55.67","34.77","73.62","percent of total billed charges",,
"HOSPITAL DISCHARGE DAY MAMAGEMENT","99238","HCPCS","Both",,,"95","47.5","Humana","Commercial","",,"78",,"73.62","34.77","73.62","percent of total billed charges",,
"HOSPITAL DISCHARGE DAY MAMAGEMENT","99238","HCPCS","Both",,,"95","47.5","UHC","Commercial","",,"75",,"71.63","34.77","73.62","percent of total billed charges",,
"HOSPITAL DISCHARGE DAY MAMAGEMENT","99238","HCPCS","Both",,,"95","47.5","Medicaid",,"",,"37",,"34.77","34.77","73.62","percent of total billed charges",,
"OBSERVATION DISC DAY MGMT","99217","HCPCS","Both",,,"90","45","Alliant","Health Exchange","",,"62",,"55.8","32.94","69.75","percent of total billed charges",,
"OBSERVATION DISC DAY MGMT","99217","HCPCS","Both",,,"90","45","Pruitt Healthcare","Medicare Advantage","",,"54",,"48.6","32.94","69.75","percent of total billed charges",,
"OBSERVATION DISC DAY MGMT","99217","HCPCS","Both",,,"90","45","Medicare",,"",,"54",,"48.78","32.94","69.75","percent of total billed charges",,
"OBSERVATION DISC DAY MGMT","99217","HCPCS","Both",,,"90","45","Humana","Medicare Advantage","",,"54",,"48.78","32.94","69.75","percent of total billed charges",,
"OBSERVATION DISC DAY MGMT","99217","HCPCS","Both",,,"90","45","UHC","Medicare Advantage","",,"54",,"48.78","32.94","69.75","percent of total billed charges",,
"OBSERVATION DISC DAY MGMT","99217","HCPCS","Both",,,"90","45","Clover","Medicare Advantage","",,"54",,"48.78","32.94","69.75","percent of total billed charges",,
"OBSERVATION DISC DAY MGMT","99217","HCPCS","Both",,,"90","45","Wellcare","Medicare Advantage","",,"54",,"48.78","32.94","69.75","percent of total billed charges",,
"OBSERVATION DISC DAY MGMT","99217","HCPCS","Both",,,"90","45","Amerigroup","Medicaid Managed Care","",,"37",,"32.94","32.94","69.75","percent of total billed charges",,
"OBSERVATION DISC DAY MGMT","99217","HCPCS","Both",,,"90","45","Caresource","Medicaid Managed Care","",,"40",,"36","32.94","69.75","percent of total billed charges",,
"OBSERVATION DISC DAY MGMT","99217","HCPCS","Both",,,"90","45","Wellcare","Medicaid Managed Care","",,"40",,"36.45","32.94","69.75","percent of total billed charges",,
"OBSERVATION DISC DAY MGMT","99217","HCPCS","Both",,,"90","45","Aetna","Commercial","",,"64",,"57.42","32.94","69.75","percent of total billed charges",,
"OBSERVATION DISC DAY MGMT","99217","HCPCS","Both",,,"90","45","Blue Cross Blue Shield","Pathways","",,"71",,"63.54","32.94","69.75","percent of total billed charges",,
"OBSERVATION DISC DAY MGMT","99217","HCPCS","Both",,,"90","45","Blue Cross Blue Shield","HMO","",,"71",,"63.54","32.94","69.75","percent of total billed charges",,
"OBSERVATION DISC DAY MGMT","99217","HCPCS","Both",,,"90","45","Blue Cross Blue Shield","PPO","",,"71",,"63.54","32.94","69.75","percent of total billed charges",,
"OBSERVATION DISC DAY MGMT","99217","HCPCS","Both",,,"90","45","Ambetter","Health Exchange","",,"62",,"55.8","32.94","69.75","percent of total billed charges",,
"OBSERVATION DISC DAY MGMT","99217","HCPCS","Both",,,"90","45","Caresource","Health Exchange","",,"62",,"55.8","32.94","69.75","percent of total billed charges",,
"OBSERVATION DISC DAY MGMT","99217","HCPCS","Both",,,"90","45","Cigna","Commercial","",,"59",,"52.74","32.94","69.75","percent of total billed charges",,
"OBSERVATION DISC DAY MGMT","99217","HCPCS","Both",,,"90","45","Humana","Commercial","",,"78",,"69.75","32.94","69.75","percent of total billed charges",,
"OBSERVATION DISC DAY MGMT","99217","HCPCS","Both",,,"90","45","UHC","Commercial","",,"75",,"67.86","32.94","69.75","percent of total billed charges",,
"OBSERVATION DISC DAY MGMT","99217","HCPCS","Both",,,"90","45","Medicaid",,"",,"37",,"32.94","32.94","69.75","percent of total billed charges",,
"OBSERVATION ADM LOW COMPLEXITY","99218","HCPCS","Both",,,"124","62","Alliant","Health Exchange","",,"62",,"76.88","45.38","96.1","percent of total billed charges",,
"OBSERVATION ADM LOW COMPLEXITY","99218","HCPCS","Both",,,"124","62","Pruitt Healthcare","Medicare Advantage","",,"54",,"66.96","45.38","96.1","percent of total billed charges",,
"OBSERVATION ADM LOW COMPLEXITY","99218","HCPCS","Both",,,"124","62","Medicare",,"",,"54",,"67.21","45.38","96.1","percent of total billed charges",,
"OBSERVATION ADM LOW COMPLEXITY","99218","HCPCS","Both",,,"124","62","Humana","Medicare Advantage","",,"54",,"67.21","45.38","96.1","percent of total billed charges",,
"OBSERVATION ADM LOW COMPLEXITY","99218","HCPCS","Both",,,"124","62","UHC","Medicare Advantage","",,"54",,"67.21","45.38","96.1","percent of total billed charges",,
"OBSERVATION ADM LOW COMPLEXITY","99218","HCPCS","Both",,,"124","62","Clover","Medicare Advantage","",,"54",,"67.21","45.38","96.1","percent of total billed charges",,
"OBSERVATION ADM LOW COMPLEXITY","99218","HCPCS","Both",,,"124","62","Wellcare","Medicare Advantage","",,"54",,"67.21","45.38","96.1","percent of total billed charges",,
"OBSERVATION ADM LOW COMPLEXITY","99218","HCPCS","Both",,,"124","62","Amerigroup","Medicaid Managed Care","",,"37",,"45.38","45.38","96.1","percent of total billed charges",,
"OBSERVATION ADM LOW COMPLEXITY","99218","HCPCS","Both",,,"124","62","Caresource","Medicaid Managed Care","",,"40",,"49.6","45.38","96.1","percent of total billed charges",,
"OBSERVATION ADM LOW COMPLEXITY","99218","HCPCS","Both",,,"124","62","Wellcare","Medicaid Managed Care","",,"40",,"50.22","45.38","96.1","percent of total billed charges",,
"OBSERVATION ADM LOW COMPLEXITY","99218","HCPCS","Both",,,"124","62","Aetna","Commercial","",,"64",,"79.11","45.38","96.1","percent of total billed charges",,
"OBSERVATION ADM LOW COMPLEXITY","99218","HCPCS","Both",,,"124","62","Blue Cross Blue Shield","Pathways","",,"71",,"87.54","45.38","96.1","percent of total billed charges",,
"OBSERVATION ADM LOW COMPLEXITY","99218","HCPCS","Both",,,"124","62","Blue Cross Blue Shield","HMO","",,"71",,"87.54","45.38","96.1","percent of total billed charges",,
"OBSERVATION ADM LOW COMPLEXITY","99218","HCPCS","Both",,,"124","62","Blue Cross Blue Shield","PPO","",,"71",,"87.54","45.38","96.1","percent of total billed charges",,
"OBSERVATION ADM LOW COMPLEXITY","99218","HCPCS","Both",,,"124","62","Ambetter","Health Exchange","",,"62",,"76.88","45.38","96.1","percent of total billed charges",,
"OBSERVATION ADM LOW COMPLEXITY","99218","HCPCS","Both",,,"124","62","Caresource","Health Exchange","",,"62",,"76.88","45.38","96.1","percent of total billed charges",,
"OBSERVATION ADM LOW COMPLEXITY","99218","HCPCS","Both",,,"124","62","Cigna","Commercial","",,"59",,"72.66","45.38","96.1","percent of total billed charges",,
"OBSERVATION ADM LOW COMPLEXITY","99218","HCPCS","Both",,,"124","62","Humana","Commercial","",,"78",,"96.1","45.38","96.1","percent of total billed charges",,
"OBSERVATION ADM LOW COMPLEXITY","99218","HCPCS","Both",,,"124","62","UHC","Commercial","",,"75",,"93.5","45.38","96.1","percent of total billed charges",,
"OBSERVATION ADM LOW COMPLEXITY","99218","HCPCS","Both",,,"124","62","Medicaid",,"",,"37",,"45.38","45.38","96.1","percent of total billed charges",,
"OBSERVATION ADM MODERATE COMPLEXITY","99219","HCPCS","Both",,,"1064.5","532.25","Alliant","Health Exchange","",,"62",,"659.99","389.61","824.99","percent of total billed charges",,
"OBSERVATION ADM MODERATE COMPLEXITY","99219","HCPCS","Both",,,"1064.5","532.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"574.83","389.61","824.99","percent of total billed charges",,
"OBSERVATION ADM MODERATE COMPLEXITY","99219","HCPCS","Both",,,"1064.5","532.25","Medicare",,"",,"54",,"576.96","389.61","824.99","percent of total billed charges",,
"OBSERVATION ADM MODERATE COMPLEXITY","99219","HCPCS","Both",,,"1064.5","532.25","Humana","Medicare Advantage","",,"54",,"576.96","389.61","824.99","percent of total billed charges",,
"OBSERVATION ADM MODERATE COMPLEXITY","99219","HCPCS","Both",,,"1064.5","532.25","UHC","Medicare Advantage","",,"54",,"576.96","389.61","824.99","percent of total billed charges",,
"OBSERVATION ADM MODERATE COMPLEXITY","99219","HCPCS","Both",,,"1064.5","532.25","Clover","Medicare Advantage","",,"54",,"576.96","389.61","824.99","percent of total billed charges",,
"OBSERVATION ADM MODERATE COMPLEXITY","99219","HCPCS","Both",,,"1064.5","532.25","Wellcare","Medicare Advantage","",,"54",,"576.96","389.61","824.99","percent of total billed charges",,
"OBSERVATION ADM MODERATE COMPLEXITY","99219","HCPCS","Both",,,"1064.5","532.25","Amerigroup","Medicaid Managed Care","",,"37",,"389.61","389.61","824.99","percent of total billed charges",,
"OBSERVATION ADM MODERATE COMPLEXITY","99219","HCPCS","Both",,,"1064.5","532.25","Caresource","Medicaid Managed Care","",,"40",,"425.8","389.61","824.99","percent of total billed charges",,
"OBSERVATION ADM MODERATE COMPLEXITY","99219","HCPCS","Both",,,"1064.5","532.25","Wellcare","Medicaid Managed Care","",,"40",,"431.12","389.61","824.99","percent of total billed charges",,
"OBSERVATION ADM MODERATE COMPLEXITY","99219","HCPCS","Both",,,"1064.5","532.25","Aetna","Commercial","",,"64",,"679.15","389.61","824.99","percent of total billed charges",,
"OBSERVATION ADM MODERATE COMPLEXITY","99219","HCPCS","Both",,,"1064.5","532.25","Blue Cross Blue Shield","Pathways","",,"71",,"751.54","389.61","824.99","percent of total billed charges",,
"OBSERVATION ADM MODERATE COMPLEXITY","99219","HCPCS","Both",,,"1064.5","532.25","Blue Cross Blue Shield","HMO","",,"71",,"751.54","389.61","824.99","percent of total billed charges",,
"OBSERVATION ADM MODERATE COMPLEXITY","99219","HCPCS","Both",,,"1064.5","532.25","Blue Cross Blue Shield","PPO","",,"71",,"751.54","389.61","824.99","percent of total billed charges",,
"OBSERVATION ADM MODERATE COMPLEXITY","99219","HCPCS","Both",,,"1064.5","532.25","Ambetter","Health Exchange","",,"62",,"659.99","389.61","824.99","percent of total billed charges",,
"OBSERVATION ADM MODERATE COMPLEXITY","99219","HCPCS","Both",,,"1064.5","532.25","Caresource","Health Exchange","",,"62",,"659.99","389.61","824.99","percent of total billed charges",,
"OBSERVATION ADM MODERATE COMPLEXITY","99219","HCPCS","Both",,,"1064.5","532.25","Cigna","Commercial","",,"59",,"623.8","389.61","824.99","percent of total billed charges",,
"OBSERVATION ADM MODERATE COMPLEXITY","99219","HCPCS","Both",,,"1064.5","532.25","Humana","Commercial","",,"78",,"824.99","389.61","824.99","percent of total billed charges",,
"OBSERVATION ADM MODERATE COMPLEXITY","99219","HCPCS","Both",,,"1064.5","532.25","UHC","Commercial","",,"75",,"802.63","389.61","824.99","percent of total billed charges",,
"OBSERVATION ADM MODERATE COMPLEXITY","99219","HCPCS","Both",,,"1064.5","532.25","Medicaid",,"",,"37",,"389.61","389.61","824.99","percent of total billed charges",,
"OBSERVATION ADM. HIGH COMPLEXITY","99220","HCPCS","Both",,,"230","115","Alliant","Health Exchange","",,"62",,"142.6","84.18","178.25","percent of total billed charges",,
"OBSERVATION ADM. HIGH COMPLEXITY","99220","HCPCS","Both",,,"230","115","Pruitt Healthcare","Medicare Advantage","",,"54",,"124.2","84.18","178.25","percent of total billed charges",,
"OBSERVATION ADM. HIGH COMPLEXITY","99220","HCPCS","Both",,,"230","115","Medicare",,"",,"54",,"124.66","84.18","178.25","percent of total billed charges",,
"OBSERVATION ADM. HIGH COMPLEXITY","99220","HCPCS","Both",,,"230","115","Humana","Medicare Advantage","",,"54",,"124.66","84.18","178.25","percent of total billed charges",,
"OBSERVATION ADM. HIGH COMPLEXITY","99220","HCPCS","Both",,,"230","115","UHC","Medicare Advantage","",,"54",,"124.66","84.18","178.25","percent of total billed charges",,
"OBSERVATION ADM. HIGH COMPLEXITY","99220","HCPCS","Both",,,"230","115","Clover","Medicare Advantage","",,"54",,"124.66","84.18","178.25","percent of total billed charges",,
"OBSERVATION ADM. HIGH COMPLEXITY","99220","HCPCS","Both",,,"230","115","Wellcare","Medicare Advantage","",,"54",,"124.66","84.18","178.25","percent of total billed charges",,
"OBSERVATION ADM. HIGH COMPLEXITY","99220","HCPCS","Both",,,"230","115","Amerigroup","Medicaid Managed Care","",,"37",,"84.18","84.18","178.25","percent of total billed charges",,
"OBSERVATION ADM. HIGH COMPLEXITY","99220","HCPCS","Both",,,"230","115","Caresource","Medicaid Managed Care","",,"40",,"92","84.18","178.25","percent of total billed charges",,
"OBSERVATION ADM. HIGH COMPLEXITY","99220","HCPCS","Both",,,"230","115","Wellcare","Medicaid Managed Care","",,"40",,"93.15","84.18","178.25","percent of total billed charges",,
"OBSERVATION ADM. HIGH COMPLEXITY","99220","HCPCS","Both",,,"230","115","Aetna","Commercial","",,"64",,"146.74","84.18","178.25","percent of total billed charges",,
"OBSERVATION ADM. HIGH COMPLEXITY","99220","HCPCS","Both",,,"230","115","Blue Cross Blue Shield","Pathways","",,"71",,"162.38","84.18","178.25","percent of total billed charges",,
"OBSERVATION ADM. HIGH COMPLEXITY","99220","HCPCS","Both",,,"230","115","Blue Cross Blue Shield","HMO","",,"71",,"162.38","84.18","178.25","percent of total billed charges",,
"OBSERVATION ADM. HIGH COMPLEXITY","99220","HCPCS","Both",,,"230","115","Blue Cross Blue Shield","PPO","",,"71",,"162.38","84.18","178.25","percent of total billed charges",,
"OBSERVATION ADM. HIGH COMPLEXITY","99220","HCPCS","Both",,,"230","115","Ambetter","Health Exchange","",,"62",,"142.6","84.18","178.25","percent of total billed charges",,
"OBSERVATION ADM. HIGH COMPLEXITY","99220","HCPCS","Both",,,"230","115","Caresource","Health Exchange","",,"62",,"142.6","84.18","178.25","percent of total billed charges",,
"OBSERVATION ADM. HIGH COMPLEXITY","99220","HCPCS","Both",,,"230","115","Cigna","Commercial","",,"59",,"134.78","84.18","178.25","percent of total billed charges",,
"OBSERVATION ADM. HIGH COMPLEXITY","99220","HCPCS","Both",,,"230","115","Humana","Commercial","",,"78",,"178.25","84.18","178.25","percent of total billed charges",,
"OBSERVATION ADM. HIGH COMPLEXITY","99220","HCPCS","Both",,,"230","115","UHC","Commercial","",,"75",,"173.42","84.18","178.25","percent of total billed charges",,
"OBSERVATION ADM. HIGH COMPLEXITY","99220","HCPCS","Both",,,"230","115","Medicaid",,"",,"37",,"84.18","84.18","178.25","percent of total billed charges",,
"DEBRIDEMENT SKIN TISSUE","11000","HCPCS","Both",,,"75","37.5","Alliant","Health Exchange","",,"62",,"46.5","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT SKIN TISSUE","11000","HCPCS","Both",,,"75","37.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"40.5","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT SKIN TISSUE","11000","HCPCS","Both",,,"75","37.5","Medicare",,"",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT SKIN TISSUE","11000","HCPCS","Both",,,"75","37.5","Humana","Medicare Advantage","",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT SKIN TISSUE","11000","HCPCS","Both",,,"75","37.5","UHC","Medicare Advantage","",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT SKIN TISSUE","11000","HCPCS","Both",,,"75","37.5","Clover","Medicare Advantage","",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT SKIN TISSUE","11000","HCPCS","Both",,,"75","37.5","Wellcare","Medicare Advantage","",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT SKIN TISSUE","11000","HCPCS","Both",,,"75","37.5","Amerigroup","Medicaid Managed Care","",,"37",,"27.45","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT SKIN TISSUE","11000","HCPCS","Both",,,"75","37.5","Caresource","Medicaid Managed Care","",,"40",,"30","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT SKIN TISSUE","11000","HCPCS","Both",,,"75","37.5","Wellcare","Medicaid Managed Care","",,"40",,"30.38","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT SKIN TISSUE","11000","HCPCS","Both",,,"75","37.5","Aetna","Commercial","",,"64",,"47.85","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT SKIN TISSUE","11000","HCPCS","Both",,,"75","37.5","Blue Cross Blue Shield","Pathways","",,"71",,"52.95","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT SKIN TISSUE","11000","HCPCS","Both",,,"75","37.5","Blue Cross Blue Shield","HMO","",,"71",,"52.95","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT SKIN TISSUE","11000","HCPCS","Both",,,"75","37.5","Blue Cross Blue Shield","PPO","",,"71",,"52.95","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT SKIN TISSUE","11000","HCPCS","Both",,,"75","37.5","Ambetter","Health Exchange","",,"62",,"46.5","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT SKIN TISSUE","11000","HCPCS","Both",,,"75","37.5","Caresource","Health Exchange","",,"62",,"46.5","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT SKIN TISSUE","11000","HCPCS","Both",,,"75","37.5","Cigna","Commercial","",,"59",,"43.95","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT SKIN TISSUE","11000","HCPCS","Both",,,"75","37.5","Humana","Commercial","",,"78",,"58.12","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT SKIN TISSUE","11000","HCPCS","Both",,,"75","37.5","UHC","Commercial","",,"75",,"56.55","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT SKIN TISSUE","11000","HCPCS","Both",,,"75","37.5","Medicaid",,"",,"37",,"27.45","27.45","58.12","percent of total billed charges",,
"MOLE REMOVAL 0.5 CM OR LESS","11400","HCPCS","Both",,,"102","51","Alliant","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"MOLE REMOVAL 0.5 CM OR LESS","11400","HCPCS","Both",,,"102","51","Pruitt Healthcare","Medicare Advantage","",,"54",,"55.08","37.33","79.05","percent of total billed charges",,
"MOLE REMOVAL 0.5 CM OR LESS","11400","HCPCS","Both",,,"102","51","Medicare",,"",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"MOLE REMOVAL 0.5 CM OR LESS","11400","HCPCS","Both",,,"102","51","Humana","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"MOLE REMOVAL 0.5 CM OR LESS","11400","HCPCS","Both",,,"102","51","UHC","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"MOLE REMOVAL 0.5 CM OR LESS","11400","HCPCS","Both",,,"102","51","Clover","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"MOLE REMOVAL 0.5 CM OR LESS","11400","HCPCS","Both",,,"102","51","Wellcare","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"MOLE REMOVAL 0.5 CM OR LESS","11400","HCPCS","Both",,,"102","51","Amerigroup","Medicaid Managed Care","",,"37",,"37.33","37.33","79.05","percent of total billed charges",,
"MOLE REMOVAL 0.5 CM OR LESS","11400","HCPCS","Both",,,"102","51","Caresource","Medicaid Managed Care","",,"40",,"40.8","37.33","79.05","percent of total billed charges",,
"MOLE REMOVAL 0.5 CM OR LESS","11400","HCPCS","Both",,,"102","51","Wellcare","Medicaid Managed Care","",,"40",,"41.31","37.33","79.05","percent of total billed charges",,
"MOLE REMOVAL 0.5 CM OR LESS","11400","HCPCS","Both",,,"102","51","Aetna","Commercial","",,"64",,"65.08","37.33","79.05","percent of total billed charges",,
"MOLE REMOVAL 0.5 CM OR LESS","11400","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","Pathways","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"MOLE REMOVAL 0.5 CM OR LESS","11400","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","HMO","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"MOLE REMOVAL 0.5 CM OR LESS","11400","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","PPO","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"MOLE REMOVAL 0.5 CM OR LESS","11400","HCPCS","Both",,,"102","51","Ambetter","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"MOLE REMOVAL 0.5 CM OR LESS","11400","HCPCS","Both",,,"102","51","Caresource","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"MOLE REMOVAL 0.5 CM OR LESS","11400","HCPCS","Both",,,"102","51","Cigna","Commercial","",,"59",,"59.77","37.33","79.05","percent of total billed charges",,
"MOLE REMOVAL 0.5 CM OR LESS","11400","HCPCS","Both",,,"102","51","Humana","Commercial","",,"78",,"79.05","37.33","79.05","percent of total billed charges",,
"MOLE REMOVAL 0.5 CM OR LESS","11400","HCPCS","Both",,,"102","51","UHC","Commercial","",,"75",,"76.91","37.33","79.05","percent of total billed charges",,
"MOLE REMOVAL 0.5 CM OR LESS","11400","HCPCS","Both",,,"102","51","Medicaid",,"",,"37",,"37.33","37.33","79.05","percent of total billed charges",,
"MOLE REMOVAL 0.6CM TO 1CM","11401","HCPCS","Both",,,"121","60.5","Alliant","Health Exchange","",,"62",,"75.02","44.29","93.78","percent of total billed charges",,
"MOLE REMOVAL 0.6CM TO 1CM","11401","HCPCS","Both",,,"121","60.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"65.34","44.29","93.78","percent of total billed charges",,
"MOLE REMOVAL 0.6CM TO 1CM","11401","HCPCS","Both",,,"121","60.5","Medicare",,"",,"54",,"65.58","44.29","93.78","percent of total billed charges",,
"MOLE REMOVAL 0.6CM TO 1CM","11401","HCPCS","Both",,,"121","60.5","Humana","Medicare Advantage","",,"54",,"65.58","44.29","93.78","percent of total billed charges",,
"MOLE REMOVAL 0.6CM TO 1CM","11401","HCPCS","Both",,,"121","60.5","UHC","Medicare Advantage","",,"54",,"65.58","44.29","93.78","percent of total billed charges",,
"MOLE REMOVAL 0.6CM TO 1CM","11401","HCPCS","Both",,,"121","60.5","Clover","Medicare Advantage","",,"54",,"65.58","44.29","93.78","percent of total billed charges",,
"MOLE REMOVAL 0.6CM TO 1CM","11401","HCPCS","Both",,,"121","60.5","Wellcare","Medicare Advantage","",,"54",,"65.58","44.29","93.78","percent of total billed charges",,
"MOLE REMOVAL 0.6CM TO 1CM","11401","HCPCS","Both",,,"121","60.5","Amerigroup","Medicaid Managed Care","",,"37",,"44.29","44.29","93.78","percent of total billed charges",,
"MOLE REMOVAL 0.6CM TO 1CM","11401","HCPCS","Both",,,"121","60.5","Caresource","Medicaid Managed Care","",,"40",,"48.4","44.29","93.78","percent of total billed charges",,
"MOLE REMOVAL 0.6CM TO 1CM","11401","HCPCS","Both",,,"121","60.5","Wellcare","Medicaid Managed Care","",,"40",,"49","44.29","93.78","percent of total billed charges",,
"MOLE REMOVAL 0.6CM TO 1CM","11401","HCPCS","Both",,,"121","60.5","Aetna","Commercial","",,"64",,"77.2","44.29","93.78","percent of total billed charges",,
"MOLE REMOVAL 0.6CM TO 1CM","11401","HCPCS","Both",,,"121","60.5","Blue Cross Blue Shield","Pathways","",,"71",,"85.43","44.29","93.78","percent of total billed charges",,
"MOLE REMOVAL 0.6CM TO 1CM","11401","HCPCS","Both",,,"121","60.5","Blue Cross Blue Shield","HMO","",,"71",,"85.43","44.29","93.78","percent of total billed charges",,
"MOLE REMOVAL 0.6CM TO 1CM","11401","HCPCS","Both",,,"121","60.5","Blue Cross Blue Shield","PPO","",,"71",,"85.43","44.29","93.78","percent of total billed charges",,
"MOLE REMOVAL 0.6CM TO 1CM","11401","HCPCS","Both",,,"121","60.5","Ambetter","Health Exchange","",,"62",,"75.02","44.29","93.78","percent of total billed charges",,
"MOLE REMOVAL 0.6CM TO 1CM","11401","HCPCS","Both",,,"121","60.5","Caresource","Health Exchange","",,"62",,"75.02","44.29","93.78","percent of total billed charges",,
"MOLE REMOVAL 0.6CM TO 1CM","11401","HCPCS","Both",,,"121","60.5","Cigna","Commercial","",,"59",,"70.91","44.29","93.78","percent of total billed charges",,
"MOLE REMOVAL 0.6CM TO 1CM","11401","HCPCS","Both",,,"121","60.5","Humana","Commercial","",,"78",,"93.78","44.29","93.78","percent of total billed charges",,
"MOLE REMOVAL 0.6CM TO 1CM","11401","HCPCS","Both",,,"121","60.5","UHC","Commercial","",,"75",,"91.23","44.29","93.78","percent of total billed charges",,
"MOLE REMOVAL 0.6CM TO 1CM","11401","HCPCS","Both",,,"121","60.5","Medicaid",,"",,"37",,"44.29","44.29","93.78","percent of total billed charges",,
"MOLE REMOVAL 1.1CM TO 2.0","11402","HCPCS","Both",,,"160","80","Alliant","Health Exchange","",,"62",,"99.2","58.56","124","percent of total billed charges",,
"MOLE REMOVAL 1.1CM TO 2.0","11402","HCPCS","Both",,,"160","80","Pruitt Healthcare","Medicare Advantage","",,"54",,"86.4","58.56","124","percent of total billed charges",,
"MOLE REMOVAL 1.1CM TO 2.0","11402","HCPCS","Both",,,"160","80","Medicare",,"",,"54",,"86.72","58.56","124","percent of total billed charges",,
"MOLE REMOVAL 1.1CM TO 2.0","11402","HCPCS","Both",,,"160","80","Humana","Medicare Advantage","",,"54",,"86.72","58.56","124","percent of total billed charges",,
"MOLE REMOVAL 1.1CM TO 2.0","11402","HCPCS","Both",,,"160","80","UHC","Medicare Advantage","",,"54",,"86.72","58.56","124","percent of total billed charges",,
"MOLE REMOVAL 1.1CM TO 2.0","11402","HCPCS","Both",,,"160","80","Clover","Medicare Advantage","",,"54",,"86.72","58.56","124","percent of total billed charges",,
"MOLE REMOVAL 1.1CM TO 2.0","11402","HCPCS","Both",,,"160","80","Wellcare","Medicare Advantage","",,"54",,"86.72","58.56","124","percent of total billed charges",,
"MOLE REMOVAL 1.1CM TO 2.0","11402","HCPCS","Both",,,"160","80","Amerigroup","Medicaid Managed Care","",,"37",,"58.56","58.56","124","percent of total billed charges",,
"MOLE REMOVAL 1.1CM TO 2.0","11402","HCPCS","Both",,,"160","80","Caresource","Medicaid Managed Care","",,"40",,"64","58.56","124","percent of total billed charges",,
"MOLE REMOVAL 1.1CM TO 2.0","11402","HCPCS","Both",,,"160","80","Wellcare","Medicaid Managed Care","",,"40",,"64.8","58.56","124","percent of total billed charges",,
"MOLE REMOVAL 1.1CM TO 2.0","11402","HCPCS","Both",,,"160","80","Aetna","Commercial","",,"64",,"102.08","58.56","124","percent of total billed charges",,
"MOLE REMOVAL 1.1CM TO 2.0","11402","HCPCS","Both",,,"160","80","Blue Cross Blue Shield","Pathways","",,"71",,"112.96","58.56","124","percent of total billed charges",,
"MOLE REMOVAL 1.1CM TO 2.0","11402","HCPCS","Both",,,"160","80","Blue Cross Blue Shield","HMO","",,"71",,"112.96","58.56","124","percent of total billed charges",,
"MOLE REMOVAL 1.1CM TO 2.0","11402","HCPCS","Both",,,"160","80","Blue Cross Blue Shield","PPO","",,"71",,"112.96","58.56","124","percent of total billed charges",,
"MOLE REMOVAL 1.1CM TO 2.0","11402","HCPCS","Both",,,"160","80","Ambetter","Health Exchange","",,"62",,"99.2","58.56","124","percent of total billed charges",,
"MOLE REMOVAL 1.1CM TO 2.0","11402","HCPCS","Both",,,"160","80","Caresource","Health Exchange","",,"62",,"99.2","58.56","124","percent of total billed charges",,
"MOLE REMOVAL 1.1CM TO 2.0","11402","HCPCS","Both",,,"160","80","Cigna","Commercial","",,"59",,"93.76","58.56","124","percent of total billed charges",,
"MOLE REMOVAL 1.1CM TO 2.0","11402","HCPCS","Both",,,"160","80","Humana","Commercial","",,"78",,"124","58.56","124","percent of total billed charges",,
"MOLE REMOVAL 1.1CM TO 2.0","11402","HCPCS","Both",,,"160","80","UHC","Commercial","",,"75",,"120.64","58.56","124","percent of total billed charges",,
"MOLE REMOVAL 1.1CM TO 2.0","11402","HCPCS","Both",,,"160","80","Medicaid",,"",,"37",,"58.56","58.56","124","percent of total billed charges",,
"MOLE REMOVAL 2.1CM TO 3.0","11403","HCPCS","Both",,,"201","100.5","Alliant","Health Exchange","",,"62",,"124.62","73.57","155.78","percent of total billed charges",,
"MOLE REMOVAL 2.1CM TO 3.0","11403","HCPCS","Both",,,"201","100.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"108.54","73.57","155.78","percent of total billed charges",,
"MOLE REMOVAL 2.1CM TO 3.0","11403","HCPCS","Both",,,"201","100.5","Medicare",,"",,"54",,"108.94","73.57","155.78","percent of total billed charges",,
"MOLE REMOVAL 2.1CM TO 3.0","11403","HCPCS","Both",,,"201","100.5","Humana","Medicare Advantage","",,"54",,"108.94","73.57","155.78","percent of total billed charges",,
"MOLE REMOVAL 2.1CM TO 3.0","11403","HCPCS","Both",,,"201","100.5","UHC","Medicare Advantage","",,"54",,"108.94","73.57","155.78","percent of total billed charges",,
"MOLE REMOVAL 2.1CM TO 3.0","11403","HCPCS","Both",,,"201","100.5","Clover","Medicare Advantage","",,"54",,"108.94","73.57","155.78","percent of total billed charges",,
"MOLE REMOVAL 2.1CM TO 3.0","11403","HCPCS","Both",,,"201","100.5","Wellcare","Medicare Advantage","",,"54",,"108.94","73.57","155.78","percent of total billed charges",,
"MOLE REMOVAL 2.1CM TO 3.0","11403","HCPCS","Both",,,"201","100.5","Amerigroup","Medicaid Managed Care","",,"37",,"73.57","73.57","155.78","percent of total billed charges",,
"MOLE REMOVAL 2.1CM TO 3.0","11403","HCPCS","Both",,,"201","100.5","Caresource","Medicaid Managed Care","",,"40",,"80.4","73.57","155.78","percent of total billed charges",,
"MOLE REMOVAL 2.1CM TO 3.0","11403","HCPCS","Both",,,"201","100.5","Wellcare","Medicaid Managed Care","",,"40",,"81.4","73.57","155.78","percent of total billed charges",,
"MOLE REMOVAL 2.1CM TO 3.0","11403","HCPCS","Both",,,"201","100.5","Aetna","Commercial","",,"64",,"128.24","73.57","155.78","percent of total billed charges",,
"MOLE REMOVAL 2.1CM TO 3.0","11403","HCPCS","Both",,,"201","100.5","Blue Cross Blue Shield","Pathways","",,"71",,"141.91","73.57","155.78","percent of total billed charges",,
"MOLE REMOVAL 2.1CM TO 3.0","11403","HCPCS","Both",,,"201","100.5","Blue Cross Blue Shield","HMO","",,"71",,"141.91","73.57","155.78","percent of total billed charges",,
"MOLE REMOVAL 2.1CM TO 3.0","11403","HCPCS","Both",,,"201","100.5","Blue Cross Blue Shield","PPO","",,"71",,"141.91","73.57","155.78","percent of total billed charges",,
"MOLE REMOVAL 2.1CM TO 3.0","11403","HCPCS","Both",,,"201","100.5","Ambetter","Health Exchange","",,"62",,"124.62","73.57","155.78","percent of total billed charges",,
"MOLE REMOVAL 2.1CM TO 3.0","11403","HCPCS","Both",,,"201","100.5","Caresource","Health Exchange","",,"62",,"124.62","73.57","155.78","percent of total billed charges",,
"MOLE REMOVAL 2.1CM TO 3.0","11403","HCPCS","Both",,,"201","100.5","Cigna","Commercial","",,"59",,"117.79","73.57","155.78","percent of total billed charges",,
"MOLE REMOVAL 2.1CM TO 3.0","11403","HCPCS","Both",,,"201","100.5","Humana","Commercial","",,"78",,"155.78","73.57","155.78","percent of total billed charges",,
"MOLE REMOVAL 2.1CM TO 3.0","11403","HCPCS","Both",,,"201","100.5","UHC","Commercial","",,"75",,"151.55","73.57","155.78","percent of total billed charges",,
"MOLE REMOVAL 2.1CM TO 3.0","11403","HCPCS","Both",,,"201","100.5","Medicaid",,"",,"37",,"73.57","73.57","155.78","percent of total billed charges",,
"MOLE REMOVAL 3.1CM TO 4.0","11404","HCPCS","Both",,,"235","117.5","Alliant","Health Exchange","",,"62",,"145.7","86.01","182.12","percent of total billed charges",,
"MOLE REMOVAL 3.1CM TO 4.0","11404","HCPCS","Both",,,"235","117.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"126.9","86.01","182.12","percent of total billed charges",,
"MOLE REMOVAL 3.1CM TO 4.0","11404","HCPCS","Both",,,"235","117.5","Medicare",,"",,"54",,"127.37","86.01","182.12","percent of total billed charges",,
"MOLE REMOVAL 3.1CM TO 4.0","11404","HCPCS","Both",,,"235","117.5","Humana","Medicare Advantage","",,"54",,"127.37","86.01","182.12","percent of total billed charges",,
"MOLE REMOVAL 3.1CM TO 4.0","11404","HCPCS","Both",,,"235","117.5","UHC","Medicare Advantage","",,"54",,"127.37","86.01","182.12","percent of total billed charges",,
"MOLE REMOVAL 3.1CM TO 4.0","11404","HCPCS","Both",,,"235","117.5","Clover","Medicare Advantage","",,"54",,"127.37","86.01","182.12","percent of total billed charges",,
"MOLE REMOVAL 3.1CM TO 4.0","11404","HCPCS","Both",,,"235","117.5","Wellcare","Medicare Advantage","",,"54",,"127.37","86.01","182.12","percent of total billed charges",,
"MOLE REMOVAL 3.1CM TO 4.0","11404","HCPCS","Both",,,"235","117.5","Amerigroup","Medicaid Managed Care","",,"37",,"86.01","86.01","182.12","percent of total billed charges",,
"MOLE REMOVAL 3.1CM TO 4.0","11404","HCPCS","Both",,,"235","117.5","Caresource","Medicaid Managed Care","",,"40",,"94","86.01","182.12","percent of total billed charges",,
"MOLE REMOVAL 3.1CM TO 4.0","11404","HCPCS","Both",,,"235","117.5","Wellcare","Medicaid Managed Care","",,"40",,"95.18","86.01","182.12","percent of total billed charges",,
"MOLE REMOVAL 3.1CM TO 4.0","11404","HCPCS","Both",,,"235","117.5","Aetna","Commercial","",,"64",,"149.93","86.01","182.12","percent of total billed charges",,
"MOLE REMOVAL 3.1CM TO 4.0","11404","HCPCS","Both",,,"235","117.5","Blue Cross Blue Shield","Pathways","",,"71",,"165.91","86.01","182.12","percent of total billed charges",,
"MOLE REMOVAL 3.1CM TO 4.0","11404","HCPCS","Both",,,"235","117.5","Blue Cross Blue Shield","HMO","",,"71",,"165.91","86.01","182.12","percent of total billed charges",,
"MOLE REMOVAL 3.1CM TO 4.0","11404","HCPCS","Both",,,"235","117.5","Blue Cross Blue Shield","PPO","",,"71",,"165.91","86.01","182.12","percent of total billed charges",,
"MOLE REMOVAL 3.1CM TO 4.0","11404","HCPCS","Both",,,"235","117.5","Ambetter","Health Exchange","",,"62",,"145.7","86.01","182.12","percent of total billed charges",,
"MOLE REMOVAL 3.1CM TO 4.0","11404","HCPCS","Both",,,"235","117.5","Caresource","Health Exchange","",,"62",,"145.7","86.01","182.12","percent of total billed charges",,
"MOLE REMOVAL 3.1CM TO 4.0","11404","HCPCS","Both",,,"235","117.5","Cigna","Commercial","",,"59",,"137.71","86.01","182.12","percent of total billed charges",,
"MOLE REMOVAL 3.1CM TO 4.0","11404","HCPCS","Both",,,"235","117.5","Humana","Commercial","",,"78",,"182.12","86.01","182.12","percent of total billed charges",,
"MOLE REMOVAL 3.1CM TO 4.0","11404","HCPCS","Both",,,"235","117.5","UHC","Commercial","",,"75",,"177.19","86.01","182.12","percent of total billed charges",,
"MOLE REMOVAL 3.1CM TO 4.0","11404","HCPCS","Both",,,"235","117.5","Medicaid",,"",,"37",,"86.01","86.01","182.12","percent of total billed charges",,
"MOLE REMOVAL OVER 4.0CM","11406","HCPCS","Both",,,"1265","632.5","Alliant","Health Exchange","",,"62",,"784.3","462.99","980.38","percent of total billed charges",,
"MOLE REMOVAL OVER 4.0CM","11406","HCPCS","Both",,,"1265","632.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"683.1","462.99","980.38","percent of total billed charges",,
"MOLE REMOVAL OVER 4.0CM","11406","HCPCS","Both",,,"1265","632.5","Medicare",,"",,"54",,"685.63","462.99","980.38","percent of total billed charges",,
"MOLE REMOVAL OVER 4.0CM","11406","HCPCS","Both",,,"1265","632.5","Humana","Medicare Advantage","",,"54",,"685.63","462.99","980.38","percent of total billed charges",,
"MOLE REMOVAL OVER 4.0CM","11406","HCPCS","Both",,,"1265","632.5","UHC","Medicare Advantage","",,"54",,"685.63","462.99","980.38","percent of total billed charges",,
"MOLE REMOVAL OVER 4.0CM","11406","HCPCS","Both",,,"1265","632.5","Clover","Medicare Advantage","",,"54",,"685.63","462.99","980.38","percent of total billed charges",,
"MOLE REMOVAL OVER 4.0CM","11406","HCPCS","Both",,,"1265","632.5","Wellcare","Medicare Advantage","",,"54",,"685.63","462.99","980.38","percent of total billed charges",,
"MOLE REMOVAL OVER 4.0CM","11406","HCPCS","Both",,,"1265","632.5","Amerigroup","Medicaid Managed Care","",,"37",,"462.99","462.99","980.38","percent of total billed charges",,
"MOLE REMOVAL OVER 4.0CM","11406","HCPCS","Both",,,"1265","632.5","Caresource","Medicaid Managed Care","",,"40",,"506","462.99","980.38","percent of total billed charges",,
"MOLE REMOVAL OVER 4.0CM","11406","HCPCS","Both",,,"1265","632.5","Wellcare","Medicaid Managed Care","",,"40",,"512.33","462.99","980.38","percent of total billed charges",,
"MOLE REMOVAL OVER 4.0CM","11406","HCPCS","Both",,,"1265","632.5","Aetna","Commercial","",,"64",,"807.07","462.99","980.38","percent of total billed charges",,
"MOLE REMOVAL OVER 4.0CM","11406","HCPCS","Both",,,"1265","632.5","Blue Cross Blue Shield","Pathways","",,"71",,"893.09","462.99","980.38","percent of total billed charges",,
"MOLE REMOVAL OVER 4.0CM","11406","HCPCS","Both",,,"1265","632.5","Blue Cross Blue Shield","HMO","",,"71",,"893.09","462.99","980.38","percent of total billed charges",,
"MOLE REMOVAL OVER 4.0CM","11406","HCPCS","Both",,,"1265","632.5","Blue Cross Blue Shield","PPO","",,"71",,"893.09","462.99","980.38","percent of total billed charges",,
"MOLE REMOVAL OVER 4.0CM","11406","HCPCS","Both",,,"1265","632.5","Ambetter","Health Exchange","",,"62",,"784.3","462.99","980.38","percent of total billed charges",,
"MOLE REMOVAL OVER 4.0CM","11406","HCPCS","Both",,,"1265","632.5","Caresource","Health Exchange","",,"62",,"784.3","462.99","980.38","percent of total billed charges",,
"MOLE REMOVAL OVER 4.0CM","11406","HCPCS","Both",,,"1265","632.5","Cigna","Commercial","",,"59",,"741.29","462.99","980.38","percent of total billed charges",,
"MOLE REMOVAL OVER 4.0CM","11406","HCPCS","Both",,,"1265","632.5","Humana","Commercial","",,"78",,"980.38","462.99","980.38","percent of total billed charges",,
"MOLE REMOVAL OVER 4.0CM","11406","HCPCS","Both",,,"1265","632.5","UHC","Commercial","",,"75",,"953.81","462.99","980.38","percent of total billed charges",,
"MOLE REMOVAL OVER 4.0CM","11406","HCPCS","Both",,,"1265","632.5","Medicaid",,"",,"37",,"462.99","462.99","980.38","percent of total billed charges",,
"EVACUATION OF HEMATOMA","10140","HCPCS","Both",,,"102","51","Alliant","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"EVACUATION OF HEMATOMA","10140","HCPCS","Both",,,"102","51","Pruitt Healthcare","Medicare Advantage","",,"54",,"55.08","37.33","79.05","percent of total billed charges",,
"EVACUATION OF HEMATOMA","10140","HCPCS","Both",,,"102","51","Medicare",,"",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"EVACUATION OF HEMATOMA","10140","HCPCS","Both",,,"102","51","Humana","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"EVACUATION OF HEMATOMA","10140","HCPCS","Both",,,"102","51","UHC","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"EVACUATION OF HEMATOMA","10140","HCPCS","Both",,,"102","51","Clover","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"EVACUATION OF HEMATOMA","10140","HCPCS","Both",,,"102","51","Wellcare","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"EVACUATION OF HEMATOMA","10140","HCPCS","Both",,,"102","51","Amerigroup","Medicaid Managed Care","",,"37",,"37.33","37.33","79.05","percent of total billed charges",,
"EVACUATION OF HEMATOMA","10140","HCPCS","Both",,,"102","51","Caresource","Medicaid Managed Care","",,"40",,"40.8","37.33","79.05","percent of total billed charges",,
"EVACUATION OF HEMATOMA","10140","HCPCS","Both",,,"102","51","Wellcare","Medicaid Managed Care","",,"40",,"41.31","37.33","79.05","percent of total billed charges",,
"EVACUATION OF HEMATOMA","10140","HCPCS","Both",,,"102","51","Aetna","Commercial","",,"64",,"65.08","37.33","79.05","percent of total billed charges",,
"EVACUATION OF HEMATOMA","10140","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","Pathways","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"EVACUATION OF HEMATOMA","10140","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","HMO","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"EVACUATION OF HEMATOMA","10140","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","PPO","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"EVACUATION OF HEMATOMA","10140","HCPCS","Both",,,"102","51","Ambetter","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"EVACUATION OF HEMATOMA","10140","HCPCS","Both",,,"102","51","Caresource","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"EVACUATION OF HEMATOMA","10140","HCPCS","Both",,,"102","51","Cigna","Commercial","",,"59",,"59.77","37.33","79.05","percent of total billed charges",,
"EVACUATION OF HEMATOMA","10140","HCPCS","Both",,,"102","51","Humana","Commercial","",,"78",,"79.05","37.33","79.05","percent of total billed charges",,
"EVACUATION OF HEMATOMA","10140","HCPCS","Both",,,"102","51","UHC","Commercial","",,"75",,"76.91","37.33","79.05","percent of total billed charges",,
"EVACUATION OF HEMATOMA","10140","HCPCS","Both",,,"102","51","Medicaid",,"",,"37",,"37.33","37.33","79.05","percent of total billed charges",,
"SKIN TAG REMOVAL","11200","HCPCS","Both",,,"75","37.5","Alliant","Health Exchange","",,"62",,"46.5","27.45","58.12","percent of total billed charges",,
"SKIN TAG REMOVAL","11200","HCPCS","Both",,,"75","37.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"40.5","27.45","58.12","percent of total billed charges",,
"SKIN TAG REMOVAL","11200","HCPCS","Both",,,"75","37.5","Medicare",,"",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"SKIN TAG REMOVAL","11200","HCPCS","Both",,,"75","37.5","Humana","Medicare Advantage","",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"SKIN TAG REMOVAL","11200","HCPCS","Both",,,"75","37.5","UHC","Medicare Advantage","",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"SKIN TAG REMOVAL","11200","HCPCS","Both",,,"75","37.5","Clover","Medicare Advantage","",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"SKIN TAG REMOVAL","11200","HCPCS","Both",,,"75","37.5","Wellcare","Medicare Advantage","",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"SKIN TAG REMOVAL","11200","HCPCS","Both",,,"75","37.5","Amerigroup","Medicaid Managed Care","",,"37",,"27.45","27.45","58.12","percent of total billed charges",,
"SKIN TAG REMOVAL","11200","HCPCS","Both",,,"75","37.5","Caresource","Medicaid Managed Care","",,"40",,"30","27.45","58.12","percent of total billed charges",,
"SKIN TAG REMOVAL","11200","HCPCS","Both",,,"75","37.5","Wellcare","Medicaid Managed Care","",,"40",,"30.38","27.45","58.12","percent of total billed charges",,
"SKIN TAG REMOVAL","11200","HCPCS","Both",,,"75","37.5","Aetna","Commercial","",,"64",,"47.85","27.45","58.12","percent of total billed charges",,
"SKIN TAG REMOVAL","11200","HCPCS","Both",,,"75","37.5","Blue Cross Blue Shield","Pathways","",,"71",,"52.95","27.45","58.12","percent of total billed charges",,
"SKIN TAG REMOVAL","11200","HCPCS","Both",,,"75","37.5","Blue Cross Blue Shield","HMO","",,"71",,"52.95","27.45","58.12","percent of total billed charges",,
"SKIN TAG REMOVAL","11200","HCPCS","Both",,,"75","37.5","Blue Cross Blue Shield","PPO","",,"71",,"52.95","27.45","58.12","percent of total billed charges",,
"SKIN TAG REMOVAL","11200","HCPCS","Both",,,"75","37.5","Ambetter","Health Exchange","",,"62",,"46.5","27.45","58.12","percent of total billed charges",,
"SKIN TAG REMOVAL","11200","HCPCS","Both",,,"75","37.5","Caresource","Health Exchange","",,"62",,"46.5","27.45","58.12","percent of total billed charges",,
"SKIN TAG REMOVAL","11200","HCPCS","Both",,,"75","37.5","Cigna","Commercial","",,"59",,"43.95","27.45","58.12","percent of total billed charges",,
"SKIN TAG REMOVAL","11200","HCPCS","Both",,,"75","37.5","Humana","Commercial","",,"78",,"58.12","27.45","58.12","percent of total billed charges",,
"SKIN TAG REMOVAL","11200","HCPCS","Both",,,"75","37.5","UHC","Commercial","",,"75",,"56.55","27.45","58.12","percent of total billed charges",,
"SKIN TAG REMOVAL","11200","HCPCS","Both",,,"75","37.5","Medicaid",,"",,"37",,"27.45","27.45","58.12","percent of total billed charges",,
"EXCISIONAL DEBRIDEMENT","11044","HCPCS","Both",,,"75","37.5","Alliant","Health Exchange","",,"62",,"46.5","27.45","58.12","percent of total billed charges",,
"EXCISIONAL DEBRIDEMENT","11044","HCPCS","Both",,,"75","37.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"40.5","27.45","58.12","percent of total billed charges",,
"EXCISIONAL DEBRIDEMENT","11044","HCPCS","Both",,,"75","37.5","Medicare",,"",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"EXCISIONAL DEBRIDEMENT","11044","HCPCS","Both",,,"75","37.5","Humana","Medicare Advantage","",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"EXCISIONAL DEBRIDEMENT","11044","HCPCS","Both",,,"75","37.5","UHC","Medicare Advantage","",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"EXCISIONAL DEBRIDEMENT","11044","HCPCS","Both",,,"75","37.5","Clover","Medicare Advantage","",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"EXCISIONAL DEBRIDEMENT","11044","HCPCS","Both",,,"75","37.5","Wellcare","Medicare Advantage","",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"EXCISIONAL DEBRIDEMENT","11044","HCPCS","Both",,,"75","37.5","Amerigroup","Medicaid Managed Care","",,"37",,"27.45","27.45","58.12","percent of total billed charges",,
"EXCISIONAL DEBRIDEMENT","11044","HCPCS","Both",,,"75","37.5","Caresource","Medicaid Managed Care","",,"40",,"30","27.45","58.12","percent of total billed charges",,
"EXCISIONAL DEBRIDEMENT","11044","HCPCS","Both",,,"75","37.5","Wellcare","Medicaid Managed Care","",,"40",,"30.38","27.45","58.12","percent of total billed charges",,
"EXCISIONAL DEBRIDEMENT","11044","HCPCS","Both",,,"75","37.5","Aetna","Commercial","",,"64",,"47.85","27.45","58.12","percent of total billed charges",,
"EXCISIONAL DEBRIDEMENT","11044","HCPCS","Both",,,"75","37.5","Blue Cross Blue Shield","Pathways","",,"71",,"52.95","27.45","58.12","percent of total billed charges",,
"EXCISIONAL DEBRIDEMENT","11044","HCPCS","Both",,,"75","37.5","Blue Cross Blue Shield","HMO","",,"71",,"52.95","27.45","58.12","percent of total billed charges",,
"EXCISIONAL DEBRIDEMENT","11044","HCPCS","Both",,,"75","37.5","Blue Cross Blue Shield","PPO","",,"71",,"52.95","27.45","58.12","percent of total billed charges",,
"EXCISIONAL DEBRIDEMENT","11044","HCPCS","Both",,,"75","37.5","Ambetter","Health Exchange","",,"62",,"46.5","27.45","58.12","percent of total billed charges",,
"EXCISIONAL DEBRIDEMENT","11044","HCPCS","Both",,,"75","37.5","Caresource","Health Exchange","",,"62",,"46.5","27.45","58.12","percent of total billed charges",,
"EXCISIONAL DEBRIDEMENT","11044","HCPCS","Both",,,"75","37.5","Cigna","Commercial","",,"59",,"43.95","27.45","58.12","percent of total billed charges",,
"EXCISIONAL DEBRIDEMENT","11044","HCPCS","Both",,,"75","37.5","Humana","Commercial","",,"78",,"58.12","27.45","58.12","percent of total billed charges",,
"EXCISIONAL DEBRIDEMENT","11044","HCPCS","Both",,,"75","37.5","UHC","Commercial","",,"75",,"56.55","27.45","58.12","percent of total billed charges",,
"EXCISIONAL DEBRIDEMENT","11044","HCPCS","Both",,,"75","37.5","Medicaid",,"",,"37",,"27.45","27.45","58.12","percent of total billed charges",,
"D & C   NON-PREGANT","58120","HCPCS","Both",,,"638","319","Alliant","Health Exchange","",,"62",,"395.56","233.51","494.45","percent of total billed charges",,
"D & C   NON-PREGANT","58120","HCPCS","Both",,,"638","319","Pruitt Healthcare","Medicare Advantage","",,"54",,"344.52","233.51","494.45","percent of total billed charges",,
"D & C   NON-PREGANT","58120","HCPCS","Both",,,"638","319","Medicare",,"",,"54",,"345.8","233.51","494.45","percent of total billed charges",,
"D & C   NON-PREGANT","58120","HCPCS","Both",,,"638","319","Humana","Medicare Advantage","",,"54",,"345.8","233.51","494.45","percent of total billed charges",,
"D & C   NON-PREGANT","58120","HCPCS","Both",,,"638","319","UHC","Medicare Advantage","",,"54",,"345.8","233.51","494.45","percent of total billed charges",,
"D & C   NON-PREGANT","58120","HCPCS","Both",,,"638","319","Clover","Medicare Advantage","",,"54",,"345.8","233.51","494.45","percent of total billed charges",,
"D & C   NON-PREGANT","58120","HCPCS","Both",,,"638","319","Wellcare","Medicare Advantage","",,"54",,"345.8","233.51","494.45","percent of total billed charges",,
"D & C   NON-PREGANT","58120","HCPCS","Both",,,"638","319","Amerigroup","Medicaid Managed Care","",,"37",,"233.51","233.51","494.45","percent of total billed charges",,
"D & C   NON-PREGANT","58120","HCPCS","Both",,,"638","319","Caresource","Medicaid Managed Care","",,"40",,"255.2","233.51","494.45","percent of total billed charges",,
"D & C   NON-PREGANT","58120","HCPCS","Both",,,"638","319","Wellcare","Medicaid Managed Care","",,"40",,"258.39","233.51","494.45","percent of total billed charges",,
"D & C   NON-PREGANT","58120","HCPCS","Both",,,"638","319","Aetna","Commercial","",,"64",,"407.04","233.51","494.45","percent of total billed charges",,
"D & C   NON-PREGANT","58120","HCPCS","Both",,,"638","319","Blue Cross Blue Shield","Pathways","",,"71",,"450.43","233.51","494.45","percent of total billed charges",,
"D & C   NON-PREGANT","58120","HCPCS","Both",,,"638","319","Blue Cross Blue Shield","HMO","",,"71",,"450.43","233.51","494.45","percent of total billed charges",,
"D & C   NON-PREGANT","58120","HCPCS","Both",,,"638","319","Blue Cross Blue Shield","PPO","",,"71",,"450.43","233.51","494.45","percent of total billed charges",,
"D & C   NON-PREGANT","58120","HCPCS","Both",,,"638","319","Ambetter","Health Exchange","",,"62",,"395.56","233.51","494.45","percent of total billed charges",,
"D & C   NON-PREGANT","58120","HCPCS","Both",,,"638","319","Caresource","Health Exchange","",,"62",,"395.56","233.51","494.45","percent of total billed charges",,
"D & C   NON-PREGANT","58120","HCPCS","Both",,,"638","319","Cigna","Commercial","",,"59",,"373.87","233.51","494.45","percent of total billed charges",,
"D & C   NON-PREGANT","58120","HCPCS","Both",,,"638","319","Humana","Commercial","",,"78",,"494.45","233.51","494.45","percent of total billed charges",,
"D & C   NON-PREGANT","58120","HCPCS","Both",,,"638","319","UHC","Commercial","",,"75",,"481.05","233.51","494.45","percent of total billed charges",,
"D & C   NON-PREGANT","58120","HCPCS","Both",,,"638","319","Medicaid",,"",,"37",,"233.51","233.51","494.45","percent of total billed charges",,
"APPENDECTOMY","44950","HCPCS","Both",,,"1594","797","Alliant","Health Exchange","",,"62",,"988.28","583.4","1235.35","percent of total billed charges",,
"APPENDECTOMY","44950","HCPCS","Both",,,"1594","797","Pruitt Healthcare","Medicare Advantage","",,"54",,"860.76","583.4","1235.35","percent of total billed charges",,
"APPENDECTOMY","44950","HCPCS","Both",,,"1594","797","Medicare",,"",,"54",,"863.95","583.4","1235.35","percent of total billed charges",,
"APPENDECTOMY","44950","HCPCS","Both",,,"1594","797","Humana","Medicare Advantage","",,"54",,"863.95","583.4","1235.35","percent of total billed charges",,
"APPENDECTOMY","44950","HCPCS","Both",,,"1594","797","UHC","Medicare Advantage","",,"54",,"863.95","583.4","1235.35","percent of total billed charges",,
"APPENDECTOMY","44950","HCPCS","Both",,,"1594","797","Clover","Medicare Advantage","",,"54",,"863.95","583.4","1235.35","percent of total billed charges",,
"APPENDECTOMY","44950","HCPCS","Both",,,"1594","797","Wellcare","Medicare Advantage","",,"54",,"863.95","583.4","1235.35","percent of total billed charges",,
"APPENDECTOMY","44950","HCPCS","Both",,,"1594","797","Amerigroup","Medicaid Managed Care","",,"37",,"583.4","583.4","1235.35","percent of total billed charges",,
"APPENDECTOMY","44950","HCPCS","Both",,,"1594","797","Caresource","Medicaid Managed Care","",,"40",,"637.6","583.4","1235.35","percent of total billed charges",,
"APPENDECTOMY","44950","HCPCS","Both",,,"1594","797","Wellcare","Medicaid Managed Care","",,"40",,"645.57","583.4","1235.35","percent of total billed charges",,
"APPENDECTOMY","44950","HCPCS","Both",,,"1594","797","Aetna","Commercial","",,"64",,"1016.97","583.4","1235.35","percent of total billed charges",,
"APPENDECTOMY","44950","HCPCS","Both",,,"1594","797","Blue Cross Blue Shield","Pathways","",,"71",,"1125.36","583.4","1235.35","percent of total billed charges",,
"APPENDECTOMY","44950","HCPCS","Both",,,"1594","797","Blue Cross Blue Shield","HMO","",,"71",,"1125.36","583.4","1235.35","percent of total billed charges",,
"APPENDECTOMY","44950","HCPCS","Both",,,"1594","797","Blue Cross Blue Shield","PPO","",,"71",,"1125.36","583.4","1235.35","percent of total billed charges",,
"APPENDECTOMY","44950","HCPCS","Both",,,"1594","797","Ambetter","Health Exchange","",,"62",,"988.28","583.4","1235.35","percent of total billed charges",,
"APPENDECTOMY","44950","HCPCS","Both",,,"1594","797","Caresource","Health Exchange","",,"62",,"988.28","583.4","1235.35","percent of total billed charges",,
"APPENDECTOMY","44950","HCPCS","Both",,,"1594","797","Cigna","Commercial","",,"59",,"934.08","583.4","1235.35","percent of total billed charges",,
"APPENDECTOMY","44950","HCPCS","Both",,,"1594","797","Humana","Commercial","",,"78",,"1235.35","583.4","1235.35","percent of total billed charges",,
"APPENDECTOMY","44950","HCPCS","Both",,,"1594","797","UHC","Commercial","",,"75",,"1201.88","583.4","1235.35","percent of total billed charges",,
"APPENDECTOMY","44950","HCPCS","Both",,,"1594","797","Medicaid",,"",,"37",,"583.4","583.4","1235.35","percent of total billed charges",,
"REPAIR OF INGUINAL HERINA","49505","HCPCS","Both",,,"1356","678","Alliant","Health Exchange","",,"62",,"840.72","496.3","1050.9","percent of total billed charges",,
"REPAIR OF INGUINAL HERINA","49505","HCPCS","Both",,,"1356","678","Pruitt Healthcare","Medicare Advantage","",,"54",,"732.24","496.3","1050.9","percent of total billed charges",,
"REPAIR OF INGUINAL HERINA","49505","HCPCS","Both",,,"1356","678","Medicare",,"",,"54",,"734.95","496.3","1050.9","percent of total billed charges",,
"REPAIR OF INGUINAL HERINA","49505","HCPCS","Both",,,"1356","678","Humana","Medicare Advantage","",,"54",,"734.95","496.3","1050.9","percent of total billed charges",,
"REPAIR OF INGUINAL HERINA","49505","HCPCS","Both",,,"1356","678","UHC","Medicare Advantage","",,"54",,"734.95","496.3","1050.9","percent of total billed charges",,
"REPAIR OF INGUINAL HERINA","49505","HCPCS","Both",,,"1356","678","Clover","Medicare Advantage","",,"54",,"734.95","496.3","1050.9","percent of total billed charges",,
"REPAIR OF INGUINAL HERINA","49505","HCPCS","Both",,,"1356","678","Wellcare","Medicare Advantage","",,"54",,"734.95","496.3","1050.9","percent of total billed charges",,
"REPAIR OF INGUINAL HERINA","49505","HCPCS","Both",,,"1356","678","Amerigroup","Medicaid Managed Care","",,"37",,"496.3","496.3","1050.9","percent of total billed charges",,
"REPAIR OF INGUINAL HERINA","49505","HCPCS","Both",,,"1356","678","Caresource","Medicaid Managed Care","",,"40",,"542.4","496.3","1050.9","percent of total billed charges",,
"REPAIR OF INGUINAL HERINA","49505","HCPCS","Both",,,"1356","678","Wellcare","Medicaid Managed Care","",,"40",,"549.18","496.3","1050.9","percent of total billed charges",,
"REPAIR OF INGUINAL HERINA","49505","HCPCS","Both",,,"1356","678","Aetna","Commercial","",,"64",,"865.13","496.3","1050.9","percent of total billed charges",,
"REPAIR OF INGUINAL HERINA","49505","HCPCS","Both",,,"1356","678","Blue Cross Blue Shield","Pathways","",,"71",,"957.34","496.3","1050.9","percent of total billed charges",,
"REPAIR OF INGUINAL HERINA","49505","HCPCS","Both",,,"1356","678","Blue Cross Blue Shield","HMO","",,"71",,"957.34","496.3","1050.9","percent of total billed charges",,
"REPAIR OF INGUINAL HERINA","49505","HCPCS","Both",,,"1356","678","Blue Cross Blue Shield","PPO","",,"71",,"957.34","496.3","1050.9","percent of total billed charges",,
"REPAIR OF INGUINAL HERINA","49505","HCPCS","Both",,,"1356","678","Ambetter","Health Exchange","",,"62",,"840.72","496.3","1050.9","percent of total billed charges",,
"REPAIR OF INGUINAL HERINA","49505","HCPCS","Both",,,"1356","678","Caresource","Health Exchange","",,"62",,"840.72","496.3","1050.9","percent of total billed charges",,
"REPAIR OF INGUINAL HERINA","49505","HCPCS","Both",,,"1356","678","Cigna","Commercial","",,"59",,"794.62","496.3","1050.9","percent of total billed charges",,
"REPAIR OF INGUINAL HERINA","49505","HCPCS","Both",,,"1356","678","Humana","Commercial","",,"78",,"1050.9","496.3","1050.9","percent of total billed charges",,
"REPAIR OF INGUINAL HERINA","49505","HCPCS","Both",,,"1356","678","UHC","Commercial","",,"75",,"1022.42","496.3","1050.9","percent of total billed charges",,
"REPAIR OF INGUINAL HERINA","49505","HCPCS","Both",,,"1356","678","Medicaid",,"",,"37",,"496.3","496.3","1050.9","percent of total billed charges",,
"REPAIR OF UMBILICAL HERINA","49580","HCPCS","Both",,,"1117","558.5","Alliant","Health Exchange","",,"62",,"692.54","408.82","865.68","percent of total billed charges",,
"REPAIR OF UMBILICAL HERINA","49580","HCPCS","Both",,,"1117","558.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"603.18","408.82","865.68","percent of total billed charges",,
"REPAIR OF UMBILICAL HERINA","49580","HCPCS","Both",,,"1117","558.5","Medicare",,"",,"54",,"605.41","408.82","865.68","percent of total billed charges",,
"REPAIR OF UMBILICAL HERINA","49580","HCPCS","Both",,,"1117","558.5","Humana","Medicare Advantage","",,"54",,"605.41","408.82","865.68","percent of total billed charges",,
"REPAIR OF UMBILICAL HERINA","49580","HCPCS","Both",,,"1117","558.5","UHC","Medicare Advantage","",,"54",,"605.41","408.82","865.68","percent of total billed charges",,
"REPAIR OF UMBILICAL HERINA","49580","HCPCS","Both",,,"1117","558.5","Clover","Medicare Advantage","",,"54",,"605.41","408.82","865.68","percent of total billed charges",,
"REPAIR OF UMBILICAL HERINA","49580","HCPCS","Both",,,"1117","558.5","Wellcare","Medicare Advantage","",,"54",,"605.41","408.82","865.68","percent of total billed charges",,
"REPAIR OF UMBILICAL HERINA","49580","HCPCS","Both",,,"1117","558.5","Amerigroup","Medicaid Managed Care","",,"37",,"408.82","408.82","865.68","percent of total billed charges",,
"REPAIR OF UMBILICAL HERINA","49580","HCPCS","Both",,,"1117","558.5","Caresource","Medicaid Managed Care","",,"40",,"446.8","408.82","865.68","percent of total billed charges",,
"REPAIR OF UMBILICAL HERINA","49580","HCPCS","Both",,,"1117","558.5","Wellcare","Medicaid Managed Care","",,"40",,"452.39","408.82","865.68","percent of total billed charges",,
"REPAIR OF UMBILICAL HERINA","49580","HCPCS","Both",,,"1117","558.5","Aetna","Commercial","",,"64",,"712.65","408.82","865.68","percent of total billed charges",,
"REPAIR OF UMBILICAL HERINA","49580","HCPCS","Both",,,"1117","558.5","Blue Cross Blue Shield","Pathways","",,"71",,"788.6","408.82","865.68","percent of total billed charges",,
"REPAIR OF UMBILICAL HERINA","49580","HCPCS","Both",,,"1117","558.5","Blue Cross Blue Shield","HMO","",,"71",,"788.6","408.82","865.68","percent of total billed charges",,
"REPAIR OF UMBILICAL HERINA","49580","HCPCS","Both",,,"1117","558.5","Blue Cross Blue Shield","PPO","",,"71",,"788.6","408.82","865.68","percent of total billed charges",,
"REPAIR OF UMBILICAL HERINA","49580","HCPCS","Both",,,"1117","558.5","Ambetter","Health Exchange","",,"62",,"692.54","408.82","865.68","percent of total billed charges",,
"REPAIR OF UMBILICAL HERINA","49580","HCPCS","Both",,,"1117","558.5","Caresource","Health Exchange","",,"62",,"692.54","408.82","865.68","percent of total billed charges",,
"REPAIR OF UMBILICAL HERINA","49580","HCPCS","Both",,,"1117","558.5","Cigna","Commercial","",,"59",,"654.56","408.82","865.68","percent of total billed charges",,
"REPAIR OF UMBILICAL HERINA","49580","HCPCS","Both",,,"1117","558.5","Humana","Commercial","",,"78",,"865.68","408.82","865.68","percent of total billed charges",,
"REPAIR OF UMBILICAL HERINA","49580","HCPCS","Both",,,"1117","558.5","UHC","Commercial","",,"75",,"842.22","408.82","865.68","percent of total billed charges",,
"REPAIR OF UMBILICAL HERINA","49580","HCPCS","Both",,,"1117","558.5","Medicaid",,"",,"37",,"408.82","408.82","865.68","percent of total billed charges",,
"REMOVAL OF GALLBLADDER","47600","HCPCS","Both",,,"2259","1129.5","Alliant","Health Exchange","",,"62",,"1400.58","826.79","1750.72","percent of total billed charges",,
"REMOVAL OF GALLBLADDER","47600","HCPCS","Both",,,"2259","1129.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"1219.86","826.79","1750.72","percent of total billed charges",,
"REMOVAL OF GALLBLADDER","47600","HCPCS","Both",,,"2259","1129.5","Medicare",,"",,"54",,"1224.38","826.79","1750.72","percent of total billed charges",,
"REMOVAL OF GALLBLADDER","47600","HCPCS","Both",,,"2259","1129.5","Humana","Medicare Advantage","",,"54",,"1224.38","826.79","1750.72","percent of total billed charges",,
"REMOVAL OF GALLBLADDER","47600","HCPCS","Both",,,"2259","1129.5","UHC","Medicare Advantage","",,"54",,"1224.38","826.79","1750.72","percent of total billed charges",,
"REMOVAL OF GALLBLADDER","47600","HCPCS","Both",,,"2259","1129.5","Clover","Medicare Advantage","",,"54",,"1224.38","826.79","1750.72","percent of total billed charges",,
"REMOVAL OF GALLBLADDER","47600","HCPCS","Both",,,"2259","1129.5","Wellcare","Medicare Advantage","",,"54",,"1224.38","826.79","1750.72","percent of total billed charges",,
"REMOVAL OF GALLBLADDER","47600","HCPCS","Both",,,"2259","1129.5","Amerigroup","Medicaid Managed Care","",,"37",,"826.79","826.79","1750.72","percent of total billed charges",,
"REMOVAL OF GALLBLADDER","47600","HCPCS","Both",,,"2259","1129.5","Caresource","Medicaid Managed Care","",,"40",,"903.6","826.79","1750.72","percent of total billed charges",,
"REMOVAL OF GALLBLADDER","47600","HCPCS","Both",,,"2259","1129.5","Wellcare","Medicaid Managed Care","",,"40",,"914.9","826.79","1750.72","percent of total billed charges",,
"REMOVAL OF GALLBLADDER","47600","HCPCS","Both",,,"2259","1129.5","Aetna","Commercial","",,"64",,"1441.24","826.79","1750.72","percent of total billed charges",,
"REMOVAL OF GALLBLADDER","47600","HCPCS","Both",,,"2259","1129.5","Blue Cross Blue Shield","Pathways","",,"71",,"1594.85","826.79","1750.72","percent of total billed charges",,
"REMOVAL OF GALLBLADDER","47600","HCPCS","Both",,,"2259","1129.5","Blue Cross Blue Shield","HMO","",,"71",,"1594.85","826.79","1750.72","percent of total billed charges",,
"REMOVAL OF GALLBLADDER","47600","HCPCS","Both",,,"2259","1129.5","Blue Cross Blue Shield","PPO","",,"71",,"1594.85","826.79","1750.72","percent of total billed charges",,
"REMOVAL OF GALLBLADDER","47600","HCPCS","Both",,,"2259","1129.5","Ambetter","Health Exchange","",,"62",,"1400.58","826.79","1750.72","percent of total billed charges",,
"REMOVAL OF GALLBLADDER","47600","HCPCS","Both",,,"2259","1129.5","Caresource","Health Exchange","",,"62",,"1400.58","826.79","1750.72","percent of total billed charges",,
"REMOVAL OF GALLBLADDER","47600","HCPCS","Both",,,"2259","1129.5","Cigna","Commercial","",,"59",,"1323.77","826.79","1750.72","percent of total billed charges",,
"REMOVAL OF GALLBLADDER","47600","HCPCS","Both",,,"2259","1129.5","Humana","Commercial","",,"78",,"1750.72","826.79","1750.72","percent of total billed charges",,
"REMOVAL OF GALLBLADDER","47600","HCPCS","Both",,,"2259","1129.5","UHC","Commercial","",,"75",,"1703.29","826.79","1750.72","percent of total billed charges",,
"REMOVAL OF GALLBLADDER","47600","HCPCS","Both",,,"2259","1129.5","Medicaid",,"",,"37",,"826.79","826.79","1750.72","percent of total billed charges",,
"CHOLECYSTECTOMY WITH CHOLANGIOGRAPHY","47605","HCPCS","Both",,,"2392","1196","Alliant","Health Exchange","",,"62",,"1483.04","875.47","1853.8","percent of total billed charges",,
"CHOLECYSTECTOMY WITH CHOLANGIOGRAPHY","47605","HCPCS","Both",,,"2392","1196","Pruitt Healthcare","Medicare Advantage","",,"54",,"1291.68","875.47","1853.8","percent of total billed charges",,
"CHOLECYSTECTOMY WITH CHOLANGIOGRAPHY","47605","HCPCS","Both",,,"2392","1196","Medicare",,"",,"54",,"1296.46","875.47","1853.8","percent of total billed charges",,
"CHOLECYSTECTOMY WITH CHOLANGIOGRAPHY","47605","HCPCS","Both",,,"2392","1196","Humana","Medicare Advantage","",,"54",,"1296.46","875.47","1853.8","percent of total billed charges",,
"CHOLECYSTECTOMY WITH CHOLANGIOGRAPHY","47605","HCPCS","Both",,,"2392","1196","UHC","Medicare Advantage","",,"54",,"1296.46","875.47","1853.8","percent of total billed charges",,
"CHOLECYSTECTOMY WITH CHOLANGIOGRAPHY","47605","HCPCS","Both",,,"2392","1196","Clover","Medicare Advantage","",,"54",,"1296.46","875.47","1853.8","percent of total billed charges",,
"CHOLECYSTECTOMY WITH CHOLANGIOGRAPHY","47605","HCPCS","Both",,,"2392","1196","Wellcare","Medicare Advantage","",,"54",,"1296.46","875.47","1853.8","percent of total billed charges",,
"CHOLECYSTECTOMY WITH CHOLANGIOGRAPHY","47605","HCPCS","Both",,,"2392","1196","Amerigroup","Medicaid Managed Care","",,"37",,"875.47","875.47","1853.8","percent of total billed charges",,
"CHOLECYSTECTOMY WITH CHOLANGIOGRAPHY","47605","HCPCS","Both",,,"2392","1196","Caresource","Medicaid Managed Care","",,"40",,"956.8","875.47","1853.8","percent of total billed charges",,
"CHOLECYSTECTOMY WITH CHOLANGIOGRAPHY","47605","HCPCS","Both",,,"2392","1196","Wellcare","Medicaid Managed Care","",,"40",,"968.76","875.47","1853.8","percent of total billed charges",,
"CHOLECYSTECTOMY WITH CHOLANGIOGRAPHY","47605","HCPCS","Both",,,"2392","1196","Aetna","Commercial","",,"64",,"1526.1","875.47","1853.8","percent of total billed charges",,
"CHOLECYSTECTOMY WITH CHOLANGIOGRAPHY","47605","HCPCS","Both",,,"2392","1196","Blue Cross Blue Shield","Pathways","",,"71",,"1688.75","875.47","1853.8","percent of total billed charges",,
"CHOLECYSTECTOMY WITH CHOLANGIOGRAPHY","47605","HCPCS","Both",,,"2392","1196","Blue Cross Blue Shield","HMO","",,"71",,"1688.75","875.47","1853.8","percent of total billed charges",,
"CHOLECYSTECTOMY WITH CHOLANGIOGRAPHY","47605","HCPCS","Both",,,"2392","1196","Blue Cross Blue Shield","PPO","",,"71",,"1688.75","875.47","1853.8","percent of total billed charges",,
"CHOLECYSTECTOMY WITH CHOLANGIOGRAPHY","47605","HCPCS","Both",,,"2392","1196","Ambetter","Health Exchange","",,"62",,"1483.04","875.47","1853.8","percent of total billed charges",,
"CHOLECYSTECTOMY WITH CHOLANGIOGRAPHY","47605","HCPCS","Both",,,"2392","1196","Caresource","Health Exchange","",,"62",,"1483.04","875.47","1853.8","percent of total billed charges",,
"CHOLECYSTECTOMY WITH CHOLANGIOGRAPHY","47605","HCPCS","Both",,,"2392","1196","Cigna","Commercial","",,"59",,"1401.71","875.47","1853.8","percent of total billed charges",,
"CHOLECYSTECTOMY WITH CHOLANGIOGRAPHY","47605","HCPCS","Both",,,"2392","1196","Humana","Commercial","",,"78",,"1853.8","875.47","1853.8","percent of total billed charges",,
"CHOLECYSTECTOMY WITH CHOLANGIOGRAPHY","47605","HCPCS","Both",,,"2392","1196","UHC","Commercial","",,"75",,"1803.57","875.47","1853.8","percent of total billed charges",,
"CHOLECYSTECTOMY WITH CHOLANGIOGRAPHY","47605","HCPCS","Both",,,"2392","1196","Medicaid",,"",,"37",,"875.47","875.47","1853.8","percent of total billed charges",,
"EXCISION OF LESION OF NECK","21556","HCPCS","Both",,,"638","319","Alliant","Health Exchange","",,"62",,"395.56","233.51","494.45","percent of total billed charges",,
"EXCISION OF LESION OF NECK","21556","HCPCS","Both",,,"638","319","Pruitt Healthcare","Medicare Advantage","",,"54",,"344.52","233.51","494.45","percent of total billed charges",,
"EXCISION OF LESION OF NECK","21556","HCPCS","Both",,,"638","319","Medicare",,"",,"54",,"345.8","233.51","494.45","percent of total billed charges",,
"EXCISION OF LESION OF NECK","21556","HCPCS","Both",,,"638","319","Humana","Medicare Advantage","",,"54",,"345.8","233.51","494.45","percent of total billed charges",,
"EXCISION OF LESION OF NECK","21556","HCPCS","Both",,,"638","319","UHC","Medicare Advantage","",,"54",,"345.8","233.51","494.45","percent of total billed charges",,
"EXCISION OF LESION OF NECK","21556","HCPCS","Both",,,"638","319","Clover","Medicare Advantage","",,"54",,"345.8","233.51","494.45","percent of total billed charges",,
"EXCISION OF LESION OF NECK","21556","HCPCS","Both",,,"638","319","Wellcare","Medicare Advantage","",,"54",,"345.8","233.51","494.45","percent of total billed charges",,
"EXCISION OF LESION OF NECK","21556","HCPCS","Both",,,"638","319","Amerigroup","Medicaid Managed Care","",,"37",,"233.51","233.51","494.45","percent of total billed charges",,
"EXCISION OF LESION OF NECK","21556","HCPCS","Both",,,"638","319","Caresource","Medicaid Managed Care","",,"40",,"255.2","233.51","494.45","percent of total billed charges",,
"EXCISION OF LESION OF NECK","21556","HCPCS","Both",,,"638","319","Wellcare","Medicaid Managed Care","",,"40",,"258.39","233.51","494.45","percent of total billed charges",,
"EXCISION OF LESION OF NECK","21556","HCPCS","Both",,,"638","319","Aetna","Commercial","",,"64",,"407.04","233.51","494.45","percent of total billed charges",,
"EXCISION OF LESION OF NECK","21556","HCPCS","Both",,,"638","319","Blue Cross Blue Shield","Pathways","",,"71",,"450.43","233.51","494.45","percent of total billed charges",,
"EXCISION OF LESION OF NECK","21556","HCPCS","Both",,,"638","319","Blue Cross Blue Shield","HMO","",,"71",,"450.43","233.51","494.45","percent of total billed charges",,
"EXCISION OF LESION OF NECK","21556","HCPCS","Both",,,"638","319","Blue Cross Blue Shield","PPO","",,"71",,"450.43","233.51","494.45","percent of total billed charges",,
"EXCISION OF LESION OF NECK","21556","HCPCS","Both",,,"638","319","Ambetter","Health Exchange","",,"62",,"395.56","233.51","494.45","percent of total billed charges",,
"EXCISION OF LESION OF NECK","21556","HCPCS","Both",,,"638","319","Caresource","Health Exchange","",,"62",,"395.56","233.51","494.45","percent of total billed charges",,
"EXCISION OF LESION OF NECK","21556","HCPCS","Both",,,"638","319","Cigna","Commercial","",,"59",,"373.87","233.51","494.45","percent of total billed charges",,
"EXCISION OF LESION OF NECK","21556","HCPCS","Both",,,"638","319","Humana","Commercial","",,"78",,"494.45","233.51","494.45","percent of total billed charges",,
"EXCISION OF LESION OF NECK","21556","HCPCS","Both",,,"638","319","UHC","Commercial","",,"75",,"481.05","233.51","494.45","percent of total billed charges",,
"EXCISION OF LESION OF NECK","21556","HCPCS","Both",,,"638","319","Medicaid",,"",,"37",,"233.51","233.51","494.45","percent of total billed charges",,
"MASTOTOMY WITH DRAINAGE","19020","HCPCS","Both",,,"267","133.5","Alliant","Health Exchange","",,"62",,"165.54","97.72","206.92","percent of total billed charges",,
"MASTOTOMY WITH DRAINAGE","19020","HCPCS","Both",,,"267","133.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"144.18","97.72","206.92","percent of total billed charges",,
"MASTOTOMY WITH DRAINAGE","19020","HCPCS","Both",,,"267","133.5","Medicare",,"",,"54",,"144.71","97.72","206.92","percent of total billed charges",,
"MASTOTOMY WITH DRAINAGE","19020","HCPCS","Both",,,"267","133.5","Humana","Medicare Advantage","",,"54",,"144.71","97.72","206.92","percent of total billed charges",,
"MASTOTOMY WITH DRAINAGE","19020","HCPCS","Both",,,"267","133.5","UHC","Medicare Advantage","",,"54",,"144.71","97.72","206.92","percent of total billed charges",,
"MASTOTOMY WITH DRAINAGE","19020","HCPCS","Both",,,"267","133.5","Clover","Medicare Advantage","",,"54",,"144.71","97.72","206.92","percent of total billed charges",,
"MASTOTOMY WITH DRAINAGE","19020","HCPCS","Both",,,"267","133.5","Wellcare","Medicare Advantage","",,"54",,"144.71","97.72","206.92","percent of total billed charges",,
"MASTOTOMY WITH DRAINAGE","19020","HCPCS","Both",,,"267","133.5","Amerigroup","Medicaid Managed Care","",,"37",,"97.72","97.72","206.92","percent of total billed charges",,
"MASTOTOMY WITH DRAINAGE","19020","HCPCS","Both",,,"267","133.5","Caresource","Medicaid Managed Care","",,"40",,"106.8","97.72","206.92","percent of total billed charges",,
"MASTOTOMY WITH DRAINAGE","19020","HCPCS","Both",,,"267","133.5","Wellcare","Medicaid Managed Care","",,"40",,"108.14","97.72","206.92","percent of total billed charges",,
"MASTOTOMY WITH DRAINAGE","19020","HCPCS","Both",,,"267","133.5","Aetna","Commercial","",,"64",,"170.35","97.72","206.92","percent of total billed charges",,
"MASTOTOMY WITH DRAINAGE","19020","HCPCS","Both",,,"267","133.5","Blue Cross Blue Shield","Pathways","",,"71",,"188.5","97.72","206.92","percent of total billed charges",,
"MASTOTOMY WITH DRAINAGE","19020","HCPCS","Both",,,"267","133.5","Blue Cross Blue Shield","HMO","",,"71",,"188.5","97.72","206.92","percent of total billed charges",,
"MASTOTOMY WITH DRAINAGE","19020","HCPCS","Both",,,"267","133.5","Blue Cross Blue Shield","PPO","",,"71",,"188.5","97.72","206.92","percent of total billed charges",,
"MASTOTOMY WITH DRAINAGE","19020","HCPCS","Both",,,"267","133.5","Ambetter","Health Exchange","",,"62",,"165.54","97.72","206.92","percent of total billed charges",,
"MASTOTOMY WITH DRAINAGE","19020","HCPCS","Both",,,"267","133.5","Caresource","Health Exchange","",,"62",,"165.54","97.72","206.92","percent of total billed charges",,
"MASTOTOMY WITH DRAINAGE","19020","HCPCS","Both",,,"267","133.5","Cigna","Commercial","",,"59",,"156.46","97.72","206.92","percent of total billed charges",,
"MASTOTOMY WITH DRAINAGE","19020","HCPCS","Both",,,"267","133.5","Humana","Commercial","",,"78",,"206.92","97.72","206.92","percent of total billed charges",,
"MASTOTOMY WITH DRAINAGE","19020","HCPCS","Both",,,"267","133.5","UHC","Commercial","",,"75",,"201.32","97.72","206.92","percent of total billed charges",,
"MASTOTOMY WITH DRAINAGE","19020","HCPCS","Both",,,"267","133.5","Medicaid",,"",,"37",,"97.72","97.72","206.92","percent of total billed charges",,
"EXCISION DEBR SKIN MUSCLE","11043","HCPCS","Both",,,"367","183.5","Alliant","Health Exchange","",,"62",,"227.54","134.32","284.42","percent of total billed charges",,
"EXCISION DEBR SKIN MUSCLE","11043","HCPCS","Both",,,"367","183.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"198.18","134.32","284.42","percent of total billed charges",,
"EXCISION DEBR SKIN MUSCLE","11043","HCPCS","Both",,,"367","183.5","Medicare",,"",,"54",,"198.91","134.32","284.42","percent of total billed charges",,
"EXCISION DEBR SKIN MUSCLE","11043","HCPCS","Both",,,"367","183.5","Humana","Medicare Advantage","",,"54",,"198.91","134.32","284.42","percent of total billed charges",,
"EXCISION DEBR SKIN MUSCLE","11043","HCPCS","Both",,,"367","183.5","UHC","Medicare Advantage","",,"54",,"198.91","134.32","284.42","percent of total billed charges",,
"EXCISION DEBR SKIN MUSCLE","11043","HCPCS","Both",,,"367","183.5","Clover","Medicare Advantage","",,"54",,"198.91","134.32","284.42","percent of total billed charges",,
"EXCISION DEBR SKIN MUSCLE","11043","HCPCS","Both",,,"367","183.5","Wellcare","Medicare Advantage","",,"54",,"198.91","134.32","284.42","percent of total billed charges",,
"EXCISION DEBR SKIN MUSCLE","11043","HCPCS","Both",,,"367","183.5","Amerigroup","Medicaid Managed Care","",,"37",,"134.32","134.32","284.42","percent of total billed charges",,
"EXCISION DEBR SKIN MUSCLE","11043","HCPCS","Both",,,"367","183.5","Caresource","Medicaid Managed Care","",,"40",,"146.8","134.32","284.42","percent of total billed charges",,
"EXCISION DEBR SKIN MUSCLE","11043","HCPCS","Both",,,"367","183.5","Wellcare","Medicaid Managed Care","",,"40",,"148.64","134.32","284.42","percent of total billed charges",,
"EXCISION DEBR SKIN MUSCLE","11043","HCPCS","Both",,,"367","183.5","Aetna","Commercial","",,"64",,"234.15","134.32","284.42","percent of total billed charges",,
"EXCISION DEBR SKIN MUSCLE","11043","HCPCS","Both",,,"367","183.5","Blue Cross Blue Shield","Pathways","",,"71",,"259.1","134.32","284.42","percent of total billed charges",,
"EXCISION DEBR SKIN MUSCLE","11043","HCPCS","Both",,,"367","183.5","Blue Cross Blue Shield","HMO","",,"71",,"259.1","134.32","284.42","percent of total billed charges",,
"EXCISION DEBR SKIN MUSCLE","11043","HCPCS","Both",,,"367","183.5","Blue Cross Blue Shield","PPO","",,"71",,"259.1","134.32","284.42","percent of total billed charges",,
"EXCISION DEBR SKIN MUSCLE","11043","HCPCS","Both",,,"367","183.5","Ambetter","Health Exchange","",,"62",,"227.54","134.32","284.42","percent of total billed charges",,
"EXCISION DEBR SKIN MUSCLE","11043","HCPCS","Both",,,"367","183.5","Caresource","Health Exchange","",,"62",,"227.54","134.32","284.42","percent of total billed charges",,
"EXCISION DEBR SKIN MUSCLE","11043","HCPCS","Both",,,"367","183.5","Cigna","Commercial","",,"59",,"215.06","134.32","284.42","percent of total billed charges",,
"EXCISION DEBR SKIN MUSCLE","11043","HCPCS","Both",,,"367","183.5","Humana","Commercial","",,"78",,"284.42","134.32","284.42","percent of total billed charges",,
"EXCISION DEBR SKIN MUSCLE","11043","HCPCS","Both",,,"367","183.5","UHC","Commercial","",,"75",,"276.72","134.32","284.42","percent of total billed charges",,
"EXCISION DEBR SKIN MUSCLE","11043","HCPCS","Both",,,"367","183.5","Medicaid",,"",,"37",,"134.32","134.32","284.42","percent of total billed charges",,
"D & C   INCOMPLETE ADORTION","59812","HCPCS","Both",,,"665","332.5","Alliant","Health Exchange","",,"62",,"412.3","243.39","515.38","percent of total billed charges",,
"D & C   INCOMPLETE ADORTION","59812","HCPCS","Both",,,"665","332.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"359.1","243.39","515.38","percent of total billed charges",,
"D & C   INCOMPLETE ADORTION","59812","HCPCS","Both",,,"665","332.5","Medicare",,"",,"54",,"360.43","243.39","515.38","percent of total billed charges",,
"D & C   INCOMPLETE ADORTION","59812","HCPCS","Both",,,"665","332.5","Humana","Medicare Advantage","",,"54",,"360.43","243.39","515.38","percent of total billed charges",,
"D & C   INCOMPLETE ADORTION","59812","HCPCS","Both",,,"665","332.5","UHC","Medicare Advantage","",,"54",,"360.43","243.39","515.38","percent of total billed charges",,
"D & C   INCOMPLETE ADORTION","59812","HCPCS","Both",,,"665","332.5","Clover","Medicare Advantage","",,"54",,"360.43","243.39","515.38","percent of total billed charges",,
"D & C   INCOMPLETE ADORTION","59812","HCPCS","Both",,,"665","332.5","Wellcare","Medicare Advantage","",,"54",,"360.43","243.39","515.38","percent of total billed charges",,
"D & C   INCOMPLETE ADORTION","59812","HCPCS","Both",,,"665","332.5","Amerigroup","Medicaid Managed Care","",,"37",,"243.39","243.39","515.38","percent of total billed charges",,
"D & C   INCOMPLETE ADORTION","59812","HCPCS","Both",,,"665","332.5","Caresource","Medicaid Managed Care","",,"40",,"266","243.39","515.38","percent of total billed charges",,
"D & C   INCOMPLETE ADORTION","59812","HCPCS","Both",,,"665","332.5","Wellcare","Medicaid Managed Care","",,"40",,"269.33","243.39","515.38","percent of total billed charges",,
"D & C   INCOMPLETE ADORTION","59812","HCPCS","Both",,,"665","332.5","Aetna","Commercial","",,"64",,"424.27","243.39","515.38","percent of total billed charges",,
"D & C   INCOMPLETE ADORTION","59812","HCPCS","Both",,,"665","332.5","Blue Cross Blue Shield","Pathways","",,"71",,"469.49","243.39","515.38","percent of total billed charges",,
"D & C   INCOMPLETE ADORTION","59812","HCPCS","Both",,,"665","332.5","Blue Cross Blue Shield","HMO","",,"71",,"469.49","243.39","515.38","percent of total billed charges",,
"D & C   INCOMPLETE ADORTION","59812","HCPCS","Both",,,"665","332.5","Blue Cross Blue Shield","PPO","",,"71",,"469.49","243.39","515.38","percent of total billed charges",,
"D & C   INCOMPLETE ADORTION","59812","HCPCS","Both",,,"665","332.5","Ambetter","Health Exchange","",,"62",,"412.3","243.39","515.38","percent of total billed charges",,
"D & C   INCOMPLETE ADORTION","59812","HCPCS","Both",,,"665","332.5","Caresource","Health Exchange","",,"62",,"412.3","243.39","515.38","percent of total billed charges",,
"D & C   INCOMPLETE ADORTION","59812","HCPCS","Both",,,"665","332.5","Cigna","Commercial","",,"59",,"389.69","243.39","515.38","percent of total billed charges",,
"D & C   INCOMPLETE ADORTION","59812","HCPCS","Both",,,"665","332.5","Humana","Commercial","",,"78",,"515.38","243.39","515.38","percent of total billed charges",,
"D & C   INCOMPLETE ADORTION","59812","HCPCS","Both",,,"665","332.5","UHC","Commercial","",,"75",,"501.41","243.39","515.38","percent of total billed charges",,
"D & C   INCOMPLETE ADORTION","59812","HCPCS","Both",,,"665","332.5","Medicaid",,"",,"37",,"243.39","243.39","515.38","percent of total billed charges",,
"REMOVAL OF BONE PLATE","20680","HCPCS","Both",,,"433","216.5","Alliant","Health Exchange","",,"62",,"268.46","158.48","335.58","percent of total billed charges",,
"REMOVAL OF BONE PLATE","20680","HCPCS","Both",,,"433","216.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"233.82","158.48","335.58","percent of total billed charges",,
"REMOVAL OF BONE PLATE","20680","HCPCS","Both",,,"433","216.5","Medicare",,"",,"54",,"234.69","158.48","335.58","percent of total billed charges",,
"REMOVAL OF BONE PLATE","20680","HCPCS","Both",,,"433","216.5","Humana","Medicare Advantage","",,"54",,"234.69","158.48","335.58","percent of total billed charges",,
"REMOVAL OF BONE PLATE","20680","HCPCS","Both",,,"433","216.5","UHC","Medicare Advantage","",,"54",,"234.69","158.48","335.58","percent of total billed charges",,
"REMOVAL OF BONE PLATE","20680","HCPCS","Both",,,"433","216.5","Clover","Medicare Advantage","",,"54",,"234.69","158.48","335.58","percent of total billed charges",,
"REMOVAL OF BONE PLATE","20680","HCPCS","Both",,,"433","216.5","Wellcare","Medicare Advantage","",,"54",,"234.69","158.48","335.58","percent of total billed charges",,
"REMOVAL OF BONE PLATE","20680","HCPCS","Both",,,"433","216.5","Amerigroup","Medicaid Managed Care","",,"37",,"158.48","158.48","335.58","percent of total billed charges",,
"REMOVAL OF BONE PLATE","20680","HCPCS","Both",,,"433","216.5","Caresource","Medicaid Managed Care","",,"40",,"173.2","158.48","335.58","percent of total billed charges",,
"REMOVAL OF BONE PLATE","20680","HCPCS","Both",,,"433","216.5","Wellcare","Medicaid Managed Care","",,"40",,"175.36","158.48","335.58","percent of total billed charges",,
"REMOVAL OF BONE PLATE","20680","HCPCS","Both",,,"433","216.5","Aetna","Commercial","",,"64",,"276.25","158.48","335.58","percent of total billed charges",,
"REMOVAL OF BONE PLATE","20680","HCPCS","Both",,,"433","216.5","Blue Cross Blue Shield","Pathways","",,"71",,"305.7","158.48","335.58","percent of total billed charges",,
"REMOVAL OF BONE PLATE","20680","HCPCS","Both",,,"433","216.5","Blue Cross Blue Shield","HMO","",,"71",,"305.7","158.48","335.58","percent of total billed charges",,
"REMOVAL OF BONE PLATE","20680","HCPCS","Both",,,"433","216.5","Blue Cross Blue Shield","PPO","",,"71",,"305.7","158.48","335.58","percent of total billed charges",,
"REMOVAL OF BONE PLATE","20680","HCPCS","Both",,,"433","216.5","Ambetter","Health Exchange","",,"62",,"268.46","158.48","335.58","percent of total billed charges",,
"REMOVAL OF BONE PLATE","20680","HCPCS","Both",,,"433","216.5","Caresource","Health Exchange","",,"62",,"268.46","158.48","335.58","percent of total billed charges",,
"REMOVAL OF BONE PLATE","20680","HCPCS","Both",,,"433","216.5","Cigna","Commercial","",,"59",,"253.74","158.48","335.58","percent of total billed charges",,
"REMOVAL OF BONE PLATE","20680","HCPCS","Both",,,"433","216.5","Humana","Commercial","",,"78",,"335.58","158.48","335.58","percent of total billed charges",,
"REMOVAL OF BONE PLATE","20680","HCPCS","Both",,,"433","216.5","UHC","Commercial","",,"75",,"326.48","158.48","335.58","percent of total billed charges",,
"REMOVAL OF BONE PLATE","20680","HCPCS","Both",,,"433","216.5","Medicaid",,"",,"37",,"158.48","158.48","335.58","percent of total billed charges",,
"CHANGE OF JEJUNOSTOMY TUBE","44372","HCPCS","Both",,,"633","316.5","Alliant","Health Exchange","",,"62",,"392.46","231.68","490.58","percent of total billed charges",,
"CHANGE OF JEJUNOSTOMY TUBE","44372","HCPCS","Both",,,"633","316.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"341.82","231.68","490.58","percent of total billed charges",,
"CHANGE OF JEJUNOSTOMY TUBE","44372","HCPCS","Both",,,"633","316.5","Medicare",,"",,"54",,"343.09","231.68","490.58","percent of total billed charges",,
"CHANGE OF JEJUNOSTOMY TUBE","44372","HCPCS","Both",,,"633","316.5","Humana","Medicare Advantage","",,"54",,"343.09","231.68","490.58","percent of total billed charges",,
"CHANGE OF JEJUNOSTOMY TUBE","44372","HCPCS","Both",,,"633","316.5","UHC","Medicare Advantage","",,"54",,"343.09","231.68","490.58","percent of total billed charges",,
"CHANGE OF JEJUNOSTOMY TUBE","44372","HCPCS","Both",,,"633","316.5","Clover","Medicare Advantage","",,"54",,"343.09","231.68","490.58","percent of total billed charges",,
"CHANGE OF JEJUNOSTOMY TUBE","44372","HCPCS","Both",,,"633","316.5","Wellcare","Medicare Advantage","",,"54",,"343.09","231.68","490.58","percent of total billed charges",,
"CHANGE OF JEJUNOSTOMY TUBE","44372","HCPCS","Both",,,"633","316.5","Amerigroup","Medicaid Managed Care","",,"37",,"231.68","231.68","490.58","percent of total billed charges",,
"CHANGE OF JEJUNOSTOMY TUBE","44372","HCPCS","Both",,,"633","316.5","Caresource","Medicaid Managed Care","",,"40",,"253.2","231.68","490.58","percent of total billed charges",,
"CHANGE OF JEJUNOSTOMY TUBE","44372","HCPCS","Both",,,"633","316.5","Wellcare","Medicaid Managed Care","",,"40",,"256.36","231.68","490.58","percent of total billed charges",,
"CHANGE OF JEJUNOSTOMY TUBE","44372","HCPCS","Both",,,"633","316.5","Aetna","Commercial","",,"64",,"403.85","231.68","490.58","percent of total billed charges",,
"CHANGE OF JEJUNOSTOMY TUBE","44372","HCPCS","Both",,,"633","316.5","Blue Cross Blue Shield","Pathways","",,"71",,"446.9","231.68","490.58","percent of total billed charges",,
"CHANGE OF JEJUNOSTOMY TUBE","44372","HCPCS","Both",,,"633","316.5","Blue Cross Blue Shield","HMO","",,"71",,"446.9","231.68","490.58","percent of total billed charges",,
"CHANGE OF JEJUNOSTOMY TUBE","44372","HCPCS","Both",,,"633","316.5","Blue Cross Blue Shield","PPO","",,"71",,"446.9","231.68","490.58","percent of total billed charges",,
"CHANGE OF JEJUNOSTOMY TUBE","44372","HCPCS","Both",,,"633","316.5","Ambetter","Health Exchange","",,"62",,"392.46","231.68","490.58","percent of total billed charges",,
"CHANGE OF JEJUNOSTOMY TUBE","44372","HCPCS","Both",,,"633","316.5","Caresource","Health Exchange","",,"62",,"392.46","231.68","490.58","percent of total billed charges",,
"CHANGE OF JEJUNOSTOMY TUBE","44372","HCPCS","Both",,,"633","316.5","Cigna","Commercial","",,"59",,"370.94","231.68","490.58","percent of total billed charges",,
"CHANGE OF JEJUNOSTOMY TUBE","44372","HCPCS","Both",,,"633","316.5","Humana","Commercial","",,"78",,"490.58","231.68","490.58","percent of total billed charges",,
"CHANGE OF JEJUNOSTOMY TUBE","44372","HCPCS","Both",,,"633","316.5","UHC","Commercial","",,"75",,"477.28","231.68","490.58","percent of total billed charges",,
"CHANGE OF JEJUNOSTOMY TUBE","44372","HCPCS","Both",,,"633","316.5","Medicaid",,"",,"37",,"231.68","231.68","490.58","percent of total billed charges",,
"EXCISIONAL DEBRIDEMENT","11043","HCPCS","Both",,,"367","183.5","Alliant","Health Exchange","",,"62",,"227.54","134.32","284.42","percent of total billed charges",,
"EXCISIONAL DEBRIDEMENT","11043","HCPCS","Both",,,"367","183.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"198.18","134.32","284.42","percent of total billed charges",,
"EXCISIONAL DEBRIDEMENT","11043","HCPCS","Both",,,"367","183.5","Medicare",,"",,"54",,"198.91","134.32","284.42","percent of total billed charges",,
"EXCISIONAL DEBRIDEMENT","11043","HCPCS","Both",,,"367","183.5","Humana","Medicare Advantage","",,"54",,"198.91","134.32","284.42","percent of total billed charges",,
"EXCISIONAL DEBRIDEMENT","11043","HCPCS","Both",,,"367","183.5","UHC","Medicare Advantage","",,"54",,"198.91","134.32","284.42","percent of total billed charges",,
"EXCISIONAL DEBRIDEMENT","11043","HCPCS","Both",,,"367","183.5","Clover","Medicare Advantage","",,"54",,"198.91","134.32","284.42","percent of total billed charges",,
"EXCISIONAL DEBRIDEMENT","11043","HCPCS","Both",,,"367","183.5","Wellcare","Medicare Advantage","",,"54",,"198.91","134.32","284.42","percent of total billed charges",,
"EXCISIONAL DEBRIDEMENT","11043","HCPCS","Both",,,"367","183.5","Amerigroup","Medicaid Managed Care","",,"37",,"134.32","134.32","284.42","percent of total billed charges",,
"EXCISIONAL DEBRIDEMENT","11043","HCPCS","Both",,,"367","183.5","Caresource","Medicaid Managed Care","",,"40",,"146.8","134.32","284.42","percent of total billed charges",,
"EXCISIONAL DEBRIDEMENT","11043","HCPCS","Both",,,"367","183.5","Wellcare","Medicaid Managed Care","",,"40",,"148.64","134.32","284.42","percent of total billed charges",,
"EXCISIONAL DEBRIDEMENT","11043","HCPCS","Both",,,"367","183.5","Aetna","Commercial","",,"64",,"234.15","134.32","284.42","percent of total billed charges",,
"EXCISIONAL DEBRIDEMENT","11043","HCPCS","Both",,,"367","183.5","Blue Cross Blue Shield","Pathways","",,"71",,"259.1","134.32","284.42","percent of total billed charges",,
"EXCISIONAL DEBRIDEMENT","11043","HCPCS","Both",,,"367","183.5","Blue Cross Blue Shield","HMO","",,"71",,"259.1","134.32","284.42","percent of total billed charges",,
"EXCISIONAL DEBRIDEMENT","11043","HCPCS","Both",,,"367","183.5","Blue Cross Blue Shield","PPO","",,"71",,"259.1","134.32","284.42","percent of total billed charges",,
"EXCISIONAL DEBRIDEMENT","11043","HCPCS","Both",,,"367","183.5","Ambetter","Health Exchange","",,"62",,"227.54","134.32","284.42","percent of total billed charges",,
"EXCISIONAL DEBRIDEMENT","11043","HCPCS","Both",,,"367","183.5","Caresource","Health Exchange","",,"62",,"227.54","134.32","284.42","percent of total billed charges",,
"EXCISIONAL DEBRIDEMENT","11043","HCPCS","Both",,,"367","183.5","Cigna","Commercial","",,"59",,"215.06","134.32","284.42","percent of total billed charges",,
"EXCISIONAL DEBRIDEMENT","11043","HCPCS","Both",,,"367","183.5","Humana","Commercial","",,"78",,"284.42","134.32","284.42","percent of total billed charges",,
"EXCISIONAL DEBRIDEMENT","11043","HCPCS","Both",,,"367","183.5","UHC","Commercial","",,"75",,"276.72","134.32","284.42","percent of total billed charges",,
"EXCISIONAL DEBRIDEMENT","11043","HCPCS","Both",,,"367","183.5","Medicaid",,"",,"37",,"134.32","134.32","284.42","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Alliant","Health Exchange","",,"62",,"639.84","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Pruitt Healthcare","Medicare Advantage","",,"54",,"557.28","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Medicare",,"",,"54",,"559.34","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Humana","Medicare Advantage","",,"54",,"559.34","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","UHC","Medicare Advantage","",,"54",,"559.34","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Clover","Medicare Advantage","",,"54",,"559.34","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Wellcare","Medicare Advantage","",,"54",,"559.34","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Amerigroup","Medicaid Managed Care","",,"37",,"377.71","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Caresource","Medicaid Managed Care","",,"40",,"412.8","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Wellcare","Medicaid Managed Care","",,"40",,"417.96","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Aetna","Commercial","",,"64",,"658.42","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Blue Cross Blue Shield","Pathways","",,"71",,"728.59","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Blue Cross Blue Shield","HMO","",,"71",,"728.59","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Blue Cross Blue Shield","PPO","",,"71",,"728.59","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Ambetter","Health Exchange","",,"62",,"639.84","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Caresource","Health Exchange","",,"62",,"639.84","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Cigna","Commercial","",,"59",,"604.75","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Humana","Commercial","",,"78",,"799.8","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","UHC","Commercial","",,"75",,"778.13","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Medicaid",,"",,"37",,"377.71","377.71","799.8","percent of total billed charges",,
"SIGMOIDOSCOPY","45330","HCPCS","Both",,,"2390","1195","Alliant","Health Exchange","",,"62",,"1481.8","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY","45330","HCPCS","Both",,,"2390","1195","Pruitt Healthcare","Medicare Advantage","",,"54",,"1290.6","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY","45330","HCPCS","Both",,,"2390","1195","Medicare",,"",,"54",,"1295.38","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY","45330","HCPCS","Both",,,"2390","1195","Humana","Medicare Advantage","",,"54",,"1295.38","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY","45330","HCPCS","Both",,,"2390","1195","UHC","Medicare Advantage","",,"54",,"1295.38","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY","45330","HCPCS","Both",,,"2390","1195","Clover","Medicare Advantage","",,"54",,"1295.38","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY","45330","HCPCS","Both",,,"2390","1195","Wellcare","Medicare Advantage","",,"54",,"1295.38","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY","45330","HCPCS","Both",,,"2390","1195","Amerigroup","Medicaid Managed Care","",,"37",,"874.74","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY","45330","HCPCS","Both",,,"2390","1195","Caresource","Medicaid Managed Care","",,"40",,"956","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY","45330","HCPCS","Both",,,"2390","1195","Wellcare","Medicaid Managed Care","",,"40",,"967.95","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY","45330","HCPCS","Both",,,"2390","1195","Aetna","Commercial","",,"64",,"1524.82","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY","45330","HCPCS","Both",,,"2390","1195","Blue Cross Blue Shield","Pathways","",,"71",,"1687.34","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY","45330","HCPCS","Both",,,"2390","1195","Blue Cross Blue Shield","HMO","",,"71",,"1687.34","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY","45330","HCPCS","Both",,,"2390","1195","Blue Cross Blue Shield","PPO","",,"71",,"1687.34","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY","45330","HCPCS","Both",,,"2390","1195","Ambetter","Health Exchange","",,"62",,"1481.8","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY","45330","HCPCS","Both",,,"2390","1195","Caresource","Health Exchange","",,"62",,"1481.8","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY","45330","HCPCS","Both",,,"2390","1195","Cigna","Commercial","",,"59",,"1400.54","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY","45330","HCPCS","Both",,,"2390","1195","Humana","Commercial","",,"78",,"1852.25","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY","45330","HCPCS","Both",,,"2390","1195","UHC","Commercial","",,"75",,"1802.06","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY","45330","HCPCS","Both",,,"2390","1195","Medicaid",,"",,"37",,"874.74","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY WITH BIOPSY","45331","HCPCS","Both",,,"788","394","Alliant","Health Exchange","",,"62",,"488.56","288.41","610.7","percent of total billed charges",,
"SIGMOIDOSCOPY WITH BIOPSY","45331","HCPCS","Both",,,"788","394","Pruitt Healthcare","Medicare Advantage","",,"54",,"425.52","288.41","610.7","percent of total billed charges",,
"SIGMOIDOSCOPY WITH BIOPSY","45331","HCPCS","Both",,,"788","394","Medicare",,"",,"54",,"427.1","288.41","610.7","percent of total billed charges",,
"SIGMOIDOSCOPY WITH BIOPSY","45331","HCPCS","Both",,,"788","394","Humana","Medicare Advantage","",,"54",,"427.1","288.41","610.7","percent of total billed charges",,
"SIGMOIDOSCOPY WITH BIOPSY","45331","HCPCS","Both",,,"788","394","UHC","Medicare Advantage","",,"54",,"427.1","288.41","610.7","percent of total billed charges",,
"SIGMOIDOSCOPY WITH BIOPSY","45331","HCPCS","Both",,,"788","394","Clover","Medicare Advantage","",,"54",,"427.1","288.41","610.7","percent of total billed charges",,
"SIGMOIDOSCOPY WITH BIOPSY","45331","HCPCS","Both",,,"788","394","Wellcare","Medicare Advantage","",,"54",,"427.1","288.41","610.7","percent of total billed charges",,
"SIGMOIDOSCOPY WITH BIOPSY","45331","HCPCS","Both",,,"788","394","Amerigroup","Medicaid Managed Care","",,"37",,"288.41","288.41","610.7","percent of total billed charges",,
"SIGMOIDOSCOPY WITH BIOPSY","45331","HCPCS","Both",,,"788","394","Caresource","Medicaid Managed Care","",,"40",,"315.2","288.41","610.7","percent of total billed charges",,
"SIGMOIDOSCOPY WITH BIOPSY","45331","HCPCS","Both",,,"788","394","Wellcare","Medicaid Managed Care","",,"40",,"319.14","288.41","610.7","percent of total billed charges",,
"SIGMOIDOSCOPY WITH BIOPSY","45331","HCPCS","Both",,,"788","394","Aetna","Commercial","",,"64",,"502.74","288.41","610.7","percent of total billed charges",,
"SIGMOIDOSCOPY WITH BIOPSY","45331","HCPCS","Both",,,"788","394","Blue Cross Blue Shield","Pathways","",,"71",,"556.33","288.41","610.7","percent of total billed charges",,
"SIGMOIDOSCOPY WITH BIOPSY","45331","HCPCS","Both",,,"788","394","Blue Cross Blue Shield","HMO","",,"71",,"556.33","288.41","610.7","percent of total billed charges",,
"SIGMOIDOSCOPY WITH BIOPSY","45331","HCPCS","Both",,,"788","394","Blue Cross Blue Shield","PPO","",,"71",,"556.33","288.41","610.7","percent of total billed charges",,
"SIGMOIDOSCOPY WITH BIOPSY","45331","HCPCS","Both",,,"788","394","Ambetter","Health Exchange","",,"62",,"488.56","288.41","610.7","percent of total billed charges",,
"SIGMOIDOSCOPY WITH BIOPSY","45331","HCPCS","Both",,,"788","394","Caresource","Health Exchange","",,"62",,"488.56","288.41","610.7","percent of total billed charges",,
"SIGMOIDOSCOPY WITH BIOPSY","45331","HCPCS","Both",,,"788","394","Cigna","Commercial","",,"59",,"461.77","288.41","610.7","percent of total billed charges",,
"SIGMOIDOSCOPY WITH BIOPSY","45331","HCPCS","Both",,,"788","394","Humana","Commercial","",,"78",,"610.7","288.41","610.7","percent of total billed charges",,
"SIGMOIDOSCOPY WITH BIOPSY","45331","HCPCS","Both",,,"788","394","UHC","Commercial","",,"75",,"594.15","288.41","610.7","percent of total billed charges",,
"SIGMOIDOSCOPY WITH BIOPSY","45331","HCPCS","Both",,,"788","394","Medicaid",,"",,"37",,"288.41","288.41","610.7","percent of total billed charges",,
"SIGMOIDOSCOPY WITH POLYPECTOMY","45333","HCPCS","Both",,,"319","159.5","Alliant","Health Exchange","",,"62",,"197.78","116.75","247.22","percent of total billed charges",,
"SIGMOIDOSCOPY WITH POLYPECTOMY","45333","HCPCS","Both",,,"319","159.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"172.26","116.75","247.22","percent of total billed charges",,
"SIGMOIDOSCOPY WITH POLYPECTOMY","45333","HCPCS","Both",,,"319","159.5","Medicare",,"",,"54",,"172.9","116.75","247.22","percent of total billed charges",,
"SIGMOIDOSCOPY WITH POLYPECTOMY","45333","HCPCS","Both",,,"319","159.5","Humana","Medicare Advantage","",,"54",,"172.9","116.75","247.22","percent of total billed charges",,
"SIGMOIDOSCOPY WITH POLYPECTOMY","45333","HCPCS","Both",,,"319","159.5","UHC","Medicare Advantage","",,"54",,"172.9","116.75","247.22","percent of total billed charges",,
"SIGMOIDOSCOPY WITH POLYPECTOMY","45333","HCPCS","Both",,,"319","159.5","Clover","Medicare Advantage","",,"54",,"172.9","116.75","247.22","percent of total billed charges",,
"SIGMOIDOSCOPY WITH POLYPECTOMY","45333","HCPCS","Both",,,"319","159.5","Wellcare","Medicare Advantage","",,"54",,"172.9","116.75","247.22","percent of total billed charges",,
"SIGMOIDOSCOPY WITH POLYPECTOMY","45333","HCPCS","Both",,,"319","159.5","Amerigroup","Medicaid Managed Care","",,"37",,"116.75","116.75","247.22","percent of total billed charges",,
"SIGMOIDOSCOPY WITH POLYPECTOMY","45333","HCPCS","Both",,,"319","159.5","Caresource","Medicaid Managed Care","",,"40",,"127.6","116.75","247.22","percent of total billed charges",,
"SIGMOIDOSCOPY WITH POLYPECTOMY","45333","HCPCS","Both",,,"319","159.5","Wellcare","Medicaid Managed Care","",,"40",,"129.2","116.75","247.22","percent of total billed charges",,
"SIGMOIDOSCOPY WITH POLYPECTOMY","45333","HCPCS","Both",,,"319","159.5","Aetna","Commercial","",,"64",,"203.52","116.75","247.22","percent of total billed charges",,
"SIGMOIDOSCOPY WITH POLYPECTOMY","45333","HCPCS","Both",,,"319","159.5","Blue Cross Blue Shield","Pathways","",,"71",,"225.21","116.75","247.22","percent of total billed charges",,
"SIGMOIDOSCOPY WITH POLYPECTOMY","45333","HCPCS","Both",,,"319","159.5","Blue Cross Blue Shield","HMO","",,"71",,"225.21","116.75","247.22","percent of total billed charges",,
"SIGMOIDOSCOPY WITH POLYPECTOMY","45333","HCPCS","Both",,,"319","159.5","Blue Cross Blue Shield","PPO","",,"71",,"225.21","116.75","247.22","percent of total billed charges",,
"SIGMOIDOSCOPY WITH POLYPECTOMY","45333","HCPCS","Both",,,"319","159.5","Ambetter","Health Exchange","",,"62",,"197.78","116.75","247.22","percent of total billed charges",,
"SIGMOIDOSCOPY WITH POLYPECTOMY","45333","HCPCS","Both",,,"319","159.5","Caresource","Health Exchange","",,"62",,"197.78","116.75","247.22","percent of total billed charges",,
"SIGMOIDOSCOPY WITH POLYPECTOMY","45333","HCPCS","Both",,,"319","159.5","Cigna","Commercial","",,"59",,"186.93","116.75","247.22","percent of total billed charges",,
"SIGMOIDOSCOPY WITH POLYPECTOMY","45333","HCPCS","Both",,,"319","159.5","Humana","Commercial","",,"78",,"247.22","116.75","247.22","percent of total billed charges",,
"SIGMOIDOSCOPY WITH POLYPECTOMY","45333","HCPCS","Both",,,"319","159.5","UHC","Commercial","",,"75",,"240.53","116.75","247.22","percent of total billed charges",,
"SIGMOIDOSCOPY WITH POLYPECTOMY","45333","HCPCS","Both",,,"319","159.5","Medicaid",,"",,"37",,"116.75","116.75","247.22","percent of total billed charges",,
"COLONOSCOPY WITH BIOPSY","45384","HCPCS","Both",,,"1295","647.5","Alliant","Health Exchange","",,"62",,"802.9","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY WITH BIOPSY","45384","HCPCS","Both",,,"1295","647.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"699.3","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY WITH BIOPSY","45384","HCPCS","Both",,,"1295","647.5","Medicare",,"",,"54",,"701.89","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY WITH BIOPSY","45384","HCPCS","Both",,,"1295","647.5","Humana","Medicare Advantage","",,"54",,"701.89","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY WITH BIOPSY","45384","HCPCS","Both",,,"1295","647.5","UHC","Medicare Advantage","",,"54",,"701.89","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY WITH BIOPSY","45384","HCPCS","Both",,,"1295","647.5","Clover","Medicare Advantage","",,"54",,"701.89","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY WITH BIOPSY","45384","HCPCS","Both",,,"1295","647.5","Wellcare","Medicare Advantage","",,"54",,"701.89","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY WITH BIOPSY","45384","HCPCS","Both",,,"1295","647.5","Amerigroup","Medicaid Managed Care","",,"37",,"473.97","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY WITH BIOPSY","45384","HCPCS","Both",,,"1295","647.5","Caresource","Medicaid Managed Care","",,"40",,"518","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY WITH BIOPSY","45384","HCPCS","Both",,,"1295","647.5","Wellcare","Medicaid Managed Care","",,"40",,"524.48","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY WITH BIOPSY","45384","HCPCS","Both",,,"1295","647.5","Aetna","Commercial","",,"64",,"826.21","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY WITH BIOPSY","45384","HCPCS","Both",,,"1295","647.5","Blue Cross Blue Shield","Pathways","",,"71",,"914.27","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY WITH BIOPSY","45384","HCPCS","Both",,,"1295","647.5","Blue Cross Blue Shield","HMO","",,"71",,"914.27","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY WITH BIOPSY","45384","HCPCS","Both",,,"1295","647.5","Blue Cross Blue Shield","PPO","",,"71",,"914.27","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY WITH BIOPSY","45384","HCPCS","Both",,,"1295","647.5","Ambetter","Health Exchange","",,"62",,"802.9","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY WITH BIOPSY","45384","HCPCS","Both",,,"1295","647.5","Caresource","Health Exchange","",,"62",,"802.9","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY WITH BIOPSY","45384","HCPCS","Both",,,"1295","647.5","Cigna","Commercial","",,"59",,"758.87","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY WITH BIOPSY","45384","HCPCS","Both",,,"1295","647.5","Humana","Commercial","",,"78",,"1003.62","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY WITH BIOPSY","45384","HCPCS","Both",,,"1295","647.5","UHC","Commercial","",,"75",,"976.43","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY WITH BIOPSY","45384","HCPCS","Both",,,"1295","647.5","Medicaid",,"",,"37",,"473.97","473.97","1003.62","percent of total billed charges",,
"FLEX SIG WITH EXCISION OF LESIONS","45338","HCPCS","Both",,,"293","146.5","Alliant","Health Exchange","",,"62",,"181.66","107.24","1731.35","percent of total billed charges",,
"FLEX SIG WITH EXCISION OF LESIONS","45338","HCPCS","Both",,,"293","146.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"158.22","107.24","1731.35","percent of total billed charges",,
"FLEX SIG WITH EXCISION OF LESIONS","45338","HCPCS","Both",,,"293","146.5","Medicare",,"",,"54",,"158.81","107.24","1731.35","percent of total billed charges",,
"FLEX SIG WITH EXCISION OF LESIONS","45338","HCPCS","Both",,,"293","146.5","Humana","Medicare Advantage","",,"54",,"158.81","107.24","1731.35","percent of total billed charges",,
"FLEX SIG WITH EXCISION OF LESIONS","45338","HCPCS","Both",,,"293","146.5","UHC","Medicare Advantage","",,"54",,"158.81","107.24","1731.35","percent of total billed charges",,
"FLEX SIG WITH EXCISION OF LESIONS","45338","HCPCS","Both",,,"293","146.5","Clover","Medicare Advantage","",,"54",,"158.81","107.24","1731.35","percent of total billed charges",,
"FLEX SIG WITH EXCISION OF LESIONS","45338","HCPCS","Both",,,"293","146.5","Wellcare","Medicare Advantage","",,"54",,"158.81","107.24","1731.35","percent of total billed charges",,
"FLEX SIG WITH EXCISION OF LESIONS","45338","HCPCS","Both",,,"293","146.5","Amerigroup","Medicaid Managed Care","",,"37",,"107.24","107.24","1731.35","percent of total billed charges",,
"FLEX SIG WITH EXCISION OF LESIONS","45338","HCPCS","Both",,,"293","146.5","Caresource","Medicaid Managed Care","",,"40",,"117.2","107.24","1731.35","percent of total billed charges",,
"FLEX SIG WITH EXCISION OF LESIONS","45338","HCPCS","Both",,,"293","146.5","Wellcare","Medicaid Managed Care","",,"40",,"118.66","107.24","1731.35","percent of total billed charges",,
"FLEX SIG WITH EXCISION OF LESIONS","45338","HCPCS","Both",,,"293","146.5","Aetna","Commercial","",,"64",,"186.93","107.24","1731.35","percent of total billed charges",,
"FLEX SIG WITH EXCISION OF LESIONS","45338","HCPCS","Both",,,"293","146.5","Blue Cross Blue Shield","Pathways","",,"71",,"206.86","107.24","1731.35","percent of total billed charges",,
"FLEX SIG WITH EXCISION OF LESIONS","45338","HCPCS","Both",,,"293","146.5","Blue Cross Blue Shield","HMO","",,"71",,"206.86","107.24","1731.35","percent of total billed charges",,
"FLEX SIG WITH EXCISION OF LESIONS","45338","HCPCS","Both",,,"293","146.5","Blue Cross Blue Shield","PPO","",,"71",,"206.86","107.24","1731.35","percent of total billed charges",,
"FLEX SIG WITH EXCISION OF LESIONS","45338","HCPCS","Both",,,"293","146.5","Ambetter","Health Exchange","",,"62",,"181.66","107.24","1731.35","percent of total billed charges",,
"FLEX SIG WITH EXCISION OF LESIONS","45338","HCPCS","Both",,,"293","146.5","Caresource","Health Exchange","",,"62",,"181.66","107.24","1731.35","percent of total billed charges",,
"FLEX SIG WITH EXCISION OF LESIONS","45338","HCPCS","Both",,,"293","146.5","Cigna","Commercial","",,"59",,"171.7","107.24","1731.35","percent of total billed charges",,
"FLEX SIG WITH EXCISION OF LESIONS","45338","HCPCS","Both",,,"293","146.5","Humana","Commercial","",,"78",,"227.08","107.24","1731.35","percent of total billed charges",,
"FLEX SIG WITH EXCISION OF LESIONS","45338","HCPCS","Both",,,"293","146.5","UHC","Commercial","",,"75",,"220.92","107.24","1731.35","percent of total billed charges",,
"FLEX SIG WITH EXCISION OF LESIONS","45338","HCPCS","Both",,,"293","146.5","Medicaid",,"",,"37",,"107.24","107.24","1731.35","percent of total billed charges",,
"EXCISION OF HEMORROID","46320","HCPCS","Both",,,"107","53.5","Alliant","Health Exchange","",,"62",,"66.34","39.16","82.92","percent of total billed charges",,
"EXCISION OF HEMORROID","46320","HCPCS","Both",,,"107","53.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"57.78","39.16","82.92","percent of total billed charges",,
"EXCISION OF HEMORROID","46320","HCPCS","Both",,,"107","53.5","Medicare",,"",,"54",,"57.99","39.16","82.92","percent of total billed charges",,
"EXCISION OF HEMORROID","46320","HCPCS","Both",,,"107","53.5","Humana","Medicare Advantage","",,"54",,"57.99","39.16","82.92","percent of total billed charges",,
"EXCISION OF HEMORROID","46320","HCPCS","Both",,,"107","53.5","UHC","Medicare Advantage","",,"54",,"57.99","39.16","82.92","percent of total billed charges",,
"EXCISION OF HEMORROID","46320","HCPCS","Both",,,"107","53.5","Clover","Medicare Advantage","",,"54",,"57.99","39.16","82.92","percent of total billed charges",,
"EXCISION OF HEMORROID","46320","HCPCS","Both",,,"107","53.5","Wellcare","Medicare Advantage","",,"54",,"57.99","39.16","82.92","percent of total billed charges",,
"EXCISION OF HEMORROID","46320","HCPCS","Both",,,"107","53.5","Amerigroup","Medicaid Managed Care","",,"37",,"39.16","39.16","82.92","percent of total billed charges",,
"EXCISION OF HEMORROID","46320","HCPCS","Both",,,"107","53.5","Caresource","Medicaid Managed Care","",,"40",,"42.8","39.16","82.92","percent of total billed charges",,
"EXCISION OF HEMORROID","46320","HCPCS","Both",,,"107","53.5","Wellcare","Medicaid Managed Care","",,"40",,"43.34","39.16","82.92","percent of total billed charges",,
"EXCISION OF HEMORROID","46320","HCPCS","Both",,,"107","53.5","Aetna","Commercial","",,"64",,"68.27","39.16","82.92","percent of total billed charges",,
"EXCISION OF HEMORROID","46320","HCPCS","Both",,,"107","53.5","Blue Cross Blue Shield","Pathways","",,"71",,"75.54","39.16","82.92","percent of total billed charges",,
"EXCISION OF HEMORROID","46320","HCPCS","Both",,,"107","53.5","Blue Cross Blue Shield","HMO","",,"71",,"75.54","39.16","82.92","percent of total billed charges",,
"EXCISION OF HEMORROID","46320","HCPCS","Both",,,"107","53.5","Blue Cross Blue Shield","PPO","",,"71",,"75.54","39.16","82.92","percent of total billed charges",,
"EXCISION OF HEMORROID","46320","HCPCS","Both",,,"107","53.5","Ambetter","Health Exchange","",,"62",,"66.34","39.16","82.92","percent of total billed charges",,
"EXCISION OF HEMORROID","46320","HCPCS","Both",,,"107","53.5","Caresource","Health Exchange","",,"62",,"66.34","39.16","82.92","percent of total billed charges",,
"EXCISION OF HEMORROID","46320","HCPCS","Both",,,"107","53.5","Cigna","Commercial","",,"59",,"62.7","39.16","82.92","percent of total billed charges",,
"EXCISION OF HEMORROID","46320","HCPCS","Both",,,"107","53.5","Humana","Commercial","",,"78",,"82.92","39.16","82.92","percent of total billed charges",,
"EXCISION OF HEMORROID","46320","HCPCS","Both",,,"107","53.5","UHC","Commercial","",,"75",,"80.68","39.16","82.92","percent of total billed charges",,
"EXCISION OF HEMORROID","46320","HCPCS","Both",,,"107","53.5","Medicaid",,"",,"37",,"39.16","39.16","82.92","percent of total billed charges",,
"D & C","58120","HCPCS","Both",,,"638","319","Alliant","Health Exchange","",,"62",,"395.56","233.51","494.45","percent of total billed charges",,
"D & C","58120","HCPCS","Both",,,"638","319","Pruitt Healthcare","Medicare Advantage","",,"54",,"344.52","233.51","494.45","percent of total billed charges",,
"D & C","58120","HCPCS","Both",,,"638","319","Medicare",,"",,"54",,"345.8","233.51","494.45","percent of total billed charges",,
"D & C","58120","HCPCS","Both",,,"638","319","Humana","Medicare Advantage","",,"54",,"345.8","233.51","494.45","percent of total billed charges",,
"D & C","58120","HCPCS","Both",,,"638","319","UHC","Medicare Advantage","",,"54",,"345.8","233.51","494.45","percent of total billed charges",,
"D & C","58120","HCPCS","Both",,,"638","319","Clover","Medicare Advantage","",,"54",,"345.8","233.51","494.45","percent of total billed charges",,
"D & C","58120","HCPCS","Both",,,"638","319","Wellcare","Medicare Advantage","",,"54",,"345.8","233.51","494.45","percent of total billed charges",,
"D & C","58120","HCPCS","Both",,,"638","319","Amerigroup","Medicaid Managed Care","",,"37",,"233.51","233.51","494.45","percent of total billed charges",,
"D & C","58120","HCPCS","Both",,,"638","319","Caresource","Medicaid Managed Care","",,"40",,"255.2","233.51","494.45","percent of total billed charges",,
"D & C","58120","HCPCS","Both",,,"638","319","Wellcare","Medicaid Managed Care","",,"40",,"258.39","233.51","494.45","percent of total billed charges",,
"D & C","58120","HCPCS","Both",,,"638","319","Aetna","Commercial","",,"64",,"407.04","233.51","494.45","percent of total billed charges",,
"D & C","58120","HCPCS","Both",,,"638","319","Blue Cross Blue Shield","Pathways","",,"71",,"450.43","233.51","494.45","percent of total billed charges",,
"D & C","58120","HCPCS","Both",,,"638","319","Blue Cross Blue Shield","HMO","",,"71",,"450.43","233.51","494.45","percent of total billed charges",,
"D & C","58120","HCPCS","Both",,,"638","319","Blue Cross Blue Shield","PPO","",,"71",,"450.43","233.51","494.45","percent of total billed charges",,
"D & C","58120","HCPCS","Both",,,"638","319","Ambetter","Health Exchange","",,"62",,"395.56","233.51","494.45","percent of total billed charges",,
"D & C","58120","HCPCS","Both",,,"638","319","Caresource","Health Exchange","",,"62",,"395.56","233.51","494.45","percent of total billed charges",,
"D & C","58120","HCPCS","Both",,,"638","319","Cigna","Commercial","",,"59",,"373.87","233.51","494.45","percent of total billed charges",,
"D & C","58120","HCPCS","Both",,,"638","319","Humana","Commercial","",,"78",,"494.45","233.51","494.45","percent of total billed charges",,
"D & C","58120","HCPCS","Both",,,"638","319","UHC","Commercial","",,"75",,"481.05","233.51","494.45","percent of total billed charges",,
"D & C","58120","HCPCS","Both",,,"638","319","Medicaid",,"",,"37",,"233.51","233.51","494.45","percent of total billed charges",,
"EXCISION BREAST BIOPSY","19125","HCPCS","Both",,,"500","250","Alliant","Health Exchange","",,"62",,"310","183","387.5","percent of total billed charges",,
"EXCISION BREAST BIOPSY","19125","HCPCS","Both",,,"500","250","Pruitt Healthcare","Medicare Advantage","",,"54",,"270","183","387.5","percent of total billed charges",,
"EXCISION BREAST BIOPSY","19125","HCPCS","Both",,,"500","250","Medicare",,"",,"54",,"271","183","387.5","percent of total billed charges",,
"EXCISION BREAST BIOPSY","19125","HCPCS","Both",,,"500","250","Humana","Medicare Advantage","",,"54",,"271","183","387.5","percent of total billed charges",,
"EXCISION BREAST BIOPSY","19125","HCPCS","Both",,,"500","250","UHC","Medicare Advantage","",,"54",,"271","183","387.5","percent of total billed charges",,
"EXCISION BREAST BIOPSY","19125","HCPCS","Both",,,"500","250","Clover","Medicare Advantage","",,"54",,"271","183","387.5","percent of total billed charges",,
"EXCISION BREAST BIOPSY","19125","HCPCS","Both",,,"500","250","Wellcare","Medicare Advantage","",,"54",,"271","183","387.5","percent of total billed charges",,
"EXCISION BREAST BIOPSY","19125","HCPCS","Both",,,"500","250","Amerigroup","Medicaid Managed Care","",,"37",,"183","183","387.5","percent of total billed charges",,
"EXCISION BREAST BIOPSY","19125","HCPCS","Both",,,"500","250","Caresource","Medicaid Managed Care","",,"40",,"200","183","387.5","percent of total billed charges",,
"EXCISION BREAST BIOPSY","19125","HCPCS","Both",,,"500","250","Wellcare","Medicaid Managed Care","",,"40",,"202.5","183","387.5","percent of total billed charges",,
"EXCISION BREAST BIOPSY","19125","HCPCS","Both",,,"500","250","Aetna","Commercial","",,"64",,"319","183","387.5","percent of total billed charges",,
"EXCISION BREAST BIOPSY","19125","HCPCS","Both",,,"500","250","Blue Cross Blue Shield","Pathways","",,"71",,"353","183","387.5","percent of total billed charges",,
"EXCISION BREAST BIOPSY","19125","HCPCS","Both",,,"500","250","Blue Cross Blue Shield","HMO","",,"71",,"353","183","387.5","percent of total billed charges",,
"EXCISION BREAST BIOPSY","19125","HCPCS","Both",,,"500","250","Blue Cross Blue Shield","PPO","",,"71",,"353","183","387.5","percent of total billed charges",,
"EXCISION BREAST BIOPSY","19125","HCPCS","Both",,,"500","250","Ambetter","Health Exchange","",,"62",,"310","183","387.5","percent of total billed charges",,
"EXCISION BREAST BIOPSY","19125","HCPCS","Both",,,"500","250","Caresource","Health Exchange","",,"62",,"310","183","387.5","percent of total billed charges",,
"EXCISION BREAST BIOPSY","19125","HCPCS","Both",,,"500","250","Cigna","Commercial","",,"59",,"293","183","387.5","percent of total billed charges",,
"EXCISION BREAST BIOPSY","19125","HCPCS","Both",,,"500","250","Humana","Commercial","",,"78",,"387.5","183","387.5","percent of total billed charges",,
"EXCISION BREAST BIOPSY","19125","HCPCS","Both",,,"500","250","UHC","Commercial","",,"75",,"377","183","387.5","percent of total billed charges",,
"EXCISION BREAST BIOPSY","19125","HCPCS","Both",,,"500","250","Medicaid",,"",,"37",,"183","183","387.5","percent of total billed charges",,
"RECTAL I & D","46040","HCPCS","Both",,,"400","200","Alliant","Health Exchange","",,"62",,"248","146.4","3094.19","percent of total billed charges",,
"RECTAL I & D","46040","HCPCS","Both",,,"400","200","Pruitt Healthcare","Medicare Advantage","",,"54",,"216","146.4","3094.19","percent of total billed charges",,
"RECTAL I & D","46040","HCPCS","Both",,,"400","200","Medicare",,"",,"54",,"216.8","146.4","3094.19","percent of total billed charges",,
"RECTAL I & D","46040","HCPCS","Both",,,"400","200","Humana","Medicare Advantage","",,"54",,"216.8","146.4","3094.19","percent of total billed charges",,
"RECTAL I & D","46040","HCPCS","Both",,,"400","200","UHC","Medicare Advantage","",,"54",,"216.8","146.4","3094.19","percent of total billed charges",,
"RECTAL I & D","46040","HCPCS","Both",,,"400","200","Clover","Medicare Advantage","",,"54",,"216.8","146.4","3094.19","percent of total billed charges",,
"RECTAL I & D","46040","HCPCS","Both",,,"400","200","Wellcare","Medicare Advantage","",,"54",,"216.8","146.4","3094.19","percent of total billed charges",,
"RECTAL I & D","46040","HCPCS","Both",,,"400","200","Amerigroup","Medicaid Managed Care","",,"37",,"146.4","146.4","3094.19","percent of total billed charges",,
"RECTAL I & D","46040","HCPCS","Both",,,"400","200","Caresource","Medicaid Managed Care","",,"40",,"160","146.4","3094.19","percent of total billed charges",,
"RECTAL I & D","46040","HCPCS","Both",,,"400","200","Wellcare","Medicaid Managed Care","",,"40",,"162","146.4","3094.19","percent of total billed charges",,
"RECTAL I & D","46040","HCPCS","Both",,,"400","200","Aetna","Commercial","",,"64",,"255.2","146.4","3094.19","percent of total billed charges",,
"RECTAL I & D","46040","HCPCS","Both",,,"400","200","Blue Cross Blue Shield","Pathways","",,"71",,"282.4","146.4","3094.19","percent of total billed charges",,
"RECTAL I & D","46040","HCPCS","Both",,,"400","200","Blue Cross Blue Shield","HMO","",,"71",,"282.4","146.4","3094.19","percent of total billed charges",,
"RECTAL I & D","46040","HCPCS","Both",,,"400","200","Blue Cross Blue Shield","PPO","",,"71",,"282.4","146.4","3094.19","percent of total billed charges",,
"RECTAL I & D","46040","HCPCS","Both",,,"400","200","Ambetter","Health Exchange","",,"62",,"248","146.4","3094.19","percent of total billed charges",,
"RECTAL I & D","46040","HCPCS","Both",,,"400","200","Caresource","Health Exchange","",,"62",,"248","146.4","3094.19","percent of total billed charges",,
"RECTAL I & D","46040","HCPCS","Both",,,"400","200","Cigna","Commercial","",,"59",,"234.4","146.4","3094.19","percent of total billed charges",,
"RECTAL I & D","46040","HCPCS","Both",,,"400","200","Humana","Commercial","",,"78",,"310","146.4","3094.19","percent of total billed charges",,
"RECTAL I & D","46040","HCPCS","Both",,,"400","200","UHC","Commercial","",,"75",,"301.6","146.4","3094.19","percent of total billed charges",,
"RECTAL I & D","46040","HCPCS","Both",,,"400","200","Medicaid",,"",,"37",,"146.4","146.4","3094.19","percent of total billed charges",,
"EXPLORATORY LAP","49000","HCPCS","Both",,,"918","459","Alliant","Health Exchange","",,"62",,"569.16","335.99","711.45","percent of total billed charges",,
"EXPLORATORY LAP","49000","HCPCS","Both",,,"918","459","Pruitt Healthcare","Medicare Advantage","",,"54",,"495.72","335.99","711.45","percent of total billed charges",,
"EXPLORATORY LAP","49000","HCPCS","Both",,,"918","459","Medicare",,"",,"54",,"497.56","335.99","711.45","percent of total billed charges",,
"EXPLORATORY LAP","49000","HCPCS","Both",,,"918","459","Humana","Medicare Advantage","",,"54",,"497.56","335.99","711.45","percent of total billed charges",,
"EXPLORATORY LAP","49000","HCPCS","Both",,,"918","459","UHC","Medicare Advantage","",,"54",,"497.56","335.99","711.45","percent of total billed charges",,
"EXPLORATORY LAP","49000","HCPCS","Both",,,"918","459","Clover","Medicare Advantage","",,"54",,"497.56","335.99","711.45","percent of total billed charges",,
"EXPLORATORY LAP","49000","HCPCS","Both",,,"918","459","Wellcare","Medicare Advantage","",,"54",,"497.56","335.99","711.45","percent of total billed charges",,
"EXPLORATORY LAP","49000","HCPCS","Both",,,"918","459","Amerigroup","Medicaid Managed Care","",,"37",,"335.99","335.99","711.45","percent of total billed charges",,
"EXPLORATORY LAP","49000","HCPCS","Both",,,"918","459","Caresource","Medicaid Managed Care","",,"40",,"367.2","335.99","711.45","percent of total billed charges",,
"EXPLORATORY LAP","49000","HCPCS","Both",,,"918","459","Wellcare","Medicaid Managed Care","",,"40",,"371.79","335.99","711.45","percent of total billed charges",,
"EXPLORATORY LAP","49000","HCPCS","Both",,,"918","459","Aetna","Commercial","",,"64",,"585.68","335.99","711.45","percent of total billed charges",,
"EXPLORATORY LAP","49000","HCPCS","Both",,,"918","459","Blue Cross Blue Shield","Pathways","",,"71",,"648.11","335.99","711.45","percent of total billed charges",,
"EXPLORATORY LAP","49000","HCPCS","Both",,,"918","459","Blue Cross Blue Shield","HMO","",,"71",,"648.11","335.99","711.45","percent of total billed charges",,
"EXPLORATORY LAP","49000","HCPCS","Both",,,"918","459","Blue Cross Blue Shield","PPO","",,"71",,"648.11","335.99","711.45","percent of total billed charges",,
"EXPLORATORY LAP","49000","HCPCS","Both",,,"918","459","Ambetter","Health Exchange","",,"62",,"569.16","335.99","711.45","percent of total billed charges",,
"EXPLORATORY LAP","49000","HCPCS","Both",,,"918","459","Caresource","Health Exchange","",,"62",,"569.16","335.99","711.45","percent of total billed charges",,
"EXPLORATORY LAP","49000","HCPCS","Both",,,"918","459","Cigna","Commercial","",,"59",,"537.95","335.99","711.45","percent of total billed charges",,
"EXPLORATORY LAP","49000","HCPCS","Both",,,"918","459","Humana","Commercial","",,"78",,"711.45","335.99","711.45","percent of total billed charges",,
"EXPLORATORY LAP","49000","HCPCS","Both",,,"918","459","UHC","Commercial","",,"75",,"692.17","335.99","711.45","percent of total billed charges",,
"EXPLORATORY LAP","49000","HCPCS","Both",,,"918","459","Medicaid",,"",,"37",,"335.99","335.99","711.45","percent of total billed charges",,
"LYSIS OF ADHESIONS","44005","HCPCS","Both",,,"1143","571.5","Alliant","Health Exchange","",,"62",,"708.66","418.34","885.82","percent of total billed charges",,
"LYSIS OF ADHESIONS","44005","HCPCS","Both",,,"1143","571.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"617.22","418.34","885.82","percent of total billed charges",,
"LYSIS OF ADHESIONS","44005","HCPCS","Both",,,"1143","571.5","Medicare",,"",,"54",,"619.51","418.34","885.82","percent of total billed charges",,
"LYSIS OF ADHESIONS","44005","HCPCS","Both",,,"1143","571.5","Humana","Medicare Advantage","",,"54",,"619.51","418.34","885.82","percent of total billed charges",,
"LYSIS OF ADHESIONS","44005","HCPCS","Both",,,"1143","571.5","UHC","Medicare Advantage","",,"54",,"619.51","418.34","885.82","percent of total billed charges",,
"LYSIS OF ADHESIONS","44005","HCPCS","Both",,,"1143","571.5","Clover","Medicare Advantage","",,"54",,"619.51","418.34","885.82","percent of total billed charges",,
"LYSIS OF ADHESIONS","44005","HCPCS","Both",,,"1143","571.5","Wellcare","Medicare Advantage","",,"54",,"619.51","418.34","885.82","percent of total billed charges",,
"LYSIS OF ADHESIONS","44005","HCPCS","Both",,,"1143","571.5","Amerigroup","Medicaid Managed Care","",,"37",,"418.34","418.34","885.82","percent of total billed charges",,
"LYSIS OF ADHESIONS","44005","HCPCS","Both",,,"1143","571.5","Caresource","Medicaid Managed Care","",,"40",,"457.2","418.34","885.82","percent of total billed charges",,
"LYSIS OF ADHESIONS","44005","HCPCS","Both",,,"1143","571.5","Wellcare","Medicaid Managed Care","",,"40",,"462.92","418.34","885.82","percent of total billed charges",,
"LYSIS OF ADHESIONS","44005","HCPCS","Both",,,"1143","571.5","Aetna","Commercial","",,"64",,"729.23","418.34","885.82","percent of total billed charges",,
"LYSIS OF ADHESIONS","44005","HCPCS","Both",,,"1143","571.5","Blue Cross Blue Shield","Pathways","",,"71",,"806.96","418.34","885.82","percent of total billed charges",,
"LYSIS OF ADHESIONS","44005","HCPCS","Both",,,"1143","571.5","Blue Cross Blue Shield","HMO","",,"71",,"806.96","418.34","885.82","percent of total billed charges",,
"LYSIS OF ADHESIONS","44005","HCPCS","Both",,,"1143","571.5","Blue Cross Blue Shield","PPO","",,"71",,"806.96","418.34","885.82","percent of total billed charges",,
"LYSIS OF ADHESIONS","44005","HCPCS","Both",,,"1143","571.5","Ambetter","Health Exchange","",,"62",,"708.66","418.34","885.82","percent of total billed charges",,
"LYSIS OF ADHESIONS","44005","HCPCS","Both",,,"1143","571.5","Caresource","Health Exchange","",,"62",,"708.66","418.34","885.82","percent of total billed charges",,
"LYSIS OF ADHESIONS","44005","HCPCS","Both",,,"1143","571.5","Cigna","Commercial","",,"59",,"669.8","418.34","885.82","percent of total billed charges",,
"LYSIS OF ADHESIONS","44005","HCPCS","Both",,,"1143","571.5","Humana","Commercial","",,"78",,"885.82","418.34","885.82","percent of total billed charges",,
"LYSIS OF ADHESIONS","44005","HCPCS","Both",,,"1143","571.5","UHC","Commercial","",,"75",,"861.82","418.34","885.82","percent of total billed charges",,
"LYSIS OF ADHESIONS","44005","HCPCS","Both",,,"1143","571.5","Medicaid",,"",,"37",,"418.34","418.34","885.82","percent of total billed charges",,
"ORCHIECTOMY","54520","HCPCS","Both",,,"699","349.5","Alliant","Health Exchange","",,"62",,"433.38","255.83","541.72","percent of total billed charges",,
"ORCHIECTOMY","54520","HCPCS","Both",,,"699","349.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"377.46","255.83","541.72","percent of total billed charges",,
"ORCHIECTOMY","54520","HCPCS","Both",,,"699","349.5","Medicare",,"",,"54",,"378.86","255.83","541.72","percent of total billed charges",,
"ORCHIECTOMY","54520","HCPCS","Both",,,"699","349.5","Humana","Medicare Advantage","",,"54",,"378.86","255.83","541.72","percent of total billed charges",,
"ORCHIECTOMY","54520","HCPCS","Both",,,"699","349.5","UHC","Medicare Advantage","",,"54",,"378.86","255.83","541.72","percent of total billed charges",,
"ORCHIECTOMY","54520","HCPCS","Both",,,"699","349.5","Clover","Medicare Advantage","",,"54",,"378.86","255.83","541.72","percent of total billed charges",,
"ORCHIECTOMY","54520","HCPCS","Both",,,"699","349.5","Wellcare","Medicare Advantage","",,"54",,"378.86","255.83","541.72","percent of total billed charges",,
"ORCHIECTOMY","54520","HCPCS","Both",,,"699","349.5","Amerigroup","Medicaid Managed Care","",,"37",,"255.83","255.83","541.72","percent of total billed charges",,
"ORCHIECTOMY","54520","HCPCS","Both",,,"699","349.5","Caresource","Medicaid Managed Care","",,"40",,"279.6","255.83","541.72","percent of total billed charges",,
"ORCHIECTOMY","54520","HCPCS","Both",,,"699","349.5","Wellcare","Medicaid Managed Care","",,"40",,"283.1","255.83","541.72","percent of total billed charges",,
"ORCHIECTOMY","54520","HCPCS","Both",,,"699","349.5","Aetna","Commercial","",,"64",,"445.96","255.83","541.72","percent of total billed charges",,
"ORCHIECTOMY","54520","HCPCS","Both",,,"699","349.5","Blue Cross Blue Shield","Pathways","",,"71",,"493.49","255.83","541.72","percent of total billed charges",,
"ORCHIECTOMY","54520","HCPCS","Both",,,"699","349.5","Blue Cross Blue Shield","HMO","",,"71",,"493.49","255.83","541.72","percent of total billed charges",,
"ORCHIECTOMY","54520","HCPCS","Both",,,"699","349.5","Blue Cross Blue Shield","PPO","",,"71",,"493.49","255.83","541.72","percent of total billed charges",,
"ORCHIECTOMY","54520","HCPCS","Both",,,"699","349.5","Ambetter","Health Exchange","",,"62",,"433.38","255.83","541.72","percent of total billed charges",,
"ORCHIECTOMY","54520","HCPCS","Both",,,"699","349.5","Caresource","Health Exchange","",,"62",,"433.38","255.83","541.72","percent of total billed charges",,
"ORCHIECTOMY","54520","HCPCS","Both",,,"699","349.5","Cigna","Commercial","",,"59",,"409.61","255.83","541.72","percent of total billed charges",,
"ORCHIECTOMY","54520","HCPCS","Both",,,"699","349.5","Humana","Commercial","",,"78",,"541.72","255.83","541.72","percent of total billed charges",,
"ORCHIECTOMY","54520","HCPCS","Both",,,"699","349.5","UHC","Commercial","",,"75",,"527.05","255.83","541.72","percent of total billed charges",,
"ORCHIECTOMY","54520","HCPCS","Both",,,"699","349.5","Medicaid",,"",,"37",,"255.83","255.83","541.72","percent of total billed charges",,
"EXPLORATORY L INGUIAL HERINA","49507","HCPCS","Both",,,"1077","538.5","Alliant","Health Exchange","",,"62",,"667.74","394.18","834.68","percent of total billed charges",,
"EXPLORATORY L INGUIAL HERINA","49507","HCPCS","Both",,,"1077","538.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"581.58","394.18","834.68","percent of total billed charges",,
"EXPLORATORY L INGUIAL HERINA","49507","HCPCS","Both",,,"1077","538.5","Medicare",,"",,"54",,"583.73","394.18","834.68","percent of total billed charges",,
"EXPLORATORY L INGUIAL HERINA","49507","HCPCS","Both",,,"1077","538.5","Humana","Medicare Advantage","",,"54",,"583.73","394.18","834.68","percent of total billed charges",,
"EXPLORATORY L INGUIAL HERINA","49507","HCPCS","Both",,,"1077","538.5","UHC","Medicare Advantage","",,"54",,"583.73","394.18","834.68","percent of total billed charges",,
"EXPLORATORY L INGUIAL HERINA","49507","HCPCS","Both",,,"1077","538.5","Clover","Medicare Advantage","",,"54",,"583.73","394.18","834.68","percent of total billed charges",,
"EXPLORATORY L INGUIAL HERINA","49507","HCPCS","Both",,,"1077","538.5","Wellcare","Medicare Advantage","",,"54",,"583.73","394.18","834.68","percent of total billed charges",,
"EXPLORATORY L INGUIAL HERINA","49507","HCPCS","Both",,,"1077","538.5","Amerigroup","Medicaid Managed Care","",,"37",,"394.18","394.18","834.68","percent of total billed charges",,
"EXPLORATORY L INGUIAL HERINA","49507","HCPCS","Both",,,"1077","538.5","Caresource","Medicaid Managed Care","",,"40",,"430.8","394.18","834.68","percent of total billed charges",,
"EXPLORATORY L INGUIAL HERINA","49507","HCPCS","Both",,,"1077","538.5","Wellcare","Medicaid Managed Care","",,"40",,"436.18","394.18","834.68","percent of total billed charges",,
"EXPLORATORY L INGUIAL HERINA","49507","HCPCS","Both",,,"1077","538.5","Aetna","Commercial","",,"64",,"687.13","394.18","834.68","percent of total billed charges",,
"EXPLORATORY L INGUIAL HERINA","49507","HCPCS","Both",,,"1077","538.5","Blue Cross Blue Shield","Pathways","",,"71",,"760.36","394.18","834.68","percent of total billed charges",,
"EXPLORATORY L INGUIAL HERINA","49507","HCPCS","Both",,,"1077","538.5","Blue Cross Blue Shield","HMO","",,"71",,"760.36","394.18","834.68","percent of total billed charges",,
"EXPLORATORY L INGUIAL HERINA","49507","HCPCS","Both",,,"1077","538.5","Blue Cross Blue Shield","PPO","",,"71",,"760.36","394.18","834.68","percent of total billed charges",,
"EXPLORATORY L INGUIAL HERINA","49507","HCPCS","Both",,,"1077","538.5","Ambetter","Health Exchange","",,"62",,"667.74","394.18","834.68","percent of total billed charges",,
"EXPLORATORY L INGUIAL HERINA","49507","HCPCS","Both",,,"1077","538.5","Caresource","Health Exchange","",,"62",,"667.74","394.18","834.68","percent of total billed charges",,
"EXPLORATORY L INGUIAL HERINA","49507","HCPCS","Both",,,"1077","538.5","Cigna","Commercial","",,"59",,"631.12","394.18","834.68","percent of total billed charges",,
"EXPLORATORY L INGUIAL HERINA","49507","HCPCS","Both",,,"1077","538.5","Humana","Commercial","",,"78",,"834.68","394.18","834.68","percent of total billed charges",,
"EXPLORATORY L INGUIAL HERINA","49507","HCPCS","Both",,,"1077","538.5","UHC","Commercial","",,"75",,"812.06","394.18","834.68","percent of total billed charges",,
"EXPLORATORY L INGUIAL HERINA","49507","HCPCS","Both",,,"1077","538.5","Medicaid",,"",,"37",,"394.18","394.18","834.68","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Alliant","Health Exchange","",,"62",,"639.84","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Pruitt Healthcare","Medicare Advantage","",,"54",,"557.28","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Medicare",,"",,"54",,"559.34","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Humana","Medicare Advantage","",,"54",,"559.34","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","UHC","Medicare Advantage","",,"54",,"559.34","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Clover","Medicare Advantage","",,"54",,"559.34","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Wellcare","Medicare Advantage","",,"54",,"559.34","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Amerigroup","Medicaid Managed Care","",,"37",,"377.71","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Caresource","Medicaid Managed Care","",,"40",,"412.8","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Wellcare","Medicaid Managed Care","",,"40",,"417.96","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Aetna","Commercial","",,"64",,"658.42","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Blue Cross Blue Shield","Pathways","",,"71",,"728.59","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Blue Cross Blue Shield","HMO","",,"71",,"728.59","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Blue Cross Blue Shield","PPO","",,"71",,"728.59","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Ambetter","Health Exchange","",,"62",,"639.84","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Caresource","Health Exchange","",,"62",,"639.84","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Cigna","Commercial","",,"59",,"604.75","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Humana","Commercial","",,"78",,"799.8","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","UHC","Commercial","",,"75",,"778.13","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Medicaid",,"",,"37",,"377.71","377.71","799.8","percent of total billed charges",,
"SMALL BOWEL RESECTION","44625","HCPCS","Both",,,"1727","863.5","Alliant","Health Exchange","",,"62",,"1070.74","632.08","1338.42","percent of total billed charges",,
"SMALL BOWEL RESECTION","44625","HCPCS","Both",,,"1727","863.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"932.58","632.08","1338.42","percent of total billed charges",,
"SMALL BOWEL RESECTION","44625","HCPCS","Both",,,"1727","863.5","Medicare",,"",,"54",,"936.03","632.08","1338.42","percent of total billed charges",,
"SMALL BOWEL RESECTION","44625","HCPCS","Both",,,"1727","863.5","Humana","Medicare Advantage","",,"54",,"936.03","632.08","1338.42","percent of total billed charges",,
"SMALL BOWEL RESECTION","44625","HCPCS","Both",,,"1727","863.5","UHC","Medicare Advantage","",,"54",,"936.03","632.08","1338.42","percent of total billed charges",,
"SMALL BOWEL RESECTION","44625","HCPCS","Both",,,"1727","863.5","Clover","Medicare Advantage","",,"54",,"936.03","632.08","1338.42","percent of total billed charges",,
"SMALL BOWEL RESECTION","44625","HCPCS","Both",,,"1727","863.5","Wellcare","Medicare Advantage","",,"54",,"936.03","632.08","1338.42","percent of total billed charges",,
"SMALL BOWEL RESECTION","44625","HCPCS","Both",,,"1727","863.5","Amerigroup","Medicaid Managed Care","",,"37",,"632.08","632.08","1338.42","percent of total billed charges",,
"SMALL BOWEL RESECTION","44625","HCPCS","Both",,,"1727","863.5","Caresource","Medicaid Managed Care","",,"40",,"690.8","632.08","1338.42","percent of total billed charges",,
"SMALL BOWEL RESECTION","44625","HCPCS","Both",,,"1727","863.5","Wellcare","Medicaid Managed Care","",,"40",,"699.44","632.08","1338.42","percent of total billed charges",,
"SMALL BOWEL RESECTION","44625","HCPCS","Both",,,"1727","863.5","Aetna","Commercial","",,"64",,"1101.83","632.08","1338.42","percent of total billed charges",,
"SMALL BOWEL RESECTION","44625","HCPCS","Both",,,"1727","863.5","Blue Cross Blue Shield","Pathways","",,"71",,"1219.26","632.08","1338.42","percent of total billed charges",,
"SMALL BOWEL RESECTION","44625","HCPCS","Both",,,"1727","863.5","Blue Cross Blue Shield","HMO","",,"71",,"1219.26","632.08","1338.42","percent of total billed charges",,
"SMALL BOWEL RESECTION","44625","HCPCS","Both",,,"1727","863.5","Blue Cross Blue Shield","PPO","",,"71",,"1219.26","632.08","1338.42","percent of total billed charges",,
"SMALL BOWEL RESECTION","44625","HCPCS","Both",,,"1727","863.5","Ambetter","Health Exchange","",,"62",,"1070.74","632.08","1338.42","percent of total billed charges",,
"SMALL BOWEL RESECTION","44625","HCPCS","Both",,,"1727","863.5","Caresource","Health Exchange","",,"62",,"1070.74","632.08","1338.42","percent of total billed charges",,
"SMALL BOWEL RESECTION","44625","HCPCS","Both",,,"1727","863.5","Cigna","Commercial","",,"59",,"1012.02","632.08","1338.42","percent of total billed charges",,
"SMALL BOWEL RESECTION","44625","HCPCS","Both",,,"1727","863.5","Humana","Commercial","",,"78",,"1338.42","632.08","1338.42","percent of total billed charges",,
"SMALL BOWEL RESECTION","44625","HCPCS","Both",,,"1727","863.5","UHC","Commercial","",,"75",,"1302.16","632.08","1338.42","percent of total billed charges",,
"SMALL BOWEL RESECTION","44625","HCPCS","Both",,,"1727","863.5","Medicaid",,"",,"37",,"632.08","632.08","1338.42","percent of total billed charges",,
"LAPAROSCOPE CHOLECYSTECTOMY","47563","HCPCS","Both",,,"1727","863.5","Alliant","Health Exchange","",,"62",,"1070.74","632.08","1338.42","percent of total billed charges",,
"LAPAROSCOPE CHOLECYSTECTOMY","47563","HCPCS","Both",,,"1727","863.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"932.58","632.08","1338.42","percent of total billed charges",,
"LAPAROSCOPE CHOLECYSTECTOMY","47563","HCPCS","Both",,,"1727","863.5","Medicare",,"",,"54",,"936.03","632.08","1338.42","percent of total billed charges",,
"LAPAROSCOPE CHOLECYSTECTOMY","47563","HCPCS","Both",,,"1727","863.5","Humana","Medicare Advantage","",,"54",,"936.03","632.08","1338.42","percent of total billed charges",,
"LAPAROSCOPE CHOLECYSTECTOMY","47563","HCPCS","Both",,,"1727","863.5","UHC","Medicare Advantage","",,"54",,"936.03","632.08","1338.42","percent of total billed charges",,
"LAPAROSCOPE CHOLECYSTECTOMY","47563","HCPCS","Both",,,"1727","863.5","Clover","Medicare Advantage","",,"54",,"936.03","632.08","1338.42","percent of total billed charges",,
"LAPAROSCOPE CHOLECYSTECTOMY","47563","HCPCS","Both",,,"1727","863.5","Wellcare","Medicare Advantage","",,"54",,"936.03","632.08","1338.42","percent of total billed charges",,
"LAPAROSCOPE CHOLECYSTECTOMY","47563","HCPCS","Both",,,"1727","863.5","Amerigroup","Medicaid Managed Care","",,"37",,"632.08","632.08","1338.42","percent of total billed charges",,
"LAPAROSCOPE CHOLECYSTECTOMY","47563","HCPCS","Both",,,"1727","863.5","Caresource","Medicaid Managed Care","",,"40",,"690.8","632.08","1338.42","percent of total billed charges",,
"LAPAROSCOPE CHOLECYSTECTOMY","47563","HCPCS","Both",,,"1727","863.5","Wellcare","Medicaid Managed Care","",,"40",,"699.44","632.08","1338.42","percent of total billed charges",,
"LAPAROSCOPE CHOLECYSTECTOMY","47563","HCPCS","Both",,,"1727","863.5","Aetna","Commercial","",,"64",,"1101.83","632.08","1338.42","percent of total billed charges",,
"LAPAROSCOPE CHOLECYSTECTOMY","47563","HCPCS","Both",,,"1727","863.5","Blue Cross Blue Shield","Pathways","",,"71",,"1219.26","632.08","1338.42","percent of total billed charges",,
"LAPAROSCOPE CHOLECYSTECTOMY","47563","HCPCS","Both",,,"1727","863.5","Blue Cross Blue Shield","HMO","",,"71",,"1219.26","632.08","1338.42","percent of total billed charges",,
"LAPAROSCOPE CHOLECYSTECTOMY","47563","HCPCS","Both",,,"1727","863.5","Blue Cross Blue Shield","PPO","",,"71",,"1219.26","632.08","1338.42","percent of total billed charges",,
"LAPAROSCOPE CHOLECYSTECTOMY","47563","HCPCS","Both",,,"1727","863.5","Ambetter","Health Exchange","",,"62",,"1070.74","632.08","1338.42","percent of total billed charges",,
"LAPAROSCOPE CHOLECYSTECTOMY","47563","HCPCS","Both",,,"1727","863.5","Caresource","Health Exchange","",,"62",,"1070.74","632.08","1338.42","percent of total billed charges",,
"LAPAROSCOPE CHOLECYSTECTOMY","47563","HCPCS","Both",,,"1727","863.5","Cigna","Commercial","",,"59",,"1012.02","632.08","1338.42","percent of total billed charges",,
"LAPAROSCOPE CHOLECYSTECTOMY","47563","HCPCS","Both",,,"1727","863.5","Humana","Commercial","",,"78",,"1338.42","632.08","1338.42","percent of total billed charges",,
"LAPAROSCOPE CHOLECYSTECTOMY","47563","HCPCS","Both",,,"1727","863.5","UHC","Commercial","",,"75",,"1302.16","632.08","1338.42","percent of total billed charges",,
"LAPAROSCOPE CHOLECYSTECTOMY","47563","HCPCS","Both",,,"1727","863.5","Medicaid",,"",,"37",,"632.08","632.08","1338.42","percent of total billed charges",,
"SIGMOIDOSCOPY WITH POLYPECTOMY","45333","HCPCS","Both",,,"319","159.5","Alliant","Health Exchange","",,"62",,"197.78","116.75","247.22","percent of total billed charges",,
"SIGMOIDOSCOPY WITH POLYPECTOMY","45333","HCPCS","Both",,,"319","159.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"172.26","116.75","247.22","percent of total billed charges",,
"SIGMOIDOSCOPY WITH POLYPECTOMY","45333","HCPCS","Both",,,"319","159.5","Medicare",,"",,"54",,"172.9","116.75","247.22","percent of total billed charges",,
"SIGMOIDOSCOPY WITH POLYPECTOMY","45333","HCPCS","Both",,,"319","159.5","Humana","Medicare Advantage","",,"54",,"172.9","116.75","247.22","percent of total billed charges",,
"SIGMOIDOSCOPY WITH POLYPECTOMY","45333","HCPCS","Both",,,"319","159.5","UHC","Medicare Advantage","",,"54",,"172.9","116.75","247.22","percent of total billed charges",,
"SIGMOIDOSCOPY WITH POLYPECTOMY","45333","HCPCS","Both",,,"319","159.5","Clover","Medicare Advantage","",,"54",,"172.9","116.75","247.22","percent of total billed charges",,
"SIGMOIDOSCOPY WITH POLYPECTOMY","45333","HCPCS","Both",,,"319","159.5","Wellcare","Medicare Advantage","",,"54",,"172.9","116.75","247.22","percent of total billed charges",,
"SIGMOIDOSCOPY WITH POLYPECTOMY","45333","HCPCS","Both",,,"319","159.5","Amerigroup","Medicaid Managed Care","",,"37",,"116.75","116.75","247.22","percent of total billed charges",,
"SIGMOIDOSCOPY WITH POLYPECTOMY","45333","HCPCS","Both",,,"319","159.5","Caresource","Medicaid Managed Care","",,"40",,"127.6","116.75","247.22","percent of total billed charges",,
"SIGMOIDOSCOPY WITH POLYPECTOMY","45333","HCPCS","Both",,,"319","159.5","Wellcare","Medicaid Managed Care","",,"40",,"129.2","116.75","247.22","percent of total billed charges",,
"SIGMOIDOSCOPY WITH POLYPECTOMY","45333","HCPCS","Both",,,"319","159.5","Aetna","Commercial","",,"64",,"203.52","116.75","247.22","percent of total billed charges",,
"SIGMOIDOSCOPY WITH POLYPECTOMY","45333","HCPCS","Both",,,"319","159.5","Blue Cross Blue Shield","Pathways","",,"71",,"225.21","116.75","247.22","percent of total billed charges",,
"SIGMOIDOSCOPY WITH POLYPECTOMY","45333","HCPCS","Both",,,"319","159.5","Blue Cross Blue Shield","HMO","",,"71",,"225.21","116.75","247.22","percent of total billed charges",,
"SIGMOIDOSCOPY WITH POLYPECTOMY","45333","HCPCS","Both",,,"319","159.5","Blue Cross Blue Shield","PPO","",,"71",,"225.21","116.75","247.22","percent of total billed charges",,
"SIGMOIDOSCOPY WITH POLYPECTOMY","45333","HCPCS","Both",,,"319","159.5","Ambetter","Health Exchange","",,"62",,"197.78","116.75","247.22","percent of total billed charges",,
"SIGMOIDOSCOPY WITH POLYPECTOMY","45333","HCPCS","Both",,,"319","159.5","Caresource","Health Exchange","",,"62",,"197.78","116.75","247.22","percent of total billed charges",,
"SIGMOIDOSCOPY WITH POLYPECTOMY","45333","HCPCS","Both",,,"319","159.5","Cigna","Commercial","",,"59",,"186.93","116.75","247.22","percent of total billed charges",,
"SIGMOIDOSCOPY WITH POLYPECTOMY","45333","HCPCS","Both",,,"319","159.5","Humana","Commercial","",,"78",,"247.22","116.75","247.22","percent of total billed charges",,
"SIGMOIDOSCOPY WITH POLYPECTOMY","45333","HCPCS","Both",,,"319","159.5","UHC","Commercial","",,"75",,"240.53","116.75","247.22","percent of total billed charges",,
"SIGMOIDOSCOPY WITH POLYPECTOMY","45333","HCPCS","Both",,,"319","159.5","Medicaid",,"",,"37",,"116.75","116.75","247.22","percent of total billed charges",,
"TUBAL LIGATION","58670","HCPCS","Both",,,"998","499","Alliant","Health Exchange","",,"62",,"618.76","365.27","773.45","percent of total billed charges",,
"TUBAL LIGATION","58670","HCPCS","Both",,,"998","499","Pruitt Healthcare","Medicare Advantage","",,"54",,"538.92","365.27","773.45","percent of total billed charges",,
"TUBAL LIGATION","58670","HCPCS","Both",,,"998","499","Medicare",,"",,"54",,"540.92","365.27","773.45","percent of total billed charges",,
"TUBAL LIGATION","58670","HCPCS","Both",,,"998","499","Humana","Medicare Advantage","",,"54",,"540.92","365.27","773.45","percent of total billed charges",,
"TUBAL LIGATION","58670","HCPCS","Both",,,"998","499","UHC","Medicare Advantage","",,"54",,"540.92","365.27","773.45","percent of total billed charges",,
"TUBAL LIGATION","58670","HCPCS","Both",,,"998","499","Clover","Medicare Advantage","",,"54",,"540.92","365.27","773.45","percent of total billed charges",,
"TUBAL LIGATION","58670","HCPCS","Both",,,"998","499","Wellcare","Medicare Advantage","",,"54",,"540.92","365.27","773.45","percent of total billed charges",,
"TUBAL LIGATION","58670","HCPCS","Both",,,"998","499","Amerigroup","Medicaid Managed Care","",,"37",,"365.27","365.27","773.45","percent of total billed charges",,
"TUBAL LIGATION","58670","HCPCS","Both",,,"998","499","Caresource","Medicaid Managed Care","",,"40",,"399.2","365.27","773.45","percent of total billed charges",,
"TUBAL LIGATION","58670","HCPCS","Both",,,"998","499","Wellcare","Medicaid Managed Care","",,"40",,"404.19","365.27","773.45","percent of total billed charges",,
"TUBAL LIGATION","58670","HCPCS","Both",,,"998","499","Aetna","Commercial","",,"64",,"636.72","365.27","773.45","percent of total billed charges",,
"TUBAL LIGATION","58670","HCPCS","Both",,,"998","499","Blue Cross Blue Shield","Pathways","",,"71",,"704.59","365.27","773.45","percent of total billed charges",,
"TUBAL LIGATION","58670","HCPCS","Both",,,"998","499","Blue Cross Blue Shield","HMO","",,"71",,"704.59","365.27","773.45","percent of total billed charges",,
"TUBAL LIGATION","58670","HCPCS","Both",,,"998","499","Blue Cross Blue Shield","PPO","",,"71",,"704.59","365.27","773.45","percent of total billed charges",,
"TUBAL LIGATION","58670","HCPCS","Both",,,"998","499","Ambetter","Health Exchange","",,"62",,"618.76","365.27","773.45","percent of total billed charges",,
"TUBAL LIGATION","58670","HCPCS","Both",,,"998","499","Caresource","Health Exchange","",,"62",,"618.76","365.27","773.45","percent of total billed charges",,
"TUBAL LIGATION","58670","HCPCS","Both",,,"998","499","Cigna","Commercial","",,"59",,"584.83","365.27","773.45","percent of total billed charges",,
"TUBAL LIGATION","58670","HCPCS","Both",,,"998","499","Humana","Commercial","",,"78",,"773.45","365.27","773.45","percent of total billed charges",,
"TUBAL LIGATION","58670","HCPCS","Both",,,"998","499","UHC","Commercial","",,"75",,"752.49","365.27","773.45","percent of total billed charges",,
"TUBAL LIGATION","58670","HCPCS","Both",,,"998","499","Medicaid",,"",,"37",,"365.27","365.27","773.45","percent of total billed charges",,
"BREAST BIOPSY","19101","HCPCS","Both",,,"467","233.5","Alliant","Health Exchange","",,"62",,"289.54","170.92","361.92","percent of total billed charges",,
"BREAST BIOPSY","19101","HCPCS","Both",,,"467","233.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"252.18","170.92","361.92","percent of total billed charges",,
"BREAST BIOPSY","19101","HCPCS","Both",,,"467","233.5","Medicare",,"",,"54",,"253.11","170.92","361.92","percent of total billed charges",,
"BREAST BIOPSY","19101","HCPCS","Both",,,"467","233.5","Humana","Medicare Advantage","",,"54",,"253.11","170.92","361.92","percent of total billed charges",,
"BREAST BIOPSY","19101","HCPCS","Both",,,"467","233.5","UHC","Medicare Advantage","",,"54",,"253.11","170.92","361.92","percent of total billed charges",,
"BREAST BIOPSY","19101","HCPCS","Both",,,"467","233.5","Clover","Medicare Advantage","",,"54",,"253.11","170.92","361.92","percent of total billed charges",,
"BREAST BIOPSY","19101","HCPCS","Both",,,"467","233.5","Wellcare","Medicare Advantage","",,"54",,"253.11","170.92","361.92","percent of total billed charges",,
"BREAST BIOPSY","19101","HCPCS","Both",,,"467","233.5","Amerigroup","Medicaid Managed Care","",,"37",,"170.92","170.92","361.92","percent of total billed charges",,
"BREAST BIOPSY","19101","HCPCS","Both",,,"467","233.5","Caresource","Medicaid Managed Care","",,"40",,"186.8","170.92","361.92","percent of total billed charges",,
"BREAST BIOPSY","19101","HCPCS","Both",,,"467","233.5","Wellcare","Medicaid Managed Care","",,"40",,"189.14","170.92","361.92","percent of total billed charges",,
"BREAST BIOPSY","19101","HCPCS","Both",,,"467","233.5","Aetna","Commercial","",,"64",,"297.95","170.92","361.92","percent of total billed charges",,
"BREAST BIOPSY","19101","HCPCS","Both",,,"467","233.5","Blue Cross Blue Shield","Pathways","",,"71",,"329.7","170.92","361.92","percent of total billed charges",,
"BREAST BIOPSY","19101","HCPCS","Both",,,"467","233.5","Blue Cross Blue Shield","HMO","",,"71",,"329.7","170.92","361.92","percent of total billed charges",,
"BREAST BIOPSY","19101","HCPCS","Both",,,"467","233.5","Blue Cross Blue Shield","PPO","",,"71",,"329.7","170.92","361.92","percent of total billed charges",,
"BREAST BIOPSY","19101","HCPCS","Both",,,"467","233.5","Ambetter","Health Exchange","",,"62",,"289.54","170.92","361.92","percent of total billed charges",,
"BREAST BIOPSY","19101","HCPCS","Both",,,"467","233.5","Caresource","Health Exchange","",,"62",,"289.54","170.92","361.92","percent of total billed charges",,
"BREAST BIOPSY","19101","HCPCS","Both",,,"467","233.5","Cigna","Commercial","",,"59",,"273.66","170.92","361.92","percent of total billed charges",,
"BREAST BIOPSY","19101","HCPCS","Both",,,"467","233.5","Humana","Commercial","",,"78",,"361.92","170.92","361.92","percent of total billed charges",,
"BREAST BIOPSY","19101","HCPCS","Both",,,"467","233.5","UHC","Commercial","",,"75",,"352.12","170.92","361.92","percent of total billed charges",,
"BREAST BIOPSY","19101","HCPCS","Both",,,"467","233.5","Medicaid",,"",,"37",,"170.92","170.92","361.92","percent of total billed charges",,
"HERNIA REPAIR","49520","HCPCS","Both",,,"865","432.5","Alliant","Health Exchange","",,"62",,"536.3","316.59","670.38","percent of total billed charges",,
"HERNIA REPAIR","49520","HCPCS","Both",,,"865","432.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"467.1","316.59","670.38","percent of total billed charges",,
"HERNIA REPAIR","49520","HCPCS","Both",,,"865","432.5","Medicare",,"",,"54",,"468.83","316.59","670.38","percent of total billed charges",,
"HERNIA REPAIR","49520","HCPCS","Both",,,"865","432.5","Humana","Medicare Advantage","",,"54",,"468.83","316.59","670.38","percent of total billed charges",,
"HERNIA REPAIR","49520","HCPCS","Both",,,"865","432.5","UHC","Medicare Advantage","",,"54",,"468.83","316.59","670.38","percent of total billed charges",,
"HERNIA REPAIR","49520","HCPCS","Both",,,"865","432.5","Clover","Medicare Advantage","",,"54",,"468.83","316.59","670.38","percent of total billed charges",,
"HERNIA REPAIR","49520","HCPCS","Both",,,"865","432.5","Wellcare","Medicare Advantage","",,"54",,"468.83","316.59","670.38","percent of total billed charges",,
"HERNIA REPAIR","49520","HCPCS","Both",,,"865","432.5","Amerigroup","Medicaid Managed Care","",,"37",,"316.59","316.59","670.38","percent of total billed charges",,
"HERNIA REPAIR","49520","HCPCS","Both",,,"865","432.5","Caresource","Medicaid Managed Care","",,"40",,"346","316.59","670.38","percent of total billed charges",,
"HERNIA REPAIR","49520","HCPCS","Both",,,"865","432.5","Wellcare","Medicaid Managed Care","",,"40",,"350.33","316.59","670.38","percent of total billed charges",,
"HERNIA REPAIR","49520","HCPCS","Both",,,"865","432.5","Aetna","Commercial","",,"64",,"551.87","316.59","670.38","percent of total billed charges",,
"HERNIA REPAIR","49520","HCPCS","Both",,,"865","432.5","Blue Cross Blue Shield","Pathways","",,"71",,"610.69","316.59","670.38","percent of total billed charges",,
"HERNIA REPAIR","49520","HCPCS","Both",,,"865","432.5","Blue Cross Blue Shield","HMO","",,"71",,"610.69","316.59","670.38","percent of total billed charges",,
"HERNIA REPAIR","49520","HCPCS","Both",,,"865","432.5","Blue Cross Blue Shield","PPO","",,"71",,"610.69","316.59","670.38","percent of total billed charges",,
"HERNIA REPAIR","49520","HCPCS","Both",,,"865","432.5","Ambetter","Health Exchange","",,"62",,"536.3","316.59","670.38","percent of total billed charges",,
"HERNIA REPAIR","49520","HCPCS","Both",,,"865","432.5","Caresource","Health Exchange","",,"62",,"536.3","316.59","670.38","percent of total billed charges",,
"HERNIA REPAIR","49520","HCPCS","Both",,,"865","432.5","Cigna","Commercial","",,"59",,"506.89","316.59","670.38","percent of total billed charges",,
"HERNIA REPAIR","49520","HCPCS","Both",,,"865","432.5","Humana","Commercial","",,"78",,"670.38","316.59","670.38","percent of total billed charges",,
"HERNIA REPAIR","49520","HCPCS","Both",,,"865","432.5","UHC","Commercial","",,"75",,"652.21","316.59","670.38","percent of total billed charges",,
"HERNIA REPAIR","49520","HCPCS","Both",,,"865","432.5","Medicaid",,"",,"37",,"316.59","316.59","670.38","percent of total billed charges",,
"CIRCUMCISION","54161","HCPCS","Both",,,"400","200","Alliant","Health Exchange","",,"62",,"248","146.4","310","percent of total billed charges",,
"CIRCUMCISION","54161","HCPCS","Both",,,"400","200","Pruitt Healthcare","Medicare Advantage","",,"54",,"216","146.4","310","percent of total billed charges",,
"CIRCUMCISION","54161","HCPCS","Both",,,"400","200","Medicare",,"",,"54",,"216.8","146.4","310","percent of total billed charges",,
"CIRCUMCISION","54161","HCPCS","Both",,,"400","200","Humana","Medicare Advantage","",,"54",,"216.8","146.4","310","percent of total billed charges",,
"CIRCUMCISION","54161","HCPCS","Both",,,"400","200","UHC","Medicare Advantage","",,"54",,"216.8","146.4","310","percent of total billed charges",,
"CIRCUMCISION","54161","HCPCS","Both",,,"400","200","Clover","Medicare Advantage","",,"54",,"216.8","146.4","310","percent of total billed charges",,
"CIRCUMCISION","54161","HCPCS","Both",,,"400","200","Wellcare","Medicare Advantage","",,"54",,"216.8","146.4","310","percent of total billed charges",,
"CIRCUMCISION","54161","HCPCS","Both",,,"400","200","Amerigroup","Medicaid Managed Care","",,"37",,"146.4","146.4","310","percent of total billed charges",,
"CIRCUMCISION","54161","HCPCS","Both",,,"400","200","Caresource","Medicaid Managed Care","",,"40",,"160","146.4","310","percent of total billed charges",,
"CIRCUMCISION","54161","HCPCS","Both",,,"400","200","Wellcare","Medicaid Managed Care","",,"40",,"162","146.4","310","percent of total billed charges",,
"CIRCUMCISION","54161","HCPCS","Both",,,"400","200","Aetna","Commercial","",,"64",,"255.2","146.4","310","percent of total billed charges",,
"CIRCUMCISION","54161","HCPCS","Both",,,"400","200","Blue Cross Blue Shield","Pathways","",,"71",,"282.4","146.4","310","percent of total billed charges",,
"CIRCUMCISION","54161","HCPCS","Both",,,"400","200","Blue Cross Blue Shield","HMO","",,"71",,"282.4","146.4","310","percent of total billed charges",,
"CIRCUMCISION","54161","HCPCS","Both",,,"400","200","Blue Cross Blue Shield","PPO","",,"71",,"282.4","146.4","310","percent of total billed charges",,
"CIRCUMCISION","54161","HCPCS","Both",,,"400","200","Ambetter","Health Exchange","",,"62",,"248","146.4","310","percent of total billed charges",,
"CIRCUMCISION","54161","HCPCS","Both",,,"400","200","Caresource","Health Exchange","",,"62",,"248","146.4","310","percent of total billed charges",,
"CIRCUMCISION","54161","HCPCS","Both",,,"400","200","Cigna","Commercial","",,"59",,"234.4","146.4","310","percent of total billed charges",,
"CIRCUMCISION","54161","HCPCS","Both",,,"400","200","Humana","Commercial","",,"78",,"310","146.4","310","percent of total billed charges",,
"CIRCUMCISION","54161","HCPCS","Both",,,"400","200","UHC","Commercial","",,"75",,"301.6","146.4","310","percent of total billed charges",,
"CIRCUMCISION","54161","HCPCS","Both",,,"400","200","Medicaid",,"",,"37",,"146.4","146.4","310","percent of total billed charges",,
"EXCISION LESION 2.1 - 3.0CM","11423","HCPCS","Both",,,"227","113.5","Alliant","Health Exchange","",,"62",,"140.74","83.08","175.92","percent of total billed charges",,
"EXCISION LESION 2.1 - 3.0CM","11423","HCPCS","Both",,,"227","113.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"122.58","83.08","175.92","percent of total billed charges",,
"EXCISION LESION 2.1 - 3.0CM","11423","HCPCS","Both",,,"227","113.5","Medicare",,"",,"54",,"123.03","83.08","175.92","percent of total billed charges",,
"EXCISION LESION 2.1 - 3.0CM","11423","HCPCS","Both",,,"227","113.5","Humana","Medicare Advantage","",,"54",,"123.03","83.08","175.92","percent of total billed charges",,
"EXCISION LESION 2.1 - 3.0CM","11423","HCPCS","Both",,,"227","113.5","UHC","Medicare Advantage","",,"54",,"123.03","83.08","175.92","percent of total billed charges",,
"EXCISION LESION 2.1 - 3.0CM","11423","HCPCS","Both",,,"227","113.5","Clover","Medicare Advantage","",,"54",,"123.03","83.08","175.92","percent of total billed charges",,
"EXCISION LESION 2.1 - 3.0CM","11423","HCPCS","Both",,,"227","113.5","Wellcare","Medicare Advantage","",,"54",,"123.03","83.08","175.92","percent of total billed charges",,
"EXCISION LESION 2.1 - 3.0CM","11423","HCPCS","Both",,,"227","113.5","Amerigroup","Medicaid Managed Care","",,"37",,"83.08","83.08","175.92","percent of total billed charges",,
"EXCISION LESION 2.1 - 3.0CM","11423","HCPCS","Both",,,"227","113.5","Caresource","Medicaid Managed Care","",,"40",,"90.8","83.08","175.92","percent of total billed charges",,
"EXCISION LESION 2.1 - 3.0CM","11423","HCPCS","Both",,,"227","113.5","Wellcare","Medicaid Managed Care","",,"40",,"91.94","83.08","175.92","percent of total billed charges",,
"EXCISION LESION 2.1 - 3.0CM","11423","HCPCS","Both",,,"227","113.5","Aetna","Commercial","",,"64",,"144.83","83.08","175.92","percent of total billed charges",,
"EXCISION LESION 2.1 - 3.0CM","11423","HCPCS","Both",,,"227","113.5","Blue Cross Blue Shield","Pathways","",,"71",,"160.26","83.08","175.92","percent of total billed charges",,
"EXCISION LESION 2.1 - 3.0CM","11423","HCPCS","Both",,,"227","113.5","Blue Cross Blue Shield","HMO","",,"71",,"160.26","83.08","175.92","percent of total billed charges",,
"EXCISION LESION 2.1 - 3.0CM","11423","HCPCS","Both",,,"227","113.5","Blue Cross Blue Shield","PPO","",,"71",,"160.26","83.08","175.92","percent of total billed charges",,
"EXCISION LESION 2.1 - 3.0CM","11423","HCPCS","Both",,,"227","113.5","Ambetter","Health Exchange","",,"62",,"140.74","83.08","175.92","percent of total billed charges",,
"EXCISION LESION 2.1 - 3.0CM","11423","HCPCS","Both",,,"227","113.5","Caresource","Health Exchange","",,"62",,"140.74","83.08","175.92","percent of total billed charges",,
"EXCISION LESION 2.1 - 3.0CM","11423","HCPCS","Both",,,"227","113.5","Cigna","Commercial","",,"59",,"133.02","83.08","175.92","percent of total billed charges",,
"EXCISION LESION 2.1 - 3.0CM","11423","HCPCS","Both",,,"227","113.5","Humana","Commercial","",,"78",,"175.92","83.08","175.92","percent of total billed charges",,
"EXCISION LESION 2.1 - 3.0CM","11423","HCPCS","Both",,,"227","113.5","UHC","Commercial","",,"75",,"171.16","83.08","175.92","percent of total billed charges",,
"EXCISION LESION 2.1 - 3.0CM","11423","HCPCS","Both",,,"227","113.5","Medicaid",,"",,"37",,"83.08","83.08","175.92","percent of total billed charges",,
"COLONOSCOPY I/P","45378","HCPCS","Both",,,"3950","1975","Alliant","Health Exchange","",,"62",,"2449","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY I/P","45378","HCPCS","Both",,,"3950","1975","Pruitt Healthcare","Medicare Advantage","",,"54",,"2133","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY I/P","45378","HCPCS","Both",,,"3950","1975","Medicare",,"",,"54",,"2140.9","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY I/P","45378","HCPCS","Both",,,"3950","1975","Humana","Medicare Advantage","",,"54",,"2140.9","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY I/P","45378","HCPCS","Both",,,"3950","1975","UHC","Medicare Advantage","",,"54",,"2140.9","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY I/P","45378","HCPCS","Both",,,"3950","1975","Clover","Medicare Advantage","",,"54",,"2140.9","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY I/P","45378","HCPCS","Both",,,"3950","1975","Wellcare","Medicare Advantage","",,"54",,"2140.9","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY I/P","45378","HCPCS","Both",,,"3950","1975","Amerigroup","Medicaid Managed Care","",,"37",,"1445.7","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY I/P","45378","HCPCS","Both",,,"3950","1975","Caresource","Medicaid Managed Care","",,"40",,"1580","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY I/P","45378","HCPCS","Both",,,"3950","1975","Wellcare","Medicaid Managed Care","",,"40",,"1599.75","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY I/P","45378","HCPCS","Both",,,"3950","1975","Aetna","Commercial","",,"64",,"2520.1","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY I/P","45378","HCPCS","Both",,,"3950","1975","Blue Cross Blue Shield","Pathways","",,"71",,"2788.7","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY I/P","45378","HCPCS","Both",,,"3950","1975","Blue Cross Blue Shield","HMO","",,"71",,"2788.7","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY I/P","45378","HCPCS","Both",,,"3950","1975","Blue Cross Blue Shield","PPO","",,"71",,"2788.7","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY I/P","45378","HCPCS","Both",,,"3950","1975","Ambetter","Health Exchange","",,"62",,"2449","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY I/P","45378","HCPCS","Both",,,"3950","1975","Caresource","Health Exchange","",,"62",,"2449","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY I/P","45378","HCPCS","Both",,,"3950","1975","Cigna","Commercial","",,"59",,"2314.7","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY I/P","45378","HCPCS","Both",,,"3950","1975","Humana","Commercial","",,"78",,"3061.25","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY I/P","45378","HCPCS","Both",,,"3950","1975","UHC","Commercial","",,"75",,"2978.3","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY I/P","45378","HCPCS","Both",,,"3950","1975","Medicaid",,"",,"37",,"1445.7","1445.7","4117.42","percent of total billed charges",,
"REFASHIONING OF AMPUTATION STUMP","26548","HCPCS","Both",,,"998","499","Alliant","Health Exchange","",,"62",,"618.76","365.27","773.45","percent of total billed charges",,
"REFASHIONING OF AMPUTATION STUMP","26548","HCPCS","Both",,,"998","499","Pruitt Healthcare","Medicare Advantage","",,"54",,"538.92","365.27","773.45","percent of total billed charges",,
"REFASHIONING OF AMPUTATION STUMP","26548","HCPCS","Both",,,"998","499","Medicare",,"",,"54",,"540.92","365.27","773.45","percent of total billed charges",,
"REFASHIONING OF AMPUTATION STUMP","26548","HCPCS","Both",,,"998","499","Humana","Medicare Advantage","",,"54",,"540.92","365.27","773.45","percent of total billed charges",,
"REFASHIONING OF AMPUTATION STUMP","26548","HCPCS","Both",,,"998","499","UHC","Medicare Advantage","",,"54",,"540.92","365.27","773.45","percent of total billed charges",,
"REFASHIONING OF AMPUTATION STUMP","26548","HCPCS","Both",,,"998","499","Clover","Medicare Advantage","",,"54",,"540.92","365.27","773.45","percent of total billed charges",,
"REFASHIONING OF AMPUTATION STUMP","26548","HCPCS","Both",,,"998","499","Wellcare","Medicare Advantage","",,"54",,"540.92","365.27","773.45","percent of total billed charges",,
"REFASHIONING OF AMPUTATION STUMP","26548","HCPCS","Both",,,"998","499","Amerigroup","Medicaid Managed Care","",,"37",,"365.27","365.27","773.45","percent of total billed charges",,
"REFASHIONING OF AMPUTATION STUMP","26548","HCPCS","Both",,,"998","499","Caresource","Medicaid Managed Care","",,"40",,"399.2","365.27","773.45","percent of total billed charges",,
"REFASHIONING OF AMPUTATION STUMP","26548","HCPCS","Both",,,"998","499","Wellcare","Medicaid Managed Care","",,"40",,"404.19","365.27","773.45","percent of total billed charges",,
"REFASHIONING OF AMPUTATION STUMP","26548","HCPCS","Both",,,"998","499","Aetna","Commercial","",,"64",,"636.72","365.27","773.45","percent of total billed charges",,
"REFASHIONING OF AMPUTATION STUMP","26548","HCPCS","Both",,,"998","499","Blue Cross Blue Shield","Pathways","",,"71",,"704.59","365.27","773.45","percent of total billed charges",,
"REFASHIONING OF AMPUTATION STUMP","26548","HCPCS","Both",,,"998","499","Blue Cross Blue Shield","HMO","",,"71",,"704.59","365.27","773.45","percent of total billed charges",,
"REFASHIONING OF AMPUTATION STUMP","26548","HCPCS","Both",,,"998","499","Blue Cross Blue Shield","PPO","",,"71",,"704.59","365.27","773.45","percent of total billed charges",,
"REFASHIONING OF AMPUTATION STUMP","26548","HCPCS","Both",,,"998","499","Ambetter","Health Exchange","",,"62",,"618.76","365.27","773.45","percent of total billed charges",,
"REFASHIONING OF AMPUTATION STUMP","26548","HCPCS","Both",,,"998","499","Caresource","Health Exchange","",,"62",,"618.76","365.27","773.45","percent of total billed charges",,
"REFASHIONING OF AMPUTATION STUMP","26548","HCPCS","Both",,,"998","499","Cigna","Commercial","",,"59",,"584.83","365.27","773.45","percent of total billed charges",,
"REFASHIONING OF AMPUTATION STUMP","26548","HCPCS","Both",,,"998","499","Humana","Commercial","",,"78",,"773.45","365.27","773.45","percent of total billed charges",,
"REFASHIONING OF AMPUTATION STUMP","26548","HCPCS","Both",,,"998","499","UHC","Commercial","",,"75",,"752.49","365.27","773.45","percent of total billed charges",,
"REFASHIONING OF AMPUTATION STUMP","26548","HCPCS","Both",,,"998","499","Medicaid",,"",,"37",,"365.27","365.27","773.45","percent of total billed charges",,
"EXCISION OF GANGLION,WRIST","25111","HCPCS","Both",,,"391","195.5","Alliant","Health Exchange","",,"62",,"242.42","143.11","303.03","percent of total billed charges",,
"EXCISION OF GANGLION,WRIST","25111","HCPCS","Both",,,"391","195.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"211.14","143.11","303.03","percent of total billed charges",,
"EXCISION OF GANGLION,WRIST","25111","HCPCS","Both",,,"391","195.5","Medicare",,"",,"54",,"211.92","143.11","303.03","percent of total billed charges",,
"EXCISION OF GANGLION,WRIST","25111","HCPCS","Both",,,"391","195.5","Humana","Medicare Advantage","",,"54",,"211.92","143.11","303.03","percent of total billed charges",,
"EXCISION OF GANGLION,WRIST","25111","HCPCS","Both",,,"391","195.5","UHC","Medicare Advantage","",,"54",,"211.92","143.11","303.03","percent of total billed charges",,
"EXCISION OF GANGLION,WRIST","25111","HCPCS","Both",,,"391","195.5","Clover","Medicare Advantage","",,"54",,"211.92","143.11","303.03","percent of total billed charges",,
"EXCISION OF GANGLION,WRIST","25111","HCPCS","Both",,,"391","195.5","Wellcare","Medicare Advantage","",,"54",,"211.92","143.11","303.03","percent of total billed charges",,
"EXCISION OF GANGLION,WRIST","25111","HCPCS","Both",,,"391","195.5","Amerigroup","Medicaid Managed Care","",,"37",,"143.11","143.11","303.03","percent of total billed charges",,
"EXCISION OF GANGLION,WRIST","25111","HCPCS","Both",,,"391","195.5","Caresource","Medicaid Managed Care","",,"40",,"156.4","143.11","303.03","percent of total billed charges",,
"EXCISION OF GANGLION,WRIST","25111","HCPCS","Both",,,"391","195.5","Wellcare","Medicaid Managed Care","",,"40",,"158.36","143.11","303.03","percent of total billed charges",,
"EXCISION OF GANGLION,WRIST","25111","HCPCS","Both",,,"391","195.5","Aetna","Commercial","",,"64",,"249.46","143.11","303.03","percent of total billed charges",,
"EXCISION OF GANGLION,WRIST","25111","HCPCS","Both",,,"391","195.5","Blue Cross Blue Shield","Pathways","",,"71",,"276.05","143.11","303.03","percent of total billed charges",,
"EXCISION OF GANGLION,WRIST","25111","HCPCS","Both",,,"391","195.5","Blue Cross Blue Shield","HMO","",,"71",,"276.05","143.11","303.03","percent of total billed charges",,
"EXCISION OF GANGLION,WRIST","25111","HCPCS","Both",,,"391","195.5","Blue Cross Blue Shield","PPO","",,"71",,"276.05","143.11","303.03","percent of total billed charges",,
"EXCISION OF GANGLION,WRIST","25111","HCPCS","Both",,,"391","195.5","Ambetter","Health Exchange","",,"62",,"242.42","143.11","303.03","percent of total billed charges",,
"EXCISION OF GANGLION,WRIST","25111","HCPCS","Both",,,"391","195.5","Caresource","Health Exchange","",,"62",,"242.42","143.11","303.03","percent of total billed charges",,
"EXCISION OF GANGLION,WRIST","25111","HCPCS","Both",,,"391","195.5","Cigna","Commercial","",,"59",,"229.13","143.11","303.03","percent of total billed charges",,
"EXCISION OF GANGLION,WRIST","25111","HCPCS","Both",,,"391","195.5","Humana","Commercial","",,"78",,"303.03","143.11","303.03","percent of total billed charges",,
"EXCISION OF GANGLION,WRIST","25111","HCPCS","Both",,,"391","195.5","UHC","Commercial","",,"75",,"294.81","143.11","303.03","percent of total billed charges",,
"EXCISION OF GANGLION,WRIST","25111","HCPCS","Both",,,"391","195.5","Medicaid",,"",,"37",,"143.11","143.11","303.03","percent of total billed charges",,
"I & D ABSCESS TROCHANTERIC REGION","49060","HCPCS","Both",,,"1130","565","Alliant","Health Exchange","",,"62",,"700.6","413.58","875.75","percent of total billed charges",,
"I & D ABSCESS TROCHANTERIC REGION","49060","HCPCS","Both",,,"1130","565","Pruitt Healthcare","Medicare Advantage","",,"54",,"610.2","413.58","875.75","percent of total billed charges",,
"I & D ABSCESS TROCHANTERIC REGION","49060","HCPCS","Both",,,"1130","565","Medicare",,"",,"54",,"612.46","413.58","875.75","percent of total billed charges",,
"I & D ABSCESS TROCHANTERIC REGION","49060","HCPCS","Both",,,"1130","565","Humana","Medicare Advantage","",,"54",,"612.46","413.58","875.75","percent of total billed charges",,
"I & D ABSCESS TROCHANTERIC REGION","49060","HCPCS","Both",,,"1130","565","UHC","Medicare Advantage","",,"54",,"612.46","413.58","875.75","percent of total billed charges",,
"I & D ABSCESS TROCHANTERIC REGION","49060","HCPCS","Both",,,"1130","565","Clover","Medicare Advantage","",,"54",,"612.46","413.58","875.75","percent of total billed charges",,
"I & D ABSCESS TROCHANTERIC REGION","49060","HCPCS","Both",,,"1130","565","Wellcare","Medicare Advantage","",,"54",,"612.46","413.58","875.75","percent of total billed charges",,
"I & D ABSCESS TROCHANTERIC REGION","49060","HCPCS","Both",,,"1130","565","Amerigroup","Medicaid Managed Care","",,"37",,"413.58","413.58","875.75","percent of total billed charges",,
"I & D ABSCESS TROCHANTERIC REGION","49060","HCPCS","Both",,,"1130","565","Caresource","Medicaid Managed Care","",,"40",,"452","413.58","875.75","percent of total billed charges",,
"I & D ABSCESS TROCHANTERIC REGION","49060","HCPCS","Both",,,"1130","565","Wellcare","Medicaid Managed Care","",,"40",,"457.65","413.58","875.75","percent of total billed charges",,
"I & D ABSCESS TROCHANTERIC REGION","49060","HCPCS","Both",,,"1130","565","Aetna","Commercial","",,"64",,"720.94","413.58","875.75","percent of total billed charges",,
"I & D ABSCESS TROCHANTERIC REGION","49060","HCPCS","Both",,,"1130","565","Blue Cross Blue Shield","Pathways","",,"71",,"797.78","413.58","875.75","percent of total billed charges",,
"I & D ABSCESS TROCHANTERIC REGION","49060","HCPCS","Both",,,"1130","565","Blue Cross Blue Shield","HMO","",,"71",,"797.78","413.58","875.75","percent of total billed charges",,
"I & D ABSCESS TROCHANTERIC REGION","49060","HCPCS","Both",,,"1130","565","Blue Cross Blue Shield","PPO","",,"71",,"797.78","413.58","875.75","percent of total billed charges",,
"I & D ABSCESS TROCHANTERIC REGION","49060","HCPCS","Both",,,"1130","565","Ambetter","Health Exchange","",,"62",,"700.6","413.58","875.75","percent of total billed charges",,
"I & D ABSCESS TROCHANTERIC REGION","49060","HCPCS","Both",,,"1130","565","Caresource","Health Exchange","",,"62",,"700.6","413.58","875.75","percent of total billed charges",,
"I & D ABSCESS TROCHANTERIC REGION","49060","HCPCS","Both",,,"1130","565","Cigna","Commercial","",,"59",,"662.18","413.58","875.75","percent of total billed charges",,
"I & D ABSCESS TROCHANTERIC REGION","49060","HCPCS","Both",,,"1130","565","Humana","Commercial","",,"78",,"875.75","413.58","875.75","percent of total billed charges",,
"I & D ABSCESS TROCHANTERIC REGION","49060","HCPCS","Both",,,"1130","565","UHC","Commercial","",,"75",,"852.02","413.58","875.75","percent of total billed charges",,
"I & D ABSCESS TROCHANTERIC REGION","49060","HCPCS","Both",,,"1130","565","Medicaid",,"",,"37",,"413.58","413.58","875.75","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Alliant","Health Exchange","",,"62",,"83.08","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Pruitt Healthcare","Medicare Advantage","",,"54",,"72.36","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Medicare",,"",,"54",,"72.63","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Humana","Medicare Advantage","",,"54",,"72.63","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","UHC","Medicare Advantage","",,"54",,"72.63","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Clover","Medicare Advantage","",,"54",,"72.63","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Wellcare","Medicare Advantage","",,"54",,"72.63","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Amerigroup","Medicaid Managed Care","",,"37",,"49.04","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Caresource","Medicaid Managed Care","",,"40",,"53.6","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Wellcare","Medicaid Managed Care","",,"40",,"54.27","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Aetna","Commercial","",,"64",,"85.49","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Blue Cross Blue Shield","Pathways","",,"71",,"94.6","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Blue Cross Blue Shield","HMO","",,"71",,"94.6","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Blue Cross Blue Shield","PPO","",,"71",,"94.6","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Ambetter","Health Exchange","",,"62",,"83.08","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Caresource","Health Exchange","",,"62",,"83.08","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Cigna","Commercial","",,"59",,"78.52","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Humana","Commercial","",,"78",,"103.85","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","UHC","Commercial","",,"75",,"101.04","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Medicaid",,"",,"37",,"49.04","49.04","103.85","percent of total billed charges",,
"SLITTING OF PREPUCE,DORSAL OR LAT;EXC NB","54001","HCPCS","Both",,,"4807.5","2403.75","Alliant","Health Exchange","",,"62",,"2980.65","1759.54","3725.81","percent of total billed charges",,
"SLITTING OF PREPUCE,DORSAL OR LAT;EXC NB","54001","HCPCS","Both",,,"4807.5","2403.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"2596.05","1759.54","3725.81","percent of total billed charges",,
"SLITTING OF PREPUCE,DORSAL OR LAT;EXC NB","54001","HCPCS","Both",,,"4807.5","2403.75","Medicare",,"",,"54",,"2605.66","1759.54","3725.81","percent of total billed charges",,
"SLITTING OF PREPUCE,DORSAL OR LAT;EXC NB","54001","HCPCS","Both",,,"4807.5","2403.75","Humana","Medicare Advantage","",,"54",,"2605.66","1759.54","3725.81","percent of total billed charges",,
"SLITTING OF PREPUCE,DORSAL OR LAT;EXC NB","54001","HCPCS","Both",,,"4807.5","2403.75","UHC","Medicare Advantage","",,"54",,"2605.66","1759.54","3725.81","percent of total billed charges",,
"SLITTING OF PREPUCE,DORSAL OR LAT;EXC NB","54001","HCPCS","Both",,,"4807.5","2403.75","Clover","Medicare Advantage","",,"54",,"2605.66","1759.54","3725.81","percent of total billed charges",,
"SLITTING OF PREPUCE,DORSAL OR LAT;EXC NB","54001","HCPCS","Both",,,"4807.5","2403.75","Wellcare","Medicare Advantage","",,"54",,"2605.66","1759.54","3725.81","percent of total billed charges",,
"SLITTING OF PREPUCE,DORSAL OR LAT;EXC NB","54001","HCPCS","Both",,,"4807.5","2403.75","Amerigroup","Medicaid Managed Care","",,"37",,"1759.54","1759.54","3725.81","percent of total billed charges",,
"SLITTING OF PREPUCE,DORSAL OR LAT;EXC NB","54001","HCPCS","Both",,,"4807.5","2403.75","Caresource","Medicaid Managed Care","",,"40",,"1923","1759.54","3725.81","percent of total billed charges",,
"SLITTING OF PREPUCE,DORSAL OR LAT;EXC NB","54001","HCPCS","Both",,,"4807.5","2403.75","Wellcare","Medicaid Managed Care","",,"40",,"1947.04","1759.54","3725.81","percent of total billed charges",,
"SLITTING OF PREPUCE,DORSAL OR LAT;EXC NB","54001","HCPCS","Both",,,"4807.5","2403.75","Aetna","Commercial","",,"64",,"3067.18","1759.54","3725.81","percent of total billed charges",,
"SLITTING OF PREPUCE,DORSAL OR LAT;EXC NB","54001","HCPCS","Both",,,"4807.5","2403.75","Blue Cross Blue Shield","Pathways","",,"71",,"3394.1","1759.54","3725.81","percent of total billed charges",,
"SLITTING OF PREPUCE,DORSAL OR LAT;EXC NB","54001","HCPCS","Both",,,"4807.5","2403.75","Blue Cross Blue Shield","HMO","",,"71",,"3394.1","1759.54","3725.81","percent of total billed charges",,
"SLITTING OF PREPUCE,DORSAL OR LAT;EXC NB","54001","HCPCS","Both",,,"4807.5","2403.75","Blue Cross Blue Shield","PPO","",,"71",,"3394.1","1759.54","3725.81","percent of total billed charges",,
"SLITTING OF PREPUCE,DORSAL OR LAT;EXC NB","54001","HCPCS","Both",,,"4807.5","2403.75","Ambetter","Health Exchange","",,"62",,"2980.65","1759.54","3725.81","percent of total billed charges",,
"SLITTING OF PREPUCE,DORSAL OR LAT;EXC NB","54001","HCPCS","Both",,,"4807.5","2403.75","Caresource","Health Exchange","",,"62",,"2980.65","1759.54","3725.81","percent of total billed charges",,
"SLITTING OF PREPUCE,DORSAL OR LAT;EXC NB","54001","HCPCS","Both",,,"4807.5","2403.75","Cigna","Commercial","",,"59",,"2817.2","1759.54","3725.81","percent of total billed charges",,
"SLITTING OF PREPUCE,DORSAL OR LAT;EXC NB","54001","HCPCS","Both",,,"4807.5","2403.75","Humana","Commercial","",,"78",,"3725.81","1759.54","3725.81","percent of total billed charges",,
"SLITTING OF PREPUCE,DORSAL OR LAT;EXC NB","54001","HCPCS","Both",,,"4807.5","2403.75","UHC","Commercial","",,"75",,"3624.86","1759.54","3725.81","percent of total billed charges",,
"SLITTING OF PREPUCE,DORSAL OR LAT;EXC NB","54001","HCPCS","Both",,,"4807.5","2403.75","Medicaid",,"",,"37",,"1759.54","1759.54","3725.81","percent of total billed charges",,
"INCISION & DRAINAGE OF EPIDIDYMIS TEST","54700","HCPCS","Both",,,"3116","1558","Alliant","Health Exchange","",,"62",,"1931.92","1140.46","2414.9","percent of total billed charges",,
"INCISION & DRAINAGE OF EPIDIDYMIS TEST","54700","HCPCS","Both",,,"3116","1558","Pruitt Healthcare","Medicare Advantage","",,"54",,"1682.64","1140.46","2414.9","percent of total billed charges",,
"INCISION & DRAINAGE OF EPIDIDYMIS TEST","54700","HCPCS","Both",,,"3116","1558","Medicare",,"",,"54",,"1688.87","1140.46","2414.9","percent of total billed charges",,
"INCISION & DRAINAGE OF EPIDIDYMIS TEST","54700","HCPCS","Both",,,"3116","1558","Humana","Medicare Advantage","",,"54",,"1688.87","1140.46","2414.9","percent of total billed charges",,
"INCISION & DRAINAGE OF EPIDIDYMIS TEST","54700","HCPCS","Both",,,"3116","1558","UHC","Medicare Advantage","",,"54",,"1688.87","1140.46","2414.9","percent of total billed charges",,
"INCISION & DRAINAGE OF EPIDIDYMIS TEST","54700","HCPCS","Both",,,"3116","1558","Clover","Medicare Advantage","",,"54",,"1688.87","1140.46","2414.9","percent of total billed charges",,
"INCISION & DRAINAGE OF EPIDIDYMIS TEST","54700","HCPCS","Both",,,"3116","1558","Wellcare","Medicare Advantage","",,"54",,"1688.87","1140.46","2414.9","percent of total billed charges",,
"INCISION & DRAINAGE OF EPIDIDYMIS TEST","54700","HCPCS","Both",,,"3116","1558","Amerigroup","Medicaid Managed Care","",,"37",,"1140.46","1140.46","2414.9","percent of total billed charges",,
"INCISION & DRAINAGE OF EPIDIDYMIS TEST","54700","HCPCS","Both",,,"3116","1558","Caresource","Medicaid Managed Care","",,"40",,"1246.4","1140.46","2414.9","percent of total billed charges",,
"INCISION & DRAINAGE OF EPIDIDYMIS TEST","54700","HCPCS","Both",,,"3116","1558","Wellcare","Medicaid Managed Care","",,"40",,"1261.98","1140.46","2414.9","percent of total billed charges",,
"INCISION & DRAINAGE OF EPIDIDYMIS TEST","54700","HCPCS","Both",,,"3116","1558","Aetna","Commercial","",,"64",,"1988.01","1140.46","2414.9","percent of total billed charges",,
"INCISION & DRAINAGE OF EPIDIDYMIS TEST","54700","HCPCS","Both",,,"3116","1558","Blue Cross Blue Shield","Pathways","",,"71",,"2199.9","1140.46","2414.9","percent of total billed charges",,
"INCISION & DRAINAGE OF EPIDIDYMIS TEST","54700","HCPCS","Both",,,"3116","1558","Blue Cross Blue Shield","HMO","",,"71",,"2199.9","1140.46","2414.9","percent of total billed charges",,
"INCISION & DRAINAGE OF EPIDIDYMIS TEST","54700","HCPCS","Both",,,"3116","1558","Blue Cross Blue Shield","PPO","",,"71",,"2199.9","1140.46","2414.9","percent of total billed charges",,
"INCISION & DRAINAGE OF EPIDIDYMIS TEST","54700","HCPCS","Both",,,"3116","1558","Ambetter","Health Exchange","",,"62",,"1931.92","1140.46","2414.9","percent of total billed charges",,
"INCISION & DRAINAGE OF EPIDIDYMIS TEST","54700","HCPCS","Both",,,"3116","1558","Caresource","Health Exchange","",,"62",,"1931.92","1140.46","2414.9","percent of total billed charges",,
"INCISION & DRAINAGE OF EPIDIDYMIS TEST","54700","HCPCS","Both",,,"3116","1558","Cigna","Commercial","",,"59",,"1825.98","1140.46","2414.9","percent of total billed charges",,
"INCISION & DRAINAGE OF EPIDIDYMIS TEST","54700","HCPCS","Both",,,"3116","1558","Humana","Commercial","",,"78",,"2414.9","1140.46","2414.9","percent of total billed charges",,
"INCISION & DRAINAGE OF EPIDIDYMIS TEST","54700","HCPCS","Both",,,"3116","1558","UHC","Commercial","",,"75",,"2349.46","1140.46","2414.9","percent of total billed charges",,
"INCISION & DRAINAGE OF EPIDIDYMIS TEST","54700","HCPCS","Both",,,"3116","1558","Medicaid",,"",,"37",,"1140.46","1140.46","2414.9","percent of total billed charges",,
"INCISION & DRAINAGE VULVA/PERIANAL ABS","56405","HCPCS","Both",,,"146","73","Alliant","Health Exchange","",,"62",,"90.52","53.44","113.15","percent of total billed charges",,
"INCISION & DRAINAGE VULVA/PERIANAL ABS","56405","HCPCS","Both",,,"146","73","Pruitt Healthcare","Medicare Advantage","",,"54",,"78.84","53.44","113.15","percent of total billed charges",,
"INCISION & DRAINAGE VULVA/PERIANAL ABS","56405","HCPCS","Both",,,"146","73","Medicare",,"",,"54",,"79.13","53.44","113.15","percent of total billed charges",,
"INCISION & DRAINAGE VULVA/PERIANAL ABS","56405","HCPCS","Both",,,"146","73","Humana","Medicare Advantage","",,"54",,"79.13","53.44","113.15","percent of total billed charges",,
"INCISION & DRAINAGE VULVA/PERIANAL ABS","56405","HCPCS","Both",,,"146","73","UHC","Medicare Advantage","",,"54",,"79.13","53.44","113.15","percent of total billed charges",,
"INCISION & DRAINAGE VULVA/PERIANAL ABS","56405","HCPCS","Both",,,"146","73","Clover","Medicare Advantage","",,"54",,"79.13","53.44","113.15","percent of total billed charges",,
"INCISION & DRAINAGE VULVA/PERIANAL ABS","56405","HCPCS","Both",,,"146","73","Wellcare","Medicare Advantage","",,"54",,"79.13","53.44","113.15","percent of total billed charges",,
"INCISION & DRAINAGE VULVA/PERIANAL ABS","56405","HCPCS","Both",,,"146","73","Amerigroup","Medicaid Managed Care","",,"37",,"53.44","53.44","113.15","percent of total billed charges",,
"INCISION & DRAINAGE VULVA/PERIANAL ABS","56405","HCPCS","Both",,,"146","73","Caresource","Medicaid Managed Care","",,"40",,"58.4","53.44","113.15","percent of total billed charges",,
"INCISION & DRAINAGE VULVA/PERIANAL ABS","56405","HCPCS","Both",,,"146","73","Wellcare","Medicaid Managed Care","",,"40",,"59.13","53.44","113.15","percent of total billed charges",,
"INCISION & DRAINAGE VULVA/PERIANAL ABS","56405","HCPCS","Both",,,"146","73","Aetna","Commercial","",,"64",,"93.15","53.44","113.15","percent of total billed charges",,
"INCISION & DRAINAGE VULVA/PERIANAL ABS","56405","HCPCS","Both",,,"146","73","Blue Cross Blue Shield","Pathways","",,"71",,"103.08","53.44","113.15","percent of total billed charges",,
"INCISION & DRAINAGE VULVA/PERIANAL ABS","56405","HCPCS","Both",,,"146","73","Blue Cross Blue Shield","HMO","",,"71",,"103.08","53.44","113.15","percent of total billed charges",,
"INCISION & DRAINAGE VULVA/PERIANAL ABS","56405","HCPCS","Both",,,"146","73","Blue Cross Blue Shield","PPO","",,"71",,"103.08","53.44","113.15","percent of total billed charges",,
"INCISION & DRAINAGE VULVA/PERIANAL ABS","56405","HCPCS","Both",,,"146","73","Ambetter","Health Exchange","",,"62",,"90.52","53.44","113.15","percent of total billed charges",,
"INCISION & DRAINAGE VULVA/PERIANAL ABS","56405","HCPCS","Both",,,"146","73","Caresource","Health Exchange","",,"62",,"90.52","53.44","113.15","percent of total billed charges",,
"INCISION & DRAINAGE VULVA/PERIANAL ABS","56405","HCPCS","Both",,,"146","73","Cigna","Commercial","",,"59",,"85.56","53.44","113.15","percent of total billed charges",,
"INCISION & DRAINAGE VULVA/PERIANAL ABS","56405","HCPCS","Both",,,"146","73","Humana","Commercial","",,"78",,"113.15","53.44","113.15","percent of total billed charges",,
"INCISION & DRAINAGE VULVA/PERIANAL ABS","56405","HCPCS","Both",,,"146","73","UHC","Commercial","",,"75",,"110.08","53.44","113.15","percent of total billed charges",,
"INCISION & DRAINAGE VULVA/PERIANAL ABS","56405","HCPCS","Both",,,"146","73","Medicaid",,"",,"37",,"53.44","53.44","113.15","percent of total billed charges",,
"MARSUPIALIZATION BATRTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Alliant","Health Exchange","",,"62",,"2815.73","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BATRTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"2452.41","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BATRTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Medicare",,"",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BATRTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Humana","Medicare Advantage","",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BATRTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","UHC","Medicare Advantage","",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BATRTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Clover","Medicare Advantage","",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BATRTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Wellcare","Medicare Advantage","",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BATRTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Amerigroup","Medicaid Managed Care","",,"37",,"1662.19","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BATRTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Caresource","Medicaid Managed Care","",,"40",,"1816.6","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BATRTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Wellcare","Medicaid Managed Care","",,"40",,"1839.31","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BATRTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Aetna","Commercial","",,"64",,"2897.48","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BATRTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Blue Cross Blue Shield","Pathways","",,"71",,"3206.3","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BATRTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Blue Cross Blue Shield","HMO","",,"71",,"3206.3","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BATRTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Blue Cross Blue Shield","PPO","",,"71",,"3206.3","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BATRTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Ambetter","Health Exchange","",,"62",,"2815.73","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BATRTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Caresource","Health Exchange","",,"62",,"2815.73","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BATRTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Cigna","Commercial","",,"59",,"2661.32","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BATRTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Humana","Commercial","",,"78",,"3519.66","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BATRTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","UHC","Commercial","",,"75",,"3424.29","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BATRTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Medicaid",,"",,"37",,"1662.19","1662.19","3519.66","percent of total billed charges",,
"EXCISION BARTHOLIN'S GLAND OR CYST","56740","HCPCS","Both",,,"4541.5","2270.75","Alliant","Health Exchange","",,"62",,"2815.73","1662.19","3519.66","percent of total billed charges",,
"EXCISION BARTHOLIN'S GLAND OR CYST","56740","HCPCS","Both",,,"4541.5","2270.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"2452.41","1662.19","3519.66","percent of total billed charges",,
"EXCISION BARTHOLIN'S GLAND OR CYST","56740","HCPCS","Both",,,"4541.5","2270.75","Medicare",,"",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"EXCISION BARTHOLIN'S GLAND OR CYST","56740","HCPCS","Both",,,"4541.5","2270.75","Humana","Medicare Advantage","",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"EXCISION BARTHOLIN'S GLAND OR CYST","56740","HCPCS","Both",,,"4541.5","2270.75","UHC","Medicare Advantage","",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"EXCISION BARTHOLIN'S GLAND OR CYST","56740","HCPCS","Both",,,"4541.5","2270.75","Clover","Medicare Advantage","",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"EXCISION BARTHOLIN'S GLAND OR CYST","56740","HCPCS","Both",,,"4541.5","2270.75","Wellcare","Medicare Advantage","",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"EXCISION BARTHOLIN'S GLAND OR CYST","56740","HCPCS","Both",,,"4541.5","2270.75","Amerigroup","Medicaid Managed Care","",,"37",,"1662.19","1662.19","3519.66","percent of total billed charges",,
"EXCISION BARTHOLIN'S GLAND OR CYST","56740","HCPCS","Both",,,"4541.5","2270.75","Caresource","Medicaid Managed Care","",,"40",,"1816.6","1662.19","3519.66","percent of total billed charges",,
"EXCISION BARTHOLIN'S GLAND OR CYST","56740","HCPCS","Both",,,"4541.5","2270.75","Wellcare","Medicaid Managed Care","",,"40",,"1839.31","1662.19","3519.66","percent of total billed charges",,
"EXCISION BARTHOLIN'S GLAND OR CYST","56740","HCPCS","Both",,,"4541.5","2270.75","Aetna","Commercial","",,"64",,"2897.48","1662.19","3519.66","percent of total billed charges",,
"EXCISION BARTHOLIN'S GLAND OR CYST","56740","HCPCS","Both",,,"4541.5","2270.75","Blue Cross Blue Shield","Pathways","",,"71",,"3206.3","1662.19","3519.66","percent of total billed charges",,
"EXCISION BARTHOLIN'S GLAND OR CYST","56740","HCPCS","Both",,,"4541.5","2270.75","Blue Cross Blue Shield","HMO","",,"71",,"3206.3","1662.19","3519.66","percent of total billed charges",,
"EXCISION BARTHOLIN'S GLAND OR CYST","56740","HCPCS","Both",,,"4541.5","2270.75","Blue Cross Blue Shield","PPO","",,"71",,"3206.3","1662.19","3519.66","percent of total billed charges",,
"EXCISION BARTHOLIN'S GLAND OR CYST","56740","HCPCS","Both",,,"4541.5","2270.75","Ambetter","Health Exchange","",,"62",,"2815.73","1662.19","3519.66","percent of total billed charges",,
"EXCISION BARTHOLIN'S GLAND OR CYST","56740","HCPCS","Both",,,"4541.5","2270.75","Caresource","Health Exchange","",,"62",,"2815.73","1662.19","3519.66","percent of total billed charges",,
"EXCISION BARTHOLIN'S GLAND OR CYST","56740","HCPCS","Both",,,"4541.5","2270.75","Cigna","Commercial","",,"59",,"2661.32","1662.19","3519.66","percent of total billed charges",,
"EXCISION BARTHOLIN'S GLAND OR CYST","56740","HCPCS","Both",,,"4541.5","2270.75","Humana","Commercial","",,"78",,"3519.66","1662.19","3519.66","percent of total billed charges",,
"EXCISION BARTHOLIN'S GLAND OR CYST","56740","HCPCS","Both",,,"4541.5","2270.75","UHC","Commercial","",,"75",,"3424.29","1662.19","3519.66","percent of total billed charges",,
"EXCISION BARTHOLIN'S GLAND OR CYST","56740","HCPCS","Both",,,"4541.5","2270.75","Medicaid",,"",,"37",,"1662.19","1662.19","3519.66","percent of total billed charges",,
"EPISIOTOMY OR VAG REPAIR NOT ATTENDING","59300","HCPCS","Both",,,"4541.5","2270.75","Alliant","Health Exchange","",,"62",,"2815.73","1662.19","3519.66","percent of total billed charges",,
"EPISIOTOMY OR VAG REPAIR NOT ATTENDING","59300","HCPCS","Both",,,"4541.5","2270.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"2452.41","1662.19","3519.66","percent of total billed charges",,
"EPISIOTOMY OR VAG REPAIR NOT ATTENDING","59300","HCPCS","Both",,,"4541.5","2270.75","Medicare",,"",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"EPISIOTOMY OR VAG REPAIR NOT ATTENDING","59300","HCPCS","Both",,,"4541.5","2270.75","Humana","Medicare Advantage","",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"EPISIOTOMY OR VAG REPAIR NOT ATTENDING","59300","HCPCS","Both",,,"4541.5","2270.75","UHC","Medicare Advantage","",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"EPISIOTOMY OR VAG REPAIR NOT ATTENDING","59300","HCPCS","Both",,,"4541.5","2270.75","Clover","Medicare Advantage","",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"EPISIOTOMY OR VAG REPAIR NOT ATTENDING","59300","HCPCS","Both",,,"4541.5","2270.75","Wellcare","Medicare Advantage","",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"EPISIOTOMY OR VAG REPAIR NOT ATTENDING","59300","HCPCS","Both",,,"4541.5","2270.75","Amerigroup","Medicaid Managed Care","",,"37",,"1662.19","1662.19","3519.66","percent of total billed charges",,
"EPISIOTOMY OR VAG REPAIR NOT ATTENDING","59300","HCPCS","Both",,,"4541.5","2270.75","Caresource","Medicaid Managed Care","",,"40",,"1816.6","1662.19","3519.66","percent of total billed charges",,
"EPISIOTOMY OR VAG REPAIR NOT ATTENDING","59300","HCPCS","Both",,,"4541.5","2270.75","Wellcare","Medicaid Managed Care","",,"40",,"1839.31","1662.19","3519.66","percent of total billed charges",,
"EPISIOTOMY OR VAG REPAIR NOT ATTENDING","59300","HCPCS","Both",,,"4541.5","2270.75","Aetna","Commercial","",,"64",,"2897.48","1662.19","3519.66","percent of total billed charges",,
"EPISIOTOMY OR VAG REPAIR NOT ATTENDING","59300","HCPCS","Both",,,"4541.5","2270.75","Blue Cross Blue Shield","Pathways","",,"71",,"3206.3","1662.19","3519.66","percent of total billed charges",,
"EPISIOTOMY OR VAG REPAIR NOT ATTENDING","59300","HCPCS","Both",,,"4541.5","2270.75","Blue Cross Blue Shield","HMO","",,"71",,"3206.3","1662.19","3519.66","percent of total billed charges",,
"EPISIOTOMY OR VAG REPAIR NOT ATTENDING","59300","HCPCS","Both",,,"4541.5","2270.75","Blue Cross Blue Shield","PPO","",,"71",,"3206.3","1662.19","3519.66","percent of total billed charges",,
"EPISIOTOMY OR VAG REPAIR NOT ATTENDING","59300","HCPCS","Both",,,"4541.5","2270.75","Ambetter","Health Exchange","",,"62",,"2815.73","1662.19","3519.66","percent of total billed charges",,
"EPISIOTOMY OR VAG REPAIR NOT ATTENDING","59300","HCPCS","Both",,,"4541.5","2270.75","Caresource","Health Exchange","",,"62",,"2815.73","1662.19","3519.66","percent of total billed charges",,
"EPISIOTOMY OR VAG REPAIR NOT ATTENDING","59300","HCPCS","Both",,,"4541.5","2270.75","Cigna","Commercial","",,"59",,"2661.32","1662.19","3519.66","percent of total billed charges",,
"EPISIOTOMY OR VAG REPAIR NOT ATTENDING","59300","HCPCS","Both",,,"4541.5","2270.75","Humana","Commercial","",,"78",,"3519.66","1662.19","3519.66","percent of total billed charges",,
"EPISIOTOMY OR VAG REPAIR NOT ATTENDING","59300","HCPCS","Both",,,"4541.5","2270.75","UHC","Commercial","",,"75",,"3424.29","1662.19","3519.66","percent of total billed charges",,
"EPISIOTOMY OR VAG REPAIR NOT ATTENDING","59300","HCPCS","Both",,,"4541.5","2270.75","Medicaid",,"",,"37",,"1662.19","1662.19","3519.66","percent of total billed charges",,
"VAGINAL DELIVERY ONLY AFTER PREV C-SECT","59612","HCPCS","Both",,,"4314","2157","Alliant","Health Exchange","",,"62",,"2674.68","1578.92","3343.35","percent of total billed charges",,
"VAGINAL DELIVERY ONLY AFTER PREV C-SECT","59612","HCPCS","Both",,,"4314","2157","Pruitt Healthcare","Medicare Advantage","",,"54",,"2329.56","1578.92","3343.35","percent of total billed charges",,
"VAGINAL DELIVERY ONLY AFTER PREV C-SECT","59612","HCPCS","Both",,,"4314","2157","Medicare",,"",,"54",,"2338.19","1578.92","3343.35","percent of total billed charges",,
"VAGINAL DELIVERY ONLY AFTER PREV C-SECT","59612","HCPCS","Both",,,"4314","2157","Humana","Medicare Advantage","",,"54",,"2338.19","1578.92","3343.35","percent of total billed charges",,
"VAGINAL DELIVERY ONLY AFTER PREV C-SECT","59612","HCPCS","Both",,,"4314","2157","UHC","Medicare Advantage","",,"54",,"2338.19","1578.92","3343.35","percent of total billed charges",,
"VAGINAL DELIVERY ONLY AFTER PREV C-SECT","59612","HCPCS","Both",,,"4314","2157","Clover","Medicare Advantage","",,"54",,"2338.19","1578.92","3343.35","percent of total billed charges",,
"VAGINAL DELIVERY ONLY AFTER PREV C-SECT","59612","HCPCS","Both",,,"4314","2157","Wellcare","Medicare Advantage","",,"54",,"2338.19","1578.92","3343.35","percent of total billed charges",,
"VAGINAL DELIVERY ONLY AFTER PREV C-SECT","59612","HCPCS","Both",,,"4314","2157","Amerigroup","Medicaid Managed Care","",,"37",,"1578.92","1578.92","3343.35","percent of total billed charges",,
"VAGINAL DELIVERY ONLY AFTER PREV C-SECT","59612","HCPCS","Both",,,"4314","2157","Caresource","Medicaid Managed Care","",,"40",,"1725.6","1578.92","3343.35","percent of total billed charges",,
"VAGINAL DELIVERY ONLY AFTER PREV C-SECT","59612","HCPCS","Both",,,"4314","2157","Wellcare","Medicaid Managed Care","",,"40",,"1747.17","1578.92","3343.35","percent of total billed charges",,
"VAGINAL DELIVERY ONLY AFTER PREV C-SECT","59612","HCPCS","Both",,,"4314","2157","Aetna","Commercial","",,"64",,"2752.33","1578.92","3343.35","percent of total billed charges",,
"VAGINAL DELIVERY ONLY AFTER PREV C-SECT","59612","HCPCS","Both",,,"4314","2157","Blue Cross Blue Shield","Pathways","",,"71",,"3045.68","1578.92","3343.35","percent of total billed charges",,
"VAGINAL DELIVERY ONLY AFTER PREV C-SECT","59612","HCPCS","Both",,,"4314","2157","Blue Cross Blue Shield","HMO","",,"71",,"3045.68","1578.92","3343.35","percent of total billed charges",,
"VAGINAL DELIVERY ONLY AFTER PREV C-SECT","59612","HCPCS","Both",,,"4314","2157","Blue Cross Blue Shield","PPO","",,"71",,"3045.68","1578.92","3343.35","percent of total billed charges",,
"VAGINAL DELIVERY ONLY AFTER PREV C-SECT","59612","HCPCS","Both",,,"4314","2157","Ambetter","Health Exchange","",,"62",,"2674.68","1578.92","3343.35","percent of total billed charges",,
"VAGINAL DELIVERY ONLY AFTER PREV C-SECT","59612","HCPCS","Both",,,"4314","2157","Caresource","Health Exchange","",,"62",,"2674.68","1578.92","3343.35","percent of total billed charges",,
"VAGINAL DELIVERY ONLY AFTER PREV C-SECT","59612","HCPCS","Both",,,"4314","2157","Cigna","Commercial","",,"59",,"2528","1578.92","3343.35","percent of total billed charges",,
"VAGINAL DELIVERY ONLY AFTER PREV C-SECT","59612","HCPCS","Both",,,"4314","2157","Humana","Commercial","",,"78",,"3343.35","1578.92","3343.35","percent of total billed charges",,
"VAGINAL DELIVERY ONLY AFTER PREV C-SECT","59612","HCPCS","Both",,,"4314","2157","UHC","Commercial","",,"75",,"3252.76","1578.92","3343.35","percent of total billed charges",,
"VAGINAL DELIVERY ONLY AFTER PREV C-SECT","59612","HCPCS","Both",,,"4314","2157","Medicaid",,"",,"37",,"1578.92","1578.92","3343.35","percent of total billed charges",,
"CERVICAL PUNCTURE W MED INJECTION","61055","HCPCS","Both",,,"2098.5","1049.25","Alliant","Health Exchange","",,"62",,"1301.07","768.05","1626.34","percent of total billed charges",,
"CERVICAL PUNCTURE W MED INJECTION","61055","HCPCS","Both",,,"2098.5","1049.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"1133.19","768.05","1626.34","percent of total billed charges",,
"CERVICAL PUNCTURE W MED INJECTION","61055","HCPCS","Both",,,"2098.5","1049.25","Medicare",,"",,"54",,"1137.39","768.05","1626.34","percent of total billed charges",,
"CERVICAL PUNCTURE W MED INJECTION","61055","HCPCS","Both",,,"2098.5","1049.25","Humana","Medicare Advantage","",,"54",,"1137.39","768.05","1626.34","percent of total billed charges",,
"CERVICAL PUNCTURE W MED INJECTION","61055","HCPCS","Both",,,"2098.5","1049.25","UHC","Medicare Advantage","",,"54",,"1137.39","768.05","1626.34","percent of total billed charges",,
"CERVICAL PUNCTURE W MED INJECTION","61055","HCPCS","Both",,,"2098.5","1049.25","Clover","Medicare Advantage","",,"54",,"1137.39","768.05","1626.34","percent of total billed charges",,
"CERVICAL PUNCTURE W MED INJECTION","61055","HCPCS","Both",,,"2098.5","1049.25","Wellcare","Medicare Advantage","",,"54",,"1137.39","768.05","1626.34","percent of total billed charges",,
"CERVICAL PUNCTURE W MED INJECTION","61055","HCPCS","Both",,,"2098.5","1049.25","Amerigroup","Medicaid Managed Care","",,"37",,"768.05","768.05","1626.34","percent of total billed charges",,
"CERVICAL PUNCTURE W MED INJECTION","61055","HCPCS","Both",,,"2098.5","1049.25","Caresource","Medicaid Managed Care","",,"40",,"839.4","768.05","1626.34","percent of total billed charges",,
"CERVICAL PUNCTURE W MED INJECTION","61055","HCPCS","Both",,,"2098.5","1049.25","Wellcare","Medicaid Managed Care","",,"40",,"849.89","768.05","1626.34","percent of total billed charges",,
"CERVICAL PUNCTURE W MED INJECTION","61055","HCPCS","Both",,,"2098.5","1049.25","Aetna","Commercial","",,"64",,"1338.84","768.05","1626.34","percent of total billed charges",,
"CERVICAL PUNCTURE W MED INJECTION","61055","HCPCS","Both",,,"2098.5","1049.25","Blue Cross Blue Shield","Pathways","",,"71",,"1481.54","768.05","1626.34","percent of total billed charges",,
"CERVICAL PUNCTURE W MED INJECTION","61055","HCPCS","Both",,,"2098.5","1049.25","Blue Cross Blue Shield","HMO","",,"71",,"1481.54","768.05","1626.34","percent of total billed charges",,
"CERVICAL PUNCTURE W MED INJECTION","61055","HCPCS","Both",,,"2098.5","1049.25","Blue Cross Blue Shield","PPO","",,"71",,"1481.54","768.05","1626.34","percent of total billed charges",,
"CERVICAL PUNCTURE W MED INJECTION","61055","HCPCS","Both",,,"2098.5","1049.25","Ambetter","Health Exchange","",,"62",,"1301.07","768.05","1626.34","percent of total billed charges",,
"CERVICAL PUNCTURE W MED INJECTION","61055","HCPCS","Both",,,"2098.5","1049.25","Caresource","Health Exchange","",,"62",,"1301.07","768.05","1626.34","percent of total billed charges",,
"CERVICAL PUNCTURE W MED INJECTION","61055","HCPCS","Both",,,"2098.5","1049.25","Cigna","Commercial","",,"59",,"1229.72","768.05","1626.34","percent of total billed charges",,
"CERVICAL PUNCTURE W MED INJECTION","61055","HCPCS","Both",,,"2098.5","1049.25","Humana","Commercial","",,"78",,"1626.34","768.05","1626.34","percent of total billed charges",,
"CERVICAL PUNCTURE W MED INJECTION","61055","HCPCS","Both",,,"2098.5","1049.25","UHC","Commercial","",,"75",,"1582.27","768.05","1626.34","percent of total billed charges",,
"CERVICAL PUNCTURE W MED INJECTION","61055","HCPCS","Both",,,"2098.5","1049.25","Medicaid",,"",,"37",,"768.05","768.05","1626.34","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Alliant","Health Exchange","",,"62",,"1094.92","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Pruitt Healthcare","Medicare Advantage","",,"54",,"953.64","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Medicare",,"",,"54",,"957.17","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Humana","Medicare Advantage","",,"54",,"957.17","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","UHC","Medicare Advantage","",,"54",,"957.17","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Clover","Medicare Advantage","",,"54",,"957.17","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Wellcare","Medicare Advantage","",,"54",,"957.17","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Amerigroup","Medicaid Managed Care","",,"37",,"646.36","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Caresource","Medicaid Managed Care","",,"40",,"706.4","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Wellcare","Medicaid Managed Care","",,"40",,"715.23","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Aetna","Commercial","",,"64",,"1126.71","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Blue Cross Blue Shield","Pathways","",,"71",,"1246.8","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Blue Cross Blue Shield","HMO","",,"71",,"1246.8","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Blue Cross Blue Shield","PPO","",,"71",,"1246.8","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Ambetter","Health Exchange","",,"62",,"1094.92","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Caresource","Health Exchange","",,"62",,"1094.92","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Cigna","Commercial","",,"59",,"1034.88","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Humana","Commercial","",,"78",,"1368.65","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","UHC","Commercial","",,"75",,"1331.56","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Medicaid",,"",,"37",,"646.36","646.36","1368.65","percent of total billed charges",,
"INJECTION ANESTHETIC &/OR STERIOD TRIGEM","64400","HCPCS","Both",,,"816","408","Alliant","Health Exchange","",,"62",,"505.92","298.66","632.4","percent of total billed charges",,
"INJECTION ANESTHETIC &/OR STERIOD TRIGEM","64400","HCPCS","Both",,,"816","408","Pruitt Healthcare","Medicare Advantage","",,"54",,"440.64","298.66","632.4","percent of total billed charges",,
"INJECTION ANESTHETIC &/OR STERIOD TRIGEM","64400","HCPCS","Both",,,"816","408","Medicare",,"",,"54",,"442.27","298.66","632.4","percent of total billed charges",,
"INJECTION ANESTHETIC &/OR STERIOD TRIGEM","64400","HCPCS","Both",,,"816","408","Humana","Medicare Advantage","",,"54",,"442.27","298.66","632.4","percent of total billed charges",,
"INJECTION ANESTHETIC &/OR STERIOD TRIGEM","64400","HCPCS","Both",,,"816","408","UHC","Medicare Advantage","",,"54",,"442.27","298.66","632.4","percent of total billed charges",,
"INJECTION ANESTHETIC &/OR STERIOD TRIGEM","64400","HCPCS","Both",,,"816","408","Clover","Medicare Advantage","",,"54",,"442.27","298.66","632.4","percent of total billed charges",,
"INJECTION ANESTHETIC &/OR STERIOD TRIGEM","64400","HCPCS","Both",,,"816","408","Wellcare","Medicare Advantage","",,"54",,"442.27","298.66","632.4","percent of total billed charges",,
"INJECTION ANESTHETIC &/OR STERIOD TRIGEM","64400","HCPCS","Both",,,"816","408","Amerigroup","Medicaid Managed Care","",,"37",,"298.66","298.66","632.4","percent of total billed charges",,
"INJECTION ANESTHETIC &/OR STERIOD TRIGEM","64400","HCPCS","Both",,,"816","408","Caresource","Medicaid Managed Care","",,"40",,"326.4","298.66","632.4","percent of total billed charges",,
"INJECTION ANESTHETIC &/OR STERIOD TRIGEM","64400","HCPCS","Both",,,"816","408","Wellcare","Medicaid Managed Care","",,"40",,"330.48","298.66","632.4","percent of total billed charges",,
"INJECTION ANESTHETIC &/OR STERIOD TRIGEM","64400","HCPCS","Both",,,"816","408","Aetna","Commercial","",,"64",,"520.61","298.66","632.4","percent of total billed charges",,
"INJECTION ANESTHETIC &/OR STERIOD TRIGEM","64400","HCPCS","Both",,,"816","408","Blue Cross Blue Shield","Pathways","",,"71",,"576.1","298.66","632.4","percent of total billed charges",,
"INJECTION ANESTHETIC &/OR STERIOD TRIGEM","64400","HCPCS","Both",,,"816","408","Blue Cross Blue Shield","HMO","",,"71",,"576.1","298.66","632.4","percent of total billed charges",,
"INJECTION ANESTHETIC &/OR STERIOD TRIGEM","64400","HCPCS","Both",,,"816","408","Blue Cross Blue Shield","PPO","",,"71",,"576.1","298.66","632.4","percent of total billed charges",,
"INJECTION ANESTHETIC &/OR STERIOD TRIGEM","64400","HCPCS","Both",,,"816","408","Ambetter","Health Exchange","",,"62",,"505.92","298.66","632.4","percent of total billed charges",,
"INJECTION ANESTHETIC &/OR STERIOD TRIGEM","64400","HCPCS","Both",,,"816","408","Caresource","Health Exchange","",,"62",,"505.92","298.66","632.4","percent of total billed charges",,
"INJECTION ANESTHETIC &/OR STERIOD TRIGEM","64400","HCPCS","Both",,,"816","408","Cigna","Commercial","",,"59",,"478.18","298.66","632.4","percent of total billed charges",,
"INJECTION ANESTHETIC &/OR STERIOD TRIGEM","64400","HCPCS","Both",,,"816","408","Humana","Commercial","",,"78",,"632.4","298.66","632.4","percent of total billed charges",,
"INJECTION ANESTHETIC &/OR STERIOD TRIGEM","64400","HCPCS","Both",,,"816","408","UHC","Commercial","",,"75",,"615.26","298.66","632.4","percent of total billed charges",,
"INJECTION ANESTHETIC &/OR STERIOD TRIGEM","64400","HCPCS","Both",,,"816","408","Medicaid",,"",,"37",,"298.66","298.66","632.4","percent of total billed charges",,
"INJECTION PERIPHERAL NERVE","64450","HCPCS","Both",,,"1658","829","Alliant","Health Exchange","",,"62",,"1027.96","606.83","1284.95","percent of total billed charges",,
"INJECTION PERIPHERAL NERVE","64450","HCPCS","Both",,,"1658","829","Pruitt Healthcare","Medicare Advantage","",,"54",,"895.32","606.83","1284.95","percent of total billed charges",,
"INJECTION PERIPHERAL NERVE","64450","HCPCS","Both",,,"1658","829","Medicare",,"",,"54",,"898.64","606.83","1284.95","percent of total billed charges",,
"INJECTION PERIPHERAL NERVE","64450","HCPCS","Both",,,"1658","829","Humana","Medicare Advantage","",,"54",,"898.64","606.83","1284.95","percent of total billed charges",,
"INJECTION PERIPHERAL NERVE","64450","HCPCS","Both",,,"1658","829","UHC","Medicare Advantage","",,"54",,"898.64","606.83","1284.95","percent of total billed charges",,
"INJECTION PERIPHERAL NERVE","64450","HCPCS","Both",,,"1658","829","Clover","Medicare Advantage","",,"54",,"898.64","606.83","1284.95","percent of total billed charges",,
"INJECTION PERIPHERAL NERVE","64450","HCPCS","Both",,,"1658","829","Wellcare","Medicare Advantage","",,"54",,"898.64","606.83","1284.95","percent of total billed charges",,
"INJECTION PERIPHERAL NERVE","64450","HCPCS","Both",,,"1658","829","Amerigroup","Medicaid Managed Care","",,"37",,"606.83","606.83","1284.95","percent of total billed charges",,
"INJECTION PERIPHERAL NERVE","64450","HCPCS","Both",,,"1658","829","Caresource","Medicaid Managed Care","",,"40",,"663.2","606.83","1284.95","percent of total billed charges",,
"INJECTION PERIPHERAL NERVE","64450","HCPCS","Both",,,"1658","829","Wellcare","Medicaid Managed Care","",,"40",,"671.49","606.83","1284.95","percent of total billed charges",,
"INJECTION PERIPHERAL NERVE","64450","HCPCS","Both",,,"1658","829","Aetna","Commercial","",,"64",,"1057.8","606.83","1284.95","percent of total billed charges",,
"INJECTION PERIPHERAL NERVE","64450","HCPCS","Both",,,"1658","829","Blue Cross Blue Shield","Pathways","",,"71",,"1170.55","606.83","1284.95","percent of total billed charges",,
"INJECTION PERIPHERAL NERVE","64450","HCPCS","Both",,,"1658","829","Blue Cross Blue Shield","HMO","",,"71",,"1170.55","606.83","1284.95","percent of total billed charges",,
"INJECTION PERIPHERAL NERVE","64450","HCPCS","Both",,,"1658","829","Blue Cross Blue Shield","PPO","",,"71",,"1170.55","606.83","1284.95","percent of total billed charges",,
"INJECTION PERIPHERAL NERVE","64450","HCPCS","Both",,,"1658","829","Ambetter","Health Exchange","",,"62",,"1027.96","606.83","1284.95","percent of total billed charges",,
"INJECTION PERIPHERAL NERVE","64450","HCPCS","Both",,,"1658","829","Caresource","Health Exchange","",,"62",,"1027.96","606.83","1284.95","percent of total billed charges",,
"INJECTION PERIPHERAL NERVE","64450","HCPCS","Both",,,"1658","829","Cigna","Commercial","",,"59",,"971.59","606.83","1284.95","percent of total billed charges",,
"INJECTION PERIPHERAL NERVE","64450","HCPCS","Both",,,"1658","829","Humana","Commercial","",,"78",,"1284.95","606.83","1284.95","percent of total billed charges",,
"INJECTION PERIPHERAL NERVE","64450","HCPCS","Both",,,"1658","829","UHC","Commercial","",,"75",,"1250.13","606.83","1284.95","percent of total billed charges",,
"INJECTION PERIPHERAL NERVE","64450","HCPCS","Both",,,"1658","829","Medicaid",,"",,"37",,"606.83","606.83","1284.95","percent of total billed charges",,
"DRAINAGE OF ABSCESS, EYELID","67700","HCPCS","Both",,,"723.5","361.75","Alliant","Health Exchange","",,"62",,"448.57","264.8","560.71","percent of total billed charges",,
"DRAINAGE OF ABSCESS, EYELID","67700","HCPCS","Both",,,"723.5","361.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"390.69","264.8","560.71","percent of total billed charges",,
"DRAINAGE OF ABSCESS, EYELID","67700","HCPCS","Both",,,"723.5","361.75","Medicare",,"",,"54",,"392.14","264.8","560.71","percent of total billed charges",,
"DRAINAGE OF ABSCESS, EYELID","67700","HCPCS","Both",,,"723.5","361.75","Humana","Medicare Advantage","",,"54",,"392.14","264.8","560.71","percent of total billed charges",,
"DRAINAGE OF ABSCESS, EYELID","67700","HCPCS","Both",,,"723.5","361.75","UHC","Medicare Advantage","",,"54",,"392.14","264.8","560.71","percent of total billed charges",,
"DRAINAGE OF ABSCESS, EYELID","67700","HCPCS","Both",,,"723.5","361.75","Clover","Medicare Advantage","",,"54",,"392.14","264.8","560.71","percent of total billed charges",,
"DRAINAGE OF ABSCESS, EYELID","67700","HCPCS","Both",,,"723.5","361.75","Wellcare","Medicare Advantage","",,"54",,"392.14","264.8","560.71","percent of total billed charges",,
"DRAINAGE OF ABSCESS, EYELID","67700","HCPCS","Both",,,"723.5","361.75","Amerigroup","Medicaid Managed Care","",,"37",,"264.8","264.8","560.71","percent of total billed charges",,
"DRAINAGE OF ABSCESS, EYELID","67700","HCPCS","Both",,,"723.5","361.75","Caresource","Medicaid Managed Care","",,"40",,"289.4","264.8","560.71","percent of total billed charges",,
"DRAINAGE OF ABSCESS, EYELID","67700","HCPCS","Both",,,"723.5","361.75","Wellcare","Medicaid Managed Care","",,"40",,"293.02","264.8","560.71","percent of total billed charges",,
"DRAINAGE OF ABSCESS, EYELID","67700","HCPCS","Both",,,"723.5","361.75","Aetna","Commercial","",,"64",,"461.59","264.8","560.71","percent of total billed charges",,
"DRAINAGE OF ABSCESS, EYELID","67700","HCPCS","Both",,,"723.5","361.75","Blue Cross Blue Shield","Pathways","",,"71",,"510.79","264.8","560.71","percent of total billed charges",,
"DRAINAGE OF ABSCESS, EYELID","67700","HCPCS","Both",,,"723.5","361.75","Blue Cross Blue Shield","HMO","",,"71",,"510.79","264.8","560.71","percent of total billed charges",,
"DRAINAGE OF ABSCESS, EYELID","67700","HCPCS","Both",,,"723.5","361.75","Blue Cross Blue Shield","PPO","",,"71",,"510.79","264.8","560.71","percent of total billed charges",,
"DRAINAGE OF ABSCESS, EYELID","67700","HCPCS","Both",,,"723.5","361.75","Ambetter","Health Exchange","",,"62",,"448.57","264.8","560.71","percent of total billed charges",,
"DRAINAGE OF ABSCESS, EYELID","67700","HCPCS","Both",,,"723.5","361.75","Caresource","Health Exchange","",,"62",,"448.57","264.8","560.71","percent of total billed charges",,
"DRAINAGE OF ABSCESS, EYELID","67700","HCPCS","Both",,,"723.5","361.75","Cigna","Commercial","",,"59",,"423.97","264.8","560.71","percent of total billed charges",,
"DRAINAGE OF ABSCESS, EYELID","67700","HCPCS","Both",,,"723.5","361.75","Humana","Commercial","",,"78",,"560.71","264.8","560.71","percent of total billed charges",,
"DRAINAGE OF ABSCESS, EYELID","67700","HCPCS","Both",,,"723.5","361.75","UHC","Commercial","",,"75",,"545.52","264.8","560.71","percent of total billed charges",,
"DRAINAGE OF ABSCESS, EYELID","67700","HCPCS","Both",,,"723.5","361.75","Medicaid",,"",,"37",,"264.8","264.8","560.71","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN USING IRRIGATIO","69209","HCPCS","Both",,,"43","21.5","Alliant","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN USING IRRIGATIO","69209","HCPCS","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"23.22","15.74","33.33","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN USING IRRIGATIO","69209","HCPCS","Both",,,"43","21.5","Medicare",,"",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN USING IRRIGATIO","69209","HCPCS","Both",,,"43","21.5","Humana","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN USING IRRIGATIO","69209","HCPCS","Both",,,"43","21.5","UHC","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN USING IRRIGATIO","69209","HCPCS","Both",,,"43","21.5","Clover","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN USING IRRIGATIO","69209","HCPCS","Both",,,"43","21.5","Wellcare","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN USING IRRIGATIO","69209","HCPCS","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care","",,"37",,"15.74","15.74","33.33","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN USING IRRIGATIO","69209","HCPCS","Both",,,"43","21.5","Caresource","Medicaid Managed Care","",,"40",,"17.2","15.74","33.33","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN USING IRRIGATIO","69209","HCPCS","Both",,,"43","21.5","Wellcare","Medicaid Managed Care","",,"40",,"17.42","15.74","33.33","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN USING IRRIGATIO","69209","HCPCS","Both",,,"43","21.5","Aetna","Commercial","",,"64",,"27.43","15.74","33.33","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN USING IRRIGATIO","69209","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN USING IRRIGATIO","69209","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","HMO","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN USING IRRIGATIO","69209","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","PPO","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN USING IRRIGATIO","69209","HCPCS","Both",,,"43","21.5","Ambetter","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN USING IRRIGATIO","69209","HCPCS","Both",,,"43","21.5","Caresource","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN USING IRRIGATIO","69209","HCPCS","Both",,,"43","21.5","Cigna","Commercial","",,"59",,"25.2","15.74","33.33","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN USING IRRIGATIO","69209","HCPCS","Both",,,"43","21.5","Humana","Commercial","",,"78",,"33.33","15.74","33.33","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN USING IRRIGATIO","69209","HCPCS","Both",,,"43","21.5","UHC","Commercial","",,"75",,"32.42","15.74","33.33","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN USING IRRIGATIO","69209","HCPCS","Both",,,"43","21.5","Medicaid",,"",,"37",,"15.74","15.74","33.33","percent of total billed charges",,
"SIMPLE 12.6CM-20.0CM FACE/EAR/EYELD/NOSE","12016","HCPCS","Both",,,"268.5","134.25","Alliant","Health Exchange","",,"62",,"166.47","98.27","208.09","percent of total billed charges",,
"SIMPLE 12.6CM-20.0CM FACE/EAR/EYELD/NOSE","12016","HCPCS","Both",,,"268.5","134.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"144.99","98.27","208.09","percent of total billed charges",,
"SIMPLE 12.6CM-20.0CM FACE/EAR/EYELD/NOSE","12016","HCPCS","Both",,,"268.5","134.25","Medicare",,"",,"54",,"145.53","98.27","208.09","percent of total billed charges",,
"SIMPLE 12.6CM-20.0CM FACE/EAR/EYELD/NOSE","12016","HCPCS","Both",,,"268.5","134.25","Humana","Medicare Advantage","",,"54",,"145.53","98.27","208.09","percent of total billed charges",,
"SIMPLE 12.6CM-20.0CM FACE/EAR/EYELD/NOSE","12016","HCPCS","Both",,,"268.5","134.25","UHC","Medicare Advantage","",,"54",,"145.53","98.27","208.09","percent of total billed charges",,
"SIMPLE 12.6CM-20.0CM FACE/EAR/EYELD/NOSE","12016","HCPCS","Both",,,"268.5","134.25","Clover","Medicare Advantage","",,"54",,"145.53","98.27","208.09","percent of total billed charges",,
"SIMPLE 12.6CM-20.0CM FACE/EAR/EYELD/NOSE","12016","HCPCS","Both",,,"268.5","134.25","Wellcare","Medicare Advantage","",,"54",,"145.53","98.27","208.09","percent of total billed charges",,
"SIMPLE 12.6CM-20.0CM FACE/EAR/EYELD/NOSE","12016","HCPCS","Both",,,"268.5","134.25","Amerigroup","Medicaid Managed Care","",,"37",,"98.27","98.27","208.09","percent of total billed charges",,
"SIMPLE 12.6CM-20.0CM FACE/EAR/EYELD/NOSE","12016","HCPCS","Both",,,"268.5","134.25","Caresource","Medicaid Managed Care","",,"40",,"107.4","98.27","208.09","percent of total billed charges",,
"SIMPLE 12.6CM-20.0CM FACE/EAR/EYELD/NOSE","12016","HCPCS","Both",,,"268.5","134.25","Wellcare","Medicaid Managed Care","",,"40",,"108.74","98.27","208.09","percent of total billed charges",,
"SIMPLE 12.6CM-20.0CM FACE/EAR/EYELD/NOSE","12016","HCPCS","Both",,,"268.5","134.25","Aetna","Commercial","",,"64",,"171.3","98.27","208.09","percent of total billed charges",,
"SIMPLE 12.6CM-20.0CM FACE/EAR/EYELD/NOSE","12016","HCPCS","Both",,,"268.5","134.25","Blue Cross Blue Shield","Pathways","",,"71",,"189.56","98.27","208.09","percent of total billed charges",,
"SIMPLE 12.6CM-20.0CM FACE/EAR/EYELD/NOSE","12016","HCPCS","Both",,,"268.5","134.25","Blue Cross Blue Shield","HMO","",,"71",,"189.56","98.27","208.09","percent of total billed charges",,
"SIMPLE 12.6CM-20.0CM FACE/EAR/EYELD/NOSE","12016","HCPCS","Both",,,"268.5","134.25","Blue Cross Blue Shield","PPO","",,"71",,"189.56","98.27","208.09","percent of total billed charges",,
"SIMPLE 12.6CM-20.0CM FACE/EAR/EYELD/NOSE","12016","HCPCS","Both",,,"268.5","134.25","Ambetter","Health Exchange","",,"62",,"166.47","98.27","208.09","percent of total billed charges",,
"SIMPLE 12.6CM-20.0CM FACE/EAR/EYELD/NOSE","12016","HCPCS","Both",,,"268.5","134.25","Caresource","Health Exchange","",,"62",,"166.47","98.27","208.09","percent of total billed charges",,
"SIMPLE 12.6CM-20.0CM FACE/EAR/EYELD/NOSE","12016","HCPCS","Both",,,"268.5","134.25","Cigna","Commercial","",,"59",,"157.34","98.27","208.09","percent of total billed charges",,
"SIMPLE 12.6CM-20.0CM FACE/EAR/EYELD/NOSE","12016","HCPCS","Both",,,"268.5","134.25","Humana","Commercial","",,"78",,"208.09","98.27","208.09","percent of total billed charges",,
"SIMPLE 12.6CM-20.0CM FACE/EAR/EYELD/NOSE","12016","HCPCS","Both",,,"268.5","134.25","UHC","Commercial","",,"75",,"202.45","98.27","208.09","percent of total billed charges",,
"SIMPLE 12.6CM-20.0CM FACE/EAR/EYELD/NOSE","12016","HCPCS","Both",,,"268.5","134.25","Medicaid",,"",,"37",,"98.27","98.27","208.09","percent of total billed charges",,
"RABIES VAC IM","90675","HCPCS","Both",,,"602","301","Alliant","Health Exchange","",,"62",,"373.24","220.33","565.75","percent of total billed charges",,
"RABIES VAC IM","90675","HCPCS","Both",,,"602","301","Pruitt Healthcare","Medicare Advantage","",,"54",,"325.08","220.33","565.75","percent of total billed charges",,
"RABIES VAC IM","90675","HCPCS","Both",,,"602","301","Medicare",,"",,"54",,"326.28","220.33","565.75","percent of total billed charges",,
"RABIES VAC IM","90675","HCPCS","Both",,,"602","301","Humana","Medicare Advantage","",,"54",,"326.28","220.33","565.75","percent of total billed charges",,
"RABIES VAC IM","90675","HCPCS","Both",,,"602","301","UHC","Medicare Advantage","",,"54",,"326.28","220.33","565.75","percent of total billed charges",,
"RABIES VAC IM","90675","HCPCS","Both",,,"602","301","Clover","Medicare Advantage","",,"54",,"326.28","220.33","565.75","percent of total billed charges",,
"RABIES VAC IM","90675","HCPCS","Both",,,"602","301","Wellcare","Medicare Advantage","",,"54",,"326.28","220.33","565.75","percent of total billed charges",,
"RABIES VAC IM","90675","HCPCS","Both",,,"602","301","Amerigroup","Medicaid Managed Care","",,"37",,"220.33","220.33","565.75","percent of total billed charges",,
"RABIES VAC IM","90675","HCPCS","Both",,,"602","301","Caresource","Medicaid Managed Care","",,"40",,"240.8","220.33","565.75","percent of total billed charges",,
"RABIES VAC IM","90675","HCPCS","Both",,,"602","301","Wellcare","Medicaid Managed Care","",,"40",,"243.81","220.33","565.75","percent of total billed charges",,
"RABIES VAC IM","90675","HCPCS","Both",,,"602","301","Aetna","Commercial","",,"64",,"384.08","220.33","565.75","percent of total billed charges",,
"RABIES VAC IM","90675","HCPCS","Both",,,"602","301","Blue Cross Blue Shield","Pathways","",,"71",,"425.01","220.33","565.75","percent of total billed charges",,
"RABIES VAC IM","90675","HCPCS","Both",,,"602","301","Blue Cross Blue Shield","HMO","",,"71",,"425.01","220.33","565.75","percent of total billed charges",,
"RABIES VAC IM","90675","HCPCS","Both",,,"602","301","Blue Cross Blue Shield","PPO","",,"71",,"425.01","220.33","565.75","percent of total billed charges",,
"RABIES VAC IM","90675","HCPCS","Both",,,"602","301","Ambetter","Health Exchange","",,"62",,"373.24","220.33","565.75","percent of total billed charges",,
"RABIES VAC IM","90675","HCPCS","Both",,,"602","301","Caresource","Health Exchange","",,"62",,"373.24","220.33","565.75","percent of total billed charges",,
"RABIES VAC IM","90675","HCPCS","Both",,,"602","301","Cigna","Commercial","",,"59",,"352.77","220.33","565.75","percent of total billed charges",,
"RABIES VAC IM","90675","HCPCS","Both",,,"602","301","Humana","Commercial","",,"78",,"466.55","220.33","565.75","percent of total billed charges",,
"RABIES VAC IM","90675","HCPCS","Both",,,"602","301","UHC","Commercial","",,"75",,"453.91","220.33","565.75","percent of total billed charges",,
"RABIES VAC IM","90675","HCPCS","Both",,,"602","301","Medicaid",,"",,"37",,"220.33","220.33","565.75","percent of total billed charges",,
"INTRAVENOUS INFUSION; ADD'L SEQ TO 1 HR","96367","HCPCS","Both",,,"49","24.5","Alliant","Health Exchange","",,"62",,"30.38","17.93","52.29","percent of total billed charges",,
"INTRAVENOUS INFUSION; ADD'L SEQ TO 1 HR","96367","HCPCS","Both",,,"49","24.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"26.46","17.93","52.29","percent of total billed charges",,
"INTRAVENOUS INFUSION; ADD'L SEQ TO 1 HR","96367","HCPCS","Both",,,"49","24.5","Medicare",,"",,"54",,"26.56","17.93","52.29","percent of total billed charges",,
"INTRAVENOUS INFUSION; ADD'L SEQ TO 1 HR","96367","HCPCS","Both",,,"49","24.5","Humana","Medicare Advantage","",,"54",,"26.56","17.93","52.29","percent of total billed charges",,
"INTRAVENOUS INFUSION; ADD'L SEQ TO 1 HR","96367","HCPCS","Both",,,"49","24.5","UHC","Medicare Advantage","",,"54",,"26.56","17.93","52.29","percent of total billed charges",,
"INTRAVENOUS INFUSION; ADD'L SEQ TO 1 HR","96367","HCPCS","Both",,,"49","24.5","Clover","Medicare Advantage","",,"54",,"26.56","17.93","52.29","percent of total billed charges",,
"INTRAVENOUS INFUSION; ADD'L SEQ TO 1 HR","96367","HCPCS","Both",,,"49","24.5","Wellcare","Medicare Advantage","",,"54",,"26.56","17.93","52.29","percent of total billed charges",,
"INTRAVENOUS INFUSION; ADD'L SEQ TO 1 HR","96367","HCPCS","Both",,,"49","24.5","Amerigroup","Medicaid Managed Care","",,"37",,"17.93","17.93","52.29","percent of total billed charges",,
"INTRAVENOUS INFUSION; ADD'L SEQ TO 1 HR","96367","HCPCS","Both",,,"49","24.5","Caresource","Medicaid Managed Care","",,"40",,"19.6","17.93","52.29","percent of total billed charges",,
"INTRAVENOUS INFUSION; ADD'L SEQ TO 1 HR","96367","HCPCS","Both",,,"49","24.5","Wellcare","Medicaid Managed Care","",,"40",,"19.85","17.93","52.29","percent of total billed charges",,
"INTRAVENOUS INFUSION; ADD'L SEQ TO 1 HR","96367","HCPCS","Both",,,"49","24.5","Aetna","Commercial","",,"64",,"31.26","17.93","52.29","percent of total billed charges",,
"INTRAVENOUS INFUSION; ADD'L SEQ TO 1 HR","96367","HCPCS","Both",,,"49","24.5","Blue Cross Blue Shield","Pathways","",,"71",,"34.59","17.93","52.29","percent of total billed charges",,
"INTRAVENOUS INFUSION; ADD'L SEQ TO 1 HR","96367","HCPCS","Both",,,"49","24.5","Blue Cross Blue Shield","HMO","",,"71",,"34.59","17.93","52.29","percent of total billed charges",,
"INTRAVENOUS INFUSION; ADD'L SEQ TO 1 HR","96367","HCPCS","Both",,,"49","24.5","Blue Cross Blue Shield","PPO","",,"71",,"34.59","17.93","52.29","percent of total billed charges",,
"INTRAVENOUS INFUSION; ADD'L SEQ TO 1 HR","96367","HCPCS","Both",,,"49","24.5","Ambetter","Health Exchange","",,"62",,"30.38","17.93","52.29","percent of total billed charges",,
"INTRAVENOUS INFUSION; ADD'L SEQ TO 1 HR","96367","HCPCS","Both",,,"49","24.5","Caresource","Health Exchange","",,"62",,"30.38","17.93","52.29","percent of total billed charges",,
"INTRAVENOUS INFUSION; ADD'L SEQ TO 1 HR","96367","HCPCS","Both",,,"49","24.5","Cigna","Commercial","",,"59",,"28.71","17.93","52.29","percent of total billed charges",,
"INTRAVENOUS INFUSION; ADD'L SEQ TO 1 HR","96367","HCPCS","Both",,,"49","24.5","Humana","Commercial","",,"78",,"37.98","17.93","52.29","percent of total billed charges",,
"INTRAVENOUS INFUSION; ADD'L SEQ TO 1 HR","96367","HCPCS","Both",,,"49","24.5","UHC","Commercial","",,"75",,"36.95","17.93","52.29","percent of total billed charges",,
"INTRAVENOUS INFUSION; ADD'L SEQ TO 1 HR","96367","HCPCS","Both",,,"49","24.5","Medicaid",,"",,"37",,"17.93","17.93","52.29","percent of total billed charges",,
"IV INFUSION; CONCURRENT INFUSION","96368","HCPCS","Both",,,"24.5","12.25","Alliant","Health Exchange","",,"62",,"15.19","8.97","18.99","percent of total billed charges",,
"IV INFUSION; CONCURRENT INFUSION","96368","HCPCS","Both",,,"24.5","12.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"13.23","8.97","18.99","percent of total billed charges",,
"IV INFUSION; CONCURRENT INFUSION","96368","HCPCS","Both",,,"24.5","12.25","Medicare",,"",,"54",,"13.28","8.97","18.99","percent of total billed charges",,
"IV INFUSION; CONCURRENT INFUSION","96368","HCPCS","Both",,,"24.5","12.25","Humana","Medicare Advantage","",,"54",,"13.28","8.97","18.99","percent of total billed charges",,
"IV INFUSION; CONCURRENT INFUSION","96368","HCPCS","Both",,,"24.5","12.25","UHC","Medicare Advantage","",,"54",,"13.28","8.97","18.99","percent of total billed charges",,
"IV INFUSION; CONCURRENT INFUSION","96368","HCPCS","Both",,,"24.5","12.25","Clover","Medicare Advantage","",,"54",,"13.28","8.97","18.99","percent of total billed charges",,
"IV INFUSION; CONCURRENT INFUSION","96368","HCPCS","Both",,,"24.5","12.25","Wellcare","Medicare Advantage","",,"54",,"13.28","8.97","18.99","percent of total billed charges",,
"IV INFUSION; CONCURRENT INFUSION","96368","HCPCS","Both",,,"24.5","12.25","Amerigroup","Medicaid Managed Care","",,"37",,"8.97","8.97","18.99","percent of total billed charges",,
"IV INFUSION; CONCURRENT INFUSION","96368","HCPCS","Both",,,"24.5","12.25","Caresource","Medicaid Managed Care","",,"40",,"9.8","8.97","18.99","percent of total billed charges",,
"IV INFUSION; CONCURRENT INFUSION","96368","HCPCS","Both",,,"24.5","12.25","Wellcare","Medicaid Managed Care","",,"40",,"9.92","8.97","18.99","percent of total billed charges",,
"IV INFUSION; CONCURRENT INFUSION","96368","HCPCS","Both",,,"24.5","12.25","Aetna","Commercial","",,"64",,"15.63","8.97","18.99","percent of total billed charges",,
"IV INFUSION; CONCURRENT INFUSION","96368","HCPCS","Both",,,"24.5","12.25","Blue Cross Blue Shield","Pathways","",,"71",,"17.3","8.97","18.99","percent of total billed charges",,
"IV INFUSION; CONCURRENT INFUSION","96368","HCPCS","Both",,,"24.5","12.25","Blue Cross Blue Shield","HMO","",,"71",,"17.3","8.97","18.99","percent of total billed charges",,
"IV INFUSION; CONCURRENT INFUSION","96368","HCPCS","Both",,,"24.5","12.25","Blue Cross Blue Shield","PPO","",,"71",,"17.3","8.97","18.99","percent of total billed charges",,
"IV INFUSION; CONCURRENT INFUSION","96368","HCPCS","Both",,,"24.5","12.25","Ambetter","Health Exchange","",,"62",,"15.19","8.97","18.99","percent of total billed charges",,
"IV INFUSION; CONCURRENT INFUSION","96368","HCPCS","Both",,,"24.5","12.25","Caresource","Health Exchange","",,"62",,"15.19","8.97","18.99","percent of total billed charges",,
"IV INFUSION; CONCURRENT INFUSION","96368","HCPCS","Both",,,"24.5","12.25","Cigna","Commercial","",,"59",,"14.36","8.97","18.99","percent of total billed charges",,
"IV INFUSION; CONCURRENT INFUSION","96368","HCPCS","Both",,,"24.5","12.25","Humana","Commercial","",,"78",,"18.99","8.97","18.99","percent of total billed charges",,
"IV INFUSION; CONCURRENT INFUSION","96368","HCPCS","Both",,,"24.5","12.25","UHC","Commercial","",,"75",,"18.47","8.97","18.99","percent of total billed charges",,
"IV INFUSION; CONCURRENT INFUSION","96368","HCPCS","Both",,,"24.5","12.25","Medicaid",,"",,"37",,"8.97","8.97","18.99","percent of total billed charges",,
"IRRIGATION IMPLANTED VENOUS ACCESS DEVIC","96523","HCPCS","Both",,,"83.5","41.75","Alliant","Health Exchange","",,"62",,"51.77","30.56","64.71","percent of total billed charges",,
"IRRIGATION IMPLANTED VENOUS ACCESS DEVIC","96523","HCPCS","Both",,,"83.5","41.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"45.09","30.56","64.71","percent of total billed charges",,
"IRRIGATION IMPLANTED VENOUS ACCESS DEVIC","96523","HCPCS","Both",,,"83.5","41.75","Medicare",,"",,"54",,"45.26","30.56","64.71","percent of total billed charges",,
"IRRIGATION IMPLANTED VENOUS ACCESS DEVIC","96523","HCPCS","Both",,,"83.5","41.75","Humana","Medicare Advantage","",,"54",,"45.26","30.56","64.71","percent of total billed charges",,
"IRRIGATION IMPLANTED VENOUS ACCESS DEVIC","96523","HCPCS","Both",,,"83.5","41.75","UHC","Medicare Advantage","",,"54",,"45.26","30.56","64.71","percent of total billed charges",,
"IRRIGATION IMPLANTED VENOUS ACCESS DEVIC","96523","HCPCS","Both",,,"83.5","41.75","Clover","Medicare Advantage","",,"54",,"45.26","30.56","64.71","percent of total billed charges",,
"IRRIGATION IMPLANTED VENOUS ACCESS DEVIC","96523","HCPCS","Both",,,"83.5","41.75","Wellcare","Medicare Advantage","",,"54",,"45.26","30.56","64.71","percent of total billed charges",,
"IRRIGATION IMPLANTED VENOUS ACCESS DEVIC","96523","HCPCS","Both",,,"83.5","41.75","Amerigroup","Medicaid Managed Care","",,"37",,"30.56","30.56","64.71","percent of total billed charges",,
"IRRIGATION IMPLANTED VENOUS ACCESS DEVIC","96523","HCPCS","Both",,,"83.5","41.75","Caresource","Medicaid Managed Care","",,"40",,"33.4","30.56","64.71","percent of total billed charges",,
"IRRIGATION IMPLANTED VENOUS ACCESS DEVIC","96523","HCPCS","Both",,,"83.5","41.75","Wellcare","Medicaid Managed Care","",,"40",,"33.82","30.56","64.71","percent of total billed charges",,
"IRRIGATION IMPLANTED VENOUS ACCESS DEVIC","96523","HCPCS","Both",,,"83.5","41.75","Aetna","Commercial","",,"64",,"53.27","30.56","64.71","percent of total billed charges",,
"IRRIGATION IMPLANTED VENOUS ACCESS DEVIC","96523","HCPCS","Both",,,"83.5","41.75","Blue Cross Blue Shield","Pathways","",,"71",,"58.95","30.56","64.71","percent of total billed charges",,
"IRRIGATION IMPLANTED VENOUS ACCESS DEVIC","96523","HCPCS","Both",,,"83.5","41.75","Blue Cross Blue Shield","HMO","",,"71",,"58.95","30.56","64.71","percent of total billed charges",,
"IRRIGATION IMPLANTED VENOUS ACCESS DEVIC","96523","HCPCS","Both",,,"83.5","41.75","Blue Cross Blue Shield","PPO","",,"71",,"58.95","30.56","64.71","percent of total billed charges",,
"IRRIGATION IMPLANTED VENOUS ACCESS DEVIC","96523","HCPCS","Both",,,"83.5","41.75","Ambetter","Health Exchange","",,"62",,"51.77","30.56","64.71","percent of total billed charges",,
"IRRIGATION IMPLANTED VENOUS ACCESS DEVIC","96523","HCPCS","Both",,,"83.5","41.75","Caresource","Health Exchange","",,"62",,"51.77","30.56","64.71","percent of total billed charges",,
"IRRIGATION IMPLANTED VENOUS ACCESS DEVIC","96523","HCPCS","Both",,,"83.5","41.75","Cigna","Commercial","",,"59",,"48.93","30.56","64.71","percent of total billed charges",,
"IRRIGATION IMPLANTED VENOUS ACCESS DEVIC","96523","HCPCS","Both",,,"83.5","41.75","Humana","Commercial","",,"78",,"64.71","30.56","64.71","percent of total billed charges",,
"IRRIGATION IMPLANTED VENOUS ACCESS DEVIC","96523","HCPCS","Both",,,"83.5","41.75","UHC","Commercial","",,"75",,"62.96","30.56","64.71","percent of total billed charges",,
"IRRIGATION IMPLANTED VENOUS ACCESS DEVIC","96523","HCPCS","Both",,,"83.5","41.75","Medicaid",,"",,"37",,"30.56","30.56","64.71","percent of total billed charges",,
"MOD SED SAME PHYS/QHP < 5YRS INT 15minS","99151","HCPCS","Both",,,"94.75","47.375","Alliant","Health Exchange","",,"62",,"58.74","34.68","73.43","percent of total billed charges",,
"MOD SED SAME PHYS/QHP < 5YRS INT 15minS","99151","HCPCS","Both",,,"94.75","47.375","Pruitt Healthcare","Medicare Advantage","",,"54",,"51.17","34.68","73.43","percent of total billed charges",,
"MOD SED SAME PHYS/QHP < 5YRS INT 15minS","99151","HCPCS","Both",,,"94.75","47.375","Medicare",,"",,"54",,"51.35","34.68","73.43","percent of total billed charges",,
"MOD SED SAME PHYS/QHP < 5YRS INT 15minS","99151","HCPCS","Both",,,"94.75","47.375","Humana","Medicare Advantage","",,"54",,"51.35","34.68","73.43","percent of total billed charges",,
"MOD SED SAME PHYS/QHP < 5YRS INT 15minS","99151","HCPCS","Both",,,"94.75","47.375","UHC","Medicare Advantage","",,"54",,"51.35","34.68","73.43","percent of total billed charges",,
"MOD SED SAME PHYS/QHP < 5YRS INT 15minS","99151","HCPCS","Both",,,"94.75","47.375","Clover","Medicare Advantage","",,"54",,"51.35","34.68","73.43","percent of total billed charges",,
"MOD SED SAME PHYS/QHP < 5YRS INT 15minS","99151","HCPCS","Both",,,"94.75","47.375","Wellcare","Medicare Advantage","",,"54",,"51.35","34.68","73.43","percent of total billed charges",,
"MOD SED SAME PHYS/QHP < 5YRS INT 15minS","99151","HCPCS","Both",,,"94.75","47.375","Amerigroup","Medicaid Managed Care","",,"37",,"34.68","34.68","73.43","percent of total billed charges",,
"MOD SED SAME PHYS/QHP < 5YRS INT 15minS","99151","HCPCS","Both",,,"94.75","47.375","Caresource","Medicaid Managed Care","",,"40",,"37.9","34.68","73.43","percent of total billed charges",,
"MOD SED SAME PHYS/QHP < 5YRS INT 15minS","99151","HCPCS","Both",,,"94.75","47.375","Wellcare","Medicaid Managed Care","",,"40",,"38.37","34.68","73.43","percent of total billed charges",,
"MOD SED SAME PHYS/QHP < 5YRS INT 15minS","99151","HCPCS","Both",,,"94.75","47.375","Aetna","Commercial","",,"64",,"60.45","34.68","73.43","percent of total billed charges",,
"MOD SED SAME PHYS/QHP < 5YRS INT 15minS","99151","HCPCS","Both",,,"94.75","47.375","Blue Cross Blue Shield","Pathways","",,"71",,"66.89","34.68","73.43","percent of total billed charges",,
"MOD SED SAME PHYS/QHP < 5YRS INT 15minS","99151","HCPCS","Both",,,"94.75","47.375","Blue Cross Blue Shield","HMO","",,"71",,"66.89","34.68","73.43","percent of total billed charges",,
"MOD SED SAME PHYS/QHP < 5YRS INT 15minS","99151","HCPCS","Both",,,"94.75","47.375","Blue Cross Blue Shield","PPO","",,"71",,"66.89","34.68","73.43","percent of total billed charges",,
"MOD SED SAME PHYS/QHP < 5YRS INT 15minS","99151","HCPCS","Both",,,"94.75","47.375","Ambetter","Health Exchange","",,"62",,"58.74","34.68","73.43","percent of total billed charges",,
"MOD SED SAME PHYS/QHP < 5YRS INT 15minS","99151","HCPCS","Both",,,"94.75","47.375","Caresource","Health Exchange","",,"62",,"58.74","34.68","73.43","percent of total billed charges",,
"MOD SED SAME PHYS/QHP < 5YRS INT 15minS","99151","HCPCS","Both",,,"94.75","47.375","Cigna","Commercial","",,"59",,"55.52","34.68","73.43","percent of total billed charges",,
"MOD SED SAME PHYS/QHP < 5YRS INT 15minS","99151","HCPCS","Both",,,"94.75","47.375","Humana","Commercial","",,"78",,"73.43","34.68","73.43","percent of total billed charges",,
"MOD SED SAME PHYS/QHP < 5YRS INT 15minS","99151","HCPCS","Both",,,"94.75","47.375","UHC","Commercial","",,"75",,"71.44","34.68","73.43","percent of total billed charges",,
"MOD SED SAME PHYS/QHP < 5YRS INT 15minS","99151","HCPCS","Both",,,"94.75","47.375","Medicaid",,"",,"37",,"34.68","34.68","73.43","percent of total billed charges",,
"MOD SED SAME PHYS/QHP > 5YRS INT 15MINS","99152","HCPCS","Both",,,"49","24.5","Alliant","Health Exchange","",,"62",,"30.38","17.93","37.98","percent of total billed charges",,
"MOD SED SAME PHYS/QHP > 5YRS INT 15MINS","99152","HCPCS","Both",,,"49","24.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"26.46","17.93","37.98","percent of total billed charges",,
"MOD SED SAME PHYS/QHP > 5YRS INT 15MINS","99152","HCPCS","Both",,,"49","24.5","Medicare",,"",,"54",,"26.56","17.93","37.98","percent of total billed charges",,
"MOD SED SAME PHYS/QHP > 5YRS INT 15MINS","99152","HCPCS","Both",,,"49","24.5","Humana","Medicare Advantage","",,"54",,"26.56","17.93","37.98","percent of total billed charges",,
"MOD SED SAME PHYS/QHP > 5YRS INT 15MINS","99152","HCPCS","Both",,,"49","24.5","UHC","Medicare Advantage","",,"54",,"26.56","17.93","37.98","percent of total billed charges",,
"MOD SED SAME PHYS/QHP > 5YRS INT 15MINS","99152","HCPCS","Both",,,"49","24.5","Clover","Medicare Advantage","",,"54",,"26.56","17.93","37.98","percent of total billed charges",,
"MOD SED SAME PHYS/QHP > 5YRS INT 15MINS","99152","HCPCS","Both",,,"49","24.5","Wellcare","Medicare Advantage","",,"54",,"26.56","17.93","37.98","percent of total billed charges",,
"MOD SED SAME PHYS/QHP > 5YRS INT 15MINS","99152","HCPCS","Both",,,"49","24.5","Amerigroup","Medicaid Managed Care","",,"37",,"17.93","17.93","37.98","percent of total billed charges",,
"MOD SED SAME PHYS/QHP > 5YRS INT 15MINS","99152","HCPCS","Both",,,"49","24.5","Caresource","Medicaid Managed Care","",,"40",,"19.6","17.93","37.98","percent of total billed charges",,
"MOD SED SAME PHYS/QHP > 5YRS INT 15MINS","99152","HCPCS","Both",,,"49","24.5","Wellcare","Medicaid Managed Care","",,"40",,"19.85","17.93","37.98","percent of total billed charges",,
"MOD SED SAME PHYS/QHP > 5YRS INT 15MINS","99152","HCPCS","Both",,,"49","24.5","Aetna","Commercial","",,"64",,"31.26","17.93","37.98","percent of total billed charges",,
"MOD SED SAME PHYS/QHP > 5YRS INT 15MINS","99152","HCPCS","Both",,,"49","24.5","Blue Cross Blue Shield","Pathways","",,"71",,"34.59","17.93","37.98","percent of total billed charges",,
"MOD SED SAME PHYS/QHP > 5YRS INT 15MINS","99152","HCPCS","Both",,,"49","24.5","Blue Cross Blue Shield","HMO","",,"71",,"34.59","17.93","37.98","percent of total billed charges",,
"MOD SED SAME PHYS/QHP > 5YRS INT 15MINS","99152","HCPCS","Both",,,"49","24.5","Blue Cross Blue Shield","PPO","",,"71",,"34.59","17.93","37.98","percent of total billed charges",,
"MOD SED SAME PHYS/QHP > 5YRS INT 15MINS","99152","HCPCS","Both",,,"49","24.5","Ambetter","Health Exchange","",,"62",,"30.38","17.93","37.98","percent of total billed charges",,
"MOD SED SAME PHYS/QHP > 5YRS INT 15MINS","99152","HCPCS","Both",,,"49","24.5","Caresource","Health Exchange","",,"62",,"30.38","17.93","37.98","percent of total billed charges",,
"MOD SED SAME PHYS/QHP > 5YRS INT 15MINS","99152","HCPCS","Both",,,"49","24.5","Cigna","Commercial","",,"59",,"28.71","17.93","37.98","percent of total billed charges",,
"MOD SED SAME PHYS/QHP > 5YRS INT 15MINS","99152","HCPCS","Both",,,"49","24.5","Humana","Commercial","",,"78",,"37.98","17.93","37.98","percent of total billed charges",,
"MOD SED SAME PHYS/QHP > 5YRS INT 15MINS","99152","HCPCS","Both",,,"49","24.5","UHC","Commercial","",,"75",,"36.95","17.93","37.98","percent of total billed charges",,
"MOD SED SAME PHYS/QHP > 5YRS INT 15MINS","99152","HCPCS","Both",,,"49","24.5","Medicaid",,"",,"37",,"17.93","17.93","37.98","percent of total billed charges",,
"MOD SED SAME PHYS/QHP > 5YRS @ ADDL 15mi","99153","HCPCS","Both",,,"39.75","19.875","Alliant","Health Exchange","",,"62",,"24.64","14.55","30.81","percent of total billed charges",,
"MOD SED SAME PHYS/QHP > 5YRS @ ADDL 15mi","99153","HCPCS","Both",,,"39.75","19.875","Pruitt Healthcare","Medicare Advantage","",,"54",,"21.46","14.55","30.81","percent of total billed charges",,
"MOD SED SAME PHYS/QHP > 5YRS @ ADDL 15mi","99153","HCPCS","Both",,,"39.75","19.875","Medicare",,"",,"54",,"21.54","14.55","30.81","percent of total billed charges",,
"MOD SED SAME PHYS/QHP > 5YRS @ ADDL 15mi","99153","HCPCS","Both",,,"39.75","19.875","Humana","Medicare Advantage","",,"54",,"21.54","14.55","30.81","percent of total billed charges",,
"MOD SED SAME PHYS/QHP > 5YRS @ ADDL 15mi","99153","HCPCS","Both",,,"39.75","19.875","UHC","Medicare Advantage","",,"54",,"21.54","14.55","30.81","percent of total billed charges",,
"MOD SED SAME PHYS/QHP > 5YRS @ ADDL 15mi","99153","HCPCS","Both",,,"39.75","19.875","Clover","Medicare Advantage","",,"54",,"21.54","14.55","30.81","percent of total billed charges",,
"MOD SED SAME PHYS/QHP > 5YRS @ ADDL 15mi","99153","HCPCS","Both",,,"39.75","19.875","Wellcare","Medicare Advantage","",,"54",,"21.54","14.55","30.81","percent of total billed charges",,
"MOD SED SAME PHYS/QHP > 5YRS @ ADDL 15mi","99153","HCPCS","Both",,,"39.75","19.875","Amerigroup","Medicaid Managed Care","",,"37",,"14.55","14.55","30.81","percent of total billed charges",,
"MOD SED SAME PHYS/QHP > 5YRS @ ADDL 15mi","99153","HCPCS","Both",,,"39.75","19.875","Caresource","Medicaid Managed Care","",,"40",,"15.9","14.55","30.81","percent of total billed charges",,
"MOD SED SAME PHYS/QHP > 5YRS @ ADDL 15mi","99153","HCPCS","Both",,,"39.75","19.875","Wellcare","Medicaid Managed Care","",,"40",,"16.1","14.55","30.81","percent of total billed charges",,
"MOD SED SAME PHYS/QHP > 5YRS @ ADDL 15mi","99153","HCPCS","Both",,,"39.75","19.875","Aetna","Commercial","",,"64",,"25.36","14.55","30.81","percent of total billed charges",,
"MOD SED SAME PHYS/QHP > 5YRS @ ADDL 15mi","99153","HCPCS","Both",,,"39.75","19.875","Blue Cross Blue Shield","Pathways","",,"71",,"28.06","14.55","30.81","percent of total billed charges",,
"MOD SED SAME PHYS/QHP > 5YRS @ ADDL 15mi","99153","HCPCS","Both",,,"39.75","19.875","Blue Cross Blue Shield","HMO","",,"71",,"28.06","14.55","30.81","percent of total billed charges",,
"MOD SED SAME PHYS/QHP > 5YRS @ ADDL 15mi","99153","HCPCS","Both",,,"39.75","19.875","Blue Cross Blue Shield","PPO","",,"71",,"28.06","14.55","30.81","percent of total billed charges",,
"MOD SED SAME PHYS/QHP > 5YRS @ ADDL 15mi","99153","HCPCS","Both",,,"39.75","19.875","Ambetter","Health Exchange","",,"62",,"24.64","14.55","30.81","percent of total billed charges",,
"MOD SED SAME PHYS/QHP > 5YRS @ ADDL 15mi","99153","HCPCS","Both",,,"39.75","19.875","Caresource","Health Exchange","",,"62",,"24.64","14.55","30.81","percent of total billed charges",,
"MOD SED SAME PHYS/QHP > 5YRS @ ADDL 15mi","99153","HCPCS","Both",,,"39.75","19.875","Cigna","Commercial","",,"59",,"23.29","14.55","30.81","percent of total billed charges",,
"MOD SED SAME PHYS/QHP > 5YRS @ ADDL 15mi","99153","HCPCS","Both",,,"39.75","19.875","Humana","Commercial","",,"78",,"30.81","14.55","30.81","percent of total billed charges",,
"MOD SED SAME PHYS/QHP > 5YRS @ ADDL 15mi","99153","HCPCS","Both",,,"39.75","19.875","UHC","Commercial","",,"75",,"29.97","14.55","30.81","percent of total billed charges",,
"MOD SED SAME PHYS/QHP > 5YRS @ ADDL 15mi","99153","HCPCS","Both",,,"39.75","19.875","Medicaid",,"",,"37",,"14.55","14.55","30.81","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/ANESTHESI","23655","HCPCS","Both",,,"3244","1622","Alliant","Health Exchange","",,"62",,"2011.28","1187.3","2514.1","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/ANESTHESI","23655","HCPCS","Both",,,"3244","1622","Pruitt Healthcare","Medicare Advantage","",,"54",,"1751.76","1187.3","2514.1","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/ANESTHESI","23655","HCPCS","Both",,,"3244","1622","Medicare",,"",,"54",,"1758.25","1187.3","2514.1","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/ANESTHESI","23655","HCPCS","Both",,,"3244","1622","Humana","Medicare Advantage","",,"54",,"1758.25","1187.3","2514.1","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/ANESTHESI","23655","HCPCS","Both",,,"3244","1622","UHC","Medicare Advantage","",,"54",,"1758.25","1187.3","2514.1","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/ANESTHESI","23655","HCPCS","Both",,,"3244","1622","Clover","Medicare Advantage","",,"54",,"1758.25","1187.3","2514.1","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/ANESTHESI","23655","HCPCS","Both",,,"3244","1622","Wellcare","Medicare Advantage","",,"54",,"1758.25","1187.3","2514.1","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/ANESTHESI","23655","HCPCS","Both",,,"3244","1622","Amerigroup","Medicaid Managed Care","",,"37",,"1187.3","1187.3","2514.1","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/ANESTHESI","23655","HCPCS","Both",,,"3244","1622","Caresource","Medicaid Managed Care","",,"40",,"1297.6","1187.3","2514.1","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/ANESTHESI","23655","HCPCS","Both",,,"3244","1622","Wellcare","Medicaid Managed Care","",,"40",,"1313.82","1187.3","2514.1","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/ANESTHESI","23655","HCPCS","Both",,,"3244","1622","Aetna","Commercial","",,"64",,"2069.67","1187.3","2514.1","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/ANESTHESI","23655","HCPCS","Both",,,"3244","1622","Blue Cross Blue Shield","Pathways","",,"71",,"2290.26","1187.3","2514.1","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/ANESTHESI","23655","HCPCS","Both",,,"3244","1622","Blue Cross Blue Shield","HMO","",,"71",,"2290.26","1187.3","2514.1","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/ANESTHESI","23655","HCPCS","Both",,,"3244","1622","Blue Cross Blue Shield","PPO","",,"71",,"2290.26","1187.3","2514.1","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/ANESTHESI","23655","HCPCS","Both",,,"3244","1622","Ambetter","Health Exchange","",,"62",,"2011.28","1187.3","2514.1","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/ANESTHESI","23655","HCPCS","Both",,,"3244","1622","Caresource","Health Exchange","",,"62",,"2011.28","1187.3","2514.1","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/ANESTHESI","23655","HCPCS","Both",,,"3244","1622","Cigna","Commercial","",,"59",,"1900.98","1187.3","2514.1","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/ANESTHESI","23655","HCPCS","Both",,,"3244","1622","Humana","Commercial","",,"78",,"2514.1","1187.3","2514.1","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/ANESTHESI","23655","HCPCS","Both",,,"3244","1622","UHC","Commercial","",,"75",,"2445.98","1187.3","2514.1","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/ANESTHESI","23655","HCPCS","Both",,,"3244","1622","Medicaid",,"",,"37",,"1187.3","1187.3","2514.1","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 1","99281","HCPCS","Both",,,"122","61","Alliant","Health Exchange","",,"62",,"75.64","44.65","94.55","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 1","99281","HCPCS","Both",,,"122","61","Pruitt Healthcare","Medicare Advantage","",,"54",,"65.88","44.65","94.55","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 1","99281","HCPCS","Both",,,"122","61","Medicare",,"",,"54",,"66.12","44.65","94.55","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 1","99281","HCPCS","Both",,,"122","61","Humana","Medicare Advantage","",,"54",,"66.12","44.65","94.55","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 1","99281","HCPCS","Both",,,"122","61","UHC","Medicare Advantage","",,"54",,"66.12","44.65","94.55","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 1","99281","HCPCS","Both",,,"122","61","Clover","Medicare Advantage","",,"54",,"66.12","44.65","94.55","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 1","99281","HCPCS","Both",,,"122","61","Wellcare","Medicare Advantage","",,"54",,"66.12","44.65","94.55","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 1","99281","HCPCS","Both",,,"122","61","Amerigroup","Medicaid Managed Care","",,"37",,"44.65","44.65","94.55","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 1","99281","HCPCS","Both",,,"122","61","Caresource","Medicaid Managed Care","",,"40",,"48.8","44.65","94.55","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 1","99281","HCPCS","Both",,,"122","61","Wellcare","Medicaid Managed Care","",,"40",,"49.41","44.65","94.55","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 1","99281","HCPCS","Both",,,"122","61","Aetna","Commercial","",,"64",,"77.84","44.65","94.55","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 1","99281","HCPCS","Both",,,"122","61","Blue Cross Blue Shield","Pathways","",,"71",,"86.13","44.65","94.55","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 1","99281","HCPCS","Both",,,"122","61","Blue Cross Blue Shield","HMO","",,"71",,"86.13","44.65","94.55","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 1","99281","HCPCS","Both",,,"122","61","Blue Cross Blue Shield","PPO","",,"71",,"86.13","44.65","94.55","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 1","99281","HCPCS","Both",,,"122","61","Ambetter","Health Exchange","",,"62",,"75.64","44.65","94.55","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 1","99281","HCPCS","Both",,,"122","61","Caresource","Health Exchange","",,"62",,"75.64","44.65","94.55","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 1","99281","HCPCS","Both",,,"122","61","Cigna","Commercial","",,"59",,"71.49","44.65","94.55","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 1","99281","HCPCS","Both",,,"122","61","Humana","Commercial","",,"78",,"94.55","44.65","94.55","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 1","99281","HCPCS","Both",,,"122","61","UHC","Commercial","",,"75",,"91.99","44.65","94.55","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 1","99281","HCPCS","Both",,,"122","61","Medicaid",,"",,"37",,"44.65","44.65","94.55","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 2","99282","HCPCS","Both",,,"131.5","65.75","Alliant","Health Exchange","",,"62",,"81.53","48.13","101.91","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 2","99282","HCPCS","Both",,,"131.5","65.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"71.01","48.13","101.91","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 2","99282","HCPCS","Both",,,"131.5","65.75","Medicare",,"",,"54",,"71.27","48.13","101.91","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 2","99282","HCPCS","Both",,,"131.5","65.75","Humana","Medicare Advantage","",,"54",,"71.27","48.13","101.91","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 2","99282","HCPCS","Both",,,"131.5","65.75","UHC","Medicare Advantage","",,"54",,"71.27","48.13","101.91","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 2","99282","HCPCS","Both",,,"131.5","65.75","Clover","Medicare Advantage","",,"54",,"71.27","48.13","101.91","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 2","99282","HCPCS","Both",,,"131.5","65.75","Wellcare","Medicare Advantage","",,"54",,"71.27","48.13","101.91","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 2","99282","HCPCS","Both",,,"131.5","65.75","Amerigroup","Medicaid Managed Care","",,"37",,"48.13","48.13","101.91","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 2","99282","HCPCS","Both",,,"131.5","65.75","Caresource","Medicaid Managed Care","",,"40",,"52.6","48.13","101.91","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 2","99282","HCPCS","Both",,,"131.5","65.75","Wellcare","Medicaid Managed Care","",,"40",,"53.26","48.13","101.91","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 2","99282","HCPCS","Both",,,"131.5","65.75","Aetna","Commercial","",,"64",,"83.9","48.13","101.91","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 2","99282","HCPCS","Both",,,"131.5","65.75","Blue Cross Blue Shield","Pathways","",,"71",,"92.84","48.13","101.91","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 2","99282","HCPCS","Both",,,"131.5","65.75","Blue Cross Blue Shield","HMO","",,"71",,"92.84","48.13","101.91","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 2","99282","HCPCS","Both",,,"131.5","65.75","Blue Cross Blue Shield","PPO","",,"71",,"92.84","48.13","101.91","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 2","99282","HCPCS","Both",,,"131.5","65.75","Ambetter","Health Exchange","",,"62",,"81.53","48.13","101.91","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 2","99282","HCPCS","Both",,,"131.5","65.75","Caresource","Health Exchange","",,"62",,"81.53","48.13","101.91","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 2","99282","HCPCS","Both",,,"131.5","65.75","Cigna","Commercial","",,"59",,"77.06","48.13","101.91","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 2","99282","HCPCS","Both",,,"131.5","65.75","Humana","Commercial","",,"78",,"101.91","48.13","101.91","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 2","99282","HCPCS","Both",,,"131.5","65.75","UHC","Commercial","",,"75",,"99.15","48.13","101.91","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 2","99282","HCPCS","Both",,,"131.5","65.75","Medicaid",,"",,"37",,"48.13","48.13","101.91","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 3 VISIT","99283","HCPCS","Both",,,"231.5","115.75","Alliant","Health Exchange","",,"62",,"143.53","84.73","179.41","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 3 VISIT","99283","HCPCS","Both",,,"231.5","115.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"125.01","84.73","179.41","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 3 VISIT","99283","HCPCS","Both",,,"231.5","115.75","Medicare",,"",,"54",,"125.47","84.73","179.41","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 3 VISIT","99283","HCPCS","Both",,,"231.5","115.75","Humana","Medicare Advantage","",,"54",,"125.47","84.73","179.41","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 3 VISIT","99283","HCPCS","Both",,,"231.5","115.75","UHC","Medicare Advantage","",,"54",,"125.47","84.73","179.41","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 3 VISIT","99283","HCPCS","Both",,,"231.5","115.75","Clover","Medicare Advantage","",,"54",,"125.47","84.73","179.41","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 3 VISIT","99283","HCPCS","Both",,,"231.5","115.75","Wellcare","Medicare Advantage","",,"54",,"125.47","84.73","179.41","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 3 VISIT","99283","HCPCS","Both",,,"231.5","115.75","Amerigroup","Medicaid Managed Care","",,"37",,"84.73","84.73","179.41","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 3 VISIT","99283","HCPCS","Both",,,"231.5","115.75","Caresource","Medicaid Managed Care","",,"40",,"92.6","84.73","179.41","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 3 VISIT","99283","HCPCS","Both",,,"231.5","115.75","Wellcare","Medicaid Managed Care","",,"40",,"93.76","84.73","179.41","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 3 VISIT","99283","HCPCS","Both",,,"231.5","115.75","Aetna","Commercial","",,"64",,"147.7","84.73","179.41","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 3 VISIT","99283","HCPCS","Both",,,"231.5","115.75","Blue Cross Blue Shield","Pathways","",,"71",,"163.44","84.73","179.41","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 3 VISIT","99283","HCPCS","Both",,,"231.5","115.75","Blue Cross Blue Shield","HMO","",,"71",,"163.44","84.73","179.41","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 3 VISIT","99283","HCPCS","Both",,,"231.5","115.75","Blue Cross Blue Shield","PPO","",,"71",,"163.44","84.73","179.41","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 3 VISIT","99283","HCPCS","Both",,,"231.5","115.75","Ambetter","Health Exchange","",,"62",,"143.53","84.73","179.41","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 3 VISIT","99283","HCPCS","Both",,,"231.5","115.75","Caresource","Health Exchange","",,"62",,"143.53","84.73","179.41","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 3 VISIT","99283","HCPCS","Both",,,"231.5","115.75","Cigna","Commercial","",,"59",,"135.66","84.73","179.41","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 3 VISIT","99283","HCPCS","Both",,,"231.5","115.75","Humana","Commercial","",,"78",,"179.41","84.73","179.41","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 3 VISIT","99283","HCPCS","Both",,,"231.5","115.75","UHC","Commercial","",,"75",,"174.55","84.73","179.41","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 3 VISIT","99283","HCPCS","Both",,,"231.5","115.75","Medicaid",,"",,"37",,"84.73","84.73","179.41","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 4 VISIT","99284","HCPCS","Both",,,"1047","523.5","Alliant","Health Exchange","",,"62",,"649.14","383.2","811.42","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 4 VISIT","99284","HCPCS","Both",,,"1047","523.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"565.38","383.2","811.42","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 4 VISIT","99284","HCPCS","Both",,,"1047","523.5","Medicare",,"",,"54",,"567.47","383.2","811.42","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 4 VISIT","99284","HCPCS","Both",,,"1047","523.5","Humana","Medicare Advantage","",,"54",,"567.47","383.2","811.42","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 4 VISIT","99284","HCPCS","Both",,,"1047","523.5","UHC","Medicare Advantage","",,"54",,"567.47","383.2","811.42","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 4 VISIT","99284","HCPCS","Both",,,"1047","523.5","Clover","Medicare Advantage","",,"54",,"567.47","383.2","811.42","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 4 VISIT","99284","HCPCS","Both",,,"1047","523.5","Wellcare","Medicare Advantage","",,"54",,"567.47","383.2","811.42","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 4 VISIT","99284","HCPCS","Both",,,"1047","523.5","Amerigroup","Medicaid Managed Care","",,"37",,"383.2","383.2","811.42","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 4 VISIT","99284","HCPCS","Both",,,"1047","523.5","Caresource","Medicaid Managed Care","",,"40",,"418.8","383.2","811.42","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 4 VISIT","99284","HCPCS","Both",,,"1047","523.5","Wellcare","Medicaid Managed Care","",,"40",,"424.04","383.2","811.42","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 4 VISIT","99284","HCPCS","Both",,,"1047","523.5","Aetna","Commercial","",,"64",,"667.99","383.2","811.42","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 4 VISIT","99284","HCPCS","Both",,,"1047","523.5","Blue Cross Blue Shield","Pathways","",,"71",,"739.18","383.2","811.42","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 4 VISIT","99284","HCPCS","Both",,,"1047","523.5","Blue Cross Blue Shield","HMO","",,"71",,"739.18","383.2","811.42","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 4 VISIT","99284","HCPCS","Both",,,"1047","523.5","Blue Cross Blue Shield","PPO","",,"71",,"739.18","383.2","811.42","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 4 VISIT","99284","HCPCS","Both",,,"1047","523.5","Ambetter","Health Exchange","",,"62",,"649.14","383.2","811.42","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 4 VISIT","99284","HCPCS","Both",,,"1047","523.5","Caresource","Health Exchange","",,"62",,"649.14","383.2","811.42","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 4 VISIT","99284","HCPCS","Both",,,"1047","523.5","Cigna","Commercial","",,"59",,"613.54","383.2","811.42","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 4 VISIT","99284","HCPCS","Both",,,"1047","523.5","Humana","Commercial","",,"78",,"811.42","383.2","811.42","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 4 VISIT","99284","HCPCS","Both",,,"1047","523.5","UHC","Commercial","",,"75",,"789.44","383.2","811.42","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 4 VISIT","99284","HCPCS","Both",,,"1047","523.5","Medicaid",,"",,"37",,"383.2","383.2","811.42","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 5 VISIT","99285","HCPCS","Both",,,"752.5","376.25","Alliant","Health Exchange","",,"62",,"466.55","275.42","583.19","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 5 VISIT","99285","HCPCS","Both",,,"752.5","376.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"406.35","275.42","583.19","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 5 VISIT","99285","HCPCS","Both",,,"752.5","376.25","Medicare",,"",,"54",,"407.86","275.42","583.19","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 5 VISIT","99285","HCPCS","Both",,,"752.5","376.25","Humana","Medicare Advantage","",,"54",,"407.86","275.42","583.19","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 5 VISIT","99285","HCPCS","Both",,,"752.5","376.25","UHC","Medicare Advantage","",,"54",,"407.86","275.42","583.19","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 5 VISIT","99285","HCPCS","Both",,,"752.5","376.25","Clover","Medicare Advantage","",,"54",,"407.86","275.42","583.19","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 5 VISIT","99285","HCPCS","Both",,,"752.5","376.25","Wellcare","Medicare Advantage","",,"54",,"407.86","275.42","583.19","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 5 VISIT","99285","HCPCS","Both",,,"752.5","376.25","Amerigroup","Medicaid Managed Care","",,"37",,"275.42","275.42","583.19","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 5 VISIT","99285","HCPCS","Both",,,"752.5","376.25","Caresource","Medicaid Managed Care","",,"40",,"301","275.42","583.19","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 5 VISIT","99285","HCPCS","Both",,,"752.5","376.25","Wellcare","Medicaid Managed Care","",,"40",,"304.76","275.42","583.19","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 5 VISIT","99285","HCPCS","Both",,,"752.5","376.25","Aetna","Commercial","",,"64",,"480.1","275.42","583.19","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 5 VISIT","99285","HCPCS","Both",,,"752.5","376.25","Blue Cross Blue Shield","Pathways","",,"71",,"531.26","275.42","583.19","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 5 VISIT","99285","HCPCS","Both",,,"752.5","376.25","Blue Cross Blue Shield","HMO","",,"71",,"531.26","275.42","583.19","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 5 VISIT","99285","HCPCS","Both",,,"752.5","376.25","Blue Cross Blue Shield","PPO","",,"71",,"531.26","275.42","583.19","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 5 VISIT","99285","HCPCS","Both",,,"752.5","376.25","Ambetter","Health Exchange","",,"62",,"466.55","275.42","583.19","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 5 VISIT","99285","HCPCS","Both",,,"752.5","376.25","Caresource","Health Exchange","",,"62",,"466.55","275.42","583.19","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 5 VISIT","99285","HCPCS","Both",,,"752.5","376.25","Cigna","Commercial","",,"59",,"440.96","275.42","583.19","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 5 VISIT","99285","HCPCS","Both",,,"752.5","376.25","Humana","Commercial","",,"78",,"583.19","275.42","583.19","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 5 VISIT","99285","HCPCS","Both",,,"752.5","376.25","UHC","Commercial","",,"75",,"567.38","275.42","583.19","percent of total billed charges",,
"EMERGENCY DEPT PHYSICIAN LEVEL 5 VISIT","99285","HCPCS","Both",,,"752.5","376.25","Medicaid",,"",,"37",,"275.42","275.42","583.19","percent of total billed charges",,
"EMER DEPT PHYS CRITICAL CARE 30-74 MINS","99291","HCPCS","Both",,,"2153.5","1076.75","Alliant","Health Exchange","",,"62",,"1335.17","788.18","1668.96","percent of total billed charges",,
"EMER DEPT PHYS CRITICAL CARE 30-74 MINS","99291","HCPCS","Both",,,"2153.5","1076.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"1162.89","788.18","1668.96","percent of total billed charges",,
"EMER DEPT PHYS CRITICAL CARE 30-74 MINS","99291","HCPCS","Both",,,"2153.5","1076.75","Medicare",,"",,"54",,"1167.2","788.18","1668.96","percent of total billed charges",,
"EMER DEPT PHYS CRITICAL CARE 30-74 MINS","99291","HCPCS","Both",,,"2153.5","1076.75","Humana","Medicare Advantage","",,"54",,"1167.2","788.18","1668.96","percent of total billed charges",,
"EMER DEPT PHYS CRITICAL CARE 30-74 MINS","99291","HCPCS","Both",,,"2153.5","1076.75","UHC","Medicare Advantage","",,"54",,"1167.2","788.18","1668.96","percent of total billed charges",,
"EMER DEPT PHYS CRITICAL CARE 30-74 MINS","99291","HCPCS","Both",,,"2153.5","1076.75","Clover","Medicare Advantage","",,"54",,"1167.2","788.18","1668.96","percent of total billed charges",,
"EMER DEPT PHYS CRITICAL CARE 30-74 MINS","99291","HCPCS","Both",,,"2153.5","1076.75","Wellcare","Medicare Advantage","",,"54",,"1167.2","788.18","1668.96","percent of total billed charges",,
"EMER DEPT PHYS CRITICAL CARE 30-74 MINS","99291","HCPCS","Both",,,"2153.5","1076.75","Amerigroup","Medicaid Managed Care","",,"37",,"788.18","788.18","1668.96","percent of total billed charges",,
"EMER DEPT PHYS CRITICAL CARE 30-74 MINS","99291","HCPCS","Both",,,"2153.5","1076.75","Caresource","Medicaid Managed Care","",,"40",,"861.4","788.18","1668.96","percent of total billed charges",,
"EMER DEPT PHYS CRITICAL CARE 30-74 MINS","99291","HCPCS","Both",,,"2153.5","1076.75","Wellcare","Medicaid Managed Care","",,"40",,"872.17","788.18","1668.96","percent of total billed charges",,
"EMER DEPT PHYS CRITICAL CARE 30-74 MINS","99291","HCPCS","Both",,,"2153.5","1076.75","Aetna","Commercial","",,"64",,"1373.93","788.18","1668.96","percent of total billed charges",,
"EMER DEPT PHYS CRITICAL CARE 30-74 MINS","99291","HCPCS","Both",,,"2153.5","1076.75","Blue Cross Blue Shield","Pathways","",,"71",,"1520.37","788.18","1668.96","percent of total billed charges",,
"EMER DEPT PHYS CRITICAL CARE 30-74 MINS","99291","HCPCS","Both",,,"2153.5","1076.75","Blue Cross Blue Shield","HMO","",,"71",,"1520.37","788.18","1668.96","percent of total billed charges",,
"EMER DEPT PHYS CRITICAL CARE 30-74 MINS","99291","HCPCS","Both",,,"2153.5","1076.75","Blue Cross Blue Shield","PPO","",,"71",,"1520.37","788.18","1668.96","percent of total billed charges",,
"EMER DEPT PHYS CRITICAL CARE 30-74 MINS","99291","HCPCS","Both",,,"2153.5","1076.75","Ambetter","Health Exchange","",,"62",,"1335.17","788.18","1668.96","percent of total billed charges",,
"EMER DEPT PHYS CRITICAL CARE 30-74 MINS","99291","HCPCS","Both",,,"2153.5","1076.75","Caresource","Health Exchange","",,"62",,"1335.17","788.18","1668.96","percent of total billed charges",,
"EMER DEPT PHYS CRITICAL CARE 30-74 MINS","99291","HCPCS","Both",,,"2153.5","1076.75","Cigna","Commercial","",,"59",,"1261.95","788.18","1668.96","percent of total billed charges",,
"EMER DEPT PHYS CRITICAL CARE 30-74 MINS","99291","HCPCS","Both",,,"2153.5","1076.75","Humana","Commercial","",,"78",,"1668.96","788.18","1668.96","percent of total billed charges",,
"EMER DEPT PHYS CRITICAL CARE 30-74 MINS","99291","HCPCS","Both",,,"2153.5","1076.75","UHC","Commercial","",,"75",,"1623.74","788.18","1668.96","percent of total billed charges",,
"EMER DEPT PHYS CRITICAL CARE 30-74 MINS","99291","HCPCS","Both",,,"2153.5","1076.75","Medicaid",,"",,"37",,"788.18","788.18","1668.96","percent of total billed charges",,
"EMER DEPT PHYS CRIT CARE @ ADD'L 30 MINS","99292","HCPCS","Both",,,"178.5","89.25","Alliant","Health Exchange","",,"62",,"110.67","65.33","138.34","percent of total billed charges",,
"EMER DEPT PHYS CRIT CARE @ ADD'L 30 MINS","99292","HCPCS","Both",,,"178.5","89.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"96.39","65.33","138.34","percent of total billed charges",,
"EMER DEPT PHYS CRIT CARE @ ADD'L 30 MINS","99292","HCPCS","Both",,,"178.5","89.25","Medicare",,"",,"54",,"96.75","65.33","138.34","percent of total billed charges",,
"EMER DEPT PHYS CRIT CARE @ ADD'L 30 MINS","99292","HCPCS","Both",,,"178.5","89.25","Humana","Medicare Advantage","",,"54",,"96.75","65.33","138.34","percent of total billed charges",,
"EMER DEPT PHYS CRIT CARE @ ADD'L 30 MINS","99292","HCPCS","Both",,,"178.5","89.25","UHC","Medicare Advantage","",,"54",,"96.75","65.33","138.34","percent of total billed charges",,
"EMER DEPT PHYS CRIT CARE @ ADD'L 30 MINS","99292","HCPCS","Both",,,"178.5","89.25","Clover","Medicare Advantage","",,"54",,"96.75","65.33","138.34","percent of total billed charges",,
"EMER DEPT PHYS CRIT CARE @ ADD'L 30 MINS","99292","HCPCS","Both",,,"178.5","89.25","Wellcare","Medicare Advantage","",,"54",,"96.75","65.33","138.34","percent of total billed charges",,
"EMER DEPT PHYS CRIT CARE @ ADD'L 30 MINS","99292","HCPCS","Both",,,"178.5","89.25","Amerigroup","Medicaid Managed Care","",,"37",,"65.33","65.33","138.34","percent of total billed charges",,
"EMER DEPT PHYS CRIT CARE @ ADD'L 30 MINS","99292","HCPCS","Both",,,"178.5","89.25","Caresource","Medicaid Managed Care","",,"40",,"71.4","65.33","138.34","percent of total billed charges",,
"EMER DEPT PHYS CRIT CARE @ ADD'L 30 MINS","99292","HCPCS","Both",,,"178.5","89.25","Wellcare","Medicaid Managed Care","",,"40",,"72.29","65.33","138.34","percent of total billed charges",,
"EMER DEPT PHYS CRIT CARE @ ADD'L 30 MINS","99292","HCPCS","Both",,,"178.5","89.25","Aetna","Commercial","",,"64",,"113.88","65.33","138.34","percent of total billed charges",,
"EMER DEPT PHYS CRIT CARE @ ADD'L 30 MINS","99292","HCPCS","Both",,,"178.5","89.25","Blue Cross Blue Shield","Pathways","",,"71",,"126.02","65.33","138.34","percent of total billed charges",,
"EMER DEPT PHYS CRIT CARE @ ADD'L 30 MINS","99292","HCPCS","Both",,,"178.5","89.25","Blue Cross Blue Shield","HMO","",,"71",,"126.02","65.33","138.34","percent of total billed charges",,
"EMER DEPT PHYS CRIT CARE @ ADD'L 30 MINS","99292","HCPCS","Both",,,"178.5","89.25","Blue Cross Blue Shield","PPO","",,"71",,"126.02","65.33","138.34","percent of total billed charges",,
"EMER DEPT PHYS CRIT CARE @ ADD'L 30 MINS","99292","HCPCS","Both",,,"178.5","89.25","Ambetter","Health Exchange","",,"62",,"110.67","65.33","138.34","percent of total billed charges",,
"EMER DEPT PHYS CRIT CARE @ ADD'L 30 MINS","99292","HCPCS","Both",,,"178.5","89.25","Caresource","Health Exchange","",,"62",,"110.67","65.33","138.34","percent of total billed charges",,
"EMER DEPT PHYS CRIT CARE @ ADD'L 30 MINS","99292","HCPCS","Both",,,"178.5","89.25","Cigna","Commercial","",,"59",,"104.6","65.33","138.34","percent of total billed charges",,
"EMER DEPT PHYS CRIT CARE @ ADD'L 30 MINS","99292","HCPCS","Both",,,"178.5","89.25","Humana","Commercial","",,"78",,"138.34","65.33","138.34","percent of total billed charges",,
"EMER DEPT PHYS CRIT CARE @ ADD'L 30 MINS","99292","HCPCS","Both",,,"178.5","89.25","UHC","Commercial","",,"75",,"134.59","65.33","138.34","percent of total billed charges",,
"EMER DEPT PHYS CRIT CARE @ ADD'L 30 MINS","99292","HCPCS","Both",,,"178.5","89.25","Medicaid",,"",,"37",,"65.33","65.33","138.34","percent of total billed charges",,
"ORBITOTOMY WO BONE FLAP W DRAINAGE","67405","HCPCS","Both",,,"6203","3101.5","Alliant","Health Exchange","",,"62",,"3845.86","2270.3","4807.32","percent of total billed charges",,
"ORBITOTOMY WO BONE FLAP W DRAINAGE","67405","HCPCS","Both",,,"6203","3101.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"3349.62","2270.3","4807.32","percent of total billed charges",,
"ORBITOTOMY WO BONE FLAP W DRAINAGE","67405","HCPCS","Both",,,"6203","3101.5","Medicare",,"",,"54",,"3362.03","2270.3","4807.32","percent of total billed charges",,
"ORBITOTOMY WO BONE FLAP W DRAINAGE","67405","HCPCS","Both",,,"6203","3101.5","Humana","Medicare Advantage","",,"54",,"3362.03","2270.3","4807.32","percent of total billed charges",,
"ORBITOTOMY WO BONE FLAP W DRAINAGE","67405","HCPCS","Both",,,"6203","3101.5","UHC","Medicare Advantage","",,"54",,"3362.03","2270.3","4807.32","percent of total billed charges",,
"ORBITOTOMY WO BONE FLAP W DRAINAGE","67405","HCPCS","Both",,,"6203","3101.5","Clover","Medicare Advantage","",,"54",,"3362.03","2270.3","4807.32","percent of total billed charges",,
"ORBITOTOMY WO BONE FLAP W DRAINAGE","67405","HCPCS","Both",,,"6203","3101.5","Wellcare","Medicare Advantage","",,"54",,"3362.03","2270.3","4807.32","percent of total billed charges",,
"ORBITOTOMY WO BONE FLAP W DRAINAGE","67405","HCPCS","Both",,,"6203","3101.5","Amerigroup","Medicaid Managed Care","",,"37",,"2270.3","2270.3","4807.32","percent of total billed charges",,
"ORBITOTOMY WO BONE FLAP W DRAINAGE","67405","HCPCS","Both",,,"6203","3101.5","Caresource","Medicaid Managed Care","",,"40",,"2481.2","2270.3","4807.32","percent of total billed charges",,
"ORBITOTOMY WO BONE FLAP W DRAINAGE","67405","HCPCS","Both",,,"6203","3101.5","Wellcare","Medicaid Managed Care","",,"40",,"2512.22","2270.3","4807.32","percent of total billed charges",,
"ORBITOTOMY WO BONE FLAP W DRAINAGE","67405","HCPCS","Both",,,"6203","3101.5","Aetna","Commercial","",,"64",,"3957.51","2270.3","4807.32","percent of total billed charges",,
"ORBITOTOMY WO BONE FLAP W DRAINAGE","67405","HCPCS","Both",,,"6203","3101.5","Blue Cross Blue Shield","Pathways","",,"71",,"4379.32","2270.3","4807.32","percent of total billed charges",,
"ORBITOTOMY WO BONE FLAP W DRAINAGE","67405","HCPCS","Both",,,"6203","3101.5","Blue Cross Blue Shield","HMO","",,"71",,"4379.32","2270.3","4807.32","percent of total billed charges",,
"ORBITOTOMY WO BONE FLAP W DRAINAGE","67405","HCPCS","Both",,,"6203","3101.5","Blue Cross Blue Shield","PPO","",,"71",,"4379.32","2270.3","4807.32","percent of total billed charges",,
"ORBITOTOMY WO BONE FLAP W DRAINAGE","67405","HCPCS","Both",,,"6203","3101.5","Ambetter","Health Exchange","",,"62",,"3845.86","2270.3","4807.32","percent of total billed charges",,
"ORBITOTOMY WO BONE FLAP W DRAINAGE","67405","HCPCS","Both",,,"6203","3101.5","Caresource","Health Exchange","",,"62",,"3845.86","2270.3","4807.32","percent of total billed charges",,
"ORBITOTOMY WO BONE FLAP W DRAINAGE","67405","HCPCS","Both",,,"6203","3101.5","Cigna","Commercial","",,"59",,"3634.96","2270.3","4807.32","percent of total billed charges",,
"ORBITOTOMY WO BONE FLAP W DRAINAGE","67405","HCPCS","Both",,,"6203","3101.5","Humana","Commercial","",,"78",,"4807.32","2270.3","4807.32","percent of total billed charges",,
"ORBITOTOMY WO BONE FLAP W DRAINAGE","67405","HCPCS","Both",,,"6203","3101.5","UHC","Commercial","",,"75",,"4677.06","2270.3","4807.32","percent of total billed charges",,
"ORBITOTOMY WO BONE FLAP W DRAINAGE","67405","HCPCS","Both",,,"6203","3101.5","Medicaid",,"",,"37",,"2270.3","2270.3","4807.32","percent of total billed charges",,
"VAGINAL DELIVERY ONLY","59409","HCPCS","Both",,,"4541.5","2270.75","Alliant","Health Exchange","",,"62",,"2815.73","1662.19","3519.66","percent of total billed charges",,
"VAGINAL DELIVERY ONLY","59409","HCPCS","Both",,,"4541.5","2270.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"2452.41","1662.19","3519.66","percent of total billed charges",,
"VAGINAL DELIVERY ONLY","59409","HCPCS","Both",,,"4541.5","2270.75","Medicare",,"",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"VAGINAL DELIVERY ONLY","59409","HCPCS","Both",,,"4541.5","2270.75","Humana","Medicare Advantage","",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"VAGINAL DELIVERY ONLY","59409","HCPCS","Both",,,"4541.5","2270.75","UHC","Medicare Advantage","",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"VAGINAL DELIVERY ONLY","59409","HCPCS","Both",,,"4541.5","2270.75","Clover","Medicare Advantage","",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"VAGINAL DELIVERY ONLY","59409","HCPCS","Both",,,"4541.5","2270.75","Wellcare","Medicare Advantage","",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"VAGINAL DELIVERY ONLY","59409","HCPCS","Both",,,"4541.5","2270.75","Amerigroup","Medicaid Managed Care","",,"37",,"1662.19","1662.19","3519.66","percent of total billed charges",,
"VAGINAL DELIVERY ONLY","59409","HCPCS","Both",,,"4541.5","2270.75","Caresource","Medicaid Managed Care","",,"40",,"1816.6","1662.19","3519.66","percent of total billed charges",,
"VAGINAL DELIVERY ONLY","59409","HCPCS","Both",,,"4541.5","2270.75","Wellcare","Medicaid Managed Care","",,"40",,"1839.31","1662.19","3519.66","percent of total billed charges",,
"VAGINAL DELIVERY ONLY","59409","HCPCS","Both",,,"4541.5","2270.75","Aetna","Commercial","",,"64",,"2897.48","1662.19","3519.66","percent of total billed charges",,
"VAGINAL DELIVERY ONLY","59409","HCPCS","Both",,,"4541.5","2270.75","Blue Cross Blue Shield","Pathways","",,"71",,"3206.3","1662.19","3519.66","percent of total billed charges",,
"VAGINAL DELIVERY ONLY","59409","HCPCS","Both",,,"4541.5","2270.75","Blue Cross Blue Shield","HMO","",,"71",,"3206.3","1662.19","3519.66","percent of total billed charges",,
"VAGINAL DELIVERY ONLY","59409","HCPCS","Both",,,"4541.5","2270.75","Blue Cross Blue Shield","PPO","",,"71",,"3206.3","1662.19","3519.66","percent of total billed charges",,
"VAGINAL DELIVERY ONLY","59409","HCPCS","Both",,,"4541.5","2270.75","Ambetter","Health Exchange","",,"62",,"2815.73","1662.19","3519.66","percent of total billed charges",,
"VAGINAL DELIVERY ONLY","59409","HCPCS","Both",,,"4541.5","2270.75","Caresource","Health Exchange","",,"62",,"2815.73","1662.19","3519.66","percent of total billed charges",,
"VAGINAL DELIVERY ONLY","59409","HCPCS","Both",,,"4541.5","2270.75","Cigna","Commercial","",,"59",,"2661.32","1662.19","3519.66","percent of total billed charges",,
"VAGINAL DELIVERY ONLY","59409","HCPCS","Both",,,"4541.5","2270.75","Humana","Commercial","",,"78",,"3519.66","1662.19","3519.66","percent of total billed charges",,
"VAGINAL DELIVERY ONLY","59409","HCPCS","Both",,,"4541.5","2270.75","UHC","Commercial","",,"75",,"3424.29","1662.19","3519.66","percent of total billed charges",,
"VAGINAL DELIVERY ONLY","59409","HCPCS","Both",,,"4541.5","2270.75","Medicaid",,"",,"37",,"1662.19","1662.19","3519.66","percent of total billed charges",,
"PHYSICIAN DIRECTION OF EMS","99288","HCPCS","Both",,,"278.5","139.25","Alliant","Health Exchange","",,"62",,"172.67","101.93","215.84","percent of total billed charges",,
"PHYSICIAN DIRECTION OF EMS","99288","HCPCS","Both",,,"278.5","139.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"150.39","101.93","215.84","percent of total billed charges",,
"PHYSICIAN DIRECTION OF EMS","99288","HCPCS","Both",,,"278.5","139.25","Medicare",,"",,"54",,"150.95","101.93","215.84","percent of total billed charges",,
"PHYSICIAN DIRECTION OF EMS","99288","HCPCS","Both",,,"278.5","139.25","Humana","Medicare Advantage","",,"54",,"150.95","101.93","215.84","percent of total billed charges",,
"PHYSICIAN DIRECTION OF EMS","99288","HCPCS","Both",,,"278.5","139.25","UHC","Medicare Advantage","",,"54",,"150.95","101.93","215.84","percent of total billed charges",,
"PHYSICIAN DIRECTION OF EMS","99288","HCPCS","Both",,,"278.5","139.25","Clover","Medicare Advantage","",,"54",,"150.95","101.93","215.84","percent of total billed charges",,
"PHYSICIAN DIRECTION OF EMS","99288","HCPCS","Both",,,"278.5","139.25","Wellcare","Medicare Advantage","",,"54",,"150.95","101.93","215.84","percent of total billed charges",,
"PHYSICIAN DIRECTION OF EMS","99288","HCPCS","Both",,,"278.5","139.25","Amerigroup","Medicaid Managed Care","",,"37",,"101.93","101.93","215.84","percent of total billed charges",,
"PHYSICIAN DIRECTION OF EMS","99288","HCPCS","Both",,,"278.5","139.25","Caresource","Medicaid Managed Care","",,"40",,"111.4","101.93","215.84","percent of total billed charges",,
"PHYSICIAN DIRECTION OF EMS","99288","HCPCS","Both",,,"278.5","139.25","Wellcare","Medicaid Managed Care","",,"40",,"112.79","101.93","215.84","percent of total billed charges",,
"PHYSICIAN DIRECTION OF EMS","99288","HCPCS","Both",,,"278.5","139.25","Aetna","Commercial","",,"64",,"177.68","101.93","215.84","percent of total billed charges",,
"PHYSICIAN DIRECTION OF EMS","99288","HCPCS","Both",,,"278.5","139.25","Blue Cross Blue Shield","Pathways","",,"71",,"196.62","101.93","215.84","percent of total billed charges",,
"PHYSICIAN DIRECTION OF EMS","99288","HCPCS","Both",,,"278.5","139.25","Blue Cross Blue Shield","HMO","",,"71",,"196.62","101.93","215.84","percent of total billed charges",,
"PHYSICIAN DIRECTION OF EMS","99288","HCPCS","Both",,,"278.5","139.25","Blue Cross Blue Shield","PPO","",,"71",,"196.62","101.93","215.84","percent of total billed charges",,
"PHYSICIAN DIRECTION OF EMS","99288","HCPCS","Both",,,"278.5","139.25","Ambetter","Health Exchange","",,"62",,"172.67","101.93","215.84","percent of total billed charges",,
"PHYSICIAN DIRECTION OF EMS","99288","HCPCS","Both",,,"278.5","139.25","Caresource","Health Exchange","",,"62",,"172.67","101.93","215.84","percent of total billed charges",,
"PHYSICIAN DIRECTION OF EMS","99288","HCPCS","Both",,,"278.5","139.25","Cigna","Commercial","",,"59",,"163.2","101.93","215.84","percent of total billed charges",,
"PHYSICIAN DIRECTION OF EMS","99288","HCPCS","Both",,,"278.5","139.25","Humana","Commercial","",,"78",,"215.84","101.93","215.84","percent of total billed charges",,
"PHYSICIAN DIRECTION OF EMS","99288","HCPCS","Both",,,"278.5","139.25","UHC","Commercial","",,"75",,"209.99","101.93","215.84","percent of total billed charges",,
"PHYSICIAN DIRECTION OF EMS","99288","HCPCS","Both",,,"278.5","139.25","Medicaid",,"",,"37",,"101.93","101.93","215.84","percent of total billed charges",,
"SIMP REPAIR (SCALP/NECK/AXIL/TRUNK/EXTRE","12001","HCPCS","Both",,,"529","264.5","Alliant","Health Exchange","",,"62",,"327.98","193.61","696.96","percent of total billed charges",,
"SIMP REPAIR (SCALP/NECK/AXIL/TRUNK/EXTRE","12001","HCPCS","Both",,,"529","264.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"285.66","193.61","696.96","percent of total billed charges",,
"SIMP REPAIR (SCALP/NECK/AXIL/TRUNK/EXTRE","12001","HCPCS","Both",,,"529","264.5","Medicare",,"",,"54",,"286.72","193.61","696.96","percent of total billed charges",,
"SIMP REPAIR (SCALP/NECK/AXIL/TRUNK/EXTRE","12001","HCPCS","Both",,,"529","264.5","Humana","Medicare Advantage","",,"54",,"286.72","193.61","696.96","percent of total billed charges",,
"SIMP REPAIR (SCALP/NECK/AXIL/TRUNK/EXTRE","12001","HCPCS","Both",,,"529","264.5","UHC","Medicare Advantage","",,"54",,"286.72","193.61","696.96","percent of total billed charges",,
"SIMP REPAIR (SCALP/NECK/AXIL/TRUNK/EXTRE","12001","HCPCS","Both",,,"529","264.5","Clover","Medicare Advantage","",,"54",,"286.72","193.61","696.96","percent of total billed charges",,
"SIMP REPAIR (SCALP/NECK/AXIL/TRUNK/EXTRE","12001","HCPCS","Both",,,"529","264.5","Wellcare","Medicare Advantage","",,"54",,"286.72","193.61","696.96","percent of total billed charges",,
"SIMP REPAIR (SCALP/NECK/AXIL/TRUNK/EXTRE","12001","HCPCS","Both",,,"529","264.5","Amerigroup","Medicaid Managed Care","",,"37",,"193.61","193.61","696.96","percent of total billed charges",,
"SIMP REPAIR (SCALP/NECK/AXIL/TRUNK/EXTRE","12001","HCPCS","Both",,,"529","264.5","Caresource","Medicaid Managed Care","",,"40",,"211.6","193.61","696.96","percent of total billed charges",,
"SIMP REPAIR (SCALP/NECK/AXIL/TRUNK/EXTRE","12001","HCPCS","Both",,,"529","264.5","Wellcare","Medicaid Managed Care","",,"40",,"214.24","193.61","696.96","percent of total billed charges",,
"SIMP REPAIR (SCALP/NECK/AXIL/TRUNK/EXTRE","12001","HCPCS","Both",,,"529","264.5","Aetna","Commercial","",,"64",,"337.5","193.61","696.96","percent of total billed charges",,
"SIMP REPAIR (SCALP/NECK/AXIL/TRUNK/EXTRE","12001","HCPCS","Both",,,"529","264.5","Blue Cross Blue Shield","Pathways","",,"71",,"373.47","193.61","696.96","percent of total billed charges",,
"SIMP REPAIR (SCALP/NECK/AXIL/TRUNK/EXTRE","12001","HCPCS","Both",,,"529","264.5","Blue Cross Blue Shield","HMO","",,"71",,"373.47","193.61","696.96","percent of total billed charges",,
"SIMP REPAIR (SCALP/NECK/AXIL/TRUNK/EXTRE","12001","HCPCS","Both",,,"529","264.5","Blue Cross Blue Shield","PPO","",,"71",,"373.47","193.61","696.96","percent of total billed charges",,
"SIMP REPAIR (SCALP/NECK/AXIL/TRUNK/EXTRE","12001","HCPCS","Both",,,"529","264.5","Ambetter","Health Exchange","",,"62",,"327.98","193.61","696.96","percent of total billed charges",,
"SIMP REPAIR (SCALP/NECK/AXIL/TRUNK/EXTRE","12001","HCPCS","Both",,,"529","264.5","Caresource","Health Exchange","",,"62",,"327.98","193.61","696.96","percent of total billed charges",,
"SIMP REPAIR (SCALP/NECK/AXIL/TRUNK/EXTRE","12001","HCPCS","Both",,,"529","264.5","Cigna","Commercial","",,"59",,"309.99","193.61","696.96","percent of total billed charges",,
"SIMP REPAIR (SCALP/NECK/AXIL/TRUNK/EXTRE","12001","HCPCS","Both",,,"529","264.5","Humana","Commercial","",,"78",,"409.98","193.61","696.96","percent of total billed charges",,
"SIMP REPAIR (SCALP/NECK/AXIL/TRUNK/EXTRE","12001","HCPCS","Both",,,"529","264.5","UHC","Commercial","",,"75",,"398.87","193.61","696.96","percent of total billed charges",,
"SIMP REPAIR (SCALP/NECK/AXIL/TRUNK/EXTRE","12001","HCPCS","Both",,,"529","264.5","Medicaid",,"",,"37",,"193.61","193.61","696.96","percent of total billed charges",,
"SIMPLE REPAIR 2.6cm TO 7.5cm","12002","HCPCS","Both",,,"588","294","Alliant","Health Exchange","",,"62",,"364.56","215.21","774.69","percent of total billed charges",,
"SIMPLE REPAIR 2.6cm TO 7.5cm","12002","HCPCS","Both",,,"588","294","Pruitt Healthcare","Medicare Advantage","",,"54",,"317.52","215.21","774.69","percent of total billed charges",,
"SIMPLE REPAIR 2.6cm TO 7.5cm","12002","HCPCS","Both",,,"588","294","Medicare",,"",,"54",,"318.7","215.21","774.69","percent of total billed charges",,
"SIMPLE REPAIR 2.6cm TO 7.5cm","12002","HCPCS","Both",,,"588","294","Humana","Medicare Advantage","",,"54",,"318.7","215.21","774.69","percent of total billed charges",,
"SIMPLE REPAIR 2.6cm TO 7.5cm","12002","HCPCS","Both",,,"588","294","UHC","Medicare Advantage","",,"54",,"318.7","215.21","774.69","percent of total billed charges",,
"SIMPLE REPAIR 2.6cm TO 7.5cm","12002","HCPCS","Both",,,"588","294","Clover","Medicare Advantage","",,"54",,"318.7","215.21","774.69","percent of total billed charges",,
"SIMPLE REPAIR 2.6cm TO 7.5cm","12002","HCPCS","Both",,,"588","294","Wellcare","Medicare Advantage","",,"54",,"318.7","215.21","774.69","percent of total billed charges",,
"SIMPLE REPAIR 2.6cm TO 7.5cm","12002","HCPCS","Both",,,"588","294","Amerigroup","Medicaid Managed Care","",,"37",,"215.21","215.21","774.69","percent of total billed charges",,
"SIMPLE REPAIR 2.6cm TO 7.5cm","12002","HCPCS","Both",,,"588","294","Caresource","Medicaid Managed Care","",,"40",,"235.2","215.21","774.69","percent of total billed charges",,
"SIMPLE REPAIR 2.6cm TO 7.5cm","12002","HCPCS","Both",,,"588","294","Wellcare","Medicaid Managed Care","",,"40",,"238.14","215.21","774.69","percent of total billed charges",,
"SIMPLE REPAIR 2.6cm TO 7.5cm","12002","HCPCS","Both",,,"588","294","Aetna","Commercial","",,"64",,"375.14","215.21","774.69","percent of total billed charges",,
"SIMPLE REPAIR 2.6cm TO 7.5cm","12002","HCPCS","Both",,,"588","294","Blue Cross Blue Shield","Pathways","",,"71",,"415.13","215.21","774.69","percent of total billed charges",,
"SIMPLE REPAIR 2.6cm TO 7.5cm","12002","HCPCS","Both",,,"588","294","Blue Cross Blue Shield","HMO","",,"71",,"415.13","215.21","774.69","percent of total billed charges",,
"SIMPLE REPAIR 2.6cm TO 7.5cm","12002","HCPCS","Both",,,"588","294","Blue Cross Blue Shield","PPO","",,"71",,"415.13","215.21","774.69","percent of total billed charges",,
"SIMPLE REPAIR 2.6cm TO 7.5cm","12002","HCPCS","Both",,,"588","294","Ambetter","Health Exchange","",,"62",,"364.56","215.21","774.69","percent of total billed charges",,
"SIMPLE REPAIR 2.6cm TO 7.5cm","12002","HCPCS","Both",,,"588","294","Caresource","Health Exchange","",,"62",,"364.56","215.21","774.69","percent of total billed charges",,
"SIMPLE REPAIR 2.6cm TO 7.5cm","12002","HCPCS","Both",,,"588","294","Cigna","Commercial","",,"59",,"344.57","215.21","774.69","percent of total billed charges",,
"SIMPLE REPAIR 2.6cm TO 7.5cm","12002","HCPCS","Both",,,"588","294","Humana","Commercial","",,"78",,"455.7","215.21","774.69","percent of total billed charges",,
"SIMPLE REPAIR 2.6cm TO 7.5cm","12002","HCPCS","Both",,,"588","294","UHC","Commercial","",,"75",,"443.35","215.21","774.69","percent of total billed charges",,
"SIMPLE REPAIR 2.6cm TO 7.5cm","12002","HCPCS","Both",,,"588","294","Medicaid",,"",,"37",,"215.21","215.21","774.69","percent of total billed charges",,
"SIMPLE REPAIR 7.6cm to 12.5cm","12004","HCPCS","Both",,,"94.5","47.25","Alliant","Health Exchange","",,"62",,"58.59","34.59","73.24","percent of total billed charges",,
"SIMPLE REPAIR 7.6cm to 12.5cm","12004","HCPCS","Both",,,"94.5","47.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"51.03","34.59","73.24","percent of total billed charges",,
"SIMPLE REPAIR 7.6cm to 12.5cm","12004","HCPCS","Both",,,"94.5","47.25","Medicare",,"",,"54",,"51.22","34.59","73.24","percent of total billed charges",,
"SIMPLE REPAIR 7.6cm to 12.5cm","12004","HCPCS","Both",,,"94.5","47.25","Humana","Medicare Advantage","",,"54",,"51.22","34.59","73.24","percent of total billed charges",,
"SIMPLE REPAIR 7.6cm to 12.5cm","12004","HCPCS","Both",,,"94.5","47.25","UHC","Medicare Advantage","",,"54",,"51.22","34.59","73.24","percent of total billed charges",,
"SIMPLE REPAIR 7.6cm to 12.5cm","12004","HCPCS","Both",,,"94.5","47.25","Clover","Medicare Advantage","",,"54",,"51.22","34.59","73.24","percent of total billed charges",,
"SIMPLE REPAIR 7.6cm to 12.5cm","12004","HCPCS","Both",,,"94.5","47.25","Wellcare","Medicare Advantage","",,"54",,"51.22","34.59","73.24","percent of total billed charges",,
"SIMPLE REPAIR 7.6cm to 12.5cm","12004","HCPCS","Both",,,"94.5","47.25","Amerigroup","Medicaid Managed Care","",,"37",,"34.59","34.59","73.24","percent of total billed charges",,
"SIMPLE REPAIR 7.6cm to 12.5cm","12004","HCPCS","Both",,,"94.5","47.25","Caresource","Medicaid Managed Care","",,"40",,"37.8","34.59","73.24","percent of total billed charges",,
"SIMPLE REPAIR 7.6cm to 12.5cm","12004","HCPCS","Both",,,"94.5","47.25","Wellcare","Medicaid Managed Care","",,"40",,"38.27","34.59","73.24","percent of total billed charges",,
"SIMPLE REPAIR 7.6cm to 12.5cm","12004","HCPCS","Both",,,"94.5","47.25","Aetna","Commercial","",,"64",,"60.29","34.59","73.24","percent of total billed charges",,
"SIMPLE REPAIR 7.6cm to 12.5cm","12004","HCPCS","Both",,,"94.5","47.25","Blue Cross Blue Shield","Pathways","",,"71",,"66.72","34.59","73.24","percent of total billed charges",,
"SIMPLE REPAIR 7.6cm to 12.5cm","12004","HCPCS","Both",,,"94.5","47.25","Blue Cross Blue Shield","HMO","",,"71",,"66.72","34.59","73.24","percent of total billed charges",,
"SIMPLE REPAIR 7.6cm to 12.5cm","12004","HCPCS","Both",,,"94.5","47.25","Blue Cross Blue Shield","PPO","",,"71",,"66.72","34.59","73.24","percent of total billed charges",,
"SIMPLE REPAIR 7.6cm to 12.5cm","12004","HCPCS","Both",,,"94.5","47.25","Ambetter","Health Exchange","",,"62",,"58.59","34.59","73.24","percent of total billed charges",,
"SIMPLE REPAIR 7.6cm to 12.5cm","12004","HCPCS","Both",,,"94.5","47.25","Caresource","Health Exchange","",,"62",,"58.59","34.59","73.24","percent of total billed charges",,
"SIMPLE REPAIR 7.6cm to 12.5cm","12004","HCPCS","Both",,,"94.5","47.25","Cigna","Commercial","",,"59",,"55.38","34.59","73.24","percent of total billed charges",,
"SIMPLE REPAIR 7.6cm to 12.5cm","12004","HCPCS","Both",,,"94.5","47.25","Humana","Commercial","",,"78",,"73.24","34.59","73.24","percent of total billed charges",,
"SIMPLE REPAIR 7.6cm to 12.5cm","12004","HCPCS","Both",,,"94.5","47.25","UHC","Commercial","",,"75",,"71.25","34.59","73.24","percent of total billed charges",,
"SIMPLE REPAIR 7.6cm to 12.5cm","12004","HCPCS","Both",,,"94.5","47.25","Medicaid",,"",,"37",,"34.59","34.59","73.24","percent of total billed charges",,
"SIMPLE REPAIR 12.6cm to 20.0cm","12005","HCPCS","Both",,,"283","141.5","Alliant","Health Exchange","",,"62",,"175.46","103.58","219.32","percent of total billed charges",,
"SIMPLE REPAIR 12.6cm to 20.0cm","12005","HCPCS","Both",,,"283","141.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"152.82","103.58","219.32","percent of total billed charges",,
"SIMPLE REPAIR 12.6cm to 20.0cm","12005","HCPCS","Both",,,"283","141.5","Medicare",,"",,"54",,"153.39","103.58","219.32","percent of total billed charges",,
"SIMPLE REPAIR 12.6cm to 20.0cm","12005","HCPCS","Both",,,"283","141.5","Humana","Medicare Advantage","",,"54",,"153.39","103.58","219.32","percent of total billed charges",,
"SIMPLE REPAIR 12.6cm to 20.0cm","12005","HCPCS","Both",,,"283","141.5","UHC","Medicare Advantage","",,"54",,"153.39","103.58","219.32","percent of total billed charges",,
"SIMPLE REPAIR 12.6cm to 20.0cm","12005","HCPCS","Both",,,"283","141.5","Clover","Medicare Advantage","",,"54",,"153.39","103.58","219.32","percent of total billed charges",,
"SIMPLE REPAIR 12.6cm to 20.0cm","12005","HCPCS","Both",,,"283","141.5","Wellcare","Medicare Advantage","",,"54",,"153.39","103.58","219.32","percent of total billed charges",,
"SIMPLE REPAIR 12.6cm to 20.0cm","12005","HCPCS","Both",,,"283","141.5","Amerigroup","Medicaid Managed Care","",,"37",,"103.58","103.58","219.32","percent of total billed charges",,
"SIMPLE REPAIR 12.6cm to 20.0cm","12005","HCPCS","Both",,,"283","141.5","Caresource","Medicaid Managed Care","",,"40",,"113.2","103.58","219.32","percent of total billed charges",,
"SIMPLE REPAIR 12.6cm to 20.0cm","12005","HCPCS","Both",,,"283","141.5","Wellcare","Medicaid Managed Care","",,"40",,"114.62","103.58","219.32","percent of total billed charges",,
"SIMPLE REPAIR 12.6cm to 20.0cm","12005","HCPCS","Both",,,"283","141.5","Aetna","Commercial","",,"64",,"180.55","103.58","219.32","percent of total billed charges",,
"SIMPLE REPAIR 12.6cm to 20.0cm","12005","HCPCS","Both",,,"283","141.5","Blue Cross Blue Shield","Pathways","",,"71",,"199.8","103.58","219.32","percent of total billed charges",,
"SIMPLE REPAIR 12.6cm to 20.0cm","12005","HCPCS","Both",,,"283","141.5","Blue Cross Blue Shield","HMO","",,"71",,"199.8","103.58","219.32","percent of total billed charges",,
"SIMPLE REPAIR 12.6cm to 20.0cm","12005","HCPCS","Both",,,"283","141.5","Blue Cross Blue Shield","PPO","",,"71",,"199.8","103.58","219.32","percent of total billed charges",,
"SIMPLE REPAIR 12.6cm to 20.0cm","12005","HCPCS","Both",,,"283","141.5","Ambetter","Health Exchange","",,"62",,"175.46","103.58","219.32","percent of total billed charges",,
"SIMPLE REPAIR 12.6cm to 20.0cm","12005","HCPCS","Both",,,"283","141.5","Caresource","Health Exchange","",,"62",,"175.46","103.58","219.32","percent of total billed charges",,
"SIMPLE REPAIR 12.6cm to 20.0cm","12005","HCPCS","Both",,,"283","141.5","Cigna","Commercial","",,"59",,"165.84","103.58","219.32","percent of total billed charges",,
"SIMPLE REPAIR 12.6cm to 20.0cm","12005","HCPCS","Both",,,"283","141.5","Humana","Commercial","",,"78",,"219.32","103.58","219.32","percent of total billed charges",,
"SIMPLE REPAIR 12.6cm to 20.0cm","12005","HCPCS","Both",,,"283","141.5","UHC","Commercial","",,"75",,"213.38","103.58","219.32","percent of total billed charges",,
"SIMPLE REPAIR 12.6cm to 20.0cm","12005","HCPCS","Both",,,"283","141.5","Medicaid",,"",,"37",,"103.58","103.58","219.32","percent of total billed charges",,
"INTERVASCULAR CANNULIZATION OR SHUNT REV","36815","HCPCS","Both",,,"8364","4182","Alliant","Health Exchange","",,"62",,"5185.68","3061.22","6482.1","percent of total billed charges",,
"INTERVASCULAR CANNULIZATION OR SHUNT REV","36815","HCPCS","Both",,,"8364","4182","Pruitt Healthcare","Medicare Advantage","",,"54",,"4516.56","3061.22","6482.1","percent of total billed charges",,
"INTERVASCULAR CANNULIZATION OR SHUNT REV","36815","HCPCS","Both",,,"8364","4182","Medicare",,"",,"54",,"4533.29","3061.22","6482.1","percent of total billed charges",,
"INTERVASCULAR CANNULIZATION OR SHUNT REV","36815","HCPCS","Both",,,"8364","4182","Humana","Medicare Advantage","",,"54",,"4533.29","3061.22","6482.1","percent of total billed charges",,
"INTERVASCULAR CANNULIZATION OR SHUNT REV","36815","HCPCS","Both",,,"8364","4182","UHC","Medicare Advantage","",,"54",,"4533.29","3061.22","6482.1","percent of total billed charges",,
"INTERVASCULAR CANNULIZATION OR SHUNT REV","36815","HCPCS","Both",,,"8364","4182","Clover","Medicare Advantage","",,"54",,"4533.29","3061.22","6482.1","percent of total billed charges",,
"INTERVASCULAR CANNULIZATION OR SHUNT REV","36815","HCPCS","Both",,,"8364","4182","Wellcare","Medicare Advantage","",,"54",,"4533.29","3061.22","6482.1","percent of total billed charges",,
"INTERVASCULAR CANNULIZATION OR SHUNT REV","36815","HCPCS","Both",,,"8364","4182","Amerigroup","Medicaid Managed Care","",,"37",,"3061.22","3061.22","6482.1","percent of total billed charges",,
"INTERVASCULAR CANNULIZATION OR SHUNT REV","36815","HCPCS","Both",,,"8364","4182","Caresource","Medicaid Managed Care","",,"40",,"3345.6","3061.22","6482.1","percent of total billed charges",,
"INTERVASCULAR CANNULIZATION OR SHUNT REV","36815","HCPCS","Both",,,"8364","4182","Wellcare","Medicaid Managed Care","",,"40",,"3387.42","3061.22","6482.1","percent of total billed charges",,
"INTERVASCULAR CANNULIZATION OR SHUNT REV","36815","HCPCS","Both",,,"8364","4182","Aetna","Commercial","",,"64",,"5336.23","3061.22","6482.1","percent of total billed charges",,
"INTERVASCULAR CANNULIZATION OR SHUNT REV","36815","HCPCS","Both",,,"8364","4182","Blue Cross Blue Shield","Pathways","",,"71",,"5904.98","3061.22","6482.1","percent of total billed charges",,
"INTERVASCULAR CANNULIZATION OR SHUNT REV","36815","HCPCS","Both",,,"8364","4182","Blue Cross Blue Shield","HMO","",,"71",,"5904.98","3061.22","6482.1","percent of total billed charges",,
"INTERVASCULAR CANNULIZATION OR SHUNT REV","36815","HCPCS","Both",,,"8364","4182","Blue Cross Blue Shield","PPO","",,"71",,"5904.98","3061.22","6482.1","percent of total billed charges",,
"INTERVASCULAR CANNULIZATION OR SHUNT REV","36815","HCPCS","Both",,,"8364","4182","Ambetter","Health Exchange","",,"62",,"5185.68","3061.22","6482.1","percent of total billed charges",,
"INTERVASCULAR CANNULIZATION OR SHUNT REV","36815","HCPCS","Both",,,"8364","4182","Caresource","Health Exchange","",,"62",,"5185.68","3061.22","6482.1","percent of total billed charges",,
"INTERVASCULAR CANNULIZATION OR SHUNT REV","36815","HCPCS","Both",,,"8364","4182","Cigna","Commercial","",,"59",,"4901.3","3061.22","6482.1","percent of total billed charges",,
"INTERVASCULAR CANNULIZATION OR SHUNT REV","36815","HCPCS","Both",,,"8364","4182","Humana","Commercial","",,"78",,"6482.1","3061.22","6482.1","percent of total billed charges",,
"INTERVASCULAR CANNULIZATION OR SHUNT REV","36815","HCPCS","Both",,,"8364","4182","UHC","Commercial","",,"75",,"6306.46","3061.22","6482.1","percent of total billed charges",,
"INTERVASCULAR CANNULIZATION OR SHUNT REV","36815","HCPCS","Both",,,"8364","4182","Medicaid",,"",,"37",,"3061.22","3061.22","6482.1","percent of total billed charges",,
"THROMBOLYSIS,CORONARY;BY IV INFUSION","92977","HCPCS","Both",,,"532","266","Alliant","Health Exchange","",,"62",,"329.84","194.71","412.3","percent of total billed charges",,
"THROMBOLYSIS,CORONARY;BY IV INFUSION","92977","HCPCS","Both",,,"532","266","Pruitt Healthcare","Medicare Advantage","",,"54",,"287.28","194.71","412.3","percent of total billed charges",,
"THROMBOLYSIS,CORONARY;BY IV INFUSION","92977","HCPCS","Both",,,"532","266","Medicare",,"",,"54",,"288.34","194.71","412.3","percent of total billed charges",,
"THROMBOLYSIS,CORONARY;BY IV INFUSION","92977","HCPCS","Both",,,"532","266","Humana","Medicare Advantage","",,"54",,"288.34","194.71","412.3","percent of total billed charges",,
"THROMBOLYSIS,CORONARY;BY IV INFUSION","92977","HCPCS","Both",,,"532","266","UHC","Medicare Advantage","",,"54",,"288.34","194.71","412.3","percent of total billed charges",,
"THROMBOLYSIS,CORONARY;BY IV INFUSION","92977","HCPCS","Both",,,"532","266","Clover","Medicare Advantage","",,"54",,"288.34","194.71","412.3","percent of total billed charges",,
"THROMBOLYSIS,CORONARY;BY IV INFUSION","92977","HCPCS","Both",,,"532","266","Wellcare","Medicare Advantage","",,"54",,"288.34","194.71","412.3","percent of total billed charges",,
"THROMBOLYSIS,CORONARY;BY IV INFUSION","92977","HCPCS","Both",,,"532","266","Amerigroup","Medicaid Managed Care","",,"37",,"194.71","194.71","412.3","percent of total billed charges",,
"THROMBOLYSIS,CORONARY;BY IV INFUSION","92977","HCPCS","Both",,,"532","266","Caresource","Medicaid Managed Care","",,"40",,"212.8","194.71","412.3","percent of total billed charges",,
"THROMBOLYSIS,CORONARY;BY IV INFUSION","92977","HCPCS","Both",,,"532","266","Wellcare","Medicaid Managed Care","",,"40",,"215.46","194.71","412.3","percent of total billed charges",,
"THROMBOLYSIS,CORONARY;BY IV INFUSION","92977","HCPCS","Both",,,"532","266","Aetna","Commercial","",,"64",,"339.42","194.71","412.3","percent of total billed charges",,
"THROMBOLYSIS,CORONARY;BY IV INFUSION","92977","HCPCS","Both",,,"532","266","Blue Cross Blue Shield","Pathways","",,"71",,"375.59","194.71","412.3","percent of total billed charges",,
"THROMBOLYSIS,CORONARY;BY IV INFUSION","92977","HCPCS","Both",,,"532","266","Blue Cross Blue Shield","HMO","",,"71",,"375.59","194.71","412.3","percent of total billed charges",,
"THROMBOLYSIS,CORONARY;BY IV INFUSION","92977","HCPCS","Both",,,"532","266","Blue Cross Blue Shield","PPO","",,"71",,"375.59","194.71","412.3","percent of total billed charges",,
"THROMBOLYSIS,CORONARY;BY IV INFUSION","92977","HCPCS","Both",,,"532","266","Ambetter","Health Exchange","",,"62",,"329.84","194.71","412.3","percent of total billed charges",,
"THROMBOLYSIS,CORONARY;BY IV INFUSION","92977","HCPCS","Both",,,"532","266","Caresource","Health Exchange","",,"62",,"329.84","194.71","412.3","percent of total billed charges",,
"THROMBOLYSIS,CORONARY;BY IV INFUSION","92977","HCPCS","Both",,,"532","266","Cigna","Commercial","",,"59",,"311.75","194.71","412.3","percent of total billed charges",,
"THROMBOLYSIS,CORONARY;BY IV INFUSION","92977","HCPCS","Both",,,"532","266","Humana","Commercial","",,"78",,"412.3","194.71","412.3","percent of total billed charges",,
"THROMBOLYSIS,CORONARY;BY IV INFUSION","92977","HCPCS","Both",,,"532","266","UHC","Commercial","",,"75",,"401.13","194.71","412.3","percent of total billed charges",,
"THROMBOLYSIS,CORONARY;BY IV INFUSION","92977","HCPCS","Both",,,"532","266","Medicaid",,"",,"37",,"194.71","194.71","412.3","percent of total billed charges",,
"SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC","62270","HCPCS","Both",,,"440.5","220.25","Alliant","Health Exchange","",,"62",,"273.11","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC","62270","HCPCS","Both",,,"440.5","220.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"237.87","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC","62270","HCPCS","Both",,,"440.5","220.25","Medicare",,"",,"54",,"238.75","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC","62270","HCPCS","Both",,,"440.5","220.25","Humana","Medicare Advantage","",,"54",,"238.75","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC","62270","HCPCS","Both",,,"440.5","220.25","UHC","Medicare Advantage","",,"54",,"238.75","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC","62270","HCPCS","Both",,,"440.5","220.25","Clover","Medicare Advantage","",,"54",,"238.75","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC","62270","HCPCS","Both",,,"440.5","220.25","Wellcare","Medicare Advantage","",,"54",,"238.75","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC","62270","HCPCS","Both",,,"440.5","220.25","Amerigroup","Medicaid Managed Care","",,"37",,"161.22","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC","62270","HCPCS","Both",,,"440.5","220.25","Caresource","Medicaid Managed Care","",,"40",,"176.2","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC","62270","HCPCS","Both",,,"440.5","220.25","Wellcare","Medicaid Managed Care","",,"40",,"178.4","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC","62270","HCPCS","Both",,,"440.5","220.25","Aetna","Commercial","",,"64",,"281.04","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC","62270","HCPCS","Both",,,"440.5","220.25","Blue Cross Blue Shield","Pathways","",,"71",,"310.99","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC","62270","HCPCS","Both",,,"440.5","220.25","Blue Cross Blue Shield","HMO","",,"71",,"310.99","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC","62270","HCPCS","Both",,,"440.5","220.25","Blue Cross Blue Shield","PPO","",,"71",,"310.99","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC","62270","HCPCS","Both",,,"440.5","220.25","Ambetter","Health Exchange","",,"62",,"273.11","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC","62270","HCPCS","Both",,,"440.5","220.25","Caresource","Health Exchange","",,"62",,"273.11","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC","62270","HCPCS","Both",,,"440.5","220.25","Cigna","Commercial","",,"59",,"258.13","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC","62270","HCPCS","Both",,,"440.5","220.25","Humana","Commercial","",,"78",,"341.39","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC","62270","HCPCS","Both",,,"440.5","220.25","UHC","Commercial","",,"75",,"332.14","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC","62270","HCPCS","Both",,,"440.5","220.25","Medicaid",,"",,"37",,"161.22","161.22","341.39","percent of total billed charges",,
"THORACENTESIS W/INSERTION TUBE","32556","HCPCS","Both",,,"1091.5","545.75","Alliant","Health Exchange","",,"62",,"676.73","399.49","845.91","percent of total billed charges",,
"THORACENTESIS W/INSERTION TUBE","32556","HCPCS","Both",,,"1091.5","545.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"589.41","399.49","845.91","percent of total billed charges",,
"THORACENTESIS W/INSERTION TUBE","32556","HCPCS","Both",,,"1091.5","545.75","Medicare",,"",,"54",,"591.59","399.49","845.91","percent of total billed charges",,
"THORACENTESIS W/INSERTION TUBE","32556","HCPCS","Both",,,"1091.5","545.75","Humana","Medicare Advantage","",,"54",,"591.59","399.49","845.91","percent of total billed charges",,
"THORACENTESIS W/INSERTION TUBE","32556","HCPCS","Both",,,"1091.5","545.75","UHC","Medicare Advantage","",,"54",,"591.59","399.49","845.91","percent of total billed charges",,
"THORACENTESIS W/INSERTION TUBE","32556","HCPCS","Both",,,"1091.5","545.75","Clover","Medicare Advantage","",,"54",,"591.59","399.49","845.91","percent of total billed charges",,
"THORACENTESIS W/INSERTION TUBE","32556","HCPCS","Both",,,"1091.5","545.75","Wellcare","Medicare Advantage","",,"54",,"591.59","399.49","845.91","percent of total billed charges",,
"THORACENTESIS W/INSERTION TUBE","32556","HCPCS","Both",,,"1091.5","545.75","Amerigroup","Medicaid Managed Care","",,"37",,"399.49","399.49","845.91","percent of total billed charges",,
"THORACENTESIS W/INSERTION TUBE","32556","HCPCS","Both",,,"1091.5","545.75","Caresource","Medicaid Managed Care","",,"40",,"436.6","399.49","845.91","percent of total billed charges",,
"THORACENTESIS W/INSERTION TUBE","32556","HCPCS","Both",,,"1091.5","545.75","Wellcare","Medicaid Managed Care","",,"40",,"442.06","399.49","845.91","percent of total billed charges",,
"THORACENTESIS W/INSERTION TUBE","32556","HCPCS","Both",,,"1091.5","545.75","Aetna","Commercial","",,"64",,"696.38","399.49","845.91","percent of total billed charges",,
"THORACENTESIS W/INSERTION TUBE","32556","HCPCS","Both",,,"1091.5","545.75","Blue Cross Blue Shield","Pathways","",,"71",,"770.6","399.49","845.91","percent of total billed charges",,
"THORACENTESIS W/INSERTION TUBE","32556","HCPCS","Both",,,"1091.5","545.75","Blue Cross Blue Shield","HMO","",,"71",,"770.6","399.49","845.91","percent of total billed charges",,
"THORACENTESIS W/INSERTION TUBE","32556","HCPCS","Both",,,"1091.5","545.75","Blue Cross Blue Shield","PPO","",,"71",,"770.6","399.49","845.91","percent of total billed charges",,
"THORACENTESIS W/INSERTION TUBE","32556","HCPCS","Both",,,"1091.5","545.75","Ambetter","Health Exchange","",,"62",,"676.73","399.49","845.91","percent of total billed charges",,
"THORACENTESIS W/INSERTION TUBE","32556","HCPCS","Both",,,"1091.5","545.75","Caresource","Health Exchange","",,"62",,"676.73","399.49","845.91","percent of total billed charges",,
"THORACENTESIS W/INSERTION TUBE","32556","HCPCS","Both",,,"1091.5","545.75","Cigna","Commercial","",,"59",,"639.62","399.49","845.91","percent of total billed charges",,
"THORACENTESIS W/INSERTION TUBE","32556","HCPCS","Both",,,"1091.5","545.75","Humana","Commercial","",,"78",,"845.91","399.49","845.91","percent of total billed charges",,
"THORACENTESIS W/INSERTION TUBE","32556","HCPCS","Both",,,"1091.5","545.75","UHC","Commercial","",,"75",,"822.99","399.49","845.91","percent of total billed charges",,
"THORACENTESIS W/INSERTION TUBE","32556","HCPCS","Both",,,"1091.5","545.75","Medicaid",,"",,"37",,"399.49","399.49","845.91","percent of total billed charges",,
"CPR INTUBATION","92950","HCPCS","Both",,,"502","251","Alliant","Health Exchange","",,"62",,"311.24","183.73","389.05","percent of total billed charges",,
"CPR INTUBATION","92950","HCPCS","Both",,,"502","251","Pruitt Healthcare","Medicare Advantage","",,"54",,"271.08","183.73","389.05","percent of total billed charges",,
"CPR INTUBATION","92950","HCPCS","Both",,,"502","251","Medicare",,"",,"54",,"272.08","183.73","389.05","percent of total billed charges",,
"CPR INTUBATION","92950","HCPCS","Both",,,"502","251","Humana","Medicare Advantage","",,"54",,"272.08","183.73","389.05","percent of total billed charges",,
"CPR INTUBATION","92950","HCPCS","Both",,,"502","251","UHC","Medicare Advantage","",,"54",,"272.08","183.73","389.05","percent of total billed charges",,
"CPR INTUBATION","92950","HCPCS","Both",,,"502","251","Clover","Medicare Advantage","",,"54",,"272.08","183.73","389.05","percent of total billed charges",,
"CPR INTUBATION","92950","HCPCS","Both",,,"502","251","Wellcare","Medicare Advantage","",,"54",,"272.08","183.73","389.05","percent of total billed charges",,
"CPR INTUBATION","92950","HCPCS","Both",,,"502","251","Amerigroup","Medicaid Managed Care","",,"37",,"183.73","183.73","389.05","percent of total billed charges",,
"CPR INTUBATION","92950","HCPCS","Both",,,"502","251","Caresource","Medicaid Managed Care","",,"40",,"200.8","183.73","389.05","percent of total billed charges",,
"CPR INTUBATION","92950","HCPCS","Both",,,"502","251","Wellcare","Medicaid Managed Care","",,"40",,"203.31","183.73","389.05","percent of total billed charges",,
"CPR INTUBATION","92950","HCPCS","Both",,,"502","251","Aetna","Commercial","",,"64",,"320.28","183.73","389.05","percent of total billed charges",,
"CPR INTUBATION","92950","HCPCS","Both",,,"502","251","Blue Cross Blue Shield","Pathways","",,"71",,"354.41","183.73","389.05","percent of total billed charges",,
"CPR INTUBATION","92950","HCPCS","Both",,,"502","251","Blue Cross Blue Shield","HMO","",,"71",,"354.41","183.73","389.05","percent of total billed charges",,
"CPR INTUBATION","92950","HCPCS","Both",,,"502","251","Blue Cross Blue Shield","PPO","",,"71",,"354.41","183.73","389.05","percent of total billed charges",,
"CPR INTUBATION","92950","HCPCS","Both",,,"502","251","Ambetter","Health Exchange","",,"62",,"311.24","183.73","389.05","percent of total billed charges",,
"CPR INTUBATION","92950","HCPCS","Both",,,"502","251","Caresource","Health Exchange","",,"62",,"311.24","183.73","389.05","percent of total billed charges",,
"CPR INTUBATION","92950","HCPCS","Both",,,"502","251","Cigna","Commercial","",,"59",,"294.17","183.73","389.05","percent of total billed charges",,
"CPR INTUBATION","92950","HCPCS","Both",,,"502","251","Humana","Commercial","",,"78",,"389.05","183.73","389.05","percent of total billed charges",,
"CPR INTUBATION","92950","HCPCS","Both",,,"502","251","UHC","Commercial","",,"75",,"378.51","183.73","389.05","percent of total billed charges",,
"CPR INTUBATION","92950","HCPCS","Both",,,"502","251","Medicaid",,"",,"37",,"183.73","183.73","389.05","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE","31603","HCPCS","Both",,,"407.5","203.75","Alliant","Health Exchange","",,"62",,"252.65","149.15","315.81","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE","31603","HCPCS","Both",,,"407.5","203.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"220.05","149.15","315.81","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE","31603","HCPCS","Both",,,"407.5","203.75","Medicare",,"",,"54",,"220.86","149.15","315.81","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE","31603","HCPCS","Both",,,"407.5","203.75","Humana","Medicare Advantage","",,"54",,"220.86","149.15","315.81","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE","31603","HCPCS","Both",,,"407.5","203.75","UHC","Medicare Advantage","",,"54",,"220.86","149.15","315.81","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE","31603","HCPCS","Both",,,"407.5","203.75","Clover","Medicare Advantage","",,"54",,"220.86","149.15","315.81","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE","31603","HCPCS","Both",,,"407.5","203.75","Wellcare","Medicare Advantage","",,"54",,"220.86","149.15","315.81","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE","31603","HCPCS","Both",,,"407.5","203.75","Amerigroup","Medicaid Managed Care","",,"37",,"149.15","149.15","315.81","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE","31603","HCPCS","Both",,,"407.5","203.75","Caresource","Medicaid Managed Care","",,"40",,"163","149.15","315.81","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE","31603","HCPCS","Both",,,"407.5","203.75","Wellcare","Medicaid Managed Care","",,"40",,"165.04","149.15","315.81","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE","31603","HCPCS","Both",,,"407.5","203.75","Aetna","Commercial","",,"64",,"259.98","149.15","315.81","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE","31603","HCPCS","Both",,,"407.5","203.75","Blue Cross Blue Shield","Pathways","",,"71",,"287.7","149.15","315.81","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE","31603","HCPCS","Both",,,"407.5","203.75","Blue Cross Blue Shield","HMO","",,"71",,"287.7","149.15","315.81","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE","31603","HCPCS","Both",,,"407.5","203.75","Blue Cross Blue Shield","PPO","",,"71",,"287.7","149.15","315.81","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE","31603","HCPCS","Both",,,"407.5","203.75","Ambetter","Health Exchange","",,"62",,"252.65","149.15","315.81","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE","31603","HCPCS","Both",,,"407.5","203.75","Caresource","Health Exchange","",,"62",,"252.65","149.15","315.81","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE","31603","HCPCS","Both",,,"407.5","203.75","Cigna","Commercial","",,"59",,"238.8","149.15","315.81","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE","31603","HCPCS","Both",,,"407.5","203.75","Humana","Commercial","",,"78",,"315.81","149.15","315.81","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE","31603","HCPCS","Both",,,"407.5","203.75","UHC","Commercial","",,"75",,"307.26","149.15","315.81","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE","31603","HCPCS","Both",,,"407.5","203.75","Medicaid",,"",,"37",,"149.15","149.15","315.81","percent of total billed charges",,
"INTUBATION, ENDOTRACHEAL, EMERGENCY","31500","HCPCS","Both",,,"418","209","Alliant","Health Exchange","",,"62",,"259.16","146.87","323.95","percent of total billed charges",,
"INTUBATION, ENDOTRACHEAL, EMERGENCY","31500","HCPCS","Both",,,"418","209","Pruitt Healthcare","Medicare Advantage","",,"54",,"225.72","146.87","323.95","percent of total billed charges",,
"INTUBATION, ENDOTRACHEAL, EMERGENCY","31500","HCPCS","Both",,,"418","209","Medicare",,"",,"54",,"226.56","146.87","323.95","percent of total billed charges",,
"INTUBATION, ENDOTRACHEAL, EMERGENCY","31500","HCPCS","Both",,,"418","209","Humana","Medicare Advantage","",,"54",,"226.56","146.87","323.95","percent of total billed charges",,
"INTUBATION, ENDOTRACHEAL, EMERGENCY","31500","HCPCS","Both",,,"418","209","UHC","Medicare Advantage","",,"54",,"226.56","146.87","323.95","percent of total billed charges",,
"INTUBATION, ENDOTRACHEAL, EMERGENCY","31500","HCPCS","Both",,,"418","209","Clover","Medicare Advantage","",,"54",,"226.56","146.87","323.95","percent of total billed charges",,
"INTUBATION, ENDOTRACHEAL, EMERGENCY","31500","HCPCS","Both",,,"418","209","Wellcare","Medicare Advantage","",,"54",,"226.56","146.87","323.95","percent of total billed charges",,
"INTUBATION, ENDOTRACHEAL, EMERGENCY","31500","HCPCS","Both",,,"418","209","Amerigroup","Medicaid Managed Care","",,"37",,"152.99","146.87","323.95","percent of total billed charges",,
"INTUBATION, ENDOTRACHEAL, EMERGENCY","31500","HCPCS","Both",,,"418","209","Caresource","Medicaid Managed Care","",,"40",,"167.2","146.87","323.95","percent of total billed charges",,
"INTUBATION, ENDOTRACHEAL, EMERGENCY","31500","HCPCS","Both",,,"418","209","Wellcare","Medicaid Managed Care","",,"40",,"169.29","146.87","323.95","percent of total billed charges",,
"INTUBATION, ENDOTRACHEAL, EMERGENCY","31500","HCPCS","Both",,,"418","209","Aetna","Commercial","",,"64",,"266.68","146.87","323.95","percent of total billed charges",,
"INTUBATION, ENDOTRACHEAL, EMERGENCY","31500","HCPCS","Both",,,"418","209","Blue Cross Blue Shield","Pathways","",,"71",,"295.11","146.87","323.95","percent of total billed charges",,
"INTUBATION, ENDOTRACHEAL, EMERGENCY","31500","HCPCS","Both",,,"418","209","Blue Cross Blue Shield","HMO","",,"71",,"295.11","146.87","323.95","percent of total billed charges",,
"INTUBATION, ENDOTRACHEAL, EMERGENCY","31500","HCPCS","Both",,,"418","209","Blue Cross Blue Shield","PPO","",,"71",,"295.11","146.87","323.95","percent of total billed charges",,
"INTUBATION, ENDOTRACHEAL, EMERGENCY","31500","HCPCS","Both",,,"418","209","Ambetter","Health Exchange","",,"62",,"259.16","146.87","323.95","percent of total billed charges",,
"INTUBATION, ENDOTRACHEAL, EMERGENCY","31500","HCPCS","Both",,,"418","209","Caresource","Health Exchange","",,"62",,"259.16","146.87","323.95","percent of total billed charges",,
"INTUBATION, ENDOTRACHEAL, EMERGENCY","31500","HCPCS","Both",,,"418","209","Cigna","Commercial","",,"59",,"244.95","146.87","323.95","percent of total billed charges",,
"INTUBATION, ENDOTRACHEAL, EMERGENCY","31500","HCPCS","Both",,,"418","209","Humana","Commercial","",,"78",,"323.95","146.87","323.95","percent of total billed charges",,
"INTUBATION, ENDOTRACHEAL, EMERGENCY","31500","HCPCS","Both",,,"418","209","UHC","Commercial","",,"75",,"315.17","146.87","323.95","percent of total billed charges",,
"INTUBATION, ENDOTRACHEAL, EMERGENCY","31500","HCPCS","Both",,,"418","209","Medicaid",,"",,"37",,"152.99","146.87","323.95","percent of total billed charges",,
"ARTERIAL PUNCTURE","36600","HCPCS","Both",,,"112","56","Alliant","Health Exchange","",,"62",,"69.44","40.99","86.8","percent of total billed charges",,
"ARTERIAL PUNCTURE","36600","HCPCS","Both",,,"112","56","Pruitt Healthcare","Medicare Advantage","",,"54",,"60.48","40.99","86.8","percent of total billed charges",,
"ARTERIAL PUNCTURE","36600","HCPCS","Both",,,"112","56","Medicare",,"",,"54",,"60.7","40.99","86.8","percent of total billed charges",,
"ARTERIAL PUNCTURE","36600","HCPCS","Both",,,"112","56","Humana","Medicare Advantage","",,"54",,"60.7","40.99","86.8","percent of total billed charges",,
"ARTERIAL PUNCTURE","36600","HCPCS","Both",,,"112","56","UHC","Medicare Advantage","",,"54",,"60.7","40.99","86.8","percent of total billed charges",,
"ARTERIAL PUNCTURE","36600","HCPCS","Both",,,"112","56","Clover","Medicare Advantage","",,"54",,"60.7","40.99","86.8","percent of total billed charges",,
"ARTERIAL PUNCTURE","36600","HCPCS","Both",,,"112","56","Wellcare","Medicare Advantage","",,"54",,"60.7","40.99","86.8","percent of total billed charges",,
"ARTERIAL PUNCTURE","36600","HCPCS","Both",,,"112","56","Amerigroup","Medicaid Managed Care","",,"37",,"40.99","40.99","86.8","percent of total billed charges",,
"ARTERIAL PUNCTURE","36600","HCPCS","Both",,,"112","56","Caresource","Medicaid Managed Care","",,"40",,"44.8","40.99","86.8","percent of total billed charges",,
"ARTERIAL PUNCTURE","36600","HCPCS","Both",,,"112","56","Wellcare","Medicaid Managed Care","",,"40",,"45.36","40.99","86.8","percent of total billed charges",,
"ARTERIAL PUNCTURE","36600","HCPCS","Both",,,"112","56","Aetna","Commercial","",,"64",,"71.46","40.99","86.8","percent of total billed charges",,
"ARTERIAL PUNCTURE","36600","HCPCS","Both",,,"112","56","Blue Cross Blue Shield","Pathways","",,"71",,"79.07","40.99","86.8","percent of total billed charges",,
"ARTERIAL PUNCTURE","36600","HCPCS","Both",,,"112","56","Blue Cross Blue Shield","HMO","",,"71",,"79.07","40.99","86.8","percent of total billed charges",,
"ARTERIAL PUNCTURE","36600","HCPCS","Both",,,"112","56","Blue Cross Blue Shield","PPO","",,"71",,"79.07","40.99","86.8","percent of total billed charges",,
"ARTERIAL PUNCTURE","36600","HCPCS","Both",,,"112","56","Ambetter","Health Exchange","",,"62",,"69.44","40.99","86.8","percent of total billed charges",,
"ARTERIAL PUNCTURE","36600","HCPCS","Both",,,"112","56","Caresource","Health Exchange","",,"62",,"69.44","40.99","86.8","percent of total billed charges",,
"ARTERIAL PUNCTURE","36600","HCPCS","Both",,,"112","56","Cigna","Commercial","",,"59",,"65.63","40.99","86.8","percent of total billed charges",,
"ARTERIAL PUNCTURE","36600","HCPCS","Both",,,"112","56","Humana","Commercial","",,"78",,"86.8","40.99","86.8","percent of total billed charges",,
"ARTERIAL PUNCTURE","36600","HCPCS","Both",,,"112","56","UHC","Commercial","",,"75",,"84.45","40.99","86.8","percent of total billed charges",,
"ARTERIAL PUNCTURE","36600","HCPCS","Both",,,"112","56","Medicaid",,"",,"37",,"40.99","40.99","86.8","percent of total billed charges",,
"VENIPUNCTURE,CUTDOWN;UNDER AGE 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Alliant","Health Exchange","",,"62",,"45.57","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE,CUTDOWN;UNDER AGE 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"39.69","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE,CUTDOWN;UNDER AGE 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Medicare",,"",,"54",,"39.84","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE,CUTDOWN;UNDER AGE 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Humana","Medicare Advantage","",,"54",,"39.84","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE,CUTDOWN;UNDER AGE 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","UHC","Medicare Advantage","",,"54",,"39.84","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE,CUTDOWN;UNDER AGE 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Clover","Medicare Advantage","",,"54",,"39.84","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE,CUTDOWN;UNDER AGE 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Wellcare","Medicare Advantage","",,"54",,"39.84","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE,CUTDOWN;UNDER AGE 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Amerigroup","Medicaid Managed Care","",,"37",,"26.9","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE,CUTDOWN;UNDER AGE 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Caresource","Medicaid Managed Care","",,"40",,"29.4","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE,CUTDOWN;UNDER AGE 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Wellcare","Medicaid Managed Care","",,"40",,"29.77","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE,CUTDOWN;UNDER AGE 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Aetna","Commercial","",,"64",,"46.89","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE,CUTDOWN;UNDER AGE 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Blue Cross Blue Shield","Pathways","",,"71",,"51.89","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE,CUTDOWN;UNDER AGE 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Blue Cross Blue Shield","HMO","",,"71",,"51.89","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE,CUTDOWN;UNDER AGE 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Blue Cross Blue Shield","PPO","",,"71",,"51.89","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE,CUTDOWN;UNDER AGE 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Ambetter","Health Exchange","",,"62",,"45.57","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE,CUTDOWN;UNDER AGE 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Caresource","Health Exchange","",,"62",,"45.57","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE,CUTDOWN;UNDER AGE 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Cigna","Commercial","",,"59",,"43.07","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE,CUTDOWN;UNDER AGE 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Humana","Commercial","",,"78",,"56.96","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE,CUTDOWN;UNDER AGE 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","UHC","Commercial","",,"75",,"55.42","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE,CUTDOWN;UNDER AGE 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Medicaid",,"",,"37",,"26.9","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE,CUTDOWN; AGE 1 OR OVER","36425","HCPCS","Both",,,"256","128","Alliant","Health Exchange","",,"62",,"158.72","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE,CUTDOWN; AGE 1 OR OVER","36425","HCPCS","Both",,,"256","128","Pruitt Healthcare","Medicare Advantage","",,"54",,"138.24","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE,CUTDOWN; AGE 1 OR OVER","36425","HCPCS","Both",,,"256","128","Medicare",,"",,"54",,"138.75","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE,CUTDOWN; AGE 1 OR OVER","36425","HCPCS","Both",,,"256","128","Humana","Medicare Advantage","",,"54",,"138.75","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE,CUTDOWN; AGE 1 OR OVER","36425","HCPCS","Both",,,"256","128","UHC","Medicare Advantage","",,"54",,"138.75","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE,CUTDOWN; AGE 1 OR OVER","36425","HCPCS","Both",,,"256","128","Clover","Medicare Advantage","",,"54",,"138.75","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE,CUTDOWN; AGE 1 OR OVER","36425","HCPCS","Both",,,"256","128","Wellcare","Medicare Advantage","",,"54",,"138.75","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE,CUTDOWN; AGE 1 OR OVER","36425","HCPCS","Both",,,"256","128","Amerigroup","Medicaid Managed Care","",,"37",,"93.7","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE,CUTDOWN; AGE 1 OR OVER","36425","HCPCS","Both",,,"256","128","Caresource","Medicaid Managed Care","",,"40",,"102.4","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE,CUTDOWN; AGE 1 OR OVER","36425","HCPCS","Both",,,"256","128","Wellcare","Medicaid Managed Care","",,"40",,"103.68","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE,CUTDOWN; AGE 1 OR OVER","36425","HCPCS","Both",,,"256","128","Aetna","Commercial","",,"64",,"163.33","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE,CUTDOWN; AGE 1 OR OVER","36425","HCPCS","Both",,,"256","128","Blue Cross Blue Shield","Pathways","",,"71",,"180.74","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE,CUTDOWN; AGE 1 OR OVER","36425","HCPCS","Both",,,"256","128","Blue Cross Blue Shield","HMO","",,"71",,"180.74","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE,CUTDOWN; AGE 1 OR OVER","36425","HCPCS","Both",,,"256","128","Blue Cross Blue Shield","PPO","",,"71",,"180.74","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE,CUTDOWN; AGE 1 OR OVER","36425","HCPCS","Both",,,"256","128","Ambetter","Health Exchange","",,"62",,"158.72","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE,CUTDOWN; AGE 1 OR OVER","36425","HCPCS","Both",,,"256","128","Caresource","Health Exchange","",,"62",,"158.72","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE,CUTDOWN; AGE 1 OR OVER","36425","HCPCS","Both",,,"256","128","Cigna","Commercial","",,"59",,"150.02","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE,CUTDOWN; AGE 1 OR OVER","36425","HCPCS","Both",,,"256","128","Humana","Commercial","",,"78",,"198.4","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE,CUTDOWN; AGE 1 OR OVER","36425","HCPCS","Both",,,"256","128","UHC","Commercial","",,"75",,"193.02","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE,CUTDOWN; AGE 1 OR OVER","36425","HCPCS","Both",,,"256","128","Medicaid",,"",,"37",,"93.7","93.7","198.4","percent of total billed charges",,
"CARDIOVERSION;EXTERNAL","92960","HCPCS","Both",,,"1247.5","623.75","Alliant","Health Exchange","",,"62",,"773.45","456.58","966.81","percent of total billed charges",,
"CARDIOVERSION;EXTERNAL","92960","HCPCS","Both",,,"1247.5","623.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"673.65","456.58","966.81","percent of total billed charges",,
"CARDIOVERSION;EXTERNAL","92960","HCPCS","Both",,,"1247.5","623.75","Medicare",,"",,"54",,"676.15","456.58","966.81","percent of total billed charges",,
"CARDIOVERSION;EXTERNAL","92960","HCPCS","Both",,,"1247.5","623.75","Humana","Medicare Advantage","",,"54",,"676.15","456.58","966.81","percent of total billed charges",,
"CARDIOVERSION;EXTERNAL","92960","HCPCS","Both",,,"1247.5","623.75","UHC","Medicare Advantage","",,"54",,"676.15","456.58","966.81","percent of total billed charges",,
"CARDIOVERSION;EXTERNAL","92960","HCPCS","Both",,,"1247.5","623.75","Clover","Medicare Advantage","",,"54",,"676.15","456.58","966.81","percent of total billed charges",,
"CARDIOVERSION;EXTERNAL","92960","HCPCS","Both",,,"1247.5","623.75","Wellcare","Medicare Advantage","",,"54",,"676.15","456.58","966.81","percent of total billed charges",,
"CARDIOVERSION;EXTERNAL","92960","HCPCS","Both",,,"1247.5","623.75","Amerigroup","Medicaid Managed Care","",,"37",,"456.58","456.58","966.81","percent of total billed charges",,
"CARDIOVERSION;EXTERNAL","92960","HCPCS","Both",,,"1247.5","623.75","Caresource","Medicaid Managed Care","",,"40",,"499","456.58","966.81","percent of total billed charges",,
"CARDIOVERSION;EXTERNAL","92960","HCPCS","Both",,,"1247.5","623.75","Wellcare","Medicaid Managed Care","",,"40",,"505.24","456.58","966.81","percent of total billed charges",,
"CARDIOVERSION;EXTERNAL","92960","HCPCS","Both",,,"1247.5","623.75","Aetna","Commercial","",,"64",,"795.9","456.58","966.81","percent of total billed charges",,
"CARDIOVERSION;EXTERNAL","92960","HCPCS","Both",,,"1247.5","623.75","Blue Cross Blue Shield","Pathways","",,"71",,"880.73","456.58","966.81","percent of total billed charges",,
"CARDIOVERSION;EXTERNAL","92960","HCPCS","Both",,,"1247.5","623.75","Blue Cross Blue Shield","HMO","",,"71",,"880.73","456.58","966.81","percent of total billed charges",,
"CARDIOVERSION;EXTERNAL","92960","HCPCS","Both",,,"1247.5","623.75","Blue Cross Blue Shield","PPO","",,"71",,"880.73","456.58","966.81","percent of total billed charges",,
"CARDIOVERSION;EXTERNAL","92960","HCPCS","Both",,,"1247.5","623.75","Ambetter","Health Exchange","",,"62",,"773.45","456.58","966.81","percent of total billed charges",,
"CARDIOVERSION;EXTERNAL","92960","HCPCS","Both",,,"1247.5","623.75","Caresource","Health Exchange","",,"62",,"773.45","456.58","966.81","percent of total billed charges",,
"CARDIOVERSION;EXTERNAL","92960","HCPCS","Both",,,"1247.5","623.75","Cigna","Commercial","",,"59",,"731.04","456.58","966.81","percent of total billed charges",,
"CARDIOVERSION;EXTERNAL","92960","HCPCS","Both",,,"1247.5","623.75","Humana","Commercial","",,"78",,"966.81","456.58","966.81","percent of total billed charges",,
"CARDIOVERSION;EXTERNAL","92960","HCPCS","Both",,,"1247.5","623.75","UHC","Commercial","",,"75",,"940.62","456.58","966.81","percent of total billed charges",,
"CARDIOVERSION;EXTERNAL","92960","HCPCS","Both",,,"1247.5","623.75","Medicaid",,"",,"37",,"456.58","456.58","966.81","percent of total billed charges",,
"TEMPORARY TRANSCUTANEOUS PACING","92953","HCPCS","Both",,,"502","251","Alliant","Health Exchange","",,"62",,"311.24","183.73","389.05","percent of total billed charges",,
"TEMPORARY TRANSCUTANEOUS PACING","92953","HCPCS","Both",,,"502","251","Pruitt Healthcare","Medicare Advantage","",,"54",,"271.08","183.73","389.05","percent of total billed charges",,
"TEMPORARY TRANSCUTANEOUS PACING","92953","HCPCS","Both",,,"502","251","Medicare",,"",,"54",,"272.08","183.73","389.05","percent of total billed charges",,
"TEMPORARY TRANSCUTANEOUS PACING","92953","HCPCS","Both",,,"502","251","Humana","Medicare Advantage","",,"54",,"272.08","183.73","389.05","percent of total billed charges",,
"TEMPORARY TRANSCUTANEOUS PACING","92953","HCPCS","Both",,,"502","251","UHC","Medicare Advantage","",,"54",,"272.08","183.73","389.05","percent of total billed charges",,
"TEMPORARY TRANSCUTANEOUS PACING","92953","HCPCS","Both",,,"502","251","Clover","Medicare Advantage","",,"54",,"272.08","183.73","389.05","percent of total billed charges",,
"TEMPORARY TRANSCUTANEOUS PACING","92953","HCPCS","Both",,,"502","251","Wellcare","Medicare Advantage","",,"54",,"272.08","183.73","389.05","percent of total billed charges",,
"TEMPORARY TRANSCUTANEOUS PACING","92953","HCPCS","Both",,,"502","251","Amerigroup","Medicaid Managed Care","",,"37",,"183.73","183.73","389.05","percent of total billed charges",,
"TEMPORARY TRANSCUTANEOUS PACING","92953","HCPCS","Both",,,"502","251","Caresource","Medicaid Managed Care","",,"40",,"200.8","183.73","389.05","percent of total billed charges",,
"TEMPORARY TRANSCUTANEOUS PACING","92953","HCPCS","Both",,,"502","251","Wellcare","Medicaid Managed Care","",,"40",,"203.31","183.73","389.05","percent of total billed charges",,
"TEMPORARY TRANSCUTANEOUS PACING","92953","HCPCS","Both",,,"502","251","Aetna","Commercial","",,"64",,"320.28","183.73","389.05","percent of total billed charges",,
"TEMPORARY TRANSCUTANEOUS PACING","92953","HCPCS","Both",,,"502","251","Blue Cross Blue Shield","Pathways","",,"71",,"354.41","183.73","389.05","percent of total billed charges",,
"TEMPORARY TRANSCUTANEOUS PACING","92953","HCPCS","Both",,,"502","251","Blue Cross Blue Shield","HMO","",,"71",,"354.41","183.73","389.05","percent of total billed charges",,
"TEMPORARY TRANSCUTANEOUS PACING","92953","HCPCS","Both",,,"502","251","Blue Cross Blue Shield","PPO","",,"71",,"354.41","183.73","389.05","percent of total billed charges",,
"TEMPORARY TRANSCUTANEOUS PACING","92953","HCPCS","Both",,,"502","251","Ambetter","Health Exchange","",,"62",,"311.24","183.73","389.05","percent of total billed charges",,
"TEMPORARY TRANSCUTANEOUS PACING","92953","HCPCS","Both",,,"502","251","Caresource","Health Exchange","",,"62",,"311.24","183.73","389.05","percent of total billed charges",,
"TEMPORARY TRANSCUTANEOUS PACING","92953","HCPCS","Both",,,"502","251","Cigna","Commercial","",,"59",,"294.17","183.73","389.05","percent of total billed charges",,
"TEMPORARY TRANSCUTANEOUS PACING","92953","HCPCS","Both",,,"502","251","Humana","Commercial","",,"78",,"389.05","183.73","389.05","percent of total billed charges",,
"TEMPORARY TRANSCUTANEOUS PACING","92953","HCPCS","Both",,,"502","251","UHC","Commercial","",,"75",,"378.51","183.73","389.05","percent of total billed charges",,
"TEMPORARY TRANSCUTANEOUS PACING","92953","HCPCS","Both",,,"502","251","Medicaid",,"",,"37",,"183.73","183.73","389.05","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE","10060","HCPCS","Both",,,"162.5","81.25","Alliant","Health Exchange","",,"62",,"100.75","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE","10060","HCPCS","Both",,,"162.5","81.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"87.75","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE","10060","HCPCS","Both",,,"162.5","81.25","Medicare",,"",,"54",,"88.08","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE","10060","HCPCS","Both",,,"162.5","81.25","Humana","Medicare Advantage","",,"54",,"88.08","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE","10060","HCPCS","Both",,,"162.5","81.25","UHC","Medicare Advantage","",,"54",,"88.08","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE","10060","HCPCS","Both",,,"162.5","81.25","Clover","Medicare Advantage","",,"54",,"88.08","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE","10060","HCPCS","Both",,,"162.5","81.25","Wellcare","Medicare Advantage","",,"54",,"88.08","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE","10060","HCPCS","Both",,,"162.5","81.25","Amerigroup","Medicaid Managed Care","",,"37",,"59.48","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE","10060","HCPCS","Both",,,"162.5","81.25","Caresource","Medicaid Managed Care","",,"40",,"65","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE","10060","HCPCS","Both",,,"162.5","81.25","Wellcare","Medicaid Managed Care","",,"40",,"65.81","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE","10060","HCPCS","Both",,,"162.5","81.25","Aetna","Commercial","",,"64",,"103.68","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE","10060","HCPCS","Both",,,"162.5","81.25","Blue Cross Blue Shield","Pathways","",,"71",,"114.72","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE","10060","HCPCS","Both",,,"162.5","81.25","Blue Cross Blue Shield","HMO","",,"71",,"114.72","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE","10060","HCPCS","Both",,,"162.5","81.25","Blue Cross Blue Shield","PPO","",,"71",,"114.72","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE","10060","HCPCS","Both",,,"162.5","81.25","Ambetter","Health Exchange","",,"62",,"100.75","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE","10060","HCPCS","Both",,,"162.5","81.25","Caresource","Health Exchange","",,"62",,"100.75","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE","10060","HCPCS","Both",,,"162.5","81.25","Cigna","Commercial","",,"59",,"95.22","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE","10060","HCPCS","Both",,,"162.5","81.25","Humana","Commercial","",,"78",,"125.94","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE","10060","HCPCS","Both",,,"162.5","81.25","UHC","Commercial","",,"75",,"122.52","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE","10060","HCPCS","Both",,,"162.5","81.25","Medicaid",,"",,"37",,"59.48","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED","10061","HCPCS","Both",,,"222.5","111.25","Alliant","Health Exchange","",,"62",,"137.95","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED","10061","HCPCS","Both",,,"222.5","111.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"120.15","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED","10061","HCPCS","Both",,,"222.5","111.25","Medicare",,"",,"54",,"120.6","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED","10061","HCPCS","Both",,,"222.5","111.25","Humana","Medicare Advantage","",,"54",,"120.6","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED","10061","HCPCS","Both",,,"222.5","111.25","UHC","Medicare Advantage","",,"54",,"120.6","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED","10061","HCPCS","Both",,,"222.5","111.25","Clover","Medicare Advantage","",,"54",,"120.6","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED","10061","HCPCS","Both",,,"222.5","111.25","Wellcare","Medicare Advantage","",,"54",,"120.6","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED","10061","HCPCS","Both",,,"222.5","111.25","Amerigroup","Medicaid Managed Care","",,"37",,"81.44","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED","10061","HCPCS","Both",,,"222.5","111.25","Caresource","Medicaid Managed Care","",,"40",,"89","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED","10061","HCPCS","Both",,,"222.5","111.25","Wellcare","Medicaid Managed Care","",,"40",,"90.11","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED","10061","HCPCS","Both",,,"222.5","111.25","Aetna","Commercial","",,"64",,"141.96","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED","10061","HCPCS","Both",,,"222.5","111.25","Blue Cross Blue Shield","Pathways","",,"71",,"157.08","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED","10061","HCPCS","Both",,,"222.5","111.25","Blue Cross Blue Shield","HMO","",,"71",,"157.08","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED","10061","HCPCS","Both",,,"222.5","111.25","Blue Cross Blue Shield","PPO","",,"71",,"157.08","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED","10061","HCPCS","Both",,,"222.5","111.25","Ambetter","Health Exchange","",,"62",,"137.95","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED","10061","HCPCS","Both",,,"222.5","111.25","Caresource","Health Exchange","",,"62",,"137.95","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED","10061","HCPCS","Both",,,"222.5","111.25","Cigna","Commercial","",,"59",,"130.38","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED","10061","HCPCS","Both",,,"222.5","111.25","Humana","Commercial","",,"78",,"172.44","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED","10061","HCPCS","Both",,,"222.5","111.25","UHC","Commercial","",,"75",,"167.76","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED","10061","HCPCS","Both",,,"222.5","111.25","Medicaid",,"",,"37",,"81.44","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE HEMATOMA","10140","HCPCS","Both",,,"102","51","Alliant","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"INCISION & DRAINAGE HEMATOMA","10140","HCPCS","Both",,,"102","51","Pruitt Healthcare","Medicare Advantage","",,"54",,"55.08","37.33","79.05","percent of total billed charges",,
"INCISION & DRAINAGE HEMATOMA","10140","HCPCS","Both",,,"102","51","Medicare",,"",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"INCISION & DRAINAGE HEMATOMA","10140","HCPCS","Both",,,"102","51","Humana","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"INCISION & DRAINAGE HEMATOMA","10140","HCPCS","Both",,,"102","51","UHC","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"INCISION & DRAINAGE HEMATOMA","10140","HCPCS","Both",,,"102","51","Clover","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"INCISION & DRAINAGE HEMATOMA","10140","HCPCS","Both",,,"102","51","Wellcare","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"INCISION & DRAINAGE HEMATOMA","10140","HCPCS","Both",,,"102","51","Amerigroup","Medicaid Managed Care","",,"37",,"37.33","37.33","79.05","percent of total billed charges",,
"INCISION & DRAINAGE HEMATOMA","10140","HCPCS","Both",,,"102","51","Caresource","Medicaid Managed Care","",,"40",,"40.8","37.33","79.05","percent of total billed charges",,
"INCISION & DRAINAGE HEMATOMA","10140","HCPCS","Both",,,"102","51","Wellcare","Medicaid Managed Care","",,"40",,"41.31","37.33","79.05","percent of total billed charges",,
"INCISION & DRAINAGE HEMATOMA","10140","HCPCS","Both",,,"102","51","Aetna","Commercial","",,"64",,"65.08","37.33","79.05","percent of total billed charges",,
"INCISION & DRAINAGE HEMATOMA","10140","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","Pathways","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"INCISION & DRAINAGE HEMATOMA","10140","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","HMO","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"INCISION & DRAINAGE HEMATOMA","10140","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","PPO","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"INCISION & DRAINAGE HEMATOMA","10140","HCPCS","Both",,,"102","51","Ambetter","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"INCISION & DRAINAGE HEMATOMA","10140","HCPCS","Both",,,"102","51","Caresource","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"INCISION & DRAINAGE HEMATOMA","10140","HCPCS","Both",,,"102","51","Cigna","Commercial","",,"59",,"59.77","37.33","79.05","percent of total billed charges",,
"INCISION & DRAINAGE HEMATOMA","10140","HCPCS","Both",,,"102","51","Humana","Commercial","",,"78",,"79.05","37.33","79.05","percent of total billed charges",,
"INCISION & DRAINAGE HEMATOMA","10140","HCPCS","Both",,,"102","51","UHC","Commercial","",,"75",,"76.91","37.33","79.05","percent of total billed charges",,
"INCISION & DRAINAGE HEMATOMA","10140","HCPCS","Both",,,"102","51","Medicaid",,"",,"37",,"37.33","37.33","79.05","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYSTSIMPL","10080","HCPCS","Both",,,"426.5","213.25","Alliant","Health Exchange","",,"62",,"264.43","156.1","330.54","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYSTSIMPL","10080","HCPCS","Both",,,"426.5","213.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"230.31","156.1","330.54","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYSTSIMPL","10080","HCPCS","Both",,,"426.5","213.25","Medicare",,"",,"54",,"231.16","156.1","330.54","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYSTSIMPL","10080","HCPCS","Both",,,"426.5","213.25","Humana","Medicare Advantage","",,"54",,"231.16","156.1","330.54","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYSTSIMPL","10080","HCPCS","Both",,,"426.5","213.25","UHC","Medicare Advantage","",,"54",,"231.16","156.1","330.54","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYSTSIMPL","10080","HCPCS","Both",,,"426.5","213.25","Clover","Medicare Advantage","",,"54",,"231.16","156.1","330.54","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYSTSIMPL","10080","HCPCS","Both",,,"426.5","213.25","Wellcare","Medicare Advantage","",,"54",,"231.16","156.1","330.54","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYSTSIMPL","10080","HCPCS","Both",,,"426.5","213.25","Amerigroup","Medicaid Managed Care","",,"37",,"156.1","156.1","330.54","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYSTSIMPL","10080","HCPCS","Both",,,"426.5","213.25","Caresource","Medicaid Managed Care","",,"40",,"170.6","156.1","330.54","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYSTSIMPL","10080","HCPCS","Both",,,"426.5","213.25","Wellcare","Medicaid Managed Care","",,"40",,"172.73","156.1","330.54","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYSTSIMPL","10080","HCPCS","Both",,,"426.5","213.25","Aetna","Commercial","",,"64",,"272.11","156.1","330.54","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYSTSIMPL","10080","HCPCS","Both",,,"426.5","213.25","Blue Cross Blue Shield","Pathways","",,"71",,"301.11","156.1","330.54","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYSTSIMPL","10080","HCPCS","Both",,,"426.5","213.25","Blue Cross Blue Shield","HMO","",,"71",,"301.11","156.1","330.54","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYSTSIMPL","10080","HCPCS","Both",,,"426.5","213.25","Blue Cross Blue Shield","PPO","",,"71",,"301.11","156.1","330.54","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYSTSIMPL","10080","HCPCS","Both",,,"426.5","213.25","Ambetter","Health Exchange","",,"62",,"264.43","156.1","330.54","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYSTSIMPL","10080","HCPCS","Both",,,"426.5","213.25","Caresource","Health Exchange","",,"62",,"264.43","156.1","330.54","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYSTSIMPL","10080","HCPCS","Both",,,"426.5","213.25","Cigna","Commercial","",,"59",,"249.93","156.1","330.54","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYSTSIMPL","10080","HCPCS","Both",,,"426.5","213.25","Humana","Commercial","",,"78",,"330.54","156.1","330.54","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYSTSIMPL","10080","HCPCS","Both",,,"426.5","213.25","UHC","Commercial","",,"75",,"321.58","156.1","330.54","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYSTSIMPL","10080","HCPCS","Both",,,"426.5","213.25","Medicaid",,"",,"37",,"156.1","156.1","330.54","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST COMPL","10081","HCPCS","Both",,,"2265.5","1132.75","Alliant","Health Exchange","",,"62",,"1404.61","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST COMPL","10081","HCPCS","Both",,,"2265.5","1132.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"1223.37","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST COMPL","10081","HCPCS","Both",,,"2265.5","1132.75","Medicare",,"",,"54",,"1227.9","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST COMPL","10081","HCPCS","Both",,,"2265.5","1132.75","Humana","Medicare Advantage","",,"54",,"1227.9","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST COMPL","10081","HCPCS","Both",,,"2265.5","1132.75","UHC","Medicare Advantage","",,"54",,"1227.9","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST COMPL","10081","HCPCS","Both",,,"2265.5","1132.75","Clover","Medicare Advantage","",,"54",,"1227.9","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST COMPL","10081","HCPCS","Both",,,"2265.5","1132.75","Wellcare","Medicare Advantage","",,"54",,"1227.9","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST COMPL","10081","HCPCS","Both",,,"2265.5","1132.75","Amerigroup","Medicaid Managed Care","",,"37",,"829.17","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST COMPL","10081","HCPCS","Both",,,"2265.5","1132.75","Caresource","Medicaid Managed Care","",,"40",,"906.2","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST COMPL","10081","HCPCS","Both",,,"2265.5","1132.75","Wellcare","Medicaid Managed Care","",,"40",,"917.53","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST COMPL","10081","HCPCS","Both",,,"2265.5","1132.75","Aetna","Commercial","",,"64",,"1445.39","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST COMPL","10081","HCPCS","Both",,,"2265.5","1132.75","Blue Cross Blue Shield","Pathways","",,"71",,"1599.44","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST COMPL","10081","HCPCS","Both",,,"2265.5","1132.75","Blue Cross Blue Shield","HMO","",,"71",,"1599.44","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST COMPL","10081","HCPCS","Both",,,"2265.5","1132.75","Blue Cross Blue Shield","PPO","",,"71",,"1599.44","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST COMPL","10081","HCPCS","Both",,,"2265.5","1132.75","Ambetter","Health Exchange","",,"62",,"1404.61","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST COMPL","10081","HCPCS","Both",,,"2265.5","1132.75","Caresource","Health Exchange","",,"62",,"1404.61","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST COMPL","10081","HCPCS","Both",,,"2265.5","1132.75","Cigna","Commercial","",,"59",,"1327.58","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST COMPL","10081","HCPCS","Both",,,"2265.5","1132.75","Humana","Commercial","",,"78",,"1755.76","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST COMPL","10081","HCPCS","Both",,,"2265.5","1132.75","UHC","Commercial","",,"75",,"1708.19","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE PILONIDAL CYST COMPL","10081","HCPCS","Both",,,"2265.5","1132.75","Medicaid",,"",,"37",,"829.17","829.17","1755.76","percent of total billed charges",,
"AVULSION,NAIL PLATE, PART OR COMP,SIMPLE","11730","HCPCS","Both",,,"102.5","51.25","Alliant","Health Exchange","",,"62",,"63.55","37.52","79.44","percent of total billed charges",,
"AVULSION,NAIL PLATE, PART OR COMP,SIMPLE","11730","HCPCS","Both",,,"102.5","51.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"55.35","37.52","79.44","percent of total billed charges",,
"AVULSION,NAIL PLATE, PART OR COMP,SIMPLE","11730","HCPCS","Both",,,"102.5","51.25","Medicare",,"",,"54",,"55.56","37.52","79.44","percent of total billed charges",,
"AVULSION,NAIL PLATE, PART OR COMP,SIMPLE","11730","HCPCS","Both",,,"102.5","51.25","Humana","Medicare Advantage","",,"54",,"55.56","37.52","79.44","percent of total billed charges",,
"AVULSION,NAIL PLATE, PART OR COMP,SIMPLE","11730","HCPCS","Both",,,"102.5","51.25","UHC","Medicare Advantage","",,"54",,"55.56","37.52","79.44","percent of total billed charges",,
"AVULSION,NAIL PLATE, PART OR COMP,SIMPLE","11730","HCPCS","Both",,,"102.5","51.25","Clover","Medicare Advantage","",,"54",,"55.56","37.52","79.44","percent of total billed charges",,
"AVULSION,NAIL PLATE, PART OR COMP,SIMPLE","11730","HCPCS","Both",,,"102.5","51.25","Wellcare","Medicare Advantage","",,"54",,"55.56","37.52","79.44","percent of total billed charges",,
"AVULSION,NAIL PLATE, PART OR COMP,SIMPLE","11730","HCPCS","Both",,,"102.5","51.25","Amerigroup","Medicaid Managed Care","",,"37",,"37.52","37.52","79.44","percent of total billed charges",,
"AVULSION,NAIL PLATE, PART OR COMP,SIMPLE","11730","HCPCS","Both",,,"102.5","51.25","Caresource","Medicaid Managed Care","",,"40",,"41","37.52","79.44","percent of total billed charges",,
"AVULSION,NAIL PLATE, PART OR COMP,SIMPLE","11730","HCPCS","Both",,,"102.5","51.25","Wellcare","Medicaid Managed Care","",,"40",,"41.51","37.52","79.44","percent of total billed charges",,
"AVULSION,NAIL PLATE, PART OR COMP,SIMPLE","11730","HCPCS","Both",,,"102.5","51.25","Aetna","Commercial","",,"64",,"65.4","37.52","79.44","percent of total billed charges",,
"AVULSION,NAIL PLATE, PART OR COMP,SIMPLE","11730","HCPCS","Both",,,"102.5","51.25","Blue Cross Blue Shield","Pathways","",,"71",,"72.36","37.52","79.44","percent of total billed charges",,
"AVULSION,NAIL PLATE, PART OR COMP,SIMPLE","11730","HCPCS","Both",,,"102.5","51.25","Blue Cross Blue Shield","HMO","",,"71",,"72.36","37.52","79.44","percent of total billed charges",,
"AVULSION,NAIL PLATE, PART OR COMP,SIMPLE","11730","HCPCS","Both",,,"102.5","51.25","Blue Cross Blue Shield","PPO","",,"71",,"72.36","37.52","79.44","percent of total billed charges",,
"AVULSION,NAIL PLATE, PART OR COMP,SIMPLE","11730","HCPCS","Both",,,"102.5","51.25","Ambetter","Health Exchange","",,"62",,"63.55","37.52","79.44","percent of total billed charges",,
"AVULSION,NAIL PLATE, PART OR COMP,SIMPLE","11730","HCPCS","Both",,,"102.5","51.25","Caresource","Health Exchange","",,"62",,"63.55","37.52","79.44","percent of total billed charges",,
"AVULSION,NAIL PLATE, PART OR COMP,SIMPLE","11730","HCPCS","Both",,,"102.5","51.25","Cigna","Commercial","",,"59",,"60.06","37.52","79.44","percent of total billed charges",,
"AVULSION,NAIL PLATE, PART OR COMP,SIMPLE","11730","HCPCS","Both",,,"102.5","51.25","Humana","Commercial","",,"78",,"79.44","37.52","79.44","percent of total billed charges",,
"AVULSION,NAIL PLATE, PART OR COMP,SIMPLE","11730","HCPCS","Both",,,"102.5","51.25","UHC","Commercial","",,"75",,"77.28","37.52","79.44","percent of total billed charges",,
"AVULSION,NAIL PLATE, PART OR COMP,SIMPLE","11730","HCPCS","Both",,,"102.5","51.25","Medicaid",,"",,"37",,"37.52","37.52","79.44","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Alliant","Health Exchange","",,"62",,"220.41","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"191.97","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Medicare",,"",,"54",,"192.68","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Humana","Medicare Advantage","",,"54",,"192.68","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","UHC","Medicare Advantage","",,"54",,"192.68","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Clover","Medicare Advantage","",,"54",,"192.68","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Wellcare","Medicare Advantage","",,"54",,"192.68","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Amerigroup","Medicaid Managed Care","",,"37",,"130.11","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Caresource","Medicaid Managed Care","",,"40",,"142.2","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Wellcare","Medicaid Managed Care","",,"40",,"143.98","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Aetna","Commercial","",,"64",,"226.81","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Blue Cross Blue Shield","Pathways","",,"71",,"250.98","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Blue Cross Blue Shield","HMO","",,"71",,"250.98","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Blue Cross Blue Shield","PPO","",,"71",,"250.98","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Ambetter","Health Exchange","",,"62",,"220.41","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Caresource","Health Exchange","",,"62",,"220.41","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Cigna","Commercial","",,"59",,"208.32","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Humana","Commercial","",,"78",,"275.51","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","UHC","Commercial","",,"75",,"268.05","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Medicaid",,"",,"37",,"130.11","130.11","275.51","percent of total billed charges",,
"EXCISION OF PILONIDAL CYST/SINUS;SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Alliant","Health Exchange","",,"62",,"3214.7","1897.71","4018.38","percent of total billed charges",,
"EXCISION OF PILONIDAL CYST/SINUS;SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"2799.9","1897.71","4018.38","percent of total billed charges",,
"EXCISION OF PILONIDAL CYST/SINUS;SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Medicare",,"",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION OF PILONIDAL CYST/SINUS;SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Humana","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION OF PILONIDAL CYST/SINUS;SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","UHC","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION OF PILONIDAL CYST/SINUS;SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Clover","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION OF PILONIDAL CYST/SINUS;SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Wellcare","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION OF PILONIDAL CYST/SINUS;SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Amerigroup","Medicaid Managed Care","",,"37",,"1897.71","1897.71","4018.38","percent of total billed charges",,
"EXCISION OF PILONIDAL CYST/SINUS;SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Caresource","Medicaid Managed Care","",,"40",,"2074","1897.71","4018.38","percent of total billed charges",,
"EXCISION OF PILONIDAL CYST/SINUS;SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Wellcare","Medicaid Managed Care","",,"40",,"2099.93","1897.71","4018.38","percent of total billed charges",,
"EXCISION OF PILONIDAL CYST/SINUS;SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Aetna","Commercial","",,"64",,"3308.03","1897.71","4018.38","percent of total billed charges",,
"EXCISION OF PILONIDAL CYST/SINUS;SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Blue Cross Blue Shield","Pathways","",,"71",,"3660.61","1897.71","4018.38","percent of total billed charges",,
"EXCISION OF PILONIDAL CYST/SINUS;SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Blue Cross Blue Shield","HMO","",,"71",,"3660.61","1897.71","4018.38","percent of total billed charges",,
"EXCISION OF PILONIDAL CYST/SINUS;SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Blue Cross Blue Shield","PPO","",,"71",,"3660.61","1897.71","4018.38","percent of total billed charges",,
"EXCISION OF PILONIDAL CYST/SINUS;SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Ambetter","Health Exchange","",,"62",,"3214.7","1897.71","4018.38","percent of total billed charges",,
"EXCISION OF PILONIDAL CYST/SINUS;SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Caresource","Health Exchange","",,"62",,"3214.7","1897.71","4018.38","percent of total billed charges",,
"EXCISION OF PILONIDAL CYST/SINUS;SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Cigna","Commercial","",,"59",,"3038.41","1897.71","4018.38","percent of total billed charges",,
"EXCISION OF PILONIDAL CYST/SINUS;SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Humana","Commercial","",,"78",,"4018.38","1897.71","4018.38","percent of total billed charges",,
"EXCISION OF PILONIDAL CYST/SINUS;SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","UHC","Commercial","",,"75",,"3909.49","1897.71","4018.38","percent of total billed charges",,
"EXCISION OF PILONIDAL CYST/SINUS;SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Medicaid",,"",,"37",,"1897.71","1897.71","4018.38","percent of total billed charges",,
"EVACUATION OF SUBINGUAL HEMATOMA","11740","HCPCS","Both",,,"38","19","Alliant","Health Exchange","",,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"EVACUATION OF SUBINGUAL HEMATOMA","11740","HCPCS","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage","",,"54",,"20.52","13.91","29.45","percent of total billed charges",,
"EVACUATION OF SUBINGUAL HEMATOMA","11740","HCPCS","Both",,,"38","19","Medicare",,"",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"EVACUATION OF SUBINGUAL HEMATOMA","11740","HCPCS","Both",,,"38","19","Humana","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"EVACUATION OF SUBINGUAL HEMATOMA","11740","HCPCS","Both",,,"38","19","UHC","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"EVACUATION OF SUBINGUAL HEMATOMA","11740","HCPCS","Both",,,"38","19","Clover","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"EVACUATION OF SUBINGUAL HEMATOMA","11740","HCPCS","Both",,,"38","19","Wellcare","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"EVACUATION OF SUBINGUAL HEMATOMA","11740","HCPCS","Both",,,"38","19","Amerigroup","Medicaid Managed Care","",,"37",,"13.91","13.91","29.45","percent of total billed charges",,
"EVACUATION OF SUBINGUAL HEMATOMA","11740","HCPCS","Both",,,"38","19","Caresource","Medicaid Managed Care","",,"40",,"15.2","13.91","29.45","percent of total billed charges",,
"EVACUATION OF SUBINGUAL HEMATOMA","11740","HCPCS","Both",,,"38","19","Wellcare","Medicaid Managed Care","",,"40",,"15.39","13.91","29.45","percent of total billed charges",,
"EVACUATION OF SUBINGUAL HEMATOMA","11740","HCPCS","Both",,,"38","19","Aetna","Commercial","",,"64",,"24.24","13.91","29.45","percent of total billed charges",,
"EVACUATION OF SUBINGUAL HEMATOMA","11740","HCPCS","Both",,,"38","19","Blue Cross Blue Shield","Pathways","",,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"EVACUATION OF SUBINGUAL HEMATOMA","11740","HCPCS","Both",,,"38","19","Blue Cross Blue Shield","HMO","",,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"EVACUATION OF SUBINGUAL HEMATOMA","11740","HCPCS","Both",,,"38","19","Blue Cross Blue Shield","PPO","",,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"EVACUATION OF SUBINGUAL HEMATOMA","11740","HCPCS","Both",,,"38","19","Ambetter","Health Exchange","",,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"EVACUATION OF SUBINGUAL HEMATOMA","11740","HCPCS","Both",,,"38","19","Caresource","Health Exchange","",,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"EVACUATION OF SUBINGUAL HEMATOMA","11740","HCPCS","Both",,,"38","19","Cigna","Commercial","",,"59",,"22.27","13.91","29.45","percent of total billed charges",,
"EVACUATION OF SUBINGUAL HEMATOMA","11740","HCPCS","Both",,,"38","19","Humana","Commercial","",,"78",,"29.45","13.91","29.45","percent of total billed charges",,
"EVACUATION OF SUBINGUAL HEMATOMA","11740","HCPCS","Both",,,"38","19","UHC","Commercial","",,"75",,"28.65","13.91","29.45","percent of total billed charges",,
"EVACUATION OF SUBINGUAL HEMATOMA","11740","HCPCS","Both",,,"38","19","Medicaid",,"",,"37",,"13.91","13.91","29.45","percent of total billed charges",,
"DEBRIDEMENT;SKIN, & SUBCUTANEOUS TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Alliant","Health Exchange","",,"62",,"61.07","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT;SKIN, & SUBCUTANEOUS TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"53.19","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT;SKIN, & SUBCUTANEOUS TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Medicare",,"",,"54",,"53.39","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT;SKIN, & SUBCUTANEOUS TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Humana","Medicare Advantage","",,"54",,"53.39","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT;SKIN, & SUBCUTANEOUS TISSUE","11042","HCPCS","Both",,,"98.5","49.25","UHC","Medicare Advantage","",,"54",,"53.39","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT;SKIN, & SUBCUTANEOUS TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Clover","Medicare Advantage","",,"54",,"53.39","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT;SKIN, & SUBCUTANEOUS TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Wellcare","Medicare Advantage","",,"54",,"53.39","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT;SKIN, & SUBCUTANEOUS TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Amerigroup","Medicaid Managed Care","",,"37",,"36.05","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT;SKIN, & SUBCUTANEOUS TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Caresource","Medicaid Managed Care","",,"40",,"39.4","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT;SKIN, & SUBCUTANEOUS TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Wellcare","Medicaid Managed Care","",,"40",,"39.89","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT;SKIN, & SUBCUTANEOUS TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Aetna","Commercial","",,"64",,"62.84","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT;SKIN, & SUBCUTANEOUS TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Blue Cross Blue Shield","Pathways","",,"71",,"69.54","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT;SKIN, & SUBCUTANEOUS TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Blue Cross Blue Shield","HMO","",,"71",,"69.54","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT;SKIN, & SUBCUTANEOUS TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Blue Cross Blue Shield","PPO","",,"71",,"69.54","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT;SKIN, & SUBCUTANEOUS TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Ambetter","Health Exchange","",,"62",,"61.07","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT;SKIN, & SUBCUTANEOUS TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Caresource","Health Exchange","",,"62",,"61.07","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT;SKIN, & SUBCUTANEOUS TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Cigna","Commercial","",,"59",,"57.72","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT;SKIN, & SUBCUTANEOUS TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Humana","Commercial","",,"78",,"76.34","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT;SKIN, & SUBCUTANEOUS TISSUE","11042","HCPCS","Both",,,"98.5","49.25","UHC","Commercial","",,"75",,"74.27","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT;SKIN, & SUBCUTANEOUS TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Medicaid",,"",,"37",,"36.05","36.05","76.34","percent of total billed charges",,
"INCISION & DRAINAGE BARTHOLIN'S GLAND AB","56420","HCPCS","Both",,,"371.5","185.75","Alliant","Health Exchange","",,"62",,"230.33","135.97","287.91","percent of total billed charges",,
"INCISION & DRAINAGE BARTHOLIN'S GLAND AB","56420","HCPCS","Both",,,"371.5","185.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"200.61","135.97","287.91","percent of total billed charges",,
"INCISION & DRAINAGE BARTHOLIN'S GLAND AB","56420","HCPCS","Both",,,"371.5","185.75","Medicare",,"",,"54",,"201.35","135.97","287.91","percent of total billed charges",,
"INCISION & DRAINAGE BARTHOLIN'S GLAND AB","56420","HCPCS","Both",,,"371.5","185.75","Humana","Medicare Advantage","",,"54",,"201.35","135.97","287.91","percent of total billed charges",,
"INCISION & DRAINAGE BARTHOLIN'S GLAND AB","56420","HCPCS","Both",,,"371.5","185.75","UHC","Medicare Advantage","",,"54",,"201.35","135.97","287.91","percent of total billed charges",,
"INCISION & DRAINAGE BARTHOLIN'S GLAND AB","56420","HCPCS","Both",,,"371.5","185.75","Clover","Medicare Advantage","",,"54",,"201.35","135.97","287.91","percent of total billed charges",,
"INCISION & DRAINAGE BARTHOLIN'S GLAND AB","56420","HCPCS","Both",,,"371.5","185.75","Wellcare","Medicare Advantage","",,"54",,"201.35","135.97","287.91","percent of total billed charges",,
"INCISION & DRAINAGE BARTHOLIN'S GLAND AB","56420","HCPCS","Both",,,"371.5","185.75","Amerigroup","Medicaid Managed Care","",,"37",,"135.97","135.97","287.91","percent of total billed charges",,
"INCISION & DRAINAGE BARTHOLIN'S GLAND AB","56420","HCPCS","Both",,,"371.5","185.75","Caresource","Medicaid Managed Care","",,"40",,"148.6","135.97","287.91","percent of total billed charges",,
"INCISION & DRAINAGE BARTHOLIN'S GLAND AB","56420","HCPCS","Both",,,"371.5","185.75","Wellcare","Medicaid Managed Care","",,"40",,"150.46","135.97","287.91","percent of total billed charges",,
"INCISION & DRAINAGE BARTHOLIN'S GLAND AB","56420","HCPCS","Both",,,"371.5","185.75","Aetna","Commercial","",,"64",,"237.02","135.97","287.91","percent of total billed charges",,
"INCISION & DRAINAGE BARTHOLIN'S GLAND AB","56420","HCPCS","Both",,,"371.5","185.75","Blue Cross Blue Shield","Pathways","",,"71",,"262.28","135.97","287.91","percent of total billed charges",,
"INCISION & DRAINAGE BARTHOLIN'S GLAND AB","56420","HCPCS","Both",,,"371.5","185.75","Blue Cross Blue Shield","HMO","",,"71",,"262.28","135.97","287.91","percent of total billed charges",,
"INCISION & DRAINAGE BARTHOLIN'S GLAND AB","56420","HCPCS","Both",,,"371.5","185.75","Blue Cross Blue Shield","PPO","",,"71",,"262.28","135.97","287.91","percent of total billed charges",,
"INCISION & DRAINAGE BARTHOLIN'S GLAND AB","56420","HCPCS","Both",,,"371.5","185.75","Ambetter","Health Exchange","",,"62",,"230.33","135.97","287.91","percent of total billed charges",,
"INCISION & DRAINAGE BARTHOLIN'S GLAND AB","56420","HCPCS","Both",,,"371.5","185.75","Caresource","Health Exchange","",,"62",,"230.33","135.97","287.91","percent of total billed charges",,
"INCISION & DRAINAGE BARTHOLIN'S GLAND AB","56420","HCPCS","Both",,,"371.5","185.75","Cigna","Commercial","",,"59",,"217.7","135.97","287.91","percent of total billed charges",,
"INCISION & DRAINAGE BARTHOLIN'S GLAND AB","56420","HCPCS","Both",,,"371.5","185.75","Humana","Commercial","",,"78",,"287.91","135.97","287.91","percent of total billed charges",,
"INCISION & DRAINAGE BARTHOLIN'S GLAND AB","56420","HCPCS","Both",,,"371.5","185.75","UHC","Commercial","",,"75",,"280.11","135.97","287.91","percent of total billed charges",,
"INCISION & DRAINAGE BARTHOLIN'S GLAND AB","56420","HCPCS","Both",,,"371.5","185.75","Medicaid",,"",,"37",,"135.97","135.97","287.91","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS OR INFECTED SKIN","11000","HCPCS","Both",,,"75","37.5","Alliant","Health Exchange","",,"62",,"46.5","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS OR INFECTED SKIN","11000","HCPCS","Both",,,"75","37.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"40.5","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS OR INFECTED SKIN","11000","HCPCS","Both",,,"75","37.5","Medicare",,"",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS OR INFECTED SKIN","11000","HCPCS","Both",,,"75","37.5","Humana","Medicare Advantage","",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS OR INFECTED SKIN","11000","HCPCS","Both",,,"75","37.5","UHC","Medicare Advantage","",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS OR INFECTED SKIN","11000","HCPCS","Both",,,"75","37.5","Clover","Medicare Advantage","",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS OR INFECTED SKIN","11000","HCPCS","Both",,,"75","37.5","Wellcare","Medicare Advantage","",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS OR INFECTED SKIN","11000","HCPCS","Both",,,"75","37.5","Amerigroup","Medicaid Managed Care","",,"37",,"27.45","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS OR INFECTED SKIN","11000","HCPCS","Both",,,"75","37.5","Caresource","Medicaid Managed Care","",,"40",,"30","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS OR INFECTED SKIN","11000","HCPCS","Both",,,"75","37.5","Wellcare","Medicaid Managed Care","",,"40",,"30.38","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS OR INFECTED SKIN","11000","HCPCS","Both",,,"75","37.5","Aetna","Commercial","",,"64",,"47.85","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS OR INFECTED SKIN","11000","HCPCS","Both",,,"75","37.5","Blue Cross Blue Shield","Pathways","",,"71",,"52.95","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS OR INFECTED SKIN","11000","HCPCS","Both",,,"75","37.5","Blue Cross Blue Shield","HMO","",,"71",,"52.95","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS OR INFECTED SKIN","11000","HCPCS","Both",,,"75","37.5","Blue Cross Blue Shield","PPO","",,"71",,"52.95","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS OR INFECTED SKIN","11000","HCPCS","Both",,,"75","37.5","Ambetter","Health Exchange","",,"62",,"46.5","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS OR INFECTED SKIN","11000","HCPCS","Both",,,"75","37.5","Caresource","Health Exchange","",,"62",,"46.5","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS OR INFECTED SKIN","11000","HCPCS","Both",,,"75","37.5","Cigna","Commercial","",,"59",,"43.95","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS OR INFECTED SKIN","11000","HCPCS","Both",,,"75","37.5","Humana","Commercial","",,"78",,"58.12","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS OR INFECTED SKIN","11000","HCPCS","Both",,,"75","37.5","UHC","Commercial","",,"75",,"56.55","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS OR INFECTED SKIN","11000","HCPCS","Both",,,"75","37.5","Medicaid",,"",,"37",,"27.45","27.45","58.12","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY SUB T SI","10120","HCPCS","Both",,,"102","51","Alliant","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY SUB T SI","10120","HCPCS","Both",,,"102","51","Pruitt Healthcare","Medicare Advantage","",,"54",,"55.08","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY SUB T SI","10120","HCPCS","Both",,,"102","51","Medicare",,"",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY SUB T SI","10120","HCPCS","Both",,,"102","51","Humana","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY SUB T SI","10120","HCPCS","Both",,,"102","51","UHC","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY SUB T SI","10120","HCPCS","Both",,,"102","51","Clover","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY SUB T SI","10120","HCPCS","Both",,,"102","51","Wellcare","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY SUB T SI","10120","HCPCS","Both",,,"102","51","Amerigroup","Medicaid Managed Care","",,"37",,"37.33","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY SUB T SI","10120","HCPCS","Both",,,"102","51","Caresource","Medicaid Managed Care","",,"40",,"40.8","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY SUB T SI","10120","HCPCS","Both",,,"102","51","Wellcare","Medicaid Managed Care","",,"40",,"41.31","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY SUB T SI","10120","HCPCS","Both",,,"102","51","Aetna","Commercial","",,"64",,"65.08","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY SUB T SI","10120","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","Pathways","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY SUB T SI","10120","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","HMO","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY SUB T SI","10120","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","PPO","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY SUB T SI","10120","HCPCS","Both",,,"102","51","Ambetter","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY SUB T SI","10120","HCPCS","Both",,,"102","51","Caresource","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY SUB T SI","10120","HCPCS","Both",,,"102","51","Cigna","Commercial","",,"59",,"59.77","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY SUB T SI","10120","HCPCS","Both",,,"102","51","Humana","Commercial","",,"78",,"79.05","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY SUB T SI","10120","HCPCS","Both",,,"102","51","UHC","Commercial","",,"75",,"76.91","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY SUB T SI","10120","HCPCS","Both",,,"102","51","Medicaid",,"",,"37",,"37.33","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Alliant","Health Exchange","",,"62",,"70.68","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Pruitt Healthcare","Medicare Advantage","",,"54",,"61.56","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Medicare",,"",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Humana","Medicare Advantage","",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","UHC","Medicare Advantage","",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Clover","Medicare Advantage","",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Wellcare","Medicare Advantage","",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Amerigroup","Medicaid Managed Care","",,"37",,"41.72","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Caresource","Medicaid Managed Care","",,"40",,"45.6","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Wellcare","Medicaid Managed Care","",,"40",,"46.17","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Aetna","Commercial","",,"64",,"72.73","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Blue Cross Blue Shield","Pathways","",,"71",,"80.48","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Blue Cross Blue Shield","HMO","",,"71",,"80.48","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Blue Cross Blue Shield","PPO","",,"71",,"80.48","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Ambetter","Health Exchange","",,"62",,"70.68","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Caresource","Health Exchange","",,"62",,"70.68","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Cigna","Commercial","",,"59",,"66.8","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Humana","Commercial","",,"78",,"88.35","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","UHC","Commercial","",,"75",,"85.96","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Medicaid",,"",,"37",,"41.72","41.72","88.35","percent of total billed charges",,
"REMOVAL FOREIGN BODY,INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Alliant","Health Exchange","",,"62",,"84.01","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY,INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"73.17","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY,INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Medicare",,"",,"54",,"73.44","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY,INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Humana","Medicare Advantage","",,"54",,"73.44","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY,INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","UHC","Medicare Advantage","",,"54",,"73.44","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY,INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Clover","Medicare Advantage","",,"54",,"73.44","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY,INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Wellcare","Medicare Advantage","",,"54",,"73.44","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY,INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Amerigroup","Medicaid Managed Care","",,"37",,"49.59","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY,INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Caresource","Medicaid Managed Care","",,"40",,"54.2","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY,INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Wellcare","Medicaid Managed Care","",,"40",,"54.88","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY,INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Aetna","Commercial","",,"64",,"86.45","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY,INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Blue Cross Blue Shield","Pathways","",,"71",,"95.66","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY,INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Blue Cross Blue Shield","HMO","",,"71",,"95.66","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY,INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Blue Cross Blue Shield","PPO","",,"71",,"95.66","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY,INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Ambetter","Health Exchange","",,"62",,"84.01","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY,INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Caresource","Health Exchange","",,"62",,"84.01","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY,INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Cigna","Commercial","",,"59",,"79.4","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY,INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Humana","Commercial","",,"78",,"105.01","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY,INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","UHC","Commercial","",,"75",,"102.17","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY,INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Medicaid",,"",,"37",,"49.59","49.59","105.01","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE","65205","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE","65205","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE","65205","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE","65205","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE","65205","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE","65205","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE","65205","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE","65205","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE","65205","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE","65205","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE","65205","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE","65205","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE","65205","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE","65205","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE","65205","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE","65205","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE","65205","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE","65205","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE","65205","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"FOREIGN BODY REMOVAL, EXTERNAL EYE","65205","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"REMOVAL FOREIGN BODY EXTERNAL AUDITORY","69200","HCPCS","Both",,,"102","51","Alliant","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY EXTERNAL AUDITORY","69200","HCPCS","Both",,,"102","51","Pruitt Healthcare","Medicare Advantage","",,"54",,"55.08","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY EXTERNAL AUDITORY","69200","HCPCS","Both",,,"102","51","Medicare",,"",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY EXTERNAL AUDITORY","69200","HCPCS","Both",,,"102","51","Humana","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY EXTERNAL AUDITORY","69200","HCPCS","Both",,,"102","51","UHC","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY EXTERNAL AUDITORY","69200","HCPCS","Both",,,"102","51","Clover","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY EXTERNAL AUDITORY","69200","HCPCS","Both",,,"102","51","Wellcare","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY EXTERNAL AUDITORY","69200","HCPCS","Both",,,"102","51","Amerigroup","Medicaid Managed Care","",,"37",,"37.33","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY EXTERNAL AUDITORY","69200","HCPCS","Both",,,"102","51","Caresource","Medicaid Managed Care","",,"40",,"40.8","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY EXTERNAL AUDITORY","69200","HCPCS","Both",,,"102","51","Wellcare","Medicaid Managed Care","",,"40",,"41.31","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY EXTERNAL AUDITORY","69200","HCPCS","Both",,,"102","51","Aetna","Commercial","",,"64",,"65.08","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY EXTERNAL AUDITORY","69200","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","Pathways","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY EXTERNAL AUDITORY","69200","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","HMO","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY EXTERNAL AUDITORY","69200","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","PPO","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY EXTERNAL AUDITORY","69200","HCPCS","Both",,,"102","51","Ambetter","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY EXTERNAL AUDITORY","69200","HCPCS","Both",,,"102","51","Caresource","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY EXTERNAL AUDITORY","69200","HCPCS","Both",,,"102","51","Cigna","Commercial","",,"59",,"59.77","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY EXTERNAL AUDITORY","69200","HCPCS","Both",,,"102","51","Humana","Commercial","",,"78",,"79.05","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY EXTERNAL AUDITORY","69200","HCPCS","Both",,,"102","51","UHC","Commercial","",,"75",,"76.91","37.33","79.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY EXTERNAL AUDITORY","69200","HCPCS","Both",,,"102","51","Medicaid",,"",,"37",,"37.33","37.33","79.05","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,SIMPLE","30901","HCPCS","Both",,,"72","36","Alliant","Health Exchange","",,"62",,"44.64","26.35","55.8","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,SIMPLE","30901","HCPCS","Both",,,"72","36","Pruitt Healthcare","Medicare Advantage","",,"54",,"38.88","26.35","55.8","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,SIMPLE","30901","HCPCS","Both",,,"72","36","Medicare",,"",,"54",,"39.02","26.35","55.8","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,SIMPLE","30901","HCPCS","Both",,,"72","36","Humana","Medicare Advantage","",,"54",,"39.02","26.35","55.8","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,SIMPLE","30901","HCPCS","Both",,,"72","36","UHC","Medicare Advantage","",,"54",,"39.02","26.35","55.8","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,SIMPLE","30901","HCPCS","Both",,,"72","36","Clover","Medicare Advantage","",,"54",,"39.02","26.35","55.8","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,SIMPLE","30901","HCPCS","Both",,,"72","36","Wellcare","Medicare Advantage","",,"54",,"39.02","26.35","55.8","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,SIMPLE","30901","HCPCS","Both",,,"72","36","Amerigroup","Medicaid Managed Care","",,"37",,"26.35","26.35","55.8","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,SIMPLE","30901","HCPCS","Both",,,"72","36","Caresource","Medicaid Managed Care","",,"40",,"28.8","26.35","55.8","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,SIMPLE","30901","HCPCS","Both",,,"72","36","Wellcare","Medicaid Managed Care","",,"40",,"29.16","26.35","55.8","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,SIMPLE","30901","HCPCS","Both",,,"72","36","Aetna","Commercial","",,"64",,"45.94","26.35","55.8","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,SIMPLE","30901","HCPCS","Both",,,"72","36","Blue Cross Blue Shield","Pathways","",,"71",,"50.83","26.35","55.8","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,SIMPLE","30901","HCPCS","Both",,,"72","36","Blue Cross Blue Shield","HMO","",,"71",,"50.83","26.35","55.8","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,SIMPLE","30901","HCPCS","Both",,,"72","36","Blue Cross Blue Shield","PPO","",,"71",,"50.83","26.35","55.8","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,SIMPLE","30901","HCPCS","Both",,,"72","36","Ambetter","Health Exchange","",,"62",,"44.64","26.35","55.8","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,SIMPLE","30901","HCPCS","Both",,,"72","36","Caresource","Health Exchange","",,"62",,"44.64","26.35","55.8","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,SIMPLE","30901","HCPCS","Both",,,"72","36","Cigna","Commercial","",,"59",,"42.19","26.35","55.8","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,SIMPLE","30901","HCPCS","Both",,,"72","36","Humana","Commercial","",,"78",,"55.8","26.35","55.8","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,SIMPLE","30901","HCPCS","Both",,,"72","36","UHC","Commercial","",,"75",,"54.29","26.35","55.8","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,SIMPLE","30901","HCPCS","Both",,,"72","36","Medicaid",,"",,"37",,"26.35","26.35","55.8","percent of total billed charges",,
"DRAINAGE EXTERNAL EAR,ABCESS/HEMATOMA;SI","69000","HCPCS","Both",,,"426.5","213.25","Alliant","Health Exchange","",,"62",,"264.43","156.1","330.54","percent of total billed charges",,
"DRAINAGE EXTERNAL EAR,ABCESS/HEMATOMA;SI","69000","HCPCS","Both",,,"426.5","213.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"230.31","156.1","330.54","percent of total billed charges",,
"DRAINAGE EXTERNAL EAR,ABCESS/HEMATOMA;SI","69000","HCPCS","Both",,,"426.5","213.25","Medicare",,"",,"54",,"231.16","156.1","330.54","percent of total billed charges",,
"DRAINAGE EXTERNAL EAR,ABCESS/HEMATOMA;SI","69000","HCPCS","Both",,,"426.5","213.25","Humana","Medicare Advantage","",,"54",,"231.16","156.1","330.54","percent of total billed charges",,
"DRAINAGE EXTERNAL EAR,ABCESS/HEMATOMA;SI","69000","HCPCS","Both",,,"426.5","213.25","UHC","Medicare Advantage","",,"54",,"231.16","156.1","330.54","percent of total billed charges",,
"DRAINAGE EXTERNAL EAR,ABCESS/HEMATOMA;SI","69000","HCPCS","Both",,,"426.5","213.25","Clover","Medicare Advantage","",,"54",,"231.16","156.1","330.54","percent of total billed charges",,
"DRAINAGE EXTERNAL EAR,ABCESS/HEMATOMA;SI","69000","HCPCS","Both",,,"426.5","213.25","Wellcare","Medicare Advantage","",,"54",,"231.16","156.1","330.54","percent of total billed charges",,
"DRAINAGE EXTERNAL EAR,ABCESS/HEMATOMA;SI","69000","HCPCS","Both",,,"426.5","213.25","Amerigroup","Medicaid Managed Care","",,"37",,"156.1","156.1","330.54","percent of total billed charges",,
"DRAINAGE EXTERNAL EAR,ABCESS/HEMATOMA;SI","69000","HCPCS","Both",,,"426.5","213.25","Caresource","Medicaid Managed Care","",,"40",,"170.6","156.1","330.54","percent of total billed charges",,
"DRAINAGE EXTERNAL EAR,ABCESS/HEMATOMA;SI","69000","HCPCS","Both",,,"426.5","213.25","Wellcare","Medicaid Managed Care","",,"40",,"172.73","156.1","330.54","percent of total billed charges",,
"DRAINAGE EXTERNAL EAR,ABCESS/HEMATOMA;SI","69000","HCPCS","Both",,,"426.5","213.25","Aetna","Commercial","",,"64",,"272.11","156.1","330.54","percent of total billed charges",,
"DRAINAGE EXTERNAL EAR,ABCESS/HEMATOMA;SI","69000","HCPCS","Both",,,"426.5","213.25","Blue Cross Blue Shield","Pathways","",,"71",,"301.11","156.1","330.54","percent of total billed charges",,
"DRAINAGE EXTERNAL EAR,ABCESS/HEMATOMA;SI","69000","HCPCS","Both",,,"426.5","213.25","Blue Cross Blue Shield","HMO","",,"71",,"301.11","156.1","330.54","percent of total billed charges",,
"DRAINAGE EXTERNAL EAR,ABCESS/HEMATOMA;SI","69000","HCPCS","Both",,,"426.5","213.25","Blue Cross Blue Shield","PPO","",,"71",,"301.11","156.1","330.54","percent of total billed charges",,
"DRAINAGE EXTERNAL EAR,ABCESS/HEMATOMA;SI","69000","HCPCS","Both",,,"426.5","213.25","Ambetter","Health Exchange","",,"62",,"264.43","156.1","330.54","percent of total billed charges",,
"DRAINAGE EXTERNAL EAR,ABCESS/HEMATOMA;SI","69000","HCPCS","Both",,,"426.5","213.25","Caresource","Health Exchange","",,"62",,"264.43","156.1","330.54","percent of total billed charges",,
"DRAINAGE EXTERNAL EAR,ABCESS/HEMATOMA;SI","69000","HCPCS","Both",,,"426.5","213.25","Cigna","Commercial","",,"59",,"249.93","156.1","330.54","percent of total billed charges",,
"DRAINAGE EXTERNAL EAR,ABCESS/HEMATOMA;SI","69000","HCPCS","Both",,,"426.5","213.25","Humana","Commercial","",,"78",,"330.54","156.1","330.54","percent of total billed charges",,
"DRAINAGE EXTERNAL EAR,ABCESS/HEMATOMA;SI","69000","HCPCS","Both",,,"426.5","213.25","UHC","Commercial","",,"75",,"321.58","156.1","330.54","percent of total billed charges",,
"DRAINAGE EXTERNAL EAR,ABCESS/HEMATOMA;SI","69000","HCPCS","Both",,,"426.5","213.25","Medicaid",,"",,"37",,"156.1","156.1","330.54","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN","69210","HCPCS","Both",,,"42","21","Alliant","Health Exchange","",,"62",,"26.04","15.37","32.55","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN","69210","HCPCS","Both",,,"42","21","Pruitt Healthcare","Medicare Advantage","",,"54",,"22.68","15.37","32.55","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN","69210","HCPCS","Both",,,"42","21","Medicare",,"",,"54",,"22.76","15.37","32.55","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN","69210","HCPCS","Both",,,"42","21","Humana","Medicare Advantage","",,"54",,"22.76","15.37","32.55","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN","69210","HCPCS","Both",,,"42","21","UHC","Medicare Advantage","",,"54",,"22.76","15.37","32.55","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN","69210","HCPCS","Both",,,"42","21","Clover","Medicare Advantage","",,"54",,"22.76","15.37","32.55","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN","69210","HCPCS","Both",,,"42","21","Wellcare","Medicare Advantage","",,"54",,"22.76","15.37","32.55","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN","69210","HCPCS","Both",,,"42","21","Amerigroup","Medicaid Managed Care","",,"37",,"15.37","15.37","32.55","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN","69210","HCPCS","Both",,,"42","21","Caresource","Medicaid Managed Care","",,"40",,"16.8","15.37","32.55","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN","69210","HCPCS","Both",,,"42","21","Wellcare","Medicaid Managed Care","",,"40",,"17.01","15.37","32.55","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN","69210","HCPCS","Both",,,"42","21","Aetna","Commercial","",,"64",,"26.8","15.37","32.55","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN","69210","HCPCS","Both",,,"42","21","Blue Cross Blue Shield","Pathways","",,"71",,"29.65","15.37","32.55","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN","69210","HCPCS","Both",,,"42","21","Blue Cross Blue Shield","HMO","",,"71",,"29.65","15.37","32.55","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN","69210","HCPCS","Both",,,"42","21","Blue Cross Blue Shield","PPO","",,"71",,"29.65","15.37","32.55","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN","69210","HCPCS","Both",,,"42","21","Ambetter","Health Exchange","",,"62",,"26.04","15.37","32.55","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN","69210","HCPCS","Both",,,"42","21","Caresource","Health Exchange","",,"62",,"26.04","15.37","32.55","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN","69210","HCPCS","Both",,,"42","21","Cigna","Commercial","",,"59",,"24.61","15.37","32.55","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN","69210","HCPCS","Both",,,"42","21","Humana","Commercial","",,"78",,"32.55","15.37","32.55","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN","69210","HCPCS","Both",,,"42","21","UHC","Commercial","",,"75",,"31.67","15.37","32.55","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN","69210","HCPCS","Both",,,"42","21","Medicaid",,"",,"37",,"15.37","15.37","32.55","percent of total billed charges",,
"CLOSED TREATMENT OF CARPAL SCAPHOID FX","25622","HCPCS","Both",,,"418.5","209.25","Alliant","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TREATMENT OF CARPAL SCAPHOID FX","25622","HCPCS","Both",,,"418.5","209.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"225.99","153.17","324.34","percent of total billed charges",,
"CLOSED TREATMENT OF CARPAL SCAPHOID FX","25622","HCPCS","Both",,,"418.5","209.25","Medicare",,"",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TREATMENT OF CARPAL SCAPHOID FX","25622","HCPCS","Both",,,"418.5","209.25","Humana","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TREATMENT OF CARPAL SCAPHOID FX","25622","HCPCS","Both",,,"418.5","209.25","UHC","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TREATMENT OF CARPAL SCAPHOID FX","25622","HCPCS","Both",,,"418.5","209.25","Clover","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TREATMENT OF CARPAL SCAPHOID FX","25622","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TREATMENT OF CARPAL SCAPHOID FX","25622","HCPCS","Both",,,"418.5","209.25","Amerigroup","Medicaid Managed Care","",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TREATMENT OF CARPAL SCAPHOID FX","25622","HCPCS","Both",,,"418.5","209.25","Caresource","Medicaid Managed Care","",,"40",,"167.4","153.17","324.34","percent of total billed charges",,
"CLOSED TREATMENT OF CARPAL SCAPHOID FX","25622","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicaid Managed Care","",,"40",,"169.49","153.17","324.34","percent of total billed charges",,
"CLOSED TREATMENT OF CARPAL SCAPHOID FX","25622","HCPCS","Both",,,"418.5","209.25","Aetna","Commercial","",,"64",,"267","153.17","324.34","percent of total billed charges",,
"CLOSED TREATMENT OF CARPAL SCAPHOID FX","25622","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","Pathways","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TREATMENT OF CARPAL SCAPHOID FX","25622","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","HMO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TREATMENT OF CARPAL SCAPHOID FX","25622","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","PPO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TREATMENT OF CARPAL SCAPHOID FX","25622","HCPCS","Both",,,"418.5","209.25","Ambetter","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TREATMENT OF CARPAL SCAPHOID FX","25622","HCPCS","Both",,,"418.5","209.25","Caresource","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TREATMENT OF CARPAL SCAPHOID FX","25622","HCPCS","Both",,,"418.5","209.25","Cigna","Commercial","",,"59",,"245.24","153.17","324.34","percent of total billed charges",,
"CLOSED TREATMENT OF CARPAL SCAPHOID FX","25622","HCPCS","Both",,,"418.5","209.25","Humana","Commercial","",,"78",,"324.34","153.17","324.34","percent of total billed charges",,
"CLOSED TREATMENT OF CARPAL SCAPHOID FX","25622","HCPCS","Both",,,"418.5","209.25","UHC","Commercial","",,"75",,"315.55","153.17","324.34","percent of total billed charges",,
"CLOSED TREATMENT OF CARPAL SCAPHOID FX","25622","HCPCS","Both",,,"418.5","209.25","Medicaid",,"",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TX METACARPAL W/O Man @ bone","26600","HCPCS","Both",,,"338.5","169.25","Alliant","Health Exchange","",,"62",,"209.87","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL W/O Man @ bone","26600","HCPCS","Both",,,"338.5","169.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"182.79","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL W/O Man @ bone","26600","HCPCS","Both",,,"338.5","169.25","Medicare",,"",,"54",,"183.47","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL W/O Man @ bone","26600","HCPCS","Both",,,"338.5","169.25","Humana","Medicare Advantage","",,"54",,"183.47","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL W/O Man @ bone","26600","HCPCS","Both",,,"338.5","169.25","UHC","Medicare Advantage","",,"54",,"183.47","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL W/O Man @ bone","26600","HCPCS","Both",,,"338.5","169.25","Clover","Medicare Advantage","",,"54",,"183.47","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL W/O Man @ bone","26600","HCPCS","Both",,,"338.5","169.25","Wellcare","Medicare Advantage","",,"54",,"183.47","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL W/O Man @ bone","26600","HCPCS","Both",,,"338.5","169.25","Amerigroup","Medicaid Managed Care","",,"37",,"123.89","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL W/O Man @ bone","26600","HCPCS","Both",,,"338.5","169.25","Caresource","Medicaid Managed Care","",,"40",,"135.4","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL W/O Man @ bone","26600","HCPCS","Both",,,"338.5","169.25","Wellcare","Medicaid Managed Care","",,"40",,"137.09","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL W/O Man @ bone","26600","HCPCS","Both",,,"338.5","169.25","Aetna","Commercial","",,"64",,"215.96","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL W/O Man @ bone","26600","HCPCS","Both",,,"338.5","169.25","Blue Cross Blue Shield","Pathways","",,"71",,"238.98","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL W/O Man @ bone","26600","HCPCS","Both",,,"338.5","169.25","Blue Cross Blue Shield","HMO","",,"71",,"238.98","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL W/O Man @ bone","26600","HCPCS","Both",,,"338.5","169.25","Blue Cross Blue Shield","PPO","",,"71",,"238.98","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL W/O Man @ bone","26600","HCPCS","Both",,,"338.5","169.25","Ambetter","Health Exchange","",,"62",,"209.87","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL W/O Man @ bone","26600","HCPCS","Both",,,"338.5","169.25","Caresource","Health Exchange","",,"62",,"209.87","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL W/O Man @ bone","26600","HCPCS","Both",,,"338.5","169.25","Cigna","Commercial","",,"59",,"198.36","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL W/O Man @ bone","26600","HCPCS","Both",,,"338.5","169.25","Humana","Commercial","",,"78",,"262.34","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL W/O Man @ bone","26600","HCPCS","Both",,,"338.5","169.25","UHC","Commercial","",,"75",,"255.23","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL W/O Man @ bone","26600","HCPCS","Both",,,"338.5","169.25","Medicaid",,"",,"37",,"123.89","123.89","262.34","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/O ANESTHE","23650","HCPCS","Both",,,"356","178","Alliant","Health Exchange","",,"62",,"220.72","130.3","275.9","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/O ANESTHE","23650","HCPCS","Both",,,"356","178","Pruitt Healthcare","Medicare Advantage","",,"54",,"192.24","130.3","275.9","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/O ANESTHE","23650","HCPCS","Both",,,"356","178","Medicare",,"",,"54",,"192.95","130.3","275.9","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/O ANESTHE","23650","HCPCS","Both",,,"356","178","Humana","Medicare Advantage","",,"54",,"192.95","130.3","275.9","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/O ANESTHE","23650","HCPCS","Both",,,"356","178","UHC","Medicare Advantage","",,"54",,"192.95","130.3","275.9","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/O ANESTHE","23650","HCPCS","Both",,,"356","178","Clover","Medicare Advantage","",,"54",,"192.95","130.3","275.9","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/O ANESTHE","23650","HCPCS","Both",,,"356","178","Wellcare","Medicare Advantage","",,"54",,"192.95","130.3","275.9","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/O ANESTHE","23650","HCPCS","Both",,,"356","178","Amerigroup","Medicaid Managed Care","",,"37",,"130.3","130.3","275.9","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/O ANESTHE","23650","HCPCS","Both",,,"356","178","Caresource","Medicaid Managed Care","",,"40",,"142.4","130.3","275.9","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/O ANESTHE","23650","HCPCS","Both",,,"356","178","Wellcare","Medicaid Managed Care","",,"40",,"144.18","130.3","275.9","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/O ANESTHE","23650","HCPCS","Both",,,"356","178","Aetna","Commercial","",,"64",,"227.13","130.3","275.9","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/O ANESTHE","23650","HCPCS","Both",,,"356","178","Blue Cross Blue Shield","Pathways","",,"71",,"251.34","130.3","275.9","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/O ANESTHE","23650","HCPCS","Both",,,"356","178","Blue Cross Blue Shield","HMO","",,"71",,"251.34","130.3","275.9","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/O ANESTHE","23650","HCPCS","Both",,,"356","178","Blue Cross Blue Shield","PPO","",,"71",,"251.34","130.3","275.9","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/O ANESTHE","23650","HCPCS","Both",,,"356","178","Ambetter","Health Exchange","",,"62",,"220.72","130.3","275.9","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/O ANESTHE","23650","HCPCS","Both",,,"356","178","Caresource","Health Exchange","",,"62",,"220.72","130.3","275.9","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/O ANESTHE","23650","HCPCS","Both",,,"356","178","Cigna","Commercial","",,"59",,"208.62","130.3","275.9","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/O ANESTHE","23650","HCPCS","Both",,,"356","178","Humana","Commercial","",,"78",,"275.9","130.3","275.9","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/O ANESTHE","23650","HCPCS","Both",,,"356","178","UHC","Commercial","",,"75",,"268.42","130.3","275.9","percent of total billed charges",,
"SHOULDER (CLOSED TX) W/MANIP W/O ANESTHE","23650","HCPCS","Both",,,"356","178","Medicaid",,"",,"37",,"130.3","130.3","275.9","percent of total billed charges",,
"TREATMENT CLOSED ELBOW DISLOCATION W/O","24600","HCPCS","Both",,,"418.5","209.25","Alliant","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"TREATMENT CLOSED ELBOW DISLOCATION W/O","24600","HCPCS","Both",,,"418.5","209.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"225.99","153.17","324.34","percent of total billed charges",,
"TREATMENT CLOSED ELBOW DISLOCATION W/O","24600","HCPCS","Both",,,"418.5","209.25","Medicare",,"",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"TREATMENT CLOSED ELBOW DISLOCATION W/O","24600","HCPCS","Both",,,"418.5","209.25","Humana","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"TREATMENT CLOSED ELBOW DISLOCATION W/O","24600","HCPCS","Both",,,"418.5","209.25","UHC","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"TREATMENT CLOSED ELBOW DISLOCATION W/O","24600","HCPCS","Both",,,"418.5","209.25","Clover","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"TREATMENT CLOSED ELBOW DISLOCATION W/O","24600","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"TREATMENT CLOSED ELBOW DISLOCATION W/O","24600","HCPCS","Both",,,"418.5","209.25","Amerigroup","Medicaid Managed Care","",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"TREATMENT CLOSED ELBOW DISLOCATION W/O","24600","HCPCS","Both",,,"418.5","209.25","Caresource","Medicaid Managed Care","",,"40",,"167.4","153.17","324.34","percent of total billed charges",,
"TREATMENT CLOSED ELBOW DISLOCATION W/O","24600","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicaid Managed Care","",,"40",,"169.49","153.17","324.34","percent of total billed charges",,
"TREATMENT CLOSED ELBOW DISLOCATION W/O","24600","HCPCS","Both",,,"418.5","209.25","Aetna","Commercial","",,"64",,"267","153.17","324.34","percent of total billed charges",,
"TREATMENT CLOSED ELBOW DISLOCATION W/O","24600","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","Pathways","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"TREATMENT CLOSED ELBOW DISLOCATION W/O","24600","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","HMO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"TREATMENT CLOSED ELBOW DISLOCATION W/O","24600","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","PPO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"TREATMENT CLOSED ELBOW DISLOCATION W/O","24600","HCPCS","Both",,,"418.5","209.25","Ambetter","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"TREATMENT CLOSED ELBOW DISLOCATION W/O","24600","HCPCS","Both",,,"418.5","209.25","Caresource","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"TREATMENT CLOSED ELBOW DISLOCATION W/O","24600","HCPCS","Both",,,"418.5","209.25","Cigna","Commercial","",,"59",,"245.24","153.17","324.34","percent of total billed charges",,
"TREATMENT CLOSED ELBOW DISLOCATION W/O","24600","HCPCS","Both",,,"418.5","209.25","Humana","Commercial","",,"78",,"324.34","153.17","324.34","percent of total billed charges",,
"TREATMENT CLOSED ELBOW DISLOCATION W/O","24600","HCPCS","Both",,,"418.5","209.25","UHC","Commercial","",,"75",,"315.55","153.17","324.34","percent of total billed charges",,
"TREATMENT CLOSED ELBOW DISLOCATION W/O","24600","HCPCS","Both",,,"418.5","209.25","Medicaid",,"",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"APPLICATION OF LONG ARM SPLINT SH TO HAN","29105","HCPCS","Both",,,"53","26.5","Alliant","Health Exchange","",,"62",,"32.86","19.4","41.08","percent of total billed charges",,
"APPLICATION OF LONG ARM SPLINT SH TO HAN","29105","HCPCS","Both",,,"53","26.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"28.62","19.4","41.08","percent of total billed charges",,
"APPLICATION OF LONG ARM SPLINT SH TO HAN","29105","HCPCS","Both",,,"53","26.5","Medicare",,"",,"54",,"28.73","19.4","41.08","percent of total billed charges",,
"APPLICATION OF LONG ARM SPLINT SH TO HAN","29105","HCPCS","Both",,,"53","26.5","Humana","Medicare Advantage","",,"54",,"28.73","19.4","41.08","percent of total billed charges",,
"APPLICATION OF LONG ARM SPLINT SH TO HAN","29105","HCPCS","Both",,,"53","26.5","UHC","Medicare Advantage","",,"54",,"28.73","19.4","41.08","percent of total billed charges",,
"APPLICATION OF LONG ARM SPLINT SH TO HAN","29105","HCPCS","Both",,,"53","26.5","Clover","Medicare Advantage","",,"54",,"28.73","19.4","41.08","percent of total billed charges",,
"APPLICATION OF LONG ARM SPLINT SH TO HAN","29105","HCPCS","Both",,,"53","26.5","Wellcare","Medicare Advantage","",,"54",,"28.73","19.4","41.08","percent of total billed charges",,
"APPLICATION OF LONG ARM SPLINT SH TO HAN","29105","HCPCS","Both",,,"53","26.5","Amerigroup","Medicaid Managed Care","",,"37",,"19.4","19.4","41.08","percent of total billed charges",,
"APPLICATION OF LONG ARM SPLINT SH TO HAN","29105","HCPCS","Both",,,"53","26.5","Caresource","Medicaid Managed Care","",,"40",,"21.2","19.4","41.08","percent of total billed charges",,
"APPLICATION OF LONG ARM SPLINT SH TO HAN","29105","HCPCS","Both",,,"53","26.5","Wellcare","Medicaid Managed Care","",,"40",,"21.46","19.4","41.08","percent of total billed charges",,
"APPLICATION OF LONG ARM SPLINT SH TO HAN","29105","HCPCS","Both",,,"53","26.5","Aetna","Commercial","",,"64",,"33.81","19.4","41.08","percent of total billed charges",,
"APPLICATION OF LONG ARM SPLINT SH TO HAN","29105","HCPCS","Both",,,"53","26.5","Blue Cross Blue Shield","Pathways","",,"71",,"37.42","19.4","41.08","percent of total billed charges",,
"APPLICATION OF LONG ARM SPLINT SH TO HAN","29105","HCPCS","Both",,,"53","26.5","Blue Cross Blue Shield","HMO","",,"71",,"37.42","19.4","41.08","percent of total billed charges",,
"APPLICATION OF LONG ARM SPLINT SH TO HAN","29105","HCPCS","Both",,,"53","26.5","Blue Cross Blue Shield","PPO","",,"71",,"37.42","19.4","41.08","percent of total billed charges",,
"APPLICATION OF LONG ARM SPLINT SH TO HAN","29105","HCPCS","Both",,,"53","26.5","Ambetter","Health Exchange","",,"62",,"32.86","19.4","41.08","percent of total billed charges",,
"APPLICATION OF LONG ARM SPLINT SH TO HAN","29105","HCPCS","Both",,,"53","26.5","Caresource","Health Exchange","",,"62",,"32.86","19.4","41.08","percent of total billed charges",,
"APPLICATION OF LONG ARM SPLINT SH TO HAN","29105","HCPCS","Both",,,"53","26.5","Cigna","Commercial","",,"59",,"31.06","19.4","41.08","percent of total billed charges",,
"APPLICATION OF LONG ARM SPLINT SH TO HAN","29105","HCPCS","Both",,,"53","26.5","Humana","Commercial","",,"78",,"41.08","19.4","41.08","percent of total billed charges",,
"APPLICATION OF LONG ARM SPLINT SH TO HAN","29105","HCPCS","Both",,,"53","26.5","UHC","Commercial","",,"75",,"39.96","19.4","41.08","percent of total billed charges",,
"APPLICATION OF LONG ARM SPLINT SH TO HAN","29105","HCPCS","Both",,,"53","26.5","Medicaid",,"",,"37",,"19.4","19.4","41.08","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; STATIC","29125","HCPCS","Both",,,"201","100.5","Alliant","Health Exchange","",,"62",,"124.62","73.57","264.82","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; STATIC","29125","HCPCS","Both",,,"201","100.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"108.54","73.57","264.82","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; STATIC","29125","HCPCS","Both",,,"201","100.5","Medicare",,"",,"54",,"108.94","73.57","264.82","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; STATIC","29125","HCPCS","Both",,,"201","100.5","Humana","Medicare Advantage","",,"54",,"108.94","73.57","264.82","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; STATIC","29125","HCPCS","Both",,,"201","100.5","UHC","Medicare Advantage","",,"54",,"108.94","73.57","264.82","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; STATIC","29125","HCPCS","Both",,,"201","100.5","Clover","Medicare Advantage","",,"54",,"108.94","73.57","264.82","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; STATIC","29125","HCPCS","Both",,,"201","100.5","Wellcare","Medicare Advantage","",,"54",,"108.94","73.57","264.82","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; STATIC","29125","HCPCS","Both",,,"201","100.5","Amerigroup","Medicaid Managed Care","",,"37",,"73.57","73.57","264.82","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; STATIC","29125","HCPCS","Both",,,"201","100.5","Caresource","Medicaid Managed Care","",,"40",,"80.4","73.57","264.82","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; STATIC","29125","HCPCS","Both",,,"201","100.5","Wellcare","Medicaid Managed Care","",,"40",,"81.4","73.57","264.82","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; STATIC","29125","HCPCS","Both",,,"201","100.5","Aetna","Commercial","",,"64",,"128.24","73.57","264.82","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; STATIC","29125","HCPCS","Both",,,"201","100.5","Blue Cross Blue Shield","Pathways","",,"71",,"141.91","73.57","264.82","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; STATIC","29125","HCPCS","Both",,,"201","100.5","Blue Cross Blue Shield","HMO","",,"71",,"141.91","73.57","264.82","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; STATIC","29125","HCPCS","Both",,,"201","100.5","Blue Cross Blue Shield","PPO","",,"71",,"141.91","73.57","264.82","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; STATIC","29125","HCPCS","Both",,,"201","100.5","Ambetter","Health Exchange","",,"62",,"124.62","73.57","264.82","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; STATIC","29125","HCPCS","Both",,,"201","100.5","Caresource","Health Exchange","",,"62",,"124.62","73.57","264.82","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; STATIC","29125","HCPCS","Both",,,"201","100.5","Cigna","Commercial","",,"59",,"117.79","73.57","264.82","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; STATIC","29125","HCPCS","Both",,,"201","100.5","Humana","Commercial","",,"78",,"155.78","73.57","264.82","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; STATIC","29125","HCPCS","Both",,,"201","100.5","UHC","Commercial","",,"75",,"151.55","73.57","264.82","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; STATIC","29125","HCPCS","Both",,,"201","100.5","Medicaid",,"",,"37",,"73.57","73.57","264.82","percent of total billed charges",,
"APPLICATION FINGER SPLINT; STATIC","29130","HCPCS","Both",,,"51.5","25.75","Alliant","Health Exchange","",,"62",,"31.93","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; STATIC","29130","HCPCS","Both",,,"51.5","25.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"27.81","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; STATIC","29130","HCPCS","Both",,,"51.5","25.75","Medicare",,"",,"54",,"27.91","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; STATIC","29130","HCPCS","Both",,,"51.5","25.75","Humana","Medicare Advantage","",,"54",,"27.91","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; STATIC","29130","HCPCS","Both",,,"51.5","25.75","UHC","Medicare Advantage","",,"54",,"27.91","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; STATIC","29130","HCPCS","Both",,,"51.5","25.75","Clover","Medicare Advantage","",,"54",,"27.91","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; STATIC","29130","HCPCS","Both",,,"51.5","25.75","Wellcare","Medicare Advantage","",,"54",,"27.91","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; STATIC","29130","HCPCS","Both",,,"51.5","25.75","Amerigroup","Medicaid Managed Care","",,"37",,"18.85","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; STATIC","29130","HCPCS","Both",,,"51.5","25.75","Caresource","Medicaid Managed Care","",,"40",,"20.6","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; STATIC","29130","HCPCS","Both",,,"51.5","25.75","Wellcare","Medicaid Managed Care","",,"40",,"20.86","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; STATIC","29130","HCPCS","Both",,,"51.5","25.75","Aetna","Commercial","",,"64",,"32.86","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; STATIC","29130","HCPCS","Both",,,"51.5","25.75","Blue Cross Blue Shield","Pathways","",,"71",,"36.36","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; STATIC","29130","HCPCS","Both",,,"51.5","25.75","Blue Cross Blue Shield","HMO","",,"71",,"36.36","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; STATIC","29130","HCPCS","Both",,,"51.5","25.75","Blue Cross Blue Shield","PPO","",,"71",,"36.36","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; STATIC","29130","HCPCS","Both",,,"51.5","25.75","Ambetter","Health Exchange","",,"62",,"31.93","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; STATIC","29130","HCPCS","Both",,,"51.5","25.75","Caresource","Health Exchange","",,"62",,"31.93","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; STATIC","29130","HCPCS","Both",,,"51.5","25.75","Cigna","Commercial","",,"59",,"30.18","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; STATIC","29130","HCPCS","Both",,,"51.5","25.75","Humana","Commercial","",,"78",,"39.91","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; STATIC","29130","HCPCS","Both",,,"51.5","25.75","UHC","Commercial","",,"75",,"38.83","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; STATIC","29130","HCPCS","Both",,,"51.5","25.75","Medicaid",,"",,"37",,"18.85","18.85","39.91","percent of total billed charges",,
"APPLICATION LONG LEG SPLINT THIGH TO ANK","29505","HCPCS","Both",,,"87","43.5","Alliant","Health Exchange","",,"62",,"53.94","31.84","67.42","percent of total billed charges",,
"APPLICATION LONG LEG SPLINT THIGH TO ANK","29505","HCPCS","Both",,,"87","43.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"46.98","31.84","67.42","percent of total billed charges",,
"APPLICATION LONG LEG SPLINT THIGH TO ANK","29505","HCPCS","Both",,,"87","43.5","Medicare",,"",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"APPLICATION LONG LEG SPLINT THIGH TO ANK","29505","HCPCS","Both",,,"87","43.5","Humana","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"APPLICATION LONG LEG SPLINT THIGH TO ANK","29505","HCPCS","Both",,,"87","43.5","UHC","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"APPLICATION LONG LEG SPLINT THIGH TO ANK","29505","HCPCS","Both",,,"87","43.5","Clover","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"APPLICATION LONG LEG SPLINT THIGH TO ANK","29505","HCPCS","Both",,,"87","43.5","Wellcare","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"APPLICATION LONG LEG SPLINT THIGH TO ANK","29505","HCPCS","Both",,,"87","43.5","Amerigroup","Medicaid Managed Care","",,"37",,"31.84","31.84","67.42","percent of total billed charges",,
"APPLICATION LONG LEG SPLINT THIGH TO ANK","29505","HCPCS","Both",,,"87","43.5","Caresource","Medicaid Managed Care","",,"40",,"34.8","31.84","67.42","percent of total billed charges",,
"APPLICATION LONG LEG SPLINT THIGH TO ANK","29505","HCPCS","Both",,,"87","43.5","Wellcare","Medicaid Managed Care","",,"40",,"35.24","31.84","67.42","percent of total billed charges",,
"APPLICATION LONG LEG SPLINT THIGH TO ANK","29505","HCPCS","Both",,,"87","43.5","Aetna","Commercial","",,"64",,"55.51","31.84","67.42","percent of total billed charges",,
"APPLICATION LONG LEG SPLINT THIGH TO ANK","29505","HCPCS","Both",,,"87","43.5","Blue Cross Blue Shield","Pathways","",,"71",,"61.42","31.84","67.42","percent of total billed charges",,
"APPLICATION LONG LEG SPLINT THIGH TO ANK","29505","HCPCS","Both",,,"87","43.5","Blue Cross Blue Shield","HMO","",,"71",,"61.42","31.84","67.42","percent of total billed charges",,
"APPLICATION LONG LEG SPLINT THIGH TO ANK","29505","HCPCS","Both",,,"87","43.5","Blue Cross Blue Shield","PPO","",,"71",,"61.42","31.84","67.42","percent of total billed charges",,
"APPLICATION LONG LEG SPLINT THIGH TO ANK","29505","HCPCS","Both",,,"87","43.5","Ambetter","Health Exchange","",,"62",,"53.94","31.84","67.42","percent of total billed charges",,
"APPLICATION LONG LEG SPLINT THIGH TO ANK","29505","HCPCS","Both",,,"87","43.5","Caresource","Health Exchange","",,"62",,"53.94","31.84","67.42","percent of total billed charges",,
"APPLICATION LONG LEG SPLINT THIGH TO ANK","29505","HCPCS","Both",,,"87","43.5","Cigna","Commercial","",,"59",,"50.98","31.84","67.42","percent of total billed charges",,
"APPLICATION LONG LEG SPLINT THIGH TO ANK","29505","HCPCS","Both",,,"87","43.5","Humana","Commercial","",,"78",,"67.42","31.84","67.42","percent of total billed charges",,
"APPLICATION LONG LEG SPLINT THIGH TO ANK","29505","HCPCS","Both",,,"87","43.5","UHC","Commercial","",,"75",,"65.6","31.84","67.42","percent of total billed charges",,
"APPLICATION LONG LEG SPLINT THIGH TO ANK","29505","HCPCS","Both",,,"87","43.5","Medicaid",,"",,"37",,"31.84","31.84","67.42","percent of total billed charges",,
"APPLICATION SHORT LEG SPLINT CALF TO FOO","29515","HCPCS","Both",,,"266.5","133.25","Alliant","Health Exchange","",,"62",,"165.23","97.54","206.54","percent of total billed charges",,
"APPLICATION SHORT LEG SPLINT CALF TO FOO","29515","HCPCS","Both",,,"266.5","133.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"143.91","97.54","206.54","percent of total billed charges",,
"APPLICATION SHORT LEG SPLINT CALF TO FOO","29515","HCPCS","Both",,,"266.5","133.25","Medicare",,"",,"54",,"144.44","97.54","206.54","percent of total billed charges",,
"APPLICATION SHORT LEG SPLINT CALF TO FOO","29515","HCPCS","Both",,,"266.5","133.25","Humana","Medicare Advantage","",,"54",,"144.44","97.54","206.54","percent of total billed charges",,
"APPLICATION SHORT LEG SPLINT CALF TO FOO","29515","HCPCS","Both",,,"266.5","133.25","UHC","Medicare Advantage","",,"54",,"144.44","97.54","206.54","percent of total billed charges",,
"APPLICATION SHORT LEG SPLINT CALF TO FOO","29515","HCPCS","Both",,,"266.5","133.25","Clover","Medicare Advantage","",,"54",,"144.44","97.54","206.54","percent of total billed charges",,
"APPLICATION SHORT LEG SPLINT CALF TO FOO","29515","HCPCS","Both",,,"266.5","133.25","Wellcare","Medicare Advantage","",,"54",,"144.44","97.54","206.54","percent of total billed charges",,
"APPLICATION SHORT LEG SPLINT CALF TO FOO","29515","HCPCS","Both",,,"266.5","133.25","Amerigroup","Medicaid Managed Care","",,"37",,"97.54","97.54","206.54","percent of total billed charges",,
"APPLICATION SHORT LEG SPLINT CALF TO FOO","29515","HCPCS","Both",,,"266.5","133.25","Caresource","Medicaid Managed Care","",,"40",,"106.6","97.54","206.54","percent of total billed charges",,
"APPLICATION SHORT LEG SPLINT CALF TO FOO","29515","HCPCS","Both",,,"266.5","133.25","Wellcare","Medicaid Managed Care","",,"40",,"107.93","97.54","206.54","percent of total billed charges",,
"APPLICATION SHORT LEG SPLINT CALF TO FOO","29515","HCPCS","Both",,,"266.5","133.25","Aetna","Commercial","",,"64",,"170.03","97.54","206.54","percent of total billed charges",,
"APPLICATION SHORT LEG SPLINT CALF TO FOO","29515","HCPCS","Both",,,"266.5","133.25","Blue Cross Blue Shield","Pathways","",,"71",,"188.15","97.54","206.54","percent of total billed charges",,
"APPLICATION SHORT LEG SPLINT CALF TO FOO","29515","HCPCS","Both",,,"266.5","133.25","Blue Cross Blue Shield","HMO","",,"71",,"188.15","97.54","206.54","percent of total billed charges",,
"APPLICATION SHORT LEG SPLINT CALF TO FOO","29515","HCPCS","Both",,,"266.5","133.25","Blue Cross Blue Shield","PPO","",,"71",,"188.15","97.54","206.54","percent of total billed charges",,
"APPLICATION SHORT LEG SPLINT CALF TO FOO","29515","HCPCS","Both",,,"266.5","133.25","Ambetter","Health Exchange","",,"62",,"165.23","97.54","206.54","percent of total billed charges",,
"APPLICATION SHORT LEG SPLINT CALF TO FOO","29515","HCPCS","Both",,,"266.5","133.25","Caresource","Health Exchange","",,"62",,"165.23","97.54","206.54","percent of total billed charges",,
"APPLICATION SHORT LEG SPLINT CALF TO FOO","29515","HCPCS","Both",,,"266.5","133.25","Cigna","Commercial","",,"59",,"156.17","97.54","206.54","percent of total billed charges",,
"APPLICATION SHORT LEG SPLINT CALF TO FOO","29515","HCPCS","Both",,,"266.5","133.25","Humana","Commercial","",,"78",,"206.54","97.54","206.54","percent of total billed charges",,
"APPLICATION SHORT LEG SPLINT CALF TO FOO","29515","HCPCS","Both",,,"266.5","133.25","UHC","Commercial","",,"75",,"200.94","97.54","206.54","percent of total billed charges",,
"APPLICATION SHORT LEG SPLINT CALF TO FOO","29515","HCPCS","Both",,,"266.5","133.25","Medicaid",,"",,"37",,"97.54","97.54","206.54","percent of total billed charges",,
"INITIAL 1ST DEGREE","16000","HCPCS","Both",,,"102.5","51.25","Alliant","Health Exchange","",,"62",,"63.55","37.52","79.44","percent of total billed charges",,
"INITIAL 1ST DEGREE","16000","HCPCS","Both",,,"102.5","51.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"55.35","37.52","79.44","percent of total billed charges",,
"INITIAL 1ST DEGREE","16000","HCPCS","Both",,,"102.5","51.25","Medicare",,"",,"54",,"55.56","37.52","79.44","percent of total billed charges",,
"INITIAL 1ST DEGREE","16000","HCPCS","Both",,,"102.5","51.25","Humana","Medicare Advantage","",,"54",,"55.56","37.52","79.44","percent of total billed charges",,
"INITIAL 1ST DEGREE","16000","HCPCS","Both",,,"102.5","51.25","UHC","Medicare Advantage","",,"54",,"55.56","37.52","79.44","percent of total billed charges",,
"INITIAL 1ST DEGREE","16000","HCPCS","Both",,,"102.5","51.25","Clover","Medicare Advantage","",,"54",,"55.56","37.52","79.44","percent of total billed charges",,
"INITIAL 1ST DEGREE","16000","HCPCS","Both",,,"102.5","51.25","Wellcare","Medicare Advantage","",,"54",,"55.56","37.52","79.44","percent of total billed charges",,
"INITIAL 1ST DEGREE","16000","HCPCS","Both",,,"102.5","51.25","Amerigroup","Medicaid Managed Care","",,"37",,"37.52","37.52","79.44","percent of total billed charges",,
"INITIAL 1ST DEGREE","16000","HCPCS","Both",,,"102.5","51.25","Caresource","Medicaid Managed Care","",,"40",,"41","37.52","79.44","percent of total billed charges",,
"INITIAL 1ST DEGREE","16000","HCPCS","Both",,,"102.5","51.25","Wellcare","Medicaid Managed Care","",,"40",,"41.51","37.52","79.44","percent of total billed charges",,
"INITIAL 1ST DEGREE","16000","HCPCS","Both",,,"102.5","51.25","Aetna","Commercial","",,"64",,"65.4","37.52","79.44","percent of total billed charges",,
"INITIAL 1ST DEGREE","16000","HCPCS","Both",,,"102.5","51.25","Blue Cross Blue Shield","Pathways","",,"71",,"72.36","37.52","79.44","percent of total billed charges",,
"INITIAL 1ST DEGREE","16000","HCPCS","Both",,,"102.5","51.25","Blue Cross Blue Shield","HMO","",,"71",,"72.36","37.52","79.44","percent of total billed charges",,
"INITIAL 1ST DEGREE","16000","HCPCS","Both",,,"102.5","51.25","Blue Cross Blue Shield","PPO","",,"71",,"72.36","37.52","79.44","percent of total billed charges",,
"INITIAL 1ST DEGREE","16000","HCPCS","Both",,,"102.5","51.25","Ambetter","Health Exchange","",,"62",,"63.55","37.52","79.44","percent of total billed charges",,
"INITIAL 1ST DEGREE","16000","HCPCS","Both",,,"102.5","51.25","Caresource","Health Exchange","",,"62",,"63.55","37.52","79.44","percent of total billed charges",,
"INITIAL 1ST DEGREE","16000","HCPCS","Both",,,"102.5","51.25","Cigna","Commercial","",,"59",,"60.06","37.52","79.44","percent of total billed charges",,
"INITIAL 1ST DEGREE","16000","HCPCS","Both",,,"102.5","51.25","Humana","Commercial","",,"78",,"79.44","37.52","79.44","percent of total billed charges",,
"INITIAL 1ST DEGREE","16000","HCPCS","Both",,,"102.5","51.25","UHC","Commercial","",,"75",,"77.28","37.52","79.44","percent of total billed charges",,
"INITIAL 1ST DEGREE","16000","HCPCS","Both",,,"102.5","51.25","Medicaid",,"",,"37",,"37.52","37.52","79.44","percent of total billed charges",,
"DRSG/DEBRIDE-SMALL","16020","HCPCS","Both",,,"201","100.5","Alliant","Health Exchange","",,"62",,"124.62","73.57","155.78","percent of total billed charges",,
"DRSG/DEBRIDE-SMALL","16020","HCPCS","Both",,,"201","100.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"108.54","73.57","155.78","percent of total billed charges",,
"DRSG/DEBRIDE-SMALL","16020","HCPCS","Both",,,"201","100.5","Medicare",,"",,"54",,"108.94","73.57","155.78","percent of total billed charges",,
"DRSG/DEBRIDE-SMALL","16020","HCPCS","Both",,,"201","100.5","Humana","Medicare Advantage","",,"54",,"108.94","73.57","155.78","percent of total billed charges",,
"DRSG/DEBRIDE-SMALL","16020","HCPCS","Both",,,"201","100.5","UHC","Medicare Advantage","",,"54",,"108.94","73.57","155.78","percent of total billed charges",,
"DRSG/DEBRIDE-SMALL","16020","HCPCS","Both",,,"201","100.5","Clover","Medicare Advantage","",,"54",,"108.94","73.57","155.78","percent of total billed charges",,
"DRSG/DEBRIDE-SMALL","16020","HCPCS","Both",,,"201","100.5","Wellcare","Medicare Advantage","",,"54",,"108.94","73.57","155.78","percent of total billed charges",,
"DRSG/DEBRIDE-SMALL","16020","HCPCS","Both",,,"201","100.5","Amerigroup","Medicaid Managed Care","",,"37",,"73.57","73.57","155.78","percent of total billed charges",,
"DRSG/DEBRIDE-SMALL","16020","HCPCS","Both",,,"201","100.5","Caresource","Medicaid Managed Care","",,"40",,"80.4","73.57","155.78","percent of total billed charges",,
"DRSG/DEBRIDE-SMALL","16020","HCPCS","Both",,,"201","100.5","Wellcare","Medicaid Managed Care","",,"40",,"81.4","73.57","155.78","percent of total billed charges",,
"DRSG/DEBRIDE-SMALL","16020","HCPCS","Both",,,"201","100.5","Aetna","Commercial","",,"64",,"128.24","73.57","155.78","percent of total billed charges",,
"DRSG/DEBRIDE-SMALL","16020","HCPCS","Both",,,"201","100.5","Blue Cross Blue Shield","Pathways","",,"71",,"141.91","73.57","155.78","percent of total billed charges",,
"DRSG/DEBRIDE-SMALL","16020","HCPCS","Both",,,"201","100.5","Blue Cross Blue Shield","HMO","",,"71",,"141.91","73.57","155.78","percent of total billed charges",,
"DRSG/DEBRIDE-SMALL","16020","HCPCS","Both",,,"201","100.5","Blue Cross Blue Shield","PPO","",,"71",,"141.91","73.57","155.78","percent of total billed charges",,
"DRSG/DEBRIDE-SMALL","16020","HCPCS","Both",,,"201","100.5","Ambetter","Health Exchange","",,"62",,"124.62","73.57","155.78","percent of total billed charges",,
"DRSG/DEBRIDE-SMALL","16020","HCPCS","Both",,,"201","100.5","Caresource","Health Exchange","",,"62",,"124.62","73.57","155.78","percent of total billed charges",,
"DRSG/DEBRIDE-SMALL","16020","HCPCS","Both",,,"201","100.5","Cigna","Commercial","",,"59",,"117.79","73.57","155.78","percent of total billed charges",,
"DRSG/DEBRIDE-SMALL","16020","HCPCS","Both",,,"201","100.5","Humana","Commercial","",,"78",,"155.78","73.57","155.78","percent of total billed charges",,
"DRSG/DEBRIDE-SMALL","16020","HCPCS","Both",,,"201","100.5","UHC","Commercial","",,"75",,"151.55","73.57","155.78","percent of total billed charges",,
"DRSG/DEBRIDE-SMALL","16020","HCPCS","Both",,,"201","100.5","Medicaid",,"",,"37",,"73.57","73.57","155.78","percent of total billed charges",,
"DRSG/DEBRIDE-MEDIUM","16025","HCPCS","Both",,,"335","167.5","Alliant","Health Exchange","",,"62",,"207.7","122.61","259.62","percent of total billed charges",,
"DRSG/DEBRIDE-MEDIUM","16025","HCPCS","Both",,,"335","167.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"180.9","122.61","259.62","percent of total billed charges",,
"DRSG/DEBRIDE-MEDIUM","16025","HCPCS","Both",,,"335","167.5","Medicare",,"",,"54",,"181.57","122.61","259.62","percent of total billed charges",,
"DRSG/DEBRIDE-MEDIUM","16025","HCPCS","Both",,,"335","167.5","Humana","Medicare Advantage","",,"54",,"181.57","122.61","259.62","percent of total billed charges",,
"DRSG/DEBRIDE-MEDIUM","16025","HCPCS","Both",,,"335","167.5","UHC","Medicare Advantage","",,"54",,"181.57","122.61","259.62","percent of total billed charges",,
"DRSG/DEBRIDE-MEDIUM","16025","HCPCS","Both",,,"335","167.5","Clover","Medicare Advantage","",,"54",,"181.57","122.61","259.62","percent of total billed charges",,
"DRSG/DEBRIDE-MEDIUM","16025","HCPCS","Both",,,"335","167.5","Wellcare","Medicare Advantage","",,"54",,"181.57","122.61","259.62","percent of total billed charges",,
"DRSG/DEBRIDE-MEDIUM","16025","HCPCS","Both",,,"335","167.5","Amerigroup","Medicaid Managed Care","",,"37",,"122.61","122.61","259.62","percent of total billed charges",,
"DRSG/DEBRIDE-MEDIUM","16025","HCPCS","Both",,,"335","167.5","Caresource","Medicaid Managed Care","",,"40",,"134","122.61","259.62","percent of total billed charges",,
"DRSG/DEBRIDE-MEDIUM","16025","HCPCS","Both",,,"335","167.5","Wellcare","Medicaid Managed Care","",,"40",,"135.68","122.61","259.62","percent of total billed charges",,
"DRSG/DEBRIDE-MEDIUM","16025","HCPCS","Both",,,"335","167.5","Aetna","Commercial","",,"64",,"213.73","122.61","259.62","percent of total billed charges",,
"DRSG/DEBRIDE-MEDIUM","16025","HCPCS","Both",,,"335","167.5","Blue Cross Blue Shield","Pathways","",,"71",,"236.51","122.61","259.62","percent of total billed charges",,
"DRSG/DEBRIDE-MEDIUM","16025","HCPCS","Both",,,"335","167.5","Blue Cross Blue Shield","HMO","",,"71",,"236.51","122.61","259.62","percent of total billed charges",,
"DRSG/DEBRIDE-MEDIUM","16025","HCPCS","Both",,,"335","167.5","Blue Cross Blue Shield","PPO","",,"71",,"236.51","122.61","259.62","percent of total billed charges",,
"DRSG/DEBRIDE-MEDIUM","16025","HCPCS","Both",,,"335","167.5","Ambetter","Health Exchange","",,"62",,"207.7","122.61","259.62","percent of total billed charges",,
"DRSG/DEBRIDE-MEDIUM","16025","HCPCS","Both",,,"335","167.5","Caresource","Health Exchange","",,"62",,"207.7","122.61","259.62","percent of total billed charges",,
"DRSG/DEBRIDE-MEDIUM","16025","HCPCS","Both",,,"335","167.5","Cigna","Commercial","",,"59",,"196.31","122.61","259.62","percent of total billed charges",,
"DRSG/DEBRIDE-MEDIUM","16025","HCPCS","Both",,,"335","167.5","Humana","Commercial","",,"78",,"259.62","122.61","259.62","percent of total billed charges",,
"DRSG/DEBRIDE-MEDIUM","16025","HCPCS","Both",,,"335","167.5","UHC","Commercial","",,"75",,"252.59","122.61","259.62","percent of total billed charges",,
"DRSG/DEBRIDE-MEDIUM","16025","HCPCS","Both",,,"335","167.5","Medicaid",,"",,"37",,"122.61","122.61","259.62","percent of total billed charges",,
"SIMP REPAIR (FACE/EARS/EYELIDS/NOSE/LIPS","12011","HCPCS","Both",,,"194.5","97.25","Alliant","Health Exchange","",,"62",,"120.59","68.34","150.74","percent of total billed charges",,
"SIMP REPAIR (FACE/EARS/EYELIDS/NOSE/LIPS","12011","HCPCS","Both",,,"194.5","97.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"105.03","68.34","150.74","percent of total billed charges",,
"SIMP REPAIR (FACE/EARS/EYELIDS/NOSE/LIPS","12011","HCPCS","Both",,,"194.5","97.25","Medicare",,"",,"54",,"105.42","68.34","150.74","percent of total billed charges",,
"SIMP REPAIR (FACE/EARS/EYELIDS/NOSE/LIPS","12011","HCPCS","Both",,,"194.5","97.25","Humana","Medicare Advantage","",,"54",,"105.42","68.34","150.74","percent of total billed charges",,
"SIMP REPAIR (FACE/EARS/EYELIDS/NOSE/LIPS","12011","HCPCS","Both",,,"194.5","97.25","UHC","Medicare Advantage","",,"54",,"105.42","68.34","150.74","percent of total billed charges",,
"SIMP REPAIR (FACE/EARS/EYELIDS/NOSE/LIPS","12011","HCPCS","Both",,,"194.5","97.25","Clover","Medicare Advantage","",,"54",,"105.42","68.34","150.74","percent of total billed charges",,
"SIMP REPAIR (FACE/EARS/EYELIDS/NOSE/LIPS","12011","HCPCS","Both",,,"194.5","97.25","Wellcare","Medicare Advantage","",,"54",,"105.42","68.34","150.74","percent of total billed charges",,
"SIMP REPAIR (FACE/EARS/EYELIDS/NOSE/LIPS","12011","HCPCS","Both",,,"194.5","97.25","Amerigroup","Medicaid Managed Care","",,"37",,"71.19","68.34","150.74","percent of total billed charges",,
"SIMP REPAIR (FACE/EARS/EYELIDS/NOSE/LIPS","12011","HCPCS","Both",,,"194.5","97.25","Caresource","Medicaid Managed Care","",,"40",,"77.8","68.34","150.74","percent of total billed charges",,
"SIMP REPAIR (FACE/EARS/EYELIDS/NOSE/LIPS","12011","HCPCS","Both",,,"194.5","97.25","Wellcare","Medicaid Managed Care","",,"40",,"78.77","68.34","150.74","percent of total billed charges",,
"SIMP REPAIR (FACE/EARS/EYELIDS/NOSE/LIPS","12011","HCPCS","Both",,,"194.5","97.25","Aetna","Commercial","",,"64",,"124.09","68.34","150.74","percent of total billed charges",,
"SIMP REPAIR (FACE/EARS/EYELIDS/NOSE/LIPS","12011","HCPCS","Both",,,"194.5","97.25","Blue Cross Blue Shield","Pathways","",,"71",,"137.32","68.34","150.74","percent of total billed charges",,
"SIMP REPAIR (FACE/EARS/EYELIDS/NOSE/LIPS","12011","HCPCS","Both",,,"194.5","97.25","Blue Cross Blue Shield","HMO","",,"71",,"137.32","68.34","150.74","percent of total billed charges",,
"SIMP REPAIR (FACE/EARS/EYELIDS/NOSE/LIPS","12011","HCPCS","Both",,,"194.5","97.25","Blue Cross Blue Shield","PPO","",,"71",,"137.32","68.34","150.74","percent of total billed charges",,
"SIMP REPAIR (FACE/EARS/EYELIDS/NOSE/LIPS","12011","HCPCS","Both",,,"194.5","97.25","Ambetter","Health Exchange","",,"62",,"120.59","68.34","150.74","percent of total billed charges",,
"SIMP REPAIR (FACE/EARS/EYELIDS/NOSE/LIPS","12011","HCPCS","Both",,,"194.5","97.25","Caresource","Health Exchange","",,"62",,"120.59","68.34","150.74","percent of total billed charges",,
"SIMP REPAIR (FACE/EARS/EYELIDS/NOSE/LIPS","12011","HCPCS","Both",,,"194.5","97.25","Cigna","Commercial","",,"59",,"113.98","68.34","150.74","percent of total billed charges",,
"SIMP REPAIR (FACE/EARS/EYELIDS/NOSE/LIPS","12011","HCPCS","Both",,,"194.5","97.25","Humana","Commercial","",,"78",,"150.74","68.34","150.74","percent of total billed charges",,
"SIMP REPAIR (FACE/EARS/EYELIDS/NOSE/LIPS","12011","HCPCS","Both",,,"194.5","97.25","UHC","Commercial","",,"75",,"146.65","68.34","150.74","percent of total billed charges",,
"SIMP REPAIR (FACE/EARS/EYELIDS/NOSE/LIPS","12011","HCPCS","Both",,,"194.5","97.25","Medicaid",,"",,"37",,"71.19","68.34","150.74","percent of total billed charges",,
"2.6 TO 5 CM","12013","HCPCS","Both",,,"160","80","Alliant","Health Exchange","",,"62",,"99.2","58.56","124","percent of total billed charges",,
"2.6 TO 5 CM","12013","HCPCS","Both",,,"160","80","Pruitt Healthcare","Medicare Advantage","",,"54",,"86.4","58.56","124","percent of total billed charges",,
"2.6 TO 5 CM","12013","HCPCS","Both",,,"160","80","Medicare",,"",,"54",,"86.72","58.56","124","percent of total billed charges",,
"2.6 TO 5 CM","12013","HCPCS","Both",,,"160","80","Humana","Medicare Advantage","",,"54",,"86.72","58.56","124","percent of total billed charges",,
"2.6 TO 5 CM","12013","HCPCS","Both",,,"160","80","UHC","Medicare Advantage","",,"54",,"86.72","58.56","124","percent of total billed charges",,
"2.6 TO 5 CM","12013","HCPCS","Both",,,"160","80","Clover","Medicare Advantage","",,"54",,"86.72","58.56","124","percent of total billed charges",,
"2.6 TO 5 CM","12013","HCPCS","Both",,,"160","80","Wellcare","Medicare Advantage","",,"54",,"86.72","58.56","124","percent of total billed charges",,
"2.6 TO 5 CM","12013","HCPCS","Both",,,"160","80","Amerigroup","Medicaid Managed Care","",,"37",,"58.56","58.56","124","percent of total billed charges",,
"2.6 TO 5 CM","12013","HCPCS","Both",,,"160","80","Caresource","Medicaid Managed Care","",,"40",,"64","58.56","124","percent of total billed charges",,
"2.6 TO 5 CM","12013","HCPCS","Both",,,"160","80","Wellcare","Medicaid Managed Care","",,"40",,"64.8","58.56","124","percent of total billed charges",,
"2.6 TO 5 CM","12013","HCPCS","Both",,,"160","80","Aetna","Commercial","",,"64",,"102.08","58.56","124","percent of total billed charges",,
"2.6 TO 5 CM","12013","HCPCS","Both",,,"160","80","Blue Cross Blue Shield","Pathways","",,"71",,"112.96","58.56","124","percent of total billed charges",,
"2.6 TO 5 CM","12013","HCPCS","Both",,,"160","80","Blue Cross Blue Shield","HMO","",,"71",,"112.96","58.56","124","percent of total billed charges",,
"2.6 TO 5 CM","12013","HCPCS","Both",,,"160","80","Blue Cross Blue Shield","PPO","",,"71",,"112.96","58.56","124","percent of total billed charges",,
"2.6 TO 5 CM","12013","HCPCS","Both",,,"160","80","Ambetter","Health Exchange","",,"62",,"99.2","58.56","124","percent of total billed charges",,
"2.6 TO 5 CM","12013","HCPCS","Both",,,"160","80","Caresource","Health Exchange","",,"62",,"99.2","58.56","124","percent of total billed charges",,
"2.6 TO 5 CM","12013","HCPCS","Both",,,"160","80","Cigna","Commercial","",,"59",,"93.76","58.56","124","percent of total billed charges",,
"2.6 TO 5 CM","12013","HCPCS","Both",,,"160","80","Humana","Commercial","",,"78",,"124","58.56","124","percent of total billed charges",,
"2.6 TO 5 CM","12013","HCPCS","Both",,,"160","80","UHC","Commercial","",,"75",,"120.64","58.56","124","percent of total billed charges",,
"2.6 TO 5 CM","12013","HCPCS","Both",,,"160","80","Medicaid",,"",,"37",,"58.56","58.56","124","percent of total billed charges",,
"5.1 TO 7.5 CM","12014","HCPCS","Both",,,"201","100.5","Alliant","Health Exchange","",,"62",,"124.62","73.57","155.78","percent of total billed charges",,
"5.1 TO 7.5 CM","12014","HCPCS","Both",,,"201","100.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"108.54","73.57","155.78","percent of total billed charges",,
"5.1 TO 7.5 CM","12014","HCPCS","Both",,,"201","100.5","Medicare",,"",,"54",,"108.94","73.57","155.78","percent of total billed charges",,
"5.1 TO 7.5 CM","12014","HCPCS","Both",,,"201","100.5","Humana","Medicare Advantage","",,"54",,"108.94","73.57","155.78","percent of total billed charges",,
"5.1 TO 7.5 CM","12014","HCPCS","Both",,,"201","100.5","UHC","Medicare Advantage","",,"54",,"108.94","73.57","155.78","percent of total billed charges",,
"5.1 TO 7.5 CM","12014","HCPCS","Both",,,"201","100.5","Clover","Medicare Advantage","",,"54",,"108.94","73.57","155.78","percent of total billed charges",,
"5.1 TO 7.5 CM","12014","HCPCS","Both",,,"201","100.5","Wellcare","Medicare Advantage","",,"54",,"108.94","73.57","155.78","percent of total billed charges",,
"5.1 TO 7.5 CM","12014","HCPCS","Both",,,"201","100.5","Amerigroup","Medicaid Managed Care","",,"37",,"73.57","73.57","155.78","percent of total billed charges",,
"5.1 TO 7.5 CM","12014","HCPCS","Both",,,"201","100.5","Caresource","Medicaid Managed Care","",,"40",,"80.4","73.57","155.78","percent of total billed charges",,
"5.1 TO 7.5 CM","12014","HCPCS","Both",,,"201","100.5","Wellcare","Medicaid Managed Care","",,"40",,"81.4","73.57","155.78","percent of total billed charges",,
"5.1 TO 7.5 CM","12014","HCPCS","Both",,,"201","100.5","Aetna","Commercial","",,"64",,"128.24","73.57","155.78","percent of total billed charges",,
"5.1 TO 7.5 CM","12014","HCPCS","Both",,,"201","100.5","Blue Cross Blue Shield","Pathways","",,"71",,"141.91","73.57","155.78","percent of total billed charges",,
"5.1 TO 7.5 CM","12014","HCPCS","Both",,,"201","100.5","Blue Cross Blue Shield","HMO","",,"71",,"141.91","73.57","155.78","percent of total billed charges",,
"5.1 TO 7.5 CM","12014","HCPCS","Both",,,"201","100.5","Blue Cross Blue Shield","PPO","",,"71",,"141.91","73.57","155.78","percent of total billed charges",,
"5.1 TO 7.5 CM","12014","HCPCS","Both",,,"201","100.5","Ambetter","Health Exchange","",,"62",,"124.62","73.57","155.78","percent of total billed charges",,
"5.1 TO 7.5 CM","12014","HCPCS","Both",,,"201","100.5","Caresource","Health Exchange","",,"62",,"124.62","73.57","155.78","percent of total billed charges",,
"5.1 TO 7.5 CM","12014","HCPCS","Both",,,"201","100.5","Cigna","Commercial","",,"59",,"117.79","73.57","155.78","percent of total billed charges",,
"5.1 TO 7.5 CM","12014","HCPCS","Both",,,"201","100.5","Humana","Commercial","",,"78",,"155.78","73.57","155.78","percent of total billed charges",,
"5.1 TO 7.5 CM","12014","HCPCS","Both",,,"201","100.5","UHC","Commercial","",,"75",,"151.55","73.57","155.78","percent of total billed charges",,
"5.1 TO 7.5 CM","12014","HCPCS","Both",,,"201","100.5","Medicaid",,"",,"37",,"73.57","73.57","155.78","percent of total billed charges",,
"7.6 TO 12.5 CM","12015","HCPCS","Both",,,"214","107","Alliant","Health Exchange","",,"62",,"132.68","78.32","165.85","percent of total billed charges",,
"7.6 TO 12.5 CM","12015","HCPCS","Both",,,"214","107","Pruitt Healthcare","Medicare Advantage","",,"54",,"115.56","78.32","165.85","percent of total billed charges",,
"7.6 TO 12.5 CM","12015","HCPCS","Both",,,"214","107","Medicare",,"",,"54",,"115.99","78.32","165.85","percent of total billed charges",,
"7.6 TO 12.5 CM","12015","HCPCS","Both",,,"214","107","Humana","Medicare Advantage","",,"54",,"115.99","78.32","165.85","percent of total billed charges",,
"7.6 TO 12.5 CM","12015","HCPCS","Both",,,"214","107","UHC","Medicare Advantage","",,"54",,"115.99","78.32","165.85","percent of total billed charges",,
"7.6 TO 12.5 CM","12015","HCPCS","Both",,,"214","107","Clover","Medicare Advantage","",,"54",,"115.99","78.32","165.85","percent of total billed charges",,
"7.6 TO 12.5 CM","12015","HCPCS","Both",,,"214","107","Wellcare","Medicare Advantage","",,"54",,"115.99","78.32","165.85","percent of total billed charges",,
"7.6 TO 12.5 CM","12015","HCPCS","Both",,,"214","107","Amerigroup","Medicaid Managed Care","",,"37",,"78.32","78.32","165.85","percent of total billed charges",,
"7.6 TO 12.5 CM","12015","HCPCS","Both",,,"214","107","Caresource","Medicaid Managed Care","",,"40",,"85.6","78.32","165.85","percent of total billed charges",,
"7.6 TO 12.5 CM","12015","HCPCS","Both",,,"214","107","Wellcare","Medicaid Managed Care","",,"40",,"86.67","78.32","165.85","percent of total billed charges",,
"7.6 TO 12.5 CM","12015","HCPCS","Both",,,"214","107","Aetna","Commercial","",,"64",,"136.53","78.32","165.85","percent of total billed charges",,
"7.6 TO 12.5 CM","12015","HCPCS","Both",,,"214","107","Blue Cross Blue Shield","Pathways","",,"71",,"151.08","78.32","165.85","percent of total billed charges",,
"7.6 TO 12.5 CM","12015","HCPCS","Both",,,"214","107","Blue Cross Blue Shield","HMO","",,"71",,"151.08","78.32","165.85","percent of total billed charges",,
"7.6 TO 12.5 CM","12015","HCPCS","Both",,,"214","107","Blue Cross Blue Shield","PPO","",,"71",,"151.08","78.32","165.85","percent of total billed charges",,
"7.6 TO 12.5 CM","12015","HCPCS","Both",,,"214","107","Ambetter","Health Exchange","",,"62",,"132.68","78.32","165.85","percent of total billed charges",,
"7.6 TO 12.5 CM","12015","HCPCS","Both",,,"214","107","Caresource","Health Exchange","",,"62",,"132.68","78.32","165.85","percent of total billed charges",,
"7.6 TO 12.5 CM","12015","HCPCS","Both",,,"214","107","Cigna","Commercial","",,"59",,"125.4","78.32","165.85","percent of total billed charges",,
"7.6 TO 12.5 CM","12015","HCPCS","Both",,,"214","107","Humana","Commercial","",,"78",,"165.85","78.32","165.85","percent of total billed charges",,
"7.6 TO 12.5 CM","12015","HCPCS","Both",,,"214","107","UHC","Commercial","",,"75",,"161.36","78.32","165.85","percent of total billed charges",,
"7.6 TO 12.5 CM","12015","HCPCS","Both",,,"214","107","Medicaid",,"",,"37",,"78.32","78.32","165.85","percent of total billed charges",,
"LAYER CLOSURE (SCALP/AXILLAE/TRUNK/EXTRM","12031","HCPCS","Both",,,"746","373","Alliant","Health Exchange","",,"62",,"462.52","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE (SCALP/AXILLAE/TRUNK/EXTRM","12031","HCPCS","Both",,,"746","373","Pruitt Healthcare","Medicare Advantage","",,"54",,"402.84","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE (SCALP/AXILLAE/TRUNK/EXTRM","12031","HCPCS","Both",,,"746","373","Medicare",,"",,"54",,"404.33","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE (SCALP/AXILLAE/TRUNK/EXTRM","12031","HCPCS","Both",,,"746","373","Humana","Medicare Advantage","",,"54",,"404.33","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE (SCALP/AXILLAE/TRUNK/EXTRM","12031","HCPCS","Both",,,"746","373","UHC","Medicare Advantage","",,"54",,"404.33","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE (SCALP/AXILLAE/TRUNK/EXTRM","12031","HCPCS","Both",,,"746","373","Clover","Medicare Advantage","",,"54",,"404.33","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE (SCALP/AXILLAE/TRUNK/EXTRM","12031","HCPCS","Both",,,"746","373","Wellcare","Medicare Advantage","",,"54",,"404.33","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE (SCALP/AXILLAE/TRUNK/EXTRM","12031","HCPCS","Both",,,"746","373","Amerigroup","Medicaid Managed Care","",,"37",,"273.04","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE (SCALP/AXILLAE/TRUNK/EXTRM","12031","HCPCS","Both",,,"746","373","Caresource","Medicaid Managed Care","",,"40",,"298.4","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE (SCALP/AXILLAE/TRUNK/EXTRM","12031","HCPCS","Both",,,"746","373","Wellcare","Medicaid Managed Care","",,"40",,"302.13","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE (SCALP/AXILLAE/TRUNK/EXTRM","12031","HCPCS","Both",,,"746","373","Aetna","Commercial","",,"64",,"475.95","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE (SCALP/AXILLAE/TRUNK/EXTRM","12031","HCPCS","Both",,,"746","373","Blue Cross Blue Shield","Pathways","",,"71",,"526.68","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE (SCALP/AXILLAE/TRUNK/EXTRM","12031","HCPCS","Both",,,"746","373","Blue Cross Blue Shield","HMO","",,"71",,"526.68","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE (SCALP/AXILLAE/TRUNK/EXTRM","12031","HCPCS","Both",,,"746","373","Blue Cross Blue Shield","PPO","",,"71",,"526.68","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE (SCALP/AXILLAE/TRUNK/EXTRM","12031","HCPCS","Both",,,"746","373","Ambetter","Health Exchange","",,"62",,"462.52","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE (SCALP/AXILLAE/TRUNK/EXTRM","12031","HCPCS","Both",,,"746","373","Caresource","Health Exchange","",,"62",,"462.52","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE (SCALP/AXILLAE/TRUNK/EXTRM","12031","HCPCS","Both",,,"746","373","Cigna","Commercial","",,"59",,"437.16","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE (SCALP/AXILLAE/TRUNK/EXTRM","12031","HCPCS","Both",,,"746","373","Humana","Commercial","",,"78",,"578.15","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE (SCALP/AXILLAE/TRUNK/EXTRM","12031","HCPCS","Both",,,"746","373","UHC","Commercial","",,"75",,"562.48","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE (SCALP/AXILLAE/TRUNK/EXTRM","12031","HCPCS","Both",,,"746","373","Medicaid",,"",,"37",,"273.04","273.04","578.15","percent of total billed charges",,
"2.6 TO 7.5","12032","HCPCS","Both",,,"233","116.5","Alliant","Health Exchange","",,"62",,"144.46","85.28","180.58","percent of total billed charges",,
"2.6 TO 7.5","12032","HCPCS","Both",,,"233","116.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"125.82","85.28","180.58","percent of total billed charges",,
"2.6 TO 7.5","12032","HCPCS","Both",,,"233","116.5","Medicare",,"",,"54",,"126.29","85.28","180.58","percent of total billed charges",,
"2.6 TO 7.5","12032","HCPCS","Both",,,"233","116.5","Humana","Medicare Advantage","",,"54",,"126.29","85.28","180.58","percent of total billed charges",,
"2.6 TO 7.5","12032","HCPCS","Both",,,"233","116.5","UHC","Medicare Advantage","",,"54",,"126.29","85.28","180.58","percent of total billed charges",,
"2.6 TO 7.5","12032","HCPCS","Both",,,"233","116.5","Clover","Medicare Advantage","",,"54",,"126.29","85.28","180.58","percent of total billed charges",,
"2.6 TO 7.5","12032","HCPCS","Both",,,"233","116.5","Wellcare","Medicare Advantage","",,"54",,"126.29","85.28","180.58","percent of total billed charges",,
"2.6 TO 7.5","12032","HCPCS","Both",,,"233","116.5","Amerigroup","Medicaid Managed Care","",,"37",,"85.28","85.28","180.58","percent of total billed charges",,
"2.6 TO 7.5","12032","HCPCS","Both",,,"233","116.5","Caresource","Medicaid Managed Care","",,"40",,"93.2","85.28","180.58","percent of total billed charges",,
"2.6 TO 7.5","12032","HCPCS","Both",,,"233","116.5","Wellcare","Medicaid Managed Care","",,"40",,"94.36","85.28","180.58","percent of total billed charges",,
"2.6 TO 7.5","12032","HCPCS","Both",,,"233","116.5","Aetna","Commercial","",,"64",,"148.65","85.28","180.58","percent of total billed charges",,
"2.6 TO 7.5","12032","HCPCS","Both",,,"233","116.5","Blue Cross Blue Shield","Pathways","",,"71",,"164.5","85.28","180.58","percent of total billed charges",,
"2.6 TO 7.5","12032","HCPCS","Both",,,"233","116.5","Blue Cross Blue Shield","HMO","",,"71",,"164.5","85.28","180.58","percent of total billed charges",,
"2.6 TO 7.5","12032","HCPCS","Both",,,"233","116.5","Blue Cross Blue Shield","PPO","",,"71",,"164.5","85.28","180.58","percent of total billed charges",,
"2.6 TO 7.5","12032","HCPCS","Both",,,"233","116.5","Ambetter","Health Exchange","",,"62",,"144.46","85.28","180.58","percent of total billed charges",,
"2.6 TO 7.5","12032","HCPCS","Both",,,"233","116.5","Caresource","Health Exchange","",,"62",,"144.46","85.28","180.58","percent of total billed charges",,
"2.6 TO 7.5","12032","HCPCS","Both",,,"233","116.5","Cigna","Commercial","",,"59",,"136.54","85.28","180.58","percent of total billed charges",,
"2.6 TO 7.5","12032","HCPCS","Both",,,"233","116.5","Humana","Commercial","",,"78",,"180.58","85.28","180.58","percent of total billed charges",,
"2.6 TO 7.5","12032","HCPCS","Both",,,"233","116.5","UHC","Commercial","",,"75",,"175.68","85.28","180.58","percent of total billed charges",,
"2.6 TO 7.5","12032","HCPCS","Both",,,"233","116.5","Medicaid",,"",,"37",,"85.28","85.28","180.58","percent of total billed charges",,
"7.6 TO 12.5","12034","HCPCS","Both",,,"289","144.5","Alliant","Health Exchange","",,"62",,"179.18","105.77","223.98","percent of total billed charges",,
"7.6 TO 12.5","12034","HCPCS","Both",,,"289","144.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"156.06","105.77","223.98","percent of total billed charges",,
"7.6 TO 12.5","12034","HCPCS","Both",,,"289","144.5","Medicare",,"",,"54",,"156.64","105.77","223.98","percent of total billed charges",,
"7.6 TO 12.5","12034","HCPCS","Both",,,"289","144.5","Humana","Medicare Advantage","",,"54",,"156.64","105.77","223.98","percent of total billed charges",,
"7.6 TO 12.5","12034","HCPCS","Both",,,"289","144.5","UHC","Medicare Advantage","",,"54",,"156.64","105.77","223.98","percent of total billed charges",,
"7.6 TO 12.5","12034","HCPCS","Both",,,"289","144.5","Clover","Medicare Advantage","",,"54",,"156.64","105.77","223.98","percent of total billed charges",,
"7.6 TO 12.5","12034","HCPCS","Both",,,"289","144.5","Wellcare","Medicare Advantage","",,"54",,"156.64","105.77","223.98","percent of total billed charges",,
"7.6 TO 12.5","12034","HCPCS","Both",,,"289","144.5","Amerigroup","Medicaid Managed Care","",,"37",,"105.77","105.77","223.98","percent of total billed charges",,
"7.6 TO 12.5","12034","HCPCS","Both",,,"289","144.5","Caresource","Medicaid Managed Care","",,"40",,"115.6","105.77","223.98","percent of total billed charges",,
"7.6 TO 12.5","12034","HCPCS","Both",,,"289","144.5","Wellcare","Medicaid Managed Care","",,"40",,"117.04","105.77","223.98","percent of total billed charges",,
"7.6 TO 12.5","12034","HCPCS","Both",,,"289","144.5","Aetna","Commercial","",,"64",,"184.38","105.77","223.98","percent of total billed charges",,
"7.6 TO 12.5","12034","HCPCS","Both",,,"289","144.5","Blue Cross Blue Shield","Pathways","",,"71",,"204.03","105.77","223.98","percent of total billed charges",,
"7.6 TO 12.5","12034","HCPCS","Both",,,"289","144.5","Blue Cross Blue Shield","HMO","",,"71",,"204.03","105.77","223.98","percent of total billed charges",,
"7.6 TO 12.5","12034","HCPCS","Both",,,"289","144.5","Blue Cross Blue Shield","PPO","",,"71",,"204.03","105.77","223.98","percent of total billed charges",,
"7.6 TO 12.5","12034","HCPCS","Both",,,"289","144.5","Ambetter","Health Exchange","",,"62",,"179.18","105.77","223.98","percent of total billed charges",,
"7.6 TO 12.5","12034","HCPCS","Both",,,"289","144.5","Caresource","Health Exchange","",,"62",,"179.18","105.77","223.98","percent of total billed charges",,
"7.6 TO 12.5","12034","HCPCS","Both",,,"289","144.5","Cigna","Commercial","",,"59",,"169.35","105.77","223.98","percent of total billed charges",,
"7.6 TO 12.5","12034","HCPCS","Both",,,"289","144.5","Humana","Commercial","",,"78",,"223.98","105.77","223.98","percent of total billed charges",,
"7.6 TO 12.5","12034","HCPCS","Both",,,"289","144.5","UHC","Commercial","",,"75",,"217.91","105.77","223.98","percent of total billed charges",,
"7.6 TO 12.5","12034","HCPCS","Both",,,"289","144.5","Medicaid",,"",,"37",,"105.77","105.77","223.98","percent of total billed charges",,
"12.6 TO 20 CM","12035","HCPCS","Both",,,"785.5","392.75","Alliant","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"12.6 TO 20 CM","12035","HCPCS","Both",,,"785.5","392.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"424.17","287.49","608.76","percent of total billed charges",,
"12.6 TO 20 CM","12035","HCPCS","Both",,,"785.5","392.75","Medicare",,"",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"12.6 TO 20 CM","12035","HCPCS","Both",,,"785.5","392.75","Humana","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"12.6 TO 20 CM","12035","HCPCS","Both",,,"785.5","392.75","UHC","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"12.6 TO 20 CM","12035","HCPCS","Both",,,"785.5","392.75","Clover","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"12.6 TO 20 CM","12035","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"12.6 TO 20 CM","12035","HCPCS","Both",,,"785.5","392.75","Amerigroup","Medicaid Managed Care","",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"12.6 TO 20 CM","12035","HCPCS","Both",,,"785.5","392.75","Caresource","Medicaid Managed Care","",,"40",,"314.2","287.49","608.76","percent of total billed charges",,
"12.6 TO 20 CM","12035","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicaid Managed Care","",,"40",,"318.13","287.49","608.76","percent of total billed charges",,
"12.6 TO 20 CM","12035","HCPCS","Both",,,"785.5","392.75","Aetna","Commercial","",,"64",,"501.15","287.49","608.76","percent of total billed charges",,
"12.6 TO 20 CM","12035","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","Pathways","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"12.6 TO 20 CM","12035","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","HMO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"12.6 TO 20 CM","12035","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","PPO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"12.6 TO 20 CM","12035","HCPCS","Both",,,"785.5","392.75","Ambetter","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"12.6 TO 20 CM","12035","HCPCS","Both",,,"785.5","392.75","Caresource","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"12.6 TO 20 CM","12035","HCPCS","Both",,,"785.5","392.75","Cigna","Commercial","",,"59",,"460.3","287.49","608.76","percent of total billed charges",,
"12.6 TO 20 CM","12035","HCPCS","Both",,,"785.5","392.75","Humana","Commercial","",,"78",,"608.76","287.49","608.76","percent of total billed charges",,
"12.6 TO 20 CM","12035","HCPCS","Both",,,"785.5","392.75","UHC","Commercial","",,"75",,"592.27","287.49","608.76","percent of total billed charges",,
"12.6 TO 20 CM","12035","HCPCS","Both",,,"785.5","392.75","Medicaid",,"",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE (NECK/HAND/FEET)","12041","HCPCS","Both",,,"329","164.5","Alliant","Health Exchange","",,"62",,"203.98","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE (NECK/HAND/FEET)","12041","HCPCS","Both",,,"329","164.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"177.66","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE (NECK/HAND/FEET)","12041","HCPCS","Both",,,"329","164.5","Medicare",,"",,"54",,"178.32","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE (NECK/HAND/FEET)","12041","HCPCS","Both",,,"329","164.5","Humana","Medicare Advantage","",,"54",,"178.32","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE (NECK/HAND/FEET)","12041","HCPCS","Both",,,"329","164.5","UHC","Medicare Advantage","",,"54",,"178.32","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE (NECK/HAND/FEET)","12041","HCPCS","Both",,,"329","164.5","Clover","Medicare Advantage","",,"54",,"178.32","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE (NECK/HAND/FEET)","12041","HCPCS","Both",,,"329","164.5","Wellcare","Medicare Advantage","",,"54",,"178.32","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE (NECK/HAND/FEET)","12041","HCPCS","Both",,,"329","164.5","Amerigroup","Medicaid Managed Care","",,"37",,"120.41","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE (NECK/HAND/FEET)","12041","HCPCS","Both",,,"329","164.5","Caresource","Medicaid Managed Care","",,"40",,"131.6","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE (NECK/HAND/FEET)","12041","HCPCS","Both",,,"329","164.5","Wellcare","Medicaid Managed Care","",,"40",,"133.24","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE (NECK/HAND/FEET)","12041","HCPCS","Both",,,"329","164.5","Aetna","Commercial","",,"64",,"209.9","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE (NECK/HAND/FEET)","12041","HCPCS","Both",,,"329","164.5","Blue Cross Blue Shield","Pathways","",,"71",,"232.27","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE (NECK/HAND/FEET)","12041","HCPCS","Both",,,"329","164.5","Blue Cross Blue Shield","HMO","",,"71",,"232.27","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE (NECK/HAND/FEET)","12041","HCPCS","Both",,,"329","164.5","Blue Cross Blue Shield","PPO","",,"71",,"232.27","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE (NECK/HAND/FEET)","12041","HCPCS","Both",,,"329","164.5","Ambetter","Health Exchange","",,"62",,"203.98","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE (NECK/HAND/FEET)","12041","HCPCS","Both",,,"329","164.5","Caresource","Health Exchange","",,"62",,"203.98","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE (NECK/HAND/FEET)","12041","HCPCS","Both",,,"329","164.5","Cigna","Commercial","",,"59",,"192.79","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE (NECK/HAND/FEET)","12041","HCPCS","Both",,,"329","164.5","Humana","Commercial","",,"78",,"254.98","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE (NECK/HAND/FEET)","12041","HCPCS","Both",,,"329","164.5","UHC","Commercial","",,"75",,"248.07","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE (NECK/HAND/FEET)","12041","HCPCS","Both",,,"329","164.5","Medicaid",,"",,"37",,"120.41","120.41","254.98","percent of total billed charges",,
"2.6CM TO 7.5CM","12042","HCPCS","Both",,,"785.5","392.75","Alliant","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"2.6CM TO 7.5CM","12042","HCPCS","Both",,,"785.5","392.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"424.17","287.49","608.76","percent of total billed charges",,
"2.6CM TO 7.5CM","12042","HCPCS","Both",,,"785.5","392.75","Medicare",,"",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"2.6CM TO 7.5CM","12042","HCPCS","Both",,,"785.5","392.75","Humana","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"2.6CM TO 7.5CM","12042","HCPCS","Both",,,"785.5","392.75","UHC","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"2.6CM TO 7.5CM","12042","HCPCS","Both",,,"785.5","392.75","Clover","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"2.6CM TO 7.5CM","12042","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"2.6CM TO 7.5CM","12042","HCPCS","Both",,,"785.5","392.75","Amerigroup","Medicaid Managed Care","",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"2.6CM TO 7.5CM","12042","HCPCS","Both",,,"785.5","392.75","Caresource","Medicaid Managed Care","",,"40",,"314.2","287.49","608.76","percent of total billed charges",,
"2.6CM TO 7.5CM","12042","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicaid Managed Care","",,"40",,"318.13","287.49","608.76","percent of total billed charges",,
"2.6CM TO 7.5CM","12042","HCPCS","Both",,,"785.5","392.75","Aetna","Commercial","",,"64",,"501.15","287.49","608.76","percent of total billed charges",,
"2.6CM TO 7.5CM","12042","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","Pathways","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"2.6CM TO 7.5CM","12042","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","HMO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"2.6CM TO 7.5CM","12042","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","PPO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"2.6CM TO 7.5CM","12042","HCPCS","Both",,,"785.5","392.75","Ambetter","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"2.6CM TO 7.5CM","12042","HCPCS","Both",,,"785.5","392.75","Caresource","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"2.6CM TO 7.5CM","12042","HCPCS","Both",,,"785.5","392.75","Cigna","Commercial","",,"59",,"460.3","287.49","608.76","percent of total billed charges",,
"2.6CM TO 7.5CM","12042","HCPCS","Both",,,"785.5","392.75","Humana","Commercial","",,"78",,"608.76","287.49","608.76","percent of total billed charges",,
"2.6CM TO 7.5CM","12042","HCPCS","Both",,,"785.5","392.75","UHC","Commercial","",,"75",,"592.27","287.49","608.76","percent of total billed charges",,
"2.6CM TO 7.5CM","12042","HCPCS","Both",,,"785.5","392.75","Medicaid",,"",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"7.6CM TO 12.5CM","12044","HCPCS","Both",,,"785.5","392.75","Alliant","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"7.6CM TO 12.5CM","12044","HCPCS","Both",,,"785.5","392.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"424.17","287.49","608.76","percent of total billed charges",,
"7.6CM TO 12.5CM","12044","HCPCS","Both",,,"785.5","392.75","Medicare",,"",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"7.6CM TO 12.5CM","12044","HCPCS","Both",,,"785.5","392.75","Humana","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"7.6CM TO 12.5CM","12044","HCPCS","Both",,,"785.5","392.75","UHC","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"7.6CM TO 12.5CM","12044","HCPCS","Both",,,"785.5","392.75","Clover","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"7.6CM TO 12.5CM","12044","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"7.6CM TO 12.5CM","12044","HCPCS","Both",,,"785.5","392.75","Amerigroup","Medicaid Managed Care","",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"7.6CM TO 12.5CM","12044","HCPCS","Both",,,"785.5","392.75","Caresource","Medicaid Managed Care","",,"40",,"314.2","287.49","608.76","percent of total billed charges",,
"7.6CM TO 12.5CM","12044","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicaid Managed Care","",,"40",,"318.13","287.49","608.76","percent of total billed charges",,
"7.6CM TO 12.5CM","12044","HCPCS","Both",,,"785.5","392.75","Aetna","Commercial","",,"64",,"501.15","287.49","608.76","percent of total billed charges",,
"7.6CM TO 12.5CM","12044","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","Pathways","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"7.6CM TO 12.5CM","12044","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","HMO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"7.6CM TO 12.5CM","12044","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","PPO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"7.6CM TO 12.5CM","12044","HCPCS","Both",,,"785.5","392.75","Ambetter","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"7.6CM TO 12.5CM","12044","HCPCS","Both",,,"785.5","392.75","Caresource","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"7.6CM TO 12.5CM","12044","HCPCS","Both",,,"785.5","392.75","Cigna","Commercial","",,"59",,"460.3","287.49","608.76","percent of total billed charges",,
"7.6CM TO 12.5CM","12044","HCPCS","Both",,,"785.5","392.75","Humana","Commercial","",,"78",,"608.76","287.49","608.76","percent of total billed charges",,
"7.6CM TO 12.5CM","12044","HCPCS","Both",,,"785.5","392.75","UHC","Commercial","",,"75",,"592.27","287.49","608.76","percent of total billed charges",,
"7.6CM TO 12.5CM","12044","HCPCS","Both",,,"785.5","392.75","Medicaid",,"",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"12.6CM TO 20CM","12045","HCPCS","Both",,,"1429.5","714.75","Alliant","Health Exchange","",,"62",,"886.29","523.2","1107.86","percent of total billed charges",,
"12.6CM TO 20CM","12045","HCPCS","Both",,,"1429.5","714.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"771.93","523.2","1107.86","percent of total billed charges",,
"12.6CM TO 20CM","12045","HCPCS","Both",,,"1429.5","714.75","Medicare",,"",,"54",,"774.79","523.2","1107.86","percent of total billed charges",,
"12.6CM TO 20CM","12045","HCPCS","Both",,,"1429.5","714.75","Humana","Medicare Advantage","",,"54",,"774.79","523.2","1107.86","percent of total billed charges",,
"12.6CM TO 20CM","12045","HCPCS","Both",,,"1429.5","714.75","UHC","Medicare Advantage","",,"54",,"774.79","523.2","1107.86","percent of total billed charges",,
"12.6CM TO 20CM","12045","HCPCS","Both",,,"1429.5","714.75","Clover","Medicare Advantage","",,"54",,"774.79","523.2","1107.86","percent of total billed charges",,
"12.6CM TO 20CM","12045","HCPCS","Both",,,"1429.5","714.75","Wellcare","Medicare Advantage","",,"54",,"774.79","523.2","1107.86","percent of total billed charges",,
"12.6CM TO 20CM","12045","HCPCS","Both",,,"1429.5","714.75","Amerigroup","Medicaid Managed Care","",,"37",,"523.2","523.2","1107.86","percent of total billed charges",,
"12.6CM TO 20CM","12045","HCPCS","Both",,,"1429.5","714.75","Caresource","Medicaid Managed Care","",,"40",,"571.8","523.2","1107.86","percent of total billed charges",,
"12.6CM TO 20CM","12045","HCPCS","Both",,,"1429.5","714.75","Wellcare","Medicaid Managed Care","",,"40",,"578.95","523.2","1107.86","percent of total billed charges",,
"12.6CM TO 20CM","12045","HCPCS","Both",,,"1429.5","714.75","Aetna","Commercial","",,"64",,"912.02","523.2","1107.86","percent of total billed charges",,
"12.6CM TO 20CM","12045","HCPCS","Both",,,"1429.5","714.75","Blue Cross Blue Shield","Pathways","",,"71",,"1009.23","523.2","1107.86","percent of total billed charges",,
"12.6CM TO 20CM","12045","HCPCS","Both",,,"1429.5","714.75","Blue Cross Blue Shield","HMO","",,"71",,"1009.23","523.2","1107.86","percent of total billed charges",,
"12.6CM TO 20CM","12045","HCPCS","Both",,,"1429.5","714.75","Blue Cross Blue Shield","PPO","",,"71",,"1009.23","523.2","1107.86","percent of total billed charges",,
"12.6CM TO 20CM","12045","HCPCS","Both",,,"1429.5","714.75","Ambetter","Health Exchange","",,"62",,"886.29","523.2","1107.86","percent of total billed charges",,
"12.6CM TO 20CM","12045","HCPCS","Both",,,"1429.5","714.75","Caresource","Health Exchange","",,"62",,"886.29","523.2","1107.86","percent of total billed charges",,
"12.6CM TO 20CM","12045","HCPCS","Both",,,"1429.5","714.75","Cigna","Commercial","",,"59",,"837.69","523.2","1107.86","percent of total billed charges",,
"12.6CM TO 20CM","12045","HCPCS","Both",,,"1429.5","714.75","Humana","Commercial","",,"78",,"1107.86","523.2","1107.86","percent of total billed charges",,
"12.6CM TO 20CM","12045","HCPCS","Both",,,"1429.5","714.75","UHC","Commercial","",,"75",,"1077.84","523.2","1107.86","percent of total billed charges",,
"12.6CM TO 20CM","12045","HCPCS","Both",,,"1429.5","714.75","Medicaid",,"",,"37",,"523.2","523.2","1107.86","percent of total billed charges",,
"LAYER CLOSURE (FACE/EARS/EYELIDS/NOSE/LI","12051","HCPCS","Both",,,"746","373","Alliant","Health Exchange","",,"62",,"462.52","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE (FACE/EARS/EYELIDS/NOSE/LI","12051","HCPCS","Both",,,"746","373","Pruitt Healthcare","Medicare Advantage","",,"54",,"402.84","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE (FACE/EARS/EYELIDS/NOSE/LI","12051","HCPCS","Both",,,"746","373","Medicare",,"",,"54",,"404.33","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE (FACE/EARS/EYELIDS/NOSE/LI","12051","HCPCS","Both",,,"746","373","Humana","Medicare Advantage","",,"54",,"404.33","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE (FACE/EARS/EYELIDS/NOSE/LI","12051","HCPCS","Both",,,"746","373","UHC","Medicare Advantage","",,"54",,"404.33","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE (FACE/EARS/EYELIDS/NOSE/LI","12051","HCPCS","Both",,,"746","373","Clover","Medicare Advantage","",,"54",,"404.33","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE (FACE/EARS/EYELIDS/NOSE/LI","12051","HCPCS","Both",,,"746","373","Wellcare","Medicare Advantage","",,"54",,"404.33","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE (FACE/EARS/EYELIDS/NOSE/LI","12051","HCPCS","Both",,,"746","373","Amerigroup","Medicaid Managed Care","",,"37",,"273.04","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE (FACE/EARS/EYELIDS/NOSE/LI","12051","HCPCS","Both",,,"746","373","Caresource","Medicaid Managed Care","",,"40",,"298.4","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE (FACE/EARS/EYELIDS/NOSE/LI","12051","HCPCS","Both",,,"746","373","Wellcare","Medicaid Managed Care","",,"40",,"302.13","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE (FACE/EARS/EYELIDS/NOSE/LI","12051","HCPCS","Both",,,"746","373","Aetna","Commercial","",,"64",,"475.95","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE (FACE/EARS/EYELIDS/NOSE/LI","12051","HCPCS","Both",,,"746","373","Blue Cross Blue Shield","Pathways","",,"71",,"526.68","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE (FACE/EARS/EYELIDS/NOSE/LI","12051","HCPCS","Both",,,"746","373","Blue Cross Blue Shield","HMO","",,"71",,"526.68","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE (FACE/EARS/EYELIDS/NOSE/LI","12051","HCPCS","Both",,,"746","373","Blue Cross Blue Shield","PPO","",,"71",,"526.68","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE (FACE/EARS/EYELIDS/NOSE/LI","12051","HCPCS","Both",,,"746","373","Ambetter","Health Exchange","",,"62",,"462.52","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE (FACE/EARS/EYELIDS/NOSE/LI","12051","HCPCS","Both",,,"746","373","Caresource","Health Exchange","",,"62",,"462.52","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE (FACE/EARS/EYELIDS/NOSE/LI","12051","HCPCS","Both",,,"746","373","Cigna","Commercial","",,"59",,"437.16","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE (FACE/EARS/EYELIDS/NOSE/LI","12051","HCPCS","Both",,,"746","373","Humana","Commercial","",,"78",,"578.15","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE (FACE/EARS/EYELIDS/NOSE/LI","12051","HCPCS","Both",,,"746","373","UHC","Commercial","",,"75",,"562.48","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE (FACE/EARS/EYELIDS/NOSE/LI","12051","HCPCS","Both",,,"746","373","Medicaid",,"",,"37",,"273.04","273.04","578.15","percent of total billed charges",,
"2.6 TO 5.0 CM","12052","HCPCS","Both",,,"240","120","Alliant","Health Exchange","",,"62",,"148.8","87.84","186","percent of total billed charges",,
"2.6 TO 5.0 CM","12052","HCPCS","Both",,,"240","120","Pruitt Healthcare","Medicare Advantage","",,"54",,"129.6","87.84","186","percent of total billed charges",,
"2.6 TO 5.0 CM","12052","HCPCS","Both",,,"240","120","Medicare",,"",,"54",,"130.08","87.84","186","percent of total billed charges",,
"2.6 TO 5.0 CM","12052","HCPCS","Both",,,"240","120","Humana","Medicare Advantage","",,"54",,"130.08","87.84","186","percent of total billed charges",,
"2.6 TO 5.0 CM","12052","HCPCS","Both",,,"240","120","UHC","Medicare Advantage","",,"54",,"130.08","87.84","186","percent of total billed charges",,
"2.6 TO 5.0 CM","12052","HCPCS","Both",,,"240","120","Clover","Medicare Advantage","",,"54",,"130.08","87.84","186","percent of total billed charges",,
"2.6 TO 5.0 CM","12052","HCPCS","Both",,,"240","120","Wellcare","Medicare Advantage","",,"54",,"130.08","87.84","186","percent of total billed charges",,
"2.6 TO 5.0 CM","12052","HCPCS","Both",,,"240","120","Amerigroup","Medicaid Managed Care","",,"37",,"87.84","87.84","186","percent of total billed charges",,
"2.6 TO 5.0 CM","12052","HCPCS","Both",,,"240","120","Caresource","Medicaid Managed Care","",,"40",,"96","87.84","186","percent of total billed charges",,
"2.6 TO 5.0 CM","12052","HCPCS","Both",,,"240","120","Wellcare","Medicaid Managed Care","",,"40",,"97.2","87.84","186","percent of total billed charges",,
"2.6 TO 5.0 CM","12052","HCPCS","Both",,,"240","120","Aetna","Commercial","",,"64",,"153.12","87.84","186","percent of total billed charges",,
"2.6 TO 5.0 CM","12052","HCPCS","Both",,,"240","120","Blue Cross Blue Shield","Pathways","",,"71",,"169.44","87.84","186","percent of total billed charges",,
"2.6 TO 5.0 CM","12052","HCPCS","Both",,,"240","120","Blue Cross Blue Shield","HMO","",,"71",,"169.44","87.84","186","percent of total billed charges",,
"2.6 TO 5.0 CM","12052","HCPCS","Both",,,"240","120","Blue Cross Blue Shield","PPO","",,"71",,"169.44","87.84","186","percent of total billed charges",,
"2.6 TO 5.0 CM","12052","HCPCS","Both",,,"240","120","Ambetter","Health Exchange","",,"62",,"148.8","87.84","186","percent of total billed charges",,
"2.6 TO 5.0 CM","12052","HCPCS","Both",,,"240","120","Caresource","Health Exchange","",,"62",,"148.8","87.84","186","percent of total billed charges",,
"2.6 TO 5.0 CM","12052","HCPCS","Both",,,"240","120","Cigna","Commercial","",,"59",,"140.64","87.84","186","percent of total billed charges",,
"2.6 TO 5.0 CM","12052","HCPCS","Both",,,"240","120","Humana","Commercial","",,"78",,"186","87.84","186","percent of total billed charges",,
"2.6 TO 5.0 CM","12052","HCPCS","Both",,,"240","120","UHC","Commercial","",,"75",,"180.96","87.84","186","percent of total billed charges",,
"2.6 TO 5.0 CM","12052","HCPCS","Both",,,"240","120","Medicaid",,"",,"37",,"87.84","87.84","186","percent of total billed charges",,
"5.1 TO 7.5 CM","12053","HCPCS","Both",,,"785.5","392.75","Alliant","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"5.1 TO 7.5 CM","12053","HCPCS","Both",,,"785.5","392.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"424.17","287.49","608.76","percent of total billed charges",,
"5.1 TO 7.5 CM","12053","HCPCS","Both",,,"785.5","392.75","Medicare",,"",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"5.1 TO 7.5 CM","12053","HCPCS","Both",,,"785.5","392.75","Humana","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"5.1 TO 7.5 CM","12053","HCPCS","Both",,,"785.5","392.75","UHC","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"5.1 TO 7.5 CM","12053","HCPCS","Both",,,"785.5","392.75","Clover","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"5.1 TO 7.5 CM","12053","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"5.1 TO 7.5 CM","12053","HCPCS","Both",,,"785.5","392.75","Amerigroup","Medicaid Managed Care","",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"5.1 TO 7.5 CM","12053","HCPCS","Both",,,"785.5","392.75","Caresource","Medicaid Managed Care","",,"40",,"314.2","287.49","608.76","percent of total billed charges",,
"5.1 TO 7.5 CM","12053","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicaid Managed Care","",,"40",,"318.13","287.49","608.76","percent of total billed charges",,
"5.1 TO 7.5 CM","12053","HCPCS","Both",,,"785.5","392.75","Aetna","Commercial","",,"64",,"501.15","287.49","608.76","percent of total billed charges",,
"5.1 TO 7.5 CM","12053","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","Pathways","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"5.1 TO 7.5 CM","12053","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","HMO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"5.1 TO 7.5 CM","12053","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","PPO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"5.1 TO 7.5 CM","12053","HCPCS","Both",,,"785.5","392.75","Ambetter","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"5.1 TO 7.5 CM","12053","HCPCS","Both",,,"785.5","392.75","Caresource","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"5.1 TO 7.5 CM","12053","HCPCS","Both",,,"785.5","392.75","Cigna","Commercial","",,"59",,"460.3","287.49","608.76","percent of total billed charges",,
"5.1 TO 7.5 CM","12053","HCPCS","Both",,,"785.5","392.75","Humana","Commercial","",,"78",,"608.76","287.49","608.76","percent of total billed charges",,
"5.1 TO 7.5 CM","12053","HCPCS","Both",,,"785.5","392.75","UHC","Commercial","",,"75",,"592.27","287.49","608.76","percent of total billed charges",,
"5.1 TO 7.5 CM","12053","HCPCS","Both",,,"785.5","392.75","Medicaid",,"",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"7.5 TO 12.5 CM","12054","HCPCS","Both",,,"274.5","137.25","Alliant","Health Exchange","",,"62",,"170.19","100.47","212.74","percent of total billed charges",,
"7.5 TO 12.5 CM","12054","HCPCS","Both",,,"274.5","137.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"148.23","100.47","212.74","percent of total billed charges",,
"7.5 TO 12.5 CM","12054","HCPCS","Both",,,"274.5","137.25","Medicare",,"",,"54",,"148.78","100.47","212.74","percent of total billed charges",,
"7.5 TO 12.5 CM","12054","HCPCS","Both",,,"274.5","137.25","Humana","Medicare Advantage","",,"54",,"148.78","100.47","212.74","percent of total billed charges",,
"7.5 TO 12.5 CM","12054","HCPCS","Both",,,"274.5","137.25","UHC","Medicare Advantage","",,"54",,"148.78","100.47","212.74","percent of total billed charges",,
"7.5 TO 12.5 CM","12054","HCPCS","Both",,,"274.5","137.25","Clover","Medicare Advantage","",,"54",,"148.78","100.47","212.74","percent of total billed charges",,
"7.5 TO 12.5 CM","12054","HCPCS","Both",,,"274.5","137.25","Wellcare","Medicare Advantage","",,"54",,"148.78","100.47","212.74","percent of total billed charges",,
"7.5 TO 12.5 CM","12054","HCPCS","Both",,,"274.5","137.25","Amerigroup","Medicaid Managed Care","",,"37",,"100.47","100.47","212.74","percent of total billed charges",,
"7.5 TO 12.5 CM","12054","HCPCS","Both",,,"274.5","137.25","Caresource","Medicaid Managed Care","",,"40",,"109.8","100.47","212.74","percent of total billed charges",,
"7.5 TO 12.5 CM","12054","HCPCS","Both",,,"274.5","137.25","Wellcare","Medicaid Managed Care","",,"40",,"111.17","100.47","212.74","percent of total billed charges",,
"7.5 TO 12.5 CM","12054","HCPCS","Both",,,"274.5","137.25","Aetna","Commercial","",,"64",,"175.13","100.47","212.74","percent of total billed charges",,
"7.5 TO 12.5 CM","12054","HCPCS","Both",,,"274.5","137.25","Blue Cross Blue Shield","Pathways","",,"71",,"193.8","100.47","212.74","percent of total billed charges",,
"7.5 TO 12.5 CM","12054","HCPCS","Both",,,"274.5","137.25","Blue Cross Blue Shield","HMO","",,"71",,"193.8","100.47","212.74","percent of total billed charges",,
"7.5 TO 12.5 CM","12054","HCPCS","Both",,,"274.5","137.25","Blue Cross Blue Shield","PPO","",,"71",,"193.8","100.47","212.74","percent of total billed charges",,
"7.5 TO 12.5 CM","12054","HCPCS","Both",,,"274.5","137.25","Ambetter","Health Exchange","",,"62",,"170.19","100.47","212.74","percent of total billed charges",,
"7.5 TO 12.5 CM","12054","HCPCS","Both",,,"274.5","137.25","Caresource","Health Exchange","",,"62",,"170.19","100.47","212.74","percent of total billed charges",,
"7.5 TO 12.5 CM","12054","HCPCS","Both",,,"274.5","137.25","Cigna","Commercial","",,"59",,"160.86","100.47","212.74","percent of total billed charges",,
"7.5 TO 12.5 CM","12054","HCPCS","Both",,,"274.5","137.25","Humana","Commercial","",,"78",,"212.74","100.47","212.74","percent of total billed charges",,
"7.5 TO 12.5 CM","12054","HCPCS","Both",,,"274.5","137.25","UHC","Commercial","",,"75",,"206.97","100.47","212.74","percent of total billed charges",,
"7.5 TO 12.5 CM","12054","HCPCS","Both",,,"274.5","137.25","Medicaid",,"",,"37",,"100.47","100.47","212.74","percent of total billed charges",,
"REPAIR,COMPLEX,TRUNK 1.1CM TO 2.5CM","13100","HCPCS","Both",,,"1228.5","614.25","Alliant","Health Exchange","",,"62",,"761.67","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,TRUNK 1.1CM TO 2.5CM","13100","HCPCS","Both",,,"1228.5","614.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"663.39","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,TRUNK 1.1CM TO 2.5CM","13100","HCPCS","Both",,,"1228.5","614.25","Medicare",,"",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,TRUNK 1.1CM TO 2.5CM","13100","HCPCS","Both",,,"1228.5","614.25","Humana","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,TRUNK 1.1CM TO 2.5CM","13100","HCPCS","Both",,,"1228.5","614.25","UHC","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,TRUNK 1.1CM TO 2.5CM","13100","HCPCS","Both",,,"1228.5","614.25","Clover","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,TRUNK 1.1CM TO 2.5CM","13100","HCPCS","Both",,,"1228.5","614.25","Wellcare","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,TRUNK 1.1CM TO 2.5CM","13100","HCPCS","Both",,,"1228.5","614.25","Amerigroup","Medicaid Managed Care","",,"37",,"449.63","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,TRUNK 1.1CM TO 2.5CM","13100","HCPCS","Both",,,"1228.5","614.25","Caresource","Medicaid Managed Care","",,"40",,"491.4","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,TRUNK 1.1CM TO 2.5CM","13100","HCPCS","Both",,,"1228.5","614.25","Wellcare","Medicaid Managed Care","",,"40",,"497.54","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,TRUNK 1.1CM TO 2.5CM","13100","HCPCS","Both",,,"1228.5","614.25","Aetna","Commercial","",,"64",,"783.78","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,TRUNK 1.1CM TO 2.5CM","13100","HCPCS","Both",,,"1228.5","614.25","Blue Cross Blue Shield","Pathways","",,"71",,"867.32","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,TRUNK 1.1CM TO 2.5CM","13100","HCPCS","Both",,,"1228.5","614.25","Blue Cross Blue Shield","HMO","",,"71",,"867.32","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,TRUNK 1.1CM TO 2.5CM","13100","HCPCS","Both",,,"1228.5","614.25","Blue Cross Blue Shield","PPO","",,"71",,"867.32","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,TRUNK 1.1CM TO 2.5CM","13100","HCPCS","Both",,,"1228.5","614.25","Ambetter","Health Exchange","",,"62",,"761.67","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,TRUNK 1.1CM TO 2.5CM","13100","HCPCS","Both",,,"1228.5","614.25","Caresource","Health Exchange","",,"62",,"761.67","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,TRUNK 1.1CM TO 2.5CM","13100","HCPCS","Both",,,"1228.5","614.25","Cigna","Commercial","",,"59",,"719.9","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,TRUNK 1.1CM TO 2.5CM","13100","HCPCS","Both",,,"1228.5","614.25","Humana","Commercial","",,"78",,"952.09","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,TRUNK 1.1CM TO 2.5CM","13100","HCPCS","Both",,,"1228.5","614.25","UHC","Commercial","",,"75",,"926.29","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,TRUNK 1.1CM TO 2.5CM","13100","HCPCS","Both",,,"1228.5","614.25","Medicaid",,"",,"37",,"449.63","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,TRUNK 2.6CM TO 7.5CM","13101","HCPCS","Both",,,"1228.5","614.25","Alliant","Health Exchange","",,"62",,"761.67","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,TRUNK 2.6CM TO 7.5CM","13101","HCPCS","Both",,,"1228.5","614.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"663.39","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,TRUNK 2.6CM TO 7.5CM","13101","HCPCS","Both",,,"1228.5","614.25","Medicare",,"",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,TRUNK 2.6CM TO 7.5CM","13101","HCPCS","Both",,,"1228.5","614.25","Humana","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,TRUNK 2.6CM TO 7.5CM","13101","HCPCS","Both",,,"1228.5","614.25","UHC","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,TRUNK 2.6CM TO 7.5CM","13101","HCPCS","Both",,,"1228.5","614.25","Clover","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,TRUNK 2.6CM TO 7.5CM","13101","HCPCS","Both",,,"1228.5","614.25","Wellcare","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,TRUNK 2.6CM TO 7.5CM","13101","HCPCS","Both",,,"1228.5","614.25","Amerigroup","Medicaid Managed Care","",,"37",,"449.63","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,TRUNK 2.6CM TO 7.5CM","13101","HCPCS","Both",,,"1228.5","614.25","Caresource","Medicaid Managed Care","",,"40",,"491.4","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,TRUNK 2.6CM TO 7.5CM","13101","HCPCS","Both",,,"1228.5","614.25","Wellcare","Medicaid Managed Care","",,"40",,"497.54","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,TRUNK 2.6CM TO 7.5CM","13101","HCPCS","Both",,,"1228.5","614.25","Aetna","Commercial","",,"64",,"783.78","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,TRUNK 2.6CM TO 7.5CM","13101","HCPCS","Both",,,"1228.5","614.25","Blue Cross Blue Shield","Pathways","",,"71",,"867.32","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,TRUNK 2.6CM TO 7.5CM","13101","HCPCS","Both",,,"1228.5","614.25","Blue Cross Blue Shield","HMO","",,"71",,"867.32","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,TRUNK 2.6CM TO 7.5CM","13101","HCPCS","Both",,,"1228.5","614.25","Blue Cross Blue Shield","PPO","",,"71",,"867.32","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,TRUNK 2.6CM TO 7.5CM","13101","HCPCS","Both",,,"1228.5","614.25","Ambetter","Health Exchange","",,"62",,"761.67","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,TRUNK 2.6CM TO 7.5CM","13101","HCPCS","Both",,,"1228.5","614.25","Caresource","Health Exchange","",,"62",,"761.67","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,TRUNK 2.6CM TO 7.5CM","13101","HCPCS","Both",,,"1228.5","614.25","Cigna","Commercial","",,"59",,"719.9","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,TRUNK 2.6CM TO 7.5CM","13101","HCPCS","Both",,,"1228.5","614.25","Humana","Commercial","",,"78",,"952.09","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,TRUNK 2.6CM TO 7.5CM","13101","HCPCS","Both",,,"1228.5","614.25","UHC","Commercial","",,"75",,"926.29","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,TRUNK 2.6CM TO 7.5CM","13101","HCPCS","Both",,,"1228.5","614.25","Medicaid",,"",,"37",,"449.63","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13120","HCPCS","Both",,,"785.5","392.75","Alliant","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13120","HCPCS","Both",,,"785.5","392.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"424.17","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13120","HCPCS","Both",,,"785.5","392.75","Medicare",,"",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13120","HCPCS","Both",,,"785.5","392.75","Humana","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13120","HCPCS","Both",,,"785.5","392.75","UHC","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13120","HCPCS","Both",,,"785.5","392.75","Clover","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13120","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13120","HCPCS","Both",,,"785.5","392.75","Amerigroup","Medicaid Managed Care","",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13120","HCPCS","Both",,,"785.5","392.75","Caresource","Medicaid Managed Care","",,"40",,"314.2","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13120","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicaid Managed Care","",,"40",,"318.13","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13120","HCPCS","Both",,,"785.5","392.75","Aetna","Commercial","",,"64",,"501.15","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13120","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","Pathways","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13120","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","HMO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13120","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","PPO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13120","HCPCS","Both",,,"785.5","392.75","Ambetter","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13120","HCPCS","Both",,,"785.5","392.75","Caresource","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13120","HCPCS","Both",,,"785.5","392.75","Cigna","Commercial","",,"59",,"460.3","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13120","HCPCS","Both",,,"785.5","392.75","Humana","Commercial","",,"78",,"608.76","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13120","HCPCS","Both",,,"785.5","392.75","UHC","Commercial","",,"75",,"592.27","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13120","HCPCS","Both",,,"785.5","392.75","Medicaid",,"",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13121","HCPCS","Both",,,"785.5","392.75","Alliant","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13121","HCPCS","Both",,,"785.5","392.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"424.17","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13121","HCPCS","Both",,,"785.5","392.75","Medicare",,"",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13121","HCPCS","Both",,,"785.5","392.75","Humana","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13121","HCPCS","Both",,,"785.5","392.75","UHC","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13121","HCPCS","Both",,,"785.5","392.75","Clover","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13121","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13121","HCPCS","Both",,,"785.5","392.75","Amerigroup","Medicaid Managed Care","",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13121","HCPCS","Both",,,"785.5","392.75","Caresource","Medicaid Managed Care","",,"40",,"314.2","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13121","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicaid Managed Care","",,"40",,"318.13","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13121","HCPCS","Both",,,"785.5","392.75","Aetna","Commercial","",,"64",,"501.15","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13121","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","Pathways","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13121","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","HMO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13121","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","PPO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13121","HCPCS","Both",,,"785.5","392.75","Ambetter","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13121","HCPCS","Both",,,"785.5","392.75","Caresource","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13121","HCPCS","Both",,,"785.5","392.75","Cigna","Commercial","",,"59",,"460.3","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13121","HCPCS","Both",,,"785.5","392.75","Humana","Commercial","",,"78",,"608.76","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13121","HCPCS","Both",,,"785.5","392.75","UHC","Commercial","",,"75",,"592.27","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13121","HCPCS","Both",,,"785.5","392.75","Medicaid",,"",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,FOREHEAD/CHEEKS/CHIN/MOUT","13131","HCPCS","Both",,,"785.5","392.75","Alliant","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,FOREHEAD/CHEEKS/CHIN/MOUT","13131","HCPCS","Both",,,"785.5","392.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"424.17","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,FOREHEAD/CHEEKS/CHIN/MOUT","13131","HCPCS","Both",,,"785.5","392.75","Medicare",,"",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,FOREHEAD/CHEEKS/CHIN/MOUT","13131","HCPCS","Both",,,"785.5","392.75","Humana","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,FOREHEAD/CHEEKS/CHIN/MOUT","13131","HCPCS","Both",,,"785.5","392.75","UHC","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,FOREHEAD/CHEEKS/CHIN/MOUT","13131","HCPCS","Both",,,"785.5","392.75","Clover","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,FOREHEAD/CHEEKS/CHIN/MOUT","13131","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,FOREHEAD/CHEEKS/CHIN/MOUT","13131","HCPCS","Both",,,"785.5","392.75","Amerigroup","Medicaid Managed Care","",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,FOREHEAD/CHEEKS/CHIN/MOUT","13131","HCPCS","Both",,,"785.5","392.75","Caresource","Medicaid Managed Care","",,"40",,"314.2","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,FOREHEAD/CHEEKS/CHIN/MOUT","13131","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicaid Managed Care","",,"40",,"318.13","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,FOREHEAD/CHEEKS/CHIN/MOUT","13131","HCPCS","Both",,,"785.5","392.75","Aetna","Commercial","",,"64",,"501.15","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,FOREHEAD/CHEEKS/CHIN/MOUT","13131","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","Pathways","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,FOREHEAD/CHEEKS/CHIN/MOUT","13131","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","HMO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,FOREHEAD/CHEEKS/CHIN/MOUT","13131","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","PPO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,FOREHEAD/CHEEKS/CHIN/MOUT","13131","HCPCS","Both",,,"785.5","392.75","Ambetter","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,FOREHEAD/CHEEKS/CHIN/MOUT","13131","HCPCS","Both",,,"785.5","392.75","Caresource","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,FOREHEAD/CHEEKS/CHIN/MOUT","13131","HCPCS","Both",,,"785.5","392.75","Cigna","Commercial","",,"59",,"460.3","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,FOREHEAD/CHEEKS/CHIN/MOUT","13131","HCPCS","Both",,,"785.5","392.75","Humana","Commercial","",,"78",,"608.76","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,FOREHEAD/CHEEKS/CHIN/MOUT","13131","HCPCS","Both",,,"785.5","392.75","UHC","Commercial","",,"75",,"592.27","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,FOREHEAD/CHEEKS/CHIN/MOUT","13131","HCPCS","Both",,,"785.5","392.75","Medicaid",,"",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"2.6 TO 7.5 CM","13132","HCPCS","Both",,,"1228.5","614.25","Alliant","Health Exchange","",,"62",,"761.67","449.63","952.09","percent of total billed charges",,
"2.6 TO 7.5 CM","13132","HCPCS","Both",,,"1228.5","614.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"663.39","449.63","952.09","percent of total billed charges",,
"2.6 TO 7.5 CM","13132","HCPCS","Both",,,"1228.5","614.25","Medicare",,"",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"2.6 TO 7.5 CM","13132","HCPCS","Both",,,"1228.5","614.25","Humana","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"2.6 TO 7.5 CM","13132","HCPCS","Both",,,"1228.5","614.25","UHC","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"2.6 TO 7.5 CM","13132","HCPCS","Both",,,"1228.5","614.25","Clover","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"2.6 TO 7.5 CM","13132","HCPCS","Both",,,"1228.5","614.25","Wellcare","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"2.6 TO 7.5 CM","13132","HCPCS","Both",,,"1228.5","614.25","Amerigroup","Medicaid Managed Care","",,"37",,"449.63","449.63","952.09","percent of total billed charges",,
"2.6 TO 7.5 CM","13132","HCPCS","Both",,,"1228.5","614.25","Caresource","Medicaid Managed Care","",,"40",,"491.4","449.63","952.09","percent of total billed charges",,
"2.6 TO 7.5 CM","13132","HCPCS","Both",,,"1228.5","614.25","Wellcare","Medicaid Managed Care","",,"40",,"497.54","449.63","952.09","percent of total billed charges",,
"2.6 TO 7.5 CM","13132","HCPCS","Both",,,"1228.5","614.25","Aetna","Commercial","",,"64",,"783.78","449.63","952.09","percent of total billed charges",,
"2.6 TO 7.5 CM","13132","HCPCS","Both",,,"1228.5","614.25","Blue Cross Blue Shield","Pathways","",,"71",,"867.32","449.63","952.09","percent of total billed charges",,
"2.6 TO 7.5 CM","13132","HCPCS","Both",,,"1228.5","614.25","Blue Cross Blue Shield","HMO","",,"71",,"867.32","449.63","952.09","percent of total billed charges",,
"2.6 TO 7.5 CM","13132","HCPCS","Both",,,"1228.5","614.25","Blue Cross Blue Shield","PPO","",,"71",,"867.32","449.63","952.09","percent of total billed charges",,
"2.6 TO 7.5 CM","13132","HCPCS","Both",,,"1228.5","614.25","Ambetter","Health Exchange","",,"62",,"761.67","449.63","952.09","percent of total billed charges",,
"2.6 TO 7.5 CM","13132","HCPCS","Both",,,"1228.5","614.25","Caresource","Health Exchange","",,"62",,"761.67","449.63","952.09","percent of total billed charges",,
"2.6 TO 7.5 CM","13132","HCPCS","Both",,,"1228.5","614.25","Cigna","Commercial","",,"59",,"719.9","449.63","952.09","percent of total billed charges",,
"2.6 TO 7.5 CM","13132","HCPCS","Both",,,"1228.5","614.25","Humana","Commercial","",,"78",,"952.09","449.63","952.09","percent of total billed charges",,
"2.6 TO 7.5 CM","13132","HCPCS","Both",,,"1228.5","614.25","UHC","Commercial","",,"75",,"926.29","449.63","952.09","percent of total billed charges",,
"2.6 TO 7.5 CM","13132","HCPCS","Both",,,"1228.5","614.25","Medicaid",,"",,"37",,"449.63","449.63","952.09","percent of total billed charges",,
"CENTRAL VENOUS CATH UNDER AGE 5","36555","HCPCS","Both",,,"2454.5","1227.25","Alliant","Health Exchange","",,"62",,"1521.79","898.35","1902.24","percent of total billed charges",,
"CENTRAL VENOUS CATH UNDER AGE 5","36555","HCPCS","Both",,,"2454.5","1227.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"1325.43","898.35","1902.24","percent of total billed charges",,
"CENTRAL VENOUS CATH UNDER AGE 5","36555","HCPCS","Both",,,"2454.5","1227.25","Medicare",,"",,"54",,"1330.34","898.35","1902.24","percent of total billed charges",,
"CENTRAL VENOUS CATH UNDER AGE 5","36555","HCPCS","Both",,,"2454.5","1227.25","Humana","Medicare Advantage","",,"54",,"1330.34","898.35","1902.24","percent of total billed charges",,
"CENTRAL VENOUS CATH UNDER AGE 5","36555","HCPCS","Both",,,"2454.5","1227.25","UHC","Medicare Advantage","",,"54",,"1330.34","898.35","1902.24","percent of total billed charges",,
"CENTRAL VENOUS CATH UNDER AGE 5","36555","HCPCS","Both",,,"2454.5","1227.25","Clover","Medicare Advantage","",,"54",,"1330.34","898.35","1902.24","percent of total billed charges",,
"CENTRAL VENOUS CATH UNDER AGE 5","36555","HCPCS","Both",,,"2454.5","1227.25","Wellcare","Medicare Advantage","",,"54",,"1330.34","898.35","1902.24","percent of total billed charges",,
"CENTRAL VENOUS CATH UNDER AGE 5","36555","HCPCS","Both",,,"2454.5","1227.25","Amerigroup","Medicaid Managed Care","",,"37",,"898.35","898.35","1902.24","percent of total billed charges",,
"CENTRAL VENOUS CATH UNDER AGE 5","36555","HCPCS","Both",,,"2454.5","1227.25","Caresource","Medicaid Managed Care","",,"40",,"981.8","898.35","1902.24","percent of total billed charges",,
"CENTRAL VENOUS CATH UNDER AGE 5","36555","HCPCS","Both",,,"2454.5","1227.25","Wellcare","Medicaid Managed Care","",,"40",,"994.07","898.35","1902.24","percent of total billed charges",,
"CENTRAL VENOUS CATH UNDER AGE 5","36555","HCPCS","Both",,,"2454.5","1227.25","Aetna","Commercial","",,"64",,"1565.97","898.35","1902.24","percent of total billed charges",,
"CENTRAL VENOUS CATH UNDER AGE 5","36555","HCPCS","Both",,,"2454.5","1227.25","Blue Cross Blue Shield","Pathways","",,"71",,"1732.88","898.35","1902.24","percent of total billed charges",,
"CENTRAL VENOUS CATH UNDER AGE 5","36555","HCPCS","Both",,,"2454.5","1227.25","Blue Cross Blue Shield","HMO","",,"71",,"1732.88","898.35","1902.24","percent of total billed charges",,
"CENTRAL VENOUS CATH UNDER AGE 5","36555","HCPCS","Both",,,"2454.5","1227.25","Blue Cross Blue Shield","PPO","",,"71",,"1732.88","898.35","1902.24","percent of total billed charges",,
"CENTRAL VENOUS CATH UNDER AGE 5","36555","HCPCS","Both",,,"2454.5","1227.25","Ambetter","Health Exchange","",,"62",,"1521.79","898.35","1902.24","percent of total billed charges",,
"CENTRAL VENOUS CATH UNDER AGE 5","36555","HCPCS","Both",,,"2454.5","1227.25","Caresource","Health Exchange","",,"62",,"1521.79","898.35","1902.24","percent of total billed charges",,
"CENTRAL VENOUS CATH UNDER AGE 5","36555","HCPCS","Both",,,"2454.5","1227.25","Cigna","Commercial","",,"59",,"1438.34","898.35","1902.24","percent of total billed charges",,
"CENTRAL VENOUS CATH UNDER AGE 5","36555","HCPCS","Both",,,"2454.5","1227.25","Humana","Commercial","",,"78",,"1902.24","898.35","1902.24","percent of total billed charges",,
"CENTRAL VENOUS CATH UNDER AGE 5","36555","HCPCS","Both",,,"2454.5","1227.25","UHC","Commercial","",,"75",,"1850.69","898.35","1902.24","percent of total billed charges",,
"CENTRAL VENOUS CATH UNDER AGE 5","36555","HCPCS","Both",,,"2454.5","1227.25","Medicaid",,"",,"37",,"898.35","898.35","1902.24","percent of total billed charges",,
"CENTRAL VENOUS CATH AGE 5 OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Alliant","Health Exchange","",,"62",,"1220.47","720.47","1525.59","percent of total billed charges",,
"CENTRAL VENOUS CATH AGE 5 OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"1062.99","720.47","1525.59","percent of total billed charges",,
"CENTRAL VENOUS CATH AGE 5 OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Medicare",,"",,"54",,"1066.93","720.47","1525.59","percent of total billed charges",,
"CENTRAL VENOUS CATH AGE 5 OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Humana","Medicare Advantage","",,"54",,"1066.93","720.47","1525.59","percent of total billed charges",,
"CENTRAL VENOUS CATH AGE 5 OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","UHC","Medicare Advantage","",,"54",,"1066.93","720.47","1525.59","percent of total billed charges",,
"CENTRAL VENOUS CATH AGE 5 OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Clover","Medicare Advantage","",,"54",,"1066.93","720.47","1525.59","percent of total billed charges",,
"CENTRAL VENOUS CATH AGE 5 OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Wellcare","Medicare Advantage","",,"54",,"1066.93","720.47","1525.59","percent of total billed charges",,
"CENTRAL VENOUS CATH AGE 5 OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Amerigroup","Medicaid Managed Care","",,"37",,"720.47","720.47","1525.59","percent of total billed charges",,
"CENTRAL VENOUS CATH AGE 5 OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Caresource","Medicaid Managed Care","",,"40",,"787.4","720.47","1525.59","percent of total billed charges",,
"CENTRAL VENOUS CATH AGE 5 OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Wellcare","Medicaid Managed Care","",,"40",,"797.24","720.47","1525.59","percent of total billed charges",,
"CENTRAL VENOUS CATH AGE 5 OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Aetna","Commercial","",,"64",,"1255.9","720.47","1525.59","percent of total billed charges",,
"CENTRAL VENOUS CATH AGE 5 OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Blue Cross Blue Shield","Pathways","",,"71",,"1389.76","720.47","1525.59","percent of total billed charges",,
"CENTRAL VENOUS CATH AGE 5 OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Blue Cross Blue Shield","HMO","",,"71",,"1389.76","720.47","1525.59","percent of total billed charges",,
"CENTRAL VENOUS CATH AGE 5 OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Blue Cross Blue Shield","PPO","",,"71",,"1389.76","720.47","1525.59","percent of total billed charges",,
"CENTRAL VENOUS CATH AGE 5 OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Ambetter","Health Exchange","",,"62",,"1220.47","720.47","1525.59","percent of total billed charges",,
"CENTRAL VENOUS CATH AGE 5 OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Caresource","Health Exchange","",,"62",,"1220.47","720.47","1525.59","percent of total billed charges",,
"CENTRAL VENOUS CATH AGE 5 OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Cigna","Commercial","",,"59",,"1153.54","720.47","1525.59","percent of total billed charges",,
"CENTRAL VENOUS CATH AGE 5 OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Humana","Commercial","",,"78",,"1525.59","720.47","1525.59","percent of total billed charges",,
"CENTRAL VENOUS CATH AGE 5 OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","UHC","Commercial","",,"75",,"1484.25","720.47","1525.59","percent of total billed charges",,
"CENTRAL VENOUS CATH AGE 5 OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Medicaid",,"",,"37",,"720.47","720.47","1525.59","percent of total billed charges",,
"GASTROSTOMY TUBE, REPOSITION","43761","HCPCS","Both",,,"1946.5","973.25","Alliant","Health Exchange","",,"62",,"1206.83","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE, REPOSITION","43761","HCPCS","Both",,,"1946.5","973.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"1051.11","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE, REPOSITION","43761","HCPCS","Both",,,"1946.5","973.25","Medicare",,"",,"54",,"1055","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE, REPOSITION","43761","HCPCS","Both",,,"1946.5","973.25","Humana","Medicare Advantage","",,"54",,"1055","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE, REPOSITION","43761","HCPCS","Both",,,"1946.5","973.25","UHC","Medicare Advantage","",,"54",,"1055","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE, REPOSITION","43761","HCPCS","Both",,,"1946.5","973.25","Clover","Medicare Advantage","",,"54",,"1055","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE, REPOSITION","43761","HCPCS","Both",,,"1946.5","973.25","Wellcare","Medicare Advantage","",,"54",,"1055","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE, REPOSITION","43761","HCPCS","Both",,,"1946.5","973.25","Amerigroup","Medicaid Managed Care","",,"37",,"712.42","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE, REPOSITION","43761","HCPCS","Both",,,"1946.5","973.25","Caresource","Medicaid Managed Care","",,"40",,"778.6","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE, REPOSITION","43761","HCPCS","Both",,,"1946.5","973.25","Wellcare","Medicaid Managed Care","",,"40",,"788.33","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE, REPOSITION","43761","HCPCS","Both",,,"1946.5","973.25","Aetna","Commercial","",,"64",,"1241.87","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE, REPOSITION","43761","HCPCS","Both",,,"1946.5","973.25","Blue Cross Blue Shield","Pathways","",,"71",,"1374.23","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE, REPOSITION","43761","HCPCS","Both",,,"1946.5","973.25","Blue Cross Blue Shield","HMO","",,"71",,"1374.23","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE, REPOSITION","43761","HCPCS","Both",,,"1946.5","973.25","Blue Cross Blue Shield","PPO","",,"71",,"1374.23","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE, REPOSITION","43761","HCPCS","Both",,,"1946.5","973.25","Ambetter","Health Exchange","",,"62",,"1206.83","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE, REPOSITION","43761","HCPCS","Both",,,"1946.5","973.25","Caresource","Health Exchange","",,"62",,"1206.83","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE, REPOSITION","43761","HCPCS","Both",,,"1946.5","973.25","Cigna","Commercial","",,"59",,"1140.65","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE, REPOSITION","43761","HCPCS","Both",,,"1946.5","973.25","Humana","Commercial","",,"78",,"1508.54","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE, REPOSITION","43761","HCPCS","Both",,,"1946.5","973.25","UHC","Commercial","",,"75",,"1467.66","712.42","1508.54","percent of total billed charges",,
"GASTROSTOMY TUBE, REPOSITION","43761","HCPCS","Both",,,"1946.5","973.25","Medicaid",,"",,"37",,"712.42","712.42","1508.54","percent of total billed charges",,
"PUNCTURE ASPIRATION ABSCESS,HEMA,CYST","10160","HCPCS","Both",,,"392","196","Alliant","Health Exchange","",,"62",,"243.04","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION ABSCESS,HEMA,CYST","10160","HCPCS","Both",,,"392","196","Pruitt Healthcare","Medicare Advantage","",,"54",,"211.68","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION ABSCESS,HEMA,CYST","10160","HCPCS","Both",,,"392","196","Medicare",,"",,"54",,"212.46","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION ABSCESS,HEMA,CYST","10160","HCPCS","Both",,,"392","196","Humana","Medicare Advantage","",,"54",,"212.46","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION ABSCESS,HEMA,CYST","10160","HCPCS","Both",,,"392","196","UHC","Medicare Advantage","",,"54",,"212.46","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION ABSCESS,HEMA,CYST","10160","HCPCS","Both",,,"392","196","Clover","Medicare Advantage","",,"54",,"212.46","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION ABSCESS,HEMA,CYST","10160","HCPCS","Both",,,"392","196","Wellcare","Medicare Advantage","",,"54",,"212.46","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION ABSCESS,HEMA,CYST","10160","HCPCS","Both",,,"392","196","Amerigroup","Medicaid Managed Care","",,"37",,"143.47","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION ABSCESS,HEMA,CYST","10160","HCPCS","Both",,,"392","196","Caresource","Medicaid Managed Care","",,"40",,"156.8","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION ABSCESS,HEMA,CYST","10160","HCPCS","Both",,,"392","196","Wellcare","Medicaid Managed Care","",,"40",,"158.76","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION ABSCESS,HEMA,CYST","10160","HCPCS","Both",,,"392","196","Aetna","Commercial","",,"64",,"250.1","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION ABSCESS,HEMA,CYST","10160","HCPCS","Both",,,"392","196","Blue Cross Blue Shield","Pathways","",,"71",,"276.75","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION ABSCESS,HEMA,CYST","10160","HCPCS","Both",,,"392","196","Blue Cross Blue Shield","HMO","",,"71",,"276.75","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION ABSCESS,HEMA,CYST","10160","HCPCS","Both",,,"392","196","Blue Cross Blue Shield","PPO","",,"71",,"276.75","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION ABSCESS,HEMA,CYST","10160","HCPCS","Both",,,"392","196","Ambetter","Health Exchange","",,"62",,"243.04","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION ABSCESS,HEMA,CYST","10160","HCPCS","Both",,,"392","196","Caresource","Health Exchange","",,"62",,"243.04","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION ABSCESS,HEMA,CYST","10160","HCPCS","Both",,,"392","196","Cigna","Commercial","",,"59",,"229.71","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION ABSCESS,HEMA,CYST","10160","HCPCS","Both",,,"392","196","Humana","Commercial","",,"78",,"303.8","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION ABSCESS,HEMA,CYST","10160","HCPCS","Both",,,"392","196","UHC","Commercial","",,"75",,"295.57","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION ABSCESS,HEMA,CYST","10160","HCPCS","Both",,,"392","196","Medicaid",,"",,"37",,"143.47","143.47","303.8","percent of total billed charges",,
"REPAIR,COMPLEX,EYELIDS,NOSE,EARS,LIPS","13152","HCPCS","Both",,,"1228.5","614.25","Alliant","Health Exchange","",,"62",,"761.67","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,EYELIDS,NOSE,EARS,LIPS","13152","HCPCS","Both",,,"1228.5","614.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"663.39","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,EYELIDS,NOSE,EARS,LIPS","13152","HCPCS","Both",,,"1228.5","614.25","Medicare",,"",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,EYELIDS,NOSE,EARS,LIPS","13152","HCPCS","Both",,,"1228.5","614.25","Humana","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,EYELIDS,NOSE,EARS,LIPS","13152","HCPCS","Both",,,"1228.5","614.25","UHC","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,EYELIDS,NOSE,EARS,LIPS","13152","HCPCS","Both",,,"1228.5","614.25","Clover","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,EYELIDS,NOSE,EARS,LIPS","13152","HCPCS","Both",,,"1228.5","614.25","Wellcare","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,EYELIDS,NOSE,EARS,LIPS","13152","HCPCS","Both",,,"1228.5","614.25","Amerigroup","Medicaid Managed Care","",,"37",,"449.63","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,EYELIDS,NOSE,EARS,LIPS","13152","HCPCS","Both",,,"1228.5","614.25","Caresource","Medicaid Managed Care","",,"40",,"491.4","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,EYELIDS,NOSE,EARS,LIPS","13152","HCPCS","Both",,,"1228.5","614.25","Wellcare","Medicaid Managed Care","",,"40",,"497.54","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,EYELIDS,NOSE,EARS,LIPS","13152","HCPCS","Both",,,"1228.5","614.25","Aetna","Commercial","",,"64",,"783.78","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,EYELIDS,NOSE,EARS,LIPS","13152","HCPCS","Both",,,"1228.5","614.25","Blue Cross Blue Shield","Pathways","",,"71",,"867.32","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,EYELIDS,NOSE,EARS,LIPS","13152","HCPCS","Both",,,"1228.5","614.25","Blue Cross Blue Shield","HMO","",,"71",,"867.32","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,EYELIDS,NOSE,EARS,LIPS","13152","HCPCS","Both",,,"1228.5","614.25","Blue Cross Blue Shield","PPO","",,"71",,"867.32","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,EYELIDS,NOSE,EARS,LIPS","13152","HCPCS","Both",,,"1228.5","614.25","Ambetter","Health Exchange","",,"62",,"761.67","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,EYELIDS,NOSE,EARS,LIPS","13152","HCPCS","Both",,,"1228.5","614.25","Caresource","Health Exchange","",,"62",,"761.67","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,EYELIDS,NOSE,EARS,LIPS","13152","HCPCS","Both",,,"1228.5","614.25","Cigna","Commercial","",,"59",,"719.9","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,EYELIDS,NOSE,EARS,LIPS","13152","HCPCS","Both",,,"1228.5","614.25","Humana","Commercial","",,"78",,"952.09","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,EYELIDS,NOSE,EARS,LIPS","13152","HCPCS","Both",,,"1228.5","614.25","UHC","Commercial","",,"75",,"926.29","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,EYELIDS,NOSE,EARS,LIPS","13152","HCPCS","Both",,,"1228.5","614.25","Medicaid",,"",,"37",,"449.63","449.63","952.09","percent of total billed charges",,
"GASTRIC INTUBATION","43753","HCPCS","Both",,,"114","57","Alliant","Health Exchange","",,"62",,"70.68","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION","43753","HCPCS","Both",,,"114","57","Pruitt Healthcare","Medicare Advantage","",,"54",,"61.56","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION","43753","HCPCS","Both",,,"114","57","Medicare",,"",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION","43753","HCPCS","Both",,,"114","57","Humana","Medicare Advantage","",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION","43753","HCPCS","Both",,,"114","57","UHC","Medicare Advantage","",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION","43753","HCPCS","Both",,,"114","57","Clover","Medicare Advantage","",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION","43753","HCPCS","Both",,,"114","57","Wellcare","Medicare Advantage","",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION","43753","HCPCS","Both",,,"114","57","Amerigroup","Medicaid Managed Care","",,"37",,"41.72","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION","43753","HCPCS","Both",,,"114","57","Caresource","Medicaid Managed Care","",,"40",,"45.6","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION","43753","HCPCS","Both",,,"114","57","Wellcare","Medicaid Managed Care","",,"40",,"46.17","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION","43753","HCPCS","Both",,,"114","57","Aetna","Commercial","",,"64",,"72.73","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION","43753","HCPCS","Both",,,"114","57","Blue Cross Blue Shield","Pathways","",,"71",,"80.48","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION","43753","HCPCS","Both",,,"114","57","Blue Cross Blue Shield","HMO","",,"71",,"80.48","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION","43753","HCPCS","Both",,,"114","57","Blue Cross Blue Shield","PPO","",,"71",,"80.48","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION","43753","HCPCS","Both",,,"114","57","Ambetter","Health Exchange","",,"62",,"70.68","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION","43753","HCPCS","Both",,,"114","57","Caresource","Health Exchange","",,"62",,"70.68","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION","43753","HCPCS","Both",,,"114","57","Cigna","Commercial","",,"59",,"66.8","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION","43753","HCPCS","Both",,,"114","57","Humana","Commercial","",,"78",,"88.35","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION","43753","HCPCS","Both",,,"114","57","UHC","Commercial","",,"75",,"85.96","41.72","88.35","percent of total billed charges",,
"GASTRIC INTUBATION","43753","HCPCS","Both",,,"114","57","Medicaid",,"",,"37",,"41.72","41.72","88.35","percent of total billed charges",,
"ARTHROCENTESIS,INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Alliant","Health Exchange","",,"62",,"353.71","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"308.07","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Medicare",,"",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Humana","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","UHC","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Clover","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Wellcare","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Amerigroup","Medicaid Managed Care","",,"37",,"208.8","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Caresource","Medicaid Managed Care","",,"40",,"228.2","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Wellcare","Medicaid Managed Care","",,"40",,"231.05","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Aetna","Commercial","",,"64",,"363.98","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Blue Cross Blue Shield","Pathways","",,"71",,"402.77","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Blue Cross Blue Shield","HMO","",,"71",,"402.77","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Blue Cross Blue Shield","PPO","",,"71",,"402.77","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Ambetter","Health Exchange","",,"62",,"353.71","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Caresource","Health Exchange","",,"62",,"353.71","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Cigna","Commercial","",,"59",,"334.31","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Humana","Commercial","",,"78",,"442.14","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","UHC","Commercial","",,"75",,"430.16","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Medicaid",,"",,"37",,"208.8","208.8","442.14","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Alliant","Health Exchange","",,"62",,"83.08","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Pruitt Healthcare","Medicare Advantage","",,"54",,"72.36","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Medicare",,"",,"54",,"72.63","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Humana","Medicare Advantage","",,"54",,"72.63","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","UHC","Medicare Advantage","",,"54",,"72.63","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Clover","Medicare Advantage","",,"54",,"72.63","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Wellcare","Medicare Advantage","",,"54",,"72.63","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Amerigroup","Medicaid Managed Care","",,"37",,"49.04","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Caresource","Medicaid Managed Care","",,"40",,"53.6","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Wellcare","Medicaid Managed Care","",,"40",,"54.27","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Aetna","Commercial","",,"64",,"85.49","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Blue Cross Blue Shield","Pathways","",,"71",,"94.6","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Blue Cross Blue Shield","HMO","",,"71",,"94.6","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Blue Cross Blue Shield","PPO","",,"71",,"94.6","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Ambetter","Health Exchange","",,"62",,"83.08","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Caresource","Health Exchange","",,"62",,"83.08","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Cigna","Commercial","",,"59",,"78.52","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Humana","Commercial","",,"78",,"103.85","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","UHC","Commercial","",,"75",,"101.04","49.04","103.85","percent of total billed charges",,
"INCISION OF THROMBOSED HEMORRHOID,EXTERN","46083","HCPCS","Both",,,"134","67","Medicaid",,"",,"37",,"49.04","49.04","103.85","percent of total billed charges",,
"ARTHROCENTESIS; MAJOR JOINT OR BURSA","20610","HCPCS","Both",,,"57.5","28.75","Alliant","Health Exchange","",,"62",,"35.65","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS; MAJOR JOINT OR BURSA","20610","HCPCS","Both",,,"57.5","28.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"31.05","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS; MAJOR JOINT OR BURSA","20610","HCPCS","Both",,,"57.5","28.75","Medicare",,"",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS; MAJOR JOINT OR BURSA","20610","HCPCS","Both",,,"57.5","28.75","Humana","Medicare Advantage","",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS; MAJOR JOINT OR BURSA","20610","HCPCS","Both",,,"57.5","28.75","UHC","Medicare Advantage","",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS; MAJOR JOINT OR BURSA","20610","HCPCS","Both",,,"57.5","28.75","Clover","Medicare Advantage","",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS; MAJOR JOINT OR BURSA","20610","HCPCS","Both",,,"57.5","28.75","Wellcare","Medicare Advantage","",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS; MAJOR JOINT OR BURSA","20610","HCPCS","Both",,,"57.5","28.75","Amerigroup","Medicaid Managed Care","",,"37",,"21.04","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS; MAJOR JOINT OR BURSA","20610","HCPCS","Both",,,"57.5","28.75","Caresource","Medicaid Managed Care","",,"40",,"23","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS; MAJOR JOINT OR BURSA","20610","HCPCS","Both",,,"57.5","28.75","Wellcare","Medicaid Managed Care","",,"40",,"23.29","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS; MAJOR JOINT OR BURSA","20610","HCPCS","Both",,,"57.5","28.75","Aetna","Commercial","",,"64",,"36.68","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS; MAJOR JOINT OR BURSA","20610","HCPCS","Both",,,"57.5","28.75","Blue Cross Blue Shield","Pathways","",,"71",,"40.6","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS; MAJOR JOINT OR BURSA","20610","HCPCS","Both",,,"57.5","28.75","Blue Cross Blue Shield","HMO","",,"71",,"40.6","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS; MAJOR JOINT OR BURSA","20610","HCPCS","Both",,,"57.5","28.75","Blue Cross Blue Shield","PPO","",,"71",,"40.6","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS; MAJOR JOINT OR BURSA","20610","HCPCS","Both",,,"57.5","28.75","Ambetter","Health Exchange","",,"62",,"35.65","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS; MAJOR JOINT OR BURSA","20610","HCPCS","Both",,,"57.5","28.75","Caresource","Health Exchange","",,"62",,"35.65","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS; MAJOR JOINT OR BURSA","20610","HCPCS","Both",,,"57.5","28.75","Cigna","Commercial","",,"59",,"33.7","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS; MAJOR JOINT OR BURSA","20610","HCPCS","Both",,,"57.5","28.75","Humana","Commercial","",,"78",,"44.56","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS; MAJOR JOINT OR BURSA","20610","HCPCS","Both",,,"57.5","28.75","UHC","Commercial","",,"75",,"43.36","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS; MAJOR JOINT OR BURSA","20610","HCPCS","Both",,,"57.5","28.75","Medicaid",,"",,"37",,"21.04","21.04","44.56","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,COMPLE","30903","HCPCS","Both",,,"244","122","Alliant","Health Exchange","",,"62",,"151.28","89.3","189.1","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,COMPLE","30903","HCPCS","Both",,,"244","122","Pruitt Healthcare","Medicare Advantage","",,"54",,"131.76","89.3","189.1","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,COMPLE","30903","HCPCS","Both",,,"244","122","Medicare",,"",,"54",,"132.25","89.3","189.1","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,COMPLE","30903","HCPCS","Both",,,"244","122","Humana","Medicare Advantage","",,"54",,"132.25","89.3","189.1","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,COMPLE","30903","HCPCS","Both",,,"244","122","UHC","Medicare Advantage","",,"54",,"132.25","89.3","189.1","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,COMPLE","30903","HCPCS","Both",,,"244","122","Clover","Medicare Advantage","",,"54",,"132.25","89.3","189.1","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,COMPLE","30903","HCPCS","Both",,,"244","122","Wellcare","Medicare Advantage","",,"54",,"132.25","89.3","189.1","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,COMPLE","30903","HCPCS","Both",,,"244","122","Amerigroup","Medicaid Managed Care","",,"37",,"89.3","89.3","189.1","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,COMPLE","30903","HCPCS","Both",,,"244","122","Caresource","Medicaid Managed Care","",,"40",,"97.6","89.3","189.1","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,COMPLE","30903","HCPCS","Both",,,"244","122","Wellcare","Medicaid Managed Care","",,"40",,"98.82","89.3","189.1","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,COMPLE","30903","HCPCS","Both",,,"244","122","Aetna","Commercial","",,"64",,"155.67","89.3","189.1","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,COMPLE","30903","HCPCS","Both",,,"244","122","Blue Cross Blue Shield","Pathways","",,"71",,"172.26","89.3","189.1","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,COMPLE","30903","HCPCS","Both",,,"244","122","Blue Cross Blue Shield","HMO","",,"71",,"172.26","89.3","189.1","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,COMPLE","30903","HCPCS","Both",,,"244","122","Blue Cross Blue Shield","PPO","",,"71",,"172.26","89.3","189.1","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,COMPLE","30903","HCPCS","Both",,,"244","122","Ambetter","Health Exchange","",,"62",,"151.28","89.3","189.1","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,COMPLE","30903","HCPCS","Both",,,"244","122","Caresource","Health Exchange","",,"62",,"151.28","89.3","189.1","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,COMPLE","30903","HCPCS","Both",,,"244","122","Cigna","Commercial","",,"59",,"142.98","89.3","189.1","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,COMPLE","30903","HCPCS","Both",,,"244","122","Humana","Commercial","",,"78",,"189.1","89.3","189.1","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,COMPLE","30903","HCPCS","Both",,,"244","122","UHC","Commercial","",,"75",,"183.98","89.3","189.1","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE,ANTERIOR,COMPLE","30903","HCPCS","Both",,,"244","122","Medicaid",,"",,"37",,"89.3","89.3","189.1","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26700","HCPCS","Both",,,"634.5","317.25","Alliant","Health Exchange","",,"62",,"393.39","232.23","491.74","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26700","HCPCS","Both",,,"634.5","317.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"342.63","232.23","491.74","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26700","HCPCS","Both",,,"634.5","317.25","Medicare",,"",,"54",,"343.9","232.23","491.74","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26700","HCPCS","Both",,,"634.5","317.25","Humana","Medicare Advantage","",,"54",,"343.9","232.23","491.74","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26700","HCPCS","Both",,,"634.5","317.25","UHC","Medicare Advantage","",,"54",,"343.9","232.23","491.74","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26700","HCPCS","Both",,,"634.5","317.25","Clover","Medicare Advantage","",,"54",,"343.9","232.23","491.74","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26700","HCPCS","Both",,,"634.5","317.25","Wellcare","Medicare Advantage","",,"54",,"343.9","232.23","491.74","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26700","HCPCS","Both",,,"634.5","317.25","Amerigroup","Medicaid Managed Care","",,"37",,"232.23","232.23","491.74","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26700","HCPCS","Both",,,"634.5","317.25","Caresource","Medicaid Managed Care","",,"40",,"253.8","232.23","491.74","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26700","HCPCS","Both",,,"634.5","317.25","Wellcare","Medicaid Managed Care","",,"40",,"256.97","232.23","491.74","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26700","HCPCS","Both",,,"634.5","317.25","Aetna","Commercial","",,"64",,"404.81","232.23","491.74","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26700","HCPCS","Both",,,"634.5","317.25","Blue Cross Blue Shield","Pathways","",,"71",,"447.96","232.23","491.74","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26700","HCPCS","Both",,,"634.5","317.25","Blue Cross Blue Shield","HMO","",,"71",,"447.96","232.23","491.74","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26700","HCPCS","Both",,,"634.5","317.25","Blue Cross Blue Shield","PPO","",,"71",,"447.96","232.23","491.74","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26700","HCPCS","Both",,,"634.5","317.25","Ambetter","Health Exchange","",,"62",,"393.39","232.23","491.74","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26700","HCPCS","Both",,,"634.5","317.25","Caresource","Health Exchange","",,"62",,"393.39","232.23","491.74","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26700","HCPCS","Both",,,"634.5","317.25","Cigna","Commercial","",,"59",,"371.82","232.23","491.74","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26700","HCPCS","Both",,,"634.5","317.25","Humana","Commercial","",,"78",,"491.74","232.23","491.74","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26700","HCPCS","Both",,,"634.5","317.25","UHC","Commercial","",,"75",,"478.41","232.23","491.74","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26700","HCPCS","Both",,,"634.5","317.25","Medicaid",,"",,"37",,"232.23","232.23","491.74","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26705","HCPCS","Both",,,"966.5","483.25","Alliant","Health Exchange","",,"62",,"599.23","353.74","749.04","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26705","HCPCS","Both",,,"966.5","483.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"521.91","353.74","749.04","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26705","HCPCS","Both",,,"966.5","483.25","Medicare",,"",,"54",,"523.84","353.74","749.04","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26705","HCPCS","Both",,,"966.5","483.25","Humana","Medicare Advantage","",,"54",,"523.84","353.74","749.04","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26705","HCPCS","Both",,,"966.5","483.25","UHC","Medicare Advantage","",,"54",,"523.84","353.74","749.04","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26705","HCPCS","Both",,,"966.5","483.25","Clover","Medicare Advantage","",,"54",,"523.84","353.74","749.04","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26705","HCPCS","Both",,,"966.5","483.25","Wellcare","Medicare Advantage","",,"54",,"523.84","353.74","749.04","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26705","HCPCS","Both",,,"966.5","483.25","Amerigroup","Medicaid Managed Care","",,"37",,"353.74","353.74","749.04","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26705","HCPCS","Both",,,"966.5","483.25","Caresource","Medicaid Managed Care","",,"40",,"386.6","353.74","749.04","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26705","HCPCS","Both",,,"966.5","483.25","Wellcare","Medicaid Managed Care","",,"40",,"391.43","353.74","749.04","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26705","HCPCS","Both",,,"966.5","483.25","Aetna","Commercial","",,"64",,"616.63","353.74","749.04","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26705","HCPCS","Both",,,"966.5","483.25","Blue Cross Blue Shield","Pathways","",,"71",,"682.35","353.74","749.04","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26705","HCPCS","Both",,,"966.5","483.25","Blue Cross Blue Shield","HMO","",,"71",,"682.35","353.74","749.04","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26705","HCPCS","Both",,,"966.5","483.25","Blue Cross Blue Shield","PPO","",,"71",,"682.35","353.74","749.04","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26705","HCPCS","Both",,,"966.5","483.25","Ambetter","Health Exchange","",,"62",,"599.23","353.74","749.04","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26705","HCPCS","Both",,,"966.5","483.25","Caresource","Health Exchange","",,"62",,"599.23","353.74","749.04","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26705","HCPCS","Both",,,"966.5","483.25","Cigna","Commercial","",,"59",,"566.37","353.74","749.04","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26705","HCPCS","Both",,,"966.5","483.25","Humana","Commercial","",,"78",,"749.04","353.74","749.04","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26705","HCPCS","Both",,,"966.5","483.25","UHC","Commercial","",,"75",,"728.74","353.74","749.04","percent of total billed charges",,
"CLOSED TX MEACARPOPHALANGEAL DISLOCATION","26705","HCPCS","Both",,,"966.5","483.25","Medicaid",,"",,"37",,"353.74","353.74","749.04","percent of total billed charges",,
"COLPORRHAPHY, SUTURE OF VAGINA (NON-OB)","57200","HCPCS","Both",,,"4541.5","2270.75","Alliant","Health Exchange","",,"62",,"2815.73","1662.19","3519.66","percent of total billed charges",,
"COLPORRHAPHY, SUTURE OF VAGINA (NON-OB)","57200","HCPCS","Both",,,"4541.5","2270.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"2452.41","1662.19","3519.66","percent of total billed charges",,
"COLPORRHAPHY, SUTURE OF VAGINA (NON-OB)","57200","HCPCS","Both",,,"4541.5","2270.75","Medicare",,"",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"COLPORRHAPHY, SUTURE OF VAGINA (NON-OB)","57200","HCPCS","Both",,,"4541.5","2270.75","Humana","Medicare Advantage","",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"COLPORRHAPHY, SUTURE OF VAGINA (NON-OB)","57200","HCPCS","Both",,,"4541.5","2270.75","UHC","Medicare Advantage","",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"COLPORRHAPHY, SUTURE OF VAGINA (NON-OB)","57200","HCPCS","Both",,,"4541.5","2270.75","Clover","Medicare Advantage","",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"COLPORRHAPHY, SUTURE OF VAGINA (NON-OB)","57200","HCPCS","Both",,,"4541.5","2270.75","Wellcare","Medicare Advantage","",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"COLPORRHAPHY, SUTURE OF VAGINA (NON-OB)","57200","HCPCS","Both",,,"4541.5","2270.75","Amerigroup","Medicaid Managed Care","",,"37",,"1662.19","1662.19","3519.66","percent of total billed charges",,
"COLPORRHAPHY, SUTURE OF VAGINA (NON-OB)","57200","HCPCS","Both",,,"4541.5","2270.75","Caresource","Medicaid Managed Care","",,"40",,"1816.6","1662.19","3519.66","percent of total billed charges",,
"COLPORRHAPHY, SUTURE OF VAGINA (NON-OB)","57200","HCPCS","Both",,,"4541.5","2270.75","Wellcare","Medicaid Managed Care","",,"40",,"1839.31","1662.19","3519.66","percent of total billed charges",,
"COLPORRHAPHY, SUTURE OF VAGINA (NON-OB)","57200","HCPCS","Both",,,"4541.5","2270.75","Aetna","Commercial","",,"64",,"2897.48","1662.19","3519.66","percent of total billed charges",,
"COLPORRHAPHY, SUTURE OF VAGINA (NON-OB)","57200","HCPCS","Both",,,"4541.5","2270.75","Blue Cross Blue Shield","Pathways","",,"71",,"3206.3","1662.19","3519.66","percent of total billed charges",,
"COLPORRHAPHY, SUTURE OF VAGINA (NON-OB)","57200","HCPCS","Both",,,"4541.5","2270.75","Blue Cross Blue Shield","HMO","",,"71",,"3206.3","1662.19","3519.66","percent of total billed charges",,
"COLPORRHAPHY, SUTURE OF VAGINA (NON-OB)","57200","HCPCS","Both",,,"4541.5","2270.75","Blue Cross Blue Shield","PPO","",,"71",,"3206.3","1662.19","3519.66","percent of total billed charges",,
"COLPORRHAPHY, SUTURE OF VAGINA (NON-OB)","57200","HCPCS","Both",,,"4541.5","2270.75","Ambetter","Health Exchange","",,"62",,"2815.73","1662.19","3519.66","percent of total billed charges",,
"COLPORRHAPHY, SUTURE OF VAGINA (NON-OB)","57200","HCPCS","Both",,,"4541.5","2270.75","Caresource","Health Exchange","",,"62",,"2815.73","1662.19","3519.66","percent of total billed charges",,
"COLPORRHAPHY, SUTURE OF VAGINA (NON-OB)","57200","HCPCS","Both",,,"4541.5","2270.75","Cigna","Commercial","",,"59",,"2661.32","1662.19","3519.66","percent of total billed charges",,
"COLPORRHAPHY, SUTURE OF VAGINA (NON-OB)","57200","HCPCS","Both",,,"4541.5","2270.75","Humana","Commercial","",,"78",,"3519.66","1662.19","3519.66","percent of total billed charges",,
"COLPORRHAPHY, SUTURE OF VAGINA (NON-OB)","57200","HCPCS","Both",,,"4541.5","2270.75","UHC","Commercial","",,"75",,"3424.29","1662.19","3519.66","percent of total billed charges",,
"COLPORRHAPHY, SUTURE OF VAGINA (NON-OB)","57200","HCPCS","Both",,,"4541.5","2270.75","Medicaid",,"",,"37",,"1662.19","1662.19","3519.66","percent of total billed charges",,
"VENTILATION ASSIST & MANAGEMENT","94002","HCPCS","Both",,,"485.5","242.75","Alliant","Health Exchange","",,"62",,"301.01","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST & MANAGEMENT","94002","HCPCS","Both",,,"485.5","242.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"262.17","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST & MANAGEMENT","94002","HCPCS","Both",,,"485.5","242.75","Medicare",,"",,"54",,"263.14","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST & MANAGEMENT","94002","HCPCS","Both",,,"485.5","242.75","Humana","Medicare Advantage","",,"54",,"263.14","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST & MANAGEMENT","94002","HCPCS","Both",,,"485.5","242.75","UHC","Medicare Advantage","",,"54",,"263.14","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST & MANAGEMENT","94002","HCPCS","Both",,,"485.5","242.75","Clover","Medicare Advantage","",,"54",,"263.14","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST & MANAGEMENT","94002","HCPCS","Both",,,"485.5","242.75","Wellcare","Medicare Advantage","",,"54",,"263.14","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST & MANAGEMENT","94002","HCPCS","Both",,,"485.5","242.75","Amerigroup","Medicaid Managed Care","",,"37",,"177.69","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST & MANAGEMENT","94002","HCPCS","Both",,,"485.5","242.75","Caresource","Medicaid Managed Care","",,"40",,"194.2","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST & MANAGEMENT","94002","HCPCS","Both",,,"485.5","242.75","Wellcare","Medicaid Managed Care","",,"40",,"196.63","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST & MANAGEMENT","94002","HCPCS","Both",,,"485.5","242.75","Aetna","Commercial","",,"64",,"309.75","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST & MANAGEMENT","94002","HCPCS","Both",,,"485.5","242.75","Blue Cross Blue Shield","Pathways","",,"71",,"342.76","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST & MANAGEMENT","94002","HCPCS","Both",,,"485.5","242.75","Blue Cross Blue Shield","HMO","",,"71",,"342.76","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST & MANAGEMENT","94002","HCPCS","Both",,,"485.5","242.75","Blue Cross Blue Shield","PPO","",,"71",,"342.76","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST & MANAGEMENT","94002","HCPCS","Both",,,"485.5","242.75","Ambetter","Health Exchange","",,"62",,"301.01","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST & MANAGEMENT","94002","HCPCS","Both",,,"485.5","242.75","Caresource","Health Exchange","",,"62",,"301.01","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST & MANAGEMENT","94002","HCPCS","Both",,,"485.5","242.75","Cigna","Commercial","",,"59",,"284.5","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST & MANAGEMENT","94002","HCPCS","Both",,,"485.5","242.75","Humana","Commercial","",,"78",,"376.26","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST & MANAGEMENT","94002","HCPCS","Both",,,"485.5","242.75","UHC","Commercial","",,"75",,"366.07","177.69","631.66","percent of total billed charges",,
"VENTILATION ASSIST & MANAGEMENT","94002","HCPCS","Both",,,"485.5","242.75","Medicaid",,"",,"37",,"177.69","177.69","631.66","percent of total billed charges",,
"CLOSED TX METATARSOPHALANGEAL JOINT","28630","HCPCS","Both",,,"418.5","209.25","Alliant","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX METATARSOPHALANGEAL JOINT","28630","HCPCS","Both",,,"418.5","209.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"225.99","153.17","324.34","percent of total billed charges",,
"CLOSED TX METATARSOPHALANGEAL JOINT","28630","HCPCS","Both",,,"418.5","209.25","Medicare",,"",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX METATARSOPHALANGEAL JOINT","28630","HCPCS","Both",,,"418.5","209.25","Humana","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX METATARSOPHALANGEAL JOINT","28630","HCPCS","Both",,,"418.5","209.25","UHC","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX METATARSOPHALANGEAL JOINT","28630","HCPCS","Both",,,"418.5","209.25","Clover","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX METATARSOPHALANGEAL JOINT","28630","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX METATARSOPHALANGEAL JOINT","28630","HCPCS","Both",,,"418.5","209.25","Amerigroup","Medicaid Managed Care","",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TX METATARSOPHALANGEAL JOINT","28630","HCPCS","Both",,,"418.5","209.25","Caresource","Medicaid Managed Care","",,"40",,"167.4","153.17","324.34","percent of total billed charges",,
"CLOSED TX METATARSOPHALANGEAL JOINT","28630","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicaid Managed Care","",,"40",,"169.49","153.17","324.34","percent of total billed charges",,
"CLOSED TX METATARSOPHALANGEAL JOINT","28630","HCPCS","Both",,,"418.5","209.25","Aetna","Commercial","",,"64",,"267","153.17","324.34","percent of total billed charges",,
"CLOSED TX METATARSOPHALANGEAL JOINT","28630","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","Pathways","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX METATARSOPHALANGEAL JOINT","28630","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","HMO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX METATARSOPHALANGEAL JOINT","28630","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","PPO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX METATARSOPHALANGEAL JOINT","28630","HCPCS","Both",,,"418.5","209.25","Ambetter","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX METATARSOPHALANGEAL JOINT","28630","HCPCS","Both",,,"418.5","209.25","Caresource","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX METATARSOPHALANGEAL JOINT","28630","HCPCS","Both",,,"418.5","209.25","Cigna","Commercial","",,"59",,"245.24","153.17","324.34","percent of total billed charges",,
"CLOSED TX METATARSOPHALANGEAL JOINT","28630","HCPCS","Both",,,"418.5","209.25","Humana","Commercial","",,"78",,"324.34","153.17","324.34","percent of total billed charges",,
"CLOSED TX METATARSOPHALANGEAL JOINT","28630","HCPCS","Both",,,"418.5","209.25","UHC","Commercial","",,"75",,"315.55","153.17","324.34","percent of total billed charges",,
"CLOSED TX METATARSOPHALANGEAL JOINT","28630","HCPCS","Both",,,"418.5","209.25","Medicaid",,"",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPAL DISLOCATION,TH","26641","HCPCS","Both",,,"418.5","209.25","Alliant","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPAL DISLOCATION,TH","26641","HCPCS","Both",,,"418.5","209.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"225.99","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPAL DISLOCATION,TH","26641","HCPCS","Both",,,"418.5","209.25","Medicare",,"",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPAL DISLOCATION,TH","26641","HCPCS","Both",,,"418.5","209.25","Humana","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPAL DISLOCATION,TH","26641","HCPCS","Both",,,"418.5","209.25","UHC","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPAL DISLOCATION,TH","26641","HCPCS","Both",,,"418.5","209.25","Clover","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPAL DISLOCATION,TH","26641","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPAL DISLOCATION,TH","26641","HCPCS","Both",,,"418.5","209.25","Amerigroup","Medicaid Managed Care","",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPAL DISLOCATION,TH","26641","HCPCS","Both",,,"418.5","209.25","Caresource","Medicaid Managed Care","",,"40",,"167.4","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPAL DISLOCATION,TH","26641","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicaid Managed Care","",,"40",,"169.49","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPAL DISLOCATION,TH","26641","HCPCS","Both",,,"418.5","209.25","Aetna","Commercial","",,"64",,"267","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPAL DISLOCATION,TH","26641","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","Pathways","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPAL DISLOCATION,TH","26641","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","HMO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPAL DISLOCATION,TH","26641","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","PPO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPAL DISLOCATION,TH","26641","HCPCS","Both",,,"418.5","209.25","Ambetter","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPAL DISLOCATION,TH","26641","HCPCS","Both",,,"418.5","209.25","Caresource","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPAL DISLOCATION,TH","26641","HCPCS","Both",,,"418.5","209.25","Cigna","Commercial","",,"59",,"245.24","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPAL DISLOCATION,TH","26641","HCPCS","Both",,,"418.5","209.25","Humana","Commercial","",,"78",,"324.34","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPAL DISLOCATION,TH","26641","HCPCS","Both",,,"418.5","209.25","UHC","Commercial","",,"75",,"315.55","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPOMETACARPAL DISLOCATION,TH","26641","HCPCS","Both",,,"418.5","209.25","Medicaid",,"",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 T0 2.0 CM","11402","HCPCS","Both",,,"160","80","Alliant","Health Exchange","",,"62",,"99.2","58.56","124","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 T0 2.0 CM","11402","HCPCS","Both",,,"160","80","Pruitt Healthcare","Medicare Advantage","",,"54",,"86.4","58.56","124","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 T0 2.0 CM","11402","HCPCS","Both",,,"160","80","Medicare",,"",,"54",,"86.72","58.56","124","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 T0 2.0 CM","11402","HCPCS","Both",,,"160","80","Humana","Medicare Advantage","",,"54",,"86.72","58.56","124","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 T0 2.0 CM","11402","HCPCS","Both",,,"160","80","UHC","Medicare Advantage","",,"54",,"86.72","58.56","124","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 T0 2.0 CM","11402","HCPCS","Both",,,"160","80","Clover","Medicare Advantage","",,"54",,"86.72","58.56","124","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 T0 2.0 CM","11402","HCPCS","Both",,,"160","80","Wellcare","Medicare Advantage","",,"54",,"86.72","58.56","124","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 T0 2.0 CM","11402","HCPCS","Both",,,"160","80","Amerigroup","Medicaid Managed Care","",,"37",,"58.56","58.56","124","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 T0 2.0 CM","11402","HCPCS","Both",,,"160","80","Caresource","Medicaid Managed Care","",,"40",,"64","58.56","124","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 T0 2.0 CM","11402","HCPCS","Both",,,"160","80","Wellcare","Medicaid Managed Care","",,"40",,"64.8","58.56","124","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 T0 2.0 CM","11402","HCPCS","Both",,,"160","80","Aetna","Commercial","",,"64",,"102.08","58.56","124","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 T0 2.0 CM","11402","HCPCS","Both",,,"160","80","Blue Cross Blue Shield","Pathways","",,"71",,"112.96","58.56","124","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 T0 2.0 CM","11402","HCPCS","Both",,,"160","80","Blue Cross Blue Shield","HMO","",,"71",,"112.96","58.56","124","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 T0 2.0 CM","11402","HCPCS","Both",,,"160","80","Blue Cross Blue Shield","PPO","",,"71",,"112.96","58.56","124","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 T0 2.0 CM","11402","HCPCS","Both",,,"160","80","Ambetter","Health Exchange","",,"62",,"99.2","58.56","124","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 T0 2.0 CM","11402","HCPCS","Both",,,"160","80","Caresource","Health Exchange","",,"62",,"99.2","58.56","124","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 T0 2.0 CM","11402","HCPCS","Both",,,"160","80","Cigna","Commercial","",,"59",,"93.76","58.56","124","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 T0 2.0 CM","11402","HCPCS","Both",,,"160","80","Humana","Commercial","",,"78",,"124","58.56","124","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 T0 2.0 CM","11402","HCPCS","Both",,,"160","80","UHC","Commercial","",,"75",,"120.64","58.56","124","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 T0 2.0 CM","11402","HCPCS","Both",,,"160","80","Medicaid",,"",,"37",,"58.56","58.56","124","percent of total billed charges",,
"7.5 TO 12.5 CM","13102","HCPCS","Both",,,"785.5","392.75","Alliant","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"7.5 TO 12.5 CM","13102","HCPCS","Both",,,"785.5","392.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"424.17","287.49","608.76","percent of total billed charges",,
"7.5 TO 12.5 CM","13102","HCPCS","Both",,,"785.5","392.75","Medicare",,"",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"7.5 TO 12.5 CM","13102","HCPCS","Both",,,"785.5","392.75","Humana","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"7.5 TO 12.5 CM","13102","HCPCS","Both",,,"785.5","392.75","UHC","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"7.5 TO 12.5 CM","13102","HCPCS","Both",,,"785.5","392.75","Clover","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"7.5 TO 12.5 CM","13102","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"7.5 TO 12.5 CM","13102","HCPCS","Both",,,"785.5","392.75","Amerigroup","Medicaid Managed Care","",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"7.5 TO 12.5 CM","13102","HCPCS","Both",,,"785.5","392.75","Caresource","Medicaid Managed Care","",,"40",,"314.2","287.49","608.76","percent of total billed charges",,
"7.5 TO 12.5 CM","13102","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicaid Managed Care","",,"40",,"318.13","287.49","608.76","percent of total billed charges",,
"7.5 TO 12.5 CM","13102","HCPCS","Both",,,"785.5","392.75","Aetna","Commercial","",,"64",,"501.15","287.49","608.76","percent of total billed charges",,
"7.5 TO 12.5 CM","13102","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","Pathways","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"7.5 TO 12.5 CM","13102","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","HMO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"7.5 TO 12.5 CM","13102","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","PPO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"7.5 TO 12.5 CM","13102","HCPCS","Both",,,"785.5","392.75","Ambetter","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"7.5 TO 12.5 CM","13102","HCPCS","Both",,,"785.5","392.75","Caresource","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"7.5 TO 12.5 CM","13102","HCPCS","Both",,,"785.5","392.75","Cigna","Commercial","",,"59",,"460.3","287.49","608.76","percent of total billed charges",,
"7.5 TO 12.5 CM","13102","HCPCS","Both",,,"785.5","392.75","Humana","Commercial","",,"78",,"608.76","287.49","608.76","percent of total billed charges",,
"7.5 TO 12.5 CM","13102","HCPCS","Both",,,"785.5","392.75","UHC","Commercial","",,"75",,"592.27","287.49","608.76","percent of total billed charges",,
"7.5 TO 12.5 CM","13102","HCPCS","Both",,,"785.5","392.75","Medicaid",,"",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"SIMP REPAIR 20.1CM TO 30.0CM","12006","HCPCS","Both",,,"268.5","134.25","Alliant","Health Exchange","",,"62",,"166.47","98.27","208.09","percent of total billed charges",,
"SIMP REPAIR 20.1CM TO 30.0CM","12006","HCPCS","Both",,,"268.5","134.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"144.99","98.27","208.09","percent of total billed charges",,
"SIMP REPAIR 20.1CM TO 30.0CM","12006","HCPCS","Both",,,"268.5","134.25","Medicare",,"",,"54",,"145.53","98.27","208.09","percent of total billed charges",,
"SIMP REPAIR 20.1CM TO 30.0CM","12006","HCPCS","Both",,,"268.5","134.25","Humana","Medicare Advantage","",,"54",,"145.53","98.27","208.09","percent of total billed charges",,
"SIMP REPAIR 20.1CM TO 30.0CM","12006","HCPCS","Both",,,"268.5","134.25","UHC","Medicare Advantage","",,"54",,"145.53","98.27","208.09","percent of total billed charges",,
"SIMP REPAIR 20.1CM TO 30.0CM","12006","HCPCS","Both",,,"268.5","134.25","Clover","Medicare Advantage","",,"54",,"145.53","98.27","208.09","percent of total billed charges",,
"SIMP REPAIR 20.1CM TO 30.0CM","12006","HCPCS","Both",,,"268.5","134.25","Wellcare","Medicare Advantage","",,"54",,"145.53","98.27","208.09","percent of total billed charges",,
"SIMP REPAIR 20.1CM TO 30.0CM","12006","HCPCS","Both",,,"268.5","134.25","Amerigroup","Medicaid Managed Care","",,"37",,"98.27","98.27","208.09","percent of total billed charges",,
"SIMP REPAIR 20.1CM TO 30.0CM","12006","HCPCS","Both",,,"268.5","134.25","Caresource","Medicaid Managed Care","",,"40",,"107.4","98.27","208.09","percent of total billed charges",,
"SIMP REPAIR 20.1CM TO 30.0CM","12006","HCPCS","Both",,,"268.5","134.25","Wellcare","Medicaid Managed Care","",,"40",,"108.74","98.27","208.09","percent of total billed charges",,
"SIMP REPAIR 20.1CM TO 30.0CM","12006","HCPCS","Both",,,"268.5","134.25","Aetna","Commercial","",,"64",,"171.3","98.27","208.09","percent of total billed charges",,
"SIMP REPAIR 20.1CM TO 30.0CM","12006","HCPCS","Both",,,"268.5","134.25","Blue Cross Blue Shield","Pathways","",,"71",,"189.56","98.27","208.09","percent of total billed charges",,
"SIMP REPAIR 20.1CM TO 30.0CM","12006","HCPCS","Both",,,"268.5","134.25","Blue Cross Blue Shield","HMO","",,"71",,"189.56","98.27","208.09","percent of total billed charges",,
"SIMP REPAIR 20.1CM TO 30.0CM","12006","HCPCS","Both",,,"268.5","134.25","Blue Cross Blue Shield","PPO","",,"71",,"189.56","98.27","208.09","percent of total billed charges",,
"SIMP REPAIR 20.1CM TO 30.0CM","12006","HCPCS","Both",,,"268.5","134.25","Ambetter","Health Exchange","",,"62",,"166.47","98.27","208.09","percent of total billed charges",,
"SIMP REPAIR 20.1CM TO 30.0CM","12006","HCPCS","Both",,,"268.5","134.25","Caresource","Health Exchange","",,"62",,"166.47","98.27","208.09","percent of total billed charges",,
"SIMP REPAIR 20.1CM TO 30.0CM","12006","HCPCS","Both",,,"268.5","134.25","Cigna","Commercial","",,"59",,"157.34","98.27","208.09","percent of total billed charges",,
"SIMP REPAIR 20.1CM TO 30.0CM","12006","HCPCS","Both",,,"268.5","134.25","Humana","Commercial","",,"78",,"208.09","98.27","208.09","percent of total billed charges",,
"SIMP REPAIR 20.1CM TO 30.0CM","12006","HCPCS","Both",,,"268.5","134.25","UHC","Commercial","",,"75",,"202.45","98.27","208.09","percent of total billed charges",,
"SIMP REPAIR 20.1CM TO 30.0CM","12006","HCPCS","Both",,,"268.5","134.25","Medicaid",,"",,"37",,"98.27","98.27","208.09","percent of total billed charges",,
"WOUND CLOSURE BY ADHESIVE (DERMABOND)","G0168","HCPCS","Both",,,"23.5","11.75","Alliant","Health Exchange","",,"62",,"14.57","8.6","18.21","percent of total billed charges",,
"WOUND CLOSURE BY ADHESIVE (DERMABOND)","G0168","HCPCS","Both",,,"23.5","11.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"12.69","8.6","18.21","percent of total billed charges",,
"WOUND CLOSURE BY ADHESIVE (DERMABOND)","G0168","HCPCS","Both",,,"23.5","11.75","Medicare",,"",,"54",,"12.74","8.6","18.21","percent of total billed charges",,
"WOUND CLOSURE BY ADHESIVE (DERMABOND)","G0168","HCPCS","Both",,,"23.5","11.75","Humana","Medicare Advantage","",,"54",,"12.74","8.6","18.21","percent of total billed charges",,
"WOUND CLOSURE BY ADHESIVE (DERMABOND)","G0168","HCPCS","Both",,,"23.5","11.75","UHC","Medicare Advantage","",,"54",,"12.74","8.6","18.21","percent of total billed charges",,
"WOUND CLOSURE BY ADHESIVE (DERMABOND)","G0168","HCPCS","Both",,,"23.5","11.75","Clover","Medicare Advantage","",,"54",,"12.74","8.6","18.21","percent of total billed charges",,
"WOUND CLOSURE BY ADHESIVE (DERMABOND)","G0168","HCPCS","Both",,,"23.5","11.75","Wellcare","Medicare Advantage","",,"54",,"12.74","8.6","18.21","percent of total billed charges",,
"WOUND CLOSURE BY ADHESIVE (DERMABOND)","G0168","HCPCS","Both",,,"23.5","11.75","Amerigroup","Medicaid Managed Care","",,"37",,"8.6","8.6","18.21","percent of total billed charges",,
"WOUND CLOSURE BY ADHESIVE (DERMABOND)","G0168","HCPCS","Both",,,"23.5","11.75","Caresource","Medicaid Managed Care","",,"40",,"9.4","8.6","18.21","percent of total billed charges",,
"WOUND CLOSURE BY ADHESIVE (DERMABOND)","G0168","HCPCS","Both",,,"23.5","11.75","Wellcare","Medicaid Managed Care","",,"40",,"9.52","8.6","18.21","percent of total billed charges",,
"WOUND CLOSURE BY ADHESIVE (DERMABOND)","G0168","HCPCS","Both",,,"23.5","11.75","Aetna","Commercial","",,"64",,"14.99","8.6","18.21","percent of total billed charges",,
"WOUND CLOSURE BY ADHESIVE (DERMABOND)","G0168","HCPCS","Both",,,"23.5","11.75","Blue Cross Blue Shield","Pathways","",,"71",,"16.59","8.6","18.21","percent of total billed charges",,
"WOUND CLOSURE BY ADHESIVE (DERMABOND)","G0168","HCPCS","Both",,,"23.5","11.75","Blue Cross Blue Shield","HMO","",,"71",,"16.59","8.6","18.21","percent of total billed charges",,
"WOUND CLOSURE BY ADHESIVE (DERMABOND)","G0168","HCPCS","Both",,,"23.5","11.75","Blue Cross Blue Shield","PPO","",,"71",,"16.59","8.6","18.21","percent of total billed charges",,
"WOUND CLOSURE BY ADHESIVE (DERMABOND)","G0168","HCPCS","Both",,,"23.5","11.75","Ambetter","Health Exchange","",,"62",,"14.57","8.6","18.21","percent of total billed charges",,
"WOUND CLOSURE BY ADHESIVE (DERMABOND)","G0168","HCPCS","Both",,,"23.5","11.75","Caresource","Health Exchange","",,"62",,"14.57","8.6","18.21","percent of total billed charges",,
"WOUND CLOSURE BY ADHESIVE (DERMABOND)","G0168","HCPCS","Both",,,"23.5","11.75","Cigna","Commercial","",,"59",,"13.77","8.6","18.21","percent of total billed charges",,
"WOUND CLOSURE BY ADHESIVE (DERMABOND)","G0168","HCPCS","Both",,,"23.5","11.75","Humana","Commercial","",,"78",,"18.21","8.6","18.21","percent of total billed charges",,
"WOUND CLOSURE BY ADHESIVE (DERMABOND)","G0168","HCPCS","Both",,,"23.5","11.75","UHC","Commercial","",,"75",,"17.72","8.6","18.21","percent of total billed charges",,
"WOUND CLOSURE BY ADHESIVE (DERMABOND)","G0168","HCPCS","Both",,,"23.5","11.75","Medicaid",,"",,"37",,"8.6","8.6","18.21","percent of total billed charges",,
"DRSG/DEBRIDE-LARGEM","16030","HCPCS","Both",,,"325.5","162.75","Alliant","Health Exchange","",,"62",,"201.81","119.13","252.26","percent of total billed charges",,
"DRSG/DEBRIDE-LARGEM","16030","HCPCS","Both",,,"325.5","162.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"175.77","119.13","252.26","percent of total billed charges",,
"DRSG/DEBRIDE-LARGEM","16030","HCPCS","Both",,,"325.5","162.75","Medicare",,"",,"54",,"176.42","119.13","252.26","percent of total billed charges",,
"DRSG/DEBRIDE-LARGEM","16030","HCPCS","Both",,,"325.5","162.75","Humana","Medicare Advantage","",,"54",,"176.42","119.13","252.26","percent of total billed charges",,
"DRSG/DEBRIDE-LARGEM","16030","HCPCS","Both",,,"325.5","162.75","UHC","Medicare Advantage","",,"54",,"176.42","119.13","252.26","percent of total billed charges",,
"DRSG/DEBRIDE-LARGEM","16030","HCPCS","Both",,,"325.5","162.75","Clover","Medicare Advantage","",,"54",,"176.42","119.13","252.26","percent of total billed charges",,
"DRSG/DEBRIDE-LARGEM","16030","HCPCS","Both",,,"325.5","162.75","Wellcare","Medicare Advantage","",,"54",,"176.42","119.13","252.26","percent of total billed charges",,
"DRSG/DEBRIDE-LARGEM","16030","HCPCS","Both",,,"325.5","162.75","Amerigroup","Medicaid Managed Care","",,"37",,"119.13","119.13","252.26","percent of total billed charges",,
"DRSG/DEBRIDE-LARGEM","16030","HCPCS","Both",,,"325.5","162.75","Caresource","Medicaid Managed Care","",,"40",,"130.2","119.13","252.26","percent of total billed charges",,
"DRSG/DEBRIDE-LARGEM","16030","HCPCS","Both",,,"325.5","162.75","Wellcare","Medicaid Managed Care","",,"40",,"131.83","119.13","252.26","percent of total billed charges",,
"DRSG/DEBRIDE-LARGEM","16030","HCPCS","Both",,,"325.5","162.75","Aetna","Commercial","",,"64",,"207.67","119.13","252.26","percent of total billed charges",,
"DRSG/DEBRIDE-LARGEM","16030","HCPCS","Both",,,"325.5","162.75","Blue Cross Blue Shield","Pathways","",,"71",,"229.8","119.13","252.26","percent of total billed charges",,
"DRSG/DEBRIDE-LARGEM","16030","HCPCS","Both",,,"325.5","162.75","Blue Cross Blue Shield","HMO","",,"71",,"229.8","119.13","252.26","percent of total billed charges",,
"DRSG/DEBRIDE-LARGEM","16030","HCPCS","Both",,,"325.5","162.75","Blue Cross Blue Shield","PPO","",,"71",,"229.8","119.13","252.26","percent of total billed charges",,
"DRSG/DEBRIDE-LARGEM","16030","HCPCS","Both",,,"325.5","162.75","Ambetter","Health Exchange","",,"62",,"201.81","119.13","252.26","percent of total billed charges",,
"DRSG/DEBRIDE-LARGEM","16030","HCPCS","Both",,,"325.5","162.75","Caresource","Health Exchange","",,"62",,"201.81","119.13","252.26","percent of total billed charges",,
"DRSG/DEBRIDE-LARGEM","16030","HCPCS","Both",,,"325.5","162.75","Cigna","Commercial","",,"59",,"190.74","119.13","252.26","percent of total billed charges",,
"DRSG/DEBRIDE-LARGEM","16030","HCPCS","Both",,,"325.5","162.75","Humana","Commercial","",,"78",,"252.26","119.13","252.26","percent of total billed charges",,
"DRSG/DEBRIDE-LARGEM","16030","HCPCS","Both",,,"325.5","162.75","UHC","Commercial","",,"75",,"245.43","119.13","252.26","percent of total billed charges",,
"DRSG/DEBRIDE-LARGEM","16030","HCPCS","Both",,,"325.5","162.75","Medicaid",,"",,"37",,"119.13","119.13","252.26","percent of total billed charges",,
"REMOVAL EMBEDDED FB EYELID","67938","HCPCS","Both",,,"453","226.5","Alliant","Health Exchange","",,"62",,"280.86","165.8","351.08","percent of total billed charges",,
"REMOVAL EMBEDDED FB EYELID","67938","HCPCS","Both",,,"453","226.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"244.62","165.8","351.08","percent of total billed charges",,
"REMOVAL EMBEDDED FB EYELID","67938","HCPCS","Both",,,"453","226.5","Medicare",,"",,"54",,"245.53","165.8","351.08","percent of total billed charges",,
"REMOVAL EMBEDDED FB EYELID","67938","HCPCS","Both",,,"453","226.5","Humana","Medicare Advantage","",,"54",,"245.53","165.8","351.08","percent of total billed charges",,
"REMOVAL EMBEDDED FB EYELID","67938","HCPCS","Both",,,"453","226.5","UHC","Medicare Advantage","",,"54",,"245.53","165.8","351.08","percent of total billed charges",,
"REMOVAL EMBEDDED FB EYELID","67938","HCPCS","Both",,,"453","226.5","Clover","Medicare Advantage","",,"54",,"245.53","165.8","351.08","percent of total billed charges",,
"REMOVAL EMBEDDED FB EYELID","67938","HCPCS","Both",,,"453","226.5","Wellcare","Medicare Advantage","",,"54",,"245.53","165.8","351.08","percent of total billed charges",,
"REMOVAL EMBEDDED FB EYELID","67938","HCPCS","Both",,,"453","226.5","Amerigroup","Medicaid Managed Care","",,"37",,"165.8","165.8","351.08","percent of total billed charges",,
"REMOVAL EMBEDDED FB EYELID","67938","HCPCS","Both",,,"453","226.5","Caresource","Medicaid Managed Care","",,"40",,"181.2","165.8","351.08","percent of total billed charges",,
"REMOVAL EMBEDDED FB EYELID","67938","HCPCS","Both",,,"453","226.5","Wellcare","Medicaid Managed Care","",,"40",,"183.46","165.8","351.08","percent of total billed charges",,
"REMOVAL EMBEDDED FB EYELID","67938","HCPCS","Both",,,"453","226.5","Aetna","Commercial","",,"64",,"289.01","165.8","351.08","percent of total billed charges",,
"REMOVAL EMBEDDED FB EYELID","67938","HCPCS","Both",,,"453","226.5","Blue Cross Blue Shield","Pathways","",,"71",,"319.82","165.8","351.08","percent of total billed charges",,
"REMOVAL EMBEDDED FB EYELID","67938","HCPCS","Both",,,"453","226.5","Blue Cross Blue Shield","HMO","",,"71",,"319.82","165.8","351.08","percent of total billed charges",,
"REMOVAL EMBEDDED FB EYELID","67938","HCPCS","Both",,,"453","226.5","Blue Cross Blue Shield","PPO","",,"71",,"319.82","165.8","351.08","percent of total billed charges",,
"REMOVAL EMBEDDED FB EYELID","67938","HCPCS","Both",,,"453","226.5","Ambetter","Health Exchange","",,"62",,"280.86","165.8","351.08","percent of total billed charges",,
"REMOVAL EMBEDDED FB EYELID","67938","HCPCS","Both",,,"453","226.5","Caresource","Health Exchange","",,"62",,"280.86","165.8","351.08","percent of total billed charges",,
"REMOVAL EMBEDDED FB EYELID","67938","HCPCS","Both",,,"453","226.5","Cigna","Commercial","",,"59",,"265.46","165.8","351.08","percent of total billed charges",,
"REMOVAL EMBEDDED FB EYELID","67938","HCPCS","Both",,,"453","226.5","Humana","Commercial","",,"78",,"351.08","165.8","351.08","percent of total billed charges",,
"REMOVAL EMBEDDED FB EYELID","67938","HCPCS","Both",,,"453","226.5","UHC","Commercial","",,"75",,"341.56","165.8","351.08","percent of total billed charges",,
"REMOVAL EMBEDDED FB EYELID","67938","HCPCS","Both",,,"453","226.5","Medicaid",,"",,"37",,"165.8","165.8","351.08","percent of total billed charges",,
"EXCISION EXTERNAL EAR;PARTIAL;SIMPLE","69110","HCPCS","Both",,,"3502","1751","Alliant","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION EXTERNAL EAR;PARTIAL;SIMPLE","69110","HCPCS","Both",,,"3502","1751","Pruitt Healthcare","Medicare Advantage","",,"54",,"1891.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION EXTERNAL EAR;PARTIAL;SIMPLE","69110","HCPCS","Both",,,"3502","1751","Medicare",,"",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION EXTERNAL EAR;PARTIAL;SIMPLE","69110","HCPCS","Both",,,"3502","1751","Humana","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION EXTERNAL EAR;PARTIAL;SIMPLE","69110","HCPCS","Both",,,"3502","1751","UHC","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION EXTERNAL EAR;PARTIAL;SIMPLE","69110","HCPCS","Both",,,"3502","1751","Clover","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION EXTERNAL EAR;PARTIAL;SIMPLE","69110","HCPCS","Both",,,"3502","1751","Wellcare","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION EXTERNAL EAR;PARTIAL;SIMPLE","69110","HCPCS","Both",,,"3502","1751","Amerigroup","Medicaid Managed Care","",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"EXCISION EXTERNAL EAR;PARTIAL;SIMPLE","69110","HCPCS","Both",,,"3502","1751","Caresource","Medicaid Managed Care","",,"40",,"1400.8","1281.73","2714.05","percent of total billed charges",,
"EXCISION EXTERNAL EAR;PARTIAL;SIMPLE","69110","HCPCS","Both",,,"3502","1751","Wellcare","Medicaid Managed Care","",,"40",,"1418.31","1281.73","2714.05","percent of total billed charges",,
"EXCISION EXTERNAL EAR;PARTIAL;SIMPLE","69110","HCPCS","Both",,,"3502","1751","Aetna","Commercial","",,"64",,"2234.28","1281.73","2714.05","percent of total billed charges",,
"EXCISION EXTERNAL EAR;PARTIAL;SIMPLE","69110","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","Pathways","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION EXTERNAL EAR;PARTIAL;SIMPLE","69110","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","HMO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION EXTERNAL EAR;PARTIAL;SIMPLE","69110","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","PPO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION EXTERNAL EAR;PARTIAL;SIMPLE","69110","HCPCS","Both",,,"3502","1751","Ambetter","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION EXTERNAL EAR;PARTIAL;SIMPLE","69110","HCPCS","Both",,,"3502","1751","Caresource","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION EXTERNAL EAR;PARTIAL;SIMPLE","69110","HCPCS","Both",,,"3502","1751","Cigna","Commercial","",,"59",,"2052.17","1281.73","2714.05","percent of total billed charges",,
"EXCISION EXTERNAL EAR;PARTIAL;SIMPLE","69110","HCPCS","Both",,,"3502","1751","Humana","Commercial","",,"78",,"2714.05","1281.73","2714.05","percent of total billed charges",,
"EXCISION EXTERNAL EAR;PARTIAL;SIMPLE","69110","HCPCS","Both",,,"3502","1751","UHC","Commercial","",,"75",,"2640.51","1281.73","2714.05","percent of total billed charges",,
"EXCISION EXTERNAL EAR;PARTIAL;SIMPLE","69110","HCPCS","Both",,,"3502","1751","Medicaid",,"",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"ANOSCOPY; DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Alliant","Health Exchange","",,"62",,"96.41","56.91","120.51","percent of total billed charges",,
"ANOSCOPY; DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"83.97","56.91","120.51","percent of total billed charges",,
"ANOSCOPY; DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Medicare",,"",,"54",,"84.28","56.91","120.51","percent of total billed charges",,
"ANOSCOPY; DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Humana","Medicare Advantage","",,"54",,"84.28","56.91","120.51","percent of total billed charges",,
"ANOSCOPY; DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","UHC","Medicare Advantage","",,"54",,"84.28","56.91","120.51","percent of total billed charges",,
"ANOSCOPY; DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Clover","Medicare Advantage","",,"54",,"84.28","56.91","120.51","percent of total billed charges",,
"ANOSCOPY; DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Wellcare","Medicare Advantage","",,"54",,"84.28","56.91","120.51","percent of total billed charges",,
"ANOSCOPY; DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Amerigroup","Medicaid Managed Care","",,"37",,"56.91","56.91","120.51","percent of total billed charges",,
"ANOSCOPY; DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Caresource","Medicaid Managed Care","",,"40",,"62.2","56.91","120.51","percent of total billed charges",,
"ANOSCOPY; DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Wellcare","Medicaid Managed Care","",,"40",,"62.98","56.91","120.51","percent of total billed charges",,
"ANOSCOPY; DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Aetna","Commercial","",,"64",,"99.21","56.91","120.51","percent of total billed charges",,
"ANOSCOPY; DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Blue Cross Blue Shield","Pathways","",,"71",,"109.78","56.91","120.51","percent of total billed charges",,
"ANOSCOPY; DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Blue Cross Blue Shield","HMO","",,"71",,"109.78","56.91","120.51","percent of total billed charges",,
"ANOSCOPY; DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Blue Cross Blue Shield","PPO","",,"71",,"109.78","56.91","120.51","percent of total billed charges",,
"ANOSCOPY; DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Ambetter","Health Exchange","",,"62",,"96.41","56.91","120.51","percent of total billed charges",,
"ANOSCOPY; DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Caresource","Health Exchange","",,"62",,"96.41","56.91","120.51","percent of total billed charges",,
"ANOSCOPY; DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Cigna","Commercial","",,"59",,"91.12","56.91","120.51","percent of total billed charges",,
"ANOSCOPY; DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Humana","Commercial","",,"78",,"120.51","56.91","120.51","percent of total billed charges",,
"ANOSCOPY; DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","UHC","Commercial","",,"75",,"117.25","56.91","120.51","percent of total billed charges",,
"ANOSCOPY; DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Medicaid",,"",,"37",,"56.91","56.91","120.51","percent of total billed charges",,
"REPAIR, PRIMARY, ACHILLES TENDON","27650","HCPCS","Both",,,"10730.5","5365.25","Alliant","Health Exchange","",,"62",,"6652.91","3927.36","8316.14","percent of total billed charges",,
"REPAIR, PRIMARY, ACHILLES TENDON","27650","HCPCS","Both",,,"10730.5","5365.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"5794.47","3927.36","8316.14","percent of total billed charges",,
"REPAIR, PRIMARY, ACHILLES TENDON","27650","HCPCS","Both",,,"10730.5","5365.25","Medicare",,"",,"54",,"5815.93","3927.36","8316.14","percent of total billed charges",,
"REPAIR, PRIMARY, ACHILLES TENDON","27650","HCPCS","Both",,,"10730.5","5365.25","Humana","Medicare Advantage","",,"54",,"5815.93","3927.36","8316.14","percent of total billed charges",,
"REPAIR, PRIMARY, ACHILLES TENDON","27650","HCPCS","Both",,,"10730.5","5365.25","UHC","Medicare Advantage","",,"54",,"5815.93","3927.36","8316.14","percent of total billed charges",,
"REPAIR, PRIMARY, ACHILLES TENDON","27650","HCPCS","Both",,,"10730.5","5365.25","Clover","Medicare Advantage","",,"54",,"5815.93","3927.36","8316.14","percent of total billed charges",,
"REPAIR, PRIMARY, ACHILLES TENDON","27650","HCPCS","Both",,,"10730.5","5365.25","Wellcare","Medicare Advantage","",,"54",,"5815.93","3927.36","8316.14","percent of total billed charges",,
"REPAIR, PRIMARY, ACHILLES TENDON","27650","HCPCS","Both",,,"10730.5","5365.25","Amerigroup","Medicaid Managed Care","",,"37",,"3927.36","3927.36","8316.14","percent of total billed charges",,
"REPAIR, PRIMARY, ACHILLES TENDON","27650","HCPCS","Both",,,"10730.5","5365.25","Caresource","Medicaid Managed Care","",,"40",,"4292.2","3927.36","8316.14","percent of total billed charges",,
"REPAIR, PRIMARY, ACHILLES TENDON","27650","HCPCS","Both",,,"10730.5","5365.25","Wellcare","Medicaid Managed Care","",,"40",,"4345.85","3927.36","8316.14","percent of total billed charges",,
"REPAIR, PRIMARY, ACHILLES TENDON","27650","HCPCS","Both",,,"10730.5","5365.25","Aetna","Commercial","",,"64",,"6846.06","3927.36","8316.14","percent of total billed charges",,
"REPAIR, PRIMARY, ACHILLES TENDON","27650","HCPCS","Both",,,"10730.5","5365.25","Blue Cross Blue Shield","Pathways","",,"71",,"7575.73","3927.36","8316.14","percent of total billed charges",,
"REPAIR, PRIMARY, ACHILLES TENDON","27650","HCPCS","Both",,,"10730.5","5365.25","Blue Cross Blue Shield","HMO","",,"71",,"7575.73","3927.36","8316.14","percent of total billed charges",,
"REPAIR, PRIMARY, ACHILLES TENDON","27650","HCPCS","Both",,,"10730.5","5365.25","Blue Cross Blue Shield","PPO","",,"71",,"7575.73","3927.36","8316.14","percent of total billed charges",,
"REPAIR, PRIMARY, ACHILLES TENDON","27650","HCPCS","Both",,,"10730.5","5365.25","Ambetter","Health Exchange","",,"62",,"6652.91","3927.36","8316.14","percent of total billed charges",,
"REPAIR, PRIMARY, ACHILLES TENDON","27650","HCPCS","Both",,,"10730.5","5365.25","Caresource","Health Exchange","",,"62",,"6652.91","3927.36","8316.14","percent of total billed charges",,
"REPAIR, PRIMARY, ACHILLES TENDON","27650","HCPCS","Both",,,"10730.5","5365.25","Cigna","Commercial","",,"59",,"6288.07","3927.36","8316.14","percent of total billed charges",,
"REPAIR, PRIMARY, ACHILLES TENDON","27650","HCPCS","Both",,,"10730.5","5365.25","Humana","Commercial","",,"78",,"8316.14","3927.36","8316.14","percent of total billed charges",,
"REPAIR, PRIMARY, ACHILLES TENDON","27650","HCPCS","Both",,,"10730.5","5365.25","UHC","Commercial","",,"75",,"8090.8","3927.36","8316.14","percent of total billed charges",,
"REPAIR, PRIMARY, ACHILLES TENDON","27650","HCPCS","Both",,,"10730.5","5365.25","Medicaid",,"",,"37",,"3927.36","3927.36","8316.14","percent of total billed charges",,
"I & D SCROTAL WALL ABSCESS","55100","HCPCS","Both",,,"2265.5","1132.75","Alliant","Health Exchange","",,"62",,"1404.61","829.17","1755.76","percent of total billed charges",,
"I & D SCROTAL WALL ABSCESS","55100","HCPCS","Both",,,"2265.5","1132.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"1223.37","829.17","1755.76","percent of total billed charges",,
"I & D SCROTAL WALL ABSCESS","55100","HCPCS","Both",,,"2265.5","1132.75","Medicare",,"",,"54",,"1227.9","829.17","1755.76","percent of total billed charges",,
"I & D SCROTAL WALL ABSCESS","55100","HCPCS","Both",,,"2265.5","1132.75","Humana","Medicare Advantage","",,"54",,"1227.9","829.17","1755.76","percent of total billed charges",,
"I & D SCROTAL WALL ABSCESS","55100","HCPCS","Both",,,"2265.5","1132.75","UHC","Medicare Advantage","",,"54",,"1227.9","829.17","1755.76","percent of total billed charges",,
"I & D SCROTAL WALL ABSCESS","55100","HCPCS","Both",,,"2265.5","1132.75","Clover","Medicare Advantage","",,"54",,"1227.9","829.17","1755.76","percent of total billed charges",,
"I & D SCROTAL WALL ABSCESS","55100","HCPCS","Both",,,"2265.5","1132.75","Wellcare","Medicare Advantage","",,"54",,"1227.9","829.17","1755.76","percent of total billed charges",,
"I & D SCROTAL WALL ABSCESS","55100","HCPCS","Both",,,"2265.5","1132.75","Amerigroup","Medicaid Managed Care","",,"37",,"829.17","829.17","1755.76","percent of total billed charges",,
"I & D SCROTAL WALL ABSCESS","55100","HCPCS","Both",,,"2265.5","1132.75","Caresource","Medicaid Managed Care","",,"40",,"906.2","829.17","1755.76","percent of total billed charges",,
"I & D SCROTAL WALL ABSCESS","55100","HCPCS","Both",,,"2265.5","1132.75","Wellcare","Medicaid Managed Care","",,"40",,"917.53","829.17","1755.76","percent of total billed charges",,
"I & D SCROTAL WALL ABSCESS","55100","HCPCS","Both",,,"2265.5","1132.75","Aetna","Commercial","",,"64",,"1445.39","829.17","1755.76","percent of total billed charges",,
"I & D SCROTAL WALL ABSCESS","55100","HCPCS","Both",,,"2265.5","1132.75","Blue Cross Blue Shield","Pathways","",,"71",,"1599.44","829.17","1755.76","percent of total billed charges",,
"I & D SCROTAL WALL ABSCESS","55100","HCPCS","Both",,,"2265.5","1132.75","Blue Cross Blue Shield","HMO","",,"71",,"1599.44","829.17","1755.76","percent of total billed charges",,
"I & D SCROTAL WALL ABSCESS","55100","HCPCS","Both",,,"2265.5","1132.75","Blue Cross Blue Shield","PPO","",,"71",,"1599.44","829.17","1755.76","percent of total billed charges",,
"I & D SCROTAL WALL ABSCESS","55100","HCPCS","Both",,,"2265.5","1132.75","Ambetter","Health Exchange","",,"62",,"1404.61","829.17","1755.76","percent of total billed charges",,
"I & D SCROTAL WALL ABSCESS","55100","HCPCS","Both",,,"2265.5","1132.75","Caresource","Health Exchange","",,"62",,"1404.61","829.17","1755.76","percent of total billed charges",,
"I & D SCROTAL WALL ABSCESS","55100","HCPCS","Both",,,"2265.5","1132.75","Cigna","Commercial","",,"59",,"1327.58","829.17","1755.76","percent of total billed charges",,
"I & D SCROTAL WALL ABSCESS","55100","HCPCS","Both",,,"2265.5","1132.75","Humana","Commercial","",,"78",,"1755.76","829.17","1755.76","percent of total billed charges",,
"I & D SCROTAL WALL ABSCESS","55100","HCPCS","Both",,,"2265.5","1132.75","UHC","Commercial","",,"75",,"1708.19","829.17","1755.76","percent of total billed charges",,
"I & D SCROTAL WALL ABSCESS","55100","HCPCS","Both",,,"2265.5","1132.75","Medicaid",,"",,"37",,"829.17","829.17","1755.76","percent of total billed charges",,
"TRACHEOSTOMY, CRICOTHYROID MEMBRANE","31605","HCPCS","Both",,,"572.5","286.25","Alliant","Health Exchange","",,"62",,"354.95","209.54","443.69","percent of total billed charges",,
"TRACHEOSTOMY, CRICOTHYROID MEMBRANE","31605","HCPCS","Both",,,"572.5","286.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"309.15","209.54","443.69","percent of total billed charges",,
"TRACHEOSTOMY, CRICOTHYROID MEMBRANE","31605","HCPCS","Both",,,"572.5","286.25","Medicare",,"",,"54",,"310.3","209.54","443.69","percent of total billed charges",,
"TRACHEOSTOMY, CRICOTHYROID MEMBRANE","31605","HCPCS","Both",,,"572.5","286.25","Humana","Medicare Advantage","",,"54",,"310.3","209.54","443.69","percent of total billed charges",,
"TRACHEOSTOMY, CRICOTHYROID MEMBRANE","31605","HCPCS","Both",,,"572.5","286.25","UHC","Medicare Advantage","",,"54",,"310.3","209.54","443.69","percent of total billed charges",,
"TRACHEOSTOMY, CRICOTHYROID MEMBRANE","31605","HCPCS","Both",,,"572.5","286.25","Clover","Medicare Advantage","",,"54",,"310.3","209.54","443.69","percent of total billed charges",,
"TRACHEOSTOMY, CRICOTHYROID MEMBRANE","31605","HCPCS","Both",,,"572.5","286.25","Wellcare","Medicare Advantage","",,"54",,"310.3","209.54","443.69","percent of total billed charges",,
"TRACHEOSTOMY, CRICOTHYROID MEMBRANE","31605","HCPCS","Both",,,"572.5","286.25","Amerigroup","Medicaid Managed Care","",,"37",,"209.54","209.54","443.69","percent of total billed charges",,
"TRACHEOSTOMY, CRICOTHYROID MEMBRANE","31605","HCPCS","Both",,,"572.5","286.25","Caresource","Medicaid Managed Care","",,"40",,"229","209.54","443.69","percent of total billed charges",,
"TRACHEOSTOMY, CRICOTHYROID MEMBRANE","31605","HCPCS","Both",,,"572.5","286.25","Wellcare","Medicaid Managed Care","",,"40",,"231.86","209.54","443.69","percent of total billed charges",,
"TRACHEOSTOMY, CRICOTHYROID MEMBRANE","31605","HCPCS","Both",,,"572.5","286.25","Aetna","Commercial","",,"64",,"365.26","209.54","443.69","percent of total billed charges",,
"TRACHEOSTOMY, CRICOTHYROID MEMBRANE","31605","HCPCS","Both",,,"572.5","286.25","Blue Cross Blue Shield","Pathways","",,"71",,"404.18","209.54","443.69","percent of total billed charges",,
"TRACHEOSTOMY, CRICOTHYROID MEMBRANE","31605","HCPCS","Both",,,"572.5","286.25","Blue Cross Blue Shield","HMO","",,"71",,"404.18","209.54","443.69","percent of total billed charges",,
"TRACHEOSTOMY, CRICOTHYROID MEMBRANE","31605","HCPCS","Both",,,"572.5","286.25","Blue Cross Blue Shield","PPO","",,"71",,"404.18","209.54","443.69","percent of total billed charges",,
"TRACHEOSTOMY, CRICOTHYROID MEMBRANE","31605","HCPCS","Both",,,"572.5","286.25","Ambetter","Health Exchange","",,"62",,"354.95","209.54","443.69","percent of total billed charges",,
"TRACHEOSTOMY, CRICOTHYROID MEMBRANE","31605","HCPCS","Both",,,"572.5","286.25","Caresource","Health Exchange","",,"62",,"354.95","209.54","443.69","percent of total billed charges",,
"TRACHEOSTOMY, CRICOTHYROID MEMBRANE","31605","HCPCS","Both",,,"572.5","286.25","Cigna","Commercial","",,"59",,"335.48","209.54","443.69","percent of total billed charges",,
"TRACHEOSTOMY, CRICOTHYROID MEMBRANE","31605","HCPCS","Both",,,"572.5","286.25","Humana","Commercial","",,"78",,"443.69","209.54","443.69","percent of total billed charges",,
"TRACHEOSTOMY, CRICOTHYROID MEMBRANE","31605","HCPCS","Both",,,"572.5","286.25","UHC","Commercial","",,"75",,"431.66","209.54","443.69","percent of total billed charges",,
"TRACHEOSTOMY, CRICOTHYROID MEMBRANE","31605","HCPCS","Both",,,"572.5","286.25","Medicaid",,"",,"37",,"209.54","209.54","443.69","percent of total billed charges",,
"SIMPLE REPAIR OVER 30.0cm","12007","HCPCS","Both",,,"186.5","93.25","Alliant","Health Exchange","",,"62",,"115.63","68.26","144.54","percent of total billed charges",,
"SIMPLE REPAIR OVER 30.0cm","12007","HCPCS","Both",,,"186.5","93.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"100.71","68.26","144.54","percent of total billed charges",,
"SIMPLE REPAIR OVER 30.0cm","12007","HCPCS","Both",,,"186.5","93.25","Medicare",,"",,"54",,"101.08","68.26","144.54","percent of total billed charges",,
"SIMPLE REPAIR OVER 30.0cm","12007","HCPCS","Both",,,"186.5","93.25","Humana","Medicare Advantage","",,"54",,"101.08","68.26","144.54","percent of total billed charges",,
"SIMPLE REPAIR OVER 30.0cm","12007","HCPCS","Both",,,"186.5","93.25","UHC","Medicare Advantage","",,"54",,"101.08","68.26","144.54","percent of total billed charges",,
"SIMPLE REPAIR OVER 30.0cm","12007","HCPCS","Both",,,"186.5","93.25","Clover","Medicare Advantage","",,"54",,"101.08","68.26","144.54","percent of total billed charges",,
"SIMPLE REPAIR OVER 30.0cm","12007","HCPCS","Both",,,"186.5","93.25","Wellcare","Medicare Advantage","",,"54",,"101.08","68.26","144.54","percent of total billed charges",,
"SIMPLE REPAIR OVER 30.0cm","12007","HCPCS","Both",,,"186.5","93.25","Amerigroup","Medicaid Managed Care","",,"37",,"68.26","68.26","144.54","percent of total billed charges",,
"SIMPLE REPAIR OVER 30.0cm","12007","HCPCS","Both",,,"186.5","93.25","Caresource","Medicaid Managed Care","",,"40",,"74.6","68.26","144.54","percent of total billed charges",,
"SIMPLE REPAIR OVER 30.0cm","12007","HCPCS","Both",,,"186.5","93.25","Wellcare","Medicaid Managed Care","",,"40",,"75.53","68.26","144.54","percent of total billed charges",,
"SIMPLE REPAIR OVER 30.0cm","12007","HCPCS","Both",,,"186.5","93.25","Aetna","Commercial","",,"64",,"118.99","68.26","144.54","percent of total billed charges",,
"SIMPLE REPAIR OVER 30.0cm","12007","HCPCS","Both",,,"186.5","93.25","Blue Cross Blue Shield","Pathways","",,"71",,"131.67","68.26","144.54","percent of total billed charges",,
"SIMPLE REPAIR OVER 30.0cm","12007","HCPCS","Both",,,"186.5","93.25","Blue Cross Blue Shield","HMO","",,"71",,"131.67","68.26","144.54","percent of total billed charges",,
"SIMPLE REPAIR OVER 30.0cm","12007","HCPCS","Both",,,"186.5","93.25","Blue Cross Blue Shield","PPO","",,"71",,"131.67","68.26","144.54","percent of total billed charges",,
"SIMPLE REPAIR OVER 30.0cm","12007","HCPCS","Both",,,"186.5","93.25","Ambetter","Health Exchange","",,"62",,"115.63","68.26","144.54","percent of total billed charges",,
"SIMPLE REPAIR OVER 30.0cm","12007","HCPCS","Both",,,"186.5","93.25","Caresource","Health Exchange","",,"62",,"115.63","68.26","144.54","percent of total billed charges",,
"SIMPLE REPAIR OVER 30.0cm","12007","HCPCS","Both",,,"186.5","93.25","Cigna","Commercial","",,"59",,"109.29","68.26","144.54","percent of total billed charges",,
"SIMPLE REPAIR OVER 30.0cm","12007","HCPCS","Both",,,"186.5","93.25","Humana","Commercial","",,"78",,"144.54","68.26","144.54","percent of total billed charges",,
"SIMPLE REPAIR OVER 30.0cm","12007","HCPCS","Both",,,"186.5","93.25","UHC","Commercial","",,"75",,"140.62","68.26","144.54","percent of total billed charges",,
"SIMPLE REPAIR OVER 30.0cm","12007","HCPCS","Both",,,"186.5","93.25","Medicaid",,"",,"37",,"68.26","68.26","144.54","percent of total billed charges",,
"CHEMICAL CAUTERY TISSUE","17250","HCPCS","Both",,,"84","42","Alliant","Health Exchange","",,"62",,"52.08","30.74","65.1","percent of total billed charges",,
"CHEMICAL CAUTERY TISSUE","17250","HCPCS","Both",,,"84","42","Pruitt Healthcare","Medicare Advantage","",,"54",,"45.36","30.74","65.1","percent of total billed charges",,
"CHEMICAL CAUTERY TISSUE","17250","HCPCS","Both",,,"84","42","Medicare",,"",,"54",,"45.53","30.74","65.1","percent of total billed charges",,
"CHEMICAL CAUTERY TISSUE","17250","HCPCS","Both",,,"84","42","Humana","Medicare Advantage","",,"54",,"45.53","30.74","65.1","percent of total billed charges",,
"CHEMICAL CAUTERY TISSUE","17250","HCPCS","Both",,,"84","42","UHC","Medicare Advantage","",,"54",,"45.53","30.74","65.1","percent of total billed charges",,
"CHEMICAL CAUTERY TISSUE","17250","HCPCS","Both",,,"84","42","Clover","Medicare Advantage","",,"54",,"45.53","30.74","65.1","percent of total billed charges",,
"CHEMICAL CAUTERY TISSUE","17250","HCPCS","Both",,,"84","42","Wellcare","Medicare Advantage","",,"54",,"45.53","30.74","65.1","percent of total billed charges",,
"CHEMICAL CAUTERY TISSUE","17250","HCPCS","Both",,,"84","42","Amerigroup","Medicaid Managed Care","",,"37",,"30.74","30.74","65.1","percent of total billed charges",,
"CHEMICAL CAUTERY TISSUE","17250","HCPCS","Both",,,"84","42","Caresource","Medicaid Managed Care","",,"40",,"33.6","30.74","65.1","percent of total billed charges",,
"CHEMICAL CAUTERY TISSUE","17250","HCPCS","Both",,,"84","42","Wellcare","Medicaid Managed Care","",,"40",,"34.02","30.74","65.1","percent of total billed charges",,
"CHEMICAL CAUTERY TISSUE","17250","HCPCS","Both",,,"84","42","Aetna","Commercial","",,"64",,"53.59","30.74","65.1","percent of total billed charges",,
"CHEMICAL CAUTERY TISSUE","17250","HCPCS","Both",,,"84","42","Blue Cross Blue Shield","Pathways","",,"71",,"59.3","30.74","65.1","percent of total billed charges",,
"CHEMICAL CAUTERY TISSUE","17250","HCPCS","Both",,,"84","42","Blue Cross Blue Shield","HMO","",,"71",,"59.3","30.74","65.1","percent of total billed charges",,
"CHEMICAL CAUTERY TISSUE","17250","HCPCS","Both",,,"84","42","Blue Cross Blue Shield","PPO","",,"71",,"59.3","30.74","65.1","percent of total billed charges",,
"CHEMICAL CAUTERY TISSUE","17250","HCPCS","Both",,,"84","42","Ambetter","Health Exchange","",,"62",,"52.08","30.74","65.1","percent of total billed charges",,
"CHEMICAL CAUTERY TISSUE","17250","HCPCS","Both",,,"84","42","Caresource","Health Exchange","",,"62",,"52.08","30.74","65.1","percent of total billed charges",,
"CHEMICAL CAUTERY TISSUE","17250","HCPCS","Both",,,"84","42","Cigna","Commercial","",,"59",,"49.22","30.74","65.1","percent of total billed charges",,
"CHEMICAL CAUTERY TISSUE","17250","HCPCS","Both",,,"84","42","Humana","Commercial","",,"78",,"65.1","30.74","65.1","percent of total billed charges",,
"CHEMICAL CAUTERY TISSUE","17250","HCPCS","Both",,,"84","42","UHC","Commercial","",,"75",,"63.34","30.74","65.1","percent of total billed charges",,
"CHEMICAL CAUTERY TISSUE","17250","HCPCS","Both",,,"84","42","Medicaid",,"",,"37",,"30.74","30.74","65.1","percent of total billed charges",,
"FOREIGN BODY REMOVAL EXTERNAL EYE CORNE","65220","HCPCS","Both",,,"80","40","Alliant","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"FOREIGN BODY REMOVAL EXTERNAL EYE CORNE","65220","HCPCS","Both",,,"80","40","Pruitt Healthcare","Medicare Advantage","",,"54",,"43.2","29.28","62","percent of total billed charges",,
"FOREIGN BODY REMOVAL EXTERNAL EYE CORNE","65220","HCPCS","Both",,,"80","40","Medicare",,"",,"54",,"43.36","29.28","62","percent of total billed charges",,
"FOREIGN BODY REMOVAL EXTERNAL EYE CORNE","65220","HCPCS","Both",,,"80","40","Humana","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"FOREIGN BODY REMOVAL EXTERNAL EYE CORNE","65220","HCPCS","Both",,,"80","40","UHC","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"FOREIGN BODY REMOVAL EXTERNAL EYE CORNE","65220","HCPCS","Both",,,"80","40","Clover","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"FOREIGN BODY REMOVAL EXTERNAL EYE CORNE","65220","HCPCS","Both",,,"80","40","Wellcare","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"FOREIGN BODY REMOVAL EXTERNAL EYE CORNE","65220","HCPCS","Both",,,"80","40","Amerigroup","Medicaid Managed Care","",,"37",,"29.28","29.28","62","percent of total billed charges",,
"FOREIGN BODY REMOVAL EXTERNAL EYE CORNE","65220","HCPCS","Both",,,"80","40","Caresource","Medicaid Managed Care","",,"40",,"32","29.28","62","percent of total billed charges",,
"FOREIGN BODY REMOVAL EXTERNAL EYE CORNE","65220","HCPCS","Both",,,"80","40","Wellcare","Medicaid Managed Care","",,"40",,"32.4","29.28","62","percent of total billed charges",,
"FOREIGN BODY REMOVAL EXTERNAL EYE CORNE","65220","HCPCS","Both",,,"80","40","Aetna","Commercial","",,"64",,"51.04","29.28","62","percent of total billed charges",,
"FOREIGN BODY REMOVAL EXTERNAL EYE CORNE","65220","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","Pathways","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"FOREIGN BODY REMOVAL EXTERNAL EYE CORNE","65220","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","HMO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"FOREIGN BODY REMOVAL EXTERNAL EYE CORNE","65220","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","PPO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"FOREIGN BODY REMOVAL EXTERNAL EYE CORNE","65220","HCPCS","Both",,,"80","40","Ambetter","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"FOREIGN BODY REMOVAL EXTERNAL EYE CORNE","65220","HCPCS","Both",,,"80","40","Caresource","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"FOREIGN BODY REMOVAL EXTERNAL EYE CORNE","65220","HCPCS","Both",,,"80","40","Cigna","Commercial","",,"59",,"46.88","29.28","62","percent of total billed charges",,
"FOREIGN BODY REMOVAL EXTERNAL EYE CORNE","65220","HCPCS","Both",,,"80","40","Humana","Commercial","",,"78",,"62","29.28","62","percent of total billed charges",,
"FOREIGN BODY REMOVAL EXTERNAL EYE CORNE","65220","HCPCS","Both",,,"80","40","UHC","Commercial","",,"75",,"60.32","29.28","62","percent of total billed charges",,
"FOREIGN BODY REMOVAL EXTERNAL EYE CORNE","65220","HCPCS","Both",,,"80","40","Medicaid",,"",,"37",,"29.28","29.28","62","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT;COMPLICATED","28193","HCPCS","Both",,,"1823","911.5","Alliant","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT;COMPLICATED","28193","HCPCS","Both",,,"1823","911.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"984.42","667.22","1412.82","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT;COMPLICATED","28193","HCPCS","Both",,,"1823","911.5","Medicare",,"",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT;COMPLICATED","28193","HCPCS","Both",,,"1823","911.5","Humana","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT;COMPLICATED","28193","HCPCS","Both",,,"1823","911.5","UHC","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT;COMPLICATED","28193","HCPCS","Both",,,"1823","911.5","Clover","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT;COMPLICATED","28193","HCPCS","Both",,,"1823","911.5","Wellcare","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT;COMPLICATED","28193","HCPCS","Both",,,"1823","911.5","Amerigroup","Medicaid Managed Care","",,"37",,"667.22","667.22","1412.82","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT;COMPLICATED","28193","HCPCS","Both",,,"1823","911.5","Caresource","Medicaid Managed Care","",,"40",,"729.2","667.22","1412.82","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT;COMPLICATED","28193","HCPCS","Both",,,"1823","911.5","Wellcare","Medicaid Managed Care","",,"40",,"738.32","667.22","1412.82","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT;COMPLICATED","28193","HCPCS","Both",,,"1823","911.5","Aetna","Commercial","",,"64",,"1163.07","667.22","1412.82","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT;COMPLICATED","28193","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","Pathways","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT;COMPLICATED","28193","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","HMO","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT;COMPLICATED","28193","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","PPO","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT;COMPLICATED","28193","HCPCS","Both",,,"1823","911.5","Ambetter","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT;COMPLICATED","28193","HCPCS","Both",,,"1823","911.5","Caresource","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT;COMPLICATED","28193","HCPCS","Both",,,"1823","911.5","Cigna","Commercial","",,"59",,"1068.28","667.22","1412.82","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT;COMPLICATED","28193","HCPCS","Both",,,"1823","911.5","Humana","Commercial","",,"78",,"1412.82","667.22","1412.82","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT;COMPLICATED","28193","HCPCS","Both",,,"1823","911.5","UHC","Commercial","",,"75",,"1374.54","667.22","1412.82","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT;COMPLICATED","28193","HCPCS","Both",,,"1823","911.5","Medicaid",,"",,"37",,"667.22","667.22","1412.82","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","46050","HCPCS","Both",,,"1372","686","Alliant","Health Exchange","",,"62",,"850.64","502.15","1063.3","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","46050","HCPCS","Both",,,"1372","686","Pruitt Healthcare","Medicare Advantage","",,"54",,"740.88","502.15","1063.3","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","46050","HCPCS","Both",,,"1372","686","Medicare",,"",,"54",,"743.62","502.15","1063.3","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","46050","HCPCS","Both",,,"1372","686","Humana","Medicare Advantage","",,"54",,"743.62","502.15","1063.3","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","46050","HCPCS","Both",,,"1372","686","UHC","Medicare Advantage","",,"54",,"743.62","502.15","1063.3","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","46050","HCPCS","Both",,,"1372","686","Clover","Medicare Advantage","",,"54",,"743.62","502.15","1063.3","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","46050","HCPCS","Both",,,"1372","686","Wellcare","Medicare Advantage","",,"54",,"743.62","502.15","1063.3","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","46050","HCPCS","Both",,,"1372","686","Amerigroup","Medicaid Managed Care","",,"37",,"502.15","502.15","1063.3","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","46050","HCPCS","Both",,,"1372","686","Caresource","Medicaid Managed Care","",,"40",,"548.8","502.15","1063.3","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","46050","HCPCS","Both",,,"1372","686","Wellcare","Medicaid Managed Care","",,"40",,"555.66","502.15","1063.3","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","46050","HCPCS","Both",,,"1372","686","Aetna","Commercial","",,"64",,"875.34","502.15","1063.3","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","46050","HCPCS","Both",,,"1372","686","Blue Cross Blue Shield","Pathways","",,"71",,"968.63","502.15","1063.3","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","46050","HCPCS","Both",,,"1372","686","Blue Cross Blue Shield","HMO","",,"71",,"968.63","502.15","1063.3","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","46050","HCPCS","Both",,,"1372","686","Blue Cross Blue Shield","PPO","",,"71",,"968.63","502.15","1063.3","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","46050","HCPCS","Both",,,"1372","686","Ambetter","Health Exchange","",,"62",,"850.64","502.15","1063.3","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","46050","HCPCS","Both",,,"1372","686","Caresource","Health Exchange","",,"62",,"850.64","502.15","1063.3","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","46050","HCPCS","Both",,,"1372","686","Cigna","Commercial","",,"59",,"803.99","502.15","1063.3","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","46050","HCPCS","Both",,,"1372","686","Humana","Commercial","",,"78",,"1063.3","502.15","1063.3","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","46050","HCPCS","Both",,,"1372","686","UHC","Commercial","",,"75",,"1034.49","502.15","1063.3","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","46050","HCPCS","Both",,,"1372","686","Medicaid",,"",,"37",,"502.15","502.15","1063.3","percent of total billed charges",,
"ARTERIAL CATHETERIZATION OR CANNULATION","36620","HCPCS","Both",,,"124.5","62.25","Alliant","Health Exchange","",,"62",,"77.19","45.57","96.49","percent of total billed charges",,
"ARTERIAL CATHETERIZATION OR CANNULATION","36620","HCPCS","Both",,,"124.5","62.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"67.23","45.57","96.49","percent of total billed charges",,
"ARTERIAL CATHETERIZATION OR CANNULATION","36620","HCPCS","Both",,,"124.5","62.25","Medicare",,"",,"54",,"67.48","45.57","96.49","percent of total billed charges",,
"ARTERIAL CATHETERIZATION OR CANNULATION","36620","HCPCS","Both",,,"124.5","62.25","Humana","Medicare Advantage","",,"54",,"67.48","45.57","96.49","percent of total billed charges",,
"ARTERIAL CATHETERIZATION OR CANNULATION","36620","HCPCS","Both",,,"124.5","62.25","UHC","Medicare Advantage","",,"54",,"67.48","45.57","96.49","percent of total billed charges",,
"ARTERIAL CATHETERIZATION OR CANNULATION","36620","HCPCS","Both",,,"124.5","62.25","Clover","Medicare Advantage","",,"54",,"67.48","45.57","96.49","percent of total billed charges",,
"ARTERIAL CATHETERIZATION OR CANNULATION","36620","HCPCS","Both",,,"124.5","62.25","Wellcare","Medicare Advantage","",,"54",,"67.48","45.57","96.49","percent of total billed charges",,
"ARTERIAL CATHETERIZATION OR CANNULATION","36620","HCPCS","Both",,,"124.5","62.25","Amerigroup","Medicaid Managed Care","",,"37",,"45.57","45.57","96.49","percent of total billed charges",,
"ARTERIAL CATHETERIZATION OR CANNULATION","36620","HCPCS","Both",,,"124.5","62.25","Caresource","Medicaid Managed Care","",,"40",,"49.8","45.57","96.49","percent of total billed charges",,
"ARTERIAL CATHETERIZATION OR CANNULATION","36620","HCPCS","Both",,,"124.5","62.25","Wellcare","Medicaid Managed Care","",,"40",,"50.42","45.57","96.49","percent of total billed charges",,
"ARTERIAL CATHETERIZATION OR CANNULATION","36620","HCPCS","Both",,,"124.5","62.25","Aetna","Commercial","",,"64",,"79.43","45.57","96.49","percent of total billed charges",,
"ARTERIAL CATHETERIZATION OR CANNULATION","36620","HCPCS","Both",,,"124.5","62.25","Blue Cross Blue Shield","Pathways","",,"71",,"87.9","45.57","96.49","percent of total billed charges",,
"ARTERIAL CATHETERIZATION OR CANNULATION","36620","HCPCS","Both",,,"124.5","62.25","Blue Cross Blue Shield","HMO","",,"71",,"87.9","45.57","96.49","percent of total billed charges",,
"ARTERIAL CATHETERIZATION OR CANNULATION","36620","HCPCS","Both",,,"124.5","62.25","Blue Cross Blue Shield","PPO","",,"71",,"87.9","45.57","96.49","percent of total billed charges",,
"ARTERIAL CATHETERIZATION OR CANNULATION","36620","HCPCS","Both",,,"124.5","62.25","Ambetter","Health Exchange","",,"62",,"77.19","45.57","96.49","percent of total billed charges",,
"ARTERIAL CATHETERIZATION OR CANNULATION","36620","HCPCS","Both",,,"124.5","62.25","Caresource","Health Exchange","",,"62",,"77.19","45.57","96.49","percent of total billed charges",,
"ARTERIAL CATHETERIZATION OR CANNULATION","36620","HCPCS","Both",,,"124.5","62.25","Cigna","Commercial","",,"59",,"72.96","45.57","96.49","percent of total billed charges",,
"ARTERIAL CATHETERIZATION OR CANNULATION","36620","HCPCS","Both",,,"124.5","62.25","Humana","Commercial","",,"78",,"96.49","45.57","96.49","percent of total billed charges",,
"ARTERIAL CATHETERIZATION OR CANNULATION","36620","HCPCS","Both",,,"124.5","62.25","UHC","Commercial","",,"75",,"93.87","45.57","96.49","percent of total billed charges",,
"ARTERIAL CATHETERIZATION OR CANNULATION","36620","HCPCS","Both",,,"124.5","62.25","Medicaid",,"",,"37",,"45.57","45.57","96.49","percent of total billed charges",,
"APPLICATION,CAST,ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Alliant","Health Exchange","",,"62",,"53.94","31.84","67.42","percent of total billed charges",,
"APPLICATION,CAST,ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"46.98","31.84","67.42","percent of total billed charges",,
"APPLICATION,CAST,ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Medicare",,"",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"APPLICATION,CAST,ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Humana","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"APPLICATION,CAST,ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","UHC","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"APPLICATION,CAST,ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Clover","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"APPLICATION,CAST,ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Wellcare","Medicare Advantage","",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"APPLICATION,CAST,ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Amerigroup","Medicaid Managed Care","",,"37",,"31.84","31.84","67.42","percent of total billed charges",,
"APPLICATION,CAST,ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Caresource","Medicaid Managed Care","",,"40",,"34.8","31.84","67.42","percent of total billed charges",,
"APPLICATION,CAST,ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Wellcare","Medicaid Managed Care","",,"40",,"35.24","31.84","67.42","percent of total billed charges",,
"APPLICATION,CAST,ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Aetna","Commercial","",,"64",,"55.51","31.84","67.42","percent of total billed charges",,
"APPLICATION,CAST,ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Blue Cross Blue Shield","Pathways","",,"71",,"61.42","31.84","67.42","percent of total billed charges",,
"APPLICATION,CAST,ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Blue Cross Blue Shield","HMO","",,"71",,"61.42","31.84","67.42","percent of total billed charges",,
"APPLICATION,CAST,ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Blue Cross Blue Shield","PPO","",,"71",,"61.42","31.84","67.42","percent of total billed charges",,
"APPLICATION,CAST,ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Ambetter","Health Exchange","",,"62",,"53.94","31.84","67.42","percent of total billed charges",,
"APPLICATION,CAST,ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Caresource","Health Exchange","",,"62",,"53.94","31.84","67.42","percent of total billed charges",,
"APPLICATION,CAST,ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Cigna","Commercial","",,"59",,"50.98","31.84","67.42","percent of total billed charges",,
"APPLICATION,CAST,ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Humana","Commercial","",,"78",,"67.42","31.84","67.42","percent of total billed charges",,
"APPLICATION,CAST,ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","UHC","Commercial","",,"75",,"65.6","31.84","67.42","percent of total billed charges",,
"APPLICATION,CAST,ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Medicaid",,"",,"37",,"31.84","31.84","67.42","percent of total billed charges",,
"INJECTION SINGLE OR MULT TRIGGER POINTS","20552","HCPCS","Both",,,"570.5","285.25","Alliant","Health Exchange","",,"62",,"353.71","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE OR MULT TRIGGER POINTS","20552","HCPCS","Both",,,"570.5","285.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"308.07","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE OR MULT TRIGGER POINTS","20552","HCPCS","Both",,,"570.5","285.25","Medicare",,"",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE OR MULT TRIGGER POINTS","20552","HCPCS","Both",,,"570.5","285.25","Humana","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE OR MULT TRIGGER POINTS","20552","HCPCS","Both",,,"570.5","285.25","UHC","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE OR MULT TRIGGER POINTS","20552","HCPCS","Both",,,"570.5","285.25","Clover","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE OR MULT TRIGGER POINTS","20552","HCPCS","Both",,,"570.5","285.25","Wellcare","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE OR MULT TRIGGER POINTS","20552","HCPCS","Both",,,"570.5","285.25","Amerigroup","Medicaid Managed Care","",,"37",,"208.8","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE OR MULT TRIGGER POINTS","20552","HCPCS","Both",,,"570.5","285.25","Caresource","Medicaid Managed Care","",,"40",,"228.2","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE OR MULT TRIGGER POINTS","20552","HCPCS","Both",,,"570.5","285.25","Wellcare","Medicaid Managed Care","",,"40",,"231.05","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE OR MULT TRIGGER POINTS","20552","HCPCS","Both",,,"570.5","285.25","Aetna","Commercial","",,"64",,"363.98","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE OR MULT TRIGGER POINTS","20552","HCPCS","Both",,,"570.5","285.25","Blue Cross Blue Shield","Pathways","",,"71",,"402.77","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE OR MULT TRIGGER POINTS","20552","HCPCS","Both",,,"570.5","285.25","Blue Cross Blue Shield","HMO","",,"71",,"402.77","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE OR MULT TRIGGER POINTS","20552","HCPCS","Both",,,"570.5","285.25","Blue Cross Blue Shield","PPO","",,"71",,"402.77","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE OR MULT TRIGGER POINTS","20552","HCPCS","Both",,,"570.5","285.25","Ambetter","Health Exchange","",,"62",,"353.71","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE OR MULT TRIGGER POINTS","20552","HCPCS","Both",,,"570.5","285.25","Caresource","Health Exchange","",,"62",,"353.71","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE OR MULT TRIGGER POINTS","20552","HCPCS","Both",,,"570.5","285.25","Cigna","Commercial","",,"59",,"334.31","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE OR MULT TRIGGER POINTS","20552","HCPCS","Both",,,"570.5","285.25","Humana","Commercial","",,"78",,"442.14","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE OR MULT TRIGGER POINTS","20552","HCPCS","Both",,,"570.5","285.25","UHC","Commercial","",,"75",,"430.16","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE OR MULT TRIGGER POINTS","20552","HCPCS","Both",,,"570.5","285.25","Medicaid",,"",,"37",,"208.8","208.8","442.14","percent of total billed charges",,
"STRAPPING; UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Alliant","Health Exchange","",,"62",,"66.65","39.34","83.31","percent of total billed charges",,
"STRAPPING; UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"58.05","39.34","83.31","percent of total billed charges",,
"STRAPPING; UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Medicare",,"",,"54",,"58.26","39.34","83.31","percent of total billed charges",,
"STRAPPING; UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Humana","Medicare Advantage","",,"54",,"58.26","39.34","83.31","percent of total billed charges",,
"STRAPPING; UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","UHC","Medicare Advantage","",,"54",,"58.26","39.34","83.31","percent of total billed charges",,
"STRAPPING; UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Clover","Medicare Advantage","",,"54",,"58.26","39.34","83.31","percent of total billed charges",,
"STRAPPING; UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Wellcare","Medicare Advantage","",,"54",,"58.26","39.34","83.31","percent of total billed charges",,
"STRAPPING; UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Amerigroup","Medicaid Managed Care","",,"37",,"39.34","39.34","83.31","percent of total billed charges",,
"STRAPPING; UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Caresource","Medicaid Managed Care","",,"40",,"43","39.34","83.31","percent of total billed charges",,
"STRAPPING; UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Wellcare","Medicaid Managed Care","",,"40",,"43.54","39.34","83.31","percent of total billed charges",,
"STRAPPING; UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Aetna","Commercial","",,"64",,"68.59","39.34","83.31","percent of total billed charges",,
"STRAPPING; UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Blue Cross Blue Shield","Pathways","",,"71",,"75.9","39.34","83.31","percent of total billed charges",,
"STRAPPING; UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Blue Cross Blue Shield","HMO","",,"71",,"75.9","39.34","83.31","percent of total billed charges",,
"STRAPPING; UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Blue Cross Blue Shield","PPO","",,"71",,"75.9","39.34","83.31","percent of total billed charges",,
"STRAPPING; UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Ambetter","Health Exchange","",,"62",,"66.65","39.34","83.31","percent of total billed charges",,
"STRAPPING; UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Caresource","Health Exchange","",,"62",,"66.65","39.34","83.31","percent of total billed charges",,
"STRAPPING; UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Cigna","Commercial","",,"59",,"63","39.34","83.31","percent of total billed charges",,
"STRAPPING; UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Humana","Commercial","",,"78",,"83.31","39.34","83.31","percent of total billed charges",,
"STRAPPING; UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","UHC","Commercial","",,"75",,"81.06","39.34","83.31","percent of total billed charges",,
"STRAPPING; UNNA BOOT","29580","HCPCS","Both",,,"107.5","53.75","Medicaid",,"",,"37",,"39.34","39.34","83.31","percent of total billed charges",,
"REMOVAL FOREIGN OBJECT FROM PHARYNX","42809","HCPCS","Both",,,"256","128","Alliant","Health Exchange","",,"62",,"158.72","93.7","198.4","percent of total billed charges",,
"REMOVAL FOREIGN OBJECT FROM PHARYNX","42809","HCPCS","Both",,,"256","128","Pruitt Healthcare","Medicare Advantage","",,"54",,"138.24","93.7","198.4","percent of total billed charges",,
"REMOVAL FOREIGN OBJECT FROM PHARYNX","42809","HCPCS","Both",,,"256","128","Medicare",,"",,"54",,"138.75","93.7","198.4","percent of total billed charges",,
"REMOVAL FOREIGN OBJECT FROM PHARYNX","42809","HCPCS","Both",,,"256","128","Humana","Medicare Advantage","",,"54",,"138.75","93.7","198.4","percent of total billed charges",,
"REMOVAL FOREIGN OBJECT FROM PHARYNX","42809","HCPCS","Both",,,"256","128","UHC","Medicare Advantage","",,"54",,"138.75","93.7","198.4","percent of total billed charges",,
"REMOVAL FOREIGN OBJECT FROM PHARYNX","42809","HCPCS","Both",,,"256","128","Clover","Medicare Advantage","",,"54",,"138.75","93.7","198.4","percent of total billed charges",,
"REMOVAL FOREIGN OBJECT FROM PHARYNX","42809","HCPCS","Both",,,"256","128","Wellcare","Medicare Advantage","",,"54",,"138.75","93.7","198.4","percent of total billed charges",,
"REMOVAL FOREIGN OBJECT FROM PHARYNX","42809","HCPCS","Both",,,"256","128","Amerigroup","Medicaid Managed Care","",,"37",,"93.7","93.7","198.4","percent of total billed charges",,
"REMOVAL FOREIGN OBJECT FROM PHARYNX","42809","HCPCS","Both",,,"256","128","Caresource","Medicaid Managed Care","",,"40",,"102.4","93.7","198.4","percent of total billed charges",,
"REMOVAL FOREIGN OBJECT FROM PHARYNX","42809","HCPCS","Both",,,"256","128","Wellcare","Medicaid Managed Care","",,"40",,"103.68","93.7","198.4","percent of total billed charges",,
"REMOVAL FOREIGN OBJECT FROM PHARYNX","42809","HCPCS","Both",,,"256","128","Aetna","Commercial","",,"64",,"163.33","93.7","198.4","percent of total billed charges",,
"REMOVAL FOREIGN OBJECT FROM PHARYNX","42809","HCPCS","Both",,,"256","128","Blue Cross Blue Shield","Pathways","",,"71",,"180.74","93.7","198.4","percent of total billed charges",,
"REMOVAL FOREIGN OBJECT FROM PHARYNX","42809","HCPCS","Both",,,"256","128","Blue Cross Blue Shield","HMO","",,"71",,"180.74","93.7","198.4","percent of total billed charges",,
"REMOVAL FOREIGN OBJECT FROM PHARYNX","42809","HCPCS","Both",,,"256","128","Blue Cross Blue Shield","PPO","",,"71",,"180.74","93.7","198.4","percent of total billed charges",,
"REMOVAL FOREIGN OBJECT FROM PHARYNX","42809","HCPCS","Both",,,"256","128","Ambetter","Health Exchange","",,"62",,"158.72","93.7","198.4","percent of total billed charges",,
"REMOVAL FOREIGN OBJECT FROM PHARYNX","42809","HCPCS","Both",,,"256","128","Caresource","Health Exchange","",,"62",,"158.72","93.7","198.4","percent of total billed charges",,
"REMOVAL FOREIGN OBJECT FROM PHARYNX","42809","HCPCS","Both",,,"256","128","Cigna","Commercial","",,"59",,"150.02","93.7","198.4","percent of total billed charges",,
"REMOVAL FOREIGN OBJECT FROM PHARYNX","42809","HCPCS","Both",,,"256","128","Humana","Commercial","",,"78",,"198.4","93.7","198.4","percent of total billed charges",,
"REMOVAL FOREIGN OBJECT FROM PHARYNX","42809","HCPCS","Both",,,"256","128","UHC","Commercial","",,"75",,"193.02","93.7","198.4","percent of total billed charges",,
"REMOVAL FOREIGN OBJECT FROM PHARYNX","42809","HCPCS","Both",,,"256","128","Medicaid",,"",,"37",,"93.7","93.7","198.4","percent of total billed charges",,
"I & D OF EPIDIDYMIS,TESTIS &/OR SCROTAL","54700","HCPCS","Both",,,"3116","1558","Alliant","Health Exchange","",,"62",,"1931.92","1140.46","2414.9","percent of total billed charges",,
"I & D OF EPIDIDYMIS,TESTIS &/OR SCROTAL","54700","HCPCS","Both",,,"3116","1558","Pruitt Healthcare","Medicare Advantage","",,"54",,"1682.64","1140.46","2414.9","percent of total billed charges",,
"I & D OF EPIDIDYMIS,TESTIS &/OR SCROTAL","54700","HCPCS","Both",,,"3116","1558","Medicare",,"",,"54",,"1688.87","1140.46","2414.9","percent of total billed charges",,
"I & D OF EPIDIDYMIS,TESTIS &/OR SCROTAL","54700","HCPCS","Both",,,"3116","1558","Humana","Medicare Advantage","",,"54",,"1688.87","1140.46","2414.9","percent of total billed charges",,
"I & D OF EPIDIDYMIS,TESTIS &/OR SCROTAL","54700","HCPCS","Both",,,"3116","1558","UHC","Medicare Advantage","",,"54",,"1688.87","1140.46","2414.9","percent of total billed charges",,
"I & D OF EPIDIDYMIS,TESTIS &/OR SCROTAL","54700","HCPCS","Both",,,"3116","1558","Clover","Medicare Advantage","",,"54",,"1688.87","1140.46","2414.9","percent of total billed charges",,
"I & D OF EPIDIDYMIS,TESTIS &/OR SCROTAL","54700","HCPCS","Both",,,"3116","1558","Wellcare","Medicare Advantage","",,"54",,"1688.87","1140.46","2414.9","percent of total billed charges",,
"I & D OF EPIDIDYMIS,TESTIS &/OR SCROTAL","54700","HCPCS","Both",,,"3116","1558","Amerigroup","Medicaid Managed Care","",,"37",,"1140.46","1140.46","2414.9","percent of total billed charges",,
"I & D OF EPIDIDYMIS,TESTIS &/OR SCROTAL","54700","HCPCS","Both",,,"3116","1558","Caresource","Medicaid Managed Care","",,"40",,"1246.4","1140.46","2414.9","percent of total billed charges",,
"I & D OF EPIDIDYMIS,TESTIS &/OR SCROTAL","54700","HCPCS","Both",,,"3116","1558","Wellcare","Medicaid Managed Care","",,"40",,"1261.98","1140.46","2414.9","percent of total billed charges",,
"I & D OF EPIDIDYMIS,TESTIS &/OR SCROTAL","54700","HCPCS","Both",,,"3116","1558","Aetna","Commercial","",,"64",,"1988.01","1140.46","2414.9","percent of total billed charges",,
"I & D OF EPIDIDYMIS,TESTIS &/OR SCROTAL","54700","HCPCS","Both",,,"3116","1558","Blue Cross Blue Shield","Pathways","",,"71",,"2199.9","1140.46","2414.9","percent of total billed charges",,
"I & D OF EPIDIDYMIS,TESTIS &/OR SCROTAL","54700","HCPCS","Both",,,"3116","1558","Blue Cross Blue Shield","HMO","",,"71",,"2199.9","1140.46","2414.9","percent of total billed charges",,
"I & D OF EPIDIDYMIS,TESTIS &/OR SCROTAL","54700","HCPCS","Both",,,"3116","1558","Blue Cross Blue Shield","PPO","",,"71",,"2199.9","1140.46","2414.9","percent of total billed charges",,
"I & D OF EPIDIDYMIS,TESTIS &/OR SCROTAL","54700","HCPCS","Both",,,"3116","1558","Ambetter","Health Exchange","",,"62",,"1931.92","1140.46","2414.9","percent of total billed charges",,
"I & D OF EPIDIDYMIS,TESTIS &/OR SCROTAL","54700","HCPCS","Both",,,"3116","1558","Caresource","Health Exchange","",,"62",,"1931.92","1140.46","2414.9","percent of total billed charges",,
"I & D OF EPIDIDYMIS,TESTIS &/OR SCROTAL","54700","HCPCS","Both",,,"3116","1558","Cigna","Commercial","",,"59",,"1825.98","1140.46","2414.9","percent of total billed charges",,
"I & D OF EPIDIDYMIS,TESTIS &/OR SCROTAL","54700","HCPCS","Both",,,"3116","1558","Humana","Commercial","",,"78",,"2414.9","1140.46","2414.9","percent of total billed charges",,
"I & D OF EPIDIDYMIS,TESTIS &/OR SCROTAL","54700","HCPCS","Both",,,"3116","1558","UHC","Commercial","",,"75",,"2349.46","1140.46","2414.9","percent of total billed charges",,
"I & D OF EPIDIDYMIS,TESTIS &/OR SCROTAL","54700","HCPCS","Both",,,"3116","1558","Medicaid",,"",,"37",,"1140.46","1140.46","2414.9","percent of total billed charges",,
"CLOSED TX FX PHALANX W/MANIPULATION","28515","HCPCS","Both",,,"418.5","209.25","Alliant","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX FX PHALANX W/MANIPULATION","28515","HCPCS","Both",,,"418.5","209.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"225.99","153.17","324.34","percent of total billed charges",,
"CLOSED TX FX PHALANX W/MANIPULATION","28515","HCPCS","Both",,,"418.5","209.25","Medicare",,"",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX FX PHALANX W/MANIPULATION","28515","HCPCS","Both",,,"418.5","209.25","Humana","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX FX PHALANX W/MANIPULATION","28515","HCPCS","Both",,,"418.5","209.25","UHC","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX FX PHALANX W/MANIPULATION","28515","HCPCS","Both",,,"418.5","209.25","Clover","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX FX PHALANX W/MANIPULATION","28515","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX FX PHALANX W/MANIPULATION","28515","HCPCS","Both",,,"418.5","209.25","Amerigroup","Medicaid Managed Care","",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TX FX PHALANX W/MANIPULATION","28515","HCPCS","Both",,,"418.5","209.25","Caresource","Medicaid Managed Care","",,"40",,"167.4","153.17","324.34","percent of total billed charges",,
"CLOSED TX FX PHALANX W/MANIPULATION","28515","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicaid Managed Care","",,"40",,"169.49","153.17","324.34","percent of total billed charges",,
"CLOSED TX FX PHALANX W/MANIPULATION","28515","HCPCS","Both",,,"418.5","209.25","Aetna","Commercial","",,"64",,"267","153.17","324.34","percent of total billed charges",,
"CLOSED TX FX PHALANX W/MANIPULATION","28515","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","Pathways","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX FX PHALANX W/MANIPULATION","28515","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","HMO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX FX PHALANX W/MANIPULATION","28515","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","PPO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX FX PHALANX W/MANIPULATION","28515","HCPCS","Both",,,"418.5","209.25","Ambetter","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX FX PHALANX W/MANIPULATION","28515","HCPCS","Both",,,"418.5","209.25","Caresource","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX FX PHALANX W/MANIPULATION","28515","HCPCS","Both",,,"418.5","209.25","Cigna","Commercial","",,"59",,"245.24","153.17","324.34","percent of total billed charges",,
"CLOSED TX FX PHALANX W/MANIPULATION","28515","HCPCS","Both",,,"418.5","209.25","Humana","Commercial","",,"78",,"324.34","153.17","324.34","percent of total billed charges",,
"CLOSED TX FX PHALANX W/MANIPULATION","28515","HCPCS","Both",,,"418.5","209.25","UHC","Commercial","",,"75",,"315.55","153.17","324.34","percent of total billed charges",,
"CLOSED TX FX PHALANX W/MANIPULATION","28515","HCPCS","Both",,,"418.5","209.25","Medicaid",,"",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"INSERTION NON-DWELLING BLADDER CATHETER","51701","HCPCS","Both",,,"33.5","16.75","Alliant","Health Exchange","",,"62",,"20.77","12.26","25.96","percent of total billed charges",,
"INSERTION NON-DWELLING BLADDER CATHETER","51701","HCPCS","Both",,,"33.5","16.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"18.09","12.26","25.96","percent of total billed charges",,
"INSERTION NON-DWELLING BLADDER CATHETER","51701","HCPCS","Both",,,"33.5","16.75","Medicare",,"",,"54",,"18.16","12.26","25.96","percent of total billed charges",,
"INSERTION NON-DWELLING BLADDER CATHETER","51701","HCPCS","Both",,,"33.5","16.75","Humana","Medicare Advantage","",,"54",,"18.16","12.26","25.96","percent of total billed charges",,
"INSERTION NON-DWELLING BLADDER CATHETER","51701","HCPCS","Both",,,"33.5","16.75","UHC","Medicare Advantage","",,"54",,"18.16","12.26","25.96","percent of total billed charges",,
"INSERTION NON-DWELLING BLADDER CATHETER","51701","HCPCS","Both",,,"33.5","16.75","Clover","Medicare Advantage","",,"54",,"18.16","12.26","25.96","percent of total billed charges",,
"INSERTION NON-DWELLING BLADDER CATHETER","51701","HCPCS","Both",,,"33.5","16.75","Wellcare","Medicare Advantage","",,"54",,"18.16","12.26","25.96","percent of total billed charges",,
"INSERTION NON-DWELLING BLADDER CATHETER","51701","HCPCS","Both",,,"33.5","16.75","Amerigroup","Medicaid Managed Care","",,"37",,"12.26","12.26","25.96","percent of total billed charges",,
"INSERTION NON-DWELLING BLADDER CATHETER","51701","HCPCS","Both",,,"33.5","16.75","Caresource","Medicaid Managed Care","",,"40",,"13.4","12.26","25.96","percent of total billed charges",,
"INSERTION NON-DWELLING BLADDER CATHETER","51701","HCPCS","Both",,,"33.5","16.75","Wellcare","Medicaid Managed Care","",,"40",,"13.57","12.26","25.96","percent of total billed charges",,
"INSERTION NON-DWELLING BLADDER CATHETER","51701","HCPCS","Both",,,"33.5","16.75","Aetna","Commercial","",,"64",,"21.37","12.26","25.96","percent of total billed charges",,
"INSERTION NON-DWELLING BLADDER CATHETER","51701","HCPCS","Both",,,"33.5","16.75","Blue Cross Blue Shield","Pathways","",,"71",,"23.65","12.26","25.96","percent of total billed charges",,
"INSERTION NON-DWELLING BLADDER CATHETER","51701","HCPCS","Both",,,"33.5","16.75","Blue Cross Blue Shield","HMO","",,"71",,"23.65","12.26","25.96","percent of total billed charges",,
"INSERTION NON-DWELLING BLADDER CATHETER","51701","HCPCS","Both",,,"33.5","16.75","Blue Cross Blue Shield","PPO","",,"71",,"23.65","12.26","25.96","percent of total billed charges",,
"INSERTION NON-DWELLING BLADDER CATHETER","51701","HCPCS","Both",,,"33.5","16.75","Ambetter","Health Exchange","",,"62",,"20.77","12.26","25.96","percent of total billed charges",,
"INSERTION NON-DWELLING BLADDER CATHETER","51701","HCPCS","Both",,,"33.5","16.75","Caresource","Health Exchange","",,"62",,"20.77","12.26","25.96","percent of total billed charges",,
"INSERTION NON-DWELLING BLADDER CATHETER","51701","HCPCS","Both",,,"33.5","16.75","Cigna","Commercial","",,"59",,"19.63","12.26","25.96","percent of total billed charges",,
"INSERTION NON-DWELLING BLADDER CATHETER","51701","HCPCS","Both",,,"33.5","16.75","Humana","Commercial","",,"78",,"25.96","12.26","25.96","percent of total billed charges",,
"INSERTION NON-DWELLING BLADDER CATHETER","51701","HCPCS","Both",,,"33.5","16.75","UHC","Commercial","",,"75",,"25.26","12.26","25.96","percent of total billed charges",,
"INSERTION NON-DWELLING BLADDER CATHETER","51701","HCPCS","Both",,,"33.5","16.75","Medicaid",,"",,"37",,"12.26","12.26","25.96","percent of total billed charges",,
"INSERTION INDWELLING CATHETER","51702","HCPCS","Both",,,"112","56","Alliant","Health Exchange","",,"62",,"69.44","40.99","86.8","percent of total billed charges",,
"INSERTION INDWELLING CATHETER","51702","HCPCS","Both",,,"112","56","Pruitt Healthcare","Medicare Advantage","",,"54",,"60.48","40.99","86.8","percent of total billed charges",,
"INSERTION INDWELLING CATHETER","51702","HCPCS","Both",,,"112","56","Medicare",,"",,"54",,"60.7","40.99","86.8","percent of total billed charges",,
"INSERTION INDWELLING CATHETER","51702","HCPCS","Both",,,"112","56","Humana","Medicare Advantage","",,"54",,"60.7","40.99","86.8","percent of total billed charges",,
"INSERTION INDWELLING CATHETER","51702","HCPCS","Both",,,"112","56","UHC","Medicare Advantage","",,"54",,"60.7","40.99","86.8","percent of total billed charges",,
"INSERTION INDWELLING CATHETER","51702","HCPCS","Both",,,"112","56","Clover","Medicare Advantage","",,"54",,"60.7","40.99","86.8","percent of total billed charges",,
"INSERTION INDWELLING CATHETER","51702","HCPCS","Both",,,"112","56","Wellcare","Medicare Advantage","",,"54",,"60.7","40.99","86.8","percent of total billed charges",,
"INSERTION INDWELLING CATHETER","51702","HCPCS","Both",,,"112","56","Amerigroup","Medicaid Managed Care","",,"37",,"40.99","40.99","86.8","percent of total billed charges",,
"INSERTION INDWELLING CATHETER","51702","HCPCS","Both",,,"112","56","Caresource","Medicaid Managed Care","",,"40",,"44.8","40.99","86.8","percent of total billed charges",,
"INSERTION INDWELLING CATHETER","51702","HCPCS","Both",,,"112","56","Wellcare","Medicaid Managed Care","",,"40",,"45.36","40.99","86.8","percent of total billed charges",,
"INSERTION INDWELLING CATHETER","51702","HCPCS","Both",,,"112","56","Aetna","Commercial","",,"64",,"71.46","40.99","86.8","percent of total billed charges",,
"INSERTION INDWELLING CATHETER","51702","HCPCS","Both",,,"112","56","Blue Cross Blue Shield","Pathways","",,"71",,"79.07","40.99","86.8","percent of total billed charges",,
"INSERTION INDWELLING CATHETER","51702","HCPCS","Both",,,"112","56","Blue Cross Blue Shield","HMO","",,"71",,"79.07","40.99","86.8","percent of total billed charges",,
"INSERTION INDWELLING CATHETER","51702","HCPCS","Both",,,"112","56","Blue Cross Blue Shield","PPO","",,"71",,"79.07","40.99","86.8","percent of total billed charges",,
"INSERTION INDWELLING CATHETER","51702","HCPCS","Both",,,"112","56","Ambetter","Health Exchange","",,"62",,"69.44","40.99","86.8","percent of total billed charges",,
"INSERTION INDWELLING CATHETER","51702","HCPCS","Both",,,"112","56","Caresource","Health Exchange","",,"62",,"69.44","40.99","86.8","percent of total billed charges",,
"INSERTION INDWELLING CATHETER","51702","HCPCS","Both",,,"112","56","Cigna","Commercial","",,"59",,"65.63","40.99","86.8","percent of total billed charges",,
"INSERTION INDWELLING CATHETER","51702","HCPCS","Both",,,"112","56","Humana","Commercial","",,"78",,"86.8","40.99","86.8","percent of total billed charges",,
"INSERTION INDWELLING CATHETER","51702","HCPCS","Both",,,"112","56","UHC","Commercial","",,"75",,"84.45","40.99","86.8","percent of total billed charges",,
"INSERTION INDWELLING CATHETER","51702","HCPCS","Both",,,"112","56","Medicaid",,"",,"37",,"40.99","40.99","86.8","percent of total billed charges",,
"CLOSED TX RADIAL HEAD SUBLUXATION","24640","HCPCS","Both",,,"97.5","48.75","Alliant","Health Exchange","",,"62",,"60.45","35.68","75.56","percent of total billed charges",,
"CLOSED TX RADIAL HEAD SUBLUXATION","24640","HCPCS","Both",,,"97.5","48.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.65","35.68","75.56","percent of total billed charges",,
"CLOSED TX RADIAL HEAD SUBLUXATION","24640","HCPCS","Both",,,"97.5","48.75","Medicare",,"",,"54",,"52.85","35.68","75.56","percent of total billed charges",,
"CLOSED TX RADIAL HEAD SUBLUXATION","24640","HCPCS","Both",,,"97.5","48.75","Humana","Medicare Advantage","",,"54",,"52.85","35.68","75.56","percent of total billed charges",,
"CLOSED TX RADIAL HEAD SUBLUXATION","24640","HCPCS","Both",,,"97.5","48.75","UHC","Medicare Advantage","",,"54",,"52.85","35.68","75.56","percent of total billed charges",,
"CLOSED TX RADIAL HEAD SUBLUXATION","24640","HCPCS","Both",,,"97.5","48.75","Clover","Medicare Advantage","",,"54",,"52.85","35.68","75.56","percent of total billed charges",,
"CLOSED TX RADIAL HEAD SUBLUXATION","24640","HCPCS","Both",,,"97.5","48.75","Wellcare","Medicare Advantage","",,"54",,"52.85","35.68","75.56","percent of total billed charges",,
"CLOSED TX RADIAL HEAD SUBLUXATION","24640","HCPCS","Both",,,"97.5","48.75","Amerigroup","Medicaid Managed Care","",,"37",,"35.68","35.68","75.56","percent of total billed charges",,
"CLOSED TX RADIAL HEAD SUBLUXATION","24640","HCPCS","Both",,,"97.5","48.75","Caresource","Medicaid Managed Care","",,"40",,"39","35.68","75.56","percent of total billed charges",,
"CLOSED TX RADIAL HEAD SUBLUXATION","24640","HCPCS","Both",,,"97.5","48.75","Wellcare","Medicaid Managed Care","",,"40",,"39.49","35.68","75.56","percent of total billed charges",,
"CLOSED TX RADIAL HEAD SUBLUXATION","24640","HCPCS","Both",,,"97.5","48.75","Aetna","Commercial","",,"64",,"62.2","35.68","75.56","percent of total billed charges",,
"CLOSED TX RADIAL HEAD SUBLUXATION","24640","HCPCS","Both",,,"97.5","48.75","Blue Cross Blue Shield","Pathways","",,"71",,"68.83","35.68","75.56","percent of total billed charges",,
"CLOSED TX RADIAL HEAD SUBLUXATION","24640","HCPCS","Both",,,"97.5","48.75","Blue Cross Blue Shield","HMO","",,"71",,"68.83","35.68","75.56","percent of total billed charges",,
"CLOSED TX RADIAL HEAD SUBLUXATION","24640","HCPCS","Both",,,"97.5","48.75","Blue Cross Blue Shield","PPO","",,"71",,"68.83","35.68","75.56","percent of total billed charges",,
"CLOSED TX RADIAL HEAD SUBLUXATION","24640","HCPCS","Both",,,"97.5","48.75","Ambetter","Health Exchange","",,"62",,"60.45","35.68","75.56","percent of total billed charges",,
"CLOSED TX RADIAL HEAD SUBLUXATION","24640","HCPCS","Both",,,"97.5","48.75","Caresource","Health Exchange","",,"62",,"60.45","35.68","75.56","percent of total billed charges",,
"CLOSED TX RADIAL HEAD SUBLUXATION","24640","HCPCS","Both",,,"97.5","48.75","Cigna","Commercial","",,"59",,"57.14","35.68","75.56","percent of total billed charges",,
"CLOSED TX RADIAL HEAD SUBLUXATION","24640","HCPCS","Both",,,"97.5","48.75","Humana","Commercial","",,"78",,"75.56","35.68","75.56","percent of total billed charges",,
"CLOSED TX RADIAL HEAD SUBLUXATION","24640","HCPCS","Both",,,"97.5","48.75","UHC","Commercial","",,"75",,"73.52","35.68","75.56","percent of total billed charges",,
"CLOSED TX RADIAL HEAD SUBLUXATION","24640","HCPCS","Both",,,"97.5","48.75","Medicaid",,"",,"37",,"35.68","35.68","75.56","percent of total billed charges",,
"CLOSED TX CAPOMETACARPAL DX W/O ANESTHES","26670","HCPCS","Both",,,"418.5","209.25","Alliant","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX CAPOMETACARPAL DX W/O ANESTHES","26670","HCPCS","Both",,,"418.5","209.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"225.99","153.17","324.34","percent of total billed charges",,
"CLOSED TX CAPOMETACARPAL DX W/O ANESTHES","26670","HCPCS","Both",,,"418.5","209.25","Medicare",,"",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX CAPOMETACARPAL DX W/O ANESTHES","26670","HCPCS","Both",,,"418.5","209.25","Humana","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX CAPOMETACARPAL DX W/O ANESTHES","26670","HCPCS","Both",,,"418.5","209.25","UHC","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX CAPOMETACARPAL DX W/O ANESTHES","26670","HCPCS","Both",,,"418.5","209.25","Clover","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX CAPOMETACARPAL DX W/O ANESTHES","26670","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX CAPOMETACARPAL DX W/O ANESTHES","26670","HCPCS","Both",,,"418.5","209.25","Amerigroup","Medicaid Managed Care","",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TX CAPOMETACARPAL DX W/O ANESTHES","26670","HCPCS","Both",,,"418.5","209.25","Caresource","Medicaid Managed Care","",,"40",,"167.4","153.17","324.34","percent of total billed charges",,
"CLOSED TX CAPOMETACARPAL DX W/O ANESTHES","26670","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicaid Managed Care","",,"40",,"169.49","153.17","324.34","percent of total billed charges",,
"CLOSED TX CAPOMETACARPAL DX W/O ANESTHES","26670","HCPCS","Both",,,"418.5","209.25","Aetna","Commercial","",,"64",,"267","153.17","324.34","percent of total billed charges",,
"CLOSED TX CAPOMETACARPAL DX W/O ANESTHES","26670","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","Pathways","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX CAPOMETACARPAL DX W/O ANESTHES","26670","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","HMO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX CAPOMETACARPAL DX W/O ANESTHES","26670","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","PPO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX CAPOMETACARPAL DX W/O ANESTHES","26670","HCPCS","Both",,,"418.5","209.25","Ambetter","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX CAPOMETACARPAL DX W/O ANESTHES","26670","HCPCS","Both",,,"418.5","209.25","Caresource","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX CAPOMETACARPAL DX W/O ANESTHES","26670","HCPCS","Both",,,"418.5","209.25","Cigna","Commercial","",,"59",,"245.24","153.17","324.34","percent of total billed charges",,
"CLOSED TX CAPOMETACARPAL DX W/O ANESTHES","26670","HCPCS","Both",,,"418.5","209.25","Humana","Commercial","",,"78",,"324.34","153.17","324.34","percent of total billed charges",,
"CLOSED TX CAPOMETACARPAL DX W/O ANESTHES","26670","HCPCS","Both",,,"418.5","209.25","UHC","Commercial","",,"75",,"315.55","153.17","324.34","percent of total billed charges",,
"CLOSED TX CAPOMETACARPAL DX W/O ANESTHES","26670","HCPCS","Both",,,"418.5","209.25","Medicaid",,"",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM/ELBOW","23930","HCPCS","Both",,,"4118","2059","Alliant","Health Exchange","",,"62",,"2553.16","1507.19","3191.45","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM/ELBOW","23930","HCPCS","Both",,,"4118","2059","Pruitt Healthcare","Medicare Advantage","",,"54",,"2223.72","1507.19","3191.45","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM/ELBOW","23930","HCPCS","Both",,,"4118","2059","Medicare",,"",,"54",,"2231.96","1507.19","3191.45","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM/ELBOW","23930","HCPCS","Both",,,"4118","2059","Humana","Medicare Advantage","",,"54",,"2231.96","1507.19","3191.45","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM/ELBOW","23930","HCPCS","Both",,,"4118","2059","UHC","Medicare Advantage","",,"54",,"2231.96","1507.19","3191.45","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM/ELBOW","23930","HCPCS","Both",,,"4118","2059","Clover","Medicare Advantage","",,"54",,"2231.96","1507.19","3191.45","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM/ELBOW","23930","HCPCS","Both",,,"4118","2059","Wellcare","Medicare Advantage","",,"54",,"2231.96","1507.19","3191.45","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM/ELBOW","23930","HCPCS","Both",,,"4118","2059","Amerigroup","Medicaid Managed Care","",,"37",,"1507.19","1507.19","3191.45","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM/ELBOW","23930","HCPCS","Both",,,"4118","2059","Caresource","Medicaid Managed Care","",,"40",,"1647.2","1507.19","3191.45","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM/ELBOW","23930","HCPCS","Both",,,"4118","2059","Wellcare","Medicaid Managed Care","",,"40",,"1667.79","1507.19","3191.45","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM/ELBOW","23930","HCPCS","Both",,,"4118","2059","Aetna","Commercial","",,"64",,"2627.28","1507.19","3191.45","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM/ELBOW","23930","HCPCS","Both",,,"4118","2059","Blue Cross Blue Shield","Pathways","",,"71",,"2907.31","1507.19","3191.45","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM/ELBOW","23930","HCPCS","Both",,,"4118","2059","Blue Cross Blue Shield","HMO","",,"71",,"2907.31","1507.19","3191.45","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM/ELBOW","23930","HCPCS","Both",,,"4118","2059","Blue Cross Blue Shield","PPO","",,"71",,"2907.31","1507.19","3191.45","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM/ELBOW","23930","HCPCS","Both",,,"4118","2059","Ambetter","Health Exchange","",,"62",,"2553.16","1507.19","3191.45","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM/ELBOW","23930","HCPCS","Both",,,"4118","2059","Caresource","Health Exchange","",,"62",,"2553.16","1507.19","3191.45","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM/ELBOW","23930","HCPCS","Both",,,"4118","2059","Cigna","Commercial","",,"59",,"2413.15","1507.19","3191.45","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM/ELBOW","23930","HCPCS","Both",,,"4118","2059","Humana","Commercial","",,"78",,"3191.45","1507.19","3191.45","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM/ELBOW","23930","HCPCS","Both",,,"4118","2059","UHC","Commercial","",,"75",,"3104.97","1507.19","3191.45","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM/ELBOW","23930","HCPCS","Both",,,"4118","2059","Medicaid",,"",,"37",,"1507.19","1507.19","3191.45","percent of total billed charges",,
"CLOSED TX OF PATELLAR DISLOCATION W/O AN","27560","HCPCS","Both",,,"418.5","209.25","Alliant","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX OF PATELLAR DISLOCATION W/O AN","27560","HCPCS","Both",,,"418.5","209.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"225.99","153.17","324.34","percent of total billed charges",,
"CLOSED TX OF PATELLAR DISLOCATION W/O AN","27560","HCPCS","Both",,,"418.5","209.25","Medicare",,"",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX OF PATELLAR DISLOCATION W/O AN","27560","HCPCS","Both",,,"418.5","209.25","Humana","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX OF PATELLAR DISLOCATION W/O AN","27560","HCPCS","Both",,,"418.5","209.25","UHC","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX OF PATELLAR DISLOCATION W/O AN","27560","HCPCS","Both",,,"418.5","209.25","Clover","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX OF PATELLAR DISLOCATION W/O AN","27560","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX OF PATELLAR DISLOCATION W/O AN","27560","HCPCS","Both",,,"418.5","209.25","Amerigroup","Medicaid Managed Care","",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TX OF PATELLAR DISLOCATION W/O AN","27560","HCPCS","Both",,,"418.5","209.25","Caresource","Medicaid Managed Care","",,"40",,"167.4","153.17","324.34","percent of total billed charges",,
"CLOSED TX OF PATELLAR DISLOCATION W/O AN","27560","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicaid Managed Care","",,"40",,"169.49","153.17","324.34","percent of total billed charges",,
"CLOSED TX OF PATELLAR DISLOCATION W/O AN","27560","HCPCS","Both",,,"418.5","209.25","Aetna","Commercial","",,"64",,"267","153.17","324.34","percent of total billed charges",,
"CLOSED TX OF PATELLAR DISLOCATION W/O AN","27560","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","Pathways","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX OF PATELLAR DISLOCATION W/O AN","27560","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","HMO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX OF PATELLAR DISLOCATION W/O AN","27560","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","PPO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX OF PATELLAR DISLOCATION W/O AN","27560","HCPCS","Both",,,"418.5","209.25","Ambetter","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX OF PATELLAR DISLOCATION W/O AN","27560","HCPCS","Both",,,"418.5","209.25","Caresource","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX OF PATELLAR DISLOCATION W/O AN","27560","HCPCS","Both",,,"418.5","209.25","Cigna","Commercial","",,"59",,"245.24","153.17","324.34","percent of total billed charges",,
"CLOSED TX OF PATELLAR DISLOCATION W/O AN","27560","HCPCS","Both",,,"418.5","209.25","Humana","Commercial","",,"78",,"324.34","153.17","324.34","percent of total billed charges",,
"CLOSED TX OF PATELLAR DISLOCATION W/O AN","27560","HCPCS","Both",,,"418.5","209.25","UHC","Commercial","",,"75",,"315.55","153.17","324.34","percent of total billed charges",,
"CLOSED TX OF PATELLAR DISLOCATION W/O AN","27560","HCPCS","Both",,,"418.5","209.25","Medicaid",,"",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"REPAIR,COMPLEX,EYELIDS,NOSE,EARS,LIPS","13151","HCPCS","Both",,,"1228.5","614.25","Alliant","Health Exchange","",,"62",,"761.67","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,EYELIDS,NOSE,EARS,LIPS","13151","HCPCS","Both",,,"1228.5","614.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"663.39","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,EYELIDS,NOSE,EARS,LIPS","13151","HCPCS","Both",,,"1228.5","614.25","Medicare",,"",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,EYELIDS,NOSE,EARS,LIPS","13151","HCPCS","Both",,,"1228.5","614.25","Humana","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,EYELIDS,NOSE,EARS,LIPS","13151","HCPCS","Both",,,"1228.5","614.25","UHC","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,EYELIDS,NOSE,EARS,LIPS","13151","HCPCS","Both",,,"1228.5","614.25","Clover","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,EYELIDS,NOSE,EARS,LIPS","13151","HCPCS","Both",,,"1228.5","614.25","Wellcare","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,EYELIDS,NOSE,EARS,LIPS","13151","HCPCS","Both",,,"1228.5","614.25","Amerigroup","Medicaid Managed Care","",,"37",,"449.63","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,EYELIDS,NOSE,EARS,LIPS","13151","HCPCS","Both",,,"1228.5","614.25","Caresource","Medicaid Managed Care","",,"40",,"491.4","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,EYELIDS,NOSE,EARS,LIPS","13151","HCPCS","Both",,,"1228.5","614.25","Wellcare","Medicaid Managed Care","",,"40",,"497.54","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,EYELIDS,NOSE,EARS,LIPS","13151","HCPCS","Both",,,"1228.5","614.25","Aetna","Commercial","",,"64",,"783.78","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,EYELIDS,NOSE,EARS,LIPS","13151","HCPCS","Both",,,"1228.5","614.25","Blue Cross Blue Shield","Pathways","",,"71",,"867.32","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,EYELIDS,NOSE,EARS,LIPS","13151","HCPCS","Both",,,"1228.5","614.25","Blue Cross Blue Shield","HMO","",,"71",,"867.32","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,EYELIDS,NOSE,EARS,LIPS","13151","HCPCS","Both",,,"1228.5","614.25","Blue Cross Blue Shield","PPO","",,"71",,"867.32","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,EYELIDS,NOSE,EARS,LIPS","13151","HCPCS","Both",,,"1228.5","614.25","Ambetter","Health Exchange","",,"62",,"761.67","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,EYELIDS,NOSE,EARS,LIPS","13151","HCPCS","Both",,,"1228.5","614.25","Caresource","Health Exchange","",,"62",,"761.67","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,EYELIDS,NOSE,EARS,LIPS","13151","HCPCS","Both",,,"1228.5","614.25","Cigna","Commercial","",,"59",,"719.9","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,EYELIDS,NOSE,EARS,LIPS","13151","HCPCS","Both",,,"1228.5","614.25","Humana","Commercial","",,"78",,"952.09","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,EYELIDS,NOSE,EARS,LIPS","13151","HCPCS","Both",,,"1228.5","614.25","UHC","Commercial","",,"75",,"926.29","449.63","952.09","percent of total billed charges",,
"REPAIR,COMPLEX,EYELIDS,NOSE,EARS,LIPS","13151","HCPCS","Both",,,"1228.5","614.25","Medicaid",,"",,"37",,"449.63","449.63","952.09","percent of total billed charges",,
"ARTHROCENTESIS, SMALL JOINT(FING/TOES)","20600","HCPCS","Both",,,"570.5","285.25","Alliant","Health Exchange","",,"62",,"353.71","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, SMALL JOINT(FING/TOES)","20600","HCPCS","Both",,,"570.5","285.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"308.07","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, SMALL JOINT(FING/TOES)","20600","HCPCS","Both",,,"570.5","285.25","Medicare",,"",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, SMALL JOINT(FING/TOES)","20600","HCPCS","Both",,,"570.5","285.25","Humana","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, SMALL JOINT(FING/TOES)","20600","HCPCS","Both",,,"570.5","285.25","UHC","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, SMALL JOINT(FING/TOES)","20600","HCPCS","Both",,,"570.5","285.25","Clover","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, SMALL JOINT(FING/TOES)","20600","HCPCS","Both",,,"570.5","285.25","Wellcare","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, SMALL JOINT(FING/TOES)","20600","HCPCS","Both",,,"570.5","285.25","Amerigroup","Medicaid Managed Care","",,"37",,"208.8","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, SMALL JOINT(FING/TOES)","20600","HCPCS","Both",,,"570.5","285.25","Caresource","Medicaid Managed Care","",,"40",,"228.2","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, SMALL JOINT(FING/TOES)","20600","HCPCS","Both",,,"570.5","285.25","Wellcare","Medicaid Managed Care","",,"40",,"231.05","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, SMALL JOINT(FING/TOES)","20600","HCPCS","Both",,,"570.5","285.25","Aetna","Commercial","",,"64",,"363.98","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, SMALL JOINT(FING/TOES)","20600","HCPCS","Both",,,"570.5","285.25","Blue Cross Blue Shield","Pathways","",,"71",,"402.77","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, SMALL JOINT(FING/TOES)","20600","HCPCS","Both",,,"570.5","285.25","Blue Cross Blue Shield","HMO","",,"71",,"402.77","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, SMALL JOINT(FING/TOES)","20600","HCPCS","Both",,,"570.5","285.25","Blue Cross Blue Shield","PPO","",,"71",,"402.77","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, SMALL JOINT(FING/TOES)","20600","HCPCS","Both",,,"570.5","285.25","Ambetter","Health Exchange","",,"62",,"353.71","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, SMALL JOINT(FING/TOES)","20600","HCPCS","Both",,,"570.5","285.25","Caresource","Health Exchange","",,"62",,"353.71","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, SMALL JOINT(FING/TOES)","20600","HCPCS","Both",,,"570.5","285.25","Cigna","Commercial","",,"59",,"334.31","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, SMALL JOINT(FING/TOES)","20600","HCPCS","Both",,,"570.5","285.25","Humana","Commercial","",,"78",,"442.14","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, SMALL JOINT(FING/TOES)","20600","HCPCS","Both",,,"570.5","285.25","UHC","Commercial","",,"75",,"430.16","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, SMALL JOINT(FING/TOES)","20600","HCPCS","Both",,,"570.5","285.25","Medicaid",,"",,"37",,"208.8","208.8","442.14","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOCAT","26770","HCPCS","Both",,,"197","98.5","Alliant","Health Exchange","",,"62",,"122.14","72.1","152.68","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOCAT","26770","HCPCS","Both",,,"197","98.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"106.38","72.1","152.68","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOCAT","26770","HCPCS","Both",,,"197","98.5","Medicare",,"",,"54",,"106.77","72.1","152.68","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOCAT","26770","HCPCS","Both",,,"197","98.5","Humana","Medicare Advantage","",,"54",,"106.77","72.1","152.68","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOCAT","26770","HCPCS","Both",,,"197","98.5","UHC","Medicare Advantage","",,"54",,"106.77","72.1","152.68","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOCAT","26770","HCPCS","Both",,,"197","98.5","Clover","Medicare Advantage","",,"54",,"106.77","72.1","152.68","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOCAT","26770","HCPCS","Both",,,"197","98.5","Wellcare","Medicare Advantage","",,"54",,"106.77","72.1","152.68","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOCAT","26770","HCPCS","Both",,,"197","98.5","Amerigroup","Medicaid Managed Care","",,"37",,"72.1","72.1","152.68","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOCAT","26770","HCPCS","Both",,,"197","98.5","Caresource","Medicaid Managed Care","",,"40",,"78.8","72.1","152.68","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOCAT","26770","HCPCS","Both",,,"197","98.5","Wellcare","Medicaid Managed Care","",,"40",,"79.79","72.1","152.68","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOCAT","26770","HCPCS","Both",,,"197","98.5","Aetna","Commercial","",,"64",,"125.69","72.1","152.68","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOCAT","26770","HCPCS","Both",,,"197","98.5","Blue Cross Blue Shield","Pathways","",,"71",,"139.08","72.1","152.68","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOCAT","26770","HCPCS","Both",,,"197","98.5","Blue Cross Blue Shield","HMO","",,"71",,"139.08","72.1","152.68","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOCAT","26770","HCPCS","Both",,,"197","98.5","Blue Cross Blue Shield","PPO","",,"71",,"139.08","72.1","152.68","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOCAT","26770","HCPCS","Both",,,"197","98.5","Ambetter","Health Exchange","",,"62",,"122.14","72.1","152.68","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOCAT","26770","HCPCS","Both",,,"197","98.5","Caresource","Health Exchange","",,"62",,"122.14","72.1","152.68","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOCAT","26770","HCPCS","Both",,,"197","98.5","Cigna","Commercial","",,"59",,"115.44","72.1","152.68","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOCAT","26770","HCPCS","Both",,,"197","98.5","Humana","Commercial","",,"78",,"152.68","72.1","152.68","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOCAT","26770","HCPCS","Both",,,"197","98.5","UHC","Commercial","",,"75",,"148.54","72.1","152.68","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOCAT","26770","HCPCS","Both",,,"197","98.5","Medicaid",,"",,"37",,"72.1","72.1","152.68","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; < 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Alliant","Health Exchange","",,"62",,"45.57","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; < 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"39.69","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; < 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Medicare",,"",,"54",,"39.84","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; < 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Humana","Medicare Advantage","",,"54",,"39.84","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; < 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","UHC","Medicare Advantage","",,"54",,"39.84","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; < 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Clover","Medicare Advantage","",,"54",,"39.84","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; < 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Wellcare","Medicare Advantage","",,"54",,"39.84","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; < 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Amerigroup","Medicaid Managed Care","",,"37",,"26.9","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; < 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Caresource","Medicaid Managed Care","",,"40",,"29.4","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; < 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Wellcare","Medicaid Managed Care","",,"40",,"29.77","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; < 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Aetna","Commercial","",,"64",,"46.89","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; < 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Blue Cross Blue Shield","Pathways","",,"71",,"51.89","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; < 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Blue Cross Blue Shield","HMO","",,"71",,"51.89","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; < 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Blue Cross Blue Shield","PPO","",,"71",,"51.89","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; < 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Ambetter","Health Exchange","",,"62",,"45.57","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; < 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Caresource","Health Exchange","",,"62",,"45.57","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; < 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Cigna","Commercial","",,"59",,"43.07","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; < 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Humana","Commercial","",,"78",,"56.96","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; < 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","UHC","Commercial","",,"75",,"55.42","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; < 1 YEAR","36420","HCPCS","Both",,,"73.5","36.75","Medicaid",,"",,"37",,"26.9","26.9","56.96","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; > 1 YEAR","36425","HCPCS","Both",,,"256","128","Alliant","Health Exchange","",,"62",,"158.72","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; > 1 YEAR","36425","HCPCS","Both",,,"256","128","Pruitt Healthcare","Medicare Advantage","",,"54",,"138.24","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; > 1 YEAR","36425","HCPCS","Both",,,"256","128","Medicare",,"",,"54",,"138.75","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; > 1 YEAR","36425","HCPCS","Both",,,"256","128","Humana","Medicare Advantage","",,"54",,"138.75","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; > 1 YEAR","36425","HCPCS","Both",,,"256","128","UHC","Medicare Advantage","",,"54",,"138.75","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; > 1 YEAR","36425","HCPCS","Both",,,"256","128","Clover","Medicare Advantage","",,"54",,"138.75","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; > 1 YEAR","36425","HCPCS","Both",,,"256","128","Wellcare","Medicare Advantage","",,"54",,"138.75","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; > 1 YEAR","36425","HCPCS","Both",,,"256","128","Amerigroup","Medicaid Managed Care","",,"37",,"93.7","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; > 1 YEAR","36425","HCPCS","Both",,,"256","128","Caresource","Medicaid Managed Care","",,"40",,"102.4","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; > 1 YEAR","36425","HCPCS","Both",,,"256","128","Wellcare","Medicaid Managed Care","",,"40",,"103.68","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; > 1 YEAR","36425","HCPCS","Both",,,"256","128","Aetna","Commercial","",,"64",,"163.33","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; > 1 YEAR","36425","HCPCS","Both",,,"256","128","Blue Cross Blue Shield","Pathways","",,"71",,"180.74","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; > 1 YEAR","36425","HCPCS","Both",,,"256","128","Blue Cross Blue Shield","HMO","",,"71",,"180.74","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; > 1 YEAR","36425","HCPCS","Both",,,"256","128","Blue Cross Blue Shield","PPO","",,"71",,"180.74","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; > 1 YEAR","36425","HCPCS","Both",,,"256","128","Ambetter","Health Exchange","",,"62",,"158.72","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; > 1 YEAR","36425","HCPCS","Both",,,"256","128","Caresource","Health Exchange","",,"62",,"158.72","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; > 1 YEAR","36425","HCPCS","Both",,,"256","128","Cigna","Commercial","",,"59",,"150.02","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; > 1 YEAR","36425","HCPCS","Both",,,"256","128","Humana","Commercial","",,"78",,"198.4","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; > 1 YEAR","36425","HCPCS","Both",,,"256","128","UHC","Commercial","",,"75",,"193.02","93.7","198.4","percent of total billed charges",,
"VENIPUNCTURE, CUTDOWN; > 1 YEAR","36425","HCPCS","Both",,,"256","128","Medicaid",,"",,"37",,"93.7","93.7","198.4","percent of total billed charges",,
"PARING OR CUTTING BENIGN LESION; SINGLE","11055","HCPCS","Both",,,"224.5","112.25","Alliant","Health Exchange","",,"62",,"139.19","82.17","173.99","percent of total billed charges",,
"PARING OR CUTTING BENIGN LESION; SINGLE","11055","HCPCS","Both",,,"224.5","112.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"121.23","82.17","173.99","percent of total billed charges",,
"PARING OR CUTTING BENIGN LESION; SINGLE","11055","HCPCS","Both",,,"224.5","112.25","Medicare",,"",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"PARING OR CUTTING BENIGN LESION; SINGLE","11055","HCPCS","Both",,,"224.5","112.25","Humana","Medicare Advantage","",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"PARING OR CUTTING BENIGN LESION; SINGLE","11055","HCPCS","Both",,,"224.5","112.25","UHC","Medicare Advantage","",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"PARING OR CUTTING BENIGN LESION; SINGLE","11055","HCPCS","Both",,,"224.5","112.25","Clover","Medicare Advantage","",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"PARING OR CUTTING BENIGN LESION; SINGLE","11055","HCPCS","Both",,,"224.5","112.25","Wellcare","Medicare Advantage","",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"PARING OR CUTTING BENIGN LESION; SINGLE","11055","HCPCS","Both",,,"224.5","112.25","Amerigroup","Medicaid Managed Care","",,"37",,"82.17","82.17","173.99","percent of total billed charges",,
"PARING OR CUTTING BENIGN LESION; SINGLE","11055","HCPCS","Both",,,"224.5","112.25","Caresource","Medicaid Managed Care","",,"40",,"89.8","82.17","173.99","percent of total billed charges",,
"PARING OR CUTTING BENIGN LESION; SINGLE","11055","HCPCS","Both",,,"224.5","112.25","Wellcare","Medicaid Managed Care","",,"40",,"90.92","82.17","173.99","percent of total billed charges",,
"PARING OR CUTTING BENIGN LESION; SINGLE","11055","HCPCS","Both",,,"224.5","112.25","Aetna","Commercial","",,"64",,"143.23","82.17","173.99","percent of total billed charges",,
"PARING OR CUTTING BENIGN LESION; SINGLE","11055","HCPCS","Both",,,"224.5","112.25","Blue Cross Blue Shield","Pathways","",,"71",,"158.5","82.17","173.99","percent of total billed charges",,
"PARING OR CUTTING BENIGN LESION; SINGLE","11055","HCPCS","Both",,,"224.5","112.25","Blue Cross Blue Shield","HMO","",,"71",,"158.5","82.17","173.99","percent of total billed charges",,
"PARING OR CUTTING BENIGN LESION; SINGLE","11055","HCPCS","Both",,,"224.5","112.25","Blue Cross Blue Shield","PPO","",,"71",,"158.5","82.17","173.99","percent of total billed charges",,
"PARING OR CUTTING BENIGN LESION; SINGLE","11055","HCPCS","Both",,,"224.5","112.25","Ambetter","Health Exchange","",,"62",,"139.19","82.17","173.99","percent of total billed charges",,
"PARING OR CUTTING BENIGN LESION; SINGLE","11055","HCPCS","Both",,,"224.5","112.25","Caresource","Health Exchange","",,"62",,"139.19","82.17","173.99","percent of total billed charges",,
"PARING OR CUTTING BENIGN LESION; SINGLE","11055","HCPCS","Both",,,"224.5","112.25","Cigna","Commercial","",,"59",,"131.56","82.17","173.99","percent of total billed charges",,
"PARING OR CUTTING BENIGN LESION; SINGLE","11055","HCPCS","Both",,,"224.5","112.25","Humana","Commercial","",,"78",,"173.99","82.17","173.99","percent of total billed charges",,
"PARING OR CUTTING BENIGN LESION; SINGLE","11055","HCPCS","Both",,,"224.5","112.25","UHC","Commercial","",,"75",,"169.27","82.17","173.99","percent of total billed charges",,
"PARING OR CUTTING BENIGN LESION; SINGLE","11055","HCPCS","Both",,,"224.5","112.25","Medicaid",,"",,"37",,"82.17","82.17","173.99","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 TO 2.0cm","11422","HCPCS","Both",,,"1823","911.5","Alliant","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 TO 2.0cm","11422","HCPCS","Both",,,"1823","911.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"984.42","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 TO 2.0cm","11422","HCPCS","Both",,,"1823","911.5","Medicare",,"",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 TO 2.0cm","11422","HCPCS","Both",,,"1823","911.5","Humana","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 TO 2.0cm","11422","HCPCS","Both",,,"1823","911.5","UHC","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 TO 2.0cm","11422","HCPCS","Both",,,"1823","911.5","Clover","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 TO 2.0cm","11422","HCPCS","Both",,,"1823","911.5","Wellcare","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 TO 2.0cm","11422","HCPCS","Both",,,"1823","911.5","Amerigroup","Medicaid Managed Care","",,"37",,"667.22","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 TO 2.0cm","11422","HCPCS","Both",,,"1823","911.5","Caresource","Medicaid Managed Care","",,"40",,"729.2","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 TO 2.0cm","11422","HCPCS","Both",,,"1823","911.5","Wellcare","Medicaid Managed Care","",,"40",,"738.32","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 TO 2.0cm","11422","HCPCS","Both",,,"1823","911.5","Aetna","Commercial","",,"64",,"1163.07","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 TO 2.0cm","11422","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","Pathways","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 TO 2.0cm","11422","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","HMO","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 TO 2.0cm","11422","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","PPO","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 TO 2.0cm","11422","HCPCS","Both",,,"1823","911.5","Ambetter","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 TO 2.0cm","11422","HCPCS","Both",,,"1823","911.5","Caresource","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 TO 2.0cm","11422","HCPCS","Both",,,"1823","911.5","Cigna","Commercial","",,"59",,"1068.28","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 TO 2.0cm","11422","HCPCS","Both",,,"1823","911.5","Humana","Commercial","",,"78",,"1412.82","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 TO 2.0cm","11422","HCPCS","Both",,,"1823","911.5","UHC","Commercial","",,"75",,"1374.54","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 TO 2.0cm","11422","HCPCS","Both",,,"1823","911.5","Medicaid",,"",,"37",,"667.22","667.22","1412.82","percent of total billed charges",,
"EXCISION OF NAIL & NAIL MATRIX; PART/COM","11750","HCPCS","Both",,,"1051","525.5","Alliant","Health Exchange","",,"62",,"651.62","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & NAIL MATRIX; PART/COM","11750","HCPCS","Both",,,"1051","525.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"567.54","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & NAIL MATRIX; PART/COM","11750","HCPCS","Both",,,"1051","525.5","Medicare",,"",,"54",,"569.64","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & NAIL MATRIX; PART/COM","11750","HCPCS","Both",,,"1051","525.5","Humana","Medicare Advantage","",,"54",,"569.64","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & NAIL MATRIX; PART/COM","11750","HCPCS","Both",,,"1051","525.5","UHC","Medicare Advantage","",,"54",,"569.64","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & NAIL MATRIX; PART/COM","11750","HCPCS","Both",,,"1051","525.5","Clover","Medicare Advantage","",,"54",,"569.64","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & NAIL MATRIX; PART/COM","11750","HCPCS","Both",,,"1051","525.5","Wellcare","Medicare Advantage","",,"54",,"569.64","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & NAIL MATRIX; PART/COM","11750","HCPCS","Both",,,"1051","525.5","Amerigroup","Medicaid Managed Care","",,"37",,"384.67","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & NAIL MATRIX; PART/COM","11750","HCPCS","Both",,,"1051","525.5","Caresource","Medicaid Managed Care","",,"40",,"420.4","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & NAIL MATRIX; PART/COM","11750","HCPCS","Both",,,"1051","525.5","Wellcare","Medicaid Managed Care","",,"40",,"425.66","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & NAIL MATRIX; PART/COM","11750","HCPCS","Both",,,"1051","525.5","Aetna","Commercial","",,"64",,"670.54","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & NAIL MATRIX; PART/COM","11750","HCPCS","Both",,,"1051","525.5","Blue Cross Blue Shield","Pathways","",,"71",,"742.01","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & NAIL MATRIX; PART/COM","11750","HCPCS","Both",,,"1051","525.5","Blue Cross Blue Shield","HMO","",,"71",,"742.01","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & NAIL MATRIX; PART/COM","11750","HCPCS","Both",,,"1051","525.5","Blue Cross Blue Shield","PPO","",,"71",,"742.01","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & NAIL MATRIX; PART/COM","11750","HCPCS","Both",,,"1051","525.5","Ambetter","Health Exchange","",,"62",,"651.62","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & NAIL MATRIX; PART/COM","11750","HCPCS","Both",,,"1051","525.5","Caresource","Health Exchange","",,"62",,"651.62","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & NAIL MATRIX; PART/COM","11750","HCPCS","Both",,,"1051","525.5","Cigna","Commercial","",,"59",,"615.89","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & NAIL MATRIX; PART/COM","11750","HCPCS","Both",,,"1051","525.5","Humana","Commercial","",,"78",,"814.52","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & NAIL MATRIX; PART/COM","11750","HCPCS","Both",,,"1051","525.5","UHC","Commercial","",,"75",,"792.45","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & NAIL MATRIX; PART/COM","11750","HCPCS","Both",,,"1051","525.5","Medicaid",,"",,"37",,"384.67","384.67","814.52","percent of total billed charges",,
"REPAIR INTERMEDIATE 20.1CM TO 30.0CM","12036","HCPCS","Both",,,"1338.5","669.25","Alliant","Health Exchange","",,"62",,"829.87","489.89","1037.34","percent of total billed charges",,
"REPAIR INTERMEDIATE 20.1CM TO 30.0CM","12036","HCPCS","Both",,,"1338.5","669.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"722.79","489.89","1037.34","percent of total billed charges",,
"REPAIR INTERMEDIATE 20.1CM TO 30.0CM","12036","HCPCS","Both",,,"1338.5","669.25","Medicare",,"",,"54",,"725.47","489.89","1037.34","percent of total billed charges",,
"REPAIR INTERMEDIATE 20.1CM TO 30.0CM","12036","HCPCS","Both",,,"1338.5","669.25","Humana","Medicare Advantage","",,"54",,"725.47","489.89","1037.34","percent of total billed charges",,
"REPAIR INTERMEDIATE 20.1CM TO 30.0CM","12036","HCPCS","Both",,,"1338.5","669.25","UHC","Medicare Advantage","",,"54",,"725.47","489.89","1037.34","percent of total billed charges",,
"REPAIR INTERMEDIATE 20.1CM TO 30.0CM","12036","HCPCS","Both",,,"1338.5","669.25","Clover","Medicare Advantage","",,"54",,"725.47","489.89","1037.34","percent of total billed charges",,
"REPAIR INTERMEDIATE 20.1CM TO 30.0CM","12036","HCPCS","Both",,,"1338.5","669.25","Wellcare","Medicare Advantage","",,"54",,"725.47","489.89","1037.34","percent of total billed charges",,
"REPAIR INTERMEDIATE 20.1CM TO 30.0CM","12036","HCPCS","Both",,,"1338.5","669.25","Amerigroup","Medicaid Managed Care","",,"37",,"489.89","489.89","1037.34","percent of total billed charges",,
"REPAIR INTERMEDIATE 20.1CM TO 30.0CM","12036","HCPCS","Both",,,"1338.5","669.25","Caresource","Medicaid Managed Care","",,"40",,"535.4","489.89","1037.34","percent of total billed charges",,
"REPAIR INTERMEDIATE 20.1CM TO 30.0CM","12036","HCPCS","Both",,,"1338.5","669.25","Wellcare","Medicaid Managed Care","",,"40",,"542.09","489.89","1037.34","percent of total billed charges",,
"REPAIR INTERMEDIATE 20.1CM TO 30.0CM","12036","HCPCS","Both",,,"1338.5","669.25","Aetna","Commercial","",,"64",,"853.96","489.89","1037.34","percent of total billed charges",,
"REPAIR INTERMEDIATE 20.1CM TO 30.0CM","12036","HCPCS","Both",,,"1338.5","669.25","Blue Cross Blue Shield","Pathways","",,"71",,"944.98","489.89","1037.34","percent of total billed charges",,
"REPAIR INTERMEDIATE 20.1CM TO 30.0CM","12036","HCPCS","Both",,,"1338.5","669.25","Blue Cross Blue Shield","HMO","",,"71",,"944.98","489.89","1037.34","percent of total billed charges",,
"REPAIR INTERMEDIATE 20.1CM TO 30.0CM","12036","HCPCS","Both",,,"1338.5","669.25","Blue Cross Blue Shield","PPO","",,"71",,"944.98","489.89","1037.34","percent of total billed charges",,
"REPAIR INTERMEDIATE 20.1CM TO 30.0CM","12036","HCPCS","Both",,,"1338.5","669.25","Ambetter","Health Exchange","",,"62",,"829.87","489.89","1037.34","percent of total billed charges",,
"REPAIR INTERMEDIATE 20.1CM TO 30.0CM","12036","HCPCS","Both",,,"1338.5","669.25","Caresource","Health Exchange","",,"62",,"829.87","489.89","1037.34","percent of total billed charges",,
"REPAIR INTERMEDIATE 20.1CM TO 30.0CM","12036","HCPCS","Both",,,"1338.5","669.25","Cigna","Commercial","",,"59",,"784.36","489.89","1037.34","percent of total billed charges",,
"REPAIR INTERMEDIATE 20.1CM TO 30.0CM","12036","HCPCS","Both",,,"1338.5","669.25","Humana","Commercial","",,"78",,"1037.34","489.89","1037.34","percent of total billed charges",,
"REPAIR INTERMEDIATE 20.1CM TO 30.0CM","12036","HCPCS","Both",,,"1338.5","669.25","UHC","Commercial","",,"75",,"1009.23","489.89","1037.34","percent of total billed charges",,
"REPAIR INTERMEDIATE 20.1CM TO 30.0CM","12036","HCPCS","Both",,,"1338.5","669.25","Medicaid",,"",,"37",,"489.89","489.89","1037.34","percent of total billed charges",,
"REPAIR INTERMEDIATE NCK HND FT 12.6cm","12055","HCPCS","Both",,,"622.5","311.25","Alliant","Health Exchange","",,"62",,"385.95","227.84","482.44","percent of total billed charges",,
"REPAIR INTERMEDIATE NCK HND FT 12.6cm","12055","HCPCS","Both",,,"622.5","311.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"336.15","227.84","482.44","percent of total billed charges",,
"REPAIR INTERMEDIATE NCK HND FT 12.6cm","12055","HCPCS","Both",,,"622.5","311.25","Medicare",,"",,"54",,"337.4","227.84","482.44","percent of total billed charges",,
"REPAIR INTERMEDIATE NCK HND FT 12.6cm","12055","HCPCS","Both",,,"622.5","311.25","Humana","Medicare Advantage","",,"54",,"337.4","227.84","482.44","percent of total billed charges",,
"REPAIR INTERMEDIATE NCK HND FT 12.6cm","12055","HCPCS","Both",,,"622.5","311.25","UHC","Medicare Advantage","",,"54",,"337.4","227.84","482.44","percent of total billed charges",,
"REPAIR INTERMEDIATE NCK HND FT 12.6cm","12055","HCPCS","Both",,,"622.5","311.25","Clover","Medicare Advantage","",,"54",,"337.4","227.84","482.44","percent of total billed charges",,
"REPAIR INTERMEDIATE NCK HND FT 12.6cm","12055","HCPCS","Both",,,"622.5","311.25","Wellcare","Medicare Advantage","",,"54",,"337.4","227.84","482.44","percent of total billed charges",,
"REPAIR INTERMEDIATE NCK HND FT 12.6cm","12055","HCPCS","Both",,,"622.5","311.25","Amerigroup","Medicaid Managed Care","",,"37",,"227.84","227.84","482.44","percent of total billed charges",,
"REPAIR INTERMEDIATE NCK HND FT 12.6cm","12055","HCPCS","Both",,,"622.5","311.25","Caresource","Medicaid Managed Care","",,"40",,"249","227.84","482.44","percent of total billed charges",,
"REPAIR INTERMEDIATE NCK HND FT 12.6cm","12055","HCPCS","Both",,,"622.5","311.25","Wellcare","Medicaid Managed Care","",,"40",,"252.11","227.84","482.44","percent of total billed charges",,
"REPAIR INTERMEDIATE NCK HND FT 12.6cm","12055","HCPCS","Both",,,"622.5","311.25","Aetna","Commercial","",,"64",,"397.16","227.84","482.44","percent of total billed charges",,
"REPAIR INTERMEDIATE NCK HND FT 12.6cm","12055","HCPCS","Both",,,"622.5","311.25","Blue Cross Blue Shield","Pathways","",,"71",,"439.48","227.84","482.44","percent of total billed charges",,
"REPAIR INTERMEDIATE NCK HND FT 12.6cm","12055","HCPCS","Both",,,"622.5","311.25","Blue Cross Blue Shield","HMO","",,"71",,"439.48","227.84","482.44","percent of total billed charges",,
"REPAIR INTERMEDIATE NCK HND FT 12.6cm","12055","HCPCS","Both",,,"622.5","311.25","Blue Cross Blue Shield","PPO","",,"71",,"439.48","227.84","482.44","percent of total billed charges",,
"REPAIR INTERMEDIATE NCK HND FT 12.6cm","12055","HCPCS","Both",,,"622.5","311.25","Ambetter","Health Exchange","",,"62",,"385.95","227.84","482.44","percent of total billed charges",,
"REPAIR INTERMEDIATE NCK HND FT 12.6cm","12055","HCPCS","Both",,,"622.5","311.25","Caresource","Health Exchange","",,"62",,"385.95","227.84","482.44","percent of total billed charges",,
"REPAIR INTERMEDIATE NCK HND FT 12.6cm","12055","HCPCS","Both",,,"622.5","311.25","Cigna","Commercial","",,"59",,"364.78","227.84","482.44","percent of total billed charges",,
"REPAIR INTERMEDIATE NCK HND FT 12.6cm","12055","HCPCS","Both",,,"622.5","311.25","Humana","Commercial","",,"78",,"482.44","227.84","482.44","percent of total billed charges",,
"REPAIR INTERMEDIATE NCK HND FT 12.6cm","12055","HCPCS","Both",,,"622.5","311.25","UHC","Commercial","",,"75",,"469.36","227.84","482.44","percent of total billed charges",,
"REPAIR INTERMEDIATE NCK HND FT 12.6cm","12055","HCPCS","Both",,,"622.5","311.25","Medicaid",,"",,"37",,"227.84","227.84","482.44","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13122","HCPCS","Both",,,"785.5","392.75","Alliant","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13122","HCPCS","Both",,,"785.5","392.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"424.17","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13122","HCPCS","Both",,,"785.5","392.75","Medicare",,"",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13122","HCPCS","Both",,,"785.5","392.75","Humana","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13122","HCPCS","Both",,,"785.5","392.75","UHC","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13122","HCPCS","Both",,,"785.5","392.75","Clover","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13122","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13122","HCPCS","Both",,,"785.5","392.75","Amerigroup","Medicaid Managed Care","",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13122","HCPCS","Both",,,"785.5","392.75","Caresource","Medicaid Managed Care","",,"40",,"314.2","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13122","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicaid Managed Care","",,"40",,"318.13","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13122","HCPCS","Both",,,"785.5","392.75","Aetna","Commercial","",,"64",,"501.15","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13122","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","Pathways","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13122","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","HMO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13122","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","PPO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13122","HCPCS","Both",,,"785.5","392.75","Ambetter","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13122","HCPCS","Both",,,"785.5","392.75","Caresource","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13122","HCPCS","Both",,,"785.5","392.75","Cigna","Commercial","",,"59",,"460.3","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13122","HCPCS","Both",,,"785.5","392.75","Humana","Commercial","",,"78",,"608.76","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13122","HCPCS","Both",,,"785.5","392.75","UHC","Commercial","",,"75",,"592.27","287.49","608.76","percent of total billed charges",,
"REPAIR,COMPLEX,SCALP/ARMS/&/OR LEGS","13122","HCPCS","Both",,,"785.5","392.75","Medicaid",,"",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13133","HCPCS","Both",,,"785.5","392.75","Alliant","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13133","HCPCS","Both",,,"785.5","392.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"424.17","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13133","HCPCS","Both",,,"785.5","392.75","Medicare",,"",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13133","HCPCS","Both",,,"785.5","392.75","Humana","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13133","HCPCS","Both",,,"785.5","392.75","UHC","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13133","HCPCS","Both",,,"785.5","392.75","Clover","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13133","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13133","HCPCS","Both",,,"785.5","392.75","Amerigroup","Medicaid Managed Care","",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13133","HCPCS","Both",,,"785.5","392.75","Caresource","Medicaid Managed Care","",,"40",,"314.2","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13133","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicaid Managed Care","",,"40",,"318.13","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13133","HCPCS","Both",,,"785.5","392.75","Aetna","Commercial","",,"64",,"501.15","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13133","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","Pathways","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13133","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","HMO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13133","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","PPO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13133","HCPCS","Both",,,"785.5","392.75","Ambetter","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13133","HCPCS","Both",,,"785.5","392.75","Caresource","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13133","HCPCS","Both",,,"785.5","392.75","Cigna","Commercial","",,"59",,"460.3","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13133","HCPCS","Both",,,"785.5","392.75","Humana","Commercial","",,"78",,"608.76","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13133","HCPCS","Both",,,"785.5","392.75","UHC","Commercial","",,"75",,"592.27","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13133","HCPCS","Both",,,"785.5","392.75","Medicaid",,"",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13153","HCPCS","Both",,,"785.5","392.75","Alliant","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13153","HCPCS","Both",,,"785.5","392.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"424.17","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13153","HCPCS","Both",,,"785.5","392.75","Medicare",,"",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13153","HCPCS","Both",,,"785.5","392.75","Humana","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13153","HCPCS","Both",,,"785.5","392.75","UHC","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13153","HCPCS","Both",,,"785.5","392.75","Clover","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13153","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13153","HCPCS","Both",,,"785.5","392.75","Amerigroup","Medicaid Managed Care","",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13153","HCPCS","Both",,,"785.5","392.75","Caresource","Medicaid Managed Care","",,"40",,"314.2","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13153","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicaid Managed Care","",,"40",,"318.13","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13153","HCPCS","Both",,,"785.5","392.75","Aetna","Commercial","",,"64",,"501.15","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13153","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","Pathways","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13153","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","HMO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13153","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","PPO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13153","HCPCS","Both",,,"785.5","392.75","Ambetter","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13153","HCPCS","Both",,,"785.5","392.75","Caresource","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13153","HCPCS","Both",,,"785.5","392.75","Cigna","Commercial","",,"59",,"460.3","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13153","HCPCS","Both",,,"785.5","392.75","Humana","Commercial","",,"78",,"608.76","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13153","HCPCS","Both",,,"785.5","392.75","UHC","Commercial","",,"75",,"592.27","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR EA ADD'L 5cm","13153","HCPCS","Both",,,"785.5","392.75","Medicaid",,"",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"SURG PREP RECIP SITE 1ST 100sq cm","15004","HCPCS","Both",,,"1278.5","639.25","Alliant","Health Exchange","",,"62",,"792.67","467.93","990.84","percent of total billed charges",,
"SURG PREP RECIP SITE 1ST 100sq cm","15004","HCPCS","Both",,,"1278.5","639.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"690.39","467.93","990.84","percent of total billed charges",,
"SURG PREP RECIP SITE 1ST 100sq cm","15004","HCPCS","Both",,,"1278.5","639.25","Medicare",,"",,"54",,"692.95","467.93","990.84","percent of total billed charges",,
"SURG PREP RECIP SITE 1ST 100sq cm","15004","HCPCS","Both",,,"1278.5","639.25","Humana","Medicare Advantage","",,"54",,"692.95","467.93","990.84","percent of total billed charges",,
"SURG PREP RECIP SITE 1ST 100sq cm","15004","HCPCS","Both",,,"1278.5","639.25","UHC","Medicare Advantage","",,"54",,"692.95","467.93","990.84","percent of total billed charges",,
"SURG PREP RECIP SITE 1ST 100sq cm","15004","HCPCS","Both",,,"1278.5","639.25","Clover","Medicare Advantage","",,"54",,"692.95","467.93","990.84","percent of total billed charges",,
"SURG PREP RECIP SITE 1ST 100sq cm","15004","HCPCS","Both",,,"1278.5","639.25","Wellcare","Medicare Advantage","",,"54",,"692.95","467.93","990.84","percent of total billed charges",,
"SURG PREP RECIP SITE 1ST 100sq cm","15004","HCPCS","Both",,,"1278.5","639.25","Amerigroup","Medicaid Managed Care","",,"37",,"467.93","467.93","990.84","percent of total billed charges",,
"SURG PREP RECIP SITE 1ST 100sq cm","15004","HCPCS","Both",,,"1278.5","639.25","Caresource","Medicaid Managed Care","",,"40",,"511.4","467.93","990.84","percent of total billed charges",,
"SURG PREP RECIP SITE 1ST 100sq cm","15004","HCPCS","Both",,,"1278.5","639.25","Wellcare","Medicaid Managed Care","",,"40",,"517.79","467.93","990.84","percent of total billed charges",,
"SURG PREP RECIP SITE 1ST 100sq cm","15004","HCPCS","Both",,,"1278.5","639.25","Aetna","Commercial","",,"64",,"815.68","467.93","990.84","percent of total billed charges",,
"SURG PREP RECIP SITE 1ST 100sq cm","15004","HCPCS","Both",,,"1278.5","639.25","Blue Cross Blue Shield","Pathways","",,"71",,"902.62","467.93","990.84","percent of total billed charges",,
"SURG PREP RECIP SITE 1ST 100sq cm","15004","HCPCS","Both",,,"1278.5","639.25","Blue Cross Blue Shield","HMO","",,"71",,"902.62","467.93","990.84","percent of total billed charges",,
"SURG PREP RECIP SITE 1ST 100sq cm","15004","HCPCS","Both",,,"1278.5","639.25","Blue Cross Blue Shield","PPO","",,"71",,"902.62","467.93","990.84","percent of total billed charges",,
"SURG PREP RECIP SITE 1ST 100sq cm","15004","HCPCS","Both",,,"1278.5","639.25","Ambetter","Health Exchange","",,"62",,"792.67","467.93","990.84","percent of total billed charges",,
"SURG PREP RECIP SITE 1ST 100sq cm","15004","HCPCS","Both",,,"1278.5","639.25","Caresource","Health Exchange","",,"62",,"792.67","467.93","990.84","percent of total billed charges",,
"SURG PREP RECIP SITE 1ST 100sq cm","15004","HCPCS","Both",,,"1278.5","639.25","Cigna","Commercial","",,"59",,"749.2","467.93","990.84","percent of total billed charges",,
"SURG PREP RECIP SITE 1ST 100sq cm","15004","HCPCS","Both",,,"1278.5","639.25","Humana","Commercial","",,"78",,"990.84","467.93","990.84","percent of total billed charges",,
"SURG PREP RECIP SITE 1ST 100sq cm","15004","HCPCS","Both",,,"1278.5","639.25","UHC","Commercial","",,"75",,"963.99","467.93","990.84","percent of total billed charges",,
"SURG PREP RECIP SITE 1ST 100sq cm","15004","HCPCS","Both",,,"1278.5","639.25","Medicaid",,"",,"37",,"467.93","467.93","990.84","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15100","HCPCS","Both",,,"7055.5","3527.75","Alliant","Health Exchange","",,"62",,"4374.41","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15100","HCPCS","Both",,,"7055.5","3527.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"3809.97","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15100","HCPCS","Both",,,"7055.5","3527.75","Medicare",,"",,"54",,"3824.08","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15100","HCPCS","Both",,,"7055.5","3527.75","Humana","Medicare Advantage","",,"54",,"3824.08","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15100","HCPCS","Both",,,"7055.5","3527.75","UHC","Medicare Advantage","",,"54",,"3824.08","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15100","HCPCS","Both",,,"7055.5","3527.75","Clover","Medicare Advantage","",,"54",,"3824.08","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15100","HCPCS","Both",,,"7055.5","3527.75","Wellcare","Medicare Advantage","",,"54",,"3824.08","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15100","HCPCS","Both",,,"7055.5","3527.75","Amerigroup","Medicaid Managed Care","",,"37",,"2582.31","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15100","HCPCS","Both",,,"7055.5","3527.75","Caresource","Medicaid Managed Care","",,"40",,"2822.2","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15100","HCPCS","Both",,,"7055.5","3527.75","Wellcare","Medicaid Managed Care","",,"40",,"2857.48","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15100","HCPCS","Both",,,"7055.5","3527.75","Aetna","Commercial","",,"64",,"4501.41","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15100","HCPCS","Both",,,"7055.5","3527.75","Blue Cross Blue Shield","Pathways","",,"71",,"4981.18","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15100","HCPCS","Both",,,"7055.5","3527.75","Blue Cross Blue Shield","HMO","",,"71",,"4981.18","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15100","HCPCS","Both",,,"7055.5","3527.75","Blue Cross Blue Shield","PPO","",,"71",,"4981.18","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15100","HCPCS","Both",,,"7055.5","3527.75","Ambetter","Health Exchange","",,"62",,"4374.41","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15100","HCPCS","Both",,,"7055.5","3527.75","Caresource","Health Exchange","",,"62",,"4374.41","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15100","HCPCS","Both",,,"7055.5","3527.75","Cigna","Commercial","",,"59",,"4134.52","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15100","HCPCS","Both",,,"7055.5","3527.75","Humana","Commercial","",,"78",,"5468.01","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15100","HCPCS","Both",,,"7055.5","3527.75","UHC","Commercial","",,"75",,"5319.85","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15100","HCPCS","Both",,,"7055.5","3527.75","Medicaid",,"",,"37",,"2582.31","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15101","HCPCS","Both",,,"7055.5","3527.75","Alliant","Health Exchange","",,"62",,"4374.41","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15101","HCPCS","Both",,,"7055.5","3527.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"3809.97","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15101","HCPCS","Both",,,"7055.5","3527.75","Medicare",,"",,"54",,"3824.08","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15101","HCPCS","Both",,,"7055.5","3527.75","Humana","Medicare Advantage","",,"54",,"3824.08","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15101","HCPCS","Both",,,"7055.5","3527.75","UHC","Medicare Advantage","",,"54",,"3824.08","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15101","HCPCS","Both",,,"7055.5","3527.75","Clover","Medicare Advantage","",,"54",,"3824.08","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15101","HCPCS","Both",,,"7055.5","3527.75","Wellcare","Medicare Advantage","",,"54",,"3824.08","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15101","HCPCS","Both",,,"7055.5","3527.75","Amerigroup","Medicaid Managed Care","",,"37",,"2582.31","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15101","HCPCS","Both",,,"7055.5","3527.75","Caresource","Medicaid Managed Care","",,"40",,"2822.2","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15101","HCPCS","Both",,,"7055.5","3527.75","Wellcare","Medicaid Managed Care","",,"40",,"2857.48","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15101","HCPCS","Both",,,"7055.5","3527.75","Aetna","Commercial","",,"64",,"4501.41","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15101","HCPCS","Both",,,"7055.5","3527.75","Blue Cross Blue Shield","Pathways","",,"71",,"4981.18","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15101","HCPCS","Both",,,"7055.5","3527.75","Blue Cross Blue Shield","HMO","",,"71",,"4981.18","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15101","HCPCS","Both",,,"7055.5","3527.75","Blue Cross Blue Shield","PPO","",,"71",,"4981.18","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15101","HCPCS","Both",,,"7055.5","3527.75","Ambetter","Health Exchange","",,"62",,"4374.41","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15101","HCPCS","Both",,,"7055.5","3527.75","Caresource","Health Exchange","",,"62",,"4374.41","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15101","HCPCS","Both",,,"7055.5","3527.75","Cigna","Commercial","",,"59",,"4134.52","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15101","HCPCS","Both",,,"7055.5","3527.75","Humana","Commercial","",,"78",,"5468.01","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15101","HCPCS","Both",,,"7055.5","3527.75","UHC","Commercial","",,"75",,"5319.85","2582.31","5468.01","percent of total billed charges",,
"SPLIT THICK AUTO GRAFT TRK ARM LEGS","15101","HCPCS","Both",,,"7055.5","3527.75","Medicaid",,"",,"37",,"2582.31","2582.31","5468.01","percent of total billed charges",,
"MASTOTOMY W/EXPLORATION ABSCESS,DEEP","19020","HCPCS","Both",,,"267","133.5","Alliant","Health Exchange","",,"62",,"165.54","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLORATION ABSCESS,DEEP","19020","HCPCS","Both",,,"267","133.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"144.18","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLORATION ABSCESS,DEEP","19020","HCPCS","Both",,,"267","133.5","Medicare",,"",,"54",,"144.71","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLORATION ABSCESS,DEEP","19020","HCPCS","Both",,,"267","133.5","Humana","Medicare Advantage","",,"54",,"144.71","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLORATION ABSCESS,DEEP","19020","HCPCS","Both",,,"267","133.5","UHC","Medicare Advantage","",,"54",,"144.71","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLORATION ABSCESS,DEEP","19020","HCPCS","Both",,,"267","133.5","Clover","Medicare Advantage","",,"54",,"144.71","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLORATION ABSCESS,DEEP","19020","HCPCS","Both",,,"267","133.5","Wellcare","Medicare Advantage","",,"54",,"144.71","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLORATION ABSCESS,DEEP","19020","HCPCS","Both",,,"267","133.5","Amerigroup","Medicaid Managed Care","",,"37",,"97.72","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLORATION ABSCESS,DEEP","19020","HCPCS","Both",,,"267","133.5","Caresource","Medicaid Managed Care","",,"40",,"106.8","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLORATION ABSCESS,DEEP","19020","HCPCS","Both",,,"267","133.5","Wellcare","Medicaid Managed Care","",,"40",,"108.14","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLORATION ABSCESS,DEEP","19020","HCPCS","Both",,,"267","133.5","Aetna","Commercial","",,"64",,"170.35","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLORATION ABSCESS,DEEP","19020","HCPCS","Both",,,"267","133.5","Blue Cross Blue Shield","Pathways","",,"71",,"188.5","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLORATION ABSCESS,DEEP","19020","HCPCS","Both",,,"267","133.5","Blue Cross Blue Shield","HMO","",,"71",,"188.5","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLORATION ABSCESS,DEEP","19020","HCPCS","Both",,,"267","133.5","Blue Cross Blue Shield","PPO","",,"71",,"188.5","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLORATION ABSCESS,DEEP","19020","HCPCS","Both",,,"267","133.5","Ambetter","Health Exchange","",,"62",,"165.54","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLORATION ABSCESS,DEEP","19020","HCPCS","Both",,,"267","133.5","Caresource","Health Exchange","",,"62",,"165.54","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLORATION ABSCESS,DEEP","19020","HCPCS","Both",,,"267","133.5","Cigna","Commercial","",,"59",,"156.46","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLORATION ABSCESS,DEEP","19020","HCPCS","Both",,,"267","133.5","Humana","Commercial","",,"78",,"206.92","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLORATION ABSCESS,DEEP","19020","HCPCS","Both",,,"267","133.5","UHC","Commercial","",,"75",,"201.32","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLORATION ABSCESS,DEEP","19020","HCPCS","Both",,,"267","133.5","Medicaid",,"",,"37",,"97.72","97.72","206.92","percent of total billed charges",,
"EXPLORATION PENETRATING WOUND EXTREMITY","20103","HCPCS","Both",,,"2265.5","1132.75","Alliant","Health Exchange","",,"62",,"1404.61","829.17","1755.76","percent of total billed charges",,
"EXPLORATION PENETRATING WOUND EXTREMITY","20103","HCPCS","Both",,,"2265.5","1132.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"1223.37","829.17","1755.76","percent of total billed charges",,
"EXPLORATION PENETRATING WOUND EXTREMITY","20103","HCPCS","Both",,,"2265.5","1132.75","Medicare",,"",,"54",,"1227.9","829.17","1755.76","percent of total billed charges",,
"EXPLORATION PENETRATING WOUND EXTREMITY","20103","HCPCS","Both",,,"2265.5","1132.75","Humana","Medicare Advantage","",,"54",,"1227.9","829.17","1755.76","percent of total billed charges",,
"EXPLORATION PENETRATING WOUND EXTREMITY","20103","HCPCS","Both",,,"2265.5","1132.75","UHC","Medicare Advantage","",,"54",,"1227.9","829.17","1755.76","percent of total billed charges",,
"EXPLORATION PENETRATING WOUND EXTREMITY","20103","HCPCS","Both",,,"2265.5","1132.75","Clover","Medicare Advantage","",,"54",,"1227.9","829.17","1755.76","percent of total billed charges",,
"EXPLORATION PENETRATING WOUND EXTREMITY","20103","HCPCS","Both",,,"2265.5","1132.75","Wellcare","Medicare Advantage","",,"54",,"1227.9","829.17","1755.76","percent of total billed charges",,
"EXPLORATION PENETRATING WOUND EXTREMITY","20103","HCPCS","Both",,,"2265.5","1132.75","Amerigroup","Medicaid Managed Care","",,"37",,"829.17","829.17","1755.76","percent of total billed charges",,
"EXPLORATION PENETRATING WOUND EXTREMITY","20103","HCPCS","Both",,,"2265.5","1132.75","Caresource","Medicaid Managed Care","",,"40",,"906.2","829.17","1755.76","percent of total billed charges",,
"EXPLORATION PENETRATING WOUND EXTREMITY","20103","HCPCS","Both",,,"2265.5","1132.75","Wellcare","Medicaid Managed Care","",,"40",,"917.53","829.17","1755.76","percent of total billed charges",,
"EXPLORATION PENETRATING WOUND EXTREMITY","20103","HCPCS","Both",,,"2265.5","1132.75","Aetna","Commercial","",,"64",,"1445.39","829.17","1755.76","percent of total billed charges",,
"EXPLORATION PENETRATING WOUND EXTREMITY","20103","HCPCS","Both",,,"2265.5","1132.75","Blue Cross Blue Shield","Pathways","",,"71",,"1599.44","829.17","1755.76","percent of total billed charges",,
"EXPLORATION PENETRATING WOUND EXTREMITY","20103","HCPCS","Both",,,"2265.5","1132.75","Blue Cross Blue Shield","HMO","",,"71",,"1599.44","829.17","1755.76","percent of total billed charges",,
"EXPLORATION PENETRATING WOUND EXTREMITY","20103","HCPCS","Both",,,"2265.5","1132.75","Blue Cross Blue Shield","PPO","",,"71",,"1599.44","829.17","1755.76","percent of total billed charges",,
"EXPLORATION PENETRATING WOUND EXTREMITY","20103","HCPCS","Both",,,"2265.5","1132.75","Ambetter","Health Exchange","",,"62",,"1404.61","829.17","1755.76","percent of total billed charges",,
"EXPLORATION PENETRATING WOUND EXTREMITY","20103","HCPCS","Both",,,"2265.5","1132.75","Caresource","Health Exchange","",,"62",,"1404.61","829.17","1755.76","percent of total billed charges",,
"EXPLORATION PENETRATING WOUND EXTREMITY","20103","HCPCS","Both",,,"2265.5","1132.75","Cigna","Commercial","",,"59",,"1327.58","829.17","1755.76","percent of total billed charges",,
"EXPLORATION PENETRATING WOUND EXTREMITY","20103","HCPCS","Both",,,"2265.5","1132.75","Humana","Commercial","",,"78",,"1755.76","829.17","1755.76","percent of total billed charges",,
"EXPLORATION PENETRATING WOUND EXTREMITY","20103","HCPCS","Both",,,"2265.5","1132.75","UHC","Commercial","",,"75",,"1708.19","829.17","1755.76","percent of total billed charges",,
"EXPLORATION PENETRATING WOUND EXTREMITY","20103","HCPCS","Both",,,"2265.5","1132.75","Medicaid",,"",,"37",,"829.17","829.17","1755.76","percent of total billed charges",,
"INJECTION SINGLE TENDON SHEATH LIG APON","20550","HCPCS","Both",,,"570.5","285.25","Alliant","Health Exchange","",,"62",,"353.71","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE TENDON SHEATH LIG APON","20550","HCPCS","Both",,,"570.5","285.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"308.07","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE TENDON SHEATH LIG APON","20550","HCPCS","Both",,,"570.5","285.25","Medicare",,"",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE TENDON SHEATH LIG APON","20550","HCPCS","Both",,,"570.5","285.25","Humana","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE TENDON SHEATH LIG APON","20550","HCPCS","Both",,,"570.5","285.25","UHC","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE TENDON SHEATH LIG APON","20550","HCPCS","Both",,,"570.5","285.25","Clover","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE TENDON SHEATH LIG APON","20550","HCPCS","Both",,,"570.5","285.25","Wellcare","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE TENDON SHEATH LIG APON","20550","HCPCS","Both",,,"570.5","285.25","Amerigroup","Medicaid Managed Care","",,"37",,"208.8","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE TENDON SHEATH LIG APON","20550","HCPCS","Both",,,"570.5","285.25","Caresource","Medicaid Managed Care","",,"40",,"228.2","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE TENDON SHEATH LIG APON","20550","HCPCS","Both",,,"570.5","285.25","Wellcare","Medicaid Managed Care","",,"40",,"231.05","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE TENDON SHEATH LIG APON","20550","HCPCS","Both",,,"570.5","285.25","Aetna","Commercial","",,"64",,"363.98","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE TENDON SHEATH LIG APON","20550","HCPCS","Both",,,"570.5","285.25","Blue Cross Blue Shield","Pathways","",,"71",,"402.77","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE TENDON SHEATH LIG APON","20550","HCPCS","Both",,,"570.5","285.25","Blue Cross Blue Shield","HMO","",,"71",,"402.77","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE TENDON SHEATH LIG APON","20550","HCPCS","Both",,,"570.5","285.25","Blue Cross Blue Shield","PPO","",,"71",,"402.77","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE TENDON SHEATH LIG APON","20550","HCPCS","Both",,,"570.5","285.25","Ambetter","Health Exchange","",,"62",,"353.71","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE TENDON SHEATH LIG APON","20550","HCPCS","Both",,,"570.5","285.25","Caresource","Health Exchange","",,"62",,"353.71","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE TENDON SHEATH LIG APON","20550","HCPCS","Both",,,"570.5","285.25","Cigna","Commercial","",,"59",,"334.31","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE TENDON SHEATH LIG APON","20550","HCPCS","Both",,,"570.5","285.25","Humana","Commercial","",,"78",,"442.14","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE TENDON SHEATH LIG APON","20550","HCPCS","Both",,,"570.5","285.25","UHC","Commercial","",,"75",,"430.16","208.8","442.14","percent of total billed charges",,
"INJECTION SINGLE TENDON SHEATH LIG APON","20550","HCPCS","Both",,,"570.5","285.25","Medicaid",,"",,"37",,"208.8","208.8","442.14","percent of total billed charges",,
"REPLANTATION DIGIT EXCL THUMB","20822","HCPCS","Both",,,"6956.5","3478.25","Alliant","Health Exchange","",,"62",,"4313.03","2546.08","5391.29","percent of total billed charges",,
"REPLANTATION DIGIT EXCL THUMB","20822","HCPCS","Both",,,"6956.5","3478.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"3756.51","2546.08","5391.29","percent of total billed charges",,
"REPLANTATION DIGIT EXCL THUMB","20822","HCPCS","Both",,,"6956.5","3478.25","Medicare",,"",,"54",,"3770.42","2546.08","5391.29","percent of total billed charges",,
"REPLANTATION DIGIT EXCL THUMB","20822","HCPCS","Both",,,"6956.5","3478.25","Humana","Medicare Advantage","",,"54",,"3770.42","2546.08","5391.29","percent of total billed charges",,
"REPLANTATION DIGIT EXCL THUMB","20822","HCPCS","Both",,,"6956.5","3478.25","UHC","Medicare Advantage","",,"54",,"3770.42","2546.08","5391.29","percent of total billed charges",,
"REPLANTATION DIGIT EXCL THUMB","20822","HCPCS","Both",,,"6956.5","3478.25","Clover","Medicare Advantage","",,"54",,"3770.42","2546.08","5391.29","percent of total billed charges",,
"REPLANTATION DIGIT EXCL THUMB","20822","HCPCS","Both",,,"6956.5","3478.25","Wellcare","Medicare Advantage","",,"54",,"3770.42","2546.08","5391.29","percent of total billed charges",,
"REPLANTATION DIGIT EXCL THUMB","20822","HCPCS","Both",,,"6956.5","3478.25","Amerigroup","Medicaid Managed Care","",,"37",,"2546.08","2546.08","5391.29","percent of total billed charges",,
"REPLANTATION DIGIT EXCL THUMB","20822","HCPCS","Both",,,"6956.5","3478.25","Caresource","Medicaid Managed Care","",,"40",,"2782.6","2546.08","5391.29","percent of total billed charges",,
"REPLANTATION DIGIT EXCL THUMB","20822","HCPCS","Both",,,"6956.5","3478.25","Wellcare","Medicaid Managed Care","",,"40",,"2817.38","2546.08","5391.29","percent of total billed charges",,
"REPLANTATION DIGIT EXCL THUMB","20822","HCPCS","Both",,,"6956.5","3478.25","Aetna","Commercial","",,"64",,"4438.25","2546.08","5391.29","percent of total billed charges",,
"REPLANTATION DIGIT EXCL THUMB","20822","HCPCS","Both",,,"6956.5","3478.25","Blue Cross Blue Shield","Pathways","",,"71",,"4911.29","2546.08","5391.29","percent of total billed charges",,
"REPLANTATION DIGIT EXCL THUMB","20822","HCPCS","Both",,,"6956.5","3478.25","Blue Cross Blue Shield","HMO","",,"71",,"4911.29","2546.08","5391.29","percent of total billed charges",,
"REPLANTATION DIGIT EXCL THUMB","20822","HCPCS","Both",,,"6956.5","3478.25","Blue Cross Blue Shield","PPO","",,"71",,"4911.29","2546.08","5391.29","percent of total billed charges",,
"REPLANTATION DIGIT EXCL THUMB","20822","HCPCS","Both",,,"6956.5","3478.25","Ambetter","Health Exchange","",,"62",,"4313.03","2546.08","5391.29","percent of total billed charges",,
"REPLANTATION DIGIT EXCL THUMB","20822","HCPCS","Both",,,"6956.5","3478.25","Caresource","Health Exchange","",,"62",,"4313.03","2546.08","5391.29","percent of total billed charges",,
"REPLANTATION DIGIT EXCL THUMB","20822","HCPCS","Both",,,"6956.5","3478.25","Cigna","Commercial","",,"59",,"4076.51","2546.08","5391.29","percent of total billed charges",,
"REPLANTATION DIGIT EXCL THUMB","20822","HCPCS","Both",,,"6956.5","3478.25","Humana","Commercial","",,"78",,"5391.29","2546.08","5391.29","percent of total billed charges",,
"REPLANTATION DIGIT EXCL THUMB","20822","HCPCS","Both",,,"6956.5","3478.25","UHC","Commercial","",,"75",,"5245.2","2546.08","5391.29","percent of total billed charges",,
"REPLANTATION DIGIT EXCL THUMB","20822","HCPCS","Both",,,"6956.5","3478.25","Medicaid",,"",,"37",,"2546.08","2546.08","5391.29","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21011","HCPCS","Both",,,"1823","911.5","Alliant","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21011","HCPCS","Both",,,"1823","911.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"984.42","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21011","HCPCS","Both",,,"1823","911.5","Medicare",,"",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21011","HCPCS","Both",,,"1823","911.5","Humana","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21011","HCPCS","Both",,,"1823","911.5","UHC","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21011","HCPCS","Both",,,"1823","911.5","Clover","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21011","HCPCS","Both",,,"1823","911.5","Wellcare","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21011","HCPCS","Both",,,"1823","911.5","Amerigroup","Medicaid Managed Care","",,"37",,"667.22","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21011","HCPCS","Both",,,"1823","911.5","Caresource","Medicaid Managed Care","",,"40",,"729.2","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21011","HCPCS","Both",,,"1823","911.5","Wellcare","Medicaid Managed Care","",,"40",,"738.32","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21011","HCPCS","Both",,,"1823","911.5","Aetna","Commercial","",,"64",,"1163.07","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21011","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","Pathways","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21011","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","HMO","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21011","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","PPO","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21011","HCPCS","Both",,,"1823","911.5","Ambetter","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21011","HCPCS","Both",,,"1823","911.5","Caresource","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21011","HCPCS","Both",,,"1823","911.5","Cigna","Commercial","",,"59",,"1068.28","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21011","HCPCS","Both",,,"1823","911.5","Humana","Commercial","",,"78",,"1412.82","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21011","HCPCS","Both",,,"1823","911.5","UHC","Commercial","",,"75",,"1374.54","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21011","HCPCS","Both",,,"1823","911.5","Medicaid",,"",,"37",,"667.22","667.22","1412.82","percent of total billed charges",,
"CLOSED TX NASAL BONE FX W/O STABILIZATIO","21315","HCPCS","Both",,,"5047","2523.5","Alliant","Health Exchange","",,"62",,"3129.14","1847.2","3911.42","percent of total billed charges",,
"CLOSED TX NASAL BONE FX W/O STABILIZATIO","21315","HCPCS","Both",,,"5047","2523.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"2725.38","1847.2","3911.42","percent of total billed charges",,
"CLOSED TX NASAL BONE FX W/O STABILIZATIO","21315","HCPCS","Both",,,"5047","2523.5","Medicare",,"",,"54",,"2735.47","1847.2","3911.42","percent of total billed charges",,
"CLOSED TX NASAL BONE FX W/O STABILIZATIO","21315","HCPCS","Both",,,"5047","2523.5","Humana","Medicare Advantage","",,"54",,"2735.47","1847.2","3911.42","percent of total billed charges",,
"CLOSED TX NASAL BONE FX W/O STABILIZATIO","21315","HCPCS","Both",,,"5047","2523.5","UHC","Medicare Advantage","",,"54",,"2735.47","1847.2","3911.42","percent of total billed charges",,
"CLOSED TX NASAL BONE FX W/O STABILIZATIO","21315","HCPCS","Both",,,"5047","2523.5","Clover","Medicare Advantage","",,"54",,"2735.47","1847.2","3911.42","percent of total billed charges",,
"CLOSED TX NASAL BONE FX W/O STABILIZATIO","21315","HCPCS","Both",,,"5047","2523.5","Wellcare","Medicare Advantage","",,"54",,"2735.47","1847.2","3911.42","percent of total billed charges",,
"CLOSED TX NASAL BONE FX W/O STABILIZATIO","21315","HCPCS","Both",,,"5047","2523.5","Amerigroup","Medicaid Managed Care","",,"37",,"1847.2","1847.2","3911.42","percent of total billed charges",,
"CLOSED TX NASAL BONE FX W/O STABILIZATIO","21315","HCPCS","Both",,,"5047","2523.5","Caresource","Medicaid Managed Care","",,"40",,"2018.8","1847.2","3911.42","percent of total billed charges",,
"CLOSED TX NASAL BONE FX W/O STABILIZATIO","21315","HCPCS","Both",,,"5047","2523.5","Wellcare","Medicaid Managed Care","",,"40",,"2044.04","1847.2","3911.42","percent of total billed charges",,
"CLOSED TX NASAL BONE FX W/O STABILIZATIO","21315","HCPCS","Both",,,"5047","2523.5","Aetna","Commercial","",,"64",,"3219.99","1847.2","3911.42","percent of total billed charges",,
"CLOSED TX NASAL BONE FX W/O STABILIZATIO","21315","HCPCS","Both",,,"5047","2523.5","Blue Cross Blue Shield","Pathways","",,"71",,"3563.18","1847.2","3911.42","percent of total billed charges",,
"CLOSED TX NASAL BONE FX W/O STABILIZATIO","21315","HCPCS","Both",,,"5047","2523.5","Blue Cross Blue Shield","HMO","",,"71",,"3563.18","1847.2","3911.42","percent of total billed charges",,
"CLOSED TX NASAL BONE FX W/O STABILIZATIO","21315","HCPCS","Both",,,"5047","2523.5","Blue Cross Blue Shield","PPO","",,"71",,"3563.18","1847.2","3911.42","percent of total billed charges",,
"CLOSED TX NASAL BONE FX W/O STABILIZATIO","21315","HCPCS","Both",,,"5047","2523.5","Ambetter","Health Exchange","",,"62",,"3129.14","1847.2","3911.42","percent of total billed charges",,
"CLOSED TX NASAL BONE FX W/O STABILIZATIO","21315","HCPCS","Both",,,"5047","2523.5","Caresource","Health Exchange","",,"62",,"3129.14","1847.2","3911.42","percent of total billed charges",,
"CLOSED TX NASAL BONE FX W/O STABILIZATIO","21315","HCPCS","Both",,,"5047","2523.5","Cigna","Commercial","",,"59",,"2957.54","1847.2","3911.42","percent of total billed charges",,
"CLOSED TX NASAL BONE FX W/O STABILIZATIO","21315","HCPCS","Both",,,"5047","2523.5","Humana","Commercial","",,"78",,"3911.42","1847.2","3911.42","percent of total billed charges",,
"CLOSED TX NASAL BONE FX W/O STABILIZATIO","21315","HCPCS","Both",,,"5047","2523.5","UHC","Commercial","",,"75",,"3805.44","1847.2","3911.42","percent of total billed charges",,
"CLOSED TX NASAL BONE FX W/O STABILIZATIO","21315","HCPCS","Both",,,"5047","2523.5","Medicaid",,"",,"37",,"1847.2","1847.2","3911.42","percent of total billed charges",,
"CLOSED TX CLAVICULAR FX W/O MANIPULATION","23500","HCPCS","Both",,,"418.5","209.25","Alliant","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX CLAVICULAR FX W/O MANIPULATION","23500","HCPCS","Both",,,"418.5","209.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"225.99","153.17","324.34","percent of total billed charges",,
"CLOSED TX CLAVICULAR FX W/O MANIPULATION","23500","HCPCS","Both",,,"418.5","209.25","Medicare",,"",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX CLAVICULAR FX W/O MANIPULATION","23500","HCPCS","Both",,,"418.5","209.25","Humana","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX CLAVICULAR FX W/O MANIPULATION","23500","HCPCS","Both",,,"418.5","209.25","UHC","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX CLAVICULAR FX W/O MANIPULATION","23500","HCPCS","Both",,,"418.5","209.25","Clover","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX CLAVICULAR FX W/O MANIPULATION","23500","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX CLAVICULAR FX W/O MANIPULATION","23500","HCPCS","Both",,,"418.5","209.25","Amerigroup","Medicaid Managed Care","",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TX CLAVICULAR FX W/O MANIPULATION","23500","HCPCS","Both",,,"418.5","209.25","Caresource","Medicaid Managed Care","",,"40",,"167.4","153.17","324.34","percent of total billed charges",,
"CLOSED TX CLAVICULAR FX W/O MANIPULATION","23500","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicaid Managed Care","",,"40",,"169.49","153.17","324.34","percent of total billed charges",,
"CLOSED TX CLAVICULAR FX W/O MANIPULATION","23500","HCPCS","Both",,,"418.5","209.25","Aetna","Commercial","",,"64",,"267","153.17","324.34","percent of total billed charges",,
"CLOSED TX CLAVICULAR FX W/O MANIPULATION","23500","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","Pathways","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX CLAVICULAR FX W/O MANIPULATION","23500","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","HMO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX CLAVICULAR FX W/O MANIPULATION","23500","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","PPO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX CLAVICULAR FX W/O MANIPULATION","23500","HCPCS","Both",,,"418.5","209.25","Ambetter","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX CLAVICULAR FX W/O MANIPULATION","23500","HCPCS","Both",,,"418.5","209.25","Caresource","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX CLAVICULAR FX W/O MANIPULATION","23500","HCPCS","Both",,,"418.5","209.25","Cigna","Commercial","",,"59",,"245.24","153.17","324.34","percent of total billed charges",,
"CLOSED TX CLAVICULAR FX W/O MANIPULATION","23500","HCPCS","Both",,,"418.5","209.25","Humana","Commercial","",,"78",,"324.34","153.17","324.34","percent of total billed charges",,
"CLOSED TX CLAVICULAR FX W/O MANIPULATION","23500","HCPCS","Both",,,"418.5","209.25","UHC","Commercial","",,"75",,"315.55","153.17","324.34","percent of total billed charges",,
"CLOSED TX CLAVICULAR FX W/O MANIPULATION","23500","HCPCS","Both",,,"418.5","209.25","Medicaid",,"",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TX ACROMIOCLAVICULAR DISLOCATION","23545","HCPCS","Both",,,"378","189","Alliant","Health Exchange","",,"62",,"234.36","138.35","292.95","percent of total billed charges",,
"CLOSED TX ACROMIOCLAVICULAR DISLOCATION","23545","HCPCS","Both",,,"378","189","Pruitt Healthcare","Medicare Advantage","",,"54",,"204.12","138.35","292.95","percent of total billed charges",,
"CLOSED TX ACROMIOCLAVICULAR DISLOCATION","23545","HCPCS","Both",,,"378","189","Medicare",,"",,"54",,"204.88","138.35","292.95","percent of total billed charges",,
"CLOSED TX ACROMIOCLAVICULAR DISLOCATION","23545","HCPCS","Both",,,"378","189","Humana","Medicare Advantage","",,"54",,"204.88","138.35","292.95","percent of total billed charges",,
"CLOSED TX ACROMIOCLAVICULAR DISLOCATION","23545","HCPCS","Both",,,"378","189","UHC","Medicare Advantage","",,"54",,"204.88","138.35","292.95","percent of total billed charges",,
"CLOSED TX ACROMIOCLAVICULAR DISLOCATION","23545","HCPCS","Both",,,"378","189","Clover","Medicare Advantage","",,"54",,"204.88","138.35","292.95","percent of total billed charges",,
"CLOSED TX ACROMIOCLAVICULAR DISLOCATION","23545","HCPCS","Both",,,"378","189","Wellcare","Medicare Advantage","",,"54",,"204.88","138.35","292.95","percent of total billed charges",,
"CLOSED TX ACROMIOCLAVICULAR DISLOCATION","23545","HCPCS","Both",,,"378","189","Amerigroup","Medicaid Managed Care","",,"37",,"138.35","138.35","292.95","percent of total billed charges",,
"CLOSED TX ACROMIOCLAVICULAR DISLOCATION","23545","HCPCS","Both",,,"378","189","Caresource","Medicaid Managed Care","",,"40",,"151.2","138.35","292.95","percent of total billed charges",,
"CLOSED TX ACROMIOCLAVICULAR DISLOCATION","23545","HCPCS","Both",,,"378","189","Wellcare","Medicaid Managed Care","",,"40",,"153.09","138.35","292.95","percent of total billed charges",,
"CLOSED TX ACROMIOCLAVICULAR DISLOCATION","23545","HCPCS","Both",,,"378","189","Aetna","Commercial","",,"64",,"241.16","138.35","292.95","percent of total billed charges",,
"CLOSED TX ACROMIOCLAVICULAR DISLOCATION","23545","HCPCS","Both",,,"378","189","Blue Cross Blue Shield","Pathways","",,"71",,"266.87","138.35","292.95","percent of total billed charges",,
"CLOSED TX ACROMIOCLAVICULAR DISLOCATION","23545","HCPCS","Both",,,"378","189","Blue Cross Blue Shield","HMO","",,"71",,"266.87","138.35","292.95","percent of total billed charges",,
"CLOSED TX ACROMIOCLAVICULAR DISLOCATION","23545","HCPCS","Both",,,"378","189","Blue Cross Blue Shield","PPO","",,"71",,"266.87","138.35","292.95","percent of total billed charges",,
"CLOSED TX ACROMIOCLAVICULAR DISLOCATION","23545","HCPCS","Both",,,"378","189","Ambetter","Health Exchange","",,"62",,"234.36","138.35","292.95","percent of total billed charges",,
"CLOSED TX ACROMIOCLAVICULAR DISLOCATION","23545","HCPCS","Both",,,"378","189","Caresource","Health Exchange","",,"62",,"234.36","138.35","292.95","percent of total billed charges",,
"CLOSED TX ACROMIOCLAVICULAR DISLOCATION","23545","HCPCS","Both",,,"378","189","Cigna","Commercial","",,"59",,"221.51","138.35","292.95","percent of total billed charges",,
"CLOSED TX ACROMIOCLAVICULAR DISLOCATION","23545","HCPCS","Both",,,"378","189","Humana","Commercial","",,"78",,"292.95","138.35","292.95","percent of total billed charges",,
"CLOSED TX ACROMIOCLAVICULAR DISLOCATION","23545","HCPCS","Both",,,"378","189","UHC","Commercial","",,"75",,"285.01","138.35","292.95","percent of total billed charges",,
"CLOSED TX ACROMIOCLAVICULAR DISLOCATION","23545","HCPCS","Both",,,"378","189","Medicaid",,"",,"37",,"138.35","138.35","292.95","percent of total billed charges",,
"CLOSED TX PROXIMAL HUMERAL W/MAN W/W/O T","23605","HCPCS","Both",,,"2608.5","1304.25","Alliant","Health Exchange","",,"62",,"1617.27","954.71","2021.59","percent of total billed charges",,
"CLOSED TX PROXIMAL HUMERAL W/MAN W/W/O T","23605","HCPCS","Both",,,"2608.5","1304.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"1408.59","954.71","2021.59","percent of total billed charges",,
"CLOSED TX PROXIMAL HUMERAL W/MAN W/W/O T","23605","HCPCS","Both",,,"2608.5","1304.25","Medicare",,"",,"54",,"1413.81","954.71","2021.59","percent of total billed charges",,
"CLOSED TX PROXIMAL HUMERAL W/MAN W/W/O T","23605","HCPCS","Both",,,"2608.5","1304.25","Humana","Medicare Advantage","",,"54",,"1413.81","954.71","2021.59","percent of total billed charges",,
"CLOSED TX PROXIMAL HUMERAL W/MAN W/W/O T","23605","HCPCS","Both",,,"2608.5","1304.25","UHC","Medicare Advantage","",,"54",,"1413.81","954.71","2021.59","percent of total billed charges",,
"CLOSED TX PROXIMAL HUMERAL W/MAN W/W/O T","23605","HCPCS","Both",,,"2608.5","1304.25","Clover","Medicare Advantage","",,"54",,"1413.81","954.71","2021.59","percent of total billed charges",,
"CLOSED TX PROXIMAL HUMERAL W/MAN W/W/O T","23605","HCPCS","Both",,,"2608.5","1304.25","Wellcare","Medicare Advantage","",,"54",,"1413.81","954.71","2021.59","percent of total billed charges",,
"CLOSED TX PROXIMAL HUMERAL W/MAN W/W/O T","23605","HCPCS","Both",,,"2608.5","1304.25","Amerigroup","Medicaid Managed Care","",,"37",,"954.71","954.71","2021.59","percent of total billed charges",,
"CLOSED TX PROXIMAL HUMERAL W/MAN W/W/O T","23605","HCPCS","Both",,,"2608.5","1304.25","Caresource","Medicaid Managed Care","",,"40",,"1043.4","954.71","2021.59","percent of total billed charges",,
"CLOSED TX PROXIMAL HUMERAL W/MAN W/W/O T","23605","HCPCS","Both",,,"2608.5","1304.25","Wellcare","Medicaid Managed Care","",,"40",,"1056.44","954.71","2021.59","percent of total billed charges",,
"CLOSED TX PROXIMAL HUMERAL W/MAN W/W/O T","23605","HCPCS","Both",,,"2608.5","1304.25","Aetna","Commercial","",,"64",,"1664.22","954.71","2021.59","percent of total billed charges",,
"CLOSED TX PROXIMAL HUMERAL W/MAN W/W/O T","23605","HCPCS","Both",,,"2608.5","1304.25","Blue Cross Blue Shield","Pathways","",,"71",,"1841.6","954.71","2021.59","percent of total billed charges",,
"CLOSED TX PROXIMAL HUMERAL W/MAN W/W/O T","23605","HCPCS","Both",,,"2608.5","1304.25","Blue Cross Blue Shield","HMO","",,"71",,"1841.6","954.71","2021.59","percent of total billed charges",,
"CLOSED TX PROXIMAL HUMERAL W/MAN W/W/O T","23605","HCPCS","Both",,,"2608.5","1304.25","Blue Cross Blue Shield","PPO","",,"71",,"1841.6","954.71","2021.59","percent of total billed charges",,
"CLOSED TX PROXIMAL HUMERAL W/MAN W/W/O T","23605","HCPCS","Both",,,"2608.5","1304.25","Ambetter","Health Exchange","",,"62",,"1617.27","954.71","2021.59","percent of total billed charges",,
"CLOSED TX PROXIMAL HUMERAL W/MAN W/W/O T","23605","HCPCS","Both",,,"2608.5","1304.25","Caresource","Health Exchange","",,"62",,"1617.27","954.71","2021.59","percent of total billed charges",,
"CLOSED TX PROXIMAL HUMERAL W/MAN W/W/O T","23605","HCPCS","Both",,,"2608.5","1304.25","Cigna","Commercial","",,"59",,"1528.58","954.71","2021.59","percent of total billed charges",,
"CLOSED TX PROXIMAL HUMERAL W/MAN W/W/O T","23605","HCPCS","Both",,,"2608.5","1304.25","Humana","Commercial","",,"78",,"2021.59","954.71","2021.59","percent of total billed charges",,
"CLOSED TX PROXIMAL HUMERAL W/MAN W/W/O T","23605","HCPCS","Both",,,"2608.5","1304.25","UHC","Commercial","",,"75",,"1966.81","954.71","2021.59","percent of total billed charges",,
"CLOSED TX PROXIMAL HUMERAL W/MAN W/W/O T","23605","HCPCS","Both",,,"2608.5","1304.25","Medicaid",,"",,"37",,"954.71","954.71","2021.59","percent of total billed charges",,
"CLOSED TX ULNAR FX PROXIMAL W/O MANIP","24670","HCPCS","Both",,,"418.5","209.25","Alliant","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR FX PROXIMAL W/O MANIP","24670","HCPCS","Both",,,"418.5","209.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"225.99","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR FX PROXIMAL W/O MANIP","24670","HCPCS","Both",,,"418.5","209.25","Medicare",,"",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR FX PROXIMAL W/O MANIP","24670","HCPCS","Both",,,"418.5","209.25","Humana","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR FX PROXIMAL W/O MANIP","24670","HCPCS","Both",,,"418.5","209.25","UHC","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR FX PROXIMAL W/O MANIP","24670","HCPCS","Both",,,"418.5","209.25","Clover","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR FX PROXIMAL W/O MANIP","24670","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR FX PROXIMAL W/O MANIP","24670","HCPCS","Both",,,"418.5","209.25","Amerigroup","Medicaid Managed Care","",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR FX PROXIMAL W/O MANIP","24670","HCPCS","Both",,,"418.5","209.25","Caresource","Medicaid Managed Care","",,"40",,"167.4","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR FX PROXIMAL W/O MANIP","24670","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicaid Managed Care","",,"40",,"169.49","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR FX PROXIMAL W/O MANIP","24670","HCPCS","Both",,,"418.5","209.25","Aetna","Commercial","",,"64",,"267","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR FX PROXIMAL W/O MANIP","24670","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","Pathways","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR FX PROXIMAL W/O MANIP","24670","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","HMO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR FX PROXIMAL W/O MANIP","24670","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","PPO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR FX PROXIMAL W/O MANIP","24670","HCPCS","Both",,,"418.5","209.25","Ambetter","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR FX PROXIMAL W/O MANIP","24670","HCPCS","Both",,,"418.5","209.25","Caresource","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR FX PROXIMAL W/O MANIP","24670","HCPCS","Both",,,"418.5","209.25","Cigna","Commercial","",,"59",,"245.24","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR FX PROXIMAL W/O MANIP","24670","HCPCS","Both",,,"418.5","209.25","Humana","Commercial","",,"78",,"324.34","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR FX PROXIMAL W/O MANIP","24670","HCPCS","Both",,,"418.5","209.25","UHC","Commercial","",,"75",,"315.55","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR FX PROXIMAL W/O MANIP","24670","HCPCS","Both",,,"418.5","209.25","Medicaid",,"",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"ARTHROTOMY, WRIST JOINT W/EXPLORATION","25101","HCPCS","Both",,,"7200.5","3600.25","Alliant","Health Exchange","",,"62",,"4464.31","2635.38","5580.39","percent of total billed charges",,
"ARTHROTOMY, WRIST JOINT W/EXPLORATION","25101","HCPCS","Both",,,"7200.5","3600.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"3888.27","2635.38","5580.39","percent of total billed charges",,
"ARTHROTOMY, WRIST JOINT W/EXPLORATION","25101","HCPCS","Both",,,"7200.5","3600.25","Medicare",,"",,"54",,"3902.67","2635.38","5580.39","percent of total billed charges",,
"ARTHROTOMY, WRIST JOINT W/EXPLORATION","25101","HCPCS","Both",,,"7200.5","3600.25","Humana","Medicare Advantage","",,"54",,"3902.67","2635.38","5580.39","percent of total billed charges",,
"ARTHROTOMY, WRIST JOINT W/EXPLORATION","25101","HCPCS","Both",,,"7200.5","3600.25","UHC","Medicare Advantage","",,"54",,"3902.67","2635.38","5580.39","percent of total billed charges",,
"ARTHROTOMY, WRIST JOINT W/EXPLORATION","25101","HCPCS","Both",,,"7200.5","3600.25","Clover","Medicare Advantage","",,"54",,"3902.67","2635.38","5580.39","percent of total billed charges",,
"ARTHROTOMY, WRIST JOINT W/EXPLORATION","25101","HCPCS","Both",,,"7200.5","3600.25","Wellcare","Medicare Advantage","",,"54",,"3902.67","2635.38","5580.39","percent of total billed charges",,
"ARTHROTOMY, WRIST JOINT W/EXPLORATION","25101","HCPCS","Both",,,"7200.5","3600.25","Amerigroup","Medicaid Managed Care","",,"37",,"2635.38","2635.38","5580.39","percent of total billed charges",,
"ARTHROTOMY, WRIST JOINT W/EXPLORATION","25101","HCPCS","Both",,,"7200.5","3600.25","Caresource","Medicaid Managed Care","",,"40",,"2880.2","2635.38","5580.39","percent of total billed charges",,
"ARTHROTOMY, WRIST JOINT W/EXPLORATION","25101","HCPCS","Both",,,"7200.5","3600.25","Wellcare","Medicaid Managed Care","",,"40",,"2916.2","2635.38","5580.39","percent of total billed charges",,
"ARTHROTOMY, WRIST JOINT W/EXPLORATION","25101","HCPCS","Both",,,"7200.5","3600.25","Aetna","Commercial","",,"64",,"4593.92","2635.38","5580.39","percent of total billed charges",,
"ARTHROTOMY, WRIST JOINT W/EXPLORATION","25101","HCPCS","Both",,,"7200.5","3600.25","Blue Cross Blue Shield","Pathways","",,"71",,"5083.55","2635.38","5580.39","percent of total billed charges",,
"ARTHROTOMY, WRIST JOINT W/EXPLORATION","25101","HCPCS","Both",,,"7200.5","3600.25","Blue Cross Blue Shield","HMO","",,"71",,"5083.55","2635.38","5580.39","percent of total billed charges",,
"ARTHROTOMY, WRIST JOINT W/EXPLORATION","25101","HCPCS","Both",,,"7200.5","3600.25","Blue Cross Blue Shield","PPO","",,"71",,"5083.55","2635.38","5580.39","percent of total billed charges",,
"ARTHROTOMY, WRIST JOINT W/EXPLORATION","25101","HCPCS","Both",,,"7200.5","3600.25","Ambetter","Health Exchange","",,"62",,"4464.31","2635.38","5580.39","percent of total billed charges",,
"ARTHROTOMY, WRIST JOINT W/EXPLORATION","25101","HCPCS","Both",,,"7200.5","3600.25","Caresource","Health Exchange","",,"62",,"4464.31","2635.38","5580.39","percent of total billed charges",,
"ARTHROTOMY, WRIST JOINT W/EXPLORATION","25101","HCPCS","Both",,,"7200.5","3600.25","Cigna","Commercial","",,"59",,"4219.49","2635.38","5580.39","percent of total billed charges",,
"ARTHROTOMY, WRIST JOINT W/EXPLORATION","25101","HCPCS","Both",,,"7200.5","3600.25","Humana","Commercial","",,"78",,"5580.39","2635.38","5580.39","percent of total billed charges",,
"ARTHROTOMY, WRIST JOINT W/EXPLORATION","25101","HCPCS","Both",,,"7200.5","3600.25","UHC","Commercial","",,"75",,"5429.18","2635.38","5580.39","percent of total billed charges",,
"ARTHROTOMY, WRIST JOINT W/EXPLORATION","25101","HCPCS","Both",,,"7200.5","3600.25","Medicaid",,"",,"37",,"2635.38","2635.38","5580.39","percent of total billed charges",,
"CLOSED TX ULNAR SHAFT FX W/O MANIPULATIO","25530","HCPCS","Both",,,"418.5","209.25","Alliant","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR SHAFT FX W/O MANIPULATIO","25530","HCPCS","Both",,,"418.5","209.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"225.99","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR SHAFT FX W/O MANIPULATIO","25530","HCPCS","Both",,,"418.5","209.25","Medicare",,"",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR SHAFT FX W/O MANIPULATIO","25530","HCPCS","Both",,,"418.5","209.25","Humana","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR SHAFT FX W/O MANIPULATIO","25530","HCPCS","Both",,,"418.5","209.25","UHC","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR SHAFT FX W/O MANIPULATIO","25530","HCPCS","Both",,,"418.5","209.25","Clover","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR SHAFT FX W/O MANIPULATIO","25530","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR SHAFT FX W/O MANIPULATIO","25530","HCPCS","Both",,,"418.5","209.25","Amerigroup","Medicaid Managed Care","",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR SHAFT FX W/O MANIPULATIO","25530","HCPCS","Both",,,"418.5","209.25","Caresource","Medicaid Managed Care","",,"40",,"167.4","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR SHAFT FX W/O MANIPULATIO","25530","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicaid Managed Care","",,"40",,"169.49","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR SHAFT FX W/O MANIPULATIO","25530","HCPCS","Both",,,"418.5","209.25","Aetna","Commercial","",,"64",,"267","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR SHAFT FX W/O MANIPULATIO","25530","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","Pathways","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR SHAFT FX W/O MANIPULATIO","25530","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","HMO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR SHAFT FX W/O MANIPULATIO","25530","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","PPO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR SHAFT FX W/O MANIPULATIO","25530","HCPCS","Both",,,"418.5","209.25","Ambetter","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR SHAFT FX W/O MANIPULATIO","25530","HCPCS","Both",,,"418.5","209.25","Caresource","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR SHAFT FX W/O MANIPULATIO","25530","HCPCS","Both",,,"418.5","209.25","Cigna","Commercial","",,"59",,"245.24","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR SHAFT FX W/O MANIPULATIO","25530","HCPCS","Both",,,"418.5","209.25","Humana","Commercial","",,"78",,"324.34","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR SHAFT FX W/O MANIPULATIO","25530","HCPCS","Both",,,"418.5","209.25","UHC","Commercial","",,"75",,"315.55","153.17","324.34","percent of total billed charges",,
"CLOSED TX ULNAR SHAFT FX W/O MANIPULATIO","25530","HCPCS","Both",,,"418.5","209.25","Medicaid",,"",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX","25600","HCPCS","Both",,,"418.5","209.25","Alliant","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX","25600","HCPCS","Both",,,"418.5","209.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"225.99","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX","25600","HCPCS","Both",,,"418.5","209.25","Medicare",,"",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX","25600","HCPCS","Both",,,"418.5","209.25","Humana","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX","25600","HCPCS","Both",,,"418.5","209.25","UHC","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX","25600","HCPCS","Both",,,"418.5","209.25","Clover","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX","25600","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX","25600","HCPCS","Both",,,"418.5","209.25","Amerigroup","Medicaid Managed Care","",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX","25600","HCPCS","Both",,,"418.5","209.25","Caresource","Medicaid Managed Care","",,"40",,"167.4","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX","25600","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicaid Managed Care","",,"40",,"169.49","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX","25600","HCPCS","Both",,,"418.5","209.25","Aetna","Commercial","",,"64",,"267","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX","25600","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","Pathways","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX","25600","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","HMO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX","25600","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","PPO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX","25600","HCPCS","Both",,,"418.5","209.25","Ambetter","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX","25600","HCPCS","Both",,,"418.5","209.25","Caresource","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX","25600","HCPCS","Both",,,"418.5","209.25","Cigna","Commercial","",,"59",,"245.24","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX","25600","HCPCS","Both",,,"418.5","209.25","Humana","Commercial","",,"78",,"324.34","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX","25600","HCPCS","Both",,,"418.5","209.25","UHC","Commercial","",,"75",,"315.55","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX","25600","HCPCS","Both",,,"418.5","209.25","Medicaid",,"",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX W/MANIPULATIO","25605","HCPCS","Both",,,"1245.5","622.75","Alliant","Health Exchange","",,"62",,"772.21","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX W/MANIPULATIO","25605","HCPCS","Both",,,"1245.5","622.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"672.57","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX W/MANIPULATIO","25605","HCPCS","Both",,,"1245.5","622.75","Medicare",,"",,"54",,"675.06","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX W/MANIPULATIO","25605","HCPCS","Both",,,"1245.5","622.75","Humana","Medicare Advantage","",,"54",,"675.06","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX W/MANIPULATIO","25605","HCPCS","Both",,,"1245.5","622.75","UHC","Medicare Advantage","",,"54",,"675.06","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX W/MANIPULATIO","25605","HCPCS","Both",,,"1245.5","622.75","Clover","Medicare Advantage","",,"54",,"675.06","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX W/MANIPULATIO","25605","HCPCS","Both",,,"1245.5","622.75","Wellcare","Medicare Advantage","",,"54",,"675.06","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX W/MANIPULATIO","25605","HCPCS","Both",,,"1245.5","622.75","Amerigroup","Medicaid Managed Care","",,"37",,"455.85","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX W/MANIPULATIO","25605","HCPCS","Both",,,"1245.5","622.75","Caresource","Medicaid Managed Care","",,"40",,"498.2","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX W/MANIPULATIO","25605","HCPCS","Both",,,"1245.5","622.75","Wellcare","Medicaid Managed Care","",,"40",,"504.43","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX W/MANIPULATIO","25605","HCPCS","Both",,,"1245.5","622.75","Aetna","Commercial","",,"64",,"794.63","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX W/MANIPULATIO","25605","HCPCS","Both",,,"1245.5","622.75","Blue Cross Blue Shield","Pathways","",,"71",,"879.32","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX W/MANIPULATIO","25605","HCPCS","Both",,,"1245.5","622.75","Blue Cross Blue Shield","HMO","",,"71",,"879.32","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX W/MANIPULATIO","25605","HCPCS","Both",,,"1245.5","622.75","Blue Cross Blue Shield","PPO","",,"71",,"879.32","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX W/MANIPULATIO","25605","HCPCS","Both",,,"1245.5","622.75","Ambetter","Health Exchange","",,"62",,"772.21","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX W/MANIPULATIO","25605","HCPCS","Both",,,"1245.5","622.75","Caresource","Health Exchange","",,"62",,"772.21","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX W/MANIPULATIO","25605","HCPCS","Both",,,"1245.5","622.75","Cigna","Commercial","",,"59",,"729.86","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX W/MANIPULATIO","25605","HCPCS","Both",,,"1245.5","622.75","Humana","Commercial","",,"78",,"965.26","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX W/MANIPULATIO","25605","HCPCS","Both",,,"1245.5","622.75","UHC","Commercial","",,"75",,"939.11","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX W/MANIPULATIO","25605","HCPCS","Both",,,"1245.5","622.75","Medicaid",,"",,"37",,"455.85","455.85","965.26","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Alliant","Health Exchange","",,"62",,"145.7","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"126.9","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Medicare",,"",,"54",,"127.37","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Humana","Medicare Advantage","",,"54",,"127.37","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","UHC","Medicare Advantage","",,"54",,"127.37","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Clover","Medicare Advantage","",,"54",,"127.37","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Wellcare","Medicare Advantage","",,"54",,"127.37","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Amerigroup","Medicaid Managed Care","",,"37",,"86.01","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Caresource","Medicaid Managed Care","",,"40",,"94","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Wellcare","Medicaid Managed Care","",,"40",,"95.18","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Aetna","Commercial","",,"64",,"149.93","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Blue Cross Blue Shield","Pathways","",,"71",,"165.91","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Blue Cross Blue Shield","HMO","",,"71",,"165.91","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Blue Cross Blue Shield","PPO","",,"71",,"165.91","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Ambetter","Health Exchange","",,"62",,"145.7","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Caresource","Health Exchange","",,"62",,"145.7","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Cigna","Commercial","",,"59",,"137.71","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Humana","Commercial","",,"78",,"182.12","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","UHC","Commercial","",,"75",,"177.19","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Medicaid",,"",,"37",,"86.01","86.01","182.12","percent of total billed charges",,
"DRAINAGE OF FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Alliant","Health Exchange","",,"62",,"175.46","103.58","219.32","percent of total billed charges",,
"DRAINAGE OF FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"152.82","103.58","219.32","percent of total billed charges",,
"DRAINAGE OF FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Medicare",,"",,"54",,"153.39","103.58","219.32","percent of total billed charges",,
"DRAINAGE OF FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Humana","Medicare Advantage","",,"54",,"153.39","103.58","219.32","percent of total billed charges",,
"DRAINAGE OF FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","UHC","Medicare Advantage","",,"54",,"153.39","103.58","219.32","percent of total billed charges",,
"DRAINAGE OF FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Clover","Medicare Advantage","",,"54",,"153.39","103.58","219.32","percent of total billed charges",,
"DRAINAGE OF FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Wellcare","Medicare Advantage","",,"54",,"153.39","103.58","219.32","percent of total billed charges",,
"DRAINAGE OF FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Amerigroup","Medicaid Managed Care","",,"37",,"103.58","103.58","219.32","percent of total billed charges",,
"DRAINAGE OF FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Caresource","Medicaid Managed Care","",,"40",,"113.2","103.58","219.32","percent of total billed charges",,
"DRAINAGE OF FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Wellcare","Medicaid Managed Care","",,"40",,"114.62","103.58","219.32","percent of total billed charges",,
"DRAINAGE OF FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Aetna","Commercial","",,"64",,"180.55","103.58","219.32","percent of total billed charges",,
"DRAINAGE OF FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Blue Cross Blue Shield","Pathways","",,"71",,"199.8","103.58","219.32","percent of total billed charges",,
"DRAINAGE OF FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Blue Cross Blue Shield","HMO","",,"71",,"199.8","103.58","219.32","percent of total billed charges",,
"DRAINAGE OF FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Blue Cross Blue Shield","PPO","",,"71",,"199.8","103.58","219.32","percent of total billed charges",,
"DRAINAGE OF FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Ambetter","Health Exchange","",,"62",,"175.46","103.58","219.32","percent of total billed charges",,
"DRAINAGE OF FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Caresource","Health Exchange","",,"62",,"175.46","103.58","219.32","percent of total billed charges",,
"DRAINAGE OF FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Cigna","Commercial","",,"59",,"165.84","103.58","219.32","percent of total billed charges",,
"DRAINAGE OF FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Humana","Commercial","",,"78",,"219.32","103.58","219.32","percent of total billed charges",,
"DRAINAGE OF FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","UHC","Commercial","",,"75",,"213.38","103.58","219.32","percent of total billed charges",,
"DRAINAGE OF FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Medicaid",,"",,"37",,"103.58","103.58","219.32","percent of total billed charges",,
"REPAIR, EXT TENDON, FINGER","26418","HCPCS","Both",,,"3701","1850.5","Alliant","Health Exchange","",,"62",,"2294.62","1354.57","2868.28","percent of total billed charges",,
"REPAIR, EXT TENDON, FINGER","26418","HCPCS","Both",,,"3701","1850.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"1998.54","1354.57","2868.28","percent of total billed charges",,
"REPAIR, EXT TENDON, FINGER","26418","HCPCS","Both",,,"3701","1850.5","Medicare",,"",,"54",,"2005.94","1354.57","2868.28","percent of total billed charges",,
"REPAIR, EXT TENDON, FINGER","26418","HCPCS","Both",,,"3701","1850.5","Humana","Medicare Advantage","",,"54",,"2005.94","1354.57","2868.28","percent of total billed charges",,
"REPAIR, EXT TENDON, FINGER","26418","HCPCS","Both",,,"3701","1850.5","UHC","Medicare Advantage","",,"54",,"2005.94","1354.57","2868.28","percent of total billed charges",,
"REPAIR, EXT TENDON, FINGER","26418","HCPCS","Both",,,"3701","1850.5","Clover","Medicare Advantage","",,"54",,"2005.94","1354.57","2868.28","percent of total billed charges",,
"REPAIR, EXT TENDON, FINGER","26418","HCPCS","Both",,,"3701","1850.5","Wellcare","Medicare Advantage","",,"54",,"2005.94","1354.57","2868.28","percent of total billed charges",,
"REPAIR, EXT TENDON, FINGER","26418","HCPCS","Both",,,"3701","1850.5","Amerigroup","Medicaid Managed Care","",,"37",,"1354.57","1354.57","2868.28","percent of total billed charges",,
"REPAIR, EXT TENDON, FINGER","26418","HCPCS","Both",,,"3701","1850.5","Caresource","Medicaid Managed Care","",,"40",,"1480.4","1354.57","2868.28","percent of total billed charges",,
"REPAIR, EXT TENDON, FINGER","26418","HCPCS","Both",,,"3701","1850.5","Wellcare","Medicaid Managed Care","",,"40",,"1498.91","1354.57","2868.28","percent of total billed charges",,
"REPAIR, EXT TENDON, FINGER","26418","HCPCS","Both",,,"3701","1850.5","Aetna","Commercial","",,"64",,"2361.24","1354.57","2868.28","percent of total billed charges",,
"REPAIR, EXT TENDON, FINGER","26418","HCPCS","Both",,,"3701","1850.5","Blue Cross Blue Shield","Pathways","",,"71",,"2612.91","1354.57","2868.28","percent of total billed charges",,
"REPAIR, EXT TENDON, FINGER","26418","HCPCS","Both",,,"3701","1850.5","Blue Cross Blue Shield","HMO","",,"71",,"2612.91","1354.57","2868.28","percent of total billed charges",,
"REPAIR, EXT TENDON, FINGER","26418","HCPCS","Both",,,"3701","1850.5","Blue Cross Blue Shield","PPO","",,"71",,"2612.91","1354.57","2868.28","percent of total billed charges",,
"REPAIR, EXT TENDON, FINGER","26418","HCPCS","Both",,,"3701","1850.5","Ambetter","Health Exchange","",,"62",,"2294.62","1354.57","2868.28","percent of total billed charges",,
"REPAIR, EXT TENDON, FINGER","26418","HCPCS","Both",,,"3701","1850.5","Caresource","Health Exchange","",,"62",,"2294.62","1354.57","2868.28","percent of total billed charges",,
"REPAIR, EXT TENDON, FINGER","26418","HCPCS","Both",,,"3701","1850.5","Cigna","Commercial","",,"59",,"2168.79","1354.57","2868.28","percent of total billed charges",,
"REPAIR, EXT TENDON, FINGER","26418","HCPCS","Both",,,"3701","1850.5","Humana","Commercial","",,"78",,"2868.28","1354.57","2868.28","percent of total billed charges",,
"REPAIR, EXT TENDON, FINGER","26418","HCPCS","Both",,,"3701","1850.5","UHC","Commercial","",,"75",,"2790.55","1354.57","2868.28","percent of total billed charges",,
"REPAIR, EXT TENDON, FINGER","26418","HCPCS","Both",,,"3701","1850.5","Medicaid",,"",,"37",,"1354.57","1354.57","2868.28","percent of total billed charges",,
"CLOSED TX METACARPAL TX W/MANIPULATION","26605","HCPCS","Both",,,"338.5","169.25","Alliant","Health Exchange","",,"62",,"209.87","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL TX W/MANIPULATION","26605","HCPCS","Both",,,"338.5","169.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"182.79","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL TX W/MANIPULATION","26605","HCPCS","Both",,,"338.5","169.25","Medicare",,"",,"54",,"183.47","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL TX W/MANIPULATION","26605","HCPCS","Both",,,"338.5","169.25","Humana","Medicare Advantage","",,"54",,"183.47","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL TX W/MANIPULATION","26605","HCPCS","Both",,,"338.5","169.25","UHC","Medicare Advantage","",,"54",,"183.47","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL TX W/MANIPULATION","26605","HCPCS","Both",,,"338.5","169.25","Clover","Medicare Advantage","",,"54",,"183.47","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL TX W/MANIPULATION","26605","HCPCS","Both",,,"338.5","169.25","Wellcare","Medicare Advantage","",,"54",,"183.47","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL TX W/MANIPULATION","26605","HCPCS","Both",,,"338.5","169.25","Amerigroup","Medicaid Managed Care","",,"37",,"123.89","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL TX W/MANIPULATION","26605","HCPCS","Both",,,"338.5","169.25","Caresource","Medicaid Managed Care","",,"40",,"135.4","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL TX W/MANIPULATION","26605","HCPCS","Both",,,"338.5","169.25","Wellcare","Medicaid Managed Care","",,"40",,"137.09","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL TX W/MANIPULATION","26605","HCPCS","Both",,,"338.5","169.25","Aetna","Commercial","",,"64",,"215.96","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL TX W/MANIPULATION","26605","HCPCS","Both",,,"338.5","169.25","Blue Cross Blue Shield","Pathways","",,"71",,"238.98","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL TX W/MANIPULATION","26605","HCPCS","Both",,,"338.5","169.25","Blue Cross Blue Shield","HMO","",,"71",,"238.98","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL TX W/MANIPULATION","26605","HCPCS","Both",,,"338.5","169.25","Blue Cross Blue Shield","PPO","",,"71",,"238.98","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL TX W/MANIPULATION","26605","HCPCS","Both",,,"338.5","169.25","Ambetter","Health Exchange","",,"62",,"209.87","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL TX W/MANIPULATION","26605","HCPCS","Both",,,"338.5","169.25","Caresource","Health Exchange","",,"62",,"209.87","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL TX W/MANIPULATION","26605","HCPCS","Both",,,"338.5","169.25","Cigna","Commercial","",,"59",,"198.36","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL TX W/MANIPULATION","26605","HCPCS","Both",,,"338.5","169.25","Humana","Commercial","",,"78",,"262.34","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL TX W/MANIPULATION","26605","HCPCS","Both",,,"338.5","169.25","UHC","Commercial","",,"75",,"255.23","123.89","262.34","percent of total billed charges",,
"CLOSED TX METACARPAL TX W/MANIPULATION","26605","HCPCS","Both",,,"338.5","169.25","Medicaid",,"",,"37",,"123.89","123.89","262.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX W/MANI","26725","HCPCS","Both",,,"418.5","209.25","Alliant","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX W/MANI","26725","HCPCS","Both",,,"418.5","209.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"225.99","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX W/MANI","26725","HCPCS","Both",,,"418.5","209.25","Medicare",,"",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX W/MANI","26725","HCPCS","Both",,,"418.5","209.25","Humana","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX W/MANI","26725","HCPCS","Both",,,"418.5","209.25","UHC","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX W/MANI","26725","HCPCS","Both",,,"418.5","209.25","Clover","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX W/MANI","26725","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX W/MANI","26725","HCPCS","Both",,,"418.5","209.25","Amerigroup","Medicaid Managed Care","",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX W/MANI","26725","HCPCS","Both",,,"418.5","209.25","Caresource","Medicaid Managed Care","",,"40",,"167.4","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX W/MANI","26725","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicaid Managed Care","",,"40",,"169.49","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX W/MANI","26725","HCPCS","Both",,,"418.5","209.25","Aetna","Commercial","",,"64",,"267","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX W/MANI","26725","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","Pathways","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX W/MANI","26725","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","HMO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX W/MANI","26725","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","PPO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX W/MANI","26725","HCPCS","Both",,,"418.5","209.25","Ambetter","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX W/MANI","26725","HCPCS","Both",,,"418.5","209.25","Caresource","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX W/MANI","26725","HCPCS","Both",,,"418.5","209.25","Cigna","Commercial","",,"59",,"245.24","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX W/MANI","26725","HCPCS","Both",,,"418.5","209.25","Humana","Commercial","",,"78",,"324.34","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX W/MANI","26725","HCPCS","Both",,,"418.5","209.25","UHC","Commercial","",,"75",,"315.55","153.17","324.34","percent of total billed charges",,
"CLOSED TX PHALANGEAL SHAFT FX W/MANI","26725","HCPCS","Both",,,"418.5","209.25","Medicaid",,"",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT W ANEST","26775","HCPCS","Both",,,"690","345","Alliant","Health Exchange","",,"62",,"427.8","252.54","534.75","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT W ANEST","26775","HCPCS","Both",,,"690","345","Pruitt Healthcare","Medicare Advantage","",,"54",,"372.6","252.54","534.75","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT W ANEST","26775","HCPCS","Both",,,"690","345","Medicare",,"",,"54",,"373.98","252.54","534.75","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT W ANEST","26775","HCPCS","Both",,,"690","345","Humana","Medicare Advantage","",,"54",,"373.98","252.54","534.75","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT W ANEST","26775","HCPCS","Both",,,"690","345","UHC","Medicare Advantage","",,"54",,"373.98","252.54","534.75","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT W ANEST","26775","HCPCS","Both",,,"690","345","Clover","Medicare Advantage","",,"54",,"373.98","252.54","534.75","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT W ANEST","26775","HCPCS","Both",,,"690","345","Wellcare","Medicare Advantage","",,"54",,"373.98","252.54","534.75","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT W ANEST","26775","HCPCS","Both",,,"690","345","Amerigroup","Medicaid Managed Care","",,"37",,"252.54","252.54","534.75","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT W ANEST","26775","HCPCS","Both",,,"690","345","Caresource","Medicaid Managed Care","",,"40",,"276","252.54","534.75","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT W ANEST","26775","HCPCS","Both",,,"690","345","Wellcare","Medicaid Managed Care","",,"40",,"279.45","252.54","534.75","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT W ANEST","26775","HCPCS","Both",,,"690","345","Aetna","Commercial","",,"64",,"440.22","252.54","534.75","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT W ANEST","26775","HCPCS","Both",,,"690","345","Blue Cross Blue Shield","Pathways","",,"71",,"487.14","252.54","534.75","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT W ANEST","26775","HCPCS","Both",,,"690","345","Blue Cross Blue Shield","HMO","",,"71",,"487.14","252.54","534.75","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT W ANEST","26775","HCPCS","Both",,,"690","345","Blue Cross Blue Shield","PPO","",,"71",,"487.14","252.54","534.75","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT W ANEST","26775","HCPCS","Both",,,"690","345","Ambetter","Health Exchange","",,"62",,"427.8","252.54","534.75","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT W ANEST","26775","HCPCS","Both",,,"690","345","Caresource","Health Exchange","",,"62",,"427.8","252.54","534.75","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT W ANEST","26775","HCPCS","Both",,,"690","345","Cigna","Commercial","",,"59",,"404.34","252.54","534.75","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT W ANEST","26775","HCPCS","Both",,,"690","345","Humana","Commercial","",,"78",,"534.75","252.54","534.75","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT W ANEST","26775","HCPCS","Both",,,"690","345","UHC","Commercial","",,"75",,"520.26","252.54","534.75","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT W ANEST","26775","HCPCS","Both",,,"690","345","Medicaid",,"",,"37",,"252.54","252.54","534.75","percent of total billed charges",,
"CLOSED TX FEMORAL FX, DISTAL END, NECK","27230","HCPCS","Both",,,"418.5","209.25","Alliant","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX FEMORAL FX, DISTAL END, NECK","27230","HCPCS","Both",,,"418.5","209.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"225.99","153.17","324.34","percent of total billed charges",,
"CLOSED TX FEMORAL FX, DISTAL END, NECK","27230","HCPCS","Both",,,"418.5","209.25","Medicare",,"",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX FEMORAL FX, DISTAL END, NECK","27230","HCPCS","Both",,,"418.5","209.25","Humana","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX FEMORAL FX, DISTAL END, NECK","27230","HCPCS","Both",,,"418.5","209.25","UHC","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX FEMORAL FX, DISTAL END, NECK","27230","HCPCS","Both",,,"418.5","209.25","Clover","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX FEMORAL FX, DISTAL END, NECK","27230","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX FEMORAL FX, DISTAL END, NECK","27230","HCPCS","Both",,,"418.5","209.25","Amerigroup","Medicaid Managed Care","",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TX FEMORAL FX, DISTAL END, NECK","27230","HCPCS","Both",,,"418.5","209.25","Caresource","Medicaid Managed Care","",,"40",,"167.4","153.17","324.34","percent of total billed charges",,
"CLOSED TX FEMORAL FX, DISTAL END, NECK","27230","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicaid Managed Care","",,"40",,"169.49","153.17","324.34","percent of total billed charges",,
"CLOSED TX FEMORAL FX, DISTAL END, NECK","27230","HCPCS","Both",,,"418.5","209.25","Aetna","Commercial","",,"64",,"267","153.17","324.34","percent of total billed charges",,
"CLOSED TX FEMORAL FX, DISTAL END, NECK","27230","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","Pathways","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX FEMORAL FX, DISTAL END, NECK","27230","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","HMO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX FEMORAL FX, DISTAL END, NECK","27230","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","PPO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX FEMORAL FX, DISTAL END, NECK","27230","HCPCS","Both",,,"418.5","209.25","Ambetter","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX FEMORAL FX, DISTAL END, NECK","27230","HCPCS","Both",,,"418.5","209.25","Caresource","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX FEMORAL FX, DISTAL END, NECK","27230","HCPCS","Both",,,"418.5","209.25","Cigna","Commercial","",,"59",,"245.24","153.17","324.34","percent of total billed charges",,
"CLOSED TX FEMORAL FX, DISTAL END, NECK","27230","HCPCS","Both",,,"418.5","209.25","Humana","Commercial","",,"78",,"324.34","153.17","324.34","percent of total billed charges",,
"CLOSED TX FEMORAL FX, DISTAL END, NECK","27230","HCPCS","Both",,,"418.5","209.25","UHC","Commercial","",,"75",,"315.55","153.17","324.34","percent of total billed charges",,
"CLOSED TX FEMORAL FX, DISTAL END, NECK","27230","HCPCS","Both",,,"418.5","209.25","Medicaid",,"",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"I & D DEEP ABCESS, BURSA, THIGH OR KNEE","27301","HCPCS","Both",,,"4118","2059","Alliant","Health Exchange","",,"62",,"2553.16","1507.19","3191.45","percent of total billed charges",,
"I & D DEEP ABCESS, BURSA, THIGH OR KNEE","27301","HCPCS","Both",,,"4118","2059","Pruitt Healthcare","Medicare Advantage","",,"54",,"2223.72","1507.19","3191.45","percent of total billed charges",,
"I & D DEEP ABCESS, BURSA, THIGH OR KNEE","27301","HCPCS","Both",,,"4118","2059","Medicare",,"",,"54",,"2231.96","1507.19","3191.45","percent of total billed charges",,
"I & D DEEP ABCESS, BURSA, THIGH OR KNEE","27301","HCPCS","Both",,,"4118","2059","Humana","Medicare Advantage","",,"54",,"2231.96","1507.19","3191.45","percent of total billed charges",,
"I & D DEEP ABCESS, BURSA, THIGH OR KNEE","27301","HCPCS","Both",,,"4118","2059","UHC","Medicare Advantage","",,"54",,"2231.96","1507.19","3191.45","percent of total billed charges",,
"I & D DEEP ABCESS, BURSA, THIGH OR KNEE","27301","HCPCS","Both",,,"4118","2059","Clover","Medicare Advantage","",,"54",,"2231.96","1507.19","3191.45","percent of total billed charges",,
"I & D DEEP ABCESS, BURSA, THIGH OR KNEE","27301","HCPCS","Both",,,"4118","2059","Wellcare","Medicare Advantage","",,"54",,"2231.96","1507.19","3191.45","percent of total billed charges",,
"I & D DEEP ABCESS, BURSA, THIGH OR KNEE","27301","HCPCS","Both",,,"4118","2059","Amerigroup","Medicaid Managed Care","",,"37",,"1507.19","1507.19","3191.45","percent of total billed charges",,
"I & D DEEP ABCESS, BURSA, THIGH OR KNEE","27301","HCPCS","Both",,,"4118","2059","Caresource","Medicaid Managed Care","",,"40",,"1647.2","1507.19","3191.45","percent of total billed charges",,
"I & D DEEP ABCESS, BURSA, THIGH OR KNEE","27301","HCPCS","Both",,,"4118","2059","Wellcare","Medicaid Managed Care","",,"40",,"1667.79","1507.19","3191.45","percent of total billed charges",,
"I & D DEEP ABCESS, BURSA, THIGH OR KNEE","27301","HCPCS","Both",,,"4118","2059","Aetna","Commercial","",,"64",,"2627.28","1507.19","3191.45","percent of total billed charges",,
"I & D DEEP ABCESS, BURSA, THIGH OR KNEE","27301","HCPCS","Both",,,"4118","2059","Blue Cross Blue Shield","Pathways","",,"71",,"2907.31","1507.19","3191.45","percent of total billed charges",,
"I & D DEEP ABCESS, BURSA, THIGH OR KNEE","27301","HCPCS","Both",,,"4118","2059","Blue Cross Blue Shield","HMO","",,"71",,"2907.31","1507.19","3191.45","percent of total billed charges",,
"I & D DEEP ABCESS, BURSA, THIGH OR KNEE","27301","HCPCS","Both",,,"4118","2059","Blue Cross Blue Shield","PPO","",,"71",,"2907.31","1507.19","3191.45","percent of total billed charges",,
"I & D DEEP ABCESS, BURSA, THIGH OR KNEE","27301","HCPCS","Both",,,"4118","2059","Ambetter","Health Exchange","",,"62",,"2553.16","1507.19","3191.45","percent of total billed charges",,
"I & D DEEP ABCESS, BURSA, THIGH OR KNEE","27301","HCPCS","Both",,,"4118","2059","Caresource","Health Exchange","",,"62",,"2553.16","1507.19","3191.45","percent of total billed charges",,
"I & D DEEP ABCESS, BURSA, THIGH OR KNEE","27301","HCPCS","Both",,,"4118","2059","Cigna","Commercial","",,"59",,"2413.15","1507.19","3191.45","percent of total billed charges",,
"I & D DEEP ABCESS, BURSA, THIGH OR KNEE","27301","HCPCS","Both",,,"4118","2059","Humana","Commercial","",,"78",,"3191.45","1507.19","3191.45","percent of total billed charges",,
"I & D DEEP ABCESS, BURSA, THIGH OR KNEE","27301","HCPCS","Both",,,"4118","2059","UHC","Commercial","",,"75",,"3104.97","1507.19","3191.45","percent of total billed charges",,
"I & D DEEP ABCESS, BURSA, THIGH OR KNEE","27301","HCPCS","Both",,,"4118","2059","Medicaid",,"",,"37",,"1507.19","1507.19","3191.45","percent of total billed charges",,
"CLOSED TX DISTAL FIB FX W/O MANIPULATION","27786","HCPCS","Both",,,"418.5","209.25","Alliant","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL FIB FX W/O MANIPULATION","27786","HCPCS","Both",,,"418.5","209.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"225.99","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL FIB FX W/O MANIPULATION","27786","HCPCS","Both",,,"418.5","209.25","Medicare",,"",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL FIB FX W/O MANIPULATION","27786","HCPCS","Both",,,"418.5","209.25","Humana","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL FIB FX W/O MANIPULATION","27786","HCPCS","Both",,,"418.5","209.25","UHC","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL FIB FX W/O MANIPULATION","27786","HCPCS","Both",,,"418.5","209.25","Clover","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL FIB FX W/O MANIPULATION","27786","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL FIB FX W/O MANIPULATION","27786","HCPCS","Both",,,"418.5","209.25","Amerigroup","Medicaid Managed Care","",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL FIB FX W/O MANIPULATION","27786","HCPCS","Both",,,"418.5","209.25","Caresource","Medicaid Managed Care","",,"40",,"167.4","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL FIB FX W/O MANIPULATION","27786","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicaid Managed Care","",,"40",,"169.49","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL FIB FX W/O MANIPULATION","27786","HCPCS","Both",,,"418.5","209.25","Aetna","Commercial","",,"64",,"267","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL FIB FX W/O MANIPULATION","27786","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","Pathways","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL FIB FX W/O MANIPULATION","27786","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","HMO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL FIB FX W/O MANIPULATION","27786","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","PPO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL FIB FX W/O MANIPULATION","27786","HCPCS","Both",,,"418.5","209.25","Ambetter","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL FIB FX W/O MANIPULATION","27786","HCPCS","Both",,,"418.5","209.25","Caresource","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL FIB FX W/O MANIPULATION","27786","HCPCS","Both",,,"418.5","209.25","Cigna","Commercial","",,"59",,"245.24","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL FIB FX W/O MANIPULATION","27786","HCPCS","Both",,,"418.5","209.25","Humana","Commercial","",,"78",,"324.34","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL FIB FX W/O MANIPULATION","27786","HCPCS","Both",,,"418.5","209.25","UHC","Commercial","",,"75",,"315.55","153.17","324.34","percent of total billed charges",,
"CLOSED TX DISTAL FIB FX W/O MANIPULATION","27786","HCPCS","Both",,,"418.5","209.25","Medicaid",,"",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"TRIMALLEOLAR FX REDUCTION","27818","HCPCS","Both",,,"1265","632.5","Alliant","Health Exchange","",,"62",,"784.3","462.99","2158.38","percent of total billed charges",,
"TRIMALLEOLAR FX REDUCTION","27818","HCPCS","Both",,,"1265","632.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"683.1","462.99","2158.38","percent of total billed charges",,
"TRIMALLEOLAR FX REDUCTION","27818","HCPCS","Both",,,"1265","632.5","Medicare",,"",,"54",,"685.63","462.99","2158.38","percent of total billed charges",,
"TRIMALLEOLAR FX REDUCTION","27818","HCPCS","Both",,,"1265","632.5","Humana","Medicare Advantage","",,"54",,"685.63","462.99","2158.38","percent of total billed charges",,
"TRIMALLEOLAR FX REDUCTION","27818","HCPCS","Both",,,"1265","632.5","UHC","Medicare Advantage","",,"54",,"685.63","462.99","2158.38","percent of total billed charges",,
"TRIMALLEOLAR FX REDUCTION","27818","HCPCS","Both",,,"1265","632.5","Clover","Medicare Advantage","",,"54",,"685.63","462.99","2158.38","percent of total billed charges",,
"TRIMALLEOLAR FX REDUCTION","27818","HCPCS","Both",,,"1265","632.5","Wellcare","Medicare Advantage","",,"54",,"685.63","462.99","2158.38","percent of total billed charges",,
"TRIMALLEOLAR FX REDUCTION","27818","HCPCS","Both",,,"1265","632.5","Amerigroup","Medicaid Managed Care","",,"37",,"462.99","462.99","2158.38","percent of total billed charges",,
"TRIMALLEOLAR FX REDUCTION","27818","HCPCS","Both",,,"1265","632.5","Caresource","Medicaid Managed Care","",,"40",,"506","462.99","2158.38","percent of total billed charges",,
"TRIMALLEOLAR FX REDUCTION","27818","HCPCS","Both",,,"1265","632.5","Wellcare","Medicaid Managed Care","",,"40",,"512.33","462.99","2158.38","percent of total billed charges",,
"TRIMALLEOLAR FX REDUCTION","27818","HCPCS","Both",,,"1265","632.5","Aetna","Commercial","",,"64",,"807.07","462.99","2158.38","percent of total billed charges",,
"TRIMALLEOLAR FX REDUCTION","27818","HCPCS","Both",,,"1265","632.5","Blue Cross Blue Shield","Pathways","",,"71",,"893.09","462.99","2158.38","percent of total billed charges",,
"TRIMALLEOLAR FX REDUCTION","27818","HCPCS","Both",,,"1265","632.5","Blue Cross Blue Shield","HMO","",,"71",,"893.09","462.99","2158.38","percent of total billed charges",,
"TRIMALLEOLAR FX REDUCTION","27818","HCPCS","Both",,,"1265","632.5","Blue Cross Blue Shield","PPO","",,"71",,"893.09","462.99","2158.38","percent of total billed charges",,
"TRIMALLEOLAR FX REDUCTION","27818","HCPCS","Both",,,"1265","632.5","Ambetter","Health Exchange","",,"62",,"784.3","462.99","2158.38","percent of total billed charges",,
"TRIMALLEOLAR FX REDUCTION","27818","HCPCS","Both",,,"1265","632.5","Caresource","Health Exchange","",,"62",,"784.3","462.99","2158.38","percent of total billed charges",,
"TRIMALLEOLAR FX REDUCTION","27818","HCPCS","Both",,,"1265","632.5","Cigna","Commercial","",,"59",,"741.29","462.99","2158.38","percent of total billed charges",,
"TRIMALLEOLAR FX REDUCTION","27818","HCPCS","Both",,,"1265","632.5","Humana","Commercial","",,"78",,"980.38","462.99","2158.38","percent of total billed charges",,
"TRIMALLEOLAR FX REDUCTION","27818","HCPCS","Both",,,"1265","632.5","UHC","Commercial","",,"75",,"953.81","462.99","2158.38","percent of total billed charges",,
"TRIMALLEOLAR FX REDUCTION","27818","HCPCS","Both",,,"1265","632.5","Medicaid",,"",,"37",,"462.99","462.99","2158.38","percent of total billed charges",,
"CLOSED TX FX DISTAL TIBIA W/O MANIPULAT","27825","HCPCS","Both",,,"2608.5","1304.25","Alliant","Health Exchange","",,"62",,"1617.27","954.71","2021.59","percent of total billed charges",,
"CLOSED TX FX DISTAL TIBIA W/O MANIPULAT","27825","HCPCS","Both",,,"2608.5","1304.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"1408.59","954.71","2021.59","percent of total billed charges",,
"CLOSED TX FX DISTAL TIBIA W/O MANIPULAT","27825","HCPCS","Both",,,"2608.5","1304.25","Medicare",,"",,"54",,"1413.81","954.71","2021.59","percent of total billed charges",,
"CLOSED TX FX DISTAL TIBIA W/O MANIPULAT","27825","HCPCS","Both",,,"2608.5","1304.25","Humana","Medicare Advantage","",,"54",,"1413.81","954.71","2021.59","percent of total billed charges",,
"CLOSED TX FX DISTAL TIBIA W/O MANIPULAT","27825","HCPCS","Both",,,"2608.5","1304.25","UHC","Medicare Advantage","",,"54",,"1413.81","954.71","2021.59","percent of total billed charges",,
"CLOSED TX FX DISTAL TIBIA W/O MANIPULAT","27825","HCPCS","Both",,,"2608.5","1304.25","Clover","Medicare Advantage","",,"54",,"1413.81","954.71","2021.59","percent of total billed charges",,
"CLOSED TX FX DISTAL TIBIA W/O MANIPULAT","27825","HCPCS","Both",,,"2608.5","1304.25","Wellcare","Medicare Advantage","",,"54",,"1413.81","954.71","2021.59","percent of total billed charges",,
"CLOSED TX FX DISTAL TIBIA W/O MANIPULAT","27825","HCPCS","Both",,,"2608.5","1304.25","Amerigroup","Medicaid Managed Care","",,"37",,"954.71","954.71","2021.59","percent of total billed charges",,
"CLOSED TX FX DISTAL TIBIA W/O MANIPULAT","27825","HCPCS","Both",,,"2608.5","1304.25","Caresource","Medicaid Managed Care","",,"40",,"1043.4","954.71","2021.59","percent of total billed charges",,
"CLOSED TX FX DISTAL TIBIA W/O MANIPULAT","27825","HCPCS","Both",,,"2608.5","1304.25","Wellcare","Medicaid Managed Care","",,"40",,"1056.44","954.71","2021.59","percent of total billed charges",,
"CLOSED TX FX DISTAL TIBIA W/O MANIPULAT","27825","HCPCS","Both",,,"2608.5","1304.25","Aetna","Commercial","",,"64",,"1664.22","954.71","2021.59","percent of total billed charges",,
"CLOSED TX FX DISTAL TIBIA W/O MANIPULAT","27825","HCPCS","Both",,,"2608.5","1304.25","Blue Cross Blue Shield","Pathways","",,"71",,"1841.6","954.71","2021.59","percent of total billed charges",,
"CLOSED TX FX DISTAL TIBIA W/O MANIPULAT","27825","HCPCS","Both",,,"2608.5","1304.25","Blue Cross Blue Shield","HMO","",,"71",,"1841.6","954.71","2021.59","percent of total billed charges",,
"CLOSED TX FX DISTAL TIBIA W/O MANIPULAT","27825","HCPCS","Both",,,"2608.5","1304.25","Blue Cross Blue Shield","PPO","",,"71",,"1841.6","954.71","2021.59","percent of total billed charges",,
"CLOSED TX FX DISTAL TIBIA W/O MANIPULAT","27825","HCPCS","Both",,,"2608.5","1304.25","Ambetter","Health Exchange","",,"62",,"1617.27","954.71","2021.59","percent of total billed charges",,
"CLOSED TX FX DISTAL TIBIA W/O MANIPULAT","27825","HCPCS","Both",,,"2608.5","1304.25","Caresource","Health Exchange","",,"62",,"1617.27","954.71","2021.59","percent of total billed charges",,
"CLOSED TX FX DISTAL TIBIA W/O MANIPULAT","27825","HCPCS","Both",,,"2608.5","1304.25","Cigna","Commercial","",,"59",,"1528.58","954.71","2021.59","percent of total billed charges",,
"CLOSED TX FX DISTAL TIBIA W/O MANIPULAT","27825","HCPCS","Both",,,"2608.5","1304.25","Humana","Commercial","",,"78",,"2021.59","954.71","2021.59","percent of total billed charges",,
"CLOSED TX FX DISTAL TIBIA W/O MANIPULAT","27825","HCPCS","Both",,,"2608.5","1304.25","UHC","Commercial","",,"75",,"1966.81","954.71","2021.59","percent of total billed charges",,
"CLOSED TX FX DISTAL TIBIA W/O MANIPULAT","27825","HCPCS","Both",,,"2608.5","1304.25","Medicaid",,"",,"37",,"954.71","954.71","2021.59","percent of total billed charges",,
"EXCISION, INTERDIGITAL NEUROMA","28080","HCPCS","Both",,,"4945","2472.5","Alliant","Health Exchange","",,"62",,"3065.9","1809.87","3832.38","percent of total billed charges",,
"EXCISION, INTERDIGITAL NEUROMA","28080","HCPCS","Both",,,"4945","2472.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"2670.3","1809.87","3832.38","percent of total billed charges",,
"EXCISION, INTERDIGITAL NEUROMA","28080","HCPCS","Both",,,"4945","2472.5","Medicare",,"",,"54",,"2680.19","1809.87","3832.38","percent of total billed charges",,
"EXCISION, INTERDIGITAL NEUROMA","28080","HCPCS","Both",,,"4945","2472.5","Humana","Medicare Advantage","",,"54",,"2680.19","1809.87","3832.38","percent of total billed charges",,
"EXCISION, INTERDIGITAL NEUROMA","28080","HCPCS","Both",,,"4945","2472.5","UHC","Medicare Advantage","",,"54",,"2680.19","1809.87","3832.38","percent of total billed charges",,
"EXCISION, INTERDIGITAL NEUROMA","28080","HCPCS","Both",,,"4945","2472.5","Clover","Medicare Advantage","",,"54",,"2680.19","1809.87","3832.38","percent of total billed charges",,
"EXCISION, INTERDIGITAL NEUROMA","28080","HCPCS","Both",,,"4945","2472.5","Wellcare","Medicare Advantage","",,"54",,"2680.19","1809.87","3832.38","percent of total billed charges",,
"EXCISION, INTERDIGITAL NEUROMA","28080","HCPCS","Both",,,"4945","2472.5","Amerigroup","Medicaid Managed Care","",,"37",,"1809.87","1809.87","3832.38","percent of total billed charges",,
"EXCISION, INTERDIGITAL NEUROMA","28080","HCPCS","Both",,,"4945","2472.5","Caresource","Medicaid Managed Care","",,"40",,"1978","1809.87","3832.38","percent of total billed charges",,
"EXCISION, INTERDIGITAL NEUROMA","28080","HCPCS","Both",,,"4945","2472.5","Wellcare","Medicaid Managed Care","",,"40",,"2002.72","1809.87","3832.38","percent of total billed charges",,
"EXCISION, INTERDIGITAL NEUROMA","28080","HCPCS","Both",,,"4945","2472.5","Aetna","Commercial","",,"64",,"3154.91","1809.87","3832.38","percent of total billed charges",,
"EXCISION, INTERDIGITAL NEUROMA","28080","HCPCS","Both",,,"4945","2472.5","Blue Cross Blue Shield","Pathways","",,"71",,"3491.17","1809.87","3832.38","percent of total billed charges",,
"EXCISION, INTERDIGITAL NEUROMA","28080","HCPCS","Both",,,"4945","2472.5","Blue Cross Blue Shield","HMO","",,"71",,"3491.17","1809.87","3832.38","percent of total billed charges",,
"EXCISION, INTERDIGITAL NEUROMA","28080","HCPCS","Both",,,"4945","2472.5","Blue Cross Blue Shield","PPO","",,"71",,"3491.17","1809.87","3832.38","percent of total billed charges",,
"EXCISION, INTERDIGITAL NEUROMA","28080","HCPCS","Both",,,"4945","2472.5","Ambetter","Health Exchange","",,"62",,"3065.9","1809.87","3832.38","percent of total billed charges",,
"EXCISION, INTERDIGITAL NEUROMA","28080","HCPCS","Both",,,"4945","2472.5","Caresource","Health Exchange","",,"62",,"3065.9","1809.87","3832.38","percent of total billed charges",,
"EXCISION, INTERDIGITAL NEUROMA","28080","HCPCS","Both",,,"4945","2472.5","Cigna","Commercial","",,"59",,"2897.77","1809.87","3832.38","percent of total billed charges",,
"EXCISION, INTERDIGITAL NEUROMA","28080","HCPCS","Both",,,"4945","2472.5","Humana","Commercial","",,"78",,"3832.38","1809.87","3832.38","percent of total billed charges",,
"EXCISION, INTERDIGITAL NEUROMA","28080","HCPCS","Both",,,"4945","2472.5","UHC","Commercial","",,"75",,"3728.53","1809.87","3832.38","percent of total billed charges",,
"EXCISION, INTERDIGITAL NEUROMA","28080","HCPCS","Both",,,"4945","2472.5","Medicaid",,"",,"37",,"1809.87","1809.87","3832.38","percent of total billed charges",,
"REMOVAL FB FOOT SUBCUTANEOUS","28190","HCPCS","Both",,,"1823","911.5","Alliant","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"REMOVAL FB FOOT SUBCUTANEOUS","28190","HCPCS","Both",,,"1823","911.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"984.42","667.22","1412.82","percent of total billed charges",,
"REMOVAL FB FOOT SUBCUTANEOUS","28190","HCPCS","Both",,,"1823","911.5","Medicare",,"",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"REMOVAL FB FOOT SUBCUTANEOUS","28190","HCPCS","Both",,,"1823","911.5","Humana","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"REMOVAL FB FOOT SUBCUTANEOUS","28190","HCPCS","Both",,,"1823","911.5","UHC","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"REMOVAL FB FOOT SUBCUTANEOUS","28190","HCPCS","Both",,,"1823","911.5","Clover","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"REMOVAL FB FOOT SUBCUTANEOUS","28190","HCPCS","Both",,,"1823","911.5","Wellcare","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"REMOVAL FB FOOT SUBCUTANEOUS","28190","HCPCS","Both",,,"1823","911.5","Amerigroup","Medicaid Managed Care","",,"37",,"667.22","667.22","1412.82","percent of total billed charges",,
"REMOVAL FB FOOT SUBCUTANEOUS","28190","HCPCS","Both",,,"1823","911.5","Caresource","Medicaid Managed Care","",,"40",,"729.2","667.22","1412.82","percent of total billed charges",,
"REMOVAL FB FOOT SUBCUTANEOUS","28190","HCPCS","Both",,,"1823","911.5","Wellcare","Medicaid Managed Care","",,"40",,"738.32","667.22","1412.82","percent of total billed charges",,
"REMOVAL FB FOOT SUBCUTANEOUS","28190","HCPCS","Both",,,"1823","911.5","Aetna","Commercial","",,"64",,"1163.07","667.22","1412.82","percent of total billed charges",,
"REMOVAL FB FOOT SUBCUTANEOUS","28190","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","Pathways","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"REMOVAL FB FOOT SUBCUTANEOUS","28190","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","HMO","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"REMOVAL FB FOOT SUBCUTANEOUS","28190","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","PPO","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"REMOVAL FB FOOT SUBCUTANEOUS","28190","HCPCS","Both",,,"1823","911.5","Ambetter","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"REMOVAL FB FOOT SUBCUTANEOUS","28190","HCPCS","Both",,,"1823","911.5","Caresource","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"REMOVAL FB FOOT SUBCUTANEOUS","28190","HCPCS","Both",,,"1823","911.5","Cigna","Commercial","",,"59",,"1068.28","667.22","1412.82","percent of total billed charges",,
"REMOVAL FB FOOT SUBCUTANEOUS","28190","HCPCS","Both",,,"1823","911.5","Humana","Commercial","",,"78",,"1412.82","667.22","1412.82","percent of total billed charges",,
"REMOVAL FB FOOT SUBCUTANEOUS","28190","HCPCS","Both",,,"1823","911.5","UHC","Commercial","",,"75",,"1374.54","667.22","1412.82","percent of total billed charges",,
"REMOVAL FB FOOT SUBCUTANEOUS","28190","HCPCS","Both",,,"1823","911.5","Medicaid",,"",,"37",,"667.22","667.22","1412.82","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28660","HCPCS","Both",,,"418.5","209.25","Alliant","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28660","HCPCS","Both",,,"418.5","209.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"225.99","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28660","HCPCS","Both",,,"418.5","209.25","Medicare",,"",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28660","HCPCS","Both",,,"418.5","209.25","Humana","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28660","HCPCS","Both",,,"418.5","209.25","UHC","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28660","HCPCS","Both",,,"418.5","209.25","Clover","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28660","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28660","HCPCS","Both",,,"418.5","209.25","Amerigroup","Medicaid Managed Care","",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28660","HCPCS","Both",,,"418.5","209.25","Caresource","Medicaid Managed Care","",,"40",,"167.4","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28660","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicaid Managed Care","",,"40",,"169.49","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28660","HCPCS","Both",,,"418.5","209.25","Aetna","Commercial","",,"64",,"267","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28660","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","Pathways","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28660","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","HMO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28660","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","PPO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28660","HCPCS","Both",,,"418.5","209.25","Ambetter","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28660","HCPCS","Both",,,"418.5","209.25","Caresource","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28660","HCPCS","Both",,,"418.5","209.25","Cigna","Commercial","",,"59",,"245.24","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28660","HCPCS","Both",,,"418.5","209.25","Humana","Commercial","",,"78",,"324.34","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28660","HCPCS","Both",,,"418.5","209.25","UHC","Commercial","",,"75",,"315.55","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28660","HCPCS","Both",,,"418.5","209.25","Medicaid",,"",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28665","HCPCS","Both",,,"418.5","209.25","Alliant","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28665","HCPCS","Both",,,"418.5","209.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"225.99","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28665","HCPCS","Both",,,"418.5","209.25","Medicare",,"",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28665","HCPCS","Both",,,"418.5","209.25","Humana","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28665","HCPCS","Both",,,"418.5","209.25","UHC","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28665","HCPCS","Both",,,"418.5","209.25","Clover","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28665","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28665","HCPCS","Both",,,"418.5","209.25","Amerigroup","Medicaid Managed Care","",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28665","HCPCS","Both",,,"418.5","209.25","Caresource","Medicaid Managed Care","",,"40",,"167.4","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28665","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicaid Managed Care","",,"40",,"169.49","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28665","HCPCS","Both",,,"418.5","209.25","Aetna","Commercial","",,"64",,"267","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28665","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","Pathways","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28665","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","HMO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28665","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","PPO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28665","HCPCS","Both",,,"418.5","209.25","Ambetter","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28665","HCPCS","Both",,,"418.5","209.25","Caresource","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28665","HCPCS","Both",,,"418.5","209.25","Cigna","Commercial","",,"59",,"245.24","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28665","HCPCS","Both",,,"418.5","209.25","Humana","Commercial","",,"78",,"324.34","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28665","HCPCS","Both",,,"418.5","209.25","UHC","Commercial","",,"75",,"315.55","153.17","324.34","percent of total billed charges",,
"CLOSED TX INTERPHALANGEAL JOINT DISLOC","28665","HCPCS","Both",,,"418.5","209.25","Medicaid",,"",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"APPLICATION CAST FIGURE OF EIGHT","29049","HCPCS","Both",,,"314.5","157.25","Alliant","Health Exchange","",,"62",,"194.99","115.11","243.74","percent of total billed charges",,
"APPLICATION CAST FIGURE OF EIGHT","29049","HCPCS","Both",,,"314.5","157.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"169.83","115.11","243.74","percent of total billed charges",,
"APPLICATION CAST FIGURE OF EIGHT","29049","HCPCS","Both",,,"314.5","157.25","Medicare",,"",,"54",,"170.46","115.11","243.74","percent of total billed charges",,
"APPLICATION CAST FIGURE OF EIGHT","29049","HCPCS","Both",,,"314.5","157.25","Humana","Medicare Advantage","",,"54",,"170.46","115.11","243.74","percent of total billed charges",,
"APPLICATION CAST FIGURE OF EIGHT","29049","HCPCS","Both",,,"314.5","157.25","UHC","Medicare Advantage","",,"54",,"170.46","115.11","243.74","percent of total billed charges",,
"APPLICATION CAST FIGURE OF EIGHT","29049","HCPCS","Both",,,"314.5","157.25","Clover","Medicare Advantage","",,"54",,"170.46","115.11","243.74","percent of total billed charges",,
"APPLICATION CAST FIGURE OF EIGHT","29049","HCPCS","Both",,,"314.5","157.25","Wellcare","Medicare Advantage","",,"54",,"170.46","115.11","243.74","percent of total billed charges",,
"APPLICATION CAST FIGURE OF EIGHT","29049","HCPCS","Both",,,"314.5","157.25","Amerigroup","Medicaid Managed Care","",,"37",,"115.11","115.11","243.74","percent of total billed charges",,
"APPLICATION CAST FIGURE OF EIGHT","29049","HCPCS","Both",,,"314.5","157.25","Caresource","Medicaid Managed Care","",,"40",,"125.8","115.11","243.74","percent of total billed charges",,
"APPLICATION CAST FIGURE OF EIGHT","29049","HCPCS","Both",,,"314.5","157.25","Wellcare","Medicaid Managed Care","",,"40",,"127.37","115.11","243.74","percent of total billed charges",,
"APPLICATION CAST FIGURE OF EIGHT","29049","HCPCS","Both",,,"314.5","157.25","Aetna","Commercial","",,"64",,"200.65","115.11","243.74","percent of total billed charges",,
"APPLICATION CAST FIGURE OF EIGHT","29049","HCPCS","Both",,,"314.5","157.25","Blue Cross Blue Shield","Pathways","",,"71",,"222.04","115.11","243.74","percent of total billed charges",,
"APPLICATION CAST FIGURE OF EIGHT","29049","HCPCS","Both",,,"314.5","157.25","Blue Cross Blue Shield","HMO","",,"71",,"222.04","115.11","243.74","percent of total billed charges",,
"APPLICATION CAST FIGURE OF EIGHT","29049","HCPCS","Both",,,"314.5","157.25","Blue Cross Blue Shield","PPO","",,"71",,"222.04","115.11","243.74","percent of total billed charges",,
"APPLICATION CAST FIGURE OF EIGHT","29049","HCPCS","Both",,,"314.5","157.25","Ambetter","Health Exchange","",,"62",,"194.99","115.11","243.74","percent of total billed charges",,
"APPLICATION CAST FIGURE OF EIGHT","29049","HCPCS","Both",,,"314.5","157.25","Caresource","Health Exchange","",,"62",,"194.99","115.11","243.74","percent of total billed charges",,
"APPLICATION CAST FIGURE OF EIGHT","29049","HCPCS","Both",,,"314.5","157.25","Cigna","Commercial","",,"59",,"184.3","115.11","243.74","percent of total billed charges",,
"APPLICATION CAST FIGURE OF EIGHT","29049","HCPCS","Both",,,"314.5","157.25","Humana","Commercial","",,"78",,"243.74","115.11","243.74","percent of total billed charges",,
"APPLICATION CAST FIGURE OF EIGHT","29049","HCPCS","Both",,,"314.5","157.25","UHC","Commercial","",,"75",,"237.13","115.11","243.74","percent of total billed charges",,
"APPLICATION CAST FIGURE OF EIGHT","29049","HCPCS","Both",,,"314.5","157.25","Medicaid",,"",,"37",,"115.11","115.11","243.74","percent of total billed charges",,
"APPLICATION CAST HAND & LOWER FOREARM","29085","HCPCS","Both",,,"296","148","Alliant","Health Exchange","",,"62",,"183.52","108.34","229.4","percent of total billed charges",,
"APPLICATION CAST HAND & LOWER FOREARM","29085","HCPCS","Both",,,"296","148","Pruitt Healthcare","Medicare Advantage","",,"54",,"159.84","108.34","229.4","percent of total billed charges",,
"APPLICATION CAST HAND & LOWER FOREARM","29085","HCPCS","Both",,,"296","148","Medicare",,"",,"54",,"160.43","108.34","229.4","percent of total billed charges",,
"APPLICATION CAST HAND & LOWER FOREARM","29085","HCPCS","Both",,,"296","148","Humana","Medicare Advantage","",,"54",,"160.43","108.34","229.4","percent of total billed charges",,
"APPLICATION CAST HAND & LOWER FOREARM","29085","HCPCS","Both",,,"296","148","UHC","Medicare Advantage","",,"54",,"160.43","108.34","229.4","percent of total billed charges",,
"APPLICATION CAST HAND & LOWER FOREARM","29085","HCPCS","Both",,,"296","148","Clover","Medicare Advantage","",,"54",,"160.43","108.34","229.4","percent of total billed charges",,
"APPLICATION CAST HAND & LOWER FOREARM","29085","HCPCS","Both",,,"296","148","Wellcare","Medicare Advantage","",,"54",,"160.43","108.34","229.4","percent of total billed charges",,
"APPLICATION CAST HAND & LOWER FOREARM","29085","HCPCS","Both",,,"296","148","Amerigroup","Medicaid Managed Care","",,"37",,"108.34","108.34","229.4","percent of total billed charges",,
"APPLICATION CAST HAND & LOWER FOREARM","29085","HCPCS","Both",,,"296","148","Caresource","Medicaid Managed Care","",,"40",,"118.4","108.34","229.4","percent of total billed charges",,
"APPLICATION CAST HAND & LOWER FOREARM","29085","HCPCS","Both",,,"296","148","Wellcare","Medicaid Managed Care","",,"40",,"119.88","108.34","229.4","percent of total billed charges",,
"APPLICATION CAST HAND & LOWER FOREARM","29085","HCPCS","Both",,,"296","148","Aetna","Commercial","",,"64",,"188.85","108.34","229.4","percent of total billed charges",,
"APPLICATION CAST HAND & LOWER FOREARM","29085","HCPCS","Both",,,"296","148","Blue Cross Blue Shield","Pathways","",,"71",,"208.98","108.34","229.4","percent of total billed charges",,
"APPLICATION CAST HAND & LOWER FOREARM","29085","HCPCS","Both",,,"296","148","Blue Cross Blue Shield","HMO","",,"71",,"208.98","108.34","229.4","percent of total billed charges",,
"APPLICATION CAST HAND & LOWER FOREARM","29085","HCPCS","Both",,,"296","148","Blue Cross Blue Shield","PPO","",,"71",,"208.98","108.34","229.4","percent of total billed charges",,
"APPLICATION CAST HAND & LOWER FOREARM","29085","HCPCS","Both",,,"296","148","Ambetter","Health Exchange","",,"62",,"183.52","108.34","229.4","percent of total billed charges",,
"APPLICATION CAST HAND & LOWER FOREARM","29085","HCPCS","Both",,,"296","148","Caresource","Health Exchange","",,"62",,"183.52","108.34","229.4","percent of total billed charges",,
"APPLICATION CAST HAND & LOWER FOREARM","29085","HCPCS","Both",,,"296","148","Cigna","Commercial","",,"59",,"173.46","108.34","229.4","percent of total billed charges",,
"APPLICATION CAST HAND & LOWER FOREARM","29085","HCPCS","Both",,,"296","148","Humana","Commercial","",,"78",,"229.4","108.34","229.4","percent of total billed charges",,
"APPLICATION CAST HAND & LOWER FOREARM","29085","HCPCS","Both",,,"296","148","UHC","Commercial","",,"75",,"223.18","108.34","229.4","percent of total billed charges",,
"APPLICATION CAST HAND & LOWER FOREARM","29085","HCPCS","Both",,,"296","148","Medicaid",,"",,"37",,"108.34","108.34","229.4","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; DYNAMIC","29126","HCPCS","Both",,,"262","131","Alliant","Health Exchange","",,"62",,"162.44","95.89","203.05","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; DYNAMIC","29126","HCPCS","Both",,,"262","131","Pruitt Healthcare","Medicare Advantage","",,"54",,"141.48","95.89","203.05","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; DYNAMIC","29126","HCPCS","Both",,,"262","131","Medicare",,"",,"54",,"142","95.89","203.05","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; DYNAMIC","29126","HCPCS","Both",,,"262","131","Humana","Medicare Advantage","",,"54",,"142","95.89","203.05","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; DYNAMIC","29126","HCPCS","Both",,,"262","131","UHC","Medicare Advantage","",,"54",,"142","95.89","203.05","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; DYNAMIC","29126","HCPCS","Both",,,"262","131","Clover","Medicare Advantage","",,"54",,"142","95.89","203.05","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; DYNAMIC","29126","HCPCS","Both",,,"262","131","Wellcare","Medicare Advantage","",,"54",,"142","95.89","203.05","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; DYNAMIC","29126","HCPCS","Both",,,"262","131","Amerigroup","Medicaid Managed Care","",,"37",,"95.89","95.89","203.05","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; DYNAMIC","29126","HCPCS","Both",,,"262","131","Caresource","Medicaid Managed Care","",,"40",,"104.8","95.89","203.05","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; DYNAMIC","29126","HCPCS","Both",,,"262","131","Wellcare","Medicaid Managed Care","",,"40",,"106.11","95.89","203.05","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; DYNAMIC","29126","HCPCS","Both",,,"262","131","Aetna","Commercial","",,"64",,"167.16","95.89","203.05","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; DYNAMIC","29126","HCPCS","Both",,,"262","131","Blue Cross Blue Shield","Pathways","",,"71",,"184.97","95.89","203.05","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; DYNAMIC","29126","HCPCS","Both",,,"262","131","Blue Cross Blue Shield","HMO","",,"71",,"184.97","95.89","203.05","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; DYNAMIC","29126","HCPCS","Both",,,"262","131","Blue Cross Blue Shield","PPO","",,"71",,"184.97","95.89","203.05","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; DYNAMIC","29126","HCPCS","Both",,,"262","131","Ambetter","Health Exchange","",,"62",,"162.44","95.89","203.05","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; DYNAMIC","29126","HCPCS","Both",,,"262","131","Caresource","Health Exchange","",,"62",,"162.44","95.89","203.05","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; DYNAMIC","29126","HCPCS","Both",,,"262","131","Cigna","Commercial","",,"59",,"153.53","95.89","203.05","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; DYNAMIC","29126","HCPCS","Both",,,"262","131","Humana","Commercial","",,"78",,"203.05","95.89","203.05","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; DYNAMIC","29126","HCPCS","Both",,,"262","131","UHC","Commercial","",,"75",,"197.55","95.89","203.05","percent of total billed charges",,
"APPLICATION SHORT ARM SPLINT; DYNAMIC","29126","HCPCS","Both",,,"262","131","Medicaid",,"",,"37",,"95.89","95.89","203.05","percent of total billed charges",,
"APPLICATION FINGER SPLINT; DYNAMIC","29130","HCPCS","Both",,,"51.5","25.75","Alliant","Health Exchange","",,"62",,"31.93","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; DYNAMIC","29130","HCPCS","Both",,,"51.5","25.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"27.81","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; DYNAMIC","29130","HCPCS","Both",,,"51.5","25.75","Medicare",,"",,"54",,"27.91","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; DYNAMIC","29130","HCPCS","Both",,,"51.5","25.75","Humana","Medicare Advantage","",,"54",,"27.91","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; DYNAMIC","29130","HCPCS","Both",,,"51.5","25.75","UHC","Medicare Advantage","",,"54",,"27.91","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; DYNAMIC","29130","HCPCS","Both",,,"51.5","25.75","Clover","Medicare Advantage","",,"54",,"27.91","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; DYNAMIC","29130","HCPCS","Both",,,"51.5","25.75","Wellcare","Medicare Advantage","",,"54",,"27.91","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; DYNAMIC","29130","HCPCS","Both",,,"51.5","25.75","Amerigroup","Medicaid Managed Care","",,"37",,"18.85","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; DYNAMIC","29130","HCPCS","Both",,,"51.5","25.75","Caresource","Medicaid Managed Care","",,"40",,"20.6","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; DYNAMIC","29130","HCPCS","Both",,,"51.5","25.75","Wellcare","Medicaid Managed Care","",,"40",,"20.86","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; DYNAMIC","29130","HCPCS","Both",,,"51.5","25.75","Aetna","Commercial","",,"64",,"32.86","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; DYNAMIC","29130","HCPCS","Both",,,"51.5","25.75","Blue Cross Blue Shield","Pathways","",,"71",,"36.36","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; DYNAMIC","29130","HCPCS","Both",,,"51.5","25.75","Blue Cross Blue Shield","HMO","",,"71",,"36.36","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; DYNAMIC","29130","HCPCS","Both",,,"51.5","25.75","Blue Cross Blue Shield","PPO","",,"71",,"36.36","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; DYNAMIC","29130","HCPCS","Both",,,"51.5","25.75","Ambetter","Health Exchange","",,"62",,"31.93","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; DYNAMIC","29130","HCPCS","Both",,,"51.5","25.75","Caresource","Health Exchange","",,"62",,"31.93","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; DYNAMIC","29130","HCPCS","Both",,,"51.5","25.75","Cigna","Commercial","",,"59",,"30.18","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; DYNAMIC","29130","HCPCS","Both",,,"51.5","25.75","Humana","Commercial","",,"78",,"39.91","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; DYNAMIC","29130","HCPCS","Both",,,"51.5","25.75","UHC","Commercial","",,"75",,"38.83","18.85","39.91","percent of total billed charges",,
"APPLICATION FINGER SPLINT; DYNAMIC","29130","HCPCS","Both",,,"51.5","25.75","Medicaid",,"",,"37",,"18.85","18.85","39.91","percent of total billed charges",,
"STRAPPING; SHOULDER","29280","HCPCS","Both",,,"169.5","84.75","Alliant","Health Exchange","",,"62",,"105.09","62.04","131.36","percent of total billed charges",,
"STRAPPING; SHOULDER","29280","HCPCS","Both",,,"169.5","84.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"91.53","62.04","131.36","percent of total billed charges",,
"STRAPPING; SHOULDER","29280","HCPCS","Both",,,"169.5","84.75","Medicare",,"",,"54",,"91.87","62.04","131.36","percent of total billed charges",,
"STRAPPING; SHOULDER","29280","HCPCS","Both",,,"169.5","84.75","Humana","Medicare Advantage","",,"54",,"91.87","62.04","131.36","percent of total billed charges",,
"STRAPPING; SHOULDER","29280","HCPCS","Both",,,"169.5","84.75","UHC","Medicare Advantage","",,"54",,"91.87","62.04","131.36","percent of total billed charges",,
"STRAPPING; SHOULDER","29280","HCPCS","Both",,,"169.5","84.75","Clover","Medicare Advantage","",,"54",,"91.87","62.04","131.36","percent of total billed charges",,
"STRAPPING; SHOULDER","29280","HCPCS","Both",,,"169.5","84.75","Wellcare","Medicare Advantage","",,"54",,"91.87","62.04","131.36","percent of total billed charges",,
"STRAPPING; SHOULDER","29280","HCPCS","Both",,,"169.5","84.75","Amerigroup","Medicaid Managed Care","",,"37",,"62.04","62.04","131.36","percent of total billed charges",,
"STRAPPING; SHOULDER","29280","HCPCS","Both",,,"169.5","84.75","Caresource","Medicaid Managed Care","",,"40",,"67.8","62.04","131.36","percent of total billed charges",,
"STRAPPING; SHOULDER","29280","HCPCS","Both",,,"169.5","84.75","Wellcare","Medicaid Managed Care","",,"40",,"68.65","62.04","131.36","percent of total billed charges",,
"STRAPPING; SHOULDER","29280","HCPCS","Both",,,"169.5","84.75","Aetna","Commercial","",,"64",,"108.14","62.04","131.36","percent of total billed charges",,
"STRAPPING; SHOULDER","29280","HCPCS","Both",,,"169.5","84.75","Blue Cross Blue Shield","Pathways","",,"71",,"119.67","62.04","131.36","percent of total billed charges",,
"STRAPPING; SHOULDER","29280","HCPCS","Both",,,"169.5","84.75","Blue Cross Blue Shield","HMO","",,"71",,"119.67","62.04","131.36","percent of total billed charges",,
"STRAPPING; SHOULDER","29280","HCPCS","Both",,,"169.5","84.75","Blue Cross Blue Shield","PPO","",,"71",,"119.67","62.04","131.36","percent of total billed charges",,
"STRAPPING; SHOULDER","29280","HCPCS","Both",,,"169.5","84.75","Ambetter","Health Exchange","",,"62",,"105.09","62.04","131.36","percent of total billed charges",,
"STRAPPING; SHOULDER","29280","HCPCS","Both",,,"169.5","84.75","Caresource","Health Exchange","",,"62",,"105.09","62.04","131.36","percent of total billed charges",,
"STRAPPING; SHOULDER","29280","HCPCS","Both",,,"169.5","84.75","Cigna","Commercial","",,"59",,"99.33","62.04","131.36","percent of total billed charges",,
"STRAPPING; SHOULDER","29280","HCPCS","Both",,,"169.5","84.75","Humana","Commercial","",,"78",,"131.36","62.04","131.36","percent of total billed charges",,
"STRAPPING; SHOULDER","29280","HCPCS","Both",,,"169.5","84.75","UHC","Commercial","",,"75",,"127.8","62.04","131.36","percent of total billed charges",,
"STRAPPING; SHOULDER","29280","HCPCS","Both",,,"169.5","84.75","Medicaid",,"",,"37",,"62.04","62.04","131.36","percent of total billed charges",,
"STRAPPING; HAND OR FINGER","29280","HCPCS","Both",,,"169.5","84.75","Alliant","Health Exchange","",,"62",,"105.09","62.04","131.36","percent of total billed charges",,
"STRAPPING; HAND OR FINGER","29280","HCPCS","Both",,,"169.5","84.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"91.53","62.04","131.36","percent of total billed charges",,
"STRAPPING; HAND OR FINGER","29280","HCPCS","Both",,,"169.5","84.75","Medicare",,"",,"54",,"91.87","62.04","131.36","percent of total billed charges",,
"STRAPPING; HAND OR FINGER","29280","HCPCS","Both",,,"169.5","84.75","Humana","Medicare Advantage","",,"54",,"91.87","62.04","131.36","percent of total billed charges",,
"STRAPPING; HAND OR FINGER","29280","HCPCS","Both",,,"169.5","84.75","UHC","Medicare Advantage","",,"54",,"91.87","62.04","131.36","percent of total billed charges",,
"STRAPPING; HAND OR FINGER","29280","HCPCS","Both",,,"169.5","84.75","Clover","Medicare Advantage","",,"54",,"91.87","62.04","131.36","percent of total billed charges",,
"STRAPPING; HAND OR FINGER","29280","HCPCS","Both",,,"169.5","84.75","Wellcare","Medicare Advantage","",,"54",,"91.87","62.04","131.36","percent of total billed charges",,
"STRAPPING; HAND OR FINGER","29280","HCPCS","Both",,,"169.5","84.75","Amerigroup","Medicaid Managed Care","",,"37",,"62.04","62.04","131.36","percent of total billed charges",,
"STRAPPING; HAND OR FINGER","29280","HCPCS","Both",,,"169.5","84.75","Caresource","Medicaid Managed Care","",,"40",,"67.8","62.04","131.36","percent of total billed charges",,
"STRAPPING; HAND OR FINGER","29280","HCPCS","Both",,,"169.5","84.75","Wellcare","Medicaid Managed Care","",,"40",,"68.65","62.04","131.36","percent of total billed charges",,
"STRAPPING; HAND OR FINGER","29280","HCPCS","Both",,,"169.5","84.75","Aetna","Commercial","",,"64",,"108.14","62.04","131.36","percent of total billed charges",,
"STRAPPING; HAND OR FINGER","29280","HCPCS","Both",,,"169.5","84.75","Blue Cross Blue Shield","Pathways","",,"71",,"119.67","62.04","131.36","percent of total billed charges",,
"STRAPPING; HAND OR FINGER","29280","HCPCS","Both",,,"169.5","84.75","Blue Cross Blue Shield","HMO","",,"71",,"119.67","62.04","131.36","percent of total billed charges",,
"STRAPPING; HAND OR FINGER","29280","HCPCS","Both",,,"169.5","84.75","Blue Cross Blue Shield","PPO","",,"71",,"119.67","62.04","131.36","percent of total billed charges",,
"STRAPPING; HAND OR FINGER","29280","HCPCS","Both",,,"169.5","84.75","Ambetter","Health Exchange","",,"62",,"105.09","62.04","131.36","percent of total billed charges",,
"STRAPPING; HAND OR FINGER","29280","HCPCS","Both",,,"169.5","84.75","Caresource","Health Exchange","",,"62",,"105.09","62.04","131.36","percent of total billed charges",,
"STRAPPING; HAND OR FINGER","29280","HCPCS","Both",,,"169.5","84.75","Cigna","Commercial","",,"59",,"99.33","62.04","131.36","percent of total billed charges",,
"STRAPPING; HAND OR FINGER","29280","HCPCS","Both",,,"169.5","84.75","Humana","Commercial","",,"78",,"131.36","62.04","131.36","percent of total billed charges",,
"STRAPPING; HAND OR FINGER","29280","HCPCS","Both",,,"169.5","84.75","UHC","Commercial","",,"75",,"127.8","62.04","131.36","percent of total billed charges",,
"STRAPPING; HAND OR FINGER","29280","HCPCS","Both",,,"169.5","84.75","Medicaid",,"",,"37",,"62.04","62.04","131.36","percent of total billed charges",,
"APPLICATION SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Alliant","Health Exchange","",,"62",,"70.68","41.72","88.35","percent of total billed charges",,
"APPLICATION SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Pruitt Healthcare","Medicare Advantage","",,"54",,"61.56","41.72","88.35","percent of total billed charges",,
"APPLICATION SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Medicare",,"",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"APPLICATION SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Humana","Medicare Advantage","",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"APPLICATION SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","UHC","Medicare Advantage","",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"APPLICATION SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Clover","Medicare Advantage","",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"APPLICATION SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Wellcare","Medicare Advantage","",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"APPLICATION SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Amerigroup","Medicaid Managed Care","",,"37",,"41.72","41.72","88.35","percent of total billed charges",,
"APPLICATION SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Caresource","Medicaid Managed Care","",,"40",,"45.6","41.72","88.35","percent of total billed charges",,
"APPLICATION SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Wellcare","Medicaid Managed Care","",,"40",,"46.17","41.72","88.35","percent of total billed charges",,
"APPLICATION SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Aetna","Commercial","",,"64",,"72.73","41.72","88.35","percent of total billed charges",,
"APPLICATION SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Blue Cross Blue Shield","Pathways","",,"71",,"80.48","41.72","88.35","percent of total billed charges",,
"APPLICATION SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Blue Cross Blue Shield","HMO","",,"71",,"80.48","41.72","88.35","percent of total billed charges",,
"APPLICATION SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Blue Cross Blue Shield","PPO","",,"71",,"80.48","41.72","88.35","percent of total billed charges",,
"APPLICATION SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Ambetter","Health Exchange","",,"62",,"70.68","41.72","88.35","percent of total billed charges",,
"APPLICATION SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Caresource","Health Exchange","",,"62",,"70.68","41.72","88.35","percent of total billed charges",,
"APPLICATION SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Cigna","Commercial","",,"59",,"66.8","41.72","88.35","percent of total billed charges",,
"APPLICATION SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Humana","Commercial","",,"78",,"88.35","41.72","88.35","percent of total billed charges",,
"APPLICATION SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","UHC","Commercial","",,"75",,"85.96","41.72","88.35","percent of total billed charges",,
"APPLICATION SHORT LEG CAST","29405","HCPCS","Both",,,"114","57","Medicaid",,"",,"37",,"41.72","41.72","88.35","percent of total billed charges",,
"STRAPPING; ANKLE AND/OR FOOT","29540","HCPCS","Both",,,"99","49.5","Alliant","Health Exchange","",,"62",,"61.38","36.23","76.73","percent of total billed charges",,
"STRAPPING; ANKLE AND/OR FOOT","29540","HCPCS","Both",,,"99","49.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"53.46","36.23","76.73","percent of total billed charges",,
"STRAPPING; ANKLE AND/OR FOOT","29540","HCPCS","Both",,,"99","49.5","Medicare",,"",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"STRAPPING; ANKLE AND/OR FOOT","29540","HCPCS","Both",,,"99","49.5","Humana","Medicare Advantage","",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"STRAPPING; ANKLE AND/OR FOOT","29540","HCPCS","Both",,,"99","49.5","UHC","Medicare Advantage","",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"STRAPPING; ANKLE AND/OR FOOT","29540","HCPCS","Both",,,"99","49.5","Clover","Medicare Advantage","",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"STRAPPING; ANKLE AND/OR FOOT","29540","HCPCS","Both",,,"99","49.5","Wellcare","Medicare Advantage","",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"STRAPPING; ANKLE AND/OR FOOT","29540","HCPCS","Both",,,"99","49.5","Amerigroup","Medicaid Managed Care","",,"37",,"36.23","36.23","76.73","percent of total billed charges",,
"STRAPPING; ANKLE AND/OR FOOT","29540","HCPCS","Both",,,"99","49.5","Caresource","Medicaid Managed Care","",,"40",,"39.6","36.23","76.73","percent of total billed charges",,
"STRAPPING; ANKLE AND/OR FOOT","29540","HCPCS","Both",,,"99","49.5","Wellcare","Medicaid Managed Care","",,"40",,"40.1","36.23","76.73","percent of total billed charges",,
"STRAPPING; ANKLE AND/OR FOOT","29540","HCPCS","Both",,,"99","49.5","Aetna","Commercial","",,"64",,"63.16","36.23","76.73","percent of total billed charges",,
"STRAPPING; ANKLE AND/OR FOOT","29540","HCPCS","Both",,,"99","49.5","Blue Cross Blue Shield","Pathways","",,"71",,"69.89","36.23","76.73","percent of total billed charges",,
"STRAPPING; ANKLE AND/OR FOOT","29540","HCPCS","Both",,,"99","49.5","Blue Cross Blue Shield","HMO","",,"71",,"69.89","36.23","76.73","percent of total billed charges",,
"STRAPPING; ANKLE AND/OR FOOT","29540","HCPCS","Both",,,"99","49.5","Blue Cross Blue Shield","PPO","",,"71",,"69.89","36.23","76.73","percent of total billed charges",,
"STRAPPING; ANKLE AND/OR FOOT","29540","HCPCS","Both",,,"99","49.5","Ambetter","Health Exchange","",,"62",,"61.38","36.23","76.73","percent of total billed charges",,
"STRAPPING; ANKLE AND/OR FOOT","29540","HCPCS","Both",,,"99","49.5","Caresource","Health Exchange","",,"62",,"61.38","36.23","76.73","percent of total billed charges",,
"STRAPPING; ANKLE AND/OR FOOT","29540","HCPCS","Both",,,"99","49.5","Cigna","Commercial","",,"59",,"58.01","36.23","76.73","percent of total billed charges",,
"STRAPPING; ANKLE AND/OR FOOT","29540","HCPCS","Both",,,"99","49.5","Humana","Commercial","",,"78",,"76.73","36.23","76.73","percent of total billed charges",,
"STRAPPING; ANKLE AND/OR FOOT","29540","HCPCS","Both",,,"99","49.5","UHC","Commercial","",,"75",,"74.65","36.23","76.73","percent of total billed charges",,
"STRAPPING; ANKLE AND/OR FOOT","29540","HCPCS","Both",,,"99","49.5","Medicaid",,"",,"37",,"36.23","36.23","76.73","percent of total billed charges",,
"UNLISTED CASTING OR STRAPPING PROCEDURE","29799","HCPCS","Both",,,"296","148","Alliant","Health Exchange","",,"62",,"183.52","108.34","229.4","percent of total billed charges",,
"UNLISTED CASTING OR STRAPPING PROCEDURE","29799","HCPCS","Both",,,"296","148","Pruitt Healthcare","Medicare Advantage","",,"54",,"159.84","108.34","229.4","percent of total billed charges",,
"UNLISTED CASTING OR STRAPPING PROCEDURE","29799","HCPCS","Both",,,"296","148","Medicare",,"",,"54",,"160.43","108.34","229.4","percent of total billed charges",,
"UNLISTED CASTING OR STRAPPING PROCEDURE","29799","HCPCS","Both",,,"296","148","Humana","Medicare Advantage","",,"54",,"160.43","108.34","229.4","percent of total billed charges",,
"UNLISTED CASTING OR STRAPPING PROCEDURE","29799","HCPCS","Both",,,"296","148","UHC","Medicare Advantage","",,"54",,"160.43","108.34","229.4","percent of total billed charges",,
"UNLISTED CASTING OR STRAPPING PROCEDURE","29799","HCPCS","Both",,,"296","148","Clover","Medicare Advantage","",,"54",,"160.43","108.34","229.4","percent of total billed charges",,
"UNLISTED CASTING OR STRAPPING PROCEDURE","29799","HCPCS","Both",,,"296","148","Wellcare","Medicare Advantage","",,"54",,"160.43","108.34","229.4","percent of total billed charges",,
"UNLISTED CASTING OR STRAPPING PROCEDURE","29799","HCPCS","Both",,,"296","148","Amerigroup","Medicaid Managed Care","",,"37",,"108.34","108.34","229.4","percent of total billed charges",,
"UNLISTED CASTING OR STRAPPING PROCEDURE","29799","HCPCS","Both",,,"296","148","Caresource","Medicaid Managed Care","",,"40",,"118.4","108.34","229.4","percent of total billed charges",,
"UNLISTED CASTING OR STRAPPING PROCEDURE","29799","HCPCS","Both",,,"296","148","Wellcare","Medicaid Managed Care","",,"40",,"119.88","108.34","229.4","percent of total billed charges",,
"UNLISTED CASTING OR STRAPPING PROCEDURE","29799","HCPCS","Both",,,"296","148","Aetna","Commercial","",,"64",,"188.85","108.34","229.4","percent of total billed charges",,
"UNLISTED CASTING OR STRAPPING PROCEDURE","29799","HCPCS","Both",,,"296","148","Blue Cross Blue Shield","Pathways","",,"71",,"208.98","108.34","229.4","percent of total billed charges",,
"UNLISTED CASTING OR STRAPPING PROCEDURE","29799","HCPCS","Both",,,"296","148","Blue Cross Blue Shield","HMO","",,"71",,"208.98","108.34","229.4","percent of total billed charges",,
"UNLISTED CASTING OR STRAPPING PROCEDURE","29799","HCPCS","Both",,,"296","148","Blue Cross Blue Shield","PPO","",,"71",,"208.98","108.34","229.4","percent of total billed charges",,
"UNLISTED CASTING OR STRAPPING PROCEDURE","29799","HCPCS","Both",,,"296","148","Ambetter","Health Exchange","",,"62",,"183.52","108.34","229.4","percent of total billed charges",,
"UNLISTED CASTING OR STRAPPING PROCEDURE","29799","HCPCS","Both",,,"296","148","Caresource","Health Exchange","",,"62",,"183.52","108.34","229.4","percent of total billed charges",,
"UNLISTED CASTING OR STRAPPING PROCEDURE","29799","HCPCS","Both",,,"296","148","Cigna","Commercial","",,"59",,"173.46","108.34","229.4","percent of total billed charges",,
"UNLISTED CASTING OR STRAPPING PROCEDURE","29799","HCPCS","Both",,,"296","148","Humana","Commercial","",,"78",,"229.4","108.34","229.4","percent of total billed charges",,
"UNLISTED CASTING OR STRAPPING PROCEDURE","29799","HCPCS","Both",,,"296","148","UHC","Commercial","",,"75",,"223.18","108.34","229.4","percent of total billed charges",,
"UNLISTED CASTING OR STRAPPING PROCEDURE","29799","HCPCS","Both",,,"296","148","Medicaid",,"",,"37",,"108.34","108.34","229.4","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE, POSTERIOR","30905","HCPCS","Both",,,"153.5","76.75","Alliant","Health Exchange","",,"62",,"95.17","56.18","118.96","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE, POSTERIOR","30905","HCPCS","Both",,,"153.5","76.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"82.89","56.18","118.96","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE, POSTERIOR","30905","HCPCS","Both",,,"153.5","76.75","Medicare",,"",,"54",,"83.2","56.18","118.96","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE, POSTERIOR","30905","HCPCS","Both",,,"153.5","76.75","Humana","Medicare Advantage","",,"54",,"83.2","56.18","118.96","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE, POSTERIOR","30905","HCPCS","Both",,,"153.5","76.75","UHC","Medicare Advantage","",,"54",,"83.2","56.18","118.96","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE, POSTERIOR","30905","HCPCS","Both",,,"153.5","76.75","Clover","Medicare Advantage","",,"54",,"83.2","56.18","118.96","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE, POSTERIOR","30905","HCPCS","Both",,,"153.5","76.75","Wellcare","Medicare Advantage","",,"54",,"83.2","56.18","118.96","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE, POSTERIOR","30905","HCPCS","Both",,,"153.5","76.75","Amerigroup","Medicaid Managed Care","",,"37",,"56.18","56.18","118.96","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE, POSTERIOR","30905","HCPCS","Both",,,"153.5","76.75","Caresource","Medicaid Managed Care","",,"40",,"61.4","56.18","118.96","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE, POSTERIOR","30905","HCPCS","Both",,,"153.5","76.75","Wellcare","Medicaid Managed Care","",,"40",,"62.17","56.18","118.96","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE, POSTERIOR","30905","HCPCS","Both",,,"153.5","76.75","Aetna","Commercial","",,"64",,"97.93","56.18","118.96","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE, POSTERIOR","30905","HCPCS","Both",,,"153.5","76.75","Blue Cross Blue Shield","Pathways","",,"71",,"108.37","56.18","118.96","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE, POSTERIOR","30905","HCPCS","Both",,,"153.5","76.75","Blue Cross Blue Shield","HMO","",,"71",,"108.37","56.18","118.96","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE, POSTERIOR","30905","HCPCS","Both",,,"153.5","76.75","Blue Cross Blue Shield","PPO","",,"71",,"108.37","56.18","118.96","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE, POSTERIOR","30905","HCPCS","Both",,,"153.5","76.75","Ambetter","Health Exchange","",,"62",,"95.17","56.18","118.96","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE, POSTERIOR","30905","HCPCS","Both",,,"153.5","76.75","Caresource","Health Exchange","",,"62",,"95.17","56.18","118.96","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE, POSTERIOR","30905","HCPCS","Both",,,"153.5","76.75","Cigna","Commercial","",,"59",,"89.95","56.18","118.96","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE, POSTERIOR","30905","HCPCS","Both",,,"153.5","76.75","Humana","Commercial","",,"78",,"118.96","56.18","118.96","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE, POSTERIOR","30905","HCPCS","Both",,,"153.5","76.75","UHC","Commercial","",,"75",,"115.74","56.18","118.96","percent of total billed charges",,
"CONTROL NASAL HEMORRHAGE, POSTERIOR","30905","HCPCS","Both",,,"153.5","76.75","Medicaid",,"",,"37",,"56.18","56.18","118.96","percent of total billed charges",,
"TRACH TUBE CHANGE","31502","HCPCS","Both",,,"165","82.5","Alliant","Health Exchange","",,"62",,"102.3","60.39","127.88","percent of total billed charges",,
"TRACH TUBE CHANGE","31502","HCPCS","Both",,,"165","82.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"89.1","60.39","127.88","percent of total billed charges",,
"TRACH TUBE CHANGE","31502","HCPCS","Both",,,"165","82.5","Medicare",,"",,"54",,"89.43","60.39","127.88","percent of total billed charges",,
"TRACH TUBE CHANGE","31502","HCPCS","Both",,,"165","82.5","Humana","Medicare Advantage","",,"54",,"89.43","60.39","127.88","percent of total billed charges",,
"TRACH TUBE CHANGE","31502","HCPCS","Both",,,"165","82.5","UHC","Medicare Advantage","",,"54",,"89.43","60.39","127.88","percent of total billed charges",,
"TRACH TUBE CHANGE","31502","HCPCS","Both",,,"165","82.5","Clover","Medicare Advantage","",,"54",,"89.43","60.39","127.88","percent of total billed charges",,
"TRACH TUBE CHANGE","31502","HCPCS","Both",,,"165","82.5","Wellcare","Medicare Advantage","",,"54",,"89.43","60.39","127.88","percent of total billed charges",,
"TRACH TUBE CHANGE","31502","HCPCS","Both",,,"165","82.5","Amerigroup","Medicaid Managed Care","",,"37",,"60.39","60.39","127.88","percent of total billed charges",,
"TRACH TUBE CHANGE","31502","HCPCS","Both",,,"165","82.5","Caresource","Medicaid Managed Care","",,"40",,"66","60.39","127.88","percent of total billed charges",,
"TRACH TUBE CHANGE","31502","HCPCS","Both",,,"165","82.5","Wellcare","Medicaid Managed Care","",,"40",,"66.82","60.39","127.88","percent of total billed charges",,
"TRACH TUBE CHANGE","31502","HCPCS","Both",,,"165","82.5","Aetna","Commercial","",,"64",,"105.27","60.39","127.88","percent of total billed charges",,
"TRACH TUBE CHANGE","31502","HCPCS","Both",,,"165","82.5","Blue Cross Blue Shield","Pathways","",,"71",,"116.49","60.39","127.88","percent of total billed charges",,
"TRACH TUBE CHANGE","31502","HCPCS","Both",,,"165","82.5","Blue Cross Blue Shield","HMO","",,"71",,"116.49","60.39","127.88","percent of total billed charges",,
"TRACH TUBE CHANGE","31502","HCPCS","Both",,,"165","82.5","Blue Cross Blue Shield","PPO","",,"71",,"116.49","60.39","127.88","percent of total billed charges",,
"TRACH TUBE CHANGE","31502","HCPCS","Both",,,"165","82.5","Ambetter","Health Exchange","",,"62",,"102.3","60.39","127.88","percent of total billed charges",,
"TRACH TUBE CHANGE","31502","HCPCS","Both",,,"165","82.5","Caresource","Health Exchange","",,"62",,"102.3","60.39","127.88","percent of total billed charges",,
"TRACH TUBE CHANGE","31502","HCPCS","Both",,,"165","82.5","Cigna","Commercial","",,"59",,"96.69","60.39","127.88","percent of total billed charges",,
"TRACH TUBE CHANGE","31502","HCPCS","Both",,,"165","82.5","Humana","Commercial","",,"78",,"127.88","60.39","127.88","percent of total billed charges",,
"TRACH TUBE CHANGE","31502","HCPCS","Both",,,"165","82.5","UHC","Commercial","",,"75",,"124.41","60.39","127.88","percent of total billed charges",,
"TRACH TUBE CHANGE","31502","HCPCS","Both",,,"165","82.5","Medicaid",,"",,"37",,"60.39","60.39","127.88","percent of total billed charges",,
"LARYNGOSCOPY INDIRECT DIAGNOSITC","31525","HCPCS","Both",,,"4292","2146","Alliant","Health Exchange","",,"62",,"2661.04","1570.87","3326.3","percent of total billed charges",,
"LARYNGOSCOPY INDIRECT DIAGNOSITC","31525","HCPCS","Both",,,"4292","2146","Pruitt Healthcare","Medicare Advantage","",,"54",,"2317.68","1570.87","3326.3","percent of total billed charges",,
"LARYNGOSCOPY INDIRECT DIAGNOSITC","31525","HCPCS","Both",,,"4292","2146","Medicare",,"",,"54",,"2326.26","1570.87","3326.3","percent of total billed charges",,
"LARYNGOSCOPY INDIRECT DIAGNOSITC","31525","HCPCS","Both",,,"4292","2146","Humana","Medicare Advantage","",,"54",,"2326.26","1570.87","3326.3","percent of total billed charges",,
"LARYNGOSCOPY INDIRECT DIAGNOSITC","31525","HCPCS","Both",,,"4292","2146","UHC","Medicare Advantage","",,"54",,"2326.26","1570.87","3326.3","percent of total billed charges",,
"LARYNGOSCOPY INDIRECT DIAGNOSITC","31525","HCPCS","Both",,,"4292","2146","Clover","Medicare Advantage","",,"54",,"2326.26","1570.87","3326.3","percent of total billed charges",,
"LARYNGOSCOPY INDIRECT DIAGNOSITC","31525","HCPCS","Both",,,"4292","2146","Wellcare","Medicare Advantage","",,"54",,"2326.26","1570.87","3326.3","percent of total billed charges",,
"LARYNGOSCOPY INDIRECT DIAGNOSITC","31525","HCPCS","Both",,,"4292","2146","Amerigroup","Medicaid Managed Care","",,"37",,"1570.87","1570.87","3326.3","percent of total billed charges",,
"LARYNGOSCOPY INDIRECT DIAGNOSITC","31525","HCPCS","Both",,,"4292","2146","Caresource","Medicaid Managed Care","",,"40",,"1716.8","1570.87","3326.3","percent of total billed charges",,
"LARYNGOSCOPY INDIRECT DIAGNOSITC","31525","HCPCS","Both",,,"4292","2146","Wellcare","Medicaid Managed Care","",,"40",,"1738.26","1570.87","3326.3","percent of total billed charges",,
"LARYNGOSCOPY INDIRECT DIAGNOSITC","31525","HCPCS","Both",,,"4292","2146","Aetna","Commercial","",,"64",,"2738.3","1570.87","3326.3","percent of total billed charges",,
"LARYNGOSCOPY INDIRECT DIAGNOSITC","31525","HCPCS","Both",,,"4292","2146","Blue Cross Blue Shield","Pathways","",,"71",,"3030.15","1570.87","3326.3","percent of total billed charges",,
"LARYNGOSCOPY INDIRECT DIAGNOSITC","31525","HCPCS","Both",,,"4292","2146","Blue Cross Blue Shield","HMO","",,"71",,"3030.15","1570.87","3326.3","percent of total billed charges",,
"LARYNGOSCOPY INDIRECT DIAGNOSITC","31525","HCPCS","Both",,,"4292","2146","Blue Cross Blue Shield","PPO","",,"71",,"3030.15","1570.87","3326.3","percent of total billed charges",,
"LARYNGOSCOPY INDIRECT DIAGNOSITC","31525","HCPCS","Both",,,"4292","2146","Ambetter","Health Exchange","",,"62",,"2661.04","1570.87","3326.3","percent of total billed charges",,
"LARYNGOSCOPY INDIRECT DIAGNOSITC","31525","HCPCS","Both",,,"4292","2146","Caresource","Health Exchange","",,"62",,"2661.04","1570.87","3326.3","percent of total billed charges",,
"LARYNGOSCOPY INDIRECT DIAGNOSITC","31525","HCPCS","Both",,,"4292","2146","Cigna","Commercial","",,"59",,"2515.11","1570.87","3326.3","percent of total billed charges",,
"LARYNGOSCOPY INDIRECT DIAGNOSITC","31525","HCPCS","Both",,,"4292","2146","Humana","Commercial","",,"78",,"3326.3","1570.87","3326.3","percent of total billed charges",,
"LARYNGOSCOPY INDIRECT DIAGNOSITC","31525","HCPCS","Both",,,"4292","2146","UHC","Commercial","",,"75",,"3236.17","1570.87","3326.3","percent of total billed charges",,
"LARYNGOSCOPY INDIRECT DIAGNOSITC","31525","HCPCS","Both",,,"4292","2146","Medicaid",,"",,"37",,"1570.87","1570.87","3326.3","percent of total billed charges",,
"REPAIR BLOOD VESSEL DIRECT HAND FINGER","35207","HCPCS","Both",,,"7368.5","3684.25","Alliant","Health Exchange","",,"62",,"4568.47","2696.87","5710.59","percent of total billed charges",,
"REPAIR BLOOD VESSEL DIRECT HAND FINGER","35207","HCPCS","Both",,,"7368.5","3684.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"3978.99","2696.87","5710.59","percent of total billed charges",,
"REPAIR BLOOD VESSEL DIRECT HAND FINGER","35207","HCPCS","Both",,,"7368.5","3684.25","Medicare",,"",,"54",,"3993.73","2696.87","5710.59","percent of total billed charges",,
"REPAIR BLOOD VESSEL DIRECT HAND FINGER","35207","HCPCS","Both",,,"7368.5","3684.25","Humana","Medicare Advantage","",,"54",,"3993.73","2696.87","5710.59","percent of total billed charges",,
"REPAIR BLOOD VESSEL DIRECT HAND FINGER","35207","HCPCS","Both",,,"7368.5","3684.25","UHC","Medicare Advantage","",,"54",,"3993.73","2696.87","5710.59","percent of total billed charges",,
"REPAIR BLOOD VESSEL DIRECT HAND FINGER","35207","HCPCS","Both",,,"7368.5","3684.25","Clover","Medicare Advantage","",,"54",,"3993.73","2696.87","5710.59","percent of total billed charges",,
"REPAIR BLOOD VESSEL DIRECT HAND FINGER","35207","HCPCS","Both",,,"7368.5","3684.25","Wellcare","Medicare Advantage","",,"54",,"3993.73","2696.87","5710.59","percent of total billed charges",,
"REPAIR BLOOD VESSEL DIRECT HAND FINGER","35207","HCPCS","Both",,,"7368.5","3684.25","Amerigroup","Medicaid Managed Care","",,"37",,"2696.87","2696.87","5710.59","percent of total billed charges",,
"REPAIR BLOOD VESSEL DIRECT HAND FINGER","35207","HCPCS","Both",,,"7368.5","3684.25","Caresource","Medicaid Managed Care","",,"40",,"2947.4","2696.87","5710.59","percent of total billed charges",,
"REPAIR BLOOD VESSEL DIRECT HAND FINGER","35207","HCPCS","Both",,,"7368.5","3684.25","Wellcare","Medicaid Managed Care","",,"40",,"2984.24","2696.87","5710.59","percent of total billed charges",,
"REPAIR BLOOD VESSEL DIRECT HAND FINGER","35207","HCPCS","Both",,,"7368.5","3684.25","Aetna","Commercial","",,"64",,"4701.1","2696.87","5710.59","percent of total billed charges",,
"REPAIR BLOOD VESSEL DIRECT HAND FINGER","35207","HCPCS","Both",,,"7368.5","3684.25","Blue Cross Blue Shield","Pathways","",,"71",,"5202.16","2696.87","5710.59","percent of total billed charges",,
"REPAIR BLOOD VESSEL DIRECT HAND FINGER","35207","HCPCS","Both",,,"7368.5","3684.25","Blue Cross Blue Shield","HMO","",,"71",,"5202.16","2696.87","5710.59","percent of total billed charges",,
"REPAIR BLOOD VESSEL DIRECT HAND FINGER","35207","HCPCS","Both",,,"7368.5","3684.25","Blue Cross Blue Shield","PPO","",,"71",,"5202.16","2696.87","5710.59","percent of total billed charges",,
"REPAIR BLOOD VESSEL DIRECT HAND FINGER","35207","HCPCS","Both",,,"7368.5","3684.25","Ambetter","Health Exchange","",,"62",,"4568.47","2696.87","5710.59","percent of total billed charges",,
"REPAIR BLOOD VESSEL DIRECT HAND FINGER","35207","HCPCS","Both",,,"7368.5","3684.25","Caresource","Health Exchange","",,"62",,"4568.47","2696.87","5710.59","percent of total billed charges",,
"REPAIR BLOOD VESSEL DIRECT HAND FINGER","35207","HCPCS","Both",,,"7368.5","3684.25","Cigna","Commercial","",,"59",,"4317.94","2696.87","5710.59","percent of total billed charges",,
"REPAIR BLOOD VESSEL DIRECT HAND FINGER","35207","HCPCS","Both",,,"7368.5","3684.25","Humana","Commercial","",,"78",,"5710.59","2696.87","5710.59","percent of total billed charges",,
"REPAIR BLOOD VESSEL DIRECT HAND FINGER","35207","HCPCS","Both",,,"7368.5","3684.25","UHC","Commercial","",,"75",,"5555.85","2696.87","5710.59","percent of total billed charges",,
"REPAIR BLOOD VESSEL DIRECT HAND FINGER","35207","HCPCS","Both",,,"7368.5","3684.25","Medicaid",,"",,"37",,"2696.87","2696.87","5710.59","percent of total billed charges",,
"REPAIR BLOOD VESSEL, LOWER EXTREMITY","35226","HCPCS","Both",,,"1823","911.5","Alliant","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"REPAIR BLOOD VESSEL, LOWER EXTREMITY","35226","HCPCS","Both",,,"1823","911.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"984.42","667.22","1412.82","percent of total billed charges",,
"REPAIR BLOOD VESSEL, LOWER EXTREMITY","35226","HCPCS","Both",,,"1823","911.5","Medicare",,"",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"REPAIR BLOOD VESSEL, LOWER EXTREMITY","35226","HCPCS","Both",,,"1823","911.5","Humana","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"REPAIR BLOOD VESSEL, LOWER EXTREMITY","35226","HCPCS","Both",,,"1823","911.5","UHC","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"REPAIR BLOOD VESSEL, LOWER EXTREMITY","35226","HCPCS","Both",,,"1823","911.5","Clover","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"REPAIR BLOOD VESSEL, LOWER EXTREMITY","35226","HCPCS","Both",,,"1823","911.5","Wellcare","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"REPAIR BLOOD VESSEL, LOWER EXTREMITY","35226","HCPCS","Both",,,"1823","911.5","Amerigroup","Medicaid Managed Care","",,"37",,"667.22","667.22","1412.82","percent of total billed charges",,
"REPAIR BLOOD VESSEL, LOWER EXTREMITY","35226","HCPCS","Both",,,"1823","911.5","Caresource","Medicaid Managed Care","",,"40",,"729.2","667.22","1412.82","percent of total billed charges",,
"REPAIR BLOOD VESSEL, LOWER EXTREMITY","35226","HCPCS","Both",,,"1823","911.5","Wellcare","Medicaid Managed Care","",,"40",,"738.32","667.22","1412.82","percent of total billed charges",,
"REPAIR BLOOD VESSEL, LOWER EXTREMITY","35226","HCPCS","Both",,,"1823","911.5","Aetna","Commercial","",,"64",,"1163.07","667.22","1412.82","percent of total billed charges",,
"REPAIR BLOOD VESSEL, LOWER EXTREMITY","35226","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","Pathways","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"REPAIR BLOOD VESSEL, LOWER EXTREMITY","35226","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","HMO","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"REPAIR BLOOD VESSEL, LOWER EXTREMITY","35226","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","PPO","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"REPAIR BLOOD VESSEL, LOWER EXTREMITY","35226","HCPCS","Both",,,"1823","911.5","Ambetter","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"REPAIR BLOOD VESSEL, LOWER EXTREMITY","35226","HCPCS","Both",,,"1823","911.5","Caresource","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"REPAIR BLOOD VESSEL, LOWER EXTREMITY","35226","HCPCS","Both",,,"1823","911.5","Cigna","Commercial","",,"59",,"1068.28","667.22","1412.82","percent of total billed charges",,
"REPAIR BLOOD VESSEL, LOWER EXTREMITY","35226","HCPCS","Both",,,"1823","911.5","Humana","Commercial","",,"78",,"1412.82","667.22","1412.82","percent of total billed charges",,
"REPAIR BLOOD VESSEL, LOWER EXTREMITY","35226","HCPCS","Both",,,"1823","911.5","UHC","Commercial","",,"75",,"1374.54","667.22","1412.82","percent of total billed charges",,
"REPAIR BLOOD VESSEL, LOWER EXTREMITY","35226","HCPCS","Both",,,"1823","911.5","Medicaid",,"",,"37",,"667.22","667.22","1412.82","percent of total billed charges",,
"PLACEMENT OF NEEDLE INTRAOSSEOUS INFUSIO","36680","HCPCS","Both",,,"384","192","Alliant","Health Exchange","",,"62",,"238.08","140.54","297.6","percent of total billed charges",,
"PLACEMENT OF NEEDLE INTRAOSSEOUS INFUSIO","36680","HCPCS","Both",,,"384","192","Pruitt Healthcare","Medicare Advantage","",,"54",,"207.36","140.54","297.6","percent of total billed charges",,
"PLACEMENT OF NEEDLE INTRAOSSEOUS INFUSIO","36680","HCPCS","Both",,,"384","192","Medicare",,"",,"54",,"208.13","140.54","297.6","percent of total billed charges",,
"PLACEMENT OF NEEDLE INTRAOSSEOUS INFUSIO","36680","HCPCS","Both",,,"384","192","Humana","Medicare Advantage","",,"54",,"208.13","140.54","297.6","percent of total billed charges",,
"PLACEMENT OF NEEDLE INTRAOSSEOUS INFUSIO","36680","HCPCS","Both",,,"384","192","UHC","Medicare Advantage","",,"54",,"208.13","140.54","297.6","percent of total billed charges",,
"PLACEMENT OF NEEDLE INTRAOSSEOUS INFUSIO","36680","HCPCS","Both",,,"384","192","Clover","Medicare Advantage","",,"54",,"208.13","140.54","297.6","percent of total billed charges",,
"PLACEMENT OF NEEDLE INTRAOSSEOUS INFUSIO","36680","HCPCS","Both",,,"384","192","Wellcare","Medicare Advantage","",,"54",,"208.13","140.54","297.6","percent of total billed charges",,
"PLACEMENT OF NEEDLE INTRAOSSEOUS INFUSIO","36680","HCPCS","Both",,,"384","192","Amerigroup","Medicaid Managed Care","",,"37",,"140.54","140.54","297.6","percent of total billed charges",,
"PLACEMENT OF NEEDLE INTRAOSSEOUS INFUSIO","36680","HCPCS","Both",,,"384","192","Caresource","Medicaid Managed Care","",,"40",,"153.6","140.54","297.6","percent of total billed charges",,
"PLACEMENT OF NEEDLE INTRAOSSEOUS INFUSIO","36680","HCPCS","Both",,,"384","192","Wellcare","Medicaid Managed Care","",,"40",,"155.52","140.54","297.6","percent of total billed charges",,
"PLACEMENT OF NEEDLE INTRAOSSEOUS INFUSIO","36680","HCPCS","Both",,,"384","192","Aetna","Commercial","",,"64",,"244.99","140.54","297.6","percent of total billed charges",,
"PLACEMENT OF NEEDLE INTRAOSSEOUS INFUSIO","36680","HCPCS","Both",,,"384","192","Blue Cross Blue Shield","Pathways","",,"71",,"271.1","140.54","297.6","percent of total billed charges",,
"PLACEMENT OF NEEDLE INTRAOSSEOUS INFUSIO","36680","HCPCS","Both",,,"384","192","Blue Cross Blue Shield","HMO","",,"71",,"271.1","140.54","297.6","percent of total billed charges",,
"PLACEMENT OF NEEDLE INTRAOSSEOUS INFUSIO","36680","HCPCS","Both",,,"384","192","Blue Cross Blue Shield","PPO","",,"71",,"271.1","140.54","297.6","percent of total billed charges",,
"PLACEMENT OF NEEDLE INTRAOSSEOUS INFUSIO","36680","HCPCS","Both",,,"384","192","Ambetter","Health Exchange","",,"62",,"238.08","140.54","297.6","percent of total billed charges",,
"PLACEMENT OF NEEDLE INTRAOSSEOUS INFUSIO","36680","HCPCS","Both",,,"384","192","Caresource","Health Exchange","",,"62",,"238.08","140.54","297.6","percent of total billed charges",,
"PLACEMENT OF NEEDLE INTRAOSSEOUS INFUSIO","36680","HCPCS","Both",,,"384","192","Cigna","Commercial","",,"59",,"225.02","140.54","297.6","percent of total billed charges",,
"PLACEMENT OF NEEDLE INTRAOSSEOUS INFUSIO","36680","HCPCS","Both",,,"384","192","Humana","Commercial","",,"78",,"297.6","140.54","297.6","percent of total billed charges",,
"PLACEMENT OF NEEDLE INTRAOSSEOUS INFUSIO","36680","HCPCS","Both",,,"384","192","UHC","Commercial","",,"75",,"289.54","140.54","297.6","percent of total billed charges",,
"PLACEMENT OF NEEDLE INTRAOSSEOUS INFUSIO","36680","HCPCS","Both",,,"384","192","Medicaid",,"",,"37",,"140.54","140.54","297.6","percent of total billed charges",,
"THROMBOLYSIS CEREBRAL BY IV INFUSION","37195","HCPCS","Both",,,"130","65","Alliant","Health Exchange","",,"62",,"80.6","47.58","100.75","percent of total billed charges",,
"THROMBOLYSIS CEREBRAL BY IV INFUSION","37195","HCPCS","Both",,,"130","65","Pruitt Healthcare","Medicare Advantage","",,"54",,"70.2","47.58","100.75","percent of total billed charges",,
"THROMBOLYSIS CEREBRAL BY IV INFUSION","37195","HCPCS","Both",,,"130","65","Medicare",,"",,"54",,"70.46","47.58","100.75","percent of total billed charges",,
"THROMBOLYSIS CEREBRAL BY IV INFUSION","37195","HCPCS","Both",,,"130","65","Humana","Medicare Advantage","",,"54",,"70.46","47.58","100.75","percent of total billed charges",,
"THROMBOLYSIS CEREBRAL BY IV INFUSION","37195","HCPCS","Both",,,"130","65","UHC","Medicare Advantage","",,"54",,"70.46","47.58","100.75","percent of total billed charges",,
"THROMBOLYSIS CEREBRAL BY IV INFUSION","37195","HCPCS","Both",,,"130","65","Clover","Medicare Advantage","",,"54",,"70.46","47.58","100.75","percent of total billed charges",,
"THROMBOLYSIS CEREBRAL BY IV INFUSION","37195","HCPCS","Both",,,"130","65","Wellcare","Medicare Advantage","",,"54",,"70.46","47.58","100.75","percent of total billed charges",,
"THROMBOLYSIS CEREBRAL BY IV INFUSION","37195","HCPCS","Both",,,"130","65","Amerigroup","Medicaid Managed Care","",,"37",,"47.58","47.58","100.75","percent of total billed charges",,
"THROMBOLYSIS CEREBRAL BY IV INFUSION","37195","HCPCS","Both",,,"130","65","Caresource","Medicaid Managed Care","",,"40",,"52","47.58","100.75","percent of total billed charges",,
"THROMBOLYSIS CEREBRAL BY IV INFUSION","37195","HCPCS","Both",,,"130","65","Wellcare","Medicaid Managed Care","",,"40",,"52.65","47.58","100.75","percent of total billed charges",,
"THROMBOLYSIS CEREBRAL BY IV INFUSION","37195","HCPCS","Both",,,"130","65","Aetna","Commercial","",,"64",,"82.94","47.58","100.75","percent of total billed charges",,
"THROMBOLYSIS CEREBRAL BY IV INFUSION","37195","HCPCS","Both",,,"130","65","Blue Cross Blue Shield","Pathways","",,"71",,"91.78","47.58","100.75","percent of total billed charges",,
"THROMBOLYSIS CEREBRAL BY IV INFUSION","37195","HCPCS","Both",,,"130","65","Blue Cross Blue Shield","HMO","",,"71",,"91.78","47.58","100.75","percent of total billed charges",,
"THROMBOLYSIS CEREBRAL BY IV INFUSION","37195","HCPCS","Both",,,"130","65","Blue Cross Blue Shield","PPO","",,"71",,"91.78","47.58","100.75","percent of total billed charges",,
"THROMBOLYSIS CEREBRAL BY IV INFUSION","37195","HCPCS","Both",,,"130","65","Ambetter","Health Exchange","",,"62",,"80.6","47.58","100.75","percent of total billed charges",,
"THROMBOLYSIS CEREBRAL BY IV INFUSION","37195","HCPCS","Both",,,"130","65","Caresource","Health Exchange","",,"62",,"80.6","47.58","100.75","percent of total billed charges",,
"THROMBOLYSIS CEREBRAL BY IV INFUSION","37195","HCPCS","Both",,,"130","65","Cigna","Commercial","",,"59",,"76.18","47.58","100.75","percent of total billed charges",,
"THROMBOLYSIS CEREBRAL BY IV INFUSION","37195","HCPCS","Both",,,"130","65","Humana","Commercial","",,"78",,"100.75","47.58","100.75","percent of total billed charges",,
"THROMBOLYSIS CEREBRAL BY IV INFUSION","37195","HCPCS","Both",,,"130","65","UHC","Commercial","",,"75",,"98.02","47.58","100.75","percent of total billed charges",,
"THROMBOLYSIS CEREBRAL BY IV INFUSION","37195","HCPCS","Both",,,"130","65","Medicaid",,"",,"37",,"47.58","47.58","100.75","percent of total billed charges",,
"TRANSCATHETER THERAPY, INFUSION THROMBOL","37200","HCPCS","Both",,,"3220","1610","Alliant","Health Exchange","",,"62",,"1996.4","1178.52","2495.5","percent of total billed charges",,
"TRANSCATHETER THERAPY, INFUSION THROMBOL","37200","HCPCS","Both",,,"3220","1610","Pruitt Healthcare","Medicare Advantage","",,"54",,"1738.8","1178.52","2495.5","percent of total billed charges",,
"TRANSCATHETER THERAPY, INFUSION THROMBOL","37200","HCPCS","Both",,,"3220","1610","Medicare",,"",,"54",,"1745.24","1178.52","2495.5","percent of total billed charges",,
"TRANSCATHETER THERAPY, INFUSION THROMBOL","37200","HCPCS","Both",,,"3220","1610","Humana","Medicare Advantage","",,"54",,"1745.24","1178.52","2495.5","percent of total billed charges",,
"TRANSCATHETER THERAPY, INFUSION THROMBOL","37200","HCPCS","Both",,,"3220","1610","UHC","Medicare Advantage","",,"54",,"1745.24","1178.52","2495.5","percent of total billed charges",,
"TRANSCATHETER THERAPY, INFUSION THROMBOL","37200","HCPCS","Both",,,"3220","1610","Clover","Medicare Advantage","",,"54",,"1745.24","1178.52","2495.5","percent of total billed charges",,
"TRANSCATHETER THERAPY, INFUSION THROMBOL","37200","HCPCS","Both",,,"3220","1610","Wellcare","Medicare Advantage","",,"54",,"1745.24","1178.52","2495.5","percent of total billed charges",,
"TRANSCATHETER THERAPY, INFUSION THROMBOL","37200","HCPCS","Both",,,"3220","1610","Amerigroup","Medicaid Managed Care","",,"37",,"1178.52","1178.52","2495.5","percent of total billed charges",,
"TRANSCATHETER THERAPY, INFUSION THROMBOL","37200","HCPCS","Both",,,"3220","1610","Caresource","Medicaid Managed Care","",,"40",,"1288","1178.52","2495.5","percent of total billed charges",,
"TRANSCATHETER THERAPY, INFUSION THROMBOL","37200","HCPCS","Both",,,"3220","1610","Wellcare","Medicaid Managed Care","",,"40",,"1304.1","1178.52","2495.5","percent of total billed charges",,
"TRANSCATHETER THERAPY, INFUSION THROMBOL","37200","HCPCS","Both",,,"3220","1610","Aetna","Commercial","",,"64",,"2054.36","1178.52","2495.5","percent of total billed charges",,
"TRANSCATHETER THERAPY, INFUSION THROMBOL","37200","HCPCS","Both",,,"3220","1610","Blue Cross Blue Shield","Pathways","",,"71",,"2273.32","1178.52","2495.5","percent of total billed charges",,
"TRANSCATHETER THERAPY, INFUSION THROMBOL","37200","HCPCS","Both",,,"3220","1610","Blue Cross Blue Shield","HMO","",,"71",,"2273.32","1178.52","2495.5","percent of total billed charges",,
"TRANSCATHETER THERAPY, INFUSION THROMBOL","37200","HCPCS","Both",,,"3220","1610","Blue Cross Blue Shield","PPO","",,"71",,"2273.32","1178.52","2495.5","percent of total billed charges",,
"TRANSCATHETER THERAPY, INFUSION THROMBOL","37200","HCPCS","Both",,,"3220","1610","Ambetter","Health Exchange","",,"62",,"1996.4","1178.52","2495.5","percent of total billed charges",,
"TRANSCATHETER THERAPY, INFUSION THROMBOL","37200","HCPCS","Both",,,"3220","1610","Caresource","Health Exchange","",,"62",,"1996.4","1178.52","2495.5","percent of total billed charges",,
"TRANSCATHETER THERAPY, INFUSION THROMBOL","37200","HCPCS","Both",,,"3220","1610","Cigna","Commercial","",,"59",,"1886.92","1178.52","2495.5","percent of total billed charges",,
"TRANSCATHETER THERAPY, INFUSION THROMBOL","37200","HCPCS","Both",,,"3220","1610","Humana","Commercial","",,"78",,"2495.5","1178.52","2495.5","percent of total billed charges",,
"TRANSCATHETER THERAPY, INFUSION THROMBOL","37200","HCPCS","Both",,,"3220","1610","UHC","Commercial","",,"75",,"2427.88","1178.52","2495.5","percent of total billed charges",,
"TRANSCATHETER THERAPY, INFUSION THROMBOL","37200","HCPCS","Both",,,"3220","1610","Medicaid",,"",,"37",,"1178.52","1178.52","2495.5","percent of total billed charges",,
"NEUROMUSCULAR REEDUCATION @ 15 MINS","97112","HCPCS","Both",,,"163","81.5","Alliant","Health Exchange","GN",,"62",,"101.06","59.66","214.75","percent of total billed charges",,
"NEUROMUSCULAR REEDUCATION @ 15 MINS","97112","HCPCS","Both",,,"163","81.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"88.02","59.66","214.75","percent of total billed charges",,
"NEUROMUSCULAR REEDUCATION @ 15 MINS","97112","HCPCS","Both",,,"163","81.5","Medicare",,"GN",,"54",,"88.35","59.66","214.75","percent of total billed charges",,
"NEUROMUSCULAR REEDUCATION @ 15 MINS","97112","HCPCS","Both",,,"163","81.5","Humana","Medicare Advantage","GN",,"54",,"88.35","59.66","214.75","percent of total billed charges",,
"NEUROMUSCULAR REEDUCATION @ 15 MINS","97112","HCPCS","Both",,,"163","81.5","UHC","Medicare Advantage","GN",,"54",,"88.35","59.66","214.75","percent of total billed charges",,
"NEUROMUSCULAR REEDUCATION @ 15 MINS","97112","HCPCS","Both",,,"163","81.5","Clover","Medicare Advantage","GN",,"54",,"88.35","59.66","214.75","percent of total billed charges",,
"NEUROMUSCULAR REEDUCATION @ 15 MINS","97112","HCPCS","Both",,,"163","81.5","Wellcare","Medicare Advantage","GN",,"54",,"88.35","59.66","214.75","percent of total billed charges",,
"NEUROMUSCULAR REEDUCATION @ 15 MINS","97112","HCPCS","Both",,,"163","81.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"59.66","59.66","214.75","percent of total billed charges",,
"NEUROMUSCULAR REEDUCATION @ 15 MINS","97112","HCPCS","Both",,,"163","81.5","Caresource","Medicaid Managed Care","GN",,"40",,"65.2","59.66","214.75","percent of total billed charges",,
"NEUROMUSCULAR REEDUCATION @ 15 MINS","97112","HCPCS","Both",,,"163","81.5","Wellcare","Medicaid Managed Care","GN",,"40",,"66.02","59.66","214.75","percent of total billed charges",,
"NEUROMUSCULAR REEDUCATION @ 15 MINS","97112","HCPCS","Both",,,"163","81.5","Aetna","Commercial","GN",,"64",,"103.99","59.66","214.75","percent of total billed charges",,
"NEUROMUSCULAR REEDUCATION @ 15 MINS","97112","HCPCS","Both",,,"163","81.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"115.08","59.66","214.75","percent of total billed charges",,
"NEUROMUSCULAR REEDUCATION @ 15 MINS","97112","HCPCS","Both",,,"163","81.5","Blue Cross Blue Shield","HMO","GN",,"71",,"115.08","59.66","214.75","percent of total billed charges",,
"NEUROMUSCULAR REEDUCATION @ 15 MINS","97112","HCPCS","Both",,,"163","81.5","Blue Cross Blue Shield","PPO","GN",,"71",,"115.08","59.66","214.75","percent of total billed charges",,
"NEUROMUSCULAR REEDUCATION @ 15 MINS","97112","HCPCS","Both",,,"163","81.5","Ambetter","Health Exchange","GN",,"62",,"101.06","59.66","214.75","percent of total billed charges",,
"NEUROMUSCULAR REEDUCATION @ 15 MINS","97112","HCPCS","Both",,,"163","81.5","Caresource","Health Exchange","GN",,"62",,"101.06","59.66","214.75","percent of total billed charges",,
"NEUROMUSCULAR REEDUCATION @ 15 MINS","97112","HCPCS","Both",,,"163","81.5","Cigna","Commercial","GN",,"59",,"95.52","59.66","214.75","percent of total billed charges",,
"NEUROMUSCULAR REEDUCATION @ 15 MINS","97112","HCPCS","Both",,,"163","81.5","Humana","Commercial","GN",,"78",,"126.32","59.66","214.75","percent of total billed charges",,
"NEUROMUSCULAR REEDUCATION @ 15 MINS","97112","HCPCS","Both",,,"163","81.5","UHC","Commercial","GN",,"75",,"122.9","59.66","214.75","percent of total billed charges",,
"NEUROMUSCULAR REEDUCATION @ 15 MINS","97112","HCPCS","Both",,,"163","81.5","Medicaid",,"GN",,"37",,"59.66","59.66","214.75","percent of total billed charges",,
"REPAIR LAC 2.5cm OR LESS, MOUTH","41250","HCPCS","Both",,,"244","122","Alliant","Health Exchange","",,"62",,"151.28","89.3","189.1","percent of total billed charges",,
"REPAIR LAC 2.5cm OR LESS, MOUTH","41250","HCPCS","Both",,,"244","122","Pruitt Healthcare","Medicare Advantage","",,"54",,"131.76","89.3","189.1","percent of total billed charges",,
"REPAIR LAC 2.5cm OR LESS, MOUTH","41250","HCPCS","Both",,,"244","122","Medicare",,"",,"54",,"132.25","89.3","189.1","percent of total billed charges",,
"REPAIR LAC 2.5cm OR LESS, MOUTH","41250","HCPCS","Both",,,"244","122","Humana","Medicare Advantage","",,"54",,"132.25","89.3","189.1","percent of total billed charges",,
"REPAIR LAC 2.5cm OR LESS, MOUTH","41250","HCPCS","Both",,,"244","122","UHC","Medicare Advantage","",,"54",,"132.25","89.3","189.1","percent of total billed charges",,
"REPAIR LAC 2.5cm OR LESS, MOUTH","41250","HCPCS","Both",,,"244","122","Clover","Medicare Advantage","",,"54",,"132.25","89.3","189.1","percent of total billed charges",,
"REPAIR LAC 2.5cm OR LESS, MOUTH","41250","HCPCS","Both",,,"244","122","Wellcare","Medicare Advantage","",,"54",,"132.25","89.3","189.1","percent of total billed charges",,
"REPAIR LAC 2.5cm OR LESS, MOUTH","41250","HCPCS","Both",,,"244","122","Amerigroup","Medicaid Managed Care","",,"37",,"89.3","89.3","189.1","percent of total billed charges",,
"REPAIR LAC 2.5cm OR LESS, MOUTH","41250","HCPCS","Both",,,"244","122","Caresource","Medicaid Managed Care","",,"40",,"97.6","89.3","189.1","percent of total billed charges",,
"REPAIR LAC 2.5cm OR LESS, MOUTH","41250","HCPCS","Both",,,"244","122","Wellcare","Medicaid Managed Care","",,"40",,"98.82","89.3","189.1","percent of total billed charges",,
"REPAIR LAC 2.5cm OR LESS, MOUTH","41250","HCPCS","Both",,,"244","122","Aetna","Commercial","",,"64",,"155.67","89.3","189.1","percent of total billed charges",,
"REPAIR LAC 2.5cm OR LESS, MOUTH","41250","HCPCS","Both",,,"244","122","Blue Cross Blue Shield","Pathways","",,"71",,"172.26","89.3","189.1","percent of total billed charges",,
"REPAIR LAC 2.5cm OR LESS, MOUTH","41250","HCPCS","Both",,,"244","122","Blue Cross Blue Shield","HMO","",,"71",,"172.26","89.3","189.1","percent of total billed charges",,
"REPAIR LAC 2.5cm OR LESS, MOUTH","41250","HCPCS","Both",,,"244","122","Blue Cross Blue Shield","PPO","",,"71",,"172.26","89.3","189.1","percent of total billed charges",,
"REPAIR LAC 2.5cm OR LESS, MOUTH","41250","HCPCS","Both",,,"244","122","Ambetter","Health Exchange","",,"62",,"151.28","89.3","189.1","percent of total billed charges",,
"REPAIR LAC 2.5cm OR LESS, MOUTH","41250","HCPCS","Both",,,"244","122","Caresource","Health Exchange","",,"62",,"151.28","89.3","189.1","percent of total billed charges",,
"REPAIR LAC 2.5cm OR LESS, MOUTH","41250","HCPCS","Both",,,"244","122","Cigna","Commercial","",,"59",,"142.98","89.3","189.1","percent of total billed charges",,
"REPAIR LAC 2.5cm OR LESS, MOUTH","41250","HCPCS","Both",,,"244","122","Humana","Commercial","",,"78",,"189.1","89.3","189.1","percent of total billed charges",,
"REPAIR LAC 2.5cm OR LESS, MOUTH","41250","HCPCS","Both",,,"244","122","UHC","Commercial","",,"75",,"183.98","89.3","189.1","percent of total billed charges",,
"REPAIR LAC 2.5cm OR LESS, MOUTH","41250","HCPCS","Both",,,"244","122","Medicaid",,"",,"37",,"89.3","89.3","189.1","percent of total billed charges",,
"DRAINAGE ABSCESS CYST HEMATOMA DENTOALV","41800","HCPCS","Both",,,"182.5","91.25","Alliant","Health Exchange","",,"62",,"113.15","66.8","141.44","percent of total billed charges",,
"DRAINAGE ABSCESS CYST HEMATOMA DENTOALV","41800","HCPCS","Both",,,"182.5","91.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"98.55","66.8","141.44","percent of total billed charges",,
"DRAINAGE ABSCESS CYST HEMATOMA DENTOALV","41800","HCPCS","Both",,,"182.5","91.25","Medicare",,"",,"54",,"98.92","66.8","141.44","percent of total billed charges",,
"DRAINAGE ABSCESS CYST HEMATOMA DENTOALV","41800","HCPCS","Both",,,"182.5","91.25","Humana","Medicare Advantage","",,"54",,"98.92","66.8","141.44","percent of total billed charges",,
"DRAINAGE ABSCESS CYST HEMATOMA DENTOALV","41800","HCPCS","Both",,,"182.5","91.25","UHC","Medicare Advantage","",,"54",,"98.92","66.8","141.44","percent of total billed charges",,
"DRAINAGE ABSCESS CYST HEMATOMA DENTOALV","41800","HCPCS","Both",,,"182.5","91.25","Clover","Medicare Advantage","",,"54",,"98.92","66.8","141.44","percent of total billed charges",,
"DRAINAGE ABSCESS CYST HEMATOMA DENTOALV","41800","HCPCS","Both",,,"182.5","91.25","Wellcare","Medicare Advantage","",,"54",,"98.92","66.8","141.44","percent of total billed charges",,
"DRAINAGE ABSCESS CYST HEMATOMA DENTOALV","41800","HCPCS","Both",,,"182.5","91.25","Amerigroup","Medicaid Managed Care","",,"37",,"66.8","66.8","141.44","percent of total billed charges",,
"DRAINAGE ABSCESS CYST HEMATOMA DENTOALV","41800","HCPCS","Both",,,"182.5","91.25","Caresource","Medicaid Managed Care","",,"40",,"73","66.8","141.44","percent of total billed charges",,
"DRAINAGE ABSCESS CYST HEMATOMA DENTOALV","41800","HCPCS","Both",,,"182.5","91.25","Wellcare","Medicaid Managed Care","",,"40",,"73.91","66.8","141.44","percent of total billed charges",,
"DRAINAGE ABSCESS CYST HEMATOMA DENTOALV","41800","HCPCS","Both",,,"182.5","91.25","Aetna","Commercial","",,"64",,"116.44","66.8","141.44","percent of total billed charges",,
"DRAINAGE ABSCESS CYST HEMATOMA DENTOALV","41800","HCPCS","Both",,,"182.5","91.25","Blue Cross Blue Shield","Pathways","",,"71",,"128.84","66.8","141.44","percent of total billed charges",,
"DRAINAGE ABSCESS CYST HEMATOMA DENTOALV","41800","HCPCS","Both",,,"182.5","91.25","Blue Cross Blue Shield","HMO","",,"71",,"128.84","66.8","141.44","percent of total billed charges",,
"DRAINAGE ABSCESS CYST HEMATOMA DENTOALV","41800","HCPCS","Both",,,"182.5","91.25","Blue Cross Blue Shield","PPO","",,"71",,"128.84","66.8","141.44","percent of total billed charges",,
"DRAINAGE ABSCESS CYST HEMATOMA DENTOALV","41800","HCPCS","Both",,,"182.5","91.25","Ambetter","Health Exchange","",,"62",,"113.15","66.8","141.44","percent of total billed charges",,
"DRAINAGE ABSCESS CYST HEMATOMA DENTOALV","41800","HCPCS","Both",,,"182.5","91.25","Caresource","Health Exchange","",,"62",,"113.15","66.8","141.44","percent of total billed charges",,
"DRAINAGE ABSCESS CYST HEMATOMA DENTOALV","41800","HCPCS","Both",,,"182.5","91.25","Cigna","Commercial","",,"59",,"106.94","66.8","141.44","percent of total billed charges",,
"DRAINAGE ABSCESS CYST HEMATOMA DENTOALV","41800","HCPCS","Both",,,"182.5","91.25","Humana","Commercial","",,"78",,"141.44","66.8","141.44","percent of total billed charges",,
"DRAINAGE ABSCESS CYST HEMATOMA DENTOALV","41800","HCPCS","Both",,,"182.5","91.25","UHC","Commercial","",,"75",,"137.6","66.8","141.44","percent of total billed charges",,
"DRAINAGE ABSCESS CYST HEMATOMA DENTOALV","41800","HCPCS","Both",,,"182.5","91.25","Medicaid",,"",,"37",,"66.8","66.8","141.44","percent of total billed charges",,
"INCISION & DRAINAGE SUBMUCOSAL ACESS","45005","HCPCS","Both",,,"721","360.5","Alliant","Health Exchange","",,"62",,"447.02","263.89","558.78","percent of total billed charges",,
"INCISION & DRAINAGE SUBMUCOSAL ACESS","45005","HCPCS","Both",,,"721","360.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"389.34","263.89","558.78","percent of total billed charges",,
"INCISION & DRAINAGE SUBMUCOSAL ACESS","45005","HCPCS","Both",,,"721","360.5","Medicare",,"",,"54",,"390.78","263.89","558.78","percent of total billed charges",,
"INCISION & DRAINAGE SUBMUCOSAL ACESS","45005","HCPCS","Both",,,"721","360.5","Humana","Medicare Advantage","",,"54",,"390.78","263.89","558.78","percent of total billed charges",,
"INCISION & DRAINAGE SUBMUCOSAL ACESS","45005","HCPCS","Both",,,"721","360.5","UHC","Medicare Advantage","",,"54",,"390.78","263.89","558.78","percent of total billed charges",,
"INCISION & DRAINAGE SUBMUCOSAL ACESS","45005","HCPCS","Both",,,"721","360.5","Clover","Medicare Advantage","",,"54",,"390.78","263.89","558.78","percent of total billed charges",,
"INCISION & DRAINAGE SUBMUCOSAL ACESS","45005","HCPCS","Both",,,"721","360.5","Wellcare","Medicare Advantage","",,"54",,"390.78","263.89","558.78","percent of total billed charges",,
"INCISION & DRAINAGE SUBMUCOSAL ACESS","45005","HCPCS","Both",,,"721","360.5","Amerigroup","Medicaid Managed Care","",,"37",,"263.89","263.89","558.78","percent of total billed charges",,
"INCISION & DRAINAGE SUBMUCOSAL ACESS","45005","HCPCS","Both",,,"721","360.5","Caresource","Medicaid Managed Care","",,"40",,"288.4","263.89","558.78","percent of total billed charges",,
"INCISION & DRAINAGE SUBMUCOSAL ACESS","45005","HCPCS","Both",,,"721","360.5","Wellcare","Medicaid Managed Care","",,"40",,"292","263.89","558.78","percent of total billed charges",,
"INCISION & DRAINAGE SUBMUCOSAL ACESS","45005","HCPCS","Both",,,"721","360.5","Aetna","Commercial","",,"64",,"460","263.89","558.78","percent of total billed charges",,
"INCISION & DRAINAGE SUBMUCOSAL ACESS","45005","HCPCS","Both",,,"721","360.5","Blue Cross Blue Shield","Pathways","",,"71",,"509.03","263.89","558.78","percent of total billed charges",,
"INCISION & DRAINAGE SUBMUCOSAL ACESS","45005","HCPCS","Both",,,"721","360.5","Blue Cross Blue Shield","HMO","",,"71",,"509.03","263.89","558.78","percent of total billed charges",,
"INCISION & DRAINAGE SUBMUCOSAL ACESS","45005","HCPCS","Both",,,"721","360.5","Blue Cross Blue Shield","PPO","",,"71",,"509.03","263.89","558.78","percent of total billed charges",,
"INCISION & DRAINAGE SUBMUCOSAL ACESS","45005","HCPCS","Both",,,"721","360.5","Ambetter","Health Exchange","",,"62",,"447.02","263.89","558.78","percent of total billed charges",,
"INCISION & DRAINAGE SUBMUCOSAL ACESS","45005","HCPCS","Both",,,"721","360.5","Caresource","Health Exchange","",,"62",,"447.02","263.89","558.78","percent of total billed charges",,
"INCISION & DRAINAGE SUBMUCOSAL ACESS","45005","HCPCS","Both",,,"721","360.5","Cigna","Commercial","",,"59",,"422.51","263.89","558.78","percent of total billed charges",,
"INCISION & DRAINAGE SUBMUCOSAL ACESS","45005","HCPCS","Both",,,"721","360.5","Humana","Commercial","",,"78",,"558.78","263.89","558.78","percent of total billed charges",,
"INCISION & DRAINAGE SUBMUCOSAL ACESS","45005","HCPCS","Both",,,"721","360.5","UHC","Commercial","",,"75",,"543.63","263.89","558.78","percent of total billed charges",,
"INCISION & DRAINAGE SUBMUCOSAL ACESS","45005","HCPCS","Both",,,"721","360.5","Medicaid",,"",,"37",,"263.89","263.89","558.78","percent of total billed charges",,
"INCISION & DRAINAGE SUPRALEVATOR PELVI","45020","HCPCS","Both",,,"4433","2216.5","Alliant","Health Exchange","",,"62",,"2748.46","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUPRALEVATOR PELVI","45020","HCPCS","Both",,,"4433","2216.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"2393.82","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUPRALEVATOR PELVI","45020","HCPCS","Both",,,"4433","2216.5","Medicare",,"",,"54",,"2402.69","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUPRALEVATOR PELVI","45020","HCPCS","Both",,,"4433","2216.5","Humana","Medicare Advantage","",,"54",,"2402.69","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUPRALEVATOR PELVI","45020","HCPCS","Both",,,"4433","2216.5","UHC","Medicare Advantage","",,"54",,"2402.69","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUPRALEVATOR PELVI","45020","HCPCS","Both",,,"4433","2216.5","Clover","Medicare Advantage","",,"54",,"2402.69","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUPRALEVATOR PELVI","45020","HCPCS","Both",,,"4433","2216.5","Wellcare","Medicare Advantage","",,"54",,"2402.69","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUPRALEVATOR PELVI","45020","HCPCS","Both",,,"4433","2216.5","Amerigroup","Medicaid Managed Care","",,"37",,"1622.48","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUPRALEVATOR PELVI","45020","HCPCS","Both",,,"4433","2216.5","Caresource","Medicaid Managed Care","",,"40",,"1773.2","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUPRALEVATOR PELVI","45020","HCPCS","Both",,,"4433","2216.5","Wellcare","Medicaid Managed Care","",,"40",,"1795.36","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUPRALEVATOR PELVI","45020","HCPCS","Both",,,"4433","2216.5","Aetna","Commercial","",,"64",,"2828.25","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUPRALEVATOR PELVI","45020","HCPCS","Both",,,"4433","2216.5","Blue Cross Blue Shield","Pathways","",,"71",,"3129.7","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUPRALEVATOR PELVI","45020","HCPCS","Both",,,"4433","2216.5","Blue Cross Blue Shield","HMO","",,"71",,"3129.7","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUPRALEVATOR PELVI","45020","HCPCS","Both",,,"4433","2216.5","Blue Cross Blue Shield","PPO","",,"71",,"3129.7","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUPRALEVATOR PELVI","45020","HCPCS","Both",,,"4433","2216.5","Ambetter","Health Exchange","",,"62",,"2748.46","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUPRALEVATOR PELVI","45020","HCPCS","Both",,,"4433","2216.5","Caresource","Health Exchange","",,"62",,"2748.46","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUPRALEVATOR PELVI","45020","HCPCS","Both",,,"4433","2216.5","Cigna","Commercial","",,"59",,"2597.74","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUPRALEVATOR PELVI","45020","HCPCS","Both",,,"4433","2216.5","Humana","Commercial","",,"78",,"3435.58","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUPRALEVATOR PELVI","45020","HCPCS","Both",,,"4433","2216.5","UHC","Commercial","",,"75",,"3342.48","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUPRALEVATOR PELVI","45020","HCPCS","Both",,,"4433","2216.5","Medicaid",,"",,"37",,"1622.48","1622.48","3435.58","percent of total billed charges",,
"I & D PERIRECTAL ABCESS","46040","HCPCS","Both",,,"400","200","Alliant","Health Exchange","",,"62",,"248","146.4","3094.19","percent of total billed charges",,
"I & D PERIRECTAL ABCESS","46040","HCPCS","Both",,,"400","200","Pruitt Healthcare","Medicare Advantage","",,"54",,"216","146.4","3094.19","percent of total billed charges",,
"I & D PERIRECTAL ABCESS","46040","HCPCS","Both",,,"400","200","Medicare",,"",,"54",,"216.8","146.4","3094.19","percent of total billed charges",,
"I & D PERIRECTAL ABCESS","46040","HCPCS","Both",,,"400","200","Humana","Medicare Advantage","",,"54",,"216.8","146.4","3094.19","percent of total billed charges",,
"I & D PERIRECTAL ABCESS","46040","HCPCS","Both",,,"400","200","UHC","Medicare Advantage","",,"54",,"216.8","146.4","3094.19","percent of total billed charges",,
"I & D PERIRECTAL ABCESS","46040","HCPCS","Both",,,"400","200","Clover","Medicare Advantage","",,"54",,"216.8","146.4","3094.19","percent of total billed charges",,
"I & D PERIRECTAL ABCESS","46040","HCPCS","Both",,,"400","200","Wellcare","Medicare Advantage","",,"54",,"216.8","146.4","3094.19","percent of total billed charges",,
"I & D PERIRECTAL ABCESS","46040","HCPCS","Both",,,"400","200","Amerigroup","Medicaid Managed Care","",,"37",,"146.4","146.4","3094.19","percent of total billed charges",,
"I & D PERIRECTAL ABCESS","46040","HCPCS","Both",,,"400","200","Caresource","Medicaid Managed Care","",,"40",,"160","146.4","3094.19","percent of total billed charges",,
"I & D PERIRECTAL ABCESS","46040","HCPCS","Both",,,"400","200","Wellcare","Medicaid Managed Care","",,"40",,"162","146.4","3094.19","percent of total billed charges",,
"I & D PERIRECTAL ABCESS","46040","HCPCS","Both",,,"400","200","Aetna","Commercial","",,"64",,"255.2","146.4","3094.19","percent of total billed charges",,
"I & D PERIRECTAL ABCESS","46040","HCPCS","Both",,,"400","200","Blue Cross Blue Shield","Pathways","",,"71",,"282.4","146.4","3094.19","percent of total billed charges",,
"I & D PERIRECTAL ABCESS","46040","HCPCS","Both",,,"400","200","Blue Cross Blue Shield","HMO","",,"71",,"282.4","146.4","3094.19","percent of total billed charges",,
"I & D PERIRECTAL ABCESS","46040","HCPCS","Both",,,"400","200","Blue Cross Blue Shield","PPO","",,"71",,"282.4","146.4","3094.19","percent of total billed charges",,
"I & D PERIRECTAL ABCESS","46040","HCPCS","Both",,,"400","200","Ambetter","Health Exchange","",,"62",,"248","146.4","3094.19","percent of total billed charges",,
"I & D PERIRECTAL ABCESS","46040","HCPCS","Both",,,"400","200","Caresource","Health Exchange","",,"62",,"248","146.4","3094.19","percent of total billed charges",,
"I & D PERIRECTAL ABCESS","46040","HCPCS","Both",,,"400","200","Cigna","Commercial","",,"59",,"234.4","146.4","3094.19","percent of total billed charges",,
"I & D PERIRECTAL ABCESS","46040","HCPCS","Both",,,"400","200","Humana","Commercial","",,"78",,"310","146.4","3094.19","percent of total billed charges",,
"I & D PERIRECTAL ABCESS","46040","HCPCS","Both",,,"400","200","UHC","Commercial","",,"75",,"301.6","146.4","3094.19","percent of total billed charges",,
"I & D PERIRECTAL ABCESS","46040","HCPCS","Both",,,"400","200","Medicaid",,"",,"37",,"146.4","146.4","3094.19","percent of total billed charges",,
"INJECTION SCLEROSING SOLUT, HEMMORRHOID","46500","HCPCS","Both",,,"1372","686","Alliant","Health Exchange","",,"62",,"850.64","502.15","1063.3","percent of total billed charges",,
"INJECTION SCLEROSING SOLUT, HEMMORRHOID","46500","HCPCS","Both",,,"1372","686","Pruitt Healthcare","Medicare Advantage","",,"54",,"740.88","502.15","1063.3","percent of total billed charges",,
"INJECTION SCLEROSING SOLUT, HEMMORRHOID","46500","HCPCS","Both",,,"1372","686","Medicare",,"",,"54",,"743.62","502.15","1063.3","percent of total billed charges",,
"INJECTION SCLEROSING SOLUT, HEMMORRHOID","46500","HCPCS","Both",,,"1372","686","Humana","Medicare Advantage","",,"54",,"743.62","502.15","1063.3","percent of total billed charges",,
"INJECTION SCLEROSING SOLUT, HEMMORRHOID","46500","HCPCS","Both",,,"1372","686","UHC","Medicare Advantage","",,"54",,"743.62","502.15","1063.3","percent of total billed charges",,
"INJECTION SCLEROSING SOLUT, HEMMORRHOID","46500","HCPCS","Both",,,"1372","686","Clover","Medicare Advantage","",,"54",,"743.62","502.15","1063.3","percent of total billed charges",,
"INJECTION SCLEROSING SOLUT, HEMMORRHOID","46500","HCPCS","Both",,,"1372","686","Wellcare","Medicare Advantage","",,"54",,"743.62","502.15","1063.3","percent of total billed charges",,
"INJECTION SCLEROSING SOLUT, HEMMORRHOID","46500","HCPCS","Both",,,"1372","686","Amerigroup","Medicaid Managed Care","",,"37",,"502.15","502.15","1063.3","percent of total billed charges",,
"INJECTION SCLEROSING SOLUT, HEMMORRHOID","46500","HCPCS","Both",,,"1372","686","Caresource","Medicaid Managed Care","",,"40",,"548.8","502.15","1063.3","percent of total billed charges",,
"INJECTION SCLEROSING SOLUT, HEMMORRHOID","46500","HCPCS","Both",,,"1372","686","Wellcare","Medicaid Managed Care","",,"40",,"555.66","502.15","1063.3","percent of total billed charges",,
"INJECTION SCLEROSING SOLUT, HEMMORRHOID","46500","HCPCS","Both",,,"1372","686","Aetna","Commercial","",,"64",,"875.34","502.15","1063.3","percent of total billed charges",,
"INJECTION SCLEROSING SOLUT, HEMMORRHOID","46500","HCPCS","Both",,,"1372","686","Blue Cross Blue Shield","Pathways","",,"71",,"968.63","502.15","1063.3","percent of total billed charges",,
"INJECTION SCLEROSING SOLUT, HEMMORRHOID","46500","HCPCS","Both",,,"1372","686","Blue Cross Blue Shield","HMO","",,"71",,"968.63","502.15","1063.3","percent of total billed charges",,
"INJECTION SCLEROSING SOLUT, HEMMORRHOID","46500","HCPCS","Both",,,"1372","686","Blue Cross Blue Shield","PPO","",,"71",,"968.63","502.15","1063.3","percent of total billed charges",,
"INJECTION SCLEROSING SOLUT, HEMMORRHOID","46500","HCPCS","Both",,,"1372","686","Ambetter","Health Exchange","",,"62",,"850.64","502.15","1063.3","percent of total billed charges",,
"INJECTION SCLEROSING SOLUT, HEMMORRHOID","46500","HCPCS","Both",,,"1372","686","Caresource","Health Exchange","",,"62",,"850.64","502.15","1063.3","percent of total billed charges",,
"INJECTION SCLEROSING SOLUT, HEMMORRHOID","46500","HCPCS","Both",,,"1372","686","Cigna","Commercial","",,"59",,"803.99","502.15","1063.3","percent of total billed charges",,
"INJECTION SCLEROSING SOLUT, HEMMORRHOID","46500","HCPCS","Both",,,"1372","686","Humana","Commercial","",,"78",,"1063.3","502.15","1063.3","percent of total billed charges",,
"INJECTION SCLEROSING SOLUT, HEMMORRHOID","46500","HCPCS","Both",,,"1372","686","UHC","Commercial","",,"75",,"1034.49","502.15","1063.3","percent of total billed charges",,
"INJECTION SCLEROSING SOLUT, HEMMORRHOID","46500","HCPCS","Both",,,"1372","686","Medicaid",,"",,"37",,"502.15","502.15","1063.3","percent of total billed charges",,
"SUTURE, SEC, ABD WALL FOR EVIS/DEHIS","49900","HCPCS","Both",,,"1546.5","773.25","Alliant","Health Exchange","",,"62",,"958.83","566.02","1198.54","percent of total billed charges",,
"SUTURE, SEC, ABD WALL FOR EVIS/DEHIS","49900","HCPCS","Both",,,"1546.5","773.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"835.11","566.02","1198.54","percent of total billed charges",,
"SUTURE, SEC, ABD WALL FOR EVIS/DEHIS","49900","HCPCS","Both",,,"1546.5","773.25","Medicare",,"",,"54",,"838.2","566.02","1198.54","percent of total billed charges",,
"SUTURE, SEC, ABD WALL FOR EVIS/DEHIS","49900","HCPCS","Both",,,"1546.5","773.25","Humana","Medicare Advantage","",,"54",,"838.2","566.02","1198.54","percent of total billed charges",,
"SUTURE, SEC, ABD WALL FOR EVIS/DEHIS","49900","HCPCS","Both",,,"1546.5","773.25","UHC","Medicare Advantage","",,"54",,"838.2","566.02","1198.54","percent of total billed charges",,
"SUTURE, SEC, ABD WALL FOR EVIS/DEHIS","49900","HCPCS","Both",,,"1546.5","773.25","Clover","Medicare Advantage","",,"54",,"838.2","566.02","1198.54","percent of total billed charges",,
"SUTURE, SEC, ABD WALL FOR EVIS/DEHIS","49900","HCPCS","Both",,,"1546.5","773.25","Wellcare","Medicare Advantage","",,"54",,"838.2","566.02","1198.54","percent of total billed charges",,
"SUTURE, SEC, ABD WALL FOR EVIS/DEHIS","49900","HCPCS","Both",,,"1546.5","773.25","Amerigroup","Medicaid Managed Care","",,"37",,"566.02","566.02","1198.54","percent of total billed charges",,
"SUTURE, SEC, ABD WALL FOR EVIS/DEHIS","49900","HCPCS","Both",,,"1546.5","773.25","Caresource","Medicaid Managed Care","",,"40",,"618.6","566.02","1198.54","percent of total billed charges",,
"SUTURE, SEC, ABD WALL FOR EVIS/DEHIS","49900","HCPCS","Both",,,"1546.5","773.25","Wellcare","Medicaid Managed Care","",,"40",,"626.33","566.02","1198.54","percent of total billed charges",,
"SUTURE, SEC, ABD WALL FOR EVIS/DEHIS","49900","HCPCS","Both",,,"1546.5","773.25","Aetna","Commercial","",,"64",,"986.67","566.02","1198.54","percent of total billed charges",,
"SUTURE, SEC, ABD WALL FOR EVIS/DEHIS","49900","HCPCS","Both",,,"1546.5","773.25","Blue Cross Blue Shield","Pathways","",,"71",,"1091.83","566.02","1198.54","percent of total billed charges",,
"SUTURE, SEC, ABD WALL FOR EVIS/DEHIS","49900","HCPCS","Both",,,"1546.5","773.25","Blue Cross Blue Shield","HMO","",,"71",,"1091.83","566.02","1198.54","percent of total billed charges",,
"SUTURE, SEC, ABD WALL FOR EVIS/DEHIS","49900","HCPCS","Both",,,"1546.5","773.25","Blue Cross Blue Shield","PPO","",,"71",,"1091.83","566.02","1198.54","percent of total billed charges",,
"SUTURE, SEC, ABD WALL FOR EVIS/DEHIS","49900","HCPCS","Both",,,"1546.5","773.25","Ambetter","Health Exchange","",,"62",,"958.83","566.02","1198.54","percent of total billed charges",,
"SUTURE, SEC, ABD WALL FOR EVIS/DEHIS","49900","HCPCS","Both",,,"1546.5","773.25","Caresource","Health Exchange","",,"62",,"958.83","566.02","1198.54","percent of total billed charges",,
"SUTURE, SEC, ABD WALL FOR EVIS/DEHIS","49900","HCPCS","Both",,,"1546.5","773.25","Cigna","Commercial","",,"59",,"906.25","566.02","1198.54","percent of total billed charges",,
"SUTURE, SEC, ABD WALL FOR EVIS/DEHIS","49900","HCPCS","Both",,,"1546.5","773.25","Humana","Commercial","",,"78",,"1198.54","566.02","1198.54","percent of total billed charges",,
"SUTURE, SEC, ABD WALL FOR EVIS/DEHIS","49900","HCPCS","Both",,,"1546.5","773.25","UHC","Commercial","",,"75",,"1166.06","566.02","1198.54","percent of total billed charges",,
"SUTURE, SEC, ABD WALL FOR EVIS/DEHIS","49900","HCPCS","Both",,,"1546.5","773.25","Medicaid",,"",,"37",,"566.02","566.02","1198.54","percent of total billed charges",,
"BLADDER IRRIGATION;SIMPLE,LAVAGE &or INS","51700","HCPCS","Both",,,"477.5","238.75","Alliant","Health Exchange","",,"62",,"296.05","174.76","370.06","percent of total billed charges",,
"BLADDER IRRIGATION;SIMPLE,LAVAGE &or INS","51700","HCPCS","Both",,,"477.5","238.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"257.85","174.76","370.06","percent of total billed charges",,
"BLADDER IRRIGATION;SIMPLE,LAVAGE &or INS","51700","HCPCS","Both",,,"477.5","238.75","Medicare",,"",,"54",,"258.8","174.76","370.06","percent of total billed charges",,
"BLADDER IRRIGATION;SIMPLE,LAVAGE &or INS","51700","HCPCS","Both",,,"477.5","238.75","Humana","Medicare Advantage","",,"54",,"258.8","174.76","370.06","percent of total billed charges",,
"BLADDER IRRIGATION;SIMPLE,LAVAGE &or INS","51700","HCPCS","Both",,,"477.5","238.75","UHC","Medicare Advantage","",,"54",,"258.8","174.76","370.06","percent of total billed charges",,
"BLADDER IRRIGATION;SIMPLE,LAVAGE &or INS","51700","HCPCS","Both",,,"477.5","238.75","Clover","Medicare Advantage","",,"54",,"258.8","174.76","370.06","percent of total billed charges",,
"BLADDER IRRIGATION;SIMPLE,LAVAGE &or INS","51700","HCPCS","Both",,,"477.5","238.75","Wellcare","Medicare Advantage","",,"54",,"258.8","174.76","370.06","percent of total billed charges",,
"BLADDER IRRIGATION;SIMPLE,LAVAGE &or INS","51700","HCPCS","Both",,,"477.5","238.75","Amerigroup","Medicaid Managed Care","",,"37",,"174.76","174.76","370.06","percent of total billed charges",,
"BLADDER IRRIGATION;SIMPLE,LAVAGE &or INS","51700","HCPCS","Both",,,"477.5","238.75","Caresource","Medicaid Managed Care","",,"40",,"191","174.76","370.06","percent of total billed charges",,
"BLADDER IRRIGATION;SIMPLE,LAVAGE &or INS","51700","HCPCS","Both",,,"477.5","238.75","Wellcare","Medicaid Managed Care","",,"40",,"193.39","174.76","370.06","percent of total billed charges",,
"BLADDER IRRIGATION;SIMPLE,LAVAGE &or INS","51700","HCPCS","Both",,,"477.5","238.75","Aetna","Commercial","",,"64",,"304.64","174.76","370.06","percent of total billed charges",,
"BLADDER IRRIGATION;SIMPLE,LAVAGE &or INS","51700","HCPCS","Both",,,"477.5","238.75","Blue Cross Blue Shield","Pathways","",,"71",,"337.12","174.76","370.06","percent of total billed charges",,
"BLADDER IRRIGATION;SIMPLE,LAVAGE &or INS","51700","HCPCS","Both",,,"477.5","238.75","Blue Cross Blue Shield","HMO","",,"71",,"337.12","174.76","370.06","percent of total billed charges",,
"BLADDER IRRIGATION;SIMPLE,LAVAGE &or INS","51700","HCPCS","Both",,,"477.5","238.75","Blue Cross Blue Shield","PPO","",,"71",,"337.12","174.76","370.06","percent of total billed charges",,
"BLADDER IRRIGATION;SIMPLE,LAVAGE &or INS","51700","HCPCS","Both",,,"477.5","238.75","Ambetter","Health Exchange","",,"62",,"296.05","174.76","370.06","percent of total billed charges",,
"BLADDER IRRIGATION;SIMPLE,LAVAGE &or INS","51700","HCPCS","Both",,,"477.5","238.75","Caresource","Health Exchange","",,"62",,"296.05","174.76","370.06","percent of total billed charges",,
"BLADDER IRRIGATION;SIMPLE,LAVAGE &or INS","51700","HCPCS","Both",,,"477.5","238.75","Cigna","Commercial","",,"59",,"279.82","174.76","370.06","percent of total billed charges",,
"BLADDER IRRIGATION;SIMPLE,LAVAGE &or INS","51700","HCPCS","Both",,,"477.5","238.75","Humana","Commercial","",,"78",,"370.06","174.76","370.06","percent of total billed charges",,
"BLADDER IRRIGATION;SIMPLE,LAVAGE &or INS","51700","HCPCS","Both",,,"477.5","238.75","UHC","Commercial","",,"75",,"360.04","174.76","370.06","percent of total billed charges",,
"BLADDER IRRIGATION;SIMPLE,LAVAGE &or INS","51700","HCPCS","Both",,,"477.5","238.75","Medicaid",,"",,"37",,"174.76","174.76","370.06","percent of total billed charges",,
"INSERT INDWELL CATH, COMPLICATED","51703","HCPCS","Both",,,"256.5","128.25","Alliant","Health Exchange","",,"62",,"159.03","93.88","198.79","percent of total billed charges",,
"INSERT INDWELL CATH, COMPLICATED","51703","HCPCS","Both",,,"256.5","128.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"138.51","93.88","198.79","percent of total billed charges",,
"INSERT INDWELL CATH, COMPLICATED","51703","HCPCS","Both",,,"256.5","128.25","Medicare",,"",,"54",,"139.02","93.88","198.79","percent of total billed charges",,
"INSERT INDWELL CATH, COMPLICATED","51703","HCPCS","Both",,,"256.5","128.25","Humana","Medicare Advantage","",,"54",,"139.02","93.88","198.79","percent of total billed charges",,
"INSERT INDWELL CATH, COMPLICATED","51703","HCPCS","Both",,,"256.5","128.25","UHC","Medicare Advantage","",,"54",,"139.02","93.88","198.79","percent of total billed charges",,
"INSERT INDWELL CATH, COMPLICATED","51703","HCPCS","Both",,,"256.5","128.25","Clover","Medicare Advantage","",,"54",,"139.02","93.88","198.79","percent of total billed charges",,
"INSERT INDWELL CATH, COMPLICATED","51703","HCPCS","Both",,,"256.5","128.25","Wellcare","Medicare Advantage","",,"54",,"139.02","93.88","198.79","percent of total billed charges",,
"INSERT INDWELL CATH, COMPLICATED","51703","HCPCS","Both",,,"256.5","128.25","Amerigroup","Medicaid Managed Care","",,"37",,"93.88","93.88","198.79","percent of total billed charges",,
"INSERT INDWELL CATH, COMPLICATED","51703","HCPCS","Both",,,"256.5","128.25","Caresource","Medicaid Managed Care","",,"40",,"102.6","93.88","198.79","percent of total billed charges",,
"INSERT INDWELL CATH, COMPLICATED","51703","HCPCS","Both",,,"256.5","128.25","Wellcare","Medicaid Managed Care","",,"40",,"103.88","93.88","198.79","percent of total billed charges",,
"INSERT INDWELL CATH, COMPLICATED","51703","HCPCS","Both",,,"256.5","128.25","Aetna","Commercial","",,"64",,"163.65","93.88","198.79","percent of total billed charges",,
"INSERT INDWELL CATH, COMPLICATED","51703","HCPCS","Both",,,"256.5","128.25","Blue Cross Blue Shield","Pathways","",,"71",,"181.09","93.88","198.79","percent of total billed charges",,
"INSERT INDWELL CATH, COMPLICATED","51703","HCPCS","Both",,,"256.5","128.25","Blue Cross Blue Shield","HMO","",,"71",,"181.09","93.88","198.79","percent of total billed charges",,
"INSERT INDWELL CATH, COMPLICATED","51703","HCPCS","Both",,,"256.5","128.25","Blue Cross Blue Shield","PPO","",,"71",,"181.09","93.88","198.79","percent of total billed charges",,
"INSERT INDWELL CATH, COMPLICATED","51703","HCPCS","Both",,,"256.5","128.25","Ambetter","Health Exchange","",,"62",,"159.03","93.88","198.79","percent of total billed charges",,
"INSERT INDWELL CATH, COMPLICATED","51703","HCPCS","Both",,,"256.5","128.25","Caresource","Health Exchange","",,"62",,"159.03","93.88","198.79","percent of total billed charges",,
"INSERT INDWELL CATH, COMPLICATED","51703","HCPCS","Both",,,"256.5","128.25","Cigna","Commercial","",,"59",,"150.31","93.88","198.79","percent of total billed charges",,
"INSERT INDWELL CATH, COMPLICATED","51703","HCPCS","Both",,,"256.5","128.25","Humana","Commercial","",,"78",,"198.79","93.88","198.79","percent of total billed charges",,
"INSERT INDWELL CATH, COMPLICATED","51703","HCPCS","Both",,,"256.5","128.25","UHC","Commercial","",,"75",,"193.4","93.88","198.79","percent of total billed charges",,
"INSERT INDWELL CATH, COMPLICATED","51703","HCPCS","Both",,,"256.5","128.25","Medicaid",,"",,"37",,"93.88","93.88","198.79","percent of total billed charges",,
"SLITTING PERPUCE,DOR OR LAT; EXC NB","54001","HCPCS","Both",,,"4807.5","2403.75","Alliant","Health Exchange","",,"62",,"2980.65","1759.54","3725.81","percent of total billed charges",,
"SLITTING PERPUCE,DOR OR LAT; EXC NB","54001","HCPCS","Both",,,"4807.5","2403.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"2596.05","1759.54","3725.81","percent of total billed charges",,
"SLITTING PERPUCE,DOR OR LAT; EXC NB","54001","HCPCS","Both",,,"4807.5","2403.75","Medicare",,"",,"54",,"2605.66","1759.54","3725.81","percent of total billed charges",,
"SLITTING PERPUCE,DOR OR LAT; EXC NB","54001","HCPCS","Both",,,"4807.5","2403.75","Humana","Medicare Advantage","",,"54",,"2605.66","1759.54","3725.81","percent of total billed charges",,
"SLITTING PERPUCE,DOR OR LAT; EXC NB","54001","HCPCS","Both",,,"4807.5","2403.75","UHC","Medicare Advantage","",,"54",,"2605.66","1759.54","3725.81","percent of total billed charges",,
"SLITTING PERPUCE,DOR OR LAT; EXC NB","54001","HCPCS","Both",,,"4807.5","2403.75","Clover","Medicare Advantage","",,"54",,"2605.66","1759.54","3725.81","percent of total billed charges",,
"SLITTING PERPUCE,DOR OR LAT; EXC NB","54001","HCPCS","Both",,,"4807.5","2403.75","Wellcare","Medicare Advantage","",,"54",,"2605.66","1759.54","3725.81","percent of total billed charges",,
"SLITTING PERPUCE,DOR OR LAT; EXC NB","54001","HCPCS","Both",,,"4807.5","2403.75","Amerigroup","Medicaid Managed Care","",,"37",,"1759.54","1759.54","3725.81","percent of total billed charges",,
"SLITTING PERPUCE,DOR OR LAT; EXC NB","54001","HCPCS","Both",,,"4807.5","2403.75","Caresource","Medicaid Managed Care","",,"40",,"1923","1759.54","3725.81","percent of total billed charges",,
"SLITTING PERPUCE,DOR OR LAT; EXC NB","54001","HCPCS","Both",,,"4807.5","2403.75","Wellcare","Medicaid Managed Care","",,"40",,"1947.04","1759.54","3725.81","percent of total billed charges",,
"SLITTING PERPUCE,DOR OR LAT; EXC NB","54001","HCPCS","Both",,,"4807.5","2403.75","Aetna","Commercial","",,"64",,"3067.18","1759.54","3725.81","percent of total billed charges",,
"SLITTING PERPUCE,DOR OR LAT; EXC NB","54001","HCPCS","Both",,,"4807.5","2403.75","Blue Cross Blue Shield","Pathways","",,"71",,"3394.1","1759.54","3725.81","percent of total billed charges",,
"SLITTING PERPUCE,DOR OR LAT; EXC NB","54001","HCPCS","Both",,,"4807.5","2403.75","Blue Cross Blue Shield","HMO","",,"71",,"3394.1","1759.54","3725.81","percent of total billed charges",,
"SLITTING PERPUCE,DOR OR LAT; EXC NB","54001","HCPCS","Both",,,"4807.5","2403.75","Blue Cross Blue Shield","PPO","",,"71",,"3394.1","1759.54","3725.81","percent of total billed charges",,
"SLITTING PERPUCE,DOR OR LAT; EXC NB","54001","HCPCS","Both",,,"4807.5","2403.75","Ambetter","Health Exchange","",,"62",,"2980.65","1759.54","3725.81","percent of total billed charges",,
"SLITTING PERPUCE,DOR OR LAT; EXC NB","54001","HCPCS","Both",,,"4807.5","2403.75","Caresource","Health Exchange","",,"62",,"2980.65","1759.54","3725.81","percent of total billed charges",,
"SLITTING PERPUCE,DOR OR LAT; EXC NB","54001","HCPCS","Both",,,"4807.5","2403.75","Cigna","Commercial","",,"59",,"2817.2","1759.54","3725.81","percent of total billed charges",,
"SLITTING PERPUCE,DOR OR LAT; EXC NB","54001","HCPCS","Both",,,"4807.5","2403.75","Humana","Commercial","",,"78",,"3725.81","1759.54","3725.81","percent of total billed charges",,
"SLITTING PERPUCE,DOR OR LAT; EXC NB","54001","HCPCS","Both",,,"4807.5","2403.75","UHC","Commercial","",,"75",,"3624.86","1759.54","3725.81","percent of total billed charges",,
"SLITTING PERPUCE,DOR OR LAT; EXC NB","54001","HCPCS","Both",,,"4807.5","2403.75","Medicaid",,"",,"37",,"1759.54","1759.54","3725.81","percent of total billed charges",,
"INCISION & DRAINAGE VULVA/PERINAL ABS","56405","HCPCS","Both",,,"146","73","Alliant","Health Exchange","",,"62",,"90.52","53.44","113.15","percent of total billed charges",,
"INCISION & DRAINAGE VULVA/PERINAL ABS","56405","HCPCS","Both",,,"146","73","Pruitt Healthcare","Medicare Advantage","",,"54",,"78.84","53.44","113.15","percent of total billed charges",,
"INCISION & DRAINAGE VULVA/PERINAL ABS","56405","HCPCS","Both",,,"146","73","Medicare",,"",,"54",,"79.13","53.44","113.15","percent of total billed charges",,
"INCISION & DRAINAGE VULVA/PERINAL ABS","56405","HCPCS","Both",,,"146","73","Humana","Medicare Advantage","",,"54",,"79.13","53.44","113.15","percent of total billed charges",,
"INCISION & DRAINAGE VULVA/PERINAL ABS","56405","HCPCS","Both",,,"146","73","UHC","Medicare Advantage","",,"54",,"79.13","53.44","113.15","percent of total billed charges",,
"INCISION & DRAINAGE VULVA/PERINAL ABS","56405","HCPCS","Both",,,"146","73","Clover","Medicare Advantage","",,"54",,"79.13","53.44","113.15","percent of total billed charges",,
"INCISION & DRAINAGE VULVA/PERINAL ABS","56405","HCPCS","Both",,,"146","73","Wellcare","Medicare Advantage","",,"54",,"79.13","53.44","113.15","percent of total billed charges",,
"INCISION & DRAINAGE VULVA/PERINAL ABS","56405","HCPCS","Both",,,"146","73","Amerigroup","Medicaid Managed Care","",,"37",,"53.44","53.44","113.15","percent of total billed charges",,
"INCISION & DRAINAGE VULVA/PERINAL ABS","56405","HCPCS","Both",,,"146","73","Caresource","Medicaid Managed Care","",,"40",,"58.4","53.44","113.15","percent of total billed charges",,
"INCISION & DRAINAGE VULVA/PERINAL ABS","56405","HCPCS","Both",,,"146","73","Wellcare","Medicaid Managed Care","",,"40",,"59.13","53.44","113.15","percent of total billed charges",,
"INCISION & DRAINAGE VULVA/PERINAL ABS","56405","HCPCS","Both",,,"146","73","Aetna","Commercial","",,"64",,"93.15","53.44","113.15","percent of total billed charges",,
"INCISION & DRAINAGE VULVA/PERINAL ABS","56405","HCPCS","Both",,,"146","73","Blue Cross Blue Shield","Pathways","",,"71",,"103.08","53.44","113.15","percent of total billed charges",,
"INCISION & DRAINAGE VULVA/PERINAL ABS","56405","HCPCS","Both",,,"146","73","Blue Cross Blue Shield","HMO","",,"71",,"103.08","53.44","113.15","percent of total billed charges",,
"INCISION & DRAINAGE VULVA/PERINAL ABS","56405","HCPCS","Both",,,"146","73","Blue Cross Blue Shield","PPO","",,"71",,"103.08","53.44","113.15","percent of total billed charges",,
"INCISION & DRAINAGE VULVA/PERINAL ABS","56405","HCPCS","Both",,,"146","73","Ambetter","Health Exchange","",,"62",,"90.52","53.44","113.15","percent of total billed charges",,
"INCISION & DRAINAGE VULVA/PERINAL ABS","56405","HCPCS","Both",,,"146","73","Caresource","Health Exchange","",,"62",,"90.52","53.44","113.15","percent of total billed charges",,
"INCISION & DRAINAGE VULVA/PERINAL ABS","56405","HCPCS","Both",,,"146","73","Cigna","Commercial","",,"59",,"85.56","53.44","113.15","percent of total billed charges",,
"INCISION & DRAINAGE VULVA/PERINAL ABS","56405","HCPCS","Both",,,"146","73","Humana","Commercial","",,"78",,"113.15","53.44","113.15","percent of total billed charges",,
"INCISION & DRAINAGE VULVA/PERINAL ABS","56405","HCPCS","Both",,,"146","73","UHC","Commercial","",,"75",,"110.08","53.44","113.15","percent of total billed charges",,
"INCISION & DRAINAGE VULVA/PERINAL ABS","56405","HCPCS","Both",,,"146","73","Medicaid",,"",,"37",,"53.44","53.44","113.15","percent of total billed charges",,
"MARSUPIALIZATION BARTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Alliant","Health Exchange","",,"62",,"2815.73","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BARTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"2452.41","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BARTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Medicare",,"",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BARTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Humana","Medicare Advantage","",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BARTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","UHC","Medicare Advantage","",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BARTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Clover","Medicare Advantage","",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BARTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Wellcare","Medicare Advantage","",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BARTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Amerigroup","Medicaid Managed Care","",,"37",,"1662.19","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BARTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Caresource","Medicaid Managed Care","",,"40",,"1816.6","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BARTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Wellcare","Medicaid Managed Care","",,"40",,"1839.31","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BARTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Aetna","Commercial","",,"64",,"2897.48","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BARTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Blue Cross Blue Shield","Pathways","",,"71",,"3206.3","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BARTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Blue Cross Blue Shield","HMO","",,"71",,"3206.3","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BARTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Blue Cross Blue Shield","PPO","",,"71",,"3206.3","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BARTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Ambetter","Health Exchange","",,"62",,"2815.73","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BARTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Caresource","Health Exchange","",,"62",,"2815.73","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BARTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Cigna","Commercial","",,"59",,"2661.32","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BARTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Humana","Commercial","",,"78",,"3519.66","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BARTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","UHC","Commercial","",,"75",,"3424.29","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BARTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Medicaid",,"",,"37",,"1662.19","1662.19","3519.66","percent of total billed charges",,
"EPISIOTOMY OR VAG REPAIR NOT ATTENDING","59300","HCPCS","Both",,,"4541.5","2270.75","Alliant","Health Exchange","",,"62",,"2815.73","1662.19","3519.66","percent of total billed charges",,
"EPISIOTOMY OR VAG REPAIR NOT ATTENDING","59300","HCPCS","Both",,,"4541.5","2270.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"2452.41","1662.19","3519.66","percent of total billed charges",,
"EPISIOTOMY OR VAG REPAIR NOT ATTENDING","59300","HCPCS","Both",,,"4541.5","2270.75","Medicare",,"",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"EPISIOTOMY OR VAG REPAIR NOT ATTENDING","59300","HCPCS","Both",,,"4541.5","2270.75","Humana","Medicare Advantage","",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"EPISIOTOMY OR VAG REPAIR NOT ATTENDING","59300","HCPCS","Both",,,"4541.5","2270.75","UHC","Medicare Advantage","",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"EPISIOTOMY OR VAG REPAIR NOT ATTENDING","59300","HCPCS","Both",,,"4541.5","2270.75","Clover","Medicare Advantage","",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"EPISIOTOMY OR VAG REPAIR NOT ATTENDING","59300","HCPCS","Both",,,"4541.5","2270.75","Wellcare","Medicare Advantage","",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"EPISIOTOMY OR VAG REPAIR NOT ATTENDING","59300","HCPCS","Both",,,"4541.5","2270.75","Amerigroup","Medicaid Managed Care","",,"37",,"1662.19","1662.19","3519.66","percent of total billed charges",,
"EPISIOTOMY OR VAG REPAIR NOT ATTENDING","59300","HCPCS","Both",,,"4541.5","2270.75","Caresource","Medicaid Managed Care","",,"40",,"1816.6","1662.19","3519.66","percent of total billed charges",,
"EPISIOTOMY OR VAG REPAIR NOT ATTENDING","59300","HCPCS","Both",,,"4541.5","2270.75","Wellcare","Medicaid Managed Care","",,"40",,"1839.31","1662.19","3519.66","percent of total billed charges",,
"EPISIOTOMY OR VAG REPAIR NOT ATTENDING","59300","HCPCS","Both",,,"4541.5","2270.75","Aetna","Commercial","",,"64",,"2897.48","1662.19","3519.66","percent of total billed charges",,
"EPISIOTOMY OR VAG REPAIR NOT ATTENDING","59300","HCPCS","Both",,,"4541.5","2270.75","Blue Cross Blue Shield","Pathways","",,"71",,"3206.3","1662.19","3519.66","percent of total billed charges",,
"EPISIOTOMY OR VAG REPAIR NOT ATTENDING","59300","HCPCS","Both",,,"4541.5","2270.75","Blue Cross Blue Shield","HMO","",,"71",,"3206.3","1662.19","3519.66","percent of total billed charges",,
"EPISIOTOMY OR VAG REPAIR NOT ATTENDING","59300","HCPCS","Both",,,"4541.5","2270.75","Blue Cross Blue Shield","PPO","",,"71",,"3206.3","1662.19","3519.66","percent of total billed charges",,
"EPISIOTOMY OR VAG REPAIR NOT ATTENDING","59300","HCPCS","Both",,,"4541.5","2270.75","Ambetter","Health Exchange","",,"62",,"2815.73","1662.19","3519.66","percent of total billed charges",,
"EPISIOTOMY OR VAG REPAIR NOT ATTENDING","59300","HCPCS","Both",,,"4541.5","2270.75","Caresource","Health Exchange","",,"62",,"2815.73","1662.19","3519.66","percent of total billed charges",,
"EPISIOTOMY OR VAG REPAIR NOT ATTENDING","59300","HCPCS","Both",,,"4541.5","2270.75","Cigna","Commercial","",,"59",,"2661.32","1662.19","3519.66","percent of total billed charges",,
"EPISIOTOMY OR VAG REPAIR NOT ATTENDING","59300","HCPCS","Both",,,"4541.5","2270.75","Humana","Commercial","",,"78",,"3519.66","1662.19","3519.66","percent of total billed charges",,
"EPISIOTOMY OR VAG REPAIR NOT ATTENDING","59300","HCPCS","Both",,,"4541.5","2270.75","UHC","Commercial","",,"75",,"3424.29","1662.19","3519.66","percent of total billed charges",,
"EPISIOTOMY OR VAG REPAIR NOT ATTENDING","59300","HCPCS","Both",,,"4541.5","2270.75","Medicaid",,"",,"37",,"1662.19","1662.19","3519.66","percent of total billed charges",,
"VAGINAL DELIVERY ONLY AFTER PREV C SECTI","59612","HCPCS","Both",,,"4314","2157","Alliant","Health Exchange","",,"62",,"2674.68","1578.92","3343.35","percent of total billed charges",,
"VAGINAL DELIVERY ONLY AFTER PREV C SECTI","59612","HCPCS","Both",,,"4314","2157","Pruitt Healthcare","Medicare Advantage","",,"54",,"2329.56","1578.92","3343.35","percent of total billed charges",,
"VAGINAL DELIVERY ONLY AFTER PREV C SECTI","59612","HCPCS","Both",,,"4314","2157","Medicare",,"",,"54",,"2338.19","1578.92","3343.35","percent of total billed charges",,
"VAGINAL DELIVERY ONLY AFTER PREV C SECTI","59612","HCPCS","Both",,,"4314","2157","Humana","Medicare Advantage","",,"54",,"2338.19","1578.92","3343.35","percent of total billed charges",,
"VAGINAL DELIVERY ONLY AFTER PREV C SECTI","59612","HCPCS","Both",,,"4314","2157","UHC","Medicare Advantage","",,"54",,"2338.19","1578.92","3343.35","percent of total billed charges",,
"VAGINAL DELIVERY ONLY AFTER PREV C SECTI","59612","HCPCS","Both",,,"4314","2157","Clover","Medicare Advantage","",,"54",,"2338.19","1578.92","3343.35","percent of total billed charges",,
"VAGINAL DELIVERY ONLY AFTER PREV C SECTI","59612","HCPCS","Both",,,"4314","2157","Wellcare","Medicare Advantage","",,"54",,"2338.19","1578.92","3343.35","percent of total billed charges",,
"VAGINAL DELIVERY ONLY AFTER PREV C SECTI","59612","HCPCS","Both",,,"4314","2157","Amerigroup","Medicaid Managed Care","",,"37",,"1578.92","1578.92","3343.35","percent of total billed charges",,
"VAGINAL DELIVERY ONLY AFTER PREV C SECTI","59612","HCPCS","Both",,,"4314","2157","Caresource","Medicaid Managed Care","",,"40",,"1725.6","1578.92","3343.35","percent of total billed charges",,
"VAGINAL DELIVERY ONLY AFTER PREV C SECTI","59612","HCPCS","Both",,,"4314","2157","Wellcare","Medicaid Managed Care","",,"40",,"1747.17","1578.92","3343.35","percent of total billed charges",,
"VAGINAL DELIVERY ONLY AFTER PREV C SECTI","59612","HCPCS","Both",,,"4314","2157","Aetna","Commercial","",,"64",,"2752.33","1578.92","3343.35","percent of total billed charges",,
"VAGINAL DELIVERY ONLY AFTER PREV C SECTI","59612","HCPCS","Both",,,"4314","2157","Blue Cross Blue Shield","Pathways","",,"71",,"3045.68","1578.92","3343.35","percent of total billed charges",,
"VAGINAL DELIVERY ONLY AFTER PREV C SECTI","59612","HCPCS","Both",,,"4314","2157","Blue Cross Blue Shield","HMO","",,"71",,"3045.68","1578.92","3343.35","percent of total billed charges",,
"VAGINAL DELIVERY ONLY AFTER PREV C SECTI","59612","HCPCS","Both",,,"4314","2157","Blue Cross Blue Shield","PPO","",,"71",,"3045.68","1578.92","3343.35","percent of total billed charges",,
"VAGINAL DELIVERY ONLY AFTER PREV C SECTI","59612","HCPCS","Both",,,"4314","2157","Ambetter","Health Exchange","",,"62",,"2674.68","1578.92","3343.35","percent of total billed charges",,
"VAGINAL DELIVERY ONLY AFTER PREV C SECTI","59612","HCPCS","Both",,,"4314","2157","Caresource","Health Exchange","",,"62",,"2674.68","1578.92","3343.35","percent of total billed charges",,
"VAGINAL DELIVERY ONLY AFTER PREV C SECTI","59612","HCPCS","Both",,,"4314","2157","Cigna","Commercial","",,"59",,"2528","1578.92","3343.35","percent of total billed charges",,
"VAGINAL DELIVERY ONLY AFTER PREV C SECTI","59612","HCPCS","Both",,,"4314","2157","Humana","Commercial","",,"78",,"3343.35","1578.92","3343.35","percent of total billed charges",,
"VAGINAL DELIVERY ONLY AFTER PREV C SECTI","59612","HCPCS","Both",,,"4314","2157","UHC","Commercial","",,"75",,"3252.76","1578.92","3343.35","percent of total billed charges",,
"VAGINAL DELIVERY ONLY AFTER PREV C SECTI","59612","HCPCS","Both",,,"4314","2157","Medicaid",,"",,"37",,"1578.92","1578.92","3343.35","percent of total billed charges",,
"CERVICAL PUNCTURE W MED INJECTION","61055","HCPCS","Both",,,"2098.5","1049.25","Alliant","Health Exchange","",,"62",,"1301.07","768.05","1626.34","percent of total billed charges",,
"CERVICAL PUNCTURE W MED INJECTION","61055","HCPCS","Both",,,"2098.5","1049.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"1133.19","768.05","1626.34","percent of total billed charges",,
"CERVICAL PUNCTURE W MED INJECTION","61055","HCPCS","Both",,,"2098.5","1049.25","Medicare",,"",,"54",,"1137.39","768.05","1626.34","percent of total billed charges",,
"CERVICAL PUNCTURE W MED INJECTION","61055","HCPCS","Both",,,"2098.5","1049.25","Humana","Medicare Advantage","",,"54",,"1137.39","768.05","1626.34","percent of total billed charges",,
"CERVICAL PUNCTURE W MED INJECTION","61055","HCPCS","Both",,,"2098.5","1049.25","UHC","Medicare Advantage","",,"54",,"1137.39","768.05","1626.34","percent of total billed charges",,
"CERVICAL PUNCTURE W MED INJECTION","61055","HCPCS","Both",,,"2098.5","1049.25","Clover","Medicare Advantage","",,"54",,"1137.39","768.05","1626.34","percent of total billed charges",,
"CERVICAL PUNCTURE W MED INJECTION","61055","HCPCS","Both",,,"2098.5","1049.25","Wellcare","Medicare Advantage","",,"54",,"1137.39","768.05","1626.34","percent of total billed charges",,
"CERVICAL PUNCTURE W MED INJECTION","61055","HCPCS","Both",,,"2098.5","1049.25","Amerigroup","Medicaid Managed Care","",,"37",,"768.05","768.05","1626.34","percent of total billed charges",,
"CERVICAL PUNCTURE W MED INJECTION","61055","HCPCS","Both",,,"2098.5","1049.25","Caresource","Medicaid Managed Care","",,"40",,"839.4","768.05","1626.34","percent of total billed charges",,
"CERVICAL PUNCTURE W MED INJECTION","61055","HCPCS","Both",,,"2098.5","1049.25","Wellcare","Medicaid Managed Care","",,"40",,"849.89","768.05","1626.34","percent of total billed charges",,
"CERVICAL PUNCTURE W MED INJECTION","61055","HCPCS","Both",,,"2098.5","1049.25","Aetna","Commercial","",,"64",,"1338.84","768.05","1626.34","percent of total billed charges",,
"CERVICAL PUNCTURE W MED INJECTION","61055","HCPCS","Both",,,"2098.5","1049.25","Blue Cross Blue Shield","Pathways","",,"71",,"1481.54","768.05","1626.34","percent of total billed charges",,
"CERVICAL PUNCTURE W MED INJECTION","61055","HCPCS","Both",,,"2098.5","1049.25","Blue Cross Blue Shield","HMO","",,"71",,"1481.54","768.05","1626.34","percent of total billed charges",,
"CERVICAL PUNCTURE W MED INJECTION","61055","HCPCS","Both",,,"2098.5","1049.25","Blue Cross Blue Shield","PPO","",,"71",,"1481.54","768.05","1626.34","percent of total billed charges",,
"CERVICAL PUNCTURE W MED INJECTION","61055","HCPCS","Both",,,"2098.5","1049.25","Ambetter","Health Exchange","",,"62",,"1301.07","768.05","1626.34","percent of total billed charges",,
"CERVICAL PUNCTURE W MED INJECTION","61055","HCPCS","Both",,,"2098.5","1049.25","Caresource","Health Exchange","",,"62",,"1301.07","768.05","1626.34","percent of total billed charges",,
"CERVICAL PUNCTURE W MED INJECTION","61055","HCPCS","Both",,,"2098.5","1049.25","Cigna","Commercial","",,"59",,"1229.72","768.05","1626.34","percent of total billed charges",,
"CERVICAL PUNCTURE W MED INJECTION","61055","HCPCS","Both",,,"2098.5","1049.25","Humana","Commercial","",,"78",,"1626.34","768.05","1626.34","percent of total billed charges",,
"CERVICAL PUNCTURE W MED INJECTION","61055","HCPCS","Both",,,"2098.5","1049.25","UHC","Commercial","",,"75",,"1582.27","768.05","1626.34","percent of total billed charges",,
"CERVICAL PUNCTURE W MED INJECTION","61055","HCPCS","Both",,,"2098.5","1049.25","Medicaid",,"",,"37",,"768.05","768.05","1626.34","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Alliant","Health Exchange","",,"62",,"1094.92","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Pruitt Healthcare","Medicare Advantage","",,"54",,"953.64","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Medicare",,"",,"54",,"957.17","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Humana","Medicare Advantage","",,"54",,"957.17","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","UHC","Medicare Advantage","",,"54",,"957.17","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Clover","Medicare Advantage","",,"54",,"957.17","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Wellcare","Medicare Advantage","",,"54",,"957.17","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Amerigroup","Medicaid Managed Care","",,"37",,"646.36","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Caresource","Medicaid Managed Care","",,"40",,"706.4","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Wellcare","Medicaid Managed Care","",,"40",,"715.23","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Aetna","Commercial","",,"64",,"1126.71","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Blue Cross Blue Shield","Pathways","",,"71",,"1246.8","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Blue Cross Blue Shield","HMO","",,"71",,"1246.8","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Blue Cross Blue Shield","PPO","",,"71",,"1246.8","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Ambetter","Health Exchange","",,"62",,"1094.92","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Caresource","Health Exchange","",,"62",,"1094.92","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Cigna","Commercial","",,"59",,"1034.88","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Humana","Commercial","",,"78",,"1368.65","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","UHC","Commercial","",,"75",,"1331.56","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Medicaid",,"",,"37",,"646.36","646.36","1368.65","percent of total billed charges",,
"NERVE BLOCK PERIPHERAL NERVE","64450","HCPCS","Both",,,"1658","829","Alliant","Health Exchange","",,"62",,"1027.96","606.83","1284.95","percent of total billed charges",,
"NERVE BLOCK PERIPHERAL NERVE","64450","HCPCS","Both",,,"1658","829","Pruitt Healthcare","Medicare Advantage","",,"54",,"895.32","606.83","1284.95","percent of total billed charges",,
"NERVE BLOCK PERIPHERAL NERVE","64450","HCPCS","Both",,,"1658","829","Medicare",,"",,"54",,"898.64","606.83","1284.95","percent of total billed charges",,
"NERVE BLOCK PERIPHERAL NERVE","64450","HCPCS","Both",,,"1658","829","Humana","Medicare Advantage","",,"54",,"898.64","606.83","1284.95","percent of total billed charges",,
"NERVE BLOCK PERIPHERAL NERVE","64450","HCPCS","Both",,,"1658","829","UHC","Medicare Advantage","",,"54",,"898.64","606.83","1284.95","percent of total billed charges",,
"NERVE BLOCK PERIPHERAL NERVE","64450","HCPCS","Both",,,"1658","829","Clover","Medicare Advantage","",,"54",,"898.64","606.83","1284.95","percent of total billed charges",,
"NERVE BLOCK PERIPHERAL NERVE","64450","HCPCS","Both",,,"1658","829","Wellcare","Medicare Advantage","",,"54",,"898.64","606.83","1284.95","percent of total billed charges",,
"NERVE BLOCK PERIPHERAL NERVE","64450","HCPCS","Both",,,"1658","829","Amerigroup","Medicaid Managed Care","",,"37",,"606.83","606.83","1284.95","percent of total billed charges",,
"NERVE BLOCK PERIPHERAL NERVE","64450","HCPCS","Both",,,"1658","829","Caresource","Medicaid Managed Care","",,"40",,"663.2","606.83","1284.95","percent of total billed charges",,
"NERVE BLOCK PERIPHERAL NERVE","64450","HCPCS","Both",,,"1658","829","Wellcare","Medicaid Managed Care","",,"40",,"671.49","606.83","1284.95","percent of total billed charges",,
"NERVE BLOCK PERIPHERAL NERVE","64450","HCPCS","Both",,,"1658","829","Aetna","Commercial","",,"64",,"1057.8","606.83","1284.95","percent of total billed charges",,
"NERVE BLOCK PERIPHERAL NERVE","64450","HCPCS","Both",,,"1658","829","Blue Cross Blue Shield","Pathways","",,"71",,"1170.55","606.83","1284.95","percent of total billed charges",,
"NERVE BLOCK PERIPHERAL NERVE","64450","HCPCS","Both",,,"1658","829","Blue Cross Blue Shield","HMO","",,"71",,"1170.55","606.83","1284.95","percent of total billed charges",,
"NERVE BLOCK PERIPHERAL NERVE","64450","HCPCS","Both",,,"1658","829","Blue Cross Blue Shield","PPO","",,"71",,"1170.55","606.83","1284.95","percent of total billed charges",,
"NERVE BLOCK PERIPHERAL NERVE","64450","HCPCS","Both",,,"1658","829","Ambetter","Health Exchange","",,"62",,"1027.96","606.83","1284.95","percent of total billed charges",,
"NERVE BLOCK PERIPHERAL NERVE","64450","HCPCS","Both",,,"1658","829","Caresource","Health Exchange","",,"62",,"1027.96","606.83","1284.95","percent of total billed charges",,
"NERVE BLOCK PERIPHERAL NERVE","64450","HCPCS","Both",,,"1658","829","Cigna","Commercial","",,"59",,"971.59","606.83","1284.95","percent of total billed charges",,
"NERVE BLOCK PERIPHERAL NERVE","64450","HCPCS","Both",,,"1658","829","Humana","Commercial","",,"78",,"1284.95","606.83","1284.95","percent of total billed charges",,
"NERVE BLOCK PERIPHERAL NERVE","64450","HCPCS","Both",,,"1658","829","UHC","Commercial","",,"75",,"1250.13","606.83","1284.95","percent of total billed charges",,
"NERVE BLOCK PERIPHERAL NERVE","64450","HCPCS","Both",,,"1658","829","Medicaid",,"",,"37",,"606.83","606.83","1284.95","percent of total billed charges",,
"DRAINAGE OF ABSCESS, EYELID","67700","HCPCS","Both",,,"723.5","361.75","Alliant","Health Exchange","",,"62",,"448.57","264.8","560.71","percent of total billed charges",,
"DRAINAGE OF ABSCESS, EYELID","67700","HCPCS","Both",,,"723.5","361.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"390.69","264.8","560.71","percent of total billed charges",,
"DRAINAGE OF ABSCESS, EYELID","67700","HCPCS","Both",,,"723.5","361.75","Medicare",,"",,"54",,"392.14","264.8","560.71","percent of total billed charges",,
"DRAINAGE OF ABSCESS, EYELID","67700","HCPCS","Both",,,"723.5","361.75","Humana","Medicare Advantage","",,"54",,"392.14","264.8","560.71","percent of total billed charges",,
"DRAINAGE OF ABSCESS, EYELID","67700","HCPCS","Both",,,"723.5","361.75","UHC","Medicare Advantage","",,"54",,"392.14","264.8","560.71","percent of total billed charges",,
"DRAINAGE OF ABSCESS, EYELID","67700","HCPCS","Both",,,"723.5","361.75","Clover","Medicare Advantage","",,"54",,"392.14","264.8","560.71","percent of total billed charges",,
"DRAINAGE OF ABSCESS, EYELID","67700","HCPCS","Both",,,"723.5","361.75","Wellcare","Medicare Advantage","",,"54",,"392.14","264.8","560.71","percent of total billed charges",,
"DRAINAGE OF ABSCESS, EYELID","67700","HCPCS","Both",,,"723.5","361.75","Amerigroup","Medicaid Managed Care","",,"37",,"264.8","264.8","560.71","percent of total billed charges",,
"DRAINAGE OF ABSCESS, EYELID","67700","HCPCS","Both",,,"723.5","361.75","Caresource","Medicaid Managed Care","",,"40",,"289.4","264.8","560.71","percent of total billed charges",,
"DRAINAGE OF ABSCESS, EYELID","67700","HCPCS","Both",,,"723.5","361.75","Wellcare","Medicaid Managed Care","",,"40",,"293.02","264.8","560.71","percent of total billed charges",,
"DRAINAGE OF ABSCESS, EYELID","67700","HCPCS","Both",,,"723.5","361.75","Aetna","Commercial","",,"64",,"461.59","264.8","560.71","percent of total billed charges",,
"DRAINAGE OF ABSCESS, EYELID","67700","HCPCS","Both",,,"723.5","361.75","Blue Cross Blue Shield","Pathways","",,"71",,"510.79","264.8","560.71","percent of total billed charges",,
"DRAINAGE OF ABSCESS, EYELID","67700","HCPCS","Both",,,"723.5","361.75","Blue Cross Blue Shield","HMO","",,"71",,"510.79","264.8","560.71","percent of total billed charges",,
"DRAINAGE OF ABSCESS, EYELID","67700","HCPCS","Both",,,"723.5","361.75","Blue Cross Blue Shield","PPO","",,"71",,"510.79","264.8","560.71","percent of total billed charges",,
"DRAINAGE OF ABSCESS, EYELID","67700","HCPCS","Both",,,"723.5","361.75","Ambetter","Health Exchange","",,"62",,"448.57","264.8","560.71","percent of total billed charges",,
"DRAINAGE OF ABSCESS, EYELID","67700","HCPCS","Both",,,"723.5","361.75","Caresource","Health Exchange","",,"62",,"448.57","264.8","560.71","percent of total billed charges",,
"DRAINAGE OF ABSCESS, EYELID","67700","HCPCS","Both",,,"723.5","361.75","Cigna","Commercial","",,"59",,"423.97","264.8","560.71","percent of total billed charges",,
"DRAINAGE OF ABSCESS, EYELID","67700","HCPCS","Both",,,"723.5","361.75","Humana","Commercial","",,"78",,"560.71","264.8","560.71","percent of total billed charges",,
"DRAINAGE OF ABSCESS, EYELID","67700","HCPCS","Both",,,"723.5","361.75","UHC","Commercial","",,"75",,"545.52","264.8","560.71","percent of total billed charges",,
"DRAINAGE OF ABSCESS, EYELID","67700","HCPCS","Both",,,"723.5","361.75","Medicaid",,"",,"37",,"264.8","264.8","560.71","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN USING IRRIGATIO","69209","HCPCS","Both",,,"43","21.5","Alliant","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN USING IRRIGATIO","69209","HCPCS","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"23.22","15.74","33.33","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN USING IRRIGATIO","69209","HCPCS","Both",,,"43","21.5","Medicare",,"",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN USING IRRIGATIO","69209","HCPCS","Both",,,"43","21.5","Humana","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN USING IRRIGATIO","69209","HCPCS","Both",,,"43","21.5","UHC","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN USING IRRIGATIO","69209","HCPCS","Both",,,"43","21.5","Clover","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN USING IRRIGATIO","69209","HCPCS","Both",,,"43","21.5","Wellcare","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN USING IRRIGATIO","69209","HCPCS","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care","",,"37",,"15.74","15.74","33.33","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN USING IRRIGATIO","69209","HCPCS","Both",,,"43","21.5","Caresource","Medicaid Managed Care","",,"40",,"17.2","15.74","33.33","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN USING IRRIGATIO","69209","HCPCS","Both",,,"43","21.5","Wellcare","Medicaid Managed Care","",,"40",,"17.42","15.74","33.33","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN USING IRRIGATIO","69209","HCPCS","Both",,,"43","21.5","Aetna","Commercial","",,"64",,"27.43","15.74","33.33","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN USING IRRIGATIO","69209","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN USING IRRIGATIO","69209","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","HMO","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN USING IRRIGATIO","69209","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","PPO","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN USING IRRIGATIO","69209","HCPCS","Both",,,"43","21.5","Ambetter","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN USING IRRIGATIO","69209","HCPCS","Both",,,"43","21.5","Caresource","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN USING IRRIGATIO","69209","HCPCS","Both",,,"43","21.5","Cigna","Commercial","",,"59",,"25.2","15.74","33.33","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN USING IRRIGATIO","69209","HCPCS","Both",,,"43","21.5","Humana","Commercial","",,"78",,"33.33","15.74","33.33","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN USING IRRIGATIO","69209","HCPCS","Both",,,"43","21.5","UHC","Commercial","",,"75",,"32.42","15.74","33.33","percent of total billed charges",,
"REMOVAL IMPACTED CERUMEN USING IRRIGATIO","69209","HCPCS","Both",,,"43","21.5","Medicaid",,"",,"37",,"15.74","15.74","33.33","percent of total billed charges",,
"REPAIR-SIMPLE 12.6CM TO 20.0CM","12016","HCPCS","Both",,,"268.5","134.25","Alliant","Health Exchange","",,"62",,"166.47","98.27","208.09","percent of total billed charges",,
"REPAIR-SIMPLE 12.6CM TO 20.0CM","12016","HCPCS","Both",,,"268.5","134.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"144.99","98.27","208.09","percent of total billed charges",,
"REPAIR-SIMPLE 12.6CM TO 20.0CM","12016","HCPCS","Both",,,"268.5","134.25","Medicare",,"",,"54",,"145.53","98.27","208.09","percent of total billed charges",,
"REPAIR-SIMPLE 12.6CM TO 20.0CM","12016","HCPCS","Both",,,"268.5","134.25","Humana","Medicare Advantage","",,"54",,"145.53","98.27","208.09","percent of total billed charges",,
"REPAIR-SIMPLE 12.6CM TO 20.0CM","12016","HCPCS","Both",,,"268.5","134.25","UHC","Medicare Advantage","",,"54",,"145.53","98.27","208.09","percent of total billed charges",,
"REPAIR-SIMPLE 12.6CM TO 20.0CM","12016","HCPCS","Both",,,"268.5","134.25","Clover","Medicare Advantage","",,"54",,"145.53","98.27","208.09","percent of total billed charges",,
"REPAIR-SIMPLE 12.6CM TO 20.0CM","12016","HCPCS","Both",,,"268.5","134.25","Wellcare","Medicare Advantage","",,"54",,"145.53","98.27","208.09","percent of total billed charges",,
"REPAIR-SIMPLE 12.6CM TO 20.0CM","12016","HCPCS","Both",,,"268.5","134.25","Amerigroup","Medicaid Managed Care","",,"37",,"98.27","98.27","208.09","percent of total billed charges",,
"REPAIR-SIMPLE 12.6CM TO 20.0CM","12016","HCPCS","Both",,,"268.5","134.25","Caresource","Medicaid Managed Care","",,"40",,"107.4","98.27","208.09","percent of total billed charges",,
"REPAIR-SIMPLE 12.6CM TO 20.0CM","12016","HCPCS","Both",,,"268.5","134.25","Wellcare","Medicaid Managed Care","",,"40",,"108.74","98.27","208.09","percent of total billed charges",,
"REPAIR-SIMPLE 12.6CM TO 20.0CM","12016","HCPCS","Both",,,"268.5","134.25","Aetna","Commercial","",,"64",,"171.3","98.27","208.09","percent of total billed charges",,
"REPAIR-SIMPLE 12.6CM TO 20.0CM","12016","HCPCS","Both",,,"268.5","134.25","Blue Cross Blue Shield","Pathways","",,"71",,"189.56","98.27","208.09","percent of total billed charges",,
"REPAIR-SIMPLE 12.6CM TO 20.0CM","12016","HCPCS","Both",,,"268.5","134.25","Blue Cross Blue Shield","HMO","",,"71",,"189.56","98.27","208.09","percent of total billed charges",,
"REPAIR-SIMPLE 12.6CM TO 20.0CM","12016","HCPCS","Both",,,"268.5","134.25","Blue Cross Blue Shield","PPO","",,"71",,"189.56","98.27","208.09","percent of total billed charges",,
"REPAIR-SIMPLE 12.6CM TO 20.0CM","12016","HCPCS","Both",,,"268.5","134.25","Ambetter","Health Exchange","",,"62",,"166.47","98.27","208.09","percent of total billed charges",,
"REPAIR-SIMPLE 12.6CM TO 20.0CM","12016","HCPCS","Both",,,"268.5","134.25","Caresource","Health Exchange","",,"62",,"166.47","98.27","208.09","percent of total billed charges",,
"REPAIR-SIMPLE 12.6CM TO 20.0CM","12016","HCPCS","Both",,,"268.5","134.25","Cigna","Commercial","",,"59",,"157.34","98.27","208.09","percent of total billed charges",,
"REPAIR-SIMPLE 12.6CM TO 20.0CM","12016","HCPCS","Both",,,"268.5","134.25","Humana","Commercial","",,"78",,"208.09","98.27","208.09","percent of total billed charges",,
"REPAIR-SIMPLE 12.6CM TO 20.0CM","12016","HCPCS","Both",,,"268.5","134.25","UHC","Commercial","",,"75",,"202.45","98.27","208.09","percent of total billed charges",,
"REPAIR-SIMPLE 12.6CM TO 20.0CM","12016","HCPCS","Both",,,"268.5","134.25","Medicaid",,"",,"37",,"98.27","98.27","208.09","percent of total billed charges",,
"ST CIS EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Alliant","Health Exchange","GN",,"62",,"126.85","74.88","158.56","percent of total billed charges",,
"ST CIS EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"110.48","74.88","158.56","percent of total billed charges",,
"ST CIS EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Medicare",,"GN",,"54",,"110.89","74.88","158.56","percent of total billed charges",,
"ST CIS EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Humana","Medicare Advantage","GN",,"54",,"110.89","74.88","158.56","percent of total billed charges",,
"ST CIS EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","UHC","Medicare Advantage","GN",,"54",,"110.89","74.88","158.56","percent of total billed charges",,
"ST CIS EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Clover","Medicare Advantage","GN",,"54",,"110.89","74.88","158.56","percent of total billed charges",,
"ST CIS EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Wellcare","Medicare Advantage","GN",,"54",,"110.89","74.88","158.56","percent of total billed charges",,
"ST CIS EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Amerigroup","Medicaid Managed Care","GN",,"37",,"74.88","74.88","158.56","percent of total billed charges",,
"ST CIS EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Caresource","Medicaid Managed Care","GN",,"40",,"81.84","74.88","158.56","percent of total billed charges",,
"ST CIS EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Wellcare","Medicaid Managed Care","GN",,"40",,"82.86","74.88","158.56","percent of total billed charges",,
"ST CIS EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Aetna","Commercial","GN",,"64",,"130.53","74.88","158.56","percent of total billed charges",,
"ST CIS EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Blue Cross Blue Shield","Pathways","GN",,"71",,"144.45","74.88","158.56","percent of total billed charges",,
"ST CIS EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Blue Cross Blue Shield","HMO","GN",,"71",,"144.45","74.88","158.56","percent of total billed charges",,
"ST CIS EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Blue Cross Blue Shield","PPO","GN",,"71",,"144.45","74.88","158.56","percent of total billed charges",,
"ST CIS EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Ambetter","Health Exchange","GN",,"62",,"126.85","74.88","158.56","percent of total billed charges",,
"ST CIS EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Caresource","Health Exchange","GN",,"62",,"126.85","74.88","158.56","percent of total billed charges",,
"ST CIS EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Cigna","Commercial","GN",,"59",,"119.9","74.88","158.56","percent of total billed charges",,
"ST CIS EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Humana","Commercial","GN",,"78",,"158.56","74.88","158.56","percent of total billed charges",,
"ST CIS EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","UHC","Commercial","GN",,"75",,"154.27","74.88","158.56","percent of total billed charges",,
"ST CIS EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Medicaid",,"GN",,"37",,"74.88","74.88","158.56","percent of total billed charges",,
"CARD CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Alliant","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"CARD CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Pruitt Healthcare","Medicare Advantage","",,"54",,"43.2","29.28","62","percent of total billed charges",,
"CARD CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Medicare",,"",,"54",,"43.36","29.28","62","percent of total billed charges",,
"CARD CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Humana","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"CARD CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","UHC","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"CARD CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Clover","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"CARD CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Wellcare","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"CARD CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Amerigroup","Medicaid Managed Care","",,"37",,"29.28","29.28","62","percent of total billed charges",,
"CARD CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Caresource","Medicaid Managed Care","",,"40",,"32","29.28","62","percent of total billed charges",,
"CARD CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Wellcare","Medicaid Managed Care","",,"40",,"32.4","29.28","62","percent of total billed charges",,
"CARD CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Aetna","Commercial","",,"64",,"51.04","29.28","62","percent of total billed charges",,
"CARD CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","Pathways","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"CARD CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","HMO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"CARD CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","PPO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"CARD CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Ambetter","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"CARD CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Caresource","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"CARD CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Cigna","Commercial","",,"59",,"46.88","29.28","62","percent of total billed charges",,
"CARD CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Humana","Commercial","",,"78",,"62","29.28","62","percent of total billed charges",,
"CARD CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","UHC","Commercial","",,"75",,"60.32","29.28","62","percent of total billed charges",,
"CARD CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Medicaid",,"",,"37",,"29.28","29.28","62","percent of total billed charges",,
"CARD CLINIC NEW PT MODERATE","99204","HCPCS","Both",,,"128","64","Alliant","Health Exchange","",,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"CARD CLINIC NEW PT MODERATE","99204","HCPCS","Both",,,"128","64","Pruitt Healthcare","Medicare Advantage","",,"54",,"69.12","46.85","99.2","percent of total billed charges",,
"CARD CLINIC NEW PT MODERATE","99204","HCPCS","Both",,,"128","64","Medicare",,"",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"CARD CLINIC NEW PT MODERATE","99204","HCPCS","Both",,,"128","64","Humana","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"CARD CLINIC NEW PT MODERATE","99204","HCPCS","Both",,,"128","64","UHC","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"CARD CLINIC NEW PT MODERATE","99204","HCPCS","Both",,,"128","64","Clover","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"CARD CLINIC NEW PT MODERATE","99204","HCPCS","Both",,,"128","64","Wellcare","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"CARD CLINIC NEW PT MODERATE","99204","HCPCS","Both",,,"128","64","Amerigroup","Medicaid Managed Care","",,"37",,"46.85","46.85","99.2","percent of total billed charges",,
"CARD CLINIC NEW PT MODERATE","99204","HCPCS","Both",,,"128","64","Caresource","Medicaid Managed Care","",,"40",,"51.2","46.85","99.2","percent of total billed charges",,
"CARD CLINIC NEW PT MODERATE","99204","HCPCS","Both",,,"128","64","Wellcare","Medicaid Managed Care","",,"40",,"51.84","46.85","99.2","percent of total billed charges",,
"CARD CLINIC NEW PT MODERATE","99204","HCPCS","Both",,,"128","64","Aetna","Commercial","",,"64",,"81.66","46.85","99.2","percent of total billed charges",,
"CARD CLINIC NEW PT MODERATE","99204","HCPCS","Both",,,"128","64","Blue Cross Blue Shield","Pathways","",,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"CARD CLINIC NEW PT MODERATE","99204","HCPCS","Both",,,"128","64","Blue Cross Blue Shield","HMO","",,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"CARD CLINIC NEW PT MODERATE","99204","HCPCS","Both",,,"128","64","Blue Cross Blue Shield","PPO","",,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"CARD CLINIC NEW PT MODERATE","99204","HCPCS","Both",,,"128","64","Ambetter","Health Exchange","",,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"CARD CLINIC NEW PT MODERATE","99204","HCPCS","Both",,,"128","64","Caresource","Health Exchange","",,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"CARD CLINIC NEW PT MODERATE","99204","HCPCS","Both",,,"128","64","Cigna","Commercial","",,"59",,"75.01","46.85","99.2","percent of total billed charges",,
"CARD CLINIC NEW PT MODERATE","99204","HCPCS","Both",,,"128","64","Humana","Commercial","",,"78",,"99.2","46.85","99.2","percent of total billed charges",,
"CARD CLINIC NEW PT MODERATE","99204","HCPCS","Both",,,"128","64","UHC","Commercial","",,"75",,"96.51","46.85","99.2","percent of total billed charges",,
"CARD CLINIC NEW PT MODERATE","99204","HCPCS","Both",,,"128","64","Medicaid",,"",,"37",,"46.85","46.85","99.2","percent of total billed charges",,
"CARD CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Alliant","Health Exchange","",,"62",,"103.54","61.12","129.43","percent of total billed charges",,
"CARD CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"90.18","61.12","129.43","percent of total billed charges",,
"CARD CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Medicare",,"",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"CARD CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Humana","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"CARD CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","UHC","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"CARD CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Clover","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"CARD CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Wellcare","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"CARD CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Amerigroup","Medicaid Managed Care","",,"37",,"61.12","61.12","129.43","percent of total billed charges",,
"CARD CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Caresource","Medicaid Managed Care","",,"40",,"66.8","61.12","129.43","percent of total billed charges",,
"CARD CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Wellcare","Medicaid Managed Care","",,"40",,"67.64","61.12","129.43","percent of total billed charges",,
"CARD CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Aetna","Commercial","",,"64",,"106.55","61.12","129.43","percent of total billed charges",,
"CARD CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Blue Cross Blue Shield","Pathways","",,"71",,"117.9","61.12","129.43","percent of total billed charges",,
"CARD CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Blue Cross Blue Shield","HMO","",,"71",,"117.9","61.12","129.43","percent of total billed charges",,
"CARD CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Blue Cross Blue Shield","PPO","",,"71",,"117.9","61.12","129.43","percent of total billed charges",,
"CARD CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Ambetter","Health Exchange","",,"62",,"103.54","61.12","129.43","percent of total billed charges",,
"CARD CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Caresource","Health Exchange","",,"62",,"103.54","61.12","129.43","percent of total billed charges",,
"CARD CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Cigna","Commercial","",,"59",,"97.86","61.12","129.43","percent of total billed charges",,
"CARD CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Humana","Commercial","",,"78",,"129.43","61.12","129.43","percent of total billed charges",,
"CARD CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","UHC","Commercial","",,"75",,"125.92","61.12","129.43","percent of total billed charges",,
"CARD CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Medicaid",,"",,"37",,"61.12","61.12","129.43","percent of total billed charges",,
"CARD CLINIC ESTABLISED PROBLEM FOCUSED","99212","HCPCS","Both",,,"55","27.5","Alliant","Health Exchange","",,"62",,"34.1","20.13","42.62","percent of total billed charges",,
"CARD CLINIC ESTABLISED PROBLEM FOCUSED","99212","HCPCS","Both",,,"55","27.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"29.7","20.13","42.62","percent of total billed charges",,
"CARD CLINIC ESTABLISED PROBLEM FOCUSED","99212","HCPCS","Both",,,"55","27.5","Medicare",,"",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"CARD CLINIC ESTABLISED PROBLEM FOCUSED","99212","HCPCS","Both",,,"55","27.5","Humana","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"CARD CLINIC ESTABLISED PROBLEM FOCUSED","99212","HCPCS","Both",,,"55","27.5","UHC","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"CARD CLINIC ESTABLISED PROBLEM FOCUSED","99212","HCPCS","Both",,,"55","27.5","Clover","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"CARD CLINIC ESTABLISED PROBLEM FOCUSED","99212","HCPCS","Both",,,"55","27.5","Wellcare","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"CARD CLINIC ESTABLISED PROBLEM FOCUSED","99212","HCPCS","Both",,,"55","27.5","Amerigroup","Medicaid Managed Care","",,"37",,"20.13","20.13","42.62","percent of total billed charges",,
"CARD CLINIC ESTABLISED PROBLEM FOCUSED","99212","HCPCS","Both",,,"55","27.5","Caresource","Medicaid Managed Care","",,"40",,"22","20.13","42.62","percent of total billed charges",,
"CARD CLINIC ESTABLISED PROBLEM FOCUSED","99212","HCPCS","Both",,,"55","27.5","Wellcare","Medicaid Managed Care","",,"40",,"22.28","20.13","42.62","percent of total billed charges",,
"CARD CLINIC ESTABLISED PROBLEM FOCUSED","99212","HCPCS","Both",,,"55","27.5","Aetna","Commercial","",,"64",,"35.09","20.13","42.62","percent of total billed charges",,
"CARD CLINIC ESTABLISED PROBLEM FOCUSED","99212","HCPCS","Both",,,"55","27.5","Blue Cross Blue Shield","Pathways","",,"71",,"38.83","20.13","42.62","percent of total billed charges",,
"CARD CLINIC ESTABLISED PROBLEM FOCUSED","99212","HCPCS","Both",,,"55","27.5","Blue Cross Blue Shield","HMO","",,"71",,"38.83","20.13","42.62","percent of total billed charges",,
"CARD CLINIC ESTABLISED PROBLEM FOCUSED","99212","HCPCS","Both",,,"55","27.5","Blue Cross Blue Shield","PPO","",,"71",,"38.83","20.13","42.62","percent of total billed charges",,
"CARD CLINIC ESTABLISED PROBLEM FOCUSED","99212","HCPCS","Both",,,"55","27.5","Ambetter","Health Exchange","",,"62",,"34.1","20.13","42.62","percent of total billed charges",,
"CARD CLINIC ESTABLISED PROBLEM FOCUSED","99212","HCPCS","Both",,,"55","27.5","Caresource","Health Exchange","",,"62",,"34.1","20.13","42.62","percent of total billed charges",,
"CARD CLINIC ESTABLISED PROBLEM FOCUSED","99212","HCPCS","Both",,,"55","27.5","Cigna","Commercial","",,"59",,"32.23","20.13","42.62","percent of total billed charges",,
"CARD CLINIC ESTABLISED PROBLEM FOCUSED","99212","HCPCS","Both",,,"55","27.5","Humana","Commercial","",,"78",,"42.62","20.13","42.62","percent of total billed charges",,
"CARD CLINIC ESTABLISED PROBLEM FOCUSED","99212","HCPCS","Both",,,"55","27.5","UHC","Commercial","",,"75",,"41.47","20.13","42.62","percent of total billed charges",,
"CARD CLINIC ESTABLISED PROBLEM FOCUSED","99212","HCPCS","Both",,,"55","27.5","Medicaid",,"",,"37",,"20.13","20.13","42.62","percent of total billed charges",,
"CARD CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Alliant","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"CARD CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.94","22.33","47.28","percent of total billed charges",,
"CARD CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Medicare",,"",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"CARD CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Humana","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"CARD CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","UHC","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"CARD CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Clover","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"CARD CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Wellcare","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"CARD CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Amerigroup","Medicaid Managed Care","",,"37",,"22.33","22.33","47.28","percent of total billed charges",,
"CARD CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Caresource","Medicaid Managed Care","",,"40",,"24.4","22.33","47.28","percent of total billed charges",,
"CARD CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Wellcare","Medicaid Managed Care","",,"40",,"24.7","22.33","47.28","percent of total billed charges",,
"CARD CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Aetna","Commercial","",,"64",,"38.92","22.33","47.28","percent of total billed charges",,
"CARD CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","Pathways","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"CARD CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","HMO","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"CARD CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","PPO","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"CARD CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Ambetter","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"CARD CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Caresource","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"CARD CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Cigna","Commercial","",,"59",,"35.75","22.33","47.28","percent of total billed charges",,
"CARD CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Humana","Commercial","",,"78",,"47.28","22.33","47.28","percent of total billed charges",,
"CARD CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","UHC","Commercial","",,"75",,"45.99","22.33","47.28","percent of total billed charges",,
"CARD CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Medicaid",,"",,"37",,"22.33","22.33","47.28","percent of total billed charges",,
"CARD CLINIC ESTABLISHED PT MODERATE","99214","HCPCS","Both",,,"78","39","Alliant","Health Exchange","",,"62",,"48.36","28.55","60.45","percent of total billed charges",,
"CARD CLINIC ESTABLISHED PT MODERATE","99214","HCPCS","Both",,,"78","39","Pruitt Healthcare","Medicare Advantage","",,"54",,"42.12","28.55","60.45","percent of total billed charges",,
"CARD CLINIC ESTABLISHED PT MODERATE","99214","HCPCS","Both",,,"78","39","Medicare",,"",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"CARD CLINIC ESTABLISHED PT MODERATE","99214","HCPCS","Both",,,"78","39","Humana","Medicare Advantage","",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"CARD CLINIC ESTABLISHED PT MODERATE","99214","HCPCS","Both",,,"78","39","UHC","Medicare Advantage","",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"CARD CLINIC ESTABLISHED PT MODERATE","99214","HCPCS","Both",,,"78","39","Clover","Medicare Advantage","",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"CARD CLINIC ESTABLISHED PT MODERATE","99214","HCPCS","Both",,,"78","39","Wellcare","Medicare Advantage","",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"CARD CLINIC ESTABLISHED PT MODERATE","99214","HCPCS","Both",,,"78","39","Amerigroup","Medicaid Managed Care","",,"37",,"28.55","28.55","60.45","percent of total billed charges",,
"CARD CLINIC ESTABLISHED PT MODERATE","99214","HCPCS","Both",,,"78","39","Caresource","Medicaid Managed Care","",,"40",,"31.2","28.55","60.45","percent of total billed charges",,
"CARD CLINIC ESTABLISHED PT MODERATE","99214","HCPCS","Both",,,"78","39","Wellcare","Medicaid Managed Care","",,"40",,"31.59","28.55","60.45","percent of total billed charges",,
"CARD CLINIC ESTABLISHED PT MODERATE","99214","HCPCS","Both",,,"78","39","Aetna","Commercial","",,"64",,"49.76","28.55","60.45","percent of total billed charges",,
"CARD CLINIC ESTABLISHED PT MODERATE","99214","HCPCS","Both",,,"78","39","Blue Cross Blue Shield","Pathways","",,"71",,"55.07","28.55","60.45","percent of total billed charges",,
"CARD CLINIC ESTABLISHED PT MODERATE","99214","HCPCS","Both",,,"78","39","Blue Cross Blue Shield","HMO","",,"71",,"55.07","28.55","60.45","percent of total billed charges",,
"CARD CLINIC ESTABLISHED PT MODERATE","99214","HCPCS","Both",,,"78","39","Blue Cross Blue Shield","PPO","",,"71",,"55.07","28.55","60.45","percent of total billed charges",,
"CARD CLINIC ESTABLISHED PT MODERATE","99214","HCPCS","Both",,,"78","39","Ambetter","Health Exchange","",,"62",,"48.36","28.55","60.45","percent of total billed charges",,
"CARD CLINIC ESTABLISHED PT MODERATE","99214","HCPCS","Both",,,"78","39","Caresource","Health Exchange","",,"62",,"48.36","28.55","60.45","percent of total billed charges",,
"CARD CLINIC ESTABLISHED PT MODERATE","99214","HCPCS","Both",,,"78","39","Cigna","Commercial","",,"59",,"45.71","28.55","60.45","percent of total billed charges",,
"CARD CLINIC ESTABLISHED PT MODERATE","99214","HCPCS","Both",,,"78","39","Humana","Commercial","",,"78",,"60.45","28.55","60.45","percent of total billed charges",,
"CARD CLINIC ESTABLISHED PT MODERATE","99214","HCPCS","Both",,,"78","39","UHC","Commercial","",,"75",,"58.81","28.55","60.45","percent of total billed charges",,
"CARD CLINIC ESTABLISHED PT MODERATE","99214","HCPCS","Both",,,"78","39","Medicaid",,"",,"37",,"28.55","28.55","60.45","percent of total billed charges",,
"CARD CLINIC ESTABLISED PT COMPREHENSIVE","99215","HCPCS","Both",,,"110","55","Alliant","Health Exchange","",,"62",,"68.2","40.26","85.25","percent of total billed charges",,
"CARD CLINIC ESTABLISED PT COMPREHENSIVE","99215","HCPCS","Both",,,"110","55","Pruitt Healthcare","Medicare Advantage","",,"54",,"59.4","40.26","85.25","percent of total billed charges",,
"CARD CLINIC ESTABLISED PT COMPREHENSIVE","99215","HCPCS","Both",,,"110","55","Medicare",,"",,"54",,"59.62","40.26","85.25","percent of total billed charges",,
"CARD CLINIC ESTABLISED PT COMPREHENSIVE","99215","HCPCS","Both",,,"110","55","Humana","Medicare Advantage","",,"54",,"59.62","40.26","85.25","percent of total billed charges",,
"CARD CLINIC ESTABLISED PT COMPREHENSIVE","99215","HCPCS","Both",,,"110","55","UHC","Medicare Advantage","",,"54",,"59.62","40.26","85.25","percent of total billed charges",,
"CARD CLINIC ESTABLISED PT COMPREHENSIVE","99215","HCPCS","Both",,,"110","55","Clover","Medicare Advantage","",,"54",,"59.62","40.26","85.25","percent of total billed charges",,
"CARD CLINIC ESTABLISED PT COMPREHENSIVE","99215","HCPCS","Both",,,"110","55","Wellcare","Medicare Advantage","",,"54",,"59.62","40.26","85.25","percent of total billed charges",,
"CARD CLINIC ESTABLISED PT COMPREHENSIVE","99215","HCPCS","Both",,,"110","55","Amerigroup","Medicaid Managed Care","",,"37",,"40.26","40.26","85.25","percent of total billed charges",,
"CARD CLINIC ESTABLISED PT COMPREHENSIVE","99215","HCPCS","Both",,,"110","55","Caresource","Medicaid Managed Care","",,"40",,"44","40.26","85.25","percent of total billed charges",,
"CARD CLINIC ESTABLISED PT COMPREHENSIVE","99215","HCPCS","Both",,,"110","55","Wellcare","Medicaid Managed Care","",,"40",,"44.55","40.26","85.25","percent of total billed charges",,
"CARD CLINIC ESTABLISED PT COMPREHENSIVE","99215","HCPCS","Both",,,"110","55","Aetna","Commercial","",,"64",,"70.18","40.26","85.25","percent of total billed charges",,
"CARD CLINIC ESTABLISED PT COMPREHENSIVE","99215","HCPCS","Both",,,"110","55","Blue Cross Blue Shield","Pathways","",,"71",,"77.66","40.26","85.25","percent of total billed charges",,
"CARD CLINIC ESTABLISED PT COMPREHENSIVE","99215","HCPCS","Both",,,"110","55","Blue Cross Blue Shield","HMO","",,"71",,"77.66","40.26","85.25","percent of total billed charges",,
"CARD CLINIC ESTABLISED PT COMPREHENSIVE","99215","HCPCS","Both",,,"110","55","Blue Cross Blue Shield","PPO","",,"71",,"77.66","40.26","85.25","percent of total billed charges",,
"CARD CLINIC ESTABLISED PT COMPREHENSIVE","99215","HCPCS","Both",,,"110","55","Ambetter","Health Exchange","",,"62",,"68.2","40.26","85.25","percent of total billed charges",,
"CARD CLINIC ESTABLISED PT COMPREHENSIVE","99215","HCPCS","Both",,,"110","55","Caresource","Health Exchange","",,"62",,"68.2","40.26","85.25","percent of total billed charges",,
"CARD CLINIC ESTABLISED PT COMPREHENSIVE","99215","HCPCS","Both",,,"110","55","Cigna","Commercial","",,"59",,"64.46","40.26","85.25","percent of total billed charges",,
"CARD CLINIC ESTABLISED PT COMPREHENSIVE","99215","HCPCS","Both",,,"110","55","Humana","Commercial","",,"78",,"85.25","40.26","85.25","percent of total billed charges",,
"CARD CLINIC ESTABLISED PT COMPREHENSIVE","99215","HCPCS","Both",,,"110","55","UHC","Commercial","",,"75",,"82.94","40.26","85.25","percent of total billed charges",,
"CARD CLINIC ESTABLISED PT COMPREHENSIVE","99215","HCPCS","Both",,,"110","55","Medicaid",,"",,"37",,"40.26","40.26","85.25","percent of total billed charges",,
"CARD CLINIC CONSULT EXPANDED","99242","HCPCS","Both",,,"80","40","Alliant","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"CARD CLINIC CONSULT EXPANDED","99242","HCPCS","Both",,,"80","40","Pruitt Healthcare","Medicare Advantage","",,"54",,"43.2","29.28","62","percent of total billed charges",,
"CARD CLINIC CONSULT EXPANDED","99242","HCPCS","Both",,,"80","40","Medicare",,"",,"54",,"43.36","29.28","62","percent of total billed charges",,
"CARD CLINIC CONSULT EXPANDED","99242","HCPCS","Both",,,"80","40","Humana","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"CARD CLINIC CONSULT EXPANDED","99242","HCPCS","Both",,,"80","40","UHC","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"CARD CLINIC CONSULT EXPANDED","99242","HCPCS","Both",,,"80","40","Clover","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"CARD CLINIC CONSULT EXPANDED","99242","HCPCS","Both",,,"80","40","Wellcare","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"CARD CLINIC CONSULT EXPANDED","99242","HCPCS","Both",,,"80","40","Amerigroup","Medicaid Managed Care","",,"37",,"29.28","29.28","62","percent of total billed charges",,
"CARD CLINIC CONSULT EXPANDED","99242","HCPCS","Both",,,"80","40","Caresource","Medicaid Managed Care","",,"40",,"32","29.28","62","percent of total billed charges",,
"CARD CLINIC CONSULT EXPANDED","99242","HCPCS","Both",,,"80","40","Wellcare","Medicaid Managed Care","",,"40",,"32.4","29.28","62","percent of total billed charges",,
"CARD CLINIC CONSULT EXPANDED","99242","HCPCS","Both",,,"80","40","Aetna","Commercial","",,"64",,"51.04","29.28","62","percent of total billed charges",,
"CARD CLINIC CONSULT EXPANDED","99242","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","Pathways","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"CARD CLINIC CONSULT EXPANDED","99242","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","HMO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"CARD CLINIC CONSULT EXPANDED","99242","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","PPO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"CARD CLINIC CONSULT EXPANDED","99242","HCPCS","Both",,,"80","40","Ambetter","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"CARD CLINIC CONSULT EXPANDED","99242","HCPCS","Both",,,"80","40","Caresource","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"CARD CLINIC CONSULT EXPANDED","99242","HCPCS","Both",,,"80","40","Cigna","Commercial","",,"59",,"46.88","29.28","62","percent of total billed charges",,
"CARD CLINIC CONSULT EXPANDED","99242","HCPCS","Both",,,"80","40","Humana","Commercial","",,"78",,"62","29.28","62","percent of total billed charges",,
"CARD CLINIC CONSULT EXPANDED","99242","HCPCS","Both",,,"80","40","UHC","Commercial","",,"75",,"60.32","29.28","62","percent of total billed charges",,
"CARD CLINIC CONSULT EXPANDED","99242","HCPCS","Both",,,"80","40","Medicaid",,"",,"37",,"29.28","29.28","62","percent of total billed charges",,
"CARD CLINIC CONSULT DETAILED","99243","HCPCS","Both",,,"104","52","Alliant","Health Exchange","",,"62",,"64.48","38.06","80.68","percent of total billed charges",,
"CARD CLINIC CONSULT DETAILED","99243","HCPCS","Both",,,"104","52","Pruitt Healthcare","Medicare Advantage","",,"54",,"56.16","38.06","80.68","percent of total billed charges",,
"CARD CLINIC CONSULT DETAILED","99243","HCPCS","Both",,,"104","52","Medicare",,"",,"54",,"56.37","38.06","80.68","percent of total billed charges",,
"CARD CLINIC CONSULT DETAILED","99243","HCPCS","Both",,,"104","52","Humana","Medicare Advantage","",,"54",,"56.37","38.06","80.68","percent of total billed charges",,
"CARD CLINIC CONSULT DETAILED","99243","HCPCS","Both",,,"104","52","UHC","Medicare Advantage","",,"54",,"56.37","38.06","80.68","percent of total billed charges",,
"CARD CLINIC CONSULT DETAILED","99243","HCPCS","Both",,,"104","52","Clover","Medicare Advantage","",,"54",,"56.37","38.06","80.68","percent of total billed charges",,
"CARD CLINIC CONSULT DETAILED","99243","HCPCS","Both",,,"104","52","Wellcare","Medicare Advantage","",,"54",,"56.37","38.06","80.68","percent of total billed charges",,
"CARD CLINIC CONSULT DETAILED","99243","HCPCS","Both",,,"104","52","Amerigroup","Medicaid Managed Care","",,"37",,"38.06","38.06","80.68","percent of total billed charges",,
"CARD CLINIC CONSULT DETAILED","99243","HCPCS","Both",,,"104","52","Caresource","Medicaid Managed Care","",,"40",,"41.6","38.06","80.68","percent of total billed charges",,
"CARD CLINIC CONSULT DETAILED","99243","HCPCS","Both",,,"104","52","Wellcare","Medicaid Managed Care","",,"40",,"42.12","38.06","80.68","percent of total billed charges",,
"CARD CLINIC CONSULT DETAILED","99243","HCPCS","Both",,,"104","52","Aetna","Commercial","",,"64",,"66.35","38.06","80.68","percent of total billed charges",,
"CARD CLINIC CONSULT DETAILED","99243","HCPCS","Both",,,"104","52","Blue Cross Blue Shield","Pathways","",,"71",,"73.42","38.06","80.68","percent of total billed charges",,
"CARD CLINIC CONSULT DETAILED","99243","HCPCS","Both",,,"104","52","Blue Cross Blue Shield","HMO","",,"71",,"73.42","38.06","80.68","percent of total billed charges",,
"CARD CLINIC CONSULT DETAILED","99243","HCPCS","Both",,,"104","52","Blue Cross Blue Shield","PPO","",,"71",,"73.42","38.06","80.68","percent of total billed charges",,
"CARD CLINIC CONSULT DETAILED","99243","HCPCS","Both",,,"104","52","Ambetter","Health Exchange","",,"62",,"64.48","38.06","80.68","percent of total billed charges",,
"CARD CLINIC CONSULT DETAILED","99243","HCPCS","Both",,,"104","52","Caresource","Health Exchange","",,"62",,"64.48","38.06","80.68","percent of total billed charges",,
"CARD CLINIC CONSULT DETAILED","99243","HCPCS","Both",,,"104","52","Cigna","Commercial","",,"59",,"60.94","38.06","80.68","percent of total billed charges",,
"CARD CLINIC CONSULT DETAILED","99243","HCPCS","Both",,,"104","52","Humana","Commercial","",,"78",,"80.6","38.06","80.68","percent of total billed charges",,
"CARD CLINIC CONSULT DETAILED","99243","HCPCS","Both",,,"104","52","UHC","Commercial","",,"75",,"78.42","38.06","80.68","percent of total billed charges",,
"CARD CLINIC CONSULT DETAILED","99243","HCPCS","Both",,,"104","52","Medicaid",,"",,"37",,"38.06","38.06","80.68","percent of total billed charges",,
"CARD CLINIC CONSULT EXTENDED","99244","HCPCS","Both",,,"152.5","76.25","Alliant","Health Exchange","",,"62",,"94.55","55.82","118.19","percent of total billed charges",,
"CARD CLINIC CONSULT EXTENDED","99244","HCPCS","Both",,,"152.5","76.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"82.35","55.82","118.19","percent of total billed charges",,
"CARD CLINIC CONSULT EXTENDED","99244","HCPCS","Both",,,"152.5","76.25","Medicare",,"",,"54",,"82.66","55.82","118.19","percent of total billed charges",,
"CARD CLINIC CONSULT EXTENDED","99244","HCPCS","Both",,,"152.5","76.25","Humana","Medicare Advantage","",,"54",,"82.66","55.82","118.19","percent of total billed charges",,
"CARD CLINIC CONSULT EXTENDED","99244","HCPCS","Both",,,"152.5","76.25","UHC","Medicare Advantage","",,"54",,"82.66","55.82","118.19","percent of total billed charges",,
"CARD CLINIC CONSULT EXTENDED","99244","HCPCS","Both",,,"152.5","76.25","Clover","Medicare Advantage","",,"54",,"82.66","55.82","118.19","percent of total billed charges",,
"CARD CLINIC CONSULT EXTENDED","99244","HCPCS","Both",,,"152.5","76.25","Wellcare","Medicare Advantage","",,"54",,"82.66","55.82","118.19","percent of total billed charges",,
"CARD CLINIC CONSULT EXTENDED","99244","HCPCS","Both",,,"152.5","76.25","Amerigroup","Medicaid Managed Care","",,"37",,"55.82","55.82","118.19","percent of total billed charges",,
"CARD CLINIC CONSULT EXTENDED","99244","HCPCS","Both",,,"152.5","76.25","Caresource","Medicaid Managed Care","",,"40",,"61","55.82","118.19","percent of total billed charges",,
"CARD CLINIC CONSULT EXTENDED","99244","HCPCS","Both",,,"152.5","76.25","Wellcare","Medicaid Managed Care","",,"40",,"61.76","55.82","118.19","percent of total billed charges",,
"CARD CLINIC CONSULT EXTENDED","99244","HCPCS","Both",,,"152.5","76.25","Aetna","Commercial","",,"64",,"97.3","55.82","118.19","percent of total billed charges",,
"CARD CLINIC CONSULT EXTENDED","99244","HCPCS","Both",,,"152.5","76.25","Blue Cross Blue Shield","Pathways","",,"71",,"107.66","55.82","118.19","percent of total billed charges",,
"CARD CLINIC CONSULT EXTENDED","99244","HCPCS","Both",,,"152.5","76.25","Blue Cross Blue Shield","HMO","",,"71",,"107.66","55.82","118.19","percent of total billed charges",,
"CARD CLINIC CONSULT EXTENDED","99244","HCPCS","Both",,,"152.5","76.25","Blue Cross Blue Shield","PPO","",,"71",,"107.66","55.82","118.19","percent of total billed charges",,
"CARD CLINIC CONSULT EXTENDED","99244","HCPCS","Both",,,"152.5","76.25","Ambetter","Health Exchange","",,"62",,"94.55","55.82","118.19","percent of total billed charges",,
"CARD CLINIC CONSULT EXTENDED","99244","HCPCS","Both",,,"152.5","76.25","Caresource","Health Exchange","",,"62",,"94.55","55.82","118.19","percent of total billed charges",,
"CARD CLINIC CONSULT EXTENDED","99244","HCPCS","Both",,,"152.5","76.25","Cigna","Commercial","",,"59",,"89.36","55.82","118.19","percent of total billed charges",,
"CARD CLINIC CONSULT EXTENDED","99244","HCPCS","Both",,,"152.5","76.25","Humana","Commercial","",,"78",,"118.19","55.82","118.19","percent of total billed charges",,
"CARD CLINIC CONSULT EXTENDED","99244","HCPCS","Both",,,"152.5","76.25","UHC","Commercial","",,"75",,"114.98","55.82","118.19","percent of total billed charges",,
"CARD CLINIC CONSULT EXTENDED","99244","HCPCS","Both",,,"152.5","76.25","Medicaid",,"",,"37",,"55.82","55.82","118.19","percent of total billed charges",,
"CARD CLINIC CONSULT COMPREHENSIVE","99245","HCPCS","Both",,,"196","98","Alliant","Health Exchange","",,"62",,"121.52","71.74","151.9","percent of total billed charges",,
"CARD CLINIC CONSULT COMPREHENSIVE","99245","HCPCS","Both",,,"196","98","Pruitt Healthcare","Medicare Advantage","",,"54",,"105.84","71.74","151.9","percent of total billed charges",,
"CARD CLINIC CONSULT COMPREHENSIVE","99245","HCPCS","Both",,,"196","98","Medicare",,"",,"54",,"106.23","71.74","151.9","percent of total billed charges",,
"CARD CLINIC CONSULT COMPREHENSIVE","99245","HCPCS","Both",,,"196","98","Humana","Medicare Advantage","",,"54",,"106.23","71.74","151.9","percent of total billed charges",,
"CARD CLINIC CONSULT COMPREHENSIVE","99245","HCPCS","Both",,,"196","98","UHC","Medicare Advantage","",,"54",,"106.23","71.74","151.9","percent of total billed charges",,
"CARD CLINIC CONSULT COMPREHENSIVE","99245","HCPCS","Both",,,"196","98","Clover","Medicare Advantage","",,"54",,"106.23","71.74","151.9","percent of total billed charges",,
"CARD CLINIC CONSULT COMPREHENSIVE","99245","HCPCS","Both",,,"196","98","Wellcare","Medicare Advantage","",,"54",,"106.23","71.74","151.9","percent of total billed charges",,
"CARD CLINIC CONSULT COMPREHENSIVE","99245","HCPCS","Both",,,"196","98","Amerigroup","Medicaid Managed Care","",,"37",,"71.74","71.74","151.9","percent of total billed charges",,
"CARD CLINIC CONSULT COMPREHENSIVE","99245","HCPCS","Both",,,"196","98","Caresource","Medicaid Managed Care","",,"40",,"78.4","71.74","151.9","percent of total billed charges",,
"CARD CLINIC CONSULT COMPREHENSIVE","99245","HCPCS","Both",,,"196","98","Wellcare","Medicaid Managed Care","",,"40",,"79.38","71.74","151.9","percent of total billed charges",,
"CARD CLINIC CONSULT COMPREHENSIVE","99245","HCPCS","Both",,,"196","98","Aetna","Commercial","",,"64",,"125.05","71.74","151.9","percent of total billed charges",,
"CARD CLINIC CONSULT COMPREHENSIVE","99245","HCPCS","Both",,,"196","98","Blue Cross Blue Shield","Pathways","",,"71",,"138.38","71.74","151.9","percent of total billed charges",,
"CARD CLINIC CONSULT COMPREHENSIVE","99245","HCPCS","Both",,,"196","98","Blue Cross Blue Shield","HMO","",,"71",,"138.38","71.74","151.9","percent of total billed charges",,
"CARD CLINIC CONSULT COMPREHENSIVE","99245","HCPCS","Both",,,"196","98","Blue Cross Blue Shield","PPO","",,"71",,"138.38","71.74","151.9","percent of total billed charges",,
"CARD CLINIC CONSULT COMPREHENSIVE","99245","HCPCS","Both",,,"196","98","Ambetter","Health Exchange","",,"62",,"121.52","71.74","151.9","percent of total billed charges",,
"CARD CLINIC CONSULT COMPREHENSIVE","99245","HCPCS","Both",,,"196","98","Caresource","Health Exchange","",,"62",,"121.52","71.74","151.9","percent of total billed charges",,
"CARD CLINIC CONSULT COMPREHENSIVE","99245","HCPCS","Both",,,"196","98","Cigna","Commercial","",,"59",,"114.86","71.74","151.9","percent of total billed charges",,
"CARD CLINIC CONSULT COMPREHENSIVE","99245","HCPCS","Both",,,"196","98","Humana","Commercial","",,"78",,"151.9","71.74","151.9","percent of total billed charges",,
"CARD CLINIC CONSULT COMPREHENSIVE","99245","HCPCS","Both",,,"196","98","UHC","Commercial","",,"75",,"147.78","71.74","151.9","percent of total billed charges",,
"CARD CLINIC CONSULT COMPREHENSIVE","99245","HCPCS","Both",,,"196","98","Medicaid",,"",,"37",,"71.74","71.74","151.9","percent of total billed charges",,
"RIBS, UNILATERAL, 3 VIEW POSTEROANTERIOR","71101","HCPCS","Both",,,"109","54.5","Alliant","Health Exchange","26",,"62",,"67.58","39.89","84.48","percent of total billed charges",,
"RIBS, UNILATERAL, 3 VIEW POSTEROANTERIOR","71101","HCPCS","Both",,,"109","54.5","Pruitt Healthcare","Medicare Advantage","26",,"54",,"58.86","39.89","84.48","percent of total billed charges",,
"RIBS, UNILATERAL, 3 VIEW POSTEROANTERIOR","71101","HCPCS","Both",,,"109","54.5","Medicare",,"26",,"54",,"59.08","39.89","84.48","percent of total billed charges",,
"RIBS, UNILATERAL, 3 VIEW POSTEROANTERIOR","71101","HCPCS","Both",,,"109","54.5","Humana","Medicare Advantage","26",,"54",,"59.08","39.89","84.48","percent of total billed charges",,
"RIBS, UNILATERAL, 3 VIEW POSTEROANTERIOR","71101","HCPCS","Both",,,"109","54.5","UHC","Medicare Advantage","26",,"54",,"59.08","39.89","84.48","percent of total billed charges",,
"RIBS, UNILATERAL, 3 VIEW POSTEROANTERIOR","71101","HCPCS","Both",,,"109","54.5","Clover","Medicare Advantage","26",,"54",,"59.08","39.89","84.48","percent of total billed charges",,
"RIBS, UNILATERAL, 3 VIEW POSTEROANTERIOR","71101","HCPCS","Both",,,"109","54.5","Wellcare","Medicare Advantage","26",,"54",,"59.08","39.89","84.48","percent of total billed charges",,
"RIBS, UNILATERAL, 3 VIEW POSTEROANTERIOR","71101","HCPCS","Both",,,"109","54.5","Amerigroup","Medicaid Managed Care","26",,"37",,"39.89","39.89","84.48","percent of total billed charges",,
"RIBS, UNILATERAL, 3 VIEW POSTEROANTERIOR","71101","HCPCS","Both",,,"109","54.5","Caresource","Medicaid Managed Care","26",,"40",,"43.6","39.89","84.48","percent of total billed charges",,
"RIBS, UNILATERAL, 3 VIEW POSTEROANTERIOR","71101","HCPCS","Both",,,"109","54.5","Wellcare","Medicaid Managed Care","26",,"40",,"44.14","39.89","84.48","percent of total billed charges",,
"RIBS, UNILATERAL, 3 VIEW POSTEROANTERIOR","71101","HCPCS","Both",,,"109","54.5","Aetna","Commercial","26",,"64",,"69.54","39.89","84.48","percent of total billed charges",,
"RIBS, UNILATERAL, 3 VIEW POSTEROANTERIOR","71101","HCPCS","Both",,,"109","54.5","Blue Cross Blue Shield","Pathways","26",,"71",,"76.95","39.89","84.48","percent of total billed charges",,
"RIBS, UNILATERAL, 3 VIEW POSTEROANTERIOR","71101","HCPCS","Both",,,"109","54.5","Blue Cross Blue Shield","HMO","26",,"71",,"76.95","39.89","84.48","percent of total billed charges",,
"RIBS, UNILATERAL, 3 VIEW POSTEROANTERIOR","71101","HCPCS","Both",,,"109","54.5","Blue Cross Blue Shield","PPO","26",,"71",,"76.95","39.89","84.48","percent of total billed charges",,
"RIBS, UNILATERAL, 3 VIEW POSTEROANTERIOR","71101","HCPCS","Both",,,"109","54.5","Ambetter","Health Exchange","26",,"62",,"67.58","39.89","84.48","percent of total billed charges",,
"RIBS, UNILATERAL, 3 VIEW POSTEROANTERIOR","71101","HCPCS","Both",,,"109","54.5","Caresource","Health Exchange","26",,"62",,"67.58","39.89","84.48","percent of total billed charges",,
"RIBS, UNILATERAL, 3 VIEW POSTEROANTERIOR","71101","HCPCS","Both",,,"109","54.5","Cigna","Commercial","26",,"59",,"63.87","39.89","84.48","percent of total billed charges",,
"RIBS, UNILATERAL, 3 VIEW POSTEROANTERIOR","71101","HCPCS","Both",,,"109","54.5","Humana","Commercial","26",,"78",,"84.48","39.89","84.48","percent of total billed charges",,
"RIBS, UNILATERAL, 3 VIEW POSTEROANTERIOR","71101","HCPCS","Both",,,"109","54.5","UHC","Commercial","26",,"75",,"82.19","39.89","84.48","percent of total billed charges",,
"RIBS, UNILATERAL, 3 VIEW POSTEROANTERIOR","71101","HCPCS","Both",,,"109","54.5","Medicaid",,"26",,"37",,"39.89","39.89","84.48","percent of total billed charges",,
"RIBS,BILATERAL, 4 VIEWS,POSTEROANTERIOR","71111","HCPCS","Both",,,"72","36","Alliant","Health Exchange","26",,"62",,"44.64","16.59","55.8","percent of total billed charges",,
"RIBS,BILATERAL, 4 VIEWS,POSTEROANTERIOR","71111","HCPCS","Both",,,"72","36","Pruitt Healthcare","Medicare Advantage","26",,"54",,"38.88","16.59","55.8","percent of total billed charges",,
"RIBS,BILATERAL, 4 VIEWS,POSTEROANTERIOR","71111","HCPCS","Both",,,"72","36","Medicare",,"26",,"54",,"39.02","16.59","55.8","percent of total billed charges",,
"RIBS,BILATERAL, 4 VIEWS,POSTEROANTERIOR","71111","HCPCS","Both",,,"72","36","Humana","Medicare Advantage","26",,"54",,"39.02","16.59","55.8","percent of total billed charges",,
"RIBS,BILATERAL, 4 VIEWS,POSTEROANTERIOR","71111","HCPCS","Both",,,"72","36","UHC","Medicare Advantage","26",,"54",,"39.02","16.59","55.8","percent of total billed charges",,
"RIBS,BILATERAL, 4 VIEWS,POSTEROANTERIOR","71111","HCPCS","Both",,,"72","36","Clover","Medicare Advantage","26",,"54",,"39.02","16.59","55.8","percent of total billed charges",,
"RIBS,BILATERAL, 4 VIEWS,POSTEROANTERIOR","71111","HCPCS","Both",,,"72","36","Wellcare","Medicare Advantage","26",,"54",,"39.02","16.59","55.8","percent of total billed charges",,
"RIBS,BILATERAL, 4 VIEWS,POSTEROANTERIOR","71111","HCPCS","Both",,,"72","36","Amerigroup","Medicaid Managed Care","26",,"37",,"26.35","16.59","55.8","percent of total billed charges",,
"RIBS,BILATERAL, 4 VIEWS,POSTEROANTERIOR","71111","HCPCS","Both",,,"72","36","Caresource","Medicaid Managed Care","26",,"40",,"28.8","16.59","55.8","percent of total billed charges",,
"RIBS,BILATERAL, 4 VIEWS,POSTEROANTERIOR","71111","HCPCS","Both",,,"72","36","Wellcare","Medicaid Managed Care","26",,"40",,"29.16","16.59","55.8","percent of total billed charges",,
"RIBS,BILATERAL, 4 VIEWS,POSTEROANTERIOR","71111","HCPCS","Both",,,"72","36","Aetna","Commercial","26",,"64",,"45.94","16.59","55.8","percent of total billed charges",,
"RIBS,BILATERAL, 4 VIEWS,POSTEROANTERIOR","71111","HCPCS","Both",,,"72","36","Blue Cross Blue Shield","Pathways","26",,"71",,"50.83","16.59","55.8","percent of total billed charges",,
"RIBS,BILATERAL, 4 VIEWS,POSTEROANTERIOR","71111","HCPCS","Both",,,"72","36","Blue Cross Blue Shield","HMO","26",,"71",,"50.83","16.59","55.8","percent of total billed charges",,
"RIBS,BILATERAL, 4 VIEWS,POSTEROANTERIOR","71111","HCPCS","Both",,,"72","36","Blue Cross Blue Shield","PPO","26",,"71",,"50.83","16.59","55.8","percent of total billed charges",,
"RIBS,BILATERAL, 4 VIEWS,POSTEROANTERIOR","71111","HCPCS","Both",,,"72","36","Ambetter","Health Exchange","26",,"62",,"44.64","16.59","55.8","percent of total billed charges",,
"RIBS,BILATERAL, 4 VIEWS,POSTEROANTERIOR","71111","HCPCS","Both",,,"72","36","Caresource","Health Exchange","26",,"62",,"44.64","16.59","55.8","percent of total billed charges",,
"RIBS,BILATERAL, 4 VIEWS,POSTEROANTERIOR","71111","HCPCS","Both",,,"72","36","Cigna","Commercial","26",,"59",,"42.19","16.59","55.8","percent of total billed charges",,
"RIBS,BILATERAL, 4 VIEWS,POSTEROANTERIOR","71111","HCPCS","Both",,,"72","36","Humana","Commercial","26",,"78",,"55.8","16.59","55.8","percent of total billed charges",,
"RIBS,BILATERAL, 4 VIEWS,POSTEROANTERIOR","71111","HCPCS","Both",,,"72","36","UHC","Commercial","26",,"75",,"54.29","16.59","55.8","percent of total billed charges",,
"RIBS,BILATERAL, 4 VIEWS,POSTEROANTERIOR","71111","HCPCS","Both",,,"72","36","Medicaid",,"26",,"37",,"26.35","16.59","55.8","percent of total billed charges",,
"STERNUM, 2 VIEWS","71120","HCPCS","Both",,,"153","76.5","Alliant","Health Exchange","26",,"62",,"94.86","56","118.58","percent of total billed charges",,
"STERNUM, 2 VIEWS","71120","HCPCS","Both",,,"153","76.5","Pruitt Healthcare","Medicare Advantage","26",,"54",,"82.62","56","118.58","percent of total billed charges",,
"STERNUM, 2 VIEWS","71120","HCPCS","Both",,,"153","76.5","Medicare",,"26",,"54",,"82.93","56","118.58","percent of total billed charges",,
"STERNUM, 2 VIEWS","71120","HCPCS","Both",,,"153","76.5","Humana","Medicare Advantage","26",,"54",,"82.93","56","118.58","percent of total billed charges",,
"STERNUM, 2 VIEWS","71120","HCPCS","Both",,,"153","76.5","UHC","Medicare Advantage","26",,"54",,"82.93","56","118.58","percent of total billed charges",,
"STERNUM, 2 VIEWS","71120","HCPCS","Both",,,"153","76.5","Clover","Medicare Advantage","26",,"54",,"82.93","56","118.58","percent of total billed charges",,
"STERNUM, 2 VIEWS","71120","HCPCS","Both",,,"153","76.5","Wellcare","Medicare Advantage","26",,"54",,"82.93","56","118.58","percent of total billed charges",,
"STERNUM, 2 VIEWS","71120","HCPCS","Both",,,"153","76.5","Amerigroup","Medicaid Managed Care","26",,"37",,"56","56","118.58","percent of total billed charges",,
"STERNUM, 2 VIEWS","71120","HCPCS","Both",,,"153","76.5","Caresource","Medicaid Managed Care","26",,"40",,"61.2","56","118.58","percent of total billed charges",,
"STERNUM, 2 VIEWS","71120","HCPCS","Both",,,"153","76.5","Wellcare","Medicaid Managed Care","26",,"40",,"61.96","56","118.58","percent of total billed charges",,
"STERNUM, 2 VIEWS","71120","HCPCS","Both",,,"153","76.5","Aetna","Commercial","26",,"64",,"97.61","56","118.58","percent of total billed charges",,
"STERNUM, 2 VIEWS","71120","HCPCS","Both",,,"153","76.5","Blue Cross Blue Shield","Pathways","26",,"71",,"108.02","56","118.58","percent of total billed charges",,
"STERNUM, 2 VIEWS","71120","HCPCS","Both",,,"153","76.5","Blue Cross Blue Shield","HMO","26",,"71",,"108.02","56","118.58","percent of total billed charges",,
"STERNUM, 2 VIEWS","71120","HCPCS","Both",,,"153","76.5","Blue Cross Blue Shield","PPO","26",,"71",,"108.02","56","118.58","percent of total billed charges",,
"STERNUM, 2 VIEWS","71120","HCPCS","Both",,,"153","76.5","Ambetter","Health Exchange","26",,"62",,"94.86","56","118.58","percent of total billed charges",,
"STERNUM, 2 VIEWS","71120","HCPCS","Both",,,"153","76.5","Caresource","Health Exchange","26",,"62",,"94.86","56","118.58","percent of total billed charges",,
"STERNUM, 2 VIEWS","71120","HCPCS","Both",,,"153","76.5","Cigna","Commercial","26",,"59",,"89.66","56","118.58","percent of total billed charges",,
"STERNUM, 2 VIEWS","71120","HCPCS","Both",,,"153","76.5","Humana","Commercial","26",,"78",,"118.58","56","118.58","percent of total billed charges",,
"STERNUM, 2 VIEWS","71120","HCPCS","Both",,,"153","76.5","UHC","Commercial","26",,"75",,"115.36","56","118.58","percent of total billed charges",,
"STERNUM, 2 VIEWS","71120","HCPCS","Both",,,"153","76.5","Medicaid",,"26",,"37",,"56","56","118.58","percent of total billed charges",,
"STERNOCLAVICULAR JOINT &/OR JOINTS 3 VIE","71130","HCPCS","Both",,,"153","76.5","Alliant","Health Exchange","26",,"62",,"94.86","56","118.58","percent of total billed charges",,
"STERNOCLAVICULAR JOINT &/OR JOINTS 3 VIE","71130","HCPCS","Both",,,"153","76.5","Pruitt Healthcare","Medicare Advantage","26",,"54",,"82.62","56","118.58","percent of total billed charges",,
"STERNOCLAVICULAR JOINT &/OR JOINTS 3 VIE","71130","HCPCS","Both",,,"153","76.5","Medicare",,"26",,"54",,"82.93","56","118.58","percent of total billed charges",,
"STERNOCLAVICULAR JOINT &/OR JOINTS 3 VIE","71130","HCPCS","Both",,,"153","76.5","Humana","Medicare Advantage","26",,"54",,"82.93","56","118.58","percent of total billed charges",,
"STERNOCLAVICULAR JOINT &/OR JOINTS 3 VIE","71130","HCPCS","Both",,,"153","76.5","UHC","Medicare Advantage","26",,"54",,"82.93","56","118.58","percent of total billed charges",,
"STERNOCLAVICULAR JOINT &/OR JOINTS 3 VIE","71130","HCPCS","Both",,,"153","76.5","Clover","Medicare Advantage","26",,"54",,"82.93","56","118.58","percent of total billed charges",,
"STERNOCLAVICULAR JOINT &/OR JOINTS 3 VIE","71130","HCPCS","Both",,,"153","76.5","Wellcare","Medicare Advantage","26",,"54",,"82.93","56","118.58","percent of total billed charges",,
"STERNOCLAVICULAR JOINT &/OR JOINTS 3 VIE","71130","HCPCS","Both",,,"153","76.5","Amerigroup","Medicaid Managed Care","26",,"37",,"56","56","118.58","percent of total billed charges",,
"STERNOCLAVICULAR JOINT &/OR JOINTS 3 VIE","71130","HCPCS","Both",,,"153","76.5","Caresource","Medicaid Managed Care","26",,"40",,"61.2","56","118.58","percent of total billed charges",,
"STERNOCLAVICULAR JOINT &/OR JOINTS 3 VIE","71130","HCPCS","Both",,,"153","76.5","Wellcare","Medicaid Managed Care","26",,"40",,"61.96","56","118.58","percent of total billed charges",,
"STERNOCLAVICULAR JOINT &/OR JOINTS 3 VIE","71130","HCPCS","Both",,,"153","76.5","Aetna","Commercial","26",,"64",,"97.61","56","118.58","percent of total billed charges",,
"STERNOCLAVICULAR JOINT &/OR JOINTS 3 VIE","71130","HCPCS","Both",,,"153","76.5","Blue Cross Blue Shield","Pathways","26",,"71",,"108.02","56","118.58","percent of total billed charges",,
"STERNOCLAVICULAR JOINT &/OR JOINTS 3 VIE","71130","HCPCS","Both",,,"153","76.5","Blue Cross Blue Shield","HMO","26",,"71",,"108.02","56","118.58","percent of total billed charges",,
"STERNOCLAVICULAR JOINT &/OR JOINTS 3 VIE","71130","HCPCS","Both",,,"153","76.5","Blue Cross Blue Shield","PPO","26",,"71",,"108.02","56","118.58","percent of total billed charges",,
"STERNOCLAVICULAR JOINT &/OR JOINTS 3 VIE","71130","HCPCS","Both",,,"153","76.5","Ambetter","Health Exchange","26",,"62",,"94.86","56","118.58","percent of total billed charges",,
"STERNOCLAVICULAR JOINT &/OR JOINTS 3 VIE","71130","HCPCS","Both",,,"153","76.5","Caresource","Health Exchange","26",,"62",,"94.86","56","118.58","percent of total billed charges",,
"STERNOCLAVICULAR JOINT &/OR JOINTS 3 VIE","71130","HCPCS","Both",,,"153","76.5","Cigna","Commercial","26",,"59",,"89.66","56","118.58","percent of total billed charges",,
"STERNOCLAVICULAR JOINT &/OR JOINTS 3 VIE","71130","HCPCS","Both",,,"153","76.5","Humana","Commercial","26",,"78",,"118.58","56","118.58","percent of total billed charges",,
"STERNOCLAVICULAR JOINT &/OR JOINTS 3 VIE","71130","HCPCS","Both",,,"153","76.5","UHC","Commercial","26",,"75",,"115.36","56","118.58","percent of total billed charges",,
"STERNOCLAVICULAR JOINT &/OR JOINTS 3 VIE","71130","HCPCS","Both",,,"153","76.5","Medicaid",,"26",,"37",,"56","56","118.58","percent of total billed charges",,
"ACUTE ABD SERIES","74022","HCPCS","Both",,,"169","84.5","Alliant","Health Exchange","26",,"62",,"104.78","16.59","130.98","percent of total billed charges",,
"ACUTE ABD SERIES","74022","HCPCS","Both",,,"169","84.5","Pruitt Healthcare","Medicare Advantage","26",,"54",,"91.26","16.59","130.98","percent of total billed charges",,
"ACUTE ABD SERIES","74022","HCPCS","Both",,,"169","84.5","Medicare",,"26",,"54",,"91.6","16.59","130.98","percent of total billed charges",,
"ACUTE ABD SERIES","74022","HCPCS","Both",,,"169","84.5","Humana","Medicare Advantage","26",,"54",,"91.6","16.59","130.98","percent of total billed charges",,
"ACUTE ABD SERIES","74022","HCPCS","Both",,,"169","84.5","UHC","Medicare Advantage","26",,"54",,"91.6","16.59","130.98","percent of total billed charges",,
"ACUTE ABD SERIES","74022","HCPCS","Both",,,"169","84.5","Clover","Medicare Advantage","26",,"54",,"91.6","16.59","130.98","percent of total billed charges",,
"ACUTE ABD SERIES","74022","HCPCS","Both",,,"169","84.5","Wellcare","Medicare Advantage","26",,"54",,"91.6","16.59","130.98","percent of total billed charges",,
"ACUTE ABD SERIES","74022","HCPCS","Both",,,"169","84.5","Amerigroup","Medicaid Managed Care","26",,"37",,"61.85","16.59","130.98","percent of total billed charges",,
"ACUTE ABD SERIES","74022","HCPCS","Both",,,"169","84.5","Caresource","Medicaid Managed Care","26",,"40",,"67.6","16.59","130.98","percent of total billed charges",,
"ACUTE ABD SERIES","74022","HCPCS","Both",,,"169","84.5","Wellcare","Medicaid Managed Care","26",,"40",,"68.45","16.59","130.98","percent of total billed charges",,
"ACUTE ABD SERIES","74022","HCPCS","Both",,,"169","84.5","Aetna","Commercial","26",,"64",,"107.82","16.59","130.98","percent of total billed charges",,
"ACUTE ABD SERIES","74022","HCPCS","Both",,,"169","84.5","Blue Cross Blue Shield","Pathways","26",,"71",,"119.31","16.59","130.98","percent of total billed charges",,
"ACUTE ABD SERIES","74022","HCPCS","Both",,,"169","84.5","Blue Cross Blue Shield","HMO","26",,"71",,"119.31","16.59","130.98","percent of total billed charges",,
"ACUTE ABD SERIES","74022","HCPCS","Both",,,"169","84.5","Blue Cross Blue Shield","PPO","26",,"71",,"119.31","16.59","130.98","percent of total billed charges",,
"ACUTE ABD SERIES","74022","HCPCS","Both",,,"169","84.5","Ambetter","Health Exchange","26",,"62",,"104.78","16.59","130.98","percent of total billed charges",,
"ACUTE ABD SERIES","74022","HCPCS","Both",,,"169","84.5","Caresource","Health Exchange","26",,"62",,"104.78","16.59","130.98","percent of total billed charges",,
"ACUTE ABD SERIES","74022","HCPCS","Both",,,"169","84.5","Cigna","Commercial","26",,"59",,"99.03","16.59","130.98","percent of total billed charges",,
"ACUTE ABD SERIES","74022","HCPCS","Both",,,"169","84.5","Humana","Commercial","26",,"78",,"130.98","16.59","130.98","percent of total billed charges",,
"ACUTE ABD SERIES","74022","HCPCS","Both",,,"169","84.5","UHC","Commercial","26",,"75",,"127.43","16.59","130.98","percent of total billed charges",,
"ACUTE ABD SERIES","74022","HCPCS","Both",,,"169","84.5","Medicaid",,"26",,"37",,"61.85","16.59","130.98","percent of total billed charges",,
"SPINE, CERVICAL; OBLIQUE AND FLEXION","72052","HCPCS","Both",,,"745","372.5","Alliant","Health Exchange","26",,"62",,"461.9","272.67","577.38","percent of total billed charges",,
"SPINE, CERVICAL; OBLIQUE AND FLEXION","72052","HCPCS","Both",,,"745","372.5","Pruitt Healthcare","Medicare Advantage","26",,"54",,"402.3","272.67","577.38","percent of total billed charges",,
"SPINE, CERVICAL; OBLIQUE AND FLEXION","72052","HCPCS","Both",,,"745","372.5","Medicare",,"26",,"54",,"403.79","272.67","577.38","percent of total billed charges",,
"SPINE, CERVICAL; OBLIQUE AND FLEXION","72052","HCPCS","Both",,,"745","372.5","Humana","Medicare Advantage","26",,"54",,"403.79","272.67","577.38","percent of total billed charges",,
"SPINE, CERVICAL; OBLIQUE AND FLEXION","72052","HCPCS","Both",,,"745","372.5","UHC","Medicare Advantage","26",,"54",,"403.79","272.67","577.38","percent of total billed charges",,
"SPINE, CERVICAL; OBLIQUE AND FLEXION","72052","HCPCS","Both",,,"745","372.5","Clover","Medicare Advantage","26",,"54",,"403.79","272.67","577.38","percent of total billed charges",,
"SPINE, CERVICAL; OBLIQUE AND FLEXION","72052","HCPCS","Both",,,"745","372.5","Wellcare","Medicare Advantage","26",,"54",,"403.79","272.67","577.38","percent of total billed charges",,
"SPINE, CERVICAL; OBLIQUE AND FLEXION","72052","HCPCS","Both",,,"745","372.5","Amerigroup","Medicaid Managed Care","26",,"37",,"272.67","272.67","577.38","percent of total billed charges",,
"SPINE, CERVICAL; OBLIQUE AND FLEXION","72052","HCPCS","Both",,,"745","372.5","Caresource","Medicaid Managed Care","26",,"40",,"298","272.67","577.38","percent of total billed charges",,
"SPINE, CERVICAL; OBLIQUE AND FLEXION","72052","HCPCS","Both",,,"745","372.5","Wellcare","Medicaid Managed Care","26",,"40",,"301.73","272.67","577.38","percent of total billed charges",,
"SPINE, CERVICAL; OBLIQUE AND FLEXION","72052","HCPCS","Both",,,"745","372.5","Aetna","Commercial","26",,"64",,"475.31","272.67","577.38","percent of total billed charges",,
"SPINE, CERVICAL; OBLIQUE AND FLEXION","72052","HCPCS","Both",,,"745","372.5","Blue Cross Blue Shield","Pathways","26",,"71",,"525.97","272.67","577.38","percent of total billed charges",,
"SPINE, CERVICAL; OBLIQUE AND FLEXION","72052","HCPCS","Both",,,"745","372.5","Blue Cross Blue Shield","HMO","26",,"71",,"525.97","272.67","577.38","percent of total billed charges",,
"SPINE, CERVICAL; OBLIQUE AND FLEXION","72052","HCPCS","Both",,,"745","372.5","Blue Cross Blue Shield","PPO","26",,"71",,"525.97","272.67","577.38","percent of total billed charges",,
"SPINE, CERVICAL; OBLIQUE AND FLEXION","72052","HCPCS","Both",,,"745","372.5","Ambetter","Health Exchange","26",,"62",,"461.9","272.67","577.38","percent of total billed charges",,
"SPINE, CERVICAL; OBLIQUE AND FLEXION","72052","HCPCS","Both",,,"745","372.5","Caresource","Health Exchange","26",,"62",,"461.9","272.67","577.38","percent of total billed charges",,
"SPINE, CERVICAL; OBLIQUE AND FLEXION","72052","HCPCS","Both",,,"745","372.5","Cigna","Commercial","26",,"59",,"436.57","272.67","577.38","percent of total billed charges",,
"SPINE, CERVICAL; OBLIQUE AND FLEXION","72052","HCPCS","Both",,,"745","372.5","Humana","Commercial","26",,"78",,"577.38","272.67","577.38","percent of total billed charges",,
"SPINE, CERVICAL; OBLIQUE AND FLEXION","72052","HCPCS","Both",,,"745","372.5","UHC","Commercial","26",,"75",,"561.73","272.67","577.38","percent of total billed charges",,
"SPINE, CERVICAL; OBLIQUE AND FLEXION","72052","HCPCS","Both",,,"745","372.5","Medicaid",,"26",,"37",,"272.67","272.67","577.38","percent of total billed charges",,
"BARIUM SWALLOW","70370","HCPCS","Both",,,"103.5","51.75","Alliant","Health Exchange","26",,"62",,"64.17","37.88","80.21","percent of total billed charges",,
"BARIUM SWALLOW","70370","HCPCS","Both",,,"103.5","51.75","Pruitt Healthcare","Medicare Advantage","26",,"54",,"55.89","37.88","80.21","percent of total billed charges",,
"BARIUM SWALLOW","70370","HCPCS","Both",,,"103.5","51.75","Medicare",,"26",,"54",,"56.1","37.88","80.21","percent of total billed charges",,
"BARIUM SWALLOW","70370","HCPCS","Both",,,"103.5","51.75","Humana","Medicare Advantage","26",,"54",,"56.1","37.88","80.21","percent of total billed charges",,
"BARIUM SWALLOW","70370","HCPCS","Both",,,"103.5","51.75","UHC","Medicare Advantage","26",,"54",,"56.1","37.88","80.21","percent of total billed charges",,
"BARIUM SWALLOW","70370","HCPCS","Both",,,"103.5","51.75","Clover","Medicare Advantage","26",,"54",,"56.1","37.88","80.21","percent of total billed charges",,
"BARIUM SWALLOW","70370","HCPCS","Both",,,"103.5","51.75","Wellcare","Medicare Advantage","26",,"54",,"56.1","37.88","80.21","percent of total billed charges",,
"BARIUM SWALLOW","70370","HCPCS","Both",,,"103.5","51.75","Amerigroup","Medicaid Managed Care","26",,"37",,"37.88","37.88","80.21","percent of total billed charges",,
"BARIUM SWALLOW","70370","HCPCS","Both",,,"103.5","51.75","Caresource","Medicaid Managed Care","26",,"40",,"41.4","37.88","80.21","percent of total billed charges",,
"BARIUM SWALLOW","70370","HCPCS","Both",,,"103.5","51.75","Wellcare","Medicaid Managed Care","26",,"40",,"41.92","37.88","80.21","percent of total billed charges",,
"BARIUM SWALLOW","70370","HCPCS","Both",,,"103.5","51.75","Aetna","Commercial","26",,"64",,"66.03","37.88","80.21","percent of total billed charges",,
"BARIUM SWALLOW","70370","HCPCS","Both",,,"103.5","51.75","Blue Cross Blue Shield","Pathways","26",,"71",,"73.07","37.88","80.21","percent of total billed charges",,
"BARIUM SWALLOW","70370","HCPCS","Both",,,"103.5","51.75","Blue Cross Blue Shield","HMO","26",,"71",,"73.07","37.88","80.21","percent of total billed charges",,
"BARIUM SWALLOW","70370","HCPCS","Both",,,"103.5","51.75","Blue Cross Blue Shield","PPO","26",,"71",,"73.07","37.88","80.21","percent of total billed charges",,
"BARIUM SWALLOW","70370","HCPCS","Both",,,"103.5","51.75","Ambetter","Health Exchange","26",,"62",,"64.17","37.88","80.21","percent of total billed charges",,
"BARIUM SWALLOW","70370","HCPCS","Both",,,"103.5","51.75","Caresource","Health Exchange","26",,"62",,"64.17","37.88","80.21","percent of total billed charges",,
"BARIUM SWALLOW","70370","HCPCS","Both",,,"103.5","51.75","Cigna","Commercial","26",,"59",,"60.65","37.88","80.21","percent of total billed charges",,
"BARIUM SWALLOW","70370","HCPCS","Both",,,"103.5","51.75","Humana","Commercial","26",,"78",,"80.21","37.88","80.21","percent of total billed charges",,
"BARIUM SWALLOW","70370","HCPCS","Both",,,"103.5","51.75","UHC","Commercial","26",,"75",,"78.04","37.88","80.21","percent of total billed charges",,
"BARIUM SWALLOW","70370","HCPCS","Both",,,"103.5","51.75","Medicaid",,"26",,"37",,"37.88","37.88","80.21","percent of total billed charges",,
"GI TRACT, UPPER; W/O KUB","74240","HCPCS","Both",,,"140","70","Alliant","Health Exchange","26",,"62",,"86.8","51.24","108.5","percent of total billed charges",,
"GI TRACT, UPPER; W/O KUB","74240","HCPCS","Both",,,"140","70","Pruitt Healthcare","Medicare Advantage","26",,"54",,"75.6","51.24","108.5","percent of total billed charges",,
"GI TRACT, UPPER; W/O KUB","74240","HCPCS","Both",,,"140","70","Medicare",,"26",,"54",,"75.88","51.24","108.5","percent of total billed charges",,
"GI TRACT, UPPER; W/O KUB","74240","HCPCS","Both",,,"140","70","Humana","Medicare Advantage","26",,"54",,"75.88","51.24","108.5","percent of total billed charges",,
"GI TRACT, UPPER; W/O KUB","74240","HCPCS","Both",,,"140","70","UHC","Medicare Advantage","26",,"54",,"75.88","51.24","108.5","percent of total billed charges",,
"GI TRACT, UPPER; W/O KUB","74240","HCPCS","Both",,,"140","70","Clover","Medicare Advantage","26",,"54",,"75.88","51.24","108.5","percent of total billed charges",,
"GI TRACT, UPPER; W/O KUB","74240","HCPCS","Both",,,"140","70","Wellcare","Medicare Advantage","26",,"54",,"75.88","51.24","108.5","percent of total billed charges",,
"GI TRACT, UPPER; W/O KUB","74240","HCPCS","Both",,,"140","70","Amerigroup","Medicaid Managed Care","26",,"37",,"51.24","51.24","108.5","percent of total billed charges",,
"GI TRACT, UPPER; W/O KUB","74240","HCPCS","Both",,,"140","70","Caresource","Medicaid Managed Care","26",,"40",,"56","51.24","108.5","percent of total billed charges",,
"GI TRACT, UPPER; W/O KUB","74240","HCPCS","Both",,,"140","70","Wellcare","Medicaid Managed Care","26",,"40",,"56.7","51.24","108.5","percent of total billed charges",,
"GI TRACT, UPPER; W/O KUB","74240","HCPCS","Both",,,"140","70","Aetna","Commercial","26",,"64",,"89.32","51.24","108.5","percent of total billed charges",,
"GI TRACT, UPPER; W/O KUB","74240","HCPCS","Both",,,"140","70","Blue Cross Blue Shield","Pathways","26",,"71",,"98.84","51.24","108.5","percent of total billed charges",,
"GI TRACT, UPPER; W/O KUB","74240","HCPCS","Both",,,"140","70","Blue Cross Blue Shield","HMO","26",,"71",,"98.84","51.24","108.5","percent of total billed charges",,
"GI TRACT, UPPER; W/O KUB","74240","HCPCS","Both",,,"140","70","Blue Cross Blue Shield","PPO","26",,"71",,"98.84","51.24","108.5","percent of total billed charges",,
"GI TRACT, UPPER; W/O KUB","74240","HCPCS","Both",,,"140","70","Ambetter","Health Exchange","26",,"62",,"86.8","51.24","108.5","percent of total billed charges",,
"GI TRACT, UPPER; W/O KUB","74240","HCPCS","Both",,,"140","70","Caresource","Health Exchange","26",,"62",,"86.8","51.24","108.5","percent of total billed charges",,
"GI TRACT, UPPER; W/O KUB","74240","HCPCS","Both",,,"140","70","Cigna","Commercial","26",,"59",,"82.04","51.24","108.5","percent of total billed charges",,
"GI TRACT, UPPER; W/O KUB","74240","HCPCS","Both",,,"140","70","Humana","Commercial","26",,"78",,"108.5","51.24","108.5","percent of total billed charges",,
"GI TRACT, UPPER; W/O KUB","74240","HCPCS","Both",,,"140","70","UHC","Commercial","26",,"75",,"105.56","51.24","108.5","percent of total billed charges",,
"GI TRACT, UPPER; W/O KUB","74240","HCPCS","Both",,,"140","70","Medicaid",,"26",,"37",,"51.24","51.24","108.5","percent of total billed charges",,
"COLON;BARIUM ENEMA W OR W/O KUB","74270","HCPCS","Both",,,"173","86.5","Alliant","Health Exchange","26",,"62",,"107.26","63.32","134.08","percent of total billed charges",,
"COLON;BARIUM ENEMA W OR W/O KUB","74270","HCPCS","Both",,,"173","86.5","Pruitt Healthcare","Medicare Advantage","26",,"54",,"93.42","63.32","134.08","percent of total billed charges",,
"COLON;BARIUM ENEMA W OR W/O KUB","74270","HCPCS","Both",,,"173","86.5","Medicare",,"26",,"54",,"93.77","63.32","134.08","percent of total billed charges",,
"COLON;BARIUM ENEMA W OR W/O KUB","74270","HCPCS","Both",,,"173","86.5","Humana","Medicare Advantage","26",,"54",,"93.77","63.32","134.08","percent of total billed charges",,
"COLON;BARIUM ENEMA W OR W/O KUB","74270","HCPCS","Both",,,"173","86.5","UHC","Medicare Advantage","26",,"54",,"93.77","63.32","134.08","percent of total billed charges",,
"COLON;BARIUM ENEMA W OR W/O KUB","74270","HCPCS","Both",,,"173","86.5","Clover","Medicare Advantage","26",,"54",,"93.77","63.32","134.08","percent of total billed charges",,
"COLON;BARIUM ENEMA W OR W/O KUB","74270","HCPCS","Both",,,"173","86.5","Wellcare","Medicare Advantage","26",,"54",,"93.77","63.32","134.08","percent of total billed charges",,
"COLON;BARIUM ENEMA W OR W/O KUB","74270","HCPCS","Both",,,"173","86.5","Amerigroup","Medicaid Managed Care","26",,"37",,"63.32","63.32","134.08","percent of total billed charges",,
"COLON;BARIUM ENEMA W OR W/O KUB","74270","HCPCS","Both",,,"173","86.5","Caresource","Medicaid Managed Care","26",,"40",,"69.2","63.32","134.08","percent of total billed charges",,
"COLON;BARIUM ENEMA W OR W/O KUB","74270","HCPCS","Both",,,"173","86.5","Wellcare","Medicaid Managed Care","26",,"40",,"70.06","63.32","134.08","percent of total billed charges",,
"COLON;BARIUM ENEMA W OR W/O KUB","74270","HCPCS","Both",,,"173","86.5","Aetna","Commercial","26",,"64",,"110.37","63.32","134.08","percent of total billed charges",,
"COLON;BARIUM ENEMA W OR W/O KUB","74270","HCPCS","Both",,,"173","86.5","Blue Cross Blue Shield","Pathways","26",,"71",,"122.14","63.32","134.08","percent of total billed charges",,
"COLON;BARIUM ENEMA W OR W/O KUB","74270","HCPCS","Both",,,"173","86.5","Blue Cross Blue Shield","HMO","26",,"71",,"122.14","63.32","134.08","percent of total billed charges",,
"COLON;BARIUM ENEMA W OR W/O KUB","74270","HCPCS","Both",,,"173","86.5","Blue Cross Blue Shield","PPO","26",,"71",,"122.14","63.32","134.08","percent of total billed charges",,
"COLON;BARIUM ENEMA W OR W/O KUB","74270","HCPCS","Both",,,"173","86.5","Ambetter","Health Exchange","26",,"62",,"107.26","63.32","134.08","percent of total billed charges",,
"COLON;BARIUM ENEMA W OR W/O KUB","74270","HCPCS","Both",,,"173","86.5","Caresource","Health Exchange","26",,"62",,"107.26","63.32","134.08","percent of total billed charges",,
"COLON;BARIUM ENEMA W OR W/O KUB","74270","HCPCS","Both",,,"173","86.5","Cigna","Commercial","26",,"59",,"101.38","63.32","134.08","percent of total billed charges",,
"COLON;BARIUM ENEMA W OR W/O KUB","74270","HCPCS","Both",,,"173","86.5","Humana","Commercial","26",,"78",,"134.08","63.32","134.08","percent of total billed charges",,
"COLON;BARIUM ENEMA W OR W/O KUB","74270","HCPCS","Both",,,"173","86.5","UHC","Commercial","26",,"75",,"130.44","63.32","134.08","percent of total billed charges",,
"COLON;BARIUM ENEMA W OR W/O KUB","74270","HCPCS","Both",,,"173","86.5","Medicaid",,"26",,"37",,"63.32","63.32","134.08","percent of total billed charges",,
"COLON; BARIUM ENEMA, AIR CONTRAST","74280","HCPCS","Both",,,"288","144","Alliant","Health Exchange","26",,"62",,"178.56","105.41","223.2","percent of total billed charges",,
"COLON; BARIUM ENEMA, AIR CONTRAST","74280","HCPCS","Both",,,"288","144","Pruitt Healthcare","Medicare Advantage","26",,"54",,"155.52","105.41","223.2","percent of total billed charges",,
"COLON; BARIUM ENEMA, AIR CONTRAST","74280","HCPCS","Both",,,"288","144","Medicare",,"26",,"54",,"156.1","105.41","223.2","percent of total billed charges",,
"COLON; BARIUM ENEMA, AIR CONTRAST","74280","HCPCS","Both",,,"288","144","Humana","Medicare Advantage","26",,"54",,"156.1","105.41","223.2","percent of total billed charges",,
"COLON; BARIUM ENEMA, AIR CONTRAST","74280","HCPCS","Both",,,"288","144","UHC","Medicare Advantage","26",,"54",,"156.1","105.41","223.2","percent of total billed charges",,
"COLON; BARIUM ENEMA, AIR CONTRAST","74280","HCPCS","Both",,,"288","144","Clover","Medicare Advantage","26",,"54",,"156.1","105.41","223.2","percent of total billed charges",,
"COLON; BARIUM ENEMA, AIR CONTRAST","74280","HCPCS","Both",,,"288","144","Wellcare","Medicare Advantage","26",,"54",,"156.1","105.41","223.2","percent of total billed charges",,
"COLON; BARIUM ENEMA, AIR CONTRAST","74280","HCPCS","Both",,,"288","144","Amerigroup","Medicaid Managed Care","26",,"37",,"105.41","105.41","223.2","percent of total billed charges",,
"COLON; BARIUM ENEMA, AIR CONTRAST","74280","HCPCS","Both",,,"288","144","Caresource","Medicaid Managed Care","26",,"40",,"115.2","105.41","223.2","percent of total billed charges",,
"COLON; BARIUM ENEMA, AIR CONTRAST","74280","HCPCS","Both",,,"288","144","Wellcare","Medicaid Managed Care","26",,"40",,"116.64","105.41","223.2","percent of total billed charges",,
"COLON; BARIUM ENEMA, AIR CONTRAST","74280","HCPCS","Both",,,"288","144","Aetna","Commercial","26",,"64",,"183.74","105.41","223.2","percent of total billed charges",,
"COLON; BARIUM ENEMA, AIR CONTRAST","74280","HCPCS","Both",,,"288","144","Blue Cross Blue Shield","Pathways","26",,"71",,"203.33","105.41","223.2","percent of total billed charges",,
"COLON; BARIUM ENEMA, AIR CONTRAST","74280","HCPCS","Both",,,"288","144","Blue Cross Blue Shield","HMO","26",,"71",,"203.33","105.41","223.2","percent of total billed charges",,
"COLON; BARIUM ENEMA, AIR CONTRAST","74280","HCPCS","Both",,,"288","144","Blue Cross Blue Shield","PPO","26",,"71",,"203.33","105.41","223.2","percent of total billed charges",,
"COLON; BARIUM ENEMA, AIR CONTRAST","74280","HCPCS","Both",,,"288","144","Ambetter","Health Exchange","26",,"62",,"178.56","105.41","223.2","percent of total billed charges",,
"COLON; BARIUM ENEMA, AIR CONTRAST","74280","HCPCS","Both",,,"288","144","Caresource","Health Exchange","26",,"62",,"178.56","105.41","223.2","percent of total billed charges",,
"COLON; BARIUM ENEMA, AIR CONTRAST","74280","HCPCS","Both",,,"288","144","Cigna","Commercial","26",,"59",,"168.77","105.41","223.2","percent of total billed charges",,
"COLON; BARIUM ENEMA, AIR CONTRAST","74280","HCPCS","Both",,,"288","144","Humana","Commercial","26",,"78",,"223.2","105.41","223.2","percent of total billed charges",,
"COLON; BARIUM ENEMA, AIR CONTRAST","74280","HCPCS","Both",,,"288","144","UHC","Commercial","26",,"75",,"217.15","105.41","223.2","percent of total billed charges",,
"COLON; BARIUM ENEMA, AIR CONTRAST","74280","HCPCS","Both",,,"288","144","Medicaid",,"26",,"37",,"105.41","105.41","223.2","percent of total billed charges",,
"CHOLANGIOGRAPHY;INTRAOPERATIVE","74300","HCPCS","Both",,,"39","19.5","Alliant","Health Exchange","26",,"62",,"24.18","14.27","30.22","percent of total billed charges",,
"CHOLANGIOGRAPHY;INTRAOPERATIVE","74300","HCPCS","Both",,,"39","19.5","Pruitt Healthcare","Medicare Advantage","26",,"54",,"21.06","14.27","30.22","percent of total billed charges",,
"CHOLANGIOGRAPHY;INTRAOPERATIVE","74300","HCPCS","Both",,,"39","19.5","Medicare",,"26",,"54",,"21.14","14.27","30.22","percent of total billed charges",,
"CHOLANGIOGRAPHY;INTRAOPERATIVE","74300","HCPCS","Both",,,"39","19.5","Humana","Medicare Advantage","26",,"54",,"21.14","14.27","30.22","percent of total billed charges",,
"CHOLANGIOGRAPHY;INTRAOPERATIVE","74300","HCPCS","Both",,,"39","19.5","UHC","Medicare Advantage","26",,"54",,"21.14","14.27","30.22","percent of total billed charges",,
"CHOLANGIOGRAPHY;INTRAOPERATIVE","74300","HCPCS","Both",,,"39","19.5","Clover","Medicare Advantage","26",,"54",,"21.14","14.27","30.22","percent of total billed charges",,
"CHOLANGIOGRAPHY;INTRAOPERATIVE","74300","HCPCS","Both",,,"39","19.5","Wellcare","Medicare Advantage","26",,"54",,"21.14","14.27","30.22","percent of total billed charges",,
"CHOLANGIOGRAPHY;INTRAOPERATIVE","74300","HCPCS","Both",,,"39","19.5","Amerigroup","Medicaid Managed Care","26",,"37",,"14.27","14.27","30.22","percent of total billed charges",,
"CHOLANGIOGRAPHY;INTRAOPERATIVE","74300","HCPCS","Both",,,"39","19.5","Caresource","Medicaid Managed Care","26",,"40",,"15.6","14.27","30.22","percent of total billed charges",,
"CHOLANGIOGRAPHY;INTRAOPERATIVE","74300","HCPCS","Both",,,"39","19.5","Wellcare","Medicaid Managed Care","26",,"40",,"15.8","14.27","30.22","percent of total billed charges",,
"CHOLANGIOGRAPHY;INTRAOPERATIVE","74300","HCPCS","Both",,,"39","19.5","Aetna","Commercial","26",,"64",,"24.88","14.27","30.22","percent of total billed charges",,
"CHOLANGIOGRAPHY;INTRAOPERATIVE","74300","HCPCS","Both",,,"39","19.5","Blue Cross Blue Shield","Pathways","26",,"71",,"27.53","14.27","30.22","percent of total billed charges",,
"CHOLANGIOGRAPHY;INTRAOPERATIVE","74300","HCPCS","Both",,,"39","19.5","Blue Cross Blue Shield","HMO","26",,"71",,"27.53","14.27","30.22","percent of total billed charges",,
"CHOLANGIOGRAPHY;INTRAOPERATIVE","74300","HCPCS","Both",,,"39","19.5","Blue Cross Blue Shield","PPO","26",,"71",,"27.53","14.27","30.22","percent of total billed charges",,
"CHOLANGIOGRAPHY;INTRAOPERATIVE","74300","HCPCS","Both",,,"39","19.5","Ambetter","Health Exchange","26",,"62",,"24.18","14.27","30.22","percent of total billed charges",,
"CHOLANGIOGRAPHY;INTRAOPERATIVE","74300","HCPCS","Both",,,"39","19.5","Caresource","Health Exchange","26",,"62",,"24.18","14.27","30.22","percent of total billed charges",,
"CHOLANGIOGRAPHY;INTRAOPERATIVE","74300","HCPCS","Both",,,"39","19.5","Cigna","Commercial","26",,"59",,"22.85","14.27","30.22","percent of total billed charges",,
"CHOLANGIOGRAPHY;INTRAOPERATIVE","74300","HCPCS","Both",,,"39","19.5","Humana","Commercial","26",,"78",,"30.22","14.27","30.22","percent of total billed charges",,
"CHOLANGIOGRAPHY;INTRAOPERATIVE","74300","HCPCS","Both",,,"39","19.5","UHC","Commercial","26",,"75",,"29.41","14.27","30.22","percent of total billed charges",,
"CHOLANGIOGRAPHY;INTRAOPERATIVE","74300","HCPCS","Both",,,"39","19.5","Medicaid",,"26",,"37",,"14.27","14.27","30.22","percent of total billed charges",,
"UROGRAPHY (PYELOGRAPHY) IV W OR W/O KUB","74400","HCPCS","Both",,,"576.5","288.25","Alliant","Health Exchange","26",,"62",,"357.43","211","446.79","percent of total billed charges",,
"UROGRAPHY (PYELOGRAPHY) IV W OR W/O KUB","74400","HCPCS","Both",,,"576.5","288.25","Pruitt Healthcare","Medicare Advantage","26",,"54",,"311.31","211","446.79","percent of total billed charges",,
"UROGRAPHY (PYELOGRAPHY) IV W OR W/O KUB","74400","HCPCS","Both",,,"576.5","288.25","Medicare",,"26",,"54",,"312.46","211","446.79","percent of total billed charges",,
"UROGRAPHY (PYELOGRAPHY) IV W OR W/O KUB","74400","HCPCS","Both",,,"576.5","288.25","Humana","Medicare Advantage","26",,"54",,"312.46","211","446.79","percent of total billed charges",,
"UROGRAPHY (PYELOGRAPHY) IV W OR W/O KUB","74400","HCPCS","Both",,,"576.5","288.25","UHC","Medicare Advantage","26",,"54",,"312.46","211","446.79","percent of total billed charges",,
"UROGRAPHY (PYELOGRAPHY) IV W OR W/O KUB","74400","HCPCS","Both",,,"576.5","288.25","Clover","Medicare Advantage","26",,"54",,"312.46","211","446.79","percent of total billed charges",,
"UROGRAPHY (PYELOGRAPHY) IV W OR W/O KUB","74400","HCPCS","Both",,,"576.5","288.25","Wellcare","Medicare Advantage","26",,"54",,"312.46","211","446.79","percent of total billed charges",,
"UROGRAPHY (PYELOGRAPHY) IV W OR W/O KUB","74400","HCPCS","Both",,,"576.5","288.25","Amerigroup","Medicaid Managed Care","26",,"37",,"211","211","446.79","percent of total billed charges",,
"UROGRAPHY (PYELOGRAPHY) IV W OR W/O KUB","74400","HCPCS","Both",,,"576.5","288.25","Caresource","Medicaid Managed Care","26",,"40",,"230.6","211","446.79","percent of total billed charges",,
"UROGRAPHY (PYELOGRAPHY) IV W OR W/O KUB","74400","HCPCS","Both",,,"576.5","288.25","Wellcare","Medicaid Managed Care","26",,"40",,"233.48","211","446.79","percent of total billed charges",,
"UROGRAPHY (PYELOGRAPHY) IV W OR W/O KUB","74400","HCPCS","Both",,,"576.5","288.25","Aetna","Commercial","26",,"64",,"367.81","211","446.79","percent of total billed charges",,
"UROGRAPHY (PYELOGRAPHY) IV W OR W/O KUB","74400","HCPCS","Both",,,"576.5","288.25","Blue Cross Blue Shield","Pathways","26",,"71",,"407.01","211","446.79","percent of total billed charges",,
"UROGRAPHY (PYELOGRAPHY) IV W OR W/O KUB","74400","HCPCS","Both",,,"576.5","288.25","Blue Cross Blue Shield","HMO","26",,"71",,"407.01","211","446.79","percent of total billed charges",,
"UROGRAPHY (PYELOGRAPHY) IV W OR W/O KUB","74400","HCPCS","Both",,,"576.5","288.25","Blue Cross Blue Shield","PPO","26",,"71",,"407.01","211","446.79","percent of total billed charges",,
"UROGRAPHY (PYELOGRAPHY) IV W OR W/O KUB","74400","HCPCS","Both",,,"576.5","288.25","Ambetter","Health Exchange","26",,"62",,"357.43","211","446.79","percent of total billed charges",,
"UROGRAPHY (PYELOGRAPHY) IV W OR W/O KUB","74400","HCPCS","Both",,,"576.5","288.25","Caresource","Health Exchange","26",,"62",,"357.43","211","446.79","percent of total billed charges",,
"UROGRAPHY (PYELOGRAPHY) IV W OR W/O KUB","74400","HCPCS","Both",,,"576.5","288.25","Cigna","Commercial","26",,"59",,"337.83","211","446.79","percent of total billed charges",,
"UROGRAPHY (PYELOGRAPHY) IV W OR W/O KUB","74400","HCPCS","Both",,,"576.5","288.25","Humana","Commercial","26",,"78",,"446.79","211","446.79","percent of total billed charges",,
"UROGRAPHY (PYELOGRAPHY) IV W OR W/O KUB","74400","HCPCS","Both",,,"576.5","288.25","UHC","Commercial","26",,"75",,"434.68","211","446.79","percent of total billed charges",,
"UROGRAPHY (PYELOGRAPHY) IV W OR W/O KUB","74400","HCPCS","Both",,,"576.5","288.25","Medicaid",,"26",,"37",,"211","211","446.79","percent of total billed charges",,
"CYSTOGRAPHY, 3 VIEWS","74430","HCPCS","Both",,,"39","19.5","Alliant","Health Exchange","26",,"62",,"24.18","14.27","30.22","percent of total billed charges",,
"CYSTOGRAPHY, 3 VIEWS","74430","HCPCS","Both",,,"39","19.5","Pruitt Healthcare","Medicare Advantage","26",,"54",,"21.06","14.27","30.22","percent of total billed charges",,
"CYSTOGRAPHY, 3 VIEWS","74430","HCPCS","Both",,,"39","19.5","Medicare",,"26",,"54",,"21.14","14.27","30.22","percent of total billed charges",,
"CYSTOGRAPHY, 3 VIEWS","74430","HCPCS","Both",,,"39","19.5","Humana","Medicare Advantage","26",,"54",,"21.14","14.27","30.22","percent of total billed charges",,
"CYSTOGRAPHY, 3 VIEWS","74430","HCPCS","Both",,,"39","19.5","UHC","Medicare Advantage","26",,"54",,"21.14","14.27","30.22","percent of total billed charges",,
"CYSTOGRAPHY, 3 VIEWS","74430","HCPCS","Both",,,"39","19.5","Clover","Medicare Advantage","26",,"54",,"21.14","14.27","30.22","percent of total billed charges",,
"CYSTOGRAPHY, 3 VIEWS","74430","HCPCS","Both",,,"39","19.5","Wellcare","Medicare Advantage","26",,"54",,"21.14","14.27","30.22","percent of total billed charges",,
"CYSTOGRAPHY, 3 VIEWS","74430","HCPCS","Both",,,"39","19.5","Amerigroup","Medicaid Managed Care","26",,"37",,"14.27","14.27","30.22","percent of total billed charges",,
"CYSTOGRAPHY, 3 VIEWS","74430","HCPCS","Both",,,"39","19.5","Caresource","Medicaid Managed Care","26",,"40",,"15.6","14.27","30.22","percent of total billed charges",,
"CYSTOGRAPHY, 3 VIEWS","74430","HCPCS","Both",,,"39","19.5","Wellcare","Medicaid Managed Care","26",,"40",,"15.8","14.27","30.22","percent of total billed charges",,
"CYSTOGRAPHY, 3 VIEWS","74430","HCPCS","Both",,,"39","19.5","Aetna","Commercial","26",,"64",,"24.88","14.27","30.22","percent of total billed charges",,
"CYSTOGRAPHY, 3 VIEWS","74430","HCPCS","Both",,,"39","19.5","Blue Cross Blue Shield","Pathways","26",,"71",,"27.53","14.27","30.22","percent of total billed charges",,
"CYSTOGRAPHY, 3 VIEWS","74430","HCPCS","Both",,,"39","19.5","Blue Cross Blue Shield","HMO","26",,"71",,"27.53","14.27","30.22","percent of total billed charges",,
"CYSTOGRAPHY, 3 VIEWS","74430","HCPCS","Both",,,"39","19.5","Blue Cross Blue Shield","PPO","26",,"71",,"27.53","14.27","30.22","percent of total billed charges",,
"CYSTOGRAPHY, 3 VIEWS","74430","HCPCS","Both",,,"39","19.5","Ambetter","Health Exchange","26",,"62",,"24.18","14.27","30.22","percent of total billed charges",,
"CYSTOGRAPHY, 3 VIEWS","74430","HCPCS","Both",,,"39","19.5","Caresource","Health Exchange","26",,"62",,"24.18","14.27","30.22","percent of total billed charges",,
"CYSTOGRAPHY, 3 VIEWS","74430","HCPCS","Both",,,"39","19.5","Cigna","Commercial","26",,"59",,"22.85","14.27","30.22","percent of total billed charges",,
"CYSTOGRAPHY, 3 VIEWS","74430","HCPCS","Both",,,"39","19.5","Humana","Commercial","26",,"78",,"30.22","14.27","30.22","percent of total billed charges",,
"CYSTOGRAPHY, 3 VIEWS","74430","HCPCS","Both",,,"39","19.5","UHC","Commercial","26",,"75",,"29.41","14.27","30.22","percent of total billed charges",,
"CYSTOGRAPHY, 3 VIEWS","74430","HCPCS","Both",,,"39","19.5","Medicaid",,"26",,"37",,"14.27","14.27","30.22","percent of total billed charges",,
"FACIAL BONES, COMPLETE, 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Alliant","Health Exchange","26",,"62",,"81.22","13.33","101.52","percent of total billed charges",,
"FACIAL BONES, COMPLETE, 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Pruitt Healthcare","Medicare Advantage","26",,"54",,"70.74","13.33","101.52","percent of total billed charges",,
"FACIAL BONES, COMPLETE, 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Medicare",,"26",,"54",,"71","13.33","101.52","percent of total billed charges",,
"FACIAL BONES, COMPLETE, 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Humana","Medicare Advantage","26",,"54",,"71","13.33","101.52","percent of total billed charges",,
"FACIAL BONES, COMPLETE, 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","UHC","Medicare Advantage","26",,"54",,"71","13.33","101.52","percent of total billed charges",,
"FACIAL BONES, COMPLETE, 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Clover","Medicare Advantage","26",,"54",,"71","13.33","101.52","percent of total billed charges",,
"FACIAL BONES, COMPLETE, 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Wellcare","Medicare Advantage","26",,"54",,"71","13.33","101.52","percent of total billed charges",,
"FACIAL BONES, COMPLETE, 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Amerigroup","Medicaid Managed Care","26",,"37",,"47.95","13.33","101.52","percent of total billed charges",,
"FACIAL BONES, COMPLETE, 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Caresource","Medicaid Managed Care","26",,"40",,"52.4","13.33","101.52","percent of total billed charges",,
"FACIAL BONES, COMPLETE, 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Wellcare","Medicaid Managed Care","26",,"40",,"53.06","13.33","101.52","percent of total billed charges",,
"FACIAL BONES, COMPLETE, 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Aetna","Commercial","26",,"64",,"83.58","13.33","101.52","percent of total billed charges",,
"FACIAL BONES, COMPLETE, 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Blue Cross Blue Shield","Pathways","26",,"71",,"92.49","13.33","101.52","percent of total billed charges",,
"FACIAL BONES, COMPLETE, 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Blue Cross Blue Shield","HMO","26",,"71",,"92.49","13.33","101.52","percent of total billed charges",,
"FACIAL BONES, COMPLETE, 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Blue Cross Blue Shield","PPO","26",,"71",,"92.49","13.33","101.52","percent of total billed charges",,
"FACIAL BONES, COMPLETE, 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Ambetter","Health Exchange","26",,"62",,"81.22","13.33","101.52","percent of total billed charges",,
"FACIAL BONES, COMPLETE, 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Caresource","Health Exchange","26",,"62",,"81.22","13.33","101.52","percent of total billed charges",,
"FACIAL BONES, COMPLETE, 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Cigna","Commercial","26",,"59",,"76.77","13.33","101.52","percent of total billed charges",,
"FACIAL BONES, COMPLETE, 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Humana","Commercial","26",,"78",,"101.52","13.33","101.52","percent of total billed charges",,
"FACIAL BONES, COMPLETE, 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","UHC","Commercial","26",,"75",,"98.77","13.33","101.52","percent of total billed charges",,
"FACIAL BONES, COMPLETE, 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Medicaid",,"26",,"37",,"47.95","13.33","101.52","percent of total billed charges",,
"NASAL BONES, COMPLETE, 3 VIEWS","70160","HCPCS","Both",,,"42","21","Alliant","Health Exchange","26",,"62",,"26.04","15.37","32.55","percent of total billed charges",,
"NASAL BONES, COMPLETE, 3 VIEWS","70160","HCPCS","Both",,,"42","21","Pruitt Healthcare","Medicare Advantage","26",,"54",,"22.68","15.37","32.55","percent of total billed charges",,
"NASAL BONES, COMPLETE, 3 VIEWS","70160","HCPCS","Both",,,"42","21","Medicare",,"26",,"54",,"22.76","15.37","32.55","percent of total billed charges",,
"NASAL BONES, COMPLETE, 3 VIEWS","70160","HCPCS","Both",,,"42","21","Humana","Medicare Advantage","26",,"54",,"22.76","15.37","32.55","percent of total billed charges",,
"NASAL BONES, COMPLETE, 3 VIEWS","70160","HCPCS","Both",,,"42","21","UHC","Medicare Advantage","26",,"54",,"22.76","15.37","32.55","percent of total billed charges",,
"NASAL BONES, COMPLETE, 3 VIEWS","70160","HCPCS","Both",,,"42","21","Clover","Medicare Advantage","26",,"54",,"22.76","15.37","32.55","percent of total billed charges",,
"NASAL BONES, COMPLETE, 3 VIEWS","70160","HCPCS","Both",,,"42","21","Wellcare","Medicare Advantage","26",,"54",,"22.76","15.37","32.55","percent of total billed charges",,
"NASAL BONES, COMPLETE, 3 VIEWS","70160","HCPCS","Both",,,"42","21","Amerigroup","Medicaid Managed Care","26",,"37",,"15.37","15.37","32.55","percent of total billed charges",,
"NASAL BONES, COMPLETE, 3 VIEWS","70160","HCPCS","Both",,,"42","21","Caresource","Medicaid Managed Care","26",,"40",,"16.8","15.37","32.55","percent of total billed charges",,
"NASAL BONES, COMPLETE, 3 VIEWS","70160","HCPCS","Both",,,"42","21","Wellcare","Medicaid Managed Care","26",,"40",,"17.01","15.37","32.55","percent of total billed charges",,
"NASAL BONES, COMPLETE, 3 VIEWS","70160","HCPCS","Both",,,"42","21","Aetna","Commercial","26",,"64",,"26.8","15.37","32.55","percent of total billed charges",,
"NASAL BONES, COMPLETE, 3 VIEWS","70160","HCPCS","Both",,,"42","21","Blue Cross Blue Shield","Pathways","26",,"71",,"29.65","15.37","32.55","percent of total billed charges",,
"NASAL BONES, COMPLETE, 3 VIEWS","70160","HCPCS","Both",,,"42","21","Blue Cross Blue Shield","HMO","26",,"71",,"29.65","15.37","32.55","percent of total billed charges",,
"NASAL BONES, COMPLETE, 3 VIEWS","70160","HCPCS","Both",,,"42","21","Blue Cross Blue Shield","PPO","26",,"71",,"29.65","15.37","32.55","percent of total billed charges",,
"NASAL BONES, COMPLETE, 3 VIEWS","70160","HCPCS","Both",,,"42","21","Ambetter","Health Exchange","26",,"62",,"26.04","15.37","32.55","percent of total billed charges",,
"NASAL BONES, COMPLETE, 3 VIEWS","70160","HCPCS","Both",,,"42","21","Caresource","Health Exchange","26",,"62",,"26.04","15.37","32.55","percent of total billed charges",,
"NASAL BONES, COMPLETE, 3 VIEWS","70160","HCPCS","Both",,,"42","21","Cigna","Commercial","26",,"59",,"24.61","15.37","32.55","percent of total billed charges",,
"NASAL BONES, COMPLETE, 3 VIEWS","70160","HCPCS","Both",,,"42","21","Humana","Commercial","26",,"78",,"32.55","15.37","32.55","percent of total billed charges",,
"NASAL BONES, COMPLETE, 3 VIEWS","70160","HCPCS","Both",,,"42","21","UHC","Commercial","26",,"75",,"31.67","15.37","32.55","percent of total billed charges",,
"NASAL BONES, COMPLETE, 3 VIEWS","70160","HCPCS","Both",,,"42","21","Medicaid",,"26",,"37",,"15.37","15.37","32.55","percent of total billed charges",,
"SINUSES, PARANASAL, COMPLETE, 3 VIEWS","70220","HCPCS","Both",,,"184","92","Alliant","Health Exchange","26",,"62",,"114.08","67.34","142.6","percent of total billed charges",,
"SINUSES, PARANASAL, COMPLETE, 3 VIEWS","70220","HCPCS","Both",,,"184","92","Pruitt Healthcare","Medicare Advantage","26",,"54",,"99.36","67.34","142.6","percent of total billed charges",,
"SINUSES, PARANASAL, COMPLETE, 3 VIEWS","70220","HCPCS","Both",,,"184","92","Medicare",,"26",,"54",,"99.73","67.34","142.6","percent of total billed charges",,
"SINUSES, PARANASAL, COMPLETE, 3 VIEWS","70220","HCPCS","Both",,,"184","92","Humana","Medicare Advantage","26",,"54",,"99.73","67.34","142.6","percent of total billed charges",,
"SINUSES, PARANASAL, COMPLETE, 3 VIEWS","70220","HCPCS","Both",,,"184","92","UHC","Medicare Advantage","26",,"54",,"99.73","67.34","142.6","percent of total billed charges",,
"SINUSES, PARANASAL, COMPLETE, 3 VIEWS","70220","HCPCS","Both",,,"184","92","Clover","Medicare Advantage","26",,"54",,"99.73","67.34","142.6","percent of total billed charges",,
"SINUSES, PARANASAL, COMPLETE, 3 VIEWS","70220","HCPCS","Both",,,"184","92","Wellcare","Medicare Advantage","26",,"54",,"99.73","67.34","142.6","percent of total billed charges",,
"SINUSES, PARANASAL, COMPLETE, 3 VIEWS","70220","HCPCS","Both",,,"184","92","Amerigroup","Medicaid Managed Care","26",,"37",,"67.34","67.34","142.6","percent of total billed charges",,
"SINUSES, PARANASAL, COMPLETE, 3 VIEWS","70220","HCPCS","Both",,,"184","92","Caresource","Medicaid Managed Care","26",,"40",,"73.6","67.34","142.6","percent of total billed charges",,
"SINUSES, PARANASAL, COMPLETE, 3 VIEWS","70220","HCPCS","Both",,,"184","92","Wellcare","Medicaid Managed Care","26",,"40",,"74.52","67.34","142.6","percent of total billed charges",,
"SINUSES, PARANASAL, COMPLETE, 3 VIEWS","70220","HCPCS","Both",,,"184","92","Aetna","Commercial","26",,"64",,"117.39","67.34","142.6","percent of total billed charges",,
"SINUSES, PARANASAL, COMPLETE, 3 VIEWS","70220","HCPCS","Both",,,"184","92","Blue Cross Blue Shield","Pathways","26",,"71",,"129.9","67.34","142.6","percent of total billed charges",,
"SINUSES, PARANASAL, COMPLETE, 3 VIEWS","70220","HCPCS","Both",,,"184","92","Blue Cross Blue Shield","HMO","26",,"71",,"129.9","67.34","142.6","percent of total billed charges",,
"SINUSES, PARANASAL, COMPLETE, 3 VIEWS","70220","HCPCS","Both",,,"184","92","Blue Cross Blue Shield","PPO","26",,"71",,"129.9","67.34","142.6","percent of total billed charges",,
"SINUSES, PARANASAL, COMPLETE, 3 VIEWS","70220","HCPCS","Both",,,"184","92","Ambetter","Health Exchange","26",,"62",,"114.08","67.34","142.6","percent of total billed charges",,
"SINUSES, PARANASAL, COMPLETE, 3 VIEWS","70220","HCPCS","Both",,,"184","92","Caresource","Health Exchange","26",,"62",,"114.08","67.34","142.6","percent of total billed charges",,
"SINUSES, PARANASAL, COMPLETE, 3 VIEWS","70220","HCPCS","Both",,,"184","92","Cigna","Commercial","26",,"59",,"107.82","67.34","142.6","percent of total billed charges",,
"SINUSES, PARANASAL, COMPLETE, 3 VIEWS","70220","HCPCS","Both",,,"184","92","Humana","Commercial","26",,"78",,"142.6","67.34","142.6","percent of total billed charges",,
"SINUSES, PARANASAL, COMPLETE, 3 VIEWS","70220","HCPCS","Both",,,"184","92","UHC","Commercial","26",,"75",,"138.74","67.34","142.6","percent of total billed charges",,
"SINUSES, PARANASAL, COMPLETE, 3 VIEWS","70220","HCPCS","Both",,,"184","92","Medicaid",,"26",,"37",,"67.34","67.34","142.6","percent of total billed charges",,
"ORBITS, COMPLETE, 4 VIEWS","70200","HCPCS","Both",,,"282","141","Alliant","Health Exchange","26",,"62",,"174.84","103.21","218.55","percent of total billed charges",,
"ORBITS, COMPLETE, 4 VIEWS","70200","HCPCS","Both",,,"282","141","Pruitt Healthcare","Medicare Advantage","26",,"54",,"152.28","103.21","218.55","percent of total billed charges",,
"ORBITS, COMPLETE, 4 VIEWS","70200","HCPCS","Both",,,"282","141","Medicare",,"26",,"54",,"152.84","103.21","218.55","percent of total billed charges",,
"ORBITS, COMPLETE, 4 VIEWS","70200","HCPCS","Both",,,"282","141","Humana","Medicare Advantage","26",,"54",,"152.84","103.21","218.55","percent of total billed charges",,
"ORBITS, COMPLETE, 4 VIEWS","70200","HCPCS","Both",,,"282","141","UHC","Medicare Advantage","26",,"54",,"152.84","103.21","218.55","percent of total billed charges",,
"ORBITS, COMPLETE, 4 VIEWS","70200","HCPCS","Both",,,"282","141","Clover","Medicare Advantage","26",,"54",,"152.84","103.21","218.55","percent of total billed charges",,
"ORBITS, COMPLETE, 4 VIEWS","70200","HCPCS","Both",,,"282","141","Wellcare","Medicare Advantage","26",,"54",,"152.84","103.21","218.55","percent of total billed charges",,
"ORBITS, COMPLETE, 4 VIEWS","70200","HCPCS","Both",,,"282","141","Amerigroup","Medicaid Managed Care","26",,"37",,"103.21","103.21","218.55","percent of total billed charges",,
"ORBITS, COMPLETE, 4 VIEWS","70200","HCPCS","Both",,,"282","141","Caresource","Medicaid Managed Care","26",,"40",,"112.8","103.21","218.55","percent of total billed charges",,
"ORBITS, COMPLETE, 4 VIEWS","70200","HCPCS","Both",,,"282","141","Wellcare","Medicaid Managed Care","26",,"40",,"114.21","103.21","218.55","percent of total billed charges",,
"ORBITS, COMPLETE, 4 VIEWS","70200","HCPCS","Both",,,"282","141","Aetna","Commercial","26",,"64",,"179.92","103.21","218.55","percent of total billed charges",,
"ORBITS, COMPLETE, 4 VIEWS","70200","HCPCS","Both",,,"282","141","Blue Cross Blue Shield","Pathways","26",,"71",,"199.09","103.21","218.55","percent of total billed charges",,
"ORBITS, COMPLETE, 4 VIEWS","70200","HCPCS","Both",,,"282","141","Blue Cross Blue Shield","HMO","26",,"71",,"199.09","103.21","218.55","percent of total billed charges",,
"ORBITS, COMPLETE, 4 VIEWS","70200","HCPCS","Both",,,"282","141","Blue Cross Blue Shield","PPO","26",,"71",,"199.09","103.21","218.55","percent of total billed charges",,
"ORBITS, COMPLETE, 4 VIEWS","70200","HCPCS","Both",,,"282","141","Ambetter","Health Exchange","26",,"62",,"174.84","103.21","218.55","percent of total billed charges",,
"ORBITS, COMPLETE, 4 VIEWS","70200","HCPCS","Both",,,"282","141","Caresource","Health Exchange","26",,"62",,"174.84","103.21","218.55","percent of total billed charges",,
"ORBITS, COMPLETE, 4 VIEWS","70200","HCPCS","Both",,,"282","141","Cigna","Commercial","26",,"59",,"165.25","103.21","218.55","percent of total billed charges",,
"ORBITS, COMPLETE, 4 VIEWS","70200","HCPCS","Both",,,"282","141","Humana","Commercial","26",,"78",,"218.55","103.21","218.55","percent of total billed charges",,
"ORBITS, COMPLETE, 4 VIEWS","70200","HCPCS","Both",,,"282","141","UHC","Commercial","26",,"75",,"212.63","103.21","218.55","percent of total billed charges",,
"ORBITS, COMPLETE, 4 VIEWS","70200","HCPCS","Both",,,"282","141","Medicaid",,"26",,"37",,"103.21","103.21","218.55","percent of total billed charges",,
"MANDIBLE, COMPLETE, 4 VIEWS","70110","HCPCS","Both",,,"98.5","49.25","Alliant","Health Exchange","26",,"62",,"61.07","36.05","76.34","percent of total billed charges",,
"MANDIBLE, COMPLETE, 4 VIEWS","70110","HCPCS","Both",,,"98.5","49.25","Pruitt Healthcare","Medicare Advantage","26",,"54",,"53.19","36.05","76.34","percent of total billed charges",,
"MANDIBLE, COMPLETE, 4 VIEWS","70110","HCPCS","Both",,,"98.5","49.25","Medicare",,"26",,"54",,"53.39","36.05","76.34","percent of total billed charges",,
"MANDIBLE, COMPLETE, 4 VIEWS","70110","HCPCS","Both",,,"98.5","49.25","Humana","Medicare Advantage","26",,"54",,"53.39","36.05","76.34","percent of total billed charges",,
"MANDIBLE, COMPLETE, 4 VIEWS","70110","HCPCS","Both",,,"98.5","49.25","UHC","Medicare Advantage","26",,"54",,"53.39","36.05","76.34","percent of total billed charges",,
"MANDIBLE, COMPLETE, 4 VIEWS","70110","HCPCS","Both",,,"98.5","49.25","Clover","Medicare Advantage","26",,"54",,"53.39","36.05","76.34","percent of total billed charges",,
"MANDIBLE, COMPLETE, 4 VIEWS","70110","HCPCS","Both",,,"98.5","49.25","Wellcare","Medicare Advantage","26",,"54",,"53.39","36.05","76.34","percent of total billed charges",,
"MANDIBLE, COMPLETE, 4 VIEWS","70110","HCPCS","Both",,,"98.5","49.25","Amerigroup","Medicaid Managed Care","26",,"37",,"36.05","36.05","76.34","percent of total billed charges",,
"MANDIBLE, COMPLETE, 4 VIEWS","70110","HCPCS","Both",,,"98.5","49.25","Caresource","Medicaid Managed Care","26",,"40",,"39.4","36.05","76.34","percent of total billed charges",,
"MANDIBLE, COMPLETE, 4 VIEWS","70110","HCPCS","Both",,,"98.5","49.25","Wellcare","Medicaid Managed Care","26",,"40",,"39.89","36.05","76.34","percent of total billed charges",,
"MANDIBLE, COMPLETE, 4 VIEWS","70110","HCPCS","Both",,,"98.5","49.25","Aetna","Commercial","26",,"64",,"62.84","36.05","76.34","percent of total billed charges",,
"MANDIBLE, COMPLETE, 4 VIEWS","70110","HCPCS","Both",,,"98.5","49.25","Blue Cross Blue Shield","Pathways","26",,"71",,"69.54","36.05","76.34","percent of total billed charges",,
"MANDIBLE, COMPLETE, 4 VIEWS","70110","HCPCS","Both",,,"98.5","49.25","Blue Cross Blue Shield","HMO","26",,"71",,"69.54","36.05","76.34","percent of total billed charges",,
"MANDIBLE, COMPLETE, 4 VIEWS","70110","HCPCS","Both",,,"98.5","49.25","Blue Cross Blue Shield","PPO","26",,"71",,"69.54","36.05","76.34","percent of total billed charges",,
"MANDIBLE, COMPLETE, 4 VIEWS","70110","HCPCS","Both",,,"98.5","49.25","Ambetter","Health Exchange","26",,"62",,"61.07","36.05","76.34","percent of total billed charges",,
"MANDIBLE, COMPLETE, 4 VIEWS","70110","HCPCS","Both",,,"98.5","49.25","Caresource","Health Exchange","26",,"62",,"61.07","36.05","76.34","percent of total billed charges",,
"MANDIBLE, COMPLETE, 4 VIEWS","70110","HCPCS","Both",,,"98.5","49.25","Cigna","Commercial","26",,"59",,"57.72","36.05","76.34","percent of total billed charges",,
"MANDIBLE, COMPLETE, 4 VIEWS","70110","HCPCS","Both",,,"98.5","49.25","Humana","Commercial","26",,"78",,"76.34","36.05","76.34","percent of total billed charges",,
"MANDIBLE, COMPLETE, 4 VIEWS","70110","HCPCS","Both",,,"98.5","49.25","UHC","Commercial","26",,"75",,"74.27","36.05","76.34","percent of total billed charges",,
"MANDIBLE, COMPLETE, 4 VIEWS","70110","HCPCS","Both",,,"98.5","49.25","Medicaid",,"26",,"37",,"36.05","36.05","76.34","percent of total billed charges",,
"SKULL; LESS THAN 4 VIEWS","70250","HCPCS","Both",,,"41","20.5","Alliant","Health Exchange","26",,"62",,"25.42","15.01","31.78","percent of total billed charges",,
"SKULL; LESS THAN 4 VIEWS","70250","HCPCS","Both",,,"41","20.5","Pruitt Healthcare","Medicare Advantage","26",,"54",,"22.14","15.01","31.78","percent of total billed charges",,
"SKULL; LESS THAN 4 VIEWS","70250","HCPCS","Both",,,"41","20.5","Medicare",,"26",,"54",,"22.22","15.01","31.78","percent of total billed charges",,
"SKULL; LESS THAN 4 VIEWS","70250","HCPCS","Both",,,"41","20.5","Humana","Medicare Advantage","26",,"54",,"22.22","15.01","31.78","percent of total billed charges",,
"SKULL; LESS THAN 4 VIEWS","70250","HCPCS","Both",,,"41","20.5","UHC","Medicare Advantage","26",,"54",,"22.22","15.01","31.78","percent of total billed charges",,
"SKULL; LESS THAN 4 VIEWS","70250","HCPCS","Both",,,"41","20.5","Clover","Medicare Advantage","26",,"54",,"22.22","15.01","31.78","percent of total billed charges",,
"SKULL; LESS THAN 4 VIEWS","70250","HCPCS","Both",,,"41","20.5","Wellcare","Medicare Advantage","26",,"54",,"22.22","15.01","31.78","percent of total billed charges",,
"SKULL; LESS THAN 4 VIEWS","70250","HCPCS","Both",,,"41","20.5","Amerigroup","Medicaid Managed Care","26",,"37",,"15.01","15.01","31.78","percent of total billed charges",,
"SKULL; LESS THAN 4 VIEWS","70250","HCPCS","Both",,,"41","20.5","Caresource","Medicaid Managed Care","26",,"40",,"16.4","15.01","31.78","percent of total billed charges",,
"SKULL; LESS THAN 4 VIEWS","70250","HCPCS","Both",,,"41","20.5","Wellcare","Medicaid Managed Care","26",,"40",,"16.6","15.01","31.78","percent of total billed charges",,
"SKULL; LESS THAN 4 VIEWS","70250","HCPCS","Both",,,"41","20.5","Aetna","Commercial","26",,"64",,"26.16","15.01","31.78","percent of total billed charges",,
"SKULL; LESS THAN 4 VIEWS","70250","HCPCS","Both",,,"41","20.5","Blue Cross Blue Shield","Pathways","26",,"71",,"28.95","15.01","31.78","percent of total billed charges",,
"SKULL; LESS THAN 4 VIEWS","70250","HCPCS","Both",,,"41","20.5","Blue Cross Blue Shield","HMO","26",,"71",,"28.95","15.01","31.78","percent of total billed charges",,
"SKULL; LESS THAN 4 VIEWS","70250","HCPCS","Both",,,"41","20.5","Blue Cross Blue Shield","PPO","26",,"71",,"28.95","15.01","31.78","percent of total billed charges",,
"SKULL; LESS THAN 4 VIEWS","70250","HCPCS","Both",,,"41","20.5","Ambetter","Health Exchange","26",,"62",,"25.42","15.01","31.78","percent of total billed charges",,
"SKULL; LESS THAN 4 VIEWS","70250","HCPCS","Both",,,"41","20.5","Caresource","Health Exchange","26",,"62",,"25.42","15.01","31.78","percent of total billed charges",,
"SKULL; LESS THAN 4 VIEWS","70250","HCPCS","Both",,,"41","20.5","Cigna","Commercial","26",,"59",,"24.03","15.01","31.78","percent of total billed charges",,
"SKULL; LESS THAN 4 VIEWS","70250","HCPCS","Both",,,"41","20.5","Humana","Commercial","26",,"78",,"31.78","15.01","31.78","percent of total billed charges",,
"SKULL; LESS THAN 4 VIEWS","70250","HCPCS","Both",,,"41","20.5","UHC","Commercial","26",,"75",,"30.91","15.01","31.78","percent of total billed charges",,
"SKULL; LESS THAN 4 VIEWS","70250","HCPCS","Both",,,"41","20.5","Medicaid",,"26",,"37",,"15.01","15.01","31.78","percent of total billed charges",,
"SKULL, COMPLETE, 4 VIEWS","70260","HCPCS","Both",,,"498.5","249.25","Alliant","Health Exchange","26",,"62",,"309.07","182.45","386.34","percent of total billed charges",,
"SKULL, COMPLETE, 4 VIEWS","70260","HCPCS","Both",,,"498.5","249.25","Pruitt Healthcare","Medicare Advantage","26",,"54",,"269.19","182.45","386.34","percent of total billed charges",,
"SKULL, COMPLETE, 4 VIEWS","70260","HCPCS","Both",,,"498.5","249.25","Medicare",,"26",,"54",,"270.19","182.45","386.34","percent of total billed charges",,
"SKULL, COMPLETE, 4 VIEWS","70260","HCPCS","Both",,,"498.5","249.25","Humana","Medicare Advantage","26",,"54",,"270.19","182.45","386.34","percent of total billed charges",,
"SKULL, COMPLETE, 4 VIEWS","70260","HCPCS","Both",,,"498.5","249.25","UHC","Medicare Advantage","26",,"54",,"270.19","182.45","386.34","percent of total billed charges",,
"SKULL, COMPLETE, 4 VIEWS","70260","HCPCS","Both",,,"498.5","249.25","Clover","Medicare Advantage","26",,"54",,"270.19","182.45","386.34","percent of total billed charges",,
"SKULL, COMPLETE, 4 VIEWS","70260","HCPCS","Both",,,"498.5","249.25","Wellcare","Medicare Advantage","26",,"54",,"270.19","182.45","386.34","percent of total billed charges",,
"SKULL, COMPLETE, 4 VIEWS","70260","HCPCS","Both",,,"498.5","249.25","Amerigroup","Medicaid Managed Care","26",,"37",,"182.45","182.45","386.34","percent of total billed charges",,
"SKULL, COMPLETE, 4 VIEWS","70260","HCPCS","Both",,,"498.5","249.25","Caresource","Medicaid Managed Care","26",,"40",,"199.4","182.45","386.34","percent of total billed charges",,
"SKULL, COMPLETE, 4 VIEWS","70260","HCPCS","Both",,,"498.5","249.25","Wellcare","Medicaid Managed Care","26",,"40",,"201.89","182.45","386.34","percent of total billed charges",,
"SKULL, COMPLETE, 4 VIEWS","70260","HCPCS","Both",,,"498.5","249.25","Aetna","Commercial","26",,"64",,"318.04","182.45","386.34","percent of total billed charges",,
"SKULL, COMPLETE, 4 VIEWS","70260","HCPCS","Both",,,"498.5","249.25","Blue Cross Blue Shield","Pathways","26",,"71",,"351.94","182.45","386.34","percent of total billed charges",,
"SKULL, COMPLETE, 4 VIEWS","70260","HCPCS","Both",,,"498.5","249.25","Blue Cross Blue Shield","HMO","26",,"71",,"351.94","182.45","386.34","percent of total billed charges",,
"SKULL, COMPLETE, 4 VIEWS","70260","HCPCS","Both",,,"498.5","249.25","Blue Cross Blue Shield","PPO","26",,"71",,"351.94","182.45","386.34","percent of total billed charges",,
"SKULL, COMPLETE, 4 VIEWS","70260","HCPCS","Both",,,"498.5","249.25","Ambetter","Health Exchange","26",,"62",,"309.07","182.45","386.34","percent of total billed charges",,
"SKULL, COMPLETE, 4 VIEWS","70260","HCPCS","Both",,,"498.5","249.25","Caresource","Health Exchange","26",,"62",,"309.07","182.45","386.34","percent of total billed charges",,
"SKULL, COMPLETE, 4 VIEWS","70260","HCPCS","Both",,,"498.5","249.25","Cigna","Commercial","26",,"59",,"292.12","182.45","386.34","percent of total billed charges",,
"SKULL, COMPLETE, 4 VIEWS","70260","HCPCS","Both",,,"498.5","249.25","Humana","Commercial","26",,"78",,"386.34","182.45","386.34","percent of total billed charges",,
"SKULL, COMPLETE, 4 VIEWS","70260","HCPCS","Both",,,"498.5","249.25","UHC","Commercial","26",,"75",,"375.87","182.45","386.34","percent of total billed charges",,
"SKULL, COMPLETE, 4 VIEWS","70260","HCPCS","Both",,,"498.5","249.25","Medicaid",,"26",,"37",,"182.45","182.45","386.34","percent of total billed charges",,
"SPINE, CERVICAL; 4 VIEWS","72050","HCPCS","Both",,,"530","265","Alliant","Health Exchange","26",,"62",,"328.6","14.03","698.28","percent of total billed charges",,
"SPINE, CERVICAL; 4 VIEWS","72050","HCPCS","Both",,,"530","265","Pruitt Healthcare","Medicare Advantage","26",,"54",,"286.2","14.03","698.28","percent of total billed charges",,
"SPINE, CERVICAL; 4 VIEWS","72050","HCPCS","Both",,,"530","265","Medicare",,"26",,"54",,"287.26","14.03","698.28","percent of total billed charges",,
"SPINE, CERVICAL; 4 VIEWS","72050","HCPCS","Both",,,"530","265","Humana","Medicare Advantage","26",,"54",,"287.26","14.03","698.28","percent of total billed charges",,
"SPINE, CERVICAL; 4 VIEWS","72050","HCPCS","Both",,,"530","265","UHC","Medicare Advantage","26",,"54",,"287.26","14.03","698.28","percent of total billed charges",,
"SPINE, CERVICAL; 4 VIEWS","72050","HCPCS","Both",,,"530","265","Clover","Medicare Advantage","26",,"54",,"287.26","14.03","698.28","percent of total billed charges",,
"SPINE, CERVICAL; 4 VIEWS","72050","HCPCS","Both",,,"530","265","Wellcare","Medicare Advantage","26",,"54",,"287.26","14.03","698.28","percent of total billed charges",,
"SPINE, CERVICAL; 4 VIEWS","72050","HCPCS","Both",,,"530","265","Amerigroup","Medicaid Managed Care","26",,"37",,"193.98","14.03","698.28","percent of total billed charges",,
"SPINE, CERVICAL; 4 VIEWS","72050","HCPCS","Both",,,"530","265","Caresource","Medicaid Managed Care","26",,"40",,"212","14.03","698.28","percent of total billed charges",,
"SPINE, CERVICAL; 4 VIEWS","72050","HCPCS","Both",,,"530","265","Wellcare","Medicaid Managed Care","26",,"40",,"214.65","14.03","698.28","percent of total billed charges",,
"SPINE, CERVICAL; 4 VIEWS","72050","HCPCS","Both",,,"530","265","Aetna","Commercial","26",,"64",,"338.14","14.03","698.28","percent of total billed charges",,
"SPINE, CERVICAL; 4 VIEWS","72050","HCPCS","Both",,,"530","265","Blue Cross Blue Shield","Pathways","26",,"71",,"374.18","14.03","698.28","percent of total billed charges",,
"SPINE, CERVICAL; 4 VIEWS","72050","HCPCS","Both",,,"530","265","Blue Cross Blue Shield","HMO","26",,"71",,"374.18","14.03","698.28","percent of total billed charges",,
"SPINE, CERVICAL; 4 VIEWS","72050","HCPCS","Both",,,"530","265","Blue Cross Blue Shield","PPO","26",,"71",,"374.18","14.03","698.28","percent of total billed charges",,
"SPINE, CERVICAL; 4 VIEWS","72050","HCPCS","Both",,,"530","265","Ambetter","Health Exchange","26",,"62",,"328.6","14.03","698.28","percent of total billed charges",,
"SPINE, CERVICAL; 4 VIEWS","72050","HCPCS","Both",,,"530","265","Caresource","Health Exchange","26",,"62",,"328.6","14.03","698.28","percent of total billed charges",,
"SPINE, CERVICAL; 4 VIEWS","72050","HCPCS","Both",,,"530","265","Cigna","Commercial","26",,"59",,"310.58","14.03","698.28","percent of total billed charges",,
"SPINE, CERVICAL; 4 VIEWS","72050","HCPCS","Both",,,"530","265","Humana","Commercial","26",,"78",,"410.75","14.03","698.28","percent of total billed charges",,
"SPINE, CERVICAL; 4 VIEWS","72050","HCPCS","Both",,,"530","265","UHC","Commercial","26",,"75",,"399.62","14.03","698.28","percent of total billed charges",,
"SPINE, CERVICAL; 4 VIEWS","72050","HCPCS","Both",,,"530","265","Medicaid",,"26",,"37",,"193.98","14.03","698.28","percent of total billed charges",,
"SPINE, CERVICAL; 2 OR 3 VIEWS","72040","HCPCS","Both",,,"912","456","Alliant","Health Exchange","26",,"62",,"565.44","11.52","706.8","percent of total billed charges",,
"SPINE, CERVICAL; 2 OR 3 VIEWS","72040","HCPCS","Both",,,"912","456","Pruitt Healthcare","Medicare Advantage","26",,"54",,"492.48","11.52","706.8","percent of total billed charges",,
"SPINE, CERVICAL; 2 OR 3 VIEWS","72040","HCPCS","Both",,,"912","456","Medicare",,"26",,"54",,"494.3","11.52","706.8","percent of total billed charges",,
"SPINE, CERVICAL; 2 OR 3 VIEWS","72040","HCPCS","Both",,,"912","456","Humana","Medicare Advantage","26",,"54",,"494.3","11.52","706.8","percent of total billed charges",,
"SPINE, CERVICAL; 2 OR 3 VIEWS","72040","HCPCS","Both",,,"912","456","UHC","Medicare Advantage","26",,"54",,"494.3","11.52","706.8","percent of total billed charges",,
"SPINE, CERVICAL; 2 OR 3 VIEWS","72040","HCPCS","Both",,,"912","456","Clover","Medicare Advantage","26",,"54",,"494.3","11.52","706.8","percent of total billed charges",,
"SPINE, CERVICAL; 2 OR 3 VIEWS","72040","HCPCS","Both",,,"912","456","Wellcare","Medicare Advantage","26",,"54",,"494.3","11.52","706.8","percent of total billed charges",,
"SPINE, CERVICAL; 2 OR 3 VIEWS","72040","HCPCS","Both",,,"912","456","Amerigroup","Medicaid Managed Care","26",,"37",,"333.79","11.52","706.8","percent of total billed charges",,
"SPINE, CERVICAL; 2 OR 3 VIEWS","72040","HCPCS","Both",,,"912","456","Caresource","Medicaid Managed Care","26",,"40",,"364.8","11.52","706.8","percent of total billed charges",,
"SPINE, CERVICAL; 2 OR 3 VIEWS","72040","HCPCS","Both",,,"912","456","Wellcare","Medicaid Managed Care","26",,"40",,"369.36","11.52","706.8","percent of total billed charges",,
"SPINE, CERVICAL; 2 OR 3 VIEWS","72040","HCPCS","Both",,,"912","456","Aetna","Commercial","26",,"64",,"581.86","11.52","706.8","percent of total billed charges",,
"SPINE, CERVICAL; 2 OR 3 VIEWS","72040","HCPCS","Both",,,"912","456","Blue Cross Blue Shield","Pathways","26",,"71",,"643.87","11.52","706.8","percent of total billed charges",,
"SPINE, CERVICAL; 2 OR 3 VIEWS","72040","HCPCS","Both",,,"912","456","Blue Cross Blue Shield","HMO","26",,"71",,"643.87","11.52","706.8","percent of total billed charges",,
"SPINE, CERVICAL; 2 OR 3 VIEWS","72040","HCPCS","Both",,,"912","456","Blue Cross Blue Shield","PPO","26",,"71",,"643.87","11.52","706.8","percent of total billed charges",,
"SPINE, CERVICAL; 2 OR 3 VIEWS","72040","HCPCS","Both",,,"912","456","Ambetter","Health Exchange","26",,"62",,"565.44","11.52","706.8","percent of total billed charges",,
"SPINE, CERVICAL; 2 OR 3 VIEWS","72040","HCPCS","Both",,,"912","456","Caresource","Health Exchange","26",,"62",,"565.44","11.52","706.8","percent of total billed charges",,
"SPINE, CERVICAL; 2 OR 3 VIEWS","72040","HCPCS","Both",,,"912","456","Cigna","Commercial","26",,"59",,"534.43","11.52","706.8","percent of total billed charges",,
"SPINE, CERVICAL; 2 OR 3 VIEWS","72040","HCPCS","Both",,,"912","456","Humana","Commercial","26",,"78",,"706.8","11.52","706.8","percent of total billed charges",,
"SPINE, CERVICAL; 2 OR 3 VIEWS","72040","HCPCS","Both",,,"912","456","UHC","Commercial","26",,"75",,"687.65","11.52","706.8","percent of total billed charges",,
"SPINE, CERVICAL; 2 OR 3 VIEWS","72040","HCPCS","Both",,,"912","456","Medicaid",,"26",,"37",,"333.79","11.52","706.8","percent of total billed charges",,
"SPINE,SINGLE VIEW, SPECIFY LEVEL","72020","HCPCS","Both",,,"153","76.5","Alliant","Health Exchange","26",,"62",,"94.86","56","118.58","percent of total billed charges",,
"SPINE,SINGLE VIEW, SPECIFY LEVEL","72020","HCPCS","Both",,,"153","76.5","Pruitt Healthcare","Medicare Advantage","26",,"54",,"82.62","56","118.58","percent of total billed charges",,
"SPINE,SINGLE VIEW, SPECIFY LEVEL","72020","HCPCS","Both",,,"153","76.5","Medicare",,"26",,"54",,"82.93","56","118.58","percent of total billed charges",,
"SPINE,SINGLE VIEW, SPECIFY LEVEL","72020","HCPCS","Both",,,"153","76.5","Humana","Medicare Advantage","26",,"54",,"82.93","56","118.58","percent of total billed charges",,
"SPINE,SINGLE VIEW, SPECIFY LEVEL","72020","HCPCS","Both",,,"153","76.5","UHC","Medicare Advantage","26",,"54",,"82.93","56","118.58","percent of total billed charges",,
"SPINE,SINGLE VIEW, SPECIFY LEVEL","72020","HCPCS","Both",,,"153","76.5","Clover","Medicare Advantage","26",,"54",,"82.93","56","118.58","percent of total billed charges",,
"SPINE,SINGLE VIEW, SPECIFY LEVEL","72020","HCPCS","Both",,,"153","76.5","Wellcare","Medicare Advantage","26",,"54",,"82.93","56","118.58","percent of total billed charges",,
"SPINE,SINGLE VIEW, SPECIFY LEVEL","72020","HCPCS","Both",,,"153","76.5","Amerigroup","Medicaid Managed Care","26",,"37",,"56","56","118.58","percent of total billed charges",,
"SPINE,SINGLE VIEW, SPECIFY LEVEL","72020","HCPCS","Both",,,"153","76.5","Caresource","Medicaid Managed Care","26",,"40",,"61.2","56","118.58","percent of total billed charges",,
"SPINE,SINGLE VIEW, SPECIFY LEVEL","72020","HCPCS","Both",,,"153","76.5","Wellcare","Medicaid Managed Care","26",,"40",,"61.96","56","118.58","percent of total billed charges",,
"SPINE,SINGLE VIEW, SPECIFY LEVEL","72020","HCPCS","Both",,,"153","76.5","Aetna","Commercial","26",,"64",,"97.61","56","118.58","percent of total billed charges",,
"SPINE,SINGLE VIEW, SPECIFY LEVEL","72020","HCPCS","Both",,,"153","76.5","Blue Cross Blue Shield","Pathways","26",,"71",,"108.02","56","118.58","percent of total billed charges",,
"SPINE,SINGLE VIEW, SPECIFY LEVEL","72020","HCPCS","Both",,,"153","76.5","Blue Cross Blue Shield","HMO","26",,"71",,"108.02","56","118.58","percent of total billed charges",,
"SPINE,SINGLE VIEW, SPECIFY LEVEL","72020","HCPCS","Both",,,"153","76.5","Blue Cross Blue Shield","PPO","26",,"71",,"108.02","56","118.58","percent of total billed charges",,
"SPINE,SINGLE VIEW, SPECIFY LEVEL","72020","HCPCS","Both",,,"153","76.5","Ambetter","Health Exchange","26",,"62",,"94.86","56","118.58","percent of total billed charges",,
"SPINE,SINGLE VIEW, SPECIFY LEVEL","72020","HCPCS","Both",,,"153","76.5","Caresource","Health Exchange","26",,"62",,"94.86","56","118.58","percent of total billed charges",,
"SPINE,SINGLE VIEW, SPECIFY LEVEL","72020","HCPCS","Both",,,"153","76.5","Cigna","Commercial","26",,"59",,"89.66","56","118.58","percent of total billed charges",,
"SPINE,SINGLE VIEW, SPECIFY LEVEL","72020","HCPCS","Both",,,"153","76.5","Humana","Commercial","26",,"78",,"118.58","56","118.58","percent of total billed charges",,
"SPINE,SINGLE VIEW, SPECIFY LEVEL","72020","HCPCS","Both",,,"153","76.5","UHC","Commercial","26",,"75",,"115.36","56","118.58","percent of total billed charges",,
"SPINE,SINGLE VIEW, SPECIFY LEVEL","72020","HCPCS","Both",,,"153","76.5","Medicaid",,"26",,"37",,"56","56","118.58","percent of total billed charges",,
"SPINE,THORACIC; 2 VIEWS","72070","HCPCS","Both",,,"136","68","Alliant","Health Exchange","26",,"62",,"84.32","49.78","179.18","percent of total billed charges",,
"SPINE,THORACIC; 2 VIEWS","72070","HCPCS","Both",,,"136","68","Pruitt Healthcare","Medicare Advantage","26",,"54",,"73.44","49.78","179.18","percent of total billed charges",,
"SPINE,THORACIC; 2 VIEWS","72070","HCPCS","Both",,,"136","68","Medicare",,"26",,"54",,"73.71","49.78","179.18","percent of total billed charges",,
"SPINE,THORACIC; 2 VIEWS","72070","HCPCS","Both",,,"136","68","Humana","Medicare Advantage","26",,"54",,"73.71","49.78","179.18","percent of total billed charges",,
"SPINE,THORACIC; 2 VIEWS","72070","HCPCS","Both",,,"136","68","UHC","Medicare Advantage","26",,"54",,"73.71","49.78","179.18","percent of total billed charges",,
"SPINE,THORACIC; 2 VIEWS","72070","HCPCS","Both",,,"136","68","Clover","Medicare Advantage","26",,"54",,"73.71","49.78","179.18","percent of total billed charges",,
"SPINE,THORACIC; 2 VIEWS","72070","HCPCS","Both",,,"136","68","Wellcare","Medicare Advantage","26",,"54",,"73.71","49.78","179.18","percent of total billed charges",,
"SPINE,THORACIC; 2 VIEWS","72070","HCPCS","Both",,,"136","68","Amerigroup","Medicaid Managed Care","26",,"37",,"49.78","49.78","179.18","percent of total billed charges",,
"SPINE,THORACIC; 2 VIEWS","72070","HCPCS","Both",,,"136","68","Caresource","Medicaid Managed Care","26",,"40",,"54.4","49.78","179.18","percent of total billed charges",,
"SPINE,THORACIC; 2 VIEWS","72070","HCPCS","Both",,,"136","68","Wellcare","Medicaid Managed Care","26",,"40",,"55.08","49.78","179.18","percent of total billed charges",,
"SPINE,THORACIC; 2 VIEWS","72070","HCPCS","Both",,,"136","68","Aetna","Commercial","26",,"64",,"86.77","49.78","179.18","percent of total billed charges",,
"SPINE,THORACIC; 2 VIEWS","72070","HCPCS","Both",,,"136","68","Blue Cross Blue Shield","Pathways","26",,"71",,"96.02","49.78","179.18","percent of total billed charges",,
"SPINE,THORACIC; 2 VIEWS","72070","HCPCS","Both",,,"136","68","Blue Cross Blue Shield","HMO","26",,"71",,"96.02","49.78","179.18","percent of total billed charges",,
"SPINE,THORACIC; 2 VIEWS","72070","HCPCS","Both",,,"136","68","Blue Cross Blue Shield","PPO","26",,"71",,"96.02","49.78","179.18","percent of total billed charges",,
"SPINE,THORACIC; 2 VIEWS","72070","HCPCS","Both",,,"136","68","Ambetter","Health Exchange","26",,"62",,"84.32","49.78","179.18","percent of total billed charges",,
"SPINE,THORACIC; 2 VIEWS","72070","HCPCS","Both",,,"136","68","Caresource","Health Exchange","26",,"62",,"84.32","49.78","179.18","percent of total billed charges",,
"SPINE,THORACIC; 2 VIEWS","72070","HCPCS","Both",,,"136","68","Cigna","Commercial","26",,"59",,"79.7","49.78","179.18","percent of total billed charges",,
"SPINE,THORACIC; 2 VIEWS","72070","HCPCS","Both",,,"136","68","Humana","Commercial","26",,"78",,"105.4","49.78","179.18","percent of total billed charges",,
"SPINE,THORACIC; 2 VIEWS","72070","HCPCS","Both",,,"136","68","UHC","Commercial","26",,"75",,"102.54","49.78","179.18","percent of total billed charges",,
"SPINE,THORACIC; 2 VIEWS","72070","HCPCS","Both",,,"136","68","Medicaid",,"26",,"37",,"49.78","49.78","179.18","percent of total billed charges",,
"BREAST SPECIMEN","76098","HCPCS","Both",,,"1146.5","573.25","Alliant","Health Exchange","26",,"62",,"710.83","419.62","888.54","percent of total billed charges",,
"BREAST SPECIMEN","76098","HCPCS","Both",,,"1146.5","573.25","Pruitt Healthcare","Medicare Advantage","26",,"54",,"619.11","419.62","888.54","percent of total billed charges",,
"BREAST SPECIMEN","76098","HCPCS","Both",,,"1146.5","573.25","Medicare",,"26",,"54",,"621.4","419.62","888.54","percent of total billed charges",,
"BREAST SPECIMEN","76098","HCPCS","Both",,,"1146.5","573.25","Humana","Medicare Advantage","26",,"54",,"621.4","419.62","888.54","percent of total billed charges",,
"BREAST SPECIMEN","76098","HCPCS","Both",,,"1146.5","573.25","UHC","Medicare Advantage","26",,"54",,"621.4","419.62","888.54","percent of total billed charges",,
"BREAST SPECIMEN","76098","HCPCS","Both",,,"1146.5","573.25","Clover","Medicare Advantage","26",,"54",,"621.4","419.62","888.54","percent of total billed charges",,
"BREAST SPECIMEN","76098","HCPCS","Both",,,"1146.5","573.25","Wellcare","Medicare Advantage","26",,"54",,"621.4","419.62","888.54","percent of total billed charges",,
"BREAST SPECIMEN","76098","HCPCS","Both",,,"1146.5","573.25","Amerigroup","Medicaid Managed Care","26",,"37",,"419.62","419.62","888.54","percent of total billed charges",,
"BREAST SPECIMEN","76098","HCPCS","Both",,,"1146.5","573.25","Caresource","Medicaid Managed Care","26",,"40",,"458.6","419.62","888.54","percent of total billed charges",,
"BREAST SPECIMEN","76098","HCPCS","Both",,,"1146.5","573.25","Wellcare","Medicaid Managed Care","26",,"40",,"464.33","419.62","888.54","percent of total billed charges",,
"BREAST SPECIMEN","76098","HCPCS","Both",,,"1146.5","573.25","Aetna","Commercial","26",,"64",,"731.47","419.62","888.54","percent of total billed charges",,
"BREAST SPECIMEN","76098","HCPCS","Both",,,"1146.5","573.25","Blue Cross Blue Shield","Pathways","26",,"71",,"809.43","419.62","888.54","percent of total billed charges",,
"BREAST SPECIMEN","76098","HCPCS","Both",,,"1146.5","573.25","Blue Cross Blue Shield","HMO","26",,"71",,"809.43","419.62","888.54","percent of total billed charges",,
"BREAST SPECIMEN","76098","HCPCS","Both",,,"1146.5","573.25","Blue Cross Blue Shield","PPO","26",,"71",,"809.43","419.62","888.54","percent of total billed charges",,
"BREAST SPECIMEN","76098","HCPCS","Both",,,"1146.5","573.25","Ambetter","Health Exchange","26",,"62",,"710.83","419.62","888.54","percent of total billed charges",,
"BREAST SPECIMEN","76098","HCPCS","Both",,,"1146.5","573.25","Caresource","Health Exchange","26",,"62",,"710.83","419.62","888.54","percent of total billed charges",,
"BREAST SPECIMEN","76098","HCPCS","Both",,,"1146.5","573.25","Cigna","Commercial","26",,"59",,"671.85","419.62","888.54","percent of total billed charges",,
"BREAST SPECIMEN","76098","HCPCS","Both",,,"1146.5","573.25","Humana","Commercial","26",,"78",,"888.54","419.62","888.54","percent of total billed charges",,
"BREAST SPECIMEN","76098","HCPCS","Both",,,"1146.5","573.25","UHC","Commercial","26",,"75",,"864.46","419.62","888.54","percent of total billed charges",,
"BREAST SPECIMEN","76098","HCPCS","Both",,,"1146.5","573.25","Medicaid",,"26",,"37",,"419.62","419.62","888.54","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 4 VIEWS","72110","HCPCS","Both",,,"1214.5","607.25","Alliant","Health Exchange","26",,"62",,"752.99","13.33","941.24","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 4 VIEWS","72110","HCPCS","Both",,,"1214.5","607.25","Pruitt Healthcare","Medicare Advantage","26",,"54",,"655.83","13.33","941.24","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 4 VIEWS","72110","HCPCS","Both",,,"1214.5","607.25","Medicare",,"26",,"54",,"658.26","13.33","941.24","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 4 VIEWS","72110","HCPCS","Both",,,"1214.5","607.25","Humana","Medicare Advantage","26",,"54",,"658.26","13.33","941.24","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 4 VIEWS","72110","HCPCS","Both",,,"1214.5","607.25","UHC","Medicare Advantage","26",,"54",,"658.26","13.33","941.24","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 4 VIEWS","72110","HCPCS","Both",,,"1214.5","607.25","Clover","Medicare Advantage","26",,"54",,"658.26","13.33","941.24","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 4 VIEWS","72110","HCPCS","Both",,,"1214.5","607.25","Wellcare","Medicare Advantage","26",,"54",,"658.26","13.33","941.24","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 4 VIEWS","72110","HCPCS","Both",,,"1214.5","607.25","Amerigroup","Medicaid Managed Care","26",,"37",,"444.51","13.33","941.24","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 4 VIEWS","72110","HCPCS","Both",,,"1214.5","607.25","Caresource","Medicaid Managed Care","26",,"40",,"485.8","13.33","941.24","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 4 VIEWS","72110","HCPCS","Both",,,"1214.5","607.25","Wellcare","Medicaid Managed Care","26",,"40",,"491.87","13.33","941.24","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 4 VIEWS","72110","HCPCS","Both",,,"1214.5","607.25","Aetna","Commercial","26",,"64",,"774.85","13.33","941.24","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 4 VIEWS","72110","HCPCS","Both",,,"1214.5","607.25","Blue Cross Blue Shield","Pathways","26",,"71",,"857.44","13.33","941.24","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 4 VIEWS","72110","HCPCS","Both",,,"1214.5","607.25","Blue Cross Blue Shield","HMO","26",,"71",,"857.44","13.33","941.24","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 4 VIEWS","72110","HCPCS","Both",,,"1214.5","607.25","Blue Cross Blue Shield","PPO","26",,"71",,"857.44","13.33","941.24","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 4 VIEWS","72110","HCPCS","Both",,,"1214.5","607.25","Ambetter","Health Exchange","26",,"62",,"752.99","13.33","941.24","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 4 VIEWS","72110","HCPCS","Both",,,"1214.5","607.25","Caresource","Health Exchange","26",,"62",,"752.99","13.33","941.24","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 4 VIEWS","72110","HCPCS","Both",,,"1214.5","607.25","Cigna","Commercial","26",,"59",,"711.7","13.33","941.24","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 4 VIEWS","72110","HCPCS","Both",,,"1214.5","607.25","Humana","Commercial","26",,"78",,"941.24","13.33","941.24","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 4 VIEWS","72110","HCPCS","Both",,,"1214.5","607.25","UHC","Commercial","26",,"75",,"915.73","13.33","941.24","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 4 VIEWS","72110","HCPCS","Both",,,"1214.5","607.25","Medicaid",,"26",,"37",,"444.51","13.33","941.24","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 2 OR 3 VIEWS","72100","HCPCS","Both",,,"646","323","Alliant","Health Exchange","26",,"62",,"400.52","11.52","780.18","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 2 OR 3 VIEWS","72100","HCPCS","Both",,,"646","323","Pruitt Healthcare","Medicare Advantage","26",,"54",,"348.84","11.52","780.18","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 2 OR 3 VIEWS","72100","HCPCS","Both",,,"646","323","Medicare",,"26",,"54",,"350.13","11.52","780.18","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 2 OR 3 VIEWS","72100","HCPCS","Both",,,"646","323","Humana","Medicare Advantage","26",,"54",,"350.13","11.52","780.18","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 2 OR 3 VIEWS","72100","HCPCS","Both",,,"646","323","UHC","Medicare Advantage","26",,"54",,"350.13","11.52","780.18","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 2 OR 3 VIEWS","72100","HCPCS","Both",,,"646","323","Clover","Medicare Advantage","26",,"54",,"350.13","11.52","780.18","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 2 OR 3 VIEWS","72100","HCPCS","Both",,,"646","323","Wellcare","Medicare Advantage","26",,"54",,"350.13","11.52","780.18","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 2 OR 3 VIEWS","72100","HCPCS","Both",,,"646","323","Amerigroup","Medicaid Managed Care","26",,"37",,"236.44","11.52","780.18","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 2 OR 3 VIEWS","72100","HCPCS","Both",,,"646","323","Caresource","Medicaid Managed Care","26",,"40",,"258.4","11.52","780.18","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 2 OR 3 VIEWS","72100","HCPCS","Both",,,"646","323","Wellcare","Medicaid Managed Care","26",,"40",,"261.63","11.52","780.18","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 2 OR 3 VIEWS","72100","HCPCS","Both",,,"646","323","Aetna","Commercial","26",,"64",,"412.15","11.52","780.18","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 2 OR 3 VIEWS","72100","HCPCS","Both",,,"646","323","Blue Cross Blue Shield","Pathways","26",,"71",,"456.08","11.52","780.18","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 2 OR 3 VIEWS","72100","HCPCS","Both",,,"646","323","Blue Cross Blue Shield","HMO","26",,"71",,"456.08","11.52","780.18","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 2 OR 3 VIEWS","72100","HCPCS","Both",,,"646","323","Blue Cross Blue Shield","PPO","26",,"71",,"456.08","11.52","780.18","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 2 OR 3 VIEWS","72100","HCPCS","Both",,,"646","323","Ambetter","Health Exchange","26",,"62",,"400.52","11.52","780.18","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 2 OR 3 VIEWS","72100","HCPCS","Both",,,"646","323","Caresource","Health Exchange","26",,"62",,"400.52","11.52","780.18","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 2 OR 3 VIEWS","72100","HCPCS","Both",,,"646","323","Cigna","Commercial","26",,"59",,"378.56","11.52","780.18","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 2 OR 3 VIEWS","72100","HCPCS","Both",,,"646","323","Humana","Commercial","26",,"78",,"500.65","11.52","780.18","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 2 OR 3 VIEWS","72100","HCPCS","Both",,,"646","323","UHC","Commercial","26",,"75",,"487.08","11.52","780.18","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 2 OR 3 VIEWS","72100","HCPCS","Both",,,"646","323","Medicaid",,"26",,"37",,"236.44","11.52","780.18","percent of total billed charges",,
"SACRUM & COCCYX; 2 VIEWS","72220","HCPCS","Both",,,"36","18","Alliant","Health Exchange","26",,"62",,"22.32","11.52","27.9","percent of total billed charges",,
"SACRUM & COCCYX; 2 VIEWS","72220","HCPCS","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage","26",,"54",,"19.44","11.52","27.9","percent of total billed charges",,
"SACRUM & COCCYX; 2 VIEWS","72220","HCPCS","Both",,,"36","18","Medicare",,"26",,"54",,"19.51","11.52","27.9","percent of total billed charges",,
"SACRUM & COCCYX; 2 VIEWS","72220","HCPCS","Both",,,"36","18","Humana","Medicare Advantage","26",,"54",,"19.51","11.52","27.9","percent of total billed charges",,
"SACRUM & COCCYX; 2 VIEWS","72220","HCPCS","Both",,,"36","18","UHC","Medicare Advantage","26",,"54",,"19.51","11.52","27.9","percent of total billed charges",,
"SACRUM & COCCYX; 2 VIEWS","72220","HCPCS","Both",,,"36","18","Clover","Medicare Advantage","26",,"54",,"19.51","11.52","27.9","percent of total billed charges",,
"SACRUM & COCCYX; 2 VIEWS","72220","HCPCS","Both",,,"36","18","Wellcare","Medicare Advantage","26",,"54",,"19.51","11.52","27.9","percent of total billed charges",,
"SACRUM & COCCYX; 2 VIEWS","72220","HCPCS","Both",,,"36","18","Amerigroup","Medicaid Managed Care","26",,"37",,"13.18","11.52","27.9","percent of total billed charges",,
"SACRUM & COCCYX; 2 VIEWS","72220","HCPCS","Both",,,"36","18","Caresource","Medicaid Managed Care","26",,"40",,"14.4","11.52","27.9","percent of total billed charges",,
"SACRUM & COCCYX; 2 VIEWS","72220","HCPCS","Both",,,"36","18","Wellcare","Medicaid Managed Care","26",,"40",,"14.58","11.52","27.9","percent of total billed charges",,
"SACRUM & COCCYX; 2 VIEWS","72220","HCPCS","Both",,,"36","18","Aetna","Commercial","26",,"64",,"22.97","11.52","27.9","percent of total billed charges",,
"SACRUM & COCCYX; 2 VIEWS","72220","HCPCS","Both",,,"36","18","Blue Cross Blue Shield","Pathways","26",,"71",,"25.42","11.52","27.9","percent of total billed charges",,
"SACRUM & COCCYX; 2 VIEWS","72220","HCPCS","Both",,,"36","18","Blue Cross Blue Shield","HMO","26",,"71",,"25.42","11.52","27.9","percent of total billed charges",,
"SACRUM & COCCYX; 2 VIEWS","72220","HCPCS","Both",,,"36","18","Blue Cross Blue Shield","PPO","26",,"71",,"25.42","11.52","27.9","percent of total billed charges",,
"SACRUM & COCCYX; 2 VIEWS","72220","HCPCS","Both",,,"36","18","Ambetter","Health Exchange","26",,"62",,"22.32","11.52","27.9","percent of total billed charges",,
"SACRUM & COCCYX; 2 VIEWS","72220","HCPCS","Both",,,"36","18","Caresource","Health Exchange","26",,"62",,"22.32","11.52","27.9","percent of total billed charges",,
"SACRUM & COCCYX; 2 VIEWS","72220","HCPCS","Both",,,"36","18","Cigna","Commercial","26",,"59",,"21.1","11.52","27.9","percent of total billed charges",,
"SACRUM & COCCYX; 2 VIEWS","72220","HCPCS","Both",,,"36","18","Humana","Commercial","26",,"78",,"27.9","11.52","27.9","percent of total billed charges",,
"SACRUM & COCCYX; 2 VIEWS","72220","HCPCS","Both",,,"36","18","UHC","Commercial","26",,"75",,"27.14","11.52","27.9","percent of total billed charges",,
"SACRUM & COCCYX; 2 VIEWS","72220","HCPCS","Both",,,"36","18","Medicaid",,"26",,"37",,"13.18","11.52","27.9","percent of total billed charges",,
"SACROILIAC JOINTS; 2 VIEWS","72202","HCPCS","Both",,,"103.5","51.75","Alliant","Health Exchange","26",,"62",,"64.17","37.88","80.21","percent of total billed charges",,
"SACROILIAC JOINTS; 2 VIEWS","72202","HCPCS","Both",,,"103.5","51.75","Pruitt Healthcare","Medicare Advantage","26",,"54",,"55.89","37.88","80.21","percent of total billed charges",,
"SACROILIAC JOINTS; 2 VIEWS","72202","HCPCS","Both",,,"103.5","51.75","Medicare",,"26",,"54",,"56.1","37.88","80.21","percent of total billed charges",,
"SACROILIAC JOINTS; 2 VIEWS","72202","HCPCS","Both",,,"103.5","51.75","Humana","Medicare Advantage","26",,"54",,"56.1","37.88","80.21","percent of total billed charges",,
"SACROILIAC JOINTS; 2 VIEWS","72202","HCPCS","Both",,,"103.5","51.75","UHC","Medicare Advantage","26",,"54",,"56.1","37.88","80.21","percent of total billed charges",,
"SACROILIAC JOINTS; 2 VIEWS","72202","HCPCS","Both",,,"103.5","51.75","Clover","Medicare Advantage","26",,"54",,"56.1","37.88","80.21","percent of total billed charges",,
"SACROILIAC JOINTS; 2 VIEWS","72202","HCPCS","Both",,,"103.5","51.75","Wellcare","Medicare Advantage","26",,"54",,"56.1","37.88","80.21","percent of total billed charges",,
"SACROILIAC JOINTS; 2 VIEWS","72202","HCPCS","Both",,,"103.5","51.75","Amerigroup","Medicaid Managed Care","26",,"37",,"37.88","37.88","80.21","percent of total billed charges",,
"SACROILIAC JOINTS; 2 VIEWS","72202","HCPCS","Both",,,"103.5","51.75","Caresource","Medicaid Managed Care","26",,"40",,"41.4","37.88","80.21","percent of total billed charges",,
"SACROILIAC JOINTS; 2 VIEWS","72202","HCPCS","Both",,,"103.5","51.75","Wellcare","Medicaid Managed Care","26",,"40",,"41.92","37.88","80.21","percent of total billed charges",,
"SACROILIAC JOINTS; 2 VIEWS","72202","HCPCS","Both",,,"103.5","51.75","Aetna","Commercial","26",,"64",,"66.03","37.88","80.21","percent of total billed charges",,
"SACROILIAC JOINTS; 2 VIEWS","72202","HCPCS","Both",,,"103.5","51.75","Blue Cross Blue Shield","Pathways","26",,"71",,"73.07","37.88","80.21","percent of total billed charges",,
"SACROILIAC JOINTS; 2 VIEWS","72202","HCPCS","Both",,,"103.5","51.75","Blue Cross Blue Shield","HMO","26",,"71",,"73.07","37.88","80.21","percent of total billed charges",,
"SACROILIAC JOINTS; 2 VIEWS","72202","HCPCS","Both",,,"103.5","51.75","Blue Cross Blue Shield","PPO","26",,"71",,"73.07","37.88","80.21","percent of total billed charges",,
"SACROILIAC JOINTS; 2 VIEWS","72202","HCPCS","Both",,,"103.5","51.75","Ambetter","Health Exchange","26",,"62",,"64.17","37.88","80.21","percent of total billed charges",,
"SACROILIAC JOINTS; 2 VIEWS","72202","HCPCS","Both",,,"103.5","51.75","Caresource","Health Exchange","26",,"62",,"64.17","37.88","80.21","percent of total billed charges",,
"SACROILIAC JOINTS; 2 VIEWS","72202","HCPCS","Both",,,"103.5","51.75","Cigna","Commercial","26",,"59",,"60.65","37.88","80.21","percent of total billed charges",,
"SACROILIAC JOINTS; 2 VIEWS","72202","HCPCS","Both",,,"103.5","51.75","Humana","Commercial","26",,"78",,"80.21","37.88","80.21","percent of total billed charges",,
"SACROILIAC JOINTS; 2 VIEWS","72202","HCPCS","Both",,,"103.5","51.75","UHC","Commercial","26",,"75",,"78.04","37.88","80.21","percent of total billed charges",,
"SACROILIAC JOINTS; 2 VIEWS","72202","HCPCS","Both",,,"103.5","51.75","Medicaid",,"26",,"37",,"37.88","37.88","80.21","percent of total billed charges",,
"HAND; 2 VIEWS","73130","HCPCS","Both",,,"722.5","361.25","Alliant","Health Exchange","26",,"62",,"447.95","9","620.29","percent of total billed charges",,
"HAND; 2 VIEWS","73130","HCPCS","Both",,,"722.5","361.25","Pruitt Healthcare","Medicare Advantage","26",,"54",,"390.15","9","620.29","percent of total billed charges",,
"HAND; 2 VIEWS","73130","HCPCS","Both",,,"722.5","361.25","Medicare",,"26",,"54",,"391.6","9","620.29","percent of total billed charges",,
"HAND; 2 VIEWS","73130","HCPCS","Both",,,"722.5","361.25","Humana","Medicare Advantage","26",,"54",,"391.6","9","620.29","percent of total billed charges",,
"HAND; 2 VIEWS","73130","HCPCS","Both",,,"722.5","361.25","UHC","Medicare Advantage","26",,"54",,"391.6","9","620.29","percent of total billed charges",,
"HAND; 2 VIEWS","73130","HCPCS","Both",,,"722.5","361.25","Clover","Medicare Advantage","26",,"54",,"391.6","9","620.29","percent of total billed charges",,
"HAND; 2 VIEWS","73130","HCPCS","Both",,,"722.5","361.25","Wellcare","Medicare Advantage","26",,"54",,"391.6","9","620.29","percent of total billed charges",,
"HAND; 2 VIEWS","73130","HCPCS","Both",,,"722.5","361.25","Amerigroup","Medicaid Managed Care","26",,"37",,"264.44","9","620.29","percent of total billed charges",,
"HAND; 2 VIEWS","73130","HCPCS","Both",,,"722.5","361.25","Caresource","Medicaid Managed Care","26",,"40",,"289","9","620.29","percent of total billed charges",,
"HAND; 2 VIEWS","73130","HCPCS","Both",,,"722.5","361.25","Wellcare","Medicaid Managed Care","26",,"40",,"292.61","9","620.29","percent of total billed charges",,
"HAND; 2 VIEWS","73130","HCPCS","Both",,,"722.5","361.25","Aetna","Commercial","26",,"64",,"460.96","9","620.29","percent of total billed charges",,
"HAND; 2 VIEWS","73130","HCPCS","Both",,,"722.5","361.25","Blue Cross Blue Shield","Pathways","26",,"71",,"510.08","9","620.29","percent of total billed charges",,
"HAND; 2 VIEWS","73130","HCPCS","Both",,,"722.5","361.25","Blue Cross Blue Shield","HMO","26",,"71",,"510.08","9","620.29","percent of total billed charges",,
"HAND; 2 VIEWS","73130","HCPCS","Both",,,"722.5","361.25","Blue Cross Blue Shield","PPO","26",,"71",,"510.08","9","620.29","percent of total billed charges",,
"HAND; 2 VIEWS","73130","HCPCS","Both",,,"722.5","361.25","Ambetter","Health Exchange","26",,"62",,"447.95","9","620.29","percent of total billed charges",,
"HAND; 2 VIEWS","73130","HCPCS","Both",,,"722.5","361.25","Caresource","Health Exchange","26",,"62",,"447.95","9","620.29","percent of total billed charges",,
"HAND; 2 VIEWS","73130","HCPCS","Both",,,"722.5","361.25","Cigna","Commercial","26",,"59",,"423.38","9","620.29","percent of total billed charges",,
"HAND; 2 VIEWS","73130","HCPCS","Both",,,"722.5","361.25","Humana","Commercial","26",,"78",,"559.94","9","620.29","percent of total billed charges",,
"HAND; 2 VIEWS","73130","HCPCS","Both",,,"722.5","361.25","UHC","Commercial","26",,"75",,"544.76","9","620.29","percent of total billed charges",,
"HAND; 2 VIEWS","73130","HCPCS","Both",,,"722.5","361.25","Medicaid",,"26",,"37",,"264.44","9","620.29","percent of total billed charges",,
"FINGER(S); 2 VIEWS","73140","HCPCS","Both",,,"276.5","138.25","Alliant","Health Exchange","26",,"62",,"171.43","7.18","364.29","percent of total billed charges",,
"FINGER(S); 2 VIEWS","73140","HCPCS","Both",,,"276.5","138.25","Pruitt Healthcare","Medicare Advantage","26",,"54",,"149.31","7.18","364.29","percent of total billed charges",,
"FINGER(S); 2 VIEWS","73140","HCPCS","Both",,,"276.5","138.25","Medicare",,"26",,"54",,"149.86","7.18","364.29","percent of total billed charges",,
"FINGER(S); 2 VIEWS","73140","HCPCS","Both",,,"276.5","138.25","Humana","Medicare Advantage","26",,"54",,"149.86","7.18","364.29","percent of total billed charges",,
"FINGER(S); 2 VIEWS","73140","HCPCS","Both",,,"276.5","138.25","UHC","Medicare Advantage","26",,"54",,"149.86","7.18","364.29","percent of total billed charges",,
"FINGER(S); 2 VIEWS","73140","HCPCS","Both",,,"276.5","138.25","Clover","Medicare Advantage","26",,"54",,"149.86","7.18","364.29","percent of total billed charges",,
"FINGER(S); 2 VIEWS","73140","HCPCS","Both",,,"276.5","138.25","Wellcare","Medicare Advantage","26",,"54",,"149.86","7.18","364.29","percent of total billed charges",,
"FINGER(S); 2 VIEWS","73140","HCPCS","Both",,,"276.5","138.25","Amerigroup","Medicaid Managed Care","26",,"37",,"101.2","7.18","364.29","percent of total billed charges",,
"FINGER(S); 2 VIEWS","73140","HCPCS","Both",,,"276.5","138.25","Caresource","Medicaid Managed Care","26",,"40",,"110.6","7.18","364.29","percent of total billed charges",,
"FINGER(S); 2 VIEWS","73140","HCPCS","Both",,,"276.5","138.25","Wellcare","Medicaid Managed Care","26",,"40",,"111.98","7.18","364.29","percent of total billed charges",,
"FINGER(S); 2 VIEWS","73140","HCPCS","Both",,,"276.5","138.25","Aetna","Commercial","26",,"64",,"176.41","7.18","364.29","percent of total billed charges",,
"FINGER(S); 2 VIEWS","73140","HCPCS","Both",,,"276.5","138.25","Blue Cross Blue Shield","Pathways","26",,"71",,"195.21","7.18","364.29","percent of total billed charges",,
"FINGER(S); 2 VIEWS","73140","HCPCS","Both",,,"276.5","138.25","Blue Cross Blue Shield","HMO","26",,"71",,"195.21","7.18","364.29","percent of total billed charges",,
"FINGER(S); 2 VIEWS","73140","HCPCS","Both",,,"276.5","138.25","Blue Cross Blue Shield","PPO","26",,"71",,"195.21","7.18","364.29","percent of total billed charges",,
"FINGER(S); 2 VIEWS","73140","HCPCS","Both",,,"276.5","138.25","Ambetter","Health Exchange","26",,"62",,"171.43","7.18","364.29","percent of total billed charges",,
"FINGER(S); 2 VIEWS","73140","HCPCS","Both",,,"276.5","138.25","Caresource","Health Exchange","26",,"62",,"171.43","7.18","364.29","percent of total billed charges",,
"FINGER(S); 2 VIEWS","73140","HCPCS","Both",,,"276.5","138.25","Cigna","Commercial","26",,"59",,"162.03","7.18","364.29","percent of total billed charges",,
"FINGER(S); 2 VIEWS","73140","HCPCS","Both",,,"276.5","138.25","Humana","Commercial","26",,"78",,"214.29","7.18","364.29","percent of total billed charges",,
"FINGER(S); 2 VIEWS","73140","HCPCS","Both",,,"276.5","138.25","UHC","Commercial","26",,"75",,"208.48","7.18","364.29","percent of total billed charges",,
"FINGER(S); 2 VIEWS","73140","HCPCS","Both",,,"276.5","138.25","Medicaid",,"26",,"37",,"101.2","7.18","364.29","percent of total billed charges",,
"WRIST; 3 VIEWS","73110","HCPCS","Both",,,"28","14","Alliant","Health Exchange","26",,"62",,"17.36","9","543.66","percent of total billed charges",,
"WRIST; 3 VIEWS","73110","HCPCS","Both",,,"28","14","Pruitt Healthcare","Medicare Advantage","26",,"54",,"15.12","9","543.66","percent of total billed charges",,
"WRIST; 3 VIEWS","73110","HCPCS","Both",,,"28","14","Medicare",,"26",,"54",,"15.18","9","543.66","percent of total billed charges",,
"WRIST; 3 VIEWS","73110","HCPCS","Both",,,"28","14","Humana","Medicare Advantage","26",,"54",,"15.18","9","543.66","percent of total billed charges",,
"WRIST; 3 VIEWS","73110","HCPCS","Both",,,"28","14","UHC","Medicare Advantage","26",,"54",,"15.18","9","543.66","percent of total billed charges",,
"WRIST; 3 VIEWS","73110","HCPCS","Both",,,"28","14","Clover","Medicare Advantage","26",,"54",,"15.18","9","543.66","percent of total billed charges",,
"WRIST; 3 VIEWS","73110","HCPCS","Both",,,"28","14","Wellcare","Medicare Advantage","26",,"54",,"15.18","9","543.66","percent of total billed charges",,
"WRIST; 3 VIEWS","73110","HCPCS","Both",,,"28","14","Amerigroup","Medicaid Managed Care","26",,"37",,"10.25","9","543.66","percent of total billed charges",,
"WRIST; 3 VIEWS","73110","HCPCS","Both",,,"28","14","Caresource","Medicaid Managed Care","26",,"40",,"11.2","9","543.66","percent of total billed charges",,
"WRIST; 3 VIEWS","73110","HCPCS","Both",,,"28","14","Wellcare","Medicaid Managed Care","26",,"40",,"11.34","9","543.66","percent of total billed charges",,
"WRIST; 3 VIEWS","73110","HCPCS","Both",,,"28","14","Aetna","Commercial","26",,"64",,"17.86","9","543.66","percent of total billed charges",,
"WRIST; 3 VIEWS","73110","HCPCS","Both",,,"28","14","Blue Cross Blue Shield","Pathways","26",,"71",,"19.77","9","543.66","percent of total billed charges",,
"WRIST; 3 VIEWS","73110","HCPCS","Both",,,"28","14","Blue Cross Blue Shield","HMO","26",,"71",,"19.77","9","543.66","percent of total billed charges",,
"WRIST; 3 VIEWS","73110","HCPCS","Both",,,"28","14","Blue Cross Blue Shield","PPO","26",,"71",,"19.77","9","543.66","percent of total billed charges",,
"WRIST; 3 VIEWS","73110","HCPCS","Both",,,"28","14","Ambetter","Health Exchange","26",,"62",,"17.36","9","543.66","percent of total billed charges",,
"WRIST; 3 VIEWS","73110","HCPCS","Both",,,"28","14","Caresource","Health Exchange","26",,"62",,"17.36","9","543.66","percent of total billed charges",,
"WRIST; 3 VIEWS","73110","HCPCS","Both",,,"28","14","Cigna","Commercial","26",,"59",,"16.41","9","543.66","percent of total billed charges",,
"WRIST; 3 VIEWS","73110","HCPCS","Both",,,"28","14","Humana","Commercial","26",,"78",,"21.7","9","543.66","percent of total billed charges",,
"WRIST; 3 VIEWS","73110","HCPCS","Both",,,"28","14","UHC","Commercial","26",,"75",,"21.11","9","543.66","percent of total billed charges",,
"WRIST; 3 VIEWS","73110","HCPCS","Both",,,"28","14","Medicaid",,"26",,"37",,"10.25","9","543.66","percent of total billed charges",,
"FOREARM; 2 VIEWS","73090","HCPCS","Both",,,"643.5","321.75","Alliant","Health Exchange","26",,"62",,"398.97","8.3","566.58","percent of total billed charges",,
"FOREARM; 2 VIEWS","73090","HCPCS","Both",,,"643.5","321.75","Pruitt Healthcare","Medicare Advantage","26",,"54",,"347.49","8.3","566.58","percent of total billed charges",,
"FOREARM; 2 VIEWS","73090","HCPCS","Both",,,"643.5","321.75","Medicare",,"26",,"54",,"348.78","8.3","566.58","percent of total billed charges",,
"FOREARM; 2 VIEWS","73090","HCPCS","Both",,,"643.5","321.75","Humana","Medicare Advantage","26",,"54",,"348.78","8.3","566.58","percent of total billed charges",,
"FOREARM; 2 VIEWS","73090","HCPCS","Both",,,"643.5","321.75","UHC","Medicare Advantage","26",,"54",,"348.78","8.3","566.58","percent of total billed charges",,
"FOREARM; 2 VIEWS","73090","HCPCS","Both",,,"643.5","321.75","Clover","Medicare Advantage","26",,"54",,"348.78","8.3","566.58","percent of total billed charges",,
"FOREARM; 2 VIEWS","73090","HCPCS","Both",,,"643.5","321.75","Wellcare","Medicare Advantage","26",,"54",,"348.78","8.3","566.58","percent of total billed charges",,
"FOREARM; 2 VIEWS","73090","HCPCS","Both",,,"643.5","321.75","Amerigroup","Medicaid Managed Care","26",,"37",,"235.52","8.3","566.58","percent of total billed charges",,
"FOREARM; 2 VIEWS","73090","HCPCS","Both",,,"643.5","321.75","Caresource","Medicaid Managed Care","26",,"40",,"257.4","8.3","566.58","percent of total billed charges",,
"FOREARM; 2 VIEWS","73090","HCPCS","Both",,,"643.5","321.75","Wellcare","Medicaid Managed Care","26",,"40",,"260.62","8.3","566.58","percent of total billed charges",,
"FOREARM; 2 VIEWS","73090","HCPCS","Both",,,"643.5","321.75","Aetna","Commercial","26",,"64",,"410.55","8.3","566.58","percent of total billed charges",,
"FOREARM; 2 VIEWS","73090","HCPCS","Both",,,"643.5","321.75","Blue Cross Blue Shield","Pathways","26",,"71",,"454.31","8.3","566.58","percent of total billed charges",,
"FOREARM; 2 VIEWS","73090","HCPCS","Both",,,"643.5","321.75","Blue Cross Blue Shield","HMO","26",,"71",,"454.31","8.3","566.58","percent of total billed charges",,
"FOREARM; 2 VIEWS","73090","HCPCS","Both",,,"643.5","321.75","Blue Cross Blue Shield","PPO","26",,"71",,"454.31","8.3","566.58","percent of total billed charges",,
"FOREARM; 2 VIEWS","73090","HCPCS","Both",,,"643.5","321.75","Ambetter","Health Exchange","26",,"62",,"398.97","8.3","566.58","percent of total billed charges",,
"FOREARM; 2 VIEWS","73090","HCPCS","Both",,,"643.5","321.75","Caresource","Health Exchange","26",,"62",,"398.97","8.3","566.58","percent of total billed charges",,
"FOREARM; 2 VIEWS","73090","HCPCS","Both",,,"643.5","321.75","Cigna","Commercial","26",,"59",,"377.09","8.3","566.58","percent of total billed charges",,
"FOREARM; 2 VIEWS","73090","HCPCS","Both",,,"643.5","321.75","Humana","Commercial","26",,"78",,"498.71","8.3","566.58","percent of total billed charges",,
"FOREARM; 2 VIEWS","73090","HCPCS","Both",,,"643.5","321.75","UHC","Commercial","26",,"75",,"485.2","8.3","566.58","percent of total billed charges",,
"FOREARM; 2 VIEWS","73090","HCPCS","Both",,,"643.5","321.75","Medicaid",,"26",,"37",,"235.52","8.3","566.58","percent of total billed charges",,
"ELBOW; 3 VIEWS","73080","HCPCS","Both",,,"365","182.5","Alliant","Health Exchange","26",,"62",,"226.3","9","480.89","percent of total billed charges",,
"ELBOW; 3 VIEWS","73080","HCPCS","Both",,,"365","182.5","Pruitt Healthcare","Medicare Advantage","26",,"54",,"197.1","9","480.89","percent of total billed charges",,
"ELBOW; 3 VIEWS","73080","HCPCS","Both",,,"365","182.5","Medicare",,"26",,"54",,"197.83","9","480.89","percent of total billed charges",,
"ELBOW; 3 VIEWS","73080","HCPCS","Both",,,"365","182.5","Humana","Medicare Advantage","26",,"54",,"197.83","9","480.89","percent of total billed charges",,
"ELBOW; 3 VIEWS","73080","HCPCS","Both",,,"365","182.5","UHC","Medicare Advantage","26",,"54",,"197.83","9","480.89","percent of total billed charges",,
"ELBOW; 3 VIEWS","73080","HCPCS","Both",,,"365","182.5","Clover","Medicare Advantage","26",,"54",,"197.83","9","480.89","percent of total billed charges",,
"ELBOW; 3 VIEWS","73080","HCPCS","Both",,,"365","182.5","Wellcare","Medicare Advantage","26",,"54",,"197.83","9","480.89","percent of total billed charges",,
"ELBOW; 3 VIEWS","73080","HCPCS","Both",,,"365","182.5","Amerigroup","Medicaid Managed Care","26",,"37",,"133.59","9","480.89","percent of total billed charges",,
"ELBOW; 3 VIEWS","73080","HCPCS","Both",,,"365","182.5","Caresource","Medicaid Managed Care","26",,"40",,"146","9","480.89","percent of total billed charges",,
"ELBOW; 3 VIEWS","73080","HCPCS","Both",,,"365","182.5","Wellcare","Medicaid Managed Care","26",,"40",,"147.83","9","480.89","percent of total billed charges",,
"ELBOW; 3 VIEWS","73080","HCPCS","Both",,,"365","182.5","Aetna","Commercial","26",,"64",,"232.87","9","480.89","percent of total billed charges",,
"ELBOW; 3 VIEWS","73080","HCPCS","Both",,,"365","182.5","Blue Cross Blue Shield","Pathways","26",,"71",,"257.69","9","480.89","percent of total billed charges",,
"ELBOW; 3 VIEWS","73080","HCPCS","Both",,,"365","182.5","Blue Cross Blue Shield","HMO","26",,"71",,"257.69","9","480.89","percent of total billed charges",,
"ELBOW; 3 VIEWS","73080","HCPCS","Both",,,"365","182.5","Blue Cross Blue Shield","PPO","26",,"71",,"257.69","9","480.89","percent of total billed charges",,
"ELBOW; 3 VIEWS","73080","HCPCS","Both",,,"365","182.5","Ambetter","Health Exchange","26",,"62",,"226.3","9","480.89","percent of total billed charges",,
"ELBOW; 3 VIEWS","73080","HCPCS","Both",,,"365","182.5","Caresource","Health Exchange","26",,"62",,"226.3","9","480.89","percent of total billed charges",,
"ELBOW; 3 VIEWS","73080","HCPCS","Both",,,"365","182.5","Cigna","Commercial","26",,"59",,"213.89","9","480.89","percent of total billed charges",,
"ELBOW; 3 VIEWS","73080","HCPCS","Both",,,"365","182.5","Humana","Commercial","26",,"78",,"282.88","9","480.89","percent of total billed charges",,
"ELBOW; 3 VIEWS","73080","HCPCS","Both",,,"365","182.5","UHC","Commercial","26",,"75",,"275.21","9","480.89","percent of total billed charges",,
"ELBOW; 3 VIEWS","73080","HCPCS","Both",,,"365","182.5","Medicaid",,"26",,"37",,"133.59","9","480.89","percent of total billed charges",,
"HUMERUS; 2 VIEWS","73060","HCPCS","Both",,,"257.5","128.75","Alliant","Health Exchange","26",,"62",,"159.65","8.63","199.56","percent of total billed charges",,
"HUMERUS; 2 VIEWS","73060","HCPCS","Both",,,"257.5","128.75","Pruitt Healthcare","Medicare Advantage","26",,"54",,"139.05","8.63","199.56","percent of total billed charges",,
"HUMERUS; 2 VIEWS","73060","HCPCS","Both",,,"257.5","128.75","Medicare",,"26",,"54",,"139.56","8.63","199.56","percent of total billed charges",,
"HUMERUS; 2 VIEWS","73060","HCPCS","Both",,,"257.5","128.75","Humana","Medicare Advantage","26",,"54",,"139.56","8.63","199.56","percent of total billed charges",,
"HUMERUS; 2 VIEWS","73060","HCPCS","Both",,,"257.5","128.75","UHC","Medicare Advantage","26",,"54",,"139.56","8.63","199.56","percent of total billed charges",,
"HUMERUS; 2 VIEWS","73060","HCPCS","Both",,,"257.5","128.75","Clover","Medicare Advantage","26",,"54",,"139.56","8.63","199.56","percent of total billed charges",,
"HUMERUS; 2 VIEWS","73060","HCPCS","Both",,,"257.5","128.75","Wellcare","Medicare Advantage","26",,"54",,"139.56","8.63","199.56","percent of total billed charges",,
"HUMERUS; 2 VIEWS","73060","HCPCS","Both",,,"257.5","128.75","Amerigroup","Medicaid Managed Care","26",,"37",,"94.24","8.63","199.56","percent of total billed charges",,
"HUMERUS; 2 VIEWS","73060","HCPCS","Both",,,"257.5","128.75","Caresource","Medicaid Managed Care","26",,"40",,"103","8.63","199.56","percent of total billed charges",,
"HUMERUS; 2 VIEWS","73060","HCPCS","Both",,,"257.5","128.75","Wellcare","Medicaid Managed Care","26",,"40",,"104.29","8.63","199.56","percent of total billed charges",,
"HUMERUS; 2 VIEWS","73060","HCPCS","Both",,,"257.5","128.75","Aetna","Commercial","26",,"64",,"164.28","8.63","199.56","percent of total billed charges",,
"HUMERUS; 2 VIEWS","73060","HCPCS","Both",,,"257.5","128.75","Blue Cross Blue Shield","Pathways","26",,"71",,"181.8","8.63","199.56","percent of total billed charges",,
"HUMERUS; 2 VIEWS","73060","HCPCS","Both",,,"257.5","128.75","Blue Cross Blue Shield","HMO","26",,"71",,"181.8","8.63","199.56","percent of total billed charges",,
"HUMERUS; 2 VIEWS","73060","HCPCS","Both",,,"257.5","128.75","Blue Cross Blue Shield","PPO","26",,"71",,"181.8","8.63","199.56","percent of total billed charges",,
"HUMERUS; 2 VIEWS","73060","HCPCS","Both",,,"257.5","128.75","Ambetter","Health Exchange","26",,"62",,"159.65","8.63","199.56","percent of total billed charges",,
"HUMERUS; 2 VIEWS","73060","HCPCS","Both",,,"257.5","128.75","Caresource","Health Exchange","26",,"62",,"159.65","8.63","199.56","percent of total billed charges",,
"HUMERUS; 2 VIEWS","73060","HCPCS","Both",,,"257.5","128.75","Cigna","Commercial","26",,"59",,"150.89","8.63","199.56","percent of total billed charges",,
"HUMERUS; 2 VIEWS","73060","HCPCS","Both",,,"257.5","128.75","Humana","Commercial","26",,"78",,"199.56","8.63","199.56","percent of total billed charges",,
"HUMERUS; 2 VIEWS","73060","HCPCS","Both",,,"257.5","128.75","UHC","Commercial","26",,"75",,"194.16","8.63","199.56","percent of total billed charges",,
"HUMERUS; 2 VIEWS","73060","HCPCS","Both",,,"257.5","128.75","Medicaid",,"26",,"37",,"94.24","8.63","199.56","percent of total billed charges",,
"SHOULDER; 2 VIEWS","73030","HCPCS","Both",,,"782.5","391.25","Alliant","Health Exchange","26",,"62",,"485.15","9.7","617.94","percent of total billed charges",,
"SHOULDER; 2 VIEWS","73030","HCPCS","Both",,,"782.5","391.25","Pruitt Healthcare","Medicare Advantage","26",,"54",,"422.55","9.7","617.94","percent of total billed charges",,
"SHOULDER; 2 VIEWS","73030","HCPCS","Both",,,"782.5","391.25","Medicare",,"26",,"54",,"424.12","9.7","617.94","percent of total billed charges",,
"SHOULDER; 2 VIEWS","73030","HCPCS","Both",,,"782.5","391.25","Humana","Medicare Advantage","26",,"54",,"424.12","9.7","617.94","percent of total billed charges",,
"SHOULDER; 2 VIEWS","73030","HCPCS","Both",,,"782.5","391.25","UHC","Medicare Advantage","26",,"54",,"424.12","9.7","617.94","percent of total billed charges",,
"SHOULDER; 2 VIEWS","73030","HCPCS","Both",,,"782.5","391.25","Clover","Medicare Advantage","26",,"54",,"424.12","9.7","617.94","percent of total billed charges",,
"SHOULDER; 2 VIEWS","73030","HCPCS","Both",,,"782.5","391.25","Wellcare","Medicare Advantage","26",,"54",,"424.12","9.7","617.94","percent of total billed charges",,
"SHOULDER; 2 VIEWS","73030","HCPCS","Both",,,"782.5","391.25","Amerigroup","Medicaid Managed Care","26",,"37",,"286.4","9.7","617.94","percent of total billed charges",,
"SHOULDER; 2 VIEWS","73030","HCPCS","Both",,,"782.5","391.25","Caresource","Medicaid Managed Care","26",,"40",,"313","9.7","617.94","percent of total billed charges",,
"SHOULDER; 2 VIEWS","73030","HCPCS","Both",,,"782.5","391.25","Wellcare","Medicaid Managed Care","26",,"40",,"316.91","9.7","617.94","percent of total billed charges",,
"SHOULDER; 2 VIEWS","73030","HCPCS","Both",,,"782.5","391.25","Aetna","Commercial","26",,"64",,"499.24","9.7","617.94","percent of total billed charges",,
"SHOULDER; 2 VIEWS","73030","HCPCS","Both",,,"782.5","391.25","Blue Cross Blue Shield","Pathways","26",,"71",,"552.44","9.7","617.94","percent of total billed charges",,
"SHOULDER; 2 VIEWS","73030","HCPCS","Both",,,"782.5","391.25","Blue Cross Blue Shield","HMO","26",,"71",,"552.44","9.7","617.94","percent of total billed charges",,
"SHOULDER; 2 VIEWS","73030","HCPCS","Both",,,"782.5","391.25","Blue Cross Blue Shield","PPO","26",,"71",,"552.44","9.7","617.94","percent of total billed charges",,
"SHOULDER; 2 VIEWS","73030","HCPCS","Both",,,"782.5","391.25","Ambetter","Health Exchange","26",,"62",,"485.15","9.7","617.94","percent of total billed charges",,
"SHOULDER; 2 VIEWS","73030","HCPCS","Both",,,"782.5","391.25","Caresource","Health Exchange","26",,"62",,"485.15","9.7","617.94","percent of total billed charges",,
"SHOULDER; 2 VIEWS","73030","HCPCS","Both",,,"782.5","391.25","Cigna","Commercial","26",,"59",,"458.54","9.7","617.94","percent of total billed charges",,
"SHOULDER; 2 VIEWS","73030","HCPCS","Both",,,"782.5","391.25","Humana","Commercial","26",,"78",,"606.44","9.7","617.94","percent of total billed charges",,
"SHOULDER; 2 VIEWS","73030","HCPCS","Both",,,"782.5","391.25","UHC","Commercial","26",,"75",,"590","9.7","617.94","percent of total billed charges",,
"SHOULDER; 2 VIEWS","73030","HCPCS","Both",,,"782.5","391.25","Medicaid",,"26",,"37",,"286.4","9.7","617.94","percent of total billed charges",,
"ACROMIOCLAVICULAR JOINTS, BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Alliant","Health Exchange","26",,"62",,"41.85","24.7","52.31","percent of total billed charges",,
"ACROMIOCLAVICULAR JOINTS, BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Pruitt Healthcare","Medicare Advantage","26",,"54",,"36.45","24.7","52.31","percent of total billed charges",,
"ACROMIOCLAVICULAR JOINTS, BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Medicare",,"26",,"54",,"36.58","24.7","52.31","percent of total billed charges",,
"ACROMIOCLAVICULAR JOINTS, BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Humana","Medicare Advantage","26",,"54",,"36.58","24.7","52.31","percent of total billed charges",,
"ACROMIOCLAVICULAR JOINTS, BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","UHC","Medicare Advantage","26",,"54",,"36.58","24.7","52.31","percent of total billed charges",,
"ACROMIOCLAVICULAR JOINTS, BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Clover","Medicare Advantage","26",,"54",,"36.58","24.7","52.31","percent of total billed charges",,
"ACROMIOCLAVICULAR JOINTS, BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Wellcare","Medicare Advantage","26",,"54",,"36.58","24.7","52.31","percent of total billed charges",,
"ACROMIOCLAVICULAR JOINTS, BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Amerigroup","Medicaid Managed Care","26",,"37",,"24.7","24.7","52.31","percent of total billed charges",,
"ACROMIOCLAVICULAR JOINTS, BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Caresource","Medicaid Managed Care","26",,"40",,"27","24.7","52.31","percent of total billed charges",,
"ACROMIOCLAVICULAR JOINTS, BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Wellcare","Medicaid Managed Care","26",,"40",,"27.34","24.7","52.31","percent of total billed charges",,
"ACROMIOCLAVICULAR JOINTS, BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Aetna","Commercial","26",,"64",,"43.06","24.7","52.31","percent of total billed charges",,
"ACROMIOCLAVICULAR JOINTS, BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Blue Cross Blue Shield","Pathways","26",,"71",,"47.65","24.7","52.31","percent of total billed charges",,
"ACROMIOCLAVICULAR JOINTS, BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Blue Cross Blue Shield","HMO","26",,"71",,"47.65","24.7","52.31","percent of total billed charges",,
"ACROMIOCLAVICULAR JOINTS, BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Blue Cross Blue Shield","PPO","26",,"71",,"47.65","24.7","52.31","percent of total billed charges",,
"ACROMIOCLAVICULAR JOINTS, BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Ambetter","Health Exchange","26",,"62",,"41.85","24.7","52.31","percent of total billed charges",,
"ACROMIOCLAVICULAR JOINTS, BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Caresource","Health Exchange","26",,"62",,"41.85","24.7","52.31","percent of total billed charges",,
"ACROMIOCLAVICULAR JOINTS, BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Cigna","Commercial","26",,"59",,"39.56","24.7","52.31","percent of total billed charges",,
"ACROMIOCLAVICULAR JOINTS, BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Humana","Commercial","26",,"78",,"52.31","24.7","52.31","percent of total billed charges",,
"ACROMIOCLAVICULAR JOINTS, BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","UHC","Commercial","26",,"75",,"50.9","24.7","52.31","percent of total billed charges",,
"ACROMIOCLAVICULAR JOINTS, BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Medicaid",,"26",,"37",,"24.7","24.7","52.31","percent of total billed charges",,
"SCAPULA COMPLETE","73010","HCPCS","Both",,,"153","76.5","Alliant","Health Exchange","26",,"62",,"94.86","9.32","118.58","percent of total billed charges",,
"SCAPULA COMPLETE","73010","HCPCS","Both",,,"153","76.5","Pruitt Healthcare","Medicare Advantage","26",,"54",,"82.62","9.32","118.58","percent of total billed charges",,
"SCAPULA COMPLETE","73010","HCPCS","Both",,,"153","76.5","Medicare",,"26",,"54",,"82.93","9.32","118.58","percent of total billed charges",,
"SCAPULA COMPLETE","73010","HCPCS","Both",,,"153","76.5","Humana","Medicare Advantage","26",,"54",,"82.93","9.32","118.58","percent of total billed charges",,
"SCAPULA COMPLETE","73010","HCPCS","Both",,,"153","76.5","UHC","Medicare Advantage","26",,"54",,"82.93","9.32","118.58","percent of total billed charges",,
"SCAPULA COMPLETE","73010","HCPCS","Both",,,"153","76.5","Clover","Medicare Advantage","26",,"54",,"82.93","9.32","118.58","percent of total billed charges",,
"SCAPULA COMPLETE","73010","HCPCS","Both",,,"153","76.5","Wellcare","Medicare Advantage","26",,"54",,"82.93","9.32","118.58","percent of total billed charges",,
"SCAPULA COMPLETE","73010","HCPCS","Both",,,"153","76.5","Amerigroup","Medicaid Managed Care","26",,"37",,"56","9.32","118.58","percent of total billed charges",,
"SCAPULA COMPLETE","73010","HCPCS","Both",,,"153","76.5","Caresource","Medicaid Managed Care","26",,"40",,"61.2","9.32","118.58","percent of total billed charges",,
"SCAPULA COMPLETE","73010","HCPCS","Both",,,"153","76.5","Wellcare","Medicaid Managed Care","26",,"40",,"61.96","9.32","118.58","percent of total billed charges",,
"SCAPULA COMPLETE","73010","HCPCS","Both",,,"153","76.5","Aetna","Commercial","26",,"64",,"97.61","9.32","118.58","percent of total billed charges",,
"SCAPULA COMPLETE","73010","HCPCS","Both",,,"153","76.5","Blue Cross Blue Shield","Pathways","26",,"71",,"108.02","9.32","118.58","percent of total billed charges",,
"SCAPULA COMPLETE","73010","HCPCS","Both",,,"153","76.5","Blue Cross Blue Shield","HMO","26",,"71",,"108.02","9.32","118.58","percent of total billed charges",,
"SCAPULA COMPLETE","73010","HCPCS","Both",,,"153","76.5","Blue Cross Blue Shield","PPO","26",,"71",,"108.02","9.32","118.58","percent of total billed charges",,
"SCAPULA COMPLETE","73010","HCPCS","Both",,,"153","76.5","Ambetter","Health Exchange","26",,"62",,"94.86","9.32","118.58","percent of total billed charges",,
"SCAPULA COMPLETE","73010","HCPCS","Both",,,"153","76.5","Caresource","Health Exchange","26",,"62",,"94.86","9.32","118.58","percent of total billed charges",,
"SCAPULA COMPLETE","73010","HCPCS","Both",,,"153","76.5","Cigna","Commercial","26",,"59",,"89.66","9.32","118.58","percent of total billed charges",,
"SCAPULA COMPLETE","73010","HCPCS","Both",,,"153","76.5","Humana","Commercial","26",,"78",,"118.58","9.32","118.58","percent of total billed charges",,
"SCAPULA COMPLETE","73010","HCPCS","Both",,,"153","76.5","UHC","Commercial","26",,"75",,"115.36","9.32","118.58","percent of total billed charges",,
"SCAPULA COMPLETE","73010","HCPCS","Both",,,"153","76.5","Medicaid",,"26",,"37",,"56","9.32","118.58","percent of total billed charges",,
"CLAVICLE, COMPLETE","73000","HCPCS","Both",,,"101","50.5","Alliant","Health Exchange","26",,"62",,"62.62","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE","73000","HCPCS","Both",,,"101","50.5","Pruitt Healthcare","Medicare Advantage","26",,"54",,"54.54","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE","73000","HCPCS","Both",,,"101","50.5","Medicare",,"26",,"54",,"54.74","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE","73000","HCPCS","Both",,,"101","50.5","Humana","Medicare Advantage","26",,"54",,"54.74","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE","73000","HCPCS","Both",,,"101","50.5","UHC","Medicare Advantage","26",,"54",,"54.74","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE","73000","HCPCS","Both",,,"101","50.5","Clover","Medicare Advantage","26",,"54",,"54.74","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE","73000","HCPCS","Both",,,"101","50.5","Wellcare","Medicare Advantage","26",,"54",,"54.74","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE","73000","HCPCS","Both",,,"101","50.5","Amerigroup","Medicaid Managed Care","26",,"37",,"36.97","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE","73000","HCPCS","Both",,,"101","50.5","Caresource","Medicaid Managed Care","26",,"40",,"40.4","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE","73000","HCPCS","Both",,,"101","50.5","Wellcare","Medicaid Managed Care","26",,"40",,"40.9","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE","73000","HCPCS","Both",,,"101","50.5","Aetna","Commercial","26",,"64",,"64.44","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE","73000","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","Pathways","26",,"71",,"71.31","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE","73000","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","HMO","26",,"71",,"71.31","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE","73000","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","PPO","26",,"71",,"71.31","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE","73000","HCPCS","Both",,,"101","50.5","Ambetter","Health Exchange","26",,"62",,"62.62","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE","73000","HCPCS","Both",,,"101","50.5","Caresource","Health Exchange","26",,"62",,"62.62","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE","73000","HCPCS","Both",,,"101","50.5","Cigna","Commercial","26",,"59",,"59.19","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE","73000","HCPCS","Both",,,"101","50.5","Humana","Commercial","26",,"78",,"78.28","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE","73000","HCPCS","Both",,,"101","50.5","UHC","Commercial","26",,"75",,"76.15","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE","73000","HCPCS","Both",,,"101","50.5","Medicaid",,"26",,"37",,"36.97","8.63","78.28","percent of total billed charges",,
"FOOT; COMPLETE, 3 VIEWS","73630","HCPCS","Both",,,"701.5","350.75","Alliant","Health Exchange","26",,"62",,"434.93","8.67","569.66","percent of total billed charges",,
"FOOT; COMPLETE, 3 VIEWS","73630","HCPCS","Both",,,"701.5","350.75","Pruitt Healthcare","Medicare Advantage","26",,"54",,"378.81","8.67","569.66","percent of total billed charges",,
"FOOT; COMPLETE, 3 VIEWS","73630","HCPCS","Both",,,"701.5","350.75","Medicare",,"26",,"54",,"380.21","8.67","569.66","percent of total billed charges",,
"FOOT; COMPLETE, 3 VIEWS","73630","HCPCS","Both",,,"701.5","350.75","Humana","Medicare Advantage","26",,"54",,"380.21","8.67","569.66","percent of total billed charges",,
"FOOT; COMPLETE, 3 VIEWS","73630","HCPCS","Both",,,"701.5","350.75","UHC","Medicare Advantage","26",,"54",,"380.21","8.67","569.66","percent of total billed charges",,
"FOOT; COMPLETE, 3 VIEWS","73630","HCPCS","Both",,,"701.5","350.75","Clover","Medicare Advantage","26",,"54",,"380.21","8.67","569.66","percent of total billed charges",,
"FOOT; COMPLETE, 3 VIEWS","73630","HCPCS","Both",,,"701.5","350.75","Wellcare","Medicare Advantage","26",,"54",,"380.21","8.67","569.66","percent of total billed charges",,
"FOOT; COMPLETE, 3 VIEWS","73630","HCPCS","Both",,,"701.5","350.75","Amerigroup","Medicaid Managed Care","26",,"37",,"256.75","8.67","569.66","percent of total billed charges",,
"FOOT; COMPLETE, 3 VIEWS","73630","HCPCS","Both",,,"701.5","350.75","Caresource","Medicaid Managed Care","26",,"40",,"280.6","8.67","569.66","percent of total billed charges",,
"FOOT; COMPLETE, 3 VIEWS","73630","HCPCS","Both",,,"701.5","350.75","Wellcare","Medicaid Managed Care","26",,"40",,"284.11","8.67","569.66","percent of total billed charges",,
"FOOT; COMPLETE, 3 VIEWS","73630","HCPCS","Both",,,"701.5","350.75","Aetna","Commercial","26",,"64",,"447.56","8.67","569.66","percent of total billed charges",,
"FOOT; COMPLETE, 3 VIEWS","73630","HCPCS","Both",,,"701.5","350.75","Blue Cross Blue Shield","Pathways","26",,"71",,"495.26","8.67","569.66","percent of total billed charges",,
"FOOT; COMPLETE, 3 VIEWS","73630","HCPCS","Both",,,"701.5","350.75","Blue Cross Blue Shield","HMO","26",,"71",,"495.26","8.67","569.66","percent of total billed charges",,
"FOOT; COMPLETE, 3 VIEWS","73630","HCPCS","Both",,,"701.5","350.75","Blue Cross Blue Shield","PPO","26",,"71",,"495.26","8.67","569.66","percent of total billed charges",,
"FOOT; COMPLETE, 3 VIEWS","73630","HCPCS","Both",,,"701.5","350.75","Ambetter","Health Exchange","26",,"62",,"434.93","8.67","569.66","percent of total billed charges",,
"FOOT; COMPLETE, 3 VIEWS","73630","HCPCS","Both",,,"701.5","350.75","Caresource","Health Exchange","26",,"62",,"434.93","8.67","569.66","percent of total billed charges",,
"FOOT; COMPLETE, 3 VIEWS","73630","HCPCS","Both",,,"701.5","350.75","Cigna","Commercial","26",,"59",,"411.08","8.67","569.66","percent of total billed charges",,
"FOOT; COMPLETE, 3 VIEWS","73630","HCPCS","Both",,,"701.5","350.75","Humana","Commercial","26",,"78",,"543.66","8.67","569.66","percent of total billed charges",,
"FOOT; COMPLETE, 3 VIEWS","73630","HCPCS","Both",,,"701.5","350.75","UHC","Commercial","26",,"75",,"528.93","8.67","569.66","percent of total billed charges",,
"FOOT; COMPLETE, 3 VIEWS","73630","HCPCS","Both",,,"701.5","350.75","Medicaid",,"26",,"37",,"256.75","8.67","569.66","percent of total billed charges",,
"HEEL, 2 VIEWS","73650","HCPCS","Both",,,"264.5","132.25","Alliant","Health Exchange","26",,"62",,"163.99","8.3","204.99","percent of total billed charges",,
"HEEL, 2 VIEWS","73650","HCPCS","Both",,,"264.5","132.25","Pruitt Healthcare","Medicare Advantage","26",,"54",,"142.83","8.3","204.99","percent of total billed charges",,
"HEEL, 2 VIEWS","73650","HCPCS","Both",,,"264.5","132.25","Medicare",,"26",,"54",,"143.36","8.3","204.99","percent of total billed charges",,
"HEEL, 2 VIEWS","73650","HCPCS","Both",,,"264.5","132.25","Humana","Medicare Advantage","26",,"54",,"143.36","8.3","204.99","percent of total billed charges",,
"HEEL, 2 VIEWS","73650","HCPCS","Both",,,"264.5","132.25","UHC","Medicare Advantage","26",,"54",,"143.36","8.3","204.99","percent of total billed charges",,
"HEEL, 2 VIEWS","73650","HCPCS","Both",,,"264.5","132.25","Clover","Medicare Advantage","26",,"54",,"143.36","8.3","204.99","percent of total billed charges",,
"HEEL, 2 VIEWS","73650","HCPCS","Both",,,"264.5","132.25","Wellcare","Medicare Advantage","26",,"54",,"143.36","8.3","204.99","percent of total billed charges",,
"HEEL, 2 VIEWS","73650","HCPCS","Both",,,"264.5","132.25","Amerigroup","Medicaid Managed Care","26",,"37",,"96.81","8.3","204.99","percent of total billed charges",,
"HEEL, 2 VIEWS","73650","HCPCS","Both",,,"264.5","132.25","Caresource","Medicaid Managed Care","26",,"40",,"105.8","8.3","204.99","percent of total billed charges",,
"HEEL, 2 VIEWS","73650","HCPCS","Both",,,"264.5","132.25","Wellcare","Medicaid Managed Care","26",,"40",,"107.12","8.3","204.99","percent of total billed charges",,
"HEEL, 2 VIEWS","73650","HCPCS","Both",,,"264.5","132.25","Aetna","Commercial","26",,"64",,"168.75","8.3","204.99","percent of total billed charges",,
"HEEL, 2 VIEWS","73650","HCPCS","Both",,,"264.5","132.25","Blue Cross Blue Shield","Pathways","26",,"71",,"186.74","8.3","204.99","percent of total billed charges",,
"HEEL, 2 VIEWS","73650","HCPCS","Both",,,"264.5","132.25","Blue Cross Blue Shield","HMO","26",,"71",,"186.74","8.3","204.99","percent of total billed charges",,
"HEEL, 2 VIEWS","73650","HCPCS","Both",,,"264.5","132.25","Blue Cross Blue Shield","PPO","26",,"71",,"186.74","8.3","204.99","percent of total billed charges",,
"HEEL, 2 VIEWS","73650","HCPCS","Both",,,"264.5","132.25","Ambetter","Health Exchange","26",,"62",,"163.99","8.3","204.99","percent of total billed charges",,
"HEEL, 2 VIEWS","73650","HCPCS","Both",,,"264.5","132.25","Caresource","Health Exchange","26",,"62",,"163.99","8.3","204.99","percent of total billed charges",,
"HEEL, 2 VIEWS","73650","HCPCS","Both",,,"264.5","132.25","Cigna","Commercial","26",,"59",,"155","8.3","204.99","percent of total billed charges",,
"HEEL, 2 VIEWS","73650","HCPCS","Both",,,"264.5","132.25","Humana","Commercial","26",,"78",,"204.99","8.3","204.99","percent of total billed charges",,
"HEEL, 2 VIEWS","73650","HCPCS","Both",,,"264.5","132.25","UHC","Commercial","26",,"75",,"199.43","8.3","204.99","percent of total billed charges",,
"HEEL, 2 VIEWS","73650","HCPCS","Both",,,"264.5","132.25","Medicaid",,"26",,"37",,"96.81","8.3","204.99","percent of total billed charges",,
"ANKLE; 3 VIEWS","72100","HCPCS","Both",,,"646","323","Alliant","Health Exchange","26",,"62",,"400.52","11.52","780.18","percent of total billed charges",,
"ANKLE; 3 VIEWS","72100","HCPCS","Both",,,"646","323","Pruitt Healthcare","Medicare Advantage","26",,"54",,"348.84","11.52","780.18","percent of total billed charges",,
"ANKLE; 3 VIEWS","72100","HCPCS","Both",,,"646","323","Medicare",,"26",,"54",,"350.13","11.52","780.18","percent of total billed charges",,
"ANKLE; 3 VIEWS","72100","HCPCS","Both",,,"646","323","Humana","Medicare Advantage","26",,"54",,"350.13","11.52","780.18","percent of total billed charges",,
"ANKLE; 3 VIEWS","72100","HCPCS","Both",,,"646","323","UHC","Medicare Advantage","26",,"54",,"350.13","11.52","780.18","percent of total billed charges",,
"ANKLE; 3 VIEWS","72100","HCPCS","Both",,,"646","323","Clover","Medicare Advantage","26",,"54",,"350.13","11.52","780.18","percent of total billed charges",,
"ANKLE; 3 VIEWS","72100","HCPCS","Both",,,"646","323","Wellcare","Medicare Advantage","26",,"54",,"350.13","11.52","780.18","percent of total billed charges",,
"ANKLE; 3 VIEWS","72100","HCPCS","Both",,,"646","323","Amerigroup","Medicaid Managed Care","26",,"37",,"236.44","11.52","780.18","percent of total billed charges",,
"ANKLE; 3 VIEWS","72100","HCPCS","Both",,,"646","323","Caresource","Medicaid Managed Care","26",,"40",,"258.4","11.52","780.18","percent of total billed charges",,
"ANKLE; 3 VIEWS","72100","HCPCS","Both",,,"646","323","Wellcare","Medicaid Managed Care","26",,"40",,"261.63","11.52","780.18","percent of total billed charges",,
"ANKLE; 3 VIEWS","72100","HCPCS","Both",,,"646","323","Aetna","Commercial","26",,"64",,"412.15","11.52","780.18","percent of total billed charges",,
"ANKLE; 3 VIEWS","72100","HCPCS","Both",,,"646","323","Blue Cross Blue Shield","Pathways","26",,"71",,"456.08","11.52","780.18","percent of total billed charges",,
"ANKLE; 3 VIEWS","72100","HCPCS","Both",,,"646","323","Blue Cross Blue Shield","HMO","26",,"71",,"456.08","11.52","780.18","percent of total billed charges",,
"ANKLE; 3 VIEWS","72100","HCPCS","Both",,,"646","323","Blue Cross Blue Shield","PPO","26",,"71",,"456.08","11.52","780.18","percent of total billed charges",,
"ANKLE; 3 VIEWS","72100","HCPCS","Both",,,"646","323","Ambetter","Health Exchange","26",,"62",,"400.52","11.52","780.18","percent of total billed charges",,
"ANKLE; 3 VIEWS","72100","HCPCS","Both",,,"646","323","Caresource","Health Exchange","26",,"62",,"400.52","11.52","780.18","percent of total billed charges",,
"ANKLE; 3 VIEWS","72100","HCPCS","Both",,,"646","323","Cigna","Commercial","26",,"59",,"378.56","11.52","780.18","percent of total billed charges",,
"ANKLE; 3 VIEWS","72100","HCPCS","Both",,,"646","323","Humana","Commercial","26",,"78",,"500.65","11.52","780.18","percent of total billed charges",,
"ANKLE; 3 VIEWS","72100","HCPCS","Both",,,"646","323","UHC","Commercial","26",,"75",,"487.08","11.52","780.18","percent of total billed charges",,
"ANKLE; 3 VIEWS","72100","HCPCS","Both",,,"646","323","Medicaid",,"26",,"37",,"236.44","11.52","780.18","percent of total billed charges",,
"TIBIA/FIBULA; 2 VIEWS","73590","HCPCS","Both",,,"258.5","129.25","Alliant","Health Exchange","26",,"62",,"160.27","8.3","340.57","percent of total billed charges",,
"TIBIA/FIBULA; 2 VIEWS","73590","HCPCS","Both",,,"258.5","129.25","Pruitt Healthcare","Medicare Advantage","26",,"54",,"139.59","8.3","340.57","percent of total billed charges",,
"TIBIA/FIBULA; 2 VIEWS","73590","HCPCS","Both",,,"258.5","129.25","Medicare",,"26",,"54",,"140.11","8.3","340.57","percent of total billed charges",,
"TIBIA/FIBULA; 2 VIEWS","73590","HCPCS","Both",,,"258.5","129.25","Humana","Medicare Advantage","26",,"54",,"140.11","8.3","340.57","percent of total billed charges",,
"TIBIA/FIBULA; 2 VIEWS","73590","HCPCS","Both",,,"258.5","129.25","UHC","Medicare Advantage","26",,"54",,"140.11","8.3","340.57","percent of total billed charges",,
"TIBIA/FIBULA; 2 VIEWS","73590","HCPCS","Both",,,"258.5","129.25","Clover","Medicare Advantage","26",,"54",,"140.11","8.3","340.57","percent of total billed charges",,
"TIBIA/FIBULA; 2 VIEWS","73590","HCPCS","Both",,,"258.5","129.25","Wellcare","Medicare Advantage","26",,"54",,"140.11","8.3","340.57","percent of total billed charges",,
"TIBIA/FIBULA; 2 VIEWS","73590","HCPCS","Both",,,"258.5","129.25","Amerigroup","Medicaid Managed Care","26",,"37",,"94.61","8.3","340.57","percent of total billed charges",,
"TIBIA/FIBULA; 2 VIEWS","73590","HCPCS","Both",,,"258.5","129.25","Caresource","Medicaid Managed Care","26",,"40",,"103.4","8.3","340.57","percent of total billed charges",,
"TIBIA/FIBULA; 2 VIEWS","73590","HCPCS","Both",,,"258.5","129.25","Wellcare","Medicaid Managed Care","26",,"40",,"104.69","8.3","340.57","percent of total billed charges",,
"TIBIA/FIBULA; 2 VIEWS","73590","HCPCS","Both",,,"258.5","129.25","Aetna","Commercial","26",,"64",,"164.92","8.3","340.57","percent of total billed charges",,
"TIBIA/FIBULA; 2 VIEWS","73590","HCPCS","Both",,,"258.5","129.25","Blue Cross Blue Shield","Pathways","26",,"71",,"182.5","8.3","340.57","percent of total billed charges",,
"TIBIA/FIBULA; 2 VIEWS","73590","HCPCS","Both",,,"258.5","129.25","Blue Cross Blue Shield","HMO","26",,"71",,"182.5","8.3","340.57","percent of total billed charges",,
"TIBIA/FIBULA; 2 VIEWS","73590","HCPCS","Both",,,"258.5","129.25","Blue Cross Blue Shield","PPO","26",,"71",,"182.5","8.3","340.57","percent of total billed charges",,
"TIBIA/FIBULA; 2 VIEWS","73590","HCPCS","Both",,,"258.5","129.25","Ambetter","Health Exchange","26",,"62",,"160.27","8.3","340.57","percent of total billed charges",,
"TIBIA/FIBULA; 2 VIEWS","73590","HCPCS","Both",,,"258.5","129.25","Caresource","Health Exchange","26",,"62",,"160.27","8.3","340.57","percent of total billed charges",,
"TIBIA/FIBULA; 2 VIEWS","73590","HCPCS","Both",,,"258.5","129.25","Cigna","Commercial","26",,"59",,"151.48","8.3","340.57","percent of total billed charges",,
"TIBIA/FIBULA; 2 VIEWS","73590","HCPCS","Both",,,"258.5","129.25","Humana","Commercial","26",,"78",,"200.34","8.3","340.57","percent of total billed charges",,
"TIBIA/FIBULA; 2 VIEWS","73590","HCPCS","Both",,,"258.5","129.25","UHC","Commercial","26",,"75",,"194.91","8.3","340.57","percent of total billed charges",,
"TIBIA/FIBULA; 2 VIEWS","73590","HCPCS","Both",,,"258.5","129.25","Medicaid",,"26",,"37",,"94.61","8.3","340.57","percent of total billed charges",,
"KNEE; 3 VIEWS","73562","HCPCS","Both",,,"722.5","361.25","Alliant","Health Exchange","26",,"62",,"447.95","9.7","663.04","percent of total billed charges",,
"KNEE; 3 VIEWS","73562","HCPCS","Both",,,"722.5","361.25","Pruitt Healthcare","Medicare Advantage","26",,"54",,"390.15","9.7","663.04","percent of total billed charges",,
"KNEE; 3 VIEWS","73562","HCPCS","Both",,,"722.5","361.25","Medicare",,"26",,"54",,"391.6","9.7","663.04","percent of total billed charges",,
"KNEE; 3 VIEWS","73562","HCPCS","Both",,,"722.5","361.25","Humana","Medicare Advantage","26",,"54",,"391.6","9.7","663.04","percent of total billed charges",,
"KNEE; 3 VIEWS","73562","HCPCS","Both",,,"722.5","361.25","UHC","Medicare Advantage","26",,"54",,"391.6","9.7","663.04","percent of total billed charges",,
"KNEE; 3 VIEWS","73562","HCPCS","Both",,,"722.5","361.25","Clover","Medicare Advantage","26",,"54",,"391.6","9.7","663.04","percent of total billed charges",,
"KNEE; 3 VIEWS","73562","HCPCS","Both",,,"722.5","361.25","Wellcare","Medicare Advantage","26",,"54",,"391.6","9.7","663.04","percent of total billed charges",,
"KNEE; 3 VIEWS","73562","HCPCS","Both",,,"722.5","361.25","Amerigroup","Medicaid Managed Care","26",,"37",,"264.44","9.7","663.04","percent of total billed charges",,
"KNEE; 3 VIEWS","73562","HCPCS","Both",,,"722.5","361.25","Caresource","Medicaid Managed Care","26",,"40",,"289","9.7","663.04","percent of total billed charges",,
"KNEE; 3 VIEWS","73562","HCPCS","Both",,,"722.5","361.25","Wellcare","Medicaid Managed Care","26",,"40",,"292.61","9.7","663.04","percent of total billed charges",,
"KNEE; 3 VIEWS","73562","HCPCS","Both",,,"722.5","361.25","Aetna","Commercial","26",,"64",,"460.96","9.7","663.04","percent of total billed charges",,
"KNEE; 3 VIEWS","73562","HCPCS","Both",,,"722.5","361.25","Blue Cross Blue Shield","Pathways","26",,"71",,"510.08","9.7","663.04","percent of total billed charges",,
"KNEE; 3 VIEWS","73562","HCPCS","Both",,,"722.5","361.25","Blue Cross Blue Shield","HMO","26",,"71",,"510.08","9.7","663.04","percent of total billed charges",,
"KNEE; 3 VIEWS","73562","HCPCS","Both",,,"722.5","361.25","Blue Cross Blue Shield","PPO","26",,"71",,"510.08","9.7","663.04","percent of total billed charges",,
"KNEE; 3 VIEWS","73562","HCPCS","Both",,,"722.5","361.25","Ambetter","Health Exchange","26",,"62",,"447.95","9.7","663.04","percent of total billed charges",,
"KNEE; 3 VIEWS","73562","HCPCS","Both",,,"722.5","361.25","Caresource","Health Exchange","26",,"62",,"447.95","9.7","663.04","percent of total billed charges",,
"KNEE; 3 VIEWS","73562","HCPCS","Both",,,"722.5","361.25","Cigna","Commercial","26",,"59",,"423.38","9.7","663.04","percent of total billed charges",,
"KNEE; 3 VIEWS","73562","HCPCS","Both",,,"722.5","361.25","Humana","Commercial","26",,"78",,"559.94","9.7","663.04","percent of total billed charges",,
"KNEE; 3 VIEWS","73562","HCPCS","Both",,,"722.5","361.25","UHC","Commercial","26",,"75",,"544.76","9.7","663.04","percent of total billed charges",,
"KNEE; 3 VIEWS","73562","HCPCS","Both",,,"722.5","361.25","Medicaid",,"26",,"37",,"264.44","9.7","663.04","percent of total billed charges",,
"KNEE, COMPLETE, FOUR OR MORE VIEWS","73564","HCPCS","Both",,,"215.5","107.75","Alliant","Health Exchange","26",,"62",,"133.61","78.87","167.01","percent of total billed charges",,
"KNEE, COMPLETE, FOUR OR MORE VIEWS","73564","HCPCS","Both",,,"215.5","107.75","Pruitt Healthcare","Medicare Advantage","26",,"54",,"116.37","78.87","167.01","percent of total billed charges",,
"KNEE, COMPLETE, FOUR OR MORE VIEWS","73564","HCPCS","Both",,,"215.5","107.75","Medicare",,"26",,"54",,"116.8","78.87","167.01","percent of total billed charges",,
"KNEE, COMPLETE, FOUR OR MORE VIEWS","73564","HCPCS","Both",,,"215.5","107.75","Humana","Medicare Advantage","26",,"54",,"116.8","78.87","167.01","percent of total billed charges",,
"KNEE, COMPLETE, FOUR OR MORE VIEWS","73564","HCPCS","Both",,,"215.5","107.75","UHC","Medicare Advantage","26",,"54",,"116.8","78.87","167.01","percent of total billed charges",,
"KNEE, COMPLETE, FOUR OR MORE VIEWS","73564","HCPCS","Both",,,"215.5","107.75","Clover","Medicare Advantage","26",,"54",,"116.8","78.87","167.01","percent of total billed charges",,
"KNEE, COMPLETE, FOUR OR MORE VIEWS","73564","HCPCS","Both",,,"215.5","107.75","Wellcare","Medicare Advantage","26",,"54",,"116.8","78.87","167.01","percent of total billed charges",,
"KNEE, COMPLETE, FOUR OR MORE VIEWS","73564","HCPCS","Both",,,"215.5","107.75","Amerigroup","Medicaid Managed Care","26",,"37",,"78.87","78.87","167.01","percent of total billed charges",,
"KNEE, COMPLETE, FOUR OR MORE VIEWS","73564","HCPCS","Both",,,"215.5","107.75","Caresource","Medicaid Managed Care","26",,"40",,"86.2","78.87","167.01","percent of total billed charges",,
"KNEE, COMPLETE, FOUR OR MORE VIEWS","73564","HCPCS","Both",,,"215.5","107.75","Wellcare","Medicaid Managed Care","26",,"40",,"87.28","78.87","167.01","percent of total billed charges",,
"KNEE, COMPLETE, FOUR OR MORE VIEWS","73564","HCPCS","Both",,,"215.5","107.75","Aetna","Commercial","26",,"64",,"137.49","78.87","167.01","percent of total billed charges",,
"KNEE, COMPLETE, FOUR OR MORE VIEWS","73564","HCPCS","Both",,,"215.5","107.75","Blue Cross Blue Shield","Pathways","26",,"71",,"152.14","78.87","167.01","percent of total billed charges",,
"KNEE, COMPLETE, FOUR OR MORE VIEWS","73564","HCPCS","Both",,,"215.5","107.75","Blue Cross Blue Shield","HMO","26",,"71",,"152.14","78.87","167.01","percent of total billed charges",,
"KNEE, COMPLETE, FOUR OR MORE VIEWS","73564","HCPCS","Both",,,"215.5","107.75","Blue Cross Blue Shield","PPO","26",,"71",,"152.14","78.87","167.01","percent of total billed charges",,
"KNEE, COMPLETE, FOUR OR MORE VIEWS","73564","HCPCS","Both",,,"215.5","107.75","Ambetter","Health Exchange","26",,"62",,"133.61","78.87","167.01","percent of total billed charges",,
"KNEE, COMPLETE, FOUR OR MORE VIEWS","73564","HCPCS","Both",,,"215.5","107.75","Caresource","Health Exchange","26",,"62",,"133.61","78.87","167.01","percent of total billed charges",,
"KNEE, COMPLETE, FOUR OR MORE VIEWS","73564","HCPCS","Both",,,"215.5","107.75","Cigna","Commercial","26",,"59",,"126.28","78.87","167.01","percent of total billed charges",,
"KNEE, COMPLETE, FOUR OR MORE VIEWS","73564","HCPCS","Both",,,"215.5","107.75","Humana","Commercial","26",,"78",,"167.01","78.87","167.01","percent of total billed charges",,
"KNEE, COMPLETE, FOUR OR MORE VIEWS","73564","HCPCS","Both",,,"215.5","107.75","UHC","Commercial","26",,"75",,"162.49","78.87","167.01","percent of total billed charges",,
"KNEE, COMPLETE, FOUR OR MORE VIEWS","73564","HCPCS","Both",,,"215.5","107.75","Medicaid",,"26",,"37",,"78.87","78.87","167.01","percent of total billed charges",,
"PELVIS; 1 OR 2 VIEWS","72170","HCPCS","Both",,,"109","54.5","Alliant","Health Exchange","26",,"62",,"67.58","9","143.61","percent of total billed charges",,
"PELVIS; 1 OR 2 VIEWS","72170","HCPCS","Both",,,"109","54.5","Pruitt Healthcare","Medicare Advantage","26",,"54",,"58.86","9","143.61","percent of total billed charges",,
"PELVIS; 1 OR 2 VIEWS","72170","HCPCS","Both",,,"109","54.5","Medicare",,"26",,"54",,"59.08","9","143.61","percent of total billed charges",,
"PELVIS; 1 OR 2 VIEWS","72170","HCPCS","Both",,,"109","54.5","Humana","Medicare Advantage","26",,"54",,"59.08","9","143.61","percent of total billed charges",,
"PELVIS; 1 OR 2 VIEWS","72170","HCPCS","Both",,,"109","54.5","UHC","Medicare Advantage","26",,"54",,"59.08","9","143.61","percent of total billed charges",,
"PELVIS; 1 OR 2 VIEWS","72170","HCPCS","Both",,,"109","54.5","Clover","Medicare Advantage","26",,"54",,"59.08","9","143.61","percent of total billed charges",,
"PELVIS; 1 OR 2 VIEWS","72170","HCPCS","Both",,,"109","54.5","Wellcare","Medicare Advantage","26",,"54",,"59.08","9","143.61","percent of total billed charges",,
"PELVIS; 1 OR 2 VIEWS","72170","HCPCS","Both",,,"109","54.5","Amerigroup","Medicaid Managed Care","26",,"37",,"39.89","9","143.61","percent of total billed charges",,
"PELVIS; 1 OR 2 VIEWS","72170","HCPCS","Both",,,"109","54.5","Caresource","Medicaid Managed Care","26",,"40",,"43.6","9","143.61","percent of total billed charges",,
"PELVIS; 1 OR 2 VIEWS","72170","HCPCS","Both",,,"109","54.5","Wellcare","Medicaid Managed Care","26",,"40",,"44.14","9","143.61","percent of total billed charges",,
"PELVIS; 1 OR 2 VIEWS","72170","HCPCS","Both",,,"109","54.5","Aetna","Commercial","26",,"64",,"69.54","9","143.61","percent of total billed charges",,
"PELVIS; 1 OR 2 VIEWS","72170","HCPCS","Both",,,"109","54.5","Blue Cross Blue Shield","Pathways","26",,"71",,"76.95","9","143.61","percent of total billed charges",,
"PELVIS; 1 OR 2 VIEWS","72170","HCPCS","Both",,,"109","54.5","Blue Cross Blue Shield","HMO","26",,"71",,"76.95","9","143.61","percent of total billed charges",,
"PELVIS; 1 OR 2 VIEWS","72170","HCPCS","Both",,,"109","54.5","Blue Cross Blue Shield","PPO","26",,"71",,"76.95","9","143.61","percent of total billed charges",,
"PELVIS; 1 OR 2 VIEWS","72170","HCPCS","Both",,,"109","54.5","Ambetter","Health Exchange","26",,"62",,"67.58","9","143.61","percent of total billed charges",,
"PELVIS; 1 OR 2 VIEWS","72170","HCPCS","Both",,,"109","54.5","Caresource","Health Exchange","26",,"62",,"67.58","9","143.61","percent of total billed charges",,
"PELVIS; 1 OR 2 VIEWS","72170","HCPCS","Both",,,"109","54.5","Cigna","Commercial","26",,"59",,"63.87","9","143.61","percent of total billed charges",,
"PELVIS; 1 OR 2 VIEWS","72170","HCPCS","Both",,,"109","54.5","Humana","Commercial","26",,"78",,"84.48","9","143.61","percent of total billed charges",,
"PELVIS; 1 OR 2 VIEWS","72170","HCPCS","Both",,,"109","54.5","UHC","Commercial","26",,"75",,"82.19","9","143.61","percent of total billed charges",,
"PELVIS; 1 OR 2 VIEWS","72170","HCPCS","Both",,,"109","54.5","Medicaid",,"26",,"37",,"39.89","9","143.61","percent of total billed charges",,
"ULTRASOUND, LIMITED (SINGLE ORGAN), F/U","76705","HCPCS","Both",,,"1065.5","532.75","Alliant","Health Exchange","26",,"62",,"660.61","30.35","1235.33","percent of total billed charges",,
"ULTRASOUND, LIMITED (SINGLE ORGAN), F/U","76705","HCPCS","Both",,,"1065.5","532.75","Pruitt Healthcare","Medicare Advantage","26",,"54",,"575.37","30.35","1235.33","percent of total billed charges",,
"ULTRASOUND, LIMITED (SINGLE ORGAN), F/U","76705","HCPCS","Both",,,"1065.5","532.75","Medicare",,"26",,"54",,"577.5","30.35","1235.33","percent of total billed charges",,
"ULTRASOUND, LIMITED (SINGLE ORGAN), F/U","76705","HCPCS","Both",,,"1065.5","532.75","Humana","Medicare Advantage","26",,"54",,"577.5","30.35","1235.33","percent of total billed charges",,
"ULTRASOUND, LIMITED (SINGLE ORGAN), F/U","76705","HCPCS","Both",,,"1065.5","532.75","UHC","Medicare Advantage","26",,"54",,"577.5","30.35","1235.33","percent of total billed charges",,
"ULTRASOUND, LIMITED (SINGLE ORGAN), F/U","76705","HCPCS","Both",,,"1065.5","532.75","Clover","Medicare Advantage","26",,"54",,"577.5","30.35","1235.33","percent of total billed charges",,
"ULTRASOUND, LIMITED (SINGLE ORGAN), F/U","76705","HCPCS","Both",,,"1065.5","532.75","Wellcare","Medicare Advantage","26",,"54",,"577.5","30.35","1235.33","percent of total billed charges",,
"ULTRASOUND, LIMITED (SINGLE ORGAN), F/U","76705","HCPCS","Both",,,"1065.5","532.75","Amerigroup","Medicaid Managed Care","26",,"37",,"389.97","30.35","1235.33","percent of total billed charges",,
"ULTRASOUND, LIMITED (SINGLE ORGAN), F/U","76705","HCPCS","Both",,,"1065.5","532.75","Caresource","Medicaid Managed Care","26",,"40",,"426.2","30.35","1235.33","percent of total billed charges",,
"ULTRASOUND, LIMITED (SINGLE ORGAN), F/U","76705","HCPCS","Both",,,"1065.5","532.75","Wellcare","Medicaid Managed Care","26",,"40",,"431.53","30.35","1235.33","percent of total billed charges",,
"ULTRASOUND, LIMITED (SINGLE ORGAN), F/U","76705","HCPCS","Both",,,"1065.5","532.75","Aetna","Commercial","26",,"64",,"679.79","30.35","1235.33","percent of total billed charges",,
"ULTRASOUND, LIMITED (SINGLE ORGAN), F/U","76705","HCPCS","Both",,,"1065.5","532.75","Blue Cross Blue Shield","Pathways","26",,"71",,"752.24","30.35","1235.33","percent of total billed charges",,
"ULTRASOUND, LIMITED (SINGLE ORGAN), F/U","76705","HCPCS","Both",,,"1065.5","532.75","Blue Cross Blue Shield","HMO","26",,"71",,"752.24","30.35","1235.33","percent of total billed charges",,
"ULTRASOUND, LIMITED (SINGLE ORGAN), F/U","76705","HCPCS","Both",,,"1065.5","532.75","Blue Cross Blue Shield","PPO","26",,"71",,"752.24","30.35","1235.33","percent of total billed charges",,
"ULTRASOUND, LIMITED (SINGLE ORGAN), F/U","76705","HCPCS","Both",,,"1065.5","532.75","Ambetter","Health Exchange","26",,"62",,"660.61","30.35","1235.33","percent of total billed charges",,
"ULTRASOUND, LIMITED (SINGLE ORGAN), F/U","76705","HCPCS","Both",,,"1065.5","532.75","Caresource","Health Exchange","26",,"62",,"660.61","30.35","1235.33","percent of total billed charges",,
"ULTRASOUND, LIMITED (SINGLE ORGAN), F/U","76705","HCPCS","Both",,,"1065.5","532.75","Cigna","Commercial","26",,"59",,"624.38","30.35","1235.33","percent of total billed charges",,
"ULTRASOUND, LIMITED (SINGLE ORGAN), F/U","76705","HCPCS","Both",,,"1065.5","532.75","Humana","Commercial","26",,"78",,"825.76","30.35","1235.33","percent of total billed charges",,
"ULTRASOUND, LIMITED (SINGLE ORGAN), F/U","76705","HCPCS","Both",,,"1065.5","532.75","UHC","Commercial","26",,"75",,"803.39","30.35","1235.33","percent of total billed charges",,
"ULTRASOUND, LIMITED (SINGLE ORGAN), F/U","76705","HCPCS","Both",,,"1065.5","532.75","Medicaid",,"26",,"37",,"389.97","30.35","1235.33","percent of total billed charges",,
"ULTRASOUND, RETROPERITONEAL, COMPLETE","76770","HCPCS","Both",,,"138.5","69.25","Alliant","Health Exchange","26",,"62",,"85.87","50.69","107.34","percent of total billed charges",,
"ULTRASOUND, RETROPERITONEAL, COMPLETE","76770","HCPCS","Both",,,"138.5","69.25","Pruitt Healthcare","Medicare Advantage","26",,"54",,"74.79","50.69","107.34","percent of total billed charges",,
"ULTRASOUND, RETROPERITONEAL, COMPLETE","76770","HCPCS","Both",,,"138.5","69.25","Medicare",,"26",,"54",,"75.07","50.69","107.34","percent of total billed charges",,
"ULTRASOUND, RETROPERITONEAL, COMPLETE","76770","HCPCS","Both",,,"138.5","69.25","Humana","Medicare Advantage","26",,"54",,"75.07","50.69","107.34","percent of total billed charges",,
"ULTRASOUND, RETROPERITONEAL, COMPLETE","76770","HCPCS","Both",,,"138.5","69.25","UHC","Medicare Advantage","26",,"54",,"75.07","50.69","107.34","percent of total billed charges",,
"ULTRASOUND, RETROPERITONEAL, COMPLETE","76770","HCPCS","Both",,,"138.5","69.25","Clover","Medicare Advantage","26",,"54",,"75.07","50.69","107.34","percent of total billed charges",,
"ULTRASOUND, RETROPERITONEAL, COMPLETE","76770","HCPCS","Both",,,"138.5","69.25","Wellcare","Medicare Advantage","26",,"54",,"75.07","50.69","107.34","percent of total billed charges",,
"ULTRASOUND, RETROPERITONEAL, COMPLETE","76770","HCPCS","Both",,,"138.5","69.25","Amerigroup","Medicaid Managed Care","26",,"37",,"50.69","50.69","107.34","percent of total billed charges",,
"ULTRASOUND, RETROPERITONEAL, COMPLETE","76770","HCPCS","Both",,,"138.5","69.25","Caresource","Medicaid Managed Care","26",,"40",,"55.4","50.69","107.34","percent of total billed charges",,
"ULTRASOUND, RETROPERITONEAL, COMPLETE","76770","HCPCS","Both",,,"138.5","69.25","Wellcare","Medicaid Managed Care","26",,"40",,"56.09","50.69","107.34","percent of total billed charges",,
"ULTRASOUND, RETROPERITONEAL, COMPLETE","76770","HCPCS","Both",,,"138.5","69.25","Aetna","Commercial","26",,"64",,"88.36","50.69","107.34","percent of total billed charges",,
"ULTRASOUND, RETROPERITONEAL, COMPLETE","76770","HCPCS","Both",,,"138.5","69.25","Blue Cross Blue Shield","Pathways","26",,"71",,"97.78","50.69","107.34","percent of total billed charges",,
"ULTRASOUND, RETROPERITONEAL, COMPLETE","76770","HCPCS","Both",,,"138.5","69.25","Blue Cross Blue Shield","HMO","26",,"71",,"97.78","50.69","107.34","percent of total billed charges",,
"ULTRASOUND, RETROPERITONEAL, COMPLETE","76770","HCPCS","Both",,,"138.5","69.25","Blue Cross Blue Shield","PPO","26",,"71",,"97.78","50.69","107.34","percent of total billed charges",,
"ULTRASOUND, RETROPERITONEAL, COMPLETE","76770","HCPCS","Both",,,"138.5","69.25","Ambetter","Health Exchange","26",,"62",,"85.87","50.69","107.34","percent of total billed charges",,
"ULTRASOUND, RETROPERITONEAL, COMPLETE","76770","HCPCS","Both",,,"138.5","69.25","Caresource","Health Exchange","26",,"62",,"85.87","50.69","107.34","percent of total billed charges",,
"ULTRASOUND, RETROPERITONEAL, COMPLETE","76770","HCPCS","Both",,,"138.5","69.25","Cigna","Commercial","26",,"59",,"81.16","50.69","107.34","percent of total billed charges",,
"ULTRASOUND, RETROPERITONEAL, COMPLETE","76770","HCPCS","Both",,,"138.5","69.25","Humana","Commercial","26",,"78",,"107.34","50.69","107.34","percent of total billed charges",,
"ULTRASOUND, RETROPERITONEAL, COMPLETE","76770","HCPCS","Both",,,"138.5","69.25","UHC","Commercial","26",,"75",,"104.43","50.69","107.34","percent of total billed charges",,
"ULTRASOUND, RETROPERITONEAL, COMPLETE","76770","HCPCS","Both",,,"138.5","69.25","Medicaid",,"26",,"37",,"50.69","50.69","107.34","percent of total billed charges",,
"ULTRASOUND, PELVIC NONOBSTETRIC","76856","HCPCS","Both",,,"428.5","214.25","Alliant","Health Exchange","26",,"62",,"265.67","156.83","564.55","percent of total billed charges",,
"ULTRASOUND, PELVIC NONOBSTETRIC","76856","HCPCS","Both",,,"428.5","214.25","Pruitt Healthcare","Medicare Advantage","26",,"54",,"231.39","156.83","564.55","percent of total billed charges",,
"ULTRASOUND, PELVIC NONOBSTETRIC","76856","HCPCS","Both",,,"428.5","214.25","Medicare",,"26",,"54",,"232.25","156.83","564.55","percent of total billed charges",,
"ULTRASOUND, PELVIC NONOBSTETRIC","76856","HCPCS","Both",,,"428.5","214.25","Humana","Medicare Advantage","26",,"54",,"232.25","156.83","564.55","percent of total billed charges",,
"ULTRASOUND, PELVIC NONOBSTETRIC","76856","HCPCS","Both",,,"428.5","214.25","UHC","Medicare Advantage","26",,"54",,"232.25","156.83","564.55","percent of total billed charges",,
"ULTRASOUND, PELVIC NONOBSTETRIC","76856","HCPCS","Both",,,"428.5","214.25","Clover","Medicare Advantage","26",,"54",,"232.25","156.83","564.55","percent of total billed charges",,
"ULTRASOUND, PELVIC NONOBSTETRIC","76856","HCPCS","Both",,,"428.5","214.25","Wellcare","Medicare Advantage","26",,"54",,"232.25","156.83","564.55","percent of total billed charges",,
"ULTRASOUND, PELVIC NONOBSTETRIC","76856","HCPCS","Both",,,"428.5","214.25","Amerigroup","Medicaid Managed Care","26",,"37",,"156.83","156.83","564.55","percent of total billed charges",,
"ULTRASOUND, PELVIC NONOBSTETRIC","76856","HCPCS","Both",,,"428.5","214.25","Caresource","Medicaid Managed Care","26",,"40",,"171.4","156.83","564.55","percent of total billed charges",,
"ULTRASOUND, PELVIC NONOBSTETRIC","76856","HCPCS","Both",,,"428.5","214.25","Wellcare","Medicaid Managed Care","26",,"40",,"173.54","156.83","564.55","percent of total billed charges",,
"ULTRASOUND, PELVIC NONOBSTETRIC","76856","HCPCS","Both",,,"428.5","214.25","Aetna","Commercial","26",,"64",,"273.38","156.83","564.55","percent of total billed charges",,
"ULTRASOUND, PELVIC NONOBSTETRIC","76856","HCPCS","Both",,,"428.5","214.25","Blue Cross Blue Shield","Pathways","26",,"71",,"302.52","156.83","564.55","percent of total billed charges",,
"ULTRASOUND, PELVIC NONOBSTETRIC","76856","HCPCS","Both",,,"428.5","214.25","Blue Cross Blue Shield","HMO","26",,"71",,"302.52","156.83","564.55","percent of total billed charges",,
"ULTRASOUND, PELVIC NONOBSTETRIC","76856","HCPCS","Both",,,"428.5","214.25","Blue Cross Blue Shield","PPO","26",,"71",,"302.52","156.83","564.55","percent of total billed charges",,
"ULTRASOUND, PELVIC NONOBSTETRIC","76856","HCPCS","Both",,,"428.5","214.25","Ambetter","Health Exchange","26",,"62",,"265.67","156.83","564.55","percent of total billed charges",,
"ULTRASOUND, PELVIC NONOBSTETRIC","76856","HCPCS","Both",,,"428.5","214.25","Caresource","Health Exchange","26",,"62",,"265.67","156.83","564.55","percent of total billed charges",,
"ULTRASOUND, PELVIC NONOBSTETRIC","76856","HCPCS","Both",,,"428.5","214.25","Cigna","Commercial","26",,"59",,"251.1","156.83","564.55","percent of total billed charges",,
"ULTRASOUND, PELVIC NONOBSTETRIC","76856","HCPCS","Both",,,"428.5","214.25","Humana","Commercial","26",,"78",,"332.09","156.83","564.55","percent of total billed charges",,
"ULTRASOUND, PELVIC NONOBSTETRIC","76856","HCPCS","Both",,,"428.5","214.25","UHC","Commercial","26",,"75",,"323.09","156.83","564.55","percent of total billed charges",,
"ULTRASOUND, PELVIC NONOBSTETRIC","76856","HCPCS","Both",,,"428.5","214.25","Medicaid",,"26",,"37",,"156.83","156.83","564.55","percent of total billed charges",,
"ULTRASOUND, PREGNANT UTERUS","76805","HCPCS","Both",,,"263","131.5","Alliant","Health Exchange","26",,"62",,"163.06","92.41","203.82","percent of total billed charges",,
"ULTRASOUND, PREGNANT UTERUS","76805","HCPCS","Both",,,"263","131.5","Pruitt Healthcare","Medicare Advantage","26",,"54",,"142.02","92.41","203.82","percent of total billed charges",,
"ULTRASOUND, PREGNANT UTERUS","76805","HCPCS","Both",,,"263","131.5","Medicare",,"26",,"54",,"142.55","92.41","203.82","percent of total billed charges",,
"ULTRASOUND, PREGNANT UTERUS","76805","HCPCS","Both",,,"263","131.5","Humana","Medicare Advantage","26",,"54",,"142.55","92.41","203.82","percent of total billed charges",,
"ULTRASOUND, PREGNANT UTERUS","76805","HCPCS","Both",,,"263","131.5","UHC","Medicare Advantage","26",,"54",,"142.55","92.41","203.82","percent of total billed charges",,
"ULTRASOUND, PREGNANT UTERUS","76805","HCPCS","Both",,,"263","131.5","Clover","Medicare Advantage","26",,"54",,"142.55","92.41","203.82","percent of total billed charges",,
"ULTRASOUND, PREGNANT UTERUS","76805","HCPCS","Both",,,"263","131.5","Wellcare","Medicare Advantage","26",,"54",,"142.55","92.41","203.82","percent of total billed charges",,
"ULTRASOUND, PREGNANT UTERUS","76805","HCPCS","Both",,,"263","131.5","Amerigroup","Medicaid Managed Care","26",,"37",,"96.26","92.41","203.82","percent of total billed charges",,
"ULTRASOUND, PREGNANT UTERUS","76805","HCPCS","Both",,,"263","131.5","Caresource","Medicaid Managed Care","26",,"40",,"105.2","92.41","203.82","percent of total billed charges",,
"ULTRASOUND, PREGNANT UTERUS","76805","HCPCS","Both",,,"263","131.5","Wellcare","Medicaid Managed Care","26",,"40",,"106.52","92.41","203.82","percent of total billed charges",,
"ULTRASOUND, PREGNANT UTERUS","76805","HCPCS","Both",,,"263","131.5","Aetna","Commercial","26",,"64",,"167.79","92.41","203.82","percent of total billed charges",,
"ULTRASOUND, PREGNANT UTERUS","76805","HCPCS","Both",,,"263","131.5","Blue Cross Blue Shield","Pathways","26",,"71",,"185.68","92.41","203.82","percent of total billed charges",,
"ULTRASOUND, PREGNANT UTERUS","76805","HCPCS","Both",,,"263","131.5","Blue Cross Blue Shield","HMO","26",,"71",,"185.68","92.41","203.82","percent of total billed charges",,
"ULTRASOUND, PREGNANT UTERUS","76805","HCPCS","Both",,,"263","131.5","Blue Cross Blue Shield","PPO","26",,"71",,"185.68","92.41","203.82","percent of total billed charges",,
"ULTRASOUND, PREGNANT UTERUS","76805","HCPCS","Both",,,"263","131.5","Ambetter","Health Exchange","26",,"62",,"163.06","92.41","203.82","percent of total billed charges",,
"ULTRASOUND, PREGNANT UTERUS","76805","HCPCS","Both",,,"263","131.5","Caresource","Health Exchange","26",,"62",,"163.06","92.41","203.82","percent of total billed charges",,
"ULTRASOUND, PREGNANT UTERUS","76805","HCPCS","Both",,,"263","131.5","Cigna","Commercial","26",,"59",,"154.12","92.41","203.82","percent of total billed charges",,
"ULTRASOUND, PREGNANT UTERUS","76805","HCPCS","Both",,,"263","131.5","Humana","Commercial","26",,"78",,"203.82","92.41","203.82","percent of total billed charges",,
"ULTRASOUND, PREGNANT UTERUS","76805","HCPCS","Both",,,"263","131.5","UHC","Commercial","26",,"75",,"198.3","92.41","203.82","percent of total billed charges",,
"ULTRASOUND, PREGNANT UTERUS","76805","HCPCS","Both",,,"263","131.5","Medicaid",,"26",,"37",,"96.26","92.41","203.82","percent of total billed charges",,
"ULTRASOUND, SOFT TISSUES HEAD AND NECK","76536","HCPCS","Both",,,"1394.5","697.25","Alliant","Health Exchange","26",,"62",,"864.59","510.39","1255.05","percent of total billed charges",,
"ULTRASOUND, SOFT TISSUES HEAD AND NECK","76536","HCPCS","Both",,,"1394.5","697.25","Pruitt Healthcare","Medicare Advantage","26",,"54",,"753.03","510.39","1255.05","percent of total billed charges",,
"ULTRASOUND, SOFT TISSUES HEAD AND NECK","76536","HCPCS","Both",,,"1394.5","697.25","Medicare",,"26",,"54",,"755.82","510.39","1255.05","percent of total billed charges",,
"ULTRASOUND, SOFT TISSUES HEAD AND NECK","76536","HCPCS","Both",,,"1394.5","697.25","Humana","Medicare Advantage","26",,"54",,"755.82","510.39","1255.05","percent of total billed charges",,
"ULTRASOUND, SOFT TISSUES HEAD AND NECK","76536","HCPCS","Both",,,"1394.5","697.25","UHC","Medicare Advantage","26",,"54",,"755.82","510.39","1255.05","percent of total billed charges",,
"ULTRASOUND, SOFT TISSUES HEAD AND NECK","76536","HCPCS","Both",,,"1394.5","697.25","Clover","Medicare Advantage","26",,"54",,"755.82","510.39","1255.05","percent of total billed charges",,
"ULTRASOUND, SOFT TISSUES HEAD AND NECK","76536","HCPCS","Both",,,"1394.5","697.25","Wellcare","Medicare Advantage","26",,"54",,"755.82","510.39","1255.05","percent of total billed charges",,
"ULTRASOUND, SOFT TISSUES HEAD AND NECK","76536","HCPCS","Both",,,"1394.5","697.25","Amerigroup","Medicaid Managed Care","26",,"37",,"510.39","510.39","1255.05","percent of total billed charges",,
"ULTRASOUND, SOFT TISSUES HEAD AND NECK","76536","HCPCS","Both",,,"1394.5","697.25","Caresource","Medicaid Managed Care","26",,"40",,"557.8","510.39","1255.05","percent of total billed charges",,
"ULTRASOUND, SOFT TISSUES HEAD AND NECK","76536","HCPCS","Both",,,"1394.5","697.25","Wellcare","Medicaid Managed Care","26",,"40",,"564.77","510.39","1255.05","percent of total billed charges",,
"ULTRASOUND, SOFT TISSUES HEAD AND NECK","76536","HCPCS","Both",,,"1394.5","697.25","Aetna","Commercial","26",,"64",,"889.69","510.39","1255.05","percent of total billed charges",,
"ULTRASOUND, SOFT TISSUES HEAD AND NECK","76536","HCPCS","Both",,,"1394.5","697.25","Blue Cross Blue Shield","Pathways","26",,"71",,"984.52","510.39","1255.05","percent of total billed charges",,
"ULTRASOUND, SOFT TISSUES HEAD AND NECK","76536","HCPCS","Both",,,"1394.5","697.25","Blue Cross Blue Shield","HMO","26",,"71",,"984.52","510.39","1255.05","percent of total billed charges",,
"ULTRASOUND, SOFT TISSUES HEAD AND NECK","76536","HCPCS","Both",,,"1394.5","697.25","Blue Cross Blue Shield","PPO","26",,"71",,"984.52","510.39","1255.05","percent of total billed charges",,
"ULTRASOUND, SOFT TISSUES HEAD AND NECK","76536","HCPCS","Both",,,"1394.5","697.25","Ambetter","Health Exchange","26",,"62",,"864.59","510.39","1255.05","percent of total billed charges",,
"ULTRASOUND, SOFT TISSUES HEAD AND NECK","76536","HCPCS","Both",,,"1394.5","697.25","Caresource","Health Exchange","26",,"62",,"864.59","510.39","1255.05","percent of total billed charges",,
"ULTRASOUND, SOFT TISSUES HEAD AND NECK","76536","HCPCS","Both",,,"1394.5","697.25","Cigna","Commercial","26",,"59",,"817.18","510.39","1255.05","percent of total billed charges",,
"ULTRASOUND, SOFT TISSUES HEAD AND NECK","76536","HCPCS","Both",,,"1394.5","697.25","Humana","Commercial","26",,"78",,"1080.74","510.39","1255.05","percent of total billed charges",,
"ULTRASOUND, SOFT TISSUES HEAD AND NECK","76536","HCPCS","Both",,,"1394.5","697.25","UHC","Commercial","26",,"75",,"1051.45","510.39","1255.05","percent of total billed charges",,
"ULTRASOUND, SOFT TISSUES HEAD AND NECK","76536","HCPCS","Both",,,"1394.5","697.25","Medicaid",,"26",,"37",,"510.39","510.39","1255.05","percent of total billed charges",,
"ULTRASOUND, SCROTUM AND CONTENTS","76870","HCPCS","Both",,,"996","498","Alliant","Health Exchange","26",,"62",,"617.52","364.54","771.9","percent of total billed charges",,
"ULTRASOUND, SCROTUM AND CONTENTS","76870","HCPCS","Both",,,"996","498","Pruitt Healthcare","Medicare Advantage","26",,"54",,"537.84","364.54","771.9","percent of total billed charges",,
"ULTRASOUND, SCROTUM AND CONTENTS","76870","HCPCS","Both",,,"996","498","Medicare",,"26",,"54",,"539.83","364.54","771.9","percent of total billed charges",,
"ULTRASOUND, SCROTUM AND CONTENTS","76870","HCPCS","Both",,,"996","498","Humana","Medicare Advantage","26",,"54",,"539.83","364.54","771.9","percent of total billed charges",,
"ULTRASOUND, SCROTUM AND CONTENTS","76870","HCPCS","Both",,,"996","498","UHC","Medicare Advantage","26",,"54",,"539.83","364.54","771.9","percent of total billed charges",,
"ULTRASOUND, SCROTUM AND CONTENTS","76870","HCPCS","Both",,,"996","498","Clover","Medicare Advantage","26",,"54",,"539.83","364.54","771.9","percent of total billed charges",,
"ULTRASOUND, SCROTUM AND CONTENTS","76870","HCPCS","Both",,,"996","498","Wellcare","Medicare Advantage","26",,"54",,"539.83","364.54","771.9","percent of total billed charges",,
"ULTRASOUND, SCROTUM AND CONTENTS","76870","HCPCS","Both",,,"996","498","Amerigroup","Medicaid Managed Care","26",,"37",,"364.54","364.54","771.9","percent of total billed charges",,
"ULTRASOUND, SCROTUM AND CONTENTS","76870","HCPCS","Both",,,"996","498","Caresource","Medicaid Managed Care","26",,"40",,"398.4","364.54","771.9","percent of total billed charges",,
"ULTRASOUND, SCROTUM AND CONTENTS","76870","HCPCS","Both",,,"996","498","Wellcare","Medicaid Managed Care","26",,"40",,"403.38","364.54","771.9","percent of total billed charges",,
"ULTRASOUND, SCROTUM AND CONTENTS","76870","HCPCS","Both",,,"996","498","Aetna","Commercial","26",,"64",,"635.45","364.54","771.9","percent of total billed charges",,
"ULTRASOUND, SCROTUM AND CONTENTS","76870","HCPCS","Both",,,"996","498","Blue Cross Blue Shield","Pathways","26",,"71",,"703.18","364.54","771.9","percent of total billed charges",,
"ULTRASOUND, SCROTUM AND CONTENTS","76870","HCPCS","Both",,,"996","498","Blue Cross Blue Shield","HMO","26",,"71",,"703.18","364.54","771.9","percent of total billed charges",,
"ULTRASOUND, SCROTUM AND CONTENTS","76870","HCPCS","Both",,,"996","498","Blue Cross Blue Shield","PPO","26",,"71",,"703.18","364.54","771.9","percent of total billed charges",,
"ULTRASOUND, SCROTUM AND CONTENTS","76870","HCPCS","Both",,,"996","498","Ambetter","Health Exchange","26",,"62",,"617.52","364.54","771.9","percent of total billed charges",,
"ULTRASOUND, SCROTUM AND CONTENTS","76870","HCPCS","Both",,,"996","498","Caresource","Health Exchange","26",,"62",,"617.52","364.54","771.9","percent of total billed charges",,
"ULTRASOUND, SCROTUM AND CONTENTS","76870","HCPCS","Both",,,"996","498","Cigna","Commercial","26",,"59",,"583.66","364.54","771.9","percent of total billed charges",,
"ULTRASOUND, SCROTUM AND CONTENTS","76870","HCPCS","Both",,,"996","498","Humana","Commercial","26",,"78",,"771.9","364.54","771.9","percent of total billed charges",,
"ULTRASOUND, SCROTUM AND CONTENTS","76870","HCPCS","Both",,,"996","498","UHC","Commercial","26",,"75",,"750.98","364.54","771.9","percent of total billed charges",,
"ULTRASOUND, SCROTUM AND CONTENTS","76870","HCPCS","Both",,,"996","498","Medicaid",,"26",,"37",,"364.54","364.54","771.9","percent of total billed charges",,
"ULTRASOUND, TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Alliant","Health Exchange","26",,"62",,"401.76","237.17","502.2","percent of total billed charges",,
"ULTRASOUND, TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Pruitt Healthcare","Medicare Advantage","26",,"54",,"349.92","237.17","502.2","percent of total billed charges",,
"ULTRASOUND, TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Medicare",,"26",,"54",,"351.22","237.17","502.2","percent of total billed charges",,
"ULTRASOUND, TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Humana","Medicare Advantage","26",,"54",,"351.22","237.17","502.2","percent of total billed charges",,
"ULTRASOUND, TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","UHC","Medicare Advantage","26",,"54",,"351.22","237.17","502.2","percent of total billed charges",,
"ULTRASOUND, TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Clover","Medicare Advantage","26",,"54",,"351.22","237.17","502.2","percent of total billed charges",,
"ULTRASOUND, TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Wellcare","Medicare Advantage","26",,"54",,"351.22","237.17","502.2","percent of total billed charges",,
"ULTRASOUND, TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Amerigroup","Medicaid Managed Care","26",,"37",,"237.17","237.17","502.2","percent of total billed charges",,
"ULTRASOUND, TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Caresource","Medicaid Managed Care","26",,"40",,"259.2","237.17","502.2","percent of total billed charges",,
"ULTRASOUND, TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Wellcare","Medicaid Managed Care","26",,"40",,"262.44","237.17","502.2","percent of total billed charges",,
"ULTRASOUND, TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Aetna","Commercial","26",,"64",,"413.42","237.17","502.2","percent of total billed charges",,
"ULTRASOUND, TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Blue Cross Blue Shield","Pathways","26",,"71",,"457.49","237.17","502.2","percent of total billed charges",,
"ULTRASOUND, TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Blue Cross Blue Shield","HMO","26",,"71",,"457.49","237.17","502.2","percent of total billed charges",,
"ULTRASOUND, TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Blue Cross Blue Shield","PPO","26",,"71",,"457.49","237.17","502.2","percent of total billed charges",,
"ULTRASOUND, TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Ambetter","Health Exchange","26",,"62",,"401.76","237.17","502.2","percent of total billed charges",,
"ULTRASOUND, TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Caresource","Health Exchange","26",,"62",,"401.76","237.17","502.2","percent of total billed charges",,
"ULTRASOUND, TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Cigna","Commercial","26",,"59",,"379.73","237.17","502.2","percent of total billed charges",,
"ULTRASOUND, TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Humana","Commercial","26",,"78",,"502.2","237.17","502.2","percent of total billed charges",,
"ULTRASOUND, TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","UHC","Commercial","26",,"75",,"488.59","237.17","502.2","percent of total billed charges",,
"ULTRASOUND, TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Medicaid",,"26",,"37",,"237.17","237.17","502.2","percent of total billed charges",,
"ULTRASOUND,EXTREMITY,NONVASULAR","76881","HCPCS","Both",,,"91","45.5","Alliant","Health Exchange","",,"62",,"56.42","33.31","70.53","percent of total billed charges",,
"ULTRASOUND,EXTREMITY,NONVASULAR","76881","HCPCS","Both",,,"91","45.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"49.14","33.31","70.53","percent of total billed charges",,
"ULTRASOUND,EXTREMITY,NONVASULAR","76881","HCPCS","Both",,,"91","45.5","Medicare",,"",,"54",,"49.32","33.31","70.53","percent of total billed charges",,
"ULTRASOUND,EXTREMITY,NONVASULAR","76881","HCPCS","Both",,,"91","45.5","Humana","Medicare Advantage","",,"54",,"49.32","33.31","70.53","percent of total billed charges",,
"ULTRASOUND,EXTREMITY,NONVASULAR","76881","HCPCS","Both",,,"91","45.5","UHC","Medicare Advantage","",,"54",,"49.32","33.31","70.53","percent of total billed charges",,
"ULTRASOUND,EXTREMITY,NONVASULAR","76881","HCPCS","Both",,,"91","45.5","Clover","Medicare Advantage","",,"54",,"49.32","33.31","70.53","percent of total billed charges",,
"ULTRASOUND,EXTREMITY,NONVASULAR","76881","HCPCS","Both",,,"91","45.5","Wellcare","Medicare Advantage","",,"54",,"49.32","33.31","70.53","percent of total billed charges",,
"ULTRASOUND,EXTREMITY,NONVASULAR","76881","HCPCS","Both",,,"91","45.5","Amerigroup","Medicaid Managed Care","",,"37",,"33.31","33.31","70.53","percent of total billed charges",,
"ULTRASOUND,EXTREMITY,NONVASULAR","76881","HCPCS","Both",,,"91","45.5","Caresource","Medicaid Managed Care","",,"40",,"36.4","33.31","70.53","percent of total billed charges",,
"ULTRASOUND,EXTREMITY,NONVASULAR","76881","HCPCS","Both",,,"91","45.5","Wellcare","Medicaid Managed Care","",,"40",,"36.86","33.31","70.53","percent of total billed charges",,
"ULTRASOUND,EXTREMITY,NONVASULAR","76881","HCPCS","Both",,,"91","45.5","Aetna","Commercial","",,"64",,"58.06","33.31","70.53","percent of total billed charges",,
"ULTRASOUND,EXTREMITY,NONVASULAR","76881","HCPCS","Both",,,"91","45.5","Blue Cross Blue Shield","Pathways","",,"71",,"64.25","33.31","70.53","percent of total billed charges",,
"ULTRASOUND,EXTREMITY,NONVASULAR","76881","HCPCS","Both",,,"91","45.5","Blue Cross Blue Shield","HMO","",,"71",,"64.25","33.31","70.53","percent of total billed charges",,
"ULTRASOUND,EXTREMITY,NONVASULAR","76881","HCPCS","Both",,,"91","45.5","Blue Cross Blue Shield","PPO","",,"71",,"64.25","33.31","70.53","percent of total billed charges",,
"ULTRASOUND,EXTREMITY,NONVASULAR","76881","HCPCS","Both",,,"91","45.5","Ambetter","Health Exchange","",,"62",,"56.42","33.31","70.53","percent of total billed charges",,
"ULTRASOUND,EXTREMITY,NONVASULAR","76881","HCPCS","Both",,,"91","45.5","Caresource","Health Exchange","",,"62",,"56.42","33.31","70.53","percent of total billed charges",,
"ULTRASOUND,EXTREMITY,NONVASULAR","76881","HCPCS","Both",,,"91","45.5","Cigna","Commercial","",,"59",,"53.33","33.31","70.53","percent of total billed charges",,
"ULTRASOUND,EXTREMITY,NONVASULAR","76881","HCPCS","Both",,,"91","45.5","Humana","Commercial","",,"78",,"70.53","33.31","70.53","percent of total billed charges",,
"ULTRASOUND,EXTREMITY,NONVASULAR","76881","HCPCS","Both",,,"91","45.5","UHC","Commercial","",,"75",,"68.61","33.31","70.53","percent of total billed charges",,
"ULTRASOUND,EXTREMITY,NONVASULAR","76881","HCPCS","Both",,,"91","45.5","Medicaid",,"",,"37",,"33.31","33.31","70.53","percent of total billed charges",,
"ULTRASOUND, ABDOMINAL, COMPLETE","76700","HCPCS","Both",,,"240","120","Alliant","Health Exchange","26",,"62",,"148.8","41.15","316.2","percent of total billed charges",,
"ULTRASOUND, ABDOMINAL, COMPLETE","76700","HCPCS","Both",,,"240","120","Pruitt Healthcare","Medicare Advantage","26",,"54",,"129.6","41.15","316.2","percent of total billed charges",,
"ULTRASOUND, ABDOMINAL, COMPLETE","76700","HCPCS","Both",,,"240","120","Medicare",,"26",,"54",,"130.08","41.15","316.2","percent of total billed charges",,
"ULTRASOUND, ABDOMINAL, COMPLETE","76700","HCPCS","Both",,,"240","120","Humana","Medicare Advantage","26",,"54",,"130.08","41.15","316.2","percent of total billed charges",,
"ULTRASOUND, ABDOMINAL, COMPLETE","76700","HCPCS","Both",,,"240","120","UHC","Medicare Advantage","26",,"54",,"130.08","41.15","316.2","percent of total billed charges",,
"ULTRASOUND, ABDOMINAL, COMPLETE","76700","HCPCS","Both",,,"240","120","Clover","Medicare Advantage","26",,"54",,"130.08","41.15","316.2","percent of total billed charges",,
"ULTRASOUND, ABDOMINAL, COMPLETE","76700","HCPCS","Both",,,"240","120","Wellcare","Medicare Advantage","26",,"54",,"130.08","41.15","316.2","percent of total billed charges",,
"ULTRASOUND, ABDOMINAL, COMPLETE","76700","HCPCS","Both",,,"240","120","Amerigroup","Medicaid Managed Care","26",,"37",,"87.84","41.15","316.2","percent of total billed charges",,
"ULTRASOUND, ABDOMINAL, COMPLETE","76700","HCPCS","Both",,,"240","120","Caresource","Medicaid Managed Care","26",,"40",,"96","41.15","316.2","percent of total billed charges",,
"ULTRASOUND, ABDOMINAL, COMPLETE","76700","HCPCS","Both",,,"240","120","Wellcare","Medicaid Managed Care","26",,"40",,"97.2","41.15","316.2","percent of total billed charges",,
"ULTRASOUND, ABDOMINAL, COMPLETE","76700","HCPCS","Both",,,"240","120","Aetna","Commercial","26",,"64",,"153.12","41.15","316.2","percent of total billed charges",,
"ULTRASOUND, ABDOMINAL, COMPLETE","76700","HCPCS","Both",,,"240","120","Blue Cross Blue Shield","Pathways","26",,"71",,"169.44","41.15","316.2","percent of total billed charges",,
"ULTRASOUND, ABDOMINAL, COMPLETE","76700","HCPCS","Both",,,"240","120","Blue Cross Blue Shield","HMO","26",,"71",,"169.44","41.15","316.2","percent of total billed charges",,
"ULTRASOUND, ABDOMINAL, COMPLETE","76700","HCPCS","Both",,,"240","120","Blue Cross Blue Shield","PPO","26",,"71",,"169.44","41.15","316.2","percent of total billed charges",,
"ULTRASOUND, ABDOMINAL, COMPLETE","76700","HCPCS","Both",,,"240","120","Ambetter","Health Exchange","26",,"62",,"148.8","41.15","316.2","percent of total billed charges",,
"ULTRASOUND, ABDOMINAL, COMPLETE","76700","HCPCS","Both",,,"240","120","Caresource","Health Exchange","26",,"62",,"148.8","41.15","316.2","percent of total billed charges",,
"ULTRASOUND, ABDOMINAL, COMPLETE","76700","HCPCS","Both",,,"240","120","Cigna","Commercial","26",,"59",,"140.64","41.15","316.2","percent of total billed charges",,
"ULTRASOUND, ABDOMINAL, COMPLETE","76700","HCPCS","Both",,,"240","120","Humana","Commercial","26",,"78",,"186","41.15","316.2","percent of total billed charges",,
"ULTRASOUND, ABDOMINAL, COMPLETE","76700","HCPCS","Both",,,"240","120","UHC","Commercial","26",,"75",,"180.96","41.15","316.2","percent of total billed charges",,
"ULTRASOUND, ABDOMINAL, COMPLETE","76700","HCPCS","Both",,,"240","120","Medicaid",,"26",,"37",,"87.84","41.15","316.2","percent of total billed charges",,
"ULTRASONIC GUIDANCE FOR AMNIOCENTESIS","76946","HCPCS","Both",,,"314.5","157.25","Alliant","Health Exchange","26",,"62",,"194.99","115.11","243.74","percent of total billed charges",,
"ULTRASONIC GUIDANCE FOR AMNIOCENTESIS","76946","HCPCS","Both",,,"314.5","157.25","Pruitt Healthcare","Medicare Advantage","26",,"54",,"169.83","115.11","243.74","percent of total billed charges",,
"ULTRASONIC GUIDANCE FOR AMNIOCENTESIS","76946","HCPCS","Both",,,"314.5","157.25","Medicare",,"26",,"54",,"170.46","115.11","243.74","percent of total billed charges",,
"ULTRASONIC GUIDANCE FOR AMNIOCENTESIS","76946","HCPCS","Both",,,"314.5","157.25","Humana","Medicare Advantage","26",,"54",,"170.46","115.11","243.74","percent of total billed charges",,
"ULTRASONIC GUIDANCE FOR AMNIOCENTESIS","76946","HCPCS","Both",,,"314.5","157.25","UHC","Medicare Advantage","26",,"54",,"170.46","115.11","243.74","percent of total billed charges",,
"ULTRASONIC GUIDANCE FOR AMNIOCENTESIS","76946","HCPCS","Both",,,"314.5","157.25","Clover","Medicare Advantage","26",,"54",,"170.46","115.11","243.74","percent of total billed charges",,
"ULTRASONIC GUIDANCE FOR AMNIOCENTESIS","76946","HCPCS","Both",,,"314.5","157.25","Wellcare","Medicare Advantage","26",,"54",,"170.46","115.11","243.74","percent of total billed charges",,
"ULTRASONIC GUIDANCE FOR AMNIOCENTESIS","76946","HCPCS","Both",,,"314.5","157.25","Amerigroup","Medicaid Managed Care","26",,"37",,"115.11","115.11","243.74","percent of total billed charges",,
"ULTRASONIC GUIDANCE FOR AMNIOCENTESIS","76946","HCPCS","Both",,,"314.5","157.25","Caresource","Medicaid Managed Care","26",,"40",,"125.8","115.11","243.74","percent of total billed charges",,
"ULTRASONIC GUIDANCE FOR AMNIOCENTESIS","76946","HCPCS","Both",,,"314.5","157.25","Wellcare","Medicaid Managed Care","26",,"40",,"127.37","115.11","243.74","percent of total billed charges",,
"ULTRASONIC GUIDANCE FOR AMNIOCENTESIS","76946","HCPCS","Both",,,"314.5","157.25","Aetna","Commercial","26",,"64",,"200.65","115.11","243.74","percent of total billed charges",,
"ULTRASONIC GUIDANCE FOR AMNIOCENTESIS","76946","HCPCS","Both",,,"314.5","157.25","Blue Cross Blue Shield","Pathways","26",,"71",,"222.04","115.11","243.74","percent of total billed charges",,
"ULTRASONIC GUIDANCE FOR AMNIOCENTESIS","76946","HCPCS","Both",,,"314.5","157.25","Blue Cross Blue Shield","HMO","26",,"71",,"222.04","115.11","243.74","percent of total billed charges",,
"ULTRASONIC GUIDANCE FOR AMNIOCENTESIS","76946","HCPCS","Both",,,"314.5","157.25","Blue Cross Blue Shield","PPO","26",,"71",,"222.04","115.11","243.74","percent of total billed charges",,
"ULTRASONIC GUIDANCE FOR AMNIOCENTESIS","76946","HCPCS","Both",,,"314.5","157.25","Ambetter","Health Exchange","26",,"62",,"194.99","115.11","243.74","percent of total billed charges",,
"ULTRASONIC GUIDANCE FOR AMNIOCENTESIS","76946","HCPCS","Both",,,"314.5","157.25","Caresource","Health Exchange","26",,"62",,"194.99","115.11","243.74","percent of total billed charges",,
"ULTRASONIC GUIDANCE FOR AMNIOCENTESIS","76946","HCPCS","Both",,,"314.5","157.25","Cigna","Commercial","26",,"59",,"184.3","115.11","243.74","percent of total billed charges",,
"ULTRASONIC GUIDANCE FOR AMNIOCENTESIS","76946","HCPCS","Both",,,"314.5","157.25","Humana","Commercial","26",,"78",,"243.74","115.11","243.74","percent of total billed charges",,
"ULTRASONIC GUIDANCE FOR AMNIOCENTESIS","76946","HCPCS","Both",,,"314.5","157.25","UHC","Commercial","26",,"75",,"237.13","115.11","243.74","percent of total billed charges",,
"ULTRASONIC GUIDANCE FOR AMNIOCENTESIS","76946","HCPCS","Both",,,"314.5","157.25","Medicaid",,"26",,"37",,"115.11","115.11","243.74","percent of total billed charges",,
"ULTRASOUND, COMPLETE","76810","HCPCS","Both",,,"304","152","Alliant","Health Exchange","26",,"62",,"188.48","111.26","235.6","percent of total billed charges",,
"ULTRASOUND, COMPLETE","76810","HCPCS","Both",,,"304","152","Pruitt Healthcare","Medicare Advantage","26",,"54",,"164.16","111.26","235.6","percent of total billed charges",,
"ULTRASOUND, COMPLETE","76810","HCPCS","Both",,,"304","152","Medicare",,"26",,"54",,"164.77","111.26","235.6","percent of total billed charges",,
"ULTRASOUND, COMPLETE","76810","HCPCS","Both",,,"304","152","Humana","Medicare Advantage","26",,"54",,"164.77","111.26","235.6","percent of total billed charges",,
"ULTRASOUND, COMPLETE","76810","HCPCS","Both",,,"304","152","UHC","Medicare Advantage","26",,"54",,"164.77","111.26","235.6","percent of total billed charges",,
"ULTRASOUND, COMPLETE","76810","HCPCS","Both",,,"304","152","Clover","Medicare Advantage","26",,"54",,"164.77","111.26","235.6","percent of total billed charges",,
"ULTRASOUND, COMPLETE","76810","HCPCS","Both",,,"304","152","Wellcare","Medicare Advantage","26",,"54",,"164.77","111.26","235.6","percent of total billed charges",,
"ULTRASOUND, COMPLETE","76810","HCPCS","Both",,,"304","152","Amerigroup","Medicaid Managed Care","26",,"37",,"111.26","111.26","235.6","percent of total billed charges",,
"ULTRASOUND, COMPLETE","76810","HCPCS","Both",,,"304","152","Caresource","Medicaid Managed Care","26",,"40",,"121.6","111.26","235.6","percent of total billed charges",,
"ULTRASOUND, COMPLETE","76810","HCPCS","Both",,,"304","152","Wellcare","Medicaid Managed Care","26",,"40",,"123.12","111.26","235.6","percent of total billed charges",,
"ULTRASOUND, COMPLETE","76810","HCPCS","Both",,,"304","152","Aetna","Commercial","26",,"64",,"193.95","111.26","235.6","percent of total billed charges",,
"ULTRASOUND, COMPLETE","76810","HCPCS","Both",,,"304","152","Blue Cross Blue Shield","Pathways","26",,"71",,"214.62","111.26","235.6","percent of total billed charges",,
"ULTRASOUND, COMPLETE","76810","HCPCS","Both",,,"304","152","Blue Cross Blue Shield","HMO","26",,"71",,"214.62","111.26","235.6","percent of total billed charges",,
"ULTRASOUND, COMPLETE","76810","HCPCS","Both",,,"304","152","Blue Cross Blue Shield","PPO","26",,"71",,"214.62","111.26","235.6","percent of total billed charges",,
"ULTRASOUND, COMPLETE","76810","HCPCS","Both",,,"304","152","Ambetter","Health Exchange","26",,"62",,"188.48","111.26","235.6","percent of total billed charges",,
"ULTRASOUND, COMPLETE","76810","HCPCS","Both",,,"304","152","Caresource","Health Exchange","26",,"62",,"188.48","111.26","235.6","percent of total billed charges",,
"ULTRASOUND, COMPLETE","76810","HCPCS","Both",,,"304","152","Cigna","Commercial","26",,"59",,"178.14","111.26","235.6","percent of total billed charges",,
"ULTRASOUND, COMPLETE","76810","HCPCS","Both",,,"304","152","Humana","Commercial","26",,"78",,"235.6","111.26","235.6","percent of total billed charges",,
"ULTRASOUND, COMPLETE","76810","HCPCS","Both",,,"304","152","UHC","Commercial","26",,"75",,"229.22","111.26","235.6","percent of total billed charges",,
"ULTRASOUND, COMPLETE","76810","HCPCS","Both",,,"304","152","Medicaid",,"26",,"37",,"111.26","111.26","235.6","percent of total billed charges",,
"ULTRASOUND,PREGNANT UTERUS,LIMITED","76815","HCPCS","Both",,,"98.5","49.25","Alliant","Health Exchange","26",,"62",,"61.07","36.05","76.34","percent of total billed charges",,
"ULTRASOUND,PREGNANT UTERUS,LIMITED","76815","HCPCS","Both",,,"98.5","49.25","Pruitt Healthcare","Medicare Advantage","26",,"54",,"53.19","36.05","76.34","percent of total billed charges",,
"ULTRASOUND,PREGNANT UTERUS,LIMITED","76815","HCPCS","Both",,,"98.5","49.25","Medicare",,"26",,"54",,"53.39","36.05","76.34","percent of total billed charges",,
"ULTRASOUND,PREGNANT UTERUS,LIMITED","76815","HCPCS","Both",,,"98.5","49.25","Humana","Medicare Advantage","26",,"54",,"53.39","36.05","76.34","percent of total billed charges",,
"ULTRASOUND,PREGNANT UTERUS,LIMITED","76815","HCPCS","Both",,,"98.5","49.25","UHC","Medicare Advantage","26",,"54",,"53.39","36.05","76.34","percent of total billed charges",,
"ULTRASOUND,PREGNANT UTERUS,LIMITED","76815","HCPCS","Both",,,"98.5","49.25","Clover","Medicare Advantage","26",,"54",,"53.39","36.05","76.34","percent of total billed charges",,
"ULTRASOUND,PREGNANT UTERUS,LIMITED","76815","HCPCS","Both",,,"98.5","49.25","Wellcare","Medicare Advantage","26",,"54",,"53.39","36.05","76.34","percent of total billed charges",,
"ULTRASOUND,PREGNANT UTERUS,LIMITED","76815","HCPCS","Both",,,"98.5","49.25","Amerigroup","Medicaid Managed Care","26",,"37",,"36.05","36.05","76.34","percent of total billed charges",,
"ULTRASOUND,PREGNANT UTERUS,LIMITED","76815","HCPCS","Both",,,"98.5","49.25","Caresource","Medicaid Managed Care","26",,"40",,"39.4","36.05","76.34","percent of total billed charges",,
"ULTRASOUND,PREGNANT UTERUS,LIMITED","76815","HCPCS","Both",,,"98.5","49.25","Wellcare","Medicaid Managed Care","26",,"40",,"39.89","36.05","76.34","percent of total billed charges",,
"ULTRASOUND,PREGNANT UTERUS,LIMITED","76815","HCPCS","Both",,,"98.5","49.25","Aetna","Commercial","26",,"64",,"62.84","36.05","76.34","percent of total billed charges",,
"ULTRASOUND,PREGNANT UTERUS,LIMITED","76815","HCPCS","Both",,,"98.5","49.25","Blue Cross Blue Shield","Pathways","26",,"71",,"69.54","36.05","76.34","percent of total billed charges",,
"ULTRASOUND,PREGNANT UTERUS,LIMITED","76815","HCPCS","Both",,,"98.5","49.25","Blue Cross Blue Shield","HMO","26",,"71",,"69.54","36.05","76.34","percent of total billed charges",,
"ULTRASOUND,PREGNANT UTERUS,LIMITED","76815","HCPCS","Both",,,"98.5","49.25","Blue Cross Blue Shield","PPO","26",,"71",,"69.54","36.05","76.34","percent of total billed charges",,
"ULTRASOUND,PREGNANT UTERUS,LIMITED","76815","HCPCS","Both",,,"98.5","49.25","Ambetter","Health Exchange","26",,"62",,"61.07","36.05","76.34","percent of total billed charges",,
"ULTRASOUND,PREGNANT UTERUS,LIMITED","76815","HCPCS","Both",,,"98.5","49.25","Caresource","Health Exchange","26",,"62",,"61.07","36.05","76.34","percent of total billed charges",,
"ULTRASOUND,PREGNANT UTERUS,LIMITED","76815","HCPCS","Both",,,"98.5","49.25","Cigna","Commercial","26",,"59",,"57.72","36.05","76.34","percent of total billed charges",,
"ULTRASOUND,PREGNANT UTERUS,LIMITED","76815","HCPCS","Both",,,"98.5","49.25","Humana","Commercial","26",,"78",,"76.34","36.05","76.34","percent of total billed charges",,
"ULTRASOUND,PREGNANT UTERUS,LIMITED","76815","HCPCS","Both",,,"98.5","49.25","UHC","Commercial","26",,"75",,"74.27","36.05","76.34","percent of total billed charges",,
"ULTRASOUND,PREGNANT UTERUS,LIMITED","76815","HCPCS","Both",,,"98.5","49.25","Medicaid",,"26",,"37",,"36.05","36.05","76.34","percent of total billed charges",,
"SINUSES, PARANASAL, LIMITED 2 VIEWS","70210","HCPCS","Both",,,"69","34.5","Alliant","Health Exchange","26",,"62",,"42.78","25.25","53.48","percent of total billed charges",,
"SINUSES, PARANASAL, LIMITED 2 VIEWS","70210","HCPCS","Both",,,"69","34.5","Pruitt Healthcare","Medicare Advantage","26",,"54",,"37.26","25.25","53.48","percent of total billed charges",,
"SINUSES, PARANASAL, LIMITED 2 VIEWS","70210","HCPCS","Both",,,"69","34.5","Medicare",,"26",,"54",,"37.4","25.25","53.48","percent of total billed charges",,
"SINUSES, PARANASAL, LIMITED 2 VIEWS","70210","HCPCS","Both",,,"69","34.5","Humana","Medicare Advantage","26",,"54",,"37.4","25.25","53.48","percent of total billed charges",,
"SINUSES, PARANASAL, LIMITED 2 VIEWS","70210","HCPCS","Both",,,"69","34.5","UHC","Medicare Advantage","26",,"54",,"37.4","25.25","53.48","percent of total billed charges",,
"SINUSES, PARANASAL, LIMITED 2 VIEWS","70210","HCPCS","Both",,,"69","34.5","Clover","Medicare Advantage","26",,"54",,"37.4","25.25","53.48","percent of total billed charges",,
"SINUSES, PARANASAL, LIMITED 2 VIEWS","70210","HCPCS","Both",,,"69","34.5","Wellcare","Medicare Advantage","26",,"54",,"37.4","25.25","53.48","percent of total billed charges",,
"SINUSES, PARANASAL, LIMITED 2 VIEWS","70210","HCPCS","Both",,,"69","34.5","Amerigroup","Medicaid Managed Care","26",,"37",,"25.25","25.25","53.48","percent of total billed charges",,
"SINUSES, PARANASAL, LIMITED 2 VIEWS","70210","HCPCS","Both",,,"69","34.5","Caresource","Medicaid Managed Care","26",,"40",,"27.6","25.25","53.48","percent of total billed charges",,
"SINUSES, PARANASAL, LIMITED 2 VIEWS","70210","HCPCS","Both",,,"69","34.5","Wellcare","Medicaid Managed Care","26",,"40",,"27.94","25.25","53.48","percent of total billed charges",,
"SINUSES, PARANASAL, LIMITED 2 VIEWS","70210","HCPCS","Both",,,"69","34.5","Aetna","Commercial","26",,"64",,"44.02","25.25","53.48","percent of total billed charges",,
"SINUSES, PARANASAL, LIMITED 2 VIEWS","70210","HCPCS","Both",,,"69","34.5","Blue Cross Blue Shield","Pathways","26",,"71",,"48.71","25.25","53.48","percent of total billed charges",,
"SINUSES, PARANASAL, LIMITED 2 VIEWS","70210","HCPCS","Both",,,"69","34.5","Blue Cross Blue Shield","HMO","26",,"71",,"48.71","25.25","53.48","percent of total billed charges",,
"SINUSES, PARANASAL, LIMITED 2 VIEWS","70210","HCPCS","Both",,,"69","34.5","Blue Cross Blue Shield","PPO","26",,"71",,"48.71","25.25","53.48","percent of total billed charges",,
"SINUSES, PARANASAL, LIMITED 2 VIEWS","70210","HCPCS","Both",,,"69","34.5","Ambetter","Health Exchange","26",,"62",,"42.78","25.25","53.48","percent of total billed charges",,
"SINUSES, PARANASAL, LIMITED 2 VIEWS","70210","HCPCS","Both",,,"69","34.5","Caresource","Health Exchange","26",,"62",,"42.78","25.25","53.48","percent of total billed charges",,
"SINUSES, PARANASAL, LIMITED 2 VIEWS","70210","HCPCS","Both",,,"69","34.5","Cigna","Commercial","26",,"59",,"40.43","25.25","53.48","percent of total billed charges",,
"SINUSES, PARANASAL, LIMITED 2 VIEWS","70210","HCPCS","Both",,,"69","34.5","Humana","Commercial","26",,"78",,"53.48","25.25","53.48","percent of total billed charges",,
"SINUSES, PARANASAL, LIMITED 2 VIEWS","70210","HCPCS","Both",,,"69","34.5","UHC","Commercial","26",,"75",,"52.03","25.25","53.48","percent of total billed charges",,
"SINUSES, PARANASAL, LIMITED 2 VIEWS","70210","HCPCS","Both",,,"69","34.5","Medicaid",,"26",,"37",,"25.25","25.25","53.48","percent of total billed charges",,
"SPINE,LUMBOSACRAL; COMPLETE, W/FLEXION","72114","HCPCS","Both",,,"629","314.5","Alliant","Health Exchange","26",,"62",,"389.98","230.21","487.48","percent of total billed charges",,
"SPINE,LUMBOSACRAL; COMPLETE, W/FLEXION","72114","HCPCS","Both",,,"629","314.5","Pruitt Healthcare","Medicare Advantage","26",,"54",,"339.66","230.21","487.48","percent of total billed charges",,
"SPINE,LUMBOSACRAL; COMPLETE, W/FLEXION","72114","HCPCS","Both",,,"629","314.5","Medicare",,"26",,"54",,"340.92","230.21","487.48","percent of total billed charges",,
"SPINE,LUMBOSACRAL; COMPLETE, W/FLEXION","72114","HCPCS","Both",,,"629","314.5","Humana","Medicare Advantage","26",,"54",,"340.92","230.21","487.48","percent of total billed charges",,
"SPINE,LUMBOSACRAL; COMPLETE, W/FLEXION","72114","HCPCS","Both",,,"629","314.5","UHC","Medicare Advantage","26",,"54",,"340.92","230.21","487.48","percent of total billed charges",,
"SPINE,LUMBOSACRAL; COMPLETE, W/FLEXION","72114","HCPCS","Both",,,"629","314.5","Clover","Medicare Advantage","26",,"54",,"340.92","230.21","487.48","percent of total billed charges",,
"SPINE,LUMBOSACRAL; COMPLETE, W/FLEXION","72114","HCPCS","Both",,,"629","314.5","Wellcare","Medicare Advantage","26",,"54",,"340.92","230.21","487.48","percent of total billed charges",,
"SPINE,LUMBOSACRAL; COMPLETE, W/FLEXION","72114","HCPCS","Both",,,"629","314.5","Amerigroup","Medicaid Managed Care","26",,"37",,"230.21","230.21","487.48","percent of total billed charges",,
"SPINE,LUMBOSACRAL; COMPLETE, W/FLEXION","72114","HCPCS","Both",,,"629","314.5","Caresource","Medicaid Managed Care","26",,"40",,"251.6","230.21","487.48","percent of total billed charges",,
"SPINE,LUMBOSACRAL; COMPLETE, W/FLEXION","72114","HCPCS","Both",,,"629","314.5","Wellcare","Medicaid Managed Care","26",,"40",,"254.74","230.21","487.48","percent of total billed charges",,
"SPINE,LUMBOSACRAL; COMPLETE, W/FLEXION","72114","HCPCS","Both",,,"629","314.5","Aetna","Commercial","26",,"64",,"401.3","230.21","487.48","percent of total billed charges",,
"SPINE,LUMBOSACRAL; COMPLETE, W/FLEXION","72114","HCPCS","Both",,,"629","314.5","Blue Cross Blue Shield","Pathways","26",,"71",,"444.07","230.21","487.48","percent of total billed charges",,
"SPINE,LUMBOSACRAL; COMPLETE, W/FLEXION","72114","HCPCS","Both",,,"629","314.5","Blue Cross Blue Shield","HMO","26",,"71",,"444.07","230.21","487.48","percent of total billed charges",,
"SPINE,LUMBOSACRAL; COMPLETE, W/FLEXION","72114","HCPCS","Both",,,"629","314.5","Blue Cross Blue Shield","PPO","26",,"71",,"444.07","230.21","487.48","percent of total billed charges",,
"SPINE,LUMBOSACRAL; COMPLETE, W/FLEXION","72114","HCPCS","Both",,,"629","314.5","Ambetter","Health Exchange","26",,"62",,"389.98","230.21","487.48","percent of total billed charges",,
"SPINE,LUMBOSACRAL; COMPLETE, W/FLEXION","72114","HCPCS","Both",,,"629","314.5","Caresource","Health Exchange","26",,"62",,"389.98","230.21","487.48","percent of total billed charges",,
"SPINE,LUMBOSACRAL; COMPLETE, W/FLEXION","72114","HCPCS","Both",,,"629","314.5","Cigna","Commercial","26",,"59",,"368.59","230.21","487.48","percent of total billed charges",,
"SPINE,LUMBOSACRAL; COMPLETE, W/FLEXION","72114","HCPCS","Both",,,"629","314.5","Humana","Commercial","26",,"78",,"487.48","230.21","487.48","percent of total billed charges",,
"SPINE,LUMBOSACRAL; COMPLETE, W/FLEXION","72114","HCPCS","Both",,,"629","314.5","UHC","Commercial","26",,"75",,"474.27","230.21","487.48","percent of total billed charges",,
"SPINE,LUMBOSACRAL; COMPLETE, W/FLEXION","72114","HCPCS","Both",,,"629","314.5","Medicaid",,"26",,"37",,"230.21","230.21","487.48","percent of total billed charges",,
"WRIST; TWO VIEWS","73100","HCPCS","Both",,,"63.5","31.75","Alliant","Health Exchange","26",,"62",,"39.37","23.24","49.21","percent of total billed charges",,
"WRIST; TWO VIEWS","73100","HCPCS","Both",,,"63.5","31.75","Pruitt Healthcare","Medicare Advantage","26",,"54",,"34.29","23.24","49.21","percent of total billed charges",,
"WRIST; TWO VIEWS","73100","HCPCS","Both",,,"63.5","31.75","Medicare",,"26",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"WRIST; TWO VIEWS","73100","HCPCS","Both",,,"63.5","31.75","Humana","Medicare Advantage","26",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"WRIST; TWO VIEWS","73100","HCPCS","Both",,,"63.5","31.75","UHC","Medicare Advantage","26",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"WRIST; TWO VIEWS","73100","HCPCS","Both",,,"63.5","31.75","Clover","Medicare Advantage","26",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"WRIST; TWO VIEWS","73100","HCPCS","Both",,,"63.5","31.75","Wellcare","Medicare Advantage","26",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"WRIST; TWO VIEWS","73100","HCPCS","Both",,,"63.5","31.75","Amerigroup","Medicaid Managed Care","26",,"37",,"23.24","23.24","49.21","percent of total billed charges",,
"WRIST; TWO VIEWS","73100","HCPCS","Both",,,"63.5","31.75","Caresource","Medicaid Managed Care","26",,"40",,"25.4","23.24","49.21","percent of total billed charges",,
"WRIST; TWO VIEWS","73100","HCPCS","Both",,,"63.5","31.75","Wellcare","Medicaid Managed Care","26",,"40",,"25.72","23.24","49.21","percent of total billed charges",,
"WRIST; TWO VIEWS","73100","HCPCS","Both",,,"63.5","31.75","Aetna","Commercial","26",,"64",,"40.51","23.24","49.21","percent of total billed charges",,
"WRIST; TWO VIEWS","73100","HCPCS","Both",,,"63.5","31.75","Blue Cross Blue Shield","Pathways","26",,"71",,"44.83","23.24","49.21","percent of total billed charges",,
"WRIST; TWO VIEWS","73100","HCPCS","Both",,,"63.5","31.75","Blue Cross Blue Shield","HMO","26",,"71",,"44.83","23.24","49.21","percent of total billed charges",,
"WRIST; TWO VIEWS","73100","HCPCS","Both",,,"63.5","31.75","Blue Cross Blue Shield","PPO","26",,"71",,"44.83","23.24","49.21","percent of total billed charges",,
"WRIST; TWO VIEWS","73100","HCPCS","Both",,,"63.5","31.75","Ambetter","Health Exchange","26",,"62",,"39.37","23.24","49.21","percent of total billed charges",,
"WRIST; TWO VIEWS","73100","HCPCS","Both",,,"63.5","31.75","Caresource","Health Exchange","26",,"62",,"39.37","23.24","49.21","percent of total billed charges",,
"WRIST; TWO VIEWS","73100","HCPCS","Both",,,"63.5","31.75","Cigna","Commercial","26",,"59",,"37.21","23.24","49.21","percent of total billed charges",,
"WRIST; TWO VIEWS","73100","HCPCS","Both",,,"63.5","31.75","Humana","Commercial","26",,"78",,"49.21","23.24","49.21","percent of total billed charges",,
"WRIST; TWO VIEWS","73100","HCPCS","Both",,,"63.5","31.75","UHC","Commercial","26",,"75",,"47.88","23.24","49.21","percent of total billed charges",,
"WRIST; TWO VIEWS","73100","HCPCS","Both",,,"63.5","31.75","Medicaid",,"26",,"37",,"23.24","23.24","49.21","percent of total billed charges",,
"FOOT; TWO VIEWS","73620","HCPCS","Both",,,"224.5","112.25","Alliant","Health Exchange","26",,"62",,"139.19","82.17","173.99","percent of total billed charges",,
"FOOT; TWO VIEWS","73620","HCPCS","Both",,,"224.5","112.25","Pruitt Healthcare","Medicare Advantage","26",,"54",,"121.23","82.17","173.99","percent of total billed charges",,
"FOOT; TWO VIEWS","73620","HCPCS","Both",,,"224.5","112.25","Medicare",,"26",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"FOOT; TWO VIEWS","73620","HCPCS","Both",,,"224.5","112.25","Humana","Medicare Advantage","26",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"FOOT; TWO VIEWS","73620","HCPCS","Both",,,"224.5","112.25","UHC","Medicare Advantage","26",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"FOOT; TWO VIEWS","73620","HCPCS","Both",,,"224.5","112.25","Clover","Medicare Advantage","26",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"FOOT; TWO VIEWS","73620","HCPCS","Both",,,"224.5","112.25","Wellcare","Medicare Advantage","26",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"FOOT; TWO VIEWS","73620","HCPCS","Both",,,"224.5","112.25","Amerigroup","Medicaid Managed Care","26",,"37",,"82.17","82.17","173.99","percent of total billed charges",,
"FOOT; TWO VIEWS","73620","HCPCS","Both",,,"224.5","112.25","Caresource","Medicaid Managed Care","26",,"40",,"89.8","82.17","173.99","percent of total billed charges",,
"FOOT; TWO VIEWS","73620","HCPCS","Both",,,"224.5","112.25","Wellcare","Medicaid Managed Care","26",,"40",,"90.92","82.17","173.99","percent of total billed charges",,
"FOOT; TWO VIEWS","73620","HCPCS","Both",,,"224.5","112.25","Aetna","Commercial","26",,"64",,"143.23","82.17","173.99","percent of total billed charges",,
"FOOT; TWO VIEWS","73620","HCPCS","Both",,,"224.5","112.25","Blue Cross Blue Shield","Pathways","26",,"71",,"158.5","82.17","173.99","percent of total billed charges",,
"FOOT; TWO VIEWS","73620","HCPCS","Both",,,"224.5","112.25","Blue Cross Blue Shield","HMO","26",,"71",,"158.5","82.17","173.99","percent of total billed charges",,
"FOOT; TWO VIEWS","73620","HCPCS","Both",,,"224.5","112.25","Blue Cross Blue Shield","PPO","26",,"71",,"158.5","82.17","173.99","percent of total billed charges",,
"FOOT; TWO VIEWS","73620","HCPCS","Both",,,"224.5","112.25","Ambetter","Health Exchange","26",,"62",,"139.19","82.17","173.99","percent of total billed charges",,
"FOOT; TWO VIEWS","73620","HCPCS","Both",,,"224.5","112.25","Caresource","Health Exchange","26",,"62",,"139.19","82.17","173.99","percent of total billed charges",,
"FOOT; TWO VIEWS","73620","HCPCS","Both",,,"224.5","112.25","Cigna","Commercial","26",,"59",,"131.56","82.17","173.99","percent of total billed charges",,
"FOOT; TWO VIEWS","73620","HCPCS","Both",,,"224.5","112.25","Humana","Commercial","26",,"78",,"173.99","82.17","173.99","percent of total billed charges",,
"FOOT; TWO VIEWS","73620","HCPCS","Both",,,"224.5","112.25","UHC","Commercial","26",,"75",,"169.27","82.17","173.99","percent of total billed charges",,
"FOOT; TWO VIEWS","73620","HCPCS","Both",,,"224.5","112.25","Medicaid",,"26",,"37",,"82.17","82.17","173.99","percent of total billed charges",,
"TOE(S), MINIMUM TWO VIEWS","73660","HCPCS","Both",,,"69.5","34.75","Alliant","Health Exchange","26",,"62",,"43.09","25.44","53.86","percent of total billed charges",,
"TOE(S), MINIMUM TWO VIEWS","73660","HCPCS","Both",,,"69.5","34.75","Pruitt Healthcare","Medicare Advantage","26",,"54",,"37.53","25.44","53.86","percent of total billed charges",,
"TOE(S), MINIMUM TWO VIEWS","73660","HCPCS","Both",,,"69.5","34.75","Medicare",,"26",,"54",,"37.67","25.44","53.86","percent of total billed charges",,
"TOE(S), MINIMUM TWO VIEWS","73660","HCPCS","Both",,,"69.5","34.75","Humana","Medicare Advantage","26",,"54",,"37.67","25.44","53.86","percent of total billed charges",,
"TOE(S), MINIMUM TWO VIEWS","73660","HCPCS","Both",,,"69.5","34.75","UHC","Medicare Advantage","26",,"54",,"37.67","25.44","53.86","percent of total billed charges",,
"TOE(S), MINIMUM TWO VIEWS","73660","HCPCS","Both",,,"69.5","34.75","Clover","Medicare Advantage","26",,"54",,"37.67","25.44","53.86","percent of total billed charges",,
"TOE(S), MINIMUM TWO VIEWS","73660","HCPCS","Both",,,"69.5","34.75","Wellcare","Medicare Advantage","26",,"54",,"37.67","25.44","53.86","percent of total billed charges",,
"TOE(S), MINIMUM TWO VIEWS","73660","HCPCS","Both",,,"69.5","34.75","Amerigroup","Medicaid Managed Care","26",,"37",,"25.44","25.44","53.86","percent of total billed charges",,
"TOE(S), MINIMUM TWO VIEWS","73660","HCPCS","Both",,,"69.5","34.75","Caresource","Medicaid Managed Care","26",,"40",,"27.8","25.44","53.86","percent of total billed charges",,
"TOE(S), MINIMUM TWO VIEWS","73660","HCPCS","Both",,,"69.5","34.75","Wellcare","Medicaid Managed Care","26",,"40",,"28.15","25.44","53.86","percent of total billed charges",,
"TOE(S), MINIMUM TWO VIEWS","73660","HCPCS","Both",,,"69.5","34.75","Aetna","Commercial","26",,"64",,"44.34","25.44","53.86","percent of total billed charges",,
"TOE(S), MINIMUM TWO VIEWS","73660","HCPCS","Both",,,"69.5","34.75","Blue Cross Blue Shield","Pathways","26",,"71",,"49.07","25.44","53.86","percent of total billed charges",,
"TOE(S), MINIMUM TWO VIEWS","73660","HCPCS","Both",,,"69.5","34.75","Blue Cross Blue Shield","HMO","26",,"71",,"49.07","25.44","53.86","percent of total billed charges",,
"TOE(S), MINIMUM TWO VIEWS","73660","HCPCS","Both",,,"69.5","34.75","Blue Cross Blue Shield","PPO","26",,"71",,"49.07","25.44","53.86","percent of total billed charges",,
"TOE(S), MINIMUM TWO VIEWS","73660","HCPCS","Both",,,"69.5","34.75","Ambetter","Health Exchange","26",,"62",,"43.09","25.44","53.86","percent of total billed charges",,
"TOE(S), MINIMUM TWO VIEWS","73660","HCPCS","Both",,,"69.5","34.75","Caresource","Health Exchange","26",,"62",,"43.09","25.44","53.86","percent of total billed charges",,
"TOE(S), MINIMUM TWO VIEWS","73660","HCPCS","Both",,,"69.5","34.75","Cigna","Commercial","26",,"59",,"40.73","25.44","53.86","percent of total billed charges",,
"TOE(S), MINIMUM TWO VIEWS","73660","HCPCS","Both",,,"69.5","34.75","Humana","Commercial","26",,"78",,"53.86","25.44","53.86","percent of total billed charges",,
"TOE(S), MINIMUM TWO VIEWS","73660","HCPCS","Both",,,"69.5","34.75","UHC","Commercial","26",,"75",,"52.4","25.44","53.86","percent of total billed charges",,
"TOE(S), MINIMUM TWO VIEWS","73660","HCPCS","Both",,,"69.5","34.75","Medicaid",,"26",,"37",,"25.44","25.44","53.86","percent of total billed charges",,
"KNEE; 1 OR 2 VIEWS","73560","HCPCS","Both",,,"308","154","Alliant","Health Exchange","26",,"62",,"190.96","112.73","238.7","percent of total billed charges",,
"KNEE; 1 OR 2 VIEWS","73560","HCPCS","Both",,,"308","154","Pruitt Healthcare","Medicare Advantage","26",,"54",,"166.32","112.73","238.7","percent of total billed charges",,
"KNEE; 1 OR 2 VIEWS","73560","HCPCS","Both",,,"308","154","Medicare",,"26",,"54",,"166.94","112.73","238.7","percent of total billed charges",,
"KNEE; 1 OR 2 VIEWS","73560","HCPCS","Both",,,"308","154","Humana","Medicare Advantage","26",,"54",,"166.94","112.73","238.7","percent of total billed charges",,
"KNEE; 1 OR 2 VIEWS","73560","HCPCS","Both",,,"308","154","UHC","Medicare Advantage","26",,"54",,"166.94","112.73","238.7","percent of total billed charges",,
"KNEE; 1 OR 2 VIEWS","73560","HCPCS","Both",,,"308","154","Clover","Medicare Advantage","26",,"54",,"166.94","112.73","238.7","percent of total billed charges",,
"KNEE; 1 OR 2 VIEWS","73560","HCPCS","Both",,,"308","154","Wellcare","Medicare Advantage","26",,"54",,"166.94","112.73","238.7","percent of total billed charges",,
"KNEE; 1 OR 2 VIEWS","73560","HCPCS","Both",,,"308","154","Amerigroup","Medicaid Managed Care","26",,"37",,"112.73","112.73","238.7","percent of total billed charges",,
"KNEE; 1 OR 2 VIEWS","73560","HCPCS","Both",,,"308","154","Caresource","Medicaid Managed Care","26",,"40",,"123.2","112.73","238.7","percent of total billed charges",,
"KNEE; 1 OR 2 VIEWS","73560","HCPCS","Both",,,"308","154","Wellcare","Medicaid Managed Care","26",,"40",,"124.74","112.73","238.7","percent of total billed charges",,
"KNEE; 1 OR 2 VIEWS","73560","HCPCS","Both",,,"308","154","Aetna","Commercial","26",,"64",,"196.5","112.73","238.7","percent of total billed charges",,
"KNEE; 1 OR 2 VIEWS","73560","HCPCS","Both",,,"308","154","Blue Cross Blue Shield","Pathways","26",,"71",,"217.45","112.73","238.7","percent of total billed charges",,
"KNEE; 1 OR 2 VIEWS","73560","HCPCS","Both",,,"308","154","Blue Cross Blue Shield","HMO","26",,"71",,"217.45","112.73","238.7","percent of total billed charges",,
"KNEE; 1 OR 2 VIEWS","73560","HCPCS","Both",,,"308","154","Blue Cross Blue Shield","PPO","26",,"71",,"217.45","112.73","238.7","percent of total billed charges",,
"KNEE; 1 OR 2 VIEWS","73560","HCPCS","Both",,,"308","154","Ambetter","Health Exchange","26",,"62",,"190.96","112.73","238.7","percent of total billed charges",,
"KNEE; 1 OR 2 VIEWS","73560","HCPCS","Both",,,"308","154","Caresource","Health Exchange","26",,"62",,"190.96","112.73","238.7","percent of total billed charges",,
"KNEE; 1 OR 2 VIEWS","73560","HCPCS","Both",,,"308","154","Cigna","Commercial","26",,"59",,"180.49","112.73","238.7","percent of total billed charges",,
"KNEE; 1 OR 2 VIEWS","73560","HCPCS","Both",,,"308","154","Humana","Commercial","26",,"78",,"238.7","112.73","238.7","percent of total billed charges",,
"KNEE; 1 OR 2 VIEWS","73560","HCPCS","Both",,,"308","154","UHC","Commercial","26",,"75",,"232.23","112.73","238.7","percent of total billed charges",,
"KNEE; 1 OR 2 VIEWS","73560","HCPCS","Both",,,"308","154","Medicaid",,"26",,"37",,"112.73","112.73","238.7","percent of total billed charges",,
"CT AH HEAD OR BRAIN W/O CONTRAST","70450","HCPCS","Both",,,"118.32","59.16","Alliant","Health Exchange","26",,"62",,"73.36","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN W/O CONTRAST","70450","HCPCS","Both",,,"118.32","59.16","Pruitt Healthcare","Medicare Advantage","26",,"54",,"63.89","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN W/O CONTRAST","70450","HCPCS","Both",,,"118.32","59.16","Medicare",,"26",,"54",,"64.13","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN W/O CONTRAST","70450","HCPCS","Both",,,"118.32","59.16","Humana","Medicare Advantage","26",,"54",,"64.13","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN W/O CONTRAST","70450","HCPCS","Both",,,"118.32","59.16","UHC","Medicare Advantage","26",,"54",,"64.13","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN W/O CONTRAST","70450","HCPCS","Both",,,"118.32","59.16","Clover","Medicare Advantage","26",,"54",,"64.13","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN W/O CONTRAST","70450","HCPCS","Both",,,"118.32","59.16","Wellcare","Medicare Advantage","26",,"54",,"64.13","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN W/O CONTRAST","70450","HCPCS","Both",,,"118.32","59.16","Amerigroup","Medicaid Managed Care","26",,"37",,"43.31","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN W/O CONTRAST","70450","HCPCS","Both",,,"118.32","59.16","Caresource","Medicaid Managed Care","26",,"40",,"47.33","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN W/O CONTRAST","70450","HCPCS","Both",,,"118.32","59.16","Wellcare","Medicaid Managed Care","26",,"40",,"47.92","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN W/O CONTRAST","70450","HCPCS","Both",,,"118.32","59.16","Aetna","Commercial","26",,"64",,"75.49","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN W/O CONTRAST","70450","HCPCS","Both",,,"118.32","59.16","Blue Cross Blue Shield","Pathways","26",,"71",,"83.53","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN W/O CONTRAST","70450","HCPCS","Both",,,"118.32","59.16","Blue Cross Blue Shield","HMO","26",,"71",,"83.53","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN W/O CONTRAST","70450","HCPCS","Both",,,"118.32","59.16","Blue Cross Blue Shield","PPO","26",,"71",,"83.53","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN W/O CONTRAST","70450","HCPCS","Both",,,"118.32","59.16","Ambetter","Health Exchange","26",,"62",,"73.36","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN W/O CONTRAST","70450","HCPCS","Both",,,"118.32","59.16","Caresource","Health Exchange","26",,"62",,"73.36","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN W/O CONTRAST","70450","HCPCS","Both",,,"118.32","59.16","Cigna","Commercial","26",,"59",,"69.34","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN W/O CONTRAST","70450","HCPCS","Both",,,"118.32","59.16","Humana","Commercial","26",,"78",,"91.7","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN W/O CONTRAST","70450","HCPCS","Both",,,"118.32","59.16","UHC","Commercial","26",,"75",,"89.21","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN W/O CONTRAST","70450","HCPCS","Both",,,"118.32","59.16","Medicaid",,"26",,"37",,"43.31","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN W & W/O","70470","HCPCS","Both",,,"177.54","88.77","Alliant","Health Exchange","26",,"62",,"110.07","64.98","177.09","percent of total billed charges",,
"CT AH HEAD OR BRAIN W & W/O","70470","HCPCS","Both",,,"177.54","88.77","Pruitt Healthcare","Medicare Advantage","26",,"54",,"95.87","64.98","177.09","percent of total billed charges",,
"CT AH HEAD OR BRAIN W & W/O","70470","HCPCS","Both",,,"177.54","88.77","Medicare",,"26",,"54",,"96.23","64.98","177.09","percent of total billed charges",,
"CT AH HEAD OR BRAIN W & W/O","70470","HCPCS","Both",,,"177.54","88.77","Humana","Medicare Advantage","26",,"54",,"96.23","64.98","177.09","percent of total billed charges",,
"CT AH HEAD OR BRAIN W & W/O","70470","HCPCS","Both",,,"177.54","88.77","UHC","Medicare Advantage","26",,"54",,"96.23","64.98","177.09","percent of total billed charges",,
"CT AH HEAD OR BRAIN W & W/O","70470","HCPCS","Both",,,"177.54","88.77","Clover","Medicare Advantage","26",,"54",,"96.23","64.98","177.09","percent of total billed charges",,
"CT AH HEAD OR BRAIN W & W/O","70470","HCPCS","Both",,,"177.54","88.77","Wellcare","Medicare Advantage","26",,"54",,"96.23","64.98","177.09","percent of total billed charges",,
"CT AH HEAD OR BRAIN W & W/O","70470","HCPCS","Both",,,"177.54","88.77","Amerigroup","Medicaid Managed Care","26",,"37",,"64.98","64.98","177.09","percent of total billed charges",,
"CT AH HEAD OR BRAIN W & W/O","70470","HCPCS","Both",,,"177.54","88.77","Caresource","Medicaid Managed Care","26",,"40",,"71.02","64.98","177.09","percent of total billed charges",,
"CT AH HEAD OR BRAIN W & W/O","70470","HCPCS","Both",,,"177.54","88.77","Wellcare","Medicaid Managed Care","26",,"40",,"71.9","64.98","177.09","percent of total billed charges",,
"CT AH HEAD OR BRAIN W & W/O","70470","HCPCS","Both",,,"177.54","88.77","Aetna","Commercial","26",,"64",,"113.27","64.98","177.09","percent of total billed charges",,
"CT AH HEAD OR BRAIN W & W/O","70470","HCPCS","Both",,,"177.54","88.77","Blue Cross Blue Shield","Pathways","26",,"71",,"125.34","64.98","177.09","percent of total billed charges",,
"CT AH HEAD OR BRAIN W & W/O","70470","HCPCS","Both",,,"177.54","88.77","Blue Cross Blue Shield","HMO","26",,"71",,"125.34","64.98","177.09","percent of total billed charges",,
"CT AH HEAD OR BRAIN W & W/O","70470","HCPCS","Both",,,"177.54","88.77","Blue Cross Blue Shield","PPO","26",,"71",,"125.34","64.98","177.09","percent of total billed charges",,
"CT AH HEAD OR BRAIN W & W/O","70470","HCPCS","Both",,,"177.54","88.77","Ambetter","Health Exchange","26",,"62",,"110.07","64.98","177.09","percent of total billed charges",,
"CT AH HEAD OR BRAIN W & W/O","70470","HCPCS","Both",,,"177.54","88.77","Caresource","Health Exchange","26",,"62",,"110.07","64.98","177.09","percent of total billed charges",,
"CT AH HEAD OR BRAIN W & W/O","70470","HCPCS","Both",,,"177.54","88.77","Cigna","Commercial","26",,"59",,"104.04","64.98","177.09","percent of total billed charges",,
"CT AH HEAD OR BRAIN W & W/O","70470","HCPCS","Both",,,"177.54","88.77","Humana","Commercial","26",,"78",,"137.59","64.98","177.09","percent of total billed charges",,
"CT AH HEAD OR BRAIN W & W/O","70470","HCPCS","Both",,,"177.54","88.77","UHC","Commercial","26",,"75",,"133.87","64.98","177.09","percent of total billed charges",,
"CT AH HEAD OR BRAIN W & W/O","70470","HCPCS","Both",,,"177.54","88.77","Medicaid",,"26",,"37",,"64.98","64.98","177.09","percent of total billed charges",,
"CT AH THORAX W/O CONTRAST","71250","HCPCS","Both",,,"150.93","75.465","Alliant","Health Exchange","26",,"62",,"93.58","55.24","257.69","percent of total billed charges",,
"CT AH THORAX W/O CONTRAST","71250","HCPCS","Both",,,"150.93","75.465","Pruitt Healthcare","Medicare Advantage","26",,"54",,"81.5","55.24","257.69","percent of total billed charges",,
"CT AH THORAX W/O CONTRAST","71250","HCPCS","Both",,,"150.93","75.465","Medicare",,"26",,"54",,"81.8","55.24","257.69","percent of total billed charges",,
"CT AH THORAX W/O CONTRAST","71250","HCPCS","Both",,,"150.93","75.465","Humana","Medicare Advantage","26",,"54",,"81.8","55.24","257.69","percent of total billed charges",,
"CT AH THORAX W/O CONTRAST","71250","HCPCS","Both",,,"150.93","75.465","UHC","Medicare Advantage","26",,"54",,"81.8","55.24","257.69","percent of total billed charges",,
"CT AH THORAX W/O CONTRAST","71250","HCPCS","Both",,,"150.93","75.465","Clover","Medicare Advantage","26",,"54",,"81.8","55.24","257.69","percent of total billed charges",,
"CT AH THORAX W/O CONTRAST","71250","HCPCS","Both",,,"150.93","75.465","Wellcare","Medicare Advantage","26",,"54",,"81.8","55.24","257.69","percent of total billed charges",,
"CT AH THORAX W/O CONTRAST","71250","HCPCS","Both",,,"150.93","75.465","Amerigroup","Medicaid Managed Care","26",,"37",,"55.24","55.24","257.69","percent of total billed charges",,
"CT AH THORAX W/O CONTRAST","71250","HCPCS","Both",,,"150.93","75.465","Caresource","Medicaid Managed Care","26",,"40",,"60.37","55.24","257.69","percent of total billed charges",,
"CT AH THORAX W/O CONTRAST","71250","HCPCS","Both",,,"150.93","75.465","Wellcare","Medicaid Managed Care","26",,"40",,"61.13","55.24","257.69","percent of total billed charges",,
"CT AH THORAX W/O CONTRAST","71250","HCPCS","Both",,,"150.93","75.465","Aetna","Commercial","26",,"64",,"96.29","55.24","257.69","percent of total billed charges",,
"CT AH THORAX W/O CONTRAST","71250","HCPCS","Both",,,"150.93","75.465","Blue Cross Blue Shield","Pathways","26",,"71",,"106.56","55.24","257.69","percent of total billed charges",,
"CT AH THORAX W/O CONTRAST","71250","HCPCS","Both",,,"150.93","75.465","Blue Cross Blue Shield","HMO","26",,"71",,"106.56","55.24","257.69","percent of total billed charges",,
"CT AH THORAX W/O CONTRAST","71250","HCPCS","Both",,,"150.93","75.465","Blue Cross Blue Shield","PPO","26",,"71",,"106.56","55.24","257.69","percent of total billed charges",,
"CT AH THORAX W/O CONTRAST","71250","HCPCS","Both",,,"150.93","75.465","Ambetter","Health Exchange","26",,"62",,"93.58","55.24","257.69","percent of total billed charges",,
"CT AH THORAX W/O CONTRAST","71250","HCPCS","Both",,,"150.93","75.465","Caresource","Health Exchange","26",,"62",,"93.58","55.24","257.69","percent of total billed charges",,
"CT AH THORAX W/O CONTRAST","71250","HCPCS","Both",,,"150.93","75.465","Cigna","Commercial","26",,"59",,"88.44","55.24","257.69","percent of total billed charges",,
"CT AH THORAX W/O CONTRAST","71250","HCPCS","Both",,,"150.93","75.465","Humana","Commercial","26",,"78",,"116.97","55.24","257.69","percent of total billed charges",,
"CT AH THORAX W/O CONTRAST","71250","HCPCS","Both",,,"150.93","75.465","UHC","Commercial","26",,"75",,"113.8","55.24","257.69","percent of total billed charges",,
"CT AH THORAX W/O CONTRAST","71250","HCPCS","Both",,,"150.93","75.465","Medicaid",,"26",,"37",,"55.24","55.24","257.69","percent of total billed charges",,
"CT AH THORAX W/CONTRAST","71260","HCPCS","Both",,,"162.63","81.315","Alliant","Health Exchange","26",,"62",,"100.83","59.52","1102.75","percent of total billed charges",,
"CT AH THORAX W/CONTRAST","71260","HCPCS","Both",,,"162.63","81.315","Pruitt Healthcare","Medicare Advantage","26",,"54",,"87.82","59.52","1102.75","percent of total billed charges",,
"CT AH THORAX W/CONTRAST","71260","HCPCS","Both",,,"162.63","81.315","Medicare",,"26",,"54",,"88.15","59.52","1102.75","percent of total billed charges",,
"CT AH THORAX W/CONTRAST","71260","HCPCS","Both",,,"162.63","81.315","Humana","Medicare Advantage","26",,"54",,"88.15","59.52","1102.75","percent of total billed charges",,
"CT AH THORAX W/CONTRAST","71260","HCPCS","Both",,,"162.63","81.315","UHC","Medicare Advantage","26",,"54",,"88.15","59.52","1102.75","percent of total billed charges",,
"CT AH THORAX W/CONTRAST","71260","HCPCS","Both",,,"162.63","81.315","Clover","Medicare Advantage","26",,"54",,"88.15","59.52","1102.75","percent of total billed charges",,
"CT AH THORAX W/CONTRAST","71260","HCPCS","Both",,,"162.63","81.315","Wellcare","Medicare Advantage","26",,"54",,"88.15","59.52","1102.75","percent of total billed charges",,
"CT AH THORAX W/CONTRAST","71260","HCPCS","Both",,,"162.63","81.315","Amerigroup","Medicaid Managed Care","26",,"37",,"59.52","59.52","1102.75","percent of total billed charges",,
"CT AH THORAX W/CONTRAST","71260","HCPCS","Both",,,"162.63","81.315","Caresource","Medicaid Managed Care","26",,"40",,"65.05","59.52","1102.75","percent of total billed charges",,
"CT AH THORAX W/CONTRAST","71260","HCPCS","Both",,,"162.63","81.315","Wellcare","Medicaid Managed Care","26",,"40",,"65.87","59.52","1102.75","percent of total billed charges",,
"CT AH THORAX W/CONTRAST","71260","HCPCS","Both",,,"162.63","81.315","Aetna","Commercial","26",,"64",,"103.76","59.52","1102.75","percent of total billed charges",,
"CT AH THORAX W/CONTRAST","71260","HCPCS","Both",,,"162.63","81.315","Blue Cross Blue Shield","Pathways","26",,"71",,"114.82","59.52","1102.75","percent of total billed charges",,
"CT AH THORAX W/CONTRAST","71260","HCPCS","Both",,,"162.63","81.315","Blue Cross Blue Shield","HMO","26",,"71",,"114.82","59.52","1102.75","percent of total billed charges",,
"CT AH THORAX W/CONTRAST","71260","HCPCS","Both",,,"162.63","81.315","Blue Cross Blue Shield","PPO","26",,"71",,"114.82","59.52","1102.75","percent of total billed charges",,
"CT AH THORAX W/CONTRAST","71260","HCPCS","Both",,,"162.63","81.315","Ambetter","Health Exchange","26",,"62",,"100.83","59.52","1102.75","percent of total billed charges",,
"CT AH THORAX W/CONTRAST","71260","HCPCS","Both",,,"162.63","81.315","Caresource","Health Exchange","26",,"62",,"100.83","59.52","1102.75","percent of total billed charges",,
"CT AH THORAX W/CONTRAST","71260","HCPCS","Both",,,"162.63","81.315","Cigna","Commercial","26",,"59",,"95.3","59.52","1102.75","percent of total billed charges",,
"CT AH THORAX W/CONTRAST","71260","HCPCS","Both",,,"162.63","81.315","Humana","Commercial","26",,"78",,"126.04","59.52","1102.75","percent of total billed charges",,
"CT AH THORAX W/CONTRAST","71260","HCPCS","Both",,,"162.63","81.315","UHC","Commercial","26",,"75",,"122.62","59.52","1102.75","percent of total billed charges",,
"CT AH THORAX W/CONTRAST","71260","HCPCS","Both",,,"162.63","81.315","Medicaid",,"26",,"37",,"59.52","59.52","1102.75","percent of total billed charges",,
"CT AH CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"138.03","69.015","Alliant","Health Exchange","26",,"62",,"85.58","50.52","502.98","percent of total billed charges",,
"CT AH CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"138.03","69.015","Pruitt Healthcare","Medicare Advantage","26",,"54",,"74.54","50.52","502.98","percent of total billed charges",,
"CT AH CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"138.03","69.015","Medicare",,"26",,"54",,"74.81","50.52","502.98","percent of total billed charges",,
"CT AH CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"138.03","69.015","Humana","Medicare Advantage","26",,"54",,"74.81","50.52","502.98","percent of total billed charges",,
"CT AH CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"138.03","69.015","UHC","Medicare Advantage","26",,"54",,"74.81","50.52","502.98","percent of total billed charges",,
"CT AH CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"138.03","69.015","Clover","Medicare Advantage","26",,"54",,"74.81","50.52","502.98","percent of total billed charges",,
"CT AH CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"138.03","69.015","Wellcare","Medicare Advantage","26",,"54",,"74.81","50.52","502.98","percent of total billed charges",,
"CT AH CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"138.03","69.015","Amerigroup","Medicaid Managed Care","26",,"37",,"50.52","50.52","502.98","percent of total billed charges",,
"CT AH CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"138.03","69.015","Caresource","Medicaid Managed Care","26",,"40",,"55.21","50.52","502.98","percent of total billed charges",,
"CT AH CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"138.03","69.015","Wellcare","Medicaid Managed Care","26",,"40",,"55.9","50.52","502.98","percent of total billed charges",,
"CT AH CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"138.03","69.015","Aetna","Commercial","26",,"64",,"88.06","50.52","502.98","percent of total billed charges",,
"CT AH CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"138.03","69.015","Blue Cross Blue Shield","Pathways","26",,"71",,"97.45","50.52","502.98","percent of total billed charges",,
"CT AH CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"138.03","69.015","Blue Cross Blue Shield","HMO","26",,"71",,"97.45","50.52","502.98","percent of total billed charges",,
"CT AH CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"138.03","69.015","Blue Cross Blue Shield","PPO","26",,"71",,"97.45","50.52","502.98","percent of total billed charges",,
"CT AH CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"138.03","69.015","Ambetter","Health Exchange","26",,"62",,"85.58","50.52","502.98","percent of total billed charges",,
"CT AH CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"138.03","69.015","Caresource","Health Exchange","26",,"62",,"85.58","50.52","502.98","percent of total billed charges",,
"CT AH CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"138.03","69.015","Cigna","Commercial","26",,"59",,"80.89","50.52","502.98","percent of total billed charges",,
"CT AH CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"138.03","69.015","Humana","Commercial","26",,"78",,"106.97","50.52","502.98","percent of total billed charges",,
"CT AH CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"138.03","69.015","UHC","Commercial","26",,"75",,"104.07","50.52","502.98","percent of total billed charges",,
"CT AH CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"138.03","69.015","Medicaid",,"26",,"37",,"50.52","50.52","502.98","percent of total billed charges",,
"US AH VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"97.05","48.525","Alliant","Health Exchange","26",,"62",,"60.17","35.52","303.03","percent of total billed charges",,
"US AH VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"97.05","48.525","Pruitt Healthcare","Medicare Advantage","26",,"54",,"52.41","35.52","303.03","percent of total billed charges",,
"US AH VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"97.05","48.525","Medicare",,"26",,"54",,"52.6","35.52","303.03","percent of total billed charges",,
"US AH VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"97.05","48.525","Humana","Medicare Advantage","26",,"54",,"52.6","35.52","303.03","percent of total billed charges",,
"US AH VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"97.05","48.525","UHC","Medicare Advantage","26",,"54",,"52.6","35.52","303.03","percent of total billed charges",,
"US AH VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"97.05","48.525","Clover","Medicare Advantage","26",,"54",,"52.6","35.52","303.03","percent of total billed charges",,
"US AH VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"97.05","48.525","Wellcare","Medicare Advantage","26",,"54",,"52.6","35.52","303.03","percent of total billed charges",,
"US AH VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"97.05","48.525","Amerigroup","Medicaid Managed Care","26",,"37",,"35.52","35.52","303.03","percent of total billed charges",,
"US AH VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"97.05","48.525","Caresource","Medicaid Managed Care","26",,"40",,"38.82","35.52","303.03","percent of total billed charges",,
"US AH VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"97.05","48.525","Wellcare","Medicaid Managed Care","26",,"40",,"39.31","35.52","303.03","percent of total billed charges",,
"US AH VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"97.05","48.525","Aetna","Commercial","26",,"64",,"61.92","35.52","303.03","percent of total billed charges",,
"US AH VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"97.05","48.525","Blue Cross Blue Shield","Pathways","26",,"71",,"68.52","35.52","303.03","percent of total billed charges",,
"US AH VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"97.05","48.525","Blue Cross Blue Shield","HMO","26",,"71",,"68.52","35.52","303.03","percent of total billed charges",,
"US AH VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"97.05","48.525","Blue Cross Blue Shield","PPO","26",,"71",,"68.52","35.52","303.03","percent of total billed charges",,
"US AH VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"97.05","48.525","Ambetter","Health Exchange","26",,"62",,"60.17","35.52","303.03","percent of total billed charges",,
"US AH VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"97.05","48.525","Caresource","Health Exchange","26",,"62",,"60.17","35.52","303.03","percent of total billed charges",,
"US AH VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"97.05","48.525","Cigna","Commercial","26",,"59",,"56.87","35.52","303.03","percent of total billed charges",,
"US AH VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"97.05","48.525","Humana","Commercial","26",,"78",,"75.21","35.52","303.03","percent of total billed charges",,
"US AH VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"97.05","48.525","UHC","Commercial","26",,"75",,"73.18","35.52","303.03","percent of total billed charges",,
"US AH VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"97.05","48.525","Medicaid",,"26",,"37",,"35.52","35.52","303.03","percent of total billed charges",,
"CT AH THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"138.03","69.015","Alliant","Health Exchange","26",,"62",,"85.58","50.52","488.25","percent of total billed charges",,
"CT AH THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"138.03","69.015","Pruitt Healthcare","Medicare Advantage","26",,"54",,"74.54","50.52","488.25","percent of total billed charges",,
"CT AH THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"138.03","69.015","Medicare",,"26",,"54",,"74.81","50.52","488.25","percent of total billed charges",,
"CT AH THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"138.03","69.015","Humana","Medicare Advantage","26",,"54",,"74.81","50.52","488.25","percent of total billed charges",,
"CT AH THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"138.03","69.015","UHC","Medicare Advantage","26",,"54",,"74.81","50.52","488.25","percent of total billed charges",,
"CT AH THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"138.03","69.015","Clover","Medicare Advantage","26",,"54",,"74.81","50.52","488.25","percent of total billed charges",,
"CT AH THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"138.03","69.015","Wellcare","Medicare Advantage","26",,"54",,"74.81","50.52","488.25","percent of total billed charges",,
"CT AH THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"138.03","69.015","Amerigroup","Medicaid Managed Care","26",,"37",,"50.52","50.52","488.25","percent of total billed charges",,
"CT AH THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"138.03","69.015","Caresource","Medicaid Managed Care","26",,"40",,"55.21","50.52","488.25","percent of total billed charges",,
"CT AH THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"138.03","69.015","Wellcare","Medicaid Managed Care","26",,"40",,"55.9","50.52","488.25","percent of total billed charges",,
"CT AH THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"138.03","69.015","Aetna","Commercial","26",,"64",,"88.06","50.52","488.25","percent of total billed charges",,
"CT AH THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"138.03","69.015","Blue Cross Blue Shield","Pathways","26",,"71",,"97.45","50.52","488.25","percent of total billed charges",,
"CT AH THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"138.03","69.015","Blue Cross Blue Shield","HMO","26",,"71",,"97.45","50.52","488.25","percent of total billed charges",,
"CT AH THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"138.03","69.015","Blue Cross Blue Shield","PPO","26",,"71",,"97.45","50.52","488.25","percent of total billed charges",,
"CT AH THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"138.03","69.015","Ambetter","Health Exchange","26",,"62",,"85.58","50.52","488.25","percent of total billed charges",,
"CT AH THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"138.03","69.015","Caresource","Health Exchange","26",,"62",,"85.58","50.52","488.25","percent of total billed charges",,
"CT AH THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"138.03","69.015","Cigna","Commercial","26",,"59",,"80.89","50.52","488.25","percent of total billed charges",,
"CT AH THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"138.03","69.015","Humana","Commercial","26",,"78",,"106.97","50.52","488.25","percent of total billed charges",,
"CT AH THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"138.03","69.015","UHC","Commercial","26",,"75",,"104.07","50.52","488.25","percent of total billed charges",,
"CT AH THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"138.03","69.015","Medicaid",,"26",,"37",,"50.52","50.52","488.25","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74018","HCPCS","Both",,,"32.49","16.245","Alliant","Health Exchange","26",,"62",,"20.14","9.37","356.38","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74018","HCPCS","Both",,,"32.49","16.245","Pruitt Healthcare","Medicare Advantage","26",,"54",,"17.54","9.37","356.38","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74018","HCPCS","Both",,,"32.49","16.245","Medicare",,"26",,"54",,"17.61","9.37","356.38","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74018","HCPCS","Both",,,"32.49","16.245","Humana","Medicare Advantage","26",,"54",,"17.61","9.37","356.38","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74018","HCPCS","Both",,,"32.49","16.245","UHC","Medicare Advantage","26",,"54",,"17.61","9.37","356.38","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74018","HCPCS","Both",,,"32.49","16.245","Clover","Medicare Advantage","26",,"54",,"17.61","9.37","356.38","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74018","HCPCS","Both",,,"32.49","16.245","Wellcare","Medicare Advantage","26",,"54",,"17.61","9.37","356.38","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74018","HCPCS","Both",,,"32.49","16.245","Amerigroup","Medicaid Managed Care","26",,"37",,"11.89","9.37","356.38","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74018","HCPCS","Both",,,"32.49","16.245","Caresource","Medicaid Managed Care","26",,"40",,"13","9.37","356.38","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74018","HCPCS","Both",,,"32.49","16.245","Wellcare","Medicaid Managed Care","26",,"40",,"13.16","9.37","356.38","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74018","HCPCS","Both",,,"32.49","16.245","Aetna","Commercial","26",,"64",,"20.73","9.37","356.38","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74018","HCPCS","Both",,,"32.49","16.245","Blue Cross Blue Shield","Pathways","26",,"71",,"22.94","9.37","356.38","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74018","HCPCS","Both",,,"32.49","16.245","Blue Cross Blue Shield","HMO","26",,"71",,"22.94","9.37","356.38","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74018","HCPCS","Both",,,"32.49","16.245","Blue Cross Blue Shield","PPO","26",,"71",,"22.94","9.37","356.38","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74018","HCPCS","Both",,,"32.49","16.245","Ambetter","Health Exchange","26",,"62",,"20.14","9.37","356.38","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74018","HCPCS","Both",,,"32.49","16.245","Caresource","Health Exchange","26",,"62",,"20.14","9.37","356.38","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74018","HCPCS","Both",,,"32.49","16.245","Cigna","Commercial","26",,"59",,"19.04","9.37","356.38","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74018","HCPCS","Both",,,"32.49","16.245","Humana","Commercial","26",,"78",,"25.18","9.37","356.38","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74018","HCPCS","Both",,,"32.49","16.245","UHC","Commercial","26",,"75",,"24.5","9.37","356.38","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74018","HCPCS","Both",,,"32.49","16.245","Medicaid",,"26",,"37",,"11.89","9.37","356.38","percent of total billed charges",,
"CT AH LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"138.03","69.015","Alliant","Health Exchange","26",,"62",,"85.58","50.52","502.98","percent of total billed charges",,
"CT AH LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"138.03","69.015","Pruitt Healthcare","Medicare Advantage","26",,"54",,"74.54","50.52","502.98","percent of total billed charges",,
"CT AH LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"138.03","69.015","Medicare",,"26",,"54",,"74.81","50.52","502.98","percent of total billed charges",,
"CT AH LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"138.03","69.015","Humana","Medicare Advantage","26",,"54",,"74.81","50.52","502.98","percent of total billed charges",,
"CT AH LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"138.03","69.015","UHC","Medicare Advantage","26",,"54",,"74.81","50.52","502.98","percent of total billed charges",,
"CT AH LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"138.03","69.015","Clover","Medicare Advantage","26",,"54",,"74.81","50.52","502.98","percent of total billed charges",,
"CT AH LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"138.03","69.015","Wellcare","Medicare Advantage","26",,"54",,"74.81","50.52","502.98","percent of total billed charges",,
"CT AH LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"138.03","69.015","Amerigroup","Medicaid Managed Care","26",,"37",,"50.52","50.52","502.98","percent of total billed charges",,
"CT AH LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"138.03","69.015","Caresource","Medicaid Managed Care","26",,"40",,"55.21","50.52","502.98","percent of total billed charges",,
"CT AH LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"138.03","69.015","Wellcare","Medicaid Managed Care","26",,"40",,"55.9","50.52","502.98","percent of total billed charges",,
"CT AH LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"138.03","69.015","Aetna","Commercial","26",,"64",,"88.06","50.52","502.98","percent of total billed charges",,
"CT AH LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"138.03","69.015","Blue Cross Blue Shield","Pathways","26",,"71",,"97.45","50.52","502.98","percent of total billed charges",,
"CT AH LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"138.03","69.015","Blue Cross Blue Shield","HMO","26",,"71",,"97.45","50.52","502.98","percent of total billed charges",,
"CT AH LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"138.03","69.015","Blue Cross Blue Shield","PPO","26",,"71",,"97.45","50.52","502.98","percent of total billed charges",,
"CT AH LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"138.03","69.015","Ambetter","Health Exchange","26",,"62",,"85.58","50.52","502.98","percent of total billed charges",,
"CT AH LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"138.03","69.015","Caresource","Health Exchange","26",,"62",,"85.58","50.52","502.98","percent of total billed charges",,
"CT AH LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"138.03","69.015","Cigna","Commercial","26",,"59",,"80.89","50.52","502.98","percent of total billed charges",,
"CT AH LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"138.03","69.015","Humana","Commercial","26",,"78",,"106.97","50.52","502.98","percent of total billed charges",,
"CT AH LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"138.03","69.015","UHC","Commercial","26",,"75",,"104.07","50.52","502.98","percent of total billed charges",,
"CT AH LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"138.03","69.015","Medicaid",,"26",,"37",,"50.52","50.52","502.98","percent of total billed charges",,
"CT AH PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"151.92","75.96","Alliant","Health Exchange","26",,"62",,"94.19","55.6","177.09","percent of total billed charges",,
"CT AH PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"151.92","75.96","Pruitt Healthcare","Medicare Advantage","26",,"54",,"82.04","55.6","177.09","percent of total billed charges",,
"CT AH PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"151.92","75.96","Medicare",,"26",,"54",,"82.34","55.6","177.09","percent of total billed charges",,
"CT AH PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"151.92","75.96","Humana","Medicare Advantage","26",,"54",,"82.34","55.6","177.09","percent of total billed charges",,
"CT AH PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"151.92","75.96","UHC","Medicare Advantage","26",,"54",,"82.34","55.6","177.09","percent of total billed charges",,
"CT AH PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"151.92","75.96","Clover","Medicare Advantage","26",,"54",,"82.34","55.6","177.09","percent of total billed charges",,
"CT AH PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"151.92","75.96","Wellcare","Medicare Advantage","26",,"54",,"82.34","55.6","177.09","percent of total billed charges",,
"CT AH PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"151.92","75.96","Amerigroup","Medicaid Managed Care","26",,"37",,"55.6","55.6","177.09","percent of total billed charges",,
"CT AH PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"151.92","75.96","Caresource","Medicaid Managed Care","26",,"40",,"60.77","55.6","177.09","percent of total billed charges",,
"CT AH PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"151.92","75.96","Wellcare","Medicaid Managed Care","26",,"40",,"61.53","55.6","177.09","percent of total billed charges",,
"CT AH PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"151.92","75.96","Aetna","Commercial","26",,"64",,"96.92","55.6","177.09","percent of total billed charges",,
"CT AH PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"151.92","75.96","Blue Cross Blue Shield","Pathways","26",,"71",,"107.26","55.6","177.09","percent of total billed charges",,
"CT AH PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"151.92","75.96","Blue Cross Blue Shield","HMO","26",,"71",,"107.26","55.6","177.09","percent of total billed charges",,
"CT AH PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"151.92","75.96","Blue Cross Blue Shield","PPO","26",,"71",,"107.26","55.6","177.09","percent of total billed charges",,
"CT AH PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"151.92","75.96","Ambetter","Health Exchange","26",,"62",,"94.19","55.6","177.09","percent of total billed charges",,
"CT AH PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"151.92","75.96","Caresource","Health Exchange","26",,"62",,"94.19","55.6","177.09","percent of total billed charges",,
"CT AH PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"151.92","75.96","Cigna","Commercial","26",,"59",,"89.03","55.6","177.09","percent of total billed charges",,
"CT AH PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"151.92","75.96","Humana","Commercial","26",,"78",,"117.74","55.6","177.09","percent of total billed charges",,
"CT AH PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"151.92","75.96","UHC","Commercial","26",,"75",,"114.55","55.6","177.09","percent of total billed charges",,
"CT AH PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"151.92","75.96","Medicaid",,"26",,"37",,"55.6","55.6","177.09","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"32.49","16.245","Alliant","Health Exchange","26",,"62",,"20.14","11.89","84.48","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"32.49","16.245","Pruitt Healthcare","Medicare Advantage","26",,"54",,"17.54","11.89","84.48","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"32.49","16.245","Medicare",,"26",,"54",,"17.61","11.89","84.48","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"32.49","16.245","Humana","Medicare Advantage","26",,"54",,"17.61","11.89","84.48","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"32.49","16.245","UHC","Medicare Advantage","26",,"54",,"17.61","11.89","84.48","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"32.49","16.245","Clover","Medicare Advantage","26",,"54",,"17.61","11.89","84.48","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"32.49","16.245","Wellcare","Medicare Advantage","26",,"54",,"17.61","11.89","84.48","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"32.49","16.245","Amerigroup","Medicaid Managed Care","26",,"37",,"11.89","11.89","84.48","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"32.49","16.245","Caresource","Medicaid Managed Care","26",,"40",,"13","11.89","84.48","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"32.49","16.245","Wellcare","Medicaid Managed Care","26",,"40",,"13.16","11.89","84.48","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"32.49","16.245","Aetna","Commercial","26",,"64",,"20.73","11.89","84.48","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"32.49","16.245","Blue Cross Blue Shield","Pathways","26",,"71",,"22.94","11.89","84.48","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"32.49","16.245","Blue Cross Blue Shield","HMO","26",,"71",,"22.94","11.89","84.48","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"32.49","16.245","Blue Cross Blue Shield","PPO","26",,"71",,"22.94","11.89","84.48","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"32.49","16.245","Ambetter","Health Exchange","26",,"62",,"20.14","11.89","84.48","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"32.49","16.245","Caresource","Health Exchange","26",,"62",,"20.14","11.89","84.48","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"32.49","16.245","Cigna","Commercial","26",,"59",,"19.04","11.89","84.48","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"32.49","16.245","Humana","Commercial","26",,"78",,"25.18","11.89","84.48","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"32.49","16.245","UHC","Commercial","26",,"75",,"24.5","11.89","84.48","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"32.49","16.245","Medicaid",,"26",,"37",,"11.89","11.89","84.48","percent of total billed charges",,
"XR AH ACUTE ABD SER SUP/ERECT UPRIGHT PA","74022","HCPCS","Both",,,"45.33","22.665","Alliant","Health Exchange","26",,"62",,"28.1","16.59","130.98","percent of total billed charges",,
"XR AH ACUTE ABD SER SUP/ERECT UPRIGHT PA","74022","HCPCS","Both",,,"45.33","22.665","Pruitt Healthcare","Medicare Advantage","26",,"54",,"24.48","16.59","130.98","percent of total billed charges",,
"XR AH ACUTE ABD SER SUP/ERECT UPRIGHT PA","74022","HCPCS","Both",,,"45.33","22.665","Medicare",,"26",,"54",,"24.57","16.59","130.98","percent of total billed charges",,
"XR AH ACUTE ABD SER SUP/ERECT UPRIGHT PA","74022","HCPCS","Both",,,"45.33","22.665","Humana","Medicare Advantage","26",,"54",,"24.57","16.59","130.98","percent of total billed charges",,
"XR AH ACUTE ABD SER SUP/ERECT UPRIGHT PA","74022","HCPCS","Both",,,"45.33","22.665","UHC","Medicare Advantage","26",,"54",,"24.57","16.59","130.98","percent of total billed charges",,
"XR AH ACUTE ABD SER SUP/ERECT UPRIGHT PA","74022","HCPCS","Both",,,"45.33","22.665","Clover","Medicare Advantage","26",,"54",,"24.57","16.59","130.98","percent of total billed charges",,
"XR AH ACUTE ABD SER SUP/ERECT UPRIGHT PA","74022","HCPCS","Both",,,"45.33","22.665","Wellcare","Medicare Advantage","26",,"54",,"24.57","16.59","130.98","percent of total billed charges",,
"XR AH ACUTE ABD SER SUP/ERECT UPRIGHT PA","74022","HCPCS","Both",,,"45.33","22.665","Amerigroup","Medicaid Managed Care","26",,"37",,"16.59","16.59","130.98","percent of total billed charges",,
"XR AH ACUTE ABD SER SUP/ERECT UPRIGHT PA","74022","HCPCS","Both",,,"45.33","22.665","Caresource","Medicaid Managed Care","26",,"40",,"18.13","16.59","130.98","percent of total billed charges",,
"XR AH ACUTE ABD SER SUP/ERECT UPRIGHT PA","74022","HCPCS","Both",,,"45.33","22.665","Wellcare","Medicaid Managed Care","26",,"40",,"18.36","16.59","130.98","percent of total billed charges",,
"XR AH ACUTE ABD SER SUP/ERECT UPRIGHT PA","74022","HCPCS","Both",,,"45.33","22.665","Aetna","Commercial","26",,"64",,"28.92","16.59","130.98","percent of total billed charges",,
"XR AH ACUTE ABD SER SUP/ERECT UPRIGHT PA","74022","HCPCS","Both",,,"45.33","22.665","Blue Cross Blue Shield","Pathways","26",,"71",,"32","16.59","130.98","percent of total billed charges",,
"XR AH ACUTE ABD SER SUP/ERECT UPRIGHT PA","74022","HCPCS","Both",,,"45.33","22.665","Blue Cross Blue Shield","HMO","26",,"71",,"32","16.59","130.98","percent of total billed charges",,
"XR AH ACUTE ABD SER SUP/ERECT UPRIGHT PA","74022","HCPCS","Both",,,"45.33","22.665","Blue Cross Blue Shield","PPO","26",,"71",,"32","16.59","130.98","percent of total billed charges",,
"XR AH ACUTE ABD SER SUP/ERECT UPRIGHT PA","74022","HCPCS","Both",,,"45.33","22.665","Ambetter","Health Exchange","26",,"62",,"28.1","16.59","130.98","percent of total billed charges",,
"XR AH ACUTE ABD SER SUP/ERECT UPRIGHT PA","74022","HCPCS","Both",,,"45.33","22.665","Caresource","Health Exchange","26",,"62",,"28.1","16.59","130.98","percent of total billed charges",,
"XR AH ACUTE ABD SER SUP/ERECT UPRIGHT PA","74022","HCPCS","Both",,,"45.33","22.665","Cigna","Commercial","26",,"59",,"26.56","16.59","130.98","percent of total billed charges",,
"XR AH ACUTE ABD SER SUP/ERECT UPRIGHT PA","74022","HCPCS","Both",,,"45.33","22.665","Humana","Commercial","26",,"78",,"35.13","16.59","130.98","percent of total billed charges",,
"XR AH ACUTE ABD SER SUP/ERECT UPRIGHT PA","74022","HCPCS","Both",,,"45.33","22.665","UHC","Commercial","26",,"75",,"34.18","16.59","130.98","percent of total billed charges",,
"XR AH ACUTE ABD SER SUP/ERECT UPRIGHT PA","74022","HCPCS","Both",,,"45.33","22.665","Medicaid",,"26",,"37",,"16.59","16.59","130.98","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"138.03","69.015","Alliant","Health Exchange","LT,26",,"62",,"85.58","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"138.03","69.015","Pruitt Healthcare","Medicare Advantage","LT,26",,"54",,"74.54","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"138.03","69.015","Medicare",,"LT,26",,"54",,"74.81","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"138.03","69.015","Humana","Medicare Advantage","LT,26",,"54",,"74.81","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"138.03","69.015","UHC","Medicare Advantage","LT,26",,"54",,"74.81","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"138.03","69.015","Clover","Medicare Advantage","LT,26",,"54",,"74.81","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"138.03","69.015","Wellcare","Medicare Advantage","LT,26",,"54",,"74.81","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"138.03","69.015","Amerigroup","Medicaid Managed Care","LT,26",,"37",,"50.52","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"138.03","69.015","Caresource","Medicaid Managed Care","LT,26",,"40",,"55.21","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"138.03","69.015","Wellcare","Medicaid Managed Care","LT,26",,"40",,"55.9","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"138.03","69.015","Aetna","Commercial","LT,26",,"64",,"88.06","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"138.03","69.015","Blue Cross Blue Shield","Pathways","LT,26",,"71",,"97.45","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"138.03","69.015","Blue Cross Blue Shield","HMO","LT,26",,"71",,"97.45","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"138.03","69.015","Blue Cross Blue Shield","PPO","LT,26",,"71",,"97.45","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"138.03","69.015","Ambetter","Health Exchange","LT,26",,"62",,"85.58","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"138.03","69.015","Caresource","Health Exchange","LT,26",,"62",,"85.58","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"138.03","69.015","Cigna","Commercial","LT,26",,"59",,"80.89","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"138.03","69.015","Humana","Commercial","LT,26",,"78",,"106.97","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"138.03","69.015","UHC","Commercial","LT,26",,"75",,"104.07","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"138.03","69.015","Medicaid",,"LT,26",,"37",,"50.52","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"161.73","80.865","Alliant","Health Exchange","LT,26",,"62",,"100.27","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"161.73","80.865","Pruitt Healthcare","Medicare Advantage","LT,26",,"54",,"87.33","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"161.73","80.865","Medicare",,"LT,26",,"54",,"87.66","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"161.73","80.865","Humana","Medicare Advantage","LT,26",,"54",,"87.66","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"161.73","80.865","UHC","Medicare Advantage","LT,26",,"54",,"87.66","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"161.73","80.865","Clover","Medicare Advantage","LT,26",,"54",,"87.66","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"161.73","80.865","Wellcare","Medicare Advantage","LT,26",,"54",,"87.66","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"161.73","80.865","Amerigroup","Medicaid Managed Care","LT,26",,"37",,"59.19","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"161.73","80.865","Caresource","Medicaid Managed Care","LT,26",,"40",,"64.69","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"161.73","80.865","Wellcare","Medicaid Managed Care","LT,26",,"40",,"65.5","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"161.73","80.865","Aetna","Commercial","LT,26",,"64",,"103.18","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"161.73","80.865","Blue Cross Blue Shield","Pathways","LT,26",,"71",,"114.18","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"161.73","80.865","Blue Cross Blue Shield","HMO","LT,26",,"71",,"114.18","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"161.73","80.865","Blue Cross Blue Shield","PPO","LT,26",,"71",,"114.18","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"161.73","80.865","Ambetter","Health Exchange","LT,26",,"62",,"100.27","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"161.73","80.865","Caresource","Health Exchange","LT,26",,"62",,"100.27","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"161.73","80.865","Cigna","Commercial","LT,26",,"59",,"94.77","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"161.73","80.865","Humana","Commercial","LT,26",,"78",,"125.34","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"161.73","80.865","UHC","Commercial","LT,26",,"75",,"121.94","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"161.73","80.865","Medicaid",,"LT,26",,"37",,"59.19","59.19","261.56","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT  W/O CONTRAST","73700","HCPCS","Both",,,"177.54","88.77","Alliant","Health Exchange","LT,26",,"62",,"110.07","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT  W/O CONTRAST","73700","HCPCS","Both",,,"177.54","88.77","Pruitt Healthcare","Medicare Advantage","LT,26",,"54",,"95.87","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT  W/O CONTRAST","73700","HCPCS","Both",,,"177.54","88.77","Medicare",,"LT,26",,"54",,"96.23","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT  W/O CONTRAST","73700","HCPCS","Both",,,"177.54","88.77","Humana","Medicare Advantage","LT,26",,"54",,"96.23","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT  W/O CONTRAST","73700","HCPCS","Both",,,"177.54","88.77","UHC","Medicare Advantage","LT,26",,"54",,"96.23","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT  W/O CONTRAST","73700","HCPCS","Both",,,"177.54","88.77","Clover","Medicare Advantage","LT,26",,"54",,"96.23","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT  W/O CONTRAST","73700","HCPCS","Both",,,"177.54","88.77","Wellcare","Medicare Advantage","LT,26",,"54",,"96.23","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT  W/O CONTRAST","73700","HCPCS","Both",,,"177.54","88.77","Amerigroup","Medicaid Managed Care","LT,26",,"37",,"64.98","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT  W/O CONTRAST","73700","HCPCS","Both",,,"177.54","88.77","Caresource","Medicaid Managed Care","LT,26",,"40",,"71.02","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT  W/O CONTRAST","73700","HCPCS","Both",,,"177.54","88.77","Wellcare","Medicaid Managed Care","LT,26",,"40",,"71.9","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT  W/O CONTRAST","73700","HCPCS","Both",,,"177.54","88.77","Aetna","Commercial","LT,26",,"64",,"113.27","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT  W/O CONTRAST","73700","HCPCS","Both",,,"177.54","88.77","Blue Cross Blue Shield","Pathways","LT,26",,"71",,"125.34","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT  W/O CONTRAST","73700","HCPCS","Both",,,"177.54","88.77","Blue Cross Blue Shield","HMO","LT,26",,"71",,"125.34","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT  W/O CONTRAST","73700","HCPCS","Both",,,"177.54","88.77","Blue Cross Blue Shield","PPO","LT,26",,"71",,"125.34","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT  W/O CONTRAST","73700","HCPCS","Both",,,"177.54","88.77","Ambetter","Health Exchange","LT,26",,"62",,"110.07","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT  W/O CONTRAST","73700","HCPCS","Both",,,"177.54","88.77","Caresource","Health Exchange","LT,26",,"62",,"110.07","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT  W/O CONTRAST","73700","HCPCS","Both",,,"177.54","88.77","Cigna","Commercial","LT,26",,"59",,"104.04","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT  W/O CONTRAST","73700","HCPCS","Both",,,"177.54","88.77","Humana","Commercial","LT,26",,"78",,"137.59","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT  W/O CONTRAST","73700","HCPCS","Both",,,"177.54","88.77","UHC","Commercial","LT,26",,"75",,"133.87","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT  W/O CONTRAST","73700","HCPCS","Both",,,"177.54","88.77","Medicaid",,"LT,26",,"37",,"64.98","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT  W/CONTRAST","73701","HCPCS","Both",,,"161.73","80.865","Alliant","Health Exchange","LT,26",,"62",,"100.27","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT  W/CONTRAST","73701","HCPCS","Both",,,"161.73","80.865","Pruitt Healthcare","Medicare Advantage","LT,26",,"54",,"87.33","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT  W/CONTRAST","73701","HCPCS","Both",,,"161.73","80.865","Medicare",,"LT,26",,"54",,"87.66","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT  W/CONTRAST","73701","HCPCS","Both",,,"161.73","80.865","Humana","Medicare Advantage","LT,26",,"54",,"87.66","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT  W/CONTRAST","73701","HCPCS","Both",,,"161.73","80.865","UHC","Medicare Advantage","LT,26",,"54",,"87.66","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT  W/CONTRAST","73701","HCPCS","Both",,,"161.73","80.865","Clover","Medicare Advantage","LT,26",,"54",,"87.66","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT  W/CONTRAST","73701","HCPCS","Both",,,"161.73","80.865","Wellcare","Medicare Advantage","LT,26",,"54",,"87.66","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT  W/CONTRAST","73701","HCPCS","Both",,,"161.73","80.865","Amerigroup","Medicaid Managed Care","LT,26",,"37",,"59.19","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT  W/CONTRAST","73701","HCPCS","Both",,,"161.73","80.865","Caresource","Medicaid Managed Care","LT,26",,"40",,"64.69","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT  W/CONTRAST","73701","HCPCS","Both",,,"161.73","80.865","Wellcare","Medicaid Managed Care","LT,26",,"40",,"65.5","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT  W/CONTRAST","73701","HCPCS","Both",,,"161.73","80.865","Aetna","Commercial","LT,26",,"64",,"103.18","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT  W/CONTRAST","73701","HCPCS","Both",,,"161.73","80.865","Blue Cross Blue Shield","Pathways","LT,26",,"71",,"114.18","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT  W/CONTRAST","73701","HCPCS","Both",,,"161.73","80.865","Blue Cross Blue Shield","HMO","LT,26",,"71",,"114.18","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT  W/CONTRAST","73701","HCPCS","Both",,,"161.73","80.865","Blue Cross Blue Shield","PPO","LT,26",,"71",,"114.18","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT  W/CONTRAST","73701","HCPCS","Both",,,"161.73","80.865","Ambetter","Health Exchange","LT,26",,"62",,"100.27","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT  W/CONTRAST","73701","HCPCS","Both",,,"161.73","80.865","Caresource","Health Exchange","LT,26",,"62",,"100.27","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT  W/CONTRAST","73701","HCPCS","Both",,,"161.73","80.865","Cigna","Commercial","LT,26",,"59",,"94.77","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT  W/CONTRAST","73701","HCPCS","Both",,,"161.73","80.865","Humana","Commercial","LT,26",,"78",,"125.34","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT  W/CONTRAST","73701","HCPCS","Both",,,"161.73","80.865","UHC","Commercial","LT,26",,"75",,"121.94","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT  W/CONTRAST","73701","HCPCS","Both",,,"161.73","80.865","Medicaid",,"LT,26",,"37",,"59.19","59.19","524.29","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"179.46","89.73","Alliant","Health Exchange","26",,"62",,"111.27","65.68","153.45","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"179.46","89.73","Pruitt Healthcare","Medicare Advantage","26",,"54",,"96.91","65.68","153.45","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"179.46","89.73","Medicare",,"26",,"54",,"97.27","65.68","153.45","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"179.46","89.73","Humana","Medicare Advantage","26",,"54",,"97.27","65.68","153.45","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"179.46","89.73","UHC","Medicare Advantage","26",,"54",,"97.27","65.68","153.45","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"179.46","89.73","Clover","Medicare Advantage","26",,"54",,"97.27","65.68","153.45","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"179.46","89.73","Wellcare","Medicare Advantage","26",,"54",,"97.27","65.68","153.45","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"179.46","89.73","Amerigroup","Medicaid Managed Care","26",,"37",,"65.68","65.68","153.45","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"179.46","89.73","Caresource","Medicaid Managed Care","26",,"40",,"71.78","65.68","153.45","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"179.46","89.73","Wellcare","Medicaid Managed Care","26",,"40",,"72.68","65.68","153.45","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"179.46","89.73","Aetna","Commercial","26",,"64",,"114.5","65.68","153.45","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"179.46","89.73","Blue Cross Blue Shield","Pathways","26",,"71",,"126.7","65.68","153.45","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"179.46","89.73","Blue Cross Blue Shield","HMO","26",,"71",,"126.7","65.68","153.45","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"179.46","89.73","Blue Cross Blue Shield","PPO","26",,"71",,"126.7","65.68","153.45","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"179.46","89.73","Ambetter","Health Exchange","26",,"62",,"111.27","65.68","153.45","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"179.46","89.73","Caresource","Health Exchange","26",,"62",,"111.27","65.68","153.45","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"179.46","89.73","Cigna","Commercial","26",,"59",,"105.16","65.68","153.45","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"179.46","89.73","Humana","Commercial","26",,"78",,"139.08","65.68","153.45","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"179.46","89.73","UHC","Commercial","26",,"75",,"135.31","65.68","153.45","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"179.46","89.73","Medicaid",,"26",,"37",,"65.68","65.68","153.45","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"193.2","96.6","Alliant","Health Exchange","26",,"62",,"119.78","70.71","766.86","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"193.2","96.6","Pruitt Healthcare","Medicare Advantage","26",,"54",,"104.33","70.71","766.86","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"193.2","96.6","Medicare",,"26",,"54",,"104.71","70.71","766.86","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"193.2","96.6","Humana","Medicare Advantage","26",,"54",,"104.71","70.71","766.86","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"193.2","96.6","UHC","Medicare Advantage","26",,"54",,"104.71","70.71","766.86","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"193.2","96.6","Clover","Medicare Advantage","26",,"54",,"104.71","70.71","766.86","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"193.2","96.6","Wellcare","Medicare Advantage","26",,"54",,"104.71","70.71","766.86","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"193.2","96.6","Amerigroup","Medicaid Managed Care","26",,"37",,"70.71","70.71","766.86","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"193.2","96.6","Caresource","Medicaid Managed Care","26",,"40",,"77.28","70.71","766.86","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"193.2","96.6","Wellcare","Medicaid Managed Care","26",,"40",,"78.25","70.71","766.86","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"193.2","96.6","Aetna","Commercial","26",,"64",,"123.26","70.71","766.86","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"193.2","96.6","Blue Cross Blue Shield","Pathways","26",,"71",,"136.4","70.71","766.86","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"193.2","96.6","Blue Cross Blue Shield","HMO","26",,"71",,"136.4","70.71","766.86","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"193.2","96.6","Blue Cross Blue Shield","PPO","26",,"71",,"136.4","70.71","766.86","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"193.2","96.6","Ambetter","Health Exchange","26",,"62",,"119.78","70.71","766.86","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"193.2","96.6","Caresource","Health Exchange","26",,"62",,"119.78","70.71","766.86","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"193.2","96.6","Cigna","Commercial","26",,"59",,"113.22","70.71","766.86","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"193.2","96.6","Humana","Commercial","26",,"78",,"149.73","70.71","766.86","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"193.2","96.6","UHC","Commercial","26",,"75",,"145.67","70.71","766.86","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"193.2","96.6","Medicaid",,"26",,"37",,"70.71","70.71","766.86","percent of total billed charges",,
"XR AH FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"36.42","18.21","Alliant","Health Exchange","26",,"62",,"22.58","13.33","101.52","percent of total billed charges",,
"XR AH FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"36.42","18.21","Pruitt Healthcare","Medicare Advantage","26",,"54",,"19.67","13.33","101.52","percent of total billed charges",,
"XR AH FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"36.42","18.21","Medicare",,"26",,"54",,"19.74","13.33","101.52","percent of total billed charges",,
"XR AH FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"36.42","18.21","Humana","Medicare Advantage","26",,"54",,"19.74","13.33","101.52","percent of total billed charges",,
"XR AH FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"36.42","18.21","UHC","Medicare Advantage","26",,"54",,"19.74","13.33","101.52","percent of total billed charges",,
"XR AH FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"36.42","18.21","Clover","Medicare Advantage","26",,"54",,"19.74","13.33","101.52","percent of total billed charges",,
"XR AH FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"36.42","18.21","Wellcare","Medicare Advantage","26",,"54",,"19.74","13.33","101.52","percent of total billed charges",,
"XR AH FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"36.42","18.21","Amerigroup","Medicaid Managed Care","26",,"37",,"13.33","13.33","101.52","percent of total billed charges",,
"XR AH FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"36.42","18.21","Caresource","Medicaid Managed Care","26",,"40",,"14.57","13.33","101.52","percent of total billed charges",,
"XR AH FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"36.42","18.21","Wellcare","Medicaid Managed Care","26",,"40",,"14.75","13.33","101.52","percent of total billed charges",,
"XR AH FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"36.42","18.21","Aetna","Commercial","26",,"64",,"23.24","13.33","101.52","percent of total billed charges",,
"XR AH FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"36.42","18.21","Blue Cross Blue Shield","Pathways","26",,"71",,"25.71","13.33","101.52","percent of total billed charges",,
"XR AH FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"36.42","18.21","Blue Cross Blue Shield","HMO","26",,"71",,"25.71","13.33","101.52","percent of total billed charges",,
"XR AH FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"36.42","18.21","Blue Cross Blue Shield","PPO","26",,"71",,"25.71","13.33","101.52","percent of total billed charges",,
"XR AH FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"36.42","18.21","Ambetter","Health Exchange","26",,"62",,"22.58","13.33","101.52","percent of total billed charges",,
"XR AH FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"36.42","18.21","Caresource","Health Exchange","26",,"62",,"22.58","13.33","101.52","percent of total billed charges",,
"XR AH FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"36.42","18.21","Cigna","Commercial","26",,"59",,"21.34","13.33","101.52","percent of total billed charges",,
"XR AH FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"36.42","18.21","Humana","Commercial","26",,"78",,"28.23","13.33","101.52","percent of total billed charges",,
"XR AH FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"36.42","18.21","UHC","Commercial","26",,"75",,"27.46","13.33","101.52","percent of total billed charges",,
"XR AH FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"36.42","18.21","Medicaid",,"26",,"37",,"13.33","13.33","101.52","percent of total billed charges",,
"CT AH MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"130.23","65.115","Alliant","Health Exchange","26",,"62",,"80.74","47.66","414.62","percent of total billed charges",,
"CT AH MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"130.23","65.115","Pruitt Healthcare","Medicare Advantage","26",,"54",,"70.32","47.66","414.62","percent of total billed charges",,
"CT AH MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"130.23","65.115","Medicare",,"26",,"54",,"70.58","47.66","414.62","percent of total billed charges",,
"CT AH MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"130.23","65.115","Humana","Medicare Advantage","26",,"54",,"70.58","47.66","414.62","percent of total billed charges",,
"CT AH MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"130.23","65.115","UHC","Medicare Advantage","26",,"54",,"70.58","47.66","414.62","percent of total billed charges",,
"CT AH MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"130.23","65.115","Clover","Medicare Advantage","26",,"54",,"70.58","47.66","414.62","percent of total billed charges",,
"CT AH MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"130.23","65.115","Wellcare","Medicare Advantage","26",,"54",,"70.58","47.66","414.62","percent of total billed charges",,
"CT AH MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"130.23","65.115","Amerigroup","Medicaid Managed Care","26",,"37",,"47.66","47.66","414.62","percent of total billed charges",,
"CT AH MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"130.23","65.115","Caresource","Medicaid Managed Care","26",,"40",,"52.09","47.66","414.62","percent of total billed charges",,
"CT AH MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"130.23","65.115","Wellcare","Medicaid Managed Care","26",,"40",,"52.74","47.66","414.62","percent of total billed charges",,
"CT AH MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"130.23","65.115","Aetna","Commercial","26",,"64",,"83.09","47.66","414.62","percent of total billed charges",,
"CT AH MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"130.23","65.115","Blue Cross Blue Shield","Pathways","26",,"71",,"91.94","47.66","414.62","percent of total billed charges",,
"CT AH MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"130.23","65.115","Blue Cross Blue Shield","HMO","26",,"71",,"91.94","47.66","414.62","percent of total billed charges",,
"CT AH MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"130.23","65.115","Blue Cross Blue Shield","PPO","26",,"71",,"91.94","47.66","414.62","percent of total billed charges",,
"CT AH MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"130.23","65.115","Ambetter","Health Exchange","26",,"62",,"80.74","47.66","414.62","percent of total billed charges",,
"CT AH MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"130.23","65.115","Caresource","Health Exchange","26",,"62",,"80.74","47.66","414.62","percent of total billed charges",,
"CT AH MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"130.23","65.115","Cigna","Commercial","26",,"59",,"76.31","47.66","414.62","percent of total billed charges",,
"CT AH MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"130.23","65.115","Humana","Commercial","26",,"78",,"100.93","47.66","414.62","percent of total billed charges",,
"CT AH MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"130.23","65.115","UHC","Commercial","26",,"75",,"98.19","47.66","414.62","percent of total billed charges",,
"CT AH MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"130.23","65.115","Medicaid",,"26",,"37",,"47.66","47.66","414.62","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"138.03","69.015","Alliant","Health Exchange","RT,26",,"62",,"85.58","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"138.03","69.015","Pruitt Healthcare","Medicare Advantage","RT,26",,"54",,"74.54","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"138.03","69.015","Medicare",,"RT,26",,"54",,"74.81","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"138.03","69.015","Humana","Medicare Advantage","RT,26",,"54",,"74.81","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"138.03","69.015","UHC","Medicare Advantage","RT,26",,"54",,"74.81","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"138.03","69.015","Clover","Medicare Advantage","RT,26",,"54",,"74.81","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"138.03","69.015","Wellcare","Medicare Advantage","RT,26",,"54",,"74.81","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"138.03","69.015","Amerigroup","Medicaid Managed Care","RT,26",,"37",,"50.52","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"138.03","69.015","Caresource","Medicaid Managed Care","RT,26",,"40",,"55.21","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"138.03","69.015","Wellcare","Medicaid Managed Care","RT,26",,"40",,"55.9","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"138.03","69.015","Aetna","Commercial","RT,26",,"64",,"88.06","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"138.03","69.015","Blue Cross Blue Shield","Pathways","RT,26",,"71",,"97.45","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"138.03","69.015","Blue Cross Blue Shield","HMO","RT,26",,"71",,"97.45","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"138.03","69.015","Blue Cross Blue Shield","PPO","RT,26",,"71",,"97.45","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"138.03","69.015","Ambetter","Health Exchange","RT,26",,"62",,"85.58","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"138.03","69.015","Caresource","Health Exchange","RT,26",,"62",,"85.58","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"138.03","69.015","Cigna","Commercial","RT,26",,"59",,"80.89","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"138.03","69.015","Humana","Commercial","RT,26",,"78",,"106.97","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"138.03","69.015","UHC","Commercial","RT,26",,"75",,"104.07","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"138.03","69.015","Medicaid",,"RT,26",,"37",,"50.52","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"161.73","80.865","Alliant","Health Exchange","RT,26",,"62",,"100.27","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"161.73","80.865","Pruitt Healthcare","Medicare Advantage","RT,26",,"54",,"87.33","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"161.73","80.865","Medicare",,"RT,26",,"54",,"87.66","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"161.73","80.865","Humana","Medicare Advantage","RT,26",,"54",,"87.66","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"161.73","80.865","UHC","Medicare Advantage","RT,26",,"54",,"87.66","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"161.73","80.865","Clover","Medicare Advantage","RT,26",,"54",,"87.66","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"161.73","80.865","Wellcare","Medicare Advantage","RT,26",,"54",,"87.66","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"161.73","80.865","Amerigroup","Medicaid Managed Care","RT,26",,"37",,"59.19","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"161.73","80.865","Caresource","Medicaid Managed Care","RT,26",,"40",,"64.69","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"161.73","80.865","Wellcare","Medicaid Managed Care","RT,26",,"40",,"65.5","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"161.73","80.865","Aetna","Commercial","RT,26",,"64",,"103.18","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"161.73","80.865","Blue Cross Blue Shield","Pathways","RT,26",,"71",,"114.18","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"161.73","80.865","Blue Cross Blue Shield","HMO","RT,26",,"71",,"114.18","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"161.73","80.865","Blue Cross Blue Shield","PPO","RT,26",,"71",,"114.18","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"161.73","80.865","Ambetter","Health Exchange","RT,26",,"62",,"100.27","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"161.73","80.865","Caresource","Health Exchange","RT,26",,"62",,"100.27","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"161.73","80.865","Cigna","Commercial","RT,26",,"59",,"94.77","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"161.73","80.865","Humana","Commercial","RT,26",,"78",,"125.34","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"161.73","80.865","UHC","Commercial","RT,26",,"75",,"121.94","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"161.73","80.865","Medicaid",,"RT,26",,"37",,"59.19","59.19","261.56","percent of total billed charges",,
"XR AH SPINE CERVICAL 2 OR 3 VIEWS","72040","HCPCS","Both",,,"31.47","15.735","Alliant","Health Exchange","26",,"62",,"19.51","11.52","706.8","percent of total billed charges",,
"XR AH SPINE CERVICAL 2 OR 3 VIEWS","72040","HCPCS","Both",,,"31.47","15.735","Pruitt Healthcare","Medicare Advantage","26",,"54",,"16.99","11.52","706.8","percent of total billed charges",,
"XR AH SPINE CERVICAL 2 OR 3 VIEWS","72040","HCPCS","Both",,,"31.47","15.735","Medicare",,"26",,"54",,"17.06","11.52","706.8","percent of total billed charges",,
"XR AH SPINE CERVICAL 2 OR 3 VIEWS","72040","HCPCS","Both",,,"31.47","15.735","Humana","Medicare Advantage","26",,"54",,"17.06","11.52","706.8","percent of total billed charges",,
"XR AH SPINE CERVICAL 2 OR 3 VIEWS","72040","HCPCS","Both",,,"31.47","15.735","UHC","Medicare Advantage","26",,"54",,"17.06","11.52","706.8","percent of total billed charges",,
"XR AH SPINE CERVICAL 2 OR 3 VIEWS","72040","HCPCS","Both",,,"31.47","15.735","Clover","Medicare Advantage","26",,"54",,"17.06","11.52","706.8","percent of total billed charges",,
"XR AH SPINE CERVICAL 2 OR 3 VIEWS","72040","HCPCS","Both",,,"31.47","15.735","Wellcare","Medicare Advantage","26",,"54",,"17.06","11.52","706.8","percent of total billed charges",,
"XR AH SPINE CERVICAL 2 OR 3 VIEWS","72040","HCPCS","Both",,,"31.47","15.735","Amerigroup","Medicaid Managed Care","26",,"37",,"11.52","11.52","706.8","percent of total billed charges",,
"XR AH SPINE CERVICAL 2 OR 3 VIEWS","72040","HCPCS","Both",,,"31.47","15.735","Caresource","Medicaid Managed Care","26",,"40",,"12.59","11.52","706.8","percent of total billed charges",,
"XR AH SPINE CERVICAL 2 OR 3 VIEWS","72040","HCPCS","Both",,,"31.47","15.735","Wellcare","Medicaid Managed Care","26",,"40",,"12.75","11.52","706.8","percent of total billed charges",,
"XR AH SPINE CERVICAL 2 OR 3 VIEWS","72040","HCPCS","Both",,,"31.47","15.735","Aetna","Commercial","26",,"64",,"20.08","11.52","706.8","percent of total billed charges",,
"XR AH SPINE CERVICAL 2 OR 3 VIEWS","72040","HCPCS","Both",,,"31.47","15.735","Blue Cross Blue Shield","Pathways","26",,"71",,"22.22","11.52","706.8","percent of total billed charges",,
"XR AH SPINE CERVICAL 2 OR 3 VIEWS","72040","HCPCS","Both",,,"31.47","15.735","Blue Cross Blue Shield","HMO","26",,"71",,"22.22","11.52","706.8","percent of total billed charges",,
"XR AH SPINE CERVICAL 2 OR 3 VIEWS","72040","HCPCS","Both",,,"31.47","15.735","Blue Cross Blue Shield","PPO","26",,"71",,"22.22","11.52","706.8","percent of total billed charges",,
"XR AH SPINE CERVICAL 2 OR 3 VIEWS","72040","HCPCS","Both",,,"31.47","15.735","Ambetter","Health Exchange","26",,"62",,"19.51","11.52","706.8","percent of total billed charges",,
"XR AH SPINE CERVICAL 2 OR 3 VIEWS","72040","HCPCS","Both",,,"31.47","15.735","Caresource","Health Exchange","26",,"62",,"19.51","11.52","706.8","percent of total billed charges",,
"XR AH SPINE CERVICAL 2 OR 3 VIEWS","72040","HCPCS","Both",,,"31.47","15.735","Cigna","Commercial","26",,"59",,"18.44","11.52","706.8","percent of total billed charges",,
"XR AH SPINE CERVICAL 2 OR 3 VIEWS","72040","HCPCS","Both",,,"31.47","15.735","Humana","Commercial","26",,"78",,"24.39","11.52","706.8","percent of total billed charges",,
"XR AH SPINE CERVICAL 2 OR 3 VIEWS","72040","HCPCS","Both",,,"31.47","15.735","UHC","Commercial","26",,"75",,"23.73","11.52","706.8","percent of total billed charges",,
"XR AH SPINE CERVICAL 2 OR 3 VIEWS","72040","HCPCS","Both",,,"31.47","15.735","Medicaid",,"26",,"37",,"11.52","11.52","706.8","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"177.54","88.77","Alliant","Health Exchange","RT,26",,"62",,"110.07","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"177.54","88.77","Pruitt Healthcare","Medicare Advantage","RT,26",,"54",,"95.87","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"177.54","88.77","Medicare",,"RT,26",,"54",,"96.23","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"177.54","88.77","Humana","Medicare Advantage","RT,26",,"54",,"96.23","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"177.54","88.77","UHC","Medicare Advantage","RT,26",,"54",,"96.23","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"177.54","88.77","Clover","Medicare Advantage","RT,26",,"54",,"96.23","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"177.54","88.77","Wellcare","Medicare Advantage","RT,26",,"54",,"96.23","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"177.54","88.77","Amerigroup","Medicaid Managed Care","RT,26",,"37",,"64.98","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"177.54","88.77","Caresource","Medicaid Managed Care","RT,26",,"40",,"71.02","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"177.54","88.77","Wellcare","Medicaid Managed Care","RT,26",,"40",,"71.9","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"177.54","88.77","Aetna","Commercial","RT,26",,"64",,"113.27","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"177.54","88.77","Blue Cross Blue Shield","Pathways","RT,26",,"71",,"125.34","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"177.54","88.77","Blue Cross Blue Shield","HMO","RT,26",,"71",,"125.34","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"177.54","88.77","Blue Cross Blue Shield","PPO","RT,26",,"71",,"125.34","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"177.54","88.77","Ambetter","Health Exchange","RT,26",,"62",,"110.07","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"177.54","88.77","Caresource","Health Exchange","RT,26",,"62",,"110.07","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"177.54","88.77","Cigna","Commercial","RT,26",,"59",,"104.04","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"177.54","88.77","Humana","Commercial","RT,26",,"78",,"137.59","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"177.54","88.77","UHC","Commercial","RT,26",,"75",,"133.87","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/O CONTRAST","73700","HCPCS","Both",,,"177.54","88.77","Medicaid",,"RT,26",,"37",,"64.98","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"161.73","80.865","Alliant","Health Exchange","RT,26",,"62",,"100.27","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"161.73","80.865","Pruitt Healthcare","Medicare Advantage","RT,26",,"54",,"87.33","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"161.73","80.865","Medicare",,"RT,26",,"54",,"87.66","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"161.73","80.865","Humana","Medicare Advantage","RT,26",,"54",,"87.66","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"161.73","80.865","UHC","Medicare Advantage","RT,26",,"54",,"87.66","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"161.73","80.865","Clover","Medicare Advantage","RT,26",,"54",,"87.66","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"161.73","80.865","Wellcare","Medicare Advantage","RT,26",,"54",,"87.66","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"161.73","80.865","Amerigroup","Medicaid Managed Care","RT,26",,"37",,"59.19","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"161.73","80.865","Caresource","Medicaid Managed Care","RT,26",,"40",,"64.69","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"161.73","80.865","Wellcare","Medicaid Managed Care","RT,26",,"40",,"65.5","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"161.73","80.865","Aetna","Commercial","RT,26",,"64",,"103.18","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"161.73","80.865","Blue Cross Blue Shield","Pathways","RT,26",,"71",,"114.18","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"161.73","80.865","Blue Cross Blue Shield","HMO","RT,26",,"71",,"114.18","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"161.73","80.865","Blue Cross Blue Shield","PPO","RT,26",,"71",,"114.18","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"161.73","80.865","Ambetter","Health Exchange","RT,26",,"62",,"100.27","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"161.73","80.865","Caresource","Health Exchange","RT,26",,"62",,"100.27","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"161.73","80.865","Cigna","Commercial","RT,26",,"59",,"94.77","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"161.73","80.865","Humana","Commercial","RT,26",,"78",,"125.34","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"161.73","80.865","UHC","Commercial","RT,26",,"75",,"121.94","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY RIGHT W/CONTRAST","73701","HCPCS","Both",,,"161.73","80.865","Medicaid",,"RT,26",,"37",,"59.19","59.19","524.29","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Alliant","Health Exchange","26",,"62",,"157.77","93.13","651","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Pruitt Healthcare","Medicare Advantage","26",,"54",,"137.41","93.13","651","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Medicare",,"26",,"54",,"137.92","93.13","651","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Humana","Medicare Advantage","26",,"54",,"137.92","93.13","651","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","UHC","Medicare Advantage","26",,"54",,"137.92","93.13","651","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Clover","Medicare Advantage","26",,"54",,"137.92","93.13","651","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Wellcare","Medicare Advantage","26",,"54",,"137.92","93.13","651","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Amerigroup","Medicaid Managed Care","26",,"37",,"93.13","93.13","651","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Caresource","Medicaid Managed Care","26",,"40",,"101.78","93.13","651","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Wellcare","Medicaid Managed Care","26",,"40",,"103.06","93.13","651","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Aetna","Commercial","26",,"64",,"162.35","93.13","651","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Blue Cross Blue Shield","Pathways","26",,"71",,"179.65","93.13","651","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Blue Cross Blue Shield","HMO","26",,"71",,"179.65","93.13","651","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Blue Cross Blue Shield","PPO","26",,"71",,"179.65","93.13","651","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Ambetter","Health Exchange","26",,"62",,"157.77","93.13","651","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Caresource","Health Exchange","26",,"62",,"157.77","93.13","651","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Cigna","Commercial","26",,"59",,"149.11","93.13","651","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Humana","Commercial","26",,"78",,"197.21","93.13","651","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","UHC","Commercial","26",,"75",,"191.86","93.13","651","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Medicaid",,"26",,"37",,"93.13","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Alliant","Health Exchange","26",,"62",,"157.77","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Pruitt Healthcare","Medicare Advantage","26",,"54",,"137.41","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Medicare",,"26",,"54",,"137.92","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Humana","Medicare Advantage","26",,"54",,"137.92","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","UHC","Medicare Advantage","26",,"54",,"137.92","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Clover","Medicare Advantage","26",,"54",,"137.92","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Wellcare","Medicare Advantage","26",,"54",,"137.92","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Amerigroup","Medicaid Managed Care","26",,"37",,"93.13","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Caresource","Medicaid Managed Care","26",,"40",,"101.78","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Wellcare","Medicaid Managed Care","26",,"40",,"103.06","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Aetna","Commercial","26",,"64",,"162.35","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Blue Cross Blue Shield","Pathways","26",,"71",,"179.65","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Blue Cross Blue Shield","HMO","26",,"71",,"179.65","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Blue Cross Blue Shield","PPO","26",,"71",,"179.65","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Ambetter","Health Exchange","26",,"62",,"157.77","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Caresource","Health Exchange","26",,"62",,"157.77","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Cigna","Commercial","26",,"59",,"149.11","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Humana","Commercial","26",,"78",,"197.21","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","UHC","Commercial","26",,"75",,"191.86","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Medicaid",,"26",,"37",,"93.13","93.13","651","percent of total billed charges",,
"CT AH A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"279.15","139.575","Alliant","Health Exchange","26",,"62",,"173.07","102.17","329.76","percent of total billed charges",,
"CT AH A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"279.15","139.575","Pruitt Healthcare","Medicare Advantage","26",,"54",,"150.74","102.17","329.76","percent of total billed charges",,
"CT AH A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"279.15","139.575","Medicare",,"26",,"54",,"151.3","102.17","329.76","percent of total billed charges",,
"CT AH A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"279.15","139.575","Humana","Medicare Advantage","26",,"54",,"151.3","102.17","329.76","percent of total billed charges",,
"CT AH A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"279.15","139.575","UHC","Medicare Advantage","26",,"54",,"151.3","102.17","329.76","percent of total billed charges",,
"CT AH A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"279.15","139.575","Clover","Medicare Advantage","26",,"54",,"151.3","102.17","329.76","percent of total billed charges",,
"CT AH A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"279.15","139.575","Wellcare","Medicare Advantage","26",,"54",,"151.3","102.17","329.76","percent of total billed charges",,
"CT AH A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"279.15","139.575","Amerigroup","Medicaid Managed Care","26",,"37",,"102.17","102.17","329.76","percent of total billed charges",,
"CT AH A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"279.15","139.575","Caresource","Medicaid Managed Care","26",,"40",,"111.66","102.17","329.76","percent of total billed charges",,
"CT AH A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"279.15","139.575","Wellcare","Medicaid Managed Care","26",,"40",,"113.06","102.17","329.76","percent of total billed charges",,
"CT AH A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"279.15","139.575","Aetna","Commercial","26",,"64",,"178.1","102.17","329.76","percent of total billed charges",,
"CT AH A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"279.15","139.575","Blue Cross Blue Shield","Pathways","26",,"71",,"197.08","102.17","329.76","percent of total billed charges",,
"CT AH A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"279.15","139.575","Blue Cross Blue Shield","HMO","26",,"71",,"197.08","102.17","329.76","percent of total billed charges",,
"CT AH A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"279.15","139.575","Blue Cross Blue Shield","PPO","26",,"71",,"197.08","102.17","329.76","percent of total billed charges",,
"CT AH A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"279.15","139.575","Ambetter","Health Exchange","26",,"62",,"173.07","102.17","329.76","percent of total billed charges",,
"CT AH A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"279.15","139.575","Caresource","Health Exchange","26",,"62",,"173.07","102.17","329.76","percent of total billed charges",,
"CT AH A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"279.15","139.575","Cigna","Commercial","26",,"59",,"163.58","102.17","329.76","percent of total billed charges",,
"CT AH A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"279.15","139.575","Humana","Commercial","26",,"78",,"216.34","102.17","329.76","percent of total billed charges",,
"CT AH A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"279.15","139.575","UHC","Commercial","26",,"75",,"210.48","102.17","329.76","percent of total billed charges",,
"CT AH A/P W & W/O CONTRAST","74178","HCPCS","Both",,,"279.15","139.575","Medicaid",,"26",,"37",,"102.17","102.17","329.76","percent of total billed charges",,
"CT AH ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"253.56","126.78","Alliant","Health Exchange","26",,"62",,"157.21","92.8","942.79","percent of total billed charges",,
"CT AH ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"253.56","126.78","Pruitt Healthcare","Medicare Advantage","26",,"54",,"136.92","92.8","942.79","percent of total billed charges",,
"CT AH ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"253.56","126.78","Medicare",,"26",,"54",,"137.43","92.8","942.79","percent of total billed charges",,
"CT AH ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"253.56","126.78","Humana","Medicare Advantage","26",,"54",,"137.43","92.8","942.79","percent of total billed charges",,
"CT AH ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"253.56","126.78","UHC","Medicare Advantage","26",,"54",,"137.43","92.8","942.79","percent of total billed charges",,
"CT AH ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"253.56","126.78","Clover","Medicare Advantage","26",,"54",,"137.43","92.8","942.79","percent of total billed charges",,
"CT AH ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"253.56","126.78","Wellcare","Medicare Advantage","26",,"54",,"137.43","92.8","942.79","percent of total billed charges",,
"CT AH ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"253.56","126.78","Amerigroup","Medicaid Managed Care","26",,"37",,"92.8","92.8","942.79","percent of total billed charges",,
"CT AH ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"253.56","126.78","Caresource","Medicaid Managed Care","26",,"40",,"101.42","92.8","942.79","percent of total billed charges",,
"CT AH ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"253.56","126.78","Wellcare","Medicaid Managed Care","26",,"40",,"102.69","92.8","942.79","percent of total billed charges",,
"CT AH ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"253.56","126.78","Aetna","Commercial","26",,"64",,"161.77","92.8","942.79","percent of total billed charges",,
"CT AH ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"253.56","126.78","Blue Cross Blue Shield","Pathways","26",,"71",,"179.01","92.8","942.79","percent of total billed charges",,
"CT AH ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"253.56","126.78","Blue Cross Blue Shield","HMO","26",,"71",,"179.01","92.8","942.79","percent of total billed charges",,
"CT AH ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"253.56","126.78","Blue Cross Blue Shield","PPO","26",,"71",,"179.01","92.8","942.79","percent of total billed charges",,
"CT AH ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"253.56","126.78","Ambetter","Health Exchange","26",,"62",,"157.21","92.8","942.79","percent of total billed charges",,
"CT AH ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"253.56","126.78","Caresource","Health Exchange","26",,"62",,"157.21","92.8","942.79","percent of total billed charges",,
"CT AH ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"253.56","126.78","Cigna","Commercial","26",,"59",,"148.59","92.8","942.79","percent of total billed charges",,
"CT AH ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"253.56","126.78","Humana","Commercial","26",,"78",,"196.51","92.8","942.79","percent of total billed charges",,
"CT AH ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"253.56","126.78","UHC","Commercial","26",,"75",,"191.18","92.8","942.79","percent of total billed charges",,
"CT AH ANGIOGRAPHY CHEST PE with CONTRAST","71275","HCPCS","Both",,,"253.56","126.78","Medicaid",,"26",,"37",,"92.8","92.8","942.79","percent of total billed charges",,
"CT AH A/P W/O CONTRAST","74176","HCPCS","Both",,,"243.63","121.815","Alliant","Health Exchange","26",,"62",,"151.05","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/O CONTRAST","74176","HCPCS","Both",,,"243.63","121.815","Pruitt Healthcare","Medicare Advantage","26",,"54",,"131.56","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/O CONTRAST","74176","HCPCS","Both",,,"243.63","121.815","Medicare",,"26",,"54",,"132.05","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/O CONTRAST","74176","HCPCS","Both",,,"243.63","121.815","Humana","Medicare Advantage","26",,"54",,"132.05","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/O CONTRAST","74176","HCPCS","Both",,,"243.63","121.815","UHC","Medicare Advantage","26",,"54",,"132.05","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/O CONTRAST","74176","HCPCS","Both",,,"243.63","121.815","Clover","Medicare Advantage","26",,"54",,"132.05","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/O CONTRAST","74176","HCPCS","Both",,,"243.63","121.815","Wellcare","Medicare Advantage","26",,"54",,"132.05","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/O CONTRAST","74176","HCPCS","Both",,,"243.63","121.815","Amerigroup","Medicaid Managed Care","26",,"37",,"89.17","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/O CONTRAST","74176","HCPCS","Both",,,"243.63","121.815","Caresource","Medicaid Managed Care","26",,"40",,"97.45","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/O CONTRAST","74176","HCPCS","Both",,,"243.63","121.815","Wellcare","Medicaid Managed Care","26",,"40",,"98.67","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/O CONTRAST","74176","HCPCS","Both",,,"243.63","121.815","Aetna","Commercial","26",,"64",,"155.44","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/O CONTRAST","74176","HCPCS","Both",,,"243.63","121.815","Blue Cross Blue Shield","Pathways","26",,"71",,"172","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/O CONTRAST","74176","HCPCS","Both",,,"243.63","121.815","Blue Cross Blue Shield","HMO","26",,"71",,"172","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/O CONTRAST","74176","HCPCS","Both",,,"243.63","121.815","Blue Cross Blue Shield","PPO","26",,"71",,"172","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/O CONTRAST","74176","HCPCS","Both",,,"243.63","121.815","Ambetter","Health Exchange","26",,"62",,"151.05","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/O CONTRAST","74176","HCPCS","Both",,,"243.63","121.815","Caresource","Health Exchange","26",,"62",,"151.05","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/O CONTRAST","74176","HCPCS","Both",,,"243.63","121.815","Cigna","Commercial","26",,"59",,"142.77","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/O CONTRAST","74176","HCPCS","Both",,,"243.63","121.815","Humana","Commercial","26",,"78",,"188.81","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/O CONTRAST","74176","HCPCS","Both",,,"243.63","121.815","UHC","Commercial","26",,"75",,"183.7","89.17","798.31","percent of total billed charges",,
"CT AH A/P W/O CONTRAST","74176","HCPCS","Both",,,"243.63","121.815","Medicaid",,"26",,"37",,"89.17","89.17","798.31","percent of total billed charges",,
"CT AH ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"244.65","122.325","Alliant","Health Exchange","26",,"62",,"151.68","89.54","625.43","percent of total billed charges",,
"CT AH ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"244.65","122.325","Pruitt Healthcare","Medicare Advantage","26",,"54",,"132.11","89.54","625.43","percent of total billed charges",,
"CT AH ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"244.65","122.325","Medicare",,"26",,"54",,"132.6","89.54","625.43","percent of total billed charges",,
"CT AH ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"244.65","122.325","Humana","Medicare Advantage","26",,"54",,"132.6","89.54","625.43","percent of total billed charges",,
"CT AH ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"244.65","122.325","UHC","Medicare Advantage","26",,"54",,"132.6","89.54","625.43","percent of total billed charges",,
"CT AH ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"244.65","122.325","Clover","Medicare Advantage","26",,"54",,"132.6","89.54","625.43","percent of total billed charges",,
"CT AH ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"244.65","122.325","Wellcare","Medicare Advantage","26",,"54",,"132.6","89.54","625.43","percent of total billed charges",,
"CT AH ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"244.65","122.325","Amerigroup","Medicaid Managed Care","26",,"37",,"89.54","89.54","625.43","percent of total billed charges",,
"CT AH ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"244.65","122.325","Caresource","Medicaid Managed Care","26",,"40",,"97.86","89.54","625.43","percent of total billed charges",,
"CT AH ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"244.65","122.325","Wellcare","Medicaid Managed Care","26",,"40",,"99.08","89.54","625.43","percent of total billed charges",,
"CT AH ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"244.65","122.325","Aetna","Commercial","26",,"64",,"156.09","89.54","625.43","percent of total billed charges",,
"CT AH ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"244.65","122.325","Blue Cross Blue Shield","Pathways","26",,"71",,"172.72","89.54","625.43","percent of total billed charges",,
"CT AH ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"244.65","122.325","Blue Cross Blue Shield","HMO","26",,"71",,"172.72","89.54","625.43","percent of total billed charges",,
"CT AH ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"244.65","122.325","Blue Cross Blue Shield","PPO","26",,"71",,"172.72","89.54","625.43","percent of total billed charges",,
"CT AH ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"244.65","122.325","Ambetter","Health Exchange","26",,"62",,"151.68","89.54","625.43","percent of total billed charges",,
"CT AH ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"244.65","122.325","Caresource","Health Exchange","26",,"62",,"151.68","89.54","625.43","percent of total billed charges",,
"CT AH ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"244.65","122.325","Cigna","Commercial","26",,"59",,"143.36","89.54","625.43","percent of total billed charges",,
"CT AH ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"244.65","122.325","Humana","Commercial","26",,"78",,"189.6","89.54","625.43","percent of total billed charges",,
"CT AH ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"244.65","122.325","UHC","Commercial","26",,"75",,"184.47","89.54","625.43","percent of total billed charges",,
"CT AH ANGIOGRAPHY HEAD","70496","HCPCS","Both",,,"244.65","122.325","Medicaid",,"26",,"37",,"89.54","89.54","625.43","percent of total billed charges",,
"CT AH ANGIOGRAPHY ABD AORTA & BILAT ILIO","75635","HCPCS","Both",,,"328.92","164.46","Alliant","Health Exchange","26",,"62",,"203.93","120.38","276.68","percent of total billed charges",,
"CT AH ANGIOGRAPHY ABD AORTA & BILAT ILIO","75635","HCPCS","Both",,,"328.92","164.46","Pruitt Healthcare","Medicare Advantage","26",,"54",,"177.62","120.38","276.68","percent of total billed charges",,
"CT AH ANGIOGRAPHY ABD AORTA & BILAT ILIO","75635","HCPCS","Both",,,"328.92","164.46","Medicare",,"26",,"54",,"178.27","120.38","276.68","percent of total billed charges",,
"CT AH ANGIOGRAPHY ABD AORTA & BILAT ILIO","75635","HCPCS","Both",,,"328.92","164.46","Humana","Medicare Advantage","26",,"54",,"178.27","120.38","276.68","percent of total billed charges",,
"CT AH ANGIOGRAPHY ABD AORTA & BILAT ILIO","75635","HCPCS","Both",,,"328.92","164.46","UHC","Medicare Advantage","26",,"54",,"178.27","120.38","276.68","percent of total billed charges",,
"CT AH ANGIOGRAPHY ABD AORTA & BILAT ILIO","75635","HCPCS","Both",,,"328.92","164.46","Clover","Medicare Advantage","26",,"54",,"178.27","120.38","276.68","percent of total billed charges",,
"CT AH ANGIOGRAPHY ABD AORTA & BILAT ILIO","75635","HCPCS","Both",,,"328.92","164.46","Wellcare","Medicare Advantage","26",,"54",,"178.27","120.38","276.68","percent of total billed charges",,
"CT AH ANGIOGRAPHY ABD AORTA & BILAT ILIO","75635","HCPCS","Both",,,"328.92","164.46","Amerigroup","Medicaid Managed Care","26",,"37",,"120.38","120.38","276.68","percent of total billed charges",,
"CT AH ANGIOGRAPHY ABD AORTA & BILAT ILIO","75635","HCPCS","Both",,,"328.92","164.46","Caresource","Medicaid Managed Care","26",,"40",,"131.57","120.38","276.68","percent of total billed charges",,
"CT AH ANGIOGRAPHY ABD AORTA & BILAT ILIO","75635","HCPCS","Both",,,"328.92","164.46","Wellcare","Medicaid Managed Care","26",,"40",,"133.21","120.38","276.68","percent of total billed charges",,
"CT AH ANGIOGRAPHY ABD AORTA & BILAT ILIO","75635","HCPCS","Both",,,"328.92","164.46","Aetna","Commercial","26",,"64",,"209.85","120.38","276.68","percent of total billed charges",,
"CT AH ANGIOGRAPHY ABD AORTA & BILAT ILIO","75635","HCPCS","Both",,,"328.92","164.46","Blue Cross Blue Shield","Pathways","26",,"71",,"232.22","120.38","276.68","percent of total billed charges",,
"CT AH ANGIOGRAPHY ABD AORTA & BILAT ILIO","75635","HCPCS","Both",,,"328.92","164.46","Blue Cross Blue Shield","HMO","26",,"71",,"232.22","120.38","276.68","percent of total billed charges",,
"CT AH ANGIOGRAPHY ABD AORTA & BILAT ILIO","75635","HCPCS","Both",,,"328.92","164.46","Blue Cross Blue Shield","PPO","26",,"71",,"232.22","120.38","276.68","percent of total billed charges",,
"CT AH ANGIOGRAPHY ABD AORTA & BILAT ILIO","75635","HCPCS","Both",,,"328.92","164.46","Ambetter","Health Exchange","26",,"62",,"203.93","120.38","276.68","percent of total billed charges",,
"CT AH ANGIOGRAPHY ABD AORTA & BILAT ILIO","75635","HCPCS","Both",,,"328.92","164.46","Caresource","Health Exchange","26",,"62",,"203.93","120.38","276.68","percent of total billed charges",,
"CT AH ANGIOGRAPHY ABD AORTA & BILAT ILIO","75635","HCPCS","Both",,,"328.92","164.46","Cigna","Commercial","26",,"59",,"192.75","120.38","276.68","percent of total billed charges",,
"CT AH ANGIOGRAPHY ABD AORTA & BILAT ILIO","75635","HCPCS","Both",,,"328.92","164.46","Humana","Commercial","26",,"78",,"254.91","120.38","276.68","percent of total billed charges",,
"CT AH ANGIOGRAPHY ABD AORTA & BILAT ILIO","75635","HCPCS","Both",,,"328.92","164.46","UHC","Commercial","26",,"75",,"248.01","120.38","276.68","percent of total billed charges",,
"CT AH ANGIOGRAPHY ABD AORTA & BILAT ILIO","75635","HCPCS","Both",,,"328.92","164.46","Medicaid",,"26",,"37",,"120.38","120.38","276.68","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 4 VIEWS MIN","72110","HCPCS","Both",,,"36.42","18.21","Alliant","Health Exchange","26",,"62",,"22.58","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 4 VIEWS MIN","72110","HCPCS","Both",,,"36.42","18.21","Pruitt Healthcare","Medicare Advantage","26",,"54",,"19.67","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 4 VIEWS MIN","72110","HCPCS","Both",,,"36.42","18.21","Medicare",,"26",,"54",,"19.74","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 4 VIEWS MIN","72110","HCPCS","Both",,,"36.42","18.21","Humana","Medicare Advantage","26",,"54",,"19.74","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 4 VIEWS MIN","72110","HCPCS","Both",,,"36.42","18.21","UHC","Medicare Advantage","26",,"54",,"19.74","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 4 VIEWS MIN","72110","HCPCS","Both",,,"36.42","18.21","Clover","Medicare Advantage","26",,"54",,"19.74","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 4 VIEWS MIN","72110","HCPCS","Both",,,"36.42","18.21","Wellcare","Medicare Advantage","26",,"54",,"19.74","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 4 VIEWS MIN","72110","HCPCS","Both",,,"36.42","18.21","Amerigroup","Medicaid Managed Care","26",,"37",,"13.33","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 4 VIEWS MIN","72110","HCPCS","Both",,,"36.42","18.21","Caresource","Medicaid Managed Care","26",,"40",,"14.57","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 4 VIEWS MIN","72110","HCPCS","Both",,,"36.42","18.21","Wellcare","Medicaid Managed Care","26",,"40",,"14.75","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 4 VIEWS MIN","72110","HCPCS","Both",,,"36.42","18.21","Aetna","Commercial","26",,"64",,"23.24","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 4 VIEWS MIN","72110","HCPCS","Both",,,"36.42","18.21","Blue Cross Blue Shield","Pathways","26",,"71",,"25.71","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 4 VIEWS MIN","72110","HCPCS","Both",,,"36.42","18.21","Blue Cross Blue Shield","HMO","26",,"71",,"25.71","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 4 VIEWS MIN","72110","HCPCS","Both",,,"36.42","18.21","Blue Cross Blue Shield","PPO","26",,"71",,"25.71","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 4 VIEWS MIN","72110","HCPCS","Both",,,"36.42","18.21","Ambetter","Health Exchange","26",,"62",,"22.58","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 4 VIEWS MIN","72110","HCPCS","Both",,,"36.42","18.21","Caresource","Health Exchange","26",,"62",,"22.58","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 4 VIEWS MIN","72110","HCPCS","Both",,,"36.42","18.21","Cigna","Commercial","26",,"59",,"21.34","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 4 VIEWS MIN","72110","HCPCS","Both",,,"36.42","18.21","Humana","Commercial","26",,"78",,"28.23","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 4 VIEWS MIN","72110","HCPCS","Both",,,"36.42","18.21","UHC","Commercial","26",,"75",,"27.46","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 4 VIEWS MIN","72110","HCPCS","Both",,,"36.42","18.21","Medicaid",,"26",,"37",,"13.33","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 2 OR 3 VIEWS","72100","HCPCS","Both",,,"31.47","15.735","Alliant","Health Exchange","26",,"62",,"19.51","11.52","780.18","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 2 OR 3 VIEWS","72100","HCPCS","Both",,,"31.47","15.735","Pruitt Healthcare","Medicare Advantage","26",,"54",,"16.99","11.52","780.18","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 2 OR 3 VIEWS","72100","HCPCS","Both",,,"31.47","15.735","Medicare",,"26",,"54",,"17.06","11.52","780.18","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 2 OR 3 VIEWS","72100","HCPCS","Both",,,"31.47","15.735","Humana","Medicare Advantage","26",,"54",,"17.06","11.52","780.18","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 2 OR 3 VIEWS","72100","HCPCS","Both",,,"31.47","15.735","UHC","Medicare Advantage","26",,"54",,"17.06","11.52","780.18","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 2 OR 3 VIEWS","72100","HCPCS","Both",,,"31.47","15.735","Clover","Medicare Advantage","26",,"54",,"17.06","11.52","780.18","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 2 OR 3 VIEWS","72100","HCPCS","Both",,,"31.47","15.735","Wellcare","Medicare Advantage","26",,"54",,"17.06","11.52","780.18","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 2 OR 3 VIEWS","72100","HCPCS","Both",,,"31.47","15.735","Amerigroup","Medicaid Managed Care","26",,"37",,"11.52","11.52","780.18","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 2 OR 3 VIEWS","72100","HCPCS","Both",,,"31.47","15.735","Caresource","Medicaid Managed Care","26",,"40",,"12.59","11.52","780.18","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 2 OR 3 VIEWS","72100","HCPCS","Both",,,"31.47","15.735","Wellcare","Medicaid Managed Care","26",,"40",,"12.75","11.52","780.18","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 2 OR 3 VIEWS","72100","HCPCS","Both",,,"31.47","15.735","Aetna","Commercial","26",,"64",,"20.08","11.52","780.18","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 2 OR 3 VIEWS","72100","HCPCS","Both",,,"31.47","15.735","Blue Cross Blue Shield","Pathways","26",,"71",,"22.22","11.52","780.18","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 2 OR 3 VIEWS","72100","HCPCS","Both",,,"31.47","15.735","Blue Cross Blue Shield","HMO","26",,"71",,"22.22","11.52","780.18","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 2 OR 3 VIEWS","72100","HCPCS","Both",,,"31.47","15.735","Blue Cross Blue Shield","PPO","26",,"71",,"22.22","11.52","780.18","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 2 OR 3 VIEWS","72100","HCPCS","Both",,,"31.47","15.735","Ambetter","Health Exchange","26",,"62",,"19.51","11.52","780.18","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 2 OR 3 VIEWS","72100","HCPCS","Both",,,"31.47","15.735","Caresource","Health Exchange","26",,"62",,"19.51","11.52","780.18","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 2 OR 3 VIEWS","72100","HCPCS","Both",,,"31.47","15.735","Cigna","Commercial","26",,"59",,"18.44","11.52","780.18","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 2 OR 3 VIEWS","72100","HCPCS","Both",,,"31.47","15.735","Humana","Commercial","26",,"78",,"24.39","11.52","780.18","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 2 OR 3 VIEWS","72100","HCPCS","Both",,,"31.47","15.735","UHC","Commercial","26",,"75",,"23.73","11.52","780.18","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 2 OR 3 VIEWS","72100","HCPCS","Both",,,"31.47","15.735","Medicaid",,"26",,"37",,"11.52","11.52","780.18","percent of total billed charges",,
"XR AH SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"31.47","15.735","Alliant","Health Exchange","26",,"62",,"19.51","11.52","27.9","percent of total billed charges",,
"XR AH SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"31.47","15.735","Pruitt Healthcare","Medicare Advantage","26",,"54",,"16.99","11.52","27.9","percent of total billed charges",,
"XR AH SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"31.47","15.735","Medicare",,"26",,"54",,"17.06","11.52","27.9","percent of total billed charges",,
"XR AH SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"31.47","15.735","Humana","Medicare Advantage","26",,"54",,"17.06","11.52","27.9","percent of total billed charges",,
"XR AH SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"31.47","15.735","UHC","Medicare Advantage","26",,"54",,"17.06","11.52","27.9","percent of total billed charges",,
"XR AH SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"31.47","15.735","Clover","Medicare Advantage","26",,"54",,"17.06","11.52","27.9","percent of total billed charges",,
"XR AH SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"31.47","15.735","Wellcare","Medicare Advantage","26",,"54",,"17.06","11.52","27.9","percent of total billed charges",,
"XR AH SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"31.47","15.735","Amerigroup","Medicaid Managed Care","26",,"37",,"11.52","11.52","27.9","percent of total billed charges",,
"XR AH SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"31.47","15.735","Caresource","Medicaid Managed Care","26",,"40",,"12.59","11.52","27.9","percent of total billed charges",,
"XR AH SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"31.47","15.735","Wellcare","Medicaid Managed Care","26",,"40",,"12.75","11.52","27.9","percent of total billed charges",,
"XR AH SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"31.47","15.735","Aetna","Commercial","26",,"64",,"20.08","11.52","27.9","percent of total billed charges",,
"XR AH SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"31.47","15.735","Blue Cross Blue Shield","Pathways","26",,"71",,"22.22","11.52","27.9","percent of total billed charges",,
"XR AH SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"31.47","15.735","Blue Cross Blue Shield","HMO","26",,"71",,"22.22","11.52","27.9","percent of total billed charges",,
"XR AH SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"31.47","15.735","Blue Cross Blue Shield","PPO","26",,"71",,"22.22","11.52","27.9","percent of total billed charges",,
"XR AH SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"31.47","15.735","Ambetter","Health Exchange","26",,"62",,"19.51","11.52","27.9","percent of total billed charges",,
"XR AH SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"31.47","15.735","Caresource","Health Exchange","26",,"62",,"19.51","11.52","27.9","percent of total billed charges",,
"XR AH SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"31.47","15.735","Cigna","Commercial","26",,"59",,"18.44","11.52","27.9","percent of total billed charges",,
"XR AH SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"31.47","15.735","Humana","Commercial","26",,"78",,"24.39","11.52","27.9","percent of total billed charges",,
"XR AH SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"31.47","15.735","UHC","Commercial","26",,"75",,"23.73","11.52","27.9","percent of total billed charges",,
"XR AH SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"31.47","15.735","Medicaid",,"26",,"37",,"11.52","11.52","27.9","percent of total billed charges",,
"XR AH FINGERS MIN 2 VIEWS","73140","HCPCS","Both",,,"19.62","9.81","Alliant","Health Exchange","26",,"62",,"12.16","7.18","364.29","percent of total billed charges",,
"XR AH FINGERS MIN 2 VIEWS","73140","HCPCS","Both",,,"19.62","9.81","Pruitt Healthcare","Medicare Advantage","26",,"54",,"10.59","7.18","364.29","percent of total billed charges",,
"XR AH FINGERS MIN 2 VIEWS","73140","HCPCS","Both",,,"19.62","9.81","Medicare",,"26",,"54",,"10.63","7.18","364.29","percent of total billed charges",,
"XR AH FINGERS MIN 2 VIEWS","73140","HCPCS","Both",,,"19.62","9.81","Humana","Medicare Advantage","26",,"54",,"10.63","7.18","364.29","percent of total billed charges",,
"XR AH FINGERS MIN 2 VIEWS","73140","HCPCS","Both",,,"19.62","9.81","UHC","Medicare Advantage","26",,"54",,"10.63","7.18","364.29","percent of total billed charges",,
"XR AH FINGERS MIN 2 VIEWS","73140","HCPCS","Both",,,"19.62","9.81","Clover","Medicare Advantage","26",,"54",,"10.63","7.18","364.29","percent of total billed charges",,
"XR AH FINGERS MIN 2 VIEWS","73140","HCPCS","Both",,,"19.62","9.81","Wellcare","Medicare Advantage","26",,"54",,"10.63","7.18","364.29","percent of total billed charges",,
"XR AH FINGERS MIN 2 VIEWS","73140","HCPCS","Both",,,"19.62","9.81","Amerigroup","Medicaid Managed Care","26",,"37",,"7.18","7.18","364.29","percent of total billed charges",,
"XR AH FINGERS MIN 2 VIEWS","73140","HCPCS","Both",,,"19.62","9.81","Caresource","Medicaid Managed Care","26",,"40",,"7.85","7.18","364.29","percent of total billed charges",,
"XR AH FINGERS MIN 2 VIEWS","73140","HCPCS","Both",,,"19.62","9.81","Wellcare","Medicaid Managed Care","26",,"40",,"7.95","7.18","364.29","percent of total billed charges",,
"XR AH FINGERS MIN 2 VIEWS","73140","HCPCS","Both",,,"19.62","9.81","Aetna","Commercial","26",,"64",,"12.52","7.18","364.29","percent of total billed charges",,
"XR AH FINGERS MIN 2 VIEWS","73140","HCPCS","Both",,,"19.62","9.81","Blue Cross Blue Shield","Pathways","26",,"71",,"13.85","7.18","364.29","percent of total billed charges",,
"XR AH FINGERS MIN 2 VIEWS","73140","HCPCS","Both",,,"19.62","9.81","Blue Cross Blue Shield","HMO","26",,"71",,"13.85","7.18","364.29","percent of total billed charges",,
"XR AH FINGERS MIN 2 VIEWS","73140","HCPCS","Both",,,"19.62","9.81","Blue Cross Blue Shield","PPO","26",,"71",,"13.85","7.18","364.29","percent of total billed charges",,
"XR AH FINGERS MIN 2 VIEWS","73140","HCPCS","Both",,,"19.62","9.81","Ambetter","Health Exchange","26",,"62",,"12.16","7.18","364.29","percent of total billed charges",,
"XR AH FINGERS MIN 2 VIEWS","73140","HCPCS","Both",,,"19.62","9.81","Caresource","Health Exchange","26",,"62",,"12.16","7.18","364.29","percent of total billed charges",,
"XR AH FINGERS MIN 2 VIEWS","73140","HCPCS","Both",,,"19.62","9.81","Cigna","Commercial","26",,"59",,"11.5","7.18","364.29","percent of total billed charges",,
"XR AH FINGERS MIN 2 VIEWS","73140","HCPCS","Both",,,"19.62","9.81","Humana","Commercial","26",,"78",,"15.21","7.18","364.29","percent of total billed charges",,
"XR AH FINGERS MIN 2 VIEWS","73140","HCPCS","Both",,,"19.62","9.81","UHC","Commercial","26",,"75",,"14.79","7.18","364.29","percent of total billed charges",,
"XR AH FINGERS MIN 2 VIEWS","73140","HCPCS","Both",,,"19.62","9.81","Medicaid",,"26",,"37",,"7.18","7.18","364.29","percent of total billed charges",,
"XR AH WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"24.6","12.3","Alliant","Health Exchange","LT,26",,"62",,"15.25","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"24.6","12.3","Pruitt Healthcare","Medicare Advantage","LT,26",,"54",,"13.28","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"24.6","12.3","Medicare",,"LT,26",,"54",,"13.33","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"24.6","12.3","Humana","Medicare Advantage","LT,26",,"54",,"13.33","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"24.6","12.3","UHC","Medicare Advantage","LT,26",,"54",,"13.33","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"24.6","12.3","Clover","Medicare Advantage","LT,26",,"54",,"13.33","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"24.6","12.3","Wellcare","Medicare Advantage","LT,26",,"54",,"13.33","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"24.6","12.3","Amerigroup","Medicaid Managed Care","LT,26",,"37",,"9","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"24.6","12.3","Caresource","Medicaid Managed Care","LT,26",,"40",,"9.84","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"24.6","12.3","Wellcare","Medicaid Managed Care","LT,26",,"40",,"9.96","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"24.6","12.3","Aetna","Commercial","LT,26",,"64",,"15.69","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"24.6","12.3","Blue Cross Blue Shield","Pathways","LT,26",,"71",,"17.37","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"24.6","12.3","Blue Cross Blue Shield","HMO","LT,26",,"71",,"17.37","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"24.6","12.3","Blue Cross Blue Shield","PPO","LT,26",,"71",,"17.37","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"24.6","12.3","Ambetter","Health Exchange","LT,26",,"62",,"15.25","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"24.6","12.3","Caresource","Health Exchange","LT,26",,"62",,"15.25","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"24.6","12.3","Cigna","Commercial","LT,26",,"59",,"14.42","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"24.6","12.3","Humana","Commercial","LT,26",,"78",,"19.07","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"24.6","12.3","UHC","Commercial","LT,26",,"75",,"18.55","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"24.6","12.3","Medicaid",,"LT,26",,"37",,"9","9","543.66","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"22.68","11.34","Alliant","Health Exchange","LT,26",,"62",,"14.06","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"22.68","11.34","Pruitt Healthcare","Medicare Advantage","LT,26",,"54",,"12.25","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"22.68","11.34","Medicare",,"LT,26",,"54",,"12.29","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"22.68","11.34","Humana","Medicare Advantage","LT,26",,"54",,"12.29","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"22.68","11.34","UHC","Medicare Advantage","LT,26",,"54",,"12.29","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"22.68","11.34","Clover","Medicare Advantage","LT,26",,"54",,"12.29","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"22.68","11.34","Wellcare","Medicare Advantage","LT,26",,"54",,"12.29","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"22.68","11.34","Amerigroup","Medicaid Managed Care","LT,26",,"37",,"8.3","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"22.68","11.34","Caresource","Medicaid Managed Care","LT,26",,"40",,"9.07","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"22.68","11.34","Wellcare","Medicaid Managed Care","LT,26",,"40",,"9.19","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"22.68","11.34","Aetna","Commercial","LT,26",,"64",,"14.47","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"22.68","11.34","Blue Cross Blue Shield","Pathways","LT,26",,"71",,"16.01","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"22.68","11.34","Blue Cross Blue Shield","HMO","LT,26",,"71",,"16.01","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"22.68","11.34","Blue Cross Blue Shield","PPO","LT,26",,"71",,"16.01","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"22.68","11.34","Ambetter","Health Exchange","LT,26",,"62",,"14.06","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"22.68","11.34","Caresource","Health Exchange","LT,26",,"62",,"14.06","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"22.68","11.34","Cigna","Commercial","LT,26",,"59",,"13.29","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"22.68","11.34","Humana","Commercial","LT,26",,"78",,"17.58","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"22.68","11.34","UHC","Commercial","LT,26",,"75",,"17.1","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"22.68","11.34","Medicaid",,"LT,26",,"37",,"8.3","8.3","566.58","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"24.6","12.3","Alliant","Health Exchange","LT,26",,"62",,"15.25","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"24.6","12.3","Pruitt Healthcare","Medicare Advantage","LT,26",,"54",,"13.28","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"24.6","12.3","Medicare",,"LT,26",,"54",,"13.33","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"24.6","12.3","Humana","Medicare Advantage","LT,26",,"54",,"13.33","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"24.6","12.3","UHC","Medicare Advantage","LT,26",,"54",,"13.33","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"24.6","12.3","Clover","Medicare Advantage","LT,26",,"54",,"13.33","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"24.6","12.3","Wellcare","Medicare Advantage","LT,26",,"54",,"13.33","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"24.6","12.3","Amerigroup","Medicaid Managed Care","LT,26",,"37",,"9","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"24.6","12.3","Caresource","Medicaid Managed Care","LT,26",,"40",,"9.84","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"24.6","12.3","Wellcare","Medicaid Managed Care","LT,26",,"40",,"9.96","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"24.6","12.3","Aetna","Commercial","LT,26",,"64",,"15.69","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"24.6","12.3","Blue Cross Blue Shield","Pathways","LT,26",,"71",,"17.37","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"24.6","12.3","Blue Cross Blue Shield","HMO","LT,26",,"71",,"17.37","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"24.6","12.3","Blue Cross Blue Shield","PPO","LT,26",,"71",,"17.37","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"24.6","12.3","Ambetter","Health Exchange","LT,26",,"62",,"15.25","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"24.6","12.3","Caresource","Health Exchange","LT,26",,"62",,"15.25","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"24.6","12.3","Cigna","Commercial","LT,26",,"59",,"14.42","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"24.6","12.3","Humana","Commercial","LT,26",,"78",,"19.07","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"24.6","12.3","UHC","Commercial","LT,26",,"75",,"18.55","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"24.6","12.3","Medicaid",,"LT,26",,"37",,"9","9","480.89","percent of total billed charges",,
"XR AH HUMEROUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"23.58","11.79","Alliant","Health Exchange","LT,26",,"62",,"14.62","8.63","199.56","percent of total billed charges",,
"XR AH HUMEROUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"23.58","11.79","Pruitt Healthcare","Medicare Advantage","LT,26",,"54",,"12.73","8.63","199.56","percent of total billed charges",,
"XR AH HUMEROUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"23.58","11.79","Medicare",,"LT,26",,"54",,"12.78","8.63","199.56","percent of total billed charges",,
"XR AH HUMEROUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"23.58","11.79","Humana","Medicare Advantage","LT,26",,"54",,"12.78","8.63","199.56","percent of total billed charges",,
"XR AH HUMEROUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"23.58","11.79","UHC","Medicare Advantage","LT,26",,"54",,"12.78","8.63","199.56","percent of total billed charges",,
"XR AH HUMEROUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"23.58","11.79","Clover","Medicare Advantage","LT,26",,"54",,"12.78","8.63","199.56","percent of total billed charges",,
"XR AH HUMEROUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"23.58","11.79","Wellcare","Medicare Advantage","LT,26",,"54",,"12.78","8.63","199.56","percent of total billed charges",,
"XR AH HUMEROUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"23.58","11.79","Amerigroup","Medicaid Managed Care","LT,26",,"37",,"8.63","8.63","199.56","percent of total billed charges",,
"XR AH HUMEROUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"23.58","11.79","Caresource","Medicaid Managed Care","LT,26",,"40",,"9.43","8.63","199.56","percent of total billed charges",,
"XR AH HUMEROUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"23.58","11.79","Wellcare","Medicaid Managed Care","LT,26",,"40",,"9.55","8.63","199.56","percent of total billed charges",,
"XR AH HUMEROUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"23.58","11.79","Aetna","Commercial","LT,26",,"64",,"15.04","8.63","199.56","percent of total billed charges",,
"XR AH HUMEROUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"23.58","11.79","Blue Cross Blue Shield","Pathways","LT,26",,"71",,"16.65","8.63","199.56","percent of total billed charges",,
"XR AH HUMEROUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"23.58","11.79","Blue Cross Blue Shield","HMO","LT,26",,"71",,"16.65","8.63","199.56","percent of total billed charges",,
"XR AH HUMEROUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"23.58","11.79","Blue Cross Blue Shield","PPO","LT,26",,"71",,"16.65","8.63","199.56","percent of total billed charges",,
"XR AH HUMEROUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"23.58","11.79","Ambetter","Health Exchange","LT,26",,"62",,"14.62","8.63","199.56","percent of total billed charges",,
"XR AH HUMEROUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"23.58","11.79","Caresource","Health Exchange","LT,26",,"62",,"14.62","8.63","199.56","percent of total billed charges",,
"XR AH HUMEROUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"23.58","11.79","Cigna","Commercial","LT,26",,"59",,"13.82","8.63","199.56","percent of total billed charges",,
"XR AH HUMEROUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"23.58","11.79","Humana","Commercial","LT,26",,"78",,"18.27","8.63","199.56","percent of total billed charges",,
"XR AH HUMEROUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"23.58","11.79","UHC","Commercial","LT,26",,"75",,"17.78","8.63","199.56","percent of total billed charges",,
"XR AH HUMEROUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"23.58","11.79","Medicaid",,"LT,26",,"37",,"8.63","8.63","199.56","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"26.49","13.245","Alliant","Health Exchange","LT,26",,"62",,"16.42","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"26.49","13.245","Pruitt Healthcare","Medicare Advantage","LT,26",,"54",,"14.3","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"26.49","13.245","Medicare",,"LT,26",,"54",,"14.36","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"26.49","13.245","Humana","Medicare Advantage","LT,26",,"54",,"14.36","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"26.49","13.245","UHC","Medicare Advantage","LT,26",,"54",,"14.36","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"26.49","13.245","Clover","Medicare Advantage","LT,26",,"54",,"14.36","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"26.49","13.245","Wellcare","Medicare Advantage","LT,26",,"54",,"14.36","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"26.49","13.245","Amerigroup","Medicaid Managed Care","LT,26",,"37",,"9.7","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"26.49","13.245","Caresource","Medicaid Managed Care","LT,26",,"40",,"10.6","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"26.49","13.245","Wellcare","Medicaid Managed Care","LT,26",,"40",,"10.73","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"26.49","13.245","Aetna","Commercial","LT,26",,"64",,"16.9","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"26.49","13.245","Blue Cross Blue Shield","Pathways","LT,26",,"71",,"18.7","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"26.49","13.245","Blue Cross Blue Shield","HMO","LT,26",,"71",,"18.7","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"26.49","13.245","Blue Cross Blue Shield","PPO","LT,26",,"71",,"18.7","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"26.49","13.245","Ambetter","Health Exchange","LT,26",,"62",,"16.42","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"26.49","13.245","Caresource","Health Exchange","LT,26",,"62",,"16.42","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"26.49","13.245","Cigna","Commercial","LT,26",,"59",,"15.52","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"26.49","13.245","Humana","Commercial","LT,26",,"78",,"20.53","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"26.49","13.245","UHC","Commercial","LT,26",,"75",,"19.97","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"26.49","13.245","Medicaid",,"LT,26",,"37",,"9.7","9.7","617.94","percent of total billed charges",,
"XR AH SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"25.47","12.735","Alliant","Health Exchange","LT,26",,"62",,"15.79","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"25.47","12.735","Pruitt Healthcare","Medicare Advantage","LT,26",,"54",,"13.75","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"25.47","12.735","Medicare",,"LT,26",,"54",,"13.8","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"25.47","12.735","Humana","Medicare Advantage","LT,26",,"54",,"13.8","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"25.47","12.735","UHC","Medicare Advantage","LT,26",,"54",,"13.8","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"25.47","12.735","Clover","Medicare Advantage","LT,26",,"54",,"13.8","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"25.47","12.735","Wellcare","Medicare Advantage","LT,26",,"54",,"13.8","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"25.47","12.735","Amerigroup","Medicaid Managed Care","LT,26",,"37",,"9.32","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"25.47","12.735","Caresource","Medicaid Managed Care","LT,26",,"40",,"10.19","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"25.47","12.735","Wellcare","Medicaid Managed Care","LT,26",,"40",,"10.32","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"25.47","12.735","Aetna","Commercial","LT,26",,"64",,"16.25","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"25.47","12.735","Blue Cross Blue Shield","Pathways","LT,26",,"71",,"17.98","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"25.47","12.735","Blue Cross Blue Shield","HMO","LT,26",,"71",,"17.98","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"25.47","12.735","Blue Cross Blue Shield","PPO","LT,26",,"71",,"17.98","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"25.47","12.735","Ambetter","Health Exchange","LT,26",,"62",,"15.79","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"25.47","12.735","Caresource","Health Exchange","LT,26",,"62",,"15.79","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"25.47","12.735","Cigna","Commercial","LT,26",,"59",,"14.93","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"25.47","12.735","Humana","Commercial","LT,26",,"78",,"19.74","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"25.47","12.735","UHC","Commercial","LT,26",,"75",,"19.2","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"25.47","12.735","Medicaid",,"LT,26",,"37",,"9.32","9.32","118.58","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"23.58","11.79","Alliant","Health Exchange","LT,26",,"62",,"14.62","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"23.58","11.79","Pruitt Healthcare","Medicare Advantage","LT,26",,"54",,"12.73","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"23.58","11.79","Medicare",,"LT,26",,"54",,"12.78","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"23.58","11.79","Humana","Medicare Advantage","LT,26",,"54",,"12.78","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"23.58","11.79","UHC","Medicare Advantage","LT,26",,"54",,"12.78","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"23.58","11.79","Clover","Medicare Advantage","LT,26",,"54",,"12.78","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"23.58","11.79","Wellcare","Medicare Advantage","LT,26",,"54",,"12.78","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"23.58","11.79","Amerigroup","Medicaid Managed Care","LT,26",,"37",,"8.63","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"23.58","11.79","Caresource","Medicaid Managed Care","LT,26",,"40",,"9.43","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"23.58","11.79","Wellcare","Medicaid Managed Care","LT,26",,"40",,"9.55","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"23.58","11.79","Aetna","Commercial","LT,26",,"64",,"15.04","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"23.58","11.79","Blue Cross Blue Shield","Pathways","LT,26",,"71",,"16.65","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"23.58","11.79","Blue Cross Blue Shield","HMO","LT,26",,"71",,"16.65","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"23.58","11.79","Blue Cross Blue Shield","PPO","LT,26",,"71",,"16.65","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"23.58","11.79","Ambetter","Health Exchange","LT,26",,"62",,"14.62","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"23.58","11.79","Caresource","Health Exchange","LT,26",,"62",,"14.62","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"23.58","11.79","Cigna","Commercial","LT,26",,"59",,"13.82","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"23.58","11.79","Humana","Commercial","LT,26",,"78",,"18.27","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"23.58","11.79","UHC","Commercial","LT,26",,"75",,"17.78","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"23.58","11.79","Medicaid",,"LT,26",,"37",,"8.63","8.63","78.28","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"23.7","11.85","Alliant","Health Exchange","LT,26",,"62",,"14.69","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"23.7","11.85","Pruitt Healthcare","Medicare Advantage","LT,26",,"54",,"12.8","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"23.7","11.85","Medicare",,"LT,26",,"54",,"12.85","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"23.7","11.85","Humana","Medicare Advantage","LT,26",,"54",,"12.85","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"23.7","11.85","UHC","Medicare Advantage","LT,26",,"54",,"12.85","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"23.7","11.85","Clover","Medicare Advantage","LT,26",,"54",,"12.85","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"23.7","11.85","Wellcare","Medicare Advantage","LT,26",,"54",,"12.85","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"23.7","11.85","Amerigroup","Medicaid Managed Care","LT,26",,"37",,"8.67","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"23.7","11.85","Caresource","Medicaid Managed Care","LT,26",,"40",,"9.48","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"23.7","11.85","Wellcare","Medicaid Managed Care","LT,26",,"40",,"9.6","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"23.7","11.85","Aetna","Commercial","LT,26",,"64",,"15.12","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"23.7","11.85","Blue Cross Blue Shield","Pathways","LT,26",,"71",,"16.73","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"23.7","11.85","Blue Cross Blue Shield","HMO","LT,26",,"71",,"16.73","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"23.7","11.85","Blue Cross Blue Shield","PPO","LT,26",,"71",,"16.73","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"23.7","11.85","Ambetter","Health Exchange","LT,26",,"62",,"14.69","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"23.7","11.85","Caresource","Health Exchange","LT,26",,"62",,"14.69","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"23.7","11.85","Cigna","Commercial","LT,26",,"59",,"13.89","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"23.7","11.85","Humana","Commercial","LT,26",,"78",,"18.37","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"23.7","11.85","UHC","Commercial","LT,26",,"75",,"17.87","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"23.7","11.85","Medicaid",,"LT,26",,"37",,"8.67","8.67","569.66","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"22.68","11.34","Alliant","Health Exchange","LT,26",,"62",,"14.06","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"22.68","11.34","Pruitt Healthcare","Medicare Advantage","LT,26",,"54",,"12.25","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"22.68","11.34","Medicare",,"LT,26",,"54",,"12.29","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"22.68","11.34","Humana","Medicare Advantage","LT,26",,"54",,"12.29","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"22.68","11.34","UHC","Medicare Advantage","LT,26",,"54",,"12.29","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"22.68","11.34","Clover","Medicare Advantage","LT,26",,"54",,"12.29","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"22.68","11.34","Wellcare","Medicare Advantage","LT,26",,"54",,"12.29","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"22.68","11.34","Amerigroup","Medicaid Managed Care","LT,26",,"37",,"8.3","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"22.68","11.34","Caresource","Medicaid Managed Care","LT,26",,"40",,"9.07","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"22.68","11.34","Wellcare","Medicaid Managed Care","LT,26",,"40",,"9.19","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"22.68","11.34","Aetna","Commercial","LT,26",,"64",,"14.47","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"22.68","11.34","Blue Cross Blue Shield","Pathways","LT,26",,"71",,"16.01","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"22.68","11.34","Blue Cross Blue Shield","HMO","LT,26",,"71",,"16.01","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"22.68","11.34","Blue Cross Blue Shield","PPO","LT,26",,"71",,"16.01","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"22.68","11.34","Ambetter","Health Exchange","LT,26",,"62",,"14.06","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"22.68","11.34","Caresource","Health Exchange","LT,26",,"62",,"14.06","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"22.68","11.34","Cigna","Commercial","LT,26",,"59",,"13.29","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"22.68","11.34","Humana","Commercial","LT,26",,"78",,"17.58","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"22.68","11.34","UHC","Commercial","LT,26",,"75",,"17.1","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"22.68","11.34","Medicaid",,"LT,26",,"37",,"8.3","8.3","204.99","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"24.6","12.3","Alliant","Health Exchange","LT,26",,"62",,"15.25","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"24.6","12.3","Pruitt Healthcare","Medicare Advantage","LT,26",,"54",,"13.28","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"24.6","12.3","Medicare",,"LT,26",,"54",,"13.33","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"24.6","12.3","Humana","Medicare Advantage","LT,26",,"54",,"13.33","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"24.6","12.3","UHC","Medicare Advantage","LT,26",,"54",,"13.33","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"24.6","12.3","Clover","Medicare Advantage","LT,26",,"54",,"13.33","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"24.6","12.3","Wellcare","Medicare Advantage","LT,26",,"54",,"13.33","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"24.6","12.3","Amerigroup","Medicaid Managed Care","LT,26",,"37",,"9","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"24.6","12.3","Caresource","Medicaid Managed Care","LT,26",,"40",,"9.84","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"24.6","12.3","Wellcare","Medicaid Managed Care","LT,26",,"40",,"9.96","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"24.6","12.3","Aetna","Commercial","LT,26",,"64",,"15.69","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"24.6","12.3","Blue Cross Blue Shield","Pathways","LT,26",,"71",,"17.37","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"24.6","12.3","Blue Cross Blue Shield","HMO","LT,26",,"71",,"17.37","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"24.6","12.3","Blue Cross Blue Shield","PPO","LT,26",,"71",,"17.37","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"24.6","12.3","Ambetter","Health Exchange","LT,26",,"62",,"15.25","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"24.6","12.3","Caresource","Health Exchange","LT,26",,"62",,"15.25","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"24.6","12.3","Cigna","Commercial","LT,26",,"59",,"14.42","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"24.6","12.3","Humana","Commercial","LT,26",,"78",,"19.07","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"24.6","12.3","UHC","Commercial","LT,26",,"75",,"18.55","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"24.6","12.3","Medicaid",,"LT,26",,"37",,"9","9","598.26","percent of total billed charges",,
"XR AH SPINE TIBULA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"22.68","11.34","Alliant","Health Exchange","LT,26",,"62",,"14.06","8.3","340.57","percent of total billed charges",,
"XR AH SPINE TIBULA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"22.68","11.34","Pruitt Healthcare","Medicare Advantage","LT,26",,"54",,"12.25","8.3","340.57","percent of total billed charges",,
"XR AH SPINE TIBULA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"22.68","11.34","Medicare",,"LT,26",,"54",,"12.29","8.3","340.57","percent of total billed charges",,
"XR AH SPINE TIBULA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"22.68","11.34","Humana","Medicare Advantage","LT,26",,"54",,"12.29","8.3","340.57","percent of total billed charges",,
"XR AH SPINE TIBULA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"22.68","11.34","UHC","Medicare Advantage","LT,26",,"54",,"12.29","8.3","340.57","percent of total billed charges",,
"XR AH SPINE TIBULA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"22.68","11.34","Clover","Medicare Advantage","LT,26",,"54",,"12.29","8.3","340.57","percent of total billed charges",,
"XR AH SPINE TIBULA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"22.68","11.34","Wellcare","Medicare Advantage","LT,26",,"54",,"12.29","8.3","340.57","percent of total billed charges",,
"XR AH SPINE TIBULA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"22.68","11.34","Amerigroup","Medicaid Managed Care","LT,26",,"37",,"8.3","8.3","340.57","percent of total billed charges",,
"XR AH SPINE TIBULA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"22.68","11.34","Caresource","Medicaid Managed Care","LT,26",,"40",,"9.07","8.3","340.57","percent of total billed charges",,
"XR AH SPINE TIBULA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"22.68","11.34","Wellcare","Medicaid Managed Care","LT,26",,"40",,"9.19","8.3","340.57","percent of total billed charges",,
"XR AH SPINE TIBULA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"22.68","11.34","Aetna","Commercial","LT,26",,"64",,"14.47","8.3","340.57","percent of total billed charges",,
"XR AH SPINE TIBULA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"22.68","11.34","Blue Cross Blue Shield","Pathways","LT,26",,"71",,"16.01","8.3","340.57","percent of total billed charges",,
"XR AH SPINE TIBULA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"22.68","11.34","Blue Cross Blue Shield","HMO","LT,26",,"71",,"16.01","8.3","340.57","percent of total billed charges",,
"XR AH SPINE TIBULA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"22.68","11.34","Blue Cross Blue Shield","PPO","LT,26",,"71",,"16.01","8.3","340.57","percent of total billed charges",,
"XR AH SPINE TIBULA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"22.68","11.34","Ambetter","Health Exchange","LT,26",,"62",,"14.06","8.3","340.57","percent of total billed charges",,
"XR AH SPINE TIBULA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"22.68","11.34","Caresource","Health Exchange","LT,26",,"62",,"14.06","8.3","340.57","percent of total billed charges",,
"XR AH SPINE TIBULA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"22.68","11.34","Cigna","Commercial","LT,26",,"59",,"13.29","8.3","340.57","percent of total billed charges",,
"XR AH SPINE TIBULA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"22.68","11.34","Humana","Commercial","LT,26",,"78",,"17.58","8.3","340.57","percent of total billed charges",,
"XR AH SPINE TIBULA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"22.68","11.34","UHC","Commercial","LT,26",,"75",,"17.1","8.3","340.57","percent of total billed charges",,
"XR AH SPINE TIBULA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"22.68","11.34","Medicaid",,"LT,26",,"37",,"8.3","8.3","340.57","percent of total billed charges",,
"XR AH KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"26.49","13.245","Alliant","Health Exchange","LT,26",,"62",,"16.42","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"26.49","13.245","Pruitt Healthcare","Medicare Advantage","LT,26",,"54",,"14.3","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"26.49","13.245","Medicare",,"LT,26",,"54",,"14.36","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"26.49","13.245","Humana","Medicare Advantage","LT,26",,"54",,"14.36","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"26.49","13.245","UHC","Medicare Advantage","LT,26",,"54",,"14.36","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"26.49","13.245","Clover","Medicare Advantage","LT,26",,"54",,"14.36","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"26.49","13.245","Wellcare","Medicare Advantage","LT,26",,"54",,"14.36","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"26.49","13.245","Amerigroup","Medicaid Managed Care","LT,26",,"37",,"9.7","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"26.49","13.245","Caresource","Medicaid Managed Care","LT,26",,"40",,"10.6","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"26.49","13.245","Wellcare","Medicaid Managed Care","LT,26",,"40",,"10.73","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"26.49","13.245","Aetna","Commercial","LT,26",,"64",,"16.9","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"26.49","13.245","Blue Cross Blue Shield","Pathways","LT,26",,"71",,"18.7","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"26.49","13.245","Blue Cross Blue Shield","HMO","LT,26",,"71",,"18.7","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"26.49","13.245","Blue Cross Blue Shield","PPO","LT,26",,"71",,"18.7","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"26.49","13.245","Ambetter","Health Exchange","LT,26",,"62",,"16.42","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"26.49","13.245","Caresource","Health Exchange","LT,26",,"62",,"16.42","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"26.49","13.245","Cigna","Commercial","LT,26",,"59",,"15.52","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"26.49","13.245","Humana","Commercial","LT,26",,"78",,"20.53","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"26.49","13.245","UHC","Commercial","LT,26",,"75",,"19.97","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"26.49","13.245","Medicaid",,"LT,26",,"37",,"9.7","9.7","663.04","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"25.59","12.795","Alliant","Health Exchange","LT,26",,"62",,"15.87","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"25.59","12.795","Pruitt Healthcare","Medicare Advantage","LT,26",,"54",,"13.82","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"25.59","12.795","Medicare",,"LT,26",,"54",,"13.87","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"25.59","12.795","Humana","Medicare Advantage","LT,26",,"54",,"13.87","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"25.59","12.795","UHC","Medicare Advantage","LT,26",,"54",,"13.87","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"25.59","12.795","Clover","Medicare Advantage","LT,26",,"54",,"13.87","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"25.59","12.795","Wellcare","Medicare Advantage","LT,26",,"54",,"13.87","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"25.59","12.795","Amerigroup","Medicaid Managed Care","LT,26",,"37",,"9.37","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"25.59","12.795","Caresource","Medicaid Managed Care","LT,26",,"40",,"10.24","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"25.59","12.795","Wellcare","Medicaid Managed Care","LT,26",,"40",,"10.36","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"25.59","12.795","Aetna","Commercial","LT,26",,"64",,"16.33","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"25.59","12.795","Blue Cross Blue Shield","Pathways","LT,26",,"71",,"18.07","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"25.59","12.795","Blue Cross Blue Shield","HMO","LT,26",,"71",,"18.07","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"25.59","12.795","Blue Cross Blue Shield","PPO","LT,26",,"71",,"18.07","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"25.59","12.795","Ambetter","Health Exchange","LT,26",,"62",,"15.87","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"25.59","12.795","Caresource","Health Exchange","LT,26",,"62",,"15.87","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"25.59","12.795","Cigna","Commercial","LT,26",,"59",,"15","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"25.59","12.795","Humana","Commercial","LT,26",,"78",,"19.83","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"25.59","12.795","UHC","Commercial","LT,26",,"75",,"19.29","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"25.59","12.795","Medicaid",,"LT,26",,"37",,"9.37","9.37","78.28","percent of total billed charges",,
"XR AH PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"24.6","12.3","Alliant","Health Exchange","26",,"62",,"15.25","9","143.61","percent of total billed charges",,
"XR AH PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"24.6","12.3","Pruitt Healthcare","Medicare Advantage","26",,"54",,"13.28","9","143.61","percent of total billed charges",,
"XR AH PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"24.6","12.3","Medicare",,"26",,"54",,"13.33","9","143.61","percent of total billed charges",,
"XR AH PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"24.6","12.3","Humana","Medicare Advantage","26",,"54",,"13.33","9","143.61","percent of total billed charges",,
"XR AH PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"24.6","12.3","UHC","Medicare Advantage","26",,"54",,"13.33","9","143.61","percent of total billed charges",,
"XR AH PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"24.6","12.3","Clover","Medicare Advantage","26",,"54",,"13.33","9","143.61","percent of total billed charges",,
"XR AH PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"24.6","12.3","Wellcare","Medicare Advantage","26",,"54",,"13.33","9","143.61","percent of total billed charges",,
"XR AH PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"24.6","12.3","Amerigroup","Medicaid Managed Care","26",,"37",,"9","9","143.61","percent of total billed charges",,
"XR AH PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"24.6","12.3","Caresource","Medicaid Managed Care","26",,"40",,"9.84","9","143.61","percent of total billed charges",,
"XR AH PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"24.6","12.3","Wellcare","Medicaid Managed Care","26",,"40",,"9.96","9","143.61","percent of total billed charges",,
"XR AH PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"24.6","12.3","Aetna","Commercial","26",,"64",,"15.69","9","143.61","percent of total billed charges",,
"XR AH PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"24.6","12.3","Blue Cross Blue Shield","Pathways","26",,"71",,"17.37","9","143.61","percent of total billed charges",,
"XR AH PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"24.6","12.3","Blue Cross Blue Shield","HMO","26",,"71",,"17.37","9","143.61","percent of total billed charges",,
"XR AH PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"24.6","12.3","Blue Cross Blue Shield","PPO","26",,"71",,"17.37","9","143.61","percent of total billed charges",,
"XR AH PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"24.6","12.3","Ambetter","Health Exchange","26",,"62",,"15.25","9","143.61","percent of total billed charges",,
"XR AH PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"24.6","12.3","Caresource","Health Exchange","26",,"62",,"15.25","9","143.61","percent of total billed charges",,
"XR AH PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"24.6","12.3","Cigna","Commercial","26",,"59",,"14.42","9","143.61","percent of total billed charges",,
"XR AH PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"24.6","12.3","Humana","Commercial","26",,"78",,"19.07","9","143.61","percent of total billed charges",,
"XR AH PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"24.6","12.3","UHC","Commercial","26",,"75",,"18.55","9","143.61","percent of total billed charges",,
"XR AH PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"24.6","12.3","Medicaid",,"26",,"37",,"9","9","143.61","percent of total billed charges",,
"XR AH HIP BILATERAL 2-3VIEWS LEFT","73502","HCPCS","Both",,,"24.6","12.3","Alliant","Health Exchange","LT,26",,"62",,"15.25","9","171.49","percent of total billed charges",,
"XR AH HIP BILATERAL 2-3VIEWS LEFT","73502","HCPCS","Both",,,"24.6","12.3","Pruitt Healthcare","Medicare Advantage","LT,26",,"54",,"13.28","9","171.49","percent of total billed charges",,
"XR AH HIP BILATERAL 2-3VIEWS LEFT","73502","HCPCS","Both",,,"24.6","12.3","Medicare",,"LT,26",,"54",,"13.33","9","171.49","percent of total billed charges",,
"XR AH HIP BILATERAL 2-3VIEWS LEFT","73502","HCPCS","Both",,,"24.6","12.3","Humana","Medicare Advantage","LT,26",,"54",,"13.33","9","171.49","percent of total billed charges",,
"XR AH HIP BILATERAL 2-3VIEWS LEFT","73502","HCPCS","Both",,,"24.6","12.3","UHC","Medicare Advantage","LT,26",,"54",,"13.33","9","171.49","percent of total billed charges",,
"XR AH HIP BILATERAL 2-3VIEWS LEFT","73502","HCPCS","Both",,,"24.6","12.3","Clover","Medicare Advantage","LT,26",,"54",,"13.33","9","171.49","percent of total billed charges",,
"XR AH HIP BILATERAL 2-3VIEWS LEFT","73502","HCPCS","Both",,,"24.6","12.3","Wellcare","Medicare Advantage","LT,26",,"54",,"13.33","9","171.49","percent of total billed charges",,
"XR AH HIP BILATERAL 2-3VIEWS LEFT","73502","HCPCS","Both",,,"24.6","12.3","Amerigroup","Medicaid Managed Care","LT,26",,"37",,"9","9","171.49","percent of total billed charges",,
"XR AH HIP BILATERAL 2-3VIEWS LEFT","73502","HCPCS","Both",,,"24.6","12.3","Caresource","Medicaid Managed Care","LT,26",,"40",,"9.84","9","171.49","percent of total billed charges",,
"XR AH HIP BILATERAL 2-3VIEWS LEFT","73502","HCPCS","Both",,,"24.6","12.3","Wellcare","Medicaid Managed Care","LT,26",,"40",,"9.96","9","171.49","percent of total billed charges",,
"XR AH HIP BILATERAL 2-3VIEWS LEFT","73502","HCPCS","Both",,,"24.6","12.3","Aetna","Commercial","LT,26",,"64",,"15.69","9","171.49","percent of total billed charges",,
"XR AH HIP BILATERAL 2-3VIEWS LEFT","73502","HCPCS","Both",,,"24.6","12.3","Blue Cross Blue Shield","Pathways","LT,26",,"71",,"17.37","9","171.49","percent of total billed charges",,
"XR AH HIP BILATERAL 2-3VIEWS LEFT","73502","HCPCS","Both",,,"24.6","12.3","Blue Cross Blue Shield","HMO","LT,26",,"71",,"17.37","9","171.49","percent of total billed charges",,
"XR AH HIP BILATERAL 2-3VIEWS LEFT","73502","HCPCS","Both",,,"24.6","12.3","Blue Cross Blue Shield","PPO","LT,26",,"71",,"17.37","9","171.49","percent of total billed charges",,
"XR AH HIP BILATERAL 2-3VIEWS LEFT","73502","HCPCS","Both",,,"24.6","12.3","Ambetter","Health Exchange","LT,26",,"62",,"15.25","9","171.49","percent of total billed charges",,
"XR AH HIP BILATERAL 2-3VIEWS LEFT","73502","HCPCS","Both",,,"24.6","12.3","Caresource","Health Exchange","LT,26",,"62",,"15.25","9","171.49","percent of total billed charges",,
"XR AH HIP BILATERAL 2-3VIEWS LEFT","73502","HCPCS","Both",,,"24.6","12.3","Cigna","Commercial","LT,26",,"59",,"14.42","9","171.49","percent of total billed charges",,
"XR AH HIP BILATERAL 2-3VIEWS LEFT","73502","HCPCS","Both",,,"24.6","12.3","Humana","Commercial","LT,26",,"78",,"19.07","9","171.49","percent of total billed charges",,
"XR AH HIP BILATERAL 2-3VIEWS LEFT","73502","HCPCS","Both",,,"24.6","12.3","UHC","Commercial","LT,26",,"75",,"18.55","9","171.49","percent of total billed charges",,
"XR AH HIP BILATERAL 2-3VIEWS LEFT","73502","HCPCS","Both",,,"24.6","12.3","Medicaid",,"LT,26",,"37",,"9","9","171.49","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"23.7","11.85","Alliant","Health Exchange","RT,26",,"62",,"14.69","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"23.7","11.85","Pruitt Healthcare","Medicare Advantage","RT,26",,"54",,"12.8","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"23.7","11.85","Medicare",,"RT,26",,"54",,"12.85","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"23.7","11.85","Humana","Medicare Advantage","RT,26",,"54",,"12.85","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"23.7","11.85","UHC","Medicare Advantage","RT,26",,"54",,"12.85","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"23.7","11.85","Clover","Medicare Advantage","RT,26",,"54",,"12.85","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"23.7","11.85","Wellcare","Medicare Advantage","RT,26",,"54",,"12.85","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"23.7","11.85","Amerigroup","Medicaid Managed Care","RT,26",,"37",,"8.67","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"23.7","11.85","Caresource","Medicaid Managed Care","RT,26",,"40",,"9.48","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"23.7","11.85","Wellcare","Medicaid Managed Care","RT,26",,"40",,"9.6","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"23.7","11.85","Aetna","Commercial","RT,26",,"64",,"15.12","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"23.7","11.85","Blue Cross Blue Shield","Pathways","RT,26",,"71",,"16.73","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"23.7","11.85","Blue Cross Blue Shield","HMO","RT,26",,"71",,"16.73","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"23.7","11.85","Blue Cross Blue Shield","PPO","RT,26",,"71",,"16.73","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"23.7","11.85","Ambetter","Health Exchange","RT,26",,"62",,"14.69","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"23.7","11.85","Caresource","Health Exchange","RT,26",,"62",,"14.69","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"23.7","11.85","Cigna","Commercial","RT,26",,"59",,"13.89","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"23.7","11.85","Humana","Commercial","RT,26",,"78",,"18.37","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"23.7","11.85","UHC","Commercial","RT,26",,"75",,"17.87","8.67","569.66","percent of total billed charges",,
"XR AH FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"23.7","11.85","Medicaid",,"RT,26",,"37",,"8.67","8.67","569.66","percent of total billed charges",,
"US AH LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"82.92","41.46","Alliant","Health Exchange","26",,"62",,"51.41","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"82.92","41.46","Pruitt Healthcare","Medicare Advantage","26",,"54",,"44.78","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"82.92","41.46","Medicare",,"26",,"54",,"44.94","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"82.92","41.46","Humana","Medicare Advantage","26",,"54",,"44.94","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"82.92","41.46","UHC","Medicare Advantage","26",,"54",,"44.94","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"82.92","41.46","Clover","Medicare Advantage","26",,"54",,"44.94","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"82.92","41.46","Wellcare","Medicare Advantage","26",,"54",,"44.94","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"82.92","41.46","Amerigroup","Medicaid Managed Care","26",,"37",,"30.35","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"82.92","41.46","Caresource","Medicaid Managed Care","26",,"40",,"33.17","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"82.92","41.46","Wellcare","Medicaid Managed Care","26",,"40",,"33.58","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"82.92","41.46","Aetna","Commercial","26",,"64",,"52.9","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"82.92","41.46","Blue Cross Blue Shield","Pathways","26",,"71",,"58.54","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"82.92","41.46","Blue Cross Blue Shield","HMO","26",,"71",,"58.54","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"82.92","41.46","Blue Cross Blue Shield","PPO","26",,"71",,"58.54","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"82.92","41.46","Ambetter","Health Exchange","26",,"62",,"51.41","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"82.92","41.46","Caresource","Health Exchange","26",,"62",,"51.41","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"82.92","41.46","Cigna","Commercial","26",,"59",,"48.59","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"82.92","41.46","Humana","Commercial","26",,"78",,"64.26","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"82.92","41.46","UHC","Commercial","26",,"75",,"62.52","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"82.92","41.46","Medicaid",,"26",,"37",,"30.35","30.35","1235.33","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"112.44","56.22","Alliant","Health Exchange","26",,"62",,"69.71","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"112.44","56.22","Pruitt Healthcare","Medicare Advantage","26",,"54",,"60.72","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"112.44","56.22","Medicare",,"26",,"54",,"60.94","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"112.44","56.22","Humana","Medicare Advantage","26",,"54",,"60.94","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"112.44","56.22","UHC","Medicare Advantage","26",,"54",,"60.94","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"112.44","56.22","Clover","Medicare Advantage","26",,"54",,"60.94","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"112.44","56.22","Wellcare","Medicare Advantage","26",,"54",,"60.94","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"112.44","56.22","Amerigroup","Medicaid Managed Care","26",,"37",,"41.15","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"112.44","56.22","Caresource","Medicaid Managed Care","26",,"40",,"44.98","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"112.44","56.22","Wellcare","Medicaid Managed Care","26",,"40",,"45.54","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"112.44","56.22","Aetna","Commercial","26",,"64",,"71.74","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"112.44","56.22","Blue Cross Blue Shield","Pathways","26",,"71",,"79.38","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"112.44","56.22","Blue Cross Blue Shield","HMO","26",,"71",,"79.38","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"112.44","56.22","Blue Cross Blue Shield","PPO","26",,"71",,"79.38","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"112.44","56.22","Ambetter","Health Exchange","26",,"62",,"69.71","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"112.44","56.22","Caresource","Health Exchange","26",,"62",,"69.71","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"112.44","56.22","Cigna","Commercial","26",,"59",,"65.89","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"112.44","56.22","Humana","Commercial","26",,"78",,"87.14","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"112.44","56.22","UHC","Commercial","26",,"75",,"84.78","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"112.44","56.22","Medicaid",,"26",,"37",,"41.15","41.15","316.2","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"23.58","11.79","Alliant","Health Exchange","RT,26",,"62",,"14.62","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"23.58","11.79","Pruitt Healthcare","Medicare Advantage","RT,26",,"54",,"12.73","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"23.58","11.79","Medicare",,"RT,26",,"54",,"12.78","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"23.58","11.79","Humana","Medicare Advantage","RT,26",,"54",,"12.78","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"23.58","11.79","UHC","Medicare Advantage","RT,26",,"54",,"12.78","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"23.58","11.79","Clover","Medicare Advantage","RT,26",,"54",,"12.78","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"23.58","11.79","Wellcare","Medicare Advantage","RT,26",,"54",,"12.78","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"23.58","11.79","Amerigroup","Medicaid Managed Care","RT,26",,"37",,"8.63","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"23.58","11.79","Caresource","Medicaid Managed Care","RT,26",,"40",,"9.43","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"23.58","11.79","Wellcare","Medicaid Managed Care","RT,26",,"40",,"9.55","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"23.58","11.79","Aetna","Commercial","RT,26",,"64",,"15.04","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"23.58","11.79","Blue Cross Blue Shield","Pathways","RT,26",,"71",,"16.65","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"23.58","11.79","Blue Cross Blue Shield","HMO","RT,26",,"71",,"16.65","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"23.58","11.79","Blue Cross Blue Shield","PPO","RT,26",,"71",,"16.65","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"23.58","11.79","Ambetter","Health Exchange","RT,26",,"62",,"14.62","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"23.58","11.79","Caresource","Health Exchange","RT,26",,"62",,"14.62","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"23.58","11.79","Cigna","Commercial","RT,26",,"59",,"13.82","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"23.58","11.79","Humana","Commercial","RT,26",,"78",,"18.27","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"23.58","11.79","UHC","Commercial","RT,26",,"75",,"17.78","8.63","78.28","percent of total billed charges",,
"XR AH CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"23.58","11.79","Medicaid",,"RT,26",,"37",,"8.63","8.63","78.28","percent of total billed charges",,
"XR AH SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"25.47","12.735","Alliant","Health Exchange","RT,26",,"62",,"15.79","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"25.47","12.735","Pruitt Healthcare","Medicare Advantage","RT,26",,"54",,"13.75","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"25.47","12.735","Medicare",,"RT,26",,"54",,"13.8","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"25.47","12.735","Humana","Medicare Advantage","RT,26",,"54",,"13.8","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"25.47","12.735","UHC","Medicare Advantage","RT,26",,"54",,"13.8","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"25.47","12.735","Clover","Medicare Advantage","RT,26",,"54",,"13.8","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"25.47","12.735","Wellcare","Medicare Advantage","RT,26",,"54",,"13.8","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"25.47","12.735","Amerigroup","Medicaid Managed Care","RT,26",,"37",,"9.32","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"25.47","12.735","Caresource","Medicaid Managed Care","RT,26",,"40",,"10.19","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"25.47","12.735","Wellcare","Medicaid Managed Care","RT,26",,"40",,"10.32","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"25.47","12.735","Aetna","Commercial","RT,26",,"64",,"16.25","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"25.47","12.735","Blue Cross Blue Shield","Pathways","RT,26",,"71",,"17.98","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"25.47","12.735","Blue Cross Blue Shield","HMO","RT,26",,"71",,"17.98","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"25.47","12.735","Blue Cross Blue Shield","PPO","RT,26",,"71",,"17.98","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"25.47","12.735","Ambetter","Health Exchange","RT,26",,"62",,"15.79","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"25.47","12.735","Caresource","Health Exchange","RT,26",,"62",,"15.79","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"25.47","12.735","Cigna","Commercial","RT,26",,"59",,"14.93","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"25.47","12.735","Humana","Commercial","RT,26",,"78",,"19.74","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"25.47","12.735","UHC","Commercial","RT,26",,"75",,"19.2","9.32","118.58","percent of total billed charges",,
"XR AH SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"25.47","12.735","Medicaid",,"RT,26",,"37",,"9.32","9.32","118.58","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"26.49","13.245","Alliant","Health Exchange","RT,26",,"62",,"16.42","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"26.49","13.245","Pruitt Healthcare","Medicare Advantage","RT,26",,"54",,"14.3","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"26.49","13.245","Medicare",,"RT,26",,"54",,"14.36","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"26.49","13.245","Humana","Medicare Advantage","RT,26",,"54",,"14.36","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"26.49","13.245","UHC","Medicare Advantage","RT,26",,"54",,"14.36","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"26.49","13.245","Clover","Medicare Advantage","RT,26",,"54",,"14.36","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"26.49","13.245","Wellcare","Medicare Advantage","RT,26",,"54",,"14.36","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"26.49","13.245","Amerigroup","Medicaid Managed Care","RT,26",,"37",,"9.7","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"26.49","13.245","Caresource","Medicaid Managed Care","RT,26",,"40",,"10.6","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"26.49","13.245","Wellcare","Medicaid Managed Care","RT,26",,"40",,"10.73","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"26.49","13.245","Aetna","Commercial","RT,26",,"64",,"16.9","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"26.49","13.245","Blue Cross Blue Shield","Pathways","RT,26",,"71",,"18.7","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"26.49","13.245","Blue Cross Blue Shield","HMO","RT,26",,"71",,"18.7","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"26.49","13.245","Blue Cross Blue Shield","PPO","RT,26",,"71",,"18.7","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"26.49","13.245","Ambetter","Health Exchange","RT,26",,"62",,"16.42","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"26.49","13.245","Caresource","Health Exchange","RT,26",,"62",,"16.42","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"26.49","13.245","Cigna","Commercial","RT,26",,"59",,"15.52","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"26.49","13.245","Humana","Commercial","RT,26",,"78",,"20.53","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"26.49","13.245","UHC","Commercial","RT,26",,"75",,"19.97","9.7","617.94","percent of total billed charges",,
"XR AH SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"26.49","13.245","Medicaid",,"RT,26",,"37",,"9.7","9.7","617.94","percent of total billed charges",,
"XR AH HUMEROUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"23.58","11.79","Alliant","Health Exchange","RT,26",,"62",,"14.62","8.63","199.56","percent of total billed charges",,
"XR AH HUMEROUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"23.58","11.79","Pruitt Healthcare","Medicare Advantage","RT,26",,"54",,"12.73","8.63","199.56","percent of total billed charges",,
"XR AH HUMEROUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"23.58","11.79","Medicare",,"RT,26",,"54",,"12.78","8.63","199.56","percent of total billed charges",,
"XR AH HUMEROUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"23.58","11.79","Humana","Medicare Advantage","RT,26",,"54",,"12.78","8.63","199.56","percent of total billed charges",,
"XR AH HUMEROUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"23.58","11.79","UHC","Medicare Advantage","RT,26",,"54",,"12.78","8.63","199.56","percent of total billed charges",,
"XR AH HUMEROUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"23.58","11.79","Clover","Medicare Advantage","RT,26",,"54",,"12.78","8.63","199.56","percent of total billed charges",,
"XR AH HUMEROUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"23.58","11.79","Wellcare","Medicare Advantage","RT,26",,"54",,"12.78","8.63","199.56","percent of total billed charges",,
"XR AH HUMEROUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"23.58","11.79","Amerigroup","Medicaid Managed Care","RT,26",,"37",,"8.63","8.63","199.56","percent of total billed charges",,
"XR AH HUMEROUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"23.58","11.79","Caresource","Medicaid Managed Care","RT,26",,"40",,"9.43","8.63","199.56","percent of total billed charges",,
"XR AH HUMEROUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"23.58","11.79","Wellcare","Medicaid Managed Care","RT,26",,"40",,"9.55","8.63","199.56","percent of total billed charges",,
"XR AH HUMEROUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"23.58","11.79","Aetna","Commercial","RT,26",,"64",,"15.04","8.63","199.56","percent of total billed charges",,
"XR AH HUMEROUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"23.58","11.79","Blue Cross Blue Shield","Pathways","RT,26",,"71",,"16.65","8.63","199.56","percent of total billed charges",,
"XR AH HUMEROUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"23.58","11.79","Blue Cross Blue Shield","HMO","RT,26",,"71",,"16.65","8.63","199.56","percent of total billed charges",,
"XR AH HUMEROUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"23.58","11.79","Blue Cross Blue Shield","PPO","RT,26",,"71",,"16.65","8.63","199.56","percent of total billed charges",,
"XR AH HUMEROUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"23.58","11.79","Ambetter","Health Exchange","RT,26",,"62",,"14.62","8.63","199.56","percent of total billed charges",,
"XR AH HUMEROUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"23.58","11.79","Caresource","Health Exchange","RT,26",,"62",,"14.62","8.63","199.56","percent of total billed charges",,
"XR AH HUMEROUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"23.58","11.79","Cigna","Commercial","RT,26",,"59",,"13.82","8.63","199.56","percent of total billed charges",,
"XR AH HUMEROUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"23.58","11.79","Humana","Commercial","RT,26",,"78",,"18.27","8.63","199.56","percent of total billed charges",,
"XR AH HUMEROUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"23.58","11.79","UHC","Commercial","RT,26",,"75",,"17.78","8.63","199.56","percent of total billed charges",,
"XR AH HUMEROUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"23.58","11.79","Medicaid",,"RT,26",,"37",,"8.63","8.63","199.56","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"24.6","12.3","Alliant","Health Exchange","RT,26",,"62",,"15.25","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"24.6","12.3","Pruitt Healthcare","Medicare Advantage","RT,26",,"54",,"13.28","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"24.6","12.3","Medicare",,"RT,26",,"54",,"13.33","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"24.6","12.3","Humana","Medicare Advantage","RT,26",,"54",,"13.33","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"24.6","12.3","UHC","Medicare Advantage","RT,26",,"54",,"13.33","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"24.6","12.3","Clover","Medicare Advantage","RT,26",,"54",,"13.33","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"24.6","12.3","Wellcare","Medicare Advantage","RT,26",,"54",,"13.33","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"24.6","12.3","Amerigroup","Medicaid Managed Care","RT,26",,"37",,"9","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"24.6","12.3","Caresource","Medicaid Managed Care","RT,26",,"40",,"9.84","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"24.6","12.3","Wellcare","Medicaid Managed Care","RT,26",,"40",,"9.96","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"24.6","12.3","Aetna","Commercial","RT,26",,"64",,"15.69","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"24.6","12.3","Blue Cross Blue Shield","Pathways","RT,26",,"71",,"17.37","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"24.6","12.3","Blue Cross Blue Shield","HMO","RT,26",,"71",,"17.37","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"24.6","12.3","Blue Cross Blue Shield","PPO","RT,26",,"71",,"17.37","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"24.6","12.3","Ambetter","Health Exchange","RT,26",,"62",,"15.25","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"24.6","12.3","Caresource","Health Exchange","RT,26",,"62",,"15.25","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"24.6","12.3","Cigna","Commercial","RT,26",,"59",,"14.42","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"24.6","12.3","Humana","Commercial","RT,26",,"78",,"19.07","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"24.6","12.3","UHC","Commercial","RT,26",,"75",,"18.55","9","480.89","percent of total billed charges",,
"XR AH ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"24.6","12.3","Medicaid",,"RT,26",,"37",,"9","9","480.89","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"22.68","11.34","Alliant","Health Exchange","RT,26",,"62",,"14.06","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"22.68","11.34","Pruitt Healthcare","Medicare Advantage","RT,26",,"54",,"12.25","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"22.68","11.34","Medicare",,"RT,26",,"54",,"12.29","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"22.68","11.34","Humana","Medicare Advantage","RT,26",,"54",,"12.29","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"22.68","11.34","UHC","Medicare Advantage","RT,26",,"54",,"12.29","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"22.68","11.34","Clover","Medicare Advantage","RT,26",,"54",,"12.29","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"22.68","11.34","Wellcare","Medicare Advantage","RT,26",,"54",,"12.29","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"22.68","11.34","Amerigroup","Medicaid Managed Care","RT,26",,"37",,"8.3","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"22.68","11.34","Caresource","Medicaid Managed Care","RT,26",,"40",,"9.07","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"22.68","11.34","Wellcare","Medicaid Managed Care","RT,26",,"40",,"9.19","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"22.68","11.34","Aetna","Commercial","RT,26",,"64",,"14.47","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"22.68","11.34","Blue Cross Blue Shield","Pathways","RT,26",,"71",,"16.01","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"22.68","11.34","Blue Cross Blue Shield","HMO","RT,26",,"71",,"16.01","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"22.68","11.34","Blue Cross Blue Shield","PPO","RT,26",,"71",,"16.01","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"22.68","11.34","Ambetter","Health Exchange","RT,26",,"62",,"14.06","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"22.68","11.34","Caresource","Health Exchange","RT,26",,"62",,"14.06","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"22.68","11.34","Cigna","Commercial","RT,26",,"59",,"13.29","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"22.68","11.34","Humana","Commercial","RT,26",,"78",,"17.58","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"22.68","11.34","UHC","Commercial","RT,26",,"75",,"17.1","8.3","566.58","percent of total billed charges",,
"XR AH FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"22.68","11.34","Medicaid",,"RT,26",,"37",,"8.3","8.3","566.58","percent of total billed charges",,
"XR AH WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"24.6","12.3","Alliant","Health Exchange","RT,26",,"62",,"15.25","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"24.6","12.3","Pruitt Healthcare","Medicare Advantage","RT,26",,"54",,"13.28","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"24.6","12.3","Medicare",,"RT,26",,"54",,"13.33","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"24.6","12.3","Humana","Medicare Advantage","RT,26",,"54",,"13.33","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"24.6","12.3","UHC","Medicare Advantage","RT,26",,"54",,"13.33","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"24.6","12.3","Clover","Medicare Advantage","RT,26",,"54",,"13.33","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"24.6","12.3","Wellcare","Medicare Advantage","RT,26",,"54",,"13.33","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"24.6","12.3","Amerigroup","Medicaid Managed Care","RT,26",,"37",,"9","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"24.6","12.3","Caresource","Medicaid Managed Care","RT,26",,"40",,"9.84","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"24.6","12.3","Wellcare","Medicaid Managed Care","RT,26",,"40",,"9.96","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"24.6","12.3","Aetna","Commercial","RT,26",,"64",,"15.69","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"24.6","12.3","Blue Cross Blue Shield","Pathways","RT,26",,"71",,"17.37","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"24.6","12.3","Blue Cross Blue Shield","HMO","RT,26",,"71",,"17.37","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"24.6","12.3","Blue Cross Blue Shield","PPO","RT,26",,"71",,"17.37","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"24.6","12.3","Ambetter","Health Exchange","RT,26",,"62",,"15.25","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"24.6","12.3","Caresource","Health Exchange","RT,26",,"62",,"15.25","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"24.6","12.3","Cigna","Commercial","RT,26",,"59",,"14.42","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"24.6","12.3","Humana","Commercial","RT,26",,"78",,"19.07","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"24.6","12.3","UHC","Commercial","RT,26",,"75",,"18.55","9","543.66","percent of total billed charges",,
"XR AH WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"24.6","12.3","Medicaid",,"RT,26",,"37",,"9","9","543.66","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS LEFT","73130","HCPCS","Both",,,"24.6","12.3","Alliant","Health Exchange","LT,26",,"62",,"15.25","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS LEFT","73130","HCPCS","Both",,,"24.6","12.3","Pruitt Healthcare","Medicare Advantage","LT,26",,"54",,"13.28","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS LEFT","73130","HCPCS","Both",,,"24.6","12.3","Medicare",,"LT,26",,"54",,"13.33","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS LEFT","73130","HCPCS","Both",,,"24.6","12.3","Humana","Medicare Advantage","LT,26",,"54",,"13.33","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS LEFT","73130","HCPCS","Both",,,"24.6","12.3","UHC","Medicare Advantage","LT,26",,"54",,"13.33","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS LEFT","73130","HCPCS","Both",,,"24.6","12.3","Clover","Medicare Advantage","LT,26",,"54",,"13.33","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS LEFT","73130","HCPCS","Both",,,"24.6","12.3","Wellcare","Medicare Advantage","LT,26",,"54",,"13.33","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS LEFT","73130","HCPCS","Both",,,"24.6","12.3","Amerigroup","Medicaid Managed Care","LT,26",,"37",,"9","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS LEFT","73130","HCPCS","Both",,,"24.6","12.3","Caresource","Medicaid Managed Care","LT,26",,"40",,"9.84","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS LEFT","73130","HCPCS","Both",,,"24.6","12.3","Wellcare","Medicaid Managed Care","LT,26",,"40",,"9.96","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS LEFT","73130","HCPCS","Both",,,"24.6","12.3","Aetna","Commercial","LT,26",,"64",,"15.69","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS LEFT","73130","HCPCS","Both",,,"24.6","12.3","Blue Cross Blue Shield","Pathways","LT,26",,"71",,"17.37","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS LEFT","73130","HCPCS","Both",,,"24.6","12.3","Blue Cross Blue Shield","HMO","LT,26",,"71",,"17.37","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS LEFT","73130","HCPCS","Both",,,"24.6","12.3","Blue Cross Blue Shield","PPO","LT,26",,"71",,"17.37","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS LEFT","73130","HCPCS","Both",,,"24.6","12.3","Ambetter","Health Exchange","LT,26",,"62",,"15.25","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS LEFT","73130","HCPCS","Both",,,"24.6","12.3","Caresource","Health Exchange","LT,26",,"62",,"15.25","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS LEFT","73130","HCPCS","Both",,,"24.6","12.3","Cigna","Commercial","LT,26",,"59",,"14.42","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS LEFT","73130","HCPCS","Both",,,"24.6","12.3","Humana","Commercial","LT,26",,"78",,"19.07","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS LEFT","73130","HCPCS","Both",,,"24.6","12.3","UHC","Commercial","LT,26",,"75",,"18.55","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS LEFT","73130","HCPCS","Both",,,"24.6","12.3","Medicaid",,"LT,26",,"37",,"9","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"24.6","12.3","Alliant","Health Exchange","RT,26",,"62",,"15.25","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"24.6","12.3","Pruitt Healthcare","Medicare Advantage","RT,26",,"54",,"13.28","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"24.6","12.3","Medicare",,"RT,26",,"54",,"13.33","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"24.6","12.3","Humana","Medicare Advantage","RT,26",,"54",,"13.33","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"24.6","12.3","UHC","Medicare Advantage","RT,26",,"54",,"13.33","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"24.6","12.3","Clover","Medicare Advantage","RT,26",,"54",,"13.33","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"24.6","12.3","Wellcare","Medicare Advantage","RT,26",,"54",,"13.33","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"24.6","12.3","Amerigroup","Medicaid Managed Care","RT,26",,"37",,"9","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"24.6","12.3","Caresource","Medicaid Managed Care","RT,26",,"40",,"9.84","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"24.6","12.3","Wellcare","Medicaid Managed Care","RT,26",,"40",,"9.96","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"24.6","12.3","Aetna","Commercial","RT,26",,"64",,"15.69","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"24.6","12.3","Blue Cross Blue Shield","Pathways","RT,26",,"71",,"17.37","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"24.6","12.3","Blue Cross Blue Shield","HMO","RT,26",,"71",,"17.37","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"24.6","12.3","Blue Cross Blue Shield","PPO","RT,26",,"71",,"17.37","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"24.6","12.3","Ambetter","Health Exchange","RT,26",,"62",,"15.25","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"24.6","12.3","Caresource","Health Exchange","RT,26",,"62",,"15.25","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"24.6","12.3","Cigna","Commercial","RT,26",,"59",,"14.42","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"24.6","12.3","Humana","Commercial","RT,26",,"78",,"19.07","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"24.6","12.3","UHC","Commercial","RT,26",,"75",,"18.55","9","620.29","percent of total billed charges",,
"XR AH HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"24.6","12.3","Medicaid",,"RT,26",,"37",,"9","9","620.29","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"25.59","12.795","Alliant","Health Exchange","RT,26",,"62",,"15.87","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"25.59","12.795","Pruitt Healthcare","Medicare Advantage","RT,26",,"54",,"13.82","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"25.59","12.795","Medicare",,"RT,26",,"54",,"13.87","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"25.59","12.795","Humana","Medicare Advantage","RT,26",,"54",,"13.87","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"25.59","12.795","UHC","Medicare Advantage","RT,26",,"54",,"13.87","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"25.59","12.795","Clover","Medicare Advantage","RT,26",,"54",,"13.87","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"25.59","12.795","Wellcare","Medicare Advantage","RT,26",,"54",,"13.87","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"25.59","12.795","Amerigroup","Medicaid Managed Care","RT,26",,"37",,"9.37","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"25.59","12.795","Caresource","Medicaid Managed Care","RT,26",,"40",,"10.24","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"25.59","12.795","Wellcare","Medicaid Managed Care","RT,26",,"40",,"10.36","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"25.59","12.795","Aetna","Commercial","RT,26",,"64",,"16.33","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"25.59","12.795","Blue Cross Blue Shield","Pathways","RT,26",,"71",,"18.07","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"25.59","12.795","Blue Cross Blue Shield","HMO","RT,26",,"71",,"18.07","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"25.59","12.795","Blue Cross Blue Shield","PPO","RT,26",,"71",,"18.07","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"25.59","12.795","Ambetter","Health Exchange","RT,26",,"62",,"15.87","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"25.59","12.795","Caresource","Health Exchange","RT,26",,"62",,"15.87","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"25.59","12.795","Cigna","Commercial","RT,26",,"59",,"15","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"25.59","12.795","Humana","Commercial","RT,26",,"78",,"19.83","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"25.59","12.795","UHC","Commercial","RT,26",,"75",,"19.29","9.37","78.28","percent of total billed charges",,
"XR AH FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"25.59","12.795","Medicaid",,"RT,26",,"37",,"9.37","9.37","78.28","percent of total billed charges",,
"XR AH KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"26.49","13.245","Alliant","Health Exchange","RT,26",,"62",,"16.42","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"26.49","13.245","Pruitt Healthcare","Medicare Advantage","RT,26",,"54",,"14.3","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"26.49","13.245","Medicare",,"RT,26",,"54",,"14.36","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"26.49","13.245","Humana","Medicare Advantage","RT,26",,"54",,"14.36","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"26.49","13.245","UHC","Medicare Advantage","RT,26",,"54",,"14.36","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"26.49","13.245","Clover","Medicare Advantage","RT,26",,"54",,"14.36","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"26.49","13.245","Wellcare","Medicare Advantage","RT,26",,"54",,"14.36","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"26.49","13.245","Amerigroup","Medicaid Managed Care","RT,26",,"37",,"9.7","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"26.49","13.245","Caresource","Medicaid Managed Care","RT,26",,"40",,"10.6","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"26.49","13.245","Wellcare","Medicaid Managed Care","RT,26",,"40",,"10.73","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"26.49","13.245","Aetna","Commercial","RT,26",,"64",,"16.9","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"26.49","13.245","Blue Cross Blue Shield","Pathways","RT,26",,"71",,"18.7","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"26.49","13.245","Blue Cross Blue Shield","HMO","RT,26",,"71",,"18.7","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"26.49","13.245","Blue Cross Blue Shield","PPO","RT,26",,"71",,"18.7","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"26.49","13.245","Ambetter","Health Exchange","RT,26",,"62",,"16.42","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"26.49","13.245","Caresource","Health Exchange","RT,26",,"62",,"16.42","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"26.49","13.245","Cigna","Commercial","RT,26",,"59",,"15.52","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"26.49","13.245","Humana","Commercial","RT,26",,"78",,"20.53","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"26.49","13.245","UHC","Commercial","RT,26",,"75",,"19.97","9.7","663.04","percent of total billed charges",,
"XR AH KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"26.49","13.245","Medicaid",,"RT,26",,"37",,"9.7","9.7","663.04","percent of total billed charges",,
"XR AH SPINE TIBULA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"22.68","11.34","Alliant","Health Exchange","RT,26",,"62",,"14.06","8.3","340.57","percent of total billed charges",,
"XR AH SPINE TIBULA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"22.68","11.34","Pruitt Healthcare","Medicare Advantage","RT,26",,"54",,"12.25","8.3","340.57","percent of total billed charges",,
"XR AH SPINE TIBULA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"22.68","11.34","Medicare",,"RT,26",,"54",,"12.29","8.3","340.57","percent of total billed charges",,
"XR AH SPINE TIBULA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"22.68","11.34","Humana","Medicare Advantage","RT,26",,"54",,"12.29","8.3","340.57","percent of total billed charges",,
"XR AH SPINE TIBULA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"22.68","11.34","UHC","Medicare Advantage","RT,26",,"54",,"12.29","8.3","340.57","percent of total billed charges",,
"XR AH SPINE TIBULA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"22.68","11.34","Clover","Medicare Advantage","RT,26",,"54",,"12.29","8.3","340.57","percent of total billed charges",,
"XR AH SPINE TIBULA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"22.68","11.34","Wellcare","Medicare Advantage","RT,26",,"54",,"12.29","8.3","340.57","percent of total billed charges",,
"XR AH SPINE TIBULA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"22.68","11.34","Amerigroup","Medicaid Managed Care","RT,26",,"37",,"8.3","8.3","340.57","percent of total billed charges",,
"XR AH SPINE TIBULA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"22.68","11.34","Caresource","Medicaid Managed Care","RT,26",,"40",,"9.07","8.3","340.57","percent of total billed charges",,
"XR AH SPINE TIBULA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"22.68","11.34","Wellcare","Medicaid Managed Care","RT,26",,"40",,"9.19","8.3","340.57","percent of total billed charges",,
"XR AH SPINE TIBULA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"22.68","11.34","Aetna","Commercial","RT,26",,"64",,"14.47","8.3","340.57","percent of total billed charges",,
"XR AH SPINE TIBULA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"22.68","11.34","Blue Cross Blue Shield","Pathways","RT,26",,"71",,"16.01","8.3","340.57","percent of total billed charges",,
"XR AH SPINE TIBULA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"22.68","11.34","Blue Cross Blue Shield","HMO","RT,26",,"71",,"16.01","8.3","340.57","percent of total billed charges",,
"XR AH SPINE TIBULA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"22.68","11.34","Blue Cross Blue Shield","PPO","RT,26",,"71",,"16.01","8.3","340.57","percent of total billed charges",,
"XR AH SPINE TIBULA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"22.68","11.34","Ambetter","Health Exchange","RT,26",,"62",,"14.06","8.3","340.57","percent of total billed charges",,
"XR AH SPINE TIBULA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"22.68","11.34","Caresource","Health Exchange","RT,26",,"62",,"14.06","8.3","340.57","percent of total billed charges",,
"XR AH SPINE TIBULA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"22.68","11.34","Cigna","Commercial","RT,26",,"59",,"13.29","8.3","340.57","percent of total billed charges",,
"XR AH SPINE TIBULA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"22.68","11.34","Humana","Commercial","RT,26",,"78",,"17.58","8.3","340.57","percent of total billed charges",,
"XR AH SPINE TIBULA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"22.68","11.34","UHC","Commercial","RT,26",,"75",,"17.1","8.3","340.57","percent of total billed charges",,
"XR AH SPINE TIBULA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"22.68","11.34","Medicaid",,"RT,26",,"37",,"8.3","8.3","340.57","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"24.6","12.3","Alliant","Health Exchange","RT,26",,"62",,"15.25","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"24.6","12.3","Pruitt Healthcare","Medicare Advantage","RT,26",,"54",,"13.28","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"24.6","12.3","Medicare",,"RT,26",,"54",,"13.33","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"24.6","12.3","Humana","Medicare Advantage","RT,26",,"54",,"13.33","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"24.6","12.3","UHC","Medicare Advantage","RT,26",,"54",,"13.33","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"24.6","12.3","Clover","Medicare Advantage","RT,26",,"54",,"13.33","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"24.6","12.3","Wellcare","Medicare Advantage","RT,26",,"54",,"13.33","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"24.6","12.3","Amerigroup","Medicaid Managed Care","RT,26",,"37",,"9","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"24.6","12.3","Caresource","Medicaid Managed Care","RT,26",,"40",,"9.84","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"24.6","12.3","Wellcare","Medicaid Managed Care","RT,26",,"40",,"9.96","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"24.6","12.3","Aetna","Commercial","RT,26",,"64",,"15.69","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"24.6","12.3","Blue Cross Blue Shield","Pathways","RT,26",,"71",,"17.37","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"24.6","12.3","Blue Cross Blue Shield","HMO","RT,26",,"71",,"17.37","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"24.6","12.3","Blue Cross Blue Shield","PPO","RT,26",,"71",,"17.37","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"24.6","12.3","Ambetter","Health Exchange","RT,26",,"62",,"15.25","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"24.6","12.3","Caresource","Health Exchange","RT,26",,"62",,"15.25","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"24.6","12.3","Cigna","Commercial","RT,26",,"59",,"14.42","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"24.6","12.3","Humana","Commercial","RT,26",,"78",,"19.07","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"24.6","12.3","UHC","Commercial","RT,26",,"75",,"18.55","9","598.26","percent of total billed charges",,
"XR AH ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"24.6","12.3","Medicaid",,"RT,26",,"37",,"9","9","598.26","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"22.68","11.34","Alliant","Health Exchange","RT,26",,"62",,"14.06","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"22.68","11.34","Pruitt Healthcare","Medicare Advantage","RT,26",,"54",,"12.25","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"22.68","11.34","Medicare",,"RT,26",,"54",,"12.29","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"22.68","11.34","Humana","Medicare Advantage","RT,26",,"54",,"12.29","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"22.68","11.34","UHC","Medicare Advantage","RT,26",,"54",,"12.29","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"22.68","11.34","Clover","Medicare Advantage","RT,26",,"54",,"12.29","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"22.68","11.34","Wellcare","Medicare Advantage","RT,26",,"54",,"12.29","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"22.68","11.34","Amerigroup","Medicaid Managed Care","RT,26",,"37",,"8.3","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"22.68","11.34","Caresource","Medicaid Managed Care","RT,26",,"40",,"9.07","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"22.68","11.34","Wellcare","Medicaid Managed Care","RT,26",,"40",,"9.19","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"22.68","11.34","Aetna","Commercial","RT,26",,"64",,"14.47","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"22.68","11.34","Blue Cross Blue Shield","Pathways","RT,26",,"71",,"16.01","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"22.68","11.34","Blue Cross Blue Shield","HMO","RT,26",,"71",,"16.01","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"22.68","11.34","Blue Cross Blue Shield","PPO","RT,26",,"71",,"16.01","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"22.68","11.34","Ambetter","Health Exchange","RT,26",,"62",,"14.06","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"22.68","11.34","Caresource","Health Exchange","RT,26",,"62",,"14.06","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"22.68","11.34","Cigna","Commercial","RT,26",,"59",,"13.29","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"22.68","11.34","Humana","Commercial","RT,26",,"78",,"17.58","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"22.68","11.34","UHC","Commercial","RT,26",,"75",,"17.1","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"22.68","11.34","Medicaid",,"RT,26",,"37",,"8.3","8.3","204.99","percent of total billed charges",,
"XR AH CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"30.57","15.285","Alliant","Health Exchange","26",,"62",,"18.95","11.19","522.02","percent of total billed charges",,
"XR AH CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"30.57","15.285","Pruitt Healthcare","Medicare Advantage","26",,"54",,"16.51","11.19","522.02","percent of total billed charges",,
"XR AH CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"30.57","15.285","Medicare",,"26",,"54",,"16.57","11.19","522.02","percent of total billed charges",,
"XR AH CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"30.57","15.285","Humana","Medicare Advantage","26",,"54",,"16.57","11.19","522.02","percent of total billed charges",,
"XR AH CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"30.57","15.285","UHC","Medicare Advantage","26",,"54",,"16.57","11.19","522.02","percent of total billed charges",,
"XR AH CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"30.57","15.285","Clover","Medicare Advantage","26",,"54",,"16.57","11.19","522.02","percent of total billed charges",,
"XR AH CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"30.57","15.285","Wellcare","Medicare Advantage","26",,"54",,"16.57","11.19","522.02","percent of total billed charges",,
"XR AH CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"30.57","15.285","Amerigroup","Medicaid Managed Care","26",,"37",,"11.19","11.19","522.02","percent of total billed charges",,
"XR AH CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"30.57","15.285","Caresource","Medicaid Managed Care","26",,"40",,"12.23","11.19","522.02","percent of total billed charges",,
"XR AH CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"30.57","15.285","Wellcare","Medicaid Managed Care","26",,"40",,"12.38","11.19","522.02","percent of total billed charges",,
"XR AH CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"30.57","15.285","Aetna","Commercial","26",,"64",,"19.5","11.19","522.02","percent of total billed charges",,
"XR AH CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"30.57","15.285","Blue Cross Blue Shield","Pathways","26",,"71",,"21.58","11.19","522.02","percent of total billed charges",,
"XR AH CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"30.57","15.285","Blue Cross Blue Shield","HMO","26",,"71",,"21.58","11.19","522.02","percent of total billed charges",,
"XR AH CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"30.57","15.285","Blue Cross Blue Shield","PPO","26",,"71",,"21.58","11.19","522.02","percent of total billed charges",,
"XR AH CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"30.57","15.285","Ambetter","Health Exchange","26",,"62",,"18.95","11.19","522.02","percent of total billed charges",,
"XR AH CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"30.57","15.285","Caresource","Health Exchange","26",,"62",,"18.95","11.19","522.02","percent of total billed charges",,
"XR AH CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"30.57","15.285","Cigna","Commercial","26",,"59",,"17.91","11.19","522.02","percent of total billed charges",,
"XR AH CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"30.57","15.285","Humana","Commercial","26",,"78",,"23.69","11.19","522.02","percent of total billed charges",,
"XR AH CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"30.57","15.285","UHC","Commercial","26",,"75",,"23.05","11.19","522.02","percent of total billed charges",,
"XR AH CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"30.57","15.285","Medicaid",,"26",,"37",,"11.19","11.19","522.02","percent of total billed charges",,
"XR AH BIL RIBS W/PA CHEST MIN 4 VIEWS","71111","HCPCS","Both",,,"45.33","22.665","Alliant","Health Exchange","26",,"62",,"28.1","16.59","55.8","percent of total billed charges",,
"XR AH BIL RIBS W/PA CHEST MIN 4 VIEWS","71111","HCPCS","Both",,,"45.33","22.665","Pruitt Healthcare","Medicare Advantage","26",,"54",,"24.48","16.59","55.8","percent of total billed charges",,
"XR AH BIL RIBS W/PA CHEST MIN 4 VIEWS","71111","HCPCS","Both",,,"45.33","22.665","Medicare",,"26",,"54",,"24.57","16.59","55.8","percent of total billed charges",,
"XR AH BIL RIBS W/PA CHEST MIN 4 VIEWS","71111","HCPCS","Both",,,"45.33","22.665","Humana","Medicare Advantage","26",,"54",,"24.57","16.59","55.8","percent of total billed charges",,
"XR AH BIL RIBS W/PA CHEST MIN 4 VIEWS","71111","HCPCS","Both",,,"45.33","22.665","UHC","Medicare Advantage","26",,"54",,"24.57","16.59","55.8","percent of total billed charges",,
"XR AH BIL RIBS W/PA CHEST MIN 4 VIEWS","71111","HCPCS","Both",,,"45.33","22.665","Clover","Medicare Advantage","26",,"54",,"24.57","16.59","55.8","percent of total billed charges",,
"XR AH BIL RIBS W/PA CHEST MIN 4 VIEWS","71111","HCPCS","Both",,,"45.33","22.665","Wellcare","Medicare Advantage","26",,"54",,"24.57","16.59","55.8","percent of total billed charges",,
"XR AH BIL RIBS W/PA CHEST MIN 4 VIEWS","71111","HCPCS","Both",,,"45.33","22.665","Amerigroup","Medicaid Managed Care","26",,"37",,"16.59","16.59","55.8","percent of total billed charges",,
"XR AH BIL RIBS W/PA CHEST MIN 4 VIEWS","71111","HCPCS","Both",,,"45.33","22.665","Caresource","Medicaid Managed Care","26",,"40",,"18.13","16.59","55.8","percent of total billed charges",,
"XR AH BIL RIBS W/PA CHEST MIN 4 VIEWS","71111","HCPCS","Both",,,"45.33","22.665","Wellcare","Medicaid Managed Care","26",,"40",,"18.36","16.59","55.8","percent of total billed charges",,
"XR AH BIL RIBS W/PA CHEST MIN 4 VIEWS","71111","HCPCS","Both",,,"45.33","22.665","Aetna","Commercial","26",,"64",,"28.92","16.59","55.8","percent of total billed charges",,
"XR AH BIL RIBS W/PA CHEST MIN 4 VIEWS","71111","HCPCS","Both",,,"45.33","22.665","Blue Cross Blue Shield","Pathways","26",,"71",,"32","16.59","55.8","percent of total billed charges",,
"XR AH BIL RIBS W/PA CHEST MIN 4 VIEWS","71111","HCPCS","Both",,,"45.33","22.665","Blue Cross Blue Shield","HMO","26",,"71",,"32","16.59","55.8","percent of total billed charges",,
"XR AH BIL RIBS W/PA CHEST MIN 4 VIEWS","71111","HCPCS","Both",,,"45.33","22.665","Blue Cross Blue Shield","PPO","26",,"71",,"32","16.59","55.8","percent of total billed charges",,
"XR AH BIL RIBS W/PA CHEST MIN 4 VIEWS","71111","HCPCS","Both",,,"45.33","22.665","Ambetter","Health Exchange","26",,"62",,"28.1","16.59","55.8","percent of total billed charges",,
"XR AH BIL RIBS W/PA CHEST MIN 4 VIEWS","71111","HCPCS","Both",,,"45.33","22.665","Caresource","Health Exchange","26",,"62",,"28.1","16.59","55.8","percent of total billed charges",,
"XR AH BIL RIBS W/PA CHEST MIN 4 VIEWS","71111","HCPCS","Both",,,"45.33","22.665","Cigna","Commercial","26",,"59",,"26.56","16.59","55.8","percent of total billed charges",,
"XR AH BIL RIBS W/PA CHEST MIN 4 VIEWS","71111","HCPCS","Both",,,"45.33","22.665","Humana","Commercial","26",,"78",,"35.13","16.59","55.8","percent of total billed charges",,
"XR AH BIL RIBS W/PA CHEST MIN 4 VIEWS","71111","HCPCS","Both",,,"45.33","22.665","UHC","Commercial","26",,"75",,"34.18","16.59","55.8","percent of total billed charges",,
"XR AH BIL RIBS W/PA CHEST MIN 4 VIEWS","71111","HCPCS","Both",,,"45.33","22.665","Medicaid",,"26",,"37",,"16.59","16.59","55.8","percent of total billed charges",,
"XR AH CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"25.59","12.795","Alliant","Health Exchange","26",,"62",,"15.87","9.37","97.65","percent of total billed charges",,
"XR AH CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"25.59","12.795","Pruitt Healthcare","Medicare Advantage","26",,"54",,"13.82","9.37","97.65","percent of total billed charges",,
"XR AH CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"25.59","12.795","Medicare",,"26",,"54",,"13.87","9.37","97.65","percent of total billed charges",,
"XR AH CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"25.59","12.795","Humana","Medicare Advantage","26",,"54",,"13.87","9.37","97.65","percent of total billed charges",,
"XR AH CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"25.59","12.795","UHC","Medicare Advantage","26",,"54",,"13.87","9.37","97.65","percent of total billed charges",,
"XR AH CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"25.59","12.795","Clover","Medicare Advantage","26",,"54",,"13.87","9.37","97.65","percent of total billed charges",,
"XR AH CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"25.59","12.795","Wellcare","Medicare Advantage","26",,"54",,"13.87","9.37","97.65","percent of total billed charges",,
"XR AH CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"25.59","12.795","Amerigroup","Medicaid Managed Care","26",,"37",,"9.37","9.37","97.65","percent of total billed charges",,
"XR AH CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"25.59","12.795","Caresource","Medicaid Managed Care","26",,"40",,"10.24","9.37","97.65","percent of total billed charges",,
"XR AH CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"25.59","12.795","Wellcare","Medicaid Managed Care","26",,"40",,"10.36","9.37","97.65","percent of total billed charges",,
"XR AH CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"25.59","12.795","Aetna","Commercial","26",,"64",,"16.33","9.37","97.65","percent of total billed charges",,
"XR AH CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"25.59","12.795","Blue Cross Blue Shield","Pathways","26",,"71",,"18.07","9.37","97.65","percent of total billed charges",,
"XR AH CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"25.59","12.795","Blue Cross Blue Shield","HMO","26",,"71",,"18.07","9.37","97.65","percent of total billed charges",,
"XR AH CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"25.59","12.795","Blue Cross Blue Shield","PPO","26",,"71",,"18.07","9.37","97.65","percent of total billed charges",,
"XR AH CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"25.59","12.795","Ambetter","Health Exchange","26",,"62",,"15.87","9.37","97.65","percent of total billed charges",,
"XR AH CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"25.59","12.795","Caresource","Health Exchange","26",,"62",,"15.87","9.37","97.65","percent of total billed charges",,
"XR AH CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"25.59","12.795","Cigna","Commercial","26",,"59",,"15","9.37","97.65","percent of total billed charges",,
"XR AH CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"25.59","12.795","Humana","Commercial","26",,"78",,"19.83","9.37","97.65","percent of total billed charges",,
"XR AH CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"25.59","12.795","UHC","Commercial","26",,"75",,"19.29","9.37","97.65","percent of total billed charges",,
"XR AH CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"25.59","12.795","Medicaid",,"26",,"37",,"9.37","9.37","97.65","percent of total billed charges",,
"US AH VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"62.43","31.215","Alliant","Health Exchange","26",,"62",,"38.71","22.85","621.86","percent of total billed charges",,
"US AH VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"62.43","31.215","Pruitt Healthcare","Medicare Advantage","26",,"54",,"33.71","22.85","621.86","percent of total billed charges",,
"US AH VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"62.43","31.215","Medicare",,"26",,"54",,"33.84","22.85","621.86","percent of total billed charges",,
"US AH VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"62.43","31.215","Humana","Medicare Advantage","26",,"54",,"33.84","22.85","621.86","percent of total billed charges",,
"US AH VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"62.43","31.215","UHC","Medicare Advantage","26",,"54",,"33.84","22.85","621.86","percent of total billed charges",,
"US AH VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"62.43","31.215","Clover","Medicare Advantage","26",,"54",,"33.84","22.85","621.86","percent of total billed charges",,
"US AH VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"62.43","31.215","Wellcare","Medicare Advantage","26",,"54",,"33.84","22.85","621.86","percent of total billed charges",,
"US AH VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"62.43","31.215","Amerigroup","Medicaid Managed Care","26",,"37",,"22.85","22.85","621.86","percent of total billed charges",,
"US AH VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"62.43","31.215","Caresource","Medicaid Managed Care","26",,"40",,"24.97","22.85","621.86","percent of total billed charges",,
"US AH VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"62.43","31.215","Wellcare","Medicaid Managed Care","26",,"40",,"25.28","22.85","621.86","percent of total billed charges",,
"US AH VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"62.43","31.215","Aetna","Commercial","26",,"64",,"39.83","22.85","621.86","percent of total billed charges",,
"US AH VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"62.43","31.215","Blue Cross Blue Shield","Pathways","26",,"71",,"44.08","22.85","621.86","percent of total billed charges",,
"US AH VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"62.43","31.215","Blue Cross Blue Shield","HMO","26",,"71",,"44.08","22.85","621.86","percent of total billed charges",,
"US AH VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"62.43","31.215","Blue Cross Blue Shield","PPO","26",,"71",,"44.08","22.85","621.86","percent of total billed charges",,
"US AH VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"62.43","31.215","Ambetter","Health Exchange","26",,"62",,"38.71","22.85","621.86","percent of total billed charges",,
"US AH VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"62.43","31.215","Caresource","Health Exchange","26",,"62",,"38.71","22.85","621.86","percent of total billed charges",,
"US AH VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"62.43","31.215","Cigna","Commercial","26",,"59",,"36.58","22.85","621.86","percent of total billed charges",,
"US AH VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"62.43","31.215","Humana","Commercial","26",,"78",,"48.38","22.85","621.86","percent of total billed charges",,
"US AH VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"62.43","31.215","UHC","Commercial","26",,"75",,"47.07","22.85","621.86","percent of total billed charges",,
"US AH VENOUS EXTREMITY UNILATERAL","93971","HCPCS","Both",,,"62.43","31.215","Medicaid",,"26",,"37",,"22.85","22.85","621.86","percent of total billed charges",,
"XR AH SPINE CERVICAL 4 VIEWS MIN","72050","HCPCS","Both",,,"38.34","19.17","Alliant","Health Exchange","26",,"62",,"23.77","14.03","698.28","percent of total billed charges",,
"XR AH SPINE CERVICAL 4 VIEWS MIN","72050","HCPCS","Both",,,"38.34","19.17","Pruitt Healthcare","Medicare Advantage","26",,"54",,"20.7","14.03","698.28","percent of total billed charges",,
"XR AH SPINE CERVICAL 4 VIEWS MIN","72050","HCPCS","Both",,,"38.34","19.17","Medicare",,"26",,"54",,"20.78","14.03","698.28","percent of total billed charges",,
"XR AH SPINE CERVICAL 4 VIEWS MIN","72050","HCPCS","Both",,,"38.34","19.17","Humana","Medicare Advantage","26",,"54",,"20.78","14.03","698.28","percent of total billed charges",,
"XR AH SPINE CERVICAL 4 VIEWS MIN","72050","HCPCS","Both",,,"38.34","19.17","UHC","Medicare Advantage","26",,"54",,"20.78","14.03","698.28","percent of total billed charges",,
"XR AH SPINE CERVICAL 4 VIEWS MIN","72050","HCPCS","Both",,,"38.34","19.17","Clover","Medicare Advantage","26",,"54",,"20.78","14.03","698.28","percent of total billed charges",,
"XR AH SPINE CERVICAL 4 VIEWS MIN","72050","HCPCS","Both",,,"38.34","19.17","Wellcare","Medicare Advantage","26",,"54",,"20.78","14.03","698.28","percent of total billed charges",,
"XR AH SPINE CERVICAL 4 VIEWS MIN","72050","HCPCS","Both",,,"38.34","19.17","Amerigroup","Medicaid Managed Care","26",,"37",,"14.03","14.03","698.28","percent of total billed charges",,
"XR AH SPINE CERVICAL 4 VIEWS MIN","72050","HCPCS","Both",,,"38.34","19.17","Caresource","Medicaid Managed Care","26",,"40",,"15.34","14.03","698.28","percent of total billed charges",,
"XR AH SPINE CERVICAL 4 VIEWS MIN","72050","HCPCS","Both",,,"38.34","19.17","Wellcare","Medicaid Managed Care","26",,"40",,"15.53","14.03","698.28","percent of total billed charges",,
"XR AH SPINE CERVICAL 4 VIEWS MIN","72050","HCPCS","Both",,,"38.34","19.17","Aetna","Commercial","26",,"64",,"24.46","14.03","698.28","percent of total billed charges",,
"XR AH SPINE CERVICAL 4 VIEWS MIN","72050","HCPCS","Both",,,"38.34","19.17","Blue Cross Blue Shield","Pathways","26",,"71",,"27.07","14.03","698.28","percent of total billed charges",,
"XR AH SPINE CERVICAL 4 VIEWS MIN","72050","HCPCS","Both",,,"38.34","19.17","Blue Cross Blue Shield","HMO","26",,"71",,"27.07","14.03","698.28","percent of total billed charges",,
"XR AH SPINE CERVICAL 4 VIEWS MIN","72050","HCPCS","Both",,,"38.34","19.17","Blue Cross Blue Shield","PPO","26",,"71",,"27.07","14.03","698.28","percent of total billed charges",,
"XR AH SPINE CERVICAL 4 VIEWS MIN","72050","HCPCS","Both",,,"38.34","19.17","Ambetter","Health Exchange","26",,"62",,"23.77","14.03","698.28","percent of total billed charges",,
"XR AH SPINE CERVICAL 4 VIEWS MIN","72050","HCPCS","Both",,,"38.34","19.17","Caresource","Health Exchange","26",,"62",,"23.77","14.03","698.28","percent of total billed charges",,
"XR AH SPINE CERVICAL 4 VIEWS MIN","72050","HCPCS","Both",,,"38.34","19.17","Cigna","Commercial","26",,"59",,"22.47","14.03","698.28","percent of total billed charges",,
"XR AH SPINE CERVICAL 4 VIEWS MIN","72050","HCPCS","Both",,,"38.34","19.17","Humana","Commercial","26",,"78",,"29.71","14.03","698.28","percent of total billed charges",,
"XR AH SPINE CERVICAL 4 VIEWS MIN","72050","HCPCS","Both",,,"38.34","19.17","UHC","Commercial","26",,"75",,"28.91","14.03","698.28","percent of total billed charges",,
"XR AH SPINE CERVICAL 4 VIEWS MIN","72050","HCPCS","Both",,,"38.34","19.17","Medicaid",,"26",,"37",,"14.03","14.03","698.28","percent of total billed charges",,
"XR AH SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"31.59","15.795","Alliant","Health Exchange","26",,"62",,"19.59","11.56","457.25","percent of total billed charges",,
"XR AH SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"31.59","15.795","Pruitt Healthcare","Medicare Advantage","26",,"54",,"17.06","11.56","457.25","percent of total billed charges",,
"XR AH SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"31.59","15.795","Medicare",,"26",,"54",,"17.12","11.56","457.25","percent of total billed charges",,
"XR AH SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"31.59","15.795","Humana","Medicare Advantage","26",,"54",,"17.12","11.56","457.25","percent of total billed charges",,
"XR AH SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"31.59","15.795","UHC","Medicare Advantage","26",,"54",,"17.12","11.56","457.25","percent of total billed charges",,
"XR AH SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"31.59","15.795","Clover","Medicare Advantage","26",,"54",,"17.12","11.56","457.25","percent of total billed charges",,
"XR AH SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"31.59","15.795","Wellcare","Medicare Advantage","26",,"54",,"17.12","11.56","457.25","percent of total billed charges",,
"XR AH SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"31.59","15.795","Amerigroup","Medicaid Managed Care","26",,"37",,"11.56","11.56","457.25","percent of total billed charges",,
"XR AH SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"31.59","15.795","Caresource","Medicaid Managed Care","26",,"40",,"12.64","11.56","457.25","percent of total billed charges",,
"XR AH SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"31.59","15.795","Wellcare","Medicaid Managed Care","26",,"40",,"12.79","11.56","457.25","percent of total billed charges",,
"XR AH SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"31.59","15.795","Aetna","Commercial","26",,"64",,"20.15","11.56","457.25","percent of total billed charges",,
"XR AH SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"31.59","15.795","Blue Cross Blue Shield","Pathways","26",,"71",,"22.3","11.56","457.25","percent of total billed charges",,
"XR AH SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"31.59","15.795","Blue Cross Blue Shield","HMO","26",,"71",,"22.3","11.56","457.25","percent of total billed charges",,
"XR AH SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"31.59","15.795","Blue Cross Blue Shield","PPO","26",,"71",,"22.3","11.56","457.25","percent of total billed charges",,
"XR AH SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"31.59","15.795","Ambetter","Health Exchange","26",,"62",,"19.59","11.56","457.25","percent of total billed charges",,
"XR AH SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"31.59","15.795","Caresource","Health Exchange","26",,"62",,"19.59","11.56","457.25","percent of total billed charges",,
"XR AH SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"31.59","15.795","Cigna","Commercial","26",,"59",,"18.51","11.56","457.25","percent of total billed charges",,
"XR AH SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"31.59","15.795","Humana","Commercial","26",,"78",,"24.48","11.56","457.25","percent of total billed charges",,
"XR AH SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"31.59","15.795","UHC","Commercial","26",,"75",,"23.82","11.56","457.25","percent of total billed charges",,
"XR AH SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"31.59","15.795","Medicaid",,"26",,"37",,"11.56","11.56","457.25","percent of total billed charges",,
"XR AH HIP BILATERAL 2-3VIEWS RIGHT","73502","HCPCS","Both",,,"24.6","12.3","Alliant","Health Exchange","RT,26",,"62",,"15.25","9","171.49","percent of total billed charges",,
"XR AH HIP BILATERAL 2-3VIEWS RIGHT","73502","HCPCS","Both",,,"24.6","12.3","Pruitt Healthcare","Medicare Advantage","RT,26",,"54",,"13.28","9","171.49","percent of total billed charges",,
"XR AH HIP BILATERAL 2-3VIEWS RIGHT","73502","HCPCS","Both",,,"24.6","12.3","Medicare",,"RT,26",,"54",,"13.33","9","171.49","percent of total billed charges",,
"XR AH HIP BILATERAL 2-3VIEWS RIGHT","73502","HCPCS","Both",,,"24.6","12.3","Humana","Medicare Advantage","RT,26",,"54",,"13.33","9","171.49","percent of total billed charges",,
"XR AH HIP BILATERAL 2-3VIEWS RIGHT","73502","HCPCS","Both",,,"24.6","12.3","UHC","Medicare Advantage","RT,26",,"54",,"13.33","9","171.49","percent of total billed charges",,
"XR AH HIP BILATERAL 2-3VIEWS RIGHT","73502","HCPCS","Both",,,"24.6","12.3","Clover","Medicare Advantage","RT,26",,"54",,"13.33","9","171.49","percent of total billed charges",,
"XR AH HIP BILATERAL 2-3VIEWS RIGHT","73502","HCPCS","Both",,,"24.6","12.3","Wellcare","Medicare Advantage","RT,26",,"54",,"13.33","9","171.49","percent of total billed charges",,
"XR AH HIP BILATERAL 2-3VIEWS RIGHT","73502","HCPCS","Both",,,"24.6","12.3","Amerigroup","Medicaid Managed Care","RT,26",,"37",,"9","9","171.49","percent of total billed charges",,
"XR AH HIP BILATERAL 2-3VIEWS RIGHT","73502","HCPCS","Both",,,"24.6","12.3","Caresource","Medicaid Managed Care","RT,26",,"40",,"9.84","9","171.49","percent of total billed charges",,
"XR AH HIP BILATERAL 2-3VIEWS RIGHT","73502","HCPCS","Both",,,"24.6","12.3","Wellcare","Medicaid Managed Care","RT,26",,"40",,"9.96","9","171.49","percent of total billed charges",,
"XR AH HIP BILATERAL 2-3VIEWS RIGHT","73502","HCPCS","Both",,,"24.6","12.3","Aetna","Commercial","RT,26",,"64",,"15.69","9","171.49","percent of total billed charges",,
"XR AH HIP BILATERAL 2-3VIEWS RIGHT","73502","HCPCS","Both",,,"24.6","12.3","Blue Cross Blue Shield","Pathways","RT,26",,"71",,"17.37","9","171.49","percent of total billed charges",,
"XR AH HIP BILATERAL 2-3VIEWS RIGHT","73502","HCPCS","Both",,,"24.6","12.3","Blue Cross Blue Shield","HMO","RT,26",,"71",,"17.37","9","171.49","percent of total billed charges",,
"XR AH HIP BILATERAL 2-3VIEWS RIGHT","73502","HCPCS","Both",,,"24.6","12.3","Blue Cross Blue Shield","PPO","RT,26",,"71",,"17.37","9","171.49","percent of total billed charges",,
"XR AH HIP BILATERAL 2-3VIEWS RIGHT","73502","HCPCS","Both",,,"24.6","12.3","Ambetter","Health Exchange","RT,26",,"62",,"15.25","9","171.49","percent of total billed charges",,
"XR AH HIP BILATERAL 2-3VIEWS RIGHT","73502","HCPCS","Both",,,"24.6","12.3","Caresource","Health Exchange","RT,26",,"62",,"15.25","9","171.49","percent of total billed charges",,
"XR AH HIP BILATERAL 2-3VIEWS RIGHT","73502","HCPCS","Both",,,"24.6","12.3","Cigna","Commercial","RT,26",,"59",,"14.42","9","171.49","percent of total billed charges",,
"XR AH HIP BILATERAL 2-3VIEWS RIGHT","73502","HCPCS","Both",,,"24.6","12.3","Humana","Commercial","RT,26",,"78",,"19.07","9","171.49","percent of total billed charges",,
"XR AH HIP BILATERAL 2-3VIEWS RIGHT","73502","HCPCS","Both",,,"24.6","12.3","UHC","Commercial","RT,26",,"75",,"18.55","9","171.49","percent of total billed charges",,
"XR AH HIP BILATERAL 2-3VIEWS RIGHT","73502","HCPCS","Both",,,"24.6","12.3","Medicaid",,"RT,26",,"37",,"9","9","171.49","percent of total billed charges",,
"XR AH ABDOMEN ANTEROPOSTERIOR","74018","HCPCS","Both",,,"25.59","12.795","Alliant","Health Exchange","26",,"62",,"15.87","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN ANTEROPOSTERIOR","74018","HCPCS","Both",,,"25.59","12.795","Pruitt Healthcare","Medicare Advantage","26",,"54",,"13.82","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN ANTEROPOSTERIOR","74018","HCPCS","Both",,,"25.59","12.795","Medicare",,"26",,"54",,"13.87","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN ANTEROPOSTERIOR","74018","HCPCS","Both",,,"25.59","12.795","Humana","Medicare Advantage","26",,"54",,"13.87","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN ANTEROPOSTERIOR","74018","HCPCS","Both",,,"25.59","12.795","UHC","Medicare Advantage","26",,"54",,"13.87","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN ANTEROPOSTERIOR","74018","HCPCS","Both",,,"25.59","12.795","Clover","Medicare Advantage","26",,"54",,"13.87","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN ANTEROPOSTERIOR","74018","HCPCS","Both",,,"25.59","12.795","Wellcare","Medicare Advantage","26",,"54",,"13.87","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN ANTEROPOSTERIOR","74018","HCPCS","Both",,,"25.59","12.795","Amerigroup","Medicaid Managed Care","26",,"37",,"9.37","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN ANTEROPOSTERIOR","74018","HCPCS","Both",,,"25.59","12.795","Caresource","Medicaid Managed Care","26",,"40",,"10.24","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN ANTEROPOSTERIOR","74018","HCPCS","Both",,,"25.59","12.795","Wellcare","Medicaid Managed Care","26",,"40",,"10.36","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN ANTEROPOSTERIOR","74018","HCPCS","Both",,,"25.59","12.795","Aetna","Commercial","26",,"64",,"16.33","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN ANTEROPOSTERIOR","74018","HCPCS","Both",,,"25.59","12.795","Blue Cross Blue Shield","Pathways","26",,"71",,"18.07","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN ANTEROPOSTERIOR","74018","HCPCS","Both",,,"25.59","12.795","Blue Cross Blue Shield","HMO","26",,"71",,"18.07","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN ANTEROPOSTERIOR","74018","HCPCS","Both",,,"25.59","12.795","Blue Cross Blue Shield","PPO","26",,"71",,"18.07","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN ANTEROPOSTERIOR","74018","HCPCS","Both",,,"25.59","12.795","Ambetter","Health Exchange","26",,"62",,"15.87","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN ANTEROPOSTERIOR","74018","HCPCS","Both",,,"25.59","12.795","Caresource","Health Exchange","26",,"62",,"15.87","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN ANTEROPOSTERIOR","74018","HCPCS","Both",,,"25.59","12.795","Cigna","Commercial","26",,"59",,"15","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN ANTEROPOSTERIOR","74018","HCPCS","Both",,,"25.59","12.795","Humana","Commercial","26",,"78",,"19.83","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN ANTEROPOSTERIOR","74018","HCPCS","Both",,,"25.59","12.795","UHC","Commercial","26",,"75",,"19.29","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN ANTEROPOSTERIOR","74018","HCPCS","Both",,,"25.59","12.795","Medicaid",,"26",,"37",,"9.37","9.37","356.38","percent of total billed charges",,
"CT, HEAD OR BRAIN; W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Alliant","Health Exchange","26",,"62",,"150.66","43.31","188.32","percent of total billed charges",,
"CT, HEAD OR BRAIN; W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Pruitt Healthcare","Medicare Advantage","26",,"54",,"131.22","43.31","188.32","percent of total billed charges",,
"CT, HEAD OR BRAIN; W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Medicare",,"26",,"54",,"131.71","43.31","188.32","percent of total billed charges",,
"CT, HEAD OR BRAIN; W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Humana","Medicare Advantage","26",,"54",,"131.71","43.31","188.32","percent of total billed charges",,
"CT, HEAD OR BRAIN; W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","UHC","Medicare Advantage","26",,"54",,"131.71","43.31","188.32","percent of total billed charges",,
"CT, HEAD OR BRAIN; W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Clover","Medicare Advantage","26",,"54",,"131.71","43.31","188.32","percent of total billed charges",,
"CT, HEAD OR BRAIN; W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Wellcare","Medicare Advantage","26",,"54",,"131.71","43.31","188.32","percent of total billed charges",,
"CT, HEAD OR BRAIN; W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Amerigroup","Medicaid Managed Care","26",,"37",,"88.94","43.31","188.32","percent of total billed charges",,
"CT, HEAD OR BRAIN; W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Caresource","Medicaid Managed Care","26",,"40",,"97.2","43.31","188.32","percent of total billed charges",,
"CT, HEAD OR BRAIN; W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Wellcare","Medicaid Managed Care","26",,"40",,"98.42","43.31","188.32","percent of total billed charges",,
"CT, HEAD OR BRAIN; W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Aetna","Commercial","26",,"64",,"155.03","43.31","188.32","percent of total billed charges",,
"CT, HEAD OR BRAIN; W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Blue Cross Blue Shield","Pathways","26",,"71",,"171.56","43.31","188.32","percent of total billed charges",,
"CT, HEAD OR BRAIN; W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Blue Cross Blue Shield","HMO","26",,"71",,"171.56","43.31","188.32","percent of total billed charges",,
"CT, HEAD OR BRAIN; W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Blue Cross Blue Shield","PPO","26",,"71",,"171.56","43.31","188.32","percent of total billed charges",,
"CT, HEAD OR BRAIN; W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Ambetter","Health Exchange","26",,"62",,"150.66","43.31","188.32","percent of total billed charges",,
"CT, HEAD OR BRAIN; W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Caresource","Health Exchange","26",,"62",,"150.66","43.31","188.32","percent of total billed charges",,
"CT, HEAD OR BRAIN; W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Cigna","Commercial","26",,"59",,"142.4","43.31","188.32","percent of total billed charges",,
"CT, HEAD OR BRAIN; W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Humana","Commercial","26",,"78",,"188.32","43.31","188.32","percent of total billed charges",,
"CT, HEAD OR BRAIN; W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","UHC","Commercial","26",,"75",,"183.22","43.31","188.32","percent of total billed charges",,
"CT, HEAD OR BRAIN; W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Medicaid",,"26",,"37",,"88.94","43.31","188.32","percent of total billed charges",,
"CT, HEAD OR BRAIN, W/CONTRAST","70460","HCPCS","Both",,,"88","44","Alliant","Health Exchange","26",,"62",,"54.56","32.21","68.2","percent of total billed charges",,
"CT, HEAD OR BRAIN, W/CONTRAST","70460","HCPCS","Both",,,"88","44","Pruitt Healthcare","Medicare Advantage","26",,"54",,"47.52","32.21","68.2","percent of total billed charges",,
"CT, HEAD OR BRAIN, W/CONTRAST","70460","HCPCS","Both",,,"88","44","Medicare",,"26",,"54",,"47.7","32.21","68.2","percent of total billed charges",,
"CT, HEAD OR BRAIN, W/CONTRAST","70460","HCPCS","Both",,,"88","44","Humana","Medicare Advantage","26",,"54",,"47.7","32.21","68.2","percent of total billed charges",,
"CT, HEAD OR BRAIN, W/CONTRAST","70460","HCPCS","Both",,,"88","44","UHC","Medicare Advantage","26",,"54",,"47.7","32.21","68.2","percent of total billed charges",,
"CT, HEAD OR BRAIN, W/CONTRAST","70460","HCPCS","Both",,,"88","44","Clover","Medicare Advantage","26",,"54",,"47.7","32.21","68.2","percent of total billed charges",,
"CT, HEAD OR BRAIN, W/CONTRAST","70460","HCPCS","Both",,,"88","44","Wellcare","Medicare Advantage","26",,"54",,"47.7","32.21","68.2","percent of total billed charges",,
"CT, HEAD OR BRAIN, W/CONTRAST","70460","HCPCS","Both",,,"88","44","Amerigroup","Medicaid Managed Care","26",,"37",,"32.21","32.21","68.2","percent of total billed charges",,
"CT, HEAD OR BRAIN, W/CONTRAST","70460","HCPCS","Both",,,"88","44","Caresource","Medicaid Managed Care","26",,"40",,"35.2","32.21","68.2","percent of total billed charges",,
"CT, HEAD OR BRAIN, W/CONTRAST","70460","HCPCS","Both",,,"88","44","Wellcare","Medicaid Managed Care","26",,"40",,"35.64","32.21","68.2","percent of total billed charges",,
"CT, HEAD OR BRAIN, W/CONTRAST","70460","HCPCS","Both",,,"88","44","Aetna","Commercial","26",,"64",,"56.14","32.21","68.2","percent of total billed charges",,
"CT, HEAD OR BRAIN, W/CONTRAST","70460","HCPCS","Both",,,"88","44","Blue Cross Blue Shield","Pathways","26",,"71",,"62.13","32.21","68.2","percent of total billed charges",,
"CT, HEAD OR BRAIN, W/CONTRAST","70460","HCPCS","Both",,,"88","44","Blue Cross Blue Shield","HMO","26",,"71",,"62.13","32.21","68.2","percent of total billed charges",,
"CT, HEAD OR BRAIN, W/CONTRAST","70460","HCPCS","Both",,,"88","44","Blue Cross Blue Shield","PPO","26",,"71",,"62.13","32.21","68.2","percent of total billed charges",,
"CT, HEAD OR BRAIN, W/CONTRAST","70460","HCPCS","Both",,,"88","44","Ambetter","Health Exchange","26",,"62",,"54.56","32.21","68.2","percent of total billed charges",,
"CT, HEAD OR BRAIN, W/CONTRAST","70460","HCPCS","Both",,,"88","44","Caresource","Health Exchange","26",,"62",,"54.56","32.21","68.2","percent of total billed charges",,
"CT, HEAD OR BRAIN, W/CONTRAST","70460","HCPCS","Both",,,"88","44","Cigna","Commercial","26",,"59",,"51.57","32.21","68.2","percent of total billed charges",,
"CT, HEAD OR BRAIN, W/CONTRAST","70460","HCPCS","Both",,,"88","44","Humana","Commercial","26",,"78",,"68.2","32.21","68.2","percent of total billed charges",,
"CT, HEAD OR BRAIN, W/CONTRAST","70460","HCPCS","Both",,,"88","44","UHC","Commercial","26",,"75",,"66.35","32.21","68.2","percent of total billed charges",,
"CT, HEAD OR BRAIN, W/CONTRAST","70460","HCPCS","Both",,,"88","44","Medicaid",,"26",,"37",,"32.21","32.21","68.2","percent of total billed charges",,
"CT, HEAD OR BRAIN; W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Alliant","Health Exchange","26",,"62",,"141.67","64.98","177.09","percent of total billed charges",,
"CT, HEAD OR BRAIN; W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Pruitt Healthcare","Medicare Advantage","26",,"54",,"123.39","64.98","177.09","percent of total billed charges",,
"CT, HEAD OR BRAIN; W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Medicare",,"26",,"54",,"123.85","64.98","177.09","percent of total billed charges",,
"CT, HEAD OR BRAIN; W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Humana","Medicare Advantage","26",,"54",,"123.85","64.98","177.09","percent of total billed charges",,
"CT, HEAD OR BRAIN; W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","UHC","Medicare Advantage","26",,"54",,"123.85","64.98","177.09","percent of total billed charges",,
"CT, HEAD OR BRAIN; W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Clover","Medicare Advantage","26",,"54",,"123.85","64.98","177.09","percent of total billed charges",,
"CT, HEAD OR BRAIN; W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Wellcare","Medicare Advantage","26",,"54",,"123.85","64.98","177.09","percent of total billed charges",,
"CT, HEAD OR BRAIN; W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Amerigroup","Medicaid Managed Care","26",,"37",,"83.63","64.98","177.09","percent of total billed charges",,
"CT, HEAD OR BRAIN; W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Caresource","Medicaid Managed Care","26",,"40",,"91.4","64.98","177.09","percent of total billed charges",,
"CT, HEAD OR BRAIN; W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Wellcare","Medicaid Managed Care","26",,"40",,"92.54","64.98","177.09","percent of total billed charges",,
"CT, HEAD OR BRAIN; W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Aetna","Commercial","26",,"64",,"145.78","64.98","177.09","percent of total billed charges",,
"CT, HEAD OR BRAIN; W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Blue Cross Blue Shield","Pathways","26",,"71",,"161.32","64.98","177.09","percent of total billed charges",,
"CT, HEAD OR BRAIN; W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Blue Cross Blue Shield","HMO","26",,"71",,"161.32","64.98","177.09","percent of total billed charges",,
"CT, HEAD OR BRAIN; W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Blue Cross Blue Shield","PPO","26",,"71",,"161.32","64.98","177.09","percent of total billed charges",,
"CT, HEAD OR BRAIN; W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Ambetter","Health Exchange","26",,"62",,"141.67","64.98","177.09","percent of total billed charges",,
"CT, HEAD OR BRAIN; W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Caresource","Health Exchange","26",,"62",,"141.67","64.98","177.09","percent of total billed charges",,
"CT, HEAD OR BRAIN; W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Cigna","Commercial","26",,"59",,"133.9","64.98","177.09","percent of total billed charges",,
"CT, HEAD OR BRAIN; W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Humana","Commercial","26",,"78",,"177.09","64.98","177.09","percent of total billed charges",,
"CT, HEAD OR BRAIN; W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","UHC","Commercial","26",,"75",,"172.29","64.98","177.09","percent of total billed charges",,
"CT, HEAD OR BRAIN; W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Medicaid",,"26",,"37",,"83.63","64.98","177.09","percent of total billed charges",,
"CT, THORAX; W/O CONTRAST","71250","HCPCS","Both",,,"332.5","166.25","Alliant","Health Exchange","26",,"62",,"206.15","55.24","257.69","percent of total billed charges",,
"CT, THORAX; W/O CONTRAST","71250","HCPCS","Both",,,"332.5","166.25","Pruitt Healthcare","Medicare Advantage","26",,"54",,"179.55","55.24","257.69","percent of total billed charges",,
"CT, THORAX; W/O CONTRAST","71250","HCPCS","Both",,,"332.5","166.25","Medicare",,"26",,"54",,"180.22","55.24","257.69","percent of total billed charges",,
"CT, THORAX; W/O CONTRAST","71250","HCPCS","Both",,,"332.5","166.25","Humana","Medicare Advantage","26",,"54",,"180.22","55.24","257.69","percent of total billed charges",,
"CT, THORAX; W/O CONTRAST","71250","HCPCS","Both",,,"332.5","166.25","UHC","Medicare Advantage","26",,"54",,"180.22","55.24","257.69","percent of total billed charges",,
"CT, THORAX; W/O CONTRAST","71250","HCPCS","Both",,,"332.5","166.25","Clover","Medicare Advantage","26",,"54",,"180.22","55.24","257.69","percent of total billed charges",,
"CT, THORAX; W/O CONTRAST","71250","HCPCS","Both",,,"332.5","166.25","Wellcare","Medicare Advantage","26",,"54",,"180.22","55.24","257.69","percent of total billed charges",,
"CT, THORAX; W/O CONTRAST","71250","HCPCS","Both",,,"332.5","166.25","Amerigroup","Medicaid Managed Care","26",,"37",,"121.7","55.24","257.69","percent of total billed charges",,
"CT, THORAX; W/O CONTRAST","71250","HCPCS","Both",,,"332.5","166.25","Caresource","Medicaid Managed Care","26",,"40",,"133","55.24","257.69","percent of total billed charges",,
"CT, THORAX; W/O CONTRAST","71250","HCPCS","Both",,,"332.5","166.25","Wellcare","Medicaid Managed Care","26",,"40",,"134.66","55.24","257.69","percent of total billed charges",,
"CT, THORAX; W/O CONTRAST","71250","HCPCS","Both",,,"332.5","166.25","Aetna","Commercial","26",,"64",,"212.14","55.24","257.69","percent of total billed charges",,
"CT, THORAX; W/O CONTRAST","71250","HCPCS","Both",,,"332.5","166.25","Blue Cross Blue Shield","Pathways","26",,"71",,"234.74","55.24","257.69","percent of total billed charges",,
"CT, THORAX; W/O CONTRAST","71250","HCPCS","Both",,,"332.5","166.25","Blue Cross Blue Shield","HMO","26",,"71",,"234.74","55.24","257.69","percent of total billed charges",,
"CT, THORAX; W/O CONTRAST","71250","HCPCS","Both",,,"332.5","166.25","Blue Cross Blue Shield","PPO","26",,"71",,"234.74","55.24","257.69","percent of total billed charges",,
"CT, THORAX; W/O CONTRAST","71250","HCPCS","Both",,,"332.5","166.25","Ambetter","Health Exchange","26",,"62",,"206.15","55.24","257.69","percent of total billed charges",,
"CT, THORAX; W/O CONTRAST","71250","HCPCS","Both",,,"332.5","166.25","Caresource","Health Exchange","26",,"62",,"206.15","55.24","257.69","percent of total billed charges",,
"CT, THORAX; W/O CONTRAST","71250","HCPCS","Both",,,"332.5","166.25","Cigna","Commercial","26",,"59",,"194.84","55.24","257.69","percent of total billed charges",,
"CT, THORAX; W/O CONTRAST","71250","HCPCS","Both",,,"332.5","166.25","Humana","Commercial","26",,"78",,"257.69","55.24","257.69","percent of total billed charges",,
"CT, THORAX; W/O CONTRAST","71250","HCPCS","Both",,,"332.5","166.25","UHC","Commercial","26",,"75",,"250.7","55.24","257.69","percent of total billed charges",,
"CT, THORAX; W/O CONTRAST","71250","HCPCS","Both",,,"332.5","166.25","Medicaid",,"26",,"37",,"121.7","55.24","257.69","percent of total billed charges",,
"CT, THORAX; W/CONTRAST","71260","HCPCS","Both",,,"837","418.5","Alliant","Health Exchange","26",,"62",,"518.94","59.52","1102.75","percent of total billed charges",,
"CT, THORAX; W/CONTRAST","71260","HCPCS","Both",,,"837","418.5","Pruitt Healthcare","Medicare Advantage","26",,"54",,"451.98","59.52","1102.75","percent of total billed charges",,
"CT, THORAX; W/CONTRAST","71260","HCPCS","Both",,,"837","418.5","Medicare",,"26",,"54",,"453.65","59.52","1102.75","percent of total billed charges",,
"CT, THORAX; W/CONTRAST","71260","HCPCS","Both",,,"837","418.5","Humana","Medicare Advantage","26",,"54",,"453.65","59.52","1102.75","percent of total billed charges",,
"CT, THORAX; W/CONTRAST","71260","HCPCS","Both",,,"837","418.5","UHC","Medicare Advantage","26",,"54",,"453.65","59.52","1102.75","percent of total billed charges",,
"CT, THORAX; W/CONTRAST","71260","HCPCS","Both",,,"837","418.5","Clover","Medicare Advantage","26",,"54",,"453.65","59.52","1102.75","percent of total billed charges",,
"CT, THORAX; W/CONTRAST","71260","HCPCS","Both",,,"837","418.5","Wellcare","Medicare Advantage","26",,"54",,"453.65","59.52","1102.75","percent of total billed charges",,
"CT, THORAX; W/CONTRAST","71260","HCPCS","Both",,,"837","418.5","Amerigroup","Medicaid Managed Care","26",,"37",,"306.34","59.52","1102.75","percent of total billed charges",,
"CT, THORAX; W/CONTRAST","71260","HCPCS","Both",,,"837","418.5","Caresource","Medicaid Managed Care","26",,"40",,"334.8","59.52","1102.75","percent of total billed charges",,
"CT, THORAX; W/CONTRAST","71260","HCPCS","Both",,,"837","418.5","Wellcare","Medicaid Managed Care","26",,"40",,"338.98","59.52","1102.75","percent of total billed charges",,
"CT, THORAX; W/CONTRAST","71260","HCPCS","Both",,,"837","418.5","Aetna","Commercial","26",,"64",,"534.01","59.52","1102.75","percent of total billed charges",,
"CT, THORAX; W/CONTRAST","71260","HCPCS","Both",,,"837","418.5","Blue Cross Blue Shield","Pathways","26",,"71",,"590.92","59.52","1102.75","percent of total billed charges",,
"CT, THORAX; W/CONTRAST","71260","HCPCS","Both",,,"837","418.5","Blue Cross Blue Shield","HMO","26",,"71",,"590.92","59.52","1102.75","percent of total billed charges",,
"CT, THORAX; W/CONTRAST","71260","HCPCS","Both",,,"837","418.5","Blue Cross Blue Shield","PPO","26",,"71",,"590.92","59.52","1102.75","percent of total billed charges",,
"CT, THORAX; W/CONTRAST","71260","HCPCS","Both",,,"837","418.5","Ambetter","Health Exchange","26",,"62",,"518.94","59.52","1102.75","percent of total billed charges",,
"CT, THORAX; W/CONTRAST","71260","HCPCS","Both",,,"837","418.5","Caresource","Health Exchange","26",,"62",,"518.94","59.52","1102.75","percent of total billed charges",,
"CT, THORAX; W/CONTRAST","71260","HCPCS","Both",,,"837","418.5","Cigna","Commercial","26",,"59",,"490.48","59.52","1102.75","percent of total billed charges",,
"CT, THORAX; W/CONTRAST","71260","HCPCS","Both",,,"837","418.5","Humana","Commercial","26",,"78",,"648.68","59.52","1102.75","percent of total billed charges",,
"CT, THORAX; W/CONTRAST","71260","HCPCS","Both",,,"837","418.5","UHC","Commercial","26",,"75",,"631.1","59.52","1102.75","percent of total billed charges",,
"CT, THORAX; W/CONTRAST","71260","HCPCS","Both",,,"837","418.5","Medicaid",,"26",,"37",,"306.34","59.52","1102.75","percent of total billed charges",,
"CT, THORAX; W & W/O CONTRAST","71270","HCPCS","Both",,,"517","258.5","Alliant","Health Exchange","26",,"62",,"320.54","189.22","400.68","percent of total billed charges",,
"CT, THORAX; W & W/O CONTRAST","71270","HCPCS","Both",,,"517","258.5","Pruitt Healthcare","Medicare Advantage","26",,"54",,"279.18","189.22","400.68","percent of total billed charges",,
"CT, THORAX; W & W/O CONTRAST","71270","HCPCS","Both",,,"517","258.5","Medicare",,"26",,"54",,"280.21","189.22","400.68","percent of total billed charges",,
"CT, THORAX; W & W/O CONTRAST","71270","HCPCS","Both",,,"517","258.5","Humana","Medicare Advantage","26",,"54",,"280.21","189.22","400.68","percent of total billed charges",,
"CT, THORAX; W & W/O CONTRAST","71270","HCPCS","Both",,,"517","258.5","UHC","Medicare Advantage","26",,"54",,"280.21","189.22","400.68","percent of total billed charges",,
"CT, THORAX; W & W/O CONTRAST","71270","HCPCS","Both",,,"517","258.5","Clover","Medicare Advantage","26",,"54",,"280.21","189.22","400.68","percent of total billed charges",,
"CT, THORAX; W & W/O CONTRAST","71270","HCPCS","Both",,,"517","258.5","Wellcare","Medicare Advantage","26",,"54",,"280.21","189.22","400.68","percent of total billed charges",,
"CT, THORAX; W & W/O CONTRAST","71270","HCPCS","Both",,,"517","258.5","Amerigroup","Medicaid Managed Care","26",,"37",,"189.22","189.22","400.68","percent of total billed charges",,
"CT, THORAX; W & W/O CONTRAST","71270","HCPCS","Both",,,"517","258.5","Caresource","Medicaid Managed Care","26",,"40",,"206.8","189.22","400.68","percent of total billed charges",,
"CT, THORAX; W & W/O CONTRAST","71270","HCPCS","Both",,,"517","258.5","Wellcare","Medicaid Managed Care","26",,"40",,"209.39","189.22","400.68","percent of total billed charges",,
"CT, THORAX; W & W/O CONTRAST","71270","HCPCS","Both",,,"517","258.5","Aetna","Commercial","26",,"64",,"329.85","189.22","400.68","percent of total billed charges",,
"CT, THORAX; W & W/O CONTRAST","71270","HCPCS","Both",,,"517","258.5","Blue Cross Blue Shield","Pathways","26",,"71",,"365","189.22","400.68","percent of total billed charges",,
"CT, THORAX; W & W/O CONTRAST","71270","HCPCS","Both",,,"517","258.5","Blue Cross Blue Shield","HMO","26",,"71",,"365","189.22","400.68","percent of total billed charges",,
"CT, THORAX; W & W/O CONTRAST","71270","HCPCS","Both",,,"517","258.5","Blue Cross Blue Shield","PPO","26",,"71",,"365","189.22","400.68","percent of total billed charges",,
"CT, THORAX; W & W/O CONTRAST","71270","HCPCS","Both",,,"517","258.5","Ambetter","Health Exchange","26",,"62",,"320.54","189.22","400.68","percent of total billed charges",,
"CT, THORAX; W & W/O CONTRAST","71270","HCPCS","Both",,,"517","258.5","Caresource","Health Exchange","26",,"62",,"320.54","189.22","400.68","percent of total billed charges",,
"CT, THORAX; W & W/O CONTRAST","71270","HCPCS","Both",,,"517","258.5","Cigna","Commercial","26",,"59",,"302.96","189.22","400.68","percent of total billed charges",,
"CT, THORAX; W & W/O CONTRAST","71270","HCPCS","Both",,,"517","258.5","Humana","Commercial","26",,"78",,"400.68","189.22","400.68","percent of total billed charges",,
"CT, THORAX; W & W/O CONTRAST","71270","HCPCS","Both",,,"517","258.5","UHC","Commercial","26",,"75",,"389.82","189.22","400.68","percent of total billed charges",,
"CT, THORAX; W & W/O CONTRAST","71270","HCPCS","Both",,,"517","258.5","Medicaid",,"26",,"37",,"189.22","189.22","400.68","percent of total billed charges",,
"CT, CERVICAL SPINE; W/O CONTRAST","72125","HCPCS","Both",,,"649","324.5","Alliant","Health Exchange","26",,"62",,"402.38","50.52","502.98","percent of total billed charges",,
"CT, CERVICAL SPINE; W/O CONTRAST","72125","HCPCS","Both",,,"649","324.5","Pruitt Healthcare","Medicare Advantage","26",,"54",,"350.46","50.52","502.98","percent of total billed charges",,
"CT, CERVICAL SPINE; W/O CONTRAST","72125","HCPCS","Both",,,"649","324.5","Medicare",,"26",,"54",,"351.76","50.52","502.98","percent of total billed charges",,
"CT, CERVICAL SPINE; W/O CONTRAST","72125","HCPCS","Both",,,"649","324.5","Humana","Medicare Advantage","26",,"54",,"351.76","50.52","502.98","percent of total billed charges",,
"CT, CERVICAL SPINE; W/O CONTRAST","72125","HCPCS","Both",,,"649","324.5","UHC","Medicare Advantage","26",,"54",,"351.76","50.52","502.98","percent of total billed charges",,
"CT, CERVICAL SPINE; W/O CONTRAST","72125","HCPCS","Both",,,"649","324.5","Clover","Medicare Advantage","26",,"54",,"351.76","50.52","502.98","percent of total billed charges",,
"CT, CERVICAL SPINE; W/O CONTRAST","72125","HCPCS","Both",,,"649","324.5","Wellcare","Medicare Advantage","26",,"54",,"351.76","50.52","502.98","percent of total billed charges",,
"CT, CERVICAL SPINE; W/O CONTRAST","72125","HCPCS","Both",,,"649","324.5","Amerigroup","Medicaid Managed Care","26",,"37",,"237.53","50.52","502.98","percent of total billed charges",,
"CT, CERVICAL SPINE; W/O CONTRAST","72125","HCPCS","Both",,,"649","324.5","Caresource","Medicaid Managed Care","26",,"40",,"259.6","50.52","502.98","percent of total billed charges",,
"CT, CERVICAL SPINE; W/O CONTRAST","72125","HCPCS","Both",,,"649","324.5","Wellcare","Medicaid Managed Care","26",,"40",,"262.85","50.52","502.98","percent of total billed charges",,
"CT, CERVICAL SPINE; W/O CONTRAST","72125","HCPCS","Both",,,"649","324.5","Aetna","Commercial","26",,"64",,"414.06","50.52","502.98","percent of total billed charges",,
"CT, CERVICAL SPINE; W/O CONTRAST","72125","HCPCS","Both",,,"649","324.5","Blue Cross Blue Shield","Pathways","26",,"71",,"458.19","50.52","502.98","percent of total billed charges",,
"CT, CERVICAL SPINE; W/O CONTRAST","72125","HCPCS","Both",,,"649","324.5","Blue Cross Blue Shield","HMO","26",,"71",,"458.19","50.52","502.98","percent of total billed charges",,
"CT, CERVICAL SPINE; W/O CONTRAST","72125","HCPCS","Both",,,"649","324.5","Blue Cross Blue Shield","PPO","26",,"71",,"458.19","50.52","502.98","percent of total billed charges",,
"CT, CERVICAL SPINE; W/O CONTRAST","72125","HCPCS","Both",,,"649","324.5","Ambetter","Health Exchange","26",,"62",,"402.38","50.52","502.98","percent of total billed charges",,
"CT, CERVICAL SPINE; W/O CONTRAST","72125","HCPCS","Both",,,"649","324.5","Caresource","Health Exchange","26",,"62",,"402.38","50.52","502.98","percent of total billed charges",,
"CT, CERVICAL SPINE; W/O CONTRAST","72125","HCPCS","Both",,,"649","324.5","Cigna","Commercial","26",,"59",,"380.31","50.52","502.98","percent of total billed charges",,
"CT, CERVICAL SPINE; W/O CONTRAST","72125","HCPCS","Both",,,"649","324.5","Humana","Commercial","26",,"78",,"502.98","50.52","502.98","percent of total billed charges",,
"CT, CERVICAL SPINE; W/O CONTRAST","72125","HCPCS","Both",,,"649","324.5","UHC","Commercial","26",,"75",,"489.35","50.52","502.98","percent of total billed charges",,
"CT, CERVICAL SPINE; W/O CONTRAST","72125","HCPCS","Both",,,"649","324.5","Medicaid",,"26",,"37",,"237.53","50.52","502.98","percent of total billed charges",,
"CT, LUMBAR SPINE; W/O CONTRAST","72131","HCPCS","Both",,,"649","324.5","Alliant","Health Exchange","26",,"62",,"402.38","50.52","502.98","percent of total billed charges",,
"CT, LUMBAR SPINE; W/O CONTRAST","72131","HCPCS","Both",,,"649","324.5","Pruitt Healthcare","Medicare Advantage","26",,"54",,"350.46","50.52","502.98","percent of total billed charges",,
"CT, LUMBAR SPINE; W/O CONTRAST","72131","HCPCS","Both",,,"649","324.5","Medicare",,"26",,"54",,"351.76","50.52","502.98","percent of total billed charges",,
"CT, LUMBAR SPINE; W/O CONTRAST","72131","HCPCS","Both",,,"649","324.5","Humana","Medicare Advantage","26",,"54",,"351.76","50.52","502.98","percent of total billed charges",,
"CT, LUMBAR SPINE; W/O CONTRAST","72131","HCPCS","Both",,,"649","324.5","UHC","Medicare Advantage","26",,"54",,"351.76","50.52","502.98","percent of total billed charges",,
"CT, LUMBAR SPINE; W/O CONTRAST","72131","HCPCS","Both",,,"649","324.5","Clover","Medicare Advantage","26",,"54",,"351.76","50.52","502.98","percent of total billed charges",,
"CT, LUMBAR SPINE; W/O CONTRAST","72131","HCPCS","Both",,,"649","324.5","Wellcare","Medicare Advantage","26",,"54",,"351.76","50.52","502.98","percent of total billed charges",,
"CT, LUMBAR SPINE; W/O CONTRAST","72131","HCPCS","Both",,,"649","324.5","Amerigroup","Medicaid Managed Care","26",,"37",,"237.53","50.52","502.98","percent of total billed charges",,
"CT, LUMBAR SPINE; W/O CONTRAST","72131","HCPCS","Both",,,"649","324.5","Caresource","Medicaid Managed Care","26",,"40",,"259.6","50.52","502.98","percent of total billed charges",,
"CT, LUMBAR SPINE; W/O CONTRAST","72131","HCPCS","Both",,,"649","324.5","Wellcare","Medicaid Managed Care","26",,"40",,"262.85","50.52","502.98","percent of total billed charges",,
"CT, LUMBAR SPINE; W/O CONTRAST","72131","HCPCS","Both",,,"649","324.5","Aetna","Commercial","26",,"64",,"414.06","50.52","502.98","percent of total billed charges",,
"CT, LUMBAR SPINE; W/O CONTRAST","72131","HCPCS","Both",,,"649","324.5","Blue Cross Blue Shield","Pathways","26",,"71",,"458.19","50.52","502.98","percent of total billed charges",,
"CT, LUMBAR SPINE; W/O CONTRAST","72131","HCPCS","Both",,,"649","324.5","Blue Cross Blue Shield","HMO","26",,"71",,"458.19","50.52","502.98","percent of total billed charges",,
"CT, LUMBAR SPINE; W/O CONTRAST","72131","HCPCS","Both",,,"649","324.5","Blue Cross Blue Shield","PPO","26",,"71",,"458.19","50.52","502.98","percent of total billed charges",,
"CT, LUMBAR SPINE; W/O CONTRAST","72131","HCPCS","Both",,,"649","324.5","Ambetter","Health Exchange","26",,"62",,"402.38","50.52","502.98","percent of total billed charges",,
"CT, LUMBAR SPINE; W/O CONTRAST","72131","HCPCS","Both",,,"649","324.5","Caresource","Health Exchange","26",,"62",,"402.38","50.52","502.98","percent of total billed charges",,
"CT, LUMBAR SPINE; W/O CONTRAST","72131","HCPCS","Both",,,"649","324.5","Cigna","Commercial","26",,"59",,"380.31","50.52","502.98","percent of total billed charges",,
"CT, LUMBAR SPINE; W/O CONTRAST","72131","HCPCS","Both",,,"649","324.5","Humana","Commercial","26",,"78",,"502.98","50.52","502.98","percent of total billed charges",,
"CT, LUMBAR SPINE; W/O CONTRAST","72131","HCPCS","Both",,,"649","324.5","UHC","Commercial","26",,"75",,"489.35","50.52","502.98","percent of total billed charges",,
"CT, LUMBAR SPINE; W/O CONTRAST","72131","HCPCS","Both",,,"649","324.5","Medicaid",,"26",,"37",,"237.53","50.52","502.98","percent of total billed charges",,
"CT, PELVIS; W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Alliant","Health Exchange","26",,"62",,"141.67","55.6","177.09","percent of total billed charges",,
"CT, PELVIS; W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Pruitt Healthcare","Medicare Advantage","26",,"54",,"123.39","55.6","177.09","percent of total billed charges",,
"CT, PELVIS; W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Medicare",,"26",,"54",,"123.85","55.6","177.09","percent of total billed charges",,
"CT, PELVIS; W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Humana","Medicare Advantage","26",,"54",,"123.85","55.6","177.09","percent of total billed charges",,
"CT, PELVIS; W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","UHC","Medicare Advantage","26",,"54",,"123.85","55.6","177.09","percent of total billed charges",,
"CT, PELVIS; W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Clover","Medicare Advantage","26",,"54",,"123.85","55.6","177.09","percent of total billed charges",,
"CT, PELVIS; W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Wellcare","Medicare Advantage","26",,"54",,"123.85","55.6","177.09","percent of total billed charges",,
"CT, PELVIS; W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Amerigroup","Medicaid Managed Care","26",,"37",,"83.63","55.6","177.09","percent of total billed charges",,
"CT, PELVIS; W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Caresource","Medicaid Managed Care","26",,"40",,"91.4","55.6","177.09","percent of total billed charges",,
"CT, PELVIS; W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Wellcare","Medicaid Managed Care","26",,"40",,"92.54","55.6","177.09","percent of total billed charges",,
"CT, PELVIS; W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Aetna","Commercial","26",,"64",,"145.78","55.6","177.09","percent of total billed charges",,
"CT, PELVIS; W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Blue Cross Blue Shield","Pathways","26",,"71",,"161.32","55.6","177.09","percent of total billed charges",,
"CT, PELVIS; W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Blue Cross Blue Shield","HMO","26",,"71",,"161.32","55.6","177.09","percent of total billed charges",,
"CT, PELVIS; W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Blue Cross Blue Shield","PPO","26",,"71",,"161.32","55.6","177.09","percent of total billed charges",,
"CT, PELVIS; W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Ambetter","Health Exchange","26",,"62",,"141.67","55.6","177.09","percent of total billed charges",,
"CT, PELVIS; W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Caresource","Health Exchange","26",,"62",,"141.67","55.6","177.09","percent of total billed charges",,
"CT, PELVIS; W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Cigna","Commercial","26",,"59",,"133.9","55.6","177.09","percent of total billed charges",,
"CT, PELVIS; W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Humana","Commercial","26",,"78",,"177.09","55.6","177.09","percent of total billed charges",,
"CT, PELVIS; W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","UHC","Commercial","26",,"75",,"172.29","55.6","177.09","percent of total billed charges",,
"CT, PELVIS; W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Medicaid",,"26",,"37",,"83.63","55.6","177.09","percent of total billed charges",,
"CT, PELVIS; W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Alliant","Health Exchange","26",,"62",,"419.43","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Pruitt Healthcare","Medicare Advantage","26",,"54",,"365.31","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Medicare",,"26",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Humana","Medicare Advantage","26",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","UHC","Medicare Advantage","26",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Clover","Medicare Advantage","26",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Wellcare","Medicare Advantage","26",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Amerigroup","Medicaid Managed Care","26",,"37",,"247.6","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Caresource","Medicaid Managed Care","26",,"40",,"270.6","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Wellcare","Medicaid Managed Care","26",,"40",,"273.98","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Aetna","Commercial","26",,"64",,"431.61","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","Pathways","26",,"71",,"477.61","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","HMO","26",,"71",,"477.61","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","PPO","26",,"71",,"477.61","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Ambetter","Health Exchange","26",,"62",,"419.43","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Caresource","Health Exchange","26",,"62",,"419.43","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Cigna","Commercial","26",,"59",,"396.43","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Humana","Commercial","26",,"78",,"524.29","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","UHC","Commercial","26",,"75",,"510.08","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Medicaid",,"26",,"37",,"247.6","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W & W/O CONTRAST","72194","HCPCS","Both",,,"676.5","338.25","Alliant","Health Exchange","26",,"62",,"419.43","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W & W/O CONTRAST","72194","HCPCS","Both",,,"676.5","338.25","Pruitt Healthcare","Medicare Advantage","26",,"54",,"365.31","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W & W/O CONTRAST","72194","HCPCS","Both",,,"676.5","338.25","Medicare",,"26",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W & W/O CONTRAST","72194","HCPCS","Both",,,"676.5","338.25","Humana","Medicare Advantage","26",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W & W/O CONTRAST","72194","HCPCS","Both",,,"676.5","338.25","UHC","Medicare Advantage","26",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W & W/O CONTRAST","72194","HCPCS","Both",,,"676.5","338.25","Clover","Medicare Advantage","26",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W & W/O CONTRAST","72194","HCPCS","Both",,,"676.5","338.25","Wellcare","Medicare Advantage","26",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W & W/O CONTRAST","72194","HCPCS","Both",,,"676.5","338.25","Amerigroup","Medicaid Managed Care","26",,"37",,"247.6","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W & W/O CONTRAST","72194","HCPCS","Both",,,"676.5","338.25","Caresource","Medicaid Managed Care","26",,"40",,"270.6","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W & W/O CONTRAST","72194","HCPCS","Both",,,"676.5","338.25","Wellcare","Medicaid Managed Care","26",,"40",,"273.98","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W & W/O CONTRAST","72194","HCPCS","Both",,,"676.5","338.25","Aetna","Commercial","26",,"64",,"431.61","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W & W/O CONTRAST","72194","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","Pathways","26",,"71",,"477.61","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W & W/O CONTRAST","72194","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","HMO","26",,"71",,"477.61","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W & W/O CONTRAST","72194","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","PPO","26",,"71",,"477.61","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W & W/O CONTRAST","72194","HCPCS","Both",,,"676.5","338.25","Ambetter","Health Exchange","26",,"62",,"419.43","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W & W/O CONTRAST","72194","HCPCS","Both",,,"676.5","338.25","Caresource","Health Exchange","26",,"62",,"419.43","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W & W/O CONTRAST","72194","HCPCS","Both",,,"676.5","338.25","Cigna","Commercial","26",,"59",,"396.43","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W & W/O CONTRAST","72194","HCPCS","Both",,,"676.5","338.25","Humana","Commercial","26",,"78",,"524.29","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W & W/O CONTRAST","72194","HCPCS","Both",,,"676.5","338.25","UHC","Commercial","26",,"75",,"510.08","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W & W/O CONTRAST","72194","HCPCS","Both",,,"676.5","338.25","Medicaid",,"26",,"37",,"247.6","247.6","524.29","percent of total billed charges",,
"CT, ABDOMEN; W/O CONTRAST","74150","HCPCS","Both",,,"587.5","293.75","Alliant","Health Exchange","26",,"62",,"364.25","215.02","455.31","percent of total billed charges",,
"CT, ABDOMEN; W/O CONTRAST","74150","HCPCS","Both",,,"587.5","293.75","Pruitt Healthcare","Medicare Advantage","26",,"54",,"317.25","215.02","455.31","percent of total billed charges",,
"CT, ABDOMEN; W/O CONTRAST","74150","HCPCS","Both",,,"587.5","293.75","Medicare",,"26",,"54",,"318.42","215.02","455.31","percent of total billed charges",,
"CT, ABDOMEN; W/O CONTRAST","74150","HCPCS","Both",,,"587.5","293.75","Humana","Medicare Advantage","26",,"54",,"318.42","215.02","455.31","percent of total billed charges",,
"CT, ABDOMEN; W/O CONTRAST","74150","HCPCS","Both",,,"587.5","293.75","UHC","Medicare Advantage","26",,"54",,"318.42","215.02","455.31","percent of total billed charges",,
"CT, ABDOMEN; W/O CONTRAST","74150","HCPCS","Both",,,"587.5","293.75","Clover","Medicare Advantage","26",,"54",,"318.42","215.02","455.31","percent of total billed charges",,
"CT, ABDOMEN; W/O CONTRAST","74150","HCPCS","Both",,,"587.5","293.75","Wellcare","Medicare Advantage","26",,"54",,"318.42","215.02","455.31","percent of total billed charges",,
"CT, ABDOMEN; W/O CONTRAST","74150","HCPCS","Both",,,"587.5","293.75","Amerigroup","Medicaid Managed Care","26",,"37",,"215.02","215.02","455.31","percent of total billed charges",,
"CT, ABDOMEN; W/O CONTRAST","74150","HCPCS","Both",,,"587.5","293.75","Caresource","Medicaid Managed Care","26",,"40",,"235","215.02","455.31","percent of total billed charges",,
"CT, ABDOMEN; W/O CONTRAST","74150","HCPCS","Both",,,"587.5","293.75","Wellcare","Medicaid Managed Care","26",,"40",,"237.94","215.02","455.31","percent of total billed charges",,
"CT, ABDOMEN; W/O CONTRAST","74150","HCPCS","Both",,,"587.5","293.75","Aetna","Commercial","26",,"64",,"374.82","215.02","455.31","percent of total billed charges",,
"CT, ABDOMEN; W/O CONTRAST","74150","HCPCS","Both",,,"587.5","293.75","Blue Cross Blue Shield","Pathways","26",,"71",,"414.78","215.02","455.31","percent of total billed charges",,
"CT, ABDOMEN; W/O CONTRAST","74150","HCPCS","Both",,,"587.5","293.75","Blue Cross Blue Shield","HMO","26",,"71",,"414.78","215.02","455.31","percent of total billed charges",,
"CT, ABDOMEN; W/O CONTRAST","74150","HCPCS","Both",,,"587.5","293.75","Blue Cross Blue Shield","PPO","26",,"71",,"414.78","215.02","455.31","percent of total billed charges",,
"CT, ABDOMEN; W/O CONTRAST","74150","HCPCS","Both",,,"587.5","293.75","Ambetter","Health Exchange","26",,"62",,"364.25","215.02","455.31","percent of total billed charges",,
"CT, ABDOMEN; W/O CONTRAST","74150","HCPCS","Both",,,"587.5","293.75","Caresource","Health Exchange","26",,"62",,"364.25","215.02","455.31","percent of total billed charges",,
"CT, ABDOMEN; W/O CONTRAST","74150","HCPCS","Both",,,"587.5","293.75","Cigna","Commercial","26",,"59",,"344.28","215.02","455.31","percent of total billed charges",,
"CT, ABDOMEN; W/O CONTRAST","74150","HCPCS","Both",,,"587.5","293.75","Humana","Commercial","26",,"78",,"455.31","215.02","455.31","percent of total billed charges",,
"CT, ABDOMEN; W/O CONTRAST","74150","HCPCS","Both",,,"587.5","293.75","UHC","Commercial","26",,"75",,"442.98","215.02","455.31","percent of total billed charges",,
"CT, ABDOMEN; W/O CONTRAST","74150","HCPCS","Both",,,"587.5","293.75","Medicaid",,"26",,"37",,"215.02","215.02","455.31","percent of total billed charges",,
"CT, ABD; W/CONTRAST","74160","HCPCS","Both",,,"686","343","Alliant","Health Exchange","26",,"62",,"425.32","251.08","531.65","percent of total billed charges",,
"CT, ABD; W/CONTRAST","74160","HCPCS","Both",,,"686","343","Pruitt Healthcare","Medicare Advantage","26",,"54",,"370.44","251.08","531.65","percent of total billed charges",,
"CT, ABD; W/CONTRAST","74160","HCPCS","Both",,,"686","343","Medicare",,"26",,"54",,"371.81","251.08","531.65","percent of total billed charges",,
"CT, ABD; W/CONTRAST","74160","HCPCS","Both",,,"686","343","Humana","Medicare Advantage","26",,"54",,"371.81","251.08","531.65","percent of total billed charges",,
"CT, ABD; W/CONTRAST","74160","HCPCS","Both",,,"686","343","UHC","Medicare Advantage","26",,"54",,"371.81","251.08","531.65","percent of total billed charges",,
"CT, ABD; W/CONTRAST","74160","HCPCS","Both",,,"686","343","Clover","Medicare Advantage","26",,"54",,"371.81","251.08","531.65","percent of total billed charges",,
"CT, ABD; W/CONTRAST","74160","HCPCS","Both",,,"686","343","Wellcare","Medicare Advantage","26",,"54",,"371.81","251.08","531.65","percent of total billed charges",,
"CT, ABD; W/CONTRAST","74160","HCPCS","Both",,,"686","343","Amerigroup","Medicaid Managed Care","26",,"37",,"251.08","251.08","531.65","percent of total billed charges",,
"CT, ABD; W/CONTRAST","74160","HCPCS","Both",,,"686","343","Caresource","Medicaid Managed Care","26",,"40",,"274.4","251.08","531.65","percent of total billed charges",,
"CT, ABD; W/CONTRAST","74160","HCPCS","Both",,,"686","343","Wellcare","Medicaid Managed Care","26",,"40",,"277.83","251.08","531.65","percent of total billed charges",,
"CT, ABD; W/CONTRAST","74160","HCPCS","Both",,,"686","343","Aetna","Commercial","26",,"64",,"437.67","251.08","531.65","percent of total billed charges",,
"CT, ABD; W/CONTRAST","74160","HCPCS","Both",,,"686","343","Blue Cross Blue Shield","Pathways","26",,"71",,"484.32","251.08","531.65","percent of total billed charges",,
"CT, ABD; W/CONTRAST","74160","HCPCS","Both",,,"686","343","Blue Cross Blue Shield","HMO","26",,"71",,"484.32","251.08","531.65","percent of total billed charges",,
"CT, ABD; W/CONTRAST","74160","HCPCS","Both",,,"686","343","Blue Cross Blue Shield","PPO","26",,"71",,"484.32","251.08","531.65","percent of total billed charges",,
"CT, ABD; W/CONTRAST","74160","HCPCS","Both",,,"686","343","Ambetter","Health Exchange","26",,"62",,"425.32","251.08","531.65","percent of total billed charges",,
"CT, ABD; W/CONTRAST","74160","HCPCS","Both",,,"686","343","Caresource","Health Exchange","26",,"62",,"425.32","251.08","531.65","percent of total billed charges",,
"CT, ABD; W/CONTRAST","74160","HCPCS","Both",,,"686","343","Cigna","Commercial","26",,"59",,"402","251.08","531.65","percent of total billed charges",,
"CT, ABD; W/CONTRAST","74160","HCPCS","Both",,,"686","343","Humana","Commercial","26",,"78",,"531.65","251.08","531.65","percent of total billed charges",,
"CT, ABD; W/CONTRAST","74160","HCPCS","Both",,,"686","343","UHC","Commercial","26",,"75",,"517.24","251.08","531.65","percent of total billed charges",,
"CT, ABD; W/CONTRAST","74160","HCPCS","Both",,,"686","343","Medicaid",,"26",,"37",,"251.08","251.08","531.65","percent of total billed charges",,
"CT, ABDOMEN; W & W/O CONTRAST","74170","HCPCS","Both",,,"323","161.5","Alliant","Health Exchange","26",,"62",,"200.26","118.22","250.32","percent of total billed charges",,
"CT, ABDOMEN; W & W/O CONTRAST","74170","HCPCS","Both",,,"323","161.5","Pruitt Healthcare","Medicare Advantage","26",,"54",,"174.42","118.22","250.32","percent of total billed charges",,
"CT, ABDOMEN; W & W/O CONTRAST","74170","HCPCS","Both",,,"323","161.5","Medicare",,"26",,"54",,"175.07","118.22","250.32","percent of total billed charges",,
"CT, ABDOMEN; W & W/O CONTRAST","74170","HCPCS","Both",,,"323","161.5","Humana","Medicare Advantage","26",,"54",,"175.07","118.22","250.32","percent of total billed charges",,
"CT, ABDOMEN; W & W/O CONTRAST","74170","HCPCS","Both",,,"323","161.5","UHC","Medicare Advantage","26",,"54",,"175.07","118.22","250.32","percent of total billed charges",,
"CT, ABDOMEN; W & W/O CONTRAST","74170","HCPCS","Both",,,"323","161.5","Clover","Medicare Advantage","26",,"54",,"175.07","118.22","250.32","percent of total billed charges",,
"CT, ABDOMEN; W & W/O CONTRAST","74170","HCPCS","Both",,,"323","161.5","Wellcare","Medicare Advantage","26",,"54",,"175.07","118.22","250.32","percent of total billed charges",,
"CT, ABDOMEN; W & W/O CONTRAST","74170","HCPCS","Both",,,"323","161.5","Amerigroup","Medicaid Managed Care","26",,"37",,"118.22","118.22","250.32","percent of total billed charges",,
"CT, ABDOMEN; W & W/O CONTRAST","74170","HCPCS","Both",,,"323","161.5","Caresource","Medicaid Managed Care","26",,"40",,"129.2","118.22","250.32","percent of total billed charges",,
"CT, ABDOMEN; W & W/O CONTRAST","74170","HCPCS","Both",,,"323","161.5","Wellcare","Medicaid Managed Care","26",,"40",,"130.82","118.22","250.32","percent of total billed charges",,
"CT, ABDOMEN; W & W/O CONTRAST","74170","HCPCS","Both",,,"323","161.5","Aetna","Commercial","26",,"64",,"206.07","118.22","250.32","percent of total billed charges",,
"CT, ABDOMEN; W & W/O CONTRAST","74170","HCPCS","Both",,,"323","161.5","Blue Cross Blue Shield","Pathways","26",,"71",,"228.04","118.22","250.32","percent of total billed charges",,
"CT, ABDOMEN; W & W/O CONTRAST","74170","HCPCS","Both",,,"323","161.5","Blue Cross Blue Shield","HMO","26",,"71",,"228.04","118.22","250.32","percent of total billed charges",,
"CT, ABDOMEN; W & W/O CONTRAST","74170","HCPCS","Both",,,"323","161.5","Blue Cross Blue Shield","PPO","26",,"71",,"228.04","118.22","250.32","percent of total billed charges",,
"CT, ABDOMEN; W & W/O CONTRAST","74170","HCPCS","Both",,,"323","161.5","Ambetter","Health Exchange","26",,"62",,"200.26","118.22","250.32","percent of total billed charges",,
"CT, ABDOMEN; W & W/O CONTRAST","74170","HCPCS","Both",,,"323","161.5","Caresource","Health Exchange","26",,"62",,"200.26","118.22","250.32","percent of total billed charges",,
"CT, ABDOMEN; W & W/O CONTRAST","74170","HCPCS","Both",,,"323","161.5","Cigna","Commercial","26",,"59",,"189.28","118.22","250.32","percent of total billed charges",,
"CT, ABDOMEN; W & W/O CONTRAST","74170","HCPCS","Both",,,"323","161.5","Humana","Commercial","26",,"78",,"250.32","118.22","250.32","percent of total billed charges",,
"CT, ABDOMEN; W & W/O CONTRAST","74170","HCPCS","Both",,,"323","161.5","UHC","Commercial","26",,"75",,"243.54","118.22","250.32","percent of total billed charges",,
"CT, ABDOMEN; W & W/O CONTRAST","74170","HCPCS","Both",,,"323","161.5","Medicaid",,"26",,"37",,"118.22","118.22","250.32","percent of total billed charges",,
"CT, ORBIT,SELLA,POST FOSSA, OUT/IN EAR","70480","HCPCS","Both",,,"372","186","Alliant","Health Exchange","26",,"62",,"230.64","136.15","288.3","percent of total billed charges",,
"CT, ORBIT,SELLA,POST FOSSA, OUT/IN EAR","70480","HCPCS","Both",,,"372","186","Pruitt Healthcare","Medicare Advantage","26",,"54",,"200.88","136.15","288.3","percent of total billed charges",,
"CT, ORBIT,SELLA,POST FOSSA, OUT/IN EAR","70480","HCPCS","Both",,,"372","186","Medicare",,"26",,"54",,"201.62","136.15","288.3","percent of total billed charges",,
"CT, ORBIT,SELLA,POST FOSSA, OUT/IN EAR","70480","HCPCS","Both",,,"372","186","Humana","Medicare Advantage","26",,"54",,"201.62","136.15","288.3","percent of total billed charges",,
"CT, ORBIT,SELLA,POST FOSSA, OUT/IN EAR","70480","HCPCS","Both",,,"372","186","UHC","Medicare Advantage","26",,"54",,"201.62","136.15","288.3","percent of total billed charges",,
"CT, ORBIT,SELLA,POST FOSSA, OUT/IN EAR","70480","HCPCS","Both",,,"372","186","Clover","Medicare Advantage","26",,"54",,"201.62","136.15","288.3","percent of total billed charges",,
"CT, ORBIT,SELLA,POST FOSSA, OUT/IN EAR","70480","HCPCS","Both",,,"372","186","Wellcare","Medicare Advantage","26",,"54",,"201.62","136.15","288.3","percent of total billed charges",,
"CT, ORBIT,SELLA,POST FOSSA, OUT/IN EAR","70480","HCPCS","Both",,,"372","186","Amerigroup","Medicaid Managed Care","26",,"37",,"136.15","136.15","288.3","percent of total billed charges",,
"CT, ORBIT,SELLA,POST FOSSA, OUT/IN EAR","70480","HCPCS","Both",,,"372","186","Caresource","Medicaid Managed Care","26",,"40",,"148.8","136.15","288.3","percent of total billed charges",,
"CT, ORBIT,SELLA,POST FOSSA, OUT/IN EAR","70480","HCPCS","Both",,,"372","186","Wellcare","Medicaid Managed Care","26",,"40",,"150.66","136.15","288.3","percent of total billed charges",,
"CT, ORBIT,SELLA,POST FOSSA, OUT/IN EAR","70480","HCPCS","Both",,,"372","186","Aetna","Commercial","26",,"64",,"237.34","136.15","288.3","percent of total billed charges",,
"CT, ORBIT,SELLA,POST FOSSA, OUT/IN EAR","70480","HCPCS","Both",,,"372","186","Blue Cross Blue Shield","Pathways","26",,"71",,"262.63","136.15","288.3","percent of total billed charges",,
"CT, ORBIT,SELLA,POST FOSSA, OUT/IN EAR","70480","HCPCS","Both",,,"372","186","Blue Cross Blue Shield","HMO","26",,"71",,"262.63","136.15","288.3","percent of total billed charges",,
"CT, ORBIT,SELLA,POST FOSSA, OUT/IN EAR","70480","HCPCS","Both",,,"372","186","Blue Cross Blue Shield","PPO","26",,"71",,"262.63","136.15","288.3","percent of total billed charges",,
"CT, ORBIT,SELLA,POST FOSSA, OUT/IN EAR","70480","HCPCS","Both",,,"372","186","Ambetter","Health Exchange","26",,"62",,"230.64","136.15","288.3","percent of total billed charges",,
"CT, ORBIT,SELLA,POST FOSSA, OUT/IN EAR","70480","HCPCS","Both",,,"372","186","Caresource","Health Exchange","26",,"62",,"230.64","136.15","288.3","percent of total billed charges",,
"CT, ORBIT,SELLA,POST FOSSA, OUT/IN EAR","70480","HCPCS","Both",,,"372","186","Cigna","Commercial","26",,"59",,"217.99","136.15","288.3","percent of total billed charges",,
"CT, ORBIT,SELLA,POST FOSSA, OUT/IN EAR","70480","HCPCS","Both",,,"372","186","Humana","Commercial","26",,"78",,"288.3","136.15","288.3","percent of total billed charges",,
"CT, ORBIT,SELLA,POST FOSSA, OUT/IN EAR","70480","HCPCS","Both",,,"372","186","UHC","Commercial","26",,"75",,"280.49","136.15","288.3","percent of total billed charges",,
"CT, ORBIT,SELLA,POST FOSSA, OUT/IN EAR","70480","HCPCS","Both",,,"372","186","Medicaid",,"26",,"37",,"136.15","136.15","288.3","percent of total billed charges",,
"CT SOFT TISSUE NECK; W & W/O CONTRAST","70492","HCPCS","Both",,,"517","258.5","Alliant","Health Exchange","26",,"62",,"320.54","189.22","400.68","percent of total billed charges",,
"CT SOFT TISSUE NECK; W & W/O CONTRAST","70492","HCPCS","Both",,,"517","258.5","Pruitt Healthcare","Medicare Advantage","26",,"54",,"279.18","189.22","400.68","percent of total billed charges",,
"CT SOFT TISSUE NECK; W & W/O CONTRAST","70492","HCPCS","Both",,,"517","258.5","Medicare",,"26",,"54",,"280.21","189.22","400.68","percent of total billed charges",,
"CT SOFT TISSUE NECK; W & W/O CONTRAST","70492","HCPCS","Both",,,"517","258.5","Humana","Medicare Advantage","26",,"54",,"280.21","189.22","400.68","percent of total billed charges",,
"CT SOFT TISSUE NECK; W & W/O CONTRAST","70492","HCPCS","Both",,,"517","258.5","UHC","Medicare Advantage","26",,"54",,"280.21","189.22","400.68","percent of total billed charges",,
"CT SOFT TISSUE NECK; W & W/O CONTRAST","70492","HCPCS","Both",,,"517","258.5","Clover","Medicare Advantage","26",,"54",,"280.21","189.22","400.68","percent of total billed charges",,
"CT SOFT TISSUE NECK; W & W/O CONTRAST","70492","HCPCS","Both",,,"517","258.5","Wellcare","Medicare Advantage","26",,"54",,"280.21","189.22","400.68","percent of total billed charges",,
"CT SOFT TISSUE NECK; W & W/O CONTRAST","70492","HCPCS","Both",,,"517","258.5","Amerigroup","Medicaid Managed Care","26",,"37",,"189.22","189.22","400.68","percent of total billed charges",,
"CT SOFT TISSUE NECK; W & W/O CONTRAST","70492","HCPCS","Both",,,"517","258.5","Caresource","Medicaid Managed Care","26",,"40",,"206.8","189.22","400.68","percent of total billed charges",,
"CT SOFT TISSUE NECK; W & W/O CONTRAST","70492","HCPCS","Both",,,"517","258.5","Wellcare","Medicaid Managed Care","26",,"40",,"209.39","189.22","400.68","percent of total billed charges",,
"CT SOFT TISSUE NECK; W & W/O CONTRAST","70492","HCPCS","Both",,,"517","258.5","Aetna","Commercial","26",,"64",,"329.85","189.22","400.68","percent of total billed charges",,
"CT SOFT TISSUE NECK; W & W/O CONTRAST","70492","HCPCS","Both",,,"517","258.5","Blue Cross Blue Shield","Pathways","26",,"71",,"365","189.22","400.68","percent of total billed charges",,
"CT SOFT TISSUE NECK; W & W/O CONTRAST","70492","HCPCS","Both",,,"517","258.5","Blue Cross Blue Shield","HMO","26",,"71",,"365","189.22","400.68","percent of total billed charges",,
"CT SOFT TISSUE NECK; W & W/O CONTRAST","70492","HCPCS","Both",,,"517","258.5","Blue Cross Blue Shield","PPO","26",,"71",,"365","189.22","400.68","percent of total billed charges",,
"CT SOFT TISSUE NECK; W & W/O CONTRAST","70492","HCPCS","Both",,,"517","258.5","Ambetter","Health Exchange","26",,"62",,"320.54","189.22","400.68","percent of total billed charges",,
"CT SOFT TISSUE NECK; W & W/O CONTRAST","70492","HCPCS","Both",,,"517","258.5","Caresource","Health Exchange","26",,"62",,"320.54","189.22","400.68","percent of total billed charges",,
"CT SOFT TISSUE NECK; W & W/O CONTRAST","70492","HCPCS","Both",,,"517","258.5","Cigna","Commercial","26",,"59",,"302.96","189.22","400.68","percent of total billed charges",,
"CT SOFT TISSUE NECK; W & W/O CONTRAST","70492","HCPCS","Both",,,"517","258.5","Humana","Commercial","26",,"78",,"400.68","189.22","400.68","percent of total billed charges",,
"CT SOFT TISSUE NECK; W & W/O CONTRAST","70492","HCPCS","Both",,,"517","258.5","UHC","Commercial","26",,"75",,"389.82","189.22","400.68","percent of total billed charges",,
"CT SOFT TISSUE NECK; W & W/O CONTRAST","70492","HCPCS","Both",,,"517","258.5","Medicaid",,"26",,"37",,"189.22","189.22","400.68","percent of total billed charges",,
"CT, MAXILLOFACILAL; W/O CONTRAST","70486","HCPCS","Both",,,"535","267.5","Alliant","Health Exchange","26",,"62",,"331.7","47.66","414.62","percent of total billed charges",,
"CT, MAXILLOFACILAL; W/O CONTRAST","70486","HCPCS","Both",,,"535","267.5","Pruitt Healthcare","Medicare Advantage","26",,"54",,"288.9","47.66","414.62","percent of total billed charges",,
"CT, MAXILLOFACILAL; W/O CONTRAST","70486","HCPCS","Both",,,"535","267.5","Medicare",,"26",,"54",,"289.97","47.66","414.62","percent of total billed charges",,
"CT, MAXILLOFACILAL; W/O CONTRAST","70486","HCPCS","Both",,,"535","267.5","Humana","Medicare Advantage","26",,"54",,"289.97","47.66","414.62","percent of total billed charges",,
"CT, MAXILLOFACILAL; W/O CONTRAST","70486","HCPCS","Both",,,"535","267.5","UHC","Medicare Advantage","26",,"54",,"289.97","47.66","414.62","percent of total billed charges",,
"CT, MAXILLOFACILAL; W/O CONTRAST","70486","HCPCS","Both",,,"535","267.5","Clover","Medicare Advantage","26",,"54",,"289.97","47.66","414.62","percent of total billed charges",,
"CT, MAXILLOFACILAL; W/O CONTRAST","70486","HCPCS","Both",,,"535","267.5","Wellcare","Medicare Advantage","26",,"54",,"289.97","47.66","414.62","percent of total billed charges",,
"CT, MAXILLOFACILAL; W/O CONTRAST","70486","HCPCS","Both",,,"535","267.5","Amerigroup","Medicaid Managed Care","26",,"37",,"195.81","47.66","414.62","percent of total billed charges",,
"CT, MAXILLOFACILAL; W/O CONTRAST","70486","HCPCS","Both",,,"535","267.5","Caresource","Medicaid Managed Care","26",,"40",,"214","47.66","414.62","percent of total billed charges",,
"CT, MAXILLOFACILAL; W/O CONTRAST","70486","HCPCS","Both",,,"535","267.5","Wellcare","Medicaid Managed Care","26",,"40",,"216.68","47.66","414.62","percent of total billed charges",,
"CT, MAXILLOFACILAL; W/O CONTRAST","70486","HCPCS","Both",,,"535","267.5","Aetna","Commercial","26",,"64",,"341.33","47.66","414.62","percent of total billed charges",,
"CT, MAXILLOFACILAL; W/O CONTRAST","70486","HCPCS","Both",,,"535","267.5","Blue Cross Blue Shield","Pathways","26",,"71",,"377.71","47.66","414.62","percent of total billed charges",,
"CT, MAXILLOFACILAL; W/O CONTRAST","70486","HCPCS","Both",,,"535","267.5","Blue Cross Blue Shield","HMO","26",,"71",,"377.71","47.66","414.62","percent of total billed charges",,
"CT, MAXILLOFACILAL; W/O CONTRAST","70486","HCPCS","Both",,,"535","267.5","Blue Cross Blue Shield","PPO","26",,"71",,"377.71","47.66","414.62","percent of total billed charges",,
"CT, MAXILLOFACILAL; W/O CONTRAST","70486","HCPCS","Both",,,"535","267.5","Ambetter","Health Exchange","26",,"62",,"331.7","47.66","414.62","percent of total billed charges",,
"CT, MAXILLOFACILAL; W/O CONTRAST","70486","HCPCS","Both",,,"535","267.5","Caresource","Health Exchange","26",,"62",,"331.7","47.66","414.62","percent of total billed charges",,
"CT, MAXILLOFACILAL; W/O CONTRAST","70486","HCPCS","Both",,,"535","267.5","Cigna","Commercial","26",,"59",,"313.51","47.66","414.62","percent of total billed charges",,
"CT, MAXILLOFACILAL; W/O CONTRAST","70486","HCPCS","Both",,,"535","267.5","Humana","Commercial","26",,"78",,"414.62","47.66","414.62","percent of total billed charges",,
"CT, MAXILLOFACILAL; W/O CONTRAST","70486","HCPCS","Both",,,"535","267.5","UHC","Commercial","26",,"75",,"403.39","47.66","414.62","percent of total billed charges",,
"CT, MAXILLOFACILAL; W/O CONTRAST","70486","HCPCS","Both",,,"535","267.5","Medicaid",,"26",,"37",,"195.81","47.66","414.62","percent of total billed charges",,
"CT, LOWER EXTREMITY, RIGHT; W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Alliant","Health Exchange","RT",,"62",,"83.7","49.41","137.59","percent of total billed charges",,
"CT, LOWER EXTREMITY, RIGHT; W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"72.9","49.41","137.59","percent of total billed charges",,
"CT, LOWER EXTREMITY, RIGHT; W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Medicare",,"RT",,"54",,"73.17","49.41","137.59","percent of total billed charges",,
"CT, LOWER EXTREMITY, RIGHT; W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Humana","Medicare Advantage","RT",,"54",,"73.17","49.41","137.59","percent of total billed charges",,
"CT, LOWER EXTREMITY, RIGHT; W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","UHC","Medicare Advantage","RT",,"54",,"73.17","49.41","137.59","percent of total billed charges",,
"CT, LOWER EXTREMITY, RIGHT; W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Clover","Medicare Advantage","RT",,"54",,"73.17","49.41","137.59","percent of total billed charges",,
"CT, LOWER EXTREMITY, RIGHT; W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Wellcare","Medicare Advantage","RT",,"54",,"73.17","49.41","137.59","percent of total billed charges",,
"CT, LOWER EXTREMITY, RIGHT; W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Amerigroup","Medicaid Managed Care","RT",,"37",,"49.41","49.41","137.59","percent of total billed charges",,
"CT, LOWER EXTREMITY, RIGHT; W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Caresource","Medicaid Managed Care","RT",,"40",,"54","49.41","137.59","percent of total billed charges",,
"CT, LOWER EXTREMITY, RIGHT; W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Wellcare","Medicaid Managed Care","RT",,"40",,"54.68","49.41","137.59","percent of total billed charges",,
"CT, LOWER EXTREMITY, RIGHT; W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Aetna","Commercial","RT",,"64",,"86.13","49.41","137.59","percent of total billed charges",,
"CT, LOWER EXTREMITY, RIGHT; W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Blue Cross Blue Shield","Pathways","RT",,"71",,"95.31","49.41","137.59","percent of total billed charges",,
"CT, LOWER EXTREMITY, RIGHT; W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Blue Cross Blue Shield","HMO","RT",,"71",,"95.31","49.41","137.59","percent of total billed charges",,
"CT, LOWER EXTREMITY, RIGHT; W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Blue Cross Blue Shield","PPO","RT",,"71",,"95.31","49.41","137.59","percent of total billed charges",,
"CT, LOWER EXTREMITY, RIGHT; W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Ambetter","Health Exchange","RT",,"62",,"83.7","49.41","137.59","percent of total billed charges",,
"CT, LOWER EXTREMITY, RIGHT; W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Caresource","Health Exchange","RT",,"62",,"83.7","49.41","137.59","percent of total billed charges",,
"CT, LOWER EXTREMITY, RIGHT; W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Cigna","Commercial","RT",,"59",,"79.11","49.41","137.59","percent of total billed charges",,
"CT, LOWER EXTREMITY, RIGHT; W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Humana","Commercial","RT",,"78",,"104.62","49.41","137.59","percent of total billed charges",,
"CT, LOWER EXTREMITY, RIGHT; W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","UHC","Commercial","RT",,"75",,"101.79","49.41","137.59","percent of total billed charges",,
"CT, LOWER EXTREMITY, RIGHT; W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Medicaid",,"RT",,"37",,"49.41","49.41","137.59","percent of total billed charges",,
"DUPLEX SCAN, VENOUS EXTREMITY","93970","HCPCS","Both",,,"230","115","Alliant","Health Exchange","26",,"62",,"142.6","35.52","303.03","percent of total billed charges",,
"DUPLEX SCAN, VENOUS EXTREMITY","93970","HCPCS","Both",,,"230","115","Pruitt Healthcare","Medicare Advantage","26",,"54",,"124.2","35.52","303.03","percent of total billed charges",,
"DUPLEX SCAN, VENOUS EXTREMITY","93970","HCPCS","Both",,,"230","115","Medicare",,"26",,"54",,"124.66","35.52","303.03","percent of total billed charges",,
"DUPLEX SCAN, VENOUS EXTREMITY","93970","HCPCS","Both",,,"230","115","Humana","Medicare Advantage","26",,"54",,"124.66","35.52","303.03","percent of total billed charges",,
"DUPLEX SCAN, VENOUS EXTREMITY","93970","HCPCS","Both",,,"230","115","UHC","Medicare Advantage","26",,"54",,"124.66","35.52","303.03","percent of total billed charges",,
"DUPLEX SCAN, VENOUS EXTREMITY","93970","HCPCS","Both",,,"230","115","Clover","Medicare Advantage","26",,"54",,"124.66","35.52","303.03","percent of total billed charges",,
"DUPLEX SCAN, VENOUS EXTREMITY","93970","HCPCS","Both",,,"230","115","Wellcare","Medicare Advantage","26",,"54",,"124.66","35.52","303.03","percent of total billed charges",,
"DUPLEX SCAN, VENOUS EXTREMITY","93970","HCPCS","Both",,,"230","115","Amerigroup","Medicaid Managed Care","26",,"37",,"84.18","35.52","303.03","percent of total billed charges",,
"DUPLEX SCAN, VENOUS EXTREMITY","93970","HCPCS","Both",,,"230","115","Caresource","Medicaid Managed Care","26",,"40",,"92","35.52","303.03","percent of total billed charges",,
"DUPLEX SCAN, VENOUS EXTREMITY","93970","HCPCS","Both",,,"230","115","Wellcare","Medicaid Managed Care","26",,"40",,"93.15","35.52","303.03","percent of total billed charges",,
"DUPLEX SCAN, VENOUS EXTREMITY","93970","HCPCS","Both",,,"230","115","Aetna","Commercial","26",,"64",,"146.74","35.52","303.03","percent of total billed charges",,
"DUPLEX SCAN, VENOUS EXTREMITY","93970","HCPCS","Both",,,"230","115","Blue Cross Blue Shield","Pathways","26",,"71",,"162.38","35.52","303.03","percent of total billed charges",,
"DUPLEX SCAN, VENOUS EXTREMITY","93970","HCPCS","Both",,,"230","115","Blue Cross Blue Shield","HMO","26",,"71",,"162.38","35.52","303.03","percent of total billed charges",,
"DUPLEX SCAN, VENOUS EXTREMITY","93970","HCPCS","Both",,,"230","115","Blue Cross Blue Shield","PPO","26",,"71",,"162.38","35.52","303.03","percent of total billed charges",,
"DUPLEX SCAN, VENOUS EXTREMITY","93970","HCPCS","Both",,,"230","115","Ambetter","Health Exchange","26",,"62",,"142.6","35.52","303.03","percent of total billed charges",,
"DUPLEX SCAN, VENOUS EXTREMITY","93970","HCPCS","Both",,,"230","115","Caresource","Health Exchange","26",,"62",,"142.6","35.52","303.03","percent of total billed charges",,
"DUPLEX SCAN, VENOUS EXTREMITY","93970","HCPCS","Both",,,"230","115","Cigna","Commercial","26",,"59",,"134.78","35.52","303.03","percent of total billed charges",,
"DUPLEX SCAN, VENOUS EXTREMITY","93970","HCPCS","Both",,,"230","115","Humana","Commercial","26",,"78",,"178.25","35.52","303.03","percent of total billed charges",,
"DUPLEX SCAN, VENOUS EXTREMITY","93970","HCPCS","Both",,,"230","115","UHC","Commercial","26",,"75",,"173.42","35.52","303.03","percent of total billed charges",,
"DUPLEX SCAN, VENOUS EXTREMITY","93970","HCPCS","Both",,,"230","115","Medicaid",,"26",,"37",,"84.18","35.52","303.03","percent of total billed charges",,
"UNLISTED U/S PROCEDURE","76999","HCPCS","Both",,,"45","22.5","Alliant","Health Exchange","26",,"62",,"27.9","16.47","34.88","percent of total billed charges",,
"UNLISTED U/S PROCEDURE","76999","HCPCS","Both",,,"45","22.5","Pruitt Healthcare","Medicare Advantage","26",,"54",,"24.3","16.47","34.88","percent of total billed charges",,
"UNLISTED U/S PROCEDURE","76999","HCPCS","Both",,,"45","22.5","Medicare",,"26",,"54",,"24.39","16.47","34.88","percent of total billed charges",,
"UNLISTED U/S PROCEDURE","76999","HCPCS","Both",,,"45","22.5","Humana","Medicare Advantage","26",,"54",,"24.39","16.47","34.88","percent of total billed charges",,
"UNLISTED U/S PROCEDURE","76999","HCPCS","Both",,,"45","22.5","UHC","Medicare Advantage","26",,"54",,"24.39","16.47","34.88","percent of total billed charges",,
"UNLISTED U/S PROCEDURE","76999","HCPCS","Both",,,"45","22.5","Clover","Medicare Advantage","26",,"54",,"24.39","16.47","34.88","percent of total billed charges",,
"UNLISTED U/S PROCEDURE","76999","HCPCS","Both",,,"45","22.5","Wellcare","Medicare Advantage","26",,"54",,"24.39","16.47","34.88","percent of total billed charges",,
"UNLISTED U/S PROCEDURE","76999","HCPCS","Both",,,"45","22.5","Amerigroup","Medicaid Managed Care","26",,"37",,"16.47","16.47","34.88","percent of total billed charges",,
"UNLISTED U/S PROCEDURE","76999","HCPCS","Both",,,"45","22.5","Caresource","Medicaid Managed Care","26",,"40",,"18","16.47","34.88","percent of total billed charges",,
"UNLISTED U/S PROCEDURE","76999","HCPCS","Both",,,"45","22.5","Wellcare","Medicaid Managed Care","26",,"40",,"18.23","16.47","34.88","percent of total billed charges",,
"UNLISTED U/S PROCEDURE","76999","HCPCS","Both",,,"45","22.5","Aetna","Commercial","26",,"64",,"28.71","16.47","34.88","percent of total billed charges",,
"UNLISTED U/S PROCEDURE","76999","HCPCS","Both",,,"45","22.5","Blue Cross Blue Shield","Pathways","26",,"71",,"31.77","16.47","34.88","percent of total billed charges",,
"UNLISTED U/S PROCEDURE","76999","HCPCS","Both",,,"45","22.5","Blue Cross Blue Shield","HMO","26",,"71",,"31.77","16.47","34.88","percent of total billed charges",,
"UNLISTED U/S PROCEDURE","76999","HCPCS","Both",,,"45","22.5","Blue Cross Blue Shield","PPO","26",,"71",,"31.77","16.47","34.88","percent of total billed charges",,
"UNLISTED U/S PROCEDURE","76999","HCPCS","Both",,,"45","22.5","Ambetter","Health Exchange","26",,"62",,"27.9","16.47","34.88","percent of total billed charges",,
"UNLISTED U/S PROCEDURE","76999","HCPCS","Both",,,"45","22.5","Caresource","Health Exchange","26",,"62",,"27.9","16.47","34.88","percent of total billed charges",,
"UNLISTED U/S PROCEDURE","76999","HCPCS","Both",,,"45","22.5","Cigna","Commercial","26",,"59",,"26.37","16.47","34.88","percent of total billed charges",,
"UNLISTED U/S PROCEDURE","76999","HCPCS","Both",,,"45","22.5","Humana","Commercial","26",,"78",,"34.88","16.47","34.88","percent of total billed charges",,
"UNLISTED U/S PROCEDURE","76999","HCPCS","Both",,,"45","22.5","UHC","Commercial","26",,"75",,"33.93","16.47","34.88","percent of total billed charges",,
"UNLISTED U/S PROCEDURE","76999","HCPCS","Both",,,"45","22.5","Medicaid",,"26",,"37",,"16.47","16.47","34.88","percent of total billed charges",,
"CARDIAC REHAB OUTPATIENT W/O CONT ECG","93797","HCPCS","Both",,,"139","69.5","Alliant","Health Exchange","",,"62",,"86.18","50.87","107.72","percent of total billed charges",,
"CARDIAC REHAB OUTPATIENT W/O CONT ECG","93797","HCPCS","Both",,,"139","69.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"75.06","50.87","107.72","percent of total billed charges",,
"CARDIAC REHAB OUTPATIENT W/O CONT ECG","93797","HCPCS","Both",,,"139","69.5","Medicare",,"",,"54",,"75.34","50.87","107.72","percent of total billed charges",,
"CARDIAC REHAB OUTPATIENT W/O CONT ECG","93797","HCPCS","Both",,,"139","69.5","Humana","Medicare Advantage","",,"54",,"75.34","50.87","107.72","percent of total billed charges",,
"CARDIAC REHAB OUTPATIENT W/O CONT ECG","93797","HCPCS","Both",,,"139","69.5","UHC","Medicare Advantage","",,"54",,"75.34","50.87","107.72","percent of total billed charges",,
"CARDIAC REHAB OUTPATIENT W/O CONT ECG","93797","HCPCS","Both",,,"139","69.5","Clover","Medicare Advantage","",,"54",,"75.34","50.87","107.72","percent of total billed charges",,
"CARDIAC REHAB OUTPATIENT W/O CONT ECG","93797","HCPCS","Both",,,"139","69.5","Wellcare","Medicare Advantage","",,"54",,"75.34","50.87","107.72","percent of total billed charges",,
"CARDIAC REHAB OUTPATIENT W/O CONT ECG","93797","HCPCS","Both",,,"139","69.5","Amerigroup","Medicaid Managed Care","",,"37",,"50.87","50.87","107.72","percent of total billed charges",,
"CARDIAC REHAB OUTPATIENT W/O CONT ECG","93797","HCPCS","Both",,,"139","69.5","Caresource","Medicaid Managed Care","",,"40",,"55.6","50.87","107.72","percent of total billed charges",,
"CARDIAC REHAB OUTPATIENT W/O CONT ECG","93797","HCPCS","Both",,,"139","69.5","Wellcare","Medicaid Managed Care","",,"40",,"56.3","50.87","107.72","percent of total billed charges",,
"CARDIAC REHAB OUTPATIENT W/O CONT ECG","93797","HCPCS","Both",,,"139","69.5","Aetna","Commercial","",,"64",,"88.68","50.87","107.72","percent of total billed charges",,
"CARDIAC REHAB OUTPATIENT W/O CONT ECG","93797","HCPCS","Both",,,"139","69.5","Blue Cross Blue Shield","Pathways","",,"71",,"98.13","50.87","107.72","percent of total billed charges",,
"CARDIAC REHAB OUTPATIENT W/O CONT ECG","93797","HCPCS","Both",,,"139","69.5","Blue Cross Blue Shield","HMO","",,"71",,"98.13","50.87","107.72","percent of total billed charges",,
"CARDIAC REHAB OUTPATIENT W/O CONT ECG","93797","HCPCS","Both",,,"139","69.5","Blue Cross Blue Shield","PPO","",,"71",,"98.13","50.87","107.72","percent of total billed charges",,
"CARDIAC REHAB OUTPATIENT W/O CONT ECG","93797","HCPCS","Both",,,"139","69.5","Ambetter","Health Exchange","",,"62",,"86.18","50.87","107.72","percent of total billed charges",,
"CARDIAC REHAB OUTPATIENT W/O CONT ECG","93797","HCPCS","Both",,,"139","69.5","Caresource","Health Exchange","",,"62",,"86.18","50.87","107.72","percent of total billed charges",,
"CARDIAC REHAB OUTPATIENT W/O CONT ECG","93797","HCPCS","Both",,,"139","69.5","Cigna","Commercial","",,"59",,"81.45","50.87","107.72","percent of total billed charges",,
"CARDIAC REHAB OUTPATIENT W/O CONT ECG","93797","HCPCS","Both",,,"139","69.5","Humana","Commercial","",,"78",,"107.72","50.87","107.72","percent of total billed charges",,
"CARDIAC REHAB OUTPATIENT W/O CONT ECG","93797","HCPCS","Both",,,"139","69.5","UHC","Commercial","",,"75",,"104.81","50.87","107.72","percent of total billed charges",,
"CARDIAC REHAB OUTPATIENT W/O CONT ECG","93797","HCPCS","Both",,,"139","69.5","Medicaid",,"",,"37",,"50.87","50.87","107.72","percent of total billed charges",,
"CARDIAC REHAB OUTPATIENT W/ CONT ECG","93798","HCPCS","Both",,,"197.2","98.6","Alliant","Health Exchange","",,"62",,"122.26","72.18","152.83","percent of total billed charges",,
"CARDIAC REHAB OUTPATIENT W/ CONT ECG","93798","HCPCS","Both",,,"197.2","98.6","Pruitt Healthcare","Medicare Advantage","",,"54",,"106.49","72.18","152.83","percent of total billed charges",,
"CARDIAC REHAB OUTPATIENT W/ CONT ECG","93798","HCPCS","Both",,,"197.2","98.6","Medicare",,"",,"54",,"106.88","72.18","152.83","percent of total billed charges",,
"CARDIAC REHAB OUTPATIENT W/ CONT ECG","93798","HCPCS","Both",,,"197.2","98.6","Humana","Medicare Advantage","",,"54",,"106.88","72.18","152.83","percent of total billed charges",,
"CARDIAC REHAB OUTPATIENT W/ CONT ECG","93798","HCPCS","Both",,,"197.2","98.6","UHC","Medicare Advantage","",,"54",,"106.88","72.18","152.83","percent of total billed charges",,
"CARDIAC REHAB OUTPATIENT W/ CONT ECG","93798","HCPCS","Both",,,"197.2","98.6","Clover","Medicare Advantage","",,"54",,"106.88","72.18","152.83","percent of total billed charges",,
"CARDIAC REHAB OUTPATIENT W/ CONT ECG","93798","HCPCS","Both",,,"197.2","98.6","Wellcare","Medicare Advantage","",,"54",,"106.88","72.18","152.83","percent of total billed charges",,
"CARDIAC REHAB OUTPATIENT W/ CONT ECG","93798","HCPCS","Both",,,"197.2","98.6","Amerigroup","Medicaid Managed Care","",,"37",,"72.18","72.18","152.83","percent of total billed charges",,
"CARDIAC REHAB OUTPATIENT W/ CONT ECG","93798","HCPCS","Both",,,"197.2","98.6","Caresource","Medicaid Managed Care","",,"40",,"78.88","72.18","152.83","percent of total billed charges",,
"CARDIAC REHAB OUTPATIENT W/ CONT ECG","93798","HCPCS","Both",,,"197.2","98.6","Wellcare","Medicaid Managed Care","",,"40",,"79.87","72.18","152.83","percent of total billed charges",,
"CARDIAC REHAB OUTPATIENT W/ CONT ECG","93798","HCPCS","Both",,,"197.2","98.6","Aetna","Commercial","",,"64",,"125.81","72.18","152.83","percent of total billed charges",,
"CARDIAC REHAB OUTPATIENT W/ CONT ECG","93798","HCPCS","Both",,,"197.2","98.6","Blue Cross Blue Shield","Pathways","",,"71",,"139.22","72.18","152.83","percent of total billed charges",,
"CARDIAC REHAB OUTPATIENT W/ CONT ECG","93798","HCPCS","Both",,,"197.2","98.6","Blue Cross Blue Shield","HMO","",,"71",,"139.22","72.18","152.83","percent of total billed charges",,
"CARDIAC REHAB OUTPATIENT W/ CONT ECG","93798","HCPCS","Both",,,"197.2","98.6","Blue Cross Blue Shield","PPO","",,"71",,"139.22","72.18","152.83","percent of total billed charges",,
"CARDIAC REHAB OUTPATIENT W/ CONT ECG","93798","HCPCS","Both",,,"197.2","98.6","Ambetter","Health Exchange","",,"62",,"122.26","72.18","152.83","percent of total billed charges",,
"CARDIAC REHAB OUTPATIENT W/ CONT ECG","93798","HCPCS","Both",,,"197.2","98.6","Caresource","Health Exchange","",,"62",,"122.26","72.18","152.83","percent of total billed charges",,
"CARDIAC REHAB OUTPATIENT W/ CONT ECG","93798","HCPCS","Both",,,"197.2","98.6","Cigna","Commercial","",,"59",,"115.56","72.18","152.83","percent of total billed charges",,
"CARDIAC REHAB OUTPATIENT W/ CONT ECG","93798","HCPCS","Both",,,"197.2","98.6","Humana","Commercial","",,"78",,"152.83","72.18","152.83","percent of total billed charges",,
"CARDIAC REHAB OUTPATIENT W/ CONT ECG","93798","HCPCS","Both",,,"197.2","98.6","UHC","Commercial","",,"75",,"148.69","72.18","152.83","percent of total billed charges",,
"CARDIAC REHAB OUTPATIENT W/ CONT ECG","93798","HCPCS","Both",,,"197.2","98.6","Medicaid",,"",,"37",,"72.18","72.18","152.83","percent of total billed charges",,
"NEW PATIENT FIRST VISIT","99205","HCPCS","Both",,,"167","83.5","Alliant","Health Exchange","",,"62",,"103.54","61.12","129.43","percent of total billed charges",,
"NEW PATIENT FIRST VISIT","99205","HCPCS","Both",,,"167","83.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"90.18","61.12","129.43","percent of total billed charges",,
"NEW PATIENT FIRST VISIT","99205","HCPCS","Both",,,"167","83.5","Medicare",,"",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"NEW PATIENT FIRST VISIT","99205","HCPCS","Both",,,"167","83.5","Humana","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"NEW PATIENT FIRST VISIT","99205","HCPCS","Both",,,"167","83.5","UHC","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"NEW PATIENT FIRST VISIT","99205","HCPCS","Both",,,"167","83.5","Clover","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"NEW PATIENT FIRST VISIT","99205","HCPCS","Both",,,"167","83.5","Wellcare","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"NEW PATIENT FIRST VISIT","99205","HCPCS","Both",,,"167","83.5","Amerigroup","Medicaid Managed Care","",,"37",,"61.12","61.12","129.43","percent of total billed charges",,
"NEW PATIENT FIRST VISIT","99205","HCPCS","Both",,,"167","83.5","Caresource","Medicaid Managed Care","",,"40",,"66.8","61.12","129.43","percent of total billed charges",,
"NEW PATIENT FIRST VISIT","99205","HCPCS","Both",,,"167","83.5","Wellcare","Medicaid Managed Care","",,"40",,"67.64","61.12","129.43","percent of total billed charges",,
"NEW PATIENT FIRST VISIT","99205","HCPCS","Both",,,"167","83.5","Aetna","Commercial","",,"64",,"106.55","61.12","129.43","percent of total billed charges",,
"NEW PATIENT FIRST VISIT","99205","HCPCS","Both",,,"167","83.5","Blue Cross Blue Shield","Pathways","",,"71",,"117.9","61.12","129.43","percent of total billed charges",,
"NEW PATIENT FIRST VISIT","99205","HCPCS","Both",,,"167","83.5","Blue Cross Blue Shield","HMO","",,"71",,"117.9","61.12","129.43","percent of total billed charges",,
"NEW PATIENT FIRST VISIT","99205","HCPCS","Both",,,"167","83.5","Blue Cross Blue Shield","PPO","",,"71",,"117.9","61.12","129.43","percent of total billed charges",,
"NEW PATIENT FIRST VISIT","99205","HCPCS","Both",,,"167","83.5","Ambetter","Health Exchange","",,"62",,"103.54","61.12","129.43","percent of total billed charges",,
"NEW PATIENT FIRST VISIT","99205","HCPCS","Both",,,"167","83.5","Caresource","Health Exchange","",,"62",,"103.54","61.12","129.43","percent of total billed charges",,
"NEW PATIENT FIRST VISIT","99205","HCPCS","Both",,,"167","83.5","Cigna","Commercial","",,"59",,"97.86","61.12","129.43","percent of total billed charges",,
"NEW PATIENT FIRST VISIT","99205","HCPCS","Both",,,"167","83.5","Humana","Commercial","",,"78",,"129.43","61.12","129.43","percent of total billed charges",,
"NEW PATIENT FIRST VISIT","99205","HCPCS","Both",,,"167","83.5","UHC","Commercial","",,"75",,"125.92","61.12","129.43","percent of total billed charges",,
"NEW PATIENT FIRST VISIT","99205","HCPCS","Both",,,"167","83.5","Medicaid",,"",,"37",,"61.12","61.12","129.43","percent of total billed charges",,
"RETURN VISIT ROUTINE","99214","HCPCS","Both",,,"78","39","Alliant","Health Exchange","",,"62",,"48.36","28.55","60.45","percent of total billed charges",,
"RETURN VISIT ROUTINE","99214","HCPCS","Both",,,"78","39","Pruitt Healthcare","Medicare Advantage","",,"54",,"42.12","28.55","60.45","percent of total billed charges",,
"RETURN VISIT ROUTINE","99214","HCPCS","Both",,,"78","39","Medicare",,"",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"RETURN VISIT ROUTINE","99214","HCPCS","Both",,,"78","39","Humana","Medicare Advantage","",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"RETURN VISIT ROUTINE","99214","HCPCS","Both",,,"78","39","UHC","Medicare Advantage","",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"RETURN VISIT ROUTINE","99214","HCPCS","Both",,,"78","39","Clover","Medicare Advantage","",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"RETURN VISIT ROUTINE","99214","HCPCS","Both",,,"78","39","Wellcare","Medicare Advantage","",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"RETURN VISIT ROUTINE","99214","HCPCS","Both",,,"78","39","Amerigroup","Medicaid Managed Care","",,"37",,"28.55","28.55","60.45","percent of total billed charges",,
"RETURN VISIT ROUTINE","99214","HCPCS","Both",,,"78","39","Caresource","Medicaid Managed Care","",,"40",,"31.2","28.55","60.45","percent of total billed charges",,
"RETURN VISIT ROUTINE","99214","HCPCS","Both",,,"78","39","Wellcare","Medicaid Managed Care","",,"40",,"31.59","28.55","60.45","percent of total billed charges",,
"RETURN VISIT ROUTINE","99214","HCPCS","Both",,,"78","39","Aetna","Commercial","",,"64",,"49.76","28.55","60.45","percent of total billed charges",,
"RETURN VISIT ROUTINE","99214","HCPCS","Both",,,"78","39","Blue Cross Blue Shield","Pathways","",,"71",,"55.07","28.55","60.45","percent of total billed charges",,
"RETURN VISIT ROUTINE","99214","HCPCS","Both",,,"78","39","Blue Cross Blue Shield","HMO","",,"71",,"55.07","28.55","60.45","percent of total billed charges",,
"RETURN VISIT ROUTINE","99214","HCPCS","Both",,,"78","39","Blue Cross Blue Shield","PPO","",,"71",,"55.07","28.55","60.45","percent of total billed charges",,
"RETURN VISIT ROUTINE","99214","HCPCS","Both",,,"78","39","Ambetter","Health Exchange","",,"62",,"48.36","28.55","60.45","percent of total billed charges",,
"RETURN VISIT ROUTINE","99214","HCPCS","Both",,,"78","39","Caresource","Health Exchange","",,"62",,"48.36","28.55","60.45","percent of total billed charges",,
"RETURN VISIT ROUTINE","99214","HCPCS","Both",,,"78","39","Cigna","Commercial","",,"59",,"45.71","28.55","60.45","percent of total billed charges",,
"RETURN VISIT ROUTINE","99214","HCPCS","Both",,,"78","39","Humana","Commercial","",,"78",,"60.45","28.55","60.45","percent of total billed charges",,
"RETURN VISIT ROUTINE","99214","HCPCS","Both",,,"78","39","UHC","Commercial","",,"75",,"58.81","28.55","60.45","percent of total billed charges",,
"RETURN VISIT ROUTINE","99214","HCPCS","Both",,,"78","39","Medicaid",,"",,"37",,"28.55","28.55","60.45","percent of total billed charges",,
"RETURN VISIT COMPREHENSIVE","99215","HCPCS","Both",,,"110","55","Alliant","Health Exchange","",,"62",,"68.2","40.26","85.25","percent of total billed charges",,
"RETURN VISIT COMPREHENSIVE","99215","HCPCS","Both",,,"110","55","Pruitt Healthcare","Medicare Advantage","",,"54",,"59.4","40.26","85.25","percent of total billed charges",,
"RETURN VISIT COMPREHENSIVE","99215","HCPCS","Both",,,"110","55","Medicare",,"",,"54",,"59.62","40.26","85.25","percent of total billed charges",,
"RETURN VISIT COMPREHENSIVE","99215","HCPCS","Both",,,"110","55","Humana","Medicare Advantage","",,"54",,"59.62","40.26","85.25","percent of total billed charges",,
"RETURN VISIT COMPREHENSIVE","99215","HCPCS","Both",,,"110","55","UHC","Medicare Advantage","",,"54",,"59.62","40.26","85.25","percent of total billed charges",,
"RETURN VISIT COMPREHENSIVE","99215","HCPCS","Both",,,"110","55","Clover","Medicare Advantage","",,"54",,"59.62","40.26","85.25","percent of total billed charges",,
"RETURN VISIT COMPREHENSIVE","99215","HCPCS","Both",,,"110","55","Wellcare","Medicare Advantage","",,"54",,"59.62","40.26","85.25","percent of total billed charges",,
"RETURN VISIT COMPREHENSIVE","99215","HCPCS","Both",,,"110","55","Amerigroup","Medicaid Managed Care","",,"37",,"40.26","40.26","85.25","percent of total billed charges",,
"RETURN VISIT COMPREHENSIVE","99215","HCPCS","Both",,,"110","55","Caresource","Medicaid Managed Care","",,"40",,"44","40.26","85.25","percent of total billed charges",,
"RETURN VISIT COMPREHENSIVE","99215","HCPCS","Both",,,"110","55","Wellcare","Medicaid Managed Care","",,"40",,"44.55","40.26","85.25","percent of total billed charges",,
"RETURN VISIT COMPREHENSIVE","99215","HCPCS","Both",,,"110","55","Aetna","Commercial","",,"64",,"70.18","40.26","85.25","percent of total billed charges",,
"RETURN VISIT COMPREHENSIVE","99215","HCPCS","Both",,,"110","55","Blue Cross Blue Shield","Pathways","",,"71",,"77.66","40.26","85.25","percent of total billed charges",,
"RETURN VISIT COMPREHENSIVE","99215","HCPCS","Both",,,"110","55","Blue Cross Blue Shield","HMO","",,"71",,"77.66","40.26","85.25","percent of total billed charges",,
"RETURN VISIT COMPREHENSIVE","99215","HCPCS","Both",,,"110","55","Blue Cross Blue Shield","PPO","",,"71",,"77.66","40.26","85.25","percent of total billed charges",,
"RETURN VISIT COMPREHENSIVE","99215","HCPCS","Both",,,"110","55","Ambetter","Health Exchange","",,"62",,"68.2","40.26","85.25","percent of total billed charges",,
"RETURN VISIT COMPREHENSIVE","99215","HCPCS","Both",,,"110","55","Caresource","Health Exchange","",,"62",,"68.2","40.26","85.25","percent of total billed charges",,
"RETURN VISIT COMPREHENSIVE","99215","HCPCS","Both",,,"110","55","Cigna","Commercial","",,"59",,"64.46","40.26","85.25","percent of total billed charges",,
"RETURN VISIT COMPREHENSIVE","99215","HCPCS","Both",,,"110","55","Humana","Commercial","",,"78",,"85.25","40.26","85.25","percent of total billed charges",,
"RETURN VISIT COMPREHENSIVE","99215","HCPCS","Both",,,"110","55","UHC","Commercial","",,"75",,"82.94","40.26","85.25","percent of total billed charges",,
"RETURN VISIT COMPREHENSIVE","99215","HCPCS","Both",,,"110","55","Medicaid",,"",,"37",,"40.26","40.26","85.25","percent of total billed charges",,
"NEW PATIENT -1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Alliant","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"NEW PATIENT -1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Pruitt Healthcare","Medicare Advantage","",,"54",,"43.2","29.28","62","percent of total billed charges",,
"NEW PATIENT -1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Medicare",,"",,"54",,"43.36","29.28","62","percent of total billed charges",,
"NEW PATIENT -1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Humana","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"NEW PATIENT -1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","UHC","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"NEW PATIENT -1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Clover","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"NEW PATIENT -1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Wellcare","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"NEW PATIENT -1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Amerigroup","Medicaid Managed Care","",,"37",,"29.28","29.28","62","percent of total billed charges",,
"NEW PATIENT -1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Caresource","Medicaid Managed Care","",,"40",,"32","29.28","62","percent of total billed charges",,
"NEW PATIENT -1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Wellcare","Medicaid Managed Care","",,"40",,"32.4","29.28","62","percent of total billed charges",,
"NEW PATIENT -1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Aetna","Commercial","",,"64",,"51.04","29.28","62","percent of total billed charges",,
"NEW PATIENT -1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","Pathways","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"NEW PATIENT -1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","HMO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"NEW PATIENT -1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","PPO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"NEW PATIENT -1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Ambetter","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"NEW PATIENT -1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Caresource","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"NEW PATIENT -1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Cigna","Commercial","",,"59",,"46.88","29.28","62","percent of total billed charges",,
"NEW PATIENT -1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Humana","Commercial","",,"78",,"62","29.28","62","percent of total billed charges",,
"NEW PATIENT -1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","UHC","Commercial","",,"75",,"60.32","29.28","62","percent of total billed charges",,
"NEW PATIENT -1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Medicaid",,"",,"37",,"29.28","29.28","62","percent of total billed charges",,
"RETURN VISIT COMP","99215","HCPCS","Both",,,"110","55","Alliant","Health Exchange","",,"62",,"68.2","40.26","85.25","percent of total billed charges",,
"RETURN VISIT COMP","99215","HCPCS","Both",,,"110","55","Pruitt Healthcare","Medicare Advantage","",,"54",,"59.4","40.26","85.25","percent of total billed charges",,
"RETURN VISIT COMP","99215","HCPCS","Both",,,"110","55","Medicare",,"",,"54",,"59.62","40.26","85.25","percent of total billed charges",,
"RETURN VISIT COMP","99215","HCPCS","Both",,,"110","55","Humana","Medicare Advantage","",,"54",,"59.62","40.26","85.25","percent of total billed charges",,
"RETURN VISIT COMP","99215","HCPCS","Both",,,"110","55","UHC","Medicare Advantage","",,"54",,"59.62","40.26","85.25","percent of total billed charges",,
"RETURN VISIT COMP","99215","HCPCS","Both",,,"110","55","Clover","Medicare Advantage","",,"54",,"59.62","40.26","85.25","percent of total billed charges",,
"RETURN VISIT COMP","99215","HCPCS","Both",,,"110","55","Wellcare","Medicare Advantage","",,"54",,"59.62","40.26","85.25","percent of total billed charges",,
"RETURN VISIT COMP","99215","HCPCS","Both",,,"110","55","Amerigroup","Medicaid Managed Care","",,"37",,"40.26","40.26","85.25","percent of total billed charges",,
"RETURN VISIT COMP","99215","HCPCS","Both",,,"110","55","Caresource","Medicaid Managed Care","",,"40",,"44","40.26","85.25","percent of total billed charges",,
"RETURN VISIT COMP","99215","HCPCS","Both",,,"110","55","Wellcare","Medicaid Managed Care","",,"40",,"44.55","40.26","85.25","percent of total billed charges",,
"RETURN VISIT COMP","99215","HCPCS","Both",,,"110","55","Aetna","Commercial","",,"64",,"70.18","40.26","85.25","percent of total billed charges",,
"RETURN VISIT COMP","99215","HCPCS","Both",,,"110","55","Blue Cross Blue Shield","Pathways","",,"71",,"77.66","40.26","85.25","percent of total billed charges",,
"RETURN VISIT COMP","99215","HCPCS","Both",,,"110","55","Blue Cross Blue Shield","HMO","",,"71",,"77.66","40.26","85.25","percent of total billed charges",,
"RETURN VISIT COMP","99215","HCPCS","Both",,,"110","55","Blue Cross Blue Shield","PPO","",,"71",,"77.66","40.26","85.25","percent of total billed charges",,
"RETURN VISIT COMP","99215","HCPCS","Both",,,"110","55","Ambetter","Health Exchange","",,"62",,"68.2","40.26","85.25","percent of total billed charges",,
"RETURN VISIT COMP","99215","HCPCS","Both",,,"110","55","Caresource","Health Exchange","",,"62",,"68.2","40.26","85.25","percent of total billed charges",,
"RETURN VISIT COMP","99215","HCPCS","Both",,,"110","55","Cigna","Commercial","",,"59",,"64.46","40.26","85.25","percent of total billed charges",,
"RETURN VISIT COMP","99215","HCPCS","Both",,,"110","55","Humana","Commercial","",,"78",,"85.25","40.26","85.25","percent of total billed charges",,
"RETURN VISIT COMP","99215","HCPCS","Both",,,"110","55","UHC","Commercial","",,"75",,"82.94","40.26","85.25","percent of total billed charges",,
"RETURN VISIT COMP","99215","HCPCS","Both",,,"110","55","Medicaid",,"",,"37",,"40.26","40.26","85.25","percent of total billed charges",,
"NEW PATIENT 1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Alliant","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"NEW PATIENT 1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Pruitt Healthcare","Medicare Advantage","",,"54",,"43.2","29.28","62","percent of total billed charges",,
"NEW PATIENT 1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Medicare",,"",,"54",,"43.36","29.28","62","percent of total billed charges",,
"NEW PATIENT 1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Humana","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"NEW PATIENT 1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","UHC","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"NEW PATIENT 1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Clover","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"NEW PATIENT 1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Wellcare","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"NEW PATIENT 1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Amerigroup","Medicaid Managed Care","",,"37",,"29.28","29.28","62","percent of total billed charges",,
"NEW PATIENT 1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Caresource","Medicaid Managed Care","",,"40",,"32","29.28","62","percent of total billed charges",,
"NEW PATIENT 1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Wellcare","Medicaid Managed Care","",,"40",,"32.4","29.28","62","percent of total billed charges",,
"NEW PATIENT 1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Aetna","Commercial","",,"64",,"51.04","29.28","62","percent of total billed charges",,
"NEW PATIENT 1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","Pathways","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"NEW PATIENT 1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","HMO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"NEW PATIENT 1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","PPO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"NEW PATIENT 1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Ambetter","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"NEW PATIENT 1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Caresource","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"NEW PATIENT 1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Cigna","Commercial","",,"59",,"46.88","29.28","62","percent of total billed charges",,
"NEW PATIENT 1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Humana","Commercial","",,"78",,"62","29.28","62","percent of total billed charges",,
"NEW PATIENT 1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","UHC","Commercial","",,"75",,"60.32","29.28","62","percent of total billed charges",,
"NEW PATIENT 1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Medicaid",,"",,"37",,"29.28","29.28","62","percent of total billed charges",,
"SURGICAL TRAY","99070","HCPCS","Both",,,"40","20","Alliant","Health Exchange","",,"62",,"24.8","14.64","31","percent of total billed charges",,
"SURGICAL TRAY","99070","HCPCS","Both",,,"40","20","Pruitt Healthcare","Medicare Advantage","",,"54",,"21.6","14.64","31","percent of total billed charges",,
"SURGICAL TRAY","99070","HCPCS","Both",,,"40","20","Medicare",,"",,"54",,"21.68","14.64","31","percent of total billed charges",,
"SURGICAL TRAY","99070","HCPCS","Both",,,"40","20","Humana","Medicare Advantage","",,"54",,"21.68","14.64","31","percent of total billed charges",,
"SURGICAL TRAY","99070","HCPCS","Both",,,"40","20","UHC","Medicare Advantage","",,"54",,"21.68","14.64","31","percent of total billed charges",,
"SURGICAL TRAY","99070","HCPCS","Both",,,"40","20","Clover","Medicare Advantage","",,"54",,"21.68","14.64","31","percent of total billed charges",,
"SURGICAL TRAY","99070","HCPCS","Both",,,"40","20","Wellcare","Medicare Advantage","",,"54",,"21.68","14.64","31","percent of total billed charges",,
"SURGICAL TRAY","99070","HCPCS","Both",,,"40","20","Amerigroup","Medicaid Managed Care","",,"37",,"14.64","14.64","31","percent of total billed charges",,
"SURGICAL TRAY","99070","HCPCS","Both",,,"40","20","Caresource","Medicaid Managed Care","",,"40",,"16","14.64","31","percent of total billed charges",,
"SURGICAL TRAY","99070","HCPCS","Both",,,"40","20","Wellcare","Medicaid Managed Care","",,"40",,"16.2","14.64","31","percent of total billed charges",,
"SURGICAL TRAY","99070","HCPCS","Both",,,"40","20","Aetna","Commercial","",,"64",,"25.52","14.64","31","percent of total billed charges",,
"SURGICAL TRAY","99070","HCPCS","Both",,,"40","20","Blue Cross Blue Shield","Pathways","",,"71",,"28.24","14.64","31","percent of total billed charges",,
"SURGICAL TRAY","99070","HCPCS","Both",,,"40","20","Blue Cross Blue Shield","HMO","",,"71",,"28.24","14.64","31","percent of total billed charges",,
"SURGICAL TRAY","99070","HCPCS","Both",,,"40","20","Blue Cross Blue Shield","PPO","",,"71",,"28.24","14.64","31","percent of total billed charges",,
"SURGICAL TRAY","99070","HCPCS","Both",,,"40","20","Ambetter","Health Exchange","",,"62",,"24.8","14.64","31","percent of total billed charges",,
"SURGICAL TRAY","99070","HCPCS","Both",,,"40","20","Caresource","Health Exchange","",,"62",,"24.8","14.64","31","percent of total billed charges",,
"SURGICAL TRAY","99070","HCPCS","Both",,,"40","20","Cigna","Commercial","",,"59",,"23.44","14.64","31","percent of total billed charges",,
"SURGICAL TRAY","99070","HCPCS","Both",,,"40","20","Humana","Commercial","",,"78",,"31","14.64","31","percent of total billed charges",,
"SURGICAL TRAY","99070","HCPCS","Both",,,"40","20","UHC","Commercial","",,"75",,"30.16","14.64","31","percent of total billed charges",,
"SURGICAL TRAY","99070","HCPCS","Both",,,"40","20","Medicaid",,"",,"37",,"14.64","14.64","31","percent of total billed charges",,
"DERM CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Alliant","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"DERM CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.94","22.33","47.28","percent of total billed charges",,
"DERM CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Medicare",,"",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"DERM CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Humana","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"DERM CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","UHC","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"DERM CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Clover","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"DERM CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Wellcare","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"DERM CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Amerigroup","Medicaid Managed Care","",,"37",,"22.33","22.33","47.28","percent of total billed charges",,
"DERM CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Caresource","Medicaid Managed Care","",,"40",,"24.4","22.33","47.28","percent of total billed charges",,
"DERM CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Wellcare","Medicaid Managed Care","",,"40",,"24.7","22.33","47.28","percent of total billed charges",,
"DERM CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Aetna","Commercial","",,"64",,"38.92","22.33","47.28","percent of total billed charges",,
"DERM CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","Pathways","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"DERM CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","HMO","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"DERM CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","PPO","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"DERM CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Ambetter","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"DERM CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Caresource","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"DERM CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Cigna","Commercial","",,"59",,"35.75","22.33","47.28","percent of total billed charges",,
"DERM CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Humana","Commercial","",,"78",,"47.28","22.33","47.28","percent of total billed charges",,
"DERM CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","UHC","Commercial","",,"75",,"45.99","22.33","47.28","percent of total billed charges",,
"DERM CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Medicaid",,"",,"37",,"22.33","22.33","47.28","percent of total billed charges",,
"DERM CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Alliant","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"DERM CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Pruitt Healthcare","Medicare Advantage","",,"54",,"43.2","29.28","62","percent of total billed charges",,
"DERM CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Medicare",,"",,"54",,"43.36","29.28","62","percent of total billed charges",,
"DERM CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Humana","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"DERM CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","UHC","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"DERM CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Clover","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"DERM CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Wellcare","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"DERM CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Amerigroup","Medicaid Managed Care","",,"37",,"29.28","29.28","62","percent of total billed charges",,
"DERM CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Caresource","Medicaid Managed Care","",,"40",,"32","29.28","62","percent of total billed charges",,
"DERM CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Wellcare","Medicaid Managed Care","",,"40",,"32.4","29.28","62","percent of total billed charges",,
"DERM CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Aetna","Commercial","",,"64",,"51.04","29.28","62","percent of total billed charges",,
"DERM CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","Pathways","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"DERM CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","HMO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"DERM CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","PPO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"DERM CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Ambetter","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"DERM CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Caresource","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"DERM CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Cigna","Commercial","",,"59",,"46.88","29.28","62","percent of total billed charges",,
"DERM CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Humana","Commercial","",,"78",,"62","29.28","62","percent of total billed charges",,
"DERM CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","UHC","Commercial","",,"75",,"60.32","29.28","62","percent of total billed charges",,
"DERM CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Medicaid",,"",,"37",,"29.28","29.28","62","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT PROBLEM FOCUS","99212","HCPCS","Both",,,"55","27.5","Alliant","Health Exchange","",,"62",,"34.1","20.13","42.62","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT PROBLEM FOCUS","99212","HCPCS","Both",,,"55","27.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"29.7","20.13","42.62","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT PROBLEM FOCUS","99212","HCPCS","Both",,,"55","27.5","Medicare",,"",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT PROBLEM FOCUS","99212","HCPCS","Both",,,"55","27.5","Humana","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT PROBLEM FOCUS","99212","HCPCS","Both",,,"55","27.5","UHC","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT PROBLEM FOCUS","99212","HCPCS","Both",,,"55","27.5","Clover","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT PROBLEM FOCUS","99212","HCPCS","Both",,,"55","27.5","Wellcare","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT PROBLEM FOCUS","99212","HCPCS","Both",,,"55","27.5","Amerigroup","Medicaid Managed Care","",,"37",,"20.13","20.13","42.62","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT PROBLEM FOCUS","99212","HCPCS","Both",,,"55","27.5","Caresource","Medicaid Managed Care","",,"40",,"22","20.13","42.62","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT PROBLEM FOCUS","99212","HCPCS","Both",,,"55","27.5","Wellcare","Medicaid Managed Care","",,"40",,"22.28","20.13","42.62","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT PROBLEM FOCUS","99212","HCPCS","Both",,,"55","27.5","Aetna","Commercial","",,"64",,"35.09","20.13","42.62","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT PROBLEM FOCUS","99212","HCPCS","Both",,,"55","27.5","Blue Cross Blue Shield","Pathways","",,"71",,"38.83","20.13","42.62","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT PROBLEM FOCUS","99212","HCPCS","Both",,,"55","27.5","Blue Cross Blue Shield","HMO","",,"71",,"38.83","20.13","42.62","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT PROBLEM FOCUS","99212","HCPCS","Both",,,"55","27.5","Blue Cross Blue Shield","PPO","",,"71",,"38.83","20.13","42.62","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT PROBLEM FOCUS","99212","HCPCS","Both",,,"55","27.5","Ambetter","Health Exchange","",,"62",,"34.1","20.13","42.62","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT PROBLEM FOCUS","99212","HCPCS","Both",,,"55","27.5","Caresource","Health Exchange","",,"62",,"34.1","20.13","42.62","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT PROBLEM FOCUS","99212","HCPCS","Both",,,"55","27.5","Cigna","Commercial","",,"59",,"32.23","20.13","42.62","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT PROBLEM FOCUS","99212","HCPCS","Both",,,"55","27.5","Humana","Commercial","",,"78",,"42.62","20.13","42.62","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT PROBLEM FOCUS","99212","HCPCS","Both",,,"55","27.5","UHC","Commercial","",,"75",,"41.47","20.13","42.62","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT PROBLEM FOCUS","99212","HCPCS","Both",,,"55","27.5","Medicaid",,"",,"37",,"20.13","20.13","42.62","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Alliant","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.94","22.33","47.28","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Medicare",,"",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Humana","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","UHC","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Clover","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Wellcare","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Amerigroup","Medicaid Managed Care","",,"37",,"22.33","22.33","47.28","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Caresource","Medicaid Managed Care","",,"40",,"24.4","22.33","47.28","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Wellcare","Medicaid Managed Care","",,"40",,"24.7","22.33","47.28","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Aetna","Commercial","",,"64",,"38.92","22.33","47.28","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","Pathways","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","HMO","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","PPO","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Ambetter","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Caresource","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Cigna","Commercial","",,"59",,"35.75","22.33","47.28","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Humana","Commercial","",,"78",,"47.28","22.33","47.28","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","UHC","Commercial","",,"75",,"45.99","22.33","47.28","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Medicaid",,"",,"37",,"22.33","22.33","47.28","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Alliant","Health Exchange","",,"62",,"48.36","28.55","60.45","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Pruitt Healthcare","Medicare Advantage","",,"54",,"42.12","28.55","60.45","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Medicare",,"",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Humana","Medicare Advantage","",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","UHC","Medicare Advantage","",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Clover","Medicare Advantage","",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Wellcare","Medicare Advantage","",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Amerigroup","Medicaid Managed Care","",,"37",,"28.55","28.55","60.45","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Caresource","Medicaid Managed Care","",,"40",,"31.2","28.55","60.45","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Wellcare","Medicaid Managed Care","",,"40",,"31.59","28.55","60.45","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Aetna","Commercial","",,"64",,"49.76","28.55","60.45","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Blue Cross Blue Shield","Pathways","",,"71",,"55.07","28.55","60.45","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Blue Cross Blue Shield","HMO","",,"71",,"55.07","28.55","60.45","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Blue Cross Blue Shield","PPO","",,"71",,"55.07","28.55","60.45","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Ambetter","Health Exchange","",,"62",,"48.36","28.55","60.45","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Caresource","Health Exchange","",,"62",,"48.36","28.55","60.45","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Cigna","Commercial","",,"59",,"45.71","28.55","60.45","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Humana","Commercial","",,"78",,"60.45","28.55","60.45","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","UHC","Commercial","",,"75",,"58.81","28.55","60.45","percent of total billed charges",,
"DERM CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Medicaid",,"",,"37",,"28.55","28.55","60.45","percent of total billed charges",,
"PODIATRY CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Alliant","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"PODIATRY CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.94","22.33","47.28","percent of total billed charges",,
"PODIATRY CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Medicare",,"",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"PODIATRY CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Humana","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"PODIATRY CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","UHC","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"PODIATRY CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Clover","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"PODIATRY CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Wellcare","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"PODIATRY CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Amerigroup","Medicaid Managed Care","",,"37",,"22.33","22.33","47.28","percent of total billed charges",,
"PODIATRY CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Caresource","Medicaid Managed Care","",,"40",,"24.4","22.33","47.28","percent of total billed charges",,
"PODIATRY CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Wellcare","Medicaid Managed Care","",,"40",,"24.7","22.33","47.28","percent of total billed charges",,
"PODIATRY CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Aetna","Commercial","",,"64",,"38.92","22.33","47.28","percent of total billed charges",,
"PODIATRY CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","Pathways","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"PODIATRY CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","HMO","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"PODIATRY CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","PPO","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"PODIATRY CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Ambetter","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"PODIATRY CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Caresource","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"PODIATRY CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Cigna","Commercial","",,"59",,"35.75","22.33","47.28","percent of total billed charges",,
"PODIATRY CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Humana","Commercial","",,"78",,"47.28","22.33","47.28","percent of total billed charges",,
"PODIATRY CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","UHC","Commercial","",,"75",,"45.99","22.33","47.28","percent of total billed charges",,
"PODIATRY CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Medicaid",,"",,"37",,"22.33","22.33","47.28","percent of total billed charges",,
"PODIATRY CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Alliant","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"PODIATRY CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Pruitt Healthcare","Medicare Advantage","",,"54",,"43.2","29.28","62","percent of total billed charges",,
"PODIATRY CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Medicare",,"",,"54",,"43.36","29.28","62","percent of total billed charges",,
"PODIATRY CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Humana","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"PODIATRY CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","UHC","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"PODIATRY CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Clover","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"PODIATRY CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Wellcare","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"PODIATRY CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Amerigroup","Medicaid Managed Care","",,"37",,"29.28","29.28","62","percent of total billed charges",,
"PODIATRY CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Caresource","Medicaid Managed Care","",,"40",,"32","29.28","62","percent of total billed charges",,
"PODIATRY CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Wellcare","Medicaid Managed Care","",,"40",,"32.4","29.28","62","percent of total billed charges",,
"PODIATRY CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Aetna","Commercial","",,"64",,"51.04","29.28","62","percent of total billed charges",,
"PODIATRY CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","Pathways","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"PODIATRY CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","HMO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"PODIATRY CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","PPO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"PODIATRY CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Ambetter","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"PODIATRY CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Caresource","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"PODIATRY CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Cigna","Commercial","",,"59",,"46.88","29.28","62","percent of total billed charges",,
"PODIATRY CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Humana","Commercial","",,"78",,"62","29.28","62","percent of total billed charges",,
"PODIATRY CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","UHC","Commercial","",,"75",,"60.32","29.28","62","percent of total billed charges",,
"PODIATRY CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Medicaid",,"",,"37",,"29.28","29.28","62","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT PROBLEM","99212","HCPCS","Both",,,"55","27.5","Alliant","Health Exchange","",,"62",,"34.1","20.13","42.62","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT PROBLEM","99212","HCPCS","Both",,,"55","27.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"29.7","20.13","42.62","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT PROBLEM","99212","HCPCS","Both",,,"55","27.5","Medicare",,"",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT PROBLEM","99212","HCPCS","Both",,,"55","27.5","Humana","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT PROBLEM","99212","HCPCS","Both",,,"55","27.5","UHC","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT PROBLEM","99212","HCPCS","Both",,,"55","27.5","Clover","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT PROBLEM","99212","HCPCS","Both",,,"55","27.5","Wellcare","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT PROBLEM","99212","HCPCS","Both",,,"55","27.5","Amerigroup","Medicaid Managed Care","",,"37",,"20.13","20.13","42.62","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT PROBLEM","99212","HCPCS","Both",,,"55","27.5","Caresource","Medicaid Managed Care","",,"40",,"22","20.13","42.62","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT PROBLEM","99212","HCPCS","Both",,,"55","27.5","Wellcare","Medicaid Managed Care","",,"40",,"22.28","20.13","42.62","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT PROBLEM","99212","HCPCS","Both",,,"55","27.5","Aetna","Commercial","",,"64",,"35.09","20.13","42.62","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT PROBLEM","99212","HCPCS","Both",,,"55","27.5","Blue Cross Blue Shield","Pathways","",,"71",,"38.83","20.13","42.62","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT PROBLEM","99212","HCPCS","Both",,,"55","27.5","Blue Cross Blue Shield","HMO","",,"71",,"38.83","20.13","42.62","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT PROBLEM","99212","HCPCS","Both",,,"55","27.5","Blue Cross Blue Shield","PPO","",,"71",,"38.83","20.13","42.62","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT PROBLEM","99212","HCPCS","Both",,,"55","27.5","Ambetter","Health Exchange","",,"62",,"34.1","20.13","42.62","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT PROBLEM","99212","HCPCS","Both",,,"55","27.5","Caresource","Health Exchange","",,"62",,"34.1","20.13","42.62","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT PROBLEM","99212","HCPCS","Both",,,"55","27.5","Cigna","Commercial","",,"59",,"32.23","20.13","42.62","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT PROBLEM","99212","HCPCS","Both",,,"55","27.5","Humana","Commercial","",,"78",,"42.62","20.13","42.62","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT PROBLEM","99212","HCPCS","Both",,,"55","27.5","UHC","Commercial","",,"75",,"41.47","20.13","42.62","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT PROBLEM","99212","HCPCS","Both",,,"55","27.5","Medicaid",,"",,"37",,"20.13","20.13","42.62","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Alliant","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.94","22.33","47.28","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Medicare",,"",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Humana","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","UHC","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Clover","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Wellcare","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Amerigroup","Medicaid Managed Care","",,"37",,"22.33","22.33","47.28","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Caresource","Medicaid Managed Care","",,"40",,"24.4","22.33","47.28","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Wellcare","Medicaid Managed Care","",,"40",,"24.7","22.33","47.28","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Aetna","Commercial","",,"64",,"38.92","22.33","47.28","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","Pathways","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","HMO","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","PPO","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Ambetter","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Caresource","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Cigna","Commercial","",,"59",,"35.75","22.33","47.28","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Humana","Commercial","",,"78",,"47.28","22.33","47.28","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","UHC","Commercial","",,"75",,"45.99","22.33","47.28","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Medicaid",,"",,"37",,"22.33","22.33","47.28","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Alliant","Health Exchange","",,"62",,"48.36","28.55","60.45","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Pruitt Healthcare","Medicare Advantage","",,"54",,"42.12","28.55","60.45","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Medicare",,"",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Humana","Medicare Advantage","",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","UHC","Medicare Advantage","",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Clover","Medicare Advantage","",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Wellcare","Medicare Advantage","",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Amerigroup","Medicaid Managed Care","",,"37",,"28.55","28.55","60.45","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Caresource","Medicaid Managed Care","",,"40",,"31.2","28.55","60.45","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Wellcare","Medicaid Managed Care","",,"40",,"31.59","28.55","60.45","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Aetna","Commercial","",,"64",,"49.76","28.55","60.45","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Blue Cross Blue Shield","Pathways","",,"71",,"55.07","28.55","60.45","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Blue Cross Blue Shield","HMO","",,"71",,"55.07","28.55","60.45","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Blue Cross Blue Shield","PPO","",,"71",,"55.07","28.55","60.45","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Ambetter","Health Exchange","",,"62",,"48.36","28.55","60.45","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Caresource","Health Exchange","",,"62",,"48.36","28.55","60.45","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Cigna","Commercial","",,"59",,"45.71","28.55","60.45","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Humana","Commercial","",,"78",,"60.45","28.55","60.45","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","UHC","Commercial","",,"75",,"58.81","28.55","60.45","percent of total billed charges",,
"PODIATRY CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Medicaid",,"",,"37",,"28.55","28.55","60.45","percent of total billed charges",,
"O.V. - CONSULT EXPANDED - PODIATRY CLINI","99242","HCPCS","Both",,,"80","40","Alliant","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"O.V. - CONSULT EXPANDED - PODIATRY CLINI","99242","HCPCS","Both",,,"80","40","Pruitt Healthcare","Medicare Advantage","",,"54",,"43.2","29.28","62","percent of total billed charges",,
"O.V. - CONSULT EXPANDED - PODIATRY CLINI","99242","HCPCS","Both",,,"80","40","Medicare",,"",,"54",,"43.36","29.28","62","percent of total billed charges",,
"O.V. - CONSULT EXPANDED - PODIATRY CLINI","99242","HCPCS","Both",,,"80","40","Humana","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"O.V. - CONSULT EXPANDED - PODIATRY CLINI","99242","HCPCS","Both",,,"80","40","UHC","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"O.V. - CONSULT EXPANDED - PODIATRY CLINI","99242","HCPCS","Both",,,"80","40","Clover","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"O.V. - CONSULT EXPANDED - PODIATRY CLINI","99242","HCPCS","Both",,,"80","40","Wellcare","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"O.V. - CONSULT EXPANDED - PODIATRY CLINI","99242","HCPCS","Both",,,"80","40","Amerigroup","Medicaid Managed Care","",,"37",,"29.28","29.28","62","percent of total billed charges",,
"O.V. - CONSULT EXPANDED - PODIATRY CLINI","99242","HCPCS","Both",,,"80","40","Caresource","Medicaid Managed Care","",,"40",,"32","29.28","62","percent of total billed charges",,
"O.V. - CONSULT EXPANDED - PODIATRY CLINI","99242","HCPCS","Both",,,"80","40","Wellcare","Medicaid Managed Care","",,"40",,"32.4","29.28","62","percent of total billed charges",,
"O.V. - CONSULT EXPANDED - PODIATRY CLINI","99242","HCPCS","Both",,,"80","40","Aetna","Commercial","",,"64",,"51.04","29.28","62","percent of total billed charges",,
"O.V. - CONSULT EXPANDED - PODIATRY CLINI","99242","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","Pathways","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"O.V. - CONSULT EXPANDED - PODIATRY CLINI","99242","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","HMO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"O.V. - CONSULT EXPANDED - PODIATRY CLINI","99242","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","PPO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"O.V. - CONSULT EXPANDED - PODIATRY CLINI","99242","HCPCS","Both",,,"80","40","Ambetter","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"O.V. - CONSULT EXPANDED - PODIATRY CLINI","99242","HCPCS","Both",,,"80","40","Caresource","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"O.V. - CONSULT EXPANDED - PODIATRY CLINI","99242","HCPCS","Both",,,"80","40","Cigna","Commercial","",,"59",,"46.88","29.28","62","percent of total billed charges",,
"O.V. - CONSULT EXPANDED - PODIATRY CLINI","99242","HCPCS","Both",,,"80","40","Humana","Commercial","",,"78",,"62","29.28","62","percent of total billed charges",,
"O.V. - CONSULT EXPANDED - PODIATRY CLINI","99242","HCPCS","Both",,,"80","40","UHC","Commercial","",,"75",,"60.32","29.28","62","percent of total billed charges",,
"O.V. - CONSULT EXPANDED - PODIATRY CLINI","99242","HCPCS","Both",,,"80","40","Medicaid",,"",,"37",,"29.28","29.28","62","percent of total billed charges",,
"ORTHO CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Alliant","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"ORTHO CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.94","22.33","47.28","percent of total billed charges",,
"ORTHO CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Medicare",,"",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"ORTHO CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Humana","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"ORTHO CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","UHC","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"ORTHO CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Clover","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"ORTHO CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Wellcare","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"ORTHO CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Amerigroup","Medicaid Managed Care","",,"37",,"22.33","22.33","47.28","percent of total billed charges",,
"ORTHO CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Caresource","Medicaid Managed Care","",,"40",,"24.4","22.33","47.28","percent of total billed charges",,
"ORTHO CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Wellcare","Medicaid Managed Care","",,"40",,"24.7","22.33","47.28","percent of total billed charges",,
"ORTHO CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Aetna","Commercial","",,"64",,"38.92","22.33","47.28","percent of total billed charges",,
"ORTHO CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","Pathways","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"ORTHO CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","HMO","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"ORTHO CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","PPO","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"ORTHO CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Ambetter","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"ORTHO CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Caresource","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"ORTHO CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Cigna","Commercial","",,"59",,"35.75","22.33","47.28","percent of total billed charges",,
"ORTHO CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Humana","Commercial","",,"78",,"47.28","22.33","47.28","percent of total billed charges",,
"ORTHO CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","UHC","Commercial","",,"75",,"45.99","22.33","47.28","percent of total billed charges",,
"ORTHO CLINIC NEW PT EXPANDED","99202","HCPCS","Both",,,"61","30.5","Medicaid",,"",,"37",,"22.33","22.33","47.28","percent of total billed charges",,
"ORTHO CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Alliant","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"ORTHO CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Pruitt Healthcare","Medicare Advantage","",,"54",,"43.2","29.28","62","percent of total billed charges",,
"ORTHO CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Medicare",,"",,"54",,"43.36","29.28","62","percent of total billed charges",,
"ORTHO CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Humana","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"ORTHO CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","UHC","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"ORTHO CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Clover","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"ORTHO CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Wellcare","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"ORTHO CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Amerigroup","Medicaid Managed Care","",,"37",,"29.28","29.28","62","percent of total billed charges",,
"ORTHO CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Caresource","Medicaid Managed Care","",,"40",,"32","29.28","62","percent of total billed charges",,
"ORTHO CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Wellcare","Medicaid Managed Care","",,"40",,"32.4","29.28","62","percent of total billed charges",,
"ORTHO CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Aetna","Commercial","",,"64",,"51.04","29.28","62","percent of total billed charges",,
"ORTHO CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","Pathways","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"ORTHO CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","HMO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"ORTHO CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","PPO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"ORTHO CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Ambetter","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"ORTHO CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Caresource","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"ORTHO CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Cigna","Commercial","",,"59",,"46.88","29.28","62","percent of total billed charges",,
"ORTHO CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Humana","Commercial","",,"78",,"62","29.28","62","percent of total billed charges",,
"ORTHO CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","UHC","Commercial","",,"75",,"60.32","29.28","62","percent of total billed charges",,
"ORTHO CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Medicaid",,"",,"37",,"29.28","29.28","62","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99204","HCPCS","Both",,,"128","64","Alliant","Health Exchange","",,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99204","HCPCS","Both",,,"128","64","Pruitt Healthcare","Medicare Advantage","",,"54",,"69.12","46.85","99.2","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99204","HCPCS","Both",,,"128","64","Medicare",,"",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99204","HCPCS","Both",,,"128","64","Humana","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99204","HCPCS","Both",,,"128","64","UHC","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99204","HCPCS","Both",,,"128","64","Clover","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99204","HCPCS","Both",,,"128","64","Wellcare","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99204","HCPCS","Both",,,"128","64","Amerigroup","Medicaid Managed Care","",,"37",,"46.85","46.85","99.2","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99204","HCPCS","Both",,,"128","64","Caresource","Medicaid Managed Care","",,"40",,"51.2","46.85","99.2","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99204","HCPCS","Both",,,"128","64","Wellcare","Medicaid Managed Care","",,"40",,"51.84","46.85","99.2","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99204","HCPCS","Both",,,"128","64","Aetna","Commercial","",,"64",,"81.66","46.85","99.2","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99204","HCPCS","Both",,,"128","64","Blue Cross Blue Shield","Pathways","",,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99204","HCPCS","Both",,,"128","64","Blue Cross Blue Shield","HMO","",,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99204","HCPCS","Both",,,"128","64","Blue Cross Blue Shield","PPO","",,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99204","HCPCS","Both",,,"128","64","Ambetter","Health Exchange","",,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99204","HCPCS","Both",,,"128","64","Caresource","Health Exchange","",,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99204","HCPCS","Both",,,"128","64","Cigna","Commercial","",,"59",,"75.01","46.85","99.2","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99204","HCPCS","Both",,,"128","64","Humana","Commercial","",,"78",,"99.2","46.85","99.2","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99204","HCPCS","Both",,,"128","64","UHC","Commercial","",,"75",,"96.51","46.85","99.2","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99204","HCPCS","Both",,,"128","64","Medicaid",,"",,"37",,"46.85","46.85","99.2","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Alliant","Health Exchange","",,"62",,"103.54","61.12","129.43","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"90.18","61.12","129.43","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Medicare",,"",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Humana","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","UHC","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Clover","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Wellcare","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Amerigroup","Medicaid Managed Care","",,"37",,"61.12","61.12","129.43","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Caresource","Medicaid Managed Care","",,"40",,"66.8","61.12","129.43","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Wellcare","Medicaid Managed Care","",,"40",,"67.64","61.12","129.43","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Aetna","Commercial","",,"64",,"106.55","61.12","129.43","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Blue Cross Blue Shield","Pathways","",,"71",,"117.9","61.12","129.43","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Blue Cross Blue Shield","HMO","",,"71",,"117.9","61.12","129.43","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Blue Cross Blue Shield","PPO","",,"71",,"117.9","61.12","129.43","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Ambetter","Health Exchange","",,"62",,"103.54","61.12","129.43","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Caresource","Health Exchange","",,"62",,"103.54","61.12","129.43","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Cigna","Commercial","",,"59",,"97.86","61.12","129.43","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Humana","Commercial","",,"78",,"129.43","61.12","129.43","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","UHC","Commercial","",,"75",,"125.92","61.12","129.43","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Medicaid",,"",,"37",,"61.12","61.12","129.43","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT PROBLEM FOCU","99212","HCPCS","Both",,,"55","27.5","Alliant","Health Exchange","",,"62",,"34.1","20.13","42.62","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT PROBLEM FOCU","99212","HCPCS","Both",,,"55","27.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"29.7","20.13","42.62","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT PROBLEM FOCU","99212","HCPCS","Both",,,"55","27.5","Medicare",,"",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT PROBLEM FOCU","99212","HCPCS","Both",,,"55","27.5","Humana","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT PROBLEM FOCU","99212","HCPCS","Both",,,"55","27.5","UHC","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT PROBLEM FOCU","99212","HCPCS","Both",,,"55","27.5","Clover","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT PROBLEM FOCU","99212","HCPCS","Both",,,"55","27.5","Wellcare","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT PROBLEM FOCU","99212","HCPCS","Both",,,"55","27.5","Amerigroup","Medicaid Managed Care","",,"37",,"20.13","20.13","42.62","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT PROBLEM FOCU","99212","HCPCS","Both",,,"55","27.5","Caresource","Medicaid Managed Care","",,"40",,"22","20.13","42.62","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT PROBLEM FOCU","99212","HCPCS","Both",,,"55","27.5","Wellcare","Medicaid Managed Care","",,"40",,"22.28","20.13","42.62","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT PROBLEM FOCU","99212","HCPCS","Both",,,"55","27.5","Aetna","Commercial","",,"64",,"35.09","20.13","42.62","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT PROBLEM FOCU","99212","HCPCS","Both",,,"55","27.5","Blue Cross Blue Shield","Pathways","",,"71",,"38.83","20.13","42.62","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT PROBLEM FOCU","99212","HCPCS","Both",,,"55","27.5","Blue Cross Blue Shield","HMO","",,"71",,"38.83","20.13","42.62","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT PROBLEM FOCU","99212","HCPCS","Both",,,"55","27.5","Blue Cross Blue Shield","PPO","",,"71",,"38.83","20.13","42.62","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT PROBLEM FOCU","99212","HCPCS","Both",,,"55","27.5","Ambetter","Health Exchange","",,"62",,"34.1","20.13","42.62","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT PROBLEM FOCU","99212","HCPCS","Both",,,"55","27.5","Caresource","Health Exchange","",,"62",,"34.1","20.13","42.62","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT PROBLEM FOCU","99212","HCPCS","Both",,,"55","27.5","Cigna","Commercial","",,"59",,"32.23","20.13","42.62","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT PROBLEM FOCU","99212","HCPCS","Both",,,"55","27.5","Humana","Commercial","",,"78",,"42.62","20.13","42.62","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT PROBLEM FOCU","99212","HCPCS","Both",,,"55","27.5","UHC","Commercial","",,"75",,"41.47","20.13","42.62","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT PROBLEM FOCU","99212","HCPCS","Both",,,"55","27.5","Medicaid",,"",,"37",,"20.13","20.13","42.62","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHE PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Alliant","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHE PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.94","22.33","47.28","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHE PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Medicare",,"",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHE PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Humana","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHE PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","UHC","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHE PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Clover","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHE PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Wellcare","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHE PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Amerigroup","Medicaid Managed Care","",,"37",,"22.33","22.33","47.28","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHE PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Caresource","Medicaid Managed Care","",,"40",,"24.4","22.33","47.28","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHE PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Wellcare","Medicaid Managed Care","",,"40",,"24.7","22.33","47.28","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHE PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Aetna","Commercial","",,"64",,"38.92","22.33","47.28","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHE PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","Pathways","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHE PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","HMO","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHE PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","PPO","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHE PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Ambetter","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHE PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Caresource","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHE PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Cigna","Commercial","",,"59",,"35.75","22.33","47.28","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHE PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Humana","Commercial","",,"78",,"47.28","22.33","47.28","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHE PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","UHC","Commercial","",,"75",,"45.99","22.33","47.28","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHE PT EXPANDED","99213","HCPCS","Both",,,"61","30.5","Medicaid",,"",,"37",,"22.33","22.33","47.28","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Alliant","Health Exchange","",,"62",,"48.36","28.55","60.45","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Pruitt Healthcare","Medicare Advantage","",,"54",,"42.12","28.55","60.45","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Medicare",,"",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Humana","Medicare Advantage","",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","UHC","Medicare Advantage","",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Clover","Medicare Advantage","",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Wellcare","Medicare Advantage","",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Amerigroup","Medicaid Managed Care","",,"37",,"28.55","28.55","60.45","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Caresource","Medicaid Managed Care","",,"40",,"31.2","28.55","60.45","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Wellcare","Medicaid Managed Care","",,"40",,"31.59","28.55","60.45","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Aetna","Commercial","",,"64",,"49.76","28.55","60.45","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Blue Cross Blue Shield","Pathways","",,"71",,"55.07","28.55","60.45","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Blue Cross Blue Shield","HMO","",,"71",,"55.07","28.55","60.45","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Blue Cross Blue Shield","PPO","",,"71",,"55.07","28.55","60.45","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Ambetter","Health Exchange","",,"62",,"48.36","28.55","60.45","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Caresource","Health Exchange","",,"62",,"48.36","28.55","60.45","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Cigna","Commercial","",,"59",,"45.71","28.55","60.45","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Humana","Commercial","",,"78",,"60.45","28.55","60.45","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","UHC","Commercial","",,"75",,"58.81","28.55","60.45","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT DETAILED","99214","HCPCS","Both",,,"78","39","Medicaid",,"",,"37",,"28.55","28.55","60.45","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT COMPREHENSIV","99215","HCPCS","Both",,,"110","55","Alliant","Health Exchange","",,"62",,"68.2","40.26","85.25","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT COMPREHENSIV","99215","HCPCS","Both",,,"110","55","Pruitt Healthcare","Medicare Advantage","",,"54",,"59.4","40.26","85.25","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT COMPREHENSIV","99215","HCPCS","Both",,,"110","55","Medicare",,"",,"54",,"59.62","40.26","85.25","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT COMPREHENSIV","99215","HCPCS","Both",,,"110","55","Humana","Medicare Advantage","",,"54",,"59.62","40.26","85.25","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT COMPREHENSIV","99215","HCPCS","Both",,,"110","55","UHC","Medicare Advantage","",,"54",,"59.62","40.26","85.25","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT COMPREHENSIV","99215","HCPCS","Both",,,"110","55","Clover","Medicare Advantage","",,"54",,"59.62","40.26","85.25","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT COMPREHENSIV","99215","HCPCS","Both",,,"110","55","Wellcare","Medicare Advantage","",,"54",,"59.62","40.26","85.25","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT COMPREHENSIV","99215","HCPCS","Both",,,"110","55","Amerigroup","Medicaid Managed Care","",,"37",,"40.26","40.26","85.25","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT COMPREHENSIV","99215","HCPCS","Both",,,"110","55","Caresource","Medicaid Managed Care","",,"40",,"44","40.26","85.25","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT COMPREHENSIV","99215","HCPCS","Both",,,"110","55","Wellcare","Medicaid Managed Care","",,"40",,"44.55","40.26","85.25","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT COMPREHENSIV","99215","HCPCS","Both",,,"110","55","Aetna","Commercial","",,"64",,"70.18","40.26","85.25","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT COMPREHENSIV","99215","HCPCS","Both",,,"110","55","Blue Cross Blue Shield","Pathways","",,"71",,"77.66","40.26","85.25","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT COMPREHENSIV","99215","HCPCS","Both",,,"110","55","Blue Cross Blue Shield","HMO","",,"71",,"77.66","40.26","85.25","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT COMPREHENSIV","99215","HCPCS","Both",,,"110","55","Blue Cross Blue Shield","PPO","",,"71",,"77.66","40.26","85.25","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT COMPREHENSIV","99215","HCPCS","Both",,,"110","55","Ambetter","Health Exchange","",,"62",,"68.2","40.26","85.25","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT COMPREHENSIV","99215","HCPCS","Both",,,"110","55","Caresource","Health Exchange","",,"62",,"68.2","40.26","85.25","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT COMPREHENSIV","99215","HCPCS","Both",,,"110","55","Cigna","Commercial","",,"59",,"64.46","40.26","85.25","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT COMPREHENSIV","99215","HCPCS","Both",,,"110","55","Humana","Commercial","",,"78",,"85.25","40.26","85.25","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT COMPREHENSIV","99215","HCPCS","Both",,,"110","55","UHC","Commercial","",,"75",,"82.94","40.26","85.25","percent of total billed charges",,
"ORTHO CLINIC ESTABLISHED PT COMPREHENSIV","99215","HCPCS","Both",,,"110","55","Medicaid",,"",,"37",,"40.26","40.26","85.25","percent of total billed charges",,
"ACNE SURGERY","10040","HCPCS","Both",,,"109.5","54.75","Alliant","Health Exchange","",,"62",,"67.89","40.08","84.86","percent of total billed charges",,
"ACNE SURGERY","10040","HCPCS","Both",,,"109.5","54.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"59.13","40.08","84.86","percent of total billed charges",,
"ACNE SURGERY","10040","HCPCS","Both",,,"109.5","54.75","Medicare",,"",,"54",,"59.35","40.08","84.86","percent of total billed charges",,
"ACNE SURGERY","10040","HCPCS","Both",,,"109.5","54.75","Humana","Medicare Advantage","",,"54",,"59.35","40.08","84.86","percent of total billed charges",,
"ACNE SURGERY","10040","HCPCS","Both",,,"109.5","54.75","UHC","Medicare Advantage","",,"54",,"59.35","40.08","84.86","percent of total billed charges",,
"ACNE SURGERY","10040","HCPCS","Both",,,"109.5","54.75","Clover","Medicare Advantage","",,"54",,"59.35","40.08","84.86","percent of total billed charges",,
"ACNE SURGERY","10040","HCPCS","Both",,,"109.5","54.75","Wellcare","Medicare Advantage","",,"54",,"59.35","40.08","84.86","percent of total billed charges",,
"ACNE SURGERY","10040","HCPCS","Both",,,"109.5","54.75","Amerigroup","Medicaid Managed Care","",,"37",,"40.08","40.08","84.86","percent of total billed charges",,
"ACNE SURGERY","10040","HCPCS","Both",,,"109.5","54.75","Caresource","Medicaid Managed Care","",,"40",,"43.8","40.08","84.86","percent of total billed charges",,
"ACNE SURGERY","10040","HCPCS","Both",,,"109.5","54.75","Wellcare","Medicaid Managed Care","",,"40",,"44.35","40.08","84.86","percent of total billed charges",,
"ACNE SURGERY","10040","HCPCS","Both",,,"109.5","54.75","Aetna","Commercial","",,"64",,"69.86","40.08","84.86","percent of total billed charges",,
"ACNE SURGERY","10040","HCPCS","Both",,,"109.5","54.75","Blue Cross Blue Shield","Pathways","",,"71",,"77.31","40.08","84.86","percent of total billed charges",,
"ACNE SURGERY","10040","HCPCS","Both",,,"109.5","54.75","Blue Cross Blue Shield","HMO","",,"71",,"77.31","40.08","84.86","percent of total billed charges",,
"ACNE SURGERY","10040","HCPCS","Both",,,"109.5","54.75","Blue Cross Blue Shield","PPO","",,"71",,"77.31","40.08","84.86","percent of total billed charges",,
"ACNE SURGERY","10040","HCPCS","Both",,,"109.5","54.75","Ambetter","Health Exchange","",,"62",,"67.89","40.08","84.86","percent of total billed charges",,
"ACNE SURGERY","10040","HCPCS","Both",,,"109.5","54.75","Caresource","Health Exchange","",,"62",,"67.89","40.08","84.86","percent of total billed charges",,
"ACNE SURGERY","10040","HCPCS","Both",,,"109.5","54.75","Cigna","Commercial","",,"59",,"64.17","40.08","84.86","percent of total billed charges",,
"ACNE SURGERY","10040","HCPCS","Both",,,"109.5","54.75","Humana","Commercial","",,"78",,"84.86","40.08","84.86","percent of total billed charges",,
"ACNE SURGERY","10040","HCPCS","Both",,,"109.5","54.75","UHC","Commercial","",,"75",,"82.56","40.08","84.86","percent of total billed charges",,
"ACNE SURGERY","10040","HCPCS","Both",,,"109.5","54.75","Medicaid",,"",,"37",,"40.08","40.08","84.86","percent of total billed charges",,
"I & D ABSCESS; SIMPLE OR SINGLE","10060","HCPCS","Both",,,"162.5","81.25","Alliant","Health Exchange","",,"62",,"100.75","59.48","125.94","percent of total billed charges",,
"I & D ABSCESS; SIMPLE OR SINGLE","10060","HCPCS","Both",,,"162.5","81.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"87.75","59.48","125.94","percent of total billed charges",,
"I & D ABSCESS; SIMPLE OR SINGLE","10060","HCPCS","Both",,,"162.5","81.25","Medicare",,"",,"54",,"88.08","59.48","125.94","percent of total billed charges",,
"I & D ABSCESS; SIMPLE OR SINGLE","10060","HCPCS","Both",,,"162.5","81.25","Humana","Medicare Advantage","",,"54",,"88.08","59.48","125.94","percent of total billed charges",,
"I & D ABSCESS; SIMPLE OR SINGLE","10060","HCPCS","Both",,,"162.5","81.25","UHC","Medicare Advantage","",,"54",,"88.08","59.48","125.94","percent of total billed charges",,
"I & D ABSCESS; SIMPLE OR SINGLE","10060","HCPCS","Both",,,"162.5","81.25","Clover","Medicare Advantage","",,"54",,"88.08","59.48","125.94","percent of total billed charges",,
"I & D ABSCESS; SIMPLE OR SINGLE","10060","HCPCS","Both",,,"162.5","81.25","Wellcare","Medicare Advantage","",,"54",,"88.08","59.48","125.94","percent of total billed charges",,
"I & D ABSCESS; SIMPLE OR SINGLE","10060","HCPCS","Both",,,"162.5","81.25","Amerigroup","Medicaid Managed Care","",,"37",,"59.48","59.48","125.94","percent of total billed charges",,
"I & D ABSCESS; SIMPLE OR SINGLE","10060","HCPCS","Both",,,"162.5","81.25","Caresource","Medicaid Managed Care","",,"40",,"65","59.48","125.94","percent of total billed charges",,
"I & D ABSCESS; SIMPLE OR SINGLE","10060","HCPCS","Both",,,"162.5","81.25","Wellcare","Medicaid Managed Care","",,"40",,"65.81","59.48","125.94","percent of total billed charges",,
"I & D ABSCESS; SIMPLE OR SINGLE","10060","HCPCS","Both",,,"162.5","81.25","Aetna","Commercial","",,"64",,"103.68","59.48","125.94","percent of total billed charges",,
"I & D ABSCESS; SIMPLE OR SINGLE","10060","HCPCS","Both",,,"162.5","81.25","Blue Cross Blue Shield","Pathways","",,"71",,"114.72","59.48","125.94","percent of total billed charges",,
"I & D ABSCESS; SIMPLE OR SINGLE","10060","HCPCS","Both",,,"162.5","81.25","Blue Cross Blue Shield","HMO","",,"71",,"114.72","59.48","125.94","percent of total billed charges",,
"I & D ABSCESS; SIMPLE OR SINGLE","10060","HCPCS","Both",,,"162.5","81.25","Blue Cross Blue Shield","PPO","",,"71",,"114.72","59.48","125.94","percent of total billed charges",,
"I & D ABSCESS; SIMPLE OR SINGLE","10060","HCPCS","Both",,,"162.5","81.25","Ambetter","Health Exchange","",,"62",,"100.75","59.48","125.94","percent of total billed charges",,
"I & D ABSCESS; SIMPLE OR SINGLE","10060","HCPCS","Both",,,"162.5","81.25","Caresource","Health Exchange","",,"62",,"100.75","59.48","125.94","percent of total billed charges",,
"I & D ABSCESS; SIMPLE OR SINGLE","10060","HCPCS","Both",,,"162.5","81.25","Cigna","Commercial","",,"59",,"95.22","59.48","125.94","percent of total billed charges",,
"I & D ABSCESS; SIMPLE OR SINGLE","10060","HCPCS","Both",,,"162.5","81.25","Humana","Commercial","",,"78",,"125.94","59.48","125.94","percent of total billed charges",,
"I & D ABSCESS; SIMPLE OR SINGLE","10060","HCPCS","Both",,,"162.5","81.25","UHC","Commercial","",,"75",,"122.52","59.48","125.94","percent of total billed charges",,
"I & D ABSCESS; SIMPLE OR SINGLE","10060","HCPCS","Both",,,"162.5","81.25","Medicaid",,"",,"37",,"59.48","59.48","125.94","percent of total billed charges",,
"EXCISION BENIGN LESION 0.6 TO 1.0CM","11401","HCPCS","Both",,,"121","60.5","Alliant","Health Exchange","",,"62",,"75.02","44.29","93.78","percent of total billed charges",,
"EXCISION BENIGN LESION 0.6 TO 1.0CM","11401","HCPCS","Both",,,"121","60.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"65.34","44.29","93.78","percent of total billed charges",,
"EXCISION BENIGN LESION 0.6 TO 1.0CM","11401","HCPCS","Both",,,"121","60.5","Medicare",,"",,"54",,"65.58","44.29","93.78","percent of total billed charges",,
"EXCISION BENIGN LESION 0.6 TO 1.0CM","11401","HCPCS","Both",,,"121","60.5","Humana","Medicare Advantage","",,"54",,"65.58","44.29","93.78","percent of total billed charges",,
"EXCISION BENIGN LESION 0.6 TO 1.0CM","11401","HCPCS","Both",,,"121","60.5","UHC","Medicare Advantage","",,"54",,"65.58","44.29","93.78","percent of total billed charges",,
"EXCISION BENIGN LESION 0.6 TO 1.0CM","11401","HCPCS","Both",,,"121","60.5","Clover","Medicare Advantage","",,"54",,"65.58","44.29","93.78","percent of total billed charges",,
"EXCISION BENIGN LESION 0.6 TO 1.0CM","11401","HCPCS","Both",,,"121","60.5","Wellcare","Medicare Advantage","",,"54",,"65.58","44.29","93.78","percent of total billed charges",,
"EXCISION BENIGN LESION 0.6 TO 1.0CM","11401","HCPCS","Both",,,"121","60.5","Amerigroup","Medicaid Managed Care","",,"37",,"44.29","44.29","93.78","percent of total billed charges",,
"EXCISION BENIGN LESION 0.6 TO 1.0CM","11401","HCPCS","Both",,,"121","60.5","Caresource","Medicaid Managed Care","",,"40",,"48.4","44.29","93.78","percent of total billed charges",,
"EXCISION BENIGN LESION 0.6 TO 1.0CM","11401","HCPCS","Both",,,"121","60.5","Wellcare","Medicaid Managed Care","",,"40",,"49","44.29","93.78","percent of total billed charges",,
"EXCISION BENIGN LESION 0.6 TO 1.0CM","11401","HCPCS","Both",,,"121","60.5","Aetna","Commercial","",,"64",,"77.2","44.29","93.78","percent of total billed charges",,
"EXCISION BENIGN LESION 0.6 TO 1.0CM","11401","HCPCS","Both",,,"121","60.5","Blue Cross Blue Shield","Pathways","",,"71",,"85.43","44.29","93.78","percent of total billed charges",,
"EXCISION BENIGN LESION 0.6 TO 1.0CM","11401","HCPCS","Both",,,"121","60.5","Blue Cross Blue Shield","HMO","",,"71",,"85.43","44.29","93.78","percent of total billed charges",,
"EXCISION BENIGN LESION 0.6 TO 1.0CM","11401","HCPCS","Both",,,"121","60.5","Blue Cross Blue Shield","PPO","",,"71",,"85.43","44.29","93.78","percent of total billed charges",,
"EXCISION BENIGN LESION 0.6 TO 1.0CM","11401","HCPCS","Both",,,"121","60.5","Ambetter","Health Exchange","",,"62",,"75.02","44.29","93.78","percent of total billed charges",,
"EXCISION BENIGN LESION 0.6 TO 1.0CM","11401","HCPCS","Both",,,"121","60.5","Caresource","Health Exchange","",,"62",,"75.02","44.29","93.78","percent of total billed charges",,
"EXCISION BENIGN LESION 0.6 TO 1.0CM","11401","HCPCS","Both",,,"121","60.5","Cigna","Commercial","",,"59",,"70.91","44.29","93.78","percent of total billed charges",,
"EXCISION BENIGN LESION 0.6 TO 1.0CM","11401","HCPCS","Both",,,"121","60.5","Humana","Commercial","",,"78",,"93.78","44.29","93.78","percent of total billed charges",,
"EXCISION BENIGN LESION 0.6 TO 1.0CM","11401","HCPCS","Both",,,"121","60.5","UHC","Commercial","",,"75",,"91.23","44.29","93.78","percent of total billed charges",,
"EXCISION BENIGN LESION 0.6 TO 1.0CM","11401","HCPCS","Both",,,"121","60.5","Medicaid",,"",,"37",,"44.29","44.29","93.78","percent of total billed charges",,
"EXCISION, BENIGN LESION, 1.1 TO 2.0CM","11402","HCPCS","Both",,,"160","80","Alliant","Health Exchange","",,"62",,"99.2","58.56","124","percent of total billed charges",,
"EXCISION, BENIGN LESION, 1.1 TO 2.0CM","11402","HCPCS","Both",,,"160","80","Pruitt Healthcare","Medicare Advantage","",,"54",,"86.4","58.56","124","percent of total billed charges",,
"EXCISION, BENIGN LESION, 1.1 TO 2.0CM","11402","HCPCS","Both",,,"160","80","Medicare",,"",,"54",,"86.72","58.56","124","percent of total billed charges",,
"EXCISION, BENIGN LESION, 1.1 TO 2.0CM","11402","HCPCS","Both",,,"160","80","Humana","Medicare Advantage","",,"54",,"86.72","58.56","124","percent of total billed charges",,
"EXCISION, BENIGN LESION, 1.1 TO 2.0CM","11402","HCPCS","Both",,,"160","80","UHC","Medicare Advantage","",,"54",,"86.72","58.56","124","percent of total billed charges",,
"EXCISION, BENIGN LESION, 1.1 TO 2.0CM","11402","HCPCS","Both",,,"160","80","Clover","Medicare Advantage","",,"54",,"86.72","58.56","124","percent of total billed charges",,
"EXCISION, BENIGN LESION, 1.1 TO 2.0CM","11402","HCPCS","Both",,,"160","80","Wellcare","Medicare Advantage","",,"54",,"86.72","58.56","124","percent of total billed charges",,
"EXCISION, BENIGN LESION, 1.1 TO 2.0CM","11402","HCPCS","Both",,,"160","80","Amerigroup","Medicaid Managed Care","",,"37",,"58.56","58.56","124","percent of total billed charges",,
"EXCISION, BENIGN LESION, 1.1 TO 2.0CM","11402","HCPCS","Both",,,"160","80","Caresource","Medicaid Managed Care","",,"40",,"64","58.56","124","percent of total billed charges",,
"EXCISION, BENIGN LESION, 1.1 TO 2.0CM","11402","HCPCS","Both",,,"160","80","Wellcare","Medicaid Managed Care","",,"40",,"64.8","58.56","124","percent of total billed charges",,
"EXCISION, BENIGN LESION, 1.1 TO 2.0CM","11402","HCPCS","Both",,,"160","80","Aetna","Commercial","",,"64",,"102.08","58.56","124","percent of total billed charges",,
"EXCISION, BENIGN LESION, 1.1 TO 2.0CM","11402","HCPCS","Both",,,"160","80","Blue Cross Blue Shield","Pathways","",,"71",,"112.96","58.56","124","percent of total billed charges",,
"EXCISION, BENIGN LESION, 1.1 TO 2.0CM","11402","HCPCS","Both",,,"160","80","Blue Cross Blue Shield","HMO","",,"71",,"112.96","58.56","124","percent of total billed charges",,
"EXCISION, BENIGN LESION, 1.1 TO 2.0CM","11402","HCPCS","Both",,,"160","80","Blue Cross Blue Shield","PPO","",,"71",,"112.96","58.56","124","percent of total billed charges",,
"EXCISION, BENIGN LESION, 1.1 TO 2.0CM","11402","HCPCS","Both",,,"160","80","Ambetter","Health Exchange","",,"62",,"99.2","58.56","124","percent of total billed charges",,
"EXCISION, BENIGN LESION, 1.1 TO 2.0CM","11402","HCPCS","Both",,,"160","80","Caresource","Health Exchange","",,"62",,"99.2","58.56","124","percent of total billed charges",,
"EXCISION, BENIGN LESION, 1.1 TO 2.0CM","11402","HCPCS","Both",,,"160","80","Cigna","Commercial","",,"59",,"93.76","58.56","124","percent of total billed charges",,
"EXCISION, BENIGN LESION, 1.1 TO 2.0CM","11402","HCPCS","Both",,,"160","80","Humana","Commercial","",,"78",,"124","58.56","124","percent of total billed charges",,
"EXCISION, BENIGN LESION, 1.1 TO 2.0CM","11402","HCPCS","Both",,,"160","80","UHC","Commercial","",,"75",,"120.64","58.56","124","percent of total billed charges",,
"EXCISION, BENIGN LESION, 1.1 TO 2.0CM","11402","HCPCS","Both",,,"160","80","Medicaid",,"",,"37",,"58.56","58.56","124","percent of total billed charges",,
"EXCISION, BENIGN LESION > 2CM","11403","HCPCS","Both",,,"201","100.5","Alliant","Health Exchange","",,"62",,"124.62","73.57","155.78","percent of total billed charges",,
"EXCISION, BENIGN LESION > 2CM","11403","HCPCS","Both",,,"201","100.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"108.54","73.57","155.78","percent of total billed charges",,
"EXCISION, BENIGN LESION > 2CM","11403","HCPCS","Both",,,"201","100.5","Medicare",,"",,"54",,"108.94","73.57","155.78","percent of total billed charges",,
"EXCISION, BENIGN LESION > 2CM","11403","HCPCS","Both",,,"201","100.5","Humana","Medicare Advantage","",,"54",,"108.94","73.57","155.78","percent of total billed charges",,
"EXCISION, BENIGN LESION > 2CM","11403","HCPCS","Both",,,"201","100.5","UHC","Medicare Advantage","",,"54",,"108.94","73.57","155.78","percent of total billed charges",,
"EXCISION, BENIGN LESION > 2CM","11403","HCPCS","Both",,,"201","100.5","Clover","Medicare Advantage","",,"54",,"108.94","73.57","155.78","percent of total billed charges",,
"EXCISION, BENIGN LESION > 2CM","11403","HCPCS","Both",,,"201","100.5","Wellcare","Medicare Advantage","",,"54",,"108.94","73.57","155.78","percent of total billed charges",,
"EXCISION, BENIGN LESION > 2CM","11403","HCPCS","Both",,,"201","100.5","Amerigroup","Medicaid Managed Care","",,"37",,"73.57","73.57","155.78","percent of total billed charges",,
"EXCISION, BENIGN LESION > 2CM","11403","HCPCS","Both",,,"201","100.5","Caresource","Medicaid Managed Care","",,"40",,"80.4","73.57","155.78","percent of total billed charges",,
"EXCISION, BENIGN LESION > 2CM","11403","HCPCS","Both",,,"201","100.5","Wellcare","Medicaid Managed Care","",,"40",,"81.4","73.57","155.78","percent of total billed charges",,
"EXCISION, BENIGN LESION > 2CM","11403","HCPCS","Both",,,"201","100.5","Aetna","Commercial","",,"64",,"128.24","73.57","155.78","percent of total billed charges",,
"EXCISION, BENIGN LESION > 2CM","11403","HCPCS","Both",,,"201","100.5","Blue Cross Blue Shield","Pathways","",,"71",,"141.91","73.57","155.78","percent of total billed charges",,
"EXCISION, BENIGN LESION > 2CM","11403","HCPCS","Both",,,"201","100.5","Blue Cross Blue Shield","HMO","",,"71",,"141.91","73.57","155.78","percent of total billed charges",,
"EXCISION, BENIGN LESION > 2CM","11403","HCPCS","Both",,,"201","100.5","Blue Cross Blue Shield","PPO","",,"71",,"141.91","73.57","155.78","percent of total billed charges",,
"EXCISION, BENIGN LESION > 2CM","11403","HCPCS","Both",,,"201","100.5","Ambetter","Health Exchange","",,"62",,"124.62","73.57","155.78","percent of total billed charges",,
"EXCISION, BENIGN LESION > 2CM","11403","HCPCS","Both",,,"201","100.5","Caresource","Health Exchange","",,"62",,"124.62","73.57","155.78","percent of total billed charges",,
"EXCISION, BENIGN LESION > 2CM","11403","HCPCS","Both",,,"201","100.5","Cigna","Commercial","",,"59",,"117.79","73.57","155.78","percent of total billed charges",,
"EXCISION, BENIGN LESION > 2CM","11403","HCPCS","Both",,,"201","100.5","Humana","Commercial","",,"78",,"155.78","73.57","155.78","percent of total billed charges",,
"EXCISION, BENIGN LESION > 2CM","11403","HCPCS","Both",,,"201","100.5","UHC","Commercial","",,"75",,"151.55","73.57","155.78","percent of total billed charges",,
"EXCISION, BENIGN LESION > 2CM","11403","HCPCS","Both",,,"201","100.5","Medicaid",,"",,"37",,"73.57","73.57","155.78","percent of total billed charges",,
"EXCISION 0.5CM TO 1.0CM","11421","HCPCS","Both",,,"168.5","84.25","Alliant","Health Exchange","",,"62",,"104.47","61.67","130.59","percent of total billed charges",,
"EXCISION 0.5CM TO 1.0CM","11421","HCPCS","Both",,,"168.5","84.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"90.99","61.67","130.59","percent of total billed charges",,
"EXCISION 0.5CM TO 1.0CM","11421","HCPCS","Both",,,"168.5","84.25","Medicare",,"",,"54",,"91.33","61.67","130.59","percent of total billed charges",,
"EXCISION 0.5CM TO 1.0CM","11421","HCPCS","Both",,,"168.5","84.25","Humana","Medicare Advantage","",,"54",,"91.33","61.67","130.59","percent of total billed charges",,
"EXCISION 0.5CM TO 1.0CM","11421","HCPCS","Both",,,"168.5","84.25","UHC","Medicare Advantage","",,"54",,"91.33","61.67","130.59","percent of total billed charges",,
"EXCISION 0.5CM TO 1.0CM","11421","HCPCS","Both",,,"168.5","84.25","Clover","Medicare Advantage","",,"54",,"91.33","61.67","130.59","percent of total billed charges",,
"EXCISION 0.5CM TO 1.0CM","11421","HCPCS","Both",,,"168.5","84.25","Wellcare","Medicare Advantage","",,"54",,"91.33","61.67","130.59","percent of total billed charges",,
"EXCISION 0.5CM TO 1.0CM","11421","HCPCS","Both",,,"168.5","84.25","Amerigroup","Medicaid Managed Care","",,"37",,"61.67","61.67","130.59","percent of total billed charges",,
"EXCISION 0.5CM TO 1.0CM","11421","HCPCS","Both",,,"168.5","84.25","Caresource","Medicaid Managed Care","",,"40",,"67.4","61.67","130.59","percent of total billed charges",,
"EXCISION 0.5CM TO 1.0CM","11421","HCPCS","Both",,,"168.5","84.25","Wellcare","Medicaid Managed Care","",,"40",,"68.24","61.67","130.59","percent of total billed charges",,
"EXCISION 0.5CM TO 1.0CM","11421","HCPCS","Both",,,"168.5","84.25","Aetna","Commercial","",,"64",,"107.5","61.67","130.59","percent of total billed charges",,
"EXCISION 0.5CM TO 1.0CM","11421","HCPCS","Both",,,"168.5","84.25","Blue Cross Blue Shield","Pathways","",,"71",,"118.96","61.67","130.59","percent of total billed charges",,
"EXCISION 0.5CM TO 1.0CM","11421","HCPCS","Both",,,"168.5","84.25","Blue Cross Blue Shield","HMO","",,"71",,"118.96","61.67","130.59","percent of total billed charges",,
"EXCISION 0.5CM TO 1.0CM","11421","HCPCS","Both",,,"168.5","84.25","Blue Cross Blue Shield","PPO","",,"71",,"118.96","61.67","130.59","percent of total billed charges",,
"EXCISION 0.5CM TO 1.0CM","11421","HCPCS","Both",,,"168.5","84.25","Ambetter","Health Exchange","",,"62",,"104.47","61.67","130.59","percent of total billed charges",,
"EXCISION 0.5CM TO 1.0CM","11421","HCPCS","Both",,,"168.5","84.25","Caresource","Health Exchange","",,"62",,"104.47","61.67","130.59","percent of total billed charges",,
"EXCISION 0.5CM TO 1.0CM","11421","HCPCS","Both",,,"168.5","84.25","Cigna","Commercial","",,"59",,"98.74","61.67","130.59","percent of total billed charges",,
"EXCISION 0.5CM TO 1.0CM","11421","HCPCS","Both",,,"168.5","84.25","Humana","Commercial","",,"78",,"130.59","61.67","130.59","percent of total billed charges",,
"EXCISION 0.5CM TO 1.0CM","11421","HCPCS","Both",,,"168.5","84.25","UHC","Commercial","",,"75",,"127.05","61.67","130.59","percent of total billed charges",,
"EXCISION 0.5CM TO 1.0CM","11421","HCPCS","Both",,,"168.5","84.25","Medicaid",,"",,"37",,"61.67","61.67","130.59","percent of total billed charges",,
"EXCISED DIAMETER 1.1 TO 2.0CM","11422","HCPCS","Both",,,"1823","911.5","Alliant","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"EXCISED DIAMETER 1.1 TO 2.0CM","11422","HCPCS","Both",,,"1823","911.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"984.42","667.22","1412.82","percent of total billed charges",,
"EXCISED DIAMETER 1.1 TO 2.0CM","11422","HCPCS","Both",,,"1823","911.5","Medicare",,"",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISED DIAMETER 1.1 TO 2.0CM","11422","HCPCS","Both",,,"1823","911.5","Humana","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISED DIAMETER 1.1 TO 2.0CM","11422","HCPCS","Both",,,"1823","911.5","UHC","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISED DIAMETER 1.1 TO 2.0CM","11422","HCPCS","Both",,,"1823","911.5","Clover","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISED DIAMETER 1.1 TO 2.0CM","11422","HCPCS","Both",,,"1823","911.5","Wellcare","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISED DIAMETER 1.1 TO 2.0CM","11422","HCPCS","Both",,,"1823","911.5","Amerigroup","Medicaid Managed Care","",,"37",,"667.22","667.22","1412.82","percent of total billed charges",,
"EXCISED DIAMETER 1.1 TO 2.0CM","11422","HCPCS","Both",,,"1823","911.5","Caresource","Medicaid Managed Care","",,"40",,"729.2","667.22","1412.82","percent of total billed charges",,
"EXCISED DIAMETER 1.1 TO 2.0CM","11422","HCPCS","Both",,,"1823","911.5","Wellcare","Medicaid Managed Care","",,"40",,"738.32","667.22","1412.82","percent of total billed charges",,
"EXCISED DIAMETER 1.1 TO 2.0CM","11422","HCPCS","Both",,,"1823","911.5","Aetna","Commercial","",,"64",,"1163.07","667.22","1412.82","percent of total billed charges",,
"EXCISED DIAMETER 1.1 TO 2.0CM","11422","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","Pathways","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"EXCISED DIAMETER 1.1 TO 2.0CM","11422","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","HMO","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"EXCISED DIAMETER 1.1 TO 2.0CM","11422","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","PPO","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"EXCISED DIAMETER 1.1 TO 2.0CM","11422","HCPCS","Both",,,"1823","911.5","Ambetter","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"EXCISED DIAMETER 1.1 TO 2.0CM","11422","HCPCS","Both",,,"1823","911.5","Caresource","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"EXCISED DIAMETER 1.1 TO 2.0CM","11422","HCPCS","Both",,,"1823","911.5","Cigna","Commercial","",,"59",,"1068.28","667.22","1412.82","percent of total billed charges",,
"EXCISED DIAMETER 1.1 TO 2.0CM","11422","HCPCS","Both",,,"1823","911.5","Humana","Commercial","",,"78",,"1412.82","667.22","1412.82","percent of total billed charges",,
"EXCISED DIAMETER 1.1 TO 2.0CM","11422","HCPCS","Both",,,"1823","911.5","UHC","Commercial","",,"75",,"1374.54","667.22","1412.82","percent of total billed charges",,
"EXCISED DIAMETER 1.1 TO 2.0CM","11422","HCPCS","Both",,,"1823","911.5","Medicaid",,"",,"37",,"667.22","667.22","1412.82","percent of total billed charges",,
"EXCISION 0.5CM TO 1.0CM","11441","HCPCS","Both",,,"180","90","Alliant","Health Exchange","",,"62",,"111.6","65.88","139.5","percent of total billed charges",,
"EXCISION 0.5CM TO 1.0CM","11441","HCPCS","Both",,,"180","90","Pruitt Healthcare","Medicare Advantage","",,"54",,"97.2","65.88","139.5","percent of total billed charges",,
"EXCISION 0.5CM TO 1.0CM","11441","HCPCS","Both",,,"180","90","Medicare",,"",,"54",,"97.56","65.88","139.5","percent of total billed charges",,
"EXCISION 0.5CM TO 1.0CM","11441","HCPCS","Both",,,"180","90","Humana","Medicare Advantage","",,"54",,"97.56","65.88","139.5","percent of total billed charges",,
"EXCISION 0.5CM TO 1.0CM","11441","HCPCS","Both",,,"180","90","UHC","Medicare Advantage","",,"54",,"97.56","65.88","139.5","percent of total billed charges",,
"EXCISION 0.5CM TO 1.0CM","11441","HCPCS","Both",,,"180","90","Clover","Medicare Advantage","",,"54",,"97.56","65.88","139.5","percent of total billed charges",,
"EXCISION 0.5CM TO 1.0CM","11441","HCPCS","Both",,,"180","90","Wellcare","Medicare Advantage","",,"54",,"97.56","65.88","139.5","percent of total billed charges",,
"EXCISION 0.5CM TO 1.0CM","11441","HCPCS","Both",,,"180","90","Amerigroup","Medicaid Managed Care","",,"37",,"65.88","65.88","139.5","percent of total billed charges",,
"EXCISION 0.5CM TO 1.0CM","11441","HCPCS","Both",,,"180","90","Caresource","Medicaid Managed Care","",,"40",,"72","65.88","139.5","percent of total billed charges",,
"EXCISION 0.5CM TO 1.0CM","11441","HCPCS","Both",,,"180","90","Wellcare","Medicaid Managed Care","",,"40",,"72.9","65.88","139.5","percent of total billed charges",,
"EXCISION 0.5CM TO 1.0CM","11441","HCPCS","Both",,,"180","90","Aetna","Commercial","",,"64",,"114.84","65.88","139.5","percent of total billed charges",,
"EXCISION 0.5CM TO 1.0CM","11441","HCPCS","Both",,,"180","90","Blue Cross Blue Shield","Pathways","",,"71",,"127.08","65.88","139.5","percent of total billed charges",,
"EXCISION 0.5CM TO 1.0CM","11441","HCPCS","Both",,,"180","90","Blue Cross Blue Shield","HMO","",,"71",,"127.08","65.88","139.5","percent of total billed charges",,
"EXCISION 0.5CM TO 1.0CM","11441","HCPCS","Both",,,"180","90","Blue Cross Blue Shield","PPO","",,"71",,"127.08","65.88","139.5","percent of total billed charges",,
"EXCISION 0.5CM TO 1.0CM","11441","HCPCS","Both",,,"180","90","Ambetter","Health Exchange","",,"62",,"111.6","65.88","139.5","percent of total billed charges",,
"EXCISION 0.5CM TO 1.0CM","11441","HCPCS","Both",,,"180","90","Caresource","Health Exchange","",,"62",,"111.6","65.88","139.5","percent of total billed charges",,
"EXCISION 0.5CM TO 1.0CM","11441","HCPCS","Both",,,"180","90","Cigna","Commercial","",,"59",,"105.48","65.88","139.5","percent of total billed charges",,
"EXCISION 0.5CM TO 1.0CM","11441","HCPCS","Both",,,"180","90","Humana","Commercial","",,"78",,"139.5","65.88","139.5","percent of total billed charges",,
"EXCISION 0.5CM TO 1.0CM","11441","HCPCS","Both",,,"180","90","UHC","Commercial","",,"75",,"135.72","65.88","139.5","percent of total billed charges",,
"EXCISION 0.5CM TO 1.0CM","11441","HCPCS","Both",,,"180","90","Medicaid",,"",,"37",,"65.88","65.88","139.5","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 TO 2.0CM","11442","HCPCS","Both",,,"197","98.5","Alliant","Health Exchange","",,"62",,"122.14","72.1","152.68","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 TO 2.0CM","11442","HCPCS","Both",,,"197","98.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"106.38","72.1","152.68","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 TO 2.0CM","11442","HCPCS","Both",,,"197","98.5","Medicare",,"",,"54",,"106.77","72.1","152.68","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 TO 2.0CM","11442","HCPCS","Both",,,"197","98.5","Humana","Medicare Advantage","",,"54",,"106.77","72.1","152.68","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 TO 2.0CM","11442","HCPCS","Both",,,"197","98.5","UHC","Medicare Advantage","",,"54",,"106.77","72.1","152.68","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 TO 2.0CM","11442","HCPCS","Both",,,"197","98.5","Clover","Medicare Advantage","",,"54",,"106.77","72.1","152.68","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 TO 2.0CM","11442","HCPCS","Both",,,"197","98.5","Wellcare","Medicare Advantage","",,"54",,"106.77","72.1","152.68","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 TO 2.0CM","11442","HCPCS","Both",,,"197","98.5","Amerigroup","Medicaid Managed Care","",,"37",,"72.1","72.1","152.68","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 TO 2.0CM","11442","HCPCS","Both",,,"197","98.5","Caresource","Medicaid Managed Care","",,"40",,"78.8","72.1","152.68","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 TO 2.0CM","11442","HCPCS","Both",,,"197","98.5","Wellcare","Medicaid Managed Care","",,"40",,"79.79","72.1","152.68","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 TO 2.0CM","11442","HCPCS","Both",,,"197","98.5","Aetna","Commercial","",,"64",,"125.69","72.1","152.68","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 TO 2.0CM","11442","HCPCS","Both",,,"197","98.5","Blue Cross Blue Shield","Pathways","",,"71",,"139.08","72.1","152.68","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 TO 2.0CM","11442","HCPCS","Both",,,"197","98.5","Blue Cross Blue Shield","HMO","",,"71",,"139.08","72.1","152.68","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 TO 2.0CM","11442","HCPCS","Both",,,"197","98.5","Blue Cross Blue Shield","PPO","",,"71",,"139.08","72.1","152.68","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 TO 2.0CM","11442","HCPCS","Both",,,"197","98.5","Ambetter","Health Exchange","",,"62",,"122.14","72.1","152.68","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 TO 2.0CM","11442","HCPCS","Both",,,"197","98.5","Caresource","Health Exchange","",,"62",,"122.14","72.1","152.68","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 TO 2.0CM","11442","HCPCS","Both",,,"197","98.5","Cigna","Commercial","",,"59",,"115.44","72.1","152.68","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 TO 2.0CM","11442","HCPCS","Both",,,"197","98.5","Humana","Commercial","",,"78",,"152.68","72.1","152.68","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 TO 2.0CM","11442","HCPCS","Both",,,"197","98.5","UHC","Commercial","",,"75",,"148.54","72.1","152.68","percent of total billed charges",,
"EXCISION BENIGN LESION 1.1 TO 2.0CM","11442","HCPCS","Both",,,"197","98.5","Medicaid",,"",,"37",,"72.1","72.1","152.68","percent of total billed charges",,
"EXCISION BENIGN MORE THAN 2CM","11443","HCPCS","Both",,,"281","140.5","Alliant","Health Exchange","",,"62",,"174.22","102.85","217.78","percent of total billed charges",,
"EXCISION BENIGN MORE THAN 2CM","11443","HCPCS","Both",,,"281","140.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"151.74","102.85","217.78","percent of total billed charges",,
"EXCISION BENIGN MORE THAN 2CM","11443","HCPCS","Both",,,"281","140.5","Medicare",,"",,"54",,"152.3","102.85","217.78","percent of total billed charges",,
"EXCISION BENIGN MORE THAN 2CM","11443","HCPCS","Both",,,"281","140.5","Humana","Medicare Advantage","",,"54",,"152.3","102.85","217.78","percent of total billed charges",,
"EXCISION BENIGN MORE THAN 2CM","11443","HCPCS","Both",,,"281","140.5","UHC","Medicare Advantage","",,"54",,"152.3","102.85","217.78","percent of total billed charges",,
"EXCISION BENIGN MORE THAN 2CM","11443","HCPCS","Both",,,"281","140.5","Clover","Medicare Advantage","",,"54",,"152.3","102.85","217.78","percent of total billed charges",,
"EXCISION BENIGN MORE THAN 2CM","11443","HCPCS","Both",,,"281","140.5","Wellcare","Medicare Advantage","",,"54",,"152.3","102.85","217.78","percent of total billed charges",,
"EXCISION BENIGN MORE THAN 2CM","11443","HCPCS","Both",,,"281","140.5","Amerigroup","Medicaid Managed Care","",,"37",,"102.85","102.85","217.78","percent of total billed charges",,
"EXCISION BENIGN MORE THAN 2CM","11443","HCPCS","Both",,,"281","140.5","Caresource","Medicaid Managed Care","",,"40",,"112.4","102.85","217.78","percent of total billed charges",,
"EXCISION BENIGN MORE THAN 2CM","11443","HCPCS","Both",,,"281","140.5","Wellcare","Medicaid Managed Care","",,"40",,"113.8","102.85","217.78","percent of total billed charges",,
"EXCISION BENIGN MORE THAN 2CM","11443","HCPCS","Both",,,"281","140.5","Aetna","Commercial","",,"64",,"179.28","102.85","217.78","percent of total billed charges",,
"EXCISION BENIGN MORE THAN 2CM","11443","HCPCS","Both",,,"281","140.5","Blue Cross Blue Shield","Pathways","",,"71",,"198.39","102.85","217.78","percent of total billed charges",,
"EXCISION BENIGN MORE THAN 2CM","11443","HCPCS","Both",,,"281","140.5","Blue Cross Blue Shield","HMO","",,"71",,"198.39","102.85","217.78","percent of total billed charges",,
"EXCISION BENIGN MORE THAN 2CM","11443","HCPCS","Both",,,"281","140.5","Blue Cross Blue Shield","PPO","",,"71",,"198.39","102.85","217.78","percent of total billed charges",,
"EXCISION BENIGN MORE THAN 2CM","11443","HCPCS","Both",,,"281","140.5","Ambetter","Health Exchange","",,"62",,"174.22","102.85","217.78","percent of total billed charges",,
"EXCISION BENIGN MORE THAN 2CM","11443","HCPCS","Both",,,"281","140.5","Caresource","Health Exchange","",,"62",,"174.22","102.85","217.78","percent of total billed charges",,
"EXCISION BENIGN MORE THAN 2CM","11443","HCPCS","Both",,,"281","140.5","Cigna","Commercial","",,"59",,"164.67","102.85","217.78","percent of total billed charges",,
"EXCISION BENIGN MORE THAN 2CM","11443","HCPCS","Both",,,"281","140.5","Humana","Commercial","",,"78",,"217.78","102.85","217.78","percent of total billed charges",,
"EXCISION BENIGN MORE THAN 2CM","11443","HCPCS","Both",,,"281","140.5","UHC","Commercial","",,"75",,"211.87","102.85","217.78","percent of total billed charges",,
"EXCISION BENIGN MORE THAN 2CM","11443","HCPCS","Both",,,"281","140.5","Medicaid",,"",,"37",,"102.85","102.85","217.78","percent of total billed charges",,
"BENIGN, MALIGNANT, 1.1 TO 2.0cm","11602","HCPCS","Both",,,"264.5","132.25","Alliant","Health Exchange","",,"62",,"163.99","96.81","204.99","percent of total billed charges",,
"BENIGN, MALIGNANT, 1.1 TO 2.0cm","11602","HCPCS","Both",,,"264.5","132.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"142.83","96.81","204.99","percent of total billed charges",,
"BENIGN, MALIGNANT, 1.1 TO 2.0cm","11602","HCPCS","Both",,,"264.5","132.25","Medicare",,"",,"54",,"143.36","96.81","204.99","percent of total billed charges",,
"BENIGN, MALIGNANT, 1.1 TO 2.0cm","11602","HCPCS","Both",,,"264.5","132.25","Humana","Medicare Advantage","",,"54",,"143.36","96.81","204.99","percent of total billed charges",,
"BENIGN, MALIGNANT, 1.1 TO 2.0cm","11602","HCPCS","Both",,,"264.5","132.25","UHC","Medicare Advantage","",,"54",,"143.36","96.81","204.99","percent of total billed charges",,
"BENIGN, MALIGNANT, 1.1 TO 2.0cm","11602","HCPCS","Both",,,"264.5","132.25","Clover","Medicare Advantage","",,"54",,"143.36","96.81","204.99","percent of total billed charges",,
"BENIGN, MALIGNANT, 1.1 TO 2.0cm","11602","HCPCS","Both",,,"264.5","132.25","Wellcare","Medicare Advantage","",,"54",,"143.36","96.81","204.99","percent of total billed charges",,
"BENIGN, MALIGNANT, 1.1 TO 2.0cm","11602","HCPCS","Both",,,"264.5","132.25","Amerigroup","Medicaid Managed Care","",,"37",,"96.81","96.81","204.99","percent of total billed charges",,
"BENIGN, MALIGNANT, 1.1 TO 2.0cm","11602","HCPCS","Both",,,"264.5","132.25","Caresource","Medicaid Managed Care","",,"40",,"105.8","96.81","204.99","percent of total billed charges",,
"BENIGN, MALIGNANT, 1.1 TO 2.0cm","11602","HCPCS","Both",,,"264.5","132.25","Wellcare","Medicaid Managed Care","",,"40",,"107.12","96.81","204.99","percent of total billed charges",,
"BENIGN, MALIGNANT, 1.1 TO 2.0cm","11602","HCPCS","Both",,,"264.5","132.25","Aetna","Commercial","",,"64",,"168.75","96.81","204.99","percent of total billed charges",,
"BENIGN, MALIGNANT, 1.1 TO 2.0cm","11602","HCPCS","Both",,,"264.5","132.25","Blue Cross Blue Shield","Pathways","",,"71",,"186.74","96.81","204.99","percent of total billed charges",,
"BENIGN, MALIGNANT, 1.1 TO 2.0cm","11602","HCPCS","Both",,,"264.5","132.25","Blue Cross Blue Shield","HMO","",,"71",,"186.74","96.81","204.99","percent of total billed charges",,
"BENIGN, MALIGNANT, 1.1 TO 2.0cm","11602","HCPCS","Both",,,"264.5","132.25","Blue Cross Blue Shield","PPO","",,"71",,"186.74","96.81","204.99","percent of total billed charges",,
"BENIGN, MALIGNANT, 1.1 TO 2.0cm","11602","HCPCS","Both",,,"264.5","132.25","Ambetter","Health Exchange","",,"62",,"163.99","96.81","204.99","percent of total billed charges",,
"BENIGN, MALIGNANT, 1.1 TO 2.0cm","11602","HCPCS","Both",,,"264.5","132.25","Caresource","Health Exchange","",,"62",,"163.99","96.81","204.99","percent of total billed charges",,
"BENIGN, MALIGNANT, 1.1 TO 2.0cm","11602","HCPCS","Both",,,"264.5","132.25","Cigna","Commercial","",,"59",,"155","96.81","204.99","percent of total billed charges",,
"BENIGN, MALIGNANT, 1.1 TO 2.0cm","11602","HCPCS","Both",,,"264.5","132.25","Humana","Commercial","",,"78",,"204.99","96.81","204.99","percent of total billed charges",,
"BENIGN, MALIGNANT, 1.1 TO 2.0cm","11602","HCPCS","Both",,,"264.5","132.25","UHC","Commercial","",,"75",,"199.43","96.81","204.99","percent of total billed charges",,
"BENIGN, MALIGNANT, 1.1 TO 2.0cm","11602","HCPCS","Both",,,"264.5","132.25","Medicaid",,"",,"37",,"96.81","96.81","204.99","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","11622","HCPCS","Both",,,"309.5","154.75","Alliant","Health Exchange","",,"62",,"191.89","113.28","239.86","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","11622","HCPCS","Both",,,"309.5","154.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"167.13","113.28","239.86","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","11622","HCPCS","Both",,,"309.5","154.75","Medicare",,"",,"54",,"167.75","113.28","239.86","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","11622","HCPCS","Both",,,"309.5","154.75","Humana","Medicare Advantage","",,"54",,"167.75","113.28","239.86","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","11622","HCPCS","Both",,,"309.5","154.75","UHC","Medicare Advantage","",,"54",,"167.75","113.28","239.86","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","11622","HCPCS","Both",,,"309.5","154.75","Clover","Medicare Advantage","",,"54",,"167.75","113.28","239.86","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","11622","HCPCS","Both",,,"309.5","154.75","Wellcare","Medicare Advantage","",,"54",,"167.75","113.28","239.86","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","11622","HCPCS","Both",,,"309.5","154.75","Amerigroup","Medicaid Managed Care","",,"37",,"113.28","113.28","239.86","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","11622","HCPCS","Both",,,"309.5","154.75","Caresource","Medicaid Managed Care","",,"40",,"123.8","113.28","239.86","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","11622","HCPCS","Both",,,"309.5","154.75","Wellcare","Medicaid Managed Care","",,"40",,"125.35","113.28","239.86","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","11622","HCPCS","Both",,,"309.5","154.75","Aetna","Commercial","",,"64",,"197.46","113.28","239.86","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","11622","HCPCS","Both",,,"309.5","154.75","Blue Cross Blue Shield","Pathways","",,"71",,"218.51","113.28","239.86","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","11622","HCPCS","Both",,,"309.5","154.75","Blue Cross Blue Shield","HMO","",,"71",,"218.51","113.28","239.86","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","11622","HCPCS","Both",,,"309.5","154.75","Blue Cross Blue Shield","PPO","",,"71",,"218.51","113.28","239.86","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","11622","HCPCS","Both",,,"309.5","154.75","Ambetter","Health Exchange","",,"62",,"191.89","113.28","239.86","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","11622","HCPCS","Both",,,"309.5","154.75","Caresource","Health Exchange","",,"62",,"191.89","113.28","239.86","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","11622","HCPCS","Both",,,"309.5","154.75","Cigna","Commercial","",,"59",,"181.37","113.28","239.86","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","11622","HCPCS","Both",,,"309.5","154.75","Humana","Commercial","",,"78",,"239.86","113.28","239.86","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","11622","HCPCS","Both",,,"309.5","154.75","UHC","Commercial","",,"75",,"233.36","113.28","239.86","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","11622","HCPCS","Both",,,"309.5","154.75","Medicaid",,"",,"37",,"113.28","113.28","239.86","percent of total billed charges",,
"LESION, MALIGNANT, 0.5 TO 1.0CM","11641","HCPCS","Both",,,"321.5","160.75","Alliant","Health Exchange","",,"62",,"199.33","117.67","249.16","percent of total billed charges",,
"LESION, MALIGNANT, 0.5 TO 1.0CM","11641","HCPCS","Both",,,"321.5","160.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"173.61","117.67","249.16","percent of total billed charges",,
"LESION, MALIGNANT, 0.5 TO 1.0CM","11641","HCPCS","Both",,,"321.5","160.75","Medicare",,"",,"54",,"174.25","117.67","249.16","percent of total billed charges",,
"LESION, MALIGNANT, 0.5 TO 1.0CM","11641","HCPCS","Both",,,"321.5","160.75","Humana","Medicare Advantage","",,"54",,"174.25","117.67","249.16","percent of total billed charges",,
"LESION, MALIGNANT, 0.5 TO 1.0CM","11641","HCPCS","Both",,,"321.5","160.75","UHC","Medicare Advantage","",,"54",,"174.25","117.67","249.16","percent of total billed charges",,
"LESION, MALIGNANT, 0.5 TO 1.0CM","11641","HCPCS","Both",,,"321.5","160.75","Clover","Medicare Advantage","",,"54",,"174.25","117.67","249.16","percent of total billed charges",,
"LESION, MALIGNANT, 0.5 TO 1.0CM","11641","HCPCS","Both",,,"321.5","160.75","Wellcare","Medicare Advantage","",,"54",,"174.25","117.67","249.16","percent of total billed charges",,
"LESION, MALIGNANT, 0.5 TO 1.0CM","11641","HCPCS","Both",,,"321.5","160.75","Amerigroup","Medicaid Managed Care","",,"37",,"117.67","117.67","249.16","percent of total billed charges",,
"LESION, MALIGNANT, 0.5 TO 1.0CM","11641","HCPCS","Both",,,"321.5","160.75","Caresource","Medicaid Managed Care","",,"40",,"128.6","117.67","249.16","percent of total billed charges",,
"LESION, MALIGNANT, 0.5 TO 1.0CM","11641","HCPCS","Both",,,"321.5","160.75","Wellcare","Medicaid Managed Care","",,"40",,"130.21","117.67","249.16","percent of total billed charges",,
"LESION, MALIGNANT, 0.5 TO 1.0CM","11641","HCPCS","Both",,,"321.5","160.75","Aetna","Commercial","",,"64",,"205.12","117.67","249.16","percent of total billed charges",,
"LESION, MALIGNANT, 0.5 TO 1.0CM","11641","HCPCS","Both",,,"321.5","160.75","Blue Cross Blue Shield","Pathways","",,"71",,"226.98","117.67","249.16","percent of total billed charges",,
"LESION, MALIGNANT, 0.5 TO 1.0CM","11641","HCPCS","Both",,,"321.5","160.75","Blue Cross Blue Shield","HMO","",,"71",,"226.98","117.67","249.16","percent of total billed charges",,
"LESION, MALIGNANT, 0.5 TO 1.0CM","11641","HCPCS","Both",,,"321.5","160.75","Blue Cross Blue Shield","PPO","",,"71",,"226.98","117.67","249.16","percent of total billed charges",,
"LESION, MALIGNANT, 0.5 TO 1.0CM","11641","HCPCS","Both",,,"321.5","160.75","Ambetter","Health Exchange","",,"62",,"199.33","117.67","249.16","percent of total billed charges",,
"LESION, MALIGNANT, 0.5 TO 1.0CM","11641","HCPCS","Both",,,"321.5","160.75","Caresource","Health Exchange","",,"62",,"199.33","117.67","249.16","percent of total billed charges",,
"LESION, MALIGNANT, 0.5 TO 1.0CM","11641","HCPCS","Both",,,"321.5","160.75","Cigna","Commercial","",,"59",,"188.4","117.67","249.16","percent of total billed charges",,
"LESION, MALIGNANT, 0.5 TO 1.0CM","11641","HCPCS","Both",,,"321.5","160.75","Humana","Commercial","",,"78",,"249.16","117.67","249.16","percent of total billed charges",,
"LESION, MALIGNANT, 0.5 TO 1.0CM","11641","HCPCS","Both",,,"321.5","160.75","UHC","Commercial","",,"75",,"242.41","117.67","249.16","percent of total billed charges",,
"LESION, MALIGNANT, 0.5 TO 1.0CM","11641","HCPCS","Both",,,"321.5","160.75","Medicaid",,"",,"37",,"117.67","117.67","249.16","percent of total billed charges",,
"LESION, MALIGNANT, 1.1 TO 2.0cm","11642","HCPCS","Both",,,"390","195","Alliant","Health Exchange","",,"62",,"241.8","142.74","302.25","percent of total billed charges",,
"LESION, MALIGNANT, 1.1 TO 2.0cm","11642","HCPCS","Both",,,"390","195","Pruitt Healthcare","Medicare Advantage","",,"54",,"210.6","142.74","302.25","percent of total billed charges",,
"LESION, MALIGNANT, 1.1 TO 2.0cm","11642","HCPCS","Both",,,"390","195","Medicare",,"",,"54",,"211.38","142.74","302.25","percent of total billed charges",,
"LESION, MALIGNANT, 1.1 TO 2.0cm","11642","HCPCS","Both",,,"390","195","Humana","Medicare Advantage","",,"54",,"211.38","142.74","302.25","percent of total billed charges",,
"LESION, MALIGNANT, 1.1 TO 2.0cm","11642","HCPCS","Both",,,"390","195","UHC","Medicare Advantage","",,"54",,"211.38","142.74","302.25","percent of total billed charges",,
"LESION, MALIGNANT, 1.1 TO 2.0cm","11642","HCPCS","Both",,,"390","195","Clover","Medicare Advantage","",,"54",,"211.38","142.74","302.25","percent of total billed charges",,
"LESION, MALIGNANT, 1.1 TO 2.0cm","11642","HCPCS","Both",,,"390","195","Wellcare","Medicare Advantage","",,"54",,"211.38","142.74","302.25","percent of total billed charges",,
"LESION, MALIGNANT, 1.1 TO 2.0cm","11642","HCPCS","Both",,,"390","195","Amerigroup","Medicaid Managed Care","",,"37",,"142.74","142.74","302.25","percent of total billed charges",,
"LESION, MALIGNANT, 1.1 TO 2.0cm","11642","HCPCS","Both",,,"390","195","Caresource","Medicaid Managed Care","",,"40",,"156","142.74","302.25","percent of total billed charges",,
"LESION, MALIGNANT, 1.1 TO 2.0cm","11642","HCPCS","Both",,,"390","195","Wellcare","Medicaid Managed Care","",,"40",,"157.95","142.74","302.25","percent of total billed charges",,
"LESION, MALIGNANT, 1.1 TO 2.0cm","11642","HCPCS","Both",,,"390","195","Aetna","Commercial","",,"64",,"248.82","142.74","302.25","percent of total billed charges",,
"LESION, MALIGNANT, 1.1 TO 2.0cm","11642","HCPCS","Both",,,"390","195","Blue Cross Blue Shield","Pathways","",,"71",,"275.34","142.74","302.25","percent of total billed charges",,
"LESION, MALIGNANT, 1.1 TO 2.0cm","11642","HCPCS","Both",,,"390","195","Blue Cross Blue Shield","HMO","",,"71",,"275.34","142.74","302.25","percent of total billed charges",,
"LESION, MALIGNANT, 1.1 TO 2.0cm","11642","HCPCS","Both",,,"390","195","Blue Cross Blue Shield","PPO","",,"71",,"275.34","142.74","302.25","percent of total billed charges",,
"LESION, MALIGNANT, 1.1 TO 2.0cm","11642","HCPCS","Both",,,"390","195","Ambetter","Health Exchange","",,"62",,"241.8","142.74","302.25","percent of total billed charges",,
"LESION, MALIGNANT, 1.1 TO 2.0cm","11642","HCPCS","Both",,,"390","195","Caresource","Health Exchange","",,"62",,"241.8","142.74","302.25","percent of total billed charges",,
"LESION, MALIGNANT, 1.1 TO 2.0cm","11642","HCPCS","Both",,,"390","195","Cigna","Commercial","",,"59",,"228.54","142.74","302.25","percent of total billed charges",,
"LESION, MALIGNANT, 1.1 TO 2.0cm","11642","HCPCS","Both",,,"390","195","Humana","Commercial","",,"78",,"302.25","142.74","302.25","percent of total billed charges",,
"LESION, MALIGNANT, 1.1 TO 2.0cm","11642","HCPCS","Both",,,"390","195","UHC","Commercial","",,"75",,"294.06","142.74","302.25","percent of total billed charges",,
"LESION, MALIGNANT, 1.1 TO 2.0cm","11642","HCPCS","Both",,,"390","195","Medicaid",,"",,"37",,"142.74","142.74","302.25","percent of total billed charges",,
"MALIGNANT EXCISION OVER 2.0CM","11643","HCPCS","Both",,,"381.5","190.75","Alliant","Health Exchange","",,"62",,"236.53","139.63","295.66","percent of total billed charges",,
"MALIGNANT EXCISION OVER 2.0CM","11643","HCPCS","Both",,,"381.5","190.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"206.01","139.63","295.66","percent of total billed charges",,
"MALIGNANT EXCISION OVER 2.0CM","11643","HCPCS","Both",,,"381.5","190.75","Medicare",,"",,"54",,"206.77","139.63","295.66","percent of total billed charges",,
"MALIGNANT EXCISION OVER 2.0CM","11643","HCPCS","Both",,,"381.5","190.75","Humana","Medicare Advantage","",,"54",,"206.77","139.63","295.66","percent of total billed charges",,
"MALIGNANT EXCISION OVER 2.0CM","11643","HCPCS","Both",,,"381.5","190.75","UHC","Medicare Advantage","",,"54",,"206.77","139.63","295.66","percent of total billed charges",,
"MALIGNANT EXCISION OVER 2.0CM","11643","HCPCS","Both",,,"381.5","190.75","Clover","Medicare Advantage","",,"54",,"206.77","139.63","295.66","percent of total billed charges",,
"MALIGNANT EXCISION OVER 2.0CM","11643","HCPCS","Both",,,"381.5","190.75","Wellcare","Medicare Advantage","",,"54",,"206.77","139.63","295.66","percent of total billed charges",,
"MALIGNANT EXCISION OVER 2.0CM","11643","HCPCS","Both",,,"381.5","190.75","Amerigroup","Medicaid Managed Care","",,"37",,"139.63","139.63","295.66","percent of total billed charges",,
"MALIGNANT EXCISION OVER 2.0CM","11643","HCPCS","Both",,,"381.5","190.75","Caresource","Medicaid Managed Care","",,"40",,"152.6","139.63","295.66","percent of total billed charges",,
"MALIGNANT EXCISION OVER 2.0CM","11643","HCPCS","Both",,,"381.5","190.75","Wellcare","Medicaid Managed Care","",,"40",,"154.51","139.63","295.66","percent of total billed charges",,
"MALIGNANT EXCISION OVER 2.0CM","11643","HCPCS","Both",,,"381.5","190.75","Aetna","Commercial","",,"64",,"243.4","139.63","295.66","percent of total billed charges",,
"MALIGNANT EXCISION OVER 2.0CM","11643","HCPCS","Both",,,"381.5","190.75","Blue Cross Blue Shield","Pathways","",,"71",,"269.34","139.63","295.66","percent of total billed charges",,
"MALIGNANT EXCISION OVER 2.0CM","11643","HCPCS","Both",,,"381.5","190.75","Blue Cross Blue Shield","HMO","",,"71",,"269.34","139.63","295.66","percent of total billed charges",,
"MALIGNANT EXCISION OVER 2.0CM","11643","HCPCS","Both",,,"381.5","190.75","Blue Cross Blue Shield","PPO","",,"71",,"269.34","139.63","295.66","percent of total billed charges",,
"MALIGNANT EXCISION OVER 2.0CM","11643","HCPCS","Both",,,"381.5","190.75","Ambetter","Health Exchange","",,"62",,"236.53","139.63","295.66","percent of total billed charges",,
"MALIGNANT EXCISION OVER 2.0CM","11643","HCPCS","Both",,,"381.5","190.75","Caresource","Health Exchange","",,"62",,"236.53","139.63","295.66","percent of total billed charges",,
"MALIGNANT EXCISION OVER 2.0CM","11643","HCPCS","Both",,,"381.5","190.75","Cigna","Commercial","",,"59",,"223.56","139.63","295.66","percent of total billed charges",,
"MALIGNANT EXCISION OVER 2.0CM","11643","HCPCS","Both",,,"381.5","190.75","Humana","Commercial","",,"78",,"295.66","139.63","295.66","percent of total billed charges",,
"MALIGNANT EXCISION OVER 2.0CM","11643","HCPCS","Both",,,"381.5","190.75","UHC","Commercial","",,"75",,"287.65","139.63","295.66","percent of total billed charges",,
"MALIGNANT EXCISION OVER 2.0CM","11643","HCPCS","Both",,,"381.5","190.75","Medicaid",,"",,"37",,"139.63","139.63","295.66","percent of total billed charges",,
"INJECTION INTRALESIONAL 7 LESIONS","11900","HCPCS","Both",,,"56.5","28.25","Alliant","Health Exchange","",,"62",,"35.03","20.68","43.79","percent of total billed charges",,
"INJECTION INTRALESIONAL 7 LESIONS","11900","HCPCS","Both",,,"56.5","28.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"30.51","20.68","43.79","percent of total billed charges",,
"INJECTION INTRALESIONAL 7 LESIONS","11900","HCPCS","Both",,,"56.5","28.25","Medicare",,"",,"54",,"30.62","20.68","43.79","percent of total billed charges",,
"INJECTION INTRALESIONAL 7 LESIONS","11900","HCPCS","Both",,,"56.5","28.25","Humana","Medicare Advantage","",,"54",,"30.62","20.68","43.79","percent of total billed charges",,
"INJECTION INTRALESIONAL 7 LESIONS","11900","HCPCS","Both",,,"56.5","28.25","UHC","Medicare Advantage","",,"54",,"30.62","20.68","43.79","percent of total billed charges",,
"INJECTION INTRALESIONAL 7 LESIONS","11900","HCPCS","Both",,,"56.5","28.25","Clover","Medicare Advantage","",,"54",,"30.62","20.68","43.79","percent of total billed charges",,
"INJECTION INTRALESIONAL 7 LESIONS","11900","HCPCS","Both",,,"56.5","28.25","Wellcare","Medicare Advantage","",,"54",,"30.62","20.68","43.79","percent of total billed charges",,
"INJECTION INTRALESIONAL 7 LESIONS","11900","HCPCS","Both",,,"56.5","28.25","Amerigroup","Medicaid Managed Care","",,"37",,"20.68","20.68","43.79","percent of total billed charges",,
"INJECTION INTRALESIONAL 7 LESIONS","11900","HCPCS","Both",,,"56.5","28.25","Caresource","Medicaid Managed Care","",,"40",,"22.6","20.68","43.79","percent of total billed charges",,
"INJECTION INTRALESIONAL 7 LESIONS","11900","HCPCS","Both",,,"56.5","28.25","Wellcare","Medicaid Managed Care","",,"40",,"22.88","20.68","43.79","percent of total billed charges",,
"INJECTION INTRALESIONAL 7 LESIONS","11900","HCPCS","Both",,,"56.5","28.25","Aetna","Commercial","",,"64",,"36.05","20.68","43.79","percent of total billed charges",,
"INJECTION INTRALESIONAL 7 LESIONS","11900","HCPCS","Both",,,"56.5","28.25","Blue Cross Blue Shield","Pathways","",,"71",,"39.89","20.68","43.79","percent of total billed charges",,
"INJECTION INTRALESIONAL 7 LESIONS","11900","HCPCS","Both",,,"56.5","28.25","Blue Cross Blue Shield","HMO","",,"71",,"39.89","20.68","43.79","percent of total billed charges",,
"INJECTION INTRALESIONAL 7 LESIONS","11900","HCPCS","Both",,,"56.5","28.25","Blue Cross Blue Shield","PPO","",,"71",,"39.89","20.68","43.79","percent of total billed charges",,
"INJECTION INTRALESIONAL 7 LESIONS","11900","HCPCS","Both",,,"56.5","28.25","Ambetter","Health Exchange","",,"62",,"35.03","20.68","43.79","percent of total billed charges",,
"INJECTION INTRALESIONAL 7 LESIONS","11900","HCPCS","Both",,,"56.5","28.25","Caresource","Health Exchange","",,"62",,"35.03","20.68","43.79","percent of total billed charges",,
"INJECTION INTRALESIONAL 7 LESIONS","11900","HCPCS","Both",,,"56.5","28.25","Cigna","Commercial","",,"59",,"33.11","20.68","43.79","percent of total billed charges",,
"INJECTION INTRALESIONAL 7 LESIONS","11900","HCPCS","Both",,,"56.5","28.25","Humana","Commercial","",,"78",,"43.79","20.68","43.79","percent of total billed charges",,
"INJECTION INTRALESIONAL 7 LESIONS","11900","HCPCS","Both",,,"56.5","28.25","UHC","Commercial","",,"75",,"42.6","20.68","43.79","percent of total billed charges",,
"INJECTION INTRALESIONAL 7 LESIONS","11900","HCPCS","Both",,,"56.5","28.25","Medicaid",,"",,"37",,"20.68","20.68","43.79","percent of total billed charges",,
"DESTRUCTION 1ST LESION, BENIGN OR MALIG","17000","HCPCS","Both",,,"95","47.5","Alliant","Health Exchange","",,"62",,"58.9","34.77","73.62","percent of total billed charges",,
"DESTRUCTION 1ST LESION, BENIGN OR MALIG","17000","HCPCS","Both",,,"95","47.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"51.3","34.77","73.62","percent of total billed charges",,
"DESTRUCTION 1ST LESION, BENIGN OR MALIG","17000","HCPCS","Both",,,"95","47.5","Medicare",,"",,"54",,"51.49","34.77","73.62","percent of total billed charges",,
"DESTRUCTION 1ST LESION, BENIGN OR MALIG","17000","HCPCS","Both",,,"95","47.5","Humana","Medicare Advantage","",,"54",,"51.49","34.77","73.62","percent of total billed charges",,
"DESTRUCTION 1ST LESION, BENIGN OR MALIG","17000","HCPCS","Both",,,"95","47.5","UHC","Medicare Advantage","",,"54",,"51.49","34.77","73.62","percent of total billed charges",,
"DESTRUCTION 1ST LESION, BENIGN OR MALIG","17000","HCPCS","Both",,,"95","47.5","Clover","Medicare Advantage","",,"54",,"51.49","34.77","73.62","percent of total billed charges",,
"DESTRUCTION 1ST LESION, BENIGN OR MALIG","17000","HCPCS","Both",,,"95","47.5","Wellcare","Medicare Advantage","",,"54",,"51.49","34.77","73.62","percent of total billed charges",,
"DESTRUCTION 1ST LESION, BENIGN OR MALIG","17000","HCPCS","Both",,,"95","47.5","Amerigroup","Medicaid Managed Care","",,"37",,"34.77","34.77","73.62","percent of total billed charges",,
"DESTRUCTION 1ST LESION, BENIGN OR MALIG","17000","HCPCS","Both",,,"95","47.5","Caresource","Medicaid Managed Care","",,"40",,"38","34.77","73.62","percent of total billed charges",,
"DESTRUCTION 1ST LESION, BENIGN OR MALIG","17000","HCPCS","Both",,,"95","47.5","Wellcare","Medicaid Managed Care","",,"40",,"38.48","34.77","73.62","percent of total billed charges",,
"DESTRUCTION 1ST LESION, BENIGN OR MALIG","17000","HCPCS","Both",,,"95","47.5","Aetna","Commercial","",,"64",,"60.61","34.77","73.62","percent of total billed charges",,
"DESTRUCTION 1ST LESION, BENIGN OR MALIG","17000","HCPCS","Both",,,"95","47.5","Blue Cross Blue Shield","Pathways","",,"71",,"67.07","34.77","73.62","percent of total billed charges",,
"DESTRUCTION 1ST LESION, BENIGN OR MALIG","17000","HCPCS","Both",,,"95","47.5","Blue Cross Blue Shield","HMO","",,"71",,"67.07","34.77","73.62","percent of total billed charges",,
"DESTRUCTION 1ST LESION, BENIGN OR MALIG","17000","HCPCS","Both",,,"95","47.5","Blue Cross Blue Shield","PPO","",,"71",,"67.07","34.77","73.62","percent of total billed charges",,
"DESTRUCTION 1ST LESION, BENIGN OR MALIG","17000","HCPCS","Both",,,"95","47.5","Ambetter","Health Exchange","",,"62",,"58.9","34.77","73.62","percent of total billed charges",,
"DESTRUCTION 1ST LESION, BENIGN OR MALIG","17000","HCPCS","Both",,,"95","47.5","Caresource","Health Exchange","",,"62",,"58.9","34.77","73.62","percent of total billed charges",,
"DESTRUCTION 1ST LESION, BENIGN OR MALIG","17000","HCPCS","Both",,,"95","47.5","Cigna","Commercial","",,"59",,"55.67","34.77","73.62","percent of total billed charges",,
"DESTRUCTION 1ST LESION, BENIGN OR MALIG","17000","HCPCS","Both",,,"95","47.5","Humana","Commercial","",,"78",,"73.62","34.77","73.62","percent of total billed charges",,
"DESTRUCTION 1ST LESION, BENIGN OR MALIG","17000","HCPCS","Both",,,"95","47.5","UHC","Commercial","",,"75",,"71.63","34.77","73.62","percent of total billed charges",,
"DESTRUCTION 1ST LESION, BENIGN OR MALIG","17000","HCPCS","Both",,,"95","47.5","Medicaid",,"",,"37",,"34.77","34.77","73.62","percent of total billed charges",,
"2ND THRU 14TH LESIONS","17003","HCPCS","Both",,,"22.5","11.25","Alliant","Health Exchange","",,"62",,"13.95","8.24","17.44","percent of total billed charges",,
"2ND THRU 14TH LESIONS","17003","HCPCS","Both",,,"22.5","11.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"12.15","8.24","17.44","percent of total billed charges",,
"2ND THRU 14TH LESIONS","17003","HCPCS","Both",,,"22.5","11.25","Medicare",,"",,"54",,"12.2","8.24","17.44","percent of total billed charges",,
"2ND THRU 14TH LESIONS","17003","HCPCS","Both",,,"22.5","11.25","Humana","Medicare Advantage","",,"54",,"12.2","8.24","17.44","percent of total billed charges",,
"2ND THRU 14TH LESIONS","17003","HCPCS","Both",,,"22.5","11.25","UHC","Medicare Advantage","",,"54",,"12.2","8.24","17.44","percent of total billed charges",,
"2ND THRU 14TH LESIONS","17003","HCPCS","Both",,,"22.5","11.25","Clover","Medicare Advantage","",,"54",,"12.2","8.24","17.44","percent of total billed charges",,
"2ND THRU 14TH LESIONS","17003","HCPCS","Both",,,"22.5","11.25","Wellcare","Medicare Advantage","",,"54",,"12.2","8.24","17.44","percent of total billed charges",,
"2ND THRU 14TH LESIONS","17003","HCPCS","Both",,,"22.5","11.25","Amerigroup","Medicaid Managed Care","",,"37",,"8.24","8.24","17.44","percent of total billed charges",,
"2ND THRU 14TH LESIONS","17003","HCPCS","Both",,,"22.5","11.25","Caresource","Medicaid Managed Care","",,"40",,"9","8.24","17.44","percent of total billed charges",,
"2ND THRU 14TH LESIONS","17003","HCPCS","Both",,,"22.5","11.25","Wellcare","Medicaid Managed Care","",,"40",,"9.11","8.24","17.44","percent of total billed charges",,
"2ND THRU 14TH LESIONS","17003","HCPCS","Both",,,"22.5","11.25","Aetna","Commercial","",,"64",,"14.36","8.24","17.44","percent of total billed charges",,
"2ND THRU 14TH LESIONS","17003","HCPCS","Both",,,"22.5","11.25","Blue Cross Blue Shield","Pathways","",,"71",,"15.88","8.24","17.44","percent of total billed charges",,
"2ND THRU 14TH LESIONS","17003","HCPCS","Both",,,"22.5","11.25","Blue Cross Blue Shield","HMO","",,"71",,"15.88","8.24","17.44","percent of total billed charges",,
"2ND THRU 14TH LESIONS","17003","HCPCS","Both",,,"22.5","11.25","Blue Cross Blue Shield","PPO","",,"71",,"15.88","8.24","17.44","percent of total billed charges",,
"2ND THRU 14TH LESIONS","17003","HCPCS","Both",,,"22.5","11.25","Ambetter","Health Exchange","",,"62",,"13.95","8.24","17.44","percent of total billed charges",,
"2ND THRU 14TH LESIONS","17003","HCPCS","Both",,,"22.5","11.25","Caresource","Health Exchange","",,"62",,"13.95","8.24","17.44","percent of total billed charges",,
"2ND THRU 14TH LESIONS","17003","HCPCS","Both",,,"22.5","11.25","Cigna","Commercial","",,"59",,"13.18","8.24","17.44","percent of total billed charges",,
"2ND THRU 14TH LESIONS","17003","HCPCS","Both",,,"22.5","11.25","Humana","Commercial","",,"78",,"17.44","8.24","17.44","percent of total billed charges",,
"2ND THRU 14TH LESIONS","17003","HCPCS","Both",,,"22.5","11.25","UHC","Commercial","",,"75",,"16.96","8.24","17.44","percent of total billed charges",,
"2ND THRU 14TH LESIONS","17003","HCPCS","Both",,,"22.5","11.25","Medicaid",,"",,"37",,"8.24","8.24","17.44","percent of total billed charges",,
"DESTRUCTION LESIONS 15 OR MORE","17004","HCPCS","Both",,,"253","126.5","Alliant","Health Exchange","",,"62",,"156.86","92.6","196.08","percent of total billed charges",,
"DESTRUCTION LESIONS 15 OR MORE","17004","HCPCS","Both",,,"253","126.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"136.62","92.6","196.08","percent of total billed charges",,
"DESTRUCTION LESIONS 15 OR MORE","17004","HCPCS","Both",,,"253","126.5","Medicare",,"",,"54",,"137.13","92.6","196.08","percent of total billed charges",,
"DESTRUCTION LESIONS 15 OR MORE","17004","HCPCS","Both",,,"253","126.5","Humana","Medicare Advantage","",,"54",,"137.13","92.6","196.08","percent of total billed charges",,
"DESTRUCTION LESIONS 15 OR MORE","17004","HCPCS","Both",,,"253","126.5","UHC","Medicare Advantage","",,"54",,"137.13","92.6","196.08","percent of total billed charges",,
"DESTRUCTION LESIONS 15 OR MORE","17004","HCPCS","Both",,,"253","126.5","Clover","Medicare Advantage","",,"54",,"137.13","92.6","196.08","percent of total billed charges",,
"DESTRUCTION LESIONS 15 OR MORE","17004","HCPCS","Both",,,"253","126.5","Wellcare","Medicare Advantage","",,"54",,"137.13","92.6","196.08","percent of total billed charges",,
"DESTRUCTION LESIONS 15 OR MORE","17004","HCPCS","Both",,,"253","126.5","Amerigroup","Medicaid Managed Care","",,"37",,"92.6","92.6","196.08","percent of total billed charges",,
"DESTRUCTION LESIONS 15 OR MORE","17004","HCPCS","Both",,,"253","126.5","Caresource","Medicaid Managed Care","",,"40",,"101.2","92.6","196.08","percent of total billed charges",,
"DESTRUCTION LESIONS 15 OR MORE","17004","HCPCS","Both",,,"253","126.5","Wellcare","Medicaid Managed Care","",,"40",,"102.46","92.6","196.08","percent of total billed charges",,
"DESTRUCTION LESIONS 15 OR MORE","17004","HCPCS","Both",,,"253","126.5","Aetna","Commercial","",,"64",,"161.41","92.6","196.08","percent of total billed charges",,
"DESTRUCTION LESIONS 15 OR MORE","17004","HCPCS","Both",,,"253","126.5","Blue Cross Blue Shield","Pathways","",,"71",,"178.62","92.6","196.08","percent of total billed charges",,
"DESTRUCTION LESIONS 15 OR MORE","17004","HCPCS","Both",,,"253","126.5","Blue Cross Blue Shield","HMO","",,"71",,"178.62","92.6","196.08","percent of total billed charges",,
"DESTRUCTION LESIONS 15 OR MORE","17004","HCPCS","Both",,,"253","126.5","Blue Cross Blue Shield","PPO","",,"71",,"178.62","92.6","196.08","percent of total billed charges",,
"DESTRUCTION LESIONS 15 OR MORE","17004","HCPCS","Both",,,"253","126.5","Ambetter","Health Exchange","",,"62",,"156.86","92.6","196.08","percent of total billed charges",,
"DESTRUCTION LESIONS 15 OR MORE","17004","HCPCS","Both",,,"253","126.5","Caresource","Health Exchange","",,"62",,"156.86","92.6","196.08","percent of total billed charges",,
"DESTRUCTION LESIONS 15 OR MORE","17004","HCPCS","Both",,,"253","126.5","Cigna","Commercial","",,"59",,"148.26","92.6","196.08","percent of total billed charges",,
"DESTRUCTION LESIONS 15 OR MORE","17004","HCPCS","Both",,,"253","126.5","Humana","Commercial","",,"78",,"196.08","92.6","196.08","percent of total billed charges",,
"DESTRUCTION LESIONS 15 OR MORE","17004","HCPCS","Both",,,"253","126.5","UHC","Commercial","",,"75",,"190.76","92.6","196.08","percent of total billed charges",,
"DESTRUCTION LESIONS 15 OR MORE","17004","HCPCS","Both",,,"253","126.5","Medicaid",,"",,"37",,"92.6","92.6","196.08","percent of total billed charges",,
"DESTRUCTION, MALIG LESION, 1.1 TO 2.0 CM","17262","HCPCS","Both",,,"163.5","81.75","Alliant","Health Exchange","",,"62",,"101.37","59.84","126.71","percent of total billed charges",,
"DESTRUCTION, MALIG LESION, 1.1 TO 2.0 CM","17262","HCPCS","Both",,,"163.5","81.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"88.29","59.84","126.71","percent of total billed charges",,
"DESTRUCTION, MALIG LESION, 1.1 TO 2.0 CM","17262","HCPCS","Both",,,"163.5","81.75","Medicare",,"",,"54",,"88.62","59.84","126.71","percent of total billed charges",,
"DESTRUCTION, MALIG LESION, 1.1 TO 2.0 CM","17262","HCPCS","Both",,,"163.5","81.75","Humana","Medicare Advantage","",,"54",,"88.62","59.84","126.71","percent of total billed charges",,
"DESTRUCTION, MALIG LESION, 1.1 TO 2.0 CM","17262","HCPCS","Both",,,"163.5","81.75","UHC","Medicare Advantage","",,"54",,"88.62","59.84","126.71","percent of total billed charges",,
"DESTRUCTION, MALIG LESION, 1.1 TO 2.0 CM","17262","HCPCS","Both",,,"163.5","81.75","Clover","Medicare Advantage","",,"54",,"88.62","59.84","126.71","percent of total billed charges",,
"DESTRUCTION, MALIG LESION, 1.1 TO 2.0 CM","17262","HCPCS","Both",,,"163.5","81.75","Wellcare","Medicare Advantage","",,"54",,"88.62","59.84","126.71","percent of total billed charges",,
"DESTRUCTION, MALIG LESION, 1.1 TO 2.0 CM","17262","HCPCS","Both",,,"163.5","81.75","Amerigroup","Medicaid Managed Care","",,"37",,"59.84","59.84","126.71","percent of total billed charges",,
"DESTRUCTION, MALIG LESION, 1.1 TO 2.0 CM","17262","HCPCS","Both",,,"163.5","81.75","Caresource","Medicaid Managed Care","",,"40",,"65.4","59.84","126.71","percent of total billed charges",,
"DESTRUCTION, MALIG LESION, 1.1 TO 2.0 CM","17262","HCPCS","Both",,,"163.5","81.75","Wellcare","Medicaid Managed Care","",,"40",,"66.22","59.84","126.71","percent of total billed charges",,
"DESTRUCTION, MALIG LESION, 1.1 TO 2.0 CM","17262","HCPCS","Both",,,"163.5","81.75","Aetna","Commercial","",,"64",,"104.31","59.84","126.71","percent of total billed charges",,
"DESTRUCTION, MALIG LESION, 1.1 TO 2.0 CM","17262","HCPCS","Both",,,"163.5","81.75","Blue Cross Blue Shield","Pathways","",,"71",,"115.43","59.84","126.71","percent of total billed charges",,
"DESTRUCTION, MALIG LESION, 1.1 TO 2.0 CM","17262","HCPCS","Both",,,"163.5","81.75","Blue Cross Blue Shield","HMO","",,"71",,"115.43","59.84","126.71","percent of total billed charges",,
"DESTRUCTION, MALIG LESION, 1.1 TO 2.0 CM","17262","HCPCS","Both",,,"163.5","81.75","Blue Cross Blue Shield","PPO","",,"71",,"115.43","59.84","126.71","percent of total billed charges",,
"DESTRUCTION, MALIG LESION, 1.1 TO 2.0 CM","17262","HCPCS","Both",,,"163.5","81.75","Ambetter","Health Exchange","",,"62",,"101.37","59.84","126.71","percent of total billed charges",,
"DESTRUCTION, MALIG LESION, 1.1 TO 2.0 CM","17262","HCPCS","Both",,,"163.5","81.75","Caresource","Health Exchange","",,"62",,"101.37","59.84","126.71","percent of total billed charges",,
"DESTRUCTION, MALIG LESION, 1.1 TO 2.0 CM","17262","HCPCS","Both",,,"163.5","81.75","Cigna","Commercial","",,"59",,"95.81","59.84","126.71","percent of total billed charges",,
"DESTRUCTION, MALIG LESION, 1.1 TO 2.0 CM","17262","HCPCS","Both",,,"163.5","81.75","Humana","Commercial","",,"78",,"126.71","59.84","126.71","percent of total billed charges",,
"DESTRUCTION, MALIG LESION, 1.1 TO 2.0 CM","17262","HCPCS","Both",,,"163.5","81.75","UHC","Commercial","",,"75",,"123.28","59.84","126.71","percent of total billed charges",,
"DESTRUCTION, MALIG LESION, 1.1 TO 2.0 CM","17262","HCPCS","Both",,,"163.5","81.75","Medicaid",,"",,"37",,"59.84","59.84","126.71","percent of total billed charges",,
"DESTRUCTION MALIGNANT LESION 1.1 - 2/0CM","17272","HCPCS","Both",,,"202","101","Alliant","Health Exchange","",,"62",,"125.24","73.93","156.55","percent of total billed charges",,
"DESTRUCTION MALIGNANT LESION 1.1 - 2/0CM","17272","HCPCS","Both",,,"202","101","Pruitt Healthcare","Medicare Advantage","",,"54",,"109.08","73.93","156.55","percent of total billed charges",,
"DESTRUCTION MALIGNANT LESION 1.1 - 2/0CM","17272","HCPCS","Both",,,"202","101","Medicare",,"",,"54",,"109.48","73.93","156.55","percent of total billed charges",,
"DESTRUCTION MALIGNANT LESION 1.1 - 2/0CM","17272","HCPCS","Both",,,"202","101","Humana","Medicare Advantage","",,"54",,"109.48","73.93","156.55","percent of total billed charges",,
"DESTRUCTION MALIGNANT LESION 1.1 - 2/0CM","17272","HCPCS","Both",,,"202","101","UHC","Medicare Advantage","",,"54",,"109.48","73.93","156.55","percent of total billed charges",,
"DESTRUCTION MALIGNANT LESION 1.1 - 2/0CM","17272","HCPCS","Both",,,"202","101","Clover","Medicare Advantage","",,"54",,"109.48","73.93","156.55","percent of total billed charges",,
"DESTRUCTION MALIGNANT LESION 1.1 - 2/0CM","17272","HCPCS","Both",,,"202","101","Wellcare","Medicare Advantage","",,"54",,"109.48","73.93","156.55","percent of total billed charges",,
"DESTRUCTION MALIGNANT LESION 1.1 - 2/0CM","17272","HCPCS","Both",,,"202","101","Amerigroup","Medicaid Managed Care","",,"37",,"73.93","73.93","156.55","percent of total billed charges",,
"DESTRUCTION MALIGNANT LESION 1.1 - 2/0CM","17272","HCPCS","Both",,,"202","101","Caresource","Medicaid Managed Care","",,"40",,"80.8","73.93","156.55","percent of total billed charges",,
"DESTRUCTION MALIGNANT LESION 1.1 - 2/0CM","17272","HCPCS","Both",,,"202","101","Wellcare","Medicaid Managed Care","",,"40",,"81.81","73.93","156.55","percent of total billed charges",,
"DESTRUCTION MALIGNANT LESION 1.1 - 2/0CM","17272","HCPCS","Both",,,"202","101","Aetna","Commercial","",,"64",,"128.88","73.93","156.55","percent of total billed charges",,
"DESTRUCTION MALIGNANT LESION 1.1 - 2/0CM","17272","HCPCS","Both",,,"202","101","Blue Cross Blue Shield","Pathways","",,"71",,"142.61","73.93","156.55","percent of total billed charges",,
"DESTRUCTION MALIGNANT LESION 1.1 - 2/0CM","17272","HCPCS","Both",,,"202","101","Blue Cross Blue Shield","HMO","",,"71",,"142.61","73.93","156.55","percent of total billed charges",,
"DESTRUCTION MALIGNANT LESION 1.1 - 2/0CM","17272","HCPCS","Both",,,"202","101","Blue Cross Blue Shield","PPO","",,"71",,"142.61","73.93","156.55","percent of total billed charges",,
"DESTRUCTION MALIGNANT LESION 1.1 - 2/0CM","17272","HCPCS","Both",,,"202","101","Ambetter","Health Exchange","",,"62",,"125.24","73.93","156.55","percent of total billed charges",,
"DESTRUCTION MALIGNANT LESION 1.1 - 2/0CM","17272","HCPCS","Both",,,"202","101","Caresource","Health Exchange","",,"62",,"125.24","73.93","156.55","percent of total billed charges",,
"DESTRUCTION MALIGNANT LESION 1.1 - 2/0CM","17272","HCPCS","Both",,,"202","101","Cigna","Commercial","",,"59",,"118.37","73.93","156.55","percent of total billed charges",,
"DESTRUCTION MALIGNANT LESION 1.1 - 2/0CM","17272","HCPCS","Both",,,"202","101","Humana","Commercial","",,"78",,"156.55","73.93","156.55","percent of total billed charges",,
"DESTRUCTION MALIGNANT LESION 1.1 - 2/0CM","17272","HCPCS","Both",,,"202","101","UHC","Commercial","",,"75",,"152.31","73.93","156.55","percent of total billed charges",,
"DESTRUCTION MALIGNANT LESION 1.1 - 2/0CM","17272","HCPCS","Both",,,"202","101","Medicaid",,"",,"37",,"73.93","73.93","156.55","percent of total billed charges",,
"DESTRUCTION LESION 0.6 - 1.0CM","17281","HCPCS","Both",,,"229.5","114.75","Alliant","Health Exchange","",,"62",,"142.29","84","177.86","percent of total billed charges",,
"DESTRUCTION LESION 0.6 - 1.0CM","17281","HCPCS","Both",,,"229.5","114.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"123.93","84","177.86","percent of total billed charges",,
"DESTRUCTION LESION 0.6 - 1.0CM","17281","HCPCS","Both",,,"229.5","114.75","Medicare",,"",,"54",,"124.39","84","177.86","percent of total billed charges",,
"DESTRUCTION LESION 0.6 - 1.0CM","17281","HCPCS","Both",,,"229.5","114.75","Humana","Medicare Advantage","",,"54",,"124.39","84","177.86","percent of total billed charges",,
"DESTRUCTION LESION 0.6 - 1.0CM","17281","HCPCS","Both",,,"229.5","114.75","UHC","Medicare Advantage","",,"54",,"124.39","84","177.86","percent of total billed charges",,
"DESTRUCTION LESION 0.6 - 1.0CM","17281","HCPCS","Both",,,"229.5","114.75","Clover","Medicare Advantage","",,"54",,"124.39","84","177.86","percent of total billed charges",,
"DESTRUCTION LESION 0.6 - 1.0CM","17281","HCPCS","Both",,,"229.5","114.75","Wellcare","Medicare Advantage","",,"54",,"124.39","84","177.86","percent of total billed charges",,
"DESTRUCTION LESION 0.6 - 1.0CM","17281","HCPCS","Both",,,"229.5","114.75","Amerigroup","Medicaid Managed Care","",,"37",,"84","84","177.86","percent of total billed charges",,
"DESTRUCTION LESION 0.6 - 1.0CM","17281","HCPCS","Both",,,"229.5","114.75","Caresource","Medicaid Managed Care","",,"40",,"91.8","84","177.86","percent of total billed charges",,
"DESTRUCTION LESION 0.6 - 1.0CM","17281","HCPCS","Both",,,"229.5","114.75","Wellcare","Medicaid Managed Care","",,"40",,"92.95","84","177.86","percent of total billed charges",,
"DESTRUCTION LESION 0.6 - 1.0CM","17281","HCPCS","Both",,,"229.5","114.75","Aetna","Commercial","",,"64",,"146.42","84","177.86","percent of total billed charges",,
"DESTRUCTION LESION 0.6 - 1.0CM","17281","HCPCS","Both",,,"229.5","114.75","Blue Cross Blue Shield","Pathways","",,"71",,"162.03","84","177.86","percent of total billed charges",,
"DESTRUCTION LESION 0.6 - 1.0CM","17281","HCPCS","Both",,,"229.5","114.75","Blue Cross Blue Shield","HMO","",,"71",,"162.03","84","177.86","percent of total billed charges",,
"DESTRUCTION LESION 0.6 - 1.0CM","17281","HCPCS","Both",,,"229.5","114.75","Blue Cross Blue Shield","PPO","",,"71",,"162.03","84","177.86","percent of total billed charges",,
"DESTRUCTION LESION 0.6 - 1.0CM","17281","HCPCS","Both",,,"229.5","114.75","Ambetter","Health Exchange","",,"62",,"142.29","84","177.86","percent of total billed charges",,
"DESTRUCTION LESION 0.6 - 1.0CM","17281","HCPCS","Both",,,"229.5","114.75","Caresource","Health Exchange","",,"62",,"142.29","84","177.86","percent of total billed charges",,
"DESTRUCTION LESION 0.6 - 1.0CM","17281","HCPCS","Both",,,"229.5","114.75","Cigna","Commercial","",,"59",,"134.49","84","177.86","percent of total billed charges",,
"DESTRUCTION LESION 0.6 - 1.0CM","17281","HCPCS","Both",,,"229.5","114.75","Humana","Commercial","",,"78",,"177.86","84","177.86","percent of total billed charges",,
"DESTRUCTION LESION 0.6 - 1.0CM","17281","HCPCS","Both",,,"229.5","114.75","UHC","Commercial","",,"75",,"173.04","84","177.86","percent of total billed charges",,
"DESTRUCTION LESION 0.6 - 1.0CM","17281","HCPCS","Both",,,"229.5","114.75","Medicaid",,"",,"37",,"84","84","177.86","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","17282","HCPCS","Both",,,"236","118","Alliant","Health Exchange","",,"62",,"146.32","86.38","182.9","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","17282","HCPCS","Both",,,"236","118","Pruitt Healthcare","Medicare Advantage","",,"54",,"127.44","86.38","182.9","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","17282","HCPCS","Both",,,"236","118","Medicare",,"",,"54",,"127.91","86.38","182.9","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","17282","HCPCS","Both",,,"236","118","Humana","Medicare Advantage","",,"54",,"127.91","86.38","182.9","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","17282","HCPCS","Both",,,"236","118","UHC","Medicare Advantage","",,"54",,"127.91","86.38","182.9","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","17282","HCPCS","Both",,,"236","118","Clover","Medicare Advantage","",,"54",,"127.91","86.38","182.9","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","17282","HCPCS","Both",,,"236","118","Wellcare","Medicare Advantage","",,"54",,"127.91","86.38","182.9","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","17282","HCPCS","Both",,,"236","118","Amerigroup","Medicaid Managed Care","",,"37",,"86.38","86.38","182.9","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","17282","HCPCS","Both",,,"236","118","Caresource","Medicaid Managed Care","",,"40",,"94.4","86.38","182.9","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","17282","HCPCS","Both",,,"236","118","Wellcare","Medicaid Managed Care","",,"40",,"95.58","86.38","182.9","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","17282","HCPCS","Both",,,"236","118","Aetna","Commercial","",,"64",,"150.57","86.38","182.9","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","17282","HCPCS","Both",,,"236","118","Blue Cross Blue Shield","Pathways","",,"71",,"166.62","86.38","182.9","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","17282","HCPCS","Both",,,"236","118","Blue Cross Blue Shield","HMO","",,"71",,"166.62","86.38","182.9","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","17282","HCPCS","Both",,,"236","118","Blue Cross Blue Shield","PPO","",,"71",,"166.62","86.38","182.9","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","17282","HCPCS","Both",,,"236","118","Ambetter","Health Exchange","",,"62",,"146.32","86.38","182.9","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","17282","HCPCS","Both",,,"236","118","Caresource","Health Exchange","",,"62",,"146.32","86.38","182.9","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","17282","HCPCS","Both",,,"236","118","Cigna","Commercial","",,"59",,"138.3","86.38","182.9","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","17282","HCPCS","Both",,,"236","118","Humana","Commercial","",,"78",,"182.9","86.38","182.9","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","17282","HCPCS","Both",,,"236","118","UHC","Commercial","",,"75",,"177.94","86.38","182.9","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","17282","HCPCS","Both",,,"236","118","Medicaid",,"",,"37",,"86.38","86.38","182.9","percent of total billed charges",,
"NEW PATIENT - EXPANDED - DERMATOLOGY","99202","HCPCS","Both",,,"61","30.5","Alliant","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"NEW PATIENT - EXPANDED - DERMATOLOGY","99202","HCPCS","Both",,,"61","30.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.94","22.33","47.28","percent of total billed charges",,
"NEW PATIENT - EXPANDED - DERMATOLOGY","99202","HCPCS","Both",,,"61","30.5","Medicare",,"",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"NEW PATIENT - EXPANDED - DERMATOLOGY","99202","HCPCS","Both",,,"61","30.5","Humana","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"NEW PATIENT - EXPANDED - DERMATOLOGY","99202","HCPCS","Both",,,"61","30.5","UHC","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"NEW PATIENT - EXPANDED - DERMATOLOGY","99202","HCPCS","Both",,,"61","30.5","Clover","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"NEW PATIENT - EXPANDED - DERMATOLOGY","99202","HCPCS","Both",,,"61","30.5","Wellcare","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"NEW PATIENT - EXPANDED - DERMATOLOGY","99202","HCPCS","Both",,,"61","30.5","Amerigroup","Medicaid Managed Care","",,"37",,"22.33","22.33","47.28","percent of total billed charges",,
"NEW PATIENT - EXPANDED - DERMATOLOGY","99202","HCPCS","Both",,,"61","30.5","Caresource","Medicaid Managed Care","",,"40",,"24.4","22.33","47.28","percent of total billed charges",,
"NEW PATIENT - EXPANDED - DERMATOLOGY","99202","HCPCS","Both",,,"61","30.5","Wellcare","Medicaid Managed Care","",,"40",,"24.7","22.33","47.28","percent of total billed charges",,
"NEW PATIENT - EXPANDED - DERMATOLOGY","99202","HCPCS","Both",,,"61","30.5","Aetna","Commercial","",,"64",,"38.92","22.33","47.28","percent of total billed charges",,
"NEW PATIENT - EXPANDED - DERMATOLOGY","99202","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","Pathways","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"NEW PATIENT - EXPANDED - DERMATOLOGY","99202","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","HMO","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"NEW PATIENT - EXPANDED - DERMATOLOGY","99202","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","PPO","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"NEW PATIENT - EXPANDED - DERMATOLOGY","99202","HCPCS","Both",,,"61","30.5","Ambetter","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"NEW PATIENT - EXPANDED - DERMATOLOGY","99202","HCPCS","Both",,,"61","30.5","Caresource","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"NEW PATIENT - EXPANDED - DERMATOLOGY","99202","HCPCS","Both",,,"61","30.5","Cigna","Commercial","",,"59",,"35.75","22.33","47.28","percent of total billed charges",,
"NEW PATIENT - EXPANDED - DERMATOLOGY","99202","HCPCS","Both",,,"61","30.5","Humana","Commercial","",,"78",,"47.28","22.33","47.28","percent of total billed charges",,
"NEW PATIENT - EXPANDED - DERMATOLOGY","99202","HCPCS","Both",,,"61","30.5","UHC","Commercial","",,"75",,"45.99","22.33","47.28","percent of total billed charges",,
"NEW PATIENT - EXPANDED - DERMATOLOGY","99202","HCPCS","Both",,,"61","30.5","Medicaid",,"",,"37",,"22.33","22.33","47.28","percent of total billed charges",,
"NEW PATIENT - DETAILED - DERMATOLOGY","99203","HCPCS","Both",,,"80","40","Alliant","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"NEW PATIENT - DETAILED - DERMATOLOGY","99203","HCPCS","Both",,,"80","40","Pruitt Healthcare","Medicare Advantage","",,"54",,"43.2","29.28","62","percent of total billed charges",,
"NEW PATIENT - DETAILED - DERMATOLOGY","99203","HCPCS","Both",,,"80","40","Medicare",,"",,"54",,"43.36","29.28","62","percent of total billed charges",,
"NEW PATIENT - DETAILED - DERMATOLOGY","99203","HCPCS","Both",,,"80","40","Humana","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"NEW PATIENT - DETAILED - DERMATOLOGY","99203","HCPCS","Both",,,"80","40","UHC","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"NEW PATIENT - DETAILED - DERMATOLOGY","99203","HCPCS","Both",,,"80","40","Clover","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"NEW PATIENT - DETAILED - DERMATOLOGY","99203","HCPCS","Both",,,"80","40","Wellcare","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"NEW PATIENT - DETAILED - DERMATOLOGY","99203","HCPCS","Both",,,"80","40","Amerigroup","Medicaid Managed Care","",,"37",,"29.28","29.28","62","percent of total billed charges",,
"NEW PATIENT - DETAILED - DERMATOLOGY","99203","HCPCS","Both",,,"80","40","Caresource","Medicaid Managed Care","",,"40",,"32","29.28","62","percent of total billed charges",,
"NEW PATIENT - DETAILED - DERMATOLOGY","99203","HCPCS","Both",,,"80","40","Wellcare","Medicaid Managed Care","",,"40",,"32.4","29.28","62","percent of total billed charges",,
"NEW PATIENT - DETAILED - DERMATOLOGY","99203","HCPCS","Both",,,"80","40","Aetna","Commercial","",,"64",,"51.04","29.28","62","percent of total billed charges",,
"NEW PATIENT - DETAILED - DERMATOLOGY","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","Pathways","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"NEW PATIENT - DETAILED - DERMATOLOGY","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","HMO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"NEW PATIENT - DETAILED - DERMATOLOGY","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","PPO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"NEW PATIENT - DETAILED - DERMATOLOGY","99203","HCPCS","Both",,,"80","40","Ambetter","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"NEW PATIENT - DETAILED - DERMATOLOGY","99203","HCPCS","Both",,,"80","40","Caresource","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"NEW PATIENT - DETAILED - DERMATOLOGY","99203","HCPCS","Both",,,"80","40","Cigna","Commercial","",,"59",,"46.88","29.28","62","percent of total billed charges",,
"NEW PATIENT - DETAILED - DERMATOLOGY","99203","HCPCS","Both",,,"80","40","Humana","Commercial","",,"78",,"62","29.28","62","percent of total billed charges",,
"NEW PATIENT - DETAILED - DERMATOLOGY","99203","HCPCS","Both",,,"80","40","UHC","Commercial","",,"75",,"60.32","29.28","62","percent of total billed charges",,
"NEW PATIENT - DETAILED - DERMATOLOGY","99203","HCPCS","Both",,,"80","40","Medicaid",,"",,"37",,"29.28","29.28","62","percent of total billed charges",,
"O.V. - PROBLEM - DERMATOLOGY","99212","HCPCS","Both",,,"55","27.5","Alliant","Health Exchange","",,"62",,"34.1","20.13","42.62","percent of total billed charges",,
"O.V. - PROBLEM - DERMATOLOGY","99212","HCPCS","Both",,,"55","27.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"29.7","20.13","42.62","percent of total billed charges",,
"O.V. - PROBLEM - DERMATOLOGY","99212","HCPCS","Both",,,"55","27.5","Medicare",,"",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"O.V. - PROBLEM - DERMATOLOGY","99212","HCPCS","Both",,,"55","27.5","Humana","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"O.V. - PROBLEM - DERMATOLOGY","99212","HCPCS","Both",,,"55","27.5","UHC","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"O.V. - PROBLEM - DERMATOLOGY","99212","HCPCS","Both",,,"55","27.5","Clover","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"O.V. - PROBLEM - DERMATOLOGY","99212","HCPCS","Both",,,"55","27.5","Wellcare","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"O.V. - PROBLEM - DERMATOLOGY","99212","HCPCS","Both",,,"55","27.5","Amerigroup","Medicaid Managed Care","",,"37",,"20.13","20.13","42.62","percent of total billed charges",,
"O.V. - PROBLEM - DERMATOLOGY","99212","HCPCS","Both",,,"55","27.5","Caresource","Medicaid Managed Care","",,"40",,"22","20.13","42.62","percent of total billed charges",,
"O.V. - PROBLEM - DERMATOLOGY","99212","HCPCS","Both",,,"55","27.5","Wellcare","Medicaid Managed Care","",,"40",,"22.28","20.13","42.62","percent of total billed charges",,
"O.V. - PROBLEM - DERMATOLOGY","99212","HCPCS","Both",,,"55","27.5","Aetna","Commercial","",,"64",,"35.09","20.13","42.62","percent of total billed charges",,
"O.V. - PROBLEM - DERMATOLOGY","99212","HCPCS","Both",,,"55","27.5","Blue Cross Blue Shield","Pathways","",,"71",,"38.83","20.13","42.62","percent of total billed charges",,
"O.V. - PROBLEM - DERMATOLOGY","99212","HCPCS","Both",,,"55","27.5","Blue Cross Blue Shield","HMO","",,"71",,"38.83","20.13","42.62","percent of total billed charges",,
"O.V. - PROBLEM - DERMATOLOGY","99212","HCPCS","Both",,,"55","27.5","Blue Cross Blue Shield","PPO","",,"71",,"38.83","20.13","42.62","percent of total billed charges",,
"O.V. - PROBLEM - DERMATOLOGY","99212","HCPCS","Both",,,"55","27.5","Ambetter","Health Exchange","",,"62",,"34.1","20.13","42.62","percent of total billed charges",,
"O.V. - PROBLEM - DERMATOLOGY","99212","HCPCS","Both",,,"55","27.5","Caresource","Health Exchange","",,"62",,"34.1","20.13","42.62","percent of total billed charges",,
"O.V. - PROBLEM - DERMATOLOGY","99212","HCPCS","Both",,,"55","27.5","Cigna","Commercial","",,"59",,"32.23","20.13","42.62","percent of total billed charges",,
"O.V. - PROBLEM - DERMATOLOGY","99212","HCPCS","Both",,,"55","27.5","Humana","Commercial","",,"78",,"42.62","20.13","42.62","percent of total billed charges",,
"O.V. - PROBLEM - DERMATOLOGY","99212","HCPCS","Both",,,"55","27.5","UHC","Commercial","",,"75",,"41.47","20.13","42.62","percent of total billed charges",,
"O.V. - PROBLEM - DERMATOLOGY","99212","HCPCS","Both",,,"55","27.5","Medicaid",,"",,"37",,"20.13","20.13","42.62","percent of total billed charges",,
"O.V. - EXPANDED - DERMATOLOGY","99213","HCPCS","Both",,,"61","30.5","Alliant","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"O.V. - EXPANDED - DERMATOLOGY","99213","HCPCS","Both",,,"61","30.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.94","22.33","47.28","percent of total billed charges",,
"O.V. - EXPANDED - DERMATOLOGY","99213","HCPCS","Both",,,"61","30.5","Medicare",,"",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"O.V. - EXPANDED - DERMATOLOGY","99213","HCPCS","Both",,,"61","30.5","Humana","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"O.V. - EXPANDED - DERMATOLOGY","99213","HCPCS","Both",,,"61","30.5","UHC","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"O.V. - EXPANDED - DERMATOLOGY","99213","HCPCS","Both",,,"61","30.5","Clover","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"O.V. - EXPANDED - DERMATOLOGY","99213","HCPCS","Both",,,"61","30.5","Wellcare","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"O.V. - EXPANDED - DERMATOLOGY","99213","HCPCS","Both",,,"61","30.5","Amerigroup","Medicaid Managed Care","",,"37",,"22.33","22.33","47.28","percent of total billed charges",,
"O.V. - EXPANDED - DERMATOLOGY","99213","HCPCS","Both",,,"61","30.5","Caresource","Medicaid Managed Care","",,"40",,"24.4","22.33","47.28","percent of total billed charges",,
"O.V. - EXPANDED - DERMATOLOGY","99213","HCPCS","Both",,,"61","30.5","Wellcare","Medicaid Managed Care","",,"40",,"24.7","22.33","47.28","percent of total billed charges",,
"O.V. - EXPANDED - DERMATOLOGY","99213","HCPCS","Both",,,"61","30.5","Aetna","Commercial","",,"64",,"38.92","22.33","47.28","percent of total billed charges",,
"O.V. - EXPANDED - DERMATOLOGY","99213","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","Pathways","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"O.V. - EXPANDED - DERMATOLOGY","99213","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","HMO","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"O.V. - EXPANDED - DERMATOLOGY","99213","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","PPO","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"O.V. - EXPANDED - DERMATOLOGY","99213","HCPCS","Both",,,"61","30.5","Ambetter","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"O.V. - EXPANDED - DERMATOLOGY","99213","HCPCS","Both",,,"61","30.5","Caresource","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"O.V. - EXPANDED - DERMATOLOGY","99213","HCPCS","Both",,,"61","30.5","Cigna","Commercial","",,"59",,"35.75","22.33","47.28","percent of total billed charges",,
"O.V. - EXPANDED - DERMATOLOGY","99213","HCPCS","Both",,,"61","30.5","Humana","Commercial","",,"78",,"47.28","22.33","47.28","percent of total billed charges",,
"O.V. - EXPANDED - DERMATOLOGY","99213","HCPCS","Both",,,"61","30.5","UHC","Commercial","",,"75",,"45.99","22.33","47.28","percent of total billed charges",,
"O.V. - EXPANDED - DERMATOLOGY","99213","HCPCS","Both",,,"61","30.5","Medicaid",,"",,"37",,"22.33","22.33","47.28","percent of total billed charges",,
"O.V. - DETAILED - DERMATOLOGY","99214","HCPCS","Both",,,"78","39","Alliant","Health Exchange","",,"62",,"48.36","28.55","60.45","percent of total billed charges",,
"O.V. - DETAILED - DERMATOLOGY","99214","HCPCS","Both",,,"78","39","Pruitt Healthcare","Medicare Advantage","",,"54",,"42.12","28.55","60.45","percent of total billed charges",,
"O.V. - DETAILED - DERMATOLOGY","99214","HCPCS","Both",,,"78","39","Medicare",,"",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"O.V. - DETAILED - DERMATOLOGY","99214","HCPCS","Both",,,"78","39","Humana","Medicare Advantage","",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"O.V. - DETAILED - DERMATOLOGY","99214","HCPCS","Both",,,"78","39","UHC","Medicare Advantage","",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"O.V. - DETAILED - DERMATOLOGY","99214","HCPCS","Both",,,"78","39","Clover","Medicare Advantage","",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"O.V. - DETAILED - DERMATOLOGY","99214","HCPCS","Both",,,"78","39","Wellcare","Medicare Advantage","",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"O.V. - DETAILED - DERMATOLOGY","99214","HCPCS","Both",,,"78","39","Amerigroup","Medicaid Managed Care","",,"37",,"28.55","28.55","60.45","percent of total billed charges",,
"O.V. - DETAILED - DERMATOLOGY","99214","HCPCS","Both",,,"78","39","Caresource","Medicaid Managed Care","",,"40",,"31.2","28.55","60.45","percent of total billed charges",,
"O.V. - DETAILED - DERMATOLOGY","99214","HCPCS","Both",,,"78","39","Wellcare","Medicaid Managed Care","",,"40",,"31.59","28.55","60.45","percent of total billed charges",,
"O.V. - DETAILED - DERMATOLOGY","99214","HCPCS","Both",,,"78","39","Aetna","Commercial","",,"64",,"49.76","28.55","60.45","percent of total billed charges",,
"O.V. - DETAILED - DERMATOLOGY","99214","HCPCS","Both",,,"78","39","Blue Cross Blue Shield","Pathways","",,"71",,"55.07","28.55","60.45","percent of total billed charges",,
"O.V. - DETAILED - DERMATOLOGY","99214","HCPCS","Both",,,"78","39","Blue Cross Blue Shield","HMO","",,"71",,"55.07","28.55","60.45","percent of total billed charges",,
"O.V. - DETAILED - DERMATOLOGY","99214","HCPCS","Both",,,"78","39","Blue Cross Blue Shield","PPO","",,"71",,"55.07","28.55","60.45","percent of total billed charges",,
"O.V. - DETAILED - DERMATOLOGY","99214","HCPCS","Both",,,"78","39","Ambetter","Health Exchange","",,"62",,"48.36","28.55","60.45","percent of total billed charges",,
"O.V. - DETAILED - DERMATOLOGY","99214","HCPCS","Both",,,"78","39","Caresource","Health Exchange","",,"62",,"48.36","28.55","60.45","percent of total billed charges",,
"O.V. - DETAILED - DERMATOLOGY","99214","HCPCS","Both",,,"78","39","Cigna","Commercial","",,"59",,"45.71","28.55","60.45","percent of total billed charges",,
"O.V. - DETAILED - DERMATOLOGY","99214","HCPCS","Both",,,"78","39","Humana","Commercial","",,"78",,"60.45","28.55","60.45","percent of total billed charges",,
"O.V. - DETAILED - DERMATOLOGY","99214","HCPCS","Both",,,"78","39","UHC","Commercial","",,"75",,"58.81","28.55","60.45","percent of total billed charges",,
"O.V. - DETAILED - DERMATOLOGY","99214","HCPCS","Both",,,"78","39","Medicaid",,"",,"37",,"28.55","28.55","60.45","percent of total billed charges",,
"SKIN INCIS & FB REMOVAL","10120","HCPCS","Both",,,"102","51","Alliant","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"SKIN INCIS & FB REMOVAL","10120","HCPCS","Both",,,"102","51","Pruitt Healthcare","Medicare Advantage","",,"54",,"55.08","37.33","79.05","percent of total billed charges",,
"SKIN INCIS & FB REMOVAL","10120","HCPCS","Both",,,"102","51","Medicare",,"",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"SKIN INCIS & FB REMOVAL","10120","HCPCS","Both",,,"102","51","Humana","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"SKIN INCIS & FB REMOVAL","10120","HCPCS","Both",,,"102","51","UHC","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"SKIN INCIS & FB REMOVAL","10120","HCPCS","Both",,,"102","51","Clover","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"SKIN INCIS & FB REMOVAL","10120","HCPCS","Both",,,"102","51","Wellcare","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"SKIN INCIS & FB REMOVAL","10120","HCPCS","Both",,,"102","51","Amerigroup","Medicaid Managed Care","",,"37",,"37.33","37.33","79.05","percent of total billed charges",,
"SKIN INCIS & FB REMOVAL","10120","HCPCS","Both",,,"102","51","Caresource","Medicaid Managed Care","",,"40",,"40.8","37.33","79.05","percent of total billed charges",,
"SKIN INCIS & FB REMOVAL","10120","HCPCS","Both",,,"102","51","Wellcare","Medicaid Managed Care","",,"40",,"41.31","37.33","79.05","percent of total billed charges",,
"SKIN INCIS & FB REMOVAL","10120","HCPCS","Both",,,"102","51","Aetna","Commercial","",,"64",,"65.08","37.33","79.05","percent of total billed charges",,
"SKIN INCIS & FB REMOVAL","10120","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","Pathways","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"SKIN INCIS & FB REMOVAL","10120","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","HMO","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"SKIN INCIS & FB REMOVAL","10120","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","PPO","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"SKIN INCIS & FB REMOVAL","10120","HCPCS","Both",,,"102","51","Ambetter","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"SKIN INCIS & FB REMOVAL","10120","HCPCS","Both",,,"102","51","Caresource","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"SKIN INCIS & FB REMOVAL","10120","HCPCS","Both",,,"102","51","Cigna","Commercial","",,"59",,"59.77","37.33","79.05","percent of total billed charges",,
"SKIN INCIS & FB REMOVAL","10120","HCPCS","Both",,,"102","51","Humana","Commercial","",,"78",,"79.05","37.33","79.05","percent of total billed charges",,
"SKIN INCIS & FB REMOVAL","10120","HCPCS","Both",,,"102","51","UHC","Commercial","",,"75",,"76.91","37.33","79.05","percent of total billed charges",,
"SKIN INCIS & FB REMOVAL","10120","HCPCS","Both",,,"102","51","Medicaid",,"",,"37",,"37.33","37.33","79.05","percent of total billed charges",,
"DEBRIDEMENT/REMOVAL F.M. OPEN FX","11010","HCPCS","Both",,,"561","280.5","Alliant","Health Exchange","",,"62",,"347.82","205.33","434.78","percent of total billed charges",,
"DEBRIDEMENT/REMOVAL F.M. OPEN FX","11010","HCPCS","Both",,,"561","280.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"302.94","205.33","434.78","percent of total billed charges",,
"DEBRIDEMENT/REMOVAL F.M. OPEN FX","11010","HCPCS","Both",,,"561","280.5","Medicare",,"",,"54",,"304.06","205.33","434.78","percent of total billed charges",,
"DEBRIDEMENT/REMOVAL F.M. OPEN FX","11010","HCPCS","Both",,,"561","280.5","Humana","Medicare Advantage","",,"54",,"304.06","205.33","434.78","percent of total billed charges",,
"DEBRIDEMENT/REMOVAL F.M. OPEN FX","11010","HCPCS","Both",,,"561","280.5","UHC","Medicare Advantage","",,"54",,"304.06","205.33","434.78","percent of total billed charges",,
"DEBRIDEMENT/REMOVAL F.M. OPEN FX","11010","HCPCS","Both",,,"561","280.5","Clover","Medicare Advantage","",,"54",,"304.06","205.33","434.78","percent of total billed charges",,
"DEBRIDEMENT/REMOVAL F.M. OPEN FX","11010","HCPCS","Both",,,"561","280.5","Wellcare","Medicare Advantage","",,"54",,"304.06","205.33","434.78","percent of total billed charges",,
"DEBRIDEMENT/REMOVAL F.M. OPEN FX","11010","HCPCS","Both",,,"561","280.5","Amerigroup","Medicaid Managed Care","",,"37",,"205.33","205.33","434.78","percent of total billed charges",,
"DEBRIDEMENT/REMOVAL F.M. OPEN FX","11010","HCPCS","Both",,,"561","280.5","Caresource","Medicaid Managed Care","",,"40",,"224.4","205.33","434.78","percent of total billed charges",,
"DEBRIDEMENT/REMOVAL F.M. OPEN FX","11010","HCPCS","Both",,,"561","280.5","Wellcare","Medicaid Managed Care","",,"40",,"227.2","205.33","434.78","percent of total billed charges",,
"DEBRIDEMENT/REMOVAL F.M. OPEN FX","11010","HCPCS","Both",,,"561","280.5","Aetna","Commercial","",,"64",,"357.92","205.33","434.78","percent of total billed charges",,
"DEBRIDEMENT/REMOVAL F.M. OPEN FX","11010","HCPCS","Both",,,"561","280.5","Blue Cross Blue Shield","Pathways","",,"71",,"396.07","205.33","434.78","percent of total billed charges",,
"DEBRIDEMENT/REMOVAL F.M. OPEN FX","11010","HCPCS","Both",,,"561","280.5","Blue Cross Blue Shield","HMO","",,"71",,"396.07","205.33","434.78","percent of total billed charges",,
"DEBRIDEMENT/REMOVAL F.M. OPEN FX","11010","HCPCS","Both",,,"561","280.5","Blue Cross Blue Shield","PPO","",,"71",,"396.07","205.33","434.78","percent of total billed charges",,
"DEBRIDEMENT/REMOVAL F.M. OPEN FX","11010","HCPCS","Both",,,"561","280.5","Ambetter","Health Exchange","",,"62",,"347.82","205.33","434.78","percent of total billed charges",,
"DEBRIDEMENT/REMOVAL F.M. OPEN FX","11010","HCPCS","Both",,,"561","280.5","Caresource","Health Exchange","",,"62",,"347.82","205.33","434.78","percent of total billed charges",,
"DEBRIDEMENT/REMOVAL F.M. OPEN FX","11010","HCPCS","Both",,,"561","280.5","Cigna","Commercial","",,"59",,"328.75","205.33","434.78","percent of total billed charges",,
"DEBRIDEMENT/REMOVAL F.M. OPEN FX","11010","HCPCS","Both",,,"561","280.5","Humana","Commercial","",,"78",,"434.78","205.33","434.78","percent of total billed charges",,
"DEBRIDEMENT/REMOVAL F.M. OPEN FX","11010","HCPCS","Both",,,"561","280.5","UHC","Commercial","",,"75",,"422.99","205.33","434.78","percent of total billed charges",,
"DEBRIDEMENT/REMOVAL F.M. OPEN FX","11010","HCPCS","Both",,,"561","280.5","Medicaid",,"",,"37",,"205.33","205.33","434.78","percent of total billed charges",,
"REPAIR OF NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Alliant","Health Exchange","",,"62",,"220.41","130.11","275.51","percent of total billed charges",,
"REPAIR OF NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"191.97","130.11","275.51","percent of total billed charges",,
"REPAIR OF NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Medicare",,"",,"54",,"192.68","130.11","275.51","percent of total billed charges",,
"REPAIR OF NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Humana","Medicare Advantage","",,"54",,"192.68","130.11","275.51","percent of total billed charges",,
"REPAIR OF NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","UHC","Medicare Advantage","",,"54",,"192.68","130.11","275.51","percent of total billed charges",,
"REPAIR OF NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Clover","Medicare Advantage","",,"54",,"192.68","130.11","275.51","percent of total billed charges",,
"REPAIR OF NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Wellcare","Medicare Advantage","",,"54",,"192.68","130.11","275.51","percent of total billed charges",,
"REPAIR OF NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Amerigroup","Medicaid Managed Care","",,"37",,"130.11","130.11","275.51","percent of total billed charges",,
"REPAIR OF NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Caresource","Medicaid Managed Care","",,"40",,"142.2","130.11","275.51","percent of total billed charges",,
"REPAIR OF NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Wellcare","Medicaid Managed Care","",,"40",,"143.98","130.11","275.51","percent of total billed charges",,
"REPAIR OF NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Aetna","Commercial","",,"64",,"226.81","130.11","275.51","percent of total billed charges",,
"REPAIR OF NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Blue Cross Blue Shield","Pathways","",,"71",,"250.98","130.11","275.51","percent of total billed charges",,
"REPAIR OF NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Blue Cross Blue Shield","HMO","",,"71",,"250.98","130.11","275.51","percent of total billed charges",,
"REPAIR OF NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Blue Cross Blue Shield","PPO","",,"71",,"250.98","130.11","275.51","percent of total billed charges",,
"REPAIR OF NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Ambetter","Health Exchange","",,"62",,"220.41","130.11","275.51","percent of total billed charges",,
"REPAIR OF NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Caresource","Health Exchange","",,"62",,"220.41","130.11","275.51","percent of total billed charges",,
"REPAIR OF NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Cigna","Commercial","",,"59",,"208.32","130.11","275.51","percent of total billed charges",,
"REPAIR OF NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Humana","Commercial","",,"78",,"275.51","130.11","275.51","percent of total billed charges",,
"REPAIR OF NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","UHC","Commercial","",,"75",,"268.05","130.11","275.51","percent of total billed charges",,
"REPAIR OF NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Medicaid",,"",,"37",,"130.11","130.11","275.51","percent of total billed charges",,
"REPAIR - COMPLEX; 2.6CM TO 7.5CM","13121","HCPCS","Both",,,"785.5","392.75","Alliant","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"REPAIR - COMPLEX; 2.6CM TO 7.5CM","13121","HCPCS","Both",,,"785.5","392.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"424.17","287.49","608.76","percent of total billed charges",,
"REPAIR - COMPLEX; 2.6CM TO 7.5CM","13121","HCPCS","Both",,,"785.5","392.75","Medicare",,"",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR - COMPLEX; 2.6CM TO 7.5CM","13121","HCPCS","Both",,,"785.5","392.75","Humana","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR - COMPLEX; 2.6CM TO 7.5CM","13121","HCPCS","Both",,,"785.5","392.75","UHC","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR - COMPLEX; 2.6CM TO 7.5CM","13121","HCPCS","Both",,,"785.5","392.75","Clover","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR - COMPLEX; 2.6CM TO 7.5CM","13121","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR - COMPLEX; 2.6CM TO 7.5CM","13121","HCPCS","Both",,,"785.5","392.75","Amerigroup","Medicaid Managed Care","",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"REPAIR - COMPLEX; 2.6CM TO 7.5CM","13121","HCPCS","Both",,,"785.5","392.75","Caresource","Medicaid Managed Care","",,"40",,"314.2","287.49","608.76","percent of total billed charges",,
"REPAIR - COMPLEX; 2.6CM TO 7.5CM","13121","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicaid Managed Care","",,"40",,"318.13","287.49","608.76","percent of total billed charges",,
"REPAIR - COMPLEX; 2.6CM TO 7.5CM","13121","HCPCS","Both",,,"785.5","392.75","Aetna","Commercial","",,"64",,"501.15","287.49","608.76","percent of total billed charges",,
"REPAIR - COMPLEX; 2.6CM TO 7.5CM","13121","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","Pathways","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"REPAIR - COMPLEX; 2.6CM TO 7.5CM","13121","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","HMO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"REPAIR - COMPLEX; 2.6CM TO 7.5CM","13121","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","PPO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"REPAIR - COMPLEX; 2.6CM TO 7.5CM","13121","HCPCS","Both",,,"785.5","392.75","Ambetter","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"REPAIR - COMPLEX; 2.6CM TO 7.5CM","13121","HCPCS","Both",,,"785.5","392.75","Caresource","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"REPAIR - COMPLEX; 2.6CM TO 7.5CM","13121","HCPCS","Both",,,"785.5","392.75","Cigna","Commercial","",,"59",,"460.3","287.49","608.76","percent of total billed charges",,
"REPAIR - COMPLEX; 2.6CM TO 7.5CM","13121","HCPCS","Both",,,"785.5","392.75","Humana","Commercial","",,"78",,"608.76","287.49","608.76","percent of total billed charges",,
"REPAIR - COMPLEX; 2.6CM TO 7.5CM","13121","HCPCS","Both",,,"785.5","392.75","UHC","Commercial","",,"75",,"592.27","287.49","608.76","percent of total billed charges",,
"REPAIR - COMPLEX; 2.6CM TO 7.5CM","13121","HCPCS","Both",,,"785.5","392.75","Medicaid",,"",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"REPAIR - COMPLEX; EACH ADD'L 5CM OR LESS","13122","HCPCS","Both",,,"785.5","392.75","Alliant","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"REPAIR - COMPLEX; EACH ADD'L 5CM OR LESS","13122","HCPCS","Both",,,"785.5","392.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"424.17","287.49","608.76","percent of total billed charges",,
"REPAIR - COMPLEX; EACH ADD'L 5CM OR LESS","13122","HCPCS","Both",,,"785.5","392.75","Medicare",,"",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR - COMPLEX; EACH ADD'L 5CM OR LESS","13122","HCPCS","Both",,,"785.5","392.75","Humana","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR - COMPLEX; EACH ADD'L 5CM OR LESS","13122","HCPCS","Both",,,"785.5","392.75","UHC","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR - COMPLEX; EACH ADD'L 5CM OR LESS","13122","HCPCS","Both",,,"785.5","392.75","Clover","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR - COMPLEX; EACH ADD'L 5CM OR LESS","13122","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR - COMPLEX; EACH ADD'L 5CM OR LESS","13122","HCPCS","Both",,,"785.5","392.75","Amerigroup","Medicaid Managed Care","",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"REPAIR - COMPLEX; EACH ADD'L 5CM OR LESS","13122","HCPCS","Both",,,"785.5","392.75","Caresource","Medicaid Managed Care","",,"40",,"314.2","287.49","608.76","percent of total billed charges",,
"REPAIR - COMPLEX; EACH ADD'L 5CM OR LESS","13122","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicaid Managed Care","",,"40",,"318.13","287.49","608.76","percent of total billed charges",,
"REPAIR - COMPLEX; EACH ADD'L 5CM OR LESS","13122","HCPCS","Both",,,"785.5","392.75","Aetna","Commercial","",,"64",,"501.15","287.49","608.76","percent of total billed charges",,
"REPAIR - COMPLEX; EACH ADD'L 5CM OR LESS","13122","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","Pathways","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"REPAIR - COMPLEX; EACH ADD'L 5CM OR LESS","13122","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","HMO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"REPAIR - COMPLEX; EACH ADD'L 5CM OR LESS","13122","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","PPO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"REPAIR - COMPLEX; EACH ADD'L 5CM OR LESS","13122","HCPCS","Both",,,"785.5","392.75","Ambetter","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"REPAIR - COMPLEX; EACH ADD'L 5CM OR LESS","13122","HCPCS","Both",,,"785.5","392.75","Caresource","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"REPAIR - COMPLEX; EACH ADD'L 5CM OR LESS","13122","HCPCS","Both",,,"785.5","392.75","Cigna","Commercial","",,"59",,"460.3","287.49","608.76","percent of total billed charges",,
"REPAIR - COMPLEX; EACH ADD'L 5CM OR LESS","13122","HCPCS","Both",,,"785.5","392.75","Humana","Commercial","",,"78",,"608.76","287.49","608.76","percent of total billed charges",,
"REPAIR - COMPLEX; EACH ADD'L 5CM OR LESS","13122","HCPCS","Both",,,"785.5","392.75","UHC","Commercial","",,"75",,"592.27","287.49","608.76","percent of total billed charges",,
"REPAIR - COMPLEX; EACH ADD'L 5CM OR LESS","13122","HCPCS","Both",,,"785.5","392.75","Medicaid",,"",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"REPAIR COMPLEX 2.6CM TO 7.5CM","13132","HCPCS","Both",,,"1228.5","614.25","Alliant","Health Exchange","",,"62",,"761.67","449.63","952.09","percent of total billed charges",,
"REPAIR COMPLEX 2.6CM TO 7.5CM","13132","HCPCS","Both",,,"1228.5","614.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"663.39","449.63","952.09","percent of total billed charges",,
"REPAIR COMPLEX 2.6CM TO 7.5CM","13132","HCPCS","Both",,,"1228.5","614.25","Medicare",,"",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"REPAIR COMPLEX 2.6CM TO 7.5CM","13132","HCPCS","Both",,,"1228.5","614.25","Humana","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"REPAIR COMPLEX 2.6CM TO 7.5CM","13132","HCPCS","Both",,,"1228.5","614.25","UHC","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"REPAIR COMPLEX 2.6CM TO 7.5CM","13132","HCPCS","Both",,,"1228.5","614.25","Clover","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"REPAIR COMPLEX 2.6CM TO 7.5CM","13132","HCPCS","Both",,,"1228.5","614.25","Wellcare","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"REPAIR COMPLEX 2.6CM TO 7.5CM","13132","HCPCS","Both",,,"1228.5","614.25","Amerigroup","Medicaid Managed Care","",,"37",,"449.63","449.63","952.09","percent of total billed charges",,
"REPAIR COMPLEX 2.6CM TO 7.5CM","13132","HCPCS","Both",,,"1228.5","614.25","Caresource","Medicaid Managed Care","",,"40",,"491.4","449.63","952.09","percent of total billed charges",,
"REPAIR COMPLEX 2.6CM TO 7.5CM","13132","HCPCS","Both",,,"1228.5","614.25","Wellcare","Medicaid Managed Care","",,"40",,"497.54","449.63","952.09","percent of total billed charges",,
"REPAIR COMPLEX 2.6CM TO 7.5CM","13132","HCPCS","Both",,,"1228.5","614.25","Aetna","Commercial","",,"64",,"783.78","449.63","952.09","percent of total billed charges",,
"REPAIR COMPLEX 2.6CM TO 7.5CM","13132","HCPCS","Both",,,"1228.5","614.25","Blue Cross Blue Shield","Pathways","",,"71",,"867.32","449.63","952.09","percent of total billed charges",,
"REPAIR COMPLEX 2.6CM TO 7.5CM","13132","HCPCS","Both",,,"1228.5","614.25","Blue Cross Blue Shield","HMO","",,"71",,"867.32","449.63","952.09","percent of total billed charges",,
"REPAIR COMPLEX 2.6CM TO 7.5CM","13132","HCPCS","Both",,,"1228.5","614.25","Blue Cross Blue Shield","PPO","",,"71",,"867.32","449.63","952.09","percent of total billed charges",,
"REPAIR COMPLEX 2.6CM TO 7.5CM","13132","HCPCS","Both",,,"1228.5","614.25","Ambetter","Health Exchange","",,"62",,"761.67","449.63","952.09","percent of total billed charges",,
"REPAIR COMPLEX 2.6CM TO 7.5CM","13132","HCPCS","Both",,,"1228.5","614.25","Caresource","Health Exchange","",,"62",,"761.67","449.63","952.09","percent of total billed charges",,
"REPAIR COMPLEX 2.6CM TO 7.5CM","13132","HCPCS","Both",,,"1228.5","614.25","Cigna","Commercial","",,"59",,"719.9","449.63","952.09","percent of total billed charges",,
"REPAIR COMPLEX 2.6CM TO 7.5CM","13132","HCPCS","Both",,,"1228.5","614.25","Humana","Commercial","",,"78",,"952.09","449.63","952.09","percent of total billed charges",,
"REPAIR COMPLEX 2.6CM TO 7.5CM","13132","HCPCS","Both",,,"1228.5","614.25","UHC","Commercial","",,"75",,"926.29","449.63","952.09","percent of total billed charges",,
"REPAIR COMPLEX 2.6CM TO 7.5CM","13132","HCPCS","Both",,,"1228.5","614.25","Medicaid",,"",,"37",,"449.63","449.63","952.09","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ SMALL JOINT","20600","HCPCS","Both",,,"570.5","285.25","Alliant","Health Exchange","",,"62",,"353.71","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ SMALL JOINT","20600","HCPCS","Both",,,"570.5","285.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"308.07","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ SMALL JOINT","20600","HCPCS","Both",,,"570.5","285.25","Medicare",,"",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ SMALL JOINT","20600","HCPCS","Both",,,"570.5","285.25","Humana","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ SMALL JOINT","20600","HCPCS","Both",,,"570.5","285.25","UHC","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ SMALL JOINT","20600","HCPCS","Both",,,"570.5","285.25","Clover","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ SMALL JOINT","20600","HCPCS","Both",,,"570.5","285.25","Wellcare","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ SMALL JOINT","20600","HCPCS","Both",,,"570.5","285.25","Amerigroup","Medicaid Managed Care","",,"37",,"208.8","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ SMALL JOINT","20600","HCPCS","Both",,,"570.5","285.25","Caresource","Medicaid Managed Care","",,"40",,"228.2","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ SMALL JOINT","20600","HCPCS","Both",,,"570.5","285.25","Wellcare","Medicaid Managed Care","",,"40",,"231.05","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ SMALL JOINT","20600","HCPCS","Both",,,"570.5","285.25","Aetna","Commercial","",,"64",,"363.98","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ SMALL JOINT","20600","HCPCS","Both",,,"570.5","285.25","Blue Cross Blue Shield","Pathways","",,"71",,"402.77","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ SMALL JOINT","20600","HCPCS","Both",,,"570.5","285.25","Blue Cross Blue Shield","HMO","",,"71",,"402.77","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ SMALL JOINT","20600","HCPCS","Both",,,"570.5","285.25","Blue Cross Blue Shield","PPO","",,"71",,"402.77","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ SMALL JOINT","20600","HCPCS","Both",,,"570.5","285.25","Ambetter","Health Exchange","",,"62",,"353.71","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ SMALL JOINT","20600","HCPCS","Both",,,"570.5","285.25","Caresource","Health Exchange","",,"62",,"353.71","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ SMALL JOINT","20600","HCPCS","Both",,,"570.5","285.25","Cigna","Commercial","",,"59",,"334.31","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ SMALL JOINT","20600","HCPCS","Both",,,"570.5","285.25","Humana","Commercial","",,"78",,"442.14","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ SMALL JOINT","20600","HCPCS","Both",,,"570.5","285.25","UHC","Commercial","",,"75",,"430.16","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ SMALL JOINT","20600","HCPCS","Both",,,"570.5","285.25","Medicaid",,"",,"37",,"208.8","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ INT JOINT","20605","HCPCS","Both",,,"570.5","285.25","Alliant","Health Exchange","",,"62",,"353.71","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ INT JOINT","20605","HCPCS","Both",,,"570.5","285.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"308.07","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ INT JOINT","20605","HCPCS","Both",,,"570.5","285.25","Medicare",,"",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ INT JOINT","20605","HCPCS","Both",,,"570.5","285.25","Humana","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ INT JOINT","20605","HCPCS","Both",,,"570.5","285.25","UHC","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ INT JOINT","20605","HCPCS","Both",,,"570.5","285.25","Clover","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ INT JOINT","20605","HCPCS","Both",,,"570.5","285.25","Wellcare","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ INT JOINT","20605","HCPCS","Both",,,"570.5","285.25","Amerigroup","Medicaid Managed Care","",,"37",,"208.8","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ INT JOINT","20605","HCPCS","Both",,,"570.5","285.25","Caresource","Medicaid Managed Care","",,"40",,"228.2","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ INT JOINT","20605","HCPCS","Both",,,"570.5","285.25","Wellcare","Medicaid Managed Care","",,"40",,"231.05","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ INT JOINT","20605","HCPCS","Both",,,"570.5","285.25","Aetna","Commercial","",,"64",,"363.98","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ INT JOINT","20605","HCPCS","Both",,,"570.5","285.25","Blue Cross Blue Shield","Pathways","",,"71",,"402.77","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ INT JOINT","20605","HCPCS","Both",,,"570.5","285.25","Blue Cross Blue Shield","HMO","",,"71",,"402.77","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ INT JOINT","20605","HCPCS","Both",,,"570.5","285.25","Blue Cross Blue Shield","PPO","",,"71",,"402.77","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ INT JOINT","20605","HCPCS","Both",,,"570.5","285.25","Ambetter","Health Exchange","",,"62",,"353.71","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ INT JOINT","20605","HCPCS","Both",,,"570.5","285.25","Caresource","Health Exchange","",,"62",,"353.71","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ INT JOINT","20605","HCPCS","Both",,,"570.5","285.25","Cigna","Commercial","",,"59",,"334.31","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ INT JOINT","20605","HCPCS","Both",,,"570.5","285.25","Humana","Commercial","",,"78",,"442.14","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ INT JOINT","20605","HCPCS","Both",,,"570.5","285.25","UHC","Commercial","",,"75",,"430.16","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ INT JOINT","20605","HCPCS","Both",,,"570.5","285.25","Medicaid",,"",,"37",,"208.8","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ, MAJOR JOINT","20610","HCPCS","Both",,,"57.5","28.75","Alliant","Health Exchange","",,"62",,"35.65","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ, MAJOR JOINT","20610","HCPCS","Both",,,"57.5","28.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"31.05","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ, MAJOR JOINT","20610","HCPCS","Both",,,"57.5","28.75","Medicare",,"",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ, MAJOR JOINT","20610","HCPCS","Both",,,"57.5","28.75","Humana","Medicare Advantage","",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ, MAJOR JOINT","20610","HCPCS","Both",,,"57.5","28.75","UHC","Medicare Advantage","",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ, MAJOR JOINT","20610","HCPCS","Both",,,"57.5","28.75","Clover","Medicare Advantage","",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ, MAJOR JOINT","20610","HCPCS","Both",,,"57.5","28.75","Wellcare","Medicare Advantage","",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ, MAJOR JOINT","20610","HCPCS","Both",,,"57.5","28.75","Amerigroup","Medicaid Managed Care","",,"37",,"21.04","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ, MAJOR JOINT","20610","HCPCS","Both",,,"57.5","28.75","Caresource","Medicaid Managed Care","",,"40",,"23","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ, MAJOR JOINT","20610","HCPCS","Both",,,"57.5","28.75","Wellcare","Medicaid Managed Care","",,"40",,"23.29","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ, MAJOR JOINT","20610","HCPCS","Both",,,"57.5","28.75","Aetna","Commercial","",,"64",,"36.68","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ, MAJOR JOINT","20610","HCPCS","Both",,,"57.5","28.75","Blue Cross Blue Shield","Pathways","",,"71",,"40.6","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ, MAJOR JOINT","20610","HCPCS","Both",,,"57.5","28.75","Blue Cross Blue Shield","HMO","",,"71",,"40.6","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ, MAJOR JOINT","20610","HCPCS","Both",,,"57.5","28.75","Blue Cross Blue Shield","PPO","",,"71",,"40.6","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ, MAJOR JOINT","20610","HCPCS","Both",,,"57.5","28.75","Ambetter","Health Exchange","",,"62",,"35.65","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ, MAJOR JOINT","20610","HCPCS","Both",,,"57.5","28.75","Caresource","Health Exchange","",,"62",,"35.65","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ, MAJOR JOINT","20610","HCPCS","Both",,,"57.5","28.75","Cigna","Commercial","",,"59",,"33.7","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ, MAJOR JOINT","20610","HCPCS","Both",,,"57.5","28.75","Humana","Commercial","",,"78",,"44.56","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ, MAJOR JOINT","20610","HCPCS","Both",,,"57.5","28.75","UHC","Commercial","",,"75",,"43.36","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS, ASP/INJ, MAJOR JOINT","20610","HCPCS","Both",,,"57.5","28.75","Medicaid",,"",,"37",,"21.04","21.04","44.56","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE FOREARM/WRIST","25075","HCPCS","Both",,,"898","449","Alliant","Health Exchange","",,"62",,"556.76","328.67","695.95","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE FOREARM/WRIST","25075","HCPCS","Both",,,"898","449","Pruitt Healthcare","Medicare Advantage","",,"54",,"484.92","328.67","695.95","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE FOREARM/WRIST","25075","HCPCS","Both",,,"898","449","Medicare",,"",,"54",,"486.72","328.67","695.95","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE FOREARM/WRIST","25075","HCPCS","Both",,,"898","449","Humana","Medicare Advantage","",,"54",,"486.72","328.67","695.95","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE FOREARM/WRIST","25075","HCPCS","Both",,,"898","449","UHC","Medicare Advantage","",,"54",,"486.72","328.67","695.95","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE FOREARM/WRIST","25075","HCPCS","Both",,,"898","449","Clover","Medicare Advantage","",,"54",,"486.72","328.67","695.95","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE FOREARM/WRIST","25075","HCPCS","Both",,,"898","449","Wellcare","Medicare Advantage","",,"54",,"486.72","328.67","695.95","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE FOREARM/WRIST","25075","HCPCS","Both",,,"898","449","Amerigroup","Medicaid Managed Care","",,"37",,"328.67","328.67","695.95","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE FOREARM/WRIST","25075","HCPCS","Both",,,"898","449","Caresource","Medicaid Managed Care","",,"40",,"359.2","328.67","695.95","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE FOREARM/WRIST","25075","HCPCS","Both",,,"898","449","Wellcare","Medicaid Managed Care","",,"40",,"363.69","328.67","695.95","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE FOREARM/WRIST","25075","HCPCS","Both",,,"898","449","Aetna","Commercial","",,"64",,"572.92","328.67","695.95","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE FOREARM/WRIST","25075","HCPCS","Both",,,"898","449","Blue Cross Blue Shield","Pathways","",,"71",,"633.99","328.67","695.95","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE FOREARM/WRIST","25075","HCPCS","Both",,,"898","449","Blue Cross Blue Shield","HMO","",,"71",,"633.99","328.67","695.95","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE FOREARM/WRIST","25075","HCPCS","Both",,,"898","449","Blue Cross Blue Shield","PPO","",,"71",,"633.99","328.67","695.95","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE FOREARM/WRIST","25075","HCPCS","Both",,,"898","449","Ambetter","Health Exchange","",,"62",,"556.76","328.67","695.95","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE FOREARM/WRIST","25075","HCPCS","Both",,,"898","449","Caresource","Health Exchange","",,"62",,"556.76","328.67","695.95","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE FOREARM/WRIST","25075","HCPCS","Both",,,"898","449","Cigna","Commercial","",,"59",,"526.23","328.67","695.95","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE FOREARM/WRIST","25075","HCPCS","Both",,,"898","449","Humana","Commercial","",,"78",,"695.95","328.67","695.95","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE FOREARM/WRIST","25075","HCPCS","Both",,,"898","449","UHC","Commercial","",,"75",,"677.09","328.67","695.95","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE FOREARM/WRIST","25075","HCPCS","Both",,,"898","449","Medicaid",,"",,"37",,"328.67","328.67","695.95","percent of total billed charges",,
"EXCISION GANGLION, WRIST; PRIMARY","25111","HCPCS","Both",,,"391","195.5","Alliant","Health Exchange","",,"62",,"242.42","143.11","303.03","percent of total billed charges",,
"EXCISION GANGLION, WRIST; PRIMARY","25111","HCPCS","Both",,,"391","195.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"211.14","143.11","303.03","percent of total billed charges",,
"EXCISION GANGLION, WRIST; PRIMARY","25111","HCPCS","Both",,,"391","195.5","Medicare",,"",,"54",,"211.92","143.11","303.03","percent of total billed charges",,
"EXCISION GANGLION, WRIST; PRIMARY","25111","HCPCS","Both",,,"391","195.5","Humana","Medicare Advantage","",,"54",,"211.92","143.11","303.03","percent of total billed charges",,
"EXCISION GANGLION, WRIST; PRIMARY","25111","HCPCS","Both",,,"391","195.5","UHC","Medicare Advantage","",,"54",,"211.92","143.11","303.03","percent of total billed charges",,
"EXCISION GANGLION, WRIST; PRIMARY","25111","HCPCS","Both",,,"391","195.5","Clover","Medicare Advantage","",,"54",,"211.92","143.11","303.03","percent of total billed charges",,
"EXCISION GANGLION, WRIST; PRIMARY","25111","HCPCS","Both",,,"391","195.5","Wellcare","Medicare Advantage","",,"54",,"211.92","143.11","303.03","percent of total billed charges",,
"EXCISION GANGLION, WRIST; PRIMARY","25111","HCPCS","Both",,,"391","195.5","Amerigroup","Medicaid Managed Care","",,"37",,"143.11","143.11","303.03","percent of total billed charges",,
"EXCISION GANGLION, WRIST; PRIMARY","25111","HCPCS","Both",,,"391","195.5","Caresource","Medicaid Managed Care","",,"40",,"156.4","143.11","303.03","percent of total billed charges",,
"EXCISION GANGLION, WRIST; PRIMARY","25111","HCPCS","Both",,,"391","195.5","Wellcare","Medicaid Managed Care","",,"40",,"158.36","143.11","303.03","percent of total billed charges",,
"EXCISION GANGLION, WRIST; PRIMARY","25111","HCPCS","Both",,,"391","195.5","Aetna","Commercial","",,"64",,"249.46","143.11","303.03","percent of total billed charges",,
"EXCISION GANGLION, WRIST; PRIMARY","25111","HCPCS","Both",,,"391","195.5","Blue Cross Blue Shield","Pathways","",,"71",,"276.05","143.11","303.03","percent of total billed charges",,
"EXCISION GANGLION, WRIST; PRIMARY","25111","HCPCS","Both",,,"391","195.5","Blue Cross Blue Shield","HMO","",,"71",,"276.05","143.11","303.03","percent of total billed charges",,
"EXCISION GANGLION, WRIST; PRIMARY","25111","HCPCS","Both",,,"391","195.5","Blue Cross Blue Shield","PPO","",,"71",,"276.05","143.11","303.03","percent of total billed charges",,
"EXCISION GANGLION, WRIST; PRIMARY","25111","HCPCS","Both",,,"391","195.5","Ambetter","Health Exchange","",,"62",,"242.42","143.11","303.03","percent of total billed charges",,
"EXCISION GANGLION, WRIST; PRIMARY","25111","HCPCS","Both",,,"391","195.5","Caresource","Health Exchange","",,"62",,"242.42","143.11","303.03","percent of total billed charges",,
"EXCISION GANGLION, WRIST; PRIMARY","25111","HCPCS","Both",,,"391","195.5","Cigna","Commercial","",,"59",,"229.13","143.11","303.03","percent of total billed charges",,
"EXCISION GANGLION, WRIST; PRIMARY","25111","HCPCS","Both",,,"391","195.5","Humana","Commercial","",,"78",,"303.03","143.11","303.03","percent of total billed charges",,
"EXCISION GANGLION, WRIST; PRIMARY","25111","HCPCS","Both",,,"391","195.5","UHC","Commercial","",,"75",,"294.81","143.11","303.03","percent of total billed charges",,
"EXCISION GANGLION, WRIST; PRIMARY","25111","HCPCS","Both",,,"391","195.5","Medicaid",,"",,"37",,"143.11","143.11","303.03","percent of total billed charges",,
"OPEN TX DISTAL PHALANGEAL FX","26765","HCPCS","Both",,,"898","449","Alliant","Health Exchange","",,"62",,"556.76","328.67","695.95","percent of total billed charges",,
"OPEN TX DISTAL PHALANGEAL FX","26765","HCPCS","Both",,,"898","449","Pruitt Healthcare","Medicare Advantage","",,"54",,"484.92","328.67","695.95","percent of total billed charges",,
"OPEN TX DISTAL PHALANGEAL FX","26765","HCPCS","Both",,,"898","449","Medicare",,"",,"54",,"486.72","328.67","695.95","percent of total billed charges",,
"OPEN TX DISTAL PHALANGEAL FX","26765","HCPCS","Both",,,"898","449","Humana","Medicare Advantage","",,"54",,"486.72","328.67","695.95","percent of total billed charges",,
"OPEN TX DISTAL PHALANGEAL FX","26765","HCPCS","Both",,,"898","449","UHC","Medicare Advantage","",,"54",,"486.72","328.67","695.95","percent of total billed charges",,
"OPEN TX DISTAL PHALANGEAL FX","26765","HCPCS","Both",,,"898","449","Clover","Medicare Advantage","",,"54",,"486.72","328.67","695.95","percent of total billed charges",,
"OPEN TX DISTAL PHALANGEAL FX","26765","HCPCS","Both",,,"898","449","Wellcare","Medicare Advantage","",,"54",,"486.72","328.67","695.95","percent of total billed charges",,
"OPEN TX DISTAL PHALANGEAL FX","26765","HCPCS","Both",,,"898","449","Amerigroup","Medicaid Managed Care","",,"37",,"328.67","328.67","695.95","percent of total billed charges",,
"OPEN TX DISTAL PHALANGEAL FX","26765","HCPCS","Both",,,"898","449","Caresource","Medicaid Managed Care","",,"40",,"359.2","328.67","695.95","percent of total billed charges",,
"OPEN TX DISTAL PHALANGEAL FX","26765","HCPCS","Both",,,"898","449","Wellcare","Medicaid Managed Care","",,"40",,"363.69","328.67","695.95","percent of total billed charges",,
"OPEN TX DISTAL PHALANGEAL FX","26765","HCPCS","Both",,,"898","449","Aetna","Commercial","",,"64",,"572.92","328.67","695.95","percent of total billed charges",,
"OPEN TX DISTAL PHALANGEAL FX","26765","HCPCS","Both",,,"898","449","Blue Cross Blue Shield","Pathways","",,"71",,"633.99","328.67","695.95","percent of total billed charges",,
"OPEN TX DISTAL PHALANGEAL FX","26765","HCPCS","Both",,,"898","449","Blue Cross Blue Shield","HMO","",,"71",,"633.99","328.67","695.95","percent of total billed charges",,
"OPEN TX DISTAL PHALANGEAL FX","26765","HCPCS","Both",,,"898","449","Blue Cross Blue Shield","PPO","",,"71",,"633.99","328.67","695.95","percent of total billed charges",,
"OPEN TX DISTAL PHALANGEAL FX","26765","HCPCS","Both",,,"898","449","Ambetter","Health Exchange","",,"62",,"556.76","328.67","695.95","percent of total billed charges",,
"OPEN TX DISTAL PHALANGEAL FX","26765","HCPCS","Both",,,"898","449","Caresource","Health Exchange","",,"62",,"556.76","328.67","695.95","percent of total billed charges",,
"OPEN TX DISTAL PHALANGEAL FX","26765","HCPCS","Both",,,"898","449","Cigna","Commercial","",,"59",,"526.23","328.67","695.95","percent of total billed charges",,
"OPEN TX DISTAL PHALANGEAL FX","26765","HCPCS","Both",,,"898","449","Humana","Commercial","",,"78",,"695.95","328.67","695.95","percent of total billed charges",,
"OPEN TX DISTAL PHALANGEAL FX","26765","HCPCS","Both",,,"898","449","UHC","Commercial","",,"75",,"677.09","328.67","695.95","percent of total billed charges",,
"OPEN TX DISTAL PHALANGEAL FX","26765","HCPCS","Both",,,"898","449","Medicaid",,"",,"37",,"328.67","328.67","695.95","percent of total billed charges",,
"EXCISION LESION FOOT","28090","HCPCS","Both",,,"841.5","420.75","Alliant","Health Exchange","",,"62",,"521.73","307.99","652.16","percent of total billed charges",,
"EXCISION LESION FOOT","28090","HCPCS","Both",,,"841.5","420.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"454.41","307.99","652.16","percent of total billed charges",,
"EXCISION LESION FOOT","28090","HCPCS","Both",,,"841.5","420.75","Medicare",,"",,"54",,"456.09","307.99","652.16","percent of total billed charges",,
"EXCISION LESION FOOT","28090","HCPCS","Both",,,"841.5","420.75","Humana","Medicare Advantage","",,"54",,"456.09","307.99","652.16","percent of total billed charges",,
"EXCISION LESION FOOT","28090","HCPCS","Both",,,"841.5","420.75","UHC","Medicare Advantage","",,"54",,"456.09","307.99","652.16","percent of total billed charges",,
"EXCISION LESION FOOT","28090","HCPCS","Both",,,"841.5","420.75","Clover","Medicare Advantage","",,"54",,"456.09","307.99","652.16","percent of total billed charges",,
"EXCISION LESION FOOT","28090","HCPCS","Both",,,"841.5","420.75","Wellcare","Medicare Advantage","",,"54",,"456.09","307.99","652.16","percent of total billed charges",,
"EXCISION LESION FOOT","28090","HCPCS","Both",,,"841.5","420.75","Amerigroup","Medicaid Managed Care","",,"37",,"307.99","307.99","652.16","percent of total billed charges",,
"EXCISION LESION FOOT","28090","HCPCS","Both",,,"841.5","420.75","Caresource","Medicaid Managed Care","",,"40",,"336.6","307.99","652.16","percent of total billed charges",,
"EXCISION LESION FOOT","28090","HCPCS","Both",,,"841.5","420.75","Wellcare","Medicaid Managed Care","",,"40",,"340.81","307.99","652.16","percent of total billed charges",,
"EXCISION LESION FOOT","28090","HCPCS","Both",,,"841.5","420.75","Aetna","Commercial","",,"64",,"536.88","307.99","652.16","percent of total billed charges",,
"EXCISION LESION FOOT","28090","HCPCS","Both",,,"841.5","420.75","Blue Cross Blue Shield","Pathways","",,"71",,"594.1","307.99","652.16","percent of total billed charges",,
"EXCISION LESION FOOT","28090","HCPCS","Both",,,"841.5","420.75","Blue Cross Blue Shield","HMO","",,"71",,"594.1","307.99","652.16","percent of total billed charges",,
"EXCISION LESION FOOT","28090","HCPCS","Both",,,"841.5","420.75","Blue Cross Blue Shield","PPO","",,"71",,"594.1","307.99","652.16","percent of total billed charges",,
"EXCISION LESION FOOT","28090","HCPCS","Both",,,"841.5","420.75","Ambetter","Health Exchange","",,"62",,"521.73","307.99","652.16","percent of total billed charges",,
"EXCISION LESION FOOT","28090","HCPCS","Both",,,"841.5","420.75","Caresource","Health Exchange","",,"62",,"521.73","307.99","652.16","percent of total billed charges",,
"EXCISION LESION FOOT","28090","HCPCS","Both",,,"841.5","420.75","Cigna","Commercial","",,"59",,"493.12","307.99","652.16","percent of total billed charges",,
"EXCISION LESION FOOT","28090","HCPCS","Both",,,"841.5","420.75","Humana","Commercial","",,"78",,"652.16","307.99","652.16","percent of total billed charges",,
"EXCISION LESION FOOT","28090","HCPCS","Both",,,"841.5","420.75","UHC","Commercial","",,"75",,"634.49","307.99","652.16","percent of total billed charges",,
"EXCISION LESION FOOT","28090","HCPCS","Both",,,"841.5","420.75","Medicaid",,"",,"37",,"307.99","307.99","652.16","percent of total billed charges",,
"EXCISION CYST OR TUMOR","28104","HCPCS","Both",,,"926.5","463.25","Alliant","Health Exchange","",,"62",,"574.43","339.1","718.04","percent of total billed charges",,
"EXCISION CYST OR TUMOR","28104","HCPCS","Both",,,"926.5","463.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"500.31","339.1","718.04","percent of total billed charges",,
"EXCISION CYST OR TUMOR","28104","HCPCS","Both",,,"926.5","463.25","Medicare",,"",,"54",,"502.16","339.1","718.04","percent of total billed charges",,
"EXCISION CYST OR TUMOR","28104","HCPCS","Both",,,"926.5","463.25","Humana","Medicare Advantage","",,"54",,"502.16","339.1","718.04","percent of total billed charges",,
"EXCISION CYST OR TUMOR","28104","HCPCS","Both",,,"926.5","463.25","UHC","Medicare Advantage","",,"54",,"502.16","339.1","718.04","percent of total billed charges",,
"EXCISION CYST OR TUMOR","28104","HCPCS","Both",,,"926.5","463.25","Clover","Medicare Advantage","",,"54",,"502.16","339.1","718.04","percent of total billed charges",,
"EXCISION CYST OR TUMOR","28104","HCPCS","Both",,,"926.5","463.25","Wellcare","Medicare Advantage","",,"54",,"502.16","339.1","718.04","percent of total billed charges",,
"EXCISION CYST OR TUMOR","28104","HCPCS","Both",,,"926.5","463.25","Amerigroup","Medicaid Managed Care","",,"37",,"339.1","339.1","718.04","percent of total billed charges",,
"EXCISION CYST OR TUMOR","28104","HCPCS","Both",,,"926.5","463.25","Caresource","Medicaid Managed Care","",,"40",,"370.6","339.1","718.04","percent of total billed charges",,
"EXCISION CYST OR TUMOR","28104","HCPCS","Both",,,"926.5","463.25","Wellcare","Medicaid Managed Care","",,"40",,"375.23","339.1","718.04","percent of total billed charges",,
"EXCISION CYST OR TUMOR","28104","HCPCS","Both",,,"926.5","463.25","Aetna","Commercial","",,"64",,"591.11","339.1","718.04","percent of total billed charges",,
"EXCISION CYST OR TUMOR","28104","HCPCS","Both",,,"926.5","463.25","Blue Cross Blue Shield","Pathways","",,"71",,"654.11","339.1","718.04","percent of total billed charges",,
"EXCISION CYST OR TUMOR","28104","HCPCS","Both",,,"926.5","463.25","Blue Cross Blue Shield","HMO","",,"71",,"654.11","339.1","718.04","percent of total billed charges",,
"EXCISION CYST OR TUMOR","28104","HCPCS","Both",,,"926.5","463.25","Blue Cross Blue Shield","PPO","",,"71",,"654.11","339.1","718.04","percent of total billed charges",,
"EXCISION CYST OR TUMOR","28104","HCPCS","Both",,,"926.5","463.25","Ambetter","Health Exchange","",,"62",,"574.43","339.1","718.04","percent of total billed charges",,
"EXCISION CYST OR TUMOR","28104","HCPCS","Both",,,"926.5","463.25","Caresource","Health Exchange","",,"62",,"574.43","339.1","718.04","percent of total billed charges",,
"EXCISION CYST OR TUMOR","28104","HCPCS","Both",,,"926.5","463.25","Cigna","Commercial","",,"59",,"542.93","339.1","718.04","percent of total billed charges",,
"EXCISION CYST OR TUMOR","28104","HCPCS","Both",,,"926.5","463.25","Humana","Commercial","",,"78",,"718.04","339.1","718.04","percent of total billed charges",,
"EXCISION CYST OR TUMOR","28104","HCPCS","Both",,,"926.5","463.25","UHC","Commercial","",,"75",,"698.58","339.1","718.04","percent of total billed charges",,
"EXCISION CYST OR TUMOR","28104","HCPCS","Both",,,"926.5","463.25","Medicaid",,"",,"37",,"339.1","339.1","718.04","percent of total billed charges",,
"APPL LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Alliant","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"APPL LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Pruitt Healthcare","Medicare Advantage","",,"54",,"55.08","37.33","79.05","percent of total billed charges",,
"APPL LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Medicare",,"",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"APPL LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Humana","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"APPL LONG ARM CAST","29065","HCPCS","Both",,,"102","51","UHC","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"APPL LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Clover","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"APPL LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Wellcare","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"APPL LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Amerigroup","Medicaid Managed Care","",,"37",,"37.33","37.33","79.05","percent of total billed charges",,
"APPL LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Caresource","Medicaid Managed Care","",,"40",,"40.8","37.33","79.05","percent of total billed charges",,
"APPL LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Wellcare","Medicaid Managed Care","",,"40",,"41.31","37.33","79.05","percent of total billed charges",,
"APPL LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Aetna","Commercial","",,"64",,"65.08","37.33","79.05","percent of total billed charges",,
"APPL LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","Pathways","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"APPL LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","HMO","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"APPL LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","PPO","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"APPL LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Ambetter","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"APPL LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Caresource","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"APPL LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Cigna","Commercial","",,"59",,"59.77","37.33","79.05","percent of total billed charges",,
"APPL LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Humana","Commercial","",,"78",,"79.05","37.33","79.05","percent of total billed charges",,
"APPL LONG ARM CAST","29065","HCPCS","Both",,,"102","51","UHC","Commercial","",,"75",,"76.91","37.33","79.05","percent of total billed charges",,
"APPL LONG ARM CAST","29065","HCPCS","Both",,,"102","51","Medicaid",,"",,"37",,"37.33","37.33","79.05","percent of total billed charges",,
"APPL FINGER SPLINT","29130","HCPCS","Both",,,"51.5","25.75","Alliant","Health Exchange","",,"62",,"31.93","18.85","39.91","percent of total billed charges",,
"APPL FINGER SPLINT","29130","HCPCS","Both",,,"51.5","25.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"27.81","18.85","39.91","percent of total billed charges",,
"APPL FINGER SPLINT","29130","HCPCS","Both",,,"51.5","25.75","Medicare",,"",,"54",,"27.91","18.85","39.91","percent of total billed charges",,
"APPL FINGER SPLINT","29130","HCPCS","Both",,,"51.5","25.75","Humana","Medicare Advantage","",,"54",,"27.91","18.85","39.91","percent of total billed charges",,
"APPL FINGER SPLINT","29130","HCPCS","Both",,,"51.5","25.75","UHC","Medicare Advantage","",,"54",,"27.91","18.85","39.91","percent of total billed charges",,
"APPL FINGER SPLINT","29130","HCPCS","Both",,,"51.5","25.75","Clover","Medicare Advantage","",,"54",,"27.91","18.85","39.91","percent of total billed charges",,
"APPL FINGER SPLINT","29130","HCPCS","Both",,,"51.5","25.75","Wellcare","Medicare Advantage","",,"54",,"27.91","18.85","39.91","percent of total billed charges",,
"APPL FINGER SPLINT","29130","HCPCS","Both",,,"51.5","25.75","Amerigroup","Medicaid Managed Care","",,"37",,"18.85","18.85","39.91","percent of total billed charges",,
"APPL FINGER SPLINT","29130","HCPCS","Both",,,"51.5","25.75","Caresource","Medicaid Managed Care","",,"40",,"20.6","18.85","39.91","percent of total billed charges",,
"APPL FINGER SPLINT","29130","HCPCS","Both",,,"51.5","25.75","Wellcare","Medicaid Managed Care","",,"40",,"20.86","18.85","39.91","percent of total billed charges",,
"APPL FINGER SPLINT","29130","HCPCS","Both",,,"51.5","25.75","Aetna","Commercial","",,"64",,"32.86","18.85","39.91","percent of total billed charges",,
"APPL FINGER SPLINT","29130","HCPCS","Both",,,"51.5","25.75","Blue Cross Blue Shield","Pathways","",,"71",,"36.36","18.85","39.91","percent of total billed charges",,
"APPL FINGER SPLINT","29130","HCPCS","Both",,,"51.5","25.75","Blue Cross Blue Shield","HMO","",,"71",,"36.36","18.85","39.91","percent of total billed charges",,
"APPL FINGER SPLINT","29130","HCPCS","Both",,,"51.5","25.75","Blue Cross Blue Shield","PPO","",,"71",,"36.36","18.85","39.91","percent of total billed charges",,
"APPL FINGER SPLINT","29130","HCPCS","Both",,,"51.5","25.75","Ambetter","Health Exchange","",,"62",,"31.93","18.85","39.91","percent of total billed charges",,
"APPL FINGER SPLINT","29130","HCPCS","Both",,,"51.5","25.75","Caresource","Health Exchange","",,"62",,"31.93","18.85","39.91","percent of total billed charges",,
"APPL FINGER SPLINT","29130","HCPCS","Both",,,"51.5","25.75","Cigna","Commercial","",,"59",,"30.18","18.85","39.91","percent of total billed charges",,
"APPL FINGER SPLINT","29130","HCPCS","Both",,,"51.5","25.75","Humana","Commercial","",,"78",,"39.91","18.85","39.91","percent of total billed charges",,
"APPL FINGER SPLINT","29130","HCPCS","Both",,,"51.5","25.75","UHC","Commercial","",,"75",,"38.83","18.85","39.91","percent of total billed charges",,
"APPL FINGER SPLINT","29130","HCPCS","Both",,,"51.5","25.75","Medicaid",,"",,"37",,"18.85","18.85","39.91","percent of total billed charges",,
"APPL SHORT LEG CAST BELOW KNEE","29405","HCPCS","Both",,,"114","57","Alliant","Health Exchange","",,"62",,"70.68","41.72","88.35","percent of total billed charges",,
"APPL SHORT LEG CAST BELOW KNEE","29405","HCPCS","Both",,,"114","57","Pruitt Healthcare","Medicare Advantage","",,"54",,"61.56","41.72","88.35","percent of total billed charges",,
"APPL SHORT LEG CAST BELOW KNEE","29405","HCPCS","Both",,,"114","57","Medicare",,"",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"APPL SHORT LEG CAST BELOW KNEE","29405","HCPCS","Both",,,"114","57","Humana","Medicare Advantage","",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"APPL SHORT LEG CAST BELOW KNEE","29405","HCPCS","Both",,,"114","57","UHC","Medicare Advantage","",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"APPL SHORT LEG CAST BELOW KNEE","29405","HCPCS","Both",,,"114","57","Clover","Medicare Advantage","",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"APPL SHORT LEG CAST BELOW KNEE","29405","HCPCS","Both",,,"114","57","Wellcare","Medicare Advantage","",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"APPL SHORT LEG CAST BELOW KNEE","29405","HCPCS","Both",,,"114","57","Amerigroup","Medicaid Managed Care","",,"37",,"41.72","41.72","88.35","percent of total billed charges",,
"APPL SHORT LEG CAST BELOW KNEE","29405","HCPCS","Both",,,"114","57","Caresource","Medicaid Managed Care","",,"40",,"45.6","41.72","88.35","percent of total billed charges",,
"APPL SHORT LEG CAST BELOW KNEE","29405","HCPCS","Both",,,"114","57","Wellcare","Medicaid Managed Care","",,"40",,"46.17","41.72","88.35","percent of total billed charges",,
"APPL SHORT LEG CAST BELOW KNEE","29405","HCPCS","Both",,,"114","57","Aetna","Commercial","",,"64",,"72.73","41.72","88.35","percent of total billed charges",,
"APPL SHORT LEG CAST BELOW KNEE","29405","HCPCS","Both",,,"114","57","Blue Cross Blue Shield","Pathways","",,"71",,"80.48","41.72","88.35","percent of total billed charges",,
"APPL SHORT LEG CAST BELOW KNEE","29405","HCPCS","Both",,,"114","57","Blue Cross Blue Shield","HMO","",,"71",,"80.48","41.72","88.35","percent of total billed charges",,
"APPL SHORT LEG CAST BELOW KNEE","29405","HCPCS","Both",,,"114","57","Blue Cross Blue Shield","PPO","",,"71",,"80.48","41.72","88.35","percent of total billed charges",,
"APPL SHORT LEG CAST BELOW KNEE","29405","HCPCS","Both",,,"114","57","Ambetter","Health Exchange","",,"62",,"70.68","41.72","88.35","percent of total billed charges",,
"APPL SHORT LEG CAST BELOW KNEE","29405","HCPCS","Both",,,"114","57","Caresource","Health Exchange","",,"62",,"70.68","41.72","88.35","percent of total billed charges",,
"APPL SHORT LEG CAST BELOW KNEE","29405","HCPCS","Both",,,"114","57","Cigna","Commercial","",,"59",,"66.8","41.72","88.35","percent of total billed charges",,
"APPL SHORT LEG CAST BELOW KNEE","29405","HCPCS","Both",,,"114","57","Humana","Commercial","",,"78",,"88.35","41.72","88.35","percent of total billed charges",,
"APPL SHORT LEG CAST BELOW KNEE","29405","HCPCS","Both",,,"114","57","UHC","Commercial","",,"75",,"85.96","41.72","88.35","percent of total billed charges",,
"APPL SHORT LEG CAST BELOW KNEE","29405","HCPCS","Both",,,"114","57","Medicaid",,"",,"37",,"41.72","41.72","88.35","percent of total billed charges",,
"APPL SHORT LEG SPLINT","29515","HCPCS","Both",,,"266.5","133.25","Alliant","Health Exchange","",,"62",,"165.23","97.54","206.54","percent of total billed charges",,
"APPL SHORT LEG SPLINT","29515","HCPCS","Both",,,"266.5","133.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"143.91","97.54","206.54","percent of total billed charges",,
"APPL SHORT LEG SPLINT","29515","HCPCS","Both",,,"266.5","133.25","Medicare",,"",,"54",,"144.44","97.54","206.54","percent of total billed charges",,
"APPL SHORT LEG SPLINT","29515","HCPCS","Both",,,"266.5","133.25","Humana","Medicare Advantage","",,"54",,"144.44","97.54","206.54","percent of total billed charges",,
"APPL SHORT LEG SPLINT","29515","HCPCS","Both",,,"266.5","133.25","UHC","Medicare Advantage","",,"54",,"144.44","97.54","206.54","percent of total billed charges",,
"APPL SHORT LEG SPLINT","29515","HCPCS","Both",,,"266.5","133.25","Clover","Medicare Advantage","",,"54",,"144.44","97.54","206.54","percent of total billed charges",,
"APPL SHORT LEG SPLINT","29515","HCPCS","Both",,,"266.5","133.25","Wellcare","Medicare Advantage","",,"54",,"144.44","97.54","206.54","percent of total billed charges",,
"APPL SHORT LEG SPLINT","29515","HCPCS","Both",,,"266.5","133.25","Amerigroup","Medicaid Managed Care","",,"37",,"97.54","97.54","206.54","percent of total billed charges",,
"APPL SHORT LEG SPLINT","29515","HCPCS","Both",,,"266.5","133.25","Caresource","Medicaid Managed Care","",,"40",,"106.6","97.54","206.54","percent of total billed charges",,
"APPL SHORT LEG SPLINT","29515","HCPCS","Both",,,"266.5","133.25","Wellcare","Medicaid Managed Care","",,"40",,"107.93","97.54","206.54","percent of total billed charges",,
"APPL SHORT LEG SPLINT","29515","HCPCS","Both",,,"266.5","133.25","Aetna","Commercial","",,"64",,"170.03","97.54","206.54","percent of total billed charges",,
"APPL SHORT LEG SPLINT","29515","HCPCS","Both",,,"266.5","133.25","Blue Cross Blue Shield","Pathways","",,"71",,"188.15","97.54","206.54","percent of total billed charges",,
"APPL SHORT LEG SPLINT","29515","HCPCS","Both",,,"266.5","133.25","Blue Cross Blue Shield","HMO","",,"71",,"188.15","97.54","206.54","percent of total billed charges",,
"APPL SHORT LEG SPLINT","29515","HCPCS","Both",,,"266.5","133.25","Blue Cross Blue Shield","PPO","",,"71",,"188.15","97.54","206.54","percent of total billed charges",,
"APPL SHORT LEG SPLINT","29515","HCPCS","Both",,,"266.5","133.25","Ambetter","Health Exchange","",,"62",,"165.23","97.54","206.54","percent of total billed charges",,
"APPL SHORT LEG SPLINT","29515","HCPCS","Both",,,"266.5","133.25","Caresource","Health Exchange","",,"62",,"165.23","97.54","206.54","percent of total billed charges",,
"APPL SHORT LEG SPLINT","29515","HCPCS","Both",,,"266.5","133.25","Cigna","Commercial","",,"59",,"156.17","97.54","206.54","percent of total billed charges",,
"APPL SHORT LEG SPLINT","29515","HCPCS","Both",,,"266.5","133.25","Humana","Commercial","",,"78",,"206.54","97.54","206.54","percent of total billed charges",,
"APPL SHORT LEG SPLINT","29515","HCPCS","Both",,,"266.5","133.25","UHC","Commercial","",,"75",,"200.94","97.54","206.54","percent of total billed charges",,
"APPL SHORT LEG SPLINT","29515","HCPCS","Both",,,"266.5","133.25","Medicaid",,"",,"37",,"97.54","97.54","206.54","percent of total billed charges",,
"E/M LEVEL 2, EXPANDED, NEW PT","99202","HCPCS","Both",,,"61","30.5","Alliant","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"E/M LEVEL 2, EXPANDED, NEW PT","99202","HCPCS","Both",,,"61","30.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.94","22.33","47.28","percent of total billed charges",,
"E/M LEVEL 2, EXPANDED, NEW PT","99202","HCPCS","Both",,,"61","30.5","Medicare",,"",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"E/M LEVEL 2, EXPANDED, NEW PT","99202","HCPCS","Both",,,"61","30.5","Humana","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"E/M LEVEL 2, EXPANDED, NEW PT","99202","HCPCS","Both",,,"61","30.5","UHC","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"E/M LEVEL 2, EXPANDED, NEW PT","99202","HCPCS","Both",,,"61","30.5","Clover","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"E/M LEVEL 2, EXPANDED, NEW PT","99202","HCPCS","Both",,,"61","30.5","Wellcare","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"E/M LEVEL 2, EXPANDED, NEW PT","99202","HCPCS","Both",,,"61","30.5","Amerigroup","Medicaid Managed Care","",,"37",,"22.33","22.33","47.28","percent of total billed charges",,
"E/M LEVEL 2, EXPANDED, NEW PT","99202","HCPCS","Both",,,"61","30.5","Caresource","Medicaid Managed Care","",,"40",,"24.4","22.33","47.28","percent of total billed charges",,
"E/M LEVEL 2, EXPANDED, NEW PT","99202","HCPCS","Both",,,"61","30.5","Wellcare","Medicaid Managed Care","",,"40",,"24.7","22.33","47.28","percent of total billed charges",,
"E/M LEVEL 2, EXPANDED, NEW PT","99202","HCPCS","Both",,,"61","30.5","Aetna","Commercial","",,"64",,"38.92","22.33","47.28","percent of total billed charges",,
"E/M LEVEL 2, EXPANDED, NEW PT","99202","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","Pathways","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"E/M LEVEL 2, EXPANDED, NEW PT","99202","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","HMO","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"E/M LEVEL 2, EXPANDED, NEW PT","99202","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","PPO","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"E/M LEVEL 2, EXPANDED, NEW PT","99202","HCPCS","Both",,,"61","30.5","Ambetter","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"E/M LEVEL 2, EXPANDED, NEW PT","99202","HCPCS","Both",,,"61","30.5","Caresource","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"E/M LEVEL 2, EXPANDED, NEW PT","99202","HCPCS","Both",,,"61","30.5","Cigna","Commercial","",,"59",,"35.75","22.33","47.28","percent of total billed charges",,
"E/M LEVEL 2, EXPANDED, NEW PT","99202","HCPCS","Both",,,"61","30.5","Humana","Commercial","",,"78",,"47.28","22.33","47.28","percent of total billed charges",,
"E/M LEVEL 2, EXPANDED, NEW PT","99202","HCPCS","Both",,,"61","30.5","UHC","Commercial","",,"75",,"45.99","22.33","47.28","percent of total billed charges",,
"E/M LEVEL 2, EXPANDED, NEW PT","99202","HCPCS","Both",,,"61","30.5","Medicaid",,"",,"37",,"22.33","22.33","47.28","percent of total billed charges",,
"E/M LEVEL 3, DETAILED, NEW PT","99203","HCPCS","Both",,,"80","40","Alliant","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"E/M LEVEL 3, DETAILED, NEW PT","99203","HCPCS","Both",,,"80","40","Pruitt Healthcare","Medicare Advantage","",,"54",,"43.2","29.28","62","percent of total billed charges",,
"E/M LEVEL 3, DETAILED, NEW PT","99203","HCPCS","Both",,,"80","40","Medicare",,"",,"54",,"43.36","29.28","62","percent of total billed charges",,
"E/M LEVEL 3, DETAILED, NEW PT","99203","HCPCS","Both",,,"80","40","Humana","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"E/M LEVEL 3, DETAILED, NEW PT","99203","HCPCS","Both",,,"80","40","UHC","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"E/M LEVEL 3, DETAILED, NEW PT","99203","HCPCS","Both",,,"80","40","Clover","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"E/M LEVEL 3, DETAILED, NEW PT","99203","HCPCS","Both",,,"80","40","Wellcare","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"E/M LEVEL 3, DETAILED, NEW PT","99203","HCPCS","Both",,,"80","40","Amerigroup","Medicaid Managed Care","",,"37",,"29.28","29.28","62","percent of total billed charges",,
"E/M LEVEL 3, DETAILED, NEW PT","99203","HCPCS","Both",,,"80","40","Caresource","Medicaid Managed Care","",,"40",,"32","29.28","62","percent of total billed charges",,
"E/M LEVEL 3, DETAILED, NEW PT","99203","HCPCS","Both",,,"80","40","Wellcare","Medicaid Managed Care","",,"40",,"32.4","29.28","62","percent of total billed charges",,
"E/M LEVEL 3, DETAILED, NEW PT","99203","HCPCS","Both",,,"80","40","Aetna","Commercial","",,"64",,"51.04","29.28","62","percent of total billed charges",,
"E/M LEVEL 3, DETAILED, NEW PT","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","Pathways","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"E/M LEVEL 3, DETAILED, NEW PT","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","HMO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"E/M LEVEL 3, DETAILED, NEW PT","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","PPO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"E/M LEVEL 3, DETAILED, NEW PT","99203","HCPCS","Both",,,"80","40","Ambetter","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"E/M LEVEL 3, DETAILED, NEW PT","99203","HCPCS","Both",,,"80","40","Caresource","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"E/M LEVEL 3, DETAILED, NEW PT","99203","HCPCS","Both",,,"80","40","Cigna","Commercial","",,"59",,"46.88","29.28","62","percent of total billed charges",,
"E/M LEVEL 3, DETAILED, NEW PT","99203","HCPCS","Both",,,"80","40","Humana","Commercial","",,"78",,"62","29.28","62","percent of total billed charges",,
"E/M LEVEL 3, DETAILED, NEW PT","99203","HCPCS","Both",,,"80","40","UHC","Commercial","",,"75",,"60.32","29.28","62","percent of total billed charges",,
"E/M LEVEL 3, DETAILED, NEW PT","99203","HCPCS","Both",,,"80","40","Medicaid",,"",,"37",,"29.28","29.28","62","percent of total billed charges",,
"E/M LEVEL 4, COMPREHENSIVE, NEW PT","99204","HCPCS","Both",,,"128","64","Alliant","Health Exchange","",,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"E/M LEVEL 4, COMPREHENSIVE, NEW PT","99204","HCPCS","Both",,,"128","64","Pruitt Healthcare","Medicare Advantage","",,"54",,"69.12","46.85","99.2","percent of total billed charges",,
"E/M LEVEL 4, COMPREHENSIVE, NEW PT","99204","HCPCS","Both",,,"128","64","Medicare",,"",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"E/M LEVEL 4, COMPREHENSIVE, NEW PT","99204","HCPCS","Both",,,"128","64","Humana","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"E/M LEVEL 4, COMPREHENSIVE, NEW PT","99204","HCPCS","Both",,,"128","64","UHC","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"E/M LEVEL 4, COMPREHENSIVE, NEW PT","99204","HCPCS","Both",,,"128","64","Clover","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"E/M LEVEL 4, COMPREHENSIVE, NEW PT","99204","HCPCS","Both",,,"128","64","Wellcare","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"E/M LEVEL 4, COMPREHENSIVE, NEW PT","99204","HCPCS","Both",,,"128","64","Amerigroup","Medicaid Managed Care","",,"37",,"46.85","46.85","99.2","percent of total billed charges",,
"E/M LEVEL 4, COMPREHENSIVE, NEW PT","99204","HCPCS","Both",,,"128","64","Caresource","Medicaid Managed Care","",,"40",,"51.2","46.85","99.2","percent of total billed charges",,
"E/M LEVEL 4, COMPREHENSIVE, NEW PT","99204","HCPCS","Both",,,"128","64","Wellcare","Medicaid Managed Care","",,"40",,"51.84","46.85","99.2","percent of total billed charges",,
"E/M LEVEL 4, COMPREHENSIVE, NEW PT","99204","HCPCS","Both",,,"128","64","Aetna","Commercial","",,"64",,"81.66","46.85","99.2","percent of total billed charges",,
"E/M LEVEL 4, COMPREHENSIVE, NEW PT","99204","HCPCS","Both",,,"128","64","Blue Cross Blue Shield","Pathways","",,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"E/M LEVEL 4, COMPREHENSIVE, NEW PT","99204","HCPCS","Both",,,"128","64","Blue Cross Blue Shield","HMO","",,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"E/M LEVEL 4, COMPREHENSIVE, NEW PT","99204","HCPCS","Both",,,"128","64","Blue Cross Blue Shield","PPO","",,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"E/M LEVEL 4, COMPREHENSIVE, NEW PT","99204","HCPCS","Both",,,"128","64","Ambetter","Health Exchange","",,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"E/M LEVEL 4, COMPREHENSIVE, NEW PT","99204","HCPCS","Both",,,"128","64","Caresource","Health Exchange","",,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"E/M LEVEL 4, COMPREHENSIVE, NEW PT","99204","HCPCS","Both",,,"128","64","Cigna","Commercial","",,"59",,"75.01","46.85","99.2","percent of total billed charges",,
"E/M LEVEL 4, COMPREHENSIVE, NEW PT","99204","HCPCS","Both",,,"128","64","Humana","Commercial","",,"78",,"99.2","46.85","99.2","percent of total billed charges",,
"E/M LEVEL 4, COMPREHENSIVE, NEW PT","99204","HCPCS","Both",,,"128","64","UHC","Commercial","",,"75",,"96.51","46.85","99.2","percent of total billed charges",,
"E/M LEVEL 4, COMPREHENSIVE, NEW PT","99204","HCPCS","Both",,,"128","64","Medicaid",,"",,"37",,"46.85","46.85","99.2","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, NEW PT","99205","HCPCS","Both",,,"167","83.5","Alliant","Health Exchange","",,"62",,"103.54","61.12","129.43","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, NEW PT","99205","HCPCS","Both",,,"167","83.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"90.18","61.12","129.43","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, NEW PT","99205","HCPCS","Both",,,"167","83.5","Medicare",,"",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, NEW PT","99205","HCPCS","Both",,,"167","83.5","Humana","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, NEW PT","99205","HCPCS","Both",,,"167","83.5","UHC","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, NEW PT","99205","HCPCS","Both",,,"167","83.5","Clover","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, NEW PT","99205","HCPCS","Both",,,"167","83.5","Wellcare","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, NEW PT","99205","HCPCS","Both",,,"167","83.5","Amerigroup","Medicaid Managed Care","",,"37",,"61.12","61.12","129.43","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, NEW PT","99205","HCPCS","Both",,,"167","83.5","Caresource","Medicaid Managed Care","",,"40",,"66.8","61.12","129.43","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, NEW PT","99205","HCPCS","Both",,,"167","83.5","Wellcare","Medicaid Managed Care","",,"40",,"67.64","61.12","129.43","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, NEW PT","99205","HCPCS","Both",,,"167","83.5","Aetna","Commercial","",,"64",,"106.55","61.12","129.43","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, NEW PT","99205","HCPCS","Both",,,"167","83.5","Blue Cross Blue Shield","Pathways","",,"71",,"117.9","61.12","129.43","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, NEW PT","99205","HCPCS","Both",,,"167","83.5","Blue Cross Blue Shield","HMO","",,"71",,"117.9","61.12","129.43","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, NEW PT","99205","HCPCS","Both",,,"167","83.5","Blue Cross Blue Shield","PPO","",,"71",,"117.9","61.12","129.43","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, NEW PT","99205","HCPCS","Both",,,"167","83.5","Ambetter","Health Exchange","",,"62",,"103.54","61.12","129.43","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, NEW PT","99205","HCPCS","Both",,,"167","83.5","Caresource","Health Exchange","",,"62",,"103.54","61.12","129.43","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, NEW PT","99205","HCPCS","Both",,,"167","83.5","Cigna","Commercial","",,"59",,"97.86","61.12","129.43","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, NEW PT","99205","HCPCS","Both",,,"167","83.5","Humana","Commercial","",,"78",,"129.43","61.12","129.43","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, NEW PT","99205","HCPCS","Both",,,"167","83.5","UHC","Commercial","",,"75",,"125.92","61.12","129.43","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, NEW PT","99205","HCPCS","Both",,,"167","83.5","Medicaid",,"",,"37",,"61.12","61.12","129.43","percent of total billed charges",,
"E/M LEVEL 2, LIMITED, ESTABLISHED PT","99212","HCPCS","Both",,,"55","27.5","Alliant","Health Exchange","",,"62",,"34.1","20.13","42.62","percent of total billed charges",,
"E/M LEVEL 2, LIMITED, ESTABLISHED PT","99212","HCPCS","Both",,,"55","27.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"29.7","20.13","42.62","percent of total billed charges",,
"E/M LEVEL 2, LIMITED, ESTABLISHED PT","99212","HCPCS","Both",,,"55","27.5","Medicare",,"",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"E/M LEVEL 2, LIMITED, ESTABLISHED PT","99212","HCPCS","Both",,,"55","27.5","Humana","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"E/M LEVEL 2, LIMITED, ESTABLISHED PT","99212","HCPCS","Both",,,"55","27.5","UHC","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"E/M LEVEL 2, LIMITED, ESTABLISHED PT","99212","HCPCS","Both",,,"55","27.5","Clover","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"E/M LEVEL 2, LIMITED, ESTABLISHED PT","99212","HCPCS","Both",,,"55","27.5","Wellcare","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"E/M LEVEL 2, LIMITED, ESTABLISHED PT","99212","HCPCS","Both",,,"55","27.5","Amerigroup","Medicaid Managed Care","",,"37",,"20.13","20.13","42.62","percent of total billed charges",,
"E/M LEVEL 2, LIMITED, ESTABLISHED PT","99212","HCPCS","Both",,,"55","27.5","Caresource","Medicaid Managed Care","",,"40",,"22","20.13","42.62","percent of total billed charges",,
"E/M LEVEL 2, LIMITED, ESTABLISHED PT","99212","HCPCS","Both",,,"55","27.5","Wellcare","Medicaid Managed Care","",,"40",,"22.28","20.13","42.62","percent of total billed charges",,
"E/M LEVEL 2, LIMITED, ESTABLISHED PT","99212","HCPCS","Both",,,"55","27.5","Aetna","Commercial","",,"64",,"35.09","20.13","42.62","percent of total billed charges",,
"E/M LEVEL 2, LIMITED, ESTABLISHED PT","99212","HCPCS","Both",,,"55","27.5","Blue Cross Blue Shield","Pathways","",,"71",,"38.83","20.13","42.62","percent of total billed charges",,
"E/M LEVEL 2, LIMITED, ESTABLISHED PT","99212","HCPCS","Both",,,"55","27.5","Blue Cross Blue Shield","HMO","",,"71",,"38.83","20.13","42.62","percent of total billed charges",,
"E/M LEVEL 2, LIMITED, ESTABLISHED PT","99212","HCPCS","Both",,,"55","27.5","Blue Cross Blue Shield","PPO","",,"71",,"38.83","20.13","42.62","percent of total billed charges",,
"E/M LEVEL 2, LIMITED, ESTABLISHED PT","99212","HCPCS","Both",,,"55","27.5","Ambetter","Health Exchange","",,"62",,"34.1","20.13","42.62","percent of total billed charges",,
"E/M LEVEL 2, LIMITED, ESTABLISHED PT","99212","HCPCS","Both",,,"55","27.5","Caresource","Health Exchange","",,"62",,"34.1","20.13","42.62","percent of total billed charges",,
"E/M LEVEL 2, LIMITED, ESTABLISHED PT","99212","HCPCS","Both",,,"55","27.5","Cigna","Commercial","",,"59",,"32.23","20.13","42.62","percent of total billed charges",,
"E/M LEVEL 2, LIMITED, ESTABLISHED PT","99212","HCPCS","Both",,,"55","27.5","Humana","Commercial","",,"78",,"42.62","20.13","42.62","percent of total billed charges",,
"E/M LEVEL 2, LIMITED, ESTABLISHED PT","99212","HCPCS","Both",,,"55","27.5","UHC","Commercial","",,"75",,"41.47","20.13","42.62","percent of total billed charges",,
"E/M LEVEL 2, LIMITED, ESTABLISHED PT","99212","HCPCS","Both",,,"55","27.5","Medicaid",,"",,"37",,"20.13","20.13","42.62","percent of total billed charges",,
"E/M LEVEL 3, EXPANDED, ESTABLISHED PT","99213","HCPCS","Both",,,"61","30.5","Alliant","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"E/M LEVEL 3, EXPANDED, ESTABLISHED PT","99213","HCPCS","Both",,,"61","30.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.94","22.33","47.28","percent of total billed charges",,
"E/M LEVEL 3, EXPANDED, ESTABLISHED PT","99213","HCPCS","Both",,,"61","30.5","Medicare",,"",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"E/M LEVEL 3, EXPANDED, ESTABLISHED PT","99213","HCPCS","Both",,,"61","30.5","Humana","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"E/M LEVEL 3, EXPANDED, ESTABLISHED PT","99213","HCPCS","Both",,,"61","30.5","UHC","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"E/M LEVEL 3, EXPANDED, ESTABLISHED PT","99213","HCPCS","Both",,,"61","30.5","Clover","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"E/M LEVEL 3, EXPANDED, ESTABLISHED PT","99213","HCPCS","Both",,,"61","30.5","Wellcare","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"E/M LEVEL 3, EXPANDED, ESTABLISHED PT","99213","HCPCS","Both",,,"61","30.5","Amerigroup","Medicaid Managed Care","",,"37",,"22.33","22.33","47.28","percent of total billed charges",,
"E/M LEVEL 3, EXPANDED, ESTABLISHED PT","99213","HCPCS","Both",,,"61","30.5","Caresource","Medicaid Managed Care","",,"40",,"24.4","22.33","47.28","percent of total billed charges",,
"E/M LEVEL 3, EXPANDED, ESTABLISHED PT","99213","HCPCS","Both",,,"61","30.5","Wellcare","Medicaid Managed Care","",,"40",,"24.7","22.33","47.28","percent of total billed charges",,
"E/M LEVEL 3, EXPANDED, ESTABLISHED PT","99213","HCPCS","Both",,,"61","30.5","Aetna","Commercial","",,"64",,"38.92","22.33","47.28","percent of total billed charges",,
"E/M LEVEL 3, EXPANDED, ESTABLISHED PT","99213","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","Pathways","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"E/M LEVEL 3, EXPANDED, ESTABLISHED PT","99213","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","HMO","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"E/M LEVEL 3, EXPANDED, ESTABLISHED PT","99213","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","PPO","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"E/M LEVEL 3, EXPANDED, ESTABLISHED PT","99213","HCPCS","Both",,,"61","30.5","Ambetter","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"E/M LEVEL 3, EXPANDED, ESTABLISHED PT","99213","HCPCS","Both",,,"61","30.5","Caresource","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"E/M LEVEL 3, EXPANDED, ESTABLISHED PT","99213","HCPCS","Both",,,"61","30.5","Cigna","Commercial","",,"59",,"35.75","22.33","47.28","percent of total billed charges",,
"E/M LEVEL 3, EXPANDED, ESTABLISHED PT","99213","HCPCS","Both",,,"61","30.5","Humana","Commercial","",,"78",,"47.28","22.33","47.28","percent of total billed charges",,
"E/M LEVEL 3, EXPANDED, ESTABLISHED PT","99213","HCPCS","Both",,,"61","30.5","UHC","Commercial","",,"75",,"45.99","22.33","47.28","percent of total billed charges",,
"E/M LEVEL 3, EXPANDED, ESTABLISHED PT","99213","HCPCS","Both",,,"61","30.5","Medicaid",,"",,"37",,"22.33","22.33","47.28","percent of total billed charges",,
"E/M LEVEL 4, DETAILED, ESTABLISHED PT","99214","HCPCS","Both",,,"78","39","Alliant","Health Exchange","",,"62",,"48.36","28.55","60.45","percent of total billed charges",,
"E/M LEVEL 4, DETAILED, ESTABLISHED PT","99214","HCPCS","Both",,,"78","39","Pruitt Healthcare","Medicare Advantage","",,"54",,"42.12","28.55","60.45","percent of total billed charges",,
"E/M LEVEL 4, DETAILED, ESTABLISHED PT","99214","HCPCS","Both",,,"78","39","Medicare",,"",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"E/M LEVEL 4, DETAILED, ESTABLISHED PT","99214","HCPCS","Both",,,"78","39","Humana","Medicare Advantage","",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"E/M LEVEL 4, DETAILED, ESTABLISHED PT","99214","HCPCS","Both",,,"78","39","UHC","Medicare Advantage","",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"E/M LEVEL 4, DETAILED, ESTABLISHED PT","99214","HCPCS","Both",,,"78","39","Clover","Medicare Advantage","",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"E/M LEVEL 4, DETAILED, ESTABLISHED PT","99214","HCPCS","Both",,,"78","39","Wellcare","Medicare Advantage","",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"E/M LEVEL 4, DETAILED, ESTABLISHED PT","99214","HCPCS","Both",,,"78","39","Amerigroup","Medicaid Managed Care","",,"37",,"28.55","28.55","60.45","percent of total billed charges",,
"E/M LEVEL 4, DETAILED, ESTABLISHED PT","99214","HCPCS","Both",,,"78","39","Caresource","Medicaid Managed Care","",,"40",,"31.2","28.55","60.45","percent of total billed charges",,
"E/M LEVEL 4, DETAILED, ESTABLISHED PT","99214","HCPCS","Both",,,"78","39","Wellcare","Medicaid Managed Care","",,"40",,"31.59","28.55","60.45","percent of total billed charges",,
"E/M LEVEL 4, DETAILED, ESTABLISHED PT","99214","HCPCS","Both",,,"78","39","Aetna","Commercial","",,"64",,"49.76","28.55","60.45","percent of total billed charges",,
"E/M LEVEL 4, DETAILED, ESTABLISHED PT","99214","HCPCS","Both",,,"78","39","Blue Cross Blue Shield","Pathways","",,"71",,"55.07","28.55","60.45","percent of total billed charges",,
"E/M LEVEL 4, DETAILED, ESTABLISHED PT","99214","HCPCS","Both",,,"78","39","Blue Cross Blue Shield","HMO","",,"71",,"55.07","28.55","60.45","percent of total billed charges",,
"E/M LEVEL 4, DETAILED, ESTABLISHED PT","99214","HCPCS","Both",,,"78","39","Blue Cross Blue Shield","PPO","",,"71",,"55.07","28.55","60.45","percent of total billed charges",,
"E/M LEVEL 4, DETAILED, ESTABLISHED PT","99214","HCPCS","Both",,,"78","39","Ambetter","Health Exchange","",,"62",,"48.36","28.55","60.45","percent of total billed charges",,
"E/M LEVEL 4, DETAILED, ESTABLISHED PT","99214","HCPCS","Both",,,"78","39","Caresource","Health Exchange","",,"62",,"48.36","28.55","60.45","percent of total billed charges",,
"E/M LEVEL 4, DETAILED, ESTABLISHED PT","99214","HCPCS","Both",,,"78","39","Cigna","Commercial","",,"59",,"45.71","28.55","60.45","percent of total billed charges",,
"E/M LEVEL 4, DETAILED, ESTABLISHED PT","99214","HCPCS","Both",,,"78","39","Humana","Commercial","",,"78",,"60.45","28.55","60.45","percent of total billed charges",,
"E/M LEVEL 4, DETAILED, ESTABLISHED PT","99214","HCPCS","Both",,,"78","39","UHC","Commercial","",,"75",,"58.81","28.55","60.45","percent of total billed charges",,
"E/M LEVEL 4, DETAILED, ESTABLISHED PT","99214","HCPCS","Both",,,"78","39","Medicaid",,"",,"37",,"28.55","28.55","60.45","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, ESTABLISHED PT","99215","HCPCS","Both",,,"110","55","Alliant","Health Exchange","",,"62",,"68.2","40.26","85.25","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, ESTABLISHED PT","99215","HCPCS","Both",,,"110","55","Pruitt Healthcare","Medicare Advantage","",,"54",,"59.4","40.26","85.25","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, ESTABLISHED PT","99215","HCPCS","Both",,,"110","55","Medicare",,"",,"54",,"59.62","40.26","85.25","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, ESTABLISHED PT","99215","HCPCS","Both",,,"110","55","Humana","Medicare Advantage","",,"54",,"59.62","40.26","85.25","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, ESTABLISHED PT","99215","HCPCS","Both",,,"110","55","UHC","Medicare Advantage","",,"54",,"59.62","40.26","85.25","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, ESTABLISHED PT","99215","HCPCS","Both",,,"110","55","Clover","Medicare Advantage","",,"54",,"59.62","40.26","85.25","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, ESTABLISHED PT","99215","HCPCS","Both",,,"110","55","Wellcare","Medicare Advantage","",,"54",,"59.62","40.26","85.25","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, ESTABLISHED PT","99215","HCPCS","Both",,,"110","55","Amerigroup","Medicaid Managed Care","",,"37",,"40.26","40.26","85.25","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, ESTABLISHED PT","99215","HCPCS","Both",,,"110","55","Caresource","Medicaid Managed Care","",,"40",,"44","40.26","85.25","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, ESTABLISHED PT","99215","HCPCS","Both",,,"110","55","Wellcare","Medicaid Managed Care","",,"40",,"44.55","40.26","85.25","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, ESTABLISHED PT","99215","HCPCS","Both",,,"110","55","Aetna","Commercial","",,"64",,"70.18","40.26","85.25","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, ESTABLISHED PT","99215","HCPCS","Both",,,"110","55","Blue Cross Blue Shield","Pathways","",,"71",,"77.66","40.26","85.25","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, ESTABLISHED PT","99215","HCPCS","Both",,,"110","55","Blue Cross Blue Shield","HMO","",,"71",,"77.66","40.26","85.25","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, ESTABLISHED PT","99215","HCPCS","Both",,,"110","55","Blue Cross Blue Shield","PPO","",,"71",,"77.66","40.26","85.25","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, ESTABLISHED PT","99215","HCPCS","Both",,,"110","55","Ambetter","Health Exchange","",,"62",,"68.2","40.26","85.25","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, ESTABLISHED PT","99215","HCPCS","Both",,,"110","55","Caresource","Health Exchange","",,"62",,"68.2","40.26","85.25","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, ESTABLISHED PT","99215","HCPCS","Both",,,"110","55","Cigna","Commercial","",,"59",,"64.46","40.26","85.25","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, ESTABLISHED PT","99215","HCPCS","Both",,,"110","55","Humana","Commercial","",,"78",,"85.25","40.26","85.25","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, ESTABLISHED PT","99215","HCPCS","Both",,,"110","55","UHC","Commercial","",,"75",,"82.94","40.26","85.25","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, ESTABLISHED PT","99215","HCPCS","Both",,,"110","55","Medicaid",,"",,"37",,"40.26","40.26","85.25","percent of total billed charges",,
"INPATIENT CONSULT NEW OR ESTABLISHED PT","99252","HCPCS","Both",,,"107","53.5","Alliant","Health Exchange","",,"62",,"66.34","39.16","82.92","percent of total billed charges",,
"INPATIENT CONSULT NEW OR ESTABLISHED PT","99252","HCPCS","Both",,,"107","53.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"57.78","39.16","82.92","percent of total billed charges",,
"INPATIENT CONSULT NEW OR ESTABLISHED PT","99252","HCPCS","Both",,,"107","53.5","Medicare",,"",,"54",,"57.99","39.16","82.92","percent of total billed charges",,
"INPATIENT CONSULT NEW OR ESTABLISHED PT","99252","HCPCS","Both",,,"107","53.5","Humana","Medicare Advantage","",,"54",,"57.99","39.16","82.92","percent of total billed charges",,
"INPATIENT CONSULT NEW OR ESTABLISHED PT","99252","HCPCS","Both",,,"107","53.5","UHC","Medicare Advantage","",,"54",,"57.99","39.16","82.92","percent of total billed charges",,
"INPATIENT CONSULT NEW OR ESTABLISHED PT","99252","HCPCS","Both",,,"107","53.5","Clover","Medicare Advantage","",,"54",,"57.99","39.16","82.92","percent of total billed charges",,
"INPATIENT CONSULT NEW OR ESTABLISHED PT","99252","HCPCS","Both",,,"107","53.5","Wellcare","Medicare Advantage","",,"54",,"57.99","39.16","82.92","percent of total billed charges",,
"INPATIENT CONSULT NEW OR ESTABLISHED PT","99252","HCPCS","Both",,,"107","53.5","Amerigroup","Medicaid Managed Care","",,"37",,"39.16","39.16","82.92","percent of total billed charges",,
"INPATIENT CONSULT NEW OR ESTABLISHED PT","99252","HCPCS","Both",,,"107","53.5","Caresource","Medicaid Managed Care","",,"40",,"42.8","39.16","82.92","percent of total billed charges",,
"INPATIENT CONSULT NEW OR ESTABLISHED PT","99252","HCPCS","Both",,,"107","53.5","Wellcare","Medicaid Managed Care","",,"40",,"43.34","39.16","82.92","percent of total billed charges",,
"INPATIENT CONSULT NEW OR ESTABLISHED PT","99252","HCPCS","Both",,,"107","53.5","Aetna","Commercial","",,"64",,"68.27","39.16","82.92","percent of total billed charges",,
"INPATIENT CONSULT NEW OR ESTABLISHED PT","99252","HCPCS","Both",,,"107","53.5","Blue Cross Blue Shield","Pathways","",,"71",,"75.54","39.16","82.92","percent of total billed charges",,
"INPATIENT CONSULT NEW OR ESTABLISHED PT","99252","HCPCS","Both",,,"107","53.5","Blue Cross Blue Shield","HMO","",,"71",,"75.54","39.16","82.92","percent of total billed charges",,
"INPATIENT CONSULT NEW OR ESTABLISHED PT","99252","HCPCS","Both",,,"107","53.5","Blue Cross Blue Shield","PPO","",,"71",,"75.54","39.16","82.92","percent of total billed charges",,
"INPATIENT CONSULT NEW OR ESTABLISHED PT","99252","HCPCS","Both",,,"107","53.5","Ambetter","Health Exchange","",,"62",,"66.34","39.16","82.92","percent of total billed charges",,
"INPATIENT CONSULT NEW OR ESTABLISHED PT","99252","HCPCS","Both",,,"107","53.5","Caresource","Health Exchange","",,"62",,"66.34","39.16","82.92","percent of total billed charges",,
"INPATIENT CONSULT NEW OR ESTABLISHED PT","99252","HCPCS","Both",,,"107","53.5","Cigna","Commercial","",,"59",,"62.7","39.16","82.92","percent of total billed charges",,
"INPATIENT CONSULT NEW OR ESTABLISHED PT","99252","HCPCS","Both",,,"107","53.5","Humana","Commercial","",,"78",,"82.92","39.16","82.92","percent of total billed charges",,
"INPATIENT CONSULT NEW OR ESTABLISHED PT","99252","HCPCS","Both",,,"107","53.5","UHC","Commercial","",,"75",,"80.68","39.16","82.92","percent of total billed charges",,
"INPATIENT CONSULT NEW OR ESTABLISHED PT","99252","HCPCS","Both",,,"107","53.5","Medicaid",,"",,"37",,"39.16","39.16","82.92","percent of total billed charges",,
"E/M ED LEVEL 3 - ORTHO","99283","HCPCS","Both",,,"231.5","115.75","Alliant","Health Exchange","",,"62",,"143.53","84.73","179.41","percent of total billed charges",,
"E/M ED LEVEL 3 - ORTHO","99283","HCPCS","Both",,,"231.5","115.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"125.01","84.73","179.41","percent of total billed charges",,
"E/M ED LEVEL 3 - ORTHO","99283","HCPCS","Both",,,"231.5","115.75","Medicare",,"",,"54",,"125.47","84.73","179.41","percent of total billed charges",,
"E/M ED LEVEL 3 - ORTHO","99283","HCPCS","Both",,,"231.5","115.75","Humana","Medicare Advantage","",,"54",,"125.47","84.73","179.41","percent of total billed charges",,
"E/M ED LEVEL 3 - ORTHO","99283","HCPCS","Both",,,"231.5","115.75","UHC","Medicare Advantage","",,"54",,"125.47","84.73","179.41","percent of total billed charges",,
"E/M ED LEVEL 3 - ORTHO","99283","HCPCS","Both",,,"231.5","115.75","Clover","Medicare Advantage","",,"54",,"125.47","84.73","179.41","percent of total billed charges",,
"E/M ED LEVEL 3 - ORTHO","99283","HCPCS","Both",,,"231.5","115.75","Wellcare","Medicare Advantage","",,"54",,"125.47","84.73","179.41","percent of total billed charges",,
"E/M ED LEVEL 3 - ORTHO","99283","HCPCS","Both",,,"231.5","115.75","Amerigroup","Medicaid Managed Care","",,"37",,"84.73","84.73","179.41","percent of total billed charges",,
"E/M ED LEVEL 3 - ORTHO","99283","HCPCS","Both",,,"231.5","115.75","Caresource","Medicaid Managed Care","",,"40",,"92.6","84.73","179.41","percent of total billed charges",,
"E/M ED LEVEL 3 - ORTHO","99283","HCPCS","Both",,,"231.5","115.75","Wellcare","Medicaid Managed Care","",,"40",,"93.76","84.73","179.41","percent of total billed charges",,
"E/M ED LEVEL 3 - ORTHO","99283","HCPCS","Both",,,"231.5","115.75","Aetna","Commercial","",,"64",,"147.7","84.73","179.41","percent of total billed charges",,
"E/M ED LEVEL 3 - ORTHO","99283","HCPCS","Both",,,"231.5","115.75","Blue Cross Blue Shield","Pathways","",,"71",,"163.44","84.73","179.41","percent of total billed charges",,
"E/M ED LEVEL 3 - ORTHO","99283","HCPCS","Both",,,"231.5","115.75","Blue Cross Blue Shield","HMO","",,"71",,"163.44","84.73","179.41","percent of total billed charges",,
"E/M ED LEVEL 3 - ORTHO","99283","HCPCS","Both",,,"231.5","115.75","Blue Cross Blue Shield","PPO","",,"71",,"163.44","84.73","179.41","percent of total billed charges",,
"E/M ED LEVEL 3 - ORTHO","99283","HCPCS","Both",,,"231.5","115.75","Ambetter","Health Exchange","",,"62",,"143.53","84.73","179.41","percent of total billed charges",,
"E/M ED LEVEL 3 - ORTHO","99283","HCPCS","Both",,,"231.5","115.75","Caresource","Health Exchange","",,"62",,"143.53","84.73","179.41","percent of total billed charges",,
"E/M ED LEVEL 3 - ORTHO","99283","HCPCS","Both",,,"231.5","115.75","Cigna","Commercial","",,"59",,"135.66","84.73","179.41","percent of total billed charges",,
"E/M ED LEVEL 3 - ORTHO","99283","HCPCS","Both",,,"231.5","115.75","Humana","Commercial","",,"78",,"179.41","84.73","179.41","percent of total billed charges",,
"E/M ED LEVEL 3 - ORTHO","99283","HCPCS","Both",,,"231.5","115.75","UHC","Commercial","",,"75",,"174.55","84.73","179.41","percent of total billed charges",,
"E/M ED LEVEL 3 - ORTHO","99283","HCPCS","Both",,,"231.5","115.75","Medicaid",,"",,"37",,"84.73","84.73","179.41","percent of total billed charges",,
"THORAX RECONSTRUCT PROC BREAST","00402","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"THORAX RECONSTRUCT PROC BREAST","00402","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"THORAX RECONSTRUCT PROC BREAST","00402","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"THORAX RECONSTRUCT PROC BREAST","00402","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"THORAX RECONSTRUCT PROC BREAST","00402","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"THORAX RECONSTRUCT PROC BREAST","00402","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"THORAX RECONSTRUCT PROC BREAST","00402","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"THORAX RECONSTRUCT PROC BREAST","00402","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"THORAX RECONSTRUCT PROC BREAST","00402","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"THORAX RECONSTRUCT PROC BREAST","00402","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"THORAX RECONSTRUCT PROC BREAST","00402","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"THORAX RECONSTRUCT PROC BREAST","00402","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"THORAX RECONSTRUCT PROC BREAST","00402","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"THORAX RECONSTRUCT PROC BREAST","00402","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"THORAX RECONSTRUCT PROC BREAST","00402","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"THORAX RECONSTRUCT PROC BREAST","00402","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"THORAX RECONSTRUCT PROC BREAST","00402","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"THORAX RECONSTRUCT PROC BREAST","00402","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"THORAX RECONSTRUCT PROC BREAST","00402","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"THORAX RECONSTRUCT PROC BREAST","00402","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"KNEE AND POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"KNEE AND POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"KNEE AND POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE AND POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE AND POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE AND POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE AND POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE AND POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"KNEE AND POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"KNEE AND POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"KNEE AND POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"KNEE AND POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"KNEE AND POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"KNEE AND POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"KNEE AND POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"KNEE AND POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"KNEE AND POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"KNEE AND POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"KNEE AND POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"KNEE AND POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"SIGMOIDOSCOPY FLEXIBLE CA SCREEN","G0104","HCPCS","Both",,,"171.5","85.75","Alliant","Health Exchange","",,"62",,"106.33","62.77","132.91","percent of total billed charges",,
"SIGMOIDOSCOPY FLEXIBLE CA SCREEN","G0104","HCPCS","Both",,,"171.5","85.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"92.61","62.77","132.91","percent of total billed charges",,
"SIGMOIDOSCOPY FLEXIBLE CA SCREEN","G0104","HCPCS","Both",,,"171.5","85.75","Medicare",,"",,"54",,"92.95","62.77","132.91","percent of total billed charges",,
"SIGMOIDOSCOPY FLEXIBLE CA SCREEN","G0104","HCPCS","Both",,,"171.5","85.75","Humana","Medicare Advantage","",,"54",,"92.95","62.77","132.91","percent of total billed charges",,
"SIGMOIDOSCOPY FLEXIBLE CA SCREEN","G0104","HCPCS","Both",,,"171.5","85.75","UHC","Medicare Advantage","",,"54",,"92.95","62.77","132.91","percent of total billed charges",,
"SIGMOIDOSCOPY FLEXIBLE CA SCREEN","G0104","HCPCS","Both",,,"171.5","85.75","Clover","Medicare Advantage","",,"54",,"92.95","62.77","132.91","percent of total billed charges",,
"SIGMOIDOSCOPY FLEXIBLE CA SCREEN","G0104","HCPCS","Both",,,"171.5","85.75","Wellcare","Medicare Advantage","",,"54",,"92.95","62.77","132.91","percent of total billed charges",,
"SIGMOIDOSCOPY FLEXIBLE CA SCREEN","G0104","HCPCS","Both",,,"171.5","85.75","Amerigroup","Medicaid Managed Care","",,"37",,"62.77","62.77","132.91","percent of total billed charges",,
"SIGMOIDOSCOPY FLEXIBLE CA SCREEN","G0104","HCPCS","Both",,,"171.5","85.75","Caresource","Medicaid Managed Care","",,"40",,"68.6","62.77","132.91","percent of total billed charges",,
"SIGMOIDOSCOPY FLEXIBLE CA SCREEN","G0104","HCPCS","Both",,,"171.5","85.75","Wellcare","Medicaid Managed Care","",,"40",,"69.46","62.77","132.91","percent of total billed charges",,
"SIGMOIDOSCOPY FLEXIBLE CA SCREEN","G0104","HCPCS","Both",,,"171.5","85.75","Aetna","Commercial","",,"64",,"109.42","62.77","132.91","percent of total billed charges",,
"SIGMOIDOSCOPY FLEXIBLE CA SCREEN","G0104","HCPCS","Both",,,"171.5","85.75","Blue Cross Blue Shield","Pathways","",,"71",,"121.08","62.77","132.91","percent of total billed charges",,
"SIGMOIDOSCOPY FLEXIBLE CA SCREEN","G0104","HCPCS","Both",,,"171.5","85.75","Blue Cross Blue Shield","HMO","",,"71",,"121.08","62.77","132.91","percent of total billed charges",,
"SIGMOIDOSCOPY FLEXIBLE CA SCREEN","G0104","HCPCS","Both",,,"171.5","85.75","Blue Cross Blue Shield","PPO","",,"71",,"121.08","62.77","132.91","percent of total billed charges",,
"SIGMOIDOSCOPY FLEXIBLE CA SCREEN","G0104","HCPCS","Both",,,"171.5","85.75","Ambetter","Health Exchange","",,"62",,"106.33","62.77","132.91","percent of total billed charges",,
"SIGMOIDOSCOPY FLEXIBLE CA SCREEN","G0104","HCPCS","Both",,,"171.5","85.75","Caresource","Health Exchange","",,"62",,"106.33","62.77","132.91","percent of total billed charges",,
"SIGMOIDOSCOPY FLEXIBLE CA SCREEN","G0104","HCPCS","Both",,,"171.5","85.75","Cigna","Commercial","",,"59",,"100.5","62.77","132.91","percent of total billed charges",,
"SIGMOIDOSCOPY FLEXIBLE CA SCREEN","G0104","HCPCS","Both",,,"171.5","85.75","Humana","Commercial","",,"78",,"132.91","62.77","132.91","percent of total billed charges",,
"SIGMOIDOSCOPY FLEXIBLE CA SCREEN","G0104","HCPCS","Both",,,"171.5","85.75","UHC","Commercial","",,"75",,"129.31","62.77","132.91","percent of total billed charges",,
"SIGMOIDOSCOPY FLEXIBLE CA SCREEN","G0104","HCPCS","Both",,,"171.5","85.75","Medicaid",,"",,"37",,"62.77","62.77","132.91","percent of total billed charges",,
"FINE NEEDLE ASPIRATN; W/O IMAG GUID","10021","HCPCS","Both",,,"368","184","Alliant","Health Exchange","",,"62",,"228.16","134.69","285.2","percent of total billed charges",,
"FINE NEEDLE ASPIRATN; W/O IMAG GUID","10021","HCPCS","Both",,,"368","184","Pruitt Healthcare","Medicare Advantage","",,"54",,"198.72","134.69","285.2","percent of total billed charges",,
"FINE NEEDLE ASPIRATN; W/O IMAG GUID","10021","HCPCS","Both",,,"368","184","Medicare",,"",,"54",,"199.46","134.69","285.2","percent of total billed charges",,
"FINE NEEDLE ASPIRATN; W/O IMAG GUID","10021","HCPCS","Both",,,"368","184","Humana","Medicare Advantage","",,"54",,"199.46","134.69","285.2","percent of total billed charges",,
"FINE NEEDLE ASPIRATN; W/O IMAG GUID","10021","HCPCS","Both",,,"368","184","UHC","Medicare Advantage","",,"54",,"199.46","134.69","285.2","percent of total billed charges",,
"FINE NEEDLE ASPIRATN; W/O IMAG GUID","10021","HCPCS","Both",,,"368","184","Clover","Medicare Advantage","",,"54",,"199.46","134.69","285.2","percent of total billed charges",,
"FINE NEEDLE ASPIRATN; W/O IMAG GUID","10021","HCPCS","Both",,,"368","184","Wellcare","Medicare Advantage","",,"54",,"199.46","134.69","285.2","percent of total billed charges",,
"FINE NEEDLE ASPIRATN; W/O IMAG GUID","10021","HCPCS","Both",,,"368","184","Amerigroup","Medicaid Managed Care","",,"37",,"134.69","134.69","285.2","percent of total billed charges",,
"FINE NEEDLE ASPIRATN; W/O IMAG GUID","10021","HCPCS","Both",,,"368","184","Caresource","Medicaid Managed Care","",,"40",,"147.2","134.69","285.2","percent of total billed charges",,
"FINE NEEDLE ASPIRATN; W/O IMAG GUID","10021","HCPCS","Both",,,"368","184","Wellcare","Medicaid Managed Care","",,"40",,"149.04","134.69","285.2","percent of total billed charges",,
"FINE NEEDLE ASPIRATN; W/O IMAG GUID","10021","HCPCS","Both",,,"368","184","Aetna","Commercial","",,"64",,"234.78","134.69","285.2","percent of total billed charges",,
"FINE NEEDLE ASPIRATN; W/O IMAG GUID","10021","HCPCS","Both",,,"368","184","Blue Cross Blue Shield","Pathways","",,"71",,"259.81","134.69","285.2","percent of total billed charges",,
"FINE NEEDLE ASPIRATN; W/O IMAG GUID","10021","HCPCS","Both",,,"368","184","Blue Cross Blue Shield","HMO","",,"71",,"259.81","134.69","285.2","percent of total billed charges",,
"FINE NEEDLE ASPIRATN; W/O IMAG GUID","10021","HCPCS","Both",,,"368","184","Blue Cross Blue Shield","PPO","",,"71",,"259.81","134.69","285.2","percent of total billed charges",,
"FINE NEEDLE ASPIRATN; W/O IMAG GUID","10021","HCPCS","Both",,,"368","184","Ambetter","Health Exchange","",,"62",,"228.16","134.69","285.2","percent of total billed charges",,
"FINE NEEDLE ASPIRATN; W/O IMAG GUID","10021","HCPCS","Both",,,"368","184","Caresource","Health Exchange","",,"62",,"228.16","134.69","285.2","percent of total billed charges",,
"FINE NEEDLE ASPIRATN; W/O IMAG GUID","10021","HCPCS","Both",,,"368","184","Cigna","Commercial","",,"59",,"215.65","134.69","285.2","percent of total billed charges",,
"FINE NEEDLE ASPIRATN; W/O IMAG GUID","10021","HCPCS","Both",,,"368","184","Humana","Commercial","",,"78",,"285.2","134.69","285.2","percent of total billed charges",,
"FINE NEEDLE ASPIRATN; W/O IMAG GUID","10021","HCPCS","Both",,,"368","184","UHC","Commercial","",,"75",,"277.47","134.69","285.2","percent of total billed charges",,
"FINE NEEDLE ASPIRATN; W/O IMAG GUID","10021","HCPCS","Both",,,"368","184","Medicaid",,"",,"37",,"134.69","134.69","285.2","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE OR SINGLE","10060","HCPCS","Both",,,"162.5","81.25","Alliant","Health Exchange","",,"62",,"100.75","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE OR SINGLE","10060","HCPCS","Both",,,"162.5","81.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"87.75","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE OR SINGLE","10060","HCPCS","Both",,,"162.5","81.25","Medicare",,"",,"54",,"88.08","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE OR SINGLE","10060","HCPCS","Both",,,"162.5","81.25","Humana","Medicare Advantage","",,"54",,"88.08","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE OR SINGLE","10060","HCPCS","Both",,,"162.5","81.25","UHC","Medicare Advantage","",,"54",,"88.08","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE OR SINGLE","10060","HCPCS","Both",,,"162.5","81.25","Clover","Medicare Advantage","",,"54",,"88.08","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE OR SINGLE","10060","HCPCS","Both",,,"162.5","81.25","Wellcare","Medicare Advantage","",,"54",,"88.08","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE OR SINGLE","10060","HCPCS","Both",,,"162.5","81.25","Amerigroup","Medicaid Managed Care","",,"37",,"59.48","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE OR SINGLE","10060","HCPCS","Both",,,"162.5","81.25","Caresource","Medicaid Managed Care","",,"40",,"65","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE OR SINGLE","10060","HCPCS","Both",,,"162.5","81.25","Wellcare","Medicaid Managed Care","",,"40",,"65.81","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE OR SINGLE","10060","HCPCS","Both",,,"162.5","81.25","Aetna","Commercial","",,"64",,"103.68","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE OR SINGLE","10060","HCPCS","Both",,,"162.5","81.25","Blue Cross Blue Shield","Pathways","",,"71",,"114.72","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE OR SINGLE","10060","HCPCS","Both",,,"162.5","81.25","Blue Cross Blue Shield","HMO","",,"71",,"114.72","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE OR SINGLE","10060","HCPCS","Both",,,"162.5","81.25","Blue Cross Blue Shield","PPO","",,"71",,"114.72","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE OR SINGLE","10060","HCPCS","Both",,,"162.5","81.25","Ambetter","Health Exchange","",,"62",,"100.75","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE OR SINGLE","10060","HCPCS","Both",,,"162.5","81.25","Caresource","Health Exchange","",,"62",,"100.75","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE OR SINGLE","10060","HCPCS","Both",,,"162.5","81.25","Cigna","Commercial","",,"59",,"95.22","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE OR SINGLE","10060","HCPCS","Both",,,"162.5","81.25","Humana","Commercial","",,"78",,"125.94","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE OR SINGLE","10060","HCPCS","Both",,,"162.5","81.25","UHC","Commercial","",,"75",,"122.52","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE SIMPLE OR SINGLE","10060","HCPCS","Both",,,"162.5","81.25","Medicaid",,"",,"37",,"59.48","59.48","125.94","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED MULT","10061","HCPCS","Both",,,"222.5","111.25","Alliant","Health Exchange","",,"62",,"137.95","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED MULT","10061","HCPCS","Both",,,"222.5","111.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"120.15","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED MULT","10061","HCPCS","Both",,,"222.5","111.25","Medicare",,"",,"54",,"120.6","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED MULT","10061","HCPCS","Both",,,"222.5","111.25","Humana","Medicare Advantage","",,"54",,"120.6","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED MULT","10061","HCPCS","Both",,,"222.5","111.25","UHC","Medicare Advantage","",,"54",,"120.6","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED MULT","10061","HCPCS","Both",,,"222.5","111.25","Clover","Medicare Advantage","",,"54",,"120.6","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED MULT","10061","HCPCS","Both",,,"222.5","111.25","Wellcare","Medicare Advantage","",,"54",,"120.6","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED MULT","10061","HCPCS","Both",,,"222.5","111.25","Amerigroup","Medicaid Managed Care","",,"37",,"81.44","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED MULT","10061","HCPCS","Both",,,"222.5","111.25","Caresource","Medicaid Managed Care","",,"40",,"89","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED MULT","10061","HCPCS","Both",,,"222.5","111.25","Wellcare","Medicaid Managed Care","",,"40",,"90.11","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED MULT","10061","HCPCS","Both",,,"222.5","111.25","Aetna","Commercial","",,"64",,"141.96","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED MULT","10061","HCPCS","Both",,,"222.5","111.25","Blue Cross Blue Shield","Pathways","",,"71",,"157.08","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED MULT","10061","HCPCS","Both",,,"222.5","111.25","Blue Cross Blue Shield","HMO","",,"71",,"157.08","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED MULT","10061","HCPCS","Both",,,"222.5","111.25","Blue Cross Blue Shield","PPO","",,"71",,"157.08","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED MULT","10061","HCPCS","Both",,,"222.5","111.25","Ambetter","Health Exchange","",,"62",,"137.95","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED MULT","10061","HCPCS","Both",,,"222.5","111.25","Caresource","Health Exchange","",,"62",,"137.95","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED MULT","10061","HCPCS","Both",,,"222.5","111.25","Cigna","Commercial","",,"59",,"130.38","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED MULT","10061","HCPCS","Both",,,"222.5","111.25","Humana","Commercial","",,"78",,"172.44","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED MULT","10061","HCPCS","Both",,,"222.5","111.25","UHC","Commercial","",,"75",,"167.76","81.44","172.44","percent of total billed charges",,
"INCISION & DRAINAGE COMPLICATED MULT","10061","HCPCS","Both",,,"222.5","111.25","Medicaid",,"",,"37",,"81.44","81.44","172.44","percent of total billed charges",,
"INCISION & REMOVAL FB SUBCU TISSUE SIMP","10120","HCPCS","Both",,,"102","51","Alliant","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FB SUBCU TISSUE SIMP","10120","HCPCS","Both",,,"102","51","Pruitt Healthcare","Medicare Advantage","",,"54",,"55.08","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FB SUBCU TISSUE SIMP","10120","HCPCS","Both",,,"102","51","Medicare",,"",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FB SUBCU TISSUE SIMP","10120","HCPCS","Both",,,"102","51","Humana","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FB SUBCU TISSUE SIMP","10120","HCPCS","Both",,,"102","51","UHC","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FB SUBCU TISSUE SIMP","10120","HCPCS","Both",,,"102","51","Clover","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FB SUBCU TISSUE SIMP","10120","HCPCS","Both",,,"102","51","Wellcare","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FB SUBCU TISSUE SIMP","10120","HCPCS","Both",,,"102","51","Amerigroup","Medicaid Managed Care","",,"37",,"37.33","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FB SUBCU TISSUE SIMP","10120","HCPCS","Both",,,"102","51","Caresource","Medicaid Managed Care","",,"40",,"40.8","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FB SUBCU TISSUE SIMP","10120","HCPCS","Both",,,"102","51","Wellcare","Medicaid Managed Care","",,"40",,"41.31","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FB SUBCU TISSUE SIMP","10120","HCPCS","Both",,,"102","51","Aetna","Commercial","",,"64",,"65.08","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FB SUBCU TISSUE SIMP","10120","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","Pathways","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FB SUBCU TISSUE SIMP","10120","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","HMO","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FB SUBCU TISSUE SIMP","10120","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","PPO","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FB SUBCU TISSUE SIMP","10120","HCPCS","Both",,,"102","51","Ambetter","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FB SUBCU TISSUE SIMP","10120","HCPCS","Both",,,"102","51","Caresource","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FB SUBCU TISSUE SIMP","10120","HCPCS","Both",,,"102","51","Cigna","Commercial","",,"59",,"59.77","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FB SUBCU TISSUE SIMP","10120","HCPCS","Both",,,"102","51","Humana","Commercial","",,"78",,"79.05","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FB SUBCU TISSUE SIMP","10120","HCPCS","Both",,,"102","51","UHC","Commercial","",,"75",,"76.91","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FB SUBCU TISSUE SIMP","10120","HCPCS","Both",,,"102","51","Medicaid",,"",,"37",,"37.33","37.33","79.05","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Alliant","Health Exchange","",,"62",,"70.68","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Pruitt Healthcare","Medicare Advantage","",,"54",,"61.56","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Medicare",,"",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Humana","Medicare Advantage","",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","UHC","Medicare Advantage","",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Clover","Medicare Advantage","",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Wellcare","Medicare Advantage","",,"54",,"61.79","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Amerigroup","Medicaid Managed Care","",,"37",,"41.72","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Caresource","Medicaid Managed Care","",,"40",,"45.6","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Wellcare","Medicaid Managed Care","",,"40",,"46.17","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Aetna","Commercial","",,"64",,"72.73","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Blue Cross Blue Shield","Pathways","",,"71",,"80.48","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Blue Cross Blue Shield","HMO","",,"71",,"80.48","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Blue Cross Blue Shield","PPO","",,"71",,"80.48","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Ambetter","Health Exchange","",,"62",,"70.68","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Caresource","Health Exchange","",,"62",,"70.68","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Cigna","Commercial","",,"59",,"66.8","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Humana","Commercial","",,"78",,"88.35","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","UHC","Commercial","",,"75",,"85.96","41.72","88.35","percent of total billed charges",,
"INCISION & REMOVAL FOREIGN BODY COMPLICA","10121","HCPCS","Both",,,"114","57","Medicaid",,"",,"37",,"41.72","41.72","88.35","percent of total billed charges",,
"PUNCTURE ASPIRATION OF ABSCESS,HEMATOMA","10160","HCPCS","Both",,,"392","196","Alliant","Health Exchange","",,"62",,"243.04","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION OF ABSCESS,HEMATOMA","10160","HCPCS","Both",,,"392","196","Pruitt Healthcare","Medicare Advantage","",,"54",,"211.68","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION OF ABSCESS,HEMATOMA","10160","HCPCS","Both",,,"392","196","Medicare",,"",,"54",,"212.46","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION OF ABSCESS,HEMATOMA","10160","HCPCS","Both",,,"392","196","Humana","Medicare Advantage","",,"54",,"212.46","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION OF ABSCESS,HEMATOMA","10160","HCPCS","Both",,,"392","196","UHC","Medicare Advantage","",,"54",,"212.46","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION OF ABSCESS,HEMATOMA","10160","HCPCS","Both",,,"392","196","Clover","Medicare Advantage","",,"54",,"212.46","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION OF ABSCESS,HEMATOMA","10160","HCPCS","Both",,,"392","196","Wellcare","Medicare Advantage","",,"54",,"212.46","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION OF ABSCESS,HEMATOMA","10160","HCPCS","Both",,,"392","196","Amerigroup","Medicaid Managed Care","",,"37",,"143.47","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION OF ABSCESS,HEMATOMA","10160","HCPCS","Both",,,"392","196","Caresource","Medicaid Managed Care","",,"40",,"156.8","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION OF ABSCESS,HEMATOMA","10160","HCPCS","Both",,,"392","196","Wellcare","Medicaid Managed Care","",,"40",,"158.76","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION OF ABSCESS,HEMATOMA","10160","HCPCS","Both",,,"392","196","Aetna","Commercial","",,"64",,"250.1","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION OF ABSCESS,HEMATOMA","10160","HCPCS","Both",,,"392","196","Blue Cross Blue Shield","Pathways","",,"71",,"276.75","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION OF ABSCESS,HEMATOMA","10160","HCPCS","Both",,,"392","196","Blue Cross Blue Shield","HMO","",,"71",,"276.75","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION OF ABSCESS,HEMATOMA","10160","HCPCS","Both",,,"392","196","Blue Cross Blue Shield","PPO","",,"71",,"276.75","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION OF ABSCESS,HEMATOMA","10160","HCPCS","Both",,,"392","196","Ambetter","Health Exchange","",,"62",,"243.04","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION OF ABSCESS,HEMATOMA","10160","HCPCS","Both",,,"392","196","Caresource","Health Exchange","",,"62",,"243.04","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION OF ABSCESS,HEMATOMA","10160","HCPCS","Both",,,"392","196","Cigna","Commercial","",,"59",,"229.71","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION OF ABSCESS,HEMATOMA","10160","HCPCS","Both",,,"392","196","Humana","Commercial","",,"78",,"303.8","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION OF ABSCESS,HEMATOMA","10160","HCPCS","Both",,,"392","196","UHC","Commercial","",,"75",,"295.57","143.47","303.8","percent of total billed charges",,
"PUNCTURE ASPIRATION OF ABSCESS,HEMATOMA","10160","HCPCS","Both",,,"392","196","Medicaid",,"",,"37",,"143.47","143.47","303.8","percent of total billed charges",,
"INCISION AND DRAINAGE COMPLEX POSTOP WOU","10180","HCPCS","Both",,,"240","120","Alliant","Health Exchange","",,"62",,"148.8","87.84","186","percent of total billed charges",,
"INCISION AND DRAINAGE COMPLEX POSTOP WOU","10180","HCPCS","Both",,,"240","120","Pruitt Healthcare","Medicare Advantage","",,"54",,"129.6","87.84","186","percent of total billed charges",,
"INCISION AND DRAINAGE COMPLEX POSTOP WOU","10180","HCPCS","Both",,,"240","120","Medicare",,"",,"54",,"130.08","87.84","186","percent of total billed charges",,
"INCISION AND DRAINAGE COMPLEX POSTOP WOU","10180","HCPCS","Both",,,"240","120","Humana","Medicare Advantage","",,"54",,"130.08","87.84","186","percent of total billed charges",,
"INCISION AND DRAINAGE COMPLEX POSTOP WOU","10180","HCPCS","Both",,,"240","120","UHC","Medicare Advantage","",,"54",,"130.08","87.84","186","percent of total billed charges",,
"INCISION AND DRAINAGE COMPLEX POSTOP WOU","10180","HCPCS","Both",,,"240","120","Clover","Medicare Advantage","",,"54",,"130.08","87.84","186","percent of total billed charges",,
"INCISION AND DRAINAGE COMPLEX POSTOP WOU","10180","HCPCS","Both",,,"240","120","Wellcare","Medicare Advantage","",,"54",,"130.08","87.84","186","percent of total billed charges",,
"INCISION AND DRAINAGE COMPLEX POSTOP WOU","10180","HCPCS","Both",,,"240","120","Amerigroup","Medicaid Managed Care","",,"37",,"87.84","87.84","186","percent of total billed charges",,
"INCISION AND DRAINAGE COMPLEX POSTOP WOU","10180","HCPCS","Both",,,"240","120","Caresource","Medicaid Managed Care","",,"40",,"96","87.84","186","percent of total billed charges",,
"INCISION AND DRAINAGE COMPLEX POSTOP WOU","10180","HCPCS","Both",,,"240","120","Wellcare","Medicaid Managed Care","",,"40",,"97.2","87.84","186","percent of total billed charges",,
"INCISION AND DRAINAGE COMPLEX POSTOP WOU","10180","HCPCS","Both",,,"240","120","Aetna","Commercial","",,"64",,"153.12","87.84","186","percent of total billed charges",,
"INCISION AND DRAINAGE COMPLEX POSTOP WOU","10180","HCPCS","Both",,,"240","120","Blue Cross Blue Shield","Pathways","",,"71",,"169.44","87.84","186","percent of total billed charges",,
"INCISION AND DRAINAGE COMPLEX POSTOP WOU","10180","HCPCS","Both",,,"240","120","Blue Cross Blue Shield","HMO","",,"71",,"169.44","87.84","186","percent of total billed charges",,
"INCISION AND DRAINAGE COMPLEX POSTOP WOU","10180","HCPCS","Both",,,"240","120","Blue Cross Blue Shield","PPO","",,"71",,"169.44","87.84","186","percent of total billed charges",,
"INCISION AND DRAINAGE COMPLEX POSTOP WOU","10180","HCPCS","Both",,,"240","120","Ambetter","Health Exchange","",,"62",,"148.8","87.84","186","percent of total billed charges",,
"INCISION AND DRAINAGE COMPLEX POSTOP WOU","10180","HCPCS","Both",,,"240","120","Caresource","Health Exchange","",,"62",,"148.8","87.84","186","percent of total billed charges",,
"INCISION AND DRAINAGE COMPLEX POSTOP WOU","10180","HCPCS","Both",,,"240","120","Cigna","Commercial","",,"59",,"140.64","87.84","186","percent of total billed charges",,
"INCISION AND DRAINAGE COMPLEX POSTOP WOU","10180","HCPCS","Both",,,"240","120","Humana","Commercial","",,"78",,"186","87.84","186","percent of total billed charges",,
"INCISION AND DRAINAGE COMPLEX POSTOP WOU","10180","HCPCS","Both",,,"240","120","UHC","Commercial","",,"75",,"180.96","87.84","186","percent of total billed charges",,
"INCISION AND DRAINAGE COMPLEX POSTOP WOU","10180","HCPCS","Both",,,"240","120","Medicaid",,"",,"37",,"87.84","87.84","186","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS SKIN 10%","11000","HCPCS","Both",,,"75","37.5","Alliant","Health Exchange","",,"62",,"46.5","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS SKIN 10%","11000","HCPCS","Both",,,"75","37.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"40.5","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS SKIN 10%","11000","HCPCS","Both",,,"75","37.5","Medicare",,"",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS SKIN 10%","11000","HCPCS","Both",,,"75","37.5","Humana","Medicare Advantage","",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS SKIN 10%","11000","HCPCS","Both",,,"75","37.5","UHC","Medicare Advantage","",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS SKIN 10%","11000","HCPCS","Both",,,"75","37.5","Clover","Medicare Advantage","",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS SKIN 10%","11000","HCPCS","Both",,,"75","37.5","Wellcare","Medicare Advantage","",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS SKIN 10%","11000","HCPCS","Both",,,"75","37.5","Amerigroup","Medicaid Managed Care","",,"37",,"27.45","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS SKIN 10%","11000","HCPCS","Both",,,"75","37.5","Caresource","Medicaid Managed Care","",,"40",,"30","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS SKIN 10%","11000","HCPCS","Both",,,"75","37.5","Wellcare","Medicaid Managed Care","",,"40",,"30.38","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS SKIN 10%","11000","HCPCS","Both",,,"75","37.5","Aetna","Commercial","",,"64",,"47.85","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS SKIN 10%","11000","HCPCS","Both",,,"75","37.5","Blue Cross Blue Shield","Pathways","",,"71",,"52.95","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS SKIN 10%","11000","HCPCS","Both",,,"75","37.5","Blue Cross Blue Shield","HMO","",,"71",,"52.95","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS SKIN 10%","11000","HCPCS","Both",,,"75","37.5","Blue Cross Blue Shield","PPO","",,"71",,"52.95","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS SKIN 10%","11000","HCPCS","Both",,,"75","37.5","Ambetter","Health Exchange","",,"62",,"46.5","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS SKIN 10%","11000","HCPCS","Both",,,"75","37.5","Caresource","Health Exchange","",,"62",,"46.5","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS SKIN 10%","11000","HCPCS","Both",,,"75","37.5","Cigna","Commercial","",,"59",,"43.95","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS SKIN 10%","11000","HCPCS","Both",,,"75","37.5","Humana","Commercial","",,"78",,"58.12","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS SKIN 10%","11000","HCPCS","Both",,,"75","37.5","UHC","Commercial","",,"75",,"56.55","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT ECZEMATOUS SKIN 10%","11000","HCPCS","Both",,,"75","37.5","Medicaid",,"",,"37",,"27.45","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT SKIN EXT GENITALIA  (IP ONLY","11004","HCPCS","Both",,,"1739.5","869.75","Alliant","Health Exchange","",,"62",,"1078.49","636.66","1348.11","percent of total billed charges",,
"DEBRIDEMENT SKIN EXT GENITALIA  (IP ONLY","11004","HCPCS","Both",,,"1739.5","869.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"939.33","636.66","1348.11","percent of total billed charges",,
"DEBRIDEMENT SKIN EXT GENITALIA  (IP ONLY","11004","HCPCS","Both",,,"1739.5","869.75","Medicare",,"",,"54",,"942.81","636.66","1348.11","percent of total billed charges",,
"DEBRIDEMENT SKIN EXT GENITALIA  (IP ONLY","11004","HCPCS","Both",,,"1739.5","869.75","Humana","Medicare Advantage","",,"54",,"942.81","636.66","1348.11","percent of total billed charges",,
"DEBRIDEMENT SKIN EXT GENITALIA  (IP ONLY","11004","HCPCS","Both",,,"1739.5","869.75","UHC","Medicare Advantage","",,"54",,"942.81","636.66","1348.11","percent of total billed charges",,
"DEBRIDEMENT SKIN EXT GENITALIA  (IP ONLY","11004","HCPCS","Both",,,"1739.5","869.75","Clover","Medicare Advantage","",,"54",,"942.81","636.66","1348.11","percent of total billed charges",,
"DEBRIDEMENT SKIN EXT GENITALIA  (IP ONLY","11004","HCPCS","Both",,,"1739.5","869.75","Wellcare","Medicare Advantage","",,"54",,"942.81","636.66","1348.11","percent of total billed charges",,
"DEBRIDEMENT SKIN EXT GENITALIA  (IP ONLY","11004","HCPCS","Both",,,"1739.5","869.75","Amerigroup","Medicaid Managed Care","",,"37",,"636.66","636.66","1348.11","percent of total billed charges",,
"DEBRIDEMENT SKIN EXT GENITALIA  (IP ONLY","11004","HCPCS","Both",,,"1739.5","869.75","Caresource","Medicaid Managed Care","",,"40",,"695.8","636.66","1348.11","percent of total billed charges",,
"DEBRIDEMENT SKIN EXT GENITALIA  (IP ONLY","11004","HCPCS","Both",,,"1739.5","869.75","Wellcare","Medicaid Managed Care","",,"40",,"704.5","636.66","1348.11","percent of total billed charges",,
"DEBRIDEMENT SKIN EXT GENITALIA  (IP ONLY","11004","HCPCS","Both",,,"1739.5","869.75","Aetna","Commercial","",,"64",,"1109.8","636.66","1348.11","percent of total billed charges",,
"DEBRIDEMENT SKIN EXT GENITALIA  (IP ONLY","11004","HCPCS","Both",,,"1739.5","869.75","Blue Cross Blue Shield","Pathways","",,"71",,"1228.09","636.66","1348.11","percent of total billed charges",,
"DEBRIDEMENT SKIN EXT GENITALIA  (IP ONLY","11004","HCPCS","Both",,,"1739.5","869.75","Blue Cross Blue Shield","HMO","",,"71",,"1228.09","636.66","1348.11","percent of total billed charges",,
"DEBRIDEMENT SKIN EXT GENITALIA  (IP ONLY","11004","HCPCS","Both",,,"1739.5","869.75","Blue Cross Blue Shield","PPO","",,"71",,"1228.09","636.66","1348.11","percent of total billed charges",,
"DEBRIDEMENT SKIN EXT GENITALIA  (IP ONLY","11004","HCPCS","Both",,,"1739.5","869.75","Ambetter","Health Exchange","",,"62",,"1078.49","636.66","1348.11","percent of total billed charges",,
"DEBRIDEMENT SKIN EXT GENITALIA  (IP ONLY","11004","HCPCS","Both",,,"1739.5","869.75","Caresource","Health Exchange","",,"62",,"1078.49","636.66","1348.11","percent of total billed charges",,
"DEBRIDEMENT SKIN EXT GENITALIA  (IP ONLY","11004","HCPCS","Both",,,"1739.5","869.75","Cigna","Commercial","",,"59",,"1019.35","636.66","1348.11","percent of total billed charges",,
"DEBRIDEMENT SKIN EXT GENITALIA  (IP ONLY","11004","HCPCS","Both",,,"1739.5","869.75","Humana","Commercial","",,"78",,"1348.11","636.66","1348.11","percent of total billed charges",,
"DEBRIDEMENT SKIN EXT GENITALIA  (IP ONLY","11004","HCPCS","Both",,,"1739.5","869.75","UHC","Commercial","",,"75",,"1311.58","636.66","1348.11","percent of total billed charges",,
"DEBRIDEMENT SKIN EXT GENITALIA  (IP ONLY","11004","HCPCS","Both",,,"1739.5","869.75","Medicaid",,"",,"37",,"636.66","636.66","1348.11","percent of total billed charges",,
"DEBRIDEMENT/REMOVAL FM W/OPEN FX","11010","HCPCS","Both",,,"561","280.5","Alliant","Health Exchange","",,"62",,"347.82","205.33","434.78","percent of total billed charges",,
"DEBRIDEMENT/REMOVAL FM W/OPEN FX","11010","HCPCS","Both",,,"561","280.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"302.94","205.33","434.78","percent of total billed charges",,
"DEBRIDEMENT/REMOVAL FM W/OPEN FX","11010","HCPCS","Both",,,"561","280.5","Medicare",,"",,"54",,"304.06","205.33","434.78","percent of total billed charges",,
"DEBRIDEMENT/REMOVAL FM W/OPEN FX","11010","HCPCS","Both",,,"561","280.5","Humana","Medicare Advantage","",,"54",,"304.06","205.33","434.78","percent of total billed charges",,
"DEBRIDEMENT/REMOVAL FM W/OPEN FX","11010","HCPCS","Both",,,"561","280.5","UHC","Medicare Advantage","",,"54",,"304.06","205.33","434.78","percent of total billed charges",,
"DEBRIDEMENT/REMOVAL FM W/OPEN FX","11010","HCPCS","Both",,,"561","280.5","Clover","Medicare Advantage","",,"54",,"304.06","205.33","434.78","percent of total billed charges",,
"DEBRIDEMENT/REMOVAL FM W/OPEN FX","11010","HCPCS","Both",,,"561","280.5","Wellcare","Medicare Advantage","",,"54",,"304.06","205.33","434.78","percent of total billed charges",,
"DEBRIDEMENT/REMOVAL FM W/OPEN FX","11010","HCPCS","Both",,,"561","280.5","Amerigroup","Medicaid Managed Care","",,"37",,"205.33","205.33","434.78","percent of total billed charges",,
"DEBRIDEMENT/REMOVAL FM W/OPEN FX","11010","HCPCS","Both",,,"561","280.5","Caresource","Medicaid Managed Care","",,"40",,"224.4","205.33","434.78","percent of total billed charges",,
"DEBRIDEMENT/REMOVAL FM W/OPEN FX","11010","HCPCS","Both",,,"561","280.5","Wellcare","Medicaid Managed Care","",,"40",,"227.2","205.33","434.78","percent of total billed charges",,
"DEBRIDEMENT/REMOVAL FM W/OPEN FX","11010","HCPCS","Both",,,"561","280.5","Aetna","Commercial","",,"64",,"357.92","205.33","434.78","percent of total billed charges",,
"DEBRIDEMENT/REMOVAL FM W/OPEN FX","11010","HCPCS","Both",,,"561","280.5","Blue Cross Blue Shield","Pathways","",,"71",,"396.07","205.33","434.78","percent of total billed charges",,
"DEBRIDEMENT/REMOVAL FM W/OPEN FX","11010","HCPCS","Both",,,"561","280.5","Blue Cross Blue Shield","HMO","",,"71",,"396.07","205.33","434.78","percent of total billed charges",,
"DEBRIDEMENT/REMOVAL FM W/OPEN FX","11010","HCPCS","Both",,,"561","280.5","Blue Cross Blue Shield","PPO","",,"71",,"396.07","205.33","434.78","percent of total billed charges",,
"DEBRIDEMENT/REMOVAL FM W/OPEN FX","11010","HCPCS","Both",,,"561","280.5","Ambetter","Health Exchange","",,"62",,"347.82","205.33","434.78","percent of total billed charges",,
"DEBRIDEMENT/REMOVAL FM W/OPEN FX","11010","HCPCS","Both",,,"561","280.5","Caresource","Health Exchange","",,"62",,"347.82","205.33","434.78","percent of total billed charges",,
"DEBRIDEMENT/REMOVAL FM W/OPEN FX","11010","HCPCS","Both",,,"561","280.5","Cigna","Commercial","",,"59",,"328.75","205.33","434.78","percent of total billed charges",,
"DEBRIDEMENT/REMOVAL FM W/OPEN FX","11010","HCPCS","Both",,,"561","280.5","Humana","Commercial","",,"78",,"434.78","205.33","434.78","percent of total billed charges",,
"DEBRIDEMENT/REMOVAL FM W/OPEN FX","11010","HCPCS","Both",,,"561","280.5","UHC","Commercial","",,"75",,"422.99","205.33","434.78","percent of total billed charges",,
"DEBRIDEMENT/REMOVAL FM W/OPEN FX","11010","HCPCS","Both",,,"561","280.5","Medicaid",,"",,"37",,"205.33","205.33","434.78","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Alliant","Health Exchange","",,"62",,"61.07","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"53.19","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Medicare",,"",,"54",,"53.39","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Humana","Medicare Advantage","",,"54",,"53.39","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE","11042","HCPCS","Both",,,"98.5","49.25","UHC","Medicare Advantage","",,"54",,"53.39","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Clover","Medicare Advantage","",,"54",,"53.39","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Wellcare","Medicare Advantage","",,"54",,"53.39","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Amerigroup","Medicaid Managed Care","",,"37",,"36.05","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Caresource","Medicaid Managed Care","",,"40",,"39.4","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Wellcare","Medicaid Managed Care","",,"40",,"39.89","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Aetna","Commercial","",,"64",,"62.84","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Blue Cross Blue Shield","Pathways","",,"71",,"69.54","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Blue Cross Blue Shield","HMO","",,"71",,"69.54","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Blue Cross Blue Shield","PPO","",,"71",,"69.54","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Ambetter","Health Exchange","",,"62",,"61.07","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Caresource","Health Exchange","",,"62",,"61.07","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Cigna","Commercial","",,"59",,"57.72","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Humana","Commercial","",,"78",,"76.34","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE","11042","HCPCS","Both",,,"98.5","49.25","UHC","Commercial","",,"75",,"74.27","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE","11042","HCPCS","Both",,,"98.5","49.25","Medicaid",,"",,"37",,"36.05","36.05","76.34","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE","11043","HCPCS","Both",,,"367","183.5","Alliant","Health Exchange","",,"62",,"227.54","134.32","284.42","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE","11043","HCPCS","Both",,,"367","183.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"198.18","134.32","284.42","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE","11043","HCPCS","Both",,,"367","183.5","Medicare",,"",,"54",,"198.91","134.32","284.42","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE","11043","HCPCS","Both",,,"367","183.5","Humana","Medicare Advantage","",,"54",,"198.91","134.32","284.42","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE","11043","HCPCS","Both",,,"367","183.5","UHC","Medicare Advantage","",,"54",,"198.91","134.32","284.42","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE","11043","HCPCS","Both",,,"367","183.5","Clover","Medicare Advantage","",,"54",,"198.91","134.32","284.42","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE","11043","HCPCS","Both",,,"367","183.5","Wellcare","Medicare Advantage","",,"54",,"198.91","134.32","284.42","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE","11043","HCPCS","Both",,,"367","183.5","Amerigroup","Medicaid Managed Care","",,"37",,"134.32","134.32","284.42","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE","11043","HCPCS","Both",,,"367","183.5","Caresource","Medicaid Managed Care","",,"40",,"146.8","134.32","284.42","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE","11043","HCPCS","Both",,,"367","183.5","Wellcare","Medicaid Managed Care","",,"40",,"148.64","134.32","284.42","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE","11043","HCPCS","Both",,,"367","183.5","Aetna","Commercial","",,"64",,"234.15","134.32","284.42","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE","11043","HCPCS","Both",,,"367","183.5","Blue Cross Blue Shield","Pathways","",,"71",,"259.1","134.32","284.42","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE","11043","HCPCS","Both",,,"367","183.5","Blue Cross Blue Shield","HMO","",,"71",,"259.1","134.32","284.42","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE","11043","HCPCS","Both",,,"367","183.5","Blue Cross Blue Shield","PPO","",,"71",,"259.1","134.32","284.42","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE","11043","HCPCS","Both",,,"367","183.5","Ambetter","Health Exchange","",,"62",,"227.54","134.32","284.42","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE","11043","HCPCS","Both",,,"367","183.5","Caresource","Health Exchange","",,"62",,"227.54","134.32","284.42","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE","11043","HCPCS","Both",,,"367","183.5","Cigna","Commercial","",,"59",,"215.06","134.32","284.42","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE","11043","HCPCS","Both",,,"367","183.5","Humana","Commercial","",,"78",,"284.42","134.32","284.42","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE","11043","HCPCS","Both",,,"367","183.5","UHC","Commercial","",,"75",,"276.72","134.32","284.42","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE","11043","HCPCS","Both",,,"367","183.5","Medicaid",,"",,"37",,"134.32","134.32","284.42","percent of total billed charges",,
"DEBRIDEMENT SKIN SUBCUT TISS MUSCL BONE","11044","HCPCS","Both",,,"75","37.5","Alliant","Health Exchange","",,"62",,"46.5","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT SKIN SUBCUT TISS MUSCL BONE","11044","HCPCS","Both",,,"75","37.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"40.5","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT SKIN SUBCUT TISS MUSCL BONE","11044","HCPCS","Both",,,"75","37.5","Medicare",,"",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT SKIN SUBCUT TISS MUSCL BONE","11044","HCPCS","Both",,,"75","37.5","Humana","Medicare Advantage","",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT SKIN SUBCUT TISS MUSCL BONE","11044","HCPCS","Both",,,"75","37.5","UHC","Medicare Advantage","",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT SKIN SUBCUT TISS MUSCL BONE","11044","HCPCS","Both",,,"75","37.5","Clover","Medicare Advantage","",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT SKIN SUBCUT TISS MUSCL BONE","11044","HCPCS","Both",,,"75","37.5","Wellcare","Medicare Advantage","",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT SKIN SUBCUT TISS MUSCL BONE","11044","HCPCS","Both",,,"75","37.5","Amerigroup","Medicaid Managed Care","",,"37",,"27.45","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT SKIN SUBCUT TISS MUSCL BONE","11044","HCPCS","Both",,,"75","37.5","Caresource","Medicaid Managed Care","",,"40",,"30","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT SKIN SUBCUT TISS MUSCL BONE","11044","HCPCS","Both",,,"75","37.5","Wellcare","Medicaid Managed Care","",,"40",,"30.38","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT SKIN SUBCUT TISS MUSCL BONE","11044","HCPCS","Both",,,"75","37.5","Aetna","Commercial","",,"64",,"47.85","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT SKIN SUBCUT TISS MUSCL BONE","11044","HCPCS","Both",,,"75","37.5","Blue Cross Blue Shield","Pathways","",,"71",,"52.95","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT SKIN SUBCUT TISS MUSCL BONE","11044","HCPCS","Both",,,"75","37.5","Blue Cross Blue Shield","HMO","",,"71",,"52.95","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT SKIN SUBCUT TISS MUSCL BONE","11044","HCPCS","Both",,,"75","37.5","Blue Cross Blue Shield","PPO","",,"71",,"52.95","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT SKIN SUBCUT TISS MUSCL BONE","11044","HCPCS","Both",,,"75","37.5","Ambetter","Health Exchange","",,"62",,"46.5","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT SKIN SUBCUT TISS MUSCL BONE","11044","HCPCS","Both",,,"75","37.5","Caresource","Health Exchange","",,"62",,"46.5","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT SKIN SUBCUT TISS MUSCL BONE","11044","HCPCS","Both",,,"75","37.5","Cigna","Commercial","",,"59",,"43.95","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT SKIN SUBCUT TISS MUSCL BONE","11044","HCPCS","Both",,,"75","37.5","Humana","Commercial","",,"78",,"58.12","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT SKIN SUBCUT TISS MUSCL BONE","11044","HCPCS","Both",,,"75","37.5","UHC","Commercial","",,"75",,"56.55","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT SKIN SUBCUT TISS MUSCL BONE","11044","HCPCS","Both",,,"75","37.5","Medicaid",,"",,"37",,"27.45","27.45","58.12","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE @ ADD'L","11045","HCPCS","Both",,,"1789.5","894.75","Alliant","Health Exchange","",,"62",,"1109.49","654.96","1386.86","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE @ ADD'L","11045","HCPCS","Both",,,"1789.5","894.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"966.33","654.96","1386.86","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE @ ADD'L","11045","HCPCS","Both",,,"1789.5","894.75","Medicare",,"",,"54",,"969.91","654.96","1386.86","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE @ ADD'L","11045","HCPCS","Both",,,"1789.5","894.75","Humana","Medicare Advantage","",,"54",,"969.91","654.96","1386.86","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE @ ADD'L","11045","HCPCS","Both",,,"1789.5","894.75","UHC","Medicare Advantage","",,"54",,"969.91","654.96","1386.86","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE @ ADD'L","11045","HCPCS","Both",,,"1789.5","894.75","Clover","Medicare Advantage","",,"54",,"969.91","654.96","1386.86","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE @ ADD'L","11045","HCPCS","Both",,,"1789.5","894.75","Wellcare","Medicare Advantage","",,"54",,"969.91","654.96","1386.86","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE @ ADD'L","11045","HCPCS","Both",,,"1789.5","894.75","Amerigroup","Medicaid Managed Care","",,"37",,"654.96","654.96","1386.86","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE @ ADD'L","11045","HCPCS","Both",,,"1789.5","894.75","Caresource","Medicaid Managed Care","",,"40",,"715.8","654.96","1386.86","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE @ ADD'L","11045","HCPCS","Both",,,"1789.5","894.75","Wellcare","Medicaid Managed Care","",,"40",,"724.75","654.96","1386.86","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE @ ADD'L","11045","HCPCS","Both",,,"1789.5","894.75","Aetna","Commercial","",,"64",,"1141.7","654.96","1386.86","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE @ ADD'L","11045","HCPCS","Both",,,"1789.5","894.75","Blue Cross Blue Shield","Pathways","",,"71",,"1263.39","654.96","1386.86","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE @ ADD'L","11045","HCPCS","Both",,,"1789.5","894.75","Blue Cross Blue Shield","HMO","",,"71",,"1263.39","654.96","1386.86","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE @ ADD'L","11045","HCPCS","Both",,,"1789.5","894.75","Blue Cross Blue Shield","PPO","",,"71",,"1263.39","654.96","1386.86","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE @ ADD'L","11045","HCPCS","Both",,,"1789.5","894.75","Ambetter","Health Exchange","",,"62",,"1109.49","654.96","1386.86","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE @ ADD'L","11045","HCPCS","Both",,,"1789.5","894.75","Caresource","Health Exchange","",,"62",,"1109.49","654.96","1386.86","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE @ ADD'L","11045","HCPCS","Both",,,"1789.5","894.75","Cigna","Commercial","",,"59",,"1048.65","654.96","1386.86","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE @ ADD'L","11045","HCPCS","Both",,,"1789.5","894.75","Humana","Commercial","",,"78",,"1386.86","654.96","1386.86","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE @ ADD'L","11045","HCPCS","Both",,,"1789.5","894.75","UHC","Commercial","",,"75",,"1349.28","654.96","1386.86","percent of total billed charges",,
"DEBRIDEMENT; SKIN & SUBCU TISSUE @ ADD'L","11045","HCPCS","Both",,,"1789.5","894.75","Medicaid",,"",,"37",,"654.96","654.96","1386.86","percent of total billed charges",,
"REMOVAL SKIN TAGS/MULTIPLE TAGS","11200","HCPCS","Both",,,"75","37.5","Alliant","Health Exchange","",,"62",,"46.5","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS/MULTIPLE TAGS","11200","HCPCS","Both",,,"75","37.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"40.5","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS/MULTIPLE TAGS","11200","HCPCS","Both",,,"75","37.5","Medicare",,"",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS/MULTIPLE TAGS","11200","HCPCS","Both",,,"75","37.5","Humana","Medicare Advantage","",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS/MULTIPLE TAGS","11200","HCPCS","Both",,,"75","37.5","UHC","Medicare Advantage","",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS/MULTIPLE TAGS","11200","HCPCS","Both",,,"75","37.5","Clover","Medicare Advantage","",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS/MULTIPLE TAGS","11200","HCPCS","Both",,,"75","37.5","Wellcare","Medicare Advantage","",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS/MULTIPLE TAGS","11200","HCPCS","Both",,,"75","37.5","Amerigroup","Medicaid Managed Care","",,"37",,"27.45","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS/MULTIPLE TAGS","11200","HCPCS","Both",,,"75","37.5","Caresource","Medicaid Managed Care","",,"40",,"30","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS/MULTIPLE TAGS","11200","HCPCS","Both",,,"75","37.5","Wellcare","Medicaid Managed Care","",,"40",,"30.38","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS/MULTIPLE TAGS","11200","HCPCS","Both",,,"75","37.5","Aetna","Commercial","",,"64",,"47.85","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS/MULTIPLE TAGS","11200","HCPCS","Both",,,"75","37.5","Blue Cross Blue Shield","Pathways","",,"71",,"52.95","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS/MULTIPLE TAGS","11200","HCPCS","Both",,,"75","37.5","Blue Cross Blue Shield","HMO","",,"71",,"52.95","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS/MULTIPLE TAGS","11200","HCPCS","Both",,,"75","37.5","Blue Cross Blue Shield","PPO","",,"71",,"52.95","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS/MULTIPLE TAGS","11200","HCPCS","Both",,,"75","37.5","Ambetter","Health Exchange","",,"62",,"46.5","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS/MULTIPLE TAGS","11200","HCPCS","Both",,,"75","37.5","Caresource","Health Exchange","",,"62",,"46.5","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS/MULTIPLE TAGS","11200","HCPCS","Both",,,"75","37.5","Cigna","Commercial","",,"59",,"43.95","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS/MULTIPLE TAGS","11200","HCPCS","Both",,,"75","37.5","Humana","Commercial","",,"78",,"58.12","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS/MULTIPLE TAGS","11200","HCPCS","Both",,,"75","37.5","UHC","Commercial","",,"75",,"56.55","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS/MULTIPLE TAGS","11200","HCPCS","Both",,,"75","37.5","Medicaid",,"",,"37",,"27.45","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS/MULTi TAGS @ addl 10","11201","HCPCS","Both",,,"224.5","112.25","Alliant","Health Exchange","",,"62",,"139.19","82.17","173.99","percent of total billed charges",,
"REMOVAL SKIN TAGS/MULTi TAGS @ addl 10","11201","HCPCS","Both",,,"224.5","112.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"121.23","82.17","173.99","percent of total billed charges",,
"REMOVAL SKIN TAGS/MULTi TAGS @ addl 10","11201","HCPCS","Both",,,"224.5","112.25","Medicare",,"",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"REMOVAL SKIN TAGS/MULTi TAGS @ addl 10","11201","HCPCS","Both",,,"224.5","112.25","Humana","Medicare Advantage","",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"REMOVAL SKIN TAGS/MULTi TAGS @ addl 10","11201","HCPCS","Both",,,"224.5","112.25","UHC","Medicare Advantage","",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"REMOVAL SKIN TAGS/MULTi TAGS @ addl 10","11201","HCPCS","Both",,,"224.5","112.25","Clover","Medicare Advantage","",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"REMOVAL SKIN TAGS/MULTi TAGS @ addl 10","11201","HCPCS","Both",,,"224.5","112.25","Wellcare","Medicare Advantage","",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"REMOVAL SKIN TAGS/MULTi TAGS @ addl 10","11201","HCPCS","Both",,,"224.5","112.25","Amerigroup","Medicaid Managed Care","",,"37",,"82.17","82.17","173.99","percent of total billed charges",,
"REMOVAL SKIN TAGS/MULTi TAGS @ addl 10","11201","HCPCS","Both",,,"224.5","112.25","Caresource","Medicaid Managed Care","",,"40",,"89.8","82.17","173.99","percent of total billed charges",,
"REMOVAL SKIN TAGS/MULTi TAGS @ addl 10","11201","HCPCS","Both",,,"224.5","112.25","Wellcare","Medicaid Managed Care","",,"40",,"90.92","82.17","173.99","percent of total billed charges",,
"REMOVAL SKIN TAGS/MULTi TAGS @ addl 10","11201","HCPCS","Both",,,"224.5","112.25","Aetna","Commercial","",,"64",,"143.23","82.17","173.99","percent of total billed charges",,
"REMOVAL SKIN TAGS/MULTi TAGS @ addl 10","11201","HCPCS","Both",,,"224.5","112.25","Blue Cross Blue Shield","Pathways","",,"71",,"158.5","82.17","173.99","percent of total billed charges",,
"REMOVAL SKIN TAGS/MULTi TAGS @ addl 10","11201","HCPCS","Both",,,"224.5","112.25","Blue Cross Blue Shield","HMO","",,"71",,"158.5","82.17","173.99","percent of total billed charges",,
"REMOVAL SKIN TAGS/MULTi TAGS @ addl 10","11201","HCPCS","Both",,,"224.5","112.25","Blue Cross Blue Shield","PPO","",,"71",,"158.5","82.17","173.99","percent of total billed charges",,
"REMOVAL SKIN TAGS/MULTi TAGS @ addl 10","11201","HCPCS","Both",,,"224.5","112.25","Ambetter","Health Exchange","",,"62",,"139.19","82.17","173.99","percent of total billed charges",,
"REMOVAL SKIN TAGS/MULTi TAGS @ addl 10","11201","HCPCS","Both",,,"224.5","112.25","Caresource","Health Exchange","",,"62",,"139.19","82.17","173.99","percent of total billed charges",,
"REMOVAL SKIN TAGS/MULTi TAGS @ addl 10","11201","HCPCS","Both",,,"224.5","112.25","Cigna","Commercial","",,"59",,"131.56","82.17","173.99","percent of total billed charges",,
"REMOVAL SKIN TAGS/MULTi TAGS @ addl 10","11201","HCPCS","Both",,,"224.5","112.25","Humana","Commercial","",,"78",,"173.99","82.17","173.99","percent of total billed charges",,
"REMOVAL SKIN TAGS/MULTi TAGS @ addl 10","11201","HCPCS","Both",,,"224.5","112.25","UHC","Commercial","",,"75",,"169.27","82.17","173.99","percent of total billed charges",,
"REMOVAL SKIN TAGS/MULTi TAGS @ addl 10","11201","HCPCS","Both",,,"224.5","112.25","Medicaid",,"",,"37",,"82.17","82.17","173.99","percent of total billed charges",,
"SHAVING EPI/DERMAL LESION SINGLE 05cm <","11300","HCPCS","Both",,,"479.5","239.75","Alliant","Health Exchange","",,"62",,"297.29","175.5","371.61","percent of total billed charges",,
"SHAVING EPI/DERMAL LESION SINGLE 05cm <","11300","HCPCS","Both",,,"479.5","239.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"258.93","175.5","371.61","percent of total billed charges",,
"SHAVING EPI/DERMAL LESION SINGLE 05cm <","11300","HCPCS","Both",,,"479.5","239.75","Medicare",,"",,"54",,"259.89","175.5","371.61","percent of total billed charges",,
"SHAVING EPI/DERMAL LESION SINGLE 05cm <","11300","HCPCS","Both",,,"479.5","239.75","Humana","Medicare Advantage","",,"54",,"259.89","175.5","371.61","percent of total billed charges",,
"SHAVING EPI/DERMAL LESION SINGLE 05cm <","11300","HCPCS","Both",,,"479.5","239.75","UHC","Medicare Advantage","",,"54",,"259.89","175.5","371.61","percent of total billed charges",,
"SHAVING EPI/DERMAL LESION SINGLE 05cm <","11300","HCPCS","Both",,,"479.5","239.75","Clover","Medicare Advantage","",,"54",,"259.89","175.5","371.61","percent of total billed charges",,
"SHAVING EPI/DERMAL LESION SINGLE 05cm <","11300","HCPCS","Both",,,"479.5","239.75","Wellcare","Medicare Advantage","",,"54",,"259.89","175.5","371.61","percent of total billed charges",,
"SHAVING EPI/DERMAL LESION SINGLE 05cm <","11300","HCPCS","Both",,,"479.5","239.75","Amerigroup","Medicaid Managed Care","",,"37",,"175.5","175.5","371.61","percent of total billed charges",,
"SHAVING EPI/DERMAL LESION SINGLE 05cm <","11300","HCPCS","Both",,,"479.5","239.75","Caresource","Medicaid Managed Care","",,"40",,"191.8","175.5","371.61","percent of total billed charges",,
"SHAVING EPI/DERMAL LESION SINGLE 05cm <","11300","HCPCS","Both",,,"479.5","239.75","Wellcare","Medicaid Managed Care","",,"40",,"194.2","175.5","371.61","percent of total billed charges",,
"SHAVING EPI/DERMAL LESION SINGLE 05cm <","11300","HCPCS","Both",,,"479.5","239.75","Aetna","Commercial","",,"64",,"305.92","175.5","371.61","percent of total billed charges",,
"SHAVING EPI/DERMAL LESION SINGLE 05cm <","11300","HCPCS","Both",,,"479.5","239.75","Blue Cross Blue Shield","Pathways","",,"71",,"338.53","175.5","371.61","percent of total billed charges",,
"SHAVING EPI/DERMAL LESION SINGLE 05cm <","11300","HCPCS","Both",,,"479.5","239.75","Blue Cross Blue Shield","HMO","",,"71",,"338.53","175.5","371.61","percent of total billed charges",,
"SHAVING EPI/DERMAL LESION SINGLE 05cm <","11300","HCPCS","Both",,,"479.5","239.75","Blue Cross Blue Shield","PPO","",,"71",,"338.53","175.5","371.61","percent of total billed charges",,
"SHAVING EPI/DERMAL LESION SINGLE 05cm <","11300","HCPCS","Both",,,"479.5","239.75","Ambetter","Health Exchange","",,"62",,"297.29","175.5","371.61","percent of total billed charges",,
"SHAVING EPI/DERMAL LESION SINGLE 05cm <","11300","HCPCS","Both",,,"479.5","239.75","Caresource","Health Exchange","",,"62",,"297.29","175.5","371.61","percent of total billed charges",,
"SHAVING EPI/DERMAL LESION SINGLE 05cm <","11300","HCPCS","Both",,,"479.5","239.75","Cigna","Commercial","",,"59",,"280.99","175.5","371.61","percent of total billed charges",,
"SHAVING EPI/DERMAL LESION SINGLE 05cm <","11300","HCPCS","Both",,,"479.5","239.75","Humana","Commercial","",,"78",,"371.61","175.5","371.61","percent of total billed charges",,
"SHAVING EPI/DERMAL LESION SINGLE 05cm <","11300","HCPCS","Both",,,"479.5","239.75","UHC","Commercial","",,"75",,"361.54","175.5","371.61","percent of total billed charges",,
"SHAVING EPI/DERMAL LESION SINGLE 05cm <","11300","HCPCS","Both",,,"479.5","239.75","Medicaid",,"",,"37",,"175.5","175.5","371.61","percent of total billed charges",,
"SHAVING SKIN LES, SINGLE, 0.6-1.0cm","11301","HCPCS","Both",,,"224.5","112.25","Alliant","Health Exchange","",,"62",,"139.19","82.17","173.99","percent of total billed charges",,
"SHAVING SKIN LES, SINGLE, 0.6-1.0cm","11301","HCPCS","Both",,,"224.5","112.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"121.23","82.17","173.99","percent of total billed charges",,
"SHAVING SKIN LES, SINGLE, 0.6-1.0cm","11301","HCPCS","Both",,,"224.5","112.25","Medicare",,"",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"SHAVING SKIN LES, SINGLE, 0.6-1.0cm","11301","HCPCS","Both",,,"224.5","112.25","Humana","Medicare Advantage","",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"SHAVING SKIN LES, SINGLE, 0.6-1.0cm","11301","HCPCS","Both",,,"224.5","112.25","UHC","Medicare Advantage","",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"SHAVING SKIN LES, SINGLE, 0.6-1.0cm","11301","HCPCS","Both",,,"224.5","112.25","Clover","Medicare Advantage","",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"SHAVING SKIN LES, SINGLE, 0.6-1.0cm","11301","HCPCS","Both",,,"224.5","112.25","Wellcare","Medicare Advantage","",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"SHAVING SKIN LES, SINGLE, 0.6-1.0cm","11301","HCPCS","Both",,,"224.5","112.25","Amerigroup","Medicaid Managed Care","",,"37",,"82.17","82.17","173.99","percent of total billed charges",,
"SHAVING SKIN LES, SINGLE, 0.6-1.0cm","11301","HCPCS","Both",,,"224.5","112.25","Caresource","Medicaid Managed Care","",,"40",,"89.8","82.17","173.99","percent of total billed charges",,
"SHAVING SKIN LES, SINGLE, 0.6-1.0cm","11301","HCPCS","Both",,,"224.5","112.25","Wellcare","Medicaid Managed Care","",,"40",,"90.92","82.17","173.99","percent of total billed charges",,
"SHAVING SKIN LES, SINGLE, 0.6-1.0cm","11301","HCPCS","Both",,,"224.5","112.25","Aetna","Commercial","",,"64",,"143.23","82.17","173.99","percent of total billed charges",,
"SHAVING SKIN LES, SINGLE, 0.6-1.0cm","11301","HCPCS","Both",,,"224.5","112.25","Blue Cross Blue Shield","Pathways","",,"71",,"158.5","82.17","173.99","percent of total billed charges",,
"SHAVING SKIN LES, SINGLE, 0.6-1.0cm","11301","HCPCS","Both",,,"224.5","112.25","Blue Cross Blue Shield","HMO","",,"71",,"158.5","82.17","173.99","percent of total billed charges",,
"SHAVING SKIN LES, SINGLE, 0.6-1.0cm","11301","HCPCS","Both",,,"224.5","112.25","Blue Cross Blue Shield","PPO","",,"71",,"158.5","82.17","173.99","percent of total billed charges",,
"SHAVING SKIN LES, SINGLE, 0.6-1.0cm","11301","HCPCS","Both",,,"224.5","112.25","Ambetter","Health Exchange","",,"62",,"139.19","82.17","173.99","percent of total billed charges",,
"SHAVING SKIN LES, SINGLE, 0.6-1.0cm","11301","HCPCS","Both",,,"224.5","112.25","Caresource","Health Exchange","",,"62",,"139.19","82.17","173.99","percent of total billed charges",,
"SHAVING SKIN LES, SINGLE, 0.6-1.0cm","11301","HCPCS","Both",,,"224.5","112.25","Cigna","Commercial","",,"59",,"131.56","82.17","173.99","percent of total billed charges",,
"SHAVING SKIN LES, SINGLE, 0.6-1.0cm","11301","HCPCS","Both",,,"224.5","112.25","Humana","Commercial","",,"78",,"173.99","82.17","173.99","percent of total billed charges",,
"SHAVING SKIN LES, SINGLE, 0.6-1.0cm","11301","HCPCS","Both",,,"224.5","112.25","UHC","Commercial","",,"75",,"169.27","82.17","173.99","percent of total billed charges",,
"SHAVING SKIN LES, SINGLE, 0.6-1.0cm","11301","HCPCS","Both",,,"224.5","112.25","Medicaid",,"",,"37",,"82.17","82.17","173.99","percent of total billed charges",,
"SHAVING OF EPIDERMAL/DERM LESION 1.1-2.0","11302","HCPCS","Both",,,"224.5","112.25","Alliant","Health Exchange","",,"62",,"139.19","82.17","173.99","percent of total billed charges",,
"SHAVING OF EPIDERMAL/DERM LESION 1.1-2.0","11302","HCPCS","Both",,,"224.5","112.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"121.23","82.17","173.99","percent of total billed charges",,
"SHAVING OF EPIDERMAL/DERM LESION 1.1-2.0","11302","HCPCS","Both",,,"224.5","112.25","Medicare",,"",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"SHAVING OF EPIDERMAL/DERM LESION 1.1-2.0","11302","HCPCS","Both",,,"224.5","112.25","Humana","Medicare Advantage","",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"SHAVING OF EPIDERMAL/DERM LESION 1.1-2.0","11302","HCPCS","Both",,,"224.5","112.25","UHC","Medicare Advantage","",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"SHAVING OF EPIDERMAL/DERM LESION 1.1-2.0","11302","HCPCS","Both",,,"224.5","112.25","Clover","Medicare Advantage","",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"SHAVING OF EPIDERMAL/DERM LESION 1.1-2.0","11302","HCPCS","Both",,,"224.5","112.25","Wellcare","Medicare Advantage","",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"SHAVING OF EPIDERMAL/DERM LESION 1.1-2.0","11302","HCPCS","Both",,,"224.5","112.25","Amerigroup","Medicaid Managed Care","",,"37",,"82.17","82.17","173.99","percent of total billed charges",,
"SHAVING OF EPIDERMAL/DERM LESION 1.1-2.0","11302","HCPCS","Both",,,"224.5","112.25","Caresource","Medicaid Managed Care","",,"40",,"89.8","82.17","173.99","percent of total billed charges",,
"SHAVING OF EPIDERMAL/DERM LESION 1.1-2.0","11302","HCPCS","Both",,,"224.5","112.25","Wellcare","Medicaid Managed Care","",,"40",,"90.92","82.17","173.99","percent of total billed charges",,
"SHAVING OF EPIDERMAL/DERM LESION 1.1-2.0","11302","HCPCS","Both",,,"224.5","112.25","Aetna","Commercial","",,"64",,"143.23","82.17","173.99","percent of total billed charges",,
"SHAVING OF EPIDERMAL/DERM LESION 1.1-2.0","11302","HCPCS","Both",,,"224.5","112.25","Blue Cross Blue Shield","Pathways","",,"71",,"158.5","82.17","173.99","percent of total billed charges",,
"SHAVING OF EPIDERMAL/DERM LESION 1.1-2.0","11302","HCPCS","Both",,,"224.5","112.25","Blue Cross Blue Shield","HMO","",,"71",,"158.5","82.17","173.99","percent of total billed charges",,
"SHAVING OF EPIDERMAL/DERM LESION 1.1-2.0","11302","HCPCS","Both",,,"224.5","112.25","Blue Cross Blue Shield","PPO","",,"71",,"158.5","82.17","173.99","percent of total billed charges",,
"SHAVING OF EPIDERMAL/DERM LESION 1.1-2.0","11302","HCPCS","Both",,,"224.5","112.25","Ambetter","Health Exchange","",,"62",,"139.19","82.17","173.99","percent of total billed charges",,
"SHAVING OF EPIDERMAL/DERM LESION 1.1-2.0","11302","HCPCS","Both",,,"224.5","112.25","Caresource","Health Exchange","",,"62",,"139.19","82.17","173.99","percent of total billed charges",,
"SHAVING OF EPIDERMAL/DERM LESION 1.1-2.0","11302","HCPCS","Both",,,"224.5","112.25","Cigna","Commercial","",,"59",,"131.56","82.17","173.99","percent of total billed charges",,
"SHAVING OF EPIDERMAL/DERM LESION 1.1-2.0","11302","HCPCS","Both",,,"224.5","112.25","Humana","Commercial","",,"78",,"173.99","82.17","173.99","percent of total billed charges",,
"SHAVING OF EPIDERMAL/DERM LESION 1.1-2.0","11302","HCPCS","Both",,,"224.5","112.25","UHC","Commercial","",,"75",,"169.27","82.17","173.99","percent of total billed charges",,
"SHAVING OF EPIDERMAL/DERM LESION 1.1-2.0","11302","HCPCS","Both",,,"224.5","112.25","Medicaid",,"",,"37",,"82.17","82.17","173.99","percent of total billed charges",,
"SHAVING SKIN LESION,SINGE, >2.0CM","11303","HCPCS","Both",,,"335","167.5","Alliant","Health Exchange","",,"62",,"207.7","122.61","259.62","percent of total billed charges",,
"SHAVING SKIN LESION,SINGE, >2.0CM","11303","HCPCS","Both",,,"335","167.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"180.9","122.61","259.62","percent of total billed charges",,
"SHAVING SKIN LESION,SINGE, >2.0CM","11303","HCPCS","Both",,,"335","167.5","Medicare",,"",,"54",,"181.57","122.61","259.62","percent of total billed charges",,
"SHAVING SKIN LESION,SINGE, >2.0CM","11303","HCPCS","Both",,,"335","167.5","Humana","Medicare Advantage","",,"54",,"181.57","122.61","259.62","percent of total billed charges",,
"SHAVING SKIN LESION,SINGE, >2.0CM","11303","HCPCS","Both",,,"335","167.5","UHC","Medicare Advantage","",,"54",,"181.57","122.61","259.62","percent of total billed charges",,
"SHAVING SKIN LESION,SINGE, >2.0CM","11303","HCPCS","Both",,,"335","167.5","Clover","Medicare Advantage","",,"54",,"181.57","122.61","259.62","percent of total billed charges",,
"SHAVING SKIN LESION,SINGE, >2.0CM","11303","HCPCS","Both",,,"335","167.5","Wellcare","Medicare Advantage","",,"54",,"181.57","122.61","259.62","percent of total billed charges",,
"SHAVING SKIN LESION,SINGE, >2.0CM","11303","HCPCS","Both",,,"335","167.5","Amerigroup","Medicaid Managed Care","",,"37",,"122.61","122.61","259.62","percent of total billed charges",,
"SHAVING SKIN LESION,SINGE, >2.0CM","11303","HCPCS","Both",,,"335","167.5","Caresource","Medicaid Managed Care","",,"40",,"134","122.61","259.62","percent of total billed charges",,
"SHAVING SKIN LESION,SINGE, >2.0CM","11303","HCPCS","Both",,,"335","167.5","Wellcare","Medicaid Managed Care","",,"40",,"135.68","122.61","259.62","percent of total billed charges",,
"SHAVING SKIN LESION,SINGE, >2.0CM","11303","HCPCS","Both",,,"335","167.5","Aetna","Commercial","",,"64",,"213.73","122.61","259.62","percent of total billed charges",,
"SHAVING SKIN LESION,SINGE, >2.0CM","11303","HCPCS","Both",,,"335","167.5","Blue Cross Blue Shield","Pathways","",,"71",,"236.51","122.61","259.62","percent of total billed charges",,
"SHAVING SKIN LESION,SINGE, >2.0CM","11303","HCPCS","Both",,,"335","167.5","Blue Cross Blue Shield","HMO","",,"71",,"236.51","122.61","259.62","percent of total billed charges",,
"SHAVING SKIN LESION,SINGE, >2.0CM","11303","HCPCS","Both",,,"335","167.5","Blue Cross Blue Shield","PPO","",,"71",,"236.51","122.61","259.62","percent of total billed charges",,
"SHAVING SKIN LESION,SINGE, >2.0CM","11303","HCPCS","Both",,,"335","167.5","Ambetter","Health Exchange","",,"62",,"207.7","122.61","259.62","percent of total billed charges",,
"SHAVING SKIN LESION,SINGE, >2.0CM","11303","HCPCS","Both",,,"335","167.5","Caresource","Health Exchange","",,"62",,"207.7","122.61","259.62","percent of total billed charges",,
"SHAVING SKIN LESION,SINGE, >2.0CM","11303","HCPCS","Both",,,"335","167.5","Cigna","Commercial","",,"59",,"196.31","122.61","259.62","percent of total billed charges",,
"SHAVING SKIN LESION,SINGE, >2.0CM","11303","HCPCS","Both",,,"335","167.5","Humana","Commercial","",,"78",,"259.62","122.61","259.62","percent of total billed charges",,
"SHAVING SKIN LESION,SINGE, >2.0CM","11303","HCPCS","Both",,,"335","167.5","UHC","Commercial","",,"75",,"252.59","122.61","259.62","percent of total billed charges",,
"SHAVING SKIN LESION,SINGE, >2.0CM","11303","HCPCS","Both",,,"335","167.5","Medicaid",,"",,"37",,"122.61","122.61","259.62","percent of total billed charges",,
"SHAVING EPI/DERMAL SGLE LESION 0.6 T0 1.","11306","HCPCS","Both",,,"479.5","239.75","Alliant","Health Exchange","",,"62",,"297.29","175.5","371.61","percent of total billed charges",,
"SHAVING EPI/DERMAL SGLE LESION 0.6 T0 1.","11306","HCPCS","Both",,,"479.5","239.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"258.93","175.5","371.61","percent of total billed charges",,
"SHAVING EPI/DERMAL SGLE LESION 0.6 T0 1.","11306","HCPCS","Both",,,"479.5","239.75","Medicare",,"",,"54",,"259.89","175.5","371.61","percent of total billed charges",,
"SHAVING EPI/DERMAL SGLE LESION 0.6 T0 1.","11306","HCPCS","Both",,,"479.5","239.75","Humana","Medicare Advantage","",,"54",,"259.89","175.5","371.61","percent of total billed charges",,
"SHAVING EPI/DERMAL SGLE LESION 0.6 T0 1.","11306","HCPCS","Both",,,"479.5","239.75","UHC","Medicare Advantage","",,"54",,"259.89","175.5","371.61","percent of total billed charges",,
"SHAVING EPI/DERMAL SGLE LESION 0.6 T0 1.","11306","HCPCS","Both",,,"479.5","239.75","Clover","Medicare Advantage","",,"54",,"259.89","175.5","371.61","percent of total billed charges",,
"SHAVING EPI/DERMAL SGLE LESION 0.6 T0 1.","11306","HCPCS","Both",,,"479.5","239.75","Wellcare","Medicare Advantage","",,"54",,"259.89","175.5","371.61","percent of total billed charges",,
"SHAVING EPI/DERMAL SGLE LESION 0.6 T0 1.","11306","HCPCS","Both",,,"479.5","239.75","Amerigroup","Medicaid Managed Care","",,"37",,"175.5","175.5","371.61","percent of total billed charges",,
"SHAVING EPI/DERMAL SGLE LESION 0.6 T0 1.","11306","HCPCS","Both",,,"479.5","239.75","Caresource","Medicaid Managed Care","",,"40",,"191.8","175.5","371.61","percent of total billed charges",,
"SHAVING EPI/DERMAL SGLE LESION 0.6 T0 1.","11306","HCPCS","Both",,,"479.5","239.75","Wellcare","Medicaid Managed Care","",,"40",,"194.2","175.5","371.61","percent of total billed charges",,
"SHAVING EPI/DERMAL SGLE LESION 0.6 T0 1.","11306","HCPCS","Both",,,"479.5","239.75","Aetna","Commercial","",,"64",,"305.92","175.5","371.61","percent of total billed charges",,
"SHAVING EPI/DERMAL SGLE LESION 0.6 T0 1.","11306","HCPCS","Both",,,"479.5","239.75","Blue Cross Blue Shield","Pathways","",,"71",,"338.53","175.5","371.61","percent of total billed charges",,
"SHAVING EPI/DERMAL SGLE LESION 0.6 T0 1.","11306","HCPCS","Both",,,"479.5","239.75","Blue Cross Blue Shield","HMO","",,"71",,"338.53","175.5","371.61","percent of total billed charges",,
"SHAVING EPI/DERMAL SGLE LESION 0.6 T0 1.","11306","HCPCS","Both",,,"479.5","239.75","Blue Cross Blue Shield","PPO","",,"71",,"338.53","175.5","371.61","percent of total billed charges",,
"SHAVING EPI/DERMAL SGLE LESION 0.6 T0 1.","11306","HCPCS","Both",,,"479.5","239.75","Ambetter","Health Exchange","",,"62",,"297.29","175.5","371.61","percent of total billed charges",,
"SHAVING EPI/DERMAL SGLE LESION 0.6 T0 1.","11306","HCPCS","Both",,,"479.5","239.75","Caresource","Health Exchange","",,"62",,"297.29","175.5","371.61","percent of total billed charges",,
"SHAVING EPI/DERMAL SGLE LESION 0.6 T0 1.","11306","HCPCS","Both",,,"479.5","239.75","Cigna","Commercial","",,"59",,"280.99","175.5","371.61","percent of total billed charges",,
"SHAVING EPI/DERMAL SGLE LESION 0.6 T0 1.","11306","HCPCS","Both",,,"479.5","239.75","Humana","Commercial","",,"78",,"371.61","175.5","371.61","percent of total billed charges",,
"SHAVING EPI/DERMAL SGLE LESION 0.6 T0 1.","11306","HCPCS","Both",,,"479.5","239.75","UHC","Commercial","",,"75",,"361.54","175.5","371.61","percent of total billed charges",,
"SHAVING EPI/DERMAL SGLE LESION 0.6 T0 1.","11306","HCPCS","Both",,,"479.5","239.75","Medicaid",,"",,"37",,"175.5","175.5","371.61","percent of total billed charges",,
"EXCISION, BENIGN LESION 0.5CM OR LESS","11400","HCPCS","Both",,,"102","51","Alliant","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"EXCISION, BENIGN LESION 0.5CM OR LESS","11400","HCPCS","Both",,,"102","51","Pruitt Healthcare","Medicare Advantage","",,"54",,"55.08","37.33","79.05","percent of total billed charges",,
"EXCISION, BENIGN LESION 0.5CM OR LESS","11400","HCPCS","Both",,,"102","51","Medicare",,"",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"EXCISION, BENIGN LESION 0.5CM OR LESS","11400","HCPCS","Both",,,"102","51","Humana","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"EXCISION, BENIGN LESION 0.5CM OR LESS","11400","HCPCS","Both",,,"102","51","UHC","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"EXCISION, BENIGN LESION 0.5CM OR LESS","11400","HCPCS","Both",,,"102","51","Clover","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"EXCISION, BENIGN LESION 0.5CM OR LESS","11400","HCPCS","Both",,,"102","51","Wellcare","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"EXCISION, BENIGN LESION 0.5CM OR LESS","11400","HCPCS","Both",,,"102","51","Amerigroup","Medicaid Managed Care","",,"37",,"37.33","37.33","79.05","percent of total billed charges",,
"EXCISION, BENIGN LESION 0.5CM OR LESS","11400","HCPCS","Both",,,"102","51","Caresource","Medicaid Managed Care","",,"40",,"40.8","37.33","79.05","percent of total billed charges",,
"EXCISION, BENIGN LESION 0.5CM OR LESS","11400","HCPCS","Both",,,"102","51","Wellcare","Medicaid Managed Care","",,"40",,"41.31","37.33","79.05","percent of total billed charges",,
"EXCISION, BENIGN LESION 0.5CM OR LESS","11400","HCPCS","Both",,,"102","51","Aetna","Commercial","",,"64",,"65.08","37.33","79.05","percent of total billed charges",,
"EXCISION, BENIGN LESION 0.5CM OR LESS","11400","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","Pathways","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"EXCISION, BENIGN LESION 0.5CM OR LESS","11400","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","HMO","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"EXCISION, BENIGN LESION 0.5CM OR LESS","11400","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","PPO","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"EXCISION, BENIGN LESION 0.5CM OR LESS","11400","HCPCS","Both",,,"102","51","Ambetter","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"EXCISION, BENIGN LESION 0.5CM OR LESS","11400","HCPCS","Both",,,"102","51","Caresource","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"EXCISION, BENIGN LESION 0.5CM OR LESS","11400","HCPCS","Both",,,"102","51","Cigna","Commercial","",,"59",,"59.77","37.33","79.05","percent of total billed charges",,
"EXCISION, BENIGN LESION 0.5CM OR LESS","11400","HCPCS","Both",,,"102","51","Humana","Commercial","",,"78",,"79.05","37.33","79.05","percent of total billed charges",,
"EXCISION, BENIGN LESION 0.5CM OR LESS","11400","HCPCS","Both",,,"102","51","UHC","Commercial","",,"75",,"76.91","37.33","79.05","percent of total billed charges",,
"EXCISION, BENIGN LESION 0.5CM OR LESS","11400","HCPCS","Both",,,"102","51","Medicaid",,"",,"37",,"37.33","37.33","79.05","percent of total billed charges",,
"EXCISION, BENIGN LESION, 0.6CM TO 1.0CM","11401","HCPCS","Both",,,"121","60.5","Alliant","Health Exchange","",,"62",,"75.02","44.29","93.78","percent of total billed charges",,
"EXCISION, BENIGN LESION, 0.6CM TO 1.0CM","11401","HCPCS","Both",,,"121","60.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"65.34","44.29","93.78","percent of total billed charges",,
"EXCISION, BENIGN LESION, 0.6CM TO 1.0CM","11401","HCPCS","Both",,,"121","60.5","Medicare",,"",,"54",,"65.58","44.29","93.78","percent of total billed charges",,
"EXCISION, BENIGN LESION, 0.6CM TO 1.0CM","11401","HCPCS","Both",,,"121","60.5","Humana","Medicare Advantage","",,"54",,"65.58","44.29","93.78","percent of total billed charges",,
"EXCISION, BENIGN LESION, 0.6CM TO 1.0CM","11401","HCPCS","Both",,,"121","60.5","UHC","Medicare Advantage","",,"54",,"65.58","44.29","93.78","percent of total billed charges",,
"EXCISION, BENIGN LESION, 0.6CM TO 1.0CM","11401","HCPCS","Both",,,"121","60.5","Clover","Medicare Advantage","",,"54",,"65.58","44.29","93.78","percent of total billed charges",,
"EXCISION, BENIGN LESION, 0.6CM TO 1.0CM","11401","HCPCS","Both",,,"121","60.5","Wellcare","Medicare Advantage","",,"54",,"65.58","44.29","93.78","percent of total billed charges",,
"EXCISION, BENIGN LESION, 0.6CM TO 1.0CM","11401","HCPCS","Both",,,"121","60.5","Amerigroup","Medicaid Managed Care","",,"37",,"44.29","44.29","93.78","percent of total billed charges",,
"EXCISION, BENIGN LESION, 0.6CM TO 1.0CM","11401","HCPCS","Both",,,"121","60.5","Caresource","Medicaid Managed Care","",,"40",,"48.4","44.29","93.78","percent of total billed charges",,
"EXCISION, BENIGN LESION, 0.6CM TO 1.0CM","11401","HCPCS","Both",,,"121","60.5","Wellcare","Medicaid Managed Care","",,"40",,"49","44.29","93.78","percent of total billed charges",,
"EXCISION, BENIGN LESION, 0.6CM TO 1.0CM","11401","HCPCS","Both",,,"121","60.5","Aetna","Commercial","",,"64",,"77.2","44.29","93.78","percent of total billed charges",,
"EXCISION, BENIGN LESION, 0.6CM TO 1.0CM","11401","HCPCS","Both",,,"121","60.5","Blue Cross Blue Shield","Pathways","",,"71",,"85.43","44.29","93.78","percent of total billed charges",,
"EXCISION, BENIGN LESION, 0.6CM TO 1.0CM","11401","HCPCS","Both",,,"121","60.5","Blue Cross Blue Shield","HMO","",,"71",,"85.43","44.29","93.78","percent of total billed charges",,
"EXCISION, BENIGN LESION, 0.6CM TO 1.0CM","11401","HCPCS","Both",,,"121","60.5","Blue Cross Blue Shield","PPO","",,"71",,"85.43","44.29","93.78","percent of total billed charges",,
"EXCISION, BENIGN LESION, 0.6CM TO 1.0CM","11401","HCPCS","Both",,,"121","60.5","Ambetter","Health Exchange","",,"62",,"75.02","44.29","93.78","percent of total billed charges",,
"EXCISION, BENIGN LESION, 0.6CM TO 1.0CM","11401","HCPCS","Both",,,"121","60.5","Caresource","Health Exchange","",,"62",,"75.02","44.29","93.78","percent of total billed charges",,
"EXCISION, BENIGN LESION, 0.6CM TO 1.0CM","11401","HCPCS","Both",,,"121","60.5","Cigna","Commercial","",,"59",,"70.91","44.29","93.78","percent of total billed charges",,
"EXCISION, BENIGN LESION, 0.6CM TO 1.0CM","11401","HCPCS","Both",,,"121","60.5","Humana","Commercial","",,"78",,"93.78","44.29","93.78","percent of total billed charges",,
"EXCISION, BENIGN LESION, 0.6CM TO 1.0CM","11401","HCPCS","Both",,,"121","60.5","UHC","Commercial","",,"75",,"91.23","44.29","93.78","percent of total billed charges",,
"EXCISION, BENIGN LESION, 0.6CM TO 1.0CM","11401","HCPCS","Both",,,"121","60.5","Medicaid",,"",,"37",,"44.29","44.29","93.78","percent of total billed charges",,
"EXCISION, BENIGN LESION, 1.1CM TO 2.0CM","11402","HCPCS","Both",,,"160","80","Alliant","Health Exchange","",,"62",,"99.2","58.56","124","percent of total billed charges",,
"EXCISION, BENIGN LESION, 1.1CM TO 2.0CM","11402","HCPCS","Both",,,"160","80","Pruitt Healthcare","Medicare Advantage","",,"54",,"86.4","58.56","124","percent of total billed charges",,
"EXCISION, BENIGN LESION, 1.1CM TO 2.0CM","11402","HCPCS","Both",,,"160","80","Medicare",,"",,"54",,"86.72","58.56","124","percent of total billed charges",,
"EXCISION, BENIGN LESION, 1.1CM TO 2.0CM","11402","HCPCS","Both",,,"160","80","Humana","Medicare Advantage","",,"54",,"86.72","58.56","124","percent of total billed charges",,
"EXCISION, BENIGN LESION, 1.1CM TO 2.0CM","11402","HCPCS","Both",,,"160","80","UHC","Medicare Advantage","",,"54",,"86.72","58.56","124","percent of total billed charges",,
"EXCISION, BENIGN LESION, 1.1CM TO 2.0CM","11402","HCPCS","Both",,,"160","80","Clover","Medicare Advantage","",,"54",,"86.72","58.56","124","percent of total billed charges",,
"EXCISION, BENIGN LESION, 1.1CM TO 2.0CM","11402","HCPCS","Both",,,"160","80","Wellcare","Medicare Advantage","",,"54",,"86.72","58.56","124","percent of total billed charges",,
"EXCISION, BENIGN LESION, 1.1CM TO 2.0CM","11402","HCPCS","Both",,,"160","80","Amerigroup","Medicaid Managed Care","",,"37",,"58.56","58.56","124","percent of total billed charges",,
"EXCISION, BENIGN LESION, 1.1CM TO 2.0CM","11402","HCPCS","Both",,,"160","80","Caresource","Medicaid Managed Care","",,"40",,"64","58.56","124","percent of total billed charges",,
"EXCISION, BENIGN LESION, 1.1CM TO 2.0CM","11402","HCPCS","Both",,,"160","80","Wellcare","Medicaid Managed Care","",,"40",,"64.8","58.56","124","percent of total billed charges",,
"EXCISION, BENIGN LESION, 1.1CM TO 2.0CM","11402","HCPCS","Both",,,"160","80","Aetna","Commercial","",,"64",,"102.08","58.56","124","percent of total billed charges",,
"EXCISION, BENIGN LESION, 1.1CM TO 2.0CM","11402","HCPCS","Both",,,"160","80","Blue Cross Blue Shield","Pathways","",,"71",,"112.96","58.56","124","percent of total billed charges",,
"EXCISION, BENIGN LESION, 1.1CM TO 2.0CM","11402","HCPCS","Both",,,"160","80","Blue Cross Blue Shield","HMO","",,"71",,"112.96","58.56","124","percent of total billed charges",,
"EXCISION, BENIGN LESION, 1.1CM TO 2.0CM","11402","HCPCS","Both",,,"160","80","Blue Cross Blue Shield","PPO","",,"71",,"112.96","58.56","124","percent of total billed charges",,
"EXCISION, BENIGN LESION, 1.1CM TO 2.0CM","11402","HCPCS","Both",,,"160","80","Ambetter","Health Exchange","",,"62",,"99.2","58.56","124","percent of total billed charges",,
"EXCISION, BENIGN LESION, 1.1CM TO 2.0CM","11402","HCPCS","Both",,,"160","80","Caresource","Health Exchange","",,"62",,"99.2","58.56","124","percent of total billed charges",,
"EXCISION, BENIGN LESION, 1.1CM TO 2.0CM","11402","HCPCS","Both",,,"160","80","Cigna","Commercial","",,"59",,"93.76","58.56","124","percent of total billed charges",,
"EXCISION, BENIGN LESION, 1.1CM TO 2.0CM","11402","HCPCS","Both",,,"160","80","Humana","Commercial","",,"78",,"124","58.56","124","percent of total billed charges",,
"EXCISION, BENIGN LESION, 1.1CM TO 2.0CM","11402","HCPCS","Both",,,"160","80","UHC","Commercial","",,"75",,"120.64","58.56","124","percent of total billed charges",,
"EXCISION, BENIGN LESION, 1.1CM TO 2.0CM","11402","HCPCS","Both",,,"160","80","Medicaid",,"",,"37",,"58.56","58.56","124","percent of total billed charges",,
"EXCISION BENIGN LESION 2.1cm TO 3.0cm","11403","HCPCS","Both",,,"201","100.5","Alliant","Health Exchange","",,"62",,"124.62","73.57","155.78","percent of total billed charges",,
"EXCISION BENIGN LESION 2.1cm TO 3.0cm","11403","HCPCS","Both",,,"201","100.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"108.54","73.57","155.78","percent of total billed charges",,
"EXCISION BENIGN LESION 2.1cm TO 3.0cm","11403","HCPCS","Both",,,"201","100.5","Medicare",,"",,"54",,"108.94","73.57","155.78","percent of total billed charges",,
"EXCISION BENIGN LESION 2.1cm TO 3.0cm","11403","HCPCS","Both",,,"201","100.5","Humana","Medicare Advantage","",,"54",,"108.94","73.57","155.78","percent of total billed charges",,
"EXCISION BENIGN LESION 2.1cm TO 3.0cm","11403","HCPCS","Both",,,"201","100.5","UHC","Medicare Advantage","",,"54",,"108.94","73.57","155.78","percent of total billed charges",,
"EXCISION BENIGN LESION 2.1cm TO 3.0cm","11403","HCPCS","Both",,,"201","100.5","Clover","Medicare Advantage","",,"54",,"108.94","73.57","155.78","percent of total billed charges",,
"EXCISION BENIGN LESION 2.1cm TO 3.0cm","11403","HCPCS","Both",,,"201","100.5","Wellcare","Medicare Advantage","",,"54",,"108.94","73.57","155.78","percent of total billed charges",,
"EXCISION BENIGN LESION 2.1cm TO 3.0cm","11403","HCPCS","Both",,,"201","100.5","Amerigroup","Medicaid Managed Care","",,"37",,"73.57","73.57","155.78","percent of total billed charges",,
"EXCISION BENIGN LESION 2.1cm TO 3.0cm","11403","HCPCS","Both",,,"201","100.5","Caresource","Medicaid Managed Care","",,"40",,"80.4","73.57","155.78","percent of total billed charges",,
"EXCISION BENIGN LESION 2.1cm TO 3.0cm","11403","HCPCS","Both",,,"201","100.5","Wellcare","Medicaid Managed Care","",,"40",,"81.4","73.57","155.78","percent of total billed charges",,
"EXCISION BENIGN LESION 2.1cm TO 3.0cm","11403","HCPCS","Both",,,"201","100.5","Aetna","Commercial","",,"64",,"128.24","73.57","155.78","percent of total billed charges",,
"EXCISION BENIGN LESION 2.1cm TO 3.0cm","11403","HCPCS","Both",,,"201","100.5","Blue Cross Blue Shield","Pathways","",,"71",,"141.91","73.57","155.78","percent of total billed charges",,
"EXCISION BENIGN LESION 2.1cm TO 3.0cm","11403","HCPCS","Both",,,"201","100.5","Blue Cross Blue Shield","HMO","",,"71",,"141.91","73.57","155.78","percent of total billed charges",,
"EXCISION BENIGN LESION 2.1cm TO 3.0cm","11403","HCPCS","Both",,,"201","100.5","Blue Cross Blue Shield","PPO","",,"71",,"141.91","73.57","155.78","percent of total billed charges",,
"EXCISION BENIGN LESION 2.1cm TO 3.0cm","11403","HCPCS","Both",,,"201","100.5","Ambetter","Health Exchange","",,"62",,"124.62","73.57","155.78","percent of total billed charges",,
"EXCISION BENIGN LESION 2.1cm TO 3.0cm","11403","HCPCS","Both",,,"201","100.5","Caresource","Health Exchange","",,"62",,"124.62","73.57","155.78","percent of total billed charges",,
"EXCISION BENIGN LESION 2.1cm TO 3.0cm","11403","HCPCS","Both",,,"201","100.5","Cigna","Commercial","",,"59",,"117.79","73.57","155.78","percent of total billed charges",,
"EXCISION BENIGN LESION 2.1cm TO 3.0cm","11403","HCPCS","Both",,,"201","100.5","Humana","Commercial","",,"78",,"155.78","73.57","155.78","percent of total billed charges",,
"EXCISION BENIGN LESION 2.1cm TO 3.0cm","11403","HCPCS","Both",,,"201","100.5","UHC","Commercial","",,"75",,"151.55","73.57","155.78","percent of total billed charges",,
"EXCISION BENIGN LESION 2.1cm TO 3.0cm","11403","HCPCS","Both",,,"201","100.5","Medicaid",,"",,"37",,"73.57","73.57","155.78","percent of total billed charges",,
"EXCISION,BENIGN LESION, 3.1CM TO 4.0CM","11404","HCPCS","Both",,,"235","117.5","Alliant","Health Exchange","",,"62",,"145.7","86.01","182.12","percent of total billed charges",,
"EXCISION,BENIGN LESION, 3.1CM TO 4.0CM","11404","HCPCS","Both",,,"235","117.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"126.9","86.01","182.12","percent of total billed charges",,
"EXCISION,BENIGN LESION, 3.1CM TO 4.0CM","11404","HCPCS","Both",,,"235","117.5","Medicare",,"",,"54",,"127.37","86.01","182.12","percent of total billed charges",,
"EXCISION,BENIGN LESION, 3.1CM TO 4.0CM","11404","HCPCS","Both",,,"235","117.5","Humana","Medicare Advantage","",,"54",,"127.37","86.01","182.12","percent of total billed charges",,
"EXCISION,BENIGN LESION, 3.1CM TO 4.0CM","11404","HCPCS","Both",,,"235","117.5","UHC","Medicare Advantage","",,"54",,"127.37","86.01","182.12","percent of total billed charges",,
"EXCISION,BENIGN LESION, 3.1CM TO 4.0CM","11404","HCPCS","Both",,,"235","117.5","Clover","Medicare Advantage","",,"54",,"127.37","86.01","182.12","percent of total billed charges",,
"EXCISION,BENIGN LESION, 3.1CM TO 4.0CM","11404","HCPCS","Both",,,"235","117.5","Wellcare","Medicare Advantage","",,"54",,"127.37","86.01","182.12","percent of total billed charges",,
"EXCISION,BENIGN LESION, 3.1CM TO 4.0CM","11404","HCPCS","Both",,,"235","117.5","Amerigroup","Medicaid Managed Care","",,"37",,"86.01","86.01","182.12","percent of total billed charges",,
"EXCISION,BENIGN LESION, 3.1CM TO 4.0CM","11404","HCPCS","Both",,,"235","117.5","Caresource","Medicaid Managed Care","",,"40",,"94","86.01","182.12","percent of total billed charges",,
"EXCISION,BENIGN LESION, 3.1CM TO 4.0CM","11404","HCPCS","Both",,,"235","117.5","Wellcare","Medicaid Managed Care","",,"40",,"95.18","86.01","182.12","percent of total billed charges",,
"EXCISION,BENIGN LESION, 3.1CM TO 4.0CM","11404","HCPCS","Both",,,"235","117.5","Aetna","Commercial","",,"64",,"149.93","86.01","182.12","percent of total billed charges",,
"EXCISION,BENIGN LESION, 3.1CM TO 4.0CM","11404","HCPCS","Both",,,"235","117.5","Blue Cross Blue Shield","Pathways","",,"71",,"165.91","86.01","182.12","percent of total billed charges",,
"EXCISION,BENIGN LESION, 3.1CM TO 4.0CM","11404","HCPCS","Both",,,"235","117.5","Blue Cross Blue Shield","HMO","",,"71",,"165.91","86.01","182.12","percent of total billed charges",,
"EXCISION,BENIGN LESION, 3.1CM TO 4.0CM","11404","HCPCS","Both",,,"235","117.5","Blue Cross Blue Shield","PPO","",,"71",,"165.91","86.01","182.12","percent of total billed charges",,
"EXCISION,BENIGN LESION, 3.1CM TO 4.0CM","11404","HCPCS","Both",,,"235","117.5","Ambetter","Health Exchange","",,"62",,"145.7","86.01","182.12","percent of total billed charges",,
"EXCISION,BENIGN LESION, 3.1CM TO 4.0CM","11404","HCPCS","Both",,,"235","117.5","Caresource","Health Exchange","",,"62",,"145.7","86.01","182.12","percent of total billed charges",,
"EXCISION,BENIGN LESION, 3.1CM TO 4.0CM","11404","HCPCS","Both",,,"235","117.5","Cigna","Commercial","",,"59",,"137.71","86.01","182.12","percent of total billed charges",,
"EXCISION,BENIGN LESION, 3.1CM TO 4.0CM","11404","HCPCS","Both",,,"235","117.5","Humana","Commercial","",,"78",,"182.12","86.01","182.12","percent of total billed charges",,
"EXCISION,BENIGN LESION, 3.1CM TO 4.0CM","11404","HCPCS","Both",,,"235","117.5","UHC","Commercial","",,"75",,"177.19","86.01","182.12","percent of total billed charges",,
"EXCISION,BENIGN LESION, 3.1CM TO 4.0CM","11404","HCPCS","Both",,,"235","117.5","Medicaid",,"",,"37",,"86.01","86.01","182.12","percent of total billed charges",,
"EXCISION, BENIGN LESION, OVER 4.0CM","11406","HCPCS","Both",,,"1265","632.5","Alliant","Health Exchange","",,"62",,"784.3","462.99","980.38","percent of total billed charges",,
"EXCISION, BENIGN LESION, OVER 4.0CM","11406","HCPCS","Both",,,"1265","632.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"683.1","462.99","980.38","percent of total billed charges",,
"EXCISION, BENIGN LESION, OVER 4.0CM","11406","HCPCS","Both",,,"1265","632.5","Medicare",,"",,"54",,"685.63","462.99","980.38","percent of total billed charges",,
"EXCISION, BENIGN LESION, OVER 4.0CM","11406","HCPCS","Both",,,"1265","632.5","Humana","Medicare Advantage","",,"54",,"685.63","462.99","980.38","percent of total billed charges",,
"EXCISION, BENIGN LESION, OVER 4.0CM","11406","HCPCS","Both",,,"1265","632.5","UHC","Medicare Advantage","",,"54",,"685.63","462.99","980.38","percent of total billed charges",,
"EXCISION, BENIGN LESION, OVER 4.0CM","11406","HCPCS","Both",,,"1265","632.5","Clover","Medicare Advantage","",,"54",,"685.63","462.99","980.38","percent of total billed charges",,
"EXCISION, BENIGN LESION, OVER 4.0CM","11406","HCPCS","Both",,,"1265","632.5","Wellcare","Medicare Advantage","",,"54",,"685.63","462.99","980.38","percent of total billed charges",,
"EXCISION, BENIGN LESION, OVER 4.0CM","11406","HCPCS","Both",,,"1265","632.5","Amerigroup","Medicaid Managed Care","",,"37",,"462.99","462.99","980.38","percent of total billed charges",,
"EXCISION, BENIGN LESION, OVER 4.0CM","11406","HCPCS","Both",,,"1265","632.5","Caresource","Medicaid Managed Care","",,"40",,"506","462.99","980.38","percent of total billed charges",,
"EXCISION, BENIGN LESION, OVER 4.0CM","11406","HCPCS","Both",,,"1265","632.5","Wellcare","Medicaid Managed Care","",,"40",,"512.33","462.99","980.38","percent of total billed charges",,
"EXCISION, BENIGN LESION, OVER 4.0CM","11406","HCPCS","Both",,,"1265","632.5","Aetna","Commercial","",,"64",,"807.07","462.99","980.38","percent of total billed charges",,
"EXCISION, BENIGN LESION, OVER 4.0CM","11406","HCPCS","Both",,,"1265","632.5","Blue Cross Blue Shield","Pathways","",,"71",,"893.09","462.99","980.38","percent of total billed charges",,
"EXCISION, BENIGN LESION, OVER 4.0CM","11406","HCPCS","Both",,,"1265","632.5","Blue Cross Blue Shield","HMO","",,"71",,"893.09","462.99","980.38","percent of total billed charges",,
"EXCISION, BENIGN LESION, OVER 4.0CM","11406","HCPCS","Both",,,"1265","632.5","Blue Cross Blue Shield","PPO","",,"71",,"893.09","462.99","980.38","percent of total billed charges",,
"EXCISION, BENIGN LESION, OVER 4.0CM","11406","HCPCS","Both",,,"1265","632.5","Ambetter","Health Exchange","",,"62",,"784.3","462.99","980.38","percent of total billed charges",,
"EXCISION, BENIGN LESION, OVER 4.0CM","11406","HCPCS","Both",,,"1265","632.5","Caresource","Health Exchange","",,"62",,"784.3","462.99","980.38","percent of total billed charges",,
"EXCISION, BENIGN LESION, OVER 4.0CM","11406","HCPCS","Both",,,"1265","632.5","Cigna","Commercial","",,"59",,"741.29","462.99","980.38","percent of total billed charges",,
"EXCISION, BENIGN LESION, OVER 4.0CM","11406","HCPCS","Both",,,"1265","632.5","Humana","Commercial","",,"78",,"980.38","462.99","980.38","percent of total billed charges",,
"EXCISION, BENIGN LESION, OVER 4.0CM","11406","HCPCS","Both",,,"1265","632.5","UHC","Commercial","",,"75",,"953.81","462.99","980.38","percent of total billed charges",,
"EXCISION, BENIGN LESION, OVER 4.0CM","11406","HCPCS","Both",,,"1265","632.5","Medicaid",,"",,"37",,"462.99","462.99","980.38","percent of total billed charges",,
"EXCISION BENIGN LESION 0.5CM OR LESS","11420","HCPCS","Both",,,"1823","911.5","Alliant","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 0.5CM OR LESS","11420","HCPCS","Both",,,"1823","911.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"984.42","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 0.5CM OR LESS","11420","HCPCS","Both",,,"1823","911.5","Medicare",,"",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 0.5CM OR LESS","11420","HCPCS","Both",,,"1823","911.5","Humana","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 0.5CM OR LESS","11420","HCPCS","Both",,,"1823","911.5","UHC","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 0.5CM OR LESS","11420","HCPCS","Both",,,"1823","911.5","Clover","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 0.5CM OR LESS","11420","HCPCS","Both",,,"1823","911.5","Wellcare","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 0.5CM OR LESS","11420","HCPCS","Both",,,"1823","911.5","Amerigroup","Medicaid Managed Care","",,"37",,"667.22","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 0.5CM OR LESS","11420","HCPCS","Both",,,"1823","911.5","Caresource","Medicaid Managed Care","",,"40",,"729.2","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 0.5CM OR LESS","11420","HCPCS","Both",,,"1823","911.5","Wellcare","Medicaid Managed Care","",,"40",,"738.32","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 0.5CM OR LESS","11420","HCPCS","Both",,,"1823","911.5","Aetna","Commercial","",,"64",,"1163.07","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 0.5CM OR LESS","11420","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","Pathways","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 0.5CM OR LESS","11420","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","HMO","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 0.5CM OR LESS","11420","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","PPO","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 0.5CM OR LESS","11420","HCPCS","Both",,,"1823","911.5","Ambetter","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 0.5CM OR LESS","11420","HCPCS","Both",,,"1823","911.5","Caresource","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 0.5CM OR LESS","11420","HCPCS","Both",,,"1823","911.5","Cigna","Commercial","",,"59",,"1068.28","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 0.5CM OR LESS","11420","HCPCS","Both",,,"1823","911.5","Humana","Commercial","",,"78",,"1412.82","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 0.5CM OR LESS","11420","HCPCS","Both",,,"1823","911.5","UHC","Commercial","",,"75",,"1374.54","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 0.5CM OR LESS","11420","HCPCS","Both",,,"1823","911.5","Medicaid",,"",,"37",,"667.22","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 0.6 TO 1.0 CM","11421","HCPCS","Both",,,"168.5","84.25","Alliant","Health Exchange","",,"62",,"104.47","61.67","130.59","percent of total billed charges",,
"EXCISION BENIGN LESION 0.6 TO 1.0 CM","11421","HCPCS","Both",,,"168.5","84.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"90.99","61.67","130.59","percent of total billed charges",,
"EXCISION BENIGN LESION 0.6 TO 1.0 CM","11421","HCPCS","Both",,,"168.5","84.25","Medicare",,"",,"54",,"91.33","61.67","130.59","percent of total billed charges",,
"EXCISION BENIGN LESION 0.6 TO 1.0 CM","11421","HCPCS","Both",,,"168.5","84.25","Humana","Medicare Advantage","",,"54",,"91.33","61.67","130.59","percent of total billed charges",,
"EXCISION BENIGN LESION 0.6 TO 1.0 CM","11421","HCPCS","Both",,,"168.5","84.25","UHC","Medicare Advantage","",,"54",,"91.33","61.67","130.59","percent of total billed charges",,
"EXCISION BENIGN LESION 0.6 TO 1.0 CM","11421","HCPCS","Both",,,"168.5","84.25","Clover","Medicare Advantage","",,"54",,"91.33","61.67","130.59","percent of total billed charges",,
"EXCISION BENIGN LESION 0.6 TO 1.0 CM","11421","HCPCS","Both",,,"168.5","84.25","Wellcare","Medicare Advantage","",,"54",,"91.33","61.67","130.59","percent of total billed charges",,
"EXCISION BENIGN LESION 0.6 TO 1.0 CM","11421","HCPCS","Both",,,"168.5","84.25","Amerigroup","Medicaid Managed Care","",,"37",,"61.67","61.67","130.59","percent of total billed charges",,
"EXCISION BENIGN LESION 0.6 TO 1.0 CM","11421","HCPCS","Both",,,"168.5","84.25","Caresource","Medicaid Managed Care","",,"40",,"67.4","61.67","130.59","percent of total billed charges",,
"EXCISION BENIGN LESION 0.6 TO 1.0 CM","11421","HCPCS","Both",,,"168.5","84.25","Wellcare","Medicaid Managed Care","",,"40",,"68.24","61.67","130.59","percent of total billed charges",,
"EXCISION BENIGN LESION 0.6 TO 1.0 CM","11421","HCPCS","Both",,,"168.5","84.25","Aetna","Commercial","",,"64",,"107.5","61.67","130.59","percent of total billed charges",,
"EXCISION BENIGN LESION 0.6 TO 1.0 CM","11421","HCPCS","Both",,,"168.5","84.25","Blue Cross Blue Shield","Pathways","",,"71",,"118.96","61.67","130.59","percent of total billed charges",,
"EXCISION BENIGN LESION 0.6 TO 1.0 CM","11421","HCPCS","Both",,,"168.5","84.25","Blue Cross Blue Shield","HMO","",,"71",,"118.96","61.67","130.59","percent of total billed charges",,
"EXCISION BENIGN LESION 0.6 TO 1.0 CM","11421","HCPCS","Both",,,"168.5","84.25","Blue Cross Blue Shield","PPO","",,"71",,"118.96","61.67","130.59","percent of total billed charges",,
"EXCISION BENIGN LESION 0.6 TO 1.0 CM","11421","HCPCS","Both",,,"168.5","84.25","Ambetter","Health Exchange","",,"62",,"104.47","61.67","130.59","percent of total billed charges",,
"EXCISION BENIGN LESION 0.6 TO 1.0 CM","11421","HCPCS","Both",,,"168.5","84.25","Caresource","Health Exchange","",,"62",,"104.47","61.67","130.59","percent of total billed charges",,
"EXCISION BENIGN LESION 0.6 TO 1.0 CM","11421","HCPCS","Both",,,"168.5","84.25","Cigna","Commercial","",,"59",,"98.74","61.67","130.59","percent of total billed charges",,
"EXCISION BENIGN LESION 0.6 TO 1.0 CM","11421","HCPCS","Both",,,"168.5","84.25","Humana","Commercial","",,"78",,"130.59","61.67","130.59","percent of total billed charges",,
"EXCISION BENIGN LESION 0.6 TO 1.0 CM","11421","HCPCS","Both",,,"168.5","84.25","UHC","Commercial","",,"75",,"127.05","61.67","130.59","percent of total billed charges",,
"EXCISION BENIGN LESION 0.6 TO 1.0 CM","11421","HCPCS","Both",,,"168.5","84.25","Medicaid",,"",,"37",,"61.67","61.67","130.59","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 1.1 TO 2.O","11422","HCPCS","Both",,,"1823","911.5","Alliant","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 1.1 TO 2.O","11422","HCPCS","Both",,,"1823","911.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"984.42","667.22","1412.82","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 1.1 TO 2.O","11422","HCPCS","Both",,,"1823","911.5","Medicare",,"",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 1.1 TO 2.O","11422","HCPCS","Both",,,"1823","911.5","Humana","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 1.1 TO 2.O","11422","HCPCS","Both",,,"1823","911.5","UHC","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 1.1 TO 2.O","11422","HCPCS","Both",,,"1823","911.5","Clover","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 1.1 TO 2.O","11422","HCPCS","Both",,,"1823","911.5","Wellcare","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 1.1 TO 2.O","11422","HCPCS","Both",,,"1823","911.5","Amerigroup","Medicaid Managed Care","",,"37",,"667.22","667.22","1412.82","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 1.1 TO 2.O","11422","HCPCS","Both",,,"1823","911.5","Caresource","Medicaid Managed Care","",,"40",,"729.2","667.22","1412.82","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 1.1 TO 2.O","11422","HCPCS","Both",,,"1823","911.5","Wellcare","Medicaid Managed Care","",,"40",,"738.32","667.22","1412.82","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 1.1 TO 2.O","11422","HCPCS","Both",,,"1823","911.5","Aetna","Commercial","",,"64",,"1163.07","667.22","1412.82","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 1.1 TO 2.O","11422","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","Pathways","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 1.1 TO 2.O","11422","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","HMO","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 1.1 TO 2.O","11422","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","PPO","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 1.1 TO 2.O","11422","HCPCS","Both",,,"1823","911.5","Ambetter","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 1.1 TO 2.O","11422","HCPCS","Both",,,"1823","911.5","Caresource","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 1.1 TO 2.O","11422","HCPCS","Both",,,"1823","911.5","Cigna","Commercial","",,"59",,"1068.28","667.22","1412.82","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 1.1 TO 2.O","11422","HCPCS","Both",,,"1823","911.5","Humana","Commercial","",,"78",,"1412.82","667.22","1412.82","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 1.1 TO 2.O","11422","HCPCS","Both",,,"1823","911.5","UHC","Commercial","",,"75",,"1374.54","667.22","1412.82","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 1.1 TO 2.O","11422","HCPCS","Both",,,"1823","911.5","Medicaid",,"",,"37",,"667.22","667.22","1412.82","percent of total billed charges",,
"EXCISION BENIGN LESION 2.1 TO 3.0cm","11423","HCPCS","Both",,,"227","113.5","Alliant","Health Exchange","",,"62",,"140.74","83.08","175.92","percent of total billed charges",,
"EXCISION BENIGN LESION 2.1 TO 3.0cm","11423","HCPCS","Both",,,"227","113.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"122.58","83.08","175.92","percent of total billed charges",,
"EXCISION BENIGN LESION 2.1 TO 3.0cm","11423","HCPCS","Both",,,"227","113.5","Medicare",,"",,"54",,"123.03","83.08","175.92","percent of total billed charges",,
"EXCISION BENIGN LESION 2.1 TO 3.0cm","11423","HCPCS","Both",,,"227","113.5","Humana","Medicare Advantage","",,"54",,"123.03","83.08","175.92","percent of total billed charges",,
"EXCISION BENIGN LESION 2.1 TO 3.0cm","11423","HCPCS","Both",,,"227","113.5","UHC","Medicare Advantage","",,"54",,"123.03","83.08","175.92","percent of total billed charges",,
"EXCISION BENIGN LESION 2.1 TO 3.0cm","11423","HCPCS","Both",,,"227","113.5","Clover","Medicare Advantage","",,"54",,"123.03","83.08","175.92","percent of total billed charges",,
"EXCISION BENIGN LESION 2.1 TO 3.0cm","11423","HCPCS","Both",,,"227","113.5","Wellcare","Medicare Advantage","",,"54",,"123.03","83.08","175.92","percent of total billed charges",,
"EXCISION BENIGN LESION 2.1 TO 3.0cm","11423","HCPCS","Both",,,"227","113.5","Amerigroup","Medicaid Managed Care","",,"37",,"83.08","83.08","175.92","percent of total billed charges",,
"EXCISION BENIGN LESION 2.1 TO 3.0cm","11423","HCPCS","Both",,,"227","113.5","Caresource","Medicaid Managed Care","",,"40",,"90.8","83.08","175.92","percent of total billed charges",,
"EXCISION BENIGN LESION 2.1 TO 3.0cm","11423","HCPCS","Both",,,"227","113.5","Wellcare","Medicaid Managed Care","",,"40",,"91.94","83.08","175.92","percent of total billed charges",,
"EXCISION BENIGN LESION 2.1 TO 3.0cm","11423","HCPCS","Both",,,"227","113.5","Aetna","Commercial","",,"64",,"144.83","83.08","175.92","percent of total billed charges",,
"EXCISION BENIGN LESION 2.1 TO 3.0cm","11423","HCPCS","Both",,,"227","113.5","Blue Cross Blue Shield","Pathways","",,"71",,"160.26","83.08","175.92","percent of total billed charges",,
"EXCISION BENIGN LESION 2.1 TO 3.0cm","11423","HCPCS","Both",,,"227","113.5","Blue Cross Blue Shield","HMO","",,"71",,"160.26","83.08","175.92","percent of total billed charges",,
"EXCISION BENIGN LESION 2.1 TO 3.0cm","11423","HCPCS","Both",,,"227","113.5","Blue Cross Blue Shield","PPO","",,"71",,"160.26","83.08","175.92","percent of total billed charges",,
"EXCISION BENIGN LESION 2.1 TO 3.0cm","11423","HCPCS","Both",,,"227","113.5","Ambetter","Health Exchange","",,"62",,"140.74","83.08","175.92","percent of total billed charges",,
"EXCISION BENIGN LESION 2.1 TO 3.0cm","11423","HCPCS","Both",,,"227","113.5","Caresource","Health Exchange","",,"62",,"140.74","83.08","175.92","percent of total billed charges",,
"EXCISION BENIGN LESION 2.1 TO 3.0cm","11423","HCPCS","Both",,,"227","113.5","Cigna","Commercial","",,"59",,"133.02","83.08","175.92","percent of total billed charges",,
"EXCISION BENIGN LESION 2.1 TO 3.0cm","11423","HCPCS","Both",,,"227","113.5","Humana","Commercial","",,"78",,"175.92","83.08","175.92","percent of total billed charges",,
"EXCISION BENIGN LESION 2.1 TO 3.0cm","11423","HCPCS","Both",,,"227","113.5","UHC","Commercial","",,"75",,"171.16","83.08","175.92","percent of total billed charges",,
"EXCISION BENIGN LESION 2.1 TO 3.0cm","11423","HCPCS","Both",,,"227","113.5","Medicaid",,"",,"37",,"83.08","83.08","175.92","percent of total billed charges",,
"EXCISION BENIGN LESION 3.1 TO 4","11424","HCPCS","Both",,,"3502","1751","Alliant","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION BENIGN LESION 3.1 TO 4","11424","HCPCS","Both",,,"3502","1751","Pruitt Healthcare","Medicare Advantage","",,"54",,"1891.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION BENIGN LESION 3.1 TO 4","11424","HCPCS","Both",,,"3502","1751","Medicare",,"",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION BENIGN LESION 3.1 TO 4","11424","HCPCS","Both",,,"3502","1751","Humana","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION BENIGN LESION 3.1 TO 4","11424","HCPCS","Both",,,"3502","1751","UHC","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION BENIGN LESION 3.1 TO 4","11424","HCPCS","Both",,,"3502","1751","Clover","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION BENIGN LESION 3.1 TO 4","11424","HCPCS","Both",,,"3502","1751","Wellcare","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION BENIGN LESION 3.1 TO 4","11424","HCPCS","Both",,,"3502","1751","Amerigroup","Medicaid Managed Care","",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"EXCISION BENIGN LESION 3.1 TO 4","11424","HCPCS","Both",,,"3502","1751","Caresource","Medicaid Managed Care","",,"40",,"1400.8","1281.73","2714.05","percent of total billed charges",,
"EXCISION BENIGN LESION 3.1 TO 4","11424","HCPCS","Both",,,"3502","1751","Wellcare","Medicaid Managed Care","",,"40",,"1418.31","1281.73","2714.05","percent of total billed charges",,
"EXCISION BENIGN LESION 3.1 TO 4","11424","HCPCS","Both",,,"3502","1751","Aetna","Commercial","",,"64",,"2234.28","1281.73","2714.05","percent of total billed charges",,
"EXCISION BENIGN LESION 3.1 TO 4","11424","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","Pathways","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION BENIGN LESION 3.1 TO 4","11424","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","HMO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION BENIGN LESION 3.1 TO 4","11424","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","PPO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION BENIGN LESION 3.1 TO 4","11424","HCPCS","Both",,,"3502","1751","Ambetter","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION BENIGN LESION 3.1 TO 4","11424","HCPCS","Both",,,"3502","1751","Caresource","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION BENIGN LESION 3.1 TO 4","11424","HCPCS","Both",,,"3502","1751","Cigna","Commercial","",,"59",,"2052.17","1281.73","2714.05","percent of total billed charges",,
"EXCISION BENIGN LESION 3.1 TO 4","11424","HCPCS","Both",,,"3502","1751","Humana","Commercial","",,"78",,"2714.05","1281.73","2714.05","percent of total billed charges",,
"EXCISION BENIGN LESION 3.1 TO 4","11424","HCPCS","Both",,,"3502","1751","UHC","Commercial","",,"75",,"2640.51","1281.73","2714.05","percent of total billed charges",,
"EXCISION BENIGN LESION 3.1 TO 4","11424","HCPCS","Both",,,"3502","1751","Medicaid",,"",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"EXCISION BENIGN LESION OVER 4.0CM","11426","HCPCS","Both",,,"5185","2592.5","Alliant","Health Exchange","",,"62",,"3214.7","1897.71","4018.38","percent of total billed charges",,
"EXCISION BENIGN LESION OVER 4.0CM","11426","HCPCS","Both",,,"5185","2592.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"2799.9","1897.71","4018.38","percent of total billed charges",,
"EXCISION BENIGN LESION OVER 4.0CM","11426","HCPCS","Both",,,"5185","2592.5","Medicare",,"",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION BENIGN LESION OVER 4.0CM","11426","HCPCS","Both",,,"5185","2592.5","Humana","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION BENIGN LESION OVER 4.0CM","11426","HCPCS","Both",,,"5185","2592.5","UHC","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION BENIGN LESION OVER 4.0CM","11426","HCPCS","Both",,,"5185","2592.5","Clover","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION BENIGN LESION OVER 4.0CM","11426","HCPCS","Both",,,"5185","2592.5","Wellcare","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION BENIGN LESION OVER 4.0CM","11426","HCPCS","Both",,,"5185","2592.5","Amerigroup","Medicaid Managed Care","",,"37",,"1897.71","1897.71","4018.38","percent of total billed charges",,
"EXCISION BENIGN LESION OVER 4.0CM","11426","HCPCS","Both",,,"5185","2592.5","Caresource","Medicaid Managed Care","",,"40",,"2074","1897.71","4018.38","percent of total billed charges",,
"EXCISION BENIGN LESION OVER 4.0CM","11426","HCPCS","Both",,,"5185","2592.5","Wellcare","Medicaid Managed Care","",,"40",,"2099.93","1897.71","4018.38","percent of total billed charges",,
"EXCISION BENIGN LESION OVER 4.0CM","11426","HCPCS","Both",,,"5185","2592.5","Aetna","Commercial","",,"64",,"3308.03","1897.71","4018.38","percent of total billed charges",,
"EXCISION BENIGN LESION OVER 4.0CM","11426","HCPCS","Both",,,"5185","2592.5","Blue Cross Blue Shield","Pathways","",,"71",,"3660.61","1897.71","4018.38","percent of total billed charges",,
"EXCISION BENIGN LESION OVER 4.0CM","11426","HCPCS","Both",,,"5185","2592.5","Blue Cross Blue Shield","HMO","",,"71",,"3660.61","1897.71","4018.38","percent of total billed charges",,
"EXCISION BENIGN LESION OVER 4.0CM","11426","HCPCS","Both",,,"5185","2592.5","Blue Cross Blue Shield","PPO","",,"71",,"3660.61","1897.71","4018.38","percent of total billed charges",,
"EXCISION BENIGN LESION OVER 4.0CM","11426","HCPCS","Both",,,"5185","2592.5","Ambetter","Health Exchange","",,"62",,"3214.7","1897.71","4018.38","percent of total billed charges",,
"EXCISION BENIGN LESION OVER 4.0CM","11426","HCPCS","Both",,,"5185","2592.5","Caresource","Health Exchange","",,"62",,"3214.7","1897.71","4018.38","percent of total billed charges",,
"EXCISION BENIGN LESION OVER 4.0CM","11426","HCPCS","Both",,,"5185","2592.5","Cigna","Commercial","",,"59",,"3038.41","1897.71","4018.38","percent of total billed charges",,
"EXCISION BENIGN LESION OVER 4.0CM","11426","HCPCS","Both",,,"5185","2592.5","Humana","Commercial","",,"78",,"4018.38","1897.71","4018.38","percent of total billed charges",,
"EXCISION BENIGN LESION OVER 4.0CM","11426","HCPCS","Both",,,"5185","2592.5","UHC","Commercial","",,"75",,"3909.49","1897.71","4018.38","percent of total billed charges",,
"EXCISION BENIGN LESION OVER 4.0CM","11426","HCPCS","Both",,,"5185","2592.5","Medicaid",,"",,"37",,"1897.71","1897.71","4018.38","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 0.50 OR LE","11440","HCPCS","Both",,,"1051","525.5","Alliant","Health Exchange","",,"62",,"651.62","384.67","814.52","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 0.50 OR LE","11440","HCPCS","Both",,,"1051","525.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"567.54","384.67","814.52","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 0.50 OR LE","11440","HCPCS","Both",,,"1051","525.5","Medicare",,"",,"54",,"569.64","384.67","814.52","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 0.50 OR LE","11440","HCPCS","Both",,,"1051","525.5","Humana","Medicare Advantage","",,"54",,"569.64","384.67","814.52","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 0.50 OR LE","11440","HCPCS","Both",,,"1051","525.5","UHC","Medicare Advantage","",,"54",,"569.64","384.67","814.52","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 0.50 OR LE","11440","HCPCS","Both",,,"1051","525.5","Clover","Medicare Advantage","",,"54",,"569.64","384.67","814.52","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 0.50 OR LE","11440","HCPCS","Both",,,"1051","525.5","Wellcare","Medicare Advantage","",,"54",,"569.64","384.67","814.52","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 0.50 OR LE","11440","HCPCS","Both",,,"1051","525.5","Amerigroup","Medicaid Managed Care","",,"37",,"384.67","384.67","814.52","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 0.50 OR LE","11440","HCPCS","Both",,,"1051","525.5","Caresource","Medicaid Managed Care","",,"40",,"420.4","384.67","814.52","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 0.50 OR LE","11440","HCPCS","Both",,,"1051","525.5","Wellcare","Medicaid Managed Care","",,"40",,"425.66","384.67","814.52","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 0.50 OR LE","11440","HCPCS","Both",,,"1051","525.5","Aetna","Commercial","",,"64",,"670.54","384.67","814.52","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 0.50 OR LE","11440","HCPCS","Both",,,"1051","525.5","Blue Cross Blue Shield","Pathways","",,"71",,"742.01","384.67","814.52","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 0.50 OR LE","11440","HCPCS","Both",,,"1051","525.5","Blue Cross Blue Shield","HMO","",,"71",,"742.01","384.67","814.52","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 0.50 OR LE","11440","HCPCS","Both",,,"1051","525.5","Blue Cross Blue Shield","PPO","",,"71",,"742.01","384.67","814.52","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 0.50 OR LE","11440","HCPCS","Both",,,"1051","525.5","Ambetter","Health Exchange","",,"62",,"651.62","384.67","814.52","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 0.50 OR LE","11440","HCPCS","Both",,,"1051","525.5","Caresource","Health Exchange","",,"62",,"651.62","384.67","814.52","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 0.50 OR LE","11440","HCPCS","Both",,,"1051","525.5","Cigna","Commercial","",,"59",,"615.89","384.67","814.52","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 0.50 OR LE","11440","HCPCS","Both",,,"1051","525.5","Humana","Commercial","",,"78",,"814.52","384.67","814.52","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 0.50 OR LE","11440","HCPCS","Both",,,"1051","525.5","UHC","Commercial","",,"75",,"792.45","384.67","814.52","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 0.50 OR LE","11440","HCPCS","Both",,,"1051","525.5","Medicaid",,"",,"37",,"384.67","384.67","814.52","percent of total billed charges",,
"EXCISION BENIGN LESION; 0.6CM TO 1.0CM","11441","HCPCS","Both",,,"180","90","Alliant","Health Exchange","",,"62",,"111.6","65.88","139.5","percent of total billed charges",,
"EXCISION BENIGN LESION; 0.6CM TO 1.0CM","11441","HCPCS","Both",,,"180","90","Pruitt Healthcare","Medicare Advantage","",,"54",,"97.2","65.88","139.5","percent of total billed charges",,
"EXCISION BENIGN LESION; 0.6CM TO 1.0CM","11441","HCPCS","Both",,,"180","90","Medicare",,"",,"54",,"97.56","65.88","139.5","percent of total billed charges",,
"EXCISION BENIGN LESION; 0.6CM TO 1.0CM","11441","HCPCS","Both",,,"180","90","Humana","Medicare Advantage","",,"54",,"97.56","65.88","139.5","percent of total billed charges",,
"EXCISION BENIGN LESION; 0.6CM TO 1.0CM","11441","HCPCS","Both",,,"180","90","UHC","Medicare Advantage","",,"54",,"97.56","65.88","139.5","percent of total billed charges",,
"EXCISION BENIGN LESION; 0.6CM TO 1.0CM","11441","HCPCS","Both",,,"180","90","Clover","Medicare Advantage","",,"54",,"97.56","65.88","139.5","percent of total billed charges",,
"EXCISION BENIGN LESION; 0.6CM TO 1.0CM","11441","HCPCS","Both",,,"180","90","Wellcare","Medicare Advantage","",,"54",,"97.56","65.88","139.5","percent of total billed charges",,
"EXCISION BENIGN LESION; 0.6CM TO 1.0CM","11441","HCPCS","Both",,,"180","90","Amerigroup","Medicaid Managed Care","",,"37",,"65.88","65.88","139.5","percent of total billed charges",,
"EXCISION BENIGN LESION; 0.6CM TO 1.0CM","11441","HCPCS","Both",,,"180","90","Caresource","Medicaid Managed Care","",,"40",,"72","65.88","139.5","percent of total billed charges",,
"EXCISION BENIGN LESION; 0.6CM TO 1.0CM","11441","HCPCS","Both",,,"180","90","Wellcare","Medicaid Managed Care","",,"40",,"72.9","65.88","139.5","percent of total billed charges",,
"EXCISION BENIGN LESION; 0.6CM TO 1.0CM","11441","HCPCS","Both",,,"180","90","Aetna","Commercial","",,"64",,"114.84","65.88","139.5","percent of total billed charges",,
"EXCISION BENIGN LESION; 0.6CM TO 1.0CM","11441","HCPCS","Both",,,"180","90","Blue Cross Blue Shield","Pathways","",,"71",,"127.08","65.88","139.5","percent of total billed charges",,
"EXCISION BENIGN LESION; 0.6CM TO 1.0CM","11441","HCPCS","Both",,,"180","90","Blue Cross Blue Shield","HMO","",,"71",,"127.08","65.88","139.5","percent of total billed charges",,
"EXCISION BENIGN LESION; 0.6CM TO 1.0CM","11441","HCPCS","Both",,,"180","90","Blue Cross Blue Shield","PPO","",,"71",,"127.08","65.88","139.5","percent of total billed charges",,
"EXCISION BENIGN LESION; 0.6CM TO 1.0CM","11441","HCPCS","Both",,,"180","90","Ambetter","Health Exchange","",,"62",,"111.6","65.88","139.5","percent of total billed charges",,
"EXCISION BENIGN LESION; 0.6CM TO 1.0CM","11441","HCPCS","Both",,,"180","90","Caresource","Health Exchange","",,"62",,"111.6","65.88","139.5","percent of total billed charges",,
"EXCISION BENIGN LESION; 0.6CM TO 1.0CM","11441","HCPCS","Both",,,"180","90","Cigna","Commercial","",,"59",,"105.48","65.88","139.5","percent of total billed charges",,
"EXCISION BENIGN LESION; 0.6CM TO 1.0CM","11441","HCPCS","Both",,,"180","90","Humana","Commercial","",,"78",,"139.5","65.88","139.5","percent of total billed charges",,
"EXCISION BENIGN LESION; 0.6CM TO 1.0CM","11441","HCPCS","Both",,,"180","90","UHC","Commercial","",,"75",,"135.72","65.88","139.5","percent of total billed charges",,
"EXCISION BENIGN LESION; 0.6CM TO 1.0CM","11441","HCPCS","Both",,,"180","90","Medicaid",,"",,"37",,"65.88","65.88","139.5","percent of total billed charges",,
"EXCISION BENIGN LESION; 1.1CM TO 2.0CM","11442","HCPCS","Both",,,"197","98.5","Alliant","Health Exchange","",,"62",,"122.14","72.1","152.68","percent of total billed charges",,
"EXCISION BENIGN LESION; 1.1CM TO 2.0CM","11442","HCPCS","Both",,,"197","98.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"106.38","72.1","152.68","percent of total billed charges",,
"EXCISION BENIGN LESION; 1.1CM TO 2.0CM","11442","HCPCS","Both",,,"197","98.5","Medicare",,"",,"54",,"106.77","72.1","152.68","percent of total billed charges",,
"EXCISION BENIGN LESION; 1.1CM TO 2.0CM","11442","HCPCS","Both",,,"197","98.5","Humana","Medicare Advantage","",,"54",,"106.77","72.1","152.68","percent of total billed charges",,
"EXCISION BENIGN LESION; 1.1CM TO 2.0CM","11442","HCPCS","Both",,,"197","98.5","UHC","Medicare Advantage","",,"54",,"106.77","72.1","152.68","percent of total billed charges",,
"EXCISION BENIGN LESION; 1.1CM TO 2.0CM","11442","HCPCS","Both",,,"197","98.5","Clover","Medicare Advantage","",,"54",,"106.77","72.1","152.68","percent of total billed charges",,
"EXCISION BENIGN LESION; 1.1CM TO 2.0CM","11442","HCPCS","Both",,,"197","98.5","Wellcare","Medicare Advantage","",,"54",,"106.77","72.1","152.68","percent of total billed charges",,
"EXCISION BENIGN LESION; 1.1CM TO 2.0CM","11442","HCPCS","Both",,,"197","98.5","Amerigroup","Medicaid Managed Care","",,"37",,"72.1","72.1","152.68","percent of total billed charges",,
"EXCISION BENIGN LESION; 1.1CM TO 2.0CM","11442","HCPCS","Both",,,"197","98.5","Caresource","Medicaid Managed Care","",,"40",,"78.8","72.1","152.68","percent of total billed charges",,
"EXCISION BENIGN LESION; 1.1CM TO 2.0CM","11442","HCPCS","Both",,,"197","98.5","Wellcare","Medicaid Managed Care","",,"40",,"79.79","72.1","152.68","percent of total billed charges",,
"EXCISION BENIGN LESION; 1.1CM TO 2.0CM","11442","HCPCS","Both",,,"197","98.5","Aetna","Commercial","",,"64",,"125.69","72.1","152.68","percent of total billed charges",,
"EXCISION BENIGN LESION; 1.1CM TO 2.0CM","11442","HCPCS","Both",,,"197","98.5","Blue Cross Blue Shield","Pathways","",,"71",,"139.08","72.1","152.68","percent of total billed charges",,
"EXCISION BENIGN LESION; 1.1CM TO 2.0CM","11442","HCPCS","Both",,,"197","98.5","Blue Cross Blue Shield","HMO","",,"71",,"139.08","72.1","152.68","percent of total billed charges",,
"EXCISION BENIGN LESION; 1.1CM TO 2.0CM","11442","HCPCS","Both",,,"197","98.5","Blue Cross Blue Shield","PPO","",,"71",,"139.08","72.1","152.68","percent of total billed charges",,
"EXCISION BENIGN LESION; 1.1CM TO 2.0CM","11442","HCPCS","Both",,,"197","98.5","Ambetter","Health Exchange","",,"62",,"122.14","72.1","152.68","percent of total billed charges",,
"EXCISION BENIGN LESION; 1.1CM TO 2.0CM","11442","HCPCS","Both",,,"197","98.5","Caresource","Health Exchange","",,"62",,"122.14","72.1","152.68","percent of total billed charges",,
"EXCISION BENIGN LESION; 1.1CM TO 2.0CM","11442","HCPCS","Both",,,"197","98.5","Cigna","Commercial","",,"59",,"115.44","72.1","152.68","percent of total billed charges",,
"EXCISION BENIGN LESION; 1.1CM TO 2.0CM","11442","HCPCS","Both",,,"197","98.5","Humana","Commercial","",,"78",,"152.68","72.1","152.68","percent of total billed charges",,
"EXCISION BENIGN LESION; 1.1CM TO 2.0CM","11442","HCPCS","Both",,,"197","98.5","UHC","Commercial","",,"75",,"148.54","72.1","152.68","percent of total billed charges",,
"EXCISION BENIGN LESION; 1.1CM TO 2.0CM","11442","HCPCS","Both",,,"197","98.5","Medicaid",,"",,"37",,"72.1","72.1","152.68","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 2.1 TO 3.0","11443","HCPCS","Both",,,"281","140.5","Alliant","Health Exchange","",,"62",,"174.22","102.85","217.78","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 2.1 TO 3.0","11443","HCPCS","Both",,,"281","140.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"151.74","102.85","217.78","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 2.1 TO 3.0","11443","HCPCS","Both",,,"281","140.5","Medicare",,"",,"54",,"152.3","102.85","217.78","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 2.1 TO 3.0","11443","HCPCS","Both",,,"281","140.5","Humana","Medicare Advantage","",,"54",,"152.3","102.85","217.78","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 2.1 TO 3.0","11443","HCPCS","Both",,,"281","140.5","UHC","Medicare Advantage","",,"54",,"152.3","102.85","217.78","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 2.1 TO 3.0","11443","HCPCS","Both",,,"281","140.5","Clover","Medicare Advantage","",,"54",,"152.3","102.85","217.78","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 2.1 TO 3.0","11443","HCPCS","Both",,,"281","140.5","Wellcare","Medicare Advantage","",,"54",,"152.3","102.85","217.78","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 2.1 TO 3.0","11443","HCPCS","Both",,,"281","140.5","Amerigroup","Medicaid Managed Care","",,"37",,"102.85","102.85","217.78","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 2.1 TO 3.0","11443","HCPCS","Both",,,"281","140.5","Caresource","Medicaid Managed Care","",,"40",,"112.4","102.85","217.78","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 2.1 TO 3.0","11443","HCPCS","Both",,,"281","140.5","Wellcare","Medicaid Managed Care","",,"40",,"113.8","102.85","217.78","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 2.1 TO 3.0","11443","HCPCS","Both",,,"281","140.5","Aetna","Commercial","",,"64",,"179.28","102.85","217.78","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 2.1 TO 3.0","11443","HCPCS","Both",,,"281","140.5","Blue Cross Blue Shield","Pathways","",,"71",,"198.39","102.85","217.78","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 2.1 TO 3.0","11443","HCPCS","Both",,,"281","140.5","Blue Cross Blue Shield","HMO","",,"71",,"198.39","102.85","217.78","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 2.1 TO 3.0","11443","HCPCS","Both",,,"281","140.5","Blue Cross Blue Shield","PPO","",,"71",,"198.39","102.85","217.78","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 2.1 TO 3.0","11443","HCPCS","Both",,,"281","140.5","Ambetter","Health Exchange","",,"62",,"174.22","102.85","217.78","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 2.1 TO 3.0","11443","HCPCS","Both",,,"281","140.5","Caresource","Health Exchange","",,"62",,"174.22","102.85","217.78","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 2.1 TO 3.0","11443","HCPCS","Both",,,"281","140.5","Cigna","Commercial","",,"59",,"164.67","102.85","217.78","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 2.1 TO 3.0","11443","HCPCS","Both",,,"281","140.5","Humana","Commercial","",,"78",,"217.78","102.85","217.78","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 2.1 TO 3.0","11443","HCPCS","Both",,,"281","140.5","UHC","Commercial","",,"75",,"211.87","102.85","217.78","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 2.1 TO 3.0","11443","HCPCS","Both",,,"281","140.5","Medicaid",,"",,"37",,"102.85","102.85","217.78","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 3.1 - 4.0","11444","HCPCS","Both",,,"1094","547","Alliant","Health Exchange","",,"62",,"678.28","400.4","847.85","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 3.1 - 4.0","11444","HCPCS","Both",,,"1094","547","Pruitt Healthcare","Medicare Advantage","",,"54",,"590.76","400.4","847.85","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 3.1 - 4.0","11444","HCPCS","Both",,,"1094","547","Medicare",,"",,"54",,"592.95","400.4","847.85","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 3.1 - 4.0","11444","HCPCS","Both",,,"1094","547","Humana","Medicare Advantage","",,"54",,"592.95","400.4","847.85","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 3.1 - 4.0","11444","HCPCS","Both",,,"1094","547","UHC","Medicare Advantage","",,"54",,"592.95","400.4","847.85","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 3.1 - 4.0","11444","HCPCS","Both",,,"1094","547","Clover","Medicare Advantage","",,"54",,"592.95","400.4","847.85","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 3.1 - 4.0","11444","HCPCS","Both",,,"1094","547","Wellcare","Medicare Advantage","",,"54",,"592.95","400.4","847.85","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 3.1 - 4.0","11444","HCPCS","Both",,,"1094","547","Amerigroup","Medicaid Managed Care","",,"37",,"400.4","400.4","847.85","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 3.1 - 4.0","11444","HCPCS","Both",,,"1094","547","Caresource","Medicaid Managed Care","",,"40",,"437.6","400.4","847.85","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 3.1 - 4.0","11444","HCPCS","Both",,,"1094","547","Wellcare","Medicaid Managed Care","",,"40",,"443.07","400.4","847.85","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 3.1 - 4.0","11444","HCPCS","Both",,,"1094","547","Aetna","Commercial","",,"64",,"697.97","400.4","847.85","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 3.1 - 4.0","11444","HCPCS","Both",,,"1094","547","Blue Cross Blue Shield","Pathways","",,"71",,"772.36","400.4","847.85","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 3.1 - 4.0","11444","HCPCS","Both",,,"1094","547","Blue Cross Blue Shield","HMO","",,"71",,"772.36","400.4","847.85","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 3.1 - 4.0","11444","HCPCS","Both",,,"1094","547","Blue Cross Blue Shield","PPO","",,"71",,"772.36","400.4","847.85","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 3.1 - 4.0","11444","HCPCS","Both",,,"1094","547","Ambetter","Health Exchange","",,"62",,"678.28","400.4","847.85","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 3.1 - 4.0","11444","HCPCS","Both",,,"1094","547","Caresource","Health Exchange","",,"62",,"678.28","400.4","847.85","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 3.1 - 4.0","11444","HCPCS","Both",,,"1094","547","Cigna","Commercial","",,"59",,"641.08","400.4","847.85","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 3.1 - 4.0","11444","HCPCS","Both",,,"1094","547","Humana","Commercial","",,"78",,"847.85","400.4","847.85","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 3.1 - 4.0","11444","HCPCS","Both",,,"1094","547","UHC","Commercial","",,"75",,"824.88","400.4","847.85","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM 3.1 - 4.0","11444","HCPCS","Both",,,"1094","547","Medicaid",,"",,"37",,"400.4","400.4","847.85","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM OVER 4.0cm","11446","HCPCS","Both",,,"5185","2592.5","Alliant","Health Exchange","",,"62",,"3214.7","1897.71","4018.38","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM OVER 4.0cm","11446","HCPCS","Both",,,"5185","2592.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"2799.9","1897.71","4018.38","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM OVER 4.0cm","11446","HCPCS","Both",,,"5185","2592.5","Medicare",,"",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM OVER 4.0cm","11446","HCPCS","Both",,,"5185","2592.5","Humana","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM OVER 4.0cm","11446","HCPCS","Both",,,"5185","2592.5","UHC","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM OVER 4.0cm","11446","HCPCS","Both",,,"5185","2592.5","Clover","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM OVER 4.0cm","11446","HCPCS","Both",,,"5185","2592.5","Wellcare","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM OVER 4.0cm","11446","HCPCS","Both",,,"5185","2592.5","Amerigroup","Medicaid Managed Care","",,"37",,"1897.71","1897.71","4018.38","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM OVER 4.0cm","11446","HCPCS","Both",,,"5185","2592.5","Caresource","Medicaid Managed Care","",,"40",,"2074","1897.71","4018.38","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM OVER 4.0cm","11446","HCPCS","Both",,,"5185","2592.5","Wellcare","Medicaid Managed Care","",,"40",,"2099.93","1897.71","4018.38","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM OVER 4.0cm","11446","HCPCS","Both",,,"5185","2592.5","Aetna","Commercial","",,"64",,"3308.03","1897.71","4018.38","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM OVER 4.0cm","11446","HCPCS","Both",,,"5185","2592.5","Blue Cross Blue Shield","Pathways","",,"71",,"3660.61","1897.71","4018.38","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM OVER 4.0cm","11446","HCPCS","Both",,,"5185","2592.5","Blue Cross Blue Shield","HMO","",,"71",,"3660.61","1897.71","4018.38","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM OVER 4.0cm","11446","HCPCS","Both",,,"5185","2592.5","Blue Cross Blue Shield","PPO","",,"71",,"3660.61","1897.71","4018.38","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM OVER 4.0cm","11446","HCPCS","Both",,,"5185","2592.5","Ambetter","Health Exchange","",,"62",,"3214.7","1897.71","4018.38","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM OVER 4.0cm","11446","HCPCS","Both",,,"5185","2592.5","Caresource","Health Exchange","",,"62",,"3214.7","1897.71","4018.38","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM OVER 4.0cm","11446","HCPCS","Both",,,"5185","2592.5","Cigna","Commercial","",,"59",,"3038.41","1897.71","4018.38","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM OVER 4.0cm","11446","HCPCS","Both",,,"5185","2592.5","Humana","Commercial","",,"78",,"4018.38","1897.71","4018.38","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM OVER 4.0cm","11446","HCPCS","Both",,,"5185","2592.5","UHC","Commercial","",,"75",,"3909.49","1897.71","4018.38","percent of total billed charges",,
"EXCISION, BENIGN LESION, DIAM OVER 4.0cm","11446","HCPCS","Both",,,"5185","2592.5","Medicaid",,"",,"37",,"1897.71","1897.71","4018.38","percent of total billed charges",,
"EXCISION HIDRADENITIS AXILLARY","11450","HCPCS","Both",,,"5185","2592.5","Alliant","Health Exchange","",,"62",,"3214.7","1897.71","4018.38","percent of total billed charges",,
"EXCISION HIDRADENITIS AXILLARY","11450","HCPCS","Both",,,"5185","2592.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"2799.9","1897.71","4018.38","percent of total billed charges",,
"EXCISION HIDRADENITIS AXILLARY","11450","HCPCS","Both",,,"5185","2592.5","Medicare",,"",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION HIDRADENITIS AXILLARY","11450","HCPCS","Both",,,"5185","2592.5","Humana","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION HIDRADENITIS AXILLARY","11450","HCPCS","Both",,,"5185","2592.5","UHC","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION HIDRADENITIS AXILLARY","11450","HCPCS","Both",,,"5185","2592.5","Clover","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION HIDRADENITIS AXILLARY","11450","HCPCS","Both",,,"5185","2592.5","Wellcare","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION HIDRADENITIS AXILLARY","11450","HCPCS","Both",,,"5185","2592.5","Amerigroup","Medicaid Managed Care","",,"37",,"1897.71","1897.71","4018.38","percent of total billed charges",,
"EXCISION HIDRADENITIS AXILLARY","11450","HCPCS","Both",,,"5185","2592.5","Caresource","Medicaid Managed Care","",,"40",,"2074","1897.71","4018.38","percent of total billed charges",,
"EXCISION HIDRADENITIS AXILLARY","11450","HCPCS","Both",,,"5185","2592.5","Wellcare","Medicaid Managed Care","",,"40",,"2099.93","1897.71","4018.38","percent of total billed charges",,
"EXCISION HIDRADENITIS AXILLARY","11450","HCPCS","Both",,,"5185","2592.5","Aetna","Commercial","",,"64",,"3308.03","1897.71","4018.38","percent of total billed charges",,
"EXCISION HIDRADENITIS AXILLARY","11450","HCPCS","Both",,,"5185","2592.5","Blue Cross Blue Shield","Pathways","",,"71",,"3660.61","1897.71","4018.38","percent of total billed charges",,
"EXCISION HIDRADENITIS AXILLARY","11450","HCPCS","Both",,,"5185","2592.5","Blue Cross Blue Shield","HMO","",,"71",,"3660.61","1897.71","4018.38","percent of total billed charges",,
"EXCISION HIDRADENITIS AXILLARY","11450","HCPCS","Both",,,"5185","2592.5","Blue Cross Blue Shield","PPO","",,"71",,"3660.61","1897.71","4018.38","percent of total billed charges",,
"EXCISION HIDRADENITIS AXILLARY","11450","HCPCS","Both",,,"5185","2592.5","Ambetter","Health Exchange","",,"62",,"3214.7","1897.71","4018.38","percent of total billed charges",,
"EXCISION HIDRADENITIS AXILLARY","11450","HCPCS","Both",,,"5185","2592.5","Caresource","Health Exchange","",,"62",,"3214.7","1897.71","4018.38","percent of total billed charges",,
"EXCISION HIDRADENITIS AXILLARY","11450","HCPCS","Both",,,"5185","2592.5","Cigna","Commercial","",,"59",,"3038.41","1897.71","4018.38","percent of total billed charges",,
"EXCISION HIDRADENITIS AXILLARY","11450","HCPCS","Both",,,"5185","2592.5","Humana","Commercial","",,"78",,"4018.38","1897.71","4018.38","percent of total billed charges",,
"EXCISION HIDRADENITIS AXILLARY","11450","HCPCS","Both",,,"5185","2592.5","UHC","Commercial","",,"75",,"3909.49","1897.71","4018.38","percent of total billed charges",,
"EXCISION HIDRADENITIS AXILLARY","11450","HCPCS","Both",,,"5185","2592.5","Medicaid",,"",,"37",,"1897.71","1897.71","4018.38","percent of total billed charges",,
"EXCISION FOR HIDRADENITITS","11451","HCPCS","Both",,,"5185","2592.5","Alliant","Health Exchange","",,"62",,"3214.7","1897.71","4018.38","percent of total billed charges",,
"EXCISION FOR HIDRADENITITS","11451","HCPCS","Both",,,"5185","2592.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"2799.9","1897.71","4018.38","percent of total billed charges",,
"EXCISION FOR HIDRADENITITS","11451","HCPCS","Both",,,"5185","2592.5","Medicare",,"",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION FOR HIDRADENITITS","11451","HCPCS","Both",,,"5185","2592.5","Humana","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION FOR HIDRADENITITS","11451","HCPCS","Both",,,"5185","2592.5","UHC","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION FOR HIDRADENITITS","11451","HCPCS","Both",,,"5185","2592.5","Clover","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION FOR HIDRADENITITS","11451","HCPCS","Both",,,"5185","2592.5","Wellcare","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION FOR HIDRADENITITS","11451","HCPCS","Both",,,"5185","2592.5","Amerigroup","Medicaid Managed Care","",,"37",,"1897.71","1897.71","4018.38","percent of total billed charges",,
"EXCISION FOR HIDRADENITITS","11451","HCPCS","Both",,,"5185","2592.5","Caresource","Medicaid Managed Care","",,"40",,"2074","1897.71","4018.38","percent of total billed charges",,
"EXCISION FOR HIDRADENITITS","11451","HCPCS","Both",,,"5185","2592.5","Wellcare","Medicaid Managed Care","",,"40",,"2099.93","1897.71","4018.38","percent of total billed charges",,
"EXCISION FOR HIDRADENITITS","11451","HCPCS","Both",,,"5185","2592.5","Aetna","Commercial","",,"64",,"3308.03","1897.71","4018.38","percent of total billed charges",,
"EXCISION FOR HIDRADENITITS","11451","HCPCS","Both",,,"5185","2592.5","Blue Cross Blue Shield","Pathways","",,"71",,"3660.61","1897.71","4018.38","percent of total billed charges",,
"EXCISION FOR HIDRADENITITS","11451","HCPCS","Both",,,"5185","2592.5","Blue Cross Blue Shield","HMO","",,"71",,"3660.61","1897.71","4018.38","percent of total billed charges",,
"EXCISION FOR HIDRADENITITS","11451","HCPCS","Both",,,"5185","2592.5","Blue Cross Blue Shield","PPO","",,"71",,"3660.61","1897.71","4018.38","percent of total billed charges",,
"EXCISION FOR HIDRADENITITS","11451","HCPCS","Both",,,"5185","2592.5","Ambetter","Health Exchange","",,"62",,"3214.7","1897.71","4018.38","percent of total billed charges",,
"EXCISION FOR HIDRADENITITS","11451","HCPCS","Both",,,"5185","2592.5","Caresource","Health Exchange","",,"62",,"3214.7","1897.71","4018.38","percent of total billed charges",,
"EXCISION FOR HIDRADENITITS","11451","HCPCS","Both",,,"5185","2592.5","Cigna","Commercial","",,"59",,"3038.41","1897.71","4018.38","percent of total billed charges",,
"EXCISION FOR HIDRADENITITS","11451","HCPCS","Both",,,"5185","2592.5","Humana","Commercial","",,"78",,"4018.38","1897.71","4018.38","percent of total billed charges",,
"EXCISION FOR HIDRADENITITS","11451","HCPCS","Both",,,"5185","2592.5","UHC","Commercial","",,"75",,"3909.49","1897.71","4018.38","percent of total billed charges",,
"EXCISION FOR HIDRADENITITS","11451","HCPCS","Both",,,"5185","2592.5","Medicaid",,"",,"37",,"1897.71","1897.71","4018.38","percent of total billed charges",,
"EXCISION, MAL LESION; 0.6cm TO 1.0cm","11601","HCPCS","Both",,,"1051","525.5","Alliant","Health Exchange","",,"62",,"651.62","384.67","814.52","percent of total billed charges",,
"EXCISION, MAL LESION; 0.6cm TO 1.0cm","11601","HCPCS","Both",,,"1051","525.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"567.54","384.67","814.52","percent of total billed charges",,
"EXCISION, MAL LESION; 0.6cm TO 1.0cm","11601","HCPCS","Both",,,"1051","525.5","Medicare",,"",,"54",,"569.64","384.67","814.52","percent of total billed charges",,
"EXCISION, MAL LESION; 0.6cm TO 1.0cm","11601","HCPCS","Both",,,"1051","525.5","Humana","Medicare Advantage","",,"54",,"569.64","384.67","814.52","percent of total billed charges",,
"EXCISION, MAL LESION; 0.6cm TO 1.0cm","11601","HCPCS","Both",,,"1051","525.5","UHC","Medicare Advantage","",,"54",,"569.64","384.67","814.52","percent of total billed charges",,
"EXCISION, MAL LESION; 0.6cm TO 1.0cm","11601","HCPCS","Both",,,"1051","525.5","Clover","Medicare Advantage","",,"54",,"569.64","384.67","814.52","percent of total billed charges",,
"EXCISION, MAL LESION; 0.6cm TO 1.0cm","11601","HCPCS","Both",,,"1051","525.5","Wellcare","Medicare Advantage","",,"54",,"569.64","384.67","814.52","percent of total billed charges",,
"EXCISION, MAL LESION; 0.6cm TO 1.0cm","11601","HCPCS","Both",,,"1051","525.5","Amerigroup","Medicaid Managed Care","",,"37",,"384.67","384.67","814.52","percent of total billed charges",,
"EXCISION, MAL LESION; 0.6cm TO 1.0cm","11601","HCPCS","Both",,,"1051","525.5","Caresource","Medicaid Managed Care","",,"40",,"420.4","384.67","814.52","percent of total billed charges",,
"EXCISION, MAL LESION; 0.6cm TO 1.0cm","11601","HCPCS","Both",,,"1051","525.5","Wellcare","Medicaid Managed Care","",,"40",,"425.66","384.67","814.52","percent of total billed charges",,
"EXCISION, MAL LESION; 0.6cm TO 1.0cm","11601","HCPCS","Both",,,"1051","525.5","Aetna","Commercial","",,"64",,"670.54","384.67","814.52","percent of total billed charges",,
"EXCISION, MAL LESION; 0.6cm TO 1.0cm","11601","HCPCS","Both",,,"1051","525.5","Blue Cross Blue Shield","Pathways","",,"71",,"742.01","384.67","814.52","percent of total billed charges",,
"EXCISION, MAL LESION; 0.6cm TO 1.0cm","11601","HCPCS","Both",,,"1051","525.5","Blue Cross Blue Shield","HMO","",,"71",,"742.01","384.67","814.52","percent of total billed charges",,
"EXCISION, MAL LESION; 0.6cm TO 1.0cm","11601","HCPCS","Both",,,"1051","525.5","Blue Cross Blue Shield","PPO","",,"71",,"742.01","384.67","814.52","percent of total billed charges",,
"EXCISION, MAL LESION; 0.6cm TO 1.0cm","11601","HCPCS","Both",,,"1051","525.5","Ambetter","Health Exchange","",,"62",,"651.62","384.67","814.52","percent of total billed charges",,
"EXCISION, MAL LESION; 0.6cm TO 1.0cm","11601","HCPCS","Both",,,"1051","525.5","Caresource","Health Exchange","",,"62",,"651.62","384.67","814.52","percent of total billed charges",,
"EXCISION, MAL LESION; 0.6cm TO 1.0cm","11601","HCPCS","Both",,,"1051","525.5","Cigna","Commercial","",,"59",,"615.89","384.67","814.52","percent of total billed charges",,
"EXCISION, MAL LESION; 0.6cm TO 1.0cm","11601","HCPCS","Both",,,"1051","525.5","Humana","Commercial","",,"78",,"814.52","384.67","814.52","percent of total billed charges",,
"EXCISION, MAL LESION; 0.6cm TO 1.0cm","11601","HCPCS","Both",,,"1051","525.5","UHC","Commercial","",,"75",,"792.45","384.67","814.52","percent of total billed charges",,
"EXCISION, MAL LESION; 0.6cm TO 1.0cm","11601","HCPCS","Both",,,"1051","525.5","Medicaid",,"",,"37",,"384.67","384.67","814.52","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","11602","HCPCS","Both",,,"264.5","132.25","Alliant","Health Exchange","",,"62",,"163.99","96.81","204.99","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","11602","HCPCS","Both",,,"264.5","132.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"142.83","96.81","204.99","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","11602","HCPCS","Both",,,"264.5","132.25","Medicare",,"",,"54",,"143.36","96.81","204.99","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","11602","HCPCS","Both",,,"264.5","132.25","Humana","Medicare Advantage","",,"54",,"143.36","96.81","204.99","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","11602","HCPCS","Both",,,"264.5","132.25","UHC","Medicare Advantage","",,"54",,"143.36","96.81","204.99","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","11602","HCPCS","Both",,,"264.5","132.25","Clover","Medicare Advantage","",,"54",,"143.36","96.81","204.99","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","11602","HCPCS","Both",,,"264.5","132.25","Wellcare","Medicare Advantage","",,"54",,"143.36","96.81","204.99","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","11602","HCPCS","Both",,,"264.5","132.25","Amerigroup","Medicaid Managed Care","",,"37",,"96.81","96.81","204.99","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","11602","HCPCS","Both",,,"264.5","132.25","Caresource","Medicaid Managed Care","",,"40",,"105.8","96.81","204.99","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","11602","HCPCS","Both",,,"264.5","132.25","Wellcare","Medicaid Managed Care","",,"40",,"107.12","96.81","204.99","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","11602","HCPCS","Both",,,"264.5","132.25","Aetna","Commercial","",,"64",,"168.75","96.81","204.99","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","11602","HCPCS","Both",,,"264.5","132.25","Blue Cross Blue Shield","Pathways","",,"71",,"186.74","96.81","204.99","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","11602","HCPCS","Both",,,"264.5","132.25","Blue Cross Blue Shield","HMO","",,"71",,"186.74","96.81","204.99","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","11602","HCPCS","Both",,,"264.5","132.25","Blue Cross Blue Shield","PPO","",,"71",,"186.74","96.81","204.99","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","11602","HCPCS","Both",,,"264.5","132.25","Ambetter","Health Exchange","",,"62",,"163.99","96.81","204.99","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","11602","HCPCS","Both",,,"264.5","132.25","Caresource","Health Exchange","",,"62",,"163.99","96.81","204.99","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","11602","HCPCS","Both",,,"264.5","132.25","Cigna","Commercial","",,"59",,"155","96.81","204.99","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","11602","HCPCS","Both",,,"264.5","132.25","Humana","Commercial","",,"78",,"204.99","96.81","204.99","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","11602","HCPCS","Both",,,"264.5","132.25","UHC","Commercial","",,"75",,"199.43","96.81","204.99","percent of total billed charges",,
"EXCISION, MALIGNANT LESION, 1.1 TO 2.0CM","11602","HCPCS","Both",,,"264.5","132.25","Medicaid",,"",,"37",,"96.81","96.81","204.99","percent of total billed charges",,
"EXCISION MALIGN LESION 2.1 TO 3CM","11603","HCPCS","Both",,,"273.5","136.75","Alliant","Health Exchange","",,"62",,"169.57","100.1","211.96","percent of total billed charges",,
"EXCISION MALIGN LESION 2.1 TO 3CM","11603","HCPCS","Both",,,"273.5","136.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"147.69","100.1","211.96","percent of total billed charges",,
"EXCISION MALIGN LESION 2.1 TO 3CM","11603","HCPCS","Both",,,"273.5","136.75","Medicare",,"",,"54",,"148.24","100.1","211.96","percent of total billed charges",,
"EXCISION MALIGN LESION 2.1 TO 3CM","11603","HCPCS","Both",,,"273.5","136.75","Humana","Medicare Advantage","",,"54",,"148.24","100.1","211.96","percent of total billed charges",,
"EXCISION MALIGN LESION 2.1 TO 3CM","11603","HCPCS","Both",,,"273.5","136.75","UHC","Medicare Advantage","",,"54",,"148.24","100.1","211.96","percent of total billed charges",,
"EXCISION MALIGN LESION 2.1 TO 3CM","11603","HCPCS","Both",,,"273.5","136.75","Clover","Medicare Advantage","",,"54",,"148.24","100.1","211.96","percent of total billed charges",,
"EXCISION MALIGN LESION 2.1 TO 3CM","11603","HCPCS","Both",,,"273.5","136.75","Wellcare","Medicare Advantage","",,"54",,"148.24","100.1","211.96","percent of total billed charges",,
"EXCISION MALIGN LESION 2.1 TO 3CM","11603","HCPCS","Both",,,"273.5","136.75","Amerigroup","Medicaid Managed Care","",,"37",,"100.1","100.1","211.96","percent of total billed charges",,
"EXCISION MALIGN LESION 2.1 TO 3CM","11603","HCPCS","Both",,,"273.5","136.75","Caresource","Medicaid Managed Care","",,"40",,"109.4","100.1","211.96","percent of total billed charges",,
"EXCISION MALIGN LESION 2.1 TO 3CM","11603","HCPCS","Both",,,"273.5","136.75","Wellcare","Medicaid Managed Care","",,"40",,"110.77","100.1","211.96","percent of total billed charges",,
"EXCISION MALIGN LESION 2.1 TO 3CM","11603","HCPCS","Both",,,"273.5","136.75","Aetna","Commercial","",,"64",,"174.49","100.1","211.96","percent of total billed charges",,
"EXCISION MALIGN LESION 2.1 TO 3CM","11603","HCPCS","Both",,,"273.5","136.75","Blue Cross Blue Shield","Pathways","",,"71",,"193.09","100.1","211.96","percent of total billed charges",,
"EXCISION MALIGN LESION 2.1 TO 3CM","11603","HCPCS","Both",,,"273.5","136.75","Blue Cross Blue Shield","HMO","",,"71",,"193.09","100.1","211.96","percent of total billed charges",,
"EXCISION MALIGN LESION 2.1 TO 3CM","11603","HCPCS","Both",,,"273.5","136.75","Blue Cross Blue Shield","PPO","",,"71",,"193.09","100.1","211.96","percent of total billed charges",,
"EXCISION MALIGN LESION 2.1 TO 3CM","11603","HCPCS","Both",,,"273.5","136.75","Ambetter","Health Exchange","",,"62",,"169.57","100.1","211.96","percent of total billed charges",,
"EXCISION MALIGN LESION 2.1 TO 3CM","11603","HCPCS","Both",,,"273.5","136.75","Caresource","Health Exchange","",,"62",,"169.57","100.1","211.96","percent of total billed charges",,
"EXCISION MALIGN LESION 2.1 TO 3CM","11603","HCPCS","Both",,,"273.5","136.75","Cigna","Commercial","",,"59",,"160.27","100.1","211.96","percent of total billed charges",,
"EXCISION MALIGN LESION 2.1 TO 3CM","11603","HCPCS","Both",,,"273.5","136.75","Humana","Commercial","",,"78",,"211.96","100.1","211.96","percent of total billed charges",,
"EXCISION MALIGN LESION 2.1 TO 3CM","11603","HCPCS","Both",,,"273.5","136.75","UHC","Commercial","",,"75",,"206.22","100.1","211.96","percent of total billed charges",,
"EXCISION MALIGN LESION 2.1 TO 3CM","11603","HCPCS","Both",,,"273.5","136.75","Medicaid",,"",,"37",,"100.1","100.1","211.96","percent of total billed charges",,
"EXCISION MAL LESION 3.1cm-4.0cm","11604","HCPCS","Both",,,"1823","911.5","Alliant","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"EXCISION MAL LESION 3.1cm-4.0cm","11604","HCPCS","Both",,,"1823","911.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"984.42","667.22","1412.82","percent of total billed charges",,
"EXCISION MAL LESION 3.1cm-4.0cm","11604","HCPCS","Both",,,"1823","911.5","Medicare",,"",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISION MAL LESION 3.1cm-4.0cm","11604","HCPCS","Both",,,"1823","911.5","Humana","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISION MAL LESION 3.1cm-4.0cm","11604","HCPCS","Both",,,"1823","911.5","UHC","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISION MAL LESION 3.1cm-4.0cm","11604","HCPCS","Both",,,"1823","911.5","Clover","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISION MAL LESION 3.1cm-4.0cm","11604","HCPCS","Both",,,"1823","911.5","Wellcare","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISION MAL LESION 3.1cm-4.0cm","11604","HCPCS","Both",,,"1823","911.5","Amerigroup","Medicaid Managed Care","",,"37",,"667.22","667.22","1412.82","percent of total billed charges",,
"EXCISION MAL LESION 3.1cm-4.0cm","11604","HCPCS","Both",,,"1823","911.5","Caresource","Medicaid Managed Care","",,"40",,"729.2","667.22","1412.82","percent of total billed charges",,
"EXCISION MAL LESION 3.1cm-4.0cm","11604","HCPCS","Both",,,"1823","911.5","Wellcare","Medicaid Managed Care","",,"40",,"738.32","667.22","1412.82","percent of total billed charges",,
"EXCISION MAL LESION 3.1cm-4.0cm","11604","HCPCS","Both",,,"1823","911.5","Aetna","Commercial","",,"64",,"1163.07","667.22","1412.82","percent of total billed charges",,
"EXCISION MAL LESION 3.1cm-4.0cm","11604","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","Pathways","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"EXCISION MAL LESION 3.1cm-4.0cm","11604","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","HMO","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"EXCISION MAL LESION 3.1cm-4.0cm","11604","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","PPO","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"EXCISION MAL LESION 3.1cm-4.0cm","11604","HCPCS","Both",,,"1823","911.5","Ambetter","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"EXCISION MAL LESION 3.1cm-4.0cm","11604","HCPCS","Both",,,"1823","911.5","Caresource","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"EXCISION MAL LESION 3.1cm-4.0cm","11604","HCPCS","Both",,,"1823","911.5","Cigna","Commercial","",,"59",,"1068.28","667.22","1412.82","percent of total billed charges",,
"EXCISION MAL LESION 3.1cm-4.0cm","11604","HCPCS","Both",,,"1823","911.5","Humana","Commercial","",,"78",,"1412.82","667.22","1412.82","percent of total billed charges",,
"EXCISION MAL LESION 3.1cm-4.0cm","11604","HCPCS","Both",,,"1823","911.5","UHC","Commercial","",,"75",,"1374.54","667.22","1412.82","percent of total billed charges",,
"EXCISION MAL LESION 3.1cm-4.0cm","11604","HCPCS","Both",,,"1823","911.5","Medicaid",,"",,"37",,"667.22","667.22","1412.82","percent of total billed charges",,
"EXCISION MAL LESION OVER 4.0CM","11606","HCPCS","Both",,,"3502","1751","Alliant","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION MAL LESION OVER 4.0CM","11606","HCPCS","Both",,,"3502","1751","Pruitt Healthcare","Medicare Advantage","",,"54",,"1891.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION MAL LESION OVER 4.0CM","11606","HCPCS","Both",,,"3502","1751","Medicare",,"",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION MAL LESION OVER 4.0CM","11606","HCPCS","Both",,,"3502","1751","Humana","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION MAL LESION OVER 4.0CM","11606","HCPCS","Both",,,"3502","1751","UHC","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION MAL LESION OVER 4.0CM","11606","HCPCS","Both",,,"3502","1751","Clover","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION MAL LESION OVER 4.0CM","11606","HCPCS","Both",,,"3502","1751","Wellcare","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION MAL LESION OVER 4.0CM","11606","HCPCS","Both",,,"3502","1751","Amerigroup","Medicaid Managed Care","",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"EXCISION MAL LESION OVER 4.0CM","11606","HCPCS","Both",,,"3502","1751","Caresource","Medicaid Managed Care","",,"40",,"1400.8","1281.73","2714.05","percent of total billed charges",,
"EXCISION MAL LESION OVER 4.0CM","11606","HCPCS","Both",,,"3502","1751","Wellcare","Medicaid Managed Care","",,"40",,"1418.31","1281.73","2714.05","percent of total billed charges",,
"EXCISION MAL LESION OVER 4.0CM","11606","HCPCS","Both",,,"3502","1751","Aetna","Commercial","",,"64",,"2234.28","1281.73","2714.05","percent of total billed charges",,
"EXCISION MAL LESION OVER 4.0CM","11606","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","Pathways","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION MAL LESION OVER 4.0CM","11606","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","HMO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION MAL LESION OVER 4.0CM","11606","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","PPO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION MAL LESION OVER 4.0CM","11606","HCPCS","Both",,,"3502","1751","Ambetter","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION MAL LESION OVER 4.0CM","11606","HCPCS","Both",,,"3502","1751","Caresource","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION MAL LESION OVER 4.0CM","11606","HCPCS","Both",,,"3502","1751","Cigna","Commercial","",,"59",,"2052.17","1281.73","2714.05","percent of total billed charges",,
"EXCISION MAL LESION OVER 4.0CM","11606","HCPCS","Both",,,"3502","1751","Humana","Commercial","",,"78",,"2714.05","1281.73","2714.05","percent of total billed charges",,
"EXCISION MAL LESION OVER 4.0CM","11606","HCPCS","Both",,,"3502","1751","UHC","Commercial","",,"75",,"2640.51","1281.73","2714.05","percent of total billed charges",,
"EXCISION MAL LESION OVER 4.0CM","11606","HCPCS","Both",,,"3502","1751","Medicaid",,"",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"EXCISION MALIGN LESION 0.5CM <","11620","HCPCS","Both",,,"2941","1470.5","Alliant","Health Exchange","",,"62",,"1823.42","1076.41","2279.28","percent of total billed charges",,
"EXCISION MALIGN LESION 0.5CM <","11620","HCPCS","Both",,,"2941","1470.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"1588.14","1076.41","2279.28","percent of total billed charges",,
"EXCISION MALIGN LESION 0.5CM <","11620","HCPCS","Both",,,"2941","1470.5","Medicare",,"",,"54",,"1594.02","1076.41","2279.28","percent of total billed charges",,
"EXCISION MALIGN LESION 0.5CM <","11620","HCPCS","Both",,,"2941","1470.5","Humana","Medicare Advantage","",,"54",,"1594.02","1076.41","2279.28","percent of total billed charges",,
"EXCISION MALIGN LESION 0.5CM <","11620","HCPCS","Both",,,"2941","1470.5","UHC","Medicare Advantage","",,"54",,"1594.02","1076.41","2279.28","percent of total billed charges",,
"EXCISION MALIGN LESION 0.5CM <","11620","HCPCS","Both",,,"2941","1470.5","Clover","Medicare Advantage","",,"54",,"1594.02","1076.41","2279.28","percent of total billed charges",,
"EXCISION MALIGN LESION 0.5CM <","11620","HCPCS","Both",,,"2941","1470.5","Wellcare","Medicare Advantage","",,"54",,"1594.02","1076.41","2279.28","percent of total billed charges",,
"EXCISION MALIGN LESION 0.5CM <","11620","HCPCS","Both",,,"2941","1470.5","Amerigroup","Medicaid Managed Care","",,"37",,"1076.41","1076.41","2279.28","percent of total billed charges",,
"EXCISION MALIGN LESION 0.5CM <","11620","HCPCS","Both",,,"2941","1470.5","Caresource","Medicaid Managed Care","",,"40",,"1176.4","1076.41","2279.28","percent of total billed charges",,
"EXCISION MALIGN LESION 0.5CM <","11620","HCPCS","Both",,,"2941","1470.5","Wellcare","Medicaid Managed Care","",,"40",,"1191.1","1076.41","2279.28","percent of total billed charges",,
"EXCISION MALIGN LESION 0.5CM <","11620","HCPCS","Both",,,"2941","1470.5","Aetna","Commercial","",,"64",,"1876.36","1076.41","2279.28","percent of total billed charges",,
"EXCISION MALIGN LESION 0.5CM <","11620","HCPCS","Both",,,"2941","1470.5","Blue Cross Blue Shield","Pathways","",,"71",,"2076.35","1076.41","2279.28","percent of total billed charges",,
"EXCISION MALIGN LESION 0.5CM <","11620","HCPCS","Both",,,"2941","1470.5","Blue Cross Blue Shield","HMO","",,"71",,"2076.35","1076.41","2279.28","percent of total billed charges",,
"EXCISION MALIGN LESION 0.5CM <","11620","HCPCS","Both",,,"2941","1470.5","Blue Cross Blue Shield","PPO","",,"71",,"2076.35","1076.41","2279.28","percent of total billed charges",,
"EXCISION MALIGN LESION 0.5CM <","11620","HCPCS","Both",,,"2941","1470.5","Ambetter","Health Exchange","",,"62",,"1823.42","1076.41","2279.28","percent of total billed charges",,
"EXCISION MALIGN LESION 0.5CM <","11620","HCPCS","Both",,,"2941","1470.5","Caresource","Health Exchange","",,"62",,"1823.42","1076.41","2279.28","percent of total billed charges",,
"EXCISION MALIGN LESION 0.5CM <","11620","HCPCS","Both",,,"2941","1470.5","Cigna","Commercial","",,"59",,"1723.43","1076.41","2279.28","percent of total billed charges",,
"EXCISION MALIGN LESION 0.5CM <","11620","HCPCS","Both",,,"2941","1470.5","Humana","Commercial","",,"78",,"2279.28","1076.41","2279.28","percent of total billed charges",,
"EXCISION MALIGN LESION 0.5CM <","11620","HCPCS","Both",,,"2941","1470.5","UHC","Commercial","",,"75",,"2217.51","1076.41","2279.28","percent of total billed charges",,
"EXCISION MALIGN LESION 0.5CM <","11620","HCPCS","Both",,,"2941","1470.5","Medicaid",,"",,"37",,"1076.41","1076.41","2279.28","percent of total billed charges",,
"EXCISION MALIGN LESION 1.1 TO 2.0CM","11622","HCPCS","Both",,,"309.5","154.75","Alliant","Health Exchange","",,"62",,"191.89","113.28","239.86","percent of total billed charges",,
"EXCISION MALIGN LESION 1.1 TO 2.0CM","11622","HCPCS","Both",,,"309.5","154.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"167.13","113.28","239.86","percent of total billed charges",,
"EXCISION MALIGN LESION 1.1 TO 2.0CM","11622","HCPCS","Both",,,"309.5","154.75","Medicare",,"",,"54",,"167.75","113.28","239.86","percent of total billed charges",,
"EXCISION MALIGN LESION 1.1 TO 2.0CM","11622","HCPCS","Both",,,"309.5","154.75","Humana","Medicare Advantage","",,"54",,"167.75","113.28","239.86","percent of total billed charges",,
"EXCISION MALIGN LESION 1.1 TO 2.0CM","11622","HCPCS","Both",,,"309.5","154.75","UHC","Medicare Advantage","",,"54",,"167.75","113.28","239.86","percent of total billed charges",,
"EXCISION MALIGN LESION 1.1 TO 2.0CM","11622","HCPCS","Both",,,"309.5","154.75","Clover","Medicare Advantage","",,"54",,"167.75","113.28","239.86","percent of total billed charges",,
"EXCISION MALIGN LESION 1.1 TO 2.0CM","11622","HCPCS","Both",,,"309.5","154.75","Wellcare","Medicare Advantage","",,"54",,"167.75","113.28","239.86","percent of total billed charges",,
"EXCISION MALIGN LESION 1.1 TO 2.0CM","11622","HCPCS","Both",,,"309.5","154.75","Amerigroup","Medicaid Managed Care","",,"37",,"113.28","113.28","239.86","percent of total billed charges",,
"EXCISION MALIGN LESION 1.1 TO 2.0CM","11622","HCPCS","Both",,,"309.5","154.75","Caresource","Medicaid Managed Care","",,"40",,"123.8","113.28","239.86","percent of total billed charges",,
"EXCISION MALIGN LESION 1.1 TO 2.0CM","11622","HCPCS","Both",,,"309.5","154.75","Wellcare","Medicaid Managed Care","",,"40",,"125.35","113.28","239.86","percent of total billed charges",,
"EXCISION MALIGN LESION 1.1 TO 2.0CM","11622","HCPCS","Both",,,"309.5","154.75","Aetna","Commercial","",,"64",,"197.46","113.28","239.86","percent of total billed charges",,
"EXCISION MALIGN LESION 1.1 TO 2.0CM","11622","HCPCS","Both",,,"309.5","154.75","Blue Cross Blue Shield","Pathways","",,"71",,"218.51","113.28","239.86","percent of total billed charges",,
"EXCISION MALIGN LESION 1.1 TO 2.0CM","11622","HCPCS","Both",,,"309.5","154.75","Blue Cross Blue Shield","HMO","",,"71",,"218.51","113.28","239.86","percent of total billed charges",,
"EXCISION MALIGN LESION 1.1 TO 2.0CM","11622","HCPCS","Both",,,"309.5","154.75","Blue Cross Blue Shield","PPO","",,"71",,"218.51","113.28","239.86","percent of total billed charges",,
"EXCISION MALIGN LESION 1.1 TO 2.0CM","11622","HCPCS","Both",,,"309.5","154.75","Ambetter","Health Exchange","",,"62",,"191.89","113.28","239.86","percent of total billed charges",,
"EXCISION MALIGN LESION 1.1 TO 2.0CM","11622","HCPCS","Both",,,"309.5","154.75","Caresource","Health Exchange","",,"62",,"191.89","113.28","239.86","percent of total billed charges",,
"EXCISION MALIGN LESION 1.1 TO 2.0CM","11622","HCPCS","Both",,,"309.5","154.75","Cigna","Commercial","",,"59",,"181.37","113.28","239.86","percent of total billed charges",,
"EXCISION MALIGN LESION 1.1 TO 2.0CM","11622","HCPCS","Both",,,"309.5","154.75","Humana","Commercial","",,"78",,"239.86","113.28","239.86","percent of total billed charges",,
"EXCISION MALIGN LESION 1.1 TO 2.0CM","11622","HCPCS","Both",,,"309.5","154.75","UHC","Commercial","",,"75",,"233.36","113.28","239.86","percent of total billed charges",,
"EXCISION MALIGN LESION 1.1 TO 2.0CM","11622","HCPCS","Both",,,"309.5","154.75","Medicaid",,"",,"37",,"113.28","113.28","239.86","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL 2.1 3.0 CM","11623","HCPCS","Both",,,"456","228","Alliant","Health Exchange","",,"62",,"282.72","166.9","353.4","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL 2.1 3.0 CM","11623","HCPCS","Both",,,"456","228","Pruitt Healthcare","Medicare Advantage","",,"54",,"246.24","166.9","353.4","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL 2.1 3.0 CM","11623","HCPCS","Both",,,"456","228","Medicare",,"",,"54",,"247.15","166.9","353.4","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL 2.1 3.0 CM","11623","HCPCS","Both",,,"456","228","Humana","Medicare Advantage","",,"54",,"247.15","166.9","353.4","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL 2.1 3.0 CM","11623","HCPCS","Both",,,"456","228","UHC","Medicare Advantage","",,"54",,"247.15","166.9","353.4","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL 2.1 3.0 CM","11623","HCPCS","Both",,,"456","228","Clover","Medicare Advantage","",,"54",,"247.15","166.9","353.4","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL 2.1 3.0 CM","11623","HCPCS","Both",,,"456","228","Wellcare","Medicare Advantage","",,"54",,"247.15","166.9","353.4","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL 2.1 3.0 CM","11623","HCPCS","Both",,,"456","228","Amerigroup","Medicaid Managed Care","",,"37",,"166.9","166.9","353.4","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL 2.1 3.0 CM","11623","HCPCS","Both",,,"456","228","Caresource","Medicaid Managed Care","",,"40",,"182.4","166.9","353.4","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL 2.1 3.0 CM","11623","HCPCS","Both",,,"456","228","Wellcare","Medicaid Managed Care","",,"40",,"184.68","166.9","353.4","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL 2.1 3.0 CM","11623","HCPCS","Both",,,"456","228","Aetna","Commercial","",,"64",,"290.93","166.9","353.4","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL 2.1 3.0 CM","11623","HCPCS","Both",,,"456","228","Blue Cross Blue Shield","Pathways","",,"71",,"321.94","166.9","353.4","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL 2.1 3.0 CM","11623","HCPCS","Both",,,"456","228","Blue Cross Blue Shield","HMO","",,"71",,"321.94","166.9","353.4","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL 2.1 3.0 CM","11623","HCPCS","Both",,,"456","228","Blue Cross Blue Shield","PPO","",,"71",,"321.94","166.9","353.4","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL 2.1 3.0 CM","11623","HCPCS","Both",,,"456","228","Ambetter","Health Exchange","",,"62",,"282.72","166.9","353.4","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL 2.1 3.0 CM","11623","HCPCS","Both",,,"456","228","Caresource","Health Exchange","",,"62",,"282.72","166.9","353.4","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL 2.1 3.0 CM","11623","HCPCS","Both",,,"456","228","Cigna","Commercial","",,"59",,"267.22","166.9","353.4","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL 2.1 3.0 CM","11623","HCPCS","Both",,,"456","228","Humana","Commercial","",,"78",,"353.4","166.9","353.4","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL 2.1 3.0 CM","11623","HCPCS","Both",,,"456","228","UHC","Commercial","",,"75",,"343.82","166.9","353.4","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL 2.1 3.0 CM","11623","HCPCS","Both",,,"456","228","Medicaid",,"",,"37",,"166.9","166.9","353.4","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL 3.1 4.0 CM","11624","HCPCS","Both",,,"3502","1751","Alliant","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL 3.1 4.0 CM","11624","HCPCS","Both",,,"3502","1751","Pruitt Healthcare","Medicare Advantage","",,"54",,"1891.08","1281.73","2714.05","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL 3.1 4.0 CM","11624","HCPCS","Both",,,"3502","1751","Medicare",,"",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL 3.1 4.0 CM","11624","HCPCS","Both",,,"3502","1751","Humana","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL 3.1 4.0 CM","11624","HCPCS","Both",,,"3502","1751","UHC","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL 3.1 4.0 CM","11624","HCPCS","Both",,,"3502","1751","Clover","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL 3.1 4.0 CM","11624","HCPCS","Both",,,"3502","1751","Wellcare","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL 3.1 4.0 CM","11624","HCPCS","Both",,,"3502","1751","Amerigroup","Medicaid Managed Care","",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL 3.1 4.0 CM","11624","HCPCS","Both",,,"3502","1751","Caresource","Medicaid Managed Care","",,"40",,"1400.8","1281.73","2714.05","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL 3.1 4.0 CM","11624","HCPCS","Both",,,"3502","1751","Wellcare","Medicaid Managed Care","",,"40",,"1418.31","1281.73","2714.05","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL 3.1 4.0 CM","11624","HCPCS","Both",,,"3502","1751","Aetna","Commercial","",,"64",,"2234.28","1281.73","2714.05","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL 3.1 4.0 CM","11624","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","Pathways","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL 3.1 4.0 CM","11624","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","HMO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL 3.1 4.0 CM","11624","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","PPO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL 3.1 4.0 CM","11624","HCPCS","Both",,,"3502","1751","Ambetter","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL 3.1 4.0 CM","11624","HCPCS","Both",,,"3502","1751","Caresource","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL 3.1 4.0 CM","11624","HCPCS","Both",,,"3502","1751","Cigna","Commercial","",,"59",,"2052.17","1281.73","2714.05","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL 3.1 4.0 CM","11624","HCPCS","Both",,,"3502","1751","Humana","Commercial","",,"78",,"2714.05","1281.73","2714.05","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL 3.1 4.0 CM","11624","HCPCS","Both",,,"3502","1751","UHC","Commercial","",,"75",,"2640.51","1281.73","2714.05","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL 3.1 4.0 CM","11624","HCPCS","Both",,,"3502","1751","Medicaid",,"",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"EXCISION MALIG LESION OVER 4.0cm","11626","HCPCS","Both",,,"5185","2592.5","Alliant","Health Exchange","",,"62",,"3214.7","1897.71","4018.38","percent of total billed charges",,
"EXCISION MALIG LESION OVER 4.0cm","11626","HCPCS","Both",,,"5185","2592.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"2799.9","1897.71","4018.38","percent of total billed charges",,
"EXCISION MALIG LESION OVER 4.0cm","11626","HCPCS","Both",,,"5185","2592.5","Medicare",,"",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION MALIG LESION OVER 4.0cm","11626","HCPCS","Both",,,"5185","2592.5","Humana","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION MALIG LESION OVER 4.0cm","11626","HCPCS","Both",,,"5185","2592.5","UHC","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION MALIG LESION OVER 4.0cm","11626","HCPCS","Both",,,"5185","2592.5","Clover","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION MALIG LESION OVER 4.0cm","11626","HCPCS","Both",,,"5185","2592.5","Wellcare","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION MALIG LESION OVER 4.0cm","11626","HCPCS","Both",,,"5185","2592.5","Amerigroup","Medicaid Managed Care","",,"37",,"1897.71","1897.71","4018.38","percent of total billed charges",,
"EXCISION MALIG LESION OVER 4.0cm","11626","HCPCS","Both",,,"5185","2592.5","Caresource","Medicaid Managed Care","",,"40",,"2074","1897.71","4018.38","percent of total billed charges",,
"EXCISION MALIG LESION OVER 4.0cm","11626","HCPCS","Both",,,"5185","2592.5","Wellcare","Medicaid Managed Care","",,"40",,"2099.93","1897.71","4018.38","percent of total billed charges",,
"EXCISION MALIG LESION OVER 4.0cm","11626","HCPCS","Both",,,"5185","2592.5","Aetna","Commercial","",,"64",,"3308.03","1897.71","4018.38","percent of total billed charges",,
"EXCISION MALIG LESION OVER 4.0cm","11626","HCPCS","Both",,,"5185","2592.5","Blue Cross Blue Shield","Pathways","",,"71",,"3660.61","1897.71","4018.38","percent of total billed charges",,
"EXCISION MALIG LESION OVER 4.0cm","11626","HCPCS","Both",,,"5185","2592.5","Blue Cross Blue Shield","HMO","",,"71",,"3660.61","1897.71","4018.38","percent of total billed charges",,
"EXCISION MALIG LESION OVER 4.0cm","11626","HCPCS","Both",,,"5185","2592.5","Blue Cross Blue Shield","PPO","",,"71",,"3660.61","1897.71","4018.38","percent of total billed charges",,
"EXCISION MALIG LESION OVER 4.0cm","11626","HCPCS","Both",,,"5185","2592.5","Ambetter","Health Exchange","",,"62",,"3214.7","1897.71","4018.38","percent of total billed charges",,
"EXCISION MALIG LESION OVER 4.0cm","11626","HCPCS","Both",,,"5185","2592.5","Caresource","Health Exchange","",,"62",,"3214.7","1897.71","4018.38","percent of total billed charges",,
"EXCISION MALIG LESION OVER 4.0cm","11626","HCPCS","Both",,,"5185","2592.5","Cigna","Commercial","",,"59",,"3038.41","1897.71","4018.38","percent of total billed charges",,
"EXCISION MALIG LESION OVER 4.0cm","11626","HCPCS","Both",,,"5185","2592.5","Humana","Commercial","",,"78",,"4018.38","1897.71","4018.38","percent of total billed charges",,
"EXCISION MALIG LESION OVER 4.0cm","11626","HCPCS","Both",,,"5185","2592.5","UHC","Commercial","",,"75",,"3909.49","1897.71","4018.38","percent of total billed charges",,
"EXCISION MALIG LESION OVER 4.0cm","11626","HCPCS","Both",,,"5185","2592.5","Medicaid",,"",,"37",,"1897.71","1897.71","4018.38","percent of total billed charges",,
"EXCIS MALIGN LESION f/e/e/n/l/m 0.5cm/<","11640","HCPCS","Both",,,"1051","525.5","Alliant","Health Exchange","",,"62",,"651.62","384.67","814.52","percent of total billed charges",,
"EXCIS MALIGN LESION f/e/e/n/l/m 0.5cm/<","11640","HCPCS","Both",,,"1051","525.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"567.54","384.67","814.52","percent of total billed charges",,
"EXCIS MALIGN LESION f/e/e/n/l/m 0.5cm/<","11640","HCPCS","Both",,,"1051","525.5","Medicare",,"",,"54",,"569.64","384.67","814.52","percent of total billed charges",,
"EXCIS MALIGN LESION f/e/e/n/l/m 0.5cm/<","11640","HCPCS","Both",,,"1051","525.5","Humana","Medicare Advantage","",,"54",,"569.64","384.67","814.52","percent of total billed charges",,
"EXCIS MALIGN LESION f/e/e/n/l/m 0.5cm/<","11640","HCPCS","Both",,,"1051","525.5","UHC","Medicare Advantage","",,"54",,"569.64","384.67","814.52","percent of total billed charges",,
"EXCIS MALIGN LESION f/e/e/n/l/m 0.5cm/<","11640","HCPCS","Both",,,"1051","525.5","Clover","Medicare Advantage","",,"54",,"569.64","384.67","814.52","percent of total billed charges",,
"EXCIS MALIGN LESION f/e/e/n/l/m 0.5cm/<","11640","HCPCS","Both",,,"1051","525.5","Wellcare","Medicare Advantage","",,"54",,"569.64","384.67","814.52","percent of total billed charges",,
"EXCIS MALIGN LESION f/e/e/n/l/m 0.5cm/<","11640","HCPCS","Both",,,"1051","525.5","Amerigroup","Medicaid Managed Care","",,"37",,"384.67","384.67","814.52","percent of total billed charges",,
"EXCIS MALIGN LESION f/e/e/n/l/m 0.5cm/<","11640","HCPCS","Both",,,"1051","525.5","Caresource","Medicaid Managed Care","",,"40",,"420.4","384.67","814.52","percent of total billed charges",,
"EXCIS MALIGN LESION f/e/e/n/l/m 0.5cm/<","11640","HCPCS","Both",,,"1051","525.5","Wellcare","Medicaid Managed Care","",,"40",,"425.66","384.67","814.52","percent of total billed charges",,
"EXCIS MALIGN LESION f/e/e/n/l/m 0.5cm/<","11640","HCPCS","Both",,,"1051","525.5","Aetna","Commercial","",,"64",,"670.54","384.67","814.52","percent of total billed charges",,
"EXCIS MALIGN LESION f/e/e/n/l/m 0.5cm/<","11640","HCPCS","Both",,,"1051","525.5","Blue Cross Blue Shield","Pathways","",,"71",,"742.01","384.67","814.52","percent of total billed charges",,
"EXCIS MALIGN LESION f/e/e/n/l/m 0.5cm/<","11640","HCPCS","Both",,,"1051","525.5","Blue Cross Blue Shield","HMO","",,"71",,"742.01","384.67","814.52","percent of total billed charges",,
"EXCIS MALIGN LESION f/e/e/n/l/m 0.5cm/<","11640","HCPCS","Both",,,"1051","525.5","Blue Cross Blue Shield","PPO","",,"71",,"742.01","384.67","814.52","percent of total billed charges",,
"EXCIS MALIGN LESION f/e/e/n/l/m 0.5cm/<","11640","HCPCS","Both",,,"1051","525.5","Ambetter","Health Exchange","",,"62",,"651.62","384.67","814.52","percent of total billed charges",,
"EXCIS MALIGN LESION f/e/e/n/l/m 0.5cm/<","11640","HCPCS","Both",,,"1051","525.5","Caresource","Health Exchange","",,"62",,"651.62","384.67","814.52","percent of total billed charges",,
"EXCIS MALIGN LESION f/e/e/n/l/m 0.5cm/<","11640","HCPCS","Both",,,"1051","525.5","Cigna","Commercial","",,"59",,"615.89","384.67","814.52","percent of total billed charges",,
"EXCIS MALIGN LESION f/e/e/n/l/m 0.5cm/<","11640","HCPCS","Both",,,"1051","525.5","Humana","Commercial","",,"78",,"814.52","384.67","814.52","percent of total billed charges",,
"EXCIS MALIGN LESION f/e/e/n/l/m 0.5cm/<","11640","HCPCS","Both",,,"1051","525.5","UHC","Commercial","",,"75",,"792.45","384.67","814.52","percent of total billed charges",,
"EXCIS MALIGN LESION f/e/e/n/l/m 0.5cm/<","11640","HCPCS","Both",,,"1051","525.5","Medicaid",,"",,"37",,"384.67","384.67","814.52","percent of total billed charges",,
"EXCISION MALIG LES F/E/E/B/L/M 0.6-1.0cm","11641","HCPCS","Both",,,"321.5","160.75","Alliant","Health Exchange","",,"62",,"199.33","117.67","249.16","percent of total billed charges",,
"EXCISION MALIG LES F/E/E/B/L/M 0.6-1.0cm","11641","HCPCS","Both",,,"321.5","160.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"173.61","117.67","249.16","percent of total billed charges",,
"EXCISION MALIG LES F/E/E/B/L/M 0.6-1.0cm","11641","HCPCS","Both",,,"321.5","160.75","Medicare",,"",,"54",,"174.25","117.67","249.16","percent of total billed charges",,
"EXCISION MALIG LES F/E/E/B/L/M 0.6-1.0cm","11641","HCPCS","Both",,,"321.5","160.75","Humana","Medicare Advantage","",,"54",,"174.25","117.67","249.16","percent of total billed charges",,
"EXCISION MALIG LES F/E/E/B/L/M 0.6-1.0cm","11641","HCPCS","Both",,,"321.5","160.75","UHC","Medicare Advantage","",,"54",,"174.25","117.67","249.16","percent of total billed charges",,
"EXCISION MALIG LES F/E/E/B/L/M 0.6-1.0cm","11641","HCPCS","Both",,,"321.5","160.75","Clover","Medicare Advantage","",,"54",,"174.25","117.67","249.16","percent of total billed charges",,
"EXCISION MALIG LES F/E/E/B/L/M 0.6-1.0cm","11641","HCPCS","Both",,,"321.5","160.75","Wellcare","Medicare Advantage","",,"54",,"174.25","117.67","249.16","percent of total billed charges",,
"EXCISION MALIG LES F/E/E/B/L/M 0.6-1.0cm","11641","HCPCS","Both",,,"321.5","160.75","Amerigroup","Medicaid Managed Care","",,"37",,"117.67","117.67","249.16","percent of total billed charges",,
"EXCISION MALIG LES F/E/E/B/L/M 0.6-1.0cm","11641","HCPCS","Both",,,"321.5","160.75","Caresource","Medicaid Managed Care","",,"40",,"128.6","117.67","249.16","percent of total billed charges",,
"EXCISION MALIG LES F/E/E/B/L/M 0.6-1.0cm","11641","HCPCS","Both",,,"321.5","160.75","Wellcare","Medicaid Managed Care","",,"40",,"130.21","117.67","249.16","percent of total billed charges",,
"EXCISION MALIG LES F/E/E/B/L/M 0.6-1.0cm","11641","HCPCS","Both",,,"321.5","160.75","Aetna","Commercial","",,"64",,"205.12","117.67","249.16","percent of total billed charges",,
"EXCISION MALIG LES F/E/E/B/L/M 0.6-1.0cm","11641","HCPCS","Both",,,"321.5","160.75","Blue Cross Blue Shield","Pathways","",,"71",,"226.98","117.67","249.16","percent of total billed charges",,
"EXCISION MALIG LES F/E/E/B/L/M 0.6-1.0cm","11641","HCPCS","Both",,,"321.5","160.75","Blue Cross Blue Shield","HMO","",,"71",,"226.98","117.67","249.16","percent of total billed charges",,
"EXCISION MALIG LES F/E/E/B/L/M 0.6-1.0cm","11641","HCPCS","Both",,,"321.5","160.75","Blue Cross Blue Shield","PPO","",,"71",,"226.98","117.67","249.16","percent of total billed charges",,
"EXCISION MALIG LES F/E/E/B/L/M 0.6-1.0cm","11641","HCPCS","Both",,,"321.5","160.75","Ambetter","Health Exchange","",,"62",,"199.33","117.67","249.16","percent of total billed charges",,
"EXCISION MALIG LES F/E/E/B/L/M 0.6-1.0cm","11641","HCPCS","Both",,,"321.5","160.75","Caresource","Health Exchange","",,"62",,"199.33","117.67","249.16","percent of total billed charges",,
"EXCISION MALIG LES F/E/E/B/L/M 0.6-1.0cm","11641","HCPCS","Both",,,"321.5","160.75","Cigna","Commercial","",,"59",,"188.4","117.67","249.16","percent of total billed charges",,
"EXCISION MALIG LES F/E/E/B/L/M 0.6-1.0cm","11641","HCPCS","Both",,,"321.5","160.75","Humana","Commercial","",,"78",,"249.16","117.67","249.16","percent of total billed charges",,
"EXCISION MALIG LES F/E/E/B/L/M 0.6-1.0cm","11641","HCPCS","Both",,,"321.5","160.75","UHC","Commercial","",,"75",,"242.41","117.67","249.16","percent of total billed charges",,
"EXCISION MALIG LES F/E/E/B/L/M 0.6-1.0cm","11641","HCPCS","Both",,,"321.5","160.75","Medicaid",,"",,"37",,"117.67","117.67","249.16","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL FCE 1.1 2.0CM","11642","HCPCS","Both",,,"390","195","Alliant","Health Exchange","",,"62",,"241.8","142.74","302.25","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL FCE 1.1 2.0CM","11642","HCPCS","Both",,,"390","195","Pruitt Healthcare","Medicare Advantage","",,"54",,"210.6","142.74","302.25","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL FCE 1.1 2.0CM","11642","HCPCS","Both",,,"390","195","Medicare",,"",,"54",,"211.38","142.74","302.25","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL FCE 1.1 2.0CM","11642","HCPCS","Both",,,"390","195","Humana","Medicare Advantage","",,"54",,"211.38","142.74","302.25","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL FCE 1.1 2.0CM","11642","HCPCS","Both",,,"390","195","UHC","Medicare Advantage","",,"54",,"211.38","142.74","302.25","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL FCE 1.1 2.0CM","11642","HCPCS","Both",,,"390","195","Clover","Medicare Advantage","",,"54",,"211.38","142.74","302.25","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL FCE 1.1 2.0CM","11642","HCPCS","Both",,,"390","195","Wellcare","Medicare Advantage","",,"54",,"211.38","142.74","302.25","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL FCE 1.1 2.0CM","11642","HCPCS","Both",,,"390","195","Amerigroup","Medicaid Managed Care","",,"37",,"142.74","142.74","302.25","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL FCE 1.1 2.0CM","11642","HCPCS","Both",,,"390","195","Caresource","Medicaid Managed Care","",,"40",,"156","142.74","302.25","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL FCE 1.1 2.0CM","11642","HCPCS","Both",,,"390","195","Wellcare","Medicaid Managed Care","",,"40",,"157.95","142.74","302.25","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL FCE 1.1 2.0CM","11642","HCPCS","Both",,,"390","195","Aetna","Commercial","",,"64",,"248.82","142.74","302.25","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL FCE 1.1 2.0CM","11642","HCPCS","Both",,,"390","195","Blue Cross Blue Shield","Pathways","",,"71",,"275.34","142.74","302.25","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL FCE 1.1 2.0CM","11642","HCPCS","Both",,,"390","195","Blue Cross Blue Shield","HMO","",,"71",,"275.34","142.74","302.25","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL FCE 1.1 2.0CM","11642","HCPCS","Both",,,"390","195","Blue Cross Blue Shield","PPO","",,"71",,"275.34","142.74","302.25","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL FCE 1.1 2.0CM","11642","HCPCS","Both",,,"390","195","Ambetter","Health Exchange","",,"62",,"241.8","142.74","302.25","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL FCE 1.1 2.0CM","11642","HCPCS","Both",,,"390","195","Caresource","Health Exchange","",,"62",,"241.8","142.74","302.25","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL FCE 1.1 2.0CM","11642","HCPCS","Both",,,"390","195","Cigna","Commercial","",,"59",,"228.54","142.74","302.25","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL FCE 1.1 2.0CM","11642","HCPCS","Both",,,"390","195","Humana","Commercial","",,"78",,"302.25","142.74","302.25","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL FCE 1.1 2.0CM","11642","HCPCS","Both",,,"390","195","UHC","Commercial","",,"75",,"294.06","142.74","302.25","percent of total billed charges",,
"EX MAL SCLP NK FT HND GNTL FCE 1.1 2.0CM","11642","HCPCS","Both",,,"390","195","Medicaid",,"",,"37",,"142.74","142.74","302.25","percent of total billed charges",,
"EXCISION MALIGNANT LESION 2.1 to 3.0cm","11643","HCPCS","Both",,,"381.5","190.75","Alliant","Health Exchange","",,"62",,"236.53","139.63","295.66","percent of total billed charges",,
"EXCISION MALIGNANT LESION 2.1 to 3.0cm","11643","HCPCS","Both",,,"381.5","190.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"206.01","139.63","295.66","percent of total billed charges",,
"EXCISION MALIGNANT LESION 2.1 to 3.0cm","11643","HCPCS","Both",,,"381.5","190.75","Medicare",,"",,"54",,"206.77","139.63","295.66","percent of total billed charges",,
"EXCISION MALIGNANT LESION 2.1 to 3.0cm","11643","HCPCS","Both",,,"381.5","190.75","Humana","Medicare Advantage","",,"54",,"206.77","139.63","295.66","percent of total billed charges",,
"EXCISION MALIGNANT LESION 2.1 to 3.0cm","11643","HCPCS","Both",,,"381.5","190.75","UHC","Medicare Advantage","",,"54",,"206.77","139.63","295.66","percent of total billed charges",,
"EXCISION MALIGNANT LESION 2.1 to 3.0cm","11643","HCPCS","Both",,,"381.5","190.75","Clover","Medicare Advantage","",,"54",,"206.77","139.63","295.66","percent of total billed charges",,
"EXCISION MALIGNANT LESION 2.1 to 3.0cm","11643","HCPCS","Both",,,"381.5","190.75","Wellcare","Medicare Advantage","",,"54",,"206.77","139.63","295.66","percent of total billed charges",,
"EXCISION MALIGNANT LESION 2.1 to 3.0cm","11643","HCPCS","Both",,,"381.5","190.75","Amerigroup","Medicaid Managed Care","",,"37",,"139.63","139.63","295.66","percent of total billed charges",,
"EXCISION MALIGNANT LESION 2.1 to 3.0cm","11643","HCPCS","Both",,,"381.5","190.75","Caresource","Medicaid Managed Care","",,"40",,"152.6","139.63","295.66","percent of total billed charges",,
"EXCISION MALIGNANT LESION 2.1 to 3.0cm","11643","HCPCS","Both",,,"381.5","190.75","Wellcare","Medicaid Managed Care","",,"40",,"154.51","139.63","295.66","percent of total billed charges",,
"EXCISION MALIGNANT LESION 2.1 to 3.0cm","11643","HCPCS","Both",,,"381.5","190.75","Aetna","Commercial","",,"64",,"243.4","139.63","295.66","percent of total billed charges",,
"EXCISION MALIGNANT LESION 2.1 to 3.0cm","11643","HCPCS","Both",,,"381.5","190.75","Blue Cross Blue Shield","Pathways","",,"71",,"269.34","139.63","295.66","percent of total billed charges",,
"EXCISION MALIGNANT LESION 2.1 to 3.0cm","11643","HCPCS","Both",,,"381.5","190.75","Blue Cross Blue Shield","HMO","",,"71",,"269.34","139.63","295.66","percent of total billed charges",,
"EXCISION MALIGNANT LESION 2.1 to 3.0cm","11643","HCPCS","Both",,,"381.5","190.75","Blue Cross Blue Shield","PPO","",,"71",,"269.34","139.63","295.66","percent of total billed charges",,
"EXCISION MALIGNANT LESION 2.1 to 3.0cm","11643","HCPCS","Both",,,"381.5","190.75","Ambetter","Health Exchange","",,"62",,"236.53","139.63","295.66","percent of total billed charges",,
"EXCISION MALIGNANT LESION 2.1 to 3.0cm","11643","HCPCS","Both",,,"381.5","190.75","Caresource","Health Exchange","",,"62",,"236.53","139.63","295.66","percent of total billed charges",,
"EXCISION MALIGNANT LESION 2.1 to 3.0cm","11643","HCPCS","Both",,,"381.5","190.75","Cigna","Commercial","",,"59",,"223.56","139.63","295.66","percent of total billed charges",,
"EXCISION MALIGNANT LESION 2.1 to 3.0cm","11643","HCPCS","Both",,,"381.5","190.75","Humana","Commercial","",,"78",,"295.66","139.63","295.66","percent of total billed charges",,
"EXCISION MALIGNANT LESION 2.1 to 3.0cm","11643","HCPCS","Both",,,"381.5","190.75","UHC","Commercial","",,"75",,"287.65","139.63","295.66","percent of total billed charges",,
"EXCISION MALIGNANT LESION 2.1 to 3.0cm","11643","HCPCS","Both",,,"381.5","190.75","Medicaid",,"",,"37",,"139.63","139.63","295.66","percent of total billed charges",,
"EXCISION, MALIGNANT LESION 3.1cm to 4.0","11644","HCPCS","Both",,,"3502","1751","Alliant","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION, MALIGNANT LESION 3.1cm to 4.0","11644","HCPCS","Both",,,"3502","1751","Pruitt Healthcare","Medicare Advantage","",,"54",,"1891.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION, MALIGNANT LESION 3.1cm to 4.0","11644","HCPCS","Both",,,"3502","1751","Medicare",,"",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION, MALIGNANT LESION 3.1cm to 4.0","11644","HCPCS","Both",,,"3502","1751","Humana","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION, MALIGNANT LESION 3.1cm to 4.0","11644","HCPCS","Both",,,"3502","1751","UHC","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION, MALIGNANT LESION 3.1cm to 4.0","11644","HCPCS","Both",,,"3502","1751","Clover","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION, MALIGNANT LESION 3.1cm to 4.0","11644","HCPCS","Both",,,"3502","1751","Wellcare","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION, MALIGNANT LESION 3.1cm to 4.0","11644","HCPCS","Both",,,"3502","1751","Amerigroup","Medicaid Managed Care","",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"EXCISION, MALIGNANT LESION 3.1cm to 4.0","11644","HCPCS","Both",,,"3502","1751","Caresource","Medicaid Managed Care","",,"40",,"1400.8","1281.73","2714.05","percent of total billed charges",,
"EXCISION, MALIGNANT LESION 3.1cm to 4.0","11644","HCPCS","Both",,,"3502","1751","Wellcare","Medicaid Managed Care","",,"40",,"1418.31","1281.73","2714.05","percent of total billed charges",,
"EXCISION, MALIGNANT LESION 3.1cm to 4.0","11644","HCPCS","Both",,,"3502","1751","Aetna","Commercial","",,"64",,"2234.28","1281.73","2714.05","percent of total billed charges",,
"EXCISION, MALIGNANT LESION 3.1cm to 4.0","11644","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","Pathways","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION, MALIGNANT LESION 3.1cm to 4.0","11644","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","HMO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION, MALIGNANT LESION 3.1cm to 4.0","11644","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","PPO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION, MALIGNANT LESION 3.1cm to 4.0","11644","HCPCS","Both",,,"3502","1751","Ambetter","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION, MALIGNANT LESION 3.1cm to 4.0","11644","HCPCS","Both",,,"3502","1751","Caresource","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION, MALIGNANT LESION 3.1cm to 4.0","11644","HCPCS","Both",,,"3502","1751","Cigna","Commercial","",,"59",,"2052.17","1281.73","2714.05","percent of total billed charges",,
"EXCISION, MALIGNANT LESION 3.1cm to 4.0","11644","HCPCS","Both",,,"3502","1751","Humana","Commercial","",,"78",,"2714.05","1281.73","2714.05","percent of total billed charges",,
"EXCISION, MALIGNANT LESION 3.1cm to 4.0","11644","HCPCS","Both",,,"3502","1751","UHC","Commercial","",,"75",,"2640.51","1281.73","2714.05","percent of total billed charges",,
"EXCISION, MALIGNANT LESION 3.1cm to 4.0","11644","HCPCS","Both",,,"3502","1751","Medicaid",,"",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"EXCISION MALIG LESION OVER 4.0cm","11646","HCPCS","Both",,,"3111","1555.5","Alliant","Health Exchange","",,"62",,"1928.82","1138.63","2411.02","percent of total billed charges",,
"EXCISION MALIG LESION OVER 4.0cm","11646","HCPCS","Both",,,"3111","1555.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"1679.94","1138.63","2411.02","percent of total billed charges",,
"EXCISION MALIG LESION OVER 4.0cm","11646","HCPCS","Both",,,"3111","1555.5","Medicare",,"",,"54",,"1686.16","1138.63","2411.02","percent of total billed charges",,
"EXCISION MALIG LESION OVER 4.0cm","11646","HCPCS","Both",,,"3111","1555.5","Humana","Medicare Advantage","",,"54",,"1686.16","1138.63","2411.02","percent of total billed charges",,
"EXCISION MALIG LESION OVER 4.0cm","11646","HCPCS","Both",,,"3111","1555.5","UHC","Medicare Advantage","",,"54",,"1686.16","1138.63","2411.02","percent of total billed charges",,
"EXCISION MALIG LESION OVER 4.0cm","11646","HCPCS","Both",,,"3111","1555.5","Clover","Medicare Advantage","",,"54",,"1686.16","1138.63","2411.02","percent of total billed charges",,
"EXCISION MALIG LESION OVER 4.0cm","11646","HCPCS","Both",,,"3111","1555.5","Wellcare","Medicare Advantage","",,"54",,"1686.16","1138.63","2411.02","percent of total billed charges",,
"EXCISION MALIG LESION OVER 4.0cm","11646","HCPCS","Both",,,"3111","1555.5","Amerigroup","Medicaid Managed Care","",,"37",,"1138.63","1138.63","2411.02","percent of total billed charges",,
"EXCISION MALIG LESION OVER 4.0cm","11646","HCPCS","Both",,,"3111","1555.5","Caresource","Medicaid Managed Care","",,"40",,"1244.4","1138.63","2411.02","percent of total billed charges",,
"EXCISION MALIG LESION OVER 4.0cm","11646","HCPCS","Both",,,"3111","1555.5","Wellcare","Medicaid Managed Care","",,"40",,"1259.96","1138.63","2411.02","percent of total billed charges",,
"EXCISION MALIG LESION OVER 4.0cm","11646","HCPCS","Both",,,"3111","1555.5","Aetna","Commercial","",,"64",,"1984.82","1138.63","2411.02","percent of total billed charges",,
"EXCISION MALIG LESION OVER 4.0cm","11646","HCPCS","Both",,,"3111","1555.5","Blue Cross Blue Shield","Pathways","",,"71",,"2196.37","1138.63","2411.02","percent of total billed charges",,
"EXCISION MALIG LESION OVER 4.0cm","11646","HCPCS","Both",,,"3111","1555.5","Blue Cross Blue Shield","HMO","",,"71",,"2196.37","1138.63","2411.02","percent of total billed charges",,
"EXCISION MALIG LESION OVER 4.0cm","11646","HCPCS","Both",,,"3111","1555.5","Blue Cross Blue Shield","PPO","",,"71",,"2196.37","1138.63","2411.02","percent of total billed charges",,
"EXCISION MALIG LESION OVER 4.0cm","11646","HCPCS","Both",,,"3111","1555.5","Ambetter","Health Exchange","",,"62",,"1928.82","1138.63","2411.02","percent of total billed charges",,
"EXCISION MALIG LESION OVER 4.0cm","11646","HCPCS","Both",,,"3111","1555.5","Caresource","Health Exchange","",,"62",,"1928.82","1138.63","2411.02","percent of total billed charges",,
"EXCISION MALIG LESION OVER 4.0cm","11646","HCPCS","Both",,,"3111","1555.5","Cigna","Commercial","",,"59",,"1823.05","1138.63","2411.02","percent of total billed charges",,
"EXCISION MALIG LESION OVER 4.0cm","11646","HCPCS","Both",,,"3111","1555.5","Humana","Commercial","",,"78",,"2411.02","1138.63","2411.02","percent of total billed charges",,
"EXCISION MALIG LESION OVER 4.0cm","11646","HCPCS","Both",,,"3111","1555.5","UHC","Commercial","",,"75",,"2345.69","1138.63","2411.02","percent of total billed charges",,
"EXCISION MALIG LESION OVER 4.0cm","11646","HCPCS","Both",,,"3111","1555.5","Medicaid",,"",,"37",,"1138.63","1138.63","2411.02","percent of total billed charges",,
"DEBRIDEMENT NAIL(S); 6 OR MORE","11721","HCPCS","Both",,,"224.5","112.25","Alliant","Health Exchange","",,"62",,"139.19","82.17","173.99","percent of total billed charges",,
"DEBRIDEMENT NAIL(S); 6 OR MORE","11721","HCPCS","Both",,,"224.5","112.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"121.23","82.17","173.99","percent of total billed charges",,
"DEBRIDEMENT NAIL(S); 6 OR MORE","11721","HCPCS","Both",,,"224.5","112.25","Medicare",,"",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"DEBRIDEMENT NAIL(S); 6 OR MORE","11721","HCPCS","Both",,,"224.5","112.25","Humana","Medicare Advantage","",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"DEBRIDEMENT NAIL(S); 6 OR MORE","11721","HCPCS","Both",,,"224.5","112.25","UHC","Medicare Advantage","",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"DEBRIDEMENT NAIL(S); 6 OR MORE","11721","HCPCS","Both",,,"224.5","112.25","Clover","Medicare Advantage","",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"DEBRIDEMENT NAIL(S); 6 OR MORE","11721","HCPCS","Both",,,"224.5","112.25","Wellcare","Medicare Advantage","",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"DEBRIDEMENT NAIL(S); 6 OR MORE","11721","HCPCS","Both",,,"224.5","112.25","Amerigroup","Medicaid Managed Care","",,"37",,"82.17","82.17","173.99","percent of total billed charges",,
"DEBRIDEMENT NAIL(S); 6 OR MORE","11721","HCPCS","Both",,,"224.5","112.25","Caresource","Medicaid Managed Care","",,"40",,"89.8","82.17","173.99","percent of total billed charges",,
"DEBRIDEMENT NAIL(S); 6 OR MORE","11721","HCPCS","Both",,,"224.5","112.25","Wellcare","Medicaid Managed Care","",,"40",,"90.92","82.17","173.99","percent of total billed charges",,
"DEBRIDEMENT NAIL(S); 6 OR MORE","11721","HCPCS","Both",,,"224.5","112.25","Aetna","Commercial","",,"64",,"143.23","82.17","173.99","percent of total billed charges",,
"DEBRIDEMENT NAIL(S); 6 OR MORE","11721","HCPCS","Both",,,"224.5","112.25","Blue Cross Blue Shield","Pathways","",,"71",,"158.5","82.17","173.99","percent of total billed charges",,
"DEBRIDEMENT NAIL(S); 6 OR MORE","11721","HCPCS","Both",,,"224.5","112.25","Blue Cross Blue Shield","HMO","",,"71",,"158.5","82.17","173.99","percent of total billed charges",,
"DEBRIDEMENT NAIL(S); 6 OR MORE","11721","HCPCS","Both",,,"224.5","112.25","Blue Cross Blue Shield","PPO","",,"71",,"158.5","82.17","173.99","percent of total billed charges",,
"DEBRIDEMENT NAIL(S); 6 OR MORE","11721","HCPCS","Both",,,"224.5","112.25","Ambetter","Health Exchange","",,"62",,"139.19","82.17","173.99","percent of total billed charges",,
"DEBRIDEMENT NAIL(S); 6 OR MORE","11721","HCPCS","Both",,,"224.5","112.25","Caresource","Health Exchange","",,"62",,"139.19","82.17","173.99","percent of total billed charges",,
"DEBRIDEMENT NAIL(S); 6 OR MORE","11721","HCPCS","Both",,,"224.5","112.25","Cigna","Commercial","",,"59",,"131.56","82.17","173.99","percent of total billed charges",,
"DEBRIDEMENT NAIL(S); 6 OR MORE","11721","HCPCS","Both",,,"224.5","112.25","Humana","Commercial","",,"78",,"173.99","82.17","173.99","percent of total billed charges",,
"DEBRIDEMENT NAIL(S); 6 OR MORE","11721","HCPCS","Both",,,"224.5","112.25","UHC","Commercial","",,"75",,"169.27","82.17","173.99","percent of total billed charges",,
"DEBRIDEMENT NAIL(S); 6 OR MORE","11721","HCPCS","Both",,,"224.5","112.25","Medicaid",,"",,"37",,"82.17","82.17","173.99","percent of total billed charges",,
"AVULSION OF NAIL PLATE, SIMPLE; SINGLE","11730","HCPCS","Both",,,"102.5","51.25","Alliant","Health Exchange","",,"62",,"63.55","37.52","79.44","percent of total billed charges",,
"AVULSION OF NAIL PLATE, SIMPLE; SINGLE","11730","HCPCS","Both",,,"102.5","51.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"55.35","37.52","79.44","percent of total billed charges",,
"AVULSION OF NAIL PLATE, SIMPLE; SINGLE","11730","HCPCS","Both",,,"102.5","51.25","Medicare",,"",,"54",,"55.56","37.52","79.44","percent of total billed charges",,
"AVULSION OF NAIL PLATE, SIMPLE; SINGLE","11730","HCPCS","Both",,,"102.5","51.25","Humana","Medicare Advantage","",,"54",,"55.56","37.52","79.44","percent of total billed charges",,
"AVULSION OF NAIL PLATE, SIMPLE; SINGLE","11730","HCPCS","Both",,,"102.5","51.25","UHC","Medicare Advantage","",,"54",,"55.56","37.52","79.44","percent of total billed charges",,
"AVULSION OF NAIL PLATE, SIMPLE; SINGLE","11730","HCPCS","Both",,,"102.5","51.25","Clover","Medicare Advantage","",,"54",,"55.56","37.52","79.44","percent of total billed charges",,
"AVULSION OF NAIL PLATE, SIMPLE; SINGLE","11730","HCPCS","Both",,,"102.5","51.25","Wellcare","Medicare Advantage","",,"54",,"55.56","37.52","79.44","percent of total billed charges",,
"AVULSION OF NAIL PLATE, SIMPLE; SINGLE","11730","HCPCS","Both",,,"102.5","51.25","Amerigroup","Medicaid Managed Care","",,"37",,"37.52","37.52","79.44","percent of total billed charges",,
"AVULSION OF NAIL PLATE, SIMPLE; SINGLE","11730","HCPCS","Both",,,"102.5","51.25","Caresource","Medicaid Managed Care","",,"40",,"41","37.52","79.44","percent of total billed charges",,
"AVULSION OF NAIL PLATE, SIMPLE; SINGLE","11730","HCPCS","Both",,,"102.5","51.25","Wellcare","Medicaid Managed Care","",,"40",,"41.51","37.52","79.44","percent of total billed charges",,
"AVULSION OF NAIL PLATE, SIMPLE; SINGLE","11730","HCPCS","Both",,,"102.5","51.25","Aetna","Commercial","",,"64",,"65.4","37.52","79.44","percent of total billed charges",,
"AVULSION OF NAIL PLATE, SIMPLE; SINGLE","11730","HCPCS","Both",,,"102.5","51.25","Blue Cross Blue Shield","Pathways","",,"71",,"72.36","37.52","79.44","percent of total billed charges",,
"AVULSION OF NAIL PLATE, SIMPLE; SINGLE","11730","HCPCS","Both",,,"102.5","51.25","Blue Cross Blue Shield","HMO","",,"71",,"72.36","37.52","79.44","percent of total billed charges",,
"AVULSION OF NAIL PLATE, SIMPLE; SINGLE","11730","HCPCS","Both",,,"102.5","51.25","Blue Cross Blue Shield","PPO","",,"71",,"72.36","37.52","79.44","percent of total billed charges",,
"AVULSION OF NAIL PLATE, SIMPLE; SINGLE","11730","HCPCS","Both",,,"102.5","51.25","Ambetter","Health Exchange","",,"62",,"63.55","37.52","79.44","percent of total billed charges",,
"AVULSION OF NAIL PLATE, SIMPLE; SINGLE","11730","HCPCS","Both",,,"102.5","51.25","Caresource","Health Exchange","",,"62",,"63.55","37.52","79.44","percent of total billed charges",,
"AVULSION OF NAIL PLATE, SIMPLE; SINGLE","11730","HCPCS","Both",,,"102.5","51.25","Cigna","Commercial","",,"59",,"60.06","37.52","79.44","percent of total billed charges",,
"AVULSION OF NAIL PLATE, SIMPLE; SINGLE","11730","HCPCS","Both",,,"102.5","51.25","Humana","Commercial","",,"78",,"79.44","37.52","79.44","percent of total billed charges",,
"AVULSION OF NAIL PLATE, SIMPLE; SINGLE","11730","HCPCS","Both",,,"102.5","51.25","UHC","Commercial","",,"75",,"77.28","37.52","79.44","percent of total billed charges",,
"AVULSION OF NAIL PLATE, SIMPLE; SINGLE","11730","HCPCS","Both",,,"102.5","51.25","Medicaid",,"",,"37",,"37.52","37.52","79.44","percent of total billed charges",,
"AVULSION OF NAIL PLATE, @ ADD'L PLATE","11732","HCPCS","Both",,,"224.5","112.25","Alliant","Health Exchange","",,"62",,"139.19","82.17","173.99","percent of total billed charges",,
"AVULSION OF NAIL PLATE, @ ADD'L PLATE","11732","HCPCS","Both",,,"224.5","112.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"121.23","82.17","173.99","percent of total billed charges",,
"AVULSION OF NAIL PLATE, @ ADD'L PLATE","11732","HCPCS","Both",,,"224.5","112.25","Medicare",,"",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"AVULSION OF NAIL PLATE, @ ADD'L PLATE","11732","HCPCS","Both",,,"224.5","112.25","Humana","Medicare Advantage","",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"AVULSION OF NAIL PLATE, @ ADD'L PLATE","11732","HCPCS","Both",,,"224.5","112.25","UHC","Medicare Advantage","",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"AVULSION OF NAIL PLATE, @ ADD'L PLATE","11732","HCPCS","Both",,,"224.5","112.25","Clover","Medicare Advantage","",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"AVULSION OF NAIL PLATE, @ ADD'L PLATE","11732","HCPCS","Both",,,"224.5","112.25","Wellcare","Medicare Advantage","",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"AVULSION OF NAIL PLATE, @ ADD'L PLATE","11732","HCPCS","Both",,,"224.5","112.25","Amerigroup","Medicaid Managed Care","",,"37",,"82.17","82.17","173.99","percent of total billed charges",,
"AVULSION OF NAIL PLATE, @ ADD'L PLATE","11732","HCPCS","Both",,,"224.5","112.25","Caresource","Medicaid Managed Care","",,"40",,"89.8","82.17","173.99","percent of total billed charges",,
"AVULSION OF NAIL PLATE, @ ADD'L PLATE","11732","HCPCS","Both",,,"224.5","112.25","Wellcare","Medicaid Managed Care","",,"40",,"90.92","82.17","173.99","percent of total billed charges",,
"AVULSION OF NAIL PLATE, @ ADD'L PLATE","11732","HCPCS","Both",,,"224.5","112.25","Aetna","Commercial","",,"64",,"143.23","82.17","173.99","percent of total billed charges",,
"AVULSION OF NAIL PLATE, @ ADD'L PLATE","11732","HCPCS","Both",,,"224.5","112.25","Blue Cross Blue Shield","Pathways","",,"71",,"158.5","82.17","173.99","percent of total billed charges",,
"AVULSION OF NAIL PLATE, @ ADD'L PLATE","11732","HCPCS","Both",,,"224.5","112.25","Blue Cross Blue Shield","HMO","",,"71",,"158.5","82.17","173.99","percent of total billed charges",,
"AVULSION OF NAIL PLATE, @ ADD'L PLATE","11732","HCPCS","Both",,,"224.5","112.25","Blue Cross Blue Shield","PPO","",,"71",,"158.5","82.17","173.99","percent of total billed charges",,
"AVULSION OF NAIL PLATE, @ ADD'L PLATE","11732","HCPCS","Both",,,"224.5","112.25","Ambetter","Health Exchange","",,"62",,"139.19","82.17","173.99","percent of total billed charges",,
"AVULSION OF NAIL PLATE, @ ADD'L PLATE","11732","HCPCS","Both",,,"224.5","112.25","Caresource","Health Exchange","",,"62",,"139.19","82.17","173.99","percent of total billed charges",,
"AVULSION OF NAIL PLATE, @ ADD'L PLATE","11732","HCPCS","Both",,,"224.5","112.25","Cigna","Commercial","",,"59",,"131.56","82.17","173.99","percent of total billed charges",,
"AVULSION OF NAIL PLATE, @ ADD'L PLATE","11732","HCPCS","Both",,,"224.5","112.25","Humana","Commercial","",,"78",,"173.99","82.17","173.99","percent of total billed charges",,
"AVULSION OF NAIL PLATE, @ ADD'L PLATE","11732","HCPCS","Both",,,"224.5","112.25","UHC","Commercial","",,"75",,"169.27","82.17","173.99","percent of total billed charges",,
"AVULSION OF NAIL PLATE, @ ADD'L PLATE","11732","HCPCS","Both",,,"224.5","112.25","Medicaid",,"",,"37",,"82.17","82.17","173.99","percent of total billed charges",,
"EXCISION OF NAIL & MATRIX; PART OR COMPL","11750","HCPCS","Both",,,"1051","525.5","Alliant","Health Exchange","",,"62",,"651.62","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & MATRIX; PART OR COMPL","11750","HCPCS","Both",,,"1051","525.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"567.54","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & MATRIX; PART OR COMPL","11750","HCPCS","Both",,,"1051","525.5","Medicare",,"",,"54",,"569.64","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & MATRIX; PART OR COMPL","11750","HCPCS","Both",,,"1051","525.5","Humana","Medicare Advantage","",,"54",,"569.64","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & MATRIX; PART OR COMPL","11750","HCPCS","Both",,,"1051","525.5","UHC","Medicare Advantage","",,"54",,"569.64","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & MATRIX; PART OR COMPL","11750","HCPCS","Both",,,"1051","525.5","Clover","Medicare Advantage","",,"54",,"569.64","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & MATRIX; PART OR COMPL","11750","HCPCS","Both",,,"1051","525.5","Wellcare","Medicare Advantage","",,"54",,"569.64","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & MATRIX; PART OR COMPL","11750","HCPCS","Both",,,"1051","525.5","Amerigroup","Medicaid Managed Care","",,"37",,"384.67","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & MATRIX; PART OR COMPL","11750","HCPCS","Both",,,"1051","525.5","Caresource","Medicaid Managed Care","",,"40",,"420.4","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & MATRIX; PART OR COMPL","11750","HCPCS","Both",,,"1051","525.5","Wellcare","Medicaid Managed Care","",,"40",,"425.66","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & MATRIX; PART OR COMPL","11750","HCPCS","Both",,,"1051","525.5","Aetna","Commercial","",,"64",,"670.54","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & MATRIX; PART OR COMPL","11750","HCPCS","Both",,,"1051","525.5","Blue Cross Blue Shield","Pathways","",,"71",,"742.01","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & MATRIX; PART OR COMPL","11750","HCPCS","Both",,,"1051","525.5","Blue Cross Blue Shield","HMO","",,"71",,"742.01","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & MATRIX; PART OR COMPL","11750","HCPCS","Both",,,"1051","525.5","Blue Cross Blue Shield","PPO","",,"71",,"742.01","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & MATRIX; PART OR COMPL","11750","HCPCS","Both",,,"1051","525.5","Ambetter","Health Exchange","",,"62",,"651.62","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & MATRIX; PART OR COMPL","11750","HCPCS","Both",,,"1051","525.5","Caresource","Health Exchange","",,"62",,"651.62","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & MATRIX; PART OR COMPL","11750","HCPCS","Both",,,"1051","525.5","Cigna","Commercial","",,"59",,"615.89","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & MATRIX; PART OR COMPL","11750","HCPCS","Both",,,"1051","525.5","Humana","Commercial","",,"78",,"814.52","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & MATRIX; PART OR COMPL","11750","HCPCS","Both",,,"1051","525.5","UHC","Commercial","",,"75",,"792.45","384.67","814.52","percent of total billed charges",,
"EXCISION OF NAIL & MATRIX; PART OR COMPL","11750","HCPCS","Both",,,"1051","525.5","Medicaid",,"",,"37",,"384.67","384.67","814.52","percent of total billed charges",,
"BIOPSY NAIL UNIT","11755","HCPCS","Both",,,"1051","525.5","Alliant","Health Exchange","",,"62",,"651.62","384.67","814.52","percent of total billed charges",,
"BIOPSY NAIL UNIT","11755","HCPCS","Both",,,"1051","525.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"567.54","384.67","814.52","percent of total billed charges",,
"BIOPSY NAIL UNIT","11755","HCPCS","Both",,,"1051","525.5","Medicare",,"",,"54",,"569.64","384.67","814.52","percent of total billed charges",,
"BIOPSY NAIL UNIT","11755","HCPCS","Both",,,"1051","525.5","Humana","Medicare Advantage","",,"54",,"569.64","384.67","814.52","percent of total billed charges",,
"BIOPSY NAIL UNIT","11755","HCPCS","Both",,,"1051","525.5","UHC","Medicare Advantage","",,"54",,"569.64","384.67","814.52","percent of total billed charges",,
"BIOPSY NAIL UNIT","11755","HCPCS","Both",,,"1051","525.5","Clover","Medicare Advantage","",,"54",,"569.64","384.67","814.52","percent of total billed charges",,
"BIOPSY NAIL UNIT","11755","HCPCS","Both",,,"1051","525.5","Wellcare","Medicare Advantage","",,"54",,"569.64","384.67","814.52","percent of total billed charges",,
"BIOPSY NAIL UNIT","11755","HCPCS","Both",,,"1051","525.5","Amerigroup","Medicaid Managed Care","",,"37",,"384.67","384.67","814.52","percent of total billed charges",,
"BIOPSY NAIL UNIT","11755","HCPCS","Both",,,"1051","525.5","Caresource","Medicaid Managed Care","",,"40",,"420.4","384.67","814.52","percent of total billed charges",,
"BIOPSY NAIL UNIT","11755","HCPCS","Both",,,"1051","525.5","Wellcare","Medicaid Managed Care","",,"40",,"425.66","384.67","814.52","percent of total billed charges",,
"BIOPSY NAIL UNIT","11755","HCPCS","Both",,,"1051","525.5","Aetna","Commercial","",,"64",,"670.54","384.67","814.52","percent of total billed charges",,
"BIOPSY NAIL UNIT","11755","HCPCS","Both",,,"1051","525.5","Blue Cross Blue Shield","Pathways","",,"71",,"742.01","384.67","814.52","percent of total billed charges",,
"BIOPSY NAIL UNIT","11755","HCPCS","Both",,,"1051","525.5","Blue Cross Blue Shield","HMO","",,"71",,"742.01","384.67","814.52","percent of total billed charges",,
"BIOPSY NAIL UNIT","11755","HCPCS","Both",,,"1051","525.5","Blue Cross Blue Shield","PPO","",,"71",,"742.01","384.67","814.52","percent of total billed charges",,
"BIOPSY NAIL UNIT","11755","HCPCS","Both",,,"1051","525.5","Ambetter","Health Exchange","",,"62",,"651.62","384.67","814.52","percent of total billed charges",,
"BIOPSY NAIL UNIT","11755","HCPCS","Both",,,"1051","525.5","Caresource","Health Exchange","",,"62",,"651.62","384.67","814.52","percent of total billed charges",,
"BIOPSY NAIL UNIT","11755","HCPCS","Both",,,"1051","525.5","Cigna","Commercial","",,"59",,"615.89","384.67","814.52","percent of total billed charges",,
"BIOPSY NAIL UNIT","11755","HCPCS","Both",,,"1051","525.5","Humana","Commercial","",,"78",,"814.52","384.67","814.52","percent of total billed charges",,
"BIOPSY NAIL UNIT","11755","HCPCS","Both",,,"1051","525.5","UHC","Commercial","",,"75",,"792.45","384.67","814.52","percent of total billed charges",,
"BIOPSY NAIL UNIT","11755","HCPCS","Both",,,"1051","525.5","Medicaid",,"",,"37",,"384.67","384.67","814.52","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Alliant","Health Exchange","",,"62",,"220.41","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"191.97","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Medicare",,"",,"54",,"192.68","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Humana","Medicare Advantage","",,"54",,"192.68","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","UHC","Medicare Advantage","",,"54",,"192.68","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Clover","Medicare Advantage","",,"54",,"192.68","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Wellcare","Medicare Advantage","",,"54",,"192.68","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Amerigroup","Medicaid Managed Care","",,"37",,"130.11","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Caresource","Medicaid Managed Care","",,"40",,"142.2","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Wellcare","Medicaid Managed Care","",,"40",,"143.98","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Aetna","Commercial","",,"64",,"226.81","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Blue Cross Blue Shield","Pathways","",,"71",,"250.98","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Blue Cross Blue Shield","HMO","",,"71",,"250.98","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Blue Cross Blue Shield","PPO","",,"71",,"250.98","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Ambetter","Health Exchange","",,"62",,"220.41","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Caresource","Health Exchange","",,"62",,"220.41","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Cigna","Commercial","",,"59",,"208.32","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Humana","Commercial","",,"78",,"275.51","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","UHC","Commercial","",,"75",,"268.05","130.11","275.51","percent of total billed charges",,
"REPAIR NAIL BED","11760","HCPCS","Both",,,"355.5","177.75","Medicaid",,"",,"37",,"130.11","130.11","275.51","percent of total billed charges",,
"EXCISION PILONIDAL CYST/SINUS; SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Alliant","Health Exchange","",,"62",,"3214.7","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST/SINUS; SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"2799.9","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST/SINUS; SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Medicare",,"",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST/SINUS; SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Humana","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST/SINUS; SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","UHC","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST/SINUS; SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Clover","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST/SINUS; SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Wellcare","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST/SINUS; SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Amerigroup","Medicaid Managed Care","",,"37",,"1897.71","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST/SINUS; SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Caresource","Medicaid Managed Care","",,"40",,"2074","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST/SINUS; SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Wellcare","Medicaid Managed Care","",,"40",,"2099.93","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST/SINUS; SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Aetna","Commercial","",,"64",,"3308.03","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST/SINUS; SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Blue Cross Blue Shield","Pathways","",,"71",,"3660.61","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST/SINUS; SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Blue Cross Blue Shield","HMO","",,"71",,"3660.61","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST/SINUS; SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Blue Cross Blue Shield","PPO","",,"71",,"3660.61","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST/SINUS; SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Ambetter","Health Exchange","",,"62",,"3214.7","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST/SINUS; SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Caresource","Health Exchange","",,"62",,"3214.7","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST/SINUS; SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Cigna","Commercial","",,"59",,"3038.41","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST/SINUS; SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Humana","Commercial","",,"78",,"4018.38","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST/SINUS; SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","UHC","Commercial","",,"75",,"3909.49","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST/SINUS; SIMPLE","11770","HCPCS","Both",,,"5185","2592.5","Medicaid",,"",,"37",,"1897.71","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST/SINUS; EXTENSIVE","11771","HCPCS","Both",,,"5185","2592.5","Alliant","Health Exchange","",,"62",,"3214.7","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST/SINUS; EXTENSIVE","11771","HCPCS","Both",,,"5185","2592.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"2799.9","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST/SINUS; EXTENSIVE","11771","HCPCS","Both",,,"5185","2592.5","Medicare",,"",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST/SINUS; EXTENSIVE","11771","HCPCS","Both",,,"5185","2592.5","Humana","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST/SINUS; EXTENSIVE","11771","HCPCS","Both",,,"5185","2592.5","UHC","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST/SINUS; EXTENSIVE","11771","HCPCS","Both",,,"5185","2592.5","Clover","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST/SINUS; EXTENSIVE","11771","HCPCS","Both",,,"5185","2592.5","Wellcare","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST/SINUS; EXTENSIVE","11771","HCPCS","Both",,,"5185","2592.5","Amerigroup","Medicaid Managed Care","",,"37",,"1897.71","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST/SINUS; EXTENSIVE","11771","HCPCS","Both",,,"5185","2592.5","Caresource","Medicaid Managed Care","",,"40",,"2074","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST/SINUS; EXTENSIVE","11771","HCPCS","Both",,,"5185","2592.5","Wellcare","Medicaid Managed Care","",,"40",,"2099.93","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST/SINUS; EXTENSIVE","11771","HCPCS","Both",,,"5185","2592.5","Aetna","Commercial","",,"64",,"3308.03","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST/SINUS; EXTENSIVE","11771","HCPCS","Both",,,"5185","2592.5","Blue Cross Blue Shield","Pathways","",,"71",,"3660.61","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST/SINUS; EXTENSIVE","11771","HCPCS","Both",,,"5185","2592.5","Blue Cross Blue Shield","HMO","",,"71",,"3660.61","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST/SINUS; EXTENSIVE","11771","HCPCS","Both",,,"5185","2592.5","Blue Cross Blue Shield","PPO","",,"71",,"3660.61","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST/SINUS; EXTENSIVE","11771","HCPCS","Both",,,"5185","2592.5","Ambetter","Health Exchange","",,"62",,"3214.7","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST/SINUS; EXTENSIVE","11771","HCPCS","Both",,,"5185","2592.5","Caresource","Health Exchange","",,"62",,"3214.7","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST/SINUS; EXTENSIVE","11771","HCPCS","Both",,,"5185","2592.5","Cigna","Commercial","",,"59",,"3038.41","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST/SINUS; EXTENSIVE","11771","HCPCS","Both",,,"5185","2592.5","Humana","Commercial","",,"78",,"4018.38","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST/SINUS; EXTENSIVE","11771","HCPCS","Both",,,"5185","2592.5","UHC","Commercial","",,"75",,"3909.49","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST/SINUS; EXTENSIVE","11771","HCPCS","Both",,,"5185","2592.5","Medicaid",,"",,"37",,"1897.71","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST; COMPLICATED","11772","HCPCS","Both",,,"5185","2592.5","Alliant","Health Exchange","",,"62",,"3214.7","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST; COMPLICATED","11772","HCPCS","Both",,,"5185","2592.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"2799.9","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST; COMPLICATED","11772","HCPCS","Both",,,"5185","2592.5","Medicare",,"",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST; COMPLICATED","11772","HCPCS","Both",,,"5185","2592.5","Humana","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST; COMPLICATED","11772","HCPCS","Both",,,"5185","2592.5","UHC","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST; COMPLICATED","11772","HCPCS","Both",,,"5185","2592.5","Clover","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST; COMPLICATED","11772","HCPCS","Both",,,"5185","2592.5","Wellcare","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST; COMPLICATED","11772","HCPCS","Both",,,"5185","2592.5","Amerigroup","Medicaid Managed Care","",,"37",,"1897.71","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST; COMPLICATED","11772","HCPCS","Both",,,"5185","2592.5","Caresource","Medicaid Managed Care","",,"40",,"2074","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST; COMPLICATED","11772","HCPCS","Both",,,"5185","2592.5","Wellcare","Medicaid Managed Care","",,"40",,"2099.93","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST; COMPLICATED","11772","HCPCS","Both",,,"5185","2592.5","Aetna","Commercial","",,"64",,"3308.03","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST; COMPLICATED","11772","HCPCS","Both",,,"5185","2592.5","Blue Cross Blue Shield","Pathways","",,"71",,"3660.61","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST; COMPLICATED","11772","HCPCS","Both",,,"5185","2592.5","Blue Cross Blue Shield","HMO","",,"71",,"3660.61","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST; COMPLICATED","11772","HCPCS","Both",,,"5185","2592.5","Blue Cross Blue Shield","PPO","",,"71",,"3660.61","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST; COMPLICATED","11772","HCPCS","Both",,,"5185","2592.5","Ambetter","Health Exchange","",,"62",,"3214.7","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST; COMPLICATED","11772","HCPCS","Both",,,"5185","2592.5","Caresource","Health Exchange","",,"62",,"3214.7","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST; COMPLICATED","11772","HCPCS","Both",,,"5185","2592.5","Cigna","Commercial","",,"59",,"3038.41","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST; COMPLICATED","11772","HCPCS","Both",,,"5185","2592.5","Humana","Commercial","",,"78",,"4018.38","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST; COMPLICATED","11772","HCPCS","Both",,,"5185","2592.5","UHC","Commercial","",,"75",,"3909.49","1897.71","4018.38","percent of total billed charges",,
"EXCISION PILONIDAL CYST; COMPLICATED","11772","HCPCS","Both",,,"5185","2592.5","Medicaid",,"",,"37",,"1897.71","1897.71","4018.38","percent of total billed charges",,
"INJECTION INTRALESIONAL UP TO 7 LESIONS","11900","HCPCS","Both",,,"56.5","28.25","Alliant","Health Exchange","",,"62",,"35.03","20.68","43.79","percent of total billed charges",,
"INJECTION INTRALESIONAL UP TO 7 LESIONS","11900","HCPCS","Both",,,"56.5","28.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"30.51","20.68","43.79","percent of total billed charges",,
"INJECTION INTRALESIONAL UP TO 7 LESIONS","11900","HCPCS","Both",,,"56.5","28.25","Medicare",,"",,"54",,"30.62","20.68","43.79","percent of total billed charges",,
"INJECTION INTRALESIONAL UP TO 7 LESIONS","11900","HCPCS","Both",,,"56.5","28.25","Humana","Medicare Advantage","",,"54",,"30.62","20.68","43.79","percent of total billed charges",,
"INJECTION INTRALESIONAL UP TO 7 LESIONS","11900","HCPCS","Both",,,"56.5","28.25","UHC","Medicare Advantage","",,"54",,"30.62","20.68","43.79","percent of total billed charges",,
"INJECTION INTRALESIONAL UP TO 7 LESIONS","11900","HCPCS","Both",,,"56.5","28.25","Clover","Medicare Advantage","",,"54",,"30.62","20.68","43.79","percent of total billed charges",,
"INJECTION INTRALESIONAL UP TO 7 LESIONS","11900","HCPCS","Both",,,"56.5","28.25","Wellcare","Medicare Advantage","",,"54",,"30.62","20.68","43.79","percent of total billed charges",,
"INJECTION INTRALESIONAL UP TO 7 LESIONS","11900","HCPCS","Both",,,"56.5","28.25","Amerigroup","Medicaid Managed Care","",,"37",,"20.68","20.68","43.79","percent of total billed charges",,
"INJECTION INTRALESIONAL UP TO 7 LESIONS","11900","HCPCS","Both",,,"56.5","28.25","Caresource","Medicaid Managed Care","",,"40",,"22.6","20.68","43.79","percent of total billed charges",,
"INJECTION INTRALESIONAL UP TO 7 LESIONS","11900","HCPCS","Both",,,"56.5","28.25","Wellcare","Medicaid Managed Care","",,"40",,"22.88","20.68","43.79","percent of total billed charges",,
"INJECTION INTRALESIONAL UP TO 7 LESIONS","11900","HCPCS","Both",,,"56.5","28.25","Aetna","Commercial","",,"64",,"36.05","20.68","43.79","percent of total billed charges",,
"INJECTION INTRALESIONAL UP TO 7 LESIONS","11900","HCPCS","Both",,,"56.5","28.25","Blue Cross Blue Shield","Pathways","",,"71",,"39.89","20.68","43.79","percent of total billed charges",,
"INJECTION INTRALESIONAL UP TO 7 LESIONS","11900","HCPCS","Both",,,"56.5","28.25","Blue Cross Blue Shield","HMO","",,"71",,"39.89","20.68","43.79","percent of total billed charges",,
"INJECTION INTRALESIONAL UP TO 7 LESIONS","11900","HCPCS","Both",,,"56.5","28.25","Blue Cross Blue Shield","PPO","",,"71",,"39.89","20.68","43.79","percent of total billed charges",,
"INJECTION INTRALESIONAL UP TO 7 LESIONS","11900","HCPCS","Both",,,"56.5","28.25","Ambetter","Health Exchange","",,"62",,"35.03","20.68","43.79","percent of total billed charges",,
"INJECTION INTRALESIONAL UP TO 7 LESIONS","11900","HCPCS","Both",,,"56.5","28.25","Caresource","Health Exchange","",,"62",,"35.03","20.68","43.79","percent of total billed charges",,
"INJECTION INTRALESIONAL UP TO 7 LESIONS","11900","HCPCS","Both",,,"56.5","28.25","Cigna","Commercial","",,"59",,"33.11","20.68","43.79","percent of total billed charges",,
"INJECTION INTRALESIONAL UP TO 7 LESIONS","11900","HCPCS","Both",,,"56.5","28.25","Humana","Commercial","",,"78",,"43.79","20.68","43.79","percent of total billed charges",,
"INJECTION INTRALESIONAL UP TO 7 LESIONS","11900","HCPCS","Both",,,"56.5","28.25","UHC","Commercial","",,"75",,"42.6","20.68","43.79","percent of total billed charges",,
"INJECTION INTRALESIONAL UP TO 7 LESIONS","11900","HCPCS","Both",,,"56.5","28.25","Medicaid",,"",,"37",,"20.68","20.68","43.79","percent of total billed charges",,
"SIMPLE REPAIR SUPERFICIAL WOUND;2.5CM <","12001","HCPCS","Both",,,"529","264.5","Alliant","Health Exchange","",,"62",,"327.98","193.61","696.96","percent of total billed charges",,
"SIMPLE REPAIR SUPERFICIAL WOUND;2.5CM <","12001","HCPCS","Both",,,"529","264.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"285.66","193.61","696.96","percent of total billed charges",,
"SIMPLE REPAIR SUPERFICIAL WOUND;2.5CM <","12001","HCPCS","Both",,,"529","264.5","Medicare",,"",,"54",,"286.72","193.61","696.96","percent of total billed charges",,
"SIMPLE REPAIR SUPERFICIAL WOUND;2.5CM <","12001","HCPCS","Both",,,"529","264.5","Humana","Medicare Advantage","",,"54",,"286.72","193.61","696.96","percent of total billed charges",,
"SIMPLE REPAIR SUPERFICIAL WOUND;2.5CM <","12001","HCPCS","Both",,,"529","264.5","UHC","Medicare Advantage","",,"54",,"286.72","193.61","696.96","percent of total billed charges",,
"SIMPLE REPAIR SUPERFICIAL WOUND;2.5CM <","12001","HCPCS","Both",,,"529","264.5","Clover","Medicare Advantage","",,"54",,"286.72","193.61","696.96","percent of total billed charges",,
"SIMPLE REPAIR SUPERFICIAL WOUND;2.5CM <","12001","HCPCS","Both",,,"529","264.5","Wellcare","Medicare Advantage","",,"54",,"286.72","193.61","696.96","percent of total billed charges",,
"SIMPLE REPAIR SUPERFICIAL WOUND;2.5CM <","12001","HCPCS","Both",,,"529","264.5","Amerigroup","Medicaid Managed Care","",,"37",,"193.61","193.61","696.96","percent of total billed charges",,
"SIMPLE REPAIR SUPERFICIAL WOUND;2.5CM <","12001","HCPCS","Both",,,"529","264.5","Caresource","Medicaid Managed Care","",,"40",,"211.6","193.61","696.96","percent of total billed charges",,
"SIMPLE REPAIR SUPERFICIAL WOUND;2.5CM <","12001","HCPCS","Both",,,"529","264.5","Wellcare","Medicaid Managed Care","",,"40",,"214.24","193.61","696.96","percent of total billed charges",,
"SIMPLE REPAIR SUPERFICIAL WOUND;2.5CM <","12001","HCPCS","Both",,,"529","264.5","Aetna","Commercial","",,"64",,"337.5","193.61","696.96","percent of total billed charges",,
"SIMPLE REPAIR SUPERFICIAL WOUND;2.5CM <","12001","HCPCS","Both",,,"529","264.5","Blue Cross Blue Shield","Pathways","",,"71",,"373.47","193.61","696.96","percent of total billed charges",,
"SIMPLE REPAIR SUPERFICIAL WOUND;2.5CM <","12001","HCPCS","Both",,,"529","264.5","Blue Cross Blue Shield","HMO","",,"71",,"373.47","193.61","696.96","percent of total billed charges",,
"SIMPLE REPAIR SUPERFICIAL WOUND;2.5CM <","12001","HCPCS","Both",,,"529","264.5","Blue Cross Blue Shield","PPO","",,"71",,"373.47","193.61","696.96","percent of total billed charges",,
"SIMPLE REPAIR SUPERFICIAL WOUND;2.5CM <","12001","HCPCS","Both",,,"529","264.5","Ambetter","Health Exchange","",,"62",,"327.98","193.61","696.96","percent of total billed charges",,
"SIMPLE REPAIR SUPERFICIAL WOUND;2.5CM <","12001","HCPCS","Both",,,"529","264.5","Caresource","Health Exchange","",,"62",,"327.98","193.61","696.96","percent of total billed charges",,
"SIMPLE REPAIR SUPERFICIAL WOUND;2.5CM <","12001","HCPCS","Both",,,"529","264.5","Cigna","Commercial","",,"59",,"309.99","193.61","696.96","percent of total billed charges",,
"SIMPLE REPAIR SUPERFICIAL WOUND;2.5CM <","12001","HCPCS","Both",,,"529","264.5","Humana","Commercial","",,"78",,"409.98","193.61","696.96","percent of total billed charges",,
"SIMPLE REPAIR SUPERFICIAL WOUND;2.5CM <","12001","HCPCS","Both",,,"529","264.5","UHC","Commercial","",,"75",,"398.87","193.61","696.96","percent of total billed charges",,
"SIMPLE REPAIR SUPERFICIAL WOUND;2.5CM <","12001","HCPCS","Both",,,"529","264.5","Medicaid",,"",,"37",,"193.61","193.61","696.96","percent of total billed charges",,
"SIMPLE REPAIR 2.5CM OR LESS","12011","HCPCS","Both",,,"194.5","97.25","Alliant","Health Exchange","",,"62",,"120.59","68.34","150.74","percent of total billed charges",,
"SIMPLE REPAIR 2.5CM OR LESS","12011","HCPCS","Both",,,"194.5","97.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"105.03","68.34","150.74","percent of total billed charges",,
"SIMPLE REPAIR 2.5CM OR LESS","12011","HCPCS","Both",,,"194.5","97.25","Medicare",,"",,"54",,"105.42","68.34","150.74","percent of total billed charges",,
"SIMPLE REPAIR 2.5CM OR LESS","12011","HCPCS","Both",,,"194.5","97.25","Humana","Medicare Advantage","",,"54",,"105.42","68.34","150.74","percent of total billed charges",,
"SIMPLE REPAIR 2.5CM OR LESS","12011","HCPCS","Both",,,"194.5","97.25","UHC","Medicare Advantage","",,"54",,"105.42","68.34","150.74","percent of total billed charges",,
"SIMPLE REPAIR 2.5CM OR LESS","12011","HCPCS","Both",,,"194.5","97.25","Clover","Medicare Advantage","",,"54",,"105.42","68.34","150.74","percent of total billed charges",,
"SIMPLE REPAIR 2.5CM OR LESS","12011","HCPCS","Both",,,"194.5","97.25","Wellcare","Medicare Advantage","",,"54",,"105.42","68.34","150.74","percent of total billed charges",,
"SIMPLE REPAIR 2.5CM OR LESS","12011","HCPCS","Both",,,"194.5","97.25","Amerigroup","Medicaid Managed Care","",,"37",,"71.19","68.34","150.74","percent of total billed charges",,
"SIMPLE REPAIR 2.5CM OR LESS","12011","HCPCS","Both",,,"194.5","97.25","Caresource","Medicaid Managed Care","",,"40",,"77.8","68.34","150.74","percent of total billed charges",,
"SIMPLE REPAIR 2.5CM OR LESS","12011","HCPCS","Both",,,"194.5","97.25","Wellcare","Medicaid Managed Care","",,"40",,"78.77","68.34","150.74","percent of total billed charges",,
"SIMPLE REPAIR 2.5CM OR LESS","12011","HCPCS","Both",,,"194.5","97.25","Aetna","Commercial","",,"64",,"124.09","68.34","150.74","percent of total billed charges",,
"SIMPLE REPAIR 2.5CM OR LESS","12011","HCPCS","Both",,,"194.5","97.25","Blue Cross Blue Shield","Pathways","",,"71",,"137.32","68.34","150.74","percent of total billed charges",,
"SIMPLE REPAIR 2.5CM OR LESS","12011","HCPCS","Both",,,"194.5","97.25","Blue Cross Blue Shield","HMO","",,"71",,"137.32","68.34","150.74","percent of total billed charges",,
"SIMPLE REPAIR 2.5CM OR LESS","12011","HCPCS","Both",,,"194.5","97.25","Blue Cross Blue Shield","PPO","",,"71",,"137.32","68.34","150.74","percent of total billed charges",,
"SIMPLE REPAIR 2.5CM OR LESS","12011","HCPCS","Both",,,"194.5","97.25","Ambetter","Health Exchange","",,"62",,"120.59","68.34","150.74","percent of total billed charges",,
"SIMPLE REPAIR 2.5CM OR LESS","12011","HCPCS","Both",,,"194.5","97.25","Caresource","Health Exchange","",,"62",,"120.59","68.34","150.74","percent of total billed charges",,
"SIMPLE REPAIR 2.5CM OR LESS","12011","HCPCS","Both",,,"194.5","97.25","Cigna","Commercial","",,"59",,"113.98","68.34","150.74","percent of total billed charges",,
"SIMPLE REPAIR 2.5CM OR LESS","12011","HCPCS","Both",,,"194.5","97.25","Humana","Commercial","",,"78",,"150.74","68.34","150.74","percent of total billed charges",,
"SIMPLE REPAIR 2.5CM OR LESS","12011","HCPCS","Both",,,"194.5","97.25","UHC","Commercial","",,"75",,"146.65","68.34","150.74","percent of total billed charges",,
"SIMPLE REPAIR 2.5CM OR LESS","12011","HCPCS","Both",,,"194.5","97.25","Medicaid",,"",,"37",,"71.19","68.34","150.74","percent of total billed charges",,
"SIMPLE REPAIR 2.6cm TO 5.0cm","12013","HCPCS","Both",,,"160","80","Alliant","Health Exchange","",,"62",,"99.2","58.56","124","percent of total billed charges",,
"SIMPLE REPAIR 2.6cm TO 5.0cm","12013","HCPCS","Both",,,"160","80","Pruitt Healthcare","Medicare Advantage","",,"54",,"86.4","58.56","124","percent of total billed charges",,
"SIMPLE REPAIR 2.6cm TO 5.0cm","12013","HCPCS","Both",,,"160","80","Medicare",,"",,"54",,"86.72","58.56","124","percent of total billed charges",,
"SIMPLE REPAIR 2.6cm TO 5.0cm","12013","HCPCS","Both",,,"160","80","Humana","Medicare Advantage","",,"54",,"86.72","58.56","124","percent of total billed charges",,
"SIMPLE REPAIR 2.6cm TO 5.0cm","12013","HCPCS","Both",,,"160","80","UHC","Medicare Advantage","",,"54",,"86.72","58.56","124","percent of total billed charges",,
"SIMPLE REPAIR 2.6cm TO 5.0cm","12013","HCPCS","Both",,,"160","80","Clover","Medicare Advantage","",,"54",,"86.72","58.56","124","percent of total billed charges",,
"SIMPLE REPAIR 2.6cm TO 5.0cm","12013","HCPCS","Both",,,"160","80","Wellcare","Medicare Advantage","",,"54",,"86.72","58.56","124","percent of total billed charges",,
"SIMPLE REPAIR 2.6cm TO 5.0cm","12013","HCPCS","Both",,,"160","80","Amerigroup","Medicaid Managed Care","",,"37",,"58.56","58.56","124","percent of total billed charges",,
"SIMPLE REPAIR 2.6cm TO 5.0cm","12013","HCPCS","Both",,,"160","80","Caresource","Medicaid Managed Care","",,"40",,"64","58.56","124","percent of total billed charges",,
"SIMPLE REPAIR 2.6cm TO 5.0cm","12013","HCPCS","Both",,,"160","80","Wellcare","Medicaid Managed Care","",,"40",,"64.8","58.56","124","percent of total billed charges",,
"SIMPLE REPAIR 2.6cm TO 5.0cm","12013","HCPCS","Both",,,"160","80","Aetna","Commercial","",,"64",,"102.08","58.56","124","percent of total billed charges",,
"SIMPLE REPAIR 2.6cm TO 5.0cm","12013","HCPCS","Both",,,"160","80","Blue Cross Blue Shield","Pathways","",,"71",,"112.96","58.56","124","percent of total billed charges",,
"SIMPLE REPAIR 2.6cm TO 5.0cm","12013","HCPCS","Both",,,"160","80","Blue Cross Blue Shield","HMO","",,"71",,"112.96","58.56","124","percent of total billed charges",,
"SIMPLE REPAIR 2.6cm TO 5.0cm","12013","HCPCS","Both",,,"160","80","Blue Cross Blue Shield","PPO","",,"71",,"112.96","58.56","124","percent of total billed charges",,
"SIMPLE REPAIR 2.6cm TO 5.0cm","12013","HCPCS","Both",,,"160","80","Ambetter","Health Exchange","",,"62",,"99.2","58.56","124","percent of total billed charges",,
"SIMPLE REPAIR 2.6cm TO 5.0cm","12013","HCPCS","Both",,,"160","80","Caresource","Health Exchange","",,"62",,"99.2","58.56","124","percent of total billed charges",,
"SIMPLE REPAIR 2.6cm TO 5.0cm","12013","HCPCS","Both",,,"160","80","Cigna","Commercial","",,"59",,"93.76","58.56","124","percent of total billed charges",,
"SIMPLE REPAIR 2.6cm TO 5.0cm","12013","HCPCS","Both",,,"160","80","Humana","Commercial","",,"78",,"124","58.56","124","percent of total billed charges",,
"SIMPLE REPAIR 2.6cm TO 5.0cm","12013","HCPCS","Both",,,"160","80","UHC","Commercial","",,"75",,"120.64","58.56","124","percent of total billed charges",,
"SIMPLE REPAIR 2.6cm TO 5.0cm","12013","HCPCS","Both",,,"160","80","Medicaid",,"",,"37",,"58.56","58.56","124","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12031","HCPCS","Both",,,"746","373","Alliant","Health Exchange","",,"62",,"462.52","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12031","HCPCS","Both",,,"746","373","Pruitt Healthcare","Medicare Advantage","",,"54",,"402.84","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12031","HCPCS","Both",,,"746","373","Medicare",,"",,"54",,"404.33","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12031","HCPCS","Both",,,"746","373","Humana","Medicare Advantage","",,"54",,"404.33","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12031","HCPCS","Both",,,"746","373","UHC","Medicare Advantage","",,"54",,"404.33","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12031","HCPCS","Both",,,"746","373","Clover","Medicare Advantage","",,"54",,"404.33","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12031","HCPCS","Both",,,"746","373","Wellcare","Medicare Advantage","",,"54",,"404.33","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12031","HCPCS","Both",,,"746","373","Amerigroup","Medicaid Managed Care","",,"37",,"273.04","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12031","HCPCS","Both",,,"746","373","Caresource","Medicaid Managed Care","",,"40",,"298.4","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12031","HCPCS","Both",,,"746","373","Wellcare","Medicaid Managed Care","",,"40",,"302.13","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12031","HCPCS","Both",,,"746","373","Aetna","Commercial","",,"64",,"475.95","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12031","HCPCS","Both",,,"746","373","Blue Cross Blue Shield","Pathways","",,"71",,"526.68","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12031","HCPCS","Both",,,"746","373","Blue Cross Blue Shield","HMO","",,"71",,"526.68","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12031","HCPCS","Both",,,"746","373","Blue Cross Blue Shield","PPO","",,"71",,"526.68","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12031","HCPCS","Both",,,"746","373","Ambetter","Health Exchange","",,"62",,"462.52","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12031","HCPCS","Both",,,"746","373","Caresource","Health Exchange","",,"62",,"462.52","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12031","HCPCS","Both",,,"746","373","Cigna","Commercial","",,"59",,"437.16","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12031","HCPCS","Both",,,"746","373","Humana","Commercial","",,"78",,"578.15","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12031","HCPCS","Both",,,"746","373","UHC","Commercial","",,"75",,"562.48","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12031","HCPCS","Both",,,"746","373","Medicaid",,"",,"37",,"273.04","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.6CM TO 7.5CM","12032","HCPCS","Both",,,"233","116.5","Alliant","Health Exchange","",,"62",,"144.46","85.28","180.58","percent of total billed charges",,
"LAYER CLOSURE 2.6CM TO 7.5CM","12032","HCPCS","Both",,,"233","116.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"125.82","85.28","180.58","percent of total billed charges",,
"LAYER CLOSURE 2.6CM TO 7.5CM","12032","HCPCS","Both",,,"233","116.5","Medicare",,"",,"54",,"126.29","85.28","180.58","percent of total billed charges",,
"LAYER CLOSURE 2.6CM TO 7.5CM","12032","HCPCS","Both",,,"233","116.5","Humana","Medicare Advantage","",,"54",,"126.29","85.28","180.58","percent of total billed charges",,
"LAYER CLOSURE 2.6CM TO 7.5CM","12032","HCPCS","Both",,,"233","116.5","UHC","Medicare Advantage","",,"54",,"126.29","85.28","180.58","percent of total billed charges",,
"LAYER CLOSURE 2.6CM TO 7.5CM","12032","HCPCS","Both",,,"233","116.5","Clover","Medicare Advantage","",,"54",,"126.29","85.28","180.58","percent of total billed charges",,
"LAYER CLOSURE 2.6CM TO 7.5CM","12032","HCPCS","Both",,,"233","116.5","Wellcare","Medicare Advantage","",,"54",,"126.29","85.28","180.58","percent of total billed charges",,
"LAYER CLOSURE 2.6CM TO 7.5CM","12032","HCPCS","Both",,,"233","116.5","Amerigroup","Medicaid Managed Care","",,"37",,"85.28","85.28","180.58","percent of total billed charges",,
"LAYER CLOSURE 2.6CM TO 7.5CM","12032","HCPCS","Both",,,"233","116.5","Caresource","Medicaid Managed Care","",,"40",,"93.2","85.28","180.58","percent of total billed charges",,
"LAYER CLOSURE 2.6CM TO 7.5CM","12032","HCPCS","Both",,,"233","116.5","Wellcare","Medicaid Managed Care","",,"40",,"94.36","85.28","180.58","percent of total billed charges",,
"LAYER CLOSURE 2.6CM TO 7.5CM","12032","HCPCS","Both",,,"233","116.5","Aetna","Commercial","",,"64",,"148.65","85.28","180.58","percent of total billed charges",,
"LAYER CLOSURE 2.6CM TO 7.5CM","12032","HCPCS","Both",,,"233","116.5","Blue Cross Blue Shield","Pathways","",,"71",,"164.5","85.28","180.58","percent of total billed charges",,
"LAYER CLOSURE 2.6CM TO 7.5CM","12032","HCPCS","Both",,,"233","116.5","Blue Cross Blue Shield","HMO","",,"71",,"164.5","85.28","180.58","percent of total billed charges",,
"LAYER CLOSURE 2.6CM TO 7.5CM","12032","HCPCS","Both",,,"233","116.5","Blue Cross Blue Shield","PPO","",,"71",,"164.5","85.28","180.58","percent of total billed charges",,
"LAYER CLOSURE 2.6CM TO 7.5CM","12032","HCPCS","Both",,,"233","116.5","Ambetter","Health Exchange","",,"62",,"144.46","85.28","180.58","percent of total billed charges",,
"LAYER CLOSURE 2.6CM TO 7.5CM","12032","HCPCS","Both",,,"233","116.5","Caresource","Health Exchange","",,"62",,"144.46","85.28","180.58","percent of total billed charges",,
"LAYER CLOSURE 2.6CM TO 7.5CM","12032","HCPCS","Both",,,"233","116.5","Cigna","Commercial","",,"59",,"136.54","85.28","180.58","percent of total billed charges",,
"LAYER CLOSURE 2.6CM TO 7.5CM","12032","HCPCS","Both",,,"233","116.5","Humana","Commercial","",,"78",,"180.58","85.28","180.58","percent of total billed charges",,
"LAYER CLOSURE 2.6CM TO 7.5CM","12032","HCPCS","Both",,,"233","116.5","UHC","Commercial","",,"75",,"175.68","85.28","180.58","percent of total billed charges",,
"LAYER CLOSURE 2.6CM TO 7.5CM","12032","HCPCS","Both",,,"233","116.5","Medicaid",,"",,"37",,"85.28","85.28","180.58","percent of total billed charges",,
"LAYER CLOSURE 7.6 TO 12.5 CM","12034","HCPCS","Both",,,"289","144.5","Alliant","Health Exchange","",,"62",,"179.18","105.77","223.98","percent of total billed charges",,
"LAYER CLOSURE 7.6 TO 12.5 CM","12034","HCPCS","Both",,,"289","144.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"156.06","105.77","223.98","percent of total billed charges",,
"LAYER CLOSURE 7.6 TO 12.5 CM","12034","HCPCS","Both",,,"289","144.5","Medicare",,"",,"54",,"156.64","105.77","223.98","percent of total billed charges",,
"LAYER CLOSURE 7.6 TO 12.5 CM","12034","HCPCS","Both",,,"289","144.5","Humana","Medicare Advantage","",,"54",,"156.64","105.77","223.98","percent of total billed charges",,
"LAYER CLOSURE 7.6 TO 12.5 CM","12034","HCPCS","Both",,,"289","144.5","UHC","Medicare Advantage","",,"54",,"156.64","105.77","223.98","percent of total billed charges",,
"LAYER CLOSURE 7.6 TO 12.5 CM","12034","HCPCS","Both",,,"289","144.5","Clover","Medicare Advantage","",,"54",,"156.64","105.77","223.98","percent of total billed charges",,
"LAYER CLOSURE 7.6 TO 12.5 CM","12034","HCPCS","Both",,,"289","144.5","Wellcare","Medicare Advantage","",,"54",,"156.64","105.77","223.98","percent of total billed charges",,
"LAYER CLOSURE 7.6 TO 12.5 CM","12034","HCPCS","Both",,,"289","144.5","Amerigroup","Medicaid Managed Care","",,"37",,"105.77","105.77","223.98","percent of total billed charges",,
"LAYER CLOSURE 7.6 TO 12.5 CM","12034","HCPCS","Both",,,"289","144.5","Caresource","Medicaid Managed Care","",,"40",,"115.6","105.77","223.98","percent of total billed charges",,
"LAYER CLOSURE 7.6 TO 12.5 CM","12034","HCPCS","Both",,,"289","144.5","Wellcare","Medicaid Managed Care","",,"40",,"117.04","105.77","223.98","percent of total billed charges",,
"LAYER CLOSURE 7.6 TO 12.5 CM","12034","HCPCS","Both",,,"289","144.5","Aetna","Commercial","",,"64",,"184.38","105.77","223.98","percent of total billed charges",,
"LAYER CLOSURE 7.6 TO 12.5 CM","12034","HCPCS","Both",,,"289","144.5","Blue Cross Blue Shield","Pathways","",,"71",,"204.03","105.77","223.98","percent of total billed charges",,
"LAYER CLOSURE 7.6 TO 12.5 CM","12034","HCPCS","Both",,,"289","144.5","Blue Cross Blue Shield","HMO","",,"71",,"204.03","105.77","223.98","percent of total billed charges",,
"LAYER CLOSURE 7.6 TO 12.5 CM","12034","HCPCS","Both",,,"289","144.5","Blue Cross Blue Shield","PPO","",,"71",,"204.03","105.77","223.98","percent of total billed charges",,
"LAYER CLOSURE 7.6 TO 12.5 CM","12034","HCPCS","Both",,,"289","144.5","Ambetter","Health Exchange","",,"62",,"179.18","105.77","223.98","percent of total billed charges",,
"LAYER CLOSURE 7.6 TO 12.5 CM","12034","HCPCS","Both",,,"289","144.5","Caresource","Health Exchange","",,"62",,"179.18","105.77","223.98","percent of total billed charges",,
"LAYER CLOSURE 7.6 TO 12.5 CM","12034","HCPCS","Both",,,"289","144.5","Cigna","Commercial","",,"59",,"169.35","105.77","223.98","percent of total billed charges",,
"LAYER CLOSURE 7.6 TO 12.5 CM","12034","HCPCS","Both",,,"289","144.5","Humana","Commercial","",,"78",,"223.98","105.77","223.98","percent of total billed charges",,
"LAYER CLOSURE 7.6 TO 12.5 CM","12034","HCPCS","Both",,,"289","144.5","UHC","Commercial","",,"75",,"217.91","105.77","223.98","percent of total billed charges",,
"LAYER CLOSURE 7.6 TO 12.5 CM","12034","HCPCS","Both",,,"289","144.5","Medicaid",,"",,"37",,"105.77","105.77","223.98","percent of total billed charges",,
"LAYER CLOSURE 12.6 TO 20.0","12035","HCPCS","Both",,,"785.5","392.75","Alliant","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 12.6 TO 20.0","12035","HCPCS","Both",,,"785.5","392.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"424.17","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 12.6 TO 20.0","12035","HCPCS","Both",,,"785.5","392.75","Medicare",,"",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 12.6 TO 20.0","12035","HCPCS","Both",,,"785.5","392.75","Humana","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 12.6 TO 20.0","12035","HCPCS","Both",,,"785.5","392.75","UHC","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 12.6 TO 20.0","12035","HCPCS","Both",,,"785.5","392.75","Clover","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 12.6 TO 20.0","12035","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 12.6 TO 20.0","12035","HCPCS","Both",,,"785.5","392.75","Amerigroup","Medicaid Managed Care","",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 12.6 TO 20.0","12035","HCPCS","Both",,,"785.5","392.75","Caresource","Medicaid Managed Care","",,"40",,"314.2","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 12.6 TO 20.0","12035","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicaid Managed Care","",,"40",,"318.13","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 12.6 TO 20.0","12035","HCPCS","Both",,,"785.5","392.75","Aetna","Commercial","",,"64",,"501.15","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 12.6 TO 20.0","12035","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","Pathways","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 12.6 TO 20.0","12035","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","HMO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 12.6 TO 20.0","12035","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","PPO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 12.6 TO 20.0","12035","HCPCS","Both",,,"785.5","392.75","Ambetter","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 12.6 TO 20.0","12035","HCPCS","Both",,,"785.5","392.75","Caresource","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 12.6 TO 20.0","12035","HCPCS","Both",,,"785.5","392.75","Cigna","Commercial","",,"59",,"460.3","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 12.6 TO 20.0","12035","HCPCS","Both",,,"785.5","392.75","Humana","Commercial","",,"78",,"608.76","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 12.6 TO 20.0","12035","HCPCS","Both",,,"785.5","392.75","UHC","Commercial","",,"75",,"592.27","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 12.6 TO 20.0","12035","HCPCS","Both",,,"785.5","392.75","Medicaid",,"",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12041","HCPCS","Both",,,"329","164.5","Alliant","Health Exchange","",,"62",,"203.98","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12041","HCPCS","Both",,,"329","164.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"177.66","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12041","HCPCS","Both",,,"329","164.5","Medicare",,"",,"54",,"178.32","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12041","HCPCS","Both",,,"329","164.5","Humana","Medicare Advantage","",,"54",,"178.32","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12041","HCPCS","Both",,,"329","164.5","UHC","Medicare Advantage","",,"54",,"178.32","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12041","HCPCS","Both",,,"329","164.5","Clover","Medicare Advantage","",,"54",,"178.32","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12041","HCPCS","Both",,,"329","164.5","Wellcare","Medicare Advantage","",,"54",,"178.32","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12041","HCPCS","Both",,,"329","164.5","Amerigroup","Medicaid Managed Care","",,"37",,"120.41","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12041","HCPCS","Both",,,"329","164.5","Caresource","Medicaid Managed Care","",,"40",,"131.6","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12041","HCPCS","Both",,,"329","164.5","Wellcare","Medicaid Managed Care","",,"40",,"133.24","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12041","HCPCS","Both",,,"329","164.5","Aetna","Commercial","",,"64",,"209.9","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12041","HCPCS","Both",,,"329","164.5","Blue Cross Blue Shield","Pathways","",,"71",,"232.27","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12041","HCPCS","Both",,,"329","164.5","Blue Cross Blue Shield","HMO","",,"71",,"232.27","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12041","HCPCS","Both",,,"329","164.5","Blue Cross Blue Shield","PPO","",,"71",,"232.27","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12041","HCPCS","Both",,,"329","164.5","Ambetter","Health Exchange","",,"62",,"203.98","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12041","HCPCS","Both",,,"329","164.5","Caresource","Health Exchange","",,"62",,"203.98","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12041","HCPCS","Both",,,"329","164.5","Cigna","Commercial","",,"59",,"192.79","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12041","HCPCS","Both",,,"329","164.5","Humana","Commercial","",,"78",,"254.98","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12041","HCPCS","Both",,,"329","164.5","UHC","Commercial","",,"75",,"248.07","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12041","HCPCS","Both",,,"329","164.5","Medicaid",,"",,"37",,"120.41","120.41","254.98","percent of total billed charges",,
"LAYER CLOSURE 2.6 TO 7.5CM","12042","HCPCS","Both",,,"785.5","392.75","Alliant","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 2.6 TO 7.5CM","12042","HCPCS","Both",,,"785.5","392.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"424.17","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 2.6 TO 7.5CM","12042","HCPCS","Both",,,"785.5","392.75","Medicare",,"",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 2.6 TO 7.5CM","12042","HCPCS","Both",,,"785.5","392.75","Humana","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 2.6 TO 7.5CM","12042","HCPCS","Both",,,"785.5","392.75","UHC","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 2.6 TO 7.5CM","12042","HCPCS","Both",,,"785.5","392.75","Clover","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 2.6 TO 7.5CM","12042","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 2.6 TO 7.5CM","12042","HCPCS","Both",,,"785.5","392.75","Amerigroup","Medicaid Managed Care","",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 2.6 TO 7.5CM","12042","HCPCS","Both",,,"785.5","392.75","Caresource","Medicaid Managed Care","",,"40",,"314.2","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 2.6 TO 7.5CM","12042","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicaid Managed Care","",,"40",,"318.13","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 2.6 TO 7.5CM","12042","HCPCS","Both",,,"785.5","392.75","Aetna","Commercial","",,"64",,"501.15","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 2.6 TO 7.5CM","12042","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","Pathways","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 2.6 TO 7.5CM","12042","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","HMO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 2.6 TO 7.5CM","12042","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","PPO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 2.6 TO 7.5CM","12042","HCPCS","Both",,,"785.5","392.75","Ambetter","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 2.6 TO 7.5CM","12042","HCPCS","Both",,,"785.5","392.75","Caresource","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 2.6 TO 7.5CM","12042","HCPCS","Both",,,"785.5","392.75","Cigna","Commercial","",,"59",,"460.3","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 2.6 TO 7.5CM","12042","HCPCS","Both",,,"785.5","392.75","Humana","Commercial","",,"78",,"608.76","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 2.6 TO 7.5CM","12042","HCPCS","Both",,,"785.5","392.75","UHC","Commercial","",,"75",,"592.27","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 2.6 TO 7.5CM","12042","HCPCS","Both",,,"785.5","392.75","Medicaid",,"",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 7.6CM TO 12.5CM","12044","HCPCS","Both",,,"785.5","392.75","Alliant","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 7.6CM TO 12.5CM","12044","HCPCS","Both",,,"785.5","392.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"424.17","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 7.6CM TO 12.5CM","12044","HCPCS","Both",,,"785.5","392.75","Medicare",,"",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 7.6CM TO 12.5CM","12044","HCPCS","Both",,,"785.5","392.75","Humana","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 7.6CM TO 12.5CM","12044","HCPCS","Both",,,"785.5","392.75","UHC","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 7.6CM TO 12.5CM","12044","HCPCS","Both",,,"785.5","392.75","Clover","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 7.6CM TO 12.5CM","12044","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 7.6CM TO 12.5CM","12044","HCPCS","Both",,,"785.5","392.75","Amerigroup","Medicaid Managed Care","",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 7.6CM TO 12.5CM","12044","HCPCS","Both",,,"785.5","392.75","Caresource","Medicaid Managed Care","",,"40",,"314.2","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 7.6CM TO 12.5CM","12044","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicaid Managed Care","",,"40",,"318.13","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 7.6CM TO 12.5CM","12044","HCPCS","Both",,,"785.5","392.75","Aetna","Commercial","",,"64",,"501.15","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 7.6CM TO 12.5CM","12044","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","Pathways","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 7.6CM TO 12.5CM","12044","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","HMO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 7.6CM TO 12.5CM","12044","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","PPO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 7.6CM TO 12.5CM","12044","HCPCS","Both",,,"785.5","392.75","Ambetter","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 7.6CM TO 12.5CM","12044","HCPCS","Both",,,"785.5","392.75","Caresource","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 7.6CM TO 12.5CM","12044","HCPCS","Both",,,"785.5","392.75","Cigna","Commercial","",,"59",,"460.3","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 7.6CM TO 12.5CM","12044","HCPCS","Both",,,"785.5","392.75","Humana","Commercial","",,"78",,"608.76","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 7.6CM TO 12.5CM","12044","HCPCS","Both",,,"785.5","392.75","UHC","Commercial","",,"75",,"592.27","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 7.6CM TO 12.5CM","12044","HCPCS","Both",,,"785.5","392.75","Medicaid",,"",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12051","HCPCS","Both",,,"746","373","Alliant","Health Exchange","",,"62",,"462.52","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12051","HCPCS","Both",,,"746","373","Pruitt Healthcare","Medicare Advantage","",,"54",,"402.84","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12051","HCPCS","Both",,,"746","373","Medicare",,"",,"54",,"404.33","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12051","HCPCS","Both",,,"746","373","Humana","Medicare Advantage","",,"54",,"404.33","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12051","HCPCS","Both",,,"746","373","UHC","Medicare Advantage","",,"54",,"404.33","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12051","HCPCS","Both",,,"746","373","Clover","Medicare Advantage","",,"54",,"404.33","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12051","HCPCS","Both",,,"746","373","Wellcare","Medicare Advantage","",,"54",,"404.33","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12051","HCPCS","Both",,,"746","373","Amerigroup","Medicaid Managed Care","",,"37",,"273.04","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12051","HCPCS","Both",,,"746","373","Caresource","Medicaid Managed Care","",,"40",,"298.4","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12051","HCPCS","Both",,,"746","373","Wellcare","Medicaid Managed Care","",,"40",,"302.13","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12051","HCPCS","Both",,,"746","373","Aetna","Commercial","",,"64",,"475.95","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12051","HCPCS","Both",,,"746","373","Blue Cross Blue Shield","Pathways","",,"71",,"526.68","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12051","HCPCS","Both",,,"746","373","Blue Cross Blue Shield","HMO","",,"71",,"526.68","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12051","HCPCS","Both",,,"746","373","Blue Cross Blue Shield","PPO","",,"71",,"526.68","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12051","HCPCS","Both",,,"746","373","Ambetter","Health Exchange","",,"62",,"462.52","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12051","HCPCS","Both",,,"746","373","Caresource","Health Exchange","",,"62",,"462.52","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12051","HCPCS","Both",,,"746","373","Cigna","Commercial","",,"59",,"437.16","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12051","HCPCS","Both",,,"746","373","Humana","Commercial","",,"78",,"578.15","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12051","HCPCS","Both",,,"746","373","UHC","Commercial","",,"75",,"562.48","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5CM OR LESS","12051","HCPCS","Both",,,"746","373","Medicaid",,"",,"37",,"273.04","273.04","578.15","percent of total billed charges",,
"LAYER CLOSURE 2.5cm 50 5.0cm","12052","HCPCS","Both",,,"240","120","Alliant","Health Exchange","",,"62",,"148.8","87.84","186","percent of total billed charges",,
"LAYER CLOSURE 2.5cm 50 5.0cm","12052","HCPCS","Both",,,"240","120","Pruitt Healthcare","Medicare Advantage","",,"54",,"129.6","87.84","186","percent of total billed charges",,
"LAYER CLOSURE 2.5cm 50 5.0cm","12052","HCPCS","Both",,,"240","120","Medicare",,"",,"54",,"130.08","87.84","186","percent of total billed charges",,
"LAYER CLOSURE 2.5cm 50 5.0cm","12052","HCPCS","Both",,,"240","120","Humana","Medicare Advantage","",,"54",,"130.08","87.84","186","percent of total billed charges",,
"LAYER CLOSURE 2.5cm 50 5.0cm","12052","HCPCS","Both",,,"240","120","UHC","Medicare Advantage","",,"54",,"130.08","87.84","186","percent of total billed charges",,
"LAYER CLOSURE 2.5cm 50 5.0cm","12052","HCPCS","Both",,,"240","120","Clover","Medicare Advantage","",,"54",,"130.08","87.84","186","percent of total billed charges",,
"LAYER CLOSURE 2.5cm 50 5.0cm","12052","HCPCS","Both",,,"240","120","Wellcare","Medicare Advantage","",,"54",,"130.08","87.84","186","percent of total billed charges",,
"LAYER CLOSURE 2.5cm 50 5.0cm","12052","HCPCS","Both",,,"240","120","Amerigroup","Medicaid Managed Care","",,"37",,"87.84","87.84","186","percent of total billed charges",,
"LAYER CLOSURE 2.5cm 50 5.0cm","12052","HCPCS","Both",,,"240","120","Caresource","Medicaid Managed Care","",,"40",,"96","87.84","186","percent of total billed charges",,
"LAYER CLOSURE 2.5cm 50 5.0cm","12052","HCPCS","Both",,,"240","120","Wellcare","Medicaid Managed Care","",,"40",,"97.2","87.84","186","percent of total billed charges",,
"LAYER CLOSURE 2.5cm 50 5.0cm","12052","HCPCS","Both",,,"240","120","Aetna","Commercial","",,"64",,"153.12","87.84","186","percent of total billed charges",,
"LAYER CLOSURE 2.5cm 50 5.0cm","12052","HCPCS","Both",,,"240","120","Blue Cross Blue Shield","Pathways","",,"71",,"169.44","87.84","186","percent of total billed charges",,
"LAYER CLOSURE 2.5cm 50 5.0cm","12052","HCPCS","Both",,,"240","120","Blue Cross Blue Shield","HMO","",,"71",,"169.44","87.84","186","percent of total billed charges",,
"LAYER CLOSURE 2.5cm 50 5.0cm","12052","HCPCS","Both",,,"240","120","Blue Cross Blue Shield","PPO","",,"71",,"169.44","87.84","186","percent of total billed charges",,
"LAYER CLOSURE 2.5cm 50 5.0cm","12052","HCPCS","Both",,,"240","120","Ambetter","Health Exchange","",,"62",,"148.8","87.84","186","percent of total billed charges",,
"LAYER CLOSURE 2.5cm 50 5.0cm","12052","HCPCS","Both",,,"240","120","Caresource","Health Exchange","",,"62",,"148.8","87.84","186","percent of total billed charges",,
"LAYER CLOSURE 2.5cm 50 5.0cm","12052","HCPCS","Both",,,"240","120","Cigna","Commercial","",,"59",,"140.64","87.84","186","percent of total billed charges",,
"LAYER CLOSURE 2.5cm 50 5.0cm","12052","HCPCS","Both",,,"240","120","Humana","Commercial","",,"78",,"186","87.84","186","percent of total billed charges",,
"LAYER CLOSURE 2.5cm 50 5.0cm","12052","HCPCS","Both",,,"240","120","UHC","Commercial","",,"75",,"180.96","87.84","186","percent of total billed charges",,
"LAYER CLOSURE 2.5cm 50 5.0cm","12052","HCPCS","Both",,,"240","120","Medicaid",,"",,"37",,"87.84","87.84","186","percent of total billed charges",,
"LAYER CLOSURE 5.1 - 7.5CM","12053","HCPCS","Both",,,"785.5","392.75","Alliant","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 5.1 - 7.5CM","12053","HCPCS","Both",,,"785.5","392.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"424.17","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 5.1 - 7.5CM","12053","HCPCS","Both",,,"785.5","392.75","Medicare",,"",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 5.1 - 7.5CM","12053","HCPCS","Both",,,"785.5","392.75","Humana","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 5.1 - 7.5CM","12053","HCPCS","Both",,,"785.5","392.75","UHC","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 5.1 - 7.5CM","12053","HCPCS","Both",,,"785.5","392.75","Clover","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 5.1 - 7.5CM","12053","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 5.1 - 7.5CM","12053","HCPCS","Both",,,"785.5","392.75","Amerigroup","Medicaid Managed Care","",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 5.1 - 7.5CM","12053","HCPCS","Both",,,"785.5","392.75","Caresource","Medicaid Managed Care","",,"40",,"314.2","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 5.1 - 7.5CM","12053","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicaid Managed Care","",,"40",,"318.13","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 5.1 - 7.5CM","12053","HCPCS","Both",,,"785.5","392.75","Aetna","Commercial","",,"64",,"501.15","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 5.1 - 7.5CM","12053","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","Pathways","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 5.1 - 7.5CM","12053","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","HMO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 5.1 - 7.5CM","12053","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","PPO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 5.1 - 7.5CM","12053","HCPCS","Both",,,"785.5","392.75","Ambetter","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 5.1 - 7.5CM","12053","HCPCS","Both",,,"785.5","392.75","Caresource","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 5.1 - 7.5CM","12053","HCPCS","Both",,,"785.5","392.75","Cigna","Commercial","",,"59",,"460.3","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 5.1 - 7.5CM","12053","HCPCS","Both",,,"785.5","392.75","Humana","Commercial","",,"78",,"608.76","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 5.1 - 7.5CM","12053","HCPCS","Both",,,"785.5","392.75","UHC","Commercial","",,"75",,"592.27","287.49","608.76","percent of total billed charges",,
"LAYER CLOSURE 5.1 - 7.5CM","12053","HCPCS","Both",,,"785.5","392.75","Medicaid",,"",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR, TRUNK, 2.6cm TO 7.5cm","13101","HCPCS","Both",,,"1228.5","614.25","Alliant","Health Exchange","",,"62",,"761.67","449.63","952.09","percent of total billed charges",,
"COMPLEX REPAIR, TRUNK, 2.6cm TO 7.5cm","13101","HCPCS","Both",,,"1228.5","614.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"663.39","449.63","952.09","percent of total billed charges",,
"COMPLEX REPAIR, TRUNK, 2.6cm TO 7.5cm","13101","HCPCS","Both",,,"1228.5","614.25","Medicare",,"",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"COMPLEX REPAIR, TRUNK, 2.6cm TO 7.5cm","13101","HCPCS","Both",,,"1228.5","614.25","Humana","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"COMPLEX REPAIR, TRUNK, 2.6cm TO 7.5cm","13101","HCPCS","Both",,,"1228.5","614.25","UHC","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"COMPLEX REPAIR, TRUNK, 2.6cm TO 7.5cm","13101","HCPCS","Both",,,"1228.5","614.25","Clover","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"COMPLEX REPAIR, TRUNK, 2.6cm TO 7.5cm","13101","HCPCS","Both",,,"1228.5","614.25","Wellcare","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"COMPLEX REPAIR, TRUNK, 2.6cm TO 7.5cm","13101","HCPCS","Both",,,"1228.5","614.25","Amerigroup","Medicaid Managed Care","",,"37",,"449.63","449.63","952.09","percent of total billed charges",,
"COMPLEX REPAIR, TRUNK, 2.6cm TO 7.5cm","13101","HCPCS","Both",,,"1228.5","614.25","Caresource","Medicaid Managed Care","",,"40",,"491.4","449.63","952.09","percent of total billed charges",,
"COMPLEX REPAIR, TRUNK, 2.6cm TO 7.5cm","13101","HCPCS","Both",,,"1228.5","614.25","Wellcare","Medicaid Managed Care","",,"40",,"497.54","449.63","952.09","percent of total billed charges",,
"COMPLEX REPAIR, TRUNK, 2.6cm TO 7.5cm","13101","HCPCS","Both",,,"1228.5","614.25","Aetna","Commercial","",,"64",,"783.78","449.63","952.09","percent of total billed charges",,
"COMPLEX REPAIR, TRUNK, 2.6cm TO 7.5cm","13101","HCPCS","Both",,,"1228.5","614.25","Blue Cross Blue Shield","Pathways","",,"71",,"867.32","449.63","952.09","percent of total billed charges",,
"COMPLEX REPAIR, TRUNK, 2.6cm TO 7.5cm","13101","HCPCS","Both",,,"1228.5","614.25","Blue Cross Blue Shield","HMO","",,"71",,"867.32","449.63","952.09","percent of total billed charges",,
"COMPLEX REPAIR, TRUNK, 2.6cm TO 7.5cm","13101","HCPCS","Both",,,"1228.5","614.25","Blue Cross Blue Shield","PPO","",,"71",,"867.32","449.63","952.09","percent of total billed charges",,
"COMPLEX REPAIR, TRUNK, 2.6cm TO 7.5cm","13101","HCPCS","Both",,,"1228.5","614.25","Ambetter","Health Exchange","",,"62",,"761.67","449.63","952.09","percent of total billed charges",,
"COMPLEX REPAIR, TRUNK, 2.6cm TO 7.5cm","13101","HCPCS","Both",,,"1228.5","614.25","Caresource","Health Exchange","",,"62",,"761.67","449.63","952.09","percent of total billed charges",,
"COMPLEX REPAIR, TRUNK, 2.6cm TO 7.5cm","13101","HCPCS","Both",,,"1228.5","614.25","Cigna","Commercial","",,"59",,"719.9","449.63","952.09","percent of total billed charges",,
"COMPLEX REPAIR, TRUNK, 2.6cm TO 7.5cm","13101","HCPCS","Both",,,"1228.5","614.25","Humana","Commercial","",,"78",,"952.09","449.63","952.09","percent of total billed charges",,
"COMPLEX REPAIR, TRUNK, 2.6cm TO 7.5cm","13101","HCPCS","Both",,,"1228.5","614.25","UHC","Commercial","",,"75",,"926.29","449.63","952.09","percent of total billed charges",,
"COMPLEX REPAIR, TRUNK, 2.6cm TO 7.5cm","13101","HCPCS","Both",,,"1228.5","614.25","Medicaid",,"",,"37",,"449.63","449.63","952.09","percent of total billed charges",,
"COMPLEX REPAIR, TRUNK, EA ADD'L 5cm OR L","13102","HCPCS","Both",,,"785.5","392.75","Alliant","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR, TRUNK, EA ADD'L 5cm OR L","13102","HCPCS","Both",,,"785.5","392.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"424.17","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR, TRUNK, EA ADD'L 5cm OR L","13102","HCPCS","Both",,,"785.5","392.75","Medicare",,"",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR, TRUNK, EA ADD'L 5cm OR L","13102","HCPCS","Both",,,"785.5","392.75","Humana","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR, TRUNK, EA ADD'L 5cm OR L","13102","HCPCS","Both",,,"785.5","392.75","UHC","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR, TRUNK, EA ADD'L 5cm OR L","13102","HCPCS","Both",,,"785.5","392.75","Clover","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR, TRUNK, EA ADD'L 5cm OR L","13102","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR, TRUNK, EA ADD'L 5cm OR L","13102","HCPCS","Both",,,"785.5","392.75","Amerigroup","Medicaid Managed Care","",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR, TRUNK, EA ADD'L 5cm OR L","13102","HCPCS","Both",,,"785.5","392.75","Caresource","Medicaid Managed Care","",,"40",,"314.2","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR, TRUNK, EA ADD'L 5cm OR L","13102","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicaid Managed Care","",,"40",,"318.13","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR, TRUNK, EA ADD'L 5cm OR L","13102","HCPCS","Both",,,"785.5","392.75","Aetna","Commercial","",,"64",,"501.15","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR, TRUNK, EA ADD'L 5cm OR L","13102","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","Pathways","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR, TRUNK, EA ADD'L 5cm OR L","13102","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","HMO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR, TRUNK, EA ADD'L 5cm OR L","13102","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","PPO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR, TRUNK, EA ADD'L 5cm OR L","13102","HCPCS","Both",,,"785.5","392.75","Ambetter","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR, TRUNK, EA ADD'L 5cm OR L","13102","HCPCS","Both",,,"785.5","392.75","Caresource","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR, TRUNK, EA ADD'L 5cm OR L","13102","HCPCS","Both",,,"785.5","392.75","Cigna","Commercial","",,"59",,"460.3","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR, TRUNK, EA ADD'L 5cm OR L","13102","HCPCS","Both",,,"785.5","392.75","Humana","Commercial","",,"78",,"608.76","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR, TRUNK, EA ADD'L 5cm OR L","13102","HCPCS","Both",,,"785.5","392.75","UHC","Commercial","",,"75",,"592.27","287.49","608.76","percent of total billed charges",,
"COMPLEX REPAIR, TRUNK, EA ADD'L 5cm OR L","13102","HCPCS","Both",,,"785.5","392.75","Medicaid",,"",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX, 2.6CM TOP 7.5CM","13121","HCPCS","Both",,,"785.5","392.75","Alliant","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX, 2.6CM TOP 7.5CM","13121","HCPCS","Both",,,"785.5","392.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"424.17","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX, 2.6CM TOP 7.5CM","13121","HCPCS","Both",,,"785.5","392.75","Medicare",,"",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX, 2.6CM TOP 7.5CM","13121","HCPCS","Both",,,"785.5","392.75","Humana","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX, 2.6CM TOP 7.5CM","13121","HCPCS","Both",,,"785.5","392.75","UHC","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX, 2.6CM TOP 7.5CM","13121","HCPCS","Both",,,"785.5","392.75","Clover","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX, 2.6CM TOP 7.5CM","13121","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX, 2.6CM TOP 7.5CM","13121","HCPCS","Both",,,"785.5","392.75","Amerigroup","Medicaid Managed Care","",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX, 2.6CM TOP 7.5CM","13121","HCPCS","Both",,,"785.5","392.75","Caresource","Medicaid Managed Care","",,"40",,"314.2","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX, 2.6CM TOP 7.5CM","13121","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicaid Managed Care","",,"40",,"318.13","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX, 2.6CM TOP 7.5CM","13121","HCPCS","Both",,,"785.5","392.75","Aetna","Commercial","",,"64",,"501.15","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX, 2.6CM TOP 7.5CM","13121","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","Pathways","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX, 2.6CM TOP 7.5CM","13121","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","HMO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX, 2.6CM TOP 7.5CM","13121","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","PPO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX, 2.6CM TOP 7.5CM","13121","HCPCS","Both",,,"785.5","392.75","Ambetter","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX, 2.6CM TOP 7.5CM","13121","HCPCS","Both",,,"785.5","392.75","Caresource","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX, 2.6CM TOP 7.5CM","13121","HCPCS","Both",,,"785.5","392.75","Cigna","Commercial","",,"59",,"460.3","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX, 2.6CM TOP 7.5CM","13121","HCPCS","Both",,,"785.5","392.75","Humana","Commercial","",,"78",,"608.76","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX, 2.6CM TOP 7.5CM","13121","HCPCS","Both",,,"785.5","392.75","UHC","Commercial","",,"75",,"592.27","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX, 2.6CM TOP 7.5CM","13121","HCPCS","Both",,,"785.5","392.75","Medicaid",,"",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX, @ ADD'L 5CM","13122","HCPCS","Both",,,"785.5","392.75","Alliant","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX, @ ADD'L 5CM","13122","HCPCS","Both",,,"785.5","392.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"424.17","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX, @ ADD'L 5CM","13122","HCPCS","Both",,,"785.5","392.75","Medicare",,"",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX, @ ADD'L 5CM","13122","HCPCS","Both",,,"785.5","392.75","Humana","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX, @ ADD'L 5CM","13122","HCPCS","Both",,,"785.5","392.75","UHC","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX, @ ADD'L 5CM","13122","HCPCS","Both",,,"785.5","392.75","Clover","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX, @ ADD'L 5CM","13122","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX, @ ADD'L 5CM","13122","HCPCS","Both",,,"785.5","392.75","Amerigroup","Medicaid Managed Care","",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX, @ ADD'L 5CM","13122","HCPCS","Both",,,"785.5","392.75","Caresource","Medicaid Managed Care","",,"40",,"314.2","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX, @ ADD'L 5CM","13122","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicaid Managed Care","",,"40",,"318.13","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX, @ ADD'L 5CM","13122","HCPCS","Both",,,"785.5","392.75","Aetna","Commercial","",,"64",,"501.15","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX, @ ADD'L 5CM","13122","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","Pathways","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX, @ ADD'L 5CM","13122","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","HMO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX, @ ADD'L 5CM","13122","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","PPO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX, @ ADD'L 5CM","13122","HCPCS","Both",,,"785.5","392.75","Ambetter","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX, @ ADD'L 5CM","13122","HCPCS","Both",,,"785.5","392.75","Caresource","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX, @ ADD'L 5CM","13122","HCPCS","Both",,,"785.5","392.75","Cigna","Commercial","",,"59",,"460.3","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX, @ ADD'L 5CM","13122","HCPCS","Both",,,"785.5","392.75","Humana","Commercial","",,"78",,"608.76","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX, @ ADD'L 5CM","13122","HCPCS","Both",,,"785.5","392.75","UHC","Commercial","",,"75",,"592.27","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX, @ ADD'L 5CM","13122","HCPCS","Both",,,"785.5","392.75","Medicaid",,"",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX; 2.6cm TO 7.5cm","13132","HCPCS","Both",,,"1228.5","614.25","Alliant","Health Exchange","",,"62",,"761.67","449.63","952.09","percent of total billed charges",,
"REPAIR, COMPLEX; 2.6cm TO 7.5cm","13132","HCPCS","Both",,,"1228.5","614.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"663.39","449.63","952.09","percent of total billed charges",,
"REPAIR, COMPLEX; 2.6cm TO 7.5cm","13132","HCPCS","Both",,,"1228.5","614.25","Medicare",,"",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"REPAIR, COMPLEX; 2.6cm TO 7.5cm","13132","HCPCS","Both",,,"1228.5","614.25","Humana","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"REPAIR, COMPLEX; 2.6cm TO 7.5cm","13132","HCPCS","Both",,,"1228.5","614.25","UHC","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"REPAIR, COMPLEX; 2.6cm TO 7.5cm","13132","HCPCS","Both",,,"1228.5","614.25","Clover","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"REPAIR, COMPLEX; 2.6cm TO 7.5cm","13132","HCPCS","Both",,,"1228.5","614.25","Wellcare","Medicare Advantage","",,"54",,"665.85","449.63","952.09","percent of total billed charges",,
"REPAIR, COMPLEX; 2.6cm TO 7.5cm","13132","HCPCS","Both",,,"1228.5","614.25","Amerigroup","Medicaid Managed Care","",,"37",,"449.63","449.63","952.09","percent of total billed charges",,
"REPAIR, COMPLEX; 2.6cm TO 7.5cm","13132","HCPCS","Both",,,"1228.5","614.25","Caresource","Medicaid Managed Care","",,"40",,"491.4","449.63","952.09","percent of total billed charges",,
"REPAIR, COMPLEX; 2.6cm TO 7.5cm","13132","HCPCS","Both",,,"1228.5","614.25","Wellcare","Medicaid Managed Care","",,"40",,"497.54","449.63","952.09","percent of total billed charges",,
"REPAIR, COMPLEX; 2.6cm TO 7.5cm","13132","HCPCS","Both",,,"1228.5","614.25","Aetna","Commercial","",,"64",,"783.78","449.63","952.09","percent of total billed charges",,
"REPAIR, COMPLEX; 2.6cm TO 7.5cm","13132","HCPCS","Both",,,"1228.5","614.25","Blue Cross Blue Shield","Pathways","",,"71",,"867.32","449.63","952.09","percent of total billed charges",,
"REPAIR, COMPLEX; 2.6cm TO 7.5cm","13132","HCPCS","Both",,,"1228.5","614.25","Blue Cross Blue Shield","HMO","",,"71",,"867.32","449.63","952.09","percent of total billed charges",,
"REPAIR, COMPLEX; 2.6cm TO 7.5cm","13132","HCPCS","Both",,,"1228.5","614.25","Blue Cross Blue Shield","PPO","",,"71",,"867.32","449.63","952.09","percent of total billed charges",,
"REPAIR, COMPLEX; 2.6cm TO 7.5cm","13132","HCPCS","Both",,,"1228.5","614.25","Ambetter","Health Exchange","",,"62",,"761.67","449.63","952.09","percent of total billed charges",,
"REPAIR, COMPLEX; 2.6cm TO 7.5cm","13132","HCPCS","Both",,,"1228.5","614.25","Caresource","Health Exchange","",,"62",,"761.67","449.63","952.09","percent of total billed charges",,
"REPAIR, COMPLEX; 2.6cm TO 7.5cm","13132","HCPCS","Both",,,"1228.5","614.25","Cigna","Commercial","",,"59",,"719.9","449.63","952.09","percent of total billed charges",,
"REPAIR, COMPLEX; 2.6cm TO 7.5cm","13132","HCPCS","Both",,,"1228.5","614.25","Humana","Commercial","",,"78",,"952.09","449.63","952.09","percent of total billed charges",,
"REPAIR, COMPLEX; 2.6cm TO 7.5cm","13132","HCPCS","Both",,,"1228.5","614.25","UHC","Commercial","",,"75",,"926.29","449.63","952.09","percent of total billed charges",,
"REPAIR, COMPLEX; 2.6cm TO 7.5cm","13132","HCPCS","Both",,,"1228.5","614.25","Medicaid",,"",,"37",,"449.63","449.63","952.09","percent of total billed charges",,
"REPAIR, COMPLEX; @ ADD'L 5cm OR LESS","13133","HCPCS","Both",,,"785.5","392.75","Alliant","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX; @ ADD'L 5cm OR LESS","13133","HCPCS","Both",,,"785.5","392.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"424.17","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX; @ ADD'L 5cm OR LESS","13133","HCPCS","Both",,,"785.5","392.75","Medicare",,"",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX; @ ADD'L 5cm OR LESS","13133","HCPCS","Both",,,"785.5","392.75","Humana","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX; @ ADD'L 5cm OR LESS","13133","HCPCS","Both",,,"785.5","392.75","UHC","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX; @ ADD'L 5cm OR LESS","13133","HCPCS","Both",,,"785.5","392.75","Clover","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX; @ ADD'L 5cm OR LESS","13133","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX; @ ADD'L 5cm OR LESS","13133","HCPCS","Both",,,"785.5","392.75","Amerigroup","Medicaid Managed Care","",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX; @ ADD'L 5cm OR LESS","13133","HCPCS","Both",,,"785.5","392.75","Caresource","Medicaid Managed Care","",,"40",,"314.2","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX; @ ADD'L 5cm OR LESS","13133","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicaid Managed Care","",,"40",,"318.13","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX; @ ADD'L 5cm OR LESS","13133","HCPCS","Both",,,"785.5","392.75","Aetna","Commercial","",,"64",,"501.15","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX; @ ADD'L 5cm OR LESS","13133","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","Pathways","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX; @ ADD'L 5cm OR LESS","13133","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","HMO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX; @ ADD'L 5cm OR LESS","13133","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","PPO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX; @ ADD'L 5cm OR LESS","13133","HCPCS","Both",,,"785.5","392.75","Ambetter","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX; @ ADD'L 5cm OR LESS","13133","HCPCS","Both",,,"785.5","392.75","Caresource","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX; @ ADD'L 5cm OR LESS","13133","HCPCS","Both",,,"785.5","392.75","Cigna","Commercial","",,"59",,"460.3","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX; @ ADD'L 5cm OR LESS","13133","HCPCS","Both",,,"785.5","392.75","Humana","Commercial","",,"78",,"608.76","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX; @ ADD'L 5cm OR LESS","13133","HCPCS","Both",,,"785.5","392.75","UHC","Commercial","",,"75",,"592.27","287.49","608.76","percent of total billed charges",,
"REPAIR, COMPLEX; @ ADD'L 5cm OR LESS","13133","HCPCS","Both",,,"785.5","392.75","Medicaid",,"",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"FULL THICKNESS GRAFT,FREE,INC CLOS DONOR","15240","HCPCS","Both",,,"3470.5","1735.25","Alliant","Health Exchange","",,"62",,"2151.71","1270.2","2689.64","percent of total billed charges",,
"FULL THICKNESS GRAFT,FREE,INC CLOS DONOR","15240","HCPCS","Both",,,"3470.5","1735.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"1874.07","1270.2","2689.64","percent of total billed charges",,
"FULL THICKNESS GRAFT,FREE,INC CLOS DONOR","15240","HCPCS","Both",,,"3470.5","1735.25","Medicare",,"",,"54",,"1881.01","1270.2","2689.64","percent of total billed charges",,
"FULL THICKNESS GRAFT,FREE,INC CLOS DONOR","15240","HCPCS","Both",,,"3470.5","1735.25","Humana","Medicare Advantage","",,"54",,"1881.01","1270.2","2689.64","percent of total billed charges",,
"FULL THICKNESS GRAFT,FREE,INC CLOS DONOR","15240","HCPCS","Both",,,"3470.5","1735.25","UHC","Medicare Advantage","",,"54",,"1881.01","1270.2","2689.64","percent of total billed charges",,
"FULL THICKNESS GRAFT,FREE,INC CLOS DONOR","15240","HCPCS","Both",,,"3470.5","1735.25","Clover","Medicare Advantage","",,"54",,"1881.01","1270.2","2689.64","percent of total billed charges",,
"FULL THICKNESS GRAFT,FREE,INC CLOS DONOR","15240","HCPCS","Both",,,"3470.5","1735.25","Wellcare","Medicare Advantage","",,"54",,"1881.01","1270.2","2689.64","percent of total billed charges",,
"FULL THICKNESS GRAFT,FREE,INC CLOS DONOR","15240","HCPCS","Both",,,"3470.5","1735.25","Amerigroup","Medicaid Managed Care","",,"37",,"1270.2","1270.2","2689.64","percent of total billed charges",,
"FULL THICKNESS GRAFT,FREE,INC CLOS DONOR","15240","HCPCS","Both",,,"3470.5","1735.25","Caresource","Medicaid Managed Care","",,"40",,"1388.2","1270.2","2689.64","percent of total billed charges",,
"FULL THICKNESS GRAFT,FREE,INC CLOS DONOR","15240","HCPCS","Both",,,"3470.5","1735.25","Wellcare","Medicaid Managed Care","",,"40",,"1405.55","1270.2","2689.64","percent of total billed charges",,
"FULL THICKNESS GRAFT,FREE,INC CLOS DONOR","15240","HCPCS","Both",,,"3470.5","1735.25","Aetna","Commercial","",,"64",,"2214.18","1270.2","2689.64","percent of total billed charges",,
"FULL THICKNESS GRAFT,FREE,INC CLOS DONOR","15240","HCPCS","Both",,,"3470.5","1735.25","Blue Cross Blue Shield","Pathways","",,"71",,"2450.17","1270.2","2689.64","percent of total billed charges",,
"FULL THICKNESS GRAFT,FREE,INC CLOS DONOR","15240","HCPCS","Both",,,"3470.5","1735.25","Blue Cross Blue Shield","HMO","",,"71",,"2450.17","1270.2","2689.64","percent of total billed charges",,
"FULL THICKNESS GRAFT,FREE,INC CLOS DONOR","15240","HCPCS","Both",,,"3470.5","1735.25","Blue Cross Blue Shield","PPO","",,"71",,"2450.17","1270.2","2689.64","percent of total billed charges",,
"FULL THICKNESS GRAFT,FREE,INC CLOS DONOR","15240","HCPCS","Both",,,"3470.5","1735.25","Ambetter","Health Exchange","",,"62",,"2151.71","1270.2","2689.64","percent of total billed charges",,
"FULL THICKNESS GRAFT,FREE,INC CLOS DONOR","15240","HCPCS","Both",,,"3470.5","1735.25","Caresource","Health Exchange","",,"62",,"2151.71","1270.2","2689.64","percent of total billed charges",,
"FULL THICKNESS GRAFT,FREE,INC CLOS DONOR","15240","HCPCS","Both",,,"3470.5","1735.25","Cigna","Commercial","",,"59",,"2033.71","1270.2","2689.64","percent of total billed charges",,
"FULL THICKNESS GRAFT,FREE,INC CLOS DONOR","15240","HCPCS","Both",,,"3470.5","1735.25","Humana","Commercial","",,"78",,"2689.64","1270.2","2689.64","percent of total billed charges",,
"FULL THICKNESS GRAFT,FREE,INC CLOS DONOR","15240","HCPCS","Both",,,"3470.5","1735.25","UHC","Commercial","",,"75",,"2616.76","1270.2","2689.64","percent of total billed charges",,
"FULL THICKNESS GRAFT,FREE,INC CLOS DONOR","15240","HCPCS","Both",,,"3470.5","1735.25","Medicaid",,"",,"37",,"1270.2","1270.2","2689.64","percent of total billed charges",,
"FULL GRFT FC HND FT GNTL AXL EA AD 20 CM","15241","HCPCS","Both",,,"785.5","392.75","Alliant","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"FULL GRFT FC HND FT GNTL AXL EA AD 20 CM","15241","HCPCS","Both",,,"785.5","392.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"424.17","287.49","608.76","percent of total billed charges",,
"FULL GRFT FC HND FT GNTL AXL EA AD 20 CM","15241","HCPCS","Both",,,"785.5","392.75","Medicare",,"",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"FULL GRFT FC HND FT GNTL AXL EA AD 20 CM","15241","HCPCS","Both",,,"785.5","392.75","Humana","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"FULL GRFT FC HND FT GNTL AXL EA AD 20 CM","15241","HCPCS","Both",,,"785.5","392.75","UHC","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"FULL GRFT FC HND FT GNTL AXL EA AD 20 CM","15241","HCPCS","Both",,,"785.5","392.75","Clover","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"FULL GRFT FC HND FT GNTL AXL EA AD 20 CM","15241","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicare Advantage","",,"54",,"425.74","287.49","608.76","percent of total billed charges",,
"FULL GRFT FC HND FT GNTL AXL EA AD 20 CM","15241","HCPCS","Both",,,"785.5","392.75","Amerigroup","Medicaid Managed Care","",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"FULL GRFT FC HND FT GNTL AXL EA AD 20 CM","15241","HCPCS","Both",,,"785.5","392.75","Caresource","Medicaid Managed Care","",,"40",,"314.2","287.49","608.76","percent of total billed charges",,
"FULL GRFT FC HND FT GNTL AXL EA AD 20 CM","15241","HCPCS","Both",,,"785.5","392.75","Wellcare","Medicaid Managed Care","",,"40",,"318.13","287.49","608.76","percent of total billed charges",,
"FULL GRFT FC HND FT GNTL AXL EA AD 20 CM","15241","HCPCS","Both",,,"785.5","392.75","Aetna","Commercial","",,"64",,"501.15","287.49","608.76","percent of total billed charges",,
"FULL GRFT FC HND FT GNTL AXL EA AD 20 CM","15241","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","Pathways","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"FULL GRFT FC HND FT GNTL AXL EA AD 20 CM","15241","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","HMO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"FULL GRFT FC HND FT GNTL AXL EA AD 20 CM","15241","HCPCS","Both",,,"785.5","392.75","Blue Cross Blue Shield","PPO","",,"71",,"554.56","287.49","608.76","percent of total billed charges",,
"FULL GRFT FC HND FT GNTL AXL EA AD 20 CM","15241","HCPCS","Both",,,"785.5","392.75","Ambetter","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"FULL GRFT FC HND FT GNTL AXL EA AD 20 CM","15241","HCPCS","Both",,,"785.5","392.75","Caresource","Health Exchange","",,"62",,"487.01","287.49","608.76","percent of total billed charges",,
"FULL GRFT FC HND FT GNTL AXL EA AD 20 CM","15241","HCPCS","Both",,,"785.5","392.75","Cigna","Commercial","",,"59",,"460.3","287.49","608.76","percent of total billed charges",,
"FULL GRFT FC HND FT GNTL AXL EA AD 20 CM","15241","HCPCS","Both",,,"785.5","392.75","Humana","Commercial","",,"78",,"608.76","287.49","608.76","percent of total billed charges",,
"FULL GRFT FC HND FT GNTL AXL EA AD 20 CM","15241","HCPCS","Both",,,"785.5","392.75","UHC","Commercial","",,"75",,"592.27","287.49","608.76","percent of total billed charges",,
"FULL GRFT FC HND FT GNTL AXL EA AD 20 CM","15241","HCPCS","Both",,,"785.5","392.75","Medicaid",,"",,"37",,"287.49","287.49","608.76","percent of total billed charges",,
"REMOVAL OF SUTURES/stap UNDER ANESTHESIA","15851","HCPCS","Both",,,"655","327.5","Alliant","Health Exchange","",,"62",,"406.1","239.73","507.62","percent of total billed charges",,
"REMOVAL OF SUTURES/stap UNDER ANESTHESIA","15851","HCPCS","Both",,,"655","327.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"353.7","239.73","507.62","percent of total billed charges",,
"REMOVAL OF SUTURES/stap UNDER ANESTHESIA","15851","HCPCS","Both",,,"655","327.5","Medicare",,"",,"54",,"355.01","239.73","507.62","percent of total billed charges",,
"REMOVAL OF SUTURES/stap UNDER ANESTHESIA","15851","HCPCS","Both",,,"655","327.5","Humana","Medicare Advantage","",,"54",,"355.01","239.73","507.62","percent of total billed charges",,
"REMOVAL OF SUTURES/stap UNDER ANESTHESIA","15851","HCPCS","Both",,,"655","327.5","UHC","Medicare Advantage","",,"54",,"355.01","239.73","507.62","percent of total billed charges",,
"REMOVAL OF SUTURES/stap UNDER ANESTHESIA","15851","HCPCS","Both",,,"655","327.5","Clover","Medicare Advantage","",,"54",,"355.01","239.73","507.62","percent of total billed charges",,
"REMOVAL OF SUTURES/stap UNDER ANESTHESIA","15851","HCPCS","Both",,,"655","327.5","Wellcare","Medicare Advantage","",,"54",,"355.01","239.73","507.62","percent of total billed charges",,
"REMOVAL OF SUTURES/stap UNDER ANESTHESIA","15851","HCPCS","Both",,,"655","327.5","Amerigroup","Medicaid Managed Care","",,"37",,"239.73","239.73","507.62","percent of total billed charges",,
"REMOVAL OF SUTURES/stap UNDER ANESTHESIA","15851","HCPCS","Both",,,"655","327.5","Caresource","Medicaid Managed Care","",,"40",,"262","239.73","507.62","percent of total billed charges",,
"REMOVAL OF SUTURES/stap UNDER ANESTHESIA","15851","HCPCS","Both",,,"655","327.5","Wellcare","Medicaid Managed Care","",,"40",,"265.28","239.73","507.62","percent of total billed charges",,
"REMOVAL OF SUTURES/stap UNDER ANESTHESIA","15851","HCPCS","Both",,,"655","327.5","Aetna","Commercial","",,"64",,"417.89","239.73","507.62","percent of total billed charges",,
"REMOVAL OF SUTURES/stap UNDER ANESTHESIA","15851","HCPCS","Both",,,"655","327.5","Blue Cross Blue Shield","Pathways","",,"71",,"462.43","239.73","507.62","percent of total billed charges",,
"REMOVAL OF SUTURES/stap UNDER ANESTHESIA","15851","HCPCS","Both",,,"655","327.5","Blue Cross Blue Shield","HMO","",,"71",,"462.43","239.73","507.62","percent of total billed charges",,
"REMOVAL OF SUTURES/stap UNDER ANESTHESIA","15851","HCPCS","Both",,,"655","327.5","Blue Cross Blue Shield","PPO","",,"71",,"462.43","239.73","507.62","percent of total billed charges",,
"REMOVAL OF SUTURES/stap UNDER ANESTHESIA","15851","HCPCS","Both",,,"655","327.5","Ambetter","Health Exchange","",,"62",,"406.1","239.73","507.62","percent of total billed charges",,
"REMOVAL OF SUTURES/stap UNDER ANESTHESIA","15851","HCPCS","Both",,,"655","327.5","Caresource","Health Exchange","",,"62",,"406.1","239.73","507.62","percent of total billed charges",,
"REMOVAL OF SUTURES/stap UNDER ANESTHESIA","15851","HCPCS","Both",,,"655","327.5","Cigna","Commercial","",,"59",,"383.83","239.73","507.62","percent of total billed charges",,
"REMOVAL OF SUTURES/stap UNDER ANESTHESIA","15851","HCPCS","Both",,,"655","327.5","Humana","Commercial","",,"78",,"507.62","239.73","507.62","percent of total billed charges",,
"REMOVAL OF SUTURES/stap UNDER ANESTHESIA","15851","HCPCS","Both",,,"655","327.5","UHC","Commercial","",,"75",,"493.87","239.73","507.62","percent of total billed charges",,
"REMOVAL OF SUTURES/stap UNDER ANESTHESIA","15851","HCPCS","Both",,,"655","327.5","Medicaid",,"",,"37",,"239.73","239.73","507.62","percent of total billed charges",,
"DESTRUCTION BENIGN LESION, FIRST LESION","17000","HCPCS","Both",,,"95","47.5","Alliant","Health Exchange","",,"62",,"58.9","34.77","73.62","percent of total billed charges",,
"DESTRUCTION BENIGN LESION, FIRST LESION","17000","HCPCS","Both",,,"95","47.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"51.3","34.77","73.62","percent of total billed charges",,
"DESTRUCTION BENIGN LESION, FIRST LESION","17000","HCPCS","Both",,,"95","47.5","Medicare",,"",,"54",,"51.49","34.77","73.62","percent of total billed charges",,
"DESTRUCTION BENIGN LESION, FIRST LESION","17000","HCPCS","Both",,,"95","47.5","Humana","Medicare Advantage","",,"54",,"51.49","34.77","73.62","percent of total billed charges",,
"DESTRUCTION BENIGN LESION, FIRST LESION","17000","HCPCS","Both",,,"95","47.5","UHC","Medicare Advantage","",,"54",,"51.49","34.77","73.62","percent of total billed charges",,
"DESTRUCTION BENIGN LESION, FIRST LESION","17000","HCPCS","Both",,,"95","47.5","Clover","Medicare Advantage","",,"54",,"51.49","34.77","73.62","percent of total billed charges",,
"DESTRUCTION BENIGN LESION, FIRST LESION","17000","HCPCS","Both",,,"95","47.5","Wellcare","Medicare Advantage","",,"54",,"51.49","34.77","73.62","percent of total billed charges",,
"DESTRUCTION BENIGN LESION, FIRST LESION","17000","HCPCS","Both",,,"95","47.5","Amerigroup","Medicaid Managed Care","",,"37",,"34.77","34.77","73.62","percent of total billed charges",,
"DESTRUCTION BENIGN LESION, FIRST LESION","17000","HCPCS","Both",,,"95","47.5","Caresource","Medicaid Managed Care","",,"40",,"38","34.77","73.62","percent of total billed charges",,
"DESTRUCTION BENIGN LESION, FIRST LESION","17000","HCPCS","Both",,,"95","47.5","Wellcare","Medicaid Managed Care","",,"40",,"38.48","34.77","73.62","percent of total billed charges",,
"DESTRUCTION BENIGN LESION, FIRST LESION","17000","HCPCS","Both",,,"95","47.5","Aetna","Commercial","",,"64",,"60.61","34.77","73.62","percent of total billed charges",,
"DESTRUCTION BENIGN LESION, FIRST LESION","17000","HCPCS","Both",,,"95","47.5","Blue Cross Blue Shield","Pathways","",,"71",,"67.07","34.77","73.62","percent of total billed charges",,
"DESTRUCTION BENIGN LESION, FIRST LESION","17000","HCPCS","Both",,,"95","47.5","Blue Cross Blue Shield","HMO","",,"71",,"67.07","34.77","73.62","percent of total billed charges",,
"DESTRUCTION BENIGN LESION, FIRST LESION","17000","HCPCS","Both",,,"95","47.5","Blue Cross Blue Shield","PPO","",,"71",,"67.07","34.77","73.62","percent of total billed charges",,
"DESTRUCTION BENIGN LESION, FIRST LESION","17000","HCPCS","Both",,,"95","47.5","Ambetter","Health Exchange","",,"62",,"58.9","34.77","73.62","percent of total billed charges",,
"DESTRUCTION BENIGN LESION, FIRST LESION","17000","HCPCS","Both",,,"95","47.5","Caresource","Health Exchange","",,"62",,"58.9","34.77","73.62","percent of total billed charges",,
"DESTRUCTION BENIGN LESION, FIRST LESION","17000","HCPCS","Both",,,"95","47.5","Cigna","Commercial","",,"59",,"55.67","34.77","73.62","percent of total billed charges",,
"DESTRUCTION BENIGN LESION, FIRST LESION","17000","HCPCS","Both",,,"95","47.5","Humana","Commercial","",,"78",,"73.62","34.77","73.62","percent of total billed charges",,
"DESTRUCTION BENIGN LESION, FIRST LESION","17000","HCPCS","Both",,,"95","47.5","UHC","Commercial","",,"75",,"71.63","34.77","73.62","percent of total billed charges",,
"DESTRUCTION BENIGN LESION, FIRST LESION","17000","HCPCS","Both",,,"95","47.5","Medicaid",,"",,"37",,"34.77","34.77","73.62","percent of total billed charges",,
"DESTRUCTION BENIGN LESION, 2ND THRU 14","17003","HCPCS","Both",,,"22.5","11.25","Alliant","Health Exchange","",,"62",,"13.95","8.24","17.44","percent of total billed charges",,
"DESTRUCTION BENIGN LESION, 2ND THRU 14","17003","HCPCS","Both",,,"22.5","11.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"12.15","8.24","17.44","percent of total billed charges",,
"DESTRUCTION BENIGN LESION, 2ND THRU 14","17003","HCPCS","Both",,,"22.5","11.25","Medicare",,"",,"54",,"12.2","8.24","17.44","percent of total billed charges",,
"DESTRUCTION BENIGN LESION, 2ND THRU 14","17003","HCPCS","Both",,,"22.5","11.25","Humana","Medicare Advantage","",,"54",,"12.2","8.24","17.44","percent of total billed charges",,
"DESTRUCTION BENIGN LESION, 2ND THRU 14","17003","HCPCS","Both",,,"22.5","11.25","UHC","Medicare Advantage","",,"54",,"12.2","8.24","17.44","percent of total billed charges",,
"DESTRUCTION BENIGN LESION, 2ND THRU 14","17003","HCPCS","Both",,,"22.5","11.25","Clover","Medicare Advantage","",,"54",,"12.2","8.24","17.44","percent of total billed charges",,
"DESTRUCTION BENIGN LESION, 2ND THRU 14","17003","HCPCS","Both",,,"22.5","11.25","Wellcare","Medicare Advantage","",,"54",,"12.2","8.24","17.44","percent of total billed charges",,
"DESTRUCTION BENIGN LESION, 2ND THRU 14","17003","HCPCS","Both",,,"22.5","11.25","Amerigroup","Medicaid Managed Care","",,"37",,"8.24","8.24","17.44","percent of total billed charges",,
"DESTRUCTION BENIGN LESION, 2ND THRU 14","17003","HCPCS","Both",,,"22.5","11.25","Caresource","Medicaid Managed Care","",,"40",,"9","8.24","17.44","percent of total billed charges",,
"DESTRUCTION BENIGN LESION, 2ND THRU 14","17003","HCPCS","Both",,,"22.5","11.25","Wellcare","Medicaid Managed Care","",,"40",,"9.11","8.24","17.44","percent of total billed charges",,
"DESTRUCTION BENIGN LESION, 2ND THRU 14","17003","HCPCS","Both",,,"22.5","11.25","Aetna","Commercial","",,"64",,"14.36","8.24","17.44","percent of total billed charges",,
"DESTRUCTION BENIGN LESION, 2ND THRU 14","17003","HCPCS","Both",,,"22.5","11.25","Blue Cross Blue Shield","Pathways","",,"71",,"15.88","8.24","17.44","percent of total billed charges",,
"DESTRUCTION BENIGN LESION, 2ND THRU 14","17003","HCPCS","Both",,,"22.5","11.25","Blue Cross Blue Shield","HMO","",,"71",,"15.88","8.24","17.44","percent of total billed charges",,
"DESTRUCTION BENIGN LESION, 2ND THRU 14","17003","HCPCS","Both",,,"22.5","11.25","Blue Cross Blue Shield","PPO","",,"71",,"15.88","8.24","17.44","percent of total billed charges",,
"DESTRUCTION BENIGN LESION, 2ND THRU 14","17003","HCPCS","Both",,,"22.5","11.25","Ambetter","Health Exchange","",,"62",,"13.95","8.24","17.44","percent of total billed charges",,
"DESTRUCTION BENIGN LESION, 2ND THRU 14","17003","HCPCS","Both",,,"22.5","11.25","Caresource","Health Exchange","",,"62",,"13.95","8.24","17.44","percent of total billed charges",,
"DESTRUCTION BENIGN LESION, 2ND THRU 14","17003","HCPCS","Both",,,"22.5","11.25","Cigna","Commercial","",,"59",,"13.18","8.24","17.44","percent of total billed charges",,
"DESTRUCTION BENIGN LESION, 2ND THRU 14","17003","HCPCS","Both",,,"22.5","11.25","Humana","Commercial","",,"78",,"17.44","8.24","17.44","percent of total billed charges",,
"DESTRUCTION BENIGN LESION, 2ND THRU 14","17003","HCPCS","Both",,,"22.5","11.25","UHC","Commercial","",,"75",,"16.96","8.24","17.44","percent of total billed charges",,
"DESTRUCTION BENIGN LESION, 2ND THRU 14","17003","HCPCS","Both",,,"22.5","11.25","Medicaid",,"",,"37",,"8.24","8.24","17.44","percent of total billed charges",,
"DESTRUCTION OF FLAT WARTS UP TO 14 LESIO","17110","HCPCS","Both",,,"224.5","112.25","Alliant","Health Exchange","",,"62",,"139.19","82.17","173.99","percent of total billed charges",,
"DESTRUCTION OF FLAT WARTS UP TO 14 LESIO","17110","HCPCS","Both",,,"224.5","112.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"121.23","82.17","173.99","percent of total billed charges",,
"DESTRUCTION OF FLAT WARTS UP TO 14 LESIO","17110","HCPCS","Both",,,"224.5","112.25","Medicare",,"",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"DESTRUCTION OF FLAT WARTS UP TO 14 LESIO","17110","HCPCS","Both",,,"224.5","112.25","Humana","Medicare Advantage","",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"DESTRUCTION OF FLAT WARTS UP TO 14 LESIO","17110","HCPCS","Both",,,"224.5","112.25","UHC","Medicare Advantage","",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"DESTRUCTION OF FLAT WARTS UP TO 14 LESIO","17110","HCPCS","Both",,,"224.5","112.25","Clover","Medicare Advantage","",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"DESTRUCTION OF FLAT WARTS UP TO 14 LESIO","17110","HCPCS","Both",,,"224.5","112.25","Wellcare","Medicare Advantage","",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"DESTRUCTION OF FLAT WARTS UP TO 14 LESIO","17110","HCPCS","Both",,,"224.5","112.25","Amerigroup","Medicaid Managed Care","",,"37",,"82.17","82.17","173.99","percent of total billed charges",,
"DESTRUCTION OF FLAT WARTS UP TO 14 LESIO","17110","HCPCS","Both",,,"224.5","112.25","Caresource","Medicaid Managed Care","",,"40",,"89.8","82.17","173.99","percent of total billed charges",,
"DESTRUCTION OF FLAT WARTS UP TO 14 LESIO","17110","HCPCS","Both",,,"224.5","112.25","Wellcare","Medicaid Managed Care","",,"40",,"90.92","82.17","173.99","percent of total billed charges",,
"DESTRUCTION OF FLAT WARTS UP TO 14 LESIO","17110","HCPCS","Both",,,"224.5","112.25","Aetna","Commercial","",,"64",,"143.23","82.17","173.99","percent of total billed charges",,
"DESTRUCTION OF FLAT WARTS UP TO 14 LESIO","17110","HCPCS","Both",,,"224.5","112.25","Blue Cross Blue Shield","Pathways","",,"71",,"158.5","82.17","173.99","percent of total billed charges",,
"DESTRUCTION OF FLAT WARTS UP TO 14 LESIO","17110","HCPCS","Both",,,"224.5","112.25","Blue Cross Blue Shield","HMO","",,"71",,"158.5","82.17","173.99","percent of total billed charges",,
"DESTRUCTION OF FLAT WARTS UP TO 14 LESIO","17110","HCPCS","Both",,,"224.5","112.25","Blue Cross Blue Shield","PPO","",,"71",,"158.5","82.17","173.99","percent of total billed charges",,
"DESTRUCTION OF FLAT WARTS UP TO 14 LESIO","17110","HCPCS","Both",,,"224.5","112.25","Ambetter","Health Exchange","",,"62",,"139.19","82.17","173.99","percent of total billed charges",,
"DESTRUCTION OF FLAT WARTS UP TO 14 LESIO","17110","HCPCS","Both",,,"224.5","112.25","Caresource","Health Exchange","",,"62",,"139.19","82.17","173.99","percent of total billed charges",,
"DESTRUCTION OF FLAT WARTS UP TO 14 LESIO","17110","HCPCS","Both",,,"224.5","112.25","Cigna","Commercial","",,"59",,"131.56","82.17","173.99","percent of total billed charges",,
"DESTRUCTION OF FLAT WARTS UP TO 14 LESIO","17110","HCPCS","Both",,,"224.5","112.25","Humana","Commercial","",,"78",,"173.99","82.17","173.99","percent of total billed charges",,
"DESTRUCTION OF FLAT WARTS UP TO 14 LESIO","17110","HCPCS","Both",,,"224.5","112.25","UHC","Commercial","",,"75",,"169.27","82.17","173.99","percent of total billed charges",,
"DESTRUCTION OF FLAT WARTS UP TO 14 LESIO","17110","HCPCS","Both",,,"224.5","112.25","Medicaid",,"",,"37",,"82.17","82.17","173.99","percent of total billed charges",,
"MASTOTOMY W/EXPLOR/DRAIN ABSCESS; DEEP","19020","HCPCS","Both",,,"267","133.5","Alliant","Health Exchange","",,"62",,"165.54","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLOR/DRAIN ABSCESS; DEEP","19020","HCPCS","Both",,,"267","133.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"144.18","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLOR/DRAIN ABSCESS; DEEP","19020","HCPCS","Both",,,"267","133.5","Medicare",,"",,"54",,"144.71","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLOR/DRAIN ABSCESS; DEEP","19020","HCPCS","Both",,,"267","133.5","Humana","Medicare Advantage","",,"54",,"144.71","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLOR/DRAIN ABSCESS; DEEP","19020","HCPCS","Both",,,"267","133.5","UHC","Medicare Advantage","",,"54",,"144.71","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLOR/DRAIN ABSCESS; DEEP","19020","HCPCS","Both",,,"267","133.5","Clover","Medicare Advantage","",,"54",,"144.71","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLOR/DRAIN ABSCESS; DEEP","19020","HCPCS","Both",,,"267","133.5","Wellcare","Medicare Advantage","",,"54",,"144.71","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLOR/DRAIN ABSCESS; DEEP","19020","HCPCS","Both",,,"267","133.5","Amerigroup","Medicaid Managed Care","",,"37",,"97.72","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLOR/DRAIN ABSCESS; DEEP","19020","HCPCS","Both",,,"267","133.5","Caresource","Medicaid Managed Care","",,"40",,"106.8","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLOR/DRAIN ABSCESS; DEEP","19020","HCPCS","Both",,,"267","133.5","Wellcare","Medicaid Managed Care","",,"40",,"108.14","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLOR/DRAIN ABSCESS; DEEP","19020","HCPCS","Both",,,"267","133.5","Aetna","Commercial","",,"64",,"170.35","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLOR/DRAIN ABSCESS; DEEP","19020","HCPCS","Both",,,"267","133.5","Blue Cross Blue Shield","Pathways","",,"71",,"188.5","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLOR/DRAIN ABSCESS; DEEP","19020","HCPCS","Both",,,"267","133.5","Blue Cross Blue Shield","HMO","",,"71",,"188.5","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLOR/DRAIN ABSCESS; DEEP","19020","HCPCS","Both",,,"267","133.5","Blue Cross Blue Shield","PPO","",,"71",,"188.5","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLOR/DRAIN ABSCESS; DEEP","19020","HCPCS","Both",,,"267","133.5","Ambetter","Health Exchange","",,"62",,"165.54","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLOR/DRAIN ABSCESS; DEEP","19020","HCPCS","Both",,,"267","133.5","Caresource","Health Exchange","",,"62",,"165.54","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLOR/DRAIN ABSCESS; DEEP","19020","HCPCS","Both",,,"267","133.5","Cigna","Commercial","",,"59",,"156.46","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLOR/DRAIN ABSCESS; DEEP","19020","HCPCS","Both",,,"267","133.5","Humana","Commercial","",,"78",,"206.92","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLOR/DRAIN ABSCESS; DEEP","19020","HCPCS","Both",,,"267","133.5","UHC","Commercial","",,"75",,"201.32","97.72","206.92","percent of total billed charges",,
"MASTOTOMY W/EXPLOR/DRAIN ABSCESS; DEEP","19020","HCPCS","Both",,,"267","133.5","Medicaid",,"",,"37",,"97.72","97.72","206.92","percent of total billed charges",,
"BIOPSY BREAST; PERCUTANEOUS, NEEDLE CORE","19100","HCPCS","Both",,,"1079.5","539.75","Alliant","Health Exchange","",,"62",,"669.29","395.1","836.61","percent of total billed charges",,
"BIOPSY BREAST; PERCUTANEOUS, NEEDLE CORE","19100","HCPCS","Both",,,"1079.5","539.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"582.93","395.1","836.61","percent of total billed charges",,
"BIOPSY BREAST; PERCUTANEOUS, NEEDLE CORE","19100","HCPCS","Both",,,"1079.5","539.75","Medicare",,"",,"54",,"585.09","395.1","836.61","percent of total billed charges",,
"BIOPSY BREAST; PERCUTANEOUS, NEEDLE CORE","19100","HCPCS","Both",,,"1079.5","539.75","Humana","Medicare Advantage","",,"54",,"585.09","395.1","836.61","percent of total billed charges",,
"BIOPSY BREAST; PERCUTANEOUS, NEEDLE CORE","19100","HCPCS","Both",,,"1079.5","539.75","UHC","Medicare Advantage","",,"54",,"585.09","395.1","836.61","percent of total billed charges",,
"BIOPSY BREAST; PERCUTANEOUS, NEEDLE CORE","19100","HCPCS","Both",,,"1079.5","539.75","Clover","Medicare Advantage","",,"54",,"585.09","395.1","836.61","percent of total billed charges",,
"BIOPSY BREAST; PERCUTANEOUS, NEEDLE CORE","19100","HCPCS","Both",,,"1079.5","539.75","Wellcare","Medicare Advantage","",,"54",,"585.09","395.1","836.61","percent of total billed charges",,
"BIOPSY BREAST; PERCUTANEOUS, NEEDLE CORE","19100","HCPCS","Both",,,"1079.5","539.75","Amerigroup","Medicaid Managed Care","",,"37",,"395.1","395.1","836.61","percent of total billed charges",,
"BIOPSY BREAST; PERCUTANEOUS, NEEDLE CORE","19100","HCPCS","Both",,,"1079.5","539.75","Caresource","Medicaid Managed Care","",,"40",,"431.8","395.1","836.61","percent of total billed charges",,
"BIOPSY BREAST; PERCUTANEOUS, NEEDLE CORE","19100","HCPCS","Both",,,"1079.5","539.75","Wellcare","Medicaid Managed Care","",,"40",,"437.2","395.1","836.61","percent of total billed charges",,
"BIOPSY BREAST; PERCUTANEOUS, NEEDLE CORE","19100","HCPCS","Both",,,"1079.5","539.75","Aetna","Commercial","",,"64",,"688.72","395.1","836.61","percent of total billed charges",,
"BIOPSY BREAST; PERCUTANEOUS, NEEDLE CORE","19100","HCPCS","Both",,,"1079.5","539.75","Blue Cross Blue Shield","Pathways","",,"71",,"762.13","395.1","836.61","percent of total billed charges",,
"BIOPSY BREAST; PERCUTANEOUS, NEEDLE CORE","19100","HCPCS","Both",,,"1079.5","539.75","Blue Cross Blue Shield","HMO","",,"71",,"762.13","395.1","836.61","percent of total billed charges",,
"BIOPSY BREAST; PERCUTANEOUS, NEEDLE CORE","19100","HCPCS","Both",,,"1079.5","539.75","Blue Cross Blue Shield","PPO","",,"71",,"762.13","395.1","836.61","percent of total billed charges",,
"BIOPSY BREAST; PERCUTANEOUS, NEEDLE CORE","19100","HCPCS","Both",,,"1079.5","539.75","Ambetter","Health Exchange","",,"62",,"669.29","395.1","836.61","percent of total billed charges",,
"BIOPSY BREAST; PERCUTANEOUS, NEEDLE CORE","19100","HCPCS","Both",,,"1079.5","539.75","Caresource","Health Exchange","",,"62",,"669.29","395.1","836.61","percent of total billed charges",,
"BIOPSY BREAST; PERCUTANEOUS, NEEDLE CORE","19100","HCPCS","Both",,,"1079.5","539.75","Cigna","Commercial","",,"59",,"632.59","395.1","836.61","percent of total billed charges",,
"BIOPSY BREAST; PERCUTANEOUS, NEEDLE CORE","19100","HCPCS","Both",,,"1079.5","539.75","Humana","Commercial","",,"78",,"836.61","395.1","836.61","percent of total billed charges",,
"BIOPSY BREAST; PERCUTANEOUS, NEEDLE CORE","19100","HCPCS","Both",,,"1079.5","539.75","UHC","Commercial","",,"75",,"813.94","395.1","836.61","percent of total billed charges",,
"BIOPSY BREAST; PERCUTANEOUS, NEEDLE CORE","19100","HCPCS","Both",,,"1079.5","539.75","Medicaid",,"",,"37",,"395.1","395.1","836.61","percent of total billed charges",,
"BIOPSY BREAST; OPEN, INCISIONAL","19101","HCPCS","Both",,,"467","233.5","Alliant","Health Exchange","",,"62",,"289.54","170.92","361.92","percent of total billed charges",,
"BIOPSY BREAST; OPEN, INCISIONAL","19101","HCPCS","Both",,,"467","233.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"252.18","170.92","361.92","percent of total billed charges",,
"BIOPSY BREAST; OPEN, INCISIONAL","19101","HCPCS","Both",,,"467","233.5","Medicare",,"",,"54",,"253.11","170.92","361.92","percent of total billed charges",,
"BIOPSY BREAST; OPEN, INCISIONAL","19101","HCPCS","Both",,,"467","233.5","Humana","Medicare Advantage","",,"54",,"253.11","170.92","361.92","percent of total billed charges",,
"BIOPSY BREAST; OPEN, INCISIONAL","19101","HCPCS","Both",,,"467","233.5","UHC","Medicare Advantage","",,"54",,"253.11","170.92","361.92","percent of total billed charges",,
"BIOPSY BREAST; OPEN, INCISIONAL","19101","HCPCS","Both",,,"467","233.5","Clover","Medicare Advantage","",,"54",,"253.11","170.92","361.92","percent of total billed charges",,
"BIOPSY BREAST; OPEN, INCISIONAL","19101","HCPCS","Both",,,"467","233.5","Wellcare","Medicare Advantage","",,"54",,"253.11","170.92","361.92","percent of total billed charges",,
"BIOPSY BREAST; OPEN, INCISIONAL","19101","HCPCS","Both",,,"467","233.5","Amerigroup","Medicaid Managed Care","",,"37",,"170.92","170.92","361.92","percent of total billed charges",,
"BIOPSY BREAST; OPEN, INCISIONAL","19101","HCPCS","Both",,,"467","233.5","Caresource","Medicaid Managed Care","",,"40",,"186.8","170.92","361.92","percent of total billed charges",,
"BIOPSY BREAST; OPEN, INCISIONAL","19101","HCPCS","Both",,,"467","233.5","Wellcare","Medicaid Managed Care","",,"40",,"189.14","170.92","361.92","percent of total billed charges",,
"BIOPSY BREAST; OPEN, INCISIONAL","19101","HCPCS","Both",,,"467","233.5","Aetna","Commercial","",,"64",,"297.95","170.92","361.92","percent of total billed charges",,
"BIOPSY BREAST; OPEN, INCISIONAL","19101","HCPCS","Both",,,"467","233.5","Blue Cross Blue Shield","Pathways","",,"71",,"329.7","170.92","361.92","percent of total billed charges",,
"BIOPSY BREAST; OPEN, INCISIONAL","19101","HCPCS","Both",,,"467","233.5","Blue Cross Blue Shield","HMO","",,"71",,"329.7","170.92","361.92","percent of total billed charges",,
"BIOPSY BREAST; OPEN, INCISIONAL","19101","HCPCS","Both",,,"467","233.5","Blue Cross Blue Shield","PPO","",,"71",,"329.7","170.92","361.92","percent of total billed charges",,
"BIOPSY BREAST; OPEN, INCISIONAL","19101","HCPCS","Both",,,"467","233.5","Ambetter","Health Exchange","",,"62",,"289.54","170.92","361.92","percent of total billed charges",,
"BIOPSY BREAST; OPEN, INCISIONAL","19101","HCPCS","Both",,,"467","233.5","Caresource","Health Exchange","",,"62",,"289.54","170.92","361.92","percent of total billed charges",,
"BIOPSY BREAST; OPEN, INCISIONAL","19101","HCPCS","Both",,,"467","233.5","Cigna","Commercial","",,"59",,"273.66","170.92","361.92","percent of total billed charges",,
"BIOPSY BREAST; OPEN, INCISIONAL","19101","HCPCS","Both",,,"467","233.5","Humana","Commercial","",,"78",,"361.92","170.92","361.92","percent of total billed charges",,
"BIOPSY BREAST; OPEN, INCISIONAL","19101","HCPCS","Both",,,"467","233.5","UHC","Commercial","",,"75",,"352.12","170.92","361.92","percent of total billed charges",,
"BIOPSY BREAST; OPEN, INCISIONAL","19101","HCPCS","Both",,,"467","233.5","Medicaid",,"",,"37",,"170.92","170.92","361.92","percent of total billed charges",,
"EXCISION OF CYST,FIBROADENOMA OR BENIGN","19120","HCPCS","Both",,,"5814","2907","Alliant","Health Exchange","",,"62",,"3604.68","2127.92","4505.85","percent of total billed charges",,
"EXCISION OF CYST,FIBROADENOMA OR BENIGN","19120","HCPCS","Both",,,"5814","2907","Pruitt Healthcare","Medicare Advantage","",,"54",,"3139.56","2127.92","4505.85","percent of total billed charges",,
"EXCISION OF CYST,FIBROADENOMA OR BENIGN","19120","HCPCS","Both",,,"5814","2907","Medicare",,"",,"54",,"3151.19","2127.92","4505.85","percent of total billed charges",,
"EXCISION OF CYST,FIBROADENOMA OR BENIGN","19120","HCPCS","Both",,,"5814","2907","Humana","Medicare Advantage","",,"54",,"3151.19","2127.92","4505.85","percent of total billed charges",,
"EXCISION OF CYST,FIBROADENOMA OR BENIGN","19120","HCPCS","Both",,,"5814","2907","UHC","Medicare Advantage","",,"54",,"3151.19","2127.92","4505.85","percent of total billed charges",,
"EXCISION OF CYST,FIBROADENOMA OR BENIGN","19120","HCPCS","Both",,,"5814","2907","Clover","Medicare Advantage","",,"54",,"3151.19","2127.92","4505.85","percent of total billed charges",,
"EXCISION OF CYST,FIBROADENOMA OR BENIGN","19120","HCPCS","Both",,,"5814","2907","Wellcare","Medicare Advantage","",,"54",,"3151.19","2127.92","4505.85","percent of total billed charges",,
"EXCISION OF CYST,FIBROADENOMA OR BENIGN","19120","HCPCS","Both",,,"5814","2907","Amerigroup","Medicaid Managed Care","",,"37",,"2127.92","2127.92","4505.85","percent of total billed charges",,
"EXCISION OF CYST,FIBROADENOMA OR BENIGN","19120","HCPCS","Both",,,"5814","2907","Caresource","Medicaid Managed Care","",,"40",,"2325.6","2127.92","4505.85","percent of total billed charges",,
"EXCISION OF CYST,FIBROADENOMA OR BENIGN","19120","HCPCS","Both",,,"5814","2907","Wellcare","Medicaid Managed Care","",,"40",,"2354.67","2127.92","4505.85","percent of total billed charges",,
"EXCISION OF CYST,FIBROADENOMA OR BENIGN","19120","HCPCS","Both",,,"5814","2907","Aetna","Commercial","",,"64",,"3709.33","2127.92","4505.85","percent of total billed charges",,
"EXCISION OF CYST,FIBROADENOMA OR BENIGN","19120","HCPCS","Both",,,"5814","2907","Blue Cross Blue Shield","Pathways","",,"71",,"4104.68","2127.92","4505.85","percent of total billed charges",,
"EXCISION OF CYST,FIBROADENOMA OR BENIGN","19120","HCPCS","Both",,,"5814","2907","Blue Cross Blue Shield","HMO","",,"71",,"4104.68","2127.92","4505.85","percent of total billed charges",,
"EXCISION OF CYST,FIBROADENOMA OR BENIGN","19120","HCPCS","Both",,,"5814","2907","Blue Cross Blue Shield","PPO","",,"71",,"4104.68","2127.92","4505.85","percent of total billed charges",,
"EXCISION OF CYST,FIBROADENOMA OR BENIGN","19120","HCPCS","Both",,,"5814","2907","Ambetter","Health Exchange","",,"62",,"3604.68","2127.92","4505.85","percent of total billed charges",,
"EXCISION OF CYST,FIBROADENOMA OR BENIGN","19120","HCPCS","Both",,,"5814","2907","Caresource","Health Exchange","",,"62",,"3604.68","2127.92","4505.85","percent of total billed charges",,
"EXCISION OF CYST,FIBROADENOMA OR BENIGN","19120","HCPCS","Both",,,"5814","2907","Cigna","Commercial","",,"59",,"3407","2127.92","4505.85","percent of total billed charges",,
"EXCISION OF CYST,FIBROADENOMA OR BENIGN","19120","HCPCS","Both",,,"5814","2907","Humana","Commercial","",,"78",,"4505.85","2127.92","4505.85","percent of total billed charges",,
"EXCISION OF CYST,FIBROADENOMA OR BENIGN","19120","HCPCS","Both",,,"5814","2907","UHC","Commercial","",,"75",,"4383.76","2127.92","4505.85","percent of total billed charges",,
"EXCISION OF CYST,FIBROADENOMA OR BENIGN","19120","HCPCS","Both",,,"5814","2907","Medicaid",,"",,"37",,"2127.92","2127.92","4505.85","percent of total billed charges",,
"EXCISION OF BREAST LESION; SINGLE LESION","19125","HCPCS","Both",,,"500","250","Alliant","Health Exchange","",,"62",,"310","183","387.5","percent of total billed charges",,
"EXCISION OF BREAST LESION; SINGLE LESION","19125","HCPCS","Both",,,"500","250","Pruitt Healthcare","Medicare Advantage","",,"54",,"270","183","387.5","percent of total billed charges",,
"EXCISION OF BREAST LESION; SINGLE LESION","19125","HCPCS","Both",,,"500","250","Medicare",,"",,"54",,"271","183","387.5","percent of total billed charges",,
"EXCISION OF BREAST LESION; SINGLE LESION","19125","HCPCS","Both",,,"500","250","Humana","Medicare Advantage","",,"54",,"271","183","387.5","percent of total billed charges",,
"EXCISION OF BREAST LESION; SINGLE LESION","19125","HCPCS","Both",,,"500","250","UHC","Medicare Advantage","",,"54",,"271","183","387.5","percent of total billed charges",,
"EXCISION OF BREAST LESION; SINGLE LESION","19125","HCPCS","Both",,,"500","250","Clover","Medicare Advantage","",,"54",,"271","183","387.5","percent of total billed charges",,
"EXCISION OF BREAST LESION; SINGLE LESION","19125","HCPCS","Both",,,"500","250","Wellcare","Medicare Advantage","",,"54",,"271","183","387.5","percent of total billed charges",,
"EXCISION OF BREAST LESION; SINGLE LESION","19125","HCPCS","Both",,,"500","250","Amerigroup","Medicaid Managed Care","",,"37",,"183","183","387.5","percent of total billed charges",,
"EXCISION OF BREAST LESION; SINGLE LESION","19125","HCPCS","Both",,,"500","250","Caresource","Medicaid Managed Care","",,"40",,"200","183","387.5","percent of total billed charges",,
"EXCISION OF BREAST LESION; SINGLE LESION","19125","HCPCS","Both",,,"500","250","Wellcare","Medicaid Managed Care","",,"40",,"202.5","183","387.5","percent of total billed charges",,
"EXCISION OF BREAST LESION; SINGLE LESION","19125","HCPCS","Both",,,"500","250","Aetna","Commercial","",,"64",,"319","183","387.5","percent of total billed charges",,
"EXCISION OF BREAST LESION; SINGLE LESION","19125","HCPCS","Both",,,"500","250","Blue Cross Blue Shield","Pathways","",,"71",,"353","183","387.5","percent of total billed charges",,
"EXCISION OF BREAST LESION; SINGLE LESION","19125","HCPCS","Both",,,"500","250","Blue Cross Blue Shield","HMO","",,"71",,"353","183","387.5","percent of total billed charges",,
"EXCISION OF BREAST LESION; SINGLE LESION","19125","HCPCS","Both",,,"500","250","Blue Cross Blue Shield","PPO","",,"71",,"353","183","387.5","percent of total billed charges",,
"EXCISION OF BREAST LESION; SINGLE LESION","19125","HCPCS","Both",,,"500","250","Ambetter","Health Exchange","",,"62",,"310","183","387.5","percent of total billed charges",,
"EXCISION OF BREAST LESION; SINGLE LESION","19125","HCPCS","Both",,,"500","250","Caresource","Health Exchange","",,"62",,"310","183","387.5","percent of total billed charges",,
"EXCISION OF BREAST LESION; SINGLE LESION","19125","HCPCS","Both",,,"500","250","Cigna","Commercial","",,"59",,"293","183","387.5","percent of total billed charges",,
"EXCISION OF BREAST LESION; SINGLE LESION","19125","HCPCS","Both",,,"500","250","Humana","Commercial","",,"78",,"387.5","183","387.5","percent of total billed charges",,
"EXCISION OF BREAST LESION; SINGLE LESION","19125","HCPCS","Both",,,"500","250","UHC","Commercial","",,"75",,"377","183","387.5","percent of total billed charges",,
"EXCISION OF BREAST LESION; SINGLE LESION","19125","HCPCS","Both",,,"500","250","Medicaid",,"",,"37",,"183","183","387.5","percent of total billed charges",,
"MASTECTOMY PARTIAL","19301","HCPCS","Both",,,"5814","2907","Alliant","Health Exchange","",,"62",,"3604.68","2127.92","4505.85","percent of total billed charges",,
"MASTECTOMY PARTIAL","19301","HCPCS","Both",,,"5814","2907","Pruitt Healthcare","Medicare Advantage","",,"54",,"3139.56","2127.92","4505.85","percent of total billed charges",,
"MASTECTOMY PARTIAL","19301","HCPCS","Both",,,"5814","2907","Medicare",,"",,"54",,"3151.19","2127.92","4505.85","percent of total billed charges",,
"MASTECTOMY PARTIAL","19301","HCPCS","Both",,,"5814","2907","Humana","Medicare Advantage","",,"54",,"3151.19","2127.92","4505.85","percent of total billed charges",,
"MASTECTOMY PARTIAL","19301","HCPCS","Both",,,"5814","2907","UHC","Medicare Advantage","",,"54",,"3151.19","2127.92","4505.85","percent of total billed charges",,
"MASTECTOMY PARTIAL","19301","HCPCS","Both",,,"5814","2907","Clover","Medicare Advantage","",,"54",,"3151.19","2127.92","4505.85","percent of total billed charges",,
"MASTECTOMY PARTIAL","19301","HCPCS","Both",,,"5814","2907","Wellcare","Medicare Advantage","",,"54",,"3151.19","2127.92","4505.85","percent of total billed charges",,
"MASTECTOMY PARTIAL","19301","HCPCS","Both",,,"5814","2907","Amerigroup","Medicaid Managed Care","",,"37",,"2127.92","2127.92","4505.85","percent of total billed charges",,
"MASTECTOMY PARTIAL","19301","HCPCS","Both",,,"5814","2907","Caresource","Medicaid Managed Care","",,"40",,"2325.6","2127.92","4505.85","percent of total billed charges",,
"MASTECTOMY PARTIAL","19301","HCPCS","Both",,,"5814","2907","Wellcare","Medicaid Managed Care","",,"40",,"2354.67","2127.92","4505.85","percent of total billed charges",,
"MASTECTOMY PARTIAL","19301","HCPCS","Both",,,"5814","2907","Aetna","Commercial","",,"64",,"3709.33","2127.92","4505.85","percent of total billed charges",,
"MASTECTOMY PARTIAL","19301","HCPCS","Both",,,"5814","2907","Blue Cross Blue Shield","Pathways","",,"71",,"4104.68","2127.92","4505.85","percent of total billed charges",,
"MASTECTOMY PARTIAL","19301","HCPCS","Both",,,"5814","2907","Blue Cross Blue Shield","HMO","",,"71",,"4104.68","2127.92","4505.85","percent of total billed charges",,
"MASTECTOMY PARTIAL","19301","HCPCS","Both",,,"5814","2907","Blue Cross Blue Shield","PPO","",,"71",,"4104.68","2127.92","4505.85","percent of total billed charges",,
"MASTECTOMY PARTIAL","19301","HCPCS","Both",,,"5814","2907","Ambetter","Health Exchange","",,"62",,"3604.68","2127.92","4505.85","percent of total billed charges",,
"MASTECTOMY PARTIAL","19301","HCPCS","Both",,,"5814","2907","Caresource","Health Exchange","",,"62",,"3604.68","2127.92","4505.85","percent of total billed charges",,
"MASTECTOMY PARTIAL","19301","HCPCS","Both",,,"5814","2907","Cigna","Commercial","",,"59",,"3407","2127.92","4505.85","percent of total billed charges",,
"MASTECTOMY PARTIAL","19301","HCPCS","Both",,,"5814","2907","Humana","Commercial","",,"78",,"4505.85","2127.92","4505.85","percent of total billed charges",,
"MASTECTOMY PARTIAL","19301","HCPCS","Both",,,"5814","2907","UHC","Commercial","",,"75",,"4383.76","2127.92","4505.85","percent of total billed charges",,
"MASTECTOMY PARTIAL","19301","HCPCS","Both",,,"5814","2907","Medicaid",,"",,"37",,"2127.92","2127.92","4505.85","percent of total billed charges",,
"MASTECTOMY, MODIFIED RADICAL","19307","HCPCS","Both",,,"10101.5","5050.75","Alliant","Health Exchange","",,"62",,"6262.93","3697.15","7828.66","percent of total billed charges",,
"MASTECTOMY, MODIFIED RADICAL","19307","HCPCS","Both",,,"10101.5","5050.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"5454.81","3697.15","7828.66","percent of total billed charges",,
"MASTECTOMY, MODIFIED RADICAL","19307","HCPCS","Both",,,"10101.5","5050.75","Medicare",,"",,"54",,"5475.01","3697.15","7828.66","percent of total billed charges",,
"MASTECTOMY, MODIFIED RADICAL","19307","HCPCS","Both",,,"10101.5","5050.75","Humana","Medicare Advantage","",,"54",,"5475.01","3697.15","7828.66","percent of total billed charges",,
"MASTECTOMY, MODIFIED RADICAL","19307","HCPCS","Both",,,"10101.5","5050.75","UHC","Medicare Advantage","",,"54",,"5475.01","3697.15","7828.66","percent of total billed charges",,
"MASTECTOMY, MODIFIED RADICAL","19307","HCPCS","Both",,,"10101.5","5050.75","Clover","Medicare Advantage","",,"54",,"5475.01","3697.15","7828.66","percent of total billed charges",,
"MASTECTOMY, MODIFIED RADICAL","19307","HCPCS","Both",,,"10101.5","5050.75","Wellcare","Medicare Advantage","",,"54",,"5475.01","3697.15","7828.66","percent of total billed charges",,
"MASTECTOMY, MODIFIED RADICAL","19307","HCPCS","Both",,,"10101.5","5050.75","Amerigroup","Medicaid Managed Care","",,"37",,"3697.15","3697.15","7828.66","percent of total billed charges",,
"MASTECTOMY, MODIFIED RADICAL","19307","HCPCS","Both",,,"10101.5","5050.75","Caresource","Medicaid Managed Care","",,"40",,"4040.6","3697.15","7828.66","percent of total billed charges",,
"MASTECTOMY, MODIFIED RADICAL","19307","HCPCS","Both",,,"10101.5","5050.75","Wellcare","Medicaid Managed Care","",,"40",,"4091.11","3697.15","7828.66","percent of total billed charges",,
"MASTECTOMY, MODIFIED RADICAL","19307","HCPCS","Both",,,"10101.5","5050.75","Aetna","Commercial","",,"64",,"6444.76","3697.15","7828.66","percent of total billed charges",,
"MASTECTOMY, MODIFIED RADICAL","19307","HCPCS","Both",,,"10101.5","5050.75","Blue Cross Blue Shield","Pathways","",,"71",,"7131.66","3697.15","7828.66","percent of total billed charges",,
"MASTECTOMY, MODIFIED RADICAL","19307","HCPCS","Both",,,"10101.5","5050.75","Blue Cross Blue Shield","HMO","",,"71",,"7131.66","3697.15","7828.66","percent of total billed charges",,
"MASTECTOMY, MODIFIED RADICAL","19307","HCPCS","Both",,,"10101.5","5050.75","Blue Cross Blue Shield","PPO","",,"71",,"7131.66","3697.15","7828.66","percent of total billed charges",,
"MASTECTOMY, MODIFIED RADICAL","19307","HCPCS","Both",,,"10101.5","5050.75","Ambetter","Health Exchange","",,"62",,"6262.93","3697.15","7828.66","percent of total billed charges",,
"MASTECTOMY, MODIFIED RADICAL","19307","HCPCS","Both",,,"10101.5","5050.75","Caresource","Health Exchange","",,"62",,"6262.93","3697.15","7828.66","percent of total billed charges",,
"MASTECTOMY, MODIFIED RADICAL","19307","HCPCS","Both",,,"10101.5","5050.75","Cigna","Commercial","",,"59",,"5919.48","3697.15","7828.66","percent of total billed charges",,
"MASTECTOMY, MODIFIED RADICAL","19307","HCPCS","Both",,,"10101.5","5050.75","Humana","Commercial","",,"78",,"7828.66","3697.15","7828.66","percent of total billed charges",,
"MASTECTOMY, MODIFIED RADICAL","19307","HCPCS","Both",,,"10101.5","5050.75","UHC","Commercial","",,"75",,"7616.53","3697.15","7828.66","percent of total billed charges",,
"MASTECTOMY, MODIFIED RADICAL","19307","HCPCS","Both",,,"10101.5","5050.75","Medicaid",,"",,"37",,"3697.15","3697.15","7828.66","percent of total billed charges",,
"BIOPSY, MUSCLE, SUPERFICIAL","20200","HCPCS","Both",,,"3502","1751","Alliant","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"BIOPSY, MUSCLE, SUPERFICIAL","20200","HCPCS","Both",,,"3502","1751","Pruitt Healthcare","Medicare Advantage","",,"54",,"1891.08","1281.73","2714.05","percent of total billed charges",,
"BIOPSY, MUSCLE, SUPERFICIAL","20200","HCPCS","Both",,,"3502","1751","Medicare",,"",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"BIOPSY, MUSCLE, SUPERFICIAL","20200","HCPCS","Both",,,"3502","1751","Humana","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"BIOPSY, MUSCLE, SUPERFICIAL","20200","HCPCS","Both",,,"3502","1751","UHC","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"BIOPSY, MUSCLE, SUPERFICIAL","20200","HCPCS","Both",,,"3502","1751","Clover","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"BIOPSY, MUSCLE, SUPERFICIAL","20200","HCPCS","Both",,,"3502","1751","Wellcare","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"BIOPSY, MUSCLE, SUPERFICIAL","20200","HCPCS","Both",,,"3502","1751","Amerigroup","Medicaid Managed Care","",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"BIOPSY, MUSCLE, SUPERFICIAL","20200","HCPCS","Both",,,"3502","1751","Caresource","Medicaid Managed Care","",,"40",,"1400.8","1281.73","2714.05","percent of total billed charges",,
"BIOPSY, MUSCLE, SUPERFICIAL","20200","HCPCS","Both",,,"3502","1751","Wellcare","Medicaid Managed Care","",,"40",,"1418.31","1281.73","2714.05","percent of total billed charges",,
"BIOPSY, MUSCLE, SUPERFICIAL","20200","HCPCS","Both",,,"3502","1751","Aetna","Commercial","",,"64",,"2234.28","1281.73","2714.05","percent of total billed charges",,
"BIOPSY, MUSCLE, SUPERFICIAL","20200","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","Pathways","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"BIOPSY, MUSCLE, SUPERFICIAL","20200","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","HMO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"BIOPSY, MUSCLE, SUPERFICIAL","20200","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","PPO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"BIOPSY, MUSCLE, SUPERFICIAL","20200","HCPCS","Both",,,"3502","1751","Ambetter","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"BIOPSY, MUSCLE, SUPERFICIAL","20200","HCPCS","Both",,,"3502","1751","Caresource","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"BIOPSY, MUSCLE, SUPERFICIAL","20200","HCPCS","Both",,,"3502","1751","Cigna","Commercial","",,"59",,"2052.17","1281.73","2714.05","percent of total billed charges",,
"BIOPSY, MUSCLE, SUPERFICIAL","20200","HCPCS","Both",,,"3502","1751","Humana","Commercial","",,"78",,"2714.05","1281.73","2714.05","percent of total billed charges",,
"BIOPSY, MUSCLE, SUPERFICIAL","20200","HCPCS","Both",,,"3502","1751","UHC","Commercial","",,"75",,"2640.51","1281.73","2714.05","percent of total billed charges",,
"BIOPSY, MUSCLE, SUPERFICIAL","20200","HCPCS","Both",,,"3502","1751","Medicaid",,"",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"BIOPSY MUSCLE DEEP","20205","HCPCS","Both",,,"3502","1751","Alliant","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"BIOPSY MUSCLE DEEP","20205","HCPCS","Both",,,"3502","1751","Pruitt Healthcare","Medicare Advantage","",,"54",,"1891.08","1281.73","2714.05","percent of total billed charges",,
"BIOPSY MUSCLE DEEP","20205","HCPCS","Both",,,"3502","1751","Medicare",,"",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"BIOPSY MUSCLE DEEP","20205","HCPCS","Both",,,"3502","1751","Humana","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"BIOPSY MUSCLE DEEP","20205","HCPCS","Both",,,"3502","1751","UHC","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"BIOPSY MUSCLE DEEP","20205","HCPCS","Both",,,"3502","1751","Clover","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"BIOPSY MUSCLE DEEP","20205","HCPCS","Both",,,"3502","1751","Wellcare","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"BIOPSY MUSCLE DEEP","20205","HCPCS","Both",,,"3502","1751","Amerigroup","Medicaid Managed Care","",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"BIOPSY MUSCLE DEEP","20205","HCPCS","Both",,,"3502","1751","Caresource","Medicaid Managed Care","",,"40",,"1400.8","1281.73","2714.05","percent of total billed charges",,
"BIOPSY MUSCLE DEEP","20205","HCPCS","Both",,,"3502","1751","Wellcare","Medicaid Managed Care","",,"40",,"1418.31","1281.73","2714.05","percent of total billed charges",,
"BIOPSY MUSCLE DEEP","20205","HCPCS","Both",,,"3502","1751","Aetna","Commercial","",,"64",,"2234.28","1281.73","2714.05","percent of total billed charges",,
"BIOPSY MUSCLE DEEP","20205","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","Pathways","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"BIOPSY MUSCLE DEEP","20205","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","HMO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"BIOPSY MUSCLE DEEP","20205","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","PPO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"BIOPSY MUSCLE DEEP","20205","HCPCS","Both",,,"3502","1751","Ambetter","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"BIOPSY MUSCLE DEEP","20205","HCPCS","Both",,,"3502","1751","Caresource","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"BIOPSY MUSCLE DEEP","20205","HCPCS","Both",,,"3502","1751","Cigna","Commercial","",,"59",,"2052.17","1281.73","2714.05","percent of total billed charges",,
"BIOPSY MUSCLE DEEP","20205","HCPCS","Both",,,"3502","1751","Humana","Commercial","",,"78",,"2714.05","1281.73","2714.05","percent of total billed charges",,
"BIOPSY MUSCLE DEEP","20205","HCPCS","Both",,,"3502","1751","UHC","Commercial","",,"75",,"2640.51","1281.73","2714.05","percent of total billed charges",,
"BIOPSY MUSCLE DEEP","20205","HCPCS","Both",,,"3502","1751","Medicaid",,"",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"REMOVAL FB MUSCLE/TENDON SHEATH; SIMPLE","20520","HCPCS","Both",,,"1051","525.5","Alliant","Health Exchange","",,"62",,"651.62","384.67","814.52","percent of total billed charges",,
"REMOVAL FB MUSCLE/TENDON SHEATH; SIMPLE","20520","HCPCS","Both",,,"1051","525.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"567.54","384.67","814.52","percent of total billed charges",,
"REMOVAL FB MUSCLE/TENDON SHEATH; SIMPLE","20520","HCPCS","Both",,,"1051","525.5","Medicare",,"",,"54",,"569.64","384.67","814.52","percent of total billed charges",,
"REMOVAL FB MUSCLE/TENDON SHEATH; SIMPLE","20520","HCPCS","Both",,,"1051","525.5","Humana","Medicare Advantage","",,"54",,"569.64","384.67","814.52","percent of total billed charges",,
"REMOVAL FB MUSCLE/TENDON SHEATH; SIMPLE","20520","HCPCS","Both",,,"1051","525.5","UHC","Medicare Advantage","",,"54",,"569.64","384.67","814.52","percent of total billed charges",,
"REMOVAL FB MUSCLE/TENDON SHEATH; SIMPLE","20520","HCPCS","Both",,,"1051","525.5","Clover","Medicare Advantage","",,"54",,"569.64","384.67","814.52","percent of total billed charges",,
"REMOVAL FB MUSCLE/TENDON SHEATH; SIMPLE","20520","HCPCS","Both",,,"1051","525.5","Wellcare","Medicare Advantage","",,"54",,"569.64","384.67","814.52","percent of total billed charges",,
"REMOVAL FB MUSCLE/TENDON SHEATH; SIMPLE","20520","HCPCS","Both",,,"1051","525.5","Amerigroup","Medicaid Managed Care","",,"37",,"384.67","384.67","814.52","percent of total billed charges",,
"REMOVAL FB MUSCLE/TENDON SHEATH; SIMPLE","20520","HCPCS","Both",,,"1051","525.5","Caresource","Medicaid Managed Care","",,"40",,"420.4","384.67","814.52","percent of total billed charges",,
"REMOVAL FB MUSCLE/TENDON SHEATH; SIMPLE","20520","HCPCS","Both",,,"1051","525.5","Wellcare","Medicaid Managed Care","",,"40",,"425.66","384.67","814.52","percent of total billed charges",,
"REMOVAL FB MUSCLE/TENDON SHEATH; SIMPLE","20520","HCPCS","Both",,,"1051","525.5","Aetna","Commercial","",,"64",,"670.54","384.67","814.52","percent of total billed charges",,
"REMOVAL FB MUSCLE/TENDON SHEATH; SIMPLE","20520","HCPCS","Both",,,"1051","525.5","Blue Cross Blue Shield","Pathways","",,"71",,"742.01","384.67","814.52","percent of total billed charges",,
"REMOVAL FB MUSCLE/TENDON SHEATH; SIMPLE","20520","HCPCS","Both",,,"1051","525.5","Blue Cross Blue Shield","HMO","",,"71",,"742.01","384.67","814.52","percent of total billed charges",,
"REMOVAL FB MUSCLE/TENDON SHEATH; SIMPLE","20520","HCPCS","Both",,,"1051","525.5","Blue Cross Blue Shield","PPO","",,"71",,"742.01","384.67","814.52","percent of total billed charges",,
"REMOVAL FB MUSCLE/TENDON SHEATH; SIMPLE","20520","HCPCS","Both",,,"1051","525.5","Ambetter","Health Exchange","",,"62",,"651.62","384.67","814.52","percent of total billed charges",,
"REMOVAL FB MUSCLE/TENDON SHEATH; SIMPLE","20520","HCPCS","Both",,,"1051","525.5","Caresource","Health Exchange","",,"62",,"651.62","384.67","814.52","percent of total billed charges",,
"REMOVAL FB MUSCLE/TENDON SHEATH; SIMPLE","20520","HCPCS","Both",,,"1051","525.5","Cigna","Commercial","",,"59",,"615.89","384.67","814.52","percent of total billed charges",,
"REMOVAL FB MUSCLE/TENDON SHEATH; SIMPLE","20520","HCPCS","Both",,,"1051","525.5","Humana","Commercial","",,"78",,"814.52","384.67","814.52","percent of total billed charges",,
"REMOVAL FB MUSCLE/TENDON SHEATH; SIMPLE","20520","HCPCS","Both",,,"1051","525.5","UHC","Commercial","",,"75",,"792.45","384.67","814.52","percent of total billed charges",,
"REMOVAL FB MUSCLE/TENDON SHEATH; SIMPLE","20520","HCPCS","Both",,,"1051","525.5","Medicaid",,"",,"37",,"384.67","384.67","814.52","percent of total billed charges",,
"REMOVAL FB MUSCLE/TENDON SHEATH; COMPLIC","20525","HCPCS","Both",,,"5185","2592.5","Alliant","Health Exchange","",,"62",,"3214.7","1897.71","4018.38","percent of total billed charges",,
"REMOVAL FB MUSCLE/TENDON SHEATH; COMPLIC","20525","HCPCS","Both",,,"5185","2592.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"2799.9","1897.71","4018.38","percent of total billed charges",,
"REMOVAL FB MUSCLE/TENDON SHEATH; COMPLIC","20525","HCPCS","Both",,,"5185","2592.5","Medicare",,"",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"REMOVAL FB MUSCLE/TENDON SHEATH; COMPLIC","20525","HCPCS","Both",,,"5185","2592.5","Humana","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"REMOVAL FB MUSCLE/TENDON SHEATH; COMPLIC","20525","HCPCS","Both",,,"5185","2592.5","UHC","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"REMOVAL FB MUSCLE/TENDON SHEATH; COMPLIC","20525","HCPCS","Both",,,"5185","2592.5","Clover","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"REMOVAL FB MUSCLE/TENDON SHEATH; COMPLIC","20525","HCPCS","Both",,,"5185","2592.5","Wellcare","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"REMOVAL FB MUSCLE/TENDON SHEATH; COMPLIC","20525","HCPCS","Both",,,"5185","2592.5","Amerigroup","Medicaid Managed Care","",,"37",,"1897.71","1897.71","4018.38","percent of total billed charges",,
"REMOVAL FB MUSCLE/TENDON SHEATH; COMPLIC","20525","HCPCS","Both",,,"5185","2592.5","Caresource","Medicaid Managed Care","",,"40",,"2074","1897.71","4018.38","percent of total billed charges",,
"REMOVAL FB MUSCLE/TENDON SHEATH; COMPLIC","20525","HCPCS","Both",,,"5185","2592.5","Wellcare","Medicaid Managed Care","",,"40",,"2099.93","1897.71","4018.38","percent of total billed charges",,
"REMOVAL FB MUSCLE/TENDON SHEATH; COMPLIC","20525","HCPCS","Both",,,"5185","2592.5","Aetna","Commercial","",,"64",,"3308.03","1897.71","4018.38","percent of total billed charges",,
"REMOVAL FB MUSCLE/TENDON SHEATH; COMPLIC","20525","HCPCS","Both",,,"5185","2592.5","Blue Cross Blue Shield","Pathways","",,"71",,"3660.61","1897.71","4018.38","percent of total billed charges",,
"REMOVAL FB MUSCLE/TENDON SHEATH; COMPLIC","20525","HCPCS","Both",,,"5185","2592.5","Blue Cross Blue Shield","HMO","",,"71",,"3660.61","1897.71","4018.38","percent of total billed charges",,
"REMOVAL FB MUSCLE/TENDON SHEATH; COMPLIC","20525","HCPCS","Both",,,"5185","2592.5","Blue Cross Blue Shield","PPO","",,"71",,"3660.61","1897.71","4018.38","percent of total billed charges",,
"REMOVAL FB MUSCLE/TENDON SHEATH; COMPLIC","20525","HCPCS","Both",,,"5185","2592.5","Ambetter","Health Exchange","",,"62",,"3214.7","1897.71","4018.38","percent of total billed charges",,
"REMOVAL FB MUSCLE/TENDON SHEATH; COMPLIC","20525","HCPCS","Both",,,"5185","2592.5","Caresource","Health Exchange","",,"62",,"3214.7","1897.71","4018.38","percent of total billed charges",,
"REMOVAL FB MUSCLE/TENDON SHEATH; COMPLIC","20525","HCPCS","Both",,,"5185","2592.5","Cigna","Commercial","",,"59",,"3038.41","1897.71","4018.38","percent of total billed charges",,
"REMOVAL FB MUSCLE/TENDON SHEATH; COMPLIC","20525","HCPCS","Both",,,"5185","2592.5","Humana","Commercial","",,"78",,"4018.38","1897.71","4018.38","percent of total billed charges",,
"REMOVAL FB MUSCLE/TENDON SHEATH; COMPLIC","20525","HCPCS","Both",,,"5185","2592.5","UHC","Commercial","",,"75",,"3909.49","1897.71","4018.38","percent of total billed charges",,
"REMOVAL FB MUSCLE/TENDON SHEATH; COMPLIC","20525","HCPCS","Both",,,"5185","2592.5","Medicaid",,"",,"37",,"1897.71","1897.71","4018.38","percent of total billed charges",,
"ARTHROCENTESIS,SMALL JOINT","20600","HCPCS","Both",,,"570.5","285.25","Alliant","Health Exchange","",,"62",,"353.71","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,SMALL JOINT","20600","HCPCS","Both",,,"570.5","285.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"308.07","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,SMALL JOINT","20600","HCPCS","Both",,,"570.5","285.25","Medicare",,"",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,SMALL JOINT","20600","HCPCS","Both",,,"570.5","285.25","Humana","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,SMALL JOINT","20600","HCPCS","Both",,,"570.5","285.25","UHC","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,SMALL JOINT","20600","HCPCS","Both",,,"570.5","285.25","Clover","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,SMALL JOINT","20600","HCPCS","Both",,,"570.5","285.25","Wellcare","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,SMALL JOINT","20600","HCPCS","Both",,,"570.5","285.25","Amerigroup","Medicaid Managed Care","",,"37",,"208.8","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,SMALL JOINT","20600","HCPCS","Both",,,"570.5","285.25","Caresource","Medicaid Managed Care","",,"40",,"228.2","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,SMALL JOINT","20600","HCPCS","Both",,,"570.5","285.25","Wellcare","Medicaid Managed Care","",,"40",,"231.05","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,SMALL JOINT","20600","HCPCS","Both",,,"570.5","285.25","Aetna","Commercial","",,"64",,"363.98","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,SMALL JOINT","20600","HCPCS","Both",,,"570.5","285.25","Blue Cross Blue Shield","Pathways","",,"71",,"402.77","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,SMALL JOINT","20600","HCPCS","Both",,,"570.5","285.25","Blue Cross Blue Shield","HMO","",,"71",,"402.77","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,SMALL JOINT","20600","HCPCS","Both",,,"570.5","285.25","Blue Cross Blue Shield","PPO","",,"71",,"402.77","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,SMALL JOINT","20600","HCPCS","Both",,,"570.5","285.25","Ambetter","Health Exchange","",,"62",,"353.71","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,SMALL JOINT","20600","HCPCS","Both",,,"570.5","285.25","Caresource","Health Exchange","",,"62",,"353.71","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,SMALL JOINT","20600","HCPCS","Both",,,"570.5","285.25","Cigna","Commercial","",,"59",,"334.31","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,SMALL JOINT","20600","HCPCS","Both",,,"570.5","285.25","Humana","Commercial","",,"78",,"442.14","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,SMALL JOINT","20600","HCPCS","Both",,,"570.5","285.25","UHC","Commercial","",,"75",,"430.16","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS,SMALL JOINT","20600","HCPCS","Both",,,"570.5","285.25","Medicaid",,"",,"37",,"208.8","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Alliant","Health Exchange","",,"62",,"353.71","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"308.07","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Medicare",,"",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Humana","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","UHC","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Clover","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Wellcare","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Amerigroup","Medicaid Managed Care","",,"37",,"208.8","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Caresource","Medicaid Managed Care","",,"40",,"228.2","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Wellcare","Medicaid Managed Care","",,"40",,"231.05","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Aetna","Commercial","",,"64",,"363.98","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Blue Cross Blue Shield","Pathways","",,"71",,"402.77","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Blue Cross Blue Shield","HMO","",,"71",,"402.77","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Blue Cross Blue Shield","PPO","",,"71",,"402.77","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Ambetter","Health Exchange","",,"62",,"353.71","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Caresource","Health Exchange","",,"62",,"353.71","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Cigna","Commercial","",,"59",,"334.31","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Humana","Commercial","",,"78",,"442.14","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","UHC","Commercial","",,"75",,"430.16","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, INTERMEDIATE JOINT","20605","HCPCS","Both",,,"570.5","285.25","Medicaid",,"",,"37",,"208.8","208.8","442.14","percent of total billed charges",,
"ARTHROCENTESIS, MAJOR JOINT","20610","HCPCS","Both",,,"57.5","28.75","Alliant","Health Exchange","",,"62",,"35.65","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS, MAJOR JOINT","20610","HCPCS","Both",,,"57.5","28.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"31.05","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS, MAJOR JOINT","20610","HCPCS","Both",,,"57.5","28.75","Medicare",,"",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS, MAJOR JOINT","20610","HCPCS","Both",,,"57.5","28.75","Humana","Medicare Advantage","",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS, MAJOR JOINT","20610","HCPCS","Both",,,"57.5","28.75","UHC","Medicare Advantage","",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS, MAJOR JOINT","20610","HCPCS","Both",,,"57.5","28.75","Clover","Medicare Advantage","",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS, MAJOR JOINT","20610","HCPCS","Both",,,"57.5","28.75","Wellcare","Medicare Advantage","",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS, MAJOR JOINT","20610","HCPCS","Both",,,"57.5","28.75","Amerigroup","Medicaid Managed Care","",,"37",,"21.04","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS, MAJOR JOINT","20610","HCPCS","Both",,,"57.5","28.75","Caresource","Medicaid Managed Care","",,"40",,"23","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS, MAJOR JOINT","20610","HCPCS","Both",,,"57.5","28.75","Wellcare","Medicaid Managed Care","",,"40",,"23.29","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS, MAJOR JOINT","20610","HCPCS","Both",,,"57.5","28.75","Aetna","Commercial","",,"64",,"36.68","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS, MAJOR JOINT","20610","HCPCS","Both",,,"57.5","28.75","Blue Cross Blue Shield","Pathways","",,"71",,"40.6","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS, MAJOR JOINT","20610","HCPCS","Both",,,"57.5","28.75","Blue Cross Blue Shield","HMO","",,"71",,"40.6","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS, MAJOR JOINT","20610","HCPCS","Both",,,"57.5","28.75","Blue Cross Blue Shield","PPO","",,"71",,"40.6","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS, MAJOR JOINT","20610","HCPCS","Both",,,"57.5","28.75","Ambetter","Health Exchange","",,"62",,"35.65","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS, MAJOR JOINT","20610","HCPCS","Both",,,"57.5","28.75","Caresource","Health Exchange","",,"62",,"35.65","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS, MAJOR JOINT","20610","HCPCS","Both",,,"57.5","28.75","Cigna","Commercial","",,"59",,"33.7","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS, MAJOR JOINT","20610","HCPCS","Both",,,"57.5","28.75","Humana","Commercial","",,"78",,"44.56","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS, MAJOR JOINT","20610","HCPCS","Both",,,"57.5","28.75","UHC","Commercial","",,"75",,"43.36","21.04","44.56","percent of total billed charges",,
"ARTHROCENTESIS, MAJOR JOINT","20610","HCPCS","Both",,,"57.5","28.75","Medicaid",,"",,"37",,"21.04","21.04","44.56","percent of total billed charges",,
"ASPIRATION &/OR INJ GANGLION CYST","20612","HCPCS","Both",,,"570.5","285.25","Alliant","Health Exchange","",,"62",,"353.71","208.8","442.14","percent of total billed charges",,
"ASPIRATION &/OR INJ GANGLION CYST","20612","HCPCS","Both",,,"570.5","285.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"308.07","208.8","442.14","percent of total billed charges",,
"ASPIRATION &/OR INJ GANGLION CYST","20612","HCPCS","Both",,,"570.5","285.25","Medicare",,"",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"ASPIRATION &/OR INJ GANGLION CYST","20612","HCPCS","Both",,,"570.5","285.25","Humana","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"ASPIRATION &/OR INJ GANGLION CYST","20612","HCPCS","Both",,,"570.5","285.25","UHC","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"ASPIRATION &/OR INJ GANGLION CYST","20612","HCPCS","Both",,,"570.5","285.25","Clover","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"ASPIRATION &/OR INJ GANGLION CYST","20612","HCPCS","Both",,,"570.5","285.25","Wellcare","Medicare Advantage","",,"54",,"309.21","208.8","442.14","percent of total billed charges",,
"ASPIRATION &/OR INJ GANGLION CYST","20612","HCPCS","Both",,,"570.5","285.25","Amerigroup","Medicaid Managed Care","",,"37",,"208.8","208.8","442.14","percent of total billed charges",,
"ASPIRATION &/OR INJ GANGLION CYST","20612","HCPCS","Both",,,"570.5","285.25","Caresource","Medicaid Managed Care","",,"40",,"228.2","208.8","442.14","percent of total billed charges",,
"ASPIRATION &/OR INJ GANGLION CYST","20612","HCPCS","Both",,,"570.5","285.25","Wellcare","Medicaid Managed Care","",,"40",,"231.05","208.8","442.14","percent of total billed charges",,
"ASPIRATION &/OR INJ GANGLION CYST","20612","HCPCS","Both",,,"570.5","285.25","Aetna","Commercial","",,"64",,"363.98","208.8","442.14","percent of total billed charges",,
"ASPIRATION &/OR INJ GANGLION CYST","20612","HCPCS","Both",,,"570.5","285.25","Blue Cross Blue Shield","Pathways","",,"71",,"402.77","208.8","442.14","percent of total billed charges",,
"ASPIRATION &/OR INJ GANGLION CYST","20612","HCPCS","Both",,,"570.5","285.25","Blue Cross Blue Shield","HMO","",,"71",,"402.77","208.8","442.14","percent of total billed charges",,
"ASPIRATION &/OR INJ GANGLION CYST","20612","HCPCS","Both",,,"570.5","285.25","Blue Cross Blue Shield","PPO","",,"71",,"402.77","208.8","442.14","percent of total billed charges",,
"ASPIRATION &/OR INJ GANGLION CYST","20612","HCPCS","Both",,,"570.5","285.25","Ambetter","Health Exchange","",,"62",,"353.71","208.8","442.14","percent of total billed charges",,
"ASPIRATION &/OR INJ GANGLION CYST","20612","HCPCS","Both",,,"570.5","285.25","Caresource","Health Exchange","",,"62",,"353.71","208.8","442.14","percent of total billed charges",,
"ASPIRATION &/OR INJ GANGLION CYST","20612","HCPCS","Both",,,"570.5","285.25","Cigna","Commercial","",,"59",,"334.31","208.8","442.14","percent of total billed charges",,
"ASPIRATION &/OR INJ GANGLION CYST","20612","HCPCS","Both",,,"570.5","285.25","Humana","Commercial","",,"78",,"442.14","208.8","442.14","percent of total billed charges",,
"ASPIRATION &/OR INJ GANGLION CYST","20612","HCPCS","Both",,,"570.5","285.25","UHC","Commercial","",,"75",,"430.16","208.8","442.14","percent of total billed charges",,
"ASPIRATION &/OR INJ GANGLION CYST","20612","HCPCS","Both",,,"570.5","285.25","Medicaid",,"",,"37",,"208.8","208.8","442.14","percent of total billed charges",,
"REMOVAL IMPLANT; DEEP","20680","HCPCS","Both",,,"433","216.5","Alliant","Health Exchange","",,"62",,"268.46","158.48","335.58","percent of total billed charges",,
"REMOVAL IMPLANT; DEEP","20680","HCPCS","Both",,,"433","216.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"233.82","158.48","335.58","percent of total billed charges",,
"REMOVAL IMPLANT; DEEP","20680","HCPCS","Both",,,"433","216.5","Medicare",,"",,"54",,"234.69","158.48","335.58","percent of total billed charges",,
"REMOVAL IMPLANT; DEEP","20680","HCPCS","Both",,,"433","216.5","Humana","Medicare Advantage","",,"54",,"234.69","158.48","335.58","percent of total billed charges",,
"REMOVAL IMPLANT; DEEP","20680","HCPCS","Both",,,"433","216.5","UHC","Medicare Advantage","",,"54",,"234.69","158.48","335.58","percent of total billed charges",,
"REMOVAL IMPLANT; DEEP","20680","HCPCS","Both",,,"433","216.5","Clover","Medicare Advantage","",,"54",,"234.69","158.48","335.58","percent of total billed charges",,
"REMOVAL IMPLANT; DEEP","20680","HCPCS","Both",,,"433","216.5","Wellcare","Medicare Advantage","",,"54",,"234.69","158.48","335.58","percent of total billed charges",,
"REMOVAL IMPLANT; DEEP","20680","HCPCS","Both",,,"433","216.5","Amerigroup","Medicaid Managed Care","",,"37",,"158.48","158.48","335.58","percent of total billed charges",,
"REMOVAL IMPLANT; DEEP","20680","HCPCS","Both",,,"433","216.5","Caresource","Medicaid Managed Care","",,"40",,"173.2","158.48","335.58","percent of total billed charges",,
"REMOVAL IMPLANT; DEEP","20680","HCPCS","Both",,,"433","216.5","Wellcare","Medicaid Managed Care","",,"40",,"175.36","158.48","335.58","percent of total billed charges",,
"REMOVAL IMPLANT; DEEP","20680","HCPCS","Both",,,"433","216.5","Aetna","Commercial","",,"64",,"276.25","158.48","335.58","percent of total billed charges",,
"REMOVAL IMPLANT; DEEP","20680","HCPCS","Both",,,"433","216.5","Blue Cross Blue Shield","Pathways","",,"71",,"305.7","158.48","335.58","percent of total billed charges",,
"REMOVAL IMPLANT; DEEP","20680","HCPCS","Both",,,"433","216.5","Blue Cross Blue Shield","HMO","",,"71",,"305.7","158.48","335.58","percent of total billed charges",,
"REMOVAL IMPLANT; DEEP","20680","HCPCS","Both",,,"433","216.5","Blue Cross Blue Shield","PPO","",,"71",,"305.7","158.48","335.58","percent of total billed charges",,
"REMOVAL IMPLANT; DEEP","20680","HCPCS","Both",,,"433","216.5","Ambetter","Health Exchange","",,"62",,"268.46","158.48","335.58","percent of total billed charges",,
"REMOVAL IMPLANT; DEEP","20680","HCPCS","Both",,,"433","216.5","Caresource","Health Exchange","",,"62",,"268.46","158.48","335.58","percent of total billed charges",,
"REMOVAL IMPLANT; DEEP","20680","HCPCS","Both",,,"433","216.5","Cigna","Commercial","",,"59",,"253.74","158.48","335.58","percent of total billed charges",,
"REMOVAL IMPLANT; DEEP","20680","HCPCS","Both",,,"433","216.5","Humana","Commercial","",,"78",,"335.58","158.48","335.58","percent of total billed charges",,
"REMOVAL IMPLANT; DEEP","20680","HCPCS","Both",,,"433","216.5","UHC","Commercial","",,"75",,"326.48","158.48","335.58","percent of total billed charges",,
"REMOVAL IMPLANT; DEEP","20680","HCPCS","Both",,,"433","216.5","Medicaid",,"",,"37",,"158.48","158.48","335.58","percent of total billed charges",,
"REMOVAL UNDER ANESTH EXT FIXATION SYSTEM","20694","HCPCS","Both",,,"4855.5","2427.75","Alliant","Health Exchange","",,"62",,"3010.41","1777.11","3763.01","percent of total billed charges",,
"REMOVAL UNDER ANESTH EXT FIXATION SYSTEM","20694","HCPCS","Both",,,"4855.5","2427.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"2621.97","1777.11","3763.01","percent of total billed charges",,
"REMOVAL UNDER ANESTH EXT FIXATION SYSTEM","20694","HCPCS","Both",,,"4855.5","2427.75","Medicare",,"",,"54",,"2631.68","1777.11","3763.01","percent of total billed charges",,
"REMOVAL UNDER ANESTH EXT FIXATION SYSTEM","20694","HCPCS","Both",,,"4855.5","2427.75","Humana","Medicare Advantage","",,"54",,"2631.68","1777.11","3763.01","percent of total billed charges",,
"REMOVAL UNDER ANESTH EXT FIXATION SYSTEM","20694","HCPCS","Both",,,"4855.5","2427.75","UHC","Medicare Advantage","",,"54",,"2631.68","1777.11","3763.01","percent of total billed charges",,
"REMOVAL UNDER ANESTH EXT FIXATION SYSTEM","20694","HCPCS","Both",,,"4855.5","2427.75","Clover","Medicare Advantage","",,"54",,"2631.68","1777.11","3763.01","percent of total billed charges",,
"REMOVAL UNDER ANESTH EXT FIXATION SYSTEM","20694","HCPCS","Both",,,"4855.5","2427.75","Wellcare","Medicare Advantage","",,"54",,"2631.68","1777.11","3763.01","percent of total billed charges",,
"REMOVAL UNDER ANESTH EXT FIXATION SYSTEM","20694","HCPCS","Both",,,"4855.5","2427.75","Amerigroup","Medicaid Managed Care","",,"37",,"1777.11","1777.11","3763.01","percent of total billed charges",,
"REMOVAL UNDER ANESTH EXT FIXATION SYSTEM","20694","HCPCS","Both",,,"4855.5","2427.75","Caresource","Medicaid Managed Care","",,"40",,"1942.2","1777.11","3763.01","percent of total billed charges",,
"REMOVAL UNDER ANESTH EXT FIXATION SYSTEM","20694","HCPCS","Both",,,"4855.5","2427.75","Wellcare","Medicaid Managed Care","",,"40",,"1966.48","1777.11","3763.01","percent of total billed charges",,
"REMOVAL UNDER ANESTH EXT FIXATION SYSTEM","20694","HCPCS","Both",,,"4855.5","2427.75","Aetna","Commercial","",,"64",,"3097.81","1777.11","3763.01","percent of total billed charges",,
"REMOVAL UNDER ANESTH EXT FIXATION SYSTEM","20694","HCPCS","Both",,,"4855.5","2427.75","Blue Cross Blue Shield","Pathways","",,"71",,"3427.98","1777.11","3763.01","percent of total billed charges",,
"REMOVAL UNDER ANESTH EXT FIXATION SYSTEM","20694","HCPCS","Both",,,"4855.5","2427.75","Blue Cross Blue Shield","HMO","",,"71",,"3427.98","1777.11","3763.01","percent of total billed charges",,
"REMOVAL UNDER ANESTH EXT FIXATION SYSTEM","20694","HCPCS","Both",,,"4855.5","2427.75","Blue Cross Blue Shield","PPO","",,"71",,"3427.98","1777.11","3763.01","percent of total billed charges",,
"REMOVAL UNDER ANESTH EXT FIXATION SYSTEM","20694","HCPCS","Both",,,"4855.5","2427.75","Ambetter","Health Exchange","",,"62",,"3010.41","1777.11","3763.01","percent of total billed charges",,
"REMOVAL UNDER ANESTH EXT FIXATION SYSTEM","20694","HCPCS","Both",,,"4855.5","2427.75","Caresource","Health Exchange","",,"62",,"3010.41","1777.11","3763.01","percent of total billed charges",,
"REMOVAL UNDER ANESTH EXT FIXATION SYSTEM","20694","HCPCS","Both",,,"4855.5","2427.75","Cigna","Commercial","",,"59",,"2845.32","1777.11","3763.01","percent of total billed charges",,
"REMOVAL UNDER ANESTH EXT FIXATION SYSTEM","20694","HCPCS","Both",,,"4855.5","2427.75","Humana","Commercial","",,"78",,"3763.01","1777.11","3763.01","percent of total billed charges",,
"REMOVAL UNDER ANESTH EXT FIXATION SYSTEM","20694","HCPCS","Both",,,"4855.5","2427.75","UHC","Commercial","",,"75",,"3661.05","1777.11","3763.01","percent of total billed charges",,
"REMOVAL UNDER ANESTH EXT FIXATION SYSTEM","20694","HCPCS","Both",,,"4855.5","2427.75","Medicaid",,"",,"37",,"1777.11","1777.11","3763.01","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21012","HCPCS","Both",,,"1823","911.5","Alliant","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21012","HCPCS","Both",,,"1823","911.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"984.42","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21012","HCPCS","Both",,,"1823","911.5","Medicare",,"",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21012","HCPCS","Both",,,"1823","911.5","Humana","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21012","HCPCS","Both",,,"1823","911.5","UHC","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21012","HCPCS","Both",,,"1823","911.5","Clover","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21012","HCPCS","Both",,,"1823","911.5","Wellcare","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21012","HCPCS","Both",,,"1823","911.5","Amerigroup","Medicaid Managed Care","",,"37",,"667.22","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21012","HCPCS","Both",,,"1823","911.5","Caresource","Medicaid Managed Care","",,"40",,"729.2","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21012","HCPCS","Both",,,"1823","911.5","Wellcare","Medicaid Managed Care","",,"40",,"738.32","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21012","HCPCS","Both",,,"1823","911.5","Aetna","Commercial","",,"64",,"1163.07","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21012","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","Pathways","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21012","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","HMO","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21012","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","PPO","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21012","HCPCS","Both",,,"1823","911.5","Ambetter","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21012","HCPCS","Both",,,"1823","911.5","Caresource","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21012","HCPCS","Both",,,"1823","911.5","Cigna","Commercial","",,"59",,"1068.28","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21012","HCPCS","Both",,,"1823","911.5","Humana","Commercial","",,"78",,"1412.82","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21012","HCPCS","Both",,,"1823","911.5","UHC","Commercial","",,"75",,"1374.54","667.22","1412.82","percent of total billed charges",,
"EXCISION TUMOR SOFT TSS FACE/SCALP SQ 2+","21012","HCPCS","Both",,,"1823","911.5","Medicaid",,"",,"37",,"667.22","667.22","1412.82","percent of total billed charges",,
"I & D ABCESS HEMATOMA SOFT TISS NCK/THO","21501","HCPCS","Both",,,"4118","2059","Alliant","Health Exchange","",,"62",,"2553.16","1507.19","3191.45","percent of total billed charges",,
"I & D ABCESS HEMATOMA SOFT TISS NCK/THO","21501","HCPCS","Both",,,"4118","2059","Pruitt Healthcare","Medicare Advantage","",,"54",,"2223.72","1507.19","3191.45","percent of total billed charges",,
"I & D ABCESS HEMATOMA SOFT TISS NCK/THO","21501","HCPCS","Both",,,"4118","2059","Medicare",,"",,"54",,"2231.96","1507.19","3191.45","percent of total billed charges",,
"I & D ABCESS HEMATOMA SOFT TISS NCK/THO","21501","HCPCS","Both",,,"4118","2059","Humana","Medicare Advantage","",,"54",,"2231.96","1507.19","3191.45","percent of total billed charges",,
"I & D ABCESS HEMATOMA SOFT TISS NCK/THO","21501","HCPCS","Both",,,"4118","2059","UHC","Medicare Advantage","",,"54",,"2231.96","1507.19","3191.45","percent of total billed charges",,
"I & D ABCESS HEMATOMA SOFT TISS NCK/THO","21501","HCPCS","Both",,,"4118","2059","Clover","Medicare Advantage","",,"54",,"2231.96","1507.19","3191.45","percent of total billed charges",,
"I & D ABCESS HEMATOMA SOFT TISS NCK/THO","21501","HCPCS","Both",,,"4118","2059","Wellcare","Medicare Advantage","",,"54",,"2231.96","1507.19","3191.45","percent of total billed charges",,
"I & D ABCESS HEMATOMA SOFT TISS NCK/THO","21501","HCPCS","Both",,,"4118","2059","Amerigroup","Medicaid Managed Care","",,"37",,"1507.19","1507.19","3191.45","percent of total billed charges",,
"I & D ABCESS HEMATOMA SOFT TISS NCK/THO","21501","HCPCS","Both",,,"4118","2059","Caresource","Medicaid Managed Care","",,"40",,"1647.2","1507.19","3191.45","percent of total billed charges",,
"I & D ABCESS HEMATOMA SOFT TISS NCK/THO","21501","HCPCS","Both",,,"4118","2059","Wellcare","Medicaid Managed Care","",,"40",,"1667.79","1507.19","3191.45","percent of total billed charges",,
"I & D ABCESS HEMATOMA SOFT TISS NCK/THO","21501","HCPCS","Both",,,"4118","2059","Aetna","Commercial","",,"64",,"2627.28","1507.19","3191.45","percent of total billed charges",,
"I & D ABCESS HEMATOMA SOFT TISS NCK/THO","21501","HCPCS","Both",,,"4118","2059","Blue Cross Blue Shield","Pathways","",,"71",,"2907.31","1507.19","3191.45","percent of total billed charges",,
"I & D ABCESS HEMATOMA SOFT TISS NCK/THO","21501","HCPCS","Both",,,"4118","2059","Blue Cross Blue Shield","HMO","",,"71",,"2907.31","1507.19","3191.45","percent of total billed charges",,
"I & D ABCESS HEMATOMA SOFT TISS NCK/THO","21501","HCPCS","Both",,,"4118","2059","Blue Cross Blue Shield","PPO","",,"71",,"2907.31","1507.19","3191.45","percent of total billed charges",,
"I & D ABCESS HEMATOMA SOFT TISS NCK/THO","21501","HCPCS","Both",,,"4118","2059","Ambetter","Health Exchange","",,"62",,"2553.16","1507.19","3191.45","percent of total billed charges",,
"I & D ABCESS HEMATOMA SOFT TISS NCK/THO","21501","HCPCS","Both",,,"4118","2059","Caresource","Health Exchange","",,"62",,"2553.16","1507.19","3191.45","percent of total billed charges",,
"I & D ABCESS HEMATOMA SOFT TISS NCK/THO","21501","HCPCS","Both",,,"4118","2059","Cigna","Commercial","",,"59",,"2413.15","1507.19","3191.45","percent of total billed charges",,
"I & D ABCESS HEMATOMA SOFT TISS NCK/THO","21501","HCPCS","Both",,,"4118","2059","Humana","Commercial","",,"78",,"3191.45","1507.19","3191.45","percent of total billed charges",,
"I & D ABCESS HEMATOMA SOFT TISS NCK/THO","21501","HCPCS","Both",,,"4118","2059","UHC","Commercial","",,"75",,"3104.97","1507.19","3191.45","percent of total billed charges",,
"I & D ABCESS HEMATOMA SOFT TISS NCK/THO","21501","HCPCS","Both",,,"4118","2059","Medicaid",,"",,"37",,"1507.19","1507.19","3191.45","percent of total billed charges",,
"BIOPSY SOFT TISSUE NECK/THORAX","21550","HCPCS","Both",,,"3502","1751","Alliant","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"BIOPSY SOFT TISSUE NECK/THORAX","21550","HCPCS","Both",,,"3502","1751","Pruitt Healthcare","Medicare Advantage","",,"54",,"1891.08","1281.73","2714.05","percent of total billed charges",,
"BIOPSY SOFT TISSUE NECK/THORAX","21550","HCPCS","Both",,,"3502","1751","Medicare",,"",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"BIOPSY SOFT TISSUE NECK/THORAX","21550","HCPCS","Both",,,"3502","1751","Humana","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"BIOPSY SOFT TISSUE NECK/THORAX","21550","HCPCS","Both",,,"3502","1751","UHC","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"BIOPSY SOFT TISSUE NECK/THORAX","21550","HCPCS","Both",,,"3502","1751","Clover","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"BIOPSY SOFT TISSUE NECK/THORAX","21550","HCPCS","Both",,,"3502","1751","Wellcare","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"BIOPSY SOFT TISSUE NECK/THORAX","21550","HCPCS","Both",,,"3502","1751","Amerigroup","Medicaid Managed Care","",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"BIOPSY SOFT TISSUE NECK/THORAX","21550","HCPCS","Both",,,"3502","1751","Caresource","Medicaid Managed Care","",,"40",,"1400.8","1281.73","2714.05","percent of total billed charges",,
"BIOPSY SOFT TISSUE NECK/THORAX","21550","HCPCS","Both",,,"3502","1751","Wellcare","Medicaid Managed Care","",,"40",,"1418.31","1281.73","2714.05","percent of total billed charges",,
"BIOPSY SOFT TISSUE NECK/THORAX","21550","HCPCS","Both",,,"3502","1751","Aetna","Commercial","",,"64",,"2234.28","1281.73","2714.05","percent of total billed charges",,
"BIOPSY SOFT TISSUE NECK/THORAX","21550","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","Pathways","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"BIOPSY SOFT TISSUE NECK/THORAX","21550","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","HMO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"BIOPSY SOFT TISSUE NECK/THORAX","21550","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","PPO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"BIOPSY SOFT TISSUE NECK/THORAX","21550","HCPCS","Both",,,"3502","1751","Ambetter","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"BIOPSY SOFT TISSUE NECK/THORAX","21550","HCPCS","Both",,,"3502","1751","Caresource","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"BIOPSY SOFT TISSUE NECK/THORAX","21550","HCPCS","Both",,,"3502","1751","Cigna","Commercial","",,"59",,"2052.17","1281.73","2714.05","percent of total billed charges",,
"BIOPSY SOFT TISSUE NECK/THORAX","21550","HCPCS","Both",,,"3502","1751","Humana","Commercial","",,"78",,"2714.05","1281.73","2714.05","percent of total billed charges",,
"BIOPSY SOFT TISSUE NECK/THORAX","21550","HCPCS","Both",,,"3502","1751","UHC","Commercial","",,"75",,"2640.51","1281.73","2714.05","percent of total billed charges",,
"BIOPSY SOFT TISSUE NECK/THORAX","21550","HCPCS","Both",,,"3502","1751","Medicaid",,"",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR, SOFT TISSUE NECK OR THOR","21552","HCPCS","Both",,,"3502","1751","Alliant","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR, SOFT TISSUE NECK OR THOR","21552","HCPCS","Both",,,"3502","1751","Pruitt Healthcare","Medicare Advantage","",,"54",,"1891.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR, SOFT TISSUE NECK OR THOR","21552","HCPCS","Both",,,"3502","1751","Medicare",,"",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR, SOFT TISSUE NECK OR THOR","21552","HCPCS","Both",,,"3502","1751","Humana","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR, SOFT TISSUE NECK OR THOR","21552","HCPCS","Both",,,"3502","1751","UHC","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR, SOFT TISSUE NECK OR THOR","21552","HCPCS","Both",,,"3502","1751","Clover","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR, SOFT TISSUE NECK OR THOR","21552","HCPCS","Both",,,"3502","1751","Wellcare","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR, SOFT TISSUE NECK OR THOR","21552","HCPCS","Both",,,"3502","1751","Amerigroup","Medicaid Managed Care","",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR, SOFT TISSUE NECK OR THOR","21552","HCPCS","Both",,,"3502","1751","Caresource","Medicaid Managed Care","",,"40",,"1400.8","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR, SOFT TISSUE NECK OR THOR","21552","HCPCS","Both",,,"3502","1751","Wellcare","Medicaid Managed Care","",,"40",,"1418.31","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR, SOFT TISSUE NECK OR THOR","21552","HCPCS","Both",,,"3502","1751","Aetna","Commercial","",,"64",,"2234.28","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR, SOFT TISSUE NECK OR THOR","21552","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","Pathways","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR, SOFT TISSUE NECK OR THOR","21552","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","HMO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR, SOFT TISSUE NECK OR THOR","21552","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","PPO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR, SOFT TISSUE NECK OR THOR","21552","HCPCS","Both",,,"3502","1751","Ambetter","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR, SOFT TISSUE NECK OR THOR","21552","HCPCS","Both",,,"3502","1751","Caresource","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR, SOFT TISSUE NECK OR THOR","21552","HCPCS","Both",,,"3502","1751","Cigna","Commercial","",,"59",,"2052.17","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR, SOFT TISSUE NECK OR THOR","21552","HCPCS","Both",,,"3502","1751","Humana","Commercial","",,"78",,"2714.05","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR, SOFT TISSUE NECK OR THOR","21552","HCPCS","Both",,,"3502","1751","UHC","Commercial","",,"75",,"2640.51","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR, SOFT TISSUE NECK OR THOR","21552","HCPCS","Both",,,"3502","1751","Medicaid",,"",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR 5CM OR GREATER","21554","HCPCS","Both",,,"638","319","Alliant","Health Exchange","",,"62",,"395.56","233.51","494.45","percent of total billed charges",,
"EXCISION TUMOR 5CM OR GREATER","21554","HCPCS","Both",,,"638","319","Pruitt Healthcare","Medicare Advantage","",,"54",,"344.52","233.51","494.45","percent of total billed charges",,
"EXCISION TUMOR 5CM OR GREATER","21554","HCPCS","Both",,,"638","319","Medicare",,"",,"54",,"345.8","233.51","494.45","percent of total billed charges",,
"EXCISION TUMOR 5CM OR GREATER","21554","HCPCS","Both",,,"638","319","Humana","Medicare Advantage","",,"54",,"345.8","233.51","494.45","percent of total billed charges",,
"EXCISION TUMOR 5CM OR GREATER","21554","HCPCS","Both",,,"638","319","UHC","Medicare Advantage","",,"54",,"345.8","233.51","494.45","percent of total billed charges",,
"EXCISION TUMOR 5CM OR GREATER","21554","HCPCS","Both",,,"638","319","Clover","Medicare Advantage","",,"54",,"345.8","233.51","494.45","percent of total billed charges",,
"EXCISION TUMOR 5CM OR GREATER","21554","HCPCS","Both",,,"638","319","Wellcare","Medicare Advantage","",,"54",,"345.8","233.51","494.45","percent of total billed charges",,
"EXCISION TUMOR 5CM OR GREATER","21554","HCPCS","Both",,,"638","319","Amerigroup","Medicaid Managed Care","",,"37",,"233.51","233.51","494.45","percent of total billed charges",,
"EXCISION TUMOR 5CM OR GREATER","21554","HCPCS","Both",,,"638","319","Caresource","Medicaid Managed Care","",,"40",,"255.2","233.51","494.45","percent of total billed charges",,
"EXCISION TUMOR 5CM OR GREATER","21554","HCPCS","Both",,,"638","319","Wellcare","Medicaid Managed Care","",,"40",,"258.39","233.51","494.45","percent of total billed charges",,
"EXCISION TUMOR 5CM OR GREATER","21554","HCPCS","Both",,,"638","319","Aetna","Commercial","",,"64",,"407.04","233.51","494.45","percent of total billed charges",,
"EXCISION TUMOR 5CM OR GREATER","21554","HCPCS","Both",,,"638","319","Blue Cross Blue Shield","Pathways","",,"71",,"450.43","233.51","494.45","percent of total billed charges",,
"EXCISION TUMOR 5CM OR GREATER","21554","HCPCS","Both",,,"638","319","Blue Cross Blue Shield","HMO","",,"71",,"450.43","233.51","494.45","percent of total billed charges",,
"EXCISION TUMOR 5CM OR GREATER","21554","HCPCS","Both",,,"638","319","Blue Cross Blue Shield","PPO","",,"71",,"450.43","233.51","494.45","percent of total billed charges",,
"EXCISION TUMOR 5CM OR GREATER","21554","HCPCS","Both",,,"638","319","Ambetter","Health Exchange","",,"62",,"395.56","233.51","494.45","percent of total billed charges",,
"EXCISION TUMOR 5CM OR GREATER","21554","HCPCS","Both",,,"638","319","Caresource","Health Exchange","",,"62",,"395.56","233.51","494.45","percent of total billed charges",,
"EXCISION TUMOR 5CM OR GREATER","21554","HCPCS","Both",,,"638","319","Cigna","Commercial","",,"59",,"373.87","233.51","494.45","percent of total billed charges",,
"EXCISION TUMOR 5CM OR GREATER","21554","HCPCS","Both",,,"638","319","Humana","Commercial","",,"78",,"494.45","233.51","494.45","percent of total billed charges",,
"EXCISION TUMOR 5CM OR GREATER","21554","HCPCS","Both",,,"638","319","UHC","Commercial","",,"75",,"481.05","233.51","494.45","percent of total billed charges",,
"EXCISION TUMOR 5CM OR GREATER","21554","HCPCS","Both",,,"638","319","Medicaid",,"",,"37",,"233.51","233.51","494.45","percent of total billed charges",,
"EXCISION TUMOR, SOFT TISSUE NECK OR THOR","21555","HCPCS","Both",,,"3502","1751","Alliant","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR, SOFT TISSUE NECK OR THOR","21555","HCPCS","Both",,,"3502","1751","Pruitt Healthcare","Medicare Advantage","",,"54",,"1891.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR, SOFT TISSUE NECK OR THOR","21555","HCPCS","Both",,,"3502","1751","Medicare",,"",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR, SOFT TISSUE NECK OR THOR","21555","HCPCS","Both",,,"3502","1751","Humana","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR, SOFT TISSUE NECK OR THOR","21555","HCPCS","Both",,,"3502","1751","UHC","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR, SOFT TISSUE NECK OR THOR","21555","HCPCS","Both",,,"3502","1751","Clover","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR, SOFT TISSUE NECK OR THOR","21555","HCPCS","Both",,,"3502","1751","Wellcare","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR, SOFT TISSUE NECK OR THOR","21555","HCPCS","Both",,,"3502","1751","Amerigroup","Medicaid Managed Care","",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR, SOFT TISSUE NECK OR THOR","21555","HCPCS","Both",,,"3502","1751","Caresource","Medicaid Managed Care","",,"40",,"1400.8","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR, SOFT TISSUE NECK OR THOR","21555","HCPCS","Both",,,"3502","1751","Wellcare","Medicaid Managed Care","",,"40",,"1418.31","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR, SOFT TISSUE NECK OR THOR","21555","HCPCS","Both",,,"3502","1751","Aetna","Commercial","",,"64",,"2234.28","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR, SOFT TISSUE NECK OR THOR","21555","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","Pathways","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR, SOFT TISSUE NECK OR THOR","21555","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","HMO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR, SOFT TISSUE NECK OR THOR","21555","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","PPO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR, SOFT TISSUE NECK OR THOR","21555","HCPCS","Both",,,"3502","1751","Ambetter","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR, SOFT TISSUE NECK OR THOR","21555","HCPCS","Both",,,"3502","1751","Caresource","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR, SOFT TISSUE NECK OR THOR","21555","HCPCS","Both",,,"3502","1751","Cigna","Commercial","",,"59",,"2052.17","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR, SOFT TISSUE NECK OR THOR","21555","HCPCS","Both",,,"3502","1751","Humana","Commercial","",,"78",,"2714.05","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR, SOFT TISSUE NECK OR THOR","21555","HCPCS","Both",,,"3502","1751","UHC","Commercial","",,"75",,"2640.51","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR, SOFT TISSUE NECK OR THOR","21555","HCPCS","Both",,,"3502","1751","Medicaid",,"",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR LESS THAN 5CM","21556","HCPCS","Both",,,"638","319","Alliant","Health Exchange","",,"62",,"395.56","233.51","494.45","percent of total billed charges",,
"EXCISION TUMOR LESS THAN 5CM","21556","HCPCS","Both",,,"638","319","Pruitt Healthcare","Medicare Advantage","",,"54",,"344.52","233.51","494.45","percent of total billed charges",,
"EXCISION TUMOR LESS THAN 5CM","21556","HCPCS","Both",,,"638","319","Medicare",,"",,"54",,"345.8","233.51","494.45","percent of total billed charges",,
"EXCISION TUMOR LESS THAN 5CM","21556","HCPCS","Both",,,"638","319","Humana","Medicare Advantage","",,"54",,"345.8","233.51","494.45","percent of total billed charges",,
"EXCISION TUMOR LESS THAN 5CM","21556","HCPCS","Both",,,"638","319","UHC","Medicare Advantage","",,"54",,"345.8","233.51","494.45","percent of total billed charges",,
"EXCISION TUMOR LESS THAN 5CM","21556","HCPCS","Both",,,"638","319","Clover","Medicare Advantage","",,"54",,"345.8","233.51","494.45","percent of total billed charges",,
"EXCISION TUMOR LESS THAN 5CM","21556","HCPCS","Both",,,"638","319","Wellcare","Medicare Advantage","",,"54",,"345.8","233.51","494.45","percent of total billed charges",,
"EXCISION TUMOR LESS THAN 5CM","21556","HCPCS","Both",,,"638","319","Amerigroup","Medicaid Managed Care","",,"37",,"233.51","233.51","494.45","percent of total billed charges",,
"EXCISION TUMOR LESS THAN 5CM","21556","HCPCS","Both",,,"638","319","Caresource","Medicaid Managed Care","",,"40",,"255.2","233.51","494.45","percent of total billed charges",,
"EXCISION TUMOR LESS THAN 5CM","21556","HCPCS","Both",,,"638","319","Wellcare","Medicaid Managed Care","",,"40",,"258.39","233.51","494.45","percent of total billed charges",,
"EXCISION TUMOR LESS THAN 5CM","21556","HCPCS","Both",,,"638","319","Aetna","Commercial","",,"64",,"407.04","233.51","494.45","percent of total billed charges",,
"EXCISION TUMOR LESS THAN 5CM","21556","HCPCS","Both",,,"638","319","Blue Cross Blue Shield","Pathways","",,"71",,"450.43","233.51","494.45","percent of total billed charges",,
"EXCISION TUMOR LESS THAN 5CM","21556","HCPCS","Both",,,"638","319","Blue Cross Blue Shield","HMO","",,"71",,"450.43","233.51","494.45","percent of total billed charges",,
"EXCISION TUMOR LESS THAN 5CM","21556","HCPCS","Both",,,"638","319","Blue Cross Blue Shield","PPO","",,"71",,"450.43","233.51","494.45","percent of total billed charges",,
"EXCISION TUMOR LESS THAN 5CM","21556","HCPCS","Both",,,"638","319","Ambetter","Health Exchange","",,"62",,"395.56","233.51","494.45","percent of total billed charges",,
"EXCISION TUMOR LESS THAN 5CM","21556","HCPCS","Both",,,"638","319","Caresource","Health Exchange","",,"62",,"395.56","233.51","494.45","percent of total billed charges",,
"EXCISION TUMOR LESS THAN 5CM","21556","HCPCS","Both",,,"638","319","Cigna","Commercial","",,"59",,"373.87","233.51","494.45","percent of total billed charges",,
"EXCISION TUMOR LESS THAN 5CM","21556","HCPCS","Both",,,"638","319","Humana","Commercial","",,"78",,"494.45","233.51","494.45","percent of total billed charges",,
"EXCISION TUMOR LESS THAN 5CM","21556","HCPCS","Both",,,"638","319","UHC","Commercial","",,"75",,"481.05","233.51","494.45","percent of total billed charges",,
"EXCISION TUMOR LESS THAN 5CM","21556","HCPCS","Both",,,"638","319","Medicaid",,"",,"37",,"233.51","233.51","494.45","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS BACK/FLANK < 3C","21930","HCPCS","Both",,,"5695","2847.5","Alliant","Health Exchange","",,"62",,"3530.9","2084.37","4413.62","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS BACK/FLANK < 3C","21930","HCPCS","Both",,,"5695","2847.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"3075.3","2084.37","4413.62","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS BACK/FLANK < 3C","21930","HCPCS","Both",,,"5695","2847.5","Medicare",,"",,"54",,"3086.69","2084.37","4413.62","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS BACK/FLANK < 3C","21930","HCPCS","Both",,,"5695","2847.5","Humana","Medicare Advantage","",,"54",,"3086.69","2084.37","4413.62","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS BACK/FLANK < 3C","21930","HCPCS","Both",,,"5695","2847.5","UHC","Medicare Advantage","",,"54",,"3086.69","2084.37","4413.62","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS BACK/FLANK < 3C","21930","HCPCS","Both",,,"5695","2847.5","Clover","Medicare Advantage","",,"54",,"3086.69","2084.37","4413.62","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS BACK/FLANK < 3C","21930","HCPCS","Both",,,"5695","2847.5","Wellcare","Medicare Advantage","",,"54",,"3086.69","2084.37","4413.62","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS BACK/FLANK < 3C","21930","HCPCS","Both",,,"5695","2847.5","Amerigroup","Medicaid Managed Care","",,"37",,"2084.37","2084.37","4413.62","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS BACK/FLANK < 3C","21930","HCPCS","Both",,,"5695","2847.5","Caresource","Medicaid Managed Care","",,"40",,"2278","2084.37","4413.62","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS BACK/FLANK < 3C","21930","HCPCS","Both",,,"5695","2847.5","Wellcare","Medicaid Managed Care","",,"40",,"2306.48","2084.37","4413.62","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS BACK/FLANK < 3C","21930","HCPCS","Both",,,"5695","2847.5","Aetna","Commercial","",,"64",,"3633.41","2084.37","4413.62","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS BACK/FLANK < 3C","21930","HCPCS","Both",,,"5695","2847.5","Blue Cross Blue Shield","Pathways","",,"71",,"4020.67","2084.37","4413.62","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS BACK/FLANK < 3C","21930","HCPCS","Both",,,"5695","2847.5","Blue Cross Blue Shield","HMO","",,"71",,"4020.67","2084.37","4413.62","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS BACK/FLANK < 3C","21930","HCPCS","Both",,,"5695","2847.5","Blue Cross Blue Shield","PPO","",,"71",,"4020.67","2084.37","4413.62","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS BACK/FLANK < 3C","21930","HCPCS","Both",,,"5695","2847.5","Ambetter","Health Exchange","",,"62",,"3530.9","2084.37","4413.62","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS BACK/FLANK < 3C","21930","HCPCS","Both",,,"5695","2847.5","Caresource","Health Exchange","",,"62",,"3530.9","2084.37","4413.62","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS BACK/FLANK < 3C","21930","HCPCS","Both",,,"5695","2847.5","Cigna","Commercial","",,"59",,"3337.27","2084.37","4413.62","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS BACK/FLANK < 3C","21930","HCPCS","Both",,,"5695","2847.5","Humana","Commercial","",,"78",,"4413.62","2084.37","4413.62","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS BACK/FLANK < 3C","21930","HCPCS","Both",,,"5695","2847.5","UHC","Commercial","",,"75",,"4294.03","2084.37","4413.62","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS BACK/FLANK < 3C","21930","HCPCS","Both",,,"5695","2847.5","Medicaid",,"",,"37",,"2084.37","2084.37","4413.62","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS BACK/FLANK","21931","HCPCS","Both",,,"588","294","Alliant","Health Exchange","",,"62",,"364.56","215.21","455.7","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS BACK/FLANK","21931","HCPCS","Both",,,"588","294","Pruitt Healthcare","Medicare Advantage","",,"54",,"317.52","215.21","455.7","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS BACK/FLANK","21931","HCPCS","Both",,,"588","294","Medicare",,"",,"54",,"318.7","215.21","455.7","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS BACK/FLANK","21931","HCPCS","Both",,,"588","294","Humana","Medicare Advantage","",,"54",,"318.7","215.21","455.7","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS BACK/FLANK","21931","HCPCS","Both",,,"588","294","UHC","Medicare Advantage","",,"54",,"318.7","215.21","455.7","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS BACK/FLANK","21931","HCPCS","Both",,,"588","294","Clover","Medicare Advantage","",,"54",,"318.7","215.21","455.7","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS BACK/FLANK","21931","HCPCS","Both",,,"588","294","Wellcare","Medicare Advantage","",,"54",,"318.7","215.21","455.7","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS BACK/FLANK","21931","HCPCS","Both",,,"588","294","Amerigroup","Medicaid Managed Care","",,"37",,"215.21","215.21","455.7","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS BACK/FLANK","21931","HCPCS","Both",,,"588","294","Caresource","Medicaid Managed Care","",,"40",,"235.2","215.21","455.7","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS BACK/FLANK","21931","HCPCS","Both",,,"588","294","Wellcare","Medicaid Managed Care","",,"40",,"238.14","215.21","455.7","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS BACK/FLANK","21931","HCPCS","Both",,,"588","294","Aetna","Commercial","",,"64",,"375.14","215.21","455.7","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS BACK/FLANK","21931","HCPCS","Both",,,"588","294","Blue Cross Blue Shield","Pathways","",,"71",,"415.13","215.21","455.7","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS BACK/FLANK","21931","HCPCS","Both",,,"588","294","Blue Cross Blue Shield","HMO","",,"71",,"415.13","215.21","455.7","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS BACK/FLANK","21931","HCPCS","Both",,,"588","294","Blue Cross Blue Shield","PPO","",,"71",,"415.13","215.21","455.7","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS BACK/FLANK","21931","HCPCS","Both",,,"588","294","Ambetter","Health Exchange","",,"62",,"364.56","215.21","455.7","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS BACK/FLANK","21931","HCPCS","Both",,,"588","294","Caresource","Health Exchange","",,"62",,"364.56","215.21","455.7","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS BACK/FLANK","21931","HCPCS","Both",,,"588","294","Cigna","Commercial","",,"59",,"344.57","215.21","455.7","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS BACK/FLANK","21931","HCPCS","Both",,,"588","294","Humana","Commercial","",,"78",,"455.7","215.21","455.7","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS BACK/FLANK","21931","HCPCS","Both",,,"588","294","UHC","Commercial","",,"75",,"443.35","215.21","455.7","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS BACK/FLANK","21931","HCPCS","Both",,,"588","294","Medicaid",,"",,"37",,"215.21","215.21","455.7","percent of total billed charges",,
"EXCISION ABD WALL TUMOR, SUBFASCIAL","22900","HCPCS","Both",,,"5185","2592.5","Alliant","Health Exchange","",,"62",,"3214.7","1897.71","4018.38","percent of total billed charges",,
"EXCISION ABD WALL TUMOR, SUBFASCIAL","22900","HCPCS","Both",,,"5185","2592.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"2799.9","1897.71","4018.38","percent of total billed charges",,
"EXCISION ABD WALL TUMOR, SUBFASCIAL","22900","HCPCS","Both",,,"5185","2592.5","Medicare",,"",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION ABD WALL TUMOR, SUBFASCIAL","22900","HCPCS","Both",,,"5185","2592.5","Humana","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION ABD WALL TUMOR, SUBFASCIAL","22900","HCPCS","Both",,,"5185","2592.5","UHC","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION ABD WALL TUMOR, SUBFASCIAL","22900","HCPCS","Both",,,"5185","2592.5","Clover","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION ABD WALL TUMOR, SUBFASCIAL","22900","HCPCS","Both",,,"5185","2592.5","Wellcare","Medicare Advantage","",,"54",,"2810.27","1897.71","4018.38","percent of total billed charges",,
"EXCISION ABD WALL TUMOR, SUBFASCIAL","22900","HCPCS","Both",,,"5185","2592.5","Amerigroup","Medicaid Managed Care","",,"37",,"1897.71","1897.71","4018.38","percent of total billed charges",,
"EXCISION ABD WALL TUMOR, SUBFASCIAL","22900","HCPCS","Both",,,"5185","2592.5","Caresource","Medicaid Managed Care","",,"40",,"2074","1897.71","4018.38","percent of total billed charges",,
"EXCISION ABD WALL TUMOR, SUBFASCIAL","22900","HCPCS","Both",,,"5185","2592.5","Wellcare","Medicaid Managed Care","",,"40",,"2099.93","1897.71","4018.38","percent of total billed charges",,
"EXCISION ABD WALL TUMOR, SUBFASCIAL","22900","HCPCS","Both",,,"5185","2592.5","Aetna","Commercial","",,"64",,"3308.03","1897.71","4018.38","percent of total billed charges",,
"EXCISION ABD WALL TUMOR, SUBFASCIAL","22900","HCPCS","Both",,,"5185","2592.5","Blue Cross Blue Shield","Pathways","",,"71",,"3660.61","1897.71","4018.38","percent of total billed charges",,
"EXCISION ABD WALL TUMOR, SUBFASCIAL","22900","HCPCS","Both",,,"5185","2592.5","Blue Cross Blue Shield","HMO","",,"71",,"3660.61","1897.71","4018.38","percent of total billed charges",,
"EXCISION ABD WALL TUMOR, SUBFASCIAL","22900","HCPCS","Both",,,"5185","2592.5","Blue Cross Blue Shield","PPO","",,"71",,"3660.61","1897.71","4018.38","percent of total billed charges",,
"EXCISION ABD WALL TUMOR, SUBFASCIAL","22900","HCPCS","Both",,,"5185","2592.5","Ambetter","Health Exchange","",,"62",,"3214.7","1897.71","4018.38","percent of total billed charges",,
"EXCISION ABD WALL TUMOR, SUBFASCIAL","22900","HCPCS","Both",,,"5185","2592.5","Caresource","Health Exchange","",,"62",,"3214.7","1897.71","4018.38","percent of total billed charges",,
"EXCISION ABD WALL TUMOR, SUBFASCIAL","22900","HCPCS","Both",,,"5185","2592.5","Cigna","Commercial","",,"59",,"3038.41","1897.71","4018.38","percent of total billed charges",,
"EXCISION ABD WALL TUMOR, SUBFASCIAL","22900","HCPCS","Both",,,"5185","2592.5","Humana","Commercial","",,"78",,"4018.38","1897.71","4018.38","percent of total billed charges",,
"EXCISION ABD WALL TUMOR, SUBFASCIAL","22900","HCPCS","Both",,,"5185","2592.5","UHC","Commercial","",,"75",,"3909.49","1897.71","4018.38","percent of total billed charges",,
"EXCISION ABD WALL TUMOR, SUBFASCIAL","22900","HCPCS","Both",,,"5185","2592.5","Medicaid",,"",,"37",,"1897.71","1897.71","4018.38","percent of total billed charges",,
"EXCISION TUMOR SOFT TISSUE ABD WALL <3cm","22902","HCPCS","Both",,,"3502","1751","Alliant","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR SOFT TISSUE ABD WALL <3cm","22902","HCPCS","Both",,,"3502","1751","Pruitt Healthcare","Medicare Advantage","",,"54",,"1891.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR SOFT TISSUE ABD WALL <3cm","22902","HCPCS","Both",,,"3502","1751","Medicare",,"",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR SOFT TISSUE ABD WALL <3cm","22902","HCPCS","Both",,,"3502","1751","Humana","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR SOFT TISSUE ABD WALL <3cm","22902","HCPCS","Both",,,"3502","1751","UHC","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR SOFT TISSUE ABD WALL <3cm","22902","HCPCS","Both",,,"3502","1751","Clover","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR SOFT TISSUE ABD WALL <3cm","22902","HCPCS","Both",,,"3502","1751","Wellcare","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR SOFT TISSUE ABD WALL <3cm","22902","HCPCS","Both",,,"3502","1751","Amerigroup","Medicaid Managed Care","",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR SOFT TISSUE ABD WALL <3cm","22902","HCPCS","Both",,,"3502","1751","Caresource","Medicaid Managed Care","",,"40",,"1400.8","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR SOFT TISSUE ABD WALL <3cm","22902","HCPCS","Both",,,"3502","1751","Wellcare","Medicaid Managed Care","",,"40",,"1418.31","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR SOFT TISSUE ABD WALL <3cm","22902","HCPCS","Both",,,"3502","1751","Aetna","Commercial","",,"64",,"2234.28","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR SOFT TISSUE ABD WALL <3cm","22902","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","Pathways","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR SOFT TISSUE ABD WALL <3cm","22902","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","HMO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR SOFT TISSUE ABD WALL <3cm","22902","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","PPO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR SOFT TISSUE ABD WALL <3cm","22902","HCPCS","Both",,,"3502","1751","Ambetter","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR SOFT TISSUE ABD WALL <3cm","22902","HCPCS","Both",,,"3502","1751","Caresource","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR SOFT TISSUE ABD WALL <3cm","22902","HCPCS","Both",,,"3502","1751","Cigna","Commercial","",,"59",,"2052.17","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR SOFT TISSUE ABD WALL <3cm","22902","HCPCS","Both",,,"3502","1751","Humana","Commercial","",,"78",,"2714.05","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR SOFT TISSUE ABD WALL <3cm","22902","HCPCS","Both",,,"3502","1751","UHC","Commercial","",,"75",,"2640.51","1281.73","2714.05","percent of total billed charges",,
"EXCISION TUMOR SOFT TISSUE ABD WALL <3cm","22902","HCPCS","Both",,,"3502","1751","Medicaid",,"",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"EXCISION SOFT TISS ABD WALL 3cm/GREAT","22903","HCPCS","Both",,,"5695","2847.5","Alliant","Health Exchange","",,"62",,"3530.9","2084.37","4413.62","percent of total billed charges",,
"EXCISION SOFT TISS ABD WALL 3cm/GREAT","22903","HCPCS","Both",,,"5695","2847.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"3075.3","2084.37","4413.62","percent of total billed charges",,
"EXCISION SOFT TISS ABD WALL 3cm/GREAT","22903","HCPCS","Both",,,"5695","2847.5","Medicare",,"",,"54",,"3086.69","2084.37","4413.62","percent of total billed charges",,
"EXCISION SOFT TISS ABD WALL 3cm/GREAT","22903","HCPCS","Both",,,"5695","2847.5","Humana","Medicare Advantage","",,"54",,"3086.69","2084.37","4413.62","percent of total billed charges",,
"EXCISION SOFT TISS ABD WALL 3cm/GREAT","22903","HCPCS","Both",,,"5695","2847.5","UHC","Medicare Advantage","",,"54",,"3086.69","2084.37","4413.62","percent of total billed charges",,
"EXCISION SOFT TISS ABD WALL 3cm/GREAT","22903","HCPCS","Both",,,"5695","2847.5","Clover","Medicare Advantage","",,"54",,"3086.69","2084.37","4413.62","percent of total billed charges",,
"EXCISION SOFT TISS ABD WALL 3cm/GREAT","22903","HCPCS","Both",,,"5695","2847.5","Wellcare","Medicare Advantage","",,"54",,"3086.69","2084.37","4413.62","percent of total billed charges",,
"EXCISION SOFT TISS ABD WALL 3cm/GREAT","22903","HCPCS","Both",,,"5695","2847.5","Amerigroup","Medicaid Managed Care","",,"37",,"2084.37","2084.37","4413.62","percent of total billed charges",,
"EXCISION SOFT TISS ABD WALL 3cm/GREAT","22903","HCPCS","Both",,,"5695","2847.5","Caresource","Medicaid Managed Care","",,"40",,"2278","2084.37","4413.62","percent of total billed charges",,
"EXCISION SOFT TISS ABD WALL 3cm/GREAT","22903","HCPCS","Both",,,"5695","2847.5","Wellcare","Medicaid Managed Care","",,"40",,"2306.48","2084.37","4413.62","percent of total billed charges",,
"EXCISION SOFT TISS ABD WALL 3cm/GREAT","22903","HCPCS","Both",,,"5695","2847.5","Aetna","Commercial","",,"64",,"3633.41","2084.37","4413.62","percent of total billed charges",,
"EXCISION SOFT TISS ABD WALL 3cm/GREAT","22903","HCPCS","Both",,,"5695","2847.5","Blue Cross Blue Shield","Pathways","",,"71",,"4020.67","2084.37","4413.62","percent of total billed charges",,
"EXCISION SOFT TISS ABD WALL 3cm/GREAT","22903","HCPCS","Both",,,"5695","2847.5","Blue Cross Blue Shield","HMO","",,"71",,"4020.67","2084.37","4413.62","percent of total billed charges",,
"EXCISION SOFT TISS ABD WALL 3cm/GREAT","22903","HCPCS","Both",,,"5695","2847.5","Blue Cross Blue Shield","PPO","",,"71",,"4020.67","2084.37","4413.62","percent of total billed charges",,
"EXCISION SOFT TISS ABD WALL 3cm/GREAT","22903","HCPCS","Both",,,"5695","2847.5","Ambetter","Health Exchange","",,"62",,"3530.9","2084.37","4413.62","percent of total billed charges",,
"EXCISION SOFT TISS ABD WALL 3cm/GREAT","22903","HCPCS","Both",,,"5695","2847.5","Caresource","Health Exchange","",,"62",,"3530.9","2084.37","4413.62","percent of total billed charges",,
"EXCISION SOFT TISS ABD WALL 3cm/GREAT","22903","HCPCS","Both",,,"5695","2847.5","Cigna","Commercial","",,"59",,"3337.27","2084.37","4413.62","percent of total billed charges",,
"EXCISION SOFT TISS ABD WALL 3cm/GREAT","22903","HCPCS","Both",,,"5695","2847.5","Humana","Commercial","",,"78",,"4413.62","2084.37","4413.62","percent of total billed charges",,
"EXCISION SOFT TISS ABD WALL 3cm/GREAT","22903","HCPCS","Both",,,"5695","2847.5","UHC","Commercial","",,"75",,"4294.03","2084.37","4413.62","percent of total billed charges",,
"EXCISION SOFT TISS ABD WALL 3cm/GREAT","22903","HCPCS","Both",,,"5695","2847.5","Medicaid",,"",,"37",,"2084.37","2084.37","4413.62","percent of total billed charges",,
"BX SFT TISS SHLDR SUPERFICIAL","23065","HCPCS","Both",,,"1823","911.5","Alliant","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"BX SFT TISS SHLDR SUPERFICIAL","23065","HCPCS","Both",,,"1823","911.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"984.42","667.22","1412.82","percent of total billed charges",,
"BX SFT TISS SHLDR SUPERFICIAL","23065","HCPCS","Both",,,"1823","911.5","Medicare",,"",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"BX SFT TISS SHLDR SUPERFICIAL","23065","HCPCS","Both",,,"1823","911.5","Humana","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"BX SFT TISS SHLDR SUPERFICIAL","23065","HCPCS","Both",,,"1823","911.5","UHC","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"BX SFT TISS SHLDR SUPERFICIAL","23065","HCPCS","Both",,,"1823","911.5","Clover","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"BX SFT TISS SHLDR SUPERFICIAL","23065","HCPCS","Both",,,"1823","911.5","Wellcare","Medicare Advantage","",,"54",,"988.07","667.22","1412.82","percent of total billed charges",,
"BX SFT TISS SHLDR SUPERFICIAL","23065","HCPCS","Both",,,"1823","911.5","Amerigroup","Medicaid Managed Care","",,"37",,"667.22","667.22","1412.82","percent of total billed charges",,
"BX SFT TISS SHLDR SUPERFICIAL","23065","HCPCS","Both",,,"1823","911.5","Caresource","Medicaid Managed Care","",,"40",,"729.2","667.22","1412.82","percent of total billed charges",,
"BX SFT TISS SHLDR SUPERFICIAL","23065","HCPCS","Both",,,"1823","911.5","Wellcare","Medicaid Managed Care","",,"40",,"738.32","667.22","1412.82","percent of total billed charges",,
"BX SFT TISS SHLDR SUPERFICIAL","23065","HCPCS","Both",,,"1823","911.5","Aetna","Commercial","",,"64",,"1163.07","667.22","1412.82","percent of total billed charges",,
"BX SFT TISS SHLDR SUPERFICIAL","23065","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","Pathways","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"BX SFT TISS SHLDR SUPERFICIAL","23065","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","HMO","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"BX SFT TISS SHLDR SUPERFICIAL","23065","HCPCS","Both",,,"1823","911.5","Blue Cross Blue Shield","PPO","",,"71",,"1287.04","667.22","1412.82","percent of total billed charges",,
"BX SFT TISS SHLDR SUPERFICIAL","23065","HCPCS","Both",,,"1823","911.5","Ambetter","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"BX SFT TISS SHLDR SUPERFICIAL","23065","HCPCS","Both",,,"1823","911.5","Caresource","Health Exchange","",,"62",,"1130.26","667.22","1412.82","percent of total billed charges",,
"BX SFT TISS SHLDR SUPERFICIAL","23065","HCPCS","Both",,,"1823","911.5","Cigna","Commercial","",,"59",,"1068.28","667.22","1412.82","percent of total billed charges",,
"BX SFT TISS SHLDR SUPERFICIAL","23065","HCPCS","Both",,,"1823","911.5","Humana","Commercial","",,"78",,"1412.82","667.22","1412.82","percent of total billed charges",,
"BX SFT TISS SHLDR SUPERFICIAL","23065","HCPCS","Both",,,"1823","911.5","UHC","Commercial","",,"75",,"1374.54","667.22","1412.82","percent of total billed charges",,
"BX SFT TISS SHLDR SUPERFICIAL","23065","HCPCS","Both",,,"1823","911.5","Medicaid",,"",,"37",,"667.22","667.22","1412.82","percent of total billed charges",,
"EXCISION SFT TISS TUMOR SHOULD SUBC 5cm>","23073","HCPCS","Both",,,"3502","1751","Alliant","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION SFT TISS TUMOR SHOULD SUBC 5cm>","23073","HCPCS","Both",,,"3502","1751","Pruitt Healthcare","Medicare Advantage","",,"54",,"1891.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION SFT TISS TUMOR SHOULD SUBC 5cm>","23073","HCPCS","Both",,,"3502","1751","Medicare",,"",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION SFT TISS TUMOR SHOULD SUBC 5cm>","23073","HCPCS","Both",,,"3502","1751","Humana","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION SFT TISS TUMOR SHOULD SUBC 5cm>","23073","HCPCS","Both",,,"3502","1751","UHC","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION SFT TISS TUMOR SHOULD SUBC 5cm>","23073","HCPCS","Both",,,"3502","1751","Clover","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION SFT TISS TUMOR SHOULD SUBC 5cm>","23073","HCPCS","Both",,,"3502","1751","Wellcare","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION SFT TISS TUMOR SHOULD SUBC 5cm>","23073","HCPCS","Both",,,"3502","1751","Amerigroup","Medicaid Managed Care","",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"EXCISION SFT TISS TUMOR SHOULD SUBC 5cm>","23073","HCPCS","Both",,,"3502","1751","Caresource","Medicaid Managed Care","",,"40",,"1400.8","1281.73","2714.05","percent of total billed charges",,
"EXCISION SFT TISS TUMOR SHOULD SUBC 5cm>","23073","HCPCS","Both",,,"3502","1751","Wellcare","Medicaid Managed Care","",,"40",,"1418.31","1281.73","2714.05","percent of total billed charges",,
"EXCISION SFT TISS TUMOR SHOULD SUBC 5cm>","23073","HCPCS","Both",,,"3502","1751","Aetna","Commercial","",,"64",,"2234.28","1281.73","2714.05","percent of total billed charges",,
"EXCISION SFT TISS TUMOR SHOULD SUBC 5cm>","23073","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","Pathways","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION SFT TISS TUMOR SHOULD SUBC 5cm>","23073","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","HMO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION SFT TISS TUMOR SHOULD SUBC 5cm>","23073","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","PPO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION SFT TISS TUMOR SHOULD SUBC 5cm>","23073","HCPCS","Both",,,"3502","1751","Ambetter","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION SFT TISS TUMOR SHOULD SUBC 5cm>","23073","HCPCS","Both",,,"3502","1751","Caresource","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION SFT TISS TUMOR SHOULD SUBC 5cm>","23073","HCPCS","Both",,,"3502","1751","Cigna","Commercial","",,"59",,"2052.17","1281.73","2714.05","percent of total billed charges",,
"EXCISION SFT TISS TUMOR SHOULD SUBC 5cm>","23073","HCPCS","Both",,,"3502","1751","Humana","Commercial","",,"78",,"2714.05","1281.73","2714.05","percent of total billed charges",,
"EXCISION SFT TISS TUMOR SHOULD SUBC 5cm>","23073","HCPCS","Both",,,"3502","1751","UHC","Commercial","",,"75",,"2640.51","1281.73","2714.05","percent of total billed charges",,
"EXCISION SFT TISS TUMOR SHOULD SUBC 5cm>","23073","HCPCS","Both",,,"3502","1751","Medicaid",,"",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"EXCISION SFT TISS TUMOR SHOULD SUBC <3CM","23075","HCPCS","Both",,,"3502","1751","Alliant","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION SFT TISS TUMOR SHOULD SUBC <3CM","23075","HCPCS","Both",,,"3502","1751","Pruitt Healthcare","Medicare Advantage","",,"54",,"1891.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION SFT TISS TUMOR SHOULD SUBC <3CM","23075","HCPCS","Both",,,"3502","1751","Medicare",,"",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION SFT TISS TUMOR SHOULD SUBC <3CM","23075","HCPCS","Both",,,"3502","1751","Humana","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION SFT TISS TUMOR SHOULD SUBC <3CM","23075","HCPCS","Both",,,"3502","1751","UHC","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION SFT TISS TUMOR SHOULD SUBC <3CM","23075","HCPCS","Both",,,"3502","1751","Clover","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION SFT TISS TUMOR SHOULD SUBC <3CM","23075","HCPCS","Both",,,"3502","1751","Wellcare","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION SFT TISS TUMOR SHOULD SUBC <3CM","23075","HCPCS","Both",,,"3502","1751","Amerigroup","Medicaid Managed Care","",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"EXCISION SFT TISS TUMOR SHOULD SUBC <3CM","23075","HCPCS","Both",,,"3502","1751","Caresource","Medicaid Managed Care","",,"40",,"1400.8","1281.73","2714.05","percent of total billed charges",,
"EXCISION SFT TISS TUMOR SHOULD SUBC <3CM","23075","HCPCS","Both",,,"3502","1751","Wellcare","Medicaid Managed Care","",,"40",,"1418.31","1281.73","2714.05","percent of total billed charges",,
"EXCISION SFT TISS TUMOR SHOULD SUBC <3CM","23075","HCPCS","Both",,,"3502","1751","Aetna","Commercial","",,"64",,"2234.28","1281.73","2714.05","percent of total billed charges",,
"EXCISION SFT TISS TUMOR SHOULD SUBC <3CM","23075","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","Pathways","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION SFT TISS TUMOR SHOULD SUBC <3CM","23075","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","HMO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION SFT TISS TUMOR SHOULD SUBC <3CM","23075","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","PPO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION SFT TISS TUMOR SHOULD SUBC <3CM","23075","HCPCS","Both",,,"3502","1751","Ambetter","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION SFT TISS TUMOR SHOULD SUBC <3CM","23075","HCPCS","Both",,,"3502","1751","Caresource","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION SFT TISS TUMOR SHOULD SUBC <3CM","23075","HCPCS","Both",,,"3502","1751","Cigna","Commercial","",,"59",,"2052.17","1281.73","2714.05","percent of total billed charges",,
"EXCISION SFT TISS TUMOR SHOULD SUBC <3CM","23075","HCPCS","Both",,,"3502","1751","Humana","Commercial","",,"78",,"2714.05","1281.73","2714.05","percent of total billed charges",,
"EXCISION SFT TISS TUMOR SHOULD SUBC <3CM","23075","HCPCS","Both",,,"3502","1751","UHC","Commercial","",,"75",,"2640.51","1281.73","2714.05","percent of total billed charges",,
"EXCISION SFT TISS TUMOR SHOULD SUBC <3CM","23075","HCPCS","Both",,,"3502","1751","Medicaid",,"",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"CORACOACROMIAL LIGAMENT RELEASE","23415","HCPCS","Both",,,"10730.5","5365.25","Alliant","Health Exchange","",,"62",,"6652.91","3927.36","8316.14","percent of total billed charges",,
"CORACOACROMIAL LIGAMENT RELEASE","23415","HCPCS","Both",,,"10730.5","5365.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"5794.47","3927.36","8316.14","percent of total billed charges",,
"CORACOACROMIAL LIGAMENT RELEASE","23415","HCPCS","Both",,,"10730.5","5365.25","Medicare",,"",,"54",,"5815.93","3927.36","8316.14","percent of total billed charges",,
"CORACOACROMIAL LIGAMENT RELEASE","23415","HCPCS","Both",,,"10730.5","5365.25","Humana","Medicare Advantage","",,"54",,"5815.93","3927.36","8316.14","percent of total billed charges",,
"CORACOACROMIAL LIGAMENT RELEASE","23415","HCPCS","Both",,,"10730.5","5365.25","UHC","Medicare Advantage","",,"54",,"5815.93","3927.36","8316.14","percent of total billed charges",,
"CORACOACROMIAL LIGAMENT RELEASE","23415","HCPCS","Both",,,"10730.5","5365.25","Clover","Medicare Advantage","",,"54",,"5815.93","3927.36","8316.14","percent of total billed charges",,
"CORACOACROMIAL LIGAMENT RELEASE","23415","HCPCS","Both",,,"10730.5","5365.25","Wellcare","Medicare Advantage","",,"54",,"5815.93","3927.36","8316.14","percent of total billed charges",,
"CORACOACROMIAL LIGAMENT RELEASE","23415","HCPCS","Both",,,"10730.5","5365.25","Amerigroup","Medicaid Managed Care","",,"37",,"3927.36","3927.36","8316.14","percent of total billed charges",,
"CORACOACROMIAL LIGAMENT RELEASE","23415","HCPCS","Both",,,"10730.5","5365.25","Caresource","Medicaid Managed Care","",,"40",,"4292.2","3927.36","8316.14","percent of total billed charges",,
"CORACOACROMIAL LIGAMENT RELEASE","23415","HCPCS","Both",,,"10730.5","5365.25","Wellcare","Medicaid Managed Care","",,"40",,"4345.85","3927.36","8316.14","percent of total billed charges",,
"CORACOACROMIAL LIGAMENT RELEASE","23415","HCPCS","Both",,,"10730.5","5365.25","Aetna","Commercial","",,"64",,"6846.06","3927.36","8316.14","percent of total billed charges",,
"CORACOACROMIAL LIGAMENT RELEASE","23415","HCPCS","Both",,,"10730.5","5365.25","Blue Cross Blue Shield","Pathways","",,"71",,"7575.73","3927.36","8316.14","percent of total billed charges",,
"CORACOACROMIAL LIGAMENT RELEASE","23415","HCPCS","Both",,,"10730.5","5365.25","Blue Cross Blue Shield","HMO","",,"71",,"7575.73","3927.36","8316.14","percent of total billed charges",,
"CORACOACROMIAL LIGAMENT RELEASE","23415","HCPCS","Both",,,"10730.5","5365.25","Blue Cross Blue Shield","PPO","",,"71",,"7575.73","3927.36","8316.14","percent of total billed charges",,
"CORACOACROMIAL LIGAMENT RELEASE","23415","HCPCS","Both",,,"10730.5","5365.25","Ambetter","Health Exchange","",,"62",,"6652.91","3927.36","8316.14","percent of total billed charges",,
"CORACOACROMIAL LIGAMENT RELEASE","23415","HCPCS","Both",,,"10730.5","5365.25","Caresource","Health Exchange","",,"62",,"6652.91","3927.36","8316.14","percent of total billed charges",,
"CORACOACROMIAL LIGAMENT RELEASE","23415","HCPCS","Both",,,"10730.5","5365.25","Cigna","Commercial","",,"59",,"6288.07","3927.36","8316.14","percent of total billed charges",,
"CORACOACROMIAL LIGAMENT RELEASE","23415","HCPCS","Both",,,"10730.5","5365.25","Humana","Commercial","",,"78",,"8316.14","3927.36","8316.14","percent of total billed charges",,
"CORACOACROMIAL LIGAMENT RELEASE","23415","HCPCS","Both",,,"10730.5","5365.25","UHC","Commercial","",,"75",,"8090.8","3927.36","8316.14","percent of total billed charges",,
"CORACOACROMIAL LIGAMENT RELEASE","23415","HCPCS","Both",,,"10730.5","5365.25","Medicaid",,"",,"37",,"3927.36","3927.36","8316.14","percent of total billed charges",,
"UNLISTED PROCEDURE SHOULDER","23929","HCPCS","Both",,,"231.45","115.725","Alliant","Health Exchange","",,"62",,"143.5","84.71","179.37","percent of total billed charges",,
"UNLISTED PROCEDURE SHOULDER","23929","HCPCS","Both",,,"231.45","115.725","Pruitt Healthcare","Medicare Advantage","",,"54",,"124.98","84.71","179.37","percent of total billed charges",,
"UNLISTED PROCEDURE SHOULDER","23929","HCPCS","Both",,,"231.45","115.725","Medicare",,"",,"54",,"125.45","84.71","179.37","percent of total billed charges",,
"UNLISTED PROCEDURE SHOULDER","23929","HCPCS","Both",,,"231.45","115.725","Humana","Medicare Advantage","",,"54",,"125.45","84.71","179.37","percent of total billed charges",,
"UNLISTED PROCEDURE SHOULDER","23929","HCPCS","Both",,,"231.45","115.725","UHC","Medicare Advantage","",,"54",,"125.45","84.71","179.37","percent of total billed charges",,
"UNLISTED PROCEDURE SHOULDER","23929","HCPCS","Both",,,"231.45","115.725","Clover","Medicare Advantage","",,"54",,"125.45","84.71","179.37","percent of total billed charges",,
"UNLISTED PROCEDURE SHOULDER","23929","HCPCS","Both",,,"231.45","115.725","Wellcare","Medicare Advantage","",,"54",,"125.45","84.71","179.37","percent of total billed charges",,
"UNLISTED PROCEDURE SHOULDER","23929","HCPCS","Both",,,"231.45","115.725","Amerigroup","Medicaid Managed Care","",,"37",,"84.71","84.71","179.37","percent of total billed charges",,
"UNLISTED PROCEDURE SHOULDER","23929","HCPCS","Both",,,"231.45","115.725","Caresource","Medicaid Managed Care","",,"40",,"92.58","84.71","179.37","percent of total billed charges",,
"UNLISTED PROCEDURE SHOULDER","23929","HCPCS","Both",,,"231.45","115.725","Wellcare","Medicaid Managed Care","",,"40",,"93.74","84.71","179.37","percent of total billed charges",,
"UNLISTED PROCEDURE SHOULDER","23929","HCPCS","Both",,,"231.45","115.725","Aetna","Commercial","",,"64",,"147.67","84.71","179.37","percent of total billed charges",,
"UNLISTED PROCEDURE SHOULDER","23929","HCPCS","Both",,,"231.45","115.725","Blue Cross Blue Shield","Pathways","",,"71",,"163.4","84.71","179.37","percent of total billed charges",,
"UNLISTED PROCEDURE SHOULDER","23929","HCPCS","Both",,,"231.45","115.725","Blue Cross Blue Shield","HMO","",,"71",,"163.4","84.71","179.37","percent of total billed charges",,
"UNLISTED PROCEDURE SHOULDER","23929","HCPCS","Both",,,"231.45","115.725","Blue Cross Blue Shield","PPO","",,"71",,"163.4","84.71","179.37","percent of total billed charges",,
"UNLISTED PROCEDURE SHOULDER","23929","HCPCS","Both",,,"231.45","115.725","Ambetter","Health Exchange","",,"62",,"143.5","84.71","179.37","percent of total billed charges",,
"UNLISTED PROCEDURE SHOULDER","23929","HCPCS","Both",,,"231.45","115.725","Caresource","Health Exchange","",,"62",,"143.5","84.71","179.37","percent of total billed charges",,
"UNLISTED PROCEDURE SHOULDER","23929","HCPCS","Both",,,"231.45","115.725","Cigna","Commercial","",,"59",,"135.63","84.71","179.37","percent of total billed charges",,
"UNLISTED PROCEDURE SHOULDER","23929","HCPCS","Both",,,"231.45","115.725","Humana","Commercial","",,"78",,"179.37","84.71","179.37","percent of total billed charges",,
"UNLISTED PROCEDURE SHOULDER","23929","HCPCS","Both",,,"231.45","115.725","UHC","Commercial","",,"75",,"174.51","84.71","179.37","percent of total billed charges",,
"UNLISTED PROCEDURE SHOULDER","23929","HCPCS","Both",,,"231.45","115.725","Medicaid",,"",,"37",,"84.71","84.71","179.37","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM ELB BU","23931","HCPCS","Both",,,"2265.5","1132.75","Alliant","Health Exchange","",,"62",,"1404.61","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM ELB BU","23931","HCPCS","Both",,,"2265.5","1132.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"1223.37","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM ELB BU","23931","HCPCS","Both",,,"2265.5","1132.75","Medicare",,"",,"54",,"1227.9","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM ELB BU","23931","HCPCS","Both",,,"2265.5","1132.75","Humana","Medicare Advantage","",,"54",,"1227.9","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM ELB BU","23931","HCPCS","Both",,,"2265.5","1132.75","UHC","Medicare Advantage","",,"54",,"1227.9","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM ELB BU","23931","HCPCS","Both",,,"2265.5","1132.75","Clover","Medicare Advantage","",,"54",,"1227.9","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM ELB BU","23931","HCPCS","Both",,,"2265.5","1132.75","Wellcare","Medicare Advantage","",,"54",,"1227.9","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM ELB BU","23931","HCPCS","Both",,,"2265.5","1132.75","Amerigroup","Medicaid Managed Care","",,"37",,"829.17","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM ELB BU","23931","HCPCS","Both",,,"2265.5","1132.75","Caresource","Medicaid Managed Care","",,"40",,"906.2","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM ELB BU","23931","HCPCS","Both",,,"2265.5","1132.75","Wellcare","Medicaid Managed Care","",,"40",,"917.53","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM ELB BU","23931","HCPCS","Both",,,"2265.5","1132.75","Aetna","Commercial","",,"64",,"1445.39","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM ELB BU","23931","HCPCS","Both",,,"2265.5","1132.75","Blue Cross Blue Shield","Pathways","",,"71",,"1599.44","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM ELB BU","23931","HCPCS","Both",,,"2265.5","1132.75","Blue Cross Blue Shield","HMO","",,"71",,"1599.44","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM ELB BU","23931","HCPCS","Both",,,"2265.5","1132.75","Blue Cross Blue Shield","PPO","",,"71",,"1599.44","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM ELB BU","23931","HCPCS","Both",,,"2265.5","1132.75","Ambetter","Health Exchange","",,"62",,"1404.61","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM ELB BU","23931","HCPCS","Both",,,"2265.5","1132.75","Caresource","Health Exchange","",,"62",,"1404.61","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM ELB BU","23931","HCPCS","Both",,,"2265.5","1132.75","Cigna","Commercial","",,"59",,"1327.58","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM ELB BU","23931","HCPCS","Both",,,"2265.5","1132.75","Humana","Commercial","",,"78",,"1755.76","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM ELB BU","23931","HCPCS","Both",,,"2265.5","1132.75","UHC","Commercial","",,"75",,"1708.19","829.17","1755.76","percent of total billed charges",,
"INCISION & DRAINAGE UPPER ARM ELB BU","23931","HCPCS","Both",,,"2265.5","1132.75","Medicaid",,"",,"37",,"829.17","829.17","1755.76","percent of total billed charges",,
"BX DEEP UPPER ARM OR ELBOW","24066","HCPCS","Both",,,"3502","1751","Alliant","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"BX DEEP UPPER ARM OR ELBOW","24066","HCPCS","Both",,,"3502","1751","Pruitt Healthcare","Medicare Advantage","",,"54",,"1891.08","1281.73","2714.05","percent of total billed charges",,
"BX DEEP UPPER ARM OR ELBOW","24066","HCPCS","Both",,,"3502","1751","Medicare",,"",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"BX DEEP UPPER ARM OR ELBOW","24066","HCPCS","Both",,,"3502","1751","Humana","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"BX DEEP UPPER ARM OR ELBOW","24066","HCPCS","Both",,,"3502","1751","UHC","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"BX DEEP UPPER ARM OR ELBOW","24066","HCPCS","Both",,,"3502","1751","Clover","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"BX DEEP UPPER ARM OR ELBOW","24066","HCPCS","Both",,,"3502","1751","Wellcare","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"BX DEEP UPPER ARM OR ELBOW","24066","HCPCS","Both",,,"3502","1751","Amerigroup","Medicaid Managed Care","",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"BX DEEP UPPER ARM OR ELBOW","24066","HCPCS","Both",,,"3502","1751","Caresource","Medicaid Managed Care","",,"40",,"1400.8","1281.73","2714.05","percent of total billed charges",,
"BX DEEP UPPER ARM OR ELBOW","24066","HCPCS","Both",,,"3502","1751","Wellcare","Medicaid Managed Care","",,"40",,"1418.31","1281.73","2714.05","percent of total billed charges",,
"BX DEEP UPPER ARM OR ELBOW","24066","HCPCS","Both",,,"3502","1751","Aetna","Commercial","",,"64",,"2234.28","1281.73","2714.05","percent of total billed charges",,
"BX DEEP UPPER ARM OR ELBOW","24066","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","Pathways","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"BX DEEP UPPER ARM OR ELBOW","24066","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","HMO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"BX DEEP UPPER ARM OR ELBOW","24066","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","PPO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"BX DEEP UPPER ARM OR ELBOW","24066","HCPCS","Both",,,"3502","1751","Ambetter","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"BX DEEP UPPER ARM OR ELBOW","24066","HCPCS","Both",,,"3502","1751","Caresource","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"BX DEEP UPPER ARM OR ELBOW","24066","HCPCS","Both",,,"3502","1751","Cigna","Commercial","",,"59",,"2052.17","1281.73","2714.05","percent of total billed charges",,
"BX DEEP UPPER ARM OR ELBOW","24066","HCPCS","Both",,,"3502","1751","Humana","Commercial","",,"78",,"2714.05","1281.73","2714.05","percent of total billed charges",,
"BX DEEP UPPER ARM OR ELBOW","24066","HCPCS","Both",,,"3502","1751","UHC","Commercial","",,"75",,"2640.51","1281.73","2714.05","percent of total billed charges",,
"BX DEEP UPPER ARM OR ELBOW","24066","HCPCS","Both",,,"3502","1751","Medicaid",,"",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE UPPER ARM/ELB","24073","HCPCS","Both",,,"3502","1751","Alliant","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE UPPER ARM/ELB","24073","HCPCS","Both",,,"3502","1751","Pruitt Healthcare","Medicare Advantage","",,"54",,"1891.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE UPPER ARM/ELB","24073","HCPCS","Both",,,"3502","1751","Medicare",,"",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE UPPER ARM/ELB","24073","HCPCS","Both",,,"3502","1751","Humana","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE UPPER ARM/ELB","24073","HCPCS","Both",,,"3502","1751","UHC","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE UPPER ARM/ELB","24073","HCPCS","Both",,,"3502","1751","Clover","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE UPPER ARM/ELB","24073","HCPCS","Both",,,"3502","1751","Wellcare","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE UPPER ARM/ELB","24073","HCPCS","Both",,,"3502","1751","Amerigroup","Medicaid Managed Care","",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE UPPER ARM/ELB","24073","HCPCS","Both",,,"3502","1751","Caresource","Medicaid Managed Care","",,"40",,"1400.8","1281.73","2714.05","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE UPPER ARM/ELB","24073","HCPCS","Both",,,"3502","1751","Wellcare","Medicaid Managed Care","",,"40",,"1418.31","1281.73","2714.05","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE UPPER ARM/ELB","24073","HCPCS","Both",,,"3502","1751","Aetna","Commercial","",,"64",,"2234.28","1281.73","2714.05","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE UPPER ARM/ELB","24073","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","Pathways","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE UPPER ARM/ELB","24073","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","HMO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE UPPER ARM/ELB","24073","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","PPO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE UPPER ARM/ELB","24073","HCPCS","Both",,,"3502","1751","Ambetter","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE UPPER ARM/ELB","24073","HCPCS","Both",,,"3502","1751","Caresource","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE UPPER ARM/ELB","24073","HCPCS","Both",,,"3502","1751","Cigna","Commercial","",,"59",,"2052.17","1281.73","2714.05","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE UPPER ARM/ELB","24073","HCPCS","Both",,,"3502","1751","Humana","Commercial","",,"78",,"2714.05","1281.73","2714.05","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE UPPER ARM/ELB","24073","HCPCS","Both",,,"3502","1751","UHC","Commercial","",,"75",,"2640.51","1281.73","2714.05","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE UPPER ARM/ELB","24073","HCPCS","Both",,,"3502","1751","Medicaid",,"",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE UPPER ARM/ELB","24075","HCPCS","Both",,,"3502","1751","Alliant","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE UPPER ARM/ELB","24075","HCPCS","Both",,,"3502","1751","Pruitt Healthcare","Medicare Advantage","",,"54",,"1891.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE UPPER ARM/ELB","24075","HCPCS","Both",,,"3502","1751","Medicare",,"",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE UPPER ARM/ELB","24075","HCPCS","Both",,,"3502","1751","Humana","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE UPPER ARM/ELB","24075","HCPCS","Both",,,"3502","1751","UHC","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE UPPER ARM/ELB","24075","HCPCS","Both",,,"3502","1751","Clover","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE UPPER ARM/ELB","24075","HCPCS","Both",,,"3502","1751","Wellcare","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE UPPER ARM/ELB","24075","HCPCS","Both",,,"3502","1751","Amerigroup","Medicaid Managed Care","",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE UPPER ARM/ELB","24075","HCPCS","Both",,,"3502","1751","Caresource","Medicaid Managed Care","",,"40",,"1400.8","1281.73","2714.05","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE UPPER ARM/ELB","24075","HCPCS","Both",,,"3502","1751","Wellcare","Medicaid Managed Care","",,"40",,"1418.31","1281.73","2714.05","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE UPPER ARM/ELB","24075","HCPCS","Both",,,"3502","1751","Aetna","Commercial","",,"64",,"2234.28","1281.73","2714.05","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE UPPER ARM/ELB","24075","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","Pathways","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE UPPER ARM/ELB","24075","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","HMO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE UPPER ARM/ELB","24075","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","PPO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE UPPER ARM/ELB","24075","HCPCS","Both",,,"3502","1751","Ambetter","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE UPPER ARM/ELB","24075","HCPCS","Both",,,"3502","1751","Caresource","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE UPPER ARM/ELB","24075","HCPCS","Both",,,"3502","1751","Cigna","Commercial","",,"59",,"2052.17","1281.73","2714.05","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE UPPER ARM/ELB","24075","HCPCS","Both",,,"3502","1751","Humana","Commercial","",,"78",,"2714.05","1281.73","2714.05","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE UPPER ARM/ELB","24075","HCPCS","Both",,,"3502","1751","UHC","Commercial","",,"75",,"2640.51","1281.73","2714.05","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE UPPER ARM/ELB","24075","HCPCS","Both",,,"3502","1751","Medicaid",,"",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"EXCISION R SUPERIOR POST BRACHIAL CYST","24076","HCPCS","Both",,,"3502","1751","Alliant","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION R SUPERIOR POST BRACHIAL CYST","24076","HCPCS","Both",,,"3502","1751","Pruitt Healthcare","Medicare Advantage","",,"54",,"1891.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION R SUPERIOR POST BRACHIAL CYST","24076","HCPCS","Both",,,"3502","1751","Medicare",,"",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION R SUPERIOR POST BRACHIAL CYST","24076","HCPCS","Both",,,"3502","1751","Humana","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION R SUPERIOR POST BRACHIAL CYST","24076","HCPCS","Both",,,"3502","1751","UHC","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION R SUPERIOR POST BRACHIAL CYST","24076","HCPCS","Both",,,"3502","1751","Clover","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION R SUPERIOR POST BRACHIAL CYST","24076","HCPCS","Both",,,"3502","1751","Wellcare","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION R SUPERIOR POST BRACHIAL CYST","24076","HCPCS","Both",,,"3502","1751","Amerigroup","Medicaid Managed Care","",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"EXCISION R SUPERIOR POST BRACHIAL CYST","24076","HCPCS","Both",,,"3502","1751","Caresource","Medicaid Managed Care","",,"40",,"1400.8","1281.73","2714.05","percent of total billed charges",,
"EXCISION R SUPERIOR POST BRACHIAL CYST","24076","HCPCS","Both",,,"3502","1751","Wellcare","Medicaid Managed Care","",,"40",,"1418.31","1281.73","2714.05","percent of total billed charges",,
"EXCISION R SUPERIOR POST BRACHIAL CYST","24076","HCPCS","Both",,,"3502","1751","Aetna","Commercial","",,"64",,"2234.28","1281.73","2714.05","percent of total billed charges",,
"EXCISION R SUPERIOR POST BRACHIAL CYST","24076","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","Pathways","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION R SUPERIOR POST BRACHIAL CYST","24076","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","HMO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION R SUPERIOR POST BRACHIAL CYST","24076","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","PPO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION R SUPERIOR POST BRACHIAL CYST","24076","HCPCS","Both",,,"3502","1751","Ambetter","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION R SUPERIOR POST BRACHIAL CYST","24076","HCPCS","Both",,,"3502","1751","Caresource","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION R SUPERIOR POST BRACHIAL CYST","24076","HCPCS","Both",,,"3502","1751","Cigna","Commercial","",,"59",,"2052.17","1281.73","2714.05","percent of total billed charges",,
"EXCISION R SUPERIOR POST BRACHIAL CYST","24076","HCPCS","Both",,,"3502","1751","Humana","Commercial","",,"78",,"2714.05","1281.73","2714.05","percent of total billed charges",,
"EXCISION R SUPERIOR POST BRACHIAL CYST","24076","HCPCS","Both",,,"3502","1751","UHC","Commercial","",,"75",,"2640.51","1281.73","2714.05","percent of total billed charges",,
"EXCISION R SUPERIOR POST BRACHIAL CYST","24076","HCPCS","Both",,,"3502","1751","Medicaid",,"",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"EXCISION, OLECRANON BURSA","24105","HCPCS","Both",,,"4855.5","2427.75","Alliant","Health Exchange","",,"62",,"3010.41","1777.11","3763.01","percent of total billed charges",,
"EXCISION, OLECRANON BURSA","24105","HCPCS","Both",,,"4855.5","2427.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"2621.97","1777.11","3763.01","percent of total billed charges",,
"EXCISION, OLECRANON BURSA","24105","HCPCS","Both",,,"4855.5","2427.75","Medicare",,"",,"54",,"2631.68","1777.11","3763.01","percent of total billed charges",,
"EXCISION, OLECRANON BURSA","24105","HCPCS","Both",,,"4855.5","2427.75","Humana","Medicare Advantage","",,"54",,"2631.68","1777.11","3763.01","percent of total billed charges",,
"EXCISION, OLECRANON BURSA","24105","HCPCS","Both",,,"4855.5","2427.75","UHC","Medicare Advantage","",,"54",,"2631.68","1777.11","3763.01","percent of total billed charges",,
"EXCISION, OLECRANON BURSA","24105","HCPCS","Both",,,"4855.5","2427.75","Clover","Medicare Advantage","",,"54",,"2631.68","1777.11","3763.01","percent of total billed charges",,
"EXCISION, OLECRANON BURSA","24105","HCPCS","Both",,,"4855.5","2427.75","Wellcare","Medicare Advantage","",,"54",,"2631.68","1777.11","3763.01","percent of total billed charges",,
"EXCISION, OLECRANON BURSA","24105","HCPCS","Both",,,"4855.5","2427.75","Amerigroup","Medicaid Managed Care","",,"37",,"1777.11","1777.11","3763.01","percent of total billed charges",,
"EXCISION, OLECRANON BURSA","24105","HCPCS","Both",,,"4855.5","2427.75","Caresource","Medicaid Managed Care","",,"40",,"1942.2","1777.11","3763.01","percent of total billed charges",,
"EXCISION, OLECRANON BURSA","24105","HCPCS","Both",,,"4855.5","2427.75","Wellcare","Medicaid Managed Care","",,"40",,"1966.48","1777.11","3763.01","percent of total billed charges",,
"EXCISION, OLECRANON BURSA","24105","HCPCS","Both",,,"4855.5","2427.75","Aetna","Commercial","",,"64",,"3097.81","1777.11","3763.01","percent of total billed charges",,
"EXCISION, OLECRANON BURSA","24105","HCPCS","Both",,,"4855.5","2427.75","Blue Cross Blue Shield","Pathways","",,"71",,"3427.98","1777.11","3763.01","percent of total billed charges",,
"EXCISION, OLECRANON BURSA","24105","HCPCS","Both",,,"4855.5","2427.75","Blue Cross Blue Shield","HMO","",,"71",,"3427.98","1777.11","3763.01","percent of total billed charges",,
"EXCISION, OLECRANON BURSA","24105","HCPCS","Both",,,"4855.5","2427.75","Blue Cross Blue Shield","PPO","",,"71",,"3427.98","1777.11","3763.01","percent of total billed charges",,
"EXCISION, OLECRANON BURSA","24105","HCPCS","Both",,,"4855.5","2427.75","Ambetter","Health Exchange","",,"62",,"3010.41","1777.11","3763.01","percent of total billed charges",,
"EXCISION, OLECRANON BURSA","24105","HCPCS","Both",,,"4855.5","2427.75","Caresource","Health Exchange","",,"62",,"3010.41","1777.11","3763.01","percent of total billed charges",,
"EXCISION, OLECRANON BURSA","24105","HCPCS","Both",,,"4855.5","2427.75","Cigna","Commercial","",,"59",,"2845.32","1777.11","3763.01","percent of total billed charges",,
"EXCISION, OLECRANON BURSA","24105","HCPCS","Both",,,"4855.5","2427.75","Humana","Commercial","",,"78",,"3763.01","1777.11","3763.01","percent of total billed charges",,
"EXCISION, OLECRANON BURSA","24105","HCPCS","Both",,,"4855.5","2427.75","UHC","Commercial","",,"75",,"3661.05","1777.11","3763.01","percent of total billed charges",,
"EXCISION, OLECRANON BURSA","24105","HCPCS","Both",,,"4855.5","2427.75","Medicaid",,"",,"37",,"1777.11","1777.11","3763.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY UPPER ARM ELBOW DEE","24201","HCPCS","Both",,,"433","216.5","Alliant","Health Exchange","",,"62",,"268.46","158.48","335.58","percent of total billed charges",,
"REMOVAL FOREIGN BODY UPPER ARM ELBOW DEE","24201","HCPCS","Both",,,"433","216.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"233.82","158.48","335.58","percent of total billed charges",,
"REMOVAL FOREIGN BODY UPPER ARM ELBOW DEE","24201","HCPCS","Both",,,"433","216.5","Medicare",,"",,"54",,"234.69","158.48","335.58","percent of total billed charges",,
"REMOVAL FOREIGN BODY UPPER ARM ELBOW DEE","24201","HCPCS","Both",,,"433","216.5","Humana","Medicare Advantage","",,"54",,"234.69","158.48","335.58","percent of total billed charges",,
"REMOVAL FOREIGN BODY UPPER ARM ELBOW DEE","24201","HCPCS","Both",,,"433","216.5","UHC","Medicare Advantage","",,"54",,"234.69","158.48","335.58","percent of total billed charges",,
"REMOVAL FOREIGN BODY UPPER ARM ELBOW DEE","24201","HCPCS","Both",,,"433","216.5","Clover","Medicare Advantage","",,"54",,"234.69","158.48","335.58","percent of total billed charges",,
"REMOVAL FOREIGN BODY UPPER ARM ELBOW DEE","24201","HCPCS","Both",,,"433","216.5","Wellcare","Medicare Advantage","",,"54",,"234.69","158.48","335.58","percent of total billed charges",,
"REMOVAL FOREIGN BODY UPPER ARM ELBOW DEE","24201","HCPCS","Both",,,"433","216.5","Amerigroup","Medicaid Managed Care","",,"37",,"158.48","158.48","335.58","percent of total billed charges",,
"REMOVAL FOREIGN BODY UPPER ARM ELBOW DEE","24201","HCPCS","Both",,,"433","216.5","Caresource","Medicaid Managed Care","",,"40",,"173.2","158.48","335.58","percent of total billed charges",,
"REMOVAL FOREIGN BODY UPPER ARM ELBOW DEE","24201","HCPCS","Both",,,"433","216.5","Wellcare","Medicaid Managed Care","",,"40",,"175.36","158.48","335.58","percent of total billed charges",,
"REMOVAL FOREIGN BODY UPPER ARM ELBOW DEE","24201","HCPCS","Both",,,"433","216.5","Aetna","Commercial","",,"64",,"276.25","158.48","335.58","percent of total billed charges",,
"REMOVAL FOREIGN BODY UPPER ARM ELBOW DEE","24201","HCPCS","Both",,,"433","216.5","Blue Cross Blue Shield","Pathways","",,"71",,"305.7","158.48","335.58","percent of total billed charges",,
"REMOVAL FOREIGN BODY UPPER ARM ELBOW DEE","24201","HCPCS","Both",,,"433","216.5","Blue Cross Blue Shield","HMO","",,"71",,"305.7","158.48","335.58","percent of total billed charges",,
"REMOVAL FOREIGN BODY UPPER ARM ELBOW DEE","24201","HCPCS","Both",,,"433","216.5","Blue Cross Blue Shield","PPO","",,"71",,"305.7","158.48","335.58","percent of total billed charges",,
"REMOVAL FOREIGN BODY UPPER ARM ELBOW DEE","24201","HCPCS","Both",,,"433","216.5","Ambetter","Health Exchange","",,"62",,"268.46","158.48","335.58","percent of total billed charges",,
"REMOVAL FOREIGN BODY UPPER ARM ELBOW DEE","24201","HCPCS","Both",,,"433","216.5","Caresource","Health Exchange","",,"62",,"268.46","158.48","335.58","percent of total billed charges",,
"REMOVAL FOREIGN BODY UPPER ARM ELBOW DEE","24201","HCPCS","Both",,,"433","216.5","Cigna","Commercial","",,"59",,"253.74","158.48","335.58","percent of total billed charges",,
"REMOVAL FOREIGN BODY UPPER ARM ELBOW DEE","24201","HCPCS","Both",,,"433","216.5","Humana","Commercial","",,"78",,"335.58","158.48","335.58","percent of total billed charges",,
"REMOVAL FOREIGN BODY UPPER ARM ELBOW DEE","24201","HCPCS","Both",,,"433","216.5","UHC","Commercial","",,"75",,"326.48","158.48","335.58","percent of total billed charges",,
"REMOVAL FOREIGN BODY UPPER ARM ELBOW DEE","24201","HCPCS","Both",,,"433","216.5","Medicaid",,"",,"37",,"158.48","158.48","335.58","percent of total billed charges",,
"OPEN TX ULNAR FX; W W/O FIXATION","24685","HCPCS","Both",,,"11748.5","5874.25","Alliant","Health Exchange","",,"62",,"7284.07","4299.95","9105.09","percent of total billed charges",,
"OPEN TX ULNAR FX; W W/O FIXATION","24685","HCPCS","Both",,,"11748.5","5874.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"6344.19","4299.95","9105.09","percent of total billed charges",,
"OPEN TX ULNAR FX; W W/O FIXATION","24685","HCPCS","Both",,,"11748.5","5874.25","Medicare",,"",,"54",,"6367.69","4299.95","9105.09","percent of total billed charges",,
"OPEN TX ULNAR FX; W W/O FIXATION","24685","HCPCS","Both",,,"11748.5","5874.25","Humana","Medicare Advantage","",,"54",,"6367.69","4299.95","9105.09","percent of total billed charges",,
"OPEN TX ULNAR FX; W W/O FIXATION","24685","HCPCS","Both",,,"11748.5","5874.25","UHC","Medicare Advantage","",,"54",,"6367.69","4299.95","9105.09","percent of total billed charges",,
"OPEN TX ULNAR FX; W W/O FIXATION","24685","HCPCS","Both",,,"11748.5","5874.25","Clover","Medicare Advantage","",,"54",,"6367.69","4299.95","9105.09","percent of total billed charges",,
"OPEN TX ULNAR FX; W W/O FIXATION","24685","HCPCS","Both",,,"11748.5","5874.25","Wellcare","Medicare Advantage","",,"54",,"6367.69","4299.95","9105.09","percent of total billed charges",,
"OPEN TX ULNAR FX; W W/O FIXATION","24685","HCPCS","Both",,,"11748.5","5874.25","Amerigroup","Medicaid Managed Care","",,"37",,"4299.95","4299.95","9105.09","percent of total billed charges",,
"OPEN TX ULNAR FX; W W/O FIXATION","24685","HCPCS","Both",,,"11748.5","5874.25","Caresource","Medicaid Managed Care","",,"40",,"4699.4","4299.95","9105.09","percent of total billed charges",,
"OPEN TX ULNAR FX; W W/O FIXATION","24685","HCPCS","Both",,,"11748.5","5874.25","Wellcare","Medicaid Managed Care","",,"40",,"4758.14","4299.95","9105.09","percent of total billed charges",,
"OPEN TX ULNAR FX; W W/O FIXATION","24685","HCPCS","Both",,,"11748.5","5874.25","Aetna","Commercial","",,"64",,"7495.54","4299.95","9105.09","percent of total billed charges",,
"OPEN TX ULNAR FX; W W/O FIXATION","24685","HCPCS","Both",,,"11748.5","5874.25","Blue Cross Blue Shield","Pathways","",,"71",,"8294.44","4299.95","9105.09","percent of total billed charges",,
"OPEN TX ULNAR FX; W W/O FIXATION","24685","HCPCS","Both",,,"11748.5","5874.25","Blue Cross Blue Shield","HMO","",,"71",,"8294.44","4299.95","9105.09","percent of total billed charges",,
"OPEN TX ULNAR FX; W W/O FIXATION","24685","HCPCS","Both",,,"11748.5","5874.25","Blue Cross Blue Shield","PPO","",,"71",,"8294.44","4299.95","9105.09","percent of total billed charges",,
"OPEN TX ULNAR FX; W W/O FIXATION","24685","HCPCS","Both",,,"11748.5","5874.25","Ambetter","Health Exchange","",,"62",,"7284.07","4299.95","9105.09","percent of total billed charges",,
"OPEN TX ULNAR FX; W W/O FIXATION","24685","HCPCS","Both",,,"11748.5","5874.25","Caresource","Health Exchange","",,"62",,"7284.07","4299.95","9105.09","percent of total billed charges",,
"OPEN TX ULNAR FX; W W/O FIXATION","24685","HCPCS","Both",,,"11748.5","5874.25","Cigna","Commercial","",,"59",,"6884.62","4299.95","9105.09","percent of total billed charges",,
"OPEN TX ULNAR FX; W W/O FIXATION","24685","HCPCS","Both",,,"11748.5","5874.25","Humana","Commercial","",,"78",,"9105.09","4299.95","9105.09","percent of total billed charges",,
"OPEN TX ULNAR FX; W W/O FIXATION","24685","HCPCS","Both",,,"11748.5","5874.25","UHC","Commercial","",,"75",,"8858.37","4299.95","9105.09","percent of total billed charges",,
"OPEN TX ULNAR FX; W W/O FIXATION","24685","HCPCS","Both",,,"11748.5","5874.25","Medicaid",,"",,"37",,"4299.95","4299.95","9105.09","percent of total billed charges",,
"EXC FOREARM LESS SC <3cm","25071","HCPCS","Both",,,"844","422","Alliant","Health Exchange","",,"62",,"523.28","308.9","654.1","percent of total billed charges",,
"EXC FOREARM LESS SC <3cm","25071","HCPCS","Both",,,"844","422","Pruitt Healthcare","Medicare Advantage","",,"54",,"455.76","308.9","654.1","percent of total billed charges",,
"EXC FOREARM LESS SC <3cm","25071","HCPCS","Both",,,"844","422","Medicare",,"",,"54",,"457.45","308.9","654.1","percent of total billed charges",,
"EXC FOREARM LESS SC <3cm","25071","HCPCS","Both",,,"844","422","Humana","Medicare Advantage","",,"54",,"457.45","308.9","654.1","percent of total billed charges",,
"EXC FOREARM LESS SC <3cm","25071","HCPCS","Both",,,"844","422","UHC","Medicare Advantage","",,"54",,"457.45","308.9","654.1","percent of total billed charges",,
"EXC FOREARM LESS SC <3cm","25071","HCPCS","Both",,,"844","422","Clover","Medicare Advantage","",,"54",,"457.45","308.9","654.1","percent of total billed charges",,
"EXC FOREARM LESS SC <3cm","25071","HCPCS","Both",,,"844","422","Wellcare","Medicare Advantage","",,"54",,"457.45","308.9","654.1","percent of total billed charges",,
"EXC FOREARM LESS SC <3cm","25071","HCPCS","Both",,,"844","422","Amerigroup","Medicaid Managed Care","",,"37",,"308.9","308.9","654.1","percent of total billed charges",,
"EXC FOREARM LESS SC <3cm","25071","HCPCS","Both",,,"844","422","Caresource","Medicaid Managed Care","",,"40",,"337.6","308.9","654.1","percent of total billed charges",,
"EXC FOREARM LESS SC <3cm","25071","HCPCS","Both",,,"844","422","Wellcare","Medicaid Managed Care","",,"40",,"341.82","308.9","654.1","percent of total billed charges",,
"EXC FOREARM LESS SC <3cm","25071","HCPCS","Both",,,"844","422","Aetna","Commercial","",,"64",,"538.47","308.9","654.1","percent of total billed charges",,
"EXC FOREARM LESS SC <3cm","25071","HCPCS","Both",,,"844","422","Blue Cross Blue Shield","Pathways","",,"71",,"595.86","308.9","654.1","percent of total billed charges",,
"EXC FOREARM LESS SC <3cm","25071","HCPCS","Both",,,"844","422","Blue Cross Blue Shield","HMO","",,"71",,"595.86","308.9","654.1","percent of total billed charges",,
"EXC FOREARM LESS SC <3cm","25071","HCPCS","Both",,,"844","422","Blue Cross Blue Shield","PPO","",,"71",,"595.86","308.9","654.1","percent of total billed charges",,
"EXC FOREARM LESS SC <3cm","25071","HCPCS","Both",,,"844","422","Ambetter","Health Exchange","",,"62",,"523.28","308.9","654.1","percent of total billed charges",,
"EXC FOREARM LESS SC <3cm","25071","HCPCS","Both",,,"844","422","Caresource","Health Exchange","",,"62",,"523.28","308.9","654.1","percent of total billed charges",,
"EXC FOREARM LESS SC <3cm","25071","HCPCS","Both",,,"844","422","Cigna","Commercial","",,"59",,"494.58","308.9","654.1","percent of total billed charges",,
"EXC FOREARM LESS SC <3cm","25071","HCPCS","Both",,,"844","422","Humana","Commercial","",,"78",,"654.1","308.9","654.1","percent of total billed charges",,
"EXC FOREARM LESS SC <3cm","25071","HCPCS","Both",,,"844","422","UHC","Commercial","",,"75",,"636.38","308.9","654.1","percent of total billed charges",,
"EXC FOREARM LESS SC <3cm","25071","HCPCS","Both",,,"844","422","Medicaid",,"",,"37",,"308.9","308.9","654.1","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE FOREARM/WRIST","25075","HCPCS","Both",,,"898","449","Alliant","Health Exchange","",,"62",,"556.76","328.67","695.95","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE FOREARM/WRIST","25075","HCPCS","Both",,,"898","449","Pruitt Healthcare","Medicare Advantage","",,"54",,"484.92","328.67","695.95","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE FOREARM/WRIST","25075","HCPCS","Both",,,"898","449","Medicare",,"",,"54",,"486.72","328.67","695.95","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE FOREARM/WRIST","25075","HCPCS","Both",,,"898","449","Humana","Medicare Advantage","",,"54",,"486.72","328.67","695.95","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE FOREARM/WRIST","25075","HCPCS","Both",,,"898","449","UHC","Medicare Advantage","",,"54",,"486.72","328.67","695.95","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE FOREARM/WRIST","25075","HCPCS","Both",,,"898","449","Clover","Medicare Advantage","",,"54",,"486.72","328.67","695.95","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE FOREARM/WRIST","25075","HCPCS","Both",,,"898","449","Wellcare","Medicare Advantage","",,"54",,"486.72","328.67","695.95","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE FOREARM/WRIST","25075","HCPCS","Both",,,"898","449","Amerigroup","Medicaid Managed Care","",,"37",,"328.67","328.67","695.95","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE FOREARM/WRIST","25075","HCPCS","Both",,,"898","449","Caresource","Medicaid Managed Care","",,"40",,"359.2","328.67","695.95","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE FOREARM/WRIST","25075","HCPCS","Both",,,"898","449","Wellcare","Medicaid Managed Care","",,"40",,"363.69","328.67","695.95","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE FOREARM/WRIST","25075","HCPCS","Both",,,"898","449","Aetna","Commercial","",,"64",,"572.92","328.67","695.95","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE FOREARM/WRIST","25075","HCPCS","Both",,,"898","449","Blue Cross Blue Shield","Pathways","",,"71",,"633.99","328.67","695.95","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE FOREARM/WRIST","25075","HCPCS","Both",,,"898","449","Blue Cross Blue Shield","HMO","",,"71",,"633.99","328.67","695.95","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE FOREARM/WRIST","25075","HCPCS","Both",,,"898","449","Blue Cross Blue Shield","PPO","",,"71",,"633.99","328.67","695.95","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE FOREARM/WRIST","25075","HCPCS","Both",,,"898","449","Ambetter","Health Exchange","",,"62",,"556.76","328.67","695.95","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE FOREARM/WRIST","25075","HCPCS","Both",,,"898","449","Caresource","Health Exchange","",,"62",,"556.76","328.67","695.95","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE FOREARM/WRIST","25075","HCPCS","Both",,,"898","449","Cigna","Commercial","",,"59",,"526.23","328.67","695.95","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE FOREARM/WRIST","25075","HCPCS","Both",,,"898","449","Humana","Commercial","",,"78",,"695.95","328.67","695.95","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE FOREARM/WRIST","25075","HCPCS","Both",,,"898","449","UHC","Commercial","",,"75",,"677.09","328.67","695.95","percent of total billed charges",,
"EXCISION,TUMOR,SOFT TISSUE FOREARM/WRIST","25075","HCPCS","Both",,,"898","449","Medicaid",,"",,"37",,"328.67","328.67","695.95","percent of total billed charges",,
"EXCISION, TUMOR, SOFT TISS FOREARM/WRIST","25076","HCPCS","Both",,,"3502","1751","Alliant","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, SOFT TISS FOREARM/WRIST","25076","HCPCS","Both",,,"3502","1751","Pruitt Healthcare","Medicare Advantage","",,"54",,"1891.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, SOFT TISS FOREARM/WRIST","25076","HCPCS","Both",,,"3502","1751","Medicare",,"",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, SOFT TISS FOREARM/WRIST","25076","HCPCS","Both",,,"3502","1751","Humana","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, SOFT TISS FOREARM/WRIST","25076","HCPCS","Both",,,"3502","1751","UHC","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, SOFT TISS FOREARM/WRIST","25076","HCPCS","Both",,,"3502","1751","Clover","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, SOFT TISS FOREARM/WRIST","25076","HCPCS","Both",,,"3502","1751","Wellcare","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, SOFT TISS FOREARM/WRIST","25076","HCPCS","Both",,,"3502","1751","Amerigroup","Medicaid Managed Care","",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, SOFT TISS FOREARM/WRIST","25076","HCPCS","Both",,,"3502","1751","Caresource","Medicaid Managed Care","",,"40",,"1400.8","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, SOFT TISS FOREARM/WRIST","25076","HCPCS","Both",,,"3502","1751","Wellcare","Medicaid Managed Care","",,"40",,"1418.31","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, SOFT TISS FOREARM/WRIST","25076","HCPCS","Both",,,"3502","1751","Aetna","Commercial","",,"64",,"2234.28","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, SOFT TISS FOREARM/WRIST","25076","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","Pathways","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, SOFT TISS FOREARM/WRIST","25076","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","HMO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, SOFT TISS FOREARM/WRIST","25076","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","PPO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, SOFT TISS FOREARM/WRIST","25076","HCPCS","Both",,,"3502","1751","Ambetter","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, SOFT TISS FOREARM/WRIST","25076","HCPCS","Both",,,"3502","1751","Caresource","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, SOFT TISS FOREARM/WRIST","25076","HCPCS","Both",,,"3502","1751","Cigna","Commercial","",,"59",,"2052.17","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, SOFT TISS FOREARM/WRIST","25076","HCPCS","Both",,,"3502","1751","Humana","Commercial","",,"78",,"2714.05","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, SOFT TISS FOREARM/WRIST","25076","HCPCS","Both",,,"3502","1751","UHC","Commercial","",,"75",,"2640.51","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, SOFT TISS FOREARM/WRIST","25076","HCPCS","Both",,,"3502","1751","Medicaid",,"",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"EXCISION OF GANGLION, WRIST; PRIMARY","25111","HCPCS","Both",,,"391","195.5","Alliant","Health Exchange","",,"62",,"242.42","143.11","303.03","percent of total billed charges",,
"EXCISION OF GANGLION, WRIST; PRIMARY","25111","HCPCS","Both",,,"391","195.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"211.14","143.11","303.03","percent of total billed charges",,
"EXCISION OF GANGLION, WRIST; PRIMARY","25111","HCPCS","Both",,,"391","195.5","Medicare",,"",,"54",,"211.92","143.11","303.03","percent of total billed charges",,
"EXCISION OF GANGLION, WRIST; PRIMARY","25111","HCPCS","Both",,,"391","195.5","Humana","Medicare Advantage","",,"54",,"211.92","143.11","303.03","percent of total billed charges",,
"EXCISION OF GANGLION, WRIST; PRIMARY","25111","HCPCS","Both",,,"391","195.5","UHC","Medicare Advantage","",,"54",,"211.92","143.11","303.03","percent of total billed charges",,
"EXCISION OF GANGLION, WRIST; PRIMARY","25111","HCPCS","Both",,,"391","195.5","Clover","Medicare Advantage","",,"54",,"211.92","143.11","303.03","percent of total billed charges",,
"EXCISION OF GANGLION, WRIST; PRIMARY","25111","HCPCS","Both",,,"391","195.5","Wellcare","Medicare Advantage","",,"54",,"211.92","143.11","303.03","percent of total billed charges",,
"EXCISION OF GANGLION, WRIST; PRIMARY","25111","HCPCS","Both",,,"391","195.5","Amerigroup","Medicaid Managed Care","",,"37",,"143.11","143.11","303.03","percent of total billed charges",,
"EXCISION OF GANGLION, WRIST; PRIMARY","25111","HCPCS","Both",,,"391","195.5","Caresource","Medicaid Managed Care","",,"40",,"156.4","143.11","303.03","percent of total billed charges",,
"EXCISION OF GANGLION, WRIST; PRIMARY","25111","HCPCS","Both",,,"391","195.5","Wellcare","Medicaid Managed Care","",,"40",,"158.36","143.11","303.03","percent of total billed charges",,
"EXCISION OF GANGLION, WRIST; PRIMARY","25111","HCPCS","Both",,,"391","195.5","Aetna","Commercial","",,"64",,"249.46","143.11","303.03","percent of total billed charges",,
"EXCISION OF GANGLION, WRIST; PRIMARY","25111","HCPCS","Both",,,"391","195.5","Blue Cross Blue Shield","Pathways","",,"71",,"276.05","143.11","303.03","percent of total billed charges",,
"EXCISION OF GANGLION, WRIST; PRIMARY","25111","HCPCS","Both",,,"391","195.5","Blue Cross Blue Shield","HMO","",,"71",,"276.05","143.11","303.03","percent of total billed charges",,
"EXCISION OF GANGLION, WRIST; PRIMARY","25111","HCPCS","Both",,,"391","195.5","Blue Cross Blue Shield","PPO","",,"71",,"276.05","143.11","303.03","percent of total billed charges",,
"EXCISION OF GANGLION, WRIST; PRIMARY","25111","HCPCS","Both",,,"391","195.5","Ambetter","Health Exchange","",,"62",,"242.42","143.11","303.03","percent of total billed charges",,
"EXCISION OF GANGLION, WRIST; PRIMARY","25111","HCPCS","Both",,,"391","195.5","Caresource","Health Exchange","",,"62",,"242.42","143.11","303.03","percent of total billed charges",,
"EXCISION OF GANGLION, WRIST; PRIMARY","25111","HCPCS","Both",,,"391","195.5","Cigna","Commercial","",,"59",,"229.13","143.11","303.03","percent of total billed charges",,
"EXCISION OF GANGLION, WRIST; PRIMARY","25111","HCPCS","Both",,,"391","195.5","Humana","Commercial","",,"78",,"303.03","143.11","303.03","percent of total billed charges",,
"EXCISION OF GANGLION, WRIST; PRIMARY","25111","HCPCS","Both",,,"391","195.5","UHC","Commercial","",,"75",,"294.81","143.11","303.03","percent of total billed charges",,
"EXCISION OF GANGLION, WRIST; PRIMARY","25111","HCPCS","Both",,,"391","195.5","Medicaid",,"",,"37",,"143.11","143.11","303.03","percent of total billed charges",,
"RADICAL EXCISION BURSA/SYNOVIA/TENDON SH","25116","HCPCS","Both",,,"4855.5","2427.75","Alliant","Health Exchange","",,"62",,"3010.41","1777.11","3763.01","percent of total billed charges",,
"RADICAL EXCISION BURSA/SYNOVIA/TENDON SH","25116","HCPCS","Both",,,"4855.5","2427.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"2621.97","1777.11","3763.01","percent of total billed charges",,
"RADICAL EXCISION BURSA/SYNOVIA/TENDON SH","25116","HCPCS","Both",,,"4855.5","2427.75","Medicare",,"",,"54",,"2631.68","1777.11","3763.01","percent of total billed charges",,
"RADICAL EXCISION BURSA/SYNOVIA/TENDON SH","25116","HCPCS","Both",,,"4855.5","2427.75","Humana","Medicare Advantage","",,"54",,"2631.68","1777.11","3763.01","percent of total billed charges",,
"RADICAL EXCISION BURSA/SYNOVIA/TENDON SH","25116","HCPCS","Both",,,"4855.5","2427.75","UHC","Medicare Advantage","",,"54",,"2631.68","1777.11","3763.01","percent of total billed charges",,
"RADICAL EXCISION BURSA/SYNOVIA/TENDON SH","25116","HCPCS","Both",,,"4855.5","2427.75","Clover","Medicare Advantage","",,"54",,"2631.68","1777.11","3763.01","percent of total billed charges",,
"RADICAL EXCISION BURSA/SYNOVIA/TENDON SH","25116","HCPCS","Both",,,"4855.5","2427.75","Wellcare","Medicare Advantage","",,"54",,"2631.68","1777.11","3763.01","percent of total billed charges",,
"RADICAL EXCISION BURSA/SYNOVIA/TENDON SH","25116","HCPCS","Both",,,"4855.5","2427.75","Amerigroup","Medicaid Managed Care","",,"37",,"1777.11","1777.11","3763.01","percent of total billed charges",,
"RADICAL EXCISION BURSA/SYNOVIA/TENDON SH","25116","HCPCS","Both",,,"4855.5","2427.75","Caresource","Medicaid Managed Care","",,"40",,"1942.2","1777.11","3763.01","percent of total billed charges",,
"RADICAL EXCISION BURSA/SYNOVIA/TENDON SH","25116","HCPCS","Both",,,"4855.5","2427.75","Wellcare","Medicaid Managed Care","",,"40",,"1966.48","1777.11","3763.01","percent of total billed charges",,
"RADICAL EXCISION BURSA/SYNOVIA/TENDON SH","25116","HCPCS","Both",,,"4855.5","2427.75","Aetna","Commercial","",,"64",,"3097.81","1777.11","3763.01","percent of total billed charges",,
"RADICAL EXCISION BURSA/SYNOVIA/TENDON SH","25116","HCPCS","Both",,,"4855.5","2427.75","Blue Cross Blue Shield","Pathways","",,"71",,"3427.98","1777.11","3763.01","percent of total billed charges",,
"RADICAL EXCISION BURSA/SYNOVIA/TENDON SH","25116","HCPCS","Both",,,"4855.5","2427.75","Blue Cross Blue Shield","HMO","",,"71",,"3427.98","1777.11","3763.01","percent of total billed charges",,
"RADICAL EXCISION BURSA/SYNOVIA/TENDON SH","25116","HCPCS","Both",,,"4855.5","2427.75","Blue Cross Blue Shield","PPO","",,"71",,"3427.98","1777.11","3763.01","percent of total billed charges",,
"RADICAL EXCISION BURSA/SYNOVIA/TENDON SH","25116","HCPCS","Both",,,"4855.5","2427.75","Ambetter","Health Exchange","",,"62",,"3010.41","1777.11","3763.01","percent of total billed charges",,
"RADICAL EXCISION BURSA/SYNOVIA/TENDON SH","25116","HCPCS","Both",,,"4855.5","2427.75","Caresource","Health Exchange","",,"62",,"3010.41","1777.11","3763.01","percent of total billed charges",,
"RADICAL EXCISION BURSA/SYNOVIA/TENDON SH","25116","HCPCS","Both",,,"4855.5","2427.75","Cigna","Commercial","",,"59",,"2845.32","1777.11","3763.01","percent of total billed charges",,
"RADICAL EXCISION BURSA/SYNOVIA/TENDON SH","25116","HCPCS","Both",,,"4855.5","2427.75","Humana","Commercial","",,"78",,"3763.01","1777.11","3763.01","percent of total billed charges",,
"RADICAL EXCISION BURSA/SYNOVIA/TENDON SH","25116","HCPCS","Both",,,"4855.5","2427.75","UHC","Commercial","",,"75",,"3661.05","1777.11","3763.01","percent of total billed charges",,
"RADICAL EXCISION BURSA/SYNOVIA/TENDON SH","25116","HCPCS","Both",,,"4855.5","2427.75","Medicaid",,"",,"37",,"1777.11","1777.11","3763.01","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX, W/MANIPULATI","25605","HCPCS","Both",,,"1245.5","622.75","Alliant","Health Exchange","",,"62",,"772.21","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX, W/MANIPULATI","25605","HCPCS","Both",,,"1245.5","622.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"672.57","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX, W/MANIPULATI","25605","HCPCS","Both",,,"1245.5","622.75","Medicare",,"",,"54",,"675.06","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX, W/MANIPULATI","25605","HCPCS","Both",,,"1245.5","622.75","Humana","Medicare Advantage","",,"54",,"675.06","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX, W/MANIPULATI","25605","HCPCS","Both",,,"1245.5","622.75","UHC","Medicare Advantage","",,"54",,"675.06","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX, W/MANIPULATI","25605","HCPCS","Both",,,"1245.5","622.75","Clover","Medicare Advantage","",,"54",,"675.06","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX, W/MANIPULATI","25605","HCPCS","Both",,,"1245.5","622.75","Wellcare","Medicare Advantage","",,"54",,"675.06","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX, W/MANIPULATI","25605","HCPCS","Both",,,"1245.5","622.75","Amerigroup","Medicaid Managed Care","",,"37",,"455.85","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX, W/MANIPULATI","25605","HCPCS","Both",,,"1245.5","622.75","Caresource","Medicaid Managed Care","",,"40",,"498.2","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX, W/MANIPULATI","25605","HCPCS","Both",,,"1245.5","622.75","Wellcare","Medicaid Managed Care","",,"40",,"504.43","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX, W/MANIPULATI","25605","HCPCS","Both",,,"1245.5","622.75","Aetna","Commercial","",,"64",,"794.63","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX, W/MANIPULATI","25605","HCPCS","Both",,,"1245.5","622.75","Blue Cross Blue Shield","Pathways","",,"71",,"879.32","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX, W/MANIPULATI","25605","HCPCS","Both",,,"1245.5","622.75","Blue Cross Blue Shield","HMO","",,"71",,"879.32","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX, W/MANIPULATI","25605","HCPCS","Both",,,"1245.5","622.75","Blue Cross Blue Shield","PPO","",,"71",,"879.32","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX, W/MANIPULATI","25605","HCPCS","Both",,,"1245.5","622.75","Ambetter","Health Exchange","",,"62",,"772.21","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX, W/MANIPULATI","25605","HCPCS","Both",,,"1245.5","622.75","Caresource","Health Exchange","",,"62",,"772.21","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX, W/MANIPULATI","25605","HCPCS","Both",,,"1245.5","622.75","Cigna","Commercial","",,"59",,"729.86","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX, W/MANIPULATI","25605","HCPCS","Both",,,"1245.5","622.75","Humana","Commercial","",,"78",,"965.26","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX, W/MANIPULATI","25605","HCPCS","Both",,,"1245.5","622.75","UHC","Commercial","",,"75",,"939.11","455.85","965.26","percent of total billed charges",,
"CLOSED TX DISTAL RADIAL FX, W/MANIPULATI","25605","HCPCS","Both",,,"1245.5","622.75","Medicaid",,"",,"37",,"455.85","455.85","965.26","percent of total billed charges",,
"CLOSED TX CARPAL BONE FX W/O MANIPULATIO","25630","HCPCS","Both",,,"418.5","209.25","Alliant","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPAL BONE FX W/O MANIPULATIO","25630","HCPCS","Both",,,"418.5","209.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"225.99","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPAL BONE FX W/O MANIPULATIO","25630","HCPCS","Both",,,"418.5","209.25","Medicare",,"",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPAL BONE FX W/O MANIPULATIO","25630","HCPCS","Both",,,"418.5","209.25","Humana","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPAL BONE FX W/O MANIPULATIO","25630","HCPCS","Both",,,"418.5","209.25","UHC","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPAL BONE FX W/O MANIPULATIO","25630","HCPCS","Both",,,"418.5","209.25","Clover","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPAL BONE FX W/O MANIPULATIO","25630","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicare Advantage","",,"54",,"226.83","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPAL BONE FX W/O MANIPULATIO","25630","HCPCS","Both",,,"418.5","209.25","Amerigroup","Medicaid Managed Care","",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPAL BONE FX W/O MANIPULATIO","25630","HCPCS","Both",,,"418.5","209.25","Caresource","Medicaid Managed Care","",,"40",,"167.4","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPAL BONE FX W/O MANIPULATIO","25630","HCPCS","Both",,,"418.5","209.25","Wellcare","Medicaid Managed Care","",,"40",,"169.49","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPAL BONE FX W/O MANIPULATIO","25630","HCPCS","Both",,,"418.5","209.25","Aetna","Commercial","",,"64",,"267","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPAL BONE FX W/O MANIPULATIO","25630","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","Pathways","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPAL BONE FX W/O MANIPULATIO","25630","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","HMO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPAL BONE FX W/O MANIPULATIO","25630","HCPCS","Both",,,"418.5","209.25","Blue Cross Blue Shield","PPO","",,"71",,"295.46","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPAL BONE FX W/O MANIPULATIO","25630","HCPCS","Both",,,"418.5","209.25","Ambetter","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPAL BONE FX W/O MANIPULATIO","25630","HCPCS","Both",,,"418.5","209.25","Caresource","Health Exchange","",,"62",,"259.47","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPAL BONE FX W/O MANIPULATIO","25630","HCPCS","Both",,,"418.5","209.25","Cigna","Commercial","",,"59",,"245.24","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPAL BONE FX W/O MANIPULATIO","25630","HCPCS","Both",,,"418.5","209.25","Humana","Commercial","",,"78",,"324.34","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPAL BONE FX W/O MANIPULATIO","25630","HCPCS","Both",,,"418.5","209.25","UHC","Commercial","",,"75",,"315.55","153.17","324.34","percent of total billed charges",,
"CLOSED TX CARPAL BONE FX W/O MANIPULATIO","25630","HCPCS","Both",,,"418.5","209.25","Medicaid",,"",,"37",,"153.17","153.17","324.34","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Alliant","Health Exchange","",,"62",,"145.7","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"126.9","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Medicare",,"",,"54",,"127.37","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Humana","Medicare Advantage","",,"54",,"127.37","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","UHC","Medicare Advantage","",,"54",,"127.37","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Clover","Medicare Advantage","",,"54",,"127.37","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Wellcare","Medicare Advantage","",,"54",,"127.37","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Amerigroup","Medicaid Managed Care","",,"37",,"86.01","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Caresource","Medicaid Managed Care","",,"40",,"94","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Wellcare","Medicaid Managed Care","",,"40",,"95.18","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Aetna","Commercial","",,"64",,"149.93","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Blue Cross Blue Shield","Pathways","",,"71",,"165.91","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Blue Cross Blue Shield","HMO","",,"71",,"165.91","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Blue Cross Blue Shield","PPO","",,"71",,"165.91","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Ambetter","Health Exchange","",,"62",,"145.7","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Caresource","Health Exchange","",,"62",,"145.7","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Cigna","Commercial","",,"59",,"137.71","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Humana","Commercial","",,"78",,"182.12","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","UHC","Commercial","",,"75",,"177.19","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; SIMPLE","26010","HCPCS","Both",,,"235","117.5","Medicaid",,"",,"37",,"86.01","86.01","182.12","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Alliant","Health Exchange","",,"62",,"175.46","103.58","219.32","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"152.82","103.58","219.32","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Medicare",,"",,"54",,"153.39","103.58","219.32","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Humana","Medicare Advantage","",,"54",,"153.39","103.58","219.32","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","UHC","Medicare Advantage","",,"54",,"153.39","103.58","219.32","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Clover","Medicare Advantage","",,"54",,"153.39","103.58","219.32","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Wellcare","Medicare Advantage","",,"54",,"153.39","103.58","219.32","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Amerigroup","Medicaid Managed Care","",,"37",,"103.58","103.58","219.32","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Caresource","Medicaid Managed Care","",,"40",,"113.2","103.58","219.32","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Wellcare","Medicaid Managed Care","",,"40",,"114.62","103.58","219.32","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Aetna","Commercial","",,"64",,"180.55","103.58","219.32","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Blue Cross Blue Shield","Pathways","",,"71",,"199.8","103.58","219.32","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Blue Cross Blue Shield","HMO","",,"71",,"199.8","103.58","219.32","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Blue Cross Blue Shield","PPO","",,"71",,"199.8","103.58","219.32","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Ambetter","Health Exchange","",,"62",,"175.46","103.58","219.32","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Caresource","Health Exchange","",,"62",,"175.46","103.58","219.32","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Cigna","Commercial","",,"59",,"165.84","103.58","219.32","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Humana","Commercial","",,"78",,"219.32","103.58","219.32","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","UHC","Commercial","",,"75",,"213.38","103.58","219.32","percent of total billed charges",,
"DRAINAGE FINGER ABSCESS; COMPLICATED","26011","HCPCS","Both",,,"283","141.5","Medicaid",,"",,"37",,"103.58","103.58","219.32","percent of total billed charges",,
"FASCIOTOMY,PALMAR; OPEN,PARTIAL","26045","HCPCS","Both",,,"6448.5","3224.25","Alliant","Health Exchange","",,"62",,"3998.07","2360.15","4997.59","percent of total billed charges",,
"FASCIOTOMY,PALMAR; OPEN,PARTIAL","26045","HCPCS","Both",,,"6448.5","3224.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"3482.19","2360.15","4997.59","percent of total billed charges",,
"FASCIOTOMY,PALMAR; OPEN,PARTIAL","26045","HCPCS","Both",,,"6448.5","3224.25","Medicare",,"",,"54",,"3495.09","2360.15","4997.59","percent of total billed charges",,
"FASCIOTOMY,PALMAR; OPEN,PARTIAL","26045","HCPCS","Both",,,"6448.5","3224.25","Humana","Medicare Advantage","",,"54",,"3495.09","2360.15","4997.59","percent of total billed charges",,
"FASCIOTOMY,PALMAR; OPEN,PARTIAL","26045","HCPCS","Both",,,"6448.5","3224.25","UHC","Medicare Advantage","",,"54",,"3495.09","2360.15","4997.59","percent of total billed charges",,
"FASCIOTOMY,PALMAR; OPEN,PARTIAL","26045","HCPCS","Both",,,"6448.5","3224.25","Clover","Medicare Advantage","",,"54",,"3495.09","2360.15","4997.59","percent of total billed charges",,
"FASCIOTOMY,PALMAR; OPEN,PARTIAL","26045","HCPCS","Both",,,"6448.5","3224.25","Wellcare","Medicare Advantage","",,"54",,"3495.09","2360.15","4997.59","percent of total billed charges",,
"FASCIOTOMY,PALMAR; OPEN,PARTIAL","26045","HCPCS","Both",,,"6448.5","3224.25","Amerigroup","Medicaid Managed Care","",,"37",,"2360.15","2360.15","4997.59","percent of total billed charges",,
"FASCIOTOMY,PALMAR; OPEN,PARTIAL","26045","HCPCS","Both",,,"6448.5","3224.25","Caresource","Medicaid Managed Care","",,"40",,"2579.4","2360.15","4997.59","percent of total billed charges",,
"FASCIOTOMY,PALMAR; OPEN,PARTIAL","26045","HCPCS","Both",,,"6448.5","3224.25","Wellcare","Medicaid Managed Care","",,"40",,"2611.64","2360.15","4997.59","percent of total billed charges",,
"FASCIOTOMY,PALMAR; OPEN,PARTIAL","26045","HCPCS","Both",,,"6448.5","3224.25","Aetna","Commercial","",,"64",,"4114.14","2360.15","4997.59","percent of total billed charges",,
"FASCIOTOMY,PALMAR; OPEN,PARTIAL","26045","HCPCS","Both",,,"6448.5","3224.25","Blue Cross Blue Shield","Pathways","",,"71",,"4552.64","2360.15","4997.59","percent of total billed charges",,
"FASCIOTOMY,PALMAR; OPEN,PARTIAL","26045","HCPCS","Both",,,"6448.5","3224.25","Blue Cross Blue Shield","HMO","",,"71",,"4552.64","2360.15","4997.59","percent of total billed charges",,
"FASCIOTOMY,PALMAR; OPEN,PARTIAL","26045","HCPCS","Both",,,"6448.5","3224.25","Blue Cross Blue Shield","PPO","",,"71",,"4552.64","2360.15","4997.59","percent of total billed charges",,
"FASCIOTOMY,PALMAR; OPEN,PARTIAL","26045","HCPCS","Both",,,"6448.5","3224.25","Ambetter","Health Exchange","",,"62",,"3998.07","2360.15","4997.59","percent of total billed charges",,
"FASCIOTOMY,PALMAR; OPEN,PARTIAL","26045","HCPCS","Both",,,"6448.5","3224.25","Caresource","Health Exchange","",,"62",,"3998.07","2360.15","4997.59","percent of total billed charges",,
"FASCIOTOMY,PALMAR; OPEN,PARTIAL","26045","HCPCS","Both",,,"6448.5","3224.25","Cigna","Commercial","",,"59",,"3778.82","2360.15","4997.59","percent of total billed charges",,
"FASCIOTOMY,PALMAR; OPEN,PARTIAL","26045","HCPCS","Both",,,"6448.5","3224.25","Humana","Commercial","",,"78",,"4997.59","2360.15","4997.59","percent of total billed charges",,
"FASCIOTOMY,PALMAR; OPEN,PARTIAL","26045","HCPCS","Both",,,"6448.5","3224.25","UHC","Commercial","",,"75",,"4862.17","2360.15","4997.59","percent of total billed charges",,
"FASCIOTOMY,PALMAR; OPEN,PARTIAL","26045","HCPCS","Both",,,"6448.5","3224.25","Medicaid",,"",,"37",,"2360.15","2360.15","4997.59","percent of total billed charges",,
"TENDON SHEATH INCISION","26055","HCPCS","Both",,,"3701","1850.5","Alliant","Health Exchange","",,"62",,"2294.62","1354.57","2868.28","percent of total billed charges",,
"TENDON SHEATH INCISION","26055","HCPCS","Both",,,"3701","1850.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"1998.54","1354.57","2868.28","percent of total billed charges",,
"TENDON SHEATH INCISION","26055","HCPCS","Both",,,"3701","1850.5","Medicare",,"",,"54",,"2005.94","1354.57","2868.28","percent of total billed charges",,
"TENDON SHEATH INCISION","26055","HCPCS","Both",,,"3701","1850.5","Humana","Medicare Advantage","",,"54",,"2005.94","1354.57","2868.28","percent of total billed charges",,
"TENDON SHEATH INCISION","26055","HCPCS","Both",,,"3701","1850.5","UHC","Medicare Advantage","",,"54",,"2005.94","1354.57","2868.28","percent of total billed charges",,
"TENDON SHEATH INCISION","26055","HCPCS","Both",,,"3701","1850.5","Clover","Medicare Advantage","",,"54",,"2005.94","1354.57","2868.28","percent of total billed charges",,
"TENDON SHEATH INCISION","26055","HCPCS","Both",,,"3701","1850.5","Wellcare","Medicare Advantage","",,"54",,"2005.94","1354.57","2868.28","percent of total billed charges",,
"TENDON SHEATH INCISION","26055","HCPCS","Both",,,"3701","1850.5","Amerigroup","Medicaid Managed Care","",,"37",,"1354.57","1354.57","2868.28","percent of total billed charges",,
"TENDON SHEATH INCISION","26055","HCPCS","Both",,,"3701","1850.5","Caresource","Medicaid Managed Care","",,"40",,"1480.4","1354.57","2868.28","percent of total billed charges",,
"TENDON SHEATH INCISION","26055","HCPCS","Both",,,"3701","1850.5","Wellcare","Medicaid Managed Care","",,"40",,"1498.91","1354.57","2868.28","percent of total billed charges",,
"TENDON SHEATH INCISION","26055","HCPCS","Both",,,"3701","1850.5","Aetna","Commercial","",,"64",,"2361.24","1354.57","2868.28","percent of total billed charges",,
"TENDON SHEATH INCISION","26055","HCPCS","Both",,,"3701","1850.5","Blue Cross Blue Shield","Pathways","",,"71",,"2612.91","1354.57","2868.28","percent of total billed charges",,
"TENDON SHEATH INCISION","26055","HCPCS","Both",,,"3701","1850.5","Blue Cross Blue Shield","HMO","",,"71",,"2612.91","1354.57","2868.28","percent of total billed charges",,
"TENDON SHEATH INCISION","26055","HCPCS","Both",,,"3701","1850.5","Blue Cross Blue Shield","PPO","",,"71",,"2612.91","1354.57","2868.28","percent of total billed charges",,
"TENDON SHEATH INCISION","26055","HCPCS","Both",,,"3701","1850.5","Ambetter","Health Exchange","",,"62",,"2294.62","1354.57","2868.28","percent of total billed charges",,
"TENDON SHEATH INCISION","26055","HCPCS","Both",,,"3701","1850.5","Caresource","Health Exchange","",,"62",,"2294.62","1354.57","2868.28","percent of total billed charges",,
"TENDON SHEATH INCISION","26055","HCPCS","Both",,,"3701","1850.5","Cigna","Commercial","",,"59",,"2168.79","1354.57","2868.28","percent of total billed charges",,
"TENDON SHEATH INCISION","26055","HCPCS","Both",,,"3701","1850.5","Humana","Commercial","",,"78",,"2868.28","1354.57","2868.28","percent of total billed charges",,
"TENDON SHEATH INCISION","26055","HCPCS","Both",,,"3701","1850.5","UHC","Commercial","",,"75",,"2790.55","1354.57","2868.28","percent of total billed charges",,
"TENDON SHEATH INCISION","26055","HCPCS","Both",,,"3701","1850.5","Medicaid",,"",,"37",,"1354.57","1354.57","2868.28","percent of total billed charges",,
"ARTHROTOMY W/BIOPSY; INTERPHALANGEAL JT","26110","HCPCS","Both",,,"3701","1850.5","Alliant","Health Exchange","",,"62",,"2294.62","1354.57","2868.28","percent of total billed charges",,
"ARTHROTOMY W/BIOPSY; INTERPHALANGEAL JT","26110","HCPCS","Both",,,"3701","1850.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"1998.54","1354.57","2868.28","percent of total billed charges",,
"ARTHROTOMY W/BIOPSY; INTERPHALANGEAL JT","26110","HCPCS","Both",,,"3701","1850.5","Medicare",,"",,"54",,"2005.94","1354.57","2868.28","percent of total billed charges",,
"ARTHROTOMY W/BIOPSY; INTERPHALANGEAL JT","26110","HCPCS","Both",,,"3701","1850.5","Humana","Medicare Advantage","",,"54",,"2005.94","1354.57","2868.28","percent of total billed charges",,
"ARTHROTOMY W/BIOPSY; INTERPHALANGEAL JT","26110","HCPCS","Both",,,"3701","1850.5","UHC","Medicare Advantage","",,"54",,"2005.94","1354.57","2868.28","percent of total billed charges",,
"ARTHROTOMY W/BIOPSY; INTERPHALANGEAL JT","26110","HCPCS","Both",,,"3701","1850.5","Clover","Medicare Advantage","",,"54",,"2005.94","1354.57","2868.28","percent of total billed charges",,
"ARTHROTOMY W/BIOPSY; INTERPHALANGEAL JT","26110","HCPCS","Both",,,"3701","1850.5","Wellcare","Medicare Advantage","",,"54",,"2005.94","1354.57","2868.28","percent of total billed charges",,
"ARTHROTOMY W/BIOPSY; INTERPHALANGEAL JT","26110","HCPCS","Both",,,"3701","1850.5","Amerigroup","Medicaid Managed Care","",,"37",,"1354.57","1354.57","2868.28","percent of total billed charges",,
"ARTHROTOMY W/BIOPSY; INTERPHALANGEAL JT","26110","HCPCS","Both",,,"3701","1850.5","Caresource","Medicaid Managed Care","",,"40",,"1480.4","1354.57","2868.28","percent of total billed charges",,
"ARTHROTOMY W/BIOPSY; INTERPHALANGEAL JT","26110","HCPCS","Both",,,"3701","1850.5","Wellcare","Medicaid Managed Care","",,"40",,"1498.91","1354.57","2868.28","percent of total billed charges",,
"ARTHROTOMY W/BIOPSY; INTERPHALANGEAL JT","26110","HCPCS","Both",,,"3701","1850.5","Aetna","Commercial","",,"64",,"2361.24","1354.57","2868.28","percent of total billed charges",,
"ARTHROTOMY W/BIOPSY; INTERPHALANGEAL JT","26110","HCPCS","Both",,,"3701","1850.5","Blue Cross Blue Shield","Pathways","",,"71",,"2612.91","1354.57","2868.28","percent of total billed charges",,
"ARTHROTOMY W/BIOPSY; INTERPHALANGEAL JT","26110","HCPCS","Both",,,"3701","1850.5","Blue Cross Blue Shield","HMO","",,"71",,"2612.91","1354.57","2868.28","percent of total billed charges",,
"ARTHROTOMY W/BIOPSY; INTERPHALANGEAL JT","26110","HCPCS","Both",,,"3701","1850.5","Blue Cross Blue Shield","PPO","",,"71",,"2612.91","1354.57","2868.28","percent of total billed charges",,
"ARTHROTOMY W/BIOPSY; INTERPHALANGEAL JT","26110","HCPCS","Both",,,"3701","1850.5","Ambetter","Health Exchange","",,"62",,"2294.62","1354.57","2868.28","percent of total billed charges",,
"ARTHROTOMY W/BIOPSY; INTERPHALANGEAL JT","26110","HCPCS","Both",,,"3701","1850.5","Caresource","Health Exchange","",,"62",,"2294.62","1354.57","2868.28","percent of total billed charges",,
"ARTHROTOMY W/BIOPSY; INTERPHALANGEAL JT","26110","HCPCS","Both",,,"3701","1850.5","Cigna","Commercial","",,"59",,"2168.79","1354.57","2868.28","percent of total billed charges",,
"ARTHROTOMY W/BIOPSY; INTERPHALANGEAL JT","26110","HCPCS","Both",,,"3701","1850.5","Humana","Commercial","",,"78",,"2868.28","1354.57","2868.28","percent of total billed charges",,
"ARTHROTOMY W/BIOPSY; INTERPHALANGEAL JT","26110","HCPCS","Both",,,"3701","1850.5","UHC","Commercial","",,"75",,"2790.55","1354.57","2868.28","percent of total billed charges",,
"ARTHROTOMY W/BIOPSY; INTERPHALANGEAL JT","26110","HCPCS","Both",,,"3701","1850.5","Medicaid",,"",,"37",,"1354.57","1354.57","2868.28","percent of total billed charges",,
"EXC TUMOR SFT TSS HAND/FING SUBQ 1.5cm","26111","HCPCS","Both",,,"3861","1930.5","Alliant","Health Exchange","",,"62",,"2393.82","1413.13","2992.28","percent of total billed charges",,
"EXC TUMOR SFT TSS HAND/FING SUBQ 1.5cm","26111","HCPCS","Both",,,"3861","1930.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"2084.94","1413.13","2992.28","percent of total billed charges",,
"EXC TUMOR SFT TSS HAND/FING SUBQ 1.5cm","26111","HCPCS","Both",,,"3861","1930.5","Medicare",,"",,"54",,"2092.66","1413.13","2992.28","percent of total billed charges",,
"EXC TUMOR SFT TSS HAND/FING SUBQ 1.5cm","26111","HCPCS","Both",,,"3861","1930.5","Humana","Medicare Advantage","",,"54",,"2092.66","1413.13","2992.28","percent of total billed charges",,
"EXC TUMOR SFT TSS HAND/FING SUBQ 1.5cm","26111","HCPCS","Both",,,"3861","1930.5","UHC","Medicare Advantage","",,"54",,"2092.66","1413.13","2992.28","percent of total billed charges",,
"EXC TUMOR SFT TSS HAND/FING SUBQ 1.5cm","26111","HCPCS","Both",,,"3861","1930.5","Clover","Medicare Advantage","",,"54",,"2092.66","1413.13","2992.28","percent of total billed charges",,
"EXC TUMOR SFT TSS HAND/FING SUBQ 1.5cm","26111","HCPCS","Both",,,"3861","1930.5","Wellcare","Medicare Advantage","",,"54",,"2092.66","1413.13","2992.28","percent of total billed charges",,
"EXC TUMOR SFT TSS HAND/FING SUBQ 1.5cm","26111","HCPCS","Both",,,"3861","1930.5","Amerigroup","Medicaid Managed Care","",,"37",,"1413.13","1413.13","2992.28","percent of total billed charges",,
"EXC TUMOR SFT TSS HAND/FING SUBQ 1.5cm","26111","HCPCS","Both",,,"3861","1930.5","Caresource","Medicaid Managed Care","",,"40",,"1544.4","1413.13","2992.28","percent of total billed charges",,
"EXC TUMOR SFT TSS HAND/FING SUBQ 1.5cm","26111","HCPCS","Both",,,"3861","1930.5","Wellcare","Medicaid Managed Care","",,"40",,"1563.71","1413.13","2992.28","percent of total billed charges",,
"EXC TUMOR SFT TSS HAND/FING SUBQ 1.5cm","26111","HCPCS","Both",,,"3861","1930.5","Aetna","Commercial","",,"64",,"2463.32","1413.13","2992.28","percent of total billed charges",,
"EXC TUMOR SFT TSS HAND/FING SUBQ 1.5cm","26111","HCPCS","Both",,,"3861","1930.5","Blue Cross Blue Shield","Pathways","",,"71",,"2725.87","1413.13","2992.28","percent of total billed charges",,
"EXC TUMOR SFT TSS HAND/FING SUBQ 1.5cm","26111","HCPCS","Both",,,"3861","1930.5","Blue Cross Blue Shield","HMO","",,"71",,"2725.87","1413.13","2992.28","percent of total billed charges",,
"EXC TUMOR SFT TSS HAND/FING SUBQ 1.5cm","26111","HCPCS","Both",,,"3861","1930.5","Blue Cross Blue Shield","PPO","",,"71",,"2725.87","1413.13","2992.28","percent of total billed charges",,
"EXC TUMOR SFT TSS HAND/FING SUBQ 1.5cm","26111","HCPCS","Both",,,"3861","1930.5","Ambetter","Health Exchange","",,"62",,"2393.82","1413.13","2992.28","percent of total billed charges",,
"EXC TUMOR SFT TSS HAND/FING SUBQ 1.5cm","26111","HCPCS","Both",,,"3861","1930.5","Caresource","Health Exchange","",,"62",,"2393.82","1413.13","2992.28","percent of total billed charges",,
"EXC TUMOR SFT TSS HAND/FING SUBQ 1.5cm","26111","HCPCS","Both",,,"3861","1930.5","Cigna","Commercial","",,"59",,"2262.55","1413.13","2992.28","percent of total billed charges",,
"EXC TUMOR SFT TSS HAND/FING SUBQ 1.5cm","26111","HCPCS","Both",,,"3861","1930.5","Humana","Commercial","",,"78",,"2992.28","1413.13","2992.28","percent of total billed charges",,
"EXC TUMOR SFT TSS HAND/FING SUBQ 1.5cm","26111","HCPCS","Both",,,"3861","1930.5","UHC","Commercial","",,"75",,"2911.19","1413.13","2992.28","percent of total billed charges",,
"EXC TUMOR SFT TSS HAND/FING SUBQ 1.5cm","26111","HCPCS","Both",,,"3861","1930.5","Medicaid",,"",,"37",,"1413.13","1413.13","2992.28","percent of total billed charges",,
"EXCISION, TUMOR, HAND/FINGER, SUBCU","26113","HCPCS","Both",,,"3502","1751","Alliant","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, HAND/FINGER, SUBCU","26113","HCPCS","Both",,,"3502","1751","Pruitt Healthcare","Medicare Advantage","",,"54",,"1891.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, HAND/FINGER, SUBCU","26113","HCPCS","Both",,,"3502","1751","Medicare",,"",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, HAND/FINGER, SUBCU","26113","HCPCS","Both",,,"3502","1751","Humana","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, HAND/FINGER, SUBCU","26113","HCPCS","Both",,,"3502","1751","UHC","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, HAND/FINGER, SUBCU","26113","HCPCS","Both",,,"3502","1751","Clover","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, HAND/FINGER, SUBCU","26113","HCPCS","Both",,,"3502","1751","Wellcare","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, HAND/FINGER, SUBCU","26113","HCPCS","Both",,,"3502","1751","Amerigroup","Medicaid Managed Care","",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, HAND/FINGER, SUBCU","26113","HCPCS","Both",,,"3502","1751","Caresource","Medicaid Managed Care","",,"40",,"1400.8","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, HAND/FINGER, SUBCU","26113","HCPCS","Both",,,"3502","1751","Wellcare","Medicaid Managed Care","",,"40",,"1418.31","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, HAND/FINGER, SUBCU","26113","HCPCS","Both",,,"3502","1751","Aetna","Commercial","",,"64",,"2234.28","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, HAND/FINGER, SUBCU","26113","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","Pathways","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, HAND/FINGER, SUBCU","26113","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","HMO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, HAND/FINGER, SUBCU","26113","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","PPO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, HAND/FINGER, SUBCU","26113","HCPCS","Both",,,"3502","1751","Ambetter","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, HAND/FINGER, SUBCU","26113","HCPCS","Both",,,"3502","1751","Caresource","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, HAND/FINGER, SUBCU","26113","HCPCS","Both",,,"3502","1751","Cigna","Commercial","",,"59",,"2052.17","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, HAND/FINGER, SUBCU","26113","HCPCS","Both",,,"3502","1751","Humana","Commercial","",,"78",,"2714.05","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, HAND/FINGER, SUBCU","26113","HCPCS","Both",,,"3502","1751","UHC","Commercial","",,"75",,"2640.51","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, HAND/FINGER, SUBCU","26113","HCPCS","Both",,,"3502","1751","Medicaid",,"",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, HAND/FINGER, SUBCU","26115","HCPCS","Both",,,"3502","1751","Alliant","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, HAND/FINGER, SUBCU","26115","HCPCS","Both",,,"3502","1751","Pruitt Healthcare","Medicare Advantage","",,"54",,"1891.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, HAND/FINGER, SUBCU","26115","HCPCS","Both",,,"3502","1751","Medicare",,"",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, HAND/FINGER, SUBCU","26115","HCPCS","Both",,,"3502","1751","Humana","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, HAND/FINGER, SUBCU","26115","HCPCS","Both",,,"3502","1751","UHC","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, HAND/FINGER, SUBCU","26115","HCPCS","Both",,,"3502","1751","Clover","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, HAND/FINGER, SUBCU","26115","HCPCS","Both",,,"3502","1751","Wellcare","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, HAND/FINGER, SUBCU","26115","HCPCS","Both",,,"3502","1751","Amerigroup","Medicaid Managed Care","",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, HAND/FINGER, SUBCU","26115","HCPCS","Both",,,"3502","1751","Caresource","Medicaid Managed Care","",,"40",,"1400.8","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, HAND/FINGER, SUBCU","26115","HCPCS","Both",,,"3502","1751","Wellcare","Medicaid Managed Care","",,"40",,"1418.31","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, HAND/FINGER, SUBCU","26115","HCPCS","Both",,,"3502","1751","Aetna","Commercial","",,"64",,"2234.28","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, HAND/FINGER, SUBCU","26115","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","Pathways","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, HAND/FINGER, SUBCU","26115","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","HMO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, HAND/FINGER, SUBCU","26115","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","PPO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, HAND/FINGER, SUBCU","26115","HCPCS","Both",,,"3502","1751","Ambetter","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, HAND/FINGER, SUBCU","26115","HCPCS","Both",,,"3502","1751","Caresource","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, HAND/FINGER, SUBCU","26115","HCPCS","Both",,,"3502","1751","Cigna","Commercial","",,"59",,"2052.17","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, HAND/FINGER, SUBCU","26115","HCPCS","Both",,,"3502","1751","Humana","Commercial","",,"78",,"2714.05","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, HAND/FINGER, SUBCU","26115","HCPCS","Both",,,"3502","1751","UHC","Commercial","",,"75",,"2640.51","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, HAND/FINGER, SUBCU","26115","HCPCS","Both",,,"3502","1751","Medicaid",,"",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, SOFT TISSUE HAND OR FIN","26116","HCPCS","Both",,,"3502","1751","Alliant","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, SOFT TISSUE HAND OR FIN","26116","HCPCS","Both",,,"3502","1751","Pruitt Healthcare","Medicare Advantage","",,"54",,"1891.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, SOFT TISSUE HAND OR FIN","26116","HCPCS","Both",,,"3502","1751","Medicare",,"",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, SOFT TISSUE HAND OR FIN","26116","HCPCS","Both",,,"3502","1751","Humana","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, SOFT TISSUE HAND OR FIN","26116","HCPCS","Both",,,"3502","1751","UHC","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, SOFT TISSUE HAND OR FIN","26116","HCPCS","Both",,,"3502","1751","Clover","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, SOFT TISSUE HAND OR FIN","26116","HCPCS","Both",,,"3502","1751","Wellcare","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, SOFT TISSUE HAND OR FIN","26116","HCPCS","Both",,,"3502","1751","Amerigroup","Medicaid Managed Care","",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, SOFT TISSUE HAND OR FIN","26116","HCPCS","Both",,,"3502","1751","Caresource","Medicaid Managed Care","",,"40",,"1400.8","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, SOFT TISSUE HAND OR FIN","26116","HCPCS","Both",,,"3502","1751","Wellcare","Medicaid Managed Care","",,"40",,"1418.31","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, SOFT TISSUE HAND OR FIN","26116","HCPCS","Both",,,"3502","1751","Aetna","Commercial","",,"64",,"2234.28","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, SOFT TISSUE HAND OR FIN","26116","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","Pathways","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, SOFT TISSUE HAND OR FIN","26116","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","HMO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, SOFT TISSUE HAND OR FIN","26116","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","PPO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, SOFT TISSUE HAND OR FIN","26116","HCPCS","Both",,,"3502","1751","Ambetter","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, SOFT TISSUE HAND OR FIN","26116","HCPCS","Both",,,"3502","1751","Caresource","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, SOFT TISSUE HAND OR FIN","26116","HCPCS","Both",,,"3502","1751","Cigna","Commercial","",,"59",,"2052.17","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, SOFT TISSUE HAND OR FIN","26116","HCPCS","Both",,,"3502","1751","Humana","Commercial","",,"78",,"2714.05","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, SOFT TISSUE HAND OR FIN","26116","HCPCS","Both",,,"3502","1751","UHC","Commercial","",,"75",,"2640.51","1281.73","2714.05","percent of total billed charges",,
"EXCISION, TUMOR, SOFT TISSUE HAND OR FIN","26116","HCPCS","Both",,,"3502","1751","Medicaid",,"",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"FASCIECTOMY PART PALM W/REL SGLE DIGIT","26123","HCPCS","Both",,,"6448.5","3224.25","Alliant","Health Exchange","",,"62",,"3998.07","2360.15","4997.59","percent of total billed charges",,
"FASCIECTOMY PART PALM W/REL SGLE DIGIT","26123","HCPCS","Both",,,"6448.5","3224.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"3482.19","2360.15","4997.59","percent of total billed charges",,
"FASCIECTOMY PART PALM W/REL SGLE DIGIT","26123","HCPCS","Both",,,"6448.5","3224.25","Medicare",,"",,"54",,"3495.09","2360.15","4997.59","percent of total billed charges",,
"FASCIECTOMY PART PALM W/REL SGLE DIGIT","26123","HCPCS","Both",,,"6448.5","3224.25","Humana","Medicare Advantage","",,"54",,"3495.09","2360.15","4997.59","percent of total billed charges",,
"FASCIECTOMY PART PALM W/REL SGLE DIGIT","26123","HCPCS","Both",,,"6448.5","3224.25","UHC","Medicare Advantage","",,"54",,"3495.09","2360.15","4997.59","percent of total billed charges",,
"FASCIECTOMY PART PALM W/REL SGLE DIGIT","26123","HCPCS","Both",,,"6448.5","3224.25","Clover","Medicare Advantage","",,"54",,"3495.09","2360.15","4997.59","percent of total billed charges",,
"FASCIECTOMY PART PALM W/REL SGLE DIGIT","26123","HCPCS","Both",,,"6448.5","3224.25","Wellcare","Medicare Advantage","",,"54",,"3495.09","2360.15","4997.59","percent of total billed charges",,
"FASCIECTOMY PART PALM W/REL SGLE DIGIT","26123","HCPCS","Both",,,"6448.5","3224.25","Amerigroup","Medicaid Managed Care","",,"37",,"2360.15","2360.15","4997.59","percent of total billed charges",,
"FASCIECTOMY PART PALM W/REL SGLE DIGIT","26123","HCPCS","Both",,,"6448.5","3224.25","Caresource","Medicaid Managed Care","",,"40",,"2579.4","2360.15","4997.59","percent of total billed charges",,
"FASCIECTOMY PART PALM W/REL SGLE DIGIT","26123","HCPCS","Both",,,"6448.5","3224.25","Wellcare","Medicaid Managed Care","",,"40",,"2611.64","2360.15","4997.59","percent of total billed charges",,
"FASCIECTOMY PART PALM W/REL SGLE DIGIT","26123","HCPCS","Both",,,"6448.5","3224.25","Aetna","Commercial","",,"64",,"4114.14","2360.15","4997.59","percent of total billed charges",,
"FASCIECTOMY PART PALM W/REL SGLE DIGIT","26123","HCPCS","Both",,,"6448.5","3224.25","Blue Cross Blue Shield","Pathways","",,"71",,"4552.64","2360.15","4997.59","percent of total billed charges",,
"FASCIECTOMY PART PALM W/REL SGLE DIGIT","26123","HCPCS","Both",,,"6448.5","3224.25","Blue Cross Blue Shield","HMO","",,"71",,"4552.64","2360.15","4997.59","percent of total billed charges",,
"FASCIECTOMY PART PALM W/REL SGLE DIGIT","26123","HCPCS","Both",,,"6448.5","3224.25","Blue Cross Blue Shield","PPO","",,"71",,"4552.64","2360.15","4997.59","percent of total billed charges",,
"FASCIECTOMY PART PALM W/REL SGLE DIGIT","26123","HCPCS","Both",,,"6448.5","3224.25","Ambetter","Health Exchange","",,"62",,"3998.07","2360.15","4997.59","percent of total billed charges",,
"FASCIECTOMY PART PALM W/REL SGLE DIGIT","26123","HCPCS","Both",,,"6448.5","3224.25","Caresource","Health Exchange","",,"62",,"3998.07","2360.15","4997.59","percent of total billed charges",,
"FASCIECTOMY PART PALM W/REL SGLE DIGIT","26123","HCPCS","Both",,,"6448.5","3224.25","Cigna","Commercial","",,"59",,"3778.82","2360.15","4997.59","percent of total billed charges",,
"FASCIECTOMY PART PALM W/REL SGLE DIGIT","26123","HCPCS","Both",,,"6448.5","3224.25","Humana","Commercial","",,"78",,"4997.59","2360.15","4997.59","percent of total billed charges",,
"FASCIECTOMY PART PALM W/REL SGLE DIGIT","26123","HCPCS","Both",,,"6448.5","3224.25","UHC","Commercial","",,"75",,"4862.17","2360.15","4997.59","percent of total billed charges",,
"FASCIECTOMY PART PALM W/REL SGLE DIGIT","26123","HCPCS","Both",,,"6448.5","3224.25","Medicaid",,"",,"37",,"2360.15","2360.15","4997.59","percent of total billed charges",,
"SYNOVECTOMY,TENDON SHEATH, RADICAL","26145","HCPCS","Both",,,"3701","1850.5","Alliant","Health Exchange","",,"62",,"2294.62","1354.57","2868.28","percent of total billed charges",,
"SYNOVECTOMY,TENDON SHEATH, RADICAL","26145","HCPCS","Both",,,"3701","1850.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"1998.54","1354.57","2868.28","percent of total billed charges",,
"SYNOVECTOMY,TENDON SHEATH, RADICAL","26145","HCPCS","Both",,,"3701","1850.5","Medicare",,"",,"54",,"2005.94","1354.57","2868.28","percent of total billed charges",,
"SYNOVECTOMY,TENDON SHEATH, RADICAL","26145","HCPCS","Both",,,"3701","1850.5","Humana","Medicare Advantage","",,"54",,"2005.94","1354.57","2868.28","percent of total billed charges",,
"SYNOVECTOMY,TENDON SHEATH, RADICAL","26145","HCPCS","Both",,,"3701","1850.5","UHC","Medicare Advantage","",,"54",,"2005.94","1354.57","2868.28","percent of total billed charges",,
"SYNOVECTOMY,TENDON SHEATH, RADICAL","26145","HCPCS","Both",,,"3701","1850.5","Clover","Medicare Advantage","",,"54",,"2005.94","1354.57","2868.28","percent of total billed charges",,
"SYNOVECTOMY,TENDON SHEATH, RADICAL","26145","HCPCS","Both",,,"3701","1850.5","Wellcare","Medicare Advantage","",,"54",,"2005.94","1354.57","2868.28","percent of total billed charges",,
"SYNOVECTOMY,TENDON SHEATH, RADICAL","26145","HCPCS","Both",,,"3701","1850.5","Amerigroup","Medicaid Managed Care","",,"37",,"1354.57","1354.57","2868.28","percent of total billed charges",,
"SYNOVECTOMY,TENDON SHEATH, RADICAL","26145","HCPCS","Both",,,"3701","1850.5","Caresource","Medicaid Managed Care","",,"40",,"1480.4","1354.57","2868.28","percent of total billed charges",,
"SYNOVECTOMY,TENDON SHEATH, RADICAL","26145","HCPCS","Both",,,"3701","1850.5","Wellcare","Medicaid Managed Care","",,"40",,"1498.91","1354.57","2868.28","percent of total billed charges",,
"SYNOVECTOMY,TENDON SHEATH, RADICAL","26145","HCPCS","Both",,,"3701","1850.5","Aetna","Commercial","",,"64",,"2361.24","1354.57","2868.28","percent of total billed charges",,
"SYNOVECTOMY,TENDON SHEATH, RADICAL","26145","HCPCS","Both",,,"3701","1850.5","Blue Cross Blue Shield","Pathways","",,"71",,"2612.91","1354.57","2868.28","percent of total billed charges",,
"SYNOVECTOMY,TENDON SHEATH, RADICAL","26145","HCPCS","Both",,,"3701","1850.5","Blue Cross Blue Shield","HMO","",,"71",,"2612.91","1354.57","2868.28","percent of total billed charges",,
"SYNOVECTOMY,TENDON SHEATH, RADICAL","26145","HCPCS","Both",,,"3701","1850.5","Blue Cross Blue Shield","PPO","",,"71",,"2612.91","1354.57","2868.28","percent of total billed charges",,
"SYNOVECTOMY,TENDON SHEATH, RADICAL","26145","HCPCS","Both",,,"3701","1850.5","Ambetter","Health Exchange","",,"62",,"2294.62","1354.57","2868.28","percent of total billed charges",,
"SYNOVECTOMY,TENDON SHEATH, RADICAL","26145","HCPCS","Both",,,"3701","1850.5","Caresource","Health Exchange","",,"62",,"2294.62","1354.57","2868.28","percent of total billed charges",,
"SYNOVECTOMY,TENDON SHEATH, RADICAL","26145","HCPCS","Both",,,"3701","1850.5","Cigna","Commercial","",,"59",,"2168.79","1354.57","2868.28","percent of total billed charges",,
"SYNOVECTOMY,TENDON SHEATH, RADICAL","26145","HCPCS","Both",,,"3701","1850.5","Humana","Commercial","",,"78",,"2868.28","1354.57","2868.28","percent of total billed charges",,
"SYNOVECTOMY,TENDON SHEATH, RADICAL","26145","HCPCS","Both",,,"3701","1850.5","UHC","Commercial","",,"75",,"2790.55","1354.57","2868.28","percent of total billed charges",,
"SYNOVECTOMY,TENDON SHEATH, RADICAL","26145","HCPCS","Both",,,"3701","1850.5","Medicaid",,"",,"37",,"1354.57","1354.57","2868.28","percent of total billed charges",,
"EXCISION LESION TENDON SHEATH/JOINT","26160","HCPCS","Both",,,"383.5","191.75","Alliant","Health Exchange","",,"62",,"237.77","140.36","297.21","percent of total billed charges",,
"EXCISION LESION TENDON SHEATH/JOINT","26160","HCPCS","Both",,,"383.5","191.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"207.09","140.36","297.21","percent of total billed charges",,
"EXCISION LESION TENDON SHEATH/JOINT","26160","HCPCS","Both",,,"383.5","191.75","Medicare",,"",,"54",,"207.86","140.36","297.21","percent of total billed charges",,
"EXCISION LESION TENDON SHEATH/JOINT","26160","HCPCS","Both",,,"383.5","191.75","Humana","Medicare Advantage","",,"54",,"207.86","140.36","297.21","percent of total billed charges",,
"EXCISION LESION TENDON SHEATH/JOINT","26160","HCPCS","Both",,,"383.5","191.75","UHC","Medicare Advantage","",,"54",,"207.86","140.36","297.21","percent of total billed charges",,
"EXCISION LESION TENDON SHEATH/JOINT","26160","HCPCS","Both",,,"383.5","191.75","Clover","Medicare Advantage","",,"54",,"207.86","140.36","297.21","percent of total billed charges",,
"EXCISION LESION TENDON SHEATH/JOINT","26160","HCPCS","Both",,,"383.5","191.75","Wellcare","Medicare Advantage","",,"54",,"207.86","140.36","297.21","percent of total billed charges",,
"EXCISION LESION TENDON SHEATH/JOINT","26160","HCPCS","Both",,,"383.5","191.75","Amerigroup","Medicaid Managed Care","",,"37",,"140.36","140.36","297.21","percent of total billed charges",,
"EXCISION LESION TENDON SHEATH/JOINT","26160","HCPCS","Both",,,"383.5","191.75","Caresource","Medicaid Managed Care","",,"40",,"153.4","140.36","297.21","percent of total billed charges",,
"EXCISION LESION TENDON SHEATH/JOINT","26160","HCPCS","Both",,,"383.5","191.75","Wellcare","Medicaid Managed Care","",,"40",,"155.32","140.36","297.21","percent of total billed charges",,
"EXCISION LESION TENDON SHEATH/JOINT","26160","HCPCS","Both",,,"383.5","191.75","Aetna","Commercial","",,"64",,"244.67","140.36","297.21","percent of total billed charges",,
"EXCISION LESION TENDON SHEATH/JOINT","26160","HCPCS","Both",,,"383.5","191.75","Blue Cross Blue Shield","Pathways","",,"71",,"270.75","140.36","297.21","percent of total billed charges",,
"EXCISION LESION TENDON SHEATH/JOINT","26160","HCPCS","Both",,,"383.5","191.75","Blue Cross Blue Shield","HMO","",,"71",,"270.75","140.36","297.21","percent of total billed charges",,
"EXCISION LESION TENDON SHEATH/JOINT","26160","HCPCS","Both",,,"383.5","191.75","Blue Cross Blue Shield","PPO","",,"71",,"270.75","140.36","297.21","percent of total billed charges",,
"EXCISION LESION TENDON SHEATH/JOINT","26160","HCPCS","Both",,,"383.5","191.75","Ambetter","Health Exchange","",,"62",,"237.77","140.36","297.21","percent of total billed charges",,
"EXCISION LESION TENDON SHEATH/JOINT","26160","HCPCS","Both",,,"383.5","191.75","Caresource","Health Exchange","",,"62",,"237.77","140.36","297.21","percent of total billed charges",,
"EXCISION LESION TENDON SHEATH/JOINT","26160","HCPCS","Both",,,"383.5","191.75","Cigna","Commercial","",,"59",,"224.73","140.36","297.21","percent of total billed charges",,
"EXCISION LESION TENDON SHEATH/JOINT","26160","HCPCS","Both",,,"383.5","191.75","Humana","Commercial","",,"78",,"297.21","140.36","297.21","percent of total billed charges",,
"EXCISION LESION TENDON SHEATH/JOINT","26160","HCPCS","Both",,,"383.5","191.75","UHC","Commercial","",,"75",,"289.16","140.36","297.21","percent of total billed charges",,
"EXCISION LESION TENDON SHEATH/JOINT","26160","HCPCS","Both",,,"383.5","191.75","Medicaid",,"",,"37",,"140.36","140.36","297.21","percent of total billed charges",,
"PARTIAL EXCISION OF BONE;DISTAL PHALANX","26236","HCPCS","Both",,,"3701","1850.5","Alliant","Health Exchange","",,"62",,"2294.62","1354.57","2868.28","percent of total billed charges",,
"PARTIAL EXCISION OF BONE;DISTAL PHALANX","26236","HCPCS","Both",,,"3701","1850.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"1998.54","1354.57","2868.28","percent of total billed charges",,
"PARTIAL EXCISION OF BONE;DISTAL PHALANX","26236","HCPCS","Both",,,"3701","1850.5","Medicare",,"",,"54",,"2005.94","1354.57","2868.28","percent of total billed charges",,
"PARTIAL EXCISION OF BONE;DISTAL PHALANX","26236","HCPCS","Both",,,"3701","1850.5","Humana","Medicare Advantage","",,"54",,"2005.94","1354.57","2868.28","percent of total billed charges",,
"PARTIAL EXCISION OF BONE;DISTAL PHALANX","26236","HCPCS","Both",,,"3701","1850.5","UHC","Medicare Advantage","",,"54",,"2005.94","1354.57","2868.28","percent of total billed charges",,
"PARTIAL EXCISION OF BONE;DISTAL PHALANX","26236","HCPCS","Both",,,"3701","1850.5","Clover","Medicare Advantage","",,"54",,"2005.94","1354.57","2868.28","percent of total billed charges",,
"PARTIAL EXCISION OF BONE;DISTAL PHALANX","26236","HCPCS","Both",,,"3701","1850.5","Wellcare","Medicare Advantage","",,"54",,"2005.94","1354.57","2868.28","percent of total billed charges",,
"PARTIAL EXCISION OF BONE;DISTAL PHALANX","26236","HCPCS","Both",,,"3701","1850.5","Amerigroup","Medicaid Managed Care","",,"37",,"1354.57","1354.57","2868.28","percent of total billed charges",,
"PARTIAL EXCISION OF BONE;DISTAL PHALANX","26236","HCPCS","Both",,,"3701","1850.5","Caresource","Medicaid Managed Care","",,"40",,"1480.4","1354.57","2868.28","percent of total billed charges",,
"PARTIAL EXCISION OF BONE;DISTAL PHALANX","26236","HCPCS","Both",,,"3701","1850.5","Wellcare","Medicaid Managed Care","",,"40",,"1498.91","1354.57","2868.28","percent of total billed charges",,
"PARTIAL EXCISION OF BONE;DISTAL PHALANX","26236","HCPCS","Both",,,"3701","1850.5","Aetna","Commercial","",,"64",,"2361.24","1354.57","2868.28","percent of total billed charges",,
"PARTIAL EXCISION OF BONE;DISTAL PHALANX","26236","HCPCS","Both",,,"3701","1850.5","Blue Cross Blue Shield","Pathways","",,"71",,"2612.91","1354.57","2868.28","percent of total billed charges",,
"PARTIAL EXCISION OF BONE;DISTAL PHALANX","26236","HCPCS","Both",,,"3701","1850.5","Blue Cross Blue Shield","HMO","",,"71",,"2612.91","1354.57","2868.28","percent of total billed charges",,
"PARTIAL EXCISION OF BONE;DISTAL PHALANX","26236","HCPCS","Both",,,"3701","1850.5","Blue Cross Blue Shield","PPO","",,"71",,"2612.91","1354.57","2868.28","percent of total billed charges",,
"PARTIAL EXCISION OF BONE;DISTAL PHALANX","26236","HCPCS","Both",,,"3701","1850.5","Ambetter","Health Exchange","",,"62",,"2294.62","1354.57","2868.28","percent of total billed charges",,
"PARTIAL EXCISION OF BONE;DISTAL PHALANX","26236","HCPCS","Both",,,"3701","1850.5","Caresource","Health Exchange","",,"62",,"2294.62","1354.57","2868.28","percent of total billed charges",,
"PARTIAL EXCISION OF BONE;DISTAL PHALANX","26236","HCPCS","Both",,,"3701","1850.5","Cigna","Commercial","",,"59",,"2168.79","1354.57","2868.28","percent of total billed charges",,
"PARTIAL EXCISION OF BONE;DISTAL PHALANX","26236","HCPCS","Both",,,"3701","1850.5","Humana","Commercial","",,"78",,"2868.28","1354.57","2868.28","percent of total billed charges",,
"PARTIAL EXCISION OF BONE;DISTAL PHALANX","26236","HCPCS","Both",,,"3701","1850.5","UHC","Commercial","",,"75",,"2790.55","1354.57","2868.28","percent of total billed charges",,
"PARTIAL EXCISION OF BONE;DISTAL PHALANX","26236","HCPCS","Both",,,"3701","1850.5","Medicaid",,"",,"37",,"1354.57","1354.57","2868.28","percent of total billed charges",,
"REPAIR EXT TENDON WO FREE GRF","26418","HCPCS","Both",,,"3701","1850.5","Alliant","Health Exchange","",,"62",,"2294.62","1354.57","2868.28","percent of total billed charges",,
"REPAIR EXT TENDON WO FREE GRF","26418","HCPCS","Both",,,"3701","1850.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"1998.54","1354.57","2868.28","percent of total billed charges",,
"REPAIR EXT TENDON WO FREE GRF","26418","HCPCS","Both",,,"3701","1850.5","Medicare",,"",,"54",,"2005.94","1354.57","2868.28","percent of total billed charges",,
"REPAIR EXT TENDON WO FREE GRF","26418","HCPCS","Both",,,"3701","1850.5","Humana","Medicare Advantage","",,"54",,"2005.94","1354.57","2868.28","percent of total billed charges",,
"REPAIR EXT TENDON WO FREE GRF","26418","HCPCS","Both",,,"3701","1850.5","UHC","Medicare Advantage","",,"54",,"2005.94","1354.57","2868.28","percent of total billed charges",,
"REPAIR EXT TENDON WO FREE GRF","26418","HCPCS","Both",,,"3701","1850.5","Clover","Medicare Advantage","",,"54",,"2005.94","1354.57","2868.28","percent of total billed charges",,
"REPAIR EXT TENDON WO FREE GRF","26418","HCPCS","Both",,,"3701","1850.5","Wellcare","Medicare Advantage","",,"54",,"2005.94","1354.57","2868.28","percent of total billed charges",,
"REPAIR EXT TENDON WO FREE GRF","26418","HCPCS","Both",,,"3701","1850.5","Amerigroup","Medicaid Managed Care","",,"37",,"1354.57","1354.57","2868.28","percent of total billed charges",,
"REPAIR EXT TENDON WO FREE GRF","26418","HCPCS","Both",,,"3701","1850.5","Caresource","Medicaid Managed Care","",,"40",,"1480.4","1354.57","2868.28","percent of total billed charges",,
"REPAIR EXT TENDON WO FREE GRF","26418","HCPCS","Both",,,"3701","1850.5","Wellcare","Medicaid Managed Care","",,"40",,"1498.91","1354.57","2868.28","percent of total billed charges",,
"REPAIR EXT TENDON WO FREE GRF","26418","HCPCS","Both",,,"3701","1850.5","Aetna","Commercial","",,"64",,"2361.24","1354.57","2868.28","percent of total billed charges",,
"REPAIR EXT TENDON WO FREE GRF","26418","HCPCS","Both",,,"3701","1850.5","Blue Cross Blue Shield","Pathways","",,"71",,"2612.91","1354.57","2868.28","percent of total billed charges",,
"REPAIR EXT TENDON WO FREE GRF","26418","HCPCS","Both",,,"3701","1850.5","Blue Cross Blue Shield","HMO","",,"71",,"2612.91","1354.57","2868.28","percent of total billed charges",,
"REPAIR EXT TENDON WO FREE GRF","26418","HCPCS","Both",,,"3701","1850.5","Blue Cross Blue Shield","PPO","",,"71",,"2612.91","1354.57","2868.28","percent of total billed charges",,
"REPAIR EXT TENDON WO FREE GRF","26418","HCPCS","Both",,,"3701","1850.5","Ambetter","Health Exchange","",,"62",,"2294.62","1354.57","2868.28","percent of total billed charges",,
"REPAIR EXT TENDON WO FREE GRF","26418","HCPCS","Both",,,"3701","1850.5","Caresource","Health Exchange","",,"62",,"2294.62","1354.57","2868.28","percent of total billed charges",,
"REPAIR EXT TENDON WO FREE GRF","26418","HCPCS","Both",,,"3701","1850.5","Cigna","Commercial","",,"59",,"2168.79","1354.57","2868.28","percent of total billed charges",,
"REPAIR EXT TENDON WO FREE GRF","26418","HCPCS","Both",,,"3701","1850.5","Humana","Commercial","",,"78",,"2868.28","1354.57","2868.28","percent of total billed charges",,
"REPAIR EXT TENDON WO FREE GRF","26418","HCPCS","Both",,,"3701","1850.5","UHC","Commercial","",,"75",,"2790.55","1354.57","2868.28","percent of total billed charges",,
"REPAIR EXT TENDON WO FREE GRF","26418","HCPCS","Both",,,"3701","1850.5","Medicaid",,"",,"37",,"1354.57","1354.57","2868.28","percent of total billed charges",,
"BIOPSY SOFT TISSUE PELVIS HIP 3cm OR >","27043","HCPCS","Both",,,"1070.5","535.25","Alliant","Health Exchange","",,"62",,"663.71","391.8","829.64","percent of total billed charges",,
"BIOPSY SOFT TISSUE PELVIS HIP 3cm OR >","27043","HCPCS","Both",,,"1070.5","535.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"578.07","391.8","829.64","percent of total billed charges",,
"BIOPSY SOFT TISSUE PELVIS HIP 3cm OR >","27043","HCPCS","Both",,,"1070.5","535.25","Medicare",,"",,"54",,"580.21","391.8","829.64","percent of total billed charges",,
"BIOPSY SOFT TISSUE PELVIS HIP 3cm OR >","27043","HCPCS","Both",,,"1070.5","535.25","Humana","Medicare Advantage","",,"54",,"580.21","391.8","829.64","percent of total billed charges",,
"BIOPSY SOFT TISSUE PELVIS HIP 3cm OR >","27043","HCPCS","Both",,,"1070.5","535.25","UHC","Medicare Advantage","",,"54",,"580.21","391.8","829.64","percent of total billed charges",,
"BIOPSY SOFT TISSUE PELVIS HIP 3cm OR >","27043","HCPCS","Both",,,"1070.5","535.25","Clover","Medicare Advantage","",,"54",,"580.21","391.8","829.64","percent of total billed charges",,
"BIOPSY SOFT TISSUE PELVIS HIP 3cm OR >","27043","HCPCS","Both",,,"1070.5","535.25","Wellcare","Medicare Advantage","",,"54",,"580.21","391.8","829.64","percent of total billed charges",,
"BIOPSY SOFT TISSUE PELVIS HIP 3cm OR >","27043","HCPCS","Both",,,"1070.5","535.25","Amerigroup","Medicaid Managed Care","",,"37",,"391.8","391.8","829.64","percent of total billed charges",,
"BIOPSY SOFT TISSUE PELVIS HIP 3cm OR >","27043","HCPCS","Both",,,"1070.5","535.25","Caresource","Medicaid Managed Care","",,"40",,"428.2","391.8","829.64","percent of total billed charges",,
"BIOPSY SOFT TISSUE PELVIS HIP 3cm OR >","27043","HCPCS","Both",,,"1070.5","535.25","Wellcare","Medicaid Managed Care","",,"40",,"433.55","391.8","829.64","percent of total billed charges",,
"BIOPSY SOFT TISSUE PELVIS HIP 3cm OR >","27043","HCPCS","Both",,,"1070.5","535.25","Aetna","Commercial","",,"64",,"682.98","391.8","829.64","percent of total billed charges",,
"BIOPSY SOFT TISSUE PELVIS HIP 3cm OR >","27043","HCPCS","Both",,,"1070.5","535.25","Blue Cross Blue Shield","Pathways","",,"71",,"755.77","391.8","829.64","percent of total billed charges",,
"BIOPSY SOFT TISSUE PELVIS HIP 3cm OR >","27043","HCPCS","Both",,,"1070.5","535.25","Blue Cross Blue Shield","HMO","",,"71",,"755.77","391.8","829.64","percent of total billed charges",,
"BIOPSY SOFT TISSUE PELVIS HIP 3cm OR >","27043","HCPCS","Both",,,"1070.5","535.25","Blue Cross Blue Shield","PPO","",,"71",,"755.77","391.8","829.64","percent of total billed charges",,
"BIOPSY SOFT TISSUE PELVIS HIP 3cm OR >","27043","HCPCS","Both",,,"1070.5","535.25","Ambetter","Health Exchange","",,"62",,"663.71","391.8","829.64","percent of total billed charges",,
"BIOPSY SOFT TISSUE PELVIS HIP 3cm OR >","27043","HCPCS","Both",,,"1070.5","535.25","Caresource","Health Exchange","",,"62",,"663.71","391.8","829.64","percent of total billed charges",,
"BIOPSY SOFT TISSUE PELVIS HIP 3cm OR >","27043","HCPCS","Both",,,"1070.5","535.25","Cigna","Commercial","",,"59",,"627.31","391.8","829.64","percent of total billed charges",,
"BIOPSY SOFT TISSUE PELVIS HIP 3cm OR >","27043","HCPCS","Both",,,"1070.5","535.25","Humana","Commercial","",,"78",,"829.64","391.8","829.64","percent of total billed charges",,
"BIOPSY SOFT TISSUE PELVIS HIP 3cm OR >","27043","HCPCS","Both",,,"1070.5","535.25","UHC","Commercial","",,"75",,"807.16","391.8","829.64","percent of total billed charges",,
"BIOPSY SOFT TISSUE PELVIS HIP 3cm OR >","27043","HCPCS","Both",,,"1070.5","535.25","Medicaid",,"",,"37",,"391.8","391.8","829.64","percent of total billed charges",,
"EXCISION TUMOR SOFT TISSUE THIGH/KNEE L","27327","HCPCS","Both",,,"1591","795.5","Alliant","Health Exchange","",,"62",,"986.42","582.31","1233.03","percent of total billed charges",,
"EXCISION TUMOR SOFT TISSUE THIGH/KNEE L","27327","HCPCS","Both",,,"1591","795.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"859.14","582.31","1233.03","percent of total billed charges",,
"EXCISION TUMOR SOFT TISSUE THIGH/KNEE L","27327","HCPCS","Both",,,"1591","795.5","Medicare",,"",,"54",,"862.32","582.31","1233.03","percent of total billed charges",,
"EXCISION TUMOR SOFT TISSUE THIGH/KNEE L","27327","HCPCS","Both",,,"1591","795.5","Humana","Medicare Advantage","",,"54",,"862.32","582.31","1233.03","percent of total billed charges",,
"EXCISION TUMOR SOFT TISSUE THIGH/KNEE L","27327","HCPCS","Both",,,"1591","795.5","UHC","Medicare Advantage","",,"54",,"862.32","582.31","1233.03","percent of total billed charges",,
"EXCISION TUMOR SOFT TISSUE THIGH/KNEE L","27327","HCPCS","Both",,,"1591","795.5","Clover","Medicare Advantage","",,"54",,"862.32","582.31","1233.03","percent of total billed charges",,
"EXCISION TUMOR SOFT TISSUE THIGH/KNEE L","27327","HCPCS","Both",,,"1591","795.5","Wellcare","Medicare Advantage","",,"54",,"862.32","582.31","1233.03","percent of total billed charges",,
"EXCISION TUMOR SOFT TISSUE THIGH/KNEE L","27327","HCPCS","Both",,,"1591","795.5","Amerigroup","Medicaid Managed Care","",,"37",,"582.31","582.31","1233.03","percent of total billed charges",,
"EXCISION TUMOR SOFT TISSUE THIGH/KNEE L","27327","HCPCS","Both",,,"1591","795.5","Caresource","Medicaid Managed Care","",,"40",,"636.4","582.31","1233.03","percent of total billed charges",,
"EXCISION TUMOR SOFT TISSUE THIGH/KNEE L","27327","HCPCS","Both",,,"1591","795.5","Wellcare","Medicaid Managed Care","",,"40",,"644.36","582.31","1233.03","percent of total billed charges",,
"EXCISION TUMOR SOFT TISSUE THIGH/KNEE L","27327","HCPCS","Both",,,"1591","795.5","Aetna","Commercial","",,"64",,"1015.06","582.31","1233.03","percent of total billed charges",,
"EXCISION TUMOR SOFT TISSUE THIGH/KNEE L","27327","HCPCS","Both",,,"1591","795.5","Blue Cross Blue Shield","Pathways","",,"71",,"1123.25","582.31","1233.03","percent of total billed charges",,
"EXCISION TUMOR SOFT TISSUE THIGH/KNEE L","27327","HCPCS","Both",,,"1591","795.5","Blue Cross Blue Shield","HMO","",,"71",,"1123.25","582.31","1233.03","percent of total billed charges",,
"EXCISION TUMOR SOFT TISSUE THIGH/KNEE L","27327","HCPCS","Both",,,"1591","795.5","Blue Cross Blue Shield","PPO","",,"71",,"1123.25","582.31","1233.03","percent of total billed charges",,
"EXCISION TUMOR SOFT TISSUE THIGH/KNEE L","27327","HCPCS","Both",,,"1591","795.5","Ambetter","Health Exchange","",,"62",,"986.42","582.31","1233.03","percent of total billed charges",,
"EXCISION TUMOR SOFT TISSUE THIGH/KNEE L","27327","HCPCS","Both",,,"1591","795.5","Caresource","Health Exchange","",,"62",,"986.42","582.31","1233.03","percent of total billed charges",,
"EXCISION TUMOR SOFT TISSUE THIGH/KNEE L","27327","HCPCS","Both",,,"1591","795.5","Cigna","Commercial","",,"59",,"932.33","582.31","1233.03","percent of total billed charges",,
"EXCISION TUMOR SOFT TISSUE THIGH/KNEE L","27327","HCPCS","Both",,,"1591","795.5","Humana","Commercial","",,"78",,"1233.03","582.31","1233.03","percent of total billed charges",,
"EXCISION TUMOR SOFT TISSUE THIGH/KNEE L","27327","HCPCS","Both",,,"1591","795.5","UHC","Commercial","",,"75",,"1199.61","582.31","1233.03","percent of total billed charges",,
"EXCISION TUMOR SOFT TISSUE THIGH/KNEE L","27327","HCPCS","Both",,,"1591","795.5","Medicaid",,"",,"37",,"582.31","582.31","1233.03","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS 3cm or >","27337","HCPCS","Both",,,"7750","3875","Alliant","Health Exchange","",,"62",,"4805","2836.5","6006.25","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS 3cm or >","27337","HCPCS","Both",,,"7750","3875","Pruitt Healthcare","Medicare Advantage","",,"54",,"4185","2836.5","6006.25","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS 3cm or >","27337","HCPCS","Both",,,"7750","3875","Medicare",,"",,"54",,"4200.5","2836.5","6006.25","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS 3cm or >","27337","HCPCS","Both",,,"7750","3875","Humana","Medicare Advantage","",,"54",,"4200.5","2836.5","6006.25","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS 3cm or >","27337","HCPCS","Both",,,"7750","3875","UHC","Medicare Advantage","",,"54",,"4200.5","2836.5","6006.25","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS 3cm or >","27337","HCPCS","Both",,,"7750","3875","Clover","Medicare Advantage","",,"54",,"4200.5","2836.5","6006.25","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS 3cm or >","27337","HCPCS","Both",,,"7750","3875","Wellcare","Medicare Advantage","",,"54",,"4200.5","2836.5","6006.25","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS 3cm or >","27337","HCPCS","Both",,,"7750","3875","Amerigroup","Medicaid Managed Care","",,"37",,"2836.5","2836.5","6006.25","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS 3cm or >","27337","HCPCS","Both",,,"7750","3875","Caresource","Medicaid Managed Care","",,"40",,"3100","2836.5","6006.25","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS 3cm or >","27337","HCPCS","Both",,,"7750","3875","Wellcare","Medicaid Managed Care","",,"40",,"3138.75","2836.5","6006.25","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS 3cm or >","27337","HCPCS","Both",,,"7750","3875","Aetna","Commercial","",,"64",,"4944.5","2836.5","6006.25","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS 3cm or >","27337","HCPCS","Both",,,"7750","3875","Blue Cross Blue Shield","Pathways","",,"71",,"5471.5","2836.5","6006.25","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS 3cm or >","27337","HCPCS","Both",,,"7750","3875","Blue Cross Blue Shield","HMO","",,"71",,"5471.5","2836.5","6006.25","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS 3cm or >","27337","HCPCS","Both",,,"7750","3875","Blue Cross Blue Shield","PPO","",,"71",,"5471.5","2836.5","6006.25","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS 3cm or >","27337","HCPCS","Both",,,"7750","3875","Ambetter","Health Exchange","",,"62",,"4805","2836.5","6006.25","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS 3cm or >","27337","HCPCS","Both",,,"7750","3875","Caresource","Health Exchange","",,"62",,"4805","2836.5","6006.25","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS 3cm or >","27337","HCPCS","Both",,,"7750","3875","Cigna","Commercial","",,"59",,"4541.5","2836.5","6006.25","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS 3cm or >","27337","HCPCS","Both",,,"7750","3875","Humana","Commercial","",,"78",,"6006.25","2836.5","6006.25","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS 3cm or >","27337","HCPCS","Both",,,"7750","3875","UHC","Commercial","",,"75",,"5843.5","2836.5","6006.25","percent of total billed charges",,
"EXCISION TUMOR SOFT TISS 3cm or >","27337","HCPCS","Both",,,"7750","3875","Medicaid",,"",,"37",,"2836.5","2836.5","6006.25","percent of total billed charges",,
"AMPUTATION THIGH/FEMOR  (IP ONLY)","27596","HCPCS","Both",,,"2473.5","1236.75","Alliant","Health Exchange","",,"62",,"1533.57","905.3","1916.96","percent of total billed charges",,
"AMPUTATION THIGH/FEMOR  (IP ONLY)","27596","HCPCS","Both",,,"2473.5","1236.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"1335.69","905.3","1916.96","percent of total billed charges",,
"AMPUTATION THIGH/FEMOR  (IP ONLY)","27596","HCPCS","Both",,,"2473.5","1236.75","Medicare",,"",,"54",,"1340.64","905.3","1916.96","percent of total billed charges",,
"AMPUTATION THIGH/FEMOR  (IP ONLY)","27596","HCPCS","Both",,,"2473.5","1236.75","Humana","Medicare Advantage","",,"54",,"1340.64","905.3","1916.96","percent of total billed charges",,
"AMPUTATION THIGH/FEMOR  (IP ONLY)","27596","HCPCS","Both",,,"2473.5","1236.75","UHC","Medicare Advantage","",,"54",,"1340.64","905.3","1916.96","percent of total billed charges",,
"AMPUTATION THIGH/FEMOR  (IP ONLY)","27596","HCPCS","Both",,,"2473.5","1236.75","Clover","Medicare Advantage","",,"54",,"1340.64","905.3","1916.96","percent of total billed charges",,
"AMPUTATION THIGH/FEMOR  (IP ONLY)","27596","HCPCS","Both",,,"2473.5","1236.75","Wellcare","Medicare Advantage","",,"54",,"1340.64","905.3","1916.96","percent of total billed charges",,
"AMPUTATION THIGH/FEMOR  (IP ONLY)","27596","HCPCS","Both",,,"2473.5","1236.75","Amerigroup","Medicaid Managed Care","",,"37",,"905.3","905.3","1916.96","percent of total billed charges",,
"AMPUTATION THIGH/FEMOR  (IP ONLY)","27596","HCPCS","Both",,,"2473.5","1236.75","Caresource","Medicaid Managed Care","",,"40",,"989.4","905.3","1916.96","percent of total billed charges",,
"AMPUTATION THIGH/FEMOR  (IP ONLY)","27596","HCPCS","Both",,,"2473.5","1236.75","Wellcare","Medicaid Managed Care","",,"40",,"1001.77","905.3","1916.96","percent of total billed charges",,
"AMPUTATION THIGH/FEMOR  (IP ONLY)","27596","HCPCS","Both",,,"2473.5","1236.75","Aetna","Commercial","",,"64",,"1578.09","905.3","1916.96","percent of total billed charges",,
"AMPUTATION THIGH/FEMOR  (IP ONLY)","27596","HCPCS","Both",,,"2473.5","1236.75","Blue Cross Blue Shield","Pathways","",,"71",,"1746.29","905.3","1916.96","percent of total billed charges",,
"AMPUTATION THIGH/FEMOR  (IP ONLY)","27596","HCPCS","Both",,,"2473.5","1236.75","Blue Cross Blue Shield","HMO","",,"71",,"1746.29","905.3","1916.96","percent of total billed charges",,
"AMPUTATION THIGH/FEMOR  (IP ONLY)","27596","HCPCS","Both",,,"2473.5","1236.75","Blue Cross Blue Shield","PPO","",,"71",,"1746.29","905.3","1916.96","percent of total billed charges",,
"AMPUTATION THIGH/FEMOR  (IP ONLY)","27596","HCPCS","Both",,,"2473.5","1236.75","Ambetter","Health Exchange","",,"62",,"1533.57","905.3","1916.96","percent of total billed charges",,
"AMPUTATION THIGH/FEMOR  (IP ONLY)","27596","HCPCS","Both",,,"2473.5","1236.75","Caresource","Health Exchange","",,"62",,"1533.57","905.3","1916.96","percent of total billed charges",,
"AMPUTATION THIGH/FEMOR  (IP ONLY)","27596","HCPCS","Both",,,"2473.5","1236.75","Cigna","Commercial","",,"59",,"1449.47","905.3","1916.96","percent of total billed charges",,
"AMPUTATION THIGH/FEMOR  (IP ONLY)","27596","HCPCS","Both",,,"2473.5","1236.75","Humana","Commercial","",,"78",,"1916.96","905.3","1916.96","percent of total billed charges",,
"AMPUTATION THIGH/FEMOR  (IP ONLY)","27596","HCPCS","Both",,,"2473.5","1236.75","UHC","Commercial","",,"75",,"1865.02","905.3","1916.96","percent of total billed charges",,
"AMPUTATION THIGH/FEMOR  (IP ONLY)","27596","HCPCS","Both",,,"2473.5","1236.75","Medicaid",,"",,"37",,"905.3","905.3","1916.96","percent of total billed charges",,
"EXC TUM FOOT OR TOE SUBFASCIAL<1.5 CM","28045","HCPCS","Both",,,"3502","1751","Alliant","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXC TUM FOOT OR TOE SUBFASCIAL<1.5 CM","28045","HCPCS","Both",,,"3502","1751","Pruitt Healthcare","Medicare Advantage","",,"54",,"1891.08","1281.73","2714.05","percent of total billed charges",,
"EXC TUM FOOT OR TOE SUBFASCIAL<1.5 CM","28045","HCPCS","Both",,,"3502","1751","Medicare",,"",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXC TUM FOOT OR TOE SUBFASCIAL<1.5 CM","28045","HCPCS","Both",,,"3502","1751","Humana","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXC TUM FOOT OR TOE SUBFASCIAL<1.5 CM","28045","HCPCS","Both",,,"3502","1751","UHC","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXC TUM FOOT OR TOE SUBFASCIAL<1.5 CM","28045","HCPCS","Both",,,"3502","1751","Clover","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXC TUM FOOT OR TOE SUBFASCIAL<1.5 CM","28045","HCPCS","Both",,,"3502","1751","Wellcare","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"EXC TUM FOOT OR TOE SUBFASCIAL<1.5 CM","28045","HCPCS","Both",,,"3502","1751","Amerigroup","Medicaid Managed Care","",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"EXC TUM FOOT OR TOE SUBFASCIAL<1.5 CM","28045","HCPCS","Both",,,"3502","1751","Caresource","Medicaid Managed Care","",,"40",,"1400.8","1281.73","2714.05","percent of total billed charges",,
"EXC TUM FOOT OR TOE SUBFASCIAL<1.5 CM","28045","HCPCS","Both",,,"3502","1751","Wellcare","Medicaid Managed Care","",,"40",,"1418.31","1281.73","2714.05","percent of total billed charges",,
"EXC TUM FOOT OR TOE SUBFASCIAL<1.5 CM","28045","HCPCS","Both",,,"3502","1751","Aetna","Commercial","",,"64",,"2234.28","1281.73","2714.05","percent of total billed charges",,
"EXC TUM FOOT OR TOE SUBFASCIAL<1.5 CM","28045","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","Pathways","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXC TUM FOOT OR TOE SUBFASCIAL<1.5 CM","28045","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","HMO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXC TUM FOOT OR TOE SUBFASCIAL<1.5 CM","28045","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","PPO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"EXC TUM FOOT OR TOE SUBFASCIAL<1.5 CM","28045","HCPCS","Both",,,"3502","1751","Ambetter","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXC TUM FOOT OR TOE SUBFASCIAL<1.5 CM","28045","HCPCS","Both",,,"3502","1751","Caresource","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"EXC TUM FOOT OR TOE SUBFASCIAL<1.5 CM","28045","HCPCS","Both",,,"3502","1751","Cigna","Commercial","",,"59",,"2052.17","1281.73","2714.05","percent of total billed charges",,
"EXC TUM FOOT OR TOE SUBFASCIAL<1.5 CM","28045","HCPCS","Both",,,"3502","1751","Humana","Commercial","",,"78",,"2714.05","1281.73","2714.05","percent of total billed charges",,
"EXC TUM FOOT OR TOE SUBFASCIAL<1.5 CM","28045","HCPCS","Both",,,"3502","1751","UHC","Commercial","",,"75",,"2640.51","1281.73","2714.05","percent of total billed charges",,
"EXC TUM FOOT OR TOE SUBFASCIAL<1.5 CM","28045","HCPCS","Both",,,"3502","1751","Medicaid",,"",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"EXCISION LESION TEND/SHEATH; TOE","28092","HCPCS","Both",,,"2967","1483.5","Alliant","Health Exchange","",,"62",,"1839.54","1085.92","2299.43","percent of total billed charges",,
"EXCISION LESION TEND/SHEATH; TOE","28092","HCPCS","Both",,,"2967","1483.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"1602.18","1085.92","2299.43","percent of total billed charges",,
"EXCISION LESION TEND/SHEATH; TOE","28092","HCPCS","Both",,,"2967","1483.5","Medicare",,"",,"54",,"1608.11","1085.92","2299.43","percent of total billed charges",,
"EXCISION LESION TEND/SHEATH; TOE","28092","HCPCS","Both",,,"2967","1483.5","Humana","Medicare Advantage","",,"54",,"1608.11","1085.92","2299.43","percent of total billed charges",,
"EXCISION LESION TEND/SHEATH; TOE","28092","HCPCS","Both",,,"2967","1483.5","UHC","Medicare Advantage","",,"54",,"1608.11","1085.92","2299.43","percent of total billed charges",,
"EXCISION LESION TEND/SHEATH; TOE","28092","HCPCS","Both",,,"2967","1483.5","Clover","Medicare Advantage","",,"54",,"1608.11","1085.92","2299.43","percent of total billed charges",,
"EXCISION LESION TEND/SHEATH; TOE","28092","HCPCS","Both",,,"2967","1483.5","Wellcare","Medicare Advantage","",,"54",,"1608.11","1085.92","2299.43","percent of total billed charges",,
"EXCISION LESION TEND/SHEATH; TOE","28092","HCPCS","Both",,,"2967","1483.5","Amerigroup","Medicaid Managed Care","",,"37",,"1085.92","1085.92","2299.43","percent of total billed charges",,
"EXCISION LESION TEND/SHEATH; TOE","28092","HCPCS","Both",,,"2967","1483.5","Caresource","Medicaid Managed Care","",,"40",,"1186.8","1085.92","2299.43","percent of total billed charges",,
"EXCISION LESION TEND/SHEATH; TOE","28092","HCPCS","Both",,,"2967","1483.5","Wellcare","Medicaid Managed Care","",,"40",,"1201.64","1085.92","2299.43","percent of total billed charges",,
"EXCISION LESION TEND/SHEATH; TOE","28092","HCPCS","Both",,,"2967","1483.5","Aetna","Commercial","",,"64",,"1892.95","1085.92","2299.43","percent of total billed charges",,
"EXCISION LESION TEND/SHEATH; TOE","28092","HCPCS","Both",,,"2967","1483.5","Blue Cross Blue Shield","Pathways","",,"71",,"2094.7","1085.92","2299.43","percent of total billed charges",,
"EXCISION LESION TEND/SHEATH; TOE","28092","HCPCS","Both",,,"2967","1483.5","Blue Cross Blue Shield","HMO","",,"71",,"2094.7","1085.92","2299.43","percent of total billed charges",,
"EXCISION LESION TEND/SHEATH; TOE","28092","HCPCS","Both",,,"2967","1483.5","Blue Cross Blue Shield","PPO","",,"71",,"2094.7","1085.92","2299.43","percent of total billed charges",,
"EXCISION LESION TEND/SHEATH; TOE","28092","HCPCS","Both",,,"2967","1483.5","Ambetter","Health Exchange","",,"62",,"1839.54","1085.92","2299.43","percent of total billed charges",,
"EXCISION LESION TEND/SHEATH; TOE","28092","HCPCS","Both",,,"2967","1483.5","Caresource","Health Exchange","",,"62",,"1839.54","1085.92","2299.43","percent of total billed charges",,
"EXCISION LESION TEND/SHEATH; TOE","28092","HCPCS","Both",,,"2967","1483.5","Cigna","Commercial","",,"59",,"1738.66","1085.92","2299.43","percent of total billed charges",,
"EXCISION LESION TEND/SHEATH; TOE","28092","HCPCS","Both",,,"2967","1483.5","Humana","Commercial","",,"78",,"2299.43","1085.92","2299.43","percent of total billed charges",,
"EXCISION LESION TEND/SHEATH; TOE","28092","HCPCS","Both",,,"2967","1483.5","UHC","Commercial","",,"75",,"2237.12","1085.92","2299.43","percent of total billed charges",,
"EXCISION LESION TEND/SHEATH; TOE","28092","HCPCS","Both",,,"2967","1483.5","Medicaid",,"",,"37",,"1085.92","1085.92","2299.43","percent of total billed charges",,
"EXC BONE CYST BENGN TUM PHALANGES FOOT","28108","HCPCS","Both",,,"4945","2472.5","Alliant","Health Exchange","",,"62",,"3065.9","1809.87","3832.38","percent of total billed charges",,
"EXC BONE CYST BENGN TUM PHALANGES FOOT","28108","HCPCS","Both",,,"4945","2472.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"2670.3","1809.87","3832.38","percent of total billed charges",,
"EXC BONE CYST BENGN TUM PHALANGES FOOT","28108","HCPCS","Both",,,"4945","2472.5","Medicare",,"",,"54",,"2680.19","1809.87","3832.38","percent of total billed charges",,
"EXC BONE CYST BENGN TUM PHALANGES FOOT","28108","HCPCS","Both",,,"4945","2472.5","Humana","Medicare Advantage","",,"54",,"2680.19","1809.87","3832.38","percent of total billed charges",,
"EXC BONE CYST BENGN TUM PHALANGES FOOT","28108","HCPCS","Both",,,"4945","2472.5","UHC","Medicare Advantage","",,"54",,"2680.19","1809.87","3832.38","percent of total billed charges",,
"EXC BONE CYST BENGN TUM PHALANGES FOOT","28108","HCPCS","Both",,,"4945","2472.5","Clover","Medicare Advantage","",,"54",,"2680.19","1809.87","3832.38","percent of total billed charges",,
"EXC BONE CYST BENGN TUM PHALANGES FOOT","28108","HCPCS","Both",,,"4945","2472.5","Wellcare","Medicare Advantage","",,"54",,"2680.19","1809.87","3832.38","percent of total billed charges",,
"EXC BONE CYST BENGN TUM PHALANGES FOOT","28108","HCPCS","Both",,,"4945","2472.5","Amerigroup","Medicaid Managed Care","",,"37",,"1809.87","1809.87","3832.38","percent of total billed charges",,
"EXC BONE CYST BENGN TUM PHALANGES FOOT","28108","HCPCS","Both",,,"4945","2472.5","Caresource","Medicaid Managed Care","",,"40",,"1978","1809.87","3832.38","percent of total billed charges",,
"EXC BONE CYST BENGN TUM PHALANGES FOOT","28108","HCPCS","Both",,,"4945","2472.5","Wellcare","Medicaid Managed Care","",,"40",,"2002.72","1809.87","3832.38","percent of total billed charges",,
"EXC BONE CYST BENGN TUM PHALANGES FOOT","28108","HCPCS","Both",,,"4945","2472.5","Aetna","Commercial","",,"64",,"3154.91","1809.87","3832.38","percent of total billed charges",,
"EXC BONE CYST BENGN TUM PHALANGES FOOT","28108","HCPCS","Both",,,"4945","2472.5","Blue Cross Blue Shield","Pathways","",,"71",,"3491.17","1809.87","3832.38","percent of total billed charges",,
"EXC BONE CYST BENGN TUM PHALANGES FOOT","28108","HCPCS","Both",,,"4945","2472.5","Blue Cross Blue Shield","HMO","",,"71",,"3491.17","1809.87","3832.38","percent of total billed charges",,
"EXC BONE CYST BENGN TUM PHALANGES FOOT","28108","HCPCS","Both",,,"4945","2472.5","Blue Cross Blue Shield","PPO","",,"71",,"3491.17","1809.87","3832.38","percent of total billed charges",,
"EXC BONE CYST BENGN TUM PHALANGES FOOT","28108","HCPCS","Both",,,"4945","2472.5","Ambetter","Health Exchange","",,"62",,"3065.9","1809.87","3832.38","percent of total billed charges",,
"EXC BONE CYST BENGN TUM PHALANGES FOOT","28108","HCPCS","Both",,,"4945","2472.5","Caresource","Health Exchange","",,"62",,"3065.9","1809.87","3832.38","percent of total billed charges",,
"EXC BONE CYST BENGN TUM PHALANGES FOOT","28108","HCPCS","Both",,,"4945","2472.5","Cigna","Commercial","",,"59",,"2897.77","1809.87","3832.38","percent of total billed charges",,
"EXC BONE CYST BENGN TUM PHALANGES FOOT","28108","HCPCS","Both",,,"4945","2472.5","Humana","Commercial","",,"78",,"3832.38","1809.87","3832.38","percent of total billed charges",,
"EXC BONE CYST BENGN TUM PHALANGES FOOT","28108","HCPCS","Both",,,"4945","2472.5","UHC","Commercial","",,"75",,"3728.53","1809.87","3832.38","percent of total billed charges",,
"EXC BONE CYST BENGN TUM PHALANGES FOOT","28108","HCPCS","Both",,,"4945","2472.5","Medicaid",,"",,"37",,"1809.87","1809.87","3832.38","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT; DEEP","28192","HCPCS","Both",,,"3502","1751","Alliant","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT; DEEP","28192","HCPCS","Both",,,"3502","1751","Pruitt Healthcare","Medicare Advantage","",,"54",,"1891.08","1281.73","2714.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT; DEEP","28192","HCPCS","Both",,,"3502","1751","Medicare",,"",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT; DEEP","28192","HCPCS","Both",,,"3502","1751","Humana","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT; DEEP","28192","HCPCS","Both",,,"3502","1751","UHC","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT; DEEP","28192","HCPCS","Both",,,"3502","1751","Clover","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT; DEEP","28192","HCPCS","Both",,,"3502","1751","Wellcare","Medicare Advantage","",,"54",,"1898.08","1281.73","2714.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT; DEEP","28192","HCPCS","Both",,,"3502","1751","Amerigroup","Medicaid Managed Care","",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT; DEEP","28192","HCPCS","Both",,,"3502","1751","Caresource","Medicaid Managed Care","",,"40",,"1400.8","1281.73","2714.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT; DEEP","28192","HCPCS","Both",,,"3502","1751","Wellcare","Medicaid Managed Care","",,"40",,"1418.31","1281.73","2714.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT; DEEP","28192","HCPCS","Both",,,"3502","1751","Aetna","Commercial","",,"64",,"2234.28","1281.73","2714.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT; DEEP","28192","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","Pathways","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT; DEEP","28192","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","HMO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT; DEEP","28192","HCPCS","Both",,,"3502","1751","Blue Cross Blue Shield","PPO","",,"71",,"2472.41","1281.73","2714.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT; DEEP","28192","HCPCS","Both",,,"3502","1751","Ambetter","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT; DEEP","28192","HCPCS","Both",,,"3502","1751","Caresource","Health Exchange","",,"62",,"2171.24","1281.73","2714.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT; DEEP","28192","HCPCS","Both",,,"3502","1751","Cigna","Commercial","",,"59",,"2052.17","1281.73","2714.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT; DEEP","28192","HCPCS","Both",,,"3502","1751","Humana","Commercial","",,"78",,"2714.05","1281.73","2714.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT; DEEP","28192","HCPCS","Both",,,"3502","1751","UHC","Commercial","",,"75",,"2640.51","1281.73","2714.05","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT; DEEP","28192","HCPCS","Both",,,"3502","1751","Medicaid",,"",,"37",,"1281.73","1281.73","2714.05","percent of total billed charges",,
"REPAIR HALLUX RIGIDUS W/CHEILECTOMY","28289","HCPCS","Both",,,"4945","2472.5","Alliant","Health Exchange","",,"62",,"3065.9","1809.87","3832.38","percent of total billed charges",,
"REPAIR HALLUX RIGIDUS W/CHEILECTOMY","28289","HCPCS","Both",,,"4945","2472.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"2670.3","1809.87","3832.38","percent of total billed charges",,
"REPAIR HALLUX RIGIDUS W/CHEILECTOMY","28289","HCPCS","Both",,,"4945","2472.5","Medicare",,"",,"54",,"2680.19","1809.87","3832.38","percent of total billed charges",,
"REPAIR HALLUX RIGIDUS W/CHEILECTOMY","28289","HCPCS","Both",,,"4945","2472.5","Humana","Medicare Advantage","",,"54",,"2680.19","1809.87","3832.38","percent of total billed charges",,
"REPAIR HALLUX RIGIDUS W/CHEILECTOMY","28289","HCPCS","Both",,,"4945","2472.5","UHC","Medicare Advantage","",,"54",,"2680.19","1809.87","3832.38","percent of total billed charges",,
"REPAIR HALLUX RIGIDUS W/CHEILECTOMY","28289","HCPCS","Both",,,"4945","2472.5","Clover","Medicare Advantage","",,"54",,"2680.19","1809.87","3832.38","percent of total billed charges",,
"REPAIR HALLUX RIGIDUS W/CHEILECTOMY","28289","HCPCS","Both",,,"4945","2472.5","Wellcare","Medicare Advantage","",,"54",,"2680.19","1809.87","3832.38","percent of total billed charges",,
"REPAIR HALLUX RIGIDUS W/CHEILECTOMY","28289","HCPCS","Both",,,"4945","2472.5","Amerigroup","Medicaid Managed Care","",,"37",,"1809.87","1809.87","3832.38","percent of total billed charges",,
"REPAIR HALLUX RIGIDUS W/CHEILECTOMY","28289","HCPCS","Both",,,"4945","2472.5","Caresource","Medicaid Managed Care","",,"40",,"1978","1809.87","3832.38","percent of total billed charges",,
"REPAIR HALLUX RIGIDUS W/CHEILECTOMY","28289","HCPCS","Both",,,"4945","2472.5","Wellcare","Medicaid Managed Care","",,"40",,"2002.72","1809.87","3832.38","percent of total billed charges",,
"REPAIR HALLUX RIGIDUS W/CHEILECTOMY","28289","HCPCS","Both",,,"4945","2472.5","Aetna","Commercial","",,"64",,"3154.91","1809.87","3832.38","percent of total billed charges",,
"REPAIR HALLUX RIGIDUS W/CHEILECTOMY","28289","HCPCS","Both",,,"4945","2472.5","Blue Cross Blue Shield","Pathways","",,"71",,"3491.17","1809.87","3832.38","percent of total billed charges",,
"REPAIR HALLUX RIGIDUS W/CHEILECTOMY","28289","HCPCS","Both",,,"4945","2472.5","Blue Cross Blue Shield","HMO","",,"71",,"3491.17","1809.87","3832.38","percent of total billed charges",,
"REPAIR HALLUX RIGIDUS W/CHEILECTOMY","28289","HCPCS","Both",,,"4945","2472.5","Blue Cross Blue Shield","PPO","",,"71",,"3491.17","1809.87","3832.38","percent of total billed charges",,
"REPAIR HALLUX RIGIDUS W/CHEILECTOMY","28289","HCPCS","Both",,,"4945","2472.5","Ambetter","Health Exchange","",,"62",,"3065.9","1809.87","3832.38","percent of total billed charges",,
"REPAIR HALLUX RIGIDUS W/CHEILECTOMY","28289","HCPCS","Both",,,"4945","2472.5","Caresource","Health Exchange","",,"62",,"3065.9","1809.87","3832.38","percent of total billed charges",,
"REPAIR HALLUX RIGIDUS W/CHEILECTOMY","28289","HCPCS","Both",,,"4945","2472.5","Cigna","Commercial","",,"59",,"2897.77","1809.87","3832.38","percent of total billed charges",,
"REPAIR HALLUX RIGIDUS W/CHEILECTOMY","28289","HCPCS","Both",,,"4945","2472.5","Humana","Commercial","",,"78",,"3832.38","1809.87","3832.38","percent of total billed charges",,
"REPAIR HALLUX RIGIDUS W/CHEILECTOMY","28289","HCPCS","Both",,,"4945","2472.5","UHC","Commercial","",,"75",,"3728.53","1809.87","3832.38","percent of total billed charges",,
"REPAIR HALLUX RIGIDUS W/CHEILECTOMY","28289","HCPCS","Both",,,"4945","2472.5","Medicaid",,"",,"37",,"1809.87","1809.87","3832.38","percent of total billed charges",,
"UNLISTED ARTHROSCOPY","29999","HCPCS","Both",,,"6591.5","3295.75","Alliant","Health Exchange","",,"62",,"4086.73","2412.49","5108.41","percent of total billed charges",,
"UNLISTED ARTHROSCOPY","29999","HCPCS","Both",,,"6591.5","3295.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"3559.41","2412.49","5108.41","percent of total billed charges",,
"UNLISTED ARTHROSCOPY","29999","HCPCS","Both",,,"6591.5","3295.75","Medicare",,"",,"54",,"3572.59","2412.49","5108.41","percent of total billed charges",,
"UNLISTED ARTHROSCOPY","29999","HCPCS","Both",,,"6591.5","3295.75","Humana","Medicare Advantage","",,"54",,"3572.59","2412.49","5108.41","percent of total billed charges",,
"UNLISTED ARTHROSCOPY","29999","HCPCS","Both",,,"6591.5","3295.75","UHC","Medicare Advantage","",,"54",,"3572.59","2412.49","5108.41","percent of total billed charges",,
"UNLISTED ARTHROSCOPY","29999","HCPCS","Both",,,"6591.5","3295.75","Clover","Medicare Advantage","",,"54",,"3572.59","2412.49","5108.41","percent of total billed charges",,
"UNLISTED ARTHROSCOPY","29999","HCPCS","Both",,,"6591.5","3295.75","Wellcare","Medicare Advantage","",,"54",,"3572.59","2412.49","5108.41","percent of total billed charges",,
"UNLISTED ARTHROSCOPY","29999","HCPCS","Both",,,"6591.5","3295.75","Amerigroup","Medicaid Managed Care","",,"37",,"2412.49","2412.49","5108.41","percent of total billed charges",,
"UNLISTED ARTHROSCOPY","29999","HCPCS","Both",,,"6591.5","3295.75","Caresource","Medicaid Managed Care","",,"40",,"2636.6","2412.49","5108.41","percent of total billed charges",,
"UNLISTED ARTHROSCOPY","29999","HCPCS","Both",,,"6591.5","3295.75","Wellcare","Medicaid Managed Care","",,"40",,"2669.56","2412.49","5108.41","percent of total billed charges",,
"UNLISTED ARTHROSCOPY","29999","HCPCS","Both",,,"6591.5","3295.75","Aetna","Commercial","",,"64",,"4205.38","2412.49","5108.41","percent of total billed charges",,
"UNLISTED ARTHROSCOPY","29999","HCPCS","Both",,,"6591.5","3295.75","Blue Cross Blue Shield","Pathways","",,"71",,"4653.6","2412.49","5108.41","percent of total billed charges",,
"UNLISTED ARTHROSCOPY","29999","HCPCS","Both",,,"6591.5","3295.75","Blue Cross Blue Shield","HMO","",,"71",,"4653.6","2412.49","5108.41","percent of total billed charges",,
"UNLISTED ARTHROSCOPY","29999","HCPCS","Both",,,"6591.5","3295.75","Blue Cross Blue Shield","PPO","",,"71",,"4653.6","2412.49","5108.41","percent of total billed charges",,
"UNLISTED ARTHROSCOPY","29999","HCPCS","Both",,,"6591.5","3295.75","Ambetter","Health Exchange","",,"62",,"4086.73","2412.49","5108.41","percent of total billed charges",,
"UNLISTED ARTHROSCOPY","29999","HCPCS","Both",,,"6591.5","3295.75","Caresource","Health Exchange","",,"62",,"4086.73","2412.49","5108.41","percent of total billed charges",,
"UNLISTED ARTHROSCOPY","29999","HCPCS","Both",,,"6591.5","3295.75","Cigna","Commercial","",,"59",,"3862.62","2412.49","5108.41","percent of total billed charges",,
"UNLISTED ARTHROSCOPY","29999","HCPCS","Both",,,"6591.5","3295.75","Humana","Commercial","",,"78",,"5108.41","2412.49","5108.41","percent of total billed charges",,
"UNLISTED ARTHROSCOPY","29999","HCPCS","Both",,,"6591.5","3295.75","UHC","Commercial","",,"75",,"4969.99","2412.49","5108.41","percent of total billed charges",,
"UNLISTED ARTHROSCOPY","29999","HCPCS","Both",,,"6591.5","3295.75","Medicaid",,"",,"37",,"2412.49","2412.49","5108.41","percent of total billed charges",,
"REMOVAL FOREIGN BODY INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Alliant","Health Exchange","",,"62",,"84.01","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"73.17","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Medicare",,"",,"54",,"73.44","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Humana","Medicare Advantage","",,"54",,"73.44","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","UHC","Medicare Advantage","",,"54",,"73.44","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Clover","Medicare Advantage","",,"54",,"73.44","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Wellcare","Medicare Advantage","",,"54",,"73.44","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Amerigroup","Medicaid Managed Care","",,"37",,"49.59","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Caresource","Medicaid Managed Care","",,"40",,"54.2","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Wellcare","Medicaid Managed Care","",,"40",,"54.88","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Aetna","Commercial","",,"64",,"86.45","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Blue Cross Blue Shield","Pathways","",,"71",,"95.66","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Blue Cross Blue Shield","HMO","",,"71",,"95.66","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Blue Cross Blue Shield","PPO","",,"71",,"95.66","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Ambetter","Health Exchange","",,"62",,"84.01","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Caresource","Health Exchange","",,"62",,"84.01","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Cigna","Commercial","",,"59",,"79.4","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Humana","Commercial","",,"78",,"105.01","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","UHC","Commercial","",,"75",,"102.17","49.59","105.01","percent of total billed charges",,
"REMOVAL FOREIGN BODY INTRANASAL","30300","HCPCS","Both",,,"135.5","67.75","Medicaid",,"",,"37",,"49.59","49.59","105.01","percent of total billed charges",,
"BRONCHOSCOPY FLEXIBLE; DIAGNOSTIC","31622","HCPCS","Both",,,"2385","1192.5","Alliant","Health Exchange","",,"62",,"1478.7","872.91","1848.38","percent of total billed charges",,
"BRONCHOSCOPY FLEXIBLE; DIAGNOSTIC","31622","HCPCS","Both",,,"2385","1192.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"1287.9","872.91","1848.38","percent of total billed charges",,
"BRONCHOSCOPY FLEXIBLE; DIAGNOSTIC","31622","HCPCS","Both",,,"2385","1192.5","Medicare",,"",,"54",,"1292.67","872.91","1848.38","percent of total billed charges",,
"BRONCHOSCOPY FLEXIBLE; DIAGNOSTIC","31622","HCPCS","Both",,,"2385","1192.5","Humana","Medicare Advantage","",,"54",,"1292.67","872.91","1848.38","percent of total billed charges",,
"BRONCHOSCOPY FLEXIBLE; DIAGNOSTIC","31622","HCPCS","Both",,,"2385","1192.5","UHC","Medicare Advantage","",,"54",,"1292.67","872.91","1848.38","percent of total billed charges",,
"BRONCHOSCOPY FLEXIBLE; DIAGNOSTIC","31622","HCPCS","Both",,,"2385","1192.5","Clover","Medicare Advantage","",,"54",,"1292.67","872.91","1848.38","percent of total billed charges",,
"BRONCHOSCOPY FLEXIBLE; DIAGNOSTIC","31622","HCPCS","Both",,,"2385","1192.5","Wellcare","Medicare Advantage","",,"54",,"1292.67","872.91","1848.38","percent of total billed charges",,
"BRONCHOSCOPY FLEXIBLE; DIAGNOSTIC","31622","HCPCS","Both",,,"2385","1192.5","Amerigroup","Medicaid Managed Care","",,"37",,"872.91","872.91","1848.38","percent of total billed charges",,
"BRONCHOSCOPY FLEXIBLE; DIAGNOSTIC","31622","HCPCS","Both",,,"2385","1192.5","Caresource","Medicaid Managed Care","",,"40",,"954","872.91","1848.38","percent of total billed charges",,
"BRONCHOSCOPY FLEXIBLE; DIAGNOSTIC","31622","HCPCS","Both",,,"2385","1192.5","Wellcare","Medicaid Managed Care","",,"40",,"965.92","872.91","1848.38","percent of total billed charges",,
"BRONCHOSCOPY FLEXIBLE; DIAGNOSTIC","31622","HCPCS","Both",,,"2385","1192.5","Aetna","Commercial","",,"64",,"1521.63","872.91","1848.38","percent of total billed charges",,
"BRONCHOSCOPY FLEXIBLE; DIAGNOSTIC","31622","HCPCS","Both",,,"2385","1192.5","Blue Cross Blue Shield","Pathways","",,"71",,"1683.81","872.91","1848.38","percent of total billed charges",,
"BRONCHOSCOPY FLEXIBLE; DIAGNOSTIC","31622","HCPCS","Both",,,"2385","1192.5","Blue Cross Blue Shield","HMO","",,"71",,"1683.81","872.91","1848.38","percent of total billed charges",,
"BRONCHOSCOPY FLEXIBLE; DIAGNOSTIC","31622","HCPCS","Both",,,"2385","1192.5","Blue Cross Blue Shield","PPO","",,"71",,"1683.81","872.91","1848.38","percent of total billed charges",,
"BRONCHOSCOPY FLEXIBLE; DIAGNOSTIC","31622","HCPCS","Both",,,"2385","1192.5","Ambetter","Health Exchange","",,"62",,"1478.7","872.91","1848.38","percent of total billed charges",,
"BRONCHOSCOPY FLEXIBLE; DIAGNOSTIC","31622","HCPCS","Both",,,"2385","1192.5","Caresource","Health Exchange","",,"62",,"1478.7","872.91","1848.38","percent of total billed charges",,
"BRONCHOSCOPY FLEXIBLE; DIAGNOSTIC","31622","HCPCS","Both",,,"2385","1192.5","Cigna","Commercial","",,"59",,"1397.61","872.91","1848.38","percent of total billed charges",,
"BRONCHOSCOPY FLEXIBLE; DIAGNOSTIC","31622","HCPCS","Both",,,"2385","1192.5","Humana","Commercial","",,"78",,"1848.38","872.91","1848.38","percent of total billed charges",,
"BRONCHOSCOPY FLEXIBLE; DIAGNOSTIC","31622","HCPCS","Both",,,"2385","1192.5","UHC","Commercial","",,"75",,"1798.29","872.91","1848.38","percent of total billed charges",,
"BRONCHOSCOPY FLEXIBLE; DIAGNOSTIC","31622","HCPCS","Both",,,"2385","1192.5","Medicaid",,"",,"37",,"872.91","872.91","1848.38","percent of total billed charges",,
"THORACENTESIS, PUNCTURE OF PLEURAL CAVIT","32554","HCPCS","Both",,,"1287.5","643.75","Alliant","Health Exchange","",,"62",,"798.25","471.22","997.81","percent of total billed charges",,
"THORACENTESIS, PUNCTURE OF PLEURAL CAVIT","32554","HCPCS","Both",,,"1287.5","643.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"695.25","471.22","997.81","percent of total billed charges",,
"THORACENTESIS, PUNCTURE OF PLEURAL CAVIT","32554","HCPCS","Both",,,"1287.5","643.75","Medicare",,"",,"54",,"697.82","471.22","997.81","percent of total billed charges",,
"THORACENTESIS, PUNCTURE OF PLEURAL CAVIT","32554","HCPCS","Both",,,"1287.5","643.75","Humana","Medicare Advantage","",,"54",,"697.82","471.22","997.81","percent of total billed charges",,
"THORACENTESIS, PUNCTURE OF PLEURAL CAVIT","32554","HCPCS","Both",,,"1287.5","643.75","UHC","Medicare Advantage","",,"54",,"697.82","471.22","997.81","percent of total billed charges",,
"THORACENTESIS, PUNCTURE OF PLEURAL CAVIT","32554","HCPCS","Both",,,"1287.5","643.75","Clover","Medicare Advantage","",,"54",,"697.82","471.22","997.81","percent of total billed charges",,
"THORACENTESIS, PUNCTURE OF PLEURAL CAVIT","32554","HCPCS","Both",,,"1287.5","643.75","Wellcare","Medicare Advantage","",,"54",,"697.82","471.22","997.81","percent of total billed charges",,
"THORACENTESIS, PUNCTURE OF PLEURAL CAVIT","32554","HCPCS","Both",,,"1287.5","643.75","Amerigroup","Medicaid Managed Care","",,"37",,"471.22","471.22","997.81","percent of total billed charges",,
"THORACENTESIS, PUNCTURE OF PLEURAL CAVIT","32554","HCPCS","Both",,,"1287.5","643.75","Caresource","Medicaid Managed Care","",,"40",,"515","471.22","997.81","percent of total billed charges",,
"THORACENTESIS, PUNCTURE OF PLEURAL CAVIT","32554","HCPCS","Both",,,"1287.5","643.75","Wellcare","Medicaid Managed Care","",,"40",,"521.44","471.22","997.81","percent of total billed charges",,
"THORACENTESIS, PUNCTURE OF PLEURAL CAVIT","32554","HCPCS","Both",,,"1287.5","643.75","Aetna","Commercial","",,"64",,"821.42","471.22","997.81","percent of total billed charges",,
"THORACENTESIS, PUNCTURE OF PLEURAL CAVIT","32554","HCPCS","Both",,,"1287.5","643.75","Blue Cross Blue Shield","Pathways","",,"71",,"908.97","471.22","997.81","percent of total billed charges",,
"THORACENTESIS, PUNCTURE OF PLEURAL CAVIT","32554","HCPCS","Both",,,"1287.5","643.75","Blue Cross Blue Shield","HMO","",,"71",,"908.97","471.22","997.81","percent of total billed charges",,
"THORACENTESIS, PUNCTURE OF PLEURAL CAVIT","32554","HCPCS","Both",,,"1287.5","643.75","Blue Cross Blue Shield","PPO","",,"71",,"908.97","471.22","997.81","percent of total billed charges",,
"THORACENTESIS, PUNCTURE OF PLEURAL CAVIT","32554","HCPCS","Both",,,"1287.5","643.75","Ambetter","Health Exchange","",,"62",,"798.25","471.22","997.81","percent of total billed charges",,
"THORACENTESIS, PUNCTURE OF PLEURAL CAVIT","32554","HCPCS","Both",,,"1287.5","643.75","Caresource","Health Exchange","",,"62",,"798.25","471.22","997.81","percent of total billed charges",,
"THORACENTESIS, PUNCTURE OF PLEURAL CAVIT","32554","HCPCS","Both",,,"1287.5","643.75","Cigna","Commercial","",,"59",,"754.47","471.22","997.81","percent of total billed charges",,
"THORACENTESIS, PUNCTURE OF PLEURAL CAVIT","32554","HCPCS","Both",,,"1287.5","643.75","Humana","Commercial","",,"78",,"997.81","471.22","997.81","percent of total billed charges",,
"THORACENTESIS, PUNCTURE OF PLEURAL CAVIT","32554","HCPCS","Both",,,"1287.5","643.75","UHC","Commercial","",,"75",,"970.78","471.22","997.81","percent of total billed charges",,
"THORACENTESIS, PUNCTURE OF PLEURAL CAVIT","32554","HCPCS","Both",,,"1287.5","643.75","Medicaid",,"",,"37",,"471.22","471.22","997.81","percent of total billed charges",,
"INSERTION NON-TUNNELED CVC 5yrs OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Alliant","Health Exchange","",,"62",,"1220.47","720.47","1525.59","percent of total billed charges",,
"INSERTION NON-TUNNELED CVC 5yrs OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"1062.99","720.47","1525.59","percent of total billed charges",,
"INSERTION NON-TUNNELED CVC 5yrs OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Medicare",,"",,"54",,"1066.93","720.47","1525.59","percent of total billed charges",,
"INSERTION NON-TUNNELED CVC 5yrs OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Humana","Medicare Advantage","",,"54",,"1066.93","720.47","1525.59","percent of total billed charges",,
"INSERTION NON-TUNNELED CVC 5yrs OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","UHC","Medicare Advantage","",,"54",,"1066.93","720.47","1525.59","percent of total billed charges",,
"INSERTION NON-TUNNELED CVC 5yrs OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Clover","Medicare Advantage","",,"54",,"1066.93","720.47","1525.59","percent of total billed charges",,
"INSERTION NON-TUNNELED CVC 5yrs OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Wellcare","Medicare Advantage","",,"54",,"1066.93","720.47","1525.59","percent of total billed charges",,
"INSERTION NON-TUNNELED CVC 5yrs OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Amerigroup","Medicaid Managed Care","",,"37",,"720.47","720.47","1525.59","percent of total billed charges",,
"INSERTION NON-TUNNELED CVC 5yrs OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Caresource","Medicaid Managed Care","",,"40",,"787.4","720.47","1525.59","percent of total billed charges",,
"INSERTION NON-TUNNELED CVC 5yrs OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Wellcare","Medicaid Managed Care","",,"40",,"797.24","720.47","1525.59","percent of total billed charges",,
"INSERTION NON-TUNNELED CVC 5yrs OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Aetna","Commercial","",,"64",,"1255.9","720.47","1525.59","percent of total billed charges",,
"INSERTION NON-TUNNELED CVC 5yrs OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Blue Cross Blue Shield","Pathways","",,"71",,"1389.76","720.47","1525.59","percent of total billed charges",,
"INSERTION NON-TUNNELED CVC 5yrs OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Blue Cross Blue Shield","HMO","",,"71",,"1389.76","720.47","1525.59","percent of total billed charges",,
"INSERTION NON-TUNNELED CVC 5yrs OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Blue Cross Blue Shield","PPO","",,"71",,"1389.76","720.47","1525.59","percent of total billed charges",,
"INSERTION NON-TUNNELED CVC 5yrs OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Ambetter","Health Exchange","",,"62",,"1220.47","720.47","1525.59","percent of total billed charges",,
"INSERTION NON-TUNNELED CVC 5yrs OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Caresource","Health Exchange","",,"62",,"1220.47","720.47","1525.59","percent of total billed charges",,
"INSERTION NON-TUNNELED CVC 5yrs OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Cigna","Commercial","",,"59",,"1153.54","720.47","1525.59","percent of total billed charges",,
"INSERTION NON-TUNNELED CVC 5yrs OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Humana","Commercial","",,"78",,"1525.59","720.47","1525.59","percent of total billed charges",,
"INSERTION NON-TUNNELED CVC 5yrs OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","UHC","Commercial","",,"75",,"1484.25","720.47","1525.59","percent of total billed charges",,
"INSERTION NON-TUNNELED CVC 5yrs OR OLDER","36556","HCPCS","Both",,,"1968.5","984.25","Medicaid",,"",,"37",,"720.47","720.47","1525.59","percent of total billed charges",,
"INSERTION TUNNELED CV ACCESS DEVICE","36561","HCPCS","Both",,,"6954.5","3477.25","Alliant","Health Exchange","",,"62",,"4311.79","2545.35","5389.74","percent of total billed charges",,
"INSERTION TUNNELED CV ACCESS DEVICE","36561","HCPCS","Both",,,"6954.5","3477.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"3755.43","2545.35","5389.74","percent of total billed charges",,
"INSERTION TUNNELED CV ACCESS DEVICE","36561","HCPCS","Both",,,"6954.5","3477.25","Medicare",,"",,"54",,"3769.34","2545.35","5389.74","percent of total billed charges",,
"INSERTION TUNNELED CV ACCESS DEVICE","36561","HCPCS","Both",,,"6954.5","3477.25","Humana","Medicare Advantage","",,"54",,"3769.34","2545.35","5389.74","percent of total billed charges",,
"INSERTION TUNNELED CV ACCESS DEVICE","36561","HCPCS","Both",,,"6954.5","3477.25","UHC","Medicare Advantage","",,"54",,"3769.34","2545.35","5389.74","percent of total billed charges",,
"INSERTION TUNNELED CV ACCESS DEVICE","36561","HCPCS","Both",,,"6954.5","3477.25","Clover","Medicare Advantage","",,"54",,"3769.34","2545.35","5389.74","percent of total billed charges",,
"INSERTION TUNNELED CV ACCESS DEVICE","36561","HCPCS","Both",,,"6954.5","3477.25","Wellcare","Medicare Advantage","",,"54",,"3769.34","2545.35","5389.74","percent of total billed charges",,
"INSERTION TUNNELED CV ACCESS DEVICE","36561","HCPCS","Both",,,"6954.5","3477.25","Amerigroup","Medicaid Managed Care","",,"37",,"2545.35","2545.35","5389.74","percent of total billed charges",,
"INSERTION TUNNELED CV ACCESS DEVICE","36561","HCPCS","Both",,,"6954.5","3477.25","Caresource","Medicaid Managed Care","",,"40",,"2781.8","2545.35","5389.74","percent of total billed charges",,
"INSERTION TUNNELED CV ACCESS DEVICE","36561","HCPCS","Both",,,"6954.5","3477.25","Wellcare","Medicaid Managed Care","",,"40",,"2816.57","2545.35","5389.74","percent of total billed charges",,
"INSERTION TUNNELED CV ACCESS DEVICE","36561","HCPCS","Both",,,"6954.5","3477.25","Aetna","Commercial","",,"64",,"4436.97","2545.35","5389.74","percent of total billed charges",,
"INSERTION TUNNELED CV ACCESS DEVICE","36561","HCPCS","Both",,,"6954.5","3477.25","Blue Cross Blue Shield","Pathways","",,"71",,"4909.88","2545.35","5389.74","percent of total billed charges",,
"INSERTION TUNNELED CV ACCESS DEVICE","36561","HCPCS","Both",,,"6954.5","3477.25","Blue Cross Blue Shield","HMO","",,"71",,"4909.88","2545.35","5389.74","percent of total billed charges",,
"INSERTION TUNNELED CV ACCESS DEVICE","36561","HCPCS","Both",,,"6954.5","3477.25","Blue Cross Blue Shield","PPO","",,"71",,"4909.88","2545.35","5389.74","percent of total billed charges",,
"INSERTION TUNNELED CV ACCESS DEVICE","36561","HCPCS","Both",,,"6954.5","3477.25","Ambetter","Health Exchange","",,"62",,"4311.79","2545.35","5389.74","percent of total billed charges",,
"INSERTION TUNNELED CV ACCESS DEVICE","36561","HCPCS","Both",,,"6954.5","3477.25","Caresource","Health Exchange","",,"62",,"4311.79","2545.35","5389.74","percent of total billed charges",,
"INSERTION TUNNELED CV ACCESS DEVICE","36561","HCPCS","Both",,,"6954.5","3477.25","Cigna","Commercial","",,"59",,"4075.34","2545.35","5389.74","percent of total billed charges",,
"INSERTION TUNNELED CV ACCESS DEVICE","36561","HCPCS","Both",,,"6954.5","3477.25","Humana","Commercial","",,"78",,"5389.74","2545.35","5389.74","percent of total billed charges",,
"INSERTION TUNNELED CV ACCESS DEVICE","36561","HCPCS","Both",,,"6954.5","3477.25","UHC","Commercial","",,"75",,"5243.69","2545.35","5389.74","percent of total billed charges",,
"INSERTION TUNNELED CV ACCESS DEVICE","36561","HCPCS","Both",,,"6954.5","3477.25","Medicaid",,"",,"37",,"2545.35","2545.35","5389.74","percent of total billed charges",,
"REPLACEMENT CATHETER ONLY CVA DEVICE","36578","HCPCS","Both",,,"5475.5","2737.75","Alliant","Health Exchange","",,"62",,"3394.81","2004.03","4243.51","percent of total billed charges",,
"REPLACEMENT CATHETER ONLY CVA DEVICE","36578","HCPCS","Both",,,"5475.5","2737.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"2956.77","2004.03","4243.51","percent of total billed charges",,
"REPLACEMENT CATHETER ONLY CVA DEVICE","36578","HCPCS","Both",,,"5475.5","2737.75","Medicare",,"",,"54",,"2967.72","2004.03","4243.51","percent of total billed charges",,
"REPLACEMENT CATHETER ONLY CVA DEVICE","36578","HCPCS","Both",,,"5475.5","2737.75","Humana","Medicare Advantage","",,"54",,"2967.72","2004.03","4243.51","percent of total billed charges",,
"REPLACEMENT CATHETER ONLY CVA DEVICE","36578","HCPCS","Both",,,"5475.5","2737.75","UHC","Medicare Advantage","",,"54",,"2967.72","2004.03","4243.51","percent of total billed charges",,
"REPLACEMENT CATHETER ONLY CVA DEVICE","36578","HCPCS","Both",,,"5475.5","2737.75","Clover","Medicare Advantage","",,"54",,"2967.72","2004.03","4243.51","percent of total billed charges",,
"REPLACEMENT CATHETER ONLY CVA DEVICE","36578","HCPCS","Both",,,"5475.5","2737.75","Wellcare","Medicare Advantage","",,"54",,"2967.72","2004.03","4243.51","percent of total billed charges",,
"REPLACEMENT CATHETER ONLY CVA DEVICE","36578","HCPCS","Both",,,"5475.5","2737.75","Amerigroup","Medicaid Managed Care","",,"37",,"2004.03","2004.03","4243.51","percent of total billed charges",,
"REPLACEMENT CATHETER ONLY CVA DEVICE","36578","HCPCS","Both",,,"5475.5","2737.75","Caresource","Medicaid Managed Care","",,"40",,"2190.2","2004.03","4243.51","percent of total billed charges",,
"REPLACEMENT CATHETER ONLY CVA DEVICE","36578","HCPCS","Both",,,"5475.5","2737.75","Wellcare","Medicaid Managed Care","",,"40",,"2217.58","2004.03","4243.51","percent of total billed charges",,
"REPLACEMENT CATHETER ONLY CVA DEVICE","36578","HCPCS","Both",,,"5475.5","2737.75","Aetna","Commercial","",,"64",,"3493.37","2004.03","4243.51","percent of total billed charges",,
"REPLACEMENT CATHETER ONLY CVA DEVICE","36578","HCPCS","Both",,,"5475.5","2737.75","Blue Cross Blue Shield","Pathways","",,"71",,"3865.7","2004.03","4243.51","percent of total billed charges",,
"REPLACEMENT CATHETER ONLY CVA DEVICE","36578","HCPCS","Both",,,"5475.5","2737.75","Blue Cross Blue Shield","HMO","",,"71",,"3865.7","2004.03","4243.51","percent of total billed charges",,
"REPLACEMENT CATHETER ONLY CVA DEVICE","36578","HCPCS","Both",,,"5475.5","2737.75","Blue Cross Blue Shield","PPO","",,"71",,"3865.7","2004.03","4243.51","percent of total billed charges",,
"REPLACEMENT CATHETER ONLY CVA DEVICE","36578","HCPCS","Both",,,"5475.5","2737.75","Ambetter","Health Exchange","",,"62",,"3394.81","2004.03","4243.51","percent of total billed charges",,
"REPLACEMENT CATHETER ONLY CVA DEVICE","36578","HCPCS","Both",,,"5475.5","2737.75","Caresource","Health Exchange","",,"62",,"3394.81","2004.03","4243.51","percent of total billed charges",,
"REPLACEMENT CATHETER ONLY CVA DEVICE","36578","HCPCS","Both",,,"5475.5","2737.75","Cigna","Commercial","",,"59",,"3208.64","2004.03","4243.51","percent of total billed charges",,
"REPLACEMENT CATHETER ONLY CVA DEVICE","36578","HCPCS","Both",,,"5475.5","2737.75","Humana","Commercial","",,"78",,"4243.51","2004.03","4243.51","percent of total billed charges",,
"REPLACEMENT CATHETER ONLY CVA DEVICE","36578","HCPCS","Both",,,"5475.5","2737.75","UHC","Commercial","",,"75",,"4128.53","2004.03","4243.51","percent of total billed charges",,
"REPLACEMENT CATHETER ONLY CVA DEVICE","36578","HCPCS","Both",,,"5475.5","2737.75","Medicaid",,"",,"37",,"2004.03","2004.03","4243.51","percent of total billed charges",,
"REM OF TUN CENT VEN CATH W/O PORT","36589","HCPCS","Both",,,"1373","686.5","Alliant","Health Exchange","",,"62",,"851.26","502.52","1064.08","percent of total billed charges",,
"REM OF TUN CENT VEN CATH W/O PORT","36589","HCPCS","Both",,,"1373","686.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"741.42","502.52","1064.08","percent of total billed charges",,
"REM OF TUN CENT VEN CATH W/O PORT","36589","HCPCS","Both",,,"1373","686.5","Medicare",,"",,"54",,"744.17","502.52","1064.08","percent of total billed charges",,
"REM OF TUN CENT VEN CATH W/O PORT","36589","HCPCS","Both",,,"1373","686.5","Humana","Medicare Advantage","",,"54",,"744.17","502.52","1064.08","percent of total billed charges",,
"REM OF TUN CENT VEN CATH W/O PORT","36589","HCPCS","Both",,,"1373","686.5","UHC","Medicare Advantage","",,"54",,"744.17","502.52","1064.08","percent of total billed charges",,
"REM OF TUN CENT VEN CATH W/O PORT","36589","HCPCS","Both",,,"1373","686.5","Clover","Medicare Advantage","",,"54",,"744.17","502.52","1064.08","percent of total billed charges",,
"REM OF TUN CENT VEN CATH W/O PORT","36589","HCPCS","Both",,,"1373","686.5","Wellcare","Medicare Advantage","",,"54",,"744.17","502.52","1064.08","percent of total billed charges",,
"REM OF TUN CENT VEN CATH W/O PORT","36589","HCPCS","Both",,,"1373","686.5","Amerigroup","Medicaid Managed Care","",,"37",,"502.52","502.52","1064.08","percent of total billed charges",,
"REM OF TUN CENT VEN CATH W/O PORT","36589","HCPCS","Both",,,"1373","686.5","Caresource","Medicaid Managed Care","",,"40",,"549.2","502.52","1064.08","percent of total billed charges",,
"REM OF TUN CENT VEN CATH W/O PORT","36589","HCPCS","Both",,,"1373","686.5","Wellcare","Medicaid Managed Care","",,"40",,"556.07","502.52","1064.08","percent of total billed charges",,
"REM OF TUN CENT VEN CATH W/O PORT","36589","HCPCS","Both",,,"1373","686.5","Aetna","Commercial","",,"64",,"875.97","502.52","1064.08","percent of total billed charges",,
"REM OF TUN CENT VEN CATH W/O PORT","36589","HCPCS","Both",,,"1373","686.5","Blue Cross Blue Shield","Pathways","",,"71",,"969.34","502.52","1064.08","percent of total billed charges",,
"REM OF TUN CENT VEN CATH W/O PORT","36589","HCPCS","Both",,,"1373","686.5","Blue Cross Blue Shield","HMO","",,"71",,"969.34","502.52","1064.08","percent of total billed charges",,
"REM OF TUN CENT VEN CATH W/O PORT","36589","HCPCS","Both",,,"1373","686.5","Blue Cross Blue Shield","PPO","",,"71",,"969.34","502.52","1064.08","percent of total billed charges",,
"REM OF TUN CENT VEN CATH W/O PORT","36589","HCPCS","Both",,,"1373","686.5","Ambetter","Health Exchange","",,"62",,"851.26","502.52","1064.08","percent of total billed charges",,
"REM OF TUN CENT VEN CATH W/O PORT","36589","HCPCS","Both",,,"1373","686.5","Caresource","Health Exchange","",,"62",,"851.26","502.52","1064.08","percent of total billed charges",,
"REM OF TUN CENT VEN CATH W/O PORT","36589","HCPCS","Both",,,"1373","686.5","Cigna","Commercial","",,"59",,"804.58","502.52","1064.08","percent of total billed charges",,
"REM OF TUN CENT VEN CATH W/O PORT","36589","HCPCS","Both",,,"1373","686.5","Humana","Commercial","",,"78",,"1064.08","502.52","1064.08","percent of total billed charges",,
"REM OF TUN CENT VEN CATH W/O PORT","36589","HCPCS","Both",,,"1373","686.5","UHC","Commercial","",,"75",,"1035.24","502.52","1064.08","percent of total billed charges",,
"REM OF TUN CENT VEN CATH W/O PORT","36589","HCPCS","Both",,,"1373","686.5","Medicaid",,"",,"37",,"502.52","502.52","1064.08","percent of total billed charges",,
"REMOVAL CENTRAL VENOUS ACCESS DEVICE","36590","HCPCS","Both",,,"2454.5","1227.25","Alliant","Health Exchange","",,"62",,"1521.79","898.35","1902.24","percent of total billed charges",,
"REMOVAL CENTRAL VENOUS ACCESS DEVICE","36590","HCPCS","Both",,,"2454.5","1227.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"1325.43","898.35","1902.24","percent of total billed charges",,
"REMOVAL CENTRAL VENOUS ACCESS DEVICE","36590","HCPCS","Both",,,"2454.5","1227.25","Medicare",,"",,"54",,"1330.34","898.35","1902.24","percent of total billed charges",,
"REMOVAL CENTRAL VENOUS ACCESS DEVICE","36590","HCPCS","Both",,,"2454.5","1227.25","Humana","Medicare Advantage","",,"54",,"1330.34","898.35","1902.24","percent of total billed charges",,
"REMOVAL CENTRAL VENOUS ACCESS DEVICE","36590","HCPCS","Both",,,"2454.5","1227.25","UHC","Medicare Advantage","",,"54",,"1330.34","898.35","1902.24","percent of total billed charges",,
"REMOVAL CENTRAL VENOUS ACCESS DEVICE","36590","HCPCS","Both",,,"2454.5","1227.25","Clover","Medicare Advantage","",,"54",,"1330.34","898.35","1902.24","percent of total billed charges",,
"REMOVAL CENTRAL VENOUS ACCESS DEVICE","36590","HCPCS","Both",,,"2454.5","1227.25","Wellcare","Medicare Advantage","",,"54",,"1330.34","898.35","1902.24","percent of total billed charges",,
"REMOVAL CENTRAL VENOUS ACCESS DEVICE","36590","HCPCS","Both",,,"2454.5","1227.25","Amerigroup","Medicaid Managed Care","",,"37",,"898.35","898.35","1902.24","percent of total billed charges",,
"REMOVAL CENTRAL VENOUS ACCESS DEVICE","36590","HCPCS","Both",,,"2454.5","1227.25","Caresource","Medicaid Managed Care","",,"40",,"981.8","898.35","1902.24","percent of total billed charges",,
"REMOVAL CENTRAL VENOUS ACCESS DEVICE","36590","HCPCS","Both",,,"2454.5","1227.25","Wellcare","Medicaid Managed Care","",,"40",,"994.07","898.35","1902.24","percent of total billed charges",,
"REMOVAL CENTRAL VENOUS ACCESS DEVICE","36590","HCPCS","Both",,,"2454.5","1227.25","Aetna","Commercial","",,"64",,"1565.97","898.35","1902.24","percent of total billed charges",,
"REMOVAL CENTRAL VENOUS ACCESS DEVICE","36590","HCPCS","Both",,,"2454.5","1227.25","Blue Cross Blue Shield","Pathways","",,"71",,"1732.88","898.35","1902.24","percent of total billed charges",,
"REMOVAL CENTRAL VENOUS ACCESS DEVICE","36590","HCPCS","Both",,,"2454.5","1227.25","Blue Cross Blue Shield","HMO","",,"71",,"1732.88","898.35","1902.24","percent of total billed charges",,
"REMOVAL CENTRAL VENOUS ACCESS DEVICE","36590","HCPCS","Both",,,"2454.5","1227.25","Blue Cross Blue Shield","PPO","",,"71",,"1732.88","898.35","1902.24","percent of total billed charges",,
"REMOVAL CENTRAL VENOUS ACCESS DEVICE","36590","HCPCS","Both",,,"2454.5","1227.25","Ambetter","Health Exchange","",,"62",,"1521.79","898.35","1902.24","percent of total billed charges",,
"REMOVAL CENTRAL VENOUS ACCESS DEVICE","36590","HCPCS","Both",,,"2454.5","1227.25","Caresource","Health Exchange","",,"62",,"1521.79","898.35","1902.24","percent of total billed charges",,
"REMOVAL CENTRAL VENOUS ACCESS DEVICE","36590","HCPCS","Both",,,"2454.5","1227.25","Cigna","Commercial","",,"59",,"1438.34","898.35","1902.24","percent of total billed charges",,
"REMOVAL CENTRAL VENOUS ACCESS DEVICE","36590","HCPCS","Both",,,"2454.5","1227.25","Humana","Commercial","",,"78",,"1902.24","898.35","1902.24","percent of total billed charges",,
"REMOVAL CENTRAL VENOUS ACCESS DEVICE","36590","HCPCS","Both",,,"2454.5","1227.25","UHC","Commercial","",,"75",,"1850.69","898.35","1902.24","percent of total billed charges",,
"REMOVAL CENTRAL VENOUS ACCESS DEVICE","36590","HCPCS","Both",,,"2454.5","1227.25","Medicaid",,"",,"37",,"898.35","898.35","1902.24","percent of total billed charges",,
"BIOPSY OR EXCISION OF LYMPH NODE; OPEN","38500","HCPCS","Both",,,"5681.5","2840.75","Alliant","Health Exchange","",,"62",,"3522.53","2079.43","4403.16","percent of total billed charges",,
"BIOPSY OR EXCISION OF LYMPH NODE; OPEN","38500","HCPCS","Both",,,"5681.5","2840.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"3068.01","2079.43","4403.16","percent of total billed charges",,
"BIOPSY OR EXCISION OF LYMPH NODE; OPEN","38500","HCPCS","Both",,,"5681.5","2840.75","Medicare",,"",,"54",,"3079.37","2079.43","4403.16","percent of total billed charges",,
"BIOPSY OR EXCISION OF LYMPH NODE; OPEN","38500","HCPCS","Both",,,"5681.5","2840.75","Humana","Medicare Advantage","",,"54",,"3079.37","2079.43","4403.16","percent of total billed charges",,
"BIOPSY OR EXCISION OF LYMPH NODE; OPEN","38500","HCPCS","Both",,,"5681.5","2840.75","UHC","Medicare Advantage","",,"54",,"3079.37","2079.43","4403.16","percent of total billed charges",,
"BIOPSY OR EXCISION OF LYMPH NODE; OPEN","38500","HCPCS","Both",,,"5681.5","2840.75","Clover","Medicare Advantage","",,"54",,"3079.37","2079.43","4403.16","percent of total billed charges",,
"BIOPSY OR EXCISION OF LYMPH NODE; OPEN","38500","HCPCS","Both",,,"5681.5","2840.75","Wellcare","Medicare Advantage","",,"54",,"3079.37","2079.43","4403.16","percent of total billed charges",,
"BIOPSY OR EXCISION OF LYMPH NODE; OPEN","38500","HCPCS","Both",,,"5681.5","2840.75","Amerigroup","Medicaid Managed Care","",,"37",,"2079.43","2079.43","4403.16","percent of total billed charges",,
"BIOPSY OR EXCISION OF LYMPH NODE; OPEN","38500","HCPCS","Both",,,"5681.5","2840.75","Caresource","Medicaid Managed Care","",,"40",,"2272.6","2079.43","4403.16","percent of total billed charges",,
"BIOPSY OR EXCISION OF LYMPH NODE; OPEN","38500","HCPCS","Both",,,"5681.5","2840.75","Wellcare","Medicaid Managed Care","",,"40",,"2301.01","2079.43","4403.16","percent of total billed charges",,
"BIOPSY OR EXCISION OF LYMPH NODE; OPEN","38500","HCPCS","Both",,,"5681.5","2840.75","Aetna","Commercial","",,"64",,"3624.8","2079.43","4403.16","percent of total billed charges",,
"BIOPSY OR EXCISION OF LYMPH NODE; OPEN","38500","HCPCS","Both",,,"5681.5","2840.75","Blue Cross Blue Shield","Pathways","",,"71",,"4011.14","2079.43","4403.16","percent of total billed charges",,
"BIOPSY OR EXCISION OF LYMPH NODE; OPEN","38500","HCPCS","Both",,,"5681.5","2840.75","Blue Cross Blue Shield","HMO","",,"71",,"4011.14","2079.43","4403.16","percent of total billed charges",,
"BIOPSY OR EXCISION OF LYMPH NODE; OPEN","38500","HCPCS","Both",,,"5681.5","2840.75","Blue Cross Blue Shield","PPO","",,"71",,"4011.14","2079.43","4403.16","percent of total billed charges",,
"BIOPSY OR EXCISION OF LYMPH NODE; OPEN","38500","HCPCS","Both",,,"5681.5","2840.75","Ambetter","Health Exchange","",,"62",,"3522.53","2079.43","4403.16","percent of total billed charges",,
"BIOPSY OR EXCISION OF LYMPH NODE; OPEN","38500","HCPCS","Both",,,"5681.5","2840.75","Caresource","Health Exchange","",,"62",,"3522.53","2079.43","4403.16","percent of total billed charges",,
"BIOPSY OR EXCISION OF LYMPH NODE; OPEN","38500","HCPCS","Both",,,"5681.5","2840.75","Cigna","Commercial","",,"59",,"3329.36","2079.43","4403.16","percent of total billed charges",,
"BIOPSY OR EXCISION OF LYMPH NODE; OPEN","38500","HCPCS","Both",,,"5681.5","2840.75","Humana","Commercial","",,"78",,"4403.16","2079.43","4403.16","percent of total billed charges",,
"BIOPSY OR EXCISION OF LYMPH NODE; OPEN","38500","HCPCS","Both",,,"5681.5","2840.75","UHC","Commercial","",,"75",,"4283.85","2079.43","4403.16","percent of total billed charges",,
"BIOPSY OR EXCISION OF LYMPH NODE; OPEN","38500","HCPCS","Both",,,"5681.5","2840.75","Medicaid",,"",,"37",,"2079.43","2079.43","4403.16","percent of total billed charges",,
"DISSECTION DEEP JUGULAR NODE(S)","38542","HCPCS","Both",,,"11459","5729.5","Alliant","Health Exchange","",,"62",,"7104.58","4193.99","8880.72","percent of total billed charges",,
"DISSECTION DEEP JUGULAR NODE(S)","38542","HCPCS","Both",,,"11459","5729.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"6187.86","4193.99","8880.72","percent of total billed charges",,
"DISSECTION DEEP JUGULAR NODE(S)","38542","HCPCS","Both",,,"11459","5729.5","Medicare",,"",,"54",,"6210.78","4193.99","8880.72","percent of total billed charges",,
"DISSECTION DEEP JUGULAR NODE(S)","38542","HCPCS","Both",,,"11459","5729.5","Humana","Medicare Advantage","",,"54",,"6210.78","4193.99","8880.72","percent of total billed charges",,
"DISSECTION DEEP JUGULAR NODE(S)","38542","HCPCS","Both",,,"11459","5729.5","UHC","Medicare Advantage","",,"54",,"6210.78","4193.99","8880.72","percent of total billed charges",,
"DISSECTION DEEP JUGULAR NODE(S)","38542","HCPCS","Both",,,"11459","5729.5","Clover","Medicare Advantage","",,"54",,"6210.78","4193.99","8880.72","percent of total billed charges",,
"DISSECTION DEEP JUGULAR NODE(S)","38542","HCPCS","Both",,,"11459","5729.5","Wellcare","Medicare Advantage","",,"54",,"6210.78","4193.99","8880.72","percent of total billed charges",,
"DISSECTION DEEP JUGULAR NODE(S)","38542","HCPCS","Both",,,"11459","5729.5","Amerigroup","Medicaid Managed Care","",,"37",,"4193.99","4193.99","8880.72","percent of total billed charges",,
"DISSECTION DEEP JUGULAR NODE(S)","38542","HCPCS","Both",,,"11459","5729.5","Caresource","Medicaid Managed Care","",,"40",,"4583.6","4193.99","8880.72","percent of total billed charges",,
"DISSECTION DEEP JUGULAR NODE(S)","38542","HCPCS","Both",,,"11459","5729.5","Wellcare","Medicaid Managed Care","",,"40",,"4640.9","4193.99","8880.72","percent of total billed charges",,
"DISSECTION DEEP JUGULAR NODE(S)","38542","HCPCS","Both",,,"11459","5729.5","Aetna","Commercial","",,"64",,"7310.84","4193.99","8880.72","percent of total billed charges",,
"DISSECTION DEEP JUGULAR NODE(S)","38542","HCPCS","Both",,,"11459","5729.5","Blue Cross Blue Shield","Pathways","",,"71",,"8090.05","4193.99","8880.72","percent of total billed charges",,
"DISSECTION DEEP JUGULAR NODE(S)","38542","HCPCS","Both",,,"11459","5729.5","Blue Cross Blue Shield","HMO","",,"71",,"8090.05","4193.99","8880.72","percent of total billed charges",,
"DISSECTION DEEP JUGULAR NODE(S)","38542","HCPCS","Both",,,"11459","5729.5","Blue Cross Blue Shield","PPO","",,"71",,"8090.05","4193.99","8880.72","percent of total billed charges",,
"DISSECTION DEEP JUGULAR NODE(S)","38542","HCPCS","Both",,,"11459","5729.5","Ambetter","Health Exchange","",,"62",,"7104.58","4193.99","8880.72","percent of total billed charges",,
"DISSECTION DEEP JUGULAR NODE(S)","38542","HCPCS","Both",,,"11459","5729.5","Caresource","Health Exchange","",,"62",,"7104.58","4193.99","8880.72","percent of total billed charges",,
"DISSECTION DEEP JUGULAR NODE(S)","38542","HCPCS","Both",,,"11459","5729.5","Cigna","Commercial","",,"59",,"6714.97","4193.99","8880.72","percent of total billed charges",,
"DISSECTION DEEP JUGULAR NODE(S)","38542","HCPCS","Both",,,"11459","5729.5","Humana","Commercial","",,"78",,"8880.72","4193.99","8880.72","percent of total billed charges",,
"DISSECTION DEEP JUGULAR NODE(S)","38542","HCPCS","Both",,,"11459","5729.5","UHC","Commercial","",,"75",,"8640.09","4193.99","8880.72","percent of total billed charges",,
"DISSECTION DEEP JUGULAR NODE(S)","38542","HCPCS","Both",,,"11459","5729.5","Medicaid",,"",,"37",,"4193.99","4193.99","8880.72","percent of total billed charges",,
"EXCIS LES MOUTH W SIMP REPAIR","40812","HCPCS","Both",,,"2149","1074.5","Alliant","Health Exchange","",,"62",,"1332.38","786.53","1665.48","percent of total billed charges",,
"EXCIS LES MOUTH W SIMP REPAIR","40812","HCPCS","Both",,,"2149","1074.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"1160.46","786.53","1665.48","percent of total billed charges",,
"EXCIS LES MOUTH W SIMP REPAIR","40812","HCPCS","Both",,,"2149","1074.5","Medicare",,"",,"54",,"1164.76","786.53","1665.48","percent of total billed charges",,
"EXCIS LES MOUTH W SIMP REPAIR","40812","HCPCS","Both",,,"2149","1074.5","Humana","Medicare Advantage","",,"54",,"1164.76","786.53","1665.48","percent of total billed charges",,
"EXCIS LES MOUTH W SIMP REPAIR","40812","HCPCS","Both",,,"2149","1074.5","UHC","Medicare Advantage","",,"54",,"1164.76","786.53","1665.48","percent of total billed charges",,
"EXCIS LES MOUTH W SIMP REPAIR","40812","HCPCS","Both",,,"2149","1074.5","Clover","Medicare Advantage","",,"54",,"1164.76","786.53","1665.48","percent of total billed charges",,
"EXCIS LES MOUTH W SIMP REPAIR","40812","HCPCS","Both",,,"2149","1074.5","Wellcare","Medicare Advantage","",,"54",,"1164.76","786.53","1665.48","percent of total billed charges",,
"EXCIS LES MOUTH W SIMP REPAIR","40812","HCPCS","Both",,,"2149","1074.5","Amerigroup","Medicaid Managed Care","",,"37",,"786.53","786.53","1665.48","percent of total billed charges",,
"EXCIS LES MOUTH W SIMP REPAIR","40812","HCPCS","Both",,,"2149","1074.5","Caresource","Medicaid Managed Care","",,"40",,"859.6","786.53","1665.48","percent of total billed charges",,
"EXCIS LES MOUTH W SIMP REPAIR","40812","HCPCS","Both",,,"2149","1074.5","Wellcare","Medicaid Managed Care","",,"40",,"870.34","786.53","1665.48","percent of total billed charges",,
"EXCIS LES MOUTH W SIMP REPAIR","40812","HCPCS","Both",,,"2149","1074.5","Aetna","Commercial","",,"64",,"1371.06","786.53","1665.48","percent of total billed charges",,
"EXCIS LES MOUTH W SIMP REPAIR","40812","HCPCS","Both",,,"2149","1074.5","Blue Cross Blue Shield","Pathways","",,"71",,"1517.19","786.53","1665.48","percent of total billed charges",,
"EXCIS LES MOUTH W SIMP REPAIR","40812","HCPCS","Both",,,"2149","1074.5","Blue Cross Blue Shield","HMO","",,"71",,"1517.19","786.53","1665.48","percent of total billed charges",,
"EXCIS LES MOUTH W SIMP REPAIR","40812","HCPCS","Both",,,"2149","1074.5","Blue Cross Blue Shield","PPO","",,"71",,"1517.19","786.53","1665.48","percent of total billed charges",,
"EXCIS LES MOUTH W SIMP REPAIR","40812","HCPCS","Both",,,"2149","1074.5","Ambetter","Health Exchange","",,"62",,"1332.38","786.53","1665.48","percent of total billed charges",,
"EXCIS LES MOUTH W SIMP REPAIR","40812","HCPCS","Both",,,"2149","1074.5","Caresource","Health Exchange","",,"62",,"1332.38","786.53","1665.48","percent of total billed charges",,
"EXCIS LES MOUTH W SIMP REPAIR","40812","HCPCS","Both",,,"2149","1074.5","Cigna","Commercial","",,"59",,"1259.31","786.53","1665.48","percent of total billed charges",,
"EXCIS LES MOUTH W SIMP REPAIR","40812","HCPCS","Both",,,"2149","1074.5","Humana","Commercial","",,"78",,"1665.48","786.53","1665.48","percent of total billed charges",,
"EXCIS LES MOUTH W SIMP REPAIR","40812","HCPCS","Both",,,"2149","1074.5","UHC","Commercial","",,"75",,"1620.35","786.53","1665.48","percent of total billed charges",,
"EXCIS LES MOUTH W SIMP REPAIR","40812","HCPCS","Both",,,"2149","1074.5","Medicaid",,"",,"37",,"786.53","786.53","1665.48","percent of total billed charges",,
"INCISION OF LINGUAL FRENUM","41010","HCPCS","Both",,,"1557","778.5","Alliant","Health Exchange","",,"62",,"965.34","569.86","1206.68","percent of total billed charges",,
"INCISION OF LINGUAL FRENUM","41010","HCPCS","Both",,,"1557","778.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"840.78","569.86","1206.68","percent of total billed charges",,
"INCISION OF LINGUAL FRENUM","41010","HCPCS","Both",,,"1557","778.5","Medicare",,"",,"54",,"843.89","569.86","1206.68","percent of total billed charges",,
"INCISION OF LINGUAL FRENUM","41010","HCPCS","Both",,,"1557","778.5","Humana","Medicare Advantage","",,"54",,"843.89","569.86","1206.68","percent of total billed charges",,
"INCISION OF LINGUAL FRENUM","41010","HCPCS","Both",,,"1557","778.5","UHC","Medicare Advantage","",,"54",,"843.89","569.86","1206.68","percent of total billed charges",,
"INCISION OF LINGUAL FRENUM","41010","HCPCS","Both",,,"1557","778.5","Clover","Medicare Advantage","",,"54",,"843.89","569.86","1206.68","percent of total billed charges",,
"INCISION OF LINGUAL FRENUM","41010","HCPCS","Both",,,"1557","778.5","Wellcare","Medicare Advantage","",,"54",,"843.89","569.86","1206.68","percent of total billed charges",,
"INCISION OF LINGUAL FRENUM","41010","HCPCS","Both",,,"1557","778.5","Amerigroup","Medicaid Managed Care","",,"37",,"569.86","569.86","1206.68","percent of total billed charges",,
"INCISION OF LINGUAL FRENUM","41010","HCPCS","Both",,,"1557","778.5","Caresource","Medicaid Managed Care","",,"40",,"622.8","569.86","1206.68","percent of total billed charges",,
"INCISION OF LINGUAL FRENUM","41010","HCPCS","Both",,,"1557","778.5","Wellcare","Medicaid Managed Care","",,"40",,"630.58","569.86","1206.68","percent of total billed charges",,
"INCISION OF LINGUAL FRENUM","41010","HCPCS","Both",,,"1557","778.5","Aetna","Commercial","",,"64",,"993.37","569.86","1206.68","percent of total billed charges",,
"INCISION OF LINGUAL FRENUM","41010","HCPCS","Both",,,"1557","778.5","Blue Cross Blue Shield","Pathways","",,"71",,"1099.24","569.86","1206.68","percent of total billed charges",,
"INCISION OF LINGUAL FRENUM","41010","HCPCS","Both",,,"1557","778.5","Blue Cross Blue Shield","HMO","",,"71",,"1099.24","569.86","1206.68","percent of total billed charges",,
"INCISION OF LINGUAL FRENUM","41010","HCPCS","Both",,,"1557","778.5","Blue Cross Blue Shield","PPO","",,"71",,"1099.24","569.86","1206.68","percent of total billed charges",,
"INCISION OF LINGUAL FRENUM","41010","HCPCS","Both",,,"1557","778.5","Ambetter","Health Exchange","",,"62",,"965.34","569.86","1206.68","percent of total billed charges",,
"INCISION OF LINGUAL FRENUM","41010","HCPCS","Both",,,"1557","778.5","Caresource","Health Exchange","",,"62",,"965.34","569.86","1206.68","percent of total billed charges",,
"INCISION OF LINGUAL FRENUM","41010","HCPCS","Both",,,"1557","778.5","Cigna","Commercial","",,"59",,"912.4","569.86","1206.68","percent of total billed charges",,
"INCISION OF LINGUAL FRENUM","41010","HCPCS","Both",,,"1557","778.5","Humana","Commercial","",,"78",,"1206.68","569.86","1206.68","percent of total billed charges",,
"INCISION OF LINGUAL FRENUM","41010","HCPCS","Both",,,"1557","778.5","UHC","Commercial","",,"75",,"1173.98","569.86","1206.68","percent of total billed charges",,
"INCISION OF LINGUAL FRENUM","41010","HCPCS","Both",,,"1557","778.5","Medicaid",,"",,"37",,"569.86","569.86","1206.68","percent of total billed charges",,
"EXCISION LESION TONGUE W/CLOSURE ANT 2/3","41112","HCPCS","Both",,,"3581.5","1790.75","Alliant","Health Exchange","",,"62",,"2220.53","1310.83","2775.66","percent of total billed charges",,
"EXCISION LESION TONGUE W/CLOSURE ANT 2/3","41112","HCPCS","Both",,,"3581.5","1790.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"1934.01","1310.83","2775.66","percent of total billed charges",,
"EXCISION LESION TONGUE W/CLOSURE ANT 2/3","41112","HCPCS","Both",,,"3581.5","1790.75","Medicare",,"",,"54",,"1941.17","1310.83","2775.66","percent of total billed charges",,
"EXCISION LESION TONGUE W/CLOSURE ANT 2/3","41112","HCPCS","Both",,,"3581.5","1790.75","Humana","Medicare Advantage","",,"54",,"1941.17","1310.83","2775.66","percent of total billed charges",,
"EXCISION LESION TONGUE W/CLOSURE ANT 2/3","41112","HCPCS","Both",,,"3581.5","1790.75","UHC","Medicare Advantage","",,"54",,"1941.17","1310.83","2775.66","percent of total billed charges",,
"EXCISION LESION TONGUE W/CLOSURE ANT 2/3","41112","HCPCS","Both",,,"3581.5","1790.75","Clover","Medicare Advantage","",,"54",,"1941.17","1310.83","2775.66","percent of total billed charges",,
"EXCISION LESION TONGUE W/CLOSURE ANT 2/3","41112","HCPCS","Both",,,"3581.5","1790.75","Wellcare","Medicare Advantage","",,"54",,"1941.17","1310.83","2775.66","percent of total billed charges",,
"EXCISION LESION TONGUE W/CLOSURE ANT 2/3","41112","HCPCS","Both",,,"3581.5","1790.75","Amerigroup","Medicaid Managed Care","",,"37",,"1310.83","1310.83","2775.66","percent of total billed charges",,
"EXCISION LESION TONGUE W/CLOSURE ANT 2/3","41112","HCPCS","Both",,,"3581.5","1790.75","Caresource","Medicaid Managed Care","",,"40",,"1432.6","1310.83","2775.66","percent of total billed charges",,
"EXCISION LESION TONGUE W/CLOSURE ANT 2/3","41112","HCPCS","Both",,,"3581.5","1790.75","Wellcare","Medicaid Managed Care","",,"40",,"1450.51","1310.83","2775.66","percent of total billed charges",,
"EXCISION LESION TONGUE W/CLOSURE ANT 2/3","41112","HCPCS","Both",,,"3581.5","1790.75","Aetna","Commercial","",,"64",,"2285","1310.83","2775.66","percent of total billed charges",,
"EXCISION LESION TONGUE W/CLOSURE ANT 2/3","41112","HCPCS","Both",,,"3581.5","1790.75","Blue Cross Blue Shield","Pathways","",,"71",,"2528.54","1310.83","2775.66","percent of total billed charges",,
"EXCISION LESION TONGUE W/CLOSURE ANT 2/3","41112","HCPCS","Both",,,"3581.5","1790.75","Blue Cross Blue Shield","HMO","",,"71",,"2528.54","1310.83","2775.66","percent of total billed charges",,
"EXCISION LESION TONGUE W/CLOSURE ANT 2/3","41112","HCPCS","Both",,,"3581.5","1790.75","Blue Cross Blue Shield","PPO","",,"71",,"2528.54","1310.83","2775.66","percent of total billed charges",,
"EXCISION LESION TONGUE W/CLOSURE ANT 2/3","41112","HCPCS","Both",,,"3581.5","1790.75","Ambetter","Health Exchange","",,"62",,"2220.53","1310.83","2775.66","percent of total billed charges",,
"EXCISION LESION TONGUE W/CLOSURE ANT 2/3","41112","HCPCS","Both",,,"3581.5","1790.75","Caresource","Health Exchange","",,"62",,"2220.53","1310.83","2775.66","percent of total billed charges",,
"EXCISION LESION TONGUE W/CLOSURE ANT 2/3","41112","HCPCS","Both",,,"3581.5","1790.75","Cigna","Commercial","",,"59",,"2098.76","1310.83","2775.66","percent of total billed charges",,
"EXCISION LESION TONGUE W/CLOSURE ANT 2/3","41112","HCPCS","Both",,,"3581.5","1790.75","Humana","Commercial","",,"78",,"2775.66","1310.83","2775.66","percent of total billed charges",,
"EXCISION LESION TONGUE W/CLOSURE ANT 2/3","41112","HCPCS","Both",,,"3581.5","1790.75","UHC","Commercial","",,"75",,"2700.45","1310.83","2775.66","percent of total billed charges",,
"EXCISION LESION TONGUE W/CLOSURE ANT 2/3","41112","HCPCS","Both",,,"3581.5","1790.75","Medicaid",,"",,"37",,"1310.83","1310.83","2775.66","percent of total billed charges",,
"EXCISION LESION TONGUE W/CLOSURE POST 1/","41113","HCPCS","Both",,,"3581.5","1790.75","Alliant","Health Exchange","",,"62",,"2220.53","1310.83","2775.66","percent of total billed charges",,
"EXCISION LESION TONGUE W/CLOSURE POST 1/","41113","HCPCS","Both",,,"3581.5","1790.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"1934.01","1310.83","2775.66","percent of total billed charges",,
"EXCISION LESION TONGUE W/CLOSURE POST 1/","41113","HCPCS","Both",,,"3581.5","1790.75","Medicare",,"",,"54",,"1941.17","1310.83","2775.66","percent of total billed charges",,
"EXCISION LESION TONGUE W/CLOSURE POST 1/","41113","HCPCS","Both",,,"3581.5","1790.75","Humana","Medicare Advantage","",,"54",,"1941.17","1310.83","2775.66","percent of total billed charges",,
"EXCISION LESION TONGUE W/CLOSURE POST 1/","41113","HCPCS","Both",,,"3581.5","1790.75","UHC","Medicare Advantage","",,"54",,"1941.17","1310.83","2775.66","percent of total billed charges",,
"EXCISION LESION TONGUE W/CLOSURE POST 1/","41113","HCPCS","Both",,,"3581.5","1790.75","Clover","Medicare Advantage","",,"54",,"1941.17","1310.83","2775.66","percent of total billed charges",,
"EXCISION LESION TONGUE W/CLOSURE POST 1/","41113","HCPCS","Both",,,"3581.5","1790.75","Wellcare","Medicare Advantage","",,"54",,"1941.17","1310.83","2775.66","percent of total billed charges",,
"EXCISION LESION TONGUE W/CLOSURE POST 1/","41113","HCPCS","Both",,,"3581.5","1790.75","Amerigroup","Medicaid Managed Care","",,"37",,"1310.83","1310.83","2775.66","percent of total billed charges",,
"EXCISION LESION TONGUE W/CLOSURE POST 1/","41113","HCPCS","Both",,,"3581.5","1790.75","Caresource","Medicaid Managed Care","",,"40",,"1432.6","1310.83","2775.66","percent of total billed charges",,
"EXCISION LESION TONGUE W/CLOSURE POST 1/","41113","HCPCS","Both",,,"3581.5","1790.75","Wellcare","Medicaid Managed Care","",,"40",,"1450.51","1310.83","2775.66","percent of total billed charges",,
"EXCISION LESION TONGUE W/CLOSURE POST 1/","41113","HCPCS","Both",,,"3581.5","1790.75","Aetna","Commercial","",,"64",,"2285","1310.83","2775.66","percent of total billed charges",,
"EXCISION LESION TONGUE W/CLOSURE POST 1/","41113","HCPCS","Both",,,"3581.5","1790.75","Blue Cross Blue Shield","Pathways","",,"71",,"2528.54","1310.83","2775.66","percent of total billed charges",,
"EXCISION LESION TONGUE W/CLOSURE POST 1/","41113","HCPCS","Both",,,"3581.5","1790.75","Blue Cross Blue Shield","HMO","",,"71",,"2528.54","1310.83","2775.66","percent of total billed charges",,
"EXCISION LESION TONGUE W/CLOSURE POST 1/","41113","HCPCS","Both",,,"3581.5","1790.75","Blue Cross Blue Shield","PPO","",,"71",,"2528.54","1310.83","2775.66","percent of total billed charges",,
"EXCISION LESION TONGUE W/CLOSURE POST 1/","41113","HCPCS","Both",,,"3581.5","1790.75","Ambetter","Health Exchange","",,"62",,"2220.53","1310.83","2775.66","percent of total billed charges",,
"EXCISION LESION TONGUE W/CLOSURE POST 1/","41113","HCPCS","Both",,,"3581.5","1790.75","Caresource","Health Exchange","",,"62",,"2220.53","1310.83","2775.66","percent of total billed charges",,
"EXCISION LESION TONGUE W/CLOSURE POST 1/","41113","HCPCS","Both",,,"3581.5","1790.75","Cigna","Commercial","",,"59",,"2098.76","1310.83","2775.66","percent of total billed charges",,
"EXCISION LESION TONGUE W/CLOSURE POST 1/","41113","HCPCS","Both",,,"3581.5","1790.75","Humana","Commercial","",,"78",,"2775.66","1310.83","2775.66","percent of total billed charges",,
"EXCISION LESION TONGUE W/CLOSURE POST 1/","41113","HCPCS","Both",,,"3581.5","1790.75","UHC","Commercial","",,"75",,"2700.45","1310.83","2775.66","percent of total billed charges",,
"EXCISION LESION TONGUE W/CLOSURE POST 1/","41113","HCPCS","Both",,,"3581.5","1790.75","Medicaid",,"",,"37",,"1310.83","1310.83","2775.66","percent of total billed charges",,
"TONSILLECTOMY,PRIMARY/SECONDARY; 12 OR <","42825","HCPCS","Both",,,"1017.5","508.75","Alliant","Health Exchange","",,"62",,"630.85","372.4","788.56","percent of total billed charges",,
"TONSILLECTOMY,PRIMARY/SECONDARY; 12 OR <","42825","HCPCS","Both",,,"1017.5","508.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"549.45","372.4","788.56","percent of total billed charges",,
"TONSILLECTOMY,PRIMARY/SECONDARY; 12 OR <","42825","HCPCS","Both",,,"1017.5","508.75","Medicare",,"",,"54",,"551.48","372.4","788.56","percent of total billed charges",,
"TONSILLECTOMY,PRIMARY/SECONDARY; 12 OR <","42825","HCPCS","Both",,,"1017.5","508.75","Humana","Medicare Advantage","",,"54",,"551.48","372.4","788.56","percent of total billed charges",,
"TONSILLECTOMY,PRIMARY/SECONDARY; 12 OR <","42825","HCPCS","Both",,,"1017.5","508.75","UHC","Medicare Advantage","",,"54",,"551.48","372.4","788.56","percent of total billed charges",,
"TONSILLECTOMY,PRIMARY/SECONDARY; 12 OR <","42825","HCPCS","Both",,,"1017.5","508.75","Clover","Medicare Advantage","",,"54",,"551.48","372.4","788.56","percent of total billed charges",,
"TONSILLECTOMY,PRIMARY/SECONDARY; 12 OR <","42825","HCPCS","Both",,,"1017.5","508.75","Wellcare","Medicare Advantage","",,"54",,"551.48","372.4","788.56","percent of total billed charges",,
"TONSILLECTOMY,PRIMARY/SECONDARY; 12 OR <","42825","HCPCS","Both",,,"1017.5","508.75","Amerigroup","Medicaid Managed Care","",,"37",,"372.4","372.4","788.56","percent of total billed charges",,
"TONSILLECTOMY,PRIMARY/SECONDARY; 12 OR <","42825","HCPCS","Both",,,"1017.5","508.75","Caresource","Medicaid Managed Care","",,"40",,"407","372.4","788.56","percent of total billed charges",,
"TONSILLECTOMY,PRIMARY/SECONDARY; 12 OR <","42825","HCPCS","Both",,,"1017.5","508.75","Wellcare","Medicaid Managed Care","",,"40",,"412.09","372.4","788.56","percent of total billed charges",,
"TONSILLECTOMY,PRIMARY/SECONDARY; 12 OR <","42825","HCPCS","Both",,,"1017.5","508.75","Aetna","Commercial","",,"64",,"649.16","372.4","788.56","percent of total billed charges",,
"TONSILLECTOMY,PRIMARY/SECONDARY; 12 OR <","42825","HCPCS","Both",,,"1017.5","508.75","Blue Cross Blue Shield","Pathways","",,"71",,"718.35","372.4","788.56","percent of total billed charges",,
"TONSILLECTOMY,PRIMARY/SECONDARY; 12 OR <","42825","HCPCS","Both",,,"1017.5","508.75","Blue Cross Blue Shield","HMO","",,"71",,"718.35","372.4","788.56","percent of total billed charges",,
"TONSILLECTOMY,PRIMARY/SECONDARY; 12 OR <","42825","HCPCS","Both",,,"1017.5","508.75","Blue Cross Blue Shield","PPO","",,"71",,"718.35","372.4","788.56","percent of total billed charges",,
"TONSILLECTOMY,PRIMARY/SECONDARY; 12 OR <","42825","HCPCS","Both",,,"1017.5","508.75","Ambetter","Health Exchange","",,"62",,"630.85","372.4","788.56","percent of total billed charges",,
"TONSILLECTOMY,PRIMARY/SECONDARY; 12 OR <","42825","HCPCS","Both",,,"1017.5","508.75","Caresource","Health Exchange","",,"62",,"630.85","372.4","788.56","percent of total billed charges",,
"TONSILLECTOMY,PRIMARY/SECONDARY; 12 OR <","42825","HCPCS","Both",,,"1017.5","508.75","Cigna","Commercial","",,"59",,"596.26","372.4","788.56","percent of total billed charges",,
"TONSILLECTOMY,PRIMARY/SECONDARY; 12 OR <","42825","HCPCS","Both",,,"1017.5","508.75","Humana","Commercial","",,"78",,"788.56","372.4","788.56","percent of total billed charges",,
"TONSILLECTOMY,PRIMARY/SECONDARY; 12 OR <","42825","HCPCS","Both",,,"1017.5","508.75","UHC","Commercial","",,"75",,"767.2","372.4","788.56","percent of total billed charges",,
"TONSILLECTOMY,PRIMARY/SECONDARY; 12 OR <","42825","HCPCS","Both",,,"1017.5","508.75","Medicaid",,"",,"37",,"372.4","372.4","788.56","percent of total billed charges",,
"TONSILLECTOMY,PRIMARY/SECONDARY; 12 OR >","42826","HCPCS","Both",,,"5617.5","2808.75","Alliant","Health Exchange","",,"62",,"3482.85","2056","4353.56","percent of total billed charges",,
"TONSILLECTOMY,PRIMARY/SECONDARY; 12 OR >","42826","HCPCS","Both",,,"5617.5","2808.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"3033.45","2056","4353.56","percent of total billed charges",,
"TONSILLECTOMY,PRIMARY/SECONDARY; 12 OR >","42826","HCPCS","Both",,,"5617.5","2808.75","Medicare",,"",,"54",,"3044.69","2056","4353.56","percent of total billed charges",,
"TONSILLECTOMY,PRIMARY/SECONDARY; 12 OR >","42826","HCPCS","Both",,,"5617.5","2808.75","Humana","Medicare Advantage","",,"54",,"3044.69","2056","4353.56","percent of total billed charges",,
"TONSILLECTOMY,PRIMARY/SECONDARY; 12 OR >","42826","HCPCS","Both",,,"5617.5","2808.75","UHC","Medicare Advantage","",,"54",,"3044.69","2056","4353.56","percent of total billed charges",,
"TONSILLECTOMY,PRIMARY/SECONDARY; 12 OR >","42826","HCPCS","Both",,,"5617.5","2808.75","Clover","Medicare Advantage","",,"54",,"3044.69","2056","4353.56","percent of total billed charges",,
"TONSILLECTOMY,PRIMARY/SECONDARY; 12 OR >","42826","HCPCS","Both",,,"5617.5","2808.75","Wellcare","Medicare Advantage","",,"54",,"3044.69","2056","4353.56","percent of total billed charges",,
"TONSILLECTOMY,PRIMARY/SECONDARY; 12 OR >","42826","HCPCS","Both",,,"5617.5","2808.75","Amerigroup","Medicaid Managed Care","",,"37",,"2056","2056","4353.56","percent of total billed charges",,
"TONSILLECTOMY,PRIMARY/SECONDARY; 12 OR >","42826","HCPCS","Both",,,"5617.5","2808.75","Caresource","Medicaid Managed Care","",,"40",,"2247","2056","4353.56","percent of total billed charges",,
"TONSILLECTOMY,PRIMARY/SECONDARY; 12 OR >","42826","HCPCS","Both",,,"5617.5","2808.75","Wellcare","Medicaid Managed Care","",,"40",,"2275.09","2056","4353.56","percent of total billed charges",,
"TONSILLECTOMY,PRIMARY/SECONDARY; 12 OR >","42826","HCPCS","Both",,,"5617.5","2808.75","Aetna","Commercial","",,"64",,"3583.96","2056","4353.56","percent of total billed charges",,
"TONSILLECTOMY,PRIMARY/SECONDARY; 12 OR >","42826","HCPCS","Both",,,"5617.5","2808.75","Blue Cross Blue Shield","Pathways","",,"71",,"3965.96","2056","4353.56","percent of total billed charges",,
"TONSILLECTOMY,PRIMARY/SECONDARY; 12 OR >","42826","HCPCS","Both",,,"5617.5","2808.75","Blue Cross Blue Shield","HMO","",,"71",,"3965.96","2056","4353.56","percent of total billed charges",,
"TONSILLECTOMY,PRIMARY/SECONDARY; 12 OR >","42826","HCPCS","Both",,,"5617.5","2808.75","Blue Cross Blue Shield","PPO","",,"71",,"3965.96","2056","4353.56","percent of total billed charges",,
"TONSILLECTOMY,PRIMARY/SECONDARY; 12 OR >","42826","HCPCS","Both",,,"5617.5","2808.75","Ambetter","Health Exchange","",,"62",,"3482.85","2056","4353.56","percent of total billed charges",,
"TONSILLECTOMY,PRIMARY/SECONDARY; 12 OR >","42826","HCPCS","Both",,,"5617.5","2808.75","Caresource","Health Exchange","",,"62",,"3482.85","2056","4353.56","percent of total billed charges",,
"TONSILLECTOMY,PRIMARY/SECONDARY; 12 OR >","42826","HCPCS","Both",,,"5617.5","2808.75","Cigna","Commercial","",,"59",,"3291.86","2056","4353.56","percent of total billed charges",,
"TONSILLECTOMY,PRIMARY/SECONDARY; 12 OR >","42826","HCPCS","Both",,,"5617.5","2808.75","Humana","Commercial","",,"78",,"4353.56","2056","4353.56","percent of total billed charges",,
"TONSILLECTOMY,PRIMARY/SECONDARY; 12 OR >","42826","HCPCS","Both",,,"5617.5","2808.75","UHC","Commercial","",,"75",,"4235.6","2056","4353.56","percent of total billed charges",,
"TONSILLECTOMY,PRIMARY/SECONDARY; 12 OR >","42826","HCPCS","Both",,,"5617.5","2808.75","Medicaid",,"",,"37",,"2056","2056","4353.56","percent of total billed charges",,
"ESOPHAGOSCOPY, RIGID OR FLEX; DIAGNOSTIC","43200","HCPCS","Both",,,"175","87.5","Alliant","Health Exchange","",,"62",,"108.5","64.05","135.62","percent of total billed charges",,
"ESOPHAGOSCOPY, RIGID OR FLEX; DIAGNOSTIC","43200","HCPCS","Both",,,"175","87.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"94.5","64.05","135.62","percent of total billed charges",,
"ESOPHAGOSCOPY, RIGID OR FLEX; DIAGNOSTIC","43200","HCPCS","Both",,,"175","87.5","Medicare",,"",,"54",,"94.85","64.05","135.62","percent of total billed charges",,
"ESOPHAGOSCOPY, RIGID OR FLEX; DIAGNOSTIC","43200","HCPCS","Both",,,"175","87.5","Humana","Medicare Advantage","",,"54",,"94.85","64.05","135.62","percent of total billed charges",,
"ESOPHAGOSCOPY, RIGID OR FLEX; DIAGNOSTIC","43200","HCPCS","Both",,,"175","87.5","UHC","Medicare Advantage","",,"54",,"94.85","64.05","135.62","percent of total billed charges",,
"ESOPHAGOSCOPY, RIGID OR FLEX; DIAGNOSTIC","43200","HCPCS","Both",,,"175","87.5","Clover","Medicare Advantage","",,"54",,"94.85","64.05","135.62","percent of total billed charges",,
"ESOPHAGOSCOPY, RIGID OR FLEX; DIAGNOSTIC","43200","HCPCS","Both",,,"175","87.5","Wellcare","Medicare Advantage","",,"54",,"94.85","64.05","135.62","percent of total billed charges",,
"ESOPHAGOSCOPY, RIGID OR FLEX; DIAGNOSTIC","43200","HCPCS","Both",,,"175","87.5","Amerigroup","Medicaid Managed Care","",,"37",,"64.05","64.05","135.62","percent of total billed charges",,
"ESOPHAGOSCOPY, RIGID OR FLEX; DIAGNOSTIC","43200","HCPCS","Both",,,"175","87.5","Caresource","Medicaid Managed Care","",,"40",,"70","64.05","135.62","percent of total billed charges",,
"ESOPHAGOSCOPY, RIGID OR FLEX; DIAGNOSTIC","43200","HCPCS","Both",,,"175","87.5","Wellcare","Medicaid Managed Care","",,"40",,"70.88","64.05","135.62","percent of total billed charges",,
"ESOPHAGOSCOPY, RIGID OR FLEX; DIAGNOSTIC","43200","HCPCS","Both",,,"175","87.5","Aetna","Commercial","",,"64",,"111.65","64.05","135.62","percent of total billed charges",,
"ESOPHAGOSCOPY, RIGID OR FLEX; DIAGNOSTIC","43200","HCPCS","Both",,,"175","87.5","Blue Cross Blue Shield","Pathways","",,"71",,"123.55","64.05","135.62","percent of total billed charges",,
"ESOPHAGOSCOPY, RIGID OR FLEX; DIAGNOSTIC","43200","HCPCS","Both",,,"175","87.5","Blue Cross Blue Shield","HMO","",,"71",,"123.55","64.05","135.62","percent of total billed charges",,
"ESOPHAGOSCOPY, RIGID OR FLEX; DIAGNOSTIC","43200","HCPCS","Both",,,"175","87.5","Blue Cross Blue Shield","PPO","",,"71",,"123.55","64.05","135.62","percent of total billed charges",,
"ESOPHAGOSCOPY, RIGID OR FLEX; DIAGNOSTIC","43200","HCPCS","Both",,,"175","87.5","Ambetter","Health Exchange","",,"62",,"108.5","64.05","135.62","percent of total billed charges",,
"ESOPHAGOSCOPY, RIGID OR FLEX; DIAGNOSTIC","43200","HCPCS","Both",,,"175","87.5","Caresource","Health Exchange","",,"62",,"108.5","64.05","135.62","percent of total billed charges",,
"ESOPHAGOSCOPY, RIGID OR FLEX; DIAGNOSTIC","43200","HCPCS","Both",,,"175","87.5","Cigna","Commercial","",,"59",,"102.55","64.05","135.62","percent of total billed charges",,
"ESOPHAGOSCOPY, RIGID OR FLEX; DIAGNOSTIC","43200","HCPCS","Both",,,"175","87.5","Humana","Commercial","",,"78",,"135.62","64.05","135.62","percent of total billed charges",,
"ESOPHAGOSCOPY, RIGID OR FLEX; DIAGNOSTIC","43200","HCPCS","Both",,,"175","87.5","UHC","Commercial","",,"75",,"131.95","64.05","135.62","percent of total billed charges",,
"ESOPHAGOSCOPY, RIGID OR FLEX; DIAGNOSTIC","43200","HCPCS","Both",,,"175","87.5","Medicaid",,"",,"37",,"64.05","64.05","135.62","percent of total billed charges",,
"ESOPHAGOSCOPY DILATE BALLOON 30MM","43214","HCPCS","Both",,,"4455.5","2227.75","Alliant","Health Exchange","",,"62",,"2762.41","1630.71","3453.01","percent of total billed charges",,
"ESOPHAGOSCOPY DILATE BALLOON 30MM","43214","HCPCS","Both",,,"4455.5","2227.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"2405.97","1630.71","3453.01","percent of total billed charges",,
"ESOPHAGOSCOPY DILATE BALLOON 30MM","43214","HCPCS","Both",,,"4455.5","2227.75","Medicare",,"",,"54",,"2414.88","1630.71","3453.01","percent of total billed charges",,
"ESOPHAGOSCOPY DILATE BALLOON 30MM","43214","HCPCS","Both",,,"4455.5","2227.75","Humana","Medicare Advantage","",,"54",,"2414.88","1630.71","3453.01","percent of total billed charges",,
"ESOPHAGOSCOPY DILATE BALLOON 30MM","43214","HCPCS","Both",,,"4455.5","2227.75","UHC","Medicare Advantage","",,"54",,"2414.88","1630.71","3453.01","percent of total billed charges",,
"ESOPHAGOSCOPY DILATE BALLOON 30MM","43214","HCPCS","Both",,,"4455.5","2227.75","Clover","Medicare Advantage","",,"54",,"2414.88","1630.71","3453.01","percent of total billed charges",,
"ESOPHAGOSCOPY DILATE BALLOON 30MM","43214","HCPCS","Both",,,"4455.5","2227.75","Wellcare","Medicare Advantage","",,"54",,"2414.88","1630.71","3453.01","percent of total billed charges",,
"ESOPHAGOSCOPY DILATE BALLOON 30MM","43214","HCPCS","Both",,,"4455.5","2227.75","Amerigroup","Medicaid Managed Care","",,"37",,"1630.71","1630.71","3453.01","percent of total billed charges",,
"ESOPHAGOSCOPY DILATE BALLOON 30MM","43214","HCPCS","Both",,,"4455.5","2227.75","Caresource","Medicaid Managed Care","",,"40",,"1782.2","1630.71","3453.01","percent of total billed charges",,
"ESOPHAGOSCOPY DILATE BALLOON 30MM","43214","HCPCS","Both",,,"4455.5","2227.75","Wellcare","Medicaid Managed Care","",,"40",,"1804.48","1630.71","3453.01","percent of total billed charges",,
"ESOPHAGOSCOPY DILATE BALLOON 30MM","43214","HCPCS","Both",,,"4455.5","2227.75","Aetna","Commercial","",,"64",,"2842.61","1630.71","3453.01","percent of total billed charges",,
"ESOPHAGOSCOPY DILATE BALLOON 30MM","43214","HCPCS","Both",,,"4455.5","2227.75","Blue Cross Blue Shield","Pathways","",,"71",,"3145.58","1630.71","3453.01","percent of total billed charges",,
"ESOPHAGOSCOPY DILATE BALLOON 30MM","43214","HCPCS","Both",,,"4455.5","2227.75","Blue Cross Blue Shield","HMO","",,"71",,"3145.58","1630.71","3453.01","percent of total billed charges",,
"ESOPHAGOSCOPY DILATE BALLOON 30MM","43214","HCPCS","Both",,,"4455.5","2227.75","Blue Cross Blue Shield","PPO","",,"71",,"3145.58","1630.71","3453.01","percent of total billed charges",,
"ESOPHAGOSCOPY DILATE BALLOON 30MM","43214","HCPCS","Both",,,"4455.5","2227.75","Ambetter","Health Exchange","",,"62",,"2762.41","1630.71","3453.01","percent of total billed charges",,
"ESOPHAGOSCOPY DILATE BALLOON 30MM","43214","HCPCS","Both",,,"4455.5","2227.75","Caresource","Health Exchange","",,"62",,"2762.41","1630.71","3453.01","percent of total billed charges",,
"ESOPHAGOSCOPY DILATE BALLOON 30MM","43214","HCPCS","Both",,,"4455.5","2227.75","Cigna","Commercial","",,"59",,"2610.92","1630.71","3453.01","percent of total billed charges",,
"ESOPHAGOSCOPY DILATE BALLOON 30MM","43214","HCPCS","Both",,,"4455.5","2227.75","Humana","Commercial","",,"78",,"3453.01","1630.71","3453.01","percent of total billed charges",,
"ESOPHAGOSCOPY DILATE BALLOON 30MM","43214","HCPCS","Both",,,"4455.5","2227.75","UHC","Commercial","",,"75",,"3359.45","1630.71","3453.01","percent of total billed charges",,
"ESOPHAGOSCOPY DILATE BALLOON 30MM","43214","HCPCS","Both",,,"4455.5","2227.75","Medicaid",,"",,"37",,"1630.71","1630.71","3453.01","percent of total billed charges",,
"UPPER GI ENDO W/DIRECTED PLACE G-TUBE","43246","HCPCS","Both",,,"1736","868","Alliant","Health Exchange","",,"62",,"1076.32","635.38","1345.4","percent of total billed charges",,
"UPPER GI ENDO W/DIRECTED PLACE G-TUBE","43246","HCPCS","Both",,,"1736","868","Pruitt Healthcare","Medicare Advantage","",,"54",,"937.44","635.38","1345.4","percent of total billed charges",,
"UPPER GI ENDO W/DIRECTED PLACE G-TUBE","43246","HCPCS","Both",,,"1736","868","Medicare",,"",,"54",,"940.91","635.38","1345.4","percent of total billed charges",,
"UPPER GI ENDO W/DIRECTED PLACE G-TUBE","43246","HCPCS","Both",,,"1736","868","Humana","Medicare Advantage","",,"54",,"940.91","635.38","1345.4","percent of total billed charges",,
"UPPER GI ENDO W/DIRECTED PLACE G-TUBE","43246","HCPCS","Both",,,"1736","868","UHC","Medicare Advantage","",,"54",,"940.91","635.38","1345.4","percent of total billed charges",,
"UPPER GI ENDO W/DIRECTED PLACE G-TUBE","43246","HCPCS","Both",,,"1736","868","Clover","Medicare Advantage","",,"54",,"940.91","635.38","1345.4","percent of total billed charges",,
"UPPER GI ENDO W/DIRECTED PLACE G-TUBE","43246","HCPCS","Both",,,"1736","868","Wellcare","Medicare Advantage","",,"54",,"940.91","635.38","1345.4","percent of total billed charges",,
"UPPER GI ENDO W/DIRECTED PLACE G-TUBE","43246","HCPCS","Both",,,"1736","868","Amerigroup","Medicaid Managed Care","",,"37",,"635.38","635.38","1345.4","percent of total billed charges",,
"UPPER GI ENDO W/DIRECTED PLACE G-TUBE","43246","HCPCS","Both",,,"1736","868","Caresource","Medicaid Managed Care","",,"40",,"694.4","635.38","1345.4","percent of total billed charges",,
"UPPER GI ENDO W/DIRECTED PLACE G-TUBE","43246","HCPCS","Both",,,"1736","868","Wellcare","Medicaid Managed Care","",,"40",,"703.08","635.38","1345.4","percent of total billed charges",,
"UPPER GI ENDO W/DIRECTED PLACE G-TUBE","43246","HCPCS","Both",,,"1736","868","Aetna","Commercial","",,"64",,"1107.57","635.38","1345.4","percent of total billed charges",,
"UPPER GI ENDO W/DIRECTED PLACE G-TUBE","43246","HCPCS","Both",,,"1736","868","Blue Cross Blue Shield","Pathways","",,"71",,"1225.62","635.38","1345.4","percent of total billed charges",,
"UPPER GI ENDO W/DIRECTED PLACE G-TUBE","43246","HCPCS","Both",,,"1736","868","Blue Cross Blue Shield","HMO","",,"71",,"1225.62","635.38","1345.4","percent of total billed charges",,
"UPPER GI ENDO W/DIRECTED PLACE G-TUBE","43246","HCPCS","Both",,,"1736","868","Blue Cross Blue Shield","PPO","",,"71",,"1225.62","635.38","1345.4","percent of total billed charges",,
"UPPER GI ENDO W/DIRECTED PLACE G-TUBE","43246","HCPCS","Both",,,"1736","868","Ambetter","Health Exchange","",,"62",,"1076.32","635.38","1345.4","percent of total billed charges",,
"UPPER GI ENDO W/DIRECTED PLACE G-TUBE","43246","HCPCS","Both",,,"1736","868","Caresource","Health Exchange","",,"62",,"1076.32","635.38","1345.4","percent of total billed charges",,
"UPPER GI ENDO W/DIRECTED PLACE G-TUBE","43246","HCPCS","Both",,,"1736","868","Cigna","Commercial","",,"59",,"1017.3","635.38","1345.4","percent of total billed charges",,
"UPPER GI ENDO W/DIRECTED PLACE G-TUBE","43246","HCPCS","Both",,,"1736","868","Humana","Commercial","",,"78",,"1345.4","635.38","1345.4","percent of total billed charges",,
"UPPER GI ENDO W/DIRECTED PLACE G-TUBE","43246","HCPCS","Both",,,"1736","868","UHC","Commercial","",,"75",,"1308.94","635.38","1345.4","percent of total billed charges",,
"UPPER GI ENDO W/DIRECTED PLACE G-TUBE","43246","HCPCS","Both",,,"1736","868","Medicaid",,"",,"37",,"635.38","635.38","1345.4","percent of total billed charges",,
"UPPER GI ENDO REMOVE FB","43247","HCPCS","Both",,,"1946.5","973.25","Alliant","Health Exchange","",,"62",,"1206.83","712.42","1508.54","percent of total billed charges",,
"UPPER GI ENDO REMOVE FB","43247","HCPCS","Both",,,"1946.5","973.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"1051.11","712.42","1508.54","percent of total billed charges",,
"UPPER GI ENDO REMOVE FB","43247","HCPCS","Both",,,"1946.5","973.25","Medicare",,"",,"54",,"1055","712.42","1508.54","percent of total billed charges",,
"UPPER GI ENDO REMOVE FB","43247","HCPCS","Both",,,"1946.5","973.25","Humana","Medicare Advantage","",,"54",,"1055","712.42","1508.54","percent of total billed charges",,
"UPPER GI ENDO REMOVE FB","43247","HCPCS","Both",,,"1946.5","973.25","UHC","Medicare Advantage","",,"54",,"1055","712.42","1508.54","percent of total billed charges",,
"UPPER GI ENDO REMOVE FB","43247","HCPCS","Both",,,"1946.5","973.25","Clover","Medicare Advantage","",,"54",,"1055","712.42","1508.54","percent of total billed charges",,
"UPPER GI ENDO REMOVE FB","43247","HCPCS","Both",,,"1946.5","973.25","Wellcare","Medicare Advantage","",,"54",,"1055","712.42","1508.54","percent of total billed charges",,
"UPPER GI ENDO REMOVE FB","43247","HCPCS","Both",,,"1946.5","973.25","Amerigroup","Medicaid Managed Care","",,"37",,"712.42","712.42","1508.54","percent of total billed charges",,
"UPPER GI ENDO REMOVE FB","43247","HCPCS","Both",,,"1946.5","973.25","Caresource","Medicaid Managed Care","",,"40",,"778.6","712.42","1508.54","percent of total billed charges",,
"UPPER GI ENDO REMOVE FB","43247","HCPCS","Both",,,"1946.5","973.25","Wellcare","Medicaid Managed Care","",,"40",,"788.33","712.42","1508.54","percent of total billed charges",,
"UPPER GI ENDO REMOVE FB","43247","HCPCS","Both",,,"1946.5","973.25","Aetna","Commercial","",,"64",,"1241.87","712.42","1508.54","percent of total billed charges",,
"UPPER GI ENDO REMOVE FB","43247","HCPCS","Both",,,"1946.5","973.25","Blue Cross Blue Shield","Pathways","",,"71",,"1374.23","712.42","1508.54","percent of total billed charges",,
"UPPER GI ENDO REMOVE FB","43247","HCPCS","Both",,,"1946.5","973.25","Blue Cross Blue Shield","HMO","",,"71",,"1374.23","712.42","1508.54","percent of total billed charges",,
"UPPER GI ENDO REMOVE FB","43247","HCPCS","Both",,,"1946.5","973.25","Blue Cross Blue Shield","PPO","",,"71",,"1374.23","712.42","1508.54","percent of total billed charges",,
"UPPER GI ENDO REMOVE FB","43247","HCPCS","Both",,,"1946.5","973.25","Ambetter","Health Exchange","",,"62",,"1206.83","712.42","1508.54","percent of total billed charges",,
"UPPER GI ENDO REMOVE FB","43247","HCPCS","Both",,,"1946.5","973.25","Caresource","Health Exchange","",,"62",,"1206.83","712.42","1508.54","percent of total billed charges",,
"UPPER GI ENDO REMOVE FB","43247","HCPCS","Both",,,"1946.5","973.25","Cigna","Commercial","",,"59",,"1140.65","712.42","1508.54","percent of total billed charges",,
"UPPER GI ENDO REMOVE FB","43247","HCPCS","Both",,,"1946.5","973.25","Humana","Commercial","",,"78",,"1508.54","712.42","1508.54","percent of total billed charges",,
"UPPER GI ENDO REMOVE FB","43247","HCPCS","Both",,,"1946.5","973.25","UHC","Commercial","",,"75",,"1467.66","712.42","1508.54","percent of total billed charges",,
"UPPER GI ENDO REMOVE FB","43247","HCPCS","Both",,,"1946.5","973.25","Medicaid",,"",,"37",,"712.42","712.42","1508.54","percent of total billed charges",,
"EGD GUIDE WIRE INSERTION","43248","HCPCS","Both",,,"2476.5","1238.25","Alliant","Health Exchange","",,"62",,"1535.43","906.4","1919.29","percent of total billed charges",,
"EGD GUIDE WIRE INSERTION","43248","HCPCS","Both",,,"2476.5","1238.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"1337.31","906.4","1919.29","percent of total billed charges",,
"EGD GUIDE WIRE INSERTION","43248","HCPCS","Both",,,"2476.5","1238.25","Medicare",,"",,"54",,"1342.26","906.4","1919.29","percent of total billed charges",,
"EGD GUIDE WIRE INSERTION","43248","HCPCS","Both",,,"2476.5","1238.25","Humana","Medicare Advantage","",,"54",,"1342.26","906.4","1919.29","percent of total billed charges",,
"EGD GUIDE WIRE INSERTION","43248","HCPCS","Both",,,"2476.5","1238.25","UHC","Medicare Advantage","",,"54",,"1342.26","906.4","1919.29","percent of total billed charges",,
"EGD GUIDE WIRE INSERTION","43248","HCPCS","Both",,,"2476.5","1238.25","Clover","Medicare Advantage","",,"54",,"1342.26","906.4","1919.29","percent of total billed charges",,
"EGD GUIDE WIRE INSERTION","43248","HCPCS","Both",,,"2476.5","1238.25","Wellcare","Medicare Advantage","",,"54",,"1342.26","906.4","1919.29","percent of total billed charges",,
"EGD GUIDE WIRE INSERTION","43248","HCPCS","Both",,,"2476.5","1238.25","Amerigroup","Medicaid Managed Care","",,"37",,"906.4","906.4","1919.29","percent of total billed charges",,
"EGD GUIDE WIRE INSERTION","43248","HCPCS","Both",,,"2476.5","1238.25","Caresource","Medicaid Managed Care","",,"40",,"990.6","906.4","1919.29","percent of total billed charges",,
"EGD GUIDE WIRE INSERTION","43248","HCPCS","Both",,,"2476.5","1238.25","Wellcare","Medicaid Managed Care","",,"40",,"1002.98","906.4","1919.29","percent of total billed charges",,
"EGD GUIDE WIRE INSERTION","43248","HCPCS","Both",,,"2476.5","1238.25","Aetna","Commercial","",,"64",,"1580.01","906.4","1919.29","percent of total billed charges",,
"EGD GUIDE WIRE INSERTION","43248","HCPCS","Both",,,"2476.5","1238.25","Blue Cross Blue Shield","Pathways","",,"71",,"1748.41","906.4","1919.29","percent of total billed charges",,
"EGD GUIDE WIRE INSERTION","43248","HCPCS","Both",,,"2476.5","1238.25","Blue Cross Blue Shield","HMO","",,"71",,"1748.41","906.4","1919.29","percent of total billed charges",,
"EGD GUIDE WIRE INSERTION","43248","HCPCS","Both",,,"2476.5","1238.25","Blue Cross Blue Shield","PPO","",,"71",,"1748.41","906.4","1919.29","percent of total billed charges",,
"EGD GUIDE WIRE INSERTION","43248","HCPCS","Both",,,"2476.5","1238.25","Ambetter","Health Exchange","",,"62",,"1535.43","906.4","1919.29","percent of total billed charges",,
"EGD GUIDE WIRE INSERTION","43248","HCPCS","Both",,,"2476.5","1238.25","Caresource","Health Exchange","",,"62",,"1535.43","906.4","1919.29","percent of total billed charges",,
"EGD GUIDE WIRE INSERTION","43248","HCPCS","Both",,,"2476.5","1238.25","Cigna","Commercial","",,"59",,"1451.23","906.4","1919.29","percent of total billed charges",,
"EGD GUIDE WIRE INSERTION","43248","HCPCS","Both",,,"2476.5","1238.25","Humana","Commercial","",,"78",,"1919.29","906.4","1919.29","percent of total billed charges",,
"EGD GUIDE WIRE INSERTION","43248","HCPCS","Both",,,"2476.5","1238.25","UHC","Commercial","",,"75",,"1867.28","906.4","1919.29","percent of total billed charges",,
"EGD GUIDE WIRE INSERTION","43248","HCPCS","Both",,,"2476.5","1238.25","Medicaid",,"",,"37",,"906.4","906.4","1919.29","percent of total billed charges",,
"DILATE ESOPH UNGUIDED SOUND","43450","HCPCS","Both",,,"810","405","Alliant","Health Exchange","",,"62",,"502.2","296.46","627.75","percent of total billed charges",,
"DILATE ESOPH UNGUIDED SOUND","43450","HCPCS","Both",,,"810","405","Pruitt Healthcare","Medicare Advantage","",,"54",,"437.4","296.46","627.75","percent of total billed charges",,
"DILATE ESOPH UNGUIDED SOUND","43450","HCPCS","Both",,,"810","405","Medicare",,"",,"54",,"439.02","296.46","627.75","percent of total billed charges",,
"DILATE ESOPH UNGUIDED SOUND","43450","HCPCS","Both",,,"810","405","Humana","Medicare Advantage","",,"54",,"439.02","296.46","627.75","percent of total billed charges",,
"DILATE ESOPH UNGUIDED SOUND","43450","HCPCS","Both",,,"810","405","UHC","Medicare Advantage","",,"54",,"439.02","296.46","627.75","percent of total billed charges",,
"DILATE ESOPH UNGUIDED SOUND","43450","HCPCS","Both",,,"810","405","Clover","Medicare Advantage","",,"54",,"439.02","296.46","627.75","percent of total billed charges",,
"DILATE ESOPH UNGUIDED SOUND","43450","HCPCS","Both",,,"810","405","Wellcare","Medicare Advantage","",,"54",,"439.02","296.46","627.75","percent of total billed charges",,
"DILATE ESOPH UNGUIDED SOUND","43450","HCPCS","Both",,,"810","405","Amerigroup","Medicaid Managed Care","",,"37",,"296.46","296.46","627.75","percent of total billed charges",,
"DILATE ESOPH UNGUIDED SOUND","43450","HCPCS","Both",,,"810","405","Caresource","Medicaid Managed Care","",,"40",,"324","296.46","627.75","percent of total billed charges",,
"DILATE ESOPH UNGUIDED SOUND","43450","HCPCS","Both",,,"810","405","Wellcare","Medicaid Managed Care","",,"40",,"328.05","296.46","627.75","percent of total billed charges",,
"DILATE ESOPH UNGUIDED SOUND","43450","HCPCS","Both",,,"810","405","Aetna","Commercial","",,"64",,"516.78","296.46","627.75","percent of total billed charges",,
"DILATE ESOPH UNGUIDED SOUND","43450","HCPCS","Both",,,"810","405","Blue Cross Blue Shield","Pathways","",,"71",,"571.86","296.46","627.75","percent of total billed charges",,
"DILATE ESOPH UNGUIDED SOUND","43450","HCPCS","Both",,,"810","405","Blue Cross Blue Shield","HMO","",,"71",,"571.86","296.46","627.75","percent of total billed charges",,
"DILATE ESOPH UNGUIDED SOUND","43450","HCPCS","Both",,,"810","405","Blue Cross Blue Shield","PPO","",,"71",,"571.86","296.46","627.75","percent of total billed charges",,
"DILATE ESOPH UNGUIDED SOUND","43450","HCPCS","Both",,,"810","405","Ambetter","Health Exchange","",,"62",,"502.2","296.46","627.75","percent of total billed charges",,
"DILATE ESOPH UNGUIDED SOUND","43450","HCPCS","Both",,,"810","405","Caresource","Health Exchange","",,"62",,"502.2","296.46","627.75","percent of total billed charges",,
"DILATE ESOPH UNGUIDED SOUND","43450","HCPCS","Both",,,"810","405","Cigna","Commercial","",,"59",,"474.66","296.46","627.75","percent of total billed charges",,
"DILATE ESOPH UNGUIDED SOUND","43450","HCPCS","Both",,,"810","405","Humana","Commercial","",,"78",,"627.75","296.46","627.75","percent of total billed charges",,
"DILATE ESOPH UNGUIDED SOUND","43450","HCPCS","Both",,,"810","405","UHC","Commercial","",,"75",,"610.74","296.46","627.75","percent of total billed charges",,
"DILATE ESOPH UNGUIDED SOUND","43450","HCPCS","Both",,,"810","405","Medicaid",,"",,"37",,"296.46","296.46","627.75","percent of total billed charges",,
"MOBILIZATION SPENIC FLEXURE WITH PART CO","44139","HCPCS","Both",,,"387","193.5","Alliant","Health Exchange","",,"62",,"239.94","141.64","299.92","percent of total billed charges",,
"MOBILIZATION SPENIC FLEXURE WITH PART CO","44139","HCPCS","Both",,,"387","193.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"208.98","141.64","299.92","percent of total billed charges",,
"MOBILIZATION SPENIC FLEXURE WITH PART CO","44139","HCPCS","Both",,,"387","193.5","Medicare",,"",,"54",,"209.75","141.64","299.92","percent of total billed charges",,
"MOBILIZATION SPENIC FLEXURE WITH PART CO","44139","HCPCS","Both",,,"387","193.5","Humana","Medicare Advantage","",,"54",,"209.75","141.64","299.92","percent of total billed charges",,
"MOBILIZATION SPENIC FLEXURE WITH PART CO","44139","HCPCS","Both",,,"387","193.5","UHC","Medicare Advantage","",,"54",,"209.75","141.64","299.92","percent of total billed charges",,
"MOBILIZATION SPENIC FLEXURE WITH PART CO","44139","HCPCS","Both",,,"387","193.5","Clover","Medicare Advantage","",,"54",,"209.75","141.64","299.92","percent of total billed charges",,
"MOBILIZATION SPENIC FLEXURE WITH PART CO","44139","HCPCS","Both",,,"387","193.5","Wellcare","Medicare Advantage","",,"54",,"209.75","141.64","299.92","percent of total billed charges",,
"MOBILIZATION SPENIC FLEXURE WITH PART CO","44139","HCPCS","Both",,,"387","193.5","Amerigroup","Medicaid Managed Care","",,"37",,"141.64","141.64","299.92","percent of total billed charges",,
"MOBILIZATION SPENIC FLEXURE WITH PART CO","44139","HCPCS","Both",,,"387","193.5","Caresource","Medicaid Managed Care","",,"40",,"154.8","141.64","299.92","percent of total billed charges",,
"MOBILIZATION SPENIC FLEXURE WITH PART CO","44139","HCPCS","Both",,,"387","193.5","Wellcare","Medicaid Managed Care","",,"40",,"156.74","141.64","299.92","percent of total billed charges",,
"MOBILIZATION SPENIC FLEXURE WITH PART CO","44139","HCPCS","Both",,,"387","193.5","Aetna","Commercial","",,"64",,"246.91","141.64","299.92","percent of total billed charges",,
"MOBILIZATION SPENIC FLEXURE WITH PART CO","44139","HCPCS","Both",,,"387","193.5","Blue Cross Blue Shield","Pathways","",,"71",,"273.22","141.64","299.92","percent of total billed charges",,
"MOBILIZATION SPENIC FLEXURE WITH PART CO","44139","HCPCS","Both",,,"387","193.5","Blue Cross Blue Shield","HMO","",,"71",,"273.22","141.64","299.92","percent of total billed charges",,
"MOBILIZATION SPENIC FLEXURE WITH PART CO","44139","HCPCS","Both",,,"387","193.5","Blue Cross Blue Shield","PPO","",,"71",,"273.22","141.64","299.92","percent of total billed charges",,
"MOBILIZATION SPENIC FLEXURE WITH PART CO","44139","HCPCS","Both",,,"387","193.5","Ambetter","Health Exchange","",,"62",,"239.94","141.64","299.92","percent of total billed charges",,
"MOBILIZATION SPENIC FLEXURE WITH PART CO","44139","HCPCS","Both",,,"387","193.5","Caresource","Health Exchange","",,"62",,"239.94","141.64","299.92","percent of total billed charges",,
"MOBILIZATION SPENIC FLEXURE WITH PART CO","44139","HCPCS","Both",,,"387","193.5","Cigna","Commercial","",,"59",,"226.78","141.64","299.92","percent of total billed charges",,
"MOBILIZATION SPENIC FLEXURE WITH PART CO","44139","HCPCS","Both",,,"387","193.5","Humana","Commercial","",,"78",,"299.92","141.64","299.92","percent of total billed charges",,
"MOBILIZATION SPENIC FLEXURE WITH PART CO","44139","HCPCS","Both",,,"387","193.5","UHC","Commercial","",,"75",,"291.8","141.64","299.92","percent of total billed charges",,
"MOBILIZATION SPENIC FLEXURE WITH PART CO","44139","HCPCS","Both",,,"387","193.5","Medicaid",,"",,"37",,"141.64","141.64","299.92","percent of total billed charges",,
"COLECTOMY PARTIAL W ANASTOMOSIS (IP ONLY","44140","HCPCS","Both",,,"4224","2112","Alliant","Health Exchange","",,"62",,"2618.88","1545.98","3273.6","percent of total billed charges",,
"COLECTOMY PARTIAL W ANASTOMOSIS (IP ONLY","44140","HCPCS","Both",,,"4224","2112","Pruitt Healthcare","Medicare Advantage","",,"54",,"2280.96","1545.98","3273.6","percent of total billed charges",,
"COLECTOMY PARTIAL W ANASTOMOSIS (IP ONLY","44140","HCPCS","Both",,,"4224","2112","Medicare",,"",,"54",,"2289.41","1545.98","3273.6","percent of total billed charges",,
"COLECTOMY PARTIAL W ANASTOMOSIS (IP ONLY","44140","HCPCS","Both",,,"4224","2112","Humana","Medicare Advantage","",,"54",,"2289.41","1545.98","3273.6","percent of total billed charges",,
"COLECTOMY PARTIAL W ANASTOMOSIS (IP ONLY","44140","HCPCS","Both",,,"4224","2112","UHC","Medicare Advantage","",,"54",,"2289.41","1545.98","3273.6","percent of total billed charges",,
"COLECTOMY PARTIAL W ANASTOMOSIS (IP ONLY","44140","HCPCS","Both",,,"4224","2112","Clover","Medicare Advantage","",,"54",,"2289.41","1545.98","3273.6","percent of total billed charges",,
"COLECTOMY PARTIAL W ANASTOMOSIS (IP ONLY","44140","HCPCS","Both",,,"4224","2112","Wellcare","Medicare Advantage","",,"54",,"2289.41","1545.98","3273.6","percent of total billed charges",,
"COLECTOMY PARTIAL W ANASTOMOSIS (IP ONLY","44140","HCPCS","Both",,,"4224","2112","Amerigroup","Medicaid Managed Care","",,"37",,"1545.98","1545.98","3273.6","percent of total billed charges",,
"COLECTOMY PARTIAL W ANASTOMOSIS (IP ONLY","44140","HCPCS","Both",,,"4224","2112","Caresource","Medicaid Managed Care","",,"40",,"1689.6","1545.98","3273.6","percent of total billed charges",,
"COLECTOMY PARTIAL W ANASTOMOSIS (IP ONLY","44140","HCPCS","Both",,,"4224","2112","Wellcare","Medicaid Managed Care","",,"40",,"1710.72","1545.98","3273.6","percent of total billed charges",,
"COLECTOMY PARTIAL W ANASTOMOSIS (IP ONLY","44140","HCPCS","Both",,,"4224","2112","Aetna","Commercial","",,"64",,"2694.91","1545.98","3273.6","percent of total billed charges",,
"COLECTOMY PARTIAL W ANASTOMOSIS (IP ONLY","44140","HCPCS","Both",,,"4224","2112","Blue Cross Blue Shield","Pathways","",,"71",,"2982.14","1545.98","3273.6","percent of total billed charges",,
"COLECTOMY PARTIAL W ANASTOMOSIS (IP ONLY","44140","HCPCS","Both",,,"4224","2112","Blue Cross Blue Shield","HMO","",,"71",,"2982.14","1545.98","3273.6","percent of total billed charges",,
"COLECTOMY PARTIAL W ANASTOMOSIS (IP ONLY","44140","HCPCS","Both",,,"4224","2112","Blue Cross Blue Shield","PPO","",,"71",,"2982.14","1545.98","3273.6","percent of total billed charges",,
"COLECTOMY PARTIAL W ANASTOMOSIS (IP ONLY","44140","HCPCS","Both",,,"4224","2112","Ambetter","Health Exchange","",,"62",,"2618.88","1545.98","3273.6","percent of total billed charges",,
"COLECTOMY PARTIAL W ANASTOMOSIS (IP ONLY","44140","HCPCS","Both",,,"4224","2112","Caresource","Health Exchange","",,"62",,"2618.88","1545.98","3273.6","percent of total billed charges",,
"COLECTOMY PARTIAL W ANASTOMOSIS (IP ONLY","44140","HCPCS","Both",,,"4224","2112","Cigna","Commercial","",,"59",,"2475.26","1545.98","3273.6","percent of total billed charges",,
"COLECTOMY PARTIAL W ANASTOMOSIS (IP ONLY","44140","HCPCS","Both",,,"4224","2112","Humana","Commercial","",,"78",,"3273.6","1545.98","3273.6","percent of total billed charges",,
"COLECTOMY PARTIAL W ANASTOMOSIS (IP ONLY","44140","HCPCS","Both",,,"4224","2112","UHC","Commercial","",,"75",,"3184.9","1545.98","3273.6","percent of total billed charges",,
"COLECTOMY PARTIAL W ANASTOMOSIS (IP ONLY","44140","HCPCS","Both",,,"4224","2112","Medicaid",,"",,"37",,"1545.98","1545.98","3273.6","percent of total billed charges",,
"COLONOSCOPY THROUGH STOMA;W/BIOPSY","44389","HCPCS","Both",,,"2158.5","1079.25","Alliant","Health Exchange","",,"62",,"1338.27","790.01","1672.84","percent of total billed charges",,
"COLONOSCOPY THROUGH STOMA;W/BIOPSY","44389","HCPCS","Both",,,"2158.5","1079.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"1165.59","790.01","1672.84","percent of total billed charges",,
"COLONOSCOPY THROUGH STOMA;W/BIOPSY","44389","HCPCS","Both",,,"2158.5","1079.25","Medicare",,"",,"54",,"1169.91","790.01","1672.84","percent of total billed charges",,
"COLONOSCOPY THROUGH STOMA;W/BIOPSY","44389","HCPCS","Both",,,"2158.5","1079.25","Humana","Medicare Advantage","",,"54",,"1169.91","790.01","1672.84","percent of total billed charges",,
"COLONOSCOPY THROUGH STOMA;W/BIOPSY","44389","HCPCS","Both",,,"2158.5","1079.25","UHC","Medicare Advantage","",,"54",,"1169.91","790.01","1672.84","percent of total billed charges",,
"COLONOSCOPY THROUGH STOMA;W/BIOPSY","44389","HCPCS","Both",,,"2158.5","1079.25","Clover","Medicare Advantage","",,"54",,"1169.91","790.01","1672.84","percent of total billed charges",,
"COLONOSCOPY THROUGH STOMA;W/BIOPSY","44389","HCPCS","Both",,,"2158.5","1079.25","Wellcare","Medicare Advantage","",,"54",,"1169.91","790.01","1672.84","percent of total billed charges",,
"COLONOSCOPY THROUGH STOMA;W/BIOPSY","44389","HCPCS","Both",,,"2158.5","1079.25","Amerigroup","Medicaid Managed Care","",,"37",,"790.01","790.01","1672.84","percent of total billed charges",,
"COLONOSCOPY THROUGH STOMA;W/BIOPSY","44389","HCPCS","Both",,,"2158.5","1079.25","Caresource","Medicaid Managed Care","",,"40",,"863.4","790.01","1672.84","percent of total billed charges",,
"COLONOSCOPY THROUGH STOMA;W/BIOPSY","44389","HCPCS","Both",,,"2158.5","1079.25","Wellcare","Medicaid Managed Care","",,"40",,"874.19","790.01","1672.84","percent of total billed charges",,
"COLONOSCOPY THROUGH STOMA;W/BIOPSY","44389","HCPCS","Both",,,"2158.5","1079.25","Aetna","Commercial","",,"64",,"1377.12","790.01","1672.84","percent of total billed charges",,
"COLONOSCOPY THROUGH STOMA;W/BIOPSY","44389","HCPCS","Both",,,"2158.5","1079.25","Blue Cross Blue Shield","Pathways","",,"71",,"1523.9","790.01","1672.84","percent of total billed charges",,
"COLONOSCOPY THROUGH STOMA;W/BIOPSY","44389","HCPCS","Both",,,"2158.5","1079.25","Blue Cross Blue Shield","HMO","",,"71",,"1523.9","790.01","1672.84","percent of total billed charges",,
"COLONOSCOPY THROUGH STOMA;W/BIOPSY","44389","HCPCS","Both",,,"2158.5","1079.25","Blue Cross Blue Shield","PPO","",,"71",,"1523.9","790.01","1672.84","percent of total billed charges",,
"COLONOSCOPY THROUGH STOMA;W/BIOPSY","44389","HCPCS","Both",,,"2158.5","1079.25","Ambetter","Health Exchange","",,"62",,"1338.27","790.01","1672.84","percent of total billed charges",,
"COLONOSCOPY THROUGH STOMA;W/BIOPSY","44389","HCPCS","Both",,,"2158.5","1079.25","Caresource","Health Exchange","",,"62",,"1338.27","790.01","1672.84","percent of total billed charges",,
"COLONOSCOPY THROUGH STOMA;W/BIOPSY","44389","HCPCS","Both",,,"2158.5","1079.25","Cigna","Commercial","",,"59",,"1264.88","790.01","1672.84","percent of total billed charges",,
"COLONOSCOPY THROUGH STOMA;W/BIOPSY","44389","HCPCS","Both",,,"2158.5","1079.25","Humana","Commercial","",,"78",,"1672.84","790.01","1672.84","percent of total billed charges",,
"COLONOSCOPY THROUGH STOMA;W/BIOPSY","44389","HCPCS","Both",,,"2158.5","1079.25","UHC","Commercial","",,"75",,"1627.51","790.01","1672.84","percent of total billed charges",,
"COLONOSCOPY THROUGH STOMA;W/BIOPSY","44389","HCPCS","Both",,,"2158.5","1079.25","Medicaid",,"",,"37",,"790.01","790.01","1672.84","percent of total billed charges",,
"COLONOSCOPY w/DIRECT SUBMUC INJECT","44404","HCPCS","Both",,,"1479.5","739.75","Alliant","Health Exchange","",,"62",,"917.29","541.5","1146.61","percent of total billed charges",,
"COLONOSCOPY w/DIRECT SUBMUC INJECT","44404","HCPCS","Both",,,"1479.5","739.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"798.93","541.5","1146.61","percent of total billed charges",,
"COLONOSCOPY w/DIRECT SUBMUC INJECT","44404","HCPCS","Both",,,"1479.5","739.75","Medicare",,"",,"54",,"801.89","541.5","1146.61","percent of total billed charges",,
"COLONOSCOPY w/DIRECT SUBMUC INJECT","44404","HCPCS","Both",,,"1479.5","739.75","Humana","Medicare Advantage","",,"54",,"801.89","541.5","1146.61","percent of total billed charges",,
"COLONOSCOPY w/DIRECT SUBMUC INJECT","44404","HCPCS","Both",,,"1479.5","739.75","UHC","Medicare Advantage","",,"54",,"801.89","541.5","1146.61","percent of total billed charges",,
"COLONOSCOPY w/DIRECT SUBMUC INJECT","44404","HCPCS","Both",,,"1479.5","739.75","Clover","Medicare Advantage","",,"54",,"801.89","541.5","1146.61","percent of total billed charges",,
"COLONOSCOPY w/DIRECT SUBMUC INJECT","44404","HCPCS","Both",,,"1479.5","739.75","Wellcare","Medicare Advantage","",,"54",,"801.89","541.5","1146.61","percent of total billed charges",,
"COLONOSCOPY w/DIRECT SUBMUC INJECT","44404","HCPCS","Both",,,"1479.5","739.75","Amerigroup","Medicaid Managed Care","",,"37",,"541.5","541.5","1146.61","percent of total billed charges",,
"COLONOSCOPY w/DIRECT SUBMUC INJECT","44404","HCPCS","Both",,,"1479.5","739.75","Caresource","Medicaid Managed Care","",,"40",,"591.8","541.5","1146.61","percent of total billed charges",,
"COLONOSCOPY w/DIRECT SUBMUC INJECT","44404","HCPCS","Both",,,"1479.5","739.75","Wellcare","Medicaid Managed Care","",,"40",,"599.2","541.5","1146.61","percent of total billed charges",,
"COLONOSCOPY w/DIRECT SUBMUC INJECT","44404","HCPCS","Both",,,"1479.5","739.75","Aetna","Commercial","",,"64",,"943.92","541.5","1146.61","percent of total billed charges",,
"COLONOSCOPY w/DIRECT SUBMUC INJECT","44404","HCPCS","Both",,,"1479.5","739.75","Blue Cross Blue Shield","Pathways","",,"71",,"1044.53","541.5","1146.61","percent of total billed charges",,
"COLONOSCOPY w/DIRECT SUBMUC INJECT","44404","HCPCS","Both",,,"1479.5","739.75","Blue Cross Blue Shield","HMO","",,"71",,"1044.53","541.5","1146.61","percent of total billed charges",,
"COLONOSCOPY w/DIRECT SUBMUC INJECT","44404","HCPCS","Both",,,"1479.5","739.75","Blue Cross Blue Shield","PPO","",,"71",,"1044.53","541.5","1146.61","percent of total billed charges",,
"COLONOSCOPY w/DIRECT SUBMUC INJECT","44404","HCPCS","Both",,,"1479.5","739.75","Ambetter","Health Exchange","",,"62",,"917.29","541.5","1146.61","percent of total billed charges",,
"COLONOSCOPY w/DIRECT SUBMUC INJECT","44404","HCPCS","Both",,,"1479.5","739.75","Caresource","Health Exchange","",,"62",,"917.29","541.5","1146.61","percent of total billed charges",,
"COLONOSCOPY w/DIRECT SUBMUC INJECT","44404","HCPCS","Both",,,"1479.5","739.75","Cigna","Commercial","",,"59",,"866.99","541.5","1146.61","percent of total billed charges",,
"COLONOSCOPY w/DIRECT SUBMUC INJECT","44404","HCPCS","Both",,,"1479.5","739.75","Humana","Commercial","",,"78",,"1146.61","541.5","1146.61","percent of total billed charges",,
"COLONOSCOPY w/DIRECT SUBMUC INJECT","44404","HCPCS","Both",,,"1479.5","739.75","UHC","Commercial","",,"75",,"1115.54","541.5","1146.61","percent of total billed charges",,
"COLONOSCOPY w/DIRECT SUBMUC INJECT","44404","HCPCS","Both",,,"1479.5","739.75","Medicaid",,"",,"37",,"541.5","541.5","1146.61","percent of total billed charges",,
"PROCTOSIGMOIDOSCOPY,RIGID;DIAGNOSTIC","45300","HCPCS","Both",,,"1313","656.5","Alliant","Health Exchange","",,"62",,"814.06","480.56","1017.58","percent of total billed charges",,
"PROCTOSIGMOIDOSCOPY,RIGID;DIAGNOSTIC","45300","HCPCS","Both",,,"1313","656.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"709.02","480.56","1017.58","percent of total billed charges",,
"PROCTOSIGMOIDOSCOPY,RIGID;DIAGNOSTIC","45300","HCPCS","Both",,,"1313","656.5","Medicare",,"",,"54",,"711.65","480.56","1017.58","percent of total billed charges",,
"PROCTOSIGMOIDOSCOPY,RIGID;DIAGNOSTIC","45300","HCPCS","Both",,,"1313","656.5","Humana","Medicare Advantage","",,"54",,"711.65","480.56","1017.58","percent of total billed charges",,
"PROCTOSIGMOIDOSCOPY,RIGID;DIAGNOSTIC","45300","HCPCS","Both",,,"1313","656.5","UHC","Medicare Advantage","",,"54",,"711.65","480.56","1017.58","percent of total billed charges",,
"PROCTOSIGMOIDOSCOPY,RIGID;DIAGNOSTIC","45300","HCPCS","Both",,,"1313","656.5","Clover","Medicare Advantage","",,"54",,"711.65","480.56","1017.58","percent of total billed charges",,
"PROCTOSIGMOIDOSCOPY,RIGID;DIAGNOSTIC","45300","HCPCS","Both",,,"1313","656.5","Wellcare","Medicare Advantage","",,"54",,"711.65","480.56","1017.58","percent of total billed charges",,
"PROCTOSIGMOIDOSCOPY,RIGID;DIAGNOSTIC","45300","HCPCS","Both",,,"1313","656.5","Amerigroup","Medicaid Managed Care","",,"37",,"480.56","480.56","1017.58","percent of total billed charges",,
"PROCTOSIGMOIDOSCOPY,RIGID;DIAGNOSTIC","45300","HCPCS","Both",,,"1313","656.5","Caresource","Medicaid Managed Care","",,"40",,"525.2","480.56","1017.58","percent of total billed charges",,
"PROCTOSIGMOIDOSCOPY,RIGID;DIAGNOSTIC","45300","HCPCS","Both",,,"1313","656.5","Wellcare","Medicaid Managed Care","",,"40",,"531.76","480.56","1017.58","percent of total billed charges",,
"PROCTOSIGMOIDOSCOPY,RIGID;DIAGNOSTIC","45300","HCPCS","Both",,,"1313","656.5","Aetna","Commercial","",,"64",,"837.69","480.56","1017.58","percent of total billed charges",,
"PROCTOSIGMOIDOSCOPY,RIGID;DIAGNOSTIC","45300","HCPCS","Both",,,"1313","656.5","Blue Cross Blue Shield","Pathways","",,"71",,"926.98","480.56","1017.58","percent of total billed charges",,
"PROCTOSIGMOIDOSCOPY,RIGID;DIAGNOSTIC","45300","HCPCS","Both",,,"1313","656.5","Blue Cross Blue Shield","HMO","",,"71",,"926.98","480.56","1017.58","percent of total billed charges",,
"PROCTOSIGMOIDOSCOPY,RIGID;DIAGNOSTIC","45300","HCPCS","Both",,,"1313","656.5","Blue Cross Blue Shield","PPO","",,"71",,"926.98","480.56","1017.58","percent of total billed charges",,
"PROCTOSIGMOIDOSCOPY,RIGID;DIAGNOSTIC","45300","HCPCS","Both",,,"1313","656.5","Ambetter","Health Exchange","",,"62",,"814.06","480.56","1017.58","percent of total billed charges",,
"PROCTOSIGMOIDOSCOPY,RIGID;DIAGNOSTIC","45300","HCPCS","Both",,,"1313","656.5","Caresource","Health Exchange","",,"62",,"814.06","480.56","1017.58","percent of total billed charges",,
"PROCTOSIGMOIDOSCOPY,RIGID;DIAGNOSTIC","45300","HCPCS","Both",,,"1313","656.5","Cigna","Commercial","",,"59",,"769.42","480.56","1017.58","percent of total billed charges",,
"PROCTOSIGMOIDOSCOPY,RIGID;DIAGNOSTIC","45300","HCPCS","Both",,,"1313","656.5","Humana","Commercial","",,"78",,"1017.58","480.56","1017.58","percent of total billed charges",,
"PROCTOSIGMOIDOSCOPY,RIGID;DIAGNOSTIC","45300","HCPCS","Both",,,"1313","656.5","UHC","Commercial","",,"75",,"990","480.56","1017.58","percent of total billed charges",,
"PROCTOSIGMOIDOSCOPY,RIGID;DIAGNOSTIC","45300","HCPCS","Both",,,"1313","656.5","Medicaid",,"",,"37",,"480.56","480.56","1017.58","percent of total billed charges",,
"SIGMOIDSCOPY; FLEXIBLE; DIAG, W/C BLEED","45334","HCPCS","Both",,,"353","176.5","Alliant","Health Exchange","",,"62",,"218.86","129.2","273.58","percent of total billed charges",,
"SIGMOIDSCOPY; FLEXIBLE; DIAG, W/C BLEED","45334","HCPCS","Both",,,"353","176.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"190.62","129.2","273.58","percent of total billed charges",,
"SIGMOIDSCOPY; FLEXIBLE; DIAG, W/C BLEED","45334","HCPCS","Both",,,"353","176.5","Medicare",,"",,"54",,"191.33","129.2","273.58","percent of total billed charges",,
"SIGMOIDSCOPY; FLEXIBLE; DIAG, W/C BLEED","45334","HCPCS","Both",,,"353","176.5","Humana","Medicare Advantage","",,"54",,"191.33","129.2","273.58","percent of total billed charges",,
"SIGMOIDSCOPY; FLEXIBLE; DIAG, W/C BLEED","45334","HCPCS","Both",,,"353","176.5","UHC","Medicare Advantage","",,"54",,"191.33","129.2","273.58","percent of total billed charges",,
"SIGMOIDSCOPY; FLEXIBLE; DIAG, W/C BLEED","45334","HCPCS","Both",,,"353","176.5","Clover","Medicare Advantage","",,"54",,"191.33","129.2","273.58","percent of total billed charges",,
"SIGMOIDSCOPY; FLEXIBLE; DIAG, W/C BLEED","45334","HCPCS","Both",,,"353","176.5","Wellcare","Medicare Advantage","",,"54",,"191.33","129.2","273.58","percent of total billed charges",,
"SIGMOIDSCOPY; FLEXIBLE; DIAG, W/C BLEED","45334","HCPCS","Both",,,"353","176.5","Amerigroup","Medicaid Managed Care","",,"37",,"129.2","129.2","273.58","percent of total billed charges",,
"SIGMOIDSCOPY; FLEXIBLE; DIAG, W/C BLEED","45334","HCPCS","Both",,,"353","176.5","Caresource","Medicaid Managed Care","",,"40",,"141.2","129.2","273.58","percent of total billed charges",,
"SIGMOIDSCOPY; FLEXIBLE; DIAG, W/C BLEED","45334","HCPCS","Both",,,"353","176.5","Wellcare","Medicaid Managed Care","",,"40",,"142.96","129.2","273.58","percent of total billed charges",,
"SIGMOIDSCOPY; FLEXIBLE; DIAG, W/C BLEED","45334","HCPCS","Both",,,"353","176.5","Aetna","Commercial","",,"64",,"225.21","129.2","273.58","percent of total billed charges",,
"SIGMOIDSCOPY; FLEXIBLE; DIAG, W/C BLEED","45334","HCPCS","Both",,,"353","176.5","Blue Cross Blue Shield","Pathways","",,"71",,"249.22","129.2","273.58","percent of total billed charges",,
"SIGMOIDSCOPY; FLEXIBLE; DIAG, W/C BLEED","45334","HCPCS","Both",,,"353","176.5","Blue Cross Blue Shield","HMO","",,"71",,"249.22","129.2","273.58","percent of total billed charges",,
"SIGMOIDSCOPY; FLEXIBLE; DIAG, W/C BLEED","45334","HCPCS","Both",,,"353","176.5","Blue Cross Blue Shield","PPO","",,"71",,"249.22","129.2","273.58","percent of total billed charges",,
"SIGMOIDSCOPY; FLEXIBLE; DIAG, W/C BLEED","45334","HCPCS","Both",,,"353","176.5","Ambetter","Health Exchange","",,"62",,"218.86","129.2","273.58","percent of total billed charges",,
"SIGMOIDSCOPY; FLEXIBLE; DIAG, W/C BLEED","45334","HCPCS","Both",,,"353","176.5","Caresource","Health Exchange","",,"62",,"218.86","129.2","273.58","percent of total billed charges",,
"SIGMOIDSCOPY; FLEXIBLE; DIAG, W/C BLEED","45334","HCPCS","Both",,,"353","176.5","Cigna","Commercial","",,"59",,"206.86","129.2","273.58","percent of total billed charges",,
"SIGMOIDSCOPY; FLEXIBLE; DIAG, W/C BLEED","45334","HCPCS","Both",,,"353","176.5","Humana","Commercial","",,"78",,"273.58","129.2","273.58","percent of total billed charges",,
"SIGMOIDSCOPY; FLEXIBLE; DIAG, W/C BLEED","45334","HCPCS","Both",,,"353","176.5","UHC","Commercial","",,"75",,"266.16","129.2","273.58","percent of total billed charges",,
"SIGMOIDSCOPY; FLEXIBLE; DIAG, W/C BLEED","45334","HCPCS","Both",,,"353","176.5","Medicaid",,"",,"37",,"129.2","129.2","273.58","percent of total billed charges",,
"SIGMOIDOSCOPY, FLEXIBLE;W/REMOVAL","45338","HCPCS","Both",,,"2234","1117","Alliant","Health Exchange","",,"62",,"1385.08","107.24","1731.35","percent of total billed charges",,
"SIGMOIDOSCOPY, FLEXIBLE;W/REMOVAL","45338","HCPCS","Both",,,"2234","1117","Pruitt Healthcare","Medicare Advantage","",,"54",,"1206.36","107.24","1731.35","percent of total billed charges",,
"SIGMOIDOSCOPY, FLEXIBLE;W/REMOVAL","45338","HCPCS","Both",,,"2234","1117","Medicare",,"",,"54",,"1210.83","107.24","1731.35","percent of total billed charges",,
"SIGMOIDOSCOPY, FLEXIBLE;W/REMOVAL","45338","HCPCS","Both",,,"2234","1117","Humana","Medicare Advantage","",,"54",,"1210.83","107.24","1731.35","percent of total billed charges",,
"SIGMOIDOSCOPY, FLEXIBLE;W/REMOVAL","45338","HCPCS","Both",,,"2234","1117","UHC","Medicare Advantage","",,"54",,"1210.83","107.24","1731.35","percent of total billed charges",,
"SIGMOIDOSCOPY, FLEXIBLE;W/REMOVAL","45338","HCPCS","Both",,,"2234","1117","Clover","Medicare Advantage","",,"54",,"1210.83","107.24","1731.35","percent of total billed charges",,
"SIGMOIDOSCOPY, FLEXIBLE;W/REMOVAL","45338","HCPCS","Both",,,"2234","1117","Wellcare","Medicare Advantage","",,"54",,"1210.83","107.24","1731.35","percent of total billed charges",,
"SIGMOIDOSCOPY, FLEXIBLE;W/REMOVAL","45338","HCPCS","Both",,,"2234","1117","Amerigroup","Medicaid Managed Care","",,"37",,"817.64","107.24","1731.35","percent of total billed charges",,
"SIGMOIDOSCOPY, FLEXIBLE;W/REMOVAL","45338","HCPCS","Both",,,"2234","1117","Caresource","Medicaid Managed Care","",,"40",,"893.6","107.24","1731.35","percent of total billed charges",,
"SIGMOIDOSCOPY, FLEXIBLE;W/REMOVAL","45338","HCPCS","Both",,,"2234","1117","Wellcare","Medicaid Managed Care","",,"40",,"904.77","107.24","1731.35","percent of total billed charges",,
"SIGMOIDOSCOPY, FLEXIBLE;W/REMOVAL","45338","HCPCS","Both",,,"2234","1117","Aetna","Commercial","",,"64",,"1425.29","107.24","1731.35","percent of total billed charges",,
"SIGMOIDOSCOPY, FLEXIBLE;W/REMOVAL","45338","HCPCS","Both",,,"2234","1117","Blue Cross Blue Shield","Pathways","",,"71",,"1577.2","107.24","1731.35","percent of total billed charges",,
"SIGMOIDOSCOPY, FLEXIBLE;W/REMOVAL","45338","HCPCS","Both",,,"2234","1117","Blue Cross Blue Shield","HMO","",,"71",,"1577.2","107.24","1731.35","percent of total billed charges",,
"SIGMOIDOSCOPY, FLEXIBLE;W/REMOVAL","45338","HCPCS","Both",,,"2234","1117","Blue Cross Blue Shield","PPO","",,"71",,"1577.2","107.24","1731.35","percent of total billed charges",,
"SIGMOIDOSCOPY, FLEXIBLE;W/REMOVAL","45338","HCPCS","Both",,,"2234","1117","Ambetter","Health Exchange","",,"62",,"1385.08","107.24","1731.35","percent of total billed charges",,
"SIGMOIDOSCOPY, FLEXIBLE;W/REMOVAL","45338","HCPCS","Both",,,"2234","1117","Caresource","Health Exchange","",,"62",,"1385.08","107.24","1731.35","percent of total billed charges",,
"SIGMOIDOSCOPY, FLEXIBLE;W/REMOVAL","45338","HCPCS","Both",,,"2234","1117","Cigna","Commercial","",,"59",,"1309.12","107.24","1731.35","percent of total billed charges",,
"SIGMOIDOSCOPY, FLEXIBLE;W/REMOVAL","45338","HCPCS","Both",,,"2234","1117","Humana","Commercial","",,"78",,"1731.35","107.24","1731.35","percent of total billed charges",,
"SIGMOIDOSCOPY, FLEXIBLE;W/REMOVAL","45338","HCPCS","Both",,,"2234","1117","UHC","Commercial","",,"75",,"1684.44","107.24","1731.35","percent of total billed charges",,
"SIGMOIDOSCOPY, FLEXIBLE;W/REMOVAL","45338","HCPCS","Both",,,"2234","1117","Medicaid",,"",,"37",,"817.64","107.24","1731.35","percent of total billed charges",,
"SIGMOIDOSCOPY, FLEXIBLE","45330","HCPCS","Both",,,"2390","1195","Alliant","Health Exchange","",,"62",,"1481.8","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY, FLEXIBLE","45330","HCPCS","Both",,,"2390","1195","Pruitt Healthcare","Medicare Advantage","",,"54",,"1290.6","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY, FLEXIBLE","45330","HCPCS","Both",,,"2390","1195","Medicare",,"",,"54",,"1295.38","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY, FLEXIBLE","45330","HCPCS","Both",,,"2390","1195","Humana","Medicare Advantage","",,"54",,"1295.38","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY, FLEXIBLE","45330","HCPCS","Both",,,"2390","1195","UHC","Medicare Advantage","",,"54",,"1295.38","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY, FLEXIBLE","45330","HCPCS","Both",,,"2390","1195","Clover","Medicare Advantage","",,"54",,"1295.38","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY, FLEXIBLE","45330","HCPCS","Both",,,"2390","1195","Wellcare","Medicare Advantage","",,"54",,"1295.38","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY, FLEXIBLE","45330","HCPCS","Both",,,"2390","1195","Amerigroup","Medicaid Managed Care","",,"37",,"874.74","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY, FLEXIBLE","45330","HCPCS","Both",,,"2390","1195","Caresource","Medicaid Managed Care","",,"40",,"956","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY, FLEXIBLE","45330","HCPCS","Both",,,"2390","1195","Wellcare","Medicaid Managed Care","",,"40",,"967.95","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY, FLEXIBLE","45330","HCPCS","Both",,,"2390","1195","Aetna","Commercial","",,"64",,"1524.82","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY, FLEXIBLE","45330","HCPCS","Both",,,"2390","1195","Blue Cross Blue Shield","Pathways","",,"71",,"1687.34","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY, FLEXIBLE","45330","HCPCS","Both",,,"2390","1195","Blue Cross Blue Shield","HMO","",,"71",,"1687.34","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY, FLEXIBLE","45330","HCPCS","Both",,,"2390","1195","Blue Cross Blue Shield","PPO","",,"71",,"1687.34","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY, FLEXIBLE","45330","HCPCS","Both",,,"2390","1195","Ambetter","Health Exchange","",,"62",,"1481.8","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY, FLEXIBLE","45330","HCPCS","Both",,,"2390","1195","Caresource","Health Exchange","",,"62",,"1481.8","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY, FLEXIBLE","45330","HCPCS","Both",,,"2390","1195","Cigna","Commercial","",,"59",,"1400.54","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY, FLEXIBLE","45330","HCPCS","Both",,,"2390","1195","Humana","Commercial","",,"78",,"1852.25","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY, FLEXIBLE","45330","HCPCS","Both",,,"2390","1195","UHC","Commercial","",,"75",,"1802.06","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY, FLEXIBLE","45330","HCPCS","Both",,,"2390","1195","Medicaid",,"",,"37",,"874.74","874.74","1852.25","percent of total billed charges",,
"COLONOSCOPY w/DIRECT SUBMUC INJECT","45381","HCPCS","Both",,,"1479.5","739.75","Alliant","Health Exchange","",,"62",,"917.29","541.5","1146.61","percent of total billed charges",,
"COLONOSCOPY w/DIRECT SUBMUC INJECT","45381","HCPCS","Both",,,"1479.5","739.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"798.93","541.5","1146.61","percent of total billed charges",,
"COLONOSCOPY w/DIRECT SUBMUC INJECT","45381","HCPCS","Both",,,"1479.5","739.75","Medicare",,"",,"54",,"801.89","541.5","1146.61","percent of total billed charges",,
"COLONOSCOPY w/DIRECT SUBMUC INJECT","45381","HCPCS","Both",,,"1479.5","739.75","Humana","Medicare Advantage","",,"54",,"801.89","541.5","1146.61","percent of total billed charges",,
"COLONOSCOPY w/DIRECT SUBMUC INJECT","45381","HCPCS","Both",,,"1479.5","739.75","UHC","Medicare Advantage","",,"54",,"801.89","541.5","1146.61","percent of total billed charges",,
"COLONOSCOPY w/DIRECT SUBMUC INJECT","45381","HCPCS","Both",,,"1479.5","739.75","Clover","Medicare Advantage","",,"54",,"801.89","541.5","1146.61","percent of total billed charges",,
"COLONOSCOPY w/DIRECT SUBMUC INJECT","45381","HCPCS","Both",,,"1479.5","739.75","Wellcare","Medicare Advantage","",,"54",,"801.89","541.5","1146.61","percent of total billed charges",,
"COLONOSCOPY w/DIRECT SUBMUC INJECT","45381","HCPCS","Both",,,"1479.5","739.75","Amerigroup","Medicaid Managed Care","",,"37",,"541.5","541.5","1146.61","percent of total billed charges",,
"COLONOSCOPY w/DIRECT SUBMUC INJECT","45381","HCPCS","Both",,,"1479.5","739.75","Caresource","Medicaid Managed Care","",,"40",,"591.8","541.5","1146.61","percent of total billed charges",,
"COLONOSCOPY w/DIRECT SUBMUC INJECT","45381","HCPCS","Both",,,"1479.5","739.75","Wellcare","Medicaid Managed Care","",,"40",,"599.2","541.5","1146.61","percent of total billed charges",,
"COLONOSCOPY w/DIRECT SUBMUC INJECT","45381","HCPCS","Both",,,"1479.5","739.75","Aetna","Commercial","",,"64",,"943.92","541.5","1146.61","percent of total billed charges",,
"COLONOSCOPY w/DIRECT SUBMUC INJECT","45381","HCPCS","Both",,,"1479.5","739.75","Blue Cross Blue Shield","Pathways","",,"71",,"1044.53","541.5","1146.61","percent of total billed charges",,
"COLONOSCOPY w/DIRECT SUBMUC INJECT","45381","HCPCS","Both",,,"1479.5","739.75","Blue Cross Blue Shield","HMO","",,"71",,"1044.53","541.5","1146.61","percent of total billed charges",,
"COLONOSCOPY w/DIRECT SUBMUC INJECT","45381","HCPCS","Both",,,"1479.5","739.75","Blue Cross Blue Shield","PPO","",,"71",,"1044.53","541.5","1146.61","percent of total billed charges",,
"COLONOSCOPY w/DIRECT SUBMUC INJECT","45381","HCPCS","Both",,,"1479.5","739.75","Ambetter","Health Exchange","",,"62",,"917.29","541.5","1146.61","percent of total billed charges",,
"COLONOSCOPY w/DIRECT SUBMUC INJECT","45381","HCPCS","Both",,,"1479.5","739.75","Caresource","Health Exchange","",,"62",,"917.29","541.5","1146.61","percent of total billed charges",,
"COLONOSCOPY w/DIRECT SUBMUC INJECT","45381","HCPCS","Both",,,"1479.5","739.75","Cigna","Commercial","",,"59",,"866.99","541.5","1146.61","percent of total billed charges",,
"COLONOSCOPY w/DIRECT SUBMUC INJECT","45381","HCPCS","Both",,,"1479.5","739.75","Humana","Commercial","",,"78",,"1146.61","541.5","1146.61","percent of total billed charges",,
"COLONOSCOPY w/DIRECT SUBMUC INJECT","45381","HCPCS","Both",,,"1479.5","739.75","UHC","Commercial","",,"75",,"1115.54","541.5","1146.61","percent of total billed charges",,
"COLONOSCOPY w/DIRECT SUBMUC INJECT","45381","HCPCS","Both",,,"1479.5","739.75","Medicaid",,"",,"37",,"541.5","541.5","1146.61","percent of total billed charges",,
"COLONOSCOPY FLEX DIAG W CONTROL OF BLEED","45382","HCPCS","Both",,,"3321","1660.5","Alliant","Health Exchange","",,"62",,"2059.02","1215.49","2573.78","percent of total billed charges",,
"COLONOSCOPY FLEX DIAG W CONTROL OF BLEED","45382","HCPCS","Both",,,"3321","1660.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"1793.34","1215.49","2573.78","percent of total billed charges",,
"COLONOSCOPY FLEX DIAG W CONTROL OF BLEED","45382","HCPCS","Both",,,"3321","1660.5","Medicare",,"",,"54",,"1799.98","1215.49","2573.78","percent of total billed charges",,
"COLONOSCOPY FLEX DIAG W CONTROL OF BLEED","45382","HCPCS","Both",,,"3321","1660.5","Humana","Medicare Advantage","",,"54",,"1799.98","1215.49","2573.78","percent of total billed charges",,
"COLONOSCOPY FLEX DIAG W CONTROL OF BLEED","45382","HCPCS","Both",,,"3321","1660.5","UHC","Medicare Advantage","",,"54",,"1799.98","1215.49","2573.78","percent of total billed charges",,
"COLONOSCOPY FLEX DIAG W CONTROL OF BLEED","45382","HCPCS","Both",,,"3321","1660.5","Clover","Medicare Advantage","",,"54",,"1799.98","1215.49","2573.78","percent of total billed charges",,
"COLONOSCOPY FLEX DIAG W CONTROL OF BLEED","45382","HCPCS","Both",,,"3321","1660.5","Wellcare","Medicare Advantage","",,"54",,"1799.98","1215.49","2573.78","percent of total billed charges",,
"COLONOSCOPY FLEX DIAG W CONTROL OF BLEED","45382","HCPCS","Both",,,"3321","1660.5","Amerigroup","Medicaid Managed Care","",,"37",,"1215.49","1215.49","2573.78","percent of total billed charges",,
"COLONOSCOPY FLEX DIAG W CONTROL OF BLEED","45382","HCPCS","Both",,,"3321","1660.5","Caresource","Medicaid Managed Care","",,"40",,"1328.4","1215.49","2573.78","percent of total billed charges",,
"COLONOSCOPY FLEX DIAG W CONTROL OF BLEED","45382","HCPCS","Both",,,"3321","1660.5","Wellcare","Medicaid Managed Care","",,"40",,"1345","1215.49","2573.78","percent of total billed charges",,
"COLONOSCOPY FLEX DIAG W CONTROL OF BLEED","45382","HCPCS","Both",,,"3321","1660.5","Aetna","Commercial","",,"64",,"2118.8","1215.49","2573.78","percent of total billed charges",,
"COLONOSCOPY FLEX DIAG W CONTROL OF BLEED","45382","HCPCS","Both",,,"3321","1660.5","Blue Cross Blue Shield","Pathways","",,"71",,"2344.63","1215.49","2573.78","percent of total billed charges",,
"COLONOSCOPY FLEX DIAG W CONTROL OF BLEED","45382","HCPCS","Both",,,"3321","1660.5","Blue Cross Blue Shield","HMO","",,"71",,"2344.63","1215.49","2573.78","percent of total billed charges",,
"COLONOSCOPY FLEX DIAG W CONTROL OF BLEED","45382","HCPCS","Both",,,"3321","1660.5","Blue Cross Blue Shield","PPO","",,"71",,"2344.63","1215.49","2573.78","percent of total billed charges",,
"COLONOSCOPY FLEX DIAG W CONTROL OF BLEED","45382","HCPCS","Both",,,"3321","1660.5","Ambetter","Health Exchange","",,"62",,"2059.02","1215.49","2573.78","percent of total billed charges",,
"COLONOSCOPY FLEX DIAG W CONTROL OF BLEED","45382","HCPCS","Both",,,"3321","1660.5","Caresource","Health Exchange","",,"62",,"2059.02","1215.49","2573.78","percent of total billed charges",,
"COLONOSCOPY FLEX DIAG W CONTROL OF BLEED","45382","HCPCS","Both",,,"3321","1660.5","Cigna","Commercial","",,"59",,"1946.11","1215.49","2573.78","percent of total billed charges",,
"COLONOSCOPY FLEX DIAG W CONTROL OF BLEED","45382","HCPCS","Both",,,"3321","1660.5","Humana","Commercial","",,"78",,"2573.78","1215.49","2573.78","percent of total billed charges",,
"COLONOSCOPY FLEX DIAG W CONTROL OF BLEED","45382","HCPCS","Both",,,"3321","1660.5","UHC","Commercial","",,"75",,"2504.03","1215.49","2573.78","percent of total billed charges",,
"COLONOSCOPY FLEX DIAG W CONTROL OF BLEED","45382","HCPCS","Both",,,"3321","1660.5","Medicaid",,"",,"37",,"1215.49","1215.49","2573.78","percent of total billed charges",,
"COLONOSCOPY FLEX W BALLOON DILATION","45386","HCPCS","Both",,,"1754","877","Alliant","Health Exchange","",,"62",,"1087.48","641.96","1359.35","percent of total billed charges",,
"COLONOSCOPY FLEX W BALLOON DILATION","45386","HCPCS","Both",,,"1754","877","Pruitt Healthcare","Medicare Advantage","",,"54",,"947.16","641.96","1359.35","percent of total billed charges",,
"COLONOSCOPY FLEX W BALLOON DILATION","45386","HCPCS","Both",,,"1754","877","Medicare",,"",,"54",,"950.67","641.96","1359.35","percent of total billed charges",,
"COLONOSCOPY FLEX W BALLOON DILATION","45386","HCPCS","Both",,,"1754","877","Humana","Medicare Advantage","",,"54",,"950.67","641.96","1359.35","percent of total billed charges",,
"COLONOSCOPY FLEX W BALLOON DILATION","45386","HCPCS","Both",,,"1754","877","UHC","Medicare Advantage","",,"54",,"950.67","641.96","1359.35","percent of total billed charges",,
"COLONOSCOPY FLEX W BALLOON DILATION","45386","HCPCS","Both",,,"1754","877","Clover","Medicare Advantage","",,"54",,"950.67","641.96","1359.35","percent of total billed charges",,
"COLONOSCOPY FLEX W BALLOON DILATION","45386","HCPCS","Both",,,"1754","877","Wellcare","Medicare Advantage","",,"54",,"950.67","641.96","1359.35","percent of total billed charges",,
"COLONOSCOPY FLEX W BALLOON DILATION","45386","HCPCS","Both",,,"1754","877","Amerigroup","Medicaid Managed Care","",,"37",,"641.96","641.96","1359.35","percent of total billed charges",,
"COLONOSCOPY FLEX W BALLOON DILATION","45386","HCPCS","Both",,,"1754","877","Caresource","Medicaid Managed Care","",,"40",,"701.6","641.96","1359.35","percent of total billed charges",,
"COLONOSCOPY FLEX W BALLOON DILATION","45386","HCPCS","Both",,,"1754","877","Wellcare","Medicaid Managed Care","",,"40",,"710.37","641.96","1359.35","percent of total billed charges",,
"COLONOSCOPY FLEX W BALLOON DILATION","45386","HCPCS","Both",,,"1754","877","Aetna","Commercial","",,"64",,"1119.05","641.96","1359.35","percent of total billed charges",,
"COLONOSCOPY FLEX W BALLOON DILATION","45386","HCPCS","Both",,,"1754","877","Blue Cross Blue Shield","Pathways","",,"71",,"1238.32","641.96","1359.35","percent of total billed charges",,
"COLONOSCOPY FLEX W BALLOON DILATION","45386","HCPCS","Both",,,"1754","877","Blue Cross Blue Shield","HMO","",,"71",,"1238.32","641.96","1359.35","percent of total billed charges",,
"COLONOSCOPY FLEX W BALLOON DILATION","45386","HCPCS","Both",,,"1754","877","Blue Cross Blue Shield","PPO","",,"71",,"1238.32","641.96","1359.35","percent of total billed charges",,
"COLONOSCOPY FLEX W BALLOON DILATION","45386","HCPCS","Both",,,"1754","877","Ambetter","Health Exchange","",,"62",,"1087.48","641.96","1359.35","percent of total billed charges",,
"COLONOSCOPY FLEX W BALLOON DILATION","45386","HCPCS","Both",,,"1754","877","Caresource","Health Exchange","",,"62",,"1087.48","641.96","1359.35","percent of total billed charges",,
"COLONOSCOPY FLEX W BALLOON DILATION","45386","HCPCS","Both",,,"1754","877","Cigna","Commercial","",,"59",,"1027.84","641.96","1359.35","percent of total billed charges",,
"COLONOSCOPY FLEX W BALLOON DILATION","45386","HCPCS","Both",,,"1754","877","Humana","Commercial","",,"78",,"1359.35","641.96","1359.35","percent of total billed charges",,
"COLONOSCOPY FLEX W BALLOON DILATION","45386","HCPCS","Both",,,"1754","877","UHC","Commercial","",,"75",,"1322.52","641.96","1359.35","percent of total billed charges",,
"COLONOSCOPY FLEX W BALLOON DILATION","45386","HCPCS","Both",,,"1754","877","Medicaid",,"",,"37",,"641.96","641.96","1359.35","percent of total billed charges",,
"COLONSCOPY FLEXIBLE W/BAND LIGATION","45398","HCPCS","Both",,,"352.5","176.25","Alliant","Health Exchange","",,"62",,"218.55","129.01","273.19","percent of total billed charges",,
"COLONSCOPY FLEXIBLE W/BAND LIGATION","45398","HCPCS","Both",,,"352.5","176.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"190.35","129.01","273.19","percent of total billed charges",,
"COLONSCOPY FLEXIBLE W/BAND LIGATION","45398","HCPCS","Both",,,"352.5","176.25","Medicare",,"",,"54",,"191.06","129.01","273.19","percent of total billed charges",,
"COLONSCOPY FLEXIBLE W/BAND LIGATION","45398","HCPCS","Both",,,"352.5","176.25","Humana","Medicare Advantage","",,"54",,"191.06","129.01","273.19","percent of total billed charges",,
"COLONSCOPY FLEXIBLE W/BAND LIGATION","45398","HCPCS","Both",,,"352.5","176.25","UHC","Medicare Advantage","",,"54",,"191.06","129.01","273.19","percent of total billed charges",,
"COLONSCOPY FLEXIBLE W/BAND LIGATION","45398","HCPCS","Both",,,"352.5","176.25","Clover","Medicare Advantage","",,"54",,"191.06","129.01","273.19","percent of total billed charges",,
"COLONSCOPY FLEXIBLE W/BAND LIGATION","45398","HCPCS","Both",,,"352.5","176.25","Wellcare","Medicare Advantage","",,"54",,"191.06","129.01","273.19","percent of total billed charges",,
"COLONSCOPY FLEXIBLE W/BAND LIGATION","45398","HCPCS","Both",,,"352.5","176.25","Amerigroup","Medicaid Managed Care","",,"37",,"129.01","129.01","273.19","percent of total billed charges",,
"COLONSCOPY FLEXIBLE W/BAND LIGATION","45398","HCPCS","Both",,,"352.5","176.25","Caresource","Medicaid Managed Care","",,"40",,"141","129.01","273.19","percent of total billed charges",,
"COLONSCOPY FLEXIBLE W/BAND LIGATION","45398","HCPCS","Both",,,"352.5","176.25","Wellcare","Medicaid Managed Care","",,"40",,"142.76","129.01","273.19","percent of total billed charges",,
"COLONSCOPY FLEXIBLE W/BAND LIGATION","45398","HCPCS","Both",,,"352.5","176.25","Aetna","Commercial","",,"64",,"224.9","129.01","273.19","percent of total billed charges",,
"COLONSCOPY FLEXIBLE W/BAND LIGATION","45398","HCPCS","Both",,,"352.5","176.25","Blue Cross Blue Shield","Pathways","",,"71",,"248.86","129.01","273.19","percent of total billed charges",,
"COLONSCOPY FLEXIBLE W/BAND LIGATION","45398","HCPCS","Both",,,"352.5","176.25","Blue Cross Blue Shield","HMO","",,"71",,"248.86","129.01","273.19","percent of total billed charges",,
"COLONSCOPY FLEXIBLE W/BAND LIGATION","45398","HCPCS","Both",,,"352.5","176.25","Blue Cross Blue Shield","PPO","",,"71",,"248.86","129.01","273.19","percent of total billed charges",,
"COLONSCOPY FLEXIBLE W/BAND LIGATION","45398","HCPCS","Both",,,"352.5","176.25","Ambetter","Health Exchange","",,"62",,"218.55","129.01","273.19","percent of total billed charges",,
"COLONSCOPY FLEXIBLE W/BAND LIGATION","45398","HCPCS","Both",,,"352.5","176.25","Caresource","Health Exchange","",,"62",,"218.55","129.01","273.19","percent of total billed charges",,
"COLONSCOPY FLEXIBLE W/BAND LIGATION","45398","HCPCS","Both",,,"352.5","176.25","Cigna","Commercial","",,"59",,"206.56","129.01","273.19","percent of total billed charges",,
"COLONSCOPY FLEXIBLE W/BAND LIGATION","45398","HCPCS","Both",,,"352.5","176.25","Humana","Commercial","",,"78",,"273.19","129.01","273.19","percent of total billed charges",,
"COLONSCOPY FLEXIBLE W/BAND LIGATION","45398","HCPCS","Both",,,"352.5","176.25","UHC","Commercial","",,"75",,"265.79","129.01","273.19","percent of total billed charges",,
"COLONSCOPY FLEXIBLE W/BAND LIGATION","45398","HCPCS","Both",,,"352.5","176.25","Medicaid",,"",,"37",,"129.01","129.01","273.19","percent of total billed charges",,
"DILATION OF ANAL SPHINCTER","45905","HCPCS","Both",,,"3992.5","1996.25","Alliant","Health Exchange","",,"62",,"2475.35","1461.26","3094.19","percent of total billed charges",,
"DILATION OF ANAL SPHINCTER","45905","HCPCS","Both",,,"3992.5","1996.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"2155.95","1461.26","3094.19","percent of total billed charges",,
"DILATION OF ANAL SPHINCTER","45905","HCPCS","Both",,,"3992.5","1996.25","Medicare",,"",,"54",,"2163.94","1461.26","3094.19","percent of total billed charges",,
"DILATION OF ANAL SPHINCTER","45905","HCPCS","Both",,,"3992.5","1996.25","Humana","Medicare Advantage","",,"54",,"2163.94","1461.26","3094.19","percent of total billed charges",,
"DILATION OF ANAL SPHINCTER","45905","HCPCS","Both",,,"3992.5","1996.25","UHC","Medicare Advantage","",,"54",,"2163.94","1461.26","3094.19","percent of total billed charges",,
"DILATION OF ANAL SPHINCTER","45905","HCPCS","Both",,,"3992.5","1996.25","Clover","Medicare Advantage","",,"54",,"2163.94","1461.26","3094.19","percent of total billed charges",,
"DILATION OF ANAL SPHINCTER","45905","HCPCS","Both",,,"3992.5","1996.25","Wellcare","Medicare Advantage","",,"54",,"2163.94","1461.26","3094.19","percent of total billed charges",,
"DILATION OF ANAL SPHINCTER","45905","HCPCS","Both",,,"3992.5","1996.25","Amerigroup","Medicaid Managed Care","",,"37",,"1461.26","1461.26","3094.19","percent of total billed charges",,
"DILATION OF ANAL SPHINCTER","45905","HCPCS","Both",,,"3992.5","1996.25","Caresource","Medicaid Managed Care","",,"40",,"1597","1461.26","3094.19","percent of total billed charges",,
"DILATION OF ANAL SPHINCTER","45905","HCPCS","Both",,,"3992.5","1996.25","Wellcare","Medicaid Managed Care","",,"40",,"1616.96","1461.26","3094.19","percent of total billed charges",,
"DILATION OF ANAL SPHINCTER","45905","HCPCS","Both",,,"3992.5","1996.25","Aetna","Commercial","",,"64",,"2547.22","1461.26","3094.19","percent of total billed charges",,
"DILATION OF ANAL SPHINCTER","45905","HCPCS","Both",,,"3992.5","1996.25","Blue Cross Blue Shield","Pathways","",,"71",,"2818.7","1461.26","3094.19","percent of total billed charges",,
"DILATION OF ANAL SPHINCTER","45905","HCPCS","Both",,,"3992.5","1996.25","Blue Cross Blue Shield","HMO","",,"71",,"2818.7","1461.26","3094.19","percent of total billed charges",,
"DILATION OF ANAL SPHINCTER","45905","HCPCS","Both",,,"3992.5","1996.25","Blue Cross Blue Shield","PPO","",,"71",,"2818.7","1461.26","3094.19","percent of total billed charges",,
"DILATION OF ANAL SPHINCTER","45905","HCPCS","Both",,,"3992.5","1996.25","Ambetter","Health Exchange","",,"62",,"2475.35","1461.26","3094.19","percent of total billed charges",,
"DILATION OF ANAL SPHINCTER","45905","HCPCS","Both",,,"3992.5","1996.25","Caresource","Health Exchange","",,"62",,"2475.35","1461.26","3094.19","percent of total billed charges",,
"DILATION OF ANAL SPHINCTER","45905","HCPCS","Both",,,"3992.5","1996.25","Cigna","Commercial","",,"59",,"2339.6","1461.26","3094.19","percent of total billed charges",,
"DILATION OF ANAL SPHINCTER","45905","HCPCS","Both",,,"3992.5","1996.25","Humana","Commercial","",,"78",,"3094.19","1461.26","3094.19","percent of total billed charges",,
"DILATION OF ANAL SPHINCTER","45905","HCPCS","Both",,,"3992.5","1996.25","UHC","Commercial","",,"75",,"3010.34","1461.26","3094.19","percent of total billed charges",,
"DILATION OF ANAL SPHINCTER","45905","HCPCS","Both",,,"3992.5","1996.25","Medicaid",,"",,"37",,"1461.26","1461.26","3094.19","percent of total billed charges",,
"PLACEMENT OF SETON","46020","HCPCS","Both",,,"7708","3854","Alliant","Health Exchange","",,"62",,"4778.96","2821.13","5973.7","percent of total billed charges",,
"PLACEMENT OF SETON","46020","HCPCS","Both",,,"7708","3854","Pruitt Healthcare","Medicare Advantage","",,"54",,"4162.32","2821.13","5973.7","percent of total billed charges",,
"PLACEMENT OF SETON","46020","HCPCS","Both",,,"7708","3854","Medicare",,"",,"54",,"4177.74","2821.13","5973.7","percent of total billed charges",,
"PLACEMENT OF SETON","46020","HCPCS","Both",,,"7708","3854","Humana","Medicare Advantage","",,"54",,"4177.74","2821.13","5973.7","percent of total billed charges",,
"PLACEMENT OF SETON","46020","HCPCS","Both",,,"7708","3854","UHC","Medicare Advantage","",,"54",,"4177.74","2821.13","5973.7","percent of total billed charges",,
"PLACEMENT OF SETON","46020","HCPCS","Both",,,"7708","3854","Clover","Medicare Advantage","",,"54",,"4177.74","2821.13","5973.7","percent of total billed charges",,
"PLACEMENT OF SETON","46020","HCPCS","Both",,,"7708","3854","Wellcare","Medicare Advantage","",,"54",,"4177.74","2821.13","5973.7","percent of total billed charges",,
"PLACEMENT OF SETON","46020","HCPCS","Both",,,"7708","3854","Amerigroup","Medicaid Managed Care","",,"37",,"2821.13","2821.13","5973.7","percent of total billed charges",,
"PLACEMENT OF SETON","46020","HCPCS","Both",,,"7708","3854","Caresource","Medicaid Managed Care","",,"40",,"3083.2","2821.13","5973.7","percent of total billed charges",,
"PLACEMENT OF SETON","46020","HCPCS","Both",,,"7708","3854","Wellcare","Medicaid Managed Care","",,"40",,"3121.74","2821.13","5973.7","percent of total billed charges",,
"PLACEMENT OF SETON","46020","HCPCS","Both",,,"7708","3854","Aetna","Commercial","",,"64",,"4917.7","2821.13","5973.7","percent of total billed charges",,
"PLACEMENT OF SETON","46020","HCPCS","Both",,,"7708","3854","Blue Cross Blue Shield","Pathways","",,"71",,"5441.85","2821.13","5973.7","percent of total billed charges",,
"PLACEMENT OF SETON","46020","HCPCS","Both",,,"7708","3854","Blue Cross Blue Shield","HMO","",,"71",,"5441.85","2821.13","5973.7","percent of total billed charges",,
"PLACEMENT OF SETON","46020","HCPCS","Both",,,"7708","3854","Blue Cross Blue Shield","PPO","",,"71",,"5441.85","2821.13","5973.7","percent of total billed charges",,
"PLACEMENT OF SETON","46020","HCPCS","Both",,,"7708","3854","Ambetter","Health Exchange","",,"62",,"4778.96","2821.13","5973.7","percent of total billed charges",,
"PLACEMENT OF SETON","46020","HCPCS","Both",,,"7708","3854","Caresource","Health Exchange","",,"62",,"4778.96","2821.13","5973.7","percent of total billed charges",,
"PLACEMENT OF SETON","46020","HCPCS","Both",,,"7708","3854","Cigna","Commercial","",,"59",,"4516.89","2821.13","5973.7","percent of total billed charges",,
"PLACEMENT OF SETON","46020","HCPCS","Both",,,"7708","3854","Humana","Commercial","",,"78",,"5973.7","2821.13","5973.7","percent of total billed charges",,
"PLACEMENT OF SETON","46020","HCPCS","Both",,,"7708","3854","UHC","Commercial","",,"75",,"5811.83","2821.13","5973.7","percent of total billed charges",,
"PLACEMENT OF SETON","46020","HCPCS","Both",,,"7708","3854","Medicaid",,"",,"37",,"2821.13","2821.13","5973.7","percent of total billed charges",,
"I & D PERIRECTAL ABSCESS","46040","HCPCS","Both",,,"3992.5","1996.25","Alliant","Health Exchange","",,"62",,"2475.35","146.4","3094.19","percent of total billed charges",,
"I & D PERIRECTAL ABSCESS","46040","HCPCS","Both",,,"3992.5","1996.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"2155.95","146.4","3094.19","percent of total billed charges",,
"I & D PERIRECTAL ABSCESS","46040","HCPCS","Both",,,"3992.5","1996.25","Medicare",,"",,"54",,"2163.94","146.4","3094.19","percent of total billed charges",,
"I & D PERIRECTAL ABSCESS","46040","HCPCS","Both",,,"3992.5","1996.25","Humana","Medicare Advantage","",,"54",,"2163.94","146.4","3094.19","percent of total billed charges",,
"I & D PERIRECTAL ABSCESS","46040","HCPCS","Both",,,"3992.5","1996.25","UHC","Medicare Advantage","",,"54",,"2163.94","146.4","3094.19","percent of total billed charges",,
"I & D PERIRECTAL ABSCESS","46040","HCPCS","Both",,,"3992.5","1996.25","Clover","Medicare Advantage","",,"54",,"2163.94","146.4","3094.19","percent of total billed charges",,
"I & D PERIRECTAL ABSCESS","46040","HCPCS","Both",,,"3992.5","1996.25","Wellcare","Medicare Advantage","",,"54",,"2163.94","146.4","3094.19","percent of total billed charges",,
"I & D PERIRECTAL ABSCESS","46040","HCPCS","Both",,,"3992.5","1996.25","Amerigroup","Medicaid Managed Care","",,"37",,"1461.26","146.4","3094.19","percent of total billed charges",,
"I & D PERIRECTAL ABSCESS","46040","HCPCS","Both",,,"3992.5","1996.25","Caresource","Medicaid Managed Care","",,"40",,"1597","146.4","3094.19","percent of total billed charges",,
"I & D PERIRECTAL ABSCESS","46040","HCPCS","Both",,,"3992.5","1996.25","Wellcare","Medicaid Managed Care","",,"40",,"1616.96","146.4","3094.19","percent of total billed charges",,
"I & D PERIRECTAL ABSCESS","46040","HCPCS","Both",,,"3992.5","1996.25","Aetna","Commercial","",,"64",,"2547.22","146.4","3094.19","percent of total billed charges",,
"I & D PERIRECTAL ABSCESS","46040","HCPCS","Both",,,"3992.5","1996.25","Blue Cross Blue Shield","Pathways","",,"71",,"2818.7","146.4","3094.19","percent of total billed charges",,
"I & D PERIRECTAL ABSCESS","46040","HCPCS","Both",,,"3992.5","1996.25","Blue Cross Blue Shield","HMO","",,"71",,"2818.7","146.4","3094.19","percent of total billed charges",,
"I & D PERIRECTAL ABSCESS","46040","HCPCS","Both",,,"3992.5","1996.25","Blue Cross Blue Shield","PPO","",,"71",,"2818.7","146.4","3094.19","percent of total billed charges",,
"I & D PERIRECTAL ABSCESS","46040","HCPCS","Both",,,"3992.5","1996.25","Ambetter","Health Exchange","",,"62",,"2475.35","146.4","3094.19","percent of total billed charges",,
"I & D PERIRECTAL ABSCESS","46040","HCPCS","Both",,,"3992.5","1996.25","Caresource","Health Exchange","",,"62",,"2475.35","146.4","3094.19","percent of total billed charges",,
"I & D PERIRECTAL ABSCESS","46040","HCPCS","Both",,,"3992.5","1996.25","Cigna","Commercial","",,"59",,"2339.6","146.4","3094.19","percent of total billed charges",,
"I & D PERIRECTAL ABSCESS","46040","HCPCS","Both",,,"3992.5","1996.25","Humana","Commercial","",,"78",,"3094.19","146.4","3094.19","percent of total billed charges",,
"I & D PERIRECTAL ABSCESS","46040","HCPCS","Both",,,"3992.5","1996.25","UHC","Commercial","",,"75",,"3010.34","146.4","3094.19","percent of total billed charges",,
"I & D PERIRECTAL ABSCESS","46040","HCPCS","Both",,,"3992.5","1996.25","Medicaid",,"",,"37",,"1461.26","146.4","3094.19","percent of total billed charges",,
"FISSURECTOMY INCLUDE SPNICTEROTOMY","46200","HCPCS","Both",,,"2755.5","1377.75","Alliant","Health Exchange","",,"62",,"1708.41","1008.51","2135.51","percent of total billed charges",,
"FISSURECTOMY INCLUDE SPNICTEROTOMY","46200","HCPCS","Both",,,"2755.5","1377.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"1487.97","1008.51","2135.51","percent of total billed charges",,
"FISSURECTOMY INCLUDE SPNICTEROTOMY","46200","HCPCS","Both",,,"2755.5","1377.75","Medicare",,"",,"54",,"1493.48","1008.51","2135.51","percent of total billed charges",,
"FISSURECTOMY INCLUDE SPNICTEROTOMY","46200","HCPCS","Both",,,"2755.5","1377.75","Humana","Medicare Advantage","",,"54",,"1493.48","1008.51","2135.51","percent of total billed charges",,
"FISSURECTOMY INCLUDE SPNICTEROTOMY","46200","HCPCS","Both",,,"2755.5","1377.75","UHC","Medicare Advantage","",,"54",,"1493.48","1008.51","2135.51","percent of total billed charges",,
"FISSURECTOMY INCLUDE SPNICTEROTOMY","46200","HCPCS","Both",,,"2755.5","1377.75","Clover","Medicare Advantage","",,"54",,"1493.48","1008.51","2135.51","percent of total billed charges",,
"FISSURECTOMY INCLUDE SPNICTEROTOMY","46200","HCPCS","Both",,,"2755.5","1377.75","Wellcare","Medicare Advantage","",,"54",,"1493.48","1008.51","2135.51","percent of total billed charges",,
"FISSURECTOMY INCLUDE SPNICTEROTOMY","46200","HCPCS","Both",,,"2755.5","1377.75","Amerigroup","Medicaid Managed Care","",,"37",,"1008.51","1008.51","2135.51","percent of total billed charges",,
"FISSURECTOMY INCLUDE SPNICTEROTOMY","46200","HCPCS","Both",,,"2755.5","1377.75","Caresource","Medicaid Managed Care","",,"40",,"1102.2","1008.51","2135.51","percent of total billed charges",,
"FISSURECTOMY INCLUDE SPNICTEROTOMY","46200","HCPCS","Both",,,"2755.5","1377.75","Wellcare","Medicaid Managed Care","",,"40",,"1115.98","1008.51","2135.51","percent of total billed charges",,
"FISSURECTOMY INCLUDE SPNICTEROTOMY","46200","HCPCS","Both",,,"2755.5","1377.75","Aetna","Commercial","",,"64",,"1758.01","1008.51","2135.51","percent of total billed charges",,
"FISSURECTOMY INCLUDE SPNICTEROTOMY","46200","HCPCS","Both",,,"2755.5","1377.75","Blue Cross Blue Shield","Pathways","",,"71",,"1945.38","1008.51","2135.51","percent of total billed charges",,
"FISSURECTOMY INCLUDE SPNICTEROTOMY","46200","HCPCS","Both",,,"2755.5","1377.75","Blue Cross Blue Shield","HMO","",,"71",,"1945.38","1008.51","2135.51","percent of total billed charges",,
"FISSURECTOMY INCLUDE SPNICTEROTOMY","46200","HCPCS","Both",,,"2755.5","1377.75","Blue Cross Blue Shield","PPO","",,"71",,"1945.38","1008.51","2135.51","percent of total billed charges",,
"FISSURECTOMY INCLUDE SPNICTEROTOMY","46200","HCPCS","Both",,,"2755.5","1377.75","Ambetter","Health Exchange","",,"62",,"1708.41","1008.51","2135.51","percent of total billed charges",,
"FISSURECTOMY INCLUDE SPNICTEROTOMY","46200","HCPCS","Both",,,"2755.5","1377.75","Caresource","Health Exchange","",,"62",,"1708.41","1008.51","2135.51","percent of total billed charges",,
"FISSURECTOMY INCLUDE SPNICTEROTOMY","46200","HCPCS","Both",,,"2755.5","1377.75","Cigna","Commercial","",,"59",,"1614.72","1008.51","2135.51","percent of total billed charges",,
"FISSURECTOMY INCLUDE SPNICTEROTOMY","46200","HCPCS","Both",,,"2755.5","1377.75","Humana","Commercial","",,"78",,"2135.51","1008.51","2135.51","percent of total billed charges",,
"FISSURECTOMY INCLUDE SPNICTEROTOMY","46200","HCPCS","Both",,,"2755.5","1377.75","UHC","Commercial","",,"75",,"2077.65","1008.51","2135.51","percent of total billed charges",,
"FISSURECTOMY INCLUDE SPNICTEROTOMY","46200","HCPCS","Both",,,"2755.5","1377.75","Medicaid",,"",,"37",,"1008.51","1008.51","2135.51","percent of total billed charges",,
"HEMORRHOIDECTOMY BY SIMPLE LIGATURE","46221","HCPCS","Both",,,"685","342.5","Alliant","Health Exchange","",,"62",,"424.7","250.71","530.88","percent of total billed charges",,
"HEMORRHOIDECTOMY BY SIMPLE LIGATURE","46221","HCPCS","Both",,,"685","342.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"369.9","250.71","530.88","percent of total billed charges",,
"HEMORRHOIDECTOMY BY SIMPLE LIGATURE","46221","HCPCS","Both",,,"685","342.5","Medicare",,"",,"54",,"371.27","250.71","530.88","percent of total billed charges",,
"HEMORRHOIDECTOMY BY SIMPLE LIGATURE","46221","HCPCS","Both",,,"685","342.5","Humana","Medicare Advantage","",,"54",,"371.27","250.71","530.88","percent of total billed charges",,
"HEMORRHOIDECTOMY BY SIMPLE LIGATURE","46221","HCPCS","Both",,,"685","342.5","UHC","Medicare Advantage","",,"54",,"371.27","250.71","530.88","percent of total billed charges",,
"HEMORRHOIDECTOMY BY SIMPLE LIGATURE","46221","HCPCS","Both",,,"685","342.5","Clover","Medicare Advantage","",,"54",,"371.27","250.71","530.88","percent of total billed charges",,
"HEMORRHOIDECTOMY BY SIMPLE LIGATURE","46221","HCPCS","Both",,,"685","342.5","Wellcare","Medicare Advantage","",,"54",,"371.27","250.71","530.88","percent of total billed charges",,
"HEMORRHOIDECTOMY BY SIMPLE LIGATURE","46221","HCPCS","Both",,,"685","342.5","Amerigroup","Medicaid Managed Care","",,"37",,"250.71","250.71","530.88","percent of total billed charges",,
"HEMORRHOIDECTOMY BY SIMPLE LIGATURE","46221","HCPCS","Both",,,"685","342.5","Caresource","Medicaid Managed Care","",,"40",,"274","250.71","530.88","percent of total billed charges",,
"HEMORRHOIDECTOMY BY SIMPLE LIGATURE","46221","HCPCS","Both",,,"685","342.5","Wellcare","Medicaid Managed Care","",,"40",,"277.42","250.71","530.88","percent of total billed charges",,
"HEMORRHOIDECTOMY BY SIMPLE LIGATURE","46221","HCPCS","Both",,,"685","342.5","Aetna","Commercial","",,"64",,"437.03","250.71","530.88","percent of total billed charges",,
"HEMORRHOIDECTOMY BY SIMPLE LIGATURE","46221","HCPCS","Both",,,"685","342.5","Blue Cross Blue Shield","Pathways","",,"71",,"483.61","250.71","530.88","percent of total billed charges",,
"HEMORRHOIDECTOMY BY SIMPLE LIGATURE","46221","HCPCS","Both",,,"685","342.5","Blue Cross Blue Shield","HMO","",,"71",,"483.61","250.71","530.88","percent of total billed charges",,
"HEMORRHOIDECTOMY BY SIMPLE LIGATURE","46221","HCPCS","Both",,,"685","342.5","Blue Cross Blue Shield","PPO","",,"71",,"483.61","250.71","530.88","percent of total billed charges",,
"HEMORRHOIDECTOMY BY SIMPLE LIGATURE","46221","HCPCS","Both",,,"685","342.5","Ambetter","Health Exchange","",,"62",,"424.7","250.71","530.88","percent of total billed charges",,
"HEMORRHOIDECTOMY BY SIMPLE LIGATURE","46221","HCPCS","Both",,,"685","342.5","Caresource","Health Exchange","",,"62",,"424.7","250.71","530.88","percent of total billed charges",,
"HEMORRHOIDECTOMY BY SIMPLE LIGATURE","46221","HCPCS","Both",,,"685","342.5","Cigna","Commercial","",,"59",,"401.41","250.71","530.88","percent of total billed charges",,
"HEMORRHOIDECTOMY BY SIMPLE LIGATURE","46221","HCPCS","Both",,,"685","342.5","Humana","Commercial","",,"78",,"530.88","250.71","530.88","percent of total billed charges",,
"HEMORRHOIDECTOMY BY SIMPLE LIGATURE","46221","HCPCS","Both",,,"685","342.5","UHC","Commercial","",,"75",,"516.49","250.71","530.88","percent of total billed charges",,
"HEMORRHOIDECTOMY BY SIMPLE LIGATURE","46221","HCPCS","Both",,,"685","342.5","Medicaid",,"",,"37",,"250.71","250.71","530.88","percent of total billed charges",,
"HEMORRHOIDECTOMY, INTERNAL & EXT, SIMPLE","46255","HCPCS","Both",,,"1427.5","713.75","Alliant","Health Exchange","",,"62",,"885.05","522.46","1106.31","percent of total billed charges",,
"HEMORRHOIDECTOMY, INTERNAL & EXT, SIMPLE","46255","HCPCS","Both",,,"1427.5","713.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"770.85","522.46","1106.31","percent of total billed charges",,
"HEMORRHOIDECTOMY, INTERNAL & EXT, SIMPLE","46255","HCPCS","Both",,,"1427.5","713.75","Medicare",,"",,"54",,"773.7","522.46","1106.31","percent of total billed charges",,
"HEMORRHOIDECTOMY, INTERNAL & EXT, SIMPLE","46255","HCPCS","Both",,,"1427.5","713.75","Humana","Medicare Advantage","",,"54",,"773.7","522.46","1106.31","percent of total billed charges",,
"HEMORRHOIDECTOMY, INTERNAL & EXT, SIMPLE","46255","HCPCS","Both",,,"1427.5","713.75","UHC","Medicare Advantage","",,"54",,"773.7","522.46","1106.31","percent of total billed charges",,
"HEMORRHOIDECTOMY, INTERNAL & EXT, SIMPLE","46255","HCPCS","Both",,,"1427.5","713.75","Clover","Medicare Advantage","",,"54",,"773.7","522.46","1106.31","percent of total billed charges",,
"HEMORRHOIDECTOMY, INTERNAL & EXT, SIMPLE","46255","HCPCS","Both",,,"1427.5","713.75","Wellcare","Medicare Advantage","",,"54",,"773.7","522.46","1106.31","percent of total billed charges",,
"HEMORRHOIDECTOMY, INTERNAL & EXT, SIMPLE","46255","HCPCS","Both",,,"1427.5","713.75","Amerigroup","Medicaid Managed Care","",,"37",,"522.46","522.46","1106.31","percent of total billed charges",,
"HEMORRHOIDECTOMY, INTERNAL & EXT, SIMPLE","46255","HCPCS","Both",,,"1427.5","713.75","Caresource","Medicaid Managed Care","",,"40",,"571","522.46","1106.31","percent of total billed charges",,
"HEMORRHOIDECTOMY, INTERNAL & EXT, SIMPLE","46255","HCPCS","Both",,,"1427.5","713.75","Wellcare","Medicaid Managed Care","",,"40",,"578.14","522.46","1106.31","percent of total billed charges",,
"HEMORRHOIDECTOMY, INTERNAL & EXT, SIMPLE","46255","HCPCS","Both",,,"1427.5","713.75","Aetna","Commercial","",,"64",,"910.74","522.46","1106.31","percent of total billed charges",,
"HEMORRHOIDECTOMY, INTERNAL & EXT, SIMPLE","46255","HCPCS","Both",,,"1427.5","713.75","Blue Cross Blue Shield","Pathways","",,"71",,"1007.82","522.46","1106.31","percent of total billed charges",,
"HEMORRHOIDECTOMY, INTERNAL & EXT, SIMPLE","46255","HCPCS","Both",,,"1427.5","713.75","Blue Cross Blue Shield","HMO","",,"71",,"1007.82","522.46","1106.31","percent of total billed charges",,
"HEMORRHOIDECTOMY, INTERNAL & EXT, SIMPLE","46255","HCPCS","Both",,,"1427.5","713.75","Blue Cross Blue Shield","PPO","",,"71",,"1007.82","522.46","1106.31","percent of total billed charges",,
"HEMORRHOIDECTOMY, INTERNAL & EXT, SIMPLE","46255","HCPCS","Both",,,"1427.5","713.75","Ambetter","Health Exchange","",,"62",,"885.05","522.46","1106.31","percent of total billed charges",,
"HEMORRHOIDECTOMY, INTERNAL & EXT, SIMPLE","46255","HCPCS","Both",,,"1427.5","713.75","Caresource","Health Exchange","",,"62",,"885.05","522.46","1106.31","percent of total billed charges",,
"HEMORRHOIDECTOMY, INTERNAL & EXT, SIMPLE","46255","HCPCS","Both",,,"1427.5","713.75","Cigna","Commercial","",,"59",,"836.52","522.46","1106.31","percent of total billed charges",,
"HEMORRHOIDECTOMY, INTERNAL & EXT, SIMPLE","46255","HCPCS","Both",,,"1427.5","713.75","Humana","Commercial","",,"78",,"1106.31","522.46","1106.31","percent of total billed charges",,
"HEMORRHOIDECTOMY, INTERNAL & EXT, SIMPLE","46255","HCPCS","Both",,,"1427.5","713.75","UHC","Commercial","",,"75",,"1076.34","522.46","1106.31","percent of total billed charges",,
"HEMORRHOIDECTOMY, INTERNAL & EXT, SIMPLE","46255","HCPCS","Both",,,"1427.5","713.75","Medicaid",,"",,"37",,"522.46","522.46","1106.31","percent of total billed charges",,
"ANOSCOPY DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Alliant","Health Exchange","",,"62",,"96.41","56.91","120.51","percent of total billed charges",,
"ANOSCOPY DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"83.97","56.91","120.51","percent of total billed charges",,
"ANOSCOPY DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Medicare",,"",,"54",,"84.28","56.91","120.51","percent of total billed charges",,
"ANOSCOPY DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Humana","Medicare Advantage","",,"54",,"84.28","56.91","120.51","percent of total billed charges",,
"ANOSCOPY DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","UHC","Medicare Advantage","",,"54",,"84.28","56.91","120.51","percent of total billed charges",,
"ANOSCOPY DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Clover","Medicare Advantage","",,"54",,"84.28","56.91","120.51","percent of total billed charges",,
"ANOSCOPY DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Wellcare","Medicare Advantage","",,"54",,"84.28","56.91","120.51","percent of total billed charges",,
"ANOSCOPY DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Amerigroup","Medicaid Managed Care","",,"37",,"56.91","56.91","120.51","percent of total billed charges",,
"ANOSCOPY DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Caresource","Medicaid Managed Care","",,"40",,"62.2","56.91","120.51","percent of total billed charges",,
"ANOSCOPY DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Wellcare","Medicaid Managed Care","",,"40",,"62.98","56.91","120.51","percent of total billed charges",,
"ANOSCOPY DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Aetna","Commercial","",,"64",,"99.21","56.91","120.51","percent of total billed charges",,
"ANOSCOPY DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Blue Cross Blue Shield","Pathways","",,"71",,"109.78","56.91","120.51","percent of total billed charges",,
"ANOSCOPY DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Blue Cross Blue Shield","HMO","",,"71",,"109.78","56.91","120.51","percent of total billed charges",,
"ANOSCOPY DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Blue Cross Blue Shield","PPO","",,"71",,"109.78","56.91","120.51","percent of total billed charges",,
"ANOSCOPY DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Ambetter","Health Exchange","",,"62",,"96.41","56.91","120.51","percent of total billed charges",,
"ANOSCOPY DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Caresource","Health Exchange","",,"62",,"96.41","56.91","120.51","percent of total billed charges",,
"ANOSCOPY DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Cigna","Commercial","",,"59",,"91.12","56.91","120.51","percent of total billed charges",,
"ANOSCOPY DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Humana","Commercial","",,"78",,"120.51","56.91","120.51","percent of total billed charges",,
"ANOSCOPY DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","UHC","Commercial","",,"75",,"117.25","56.91","120.51","percent of total billed charges",,
"ANOSCOPY DIAGNOSTIC","46600","HCPCS","Both",,,"155.5","77.75","Medicaid",,"",,"37",,"56.91","56.91","120.51","percent of total billed charges",,
"ANOSCOPY w/abalation of tumor,polyp,lesi","46615","HCPCS","Both",,,"2755","1377.5","Alliant","Health Exchange","",,"62",,"1708.1","1008.33","2135.12","percent of total billed charges",,
"ANOSCOPY w/abalation of tumor,polyp,lesi","46615","HCPCS","Both",,,"2755","1377.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"1487.7","1008.33","2135.12","percent of total billed charges",,
"ANOSCOPY w/abalation of tumor,polyp,lesi","46615","HCPCS","Both",,,"2755","1377.5","Medicare",,"",,"54",,"1493.21","1008.33","2135.12","percent of total billed charges",,
"ANOSCOPY w/abalation of tumor,polyp,lesi","46615","HCPCS","Both",,,"2755","1377.5","Humana","Medicare Advantage","",,"54",,"1493.21","1008.33","2135.12","percent of total billed charges",,
"ANOSCOPY w/abalation of tumor,polyp,lesi","46615","HCPCS","Both",,,"2755","1377.5","UHC","Medicare Advantage","",,"54",,"1493.21","1008.33","2135.12","percent of total billed charges",,
"ANOSCOPY w/abalation of tumor,polyp,lesi","46615","HCPCS","Both",,,"2755","1377.5","Clover","Medicare Advantage","",,"54",,"1493.21","1008.33","2135.12","percent of total billed charges",,
"ANOSCOPY w/abalation of tumor,polyp,lesi","46615","HCPCS","Both",,,"2755","1377.5","Wellcare","Medicare Advantage","",,"54",,"1493.21","1008.33","2135.12","percent of total billed charges",,
"ANOSCOPY w/abalation of tumor,polyp,lesi","46615","HCPCS","Both",,,"2755","1377.5","Amerigroup","Medicaid Managed Care","",,"37",,"1008.33","1008.33","2135.12","percent of total billed charges",,
"ANOSCOPY w/abalation of tumor,polyp,lesi","46615","HCPCS","Both",,,"2755","1377.5","Caresource","Medicaid Managed Care","",,"40",,"1102","1008.33","2135.12","percent of total billed charges",,
"ANOSCOPY w/abalation of tumor,polyp,lesi","46615","HCPCS","Both",,,"2755","1377.5","Wellcare","Medicaid Managed Care","",,"40",,"1115.78","1008.33","2135.12","percent of total billed charges",,
"ANOSCOPY w/abalation of tumor,polyp,lesi","46615","HCPCS","Both",,,"2755","1377.5","Aetna","Commercial","",,"64",,"1757.69","1008.33","2135.12","percent of total billed charges",,
"ANOSCOPY w/abalation of tumor,polyp,lesi","46615","HCPCS","Both",,,"2755","1377.5","Blue Cross Blue Shield","Pathways","",,"71",,"1945.03","1008.33","2135.12","percent of total billed charges",,
"ANOSCOPY w/abalation of tumor,polyp,lesi","46615","HCPCS","Both",,,"2755","1377.5","Blue Cross Blue Shield","HMO","",,"71",,"1945.03","1008.33","2135.12","percent of total billed charges",,
"ANOSCOPY w/abalation of tumor,polyp,lesi","46615","HCPCS","Both",,,"2755","1377.5","Blue Cross Blue Shield","PPO","",,"71",,"1945.03","1008.33","2135.12","percent of total billed charges",,
"ANOSCOPY w/abalation of tumor,polyp,lesi","46615","HCPCS","Both",,,"2755","1377.5","Ambetter","Health Exchange","",,"62",,"1708.1","1008.33","2135.12","percent of total billed charges",,
"ANOSCOPY w/abalation of tumor,polyp,lesi","46615","HCPCS","Both",,,"2755","1377.5","Caresource","Health Exchange","",,"62",,"1708.1","1008.33","2135.12","percent of total billed charges",,
"ANOSCOPY w/abalation of tumor,polyp,lesi","46615","HCPCS","Both",,,"2755","1377.5","Cigna","Commercial","",,"59",,"1614.43","1008.33","2135.12","percent of total billed charges",,
"ANOSCOPY w/abalation of tumor,polyp,lesi","46615","HCPCS","Both",,,"2755","1377.5","Humana","Commercial","",,"78",,"2135.12","1008.33","2135.12","percent of total billed charges",,
"ANOSCOPY w/abalation of tumor,polyp,lesi","46615","HCPCS","Both",,,"2755","1377.5","UHC","Commercial","",,"75",,"2077.27","1008.33","2135.12","percent of total billed charges",,
"ANOSCOPY w/abalation of tumor,polyp,lesi","46615","HCPCS","Both",,,"2755","1377.5","Medicaid",,"",,"37",,"1008.33","1008.33","2135.12","percent of total billed charges",,
"HEMORRHOIDECTOMY INTERNAL SINGLE","46945","HCPCS","Both",,,"5710","2855","Alliant","Health Exchange","",,"62",,"3540.2","2089.86","4425.25","percent of total billed charges",,
"HEMORRHOIDECTOMY INTERNAL SINGLE","46945","HCPCS","Both",,,"5710","2855","Pruitt Healthcare","Medicare Advantage","",,"54",,"3083.4","2089.86","4425.25","percent of total billed charges",,
"HEMORRHOIDECTOMY INTERNAL SINGLE","46945","HCPCS","Both",,,"5710","2855","Medicare",,"",,"54",,"3094.82","2089.86","4425.25","percent of total billed charges",,
"HEMORRHOIDECTOMY INTERNAL SINGLE","46945","HCPCS","Both",,,"5710","2855","Humana","Medicare Advantage","",,"54",,"3094.82","2089.86","4425.25","percent of total billed charges",,
"HEMORRHOIDECTOMY INTERNAL SINGLE","46945","HCPCS","Both",,,"5710","2855","UHC","Medicare Advantage","",,"54",,"3094.82","2089.86","4425.25","percent of total billed charges",,
"HEMORRHOIDECTOMY INTERNAL SINGLE","46945","HCPCS","Both",,,"5710","2855","Clover","Medicare Advantage","",,"54",,"3094.82","2089.86","4425.25","percent of total billed charges",,
"HEMORRHOIDECTOMY INTERNAL SINGLE","46945","HCPCS","Both",,,"5710","2855","Wellcare","Medicare Advantage","",,"54",,"3094.82","2089.86","4425.25","percent of total billed charges",,
"HEMORRHOIDECTOMY INTERNAL SINGLE","46945","HCPCS","Both",,,"5710","2855","Amerigroup","Medicaid Managed Care","",,"37",,"2089.86","2089.86","4425.25","percent of total billed charges",,
"HEMORRHOIDECTOMY INTERNAL SINGLE","46945","HCPCS","Both",,,"5710","2855","Caresource","Medicaid Managed Care","",,"40",,"2284","2089.86","4425.25","percent of total billed charges",,
"HEMORRHOIDECTOMY INTERNAL SINGLE","46945","HCPCS","Both",,,"5710","2855","Wellcare","Medicaid Managed Care","",,"40",,"2312.55","2089.86","4425.25","percent of total billed charges",,
"HEMORRHOIDECTOMY INTERNAL SINGLE","46945","HCPCS","Both",,,"5710","2855","Aetna","Commercial","",,"64",,"3642.98","2089.86","4425.25","percent of total billed charges",,
"HEMORRHOIDECTOMY INTERNAL SINGLE","46945","HCPCS","Both",,,"5710","2855","Blue Cross Blue Shield","Pathways","",,"71",,"4031.26","2089.86","4425.25","percent of total billed charges",,
"HEMORRHOIDECTOMY INTERNAL SINGLE","46945","HCPCS","Both",,,"5710","2855","Blue Cross Blue Shield","HMO","",,"71",,"4031.26","2089.86","4425.25","percent of total billed charges",,
"HEMORRHOIDECTOMY INTERNAL SINGLE","46945","HCPCS","Both",,,"5710","2855","Blue Cross Blue Shield","PPO","",,"71",,"4031.26","2089.86","4425.25","percent of total billed charges",,
"HEMORRHOIDECTOMY INTERNAL SINGLE","46945","HCPCS","Both",,,"5710","2855","Ambetter","Health Exchange","",,"62",,"3540.2","2089.86","4425.25","percent of total billed charges",,
"HEMORRHOIDECTOMY INTERNAL SINGLE","46945","HCPCS","Both",,,"5710","2855","Caresource","Health Exchange","",,"62",,"3540.2","2089.86","4425.25","percent of total billed charges",,
"HEMORRHOIDECTOMY INTERNAL SINGLE","46945","HCPCS","Both",,,"5710","2855","Cigna","Commercial","",,"59",,"3346.06","2089.86","4425.25","percent of total billed charges",,
"HEMORRHOIDECTOMY INTERNAL SINGLE","46945","HCPCS","Both",,,"5710","2855","Humana","Commercial","",,"78",,"4425.25","2089.86","4425.25","percent of total billed charges",,
"HEMORRHOIDECTOMY INTERNAL SINGLE","46945","HCPCS","Both",,,"5710","2855","UHC","Commercial","",,"75",,"4305.34","2089.86","4425.25","percent of total billed charges",,
"HEMORRHOIDECTOMY INTERNAL SINGLE","46945","HCPCS","Both",,,"5710","2855","Medicaid",,"",,"37",,"2089.86","2089.86","4425.25","percent of total billed charges",,
"HEMORRHOIDECTOMY 2 OR MORE COL GRPS","46250","HCPCS","Both",,,"5710","2855","Alliant","Health Exchange","",,"62",,"3540.2","2089.86","4425.25","percent of total billed charges",,
"HEMORRHOIDECTOMY 2 OR MORE COL GRPS","46250","HCPCS","Both",,,"5710","2855","Pruitt Healthcare","Medicare Advantage","",,"54",,"3083.4","2089.86","4425.25","percent of total billed charges",,
"HEMORRHOIDECTOMY 2 OR MORE COL GRPS","46250","HCPCS","Both",,,"5710","2855","Medicare",,"",,"54",,"3094.82","2089.86","4425.25","percent of total billed charges",,
"HEMORRHOIDECTOMY 2 OR MORE COL GRPS","46250","HCPCS","Both",,,"5710","2855","Humana","Medicare Advantage","",,"54",,"3094.82","2089.86","4425.25","percent of total billed charges",,
"HEMORRHOIDECTOMY 2 OR MORE COL GRPS","46250","HCPCS","Both",,,"5710","2855","UHC","Medicare Advantage","",,"54",,"3094.82","2089.86","4425.25","percent of total billed charges",,
"HEMORRHOIDECTOMY 2 OR MORE COL GRPS","46250","HCPCS","Both",,,"5710","2855","Clover","Medicare Advantage","",,"54",,"3094.82","2089.86","4425.25","percent of total billed charges",,
"HEMORRHOIDECTOMY 2 OR MORE COL GRPS","46250","HCPCS","Both",,,"5710","2855","Wellcare","Medicare Advantage","",,"54",,"3094.82","2089.86","4425.25","percent of total billed charges",,
"HEMORRHOIDECTOMY 2 OR MORE COL GRPS","46250","HCPCS","Both",,,"5710","2855","Amerigroup","Medicaid Managed Care","",,"37",,"2089.86","2089.86","4425.25","percent of total billed charges",,
"HEMORRHOIDECTOMY 2 OR MORE COL GRPS","46250","HCPCS","Both",,,"5710","2855","Caresource","Medicaid Managed Care","",,"40",,"2284","2089.86","4425.25","percent of total billed charges",,
"HEMORRHOIDECTOMY 2 OR MORE COL GRPS","46250","HCPCS","Both",,,"5710","2855","Wellcare","Medicaid Managed Care","",,"40",,"2312.55","2089.86","4425.25","percent of total billed charges",,
"HEMORRHOIDECTOMY 2 OR MORE COL GRPS","46250","HCPCS","Both",,,"5710","2855","Aetna","Commercial","",,"64",,"3642.98","2089.86","4425.25","percent of total billed charges",,
"HEMORRHOIDECTOMY 2 OR MORE COL GRPS","46250","HCPCS","Both",,,"5710","2855","Blue Cross Blue Shield","Pathways","",,"71",,"4031.26","2089.86","4425.25","percent of total billed charges",,
"HEMORRHOIDECTOMY 2 OR MORE COL GRPS","46250","HCPCS","Both",,,"5710","2855","Blue Cross Blue Shield","HMO","",,"71",,"4031.26","2089.86","4425.25","percent of total billed charges",,
"HEMORRHOIDECTOMY 2 OR MORE COL GRPS","46250","HCPCS","Both",,,"5710","2855","Blue Cross Blue Shield","PPO","",,"71",,"4031.26","2089.86","4425.25","percent of total billed charges",,
"HEMORRHOIDECTOMY 2 OR MORE COL GRPS","46250","HCPCS","Both",,,"5710","2855","Ambetter","Health Exchange","",,"62",,"3540.2","2089.86","4425.25","percent of total billed charges",,
"HEMORRHOIDECTOMY 2 OR MORE COL GRPS","46250","HCPCS","Both",,,"5710","2855","Caresource","Health Exchange","",,"62",,"3540.2","2089.86","4425.25","percent of total billed charges",,
"HEMORRHOIDECTOMY 2 OR MORE COL GRPS","46250","HCPCS","Both",,,"5710","2855","Cigna","Commercial","",,"59",,"3346.06","2089.86","4425.25","percent of total billed charges",,
"HEMORRHOIDECTOMY 2 OR MORE COL GRPS","46250","HCPCS","Both",,,"5710","2855","Humana","Commercial","",,"78",,"4425.25","2089.86","4425.25","percent of total billed charges",,
"HEMORRHOIDECTOMY 2 OR MORE COL GRPS","46250","HCPCS","Both",,,"5710","2855","UHC","Commercial","",,"75",,"4305.34","2089.86","4425.25","percent of total billed charges",,
"HEMORRHOIDECTOMY 2 OR MORE COL GRPS","46250","HCPCS","Both",,,"5710","2855","Medicaid",,"",,"37",,"2089.86","2089.86","4425.25","percent of total billed charges",,
"UNLISTED LAPAROSCOPIC  PROCEDURE LIVER","47379","HCPCS","Both",,,"3625.5","1812.75","Alliant","Health Exchange","",,"62",,"2247.81","1326.93","2809.76","percent of total billed charges",,
"UNLISTED LAPAROSCOPIC  PROCEDURE LIVER","47379","HCPCS","Both",,,"3625.5","1812.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"1957.77","1326.93","2809.76","percent of total billed charges",,
"UNLISTED LAPAROSCOPIC  PROCEDURE LIVER","47379","HCPCS","Both",,,"3625.5","1812.75","Medicare",,"",,"54",,"1965.02","1326.93","2809.76","percent of total billed charges",,
"UNLISTED LAPAROSCOPIC  PROCEDURE LIVER","47379","HCPCS","Both",,,"3625.5","1812.75","Humana","Medicare Advantage","",,"54",,"1965.02","1326.93","2809.76","percent of total billed charges",,
"UNLISTED LAPAROSCOPIC  PROCEDURE LIVER","47379","HCPCS","Both",,,"3625.5","1812.75","UHC","Medicare Advantage","",,"54",,"1965.02","1326.93","2809.76","percent of total billed charges",,
"UNLISTED LAPAROSCOPIC  PROCEDURE LIVER","47379","HCPCS","Both",,,"3625.5","1812.75","Clover","Medicare Advantage","",,"54",,"1965.02","1326.93","2809.76","percent of total billed charges",,
"UNLISTED LAPAROSCOPIC  PROCEDURE LIVER","47379","HCPCS","Both",,,"3625.5","1812.75","Wellcare","Medicare Advantage","",,"54",,"1965.02","1326.93","2809.76","percent of total billed charges",,
"UNLISTED LAPAROSCOPIC  PROCEDURE LIVER","47379","HCPCS","Both",,,"3625.5","1812.75","Amerigroup","Medicaid Managed Care","",,"37",,"1326.93","1326.93","2809.76","percent of total billed charges",,
"UNLISTED LAPAROSCOPIC  PROCEDURE LIVER","47379","HCPCS","Both",,,"3625.5","1812.75","Caresource","Medicaid Managed Care","",,"40",,"1450.2","1326.93","2809.76","percent of total billed charges",,
"UNLISTED LAPAROSCOPIC  PROCEDURE LIVER","47379","HCPCS","Both",,,"3625.5","1812.75","Wellcare","Medicaid Managed Care","",,"40",,"1468.33","1326.93","2809.76","percent of total billed charges",,
"UNLISTED LAPAROSCOPIC  PROCEDURE LIVER","47379","HCPCS","Both",,,"3625.5","1812.75","Aetna","Commercial","",,"64",,"2313.07","1326.93","2809.76","percent of total billed charges",,
"UNLISTED LAPAROSCOPIC  PROCEDURE LIVER","47379","HCPCS","Both",,,"3625.5","1812.75","Blue Cross Blue Shield","Pathways","",,"71",,"2559.6","1326.93","2809.76","percent of total billed charges",,
"UNLISTED LAPAROSCOPIC  PROCEDURE LIVER","47379","HCPCS","Both",,,"3625.5","1812.75","Blue Cross Blue Shield","HMO","",,"71",,"2559.6","1326.93","2809.76","percent of total billed charges",,
"UNLISTED LAPAROSCOPIC  PROCEDURE LIVER","47379","HCPCS","Both",,,"3625.5","1812.75","Blue Cross Blue Shield","PPO","",,"71",,"2559.6","1326.93","2809.76","percent of total billed charges",,
"UNLISTED LAPAROSCOPIC  PROCEDURE LIVER","47379","HCPCS","Both",,,"3625.5","1812.75","Ambetter","Health Exchange","",,"62",,"2247.81","1326.93","2809.76","percent of total billed charges",,
"UNLISTED LAPAROSCOPIC  PROCEDURE LIVER","47379","HCPCS","Both",,,"3625.5","1812.75","Caresource","Health Exchange","",,"62",,"2247.81","1326.93","2809.76","percent of total billed charges",,
"UNLISTED LAPAROSCOPIC  PROCEDURE LIVER","47379","HCPCS","Both",,,"3625.5","1812.75","Cigna","Commercial","",,"59",,"2124.54","1326.93","2809.76","percent of total billed charges",,
"UNLISTED LAPAROSCOPIC  PROCEDURE LIVER","47379","HCPCS","Both",,,"3625.5","1812.75","Humana","Commercial","",,"78",,"2809.76","1326.93","2809.76","percent of total billed charges",,
"UNLISTED LAPAROSCOPIC  PROCEDURE LIVER","47379","HCPCS","Both",,,"3625.5","1812.75","UHC","Commercial","",,"75",,"2733.63","1326.93","2809.76","percent of total billed charges",,
"UNLISTED LAPAROSCOPIC  PROCEDURE LIVER","47379","HCPCS","Both",,,"3625.5","1812.75","Medicaid",,"",,"37",,"1326.93","1326.93","2809.76","percent of total billed charges",,
"CHOLECYSTECTOMY, LAPAROSCOPY","47562","HCPCS","Both",,,"13564.5","6782.25","Alliant","Health Exchange","",,"62",,"8409.99","4964.61","10512.49","percent of total billed charges",,
"CHOLECYSTECTOMY, LAPAROSCOPY","47562","HCPCS","Both",,,"13564.5","6782.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"7324.83","4964.61","10512.49","percent of total billed charges",,
"CHOLECYSTECTOMY, LAPAROSCOPY","47562","HCPCS","Both",,,"13564.5","6782.25","Medicare",,"",,"54",,"7351.96","4964.61","10512.49","percent of total billed charges",,
"CHOLECYSTECTOMY, LAPAROSCOPY","47562","HCPCS","Both",,,"13564.5","6782.25","Humana","Medicare Advantage","",,"54",,"7351.96","4964.61","10512.49","percent of total billed charges",,
"CHOLECYSTECTOMY, LAPAROSCOPY","47562","HCPCS","Both",,,"13564.5","6782.25","UHC","Medicare Advantage","",,"54",,"7351.96","4964.61","10512.49","percent of total billed charges",,
"CHOLECYSTECTOMY, LAPAROSCOPY","47562","HCPCS","Both",,,"13564.5","6782.25","Clover","Medicare Advantage","",,"54",,"7351.96","4964.61","10512.49","percent of total billed charges",,
"CHOLECYSTECTOMY, LAPAROSCOPY","47562","HCPCS","Both",,,"13564.5","6782.25","Wellcare","Medicare Advantage","",,"54",,"7351.96","4964.61","10512.49","percent of total billed charges",,
"CHOLECYSTECTOMY, LAPAROSCOPY","47562","HCPCS","Both",,,"13564.5","6782.25","Amerigroup","Medicaid Managed Care","",,"37",,"4964.61","4964.61","10512.49","percent of total billed charges",,
"CHOLECYSTECTOMY, LAPAROSCOPY","47562","HCPCS","Both",,,"13564.5","6782.25","Caresource","Medicaid Managed Care","",,"40",,"5425.8","4964.61","10512.49","percent of total billed charges",,
"CHOLECYSTECTOMY, LAPAROSCOPY","47562","HCPCS","Both",,,"13564.5","6782.25","Wellcare","Medicaid Managed Care","",,"40",,"5493.62","4964.61","10512.49","percent of total billed charges",,
"CHOLECYSTECTOMY, LAPAROSCOPY","47562","HCPCS","Both",,,"13564.5","6782.25","Aetna","Commercial","",,"64",,"8654.15","4964.61","10512.49","percent of total billed charges",,
"CHOLECYSTECTOMY, LAPAROSCOPY","47562","HCPCS","Both",,,"13564.5","6782.25","Blue Cross Blue Shield","Pathways","",,"71",,"9576.54","4964.61","10512.49","percent of total billed charges",,
"CHOLECYSTECTOMY, LAPAROSCOPY","47562","HCPCS","Both",,,"13564.5","6782.25","Blue Cross Blue Shield","HMO","",,"71",,"9576.54","4964.61","10512.49","percent of total billed charges",,
"CHOLECYSTECTOMY, LAPAROSCOPY","47562","HCPCS","Both",,,"13564.5","6782.25","Blue Cross Blue Shield","PPO","",,"71",,"9576.54","4964.61","10512.49","percent of total billed charges",,
"CHOLECYSTECTOMY, LAPAROSCOPY","47562","HCPCS","Both",,,"13564.5","6782.25","Ambetter","Health Exchange","",,"62",,"8409.99","4964.61","10512.49","percent of total billed charges",,
"CHOLECYSTECTOMY, LAPAROSCOPY","47562","HCPCS","Both",,,"13564.5","6782.25","Caresource","Health Exchange","",,"62",,"8409.99","4964.61","10512.49","percent of total billed charges",,
"CHOLECYSTECTOMY, LAPAROSCOPY","47562","HCPCS","Both",,,"13564.5","6782.25","Cigna","Commercial","",,"59",,"7948.8","4964.61","10512.49","percent of total billed charges",,
"CHOLECYSTECTOMY, LAPAROSCOPY","47562","HCPCS","Both",,,"13564.5","6782.25","Humana","Commercial","",,"78",,"10512.49","4964.61","10512.49","percent of total billed charges",,
"CHOLECYSTECTOMY, LAPAROSCOPY","47562","HCPCS","Both",,,"13564.5","6782.25","UHC","Commercial","",,"75",,"10227.63","4964.61","10512.49","percent of total billed charges",,
"CHOLECYSTECTOMY, LAPAROSCOPY","47562","HCPCS","Both",,,"13564.5","6782.25","Medicaid",,"",,"37",,"4964.61","4964.61","10512.49","percent of total billed charges",,
"LAPAROSCOPY, SURGICAL; CHOLECYS W/CHOLAN","47563","HCPCS","Both",,,"1727","863.5","Alliant","Health Exchange","",,"62",,"1070.74","632.08","1338.42","percent of total billed charges",,
"LAPAROSCOPY, SURGICAL; CHOLECYS W/CHOLAN","47563","HCPCS","Both",,,"1727","863.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"932.58","632.08","1338.42","percent of total billed charges",,
"LAPAROSCOPY, SURGICAL; CHOLECYS W/CHOLAN","47563","HCPCS","Both",,,"1727","863.5","Medicare",,"",,"54",,"936.03","632.08","1338.42","percent of total billed charges",,
"LAPAROSCOPY, SURGICAL; CHOLECYS W/CHOLAN","47563","HCPCS","Both",,,"1727","863.5","Humana","Medicare Advantage","",,"54",,"936.03","632.08","1338.42","percent of total billed charges",,
"LAPAROSCOPY, SURGICAL; CHOLECYS W/CHOLAN","47563","HCPCS","Both",,,"1727","863.5","UHC","Medicare Advantage","",,"54",,"936.03","632.08","1338.42","percent of total billed charges",,
"LAPAROSCOPY, SURGICAL; CHOLECYS W/CHOLAN","47563","HCPCS","Both",,,"1727","863.5","Clover","Medicare Advantage","",,"54",,"936.03","632.08","1338.42","percent of total billed charges",,
"LAPAROSCOPY, SURGICAL; CHOLECYS W/CHOLAN","47563","HCPCS","Both",,,"1727","863.5","Wellcare","Medicare Advantage","",,"54",,"936.03","632.08","1338.42","percent of total billed charges",,
"LAPAROSCOPY, SURGICAL; CHOLECYS W/CHOLAN","47563","HCPCS","Both",,,"1727","863.5","Amerigroup","Medicaid Managed Care","",,"37",,"632.08","632.08","1338.42","percent of total billed charges",,
"LAPAROSCOPY, SURGICAL; CHOLECYS W/CHOLAN","47563","HCPCS","Both",,,"1727","863.5","Caresource","Medicaid Managed Care","",,"40",,"690.8","632.08","1338.42","percent of total billed charges",,
"LAPAROSCOPY, SURGICAL; CHOLECYS W/CHOLAN","47563","HCPCS","Both",,,"1727","863.5","Wellcare","Medicaid Managed Care","",,"40",,"699.44","632.08","1338.42","percent of total billed charges",,
"LAPAROSCOPY, SURGICAL; CHOLECYS W/CHOLAN","47563","HCPCS","Both",,,"1727","863.5","Aetna","Commercial","",,"64",,"1101.83","632.08","1338.42","percent of total billed charges",,
"LAPAROSCOPY, SURGICAL; CHOLECYS W/CHOLAN","47563","HCPCS","Both",,,"1727","863.5","Blue Cross Blue Shield","Pathways","",,"71",,"1219.26","632.08","1338.42","percent of total billed charges",,
"LAPAROSCOPY, SURGICAL; CHOLECYS W/CHOLAN","47563","HCPCS","Both",,,"1727","863.5","Blue Cross Blue Shield","HMO","",,"71",,"1219.26","632.08","1338.42","percent of total billed charges",,
"LAPAROSCOPY, SURGICAL; CHOLECYS W/CHOLAN","47563","HCPCS","Both",,,"1727","863.5","Blue Cross Blue Shield","PPO","",,"71",,"1219.26","632.08","1338.42","percent of total billed charges",,
"LAPAROSCOPY, SURGICAL; CHOLECYS W/CHOLAN","47563","HCPCS","Both",,,"1727","863.5","Ambetter","Health Exchange","",,"62",,"1070.74","632.08","1338.42","percent of total billed charges",,
"LAPAROSCOPY, SURGICAL; CHOLECYS W/CHOLAN","47563","HCPCS","Both",,,"1727","863.5","Caresource","Health Exchange","",,"62",,"1070.74","632.08","1338.42","percent of total billed charges",,
"LAPAROSCOPY, SURGICAL; CHOLECYS W/CHOLAN","47563","HCPCS","Both",,,"1727","863.5","Cigna","Commercial","",,"59",,"1012.02","632.08","1338.42","percent of total billed charges",,
"LAPAROSCOPY, SURGICAL; CHOLECYS W/CHOLAN","47563","HCPCS","Both",,,"1727","863.5","Humana","Commercial","",,"78",,"1338.42","632.08","1338.42","percent of total billed charges",,
"LAPAROSCOPY, SURGICAL; CHOLECYS W/CHOLAN","47563","HCPCS","Both",,,"1727","863.5","UHC","Commercial","",,"75",,"1302.16","632.08","1338.42","percent of total billed charges",,
"LAPAROSCOPY, SURGICAL; CHOLECYS W/CHOLAN","47563","HCPCS","Both",,,"1727","863.5","Medicaid",,"",,"37",,"632.08","632.08","1338.42","percent of total billed charges",,
"CHOLECYSTECTOMY (IP ONLY)","47600","HCPCS","Both",,,"2259","1129.5","Alliant","Health Exchange","",,"62",,"1400.58","826.79","1750.72","percent of total billed charges",,
"CHOLECYSTECTOMY (IP ONLY)","47600","HCPCS","Both",,,"2259","1129.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"1219.86","826.79","1750.72","percent of total billed charges",,
"CHOLECYSTECTOMY (IP ONLY)","47600","HCPCS","Both",,,"2259","1129.5","Medicare",,"",,"54",,"1224.38","826.79","1750.72","percent of total billed charges",,
"CHOLECYSTECTOMY (IP ONLY)","47600","HCPCS","Both",,,"2259","1129.5","Humana","Medicare Advantage","",,"54",,"1224.38","826.79","1750.72","percent of total billed charges",,
"CHOLECYSTECTOMY (IP ONLY)","47600","HCPCS","Both",,,"2259","1129.5","UHC","Medicare Advantage","",,"54",,"1224.38","826.79","1750.72","percent of total billed charges",,
"CHOLECYSTECTOMY (IP ONLY)","47600","HCPCS","Both",,,"2259","1129.5","Clover","Medicare Advantage","",,"54",,"1224.38","826.79","1750.72","percent of total billed charges",,
"CHOLECYSTECTOMY (IP ONLY)","47600","HCPCS","Both",,,"2259","1129.5","Wellcare","Medicare Advantage","",,"54",,"1224.38","826.79","1750.72","percent of total billed charges",,
"CHOLECYSTECTOMY (IP ONLY)","47600","HCPCS","Both",,,"2259","1129.5","Amerigroup","Medicaid Managed Care","",,"37",,"826.79","826.79","1750.72","percent of total billed charges",,
"CHOLECYSTECTOMY (IP ONLY)","47600","HCPCS","Both",,,"2259","1129.5","Caresource","Medicaid Managed Care","",,"40",,"903.6","826.79","1750.72","percent of total billed charges",,
"CHOLECYSTECTOMY (IP ONLY)","47600","HCPCS","Both",,,"2259","1129.5","Wellcare","Medicaid Managed Care","",,"40",,"914.9","826.79","1750.72","percent of total billed charges",,
"CHOLECYSTECTOMY (IP ONLY)","47600","HCPCS","Both",,,"2259","1129.5","Aetna","Commercial","",,"64",,"1441.24","826.79","1750.72","percent of total billed charges",,
"CHOLECYSTECTOMY (IP ONLY)","47600","HCPCS","Both",,,"2259","1129.5","Blue Cross Blue Shield","Pathways","",,"71",,"1594.85","826.79","1750.72","percent of total billed charges",,
"CHOLECYSTECTOMY (IP ONLY)","47600","HCPCS","Both",,,"2259","1129.5","Blue Cross Blue Shield","HMO","",,"71",,"1594.85","826.79","1750.72","percent of total billed charges",,
"CHOLECYSTECTOMY (IP ONLY)","47600","HCPCS","Both",,,"2259","1129.5","Blue Cross Blue Shield","PPO","",,"71",,"1594.85","826.79","1750.72","percent of total billed charges",,
"CHOLECYSTECTOMY (IP ONLY)","47600","HCPCS","Both",,,"2259","1129.5","Ambetter","Health Exchange","",,"62",,"1400.58","826.79","1750.72","percent of total billed charges",,
"CHOLECYSTECTOMY (IP ONLY)","47600","HCPCS","Both",,,"2259","1129.5","Caresource","Health Exchange","",,"62",,"1400.58","826.79","1750.72","percent of total billed charges",,
"CHOLECYSTECTOMY (IP ONLY)","47600","HCPCS","Both",,,"2259","1129.5","Cigna","Commercial","",,"59",,"1323.77","826.79","1750.72","percent of total billed charges",,
"CHOLECYSTECTOMY (IP ONLY)","47600","HCPCS","Both",,,"2259","1129.5","Humana","Commercial","",,"78",,"1750.72","826.79","1750.72","percent of total billed charges",,
"CHOLECYSTECTOMY (IP ONLY)","47600","HCPCS","Both",,,"2259","1129.5","UHC","Commercial","",,"75",,"1703.29","826.79","1750.72","percent of total billed charges",,
"CHOLECYSTECTOMY (IP ONLY)","47600","HCPCS","Both",,,"2259","1129.5","Medicaid",,"",,"37",,"826.79","826.79","1750.72","percent of total billed charges",,
"ABDOMINAL PARACENTESIS W/O IMAGING","49082","HCPCS","Both",,,"1287.5","643.75","Alliant","Health Exchange","",,"62",,"798.25","471.22","997.81","percent of total billed charges",,
"ABDOMINAL PARACENTESIS W/O IMAGING","49082","HCPCS","Both",,,"1287.5","643.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"695.25","471.22","997.81","percent of total billed charges",,
"ABDOMINAL PARACENTESIS W/O IMAGING","49082","HCPCS","Both",,,"1287.5","643.75","Medicare",,"",,"54",,"697.82","471.22","997.81","percent of total billed charges",,
"ABDOMINAL PARACENTESIS W/O IMAGING","49082","HCPCS","Both",,,"1287.5","643.75","Humana","Medicare Advantage","",,"54",,"697.82","471.22","997.81","percent of total billed charges",,
"ABDOMINAL PARACENTESIS W/O IMAGING","49082","HCPCS","Both",,,"1287.5","643.75","UHC","Medicare Advantage","",,"54",,"697.82","471.22","997.81","percent of total billed charges",,
"ABDOMINAL PARACENTESIS W/O IMAGING","49082","HCPCS","Both",,,"1287.5","643.75","Clover","Medicare Advantage","",,"54",,"697.82","471.22","997.81","percent of total billed charges",,
"ABDOMINAL PARACENTESIS W/O IMAGING","49082","HCPCS","Both",,,"1287.5","643.75","Wellcare","Medicare Advantage","",,"54",,"697.82","471.22","997.81","percent of total billed charges",,
"ABDOMINAL PARACENTESIS W/O IMAGING","49082","HCPCS","Both",,,"1287.5","643.75","Amerigroup","Medicaid Managed Care","",,"37",,"471.22","471.22","997.81","percent of total billed charges",,
"ABDOMINAL PARACENTESIS W/O IMAGING","49082","HCPCS","Both",,,"1287.5","643.75","Caresource","Medicaid Managed Care","",,"40",,"515","471.22","997.81","percent of total billed charges",,
"ABDOMINAL PARACENTESIS W/O IMAGING","49082","HCPCS","Both",,,"1287.5","643.75","Wellcare","Medicaid Managed Care","",,"40",,"521.44","471.22","997.81","percent of total billed charges",,
"ABDOMINAL PARACENTESIS W/O IMAGING","49082","HCPCS","Both",,,"1287.5","643.75","Aetna","Commercial","",,"64",,"821.42","471.22","997.81","percent of total billed charges",,
"ABDOMINAL PARACENTESIS W/O IMAGING","49082","HCPCS","Both",,,"1287.5","643.75","Blue Cross Blue Shield","Pathways","",,"71",,"908.97","471.22","997.81","percent of total billed charges",,
"ABDOMINAL PARACENTESIS W/O IMAGING","49082","HCPCS","Both",,,"1287.5","643.75","Blue Cross Blue Shield","HMO","",,"71",,"908.97","471.22","997.81","percent of total billed charges",,
"ABDOMINAL PARACENTESIS W/O IMAGING","49082","HCPCS","Both",,,"1287.5","643.75","Blue Cross Blue Shield","PPO","",,"71",,"908.97","471.22","997.81","percent of total billed charges",,
"ABDOMINAL PARACENTESIS W/O IMAGING","49082","HCPCS","Both",,,"1287.5","643.75","Ambetter","Health Exchange","",,"62",,"798.25","471.22","997.81","percent of total billed charges",,
"ABDOMINAL PARACENTESIS W/O IMAGING","49082","HCPCS","Both",,,"1287.5","643.75","Caresource","Health Exchange","",,"62",,"798.25","471.22","997.81","percent of total billed charges",,
"ABDOMINAL PARACENTESIS W/O IMAGING","49082","HCPCS","Both",,,"1287.5","643.75","Cigna","Commercial","",,"59",,"754.47","471.22","997.81","percent of total billed charges",,
"ABDOMINAL PARACENTESIS W/O IMAGING","49082","HCPCS","Both",,,"1287.5","643.75","Humana","Commercial","",,"78",,"997.81","471.22","997.81","percent of total billed charges",,
"ABDOMINAL PARACENTESIS W/O IMAGING","49082","HCPCS","Both",,,"1287.5","643.75","UHC","Commercial","",,"75",,"970.78","471.22","997.81","percent of total billed charges",,
"ABDOMINAL PARACENTESIS W/O IMAGING","49082","HCPCS","Both",,,"1287.5","643.75","Medicaid",,"",,"37",,"471.22","471.22","997.81","percent of total billed charges",,
"ABD PARACENTESIS DIAG/THERAP W/IMAGING G","49083","HCPCS","Both",,,"786","393","Alliant","Health Exchange","",,"62",,"487.32","287.68","609.15","percent of total billed charges",,
"ABD PARACENTESIS DIAG/THERAP W/IMAGING G","49083","HCPCS","Both",,,"786","393","Pruitt Healthcare","Medicare Advantage","",,"54",,"424.44","287.68","609.15","percent of total billed charges",,
"ABD PARACENTESIS DIAG/THERAP W/IMAGING G","49083","HCPCS","Both",,,"786","393","Medicare",,"",,"54",,"426.01","287.68","609.15","percent of total billed charges",,
"ABD PARACENTESIS DIAG/THERAP W/IMAGING G","49083","HCPCS","Both",,,"786","393","Humana","Medicare Advantage","",,"54",,"426.01","287.68","609.15","percent of total billed charges",,
"ABD PARACENTESIS DIAG/THERAP W/IMAGING G","49083","HCPCS","Both",,,"786","393","UHC","Medicare Advantage","",,"54",,"426.01","287.68","609.15","percent of total billed charges",,
"ABD PARACENTESIS DIAG/THERAP W/IMAGING G","49083","HCPCS","Both",,,"786","393","Clover","Medicare Advantage","",,"54",,"426.01","287.68","609.15","percent of total billed charges",,
"ABD PARACENTESIS DIAG/THERAP W/IMAGING G","49083","HCPCS","Both",,,"786","393","Wellcare","Medicare Advantage","",,"54",,"426.01","287.68","609.15","percent of total billed charges",,
"ABD PARACENTESIS DIAG/THERAP W/IMAGING G","49083","HCPCS","Both",,,"786","393","Amerigroup","Medicaid Managed Care","",,"37",,"287.68","287.68","609.15","percent of total billed charges",,
"ABD PARACENTESIS DIAG/THERAP W/IMAGING G","49083","HCPCS","Both",,,"786","393","Caresource","Medicaid Managed Care","",,"40",,"314.4","287.68","609.15","percent of total billed charges",,
"ABD PARACENTESIS DIAG/THERAP W/IMAGING G","49083","HCPCS","Both",,,"786","393","Wellcare","Medicaid Managed Care","",,"40",,"318.33","287.68","609.15","percent of total billed charges",,
"ABD PARACENTESIS DIAG/THERAP W/IMAGING G","49083","HCPCS","Both",,,"786","393","Aetna","Commercial","",,"64",,"501.47","287.68","609.15","percent of total billed charges",,
"ABD PARACENTESIS DIAG/THERAP W/IMAGING G","49083","HCPCS","Both",,,"786","393","Blue Cross Blue Shield","Pathways","",,"71",,"554.92","287.68","609.15","percent of total billed charges",,
"ABD PARACENTESIS DIAG/THERAP W/IMAGING G","49083","HCPCS","Both",,,"786","393","Blue Cross Blue Shield","HMO","",,"71",,"554.92","287.68","609.15","percent of total billed charges",,
"ABD PARACENTESIS DIAG/THERAP W/IMAGING G","49083","HCPCS","Both",,,"786","393","Blue Cross Blue Shield","PPO","",,"71",,"554.92","287.68","609.15","percent of total billed charges",,
"ABD PARACENTESIS DIAG/THERAP W/IMAGING G","49083","HCPCS","Both",,,"786","393","Ambetter","Health Exchange","",,"62",,"487.32","287.68","609.15","percent of total billed charges",,
"ABD PARACENTESIS DIAG/THERAP W/IMAGING G","49083","HCPCS","Both",,,"786","393","Caresource","Health Exchange","",,"62",,"487.32","287.68","609.15","percent of total billed charges",,
"ABD PARACENTESIS DIAG/THERAP W/IMAGING G","49083","HCPCS","Both",,,"786","393","Cigna","Commercial","",,"59",,"460.6","287.68","609.15","percent of total billed charges",,
"ABD PARACENTESIS DIAG/THERAP W/IMAGING G","49083","HCPCS","Both",,,"786","393","Humana","Commercial","",,"78",,"609.15","287.68","609.15","percent of total billed charges",,
"ABD PARACENTESIS DIAG/THERAP W/IMAGING G","49083","HCPCS","Both",,,"786","393","UHC","Commercial","",,"75",,"592.64","287.68","609.15","percent of total billed charges",,
"ABD PARACENTESIS DIAG/THERAP W/IMAGING G","49083","HCPCS","Both",,,"786","393","Medicaid",,"",,"37",,"287.68","287.68","609.15","percent of total billed charges",,
"LAPAROSCOPY, ABDOMEN, PERITONEUM","49320","HCPCS","Both",,,"5106.5","2553.25","Alliant","Health Exchange","",,"62",,"3166.03","1868.98","3957.54","percent of total billed charges",,
"LAPAROSCOPY, ABDOMEN, PERITONEUM","49320","HCPCS","Both",,,"5106.5","2553.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"2757.51","1868.98","3957.54","percent of total billed charges",,
"LAPAROSCOPY, ABDOMEN, PERITONEUM","49320","HCPCS","Both",,,"5106.5","2553.25","Medicare",,"",,"54",,"2767.72","1868.98","3957.54","percent of total billed charges",,
"LAPAROSCOPY, ABDOMEN, PERITONEUM","49320","HCPCS","Both",,,"5106.5","2553.25","Humana","Medicare Advantage","",,"54",,"2767.72","1868.98","3957.54","percent of total billed charges",,
"LAPAROSCOPY, ABDOMEN, PERITONEUM","49320","HCPCS","Both",,,"5106.5","2553.25","UHC","Medicare Advantage","",,"54",,"2767.72","1868.98","3957.54","percent of total billed charges",,
"LAPAROSCOPY, ABDOMEN, PERITONEUM","49320","HCPCS","Both",,,"5106.5","2553.25","Clover","Medicare Advantage","",,"54",,"2767.72","1868.98","3957.54","percent of total billed charges",,
"LAPAROSCOPY, ABDOMEN, PERITONEUM","49320","HCPCS","Both",,,"5106.5","2553.25","Wellcare","Medicare Advantage","",,"54",,"2767.72","1868.98","3957.54","percent of total billed charges",,
"LAPAROSCOPY, ABDOMEN, PERITONEUM","49320","HCPCS","Both",,,"5106.5","2553.25","Amerigroup","Medicaid Managed Care","",,"37",,"1868.98","1868.98","3957.54","percent of total billed charges",,
"LAPAROSCOPY, ABDOMEN, PERITONEUM","49320","HCPCS","Both",,,"5106.5","2553.25","Caresource","Medicaid Managed Care","",,"40",,"2042.6","1868.98","3957.54","percent of total billed charges",,
"LAPAROSCOPY, ABDOMEN, PERITONEUM","49320","HCPCS","Both",,,"5106.5","2553.25","Wellcare","Medicaid Managed Care","",,"40",,"2068.13","1868.98","3957.54","percent of total billed charges",,
"LAPAROSCOPY, ABDOMEN, PERITONEUM","49320","HCPCS","Both",,,"5106.5","2553.25","Aetna","Commercial","",,"64",,"3257.95","1868.98","3957.54","percent of total billed charges",,
"LAPAROSCOPY, ABDOMEN, PERITONEUM","49320","HCPCS","Both",,,"5106.5","2553.25","Blue Cross Blue Shield","Pathways","",,"71",,"3605.19","1868.98","3957.54","percent of total billed charges",,
"LAPAROSCOPY, ABDOMEN, PERITONEUM","49320","HCPCS","Both",,,"5106.5","2553.25","Blue Cross Blue Shield","HMO","",,"71",,"3605.19","1868.98","3957.54","percent of total billed charges",,
"LAPAROSCOPY, ABDOMEN, PERITONEUM","49320","HCPCS","Both",,,"5106.5","2553.25","Blue Cross Blue Shield","PPO","",,"71",,"3605.19","1868.98","3957.54","percent of total billed charges",,
"LAPAROSCOPY, ABDOMEN, PERITONEUM","49320","HCPCS","Both",,,"5106.5","2553.25","Ambetter","Health Exchange","",,"62",,"3166.03","1868.98","3957.54","percent of total billed charges",,
"LAPAROSCOPY, ABDOMEN, PERITONEUM","49320","HCPCS","Both",,,"5106.5","2553.25","Caresource","Health Exchange","",,"62",,"3166.03","1868.98","3957.54","percent of total billed charges",,
"LAPAROSCOPY, ABDOMEN, PERITONEUM","49320","HCPCS","Both",,,"5106.5","2553.25","Cigna","Commercial","",,"59",,"2992.41","1868.98","3957.54","percent of total billed charges",,
"LAPAROSCOPY, ABDOMEN, PERITONEUM","49320","HCPCS","Both",,,"5106.5","2553.25","Humana","Commercial","",,"78",,"3957.54","1868.98","3957.54","percent of total billed charges",,
"LAPAROSCOPY, ABDOMEN, PERITONEUM","49320","HCPCS","Both",,,"5106.5","2553.25","UHC","Commercial","",,"75",,"3850.3","1868.98","3957.54","percent of total billed charges",,
"LAPAROSCOPY, ABDOMEN, PERITONEUM","49320","HCPCS","Both",,,"5106.5","2553.25","Medicaid",,"",,"37",,"1868.98","1868.98","3957.54","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, 6mo <5","49500","HCPCS","Both",,,"7582","3791","Alliant","Health Exchange","",,"62",,"4700.84","2775.01","5876.05","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, 6mo <5","49500","HCPCS","Both",,,"7582","3791","Pruitt Healthcare","Medicare Advantage","",,"54",,"4094.28","2775.01","5876.05","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, 6mo <5","49500","HCPCS","Both",,,"7582","3791","Medicare",,"",,"54",,"4109.44","2775.01","5876.05","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, 6mo <5","49500","HCPCS","Both",,,"7582","3791","Humana","Medicare Advantage","",,"54",,"4109.44","2775.01","5876.05","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, 6mo <5","49500","HCPCS","Both",,,"7582","3791","UHC","Medicare Advantage","",,"54",,"4109.44","2775.01","5876.05","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, 6mo <5","49500","HCPCS","Both",,,"7582","3791","Clover","Medicare Advantage","",,"54",,"4109.44","2775.01","5876.05","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, 6mo <5","49500","HCPCS","Both",,,"7582","3791","Wellcare","Medicare Advantage","",,"54",,"4109.44","2775.01","5876.05","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, 6mo <5","49500","HCPCS","Both",,,"7582","3791","Amerigroup","Medicaid Managed Care","",,"37",,"2775.01","2775.01","5876.05","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, 6mo <5","49500","HCPCS","Both",,,"7582","3791","Caresource","Medicaid Managed Care","",,"40",,"3032.8","2775.01","5876.05","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, 6mo <5","49500","HCPCS","Both",,,"7582","3791","Wellcare","Medicaid Managed Care","",,"40",,"3070.71","2775.01","5876.05","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, 6mo <5","49500","HCPCS","Both",,,"7582","3791","Aetna","Commercial","",,"64",,"4837.32","2775.01","5876.05","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, 6mo <5","49500","HCPCS","Both",,,"7582","3791","Blue Cross Blue Shield","Pathways","",,"71",,"5352.89","2775.01","5876.05","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, 6mo <5","49500","HCPCS","Both",,,"7582","3791","Blue Cross Blue Shield","HMO","",,"71",,"5352.89","2775.01","5876.05","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, 6mo <5","49500","HCPCS","Both",,,"7582","3791","Blue Cross Blue Shield","PPO","",,"71",,"5352.89","2775.01","5876.05","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, 6mo <5","49500","HCPCS","Both",,,"7582","3791","Ambetter","Health Exchange","",,"62",,"4700.84","2775.01","5876.05","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, 6mo <5","49500","HCPCS","Both",,,"7582","3791","Caresource","Health Exchange","",,"62",,"4700.84","2775.01","5876.05","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, 6mo <5","49500","HCPCS","Both",,,"7582","3791","Cigna","Commercial","",,"59",,"4443.05","2775.01","5876.05","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, 6mo <5","49500","HCPCS","Both",,,"7582","3791","Humana","Commercial","",,"78",,"5876.05","2775.01","5876.05","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, 6mo <5","49500","HCPCS","Both",,,"7582","3791","UHC","Commercial","",,"75",,"5716.83","2775.01","5876.05","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, 6mo <5","49500","HCPCS","Both",,,"7582","3791","Medicaid",,"",,"37",,"2775.01","2775.01","5876.05","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, AGE 5 >","49505","HCPCS","Both",,,"1356","678","Alliant","Health Exchange","",,"62",,"840.72","496.3","1050.9","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, AGE 5 >","49505","HCPCS","Both",,,"1356","678","Pruitt Healthcare","Medicare Advantage","",,"54",,"732.24","496.3","1050.9","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, AGE 5 >","49505","HCPCS","Both",,,"1356","678","Medicare",,"",,"54",,"734.95","496.3","1050.9","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, AGE 5 >","49505","HCPCS","Both",,,"1356","678","Humana","Medicare Advantage","",,"54",,"734.95","496.3","1050.9","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, AGE 5 >","49505","HCPCS","Both",,,"1356","678","UHC","Medicare Advantage","",,"54",,"734.95","496.3","1050.9","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, AGE 5 >","49505","HCPCS","Both",,,"1356","678","Clover","Medicare Advantage","",,"54",,"734.95","496.3","1050.9","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, AGE 5 >","49505","HCPCS","Both",,,"1356","678","Wellcare","Medicare Advantage","",,"54",,"734.95","496.3","1050.9","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, AGE 5 >","49505","HCPCS","Both",,,"1356","678","Amerigroup","Medicaid Managed Care","",,"37",,"496.3","496.3","1050.9","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, AGE 5 >","49505","HCPCS","Both",,,"1356","678","Caresource","Medicaid Managed Care","",,"40",,"542.4","496.3","1050.9","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, AGE 5 >","49505","HCPCS","Both",,,"1356","678","Wellcare","Medicaid Managed Care","",,"40",,"549.18","496.3","1050.9","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, AGE 5 >","49505","HCPCS","Both",,,"1356","678","Aetna","Commercial","",,"64",,"865.13","496.3","1050.9","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, AGE 5 >","49505","HCPCS","Both",,,"1356","678","Blue Cross Blue Shield","Pathways","",,"71",,"957.34","496.3","1050.9","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, AGE 5 >","49505","HCPCS","Both",,,"1356","678","Blue Cross Blue Shield","HMO","",,"71",,"957.34","496.3","1050.9","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, AGE 5 >","49505","HCPCS","Both",,,"1356","678","Blue Cross Blue Shield","PPO","",,"71",,"957.34","496.3","1050.9","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, AGE 5 >","49505","HCPCS","Both",,,"1356","678","Ambetter","Health Exchange","",,"62",,"840.72","496.3","1050.9","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, AGE 5 >","49505","HCPCS","Both",,,"1356","678","Caresource","Health Exchange","",,"62",,"840.72","496.3","1050.9","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, AGE 5 >","49505","HCPCS","Both",,,"1356","678","Cigna","Commercial","",,"59",,"794.62","496.3","1050.9","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, AGE 5 >","49505","HCPCS","Both",,,"1356","678","Humana","Commercial","",,"78",,"1050.9","496.3","1050.9","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, AGE 5 >","49505","HCPCS","Both",,,"1356","678","UHC","Commercial","",,"75",,"1022.42","496.3","1050.9","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, AGE 5 >","49505","HCPCS","Both",,,"1356","678","Medicaid",,"",,"37",,"496.3","496.3","1050.9","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA AGE 5 >","49507","HCPCS","Both",,,"1077","538.5","Alliant","Health Exchange","",,"62",,"667.74","394.18","834.68","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA AGE 5 >","49507","HCPCS","Both",,,"1077","538.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"581.58","394.18","834.68","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA AGE 5 >","49507","HCPCS","Both",,,"1077","538.5","Medicare",,"",,"54",,"583.73","394.18","834.68","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA AGE 5 >","49507","HCPCS","Both",,,"1077","538.5","Humana","Medicare Advantage","",,"54",,"583.73","394.18","834.68","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA AGE 5 >","49507","HCPCS","Both",,,"1077","538.5","UHC","Medicare Advantage","",,"54",,"583.73","394.18","834.68","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA AGE 5 >","49507","HCPCS","Both",,,"1077","538.5","Clover","Medicare Advantage","",,"54",,"583.73","394.18","834.68","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA AGE 5 >","49507","HCPCS","Both",,,"1077","538.5","Wellcare","Medicare Advantage","",,"54",,"583.73","394.18","834.68","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA AGE 5 >","49507","HCPCS","Both",,,"1077","538.5","Amerigroup","Medicaid Managed Care","",,"37",,"394.18","394.18","834.68","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA AGE 5 >","49507","HCPCS","Both",,,"1077","538.5","Caresource","Medicaid Managed Care","",,"40",,"430.8","394.18","834.68","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA AGE 5 >","49507","HCPCS","Both",,,"1077","538.5","Wellcare","Medicaid Managed Care","",,"40",,"436.18","394.18","834.68","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA AGE 5 >","49507","HCPCS","Both",,,"1077","538.5","Aetna","Commercial","",,"64",,"687.13","394.18","834.68","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA AGE 5 >","49507","HCPCS","Both",,,"1077","538.5","Blue Cross Blue Shield","Pathways","",,"71",,"760.36","394.18","834.68","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA AGE 5 >","49507","HCPCS","Both",,,"1077","538.5","Blue Cross Blue Shield","HMO","",,"71",,"760.36","394.18","834.68","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA AGE 5 >","49507","HCPCS","Both",,,"1077","538.5","Blue Cross Blue Shield","PPO","",,"71",,"760.36","394.18","834.68","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA AGE 5 >","49507","HCPCS","Both",,,"1077","538.5","Ambetter","Health Exchange","",,"62",,"667.74","394.18","834.68","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA AGE 5 >","49507","HCPCS","Both",,,"1077","538.5","Caresource","Health Exchange","",,"62",,"667.74","394.18","834.68","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA AGE 5 >","49507","HCPCS","Both",,,"1077","538.5","Cigna","Commercial","",,"59",,"631.12","394.18","834.68","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA AGE 5 >","49507","HCPCS","Both",,,"1077","538.5","Humana","Commercial","",,"78",,"834.68","394.18","834.68","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA AGE 5 >","49507","HCPCS","Both",,,"1077","538.5","UHC","Commercial","",,"75",,"812.06","394.18","834.68","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA AGE 5 >","49507","HCPCS","Both",,,"1077","538.5","Medicaid",,"",,"37",,"394.18","394.18","834.68","percent of total billed charges",,
"REPAIR RECURRENT INGUINAL HERNIA; REDUC","49520","HCPCS","Both",,,"865","432.5","Alliant","Health Exchange","",,"62",,"536.3","316.59","670.38","percent of total billed charges",,
"REPAIR RECURRENT INGUINAL HERNIA; REDUC","49520","HCPCS","Both",,,"865","432.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"467.1","316.59","670.38","percent of total billed charges",,
"REPAIR RECURRENT INGUINAL HERNIA; REDUC","49520","HCPCS","Both",,,"865","432.5","Medicare",,"",,"54",,"468.83","316.59","670.38","percent of total billed charges",,
"REPAIR RECURRENT INGUINAL HERNIA; REDUC","49520","HCPCS","Both",,,"865","432.5","Humana","Medicare Advantage","",,"54",,"468.83","316.59","670.38","percent of total billed charges",,
"REPAIR RECURRENT INGUINAL HERNIA; REDUC","49520","HCPCS","Both",,,"865","432.5","UHC","Medicare Advantage","",,"54",,"468.83","316.59","670.38","percent of total billed charges",,
"REPAIR RECURRENT INGUINAL HERNIA; REDUC","49520","HCPCS","Both",,,"865","432.5","Clover","Medicare Advantage","",,"54",,"468.83","316.59","670.38","percent of total billed charges",,
"REPAIR RECURRENT INGUINAL HERNIA; REDUC","49520","HCPCS","Both",,,"865","432.5","Wellcare","Medicare Advantage","",,"54",,"468.83","316.59","670.38","percent of total billed charges",,
"REPAIR RECURRENT INGUINAL HERNIA; REDUC","49520","HCPCS","Both",,,"865","432.5","Amerigroup","Medicaid Managed Care","",,"37",,"316.59","316.59","670.38","percent of total billed charges",,
"REPAIR RECURRENT INGUINAL HERNIA; REDUC","49520","HCPCS","Both",,,"865","432.5","Caresource","Medicaid Managed Care","",,"40",,"346","316.59","670.38","percent of total billed charges",,
"REPAIR RECURRENT INGUINAL HERNIA; REDUC","49520","HCPCS","Both",,,"865","432.5","Wellcare","Medicaid Managed Care","",,"40",,"350.33","316.59","670.38","percent of total billed charges",,
"REPAIR RECURRENT INGUINAL HERNIA; REDUC","49520","HCPCS","Both",,,"865","432.5","Aetna","Commercial","",,"64",,"551.87","316.59","670.38","percent of total billed charges",,
"REPAIR RECURRENT INGUINAL HERNIA; REDUC","49520","HCPCS","Both",,,"865","432.5","Blue Cross Blue Shield","Pathways","",,"71",,"610.69","316.59","670.38","percent of total billed charges",,
"REPAIR RECURRENT INGUINAL HERNIA; REDUC","49520","HCPCS","Both",,,"865","432.5","Blue Cross Blue Shield","HMO","",,"71",,"610.69","316.59","670.38","percent of total billed charges",,
"REPAIR RECURRENT INGUINAL HERNIA; REDUC","49520","HCPCS","Both",,,"865","432.5","Blue Cross Blue Shield","PPO","",,"71",,"610.69","316.59","670.38","percent of total billed charges",,
"REPAIR RECURRENT INGUINAL HERNIA; REDUC","49520","HCPCS","Both",,,"865","432.5","Ambetter","Health Exchange","",,"62",,"536.3","316.59","670.38","percent of total billed charges",,
"REPAIR RECURRENT INGUINAL HERNIA; REDUC","49520","HCPCS","Both",,,"865","432.5","Caresource","Health Exchange","",,"62",,"536.3","316.59","670.38","percent of total billed charges",,
"REPAIR RECURRENT INGUINAL HERNIA; REDUC","49520","HCPCS","Both",,,"865","432.5","Cigna","Commercial","",,"59",,"506.89","316.59","670.38","percent of total billed charges",,
"REPAIR RECURRENT INGUINAL HERNIA; REDUC","49520","HCPCS","Both",,,"865","432.5","Humana","Commercial","",,"78",,"670.38","316.59","670.38","percent of total billed charges",,
"REPAIR RECURRENT INGUINAL HERNIA; REDUC","49520","HCPCS","Both",,,"865","432.5","UHC","Commercial","",,"75",,"652.21","316.59","670.38","percent of total billed charges",,
"REPAIR RECURRENT INGUINAL HERNIA; REDUC","49520","HCPCS","Both",,,"865","432.5","Medicaid",,"",,"37",,"316.59","316.59","670.38","percent of total billed charges",,
"REPAIR RECURR ING HERNIA, ANY AGE,","49521","HCPCS","Both",,,"3520","1760","Alliant","Health Exchange","",,"62",,"2182.4","1288.32","2728","percent of total billed charges",,
"REPAIR RECURR ING HERNIA, ANY AGE,","49521","HCPCS","Both",,,"3520","1760","Pruitt Healthcare","Medicare Advantage","",,"54",,"1900.8","1288.32","2728","percent of total billed charges",,
"REPAIR RECURR ING HERNIA, ANY AGE,","49521","HCPCS","Both",,,"3520","1760","Medicare",,"",,"54",,"1907.84","1288.32","2728","percent of total billed charges",,
"REPAIR RECURR ING HERNIA, ANY AGE,","49521","HCPCS","Both",,,"3520","1760","Humana","Medicare Advantage","",,"54",,"1907.84","1288.32","2728","percent of total billed charges",,
"REPAIR RECURR ING HERNIA, ANY AGE,","49521","HCPCS","Both",,,"3520","1760","UHC","Medicare Advantage","",,"54",,"1907.84","1288.32","2728","percent of total billed charges",,
"REPAIR RECURR ING HERNIA, ANY AGE,","49521","HCPCS","Both",,,"3520","1760","Clover","Medicare Advantage","",,"54",,"1907.84","1288.32","2728","percent of total billed charges",,
"REPAIR RECURR ING HERNIA, ANY AGE,","49521","HCPCS","Both",,,"3520","1760","Wellcare","Medicare Advantage","",,"54",,"1907.84","1288.32","2728","percent of total billed charges",,
"REPAIR RECURR ING HERNIA, ANY AGE,","49521","HCPCS","Both",,,"3520","1760","Amerigroup","Medicaid Managed Care","",,"37",,"1288.32","1288.32","2728","percent of total billed charges",,
"REPAIR RECURR ING HERNIA, ANY AGE,","49521","HCPCS","Both",,,"3520","1760","Caresource","Medicaid Managed Care","",,"40",,"1408","1288.32","2728","percent of total billed charges",,
"REPAIR RECURR ING HERNIA, ANY AGE,","49521","HCPCS","Both",,,"3520","1760","Wellcare","Medicaid Managed Care","",,"40",,"1425.6","1288.32","2728","percent of total billed charges",,
"REPAIR RECURR ING HERNIA, ANY AGE,","49521","HCPCS","Both",,,"3520","1760","Aetna","Commercial","",,"64",,"2245.76","1288.32","2728","percent of total billed charges",,
"REPAIR RECURR ING HERNIA, ANY AGE,","49521","HCPCS","Both",,,"3520","1760","Blue Cross Blue Shield","Pathways","",,"71",,"2485.12","1288.32","2728","percent of total billed charges",,
"REPAIR RECURR ING HERNIA, ANY AGE,","49521","HCPCS","Both",,,"3520","1760","Blue Cross Blue Shield","HMO","",,"71",,"2485.12","1288.32","2728","percent of total billed charges",,
"REPAIR RECURR ING HERNIA, ANY AGE,","49521","HCPCS","Both",,,"3520","1760","Blue Cross Blue Shield","PPO","",,"71",,"2485.12","1288.32","2728","percent of total billed charges",,
"REPAIR RECURR ING HERNIA, ANY AGE,","49521","HCPCS","Both",,,"3520","1760","Ambetter","Health Exchange","",,"62",,"2182.4","1288.32","2728","percent of total billed charges",,
"REPAIR RECURR ING HERNIA, ANY AGE,","49521","HCPCS","Both",,,"3520","1760","Caresource","Health Exchange","",,"62",,"2182.4","1288.32","2728","percent of total billed charges",,
"REPAIR RECURR ING HERNIA, ANY AGE,","49521","HCPCS","Both",,,"3520","1760","Cigna","Commercial","",,"59",,"2062.72","1288.32","2728","percent of total billed charges",,
"REPAIR RECURR ING HERNIA, ANY AGE,","49521","HCPCS","Both",,,"3520","1760","Humana","Commercial","",,"78",,"2728","1288.32","2728","percent of total billed charges",,
"REPAIR RECURR ING HERNIA, ANY AGE,","49521","HCPCS","Both",,,"3520","1760","UHC","Commercial","",,"75",,"2654.08","1288.32","2728","percent of total billed charges",,
"REPAIR RECURR ING HERNIA, ANY AGE,","49521","HCPCS","Both",,,"3520","1760","Medicaid",,"",,"37",,"1288.32","1288.32","2728","percent of total billed charges",,
"REPAIR INGUINAL HERNIA SLIDING ANY AGE","49525","HCPCS","Both",,,"8155","4077.5","Alliant","Health Exchange","",,"62",,"5056.1","2984.73","6320.12","percent of total billed charges",,
"REPAIR INGUINAL HERNIA SLIDING ANY AGE","49525","HCPCS","Both",,,"8155","4077.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"4403.7","2984.73","6320.12","percent of total billed charges",,
"REPAIR INGUINAL HERNIA SLIDING ANY AGE","49525","HCPCS","Both",,,"8155","4077.5","Medicare",,"",,"54",,"4420.01","2984.73","6320.12","percent of total billed charges",,
"REPAIR INGUINAL HERNIA SLIDING ANY AGE","49525","HCPCS","Both",,,"8155","4077.5","Humana","Medicare Advantage","",,"54",,"4420.01","2984.73","6320.12","percent of total billed charges",,
"REPAIR INGUINAL HERNIA SLIDING ANY AGE","49525","HCPCS","Both",,,"8155","4077.5","UHC","Medicare Advantage","",,"54",,"4420.01","2984.73","6320.12","percent of total billed charges",,
"REPAIR INGUINAL HERNIA SLIDING ANY AGE","49525","HCPCS","Both",,,"8155","4077.5","Clover","Medicare Advantage","",,"54",,"4420.01","2984.73","6320.12","percent of total billed charges",,
"REPAIR INGUINAL HERNIA SLIDING ANY AGE","49525","HCPCS","Both",,,"8155","4077.5","Wellcare","Medicare Advantage","",,"54",,"4420.01","2984.73","6320.12","percent of total billed charges",,
"REPAIR INGUINAL HERNIA SLIDING ANY AGE","49525","HCPCS","Both",,,"8155","4077.5","Amerigroup","Medicaid Managed Care","",,"37",,"2984.73","2984.73","6320.12","percent of total billed charges",,
"REPAIR INGUINAL HERNIA SLIDING ANY AGE","49525","HCPCS","Both",,,"8155","4077.5","Caresource","Medicaid Managed Care","",,"40",,"3262","2984.73","6320.12","percent of total billed charges",,
"REPAIR INGUINAL HERNIA SLIDING ANY AGE","49525","HCPCS","Both",,,"8155","4077.5","Wellcare","Medicaid Managed Care","",,"40",,"3302.78","2984.73","6320.12","percent of total billed charges",,
"REPAIR INGUINAL HERNIA SLIDING ANY AGE","49525","HCPCS","Both",,,"8155","4077.5","Aetna","Commercial","",,"64",,"5202.89","2984.73","6320.12","percent of total billed charges",,
"REPAIR INGUINAL HERNIA SLIDING ANY AGE","49525","HCPCS","Both",,,"8155","4077.5","Blue Cross Blue Shield","Pathways","",,"71",,"5757.43","2984.73","6320.12","percent of total billed charges",,
"REPAIR INGUINAL HERNIA SLIDING ANY AGE","49525","HCPCS","Both",,,"8155","4077.5","Blue Cross Blue Shield","HMO","",,"71",,"5757.43","2984.73","6320.12","percent of total billed charges",,
"REPAIR INGUINAL HERNIA SLIDING ANY AGE","49525","HCPCS","Both",,,"8155","4077.5","Blue Cross Blue Shield","PPO","",,"71",,"5757.43","2984.73","6320.12","percent of total billed charges",,
"REPAIR INGUINAL HERNIA SLIDING ANY AGE","49525","HCPCS","Both",,,"8155","4077.5","Ambetter","Health Exchange","",,"62",,"5056.1","2984.73","6320.12","percent of total billed charges",,
"REPAIR INGUINAL HERNIA SLIDING ANY AGE","49525","HCPCS","Both",,,"8155","4077.5","Caresource","Health Exchange","",,"62",,"5056.1","2984.73","6320.12","percent of total billed charges",,
"REPAIR INGUINAL HERNIA SLIDING ANY AGE","49525","HCPCS","Both",,,"8155","4077.5","Cigna","Commercial","",,"59",,"4778.83","2984.73","6320.12","percent of total billed charges",,
"REPAIR INGUINAL HERNIA SLIDING ANY AGE","49525","HCPCS","Both",,,"8155","4077.5","Humana","Commercial","",,"78",,"6320.12","2984.73","6320.12","percent of total billed charges",,
"REPAIR INGUINAL HERNIA SLIDING ANY AGE","49525","HCPCS","Both",,,"8155","4077.5","UHC","Commercial","",,"75",,"6148.87","2984.73","6320.12","percent of total billed charges",,
"REPAIR INGUINAL HERNIA SLIDING ANY AGE","49525","HCPCS","Both",,,"8155","4077.5","Medicaid",,"",,"37",,"2984.73","2984.73","6320.12","percent of total billed charges",,
"REPAIR INITIAL INCISIONAL/VENTRAL HERNIA","49560","HCPCS","Both",,,"2729.5","1364.75","Alliant","Health Exchange","",,"62",,"1692.29","999","2115.36","percent of total billed charges",,
"REPAIR INITIAL INCISIONAL/VENTRAL HERNIA","49560","HCPCS","Both",,,"2729.5","1364.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"1473.93","999","2115.36","percent of total billed charges",,
"REPAIR INITIAL INCISIONAL/VENTRAL HERNIA","49560","HCPCS","Both",,,"2729.5","1364.75","Medicare",,"",,"54",,"1479.39","999","2115.36","percent of total billed charges",,
"REPAIR INITIAL INCISIONAL/VENTRAL HERNIA","49560","HCPCS","Both",,,"2729.5","1364.75","Humana","Medicare Advantage","",,"54",,"1479.39","999","2115.36","percent of total billed charges",,
"REPAIR INITIAL INCISIONAL/VENTRAL HERNIA","49560","HCPCS","Both",,,"2729.5","1364.75","UHC","Medicare Advantage","",,"54",,"1479.39","999","2115.36","percent of total billed charges",,
"REPAIR INITIAL INCISIONAL/VENTRAL HERNIA","49560","HCPCS","Both",,,"2729.5","1364.75","Clover","Medicare Advantage","",,"54",,"1479.39","999","2115.36","percent of total billed charges",,
"REPAIR INITIAL INCISIONAL/VENTRAL HERNIA","49560","HCPCS","Both",,,"2729.5","1364.75","Wellcare","Medicare Advantage","",,"54",,"1479.39","999","2115.36","percent of total billed charges",,
"REPAIR INITIAL INCISIONAL/VENTRAL HERNIA","49560","HCPCS","Both",,,"2729.5","1364.75","Amerigroup","Medicaid Managed Care","",,"37",,"999","999","2115.36","percent of total billed charges",,
"REPAIR INITIAL INCISIONAL/VENTRAL HERNIA","49560","HCPCS","Both",,,"2729.5","1364.75","Caresource","Medicaid Managed Care","",,"40",,"1091.8","999","2115.36","percent of total billed charges",,
"REPAIR INITIAL INCISIONAL/VENTRAL HERNIA","49560","HCPCS","Both",,,"2729.5","1364.75","Wellcare","Medicaid Managed Care","",,"40",,"1105.45","999","2115.36","percent of total billed charges",,
"REPAIR INITIAL INCISIONAL/VENTRAL HERNIA","49560","HCPCS","Both",,,"2729.5","1364.75","Aetna","Commercial","",,"64",,"1741.42","999","2115.36","percent of total billed charges",,
"REPAIR INITIAL INCISIONAL/VENTRAL HERNIA","49560","HCPCS","Both",,,"2729.5","1364.75","Blue Cross Blue Shield","Pathways","",,"71",,"1927.03","999","2115.36","percent of total billed charges",,
"REPAIR INITIAL INCISIONAL/VENTRAL HERNIA","49560","HCPCS","Both",,,"2729.5","1364.75","Blue Cross Blue Shield","HMO","",,"71",,"1927.03","999","2115.36","percent of total billed charges",,
"REPAIR INITIAL INCISIONAL/VENTRAL HERNIA","49560","HCPCS","Both",,,"2729.5","1364.75","Blue Cross Blue Shield","PPO","",,"71",,"1927.03","999","2115.36","percent of total billed charges",,
"REPAIR INITIAL INCISIONAL/VENTRAL HERNIA","49560","HCPCS","Both",,,"2729.5","1364.75","Ambetter","Health Exchange","",,"62",,"1692.29","999","2115.36","percent of total billed charges",,
"REPAIR INITIAL INCISIONAL/VENTRAL HERNIA","49560","HCPCS","Both",,,"2729.5","1364.75","Caresource","Health Exchange","",,"62",,"1692.29","999","2115.36","percent of total billed charges",,
"REPAIR INITIAL INCISIONAL/VENTRAL HERNIA","49560","HCPCS","Both",,,"2729.5","1364.75","Cigna","Commercial","",,"59",,"1599.49","999","2115.36","percent of total billed charges",,
"REPAIR INITIAL INCISIONAL/VENTRAL HERNIA","49560","HCPCS","Both",,,"2729.5","1364.75","Humana","Commercial","",,"78",,"2115.36","999","2115.36","percent of total billed charges",,
"REPAIR INITIAL INCISIONAL/VENTRAL HERNIA","49560","HCPCS","Both",,,"2729.5","1364.75","UHC","Commercial","",,"75",,"2058.04","999","2115.36","percent of total billed charges",,
"REPAIR INITIAL INCISIONAL/VENTRAL HERNIA","49560","HCPCS","Both",,,"2729.5","1364.75","Medicaid",,"",,"37",,"999","999","2115.36","percent of total billed charges",,
"REPAIR INITIAL INCISIONAL/VENTRAL HERNIA","49561","HCPCS","Both",,,"2729.5","1364.75","Alliant","Health Exchange","",,"62",,"1692.29","999","2115.36","percent of total billed charges",,
"REPAIR INITIAL INCISIONAL/VENTRAL HERNIA","49561","HCPCS","Both",,,"2729.5","1364.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"1473.93","999","2115.36","percent of total billed charges",,
"REPAIR INITIAL INCISIONAL/VENTRAL HERNIA","49561","HCPCS","Both",,,"2729.5","1364.75","Medicare",,"",,"54",,"1479.39","999","2115.36","percent of total billed charges",,
"REPAIR INITIAL INCISIONAL/VENTRAL HERNIA","49561","HCPCS","Both",,,"2729.5","1364.75","Humana","Medicare Advantage","",,"54",,"1479.39","999","2115.36","percent of total billed charges",,
"REPAIR INITIAL INCISIONAL/VENTRAL HERNIA","49561","HCPCS","Both",,,"2729.5","1364.75","UHC","Medicare Advantage","",,"54",,"1479.39","999","2115.36","percent of total billed charges",,
"REPAIR INITIAL INCISIONAL/VENTRAL HERNIA","49561","HCPCS","Both",,,"2729.5","1364.75","Clover","Medicare Advantage","",,"54",,"1479.39","999","2115.36","percent of total billed charges",,
"REPAIR INITIAL INCISIONAL/VENTRAL HERNIA","49561","HCPCS","Both",,,"2729.5","1364.75","Wellcare","Medicare Advantage","",,"54",,"1479.39","999","2115.36","percent of total billed charges",,
"REPAIR INITIAL INCISIONAL/VENTRAL HERNIA","49561","HCPCS","Both",,,"2729.5","1364.75","Amerigroup","Medicaid Managed Care","",,"37",,"999","999","2115.36","percent of total billed charges",,
"REPAIR INITIAL INCISIONAL/VENTRAL HERNIA","49561","HCPCS","Both",,,"2729.5","1364.75","Caresource","Medicaid Managed Care","",,"40",,"1091.8","999","2115.36","percent of total billed charges",,
"REPAIR INITIAL INCISIONAL/VENTRAL HERNIA","49561","HCPCS","Both",,,"2729.5","1364.75","Wellcare","Medicaid Managed Care","",,"40",,"1105.45","999","2115.36","percent of total billed charges",,
"REPAIR INITIAL INCISIONAL/VENTRAL HERNIA","49561","HCPCS","Both",,,"2729.5","1364.75","Aetna","Commercial","",,"64",,"1741.42","999","2115.36","percent of total billed charges",,
"REPAIR INITIAL INCISIONAL/VENTRAL HERNIA","49561","HCPCS","Both",,,"2729.5","1364.75","Blue Cross Blue Shield","Pathways","",,"71",,"1927.03","999","2115.36","percent of total billed charges",,
"REPAIR INITIAL INCISIONAL/VENTRAL HERNIA","49561","HCPCS","Both",,,"2729.5","1364.75","Blue Cross Blue Shield","HMO","",,"71",,"1927.03","999","2115.36","percent of total billed charges",,
"REPAIR INITIAL INCISIONAL/VENTRAL HERNIA","49561","HCPCS","Both",,,"2729.5","1364.75","Blue Cross Blue Shield","PPO","",,"71",,"1927.03","999","2115.36","percent of total billed charges",,
"REPAIR INITIAL INCISIONAL/VENTRAL HERNIA","49561","HCPCS","Both",,,"2729.5","1364.75","Ambetter","Health Exchange","",,"62",,"1692.29","999","2115.36","percent of total billed charges",,
"REPAIR INITIAL INCISIONAL/VENTRAL HERNIA","49561","HCPCS","Both",,,"2729.5","1364.75","Caresource","Health Exchange","",,"62",,"1692.29","999","2115.36","percent of total billed charges",,
"REPAIR INITIAL INCISIONAL/VENTRAL HERNIA","49561","HCPCS","Both",,,"2729.5","1364.75","Cigna","Commercial","",,"59",,"1599.49","999","2115.36","percent of total billed charges",,
"REPAIR INITIAL INCISIONAL/VENTRAL HERNIA","49561","HCPCS","Both",,,"2729.5","1364.75","Humana","Commercial","",,"78",,"2115.36","999","2115.36","percent of total billed charges",,
"REPAIR INITIAL INCISIONAL/VENTRAL HERNIA","49561","HCPCS","Both",,,"2729.5","1364.75","UHC","Commercial","",,"75",,"2058.04","999","2115.36","percent of total billed charges",,
"REPAIR INITIAL INCISIONAL/VENTRAL HERNIA","49561","HCPCS","Both",,,"2729.5","1364.75","Medicaid",,"",,"37",,"999","999","2115.36","percent of total billed charges",,
"IMPLANTATION OF MESH FOR HERNIA REPAIR","49568","HCPCS","Both",,,"2729.5","1364.75","Alliant","Health Exchange","",,"62",,"1692.29","999","2115.36","percent of total billed charges",,
"IMPLANTATION OF MESH FOR HERNIA REPAIR","49568","HCPCS","Both",,,"2729.5","1364.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"1473.93","999","2115.36","percent of total billed charges",,
"IMPLANTATION OF MESH FOR HERNIA REPAIR","49568","HCPCS","Both",,,"2729.5","1364.75","Medicare",,"",,"54",,"1479.39","999","2115.36","percent of total billed charges",,
"IMPLANTATION OF MESH FOR HERNIA REPAIR","49568","HCPCS","Both",,,"2729.5","1364.75","Humana","Medicare Advantage","",,"54",,"1479.39","999","2115.36","percent of total billed charges",,
"IMPLANTATION OF MESH FOR HERNIA REPAIR","49568","HCPCS","Both",,,"2729.5","1364.75","UHC","Medicare Advantage","",,"54",,"1479.39","999","2115.36","percent of total billed charges",,
"IMPLANTATION OF MESH FOR HERNIA REPAIR","49568","HCPCS","Both",,,"2729.5","1364.75","Clover","Medicare Advantage","",,"54",,"1479.39","999","2115.36","percent of total billed charges",,
"IMPLANTATION OF MESH FOR HERNIA REPAIR","49568","HCPCS","Both",,,"2729.5","1364.75","Wellcare","Medicare Advantage","",,"54",,"1479.39","999","2115.36","percent of total billed charges",,
"IMPLANTATION OF MESH FOR HERNIA REPAIR","49568","HCPCS","Both",,,"2729.5","1364.75","Amerigroup","Medicaid Managed Care","",,"37",,"999","999","2115.36","percent of total billed charges",,
"IMPLANTATION OF MESH FOR HERNIA REPAIR","49568","HCPCS","Both",,,"2729.5","1364.75","Caresource","Medicaid Managed Care","",,"40",,"1091.8","999","2115.36","percent of total billed charges",,
"IMPLANTATION OF MESH FOR HERNIA REPAIR","49568","HCPCS","Both",,,"2729.5","1364.75","Wellcare","Medicaid Managed Care","",,"40",,"1105.45","999","2115.36","percent of total billed charges",,
"IMPLANTATION OF MESH FOR HERNIA REPAIR","49568","HCPCS","Both",,,"2729.5","1364.75","Aetna","Commercial","",,"64",,"1741.42","999","2115.36","percent of total billed charges",,
"IMPLANTATION OF MESH FOR HERNIA REPAIR","49568","HCPCS","Both",,,"2729.5","1364.75","Blue Cross Blue Shield","Pathways","",,"71",,"1927.03","999","2115.36","percent of total billed charges",,
"IMPLANTATION OF MESH FOR HERNIA REPAIR","49568","HCPCS","Both",,,"2729.5","1364.75","Blue Cross Blue Shield","HMO","",,"71",,"1927.03","999","2115.36","percent of total billed charges",,
"IMPLANTATION OF MESH FOR HERNIA REPAIR","49568","HCPCS","Both",,,"2729.5","1364.75","Blue Cross Blue Shield","PPO","",,"71",,"1927.03","999","2115.36","percent of total billed charges",,
"IMPLANTATION OF MESH FOR HERNIA REPAIR","49568","HCPCS","Both",,,"2729.5","1364.75","Ambetter","Health Exchange","",,"62",,"1692.29","999","2115.36","percent of total billed charges",,
"IMPLANTATION OF MESH FOR HERNIA REPAIR","49568","HCPCS","Both",,,"2729.5","1364.75","Caresource","Health Exchange","",,"62",,"1692.29","999","2115.36","percent of total billed charges",,
"IMPLANTATION OF MESH FOR HERNIA REPAIR","49568","HCPCS","Both",,,"2729.5","1364.75","Cigna","Commercial","",,"59",,"1599.49","999","2115.36","percent of total billed charges",,
"IMPLANTATION OF MESH FOR HERNIA REPAIR","49568","HCPCS","Both",,,"2729.5","1364.75","Humana","Commercial","",,"78",,"2115.36","999","2115.36","percent of total billed charges",,
"IMPLANTATION OF MESH FOR HERNIA REPAIR","49568","HCPCS","Both",,,"2729.5","1364.75","UHC","Commercial","",,"75",,"2058.04","999","2115.36","percent of total billed charges",,
"IMPLANTATION OF MESH FOR HERNIA REPAIR","49568","HCPCS","Both",,,"2729.5","1364.75","Medicaid",,"",,"37",,"999","999","2115.36","percent of total billed charges",,
"UMBILICAL HERNIA REPAIR","49580","HCPCS","Both",,,"1117","558.5","Alliant","Health Exchange","",,"62",,"692.54","408.82","865.68","percent of total billed charges",,
"UMBILICAL HERNIA REPAIR","49580","HCPCS","Both",,,"1117","558.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"603.18","408.82","865.68","percent of total billed charges",,
"UMBILICAL HERNIA REPAIR","49580","HCPCS","Both",,,"1117","558.5","Medicare",,"",,"54",,"605.41","408.82","865.68","percent of total billed charges",,
"UMBILICAL HERNIA REPAIR","49580","HCPCS","Both",,,"1117","558.5","Humana","Medicare Advantage","",,"54",,"605.41","408.82","865.68","percent of total billed charges",,
"UMBILICAL HERNIA REPAIR","49580","HCPCS","Both",,,"1117","558.5","UHC","Medicare Advantage","",,"54",,"605.41","408.82","865.68","percent of total billed charges",,
"UMBILICAL HERNIA REPAIR","49580","HCPCS","Both",,,"1117","558.5","Clover","Medicare Advantage","",,"54",,"605.41","408.82","865.68","percent of total billed charges",,
"UMBILICAL HERNIA REPAIR","49580","HCPCS","Both",,,"1117","558.5","Wellcare","Medicare Advantage","",,"54",,"605.41","408.82","865.68","percent of total billed charges",,
"UMBILICAL HERNIA REPAIR","49580","HCPCS","Both",,,"1117","558.5","Amerigroup","Medicaid Managed Care","",,"37",,"408.82","408.82","865.68","percent of total billed charges",,
"UMBILICAL HERNIA REPAIR","49580","HCPCS","Both",,,"1117","558.5","Caresource","Medicaid Managed Care","",,"40",,"446.8","408.82","865.68","percent of total billed charges",,
"UMBILICAL HERNIA REPAIR","49580","HCPCS","Both",,,"1117","558.5","Wellcare","Medicaid Managed Care","",,"40",,"452.39","408.82","865.68","percent of total billed charges",,
"UMBILICAL HERNIA REPAIR","49580","HCPCS","Both",,,"1117","558.5","Aetna","Commercial","",,"64",,"712.65","408.82","865.68","percent of total billed charges",,
"UMBILICAL HERNIA REPAIR","49580","HCPCS","Both",,,"1117","558.5","Blue Cross Blue Shield","Pathways","",,"71",,"788.6","408.82","865.68","percent of total billed charges",,
"UMBILICAL HERNIA REPAIR","49580","HCPCS","Both",,,"1117","558.5","Blue Cross Blue Shield","HMO","",,"71",,"788.6","408.82","865.68","percent of total billed charges",,
"UMBILICAL HERNIA REPAIR","49580","HCPCS","Both",,,"1117","558.5","Blue Cross Blue Shield","PPO","",,"71",,"788.6","408.82","865.68","percent of total billed charges",,
"UMBILICAL HERNIA REPAIR","49580","HCPCS","Both",,,"1117","558.5","Ambetter","Health Exchange","",,"62",,"692.54","408.82","865.68","percent of total billed charges",,
"UMBILICAL HERNIA REPAIR","49580","HCPCS","Both",,,"1117","558.5","Caresource","Health Exchange","",,"62",,"692.54","408.82","865.68","percent of total billed charges",,
"UMBILICAL HERNIA REPAIR","49580","HCPCS","Both",,,"1117","558.5","Cigna","Commercial","",,"59",,"654.56","408.82","865.68","percent of total billed charges",,
"UMBILICAL HERNIA REPAIR","49580","HCPCS","Both",,,"1117","558.5","Humana","Commercial","",,"78",,"865.68","408.82","865.68","percent of total billed charges",,
"UMBILICAL HERNIA REPAIR","49580","HCPCS","Both",,,"1117","558.5","UHC","Commercial","",,"75",,"842.22","408.82","865.68","percent of total billed charges",,
"UMBILICAL HERNIA REPAIR","49580","HCPCS","Both",,,"1117","558.5","Medicaid",,"",,"37",,"408.82","408.82","865.68","percent of total billed charges",,
"REPAIR UMBLICIAL HERNIA, AGE 5 & > REDUC","49585","HCPCS","Both",,,"682.5","341.25","Alliant","Health Exchange","",,"62",,"423.15","249.8","528.94","percent of total billed charges",,
"REPAIR UMBLICIAL HERNIA, AGE 5 & > REDUC","49585","HCPCS","Both",,,"682.5","341.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"368.55","249.8","528.94","percent of total billed charges",,
"REPAIR UMBLICIAL HERNIA, AGE 5 & > REDUC","49585","HCPCS","Both",,,"682.5","341.25","Medicare",,"",,"54",,"369.92","249.8","528.94","percent of total billed charges",,
"REPAIR UMBLICIAL HERNIA, AGE 5 & > REDUC","49585","HCPCS","Both",,,"682.5","341.25","Humana","Medicare Advantage","",,"54",,"369.92","249.8","528.94","percent of total billed charges",,
"REPAIR UMBLICIAL HERNIA, AGE 5 & > REDUC","49585","HCPCS","Both",,,"682.5","341.25","UHC","Medicare Advantage","",,"54",,"369.92","249.8","528.94","percent of total billed charges",,
"REPAIR UMBLICIAL HERNIA, AGE 5 & > REDUC","49585","HCPCS","Both",,,"682.5","341.25","Clover","Medicare Advantage","",,"54",,"369.92","249.8","528.94","percent of total billed charges",,
"REPAIR UMBLICIAL HERNIA, AGE 5 & > REDUC","49585","HCPCS","Both",,,"682.5","341.25","Wellcare","Medicare Advantage","",,"54",,"369.92","249.8","528.94","percent of total billed charges",,
"REPAIR UMBLICIAL HERNIA, AGE 5 & > REDUC","49585","HCPCS","Both",,,"682.5","341.25","Amerigroup","Medicaid Managed Care","",,"37",,"249.8","249.8","528.94","percent of total billed charges",,
"REPAIR UMBLICIAL HERNIA, AGE 5 & > REDUC","49585","HCPCS","Both",,,"682.5","341.25","Caresource","Medicaid Managed Care","",,"40",,"273","249.8","528.94","percent of total billed charges",,
"REPAIR UMBLICIAL HERNIA, AGE 5 & > REDUC","49585","HCPCS","Both",,,"682.5","341.25","Wellcare","Medicaid Managed Care","",,"40",,"276.41","249.8","528.94","percent of total billed charges",,
"REPAIR UMBLICIAL HERNIA, AGE 5 & > REDUC","49585","HCPCS","Both",,,"682.5","341.25","Aetna","Commercial","",,"64",,"435.44","249.8","528.94","percent of total billed charges",,
"REPAIR UMBLICIAL HERNIA, AGE 5 & > REDUC","49585","HCPCS","Both",,,"682.5","341.25","Blue Cross Blue Shield","Pathways","",,"71",,"481.84","249.8","528.94","percent of total billed charges",,
"REPAIR UMBLICIAL HERNIA, AGE 5 & > REDUC","49585","HCPCS","Both",,,"682.5","341.25","Blue Cross Blue Shield","HMO","",,"71",,"481.84","249.8","528.94","percent of total billed charges",,
"REPAIR UMBLICIAL HERNIA, AGE 5 & > REDUC","49585","HCPCS","Both",,,"682.5","341.25","Blue Cross Blue Shield","PPO","",,"71",,"481.84","249.8","528.94","percent of total billed charges",,
"REPAIR UMBLICIAL HERNIA, AGE 5 & > REDUC","49585","HCPCS","Both",,,"682.5","341.25","Ambetter","Health Exchange","",,"62",,"423.15","249.8","528.94","percent of total billed charges",,
"REPAIR UMBLICIAL HERNIA, AGE 5 & > REDUC","49585","HCPCS","Both",,,"682.5","341.25","Caresource","Health Exchange","",,"62",,"423.15","249.8","528.94","percent of total billed charges",,
"REPAIR UMBLICIAL HERNIA, AGE 5 & > REDUC","49585","HCPCS","Both",,,"682.5","341.25","Cigna","Commercial","",,"59",,"399.94","249.8","528.94","percent of total billed charges",,
"REPAIR UMBLICIAL HERNIA, AGE 5 & > REDUC","49585","HCPCS","Both",,,"682.5","341.25","Humana","Commercial","",,"78",,"528.94","249.8","528.94","percent of total billed charges",,
"REPAIR UMBLICIAL HERNIA, AGE 5 & > REDUC","49585","HCPCS","Both",,,"682.5","341.25","UHC","Commercial","",,"75",,"514.6","249.8","528.94","percent of total billed charges",,
"REPAIR UMBLICIAL HERNIA, AGE 5 & > REDUC","49585","HCPCS","Both",,,"682.5","341.25","Medicaid",,"",,"37",,"249.8","249.8","528.94","percent of total billed charges",,
"REPAIR UMBILICAL HERNIA; 5 OR >; INCARCE","49587","HCPCS","Both",,,"7582","3791","Alliant","Health Exchange","",,"62",,"4700.84","2775.01","5876.05","percent of total billed charges",,
"REPAIR UMBILICAL HERNIA; 5 OR >; INCARCE","49587","HCPCS","Both",,,"7582","3791","Pruitt Healthcare","Medicare Advantage","",,"54",,"4094.28","2775.01","5876.05","percent of total billed charges",,
"REPAIR UMBILICAL HERNIA; 5 OR >; INCARCE","49587","HCPCS","Both",,,"7582","3791","Medicare",,"",,"54",,"4109.44","2775.01","5876.05","percent of total billed charges",,
"REPAIR UMBILICAL HERNIA; 5 OR >; INCARCE","49587","HCPCS","Both",,,"7582","3791","Humana","Medicare Advantage","",,"54",,"4109.44","2775.01","5876.05","percent of total billed charges",,
"REPAIR UMBILICAL HERNIA; 5 OR >; INCARCE","49587","HCPCS","Both",,,"7582","3791","UHC","Medicare Advantage","",,"54",,"4109.44","2775.01","5876.05","percent of total billed charges",,
"REPAIR UMBILICAL HERNIA; 5 OR >; INCARCE","49587","HCPCS","Both",,,"7582","3791","Clover","Medicare Advantage","",,"54",,"4109.44","2775.01","5876.05","percent of total billed charges",,
"REPAIR UMBILICAL HERNIA; 5 OR >; INCARCE","49587","HCPCS","Both",,,"7582","3791","Wellcare","Medicare Advantage","",,"54",,"4109.44","2775.01","5876.05","percent of total billed charges",,
"REPAIR UMBILICAL HERNIA; 5 OR >; INCARCE","49587","HCPCS","Both",,,"7582","3791","Amerigroup","Medicaid Managed Care","",,"37",,"2775.01","2775.01","5876.05","percent of total billed charges",,
"REPAIR UMBILICAL HERNIA; 5 OR >; INCARCE","49587","HCPCS","Both",,,"7582","3791","Caresource","Medicaid Managed Care","",,"40",,"3032.8","2775.01","5876.05","percent of total billed charges",,
"REPAIR UMBILICAL HERNIA; 5 OR >; INCARCE","49587","HCPCS","Both",,,"7582","3791","Wellcare","Medicaid Managed Care","",,"40",,"3070.71","2775.01","5876.05","percent of total billed charges",,
"REPAIR UMBILICAL HERNIA; 5 OR >; INCARCE","49587","HCPCS","Both",,,"7582","3791","Aetna","Commercial","",,"64",,"4837.32","2775.01","5876.05","percent of total billed charges",,
"REPAIR UMBILICAL HERNIA; 5 OR >; INCARCE","49587","HCPCS","Both",,,"7582","3791","Blue Cross Blue Shield","Pathways","",,"71",,"5352.89","2775.01","5876.05","percent of total billed charges",,
"REPAIR UMBILICAL HERNIA; 5 OR >; INCARCE","49587","HCPCS","Both",,,"7582","3791","Blue Cross Blue Shield","HMO","",,"71",,"5352.89","2775.01","5876.05","percent of total billed charges",,
"REPAIR UMBILICAL HERNIA; 5 OR >; INCARCE","49587","HCPCS","Both",,,"7582","3791","Blue Cross Blue Shield","PPO","",,"71",,"5352.89","2775.01","5876.05","percent of total billed charges",,
"REPAIR UMBILICAL HERNIA; 5 OR >; INCARCE","49587","HCPCS","Both",,,"7582","3791","Ambetter","Health Exchange","",,"62",,"4700.84","2775.01","5876.05","percent of total billed charges",,
"REPAIR UMBILICAL HERNIA; 5 OR >; INCARCE","49587","HCPCS","Both",,,"7582","3791","Caresource","Health Exchange","",,"62",,"4700.84","2775.01","5876.05","percent of total billed charges",,
"REPAIR UMBILICAL HERNIA; 5 OR >; INCARCE","49587","HCPCS","Both",,,"7582","3791","Cigna","Commercial","",,"59",,"4443.05","2775.01","5876.05","percent of total billed charges",,
"REPAIR UMBILICAL HERNIA; 5 OR >; INCARCE","49587","HCPCS","Both",,,"7582","3791","Humana","Commercial","",,"78",,"5876.05","2775.01","5876.05","percent of total billed charges",,
"REPAIR UMBILICAL HERNIA; 5 OR >; INCARCE","49587","HCPCS","Both",,,"7582","3791","UHC","Commercial","",,"75",,"5716.83","2775.01","5876.05","percent of total billed charges",,
"REPAIR UMBILICAL HERNIA; 5 OR >; INCARCE","49587","HCPCS","Both",,,"7582","3791","Medicaid",,"",,"37",,"2775.01","2775.01","5876.05","percent of total billed charges",,
"LAP SURG REPAIR UMBILICAL HERNIA","49652","HCPCS","Both",,,"9591.5","4795.75","Alliant","Health Exchange","",,"62",,"5946.73","3510.49","7433.41","percent of total billed charges",,
"LAP SURG REPAIR UMBILICAL HERNIA","49652","HCPCS","Both",,,"9591.5","4795.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"5179.41","3510.49","7433.41","percent of total billed charges",,
"LAP SURG REPAIR UMBILICAL HERNIA","49652","HCPCS","Both",,,"9591.5","4795.75","Medicare",,"",,"54",,"5198.59","3510.49","7433.41","percent of total billed charges",,
"LAP SURG REPAIR UMBILICAL HERNIA","49652","HCPCS","Both",,,"9591.5","4795.75","Humana","Medicare Advantage","",,"54",,"5198.59","3510.49","7433.41","percent of total billed charges",,
"LAP SURG REPAIR UMBILICAL HERNIA","49652","HCPCS","Both",,,"9591.5","4795.75","UHC","Medicare Advantage","",,"54",,"5198.59","3510.49","7433.41","percent of total billed charges",,
"LAP SURG REPAIR UMBILICAL HERNIA","49652","HCPCS","Both",,,"9591.5","4795.75","Clover","Medicare Advantage","",,"54",,"5198.59","3510.49","7433.41","percent of total billed charges",,
"LAP SURG REPAIR UMBILICAL HERNIA","49652","HCPCS","Both",,,"9591.5","4795.75","Wellcare","Medicare Advantage","",,"54",,"5198.59","3510.49","7433.41","percent of total billed charges",,
"LAP SURG REPAIR UMBILICAL HERNIA","49652","HCPCS","Both",,,"9591.5","4795.75","Amerigroup","Medicaid Managed Care","",,"37",,"3510.49","3510.49","7433.41","percent of total billed charges",,
"LAP SURG REPAIR UMBILICAL HERNIA","49652","HCPCS","Both",,,"9591.5","4795.75","Caresource","Medicaid Managed Care","",,"40",,"3836.6","3510.49","7433.41","percent of total billed charges",,
"LAP SURG REPAIR UMBILICAL HERNIA","49652","HCPCS","Both",,,"9591.5","4795.75","Wellcare","Medicaid Managed Care","",,"40",,"3884.56","3510.49","7433.41","percent of total billed charges",,
"LAP SURG REPAIR UMBILICAL HERNIA","49652","HCPCS","Both",,,"9591.5","4795.75","Aetna","Commercial","",,"64",,"6119.38","3510.49","7433.41","percent of total billed charges",,
"LAP SURG REPAIR UMBILICAL HERNIA","49652","HCPCS","Both",,,"9591.5","4795.75","Blue Cross Blue Shield","Pathways","",,"71",,"6771.6","3510.49","7433.41","percent of total billed charges",,
"LAP SURG REPAIR UMBILICAL HERNIA","49652","HCPCS","Both",,,"9591.5","4795.75","Blue Cross Blue Shield","HMO","",,"71",,"6771.6","3510.49","7433.41","percent of total billed charges",,
"LAP SURG REPAIR UMBILICAL HERNIA","49652","HCPCS","Both",,,"9591.5","4795.75","Blue Cross Blue Shield","PPO","",,"71",,"6771.6","3510.49","7433.41","percent of total billed charges",,
"LAP SURG REPAIR UMBILICAL HERNIA","49652","HCPCS","Both",,,"9591.5","4795.75","Ambetter","Health Exchange","",,"62",,"5946.73","3510.49","7433.41","percent of total billed charges",,
"LAP SURG REPAIR UMBILICAL HERNIA","49652","HCPCS","Both",,,"9591.5","4795.75","Caresource","Health Exchange","",,"62",,"5946.73","3510.49","7433.41","percent of total billed charges",,
"LAP SURG REPAIR UMBILICAL HERNIA","49652","HCPCS","Both",,,"9591.5","4795.75","Cigna","Commercial","",,"59",,"5620.62","3510.49","7433.41","percent of total billed charges",,
"LAP SURG REPAIR UMBILICAL HERNIA","49652","HCPCS","Both",,,"9591.5","4795.75","Humana","Commercial","",,"78",,"7433.41","3510.49","7433.41","percent of total billed charges",,
"LAP SURG REPAIR UMBILICAL HERNIA","49652","HCPCS","Both",,,"9591.5","4795.75","UHC","Commercial","",,"75",,"7231.99","3510.49","7433.41","percent of total billed charges",,
"LAP SURG REPAIR UMBILICAL HERNIA","49652","HCPCS","Both",,,"9591.5","4795.75","Medicaid",,"",,"37",,"3510.49","3510.49","7433.41","percent of total billed charges",,
"LAP SURG REPAIR HERNIA","49653","HCPCS","Both",,,"15985.5","7992.75","Alliant","Health Exchange","",,"62",,"9911.01","5850.69","12388.76","percent of total billed charges",,
"LAP SURG REPAIR HERNIA","49653","HCPCS","Both",,,"15985.5","7992.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"8632.17","5850.69","12388.76","percent of total billed charges",,
"LAP SURG REPAIR HERNIA","49653","HCPCS","Both",,,"15985.5","7992.75","Medicare",,"",,"54",,"8664.14","5850.69","12388.76","percent of total billed charges",,
"LAP SURG REPAIR HERNIA","49653","HCPCS","Both",,,"15985.5","7992.75","Humana","Medicare Advantage","",,"54",,"8664.14","5850.69","12388.76","percent of total billed charges",,
"LAP SURG REPAIR HERNIA","49653","HCPCS","Both",,,"15985.5","7992.75","UHC","Medicare Advantage","",,"54",,"8664.14","5850.69","12388.76","percent of total billed charges",,
"LAP SURG REPAIR HERNIA","49653","HCPCS","Both",,,"15985.5","7992.75","Clover","Medicare Advantage","",,"54",,"8664.14","5850.69","12388.76","percent of total billed charges",,
"LAP SURG REPAIR HERNIA","49653","HCPCS","Both",,,"15985.5","7992.75","Wellcare","Medicare Advantage","",,"54",,"8664.14","5850.69","12388.76","percent of total billed charges",,
"LAP SURG REPAIR HERNIA","49653","HCPCS","Both",,,"15985.5","7992.75","Amerigroup","Medicaid Managed Care","",,"37",,"5850.69","5850.69","12388.76","percent of total billed charges",,
"LAP SURG REPAIR HERNIA","49653","HCPCS","Both",,,"15985.5","7992.75","Caresource","Medicaid Managed Care","",,"40",,"6394.2","5850.69","12388.76","percent of total billed charges",,
"LAP SURG REPAIR HERNIA","49653","HCPCS","Both",,,"15985.5","7992.75","Wellcare","Medicaid Managed Care","",,"40",,"6474.13","5850.69","12388.76","percent of total billed charges",,
"LAP SURG REPAIR HERNIA","49653","HCPCS","Both",,,"15985.5","7992.75","Aetna","Commercial","",,"64",,"10198.75","5850.69","12388.76","percent of total billed charges",,
"LAP SURG REPAIR HERNIA","49653","HCPCS","Both",,,"15985.5","7992.75","Blue Cross Blue Shield","Pathways","",,"71",,"11285.76","5850.69","12388.76","percent of total billed charges",,
"LAP SURG REPAIR HERNIA","49653","HCPCS","Both",,,"15985.5","7992.75","Blue Cross Blue Shield","HMO","",,"71",,"11285.76","5850.69","12388.76","percent of total billed charges",,
"LAP SURG REPAIR HERNIA","49653","HCPCS","Both",,,"15985.5","7992.75","Blue Cross Blue Shield","PPO","",,"71",,"11285.76","5850.69","12388.76","percent of total billed charges",,
"LAP SURG REPAIR HERNIA","49653","HCPCS","Both",,,"15985.5","7992.75","Ambetter","Health Exchange","",,"62",,"9911.01","5850.69","12388.76","percent of total billed charges",,
"LAP SURG REPAIR HERNIA","49653","HCPCS","Both",,,"15985.5","7992.75","Caresource","Health Exchange","",,"62",,"9911.01","5850.69","12388.76","percent of total billed charges",,
"LAP SURG REPAIR HERNIA","49653","HCPCS","Both",,,"15985.5","7992.75","Cigna","Commercial","",,"59",,"9367.5","5850.69","12388.76","percent of total billed charges",,
"LAP SURG REPAIR HERNIA","49653","HCPCS","Both",,,"15985.5","7992.75","Humana","Commercial","",,"78",,"12388.76","5850.69","12388.76","percent of total billed charges",,
"LAP SURG REPAIR HERNIA","49653","HCPCS","Both",,,"15985.5","7992.75","UHC","Commercial","",,"75",,"12053.07","5850.69","12388.76","percent of total billed charges",,
"LAP SURG REPAIR HERNIA","49653","HCPCS","Both",,,"15985.5","7992.75","Medicaid",,"",,"37",,"5850.69","5850.69","12388.76","percent of total billed charges",,
"CYSTOURETHROSCOPY W/URETERAL CATH","52005","HCPCS","Both",,,"5959","2979.5","Alliant","Health Exchange","",,"62",,"3694.58","2180.99","4618.23","percent of total billed charges",,
"CYSTOURETHROSCOPY W/URETERAL CATH","52005","HCPCS","Both",,,"5959","2979.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"3217.86","2180.99","4618.23","percent of total billed charges",,
"CYSTOURETHROSCOPY W/URETERAL CATH","52005","HCPCS","Both",,,"5959","2979.5","Medicare",,"",,"54",,"3229.78","2180.99","4618.23","percent of total billed charges",,
"CYSTOURETHROSCOPY W/URETERAL CATH","52005","HCPCS","Both",,,"5959","2979.5","Humana","Medicare Advantage","",,"54",,"3229.78","2180.99","4618.23","percent of total billed charges",,
"CYSTOURETHROSCOPY W/URETERAL CATH","52005","HCPCS","Both",,,"5959","2979.5","UHC","Medicare Advantage","",,"54",,"3229.78","2180.99","4618.23","percent of total billed charges",,
"CYSTOURETHROSCOPY W/URETERAL CATH","52005","HCPCS","Both",,,"5959","2979.5","Clover","Medicare Advantage","",,"54",,"3229.78","2180.99","4618.23","percent of total billed charges",,
"CYSTOURETHROSCOPY W/URETERAL CATH","52005","HCPCS","Both",,,"5959","2979.5","Wellcare","Medicare Advantage","",,"54",,"3229.78","2180.99","4618.23","percent of total billed charges",,
"CYSTOURETHROSCOPY W/URETERAL CATH","52005","HCPCS","Both",,,"5959","2979.5","Amerigroup","Medicaid Managed Care","",,"37",,"2180.99","2180.99","4618.23","percent of total billed charges",,
"CYSTOURETHROSCOPY W/URETERAL CATH","52005","HCPCS","Both",,,"5959","2979.5","Caresource","Medicaid Managed Care","",,"40",,"2383.6","2180.99","4618.23","percent of total billed charges",,
"CYSTOURETHROSCOPY W/URETERAL CATH","52005","HCPCS","Both",,,"5959","2979.5","Wellcare","Medicaid Managed Care","",,"40",,"2413.4","2180.99","4618.23","percent of total billed charges",,
"CYSTOURETHROSCOPY W/URETERAL CATH","52005","HCPCS","Both",,,"5959","2979.5","Aetna","Commercial","",,"64",,"3801.84","2180.99","4618.23","percent of total billed charges",,
"CYSTOURETHROSCOPY W/URETERAL CATH","52005","HCPCS","Both",,,"5959","2979.5","Blue Cross Blue Shield","Pathways","",,"71",,"4207.05","2180.99","4618.23","percent of total billed charges",,
"CYSTOURETHROSCOPY W/URETERAL CATH","52005","HCPCS","Both",,,"5959","2979.5","Blue Cross Blue Shield","HMO","",,"71",,"4207.05","2180.99","4618.23","percent of total billed charges",,
"CYSTOURETHROSCOPY W/URETERAL CATH","52005","HCPCS","Both",,,"5959","2979.5","Blue Cross Blue Shield","PPO","",,"71",,"4207.05","2180.99","4618.23","percent of total billed charges",,
"CYSTOURETHROSCOPY W/URETERAL CATH","52005","HCPCS","Both",,,"5959","2979.5","Ambetter","Health Exchange","",,"62",,"3694.58","2180.99","4618.23","percent of total billed charges",,
"CYSTOURETHROSCOPY W/URETERAL CATH","52005","HCPCS","Both",,,"5959","2979.5","Caresource","Health Exchange","",,"62",,"3694.58","2180.99","4618.23","percent of total billed charges",,
"CYSTOURETHROSCOPY W/URETERAL CATH","52005","HCPCS","Both",,,"5959","2979.5","Cigna","Commercial","",,"59",,"3491.97","2180.99","4618.23","percent of total billed charges",,
"CYSTOURETHROSCOPY W/URETERAL CATH","52005","HCPCS","Both",,,"5959","2979.5","Humana","Commercial","",,"78",,"4618.23","2180.99","4618.23","percent of total billed charges",,
"CYSTOURETHROSCOPY W/URETERAL CATH","52005","HCPCS","Both",,,"5959","2979.5","UHC","Commercial","",,"75",,"4493.09","2180.99","4618.23","percent of total billed charges",,
"CYSTOURETHROSCOPY W/URETERAL CATH","52005","HCPCS","Both",,,"5959","2979.5","Medicaid",,"",,"37",,"2180.99","2180.99","4618.23","percent of total billed charges",,
"SLITTING OF PREPUCE, DORSAL/LATERAL","54001","HCPCS","Both",,,"4807.5","2403.75","Alliant","Health Exchange","",,"62",,"2980.65","1759.54","3725.81","percent of total billed charges",,
"SLITTING OF PREPUCE, DORSAL/LATERAL","54001","HCPCS","Both",,,"4807.5","2403.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"2596.05","1759.54","3725.81","percent of total billed charges",,
"SLITTING OF PREPUCE, DORSAL/LATERAL","54001","HCPCS","Both",,,"4807.5","2403.75","Medicare",,"",,"54",,"2605.66","1759.54","3725.81","percent of total billed charges",,
"SLITTING OF PREPUCE, DORSAL/LATERAL","54001","HCPCS","Both",,,"4807.5","2403.75","Humana","Medicare Advantage","",,"54",,"2605.66","1759.54","3725.81","percent of total billed charges",,
"SLITTING OF PREPUCE, DORSAL/LATERAL","54001","HCPCS","Both",,,"4807.5","2403.75","UHC","Medicare Advantage","",,"54",,"2605.66","1759.54","3725.81","percent of total billed charges",,
"SLITTING OF PREPUCE, DORSAL/LATERAL","54001","HCPCS","Both",,,"4807.5","2403.75","Clover","Medicare Advantage","",,"54",,"2605.66","1759.54","3725.81","percent of total billed charges",,
"SLITTING OF PREPUCE, DORSAL/LATERAL","54001","HCPCS","Both",,,"4807.5","2403.75","Wellcare","Medicare Advantage","",,"54",,"2605.66","1759.54","3725.81","percent of total billed charges",,
"SLITTING OF PREPUCE, DORSAL/LATERAL","54001","HCPCS","Both",,,"4807.5","2403.75","Amerigroup","Medicaid Managed Care","",,"37",,"1759.54","1759.54","3725.81","percent of total billed charges",,
"SLITTING OF PREPUCE, DORSAL/LATERAL","54001","HCPCS","Both",,,"4807.5","2403.75","Caresource","Medicaid Managed Care","",,"40",,"1923","1759.54","3725.81","percent of total billed charges",,
"SLITTING OF PREPUCE, DORSAL/LATERAL","54001","HCPCS","Both",,,"4807.5","2403.75","Wellcare","Medicaid Managed Care","",,"40",,"1947.04","1759.54","3725.81","percent of total billed charges",,
"SLITTING OF PREPUCE, DORSAL/LATERAL","54001","HCPCS","Both",,,"4807.5","2403.75","Aetna","Commercial","",,"64",,"3067.18","1759.54","3725.81","percent of total billed charges",,
"SLITTING OF PREPUCE, DORSAL/LATERAL","54001","HCPCS","Both",,,"4807.5","2403.75","Blue Cross Blue Shield","Pathways","",,"71",,"3394.1","1759.54","3725.81","percent of total billed charges",,
"SLITTING OF PREPUCE, DORSAL/LATERAL","54001","HCPCS","Both",,,"4807.5","2403.75","Blue Cross Blue Shield","HMO","",,"71",,"3394.1","1759.54","3725.81","percent of total billed charges",,
"SLITTING OF PREPUCE, DORSAL/LATERAL","54001","HCPCS","Both",,,"4807.5","2403.75","Blue Cross Blue Shield","PPO","",,"71",,"3394.1","1759.54","3725.81","percent of total billed charges",,
"SLITTING OF PREPUCE, DORSAL/LATERAL","54001","HCPCS","Both",,,"4807.5","2403.75","Ambetter","Health Exchange","",,"62",,"2980.65","1759.54","3725.81","percent of total billed charges",,
"SLITTING OF PREPUCE, DORSAL/LATERAL","54001","HCPCS","Both",,,"4807.5","2403.75","Caresource","Health Exchange","",,"62",,"2980.65","1759.54","3725.81","percent of total billed charges",,
"SLITTING OF PREPUCE, DORSAL/LATERAL","54001","HCPCS","Both",,,"4807.5","2403.75","Cigna","Commercial","",,"59",,"2817.2","1759.54","3725.81","percent of total billed charges",,
"SLITTING OF PREPUCE, DORSAL/LATERAL","54001","HCPCS","Both",,,"4807.5","2403.75","Humana","Commercial","",,"78",,"3725.81","1759.54","3725.81","percent of total billed charges",,
"SLITTING OF PREPUCE, DORSAL/LATERAL","54001","HCPCS","Both",,,"4807.5","2403.75","UHC","Commercial","",,"75",,"3624.86","1759.54","3725.81","percent of total billed charges",,
"SLITTING OF PREPUCE, DORSAL/LATERAL","54001","HCPCS","Both",,,"4807.5","2403.75","Medicaid",,"",,"37",,"1759.54","1759.54","3725.81","percent of total billed charges",,
"CIRCUMCISION; EXCEPT NEWBORN","54161","HCPCS","Both",,,"400","200","Alliant","Health Exchange","",,"62",,"248","146.4","310","percent of total billed charges",,
"CIRCUMCISION; EXCEPT NEWBORN","54161","HCPCS","Both",,,"400","200","Pruitt Healthcare","Medicare Advantage","",,"54",,"216","146.4","310","percent of total billed charges",,
"CIRCUMCISION; EXCEPT NEWBORN","54161","HCPCS","Both",,,"400","200","Medicare",,"",,"54",,"216.8","146.4","310","percent of total billed charges",,
"CIRCUMCISION; EXCEPT NEWBORN","54161","HCPCS","Both",,,"400","200","Humana","Medicare Advantage","",,"54",,"216.8","146.4","310","percent of total billed charges",,
"CIRCUMCISION; EXCEPT NEWBORN","54161","HCPCS","Both",,,"400","200","UHC","Medicare Advantage","",,"54",,"216.8","146.4","310","percent of total billed charges",,
"CIRCUMCISION; EXCEPT NEWBORN","54161","HCPCS","Both",,,"400","200","Clover","Medicare Advantage","",,"54",,"216.8","146.4","310","percent of total billed charges",,
"CIRCUMCISION; EXCEPT NEWBORN","54161","HCPCS","Both",,,"400","200","Wellcare","Medicare Advantage","",,"54",,"216.8","146.4","310","percent of total billed charges",,
"CIRCUMCISION; EXCEPT NEWBORN","54161","HCPCS","Both",,,"400","200","Amerigroup","Medicaid Managed Care","",,"37",,"146.4","146.4","310","percent of total billed charges",,
"CIRCUMCISION; EXCEPT NEWBORN","54161","HCPCS","Both",,,"400","200","Caresource","Medicaid Managed Care","",,"40",,"160","146.4","310","percent of total billed charges",,
"CIRCUMCISION; EXCEPT NEWBORN","54161","HCPCS","Both",,,"400","200","Wellcare","Medicaid Managed Care","",,"40",,"162","146.4","310","percent of total billed charges",,
"CIRCUMCISION; EXCEPT NEWBORN","54161","HCPCS","Both",,,"400","200","Aetna","Commercial","",,"64",,"255.2","146.4","310","percent of total billed charges",,
"CIRCUMCISION; EXCEPT NEWBORN","54161","HCPCS","Both",,,"400","200","Blue Cross Blue Shield","Pathways","",,"71",,"282.4","146.4","310","percent of total billed charges",,
"CIRCUMCISION; EXCEPT NEWBORN","54161","HCPCS","Both",,,"400","200","Blue Cross Blue Shield","HMO","",,"71",,"282.4","146.4","310","percent of total billed charges",,
"CIRCUMCISION; EXCEPT NEWBORN","54161","HCPCS","Both",,,"400","200","Blue Cross Blue Shield","PPO","",,"71",,"282.4","146.4","310","percent of total billed charges",,
"CIRCUMCISION; EXCEPT NEWBORN","54161","HCPCS","Both",,,"400","200","Ambetter","Health Exchange","",,"62",,"248","146.4","310","percent of total billed charges",,
"CIRCUMCISION; EXCEPT NEWBORN","54161","HCPCS","Both",,,"400","200","Caresource","Health Exchange","",,"62",,"248","146.4","310","percent of total billed charges",,
"CIRCUMCISION; EXCEPT NEWBORN","54161","HCPCS","Both",,,"400","200","Cigna","Commercial","",,"59",,"234.4","146.4","310","percent of total billed charges",,
"CIRCUMCISION; EXCEPT NEWBORN","54161","HCPCS","Both",,,"400","200","Humana","Commercial","",,"78",,"310","146.4","310","percent of total billed charges",,
"CIRCUMCISION; EXCEPT NEWBORN","54161","HCPCS","Both",,,"400","200","UHC","Commercial","",,"75",,"301.6","146.4","310","percent of total billed charges",,
"CIRCUMCISION; EXCEPT NEWBORN","54161","HCPCS","Both",,,"400","200","Medicaid",,"",,"37",,"146.4","146.4","310","percent of total billed charges",,
"EXCISION HYDROCELE; UNILATERAL","55040","HCPCS","Both",,,"9812.5","4906.25","Alliant","Health Exchange","",,"62",,"6083.75","3591.38","7604.69","percent of total billed charges",,
"EXCISION HYDROCELE; UNILATERAL","55040","HCPCS","Both",,,"9812.5","4906.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"5298.75","3591.38","7604.69","percent of total billed charges",,
"EXCISION HYDROCELE; UNILATERAL","55040","HCPCS","Both",,,"9812.5","4906.25","Medicare",,"",,"54",,"5318.38","3591.38","7604.69","percent of total billed charges",,
"EXCISION HYDROCELE; UNILATERAL","55040","HCPCS","Both",,,"9812.5","4906.25","Humana","Medicare Advantage","",,"54",,"5318.38","3591.38","7604.69","percent of total billed charges",,
"EXCISION HYDROCELE; UNILATERAL","55040","HCPCS","Both",,,"9812.5","4906.25","UHC","Medicare Advantage","",,"54",,"5318.38","3591.38","7604.69","percent of total billed charges",,
"EXCISION HYDROCELE; UNILATERAL","55040","HCPCS","Both",,,"9812.5","4906.25","Clover","Medicare Advantage","",,"54",,"5318.38","3591.38","7604.69","percent of total billed charges",,
"EXCISION HYDROCELE; UNILATERAL","55040","HCPCS","Both",,,"9812.5","4906.25","Wellcare","Medicare Advantage","",,"54",,"5318.38","3591.38","7604.69","percent of total billed charges",,
"EXCISION HYDROCELE; UNILATERAL","55040","HCPCS","Both",,,"9812.5","4906.25","Amerigroup","Medicaid Managed Care","",,"37",,"3591.38","3591.38","7604.69","percent of total billed charges",,
"EXCISION HYDROCELE; UNILATERAL","55040","HCPCS","Both",,,"9812.5","4906.25","Caresource","Medicaid Managed Care","",,"40",,"3925","3591.38","7604.69","percent of total billed charges",,
"EXCISION HYDROCELE; UNILATERAL","55040","HCPCS","Both",,,"9812.5","4906.25","Wellcare","Medicaid Managed Care","",,"40",,"3974.06","3591.38","7604.69","percent of total billed charges",,
"EXCISION HYDROCELE; UNILATERAL","55040","HCPCS","Both",,,"9812.5","4906.25","Aetna","Commercial","",,"64",,"6260.38","3591.38","7604.69","percent of total billed charges",,
"EXCISION HYDROCELE; UNILATERAL","55040","HCPCS","Both",,,"9812.5","4906.25","Blue Cross Blue Shield","Pathways","",,"71",,"6927.62","3591.38","7604.69","percent of total billed charges",,
"EXCISION HYDROCELE; UNILATERAL","55040","HCPCS","Both",,,"9812.5","4906.25","Blue Cross Blue Shield","HMO","",,"71",,"6927.62","3591.38","7604.69","percent of total billed charges",,
"EXCISION HYDROCELE; UNILATERAL","55040","HCPCS","Both",,,"9812.5","4906.25","Blue Cross Blue Shield","PPO","",,"71",,"6927.62","3591.38","7604.69","percent of total billed charges",,
"EXCISION HYDROCELE; UNILATERAL","55040","HCPCS","Both",,,"9812.5","4906.25","Ambetter","Health Exchange","",,"62",,"6083.75","3591.38","7604.69","percent of total billed charges",,
"EXCISION HYDROCELE; UNILATERAL","55040","HCPCS","Both",,,"9812.5","4906.25","Caresource","Health Exchange","",,"62",,"6083.75","3591.38","7604.69","percent of total billed charges",,
"EXCISION HYDROCELE; UNILATERAL","55040","HCPCS","Both",,,"9812.5","4906.25","Cigna","Commercial","",,"59",,"5750.12","3591.38","7604.69","percent of total billed charges",,
"EXCISION HYDROCELE; UNILATERAL","55040","HCPCS","Both",,,"9812.5","4906.25","Humana","Commercial","",,"78",,"7604.69","3591.38","7604.69","percent of total billed charges",,
"EXCISION HYDROCELE; UNILATERAL","55040","HCPCS","Both",,,"9812.5","4906.25","UHC","Commercial","",,"75",,"7398.62","3591.38","7604.69","percent of total billed charges",,
"EXCISION HYDROCELE; UNILATERAL","55040","HCPCS","Both",,,"9812.5","4906.25","Medicaid",,"",,"37",,"3591.38","3591.38","7604.69","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","55250","HCPCS","Both",,,"1907","953.5","Alliant","Health Exchange","",,"62",,"1182.34","697.96","1477.92","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","55250","HCPCS","Both",,,"1907","953.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"1029.78","697.96","1477.92","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","55250","HCPCS","Both",,,"1907","953.5","Medicare",,"",,"54",,"1033.59","697.96","1477.92","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","55250","HCPCS","Both",,,"1907","953.5","Humana","Medicare Advantage","",,"54",,"1033.59","697.96","1477.92","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","55250","HCPCS","Both",,,"1907","953.5","UHC","Medicare Advantage","",,"54",,"1033.59","697.96","1477.92","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","55250","HCPCS","Both",,,"1907","953.5","Clover","Medicare Advantage","",,"54",,"1033.59","697.96","1477.92","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","55250","HCPCS","Both",,,"1907","953.5","Wellcare","Medicare Advantage","",,"54",,"1033.59","697.96","1477.92","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","55250","HCPCS","Both",,,"1907","953.5","Amerigroup","Medicaid Managed Care","",,"37",,"697.96","697.96","1477.92","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","55250","HCPCS","Both",,,"1907","953.5","Caresource","Medicaid Managed Care","",,"40",,"762.8","697.96","1477.92","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","55250","HCPCS","Both",,,"1907","953.5","Wellcare","Medicaid Managed Care","",,"40",,"772.34","697.96","1477.92","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","55250","HCPCS","Both",,,"1907","953.5","Aetna","Commercial","",,"64",,"1216.67","697.96","1477.92","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","55250","HCPCS","Both",,,"1907","953.5","Blue Cross Blue Shield","Pathways","",,"71",,"1346.34","697.96","1477.92","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","55250","HCPCS","Both",,,"1907","953.5","Blue Cross Blue Shield","HMO","",,"71",,"1346.34","697.96","1477.92","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","55250","HCPCS","Both",,,"1907","953.5","Blue Cross Blue Shield","PPO","",,"71",,"1346.34","697.96","1477.92","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","55250","HCPCS","Both",,,"1907","953.5","Ambetter","Health Exchange","",,"62",,"1182.34","697.96","1477.92","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","55250","HCPCS","Both",,,"1907","953.5","Caresource","Health Exchange","",,"62",,"1182.34","697.96","1477.92","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","55250","HCPCS","Both",,,"1907","953.5","Cigna","Commercial","",,"59",,"1117.5","697.96","1477.92","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","55250","HCPCS","Both",,,"1907","953.5","Humana","Commercial","",,"78",,"1477.92","697.96","1477.92","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","55250","HCPCS","Both",,,"1907","953.5","UHC","Commercial","",,"75",,"1437.88","697.96","1477.92","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","55250","HCPCS","Both",,,"1907","953.5","Medicaid",,"",,"37",,"697.96","697.96","1477.92","percent of total billed charges",,
"EXCISION HYDROCELE SPERMATIC CORD UNILAT","55500","HCPCS","Both",,,"5297","2648.5","Alliant","Health Exchange","",,"62",,"3284.14","1938.7","4105.18","percent of total billed charges",,
"EXCISION HYDROCELE SPERMATIC CORD UNILAT","55500","HCPCS","Both",,,"5297","2648.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"2860.38","1938.7","4105.18","percent of total billed charges",,
"EXCISION HYDROCELE SPERMATIC CORD UNILAT","55500","HCPCS","Both",,,"5297","2648.5","Medicare",,"",,"54",,"2870.97","1938.7","4105.18","percent of total billed charges",,
"EXCISION HYDROCELE SPERMATIC CORD UNILAT","55500","HCPCS","Both",,,"5297","2648.5","Humana","Medicare Advantage","",,"54",,"2870.97","1938.7","4105.18","percent of total billed charges",,
"EXCISION HYDROCELE SPERMATIC CORD UNILAT","55500","HCPCS","Both",,,"5297","2648.5","UHC","Medicare Advantage","",,"54",,"2870.97","1938.7","4105.18","percent of total billed charges",,
"EXCISION HYDROCELE SPERMATIC CORD UNILAT","55500","HCPCS","Both",,,"5297","2648.5","Clover","Medicare Advantage","",,"54",,"2870.97","1938.7","4105.18","percent of total billed charges",,
"EXCISION HYDROCELE SPERMATIC CORD UNILAT","55500","HCPCS","Both",,,"5297","2648.5","Wellcare","Medicare Advantage","",,"54",,"2870.97","1938.7","4105.18","percent of total billed charges",,
"EXCISION HYDROCELE SPERMATIC CORD UNILAT","55500","HCPCS","Both",,,"5297","2648.5","Amerigroup","Medicaid Managed Care","",,"37",,"1938.7","1938.7","4105.18","percent of total billed charges",,
"EXCISION HYDROCELE SPERMATIC CORD UNILAT","55500","HCPCS","Both",,,"5297","2648.5","Caresource","Medicaid Managed Care","",,"40",,"2118.8","1938.7","4105.18","percent of total billed charges",,
"EXCISION HYDROCELE SPERMATIC CORD UNILAT","55500","HCPCS","Both",,,"5297","2648.5","Wellcare","Medicaid Managed Care","",,"40",,"2145.29","1938.7","4105.18","percent of total billed charges",,
"EXCISION HYDROCELE SPERMATIC CORD UNILAT","55500","HCPCS","Both",,,"5297","2648.5","Aetna","Commercial","",,"64",,"3379.49","1938.7","4105.18","percent of total billed charges",,
"EXCISION HYDROCELE SPERMATIC CORD UNILAT","55500","HCPCS","Both",,,"5297","2648.5","Blue Cross Blue Shield","Pathways","",,"71",,"3739.68","1938.7","4105.18","percent of total billed charges",,
"EXCISION HYDROCELE SPERMATIC CORD UNILAT","55500","HCPCS","Both",,,"5297","2648.5","Blue Cross Blue Shield","HMO","",,"71",,"3739.68","1938.7","4105.18","percent of total billed charges",,
"EXCISION HYDROCELE SPERMATIC CORD UNILAT","55500","HCPCS","Both",,,"5297","2648.5","Blue Cross Blue Shield","PPO","",,"71",,"3739.68","1938.7","4105.18","percent of total billed charges",,
"EXCISION HYDROCELE SPERMATIC CORD UNILAT","55500","HCPCS","Both",,,"5297","2648.5","Ambetter","Health Exchange","",,"62",,"3284.14","1938.7","4105.18","percent of total billed charges",,
"EXCISION HYDROCELE SPERMATIC CORD UNILAT","55500","HCPCS","Both",,,"5297","2648.5","Caresource","Health Exchange","",,"62",,"3284.14","1938.7","4105.18","percent of total billed charges",,
"EXCISION HYDROCELE SPERMATIC CORD UNILAT","55500","HCPCS","Both",,,"5297","2648.5","Cigna","Commercial","",,"59",,"3104.04","1938.7","4105.18","percent of total billed charges",,
"EXCISION HYDROCELE SPERMATIC CORD UNILAT","55500","HCPCS","Both",,,"5297","2648.5","Humana","Commercial","",,"78",,"4105.18","1938.7","4105.18","percent of total billed charges",,
"EXCISION HYDROCELE SPERMATIC CORD UNILAT","55500","HCPCS","Both",,,"5297","2648.5","UHC","Commercial","",,"75",,"3993.94","1938.7","4105.18","percent of total billed charges",,
"EXCISION HYDROCELE SPERMATIC CORD UNILAT","55500","HCPCS","Both",,,"5297","2648.5","Medicaid",,"",,"37",,"1938.7","1938.7","4105.18","percent of total billed charges",,
"MARSUPIALIZATION BARTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Alliant","Health Exchange","",,"62",,"2815.73","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BARTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"2452.41","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BARTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Medicare",,"",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BARTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Humana","Medicare Advantage","",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BARTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","UHC","Medicare Advantage","",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BARTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Clover","Medicare Advantage","",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BARTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Wellcare","Medicare Advantage","",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BARTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Amerigroup","Medicaid Managed Care","",,"37",,"1662.19","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BARTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Caresource","Medicaid Managed Care","",,"40",,"1816.6","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BARTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Wellcare","Medicaid Managed Care","",,"40",,"1839.31","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BARTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Aetna","Commercial","",,"64",,"2897.48","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BARTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Blue Cross Blue Shield","Pathways","",,"71",,"3206.3","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BARTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Blue Cross Blue Shield","HMO","",,"71",,"3206.3","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BARTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Blue Cross Blue Shield","PPO","",,"71",,"3206.3","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BARTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Ambetter","Health Exchange","",,"62",,"2815.73","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BARTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Caresource","Health Exchange","",,"62",,"2815.73","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BARTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Cigna","Commercial","",,"59",,"2661.32","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BARTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Humana","Commercial","",,"78",,"3519.66","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BARTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","UHC","Commercial","",,"75",,"3424.29","1662.19","3519.66","percent of total billed charges",,
"MARSUPIALIZATION BARTHOLIN'S GLAND CYST","56440","HCPCS","Both",,,"4541.5","2270.75","Medicaid",,"",,"37",,"1662.19","1662.19","3519.66","percent of total billed charges",,
"EXC OF BARTHOLIN'S GLAND OR CYST","56740","HCPCS","Both",,,"4541.5","2270.75","Alliant","Health Exchange","",,"62",,"2815.73","1662.19","3519.66","percent of total billed charges",,
"EXC OF BARTHOLIN'S GLAND OR CYST","56740","HCPCS","Both",,,"4541.5","2270.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"2452.41","1662.19","3519.66","percent of total billed charges",,
"EXC OF BARTHOLIN'S GLAND OR CYST","56740","HCPCS","Both",,,"4541.5","2270.75","Medicare",,"",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"EXC OF BARTHOLIN'S GLAND OR CYST","56740","HCPCS","Both",,,"4541.5","2270.75","Humana","Medicare Advantage","",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"EXC OF BARTHOLIN'S GLAND OR CYST","56740","HCPCS","Both",,,"4541.5","2270.75","UHC","Medicare Advantage","",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"EXC OF BARTHOLIN'S GLAND OR CYST","56740","HCPCS","Both",,,"4541.5","2270.75","Clover","Medicare Advantage","",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"EXC OF BARTHOLIN'S GLAND OR CYST","56740","HCPCS","Both",,,"4541.5","2270.75","Wellcare","Medicare Advantage","",,"54",,"2461.49","1662.19","3519.66","percent of total billed charges",,
"EXC OF BARTHOLIN'S GLAND OR CYST","56740","HCPCS","Both",,,"4541.5","2270.75","Amerigroup","Medicaid Managed Care","",,"37",,"1662.19","1662.19","3519.66","percent of total billed charges",,
"EXC OF BARTHOLIN'S GLAND OR CYST","56740","HCPCS","Both",,,"4541.5","2270.75","Caresource","Medicaid Managed Care","",,"40",,"1816.6","1662.19","3519.66","percent of total billed charges",,
"EXC OF BARTHOLIN'S GLAND OR CYST","56740","HCPCS","Both",,,"4541.5","2270.75","Wellcare","Medicaid Managed Care","",,"40",,"1839.31","1662.19","3519.66","percent of total billed charges",,
"EXC OF BARTHOLIN'S GLAND OR CYST","56740","HCPCS","Both",,,"4541.5","2270.75","Aetna","Commercial","",,"64",,"2897.48","1662.19","3519.66","percent of total billed charges",,
"EXC OF BARTHOLIN'S GLAND OR CYST","56740","HCPCS","Both",,,"4541.5","2270.75","Blue Cross Blue Shield","Pathways","",,"71",,"3206.3","1662.19","3519.66","percent of total billed charges",,
"EXC OF BARTHOLIN'S GLAND OR CYST","56740","HCPCS","Both",,,"4541.5","2270.75","Blue Cross Blue Shield","HMO","",,"71",,"3206.3","1662.19","3519.66","percent of total billed charges",,
"EXC OF BARTHOLIN'S GLAND OR CYST","56740","HCPCS","Both",,,"4541.5","2270.75","Blue Cross Blue Shield","PPO","",,"71",,"3206.3","1662.19","3519.66","percent of total billed charges",,
"EXC OF BARTHOLIN'S GLAND OR CYST","56740","HCPCS","Both",,,"4541.5","2270.75","Ambetter","Health Exchange","",,"62",,"2815.73","1662.19","3519.66","percent of total billed charges",,
"EXC OF BARTHOLIN'S GLAND OR CYST","56740","HCPCS","Both",,,"4541.5","2270.75","Caresource","Health Exchange","",,"62",,"2815.73","1662.19","3519.66","percent of total billed charges",,
"EXC OF BARTHOLIN'S GLAND OR CYST","56740","HCPCS","Both",,,"4541.5","2270.75","Cigna","Commercial","",,"59",,"2661.32","1662.19","3519.66","percent of total billed charges",,
"EXC OF BARTHOLIN'S GLAND OR CYST","56740","HCPCS","Both",,,"4541.5","2270.75","Humana","Commercial","",,"78",,"3519.66","1662.19","3519.66","percent of total billed charges",,
"EXC OF BARTHOLIN'S GLAND OR CYST","56740","HCPCS","Both",,,"4541.5","2270.75","UHC","Commercial","",,"75",,"3424.29","1662.19","3519.66","percent of total billed charges",,
"EXC OF BARTHOLIN'S GLAND OR CYST","56740","HCPCS","Both",,,"4541.5","2270.75","Medicaid",,"",,"37",,"1662.19","1662.19","3519.66","percent of total billed charges",,
"COLPOSCOPY VAGINOSCOPY","57452","HCPCS","Both",,,"371.5","185.75","Alliant","Health Exchange","",,"62",,"230.33","135.97","287.91","percent of total billed charges",,
"COLPOSCOPY VAGINOSCOPY","57452","HCPCS","Both",,,"371.5","185.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"200.61","135.97","287.91","percent of total billed charges",,
"COLPOSCOPY VAGINOSCOPY","57452","HCPCS","Both",,,"371.5","185.75","Medicare",,"",,"54",,"201.35","135.97","287.91","percent of total billed charges",,
"COLPOSCOPY VAGINOSCOPY","57452","HCPCS","Both",,,"371.5","185.75","Humana","Medicare Advantage","",,"54",,"201.35","135.97","287.91","percent of total billed charges",,
"COLPOSCOPY VAGINOSCOPY","57452","HCPCS","Both",,,"371.5","185.75","UHC","Medicare Advantage","",,"54",,"201.35","135.97","287.91","percent of total billed charges",,
"COLPOSCOPY VAGINOSCOPY","57452","HCPCS","Both",,,"371.5","185.75","Clover","Medicare Advantage","",,"54",,"201.35","135.97","287.91","percent of total billed charges",,
"COLPOSCOPY VAGINOSCOPY","57452","HCPCS","Both",,,"371.5","185.75","Wellcare","Medicare Advantage","",,"54",,"201.35","135.97","287.91","percent of total billed charges",,
"COLPOSCOPY VAGINOSCOPY","57452","HCPCS","Both",,,"371.5","185.75","Amerigroup","Medicaid Managed Care","",,"37",,"135.97","135.97","287.91","percent of total billed charges",,
"COLPOSCOPY VAGINOSCOPY","57452","HCPCS","Both",,,"371.5","185.75","Caresource","Medicaid Managed Care","",,"40",,"148.6","135.97","287.91","percent of total billed charges",,
"COLPOSCOPY VAGINOSCOPY","57452","HCPCS","Both",,,"371.5","185.75","Wellcare","Medicaid Managed Care","",,"40",,"150.46","135.97","287.91","percent of total billed charges",,
"COLPOSCOPY VAGINOSCOPY","57452","HCPCS","Both",,,"371.5","185.75","Aetna","Commercial","",,"64",,"237.02","135.97","287.91","percent of total billed charges",,
"COLPOSCOPY VAGINOSCOPY","57452","HCPCS","Both",,,"371.5","185.75","Blue Cross Blue Shield","Pathways","",,"71",,"262.28","135.97","287.91","percent of total billed charges",,
"COLPOSCOPY VAGINOSCOPY","57452","HCPCS","Both",,,"371.5","185.75","Blue Cross Blue Shield","HMO","",,"71",,"262.28","135.97","287.91","percent of total billed charges",,
"COLPOSCOPY VAGINOSCOPY","57452","HCPCS","Both",,,"371.5","185.75","Blue Cross Blue Shield","PPO","",,"71",,"262.28","135.97","287.91","percent of total billed charges",,
"COLPOSCOPY VAGINOSCOPY","57452","HCPCS","Both",,,"371.5","185.75","Ambetter","Health Exchange","",,"62",,"230.33","135.97","287.91","percent of total billed charges",,
"COLPOSCOPY VAGINOSCOPY","57452","HCPCS","Both",,,"371.5","185.75","Caresource","Health Exchange","",,"62",,"230.33","135.97","287.91","percent of total billed charges",,
"COLPOSCOPY VAGINOSCOPY","57452","HCPCS","Both",,,"371.5","185.75","Cigna","Commercial","",,"59",,"217.7","135.97","287.91","percent of total billed charges",,
"COLPOSCOPY VAGINOSCOPY","57452","HCPCS","Both",,,"371.5","185.75","Humana","Commercial","",,"78",,"287.91","135.97","287.91","percent of total billed charges",,
"COLPOSCOPY VAGINOSCOPY","57452","HCPCS","Both",,,"371.5","185.75","UHC","Commercial","",,"75",,"280.11","135.97","287.91","percent of total billed charges",,
"COLPOSCOPY VAGINOSCOPY","57452","HCPCS","Both",,,"371.5","185.75","Medicaid",,"",,"37",,"135.97","135.97","287.91","percent of total billed charges",,
"LIGATION OR TRANSECTION FALLOPIAN TUBE(S","58600","HCPCS","Both",,,"2172","1086","Alliant","Health Exchange","",,"62",,"1346.64","794.95","1683.3","percent of total billed charges",,
"LIGATION OR TRANSECTION FALLOPIAN TUBE(S","58600","HCPCS","Both",,,"2172","1086","Pruitt Healthcare","Medicare Advantage","",,"54",,"1172.88","794.95","1683.3","percent of total billed charges",,
"LIGATION OR TRANSECTION FALLOPIAN TUBE(S","58600","HCPCS","Both",,,"2172","1086","Medicare",,"",,"54",,"1177.22","794.95","1683.3","percent of total billed charges",,
"LIGATION OR TRANSECTION FALLOPIAN TUBE(S","58600","HCPCS","Both",,,"2172","1086","Humana","Medicare Advantage","",,"54",,"1177.22","794.95","1683.3","percent of total billed charges",,
"LIGATION OR TRANSECTION FALLOPIAN TUBE(S","58600","HCPCS","Both",,,"2172","1086","UHC","Medicare Advantage","",,"54",,"1177.22","794.95","1683.3","percent of total billed charges",,
"LIGATION OR TRANSECTION FALLOPIAN TUBE(S","58600","HCPCS","Both",,,"2172","1086","Clover","Medicare Advantage","",,"54",,"1177.22","794.95","1683.3","percent of total billed charges",,
"LIGATION OR TRANSECTION FALLOPIAN TUBE(S","58600","HCPCS","Both",,,"2172","1086","Wellcare","Medicare Advantage","",,"54",,"1177.22","794.95","1683.3","percent of total billed charges",,
"LIGATION OR TRANSECTION FALLOPIAN TUBE(S","58600","HCPCS","Both",,,"2172","1086","Amerigroup","Medicaid Managed Care","",,"37",,"794.95","794.95","1683.3","percent of total billed charges",,
"LIGATION OR TRANSECTION FALLOPIAN TUBE(S","58600","HCPCS","Both",,,"2172","1086","Caresource","Medicaid Managed Care","",,"40",,"868.8","794.95","1683.3","percent of total billed charges",,
"LIGATION OR TRANSECTION FALLOPIAN TUBE(S","58600","HCPCS","Both",,,"2172","1086","Wellcare","Medicaid Managed Care","",,"40",,"879.66","794.95","1683.3","percent of total billed charges",,
"LIGATION OR TRANSECTION FALLOPIAN TUBE(S","58600","HCPCS","Both",,,"2172","1086","Aetna","Commercial","",,"64",,"1385.74","794.95","1683.3","percent of total billed charges",,
"LIGATION OR TRANSECTION FALLOPIAN TUBE(S","58600","HCPCS","Both",,,"2172","1086","Blue Cross Blue Shield","Pathways","",,"71",,"1533.43","794.95","1683.3","percent of total billed charges",,
"LIGATION OR TRANSECTION FALLOPIAN TUBE(S","58600","HCPCS","Both",,,"2172","1086","Blue Cross Blue Shield","HMO","",,"71",,"1533.43","794.95","1683.3","percent of total billed charges",,
"LIGATION OR TRANSECTION FALLOPIAN TUBE(S","58600","HCPCS","Both",,,"2172","1086","Blue Cross Blue Shield","PPO","",,"71",,"1533.43","794.95","1683.3","percent of total billed charges",,
"LIGATION OR TRANSECTION FALLOPIAN TUBE(S","58600","HCPCS","Both",,,"2172","1086","Ambetter","Health Exchange","",,"62",,"1346.64","794.95","1683.3","percent of total billed charges",,
"LIGATION OR TRANSECTION FALLOPIAN TUBE(S","58600","HCPCS","Both",,,"2172","1086","Caresource","Health Exchange","",,"62",,"1346.64","794.95","1683.3","percent of total billed charges",,
"LIGATION OR TRANSECTION FALLOPIAN TUBE(S","58600","HCPCS","Both",,,"2172","1086","Cigna","Commercial","",,"59",,"1272.79","794.95","1683.3","percent of total billed charges",,
"LIGATION OR TRANSECTION FALLOPIAN TUBE(S","58600","HCPCS","Both",,,"2172","1086","Humana","Commercial","",,"78",,"1683.3","794.95","1683.3","percent of total billed charges",,
"LIGATION OR TRANSECTION FALLOPIAN TUBE(S","58600","HCPCS","Both",,,"2172","1086","UHC","Commercial","",,"75",,"1637.69","794.95","1683.3","percent of total billed charges",,
"LIGATION OR TRANSECTION FALLOPIAN TUBE(S","58600","HCPCS","Both",,,"2172","1086","Medicaid",,"",,"37",,"794.95","794.95","1683.3","percent of total billed charges",,
"LAP RMVL ADNEXAL STRUXS","58661","HCPCS","Both",,,"10884.5","5442.25","Alliant","Health Exchange","",,"62",,"6748.39","3983.73","8435.49","percent of total billed charges",,
"LAP RMVL ADNEXAL STRUXS","58661","HCPCS","Both",,,"10884.5","5442.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"5877.63","3983.73","8435.49","percent of total billed charges",,
"LAP RMVL ADNEXAL STRUXS","58661","HCPCS","Both",,,"10884.5","5442.25","Medicare",,"",,"54",,"5899.4","3983.73","8435.49","percent of total billed charges",,
"LAP RMVL ADNEXAL STRUXS","58661","HCPCS","Both",,,"10884.5","5442.25","Humana","Medicare Advantage","",,"54",,"5899.4","3983.73","8435.49","percent of total billed charges",,
"LAP RMVL ADNEXAL STRUXS","58661","HCPCS","Both",,,"10884.5","5442.25","UHC","Medicare Advantage","",,"54",,"5899.4","3983.73","8435.49","percent of total billed charges",,
"LAP RMVL ADNEXAL STRUXS","58661","HCPCS","Both",,,"10884.5","5442.25","Clover","Medicare Advantage","",,"54",,"5899.4","3983.73","8435.49","percent of total billed charges",,
"LAP RMVL ADNEXAL STRUXS","58661","HCPCS","Both",,,"10884.5","5442.25","Wellcare","Medicare Advantage","",,"54",,"5899.4","3983.73","8435.49","percent of total billed charges",,
"LAP RMVL ADNEXAL STRUXS","58661","HCPCS","Both",,,"10884.5","5442.25","Amerigroup","Medicaid Managed Care","",,"37",,"3983.73","3983.73","8435.49","percent of total billed charges",,
"LAP RMVL ADNEXAL STRUXS","58661","HCPCS","Both",,,"10884.5","5442.25","Caresource","Medicaid Managed Care","",,"40",,"4353.8","3983.73","8435.49","percent of total billed charges",,
"LAP RMVL ADNEXAL STRUXS","58661","HCPCS","Both",,,"10884.5","5442.25","Wellcare","Medicaid Managed Care","",,"40",,"4408.22","3983.73","8435.49","percent of total billed charges",,
"LAP RMVL ADNEXAL STRUXS","58661","HCPCS","Both",,,"10884.5","5442.25","Aetna","Commercial","",,"64",,"6944.31","3983.73","8435.49","percent of total billed charges",,
"LAP RMVL ADNEXAL STRUXS","58661","HCPCS","Both",,,"10884.5","5442.25","Blue Cross Blue Shield","Pathways","",,"71",,"7684.46","3983.73","8435.49","percent of total billed charges",,
"LAP RMVL ADNEXAL STRUXS","58661","HCPCS","Both",,,"10884.5","5442.25","Blue Cross Blue Shield","HMO","",,"71",,"7684.46","3983.73","8435.49","percent of total billed charges",,
"LAP RMVL ADNEXAL STRUXS","58661","HCPCS","Both",,,"10884.5","5442.25","Blue Cross Blue Shield","PPO","",,"71",,"7684.46","3983.73","8435.49","percent of total billed charges",,
"LAP RMVL ADNEXAL STRUXS","58661","HCPCS","Both",,,"10884.5","5442.25","Ambetter","Health Exchange","",,"62",,"6748.39","3983.73","8435.49","percent of total billed charges",,
"LAP RMVL ADNEXAL STRUXS","58661","HCPCS","Both",,,"10884.5","5442.25","Caresource","Health Exchange","",,"62",,"6748.39","3983.73","8435.49","percent of total billed charges",,
"LAP RMVL ADNEXAL STRUXS","58661","HCPCS","Both",,,"10884.5","5442.25","Cigna","Commercial","",,"59",,"6378.32","3983.73","8435.49","percent of total billed charges",,
"LAP RMVL ADNEXAL STRUXS","58661","HCPCS","Both",,,"10884.5","5442.25","Humana","Commercial","",,"78",,"8435.49","3983.73","8435.49","percent of total billed charges",,
"LAP RMVL ADNEXAL STRUXS","58661","HCPCS","Both",,,"10884.5","5442.25","UHC","Commercial","",,"75",,"8206.91","3983.73","8435.49","percent of total billed charges",,
"LAP RMVL ADNEXAL STRUXS","58661","HCPCS","Both",,,"10884.5","5442.25","Medicaid",,"",,"37",,"3983.73","3983.73","8435.49","percent of total billed charges",,
"LAP FULG/EXC OVARY VISCERA/PERITONEAL SU","58662","HCPCS","Both",,,"10884.5","5442.25","Alliant","Health Exchange","",,"62",,"6748.39","3983.73","8435.49","percent of total billed charges",,
"LAP FULG/EXC OVARY VISCERA/PERITONEAL SU","58662","HCPCS","Both",,,"10884.5","5442.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"5877.63","3983.73","8435.49","percent of total billed charges",,
"LAP FULG/EXC OVARY VISCERA/PERITONEAL SU","58662","HCPCS","Both",,,"10884.5","5442.25","Medicare",,"",,"54",,"5899.4","3983.73","8435.49","percent of total billed charges",,
"LAP FULG/EXC OVARY VISCERA/PERITONEAL SU","58662","HCPCS","Both",,,"10884.5","5442.25","Humana","Medicare Advantage","",,"54",,"5899.4","3983.73","8435.49","percent of total billed charges",,
"LAP FULG/EXC OVARY VISCERA/PERITONEAL SU","58662","HCPCS","Both",,,"10884.5","5442.25","UHC","Medicare Advantage","",,"54",,"5899.4","3983.73","8435.49","percent of total billed charges",,
"LAP FULG/EXC OVARY VISCERA/PERITONEAL SU","58662","HCPCS","Both",,,"10884.5","5442.25","Clover","Medicare Advantage","",,"54",,"5899.4","3983.73","8435.49","percent of total billed charges",,
"LAP FULG/EXC OVARY VISCERA/PERITONEAL SU","58662","HCPCS","Both",,,"10884.5","5442.25","Wellcare","Medicare Advantage","",,"54",,"5899.4","3983.73","8435.49","percent of total billed charges",,
"LAP FULG/EXC OVARY VISCERA/PERITONEAL SU","58662","HCPCS","Both",,,"10884.5","5442.25","Amerigroup","Medicaid Managed Care","",,"37",,"3983.73","3983.73","8435.49","percent of total billed charges",,
"LAP FULG/EXC OVARY VISCERA/PERITONEAL SU","58662","HCPCS","Both",,,"10884.5","5442.25","Caresource","Medicaid Managed Care","",,"40",,"4353.8","3983.73","8435.49","percent of total billed charges",,
"LAP FULG/EXC OVARY VISCERA/PERITONEAL SU","58662","HCPCS","Both",,,"10884.5","5442.25","Wellcare","Medicaid Managed Care","",,"40",,"4408.22","3983.73","8435.49","percent of total billed charges",,
"LAP FULG/EXC OVARY VISCERA/PERITONEAL SU","58662","HCPCS","Both",,,"10884.5","5442.25","Aetna","Commercial","",,"64",,"6944.31","3983.73","8435.49","percent of total billed charges",,
"LAP FULG/EXC OVARY VISCERA/PERITONEAL SU","58662","HCPCS","Both",,,"10884.5","5442.25","Blue Cross Blue Shield","Pathways","",,"71",,"7684.46","3983.73","8435.49","percent of total billed charges",,
"LAP FULG/EXC OVARY VISCERA/PERITONEAL SU","58662","HCPCS","Both",,,"10884.5","5442.25","Blue Cross Blue Shield","HMO","",,"71",,"7684.46","3983.73","8435.49","percent of total billed charges",,
"LAP FULG/EXC OVARY VISCERA/PERITONEAL SU","58662","HCPCS","Both",,,"10884.5","5442.25","Blue Cross Blue Shield","PPO","",,"71",,"7684.46","3983.73","8435.49","percent of total billed charges",,
"LAP FULG/EXC OVARY VISCERA/PERITONEAL SU","58662","HCPCS","Both",,,"10884.5","5442.25","Ambetter","Health Exchange","",,"62",,"6748.39","3983.73","8435.49","percent of total billed charges",,
"LAP FULG/EXC OVARY VISCERA/PERITONEAL SU","58662","HCPCS","Both",,,"10884.5","5442.25","Caresource","Health Exchange","",,"62",,"6748.39","3983.73","8435.49","percent of total billed charges",,
"LAP FULG/EXC OVARY VISCERA/PERITONEAL SU","58662","HCPCS","Both",,,"10884.5","5442.25","Cigna","Commercial","",,"59",,"6378.32","3983.73","8435.49","percent of total billed charges",,
"LAP FULG/EXC OVARY VISCERA/PERITONEAL SU","58662","HCPCS","Both",,,"10884.5","5442.25","Humana","Commercial","",,"78",,"8435.49","3983.73","8435.49","percent of total billed charges",,
"LAP FULG/EXC OVARY VISCERA/PERITONEAL SU","58662","HCPCS","Both",,,"10884.5","5442.25","UHC","Commercial","",,"75",,"8206.91","3983.73","8435.49","percent of total billed charges",,
"LAP FULG/EXC OVARY VISCERA/PERITONEAL SU","58662","HCPCS","Both",,,"10884.5","5442.25","Medicaid",,"",,"37",,"3983.73","3983.73","8435.49","percent of total billed charges",,
"LAPAROSCOPY, SURG; W/OCCLUSION OVIDUCTS","58671","HCPCS","Both",,,"10884.5","5442.25","Alliant","Health Exchange","",,"62",,"6748.39","3983.73","8435.49","percent of total billed charges",,
"LAPAROSCOPY, SURG; W/OCCLUSION OVIDUCTS","58671","HCPCS","Both",,,"10884.5","5442.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"5877.63","3983.73","8435.49","percent of total billed charges",,
"LAPAROSCOPY, SURG; W/OCCLUSION OVIDUCTS","58671","HCPCS","Both",,,"10884.5","5442.25","Medicare",,"",,"54",,"5899.4","3983.73","8435.49","percent of total billed charges",,
"LAPAROSCOPY, SURG; W/OCCLUSION OVIDUCTS","58671","HCPCS","Both",,,"10884.5","5442.25","Humana","Medicare Advantage","",,"54",,"5899.4","3983.73","8435.49","percent of total billed charges",,
"LAPAROSCOPY, SURG; W/OCCLUSION OVIDUCTS","58671","HCPCS","Both",,,"10884.5","5442.25","UHC","Medicare Advantage","",,"54",,"5899.4","3983.73","8435.49","percent of total billed charges",,
"LAPAROSCOPY, SURG; W/OCCLUSION OVIDUCTS","58671","HCPCS","Both",,,"10884.5","5442.25","Clover","Medicare Advantage","",,"54",,"5899.4","3983.73","8435.49","percent of total billed charges",,
"LAPAROSCOPY, SURG; W/OCCLUSION OVIDUCTS","58671","HCPCS","Both",,,"10884.5","5442.25","Wellcare","Medicare Advantage","",,"54",,"5899.4","3983.73","8435.49","percent of total billed charges",,
"LAPAROSCOPY, SURG; W/OCCLUSION OVIDUCTS","58671","HCPCS","Both",,,"10884.5","5442.25","Amerigroup","Medicaid Managed Care","",,"37",,"3983.73","3983.73","8435.49","percent of total billed charges",,
"LAPAROSCOPY, SURG; W/OCCLUSION OVIDUCTS","58671","HCPCS","Both",,,"10884.5","5442.25","Caresource","Medicaid Managed Care","",,"40",,"4353.8","3983.73","8435.49","percent of total billed charges",,
"LAPAROSCOPY, SURG; W/OCCLUSION OVIDUCTS","58671","HCPCS","Both",,,"10884.5","5442.25","Wellcare","Medicaid Managed Care","",,"40",,"4408.22","3983.73","8435.49","percent of total billed charges",,
"LAPAROSCOPY, SURG; W/OCCLUSION OVIDUCTS","58671","HCPCS","Both",,,"10884.5","5442.25","Aetna","Commercial","",,"64",,"6944.31","3983.73","8435.49","percent of total billed charges",,
"LAPAROSCOPY, SURG; W/OCCLUSION OVIDUCTS","58671","HCPCS","Both",,,"10884.5","5442.25","Blue Cross Blue Shield","Pathways","",,"71",,"7684.46","3983.73","8435.49","percent of total billed charges",,
"LAPAROSCOPY, SURG; W/OCCLUSION OVIDUCTS","58671","HCPCS","Both",,,"10884.5","5442.25","Blue Cross Blue Shield","HMO","",,"71",,"7684.46","3983.73","8435.49","percent of total billed charges",,
"LAPAROSCOPY, SURG; W/OCCLUSION OVIDUCTS","58671","HCPCS","Both",,,"10884.5","5442.25","Blue Cross Blue Shield","PPO","",,"71",,"7684.46","3983.73","8435.49","percent of total billed charges",,
"LAPAROSCOPY, SURG; W/OCCLUSION OVIDUCTS","58671","HCPCS","Both",,,"10884.5","5442.25","Ambetter","Health Exchange","",,"62",,"6748.39","3983.73","8435.49","percent of total billed charges",,
"LAPAROSCOPY, SURG; W/OCCLUSION OVIDUCTS","58671","HCPCS","Both",,,"10884.5","5442.25","Caresource","Health Exchange","",,"62",,"6748.39","3983.73","8435.49","percent of total billed charges",,
"LAPAROSCOPY, SURG; W/OCCLUSION OVIDUCTS","58671","HCPCS","Both",,,"10884.5","5442.25","Cigna","Commercial","",,"59",,"6378.32","3983.73","8435.49","percent of total billed charges",,
"LAPAROSCOPY, SURG; W/OCCLUSION OVIDUCTS","58671","HCPCS","Both",,,"10884.5","5442.25","Humana","Commercial","",,"78",,"8435.49","3983.73","8435.49","percent of total billed charges",,
"LAPAROSCOPY, SURG; W/OCCLUSION OVIDUCTS","58671","HCPCS","Both",,,"10884.5","5442.25","UHC","Commercial","",,"75",,"8206.91","3983.73","8435.49","percent of total billed charges",,
"LAPAROSCOPY, SURG; W/OCCLUSION OVIDUCTS","58671","HCPCS","Both",,,"10884.5","5442.25","Medicaid",,"",,"37",,"3983.73","3983.73","8435.49","percent of total billed charges",,
"NEUROPLASTY; CARPAL TUNNEL","64721","HCPCS","Both",,,"4197.5","2098.75","Alliant","Health Exchange","",,"62",,"2602.45","1536.28","3253.06","percent of total billed charges",,
"NEUROPLASTY; CARPAL TUNNEL","64721","HCPCS","Both",,,"4197.5","2098.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"2266.65","1536.28","3253.06","percent of total billed charges",,
"NEUROPLASTY; CARPAL TUNNEL","64721","HCPCS","Both",,,"4197.5","2098.75","Medicare",,"",,"54",,"2275.04","1536.28","3253.06","percent of total billed charges",,
"NEUROPLASTY; CARPAL TUNNEL","64721","HCPCS","Both",,,"4197.5","2098.75","Humana","Medicare Advantage","",,"54",,"2275.04","1536.28","3253.06","percent of total billed charges",,
"NEUROPLASTY; CARPAL TUNNEL","64721","HCPCS","Both",,,"4197.5","2098.75","UHC","Medicare Advantage","",,"54",,"2275.04","1536.28","3253.06","percent of total billed charges",,
"NEUROPLASTY; CARPAL TUNNEL","64721","HCPCS","Both",,,"4197.5","2098.75","Clover","Medicare Advantage","",,"54",,"2275.04","1536.28","3253.06","percent of total billed charges",,
"NEUROPLASTY; CARPAL TUNNEL","64721","HCPCS","Both",,,"4197.5","2098.75","Wellcare","Medicare Advantage","",,"54",,"2275.04","1536.28","3253.06","percent of total billed charges",,
"NEUROPLASTY; CARPAL TUNNEL","64721","HCPCS","Both",,,"4197.5","2098.75","Amerigroup","Medicaid Managed Care","",,"37",,"1536.28","1536.28","3253.06","percent of total billed charges",,
"NEUROPLASTY; CARPAL TUNNEL","64721","HCPCS","Both",,,"4197.5","2098.75","Caresource","Medicaid Managed Care","",,"40",,"1679","1536.28","3253.06","percent of total billed charges",,
"NEUROPLASTY; CARPAL TUNNEL","64721","HCPCS","Both",,,"4197.5","2098.75","Wellcare","Medicaid Managed Care","",,"40",,"1699.99","1536.28","3253.06","percent of total billed charges",,
"NEUROPLASTY; CARPAL TUNNEL","64721","HCPCS","Both",,,"4197.5","2098.75","Aetna","Commercial","",,"64",,"2678","1536.28","3253.06","percent of total billed charges",,
"NEUROPLASTY; CARPAL TUNNEL","64721","HCPCS","Both",,,"4197.5","2098.75","Blue Cross Blue Shield","Pathways","",,"71",,"2963.44","1536.28","3253.06","percent of total billed charges",,
"NEUROPLASTY; CARPAL TUNNEL","64721","HCPCS","Both",,,"4197.5","2098.75","Blue Cross Blue Shield","HMO","",,"71",,"2963.44","1536.28","3253.06","percent of total billed charges",,
"NEUROPLASTY; CARPAL TUNNEL","64721","HCPCS","Both",,,"4197.5","2098.75","Blue Cross Blue Shield","PPO","",,"71",,"2963.44","1536.28","3253.06","percent of total billed charges",,
"NEUROPLASTY; CARPAL TUNNEL","64721","HCPCS","Both",,,"4197.5","2098.75","Ambetter","Health Exchange","",,"62",,"2602.45","1536.28","3253.06","percent of total billed charges",,
"NEUROPLASTY; CARPAL TUNNEL","64721","HCPCS","Both",,,"4197.5","2098.75","Caresource","Health Exchange","",,"62",,"2602.45","1536.28","3253.06","percent of total billed charges",,
"NEUROPLASTY; CARPAL TUNNEL","64721","HCPCS","Both",,,"4197.5","2098.75","Cigna","Commercial","",,"59",,"2459.73","1536.28","3253.06","percent of total billed charges",,
"NEUROPLASTY; CARPAL TUNNEL","64721","HCPCS","Both",,,"4197.5","2098.75","Humana","Commercial","",,"78",,"3253.06","1536.28","3253.06","percent of total billed charges",,
"NEUROPLASTY; CARPAL TUNNEL","64721","HCPCS","Both",,,"4197.5","2098.75","UHC","Commercial","",,"75",,"3164.92","1536.28","3253.06","percent of total billed charges",,
"NEUROPLASTY; CARPAL TUNNEL","64721","HCPCS","Both",,,"4197.5","2098.75","Medicaid",,"",,"37",,"1536.28","1536.28","3253.06","percent of total billed charges",,
"TRANSECTION OR AVULS SPINAL NERV EXTRADU","64772","HCPCS","Both",,,"5393","2696.5","Alliant","Health Exchange","",,"62",,"3343.66","1973.84","4179.58","percent of total billed charges",,
"TRANSECTION OR AVULS SPINAL NERV EXTRADU","64772","HCPCS","Both",,,"5393","2696.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"2912.22","1973.84","4179.58","percent of total billed charges",,
"TRANSECTION OR AVULS SPINAL NERV EXTRADU","64772","HCPCS","Both",,,"5393","2696.5","Medicare",,"",,"54",,"2923.01","1973.84","4179.58","percent of total billed charges",,
"TRANSECTION OR AVULS SPINAL NERV EXTRADU","64772","HCPCS","Both",,,"5393","2696.5","Humana","Medicare Advantage","",,"54",,"2923.01","1973.84","4179.58","percent of total billed charges",,
"TRANSECTION OR AVULS SPINAL NERV EXTRADU","64772","HCPCS","Both",,,"5393","2696.5","UHC","Medicare Advantage","",,"54",,"2923.01","1973.84","4179.58","percent of total billed charges",,
"TRANSECTION OR AVULS SPINAL NERV EXTRADU","64772","HCPCS","Both",,,"5393","2696.5","Clover","Medicare Advantage","",,"54",,"2923.01","1973.84","4179.58","percent of total billed charges",,
"TRANSECTION OR AVULS SPINAL NERV EXTRADU","64772","HCPCS","Both",,,"5393","2696.5","Wellcare","Medicare Advantage","",,"54",,"2923.01","1973.84","4179.58","percent of total billed charges",,
"TRANSECTION OR AVULS SPINAL NERV EXTRADU","64772","HCPCS","Both",,,"5393","2696.5","Amerigroup","Medicaid Managed Care","",,"37",,"1973.84","1973.84","4179.58","percent of total billed charges",,
"TRANSECTION OR AVULS SPINAL NERV EXTRADU","64772","HCPCS","Both",,,"5393","2696.5","Caresource","Medicaid Managed Care","",,"40",,"2157.2","1973.84","4179.58","percent of total billed charges",,
"TRANSECTION OR AVULS SPINAL NERV EXTRADU","64772","HCPCS","Both",,,"5393","2696.5","Wellcare","Medicaid Managed Care","",,"40",,"2184.16","1973.84","4179.58","percent of total billed charges",,
"TRANSECTION OR AVULS SPINAL NERV EXTRADU","64772","HCPCS","Both",,,"5393","2696.5","Aetna","Commercial","",,"64",,"3440.73","1973.84","4179.58","percent of total billed charges",,
"TRANSECTION OR AVULS SPINAL NERV EXTRADU","64772","HCPCS","Both",,,"5393","2696.5","Blue Cross Blue Shield","Pathways","",,"71",,"3807.46","1973.84","4179.58","percent of total billed charges",,
"TRANSECTION OR AVULS SPINAL NERV EXTRADU","64772","HCPCS","Both",,,"5393","2696.5","Blue Cross Blue Shield","HMO","",,"71",,"3807.46","1973.84","4179.58","percent of total billed charges",,
"TRANSECTION OR AVULS SPINAL NERV EXTRADU","64772","HCPCS","Both",,,"5393","2696.5","Blue Cross Blue Shield","PPO","",,"71",,"3807.46","1973.84","4179.58","percent of total billed charges",,
"TRANSECTION OR AVULS SPINAL NERV EXTRADU","64772","HCPCS","Both",,,"5393","2696.5","Ambetter","Health Exchange","",,"62",,"3343.66","1973.84","4179.58","percent of total billed charges",,
"TRANSECTION OR AVULS SPINAL NERV EXTRADU","64772","HCPCS","Both",,,"5393","2696.5","Caresource","Health Exchange","",,"62",,"3343.66","1973.84","4179.58","percent of total billed charges",,
"TRANSECTION OR AVULS SPINAL NERV EXTRADU","64772","HCPCS","Both",,,"5393","2696.5","Cigna","Commercial","",,"59",,"3160.3","1973.84","4179.58","percent of total billed charges",,
"TRANSECTION OR AVULS SPINAL NERV EXTRADU","64772","HCPCS","Both",,,"5393","2696.5","Humana","Commercial","",,"78",,"4179.58","1973.84","4179.58","percent of total billed charges",,
"TRANSECTION OR AVULS SPINAL NERV EXTRADU","64772","HCPCS","Both",,,"5393","2696.5","UHC","Commercial","",,"75",,"4066.32","1973.84","4179.58","percent of total billed charges",,
"TRANSECTION OR AVULS SPINAL NERV EXTRADU","64772","HCPCS","Both",,,"5393","2696.5","Medicaid",,"",,"37",,"1973.84","1973.84","4179.58","percent of total billed charges",,
"REMOVAL FB EXTERNAL AUD CANAL W/GEN ANES","69205","HCPCS","Both",,,"778","389","Alliant","Health Exchange","",,"62",,"482.36","284.75","602.95","percent of total billed charges",,
"REMOVAL FB EXTERNAL AUD CANAL W/GEN ANES","69205","HCPCS","Both",,,"778","389","Pruitt Healthcare","Medicare Advantage","",,"54",,"420.12","284.75","602.95","percent of total billed charges",,
"REMOVAL FB EXTERNAL AUD CANAL W/GEN ANES","69205","HCPCS","Both",,,"778","389","Medicare",,"",,"54",,"421.68","284.75","602.95","percent of total billed charges",,
"REMOVAL FB EXTERNAL AUD CANAL W/GEN ANES","69205","HCPCS","Both",,,"778","389","Humana","Medicare Advantage","",,"54",,"421.68","284.75","602.95","percent of total billed charges",,
"REMOVAL FB EXTERNAL AUD CANAL W/GEN ANES","69205","HCPCS","Both",,,"778","389","UHC","Medicare Advantage","",,"54",,"421.68","284.75","602.95","percent of total billed charges",,
"REMOVAL FB EXTERNAL AUD CANAL W/GEN ANES","69205","HCPCS","Both",,,"778","389","Clover","Medicare Advantage","",,"54",,"421.68","284.75","602.95","percent of total billed charges",,
"REMOVAL FB EXTERNAL AUD CANAL W/GEN ANES","69205","HCPCS","Both",,,"778","389","Wellcare","Medicare Advantage","",,"54",,"421.68","284.75","602.95","percent of total billed charges",,
"REMOVAL FB EXTERNAL AUD CANAL W/GEN ANES","69205","HCPCS","Both",,,"778","389","Amerigroup","Medicaid Managed Care","",,"37",,"284.75","284.75","602.95","percent of total billed charges",,
"REMOVAL FB EXTERNAL AUD CANAL W/GEN ANES","69205","HCPCS","Both",,,"778","389","Caresource","Medicaid Managed Care","",,"40",,"311.2","284.75","602.95","percent of total billed charges",,
"REMOVAL FB EXTERNAL AUD CANAL W/GEN ANES","69205","HCPCS","Both",,,"778","389","Wellcare","Medicaid Managed Care","",,"40",,"315.09","284.75","602.95","percent of total billed charges",,
"REMOVAL FB EXTERNAL AUD CANAL W/GEN ANES","69205","HCPCS","Both",,,"778","389","Aetna","Commercial","",,"64",,"496.36","284.75","602.95","percent of total billed charges",,
"REMOVAL FB EXTERNAL AUD CANAL W/GEN ANES","69205","HCPCS","Both",,,"778","389","Blue Cross Blue Shield","Pathways","",,"71",,"549.27","284.75","602.95","percent of total billed charges",,
"REMOVAL FB EXTERNAL AUD CANAL W/GEN ANES","69205","HCPCS","Both",,,"778","389","Blue Cross Blue Shield","HMO","",,"71",,"549.27","284.75","602.95","percent of total billed charges",,
"REMOVAL FB EXTERNAL AUD CANAL W/GEN ANES","69205","HCPCS","Both",,,"778","389","Blue Cross Blue Shield","PPO","",,"71",,"549.27","284.75","602.95","percent of total billed charges",,
"REMOVAL FB EXTERNAL AUD CANAL W/GEN ANES","69205","HCPCS","Both",,,"778","389","Ambetter","Health Exchange","",,"62",,"482.36","284.75","602.95","percent of total billed charges",,
"REMOVAL FB EXTERNAL AUD CANAL W/GEN ANES","69205","HCPCS","Both",,,"778","389","Caresource","Health Exchange","",,"62",,"482.36","284.75","602.95","percent of total billed charges",,
"REMOVAL FB EXTERNAL AUD CANAL W/GEN ANES","69205","HCPCS","Both",,,"778","389","Cigna","Commercial","",,"59",,"455.91","284.75","602.95","percent of total billed charges",,
"REMOVAL FB EXTERNAL AUD CANAL W/GEN ANES","69205","HCPCS","Both",,,"778","389","Humana","Commercial","",,"78",,"602.95","284.75","602.95","percent of total billed charges",,
"REMOVAL FB EXTERNAL AUD CANAL W/GEN ANES","69205","HCPCS","Both",,,"778","389","UHC","Commercial","",,"75",,"586.61","284.75","602.95","percent of total billed charges",,
"REMOVAL FB EXTERNAL AUD CANAL W/GEN ANES","69205","HCPCS","Both",,,"778","389","Medicaid",,"",,"37",,"284.75","284.75","602.95","percent of total billed charges",,
"PADNET ABI TEST READING COMP","93923","HCPCS","Both",,,"174.5","87.25","Alliant","Health Exchange","26",,"62",,"108.19","63.87","135.24","percent of total billed charges",,
"PADNET ABI TEST READING COMP","93923","HCPCS","Both",,,"174.5","87.25","Pruitt Healthcare","Medicare Advantage","26",,"54",,"94.23","63.87","135.24","percent of total billed charges",,
"PADNET ABI TEST READING COMP","93923","HCPCS","Both",,,"174.5","87.25","Medicare",,"26",,"54",,"94.58","63.87","135.24","percent of total billed charges",,
"PADNET ABI TEST READING COMP","93923","HCPCS","Both",,,"174.5","87.25","Humana","Medicare Advantage","26",,"54",,"94.58","63.87","135.24","percent of total billed charges",,
"PADNET ABI TEST READING COMP","93923","HCPCS","Both",,,"174.5","87.25","UHC","Medicare Advantage","26",,"54",,"94.58","63.87","135.24","percent of total billed charges",,
"PADNET ABI TEST READING COMP","93923","HCPCS","Both",,,"174.5","87.25","Clover","Medicare Advantage","26",,"54",,"94.58","63.87","135.24","percent of total billed charges",,
"PADNET ABI TEST READING COMP","93923","HCPCS","Both",,,"174.5","87.25","Wellcare","Medicare Advantage","26",,"54",,"94.58","63.87","135.24","percent of total billed charges",,
"PADNET ABI TEST READING COMP","93923","HCPCS","Both",,,"174.5","87.25","Amerigroup","Medicaid Managed Care","26",,"37",,"63.87","63.87","135.24","percent of total billed charges",,
"PADNET ABI TEST READING COMP","93923","HCPCS","Both",,,"174.5","87.25","Caresource","Medicaid Managed Care","26",,"40",,"69.8","63.87","135.24","percent of total billed charges",,
"PADNET ABI TEST READING COMP","93923","HCPCS","Both",,,"174.5","87.25","Wellcare","Medicaid Managed Care","26",,"40",,"70.67","63.87","135.24","percent of total billed charges",,
"PADNET ABI TEST READING COMP","93923","HCPCS","Both",,,"174.5","87.25","Aetna","Commercial","26",,"64",,"111.33","63.87","135.24","percent of total billed charges",,
"PADNET ABI TEST READING COMP","93923","HCPCS","Both",,,"174.5","87.25","Blue Cross Blue Shield","Pathways","26",,"71",,"123.2","63.87","135.24","percent of total billed charges",,
"PADNET ABI TEST READING COMP","93923","HCPCS","Both",,,"174.5","87.25","Blue Cross Blue Shield","HMO","26",,"71",,"123.2","63.87","135.24","percent of total billed charges",,
"PADNET ABI TEST READING COMP","93923","HCPCS","Both",,,"174.5","87.25","Blue Cross Blue Shield","PPO","26",,"71",,"123.2","63.87","135.24","percent of total billed charges",,
"PADNET ABI TEST READING COMP","93923","HCPCS","Both",,,"174.5","87.25","Ambetter","Health Exchange","26",,"62",,"108.19","63.87","135.24","percent of total billed charges",,
"PADNET ABI TEST READING COMP","93923","HCPCS","Both",,,"174.5","87.25","Caresource","Health Exchange","26",,"62",,"108.19","63.87","135.24","percent of total billed charges",,
"PADNET ABI TEST READING COMP","93923","HCPCS","Both",,,"174.5","87.25","Cigna","Commercial","26",,"59",,"102.26","63.87","135.24","percent of total billed charges",,
"PADNET ABI TEST READING COMP","93923","HCPCS","Both",,,"174.5","87.25","Humana","Commercial","26",,"78",,"135.24","63.87","135.24","percent of total billed charges",,
"PADNET ABI TEST READING COMP","93923","HCPCS","Both",,,"174.5","87.25","UHC","Commercial","26",,"75",,"131.57","63.87","135.24","percent of total billed charges",,
"PADNET ABI TEST READING COMP","93923","HCPCS","Both",,,"174.5","87.25","Medicaid",,"26",,"37",,"63.87","63.87","135.24","percent of total billed charges",,
"SURG CLINIC - EXPANDED - NEW","99202","HCPCS","Both",,,"61","30.5","Alliant","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - EXPANDED - NEW","99202","HCPCS","Both",,,"61","30.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.94","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - EXPANDED - NEW","99202","HCPCS","Both",,,"61","30.5","Medicare",,"",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - EXPANDED - NEW","99202","HCPCS","Both",,,"61","30.5","Humana","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - EXPANDED - NEW","99202","HCPCS","Both",,,"61","30.5","UHC","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - EXPANDED - NEW","99202","HCPCS","Both",,,"61","30.5","Clover","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - EXPANDED - NEW","99202","HCPCS","Both",,,"61","30.5","Wellcare","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - EXPANDED - NEW","99202","HCPCS","Both",,,"61","30.5","Amerigroup","Medicaid Managed Care","",,"37",,"22.33","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - EXPANDED - NEW","99202","HCPCS","Both",,,"61","30.5","Caresource","Medicaid Managed Care","",,"40",,"24.4","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - EXPANDED - NEW","99202","HCPCS","Both",,,"61","30.5","Wellcare","Medicaid Managed Care","",,"40",,"24.7","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - EXPANDED - NEW","99202","HCPCS","Both",,,"61","30.5","Aetna","Commercial","",,"64",,"38.92","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - EXPANDED - NEW","99202","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","Pathways","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - EXPANDED - NEW","99202","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","HMO","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - EXPANDED - NEW","99202","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","PPO","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - EXPANDED - NEW","99202","HCPCS","Both",,,"61","30.5","Ambetter","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - EXPANDED - NEW","99202","HCPCS","Both",,,"61","30.5","Caresource","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - EXPANDED - NEW","99202","HCPCS","Both",,,"61","30.5","Cigna","Commercial","",,"59",,"35.75","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - EXPANDED - NEW","99202","HCPCS","Both",,,"61","30.5","Humana","Commercial","",,"78",,"47.28","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - EXPANDED - NEW","99202","HCPCS","Both",,,"61","30.5","UHC","Commercial","",,"75",,"45.99","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - EXPANDED - NEW","99202","HCPCS","Both",,,"61","30.5","Medicaid",,"",,"37",,"22.33","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - DETAILED - NEW","99203","HCPCS","Both",,,"80","40","Alliant","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"SURG CLINIC - DETAILED - NEW","99203","HCPCS","Both",,,"80","40","Pruitt Healthcare","Medicare Advantage","",,"54",,"43.2","29.28","62","percent of total billed charges",,
"SURG CLINIC - DETAILED - NEW","99203","HCPCS","Both",,,"80","40","Medicare",,"",,"54",,"43.36","29.28","62","percent of total billed charges",,
"SURG CLINIC - DETAILED - NEW","99203","HCPCS","Both",,,"80","40","Humana","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"SURG CLINIC - DETAILED - NEW","99203","HCPCS","Both",,,"80","40","UHC","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"SURG CLINIC - DETAILED - NEW","99203","HCPCS","Both",,,"80","40","Clover","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"SURG CLINIC - DETAILED - NEW","99203","HCPCS","Both",,,"80","40","Wellcare","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"SURG CLINIC - DETAILED - NEW","99203","HCPCS","Both",,,"80","40","Amerigroup","Medicaid Managed Care","",,"37",,"29.28","29.28","62","percent of total billed charges",,
"SURG CLINIC - DETAILED - NEW","99203","HCPCS","Both",,,"80","40","Caresource","Medicaid Managed Care","",,"40",,"32","29.28","62","percent of total billed charges",,
"SURG CLINIC - DETAILED - NEW","99203","HCPCS","Both",,,"80","40","Wellcare","Medicaid Managed Care","",,"40",,"32.4","29.28","62","percent of total billed charges",,
"SURG CLINIC - DETAILED - NEW","99203","HCPCS","Both",,,"80","40","Aetna","Commercial","",,"64",,"51.04","29.28","62","percent of total billed charges",,
"SURG CLINIC - DETAILED - NEW","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","Pathways","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"SURG CLINIC - DETAILED - NEW","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","HMO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"SURG CLINIC - DETAILED - NEW","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","PPO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"SURG CLINIC - DETAILED - NEW","99203","HCPCS","Both",,,"80","40","Ambetter","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"SURG CLINIC - DETAILED - NEW","99203","HCPCS","Both",,,"80","40","Caresource","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"SURG CLINIC - DETAILED - NEW","99203","HCPCS","Both",,,"80","40","Cigna","Commercial","",,"59",,"46.88","29.28","62","percent of total billed charges",,
"SURG CLINIC - DETAILED - NEW","99203","HCPCS","Both",,,"80","40","Humana","Commercial","",,"78",,"62","29.28","62","percent of total billed charges",,
"SURG CLINIC - DETAILED - NEW","99203","HCPCS","Both",,,"80","40","UHC","Commercial","",,"75",,"60.32","29.28","62","percent of total billed charges",,
"SURG CLINIC - DETAILED - NEW","99203","HCPCS","Both",,,"80","40","Medicaid",,"",,"37",,"29.28","29.28","62","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99204","HCPCS","Both",,,"128","64","Alliant","Health Exchange","",,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99204","HCPCS","Both",,,"128","64","Pruitt Healthcare","Medicare Advantage","",,"54",,"69.12","46.85","99.2","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99204","HCPCS","Both",,,"128","64","Medicare",,"",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99204","HCPCS","Both",,,"128","64","Humana","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99204","HCPCS","Both",,,"128","64","UHC","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99204","HCPCS","Both",,,"128","64","Clover","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99204","HCPCS","Both",,,"128","64","Wellcare","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99204","HCPCS","Both",,,"128","64","Amerigroup","Medicaid Managed Care","",,"37",,"46.85","46.85","99.2","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99204","HCPCS","Both",,,"128","64","Caresource","Medicaid Managed Care","",,"40",,"51.2","46.85","99.2","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99204","HCPCS","Both",,,"128","64","Wellcare","Medicaid Managed Care","",,"40",,"51.84","46.85","99.2","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99204","HCPCS","Both",,,"128","64","Aetna","Commercial","",,"64",,"81.66","46.85","99.2","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99204","HCPCS","Both",,,"128","64","Blue Cross Blue Shield","Pathways","",,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99204","HCPCS","Both",,,"128","64","Blue Cross Blue Shield","HMO","",,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99204","HCPCS","Both",,,"128","64","Blue Cross Blue Shield","PPO","",,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99204","HCPCS","Both",,,"128","64","Ambetter","Health Exchange","",,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99204","HCPCS","Both",,,"128","64","Caresource","Health Exchange","",,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99204","HCPCS","Both",,,"128","64","Cigna","Commercial","",,"59",,"75.01","46.85","99.2","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99204","HCPCS","Both",,,"128","64","Humana","Commercial","",,"78",,"99.2","46.85","99.2","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99204","HCPCS","Both",,,"128","64","UHC","Commercial","",,"75",,"96.51","46.85","99.2","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99204","HCPCS","Both",,,"128","64","Medicaid",,"",,"37",,"46.85","46.85","99.2","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99205","HCPCS","Both",,,"167","83.5","Alliant","Health Exchange","",,"62",,"103.54","61.12","129.43","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99205","HCPCS","Both",,,"167","83.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"90.18","61.12","129.43","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99205","HCPCS","Both",,,"167","83.5","Medicare",,"",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99205","HCPCS","Both",,,"167","83.5","Humana","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99205","HCPCS","Both",,,"167","83.5","UHC","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99205","HCPCS","Both",,,"167","83.5","Clover","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99205","HCPCS","Both",,,"167","83.5","Wellcare","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99205","HCPCS","Both",,,"167","83.5","Amerigroup","Medicaid Managed Care","",,"37",,"61.12","61.12","129.43","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99205","HCPCS","Both",,,"167","83.5","Caresource","Medicaid Managed Care","",,"40",,"66.8","61.12","129.43","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99205","HCPCS","Both",,,"167","83.5","Wellcare","Medicaid Managed Care","",,"40",,"67.64","61.12","129.43","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99205","HCPCS","Both",,,"167","83.5","Aetna","Commercial","",,"64",,"106.55","61.12","129.43","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99205","HCPCS","Both",,,"167","83.5","Blue Cross Blue Shield","Pathways","",,"71",,"117.9","61.12","129.43","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99205","HCPCS","Both",,,"167","83.5","Blue Cross Blue Shield","HMO","",,"71",,"117.9","61.12","129.43","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99205","HCPCS","Both",,,"167","83.5","Blue Cross Blue Shield","PPO","",,"71",,"117.9","61.12","129.43","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99205","HCPCS","Both",,,"167","83.5","Ambetter","Health Exchange","",,"62",,"103.54","61.12","129.43","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99205","HCPCS","Both",,,"167","83.5","Caresource","Health Exchange","",,"62",,"103.54","61.12","129.43","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99205","HCPCS","Both",,,"167","83.5","Cigna","Commercial","",,"59",,"97.86","61.12","129.43","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99205","HCPCS","Both",,,"167","83.5","Humana","Commercial","",,"78",,"129.43","61.12","129.43","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99205","HCPCS","Both",,,"167","83.5","UHC","Commercial","",,"75",,"125.92","61.12","129.43","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99205","HCPCS","Both",,,"167","83.5","Medicaid",,"",,"37",,"61.12","61.12","129.43","percent of total billed charges",,
"SURG CLINIC - ESTABLISHED - NURSE","99211","HCPCS","Both",,,"61","30.5","Alliant","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - ESTABLISHED - NURSE","99211","HCPCS","Both",,,"61","30.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.94","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - ESTABLISHED - NURSE","99211","HCPCS","Both",,,"61","30.5","Medicare",,"",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - ESTABLISHED - NURSE","99211","HCPCS","Both",,,"61","30.5","Humana","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - ESTABLISHED - NURSE","99211","HCPCS","Both",,,"61","30.5","UHC","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - ESTABLISHED - NURSE","99211","HCPCS","Both",,,"61","30.5","Clover","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - ESTABLISHED - NURSE","99211","HCPCS","Both",,,"61","30.5","Wellcare","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - ESTABLISHED - NURSE","99211","HCPCS","Both",,,"61","30.5","Amerigroup","Medicaid Managed Care","",,"37",,"22.33","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - ESTABLISHED - NURSE","99211","HCPCS","Both",,,"61","30.5","Caresource","Medicaid Managed Care","",,"40",,"24.4","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - ESTABLISHED - NURSE","99211","HCPCS","Both",,,"61","30.5","Wellcare","Medicaid Managed Care","",,"40",,"24.7","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - ESTABLISHED - NURSE","99211","HCPCS","Both",,,"61","30.5","Aetna","Commercial","",,"64",,"38.92","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - ESTABLISHED - NURSE","99211","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","Pathways","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - ESTABLISHED - NURSE","99211","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","HMO","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - ESTABLISHED - NURSE","99211","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","PPO","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - ESTABLISHED - NURSE","99211","HCPCS","Both",,,"61","30.5","Ambetter","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - ESTABLISHED - NURSE","99211","HCPCS","Both",,,"61","30.5","Caresource","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - ESTABLISHED - NURSE","99211","HCPCS","Both",,,"61","30.5","Cigna","Commercial","",,"59",,"35.75","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - ESTABLISHED - NURSE","99211","HCPCS","Both",,,"61","30.5","Humana","Commercial","",,"78",,"47.28","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - ESTABLISHED - NURSE","99211","HCPCS","Both",,,"61","30.5","UHC","Commercial","",,"75",,"45.99","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - ESTABLISHED - NURSE","99211","HCPCS","Both",,,"61","30.5","Medicaid",,"",,"37",,"22.33","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - PROBLEM FOC - ESTABLISHED","99212","HCPCS","Both",,,"55","27.5","Alliant","Health Exchange","",,"62",,"34.1","20.13","42.62","percent of total billed charges",,
"SURG CLINIC - PROBLEM FOC - ESTABLISHED","99212","HCPCS","Both",,,"55","27.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"29.7","20.13","42.62","percent of total billed charges",,
"SURG CLINIC - PROBLEM FOC - ESTABLISHED","99212","HCPCS","Both",,,"55","27.5","Medicare",,"",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"SURG CLINIC - PROBLEM FOC - ESTABLISHED","99212","HCPCS","Both",,,"55","27.5","Humana","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"SURG CLINIC - PROBLEM FOC - ESTABLISHED","99212","HCPCS","Both",,,"55","27.5","UHC","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"SURG CLINIC - PROBLEM FOC - ESTABLISHED","99212","HCPCS","Both",,,"55","27.5","Clover","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"SURG CLINIC - PROBLEM FOC - ESTABLISHED","99212","HCPCS","Both",,,"55","27.5","Wellcare","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"SURG CLINIC - PROBLEM FOC - ESTABLISHED","99212","HCPCS","Both",,,"55","27.5","Amerigroup","Medicaid Managed Care","",,"37",,"20.13","20.13","42.62","percent of total billed charges",,
"SURG CLINIC - PROBLEM FOC - ESTABLISHED","99212","HCPCS","Both",,,"55","27.5","Caresource","Medicaid Managed Care","",,"40",,"22","20.13","42.62","percent of total billed charges",,
"SURG CLINIC - PROBLEM FOC - ESTABLISHED","99212","HCPCS","Both",,,"55","27.5","Wellcare","Medicaid Managed Care","",,"40",,"22.28","20.13","42.62","percent of total billed charges",,
"SURG CLINIC - PROBLEM FOC - ESTABLISHED","99212","HCPCS","Both",,,"55","27.5","Aetna","Commercial","",,"64",,"35.09","20.13","42.62","percent of total billed charges",,
"SURG CLINIC - PROBLEM FOC - ESTABLISHED","99212","HCPCS","Both",,,"55","27.5","Blue Cross Blue Shield","Pathways","",,"71",,"38.83","20.13","42.62","percent of total billed charges",,
"SURG CLINIC - PROBLEM FOC - ESTABLISHED","99212","HCPCS","Both",,,"55","27.5","Blue Cross Blue Shield","HMO","",,"71",,"38.83","20.13","42.62","percent of total billed charges",,
"SURG CLINIC - PROBLEM FOC - ESTABLISHED","99212","HCPCS","Both",,,"55","27.5","Blue Cross Blue Shield","PPO","",,"71",,"38.83","20.13","42.62","percent of total billed charges",,
"SURG CLINIC - PROBLEM FOC - ESTABLISHED","99212","HCPCS","Both",,,"55","27.5","Ambetter","Health Exchange","",,"62",,"34.1","20.13","42.62","percent of total billed charges",,
"SURG CLINIC - PROBLEM FOC - ESTABLISHED","99212","HCPCS","Both",,,"55","27.5","Caresource","Health Exchange","",,"62",,"34.1","20.13","42.62","percent of total billed charges",,
"SURG CLINIC - PROBLEM FOC - ESTABLISHED","99212","HCPCS","Both",,,"55","27.5","Cigna","Commercial","",,"59",,"32.23","20.13","42.62","percent of total billed charges",,
"SURG CLINIC - PROBLEM FOC - ESTABLISHED","99212","HCPCS","Both",,,"55","27.5","Humana","Commercial","",,"78",,"42.62","20.13","42.62","percent of total billed charges",,
"SURG CLINIC - PROBLEM FOC - ESTABLISHED","99212","HCPCS","Both",,,"55","27.5","UHC","Commercial","",,"75",,"41.47","20.13","42.62","percent of total billed charges",,
"SURG CLINIC - PROBLEM FOC - ESTABLISHED","99212","HCPCS","Both",,,"55","27.5","Medicaid",,"",,"37",,"20.13","20.13","42.62","percent of total billed charges",,
"SURG CLINIC - EXPANDED - ESTABLISHED","99213","HCPCS","Both",,,"61","30.5","Alliant","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - EXPANDED - ESTABLISHED","99213","HCPCS","Both",,,"61","30.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.94","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - EXPANDED - ESTABLISHED","99213","HCPCS","Both",,,"61","30.5","Medicare",,"",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - EXPANDED - ESTABLISHED","99213","HCPCS","Both",,,"61","30.5","Humana","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - EXPANDED - ESTABLISHED","99213","HCPCS","Both",,,"61","30.5","UHC","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - EXPANDED - ESTABLISHED","99213","HCPCS","Both",,,"61","30.5","Clover","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - EXPANDED - ESTABLISHED","99213","HCPCS","Both",,,"61","30.5","Wellcare","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - EXPANDED - ESTABLISHED","99213","HCPCS","Both",,,"61","30.5","Amerigroup","Medicaid Managed Care","",,"37",,"22.33","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - EXPANDED - ESTABLISHED","99213","HCPCS","Both",,,"61","30.5","Caresource","Medicaid Managed Care","",,"40",,"24.4","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - EXPANDED - ESTABLISHED","99213","HCPCS","Both",,,"61","30.5","Wellcare","Medicaid Managed Care","",,"40",,"24.7","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - EXPANDED - ESTABLISHED","99213","HCPCS","Both",,,"61","30.5","Aetna","Commercial","",,"64",,"38.92","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - EXPANDED - ESTABLISHED","99213","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","Pathways","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - EXPANDED - ESTABLISHED","99213","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","HMO","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - EXPANDED - ESTABLISHED","99213","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","PPO","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - EXPANDED - ESTABLISHED","99213","HCPCS","Both",,,"61","30.5","Ambetter","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - EXPANDED - ESTABLISHED","99213","HCPCS","Both",,,"61","30.5","Caresource","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - EXPANDED - ESTABLISHED","99213","HCPCS","Both",,,"61","30.5","Cigna","Commercial","",,"59",,"35.75","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - EXPANDED - ESTABLISHED","99213","HCPCS","Both",,,"61","30.5","Humana","Commercial","",,"78",,"47.28","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - EXPANDED - ESTABLISHED","99213","HCPCS","Both",,,"61","30.5","UHC","Commercial","",,"75",,"45.99","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - EXPANDED - ESTABLISHED","99213","HCPCS","Both",,,"61","30.5","Medicaid",,"",,"37",,"22.33","22.33","47.28","percent of total billed charges",,
"SURG CLINIC - DETAILED - ESTABLISHED","99214","HCPCS","Both",,,"78","39","Alliant","Health Exchange","",,"62",,"48.36","28.55","60.45","percent of total billed charges",,
"SURG CLINIC - DETAILED - ESTABLISHED","99214","HCPCS","Both",,,"78","39","Pruitt Healthcare","Medicare Advantage","",,"54",,"42.12","28.55","60.45","percent of total billed charges",,
"SURG CLINIC - DETAILED - ESTABLISHED","99214","HCPCS","Both",,,"78","39","Medicare",,"",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"SURG CLINIC - DETAILED - ESTABLISHED","99214","HCPCS","Both",,,"78","39","Humana","Medicare Advantage","",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"SURG CLINIC - DETAILED - ESTABLISHED","99214","HCPCS","Both",,,"78","39","UHC","Medicare Advantage","",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"SURG CLINIC - DETAILED - ESTABLISHED","99214","HCPCS","Both",,,"78","39","Clover","Medicare Advantage","",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"SURG CLINIC - DETAILED - ESTABLISHED","99214","HCPCS","Both",,,"78","39","Wellcare","Medicare Advantage","",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"SURG CLINIC - DETAILED - ESTABLISHED","99214","HCPCS","Both",,,"78","39","Amerigroup","Medicaid Managed Care","",,"37",,"28.55","28.55","60.45","percent of total billed charges",,
"SURG CLINIC - DETAILED - ESTABLISHED","99214","HCPCS","Both",,,"78","39","Caresource","Medicaid Managed Care","",,"40",,"31.2","28.55","60.45","percent of total billed charges",,
"SURG CLINIC - DETAILED - ESTABLISHED","99214","HCPCS","Both",,,"78","39","Wellcare","Medicaid Managed Care","",,"40",,"31.59","28.55","60.45","percent of total billed charges",,
"SURG CLINIC - DETAILED - ESTABLISHED","99214","HCPCS","Both",,,"78","39","Aetna","Commercial","",,"64",,"49.76","28.55","60.45","percent of total billed charges",,
"SURG CLINIC - DETAILED - ESTABLISHED","99214","HCPCS","Both",,,"78","39","Blue Cross Blue Shield","Pathways","",,"71",,"55.07","28.55","60.45","percent of total billed charges",,
"SURG CLINIC - DETAILED - ESTABLISHED","99214","HCPCS","Both",,,"78","39","Blue Cross Blue Shield","HMO","",,"71",,"55.07","28.55","60.45","percent of total billed charges",,
"SURG CLINIC - DETAILED - ESTABLISHED","99214","HCPCS","Both",,,"78","39","Blue Cross Blue Shield","PPO","",,"71",,"55.07","28.55","60.45","percent of total billed charges",,
"SURG CLINIC - DETAILED - ESTABLISHED","99214","HCPCS","Both",,,"78","39","Ambetter","Health Exchange","",,"62",,"48.36","28.55","60.45","percent of total billed charges",,
"SURG CLINIC - DETAILED - ESTABLISHED","99214","HCPCS","Both",,,"78","39","Caresource","Health Exchange","",,"62",,"48.36","28.55","60.45","percent of total billed charges",,
"SURG CLINIC - DETAILED - ESTABLISHED","99214","HCPCS","Both",,,"78","39","Cigna","Commercial","",,"59",,"45.71","28.55","60.45","percent of total billed charges",,
"SURG CLINIC - DETAILED - ESTABLISHED","99214","HCPCS","Both",,,"78","39","Humana","Commercial","",,"78",,"60.45","28.55","60.45","percent of total billed charges",,
"SURG CLINIC - DETAILED - ESTABLISHED","99214","HCPCS","Both",,,"78","39","UHC","Commercial","",,"75",,"58.81","28.55","60.45","percent of total billed charges",,
"SURG CLINIC - DETAILED - ESTABLISHED","99214","HCPCS","Both",,,"78","39","Medicaid",,"",,"37",,"28.55","28.55","60.45","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE- ESTABLISHED","99215","HCPCS","Both",,,"110","55","Alliant","Health Exchange","",,"62",,"68.2","40.26","85.25","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE- ESTABLISHED","99215","HCPCS","Both",,,"110","55","Pruitt Healthcare","Medicare Advantage","",,"54",,"59.4","40.26","85.25","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE- ESTABLISHED","99215","HCPCS","Both",,,"110","55","Medicare",,"",,"54",,"59.62","40.26","85.25","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE- ESTABLISHED","99215","HCPCS","Both",,,"110","55","Humana","Medicare Advantage","",,"54",,"59.62","40.26","85.25","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE- ESTABLISHED","99215","HCPCS","Both",,,"110","55","UHC","Medicare Advantage","",,"54",,"59.62","40.26","85.25","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE- ESTABLISHED","99215","HCPCS","Both",,,"110","55","Clover","Medicare Advantage","",,"54",,"59.62","40.26","85.25","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE- ESTABLISHED","99215","HCPCS","Both",,,"110","55","Wellcare","Medicare Advantage","",,"54",,"59.62","40.26","85.25","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE- ESTABLISHED","99215","HCPCS","Both",,,"110","55","Amerigroup","Medicaid Managed Care","",,"37",,"40.26","40.26","85.25","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE- ESTABLISHED","99215","HCPCS","Both",,,"110","55","Caresource","Medicaid Managed Care","",,"40",,"44","40.26","85.25","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE- ESTABLISHED","99215","HCPCS","Both",,,"110","55","Wellcare","Medicaid Managed Care","",,"40",,"44.55","40.26","85.25","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE- ESTABLISHED","99215","HCPCS","Both",,,"110","55","Aetna","Commercial","",,"64",,"70.18","40.26","85.25","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE- ESTABLISHED","99215","HCPCS","Both",,,"110","55","Blue Cross Blue Shield","Pathways","",,"71",,"77.66","40.26","85.25","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE- ESTABLISHED","99215","HCPCS","Both",,,"110","55","Blue Cross Blue Shield","HMO","",,"71",,"77.66","40.26","85.25","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE- ESTABLISHED","99215","HCPCS","Both",,,"110","55","Blue Cross Blue Shield","PPO","",,"71",,"77.66","40.26","85.25","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE- ESTABLISHED","99215","HCPCS","Both",,,"110","55","Ambetter","Health Exchange","",,"62",,"68.2","40.26","85.25","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE- ESTABLISHED","99215","HCPCS","Both",,,"110","55","Caresource","Health Exchange","",,"62",,"68.2","40.26","85.25","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE- ESTABLISHED","99215","HCPCS","Both",,,"110","55","Cigna","Commercial","",,"59",,"64.46","40.26","85.25","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE- ESTABLISHED","99215","HCPCS","Both",,,"110","55","Humana","Commercial","",,"78",,"85.25","40.26","85.25","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE- ESTABLISHED","99215","HCPCS","Both",,,"110","55","UHC","Commercial","",,"75",,"82.94","40.26","85.25","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE- ESTABLISHED","99215","HCPCS","Both",,,"110","55","Medicaid",,"",,"37",,"40.26","40.26","85.25","percent of total billed charges",,
"SURG CLINIC - CONSULT - PROBL FOCUS","99241","HCPCS","Both",,,"68","34","Alliant","Health Exchange","",,"62",,"42.16","24.89","52.7","percent of total billed charges",,
"SURG CLINIC - CONSULT - PROBL FOCUS","99241","HCPCS","Both",,,"68","34","Pruitt Healthcare","Medicare Advantage","",,"54",,"36.72","24.89","52.7","percent of total billed charges",,
"SURG CLINIC - CONSULT - PROBL FOCUS","99241","HCPCS","Both",,,"68","34","Medicare",,"",,"54",,"36.86","24.89","52.7","percent of total billed charges",,
"SURG CLINIC - CONSULT - PROBL FOCUS","99241","HCPCS","Both",,,"68","34","Humana","Medicare Advantage","",,"54",,"36.86","24.89","52.7","percent of total billed charges",,
"SURG CLINIC - CONSULT - PROBL FOCUS","99241","HCPCS","Both",,,"68","34","UHC","Medicare Advantage","",,"54",,"36.86","24.89","52.7","percent of total billed charges",,
"SURG CLINIC - CONSULT - PROBL FOCUS","99241","HCPCS","Both",,,"68","34","Clover","Medicare Advantage","",,"54",,"36.86","24.89","52.7","percent of total billed charges",,
"SURG CLINIC - CONSULT - PROBL FOCUS","99241","HCPCS","Both",,,"68","34","Wellcare","Medicare Advantage","",,"54",,"36.86","24.89","52.7","percent of total billed charges",,
"SURG CLINIC - CONSULT - PROBL FOCUS","99241","HCPCS","Both",,,"68","34","Amerigroup","Medicaid Managed Care","",,"37",,"24.89","24.89","52.7","percent of total billed charges",,
"SURG CLINIC - CONSULT - PROBL FOCUS","99241","HCPCS","Both",,,"68","34","Caresource","Medicaid Managed Care","",,"40",,"27.2","24.89","52.7","percent of total billed charges",,
"SURG CLINIC - CONSULT - PROBL FOCUS","99241","HCPCS","Both",,,"68","34","Wellcare","Medicaid Managed Care","",,"40",,"27.54","24.89","52.7","percent of total billed charges",,
"SURG CLINIC - CONSULT - PROBL FOCUS","99241","HCPCS","Both",,,"68","34","Aetna","Commercial","",,"64",,"43.38","24.89","52.7","percent of total billed charges",,
"SURG CLINIC - CONSULT - PROBL FOCUS","99241","HCPCS","Both",,,"68","34","Blue Cross Blue Shield","Pathways","",,"71",,"48.01","24.89","52.7","percent of total billed charges",,
"SURG CLINIC - CONSULT - PROBL FOCUS","99241","HCPCS","Both",,,"68","34","Blue Cross Blue Shield","HMO","",,"71",,"48.01","24.89","52.7","percent of total billed charges",,
"SURG CLINIC - CONSULT - PROBL FOCUS","99241","HCPCS","Both",,,"68","34","Blue Cross Blue Shield","PPO","",,"71",,"48.01","24.89","52.7","percent of total billed charges",,
"SURG CLINIC - CONSULT - PROBL FOCUS","99241","HCPCS","Both",,,"68","34","Ambetter","Health Exchange","",,"62",,"42.16","24.89","52.7","percent of total billed charges",,
"SURG CLINIC - CONSULT - PROBL FOCUS","99241","HCPCS","Both",,,"68","34","Caresource","Health Exchange","",,"62",,"42.16","24.89","52.7","percent of total billed charges",,
"SURG CLINIC - CONSULT - PROBL FOCUS","99241","HCPCS","Both",,,"68","34","Cigna","Commercial","",,"59",,"39.85","24.89","52.7","percent of total billed charges",,
"SURG CLINIC - CONSULT - PROBL FOCUS","99241","HCPCS","Both",,,"68","34","Humana","Commercial","",,"78",,"52.7","24.89","52.7","percent of total billed charges",,
"SURG CLINIC - CONSULT - PROBL FOCUS","99241","HCPCS","Both",,,"68","34","UHC","Commercial","",,"75",,"51.27","24.89","52.7","percent of total billed charges",,
"SURG CLINIC - CONSULT - PROBL FOCUS","99241","HCPCS","Both",,,"68","34","Medicaid",,"",,"37",,"24.89","24.89","52.7","percent of total billed charges",,
"SURG CLINIC - CONSULT - EXPANDED","99242","HCPCS","Both",,,"80","40","Alliant","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"SURG CLINIC - CONSULT - EXPANDED","99242","HCPCS","Both",,,"80","40","Pruitt Healthcare","Medicare Advantage","",,"54",,"43.2","29.28","62","percent of total billed charges",,
"SURG CLINIC - CONSULT - EXPANDED","99242","HCPCS","Both",,,"80","40","Medicare",,"",,"54",,"43.36","29.28","62","percent of total billed charges",,
"SURG CLINIC - CONSULT - EXPANDED","99242","HCPCS","Both",,,"80","40","Humana","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"SURG CLINIC - CONSULT - EXPANDED","99242","HCPCS","Both",,,"80","40","UHC","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"SURG CLINIC - CONSULT - EXPANDED","99242","HCPCS","Both",,,"80","40","Clover","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"SURG CLINIC - CONSULT - EXPANDED","99242","HCPCS","Both",,,"80","40","Wellcare","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"SURG CLINIC - CONSULT - EXPANDED","99242","HCPCS","Both",,,"80","40","Amerigroup","Medicaid Managed Care","",,"37",,"29.28","29.28","62","percent of total billed charges",,
"SURG CLINIC - CONSULT - EXPANDED","99242","HCPCS","Both",,,"80","40","Caresource","Medicaid Managed Care","",,"40",,"32","29.28","62","percent of total billed charges",,
"SURG CLINIC - CONSULT - EXPANDED","99242","HCPCS","Both",,,"80","40","Wellcare","Medicaid Managed Care","",,"40",,"32.4","29.28","62","percent of total billed charges",,
"SURG CLINIC - CONSULT - EXPANDED","99242","HCPCS","Both",,,"80","40","Aetna","Commercial","",,"64",,"51.04","29.28","62","percent of total billed charges",,
"SURG CLINIC - CONSULT - EXPANDED","99242","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","Pathways","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"SURG CLINIC - CONSULT - EXPANDED","99242","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","HMO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"SURG CLINIC - CONSULT - EXPANDED","99242","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","PPO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"SURG CLINIC - CONSULT - EXPANDED","99242","HCPCS","Both",,,"80","40","Ambetter","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"SURG CLINIC - CONSULT - EXPANDED","99242","HCPCS","Both",,,"80","40","Caresource","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"SURG CLINIC - CONSULT - EXPANDED","99242","HCPCS","Both",,,"80","40","Cigna","Commercial","",,"59",,"46.88","29.28","62","percent of total billed charges",,
"SURG CLINIC - CONSULT - EXPANDED","99242","HCPCS","Both",,,"80","40","Humana","Commercial","",,"78",,"62","29.28","62","percent of total billed charges",,
"SURG CLINIC - CONSULT - EXPANDED","99242","HCPCS","Both",,,"80","40","UHC","Commercial","",,"75",,"60.32","29.28","62","percent of total billed charges",,
"SURG CLINIC - CONSULT - EXPANDED","99242","HCPCS","Both",,,"80","40","Medicaid",,"",,"37",,"29.28","29.28","62","percent of total billed charges",,
"SURG CLINIC - CONSULT - DETAILED","99243","HCPCS","Both",,,"104","52","Alliant","Health Exchange","",,"62",,"64.48","38.06","80.68","percent of total billed charges",,
"SURG CLINIC - CONSULT - DETAILED","99243","HCPCS","Both",,,"104","52","Pruitt Healthcare","Medicare Advantage","",,"54",,"56.16","38.06","80.68","percent of total billed charges",,
"SURG CLINIC - CONSULT - DETAILED","99243","HCPCS","Both",,,"104","52","Medicare",,"",,"54",,"56.37","38.06","80.68","percent of total billed charges",,
"SURG CLINIC - CONSULT - DETAILED","99243","HCPCS","Both",,,"104","52","Humana","Medicare Advantage","",,"54",,"56.37","38.06","80.68","percent of total billed charges",,
"SURG CLINIC - CONSULT - DETAILED","99243","HCPCS","Both",,,"104","52","UHC","Medicare Advantage","",,"54",,"56.37","38.06","80.68","percent of total billed charges",,
"SURG CLINIC - CONSULT - DETAILED","99243","HCPCS","Both",,,"104","52","Clover","Medicare Advantage","",,"54",,"56.37","38.06","80.68","percent of total billed charges",,
"SURG CLINIC - CONSULT - DETAILED","99243","HCPCS","Both",,,"104","52","Wellcare","Medicare Advantage","",,"54",,"56.37","38.06","80.68","percent of total billed charges",,
"SURG CLINIC - CONSULT - DETAILED","99243","HCPCS","Both",,,"104","52","Amerigroup","Medicaid Managed Care","",,"37",,"38.06","38.06","80.68","percent of total billed charges",,
"SURG CLINIC - CONSULT - DETAILED","99243","HCPCS","Both",,,"104","52","Caresource","Medicaid Managed Care","",,"40",,"41.6","38.06","80.68","percent of total billed charges",,
"SURG CLINIC - CONSULT - DETAILED","99243","HCPCS","Both",,,"104","52","Wellcare","Medicaid Managed Care","",,"40",,"42.12","38.06","80.68","percent of total billed charges",,
"SURG CLINIC - CONSULT - DETAILED","99243","HCPCS","Both",,,"104","52","Aetna","Commercial","",,"64",,"66.35","38.06","80.68","percent of total billed charges",,
"SURG CLINIC - CONSULT - DETAILED","99243","HCPCS","Both",,,"104","52","Blue Cross Blue Shield","Pathways","",,"71",,"73.42","38.06","80.68","percent of total billed charges",,
"SURG CLINIC - CONSULT - DETAILED","99243","HCPCS","Both",,,"104","52","Blue Cross Blue Shield","HMO","",,"71",,"73.42","38.06","80.68","percent of total billed charges",,
"SURG CLINIC - CONSULT - DETAILED","99243","HCPCS","Both",,,"104","52","Blue Cross Blue Shield","PPO","",,"71",,"73.42","38.06","80.68","percent of total billed charges",,
"SURG CLINIC - CONSULT - DETAILED","99243","HCPCS","Both",,,"104","52","Ambetter","Health Exchange","",,"62",,"64.48","38.06","80.68","percent of total billed charges",,
"SURG CLINIC - CONSULT - DETAILED","99243","HCPCS","Both",,,"104","52","Caresource","Health Exchange","",,"62",,"64.48","38.06","80.68","percent of total billed charges",,
"SURG CLINIC - CONSULT - DETAILED","99243","HCPCS","Both",,,"104","52","Cigna","Commercial","",,"59",,"60.94","38.06","80.68","percent of total billed charges",,
"SURG CLINIC - CONSULT - DETAILED","99243","HCPCS","Both",,,"104","52","Humana","Commercial","",,"78",,"80.6","38.06","80.68","percent of total billed charges",,
"SURG CLINIC - CONSULT - DETAILED","99243","HCPCS","Both",,,"104","52","UHC","Commercial","",,"75",,"78.42","38.06","80.68","percent of total billed charges",,
"SURG CLINIC - CONSULT - DETAILED","99243","HCPCS","Both",,,"104","52","Medicaid",,"",,"37",,"38.06","38.06","80.68","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99244","HCPCS","Both",,,"152.5","76.25","Alliant","Health Exchange","",,"62",,"94.55","55.82","118.19","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99244","HCPCS","Both",,,"152.5","76.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"82.35","55.82","118.19","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99244","HCPCS","Both",,,"152.5","76.25","Medicare",,"",,"54",,"82.66","55.82","118.19","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99244","HCPCS","Both",,,"152.5","76.25","Humana","Medicare Advantage","",,"54",,"82.66","55.82","118.19","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99244","HCPCS","Both",,,"152.5","76.25","UHC","Medicare Advantage","",,"54",,"82.66","55.82","118.19","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99244","HCPCS","Both",,,"152.5","76.25","Clover","Medicare Advantage","",,"54",,"82.66","55.82","118.19","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99244","HCPCS","Both",,,"152.5","76.25","Wellcare","Medicare Advantage","",,"54",,"82.66","55.82","118.19","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99244","HCPCS","Both",,,"152.5","76.25","Amerigroup","Medicaid Managed Care","",,"37",,"55.82","55.82","118.19","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99244","HCPCS","Both",,,"152.5","76.25","Caresource","Medicaid Managed Care","",,"40",,"61","55.82","118.19","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99244","HCPCS","Both",,,"152.5","76.25","Wellcare","Medicaid Managed Care","",,"40",,"61.76","55.82","118.19","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99244","HCPCS","Both",,,"152.5","76.25","Aetna","Commercial","",,"64",,"97.3","55.82","118.19","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99244","HCPCS","Both",,,"152.5","76.25","Blue Cross Blue Shield","Pathways","",,"71",,"107.66","55.82","118.19","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99244","HCPCS","Both",,,"152.5","76.25","Blue Cross Blue Shield","HMO","",,"71",,"107.66","55.82","118.19","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99244","HCPCS","Both",,,"152.5","76.25","Blue Cross Blue Shield","PPO","",,"71",,"107.66","55.82","118.19","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99244","HCPCS","Both",,,"152.5","76.25","Ambetter","Health Exchange","",,"62",,"94.55","55.82","118.19","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99244","HCPCS","Both",,,"152.5","76.25","Caresource","Health Exchange","",,"62",,"94.55","55.82","118.19","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99244","HCPCS","Both",,,"152.5","76.25","Cigna","Commercial","",,"59",,"89.36","55.82","118.19","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99244","HCPCS","Both",,,"152.5","76.25","Humana","Commercial","",,"78",,"118.19","55.82","118.19","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99244","HCPCS","Both",,,"152.5","76.25","UHC","Commercial","",,"75",,"114.98","55.82","118.19","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99244","HCPCS","Both",,,"152.5","76.25","Medicaid",,"",,"37",,"55.82","55.82","118.19","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99245","HCPCS","Both",,,"196","98","Alliant","Health Exchange","",,"62",,"121.52","71.74","151.9","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99245","HCPCS","Both",,,"196","98","Pruitt Healthcare","Medicare Advantage","",,"54",,"105.84","71.74","151.9","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99245","HCPCS","Both",,,"196","98","Medicare",,"",,"54",,"106.23","71.74","151.9","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99245","HCPCS","Both",,,"196","98","Humana","Medicare Advantage","",,"54",,"106.23","71.74","151.9","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99245","HCPCS","Both",,,"196","98","UHC","Medicare Advantage","",,"54",,"106.23","71.74","151.9","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99245","HCPCS","Both",,,"196","98","Clover","Medicare Advantage","",,"54",,"106.23","71.74","151.9","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99245","HCPCS","Both",,,"196","98","Wellcare","Medicare Advantage","",,"54",,"106.23","71.74","151.9","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99245","HCPCS","Both",,,"196","98","Amerigroup","Medicaid Managed Care","",,"37",,"71.74","71.74","151.9","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99245","HCPCS","Both",,,"196","98","Caresource","Medicaid Managed Care","",,"40",,"78.4","71.74","151.9","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99245","HCPCS","Both",,,"196","98","Wellcare","Medicaid Managed Care","",,"40",,"79.38","71.74","151.9","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99245","HCPCS","Both",,,"196","98","Aetna","Commercial","",,"64",,"125.05","71.74","151.9","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99245","HCPCS","Both",,,"196","98","Blue Cross Blue Shield","Pathways","",,"71",,"138.38","71.74","151.9","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99245","HCPCS","Both",,,"196","98","Blue Cross Blue Shield","HMO","",,"71",,"138.38","71.74","151.9","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99245","HCPCS","Both",,,"196","98","Blue Cross Blue Shield","PPO","",,"71",,"138.38","71.74","151.9","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99245","HCPCS","Both",,,"196","98","Ambetter","Health Exchange","",,"62",,"121.52","71.74","151.9","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99245","HCPCS","Both",,,"196","98","Caresource","Health Exchange","",,"62",,"121.52","71.74","151.9","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99245","HCPCS","Both",,,"196","98","Cigna","Commercial","",,"59",,"114.86","71.74","151.9","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99245","HCPCS","Both",,,"196","98","Humana","Commercial","",,"78",,"151.9","71.74","151.9","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99245","HCPCS","Both",,,"196","98","UHC","Commercial","",,"75",,"147.78","71.74","151.9","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99245","HCPCS","Both",,,"196","98","Medicaid",,"",,"37",,"71.74","71.74","151.9","percent of total billed charges",,
"PT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Alliant","Health Exchange","GP",,"62",,"80.71","47.64","100.88","percent of total billed charges",,
"PT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"70.29","47.64","100.88","percent of total billed charges",,
"PT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Medicare",,"GP",,"54",,"70.55","47.64","100.88","percent of total billed charges",,
"PT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Humana","Medicare Advantage","GP",,"54",,"70.55","47.64","100.88","percent of total billed charges",,
"PT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","UHC","Medicare Advantage","GP",,"54",,"70.55","47.64","100.88","percent of total billed charges",,
"PT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Clover","Medicare Advantage","GP",,"54",,"70.55","47.64","100.88","percent of total billed charges",,
"PT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Wellcare","Medicare Advantage","GP",,"54",,"70.55","47.64","100.88","percent of total billed charges",,
"PT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Amerigroup","Medicaid Managed Care","GP",,"37",,"47.64","47.64","100.88","percent of total billed charges",,
"PT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Caresource","Medicaid Managed Care","GP",,"40",,"52.07","47.64","100.88","percent of total billed charges",,
"PT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Wellcare","Medicaid Managed Care","GP",,"40",,"52.72","47.64","100.88","percent of total billed charges",,
"PT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Aetna","Commercial","GP",,"64",,"83.05","47.64","100.88","percent of total billed charges",,
"PT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Blue Cross Blue Shield","Pathways","GP",,"71",,"91.9","47.64","100.88","percent of total billed charges",,
"PT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Blue Cross Blue Shield","HMO","GP",,"71",,"91.9","47.64","100.88","percent of total billed charges",,
"PT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Blue Cross Blue Shield","PPO","GP",,"71",,"91.9","47.64","100.88","percent of total billed charges",,
"PT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Ambetter","Health Exchange","GP",,"62",,"80.71","47.64","100.88","percent of total billed charges",,
"PT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Caresource","Health Exchange","GP",,"62",,"80.71","47.64","100.88","percent of total billed charges",,
"PT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Cigna","Commercial","GP",,"59",,"76.28","47.64","100.88","percent of total billed charges",,
"PT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Humana","Commercial","GP",,"78",,"100.88","47.64","100.88","percent of total billed charges",,
"PT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","UHC","Commercial","GP",,"75",,"98.15","47.64","100.88","percent of total billed charges",,
"PT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Medicaid",,"GP",,"37",,"47.64","47.64","100.88","percent of total billed charges",,
"PT CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Alliant","Health Exchange","GP",,"62",,"43.26","25.54","54.08","percent of total billed charges",,
"PT CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"37.68","25.54","54.08","percent of total billed charges",,
"PT CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Medicare",,"GP",,"54",,"37.82","25.54","54.08","percent of total billed charges",,
"PT CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Humana","Medicare Advantage","GP",,"54",,"37.82","25.54","54.08","percent of total billed charges",,
"PT CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","UHC","Medicare Advantage","GP",,"54",,"37.82","25.54","54.08","percent of total billed charges",,
"PT CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Clover","Medicare Advantage","GP",,"54",,"37.82","25.54","54.08","percent of total billed charges",,
"PT CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Wellcare","Medicare Advantage","GP",,"54",,"37.82","25.54","54.08","percent of total billed charges",,
"PT CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Amerigroup","Medicaid Managed Care","GP",,"37",,"25.54","25.54","54.08","percent of total billed charges",,
"PT CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Caresource","Medicaid Managed Care","GP",,"40",,"27.91","25.54","54.08","percent of total billed charges",,
"PT CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Wellcare","Medicaid Managed Care","GP",,"40",,"28.26","25.54","54.08","percent of total billed charges",,
"PT CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Aetna","Commercial","GP",,"64",,"44.52","25.54","54.08","percent of total billed charges",,
"PT CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Blue Cross Blue Shield","Pathways","GP",,"71",,"49.26","25.54","54.08","percent of total billed charges",,
"PT CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Blue Cross Blue Shield","HMO","GP",,"71",,"49.26","25.54","54.08","percent of total billed charges",,
"PT CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Blue Cross Blue Shield","PPO","GP",,"71",,"49.26","25.54","54.08","percent of total billed charges",,
"PT CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Ambetter","Health Exchange","GP",,"62",,"43.26","25.54","54.08","percent of total billed charges",,
"PT CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Caresource","Health Exchange","GP",,"62",,"43.26","25.54","54.08","percent of total billed charges",,
"PT CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Cigna","Commercial","GP",,"59",,"40.89","25.54","54.08","percent of total billed charges",,
"PT CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Humana","Commercial","GP",,"78",,"54.08","25.54","54.08","percent of total billed charges",,
"PT CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","UHC","Commercial","GP",,"75",,"52.61","25.54","54.08","percent of total billed charges",,
"PT CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Medicaid",,"GP",,"37",,"25.54","25.54","54.08","percent of total billed charges",,
"PT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Alliant","Health Exchange","GP",,"62",,"18.99","11.21","23.74","percent of total billed charges",,
"PT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"16.54","11.21","23.74","percent of total billed charges",,
"PT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Medicare",,"GP",,"54",,"16.6","11.21","23.74","percent of total billed charges",,
"PT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Humana","Medicare Advantage","GP",,"54",,"16.6","11.21","23.74","percent of total billed charges",,
"PT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","UHC","Medicare Advantage","GP",,"54",,"16.6","11.21","23.74","percent of total billed charges",,
"PT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Clover","Medicare Advantage","GP",,"54",,"16.6","11.21","23.74","percent of total billed charges",,
"PT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Wellcare","Medicare Advantage","GP",,"54",,"16.6","11.21","23.74","percent of total billed charges",,
"PT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Amerigroup","Medicaid Managed Care","GP",,"37",,"11.21","11.21","23.74","percent of total billed charges",,
"PT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Caresource","Medicaid Managed Care","GP",,"40",,"12.25","11.21","23.74","percent of total billed charges",,
"PT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Wellcare","Medicaid Managed Care","GP",,"40",,"12.41","11.21","23.74","percent of total billed charges",,
"PT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Aetna","Commercial","GP",,"64",,"19.54","11.21","23.74","percent of total billed charges",,
"PT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Blue Cross Blue Shield","Pathways","GP",,"71",,"21.62","11.21","23.74","percent of total billed charges",,
"PT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Blue Cross Blue Shield","HMO","GP",,"71",,"21.62","11.21","23.74","percent of total billed charges",,
"PT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Blue Cross Blue Shield","PPO","GP",,"71",,"21.62","11.21","23.74","percent of total billed charges",,
"PT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Ambetter","Health Exchange","GP",,"62",,"18.99","11.21","23.74","percent of total billed charges",,
"PT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Caresource","Health Exchange","GP",,"62",,"18.99","11.21","23.74","percent of total billed charges",,
"PT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Cigna","Commercial","GP",,"59",,"17.95","11.21","23.74","percent of total billed charges",,
"PT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Humana","Commercial","GP",,"78",,"23.74","11.21","23.74","percent of total billed charges",,
"PT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","UHC","Commercial","GP",,"75",,"23.1","11.21","23.74","percent of total billed charges",,
"PT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Medicaid",,"GP",,"37",,"11.21","11.21","23.74","percent of total billed charges",,
"OT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Alliant","Health Exchange","G0",,"62",,"80.71","47.64","100.88","percent of total billed charges",,
"OT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Pruitt Healthcare","Medicare Advantage","G0",,"54",,"70.29","47.64","100.88","percent of total billed charges",,
"OT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Medicare",,"G0",,"54",,"70.55","47.64","100.88","percent of total billed charges",,
"OT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Humana","Medicare Advantage","G0",,"54",,"70.55","47.64","100.88","percent of total billed charges",,
"OT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","UHC","Medicare Advantage","G0",,"54",,"70.55","47.64","100.88","percent of total billed charges",,
"OT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Clover","Medicare Advantage","G0",,"54",,"70.55","47.64","100.88","percent of total billed charges",,
"OT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Wellcare","Medicare Advantage","G0",,"54",,"70.55","47.64","100.88","percent of total billed charges",,
"OT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Amerigroup","Medicaid Managed Care","G0",,"37",,"47.64","47.64","100.88","percent of total billed charges",,
"OT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Caresource","Medicaid Managed Care","G0",,"40",,"52.07","47.64","100.88","percent of total billed charges",,
"OT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Wellcare","Medicaid Managed Care","G0",,"40",,"52.72","47.64","100.88","percent of total billed charges",,
"OT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Aetna","Commercial","G0",,"64",,"83.05","47.64","100.88","percent of total billed charges",,
"OT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Blue Cross Blue Shield","Pathways","G0",,"71",,"91.9","47.64","100.88","percent of total billed charges",,
"OT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Blue Cross Blue Shield","HMO","G0",,"71",,"91.9","47.64","100.88","percent of total billed charges",,
"OT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Blue Cross Blue Shield","PPO","G0",,"71",,"91.9","47.64","100.88","percent of total billed charges",,
"OT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Ambetter","Health Exchange","G0",,"62",,"80.71","47.64","100.88","percent of total billed charges",,
"OT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Caresource","Health Exchange","G0",,"62",,"80.71","47.64","100.88","percent of total billed charges",,
"OT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Cigna","Commercial","G0",,"59",,"76.28","47.64","100.88","percent of total billed charges",,
"OT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Humana","Commercial","G0",,"78",,"100.88","47.64","100.88","percent of total billed charges",,
"OT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","UHC","Commercial","G0",,"75",,"98.15","47.64","100.88","percent of total billed charges",,
"OT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Medicaid",,"G0",,"37",,"47.64","47.64","100.88","percent of total billed charges",,
"OT CAREGIVER TRAINING ea add'l 15mins","97551","HCPCS","Both",,,"69.78","34.89","Alliant","Health Exchange","G0",,"62",,"43.26","25.54","54.08","percent of total billed charges",,
"OT CAREGIVER TRAINING ea add'l 15mins","97551","HCPCS","Both",,,"69.78","34.89","Pruitt Healthcare","Medicare Advantage","G0",,"54",,"37.68","25.54","54.08","percent of total billed charges",,
"OT CAREGIVER TRAINING ea add'l 15mins","97551","HCPCS","Both",,,"69.78","34.89","Medicare",,"G0",,"54",,"37.82","25.54","54.08","percent of total billed charges",,
"OT CAREGIVER TRAINING ea add'l 15mins","97551","HCPCS","Both",,,"69.78","34.89","Humana","Medicare Advantage","G0",,"54",,"37.82","25.54","54.08","percent of total billed charges",,
"OT CAREGIVER TRAINING ea add'l 15mins","97551","HCPCS","Both",,,"69.78","34.89","UHC","Medicare Advantage","G0",,"54",,"37.82","25.54","54.08","percent of total billed charges",,
"OT CAREGIVER TRAINING ea add'l 15mins","97551","HCPCS","Both",,,"69.78","34.89","Clover","Medicare Advantage","G0",,"54",,"37.82","25.54","54.08","percent of total billed charges",,
"OT CAREGIVER TRAINING ea add'l 15mins","97551","HCPCS","Both",,,"69.78","34.89","Wellcare","Medicare Advantage","G0",,"54",,"37.82","25.54","54.08","percent of total billed charges",,
"OT CAREGIVER TRAINING ea add'l 15mins","97551","HCPCS","Both",,,"69.78","34.89","Amerigroup","Medicaid Managed Care","G0",,"37",,"25.54","25.54","54.08","percent of total billed charges",,
"OT CAREGIVER TRAINING ea add'l 15mins","97551","HCPCS","Both",,,"69.78","34.89","Caresource","Medicaid Managed Care","G0",,"40",,"27.91","25.54","54.08","percent of total billed charges",,
"OT CAREGIVER TRAINING ea add'l 15mins","97551","HCPCS","Both",,,"69.78","34.89","Wellcare","Medicaid Managed Care","G0",,"40",,"28.26","25.54","54.08","percent of total billed charges",,
"OT CAREGIVER TRAINING ea add'l 15mins","97551","HCPCS","Both",,,"69.78","34.89","Aetna","Commercial","G0",,"64",,"44.52","25.54","54.08","percent of total billed charges",,
"OT CAREGIVER TRAINING ea add'l 15mins","97551","HCPCS","Both",,,"69.78","34.89","Blue Cross Blue Shield","Pathways","G0",,"71",,"49.26","25.54","54.08","percent of total billed charges",,
"OT CAREGIVER TRAINING ea add'l 15mins","97551","HCPCS","Both",,,"69.78","34.89","Blue Cross Blue Shield","HMO","G0",,"71",,"49.26","25.54","54.08","percent of total billed charges",,
"OT CAREGIVER TRAINING ea add'l 15mins","97551","HCPCS","Both",,,"69.78","34.89","Blue Cross Blue Shield","PPO","G0",,"71",,"49.26","25.54","54.08","percent of total billed charges",,
"OT CAREGIVER TRAINING ea add'l 15mins","97551","HCPCS","Both",,,"69.78","34.89","Ambetter","Health Exchange","G0",,"62",,"43.26","25.54","54.08","percent of total billed charges",,
"OT CAREGIVER TRAINING ea add'l 15mins","97551","HCPCS","Both",,,"69.78","34.89","Caresource","Health Exchange","G0",,"62",,"43.26","25.54","54.08","percent of total billed charges",,
"OT CAREGIVER TRAINING ea add'l 15mins","97551","HCPCS","Both",,,"69.78","34.89","Cigna","Commercial","G0",,"59",,"40.89","25.54","54.08","percent of total billed charges",,
"OT CAREGIVER TRAINING ea add'l 15mins","97551","HCPCS","Both",,,"69.78","34.89","Humana","Commercial","G0",,"78",,"54.08","25.54","54.08","percent of total billed charges",,
"OT CAREGIVER TRAINING ea add'l 15mins","97551","HCPCS","Both",,,"69.78","34.89","UHC","Commercial","G0",,"75",,"52.61","25.54","54.08","percent of total billed charges",,
"OT CAREGIVER TRAINING ea add'l 15mins","97551","HCPCS","Both",,,"69.78","34.89","Medicaid",,"G0",,"37",,"25.54","25.54","54.08","percent of total billed charges",,
"OT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Alliant","Health Exchange","GO",,"62",,"18.99","11.21","23.74","percent of total billed charges",,
"OT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"16.54","11.21","23.74","percent of total billed charges",,
"OT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Medicare",,"GO",,"54",,"16.6","11.21","23.74","percent of total billed charges",,
"OT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Humana","Medicare Advantage","GO",,"54",,"16.6","11.21","23.74","percent of total billed charges",,
"OT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","UHC","Medicare Advantage","GO",,"54",,"16.6","11.21","23.74","percent of total billed charges",,
"OT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Clover","Medicare Advantage","GO",,"54",,"16.6","11.21","23.74","percent of total billed charges",,
"OT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Wellcare","Medicare Advantage","GO",,"54",,"16.6","11.21","23.74","percent of total billed charges",,
"OT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Amerigroup","Medicaid Managed Care","GO",,"37",,"11.21","11.21","23.74","percent of total billed charges",,
"OT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Caresource","Medicaid Managed Care","GO",,"40",,"12.25","11.21","23.74","percent of total billed charges",,
"OT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Wellcare","Medicaid Managed Care","GO",,"40",,"12.41","11.21","23.74","percent of total billed charges",,
"OT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Aetna","Commercial","GO",,"64",,"19.54","11.21","23.74","percent of total billed charges",,
"OT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Blue Cross Blue Shield","Pathways","GO",,"71",,"21.62","11.21","23.74","percent of total billed charges",,
"OT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Blue Cross Blue Shield","HMO","GO",,"71",,"21.62","11.21","23.74","percent of total billed charges",,
"OT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Blue Cross Blue Shield","PPO","GO",,"71",,"21.62","11.21","23.74","percent of total billed charges",,
"OT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Ambetter","Health Exchange","GO",,"62",,"18.99","11.21","23.74","percent of total billed charges",,
"OT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Caresource","Health Exchange","GO",,"62",,"18.99","11.21","23.74","percent of total billed charges",,
"OT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Cigna","Commercial","GO",,"59",,"17.95","11.21","23.74","percent of total billed charges",,
"OT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Humana","Commercial","GO",,"78",,"23.74","11.21","23.74","percent of total billed charges",,
"OT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","UHC","Commercial","GO",,"75",,"23.1","11.21","23.74","percent of total billed charges",,
"OT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Medicaid",,"GO",,"37",,"11.21","11.21","23.74","percent of total billed charges",,
"ST CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Alliant","Health Exchange","GN",,"62",,"80.71","47.64","100.88","percent of total billed charges",,
"ST CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"70.29","47.64","100.88","percent of total billed charges",,
"ST CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Medicare",,"GN",,"54",,"70.55","47.64","100.88","percent of total billed charges",,
"ST CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Humana","Medicare Advantage","GN",,"54",,"70.55","47.64","100.88","percent of total billed charges",,
"ST CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","UHC","Medicare Advantage","GN",,"54",,"70.55","47.64","100.88","percent of total billed charges",,
"ST CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Clover","Medicare Advantage","GN",,"54",,"70.55","47.64","100.88","percent of total billed charges",,
"ST CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Wellcare","Medicare Advantage","GN",,"54",,"70.55","47.64","100.88","percent of total billed charges",,
"ST CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Amerigroup","Medicaid Managed Care","GN",,"37",,"47.64","47.64","100.88","percent of total billed charges",,
"ST CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Caresource","Medicaid Managed Care","GN",,"40",,"52.07","47.64","100.88","percent of total billed charges",,
"ST CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Wellcare","Medicaid Managed Care","GN",,"40",,"52.72","47.64","100.88","percent of total billed charges",,
"ST CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Aetna","Commercial","GN",,"64",,"83.05","47.64","100.88","percent of total billed charges",,
"ST CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Blue Cross Blue Shield","Pathways","GN",,"71",,"91.9","47.64","100.88","percent of total billed charges",,
"ST CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Blue Cross Blue Shield","HMO","GN",,"71",,"91.9","47.64","100.88","percent of total billed charges",,
"ST CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Blue Cross Blue Shield","PPO","GN",,"71",,"91.9","47.64","100.88","percent of total billed charges",,
"ST CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Ambetter","Health Exchange","GN",,"62",,"80.71","47.64","100.88","percent of total billed charges",,
"ST CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Caresource","Health Exchange","GN",,"62",,"80.71","47.64","100.88","percent of total billed charges",,
"ST CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Cigna","Commercial","GN",,"59",,"76.28","47.64","100.88","percent of total billed charges",,
"ST CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Humana","Commercial","GN",,"78",,"100.88","47.64","100.88","percent of total billed charges",,
"ST CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","UHC","Commercial","GN",,"75",,"98.15","47.64","100.88","percent of total billed charges",,
"ST CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Medicaid",,"GN",,"37",,"47.64","47.64","100.88","percent of total billed charges",,
"ST CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Alliant","Health Exchange","GN",,"62",,"43.26","25.54","54.08","percent of total billed charges",,
"ST CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"37.68","25.54","54.08","percent of total billed charges",,
"ST CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Medicare",,"GN",,"54",,"37.82","25.54","54.08","percent of total billed charges",,
"ST CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Humana","Medicare Advantage","GN",,"54",,"37.82","25.54","54.08","percent of total billed charges",,
"ST CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","UHC","Medicare Advantage","GN",,"54",,"37.82","25.54","54.08","percent of total billed charges",,
"ST CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Clover","Medicare Advantage","GN",,"54",,"37.82","25.54","54.08","percent of total billed charges",,
"ST CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Wellcare","Medicare Advantage","GN",,"54",,"37.82","25.54","54.08","percent of total billed charges",,
"ST CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Amerigroup","Medicaid Managed Care","GN",,"37",,"25.54","25.54","54.08","percent of total billed charges",,
"ST CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Caresource","Medicaid Managed Care","GN",,"40",,"27.91","25.54","54.08","percent of total billed charges",,
"ST CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Wellcare","Medicaid Managed Care","GN",,"40",,"28.26","25.54","54.08","percent of total billed charges",,
"ST CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Aetna","Commercial","GN",,"64",,"44.52","25.54","54.08","percent of total billed charges",,
"ST CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Blue Cross Blue Shield","Pathways","GN",,"71",,"49.26","25.54","54.08","percent of total billed charges",,
"ST CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Blue Cross Blue Shield","HMO","GN",,"71",,"49.26","25.54","54.08","percent of total billed charges",,
"ST CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Blue Cross Blue Shield","PPO","GN",,"71",,"49.26","25.54","54.08","percent of total billed charges",,
"ST CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Ambetter","Health Exchange","GN",,"62",,"43.26","25.54","54.08","percent of total billed charges",,
"ST CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Caresource","Health Exchange","GN",,"62",,"43.26","25.54","54.08","percent of total billed charges",,
"ST CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Cigna","Commercial","GN",,"59",,"40.89","25.54","54.08","percent of total billed charges",,
"ST CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Humana","Commercial","GN",,"78",,"54.08","25.54","54.08","percent of total billed charges",,
"ST CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","UHC","Commercial","GN",,"75",,"52.61","25.54","54.08","percent of total billed charges",,
"ST CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Medicaid",,"GN",,"37",,"25.54","25.54","54.08","percent of total billed charges",,
"ST CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Alliant","Health Exchange","GN",,"62",,"18.99","11.21","23.74","percent of total billed charges",,
"ST CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"16.54","11.21","23.74","percent of total billed charges",,
"ST CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Medicare",,"GN",,"54",,"16.6","11.21","23.74","percent of total billed charges",,
"ST CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Humana","Medicare Advantage","GN",,"54",,"16.6","11.21","23.74","percent of total billed charges",,
"ST CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","UHC","Medicare Advantage","GN",,"54",,"16.6","11.21","23.74","percent of total billed charges",,
"ST CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Clover","Medicare Advantage","GN",,"54",,"16.6","11.21","23.74","percent of total billed charges",,
"ST CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Wellcare","Medicare Advantage","GN",,"54",,"16.6","11.21","23.74","percent of total billed charges",,
"ST CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Amerigroup","Medicaid Managed Care","GN",,"37",,"11.21","11.21","23.74","percent of total billed charges",,
"ST CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Caresource","Medicaid Managed Care","GN",,"40",,"12.25","11.21","23.74","percent of total billed charges",,
"ST CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Wellcare","Medicaid Managed Care","GN",,"40",,"12.41","11.21","23.74","percent of total billed charges",,
"ST CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Aetna","Commercial","GN",,"64",,"19.54","11.21","23.74","percent of total billed charges",,
"ST CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Blue Cross Blue Shield","Pathways","GN",,"71",,"21.62","11.21","23.74","percent of total billed charges",,
"ST CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Blue Cross Blue Shield","HMO","GN",,"71",,"21.62","11.21","23.74","percent of total billed charges",,
"ST CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Blue Cross Blue Shield","PPO","GN",,"71",,"21.62","11.21","23.74","percent of total billed charges",,
"ST CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Ambetter","Health Exchange","GN",,"62",,"18.99","11.21","23.74","percent of total billed charges",,
"ST CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Caresource","Health Exchange","GN",,"62",,"18.99","11.21","23.74","percent of total billed charges",,
"ST CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Cigna","Commercial","GN",,"59",,"17.95","11.21","23.74","percent of total billed charges",,
"ST CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Humana","Commercial","GN",,"78",,"23.74","11.21","23.74","percent of total billed charges",,
"ST CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","UHC","Commercial","GN",,"75",,"23.1","11.21","23.74","percent of total billed charges",,
"ST CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Medicaid",,"GN",,"37",,"11.21","11.21","23.74","percent of total billed charges",,
"SLEEP STUDY PAP NAP","95811","HCPCS","Both",,,"2494","1247","Alliant","Health Exchange","52",,"62",,"1546.28","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY PAP NAP","95811","HCPCS","Both",,,"2494","1247","Pruitt Healthcare","Medicare Advantage","52",,"54",,"1346.76","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY PAP NAP","95811","HCPCS","Both",,,"2494","1247","Medicare",,"52",,"54",,"1351.75","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY PAP NAP","95811","HCPCS","Both",,,"2494","1247","Humana","Medicare Advantage","52",,"54",,"1351.75","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY PAP NAP","95811","HCPCS","Both",,,"2494","1247","UHC","Medicare Advantage","52",,"54",,"1351.75","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY PAP NAP","95811","HCPCS","Both",,,"2494","1247","Clover","Medicare Advantage","52",,"54",,"1351.75","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY PAP NAP","95811","HCPCS","Both",,,"2494","1247","Wellcare","Medicare Advantage","52",,"54",,"1351.75","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY PAP NAP","95811","HCPCS","Both",,,"2494","1247","Amerigroup","Medicaid Managed Care","52",,"37",,"912.8","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY PAP NAP","95811","HCPCS","Both",,,"2494","1247","Caresource","Medicaid Managed Care","52",,"40",,"997.6","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY PAP NAP","95811","HCPCS","Both",,,"2494","1247","Wellcare","Medicaid Managed Care","52",,"40",,"1010.07","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY PAP NAP","95811","HCPCS","Both",,,"2494","1247","Aetna","Commercial","52",,"64",,"1591.17","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY PAP NAP","95811","HCPCS","Both",,,"2494","1247","Blue Cross Blue Shield","Pathways","52",,"71",,"1760.76","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY PAP NAP","95811","HCPCS","Both",,,"2494","1247","Blue Cross Blue Shield","HMO","52",,"71",,"1760.76","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY PAP NAP","95811","HCPCS","Both",,,"2494","1247","Blue Cross Blue Shield","PPO","52",,"71",,"1760.76","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY PAP NAP","95811","HCPCS","Both",,,"2494","1247","Ambetter","Health Exchange","52",,"62",,"1546.28","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY PAP NAP","95811","HCPCS","Both",,,"2494","1247","Caresource","Health Exchange","52",,"62",,"1546.28","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY PAP NAP","95811","HCPCS","Both",,,"2494","1247","Cigna","Commercial","52",,"59",,"1461.48","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY PAP NAP","95811","HCPCS","Both",,,"2494","1247","Humana","Commercial","52",,"78",,"1932.85","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY PAP NAP","95811","HCPCS","Both",,,"2494","1247","UHC","Commercial","52",,"75",,"1880.48","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY PAP NAP","95811","HCPCS","Both",,,"2494","1247","Medicaid",,"52",,"37",,"912.8","912.8","1932.85","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE, CRICO","31605","HCPCS","Both",,,"572.5","286.25","Alliant","Health Exchange","",,"62",,"354.95","209.54","443.69","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE, CRICO","31605","HCPCS","Both",,,"572.5","286.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"309.15","209.54","443.69","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE, CRICO","31605","HCPCS","Both",,,"572.5","286.25","Medicare",,"",,"54",,"310.3","209.54","443.69","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE, CRICO","31605","HCPCS","Both",,,"572.5","286.25","Humana","Medicare Advantage","",,"54",,"310.3","209.54","443.69","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE, CRICO","31605","HCPCS","Both",,,"572.5","286.25","UHC","Medicare Advantage","",,"54",,"310.3","209.54","443.69","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE, CRICO","31605","HCPCS","Both",,,"572.5","286.25","Clover","Medicare Advantage","",,"54",,"310.3","209.54","443.69","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE, CRICO","31605","HCPCS","Both",,,"572.5","286.25","Wellcare","Medicare Advantage","",,"54",,"310.3","209.54","443.69","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE, CRICO","31605","HCPCS","Both",,,"572.5","286.25","Amerigroup","Medicaid Managed Care","",,"37",,"209.54","209.54","443.69","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE, CRICO","31605","HCPCS","Both",,,"572.5","286.25","Caresource","Medicaid Managed Care","",,"40",,"229","209.54","443.69","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE, CRICO","31605","HCPCS","Both",,,"572.5","286.25","Wellcare","Medicaid Managed Care","",,"40",,"231.86","209.54","443.69","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE, CRICO","31605","HCPCS","Both",,,"572.5","286.25","Aetna","Commercial","",,"64",,"365.26","209.54","443.69","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE, CRICO","31605","HCPCS","Both",,,"572.5","286.25","Blue Cross Blue Shield","Pathways","",,"71",,"404.18","209.54","443.69","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE, CRICO","31605","HCPCS","Both",,,"572.5","286.25","Blue Cross Blue Shield","HMO","",,"71",,"404.18","209.54","443.69","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE, CRICO","31605","HCPCS","Both",,,"572.5","286.25","Blue Cross Blue Shield","PPO","",,"71",,"404.18","209.54","443.69","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE, CRICO","31605","HCPCS","Both",,,"572.5","286.25","Ambetter","Health Exchange","",,"62",,"354.95","209.54","443.69","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE, CRICO","31605","HCPCS","Both",,,"572.5","286.25","Caresource","Health Exchange","",,"62",,"354.95","209.54","443.69","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE, CRICO","31605","HCPCS","Both",,,"572.5","286.25","Cigna","Commercial","",,"59",,"335.48","209.54","443.69","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE, CRICO","31605","HCPCS","Both",,,"572.5","286.25","Humana","Commercial","",,"78",,"443.69","209.54","443.69","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE, CRICO","31605","HCPCS","Both",,,"572.5","286.25","UHC","Commercial","",,"75",,"431.66","209.54","443.69","percent of total billed charges",,
"TRACHEOSTOMY, EMERGENCY PROCEDURE, CRICO","31605","HCPCS","Both",,,"572.5","286.25","Medicaid",,"",,"37",,"209.54","209.54","443.69","percent of total billed charges",,
"COLORECTAL CA SCREEN;COLONOSCOPY HI RSK","G0105","HCPCS","Both",,,"794","397","Alliant","Health Exchange","",,"62",,"492.28","290.6","615.35","percent of total billed charges",,
"COLORECTAL CA SCREEN;COLONOSCOPY HI RSK","G0105","HCPCS","Both",,,"794","397","Pruitt Healthcare","Medicare Advantage","",,"54",,"428.76","290.6","615.35","percent of total billed charges",,
"COLORECTAL CA SCREEN;COLONOSCOPY HI RSK","G0105","HCPCS","Both",,,"794","397","Medicare",,"",,"54",,"430.35","290.6","615.35","percent of total billed charges",,
"COLORECTAL CA SCREEN;COLONOSCOPY HI RSK","G0105","HCPCS","Both",,,"794","397","Humana","Medicare Advantage","",,"54",,"430.35","290.6","615.35","percent of total billed charges",,
"COLORECTAL CA SCREEN;COLONOSCOPY HI RSK","G0105","HCPCS","Both",,,"794","397","UHC","Medicare Advantage","",,"54",,"430.35","290.6","615.35","percent of total billed charges",,
"COLORECTAL CA SCREEN;COLONOSCOPY HI RSK","G0105","HCPCS","Both",,,"794","397","Clover","Medicare Advantage","",,"54",,"430.35","290.6","615.35","percent of total billed charges",,
"COLORECTAL CA SCREEN;COLONOSCOPY HI RSK","G0105","HCPCS","Both",,,"794","397","Wellcare","Medicare Advantage","",,"54",,"430.35","290.6","615.35","percent of total billed charges",,
"COLORECTAL CA SCREEN;COLONOSCOPY HI RSK","G0105","HCPCS","Both",,,"794","397","Amerigroup","Medicaid Managed Care","",,"37",,"290.6","290.6","615.35","percent of total billed charges",,
"COLORECTAL CA SCREEN;COLONOSCOPY HI RSK","G0105","HCPCS","Both",,,"794","397","Caresource","Medicaid Managed Care","",,"40",,"317.6","290.6","615.35","percent of total billed charges",,
"COLORECTAL CA SCREEN;COLONOSCOPY HI RSK","G0105","HCPCS","Both",,,"794","397","Wellcare","Medicaid Managed Care","",,"40",,"321.57","290.6","615.35","percent of total billed charges",,
"COLORECTAL CA SCREEN;COLONOSCOPY HI RSK","G0105","HCPCS","Both",,,"794","397","Aetna","Commercial","",,"64",,"506.57","290.6","615.35","percent of total billed charges",,
"COLORECTAL CA SCREEN;COLONOSCOPY HI RSK","G0105","HCPCS","Both",,,"794","397","Blue Cross Blue Shield","Pathways","",,"71",,"560.56","290.6","615.35","percent of total billed charges",,
"COLORECTAL CA SCREEN;COLONOSCOPY HI RSK","G0105","HCPCS","Both",,,"794","397","Blue Cross Blue Shield","HMO","",,"71",,"560.56","290.6","615.35","percent of total billed charges",,
"COLORECTAL CA SCREEN;COLONOSCOPY HI RSK","G0105","HCPCS","Both",,,"794","397","Blue Cross Blue Shield","PPO","",,"71",,"560.56","290.6","615.35","percent of total billed charges",,
"COLORECTAL CA SCREEN;COLONOSCOPY HI RSK","G0105","HCPCS","Both",,,"794","397","Ambetter","Health Exchange","",,"62",,"492.28","290.6","615.35","percent of total billed charges",,
"COLORECTAL CA SCREEN;COLONOSCOPY HI RSK","G0105","HCPCS","Both",,,"794","397","Caresource","Health Exchange","",,"62",,"492.28","290.6","615.35","percent of total billed charges",,
"COLORECTAL CA SCREEN;COLONOSCOPY HI RSK","G0105","HCPCS","Both",,,"794","397","Cigna","Commercial","",,"59",,"465.28","290.6","615.35","percent of total billed charges",,
"COLORECTAL CA SCREEN;COLONOSCOPY HI RSK","G0105","HCPCS","Both",,,"794","397","Humana","Commercial","",,"78",,"615.35","290.6","615.35","percent of total billed charges",,
"COLORECTAL CA SCREEN;COLONOSCOPY HI RSK","G0105","HCPCS","Both",,,"794","397","UHC","Commercial","",,"75",,"598.68","290.6","615.35","percent of total billed charges",,
"COLORECTAL CA SCREEN;COLONOSCOPY HI RSK","G0105","HCPCS","Both",,,"794","397","Medicaid",,"",,"37",,"290.6","290.6","615.35","percent of total billed charges",,
"COLONOSCOPY W/ABLATION TUM/POLYP/LES","45388","HCPCS","Both",,,"721","360.5","Alliant","Health Exchange","",,"62",,"447.02","263.89","558.78","percent of total billed charges",,
"COLONOSCOPY W/ABLATION TUM/POLYP/LES","45388","HCPCS","Both",,,"721","360.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"389.34","263.89","558.78","percent of total billed charges",,
"COLONOSCOPY W/ABLATION TUM/POLYP/LES","45388","HCPCS","Both",,,"721","360.5","Medicare",,"",,"54",,"390.78","263.89","558.78","percent of total billed charges",,
"COLONOSCOPY W/ABLATION TUM/POLYP/LES","45388","HCPCS","Both",,,"721","360.5","Humana","Medicare Advantage","",,"54",,"390.78","263.89","558.78","percent of total billed charges",,
"COLONOSCOPY W/ABLATION TUM/POLYP/LES","45388","HCPCS","Both",,,"721","360.5","UHC","Medicare Advantage","",,"54",,"390.78","263.89","558.78","percent of total billed charges",,
"COLONOSCOPY W/ABLATION TUM/POLYP/LES","45388","HCPCS","Both",,,"721","360.5","Clover","Medicare Advantage","",,"54",,"390.78","263.89","558.78","percent of total billed charges",,
"COLONOSCOPY W/ABLATION TUM/POLYP/LES","45388","HCPCS","Both",,,"721","360.5","Wellcare","Medicare Advantage","",,"54",,"390.78","263.89","558.78","percent of total billed charges",,
"COLONOSCOPY W/ABLATION TUM/POLYP/LES","45388","HCPCS","Both",,,"721","360.5","Amerigroup","Medicaid Managed Care","",,"37",,"263.89","263.89","558.78","percent of total billed charges",,
"COLONOSCOPY W/ABLATION TUM/POLYP/LES","45388","HCPCS","Both",,,"721","360.5","Caresource","Medicaid Managed Care","",,"40",,"288.4","263.89","558.78","percent of total billed charges",,
"COLONOSCOPY W/ABLATION TUM/POLYP/LES","45388","HCPCS","Both",,,"721","360.5","Wellcare","Medicaid Managed Care","",,"40",,"292","263.89","558.78","percent of total billed charges",,
"COLONOSCOPY W/ABLATION TUM/POLYP/LES","45388","HCPCS","Both",,,"721","360.5","Aetna","Commercial","",,"64",,"460","263.89","558.78","percent of total billed charges",,
"COLONOSCOPY W/ABLATION TUM/POLYP/LES","45388","HCPCS","Both",,,"721","360.5","Blue Cross Blue Shield","Pathways","",,"71",,"509.03","263.89","558.78","percent of total billed charges",,
"COLONOSCOPY W/ABLATION TUM/POLYP/LES","45388","HCPCS","Both",,,"721","360.5","Blue Cross Blue Shield","HMO","",,"71",,"509.03","263.89","558.78","percent of total billed charges",,
"COLONOSCOPY W/ABLATION TUM/POLYP/LES","45388","HCPCS","Both",,,"721","360.5","Blue Cross Blue Shield","PPO","",,"71",,"509.03","263.89","558.78","percent of total billed charges",,
"COLONOSCOPY W/ABLATION TUM/POLYP/LES","45388","HCPCS","Both",,,"721","360.5","Ambetter","Health Exchange","",,"62",,"447.02","263.89","558.78","percent of total billed charges",,
"COLONOSCOPY W/ABLATION TUM/POLYP/LES","45388","HCPCS","Both",,,"721","360.5","Caresource","Health Exchange","",,"62",,"447.02","263.89","558.78","percent of total billed charges",,
"COLONOSCOPY W/ABLATION TUM/POLYP/LES","45388","HCPCS","Both",,,"721","360.5","Cigna","Commercial","",,"59",,"422.51","263.89","558.78","percent of total billed charges",,
"COLONOSCOPY W/ABLATION TUM/POLYP/LES","45388","HCPCS","Both",,,"721","360.5","Humana","Commercial","",,"78",,"558.78","263.89","558.78","percent of total billed charges",,
"COLONOSCOPY W/ABLATION TUM/POLYP/LES","45388","HCPCS","Both",,,"721","360.5","UHC","Commercial","",,"75",,"543.63","263.89","558.78","percent of total billed charges",,
"COLONOSCOPY W/ABLATION TUM/POLYP/LES","45388","HCPCS","Both",,,"721","360.5","Medicaid",,"",,"37",,"263.89","263.89","558.78","percent of total billed charges",,
"ST CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Alliant","Health Exchange","GN",,"62",,"80.71","47.64","100.88","percent of total billed charges",,
"ST CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"70.29","47.64","100.88","percent of total billed charges",,
"ST CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Medicare",,"GN",,"54",,"70.55","47.64","100.88","percent of total billed charges",,
"ST CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Humana","Medicare Advantage","GN",,"54",,"70.55","47.64","100.88","percent of total billed charges",,
"ST CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","UHC","Medicare Advantage","GN",,"54",,"70.55","47.64","100.88","percent of total billed charges",,
"ST CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Clover","Medicare Advantage","GN",,"54",,"70.55","47.64","100.88","percent of total billed charges",,
"ST CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Wellcare","Medicare Advantage","GN",,"54",,"70.55","47.64","100.88","percent of total billed charges",,
"ST CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Amerigroup","Medicaid Managed Care","GN",,"37",,"47.64","47.64","100.88","percent of total billed charges",,
"ST CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Caresource","Medicaid Managed Care","GN",,"40",,"52.07","47.64","100.88","percent of total billed charges",,
"ST CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Wellcare","Medicaid Managed Care","GN",,"40",,"52.72","47.64","100.88","percent of total billed charges",,
"ST CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Aetna","Commercial","GN",,"64",,"83.05","47.64","100.88","percent of total billed charges",,
"ST CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Blue Cross Blue Shield","Pathways","GN",,"71",,"91.9","47.64","100.88","percent of total billed charges",,
"ST CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Blue Cross Blue Shield","HMO","GN",,"71",,"91.9","47.64","100.88","percent of total billed charges",,
"ST CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Blue Cross Blue Shield","PPO","GN",,"71",,"91.9","47.64","100.88","percent of total billed charges",,
"ST CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Ambetter","Health Exchange","GN",,"62",,"80.71","47.64","100.88","percent of total billed charges",,
"ST CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Caresource","Health Exchange","GN",,"62",,"80.71","47.64","100.88","percent of total billed charges",,
"ST CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Cigna","Commercial","GN",,"59",,"76.28","47.64","100.88","percent of total billed charges",,
"ST CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Humana","Commercial","GN",,"78",,"100.88","47.64","100.88","percent of total billed charges",,
"ST CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","UHC","Commercial","GN",,"75",,"98.15","47.64","100.88","percent of total billed charges",,
"ST CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Medicaid",,"GN",,"37",,"47.64","47.64","100.88","percent of total billed charges",,
"ST CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Alliant","Health Exchange","GN",,"62",,"43.26","25.54","54.08","percent of total billed charges",,
"ST CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"37.68","25.54","54.08","percent of total billed charges",,
"ST CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Medicare",,"GN",,"54",,"37.82","25.54","54.08","percent of total billed charges",,
"ST CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Humana","Medicare Advantage","GN",,"54",,"37.82","25.54","54.08","percent of total billed charges",,
"ST CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","UHC","Medicare Advantage","GN",,"54",,"37.82","25.54","54.08","percent of total billed charges",,
"ST CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Clover","Medicare Advantage","GN",,"54",,"37.82","25.54","54.08","percent of total billed charges",,
"ST CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Wellcare","Medicare Advantage","GN",,"54",,"37.82","25.54","54.08","percent of total billed charges",,
"ST CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Amerigroup","Medicaid Managed Care","GN",,"37",,"25.54","25.54","54.08","percent of total billed charges",,
"ST CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Caresource","Medicaid Managed Care","GN",,"40",,"27.91","25.54","54.08","percent of total billed charges",,
"ST CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Wellcare","Medicaid Managed Care","GN",,"40",,"28.26","25.54","54.08","percent of total billed charges",,
"ST CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Aetna","Commercial","GN",,"64",,"44.52","25.54","54.08","percent of total billed charges",,
"ST CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Blue Cross Blue Shield","Pathways","GN",,"71",,"49.26","25.54","54.08","percent of total billed charges",,
"ST CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Blue Cross Blue Shield","HMO","GN",,"71",,"49.26","25.54","54.08","percent of total billed charges",,
"ST CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Blue Cross Blue Shield","PPO","GN",,"71",,"49.26","25.54","54.08","percent of total billed charges",,
"ST CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Ambetter","Health Exchange","GN",,"62",,"43.26","25.54","54.08","percent of total billed charges",,
"ST CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Caresource","Health Exchange","GN",,"62",,"43.26","25.54","54.08","percent of total billed charges",,
"ST CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Cigna","Commercial","GN",,"59",,"40.89","25.54","54.08","percent of total billed charges",,
"ST CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Humana","Commercial","GN",,"78",,"54.08","25.54","54.08","percent of total billed charges",,
"ST CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","UHC","Commercial","GN",,"75",,"52.61","25.54","54.08","percent of total billed charges",,
"ST CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Medicaid",,"GN",,"37",,"25.54","25.54","54.08","percent of total billed charges",,
"ST CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Alliant","Health Exchange","GN",,"62",,"18.99","11.21","23.74","percent of total billed charges",,
"ST CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"16.54","11.21","23.74","percent of total billed charges",,
"ST CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Medicare",,"GN",,"54",,"16.6","11.21","23.74","percent of total billed charges",,
"ST CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Humana","Medicare Advantage","GN",,"54",,"16.6","11.21","23.74","percent of total billed charges",,
"ST CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","UHC","Medicare Advantage","GN",,"54",,"16.6","11.21","23.74","percent of total billed charges",,
"ST CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Clover","Medicare Advantage","GN",,"54",,"16.6","11.21","23.74","percent of total billed charges",,
"ST CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Wellcare","Medicare Advantage","GN",,"54",,"16.6","11.21","23.74","percent of total billed charges",,
"ST CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Amerigroup","Medicaid Managed Care","GN",,"37",,"11.21","11.21","23.74","percent of total billed charges",,
"ST CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Caresource","Medicaid Managed Care","GN",,"40",,"12.25","11.21","23.74","percent of total billed charges",,
"ST CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Wellcare","Medicaid Managed Care","GN",,"40",,"12.41","11.21","23.74","percent of total billed charges",,
"ST CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Aetna","Commercial","GN",,"64",,"19.54","11.21","23.74","percent of total billed charges",,
"ST CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Blue Cross Blue Shield","Pathways","GN",,"71",,"21.62","11.21","23.74","percent of total billed charges",,
"ST CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Blue Cross Blue Shield","HMO","GN",,"71",,"21.62","11.21","23.74","percent of total billed charges",,
"ST CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Blue Cross Blue Shield","PPO","GN",,"71",,"21.62","11.21","23.74","percent of total billed charges",,
"ST CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Ambetter","Health Exchange","GN",,"62",,"18.99","11.21","23.74","percent of total billed charges",,
"ST CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Caresource","Health Exchange","GN",,"62",,"18.99","11.21","23.74","percent of total billed charges",,
"ST CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Cigna","Commercial","GN",,"59",,"17.95","11.21","23.74","percent of total billed charges",,
"ST CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Humana","Commercial","GN",,"78",,"23.74","11.21","23.74","percent of total billed charges",,
"ST CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","UHC","Commercial","GN",,"75",,"23.1","11.21","23.74","percent of total billed charges",,
"ST CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Medicaid",,"GN",,"37",,"11.21","11.21","23.74","percent of total billed charges",,
"CEFAZOLIN (ANCEF) 1GM INJECTION","J0690","HCPCS","Both",,,"27","13.5","Alliant","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"CEFAZOLIN (ANCEF) 1GM INJECTION","J0690","HCPCS","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"14.58","9.88","20.92","percent of total billed charges",,
"CEFAZOLIN (ANCEF) 1GM INJECTION","J0690","HCPCS","Both",,,"27","13.5","Medicare",,"",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"CEFAZOLIN (ANCEF) 1GM INJECTION","J0690","HCPCS","Both",,,"27","13.5","Humana","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"CEFAZOLIN (ANCEF) 1GM INJECTION","J0690","HCPCS","Both",,,"27","13.5","UHC","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"CEFAZOLIN (ANCEF) 1GM INJECTION","J0690","HCPCS","Both",,,"27","13.5","Clover","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"CEFAZOLIN (ANCEF) 1GM INJECTION","J0690","HCPCS","Both",,,"27","13.5","Wellcare","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"CEFAZOLIN (ANCEF) 1GM INJECTION","J0690","HCPCS","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care","",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"CEFAZOLIN (ANCEF) 1GM INJECTION","J0690","HCPCS","Both",,,"27","13.5","Caresource","Medicaid Managed Care","",,"40",,"10.8","9.88","20.92","percent of total billed charges",,
"CEFAZOLIN (ANCEF) 1GM INJECTION","J0690","HCPCS","Both",,,"27","13.5","Wellcare","Medicaid Managed Care","",,"40",,"10.94","9.88","20.92","percent of total billed charges",,
"CEFAZOLIN (ANCEF) 1GM INJECTION","J0690","HCPCS","Both",,,"27","13.5","Aetna","Commercial","",,"64",,"17.23","9.88","20.92","percent of total billed charges",,
"CEFAZOLIN (ANCEF) 1GM INJECTION","J0690","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"CEFAZOLIN (ANCEF) 1GM INJECTION","J0690","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","HMO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"CEFAZOLIN (ANCEF) 1GM INJECTION","J0690","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","PPO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"CEFAZOLIN (ANCEF) 1GM INJECTION","J0690","HCPCS","Both",,,"27","13.5","Ambetter","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"CEFAZOLIN (ANCEF) 1GM INJECTION","J0690","HCPCS","Both",,,"27","13.5","Caresource","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"CEFAZOLIN (ANCEF) 1GM INJECTION","J0690","HCPCS","Both",,,"27","13.5","Cigna","Commercial","",,"59",,"15.82","9.88","20.92","percent of total billed charges",,
"CEFAZOLIN (ANCEF) 1GM INJECTION","J0690","HCPCS","Both",,,"27","13.5","Humana","Commercial","",,"78",,"20.92","9.88","20.92","percent of total billed charges",,
"CEFAZOLIN (ANCEF) 1GM INJECTION","J0690","HCPCS","Both",,,"27","13.5","UHC","Commercial","",,"75",,"20.36","9.88","20.92","percent of total billed charges",,
"CEFAZOLIN (ANCEF) 1GM INJECTION","J0690","HCPCS","Both",,,"27","13.5","Medicaid",,"",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"REMOVAL SKIN TAGS","11200","HCPCS","Both",,,"75","37.5","Alliant","Health Exchange","",,"62",,"46.5","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS","11200","HCPCS","Both",,,"75","37.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"40.5","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS","11200","HCPCS","Both",,,"75","37.5","Medicare",,"",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS","11200","HCPCS","Both",,,"75","37.5","Humana","Medicare Advantage","",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS","11200","HCPCS","Both",,,"75","37.5","UHC","Medicare Advantage","",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS","11200","HCPCS","Both",,,"75","37.5","Clover","Medicare Advantage","",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS","11200","HCPCS","Both",,,"75","37.5","Wellcare","Medicare Advantage","",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS","11200","HCPCS","Both",,,"75","37.5","Amerigroup","Medicaid Managed Care","",,"37",,"27.45","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS","11200","HCPCS","Both",,,"75","37.5","Caresource","Medicaid Managed Care","",,"40",,"30","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS","11200","HCPCS","Both",,,"75","37.5","Wellcare","Medicaid Managed Care","",,"40",,"30.38","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS","11200","HCPCS","Both",,,"75","37.5","Aetna","Commercial","",,"64",,"47.85","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS","11200","HCPCS","Both",,,"75","37.5","Blue Cross Blue Shield","Pathways","",,"71",,"52.95","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS","11200","HCPCS","Both",,,"75","37.5","Blue Cross Blue Shield","HMO","",,"71",,"52.95","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS","11200","HCPCS","Both",,,"75","37.5","Blue Cross Blue Shield","PPO","",,"71",,"52.95","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS","11200","HCPCS","Both",,,"75","37.5","Ambetter","Health Exchange","",,"62",,"46.5","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS","11200","HCPCS","Both",,,"75","37.5","Caresource","Health Exchange","",,"62",,"46.5","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS","11200","HCPCS","Both",,,"75","37.5","Cigna","Commercial","",,"59",,"43.95","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS","11200","HCPCS","Both",,,"75","37.5","Humana","Commercial","",,"78",,"58.12","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS","11200","HCPCS","Both",,,"75","37.5","UHC","Commercial","",,"75",,"56.55","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS","11200","HCPCS","Both",,,"75","37.5","Medicaid",,"",,"37",,"27.45","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS","11200","HCPCS","Both",,,"75","37.5","Alliant","Health Exchange","",,"62",,"46.5","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS","11200","HCPCS","Both",,,"75","37.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"40.5","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS","11200","HCPCS","Both",,,"75","37.5","Medicare",,"",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS","11200","HCPCS","Both",,,"75","37.5","Humana","Medicare Advantage","",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS","11200","HCPCS","Both",,,"75","37.5","UHC","Medicare Advantage","",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS","11200","HCPCS","Both",,,"75","37.5","Clover","Medicare Advantage","",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS","11200","HCPCS","Both",,,"75","37.5","Wellcare","Medicare Advantage","",,"54",,"40.65","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS","11200","HCPCS","Both",,,"75","37.5","Amerigroup","Medicaid Managed Care","",,"37",,"27.45","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS","11200","HCPCS","Both",,,"75","37.5","Caresource","Medicaid Managed Care","",,"40",,"30","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS","11200","HCPCS","Both",,,"75","37.5","Wellcare","Medicaid Managed Care","",,"40",,"30.38","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS","11200","HCPCS","Both",,,"75","37.5","Aetna","Commercial","",,"64",,"47.85","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS","11200","HCPCS","Both",,,"75","37.5","Blue Cross Blue Shield","Pathways","",,"71",,"52.95","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS","11200","HCPCS","Both",,,"75","37.5","Blue Cross Blue Shield","HMO","",,"71",,"52.95","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS","11200","HCPCS","Both",,,"75","37.5","Blue Cross Blue Shield","PPO","",,"71",,"52.95","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS","11200","HCPCS","Both",,,"75","37.5","Ambetter","Health Exchange","",,"62",,"46.5","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS","11200","HCPCS","Both",,,"75","37.5","Caresource","Health Exchange","",,"62",,"46.5","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS","11200","HCPCS","Both",,,"75","37.5","Cigna","Commercial","",,"59",,"43.95","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS","11200","HCPCS","Both",,,"75","37.5","Humana","Commercial","",,"78",,"58.12","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS","11200","HCPCS","Both",,,"75","37.5","UHC","Commercial","",,"75",,"56.55","27.45","58.12","percent of total billed charges",,
"REMOVAL SKIN TAGS","11200","HCPCS","Both",,,"75","37.5","Medicaid",,"",,"37",,"27.45","27.45","58.12","percent of total billed charges",,
"TUBAL LIGATION/TRANSECTION","00851","HCPCS","Both",,,"35.5","17.75","Alliant","Health Exchange","",,"62",,"22.01","12.99","27.51","percent of total billed charges",,
"TUBAL LIGATION/TRANSECTION","00851","HCPCS","Both",,,"35.5","17.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"19.17","12.99","27.51","percent of total billed charges",,
"TUBAL LIGATION/TRANSECTION","00851","HCPCS","Both",,,"35.5","17.75","Medicare",,"",,"54",,"19.24","12.99","27.51","percent of total billed charges",,
"TUBAL LIGATION/TRANSECTION","00851","HCPCS","Both",,,"35.5","17.75","Humana","Medicare Advantage","",,"54",,"19.24","12.99","27.51","percent of total billed charges",,
"TUBAL LIGATION/TRANSECTION","00851","HCPCS","Both",,,"35.5","17.75","UHC","Medicare Advantage","",,"54",,"19.24","12.99","27.51","percent of total billed charges",,
"TUBAL LIGATION/TRANSECTION","00851","HCPCS","Both",,,"35.5","17.75","Clover","Medicare Advantage","",,"54",,"19.24","12.99","27.51","percent of total billed charges",,
"TUBAL LIGATION/TRANSECTION","00851","HCPCS","Both",,,"35.5","17.75","Wellcare","Medicare Advantage","",,"54",,"19.24","12.99","27.51","percent of total billed charges",,
"TUBAL LIGATION/TRANSECTION","00851","HCPCS","Both",,,"35.5","17.75","Amerigroup","Medicaid Managed Care","",,"37",,"12.99","12.99","27.51","percent of total billed charges",,
"TUBAL LIGATION/TRANSECTION","00851","HCPCS","Both",,,"35.5","17.75","Caresource","Medicaid Managed Care","",,"40",,"14.2","12.99","27.51","percent of total billed charges",,
"TUBAL LIGATION/TRANSECTION","00851","HCPCS","Both",,,"35.5","17.75","Wellcare","Medicaid Managed Care","",,"40",,"14.38","12.99","27.51","percent of total billed charges",,
"TUBAL LIGATION/TRANSECTION","00851","HCPCS","Both",,,"35.5","17.75","Aetna","Commercial","",,"64",,"22.65","12.99","27.51","percent of total billed charges",,
"TUBAL LIGATION/TRANSECTION","00851","HCPCS","Both",,,"35.5","17.75","Blue Cross Blue Shield","Pathways","",,"71",,"25.06","12.99","27.51","percent of total billed charges",,
"TUBAL LIGATION/TRANSECTION","00851","HCPCS","Both",,,"35.5","17.75","Blue Cross Blue Shield","HMO","",,"71",,"25.06","12.99","27.51","percent of total billed charges",,
"TUBAL LIGATION/TRANSECTION","00851","HCPCS","Both",,,"35.5","17.75","Blue Cross Blue Shield","PPO","",,"71",,"25.06","12.99","27.51","percent of total billed charges",,
"TUBAL LIGATION/TRANSECTION","00851","HCPCS","Both",,,"35.5","17.75","Ambetter","Health Exchange","",,"62",,"22.01","12.99","27.51","percent of total billed charges",,
"TUBAL LIGATION/TRANSECTION","00851","HCPCS","Both",,,"35.5","17.75","Caresource","Health Exchange","",,"62",,"22.01","12.99","27.51","percent of total billed charges",,
"TUBAL LIGATION/TRANSECTION","00851","HCPCS","Both",,,"35.5","17.75","Cigna","Commercial","",,"59",,"20.8","12.99","27.51","percent of total billed charges",,
"TUBAL LIGATION/TRANSECTION","00851","HCPCS","Both",,,"35.5","17.75","Humana","Commercial","",,"78",,"27.51","12.99","27.51","percent of total billed charges",,
"TUBAL LIGATION/TRANSECTION","00851","HCPCS","Both",,,"35.5","17.75","UHC","Commercial","",,"75",,"26.77","12.99","27.51","percent of total billed charges",,
"TUBAL LIGATION/TRANSECTION","00851","HCPCS","Both",,,"35.5","17.75","Medicaid",,"",,"37",,"12.99","12.99","27.51","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","00921","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","00921","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","00921","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","00921","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","00921","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","00921","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","00921","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","00921","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","00921","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","00921","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","00921","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","00921","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","00921","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","00921","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","00921","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","00921","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","00921","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","00921","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","00921","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","00921","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"ARTHROSCOPIC PROCEDURE KNEE JOINT","01382","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"ARTHROSCOPIC PROCEDURE KNEE JOINT","01382","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"ARTHROSCOPIC PROCEDURE KNEE JOINT","01382","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"ARTHROSCOPIC PROCEDURE KNEE JOINT","01382","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"ARTHROSCOPIC PROCEDURE KNEE JOINT","01382","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"ARTHROSCOPIC PROCEDURE KNEE JOINT","01382","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"ARTHROSCOPIC PROCEDURE KNEE JOINT","01382","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"ARTHROSCOPIC PROCEDURE KNEE JOINT","01382","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"ARTHROSCOPIC PROCEDURE KNEE JOINT","01382","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"ARTHROSCOPIC PROCEDURE KNEE JOINT","01382","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"ARTHROSCOPIC PROCEDURE KNEE JOINT","01382","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"ARTHROSCOPIC PROCEDURE KNEE JOINT","01382","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"ARTHROSCOPIC PROCEDURE KNEE JOINT","01382","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"ARTHROSCOPIC PROCEDURE KNEE JOINT","01382","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"ARTHROSCOPIC PROCEDURE KNEE JOINT","01382","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"ARTHROSCOPIC PROCEDURE KNEE JOINT","01382","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"ARTHROSCOPIC PROCEDURE KNEE JOINT","01382","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"ARTHROSCOPIC PROCEDURE KNEE JOINT","01382","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"ARTHROSCOPIC PROCEDURE KNEE JOINT","01382","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"ARTHROSCOPIC PROCEDURE KNEE JOINT","01382","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"SHOULDER AND AXILLA(OPEN OR SURG ARTHRO)","01630","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"SHOULDER AND AXILLA(OPEN OR SURG ARTHRO)","01630","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"SHOULDER AND AXILLA(OPEN OR SURG ARTHRO)","01630","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"SHOULDER AND AXILLA(OPEN OR SURG ARTHRO)","01630","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"SHOULDER AND AXILLA(OPEN OR SURG ARTHRO)","01630","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"SHOULDER AND AXILLA(OPEN OR SURG ARTHRO)","01630","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"SHOULDER AND AXILLA(OPEN OR SURG ARTHRO)","01630","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"SHOULDER AND AXILLA(OPEN OR SURG ARTHRO)","01630","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"SHOULDER AND AXILLA(OPEN OR SURG ARTHRO)","01630","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"SHOULDER AND AXILLA(OPEN OR SURG ARTHRO)","01630","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"SHOULDER AND AXILLA(OPEN OR SURG ARTHRO)","01630","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"SHOULDER AND AXILLA(OPEN OR SURG ARTHRO)","01630","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"SHOULDER AND AXILLA(OPEN OR SURG ARTHRO)","01630","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"SHOULDER AND AXILLA(OPEN OR SURG ARTHRO)","01630","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"SHOULDER AND AXILLA(OPEN OR SURG ARTHRO)","01630","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"SHOULDER AND AXILLA(OPEN OR SURG ARTHRO)","01630","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"SHOULDER AND AXILLA(OPEN OR SURG ARTHRO)","01630","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"SHOULDER AND AXILLA(OPEN OR SURG ARTHRO)","01630","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"SHOULDER AND AXILLA(OPEN OR SURG ARTHRO)","01630","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"SHOULDER AND AXILLA(OPEN OR SURG ARTHRO)","01630","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"US AH LIMITED 1 ORGAN F/UP","76705","HCPCS","Both",,,"1065.5","532.75","Alliant","Health Exchange","TC",,"62",,"660.61","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED 1 ORGAN F/UP","76705","HCPCS","Both",,,"1065.5","532.75","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"575.37","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED 1 ORGAN F/UP","76705","HCPCS","Both",,,"1065.5","532.75","Medicare",,"TC",,"54",,"577.5","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED 1 ORGAN F/UP","76705","HCPCS","Both",,,"1065.5","532.75","Humana","Medicare Advantage","TC",,"54",,"577.5","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED 1 ORGAN F/UP","76705","HCPCS","Both",,,"1065.5","532.75","UHC","Medicare Advantage","TC",,"54",,"577.5","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED 1 ORGAN F/UP","76705","HCPCS","Both",,,"1065.5","532.75","Clover","Medicare Advantage","TC",,"54",,"577.5","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED 1 ORGAN F/UP","76705","HCPCS","Both",,,"1065.5","532.75","Wellcare","Medicare Advantage","TC",,"54",,"577.5","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED 1 ORGAN F/UP","76705","HCPCS","Both",,,"1065.5","532.75","Amerigroup","Medicaid Managed Care","TC",,"37",,"389.97","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED 1 ORGAN F/UP","76705","HCPCS","Both",,,"1065.5","532.75","Caresource","Medicaid Managed Care","TC",,"40",,"426.2","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED 1 ORGAN F/UP","76705","HCPCS","Both",,,"1065.5","532.75","Wellcare","Medicaid Managed Care","TC",,"40",,"431.53","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED 1 ORGAN F/UP","76705","HCPCS","Both",,,"1065.5","532.75","Aetna","Commercial","TC",,"64",,"679.79","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED 1 ORGAN F/UP","76705","HCPCS","Both",,,"1065.5","532.75","Blue Cross Blue Shield","Pathways","TC",,"71",,"752.24","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED 1 ORGAN F/UP","76705","HCPCS","Both",,,"1065.5","532.75","Blue Cross Blue Shield","HMO","TC",,"71",,"752.24","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED 1 ORGAN F/UP","76705","HCPCS","Both",,,"1065.5","532.75","Blue Cross Blue Shield","PPO","TC",,"71",,"752.24","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED 1 ORGAN F/UP","76705","HCPCS","Both",,,"1065.5","532.75","Ambetter","Health Exchange","TC",,"62",,"660.61","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED 1 ORGAN F/UP","76705","HCPCS","Both",,,"1065.5","532.75","Caresource","Health Exchange","TC",,"62",,"660.61","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED 1 ORGAN F/UP","76705","HCPCS","Both",,,"1065.5","532.75","Cigna","Commercial","TC",,"59",,"624.38","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED 1 ORGAN F/UP","76705","HCPCS","Both",,,"1065.5","532.75","Humana","Commercial","TC",,"78",,"825.76","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED 1 ORGAN F/UP","76705","HCPCS","Both",,,"1065.5","532.75","UHC","Commercial","TC",,"75",,"803.39","30.35","1235.33","percent of total billed charges",,
"US AH LIMITED 1 ORGAN F/UP","76705","HCPCS","Both",,,"1065.5","532.75","Medicaid",,"TC",,"37",,"389.97","30.35","1235.33","percent of total billed charges",,
"CT THORAX LOW DOSE FOR LUNG CA SCREENING","71271","HCPCS","Both",,,"185.28","92.64","Alliant","Health Exchange","",,"62",,"114.87","67.81","143.59","percent of total billed charges",,
"CT THORAX LOW DOSE FOR LUNG CA SCREENING","71271","HCPCS","Both",,,"185.28","92.64","Pruitt Healthcare","Medicare Advantage","",,"54",,"100.05","67.81","143.59","percent of total billed charges",,
"CT THORAX LOW DOSE FOR LUNG CA SCREENING","71271","HCPCS","Both",,,"185.28","92.64","Medicare",,"",,"54",,"100.42","67.81","143.59","percent of total billed charges",,
"CT THORAX LOW DOSE FOR LUNG CA SCREENING","71271","HCPCS","Both",,,"185.28","92.64","Humana","Medicare Advantage","",,"54",,"100.42","67.81","143.59","percent of total billed charges",,
"CT THORAX LOW DOSE FOR LUNG CA SCREENING","71271","HCPCS","Both",,,"185.28","92.64","UHC","Medicare Advantage","",,"54",,"100.42","67.81","143.59","percent of total billed charges",,
"CT THORAX LOW DOSE FOR LUNG CA SCREENING","71271","HCPCS","Both",,,"185.28","92.64","Clover","Medicare Advantage","",,"54",,"100.42","67.81","143.59","percent of total billed charges",,
"CT THORAX LOW DOSE FOR LUNG CA SCREENING","71271","HCPCS","Both",,,"185.28","92.64","Wellcare","Medicare Advantage","",,"54",,"100.42","67.81","143.59","percent of total billed charges",,
"CT THORAX LOW DOSE FOR LUNG CA SCREENING","71271","HCPCS","Both",,,"185.28","92.64","Amerigroup","Medicaid Managed Care","",,"37",,"67.81","67.81","143.59","percent of total billed charges",,
"CT THORAX LOW DOSE FOR LUNG CA SCREENING","71271","HCPCS","Both",,,"185.28","92.64","Caresource","Medicaid Managed Care","",,"40",,"74.11","67.81","143.59","percent of total billed charges",,
"CT THORAX LOW DOSE FOR LUNG CA SCREENING","71271","HCPCS","Both",,,"185.28","92.64","Wellcare","Medicaid Managed Care","",,"40",,"75.04","67.81","143.59","percent of total billed charges",,
"CT THORAX LOW DOSE FOR LUNG CA SCREENING","71271","HCPCS","Both",,,"185.28","92.64","Aetna","Commercial","",,"64",,"118.21","67.81","143.59","percent of total billed charges",,
"CT THORAX LOW DOSE FOR LUNG CA SCREENING","71271","HCPCS","Both",,,"185.28","92.64","Blue Cross Blue Shield","Pathways","",,"71",,"130.81","67.81","143.59","percent of total billed charges",,
"CT THORAX LOW DOSE FOR LUNG CA SCREENING","71271","HCPCS","Both",,,"185.28","92.64","Blue Cross Blue Shield","HMO","",,"71",,"130.81","67.81","143.59","percent of total billed charges",,
"CT THORAX LOW DOSE FOR LUNG CA SCREENING","71271","HCPCS","Both",,,"185.28","92.64","Blue Cross Blue Shield","PPO","",,"71",,"130.81","67.81","143.59","percent of total billed charges",,
"CT THORAX LOW DOSE FOR LUNG CA SCREENING","71271","HCPCS","Both",,,"185.28","92.64","Ambetter","Health Exchange","",,"62",,"114.87","67.81","143.59","percent of total billed charges",,
"CT THORAX LOW DOSE FOR LUNG CA SCREENING","71271","HCPCS","Both",,,"185.28","92.64","Caresource","Health Exchange","",,"62",,"114.87","67.81","143.59","percent of total billed charges",,
"CT THORAX LOW DOSE FOR LUNG CA SCREENING","71271","HCPCS","Both",,,"185.28","92.64","Cigna","Commercial","",,"59",,"108.57","67.81","143.59","percent of total billed charges",,
"CT THORAX LOW DOSE FOR LUNG CA SCREENING","71271","HCPCS","Both",,,"185.28","92.64","Humana","Commercial","",,"78",,"143.59","67.81","143.59","percent of total billed charges",,
"CT THORAX LOW DOSE FOR LUNG CA SCREENING","71271","HCPCS","Both",,,"185.28","92.64","UHC","Commercial","",,"75",,"139.7","67.81","143.59","percent of total billed charges",,
"CT THORAX LOW DOSE FOR LUNG CA SCREENING","71271","HCPCS","Both",,,"185.28","92.64","Medicaid",,"",,"37",,"67.81","67.81","143.59","percent of total billed charges",,
"BRUCELLA Ab TOTAL RFLX CONFIRMATION","86622","HCPCS","Both",,,"64.5","32.25","Alliant","Health Exchange","",,"62",,"39.99","23.61","49.99","percent of total billed charges",,
"BRUCELLA Ab TOTAL RFLX CONFIRMATION","86622","HCPCS","Both",,,"64.5","32.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"34.83","23.61","49.99","percent of total billed charges",,
"BRUCELLA Ab TOTAL RFLX CONFIRMATION","86622","HCPCS","Both",,,"64.5","32.25","Medicare",,"",,"54",,"34.96","23.61","49.99","percent of total billed charges",,
"BRUCELLA Ab TOTAL RFLX CONFIRMATION","86622","HCPCS","Both",,,"64.5","32.25","Humana","Medicare Advantage","",,"54",,"34.96","23.61","49.99","percent of total billed charges",,
"BRUCELLA Ab TOTAL RFLX CONFIRMATION","86622","HCPCS","Both",,,"64.5","32.25","UHC","Medicare Advantage","",,"54",,"34.96","23.61","49.99","percent of total billed charges",,
"BRUCELLA Ab TOTAL RFLX CONFIRMATION","86622","HCPCS","Both",,,"64.5","32.25","Clover","Medicare Advantage","",,"54",,"34.96","23.61","49.99","percent of total billed charges",,
"BRUCELLA Ab TOTAL RFLX CONFIRMATION","86622","HCPCS","Both",,,"64.5","32.25","Wellcare","Medicare Advantage","",,"54",,"34.96","23.61","49.99","percent of total billed charges",,
"BRUCELLA Ab TOTAL RFLX CONFIRMATION","86622","HCPCS","Both",,,"64.5","32.25","Amerigroup","Medicaid Managed Care","",,"37",,"23.61","23.61","49.99","percent of total billed charges",,
"BRUCELLA Ab TOTAL RFLX CONFIRMATION","86622","HCPCS","Both",,,"64.5","32.25","Caresource","Medicaid Managed Care","",,"40",,"25.8","23.61","49.99","percent of total billed charges",,
"BRUCELLA Ab TOTAL RFLX CONFIRMATION","86622","HCPCS","Both",,,"64.5","32.25","Wellcare","Medicaid Managed Care","",,"40",,"26.12","23.61","49.99","percent of total billed charges",,
"BRUCELLA Ab TOTAL RFLX CONFIRMATION","86622","HCPCS","Both",,,"64.5","32.25","Aetna","Commercial","",,"64",,"41.15","23.61","49.99","percent of total billed charges",,
"BRUCELLA Ab TOTAL RFLX CONFIRMATION","86622","HCPCS","Both",,,"64.5","32.25","Blue Cross Blue Shield","Pathways","",,"71",,"45.54","23.61","49.99","percent of total billed charges",,
"BRUCELLA Ab TOTAL RFLX CONFIRMATION","86622","HCPCS","Both",,,"64.5","32.25","Blue Cross Blue Shield","HMO","",,"71",,"45.54","23.61","49.99","percent of total billed charges",,
"BRUCELLA Ab TOTAL RFLX CONFIRMATION","86622","HCPCS","Both",,,"64.5","32.25","Blue Cross Blue Shield","PPO","",,"71",,"45.54","23.61","49.99","percent of total billed charges",,
"BRUCELLA Ab TOTAL RFLX CONFIRMATION","86622","HCPCS","Both",,,"64.5","32.25","Ambetter","Health Exchange","",,"62",,"39.99","23.61","49.99","percent of total billed charges",,
"BRUCELLA Ab TOTAL RFLX CONFIRMATION","86622","HCPCS","Both",,,"64.5","32.25","Caresource","Health Exchange","",,"62",,"39.99","23.61","49.99","percent of total billed charges",,
"BRUCELLA Ab TOTAL RFLX CONFIRMATION","86622","HCPCS","Both",,,"64.5","32.25","Cigna","Commercial","",,"59",,"37.8","23.61","49.99","percent of total billed charges",,
"BRUCELLA Ab TOTAL RFLX CONFIRMATION","86622","HCPCS","Both",,,"64.5","32.25","Humana","Commercial","",,"78",,"49.99","23.61","49.99","percent of total billed charges",,
"BRUCELLA Ab TOTAL RFLX CONFIRMATION","86622","HCPCS","Both",,,"64.5","32.25","UHC","Commercial","",,"75",,"48.63","23.61","49.99","percent of total billed charges",,
"BRUCELLA Ab TOTAL RFLX CONFIRMATION","86622","HCPCS","Both",,,"64.5","32.25","Medicaid",,"",,"37",,"23.61","23.61","49.99","percent of total billed charges",,
"RICKETTSIA RICKETTSII ANTIBODY IgG","86757","HCPCS","Both",,,"24","12","Alliant","Health Exchange","",,"62",,"14.88","8.78","18.6","percent of total billed charges",,
"RICKETTSIA RICKETTSII ANTIBODY IgG","86757","HCPCS","Both",,,"24","12","Pruitt Healthcare","Medicare Advantage","",,"54",,"12.96","8.78","18.6","percent of total billed charges",,
"RICKETTSIA RICKETTSII ANTIBODY IgG","86757","HCPCS","Both",,,"24","12","Medicare",,"",,"54",,"13.01","8.78","18.6","percent of total billed charges",,
"RICKETTSIA RICKETTSII ANTIBODY IgG","86757","HCPCS","Both",,,"24","12","Humana","Medicare Advantage","",,"54",,"13.01","8.78","18.6","percent of total billed charges",,
"RICKETTSIA RICKETTSII ANTIBODY IgG","86757","HCPCS","Both",,,"24","12","UHC","Medicare Advantage","",,"54",,"13.01","8.78","18.6","percent of total billed charges",,
"RICKETTSIA RICKETTSII ANTIBODY IgG","86757","HCPCS","Both",,,"24","12","Clover","Medicare Advantage","",,"54",,"13.01","8.78","18.6","percent of total billed charges",,
"RICKETTSIA RICKETTSII ANTIBODY IgG","86757","HCPCS","Both",,,"24","12","Wellcare","Medicare Advantage","",,"54",,"13.01","8.78","18.6","percent of total billed charges",,
"RICKETTSIA RICKETTSII ANTIBODY IgG","86757","HCPCS","Both",,,"24","12","Amerigroup","Medicaid Managed Care","",,"37",,"8.78","8.78","18.6","percent of total billed charges",,
"RICKETTSIA RICKETTSII ANTIBODY IgG","86757","HCPCS","Both",,,"24","12","Caresource","Medicaid Managed Care","",,"40",,"9.6","8.78","18.6","percent of total billed charges",,
"RICKETTSIA RICKETTSII ANTIBODY IgG","86757","HCPCS","Both",,,"24","12","Wellcare","Medicaid Managed Care","",,"40",,"9.72","8.78","18.6","percent of total billed charges",,
"RICKETTSIA RICKETTSII ANTIBODY IgG","86757","HCPCS","Both",,,"24","12","Aetna","Commercial","",,"64",,"15.31","8.78","18.6","percent of total billed charges",,
"RICKETTSIA RICKETTSII ANTIBODY IgG","86757","HCPCS","Both",,,"24","12","Blue Cross Blue Shield","Pathways","",,"71",,"16.94","8.78","18.6","percent of total billed charges",,
"RICKETTSIA RICKETTSII ANTIBODY IgG","86757","HCPCS","Both",,,"24","12","Blue Cross Blue Shield","HMO","",,"71",,"16.94","8.78","18.6","percent of total billed charges",,
"RICKETTSIA RICKETTSII ANTIBODY IgG","86757","HCPCS","Both",,,"24","12","Blue Cross Blue Shield","PPO","",,"71",,"16.94","8.78","18.6","percent of total billed charges",,
"RICKETTSIA RICKETTSII ANTIBODY IgG","86757","HCPCS","Both",,,"24","12","Ambetter","Health Exchange","",,"62",,"14.88","8.78","18.6","percent of total billed charges",,
"RICKETTSIA RICKETTSII ANTIBODY IgG","86757","HCPCS","Both",,,"24","12","Caresource","Health Exchange","",,"62",,"14.88","8.78","18.6","percent of total billed charges",,
"RICKETTSIA RICKETTSII ANTIBODY IgG","86757","HCPCS","Both",,,"24","12","Cigna","Commercial","",,"59",,"14.06","8.78","18.6","percent of total billed charges",,
"RICKETTSIA RICKETTSII ANTIBODY IgG","86757","HCPCS","Both",,,"24","12","Humana","Commercial","",,"78",,"18.6","8.78","18.6","percent of total billed charges",,
"RICKETTSIA RICKETTSII ANTIBODY IgG","86757","HCPCS","Both",,,"24","12","UHC","Commercial","",,"75",,"18.1","8.78","18.6","percent of total billed charges",,
"RICKETTSIA RICKETTSII ANTIBODY IgG","86757","HCPCS","Both",,,"24","12","Medicaid",,"",,"37",,"8.78","8.78","18.6","percent of total billed charges",,
"SALMONELLA ANTIBODIES","86768","HCPCS","Both",,,"95","47.5","Alliant","Health Exchange","",,"62",,"58.9","34.77","73.62","percent of total billed charges",,
"SALMONELLA ANTIBODIES","86768","HCPCS","Both",,,"95","47.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"51.3","34.77","73.62","percent of total billed charges",,
"SALMONELLA ANTIBODIES","86768","HCPCS","Both",,,"95","47.5","Medicare",,"",,"54",,"51.49","34.77","73.62","percent of total billed charges",,
"SALMONELLA ANTIBODIES","86768","HCPCS","Both",,,"95","47.5","Humana","Medicare Advantage","",,"54",,"51.49","34.77","73.62","percent of total billed charges",,
"SALMONELLA ANTIBODIES","86768","HCPCS","Both",,,"95","47.5","UHC","Medicare Advantage","",,"54",,"51.49","34.77","73.62","percent of total billed charges",,
"SALMONELLA ANTIBODIES","86768","HCPCS","Both",,,"95","47.5","Clover","Medicare Advantage","",,"54",,"51.49","34.77","73.62","percent of total billed charges",,
"SALMONELLA ANTIBODIES","86768","HCPCS","Both",,,"95","47.5","Wellcare","Medicare Advantage","",,"54",,"51.49","34.77","73.62","percent of total billed charges",,
"SALMONELLA ANTIBODIES","86768","HCPCS","Both",,,"95","47.5","Amerigroup","Medicaid Managed Care","",,"37",,"34.77","34.77","73.62","percent of total billed charges",,
"SALMONELLA ANTIBODIES","86768","HCPCS","Both",,,"95","47.5","Caresource","Medicaid Managed Care","",,"40",,"38","34.77","73.62","percent of total billed charges",,
"SALMONELLA ANTIBODIES","86768","HCPCS","Both",,,"95","47.5","Wellcare","Medicaid Managed Care","",,"40",,"38.48","34.77","73.62","percent of total billed charges",,
"SALMONELLA ANTIBODIES","86768","HCPCS","Both",,,"95","47.5","Aetna","Commercial","",,"64",,"60.61","34.77","73.62","percent of total billed charges",,
"SALMONELLA ANTIBODIES","86768","HCPCS","Both",,,"95","47.5","Blue Cross Blue Shield","Pathways","",,"71",,"67.07","34.77","73.62","percent of total billed charges",,
"SALMONELLA ANTIBODIES","86768","HCPCS","Both",,,"95","47.5","Blue Cross Blue Shield","HMO","",,"71",,"67.07","34.77","73.62","percent of total billed charges",,
"SALMONELLA ANTIBODIES","86768","HCPCS","Both",,,"95","47.5","Blue Cross Blue Shield","PPO","",,"71",,"67.07","34.77","73.62","percent of total billed charges",,
"SALMONELLA ANTIBODIES","86768","HCPCS","Both",,,"95","47.5","Ambetter","Health Exchange","",,"62",,"58.9","34.77","73.62","percent of total billed charges",,
"SALMONELLA ANTIBODIES","86768","HCPCS","Both",,,"95","47.5","Caresource","Health Exchange","",,"62",,"58.9","34.77","73.62","percent of total billed charges",,
"SALMONELLA ANTIBODIES","86768","HCPCS","Both",,,"95","47.5","Cigna","Commercial","",,"59",,"55.67","34.77","73.62","percent of total billed charges",,
"SALMONELLA ANTIBODIES","86768","HCPCS","Both",,,"95","47.5","Humana","Commercial","",,"78",,"73.62","34.77","73.62","percent of total billed charges",,
"SALMONELLA ANTIBODIES","86768","HCPCS","Both",,,"95","47.5","UHC","Commercial","",,"75",,"71.63","34.77","73.62","percent of total billed charges",,
"SALMONELLA ANTIBODIES","86768","HCPCS","Both",,,"95","47.5","Medicaid",,"",,"37",,"34.77","34.77","73.62","percent of total billed charges",,
"SARS COV 2 SPECIMEN COLLECTION","C9803","HCPCS","Both",,,"25","12.5","Alliant","Health Exchange","",,"62",,"15.5","9.15","19.38","percent of total billed charges",,
"SARS COV 2 SPECIMEN COLLECTION","C9803","HCPCS","Both",,,"25","12.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"13.5","9.15","19.38","percent of total billed charges",,
"SARS COV 2 SPECIMEN COLLECTION","C9803","HCPCS","Both",,,"25","12.5","Medicare",,"",,"54",,"13.55","9.15","19.38","percent of total billed charges",,
"SARS COV 2 SPECIMEN COLLECTION","C9803","HCPCS","Both",,,"25","12.5","Humana","Medicare Advantage","",,"54",,"13.55","9.15","19.38","percent of total billed charges",,
"SARS COV 2 SPECIMEN COLLECTION","C9803","HCPCS","Both",,,"25","12.5","UHC","Medicare Advantage","",,"54",,"13.55","9.15","19.38","percent of total billed charges",,
"SARS COV 2 SPECIMEN COLLECTION","C9803","HCPCS","Both",,,"25","12.5","Clover","Medicare Advantage","",,"54",,"13.55","9.15","19.38","percent of total billed charges",,
"SARS COV 2 SPECIMEN COLLECTION","C9803","HCPCS","Both",,,"25","12.5","Wellcare","Medicare Advantage","",,"54",,"13.55","9.15","19.38","percent of total billed charges",,
"SARS COV 2 SPECIMEN COLLECTION","C9803","HCPCS","Both",,,"25","12.5","Amerigroup","Medicaid Managed Care","",,"37",,"9.15","9.15","19.38","percent of total billed charges",,
"SARS COV 2 SPECIMEN COLLECTION","C9803","HCPCS","Both",,,"25","12.5","Caresource","Medicaid Managed Care","",,"40",,"10","9.15","19.38","percent of total billed charges",,
"SARS COV 2 SPECIMEN COLLECTION","C9803","HCPCS","Both",,,"25","12.5","Wellcare","Medicaid Managed Care","",,"40",,"10.12","9.15","19.38","percent of total billed charges",,
"SARS COV 2 SPECIMEN COLLECTION","C9803","HCPCS","Both",,,"25","12.5","Aetna","Commercial","",,"64",,"15.95","9.15","19.38","percent of total billed charges",,
"SARS COV 2 SPECIMEN COLLECTION","C9803","HCPCS","Both",,,"25","12.5","Blue Cross Blue Shield","Pathways","",,"71",,"17.65","9.15","19.38","percent of total billed charges",,
"SARS COV 2 SPECIMEN COLLECTION","C9803","HCPCS","Both",,,"25","12.5","Blue Cross Blue Shield","HMO","",,"71",,"17.65","9.15","19.38","percent of total billed charges",,
"SARS COV 2 SPECIMEN COLLECTION","C9803","HCPCS","Both",,,"25","12.5","Blue Cross Blue Shield","PPO","",,"71",,"17.65","9.15","19.38","percent of total billed charges",,
"SARS COV 2 SPECIMEN COLLECTION","C9803","HCPCS","Both",,,"25","12.5","Ambetter","Health Exchange","",,"62",,"15.5","9.15","19.38","percent of total billed charges",,
"SARS COV 2 SPECIMEN COLLECTION","C9803","HCPCS","Both",,,"25","12.5","Caresource","Health Exchange","",,"62",,"15.5","9.15","19.38","percent of total billed charges",,
"SARS COV 2 SPECIMEN COLLECTION","C9803","HCPCS","Both",,,"25","12.5","Cigna","Commercial","",,"59",,"14.65","9.15","19.38","percent of total billed charges",,
"SARS COV 2 SPECIMEN COLLECTION","C9803","HCPCS","Both",,,"25","12.5","Humana","Commercial","",,"78",,"19.38","9.15","19.38","percent of total billed charges",,
"SARS COV 2 SPECIMEN COLLECTION","C9803","HCPCS","Both",,,"25","12.5","UHC","Commercial","",,"75",,"18.85","9.15","19.38","percent of total billed charges",,
"SARS COV 2 SPECIMEN COLLECTION","C9803","HCPCS","Both",,,"25","12.5","Medicaid",,"",,"37",,"9.15","9.15","19.38","percent of total billed charges",,
"GENERAL HEALTH PANEL","80050","HCPCS","Both",,,"295","147.5","Alliant","Health Exchange","",,"62",,"182.9","107.97","228.62","percent of total billed charges",,
"GENERAL HEALTH PANEL","80050","HCPCS","Both",,,"295","147.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"159.3","107.97","228.62","percent of total billed charges",,
"GENERAL HEALTH PANEL","80050","HCPCS","Both",,,"295","147.5","Medicare",,"",,"54",,"159.89","107.97","228.62","percent of total billed charges",,
"GENERAL HEALTH PANEL","80050","HCPCS","Both",,,"295","147.5","Humana","Medicare Advantage","",,"54",,"159.89","107.97","228.62","percent of total billed charges",,
"GENERAL HEALTH PANEL","80050","HCPCS","Both",,,"295","147.5","UHC","Medicare Advantage","",,"54",,"159.89","107.97","228.62","percent of total billed charges",,
"GENERAL HEALTH PANEL","80050","HCPCS","Both",,,"295","147.5","Clover","Medicare Advantage","",,"54",,"159.89","107.97","228.62","percent of total billed charges",,
"GENERAL HEALTH PANEL","80050","HCPCS","Both",,,"295","147.5","Wellcare","Medicare Advantage","",,"54",,"159.89","107.97","228.62","percent of total billed charges",,
"GENERAL HEALTH PANEL","80050","HCPCS","Both",,,"295","147.5","Amerigroup","Medicaid Managed Care","",,"37",,"107.97","107.97","228.62","percent of total billed charges",,
"GENERAL HEALTH PANEL","80050","HCPCS","Both",,,"295","147.5","Caresource","Medicaid Managed Care","",,"40",,"118","107.97","228.62","percent of total billed charges",,
"GENERAL HEALTH PANEL","80050","HCPCS","Both",,,"295","147.5","Wellcare","Medicaid Managed Care","",,"40",,"119.48","107.97","228.62","percent of total billed charges",,
"GENERAL HEALTH PANEL","80050","HCPCS","Both",,,"295","147.5","Aetna","Commercial","",,"64",,"188.21","107.97","228.62","percent of total billed charges",,
"GENERAL HEALTH PANEL","80050","HCPCS","Both",,,"295","147.5","Blue Cross Blue Shield","Pathways","",,"71",,"208.27","107.97","228.62","percent of total billed charges",,
"GENERAL HEALTH PANEL","80050","HCPCS","Both",,,"295","147.5","Blue Cross Blue Shield","HMO","",,"71",,"208.27","107.97","228.62","percent of total billed charges",,
"GENERAL HEALTH PANEL","80050","HCPCS","Both",,,"295","147.5","Blue Cross Blue Shield","PPO","",,"71",,"208.27","107.97","228.62","percent of total billed charges",,
"GENERAL HEALTH PANEL","80050","HCPCS","Both",,,"295","147.5","Ambetter","Health Exchange","",,"62",,"182.9","107.97","228.62","percent of total billed charges",,
"GENERAL HEALTH PANEL","80050","HCPCS","Both",,,"295","147.5","Caresource","Health Exchange","",,"62",,"182.9","107.97","228.62","percent of total billed charges",,
"GENERAL HEALTH PANEL","80050","HCPCS","Both",,,"295","147.5","Cigna","Commercial","",,"59",,"172.87","107.97","228.62","percent of total billed charges",,
"GENERAL HEALTH PANEL","80050","HCPCS","Both",,,"295","147.5","Humana","Commercial","",,"78",,"228.62","107.97","228.62","percent of total billed charges",,
"GENERAL HEALTH PANEL","80050","HCPCS","Both",,,"295","147.5","UHC","Commercial","",,"75",,"222.43","107.97","228.62","percent of total billed charges",,
"GENERAL HEALTH PANEL","80050","HCPCS","Both",,,"295","147.5","Medicaid",,"",,"37",,"107.97","107.97","228.62","percent of total billed charges",,
"STREPTOCOCCUS PNEUMONIAE Ag Urine","83150","HCPCS","Both",,,"45","22.5","Alliant","Health Exchange","",,"62",,"27.9","16.47","34.88","percent of total billed charges",,
"STREPTOCOCCUS PNEUMONIAE Ag Urine","83150","HCPCS","Both",,,"45","22.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"24.3","16.47","34.88","percent of total billed charges",,
"STREPTOCOCCUS PNEUMONIAE Ag Urine","83150","HCPCS","Both",,,"45","22.5","Medicare",,"",,"54",,"24.39","16.47","34.88","percent of total billed charges",,
"STREPTOCOCCUS PNEUMONIAE Ag Urine","83150","HCPCS","Both",,,"45","22.5","Humana","Medicare Advantage","",,"54",,"24.39","16.47","34.88","percent of total billed charges",,
"STREPTOCOCCUS PNEUMONIAE Ag Urine","83150","HCPCS","Both",,,"45","22.5","UHC","Medicare Advantage","",,"54",,"24.39","16.47","34.88","percent of total billed charges",,
"STREPTOCOCCUS PNEUMONIAE Ag Urine","83150","HCPCS","Both",,,"45","22.5","Clover","Medicare Advantage","",,"54",,"24.39","16.47","34.88","percent of total billed charges",,
"STREPTOCOCCUS PNEUMONIAE Ag Urine","83150","HCPCS","Both",,,"45","22.5","Wellcare","Medicare Advantage","",,"54",,"24.39","16.47","34.88","percent of total billed charges",,
"STREPTOCOCCUS PNEUMONIAE Ag Urine","83150","HCPCS","Both",,,"45","22.5","Amerigroup","Medicaid Managed Care","",,"37",,"16.47","16.47","34.88","percent of total billed charges",,
"STREPTOCOCCUS PNEUMONIAE Ag Urine","83150","HCPCS","Both",,,"45","22.5","Caresource","Medicaid Managed Care","",,"40",,"18","16.47","34.88","percent of total billed charges",,
"STREPTOCOCCUS PNEUMONIAE Ag Urine","83150","HCPCS","Both",,,"45","22.5","Wellcare","Medicaid Managed Care","",,"40",,"18.23","16.47","34.88","percent of total billed charges",,
"STREPTOCOCCUS PNEUMONIAE Ag Urine","83150","HCPCS","Both",,,"45","22.5","Aetna","Commercial","",,"64",,"28.71","16.47","34.88","percent of total billed charges",,
"STREPTOCOCCUS PNEUMONIAE Ag Urine","83150","HCPCS","Both",,,"45","22.5","Blue Cross Blue Shield","Pathways","",,"71",,"31.77","16.47","34.88","percent of total billed charges",,
"STREPTOCOCCUS PNEUMONIAE Ag Urine","83150","HCPCS","Both",,,"45","22.5","Blue Cross Blue Shield","HMO","",,"71",,"31.77","16.47","34.88","percent of total billed charges",,
"STREPTOCOCCUS PNEUMONIAE Ag Urine","83150","HCPCS","Both",,,"45","22.5","Blue Cross Blue Shield","PPO","",,"71",,"31.77","16.47","34.88","percent of total billed charges",,
"STREPTOCOCCUS PNEUMONIAE Ag Urine","83150","HCPCS","Both",,,"45","22.5","Ambetter","Health Exchange","",,"62",,"27.9","16.47","34.88","percent of total billed charges",,
"STREPTOCOCCUS PNEUMONIAE Ag Urine","83150","HCPCS","Both",,,"45","22.5","Caresource","Health Exchange","",,"62",,"27.9","16.47","34.88","percent of total billed charges",,
"STREPTOCOCCUS PNEUMONIAE Ag Urine","83150","HCPCS","Both",,,"45","22.5","Cigna","Commercial","",,"59",,"26.37","16.47","34.88","percent of total billed charges",,
"STREPTOCOCCUS PNEUMONIAE Ag Urine","83150","HCPCS","Both",,,"45","22.5","Humana","Commercial","",,"78",,"34.88","16.47","34.88","percent of total billed charges",,
"STREPTOCOCCUS PNEUMONIAE Ag Urine","83150","HCPCS","Both",,,"45","22.5","UHC","Commercial","",,"75",,"33.93","16.47","34.88","percent of total billed charges",,
"STREPTOCOCCUS PNEUMONIAE Ag Urine","83150","HCPCS","Both",,,"45","22.5","Medicaid",,"",,"37",,"16.47","16.47","34.88","percent of total billed charges",,
"SARS ANTIGEN FIA","87426","HCPCS","Both",,,"52","26","Alliant","Health Exchange","QW",,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"SARS ANTIGEN FIA","87426","HCPCS","Both",,,"52","26","Pruitt Healthcare","Medicare Advantage","QW",,"54",,"28.08","19.03","40.3","percent of total billed charges",,
"SARS ANTIGEN FIA","87426","HCPCS","Both",,,"52","26","Medicare",,"QW",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"SARS ANTIGEN FIA","87426","HCPCS","Both",,,"52","26","Humana","Medicare Advantage","QW",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"SARS ANTIGEN FIA","87426","HCPCS","Both",,,"52","26","UHC","Medicare Advantage","QW",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"SARS ANTIGEN FIA","87426","HCPCS","Both",,,"52","26","Clover","Medicare Advantage","QW",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"SARS ANTIGEN FIA","87426","HCPCS","Both",,,"52","26","Wellcare","Medicare Advantage","QW",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"SARS ANTIGEN FIA","87426","HCPCS","Both",,,"52","26","Amerigroup","Medicaid Managed Care","QW",,"37",,"19.03","19.03","40.3","percent of total billed charges",,
"SARS ANTIGEN FIA","87426","HCPCS","Both",,,"52","26","Caresource","Medicaid Managed Care","QW",,"40",,"20.8","19.03","40.3","percent of total billed charges",,
"SARS ANTIGEN FIA","87426","HCPCS","Both",,,"52","26","Wellcare","Medicaid Managed Care","QW",,"40",,"21.06","19.03","40.3","percent of total billed charges",,
"SARS ANTIGEN FIA","87426","HCPCS","Both",,,"52","26","Aetna","Commercial","QW",,"64",,"33.18","19.03","40.3","percent of total billed charges",,
"SARS ANTIGEN FIA","87426","HCPCS","Both",,,"52","26","Blue Cross Blue Shield","Pathways","QW",,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"SARS ANTIGEN FIA","87426","HCPCS","Both",,,"52","26","Blue Cross Blue Shield","HMO","QW",,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"SARS ANTIGEN FIA","87426","HCPCS","Both",,,"52","26","Blue Cross Blue Shield","PPO","QW",,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"SARS ANTIGEN FIA","87426","HCPCS","Both",,,"52","26","Ambetter","Health Exchange","QW",,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"SARS ANTIGEN FIA","87426","HCPCS","Both",,,"52","26","Caresource","Health Exchange","QW",,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"SARS ANTIGEN FIA","87426","HCPCS","Both",,,"52","26","Cigna","Commercial","QW",,"59",,"30.47","19.03","40.3","percent of total billed charges",,
"SARS ANTIGEN FIA","87426","HCPCS","Both",,,"52","26","Humana","Commercial","QW",,"78",,"40.3","19.03","40.3","percent of total billed charges",,
"SARS ANTIGEN FIA","87426","HCPCS","Both",,,"52","26","UHC","Commercial","QW",,"75",,"39.21","19.03","40.3","percent of total billed charges",,
"SARS ANTIGEN FIA","87426","HCPCS","Both",,,"52","26","Medicaid",,"QW",,"37",,"19.03","19.03","40.3","percent of total billed charges",,
"LEGIONELLA PNEUMOPHIA URINARY ANTIGEN","87449","HCPCS","Both",,,"38","19","Alliant","Health Exchange","",,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"LEGIONELLA PNEUMOPHIA URINARY ANTIGEN","87449","HCPCS","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage","",,"54",,"20.52","13.91","29.45","percent of total billed charges",,
"LEGIONELLA PNEUMOPHIA URINARY ANTIGEN","87449","HCPCS","Both",,,"38","19","Medicare",,"",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"LEGIONELLA PNEUMOPHIA URINARY ANTIGEN","87449","HCPCS","Both",,,"38","19","Humana","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"LEGIONELLA PNEUMOPHIA URINARY ANTIGEN","87449","HCPCS","Both",,,"38","19","UHC","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"LEGIONELLA PNEUMOPHIA URINARY ANTIGEN","87449","HCPCS","Both",,,"38","19","Clover","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"LEGIONELLA PNEUMOPHIA URINARY ANTIGEN","87449","HCPCS","Both",,,"38","19","Wellcare","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"LEGIONELLA PNEUMOPHIA URINARY ANTIGEN","87449","HCPCS","Both",,,"38","19","Amerigroup","Medicaid Managed Care","",,"37",,"13.91","13.91","29.45","percent of total billed charges",,
"LEGIONELLA PNEUMOPHIA URINARY ANTIGEN","87449","HCPCS","Both",,,"38","19","Caresource","Medicaid Managed Care","",,"40",,"15.2","13.91","29.45","percent of total billed charges",,
"LEGIONELLA PNEUMOPHIA URINARY ANTIGEN","87449","HCPCS","Both",,,"38","19","Wellcare","Medicaid Managed Care","",,"40",,"15.39","13.91","29.45","percent of total billed charges",,
"LEGIONELLA PNEUMOPHIA URINARY ANTIGEN","87449","HCPCS","Both",,,"38","19","Aetna","Commercial","",,"64",,"24.24","13.91","29.45","percent of total billed charges",,
"LEGIONELLA PNEUMOPHIA URINARY ANTIGEN","87449","HCPCS","Both",,,"38","19","Blue Cross Blue Shield","Pathways","",,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"LEGIONELLA PNEUMOPHIA URINARY ANTIGEN","87449","HCPCS","Both",,,"38","19","Blue Cross Blue Shield","HMO","",,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"LEGIONELLA PNEUMOPHIA URINARY ANTIGEN","87449","HCPCS","Both",,,"38","19","Blue Cross Blue Shield","PPO","",,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"LEGIONELLA PNEUMOPHIA URINARY ANTIGEN","87449","HCPCS","Both",,,"38","19","Ambetter","Health Exchange","",,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"LEGIONELLA PNEUMOPHIA URINARY ANTIGEN","87449","HCPCS","Both",,,"38","19","Caresource","Health Exchange","",,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"LEGIONELLA PNEUMOPHIA URINARY ANTIGEN","87449","HCPCS","Both",,,"38","19","Cigna","Commercial","",,"59",,"22.27","13.91","29.45","percent of total billed charges",,
"LEGIONELLA PNEUMOPHIA URINARY ANTIGEN","87449","HCPCS","Both",,,"38","19","Humana","Commercial","",,"78",,"29.45","13.91","29.45","percent of total billed charges",,
"LEGIONELLA PNEUMOPHIA URINARY ANTIGEN","87449","HCPCS","Both",,,"38","19","UHC","Commercial","",,"75",,"28.65","13.91","29.45","percent of total billed charges",,
"LEGIONELLA PNEUMOPHIA URINARY ANTIGEN","87449","HCPCS","Both",,,"38","19","Medicaid",,"",,"37",,"13.91","13.91","29.45","percent of total billed charges",,
"CYTOPATHOLOGY CONCENTRATION TECHNIQUE","88108","HCPCS","Both",,,"116.5","58.25","Alliant","Health Exchange","",,"62",,"72.23","42.64","90.29","percent of total billed charges",,
"CYTOPATHOLOGY CONCENTRATION TECHNIQUE","88108","HCPCS","Both",,,"116.5","58.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"62.91","42.64","90.29","percent of total billed charges",,
"CYTOPATHOLOGY CONCENTRATION TECHNIQUE","88108","HCPCS","Both",,,"116.5","58.25","Medicare",,"",,"54",,"63.14","42.64","90.29","percent of total billed charges",,
"CYTOPATHOLOGY CONCENTRATION TECHNIQUE","88108","HCPCS","Both",,,"116.5","58.25","Humana","Medicare Advantage","",,"54",,"63.14","42.64","90.29","percent of total billed charges",,
"CYTOPATHOLOGY CONCENTRATION TECHNIQUE","88108","HCPCS","Both",,,"116.5","58.25","UHC","Medicare Advantage","",,"54",,"63.14","42.64","90.29","percent of total billed charges",,
"CYTOPATHOLOGY CONCENTRATION TECHNIQUE","88108","HCPCS","Both",,,"116.5","58.25","Clover","Medicare Advantage","",,"54",,"63.14","42.64","90.29","percent of total billed charges",,
"CYTOPATHOLOGY CONCENTRATION TECHNIQUE","88108","HCPCS","Both",,,"116.5","58.25","Wellcare","Medicare Advantage","",,"54",,"63.14","42.64","90.29","percent of total billed charges",,
"CYTOPATHOLOGY CONCENTRATION TECHNIQUE","88108","HCPCS","Both",,,"116.5","58.25","Amerigroup","Medicaid Managed Care","",,"37",,"42.64","42.64","90.29","percent of total billed charges",,
"CYTOPATHOLOGY CONCENTRATION TECHNIQUE","88108","HCPCS","Both",,,"116.5","58.25","Caresource","Medicaid Managed Care","",,"40",,"46.6","42.64","90.29","percent of total billed charges",,
"CYTOPATHOLOGY CONCENTRATION TECHNIQUE","88108","HCPCS","Both",,,"116.5","58.25","Wellcare","Medicaid Managed Care","",,"40",,"47.18","42.64","90.29","percent of total billed charges",,
"CYTOPATHOLOGY CONCENTRATION TECHNIQUE","88108","HCPCS","Both",,,"116.5","58.25","Aetna","Commercial","",,"64",,"74.33","42.64","90.29","percent of total billed charges",,
"CYTOPATHOLOGY CONCENTRATION TECHNIQUE","88108","HCPCS","Both",,,"116.5","58.25","Blue Cross Blue Shield","Pathways","",,"71",,"82.25","42.64","90.29","percent of total billed charges",,
"CYTOPATHOLOGY CONCENTRATION TECHNIQUE","88108","HCPCS","Both",,,"116.5","58.25","Blue Cross Blue Shield","HMO","",,"71",,"82.25","42.64","90.29","percent of total billed charges",,
"CYTOPATHOLOGY CONCENTRATION TECHNIQUE","88108","HCPCS","Both",,,"116.5","58.25","Blue Cross Blue Shield","PPO","",,"71",,"82.25","42.64","90.29","percent of total billed charges",,
"CYTOPATHOLOGY CONCENTRATION TECHNIQUE","88108","HCPCS","Both",,,"116.5","58.25","Ambetter","Health Exchange","",,"62",,"72.23","42.64","90.29","percent of total billed charges",,
"CYTOPATHOLOGY CONCENTRATION TECHNIQUE","88108","HCPCS","Both",,,"116.5","58.25","Caresource","Health Exchange","",,"62",,"72.23","42.64","90.29","percent of total billed charges",,
"CYTOPATHOLOGY CONCENTRATION TECHNIQUE","88108","HCPCS","Both",,,"116.5","58.25","Cigna","Commercial","",,"59",,"68.27","42.64","90.29","percent of total billed charges",,
"CYTOPATHOLOGY CONCENTRATION TECHNIQUE","88108","HCPCS","Both",,,"116.5","58.25","Humana","Commercial","",,"78",,"90.29","42.64","90.29","percent of total billed charges",,
"CYTOPATHOLOGY CONCENTRATION TECHNIQUE","88108","HCPCS","Both",,,"116.5","58.25","UHC","Commercial","",,"75",,"87.84","42.64","90.29","percent of total billed charges",,
"CYTOPATHOLOGY CONCENTRATION TECHNIQUE","88108","HCPCS","Both",,,"116.5","58.25","Medicaid",,"",,"37",,"42.64","42.64","90.29","percent of total billed charges",,
"CYTOPATHOLOGY SMEARS SCREEN & INTERP","88160","HCPCS","Both",,,"67.5","33.75","Alliant","Health Exchange","",,"62",,"41.85","24.7","52.31","percent of total billed charges",,
"CYTOPATHOLOGY SMEARS SCREEN & INTERP","88160","HCPCS","Both",,,"67.5","33.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"36.45","24.7","52.31","percent of total billed charges",,
"CYTOPATHOLOGY SMEARS SCREEN & INTERP","88160","HCPCS","Both",,,"67.5","33.75","Medicare",,"",,"54",,"36.58","24.7","52.31","percent of total billed charges",,
"CYTOPATHOLOGY SMEARS SCREEN & INTERP","88160","HCPCS","Both",,,"67.5","33.75","Humana","Medicare Advantage","",,"54",,"36.58","24.7","52.31","percent of total billed charges",,
"CYTOPATHOLOGY SMEARS SCREEN & INTERP","88160","HCPCS","Both",,,"67.5","33.75","UHC","Medicare Advantage","",,"54",,"36.58","24.7","52.31","percent of total billed charges",,
"CYTOPATHOLOGY SMEARS SCREEN & INTERP","88160","HCPCS","Both",,,"67.5","33.75","Clover","Medicare Advantage","",,"54",,"36.58","24.7","52.31","percent of total billed charges",,
"CYTOPATHOLOGY SMEARS SCREEN & INTERP","88160","HCPCS","Both",,,"67.5","33.75","Wellcare","Medicare Advantage","",,"54",,"36.58","24.7","52.31","percent of total billed charges",,
"CYTOPATHOLOGY SMEARS SCREEN & INTERP","88160","HCPCS","Both",,,"67.5","33.75","Amerigroup","Medicaid Managed Care","",,"37",,"24.7","24.7","52.31","percent of total billed charges",,
"CYTOPATHOLOGY SMEARS SCREEN & INTERP","88160","HCPCS","Both",,,"67.5","33.75","Caresource","Medicaid Managed Care","",,"40",,"27","24.7","52.31","percent of total billed charges",,
"CYTOPATHOLOGY SMEARS SCREEN & INTERP","88160","HCPCS","Both",,,"67.5","33.75","Wellcare","Medicaid Managed Care","",,"40",,"27.34","24.7","52.31","percent of total billed charges",,
"CYTOPATHOLOGY SMEARS SCREEN & INTERP","88160","HCPCS","Both",,,"67.5","33.75","Aetna","Commercial","",,"64",,"43.06","24.7","52.31","percent of total billed charges",,
"CYTOPATHOLOGY SMEARS SCREEN & INTERP","88160","HCPCS","Both",,,"67.5","33.75","Blue Cross Blue Shield","Pathways","",,"71",,"47.65","24.7","52.31","percent of total billed charges",,
"CYTOPATHOLOGY SMEARS SCREEN & INTERP","88160","HCPCS","Both",,,"67.5","33.75","Blue Cross Blue Shield","HMO","",,"71",,"47.65","24.7","52.31","percent of total billed charges",,
"CYTOPATHOLOGY SMEARS SCREEN & INTERP","88160","HCPCS","Both",,,"67.5","33.75","Blue Cross Blue Shield","PPO","",,"71",,"47.65","24.7","52.31","percent of total billed charges",,
"CYTOPATHOLOGY SMEARS SCREEN & INTERP","88160","HCPCS","Both",,,"67.5","33.75","Ambetter","Health Exchange","",,"62",,"41.85","24.7","52.31","percent of total billed charges",,
"CYTOPATHOLOGY SMEARS SCREEN & INTERP","88160","HCPCS","Both",,,"67.5","33.75","Caresource","Health Exchange","",,"62",,"41.85","24.7","52.31","percent of total billed charges",,
"CYTOPATHOLOGY SMEARS SCREEN & INTERP","88160","HCPCS","Both",,,"67.5","33.75","Cigna","Commercial","",,"59",,"39.56","24.7","52.31","percent of total billed charges",,
"CYTOPATHOLOGY SMEARS SCREEN & INTERP","88160","HCPCS","Both",,,"67.5","33.75","Humana","Commercial","",,"78",,"52.31","24.7","52.31","percent of total billed charges",,
"CYTOPATHOLOGY SMEARS SCREEN & INTERP","88160","HCPCS","Both",,,"67.5","33.75","UHC","Commercial","",,"75",,"50.9","24.7","52.31","percent of total billed charges",,
"CYTOPATHOLOGY SMEARS SCREEN & INTERP","88160","HCPCS","Both",,,"67.5","33.75","Medicaid",,"",,"37",,"24.7","24.7","52.31","percent of total billed charges",,
"SURGICAL PATH LEVEL II","88302","HCPCS","Both",,,"122.5","61.25","Alliant","Health Exchange","",,"62",,"75.95","44.84","94.94","percent of total billed charges",,
"SURGICAL PATH LEVEL II","88302","HCPCS","Both",,,"122.5","61.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"66.15","44.84","94.94","percent of total billed charges",,
"SURGICAL PATH LEVEL II","88302","HCPCS","Both",,,"122.5","61.25","Medicare",,"",,"54",,"66.4","44.84","94.94","percent of total billed charges",,
"SURGICAL PATH LEVEL II","88302","HCPCS","Both",,,"122.5","61.25","Humana","Medicare Advantage","",,"54",,"66.4","44.84","94.94","percent of total billed charges",,
"SURGICAL PATH LEVEL II","88302","HCPCS","Both",,,"122.5","61.25","UHC","Medicare Advantage","",,"54",,"66.4","44.84","94.94","percent of total billed charges",,
"SURGICAL PATH LEVEL II","88302","HCPCS","Both",,,"122.5","61.25","Clover","Medicare Advantage","",,"54",,"66.4","44.84","94.94","percent of total billed charges",,
"SURGICAL PATH LEVEL II","88302","HCPCS","Both",,,"122.5","61.25","Wellcare","Medicare Advantage","",,"54",,"66.4","44.84","94.94","percent of total billed charges",,
"SURGICAL PATH LEVEL II","88302","HCPCS","Both",,,"122.5","61.25","Amerigroup","Medicaid Managed Care","",,"37",,"44.84","44.84","94.94","percent of total billed charges",,
"SURGICAL PATH LEVEL II","88302","HCPCS","Both",,,"122.5","61.25","Caresource","Medicaid Managed Care","",,"40",,"49","44.84","94.94","percent of total billed charges",,
"SURGICAL PATH LEVEL II","88302","HCPCS","Both",,,"122.5","61.25","Wellcare","Medicaid Managed Care","",,"40",,"49.61","44.84","94.94","percent of total billed charges",,
"SURGICAL PATH LEVEL II","88302","HCPCS","Both",,,"122.5","61.25","Aetna","Commercial","",,"64",,"78.16","44.84","94.94","percent of total billed charges",,
"SURGICAL PATH LEVEL II","88302","HCPCS","Both",,,"122.5","61.25","Blue Cross Blue Shield","Pathways","",,"71",,"86.48","44.84","94.94","percent of total billed charges",,
"SURGICAL PATH LEVEL II","88302","HCPCS","Both",,,"122.5","61.25","Blue Cross Blue Shield","HMO","",,"71",,"86.48","44.84","94.94","percent of total billed charges",,
"SURGICAL PATH LEVEL II","88302","HCPCS","Both",,,"122.5","61.25","Blue Cross Blue Shield","PPO","",,"71",,"86.48","44.84","94.94","percent of total billed charges",,
"SURGICAL PATH LEVEL II","88302","HCPCS","Both",,,"122.5","61.25","Ambetter","Health Exchange","",,"62",,"75.95","44.84","94.94","percent of total billed charges",,
"SURGICAL PATH LEVEL II","88302","HCPCS","Both",,,"122.5","61.25","Caresource","Health Exchange","",,"62",,"75.95","44.84","94.94","percent of total billed charges",,
"SURGICAL PATH LEVEL II","88302","HCPCS","Both",,,"122.5","61.25","Cigna","Commercial","",,"59",,"71.78","44.84","94.94","percent of total billed charges",,
"SURGICAL PATH LEVEL II","88302","HCPCS","Both",,,"122.5","61.25","Humana","Commercial","",,"78",,"94.94","44.84","94.94","percent of total billed charges",,
"SURGICAL PATH LEVEL II","88302","HCPCS","Both",,,"122.5","61.25","UHC","Commercial","",,"75",,"92.36","44.84","94.94","percent of total billed charges",,
"SURGICAL PATH LEVEL II","88302","HCPCS","Both",,,"122.5","61.25","Medicaid",,"",,"37",,"44.84","44.84","94.94","percent of total billed charges",,
"SURGICAL PATH LEVEL III","88304","HCPCS","Both",,,"47.5","23.75","Alliant","Health Exchange","",,"62",,"29.45","17.38","36.81","percent of total billed charges",,
"SURGICAL PATH LEVEL III","88304","HCPCS","Both",,,"47.5","23.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"25.65","17.38","36.81","percent of total billed charges",,
"SURGICAL PATH LEVEL III","88304","HCPCS","Both",,,"47.5","23.75","Medicare",,"",,"54",,"25.74","17.38","36.81","percent of total billed charges",,
"SURGICAL PATH LEVEL III","88304","HCPCS","Both",,,"47.5","23.75","Humana","Medicare Advantage","",,"54",,"25.74","17.38","36.81","percent of total billed charges",,
"SURGICAL PATH LEVEL III","88304","HCPCS","Both",,,"47.5","23.75","UHC","Medicare Advantage","",,"54",,"25.74","17.38","36.81","percent of total billed charges",,
"SURGICAL PATH LEVEL III","88304","HCPCS","Both",,,"47.5","23.75","Clover","Medicare Advantage","",,"54",,"25.74","17.38","36.81","percent of total billed charges",,
"SURGICAL PATH LEVEL III","88304","HCPCS","Both",,,"47.5","23.75","Wellcare","Medicare Advantage","",,"54",,"25.74","17.38","36.81","percent of total billed charges",,
"SURGICAL PATH LEVEL III","88304","HCPCS","Both",,,"47.5","23.75","Amerigroup","Medicaid Managed Care","",,"37",,"17.38","17.38","36.81","percent of total billed charges",,
"SURGICAL PATH LEVEL III","88304","HCPCS","Both",,,"47.5","23.75","Caresource","Medicaid Managed Care","",,"40",,"19","17.38","36.81","percent of total billed charges",,
"SURGICAL PATH LEVEL III","88304","HCPCS","Both",,,"47.5","23.75","Wellcare","Medicaid Managed Care","",,"40",,"19.24","17.38","36.81","percent of total billed charges",,
"SURGICAL PATH LEVEL III","88304","HCPCS","Both",,,"47.5","23.75","Aetna","Commercial","",,"64",,"30.3","17.38","36.81","percent of total billed charges",,
"SURGICAL PATH LEVEL III","88304","HCPCS","Both",,,"47.5","23.75","Blue Cross Blue Shield","Pathways","",,"71",,"33.53","17.38","36.81","percent of total billed charges",,
"SURGICAL PATH LEVEL III","88304","HCPCS","Both",,,"47.5","23.75","Blue Cross Blue Shield","HMO","",,"71",,"33.53","17.38","36.81","percent of total billed charges",,
"SURGICAL PATH LEVEL III","88304","HCPCS","Both",,,"47.5","23.75","Blue Cross Blue Shield","PPO","",,"71",,"33.53","17.38","36.81","percent of total billed charges",,
"SURGICAL PATH LEVEL III","88304","HCPCS","Both",,,"47.5","23.75","Ambetter","Health Exchange","",,"62",,"29.45","17.38","36.81","percent of total billed charges",,
"SURGICAL PATH LEVEL III","88304","HCPCS","Both",,,"47.5","23.75","Caresource","Health Exchange","",,"62",,"29.45","17.38","36.81","percent of total billed charges",,
"SURGICAL PATH LEVEL III","88304","HCPCS","Both",,,"47.5","23.75","Cigna","Commercial","",,"59",,"27.83","17.38","36.81","percent of total billed charges",,
"SURGICAL PATH LEVEL III","88304","HCPCS","Both",,,"47.5","23.75","Humana","Commercial","",,"78",,"36.81","17.38","36.81","percent of total billed charges",,
"SURGICAL PATH LEVEL III","88304","HCPCS","Both",,,"47.5","23.75","UHC","Commercial","",,"75",,"35.82","17.38","36.81","percent of total billed charges",,
"SURGICAL PATH LEVEL III","88304","HCPCS","Both",,,"47.5","23.75","Medicaid",,"",,"37",,"17.38","17.38","36.81","percent of total billed charges",,
"SURG PATH LEVEL IV","88305","HCPCS","Both",,,"83.5","41.75","Alliant","Health Exchange","",,"62",,"51.77","30.56","64.71","percent of total billed charges",,
"SURG PATH LEVEL IV","88305","HCPCS","Both",,,"83.5","41.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"45.09","30.56","64.71","percent of total billed charges",,
"SURG PATH LEVEL IV","88305","HCPCS","Both",,,"83.5","41.75","Medicare",,"",,"54",,"45.26","30.56","64.71","percent of total billed charges",,
"SURG PATH LEVEL IV","88305","HCPCS","Both",,,"83.5","41.75","Humana","Medicare Advantage","",,"54",,"45.26","30.56","64.71","percent of total billed charges",,
"SURG PATH LEVEL IV","88305","HCPCS","Both",,,"83.5","41.75","UHC","Medicare Advantage","",,"54",,"45.26","30.56","64.71","percent of total billed charges",,
"SURG PATH LEVEL IV","88305","HCPCS","Both",,,"83.5","41.75","Clover","Medicare Advantage","",,"54",,"45.26","30.56","64.71","percent of total billed charges",,
"SURG PATH LEVEL IV","88305","HCPCS","Both",,,"83.5","41.75","Wellcare","Medicare Advantage","",,"54",,"45.26","30.56","64.71","percent of total billed charges",,
"SURG PATH LEVEL IV","88305","HCPCS","Both",,,"83.5","41.75","Amerigroup","Medicaid Managed Care","",,"37",,"30.56","30.56","64.71","percent of total billed charges",,
"SURG PATH LEVEL IV","88305","HCPCS","Both",,,"83.5","41.75","Caresource","Medicaid Managed Care","",,"40",,"33.4","30.56","64.71","percent of total billed charges",,
"SURG PATH LEVEL IV","88305","HCPCS","Both",,,"83.5","41.75","Wellcare","Medicaid Managed Care","",,"40",,"33.82","30.56","64.71","percent of total billed charges",,
"SURG PATH LEVEL IV","88305","HCPCS","Both",,,"83.5","41.75","Aetna","Commercial","",,"64",,"53.27","30.56","64.71","percent of total billed charges",,
"SURG PATH LEVEL IV","88305","HCPCS","Both",,,"83.5","41.75","Blue Cross Blue Shield","Pathways","",,"71",,"58.95","30.56","64.71","percent of total billed charges",,
"SURG PATH LEVEL IV","88305","HCPCS","Both",,,"83.5","41.75","Blue Cross Blue Shield","HMO","",,"71",,"58.95","30.56","64.71","percent of total billed charges",,
"SURG PATH LEVEL IV","88305","HCPCS","Both",,,"83.5","41.75","Blue Cross Blue Shield","PPO","",,"71",,"58.95","30.56","64.71","percent of total billed charges",,
"SURG PATH LEVEL IV","88305","HCPCS","Both",,,"83.5","41.75","Ambetter","Health Exchange","",,"62",,"51.77","30.56","64.71","percent of total billed charges",,
"SURG PATH LEVEL IV","88305","HCPCS","Both",,,"83.5","41.75","Caresource","Health Exchange","",,"62",,"51.77","30.56","64.71","percent of total billed charges",,
"SURG PATH LEVEL IV","88305","HCPCS","Both",,,"83.5","41.75","Cigna","Commercial","",,"59",,"48.93","30.56","64.71","percent of total billed charges",,
"SURG PATH LEVEL IV","88305","HCPCS","Both",,,"83.5","41.75","Humana","Commercial","",,"78",,"64.71","30.56","64.71","percent of total billed charges",,
"SURG PATH LEVEL IV","88305","HCPCS","Both",,,"83.5","41.75","UHC","Commercial","",,"75",,"62.96","30.56","64.71","percent of total billed charges",,
"SURG PATH LEVEL IV","88305","HCPCS","Both",,,"83.5","41.75","Medicaid",,"",,"37",,"30.56","30.56","64.71","percent of total billed charges",,
"SURGICAL PATH LEVEL V","88307","HCPCS","Both",,,"202","101","Alliant","Health Exchange","",,"62",,"125.24","73.93","156.55","percent of total billed charges",,
"SURGICAL PATH LEVEL V","88307","HCPCS","Both",,,"202","101","Pruitt Healthcare","Medicare Advantage","",,"54",,"109.08","73.93","156.55","percent of total billed charges",,
"SURGICAL PATH LEVEL V","88307","HCPCS","Both",,,"202","101","Medicare",,"",,"54",,"109.48","73.93","156.55","percent of total billed charges",,
"SURGICAL PATH LEVEL V","88307","HCPCS","Both",,,"202","101","Humana","Medicare Advantage","",,"54",,"109.48","73.93","156.55","percent of total billed charges",,
"SURGICAL PATH LEVEL V","88307","HCPCS","Both",,,"202","101","UHC","Medicare Advantage","",,"54",,"109.48","73.93","156.55","percent of total billed charges",,
"SURGICAL PATH LEVEL V","88307","HCPCS","Both",,,"202","101","Clover","Medicare Advantage","",,"54",,"109.48","73.93","156.55","percent of total billed charges",,
"SURGICAL PATH LEVEL V","88307","HCPCS","Both",,,"202","101","Wellcare","Medicare Advantage","",,"54",,"109.48","73.93","156.55","percent of total billed charges",,
"SURGICAL PATH LEVEL V","88307","HCPCS","Both",,,"202","101","Amerigroup","Medicaid Managed Care","",,"37",,"73.93","73.93","156.55","percent of total billed charges",,
"SURGICAL PATH LEVEL V","88307","HCPCS","Both",,,"202","101","Caresource","Medicaid Managed Care","",,"40",,"80.8","73.93","156.55","percent of total billed charges",,
"SURGICAL PATH LEVEL V","88307","HCPCS","Both",,,"202","101","Wellcare","Medicaid Managed Care","",,"40",,"81.81","73.93","156.55","percent of total billed charges",,
"SURGICAL PATH LEVEL V","88307","HCPCS","Both",,,"202","101","Aetna","Commercial","",,"64",,"128.88","73.93","156.55","percent of total billed charges",,
"SURGICAL PATH LEVEL V","88307","HCPCS","Both",,,"202","101","Blue Cross Blue Shield","Pathways","",,"71",,"142.61","73.93","156.55","percent of total billed charges",,
"SURGICAL PATH LEVEL V","88307","HCPCS","Both",,,"202","101","Blue Cross Blue Shield","HMO","",,"71",,"142.61","73.93","156.55","percent of total billed charges",,
"SURGICAL PATH LEVEL V","88307","HCPCS","Both",,,"202","101","Blue Cross Blue Shield","PPO","",,"71",,"142.61","73.93","156.55","percent of total billed charges",,
"SURGICAL PATH LEVEL V","88307","HCPCS","Both",,,"202","101","Ambetter","Health Exchange","",,"62",,"125.24","73.93","156.55","percent of total billed charges",,
"SURGICAL PATH LEVEL V","88307","HCPCS","Both",,,"202","101","Caresource","Health Exchange","",,"62",,"125.24","73.93","156.55","percent of total billed charges",,
"SURGICAL PATH LEVEL V","88307","HCPCS","Both",,,"202","101","Cigna","Commercial","",,"59",,"118.37","73.93","156.55","percent of total billed charges",,
"SURGICAL PATH LEVEL V","88307","HCPCS","Both",,,"202","101","Humana","Commercial","",,"78",,"156.55","73.93","156.55","percent of total billed charges",,
"SURGICAL PATH LEVEL V","88307","HCPCS","Both",,,"202","101","UHC","Commercial","",,"75",,"152.31","73.93","156.55","percent of total billed charges",,
"SURGICAL PATH LEVEL V","88307","HCPCS","Both",,,"202","101","Medicaid",,"",,"37",,"73.93","73.93","156.55","percent of total billed charges",,
"SURGICAL PATH LEVEL VI","88309","HCPCS","Both",,,"410.5","205.25","Alliant","Health Exchange","",,"62",,"254.51","150.24","318.14","percent of total billed charges",,
"SURGICAL PATH LEVEL VI","88309","HCPCS","Both",,,"410.5","205.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"221.67","150.24","318.14","percent of total billed charges",,
"SURGICAL PATH LEVEL VI","88309","HCPCS","Both",,,"410.5","205.25","Medicare",,"",,"54",,"222.49","150.24","318.14","percent of total billed charges",,
"SURGICAL PATH LEVEL VI","88309","HCPCS","Both",,,"410.5","205.25","Humana","Medicare Advantage","",,"54",,"222.49","150.24","318.14","percent of total billed charges",,
"SURGICAL PATH LEVEL VI","88309","HCPCS","Both",,,"410.5","205.25","UHC","Medicare Advantage","",,"54",,"222.49","150.24","318.14","percent of total billed charges",,
"SURGICAL PATH LEVEL VI","88309","HCPCS","Both",,,"410.5","205.25","Clover","Medicare Advantage","",,"54",,"222.49","150.24","318.14","percent of total billed charges",,
"SURGICAL PATH LEVEL VI","88309","HCPCS","Both",,,"410.5","205.25","Wellcare","Medicare Advantage","",,"54",,"222.49","150.24","318.14","percent of total billed charges",,
"SURGICAL PATH LEVEL VI","88309","HCPCS","Both",,,"410.5","205.25","Amerigroup","Medicaid Managed Care","",,"37",,"150.24","150.24","318.14","percent of total billed charges",,
"SURGICAL PATH LEVEL VI","88309","HCPCS","Both",,,"410.5","205.25","Caresource","Medicaid Managed Care","",,"40",,"164.2","150.24","318.14","percent of total billed charges",,
"SURGICAL PATH LEVEL VI","88309","HCPCS","Both",,,"410.5","205.25","Wellcare","Medicaid Managed Care","",,"40",,"166.25","150.24","318.14","percent of total billed charges",,
"SURGICAL PATH LEVEL VI","88309","HCPCS","Both",,,"410.5","205.25","Aetna","Commercial","",,"64",,"261.9","150.24","318.14","percent of total billed charges",,
"SURGICAL PATH LEVEL VI","88309","HCPCS","Both",,,"410.5","205.25","Blue Cross Blue Shield","Pathways","",,"71",,"289.81","150.24","318.14","percent of total billed charges",,
"SURGICAL PATH LEVEL VI","88309","HCPCS","Both",,,"410.5","205.25","Blue Cross Blue Shield","HMO","",,"71",,"289.81","150.24","318.14","percent of total billed charges",,
"SURGICAL PATH LEVEL VI","88309","HCPCS","Both",,,"410.5","205.25","Blue Cross Blue Shield","PPO","",,"71",,"289.81","150.24","318.14","percent of total billed charges",,
"SURGICAL PATH LEVEL VI","88309","HCPCS","Both",,,"410.5","205.25","Ambetter","Health Exchange","",,"62",,"254.51","150.24","318.14","percent of total billed charges",,
"SURGICAL PATH LEVEL VI","88309","HCPCS","Both",,,"410.5","205.25","Caresource","Health Exchange","",,"62",,"254.51","150.24","318.14","percent of total billed charges",,
"SURGICAL PATH LEVEL VI","88309","HCPCS","Both",,,"410.5","205.25","Cigna","Commercial","",,"59",,"240.55","150.24","318.14","percent of total billed charges",,
"SURGICAL PATH LEVEL VI","88309","HCPCS","Both",,,"410.5","205.25","Humana","Commercial","",,"78",,"318.14","150.24","318.14","percent of total billed charges",,
"SURGICAL PATH LEVEL VI","88309","HCPCS","Both",,,"410.5","205.25","UHC","Commercial","",,"75",,"309.52","150.24","318.14","percent of total billed charges",,
"SURGICAL PATH LEVEL VI","88309","HCPCS","Both",,,"410.5","205.25","Medicaid",,"",,"37",,"150.24","150.24","318.14","percent of total billed charges",,
"DECALCIFICATION  PROCEDURE","88311","HCPCS","Both",,,"67.5","33.75","Alliant","Health Exchange","",,"62",,"41.85","24.7","52.31","percent of total billed charges",,
"DECALCIFICATION  PROCEDURE","88311","HCPCS","Both",,,"67.5","33.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"36.45","24.7","52.31","percent of total billed charges",,
"DECALCIFICATION  PROCEDURE","88311","HCPCS","Both",,,"67.5","33.75","Medicare",,"",,"54",,"36.58","24.7","52.31","percent of total billed charges",,
"DECALCIFICATION  PROCEDURE","88311","HCPCS","Both",,,"67.5","33.75","Humana","Medicare Advantage","",,"54",,"36.58","24.7","52.31","percent of total billed charges",,
"DECALCIFICATION  PROCEDURE","88311","HCPCS","Both",,,"67.5","33.75","UHC","Medicare Advantage","",,"54",,"36.58","24.7","52.31","percent of total billed charges",,
"DECALCIFICATION  PROCEDURE","88311","HCPCS","Both",,,"67.5","33.75","Clover","Medicare Advantage","",,"54",,"36.58","24.7","52.31","percent of total billed charges",,
"DECALCIFICATION  PROCEDURE","88311","HCPCS","Both",,,"67.5","33.75","Wellcare","Medicare Advantage","",,"54",,"36.58","24.7","52.31","percent of total billed charges",,
"DECALCIFICATION  PROCEDURE","88311","HCPCS","Both",,,"67.5","33.75","Amerigroup","Medicaid Managed Care","",,"37",,"24.7","24.7","52.31","percent of total billed charges",,
"DECALCIFICATION  PROCEDURE","88311","HCPCS","Both",,,"67.5","33.75","Caresource","Medicaid Managed Care","",,"40",,"27","24.7","52.31","percent of total billed charges",,
"DECALCIFICATION  PROCEDURE","88311","HCPCS","Both",,,"67.5","33.75","Wellcare","Medicaid Managed Care","",,"40",,"27.34","24.7","52.31","percent of total billed charges",,
"DECALCIFICATION  PROCEDURE","88311","HCPCS","Both",,,"67.5","33.75","Aetna","Commercial","",,"64",,"43.06","24.7","52.31","percent of total billed charges",,
"DECALCIFICATION  PROCEDURE","88311","HCPCS","Both",,,"67.5","33.75","Blue Cross Blue Shield","Pathways","",,"71",,"47.65","24.7","52.31","percent of total billed charges",,
"DECALCIFICATION  PROCEDURE","88311","HCPCS","Both",,,"67.5","33.75","Blue Cross Blue Shield","HMO","",,"71",,"47.65","24.7","52.31","percent of total billed charges",,
"DECALCIFICATION  PROCEDURE","88311","HCPCS","Both",,,"67.5","33.75","Blue Cross Blue Shield","PPO","",,"71",,"47.65","24.7","52.31","percent of total billed charges",,
"DECALCIFICATION  PROCEDURE","88311","HCPCS","Both",,,"67.5","33.75","Ambetter","Health Exchange","",,"62",,"41.85","24.7","52.31","percent of total billed charges",,
"DECALCIFICATION  PROCEDURE","88311","HCPCS","Both",,,"67.5","33.75","Caresource","Health Exchange","",,"62",,"41.85","24.7","52.31","percent of total billed charges",,
"DECALCIFICATION  PROCEDURE","88311","HCPCS","Both",,,"67.5","33.75","Cigna","Commercial","",,"59",,"39.56","24.7","52.31","percent of total billed charges",,
"DECALCIFICATION  PROCEDURE","88311","HCPCS","Both",,,"67.5","33.75","Humana","Commercial","",,"78",,"52.31","24.7","52.31","percent of total billed charges",,
"DECALCIFICATION  PROCEDURE","88311","HCPCS","Both",,,"67.5","33.75","UHC","Commercial","",,"75",,"50.9","24.7","52.31","percent of total billed charges",,
"DECALCIFICATION  PROCEDURE","88311","HCPCS","Both",,,"67.5","33.75","Medicaid",,"",,"37",,"24.7","24.7","52.31","percent of total billed charges",,
"SPECIALSTAINS GROUP I FOR MICRO, EA","88312","HCPCS","Both",,,"40.5","20.25","Alliant","Health Exchange","",,"62",,"25.11","14.82","31.39","percent of total billed charges",,
"SPECIALSTAINS GROUP I FOR MICRO, EA","88312","HCPCS","Both",,,"40.5","20.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"21.87","14.82","31.39","percent of total billed charges",,
"SPECIALSTAINS GROUP I FOR MICRO, EA","88312","HCPCS","Both",,,"40.5","20.25","Medicare",,"",,"54",,"21.95","14.82","31.39","percent of total billed charges",,
"SPECIALSTAINS GROUP I FOR MICRO, EA","88312","HCPCS","Both",,,"40.5","20.25","Humana","Medicare Advantage","",,"54",,"21.95","14.82","31.39","percent of total billed charges",,
"SPECIALSTAINS GROUP I FOR MICRO, EA","88312","HCPCS","Both",,,"40.5","20.25","UHC","Medicare Advantage","",,"54",,"21.95","14.82","31.39","percent of total billed charges",,
"SPECIALSTAINS GROUP I FOR MICRO, EA","88312","HCPCS","Both",,,"40.5","20.25","Clover","Medicare Advantage","",,"54",,"21.95","14.82","31.39","percent of total billed charges",,
"SPECIALSTAINS GROUP I FOR MICRO, EA","88312","HCPCS","Both",,,"40.5","20.25","Wellcare","Medicare Advantage","",,"54",,"21.95","14.82","31.39","percent of total billed charges",,
"SPECIALSTAINS GROUP I FOR MICRO, EA","88312","HCPCS","Both",,,"40.5","20.25","Amerigroup","Medicaid Managed Care","",,"37",,"14.82","14.82","31.39","percent of total billed charges",,
"SPECIALSTAINS GROUP I FOR MICRO, EA","88312","HCPCS","Both",,,"40.5","20.25","Caresource","Medicaid Managed Care","",,"40",,"16.2","14.82","31.39","percent of total billed charges",,
"SPECIALSTAINS GROUP I FOR MICRO, EA","88312","HCPCS","Both",,,"40.5","20.25","Wellcare","Medicaid Managed Care","",,"40",,"16.4","14.82","31.39","percent of total billed charges",,
"SPECIALSTAINS GROUP I FOR MICRO, EA","88312","HCPCS","Both",,,"40.5","20.25","Aetna","Commercial","",,"64",,"25.84","14.82","31.39","percent of total billed charges",,
"SPECIALSTAINS GROUP I FOR MICRO, EA","88312","HCPCS","Both",,,"40.5","20.25","Blue Cross Blue Shield","Pathways","",,"71",,"28.59","14.82","31.39","percent of total billed charges",,
"SPECIALSTAINS GROUP I FOR MICRO, EA","88312","HCPCS","Both",,,"40.5","20.25","Blue Cross Blue Shield","HMO","",,"71",,"28.59","14.82","31.39","percent of total billed charges",,
"SPECIALSTAINS GROUP I FOR MICRO, EA","88312","HCPCS","Both",,,"40.5","20.25","Blue Cross Blue Shield","PPO","",,"71",,"28.59","14.82","31.39","percent of total billed charges",,
"SPECIALSTAINS GROUP I FOR MICRO, EA","88312","HCPCS","Both",,,"40.5","20.25","Ambetter","Health Exchange","",,"62",,"25.11","14.82","31.39","percent of total billed charges",,
"SPECIALSTAINS GROUP I FOR MICRO, EA","88312","HCPCS","Both",,,"40.5","20.25","Caresource","Health Exchange","",,"62",,"25.11","14.82","31.39","percent of total billed charges",,
"SPECIALSTAINS GROUP I FOR MICRO, EA","88312","HCPCS","Both",,,"40.5","20.25","Cigna","Commercial","",,"59",,"23.73","14.82","31.39","percent of total billed charges",,
"SPECIALSTAINS GROUP I FOR MICRO, EA","88312","HCPCS","Both",,,"40.5","20.25","Humana","Commercial","",,"78",,"31.39","14.82","31.39","percent of total billed charges",,
"SPECIALSTAINS GROUP I FOR MICRO, EA","88312","HCPCS","Both",,,"40.5","20.25","UHC","Commercial","",,"75",,"30.54","14.82","31.39","percent of total billed charges",,
"SPECIALSTAINS GROUP I FOR MICRO, EA","88312","HCPCS","Both",,,"40.5","20.25","Medicaid",,"",,"37",,"14.82","14.82","31.39","percent of total billed charges",,
"SPECIAL STAIN GROUP II","88313","HCPCS","Both",,,"127.5","63.75","Alliant","Health Exchange","",,"62",,"79.05","46.66","98.81","percent of total billed charges",,
"SPECIAL STAIN GROUP II","88313","HCPCS","Both",,,"127.5","63.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"68.85","46.66","98.81","percent of total billed charges",,
"SPECIAL STAIN GROUP II","88313","HCPCS","Both",,,"127.5","63.75","Medicare",,"",,"54",,"69.1","46.66","98.81","percent of total billed charges",,
"SPECIAL STAIN GROUP II","88313","HCPCS","Both",,,"127.5","63.75","Humana","Medicare Advantage","",,"54",,"69.1","46.66","98.81","percent of total billed charges",,
"SPECIAL STAIN GROUP II","88313","HCPCS","Both",,,"127.5","63.75","UHC","Medicare Advantage","",,"54",,"69.1","46.66","98.81","percent of total billed charges",,
"SPECIAL STAIN GROUP II","88313","HCPCS","Both",,,"127.5","63.75","Clover","Medicare Advantage","",,"54",,"69.1","46.66","98.81","percent of total billed charges",,
"SPECIAL STAIN GROUP II","88313","HCPCS","Both",,,"127.5","63.75","Wellcare","Medicare Advantage","",,"54",,"69.1","46.66","98.81","percent of total billed charges",,
"SPECIAL STAIN GROUP II","88313","HCPCS","Both",,,"127.5","63.75","Amerigroup","Medicaid Managed Care","",,"37",,"46.66","46.66","98.81","percent of total billed charges",,
"SPECIAL STAIN GROUP II","88313","HCPCS","Both",,,"127.5","63.75","Caresource","Medicaid Managed Care","",,"40",,"51","46.66","98.81","percent of total billed charges",,
"SPECIAL STAIN GROUP II","88313","HCPCS","Both",,,"127.5","63.75","Wellcare","Medicaid Managed Care","",,"40",,"51.64","46.66","98.81","percent of total billed charges",,
"SPECIAL STAIN GROUP II","88313","HCPCS","Both",,,"127.5","63.75","Aetna","Commercial","",,"64",,"81.34","46.66","98.81","percent of total billed charges",,
"SPECIAL STAIN GROUP II","88313","HCPCS","Both",,,"127.5","63.75","Blue Cross Blue Shield","Pathways","",,"71",,"90.02","46.66","98.81","percent of total billed charges",,
"SPECIAL STAIN GROUP II","88313","HCPCS","Both",,,"127.5","63.75","Blue Cross Blue Shield","HMO","",,"71",,"90.02","46.66","98.81","percent of total billed charges",,
"SPECIAL STAIN GROUP II","88313","HCPCS","Both",,,"127.5","63.75","Blue Cross Blue Shield","PPO","",,"71",,"90.02","46.66","98.81","percent of total billed charges",,
"SPECIAL STAIN GROUP II","88313","HCPCS","Both",,,"127.5","63.75","Ambetter","Health Exchange","",,"62",,"79.05","46.66","98.81","percent of total billed charges",,
"SPECIAL STAIN GROUP II","88313","HCPCS","Both",,,"127.5","63.75","Caresource","Health Exchange","",,"62",,"79.05","46.66","98.81","percent of total billed charges",,
"SPECIAL STAIN GROUP II","88313","HCPCS","Both",,,"127.5","63.75","Cigna","Commercial","",,"59",,"74.71","46.66","98.81","percent of total billed charges",,
"SPECIAL STAIN GROUP II","88313","HCPCS","Both",,,"127.5","63.75","Humana","Commercial","",,"78",,"98.81","46.66","98.81","percent of total billed charges",,
"SPECIAL STAIN GROUP II","88313","HCPCS","Both",,,"127.5","63.75","UHC","Commercial","",,"75",,"96.14","46.66","98.81","percent of total billed charges",,
"SPECIAL STAIN GROUP II","88313","HCPCS","Both",,,"127.5","63.75","Medicaid",,"",,"37",,"46.66","46.66","98.81","percent of total billed charges",,
"IMMUNOHISTOCHEMISTRY EA ANTIBODY","88342","HCPCS","Both",,,"122.5","61.25","Alliant","Health Exchange","",,"62",,"75.95","44.84","94.94","percent of total billed charges",,
"IMMUNOHISTOCHEMISTRY EA ANTIBODY","88342","HCPCS","Both",,,"122.5","61.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"66.15","44.84","94.94","percent of total billed charges",,
"IMMUNOHISTOCHEMISTRY EA ANTIBODY","88342","HCPCS","Both",,,"122.5","61.25","Medicare",,"",,"54",,"66.4","44.84","94.94","percent of total billed charges",,
"IMMUNOHISTOCHEMISTRY EA ANTIBODY","88342","HCPCS","Both",,,"122.5","61.25","Humana","Medicare Advantage","",,"54",,"66.4","44.84","94.94","percent of total billed charges",,
"IMMUNOHISTOCHEMISTRY EA ANTIBODY","88342","HCPCS","Both",,,"122.5","61.25","UHC","Medicare Advantage","",,"54",,"66.4","44.84","94.94","percent of total billed charges",,
"IMMUNOHISTOCHEMISTRY EA ANTIBODY","88342","HCPCS","Both",,,"122.5","61.25","Clover","Medicare Advantage","",,"54",,"66.4","44.84","94.94","percent of total billed charges",,
"IMMUNOHISTOCHEMISTRY EA ANTIBODY","88342","HCPCS","Both",,,"122.5","61.25","Wellcare","Medicare Advantage","",,"54",,"66.4","44.84","94.94","percent of total billed charges",,
"IMMUNOHISTOCHEMISTRY EA ANTIBODY","88342","HCPCS","Both",,,"122.5","61.25","Amerigroup","Medicaid Managed Care","",,"37",,"44.84","44.84","94.94","percent of total billed charges",,
"IMMUNOHISTOCHEMISTRY EA ANTIBODY","88342","HCPCS","Both",,,"122.5","61.25","Caresource","Medicaid Managed Care","",,"40",,"49","44.84","94.94","percent of total billed charges",,
"IMMUNOHISTOCHEMISTRY EA ANTIBODY","88342","HCPCS","Both",,,"122.5","61.25","Wellcare","Medicaid Managed Care","",,"40",,"49.61","44.84","94.94","percent of total billed charges",,
"IMMUNOHISTOCHEMISTRY EA ANTIBODY","88342","HCPCS","Both",,,"122.5","61.25","Aetna","Commercial","",,"64",,"78.16","44.84","94.94","percent of total billed charges",,
"IMMUNOHISTOCHEMISTRY EA ANTIBODY","88342","HCPCS","Both",,,"122.5","61.25","Blue Cross Blue Shield","Pathways","",,"71",,"86.48","44.84","94.94","percent of total billed charges",,
"IMMUNOHISTOCHEMISTRY EA ANTIBODY","88342","HCPCS","Both",,,"122.5","61.25","Blue Cross Blue Shield","HMO","",,"71",,"86.48","44.84","94.94","percent of total billed charges",,
"IMMUNOHISTOCHEMISTRY EA ANTIBODY","88342","HCPCS","Both",,,"122.5","61.25","Blue Cross Blue Shield","PPO","",,"71",,"86.48","44.84","94.94","percent of total billed charges",,
"IMMUNOHISTOCHEMISTRY EA ANTIBODY","88342","HCPCS","Both",,,"122.5","61.25","Ambetter","Health Exchange","",,"62",,"75.95","44.84","94.94","percent of total billed charges",,
"IMMUNOHISTOCHEMISTRY EA ANTIBODY","88342","HCPCS","Both",,,"122.5","61.25","Caresource","Health Exchange","",,"62",,"75.95","44.84","94.94","percent of total billed charges",,
"IMMUNOHISTOCHEMISTRY EA ANTIBODY","88342","HCPCS","Both",,,"122.5","61.25","Cigna","Commercial","",,"59",,"71.78","44.84","94.94","percent of total billed charges",,
"IMMUNOHISTOCHEMISTRY EA ANTIBODY","88342","HCPCS","Both",,,"122.5","61.25","Humana","Commercial","",,"78",,"94.94","44.84","94.94","percent of total billed charges",,
"IMMUNOHISTOCHEMISTRY EA ANTIBODY","88342","HCPCS","Both",,,"122.5","61.25","UHC","Commercial","",,"75",,"92.36","44.84","94.94","percent of total billed charges",,
"IMMUNOHISTOCHEMISTRY EA ANTIBODY","88342","HCPCS","Both",,,"122.5","61.25","Medicaid",,"",,"37",,"44.84","44.84","94.94","percent of total billed charges",,
"STRENGTH/ENDURANCE RESP MUSCLES @ 15mns","G0237","HCPCS","Both",,,"72.5","36.25","Alliant","Health Exchange","",,"62",,"44.95","26.54","56.19","percent of total billed charges",,
"STRENGTH/ENDURANCE RESP MUSCLES @ 15mns","G0237","HCPCS","Both",,,"72.5","36.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"39.15","26.54","56.19","percent of total billed charges",,
"STRENGTH/ENDURANCE RESP MUSCLES @ 15mns","G0237","HCPCS","Both",,,"72.5","36.25","Medicare",,"",,"54",,"39.3","26.54","56.19","percent of total billed charges",,
"STRENGTH/ENDURANCE RESP MUSCLES @ 15mns","G0237","HCPCS","Both",,,"72.5","36.25","Humana","Medicare Advantage","",,"54",,"39.3","26.54","56.19","percent of total billed charges",,
"STRENGTH/ENDURANCE RESP MUSCLES @ 15mns","G0237","HCPCS","Both",,,"72.5","36.25","UHC","Medicare Advantage","",,"54",,"39.3","26.54","56.19","percent of total billed charges",,
"STRENGTH/ENDURANCE RESP MUSCLES @ 15mns","G0237","HCPCS","Both",,,"72.5","36.25","Clover","Medicare Advantage","",,"54",,"39.3","26.54","56.19","percent of total billed charges",,
"STRENGTH/ENDURANCE RESP MUSCLES @ 15mns","G0237","HCPCS","Both",,,"72.5","36.25","Wellcare","Medicare Advantage","",,"54",,"39.3","26.54","56.19","percent of total billed charges",,
"STRENGTH/ENDURANCE RESP MUSCLES @ 15mns","G0237","HCPCS","Both",,,"72.5","36.25","Amerigroup","Medicaid Managed Care","",,"37",,"26.54","26.54","56.19","percent of total billed charges",,
"STRENGTH/ENDURANCE RESP MUSCLES @ 15mns","G0237","HCPCS","Both",,,"72.5","36.25","Caresource","Medicaid Managed Care","",,"40",,"29","26.54","56.19","percent of total billed charges",,
"STRENGTH/ENDURANCE RESP MUSCLES @ 15mns","G0237","HCPCS","Both",,,"72.5","36.25","Wellcare","Medicaid Managed Care","",,"40",,"29.36","26.54","56.19","percent of total billed charges",,
"STRENGTH/ENDURANCE RESP MUSCLES @ 15mns","G0237","HCPCS","Both",,,"72.5","36.25","Aetna","Commercial","",,"64",,"46.26","26.54","56.19","percent of total billed charges",,
"STRENGTH/ENDURANCE RESP MUSCLES @ 15mns","G0237","HCPCS","Both",,,"72.5","36.25","Blue Cross Blue Shield","Pathways","",,"71",,"51.18","26.54","56.19","percent of total billed charges",,
"STRENGTH/ENDURANCE RESP MUSCLES @ 15mns","G0237","HCPCS","Both",,,"72.5","36.25","Blue Cross Blue Shield","HMO","",,"71",,"51.18","26.54","56.19","percent of total billed charges",,
"STRENGTH/ENDURANCE RESP MUSCLES @ 15mns","G0237","HCPCS","Both",,,"72.5","36.25","Blue Cross Blue Shield","PPO","",,"71",,"51.18","26.54","56.19","percent of total billed charges",,
"STRENGTH/ENDURANCE RESP MUSCLES @ 15mns","G0237","HCPCS","Both",,,"72.5","36.25","Ambetter","Health Exchange","",,"62",,"44.95","26.54","56.19","percent of total billed charges",,
"STRENGTH/ENDURANCE RESP MUSCLES @ 15mns","G0237","HCPCS","Both",,,"72.5","36.25","Caresource","Health Exchange","",,"62",,"44.95","26.54","56.19","percent of total billed charges",,
"STRENGTH/ENDURANCE RESP MUSCLES @ 15mns","G0237","HCPCS","Both",,,"72.5","36.25","Cigna","Commercial","",,"59",,"42.48","26.54","56.19","percent of total billed charges",,
"STRENGTH/ENDURANCE RESP MUSCLES @ 15mns","G0237","HCPCS","Both",,,"72.5","36.25","Humana","Commercial","",,"78",,"56.19","26.54","56.19","percent of total billed charges",,
"STRENGTH/ENDURANCE RESP MUSCLES @ 15mns","G0237","HCPCS","Both",,,"72.5","36.25","UHC","Commercial","",,"75",,"54.66","26.54","56.19","percent of total billed charges",,
"STRENGTH/ENDURANCE RESP MUSCLES @ 15mns","G0237","HCPCS","Both",,,"72.5","36.25","Medicaid",,"",,"37",,"26.54","26.54","56.19","percent of total billed charges",,
"RESPIRATORY FUNCTION PER 15mins","G0238","HCPCS","Both",,,"60.35","30.175","Alliant","Health Exchange","",,"62",,"37.42","22.09","46.77","percent of total billed charges",,
"RESPIRATORY FUNCTION PER 15mins","G0238","HCPCS","Both",,,"60.35","30.175","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.59","22.09","46.77","percent of total billed charges",,
"RESPIRATORY FUNCTION PER 15mins","G0238","HCPCS","Both",,,"60.35","30.175","Medicare",,"",,"54",,"32.71","22.09","46.77","percent of total billed charges",,
"RESPIRATORY FUNCTION PER 15mins","G0238","HCPCS","Both",,,"60.35","30.175","Humana","Medicare Advantage","",,"54",,"32.71","22.09","46.77","percent of total billed charges",,
"RESPIRATORY FUNCTION PER 15mins","G0238","HCPCS","Both",,,"60.35","30.175","UHC","Medicare Advantage","",,"54",,"32.71","22.09","46.77","percent of total billed charges",,
"RESPIRATORY FUNCTION PER 15mins","G0238","HCPCS","Both",,,"60.35","30.175","Clover","Medicare Advantage","",,"54",,"32.71","22.09","46.77","percent of total billed charges",,
"RESPIRATORY FUNCTION PER 15mins","G0238","HCPCS","Both",,,"60.35","30.175","Wellcare","Medicare Advantage","",,"54",,"32.71","22.09","46.77","percent of total billed charges",,
"RESPIRATORY FUNCTION PER 15mins","G0238","HCPCS","Both",,,"60.35","30.175","Amerigroup","Medicaid Managed Care","",,"37",,"22.09","22.09","46.77","percent of total billed charges",,
"RESPIRATORY FUNCTION PER 15mins","G0238","HCPCS","Both",,,"60.35","30.175","Caresource","Medicaid Managed Care","",,"40",,"24.14","22.09","46.77","percent of total billed charges",,
"RESPIRATORY FUNCTION PER 15mins","G0238","HCPCS","Both",,,"60.35","30.175","Wellcare","Medicaid Managed Care","",,"40",,"24.44","22.09","46.77","percent of total billed charges",,
"RESPIRATORY FUNCTION PER 15mins","G0238","HCPCS","Both",,,"60.35","30.175","Aetna","Commercial","",,"64",,"38.5","22.09","46.77","percent of total billed charges",,
"RESPIRATORY FUNCTION PER 15mins","G0238","HCPCS","Both",,,"60.35","30.175","Blue Cross Blue Shield","Pathways","",,"71",,"42.61","22.09","46.77","percent of total billed charges",,
"RESPIRATORY FUNCTION PER 15mins","G0238","HCPCS","Both",,,"60.35","30.175","Blue Cross Blue Shield","HMO","",,"71",,"42.61","22.09","46.77","percent of total billed charges",,
"RESPIRATORY FUNCTION PER 15mins","G0238","HCPCS","Both",,,"60.35","30.175","Blue Cross Blue Shield","PPO","",,"71",,"42.61","22.09","46.77","percent of total billed charges",,
"RESPIRATORY FUNCTION PER 15mins","G0238","HCPCS","Both",,,"60.35","30.175","Ambetter","Health Exchange","",,"62",,"37.42","22.09","46.77","percent of total billed charges",,
"RESPIRATORY FUNCTION PER 15mins","G0238","HCPCS","Both",,,"60.35","30.175","Caresource","Health Exchange","",,"62",,"37.42","22.09","46.77","percent of total billed charges",,
"RESPIRATORY FUNCTION PER 15mins","G0238","HCPCS","Both",,,"60.35","30.175","Cigna","Commercial","",,"59",,"35.37","22.09","46.77","percent of total billed charges",,
"RESPIRATORY FUNCTION PER 15mins","G0238","HCPCS","Both",,,"60.35","30.175","Humana","Commercial","",,"78",,"46.77","22.09","46.77","percent of total billed charges",,
"RESPIRATORY FUNCTION PER 15mins","G0238","HCPCS","Both",,,"60.35","30.175","UHC","Commercial","",,"75",,"45.5","22.09","46.77","percent of total billed charges",,
"RESPIRATORY FUNCTION PER 15mins","G0238","HCPCS","Both",,,"60.35","30.175","Medicaid",,"",,"37",,"22.09","22.09","46.77","percent of total billed charges",,
"STRENGTH/ENDURANCE RESP MUSCLES 2 or mor","G0239","HCPCS","Both",,,"72.5","36.25","Alliant","Health Exchange","",,"62",,"44.95","26.54","56.19","percent of total billed charges",,
"STRENGTH/ENDURANCE RESP MUSCLES 2 or mor","G0239","HCPCS","Both",,,"72.5","36.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"39.15","26.54","56.19","percent of total billed charges",,
"STRENGTH/ENDURANCE RESP MUSCLES 2 or mor","G0239","HCPCS","Both",,,"72.5","36.25","Medicare",,"",,"54",,"39.3","26.54","56.19","percent of total billed charges",,
"STRENGTH/ENDURANCE RESP MUSCLES 2 or mor","G0239","HCPCS","Both",,,"72.5","36.25","Humana","Medicare Advantage","",,"54",,"39.3","26.54","56.19","percent of total billed charges",,
"STRENGTH/ENDURANCE RESP MUSCLES 2 or mor","G0239","HCPCS","Both",,,"72.5","36.25","UHC","Medicare Advantage","",,"54",,"39.3","26.54","56.19","percent of total billed charges",,
"STRENGTH/ENDURANCE RESP MUSCLES 2 or mor","G0239","HCPCS","Both",,,"72.5","36.25","Clover","Medicare Advantage","",,"54",,"39.3","26.54","56.19","percent of total billed charges",,
"STRENGTH/ENDURANCE RESP MUSCLES 2 or mor","G0239","HCPCS","Both",,,"72.5","36.25","Wellcare","Medicare Advantage","",,"54",,"39.3","26.54","56.19","percent of total billed charges",,
"STRENGTH/ENDURANCE RESP MUSCLES 2 or mor","G0239","HCPCS","Both",,,"72.5","36.25","Amerigroup","Medicaid Managed Care","",,"37",,"26.54","26.54","56.19","percent of total billed charges",,
"STRENGTH/ENDURANCE RESP MUSCLES 2 or mor","G0239","HCPCS","Both",,,"72.5","36.25","Caresource","Medicaid Managed Care","",,"40",,"29","26.54","56.19","percent of total billed charges",,
"STRENGTH/ENDURANCE RESP MUSCLES 2 or mor","G0239","HCPCS","Both",,,"72.5","36.25","Wellcare","Medicaid Managed Care","",,"40",,"29.36","26.54","56.19","percent of total billed charges",,
"STRENGTH/ENDURANCE RESP MUSCLES 2 or mor","G0239","HCPCS","Both",,,"72.5","36.25","Aetna","Commercial","",,"64",,"46.26","26.54","56.19","percent of total billed charges",,
"STRENGTH/ENDURANCE RESP MUSCLES 2 or mor","G0239","HCPCS","Both",,,"72.5","36.25","Blue Cross Blue Shield","Pathways","",,"71",,"51.18","26.54","56.19","percent of total billed charges",,
"STRENGTH/ENDURANCE RESP MUSCLES 2 or mor","G0239","HCPCS","Both",,,"72.5","36.25","Blue Cross Blue Shield","HMO","",,"71",,"51.18","26.54","56.19","percent of total billed charges",,
"STRENGTH/ENDURANCE RESP MUSCLES 2 or mor","G0239","HCPCS","Both",,,"72.5","36.25","Blue Cross Blue Shield","PPO","",,"71",,"51.18","26.54","56.19","percent of total billed charges",,
"STRENGTH/ENDURANCE RESP MUSCLES 2 or mor","G0239","HCPCS","Both",,,"72.5","36.25","Ambetter","Health Exchange","",,"62",,"44.95","26.54","56.19","percent of total billed charges",,
"STRENGTH/ENDURANCE RESP MUSCLES 2 or mor","G0239","HCPCS","Both",,,"72.5","36.25","Caresource","Health Exchange","",,"62",,"44.95","26.54","56.19","percent of total billed charges",,
"STRENGTH/ENDURANCE RESP MUSCLES 2 or mor","G0239","HCPCS","Both",,,"72.5","36.25","Cigna","Commercial","",,"59",,"42.48","26.54","56.19","percent of total billed charges",,
"STRENGTH/ENDURANCE RESP MUSCLES 2 or mor","G0239","HCPCS","Both",,,"72.5","36.25","Humana","Commercial","",,"78",,"56.19","26.54","56.19","percent of total billed charges",,
"STRENGTH/ENDURANCE RESP MUSCLES 2 or mor","G0239","HCPCS","Both",,,"72.5","36.25","UHC","Commercial","",,"75",,"54.66","26.54","56.19","percent of total billed charges",,
"STRENGTH/ENDURANCE RESP MUSCLES 2 or mor","G0239","HCPCS","Both",,,"72.5","36.25","Medicaid",,"",,"37",,"26.54","26.54","56.19","percent of total billed charges",,
"PULMONARY REHAB W/O MONIT 1hr/Session","94625","HCPCS","Both",,,"56","28","Alliant","Health Exchange","",,"62",,"34.72","20.5","43.4","percent of total billed charges",,
"PULMONARY REHAB W/O MONIT 1hr/Session","94625","HCPCS","Both",,,"56","28","Pruitt Healthcare","Medicare Advantage","",,"54",,"30.24","20.5","43.4","percent of total billed charges",,
"PULMONARY REHAB W/O MONIT 1hr/Session","94625","HCPCS","Both",,,"56","28","Medicare",,"",,"54",,"30.35","20.5","43.4","percent of total billed charges",,
"PULMONARY REHAB W/O MONIT 1hr/Session","94625","HCPCS","Both",,,"56","28","Humana","Medicare Advantage","",,"54",,"30.35","20.5","43.4","percent of total billed charges",,
"PULMONARY REHAB W/O MONIT 1hr/Session","94625","HCPCS","Both",,,"56","28","UHC","Medicare Advantage","",,"54",,"30.35","20.5","43.4","percent of total billed charges",,
"PULMONARY REHAB W/O MONIT 1hr/Session","94625","HCPCS","Both",,,"56","28","Clover","Medicare Advantage","",,"54",,"30.35","20.5","43.4","percent of total billed charges",,
"PULMONARY REHAB W/O MONIT 1hr/Session","94625","HCPCS","Both",,,"56","28","Wellcare","Medicare Advantage","",,"54",,"30.35","20.5","43.4","percent of total billed charges",,
"PULMONARY REHAB W/O MONIT 1hr/Session","94625","HCPCS","Both",,,"56","28","Amerigroup","Medicaid Managed Care","",,"37",,"20.5","20.5","43.4","percent of total billed charges",,
"PULMONARY REHAB W/O MONIT 1hr/Session","94625","HCPCS","Both",,,"56","28","Caresource","Medicaid Managed Care","",,"40",,"22.4","20.5","43.4","percent of total billed charges",,
"PULMONARY REHAB W/O MONIT 1hr/Session","94625","HCPCS","Both",,,"56","28","Wellcare","Medicaid Managed Care","",,"40",,"22.68","20.5","43.4","percent of total billed charges",,
"PULMONARY REHAB W/O MONIT 1hr/Session","94625","HCPCS","Both",,,"56","28","Aetna","Commercial","",,"64",,"35.73","20.5","43.4","percent of total billed charges",,
"PULMONARY REHAB W/O MONIT 1hr/Session","94625","HCPCS","Both",,,"56","28","Blue Cross Blue Shield","Pathways","",,"71",,"39.54","20.5","43.4","percent of total billed charges",,
"PULMONARY REHAB W/O MONIT 1hr/Session","94625","HCPCS","Both",,,"56","28","Blue Cross Blue Shield","HMO","",,"71",,"39.54","20.5","43.4","percent of total billed charges",,
"PULMONARY REHAB W/O MONIT 1hr/Session","94625","HCPCS","Both",,,"56","28","Blue Cross Blue Shield","PPO","",,"71",,"39.54","20.5","43.4","percent of total billed charges",,
"PULMONARY REHAB W/O MONIT 1hr/Session","94625","HCPCS","Both",,,"56","28","Ambetter","Health Exchange","",,"62",,"34.72","20.5","43.4","percent of total billed charges",,
"PULMONARY REHAB W/O MONIT 1hr/Session","94625","HCPCS","Both",,,"56","28","Caresource","Health Exchange","",,"62",,"34.72","20.5","43.4","percent of total billed charges",,
"PULMONARY REHAB W/O MONIT 1hr/Session","94625","HCPCS","Both",,,"56","28","Cigna","Commercial","",,"59",,"32.82","20.5","43.4","percent of total billed charges",,
"PULMONARY REHAB W/O MONIT 1hr/Session","94625","HCPCS","Both",,,"56","28","Humana","Commercial","",,"78",,"43.4","20.5","43.4","percent of total billed charges",,
"PULMONARY REHAB W/O MONIT 1hr/Session","94625","HCPCS","Both",,,"56","28","UHC","Commercial","",,"75",,"42.22","20.5","43.4","percent of total billed charges",,
"PULMONARY REHAB W/O MONIT 1hr/Session","94625","HCPCS","Both",,,"56","28","Medicaid",,"",,"37",,"20.5","20.5","43.4","percent of total billed charges",,
"PULMONARY REHAB W MONIT 1hr/Session","94626","HCPCS","Both",,,"56","28","Alliant","Health Exchange","",,"62",,"34.72","20.5","43.4","percent of total billed charges",,
"PULMONARY REHAB W MONIT 1hr/Session","94626","HCPCS","Both",,,"56","28","Pruitt Healthcare","Medicare Advantage","",,"54",,"30.24","20.5","43.4","percent of total billed charges",,
"PULMONARY REHAB W MONIT 1hr/Session","94626","HCPCS","Both",,,"56","28","Medicare",,"",,"54",,"30.35","20.5","43.4","percent of total billed charges",,
"PULMONARY REHAB W MONIT 1hr/Session","94626","HCPCS","Both",,,"56","28","Humana","Medicare Advantage","",,"54",,"30.35","20.5","43.4","percent of total billed charges",,
"PULMONARY REHAB W MONIT 1hr/Session","94626","HCPCS","Both",,,"56","28","UHC","Medicare Advantage","",,"54",,"30.35","20.5","43.4","percent of total billed charges",,
"PULMONARY REHAB W MONIT 1hr/Session","94626","HCPCS","Both",,,"56","28","Clover","Medicare Advantage","",,"54",,"30.35","20.5","43.4","percent of total billed charges",,
"PULMONARY REHAB W MONIT 1hr/Session","94626","HCPCS","Both",,,"56","28","Wellcare","Medicare Advantage","",,"54",,"30.35","20.5","43.4","percent of total billed charges",,
"PULMONARY REHAB W MONIT 1hr/Session","94626","HCPCS","Both",,,"56","28","Amerigroup","Medicaid Managed Care","",,"37",,"20.5","20.5","43.4","percent of total billed charges",,
"PULMONARY REHAB W MONIT 1hr/Session","94626","HCPCS","Both",,,"56","28","Caresource","Medicaid Managed Care","",,"40",,"22.4","20.5","43.4","percent of total billed charges",,
"PULMONARY REHAB W MONIT 1hr/Session","94626","HCPCS","Both",,,"56","28","Wellcare","Medicaid Managed Care","",,"40",,"22.68","20.5","43.4","percent of total billed charges",,
"PULMONARY REHAB W MONIT 1hr/Session","94626","HCPCS","Both",,,"56","28","Aetna","Commercial","",,"64",,"35.73","20.5","43.4","percent of total billed charges",,
"PULMONARY REHAB W MONIT 1hr/Session","94626","HCPCS","Both",,,"56","28","Blue Cross Blue Shield","Pathways","",,"71",,"39.54","20.5","43.4","percent of total billed charges",,
"PULMONARY REHAB W MONIT 1hr/Session","94626","HCPCS","Both",,,"56","28","Blue Cross Blue Shield","HMO","",,"71",,"39.54","20.5","43.4","percent of total billed charges",,
"PULMONARY REHAB W MONIT 1hr/Session","94626","HCPCS","Both",,,"56","28","Blue Cross Blue Shield","PPO","",,"71",,"39.54","20.5","43.4","percent of total billed charges",,
"PULMONARY REHAB W MONIT 1hr/Session","94626","HCPCS","Both",,,"56","28","Ambetter","Health Exchange","",,"62",,"34.72","20.5","43.4","percent of total billed charges",,
"PULMONARY REHAB W MONIT 1hr/Session","94626","HCPCS","Both",,,"56","28","Caresource","Health Exchange","",,"62",,"34.72","20.5","43.4","percent of total billed charges",,
"PULMONARY REHAB W MONIT 1hr/Session","94626","HCPCS","Both",,,"56","28","Cigna","Commercial","",,"59",,"32.82","20.5","43.4","percent of total billed charges",,
"PULMONARY REHAB W MONIT 1hr/Session","94626","HCPCS","Both",,,"56","28","Humana","Commercial","",,"78",,"43.4","20.5","43.4","percent of total billed charges",,
"PULMONARY REHAB W MONIT 1hr/Session","94626","HCPCS","Both",,,"56","28","UHC","Commercial","",,"75",,"42.22","20.5","43.4","percent of total billed charges",,
"PULMONARY REHAB W MONIT 1hr/Session","94626","HCPCS","Both",,,"56","28","Medicaid",,"",,"37",,"20.5","20.5","43.4","percent of total billed charges",,
"PT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Alliant","Health Exchange","GP",,"62",,"80.71","47.64","100.88","percent of total billed charges",,
"PT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"70.29","47.64","100.88","percent of total billed charges",,
"PT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Medicare",,"GP",,"54",,"70.55","47.64","100.88","percent of total billed charges",,
"PT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Humana","Medicare Advantage","GP",,"54",,"70.55","47.64","100.88","percent of total billed charges",,
"PT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","UHC","Medicare Advantage","GP",,"54",,"70.55","47.64","100.88","percent of total billed charges",,
"PT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Clover","Medicare Advantage","GP",,"54",,"70.55","47.64","100.88","percent of total billed charges",,
"PT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Wellcare","Medicare Advantage","GP",,"54",,"70.55","47.64","100.88","percent of total billed charges",,
"PT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Amerigroup","Medicaid Managed Care","GP",,"37",,"47.64","47.64","100.88","percent of total billed charges",,
"PT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Caresource","Medicaid Managed Care","GP",,"40",,"52.07","47.64","100.88","percent of total billed charges",,
"PT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Wellcare","Medicaid Managed Care","GP",,"40",,"52.72","47.64","100.88","percent of total billed charges",,
"PT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Aetna","Commercial","GP",,"64",,"83.05","47.64","100.88","percent of total billed charges",,
"PT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Blue Cross Blue Shield","Pathways","GP",,"71",,"91.9","47.64","100.88","percent of total billed charges",,
"PT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Blue Cross Blue Shield","HMO","GP",,"71",,"91.9","47.64","100.88","percent of total billed charges",,
"PT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Blue Cross Blue Shield","PPO","GP",,"71",,"91.9","47.64","100.88","percent of total billed charges",,
"PT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Ambetter","Health Exchange","GP",,"62",,"80.71","47.64","100.88","percent of total billed charges",,
"PT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Caresource","Health Exchange","GP",,"62",,"80.71","47.64","100.88","percent of total billed charges",,
"PT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Cigna","Commercial","GP",,"59",,"76.28","47.64","100.88","percent of total billed charges",,
"PT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Humana","Commercial","GP",,"78",,"100.88","47.64","100.88","percent of total billed charges",,
"PT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","UHC","Commercial","GP",,"75",,"98.15","47.64","100.88","percent of total billed charges",,
"PT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Medicaid",,"GP",,"37",,"47.64","47.64","100.88","percent of total billed charges",,
"PT CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Alliant","Health Exchange","GP",,"62",,"43.26","25.54","54.08","percent of total billed charges",,
"PT CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"37.68","25.54","54.08","percent of total billed charges",,
"PT CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Medicare",,"GP",,"54",,"37.82","25.54","54.08","percent of total billed charges",,
"PT CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Humana","Medicare Advantage","GP",,"54",,"37.82","25.54","54.08","percent of total billed charges",,
"PT CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","UHC","Medicare Advantage","GP",,"54",,"37.82","25.54","54.08","percent of total billed charges",,
"PT CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Clover","Medicare Advantage","GP",,"54",,"37.82","25.54","54.08","percent of total billed charges",,
"PT CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Wellcare","Medicare Advantage","GP",,"54",,"37.82","25.54","54.08","percent of total billed charges",,
"PT CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Amerigroup","Medicaid Managed Care","GP",,"37",,"25.54","25.54","54.08","percent of total billed charges",,
"PT CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Caresource","Medicaid Managed Care","GP",,"40",,"27.91","25.54","54.08","percent of total billed charges",,
"PT CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Wellcare","Medicaid Managed Care","GP",,"40",,"28.26","25.54","54.08","percent of total billed charges",,
"PT CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Aetna","Commercial","GP",,"64",,"44.52","25.54","54.08","percent of total billed charges",,
"PT CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Blue Cross Blue Shield","Pathways","GP",,"71",,"49.26","25.54","54.08","percent of total billed charges",,
"PT CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Blue Cross Blue Shield","HMO","GP",,"71",,"49.26","25.54","54.08","percent of total billed charges",,
"PT CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Blue Cross Blue Shield","PPO","GP",,"71",,"49.26","25.54","54.08","percent of total billed charges",,
"PT CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Ambetter","Health Exchange","GP",,"62",,"43.26","25.54","54.08","percent of total billed charges",,
"PT CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Caresource","Health Exchange","GP",,"62",,"43.26","25.54","54.08","percent of total billed charges",,
"PT CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Cigna","Commercial","GP",,"59",,"40.89","25.54","54.08","percent of total billed charges",,
"PT CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Humana","Commercial","GP",,"78",,"54.08","25.54","54.08","percent of total billed charges",,
"PT CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","UHC","Commercial","GP",,"75",,"52.61","25.54","54.08","percent of total billed charges",,
"PT CAREGIVER TRAINING ea add'l 30mins","97551","HCPCS","Both",,,"69.78","34.89","Medicaid",,"GP",,"37",,"25.54","25.54","54.08","percent of total billed charges",,
"PT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Alliant","Health Exchange","GP",,"62",,"18.99","11.21","23.74","percent of total billed charges",,
"PT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"16.54","11.21","23.74","percent of total billed charges",,
"PT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Medicare",,"GP",,"54",,"16.6","11.21","23.74","percent of total billed charges",,
"PT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Humana","Medicare Advantage","GP",,"54",,"16.6","11.21","23.74","percent of total billed charges",,
"PT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","UHC","Medicare Advantage","GP",,"54",,"16.6","11.21","23.74","percent of total billed charges",,
"PT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Clover","Medicare Advantage","GP",,"54",,"16.6","11.21","23.74","percent of total billed charges",,
"PT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Wellcare","Medicare Advantage","GP",,"54",,"16.6","11.21","23.74","percent of total billed charges",,
"PT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Amerigroup","Medicaid Managed Care","GP",,"37",,"11.21","11.21","23.74","percent of total billed charges",,
"PT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Caresource","Medicaid Managed Care","GP",,"40",,"12.25","11.21","23.74","percent of total billed charges",,
"PT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Wellcare","Medicaid Managed Care","GP",,"40",,"12.41","11.21","23.74","percent of total billed charges",,
"PT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Aetna","Commercial","GP",,"64",,"19.54","11.21","23.74","percent of total billed charges",,
"PT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Blue Cross Blue Shield","Pathways","GP",,"71",,"21.62","11.21","23.74","percent of total billed charges",,
"PT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Blue Cross Blue Shield","HMO","GP",,"71",,"21.62","11.21","23.74","percent of total billed charges",,
"PT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Blue Cross Blue Shield","PPO","GP",,"71",,"21.62","11.21","23.74","percent of total billed charges",,
"PT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Ambetter","Health Exchange","GP",,"62",,"18.99","11.21","23.74","percent of total billed charges",,
"PT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Caresource","Health Exchange","GP",,"62",,"18.99","11.21","23.74","percent of total billed charges",,
"PT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Cigna","Commercial","GP",,"59",,"17.95","11.21","23.74","percent of total billed charges",,
"PT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Humana","Commercial","GP",,"78",,"23.74","11.21","23.74","percent of total billed charges",,
"PT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","UHC","Commercial","GP",,"75",,"23.1","11.21","23.74","percent of total billed charges",,
"PT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Medicaid",,"GP",,"37",,"11.21","11.21","23.74","percent of total billed charges",,
"OT APPLICATION CAST ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Alliant","Health Exchange","GO",,"62",,"53.94","31.84","67.42","percent of total billed charges",,
"OT APPLICATION CAST ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"46.98","31.84","67.42","percent of total billed charges",,
"OT APPLICATION CAST ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Medicare",,"GO",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"OT APPLICATION CAST ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Humana","Medicare Advantage","GO",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"OT APPLICATION CAST ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","UHC","Medicare Advantage","GO",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"OT APPLICATION CAST ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Clover","Medicare Advantage","GO",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"OT APPLICATION CAST ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Wellcare","Medicare Advantage","GO",,"54",,"47.15","31.84","67.42","percent of total billed charges",,
"OT APPLICATION CAST ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Amerigroup","Medicaid Managed Care","GO",,"37",,"31.84","31.84","67.42","percent of total billed charges",,
"OT APPLICATION CAST ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Caresource","Medicaid Managed Care","GO",,"40",,"34.8","31.84","67.42","percent of total billed charges",,
"OT APPLICATION CAST ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Wellcare","Medicaid Managed Care","GO",,"40",,"35.24","31.84","67.42","percent of total billed charges",,
"OT APPLICATION CAST ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Aetna","Commercial","GO",,"64",,"55.51","31.84","67.42","percent of total billed charges",,
"OT APPLICATION CAST ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Blue Cross Blue Shield","Pathways","GO",,"71",,"61.42","31.84","67.42","percent of total billed charges",,
"OT APPLICATION CAST ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Blue Cross Blue Shield","HMO","GO",,"71",,"61.42","31.84","67.42","percent of total billed charges",,
"OT APPLICATION CAST ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Blue Cross Blue Shield","PPO","GO",,"71",,"61.42","31.84","67.42","percent of total billed charges",,
"OT APPLICATION CAST ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Ambetter","Health Exchange","GO",,"62",,"53.94","31.84","67.42","percent of total billed charges",,
"OT APPLICATION CAST ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Caresource","Health Exchange","GO",,"62",,"53.94","31.84","67.42","percent of total billed charges",,
"OT APPLICATION CAST ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Cigna","Commercial","GO",,"59",,"50.98","31.84","67.42","percent of total billed charges",,
"OT APPLICATION CAST ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Humana","Commercial","GO",,"78",,"67.42","31.84","67.42","percent of total billed charges",,
"OT APPLICATION CAST ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","UHC","Commercial","GO",,"75",,"65.6","31.84","67.42","percent of total billed charges",,
"OT APPLICATION CAST ELBOW TO FINGER","29075","HCPCS","Both",,,"87","43.5","Medicaid",,"GO",,"37",,"31.84","31.84","67.42","percent of total billed charges",,
"OT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Alliant","Health Exchange","G0",,"62",,"80.71","47.64","100.88","percent of total billed charges",,
"OT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Pruitt Healthcare","Medicare Advantage","G0",,"54",,"70.29","47.64","100.88","percent of total billed charges",,
"OT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Medicare",,"G0",,"54",,"70.55","47.64","100.88","percent of total billed charges",,
"OT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Humana","Medicare Advantage","G0",,"54",,"70.55","47.64","100.88","percent of total billed charges",,
"OT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","UHC","Medicare Advantage","G0",,"54",,"70.55","47.64","100.88","percent of total billed charges",,
"OT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Clover","Medicare Advantage","G0",,"54",,"70.55","47.64","100.88","percent of total billed charges",,
"OT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Wellcare","Medicare Advantage","G0",,"54",,"70.55","47.64","100.88","percent of total billed charges",,
"OT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Amerigroup","Medicaid Managed Care","G0",,"37",,"47.64","47.64","100.88","percent of total billed charges",,
"OT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Caresource","Medicaid Managed Care","G0",,"40",,"52.07","47.64","100.88","percent of total billed charges",,
"OT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Wellcare","Medicaid Managed Care","G0",,"40",,"52.72","47.64","100.88","percent of total billed charges",,
"OT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Aetna","Commercial","G0",,"64",,"83.05","47.64","100.88","percent of total billed charges",,
"OT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Blue Cross Blue Shield","Pathways","G0",,"71",,"91.9","47.64","100.88","percent of total billed charges",,
"OT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Blue Cross Blue Shield","HMO","G0",,"71",,"91.9","47.64","100.88","percent of total billed charges",,
"OT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Blue Cross Blue Shield","PPO","G0",,"71",,"91.9","47.64","100.88","percent of total billed charges",,
"OT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Ambetter","Health Exchange","G0",,"62",,"80.71","47.64","100.88","percent of total billed charges",,
"OT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Caresource","Health Exchange","G0",,"62",,"80.71","47.64","100.88","percent of total billed charges",,
"OT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Cigna","Commercial","G0",,"59",,"76.28","47.64","100.88","percent of total billed charges",,
"OT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Humana","Commercial","G0",,"78",,"100.88","47.64","100.88","percent of total billed charges",,
"OT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","UHC","Commercial","G0",,"75",,"98.15","47.64","100.88","percent of total billed charges",,
"OT CAREGIVER TRAINING 1st 30mins","97550","HCPCS","Both",,,"130.17","65.085","Medicaid",,"G0",,"37",,"47.64","47.64","100.88","percent of total billed charges",,
"OT CAREGIVER TRAINING ea add'l 15mins","97551","HCPCS","Both",,,"69.78","34.89","Alliant","Health Exchange","G0",,"62",,"43.26","25.54","54.08","percent of total billed charges",,
"OT CAREGIVER TRAINING ea add'l 15mins","97551","HCPCS","Both",,,"69.78","34.89","Pruitt Healthcare","Medicare Advantage","G0",,"54",,"37.68","25.54","54.08","percent of total billed charges",,
"OT CAREGIVER TRAINING ea add'l 15mins","97551","HCPCS","Both",,,"69.78","34.89","Medicare",,"G0",,"54",,"37.82","25.54","54.08","percent of total billed charges",,
"OT CAREGIVER TRAINING ea add'l 15mins","97551","HCPCS","Both",,,"69.78","34.89","Humana","Medicare Advantage","G0",,"54",,"37.82","25.54","54.08","percent of total billed charges",,
"OT CAREGIVER TRAINING ea add'l 15mins","97551","HCPCS","Both",,,"69.78","34.89","UHC","Medicare Advantage","G0",,"54",,"37.82","25.54","54.08","percent of total billed charges",,
"OT CAREGIVER TRAINING ea add'l 15mins","97551","HCPCS","Both",,,"69.78","34.89","Clover","Medicare Advantage","G0",,"54",,"37.82","25.54","54.08","percent of total billed charges",,
"OT CAREGIVER TRAINING ea add'l 15mins","97551","HCPCS","Both",,,"69.78","34.89","Wellcare","Medicare Advantage","G0",,"54",,"37.82","25.54","54.08","percent of total billed charges",,
"OT CAREGIVER TRAINING ea add'l 15mins","97551","HCPCS","Both",,,"69.78","34.89","Amerigroup","Medicaid Managed Care","G0",,"37",,"25.54","25.54","54.08","percent of total billed charges",,
"OT CAREGIVER TRAINING ea add'l 15mins","97551","HCPCS","Both",,,"69.78","34.89","Caresource","Medicaid Managed Care","G0",,"40",,"27.91","25.54","54.08","percent of total billed charges",,
"OT CAREGIVER TRAINING ea add'l 15mins","97551","HCPCS","Both",,,"69.78","34.89","Wellcare","Medicaid Managed Care","G0",,"40",,"28.26","25.54","54.08","percent of total billed charges",,
"OT CAREGIVER TRAINING ea add'l 15mins","97551","HCPCS","Both",,,"69.78","34.89","Aetna","Commercial","G0",,"64",,"44.52","25.54","54.08","percent of total billed charges",,
"OT CAREGIVER TRAINING ea add'l 15mins","97551","HCPCS","Both",,,"69.78","34.89","Blue Cross Blue Shield","Pathways","G0",,"71",,"49.26","25.54","54.08","percent of total billed charges",,
"OT CAREGIVER TRAINING ea add'l 15mins","97551","HCPCS","Both",,,"69.78","34.89","Blue Cross Blue Shield","HMO","G0",,"71",,"49.26","25.54","54.08","percent of total billed charges",,
"OT CAREGIVER TRAINING ea add'l 15mins","97551","HCPCS","Both",,,"69.78","34.89","Blue Cross Blue Shield","PPO","G0",,"71",,"49.26","25.54","54.08","percent of total billed charges",,
"OT CAREGIVER TRAINING ea add'l 15mins","97551","HCPCS","Both",,,"69.78","34.89","Ambetter","Health Exchange","G0",,"62",,"43.26","25.54","54.08","percent of total billed charges",,
"OT CAREGIVER TRAINING ea add'l 15mins","97551","HCPCS","Both",,,"69.78","34.89","Caresource","Health Exchange","G0",,"62",,"43.26","25.54","54.08","percent of total billed charges",,
"OT CAREGIVER TRAINING ea add'l 15mins","97551","HCPCS","Both",,,"69.78","34.89","Cigna","Commercial","G0",,"59",,"40.89","25.54","54.08","percent of total billed charges",,
"OT CAREGIVER TRAINING ea add'l 15mins","97551","HCPCS","Both",,,"69.78","34.89","Humana","Commercial","G0",,"78",,"54.08","25.54","54.08","percent of total billed charges",,
"OT CAREGIVER TRAINING ea add'l 15mins","97551","HCPCS","Both",,,"69.78","34.89","UHC","Commercial","G0",,"75",,"52.61","25.54","54.08","percent of total billed charges",,
"OT CAREGIVER TRAINING ea add'l 15mins","97551","HCPCS","Both",,,"69.78","34.89","Medicaid",,"G0",,"37",,"25.54","25.54","54.08","percent of total billed charges",,
"OT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Alliant","Health Exchange","G0",,"62",,"18.99","11.21","23.74","percent of total billed charges",,
"OT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Pruitt Healthcare","Medicare Advantage","G0",,"54",,"16.54","11.21","23.74","percent of total billed charges",,
"OT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Medicare",,"G0",,"54",,"16.6","11.21","23.74","percent of total billed charges",,
"OT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Humana","Medicare Advantage","G0",,"54",,"16.6","11.21","23.74","percent of total billed charges",,
"OT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","UHC","Medicare Advantage","G0",,"54",,"16.6","11.21","23.74","percent of total billed charges",,
"OT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Clover","Medicare Advantage","G0",,"54",,"16.6","11.21","23.74","percent of total billed charges",,
"OT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Wellcare","Medicare Advantage","G0",,"54",,"16.6","11.21","23.74","percent of total billed charges",,
"OT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Amerigroup","Medicaid Managed Care","G0",,"37",,"11.21","11.21","23.74","percent of total billed charges",,
"OT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Caresource","Medicaid Managed Care","G0",,"40",,"12.25","11.21","23.74","percent of total billed charges",,
"OT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Wellcare","Medicaid Managed Care","G0",,"40",,"12.41","11.21","23.74","percent of total billed charges",,
"OT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Aetna","Commercial","G0",,"64",,"19.54","11.21","23.74","percent of total billed charges",,
"OT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Blue Cross Blue Shield","Pathways","G0",,"71",,"21.62","11.21","23.74","percent of total billed charges",,
"OT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Blue Cross Blue Shield","HMO","G0",,"71",,"21.62","11.21","23.74","percent of total billed charges",,
"OT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Blue Cross Blue Shield","PPO","G0",,"71",,"21.62","11.21","23.74","percent of total billed charges",,
"OT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Ambetter","Health Exchange","G0",,"62",,"18.99","11.21","23.74","percent of total billed charges",,
"OT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Caresource","Health Exchange","G0",,"62",,"18.99","11.21","23.74","percent of total billed charges",,
"OT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Cigna","Commercial","G0",,"59",,"17.95","11.21","23.74","percent of total billed charges",,
"OT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Humana","Commercial","G0",,"78",,"23.74","11.21","23.74","percent of total billed charges",,
"OT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","UHC","Commercial","G0",,"75",,"23.1","11.21","23.74","percent of total billed charges",,
"OT CAREGIVER TRAINING GROUP","97552","HCPCS","Both",,,"30.63","15.315","Medicaid",,"G0",,"37",,"11.21","11.21","23.74","percent of total billed charges",,
"INCISION & DRAINAGE ISCHIORECTAL/PERIREC","46040","HCPCS","Both",,,"400","200","Alliant","Health Exchange","",,"62",,"248","146.4","3094.19","percent of total billed charges",,
"INCISION & DRAINAGE ISCHIORECTAL/PERIREC","46040","HCPCS","Both",,,"400","200","Pruitt Healthcare","Medicare Advantage","",,"54",,"216","146.4","3094.19","percent of total billed charges",,
"INCISION & DRAINAGE ISCHIORECTAL/PERIREC","46040","HCPCS","Both",,,"400","200","Medicare",,"",,"54",,"216.8","146.4","3094.19","percent of total billed charges",,
"INCISION & DRAINAGE ISCHIORECTAL/PERIREC","46040","HCPCS","Both",,,"400","200","Humana","Medicare Advantage","",,"54",,"216.8","146.4","3094.19","percent of total billed charges",,
"INCISION & DRAINAGE ISCHIORECTAL/PERIREC","46040","HCPCS","Both",,,"400","200","UHC","Medicare Advantage","",,"54",,"216.8","146.4","3094.19","percent of total billed charges",,
"INCISION & DRAINAGE ISCHIORECTAL/PERIREC","46040","HCPCS","Both",,,"400","200","Clover","Medicare Advantage","",,"54",,"216.8","146.4","3094.19","percent of total billed charges",,
"INCISION & DRAINAGE ISCHIORECTAL/PERIREC","46040","HCPCS","Both",,,"400","200","Wellcare","Medicare Advantage","",,"54",,"216.8","146.4","3094.19","percent of total billed charges",,
"INCISION & DRAINAGE ISCHIORECTAL/PERIREC","46040","HCPCS","Both",,,"400","200","Amerigroup","Medicaid Managed Care","",,"37",,"146.4","146.4","3094.19","percent of total billed charges",,
"INCISION & DRAINAGE ISCHIORECTAL/PERIREC","46040","HCPCS","Both",,,"400","200","Caresource","Medicaid Managed Care","",,"40",,"160","146.4","3094.19","percent of total billed charges",,
"INCISION & DRAINAGE ISCHIORECTAL/PERIREC","46040","HCPCS","Both",,,"400","200","Wellcare","Medicaid Managed Care","",,"40",,"162","146.4","3094.19","percent of total billed charges",,
"INCISION & DRAINAGE ISCHIORECTAL/PERIREC","46040","HCPCS","Both",,,"400","200","Aetna","Commercial","",,"64",,"255.2","146.4","3094.19","percent of total billed charges",,
"INCISION & DRAINAGE ISCHIORECTAL/PERIREC","46040","HCPCS","Both",,,"400","200","Blue Cross Blue Shield","Pathways","",,"71",,"282.4","146.4","3094.19","percent of total billed charges",,
"INCISION & DRAINAGE ISCHIORECTAL/PERIREC","46040","HCPCS","Both",,,"400","200","Blue Cross Blue Shield","HMO","",,"71",,"282.4","146.4","3094.19","percent of total billed charges",,
"INCISION & DRAINAGE ISCHIORECTAL/PERIREC","46040","HCPCS","Both",,,"400","200","Blue Cross Blue Shield","PPO","",,"71",,"282.4","146.4","3094.19","percent of total billed charges",,
"INCISION & DRAINAGE ISCHIORECTAL/PERIREC","46040","HCPCS","Both",,,"400","200","Ambetter","Health Exchange","",,"62",,"248","146.4","3094.19","percent of total billed charges",,
"INCISION & DRAINAGE ISCHIORECTAL/PERIREC","46040","HCPCS","Both",,,"400","200","Caresource","Health Exchange","",,"62",,"248","146.4","3094.19","percent of total billed charges",,
"INCISION & DRAINAGE ISCHIORECTAL/PERIREC","46040","HCPCS","Both",,,"400","200","Cigna","Commercial","",,"59",,"234.4","146.4","3094.19","percent of total billed charges",,
"INCISION & DRAINAGE ISCHIORECTAL/PERIREC","46040","HCPCS","Both",,,"400","200","Humana","Commercial","",,"78",,"310","146.4","3094.19","percent of total billed charges",,
"INCISION & DRAINAGE ISCHIORECTAL/PERIREC","46040","HCPCS","Both",,,"400","200","UHC","Commercial","",,"75",,"301.6","146.4","3094.19","percent of total billed charges",,
"INCISION & DRAINAGE ISCHIORECTAL/PERIREC","46040","HCPCS","Both",,,"400","200","Medicaid",,"",,"37",,"146.4","146.4","3094.19","percent of total billed charges",,
"INCISION & DRAINAGE ISCHIORECTAL/PERIREC","46040","HCPCS","Both",,,"400","200","Alliant","Health Exchange","",,"62",,"248","146.4","3094.19","percent of total billed charges",,
"INCISION & DRAINAGE ISCHIORECTAL/PERIREC","46040","HCPCS","Both",,,"400","200","Pruitt Healthcare","Medicare Advantage","",,"54",,"216","146.4","3094.19","percent of total billed charges",,
"INCISION & DRAINAGE ISCHIORECTAL/PERIREC","46040","HCPCS","Both",,,"400","200","Medicare",,"",,"54",,"216.8","146.4","3094.19","percent of total billed charges",,
"INCISION & DRAINAGE ISCHIORECTAL/PERIREC","46040","HCPCS","Both",,,"400","200","Humana","Medicare Advantage","",,"54",,"216.8","146.4","3094.19","percent of total billed charges",,
"INCISION & DRAINAGE ISCHIORECTAL/PERIREC","46040","HCPCS","Both",,,"400","200","UHC","Medicare Advantage","",,"54",,"216.8","146.4","3094.19","percent of total billed charges",,
"INCISION & DRAINAGE ISCHIORECTAL/PERIREC","46040","HCPCS","Both",,,"400","200","Clover","Medicare Advantage","",,"54",,"216.8","146.4","3094.19","percent of total billed charges",,
"INCISION & DRAINAGE ISCHIORECTAL/PERIREC","46040","HCPCS","Both",,,"400","200","Wellcare","Medicare Advantage","",,"54",,"216.8","146.4","3094.19","percent of total billed charges",,
"INCISION & DRAINAGE ISCHIORECTAL/PERIREC","46040","HCPCS","Both",,,"400","200","Amerigroup","Medicaid Managed Care","",,"37",,"146.4","146.4","3094.19","percent of total billed charges",,
"INCISION & DRAINAGE ISCHIORECTAL/PERIREC","46040","HCPCS","Both",,,"400","200","Caresource","Medicaid Managed Care","",,"40",,"160","146.4","3094.19","percent of total billed charges",,
"INCISION & DRAINAGE ISCHIORECTAL/PERIREC","46040","HCPCS","Both",,,"400","200","Wellcare","Medicaid Managed Care","",,"40",,"162","146.4","3094.19","percent of total billed charges",,
"INCISION & DRAINAGE ISCHIORECTAL/PERIREC","46040","HCPCS","Both",,,"400","200","Aetna","Commercial","",,"64",,"255.2","146.4","3094.19","percent of total billed charges",,
"INCISION & DRAINAGE ISCHIORECTAL/PERIREC","46040","HCPCS","Both",,,"400","200","Blue Cross Blue Shield","Pathways","",,"71",,"282.4","146.4","3094.19","percent of total billed charges",,
"INCISION & DRAINAGE ISCHIORECTAL/PERIREC","46040","HCPCS","Both",,,"400","200","Blue Cross Blue Shield","HMO","",,"71",,"282.4","146.4","3094.19","percent of total billed charges",,
"INCISION & DRAINAGE ISCHIORECTAL/PERIREC","46040","HCPCS","Both",,,"400","200","Blue Cross Blue Shield","PPO","",,"71",,"282.4","146.4","3094.19","percent of total billed charges",,
"INCISION & DRAINAGE ISCHIORECTAL/PERIREC","46040","HCPCS","Both",,,"400","200","Ambetter","Health Exchange","",,"62",,"248","146.4","3094.19","percent of total billed charges",,
"INCISION & DRAINAGE ISCHIORECTAL/PERIREC","46040","HCPCS","Both",,,"400","200","Caresource","Health Exchange","",,"62",,"248","146.4","3094.19","percent of total billed charges",,
"INCISION & DRAINAGE ISCHIORECTAL/PERIREC","46040","HCPCS","Both",,,"400","200","Cigna","Commercial","",,"59",,"234.4","146.4","3094.19","percent of total billed charges",,
"INCISION & DRAINAGE ISCHIORECTAL/PERIREC","46040","HCPCS","Both",,,"400","200","Humana","Commercial","",,"78",,"310","146.4","3094.19","percent of total billed charges",,
"INCISION & DRAINAGE ISCHIORECTAL/PERIREC","46040","HCPCS","Both",,,"400","200","UHC","Commercial","",,"75",,"301.6","146.4","3094.19","percent of total billed charges",,
"INCISION & DRAINAGE ISCHIORECTAL/PERIREC","46040","HCPCS","Both",,,"400","200","Medicaid",,"",,"37",,"146.4","146.4","3094.19","percent of total billed charges",,
"NEW PATIENT O/P VISIT","99204","HCPCS","Both",,,"128","64","Alliant","Health Exchange","",,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"NEW PATIENT O/P VISIT","99204","HCPCS","Both",,,"128","64","Pruitt Healthcare","Medicare Advantage","",,"54",,"69.12","46.85","99.2","percent of total billed charges",,
"NEW PATIENT O/P VISIT","99204","HCPCS","Both",,,"128","64","Medicare",,"",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"NEW PATIENT O/P VISIT","99204","HCPCS","Both",,,"128","64","Humana","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"NEW PATIENT O/P VISIT","99204","HCPCS","Both",,,"128","64","UHC","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"NEW PATIENT O/P VISIT","99204","HCPCS","Both",,,"128","64","Clover","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"NEW PATIENT O/P VISIT","99204","HCPCS","Both",,,"128","64","Wellcare","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"NEW PATIENT O/P VISIT","99204","HCPCS","Both",,,"128","64","Amerigroup","Medicaid Managed Care","",,"37",,"46.85","46.85","99.2","percent of total billed charges",,
"NEW PATIENT O/P VISIT","99204","HCPCS","Both",,,"128","64","Caresource","Medicaid Managed Care","",,"40",,"51.2","46.85","99.2","percent of total billed charges",,
"NEW PATIENT O/P VISIT","99204","HCPCS","Both",,,"128","64","Wellcare","Medicaid Managed Care","",,"40",,"51.84","46.85","99.2","percent of total billed charges",,
"NEW PATIENT O/P VISIT","99204","HCPCS","Both",,,"128","64","Aetna","Commercial","",,"64",,"81.66","46.85","99.2","percent of total billed charges",,
"NEW PATIENT O/P VISIT","99204","HCPCS","Both",,,"128","64","Blue Cross Blue Shield","Pathways","",,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"NEW PATIENT O/P VISIT","99204","HCPCS","Both",,,"128","64","Blue Cross Blue Shield","HMO","",,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"NEW PATIENT O/P VISIT","99204","HCPCS","Both",,,"128","64","Blue Cross Blue Shield","PPO","",,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"NEW PATIENT O/P VISIT","99204","HCPCS","Both",,,"128","64","Ambetter","Health Exchange","",,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"NEW PATIENT O/P VISIT","99204","HCPCS","Both",,,"128","64","Caresource","Health Exchange","",,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"NEW PATIENT O/P VISIT","99204","HCPCS","Both",,,"128","64","Cigna","Commercial","",,"59",,"75.01","46.85","99.2","percent of total billed charges",,
"NEW PATIENT O/P VISIT","99204","HCPCS","Both",,,"128","64","Humana","Commercial","",,"78",,"99.2","46.85","99.2","percent of total billed charges",,
"NEW PATIENT O/P VISIT","99204","HCPCS","Both",,,"128","64","UHC","Commercial","",,"75",,"96.51","46.85","99.2","percent of total billed charges",,
"NEW PATIENT O/P VISIT","99204","HCPCS","Both",,,"128","64","Medicaid",,"",,"37",,"46.85","46.85","99.2","percent of total billed charges",,
"ESTABLISHED O/P VISIT","99215","HCPCS","Both",,,"110","55","Alliant","Health Exchange","",,"62",,"68.2","40.26","85.25","percent of total billed charges",,
"ESTABLISHED O/P VISIT","99215","HCPCS","Both",,,"110","55","Pruitt Healthcare","Medicare Advantage","",,"54",,"59.4","40.26","85.25","percent of total billed charges",,
"ESTABLISHED O/P VISIT","99215","HCPCS","Both",,,"110","55","Medicare",,"",,"54",,"59.62","40.26","85.25","percent of total billed charges",,
"ESTABLISHED O/P VISIT","99215","HCPCS","Both",,,"110","55","Humana","Medicare Advantage","",,"54",,"59.62","40.26","85.25","percent of total billed charges",,
"ESTABLISHED O/P VISIT","99215","HCPCS","Both",,,"110","55","UHC","Medicare Advantage","",,"54",,"59.62","40.26","85.25","percent of total billed charges",,
"ESTABLISHED O/P VISIT","99215","HCPCS","Both",,,"110","55","Clover","Medicare Advantage","",,"54",,"59.62","40.26","85.25","percent of total billed charges",,
"ESTABLISHED O/P VISIT","99215","HCPCS","Both",,,"110","55","Wellcare","Medicare Advantage","",,"54",,"59.62","40.26","85.25","percent of total billed charges",,
"ESTABLISHED O/P VISIT","99215","HCPCS","Both",,,"110","55","Amerigroup","Medicaid Managed Care","",,"37",,"40.26","40.26","85.25","percent of total billed charges",,
"ESTABLISHED O/P VISIT","99215","HCPCS","Both",,,"110","55","Caresource","Medicaid Managed Care","",,"40",,"44","40.26","85.25","percent of total billed charges",,
"ESTABLISHED O/P VISIT","99215","HCPCS","Both",,,"110","55","Wellcare","Medicaid Managed Care","",,"40",,"44.55","40.26","85.25","percent of total billed charges",,
"ESTABLISHED O/P VISIT","99215","HCPCS","Both",,,"110","55","Aetna","Commercial","",,"64",,"70.18","40.26","85.25","percent of total billed charges",,
"ESTABLISHED O/P VISIT","99215","HCPCS","Both",,,"110","55","Blue Cross Blue Shield","Pathways","",,"71",,"77.66","40.26","85.25","percent of total billed charges",,
"ESTABLISHED O/P VISIT","99215","HCPCS","Both",,,"110","55","Blue Cross Blue Shield","HMO","",,"71",,"77.66","40.26","85.25","percent of total billed charges",,
"ESTABLISHED O/P VISIT","99215","HCPCS","Both",,,"110","55","Blue Cross Blue Shield","PPO","",,"71",,"77.66","40.26","85.25","percent of total billed charges",,
"ESTABLISHED O/P VISIT","99215","HCPCS","Both",,,"110","55","Ambetter","Health Exchange","",,"62",,"68.2","40.26","85.25","percent of total billed charges",,
"ESTABLISHED O/P VISIT","99215","HCPCS","Both",,,"110","55","Caresource","Health Exchange","",,"62",,"68.2","40.26","85.25","percent of total billed charges",,
"ESTABLISHED O/P VISIT","99215","HCPCS","Both",,,"110","55","Cigna","Commercial","",,"59",,"64.46","40.26","85.25","percent of total billed charges",,
"ESTABLISHED O/P VISIT","99215","HCPCS","Both",,,"110","55","Humana","Commercial","",,"78",,"85.25","40.26","85.25","percent of total billed charges",,
"ESTABLISHED O/P VISIT","99215","HCPCS","Both",,,"110","55","UHC","Commercial","",,"75",,"82.94","40.26","85.25","percent of total billed charges",,
"ESTABLISHED O/P VISIT","99215","HCPCS","Both",,,"110","55","Medicaid",,"",,"37",,"40.26","40.26","85.25","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"22.68","11.34","Alliant","Health Exchange","RT,26",,"62",,"14.06","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"22.68","11.34","Pruitt Healthcare","Medicare Advantage","RT,26",,"54",,"12.25","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"22.68","11.34","Medicare",,"RT,26",,"54",,"12.29","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"22.68","11.34","Humana","Medicare Advantage","RT,26",,"54",,"12.29","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"22.68","11.34","UHC","Medicare Advantage","RT,26",,"54",,"12.29","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"22.68","11.34","Clover","Medicare Advantage","RT,26",,"54",,"12.29","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"22.68","11.34","Wellcare","Medicare Advantage","RT,26",,"54",,"12.29","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"22.68","11.34","Amerigroup","Medicaid Managed Care","RT,26",,"37",,"8.3","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"22.68","11.34","Caresource","Medicaid Managed Care","RT,26",,"40",,"9.07","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"22.68","11.34","Wellcare","Medicaid Managed Care","RT,26",,"40",,"9.19","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"22.68","11.34","Aetna","Commercial","RT,26",,"64",,"14.47","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"22.68","11.34","Blue Cross Blue Shield","Pathways","RT,26",,"71",,"16.01","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"22.68","11.34","Blue Cross Blue Shield","HMO","RT,26",,"71",,"16.01","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"22.68","11.34","Blue Cross Blue Shield","PPO","RT,26",,"71",,"16.01","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"22.68","11.34","Ambetter","Health Exchange","RT,26",,"62",,"14.06","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"22.68","11.34","Caresource","Health Exchange","RT,26",,"62",,"14.06","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"22.68","11.34","Cigna","Commercial","RT,26",,"59",,"13.29","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"22.68","11.34","Humana","Commercial","RT,26",,"78",,"17.58","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"22.68","11.34","UHC","Commercial","RT,26",,"75",,"17.1","8.3","204.99","percent of total billed charges",,
"XR AH HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"22.68","11.34","Medicaid",,"RT,26",,"37",,"8.3","8.3","204.99","percent of total billed charges",,
"HEAD (SALIVARY GLANDS)","00100","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"HEAD (SALIVARY GLANDS)","00100","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"HEAD (SALIVARY GLANDS)","00100","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"HEAD (SALIVARY GLANDS)","00100","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"HEAD (SALIVARY GLANDS)","00100","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"HEAD (SALIVARY GLANDS)","00100","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"HEAD (SALIVARY GLANDS)","00100","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"HEAD (SALIVARY GLANDS)","00100","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"HEAD (SALIVARY GLANDS)","00100","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"HEAD (SALIVARY GLANDS)","00100","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"HEAD (SALIVARY GLANDS)","00100","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"HEAD (SALIVARY GLANDS)","00100","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"HEAD (SALIVARY GLANDS)","00100","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"HEAD (SALIVARY GLANDS)","00100","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"HEAD (SALIVARY GLANDS)","00100","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"HEAD (SALIVARY GLANDS)","00100","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"HEAD (SALIVARY GLANDS)","00100","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"HEAD (SALIVARY GLANDS)","00100","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"HEAD (SALIVARY GLANDS)","00100","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"HEAD (SALIVARY GLANDS)","00100","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"HEAD (EAR,EXT,MID,INNER)","00120","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"HEAD (EAR,EXT,MID,INNER)","00120","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"HEAD (EAR,EXT,MID,INNER)","00120","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"HEAD (EAR,EXT,MID,INNER)","00120","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"HEAD (EAR,EXT,MID,INNER)","00120","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"HEAD (EAR,EXT,MID,INNER)","00120","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"HEAD (EAR,EXT,MID,INNER)","00120","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"HEAD (EAR,EXT,MID,INNER)","00120","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"HEAD (EAR,EXT,MID,INNER)","00120","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"HEAD (EAR,EXT,MID,INNER)","00120","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"HEAD (EAR,EXT,MID,INNER)","00120","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"HEAD (EAR,EXT,MID,INNER)","00120","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"HEAD (EAR,EXT,MID,INNER)","00120","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"HEAD (EAR,EXT,MID,INNER)","00120","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"HEAD (EAR,EXT,MID,INNER)","00120","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"HEAD (EAR,EXT,MID,INNER)","00120","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"HEAD (EAR,EXT,MID,INNER)","00120","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"HEAD (EAR,EXT,MID,INNER)","00120","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"HEAD (EAR,EXT,MID,INNER)","00120","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"HEAD (EAR,EXT,MID,INNER)","00120","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"HEAD (OTOSCOPY)","00124","HCPCS","Both",,,"15","7.5","Alliant","Health Exchange","",,"62",,"9.3","5.49","11.62","percent of total billed charges",,
"HEAD (OTOSCOPY)","00124","HCPCS","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"8.1","5.49","11.62","percent of total billed charges",,
"HEAD (OTOSCOPY)","00124","HCPCS","Both",,,"15","7.5","Medicare",,"",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"HEAD (OTOSCOPY)","00124","HCPCS","Both",,,"15","7.5","Humana","Medicare Advantage","",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"HEAD (OTOSCOPY)","00124","HCPCS","Both",,,"15","7.5","UHC","Medicare Advantage","",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"HEAD (OTOSCOPY)","00124","HCPCS","Both",,,"15","7.5","Clover","Medicare Advantage","",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"HEAD (OTOSCOPY)","00124","HCPCS","Both",,,"15","7.5","Wellcare","Medicare Advantage","",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"HEAD (OTOSCOPY)","00124","HCPCS","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care","",,"37",,"5.49","5.49","11.62","percent of total billed charges",,
"HEAD (OTOSCOPY)","00124","HCPCS","Both",,,"15","7.5","Caresource","Medicaid Managed Care","",,"40",,"6","5.49","11.62","percent of total billed charges",,
"HEAD (OTOSCOPY)","00124","HCPCS","Both",,,"15","7.5","Wellcare","Medicaid Managed Care","",,"40",,"6.08","5.49","11.62","percent of total billed charges",,
"HEAD (OTOSCOPY)","00124","HCPCS","Both",,,"15","7.5","Aetna","Commercial","",,"64",,"9.57","5.49","11.62","percent of total billed charges",,
"HEAD (OTOSCOPY)","00124","HCPCS","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways","",,"71",,"10.59","5.49","11.62","percent of total billed charges",,
"HEAD (OTOSCOPY)","00124","HCPCS","Both",,,"15","7.5","Blue Cross Blue Shield","HMO","",,"71",,"10.59","5.49","11.62","percent of total billed charges",,
"HEAD (OTOSCOPY)","00124","HCPCS","Both",,,"15","7.5","Blue Cross Blue Shield","PPO","",,"71",,"10.59","5.49","11.62","percent of total billed charges",,
"HEAD (OTOSCOPY)","00124","HCPCS","Both",,,"15","7.5","Ambetter","Health Exchange","",,"62",,"9.3","5.49","11.62","percent of total billed charges",,
"HEAD (OTOSCOPY)","00124","HCPCS","Both",,,"15","7.5","Caresource","Health Exchange","",,"62",,"9.3","5.49","11.62","percent of total billed charges",,
"HEAD (OTOSCOPY)","00124","HCPCS","Both",,,"15","7.5","Cigna","Commercial","",,"59",,"8.79","5.49","11.62","percent of total billed charges",,
"HEAD (OTOSCOPY)","00124","HCPCS","Both",,,"15","7.5","Humana","Commercial","",,"78",,"11.62","5.49","11.62","percent of total billed charges",,
"HEAD (OTOSCOPY)","00124","HCPCS","Both",,,"15","7.5","UHC","Commercial","",,"75",,"11.31","5.49","11.62","percent of total billed charges",,
"HEAD (OTOSCOPY)","00124","HCPCS","Both",,,"15","7.5","Medicaid",,"",,"37",,"5.49","5.49","11.62","percent of total billed charges",,
"HEAD (NOSE & ACCESS SINUSES)","00160","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"HEAD (NOSE & ACCESS SINUSES)","00160","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"HEAD (NOSE & ACCESS SINUSES)","00160","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"HEAD (NOSE & ACCESS SINUSES)","00160","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"HEAD (NOSE & ACCESS SINUSES)","00160","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"HEAD (NOSE & ACCESS SINUSES)","00160","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"HEAD (NOSE & ACCESS SINUSES)","00160","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"HEAD (NOSE & ACCESS SINUSES)","00160","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"HEAD (NOSE & ACCESS SINUSES)","00160","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"HEAD (NOSE & ACCESS SINUSES)","00160","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"HEAD (NOSE & ACCESS SINUSES)","00160","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"HEAD (NOSE & ACCESS SINUSES)","00160","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"HEAD (NOSE & ACCESS SINUSES)","00160","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"HEAD (NOSE & ACCESS SINUSES)","00160","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"HEAD (NOSE & ACCESS SINUSES)","00160","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"HEAD (NOSE & ACCESS SINUSES)","00160","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"HEAD (NOSE & ACCESS SINUSES)","00160","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"HEAD (NOSE & ACCESS SINUSES)","00160","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"HEAD (NOSE & ACCESS SINUSES)","00160","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"HEAD (NOSE & ACCESS SINUSES)","00160","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"HEAD (BIOPSY SOFT TISSUE)","00164","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"HEAD (BIOPSY SOFT TISSUE)","00164","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"HEAD (BIOPSY SOFT TISSUE)","00164","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"HEAD (BIOPSY SOFT TISSUE)","00164","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"HEAD (BIOPSY SOFT TISSUE)","00164","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"HEAD (BIOPSY SOFT TISSUE)","00164","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"HEAD (BIOPSY SOFT TISSUE)","00164","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"HEAD (BIOPSY SOFT TISSUE)","00164","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"HEAD (BIOPSY SOFT TISSUE)","00164","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"HEAD (BIOPSY SOFT TISSUE)","00164","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"HEAD (BIOPSY SOFT TISSUE)","00164","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"HEAD (BIOPSY SOFT TISSUE)","00164","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"HEAD (BIOPSY SOFT TISSUE)","00164","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"HEAD (BIOPSY SOFT TISSUE)","00164","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"HEAD (BIOPSY SOFT TISSUE)","00164","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"HEAD (BIOPSY SOFT TISSUE)","00164","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"HEAD (BIOPSY SOFT TISSUE)","00164","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"HEAD (BIOPSY SOFT TISSUE)","00164","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"HEAD (BIOPSY SOFT TISSUE)","00164","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"HEAD (BIOPSY SOFT TISSUE)","00164","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"HEAD (INTRAORAL)","00170","HCPCS","Both",,,"63.5","31.75","Alliant","Health Exchange","",,"62",,"39.37","23.24","49.21","percent of total billed charges",,
"HEAD (INTRAORAL)","00170","HCPCS","Both",,,"63.5","31.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"34.29","23.24","49.21","percent of total billed charges",,
"HEAD (INTRAORAL)","00170","HCPCS","Both",,,"63.5","31.75","Medicare",,"",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"HEAD (INTRAORAL)","00170","HCPCS","Both",,,"63.5","31.75","Humana","Medicare Advantage","",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"HEAD (INTRAORAL)","00170","HCPCS","Both",,,"63.5","31.75","UHC","Medicare Advantage","",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"HEAD (INTRAORAL)","00170","HCPCS","Both",,,"63.5","31.75","Clover","Medicare Advantage","",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"HEAD (INTRAORAL)","00170","HCPCS","Both",,,"63.5","31.75","Wellcare","Medicare Advantage","",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"HEAD (INTRAORAL)","00170","HCPCS","Both",,,"63.5","31.75","Amerigroup","Medicaid Managed Care","",,"37",,"23.24","23.24","49.21","percent of total billed charges",,
"HEAD (INTRAORAL)","00170","HCPCS","Both",,,"63.5","31.75","Caresource","Medicaid Managed Care","",,"40",,"25.4","23.24","49.21","percent of total billed charges",,
"HEAD (INTRAORAL)","00170","HCPCS","Both",,,"63.5","31.75","Wellcare","Medicaid Managed Care","",,"40",,"25.72","23.24","49.21","percent of total billed charges",,
"HEAD (INTRAORAL)","00170","HCPCS","Both",,,"63.5","31.75","Aetna","Commercial","",,"64",,"40.51","23.24","49.21","percent of total billed charges",,
"HEAD (INTRAORAL)","00170","HCPCS","Both",,,"63.5","31.75","Blue Cross Blue Shield","Pathways","",,"71",,"44.83","23.24","49.21","percent of total billed charges",,
"HEAD (INTRAORAL)","00170","HCPCS","Both",,,"63.5","31.75","Blue Cross Blue Shield","HMO","",,"71",,"44.83","23.24","49.21","percent of total billed charges",,
"HEAD (INTRAORAL)","00170","HCPCS","Both",,,"63.5","31.75","Blue Cross Blue Shield","PPO","",,"71",,"44.83","23.24","49.21","percent of total billed charges",,
"HEAD (INTRAORAL)","00170","HCPCS","Both",,,"63.5","31.75","Ambetter","Health Exchange","",,"62",,"39.37","23.24","49.21","percent of total billed charges",,
"HEAD (INTRAORAL)","00170","HCPCS","Both",,,"63.5","31.75","Caresource","Health Exchange","",,"62",,"39.37","23.24","49.21","percent of total billed charges",,
"HEAD (INTRAORAL)","00170","HCPCS","Both",,,"63.5","31.75","Cigna","Commercial","",,"59",,"37.21","23.24","49.21","percent of total billed charges",,
"HEAD (INTRAORAL)","00170","HCPCS","Both",,,"63.5","31.75","Humana","Commercial","",,"78",,"49.21","23.24","49.21","percent of total billed charges",,
"HEAD (INTRAORAL)","00170","HCPCS","Both",,,"63.5","31.75","UHC","Commercial","",,"75",,"47.88","23.24","49.21","percent of total billed charges",,
"HEAD (INTRAORAL)","00170","HCPCS","Both",,,"63.5","31.75","Medicaid",,"",,"37",,"23.24","23.24","49.21","percent of total billed charges",,
"NECK (INTEGUMENTARY)","00300","HCPCS","Both",,,"9","4.5","Alliant","Health Exchange","",,"62",,"5.58","3.29","6.98","percent of total billed charges",,
"NECK (INTEGUMENTARY)","00300","HCPCS","Both",,,"9","4.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"4.86","3.29","6.98","percent of total billed charges",,
"NECK (INTEGUMENTARY)","00300","HCPCS","Both",,,"9","4.5","Medicare",,"",,"54",,"4.88","3.29","6.98","percent of total billed charges",,
"NECK (INTEGUMENTARY)","00300","HCPCS","Both",,,"9","4.5","Humana","Medicare Advantage","",,"54",,"4.88","3.29","6.98","percent of total billed charges",,
"NECK (INTEGUMENTARY)","00300","HCPCS","Both",,,"9","4.5","UHC","Medicare Advantage","",,"54",,"4.88","3.29","6.98","percent of total billed charges",,
"NECK (INTEGUMENTARY)","00300","HCPCS","Both",,,"9","4.5","Clover","Medicare Advantage","",,"54",,"4.88","3.29","6.98","percent of total billed charges",,
"NECK (INTEGUMENTARY)","00300","HCPCS","Both",,,"9","4.5","Wellcare","Medicare Advantage","",,"54",,"4.88","3.29","6.98","percent of total billed charges",,
"NECK (INTEGUMENTARY)","00300","HCPCS","Both",,,"9","4.5","Amerigroup","Medicaid Managed Care","",,"37",,"3.29","3.29","6.98","percent of total billed charges",,
"NECK (INTEGUMENTARY)","00300","HCPCS","Both",,,"9","4.5","Caresource","Medicaid Managed Care","",,"40",,"3.6","3.29","6.98","percent of total billed charges",,
"NECK (INTEGUMENTARY)","00300","HCPCS","Both",,,"9","4.5","Wellcare","Medicaid Managed Care","",,"40",,"3.65","3.29","6.98","percent of total billed charges",,
"NECK (INTEGUMENTARY)","00300","HCPCS","Both",,,"9","4.5","Aetna","Commercial","",,"64",,"5.74","3.29","6.98","percent of total billed charges",,
"NECK (INTEGUMENTARY)","00300","HCPCS","Both",,,"9","4.5","Blue Cross Blue Shield","Pathways","",,"71",,"6.35","3.29","6.98","percent of total billed charges",,
"NECK (INTEGUMENTARY)","00300","HCPCS","Both",,,"9","4.5","Blue Cross Blue Shield","HMO","",,"71",,"6.35","3.29","6.98","percent of total billed charges",,
"NECK (INTEGUMENTARY)","00300","HCPCS","Both",,,"9","4.5","Blue Cross Blue Shield","PPO","",,"71",,"6.35","3.29","6.98","percent of total billed charges",,
"NECK (INTEGUMENTARY)","00300","HCPCS","Both",,,"9","4.5","Ambetter","Health Exchange","",,"62",,"5.58","3.29","6.98","percent of total billed charges",,
"NECK (INTEGUMENTARY)","00300","HCPCS","Both",,,"9","4.5","Caresource","Health Exchange","",,"62",,"5.58","3.29","6.98","percent of total billed charges",,
"NECK (INTEGUMENTARY)","00300","HCPCS","Both",,,"9","4.5","Cigna","Commercial","",,"59",,"5.27","3.29","6.98","percent of total billed charges",,
"NECK (INTEGUMENTARY)","00300","HCPCS","Both",,,"9","4.5","Humana","Commercial","",,"78",,"6.98","3.29","6.98","percent of total billed charges",,
"NECK (INTEGUMENTARY)","00300","HCPCS","Both",,,"9","4.5","UHC","Commercial","",,"75",,"6.79","3.29","6.98","percent of total billed charges",,
"NECK (INTEGUMENTARY)","00300","HCPCS","Both",,,"9","4.5","Medicaid",,"",,"37",,"3.29","3.29","6.98","percent of total billed charges",,
"NECK (ESOPHAGUS,THROAT,LARYNYX,TRACH)","00320","HCPCS","Both",,,"55.5","27.75","Alliant","Health Exchange","",,"62",,"34.41","20.31","43.01","percent of total billed charges",,
"NECK (ESOPHAGUS,THROAT,LARYNYX,TRACH)","00320","HCPCS","Both",,,"55.5","27.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"29.97","20.31","43.01","percent of total billed charges",,
"NECK (ESOPHAGUS,THROAT,LARYNYX,TRACH)","00320","HCPCS","Both",,,"55.5","27.75","Medicare",,"",,"54",,"30.08","20.31","43.01","percent of total billed charges",,
"NECK (ESOPHAGUS,THROAT,LARYNYX,TRACH)","00320","HCPCS","Both",,,"55.5","27.75","Humana","Medicare Advantage","",,"54",,"30.08","20.31","43.01","percent of total billed charges",,
"NECK (ESOPHAGUS,THROAT,LARYNYX,TRACH)","00320","HCPCS","Both",,,"55.5","27.75","UHC","Medicare Advantage","",,"54",,"30.08","20.31","43.01","percent of total billed charges",,
"NECK (ESOPHAGUS,THROAT,LARYNYX,TRACH)","00320","HCPCS","Both",,,"55.5","27.75","Clover","Medicare Advantage","",,"54",,"30.08","20.31","43.01","percent of total billed charges",,
"NECK (ESOPHAGUS,THROAT,LARYNYX,TRACH)","00320","HCPCS","Both",,,"55.5","27.75","Wellcare","Medicare Advantage","",,"54",,"30.08","20.31","43.01","percent of total billed charges",,
"NECK (ESOPHAGUS,THROAT,LARYNYX,TRACH)","00320","HCPCS","Both",,,"55.5","27.75","Amerigroup","Medicaid Managed Care","",,"37",,"20.31","20.31","43.01","percent of total billed charges",,
"NECK (ESOPHAGUS,THROAT,LARYNYX,TRACH)","00320","HCPCS","Both",,,"55.5","27.75","Caresource","Medicaid Managed Care","",,"40",,"22.2","20.31","43.01","percent of total billed charges",,
"NECK (ESOPHAGUS,THROAT,LARYNYX,TRACH)","00320","HCPCS","Both",,,"55.5","27.75","Wellcare","Medicaid Managed Care","",,"40",,"22.48","20.31","43.01","percent of total billed charges",,
"NECK (ESOPHAGUS,THROAT,LARYNYX,TRACH)","00320","HCPCS","Both",,,"55.5","27.75","Aetna","Commercial","",,"64",,"35.41","20.31","43.01","percent of total billed charges",,
"NECK (ESOPHAGUS,THROAT,LARYNYX,TRACH)","00320","HCPCS","Both",,,"55.5","27.75","Blue Cross Blue Shield","Pathways","",,"71",,"39.18","20.31","43.01","percent of total billed charges",,
"NECK (ESOPHAGUS,THROAT,LARYNYX,TRACH)","00320","HCPCS","Both",,,"55.5","27.75","Blue Cross Blue Shield","HMO","",,"71",,"39.18","20.31","43.01","percent of total billed charges",,
"NECK (ESOPHAGUS,THROAT,LARYNYX,TRACH)","00320","HCPCS","Both",,,"55.5","27.75","Blue Cross Blue Shield","PPO","",,"71",,"39.18","20.31","43.01","percent of total billed charges",,
"NECK (ESOPHAGUS,THROAT,LARYNYX,TRACH)","00320","HCPCS","Both",,,"55.5","27.75","Ambetter","Health Exchange","",,"62",,"34.41","20.31","43.01","percent of total billed charges",,
"NECK (ESOPHAGUS,THROAT,LARYNYX,TRACH)","00320","HCPCS","Both",,,"55.5","27.75","Caresource","Health Exchange","",,"62",,"34.41","20.31","43.01","percent of total billed charges",,
"NECK (ESOPHAGUS,THROAT,LARYNYX,TRACH)","00320","HCPCS","Both",,,"55.5","27.75","Cigna","Commercial","",,"59",,"32.52","20.31","43.01","percent of total billed charges",,
"NECK (ESOPHAGUS,THROAT,LARYNYX,TRACH)","00320","HCPCS","Both",,,"55.5","27.75","Humana","Commercial","",,"78",,"43.01","20.31","43.01","percent of total billed charges",,
"NECK (ESOPHAGUS,THROAT,LARYNYX,TRACH)","00320","HCPCS","Both",,,"55.5","27.75","UHC","Commercial","",,"75",,"41.85","20.31","43.01","percent of total billed charges",,
"NECK (ESOPHAGUS,THROAT,LARYNYX,TRACH)","00320","HCPCS","Both",,,"55.5","27.75","Medicaid",,"",,"37",,"20.31","20.31","43.01","percent of total billed charges",,
"NECK (NEEDLE BIOPSY OF THYROID)","00322","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"NECK (NEEDLE BIOPSY OF THYROID)","00322","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"NECK (NEEDLE BIOPSY OF THYROID)","00322","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"NECK (NEEDLE BIOPSY OF THYROID)","00322","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"NECK (NEEDLE BIOPSY OF THYROID)","00322","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"NECK (NEEDLE BIOPSY OF THYROID)","00322","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"NECK (NEEDLE BIOPSY OF THYROID)","00322","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"NECK (NEEDLE BIOPSY OF THYROID)","00322","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"NECK (NEEDLE BIOPSY OF THYROID)","00322","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"NECK (NEEDLE BIOPSY OF THYROID)","00322","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"NECK (NEEDLE BIOPSY OF THYROID)","00322","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"NECK (NEEDLE BIOPSY OF THYROID)","00322","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"NECK (NEEDLE BIOPSY OF THYROID)","00322","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"NECK (NEEDLE BIOPSY OF THYROID)","00322","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"NECK (NEEDLE BIOPSY OF THYROID)","00322","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"NECK (NEEDLE BIOPSY OF THYROID)","00322","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"NECK (NEEDLE BIOPSY OF THYROID)","00322","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"NECK (NEEDLE BIOPSY OF THYROID)","00322","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"NECK (NEEDLE BIOPSY OF THYROID)","00322","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"NECK (NEEDLE BIOPSY OF THYROID)","00322","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"NECK SIMPLE LIGATION","00352","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"NECK SIMPLE LIGATION","00352","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"NECK SIMPLE LIGATION","00352","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"NECK SIMPLE LIGATION","00352","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"NECK SIMPLE LIGATION","00352","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"NECK SIMPLE LIGATION","00352","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"NECK SIMPLE LIGATION","00352","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"NECK SIMPLE LIGATION","00352","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"NECK SIMPLE LIGATION","00352","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"NECK SIMPLE LIGATION","00352","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"NECK SIMPLE LIGATION","00352","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"NECK SIMPLE LIGATION","00352","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"NECK SIMPLE LIGATION","00352","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"NECK SIMPLE LIGATION","00352","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"NECK SIMPLE LIGATION","00352","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"NECK SIMPLE LIGATION","00352","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"NECK SIMPLE LIGATION","00352","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"NECK SIMPLE LIGATION","00352","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"NECK SIMPLE LIGATION","00352","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"NECK SIMPLE LIGATION","00352","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"THORAX (INTEGUMENTARY SYSTEM)","00400","HCPCS","Both",,,"59","29.5","Alliant","Health Exchange","",,"62",,"36.58","21.59","45.72","percent of total billed charges",,
"THORAX (INTEGUMENTARY SYSTEM)","00400","HCPCS","Both",,,"59","29.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"31.86","21.59","45.72","percent of total billed charges",,
"THORAX (INTEGUMENTARY SYSTEM)","00400","HCPCS","Both",,,"59","29.5","Medicare",,"",,"54",,"31.98","21.59","45.72","percent of total billed charges",,
"THORAX (INTEGUMENTARY SYSTEM)","00400","HCPCS","Both",,,"59","29.5","Humana","Medicare Advantage","",,"54",,"31.98","21.59","45.72","percent of total billed charges",,
"THORAX (INTEGUMENTARY SYSTEM)","00400","HCPCS","Both",,,"59","29.5","UHC","Medicare Advantage","",,"54",,"31.98","21.59","45.72","percent of total billed charges",,
"THORAX (INTEGUMENTARY SYSTEM)","00400","HCPCS","Both",,,"59","29.5","Clover","Medicare Advantage","",,"54",,"31.98","21.59","45.72","percent of total billed charges",,
"THORAX (INTEGUMENTARY SYSTEM)","00400","HCPCS","Both",,,"59","29.5","Wellcare","Medicare Advantage","",,"54",,"31.98","21.59","45.72","percent of total billed charges",,
"THORAX (INTEGUMENTARY SYSTEM)","00400","HCPCS","Both",,,"59","29.5","Amerigroup","Medicaid Managed Care","",,"37",,"21.59","21.59","45.72","percent of total billed charges",,
"THORAX (INTEGUMENTARY SYSTEM)","00400","HCPCS","Both",,,"59","29.5","Caresource","Medicaid Managed Care","",,"40",,"23.6","21.59","45.72","percent of total billed charges",,
"THORAX (INTEGUMENTARY SYSTEM)","00400","HCPCS","Both",,,"59","29.5","Wellcare","Medicaid Managed Care","",,"40",,"23.9","21.59","45.72","percent of total billed charges",,
"THORAX (INTEGUMENTARY SYSTEM)","00400","HCPCS","Both",,,"59","29.5","Aetna","Commercial","",,"64",,"37.64","21.59","45.72","percent of total billed charges",,
"THORAX (INTEGUMENTARY SYSTEM)","00400","HCPCS","Both",,,"59","29.5","Blue Cross Blue Shield","Pathways","",,"71",,"41.65","21.59","45.72","percent of total billed charges",,
"THORAX (INTEGUMENTARY SYSTEM)","00400","HCPCS","Both",,,"59","29.5","Blue Cross Blue Shield","HMO","",,"71",,"41.65","21.59","45.72","percent of total billed charges",,
"THORAX (INTEGUMENTARY SYSTEM)","00400","HCPCS","Both",,,"59","29.5","Blue Cross Blue Shield","PPO","",,"71",,"41.65","21.59","45.72","percent of total billed charges",,
"THORAX (INTEGUMENTARY SYSTEM)","00400","HCPCS","Both",,,"59","29.5","Ambetter","Health Exchange","",,"62",,"36.58","21.59","45.72","percent of total billed charges",,
"THORAX (INTEGUMENTARY SYSTEM)","00400","HCPCS","Both",,,"59","29.5","Caresource","Health Exchange","",,"62",,"36.58","21.59","45.72","percent of total billed charges",,
"THORAX (INTEGUMENTARY SYSTEM)","00400","HCPCS","Both",,,"59","29.5","Cigna","Commercial","",,"59",,"34.57","21.59","45.72","percent of total billed charges",,
"THORAX (INTEGUMENTARY SYSTEM)","00400","HCPCS","Both",,,"59","29.5","Humana","Commercial","",,"78",,"45.72","21.59","45.72","percent of total billed charges",,
"THORAX (INTEGUMENTARY SYSTEM)","00400","HCPCS","Both",,,"59","29.5","UHC","Commercial","",,"75",,"44.49","21.59","45.72","percent of total billed charges",,
"THORAX (INTEGUMENTARY SYSTEM)","00400","HCPCS","Both",,,"59","29.5","Medicaid",,"",,"37",,"21.59","21.59","45.72","percent of total billed charges",,
"THORAX (RADICAL OR MODIFIED BREAST)","00404","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"THORAX (RADICAL OR MODIFIED BREAST)","00404","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"THORAX (RADICAL OR MODIFIED BREAST)","00404","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"THORAX (RADICAL OR MODIFIED BREAST)","00404","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"THORAX (RADICAL OR MODIFIED BREAST)","00404","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"THORAX (RADICAL OR MODIFIED BREAST)","00404","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"THORAX (RADICAL OR MODIFIED BREAST)","00404","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"THORAX (RADICAL OR MODIFIED BREAST)","00404","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"THORAX (RADICAL OR MODIFIED BREAST)","00404","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"THORAX (RADICAL OR MODIFIED BREAST)","00404","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"THORAX (RADICAL OR MODIFIED BREAST)","00404","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"THORAX (RADICAL OR MODIFIED BREAST)","00404","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"THORAX (RADICAL OR MODIFIED BREAST)","00404","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"THORAX (RADICAL OR MODIFIED BREAST)","00404","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"THORAX (RADICAL OR MODIFIED BREAST)","00404","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"THORAX (RADICAL OR MODIFIED BREAST)","00404","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"THORAX (RADICAL OR MODIFIED BREAST)","00404","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"THORAX (RADICAL OR MODIFIED BREAST)","00404","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"THORAX (RADICAL OR MODIFIED BREAST)","00404","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"THORAX (RADICAL OR MODIFIED BREAST)","00404","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"THORAX (ELECTRICAL CONVERSION OF ARRYTH)","00410","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"THORAX (ELECTRICAL CONVERSION OF ARRYTH)","00410","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"THORAX (ELECTRICAL CONVERSION OF ARRYTH)","00410","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"THORAX (ELECTRICAL CONVERSION OF ARRYTH)","00410","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"THORAX (ELECTRICAL CONVERSION OF ARRYTH)","00410","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"THORAX (ELECTRICAL CONVERSION OF ARRYTH)","00410","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"THORAX (ELECTRICAL CONVERSION OF ARRYTH)","00410","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"THORAX (ELECTRICAL CONVERSION OF ARRYTH)","00410","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"THORAX (ELECTRICAL CONVERSION OF ARRYTH)","00410","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"THORAX (ELECTRICAL CONVERSION OF ARRYTH)","00410","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"THORAX (ELECTRICAL CONVERSION OF ARRYTH)","00410","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"THORAX (ELECTRICAL CONVERSION OF ARRYTH)","00410","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"THORAX (ELECTRICAL CONVERSION OF ARRYTH)","00410","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"THORAX (ELECTRICAL CONVERSION OF ARRYTH)","00410","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"THORAX (ELECTRICAL CONVERSION OF ARRYTH)","00410","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"THORAX (ELECTRICAL CONVERSION OF ARRYTH)","00410","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"THORAX (ELECTRICAL CONVERSION OF ARRYTH)","00410","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"THORAX (ELECTRICAL CONVERSION OF ARRYTH)","00410","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"THORAX (ELECTRICAL CONVERSION OF ARRYTH)","00410","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"THORAX (ELECTRICAL CONVERSION OF ARRYTH)","00410","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ESOPHAGUS)","00500","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ESOPHAGUS)","00500","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ESOPHAGUS)","00500","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ESOPHAGUS)","00500","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ESOPHAGUS)","00500","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ESOPHAGUS)","00500","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ESOPHAGUS)","00500","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ESOPHAGUS)","00500","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ESOPHAGUS)","00500","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ESOPHAGUS)","00500","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ESOPHAGUS)","00500","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ESOPHAGUS)","00500","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ESOPHAGUS)","00500","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ESOPHAGUS)","00500","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ESOPHAGUS)","00500","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ESOPHAGUS)","00500","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ESOPHAGUS)","00500","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ESOPHAGUS)","00500","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ESOPHAGUS)","00500","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ESOPHAGUS)","00500","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (CLOSED CHEST)","00520","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (CLOSED CHEST)","00520","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (CLOSED CHEST)","00520","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (CLOSED CHEST)","00520","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (CLOSED CHEST)","00520","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (CLOSED CHEST)","00520","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (CLOSED CHEST)","00520","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (CLOSED CHEST)","00520","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (CLOSED CHEST)","00520","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (CLOSED CHEST)","00520","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (CLOSED CHEST)","00520","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (CLOSED CHEST)","00520","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (CLOSED CHEST)","00520","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (CLOSED CHEST)","00520","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (CLOSED CHEST)","00520","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (CLOSED CHEST)","00520","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (CLOSED CHEST)","00520","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (CLOSED CHEST)","00520","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (CLOSED CHEST)","00520","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (CLOSED CHEST)","00520","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (NEEDLE BIOPSY OF PLEURA)","00522","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (NEEDLE BIOPSY OF PLEURA)","00522","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (NEEDLE BIOPSY OF PLEURA)","00522","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (NEEDLE BIOPSY OF PLEURA)","00522","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (NEEDLE BIOPSY OF PLEURA)","00522","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (NEEDLE BIOPSY OF PLEURA)","00522","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (NEEDLE BIOPSY OF PLEURA)","00522","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (NEEDLE BIOPSY OF PLEURA)","00522","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (NEEDLE BIOPSY OF PLEURA)","00522","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (NEEDLE BIOPSY OF PLEURA)","00522","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (NEEDLE BIOPSY OF PLEURA)","00522","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (NEEDLE BIOPSY OF PLEURA)","00522","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (NEEDLE BIOPSY OF PLEURA)","00522","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (NEEDLE BIOPSY OF PLEURA)","00522","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (NEEDLE BIOPSY OF PLEURA)","00522","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (NEEDLE BIOPSY OF PLEURA)","00522","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (NEEDLE BIOPSY OF PLEURA)","00522","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (NEEDLE BIOPSY OF PLEURA)","00522","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (NEEDLE BIOPSY OF PLEURA)","00522","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (NEEDLE BIOPSY OF PLEURA)","00522","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (PNEUMOCENTESIS)","00524","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (PNEUMOCENTESIS)","00524","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (PNEUMOCENTESIS)","00524","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (PNEUMOCENTESIS)","00524","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (PNEUMOCENTESIS)","00524","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (PNEUMOCENTESIS)","00524","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (PNEUMOCENTESIS)","00524","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (PNEUMOCENTESIS)","00524","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (PNEUMOCENTESIS)","00524","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (PNEUMOCENTESIS)","00524","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (PNEUMOCENTESIS)","00524","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (PNEUMOCENTESIS)","00524","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (PNEUMOCENTESIS)","00524","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (PNEUMOCENTESIS)","00524","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (PNEUMOCENTESIS)","00524","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (PNEUMOCENTESIS)","00524","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (PNEUMOCENTESIS)","00524","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (PNEUMOCENTESIS)","00524","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (PNEUMOCENTESIS)","00524","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (PNEUMOCENTESIS)","00524","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ACCESS TO CENTRAL VEN CIR","00532","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ACCESS TO CENTRAL VEN CIR","00532","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ACCESS TO CENTRAL VEN CIR","00532","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ACCESS TO CENTRAL VEN CIR","00532","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ACCESS TO CENTRAL VEN CIR","00532","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ACCESS TO CENTRAL VEN CIR","00532","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ACCESS TO CENTRAL VEN CIR","00532","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ACCESS TO CENTRAL VEN CIR","00532","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ACCESS TO CENTRAL VEN CIR","00532","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ACCESS TO CENTRAL VEN CIR","00532","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ACCESS TO CENTRAL VEN CIR","00532","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ACCESS TO CENTRAL VEN CIR","00532","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ACCESS TO CENTRAL VEN CIR","00532","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ACCESS TO CENTRAL VEN CIR","00532","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ACCESS TO CENTRAL VEN CIR","00532","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ACCESS TO CENTRAL VEN CIR","00532","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ACCESS TO CENTRAL VEN CIR","00532","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ACCESS TO CENTRAL VEN CIR","00532","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ACCESS TO CENTRAL VEN CIR","00532","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ACCESS TO CENTRAL VEN CIR","00532","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"UPPER ABD (ANTERIOR WALL)","00700","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ABD (ANTERIOR WALL)","00700","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"UPPER ABD (ANTERIOR WALL)","00700","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ABD (ANTERIOR WALL)","00700","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ABD (ANTERIOR WALL)","00700","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ABD (ANTERIOR WALL)","00700","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ABD (ANTERIOR WALL)","00700","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ABD (ANTERIOR WALL)","00700","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"UPPER ABD (ANTERIOR WALL)","00700","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"UPPER ABD (ANTERIOR WALL)","00700","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"UPPER ABD (ANTERIOR WALL)","00700","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"UPPER ABD (ANTERIOR WALL)","00700","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ABD (ANTERIOR WALL)","00700","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ABD (ANTERIOR WALL)","00700","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ABD (ANTERIOR WALL)","00700","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ABD (ANTERIOR WALL)","00700","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ABD (ANTERIOR WALL)","00700","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"UPPER ABD (ANTERIOR WALL)","00700","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"UPPER ABD (ANTERIOR WALL)","00700","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"UPPER ABD (ANTERIOR WALL)","00700","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"UPPER ABD (PERCUTANEOUS LIVE BIOPSY)","00702","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ABD (PERCUTANEOUS LIVE BIOPSY)","00702","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"UPPER ABD (PERCUTANEOUS LIVE BIOPSY)","00702","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ABD (PERCUTANEOUS LIVE BIOPSY)","00702","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ABD (PERCUTANEOUS LIVE BIOPSY)","00702","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ABD (PERCUTANEOUS LIVE BIOPSY)","00702","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ABD (PERCUTANEOUS LIVE BIOPSY)","00702","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ABD (PERCUTANEOUS LIVE BIOPSY)","00702","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"UPPER ABD (PERCUTANEOUS LIVE BIOPSY)","00702","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"UPPER ABD (PERCUTANEOUS LIVE BIOPSY)","00702","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"UPPER ABD (PERCUTANEOUS LIVE BIOPSY)","00702","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"UPPER ABD (PERCUTANEOUS LIVE BIOPSY)","00702","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ABD (PERCUTANEOUS LIVE BIOPSY)","00702","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ABD (PERCUTANEOUS LIVE BIOPSY)","00702","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ABD (PERCUTANEOUS LIVE BIOPSY)","00702","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ABD (PERCUTANEOUS LIVE BIOPSY)","00702","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ABD (PERCUTANEOUS LIVE BIOPSY)","00702","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"UPPER ABD (PERCUTANEOUS LIVE BIOPSY)","00702","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"UPPER ABD (PERCUTANEOUS LIVE BIOPSY)","00702","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"UPPER ABD (PERCUTANEOUS LIVE BIOPSY)","00702","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"UPPER ARM AND ELBOW (NERVES,MUSCLE,TEND)","01710","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ARM AND ELBOW (NERVES,MUSCLE,TEND)","01710","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"UPPER ARM AND ELBOW (NERVES,MUSCLE,TEND)","01710","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ARM AND ELBOW (NERVES,MUSCLE,TEND)","01710","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ARM AND ELBOW (NERVES,MUSCLE,TEND)","01710","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ARM AND ELBOW (NERVES,MUSCLE,TEND)","01710","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ARM AND ELBOW (NERVES,MUSCLE,TEND)","01710","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ARM AND ELBOW (NERVES,MUSCLE,TEND)","01710","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"UPPER ARM AND ELBOW (NERVES,MUSCLE,TEND)","01710","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"UPPER ARM AND ELBOW (NERVES,MUSCLE,TEND)","01710","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"UPPER ARM AND ELBOW (NERVES,MUSCLE,TEND)","01710","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"UPPER ARM AND ELBOW (NERVES,MUSCLE,TEND)","01710","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ARM AND ELBOW (NERVES,MUSCLE,TEND)","01710","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ARM AND ELBOW (NERVES,MUSCLE,TEND)","01710","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ARM AND ELBOW (NERVES,MUSCLE,TEND)","01710","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ARM AND ELBOW (NERVES,MUSCLE,TEND)","01710","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ARM AND ELBOW (NERVES,MUSCLE,TEND)","01710","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"UPPER ARM AND ELBOW (NERVES,MUSCLE,TEND)","01710","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"UPPER ARM AND ELBOW (NERVES,MUSCLE,TEND)","01710","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"UPPER ARM AND ELBOW (NERVES,MUSCLE,TEND)","01710","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"UPPER ABD(POSTERIOR ABD WALL)","00730","HCPCS","Both",,,"41.5","20.75","Alliant","Health Exchange","",,"62",,"25.73","15.19","32.16","percent of total billed charges",,
"UPPER ABD(POSTERIOR ABD WALL)","00730","HCPCS","Both",,,"41.5","20.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"22.41","15.19","32.16","percent of total billed charges",,
"UPPER ABD(POSTERIOR ABD WALL)","00730","HCPCS","Both",,,"41.5","20.75","Medicare",,"",,"54",,"22.49","15.19","32.16","percent of total billed charges",,
"UPPER ABD(POSTERIOR ABD WALL)","00730","HCPCS","Both",,,"41.5","20.75","Humana","Medicare Advantage","",,"54",,"22.49","15.19","32.16","percent of total billed charges",,
"UPPER ABD(POSTERIOR ABD WALL)","00730","HCPCS","Both",,,"41.5","20.75","UHC","Medicare Advantage","",,"54",,"22.49","15.19","32.16","percent of total billed charges",,
"UPPER ABD(POSTERIOR ABD WALL)","00730","HCPCS","Both",,,"41.5","20.75","Clover","Medicare Advantage","",,"54",,"22.49","15.19","32.16","percent of total billed charges",,
"UPPER ABD(POSTERIOR ABD WALL)","00730","HCPCS","Both",,,"41.5","20.75","Wellcare","Medicare Advantage","",,"54",,"22.49","15.19","32.16","percent of total billed charges",,
"UPPER ABD(POSTERIOR ABD WALL)","00730","HCPCS","Both",,,"41.5","20.75","Amerigroup","Medicaid Managed Care","",,"37",,"15.19","15.19","32.16","percent of total billed charges",,
"UPPER ABD(POSTERIOR ABD WALL)","00730","HCPCS","Both",,,"41.5","20.75","Caresource","Medicaid Managed Care","",,"40",,"16.6","15.19","32.16","percent of total billed charges",,
"UPPER ABD(POSTERIOR ABD WALL)","00730","HCPCS","Both",,,"41.5","20.75","Wellcare","Medicaid Managed Care","",,"40",,"16.81","15.19","32.16","percent of total billed charges",,
"UPPER ABD(POSTERIOR ABD WALL)","00730","HCPCS","Both",,,"41.5","20.75","Aetna","Commercial","",,"64",,"26.48","15.19","32.16","percent of total billed charges",,
"UPPER ABD(POSTERIOR ABD WALL)","00730","HCPCS","Both",,,"41.5","20.75","Blue Cross Blue Shield","Pathways","",,"71",,"29.3","15.19","32.16","percent of total billed charges",,
"UPPER ABD(POSTERIOR ABD WALL)","00730","HCPCS","Both",,,"41.5","20.75","Blue Cross Blue Shield","HMO","",,"71",,"29.3","15.19","32.16","percent of total billed charges",,
"UPPER ABD(POSTERIOR ABD WALL)","00730","HCPCS","Both",,,"41.5","20.75","Blue Cross Blue Shield","PPO","",,"71",,"29.3","15.19","32.16","percent of total billed charges",,
"UPPER ABD(POSTERIOR ABD WALL)","00730","HCPCS","Both",,,"41.5","20.75","Ambetter","Health Exchange","",,"62",,"25.73","15.19","32.16","percent of total billed charges",,
"UPPER ABD(POSTERIOR ABD WALL)","00730","HCPCS","Both",,,"41.5","20.75","Caresource","Health Exchange","",,"62",,"25.73","15.19","32.16","percent of total billed charges",,
"UPPER ABD(POSTERIOR ABD WALL)","00730","HCPCS","Both",,,"41.5","20.75","Cigna","Commercial","",,"59",,"24.32","15.19","32.16","percent of total billed charges",,
"UPPER ABD(POSTERIOR ABD WALL)","00730","HCPCS","Both",,,"41.5","20.75","Humana","Commercial","",,"78",,"32.16","15.19","32.16","percent of total billed charges",,
"UPPER ABD(POSTERIOR ABD WALL)","00730","HCPCS","Both",,,"41.5","20.75","UHC","Commercial","",,"75",,"31.29","15.19","32.16","percent of total billed charges",,
"UPPER ABD(POSTERIOR ABD WALL)","00730","HCPCS","Both",,,"41.5","20.75","Medicaid",,"",,"37",,"15.19","15.19","32.16","percent of total billed charges",,
"UPPER ABD (UPPER GASTRO ENDO PROCEDURE)","00731","HCPCS","Both",,,"59.5","29.75","Alliant","Health Exchange","",,"62",,"36.89","21.78","46.11","percent of total billed charges",,
"UPPER ABD (UPPER GASTRO ENDO PROCEDURE)","00731","HCPCS","Both",,,"59.5","29.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.13","21.78","46.11","percent of total billed charges",,
"UPPER ABD (UPPER GASTRO ENDO PROCEDURE)","00731","HCPCS","Both",,,"59.5","29.75","Medicare",,"",,"54",,"32.25","21.78","46.11","percent of total billed charges",,
"UPPER ABD (UPPER GASTRO ENDO PROCEDURE)","00731","HCPCS","Both",,,"59.5","29.75","Humana","Medicare Advantage","",,"54",,"32.25","21.78","46.11","percent of total billed charges",,
"UPPER ABD (UPPER GASTRO ENDO PROCEDURE)","00731","HCPCS","Both",,,"59.5","29.75","UHC","Medicare Advantage","",,"54",,"32.25","21.78","46.11","percent of total billed charges",,
"UPPER ABD (UPPER GASTRO ENDO PROCEDURE)","00731","HCPCS","Both",,,"59.5","29.75","Clover","Medicare Advantage","",,"54",,"32.25","21.78","46.11","percent of total billed charges",,
"UPPER ABD (UPPER GASTRO ENDO PROCEDURE)","00731","HCPCS","Both",,,"59.5","29.75","Wellcare","Medicare Advantage","",,"54",,"32.25","21.78","46.11","percent of total billed charges",,
"UPPER ABD (UPPER GASTRO ENDO PROCEDURE)","00731","HCPCS","Both",,,"59.5","29.75","Amerigroup","Medicaid Managed Care","",,"37",,"21.78","21.78","46.11","percent of total billed charges",,
"UPPER ABD (UPPER GASTRO ENDO PROCEDURE)","00731","HCPCS","Both",,,"59.5","29.75","Caresource","Medicaid Managed Care","",,"40",,"23.8","21.78","46.11","percent of total billed charges",,
"UPPER ABD (UPPER GASTRO ENDO PROCEDURE)","00731","HCPCS","Both",,,"59.5","29.75","Wellcare","Medicaid Managed Care","",,"40",,"24.1","21.78","46.11","percent of total billed charges",,
"UPPER ABD (UPPER GASTRO ENDO PROCEDURE)","00731","HCPCS","Both",,,"59.5","29.75","Aetna","Commercial","",,"64",,"37.96","21.78","46.11","percent of total billed charges",,
"UPPER ABD (UPPER GASTRO ENDO PROCEDURE)","00731","HCPCS","Both",,,"59.5","29.75","Blue Cross Blue Shield","Pathways","",,"71",,"42.01","21.78","46.11","percent of total billed charges",,
"UPPER ABD (UPPER GASTRO ENDO PROCEDURE)","00731","HCPCS","Both",,,"59.5","29.75","Blue Cross Blue Shield","HMO","",,"71",,"42.01","21.78","46.11","percent of total billed charges",,
"UPPER ABD (UPPER GASTRO ENDO PROCEDURE)","00731","HCPCS","Both",,,"59.5","29.75","Blue Cross Blue Shield","PPO","",,"71",,"42.01","21.78","46.11","percent of total billed charges",,
"UPPER ABD (UPPER GASTRO ENDO PROCEDURE)","00731","HCPCS","Both",,,"59.5","29.75","Ambetter","Health Exchange","",,"62",,"36.89","21.78","46.11","percent of total billed charges",,
"UPPER ABD (UPPER GASTRO ENDO PROCEDURE)","00731","HCPCS","Both",,,"59.5","29.75","Caresource","Health Exchange","",,"62",,"36.89","21.78","46.11","percent of total billed charges",,
"UPPER ABD (UPPER GASTRO ENDO PROCEDURE)","00731","HCPCS","Both",,,"59.5","29.75","Cigna","Commercial","",,"59",,"34.87","21.78","46.11","percent of total billed charges",,
"UPPER ABD (UPPER GASTRO ENDO PROCEDURE)","00731","HCPCS","Both",,,"59.5","29.75","Humana","Commercial","",,"78",,"46.11","21.78","46.11","percent of total billed charges",,
"UPPER ABD (UPPER GASTRO ENDO PROCEDURE)","00731","HCPCS","Both",,,"59.5","29.75","UHC","Commercial","",,"75",,"44.86","21.78","46.11","percent of total billed charges",,
"UPPER ABD (UPPER GASTRO ENDO PROCEDURE)","00731","HCPCS","Both",,,"59.5","29.75","Medicaid",,"",,"37",,"21.78","21.78","46.11","percent of total billed charges",,
"UPPER ABD (HERNIA REPAIRS)","00750","HCPCS","Both",,,"65.5","32.75","Alliant","Health Exchange","",,"62",,"40.61","23.97","50.76","percent of total billed charges",,
"UPPER ABD (HERNIA REPAIRS)","00750","HCPCS","Both",,,"65.5","32.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"35.37","23.97","50.76","percent of total billed charges",,
"UPPER ABD (HERNIA REPAIRS)","00750","HCPCS","Both",,,"65.5","32.75","Medicare",,"",,"54",,"35.5","23.97","50.76","percent of total billed charges",,
"UPPER ABD (HERNIA REPAIRS)","00750","HCPCS","Both",,,"65.5","32.75","Humana","Medicare Advantage","",,"54",,"35.5","23.97","50.76","percent of total billed charges",,
"UPPER ABD (HERNIA REPAIRS)","00750","HCPCS","Both",,,"65.5","32.75","UHC","Medicare Advantage","",,"54",,"35.5","23.97","50.76","percent of total billed charges",,
"UPPER ABD (HERNIA REPAIRS)","00750","HCPCS","Both",,,"65.5","32.75","Clover","Medicare Advantage","",,"54",,"35.5","23.97","50.76","percent of total billed charges",,
"UPPER ABD (HERNIA REPAIRS)","00750","HCPCS","Both",,,"65.5","32.75","Wellcare","Medicare Advantage","",,"54",,"35.5","23.97","50.76","percent of total billed charges",,
"UPPER ABD (HERNIA REPAIRS)","00750","HCPCS","Both",,,"65.5","32.75","Amerigroup","Medicaid Managed Care","",,"37",,"23.97","23.97","50.76","percent of total billed charges",,
"UPPER ABD (HERNIA REPAIRS)","00750","HCPCS","Both",,,"65.5","32.75","Caresource","Medicaid Managed Care","",,"40",,"26.2","23.97","50.76","percent of total billed charges",,
"UPPER ABD (HERNIA REPAIRS)","00750","HCPCS","Both",,,"65.5","32.75","Wellcare","Medicaid Managed Care","",,"40",,"26.53","23.97","50.76","percent of total billed charges",,
"UPPER ABD (HERNIA REPAIRS)","00750","HCPCS","Both",,,"65.5","32.75","Aetna","Commercial","",,"64",,"41.79","23.97","50.76","percent of total billed charges",,
"UPPER ABD (HERNIA REPAIRS)","00750","HCPCS","Both",,,"65.5","32.75","Blue Cross Blue Shield","Pathways","",,"71",,"46.24","23.97","50.76","percent of total billed charges",,
"UPPER ABD (HERNIA REPAIRS)","00750","HCPCS","Both",,,"65.5","32.75","Blue Cross Blue Shield","HMO","",,"71",,"46.24","23.97","50.76","percent of total billed charges",,
"UPPER ABD (HERNIA REPAIRS)","00750","HCPCS","Both",,,"65.5","32.75","Blue Cross Blue Shield","PPO","",,"71",,"46.24","23.97","50.76","percent of total billed charges",,
"UPPER ABD (HERNIA REPAIRS)","00750","HCPCS","Both",,,"65.5","32.75","Ambetter","Health Exchange","",,"62",,"40.61","23.97","50.76","percent of total billed charges",,
"UPPER ABD (HERNIA REPAIRS)","00750","HCPCS","Both",,,"65.5","32.75","Caresource","Health Exchange","",,"62",,"40.61","23.97","50.76","percent of total billed charges",,
"UPPER ABD (HERNIA REPAIRS)","00750","HCPCS","Both",,,"65.5","32.75","Cigna","Commercial","",,"59",,"38.38","23.97","50.76","percent of total billed charges",,
"UPPER ABD (HERNIA REPAIRS)","00750","HCPCS","Both",,,"65.5","32.75","Humana","Commercial","",,"78",,"50.76","23.97","50.76","percent of total billed charges",,
"UPPER ABD (HERNIA REPAIRS)","00750","HCPCS","Both",,,"65.5","32.75","UHC","Commercial","",,"75",,"49.39","23.97","50.76","percent of total billed charges",,
"UPPER ABD (HERNIA REPAIRS)","00750","HCPCS","Both",,,"65.5","32.75","Medicaid",,"",,"37",,"23.97","23.97","50.76","percent of total billed charges",,
"UPPER ABD (LUMBAR & VENTRAL HERNIA)","00752","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ABD (LUMBAR & VENTRAL HERNIA)","00752","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"UPPER ABD (LUMBAR & VENTRAL HERNIA)","00752","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ABD (LUMBAR & VENTRAL HERNIA)","00752","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ABD (LUMBAR & VENTRAL HERNIA)","00752","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ABD (LUMBAR & VENTRAL HERNIA)","00752","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ABD (LUMBAR & VENTRAL HERNIA)","00752","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ABD (LUMBAR & VENTRAL HERNIA)","00752","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"UPPER ABD (LUMBAR & VENTRAL HERNIA)","00752","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"UPPER ABD (LUMBAR & VENTRAL HERNIA)","00752","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"UPPER ABD (LUMBAR & VENTRAL HERNIA)","00752","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"UPPER ABD (LUMBAR & VENTRAL HERNIA)","00752","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ABD (LUMBAR & VENTRAL HERNIA)","00752","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ABD (LUMBAR & VENTRAL HERNIA)","00752","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ABD (LUMBAR & VENTRAL HERNIA)","00752","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ABD (LUMBAR & VENTRAL HERNIA)","00752","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ABD (LUMBAR & VENTRAL HERNIA)","00752","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"UPPER ABD (LUMBAR & VENTRAL HERNIA)","00752","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"UPPER ABD (LUMBAR & VENTRAL HERNIA)","00752","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"UPPER ABD (LUMBAR & VENTRAL HERNIA)","00752","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"UPPER ABD (OMPHALOCELE)","00754","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ABD (OMPHALOCELE)","00754","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"UPPER ABD (OMPHALOCELE)","00754","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ABD (OMPHALOCELE)","00754","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ABD (OMPHALOCELE)","00754","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ABD (OMPHALOCELE)","00754","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ABD (OMPHALOCELE)","00754","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ABD (OMPHALOCELE)","00754","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"UPPER ABD (OMPHALOCELE)","00754","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"UPPER ABD (OMPHALOCELE)","00754","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"UPPER ABD (OMPHALOCELE)","00754","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"UPPER ABD (OMPHALOCELE)","00754","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ABD (OMPHALOCELE)","00754","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ABD (OMPHALOCELE)","00754","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ABD (OMPHALOCELE)","00754","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ABD (OMPHALOCELE)","00754","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ABD (OMPHALOCELE)","00754","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"UPPER ABD (OMPHALOCELE)","00754","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"UPPER ABD (OMPHALOCELE)","00754","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"UPPER ABD (OMPHALOCELE)","00754","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"UPPER ABD (INTRAPERITONEAL PROCEDURE)","00790","HCPCS","Both",,,"64","32","Alliant","Health Exchange","",,"62",,"39.68","23.42","49.6","percent of total billed charges",,
"UPPER ABD (INTRAPERITONEAL PROCEDURE)","00790","HCPCS","Both",,,"64","32","Pruitt Healthcare","Medicare Advantage","",,"54",,"34.56","23.42","49.6","percent of total billed charges",,
"UPPER ABD (INTRAPERITONEAL PROCEDURE)","00790","HCPCS","Both",,,"64","32","Medicare",,"",,"54",,"34.69","23.42","49.6","percent of total billed charges",,
"UPPER ABD (INTRAPERITONEAL PROCEDURE)","00790","HCPCS","Both",,,"64","32","Humana","Medicare Advantage","",,"54",,"34.69","23.42","49.6","percent of total billed charges",,
"UPPER ABD (INTRAPERITONEAL PROCEDURE)","00790","HCPCS","Both",,,"64","32","UHC","Medicare Advantage","",,"54",,"34.69","23.42","49.6","percent of total billed charges",,
"UPPER ABD (INTRAPERITONEAL PROCEDURE)","00790","HCPCS","Both",,,"64","32","Clover","Medicare Advantage","",,"54",,"34.69","23.42","49.6","percent of total billed charges",,
"UPPER ABD (INTRAPERITONEAL PROCEDURE)","00790","HCPCS","Both",,,"64","32","Wellcare","Medicare Advantage","",,"54",,"34.69","23.42","49.6","percent of total billed charges",,
"UPPER ABD (INTRAPERITONEAL PROCEDURE)","00790","HCPCS","Both",,,"64","32","Amerigroup","Medicaid Managed Care","",,"37",,"23.42","23.42","49.6","percent of total billed charges",,
"UPPER ABD (INTRAPERITONEAL PROCEDURE)","00790","HCPCS","Both",,,"64","32","Caresource","Medicaid Managed Care","",,"40",,"25.6","23.42","49.6","percent of total billed charges",,
"UPPER ABD (INTRAPERITONEAL PROCEDURE)","00790","HCPCS","Both",,,"64","32","Wellcare","Medicaid Managed Care","",,"40",,"25.92","23.42","49.6","percent of total billed charges",,
"UPPER ABD (INTRAPERITONEAL PROCEDURE)","00790","HCPCS","Both",,,"64","32","Aetna","Commercial","",,"64",,"40.83","23.42","49.6","percent of total billed charges",,
"UPPER ABD (INTRAPERITONEAL PROCEDURE)","00790","HCPCS","Both",,,"64","32","Blue Cross Blue Shield","Pathways","",,"71",,"45.18","23.42","49.6","percent of total billed charges",,
"UPPER ABD (INTRAPERITONEAL PROCEDURE)","00790","HCPCS","Both",,,"64","32","Blue Cross Blue Shield","HMO","",,"71",,"45.18","23.42","49.6","percent of total billed charges",,
"UPPER ABD (INTRAPERITONEAL PROCEDURE)","00790","HCPCS","Both",,,"64","32","Blue Cross Blue Shield","PPO","",,"71",,"45.18","23.42","49.6","percent of total billed charges",,
"UPPER ABD (INTRAPERITONEAL PROCEDURE)","00790","HCPCS","Both",,,"64","32","Ambetter","Health Exchange","",,"62",,"39.68","23.42","49.6","percent of total billed charges",,
"UPPER ABD (INTRAPERITONEAL PROCEDURE)","00790","HCPCS","Both",,,"64","32","Caresource","Health Exchange","",,"62",,"39.68","23.42","49.6","percent of total billed charges",,
"UPPER ABD (INTRAPERITONEAL PROCEDURE)","00790","HCPCS","Both",,,"64","32","Cigna","Commercial","",,"59",,"37.5","23.42","49.6","percent of total billed charges",,
"UPPER ABD (INTRAPERITONEAL PROCEDURE)","00790","HCPCS","Both",,,"64","32","Humana","Commercial","",,"78",,"49.6","23.42","49.6","percent of total billed charges",,
"UPPER ABD (INTRAPERITONEAL PROCEDURE)","00790","HCPCS","Both",,,"64","32","UHC","Commercial","",,"75",,"48.26","23.42","49.6","percent of total billed charges",,
"UPPER ABD (INTRAPERITONEAL PROCEDURE)","00790","HCPCS","Both",,,"64","32","Medicaid",,"",,"37",,"23.42","23.42","49.6","percent of total billed charges",,
"LOWER ABD (ANTERIOR WALL)","00800","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"LOWER ABD (ANTERIOR WALL)","00800","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"LOWER ABD (ANTERIOR WALL)","00800","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD (ANTERIOR WALL)","00800","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD (ANTERIOR WALL)","00800","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD (ANTERIOR WALL)","00800","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD (ANTERIOR WALL)","00800","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD (ANTERIOR WALL)","00800","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"LOWER ABD (ANTERIOR WALL)","00800","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"LOWER ABD (ANTERIOR WALL)","00800","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"LOWER ABD (ANTERIOR WALL)","00800","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"LOWER ABD (ANTERIOR WALL)","00800","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"LOWER ABD (ANTERIOR WALL)","00800","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"LOWER ABD (ANTERIOR WALL)","00800","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"LOWER ABD (ANTERIOR WALL)","00800","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"LOWER ABD (ANTERIOR WALL)","00800","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"LOWER ABD (ANTERIOR WALL)","00800","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"LOWER ABD (ANTERIOR WALL)","00800","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"LOWER ABD (ANTERIOR WALL)","00800","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"LOWER ABD (ANTERIOR WALL)","00800","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"LOWER ABD (INTESTINAL ENDO PROCEDURE)","00810","HCPCS","Both",,,"44","22","Alliant","Health Exchange","",,"62",,"27.28","16.1","34.1","percent of total billed charges",,
"LOWER ABD (INTESTINAL ENDO PROCEDURE)","00810","HCPCS","Both",,,"44","22","Pruitt Healthcare","Medicare Advantage","",,"54",,"23.76","16.1","34.1","percent of total billed charges",,
"LOWER ABD (INTESTINAL ENDO PROCEDURE)","00810","HCPCS","Both",,,"44","22","Medicare",,"",,"54",,"23.85","16.1","34.1","percent of total billed charges",,
"LOWER ABD (INTESTINAL ENDO PROCEDURE)","00810","HCPCS","Both",,,"44","22","Humana","Medicare Advantage","",,"54",,"23.85","16.1","34.1","percent of total billed charges",,
"LOWER ABD (INTESTINAL ENDO PROCEDURE)","00810","HCPCS","Both",,,"44","22","UHC","Medicare Advantage","",,"54",,"23.85","16.1","34.1","percent of total billed charges",,
"LOWER ABD (INTESTINAL ENDO PROCEDURE)","00810","HCPCS","Both",,,"44","22","Clover","Medicare Advantage","",,"54",,"23.85","16.1","34.1","percent of total billed charges",,
"LOWER ABD (INTESTINAL ENDO PROCEDURE)","00810","HCPCS","Both",,,"44","22","Wellcare","Medicare Advantage","",,"54",,"23.85","16.1","34.1","percent of total billed charges",,
"LOWER ABD (INTESTINAL ENDO PROCEDURE)","00810","HCPCS","Both",,,"44","22","Amerigroup","Medicaid Managed Care","",,"37",,"16.1","16.1","34.1","percent of total billed charges",,
"LOWER ABD (INTESTINAL ENDO PROCEDURE)","00810","HCPCS","Both",,,"44","22","Caresource","Medicaid Managed Care","",,"40",,"17.6","16.1","34.1","percent of total billed charges",,
"LOWER ABD (INTESTINAL ENDO PROCEDURE)","00810","HCPCS","Both",,,"44","22","Wellcare","Medicaid Managed Care","",,"40",,"17.82","16.1","34.1","percent of total billed charges",,
"LOWER ABD (INTESTINAL ENDO PROCEDURE)","00810","HCPCS","Both",,,"44","22","Aetna","Commercial","",,"64",,"28.07","16.1","34.1","percent of total billed charges",,
"LOWER ABD (INTESTINAL ENDO PROCEDURE)","00810","HCPCS","Both",,,"44","22","Blue Cross Blue Shield","Pathways","",,"71",,"31.06","16.1","34.1","percent of total billed charges",,
"LOWER ABD (INTESTINAL ENDO PROCEDURE)","00810","HCPCS","Both",,,"44","22","Blue Cross Blue Shield","HMO","",,"71",,"31.06","16.1","34.1","percent of total billed charges",,
"LOWER ABD (INTESTINAL ENDO PROCEDURE)","00810","HCPCS","Both",,,"44","22","Blue Cross Blue Shield","PPO","",,"71",,"31.06","16.1","34.1","percent of total billed charges",,
"LOWER ABD (INTESTINAL ENDO PROCEDURE)","00810","HCPCS","Both",,,"44","22","Ambetter","Health Exchange","",,"62",,"27.28","16.1","34.1","percent of total billed charges",,
"LOWER ABD (INTESTINAL ENDO PROCEDURE)","00810","HCPCS","Both",,,"44","22","Caresource","Health Exchange","",,"62",,"27.28","16.1","34.1","percent of total billed charges",,
"LOWER ABD (INTESTINAL ENDO PROCEDURE)","00810","HCPCS","Both",,,"44","22","Cigna","Commercial","",,"59",,"25.78","16.1","34.1","percent of total billed charges",,
"LOWER ABD (INTESTINAL ENDO PROCEDURE)","00810","HCPCS","Both",,,"44","22","Humana","Commercial","",,"78",,"34.1","16.1","34.1","percent of total billed charges",,
"LOWER ABD (INTESTINAL ENDO PROCEDURE)","00810","HCPCS","Both",,,"44","22","UHC","Commercial","",,"75",,"33.18","16.1","34.1","percent of total billed charges",,
"LOWER ABD (INTESTINAL ENDO PROCEDURE)","00810","HCPCS","Both",,,"44","22","Medicaid",,"",,"37",,"16.1","16.1","34.1","percent of total billed charges",,
"ANESTHESIA FOR LOWER ENDOSCOPY SCREENING","00812","HCPCS","Both",,,"64","32","Alliant","Health Exchange","",,"62",,"39.68","23.42","49.6","percent of total billed charges",,
"ANESTHESIA FOR LOWER ENDOSCOPY SCREENING","00812","HCPCS","Both",,,"64","32","Pruitt Healthcare","Medicare Advantage","",,"54",,"34.56","23.42","49.6","percent of total billed charges",,
"ANESTHESIA FOR LOWER ENDOSCOPY SCREENING","00812","HCPCS","Both",,,"64","32","Medicare",,"",,"54",,"34.69","23.42","49.6","percent of total billed charges",,
"ANESTHESIA FOR LOWER ENDOSCOPY SCREENING","00812","HCPCS","Both",,,"64","32","Humana","Medicare Advantage","",,"54",,"34.69","23.42","49.6","percent of total billed charges",,
"ANESTHESIA FOR LOWER ENDOSCOPY SCREENING","00812","HCPCS","Both",,,"64","32","UHC","Medicare Advantage","",,"54",,"34.69","23.42","49.6","percent of total billed charges",,
"ANESTHESIA FOR LOWER ENDOSCOPY SCREENING","00812","HCPCS","Both",,,"64","32","Clover","Medicare Advantage","",,"54",,"34.69","23.42","49.6","percent of total billed charges",,
"ANESTHESIA FOR LOWER ENDOSCOPY SCREENING","00812","HCPCS","Both",,,"64","32","Wellcare","Medicare Advantage","",,"54",,"34.69","23.42","49.6","percent of total billed charges",,
"ANESTHESIA FOR LOWER ENDOSCOPY SCREENING","00812","HCPCS","Both",,,"64","32","Amerigroup","Medicaid Managed Care","",,"37",,"23.42","23.42","49.6","percent of total billed charges",,
"ANESTHESIA FOR LOWER ENDOSCOPY SCREENING","00812","HCPCS","Both",,,"64","32","Caresource","Medicaid Managed Care","",,"40",,"25.6","23.42","49.6","percent of total billed charges",,
"ANESTHESIA FOR LOWER ENDOSCOPY SCREENING","00812","HCPCS","Both",,,"64","32","Wellcare","Medicaid Managed Care","",,"40",,"25.92","23.42","49.6","percent of total billed charges",,
"ANESTHESIA FOR LOWER ENDOSCOPY SCREENING","00812","HCPCS","Both",,,"64","32","Aetna","Commercial","",,"64",,"40.83","23.42","49.6","percent of total billed charges",,
"ANESTHESIA FOR LOWER ENDOSCOPY SCREENING","00812","HCPCS","Both",,,"64","32","Blue Cross Blue Shield","Pathways","",,"71",,"45.18","23.42","49.6","percent of total billed charges",,
"ANESTHESIA FOR LOWER ENDOSCOPY SCREENING","00812","HCPCS","Both",,,"64","32","Blue Cross Blue Shield","HMO","",,"71",,"45.18","23.42","49.6","percent of total billed charges",,
"ANESTHESIA FOR LOWER ENDOSCOPY SCREENING","00812","HCPCS","Both",,,"64","32","Blue Cross Blue Shield","PPO","",,"71",,"45.18","23.42","49.6","percent of total billed charges",,
"ANESTHESIA FOR LOWER ENDOSCOPY SCREENING","00812","HCPCS","Both",,,"64","32","Ambetter","Health Exchange","",,"62",,"39.68","23.42","49.6","percent of total billed charges",,
"ANESTHESIA FOR LOWER ENDOSCOPY SCREENING","00812","HCPCS","Both",,,"64","32","Caresource","Health Exchange","",,"62",,"39.68","23.42","49.6","percent of total billed charges",,
"ANESTHESIA FOR LOWER ENDOSCOPY SCREENING","00812","HCPCS","Both",,,"64","32","Cigna","Commercial","",,"59",,"37.5","23.42","49.6","percent of total billed charges",,
"ANESTHESIA FOR LOWER ENDOSCOPY SCREENING","00812","HCPCS","Both",,,"64","32","Humana","Commercial","",,"78",,"49.6","23.42","49.6","percent of total billed charges",,
"ANESTHESIA FOR LOWER ENDOSCOPY SCREENING","00812","HCPCS","Both",,,"64","32","UHC","Commercial","",,"75",,"48.26","23.42","49.6","percent of total billed charges",,
"ANESTHESIA FOR LOWER ENDOSCOPY SCREENING","00812","HCPCS","Both",,,"64","32","Medicaid",,"",,"37",,"23.42","23.42","49.6","percent of total billed charges",,
"ANESTHESIA FOR COMBINED UPPER & LOWER GI","00813","HCPCS","Both",,,"28.5","14.25","Alliant","Health Exchange","",,"62",,"17.67","10.43","22.09","percent of total billed charges",,
"ANESTHESIA FOR COMBINED UPPER & LOWER GI","00813","HCPCS","Both",,,"28.5","14.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"15.39","10.43","22.09","percent of total billed charges",,
"ANESTHESIA FOR COMBINED UPPER & LOWER GI","00813","HCPCS","Both",,,"28.5","14.25","Medicare",,"",,"54",,"15.45","10.43","22.09","percent of total billed charges",,
"ANESTHESIA FOR COMBINED UPPER & LOWER GI","00813","HCPCS","Both",,,"28.5","14.25","Humana","Medicare Advantage","",,"54",,"15.45","10.43","22.09","percent of total billed charges",,
"ANESTHESIA FOR COMBINED UPPER & LOWER GI","00813","HCPCS","Both",,,"28.5","14.25","UHC","Medicare Advantage","",,"54",,"15.45","10.43","22.09","percent of total billed charges",,
"ANESTHESIA FOR COMBINED UPPER & LOWER GI","00813","HCPCS","Both",,,"28.5","14.25","Clover","Medicare Advantage","",,"54",,"15.45","10.43","22.09","percent of total billed charges",,
"ANESTHESIA FOR COMBINED UPPER & LOWER GI","00813","HCPCS","Both",,,"28.5","14.25","Wellcare","Medicare Advantage","",,"54",,"15.45","10.43","22.09","percent of total billed charges",,
"ANESTHESIA FOR COMBINED UPPER & LOWER GI","00813","HCPCS","Both",,,"28.5","14.25","Amerigroup","Medicaid Managed Care","",,"37",,"10.43","10.43","22.09","percent of total billed charges",,
"ANESTHESIA FOR COMBINED UPPER & LOWER GI","00813","HCPCS","Both",,,"28.5","14.25","Caresource","Medicaid Managed Care","",,"40",,"11.4","10.43","22.09","percent of total billed charges",,
"ANESTHESIA FOR COMBINED UPPER & LOWER GI","00813","HCPCS","Both",,,"28.5","14.25","Wellcare","Medicaid Managed Care","",,"40",,"11.54","10.43","22.09","percent of total billed charges",,
"ANESTHESIA FOR COMBINED UPPER & LOWER GI","00813","HCPCS","Both",,,"28.5","14.25","Aetna","Commercial","",,"64",,"18.18","10.43","22.09","percent of total billed charges",,
"ANESTHESIA FOR COMBINED UPPER & LOWER GI","00813","HCPCS","Both",,,"28.5","14.25","Blue Cross Blue Shield","Pathways","",,"71",,"20.12","10.43","22.09","percent of total billed charges",,
"ANESTHESIA FOR COMBINED UPPER & LOWER GI","00813","HCPCS","Both",,,"28.5","14.25","Blue Cross Blue Shield","HMO","",,"71",,"20.12","10.43","22.09","percent of total billed charges",,
"ANESTHESIA FOR COMBINED UPPER & LOWER GI","00813","HCPCS","Both",,,"28.5","14.25","Blue Cross Blue Shield","PPO","",,"71",,"20.12","10.43","22.09","percent of total billed charges",,
"ANESTHESIA FOR COMBINED UPPER & LOWER GI","00813","HCPCS","Both",,,"28.5","14.25","Ambetter","Health Exchange","",,"62",,"17.67","10.43","22.09","percent of total billed charges",,
"ANESTHESIA FOR COMBINED UPPER & LOWER GI","00813","HCPCS","Both",,,"28.5","14.25","Caresource","Health Exchange","",,"62",,"17.67","10.43","22.09","percent of total billed charges",,
"ANESTHESIA FOR COMBINED UPPER & LOWER GI","00813","HCPCS","Both",,,"28.5","14.25","Cigna","Commercial","",,"59",,"16.7","10.43","22.09","percent of total billed charges",,
"ANESTHESIA FOR COMBINED UPPER & LOWER GI","00813","HCPCS","Both",,,"28.5","14.25","Humana","Commercial","",,"78",,"22.09","10.43","22.09","percent of total billed charges",,
"ANESTHESIA FOR COMBINED UPPER & LOWER GI","00813","HCPCS","Both",,,"28.5","14.25","UHC","Commercial","",,"75",,"21.49","10.43","22.09","percent of total billed charges",,
"ANESTHESIA FOR COMBINED UPPER & LOWER GI","00813","HCPCS","Both",,,"28.5","14.25","Medicaid",,"",,"37",,"10.43","10.43","22.09","percent of total billed charges",,
"LOWER ABD (POSTERIOR)","00820","HCPCS","Both",,,"46","23","Alliant","Health Exchange","",,"62",,"28.52","16.84","35.65","percent of total billed charges",,
"LOWER ABD (POSTERIOR)","00820","HCPCS","Both",,,"46","23","Pruitt Healthcare","Medicare Advantage","",,"54",,"24.84","16.84","35.65","percent of total billed charges",,
"LOWER ABD (POSTERIOR)","00820","HCPCS","Both",,,"46","23","Medicare",,"",,"54",,"24.93","16.84","35.65","percent of total billed charges",,
"LOWER ABD (POSTERIOR)","00820","HCPCS","Both",,,"46","23","Humana","Medicare Advantage","",,"54",,"24.93","16.84","35.65","percent of total billed charges",,
"LOWER ABD (POSTERIOR)","00820","HCPCS","Both",,,"46","23","UHC","Medicare Advantage","",,"54",,"24.93","16.84","35.65","percent of total billed charges",,
"LOWER ABD (POSTERIOR)","00820","HCPCS","Both",,,"46","23","Clover","Medicare Advantage","",,"54",,"24.93","16.84","35.65","percent of total billed charges",,
"LOWER ABD (POSTERIOR)","00820","HCPCS","Both",,,"46","23","Wellcare","Medicare Advantage","",,"54",,"24.93","16.84","35.65","percent of total billed charges",,
"LOWER ABD (POSTERIOR)","00820","HCPCS","Both",,,"46","23","Amerigroup","Medicaid Managed Care","",,"37",,"16.84","16.84","35.65","percent of total billed charges",,
"LOWER ABD (POSTERIOR)","00820","HCPCS","Both",,,"46","23","Caresource","Medicaid Managed Care","",,"40",,"18.4","16.84","35.65","percent of total billed charges",,
"LOWER ABD (POSTERIOR)","00820","HCPCS","Both",,,"46","23","Wellcare","Medicaid Managed Care","",,"40",,"18.63","16.84","35.65","percent of total billed charges",,
"LOWER ABD (POSTERIOR)","00820","HCPCS","Both",,,"46","23","Aetna","Commercial","",,"64",,"29.35","16.84","35.65","percent of total billed charges",,
"LOWER ABD (POSTERIOR)","00820","HCPCS","Both",,,"46","23","Blue Cross Blue Shield","Pathways","",,"71",,"32.48","16.84","35.65","percent of total billed charges",,
"LOWER ABD (POSTERIOR)","00820","HCPCS","Both",,,"46","23","Blue Cross Blue Shield","HMO","",,"71",,"32.48","16.84","35.65","percent of total billed charges",,
"LOWER ABD (POSTERIOR)","00820","HCPCS","Both",,,"46","23","Blue Cross Blue Shield","PPO","",,"71",,"32.48","16.84","35.65","percent of total billed charges",,
"LOWER ABD (POSTERIOR)","00820","HCPCS","Both",,,"46","23","Ambetter","Health Exchange","",,"62",,"28.52","16.84","35.65","percent of total billed charges",,
"LOWER ABD (POSTERIOR)","00820","HCPCS","Both",,,"46","23","Caresource","Health Exchange","",,"62",,"28.52","16.84","35.65","percent of total billed charges",,
"LOWER ABD (POSTERIOR)","00820","HCPCS","Both",,,"46","23","Cigna","Commercial","",,"59",,"26.96","16.84","35.65","percent of total billed charges",,
"LOWER ABD (POSTERIOR)","00820","HCPCS","Both",,,"46","23","Humana","Commercial","",,"78",,"35.65","16.84","35.65","percent of total billed charges",,
"LOWER ABD (POSTERIOR)","00820","HCPCS","Both",,,"46","23","UHC","Commercial","",,"75",,"34.68","16.84","35.65","percent of total billed charges",,
"LOWER ABD (POSTERIOR)","00820","HCPCS","Both",,,"46","23","Medicaid",,"",,"37",,"16.84","16.84","35.65","percent of total billed charges",,
"LOWER ABD (HERNIA REPAIRS)","00830","HCPCS","Both",,,"23","11.5","Alliant","Health Exchange","",,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"LOWER ABD (HERNIA REPAIRS)","00830","HCPCS","Both",,,"23","11.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"12.42","8.42","17.82","percent of total billed charges",,
"LOWER ABD (HERNIA REPAIRS)","00830","HCPCS","Both",,,"23","11.5","Medicare",,"",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"LOWER ABD (HERNIA REPAIRS)","00830","HCPCS","Both",,,"23","11.5","Humana","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"LOWER ABD (HERNIA REPAIRS)","00830","HCPCS","Both",,,"23","11.5","UHC","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"LOWER ABD (HERNIA REPAIRS)","00830","HCPCS","Both",,,"23","11.5","Clover","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"LOWER ABD (HERNIA REPAIRS)","00830","HCPCS","Both",,,"23","11.5","Wellcare","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"LOWER ABD (HERNIA REPAIRS)","00830","HCPCS","Both",,,"23","11.5","Amerigroup","Medicaid Managed Care","",,"37",,"8.42","8.42","17.82","percent of total billed charges",,
"LOWER ABD (HERNIA REPAIRS)","00830","HCPCS","Both",,,"23","11.5","Caresource","Medicaid Managed Care","",,"40",,"9.2","8.42","17.82","percent of total billed charges",,
"LOWER ABD (HERNIA REPAIRS)","00830","HCPCS","Both",,,"23","11.5","Wellcare","Medicaid Managed Care","",,"40",,"9.32","8.42","17.82","percent of total billed charges",,
"LOWER ABD (HERNIA REPAIRS)","00830","HCPCS","Both",,,"23","11.5","Aetna","Commercial","",,"64",,"14.67","8.42","17.82","percent of total billed charges",,
"LOWER ABD (HERNIA REPAIRS)","00830","HCPCS","Both",,,"23","11.5","Blue Cross Blue Shield","Pathways","",,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"LOWER ABD (HERNIA REPAIRS)","00830","HCPCS","Both",,,"23","11.5","Blue Cross Blue Shield","HMO","",,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"LOWER ABD (HERNIA REPAIRS)","00830","HCPCS","Both",,,"23","11.5","Blue Cross Blue Shield","PPO","",,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"LOWER ABD (HERNIA REPAIRS)","00830","HCPCS","Both",,,"23","11.5","Ambetter","Health Exchange","",,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"LOWER ABD (HERNIA REPAIRS)","00830","HCPCS","Both",,,"23","11.5","Caresource","Health Exchange","",,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"LOWER ABD (HERNIA REPAIRS)","00830","HCPCS","Both",,,"23","11.5","Cigna","Commercial","",,"59",,"13.48","8.42","17.82","percent of total billed charges",,
"LOWER ABD (HERNIA REPAIRS)","00830","HCPCS","Both",,,"23","11.5","Humana","Commercial","",,"78",,"17.82","8.42","17.82","percent of total billed charges",,
"LOWER ABD (HERNIA REPAIRS)","00830","HCPCS","Both",,,"23","11.5","UHC","Commercial","",,"75",,"17.34","8.42","17.82","percent of total billed charges",,
"LOWER ABD (HERNIA REPAIRS)","00830","HCPCS","Both",,,"23","11.5","Medicaid",,"",,"37",,"8.42","8.42","17.82","percent of total billed charges",,
"LOWER ABD (VENTRAL INCISIONAL HERNIA)","00832","HCPCS","Both",,,"11.5","5.75","Alliant","Health Exchange","",,"62",,"7.13","4.21","8.91","percent of total billed charges",,
"LOWER ABD (VENTRAL INCISIONAL HERNIA)","00832","HCPCS","Both",,,"11.5","5.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"6.21","4.21","8.91","percent of total billed charges",,
"LOWER ABD (VENTRAL INCISIONAL HERNIA)","00832","HCPCS","Both",,,"11.5","5.75","Medicare",,"",,"54",,"6.23","4.21","8.91","percent of total billed charges",,
"LOWER ABD (VENTRAL INCISIONAL HERNIA)","00832","HCPCS","Both",,,"11.5","5.75","Humana","Medicare Advantage","",,"54",,"6.23","4.21","8.91","percent of total billed charges",,
"LOWER ABD (VENTRAL INCISIONAL HERNIA)","00832","HCPCS","Both",,,"11.5","5.75","UHC","Medicare Advantage","",,"54",,"6.23","4.21","8.91","percent of total billed charges",,
"LOWER ABD (VENTRAL INCISIONAL HERNIA)","00832","HCPCS","Both",,,"11.5","5.75","Clover","Medicare Advantage","",,"54",,"6.23","4.21","8.91","percent of total billed charges",,
"LOWER ABD (VENTRAL INCISIONAL HERNIA)","00832","HCPCS","Both",,,"11.5","5.75","Wellcare","Medicare Advantage","",,"54",,"6.23","4.21","8.91","percent of total billed charges",,
"LOWER ABD (VENTRAL INCISIONAL HERNIA)","00832","HCPCS","Both",,,"11.5","5.75","Amerigroup","Medicaid Managed Care","",,"37",,"4.21","4.21","8.91","percent of total billed charges",,
"LOWER ABD (VENTRAL INCISIONAL HERNIA)","00832","HCPCS","Both",,,"11.5","5.75","Caresource","Medicaid Managed Care","",,"40",,"4.6","4.21","8.91","percent of total billed charges",,
"LOWER ABD (VENTRAL INCISIONAL HERNIA)","00832","HCPCS","Both",,,"11.5","5.75","Wellcare","Medicaid Managed Care","",,"40",,"4.66","4.21","8.91","percent of total billed charges",,
"LOWER ABD (VENTRAL INCISIONAL HERNIA)","00832","HCPCS","Both",,,"11.5","5.75","Aetna","Commercial","",,"64",,"7.34","4.21","8.91","percent of total billed charges",,
"LOWER ABD (VENTRAL INCISIONAL HERNIA)","00832","HCPCS","Both",,,"11.5","5.75","Blue Cross Blue Shield","Pathways","",,"71",,"8.12","4.21","8.91","percent of total billed charges",,
"LOWER ABD (VENTRAL INCISIONAL HERNIA)","00832","HCPCS","Both",,,"11.5","5.75","Blue Cross Blue Shield","HMO","",,"71",,"8.12","4.21","8.91","percent of total billed charges",,
"LOWER ABD (VENTRAL INCISIONAL HERNIA)","00832","HCPCS","Both",,,"11.5","5.75","Blue Cross Blue Shield","PPO","",,"71",,"8.12","4.21","8.91","percent of total billed charges",,
"LOWER ABD (VENTRAL INCISIONAL HERNIA)","00832","HCPCS","Both",,,"11.5","5.75","Ambetter","Health Exchange","",,"62",,"7.13","4.21","8.91","percent of total billed charges",,
"LOWER ABD (VENTRAL INCISIONAL HERNIA)","00832","HCPCS","Both",,,"11.5","5.75","Caresource","Health Exchange","",,"62",,"7.13","4.21","8.91","percent of total billed charges",,
"LOWER ABD (VENTRAL INCISIONAL HERNIA)","00832","HCPCS","Both",,,"11.5","5.75","Cigna","Commercial","",,"59",,"6.74","4.21","8.91","percent of total billed charges",,
"LOWER ABD (VENTRAL INCISIONAL HERNIA)","00832","HCPCS","Both",,,"11.5","5.75","Humana","Commercial","",,"78",,"8.91","4.21","8.91","percent of total billed charges",,
"LOWER ABD (VENTRAL INCISIONAL HERNIA)","00832","HCPCS","Both",,,"11.5","5.75","UHC","Commercial","",,"75",,"8.67","4.21","8.91","percent of total billed charges",,
"LOWER ABD (VENTRAL INCISIONAL HERNIA)","00832","HCPCS","Both",,,"11.5","5.75","Medicaid",,"",,"37",,"4.21","4.21","8.91","percent of total billed charges",,
"LOWER ABD (INTRAPERITONEAL)","00840","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"LOWER ABD (INTRAPERITONEAL)","00840","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"LOWER ABD (INTRAPERITONEAL)","00840","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD (INTRAPERITONEAL)","00840","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD (INTRAPERITONEAL)","00840","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD (INTRAPERITONEAL)","00840","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD (INTRAPERITONEAL)","00840","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD (INTRAPERITONEAL)","00840","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"LOWER ABD (INTRAPERITONEAL)","00840","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"LOWER ABD (INTRAPERITONEAL)","00840","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"LOWER ABD (INTRAPERITONEAL)","00840","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"LOWER ABD (INTRAPERITONEAL)","00840","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"LOWER ABD (INTRAPERITONEAL)","00840","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"LOWER ABD (INTRAPERITONEAL)","00840","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"LOWER ABD (INTRAPERITONEAL)","00840","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"LOWER ABD (INTRAPERITONEAL)","00840","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"LOWER ABD (INTRAPERITONEAL)","00840","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"LOWER ABD (INTRAPERITONEAL)","00840","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"LOWER ABD (INTRAPERITONEAL)","00840","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"LOWER ABD (INTRAPERITONEAL)","00840","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"LOWER ABD (ABDO/PERINEAL RESECTION)","00844","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"LOWER ABD (ABDO/PERINEAL RESECTION)","00844","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"LOWER ABD (ABDO/PERINEAL RESECTION)","00844","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD (ABDO/PERINEAL RESECTION)","00844","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD (ABDO/PERINEAL RESECTION)","00844","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD (ABDO/PERINEAL RESECTION)","00844","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD (ABDO/PERINEAL RESECTION)","00844","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD (ABDO/PERINEAL RESECTION)","00844","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"LOWER ABD (ABDO/PERINEAL RESECTION)","00844","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"LOWER ABD (ABDO/PERINEAL RESECTION)","00844","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"LOWER ABD (ABDO/PERINEAL RESECTION)","00844","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"LOWER ABD (ABDO/PERINEAL RESECTION)","00844","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"LOWER ABD (ABDO/PERINEAL RESECTION)","00844","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"LOWER ABD (ABDO/PERINEAL RESECTION)","00844","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"LOWER ABD (ABDO/PERINEAL RESECTION)","00844","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"LOWER ABD (ABDO/PERINEAL RESECTION)","00844","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"LOWER ABD (ABDO/PERINEAL RESECTION)","00844","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"LOWER ABD (ABDO/PERINEAL RESECTION)","00844","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"LOWER ABD (ABDO/PERINEAL RESECTION)","00844","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"LOWER ABD (ABDO/PERINEAL RESECTION)","00844","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"LOWER ABD (RADICAL HYSTERECTOMY)","00846","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"LOWER ABD (RADICAL HYSTERECTOMY)","00846","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"LOWER ABD (RADICAL HYSTERECTOMY)","00846","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD (RADICAL HYSTERECTOMY)","00846","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD (RADICAL HYSTERECTOMY)","00846","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD (RADICAL HYSTERECTOMY)","00846","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD (RADICAL HYSTERECTOMY)","00846","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD (RADICAL HYSTERECTOMY)","00846","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"LOWER ABD (RADICAL HYSTERECTOMY)","00846","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"LOWER ABD (RADICAL HYSTERECTOMY)","00846","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"LOWER ABD (RADICAL HYSTERECTOMY)","00846","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"LOWER ABD (RADICAL HYSTERECTOMY)","00846","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"LOWER ABD (RADICAL HYSTERECTOMY)","00846","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"LOWER ABD (RADICAL HYSTERECTOMY)","00846","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"LOWER ABD (RADICAL HYSTERECTOMY)","00846","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"LOWER ABD (RADICAL HYSTERECTOMY)","00846","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"LOWER ABD (RADICAL HYSTERECTOMY)","00846","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"LOWER ABD (RADICAL HYSTERECTOMY)","00846","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"LOWER ABD (RADICAL HYSTERECTOMY)","00846","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"LOWER ABD (RADICAL HYSTERECTOMY)","00846","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"TUBAL LIGATION/TRANSECTION","00851","HCPCS","Both",,,"35.5","17.75","Alliant","Health Exchange","",,"62",,"22.01","12.99","27.51","percent of total billed charges",,
"TUBAL LIGATION/TRANSECTION","00851","HCPCS","Both",,,"35.5","17.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"19.17","12.99","27.51","percent of total billed charges",,
"TUBAL LIGATION/TRANSECTION","00851","HCPCS","Both",,,"35.5","17.75","Medicare",,"",,"54",,"19.24","12.99","27.51","percent of total billed charges",,
"TUBAL LIGATION/TRANSECTION","00851","HCPCS","Both",,,"35.5","17.75","Humana","Medicare Advantage","",,"54",,"19.24","12.99","27.51","percent of total billed charges",,
"TUBAL LIGATION/TRANSECTION","00851","HCPCS","Both",,,"35.5","17.75","UHC","Medicare Advantage","",,"54",,"19.24","12.99","27.51","percent of total billed charges",,
"TUBAL LIGATION/TRANSECTION","00851","HCPCS","Both",,,"35.5","17.75","Clover","Medicare Advantage","",,"54",,"19.24","12.99","27.51","percent of total billed charges",,
"TUBAL LIGATION/TRANSECTION","00851","HCPCS","Both",,,"35.5","17.75","Wellcare","Medicare Advantage","",,"54",,"19.24","12.99","27.51","percent of total billed charges",,
"TUBAL LIGATION/TRANSECTION","00851","HCPCS","Both",,,"35.5","17.75","Amerigroup","Medicaid Managed Care","",,"37",,"12.99","12.99","27.51","percent of total billed charges",,
"TUBAL LIGATION/TRANSECTION","00851","HCPCS","Both",,,"35.5","17.75","Caresource","Medicaid Managed Care","",,"40",,"14.2","12.99","27.51","percent of total billed charges",,
"TUBAL LIGATION/TRANSECTION","00851","HCPCS","Both",,,"35.5","17.75","Wellcare","Medicaid Managed Care","",,"40",,"14.38","12.99","27.51","percent of total billed charges",,
"TUBAL LIGATION/TRANSECTION","00851","HCPCS","Both",,,"35.5","17.75","Aetna","Commercial","",,"64",,"22.65","12.99","27.51","percent of total billed charges",,
"TUBAL LIGATION/TRANSECTION","00851","HCPCS","Both",,,"35.5","17.75","Blue Cross Blue Shield","Pathways","",,"71",,"25.06","12.99","27.51","percent of total billed charges",,
"TUBAL LIGATION/TRANSECTION","00851","HCPCS","Both",,,"35.5","17.75","Blue Cross Blue Shield","HMO","",,"71",,"25.06","12.99","27.51","percent of total billed charges",,
"TUBAL LIGATION/TRANSECTION","00851","HCPCS","Both",,,"35.5","17.75","Blue Cross Blue Shield","PPO","",,"71",,"25.06","12.99","27.51","percent of total billed charges",,
"TUBAL LIGATION/TRANSECTION","00851","HCPCS","Both",,,"35.5","17.75","Ambetter","Health Exchange","",,"62",,"22.01","12.99","27.51","percent of total billed charges",,
"TUBAL LIGATION/TRANSECTION","00851","HCPCS","Both",,,"35.5","17.75","Caresource","Health Exchange","",,"62",,"22.01","12.99","27.51","percent of total billed charges",,
"TUBAL LIGATION/TRANSECTION","00851","HCPCS","Both",,,"35.5","17.75","Cigna","Commercial","",,"59",,"20.8","12.99","27.51","percent of total billed charges",,
"TUBAL LIGATION/TRANSECTION","00851","HCPCS","Both",,,"35.5","17.75","Humana","Commercial","",,"78",,"27.51","12.99","27.51","percent of total billed charges",,
"TUBAL LIGATION/TRANSECTION","00851","HCPCS","Both",,,"35.5","17.75","UHC","Commercial","",,"75",,"26.77","12.99","27.51","percent of total billed charges",,
"TUBAL LIGATION/TRANSECTION","00851","HCPCS","Both",,,"35.5","17.75","Medicaid",,"",,"37",,"12.99","12.99","27.51","percent of total billed charges",,
"LOWER ABD (EXTRAPERITONEAL)","00860","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"LOWER ABD (EXTRAPERITONEAL)","00860","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"LOWER ABD (EXTRAPERITONEAL)","00860","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD (EXTRAPERITONEAL)","00860","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD (EXTRAPERITONEAL)","00860","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD (EXTRAPERITONEAL)","00860","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD (EXTRAPERITONEAL)","00860","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD (EXTRAPERITONEAL)","00860","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"LOWER ABD (EXTRAPERITONEAL)","00860","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"LOWER ABD (EXTRAPERITONEAL)","00860","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"LOWER ABD (EXTRAPERITONEAL)","00860","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"LOWER ABD (EXTRAPERITONEAL)","00860","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"LOWER ABD (EXTRAPERITONEAL)","00860","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"LOWER ABD (EXTRAPERITONEAL)","00860","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"LOWER ABD (EXTRAPERITONEAL)","00860","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"LOWER ABD (EXTRAPERITONEAL)","00860","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"LOWER ABD (EXTRAPERITONEAL)","00860","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"LOWER ABD (EXTRAPERITONEAL)","00860","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"LOWER ABD (EXTRAPERITONEAL)","00860","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"LOWER ABD (EXTRAPERITONEAL)","00860","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"PERINEUM (ANORECTAL)","00902","HCPCS","Both",,,"15","7.5","Alliant","Health Exchange","",,"62",,"9.3","5.49","11.62","percent of total billed charges",,
"PERINEUM (ANORECTAL)","00902","HCPCS","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"8.1","5.49","11.62","percent of total billed charges",,
"PERINEUM (ANORECTAL)","00902","HCPCS","Both",,,"15","7.5","Medicare",,"",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"PERINEUM (ANORECTAL)","00902","HCPCS","Both",,,"15","7.5","Humana","Medicare Advantage","",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"PERINEUM (ANORECTAL)","00902","HCPCS","Both",,,"15","7.5","UHC","Medicare Advantage","",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"PERINEUM (ANORECTAL)","00902","HCPCS","Both",,,"15","7.5","Clover","Medicare Advantage","",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"PERINEUM (ANORECTAL)","00902","HCPCS","Both",,,"15","7.5","Wellcare","Medicare Advantage","",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"PERINEUM (ANORECTAL)","00902","HCPCS","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care","",,"37",,"5.49","5.49","11.62","percent of total billed charges",,
"PERINEUM (ANORECTAL)","00902","HCPCS","Both",,,"15","7.5","Caresource","Medicaid Managed Care","",,"40",,"6","5.49","11.62","percent of total billed charges",,
"PERINEUM (ANORECTAL)","00902","HCPCS","Both",,,"15","7.5","Wellcare","Medicaid Managed Care","",,"40",,"6.08","5.49","11.62","percent of total billed charges",,
"PERINEUM (ANORECTAL)","00902","HCPCS","Both",,,"15","7.5","Aetna","Commercial","",,"64",,"9.57","5.49","11.62","percent of total billed charges",,
"PERINEUM (ANORECTAL)","00902","HCPCS","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways","",,"71",,"10.59","5.49","11.62","percent of total billed charges",,
"PERINEUM (ANORECTAL)","00902","HCPCS","Both",,,"15","7.5","Blue Cross Blue Shield","HMO","",,"71",,"10.59","5.49","11.62","percent of total billed charges",,
"PERINEUM (ANORECTAL)","00902","HCPCS","Both",,,"15","7.5","Blue Cross Blue Shield","PPO","",,"71",,"10.59","5.49","11.62","percent of total billed charges",,
"PERINEUM (ANORECTAL)","00902","HCPCS","Both",,,"15","7.5","Ambetter","Health Exchange","",,"62",,"9.3","5.49","11.62","percent of total billed charges",,
"PERINEUM (ANORECTAL)","00902","HCPCS","Both",,,"15","7.5","Caresource","Health Exchange","",,"62",,"9.3","5.49","11.62","percent of total billed charges",,
"PERINEUM (ANORECTAL)","00902","HCPCS","Both",,,"15","7.5","Cigna","Commercial","",,"59",,"8.79","5.49","11.62","percent of total billed charges",,
"PERINEUM (ANORECTAL)","00902","HCPCS","Both",,,"15","7.5","Humana","Commercial","",,"78",,"11.62","5.49","11.62","percent of total billed charges",,
"PERINEUM (ANORECTAL)","00902","HCPCS","Both",,,"15","7.5","UHC","Commercial","",,"75",,"11.31","5.49","11.62","percent of total billed charges",,
"PERINEUM (ANORECTAL)","00902","HCPCS","Both",,,"15","7.5","Medicaid",,"",,"37",,"5.49","5.49","11.62","percent of total billed charges",,
"TRANSURETHRAL PROCEDURES","00910","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"TRANSURETHRAL PROCEDURES","00910","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"TRANSURETHRAL PROCEDURES","00910","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"TRANSURETHRAL PROCEDURES","00910","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"TRANSURETHRAL PROCEDURES","00910","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"TRANSURETHRAL PROCEDURES","00910","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"TRANSURETHRAL PROCEDURES","00910","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"TRANSURETHRAL PROCEDURES","00910","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"TRANSURETHRAL PROCEDURES","00910","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"TRANSURETHRAL PROCEDURES","00910","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"TRANSURETHRAL PROCEDURES","00910","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"TRANSURETHRAL PROCEDURES","00910","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"TRANSURETHRAL PROCEDURES","00910","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"TRANSURETHRAL PROCEDURES","00910","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"TRANSURETHRAL PROCEDURES","00910","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"TRANSURETHRAL PROCEDURES","00910","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"TRANSURETHRAL PROCEDURES","00910","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"TRANSURETHRAL PROCEDURES","00910","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"TRANSURETHRAL PROCEDURES","00910","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"TRANSURETHRAL PROCEDURES","00910","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"PERINEUM (MALE GENITALIA)","00920","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (MALE GENITALIA)","00920","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"PERINEUM (MALE GENITALIA)","00920","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (MALE GENITALIA)","00920","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (MALE GENITALIA)","00920","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (MALE GENITALIA)","00920","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (MALE GENITALIA)","00920","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (MALE GENITALIA)","00920","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"PERINEUM (MALE GENITALIA)","00920","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"PERINEUM (MALE GENITALIA)","00920","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"PERINEUM (MALE GENITALIA)","00920","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"PERINEUM (MALE GENITALIA)","00920","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (MALE GENITALIA)","00920","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (MALE GENITALIA)","00920","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (MALE GENITALIA)","00920","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (MALE GENITALIA)","00920","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (MALE GENITALIA)","00920","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"PERINEUM (MALE GENITALIA)","00920","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"PERINEUM (MALE GENITALIA)","00920","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"PERINEUM (MALE GENITALIA)","00920","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","00921","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","00921","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","00921","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","00921","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","00921","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","00921","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","00921","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","00921","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","00921","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","00921","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","00921","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","00921","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","00921","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","00921","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","00921","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","00921","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","00921","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","00921","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","00921","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"VASECTOMY, UNILATERAL OR BILATERAL","00921","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"PERINEUM SEMINAL VESICLES","00922","HCPCS","Both",,,"99","49.5","Alliant","Health Exchange","",,"62",,"61.38","36.23","76.73","percent of total billed charges",,
"PERINEUM SEMINAL VESICLES","00922","HCPCS","Both",,,"99","49.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"53.46","36.23","76.73","percent of total billed charges",,
"PERINEUM SEMINAL VESICLES","00922","HCPCS","Both",,,"99","49.5","Medicare",,"",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"PERINEUM SEMINAL VESICLES","00922","HCPCS","Both",,,"99","49.5","Humana","Medicare Advantage","",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"PERINEUM SEMINAL VESICLES","00922","HCPCS","Both",,,"99","49.5","UHC","Medicare Advantage","",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"PERINEUM SEMINAL VESICLES","00922","HCPCS","Both",,,"99","49.5","Clover","Medicare Advantage","",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"PERINEUM SEMINAL VESICLES","00922","HCPCS","Both",,,"99","49.5","Wellcare","Medicare Advantage","",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"PERINEUM SEMINAL VESICLES","00922","HCPCS","Both",,,"99","49.5","Amerigroup","Medicaid Managed Care","",,"37",,"36.23","36.23","76.73","percent of total billed charges",,
"PERINEUM SEMINAL VESICLES","00922","HCPCS","Both",,,"99","49.5","Caresource","Medicaid Managed Care","",,"40",,"39.6","36.23","76.73","percent of total billed charges",,
"PERINEUM SEMINAL VESICLES","00922","HCPCS","Both",,,"99","49.5","Wellcare","Medicaid Managed Care","",,"40",,"40.1","36.23","76.73","percent of total billed charges",,
"PERINEUM SEMINAL VESICLES","00922","HCPCS","Both",,,"99","49.5","Aetna","Commercial","",,"64",,"63.16","36.23","76.73","percent of total billed charges",,
"PERINEUM SEMINAL VESICLES","00922","HCPCS","Both",,,"99","49.5","Blue Cross Blue Shield","Pathways","",,"71",,"69.89","36.23","76.73","percent of total billed charges",,
"PERINEUM SEMINAL VESICLES","00922","HCPCS","Both",,,"99","49.5","Blue Cross Blue Shield","HMO","",,"71",,"69.89","36.23","76.73","percent of total billed charges",,
"PERINEUM SEMINAL VESICLES","00922","HCPCS","Both",,,"99","49.5","Blue Cross Blue Shield","PPO","",,"71",,"69.89","36.23","76.73","percent of total billed charges",,
"PERINEUM SEMINAL VESICLES","00922","HCPCS","Both",,,"99","49.5","Ambetter","Health Exchange","",,"62",,"61.38","36.23","76.73","percent of total billed charges",,
"PERINEUM SEMINAL VESICLES","00922","HCPCS","Both",,,"99","49.5","Caresource","Health Exchange","",,"62",,"61.38","36.23","76.73","percent of total billed charges",,
"PERINEUM SEMINAL VESICLES","00922","HCPCS","Both",,,"99","49.5","Cigna","Commercial","",,"59",,"58.01","36.23","76.73","percent of total billed charges",,
"PERINEUM SEMINAL VESICLES","00922","HCPCS","Both",,,"99","49.5","Humana","Commercial","",,"78",,"76.73","36.23","76.73","percent of total billed charges",,
"PERINEUM SEMINAL VESICLES","00922","HCPCS","Both",,,"99","49.5","UHC","Commercial","",,"75",,"74.65","36.23","76.73","percent of total billed charges",,
"PERINEUM SEMINAL VESICLES","00922","HCPCS","Both",,,"99","49.5","Medicaid",,"",,"37",,"36.23","36.23","76.73","percent of total billed charges",,
"PERINEUM (UNDESC TESTIS UNILAT OR BILAT)","00924","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (UNDESC TESTIS UNILAT OR BILAT)","00924","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"PERINEUM (UNDESC TESTIS UNILAT OR BILAT)","00924","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (UNDESC TESTIS UNILAT OR BILAT)","00924","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (UNDESC TESTIS UNILAT OR BILAT)","00924","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (UNDESC TESTIS UNILAT OR BILAT)","00924","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (UNDESC TESTIS UNILAT OR BILAT)","00924","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (UNDESC TESTIS UNILAT OR BILAT)","00924","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"PERINEUM (UNDESC TESTIS UNILAT OR BILAT)","00924","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"PERINEUM (UNDESC TESTIS UNILAT OR BILAT)","00924","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"PERINEUM (UNDESC TESTIS UNILAT OR BILAT)","00924","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"PERINEUM (UNDESC TESTIS UNILAT OR BILAT)","00924","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (UNDESC TESTIS UNILAT OR BILAT)","00924","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (UNDESC TESTIS UNILAT OR BILAT)","00924","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (UNDESC TESTIS UNILAT OR BILAT)","00924","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (UNDESC TESTIS UNILAT OR BILAT)","00924","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (UNDESC TESTIS UNILAT OR BILAT)","00924","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"PERINEUM (UNDESC TESTIS UNILAT OR BILAT)","00924","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"PERINEUM (UNDESC TESTIS UNILAT OR BILAT)","00924","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"PERINEUM (UNDESC TESTIS UNILAT OR BILAT)","00924","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY, INGUINAL)","00926","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY, INGUINAL)","00926","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY, INGUINAL)","00926","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY, INGUINAL)","00926","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY, INGUINAL)","00926","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY, INGUINAL)","00926","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY, INGUINAL)","00926","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY, INGUINAL)","00926","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY, INGUINAL)","00926","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY, INGUINAL)","00926","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY, INGUINAL)","00926","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY, INGUINAL)","00926","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY, INGUINAL)","00926","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY, INGUINAL)","00926","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY, INGUINAL)","00926","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY, INGUINAL)","00926","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY, INGUINAL)","00926","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY, INGUINAL)","00926","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY, INGUINAL)","00926","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY, INGUINAL)","00926","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY ABDOMINAL)","00928","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY ABDOMINAL)","00928","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY ABDOMINAL)","00928","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY ABDOMINAL)","00928","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY ABDOMINAL)","00928","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY ABDOMINAL)","00928","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY ABDOMINAL)","00928","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY ABDOMINAL)","00928","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY ABDOMINAL)","00928","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY ABDOMINAL)","00928","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY ABDOMINAL)","00928","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY ABDOMINAL)","00928","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY ABDOMINAL)","00928","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY ABDOMINAL)","00928","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY ABDOMINAL)","00928","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY ABDOMINAL)","00928","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY ABDOMINAL)","00928","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY ABDOMINAL)","00928","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY ABDOMINAL)","00928","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY ABDOMINAL)","00928","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"PERINEUM (ORHIOPEXY,UNILAT & BILAT)","00930","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (ORHIOPEXY,UNILAT & BILAT)","00930","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"PERINEUM (ORHIOPEXY,UNILAT & BILAT)","00930","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (ORHIOPEXY,UNILAT & BILAT)","00930","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (ORHIOPEXY,UNILAT & BILAT)","00930","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (ORHIOPEXY,UNILAT & BILAT)","00930","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (ORHIOPEXY,UNILAT & BILAT)","00930","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (ORHIOPEXY,UNILAT & BILAT)","00930","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"PERINEUM (ORHIOPEXY,UNILAT & BILAT)","00930","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"PERINEUM (ORHIOPEXY,UNILAT & BILAT)","00930","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"PERINEUM (ORHIOPEXY,UNILAT & BILAT)","00930","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"PERINEUM (ORHIOPEXY,UNILAT & BILAT)","00930","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (ORHIOPEXY,UNILAT & BILAT)","00930","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (ORHIOPEXY,UNILAT & BILAT)","00930","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (ORHIOPEXY,UNILAT & BILAT)","00930","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (ORHIOPEXY,UNILAT & BILAT)","00930","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (ORHIOPEXY,UNILAT & BILAT)","00930","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"PERINEUM (ORHIOPEXY,UNILAT & BILAT)","00930","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"PERINEUM (ORHIOPEXY,UNILAT & BILAT)","00930","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"PERINEUM (ORHIOPEXY,UNILAT & BILAT)","00930","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL PROCEDURES)","00940","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL PROCEDURES)","00940","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL PROCEDURES)","00940","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL PROCEDURES)","00940","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL PROCEDURES)","00940","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL PROCEDURES)","00940","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL PROCEDURES)","00940","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL PROCEDURES)","00940","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL PROCEDURES)","00940","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL PROCEDURES)","00940","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL PROCEDURES)","00940","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL PROCEDURES)","00940","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL PROCEDURES)","00940","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL PROCEDURES)","00940","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL PROCEDURES)","00940","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL PROCEDURES)","00940","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL PROCEDURES)","00940","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL PROCEDURES)","00940","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL PROCEDURES)","00940","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL PROCEDURES)","00940","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"COLPOTOMY VAGINECTOMY COLPORRAPHY","00942","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"COLPOTOMY VAGINECTOMY COLPORRAPHY","00942","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"COLPOTOMY VAGINECTOMY COLPORRAPHY","00942","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"COLPOTOMY VAGINECTOMY COLPORRAPHY","00942","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"COLPOTOMY VAGINECTOMY COLPORRAPHY","00942","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"COLPOTOMY VAGINECTOMY COLPORRAPHY","00942","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"COLPOTOMY VAGINECTOMY COLPORRAPHY","00942","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"COLPOTOMY VAGINECTOMY COLPORRAPHY","00942","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"COLPOTOMY VAGINECTOMY COLPORRAPHY","00942","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"COLPOTOMY VAGINECTOMY COLPORRAPHY","00942","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"COLPOTOMY VAGINECTOMY COLPORRAPHY","00942","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"COLPOTOMY VAGINECTOMY COLPORRAPHY","00942","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"COLPOTOMY VAGINECTOMY COLPORRAPHY","00942","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"COLPOTOMY VAGINECTOMY COLPORRAPHY","00942","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"COLPOTOMY VAGINECTOMY COLPORRAPHY","00942","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"COLPOTOMY VAGINECTOMY COLPORRAPHY","00942","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"COLPOTOMY VAGINECTOMY COLPORRAPHY","00942","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"COLPOTOMY VAGINECTOMY COLPORRAPHY","00942","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"COLPOTOMY VAGINECTOMY COLPORRAPHY","00942","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"COLPOTOMY VAGINECTOMY COLPORRAPHY","00942","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL HYSTERECTOMY)","00944","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL HYSTERECTOMY)","00944","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL HYSTERECTOMY)","00944","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL HYSTERECTOMY)","00944","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL HYSTERECTOMY)","00944","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL HYSTERECTOMY)","00944","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL HYSTERECTOMY)","00944","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL HYSTERECTOMY)","00944","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL HYSTERECTOMY)","00944","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL HYSTERECTOMY)","00944","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL HYSTERECTOMY)","00944","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL HYSTERECTOMY)","00944","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL HYSTERECTOMY)","00944","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL HYSTERECTOMY)","00944","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL HYSTERECTOMY)","00944","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL HYSTERECTOMY)","00944","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL HYSTERECTOMY)","00944","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL HYSTERECTOMY)","00944","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL HYSTERECTOMY)","00944","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL HYSTERECTOMY)","00944","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY &/OR HYSTERPSALPI","00952","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY &/OR HYSTERPSALPI","00952","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY &/OR HYSTERPSALPI","00952","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY &/OR HYSTERPSALPI","00952","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY &/OR HYSTERPSALPI","00952","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY &/OR HYSTERPSALPI","00952","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY &/OR HYSTERPSALPI","00952","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY &/OR HYSTERPSALPI","00952","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY &/OR HYSTERPSALPI","00952","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY &/OR HYSTERPSALPI","00952","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY &/OR HYSTERPSALPI","00952","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY &/OR HYSTERPSALPI","00952","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY &/OR HYSTERPSALPI","00952","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY &/OR HYSTERPSALPI","00952","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY &/OR HYSTERPSALPI","00952","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY &/OR HYSTERPSALPI","00952","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY &/OR HYSTERPSALPI","00952","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY &/OR HYSTERPSALPI","00952","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY &/OR HYSTERPSALPI","00952","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY &/OR HYSTERPSALPI","00952","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"PELVIS PROCEDURE BONY PELVIS","01120","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PELVIS PROCEDURE BONY PELVIS","01120","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"PELVIS PROCEDURE BONY PELVIS","01120","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PELVIS PROCEDURE BONY PELVIS","01120","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PELVIS PROCEDURE BONY PELVIS","01120","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PELVIS PROCEDURE BONY PELVIS","01120","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PELVIS PROCEDURE BONY PELVIS","01120","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PELVIS PROCEDURE BONY PELVIS","01120","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"PELVIS PROCEDURE BONY PELVIS","01120","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"PELVIS PROCEDURE BONY PELVIS","01120","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"PELVIS PROCEDURE BONY PELVIS","01120","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"PELVIS PROCEDURE BONY PELVIS","01120","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PELVIS PROCEDURE BONY PELVIS","01120","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PELVIS PROCEDURE BONY PELVIS","01120","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PELVIS PROCEDURE BONY PELVIS","01120","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PELVIS PROCEDURE BONY PELVIS","01120","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PELVIS PROCEDURE BONY PELVIS","01120","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"PELVIS PROCEDURE BONY PELVIS","01120","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"PELVIS PROCEDURE BONY PELVIS","01120","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"PELVIS PROCEDURE BONY PELVIS","01120","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (OPEN PROCEDURES)","01210","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (OPEN PROCEDURES)","01210","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (OPEN PROCEDURES)","01210","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (OPEN PROCEDURES)","01210","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (OPEN PROCEDURES)","01210","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (OPEN PROCEDURES)","01210","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (OPEN PROCEDURES)","01210","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (OPEN PROCEDURES)","01210","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (OPEN PROCEDURES)","01210","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (OPEN PROCEDURES)","01210","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (OPEN PROCEDURES)","01210","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (OPEN PROCEDURES)","01210","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (OPEN PROCEDURES)","01210","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (OPEN PROCEDURES)","01210","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (OPEN PROCEDURES)","01210","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (OPEN PROCEDURES)","01210","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (OPEN PROCEDURES)","01210","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (OPEN PROCEDURES)","01210","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (OPEN PROCEDURES)","01210","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (OPEN PROCEDURES)","01210","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (AMPUTATION)","01232","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (AMPUTATION)","01232","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (AMPUTATION)","01232","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (AMPUTATION)","01232","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (AMPUTATION)","01232","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (AMPUTATION)","01232","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (AMPUTATION)","01232","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (AMPUTATION)","01232","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (AMPUTATION)","01232","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (AMPUTATION)","01232","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (AMPUTATION)","01232","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (AMPUTATION)","01232","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (AMPUTATION)","01232","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (AMPUTATION)","01232","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (AMPUTATION)","01232","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (AMPUTATION)","01232","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (AMPUTATION)","01232","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (AMPUTATION)","01232","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (AMPUTATION)","01232","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (AMPUTATION)","01232","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE INCLUDING EXPLORAT","01260","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE INCLUDING EXPLORAT","01260","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE INCLUDING EXPLORAT","01260","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE INCLUDING EXPLORAT","01260","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE INCLUDING EXPLORAT","01260","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE INCLUDING EXPLORAT","01260","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE INCLUDING EXPLORAT","01260","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE INCLUDING EXPLORAT","01260","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE INCLUDING EXPLORAT","01260","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE INCLUDING EXPLORAT","01260","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE INCLUDING EXPLORAT","01260","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE INCLUDING EXPLORAT","01260","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE INCLUDING EXPLORAT","01260","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE INCLUDING EXPLORAT","01260","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE INCLUDING EXPLORAT","01260","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE INCLUDING EXPLORAT","01260","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE INCLUDING EXPLORAT","01260","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE INCLUDING EXPLORAT","01260","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE INCLUDING EXPLORAT","01260","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE INCLUDING EXPLORAT","01260","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL, ALL PROCEDURES","01320","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL, ALL PROCEDURES","01320","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL, ALL PROCEDURES","01320","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL, ALL PROCEDURES","01320","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL, ALL PROCEDURES","01320","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL, ALL PROCEDURES","01320","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL, ALL PROCEDURES","01320","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL, ALL PROCEDURES","01320","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL, ALL PROCEDURES","01320","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL, ALL PROCEDURES","01320","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL, ALL PROCEDURES","01320","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL, ALL PROCEDURES","01320","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL, ALL PROCEDURES","01320","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL, ALL PROCEDURES","01320","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL, ALL PROCEDURES","01320","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL, ALL PROCEDURES","01320","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL, ALL PROCEDURES","01320","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL, ALL PROCEDURES","01320","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL, ALL PROCEDURES","01320","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL, ALL PROCEDURES","01320","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL(OP PROC LOWER 1/3)","01360","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL(OP PROC LOWER 1/3)","01360","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL(OP PROC LOWER 1/3)","01360","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL(OP PROC LOWER 1/3)","01360","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL(OP PROC LOWER 1/3)","01360","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL(OP PROC LOWER 1/3)","01360","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL(OP PROC LOWER 1/3)","01360","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL(OP PROC LOWER 1/3)","01360","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL(OP PROC LOWER 1/3)","01360","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL(OP PROC LOWER 1/3)","01360","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL(OP PROC LOWER 1/3)","01360","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL(OP PROC LOWER 1/3)","01360","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL(OP PROC LOWER 1/3)","01360","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL(OP PROC LOWER 1/3)","01360","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL(OP PROC LOWER 1/3)","01360","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL(OP PROC LOWER 1/3)","01360","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL(OP PROC LOWER 1/3)","01360","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL(OP PROC LOWER 1/3)","01360","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL(OP PROC LOWER 1/3)","01360","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL(OP PROC LOWER 1/3)","01360","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"ARTHROSCOPIC PROCEDURE KNEE JOINT","01382","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"ARTHROSCOPIC PROCEDURE KNEE JOINT","01382","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"ARTHROSCOPIC PROCEDURE KNEE JOINT","01382","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"ARTHROSCOPIC PROCEDURE KNEE JOINT","01382","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"ARTHROSCOPIC PROCEDURE KNEE JOINT","01382","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"ARTHROSCOPIC PROCEDURE KNEE JOINT","01382","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"ARTHROSCOPIC PROCEDURE KNEE JOINT","01382","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"ARTHROSCOPIC PROCEDURE KNEE JOINT","01382","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"ARTHROSCOPIC PROCEDURE KNEE JOINT","01382","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"ARTHROSCOPIC PROCEDURE KNEE JOINT","01382","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"ARTHROSCOPIC PROCEDURE KNEE JOINT","01382","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"ARTHROSCOPIC PROCEDURE KNEE JOINT","01382","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"ARTHROSCOPIC PROCEDURE KNEE JOINT","01382","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"ARTHROSCOPIC PROCEDURE KNEE JOINT","01382","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"ARTHROSCOPIC PROCEDURE KNEE JOINT","01382","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"ARTHROSCOPIC PROCEDURE KNEE JOINT","01382","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"ARTHROSCOPIC PROCEDURE KNEE JOINT","01382","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"ARTHROSCOPIC PROCEDURE KNEE JOINT","01382","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"ARTHROSCOPIC PROCEDURE KNEE JOINT","01382","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"ARTHROSCOPIC PROCEDURE KNEE JOINT","01382","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01400","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01400","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01400","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01400","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01400","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01400","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01400","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01400","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01400","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01400","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01400","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01400","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01400","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01400","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01400","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01400","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01400","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01400","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01400","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01400","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (DISARTICULATION KNEE)","01404","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (DISARTICULATION KNEE)","01404","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (DISARTICULATION KNEE)","01404","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (DISARTICULATION KNEE)","01404","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (DISARTICULATION KNEE)","01404","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (DISARTICULATION KNEE)","01404","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (DISARTICULATION KNEE)","01404","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (DISARTICULATION KNEE)","01404","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (DISARTICULATION KNEE)","01404","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (DISARTICULATION KNEE)","01404","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (DISARTICULATION KNEE)","01404","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (DISARTICULATION KNEE)","01404","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (DISARTICULATION KNEE)","01404","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (DISARTICULATION KNEE)","01404","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (DISARTICULATION KNEE)","01404","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (DISARTICULATION KNEE)","01404","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (DISARTICULATION KNEE)","01404","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (DISARTICULATION KNEE)","01404","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (DISARTICULATION KNEE)","01404","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (DISARTICULATION KNEE)","01404","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (CAST APP/REMOV/REPAIR)","01420","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (CAST APP/REMOV/REPAIR)","01420","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (CAST APP/REMOV/REPAIR)","01420","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (CAST APP/REMOV/REPAIR)","01420","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (CAST APP/REMOV/REPAIR)","01420","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (CAST APP/REMOV/REPAIR)","01420","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (CAST APP/REMOV/REPAIR)","01420","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (CAST APP/REMOV/REPAIR)","01420","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (CAST APP/REMOV/REPAIR)","01420","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (CAST APP/REMOV/REPAIR)","01420","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (CAST APP/REMOV/REPAIR)","01420","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (CAST APP/REMOV/REPAIR)","01420","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (CAST APP/REMOV/REPAIR)","01420","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (CAST APP/REMOV/REPAIR)","01420","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (CAST APP/REMOV/REPAIR)","01420","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (CAST APP/REMOV/REPAIR)","01420","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (CAST APP/REMOV/REPAIR)","01420","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (CAST APP/REMOV/REPAIR)","01420","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (CAST APP/REMOV/REPAIR)","01420","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (CAST APP/REMOV/REPAIR)","01420","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"CLOSED PROC LOWER LEG, ANKLE, FOOT","01462","HCPCS","Both",,,"24.5","12.25","Alliant","Health Exchange","",,"62",,"15.19","8.97","18.99","percent of total billed charges",,
"CLOSED PROC LOWER LEG, ANKLE, FOOT","01462","HCPCS","Both",,,"24.5","12.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"13.23","8.97","18.99","percent of total billed charges",,
"CLOSED PROC LOWER LEG, ANKLE, FOOT","01462","HCPCS","Both",,,"24.5","12.25","Medicare",,"",,"54",,"13.28","8.97","18.99","percent of total billed charges",,
"CLOSED PROC LOWER LEG, ANKLE, FOOT","01462","HCPCS","Both",,,"24.5","12.25","Humana","Medicare Advantage","",,"54",,"13.28","8.97","18.99","percent of total billed charges",,
"CLOSED PROC LOWER LEG, ANKLE, FOOT","01462","HCPCS","Both",,,"24.5","12.25","UHC","Medicare Advantage","",,"54",,"13.28","8.97","18.99","percent of total billed charges",,
"CLOSED PROC LOWER LEG, ANKLE, FOOT","01462","HCPCS","Both",,,"24.5","12.25","Clover","Medicare Advantage","",,"54",,"13.28","8.97","18.99","percent of total billed charges",,
"CLOSED PROC LOWER LEG, ANKLE, FOOT","01462","HCPCS","Both",,,"24.5","12.25","Wellcare","Medicare Advantage","",,"54",,"13.28","8.97","18.99","percent of total billed charges",,
"CLOSED PROC LOWER LEG, ANKLE, FOOT","01462","HCPCS","Both",,,"24.5","12.25","Amerigroup","Medicaid Managed Care","",,"37",,"8.97","8.97","18.99","percent of total billed charges",,
"CLOSED PROC LOWER LEG, ANKLE, FOOT","01462","HCPCS","Both",,,"24.5","12.25","Caresource","Medicaid Managed Care","",,"40",,"9.8","8.97","18.99","percent of total billed charges",,
"CLOSED PROC LOWER LEG, ANKLE, FOOT","01462","HCPCS","Both",,,"24.5","12.25","Wellcare","Medicaid Managed Care","",,"40",,"9.92","8.97","18.99","percent of total billed charges",,
"CLOSED PROC LOWER LEG, ANKLE, FOOT","01462","HCPCS","Both",,,"24.5","12.25","Aetna","Commercial","",,"64",,"15.63","8.97","18.99","percent of total billed charges",,
"CLOSED PROC LOWER LEG, ANKLE, FOOT","01462","HCPCS","Both",,,"24.5","12.25","Blue Cross Blue Shield","Pathways","",,"71",,"17.3","8.97","18.99","percent of total billed charges",,
"CLOSED PROC LOWER LEG, ANKLE, FOOT","01462","HCPCS","Both",,,"24.5","12.25","Blue Cross Blue Shield","HMO","",,"71",,"17.3","8.97","18.99","percent of total billed charges",,
"CLOSED PROC LOWER LEG, ANKLE, FOOT","01462","HCPCS","Both",,,"24.5","12.25","Blue Cross Blue Shield","PPO","",,"71",,"17.3","8.97","18.99","percent of total billed charges",,
"CLOSED PROC LOWER LEG, ANKLE, FOOT","01462","HCPCS","Both",,,"24.5","12.25","Ambetter","Health Exchange","",,"62",,"15.19","8.97","18.99","percent of total billed charges",,
"CLOSED PROC LOWER LEG, ANKLE, FOOT","01462","HCPCS","Both",,,"24.5","12.25","Caresource","Health Exchange","",,"62",,"15.19","8.97","18.99","percent of total billed charges",,
"CLOSED PROC LOWER LEG, ANKLE, FOOT","01462","HCPCS","Both",,,"24.5","12.25","Cigna","Commercial","",,"59",,"14.36","8.97","18.99","percent of total billed charges",,
"CLOSED PROC LOWER LEG, ANKLE, FOOT","01462","HCPCS","Both",,,"24.5","12.25","Humana","Commercial","",,"78",,"18.99","8.97","18.99","percent of total billed charges",,
"CLOSED PROC LOWER LEG, ANKLE, FOOT","01462","HCPCS","Both",,,"24.5","12.25","UHC","Commercial","",,"75",,"18.47","8.97","18.99","percent of total billed charges",,
"CLOSED PROC LOWER LEG, ANKLE, FOOT","01462","HCPCS","Both",,,"24.5","12.25","Medicaid",,"",,"37",,"8.97","8.97","18.99","percent of total billed charges",,
"LOWER LEG BELOW KNEE (NERVES,MUSCLE,TEN","01470","HCPCS","Both",,,"15","7.5","Alliant","Health Exchange","",,"62",,"9.3","5.49","11.62","percent of total billed charges",,
"LOWER LEG BELOW KNEE (NERVES,MUSCLE,TEN","01470","HCPCS","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"8.1","5.49","11.62","percent of total billed charges",,
"LOWER LEG BELOW KNEE (NERVES,MUSCLE,TEN","01470","HCPCS","Both",,,"15","7.5","Medicare",,"",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"LOWER LEG BELOW KNEE (NERVES,MUSCLE,TEN","01470","HCPCS","Both",,,"15","7.5","Humana","Medicare Advantage","",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"LOWER LEG BELOW KNEE (NERVES,MUSCLE,TEN","01470","HCPCS","Both",,,"15","7.5","UHC","Medicare Advantage","",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"LOWER LEG BELOW KNEE (NERVES,MUSCLE,TEN","01470","HCPCS","Both",,,"15","7.5","Clover","Medicare Advantage","",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"LOWER LEG BELOW KNEE (NERVES,MUSCLE,TEN","01470","HCPCS","Both",,,"15","7.5","Wellcare","Medicare Advantage","",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"LOWER LEG BELOW KNEE (NERVES,MUSCLE,TEN","01470","HCPCS","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care","",,"37",,"5.49","5.49","11.62","percent of total billed charges",,
"LOWER LEG BELOW KNEE (NERVES,MUSCLE,TEN","01470","HCPCS","Both",,,"15","7.5","Caresource","Medicaid Managed Care","",,"40",,"6","5.49","11.62","percent of total billed charges",,
"LOWER LEG BELOW KNEE (NERVES,MUSCLE,TEN","01470","HCPCS","Both",,,"15","7.5","Wellcare","Medicaid Managed Care","",,"40",,"6.08","5.49","11.62","percent of total billed charges",,
"LOWER LEG BELOW KNEE (NERVES,MUSCLE,TEN","01470","HCPCS","Both",,,"15","7.5","Aetna","Commercial","",,"64",,"9.57","5.49","11.62","percent of total billed charges",,
"LOWER LEG BELOW KNEE (NERVES,MUSCLE,TEN","01470","HCPCS","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways","",,"71",,"10.59","5.49","11.62","percent of total billed charges",,
"LOWER LEG BELOW KNEE (NERVES,MUSCLE,TEN","01470","HCPCS","Both",,,"15","7.5","Blue Cross Blue Shield","HMO","",,"71",,"10.59","5.49","11.62","percent of total billed charges",,
"LOWER LEG BELOW KNEE (NERVES,MUSCLE,TEN","01470","HCPCS","Both",,,"15","7.5","Blue Cross Blue Shield","PPO","",,"71",,"10.59","5.49","11.62","percent of total billed charges",,
"LOWER LEG BELOW KNEE (NERVES,MUSCLE,TEN","01470","HCPCS","Both",,,"15","7.5","Ambetter","Health Exchange","",,"62",,"9.3","5.49","11.62","percent of total billed charges",,
"LOWER LEG BELOW KNEE (NERVES,MUSCLE,TEN","01470","HCPCS","Both",,,"15","7.5","Caresource","Health Exchange","",,"62",,"9.3","5.49","11.62","percent of total billed charges",,
"LOWER LEG BELOW KNEE (NERVES,MUSCLE,TEN","01470","HCPCS","Both",,,"15","7.5","Cigna","Commercial","",,"59",,"8.79","5.49","11.62","percent of total billed charges",,
"LOWER LEG BELOW KNEE (NERVES,MUSCLE,TEN","01470","HCPCS","Both",,,"15","7.5","Humana","Commercial","",,"78",,"11.62","5.49","11.62","percent of total billed charges",,
"LOWER LEG BELOW KNEE (NERVES,MUSCLE,TEN","01470","HCPCS","Both",,,"15","7.5","UHC","Commercial","",,"75",,"11.31","5.49","11.62","percent of total billed charges",,
"LOWER LEG BELOW KNEE (NERVES,MUSCLE,TEN","01470","HCPCS","Both",,,"15","7.5","Medicaid",,"",,"37",,"5.49","5.49","11.62","percent of total billed charges",,
"LOWER LEG BELOW KNEE (OPEN PROCEDURES)","01480","HCPCS","Both",,,"63.5","31.75","Alliant","Health Exchange","",,"62",,"39.37","23.24","49.21","percent of total billed charges",,
"LOWER LEG BELOW KNEE (OPEN PROCEDURES)","01480","HCPCS","Both",,,"63.5","31.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"34.29","23.24","49.21","percent of total billed charges",,
"LOWER LEG BELOW KNEE (OPEN PROCEDURES)","01480","HCPCS","Both",,,"63.5","31.75","Medicare",,"",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"LOWER LEG BELOW KNEE (OPEN PROCEDURES)","01480","HCPCS","Both",,,"63.5","31.75","Humana","Medicare Advantage","",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"LOWER LEG BELOW KNEE (OPEN PROCEDURES)","01480","HCPCS","Both",,,"63.5","31.75","UHC","Medicare Advantage","",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"LOWER LEG BELOW KNEE (OPEN PROCEDURES)","01480","HCPCS","Both",,,"63.5","31.75","Clover","Medicare Advantage","",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"LOWER LEG BELOW KNEE (OPEN PROCEDURES)","01480","HCPCS","Both",,,"63.5","31.75","Wellcare","Medicare Advantage","",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"LOWER LEG BELOW KNEE (OPEN PROCEDURES)","01480","HCPCS","Both",,,"63.5","31.75","Amerigroup","Medicaid Managed Care","",,"37",,"23.24","23.24","49.21","percent of total billed charges",,
"LOWER LEG BELOW KNEE (OPEN PROCEDURES)","01480","HCPCS","Both",,,"63.5","31.75","Caresource","Medicaid Managed Care","",,"40",,"25.4","23.24","49.21","percent of total billed charges",,
"LOWER LEG BELOW KNEE (OPEN PROCEDURES)","01480","HCPCS","Both",,,"63.5","31.75","Wellcare","Medicaid Managed Care","",,"40",,"25.72","23.24","49.21","percent of total billed charges",,
"LOWER LEG BELOW KNEE (OPEN PROCEDURES)","01480","HCPCS","Both",,,"63.5","31.75","Aetna","Commercial","",,"64",,"40.51","23.24","49.21","percent of total billed charges",,
"LOWER LEG BELOW KNEE (OPEN PROCEDURES)","01480","HCPCS","Both",,,"63.5","31.75","Blue Cross Blue Shield","Pathways","",,"71",,"44.83","23.24","49.21","percent of total billed charges",,
"LOWER LEG BELOW KNEE (OPEN PROCEDURES)","01480","HCPCS","Both",,,"63.5","31.75","Blue Cross Blue Shield","HMO","",,"71",,"44.83","23.24","49.21","percent of total billed charges",,
"LOWER LEG BELOW KNEE (OPEN PROCEDURES)","01480","HCPCS","Both",,,"63.5","31.75","Blue Cross Blue Shield","PPO","",,"71",,"44.83","23.24","49.21","percent of total billed charges",,
"LOWER LEG BELOW KNEE (OPEN PROCEDURES)","01480","HCPCS","Both",,,"63.5","31.75","Ambetter","Health Exchange","",,"62",,"39.37","23.24","49.21","percent of total billed charges",,
"LOWER LEG BELOW KNEE (OPEN PROCEDURES)","01480","HCPCS","Both",,,"63.5","31.75","Caresource","Health Exchange","",,"62",,"39.37","23.24","49.21","percent of total billed charges",,
"LOWER LEG BELOW KNEE (OPEN PROCEDURES)","01480","HCPCS","Both",,,"63.5","31.75","Cigna","Commercial","",,"59",,"37.21","23.24","49.21","percent of total billed charges",,
"LOWER LEG BELOW KNEE (OPEN PROCEDURES)","01480","HCPCS","Both",,,"63.5","31.75","Humana","Commercial","",,"78",,"49.21","23.24","49.21","percent of total billed charges",,
"LOWER LEG BELOW KNEE (OPEN PROCEDURES)","01480","HCPCS","Both",,,"63.5","31.75","UHC","Commercial","",,"75",,"47.88","23.24","49.21","percent of total billed charges",,
"LOWER LEG BELOW KNEE (OPEN PROCEDURES)","01480","HCPCS","Both",,,"63.5","31.75","Medicaid",,"",,"37",,"23.24","23.24","49.21","percent of total billed charges",,
"LOWER LEG BELOW KNEE (RADICAL RESECTION)","01482","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (RADICAL RESECTION)","01482","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (RADICAL RESECTION)","01482","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (RADICAL RESECTION)","01482","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (RADICAL RESECTION)","01482","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (RADICAL RESECTION)","01482","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (RADICAL RESECTION)","01482","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (RADICAL RESECTION)","01482","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (RADICAL RESECTION)","01482","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (RADICAL RESECTION)","01482","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (RADICAL RESECTION)","01482","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (RADICAL RESECTION)","01482","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (RADICAL RESECTION)","01482","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (RADICAL RESECTION)","01482","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (RADICAL RESECTION)","01482","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (RADICAL RESECTION)","01482","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (RADICAL RESECTION)","01482","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (RADICAL RESECTION)","01482","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (RADICAL RESECTION)","01482","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (RADICAL RESECTION)","01482","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01490","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01490","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01490","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01490","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01490","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01490","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01490","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01490","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01490","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01490","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01490","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01490","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01490","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01490","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01490","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01490","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01490","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01490","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01490","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01490","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"SHOULDER AND AXILLA CLOSED PROCEDURES","01610","HCPCS","Both",,,"42.5","21.25","Alliant","Health Exchange","",,"62",,"26.35","15.56","32.94","percent of total billed charges",,
"SHOULDER AND AXILLA CLOSED PROCEDURES","01610","HCPCS","Both",,,"42.5","21.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"22.95","15.56","32.94","percent of total billed charges",,
"SHOULDER AND AXILLA CLOSED PROCEDURES","01610","HCPCS","Both",,,"42.5","21.25","Medicare",,"",,"54",,"23.04","15.56","32.94","percent of total billed charges",,
"SHOULDER AND AXILLA CLOSED PROCEDURES","01610","HCPCS","Both",,,"42.5","21.25","Humana","Medicare Advantage","",,"54",,"23.04","15.56","32.94","percent of total billed charges",,
"SHOULDER AND AXILLA CLOSED PROCEDURES","01610","HCPCS","Both",,,"42.5","21.25","UHC","Medicare Advantage","",,"54",,"23.04","15.56","32.94","percent of total billed charges",,
"SHOULDER AND AXILLA CLOSED PROCEDURES","01610","HCPCS","Both",,,"42.5","21.25","Clover","Medicare Advantage","",,"54",,"23.04","15.56","32.94","percent of total billed charges",,
"SHOULDER AND AXILLA CLOSED PROCEDURES","01610","HCPCS","Both",,,"42.5","21.25","Wellcare","Medicare Advantage","",,"54",,"23.04","15.56","32.94","percent of total billed charges",,
"SHOULDER AND AXILLA CLOSED PROCEDURES","01610","HCPCS","Both",,,"42.5","21.25","Amerigroup","Medicaid Managed Care","",,"37",,"15.56","15.56","32.94","percent of total billed charges",,
"SHOULDER AND AXILLA CLOSED PROCEDURES","01610","HCPCS","Both",,,"42.5","21.25","Caresource","Medicaid Managed Care","",,"40",,"17","15.56","32.94","percent of total billed charges",,
"SHOULDER AND AXILLA CLOSED PROCEDURES","01610","HCPCS","Both",,,"42.5","21.25","Wellcare","Medicaid Managed Care","",,"40",,"17.21","15.56","32.94","percent of total billed charges",,
"SHOULDER AND AXILLA CLOSED PROCEDURES","01610","HCPCS","Both",,,"42.5","21.25","Aetna","Commercial","",,"64",,"27.12","15.56","32.94","percent of total billed charges",,
"SHOULDER AND AXILLA CLOSED PROCEDURES","01610","HCPCS","Both",,,"42.5","21.25","Blue Cross Blue Shield","Pathways","",,"71",,"30","15.56","32.94","percent of total billed charges",,
"SHOULDER AND AXILLA CLOSED PROCEDURES","01610","HCPCS","Both",,,"42.5","21.25","Blue Cross Blue Shield","HMO","",,"71",,"30","15.56","32.94","percent of total billed charges",,
"SHOULDER AND AXILLA CLOSED PROCEDURES","01610","HCPCS","Both",,,"42.5","21.25","Blue Cross Blue Shield","PPO","",,"71",,"30","15.56","32.94","percent of total billed charges",,
"SHOULDER AND AXILLA CLOSED PROCEDURES","01610","HCPCS","Both",,,"42.5","21.25","Ambetter","Health Exchange","",,"62",,"26.35","15.56","32.94","percent of total billed charges",,
"SHOULDER AND AXILLA CLOSED PROCEDURES","01610","HCPCS","Both",,,"42.5","21.25","Caresource","Health Exchange","",,"62",,"26.35","15.56","32.94","percent of total billed charges",,
"SHOULDER AND AXILLA CLOSED PROCEDURES","01610","HCPCS","Both",,,"42.5","21.25","Cigna","Commercial","",,"59",,"24.9","15.56","32.94","percent of total billed charges",,
"SHOULDER AND AXILLA CLOSED PROCEDURES","01610","HCPCS","Both",,,"42.5","21.25","Humana","Commercial","",,"78",,"32.94","15.56","32.94","percent of total billed charges",,
"SHOULDER AND AXILLA CLOSED PROCEDURES","01610","HCPCS","Both",,,"42.5","21.25","UHC","Commercial","",,"75",,"32.04","15.56","32.94","percent of total billed charges",,
"SHOULDER AND AXILLA CLOSED PROCEDURES","01610","HCPCS","Both",,,"42.5","21.25","Medicaid",,"",,"37",,"15.56","15.56","32.94","percent of total billed charges",,
"SHOULDER AND AXILLA(OPEN OR SURG ARTHRO)","01630","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"SHOULDER AND AXILLA(OPEN OR SURG ARTHRO)","01630","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"SHOULDER AND AXILLA(OPEN OR SURG ARTHRO)","01630","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"SHOULDER AND AXILLA(OPEN OR SURG ARTHRO)","01630","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"SHOULDER AND AXILLA(OPEN OR SURG ARTHRO)","01630","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"SHOULDER AND AXILLA(OPEN OR SURG ARTHRO)","01630","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"SHOULDER AND AXILLA(OPEN OR SURG ARTHRO)","01630","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"SHOULDER AND AXILLA(OPEN OR SURG ARTHRO)","01630","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"SHOULDER AND AXILLA(OPEN OR SURG ARTHRO)","01630","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"SHOULDER AND AXILLA(OPEN OR SURG ARTHRO)","01630","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"SHOULDER AND AXILLA(OPEN OR SURG ARTHRO)","01630","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"SHOULDER AND AXILLA(OPEN OR SURG ARTHRO)","01630","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"SHOULDER AND AXILLA(OPEN OR SURG ARTHRO)","01630","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"SHOULDER AND AXILLA(OPEN OR SURG ARTHRO)","01630","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"SHOULDER AND AXILLA(OPEN OR SURG ARTHRO)","01630","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"SHOULDER AND AXILLA(OPEN OR SURG ARTHRO)","01630","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"SHOULDER AND AXILLA(OPEN OR SURG ARTHRO)","01630","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"SHOULDER AND AXILLA(OPEN OR SURG ARTHRO)","01630","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"SHOULDER AND AXILLA(OPEN OR SURG ARTHRO)","01630","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"SHOULDER AND AXILLA(OPEN OR SURG ARTHRO)","01630","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (OPEN PROCEDURES)","01740","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (OPEN PROCEDURES)","01740","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (OPEN PROCEDURES)","01740","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (OPEN PROCEDURES)","01740","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (OPEN PROCEDURES)","01740","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (OPEN PROCEDURES)","01740","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (OPEN PROCEDURES)","01740","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (OPEN PROCEDURES)","01740","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (OPEN PROCEDURES)","01740","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (OPEN PROCEDURES)","01740","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (OPEN PROCEDURES)","01740","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (OPEN PROCEDURES)","01740","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (OPEN PROCEDURES)","01740","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (OPEN PROCEDURES)","01740","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (OPEN PROCEDURES)","01740","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (OPEN PROCEDURES)","01740","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (OPEN PROCEDURES)","01740","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (OPEN PROCEDURES)","01740","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (OPEN PROCEDURES)","01740","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (OPEN PROCEDURES)","01740","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (ARTERIES)","01770","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (ARTERIES)","01770","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (ARTERIES)","01770","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (ARTERIES)","01770","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (ARTERIES)","01770","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (ARTERIES)","01770","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (ARTERIES)","01770","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (ARTERIES)","01770","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (ARTERIES)","01770","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (ARTERIES)","01770","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (ARTERIES)","01770","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (ARTERIES)","01770","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (ARTERIES)","01770","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (ARTERIES)","01770","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (ARTERIES)","01770","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (ARTERIES)","01770","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (ARTERIES)","01770","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (ARTERIES)","01770","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (ARTERIES)","01770","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (ARTERIES)","01770","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (VEINS)","01780","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (VEINS)","01780","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (VEINS)","01780","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (VEINS)","01780","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (VEINS)","01780","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (VEINS)","01780","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (VEINS)","01780","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (VEINS)","01780","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (VEINS)","01780","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (VEINS)","01780","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (VEINS)","01780","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (VEINS)","01780","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (VEINS)","01780","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (VEINS)","01780","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (VEINS)","01780","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (VEINS)","01780","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (VEINS)","01780","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (VEINS)","01780","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (VEINS)","01780","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (VEINS)","01780","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"FOREARM WRIST HAND NERVES MUSCLES TENDON","01810","HCPCS","Both",,,"8","4","Alliant","Health Exchange","",,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"FOREARM WRIST HAND NERVES MUSCLES TENDON","01810","HCPCS","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage","",,"54",,"4.32","2.93","6.2","percent of total billed charges",,
"FOREARM WRIST HAND NERVES MUSCLES TENDON","01810","HCPCS","Both",,,"8","4","Medicare",,"",,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"FOREARM WRIST HAND NERVES MUSCLES TENDON","01810","HCPCS","Both",,,"8","4","Humana","Medicare Advantage","",,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"FOREARM WRIST HAND NERVES MUSCLES TENDON","01810","HCPCS","Both",,,"8","4","UHC","Medicare Advantage","",,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"FOREARM WRIST HAND NERVES MUSCLES TENDON","01810","HCPCS","Both",,,"8","4","Clover","Medicare Advantage","",,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"FOREARM WRIST HAND NERVES MUSCLES TENDON","01810","HCPCS","Both",,,"8","4","Wellcare","Medicare Advantage","",,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"FOREARM WRIST HAND NERVES MUSCLES TENDON","01810","HCPCS","Both",,,"8","4","Amerigroup","Medicaid Managed Care","",,"37",,"2.93","2.93","6.2","percent of total billed charges",,
"FOREARM WRIST HAND NERVES MUSCLES TENDON","01810","HCPCS","Both",,,"8","4","Caresource","Medicaid Managed Care","",,"40",,"3.2","2.93","6.2","percent of total billed charges",,
"FOREARM WRIST HAND NERVES MUSCLES TENDON","01810","HCPCS","Both",,,"8","4","Wellcare","Medicaid Managed Care","",,"40",,"3.24","2.93","6.2","percent of total billed charges",,
"FOREARM WRIST HAND NERVES MUSCLES TENDON","01810","HCPCS","Both",,,"8","4","Aetna","Commercial","",,"64",,"5.1","2.93","6.2","percent of total billed charges",,
"FOREARM WRIST HAND NERVES MUSCLES TENDON","01810","HCPCS","Both",,,"8","4","Blue Cross Blue Shield","Pathways","",,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"FOREARM WRIST HAND NERVES MUSCLES TENDON","01810","HCPCS","Both",,,"8","4","Blue Cross Blue Shield","HMO","",,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"FOREARM WRIST HAND NERVES MUSCLES TENDON","01810","HCPCS","Both",,,"8","4","Blue Cross Blue Shield","PPO","",,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"FOREARM WRIST HAND NERVES MUSCLES TENDON","01810","HCPCS","Both",,,"8","4","Ambetter","Health Exchange","",,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"FOREARM WRIST HAND NERVES MUSCLES TENDON","01810","HCPCS","Both",,,"8","4","Caresource","Health Exchange","",,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"FOREARM WRIST HAND NERVES MUSCLES TENDON","01810","HCPCS","Both",,,"8","4","Cigna","Commercial","",,"59",,"4.69","2.93","6.2","percent of total billed charges",,
"FOREARM WRIST HAND NERVES MUSCLES TENDON","01810","HCPCS","Both",,,"8","4","Humana","Commercial","",,"78",,"6.2","2.93","6.2","percent of total billed charges",,
"FOREARM WRIST HAND NERVES MUSCLES TENDON","01810","HCPCS","Both",,,"8","4","UHC","Commercial","",,"75",,"6.03","2.93","6.2","percent of total billed charges",,
"FOREARM WRIST HAND NERVES MUSCLES TENDON","01810","HCPCS","Both",,,"8","4","Medicaid",,"",,"37",,"2.93","2.93","6.2","percent of total billed charges",,
"CLOSED PROCEDURES RADIUS ULNA","01820","HCPCS","Both",,,"89","44.5","Alliant","Health Exchange","",,"62",,"55.18","32.57","68.98","percent of total billed charges",,
"CLOSED PROCEDURES RADIUS ULNA","01820","HCPCS","Both",,,"89","44.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"48.06","32.57","68.98","percent of total billed charges",,
"CLOSED PROCEDURES RADIUS ULNA","01820","HCPCS","Both",,,"89","44.5","Medicare",,"",,"54",,"48.24","32.57","68.98","percent of total billed charges",,
"CLOSED PROCEDURES RADIUS ULNA","01820","HCPCS","Both",,,"89","44.5","Humana","Medicare Advantage","",,"54",,"48.24","32.57","68.98","percent of total billed charges",,
"CLOSED PROCEDURES RADIUS ULNA","01820","HCPCS","Both",,,"89","44.5","UHC","Medicare Advantage","",,"54",,"48.24","32.57","68.98","percent of total billed charges",,
"CLOSED PROCEDURES RADIUS ULNA","01820","HCPCS","Both",,,"89","44.5","Clover","Medicare Advantage","",,"54",,"48.24","32.57","68.98","percent of total billed charges",,
"CLOSED PROCEDURES RADIUS ULNA","01820","HCPCS","Both",,,"89","44.5","Wellcare","Medicare Advantage","",,"54",,"48.24","32.57","68.98","percent of total billed charges",,
"CLOSED PROCEDURES RADIUS ULNA","01820","HCPCS","Both",,,"89","44.5","Amerigroup","Medicaid Managed Care","",,"37",,"32.57","32.57","68.98","percent of total billed charges",,
"CLOSED PROCEDURES RADIUS ULNA","01820","HCPCS","Both",,,"89","44.5","Caresource","Medicaid Managed Care","",,"40",,"35.6","32.57","68.98","percent of total billed charges",,
"CLOSED PROCEDURES RADIUS ULNA","01820","HCPCS","Both",,,"89","44.5","Wellcare","Medicaid Managed Care","",,"40",,"36.04","32.57","68.98","percent of total billed charges",,
"CLOSED PROCEDURES RADIUS ULNA","01820","HCPCS","Both",,,"89","44.5","Aetna","Commercial","",,"64",,"56.78","32.57","68.98","percent of total billed charges",,
"CLOSED PROCEDURES RADIUS ULNA","01820","HCPCS","Both",,,"89","44.5","Blue Cross Blue Shield","Pathways","",,"71",,"62.83","32.57","68.98","percent of total billed charges",,
"CLOSED PROCEDURES RADIUS ULNA","01820","HCPCS","Both",,,"89","44.5","Blue Cross Blue Shield","HMO","",,"71",,"62.83","32.57","68.98","percent of total billed charges",,
"CLOSED PROCEDURES RADIUS ULNA","01820","HCPCS","Both",,,"89","44.5","Blue Cross Blue Shield","PPO","",,"71",,"62.83","32.57","68.98","percent of total billed charges",,
"CLOSED PROCEDURES RADIUS ULNA","01820","HCPCS","Both",,,"89","44.5","Ambetter","Health Exchange","",,"62",,"55.18","32.57","68.98","percent of total billed charges",,
"CLOSED PROCEDURES RADIUS ULNA","01820","HCPCS","Both",,,"89","44.5","Caresource","Health Exchange","",,"62",,"55.18","32.57","68.98","percent of total billed charges",,
"CLOSED PROCEDURES RADIUS ULNA","01820","HCPCS","Both",,,"89","44.5","Cigna","Commercial","",,"59",,"52.15","32.57","68.98","percent of total billed charges",,
"CLOSED PROCEDURES RADIUS ULNA","01820","HCPCS","Both",,,"89","44.5","Humana","Commercial","",,"78",,"68.98","32.57","68.98","percent of total billed charges",,
"CLOSED PROCEDURES RADIUS ULNA","01820","HCPCS","Both",,,"89","44.5","UHC","Commercial","",,"75",,"67.11","32.57","68.98","percent of total billed charges",,
"CLOSED PROCEDURES RADIUS ULNA","01820","HCPCS","Both",,,"89","44.5","Medicaid",,"",,"37",,"32.57","32.57","68.98","percent of total billed charges",,
"FOREARM WRIST HAND (OPEN PROCEDURES)","01830","HCPCS","Both",,,"35.5","17.75","Alliant","Health Exchange","",,"62",,"22.01","12.99","27.51","percent of total billed charges",,
"FOREARM WRIST HAND (OPEN PROCEDURES)","01830","HCPCS","Both",,,"35.5","17.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"19.17","12.99","27.51","percent of total billed charges",,
"FOREARM WRIST HAND (OPEN PROCEDURES)","01830","HCPCS","Both",,,"35.5","17.75","Medicare",,"",,"54",,"19.24","12.99","27.51","percent of total billed charges",,
"FOREARM WRIST HAND (OPEN PROCEDURES)","01830","HCPCS","Both",,,"35.5","17.75","Humana","Medicare Advantage","",,"54",,"19.24","12.99","27.51","percent of total billed charges",,
"FOREARM WRIST HAND (OPEN PROCEDURES)","01830","HCPCS","Both",,,"35.5","17.75","UHC","Medicare Advantage","",,"54",,"19.24","12.99","27.51","percent of total billed charges",,
"FOREARM WRIST HAND (OPEN PROCEDURES)","01830","HCPCS","Both",,,"35.5","17.75","Clover","Medicare Advantage","",,"54",,"19.24","12.99","27.51","percent of total billed charges",,
"FOREARM WRIST HAND (OPEN PROCEDURES)","01830","HCPCS","Both",,,"35.5","17.75","Wellcare","Medicare Advantage","",,"54",,"19.24","12.99","27.51","percent of total billed charges",,
"FOREARM WRIST HAND (OPEN PROCEDURES)","01830","HCPCS","Both",,,"35.5","17.75","Amerigroup","Medicaid Managed Care","",,"37",,"12.99","12.99","27.51","percent of total billed charges",,
"FOREARM WRIST HAND (OPEN PROCEDURES)","01830","HCPCS","Both",,,"35.5","17.75","Caresource","Medicaid Managed Care","",,"40",,"14.2","12.99","27.51","percent of total billed charges",,
"FOREARM WRIST HAND (OPEN PROCEDURES)","01830","HCPCS","Both",,,"35.5","17.75","Wellcare","Medicaid Managed Care","",,"40",,"14.38","12.99","27.51","percent of total billed charges",,
"FOREARM WRIST HAND (OPEN PROCEDURES)","01830","HCPCS","Both",,,"35.5","17.75","Aetna","Commercial","",,"64",,"22.65","12.99","27.51","percent of total billed charges",,
"FOREARM WRIST HAND (OPEN PROCEDURES)","01830","HCPCS","Both",,,"35.5","17.75","Blue Cross Blue Shield","Pathways","",,"71",,"25.06","12.99","27.51","percent of total billed charges",,
"FOREARM WRIST HAND (OPEN PROCEDURES)","01830","HCPCS","Both",,,"35.5","17.75","Blue Cross Blue Shield","HMO","",,"71",,"25.06","12.99","27.51","percent of total billed charges",,
"FOREARM WRIST HAND (OPEN PROCEDURES)","01830","HCPCS","Both",,,"35.5","17.75","Blue Cross Blue Shield","PPO","",,"71",,"25.06","12.99","27.51","percent of total billed charges",,
"FOREARM WRIST HAND (OPEN PROCEDURES)","01830","HCPCS","Both",,,"35.5","17.75","Ambetter","Health Exchange","",,"62",,"22.01","12.99","27.51","percent of total billed charges",,
"FOREARM WRIST HAND (OPEN PROCEDURES)","01830","HCPCS","Both",,,"35.5","17.75","Caresource","Health Exchange","",,"62",,"22.01","12.99","27.51","percent of total billed charges",,
"FOREARM WRIST HAND (OPEN PROCEDURES)","01830","HCPCS","Both",,,"35.5","17.75","Cigna","Commercial","",,"59",,"20.8","12.99","27.51","percent of total billed charges",,
"FOREARM WRIST HAND (OPEN PROCEDURES)","01830","HCPCS","Both",,,"35.5","17.75","Humana","Commercial","",,"78",,"27.51","12.99","27.51","percent of total billed charges",,
"FOREARM WRIST HAND (OPEN PROCEDURES)","01830","HCPCS","Both",,,"35.5","17.75","UHC","Commercial","",,"75",,"26.77","12.99","27.51","percent of total billed charges",,
"FOREARM WRIST HAND (OPEN PROCEDURES)","01830","HCPCS","Both",,,"35.5","17.75","Medicaid",,"",,"37",,"12.99","12.99","27.51","percent of total billed charges",,
"THORAX CLAVICLE & SCAPULA","00450","HCPCS","Both",,,"59","29.5","Alliant","Health Exchange","",,"62",,"36.58","21.59","45.72","percent of total billed charges",,
"THORAX CLAVICLE & SCAPULA","00450","HCPCS","Both",,,"59","29.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"31.86","21.59","45.72","percent of total billed charges",,
"THORAX CLAVICLE & SCAPULA","00450","HCPCS","Both",,,"59","29.5","Medicare",,"",,"54",,"31.98","21.59","45.72","percent of total billed charges",,
"THORAX CLAVICLE & SCAPULA","00450","HCPCS","Both",,,"59","29.5","Humana","Medicare Advantage","",,"54",,"31.98","21.59","45.72","percent of total billed charges",,
"THORAX CLAVICLE & SCAPULA","00450","HCPCS","Both",,,"59","29.5","UHC","Medicare Advantage","",,"54",,"31.98","21.59","45.72","percent of total billed charges",,
"THORAX CLAVICLE & SCAPULA","00450","HCPCS","Both",,,"59","29.5","Clover","Medicare Advantage","",,"54",,"31.98","21.59","45.72","percent of total billed charges",,
"THORAX CLAVICLE & SCAPULA","00450","HCPCS","Both",,,"59","29.5","Wellcare","Medicare Advantage","",,"54",,"31.98","21.59","45.72","percent of total billed charges",,
"THORAX CLAVICLE & SCAPULA","00450","HCPCS","Both",,,"59","29.5","Amerigroup","Medicaid Managed Care","",,"37",,"21.59","21.59","45.72","percent of total billed charges",,
"THORAX CLAVICLE & SCAPULA","00450","HCPCS","Both",,,"59","29.5","Caresource","Medicaid Managed Care","",,"40",,"23.6","21.59","45.72","percent of total billed charges",,
"THORAX CLAVICLE & SCAPULA","00450","HCPCS","Both",,,"59","29.5","Wellcare","Medicaid Managed Care","",,"40",,"23.9","21.59","45.72","percent of total billed charges",,
"THORAX CLAVICLE & SCAPULA","00450","HCPCS","Both",,,"59","29.5","Aetna","Commercial","",,"64",,"37.64","21.59","45.72","percent of total billed charges",,
"THORAX CLAVICLE & SCAPULA","00450","HCPCS","Both",,,"59","29.5","Blue Cross Blue Shield","Pathways","",,"71",,"41.65","21.59","45.72","percent of total billed charges",,
"THORAX CLAVICLE & SCAPULA","00450","HCPCS","Both",,,"59","29.5","Blue Cross Blue Shield","HMO","",,"71",,"41.65","21.59","45.72","percent of total billed charges",,
"THORAX CLAVICLE & SCAPULA","00450","HCPCS","Both",,,"59","29.5","Blue Cross Blue Shield","PPO","",,"71",,"41.65","21.59","45.72","percent of total billed charges",,
"THORAX CLAVICLE & SCAPULA","00450","HCPCS","Both",,,"59","29.5","Ambetter","Health Exchange","",,"62",,"36.58","21.59","45.72","percent of total billed charges",,
"THORAX CLAVICLE & SCAPULA","00450","HCPCS","Both",,,"59","29.5","Caresource","Health Exchange","",,"62",,"36.58","21.59","45.72","percent of total billed charges",,
"THORAX CLAVICLE & SCAPULA","00450","HCPCS","Both",,,"59","29.5","Cigna","Commercial","",,"59",,"34.57","21.59","45.72","percent of total billed charges",,
"THORAX CLAVICLE & SCAPULA","00450","HCPCS","Both",,,"59","29.5","Humana","Commercial","",,"78",,"45.72","21.59","45.72","percent of total billed charges",,
"THORAX CLAVICLE & SCAPULA","00450","HCPCS","Both",,,"59","29.5","UHC","Commercial","",,"75",,"44.49","21.59","45.72","percent of total billed charges",,
"THORAX CLAVICLE & SCAPULA","00450","HCPCS","Both",,,"59","29.5","Medicaid",,"",,"37",,"21.59","21.59","45.72","percent of total billed charges",,
"FOREARM WRIST & HAND (VASC SHUNT/REVISIO","01844","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"FOREARM WRIST & HAND (VASC SHUNT/REVISIO","01844","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"FOREARM WRIST & HAND (VASC SHUNT/REVISIO","01844","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"FOREARM WRIST & HAND (VASC SHUNT/REVISIO","01844","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"FOREARM WRIST & HAND (VASC SHUNT/REVISIO","01844","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"FOREARM WRIST & HAND (VASC SHUNT/REVISIO","01844","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"FOREARM WRIST & HAND (VASC SHUNT/REVISIO","01844","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"FOREARM WRIST & HAND (VASC SHUNT/REVISIO","01844","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"FOREARM WRIST & HAND (VASC SHUNT/REVISIO","01844","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"FOREARM WRIST & HAND (VASC SHUNT/REVISIO","01844","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"FOREARM WRIST & HAND (VASC SHUNT/REVISIO","01844","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"FOREARM WRIST & HAND (VASC SHUNT/REVISIO","01844","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"FOREARM WRIST & HAND (VASC SHUNT/REVISIO","01844","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"FOREARM WRIST & HAND (VASC SHUNT/REVISIO","01844","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"FOREARM WRIST & HAND (VASC SHUNT/REVISIO","01844","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"FOREARM WRIST & HAND (VASC SHUNT/REVISIO","01844","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"FOREARM WRIST & HAND (VASC SHUNT/REVISIO","01844","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"FOREARM WRIST & HAND (VASC SHUNT/REVISIO","01844","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"FOREARM WRIST & HAND (VASC SHUNT/REVISIO","01844","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"FOREARM WRIST & HAND (VASC SHUNT/REVISIO","01844","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"UPPER LEG (EXCEPT KNEE) NERVES,MUSCLE,TE","01250","HCPCS","Both",,,"127.5","63.75","Alliant","Health Exchange","",,"62",,"79.05","46.66","98.81","percent of total billed charges",,
"UPPER LEG (EXCEPT KNEE) NERVES,MUSCLE,TE","01250","HCPCS","Both",,,"127.5","63.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"68.85","46.66","98.81","percent of total billed charges",,
"UPPER LEG (EXCEPT KNEE) NERVES,MUSCLE,TE","01250","HCPCS","Both",,,"127.5","63.75","Medicare",,"",,"54",,"69.1","46.66","98.81","percent of total billed charges",,
"UPPER LEG (EXCEPT KNEE) NERVES,MUSCLE,TE","01250","HCPCS","Both",,,"127.5","63.75","Humana","Medicare Advantage","",,"54",,"69.1","46.66","98.81","percent of total billed charges",,
"UPPER LEG (EXCEPT KNEE) NERVES,MUSCLE,TE","01250","HCPCS","Both",,,"127.5","63.75","UHC","Medicare Advantage","",,"54",,"69.1","46.66","98.81","percent of total billed charges",,
"UPPER LEG (EXCEPT KNEE) NERVES,MUSCLE,TE","01250","HCPCS","Both",,,"127.5","63.75","Clover","Medicare Advantage","",,"54",,"69.1","46.66","98.81","percent of total billed charges",,
"UPPER LEG (EXCEPT KNEE) NERVES,MUSCLE,TE","01250","HCPCS","Both",,,"127.5","63.75","Wellcare","Medicare Advantage","",,"54",,"69.1","46.66","98.81","percent of total billed charges",,
"UPPER LEG (EXCEPT KNEE) NERVES,MUSCLE,TE","01250","HCPCS","Both",,,"127.5","63.75","Amerigroup","Medicaid Managed Care","",,"37",,"46.66","46.66","98.81","percent of total billed charges",,
"UPPER LEG (EXCEPT KNEE) NERVES,MUSCLE,TE","01250","HCPCS","Both",,,"127.5","63.75","Caresource","Medicaid Managed Care","",,"40",,"51","46.66","98.81","percent of total billed charges",,
"UPPER LEG (EXCEPT KNEE) NERVES,MUSCLE,TE","01250","HCPCS","Both",,,"127.5","63.75","Wellcare","Medicaid Managed Care","",,"40",,"51.64","46.66","98.81","percent of total billed charges",,
"UPPER LEG (EXCEPT KNEE) NERVES,MUSCLE,TE","01250","HCPCS","Both",,,"127.5","63.75","Aetna","Commercial","",,"64",,"81.34","46.66","98.81","percent of total billed charges",,
"UPPER LEG (EXCEPT KNEE) NERVES,MUSCLE,TE","01250","HCPCS","Both",,,"127.5","63.75","Blue Cross Blue Shield","Pathways","",,"71",,"90.02","46.66","98.81","percent of total billed charges",,
"UPPER LEG (EXCEPT KNEE) NERVES,MUSCLE,TE","01250","HCPCS","Both",,,"127.5","63.75","Blue Cross Blue Shield","HMO","",,"71",,"90.02","46.66","98.81","percent of total billed charges",,
"UPPER LEG (EXCEPT KNEE) NERVES,MUSCLE,TE","01250","HCPCS","Both",,,"127.5","63.75","Blue Cross Blue Shield","PPO","",,"71",,"90.02","46.66","98.81","percent of total billed charges",,
"UPPER LEG (EXCEPT KNEE) NERVES,MUSCLE,TE","01250","HCPCS","Both",,,"127.5","63.75","Ambetter","Health Exchange","",,"62",,"79.05","46.66","98.81","percent of total billed charges",,
"UPPER LEG (EXCEPT KNEE) NERVES,MUSCLE,TE","01250","HCPCS","Both",,,"127.5","63.75","Caresource","Health Exchange","",,"62",,"79.05","46.66","98.81","percent of total billed charges",,
"UPPER LEG (EXCEPT KNEE) NERVES,MUSCLE,TE","01250","HCPCS","Both",,,"127.5","63.75","Cigna","Commercial","",,"59",,"74.71","46.66","98.81","percent of total billed charges",,
"UPPER LEG (EXCEPT KNEE) NERVES,MUSCLE,TE","01250","HCPCS","Both",,,"127.5","63.75","Humana","Commercial","",,"78",,"98.81","46.66","98.81","percent of total billed charges",,
"UPPER LEG (EXCEPT KNEE) NERVES,MUSCLE,TE","01250","HCPCS","Both",,,"127.5","63.75","UHC","Commercial","",,"75",,"96.14","46.66","98.81","percent of total billed charges",,
"UPPER LEG (EXCEPT KNEE) NERVES,MUSCLE,TE","01250","HCPCS","Both",,,"127.5","63.75","Medicaid",,"",,"37",,"46.66","46.66","98.81","percent of total billed charges",,
"ACE BANDAGE","0271","RC","Both",,,"9.5","4.75","Alliant","Health Exchange",,,"62",,"5.89","3.48","98.81","percent of total billed charges",,
"ACE BANDAGE","0271","RC","Both",,,"9.5","4.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.13","3.48","98.81","percent of total billed charges",,
"ACE BANDAGE","0271","RC","Both",,,"9.5","4.75","Medicare",,,,"54",,"5.15","3.48","98.81","percent of total billed charges",,
"ACE BANDAGE","0271","RC","Both",,,"9.5","4.75","Humana","Medicare Advantage",,,"54",,"5.15","3.48","98.81","percent of total billed charges",,
"ACE BANDAGE","0271","RC","Both",,,"9.5","4.75","UHC","Medicare Advantage",,,"54",,"5.15","3.48","98.81","percent of total billed charges",,
"ACE BANDAGE","0271","RC","Both",,,"9.5","4.75","Clover","Medicare Advantage",,,"54",,"5.15","3.48","98.81","percent of total billed charges",,
"ACE BANDAGE","0271","RC","Both",,,"9.5","4.75","Wellcare","Medicare Advantage",,,"54",,"5.15","3.48","98.81","percent of total billed charges",,
"ACE BANDAGE","0271","RC","Both",,,"9.5","4.75","Amerigroup","Medicaid Managed Care",,,"37",,"3.48","3.48","98.81","percent of total billed charges",,
"ACE BANDAGE","0271","RC","Both",,,"9.5","4.75","Caresource","Medicaid Managed Care",,,"40",,"3.8","3.48","98.81","percent of total billed charges",,
"ACE BANDAGE","0271","RC","Both",,,"9.5","4.75","Wellcare","Medicaid Managed Care",,,"40",,"3.85","3.48","98.81","percent of total billed charges",,
"ACE BANDAGE","0271","RC","Both",,,"9.5","4.75","Aetna","Commercial",,,"64",,"6.06","3.48","98.81","percent of total billed charges",,
"ACE BANDAGE","0271","RC","Both",,,"9.5","4.75","Blue Cross Blue Shield","Pathways",,,"71",,"6.71","3.48","98.81","percent of total billed charges",,
"ACE BANDAGE","0271","RC","Both",,,"9.5","4.75","Blue Cross Blue Shield","HMO",,,"71",,"6.71","3.48","98.81","percent of total billed charges",,
"ACE BANDAGE","0271","RC","Both",,,"9.5","4.75","Blue Cross Blue Shield","PPO",,,"71",,"6.71","3.48","98.81","percent of total billed charges",,
"ACE BANDAGE","0271","RC","Both",,,"9.5","4.75","Ambetter","Health Exchange",,,"62",,"5.89","3.48","98.81","percent of total billed charges",,
"ACE BANDAGE","0271","RC","Both",,,"9.5","4.75","Caresource","Health Exchange",,,"62",,"5.89","3.48","98.81","percent of total billed charges",,
"ACE BANDAGE","0271","RC","Both",,,"9.5","4.75","Cigna","Commercial",,,"59",,"5.57","3.48","98.81","percent of total billed charges",,
"ACE BANDAGE","0271","RC","Both",,,"9.5","4.75","Humana","Commercial",,,"78",,"7.36","3.48","98.81","percent of total billed charges",,
"ACE BANDAGE","0271","RC","Both",,,"9.5","4.75","UHC","Commercial",,,"75",,"7.16","3.48","98.81","percent of total billed charges",,
"ACE BANDAGE","0271","RC","Both",,,"9.5","4.75","Medicaid",,,,"37",,"3.48","3.48","98.81","percent of total billed charges",,
"ACETIC ACID OTIC SOLUTION","0637","RC","Both",,,"36","18","Alliant","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"ACETIC ACID OTIC SOLUTION","0637","RC","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.44","0.15","5264.58","percent of total billed charges",,
"ACETIC ACID OTIC SOLUTION","0637","RC","Both",,,"36","18","Medicare",,,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"ACETIC ACID OTIC SOLUTION","0637","RC","Both",,,"36","18","Humana","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"ACETIC ACID OTIC SOLUTION","0637","RC","Both",,,"36","18","UHC","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"ACETIC ACID OTIC SOLUTION","0637","RC","Both",,,"36","18","Clover","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"ACETIC ACID OTIC SOLUTION","0637","RC","Both",,,"36","18","Wellcare","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"ACETIC ACID OTIC SOLUTION","0637","RC","Both",,,"36","18","Amerigroup","Medicaid Managed Care",,,"37",,"13.18","0.15","5264.58","percent of total billed charges",,
"ACETIC ACID OTIC SOLUTION","0637","RC","Both",,,"36","18","Caresource","Medicaid Managed Care",,,"40",,"14.4","0.15","5264.58","percent of total billed charges",,
"ACETIC ACID OTIC SOLUTION","0637","RC","Both",,,"36","18","Wellcare","Medicaid Managed Care",,,"40",,"14.58","0.15","5264.58","percent of total billed charges",,
"ACETIC ACID OTIC SOLUTION","0637","RC","Both",,,"36","18","Aetna","Commercial",,,"64",,"22.97","0.15","5264.58","percent of total billed charges",,
"ACETIC ACID OTIC SOLUTION","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","Pathways",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"ACETIC ACID OTIC SOLUTION","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","HMO",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"ACETIC ACID OTIC SOLUTION","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","PPO",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"ACETIC ACID OTIC SOLUTION","0637","RC","Both",,,"36","18","Ambetter","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"ACETIC ACID OTIC SOLUTION","0637","RC","Both",,,"36","18","Caresource","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"ACETIC ACID OTIC SOLUTION","0637","RC","Both",,,"36","18","Cigna","Commercial",,,"59",,"21.1","0.15","5264.58","percent of total billed charges",,
"ACETIC ACID OTIC SOLUTION","0637","RC","Both",,,"36","18","Humana","Commercial",,,"78",,"27.9","0.15","5264.58","percent of total billed charges",,
"ACETIC ACID OTIC SOLUTION","0637","RC","Both",,,"36","18","UHC","Commercial",,,"75",,"27.14","0.15","5264.58","percent of total billed charges",,
"ACETIC ACID OTIC SOLUTION","0637","RC","Both",,,"36","18","Medicaid",,,,"37",,"13.18","0.15","5264.58","percent of total billed charges",,
"CHARCOAL (ACTIDOSE AQUA) SUSP: 50GM","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"CHARCOAL (ACTIDOSE AQUA) SUSP: 50GM","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"CHARCOAL (ACTIDOSE AQUA) SUSP: 50GM","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"CHARCOAL (ACTIDOSE AQUA) SUSP: 50GM","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"CHARCOAL (ACTIDOSE AQUA) SUSP: 50GM","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"CHARCOAL (ACTIDOSE AQUA) SUSP: 50GM","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"CHARCOAL (ACTIDOSE AQUA) SUSP: 50GM","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"CHARCOAL (ACTIDOSE AQUA) SUSP: 50GM","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"CHARCOAL (ACTIDOSE AQUA) SUSP: 50GM","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"CHARCOAL (ACTIDOSE AQUA) SUSP: 50GM","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"CHARCOAL (ACTIDOSE AQUA) SUSP: 50GM","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"CHARCOAL (ACTIDOSE AQUA) SUSP: 50GM","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"CHARCOAL (ACTIDOSE AQUA) SUSP: 50GM","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"CHARCOAL (ACTIDOSE AQUA) SUSP: 50GM","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"CHARCOAL (ACTIDOSE AQUA) SUSP: 50GM","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"CHARCOAL (ACTIDOSE AQUA) SUSP: 50GM","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"CHARCOAL (ACTIDOSE AQUA) SUSP: 50GM","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"CHARCOAL (ACTIDOSE AQUA) SUSP: 50GM","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"CHARCOAL (ACTIDOSE AQUA) SUSP: 50GM","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"CHARCOAL (ACTIDOSE AQUA) SUSP: 50GM","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"CHARCOAL/SORB (ACTIDOSE) SUSP: 50GM","0637","RC","Both",,,"55","27.5","Alliant","Health Exchange",,,"62",,"34.1","0.15","5264.58","percent of total billed charges",,
"CHARCOAL/SORB (ACTIDOSE) SUSP: 50GM","0637","RC","Both",,,"55","27.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"29.7","0.15","5264.58","percent of total billed charges",,
"CHARCOAL/SORB (ACTIDOSE) SUSP: 50GM","0637","RC","Both",,,"55","27.5","Medicare",,,,"54",,"29.81","0.15","5264.58","percent of total billed charges",,
"CHARCOAL/SORB (ACTIDOSE) SUSP: 50GM","0637","RC","Both",,,"55","27.5","Humana","Medicare Advantage",,,"54",,"29.81","0.15","5264.58","percent of total billed charges",,
"CHARCOAL/SORB (ACTIDOSE) SUSP: 50GM","0637","RC","Both",,,"55","27.5","UHC","Medicare Advantage",,,"54",,"29.81","0.15","5264.58","percent of total billed charges",,
"CHARCOAL/SORB (ACTIDOSE) SUSP: 50GM","0637","RC","Both",,,"55","27.5","Clover","Medicare Advantage",,,"54",,"29.81","0.15","5264.58","percent of total billed charges",,
"CHARCOAL/SORB (ACTIDOSE) SUSP: 50GM","0637","RC","Both",,,"55","27.5","Wellcare","Medicare Advantage",,,"54",,"29.81","0.15","5264.58","percent of total billed charges",,
"CHARCOAL/SORB (ACTIDOSE) SUSP: 50GM","0637","RC","Both",,,"55","27.5","Amerigroup","Medicaid Managed Care",,,"37",,"20.13","0.15","5264.58","percent of total billed charges",,
"CHARCOAL/SORB (ACTIDOSE) SUSP: 50GM","0637","RC","Both",,,"55","27.5","Caresource","Medicaid Managed Care",,,"40",,"22","0.15","5264.58","percent of total billed charges",,
"CHARCOAL/SORB (ACTIDOSE) SUSP: 50GM","0637","RC","Both",,,"55","27.5","Wellcare","Medicaid Managed Care",,,"40",,"22.28","0.15","5264.58","percent of total billed charges",,
"CHARCOAL/SORB (ACTIDOSE) SUSP: 50GM","0637","RC","Both",,,"55","27.5","Aetna","Commercial",,,"64",,"35.09","0.15","5264.58","percent of total billed charges",,
"CHARCOAL/SORB (ACTIDOSE) SUSP: 50GM","0637","RC","Both",,,"55","27.5","Blue Cross Blue Shield","Pathways",,,"71",,"38.83","0.15","5264.58","percent of total billed charges",,
"CHARCOAL/SORB (ACTIDOSE) SUSP: 50GM","0637","RC","Both",,,"55","27.5","Blue Cross Blue Shield","HMO",,,"71",,"38.83","0.15","5264.58","percent of total billed charges",,
"CHARCOAL/SORB (ACTIDOSE) SUSP: 50GM","0637","RC","Both",,,"55","27.5","Blue Cross Blue Shield","PPO",,,"71",,"38.83","0.15","5264.58","percent of total billed charges",,
"CHARCOAL/SORB (ACTIDOSE) SUSP: 50GM","0637","RC","Both",,,"55","27.5","Ambetter","Health Exchange",,,"62",,"34.1","0.15","5264.58","percent of total billed charges",,
"CHARCOAL/SORB (ACTIDOSE) SUSP: 50GM","0637","RC","Both",,,"55","27.5","Caresource","Health Exchange",,,"62",,"34.1","0.15","5264.58","percent of total billed charges",,
"CHARCOAL/SORB (ACTIDOSE) SUSP: 50GM","0637","RC","Both",,,"55","27.5","Cigna","Commercial",,,"59",,"32.23","0.15","5264.58","percent of total billed charges",,
"CHARCOAL/SORB (ACTIDOSE) SUSP: 50GM","0637","RC","Both",,,"55","27.5","Humana","Commercial",,,"78",,"42.62","0.15","5264.58","percent of total billed charges",,
"CHARCOAL/SORB (ACTIDOSE) SUSP: 50GM","0637","RC","Both",,,"55","27.5","UHC","Commercial",,,"75",,"41.47","0.15","5264.58","percent of total billed charges",,
"CHARCOAL/SORB (ACTIDOSE) SUSP: 50GM","0637","RC","Both",,,"55","27.5","Medicaid",,,,"37",,"20.13","0.15","5264.58","percent of total billed charges",,
"FLUTICASON/SALMET(ADVAIR) 250/50MCG MDI","0637","RC","Both",,,"262","131","Alliant","Health Exchange",,,"62",,"162.44","0.15","5264.58","percent of total billed charges",,
"FLUTICASON/SALMET(ADVAIR) 250/50MCG MDI","0637","RC","Both",,,"262","131","Pruitt Healthcare","Medicare Advantage",,,"54",,"141.48","0.15","5264.58","percent of total billed charges",,
"FLUTICASON/SALMET(ADVAIR) 250/50MCG MDI","0637","RC","Both",,,"262","131","Medicare",,,,"54",,"142","0.15","5264.58","percent of total billed charges",,
"FLUTICASON/SALMET(ADVAIR) 250/50MCG MDI","0637","RC","Both",,,"262","131","Humana","Medicare Advantage",,,"54",,"142","0.15","5264.58","percent of total billed charges",,
"FLUTICASON/SALMET(ADVAIR) 250/50MCG MDI","0637","RC","Both",,,"262","131","UHC","Medicare Advantage",,,"54",,"142","0.15","5264.58","percent of total billed charges",,
"FLUTICASON/SALMET(ADVAIR) 250/50MCG MDI","0637","RC","Both",,,"262","131","Clover","Medicare Advantage",,,"54",,"142","0.15","5264.58","percent of total billed charges",,
"FLUTICASON/SALMET(ADVAIR) 250/50MCG MDI","0637","RC","Both",,,"262","131","Wellcare","Medicare Advantage",,,"54",,"142","0.15","5264.58","percent of total billed charges",,
"FLUTICASON/SALMET(ADVAIR) 250/50MCG MDI","0637","RC","Both",,,"262","131","Amerigroup","Medicaid Managed Care",,,"37",,"95.89","0.15","5264.58","percent of total billed charges",,
"FLUTICASON/SALMET(ADVAIR) 250/50MCG MDI","0637","RC","Both",,,"262","131","Caresource","Medicaid Managed Care",,,"40",,"104.8","0.15","5264.58","percent of total billed charges",,
"FLUTICASON/SALMET(ADVAIR) 250/50MCG MDI","0637","RC","Both",,,"262","131","Wellcare","Medicaid Managed Care",,,"40",,"106.11","0.15","5264.58","percent of total billed charges",,
"FLUTICASON/SALMET(ADVAIR) 250/50MCG MDI","0637","RC","Both",,,"262","131","Aetna","Commercial",,,"64",,"167.16","0.15","5264.58","percent of total billed charges",,
"FLUTICASON/SALMET(ADVAIR) 250/50MCG MDI","0637","RC","Both",,,"262","131","Blue Cross Blue Shield","Pathways",,,"71",,"184.97","0.15","5264.58","percent of total billed charges",,
"FLUTICASON/SALMET(ADVAIR) 250/50MCG MDI","0637","RC","Both",,,"262","131","Blue Cross Blue Shield","HMO",,,"71",,"184.97","0.15","5264.58","percent of total billed charges",,
"FLUTICASON/SALMET(ADVAIR) 250/50MCG MDI","0637","RC","Both",,,"262","131","Blue Cross Blue Shield","PPO",,,"71",,"184.97","0.15","5264.58","percent of total billed charges",,
"FLUTICASON/SALMET(ADVAIR) 250/50MCG MDI","0637","RC","Both",,,"262","131","Ambetter","Health Exchange",,,"62",,"162.44","0.15","5264.58","percent of total billed charges",,
"FLUTICASON/SALMET(ADVAIR) 250/50MCG MDI","0637","RC","Both",,,"262","131","Caresource","Health Exchange",,,"62",,"162.44","0.15","5264.58","percent of total billed charges",,
"FLUTICASON/SALMET(ADVAIR) 250/50MCG MDI","0637","RC","Both",,,"262","131","Cigna","Commercial",,,"59",,"153.53","0.15","5264.58","percent of total billed charges",,
"FLUTICASON/SALMET(ADVAIR) 250/50MCG MDI","0637","RC","Both",,,"262","131","Humana","Commercial",,,"78",,"203.05","0.15","5264.58","percent of total billed charges",,
"FLUTICASON/SALMET(ADVAIR) 250/50MCG MDI","0637","RC","Both",,,"262","131","UHC","Commercial",,,"75",,"197.55","0.15","5264.58","percent of total billed charges",,
"FLUTICASON/SALMET(ADVAIR) 250/50MCG MDI","0637","RC","Both",,,"262","131","Medicaid",,,,"37",,"95.89","0.15","5264.58","percent of total billed charges",,
"OXYMETAZOLINE HCL (AFRIN) 0.05% NA SPRAY","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"OXYMETAZOLINE HCL (AFRIN) 0.05% NA SPRAY","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"OXYMETAZOLINE HCL (AFRIN) 0.05% NA SPRAY","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"OXYMETAZOLINE HCL (AFRIN) 0.05% NA SPRAY","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"OXYMETAZOLINE HCL (AFRIN) 0.05% NA SPRAY","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"OXYMETAZOLINE HCL (AFRIN) 0.05% NA SPRAY","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"OXYMETAZOLINE HCL (AFRIN) 0.05% NA SPRAY","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"OXYMETAZOLINE HCL (AFRIN) 0.05% NA SPRAY","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"OXYMETAZOLINE HCL (AFRIN) 0.05% NA SPRAY","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"OXYMETAZOLINE HCL (AFRIN) 0.05% NA SPRAY","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"OXYMETAZOLINE HCL (AFRIN) 0.05% NA SPRAY","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"OXYMETAZOLINE HCL (AFRIN) 0.05% NA SPRAY","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"OXYMETAZOLINE HCL (AFRIN) 0.05% NA SPRAY","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"OXYMETAZOLINE HCL (AFRIN) 0.05% NA SPRAY","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"OXYMETAZOLINE HCL (AFRIN) 0.05% NA SPRAY","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"OXYMETAZOLINE HCL (AFRIN) 0.05% NA SPRAY","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"OXYMETAZOLINE HCL (AFRIN) 0.05% NA SPRAY","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"OXYMETAZOLINE HCL (AFRIN) 0.05% NA SPRAY","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"OXYMETAZOLINE HCL (AFRIN) 0.05% NA SPRAY","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"OXYMETAZOLINE HCL (AFRIN) 0.05% NA SPRAY","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL (PROVENTL) NEB INH: 2.5MG/3ML","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL (PROVENTL) NEB INH: 2.5MG/3ML","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL (PROVENTL) NEB INH: 2.5MG/3ML","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL (PROVENTL) NEB INH: 2.5MG/3ML","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL (PROVENTL) NEB INH: 2.5MG/3ML","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL (PROVENTL) NEB INH: 2.5MG/3ML","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL (PROVENTL) NEB INH: 2.5MG/3ML","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL (PROVENTL) NEB INH: 2.5MG/3ML","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL (PROVENTL) NEB INH: 2.5MG/3ML","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL (PROVENTL) NEB INH: 2.5MG/3ML","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL (PROVENTL) NEB INH: 2.5MG/3ML","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL (PROVENTL) NEB INH: 2.5MG/3ML","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL (PROVENTL) NEB INH: 2.5MG/3ML","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL (PROVENTL) NEB INH: 2.5MG/3ML","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL (PROVENTL) NEB INH: 2.5MG/3ML","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL (PROVENTL) NEB INH: 2.5MG/3ML","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL (PROVENTL) NEB INH: 2.5MG/3ML","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL (PROVENTL) NEB INH: 2.5MG/3ML","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL (PROVENTL) NEB INH: 2.5MG/3ML","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL (PROVENTL) NEB INH: 2.5MG/3ML","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"PROPARACAINE (ALCAINE) 0.5% OPTH SOLN","0637","RC","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"PROPARACAINE (ALCAINE) 0.5% OPTH SOLN","0637","RC","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","0.15","5264.58","percent of total billed charges",,
"PROPARACAINE (ALCAINE) 0.5% OPTH SOLN","0637","RC","Both",,,"22","11","Medicare",,,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"PROPARACAINE (ALCAINE) 0.5% OPTH SOLN","0637","RC","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"PROPARACAINE (ALCAINE) 0.5% OPTH SOLN","0637","RC","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"PROPARACAINE (ALCAINE) 0.5% OPTH SOLN","0637","RC","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"PROPARACAINE (ALCAINE) 0.5% OPTH SOLN","0637","RC","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"PROPARACAINE (ALCAINE) 0.5% OPTH SOLN","0637","RC","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"PROPARACAINE (ALCAINE) 0.5% OPTH SOLN","0637","RC","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","0.15","5264.58","percent of total billed charges",,
"PROPARACAINE (ALCAINE) 0.5% OPTH SOLN","0637","RC","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","0.15","5264.58","percent of total billed charges",,
"PROPARACAINE (ALCAINE) 0.5% OPTH SOLN","0637","RC","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","0.15","5264.58","percent of total billed charges",,
"PROPARACAINE (ALCAINE) 0.5% OPTH SOLN","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"PROPARACAINE (ALCAINE) 0.5% OPTH SOLN","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"PROPARACAINE (ALCAINE) 0.5% OPTH SOLN","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"PROPARACAINE (ALCAINE) 0.5% OPTH SOLN","0637","RC","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"PROPARACAINE (ALCAINE) 0.5% OPTH SOLN","0637","RC","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"PROPARACAINE (ALCAINE) 0.5% OPTH SOLN","0637","RC","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","0.15","5264.58","percent of total billed charges",,
"PROPARACAINE (ALCAINE) 0.5% OPTH SOLN","0637","RC","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","0.15","5264.58","percent of total billed charges",,
"PROPARACAINE (ALCAINE) 0.5% OPTH SOLN","0637","RC","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","0.15","5264.58","percent of total billed charges",,
"PROPARACAINE (ALCAINE) 0.5% OPTH SOLN","0637","RC","Both",,,"22","11","Medicaid",,,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"SPIRONOLACTONE (ALDACTONE) 25 MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"SPIRONOLACTONE (ALDACTONE) 25 MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"SPIRONOLACTONE (ALDACTONE) 25 MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SPIRONOLACTONE (ALDACTONE) 25 MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SPIRONOLACTONE (ALDACTONE) 25 MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SPIRONOLACTONE (ALDACTONE) 25 MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SPIRONOLACTONE (ALDACTONE) 25 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SPIRONOLACTONE (ALDACTONE) 25 MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"SPIRONOLACTONE (ALDACTONE) 25 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"SPIRONOLACTONE (ALDACTONE) 25 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"SPIRONOLACTONE (ALDACTONE) 25 MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"SPIRONOLACTONE (ALDACTONE) 25 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"SPIRONOLACTONE (ALDACTONE) 25 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"SPIRONOLACTONE (ALDACTONE) 25 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"SPIRONOLACTONE (ALDACTONE) 25 MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"SPIRONOLACTONE (ALDACTONE) 25 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"SPIRONOLACTONE (ALDACTONE) 25 MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"SPIRONOLACTONE (ALDACTONE) 25 MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"SPIRONOLACTONE (ALDACTONE) 25 MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"SPIRONOLACTONE (ALDACTONE) 25 MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"GLIMEPIRIDE (AMARYL) 2MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"GLIMEPIRIDE (AMARYL) 2MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"GLIMEPIRIDE (AMARYL) 2MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"GLIMEPIRIDE (AMARYL) 2MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"GLIMEPIRIDE (AMARYL) 2MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"GLIMEPIRIDE (AMARYL) 2MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"GLIMEPIRIDE (AMARYL) 2MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"GLIMEPIRIDE (AMARYL) 2MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"GLIMEPIRIDE (AMARYL) 2MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"GLIMEPIRIDE (AMARYL) 2MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"GLIMEPIRIDE (AMARYL) 2MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"GLIMEPIRIDE (AMARYL) 2MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"GLIMEPIRIDE (AMARYL) 2MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"GLIMEPIRIDE (AMARYL) 2MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"GLIMEPIRIDE (AMARYL) 2MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"GLIMEPIRIDE (AMARYL) 2MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"GLIMEPIRIDE (AMARYL) 2MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"GLIMEPIRIDE (AMARYL) 2MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"GLIMEPIRIDE (AMARYL) 2MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"GLIMEPIRIDE (AMARYL) 2MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ZOLPIDEM (AMBIEN) 5 MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ZOLPIDEM (AMBIEN) 5 MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"ZOLPIDEM (AMBIEN) 5 MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ZOLPIDEM (AMBIEN) 5 MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ZOLPIDEM (AMBIEN) 5 MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ZOLPIDEM (AMBIEN) 5 MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ZOLPIDEM (AMBIEN) 5 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ZOLPIDEM (AMBIEN) 5 MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ZOLPIDEM (AMBIEN) 5 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"ZOLPIDEM (AMBIEN) 5 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"ZOLPIDEM (AMBIEN) 5 MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"ZOLPIDEM (AMBIEN) 5 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ZOLPIDEM (AMBIEN) 5 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ZOLPIDEM (AMBIEN) 5 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ZOLPIDEM (AMBIEN) 5 MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ZOLPIDEM (AMBIEN) 5 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ZOLPIDEM (AMBIEN) 5 MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"ZOLPIDEM (AMBIEN) 5 MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"ZOLPIDEM (AMBIEN) 5 MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"ZOLPIDEM (AMBIEN) 5 MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ETOMIDATE (AMIDATE) INJECTION: 40mg","0250","RC","Both",,,"52","26","Alliant","Health Exchange",,,"62",,"32.24","0.04","569.62","percent of total billed charges",,
"ETOMIDATE (AMIDATE) INJECTION: 40mg","0250","RC","Both",,,"52","26","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.08","0.04","569.62","percent of total billed charges",,
"ETOMIDATE (AMIDATE) INJECTION: 40mg","0250","RC","Both",,,"52","26","Medicare",,,,"54",,"28.18","0.04","569.62","percent of total billed charges",,
"ETOMIDATE (AMIDATE) INJECTION: 40mg","0250","RC","Both",,,"52","26","Humana","Medicare Advantage",,,"54",,"28.18","0.04","569.62","percent of total billed charges",,
"ETOMIDATE (AMIDATE) INJECTION: 40mg","0250","RC","Both",,,"52","26","UHC","Medicare Advantage",,,"54",,"28.18","0.04","569.62","percent of total billed charges",,
"ETOMIDATE (AMIDATE) INJECTION: 40mg","0250","RC","Both",,,"52","26","Clover","Medicare Advantage",,,"54",,"28.18","0.04","569.62","percent of total billed charges",,
"ETOMIDATE (AMIDATE) INJECTION: 40mg","0250","RC","Both",,,"52","26","Wellcare","Medicare Advantage",,,"54",,"28.18","0.04","569.62","percent of total billed charges",,
"ETOMIDATE (AMIDATE) INJECTION: 40mg","0250","RC","Both",,,"52","26","Amerigroup","Medicaid Managed Care",,,"37",,"19.03","0.04","569.62","percent of total billed charges",,
"ETOMIDATE (AMIDATE) INJECTION: 40mg","0250","RC","Both",,,"52","26","Caresource","Medicaid Managed Care",,,"40",,"20.8","0.04","569.62","percent of total billed charges",,
"ETOMIDATE (AMIDATE) INJECTION: 40mg","0250","RC","Both",,,"52","26","Wellcare","Medicaid Managed Care",,,"40",,"21.06","0.04","569.62","percent of total billed charges",,
"ETOMIDATE (AMIDATE) INJECTION: 40mg","0250","RC","Both",,,"52","26","Aetna","Commercial",,,"64",,"33.18","0.04","569.62","percent of total billed charges",,
"ETOMIDATE (AMIDATE) INJECTION: 40mg","0250","RC","Both",,,"52","26","Blue Cross Blue Shield","Pathways",,,"71",,"36.71","0.04","569.62","percent of total billed charges",,
"ETOMIDATE (AMIDATE) INJECTION: 40mg","0250","RC","Both",,,"52","26","Blue Cross Blue Shield","HMO",,,"71",,"36.71","0.04","569.62","percent of total billed charges",,
"ETOMIDATE (AMIDATE) INJECTION: 40mg","0250","RC","Both",,,"52","26","Blue Cross Blue Shield","PPO",,,"71",,"36.71","0.04","569.62","percent of total billed charges",,
"ETOMIDATE (AMIDATE) INJECTION: 40mg","0250","RC","Both",,,"52","26","Ambetter","Health Exchange",,,"62",,"32.24","0.04","569.62","percent of total billed charges",,
"ETOMIDATE (AMIDATE) INJECTION: 40mg","0250","RC","Both",,,"52","26","Caresource","Health Exchange",,,"62",,"32.24","0.04","569.62","percent of total billed charges",,
"ETOMIDATE (AMIDATE) INJECTION: 40mg","0250","RC","Both",,,"52","26","Cigna","Commercial",,,"59",,"30.47","0.04","569.62","percent of total billed charges",,
"ETOMIDATE (AMIDATE) INJECTION: 40mg","0250","RC","Both",,,"52","26","Humana","Commercial",,,"78",,"40.3","0.04","569.62","percent of total billed charges",,
"ETOMIDATE (AMIDATE) INJECTION: 40mg","0250","RC","Both",,,"52","26","UHC","Commercial",,,"75",,"39.21","0.04","569.62","percent of total billed charges",,
"ETOMIDATE (AMIDATE) INJECTION: 40mg","0250","RC","Both",,,"52","26","Medicaid",,,,"37",,"19.03","0.04","569.62","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 125 MG CHEWABLE TAB","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 125 MG CHEWABLE TAB","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 125 MG CHEWABLE TAB","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 125 MG CHEWABLE TAB","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 125 MG CHEWABLE TAB","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 125 MG CHEWABLE TAB","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 125 MG CHEWABLE TAB","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 125 MG CHEWABLE TAB","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 125 MG CHEWABLE TAB","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 125 MG CHEWABLE TAB","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 125 MG CHEWABLE TAB","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 125 MG CHEWABLE TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 125 MG CHEWABLE TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 125 MG CHEWABLE TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 125 MG CHEWABLE TAB","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 125 MG CHEWABLE TAB","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 125 MG CHEWABLE TAB","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 125 MG CHEWABLE TAB","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 125 MG CHEWABLE TAB","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 125 MG CHEWABLE TAB","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 250 MG CAPSULES","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 250 MG CAPSULES","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 500 MG CAPSULE","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 500 MG CAPSULE","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 500 MG CAPSULE","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 500 MG CAPSULE","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 500 MG CAPSULE","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 500 MG CAPSULE","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 500 MG CAPSULE","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 500 MG CAPSULE","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 500 MG CAPSULE","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 500 MG CAPSULE","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 500 MG CAPSULE","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 500 MG CAPSULE","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 500 MG CAPSULE","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 500 MG CAPSULE","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 500 MG CAPSULE","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 500 MG CAPSULE","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 500 MG CAPSULE","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 500 MG CAPSULE","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 500 MG CAPSULE","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) 500 MG CAPSULE","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ANTIVENIN BLACK WIDOW SPIDER INJECTION","0250","RC","Both",,,"65","32.5","Alliant","Health Exchange",,,"62",,"40.3","0.04","569.62","percent of total billed charges",,
"ANTIVENIN BLACK WIDOW SPIDER INJECTION","0250","RC","Both",,,"65","32.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"35.1","0.04","569.62","percent of total billed charges",,
"ANTIVENIN BLACK WIDOW SPIDER INJECTION","0250","RC","Both",,,"65","32.5","Medicare",,,,"54",,"35.23","0.04","569.62","percent of total billed charges",,
"ANTIVENIN BLACK WIDOW SPIDER INJECTION","0250","RC","Both",,,"65","32.5","Humana","Medicare Advantage",,,"54",,"35.23","0.04","569.62","percent of total billed charges",,
"ANTIVENIN BLACK WIDOW SPIDER INJECTION","0250","RC","Both",,,"65","32.5","UHC","Medicare Advantage",,,"54",,"35.23","0.04","569.62","percent of total billed charges",,
"ANTIVENIN BLACK WIDOW SPIDER INJECTION","0250","RC","Both",,,"65","32.5","Clover","Medicare Advantage",,,"54",,"35.23","0.04","569.62","percent of total billed charges",,
"ANTIVENIN BLACK WIDOW SPIDER INJECTION","0250","RC","Both",,,"65","32.5","Wellcare","Medicare Advantage",,,"54",,"35.23","0.04","569.62","percent of total billed charges",,
"ANTIVENIN BLACK WIDOW SPIDER INJECTION","0250","RC","Both",,,"65","32.5","Amerigroup","Medicaid Managed Care",,,"37",,"23.79","0.04","569.62","percent of total billed charges",,
"ANTIVENIN BLACK WIDOW SPIDER INJECTION","0250","RC","Both",,,"65","32.5","Caresource","Medicaid Managed Care",,,"40",,"26","0.04","569.62","percent of total billed charges",,
"ANTIVENIN BLACK WIDOW SPIDER INJECTION","0250","RC","Both",,,"65","32.5","Wellcare","Medicaid Managed Care",,,"40",,"26.33","0.04","569.62","percent of total billed charges",,
"ANTIVENIN BLACK WIDOW SPIDER INJECTION","0250","RC","Both",,,"65","32.5","Aetna","Commercial",,,"64",,"41.47","0.04","569.62","percent of total billed charges",,
"ANTIVENIN BLACK WIDOW SPIDER INJECTION","0250","RC","Both",,,"65","32.5","Blue Cross Blue Shield","Pathways",,,"71",,"45.89","0.04","569.62","percent of total billed charges",,
"ANTIVENIN BLACK WIDOW SPIDER INJECTION","0250","RC","Both",,,"65","32.5","Blue Cross Blue Shield","HMO",,,"71",,"45.89","0.04","569.62","percent of total billed charges",,
"ANTIVENIN BLACK WIDOW SPIDER INJECTION","0250","RC","Both",,,"65","32.5","Blue Cross Blue Shield","PPO",,,"71",,"45.89","0.04","569.62","percent of total billed charges",,
"ANTIVENIN BLACK WIDOW SPIDER INJECTION","0250","RC","Both",,,"65","32.5","Ambetter","Health Exchange",,,"62",,"40.3","0.04","569.62","percent of total billed charges",,
"ANTIVENIN BLACK WIDOW SPIDER INJECTION","0250","RC","Both",,,"65","32.5","Caresource","Health Exchange",,,"62",,"40.3","0.04","569.62","percent of total billed charges",,
"ANTIVENIN BLACK WIDOW SPIDER INJECTION","0250","RC","Both",,,"65","32.5","Cigna","Commercial",,,"59",,"38.09","0.04","569.62","percent of total billed charges",,
"ANTIVENIN BLACK WIDOW SPIDER INJECTION","0250","RC","Both",,,"65","32.5","Humana","Commercial",,,"78",,"50.38","0.04","569.62","percent of total billed charges",,
"ANTIVENIN BLACK WIDOW SPIDER INJECTION","0250","RC","Both",,,"65","32.5","UHC","Commercial",,,"75",,"49.01","0.04","569.62","percent of total billed charges",,
"ANTIVENIN BLACK WIDOW SPIDER INJECTION","0250","RC","Both",,,"65","32.5","Medicaid",,,,"37",,"23.79","0.04","569.62","percent of total billed charges",,
"MECLIZINE (ANTIVERT) 25MG TABLET","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"MECLIZINE (ANTIVERT) 25MG TABLET","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"MECLIZINE (ANTIVERT) 25MG TABLET","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"MECLIZINE (ANTIVERT) 25MG TABLET","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"MECLIZINE (ANTIVERT) 25MG TABLET","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"MECLIZINE (ANTIVERT) 25MG TABLET","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"MECLIZINE (ANTIVERT) 25MG TABLET","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"MECLIZINE (ANTIVERT) 25MG TABLET","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"MECLIZINE (ANTIVERT) 25MG TABLET","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"MECLIZINE (ANTIVERT) 25MG TABLET","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"MECLIZINE (ANTIVERT) 25MG TABLET","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"MECLIZINE (ANTIVERT) 25MG TABLET","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"MECLIZINE (ANTIVERT) 25MG TABLET","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"MECLIZINE (ANTIVERT) 25MG TABLET","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"MECLIZINE (ANTIVERT) 25MG TABLET","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"MECLIZINE (ANTIVERT) 25MG TABLET","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"MECLIZINE (ANTIVERT) 25MG TABLET","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"MECLIZINE (ANTIVERT) 25MG TABLET","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"MECLIZINE (ANTIVERT) 25MG TABLET","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"MECLIZINE (ANTIVERT) 25MG TABLET","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"HYDROCORT ACETATE (ANUCORT-HC) SUPP 25MG","0637","RC","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"HYDROCORT ACETATE (ANUCORT-HC) SUPP 25MG","0637","RC","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","0.15","5264.58","percent of total billed charges",,
"HYDROCORT ACETATE (ANUCORT-HC) SUPP 25MG","0637","RC","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"HYDROCORT ACETATE (ANUCORT-HC) SUPP 25MG","0637","RC","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"HYDROCORT ACETATE (ANUCORT-HC) SUPP 25MG","0637","RC","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"HYDROCORT ACETATE (ANUCORT-HC) SUPP 25MG","0637","RC","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"HYDROCORT ACETATE (ANUCORT-HC) SUPP 25MG","0637","RC","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"HYDROCORT ACETATE (ANUCORT-HC) SUPP 25MG","0637","RC","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"HYDROCORT ACETATE (ANUCORT-HC) SUPP 25MG","0637","RC","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","0.15","5264.58","percent of total billed charges",,
"HYDROCORT ACETATE (ANUCORT-HC) SUPP 25MG","0637","RC","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","0.15","5264.58","percent of total billed charges",,
"HYDROCORT ACETATE (ANUCORT-HC) SUPP 25MG","0637","RC","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","0.15","5264.58","percent of total billed charges",,
"HYDROCORT ACETATE (ANUCORT-HC) SUPP 25MG","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"HYDROCORT ACETATE (ANUCORT-HC) SUPP 25MG","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"HYDROCORT ACETATE (ANUCORT-HC) SUPP 25MG","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"HYDROCORT ACETATE (ANUCORT-HC) SUPP 25MG","0637","RC","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"HYDROCORT ACETATE (ANUCORT-HC) SUPP 25MG","0637","RC","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"HYDROCORT ACETATE (ANUCORT-HC) SUPP 25MG","0637","RC","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","0.15","5264.58","percent of total billed charges",,
"HYDROCORT ACETATE (ANUCORT-HC) SUPP 25MG","0637","RC","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","0.15","5264.58","percent of total billed charges",,
"HYDROCORT ACETATE (ANUCORT-HC) SUPP 25MG","0637","RC","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","0.15","5264.58","percent of total billed charges",,
"HYDROCORT ACETATE (ANUCORT-HC) SUPP 25MG","0637","RC","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"HYDRALazine (APRESOLINE) TAB: 25MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"HYDRALazine (APRESOLINE) TAB: 25MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"HYDRALazine (APRESOLINE) TAB: 25MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDRALazine (APRESOLINE) TAB: 25MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDRALazine (APRESOLINE) TAB: 25MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDRALazine (APRESOLINE) TAB: 25MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDRALazine (APRESOLINE) TAB: 25MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDRALazine (APRESOLINE) TAB: 25MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"HYDRALazine (APRESOLINE) TAB: 25MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"HYDRALazine (APRESOLINE) TAB: 25MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"HYDRALazine (APRESOLINE) TAB: 25MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"HYDRALazine (APRESOLINE) TAB: 25MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"HYDRALazine (APRESOLINE) TAB: 25MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"HYDRALazine (APRESOLINE) TAB: 25MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"HYDRALazine (APRESOLINE) TAB: 25MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"HYDRALazine (APRESOLINE) TAB: 25MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"HYDRALazine (APRESOLINE) TAB: 25MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"HYDRALazine (APRESOLINE) TAB: 25MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"HYDRALazine (APRESOLINE) TAB: 25MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"HYDRALazine (APRESOLINE) TAB: 25MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"HYDRALazine (APRESOLINE) TAB: 10MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"HYDRALazine (APRESOLINE) TAB: 10MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"HYDRALazine (APRESOLINE) TAB: 10MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDRALazine (APRESOLINE) TAB: 10MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDRALazine (APRESOLINE) TAB: 10MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDRALazine (APRESOLINE) TAB: 10MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDRALazine (APRESOLINE) TAB: 10MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDRALazine (APRESOLINE) TAB: 10MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"HYDRALazine (APRESOLINE) TAB: 10MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"HYDRALazine (APRESOLINE) TAB: 10MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"HYDRALazine (APRESOLINE) TAB: 10MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"HYDRALazine (APRESOLINE) TAB: 10MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"HYDRALazine (APRESOLINE) TAB: 10MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"HYDRALazine (APRESOLINE) TAB: 10MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"HYDRALazine (APRESOLINE) TAB: 10MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"HYDRALazine (APRESOLINE) TAB: 10MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"HYDRALazine (APRESOLINE) TAB: 10MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"HYDRALazine (APRESOLINE) TAB: 10MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"HYDRALazine (APRESOLINE) TAB: 10MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"HYDRALazine (APRESOLINE) TAB: 10MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"DONEPEZIL (ARICEPT) TABLET: 5MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DONEPEZIL (ARICEPT) TABLET: 5MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"DONEPEZIL (ARICEPT) TABLET: 5MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DONEPEZIL (ARICEPT) TABLET: 5MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DONEPEZIL (ARICEPT) TABLET: 5MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DONEPEZIL (ARICEPT) TABLET: 5MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DONEPEZIL (ARICEPT) TABLET: 5MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DONEPEZIL (ARICEPT) TABLET: 5MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"DONEPEZIL (ARICEPT) TABLET: 5MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"DONEPEZIL (ARICEPT) TABLET: 5MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"DONEPEZIL (ARICEPT) TABLET: 5MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"DONEPEZIL (ARICEPT) TABLET: 5MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DONEPEZIL (ARICEPT) TABLET: 5MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DONEPEZIL (ARICEPT) TABLET: 5MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DONEPEZIL (ARICEPT) TABLET: 5MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DONEPEZIL (ARICEPT) TABLET: 5MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DONEPEZIL (ARICEPT) TABLET: 5MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"DONEPEZIL (ARICEPT) TABLET: 5MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"DONEPEZIL (ARICEPT) TABLET: 5MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"DONEPEZIL (ARICEPT) TABLET: 5MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ARTIFICIAL TEARS OPTH DROPS","0637","RC","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"ARTIFICIAL TEARS OPTH DROPS","0637","RC","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","0.15","5264.58","percent of total billed charges",,
"ARTIFICIAL TEARS OPTH DROPS","0637","RC","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"ARTIFICIAL TEARS OPTH DROPS","0637","RC","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"ARTIFICIAL TEARS OPTH DROPS","0637","RC","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"ARTIFICIAL TEARS OPTH DROPS","0637","RC","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"ARTIFICIAL TEARS OPTH DROPS","0637","RC","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"ARTIFICIAL TEARS OPTH DROPS","0637","RC","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"ARTIFICIAL TEARS OPTH DROPS","0637","RC","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","0.15","5264.58","percent of total billed charges",,
"ARTIFICIAL TEARS OPTH DROPS","0637","RC","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.15","5264.58","percent of total billed charges",,
"ARTIFICIAL TEARS OPTH DROPS","0637","RC","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","0.15","5264.58","percent of total billed charges",,
"ARTIFICIAL TEARS OPTH DROPS","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"ARTIFICIAL TEARS OPTH DROPS","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"ARTIFICIAL TEARS OPTH DROPS","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"ARTIFICIAL TEARS OPTH DROPS","0637","RC","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"ARTIFICIAL TEARS OPTH DROPS","0637","RC","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"ARTIFICIAL TEARS OPTH DROPS","0637","RC","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","0.15","5264.58","percent of total billed charges",,
"ARTIFICIAL TEARS OPTH DROPS","0637","RC","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","0.15","5264.58","percent of total billed charges",,
"ARTIFICIAL TEARS OPTH DROPS","0637","RC","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","0.15","5264.58","percent of total billed charges",,
"ARTIFICIAL TEARS OPTH DROPS","0637","RC","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"ASPIRIN 325 MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ASPIRIN 325 MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"ASPIRIN 325 MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ASPIRIN 325 MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ASPIRIN 325 MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ASPIRIN 325 MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ASPIRIN 325 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ASPIRIN 325 MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ASPIRIN 325 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"ASPIRIN 325 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"ASPIRIN 325 MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"ASPIRIN 325 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ASPIRIN 325 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ASPIRIN 325 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ASPIRIN 325 MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ASPIRIN 325 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ASPIRIN 325 MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"ASPIRIN 325 MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"ASPIRIN 325 MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"ASPIRIN 325 MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ASPIRIN TABLET: 81MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ASPIRIN TABLET: 81MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"ASPIRIN TABLET: 81MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ASPIRIN TABLET: 81MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ASPIRIN TABLET: 81MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ASPIRIN TABLET: 81MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ASPIRIN TABLET: 81MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ASPIRIN TABLET: 81MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ASPIRIN TABLET: 81MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"ASPIRIN TABLET: 81MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"ASPIRIN TABLET: 81MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"ASPIRIN TABLET: 81MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ASPIRIN TABLET: 81MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ASPIRIN TABLET: 81MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ASPIRIN TABLET: 81MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ASPIRIN TABLET: 81MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ASPIRIN TABLET: 81MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"ASPIRIN TABLET: 81MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"ASPIRIN TABLET: 81MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"ASPIRIN TABLET: 81MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ASPIRIN *ENT.COATED* TAB: 81 MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ASPIRIN *ENT.COATED* TAB: 81 MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"ASPIRIN *ENT.COATED* TAB: 81 MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ASPIRIN *ENT.COATED* TAB: 81 MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ASPIRIN *ENT.COATED* TAB: 81 MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ASPIRIN *ENT.COATED* TAB: 81 MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ASPIRIN *ENT.COATED* TAB: 81 MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ASPIRIN *ENT.COATED* TAB: 81 MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ASPIRIN *ENT.COATED* TAB: 81 MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"ASPIRIN *ENT.COATED* TAB: 81 MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"ASPIRIN *ENT.COATED* TAB: 81 MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"ASPIRIN *ENT.COATED* TAB: 81 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ASPIRIN *ENT.COATED* TAB: 81 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ASPIRIN *ENT.COATED* TAB: 81 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ASPIRIN *ENT.COATED* TAB: 81 MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ASPIRIN *ENT.COATED* TAB: 81 MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ASPIRIN *ENT.COATED* TAB: 81 MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"ASPIRIN *ENT.COATED* TAB: 81 MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"ASPIRIN *ENT.COATED* TAB: 81 MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"ASPIRIN *ENT.COATED* TAB: 81 MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ASPIRIN  *ENT.COATED* TAB: 325 MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ASPIRIN  *ENT.COATED* TAB: 325 MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"ASPIRIN  *ENT.COATED* TAB: 325 MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ASPIRIN  *ENT.COATED* TAB: 325 MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ASPIRIN  *ENT.COATED* TAB: 325 MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ASPIRIN  *ENT.COATED* TAB: 325 MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ASPIRIN  *ENT.COATED* TAB: 325 MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ASPIRIN  *ENT.COATED* TAB: 325 MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ASPIRIN  *ENT.COATED* TAB: 325 MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"ASPIRIN  *ENT.COATED* TAB: 325 MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"ASPIRIN  *ENT.COATED* TAB: 325 MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"ASPIRIN  *ENT.COATED* TAB: 325 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ASPIRIN  *ENT.COATED* TAB: 325 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ASPIRIN  *ENT.COATED* TAB: 325 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ASPIRIN  *ENT.COATED* TAB: 325 MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ASPIRIN  *ENT.COATED* TAB: 325 MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ASPIRIN  *ENT.COATED* TAB: 325 MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"ASPIRIN  *ENT.COATED* TAB: 325 MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"ASPIRIN  *ENT.COATED* TAB: 325 MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"ASPIRIN  *ENT.COATED* TAB: 325 MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"HYDROXyzine (ATARAX) 25MG TAB","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"HYDROXyzine (ATARAX) 25MG TAB","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"HYDROXyzine (ATARAX) 25MG TAB","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDROXyzine (ATARAX) 25MG TAB","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDROXyzine (ATARAX) 25MG TAB","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDROXyzine (ATARAX) 25MG TAB","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDROXyzine (ATARAX) 25MG TAB","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDROXyzine (ATARAX) 25MG TAB","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"HYDROXyzine (ATARAX) 25MG TAB","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"HYDROXyzine (ATARAX) 25MG TAB","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"HYDROXyzine (ATARAX) 25MG TAB","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"HYDROXyzine (ATARAX) 25MG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"HYDROXyzine (ATARAX) 25MG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"HYDROXyzine (ATARAX) 25MG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"HYDROXyzine (ATARAX) 25MG TAB","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"HYDROXyzine (ATARAX) 25MG TAB","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"HYDROXyzine (ATARAX) 25MG TAB","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"HYDROXyzine (ATARAX) 25MG TAB","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"HYDROXyzine (ATARAX) 25MG TAB","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"HYDROXyzine (ATARAX) 25MG TAB","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 0.5 MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 0.5 MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 0.5 MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 0.5 MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 0.5 MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 0.5 MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 0.5 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 0.5 MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 0.5 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 0.5 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 0.5 MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 0.5 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 0.5 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 0.5 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 0.5 MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 0.5 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 0.5 MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 0.5 MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 0.5 MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 0.5 MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 1 MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 1 MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 1 MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 1 MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 1 MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 1 MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 1 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 1 MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 1 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 1 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 1 MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 1 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 1 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 1 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 1 MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 1 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 1 MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 1 MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 1 MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 1 MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 2 MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 2 MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 2 MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 2 MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 2 MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 2 MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 2 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 2 MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 2 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 2 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 2 MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 2 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 2 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 2 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 2 MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 2 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 2 MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 2 MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 2 MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 2 MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTN) 500MG/125MG TABLET","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTN) 500MG/125MG TABLET","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTN) 500MG/125MG TABLET","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTN) 500MG/125MG TABLET","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTN) 500MG/125MG TABLET","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTN) 500MG/125MG TABLET","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTN) 500MG/125MG TABLET","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTN) 500MG/125MG TABLET","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTN) 500MG/125MG TABLET","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTN) 500MG/125MG TABLET","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTN) 500MG/125MG TABLET","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTN) 500MG/125MG TABLET","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTN) 500MG/125MG TABLET","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTN) 500MG/125MG TABLET","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTN) 500MG/125MG TABLET","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTN) 500MG/125MG TABLET","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTN) 500MG/125MG TABLET","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTN) 500MG/125MG TABLET","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTN) 500MG/125MG TABLET","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTN) 500MG/125MG TABLET","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTIN) 875/125MG TB","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTIN) 875/125MG TB","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTIN) 875/125MG TB","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTIN) 875/125MG TB","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTIN) 875/125MG TB","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTIN) 875/125MG TB","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTIN) 875/125MG TB","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTIN) 875/125MG TB","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTIN) 875/125MG TB","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTIN) 875/125MG TB","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTIN) 875/125MG TB","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTIN) 875/125MG TB","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTIN) 875/125MG TB","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTIN) 875/125MG TB","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTIN) 875/125MG TB","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTIN) 875/125MG TB","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTIN) 875/125MG TB","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTIN) 875/125MG TB","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTIN) 875/125MG TB","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTIN) 875/125MG TB","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"MUPIROCIN (BACTROBAN) 2% OINTMT 22 GM","0637","RC","Both",,,"36","18","Alliant","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"MUPIROCIN (BACTROBAN) 2% OINTMT 22 GM","0637","RC","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.44","0.15","5264.58","percent of total billed charges",,
"MUPIROCIN (BACTROBAN) 2% OINTMT 22 GM","0637","RC","Both",,,"36","18","Medicare",,,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"MUPIROCIN (BACTROBAN) 2% OINTMT 22 GM","0637","RC","Both",,,"36","18","Humana","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"MUPIROCIN (BACTROBAN) 2% OINTMT 22 GM","0637","RC","Both",,,"36","18","UHC","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"MUPIROCIN (BACTROBAN) 2% OINTMT 22 GM","0637","RC","Both",,,"36","18","Clover","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"MUPIROCIN (BACTROBAN) 2% OINTMT 22 GM","0637","RC","Both",,,"36","18","Wellcare","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"MUPIROCIN (BACTROBAN) 2% OINTMT 22 GM","0637","RC","Both",,,"36","18","Amerigroup","Medicaid Managed Care",,,"37",,"13.18","0.15","5264.58","percent of total billed charges",,
"MUPIROCIN (BACTROBAN) 2% OINTMT 22 GM","0637","RC","Both",,,"36","18","Caresource","Medicaid Managed Care",,,"40",,"14.4","0.15","5264.58","percent of total billed charges",,
"MUPIROCIN (BACTROBAN) 2% OINTMT 22 GM","0637","RC","Both",,,"36","18","Wellcare","Medicaid Managed Care",,,"40",,"14.58","0.15","5264.58","percent of total billed charges",,
"MUPIROCIN (BACTROBAN) 2% OINTMT 22 GM","0637","RC","Both",,,"36","18","Aetna","Commercial",,,"64",,"22.97","0.15","5264.58","percent of total billed charges",,
"MUPIROCIN (BACTROBAN) 2% OINTMT 22 GM","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","Pathways",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"MUPIROCIN (BACTROBAN) 2% OINTMT 22 GM","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","HMO",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"MUPIROCIN (BACTROBAN) 2% OINTMT 22 GM","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","PPO",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"MUPIROCIN (BACTROBAN) 2% OINTMT 22 GM","0637","RC","Both",,,"36","18","Ambetter","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"MUPIROCIN (BACTROBAN) 2% OINTMT 22 GM","0637","RC","Both",,,"36","18","Caresource","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"MUPIROCIN (BACTROBAN) 2% OINTMT 22 GM","0637","RC","Both",,,"36","18","Cigna","Commercial",,,"59",,"21.1","0.15","5264.58","percent of total billed charges",,
"MUPIROCIN (BACTROBAN) 2% OINTMT 22 GM","0637","RC","Both",,,"36","18","Humana","Commercial",,,"78",,"27.9","0.15","5264.58","percent of total billed charges",,
"MUPIROCIN (BACTROBAN) 2% OINTMT 22 GM","0637","RC","Both",,,"36","18","UHC","Commercial",,,"75",,"27.14","0.15","5264.58","percent of total billed charges",,
"MUPIROCIN (BACTROBAN) 2% OINTMT 22 GM","0637","RC","Both",,,"36","18","Medicaid",,,,"37",,"13.18","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) TAB: 25MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) TAB: 25MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) TAB: 25MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) TAB: 25MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) TAB: 25MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) TAB: 25MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) TAB: 25MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) TAB: 25MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) TAB: 25MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) TAB: 25MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) TAB: 25MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) TAB: 25MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) TAB: 25MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) TAB: 25MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) TAB: 25MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) TAB: 25MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) TAB: 25MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) TAB: 25MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) TAB: 25MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) TAB: 25MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) CAP: 50MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) CAP: 50MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) CAP: 50MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) CAP: 50MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) CAP: 50MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) CAP: 50MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) CAP: 50MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) CAP: 50MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) CAP: 50MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) CAP: 50MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) CAP: 50MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) CAP: 50MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) CAP: 50MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) CAP: 50MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) CAP: 50MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) CAP: 50MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) CAP: 50MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) CAP: 50MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) CAP: 50MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) CAP: 50MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) SOLN: 12.5 mg","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) SOLN: 12.5 mg","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) SOLN: 12.5 mg","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) SOLN: 12.5 mg","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) SOLN: 12.5 mg","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) SOLN: 12.5 mg","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) SOLN: 12.5 mg","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) SOLN: 12.5 mg","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) SOLN: 12.5 mg","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) SOLN: 12.5 mg","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) SOLN: 12.5 mg","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) SOLN: 12.5 mg","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) SOLN: 12.5 mg","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) SOLN: 12.5 mg","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) SOLN: 12.5 mg","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) SOLN: 12.5 mg","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) SOLN: 12.5 mg","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) SOLN: 12.5 mg","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) SOLN: 12.5 mg","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) SOLN: 12.5 mg","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE/ZINC (BENADRYL) CREAM","0637","RC","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE/ZINC (BENADRYL) CREAM","0637","RC","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE/ZINC (BENADRYL) CREAM","0637","RC","Both",,,"22","11","Medicare",,,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE/ZINC (BENADRYL) CREAM","0637","RC","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE/ZINC (BENADRYL) CREAM","0637","RC","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE/ZINC (BENADRYL) CREAM","0637","RC","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE/ZINC (BENADRYL) CREAM","0637","RC","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE/ZINC (BENADRYL) CREAM","0637","RC","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE/ZINC (BENADRYL) CREAM","0637","RC","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE/ZINC (BENADRYL) CREAM","0637","RC","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE/ZINC (BENADRYL) CREAM","0637","RC","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE/ZINC (BENADRYL) CREAM","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE/ZINC (BENADRYL) CREAM","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE/ZINC (BENADRYL) CREAM","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE/ZINC (BENADRYL) CREAM","0637","RC","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE/ZINC (BENADRYL) CREAM","0637","RC","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE/ZINC (BENADRYL) CREAM","0637","RC","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE/ZINC (BENADRYL) CREAM","0637","RC","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE/ZINC (BENADRYL) CREAM","0637","RC","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","0.15","5264.58","percent of total billed charges",,
"DIPHENHYDRAMINE/ZINC (BENADRYL) CREAM","0637","RC","Both",,,"22","11","Medicaid",,,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"DICYCLOMINE (BENTYL) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DICYCLOMINE (BENTYL) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"DICYCLOMINE (BENTYL) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DICYCLOMINE (BENTYL) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DICYCLOMINE (BENTYL) CAPSULE: 10MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DICYCLOMINE (BENTYL) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DICYCLOMINE (BENTYL) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DICYCLOMINE (BENTYL) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"DICYCLOMINE (BENTYL) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"DICYCLOMINE (BENTYL) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"DICYCLOMINE (BENTYL) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"DICYCLOMINE (BENTYL) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DICYCLOMINE (BENTYL) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DICYCLOMINE (BENTYL) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DICYCLOMINE (BENTYL) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DICYCLOMINE (BENTYL) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DICYCLOMINE (BENTYL) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"DICYCLOMINE (BENTYL) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"DICYCLOMINE (BENTYL) CAPSULE: 10MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"DICYCLOMINE (BENTYL) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ESMOLOL (BREVIBLOC) 100MG/10ML INJECTION","0250","RC","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"ESMOLOL (BREVIBLOC) 100MG/10ML INJECTION","0250","RC","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","0.04","569.62","percent of total billed charges",,
"ESMOLOL (BREVIBLOC) 100MG/10ML INJECTION","0250","RC","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"ESMOLOL (BREVIBLOC) 100MG/10ML INJECTION","0250","RC","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"ESMOLOL (BREVIBLOC) 100MG/10ML INJECTION","0250","RC","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"ESMOLOL (BREVIBLOC) 100MG/10ML INJECTION","0250","RC","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"ESMOLOL (BREVIBLOC) 100MG/10ML INJECTION","0250","RC","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"ESMOLOL (BREVIBLOC) 100MG/10ML INJECTION","0250","RC","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","0.04","569.62","percent of total billed charges",,
"ESMOLOL (BREVIBLOC) 100MG/10ML INJECTION","0250","RC","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","0.04","569.62","percent of total billed charges",,
"ESMOLOL (BREVIBLOC) 100MG/10ML INJECTION","0250","RC","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","0.04","569.62","percent of total billed charges",,
"ESMOLOL (BREVIBLOC) 100MG/10ML INJECTION","0250","RC","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","0.04","569.62","percent of total billed charges",,
"ESMOLOL (BREVIBLOC) 100MG/10ML INJECTION","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"ESMOLOL (BREVIBLOC) 100MG/10ML INJECTION","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"ESMOLOL (BREVIBLOC) 100MG/10ML INJECTION","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"ESMOLOL (BREVIBLOC) 100MG/10ML INJECTION","0250","RC","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"ESMOLOL (BREVIBLOC) 100MG/10ML INJECTION","0250","RC","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"ESMOLOL (BREVIBLOC) 100MG/10ML INJECTION","0250","RC","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","0.04","569.62","percent of total billed charges",,
"ESMOLOL (BREVIBLOC) 100MG/10ML INJECTION","0250","RC","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","0.04","569.62","percent of total billed charges",,
"ESMOLOL (BREVIBLOC) 100MG/10ML INJECTION","0250","RC","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","0.04","569.62","percent of total billed charges",,
"ESMOLOL (BREVIBLOC) 100MG/10ML INJECTION","0250","RC","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","0.04","569.62","percent of total billed charges",,
"VERAPAMIL (CALAN) INJ: 10MG/4 ML","0250","RC","Both",,,"74","37","Alliant","Health Exchange",,,"62",,"45.88","0.04","569.62","percent of total billed charges",,
"VERAPAMIL (CALAN) INJ: 10MG/4 ML","0250","RC","Both",,,"74","37","Pruitt Healthcare","Medicare Advantage",,,"54",,"39.96","0.04","569.62","percent of total billed charges",,
"VERAPAMIL (CALAN) INJ: 10MG/4 ML","0250","RC","Both",,,"74","37","Medicare",,,,"54",,"40.11","0.04","569.62","percent of total billed charges",,
"VERAPAMIL (CALAN) INJ: 10MG/4 ML","0250","RC","Both",,,"74","37","Humana","Medicare Advantage",,,"54",,"40.11","0.04","569.62","percent of total billed charges",,
"VERAPAMIL (CALAN) INJ: 10MG/4 ML","0250","RC","Both",,,"74","37","UHC","Medicare Advantage",,,"54",,"40.11","0.04","569.62","percent of total billed charges",,
"VERAPAMIL (CALAN) INJ: 10MG/4 ML","0250","RC","Both",,,"74","37","Clover","Medicare Advantage",,,"54",,"40.11","0.04","569.62","percent of total billed charges",,
"VERAPAMIL (CALAN) INJ: 10MG/4 ML","0250","RC","Both",,,"74","37","Wellcare","Medicare Advantage",,,"54",,"40.11","0.04","569.62","percent of total billed charges",,
"VERAPAMIL (CALAN) INJ: 10MG/4 ML","0250","RC","Both",,,"74","37","Amerigroup","Medicaid Managed Care",,,"37",,"27.08","0.04","569.62","percent of total billed charges",,
"VERAPAMIL (CALAN) INJ: 10MG/4 ML","0250","RC","Both",,,"74","37","Caresource","Medicaid Managed Care",,,"40",,"29.6","0.04","569.62","percent of total billed charges",,
"VERAPAMIL (CALAN) INJ: 10MG/4 ML","0250","RC","Both",,,"74","37","Wellcare","Medicaid Managed Care",,,"40",,"29.97","0.04","569.62","percent of total billed charges",,
"VERAPAMIL (CALAN) INJ: 10MG/4 ML","0250","RC","Both",,,"74","37","Aetna","Commercial",,,"64",,"47.21","0.04","569.62","percent of total billed charges",,
"VERAPAMIL (CALAN) INJ: 10MG/4 ML","0250","RC","Both",,,"74","37","Blue Cross Blue Shield","Pathways",,,"71",,"52.24","0.04","569.62","percent of total billed charges",,
"VERAPAMIL (CALAN) INJ: 10MG/4 ML","0250","RC","Both",,,"74","37","Blue Cross Blue Shield","HMO",,,"71",,"52.24","0.04","569.62","percent of total billed charges",,
"VERAPAMIL (CALAN) INJ: 10MG/4 ML","0250","RC","Both",,,"74","37","Blue Cross Blue Shield","PPO",,,"71",,"52.24","0.04","569.62","percent of total billed charges",,
"VERAPAMIL (CALAN) INJ: 10MG/4 ML","0250","RC","Both",,,"74","37","Ambetter","Health Exchange",,,"62",,"45.88","0.04","569.62","percent of total billed charges",,
"VERAPAMIL (CALAN) INJ: 10MG/4 ML","0250","RC","Both",,,"74","37","Caresource","Health Exchange",,,"62",,"45.88","0.04","569.62","percent of total billed charges",,
"VERAPAMIL (CALAN) INJ: 10MG/4 ML","0250","RC","Both",,,"74","37","Cigna","Commercial",,,"59",,"43.36","0.04","569.62","percent of total billed charges",,
"VERAPAMIL (CALAN) INJ: 10MG/4 ML","0250","RC","Both",,,"74","37","Humana","Commercial",,,"78",,"57.35","0.04","569.62","percent of total billed charges",,
"VERAPAMIL (CALAN) INJ: 10MG/4 ML","0250","RC","Both",,,"74","37","UHC","Commercial",,,"75",,"55.8","0.04","569.62","percent of total billed charges",,
"VERAPAMIL (CALAN) INJ: 10MG/4 ML","0250","RC","Both",,,"74","37","Medicaid",,,,"37",,"27.08","0.04","569.62","percent of total billed charges",,
"VERAPAMIL ER (CALAN SR) 120 MG TABS","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL ER (CALAN SR) 120 MG TABS","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL ER (CALAN SR) 120 MG TABS","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL ER (CALAN SR) 120 MG TABS","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL ER (CALAN SR) 120 MG TABS","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL ER (CALAN SR) 120 MG TABS","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL ER (CALAN SR) 120 MG TABS","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL ER (CALAN SR) 120 MG TABS","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL ER (CALAN SR) 120 MG TABS","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL ER (CALAN SR) 120 MG TABS","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL ER (CALAN SR) 120 MG TABS","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL ER (CALAN SR) 120 MG TABS","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL ER (CALAN SR) 120 MG TABS","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL ER (CALAN SR) 120 MG TABS","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL ER (CALAN SR) 120 MG TABS","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL ER (CALAN SR) 120 MG TABS","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL ER (CALAN SR) 120 MG TABS","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL ER (CALAN SR) 120 MG TABS","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL ER (CALAN SR) 120 MG TABS","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL ER (CALAN SR) 120 MG TABS","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL ER (CALAN SR) 180MG TABS","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL ER (CALAN SR) 180MG TABS","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL ER (CALAN SR) 180MG TABS","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL ER (CALAN SR) 180MG TABS","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL ER (CALAN SR) 180MG TABS","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL ER (CALAN SR) 180MG TABS","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL ER (CALAN SR) 180MG TABS","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL ER (CALAN SR) 180MG TABS","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL ER (CALAN SR) 180MG TABS","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL ER (CALAN SR) 180MG TABS","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL ER (CALAN SR) 180MG TABS","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL ER (CALAN SR) 180MG TABS","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL ER (CALAN SR) 180MG TABS","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL ER (CALAN SR) 180MG TABS","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL ER (CALAN SR) 180MG TABS","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL ER (CALAN SR) 180MG TABS","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL ER (CALAN SR) 180MG TABS","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL ER (CALAN SR) 180MG TABS","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL ER (CALAN SR) 180MG TABS","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL ER (CALAN SR) 180MG TABS","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"CALCIUM CHLORIDE 10% ABBJ: 1GM/10ML","0250","RC","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"CALCIUM CHLORIDE 10% ABBJ: 1GM/10ML","0250","RC","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","0.04","569.62","percent of total billed charges",,
"CALCIUM CHLORIDE 10% ABBJ: 1GM/10ML","0250","RC","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"CALCIUM CHLORIDE 10% ABBJ: 1GM/10ML","0250","RC","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"CALCIUM CHLORIDE 10% ABBJ: 1GM/10ML","0250","RC","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"CALCIUM CHLORIDE 10% ABBJ: 1GM/10ML","0250","RC","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"CALCIUM CHLORIDE 10% ABBJ: 1GM/10ML","0250","RC","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"CALCIUM CHLORIDE 10% ABBJ: 1GM/10ML","0250","RC","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","0.04","569.62","percent of total billed charges",,
"CALCIUM CHLORIDE 10% ABBJ: 1GM/10ML","0250","RC","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","0.04","569.62","percent of total billed charges",,
"CALCIUM CHLORIDE 10% ABBJ: 1GM/10ML","0250","RC","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","0.04","569.62","percent of total billed charges",,
"CALCIUM CHLORIDE 10% ABBJ: 1GM/10ML","0250","RC","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","0.04","569.62","percent of total billed charges",,
"CALCIUM CHLORIDE 10% ABBJ: 1GM/10ML","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"CALCIUM CHLORIDE 10% ABBJ: 1GM/10ML","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"CALCIUM CHLORIDE 10% ABBJ: 1GM/10ML","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"CALCIUM CHLORIDE 10% ABBJ: 1GM/10ML","0250","RC","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"CALCIUM CHLORIDE 10% ABBJ: 1GM/10ML","0250","RC","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"CALCIUM CHLORIDE 10% ABBJ: 1GM/10ML","0250","RC","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","0.04","569.62","percent of total billed charges",,
"CALCIUM CHLORIDE 10% ABBJ: 1GM/10ML","0250","RC","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","0.04","569.62","percent of total billed charges",,
"CALCIUM CHLORIDE 10% ABBJ: 1GM/10ML","0250","RC","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","0.04","569.62","percent of total billed charges",,
"CALCIUM CHLORIDE 10% ABBJ: 1GM/10ML","0250","RC","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","0.04","569.62","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) INJ: 25MG/5ML","0250","RC","Both",,,"31","15.5","Alliant","Health Exchange",,,"62",,"19.22","0.04","569.62","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) INJ: 25MG/5ML","0250","RC","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.74","0.04","569.62","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) INJ: 25MG/5ML","0250","RC","Both",,,"31","15.5","Medicare",,,,"54",,"16.8","0.04","569.62","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) INJ: 25MG/5ML","0250","RC","Both",,,"31","15.5","Humana","Medicare Advantage",,,"54",,"16.8","0.04","569.62","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) INJ: 25MG/5ML","0250","RC","Both",,,"31","15.5","UHC","Medicare Advantage",,,"54",,"16.8","0.04","569.62","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) INJ: 25MG/5ML","0250","RC","Both",,,"31","15.5","Clover","Medicare Advantage",,,"54",,"16.8","0.04","569.62","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) INJ: 25MG/5ML","0250","RC","Both",,,"31","15.5","Wellcare","Medicare Advantage",,,"54",,"16.8","0.04","569.62","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) INJ: 25MG/5ML","0250","RC","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care",,,"37",,"11.35","0.04","569.62","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) INJ: 25MG/5ML","0250","RC","Both",,,"31","15.5","Caresource","Medicaid Managed Care",,,"40",,"12.4","0.04","569.62","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) INJ: 25MG/5ML","0250","RC","Both",,,"31","15.5","Wellcare","Medicaid Managed Care",,,"40",,"12.56","0.04","569.62","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) INJ: 25MG/5ML","0250","RC","Both",,,"31","15.5","Aetna","Commercial",,,"64",,"19.78","0.04","569.62","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) INJ: 25MG/5ML","0250","RC","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways",,,"71",,"21.89","0.04","569.62","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) INJ: 25MG/5ML","0250","RC","Both",,,"31","15.5","Blue Cross Blue Shield","HMO",,,"71",,"21.89","0.04","569.62","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) INJ: 25MG/5ML","0250","RC","Both",,,"31","15.5","Blue Cross Blue Shield","PPO",,,"71",,"21.89","0.04","569.62","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) INJ: 25MG/5ML","0250","RC","Both",,,"31","15.5","Ambetter","Health Exchange",,,"62",,"19.22","0.04","569.62","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) INJ: 25MG/5ML","0250","RC","Both",,,"31","15.5","Caresource","Health Exchange",,,"62",,"19.22","0.04","569.62","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) INJ: 25MG/5ML","0250","RC","Both",,,"31","15.5","Cigna","Commercial",,,"59",,"18.17","0.04","569.62","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) INJ: 25MG/5ML","0250","RC","Both",,,"31","15.5","Humana","Commercial",,,"78",,"24.02","0.04","569.62","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) INJ: 25MG/5ML","0250","RC","Both",,,"31","15.5","UHC","Commercial",,,"75",,"23.37","0.04","569.62","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) INJ: 25MG/5ML","0250","RC","Both",,,"31","15.5","Medicaid",,,,"37",,"11.35","0.04","569.62","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) TABLET: 30MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) TABLET: 30MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) TABLET: 30MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) TABLET: 30MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) TABLET: 30MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) TABLET: 30MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) TABLET: 30MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) TABLET: 30MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) TABLET: 30MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) TABLET: 30MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) TABLET: 30MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) TABLET: 30MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) TABLET: 30MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) TABLET: 30MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) TABLET: 30MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) TABLET: 30MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) TABLET: 30MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) TABLET: 30MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) TABLET: 30MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) TABLET: 30MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) INJ: 50MG/10ML","0250","RC","Both",,,"31","15.5","Alliant","Health Exchange",,,"62",,"19.22","0.04","569.62","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) INJ: 50MG/10ML","0250","RC","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.74","0.04","569.62","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) INJ: 50MG/10ML","0250","RC","Both",,,"31","15.5","Medicare",,,,"54",,"16.8","0.04","569.62","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) INJ: 50MG/10ML","0250","RC","Both",,,"31","15.5","Humana","Medicare Advantage",,,"54",,"16.8","0.04","569.62","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) INJ: 50MG/10ML","0250","RC","Both",,,"31","15.5","UHC","Medicare Advantage",,,"54",,"16.8","0.04","569.62","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) INJ: 50MG/10ML","0250","RC","Both",,,"31","15.5","Clover","Medicare Advantage",,,"54",,"16.8","0.04","569.62","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) INJ: 50MG/10ML","0250","RC","Both",,,"31","15.5","Wellcare","Medicare Advantage",,,"54",,"16.8","0.04","569.62","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) INJ: 50MG/10ML","0250","RC","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care",,,"37",,"11.35","0.04","569.62","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) INJ: 50MG/10ML","0250","RC","Both",,,"31","15.5","Caresource","Medicaid Managed Care",,,"40",,"12.4","0.04","569.62","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) INJ: 50MG/10ML","0250","RC","Both",,,"31","15.5","Wellcare","Medicaid Managed Care",,,"40",,"12.56","0.04","569.62","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) INJ: 50MG/10ML","0250","RC","Both",,,"31","15.5","Aetna","Commercial",,,"64",,"19.78","0.04","569.62","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) INJ: 50MG/10ML","0250","RC","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways",,,"71",,"21.89","0.04","569.62","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) INJ: 50MG/10ML","0250","RC","Both",,,"31","15.5","Blue Cross Blue Shield","HMO",,,"71",,"21.89","0.04","569.62","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) INJ: 50MG/10ML","0250","RC","Both",,,"31","15.5","Blue Cross Blue Shield","PPO",,,"71",,"21.89","0.04","569.62","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) INJ: 50MG/10ML","0250","RC","Both",,,"31","15.5","Ambetter","Health Exchange",,,"62",,"19.22","0.04","569.62","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) INJ: 50MG/10ML","0250","RC","Both",,,"31","15.5","Caresource","Health Exchange",,,"62",,"19.22","0.04","569.62","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) INJ: 50MG/10ML","0250","RC","Both",,,"31","15.5","Cigna","Commercial",,,"59",,"18.17","0.04","569.62","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) INJ: 50MG/10ML","0250","RC","Both",,,"31","15.5","Humana","Commercial",,,"78",,"24.02","0.04","569.62","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) INJ: 50MG/10ML","0250","RC","Both",,,"31","15.5","UHC","Commercial",,,"75",,"23.37","0.04","569.62","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) INJ: 50MG/10ML","0250","RC","Both",,,"31","15.5","Medicaid",,,,"37",,"11.35","0.04","569.62","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) TABLET: 60MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) TABLET: 60MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) TABLET: 60MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) TABLET: 60MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) TABLET: 60MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) TABLET: 60MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) TABLET: 60MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) TABLET: 60MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) TABLET: 60MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) TABLET: 60MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) TABLET: 60MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) TABLET: 60MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) TABLET: 60MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) TABLET: 60MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) TABLET: 60MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) TABLET: 60MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) TABLET: 60MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) TABLET: 60MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) TABLET: 60MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM (CARDIZEM) TABLET: 60MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM EXT REL (CARDIZM CD) CAP:120MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM EXT REL (CARDIZM CD) CAP:120MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM EXT REL (CARDIZM CD) CAP:120MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM EXT REL (CARDIZM CD) CAP:120MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM EXT REL (CARDIZM CD) CAP:120MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM EXT REL (CARDIZM CD) CAP:120MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM EXT REL (CARDIZM CD) CAP:120MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM EXT REL (CARDIZM CD) CAP:120MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM EXT REL (CARDIZM CD) CAP:120MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM EXT REL (CARDIZM CD) CAP:120MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM EXT REL (CARDIZM CD) CAP:120MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM EXT REL (CARDIZM CD) CAP:120MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM EXT REL (CARDIZM CD) CAP:120MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM EXT REL (CARDIZM CD) CAP:120MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM EXT REL (CARDIZM CD) CAP:120MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM EXT REL (CARDIZM CD) CAP:120MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM EXT REL (CARDIZM CD) CAP:120MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM EXT REL (CARDIZM CD) CAP:120MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM EXT REL (CARDIZM CD) CAP:120MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM EXT REL (CARDIZM CD) CAP:120MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM EXT REL (CARDIZM CD) CAP:180MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM EXT REL (CARDIZM CD) CAP:180MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM EXT REL (CARDIZM CD) CAP:180MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM EXT REL (CARDIZM CD) CAP:180MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM EXT REL (CARDIZM CD) CAP:180MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM EXT REL (CARDIZM CD) CAP:180MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM EXT REL (CARDIZM CD) CAP:180MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM EXT REL (CARDIZM CD) CAP:180MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM EXT REL (CARDIZM CD) CAP:180MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM EXT REL (CARDIZM CD) CAP:180MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM EXT REL (CARDIZM CD) CAP:180MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM EXT REL (CARDIZM CD) CAP:180MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM EXT REL (CARDIZM CD) CAP:180MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM EXT REL (CARDIZM CD) CAP:180MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM EXT REL (CARDIZM CD) CAP:180MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM EXT REL (CARDIZM CD) CAP:180MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM EXT REL (CARDIZM CD) CAP:180MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM EXT REL (CARDIZM CD) CAP:180MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM EXT REL (CARDIZM CD) CAP:180MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"DILTIAZEM EXT REL (CARDIZM CD) CAP:180MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"DOXAZOSIN (CARDURA) TABLET: 2MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DOXAZOSIN (CARDURA) TABLET: 2MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"DOXAZOSIN (CARDURA) TABLET: 2MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DOXAZOSIN (CARDURA) TABLET: 2MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DOXAZOSIN (CARDURA) TABLET: 2MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DOXAZOSIN (CARDURA) TABLET: 2MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DOXAZOSIN (CARDURA) TABLET: 2MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DOXAZOSIN (CARDURA) TABLET: 2MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"DOXAZOSIN (CARDURA) TABLET: 2MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"DOXAZOSIN (CARDURA) TABLET: 2MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"DOXAZOSIN (CARDURA) TABLET: 2MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"DOXAZOSIN (CARDURA) TABLET: 2MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DOXAZOSIN (CARDURA) TABLET: 2MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DOXAZOSIN (CARDURA) TABLET: 2MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DOXAZOSIN (CARDURA) TABLET: 2MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DOXAZOSIN (CARDURA) TABLET: 2MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DOXAZOSIN (CARDURA) TABLET: 2MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"DOXAZOSIN (CARDURA) TABLET: 2MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"DOXAZOSIN (CARDURA) TABLET: 2MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"DOXAZOSIN (CARDURA) TABLET: 2MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.1MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.1MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.1MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.1MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.1MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.1MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.1MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.1MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.1MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.1MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.1MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.1MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.1MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.1MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.1MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.1MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.1MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.1MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.1MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.1MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.2MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.2MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.2MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.2MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.2MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.2MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.2MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.2MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.2MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.2MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.2MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.2MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.2MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.2MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.2MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.2MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.2MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.2MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.2MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.2MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.3MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.3MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.3MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.3MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.3MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.3MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.3MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.3MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.3MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.3MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.3MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.3MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.3MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.3MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.3MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.3MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.3MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.3MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.3MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"clonIDINE (CATAPRES) TABLET: 0.3MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"CLONIDINE (CATAPRES 1) PTCH: 0.1MG/day","0637","RC","Both",,,"85","42.5","Alliant","Health Exchange",,,"62",,"52.7","0.15","5264.58","percent of total billed charges",,
"CLONIDINE (CATAPRES 1) PTCH: 0.1MG/day","0637","RC","Both",,,"85","42.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"45.9","0.15","5264.58","percent of total billed charges",,
"CLONIDINE (CATAPRES 1) PTCH: 0.1MG/day","0637","RC","Both",,,"85","42.5","Medicare",,,,"54",,"46.07","0.15","5264.58","percent of total billed charges",,
"CLONIDINE (CATAPRES 1) PTCH: 0.1MG/day","0637","RC","Both",,,"85","42.5","Humana","Medicare Advantage",,,"54",,"46.07","0.15","5264.58","percent of total billed charges",,
"CLONIDINE (CATAPRES 1) PTCH: 0.1MG/day","0637","RC","Both",,,"85","42.5","UHC","Medicare Advantage",,,"54",,"46.07","0.15","5264.58","percent of total billed charges",,
"CLONIDINE (CATAPRES 1) PTCH: 0.1MG/day","0637","RC","Both",,,"85","42.5","Clover","Medicare Advantage",,,"54",,"46.07","0.15","5264.58","percent of total billed charges",,
"CLONIDINE (CATAPRES 1) PTCH: 0.1MG/day","0637","RC","Both",,,"85","42.5","Wellcare","Medicare Advantage",,,"54",,"46.07","0.15","5264.58","percent of total billed charges",,
"CLONIDINE (CATAPRES 1) PTCH: 0.1MG/day","0637","RC","Both",,,"85","42.5","Amerigroup","Medicaid Managed Care",,,"37",,"31.11","0.15","5264.58","percent of total billed charges",,
"CLONIDINE (CATAPRES 1) PTCH: 0.1MG/day","0637","RC","Both",,,"85","42.5","Caresource","Medicaid Managed Care",,,"40",,"34","0.15","5264.58","percent of total billed charges",,
"CLONIDINE (CATAPRES 1) PTCH: 0.1MG/day","0637","RC","Both",,,"85","42.5","Wellcare","Medicaid Managed Care",,,"40",,"34.43","0.15","5264.58","percent of total billed charges",,
"CLONIDINE (CATAPRES 1) PTCH: 0.1MG/day","0637","RC","Both",,,"85","42.5","Aetna","Commercial",,,"64",,"54.23","0.15","5264.58","percent of total billed charges",,
"CLONIDINE (CATAPRES 1) PTCH: 0.1MG/day","0637","RC","Both",,,"85","42.5","Blue Cross Blue Shield","Pathways",,,"71",,"60.01","0.15","5264.58","percent of total billed charges",,
"CLONIDINE (CATAPRES 1) PTCH: 0.1MG/day","0637","RC","Both",,,"85","42.5","Blue Cross Blue Shield","HMO",,,"71",,"60.01","0.15","5264.58","percent of total billed charges",,
"CLONIDINE (CATAPRES 1) PTCH: 0.1MG/day","0637","RC","Both",,,"85","42.5","Blue Cross Blue Shield","PPO",,,"71",,"60.01","0.15","5264.58","percent of total billed charges",,
"CLONIDINE (CATAPRES 1) PTCH: 0.1MG/day","0637","RC","Both",,,"85","42.5","Ambetter","Health Exchange",,,"62",,"52.7","0.15","5264.58","percent of total billed charges",,
"CLONIDINE (CATAPRES 1) PTCH: 0.1MG/day","0637","RC","Both",,,"85","42.5","Caresource","Health Exchange",,,"62",,"52.7","0.15","5264.58","percent of total billed charges",,
"CLONIDINE (CATAPRES 1) PTCH: 0.1MG/day","0637","RC","Both",,,"85","42.5","Cigna","Commercial",,,"59",,"49.81","0.15","5264.58","percent of total billed charges",,
"CLONIDINE (CATAPRES 1) PTCH: 0.1MG/day","0637","RC","Both",,,"85","42.5","Humana","Commercial",,,"78",,"65.88","0.15","5264.58","percent of total billed charges",,
"CLONIDINE (CATAPRES 1) PTCH: 0.1MG/day","0637","RC","Both",,,"85","42.5","UHC","Commercial",,,"75",,"64.09","0.15","5264.58","percent of total billed charges",,
"CLONIDINE (CATAPRES 1) PTCH: 0.1MG/day","0637","RC","Both",,,"85","42.5","Medicaid",,,,"37",,"31.11","0.15","5264.58","percent of total billed charges",,
"CLONIDINE (CATAPRES-2) 0.2 mg/day PATCH","0637","RC","Both",,,"131","65.5","Alliant","Health Exchange",,,"62",,"81.22","0.15","5264.58","percent of total billed charges",,
"CLONIDINE (CATAPRES-2) 0.2 mg/day PATCH","0637","RC","Both",,,"131","65.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"70.74","0.15","5264.58","percent of total billed charges",,
"CLONIDINE (CATAPRES-2) 0.2 mg/day PATCH","0637","RC","Both",,,"131","65.5","Medicare",,,,"54",,"71","0.15","5264.58","percent of total billed charges",,
"CLONIDINE (CATAPRES-2) 0.2 mg/day PATCH","0637","RC","Both",,,"131","65.5","Humana","Medicare Advantage",,,"54",,"71","0.15","5264.58","percent of total billed charges",,
"CLONIDINE (CATAPRES-2) 0.2 mg/day PATCH","0637","RC","Both",,,"131","65.5","UHC","Medicare Advantage",,,"54",,"71","0.15","5264.58","percent of total billed charges",,
"CLONIDINE (CATAPRES-2) 0.2 mg/day PATCH","0637","RC","Both",,,"131","65.5","Clover","Medicare Advantage",,,"54",,"71","0.15","5264.58","percent of total billed charges",,
"CLONIDINE (CATAPRES-2) 0.2 mg/day PATCH","0637","RC","Both",,,"131","65.5","Wellcare","Medicare Advantage",,,"54",,"71","0.15","5264.58","percent of total billed charges",,
"CLONIDINE (CATAPRES-2) 0.2 mg/day PATCH","0637","RC","Both",,,"131","65.5","Amerigroup","Medicaid Managed Care",,,"37",,"47.95","0.15","5264.58","percent of total billed charges",,
"CLONIDINE (CATAPRES-2) 0.2 mg/day PATCH","0637","RC","Both",,,"131","65.5","Caresource","Medicaid Managed Care",,,"40",,"52.4","0.15","5264.58","percent of total billed charges",,
"CLONIDINE (CATAPRES-2) 0.2 mg/day PATCH","0637","RC","Both",,,"131","65.5","Wellcare","Medicaid Managed Care",,,"40",,"53.06","0.15","5264.58","percent of total billed charges",,
"CLONIDINE (CATAPRES-2) 0.2 mg/day PATCH","0637","RC","Both",,,"131","65.5","Aetna","Commercial",,,"64",,"83.58","0.15","5264.58","percent of total billed charges",,
"CLONIDINE (CATAPRES-2) 0.2 mg/day PATCH","0637","RC","Both",,,"131","65.5","Blue Cross Blue Shield","Pathways",,,"71",,"92.49","0.15","5264.58","percent of total billed charges",,
"CLONIDINE (CATAPRES-2) 0.2 mg/day PATCH","0637","RC","Both",,,"131","65.5","Blue Cross Blue Shield","HMO",,,"71",,"92.49","0.15","5264.58","percent of total billed charges",,
"CLONIDINE (CATAPRES-2) 0.2 mg/day PATCH","0637","RC","Both",,,"131","65.5","Blue Cross Blue Shield","PPO",,,"71",,"92.49","0.15","5264.58","percent of total billed charges",,
"CLONIDINE (CATAPRES-2) 0.2 mg/day PATCH","0637","RC","Both",,,"131","65.5","Ambetter","Health Exchange",,,"62",,"81.22","0.15","5264.58","percent of total billed charges",,
"CLONIDINE (CATAPRES-2) 0.2 mg/day PATCH","0637","RC","Both",,,"131","65.5","Caresource","Health Exchange",,,"62",,"81.22","0.15","5264.58","percent of total billed charges",,
"CLONIDINE (CATAPRES-2) 0.2 mg/day PATCH","0637","RC","Both",,,"131","65.5","Cigna","Commercial",,,"59",,"76.77","0.15","5264.58","percent of total billed charges",,
"CLONIDINE (CATAPRES-2) 0.2 mg/day PATCH","0637","RC","Both",,,"131","65.5","Humana","Commercial",,,"78",,"101.52","0.15","5264.58","percent of total billed charges",,
"CLONIDINE (CATAPRES-2) 0.2 mg/day PATCH","0637","RC","Both",,,"131","65.5","UHC","Commercial",,,"75",,"98.77","0.15","5264.58","percent of total billed charges",,
"CLONIDINE (CATAPRES-2) 0.2 mg/day PATCH","0637","RC","Both",,,"131","65.5","Medicaid",,,,"37",,"47.95","0.15","5264.58","percent of total billed charges",,
"CEFUROXIME (CEFTIN) TABLETS: 250MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CEFUROXIME (CEFTIN) TABLETS: 250MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"CEFUROXIME (CEFTIN) TABLETS: 250MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CEFUROXIME (CEFTIN) TABLETS: 250MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CEFUROXIME (CEFTIN) TABLETS: 250MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CEFUROXIME (CEFTIN) TABLETS: 250MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CEFUROXIME (CEFTIN) TABLETS: 250MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CEFUROXIME (CEFTIN) TABLETS: 250MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"CEFUROXIME (CEFTIN) TABLETS: 250MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"CEFUROXIME (CEFTIN) TABLETS: 250MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"CEFUROXIME (CEFTIN) TABLETS: 250MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"CEFUROXIME (CEFTIN) TABLETS: 250MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CEFUROXIME (CEFTIN) TABLETS: 250MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CEFUROXIME (CEFTIN) TABLETS: 250MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CEFUROXIME (CEFTIN) TABLETS: 250MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CEFUROXIME (CEFTIN) TABLETS: 250MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CEFUROXIME (CEFTIN) TABLETS: 250MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"CEFUROXIME (CEFTIN) TABLETS: 250MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"CEFUROXIME (CEFTIN) TABLETS: 250MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"CEFUROXIME (CEFTIN) TABLETS: 250MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"LACTULOSE 20GM/30ML SOLUTION","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"LACTULOSE 20GM/30ML SOLUTION","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"LACTULOSE 20GM/30ML SOLUTION","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"LACTULOSE 20GM/30ML SOLUTION","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"LACTULOSE 20GM/30ML SOLUTION","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"LACTULOSE 20GM/30ML SOLUTION","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"LACTULOSE 20GM/30ML SOLUTION","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"LACTULOSE 20GM/30ML SOLUTION","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"LACTULOSE 20GM/30ML SOLUTION","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"LACTULOSE 20GM/30ML SOLUTION","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"LACTULOSE 20GM/30ML SOLUTION","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"LACTULOSE 20GM/30ML SOLUTION","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"LACTULOSE 20GM/30ML SOLUTION","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"LACTULOSE 20GM/30ML SOLUTION","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"LACTULOSE 20GM/30ML SOLUTION","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"LACTULOSE 20GM/30ML SOLUTION","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"LACTULOSE 20GM/30ML SOLUTION","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"LACTULOSE 20GM/30ML SOLUTION","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"LACTULOSE 20GM/30ML SOLUTION","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"LACTULOSE 20GM/30ML SOLUTION","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"CIPROFLOXACIN (CILOXAN) OPTH DROP 2.5ML","0637","RC","Both",,,"36","18","Alliant","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"CIPROFLOXACIN (CILOXAN) OPTH DROP 2.5ML","0637","RC","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.44","0.15","5264.58","percent of total billed charges",,
"CIPROFLOXACIN (CILOXAN) OPTH DROP 2.5ML","0637","RC","Both",,,"36","18","Medicare",,,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"CIPROFLOXACIN (CILOXAN) OPTH DROP 2.5ML","0637","RC","Both",,,"36","18","Humana","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"CIPROFLOXACIN (CILOXAN) OPTH DROP 2.5ML","0637","RC","Both",,,"36","18","UHC","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"CIPROFLOXACIN (CILOXAN) OPTH DROP 2.5ML","0637","RC","Both",,,"36","18","Clover","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"CIPROFLOXACIN (CILOXAN) OPTH DROP 2.5ML","0637","RC","Both",,,"36","18","Wellcare","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"CIPROFLOXACIN (CILOXAN) OPTH DROP 2.5ML","0637","RC","Both",,,"36","18","Amerigroup","Medicaid Managed Care",,,"37",,"13.18","0.15","5264.58","percent of total billed charges",,
"CIPROFLOXACIN (CILOXAN) OPTH DROP 2.5ML","0637","RC","Both",,,"36","18","Caresource","Medicaid Managed Care",,,"40",,"14.4","0.15","5264.58","percent of total billed charges",,
"CIPROFLOXACIN (CILOXAN) OPTH DROP 2.5ML","0637","RC","Both",,,"36","18","Wellcare","Medicaid Managed Care",,,"40",,"14.58","0.15","5264.58","percent of total billed charges",,
"CIPROFLOXACIN (CILOXAN) OPTH DROP 2.5ML","0637","RC","Both",,,"36","18","Aetna","Commercial",,,"64",,"22.97","0.15","5264.58","percent of total billed charges",,
"CIPROFLOXACIN (CILOXAN) OPTH DROP 2.5ML","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","Pathways",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"CIPROFLOXACIN (CILOXAN) OPTH DROP 2.5ML","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","HMO",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"CIPROFLOXACIN (CILOXAN) OPTH DROP 2.5ML","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","PPO",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"CIPROFLOXACIN (CILOXAN) OPTH DROP 2.5ML","0637","RC","Both",,,"36","18","Ambetter","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"CIPROFLOXACIN (CILOXAN) OPTH DROP 2.5ML","0637","RC","Both",,,"36","18","Caresource","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"CIPROFLOXACIN (CILOXAN) OPTH DROP 2.5ML","0637","RC","Both",,,"36","18","Cigna","Commercial",,,"59",,"21.1","0.15","5264.58","percent of total billed charges",,
"CIPROFLOXACIN (CILOXAN) OPTH DROP 2.5ML","0637","RC","Both",,,"36","18","Humana","Commercial",,,"78",,"27.9","0.15","5264.58","percent of total billed charges",,
"CIPROFLOXACIN (CILOXAN) OPTH DROP 2.5ML","0637","RC","Both",,,"36","18","UHC","Commercial",,,"75",,"27.14","0.15","5264.58","percent of total billed charges",,
"CIPROFLOXACIN (CILOXAN) OPTH DROP 2.5ML","0637","RC","Both",,,"36","18","Medicaid",,,,"37",,"13.18","0.15","5264.58","percent of total billed charges",,
"CIPROFLOXACIN (CIPRO) TABLET: 500MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CIPROFLOXACIN (CIPRO) TABLET: 500MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"CIPROFLOXACIN (CIPRO) TABLET: 500MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CIPROFLOXACIN (CIPRO) TABLET: 500MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CIPROFLOXACIN (CIPRO) TABLET: 500MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CIPROFLOXACIN (CIPRO) TABLET: 500MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CIPROFLOXACIN (CIPRO) TABLET: 500MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CIPROFLOXACIN (CIPRO) TABLET: 500MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"CIPROFLOXACIN (CIPRO) TABLET: 500MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"CIPROFLOXACIN (CIPRO) TABLET: 500MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"CIPROFLOXACIN (CIPRO) TABLET: 500MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"CIPROFLOXACIN (CIPRO) TABLET: 500MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CIPROFLOXACIN (CIPRO) TABLET: 500MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CIPROFLOXACIN (CIPRO) TABLET: 500MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CIPROFLOXACIN (CIPRO) TABLET: 500MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CIPROFLOXACIN (CIPRO) TABLET: 500MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CIPROFLOXACIN (CIPRO) TABLET: 500MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"CIPROFLOXACIN (CIPRO) TABLET: 500MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"CIPROFLOXACIN (CIPRO) TABLET: 500MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"CIPROFLOXACIN (CIPRO) TABLET: 500MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"LORATADINE (CLARITIN) TABLET: 10 MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LORATADINE (CLARITIN) TABLET: 10 MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"LORATADINE (CLARITIN) TABLET: 10 MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LORATADINE (CLARITIN) TABLET: 10 MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LORATADINE (CLARITIN) TABLET: 10 MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LORATADINE (CLARITIN) TABLET: 10 MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LORATADINE (CLARITIN) TABLET: 10 MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LORATADINE (CLARITIN) TABLET: 10 MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"LORATADINE (CLARITIN) TABLET: 10 MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"LORATADINE (CLARITIN) TABLET: 10 MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"LORATADINE (CLARITIN) TABLET: 10 MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"LORATADINE (CLARITIN) TABLET: 10 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LORATADINE (CLARITIN) TABLET: 10 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LORATADINE (CLARITIN) TABLET: 10 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LORATADINE (CLARITIN) TABLET: 10 MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LORATADINE (CLARITIN) TABLET: 10 MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LORATADINE (CLARITIN) TABLET: 10 MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"LORATADINE (CLARITIN) TABLET: 10 MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"LORATADINE (CLARITIN) TABLET: 10 MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"LORATADINE (CLARITIN) TABLET: 10 MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"BENZTROPINE (COGENTIN) TABLET: 1MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"BENZTROPINE (COGENTIN) TABLET: 1MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"BENZTROPINE (COGENTIN) TABLET: 1MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BENZTROPINE (COGENTIN) TABLET: 1MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BENZTROPINE (COGENTIN) TABLET: 1MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BENZTROPINE (COGENTIN) TABLET: 1MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BENZTROPINE (COGENTIN) TABLET: 1MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BENZTROPINE (COGENTIN) TABLET: 1MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"BENZTROPINE (COGENTIN) TABLET: 1MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"BENZTROPINE (COGENTIN) TABLET: 1MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"BENZTROPINE (COGENTIN) TABLET: 1MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"BENZTROPINE (COGENTIN) TABLET: 1MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"BENZTROPINE (COGENTIN) TABLET: 1MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"BENZTROPINE (COGENTIN) TABLET: 1MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"BENZTROPINE (COGENTIN) TABLET: 1MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"BENZTROPINE (COGENTIN) TABLET: 1MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"BENZTROPINE (COGENTIN) TABLET: 1MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"BENZTROPINE (COGENTIN) TABLET: 1MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"BENZTROPINE (COGENTIN) TABLET: 1MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"BENZTROPINE (COGENTIN) TABLET: 1MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"DOCUSATE SODIUM (DOK) CAPSULE:100MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DOCUSATE SODIUM (DOK) CAPSULE:100MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"DOCUSATE SODIUM (DOK) CAPSULE:100MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DOCUSATE SODIUM (DOK) CAPSULE:100MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DOCUSATE SODIUM (DOK) CAPSULE:100MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DOCUSATE SODIUM (DOK) CAPSULE:100MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DOCUSATE SODIUM (DOK) CAPSULE:100MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DOCUSATE SODIUM (DOK) CAPSULE:100MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"DOCUSATE SODIUM (DOK) CAPSULE:100MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"DOCUSATE SODIUM (DOK) CAPSULE:100MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"DOCUSATE SODIUM (DOK) CAPSULE:100MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"DOCUSATE SODIUM (DOK) CAPSULE:100MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DOCUSATE SODIUM (DOK) CAPSULE:100MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DOCUSATE SODIUM (DOK) CAPSULE:100MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DOCUSATE SODIUM (DOK) CAPSULE:100MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DOCUSATE SODIUM (DOK) CAPSULE:100MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DOCUSATE SODIUM (DOK) CAPSULE:100MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"DOCUSATE SODIUM (DOK) CAPSULE:100MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"DOCUSATE SODIUM (DOK) CAPSULE:100MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"DOCUSATE SODIUM (DOK) CAPSULE:100MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"DOCUSATE NA(COLACE) LIQUID: 100MG/10ML","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"DOCUSATE NA(COLACE) LIQUID: 100MG/10ML","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"DOCUSATE NA(COLACE) LIQUID: 100MG/10ML","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"DOCUSATE NA(COLACE) LIQUID: 100MG/10ML","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"DOCUSATE NA(COLACE) LIQUID: 100MG/10ML","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"DOCUSATE NA(COLACE) LIQUID: 100MG/10ML","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"DOCUSATE NA(COLACE) LIQUID: 100MG/10ML","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"DOCUSATE NA(COLACE) LIQUID: 100MG/10ML","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"DOCUSATE NA(COLACE) LIQUID: 100MG/10ML","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"DOCUSATE NA(COLACE) LIQUID: 100MG/10ML","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"DOCUSATE NA(COLACE) LIQUID: 100MG/10ML","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"DOCUSATE NA(COLACE) LIQUID: 100MG/10ML","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"DOCUSATE NA(COLACE) LIQUID: 100MG/10ML","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"DOCUSATE NA(COLACE) LIQUID: 100MG/10ML","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"DOCUSATE NA(COLACE) LIQUID: 100MG/10ML","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"DOCUSATE NA(COLACE) LIQUID: 100MG/10ML","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"DOCUSATE NA(COLACE) LIQUID: 100MG/10ML","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"DOCUSATE NA(COLACE) LIQUID: 100MG/10ML","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"DOCUSATE NA(COLACE) LIQUID: 100MG/10ML","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"DOCUSATE NA(COLACE) LIQUID: 100MG/10ML","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"AMIODARONE HCL (PACERONE) TABS 200MG","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"AMIODARONE HCL (PACERONE) TABS 200MG","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"AMIODARONE HCL (PACERONE) TABS 200MG","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"AMIODARONE HCL (PACERONE) TABS 200MG","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"AMIODARONE HCL (PACERONE) TABS 200MG","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"AMIODARONE HCL (PACERONE) TABS 200MG","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"AMIODARONE HCL (PACERONE) TABS 200MG","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"AMIODARONE HCL (PACERONE) TABS 200MG","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"AMIODARONE HCL (PACERONE) TABS 200MG","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"AMIODARONE HCL (PACERONE) TABS 200MG","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"AMIODARONE HCL (PACERONE) TABS 200MG","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"AMIODARONE HCL (PACERONE) TABS 200MG","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"AMIODARONE HCL (PACERONE) TABS 200MG","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"AMIODARONE HCL (PACERONE) TABS 200MG","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"AMIODARONE HCL (PACERONE) TABS 200MG","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"AMIODARONE HCL (PACERONE) TABS 200MG","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"AMIODARONE HCL (PACERONE) TABS 200MG","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"AMIODARONE HCL (PACERONE) TABS 200MG","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"AMIODARONE HCL (PACERONE) TABS 200MG","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"AMIODARONE HCL (PACERONE) TABS 200MG","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) 3.125 MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) 3.125 MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) 3.125 MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) 3.125 MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) 3.125 MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) 3.125 MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) 3.125 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) 3.125 MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) 3.125 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) 3.125 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) 3.125 MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) 3.125 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) 3.125 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) 3.125 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) 3.125 MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) 3.125 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) 3.125 MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) 3.125 MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) 3.125 MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) 3.125 MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) 6.25 MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) 6.25 MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) 6.25 MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) 6.25 MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) 6.25 MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) 6.25 MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) 6.25 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) 6.25 MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) 6.25 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) 6.25 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) 6.25 MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) 6.25 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) 6.25 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) 6.25 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) 6.25 MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) 6.25 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) 6.25 MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) 6.25 MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) 6.25 MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) 6.25 MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) TABLET: 12.5MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) TABLET: 12.5MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) TABLET: 12.5MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) TABLET: 12.5MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) TABLET: 12.5MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) TABLET: 12.5MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) TABLET: 12.5MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) TABLET: 12.5MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) TABLET: 12.5MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) TABLET: 12.5MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) TABLET: 12.5MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) TABLET: 12.5MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) TABLET: 12.5MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) TABLET: 12.5MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) TABLET: 12.5MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) TABLET: 12.5MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) TABLET: 12.5MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) TABLET: 12.5MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) TABLET: 12.5MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL (COREG) TABLET: 12.5MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL  (COREG) TABLET: 25MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL  (COREG) TABLET: 25MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL  (COREG) TABLET: 25MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL  (COREG) TABLET: 25MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL  (COREG) TABLET: 25MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL  (COREG) TABLET: 25MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL  (COREG) TABLET: 25MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL  (COREG) TABLET: 25MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL  (COREG) TABLET: 25MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL  (COREG) TABLET: 25MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL  (COREG) TABLET: 25MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL  (COREG) TABLET: 25MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL  (COREG) TABLET: 25MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL  (COREG) TABLET: 25MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL  (COREG) TABLET: 25MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL  (COREG) TABLET: 25MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL  (COREG) TABLET: 25MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL  (COREG) TABLET: 25MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL  (COREG) TABLET: 25MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"CARVEDILOL  (COREG) TABLET: 25MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NEO/POLY/BACI (NEOSPORIN) OPTH OIN 3.5","0637","RC","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"NEO/POLY/BACI (NEOSPORIN) OPTH OIN 3.5","0637","RC","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","0.15","5264.58","percent of total billed charges",,
"NEO/POLY/BACI (NEOSPORIN) OPTH OIN 3.5","0637","RC","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"NEO/POLY/BACI (NEOSPORIN) OPTH OIN 3.5","0637","RC","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"NEO/POLY/BACI (NEOSPORIN) OPTH OIN 3.5","0637","RC","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"NEO/POLY/BACI (NEOSPORIN) OPTH OIN 3.5","0637","RC","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"NEO/POLY/BACI (NEOSPORIN) OPTH OIN 3.5","0637","RC","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"NEO/POLY/BACI (NEOSPORIN) OPTH OIN 3.5","0637","RC","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"NEO/POLY/BACI (NEOSPORIN) OPTH OIN 3.5","0637","RC","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","0.15","5264.58","percent of total billed charges",,
"NEO/POLY/BACI (NEOSPORIN) OPTH OIN 3.5","0637","RC","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","0.15","5264.58","percent of total billed charges",,
"NEO/POLY/BACI (NEOSPORIN) OPTH OIN 3.5","0637","RC","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","0.15","5264.58","percent of total billed charges",,
"NEO/POLY/BACI (NEOSPORIN) OPTH OIN 3.5","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"NEO/POLY/BACI (NEOSPORIN) OPTH OIN 3.5","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"NEO/POLY/BACI (NEOSPORIN) OPTH OIN 3.5","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"NEO/POLY/BACI (NEOSPORIN) OPTH OIN 3.5","0637","RC","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"NEO/POLY/BACI (NEOSPORIN) OPTH OIN 3.5","0637","RC","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"NEO/POLY/BACI (NEOSPORIN) OPTH OIN 3.5","0637","RC","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","0.15","5264.58","percent of total billed charges",,
"NEO/POLY/BACI (NEOSPORIN) OPTH OIN 3.5","0637","RC","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","0.15","5264.58","percent of total billed charges",,
"NEO/POLY/BACI (NEOSPORIN) OPTH OIN 3.5","0637","RC","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","0.15","5264.58","percent of total billed charges",,
"NEO/POLY/BACI (NEOSPORIN) OPTH OIN 3.5","0637","RC","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"NEOMYCN/POLYM/HC (CORTISPORIN) OPTH SUSP","0637","RC","Both",,,"151","75.5","Alliant","Health Exchange",,,"62",,"93.62","0.15","5264.58","percent of total billed charges",,
"NEOMYCN/POLYM/HC (CORTISPORIN) OPTH SUSP","0637","RC","Both",,,"151","75.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"81.54","0.15","5264.58","percent of total billed charges",,
"NEOMYCN/POLYM/HC (CORTISPORIN) OPTH SUSP","0637","RC","Both",,,"151","75.5","Medicare",,,,"54",,"81.84","0.15","5264.58","percent of total billed charges",,
"NEOMYCN/POLYM/HC (CORTISPORIN) OPTH SUSP","0637","RC","Both",,,"151","75.5","Humana","Medicare Advantage",,,"54",,"81.84","0.15","5264.58","percent of total billed charges",,
"NEOMYCN/POLYM/HC (CORTISPORIN) OPTH SUSP","0637","RC","Both",,,"151","75.5","UHC","Medicare Advantage",,,"54",,"81.84","0.15","5264.58","percent of total billed charges",,
"NEOMYCN/POLYM/HC (CORTISPORIN) OPTH SUSP","0637","RC","Both",,,"151","75.5","Clover","Medicare Advantage",,,"54",,"81.84","0.15","5264.58","percent of total billed charges",,
"NEOMYCN/POLYM/HC (CORTISPORIN) OPTH SUSP","0637","RC","Both",,,"151","75.5","Wellcare","Medicare Advantage",,,"54",,"81.84","0.15","5264.58","percent of total billed charges",,
"NEOMYCN/POLYM/HC (CORTISPORIN) OPTH SUSP","0637","RC","Both",,,"151","75.5","Amerigroup","Medicaid Managed Care",,,"37",,"55.27","0.15","5264.58","percent of total billed charges",,
"NEOMYCN/POLYM/HC (CORTISPORIN) OPTH SUSP","0637","RC","Both",,,"151","75.5","Caresource","Medicaid Managed Care",,,"40",,"60.4","0.15","5264.58","percent of total billed charges",,
"NEOMYCN/POLYM/HC (CORTISPORIN) OPTH SUSP","0637","RC","Both",,,"151","75.5","Wellcare","Medicaid Managed Care",,,"40",,"61.16","0.15","5264.58","percent of total billed charges",,
"NEOMYCN/POLYM/HC (CORTISPORIN) OPTH SUSP","0637","RC","Both",,,"151","75.5","Aetna","Commercial",,,"64",,"96.34","0.15","5264.58","percent of total billed charges",,
"NEOMYCN/POLYM/HC (CORTISPORIN) OPTH SUSP","0637","RC","Both",,,"151","75.5","Blue Cross Blue Shield","Pathways",,,"71",,"106.61","0.15","5264.58","percent of total billed charges",,
"NEOMYCN/POLYM/HC (CORTISPORIN) OPTH SUSP","0637","RC","Both",,,"151","75.5","Blue Cross Blue Shield","HMO",,,"71",,"106.61","0.15","5264.58","percent of total billed charges",,
"NEOMYCN/POLYM/HC (CORTISPORIN) OPTH SUSP","0637","RC","Both",,,"151","75.5","Blue Cross Blue Shield","PPO",,,"71",,"106.61","0.15","5264.58","percent of total billed charges",,
"NEOMYCN/POLYM/HC (CORTISPORIN) OPTH SUSP","0637","RC","Both",,,"151","75.5","Ambetter","Health Exchange",,,"62",,"93.62","0.15","5264.58","percent of total billed charges",,
"NEOMYCN/POLYM/HC (CORTISPORIN) OPTH SUSP","0637","RC","Both",,,"151","75.5","Caresource","Health Exchange",,,"62",,"93.62","0.15","5264.58","percent of total billed charges",,
"NEOMYCN/POLYM/HC (CORTISPORIN) OPTH SUSP","0637","RC","Both",,,"151","75.5","Cigna","Commercial",,,"59",,"88.49","0.15","5264.58","percent of total billed charges",,
"NEOMYCN/POLYM/HC (CORTISPORIN) OPTH SUSP","0637","RC","Both",,,"151","75.5","Humana","Commercial",,,"78",,"117.02","0.15","5264.58","percent of total billed charges",,
"NEOMYCN/POLYM/HC (CORTISPORIN) OPTH SUSP","0637","RC","Both",,,"151","75.5","UHC","Commercial",,,"75",,"113.85","0.15","5264.58","percent of total billed charges",,
"NEOMYCN/POLYM/HC (CORTISPORIN) OPTH SUSP","0637","RC","Both",,,"151","75.5","Medicaid",,,,"37",,"55.27","0.15","5264.58","percent of total billed charges",,
"NEO/POLYMY/HC (CORTISPORIN) OTIC SOLN","0637","RC","Both",,,"187","93.5","Alliant","Health Exchange",,,"62",,"115.94","0.15","5264.58","percent of total billed charges",,
"NEO/POLYMY/HC (CORTISPORIN) OTIC SOLN","0637","RC","Both",,,"187","93.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"100.98","0.15","5264.58","percent of total billed charges",,
"NEO/POLYMY/HC (CORTISPORIN) OTIC SOLN","0637","RC","Both",,,"187","93.5","Medicare",,,,"54",,"101.35","0.15","5264.58","percent of total billed charges",,
"NEO/POLYMY/HC (CORTISPORIN) OTIC SOLN","0637","RC","Both",,,"187","93.5","Humana","Medicare Advantage",,,"54",,"101.35","0.15","5264.58","percent of total billed charges",,
"NEO/POLYMY/HC (CORTISPORIN) OTIC SOLN","0637","RC","Both",,,"187","93.5","UHC","Medicare Advantage",,,"54",,"101.35","0.15","5264.58","percent of total billed charges",,
"NEO/POLYMY/HC (CORTISPORIN) OTIC SOLN","0637","RC","Both",,,"187","93.5","Clover","Medicare Advantage",,,"54",,"101.35","0.15","5264.58","percent of total billed charges",,
"NEO/POLYMY/HC (CORTISPORIN) OTIC SOLN","0637","RC","Both",,,"187","93.5","Wellcare","Medicare Advantage",,,"54",,"101.35","0.15","5264.58","percent of total billed charges",,
"NEO/POLYMY/HC (CORTISPORIN) OTIC SOLN","0637","RC","Both",,,"187","93.5","Amerigroup","Medicaid Managed Care",,,"37",,"68.44","0.15","5264.58","percent of total billed charges",,
"NEO/POLYMY/HC (CORTISPORIN) OTIC SOLN","0637","RC","Both",,,"187","93.5","Caresource","Medicaid Managed Care",,,"40",,"74.8","0.15","5264.58","percent of total billed charges",,
"NEO/POLYMY/HC (CORTISPORIN) OTIC SOLN","0637","RC","Both",,,"187","93.5","Wellcare","Medicaid Managed Care",,,"40",,"75.74","0.15","5264.58","percent of total billed charges",,
"NEO/POLYMY/HC (CORTISPORIN) OTIC SOLN","0637","RC","Both",,,"187","93.5","Aetna","Commercial",,,"64",,"119.31","0.15","5264.58","percent of total billed charges",,
"NEO/POLYMY/HC (CORTISPORIN) OTIC SOLN","0637","RC","Both",,,"187","93.5","Blue Cross Blue Shield","Pathways",,,"71",,"132.02","0.15","5264.58","percent of total billed charges",,
"NEO/POLYMY/HC (CORTISPORIN) OTIC SOLN","0637","RC","Both",,,"187","93.5","Blue Cross Blue Shield","HMO",,,"71",,"132.02","0.15","5264.58","percent of total billed charges",,
"NEO/POLYMY/HC (CORTISPORIN) OTIC SOLN","0637","RC","Both",,,"187","93.5","Blue Cross Blue Shield","PPO",,,"71",,"132.02","0.15","5264.58","percent of total billed charges",,
"NEO/POLYMY/HC (CORTISPORIN) OTIC SOLN","0637","RC","Both",,,"187","93.5","Ambetter","Health Exchange",,,"62",,"115.94","0.15","5264.58","percent of total billed charges",,
"NEO/POLYMY/HC (CORTISPORIN) OTIC SOLN","0637","RC","Both",,,"187","93.5","Caresource","Health Exchange",,,"62",,"115.94","0.15","5264.58","percent of total billed charges",,
"NEO/POLYMY/HC (CORTISPORIN) OTIC SOLN","0637","RC","Both",,,"187","93.5","Cigna","Commercial",,,"59",,"109.58","0.15","5264.58","percent of total billed charges",,
"NEO/POLYMY/HC (CORTISPORIN) OTIC SOLN","0637","RC","Both",,,"187","93.5","Humana","Commercial",,,"78",,"144.93","0.15","5264.58","percent of total billed charges",,
"NEO/POLYMY/HC (CORTISPORIN) OTIC SOLN","0637","RC","Both",,,"187","93.5","UHC","Commercial",,,"75",,"141","0.15","5264.58","percent of total billed charges",,
"NEO/POLYMY/HC (CORTISPORIN) OTIC SOLN","0637","RC","Both",,,"187","93.5","Medicaid",,,,"37",,"68.44","0.15","5264.58","percent of total billed charges",,
"NEO/POLYM/HC (CORTISPORIN) OTIC SUSP","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"NEO/POLYM/HC (CORTISPORIN) OTIC SUSP","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"NEO/POLYM/HC (CORTISPORIN) OTIC SUSP","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NEO/POLYM/HC (CORTISPORIN) OTIC SUSP","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NEO/POLYM/HC (CORTISPORIN) OTIC SUSP","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NEO/POLYM/HC (CORTISPORIN) OTIC SUSP","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NEO/POLYM/HC (CORTISPORIN) OTIC SUSP","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NEO/POLYM/HC (CORTISPORIN) OTIC SUSP","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"NEO/POLYM/HC (CORTISPORIN) OTIC SUSP","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"NEO/POLYM/HC (CORTISPORIN) OTIC SUSP","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"NEO/POLYM/HC (CORTISPORIN) OTIC SUSP","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"NEO/POLYM/HC (CORTISPORIN) OTIC SUSP","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"NEO/POLYM/HC (CORTISPORIN) OTIC SUSP","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"NEO/POLYM/HC (CORTISPORIN) OTIC SUSP","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"NEO/POLYM/HC (CORTISPORIN) OTIC SUSP","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"NEO/POLYM/HC (CORTISPORIN) OTIC SUSP","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"NEO/POLYM/HC (CORTISPORIN) OTIC SUSP","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"NEO/POLYM/HC (CORTISPORIN) OTIC SUSP","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"NEO/POLYM/HC (CORTISPORIN) OTIC SUSP","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"NEO/POLYM/HC (CORTISPORIN) OTIC SUSP","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET:  2 MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET:  2 MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET:  2 MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET:  2 MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET:  2 MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET:  2 MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET:  2 MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET:  2 MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET:  2 MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET:  2 MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET:  2 MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET:  2 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET:  2 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET:  2 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET:  2 MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET:  2 MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET:  2 MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET:  2 MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET:  2 MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET:  2 MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 3 MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 3 MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 3 MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 3 MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 3 MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 3 MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 3 MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 3 MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 3 MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 3 MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 3 MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 3 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 3 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 3 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 3 MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 3 MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 3 MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 3 MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 3 MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 3 MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 5 MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 5 MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 5 MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 5 MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 5 MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 5 MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 5 MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 5 MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 5 MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 5 MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 5 MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 5 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 5 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 5 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 5 MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 5 MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 5 MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 5 MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 5 MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 5 MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET:  10 MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET:  10 MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET:  10 MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET:  10 MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET:  10 MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET:  10 MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET:  10 MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET:  10 MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET:  10 MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET:  10 MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET:  10 MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET:  10 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET:  10 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET:  10 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET:  10 MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET:  10 MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET:  10 MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET:  10 MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET:  10 MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET:  10 MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"CVC KIT 2 LUMEN 4fr X 13cm PED","0272","RC","Both",,,"45.5","22.75","Alliant","Health Exchange",,,"62",,"28.21","1.1","126.06","percent of total billed charges",,
"CVC KIT 2 LUMEN 4fr X 13cm PED","0272","RC","Both",,,"45.5","22.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"24.57","1.1","126.06","percent of total billed charges",,
"CVC KIT 2 LUMEN 4fr X 13cm PED","0272","RC","Both",,,"45.5","22.75","Medicare",,,,"54",,"24.66","1.1","126.06","percent of total billed charges",,
"CVC KIT 2 LUMEN 4fr X 13cm PED","0272","RC","Both",,,"45.5","22.75","Humana","Medicare Advantage",,,"54",,"24.66","1.1","126.06","percent of total billed charges",,
"CVC KIT 2 LUMEN 4fr X 13cm PED","0272","RC","Both",,,"45.5","22.75","UHC","Medicare Advantage",,,"54",,"24.66","1.1","126.06","percent of total billed charges",,
"CVC KIT 2 LUMEN 4fr X 13cm PED","0272","RC","Both",,,"45.5","22.75","Clover","Medicare Advantage",,,"54",,"24.66","1.1","126.06","percent of total billed charges",,
"CVC KIT 2 LUMEN 4fr X 13cm PED","0272","RC","Both",,,"45.5","22.75","Wellcare","Medicare Advantage",,,"54",,"24.66","1.1","126.06","percent of total billed charges",,
"CVC KIT 2 LUMEN 4fr X 13cm PED","0272","RC","Both",,,"45.5","22.75","Amerigroup","Medicaid Managed Care",,,"37",,"16.65","1.1","126.06","percent of total billed charges",,
"CVC KIT 2 LUMEN 4fr X 13cm PED","0272","RC","Both",,,"45.5","22.75","Caresource","Medicaid Managed Care",,,"40",,"18.2","1.1","126.06","percent of total billed charges",,
"CVC KIT 2 LUMEN 4fr X 13cm PED","0272","RC","Both",,,"45.5","22.75","Wellcare","Medicaid Managed Care",,,"40",,"18.43","1.1","126.06","percent of total billed charges",,
"CVC KIT 2 LUMEN 4fr X 13cm PED","0272","RC","Both",,,"45.5","22.75","Aetna","Commercial",,,"64",,"29.03","1.1","126.06","percent of total billed charges",,
"CVC KIT 2 LUMEN 4fr X 13cm PED","0272","RC","Both",,,"45.5","22.75","Blue Cross Blue Shield","Pathways",,,"71",,"32.12","1.1","126.06","percent of total billed charges",,
"CVC KIT 2 LUMEN 4fr X 13cm PED","0272","RC","Both",,,"45.5","22.75","Blue Cross Blue Shield","HMO",,,"71",,"32.12","1.1","126.06","percent of total billed charges",,
"CVC KIT 2 LUMEN 4fr X 13cm PED","0272","RC","Both",,,"45.5","22.75","Blue Cross Blue Shield","PPO",,,"71",,"32.12","1.1","126.06","percent of total billed charges",,
"CVC KIT 2 LUMEN 4fr X 13cm PED","0272","RC","Both",,,"45.5","22.75","Ambetter","Health Exchange",,,"62",,"28.21","1.1","126.06","percent of total billed charges",,
"CVC KIT 2 LUMEN 4fr X 13cm PED","0272","RC","Both",,,"45.5","22.75","Caresource","Health Exchange",,,"62",,"28.21","1.1","126.06","percent of total billed charges",,
"CVC KIT 2 LUMEN 4fr X 13cm PED","0272","RC","Both",,,"45.5","22.75","Cigna","Commercial",,,"59",,"26.66","1.1","126.06","percent of total billed charges",,
"CVC KIT 2 LUMEN 4fr X 13cm PED","0272","RC","Both",,,"45.5","22.75","Humana","Commercial",,,"78",,"35.26","1.1","126.06","percent of total billed charges",,
"CVC KIT 2 LUMEN 4fr X 13cm PED","0272","RC","Both",,,"45.5","22.75","UHC","Commercial",,,"75",,"34.31","1.1","126.06","percent of total billed charges",,
"CVC KIT 2 LUMEN 4fr X 13cm PED","0272","RC","Both",,,"45.5","22.75","Medicaid",,,,"37",,"16.65","1.1","126.06","percent of total billed charges",,
"CVC KIT 3 LUMEN (7fr X 20cm)","0250","RC","Both",,,"126","63","Alliant","Health Exchange",,,"62",,"78.12","0.04","569.62","percent of total billed charges",,
"CVC KIT 3 LUMEN (7fr X 20cm)","0250","RC","Both",,,"126","63","Pruitt Healthcare","Medicare Advantage",,,"54",,"68.04","0.04","569.62","percent of total billed charges",,
"CVC KIT 3 LUMEN (7fr X 20cm)","0250","RC","Both",,,"126","63","Medicare",,,,"54",,"68.29","0.04","569.62","percent of total billed charges",,
"CVC KIT 3 LUMEN (7fr X 20cm)","0250","RC","Both",,,"126","63","Humana","Medicare Advantage",,,"54",,"68.29","0.04","569.62","percent of total billed charges",,
"CVC KIT 3 LUMEN (7fr X 20cm)","0250","RC","Both",,,"126","63","UHC","Medicare Advantage",,,"54",,"68.29","0.04","569.62","percent of total billed charges",,
"CVC KIT 3 LUMEN (7fr X 20cm)","0250","RC","Both",,,"126","63","Clover","Medicare Advantage",,,"54",,"68.29","0.04","569.62","percent of total billed charges",,
"CVC KIT 3 LUMEN (7fr X 20cm)","0250","RC","Both",,,"126","63","Wellcare","Medicare Advantage",,,"54",,"68.29","0.04","569.62","percent of total billed charges",,
"CVC KIT 3 LUMEN (7fr X 20cm)","0250","RC","Both",,,"126","63","Amerigroup","Medicaid Managed Care",,,"37",,"46.12","0.04","569.62","percent of total billed charges",,
"CVC KIT 3 LUMEN (7fr X 20cm)","0250","RC","Both",,,"126","63","Caresource","Medicaid Managed Care",,,"40",,"50.4","0.04","569.62","percent of total billed charges",,
"CVC KIT 3 LUMEN (7fr X 20cm)","0250","RC","Both",,,"126","63","Wellcare","Medicaid Managed Care",,,"40",,"51.03","0.04","569.62","percent of total billed charges",,
"CVC KIT 3 LUMEN (7fr X 20cm)","0250","RC","Both",,,"126","63","Aetna","Commercial",,,"64",,"80.39","0.04","569.62","percent of total billed charges",,
"CVC KIT 3 LUMEN (7fr X 20cm)","0250","RC","Both",,,"126","63","Blue Cross Blue Shield","Pathways",,,"71",,"88.96","0.04","569.62","percent of total billed charges",,
"CVC KIT 3 LUMEN (7fr X 20cm)","0250","RC","Both",,,"126","63","Blue Cross Blue Shield","HMO",,,"71",,"88.96","0.04","569.62","percent of total billed charges",,
"CVC KIT 3 LUMEN (7fr X 20cm)","0250","RC","Both",,,"126","63","Blue Cross Blue Shield","PPO",,,"71",,"88.96","0.04","569.62","percent of total billed charges",,
"CVC KIT 3 LUMEN (7fr X 20cm)","0250","RC","Both",,,"126","63","Ambetter","Health Exchange",,,"62",,"78.12","0.04","569.62","percent of total billed charges",,
"CVC KIT 3 LUMEN (7fr X 20cm)","0250","RC","Both",,,"126","63","Caresource","Health Exchange",,,"62",,"78.12","0.04","569.62","percent of total billed charges",,
"CVC KIT 3 LUMEN (7fr X 20cm)","0250","RC","Both",,,"126","63","Cigna","Commercial",,,"59",,"73.84","0.04","569.62","percent of total billed charges",,
"CVC KIT 3 LUMEN (7fr X 20cm)","0250","RC","Both",,,"126","63","Humana","Commercial",,,"78",,"97.65","0.04","569.62","percent of total billed charges",,
"CVC KIT 3 LUMEN (7fr X 20cm)","0250","RC","Both",,,"126","63","UHC","Commercial",,,"75",,"95","0.04","569.62","percent of total billed charges",,
"CVC KIT 3 LUMEN (7fr X 20cm)","0250","RC","Both",,,"126","63","Medicaid",,,,"37",,"46.12","0.04","569.62","percent of total billed charges",,
"CYCLOPENTOLATE (CYCLOGYL) 1% OPTH SOLN","0637","RC","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"CYCLOPENTOLATE (CYCLOGYL) 1% OPTH SOLN","0637","RC","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","0.15","5264.58","percent of total billed charges",,
"CYCLOPENTOLATE (CYCLOGYL) 1% OPTH SOLN","0637","RC","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"CYCLOPENTOLATE (CYCLOGYL) 1% OPTH SOLN","0637","RC","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"CYCLOPENTOLATE (CYCLOGYL) 1% OPTH SOLN","0637","RC","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"CYCLOPENTOLATE (CYCLOGYL) 1% OPTH SOLN","0637","RC","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"CYCLOPENTOLATE (CYCLOGYL) 1% OPTH SOLN","0637","RC","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"CYCLOPENTOLATE (CYCLOGYL) 1% OPTH SOLN","0637","RC","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"CYCLOPENTOLATE (CYCLOGYL) 1% OPTH SOLN","0637","RC","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","0.15","5264.58","percent of total billed charges",,
"CYCLOPENTOLATE (CYCLOGYL) 1% OPTH SOLN","0637","RC","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","0.15","5264.58","percent of total billed charges",,
"CYCLOPENTOLATE (CYCLOGYL) 1% OPTH SOLN","0637","RC","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","0.15","5264.58","percent of total billed charges",,
"CYCLOPENTOLATE (CYCLOGYL) 1% OPTH SOLN","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"CYCLOPENTOLATE (CYCLOGYL) 1% OPTH SOLN","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"CYCLOPENTOLATE (CYCLOGYL) 1% OPTH SOLN","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"CYCLOPENTOLATE (CYCLOGYL) 1% OPTH SOLN","0637","RC","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"CYCLOPENTOLATE (CYCLOGYL) 1% OPTH SOLN","0637","RC","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"CYCLOPENTOLATE (CYCLOGYL) 1% OPTH SOLN","0637","RC","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","0.15","5264.58","percent of total billed charges",,
"CYCLOPENTOLATE (CYCLOGYL) 1% OPTH SOLN","0637","RC","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","0.15","5264.58","percent of total billed charges",,
"CYCLOPENTOLATE (CYCLOGYL) 1% OPTH SOLN","0637","RC","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","0.15","5264.58","percent of total billed charges",,
"CYCLOPENTOLATE (CYCLOGYL) 1% OPTH SOLN","0637","RC","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"DEXAMETHASONE (DECADRON) TABLET: 4MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DEXAMETHASONE (DECADRON) TABLET: 4MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"DEXAMETHASONE (DECADRON) TABLET: 4MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DEXAMETHASONE (DECADRON) TABLET: 4MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DEXAMETHASONE (DECADRON) TABLET: 4MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DEXAMETHASONE (DECADRON) TABLET: 4MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DEXAMETHASONE (DECADRON) TABLET: 4MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DEXAMETHASONE (DECADRON) TABLET: 4MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"DEXAMETHASONE (DECADRON) TABLET: 4MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"DEXAMETHASONE (DECADRON) TABLET: 4MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"DEXAMETHASONE (DECADRON) TABLET: 4MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"DEXAMETHASONE (DECADRON) TABLET: 4MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DEXAMETHASONE (DECADRON) TABLET: 4MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DEXAMETHASONE (DECADRON) TABLET: 4MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DEXAMETHASONE (DECADRON) TABLET: 4MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DEXAMETHASONE (DECADRON) TABLET: 4MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DEXAMETHASONE (DECADRON) TABLET: 4MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"DEXAMETHASONE (DECADRON) TABLET: 4MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"DEXAMETHASONE (DECADRON) TABLET: 4MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"DEXAMETHASONE (DECADRON) TABLET: 4MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"TORSEMIDE (DEMADEX) 5 MG TABLETS","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"TORSEMIDE (DEMADEX) 5 MG TABLETS","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"TORSEMIDE (DEMADEX) 5 MG TABLETS","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"TORSEMIDE (DEMADEX) 5 MG TABLETS","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"TORSEMIDE (DEMADEX) 5 MG TABLETS","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"TORSEMIDE (DEMADEX) 5 MG TABLETS","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"TORSEMIDE (DEMADEX) 5 MG TABLETS","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"TORSEMIDE (DEMADEX) 5 MG TABLETS","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"TORSEMIDE (DEMADEX) 5 MG TABLETS","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"TORSEMIDE (DEMADEX) 5 MG TABLETS","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"TORSEMIDE (DEMADEX) 5 MG TABLETS","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"TORSEMIDE (DEMADEX) 5 MG TABLETS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"TORSEMIDE (DEMADEX) 5 MG TABLETS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"TORSEMIDE (DEMADEX) 5 MG TABLETS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"TORSEMIDE (DEMADEX) 5 MG TABLETS","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"TORSEMIDE (DEMADEX) 5 MG TABLETS","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"TORSEMIDE (DEMADEX) 5 MG TABLETS","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"TORSEMIDE (DEMADEX) 5 MG TABLETS","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"TORSEMIDE (DEMADEX) 5 MG TABLETS","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"TORSEMIDE (DEMADEX) 5 MG TABLETS","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"VALPROATE (DEPACON) 100MG/ML INJ: 500MG","0250","RC","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"VALPROATE (DEPACON) 100MG/ML INJ: 500MG","0250","RC","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","0.04","569.62","percent of total billed charges",,
"VALPROATE (DEPACON) 100MG/ML INJ: 500MG","0250","RC","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"VALPROATE (DEPACON) 100MG/ML INJ: 500MG","0250","RC","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"VALPROATE (DEPACON) 100MG/ML INJ: 500MG","0250","RC","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"VALPROATE (DEPACON) 100MG/ML INJ: 500MG","0250","RC","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"VALPROATE (DEPACON) 100MG/ML INJ: 500MG","0250","RC","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"VALPROATE (DEPACON) 100MG/ML INJ: 500MG","0250","RC","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","0.04","569.62","percent of total billed charges",,
"VALPROATE (DEPACON) 100MG/ML INJ: 500MG","0250","RC","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","0.04","569.62","percent of total billed charges",,
"VALPROATE (DEPACON) 100MG/ML INJ: 500MG","0250","RC","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","0.04","569.62","percent of total billed charges",,
"VALPROATE (DEPACON) 100MG/ML INJ: 500MG","0250","RC","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","0.04","569.62","percent of total billed charges",,
"VALPROATE (DEPACON) 100MG/ML INJ: 500MG","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"VALPROATE (DEPACON) 100MG/ML INJ: 500MG","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"VALPROATE (DEPACON) 100MG/ML INJ: 500MG","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"VALPROATE (DEPACON) 100MG/ML INJ: 500MG","0250","RC","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"VALPROATE (DEPACON) 100MG/ML INJ: 500MG","0250","RC","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"VALPROATE (DEPACON) 100MG/ML INJ: 500MG","0250","RC","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","0.04","569.62","percent of total billed charges",,
"VALPROATE (DEPACON) 100MG/ML INJ: 500MG","0250","RC","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","0.04","569.62","percent of total billed charges",,
"VALPROATE (DEPACON) 100MG/ML INJ: 500MG","0250","RC","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","0.04","569.62","percent of total billed charges",,
"VALPROATE (DEPACON) 100MG/ML INJ: 500MG","0250","RC","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","0.04","569.62","percent of total billed charges",,
"DIVALPROEX (DEPAKOTE) ER TAB:  250 MG","0637","RC","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"DIVALPROEX (DEPAKOTE) ER TAB:  250 MG","0637","RC","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","0.15","5264.58","percent of total billed charges",,
"DIVALPROEX (DEPAKOTE) ER TAB:  250 MG","0637","RC","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"DIVALPROEX (DEPAKOTE) ER TAB:  250 MG","0637","RC","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"DIVALPROEX (DEPAKOTE) ER TAB:  250 MG","0637","RC","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"DIVALPROEX (DEPAKOTE) ER TAB:  250 MG","0637","RC","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"DIVALPROEX (DEPAKOTE) ER TAB:  250 MG","0637","RC","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"DIVALPROEX (DEPAKOTE) ER TAB:  250 MG","0637","RC","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"DIVALPROEX (DEPAKOTE) ER TAB:  250 MG","0637","RC","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","0.15","5264.58","percent of total billed charges",,
"DIVALPROEX (DEPAKOTE) ER TAB:  250 MG","0637","RC","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.15","5264.58","percent of total billed charges",,
"DIVALPROEX (DEPAKOTE) ER TAB:  250 MG","0637","RC","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","0.15","5264.58","percent of total billed charges",,
"DIVALPROEX (DEPAKOTE) ER TAB:  250 MG","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"DIVALPROEX (DEPAKOTE) ER TAB:  250 MG","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"DIVALPROEX (DEPAKOTE) ER TAB:  250 MG","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"DIVALPROEX (DEPAKOTE) ER TAB:  250 MG","0637","RC","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"DIVALPROEX (DEPAKOTE) ER TAB:  250 MG","0637","RC","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"DIVALPROEX (DEPAKOTE) ER TAB:  250 MG","0637","RC","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","0.15","5264.58","percent of total billed charges",,
"DIVALPROEX (DEPAKOTE) ER TAB:  250 MG","0637","RC","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","0.15","5264.58","percent of total billed charges",,
"DIVALPROEX (DEPAKOTE) ER TAB:  250 MG","0637","RC","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","0.15","5264.58","percent of total billed charges",,
"DIVALPROEX (DEPAKOTE) ER TAB:  250 MG","0637","RC","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"DERMABOND/OCTYLSEAL applica. 0.4 mL","0270","RC","Both",,,"19","9.5","Alliant","Health Exchange",,,"62",,"11.78","0.18","1007.5","percent of total billed charges",,
"DERMABOND/OCTYLSEAL applica. 0.4 mL","0270","RC","Both",,,"19","9.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.26","0.18","1007.5","percent of total billed charges",,
"DERMABOND/OCTYLSEAL applica. 0.4 mL","0270","RC","Both",,,"19","9.5","Medicare",,,,"54",,"10.3","0.18","1007.5","percent of total billed charges",,
"DERMABOND/OCTYLSEAL applica. 0.4 mL","0270","RC","Both",,,"19","9.5","Humana","Medicare Advantage",,,"54",,"10.3","0.18","1007.5","percent of total billed charges",,
"DERMABOND/OCTYLSEAL applica. 0.4 mL","0270","RC","Both",,,"19","9.5","UHC","Medicare Advantage",,,"54",,"10.3","0.18","1007.5","percent of total billed charges",,
"DERMABOND/OCTYLSEAL applica. 0.4 mL","0270","RC","Both",,,"19","9.5","Clover","Medicare Advantage",,,"54",,"10.3","0.18","1007.5","percent of total billed charges",,
"DERMABOND/OCTYLSEAL applica. 0.4 mL","0270","RC","Both",,,"19","9.5","Wellcare","Medicare Advantage",,,"54",,"10.3","0.18","1007.5","percent of total billed charges",,
"DERMABOND/OCTYLSEAL applica. 0.4 mL","0270","RC","Both",,,"19","9.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.95","0.18","1007.5","percent of total billed charges",,
"DERMABOND/OCTYLSEAL applica. 0.4 mL","0270","RC","Both",,,"19","9.5","Caresource","Medicaid Managed Care",,,"40",,"7.6","0.18","1007.5","percent of total billed charges",,
"DERMABOND/OCTYLSEAL applica. 0.4 mL","0270","RC","Both",,,"19","9.5","Wellcare","Medicaid Managed Care",,,"40",,"7.7","0.18","1007.5","percent of total billed charges",,
"DERMABOND/OCTYLSEAL applica. 0.4 mL","0270","RC","Both",,,"19","9.5","Aetna","Commercial",,,"64",,"12.12","0.18","1007.5","percent of total billed charges",,
"DERMABOND/OCTYLSEAL applica. 0.4 mL","0270","RC","Both",,,"19","9.5","Blue Cross Blue Shield","Pathways",,,"71",,"13.41","0.18","1007.5","percent of total billed charges",,
"DERMABOND/OCTYLSEAL applica. 0.4 mL","0270","RC","Both",,,"19","9.5","Blue Cross Blue Shield","HMO",,,"71",,"13.41","0.18","1007.5","percent of total billed charges",,
"DERMABOND/OCTYLSEAL applica. 0.4 mL","0270","RC","Both",,,"19","9.5","Blue Cross Blue Shield","PPO",,,"71",,"13.41","0.18","1007.5","percent of total billed charges",,
"DERMABOND/OCTYLSEAL applica. 0.4 mL","0270","RC","Both",,,"19","9.5","Ambetter","Health Exchange",,,"62",,"11.78","0.18","1007.5","percent of total billed charges",,
"DERMABOND/OCTYLSEAL applica. 0.4 mL","0270","RC","Both",,,"19","9.5","Caresource","Health Exchange",,,"62",,"11.78","0.18","1007.5","percent of total billed charges",,
"DERMABOND/OCTYLSEAL applica. 0.4 mL","0270","RC","Both",,,"19","9.5","Cigna","Commercial",,,"59",,"11.13","0.18","1007.5","percent of total billed charges",,
"DERMABOND/OCTYLSEAL applica. 0.4 mL","0270","RC","Both",,,"19","9.5","Humana","Commercial",,,"78",,"14.72","0.18","1007.5","percent of total billed charges",,
"DERMABOND/OCTYLSEAL applica. 0.4 mL","0270","RC","Both",,,"19","9.5","UHC","Commercial",,,"75",,"14.33","0.18","1007.5","percent of total billed charges",,
"DERMABOND/OCTYLSEAL applica. 0.4 mL","0270","RC","Both",,,"19","9.5","Medicaid",,,,"37",,"6.95","0.18","1007.5","percent of total billed charges",,
"METHYLPRD ACE (DEPO MEDROL) 80MG/ML MDV","0250","RC","Both",,,"60","30","Alliant","Health Exchange",,,"62",,"37.2","0.04","569.62","percent of total billed charges",,
"METHYLPRD ACE (DEPO MEDROL) 80MG/ML MDV","0250","RC","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage",,,"54",,"32.4","0.04","569.62","percent of total billed charges",,
"METHYLPRD ACE (DEPO MEDROL) 80MG/ML MDV","0250","RC","Both",,,"60","30","Medicare",,,,"54",,"32.52","0.04","569.62","percent of total billed charges",,
"METHYLPRD ACE (DEPO MEDROL) 80MG/ML MDV","0250","RC","Both",,,"60","30","Humana","Medicare Advantage",,,"54",,"32.52","0.04","569.62","percent of total billed charges",,
"METHYLPRD ACE (DEPO MEDROL) 80MG/ML MDV","0250","RC","Both",,,"60","30","UHC","Medicare Advantage",,,"54",,"32.52","0.04","569.62","percent of total billed charges",,
"METHYLPRD ACE (DEPO MEDROL) 80MG/ML MDV","0250","RC","Both",,,"60","30","Clover","Medicare Advantage",,,"54",,"32.52","0.04","569.62","percent of total billed charges",,
"METHYLPRD ACE (DEPO MEDROL) 80MG/ML MDV","0250","RC","Both",,,"60","30","Wellcare","Medicare Advantage",,,"54",,"32.52","0.04","569.62","percent of total billed charges",,
"METHYLPRD ACE (DEPO MEDROL) 80MG/ML MDV","0250","RC","Both",,,"60","30","Amerigroup","Medicaid Managed Care",,,"37",,"21.96","0.04","569.62","percent of total billed charges",,
"METHYLPRD ACE (DEPO MEDROL) 80MG/ML MDV","0250","RC","Both",,,"60","30","Caresource","Medicaid Managed Care",,,"40",,"24","0.04","569.62","percent of total billed charges",,
"METHYLPRD ACE (DEPO MEDROL) 80MG/ML MDV","0250","RC","Both",,,"60","30","Wellcare","Medicaid Managed Care",,,"40",,"24.3","0.04","569.62","percent of total billed charges",,
"METHYLPRD ACE (DEPO MEDROL) 80MG/ML MDV","0250","RC","Both",,,"60","30","Aetna","Commercial",,,"64",,"38.28","0.04","569.62","percent of total billed charges",,
"METHYLPRD ACE (DEPO MEDROL) 80MG/ML MDV","0250","RC","Both",,,"60","30","Blue Cross Blue Shield","Pathways",,,"71",,"42.36","0.04","569.62","percent of total billed charges",,
"METHYLPRD ACE (DEPO MEDROL) 80MG/ML MDV","0250","RC","Both",,,"60","30","Blue Cross Blue Shield","HMO",,,"71",,"42.36","0.04","569.62","percent of total billed charges",,
"METHYLPRD ACE (DEPO MEDROL) 80MG/ML MDV","0250","RC","Both",,,"60","30","Blue Cross Blue Shield","PPO",,,"71",,"42.36","0.04","569.62","percent of total billed charges",,
"METHYLPRD ACE (DEPO MEDROL) 80MG/ML MDV","0250","RC","Both",,,"60","30","Ambetter","Health Exchange",,,"62",,"37.2","0.04","569.62","percent of total billed charges",,
"METHYLPRD ACE (DEPO MEDROL) 80MG/ML MDV","0250","RC","Both",,,"60","30","Caresource","Health Exchange",,,"62",,"37.2","0.04","569.62","percent of total billed charges",,
"METHYLPRD ACE (DEPO MEDROL) 80MG/ML MDV","0250","RC","Both",,,"60","30","Cigna","Commercial",,,"59",,"35.16","0.04","569.62","percent of total billed charges",,
"METHYLPRD ACE (DEPO MEDROL) 80MG/ML MDV","0250","RC","Both",,,"60","30","Humana","Commercial",,,"78",,"46.5","0.04","569.62","percent of total billed charges",,
"METHYLPRD ACE (DEPO MEDROL) 80MG/ML MDV","0250","RC","Both",,,"60","30","UHC","Commercial",,,"75",,"45.24","0.04","569.62","percent of total billed charges",,
"METHYLPRD ACE (DEPO MEDROL) 80MG/ML MDV","0250","RC","Both",,,"60","30","Medicaid",,,,"37",,"21.96","0.04","569.62","percent of total billed charges",,
"MEDROXYPROG ACE (DEPO PROVERA) 150MG INJ","0250","RC","Both",,,"128","64","Alliant","Health Exchange",,,"62",,"79.36","0.04","569.62","percent of total billed charges",,
"MEDROXYPROG ACE (DEPO PROVERA) 150MG INJ","0250","RC","Both",,,"128","64","Pruitt Healthcare","Medicare Advantage",,,"54",,"69.12","0.04","569.62","percent of total billed charges",,
"MEDROXYPROG ACE (DEPO PROVERA) 150MG INJ","0250","RC","Both",,,"128","64","Medicare",,,,"54",,"69.38","0.04","569.62","percent of total billed charges",,
"MEDROXYPROG ACE (DEPO PROVERA) 150MG INJ","0250","RC","Both",,,"128","64","Humana","Medicare Advantage",,,"54",,"69.38","0.04","569.62","percent of total billed charges",,
"MEDROXYPROG ACE (DEPO PROVERA) 150MG INJ","0250","RC","Both",,,"128","64","UHC","Medicare Advantage",,,"54",,"69.38","0.04","569.62","percent of total billed charges",,
"MEDROXYPROG ACE (DEPO PROVERA) 150MG INJ","0250","RC","Both",,,"128","64","Clover","Medicare Advantage",,,"54",,"69.38","0.04","569.62","percent of total billed charges",,
"MEDROXYPROG ACE (DEPO PROVERA) 150MG INJ","0250","RC","Both",,,"128","64","Wellcare","Medicare Advantage",,,"54",,"69.38","0.04","569.62","percent of total billed charges",,
"MEDROXYPROG ACE (DEPO PROVERA) 150MG INJ","0250","RC","Both",,,"128","64","Amerigroup","Medicaid Managed Care",,,"37",,"46.85","0.04","569.62","percent of total billed charges",,
"MEDROXYPROG ACE (DEPO PROVERA) 150MG INJ","0250","RC","Both",,,"128","64","Caresource","Medicaid Managed Care",,,"40",,"51.2","0.04","569.62","percent of total billed charges",,
"MEDROXYPROG ACE (DEPO PROVERA) 150MG INJ","0250","RC","Both",,,"128","64","Wellcare","Medicaid Managed Care",,,"40",,"51.84","0.04","569.62","percent of total billed charges",,
"MEDROXYPROG ACE (DEPO PROVERA) 150MG INJ","0250","RC","Both",,,"128","64","Aetna","Commercial",,,"64",,"81.66","0.04","569.62","percent of total billed charges",,
"MEDROXYPROG ACE (DEPO PROVERA) 150MG INJ","0250","RC","Both",,,"128","64","Blue Cross Blue Shield","Pathways",,,"71",,"90.37","0.04","569.62","percent of total billed charges",,
"MEDROXYPROG ACE (DEPO PROVERA) 150MG INJ","0250","RC","Both",,,"128","64","Blue Cross Blue Shield","HMO",,,"71",,"90.37","0.04","569.62","percent of total billed charges",,
"MEDROXYPROG ACE (DEPO PROVERA) 150MG INJ","0250","RC","Both",,,"128","64","Blue Cross Blue Shield","PPO",,,"71",,"90.37","0.04","569.62","percent of total billed charges",,
"MEDROXYPROG ACE (DEPO PROVERA) 150MG INJ","0250","RC","Both",,,"128","64","Ambetter","Health Exchange",,,"62",,"79.36","0.04","569.62","percent of total billed charges",,
"MEDROXYPROG ACE (DEPO PROVERA) 150MG INJ","0250","RC","Both",,,"128","64","Caresource","Health Exchange",,,"62",,"79.36","0.04","569.62","percent of total billed charges",,
"MEDROXYPROG ACE (DEPO PROVERA) 150MG INJ","0250","RC","Both",,,"128","64","Cigna","Commercial",,,"59",,"75.01","0.04","569.62","percent of total billed charges",,
"MEDROXYPROG ACE (DEPO PROVERA) 150MG INJ","0250","RC","Both",,,"128","64","Humana","Commercial",,,"78",,"99.2","0.04","569.62","percent of total billed charges",,
"MEDROXYPROG ACE (DEPO PROVERA) 150MG INJ","0250","RC","Both",,,"128","64","UHC","Commercial",,,"75",,"96.51","0.04","569.62","percent of total billed charges",,
"MEDROXYPROG ACE (DEPO PROVERA) 150MG INJ","0250","RC","Both",,,"128","64","Medicaid",,,,"37",,"46.85","0.04","569.62","percent of total billed charges",,
"traZODONE HCL (DESYREL) 50 MG TABS","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"traZODONE HCL (DESYREL) 50 MG TABS","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"traZODONE HCL (DESYREL) 50 MG TABS","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"traZODONE HCL (DESYREL) 50 MG TABS","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"traZODONE HCL (DESYREL) 50 MG TABS","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"traZODONE HCL (DESYREL) 50 MG TABS","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"traZODONE HCL (DESYREL) 50 MG TABS","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"traZODONE HCL (DESYREL) 50 MG TABS","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"traZODONE HCL (DESYREL) 50 MG TABS","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"traZODONE HCL (DESYREL) 50 MG TABS","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"traZODONE HCL (DESYREL) 50 MG TABS","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"traZODONE HCL (DESYREL) 50 MG TABS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"traZODONE HCL (DESYREL) 50 MG TABS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"traZODONE HCL (DESYREL) 50 MG TABS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"traZODONE HCL (DESYREL) 50 MG TABS","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"traZODONE HCL (DESYREL) 50 MG TABS","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"traZODONE HCL (DESYREL) 50 MG TABS","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"traZODONE HCL (DESYREL) 50 MG TABS","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"traZODONE HCL (DESYREL) 50 MG TABS","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"traZODONE HCL (DESYREL) 50 MG TABS","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"DEXTROSE 50% (D50) INJECTION SYR 50 mL","0250","RC","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"DEXTROSE 50% (D50) INJECTION SYR 50 mL","0250","RC","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","0.04","569.62","percent of total billed charges",,
"DEXTROSE 50% (D50) INJECTION SYR 50 mL","0250","RC","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"DEXTROSE 50% (D50) INJECTION SYR 50 mL","0250","RC","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"DEXTROSE 50% (D50) INJECTION SYR 50 mL","0250","RC","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"DEXTROSE 50% (D50) INJECTION SYR 50 mL","0250","RC","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"DEXTROSE 50% (D50) INJECTION SYR 50 mL","0250","RC","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"DEXTROSE 50% (D50) INJECTION SYR 50 mL","0250","RC","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","0.04","569.62","percent of total billed charges",,
"DEXTROSE 50% (D50) INJECTION SYR 50 mL","0250","RC","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","0.04","569.62","percent of total billed charges",,
"DEXTROSE 50% (D50) INJECTION SYR 50 mL","0250","RC","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","0.04","569.62","percent of total billed charges",,
"DEXTROSE 50% (D50) INJECTION SYR 50 mL","0250","RC","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","0.04","569.62","percent of total billed charges",,
"DEXTROSE 50% (D50) INJECTION SYR 50 mL","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"DEXTROSE 50% (D50) INJECTION SYR 50 mL","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"DEXTROSE 50% (D50) INJECTION SYR 50 mL","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"DEXTROSE 50% (D50) INJECTION SYR 50 mL","0250","RC","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"DEXTROSE 50% (D50) INJECTION SYR 50 mL","0250","RC","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"DEXTROSE 50% (D50) INJECTION SYR 50 mL","0250","RC","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","0.04","569.62","percent of total billed charges",,
"DEXTROSE 50% (D50) INJECTION SYR 50 mL","0250","RC","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","0.04","569.62","percent of total billed charges",,
"DEXTROSE 50% (D50) INJECTION SYR 50 mL","0250","RC","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","0.04","569.62","percent of total billed charges",,
"DEXTROSE 50% (D50) INJECTION SYR 50 mL","0250","RC","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","0.04","569.62","percent of total billed charges",,
"FLUCONAZOLE (DIFLUCAN) 100MG TABLET","0637","RC","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"FLUCONAZOLE (DIFLUCAN) 100MG TABLET","0637","RC","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","0.15","5264.58","percent of total billed charges",,
"FLUCONAZOLE (DIFLUCAN) 100MG TABLET","0637","RC","Both",,,"22","11","Medicare",,,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"FLUCONAZOLE (DIFLUCAN) 100MG TABLET","0637","RC","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"FLUCONAZOLE (DIFLUCAN) 100MG TABLET","0637","RC","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"FLUCONAZOLE (DIFLUCAN) 100MG TABLET","0637","RC","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"FLUCONAZOLE (DIFLUCAN) 100MG TABLET","0637","RC","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"FLUCONAZOLE (DIFLUCAN) 100MG TABLET","0637","RC","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"FLUCONAZOLE (DIFLUCAN) 100MG TABLET","0637","RC","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","0.15","5264.58","percent of total billed charges",,
"FLUCONAZOLE (DIFLUCAN) 100MG TABLET","0637","RC","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","0.15","5264.58","percent of total billed charges",,
"FLUCONAZOLE (DIFLUCAN) 100MG TABLET","0637","RC","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","0.15","5264.58","percent of total billed charges",,
"FLUCONAZOLE (DIFLUCAN) 100MG TABLET","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"FLUCONAZOLE (DIFLUCAN) 100MG TABLET","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"FLUCONAZOLE (DIFLUCAN) 100MG TABLET","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"FLUCONAZOLE (DIFLUCAN) 100MG TABLET","0637","RC","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"FLUCONAZOLE (DIFLUCAN) 100MG TABLET","0637","RC","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"FLUCONAZOLE (DIFLUCAN) 100MG TABLET","0637","RC","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","0.15","5264.58","percent of total billed charges",,
"FLUCONAZOLE (DIFLUCAN) 100MG TABLET","0637","RC","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","0.15","5264.58","percent of total billed charges",,
"FLUCONAZOLE (DIFLUCAN) 100MG TABLET","0637","RC","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","0.15","5264.58","percent of total billed charges",,
"FLUCONAZOLE (DIFLUCAN) 100MG TABLET","0637","RC","Both",,,"22","11","Medicaid",,,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"FLUCONAZOLE (DIFLUCAN) TABLET: 150MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"FLUCONAZOLE (DIFLUCAN) TABLET: 150MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"FLUCONAZOLE (DIFLUCAN) TABLET: 150MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FLUCONAZOLE (DIFLUCAN) TABLET: 150MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FLUCONAZOLE (DIFLUCAN) TABLET: 150MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FLUCONAZOLE (DIFLUCAN) TABLET: 150MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FLUCONAZOLE (DIFLUCAN) TABLET: 150MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FLUCONAZOLE (DIFLUCAN) TABLET: 150MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"FLUCONAZOLE (DIFLUCAN) TABLET: 150MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"FLUCONAZOLE (DIFLUCAN) TABLET: 150MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"FLUCONAZOLE (DIFLUCAN) TABLET: 150MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"FLUCONAZOLE (DIFLUCAN) TABLET: 150MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"FLUCONAZOLE (DIFLUCAN) TABLET: 150MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"FLUCONAZOLE (DIFLUCAN) TABLET: 150MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"FLUCONAZOLE (DIFLUCAN) TABLET: 150MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"FLUCONAZOLE (DIFLUCAN) TABLET: 150MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"FLUCONAZOLE (DIFLUCAN) TABLET: 150MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"FLUCONAZOLE (DIFLUCAN) TABLET: 150MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"FLUCONAZOLE (DIFLUCAN) TABLET: 150MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"FLUCONAZOLE (DIFLUCAN) TABLET: 150MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"PHENYTOIN ER (DILANTIN) CAPSULE: 100MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PHENYTOIN ER (DILANTIN) CAPSULE: 100MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"PHENYTOIN ER (DILANTIN) CAPSULE: 100MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PHENYTOIN ER (DILANTIN) CAPSULE: 100MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PHENYTOIN ER (DILANTIN) CAPSULE: 100MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PHENYTOIN ER (DILANTIN) CAPSULE: 100MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PHENYTOIN ER (DILANTIN) CAPSULE: 100MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PHENYTOIN ER (DILANTIN) CAPSULE: 100MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"PHENYTOIN ER (DILANTIN) CAPSULE: 100MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"PHENYTOIN ER (DILANTIN) CAPSULE: 100MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"PHENYTOIN ER (DILANTIN) CAPSULE: 100MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"PHENYTOIN ER (DILANTIN) CAPSULE: 100MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PHENYTOIN ER (DILANTIN) CAPSULE: 100MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PHENYTOIN ER (DILANTIN) CAPSULE: 100MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PHENYTOIN ER (DILANTIN) CAPSULE: 100MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PHENYTOIN ER (DILANTIN) CAPSULE: 100MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PHENYTOIN ER (DILANTIN) CAPSULE: 100MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"PHENYTOIN ER (DILANTIN) CAPSULE: 100MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"PHENYTOIN ER (DILANTIN) CAPSULE: 100MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"PHENYTOIN ER (DILANTIN) CAPSULE: 100MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"PHENYTOIN (DILANTIN) ORAL SUS:250MG/10ML","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"PHENYTOIN (DILANTIN) ORAL SUS:250MG/10ML","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"PHENYTOIN (DILANTIN) ORAL SUS:250MG/10ML","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"PHENYTOIN (DILANTIN) ORAL SUS:250MG/10ML","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"PHENYTOIN (DILANTIN) ORAL SUS:250MG/10ML","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"PHENYTOIN (DILANTIN) ORAL SUS:250MG/10ML","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"PHENYTOIN (DILANTIN) ORAL SUS:250MG/10ML","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"PHENYTOIN (DILANTIN) ORAL SUS:250MG/10ML","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"PHENYTOIN (DILANTIN) ORAL SUS:250MG/10ML","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"PHENYTOIN (DILANTIN) ORAL SUS:250MG/10ML","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"PHENYTOIN (DILANTIN) ORAL SUS:250MG/10ML","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"PHENYTOIN (DILANTIN) ORAL SUS:250MG/10ML","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"PHENYTOIN (DILANTIN) ORAL SUS:250MG/10ML","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"PHENYTOIN (DILANTIN) ORAL SUS:250MG/10ML","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"PHENYTOIN (DILANTIN) ORAL SUS:250MG/10ML","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"PHENYTOIN (DILANTIN) ORAL SUS:250MG/10ML","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"PHENYTOIN (DILANTIN) ORAL SUS:250MG/10ML","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"PHENYTOIN (DILANTIN) ORAL SUS:250MG/10ML","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"PHENYTOIN (DILANTIN) ORAL SUS:250MG/10ML","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"PHENYTOIN (DILANTIN) ORAL SUS:250MG/10ML","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"Propofol (Diprivan) 200MG/20 ML Inj","0250","RC","Both",,,"31","15.5","Alliant","Health Exchange",,,"62",,"19.22","0.04","569.62","percent of total billed charges",,
"Propofol (Diprivan) 200MG/20 ML Inj","0250","RC","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.74","0.04","569.62","percent of total billed charges",,
"Propofol (Diprivan) 200MG/20 ML Inj","0250","RC","Both",,,"31","15.5","Medicare",,,,"54",,"16.8","0.04","569.62","percent of total billed charges",,
"Propofol (Diprivan) 200MG/20 ML Inj","0250","RC","Both",,,"31","15.5","Humana","Medicare Advantage",,,"54",,"16.8","0.04","569.62","percent of total billed charges",,
"Propofol (Diprivan) 200MG/20 ML Inj","0250","RC","Both",,,"31","15.5","UHC","Medicare Advantage",,,"54",,"16.8","0.04","569.62","percent of total billed charges",,
"Propofol (Diprivan) 200MG/20 ML Inj","0250","RC","Both",,,"31","15.5","Clover","Medicare Advantage",,,"54",,"16.8","0.04","569.62","percent of total billed charges",,
"Propofol (Diprivan) 200MG/20 ML Inj","0250","RC","Both",,,"31","15.5","Wellcare","Medicare Advantage",,,"54",,"16.8","0.04","569.62","percent of total billed charges",,
"Propofol (Diprivan) 200MG/20 ML Inj","0250","RC","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care",,,"37",,"11.35","0.04","569.62","percent of total billed charges",,
"Propofol (Diprivan) 200MG/20 ML Inj","0250","RC","Both",,,"31","15.5","Caresource","Medicaid Managed Care",,,"40",,"12.4","0.04","569.62","percent of total billed charges",,
"Propofol (Diprivan) 200MG/20 ML Inj","0250","RC","Both",,,"31","15.5","Wellcare","Medicaid Managed Care",,,"40",,"12.56","0.04","569.62","percent of total billed charges",,
"Propofol (Diprivan) 200MG/20 ML Inj","0250","RC","Both",,,"31","15.5","Aetna","Commercial",,,"64",,"19.78","0.04","569.62","percent of total billed charges",,
"Propofol (Diprivan) 200MG/20 ML Inj","0250","RC","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways",,,"71",,"21.89","0.04","569.62","percent of total billed charges",,
"Propofol (Diprivan) 200MG/20 ML Inj","0250","RC","Both",,,"31","15.5","Blue Cross Blue Shield","HMO",,,"71",,"21.89","0.04","569.62","percent of total billed charges",,
"Propofol (Diprivan) 200MG/20 ML Inj","0250","RC","Both",,,"31","15.5","Blue Cross Blue Shield","PPO",,,"71",,"21.89","0.04","569.62","percent of total billed charges",,
"Propofol (Diprivan) 200MG/20 ML Inj","0250","RC","Both",,,"31","15.5","Ambetter","Health Exchange",,,"62",,"19.22","0.04","569.62","percent of total billed charges",,
"Propofol (Diprivan) 200MG/20 ML Inj","0250","RC","Both",,,"31","15.5","Caresource","Health Exchange",,,"62",,"19.22","0.04","569.62","percent of total billed charges",,
"Propofol (Diprivan) 200MG/20 ML Inj","0250","RC","Both",,,"31","15.5","Cigna","Commercial",,,"59",,"18.17","0.04","569.62","percent of total billed charges",,
"Propofol (Diprivan) 200MG/20 ML Inj","0250","RC","Both",,,"31","15.5","Humana","Commercial",,,"78",,"24.02","0.04","569.62","percent of total billed charges",,
"Propofol (Diprivan) 200MG/20 ML Inj","0250","RC","Both",,,"31","15.5","UHC","Commercial",,,"75",,"23.37","0.04","569.62","percent of total billed charges",,
"Propofol (Diprivan) 200MG/20 ML Inj","0250","RC","Both",,,"31","15.5","Medicaid",,,,"37",,"11.35","0.04","569.62","percent of total billed charges",,
"BISACODYL (DULCOLAX) 5 MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"BISACODYL (DULCOLAX) 5 MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"BISACODYL (DULCOLAX) 5 MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BISACODYL (DULCOLAX) 5 MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BISACODYL (DULCOLAX) 5 MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BISACODYL (DULCOLAX) 5 MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BISACODYL (DULCOLAX) 5 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BISACODYL (DULCOLAX) 5 MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"BISACODYL (DULCOLAX) 5 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"BISACODYL (DULCOLAX) 5 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"BISACODYL (DULCOLAX) 5 MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"BISACODYL (DULCOLAX) 5 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"BISACODYL (DULCOLAX) 5 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"BISACODYL (DULCOLAX) 5 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"BISACODYL (DULCOLAX) 5 MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"BISACODYL (DULCOLAX) 5 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"BISACODYL (DULCOLAX) 5 MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"BISACODYL (DULCOLAX) 5 MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"BISACODYL (DULCOLAX) 5 MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"BISACODYL (DULCOLAX) 5 MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"BISACODYL (DULCOLAX) 10 MG  SUPPOSITORY","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"BISACODYL (DULCOLAX) 10 MG  SUPPOSITORY","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"BISACODYL (DULCOLAX) 10 MG  SUPPOSITORY","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"BISACODYL (DULCOLAX) 10 MG  SUPPOSITORY","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"BISACODYL (DULCOLAX) 10 MG  SUPPOSITORY","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"BISACODYL (DULCOLAX) 10 MG  SUPPOSITORY","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"BISACODYL (DULCOLAX) 10 MG  SUPPOSITORY","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"BISACODYL (DULCOLAX) 10 MG  SUPPOSITORY","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"BISACODYL (DULCOLAX) 10 MG  SUPPOSITORY","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"BISACODYL (DULCOLAX) 10 MG  SUPPOSITORY","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"BISACODYL (DULCOLAX) 10 MG  SUPPOSITORY","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"BISACODYL (DULCOLAX) 10 MG  SUPPOSITORY","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"BISACODYL (DULCOLAX) 10 MG  SUPPOSITORY","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"BISACODYL (DULCOLAX) 10 MG  SUPPOSITORY","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"BISACODYL (DULCOLAX) 10 MG  SUPPOSITORY","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"BISACODYL (DULCOLAX) 10 MG  SUPPOSITORY","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"BISACODYL (DULCOLAX) 10 MG  SUPPOSITORY","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"BISACODYL (DULCOLAX) 10 MG  SUPPOSITORY","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"BISACODYL (DULCOLAX) 10 MG  SUPPOSITORY","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"BISACODYL (DULCOLAX) 10 MG  SUPPOSITORY","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"HYDROCOLLOID DRESSNG (DUODERM CGF)","0250","RC","Both",,,"36","18","Alliant","Health Exchange",,,"62",,"22.32","0.04","569.62","percent of total billed charges",,
"HYDROCOLLOID DRESSNG (DUODERM CGF)","0250","RC","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.44","0.04","569.62","percent of total billed charges",,
"HYDROCOLLOID DRESSNG (DUODERM CGF)","0250","RC","Both",,,"36","18","Medicare",,,,"54",,"19.51","0.04","569.62","percent of total billed charges",,
"HYDROCOLLOID DRESSNG (DUODERM CGF)","0250","RC","Both",,,"36","18","Humana","Medicare Advantage",,,"54",,"19.51","0.04","569.62","percent of total billed charges",,
"HYDROCOLLOID DRESSNG (DUODERM CGF)","0250","RC","Both",,,"36","18","UHC","Medicare Advantage",,,"54",,"19.51","0.04","569.62","percent of total billed charges",,
"HYDROCOLLOID DRESSNG (DUODERM CGF)","0250","RC","Both",,,"36","18","Clover","Medicare Advantage",,,"54",,"19.51","0.04","569.62","percent of total billed charges",,
"HYDROCOLLOID DRESSNG (DUODERM CGF)","0250","RC","Both",,,"36","18","Wellcare","Medicare Advantage",,,"54",,"19.51","0.04","569.62","percent of total billed charges",,
"HYDROCOLLOID DRESSNG (DUODERM CGF)","0250","RC","Both",,,"36","18","Amerigroup","Medicaid Managed Care",,,"37",,"13.18","0.04","569.62","percent of total billed charges",,
"HYDROCOLLOID DRESSNG (DUODERM CGF)","0250","RC","Both",,,"36","18","Caresource","Medicaid Managed Care",,,"40",,"14.4","0.04","569.62","percent of total billed charges",,
"HYDROCOLLOID DRESSNG (DUODERM CGF)","0250","RC","Both",,,"36","18","Wellcare","Medicaid Managed Care",,,"40",,"14.58","0.04","569.62","percent of total billed charges",,
"HYDROCOLLOID DRESSNG (DUODERM CGF)","0250","RC","Both",,,"36","18","Aetna","Commercial",,,"64",,"22.97","0.04","569.62","percent of total billed charges",,
"HYDROCOLLOID DRESSNG (DUODERM CGF)","0250","RC","Both",,,"36","18","Blue Cross Blue Shield","Pathways",,,"71",,"25.42","0.04","569.62","percent of total billed charges",,
"HYDROCOLLOID DRESSNG (DUODERM CGF)","0250","RC","Both",,,"36","18","Blue Cross Blue Shield","HMO",,,"71",,"25.42","0.04","569.62","percent of total billed charges",,
"HYDROCOLLOID DRESSNG (DUODERM CGF)","0250","RC","Both",,,"36","18","Blue Cross Blue Shield","PPO",,,"71",,"25.42","0.04","569.62","percent of total billed charges",,
"HYDROCOLLOID DRESSNG (DUODERM CGF)","0250","RC","Both",,,"36","18","Ambetter","Health Exchange",,,"62",,"22.32","0.04","569.62","percent of total billed charges",,
"HYDROCOLLOID DRESSNG (DUODERM CGF)","0250","RC","Both",,,"36","18","Caresource","Health Exchange",,,"62",,"22.32","0.04","569.62","percent of total billed charges",,
"HYDROCOLLOID DRESSNG (DUODERM CGF)","0250","RC","Both",,,"36","18","Cigna","Commercial",,,"59",,"21.1","0.04","569.62","percent of total billed charges",,
"HYDROCOLLOID DRESSNG (DUODERM CGF)","0250","RC","Both",,,"36","18","Humana","Commercial",,,"78",,"27.9","0.04","569.62","percent of total billed charges",,
"HYDROCOLLOID DRESSNG (DUODERM CGF)","0250","RC","Both",,,"36","18","UHC","Commercial",,,"75",,"27.14","0.04","569.62","percent of total billed charges",,
"HYDROCOLLOID DRESSNG (DUODERM CGF)","0250","RC","Both",,,"36","18","Medicaid",,,,"37",,"13.18","0.04","569.62","percent of total billed charges",,
"FENTANYL (DURAGESIC) 75MCG/HR Patch","0637","RC","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 75MCG/HR Patch","0637","RC","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 75MCG/HR Patch","0637","RC","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 75MCG/HR Patch","0637","RC","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 75MCG/HR Patch","0637","RC","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 75MCG/HR Patch","0637","RC","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 75MCG/HR Patch","0637","RC","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 75MCG/HR Patch","0637","RC","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 75MCG/HR Patch","0637","RC","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 75MCG/HR Patch","0637","RC","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 75MCG/HR Patch","0637","RC","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 75MCG/HR Patch","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 75MCG/HR Patch","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 75MCG/HR Patch","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 75MCG/HR Patch","0637","RC","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 75MCG/HR Patch","0637","RC","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 75MCG/HR Patch","0637","RC","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 75MCG/HR Patch","0637","RC","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 75MCG/HR Patch","0637","RC","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 75MCG/HR Patch","0637","RC","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 25MCG/HR Patch","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 25MCG/HR Patch","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 25MCG/HR Patch","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 25MCG/HR Patch","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 25MCG/HR Patch","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 25MCG/HR Patch","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 25MCG/HR Patch","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 25MCG/HR Patch","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 25MCG/HR Patch","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 25MCG/HR Patch","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 25MCG/HR Patch","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 25MCG/HR Patch","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 25MCG/HR Patch","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 25MCG/HR Patch","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 25MCG/HR Patch","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 25MCG/HR Patch","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 25MCG/HR Patch","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 25MCG/HR Patch","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 25MCG/HR Patch","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 25MCG/HR Patch","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"VENLAFAXINE XR (EFFEXOR XR) 37.5 MG CAPS","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"VENLAFAXINE XR (EFFEXOR XR) 37.5 MG CAPS","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"VENLAFAXINE XR (EFFEXOR XR) 37.5 MG CAPS","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"VENLAFAXINE XR (EFFEXOR XR) 37.5 MG CAPS","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"VENLAFAXINE XR (EFFEXOR XR) 37.5 MG CAPS","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"VENLAFAXINE XR (EFFEXOR XR) 37.5 MG CAPS","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"VENLAFAXINE XR (EFFEXOR XR) 37.5 MG CAPS","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"VENLAFAXINE XR (EFFEXOR XR) 37.5 MG CAPS","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"VENLAFAXINE XR (EFFEXOR XR) 37.5 MG CAPS","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"VENLAFAXINE XR (EFFEXOR XR) 37.5 MG CAPS","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"VENLAFAXINE XR (EFFEXOR XR) 37.5 MG CAPS","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"VENLAFAXINE XR (EFFEXOR XR) 37.5 MG CAPS","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"VENLAFAXINE XR (EFFEXOR XR) 37.5 MG CAPS","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"VENLAFAXINE XR (EFFEXOR XR) 37.5 MG CAPS","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"VENLAFAXINE XR (EFFEXOR XR) 37.5 MG CAPS","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"VENLAFAXINE XR (EFFEXOR XR) 37.5 MG CAPS","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"VENLAFAXINE XR (EFFEXOR XR) 37.5 MG CAPS","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"VENLAFAXINE XR (EFFEXOR XR) 37.5 MG CAPS","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"VENLAFAXINE XR (EFFEXOR XR) 37.5 MG CAPS","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"VENLAFAXINE XR (EFFEXOR XR) 37.5 MG CAPS","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"AMITRIPTYLINE (ELAVIL) 10MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"AMITRIPTYLINE (ELAVIL) 10MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"AMITRIPTYLINE (ELAVIL) 10MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"AMITRIPTYLINE (ELAVIL) 10MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"AMITRIPTYLINE (ELAVIL) 10MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"AMITRIPTYLINE (ELAVIL) 10MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"AMITRIPTYLINE (ELAVIL) 10MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"AMITRIPTYLINE (ELAVIL) 10MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"AMITRIPTYLINE (ELAVIL) 10MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"AMITRIPTYLINE (ELAVIL) 10MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"AMITRIPTYLINE (ELAVIL) 10MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"AMITRIPTYLINE (ELAVIL) 10MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"AMITRIPTYLINE (ELAVIL) 10MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"AMITRIPTYLINE (ELAVIL) 10MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"AMITRIPTYLINE (ELAVIL) 10MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"AMITRIPTYLINE (ELAVIL) 10MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"AMITRIPTYLINE (ELAVIL) 10MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"AMITRIPTYLINE (ELAVIL) 10MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"AMITRIPTYLINE (ELAVIL) 10MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"AMITRIPTYLINE (ELAVIL) 10MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"AMITRIPTYLINE (ELAVIL) 50 MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"AMITRIPTYLINE (ELAVIL) 50 MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"AMITRIPTYLINE (ELAVIL) 50 MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"AMITRIPTYLINE (ELAVIL) 50 MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"AMITRIPTYLINE (ELAVIL) 50 MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"AMITRIPTYLINE (ELAVIL) 50 MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"AMITRIPTYLINE (ELAVIL) 50 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"AMITRIPTYLINE (ELAVIL) 50 MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"AMITRIPTYLINE (ELAVIL) 50 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"AMITRIPTYLINE (ELAVIL) 50 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"AMITRIPTYLINE (ELAVIL) 50 MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"AMITRIPTYLINE (ELAVIL) 50 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"AMITRIPTYLINE (ELAVIL) 50 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"AMITRIPTYLINE (ELAVIL) 50 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"AMITRIPTYLINE (ELAVIL) 50 MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"AMITRIPTYLINE (ELAVIL) 50 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"AMITRIPTYLINE (ELAVIL) 50 MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"AMITRIPTYLINE (ELAVIL) 50 MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"AMITRIPTYLINE (ELAVIL) 50 MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"AMITRIPTYLINE (ELAVIL) 50 MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"EPHEDRINE INJECTION: 50 MG/ML","0250","RC","Both",,,"88","44","Alliant","Health Exchange",,,"62",,"54.56","0.04","569.62","percent of total billed charges",,
"EPHEDRINE INJECTION: 50 MG/ML","0250","RC","Both",,,"88","44","Pruitt Healthcare","Medicare Advantage",,,"54",,"47.52","0.04","569.62","percent of total billed charges",,
"EPHEDRINE INJECTION: 50 MG/ML","0250","RC","Both",,,"88","44","Medicare",,,,"54",,"47.7","0.04","569.62","percent of total billed charges",,
"EPHEDRINE INJECTION: 50 MG/ML","0250","RC","Both",,,"88","44","Humana","Medicare Advantage",,,"54",,"47.7","0.04","569.62","percent of total billed charges",,
"EPHEDRINE INJECTION: 50 MG/ML","0250","RC","Both",,,"88","44","UHC","Medicare Advantage",,,"54",,"47.7","0.04","569.62","percent of total billed charges",,
"EPHEDRINE INJECTION: 50 MG/ML","0250","RC","Both",,,"88","44","Clover","Medicare Advantage",,,"54",,"47.7","0.04","569.62","percent of total billed charges",,
"EPHEDRINE INJECTION: 50 MG/ML","0250","RC","Both",,,"88","44","Wellcare","Medicare Advantage",,,"54",,"47.7","0.04","569.62","percent of total billed charges",,
"EPHEDRINE INJECTION: 50 MG/ML","0250","RC","Both",,,"88","44","Amerigroup","Medicaid Managed Care",,,"37",,"32.21","0.04","569.62","percent of total billed charges",,
"EPHEDRINE INJECTION: 50 MG/ML","0250","RC","Both",,,"88","44","Caresource","Medicaid Managed Care",,,"40",,"35.2","0.04","569.62","percent of total billed charges",,
"EPHEDRINE INJECTION: 50 MG/ML","0250","RC","Both",,,"88","44","Wellcare","Medicaid Managed Care",,,"40",,"35.64","0.04","569.62","percent of total billed charges",,
"EPHEDRINE INJECTION: 50 MG/ML","0250","RC","Both",,,"88","44","Aetna","Commercial",,,"64",,"56.14","0.04","569.62","percent of total billed charges",,
"EPHEDRINE INJECTION: 50 MG/ML","0250","RC","Both",,,"88","44","Blue Cross Blue Shield","Pathways",,,"71",,"62.13","0.04","569.62","percent of total billed charges",,
"EPHEDRINE INJECTION: 50 MG/ML","0250","RC","Both",,,"88","44","Blue Cross Blue Shield","HMO",,,"71",,"62.13","0.04","569.62","percent of total billed charges",,
"EPHEDRINE INJECTION: 50 MG/ML","0250","RC","Both",,,"88","44","Blue Cross Blue Shield","PPO",,,"71",,"62.13","0.04","569.62","percent of total billed charges",,
"EPHEDRINE INJECTION: 50 MG/ML","0250","RC","Both",,,"88","44","Ambetter","Health Exchange",,,"62",,"54.56","0.04","569.62","percent of total billed charges",,
"EPHEDRINE INJECTION: 50 MG/ML","0250","RC","Both",,,"88","44","Caresource","Health Exchange",,,"62",,"54.56","0.04","569.62","percent of total billed charges",,
"EPHEDRINE INJECTION: 50 MG/ML","0250","RC","Both",,,"88","44","Cigna","Commercial",,,"59",,"51.57","0.04","569.62","percent of total billed charges",,
"EPHEDRINE INJECTION: 50 MG/ML","0250","RC","Both",,,"88","44","Humana","Commercial",,,"78",,"68.2","0.04","569.62","percent of total billed charges",,
"EPHEDRINE INJECTION: 50 MG/ML","0250","RC","Both",,,"88","44","UHC","Commercial",,,"75",,"66.35","0.04","569.62","percent of total billed charges",,
"EPHEDRINE INJECTION: 50 MG/ML","0250","RC","Both",,,"88","44","Medicaid",,,,"37",,"32.21","0.04","569.62","percent of total billed charges",,
"EYE WASH OPTH IRRIGATION 4 OZ","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"EYE WASH OPTH IRRIGATION 4 OZ","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"EYE WASH OPTH IRRIGATION 4 OZ","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"EYE WASH OPTH IRRIGATION 4 OZ","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"EYE WASH OPTH IRRIGATION 4 OZ","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"EYE WASH OPTH IRRIGATION 4 OZ","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"EYE WASH OPTH IRRIGATION 4 OZ","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"EYE WASH OPTH IRRIGATION 4 OZ","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"EYE WASH OPTH IRRIGATION 4 OZ","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"EYE WASH OPTH IRRIGATION 4 OZ","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"EYE WASH OPTH IRRIGATION 4 OZ","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"EYE WASH OPTH IRRIGATION 4 OZ","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"EYE WASH OPTH IRRIGATION 4 OZ","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"EYE WASH OPTH IRRIGATION 4 OZ","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"EYE WASH OPTH IRRIGATION 4 OZ","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"EYE WASH OPTH IRRIGATION 4 OZ","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"EYE WASH OPTH IRRIGATION 4 OZ","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"EYE WASH OPTH IRRIGATION 4 OZ","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"EYE WASH OPTH IRRIGATION 4 OZ","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"EYE WASH OPTH IRRIGATION 4 OZ","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"FERROUS SULFATE TABLET: 325MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"FERROUS SULFATE TABLET: 325MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"FERROUS SULFATE TABLET: 325MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FERROUS SULFATE TABLET: 325MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FERROUS SULFATE TABLET: 325MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FERROUS SULFATE TABLET: 325MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FERROUS SULFATE TABLET: 325MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FERROUS SULFATE TABLET: 325MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"FERROUS SULFATE TABLET: 325MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"FERROUS SULFATE TABLET: 325MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"FERROUS SULFATE TABLET: 325MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"FERROUS SULFATE TABLET: 325MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"FERROUS SULFATE TABLET: 325MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"FERROUS SULFATE TABLET: 325MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"FERROUS SULFATE TABLET: 325MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"FERROUS SULFATE TABLET: 325MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"FERROUS SULFATE TABLET: 325MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"FERROUS SULFATE TABLET: 325MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"FERROUS SULFATE TABLET: 325MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"FERROUS SULFATE TABLET: 325MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"METRONIDAZOLE (FLAGYL) 500MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"METRONIDAZOLE (FLAGYL) 500MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"METRONIDAZOLE (FLAGYL) 500MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METRONIDAZOLE (FLAGYL) 500MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METRONIDAZOLE (FLAGYL) 500MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METRONIDAZOLE (FLAGYL) 500MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METRONIDAZOLE (FLAGYL) 500MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METRONIDAZOLE (FLAGYL) 500MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"METRONIDAZOLE (FLAGYL) 500MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"METRONIDAZOLE (FLAGYL) 500MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"METRONIDAZOLE (FLAGYL) 500MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"METRONIDAZOLE (FLAGYL) 500MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"METRONIDAZOLE (FLAGYL) 500MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"METRONIDAZOLE (FLAGYL) 500MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"METRONIDAZOLE (FLAGYL) 500MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"METRONIDAZOLE (FLAGYL) 500MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"METRONIDAZOLE (FLAGYL) 500MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"METRONIDAZOLE (FLAGYL) 500MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"METRONIDAZOLE (FLAGYL) 500MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"METRONIDAZOLE (FLAGYL) 500MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"FLEETS PEDIALAX PED ENEMA 2.25 OZ","0637","RC","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"FLEETS PEDIALAX PED ENEMA 2.25 OZ","0637","RC","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","0.15","5264.58","percent of total billed charges",,
"FLEETS PEDIALAX PED ENEMA 2.25 OZ","0637","RC","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"FLEETS PEDIALAX PED ENEMA 2.25 OZ","0637","RC","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"FLEETS PEDIALAX PED ENEMA 2.25 OZ","0637","RC","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"FLEETS PEDIALAX PED ENEMA 2.25 OZ","0637","RC","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"FLEETS PEDIALAX PED ENEMA 2.25 OZ","0637","RC","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"FLEETS PEDIALAX PED ENEMA 2.25 OZ","0637","RC","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"FLEETS PEDIALAX PED ENEMA 2.25 OZ","0637","RC","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","0.15","5264.58","percent of total billed charges",,
"FLEETS PEDIALAX PED ENEMA 2.25 OZ","0637","RC","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.15","5264.58","percent of total billed charges",,
"FLEETS PEDIALAX PED ENEMA 2.25 OZ","0637","RC","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","0.15","5264.58","percent of total billed charges",,
"FLEETS PEDIALAX PED ENEMA 2.25 OZ","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"FLEETS PEDIALAX PED ENEMA 2.25 OZ","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"FLEETS PEDIALAX PED ENEMA 2.25 OZ","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"FLEETS PEDIALAX PED ENEMA 2.25 OZ","0637","RC","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"FLEETS PEDIALAX PED ENEMA 2.25 OZ","0637","RC","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"FLEETS PEDIALAX PED ENEMA 2.25 OZ","0637","RC","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","0.15","5264.58","percent of total billed charges",,
"FLEETS PEDIALAX PED ENEMA 2.25 OZ","0637","RC","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","0.15","5264.58","percent of total billed charges",,
"FLEETS PEDIALAX PED ENEMA 2.25 OZ","0637","RC","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","0.15","5264.58","percent of total billed charges",,
"FLEETS PEDIALAX PED ENEMA 2.25 OZ","0637","RC","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"BALSAM ZINC (FLANDERS) 4 OZ OINT","0637","RC","Both",,,"36","18","Alliant","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"BALSAM ZINC (FLANDERS) 4 OZ OINT","0637","RC","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.44","0.15","5264.58","percent of total billed charges",,
"BALSAM ZINC (FLANDERS) 4 OZ OINT","0637","RC","Both",,,"36","18","Medicare",,,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"BALSAM ZINC (FLANDERS) 4 OZ OINT","0637","RC","Both",,,"36","18","Humana","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"BALSAM ZINC (FLANDERS) 4 OZ OINT","0637","RC","Both",,,"36","18","UHC","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"BALSAM ZINC (FLANDERS) 4 OZ OINT","0637","RC","Both",,,"36","18","Clover","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"BALSAM ZINC (FLANDERS) 4 OZ OINT","0637","RC","Both",,,"36","18","Wellcare","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"BALSAM ZINC (FLANDERS) 4 OZ OINT","0637","RC","Both",,,"36","18","Amerigroup","Medicaid Managed Care",,,"37",,"13.18","0.15","5264.58","percent of total billed charges",,
"BALSAM ZINC (FLANDERS) 4 OZ OINT","0637","RC","Both",,,"36","18","Caresource","Medicaid Managed Care",,,"40",,"14.4","0.15","5264.58","percent of total billed charges",,
"BALSAM ZINC (FLANDERS) 4 OZ OINT","0637","RC","Both",,,"36","18","Wellcare","Medicaid Managed Care",,,"40",,"14.58","0.15","5264.58","percent of total billed charges",,
"BALSAM ZINC (FLANDERS) 4 OZ OINT","0637","RC","Both",,,"36","18","Aetna","Commercial",,,"64",,"22.97","0.15","5264.58","percent of total billed charges",,
"BALSAM ZINC (FLANDERS) 4 OZ OINT","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","Pathways",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"BALSAM ZINC (FLANDERS) 4 OZ OINT","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","HMO",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"BALSAM ZINC (FLANDERS) 4 OZ OINT","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","PPO",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"BALSAM ZINC (FLANDERS) 4 OZ OINT","0637","RC","Both",,,"36","18","Ambetter","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"BALSAM ZINC (FLANDERS) 4 OZ OINT","0637","RC","Both",,,"36","18","Caresource","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"BALSAM ZINC (FLANDERS) 4 OZ OINT","0637","RC","Both",,,"36","18","Cigna","Commercial",,,"59",,"21.1","0.15","5264.58","percent of total billed charges",,
"BALSAM ZINC (FLANDERS) 4 OZ OINT","0637","RC","Both",,,"36","18","Humana","Commercial",,,"78",,"27.9","0.15","5264.58","percent of total billed charges",,
"BALSAM ZINC (FLANDERS) 4 OZ OINT","0637","RC","Both",,,"36","18","UHC","Commercial",,,"75",,"27.14","0.15","5264.58","percent of total billed charges",,
"BALSAM ZINC (FLANDERS) 4 OZ OINT","0637","RC","Both",,,"36","18","Medicaid",,,,"37",,"13.18","0.15","5264.58","percent of total billed charges",,
"CYCLOBENZAPRINE (FLEXERIL) TAB: 10MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CYCLOBENZAPRINE (FLEXERIL) TAB: 10MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"CYCLOBENZAPRINE (FLEXERIL) TAB: 10MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CYCLOBENZAPRINE (FLEXERIL) TAB: 10MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CYCLOBENZAPRINE (FLEXERIL) TAB: 10MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CYCLOBENZAPRINE (FLEXERIL) TAB: 10MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CYCLOBENZAPRINE (FLEXERIL) TAB: 10MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CYCLOBENZAPRINE (FLEXERIL) TAB: 10MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"CYCLOBENZAPRINE (FLEXERIL) TAB: 10MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"CYCLOBENZAPRINE (FLEXERIL) TAB: 10MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"CYCLOBENZAPRINE (FLEXERIL) TAB: 10MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"CYCLOBENZAPRINE (FLEXERIL) TAB: 10MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CYCLOBENZAPRINE (FLEXERIL) TAB: 10MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CYCLOBENZAPRINE (FLEXERIL) TAB: 10MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CYCLOBENZAPRINE (FLEXERIL) TAB: 10MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CYCLOBENZAPRINE (FLEXERIL) TAB: 10MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CYCLOBENZAPRINE (FLEXERIL) TAB: 10MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"CYCLOBENZAPRINE (FLEXERIL) TAB: 10MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"CYCLOBENZAPRINE (FLEXERIL) TAB: 10MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"CYCLOBENZAPRINE (FLEXERIL) TAB: 10MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"TAMSULOSIN (FLOMAX) 0.4 MG CAPS","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"TAMSULOSIN (FLOMAX) 0.4 MG CAPS","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"TAMSULOSIN (FLOMAX) 0.4 MG CAPS","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"TAMSULOSIN (FLOMAX) 0.4 MG CAPS","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"TAMSULOSIN (FLOMAX) 0.4 MG CAPS","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"TAMSULOSIN (FLOMAX) 0.4 MG CAPS","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"TAMSULOSIN (FLOMAX) 0.4 MG CAPS","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"TAMSULOSIN (FLOMAX) 0.4 MG CAPS","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"TAMSULOSIN (FLOMAX) 0.4 MG CAPS","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"TAMSULOSIN (FLOMAX) 0.4 MG CAPS","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"TAMSULOSIN (FLOMAX) 0.4 MG CAPS","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"TAMSULOSIN (FLOMAX) 0.4 MG CAPS","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"TAMSULOSIN (FLOMAX) 0.4 MG CAPS","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"TAMSULOSIN (FLOMAX) 0.4 MG CAPS","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"TAMSULOSIN (FLOMAX) 0.4 MG CAPS","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"TAMSULOSIN (FLOMAX) 0.4 MG CAPS","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"TAMSULOSIN (FLOMAX) 0.4 MG CAPS","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"TAMSULOSIN (FLOMAX) 0.4 MG CAPS","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"TAMSULOSIN (FLOMAX) 0.4 MG CAPS","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"TAMSULOSIN (FLOMAX) 0.4 MG CAPS","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE PROP (FLONASE) 50MCG SPRAY","0637","RC","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE PROP (FLONASE) 50MCG SPRAY","0637","RC","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE PROP (FLONASE) 50MCG SPRAY","0637","RC","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE PROP (FLONASE) 50MCG SPRAY","0637","RC","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE PROP (FLONASE) 50MCG SPRAY","0637","RC","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE PROP (FLONASE) 50MCG SPRAY","0637","RC","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE PROP (FLONASE) 50MCG SPRAY","0637","RC","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE PROP (FLONASE) 50MCG SPRAY","0637","RC","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE PROP (FLONASE) 50MCG SPRAY","0637","RC","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE PROP (FLONASE) 50MCG SPRAY","0637","RC","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE PROP (FLONASE) 50MCG SPRAY","0637","RC","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE PROP (FLONASE) 50MCG SPRAY","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE PROP (FLONASE) 50MCG SPRAY","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE PROP (FLONASE) 50MCG SPRAY","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE PROP (FLONASE) 50MCG SPRAY","0637","RC","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE PROP (FLONASE) 50MCG SPRAY","0637","RC","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE PROP (FLONASE) 50MCG SPRAY","0637","RC","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE PROP (FLONASE) 50MCG SPRAY","0637","RC","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE PROP (FLONASE) 50MCG SPRAY","0637","RC","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE PROP (FLONASE) 50MCG SPRAY","0637","RC","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"FLUORESCEIN NA (FLUOR-I-STRIP) 1MG STRIP","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"FLUORESCEIN NA (FLUOR-I-STRIP) 1MG STRIP","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"FLUORESCEIN NA (FLUOR-I-STRIP) 1MG STRIP","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FLUORESCEIN NA (FLUOR-I-STRIP) 1MG STRIP","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FLUORESCEIN NA (FLUOR-I-STRIP) 1MG STRIP","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FLUORESCEIN NA (FLUOR-I-STRIP) 1MG STRIP","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FLUORESCEIN NA (FLUOR-I-STRIP) 1MG STRIP","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FLUORESCEIN NA (FLUOR-I-STRIP) 1MG STRIP","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"FLUORESCEIN NA (FLUOR-I-STRIP) 1MG STRIP","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"FLUORESCEIN NA (FLUOR-I-STRIP) 1MG STRIP","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"FLUORESCEIN NA (FLUOR-I-STRIP) 1MG STRIP","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"FLUORESCEIN NA (FLUOR-I-STRIP) 1MG STRIP","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"FLUORESCEIN NA (FLUOR-I-STRIP) 1MG STRIP","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"FLUORESCEIN NA (FLUOR-I-STRIP) 1MG STRIP","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"FLUORESCEIN NA (FLUOR-I-STRIP) 1MG STRIP","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"FLUORESCEIN NA (FLUOR-I-STRIP) 1MG STRIP","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"FLUORESCEIN NA (FLUOR-I-STRIP) 1MG STRIP","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"FLUORESCEIN NA (FLUOR-I-STRIP) 1MG STRIP","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"FLUORESCEIN NA (FLUOR-I-STRIP) 1MG STRIP","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"FLUORESCEIN NA (FLUOR-I-STRIP) 1MG STRIP","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"FOLIC ACID TABLET 1 MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"FOLIC ACID TABLET 1 MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"FOLIC ACID TABLET 1 MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FOLIC ACID TABLET 1 MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FOLIC ACID TABLET 1 MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FOLIC ACID TABLET 1 MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FOLIC ACID TABLET 1 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FOLIC ACID TABLET 1 MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"FOLIC ACID TABLET 1 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"FOLIC ACID TABLET 1 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"FOLIC ACID TABLET 1 MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"FOLIC ACID TABLET 1 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"FOLIC ACID TABLET 1 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"FOLIC ACID TABLET 1 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"FOLIC ACID TABLET 1 MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"FOLIC ACID TABLET 1 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"FOLIC ACID TABLET 1 MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"FOLIC ACID TABLET 1 MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"FOLIC ACID TABLET 1 MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"FOLIC ACID TABLET 1 MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"FOLIC ACID INJECTION MDV: 5 MG/ML","0250","RC","Both",,,"38","19","Alliant","Health Exchange",,,"62",,"23.56","0.04","569.62","percent of total billed charges",,
"FOLIC ACID INJECTION MDV: 5 MG/ML","0250","RC","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.52","0.04","569.62","percent of total billed charges",,
"FOLIC ACID INJECTION MDV: 5 MG/ML","0250","RC","Both",,,"38","19","Medicare",,,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"FOLIC ACID INJECTION MDV: 5 MG/ML","0250","RC","Both",,,"38","19","Humana","Medicare Advantage",,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"FOLIC ACID INJECTION MDV: 5 MG/ML","0250","RC","Both",,,"38","19","UHC","Medicare Advantage",,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"FOLIC ACID INJECTION MDV: 5 MG/ML","0250","RC","Both",,,"38","19","Clover","Medicare Advantage",,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"FOLIC ACID INJECTION MDV: 5 MG/ML","0250","RC","Both",,,"38","19","Wellcare","Medicare Advantage",,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"FOLIC ACID INJECTION MDV: 5 MG/ML","0250","RC","Both",,,"38","19","Amerigroup","Medicaid Managed Care",,,"37",,"13.91","0.04","569.62","percent of total billed charges",,
"FOLIC ACID INJECTION MDV: 5 MG/ML","0250","RC","Both",,,"38","19","Caresource","Medicaid Managed Care",,,"40",,"15.2","0.04","569.62","percent of total billed charges",,
"FOLIC ACID INJECTION MDV: 5 MG/ML","0250","RC","Both",,,"38","19","Wellcare","Medicaid Managed Care",,,"40",,"15.39","0.04","569.62","percent of total billed charges",,
"FOLIC ACID INJECTION MDV: 5 MG/ML","0250","RC","Both",,,"38","19","Aetna","Commercial",,,"64",,"24.24","0.04","569.62","percent of total billed charges",,
"FOLIC ACID INJECTION MDV: 5 MG/ML","0250","RC","Both",,,"38","19","Blue Cross Blue Shield","Pathways",,,"71",,"26.83","0.04","569.62","percent of total billed charges",,
"FOLIC ACID INJECTION MDV: 5 MG/ML","0250","RC","Both",,,"38","19","Blue Cross Blue Shield","HMO",,,"71",,"26.83","0.04","569.62","percent of total billed charges",,
"FOLIC ACID INJECTION MDV: 5 MG/ML","0250","RC","Both",,,"38","19","Blue Cross Blue Shield","PPO",,,"71",,"26.83","0.04","569.62","percent of total billed charges",,
"FOLIC ACID INJECTION MDV: 5 MG/ML","0250","RC","Both",,,"38","19","Ambetter","Health Exchange",,,"62",,"23.56","0.04","569.62","percent of total billed charges",,
"FOLIC ACID INJECTION MDV: 5 MG/ML","0250","RC","Both",,,"38","19","Caresource","Health Exchange",,,"62",,"23.56","0.04","569.62","percent of total billed charges",,
"FOLIC ACID INJECTION MDV: 5 MG/ML","0250","RC","Both",,,"38","19","Cigna","Commercial",,,"59",,"22.27","0.04","569.62","percent of total billed charges",,
"FOLIC ACID INJECTION MDV: 5 MG/ML","0250","RC","Both",,,"38","19","Humana","Commercial",,,"78",,"29.45","0.04","569.62","percent of total billed charges",,
"FOLIC ACID INJECTION MDV: 5 MG/ML","0250","RC","Both",,,"38","19","UHC","Commercial",,,"75",,"28.65","0.04","569.62","percent of total billed charges",,
"FOLIC ACID INJECTION MDV: 5 MG/ML","0250","RC","Both",,,"38","19","Medicaid",,,,"37",,"13.91","0.04","569.62","percent of total billed charges",,
"GENTAMICIN SULFATE  0.3% OPTH DROP 5ML","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"GENTAMICIN SULFATE  0.3% OPTH DROP 5ML","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"GENTAMICIN SULFATE  0.3% OPTH DROP 5ML","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"GENTAMICIN SULFATE  0.3% OPTH DROP 5ML","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"GENTAMICIN SULFATE  0.3% OPTH DROP 5ML","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"GENTAMICIN SULFATE  0.3% OPTH DROP 5ML","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"GENTAMICIN SULFATE  0.3% OPTH DROP 5ML","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"GENTAMICIN SULFATE  0.3% OPTH DROP 5ML","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"GENTAMICIN SULFATE  0.3% OPTH DROP 5ML","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"GENTAMICIN SULFATE  0.3% OPTH DROP 5ML","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"GENTAMICIN SULFATE  0.3% OPTH DROP 5ML","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"GENTAMICIN SULFATE  0.3% OPTH DROP 5ML","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"GENTAMICIN SULFATE  0.3% OPTH DROP 5ML","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"GENTAMICIN SULFATE  0.3% OPTH DROP 5ML","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"GENTAMICIN SULFATE  0.3% OPTH DROP 5ML","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"GENTAMICIN SULFATE  0.3% OPTH DROP 5ML","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"GENTAMICIN SULFATE  0.3% OPTH DROP 5ML","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"GENTAMICIN SULFATE  0.3% OPTH DROP 5ML","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"GENTAMICIN SULFATE  0.3% OPTH DROP 5ML","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"GENTAMICIN SULFATE  0.3% OPTH DROP 5ML","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"GI COCKTAIL KIT 45 ML","0250","RC","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","0.04","569.62","percent of total billed charges",,
"GI COCKTAIL KIT 45 ML","0250","RC","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","0.04","569.62","percent of total billed charges",,
"GI COCKTAIL KIT 45 ML","0250","RC","Both",,,"22","11","Medicare",,,,"54",,"11.92","0.04","569.62","percent of total billed charges",,
"GI COCKTAIL KIT 45 ML","0250","RC","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","0.04","569.62","percent of total billed charges",,
"GI COCKTAIL KIT 45 ML","0250","RC","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","0.04","569.62","percent of total billed charges",,
"GI COCKTAIL KIT 45 ML","0250","RC","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","0.04","569.62","percent of total billed charges",,
"GI COCKTAIL KIT 45 ML","0250","RC","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","0.04","569.62","percent of total billed charges",,
"GI COCKTAIL KIT 45 ML","0250","RC","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","0.04","569.62","percent of total billed charges",,
"GI COCKTAIL KIT 45 ML","0250","RC","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","0.04","569.62","percent of total billed charges",,
"GI COCKTAIL KIT 45 ML","0250","RC","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","0.04","569.62","percent of total billed charges",,
"GI COCKTAIL KIT 45 ML","0250","RC","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","0.04","569.62","percent of total billed charges",,
"GI COCKTAIL KIT 45 ML","0250","RC","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","0.04","569.62","percent of total billed charges",,
"GI COCKTAIL KIT 45 ML","0250","RC","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","0.04","569.62","percent of total billed charges",,
"GI COCKTAIL KIT 45 ML","0250","RC","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","0.04","569.62","percent of total billed charges",,
"GI COCKTAIL KIT 45 ML","0250","RC","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","0.04","569.62","percent of total billed charges",,
"GI COCKTAIL KIT 45 ML","0250","RC","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","0.04","569.62","percent of total billed charges",,
"GI COCKTAIL KIT 45 ML","0250","RC","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","0.04","569.62","percent of total billed charges",,
"GI COCKTAIL KIT 45 ML","0250","RC","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","0.04","569.62","percent of total billed charges",,
"GI COCKTAIL KIT 45 ML","0250","RC","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","0.04","569.62","percent of total billed charges",,
"GI COCKTAIL KIT 45 ML","0250","RC","Both",,,"22","11","Medicaid",,,,"37",,"8.05","0.04","569.62","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 500MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 500MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 500MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 500MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 500MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 500MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 500MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 500MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 500MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 500MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 500MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 500MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 500MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 500MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 500MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 500MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 500MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 500MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 500MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 500MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 1000MG TAB","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 1000MG TAB","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 1000MG TAB","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 1000MG TAB","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 1000MG TAB","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 1000MG TAB","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 1000MG TAB","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 1000MG TAB","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 1000MG TAB","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 1000MG TAB","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 1000MG TAB","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 1000MG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 1000MG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 1000MG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 1000MG TAB","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 1000MG TAB","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 1000MG TAB","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 1000MG TAB","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 1000MG TAB","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 1000MG TAB","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE (GLUCOTROL) 5 MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE (GLUCOTROL) 5 MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE (GLUCOTROL) 5 MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE (GLUCOTROL) 5 MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE (GLUCOTROL) 5 MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE (GLUCOTROL) 5 MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE (GLUCOTROL) 5 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE (GLUCOTROL) 5 MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE (GLUCOTROL) 5 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE (GLUCOTROL) 5 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE (GLUCOTROL) 5 MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE (GLUCOTROL) 5 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE (GLUCOTROL) 5 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE (GLUCOTROL) 5 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE (GLUCOTROL) 5 MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE (GLUCOTROL) 5 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE (GLUCOTROL) 5 MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE (GLUCOTROL) 5 MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE (GLUCOTROL) 5 MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE (GLUCOTROL) 5 MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE XL (GLUCOTROL XL) 2.5 MG TAB","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE XL (GLUCOTROL XL) 2.5 MG TAB","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE XL (GLUCOTROL XL) 2.5 MG TAB","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE XL (GLUCOTROL XL) 2.5 MG TAB","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE XL (GLUCOTROL XL) 2.5 MG TAB","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE XL (GLUCOTROL XL) 2.5 MG TAB","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE XL (GLUCOTROL XL) 2.5 MG TAB","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE XL (GLUCOTROL XL) 2.5 MG TAB","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE XL (GLUCOTROL XL) 2.5 MG TAB","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE XL (GLUCOTROL XL) 2.5 MG TAB","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE XL (GLUCOTROL XL) 2.5 MG TAB","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE XL (GLUCOTROL XL) 2.5 MG TAB","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE XL (GLUCOTROL XL) 2.5 MG TAB","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE XL (GLUCOTROL XL) 2.5 MG TAB","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE XL (GLUCOTROL XL) 2.5 MG TAB","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE XL (GLUCOTROL XL) 2.5 MG TAB","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE XL (GLUCOTROL XL) 2.5 MG TAB","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE XL (GLUCOTROL XL) 2.5 MG TAB","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE XL (GLUCOTROL XL) 2.5 MG TAB","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE XL (GLUCOTROL XL) 2.5 MG TAB","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE XL (GLUCOTROL XL) 5 MG TAB","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE XL (GLUCOTROL XL) 5 MG TAB","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE XL (GLUCOTROL XL) 5 MG TAB","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE XL (GLUCOTROL XL) 5 MG TAB","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE XL (GLUCOTROL XL) 5 MG TAB","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE XL (GLUCOTROL XL) 5 MG TAB","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE XL (GLUCOTROL XL) 5 MG TAB","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE XL (GLUCOTROL XL) 5 MG TAB","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE XL (GLUCOTROL XL) 5 MG TAB","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE XL (GLUCOTROL XL) 5 MG TAB","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE XL (GLUCOTROL XL) 5 MG TAB","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE XL (GLUCOTROL XL) 5 MG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE XL (GLUCOTROL XL) 5 MG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE XL (GLUCOTROL XL) 5 MG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE XL (GLUCOTROL XL) 5 MG TAB","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE XL (GLUCOTROL XL) 5 MG TAB","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE XL (GLUCOTROL XL) 5 MG TAB","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE XL (GLUCOTROL XL) 5 MG TAB","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE XL (GLUCOTROL XL) 5 MG TAB","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"gliPIZIDE XL (GLUCOTROL XL) 5 MG TAB","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"GLYCERIN ADULT SUPPOSITORY: 2GM","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"GLYCERIN ADULT SUPPOSITORY: 2GM","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"GLYCERIN ADULT SUPPOSITORY: 2GM","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"GLYCERIN ADULT SUPPOSITORY: 2GM","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"GLYCERIN ADULT SUPPOSITORY: 2GM","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"GLYCERIN ADULT SUPPOSITORY: 2GM","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"GLYCERIN ADULT SUPPOSITORY: 2GM","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"GLYCERIN ADULT SUPPOSITORY: 2GM","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"GLYCERIN ADULT SUPPOSITORY: 2GM","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"GLYCERIN ADULT SUPPOSITORY: 2GM","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"GLYCERIN ADULT SUPPOSITORY: 2GM","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"GLYCERIN ADULT SUPPOSITORY: 2GM","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"GLYCERIN ADULT SUPPOSITORY: 2GM","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"GLYCERIN ADULT SUPPOSITORY: 2GM","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"GLYCERIN ADULT SUPPOSITORY: 2GM","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"GLYCERIN ADULT SUPPOSITORY: 2GM","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"GLYCERIN ADULT SUPPOSITORY: 2GM","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"GLYCERIN ADULT SUPPOSITORY: 2GM","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"GLYCERIN ADULT SUPPOSITORY: 2GM","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"GLYCERIN ADULT SUPPOSITORY: 2GM","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"GLYCERIN PEDIATRIC SUPPOSITORY: 1.2GM","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"GLYCERIN PEDIATRIC SUPPOSITORY: 1.2GM","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"GLYCERIN PEDIATRIC SUPPOSITORY: 1.2GM","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"GLYCERIN PEDIATRIC SUPPOSITORY: 1.2GM","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"GLYCERIN PEDIATRIC SUPPOSITORY: 1.2GM","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"GLYCERIN PEDIATRIC SUPPOSITORY: 1.2GM","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"GLYCERIN PEDIATRIC SUPPOSITORY: 1.2GM","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"GLYCERIN PEDIATRIC SUPPOSITORY: 1.2GM","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"GLYCERIN PEDIATRIC SUPPOSITORY: 1.2GM","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"GLYCERIN PEDIATRIC SUPPOSITORY: 1.2GM","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"GLYCERIN PEDIATRIC SUPPOSITORY: 1.2GM","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"GLYCERIN PEDIATRIC SUPPOSITORY: 1.2GM","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"GLYCERIN PEDIATRIC SUPPOSITORY: 1.2GM","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"GLYCERIN PEDIATRIC SUPPOSITORY: 1.2GM","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"GLYCERIN PEDIATRIC SUPPOSITORY: 1.2GM","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"GLYCERIN PEDIATRIC SUPPOSITORY: 1.2GM","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"GLYCERIN PEDIATRIC SUPPOSITORY: 1.2GM","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"GLYCERIN PEDIATRIC SUPPOSITORY: 1.2GM","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"GLYCERIN PEDIATRIC SUPPOSITORY: 1.2GM","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"GLYCERIN PEDIATRIC SUPPOSITORY: 1.2GM","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"PEG 3350/Electrolytes (GOLYTELY) 4LITER","0637","RC","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"PEG 3350/Electrolytes (GOLYTELY) 4LITER","0637","RC","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","0.15","5264.58","percent of total billed charges",,
"PEG 3350/Electrolytes (GOLYTELY) 4LITER","0637","RC","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"PEG 3350/Electrolytes (GOLYTELY) 4LITER","0637","RC","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"PEG 3350/Electrolytes (GOLYTELY) 4LITER","0637","RC","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"PEG 3350/Electrolytes (GOLYTELY) 4LITER","0637","RC","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"PEG 3350/Electrolytes (GOLYTELY) 4LITER","0637","RC","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"PEG 3350/Electrolytes (GOLYTELY) 4LITER","0637","RC","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"PEG 3350/Electrolytes (GOLYTELY) 4LITER","0637","RC","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","0.15","5264.58","percent of total billed charges",,
"PEG 3350/Electrolytes (GOLYTELY) 4LITER","0637","RC","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","0.15","5264.58","percent of total billed charges",,
"PEG 3350/Electrolytes (GOLYTELY) 4LITER","0637","RC","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","0.15","5264.58","percent of total billed charges",,
"PEG 3350/Electrolytes (GOLYTELY) 4LITER","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"PEG 3350/Electrolytes (GOLYTELY) 4LITER","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"PEG 3350/Electrolytes (GOLYTELY) 4LITER","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"PEG 3350/Electrolytes (GOLYTELY) 4LITER","0637","RC","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"PEG 3350/Electrolytes (GOLYTELY) 4LITER","0637","RC","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"PEG 3350/Electrolytes (GOLYTELY) 4LITER","0637","RC","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","0.15","5264.58","percent of total billed charges",,
"PEG 3350/Electrolytes (GOLYTELY) 4LITER","0637","RC","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","0.15","5264.58","percent of total billed charges",,
"PEG 3350/Electrolytes (GOLYTELY) 4LITER","0637","RC","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","0.15","5264.58","percent of total billed charges",,
"PEG 3350/Electrolytes (GOLYTELY) 4LITER","0637","RC","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"HALOPERIDOL (HALDOL) TAB: 5MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"HALOPERIDOL (HALDOL) TAB: 5MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"HALOPERIDOL (HALDOL) TAB: 5MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HALOPERIDOL (HALDOL) TAB: 5MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HALOPERIDOL (HALDOL) TAB: 5MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HALOPERIDOL (HALDOL) TAB: 5MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HALOPERIDOL (HALDOL) TAB: 5MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HALOPERIDOL (HALDOL) TAB: 5MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"HALOPERIDOL (HALDOL) TAB: 5MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"HALOPERIDOL (HALDOL) TAB: 5MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"HALOPERIDOL (HALDOL) TAB: 5MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"HALOPERIDOL (HALDOL) TAB: 5MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"HALOPERIDOL (HALDOL) TAB: 5MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"HALOPERIDOL (HALDOL) TAB: 5MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"HALOPERIDOL (HALDOL) TAB: 5MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"HALOPERIDOL (HALDOL) TAB: 5MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"HALOPERIDOL (HALDOL) TAB: 5MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"HALOPERIDOL (HALDOL) TAB: 5MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"HALOPERIDOL (HALDOL) TAB: 5MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"HALOPERIDOL (HALDOL) TAB: 5MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"HYDROCHLOROTHIAZIDE TABLET: 25 MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"HYDROCHLOROTHIAZIDE TABLET: 25 MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"HYDROCHLOROTHIAZIDE TABLET: 25 MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDROCHLOROTHIAZIDE TABLET: 25 MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDROCHLOROTHIAZIDE TABLET: 25 MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDROCHLOROTHIAZIDE TABLET: 25 MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDROCHLOROTHIAZIDE TABLET: 25 MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDROCHLOROTHIAZIDE TABLET: 25 MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"HYDROCHLOROTHIAZIDE TABLET: 25 MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"HYDROCHLOROTHIAZIDE TABLET: 25 MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"HYDROCHLOROTHIAZIDE TABLET: 25 MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"HYDROCHLOROTHIAZIDE TABLET: 25 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"HYDROCHLOROTHIAZIDE TABLET: 25 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"HYDROCHLOROTHIAZIDE TABLET: 25 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"HYDROCHLOROTHIAZIDE TABLET: 25 MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"HYDROCHLOROTHIAZIDE TABLET: 25 MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"HYDROCHLOROTHIAZIDE TABLET: 25 MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"HYDROCHLOROTHIAZIDE TABLET: 25 MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"HYDROCHLOROTHIAZIDE TABLET: 25 MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"HYDROCHLOROTHIAZIDE TABLET: 25 MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ERYTHROMYCIN 0.5% OPTH OINT 3.5GM","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"ERYTHROMYCIN 0.5% OPTH OINT 3.5GM","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"ERYTHROMYCIN 0.5% OPTH OINT 3.5GM","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"ERYTHROMYCIN 0.5% OPTH OINT 3.5GM","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"ERYTHROMYCIN 0.5% OPTH OINT 3.5GM","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"ERYTHROMYCIN 0.5% OPTH OINT 3.5GM","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"ERYTHROMYCIN 0.5% OPTH OINT 3.5GM","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"ERYTHROMYCIN 0.5% OPTH OINT 3.5GM","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"ERYTHROMYCIN 0.5% OPTH OINT 3.5GM","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"ERYTHROMYCIN 0.5% OPTH OINT 3.5GM","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"ERYTHROMYCIN 0.5% OPTH OINT 3.5GM","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"ERYTHROMYCIN 0.5% OPTH OINT 3.5GM","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"ERYTHROMYCIN 0.5% OPTH OINT 3.5GM","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"ERYTHROMYCIN 0.5% OPTH OINT 3.5GM","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"ERYTHROMYCIN 0.5% OPTH OINT 3.5GM","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"ERYTHROMYCIN 0.5% OPTH OINT 3.5GM","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"ERYTHROMYCIN 0.5% OPTH OINT 3.5GM","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"ERYTHROMYCIN 0.5% OPTH OINT 3.5GM","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"ERYTHROMYCIN 0.5% OPTH OINT 3.5GM","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"ERYTHROMYCIN 0.5% OPTH OINT 3.5GM","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"HYDROCORTISONE CREAM 2.5%","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"HYDROCORTISONE CREAM 2.5%","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"HYDROCORTISONE CREAM 2.5%","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"HYDROCORTISONE CREAM 2.5%","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"HYDROCORTISONE CREAM 2.5%","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"HYDROCORTISONE CREAM 2.5%","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"HYDROCORTISONE CREAM 2.5%","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"HYDROCORTISONE CREAM 2.5%","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"HYDROCORTISONE CREAM 2.5%","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"HYDROCORTISONE CREAM 2.5%","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"HYDROCORTISONE CREAM 2.5%","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"HYDROCORTISONE CREAM 2.5%","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"HYDROCORTISONE CREAM 2.5%","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"HYDROCORTISONE CREAM 2.5%","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"HYDROCORTISONE CREAM 2.5%","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"HYDROCORTISONE CREAM 2.5%","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"HYDROCORTISONE CREAM 2.5%","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"HYDROCORTISONE CREAM 2.5%","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"HYDROCORTISONE CREAM 2.5%","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"HYDROCORTISONE CREAM 2.5%","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"INSULIN NPH (HUMULIN N) 100UNITS/ML 10ml","0250","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","569.62","percent of total billed charges",,
"INSULIN NPH (HUMULIN N) 100UNITS/ML 10ml","0250","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"INSULIN NPH (HUMULIN N) 100UNITS/ML 10ml","0250","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"INSULIN NPH (HUMULIN N) 100UNITS/ML 10ml","0250","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"INSULIN NPH (HUMULIN N) 100UNITS/ML 10ml","0250","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"INSULIN NPH (HUMULIN N) 100UNITS/ML 10ml","0250","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"INSULIN NPH (HUMULIN N) 100UNITS/ML 10ml","0250","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"INSULIN NPH (HUMULIN N) 100UNITS/ML 10ml","0250","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","569.62","percent of total billed charges",,
"INSULIN NPH (HUMULIN N) 100UNITS/ML 10ml","0250","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","569.62","percent of total billed charges",,
"INSULIN NPH (HUMULIN N) 100UNITS/ML 10ml","0250","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","569.62","percent of total billed charges",,
"INSULIN NPH (HUMULIN N) 100UNITS/ML 10ml","0250","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","569.62","percent of total billed charges",,
"INSULIN NPH (HUMULIN N) 100UNITS/ML 10ml","0250","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","569.62","percent of total billed charges",,
"INSULIN NPH (HUMULIN N) 100UNITS/ML 10ml","0250","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","569.62","percent of total billed charges",,
"INSULIN NPH (HUMULIN N) 100UNITS/ML 10ml","0250","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","569.62","percent of total billed charges",,
"INSULIN NPH (HUMULIN N) 100UNITS/ML 10ml","0250","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","569.62","percent of total billed charges",,
"INSULIN NPH (HUMULIN N) 100UNITS/ML 10ml","0250","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","569.62","percent of total billed charges",,
"INSULIN NPH (HUMULIN N) 100UNITS/ML 10ml","0250","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","569.62","percent of total billed charges",,
"INSULIN NPH (HUMULIN N) 100UNITS/ML 10ml","0250","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","569.62","percent of total billed charges",,
"INSULIN NPH (HUMULIN N) 100UNITS/ML 10ml","0250","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","569.62","percent of total billed charges",,
"INSULIN NPH (HUMULIN N) 100UNITS/ML 10ml","0250","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","569.62","percent of total billed charges",,
"INSULIN REG (HUMULIN R) MDV: 100UNITS/ML","0250","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","569.62","percent of total billed charges",,
"INSULIN REG (HUMULIN R) MDV: 100UNITS/ML","0250","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"INSULIN REG (HUMULIN R) MDV: 100UNITS/ML","0250","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"INSULIN REG (HUMULIN R) MDV: 100UNITS/ML","0250","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"INSULIN REG (HUMULIN R) MDV: 100UNITS/ML","0250","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"INSULIN REG (HUMULIN R) MDV: 100UNITS/ML","0250","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"INSULIN REG (HUMULIN R) MDV: 100UNITS/ML","0250","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"INSULIN REG (HUMULIN R) MDV: 100UNITS/ML","0250","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","569.62","percent of total billed charges",,
"INSULIN REG (HUMULIN R) MDV: 100UNITS/ML","0250","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","569.62","percent of total billed charges",,
"INSULIN REG (HUMULIN R) MDV: 100UNITS/ML","0250","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","569.62","percent of total billed charges",,
"INSULIN REG (HUMULIN R) MDV: 100UNITS/ML","0250","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","569.62","percent of total billed charges",,
"INSULIN REG (HUMULIN R) MDV: 100UNITS/ML","0250","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","569.62","percent of total billed charges",,
"INSULIN REG (HUMULIN R) MDV: 100UNITS/ML","0250","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","569.62","percent of total billed charges",,
"INSULIN REG (HUMULIN R) MDV: 100UNITS/ML","0250","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","569.62","percent of total billed charges",,
"INSULIN REG (HUMULIN R) MDV: 100UNITS/ML","0250","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","569.62","percent of total billed charges",,
"INSULIN REG (HUMULIN R) MDV: 100UNITS/ML","0250","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","569.62","percent of total billed charges",,
"INSULIN REG (HUMULIN R) MDV: 100UNITS/ML","0250","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","569.62","percent of total billed charges",,
"INSULIN REG (HUMULIN R) MDV: 100UNITS/ML","0250","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","569.62","percent of total billed charges",,
"INSULIN REG (HUMULIN R) MDV: 100UNITS/ML","0250","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","569.62","percent of total billed charges",,
"INSULIN REG (HUMULIN R) MDV: 100UNITS/ML","0250","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","569.62","percent of total billed charges",,
"SUMATRIPTAN (IMITREX) 100mg TAB","0637","RC","Both",,,"61","30.5","Alliant","Health Exchange",,,"62",,"37.82","0.15","5264.58","percent of total billed charges",,
"SUMATRIPTAN (IMITREX) 100mg TAB","0637","RC","Both",,,"61","30.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"32.94","0.15","5264.58","percent of total billed charges",,
"SUMATRIPTAN (IMITREX) 100mg TAB","0637","RC","Both",,,"61","30.5","Medicare",,,,"54",,"33.06","0.15","5264.58","percent of total billed charges",,
"SUMATRIPTAN (IMITREX) 100mg TAB","0637","RC","Both",,,"61","30.5","Humana","Medicare Advantage",,,"54",,"33.06","0.15","5264.58","percent of total billed charges",,
"SUMATRIPTAN (IMITREX) 100mg TAB","0637","RC","Both",,,"61","30.5","UHC","Medicare Advantage",,,"54",,"33.06","0.15","5264.58","percent of total billed charges",,
"SUMATRIPTAN (IMITREX) 100mg TAB","0637","RC","Both",,,"61","30.5","Clover","Medicare Advantage",,,"54",,"33.06","0.15","5264.58","percent of total billed charges",,
"SUMATRIPTAN (IMITREX) 100mg TAB","0637","RC","Both",,,"61","30.5","Wellcare","Medicare Advantage",,,"54",,"33.06","0.15","5264.58","percent of total billed charges",,
"SUMATRIPTAN (IMITREX) 100mg TAB","0637","RC","Both",,,"61","30.5","Amerigroup","Medicaid Managed Care",,,"37",,"22.33","0.15","5264.58","percent of total billed charges",,
"SUMATRIPTAN (IMITREX) 100mg TAB","0637","RC","Both",,,"61","30.5","Caresource","Medicaid Managed Care",,,"40",,"24.4","0.15","5264.58","percent of total billed charges",,
"SUMATRIPTAN (IMITREX) 100mg TAB","0637","RC","Both",,,"61","30.5","Wellcare","Medicaid Managed Care",,,"40",,"24.7","0.15","5264.58","percent of total billed charges",,
"SUMATRIPTAN (IMITREX) 100mg TAB","0637","RC","Both",,,"61","30.5","Aetna","Commercial",,,"64",,"38.92","0.15","5264.58","percent of total billed charges",,
"SUMATRIPTAN (IMITREX) 100mg TAB","0637","RC","Both",,,"61","30.5","Blue Cross Blue Shield","Pathways",,,"71",,"43.07","0.15","5264.58","percent of total billed charges",,
"SUMATRIPTAN (IMITREX) 100mg TAB","0637","RC","Both",,,"61","30.5","Blue Cross Blue Shield","HMO",,,"71",,"43.07","0.15","5264.58","percent of total billed charges",,
"SUMATRIPTAN (IMITREX) 100mg TAB","0637","RC","Both",,,"61","30.5","Blue Cross Blue Shield","PPO",,,"71",,"43.07","0.15","5264.58","percent of total billed charges",,
"SUMATRIPTAN (IMITREX) 100mg TAB","0637","RC","Both",,,"61","30.5","Ambetter","Health Exchange",,,"62",,"37.82","0.15","5264.58","percent of total billed charges",,
"SUMATRIPTAN (IMITREX) 100mg TAB","0637","RC","Both",,,"61","30.5","Caresource","Health Exchange",,,"62",,"37.82","0.15","5264.58","percent of total billed charges",,
"SUMATRIPTAN (IMITREX) 100mg TAB","0637","RC","Both",,,"61","30.5","Cigna","Commercial",,,"59",,"35.75","0.15","5264.58","percent of total billed charges",,
"SUMATRIPTAN (IMITREX) 100mg TAB","0637","RC","Both",,,"61","30.5","Humana","Commercial",,,"78",,"47.28","0.15","5264.58","percent of total billed charges",,
"SUMATRIPTAN (IMITREX) 100mg TAB","0637","RC","Both",,,"61","30.5","UHC","Commercial",,,"75",,"45.99","0.15","5264.58","percent of total billed charges",,
"SUMATRIPTAN (IMITREX) 100mg TAB","0637","RC","Both",,,"61","30.5","Medicaid",,,,"37",,"22.33","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRT ER (IMDUR) 30MG TAB","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRT ER (IMDUR) 30MG TAB","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRT ER (IMDUR) 30MG TAB","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRT ER (IMDUR) 30MG TAB","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRT ER (IMDUR) 30MG TAB","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRT ER (IMDUR) 30MG TAB","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRT ER (IMDUR) 30MG TAB","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRT ER (IMDUR) 30MG TAB","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRT ER (IMDUR) 30MG TAB","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRT ER (IMDUR) 30MG TAB","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRT ER (IMDUR) 30MG TAB","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRT ER (IMDUR) 30MG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRT ER (IMDUR) 30MG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRT ER (IMDUR) 30MG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRT ER (IMDUR) 30MG TAB","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRT ER (IMDUR) 30MG TAB","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRT ER (IMDUR) 30MG TAB","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRT ER (IMDUR) 30MG TAB","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRT ER (IMDUR) 30MG TAB","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRT ER (IMDUR) 30MG TAB","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRT ER (IMDUR) 60MG TAB","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRT ER (IMDUR) 60MG TAB","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRT ER (IMDUR) 60MG TAB","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRT ER (IMDUR) 60MG TAB","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRT ER (IMDUR) 60MG TAB","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRT ER (IMDUR) 60MG TAB","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRT ER (IMDUR) 60MG TAB","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRT ER (IMDUR) 60MG TAB","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRT ER (IMDUR) 60MG TAB","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRT ER (IMDUR) 60MG TAB","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRT ER (IMDUR) 60MG TAB","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRT ER (IMDUR) 60MG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRT ER (IMDUR) 60MG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRT ER (IMDUR) 60MG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRT ER (IMDUR) 60MG TAB","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRT ER (IMDUR) 60MG TAB","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRT ER (IMDUR) 60MG TAB","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRT ER (IMDUR) 60MG TAB","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRT ER (IMDUR) 60MG TAB","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRT ER (IMDUR) 60MG TAB","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"LOPERAMIDE (IMODIUM) 1MG/7.5ML LIQUID","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LOPERAMIDE (IMODIUM) 1MG/7.5ML LIQUID","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"LOPERAMIDE (IMODIUM) 1MG/7.5ML LIQUID","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LOPERAMIDE (IMODIUM) 1MG/7.5ML LIQUID","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LOPERAMIDE (IMODIUM) 1MG/7.5ML LIQUID","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LOPERAMIDE (IMODIUM) 1MG/7.5ML LIQUID","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LOPERAMIDE (IMODIUM) 1MG/7.5ML LIQUID","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LOPERAMIDE (IMODIUM) 1MG/7.5ML LIQUID","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"LOPERAMIDE (IMODIUM) 1MG/7.5ML LIQUID","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"LOPERAMIDE (IMODIUM) 1MG/7.5ML LIQUID","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"LOPERAMIDE (IMODIUM) 1MG/7.5ML LIQUID","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"LOPERAMIDE (IMODIUM) 1MG/7.5ML LIQUID","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LOPERAMIDE (IMODIUM) 1MG/7.5ML LIQUID","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LOPERAMIDE (IMODIUM) 1MG/7.5ML LIQUID","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LOPERAMIDE (IMODIUM) 1MG/7.5ML LIQUID","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LOPERAMIDE (IMODIUM) 1MG/7.5ML LIQUID","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LOPERAMIDE (IMODIUM) 1MG/7.5ML LIQUID","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"LOPERAMIDE (IMODIUM) 1MG/7.5ML LIQUID","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"LOPERAMIDE (IMODIUM) 1MG/7.5ML LIQUID","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"LOPERAMIDE (IMODIUM) 1MG/7.5ML LIQUID","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"LOPERAMIDE (IMODIUM) 2MG CAPSULES","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LOPERAMIDE (IMODIUM) 2MG CAPSULES","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"LOPERAMIDE (IMODIUM) 2MG CAPSULES","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LOPERAMIDE (IMODIUM) 2MG CAPSULES","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LOPERAMIDE (IMODIUM) 2MG CAPSULES","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LOPERAMIDE (IMODIUM) 2MG CAPSULES","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LOPERAMIDE (IMODIUM) 2MG CAPSULES","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LOPERAMIDE (IMODIUM) 2MG CAPSULES","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"LOPERAMIDE (IMODIUM) 2MG CAPSULES","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"LOPERAMIDE (IMODIUM) 2MG CAPSULES","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"LOPERAMIDE (IMODIUM) 2MG CAPSULES","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"LOPERAMIDE (IMODIUM) 2MG CAPSULES","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LOPERAMIDE (IMODIUM) 2MG CAPSULES","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LOPERAMIDE (IMODIUM) 2MG CAPSULES","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LOPERAMIDE (IMODIUM) 2MG CAPSULES","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LOPERAMIDE (IMODIUM) 2MG CAPSULES","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LOPERAMIDE (IMODIUM) 2MG CAPSULES","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"LOPERAMIDE (IMODIUM) 2MG CAPSULES","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"LOPERAMIDE (IMODIUM) 2MG CAPSULES","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"LOPERAMIDE (IMODIUM) 2MG CAPSULES","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"PROPRANOLOL HCL (INDERAL) 20 MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PROPRANOLOL HCL (INDERAL) 20 MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"PROPRANOLOL HCL (INDERAL) 20 MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PROPRANOLOL HCL (INDERAL) 20 MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PROPRANOLOL HCL (INDERAL) 20 MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PROPRANOLOL HCL (INDERAL) 20 MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PROPRANOLOL HCL (INDERAL) 20 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PROPRANOLOL HCL (INDERAL) 20 MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"PROPRANOLOL HCL (INDERAL) 20 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"PROPRANOLOL HCL (INDERAL) 20 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"PROPRANOLOL HCL (INDERAL) 20 MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"PROPRANOLOL HCL (INDERAL) 20 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PROPRANOLOL HCL (INDERAL) 20 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PROPRANOLOL HCL (INDERAL) 20 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PROPRANOLOL HCL (INDERAL) 20 MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PROPRANOLOL HCL (INDERAL) 20 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PROPRANOLOL HCL (INDERAL) 20 MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"PROPRANOLOL HCL (INDERAL) 20 MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"PROPRANOLOL HCL (INDERAL) 20 MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"PROPRANOLOL HCL (INDERAL) 20 MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"INDOMETHACIN (INDOCIN) CAPSULE: 25MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"INDOMETHACIN (INDOCIN) CAPSULE: 25MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"INDOMETHACIN (INDOCIN) CAPSULE: 25MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"INDOMETHACIN (INDOCIN) CAPSULE: 25MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"INDOMETHACIN (INDOCIN) CAPSULE: 25MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"INDOMETHACIN (INDOCIN) CAPSULE: 25MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"INDOMETHACIN (INDOCIN) CAPSULE: 25MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"INDOMETHACIN (INDOCIN) CAPSULE: 25MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"INDOMETHACIN (INDOCIN) CAPSULE: 25MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"INDOMETHACIN (INDOCIN) CAPSULE: 25MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"INDOMETHACIN (INDOCIN) CAPSULE: 25MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"INDOMETHACIN (INDOCIN) CAPSULE: 25MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"INDOMETHACIN (INDOCIN) CAPSULE: 25MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"INDOMETHACIN (INDOCIN) CAPSULE: 25MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"INDOMETHACIN (INDOCIN) CAPSULE: 25MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"INDOMETHACIN (INDOCIN) CAPSULE: 25MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"INDOMETHACIN (INDOCIN) CAPSULE: 25MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"INDOMETHACIN (INDOCIN) CAPSULE: 25MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"INDOMETHACIN (INDOCIN) CAPSULE: 25MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"INDOMETHACIN (INDOCIN) CAPSULE: 25MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"GLUCOSE (GLUTOSE 15) 40% ORAL GEL","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"GLUCOSE (GLUTOSE 15) 40% ORAL GEL","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"GLUCOSE (GLUTOSE 15) 40% ORAL GEL","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"GLUCOSE (GLUTOSE 15) 40% ORAL GEL","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"GLUCOSE (GLUTOSE 15) 40% ORAL GEL","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"GLUCOSE (GLUTOSE 15) 40% ORAL GEL","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"GLUCOSE (GLUTOSE 15) 40% ORAL GEL","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"GLUCOSE (GLUTOSE 15) 40% ORAL GEL","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"GLUCOSE (GLUTOSE 15) 40% ORAL GEL","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"GLUCOSE (GLUTOSE 15) 40% ORAL GEL","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"GLUCOSE (GLUTOSE 15) 40% ORAL GEL","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"GLUCOSE (GLUTOSE 15) 40% ORAL GEL","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"GLUCOSE (GLUTOSE 15) 40% ORAL GEL","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"GLUCOSE (GLUTOSE 15) 40% ORAL GEL","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"GLUCOSE (GLUTOSE 15) 40% ORAL GEL","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"GLUCOSE (GLUTOSE 15) 40% ORAL GEL","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"GLUCOSE (GLUTOSE 15) 40% ORAL GEL","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"GLUCOSE (GLUTOSE 15) 40% ORAL GEL","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"GLUCOSE (GLUTOSE 15) 40% ORAL GEL","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"GLUCOSE (GLUTOSE 15) 40% ORAL GEL","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"SODIUM POLYSTYRENE (KAYEXALATE) 15 GM","0250","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.04","569.62","percent of total billed charges",,
"SODIUM POLYSTYRENE (KAYEXALATE) 15 GM","0250","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.04","569.62","percent of total billed charges",,
"SODIUM POLYSTYRENE (KAYEXALATE) 15 GM","0250","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"SODIUM POLYSTYRENE (KAYEXALATE) 15 GM","0250","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"SODIUM POLYSTYRENE (KAYEXALATE) 15 GM","0250","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"SODIUM POLYSTYRENE (KAYEXALATE) 15 GM","0250","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"SODIUM POLYSTYRENE (KAYEXALATE) 15 GM","0250","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"SODIUM POLYSTYRENE (KAYEXALATE) 15 GM","0250","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.04","569.62","percent of total billed charges",,
"SODIUM POLYSTYRENE (KAYEXALATE) 15 GM","0250","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.04","569.62","percent of total billed charges",,
"SODIUM POLYSTYRENE (KAYEXALATE) 15 GM","0250","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.04","569.62","percent of total billed charges",,
"SODIUM POLYSTYRENE (KAYEXALATE) 15 GM","0250","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.04","569.62","percent of total billed charges",,
"SODIUM POLYSTYRENE (KAYEXALATE) 15 GM","0250","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.04","569.62","percent of total billed charges",,
"SODIUM POLYSTYRENE (KAYEXALATE) 15 GM","0250","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.04","569.62","percent of total billed charges",,
"SODIUM POLYSTYRENE (KAYEXALATE) 15 GM","0250","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.04","569.62","percent of total billed charges",,
"SODIUM POLYSTYRENE (KAYEXALATE) 15 GM","0250","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.04","569.62","percent of total billed charges",,
"SODIUM POLYSTYRENE (KAYEXALATE) 15 GM","0250","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.04","569.62","percent of total billed charges",,
"SODIUM POLYSTYRENE (KAYEXALATE) 15 GM","0250","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.04","569.62","percent of total billed charges",,
"SODIUM POLYSTYRENE (KAYEXALATE) 15 GM","0250","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.04","569.62","percent of total billed charges",,
"SODIUM POLYSTYRENE (KAYEXALATE) 15 GM","0250","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.04","569.62","percent of total billed charges",,
"SODIUM POLYSTYRENE (KAYEXALATE) 15 GM","0250","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.04","569.62","percent of total billed charges",,
"CEPHALEXIN (KEFLEX) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CEPHALEXIN (KEFLEX) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"CEPHALEXIN (KEFLEX) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CEPHALEXIN (KEFLEX) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CEPHALEXIN (KEFLEX) 250 MG CAPSULES","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CEPHALEXIN (KEFLEX) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CEPHALEXIN (KEFLEX) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CEPHALEXIN (KEFLEX) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"CEPHALEXIN (KEFLEX) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"CEPHALEXIN (KEFLEX) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"CEPHALEXIN (KEFLEX) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"CEPHALEXIN (KEFLEX) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CEPHALEXIN (KEFLEX) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CEPHALEXIN (KEFLEX) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CEPHALEXIN (KEFLEX) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CEPHALEXIN (KEFLEX) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CEPHALEXIN (KEFLEX) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"CEPHALEXIN (KEFLEX) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"CEPHALEXIN (KEFLEX) 250 MG CAPSULES","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"CEPHALEXIN (KEFLEX) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"clonAZEPAM (KLONIPIN) 2MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"clonAZEPAM (KLONIPIN) 2MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"clonAZEPAM (KLONIPIN) 2MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"clonAZEPAM (KLONIPIN) 2MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"clonAZEPAM (KLONIPIN) 2MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"clonAZEPAM (KLONIPIN) 2MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"clonAZEPAM (KLONIPIN) 2MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"clonAZEPAM (KLONIPIN) 2MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"clonAZEPAM (KLONIPIN) 2MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"clonAZEPAM (KLONIPIN) 2MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"clonAZEPAM (KLONIPIN) 2MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"clonAZEPAM (KLONIPIN) 2MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"clonAZEPAM (KLONIPIN) 2MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"clonAZEPAM (KLONIPIN) 2MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"clonAZEPAM (KLONIPIN) 2MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"clonAZEPAM (KLONIPIN) 2MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"clonAZEPAM (KLONIPIN) 2MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"clonAZEPAM (KLONIPIN) 2MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"clonAZEPAM (KLONIPIN) 2MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"clonAZEPAM (KLONIPIN) 2MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"clonAZEPAM (KLONIPIN) 0.5MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"clonAZEPAM (KLONIPIN) 0.5MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"clonAZEPAM (KLONIPIN) 0.5MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"clonAZEPAM (KLONIPIN) 0.5MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"clonAZEPAM (KLONIPIN) 0.5MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"clonAZEPAM (KLONIPIN) 0.5MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"clonAZEPAM (KLONIPIN) 0.5MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"clonAZEPAM (KLONIPIN) 0.5MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"clonAZEPAM (KLONIPIN) 0.5MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"clonAZEPAM (KLONIPIN) 0.5MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"clonAZEPAM (KLONIPIN) 0.5MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"clonAZEPAM (KLONIPIN) 0.5MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"clonAZEPAM (KLONIPIN) 0.5MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"clonAZEPAM (KLONIPIN) 0.5MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"clonAZEPAM (KLONIPIN) 0.5MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"clonAZEPAM (KLONIPIN) 0.5MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"clonAZEPAM (KLONIPIN) 0.5MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"clonAZEPAM (KLONIPIN) 0.5MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"clonAZEPAM (KLONIPIN) 0.5MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"clonAZEPAM (KLONIPIN) 0.5MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ARTIFICIAL TEARS OINT 3.5gm","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"ARTIFICIAL TEARS OINT 3.5gm","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"ARTIFICIAL TEARS OINT 3.5gm","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"ARTIFICIAL TEARS OINT 3.5gm","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"ARTIFICIAL TEARS OINT 3.5gm","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"ARTIFICIAL TEARS OINT 3.5gm","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"ARTIFICIAL TEARS OINT 3.5gm","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"ARTIFICIAL TEARS OINT 3.5gm","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"ARTIFICIAL TEARS OINT 3.5gm","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"ARTIFICIAL TEARS OINT 3.5gm","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"ARTIFICIAL TEARS OINT 3.5gm","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"ARTIFICIAL TEARS OINT 3.5gm","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"ARTIFICIAL TEARS OINT 3.5gm","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"ARTIFICIAL TEARS OINT 3.5gm","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"ARTIFICIAL TEARS OINT 3.5gm","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"ARTIFICIAL TEARS OINT 3.5gm","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"ARTIFICIAL TEARS OINT 3.5gm","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"ARTIFICIAL TEARS OINT 3.5gm","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"ARTIFICIAL TEARS OINT 3.5gm","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"ARTIFICIAL TEARS OINT 3.5gm","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"DIGOXIN (LANOXIN) TABLET: 0.125MG","0637","RC","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"DIGOXIN (LANOXIN) TABLET: 0.125MG","0637","RC","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","0.15","5264.58","percent of total billed charges",,
"DIGOXIN (LANOXIN) TABLET: 0.125MG","0637","RC","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"DIGOXIN (LANOXIN) TABLET: 0.125MG","0637","RC","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"DIGOXIN (LANOXIN) TABLET: 0.125MG","0637","RC","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"DIGOXIN (LANOXIN) TABLET: 0.125MG","0637","RC","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"DIGOXIN (LANOXIN) TABLET: 0.125MG","0637","RC","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"DIGOXIN (LANOXIN) TABLET: 0.125MG","0637","RC","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"DIGOXIN (LANOXIN) TABLET: 0.125MG","0637","RC","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","0.15","5264.58","percent of total billed charges",,
"DIGOXIN (LANOXIN) TABLET: 0.125MG","0637","RC","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.15","5264.58","percent of total billed charges",,
"DIGOXIN (LANOXIN) TABLET: 0.125MG","0637","RC","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","0.15","5264.58","percent of total billed charges",,
"DIGOXIN (LANOXIN) TABLET: 0.125MG","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"DIGOXIN (LANOXIN) TABLET: 0.125MG","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"DIGOXIN (LANOXIN) TABLET: 0.125MG","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"DIGOXIN (LANOXIN) TABLET: 0.125MG","0637","RC","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"DIGOXIN (LANOXIN) TABLET: 0.125MG","0637","RC","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"DIGOXIN (LANOXIN) TABLET: 0.125MG","0637","RC","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","0.15","5264.58","percent of total billed charges",,
"DIGOXIN (LANOXIN) TABLET: 0.125MG","0637","RC","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","0.15","5264.58","percent of total billed charges",,
"DIGOXIN (LANOXIN) TABLET: 0.125MG","0637","RC","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","0.15","5264.58","percent of total billed charges",,
"DIGOXIN (LANOXIN) TABLET: 0.125MG","0637","RC","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"DIGOXIN (LANOXIN) TABLET: 0.25 MG","0637","RC","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"DIGOXIN (LANOXIN) TABLET: 0.25 MG","0637","RC","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","0.15","5264.58","percent of total billed charges",,
"DIGOXIN (LANOXIN) TABLET: 0.25 MG","0637","RC","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"DIGOXIN (LANOXIN) TABLET: 0.25 MG","0637","RC","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"DIGOXIN (LANOXIN) TABLET: 0.25 MG","0637","RC","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"DIGOXIN (LANOXIN) TABLET: 0.25 MG","0637","RC","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"DIGOXIN (LANOXIN) TABLET: 0.25 MG","0637","RC","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"DIGOXIN (LANOXIN) TABLET: 0.25 MG","0637","RC","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"DIGOXIN (LANOXIN) TABLET: 0.25 MG","0637","RC","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","0.15","5264.58","percent of total billed charges",,
"DIGOXIN (LANOXIN) TABLET: 0.25 MG","0637","RC","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.15","5264.58","percent of total billed charges",,
"DIGOXIN (LANOXIN) TABLET: 0.25 MG","0637","RC","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","0.15","5264.58","percent of total billed charges",,
"DIGOXIN (LANOXIN) TABLET: 0.25 MG","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"DIGOXIN (LANOXIN) TABLET: 0.25 MG","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"DIGOXIN (LANOXIN) TABLET: 0.25 MG","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"DIGOXIN (LANOXIN) TABLET: 0.25 MG","0637","RC","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"DIGOXIN (LANOXIN) TABLET: 0.25 MG","0637","RC","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"DIGOXIN (LANOXIN) TABLET: 0.25 MG","0637","RC","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","0.15","5264.58","percent of total billed charges",,
"DIGOXIN (LANOXIN) TABLET: 0.25 MG","0637","RC","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","0.15","5264.58","percent of total billed charges",,
"DIGOXIN (LANOXIN) TABLET: 0.25 MG","0637","RC","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","0.15","5264.58","percent of total billed charges",,
"DIGOXIN (LANOXIN) TABLET: 0.25 MG","0637","RC","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"INSULIN GLARGINE (LANTUS) MDV:100UNIT/ML","0637","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"INSULIN GLARGINE (LANTUS) MDV:100UNIT/ML","0637","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.15","5264.58","percent of total billed charges",,
"INSULIN GLARGINE (LANTUS) MDV:100UNIT/ML","0637","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"INSULIN GLARGINE (LANTUS) MDV:100UNIT/ML","0637","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"INSULIN GLARGINE (LANTUS) MDV:100UNIT/ML","0637","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"INSULIN GLARGINE (LANTUS) MDV:100UNIT/ML","0637","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"INSULIN GLARGINE (LANTUS) MDV:100UNIT/ML","0637","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"INSULIN GLARGINE (LANTUS) MDV:100UNIT/ML","0637","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"INSULIN GLARGINE (LANTUS) MDV:100UNIT/ML","0637","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.15","5264.58","percent of total billed charges",,
"INSULIN GLARGINE (LANTUS) MDV:100UNIT/ML","0637","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.15","5264.58","percent of total billed charges",,
"INSULIN GLARGINE (LANTUS) MDV:100UNIT/ML","0637","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.15","5264.58","percent of total billed charges",,
"INSULIN GLARGINE (LANTUS) MDV:100UNIT/ML","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"INSULIN GLARGINE (LANTUS) MDV:100UNIT/ML","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"INSULIN GLARGINE (LANTUS) MDV:100UNIT/ML","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"INSULIN GLARGINE (LANTUS) MDV:100UNIT/ML","0637","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"INSULIN GLARGINE (LANTUS) MDV:100UNIT/ML","0637","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"INSULIN GLARGINE (LANTUS) MDV:100UNIT/ML","0637","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.15","5264.58","percent of total billed charges",,
"INSULIN GLARGINE (LANTUS) MDV:100UNIT/ML","0637","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.15","5264.58","percent of total billed charges",,
"INSULIN GLARGINE (LANTUS) MDV:100UNIT/ML","0637","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.15","5264.58","percent of total billed charges",,
"INSULIN GLARGINE (LANTUS) MDV:100UNIT/ML","0637","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 20MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 20MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 20MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 20MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 20MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 20MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 20MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 20MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 20MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 20MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 20MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 20MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 20MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 20MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 20MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 20MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 20MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 20MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 20MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 20MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 40MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 40MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 40MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 40MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 40MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 40MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 40MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 40MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 40MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 40MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 40MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 40MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 40MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 40MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 40MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 40MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 40MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 40MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 40MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 40MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 80MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 80MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 80MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 80MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 80MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 80MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 80MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 80MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 80MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 80MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 80MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 80MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 80MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 80MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 80MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 80MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 80MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 80MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 80MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"FUROSEMIDE (LASIX) 80MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"BACLOFEN (LIORESAL) TABLET: 10 MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"BACLOFEN (LIORESAL) TABLET: 10 MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"BACLOFEN (LIORESAL) TABLET: 10 MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BACLOFEN (LIORESAL) TABLET: 10 MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BACLOFEN (LIORESAL) TABLET: 10 MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BACLOFEN (LIORESAL) TABLET: 10 MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BACLOFEN (LIORESAL) TABLET: 10 MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BACLOFEN (LIORESAL) TABLET: 10 MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"BACLOFEN (LIORESAL) TABLET: 10 MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"BACLOFEN (LIORESAL) TABLET: 10 MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"BACLOFEN (LIORESAL) TABLET: 10 MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"BACLOFEN (LIORESAL) TABLET: 10 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"BACLOFEN (LIORESAL) TABLET: 10 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"BACLOFEN (LIORESAL) TABLET: 10 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"BACLOFEN (LIORESAL) TABLET: 10 MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"BACLOFEN (LIORESAL) TABLET: 10 MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"BACLOFEN (LIORESAL) TABLET: 10 MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"BACLOFEN (LIORESAL) TABLET: 10 MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"BACLOFEN (LIORESAL) TABLET: 10 MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"BACLOFEN (LIORESAL) TABLET: 10 MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NOREPINEPHRINE (LEVOPHED) 4MG/4ML INJ","0250","RC","Both",,,"38","19","Alliant","Health Exchange",,,"62",,"23.56","0.04","569.62","percent of total billed charges",,
"NOREPINEPHRINE (LEVOPHED) 4MG/4ML INJ","0250","RC","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.52","0.04","569.62","percent of total billed charges",,
"NOREPINEPHRINE (LEVOPHED) 4MG/4ML INJ","0250","RC","Both",,,"38","19","Medicare",,,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"NOREPINEPHRINE (LEVOPHED) 4MG/4ML INJ","0250","RC","Both",,,"38","19","Humana","Medicare Advantage",,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"NOREPINEPHRINE (LEVOPHED) 4MG/4ML INJ","0250","RC","Both",,,"38","19","UHC","Medicare Advantage",,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"NOREPINEPHRINE (LEVOPHED) 4MG/4ML INJ","0250","RC","Both",,,"38","19","Clover","Medicare Advantage",,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"NOREPINEPHRINE (LEVOPHED) 4MG/4ML INJ","0250","RC","Both",,,"38","19","Wellcare","Medicare Advantage",,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"NOREPINEPHRINE (LEVOPHED) 4MG/4ML INJ","0250","RC","Both",,,"38","19","Amerigroup","Medicaid Managed Care",,,"37",,"13.91","0.04","569.62","percent of total billed charges",,
"NOREPINEPHRINE (LEVOPHED) 4MG/4ML INJ","0250","RC","Both",,,"38","19","Caresource","Medicaid Managed Care",,,"40",,"15.2","0.04","569.62","percent of total billed charges",,
"NOREPINEPHRINE (LEVOPHED) 4MG/4ML INJ","0250","RC","Both",,,"38","19","Wellcare","Medicaid Managed Care",,,"40",,"15.39","0.04","569.62","percent of total billed charges",,
"NOREPINEPHRINE (LEVOPHED) 4MG/4ML INJ","0250","RC","Both",,,"38","19","Aetna","Commercial",,,"64",,"24.24","0.04","569.62","percent of total billed charges",,
"NOREPINEPHRINE (LEVOPHED) 4MG/4ML INJ","0250","RC","Both",,,"38","19","Blue Cross Blue Shield","Pathways",,,"71",,"26.83","0.04","569.62","percent of total billed charges",,
"NOREPINEPHRINE (LEVOPHED) 4MG/4ML INJ","0250","RC","Both",,,"38","19","Blue Cross Blue Shield","HMO",,,"71",,"26.83","0.04","569.62","percent of total billed charges",,
"NOREPINEPHRINE (LEVOPHED) 4MG/4ML INJ","0250","RC","Both",,,"38","19","Blue Cross Blue Shield","PPO",,,"71",,"26.83","0.04","569.62","percent of total billed charges",,
"NOREPINEPHRINE (LEVOPHED) 4MG/4ML INJ","0250","RC","Both",,,"38","19","Ambetter","Health Exchange",,,"62",,"23.56","0.04","569.62","percent of total billed charges",,
"NOREPINEPHRINE (LEVOPHED) 4MG/4ML INJ","0250","RC","Both",,,"38","19","Caresource","Health Exchange",,,"62",,"23.56","0.04","569.62","percent of total billed charges",,
"NOREPINEPHRINE (LEVOPHED) 4MG/4ML INJ","0250","RC","Both",,,"38","19","Cigna","Commercial",,,"59",,"22.27","0.04","569.62","percent of total billed charges",,
"NOREPINEPHRINE (LEVOPHED) 4MG/4ML INJ","0250","RC","Both",,,"38","19","Humana","Commercial",,,"78",,"29.45","0.04","569.62","percent of total billed charges",,
"NOREPINEPHRINE (LEVOPHED) 4MG/4ML INJ","0250","RC","Both",,,"38","19","UHC","Commercial",,,"75",,"28.65","0.04","569.62","percent of total billed charges",,
"NOREPINEPHRINE (LEVOPHED) 4MG/4ML INJ","0250","RC","Both",,,"38","19","Medicaid",,,,"37",,"13.91","0.04","569.62","percent of total billed charges",,
"FLUOCINONIDE (LIDEX) 0.05% OINT 15GM","0637","RC","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"FLUOCINONIDE (LIDEX) 0.05% OINT 15GM","0637","RC","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","0.15","5264.58","percent of total billed charges",,
"FLUOCINONIDE (LIDEX) 0.05% OINT 15GM","0637","RC","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"FLUOCINONIDE (LIDEX) 0.05% OINT 15GM","0637","RC","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"FLUOCINONIDE (LIDEX) 0.05% OINT 15GM","0637","RC","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"FLUOCINONIDE (LIDEX) 0.05% OINT 15GM","0637","RC","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"FLUOCINONIDE (LIDEX) 0.05% OINT 15GM","0637","RC","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"FLUOCINONIDE (LIDEX) 0.05% OINT 15GM","0637","RC","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"FLUOCINONIDE (LIDEX) 0.05% OINT 15GM","0637","RC","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","0.15","5264.58","percent of total billed charges",,
"FLUOCINONIDE (LIDEX) 0.05% OINT 15GM","0637","RC","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","0.15","5264.58","percent of total billed charges",,
"FLUOCINONIDE (LIDEX) 0.05% OINT 15GM","0637","RC","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","0.15","5264.58","percent of total billed charges",,
"FLUOCINONIDE (LIDEX) 0.05% OINT 15GM","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"FLUOCINONIDE (LIDEX) 0.05% OINT 15GM","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"FLUOCINONIDE (LIDEX) 0.05% OINT 15GM","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"FLUOCINONIDE (LIDEX) 0.05% OINT 15GM","0637","RC","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"FLUOCINONIDE (LIDEX) 0.05% OINT 15GM","0637","RC","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"FLUOCINONIDE (LIDEX) 0.05% OINT 15GM","0637","RC","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","0.15","5264.58","percent of total billed charges",,
"FLUOCINONIDE (LIDEX) 0.05% OINT 15GM","0637","RC","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","0.15","5264.58","percent of total billed charges",,
"FLUOCINONIDE (LIDEX) 0.05% OINT 15GM","0637","RC","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","0.15","5264.58","percent of total billed charges",,
"FLUOCINONIDE (LIDEX) 0.05% OINT 15GM","0637","RC","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"LITHIUM CARB TABLET: 300 MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LITHIUM CARB TABLET: 300 MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"LITHIUM CARB TABLET: 300 MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LITHIUM CARB TABLET: 300 MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LITHIUM CARB TABLET: 300 MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LITHIUM CARB TABLET: 300 MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LITHIUM CARB TABLET: 300 MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LITHIUM CARB TABLET: 300 MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"LITHIUM CARB TABLET: 300 MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"LITHIUM CARB TABLET: 300 MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"LITHIUM CARB TABLET: 300 MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"LITHIUM CARB TABLET: 300 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LITHIUM CARB TABLET: 300 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LITHIUM CARB TABLET: 300 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LITHIUM CARB TABLET: 300 MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LITHIUM CARB TABLET: 300 MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LITHIUM CARB TABLET: 300 MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"LITHIUM CARB TABLET: 300 MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"LITHIUM CARB TABLET: 300 MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"LITHIUM CARB TABLET: 300 MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ATORVASTATIN (LIPITOR) 10 MG TABLET","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"ATORVASTATIN (LIPITOR) 10 MG TABLET","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"ATORVASTATIN (LIPITOR) 10 MG TABLET","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"ATORVASTATIN (LIPITOR) 10 MG TABLET","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"ATORVASTATIN (LIPITOR) 10 MG TABLET","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"ATORVASTATIN (LIPITOR) 10 MG TABLET","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"ATORVASTATIN (LIPITOR) 10 MG TABLET","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"ATORVASTATIN (LIPITOR) 10 MG TABLET","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"ATORVASTATIN (LIPITOR) 10 MG TABLET","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"ATORVASTATIN (LIPITOR) 10 MG TABLET","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"ATORVASTATIN (LIPITOR) 10 MG TABLET","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"ATORVASTATIN (LIPITOR) 10 MG TABLET","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"ATORVASTATIN (LIPITOR) 10 MG TABLET","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"ATORVASTATIN (LIPITOR) 10 MG TABLET","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"ATORVASTATIN (LIPITOR) 10 MG TABLET","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"ATORVASTATIN (LIPITOR) 10 MG TABLET","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"ATORVASTATIN (LIPITOR) 10 MG TABLET","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"ATORVASTATIN (LIPITOR) 10 MG TABLET","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"ATORVASTATIN (LIPITOR) 10 MG TABLET","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"ATORVASTATIN (LIPITOR) 10 MG TABLET","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"ATORVASTATIN (LIPITOR) 40MG TABLETS","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"ATORVASTATIN (LIPITOR) 40MG TABLETS","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"ATORVASTATIN (LIPITOR) 40MG TABLETS","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"ATORVASTATIN (LIPITOR) 40MG TABLETS","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"ATORVASTATIN (LIPITOR) 40MG TABLETS","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"ATORVASTATIN (LIPITOR) 40MG TABLETS","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"ATORVASTATIN (LIPITOR) 40MG TABLETS","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"ATORVASTATIN (LIPITOR) 40MG TABLETS","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"ATORVASTATIN (LIPITOR) 40MG TABLETS","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"ATORVASTATIN (LIPITOR) 40MG TABLETS","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"ATORVASTATIN (LIPITOR) 40MG TABLETS","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"ATORVASTATIN (LIPITOR) 40MG TABLETS","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"ATORVASTATIN (LIPITOR) 40MG TABLETS","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"ATORVASTATIN (LIPITOR) 40MG TABLETS","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"ATORVASTATIN (LIPITOR) 40MG TABLETS","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"ATORVASTATIN (LIPITOR) 40MG TABLETS","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"ATORVASTATIN (LIPITOR) 40MG TABLETS","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"ATORVASTATIN (LIPITOR) 40MG TABLETS","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"ATORVASTATIN (LIPITOR) 40MG TABLETS","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"ATORVASTATIN (LIPITOR) 40MG TABLETS","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"DIPHENOXYLATE/ATROPINE (LOMOTIL) TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DIPHENOXYLATE/ATROPINE (LOMOTIL) TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"DIPHENOXYLATE/ATROPINE (LOMOTIL) TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DIPHENOXYLATE/ATROPINE (LOMOTIL) TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DIPHENOXYLATE/ATROPINE (LOMOTIL) TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DIPHENOXYLATE/ATROPINE (LOMOTIL) TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DIPHENOXYLATE/ATROPINE (LOMOTIL) TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DIPHENOXYLATE/ATROPINE (LOMOTIL) TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"DIPHENOXYLATE/ATROPINE (LOMOTIL) TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"DIPHENOXYLATE/ATROPINE (LOMOTIL) TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"DIPHENOXYLATE/ATROPINE (LOMOTIL) TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"DIPHENOXYLATE/ATROPINE (LOMOTIL) TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DIPHENOXYLATE/ATROPINE (LOMOTIL) TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DIPHENOXYLATE/ATROPINE (LOMOTIL) TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DIPHENOXYLATE/ATROPINE (LOMOTIL) TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DIPHENOXYLATE/ATROPINE (LOMOTIL) TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DIPHENOXYLATE/ATROPINE (LOMOTIL) TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"DIPHENOXYLATE/ATROPINE (LOMOTIL) TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"DIPHENOXYLATE/ATROPINE (LOMOTIL) TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"DIPHENOXYLATE/ATROPINE (LOMOTIL) TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"METOPROLOL tart. (LOPRESSOR) TAB: 50 MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"METOPROLOL tart. (LOPRESSOR) TAB: 50 MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"METOPROLOL tart. (LOPRESSOR) TAB: 50 MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METOPROLOL tart. (LOPRESSOR) TAB: 50 MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METOPROLOL tart. (LOPRESSOR) TAB: 50 MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METOPROLOL tart. (LOPRESSOR) TAB: 50 MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METOPROLOL tart. (LOPRESSOR) TAB: 50 MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METOPROLOL tart. (LOPRESSOR) TAB: 50 MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"METOPROLOL tart. (LOPRESSOR) TAB: 50 MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"METOPROLOL tart. (LOPRESSOR) TAB: 50 MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"METOPROLOL tart. (LOPRESSOR) TAB: 50 MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"METOPROLOL tart. (LOPRESSOR) TAB: 50 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"METOPROLOL tart. (LOPRESSOR) TAB: 50 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"METOPROLOL tart. (LOPRESSOR) TAB: 50 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"METOPROLOL tart. (LOPRESSOR) TAB: 50 MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"METOPROLOL tart. (LOPRESSOR) TAB: 50 MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"METOPROLOL tart. (LOPRESSOR) TAB: 50 MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"METOPROLOL tart. (LOPRESSOR) TAB: 50 MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"METOPROLOL tart. (LOPRESSOR) TAB: 50 MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"METOPROLOL tart. (LOPRESSOR) TAB: 50 MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"METOPROLOL (LOPRESSOR) 5MG/5ML INJ","0250","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.04","569.62","percent of total billed charges",,
"METOPROLOL (LOPRESSOR) 5MG/5ML INJ","0250","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.04","569.62","percent of total billed charges",,
"METOPROLOL (LOPRESSOR) 5MG/5ML INJ","0250","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"METOPROLOL (LOPRESSOR) 5MG/5ML INJ","0250","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"METOPROLOL (LOPRESSOR) 5MG/5ML INJ","0250","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"METOPROLOL (LOPRESSOR) 5MG/5ML INJ","0250","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"METOPROLOL (LOPRESSOR) 5MG/5ML INJ","0250","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"METOPROLOL (LOPRESSOR) 5MG/5ML INJ","0250","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.04","569.62","percent of total billed charges",,
"METOPROLOL (LOPRESSOR) 5MG/5ML INJ","0250","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.04","569.62","percent of total billed charges",,
"METOPROLOL (LOPRESSOR) 5MG/5ML INJ","0250","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.04","569.62","percent of total billed charges",,
"METOPROLOL (LOPRESSOR) 5MG/5ML INJ","0250","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.04","569.62","percent of total billed charges",,
"METOPROLOL (LOPRESSOR) 5MG/5ML INJ","0250","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.04","569.62","percent of total billed charges",,
"METOPROLOL (LOPRESSOR) 5MG/5ML INJ","0250","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.04","569.62","percent of total billed charges",,
"METOPROLOL (LOPRESSOR) 5MG/5ML INJ","0250","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.04","569.62","percent of total billed charges",,
"METOPROLOL (LOPRESSOR) 5MG/5ML INJ","0250","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.04","569.62","percent of total billed charges",,
"METOPROLOL (LOPRESSOR) 5MG/5ML INJ","0250","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.04","569.62","percent of total billed charges",,
"METOPROLOL (LOPRESSOR) 5MG/5ML INJ","0250","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.04","569.62","percent of total billed charges",,
"METOPROLOL (LOPRESSOR) 5MG/5ML INJ","0250","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.04","569.62","percent of total billed charges",,
"METOPROLOL (LOPRESSOR) 5MG/5ML INJ","0250","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.04","569.62","percent of total billed charges",,
"METOPROLOL (LOPRESSOR) 5MG/5ML INJ","0250","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.04","569.62","percent of total billed charges",,
"CLOTRIMAZOLE (LOTRIMIN) 1% CRM 15GM","0637","RC","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"CLOTRIMAZOLE (LOTRIMIN) 1% CRM 15GM","0637","RC","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","0.15","5264.58","percent of total billed charges",,
"CLOTRIMAZOLE (LOTRIMIN) 1% CRM 15GM","0637","RC","Both",,,"22","11","Medicare",,,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"CLOTRIMAZOLE (LOTRIMIN) 1% CRM 15GM","0637","RC","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"CLOTRIMAZOLE (LOTRIMIN) 1% CRM 15GM","0637","RC","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"CLOTRIMAZOLE (LOTRIMIN) 1% CRM 15GM","0637","RC","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"CLOTRIMAZOLE (LOTRIMIN) 1% CRM 15GM","0637","RC","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"CLOTRIMAZOLE (LOTRIMIN) 1% CRM 15GM","0637","RC","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"CLOTRIMAZOLE (LOTRIMIN) 1% CRM 15GM","0637","RC","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","0.15","5264.58","percent of total billed charges",,
"CLOTRIMAZOLE (LOTRIMIN) 1% CRM 15GM","0637","RC","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","0.15","5264.58","percent of total billed charges",,
"CLOTRIMAZOLE (LOTRIMIN) 1% CRM 15GM","0637","RC","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","0.15","5264.58","percent of total billed charges",,
"CLOTRIMAZOLE (LOTRIMIN) 1% CRM 15GM","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"CLOTRIMAZOLE (LOTRIMIN) 1% CRM 15GM","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"CLOTRIMAZOLE (LOTRIMIN) 1% CRM 15GM","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"CLOTRIMAZOLE (LOTRIMIN) 1% CRM 15GM","0637","RC","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"CLOTRIMAZOLE (LOTRIMIN) 1% CRM 15GM","0637","RC","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"CLOTRIMAZOLE (LOTRIMIN) 1% CRM 15GM","0637","RC","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","0.15","5264.58","percent of total billed charges",,
"CLOTRIMAZOLE (LOTRIMIN) 1% CRM 15GM","0637","RC","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","0.15","5264.58","percent of total billed charges",,
"CLOTRIMAZOLE (LOTRIMIN) 1% CRM 15GM","0637","RC","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","0.15","5264.58","percent of total billed charges",,
"CLOTRIMAZOLE (LOTRIMIN) 1% CRM 15GM","0637","RC","Both",,,"22","11","Medicaid",,,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"METOPROLOL tart (LOPRESSOR) TAB: 25 MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"METOPROLOL tart (LOPRESSOR) TAB: 25 MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"METOPROLOL tart (LOPRESSOR) TAB: 25 MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METOPROLOL tart (LOPRESSOR) TAB: 25 MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METOPROLOL tart (LOPRESSOR) TAB: 25 MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METOPROLOL tart (LOPRESSOR) TAB: 25 MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METOPROLOL tart (LOPRESSOR) TAB: 25 MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METOPROLOL tart (LOPRESSOR) TAB: 25 MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"METOPROLOL tart (LOPRESSOR) TAB: 25 MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"METOPROLOL tart (LOPRESSOR) TAB: 25 MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"METOPROLOL tart (LOPRESSOR) TAB: 25 MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"METOPROLOL tart (LOPRESSOR) TAB: 25 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"METOPROLOL tart (LOPRESSOR) TAB: 25 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"METOPROLOL tart (LOPRESSOR) TAB: 25 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"METOPROLOL tart (LOPRESSOR) TAB: 25 MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"METOPROLOL tart (LOPRESSOR) TAB: 25 MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"METOPROLOL tart (LOPRESSOR) TAB: 25 MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"METOPROLOL tart (LOPRESSOR) TAB: 25 MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"METOPROLOL tart (LOPRESSOR) TAB: 25 MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"METOPROLOL tart (LOPRESSOR) TAB: 25 MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"MAG/ALUM/SIME (MAALOX/MYLANTA) SUSP:30ML","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"MAG/ALUM/SIME (MAALOX/MYLANTA) SUSP:30ML","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"MAG/ALUM/SIME (MAALOX/MYLANTA) SUSP:30ML","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"MAG/ALUM/SIME (MAALOX/MYLANTA) SUSP:30ML","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"MAG/ALUM/SIME (MAALOX/MYLANTA) SUSP:30ML","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"MAG/ALUM/SIME (MAALOX/MYLANTA) SUSP:30ML","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"MAG/ALUM/SIME (MAALOX/MYLANTA) SUSP:30ML","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"MAG/ALUM/SIME (MAALOX/MYLANTA) SUSP:30ML","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"MAG/ALUM/SIME (MAALOX/MYLANTA) SUSP:30ML","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"MAG/ALUM/SIME (MAALOX/MYLANTA) SUSP:30ML","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"MAG/ALUM/SIME (MAALOX/MYLANTA) SUSP:30ML","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"MAG/ALUM/SIME (MAALOX/MYLANTA) SUSP:30ML","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"MAG/ALUM/SIME (MAALOX/MYLANTA) SUSP:30ML","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"MAG/ALUM/SIME (MAALOX/MYLANTA) SUSP:30ML","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"MAG/ALUM/SIME (MAALOX/MYLANTA) SUSP:30ML","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"MAG/ALUM/SIME (MAALOX/MYLANTA) SUSP:30ML","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"MAG/ALUM/SIME (MAALOX/MYLANTA) SUSP:30ML","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"MAG/ALUM/SIME (MAALOX/MYLANTA) SUSP:30ML","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"MAG/ALUM/SIME (MAALOX/MYLANTA) SUSP:30ML","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"MAG/ALUM/SIME (MAALOX/MYLANTA) SUSP:30ML","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"MAGNESIUM OXIDE (MAG-OX) 400MG TB","0250","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","569.62","percent of total billed charges",,
"MAGNESIUM OXIDE (MAG-OX) 400MG TB","0250","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","569.62","percent of total billed charges",,
"MAGNESIUM OXIDE (MAG-OX) 400MG TB","0250","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","569.62","percent of total billed charges",,
"MAGNESIUM OXIDE (MAG-OX) 400MG TB","0250","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","569.62","percent of total billed charges",,
"MAGNESIUM OXIDE (MAG-OX) 400MG TB","0250","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","569.62","percent of total billed charges",,
"MAGNESIUM OXIDE (MAG-OX) 400MG TB","0250","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","569.62","percent of total billed charges",,
"MAGNESIUM OXIDE (MAG-OX) 400MG TB","0250","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","569.62","percent of total billed charges",,
"MAGNESIUM OXIDE (MAG-OX) 400MG TB","0250","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","569.62","percent of total billed charges",,
"MAGNESIUM OXIDE (MAG-OX) 400MG TB","0250","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","569.62","percent of total billed charges",,
"MAGNESIUM OXIDE (MAG-OX) 400MG TB","0250","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","569.62","percent of total billed charges",,
"MAGNESIUM OXIDE (MAG-OX) 400MG TB","0250","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","569.62","percent of total billed charges",,
"MAGNESIUM OXIDE (MAG-OX) 400MG TB","0250","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","569.62","percent of total billed charges",,
"MAGNESIUM OXIDE (MAG-OX) 400MG TB","0250","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","569.62","percent of total billed charges",,
"MAGNESIUM OXIDE (MAG-OX) 400MG TB","0250","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","569.62","percent of total billed charges",,
"MAGNESIUM OXIDE (MAG-OX) 400MG TB","0250","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","569.62","percent of total billed charges",,
"MAGNESIUM OXIDE (MAG-OX) 400MG TB","0250","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","569.62","percent of total billed charges",,
"MAGNESIUM OXIDE (MAG-OX) 400MG TB","0250","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","569.62","percent of total billed charges",,
"MAGNESIUM OXIDE (MAG-OX) 400MG TB","0250","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","569.62","percent of total billed charges",,
"MAGNESIUM OXIDE (MAG-OX) 400MG TB","0250","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","569.62","percent of total billed charges",,
"MAGNESIUM OXIDE (MAG-OX) 400MG TB","0250","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","569.62","percent of total billed charges",,
"TRIAMTER/HCTZ (MAXZIDE) 37.5/25MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"TRIAMTER/HCTZ (MAXZIDE) 37.5/25MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"TRIAMTER/HCTZ (MAXZIDE) 37.5/25MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"TRIAMTER/HCTZ (MAXZIDE) 37.5/25MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"TRIAMTER/HCTZ (MAXZIDE) 37.5/25MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"TRIAMTER/HCTZ (MAXZIDE) 37.5/25MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"TRIAMTER/HCTZ (MAXZIDE) 37.5/25MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"TRIAMTER/HCTZ (MAXZIDE) 37.5/25MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"TRIAMTER/HCTZ (MAXZIDE) 37.5/25MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"TRIAMTER/HCTZ (MAXZIDE) 37.5/25MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"TRIAMTER/HCTZ (MAXZIDE) 37.5/25MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"TRIAMTER/HCTZ (MAXZIDE) 37.5/25MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"TRIAMTER/HCTZ (MAXZIDE) 37.5/25MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"TRIAMTER/HCTZ (MAXZIDE) 37.5/25MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"TRIAMTER/HCTZ (MAXZIDE) 37.5/25MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"TRIAMTER/HCTZ (MAXZIDE) 37.5/25MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"TRIAMTER/HCTZ (MAXZIDE) 37.5/25MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"TRIAMTER/HCTZ (MAXZIDE) 37.5/25MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"TRIAMTER/HCTZ (MAXZIDE) 37.5/25MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"TRIAMTER/HCTZ (MAXZIDE) 37.5/25MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"PSYLLIUM/SUCROSE (METAMUCIL) 12.2G PKT","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PSYLLIUM/SUCROSE (METAMUCIL) 12.2G PKT","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"PSYLLIUM/SUCROSE (METAMUCIL) 12.2G PKT","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PSYLLIUM/SUCROSE (METAMUCIL) 12.2G PKT","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PSYLLIUM/SUCROSE (METAMUCIL) 12.2G PKT","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PSYLLIUM/SUCROSE (METAMUCIL) 12.2G PKT","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PSYLLIUM/SUCROSE (METAMUCIL) 12.2G PKT","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PSYLLIUM/SUCROSE (METAMUCIL) 12.2G PKT","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"PSYLLIUM/SUCROSE (METAMUCIL) 12.2G PKT","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"PSYLLIUM/SUCROSE (METAMUCIL) 12.2G PKT","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"PSYLLIUM/SUCROSE (METAMUCIL) 12.2G PKT","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"PSYLLIUM/SUCROSE (METAMUCIL) 12.2G PKT","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PSYLLIUM/SUCROSE (METAMUCIL) 12.2G PKT","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PSYLLIUM/SUCROSE (METAMUCIL) 12.2G PKT","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PSYLLIUM/SUCROSE (METAMUCIL) 12.2G PKT","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PSYLLIUM/SUCROSE (METAMUCIL) 12.2G PKT","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PSYLLIUM/SUCROSE (METAMUCIL) 12.2G PKT","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"PSYLLIUM/SUCROSE (METAMUCIL) 12.2G PKT","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"PSYLLIUM/SUCROSE (METAMUCIL) 12.2G PKT","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"PSYLLIUM/SUCROSE (METAMUCIL) 12.2G PKT","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"METHYLENE BLUE 1% 1ml AMP","0250","RC","Both",,,"31","15.5","Alliant","Health Exchange",,,"62",,"19.22","0.04","569.62","percent of total billed charges",,
"METHYLENE BLUE 1% 1ml AMP","0250","RC","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.74","0.04","569.62","percent of total billed charges",,
"METHYLENE BLUE 1% 1ml AMP","0250","RC","Both",,,"31","15.5","Medicare",,,,"54",,"16.8","0.04","569.62","percent of total billed charges",,
"METHYLENE BLUE 1% 1ml AMP","0250","RC","Both",,,"31","15.5","Humana","Medicare Advantage",,,"54",,"16.8","0.04","569.62","percent of total billed charges",,
"METHYLENE BLUE 1% 1ml AMP","0250","RC","Both",,,"31","15.5","UHC","Medicare Advantage",,,"54",,"16.8","0.04","569.62","percent of total billed charges",,
"METHYLENE BLUE 1% 1ml AMP","0250","RC","Both",,,"31","15.5","Clover","Medicare Advantage",,,"54",,"16.8","0.04","569.62","percent of total billed charges",,
"METHYLENE BLUE 1% 1ml AMP","0250","RC","Both",,,"31","15.5","Wellcare","Medicare Advantage",,,"54",,"16.8","0.04","569.62","percent of total billed charges",,
"METHYLENE BLUE 1% 1ml AMP","0250","RC","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care",,,"37",,"11.35","0.04","569.62","percent of total billed charges",,
"METHYLENE BLUE 1% 1ml AMP","0250","RC","Both",,,"31","15.5","Caresource","Medicaid Managed Care",,,"40",,"12.4","0.04","569.62","percent of total billed charges",,
"METHYLENE BLUE 1% 1ml AMP","0250","RC","Both",,,"31","15.5","Wellcare","Medicaid Managed Care",,,"40",,"12.56","0.04","569.62","percent of total billed charges",,
"METHYLENE BLUE 1% 1ml AMP","0250","RC","Both",,,"31","15.5","Aetna","Commercial",,,"64",,"19.78","0.04","569.62","percent of total billed charges",,
"METHYLENE BLUE 1% 1ml AMP","0250","RC","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways",,,"71",,"21.89","0.04","569.62","percent of total billed charges",,
"METHYLENE BLUE 1% 1ml AMP","0250","RC","Both",,,"31","15.5","Blue Cross Blue Shield","HMO",,,"71",,"21.89","0.04","569.62","percent of total billed charges",,
"METHYLENE BLUE 1% 1ml AMP","0250","RC","Both",,,"31","15.5","Blue Cross Blue Shield","PPO",,,"71",,"21.89","0.04","569.62","percent of total billed charges",,
"METHYLENE BLUE 1% 1ml AMP","0250","RC","Both",,,"31","15.5","Ambetter","Health Exchange",,,"62",,"19.22","0.04","569.62","percent of total billed charges",,
"METHYLENE BLUE 1% 1ml AMP","0250","RC","Both",,,"31","15.5","Caresource","Health Exchange",,,"62",,"19.22","0.04","569.62","percent of total billed charges",,
"METHYLENE BLUE 1% 1ml AMP","0250","RC","Both",,,"31","15.5","Cigna","Commercial",,,"59",,"18.17","0.04","569.62","percent of total billed charges",,
"METHYLENE BLUE 1% 1ml AMP","0250","RC","Both",,,"31","15.5","Humana","Commercial",,,"78",,"24.02","0.04","569.62","percent of total billed charges",,
"METHYLENE BLUE 1% 1ml AMP","0250","RC","Both",,,"31","15.5","UHC","Commercial",,,"75",,"23.37","0.04","569.62","percent of total billed charges",,
"METHYLENE BLUE 1% 1ml AMP","0250","RC","Both",,,"31","15.5","Medicaid",,,,"37",,"11.35","0.04","569.62","percent of total billed charges",,
"glyBURIDE (MICRONASE) TAB: 5MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"glyBURIDE (MICRONASE) TAB: 5MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"glyBURIDE (MICRONASE) TAB: 5MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"glyBURIDE (MICRONASE) TAB: 5MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"glyBURIDE (MICRONASE) TAB: 5MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"glyBURIDE (MICRONASE) TAB: 5MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"glyBURIDE (MICRONASE) TAB: 5MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"glyBURIDE (MICRONASE) TAB: 5MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"glyBURIDE (MICRONASE) TAB: 5MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"glyBURIDE (MICRONASE) TAB: 5MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"glyBURIDE (MICRONASE) TAB: 5MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"glyBURIDE (MICRONASE) TAB: 5MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"glyBURIDE (MICRONASE) TAB: 5MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"glyBURIDE (MICRONASE) TAB: 5MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"glyBURIDE (MICRONASE) TAB: 5MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"glyBURIDE (MICRONASE) TAB: 5MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"glyBURIDE (MICRONASE) TAB: 5MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"glyBURIDE (MICRONASE) TAB: 5MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"glyBURIDE (MICRONASE) TAB: 5MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"glyBURIDE (MICRONASE) TAB: 5MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"MAG HYDROX (MOM) SUSP:  2400MG/30ML","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"MAG HYDROX (MOM) SUSP:  2400MG/30ML","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"MAG HYDROX (MOM) SUSP:  2400MG/30ML","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"MAG HYDROX (MOM) SUSP:  2400MG/30ML","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"MAG HYDROX (MOM) SUSP:  2400MG/30ML","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"MAG HYDROX (MOM) SUSP:  2400MG/30ML","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"MAG HYDROX (MOM) SUSP:  2400MG/30ML","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"MAG HYDROX (MOM) SUSP:  2400MG/30ML","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"MAG HYDROX (MOM) SUSP:  2400MG/30ML","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"MAG HYDROX (MOM) SUSP:  2400MG/30ML","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"MAG HYDROX (MOM) SUSP:  2400MG/30ML","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"MAG HYDROX (MOM) SUSP:  2400MG/30ML","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"MAG HYDROX (MOM) SUSP:  2400MG/30ML","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"MAG HYDROX (MOM) SUSP:  2400MG/30ML","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"MAG HYDROX (MOM) SUSP:  2400MG/30ML","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"MAG HYDROX (MOM) SUSP:  2400MG/30ML","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"MAG HYDROX (MOM) SUSP:  2400MG/30ML","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"MAG HYDROX (MOM) SUSP:  2400MG/30ML","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"MAG HYDROX (MOM) SUSP:  2400MG/30ML","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"MAG HYDROX (MOM) SUSP:  2400MG/30ML","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"MINERAL OIL 30ML","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"MINERAL OIL 30ML","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"MINERAL OIL 30ML","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"MINERAL OIL 30ML","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"MINERAL OIL 30ML","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"MINERAL OIL 30ML","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"MINERAL OIL 30ML","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"MINERAL OIL 30ML","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"MINERAL OIL 30ML","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"MINERAL OIL 30ML","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"MINERAL OIL 30ML","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"MINERAL OIL 30ML","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"MINERAL OIL 30ML","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"MINERAL OIL 30ML","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"MINERAL OIL 30ML","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"MINERAL OIL 30ML","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"MINERAL OIL 30ML","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"MINERAL OIL 30ML","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"MINERAL OIL 30ML","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"MINERAL OIL 30ML","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"PEG 3350 (MIRALAX) 255gm **BOTTLE**","0637","RC","Both",,,"36","18","Alliant","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"PEG 3350 (MIRALAX) 255gm **BOTTLE**","0637","RC","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.44","0.15","5264.58","percent of total billed charges",,
"PEG 3350 (MIRALAX) 255gm **BOTTLE**","0637","RC","Both",,,"36","18","Medicare",,,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"PEG 3350 (MIRALAX) 255gm **BOTTLE**","0637","RC","Both",,,"36","18","Humana","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"PEG 3350 (MIRALAX) 255gm **BOTTLE**","0637","RC","Both",,,"36","18","UHC","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"PEG 3350 (MIRALAX) 255gm **BOTTLE**","0637","RC","Both",,,"36","18","Clover","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"PEG 3350 (MIRALAX) 255gm **BOTTLE**","0637","RC","Both",,,"36","18","Wellcare","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"PEG 3350 (MIRALAX) 255gm **BOTTLE**","0637","RC","Both",,,"36","18","Amerigroup","Medicaid Managed Care",,,"37",,"13.18","0.15","5264.58","percent of total billed charges",,
"PEG 3350 (MIRALAX) 255gm **BOTTLE**","0637","RC","Both",,,"36","18","Caresource","Medicaid Managed Care",,,"40",,"14.4","0.15","5264.58","percent of total billed charges",,
"PEG 3350 (MIRALAX) 255gm **BOTTLE**","0637","RC","Both",,,"36","18","Wellcare","Medicaid Managed Care",,,"40",,"14.58","0.15","5264.58","percent of total billed charges",,
"PEG 3350 (MIRALAX) 255gm **BOTTLE**","0637","RC","Both",,,"36","18","Aetna","Commercial",,,"64",,"22.97","0.15","5264.58","percent of total billed charges",,
"PEG 3350 (MIRALAX) 255gm **BOTTLE**","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","Pathways",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"PEG 3350 (MIRALAX) 255gm **BOTTLE**","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","HMO",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"PEG 3350 (MIRALAX) 255gm **BOTTLE**","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","PPO",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"PEG 3350 (MIRALAX) 255gm **BOTTLE**","0637","RC","Both",,,"36","18","Ambetter","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"PEG 3350 (MIRALAX) 255gm **BOTTLE**","0637","RC","Both",,,"36","18","Caresource","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"PEG 3350 (MIRALAX) 255gm **BOTTLE**","0637","RC","Both",,,"36","18","Cigna","Commercial",,,"59",,"21.1","0.15","5264.58","percent of total billed charges",,
"PEG 3350 (MIRALAX) 255gm **BOTTLE**","0637","RC","Both",,,"36","18","Humana","Commercial",,,"78",,"27.9","0.15","5264.58","percent of total billed charges",,
"PEG 3350 (MIRALAX) 255gm **BOTTLE**","0637","RC","Both",,,"36","18","UHC","Commercial",,,"75",,"27.14","0.15","5264.58","percent of total billed charges",,
"PEG 3350 (MIRALAX) 255gm **BOTTLE**","0637","RC","Both",,,"36","18","Medicaid",,,,"37",,"13.18","0.15","5264.58","percent of total billed charges",,
"MICONAZOLE NITRATE (MONISTAT 7) 2% CRM","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"MICONAZOLE NITRATE (MONISTAT 7) 2% CRM","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"MICONAZOLE NITRATE (MONISTAT 7) 2% CRM","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"MICONAZOLE NITRATE (MONISTAT 7) 2% CRM","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"MICONAZOLE NITRATE (MONISTAT 7) 2% CRM","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"MICONAZOLE NITRATE (MONISTAT 7) 2% CRM","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"MICONAZOLE NITRATE (MONISTAT 7) 2% CRM","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"MICONAZOLE NITRATE (MONISTAT 7) 2% CRM","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"MICONAZOLE NITRATE (MONISTAT 7) 2% CRM","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"MICONAZOLE NITRATE (MONISTAT 7) 2% CRM","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"MICONAZOLE NITRATE (MONISTAT 7) 2% CRM","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"MICONAZOLE NITRATE (MONISTAT 7) 2% CRM","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"MICONAZOLE NITRATE (MONISTAT 7) 2% CRM","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"MICONAZOLE NITRATE (MONISTAT 7) 2% CRM","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"MICONAZOLE NITRATE (MONISTAT 7) 2% CRM","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"MICONAZOLE NITRATE (MONISTAT 7) 2% CRM","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"MICONAZOLE NITRATE (MONISTAT 7) 2% CRM","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"MICONAZOLE NITRATE (MONISTAT 7) 2% CRM","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"MICONAZOLE NITRATE (MONISTAT 7) 2% CRM","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"MICONAZOLE NITRATE (MONISTAT 7) 2% CRM","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 400 MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 400 MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 400 MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 400 MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 400 MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 400 MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 400 MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 400 MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 400 MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 400 MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 400 MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 400 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 400 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 400 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 400 MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 400 MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 400 MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 400 MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 400 MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 400 MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 600 MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 600 MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 600 MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 600 MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 600 MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 600 MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 600 MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 600 MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 600 MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 600 MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 600 MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 600 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 600 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 600 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 600 MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 600 MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 600 MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 600 MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 600 MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 600 MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 800 MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 800 MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 800 MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 800 MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 800 MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 800 MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 800 MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 800 MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 800 MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 800 MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 800 MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 800 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 800 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 800 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 800 MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 800 MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 800 MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 800 MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 800 MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) TABLET: 800 MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) 100MG/5ML SUSP","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) 100MG/5ML SUSP","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) 100MG/5ML SUSP","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) 100MG/5ML SUSP","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) 100MG/5ML SUSP","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) 100MG/5ML SUSP","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) 100MG/5ML SUSP","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) 100MG/5ML SUSP","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) 100MG/5ML SUSP","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) 100MG/5ML SUSP","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) 100MG/5ML SUSP","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) 100MG/5ML SUSP","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) 100MG/5ML SUSP","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) 100MG/5ML SUSP","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) 100MG/5ML SUSP","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) 100MG/5ML SUSP","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) 100MG/5ML SUSP","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) 100MG/5ML SUSP","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) 100MG/5ML SUSP","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) 100MG/5ML SUSP","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) SUSP UD: 100MG/5ML","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) SUSP UD: 100MG/5ML","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) SUSP UD: 100MG/5ML","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) SUSP UD: 100MG/5ML","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) SUSP UD: 100MG/5ML","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) SUSP UD: 100MG/5ML","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) SUSP UD: 100MG/5ML","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) SUSP UD: 100MG/5ML","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) SUSP UD: 100MG/5ML","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) SUSP UD: 100MG/5ML","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) SUSP UD: 100MG/5ML","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) SUSP UD: 100MG/5ML","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) SUSP UD: 100MG/5ML","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) SUSP UD: 100MG/5ML","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) SUSP UD: 100MG/5ML","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) SUSP UD: 100MG/5ML","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) SUSP UD: 100MG/5ML","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) SUSP UD: 100MG/5ML","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) SUSP UD: 100MG/5ML","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"IBUPROFEN (MOTRIN) SUSP UD: 100MG/5ML","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"MULTIVITAMIN  TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"MULTIVITAMIN  TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"MULTIVITAMIN  TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"MULTIVITAMIN  TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"MULTIVITAMIN  TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"MULTIVITAMIN  TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"MULTIVITAMIN  TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"MULTIVITAMIN  TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"MULTIVITAMIN  TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"MULTIVITAMIN  TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"MULTIVITAMIN  TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"MULTIVITAMIN  TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"MULTIVITAMIN  TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"MULTIVITAMIN  TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"MULTIVITAMIN  TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"MULTIVITAMIN  TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"MULTIVITAMIN  TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"MULTIVITAMIN  TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"MULTIVITAMIN  TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"MULTIVITAMIN  TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"MULITVITAMIN INJECTION (INFUVITE) 10 ML","0250","RC","Both",,,"60","30","Alliant","Health Exchange",,,"62",,"37.2","0.04","569.62","percent of total billed charges",,
"MULITVITAMIN INJECTION (INFUVITE) 10 ML","0250","RC","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage",,,"54",,"32.4","0.04","569.62","percent of total billed charges",,
"MULITVITAMIN INJECTION (INFUVITE) 10 ML","0250","RC","Both",,,"60","30","Medicare",,,,"54",,"32.52","0.04","569.62","percent of total billed charges",,
"MULITVITAMIN INJECTION (INFUVITE) 10 ML","0250","RC","Both",,,"60","30","Humana","Medicare Advantage",,,"54",,"32.52","0.04","569.62","percent of total billed charges",,
"MULITVITAMIN INJECTION (INFUVITE) 10 ML","0250","RC","Both",,,"60","30","UHC","Medicare Advantage",,,"54",,"32.52","0.04","569.62","percent of total billed charges",,
"MULITVITAMIN INJECTION (INFUVITE) 10 ML","0250","RC","Both",,,"60","30","Clover","Medicare Advantage",,,"54",,"32.52","0.04","569.62","percent of total billed charges",,
"MULITVITAMIN INJECTION (INFUVITE) 10 ML","0250","RC","Both",,,"60","30","Wellcare","Medicare Advantage",,,"54",,"32.52","0.04","569.62","percent of total billed charges",,
"MULITVITAMIN INJECTION (INFUVITE) 10 ML","0250","RC","Both",,,"60","30","Amerigroup","Medicaid Managed Care",,,"37",,"21.96","0.04","569.62","percent of total billed charges",,
"MULITVITAMIN INJECTION (INFUVITE) 10 ML","0250","RC","Both",,,"60","30","Caresource","Medicaid Managed Care",,,"40",,"24","0.04","569.62","percent of total billed charges",,
"MULITVITAMIN INJECTION (INFUVITE) 10 ML","0250","RC","Both",,,"60","30","Wellcare","Medicaid Managed Care",,,"40",,"24.3","0.04","569.62","percent of total billed charges",,
"MULITVITAMIN INJECTION (INFUVITE) 10 ML","0250","RC","Both",,,"60","30","Aetna","Commercial",,,"64",,"38.28","0.04","569.62","percent of total billed charges",,
"MULITVITAMIN INJECTION (INFUVITE) 10 ML","0250","RC","Both",,,"60","30","Blue Cross Blue Shield","Pathways",,,"71",,"42.36","0.04","569.62","percent of total billed charges",,
"MULITVITAMIN INJECTION (INFUVITE) 10 ML","0250","RC","Both",,,"60","30","Blue Cross Blue Shield","HMO",,,"71",,"42.36","0.04","569.62","percent of total billed charges",,
"MULITVITAMIN INJECTION (INFUVITE) 10 ML","0250","RC","Both",,,"60","30","Blue Cross Blue Shield","PPO",,,"71",,"42.36","0.04","569.62","percent of total billed charges",,
"MULITVITAMIN INJECTION (INFUVITE) 10 ML","0250","RC","Both",,,"60","30","Ambetter","Health Exchange",,,"62",,"37.2","0.04","569.62","percent of total billed charges",,
"MULITVITAMIN INJECTION (INFUVITE) 10 ML","0250","RC","Both",,,"60","30","Caresource","Health Exchange",,,"62",,"37.2","0.04","569.62","percent of total billed charges",,
"MULITVITAMIN INJECTION (INFUVITE) 10 ML","0250","RC","Both",,,"60","30","Cigna","Commercial",,,"59",,"35.16","0.04","569.62","percent of total billed charges",,
"MULITVITAMIN INJECTION (INFUVITE) 10 ML","0250","RC","Both",,,"60","30","Humana","Commercial",,,"78",,"46.5","0.04","569.62","percent of total billed charges",,
"MULITVITAMIN INJECTION (INFUVITE) 10 ML","0250","RC","Both",,,"60","30","UHC","Commercial",,,"75",,"45.24","0.04","569.62","percent of total billed charges",,
"MULITVITAMIN INJECTION (INFUVITE) 10 ML","0250","RC","Both",,,"60","30","Medicaid",,,,"37",,"21.96","0.04","569.62","percent of total billed charges",,
"SIMETHICONE (MYTAB GAS) CHEW 80MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"SIMETHICONE (MYTAB GAS) CHEW 80MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"SIMETHICONE (MYTAB GAS) CHEW 80MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SIMETHICONE (MYTAB GAS) CHEW 80MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SIMETHICONE (MYTAB GAS) CHEW 80MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SIMETHICONE (MYTAB GAS) CHEW 80MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SIMETHICONE (MYTAB GAS) CHEW 80MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SIMETHICONE (MYTAB GAS) CHEW 80MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"SIMETHICONE (MYTAB GAS) CHEW 80MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"SIMETHICONE (MYTAB GAS) CHEW 80MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"SIMETHICONE (MYTAB GAS) CHEW 80MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"SIMETHICONE (MYTAB GAS) CHEW 80MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"SIMETHICONE (MYTAB GAS) CHEW 80MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"SIMETHICONE (MYTAB GAS) CHEW 80MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"SIMETHICONE (MYTAB GAS) CHEW 80MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"SIMETHICONE (MYTAB GAS) CHEW 80MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"SIMETHICONE (MYTAB GAS) CHEW 80MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"SIMETHICONE (MYTAB GAS) CHEW 80MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"SIMETHICONE (MYTAB GAS) CHEW 80MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"SIMETHICONE (MYTAB GAS) CHEW 80MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"SIMETHICONE (MYLICON) 40MG/0.6ML DROPS","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"SIMETHICONE (MYLICON) 40MG/0.6ML DROPS","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"SIMETHICONE (MYLICON) 40MG/0.6ML DROPS","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SIMETHICONE (MYLICON) 40MG/0.6ML DROPS","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SIMETHICONE (MYLICON) 40MG/0.6ML DROPS","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SIMETHICONE (MYLICON) 40MG/0.6ML DROPS","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SIMETHICONE (MYLICON) 40MG/0.6ML DROPS","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SIMETHICONE (MYLICON) 40MG/0.6ML DROPS","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"SIMETHICONE (MYLICON) 40MG/0.6ML DROPS","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"SIMETHICONE (MYLICON) 40MG/0.6ML DROPS","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"SIMETHICONE (MYLICON) 40MG/0.6ML DROPS","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"SIMETHICONE (MYLICON) 40MG/0.6ML DROPS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"SIMETHICONE (MYLICON) 40MG/0.6ML DROPS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"SIMETHICONE (MYLICON) 40MG/0.6ML DROPS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"SIMETHICONE (MYLICON) 40MG/0.6ML DROPS","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"SIMETHICONE (MYLICON) 40MG/0.6ML DROPS","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"SIMETHICONE (MYLICON) 40MG/0.6ML DROPS","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"SIMETHICONE (MYLICON) 40MG/0.6ML DROPS","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"SIMETHICONE (MYLICON) 40MG/0.6ML DROPS","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"SIMETHICONE (MYLICON) 40MG/0.6ML DROPS","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NAPROXEN (NAPROSYN) 500MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NAPROXEN (NAPROSYN) 500MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"NAPROXEN (NAPROSYN) 500MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NAPROXEN (NAPROSYN) 500MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NAPROXEN (NAPROSYN) 500MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NAPROXEN (NAPROSYN) 500MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NAPROXEN (NAPROSYN) 500MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NAPROXEN (NAPROSYN) 500MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NAPROXEN (NAPROSYN) 500MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"NAPROXEN (NAPROSYN) 500MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"NAPROXEN (NAPROSYN) 500MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"NAPROXEN (NAPROSYN) 500MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NAPROXEN (NAPROSYN) 500MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NAPROXEN (NAPROSYN) 500MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NAPROXEN (NAPROSYN) 500MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NAPROXEN (NAPROSYN) 500MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NAPROXEN (NAPROSYN) 500MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"NAPROXEN (NAPROSYN) 500MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"NAPROXEN (NAPROSYN) 500MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"NAPROXEN (NAPROSYN) 500MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NEOMY/POLYMYX/GRAM (NEOSPORIN) OPTH SOLN","0637","RC","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"NEOMY/POLYMYX/GRAM (NEOSPORIN) OPTH SOLN","0637","RC","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","0.15","5264.58","percent of total billed charges",,
"NEOMY/POLYMYX/GRAM (NEOSPORIN) OPTH SOLN","0637","RC","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"NEOMY/POLYMYX/GRAM (NEOSPORIN) OPTH SOLN","0637","RC","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"NEOMY/POLYMYX/GRAM (NEOSPORIN) OPTH SOLN","0637","RC","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"NEOMY/POLYMYX/GRAM (NEOSPORIN) OPTH SOLN","0637","RC","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"NEOMY/POLYMYX/GRAM (NEOSPORIN) OPTH SOLN","0637","RC","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"NEOMY/POLYMYX/GRAM (NEOSPORIN) OPTH SOLN","0637","RC","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"NEOMY/POLYMYX/GRAM (NEOSPORIN) OPTH SOLN","0637","RC","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","0.15","5264.58","percent of total billed charges",,
"NEOMY/POLYMYX/GRAM (NEOSPORIN) OPTH SOLN","0637","RC","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","0.15","5264.58","percent of total billed charges",,
"NEOMY/POLYMYX/GRAM (NEOSPORIN) OPTH SOLN","0637","RC","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","0.15","5264.58","percent of total billed charges",,
"NEOMY/POLYMYX/GRAM (NEOSPORIN) OPTH SOLN","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"NEOMY/POLYMYX/GRAM (NEOSPORIN) OPTH SOLN","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"NEOMY/POLYMYX/GRAM (NEOSPORIN) OPTH SOLN","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"NEOMY/POLYMYX/GRAM (NEOSPORIN) OPTH SOLN","0637","RC","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"NEOMY/POLYMYX/GRAM (NEOSPORIN) OPTH SOLN","0637","RC","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"NEOMY/POLYMYX/GRAM (NEOSPORIN) OPTH SOLN","0637","RC","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","0.15","5264.58","percent of total billed charges",,
"NEOMY/POLYMYX/GRAM (NEOSPORIN) OPTH SOLN","0637","RC","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","0.15","5264.58","percent of total billed charges",,
"NEOMY/POLYMYX/GRAM (NEOSPORIN) OPTH SOLN","0637","RC","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","0.15","5264.58","percent of total billed charges",,
"NEOMY/POLYMYX/GRAM (NEOSPORIN) OPTH SOLN","0637","RC","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"NEOM/POLYM/DEX (POLY-DEX) OPTH OINT 3.5G","0637","RC","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"NEOM/POLYM/DEX (POLY-DEX) OPTH OINT 3.5G","0637","RC","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","0.15","5264.58","percent of total billed charges",,
"NEOM/POLYM/DEX (POLY-DEX) OPTH OINT 3.5G","0637","RC","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"NEOM/POLYM/DEX (POLY-DEX) OPTH OINT 3.5G","0637","RC","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"NEOM/POLYM/DEX (POLY-DEX) OPTH OINT 3.5G","0637","RC","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"NEOM/POLYM/DEX (POLY-DEX) OPTH OINT 3.5G","0637","RC","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"NEOM/POLYM/DEX (POLY-DEX) OPTH OINT 3.5G","0637","RC","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"NEOM/POLYM/DEX (POLY-DEX) OPTH OINT 3.5G","0637","RC","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"NEOM/POLYM/DEX (POLY-DEX) OPTH OINT 3.5G","0637","RC","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","0.15","5264.58","percent of total billed charges",,
"NEOM/POLYM/DEX (POLY-DEX) OPTH OINT 3.5G","0637","RC","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","0.15","5264.58","percent of total billed charges",,
"NEOM/POLYM/DEX (POLY-DEX) OPTH OINT 3.5G","0637","RC","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","0.15","5264.58","percent of total billed charges",,
"NEOM/POLYM/DEX (POLY-DEX) OPTH OINT 3.5G","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"NEOM/POLYM/DEX (POLY-DEX) OPTH OINT 3.5G","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"NEOM/POLYM/DEX (POLY-DEX) OPTH OINT 3.5G","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"NEOM/POLYM/DEX (POLY-DEX) OPTH OINT 3.5G","0637","RC","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"NEOM/POLYM/DEX (POLY-DEX) OPTH OINT 3.5G","0637","RC","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"NEOM/POLYM/DEX (POLY-DEX) OPTH OINT 3.5G","0637","RC","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","0.15","5264.58","percent of total billed charges",,
"NEOM/POLYM/DEX (POLY-DEX) OPTH OINT 3.5G","0637","RC","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","0.15","5264.58","percent of total billed charges",,
"NEOM/POLYM/DEX (POLY-DEX) OPTH OINT 3.5G","0637","RC","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","0.15","5264.58","percent of total billed charges",,
"NEOM/POLYM/DEX (POLY-DEX) OPTH OINT 3.5G","0637","RC","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN) 300MG CAPSULE","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN) 300MG CAPSULE","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN) 300MG CAPSULE","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN) 300MG CAPSULE","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN) 300MG CAPSULE","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN) 300MG CAPSULE","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN) 300MG CAPSULE","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN) 300MG CAPSULE","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN) 300MG CAPSULE","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN) 300MG CAPSULE","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN) 300MG CAPSULE","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN) 300MG CAPSULE","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN) 300MG CAPSULE","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN) 300MG CAPSULE","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN) 300MG CAPSULE","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN) 300MG CAPSULE","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN) 300MG CAPSULE","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN) 300MG CAPSULE","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN) 300MG CAPSULE","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN) 300MG CAPSULE","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN) 100MG CAPSULE","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN) 100MG CAPSULE","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN) 100MG CAPSULE","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN) 100MG CAPSULE","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN) 100MG CAPSULE","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN) 100MG CAPSULE","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN) 100MG CAPSULE","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN) 100MG CAPSULE","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN) 100MG CAPSULE","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN) 100MG CAPSULE","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN) 100MG CAPSULE","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN) 100MG CAPSULE","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN) 100MG CAPSULE","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN) 100MG CAPSULE","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN) 100MG CAPSULE","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN) 100MG CAPSULE","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN) 100MG CAPSULE","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN) 100MG CAPSULE","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN) 100MG CAPSULE","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN) 100MG CAPSULE","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NICOTINE TRANSDERMAL 14MG/24HR PATCH","0637","RC","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"NICOTINE TRANSDERMAL 14MG/24HR PATCH","0637","RC","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","0.15","5264.58","percent of total billed charges",,
"NICOTINE TRANSDERMAL 14MG/24HR PATCH","0637","RC","Both",,,"22","11","Medicare",,,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NICOTINE TRANSDERMAL 14MG/24HR PATCH","0637","RC","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NICOTINE TRANSDERMAL 14MG/24HR PATCH","0637","RC","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NICOTINE TRANSDERMAL 14MG/24HR PATCH","0637","RC","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NICOTINE TRANSDERMAL 14MG/24HR PATCH","0637","RC","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NICOTINE TRANSDERMAL 14MG/24HR PATCH","0637","RC","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"NICOTINE TRANSDERMAL 14MG/24HR PATCH","0637","RC","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","0.15","5264.58","percent of total billed charges",,
"NICOTINE TRANSDERMAL 14MG/24HR PATCH","0637","RC","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","0.15","5264.58","percent of total billed charges",,
"NICOTINE TRANSDERMAL 14MG/24HR PATCH","0637","RC","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","0.15","5264.58","percent of total billed charges",,
"NICOTINE TRANSDERMAL 14MG/24HR PATCH","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"NICOTINE TRANSDERMAL 14MG/24HR PATCH","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"NICOTINE TRANSDERMAL 14MG/24HR PATCH","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"NICOTINE TRANSDERMAL 14MG/24HR PATCH","0637","RC","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"NICOTINE TRANSDERMAL 14MG/24HR PATCH","0637","RC","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"NICOTINE TRANSDERMAL 14MG/24HR PATCH","0637","RC","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","0.15","5264.58","percent of total billed charges",,
"NICOTINE TRANSDERMAL 14MG/24HR PATCH","0637","RC","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","0.15","5264.58","percent of total billed charges",,
"NICOTINE TRANSDERMAL 14MG/24HR PATCH","0637","RC","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","0.15","5264.58","percent of total billed charges",,
"NICOTINE TRANSDERMAL 14MG/24HR PATCH","0637","RC","Both",,,"22","11","Medicaid",,,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"NICOTINE TRANSDERMAL PTCH 21MG/24HR","0637","RC","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"NICOTINE TRANSDERMAL PTCH 21MG/24HR","0637","RC","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","0.15","5264.58","percent of total billed charges",,
"NICOTINE TRANSDERMAL PTCH 21MG/24HR","0637","RC","Both",,,"22","11","Medicare",,,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NICOTINE TRANSDERMAL PTCH 21MG/24HR","0637","RC","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NICOTINE TRANSDERMAL PTCH 21MG/24HR","0637","RC","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NICOTINE TRANSDERMAL PTCH 21MG/24HR","0637","RC","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NICOTINE TRANSDERMAL PTCH 21MG/24HR","0637","RC","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NICOTINE TRANSDERMAL PTCH 21MG/24HR","0637","RC","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"NICOTINE TRANSDERMAL PTCH 21MG/24HR","0637","RC","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","0.15","5264.58","percent of total billed charges",,
"NICOTINE TRANSDERMAL PTCH 21MG/24HR","0637","RC","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","0.15","5264.58","percent of total billed charges",,
"NICOTINE TRANSDERMAL PTCH 21MG/24HR","0637","RC","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","0.15","5264.58","percent of total billed charges",,
"NICOTINE TRANSDERMAL PTCH 21MG/24HR","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"NICOTINE TRANSDERMAL PTCH 21MG/24HR","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"NICOTINE TRANSDERMAL PTCH 21MG/24HR","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"NICOTINE TRANSDERMAL PTCH 21MG/24HR","0637","RC","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"NICOTINE TRANSDERMAL PTCH 21MG/24HR","0637","RC","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"NICOTINE TRANSDERMAL PTCH 21MG/24HR","0637","RC","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","0.15","5264.58","percent of total billed charges",,
"NICOTINE TRANSDERMAL PTCH 21MG/24HR","0637","RC","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","0.15","5264.58","percent of total billed charges",,
"NICOTINE TRANSDERMAL PTCH 21MG/24HR","0637","RC","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","0.15","5264.58","percent of total billed charges",,
"NICOTINE TRANSDERMAL PTCH 21MG/24HR","0637","RC","Both",,,"22","11","Medicaid",,,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRO-BID) 2% OINT: 1GM","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRO-BID) 2% OINT: 1GM","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRO-BID) 2% OINT: 1GM","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRO-BID) 2% OINT: 1GM","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRO-BID) 2% OINT: 1GM","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRO-BID) 2% OINT: 1GM","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRO-BID) 2% OINT: 1GM","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRO-BID) 2% OINT: 1GM","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRO-BID) 2% OINT: 1GM","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRO-BID) 2% OINT: 1GM","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRO-BID) 2% OINT: 1GM","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRO-BID) 2% OINT: 1GM","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRO-BID) 2% OINT: 1GM","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRO-BID) 2% OINT: 1GM","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRO-BID) 2% OINT: 1GM","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRO-BID) 2% OINT: 1GM","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRO-BID) 2% OINT: 1GM","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRO-BID) 2% OINT: 1GM","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRO-BID) 2% OINT: 1GM","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRO-BID) 2% OINT: 1GM","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.4MG/HR PATCH","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.4MG/HR PATCH","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.4MG/HR PATCH","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.4MG/HR PATCH","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.4MG/HR PATCH","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.4MG/HR PATCH","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.4MG/HR PATCH","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.4MG/HR PATCH","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.4MG/HR PATCH","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.4MG/HR PATCH","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.4MG/HR PATCH","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.4MG/HR PATCH","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.4MG/HR PATCH","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.4MG/HR PATCH","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.4MG/HR PATCH","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.4MG/HR PATCH","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.4MG/HR PATCH","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.4MG/HR PATCH","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.4MG/HR PATCH","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.4MG/HR PATCH","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN 50MG/10ML SDV","0250","RC","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"NITROGLYCERIN 50MG/10ML SDV","0250","RC","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","0.04","569.62","percent of total billed charges",,
"NITROGLYCERIN 50MG/10ML SDV","0250","RC","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"NITROGLYCERIN 50MG/10ML SDV","0250","RC","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"NITROGLYCERIN 50MG/10ML SDV","0250","RC","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"NITROGLYCERIN 50MG/10ML SDV","0250","RC","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"NITROGLYCERIN 50MG/10ML SDV","0250","RC","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"NITROGLYCERIN 50MG/10ML SDV","0250","RC","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","0.04","569.62","percent of total billed charges",,
"NITROGLYCERIN 50MG/10ML SDV","0250","RC","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","0.04","569.62","percent of total billed charges",,
"NITROGLYCERIN 50MG/10ML SDV","0250","RC","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","0.04","569.62","percent of total billed charges",,
"NITROGLYCERIN 50MG/10ML SDV","0250","RC","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","0.04","569.62","percent of total billed charges",,
"NITROGLYCERIN 50MG/10ML SDV","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"NITROGLYCERIN 50MG/10ML SDV","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"NITROGLYCERIN 50MG/10ML SDV","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"NITROGLYCERIN 50MG/10ML SDV","0250","RC","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"NITROGLYCERIN 50MG/10ML SDV","0250","RC","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"NITROGLYCERIN 50MG/10ML SDV","0250","RC","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","0.04","569.62","percent of total billed charges",,
"NITROGLYCERIN 50MG/10ML SDV","0250","RC","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","0.04","569.62","percent of total billed charges",,
"NITROGLYCERIN 50MG/10ML SDV","0250","RC","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","0.04","569.62","percent of total billed charges",,
"NITROGLYCERIN 50MG/10ML SDV","0250","RC","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","0.04","569.62","percent of total billed charges",,
"NITROGLYCERIN (NITROQUICK) 0.4MG TABLET","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITROQUICK) 0.4MG TABLET","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITROQUICK) 0.4MG TABLET","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITROQUICK) 0.4MG TABLET","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITROQUICK) 0.4MG TABLET","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITROQUICK) 0.4MG TABLET","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITROQUICK) 0.4MG TABLET","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITROQUICK) 0.4MG TABLET","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITROQUICK) 0.4MG TABLET","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITROQUICK) 0.4MG TABLET","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITROQUICK) 0.4MG TABLET","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITROQUICK) 0.4MG TABLET","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITROQUICK) 0.4MG TABLET","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITROQUICK) 0.4MG TABLET","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITROQUICK) 0.4MG TABLET","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITROQUICK) 0.4MG TABLET","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITROQUICK) 0.4MG TABLET","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITROQUICK) 0.4MG TABLET","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITROQUICK) 0.4MG TABLET","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITROQUICK) 0.4MG TABLET","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"KETOCONAZOLE (NIZORAL) 2% CREAM 15gm","0637","RC","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"KETOCONAZOLE (NIZORAL) 2% CREAM 15gm","0637","RC","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","0.15","5264.58","percent of total billed charges",,
"KETOCONAZOLE (NIZORAL) 2% CREAM 15gm","0637","RC","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"KETOCONAZOLE (NIZORAL) 2% CREAM 15gm","0637","RC","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"KETOCONAZOLE (NIZORAL) 2% CREAM 15gm","0637","RC","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"KETOCONAZOLE (NIZORAL) 2% CREAM 15gm","0637","RC","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"KETOCONAZOLE (NIZORAL) 2% CREAM 15gm","0637","RC","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"KETOCONAZOLE (NIZORAL) 2% CREAM 15gm","0637","RC","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"KETOCONAZOLE (NIZORAL) 2% CREAM 15gm","0637","RC","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","0.15","5264.58","percent of total billed charges",,
"KETOCONAZOLE (NIZORAL) 2% CREAM 15gm","0637","RC","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","0.15","5264.58","percent of total billed charges",,
"KETOCONAZOLE (NIZORAL) 2% CREAM 15gm","0637","RC","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","0.15","5264.58","percent of total billed charges",,
"KETOCONAZOLE (NIZORAL) 2% CREAM 15gm","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"KETOCONAZOLE (NIZORAL) 2% CREAM 15gm","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"KETOCONAZOLE (NIZORAL) 2% CREAM 15gm","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"KETOCONAZOLE (NIZORAL) 2% CREAM 15gm","0637","RC","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"KETOCONAZOLE (NIZORAL) 2% CREAM 15gm","0637","RC","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"KETOCONAZOLE (NIZORAL) 2% CREAM 15gm","0637","RC","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","0.15","5264.58","percent of total billed charges",,
"KETOCONAZOLE (NIZORAL) 2% CREAM 15gm","0637","RC","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","0.15","5264.58","percent of total billed charges",,
"KETOCONAZOLE (NIZORAL) 2% CREAM 15gm","0637","RC","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","0.15","5264.58","percent of total billed charges",,
"KETOCONAZOLE (NIZORAL) 2% CREAM 15gm","0637","RC","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"NORMAL SALINE 50ml PF","0258","RC","Both",,,"13","6.5","Alliant","Health Exchange",,,"62",,"8.06","4.76","93","percent of total billed charges",,
"NORMAL SALINE 50ml PF","0258","RC","Both",,,"13","6.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.02","4.76","93","percent of total billed charges",,
"NORMAL SALINE 50ml PF","0258","RC","Both",,,"13","6.5","Medicare",,,,"54",,"7.05","4.76","93","percent of total billed charges",,
"NORMAL SALINE 50ml PF","0258","RC","Both",,,"13","6.5","Humana","Medicare Advantage",,,"54",,"7.05","4.76","93","percent of total billed charges",,
"NORMAL SALINE 50ml PF","0258","RC","Both",,,"13","6.5","UHC","Medicare Advantage",,,"54",,"7.05","4.76","93","percent of total billed charges",,
"NORMAL SALINE 50ml PF","0258","RC","Both",,,"13","6.5","Clover","Medicare Advantage",,,"54",,"7.05","4.76","93","percent of total billed charges",,
"NORMAL SALINE 50ml PF","0258","RC","Both",,,"13","6.5","Wellcare","Medicare Advantage",,,"54",,"7.05","4.76","93","percent of total billed charges",,
"NORMAL SALINE 50ml PF","0258","RC","Both",,,"13","6.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.76","4.76","93","percent of total billed charges",,
"NORMAL SALINE 50ml PF","0258","RC","Both",,,"13","6.5","Caresource","Medicaid Managed Care",,,"40",,"5.2","4.76","93","percent of total billed charges",,
"NORMAL SALINE 50ml PF","0258","RC","Both",,,"13","6.5","Wellcare","Medicaid Managed Care",,,"40",,"5.26","4.76","93","percent of total billed charges",,
"NORMAL SALINE 50ml PF","0258","RC","Both",,,"13","6.5","Aetna","Commercial",,,"64",,"8.29","4.76","93","percent of total billed charges",,
"NORMAL SALINE 50ml PF","0258","RC","Both",,,"13","6.5","Blue Cross Blue Shield","Pathways",,,"71",,"9.18","4.76","93","percent of total billed charges",,
"NORMAL SALINE 50ml PF","0258","RC","Both",,,"13","6.5","Blue Cross Blue Shield","HMO",,,"71",,"9.18","4.76","93","percent of total billed charges",,
"NORMAL SALINE 50ml PF","0258","RC","Both",,,"13","6.5","Blue Cross Blue Shield","PPO",,,"71",,"9.18","4.76","93","percent of total billed charges",,
"NORMAL SALINE 50ml PF","0258","RC","Both",,,"13","6.5","Ambetter","Health Exchange",,,"62",,"8.06","4.76","93","percent of total billed charges",,
"NORMAL SALINE 50ml PF","0258","RC","Both",,,"13","6.5","Caresource","Health Exchange",,,"62",,"8.06","4.76","93","percent of total billed charges",,
"NORMAL SALINE 50ml PF","0258","RC","Both",,,"13","6.5","Cigna","Commercial",,,"59",,"7.62","4.76","93","percent of total billed charges",,
"NORMAL SALINE 50ml PF","0258","RC","Both",,,"13","6.5","Humana","Commercial",,,"78",,"10.08","4.76","93","percent of total billed charges",,
"NORMAL SALINE 50ml PF","0258","RC","Both",,,"13","6.5","UHC","Commercial",,,"75",,"9.8","4.76","93","percent of total billed charges",,
"NORMAL SALINE 50ml PF","0258","RC","Both",,,"13","6.5","Medicaid",,,,"37",,"4.76","4.76","93","percent of total billed charges",,
"NORMAL SALINE 100ML PF","0258","RC","Both",,,"14","7","Alliant","Health Exchange",,,"62",,"8.68","4.76","93","percent of total billed charges",,
"NORMAL SALINE 100ML PF","0258","RC","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.56","4.76","93","percent of total billed charges",,
"NORMAL SALINE 100ML PF","0258","RC","Both",,,"14","7","Medicare",,,,"54",,"7.59","4.76","93","percent of total billed charges",,
"NORMAL SALINE 100ML PF","0258","RC","Both",,,"14","7","Humana","Medicare Advantage",,,"54",,"7.59","4.76","93","percent of total billed charges",,
"NORMAL SALINE 100ML PF","0258","RC","Both",,,"14","7","UHC","Medicare Advantage",,,"54",,"7.59","4.76","93","percent of total billed charges",,
"NORMAL SALINE 100ML PF","0258","RC","Both",,,"14","7","Clover","Medicare Advantage",,,"54",,"7.59","4.76","93","percent of total billed charges",,
"NORMAL SALINE 100ML PF","0258","RC","Both",,,"14","7","Wellcare","Medicare Advantage",,,"54",,"7.59","4.76","93","percent of total billed charges",,
"NORMAL SALINE 100ML PF","0258","RC","Both",,,"14","7","Amerigroup","Medicaid Managed Care",,,"37",,"5.12","4.76","93","percent of total billed charges",,
"NORMAL SALINE 100ML PF","0258","RC","Both",,,"14","7","Caresource","Medicaid Managed Care",,,"40",,"5.6","4.76","93","percent of total billed charges",,
"NORMAL SALINE 100ML PF","0258","RC","Both",,,"14","7","Wellcare","Medicaid Managed Care",,,"40",,"5.67","4.76","93","percent of total billed charges",,
"NORMAL SALINE 100ML PF","0258","RC","Both",,,"14","7","Aetna","Commercial",,,"64",,"8.93","4.76","93","percent of total billed charges",,
"NORMAL SALINE 100ML PF","0258","RC","Both",,,"14","7","Blue Cross Blue Shield","Pathways",,,"71",,"9.88","4.76","93","percent of total billed charges",,
"NORMAL SALINE 100ML PF","0258","RC","Both",,,"14","7","Blue Cross Blue Shield","HMO",,,"71",,"9.88","4.76","93","percent of total billed charges",,
"NORMAL SALINE 100ML PF","0258","RC","Both",,,"14","7","Blue Cross Blue Shield","PPO",,,"71",,"9.88","4.76","93","percent of total billed charges",,
"NORMAL SALINE 100ML PF","0258","RC","Both",,,"14","7","Ambetter","Health Exchange",,,"62",,"8.68","4.76","93","percent of total billed charges",,
"NORMAL SALINE 100ML PF","0258","RC","Both",,,"14","7","Caresource","Health Exchange",,,"62",,"8.68","4.76","93","percent of total billed charges",,
"NORMAL SALINE 100ML PF","0258","RC","Both",,,"14","7","Cigna","Commercial",,,"59",,"8.2","4.76","93","percent of total billed charges",,
"NORMAL SALINE 100ML PF","0258","RC","Both",,,"14","7","Humana","Commercial",,,"78",,"10.85","4.76","93","percent of total billed charges",,
"NORMAL SALINE 100ML PF","0258","RC","Both",,,"14","7","UHC","Commercial",,,"75",,"10.56","4.76","93","percent of total billed charges",,
"NORMAL SALINE 100ML PF","0258","RC","Both",,,"14","7","Medicaid",,,,"37",,"5.12","4.76","93","percent of total billed charges",,
"LABETALOL HCL (NORMODYNE) 200 MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LABETALOL HCL (NORMODYNE) 200 MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"LABETALOL HCL (NORMODYNE) 200 MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LABETALOL HCL (NORMODYNE) 200 MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LABETALOL HCL (NORMODYNE) 200 MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LABETALOL HCL (NORMODYNE) 200 MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LABETALOL HCL (NORMODYNE) 200 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LABETALOL HCL (NORMODYNE) 200 MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"LABETALOL HCL (NORMODYNE) 200 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"LABETALOL HCL (NORMODYNE) 200 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"LABETALOL HCL (NORMODYNE) 200 MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"LABETALOL HCL (NORMODYNE) 200 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LABETALOL HCL (NORMODYNE) 200 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LABETALOL HCL (NORMODYNE) 200 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LABETALOL HCL (NORMODYNE) 200 MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LABETALOL HCL (NORMODYNE) 200 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LABETALOL HCL (NORMODYNE) 200 MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"LABETALOL HCL (NORMODYNE) 200 MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"LABETALOL HCL (NORMODYNE) 200 MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"LABETALOL HCL (NORMODYNE) 200 MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"AMLODIPINE (NORVASC) 10MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"AMLODIPINE (NORVASC) 10MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"AMLODIPINE (NORVASC) 10MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"AMLODIPINE (NORVASC) 10MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"AMLODIPINE (NORVASC) 10MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"AMLODIPINE (NORVASC) 10MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"AMLODIPINE (NORVASC) 10MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"AMLODIPINE (NORVASC) 10MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"AMLODIPINE (NORVASC) 10MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"AMLODIPINE (NORVASC) 10MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"AMLODIPINE (NORVASC) 10MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"AMLODIPINE (NORVASC) 10MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"AMLODIPINE (NORVASC) 10MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"AMLODIPINE (NORVASC) 10MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"AMLODIPINE (NORVASC) 10MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"AMLODIPINE (NORVASC) 10MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"AMLODIPINE (NORVASC) 10MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"AMLODIPINE (NORVASC) 10MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"AMLODIPINE (NORVASC) 10MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"AMLODIPINE (NORVASC) 10MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NYSTATIN 100,000 UNITS/GM CREAM 15GM","0637","RC","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"NYSTATIN 100,000 UNITS/GM CREAM 15GM","0637","RC","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","0.15","5264.58","percent of total billed charges",,
"NYSTATIN 100,000 UNITS/GM CREAM 15GM","0637","RC","Both",,,"22","11","Medicare",,,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NYSTATIN 100,000 UNITS/GM CREAM 15GM","0637","RC","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NYSTATIN 100,000 UNITS/GM CREAM 15GM","0637","RC","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NYSTATIN 100,000 UNITS/GM CREAM 15GM","0637","RC","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NYSTATIN 100,000 UNITS/GM CREAM 15GM","0637","RC","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NYSTATIN 100,000 UNITS/GM CREAM 15GM","0637","RC","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"NYSTATIN 100,000 UNITS/GM CREAM 15GM","0637","RC","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","0.15","5264.58","percent of total billed charges",,
"NYSTATIN 100,000 UNITS/GM CREAM 15GM","0637","RC","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","0.15","5264.58","percent of total billed charges",,
"NYSTATIN 100,000 UNITS/GM CREAM 15GM","0637","RC","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","0.15","5264.58","percent of total billed charges",,
"NYSTATIN 100,000 UNITS/GM CREAM 15GM","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"NYSTATIN 100,000 UNITS/GM CREAM 15GM","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"NYSTATIN 100,000 UNITS/GM CREAM 15GM","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"NYSTATIN 100,000 UNITS/GM CREAM 15GM","0637","RC","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"NYSTATIN 100,000 UNITS/GM CREAM 15GM","0637","RC","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"NYSTATIN 100,000 UNITS/GM CREAM 15GM","0637","RC","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","0.15","5264.58","percent of total billed charges",,
"NYSTATIN 100,000 UNITS/GM CREAM 15GM","0637","RC","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","0.15","5264.58","percent of total billed charges",,
"NYSTATIN 100,000 UNITS/GM CREAM 15GM","0637","RC","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","0.15","5264.58","percent of total billed charges",,
"NYSTATIN 100,000 UNITS/GM CREAM 15GM","0637","RC","Both",,,"22","11","Medicaid",,,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"CALCIUM OSYTER SHELL (OSCAL) 500 MG TAB","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CALCIUM OSYTER SHELL (OSCAL) 500 MG TAB","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"CALCIUM OSYTER SHELL (OSCAL) 500 MG TAB","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CALCIUM OSYTER SHELL (OSCAL) 500 MG TAB","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CALCIUM OSYTER SHELL (OSCAL) 500 MG TAB","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CALCIUM OSYTER SHELL (OSCAL) 500 MG TAB","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CALCIUM OSYTER SHELL (OSCAL) 500 MG TAB","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CALCIUM OSYTER SHELL (OSCAL) 500 MG TAB","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"CALCIUM OSYTER SHELL (OSCAL) 500 MG TAB","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"CALCIUM OSYTER SHELL (OSCAL) 500 MG TAB","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"CALCIUM OSYTER SHELL (OSCAL) 500 MG TAB","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"CALCIUM OSYTER SHELL (OSCAL) 500 MG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CALCIUM OSYTER SHELL (OSCAL) 500 MG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CALCIUM OSYTER SHELL (OSCAL) 500 MG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CALCIUM OSYTER SHELL (OSCAL) 500 MG TAB","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CALCIUM OSYTER SHELL (OSCAL) 500 MG TAB","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CALCIUM OSYTER SHELL (OSCAL) 500 MG TAB","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"CALCIUM OSYTER SHELL (OSCAL) 500 MG TAB","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"CALCIUM OSYTER SHELL (OSCAL) 500 MG TAB","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"CALCIUM OSYTER SHELL (OSCAL) 500 MG TAB","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"OXYCODONE ER (OXYCONTIN) TAB *CII*: 10MG","0637","RC","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"OXYCODONE ER (OXYCONTIN) TAB *CII*: 10MG","0637","RC","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","0.15","5264.58","percent of total billed charges",,
"OXYCODONE ER (OXYCONTIN) TAB *CII*: 10MG","0637","RC","Both",,,"22","11","Medicare",,,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"OXYCODONE ER (OXYCONTIN) TAB *CII*: 10MG","0637","RC","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"OXYCODONE ER (OXYCONTIN) TAB *CII*: 10MG","0637","RC","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"OXYCODONE ER (OXYCONTIN) TAB *CII*: 10MG","0637","RC","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"OXYCODONE ER (OXYCONTIN) TAB *CII*: 10MG","0637","RC","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"OXYCODONE ER (OXYCONTIN) TAB *CII*: 10MG","0637","RC","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"OXYCODONE ER (OXYCONTIN) TAB *CII*: 10MG","0637","RC","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","0.15","5264.58","percent of total billed charges",,
"OXYCODONE ER (OXYCONTIN) TAB *CII*: 10MG","0637","RC","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","0.15","5264.58","percent of total billed charges",,
"OXYCODONE ER (OXYCONTIN) TAB *CII*: 10MG","0637","RC","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","0.15","5264.58","percent of total billed charges",,
"OXYCODONE ER (OXYCONTIN) TAB *CII*: 10MG","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"OXYCODONE ER (OXYCONTIN) TAB *CII*: 10MG","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"OXYCODONE ER (OXYCONTIN) TAB *CII*: 10MG","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"OXYCODONE ER (OXYCONTIN) TAB *CII*: 10MG","0637","RC","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"OXYCODONE ER (OXYCONTIN) TAB *CII*: 10MG","0637","RC","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"OXYCODONE ER (OXYCONTIN) TAB *CII*: 10MG","0637","RC","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","0.15","5264.58","percent of total billed charges",,
"OXYCODONE ER (OXYCONTIN) TAB *CII*: 10MG","0637","RC","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","0.15","5264.58","percent of total billed charges",,
"OXYCODONE ER (OXYCONTIN) TAB *CII*: 10MG","0637","RC","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","0.15","5264.58","percent of total billed charges",,
"OXYCODONE ER (OXYCONTIN) TAB *CII*: 10MG","0637","RC","Both",,,"22","11","Medicaid",,,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"P.E.G. KIT","0270","RC","Both",,,"158.5","79.25","Alliant","Health Exchange",,,"62",,"98.27","0.18","1007.5","percent of total billed charges",,
"P.E.G. KIT","0270","RC","Both",,,"158.5","79.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"85.59","0.18","1007.5","percent of total billed charges",,
"P.E.G. KIT","0270","RC","Both",,,"158.5","79.25","Medicare",,,,"54",,"85.91","0.18","1007.5","percent of total billed charges",,
"P.E.G. KIT","0270","RC","Both",,,"158.5","79.25","Humana","Medicare Advantage",,,"54",,"85.91","0.18","1007.5","percent of total billed charges",,
"P.E.G. KIT","0270","RC","Both",,,"158.5","79.25","UHC","Medicare Advantage",,,"54",,"85.91","0.18","1007.5","percent of total billed charges",,
"P.E.G. KIT","0270","RC","Both",,,"158.5","79.25","Clover","Medicare Advantage",,,"54",,"85.91","0.18","1007.5","percent of total billed charges",,
"P.E.G. KIT","0270","RC","Both",,,"158.5","79.25","Wellcare","Medicare Advantage",,,"54",,"85.91","0.18","1007.5","percent of total billed charges",,
"P.E.G. KIT","0270","RC","Both",,,"158.5","79.25","Amerigroup","Medicaid Managed Care",,,"37",,"58.01","0.18","1007.5","percent of total billed charges",,
"P.E.G. KIT","0270","RC","Both",,,"158.5","79.25","Caresource","Medicaid Managed Care",,,"40",,"63.4","0.18","1007.5","percent of total billed charges",,
"P.E.G. KIT","0270","RC","Both",,,"158.5","79.25","Wellcare","Medicaid Managed Care",,,"40",,"64.19","0.18","1007.5","percent of total billed charges",,
"P.E.G. KIT","0270","RC","Both",,,"158.5","79.25","Aetna","Commercial",,,"64",,"101.12","0.18","1007.5","percent of total billed charges",,
"P.E.G. KIT","0270","RC","Both",,,"158.5","79.25","Blue Cross Blue Shield","Pathways",,,"71",,"111.9","0.18","1007.5","percent of total billed charges",,
"P.E.G. KIT","0270","RC","Both",,,"158.5","79.25","Blue Cross Blue Shield","HMO",,,"71",,"111.9","0.18","1007.5","percent of total billed charges",,
"P.E.G. KIT","0270","RC","Both",,,"158.5","79.25","Blue Cross Blue Shield","PPO",,,"71",,"111.9","0.18","1007.5","percent of total billed charges",,
"P.E.G. KIT","0270","RC","Both",,,"158.5","79.25","Ambetter","Health Exchange",,,"62",,"98.27","0.18","1007.5","percent of total billed charges",,
"P.E.G. KIT","0270","RC","Both",,,"158.5","79.25","Caresource","Health Exchange",,,"62",,"98.27","0.18","1007.5","percent of total billed charges",,
"P.E.G. KIT","0270","RC","Both",,,"158.5","79.25","Cigna","Commercial",,,"59",,"92.88","0.18","1007.5","percent of total billed charges",,
"P.E.G. KIT","0270","RC","Both",,,"158.5","79.25","Humana","Commercial",,,"78",,"122.84","0.18","1007.5","percent of total billed charges",,
"P.E.G. KIT","0270","RC","Both",,,"158.5","79.25","UHC","Commercial",,,"75",,"119.51","0.18","1007.5","percent of total billed charges",,
"P.E.G. KIT","0270","RC","Both",,,"158.5","79.25","Medicaid",,,,"37",,"58.01","0.18","1007.5","percent of total billed charges",,
"OXYCODONE ER (OXYCONTIN) TAB *CII*: 20MG","0637","RC","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"OXYCODONE ER (OXYCONTIN) TAB *CII*: 20MG","0637","RC","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","0.15","5264.58","percent of total billed charges",,
"OXYCODONE ER (OXYCONTIN) TAB *CII*: 20MG","0637","RC","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"OXYCODONE ER (OXYCONTIN) TAB *CII*: 20MG","0637","RC","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"OXYCODONE ER (OXYCONTIN) TAB *CII*: 20MG","0637","RC","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"OXYCODONE ER (OXYCONTIN) TAB *CII*: 20MG","0637","RC","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"OXYCODONE ER (OXYCONTIN) TAB *CII*: 20MG","0637","RC","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"OXYCODONE ER (OXYCONTIN) TAB *CII*: 20MG","0637","RC","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"OXYCODONE ER (OXYCONTIN) TAB *CII*: 20MG","0637","RC","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","0.15","5264.58","percent of total billed charges",,
"OXYCODONE ER (OXYCONTIN) TAB *CII*: 20MG","0637","RC","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","0.15","5264.58","percent of total billed charges",,
"OXYCODONE ER (OXYCONTIN) TAB *CII*: 20MG","0637","RC","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","0.15","5264.58","percent of total billed charges",,
"OXYCODONE ER (OXYCONTIN) TAB *CII*: 20MG","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"OXYCODONE ER (OXYCONTIN) TAB *CII*: 20MG","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"OXYCODONE ER (OXYCONTIN) TAB *CII*: 20MG","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"OXYCODONE ER (OXYCONTIN) TAB *CII*: 20MG","0637","RC","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"OXYCODONE ER (OXYCONTIN) TAB *CII*: 20MG","0637","RC","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"OXYCODONE ER (OXYCONTIN) TAB *CII*: 20MG","0637","RC","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","0.15","5264.58","percent of total billed charges",,
"OXYCODONE ER (OXYCONTIN) TAB *CII*: 20MG","0637","RC","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","0.15","5264.58","percent of total billed charges",,
"OXYCODONE ER (OXYCONTIN) TAB *CII*: 20MG","0637","RC","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","0.15","5264.58","percent of total billed charges",,
"OXYCODONE ER (OXYCONTIN) TAB *CII*: 20MG","0637","RC","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"PARACENTESIS TRAY","0250","RC","Both",,,"116","58","Alliant","Health Exchange",,,"62",,"71.92","0.04","569.62","percent of total billed charges",,
"PARACENTESIS TRAY","0250","RC","Both",,,"116","58","Pruitt Healthcare","Medicare Advantage",,,"54",,"62.64","0.04","569.62","percent of total billed charges",,
"PARACENTESIS TRAY","0250","RC","Both",,,"116","58","Medicare",,,,"54",,"62.87","0.04","569.62","percent of total billed charges",,
"PARACENTESIS TRAY","0250","RC","Both",,,"116","58","Humana","Medicare Advantage",,,"54",,"62.87","0.04","569.62","percent of total billed charges",,
"PARACENTESIS TRAY","0250","RC","Both",,,"116","58","UHC","Medicare Advantage",,,"54",,"62.87","0.04","569.62","percent of total billed charges",,
"PARACENTESIS TRAY","0250","RC","Both",,,"116","58","Clover","Medicare Advantage",,,"54",,"62.87","0.04","569.62","percent of total billed charges",,
"PARACENTESIS TRAY","0250","RC","Both",,,"116","58","Wellcare","Medicare Advantage",,,"54",,"62.87","0.04","569.62","percent of total billed charges",,
"PARACENTESIS TRAY","0250","RC","Both",,,"116","58","Amerigroup","Medicaid Managed Care",,,"37",,"42.46","0.04","569.62","percent of total billed charges",,
"PARACENTESIS TRAY","0250","RC","Both",,,"116","58","Caresource","Medicaid Managed Care",,,"40",,"46.4","0.04","569.62","percent of total billed charges",,
"PARACENTESIS TRAY","0250","RC","Both",,,"116","58","Wellcare","Medicaid Managed Care",,,"40",,"46.98","0.04","569.62","percent of total billed charges",,
"PARACENTESIS TRAY","0250","RC","Both",,,"116","58","Aetna","Commercial",,,"64",,"74.01","0.04","569.62","percent of total billed charges",,
"PARACENTESIS TRAY","0250","RC","Both",,,"116","58","Blue Cross Blue Shield","Pathways",,,"71",,"81.9","0.04","569.62","percent of total billed charges",,
"PARACENTESIS TRAY","0250","RC","Both",,,"116","58","Blue Cross Blue Shield","HMO",,,"71",,"81.9","0.04","569.62","percent of total billed charges",,
"PARACENTESIS TRAY","0250","RC","Both",,,"116","58","Blue Cross Blue Shield","PPO",,,"71",,"81.9","0.04","569.62","percent of total billed charges",,
"PARACENTESIS TRAY","0250","RC","Both",,,"116","58","Ambetter","Health Exchange",,,"62",,"71.92","0.04","569.62","percent of total billed charges",,
"PARACENTESIS TRAY","0250","RC","Both",,,"116","58","Caresource","Health Exchange",,,"62",,"71.92","0.04","569.62","percent of total billed charges",,
"PARACENTESIS TRAY","0250","RC","Both",,,"116","58","Cigna","Commercial",,,"59",,"67.98","0.04","569.62","percent of total billed charges",,
"PARACENTESIS TRAY","0250","RC","Both",,,"116","58","Humana","Commercial",,,"78",,"89.9","0.04","569.62","percent of total billed charges",,
"PARACENTESIS TRAY","0250","RC","Both",,,"116","58","UHC","Commercial",,,"75",,"87.46","0.04","569.62","percent of total billed charges",,
"PARACENTESIS TRAY","0250","RC","Both",,,"116","58","Medicaid",,,,"37",,"42.46","0.04","569.62","percent of total billed charges",,
"BROMOCRIPTINE (PARLODEL) 2.5 MG TABLETS","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"BROMOCRIPTINE (PARLODEL) 2.5 MG TABLETS","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"BROMOCRIPTINE (PARLODEL) 2.5 MG TABLETS","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"BROMOCRIPTINE (PARLODEL) 2.5 MG TABLETS","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"BROMOCRIPTINE (PARLODEL) 2.5 MG TABLETS","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"BROMOCRIPTINE (PARLODEL) 2.5 MG TABLETS","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"BROMOCRIPTINE (PARLODEL) 2.5 MG TABLETS","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"BROMOCRIPTINE (PARLODEL) 2.5 MG TABLETS","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"BROMOCRIPTINE (PARLODEL) 2.5 MG TABLETS","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"BROMOCRIPTINE (PARLODEL) 2.5 MG TABLETS","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"BROMOCRIPTINE (PARLODEL) 2.5 MG TABLETS","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"BROMOCRIPTINE (PARLODEL) 2.5 MG TABLETS","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"BROMOCRIPTINE (PARLODEL) 2.5 MG TABLETS","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"BROMOCRIPTINE (PARLODEL) 2.5 MG TABLETS","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"BROMOCRIPTINE (PARLODEL) 2.5 MG TABLETS","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"BROMOCRIPTINE (PARLODEL) 2.5 MG TABLETS","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"BROMOCRIPTINE (PARLODEL) 2.5 MG TABLETS","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"BROMOCRIPTINE (PARLODEL) 2.5 MG TABLETS","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"BROMOCRIPTINE (PARLODEL) 2.5 MG TABLETS","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"BROMOCRIPTINE (PARLODEL) 2.5 MG TABLETS","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"PARoxetine HCL (PAXIL) 20 MG TABLET","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"PARoxetine HCL (PAXIL) 20 MG TABLET","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"PARoxetine HCL (PAXIL) 20 MG TABLET","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"PARoxetine HCL (PAXIL) 20 MG TABLET","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"PARoxetine HCL (PAXIL) 20 MG TABLET","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"PARoxetine HCL (PAXIL) 20 MG TABLET","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"PARoxetine HCL (PAXIL) 20 MG TABLET","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"PARoxetine HCL (PAXIL) 20 MG TABLET","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"PARoxetine HCL (PAXIL) 20 MG TABLET","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"PARoxetine HCL (PAXIL) 20 MG TABLET","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"PARoxetine HCL (PAXIL) 20 MG TABLET","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"PARoxetine HCL (PAXIL) 20 MG TABLET","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"PARoxetine HCL (PAXIL) 20 MG TABLET","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"PARoxetine HCL (PAXIL) 20 MG TABLET","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"PARoxetine HCL (PAXIL) 20 MG TABLET","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"PARoxetine HCL (PAXIL) 20 MG TABLET","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"PARoxetine HCL (PAXIL) 20 MG TABLET","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"PARoxetine HCL (PAXIL) 20 MG TABLET","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"PARoxetine HCL (PAXIL) 20 MG TABLET","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"PARoxetine HCL (PAXIL) 20 MG TABLET","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"FAMOTIDINE (PEPCID) TABLET: 20MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"FAMOTIDINE (PEPCID) TABLET: 20MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"FAMOTIDINE (PEPCID) TABLET: 20MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FAMOTIDINE (PEPCID) TABLET: 20MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FAMOTIDINE (PEPCID) TABLET: 20MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FAMOTIDINE (PEPCID) TABLET: 20MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FAMOTIDINE (PEPCID) TABLET: 20MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FAMOTIDINE (PEPCID) TABLET: 20MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"FAMOTIDINE (PEPCID) TABLET: 20MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"FAMOTIDINE (PEPCID) TABLET: 20MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"FAMOTIDINE (PEPCID) TABLET: 20MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"FAMOTIDINE (PEPCID) TABLET: 20MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"FAMOTIDINE (PEPCID) TABLET: 20MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"FAMOTIDINE (PEPCID) TABLET: 20MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"FAMOTIDINE (PEPCID) TABLET: 20MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"FAMOTIDINE (PEPCID) TABLET: 20MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"FAMOTIDINE (PEPCID) TABLET: 20MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"FAMOTIDINE (PEPCID) TABLET: 20MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"FAMOTIDINE (PEPCID) TABLET: 20MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"FAMOTIDINE (PEPCID) TABLET: 20MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"OXYCODONE/APAP (PERCOCET) 5/325mg TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"OXYCODONE/APAP (PERCOCET) 5/325mg TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"OXYCODONE/APAP (PERCOCET) 5/325mg TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"OXYCODONE/APAP (PERCOCET) 5/325mg TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"OXYCODONE/APAP (PERCOCET) 5/325mg TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"OXYCODONE/APAP (PERCOCET) 5/325mg TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"OXYCODONE/APAP (PERCOCET) 5/325mg TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"OXYCODONE/APAP (PERCOCET) 5/325mg TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"OXYCODONE/APAP (PERCOCET) 5/325mg TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"OXYCODONE/APAP (PERCOCET) 5/325mg TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"OXYCODONE/APAP (PERCOCET) 5/325mg TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"OXYCODONE/APAP (PERCOCET) 5/325mg TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"OXYCODONE/APAP (PERCOCET) 5/325mg TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"OXYCODONE/APAP (PERCOCET) 5/325mg TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"OXYCODONE/APAP (PERCOCET) 5/325mg TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"OXYCODONE/APAP (PERCOCET) 5/325mg TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"OXYCODONE/APAP (PERCOCET) 5/325mg TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"OXYCODONE/APAP (PERCOCET) 5/325mg TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"OXYCODONE/APAP (PERCOCET) 5/325mg TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"OXYCODONE/APAP (PERCOCET) 5/325mg TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG SUPPOSITRY","0637","RC","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG SUPPOSITRY","0637","RC","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG SUPPOSITRY","0637","RC","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG SUPPOSITRY","0637","RC","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG SUPPOSITRY","0637","RC","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG SUPPOSITRY","0637","RC","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG SUPPOSITRY","0637","RC","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG SUPPOSITRY","0637","RC","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG SUPPOSITRY","0637","RC","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG SUPPOSITRY","0637","RC","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG SUPPOSITRY","0637","RC","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG SUPPOSITRY","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG SUPPOSITRY","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG SUPPOSITRY","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG SUPPOSITRY","0637","RC","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG SUPPOSITRY","0637","RC","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG SUPPOSITRY","0637","RC","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG SUPPOSITRY","0637","RC","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG SUPPOSITRY","0637","RC","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG SUPPOSITRY","0637","RC","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"PHENOBARBITAL 32.4 MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PHENOBARBITAL 32.4 MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"PHENOBARBITAL 32.4 MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PHENOBARBITAL 32.4 MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PHENOBARBITAL 32.4 MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PHENOBARBITAL 32.4 MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PHENOBARBITAL 32.4 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PHENOBARBITAL 32.4 MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"PHENOBARBITAL 32.4 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"PHENOBARBITAL 32.4 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"PHENOBARBITAL 32.4 MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"PHENOBARBITAL 32.4 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PHENOBARBITAL 32.4 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PHENOBARBITAL 32.4 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PHENOBARBITAL 32.4 MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PHENOBARBITAL 32.4 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PHENOBARBITAL 32.4 MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"PHENOBARBITAL 32.4 MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"PHENOBARBITAL 32.4 MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"PHENOBARBITAL 32.4 MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"PHENOL LIQUID 60ml","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"PHENOL LIQUID 60ml","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"PHENOL LIQUID 60ml","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"PHENOL LIQUID 60ml","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"PHENOL LIQUID 60ml","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"PHENOL LIQUID 60ml","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"PHENOL LIQUID 60ml","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"PHENOL LIQUID 60ml","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"PHENOL LIQUID 60ml","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"PHENOL LIQUID 60ml","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"PHENOL LIQUID 60ml","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"PHENOL LIQUID 60ml","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"PHENOL LIQUID 60ml","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"PHENOL LIQUID 60ml","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"PHENOL LIQUID 60ml","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"PHENOL LIQUID 60ml","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"PHENOL LIQUID 60ml","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"PHENOL LIQUID 60ml","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"PHENOL LIQUID 60ml","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"PHENOL LIQUID 60ml","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"CLOPIDOGREL (PLAVIX) TABLET: 75MG","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"CLOPIDOGREL (PLAVIX) TABLET: 75MG","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"CLOPIDOGREL (PLAVIX) TABLET: 75MG","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"CLOPIDOGREL (PLAVIX) TABLET: 75MG","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"CLOPIDOGREL (PLAVIX) TABLET: 75MG","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"CLOPIDOGREL (PLAVIX) TABLET: 75MG","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"CLOPIDOGREL (PLAVIX) TABLET: 75MG","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"CLOPIDOGREL (PLAVIX) TABLET: 75MG","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"CLOPIDOGREL (PLAVIX) TABLET: 75MG","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"CLOPIDOGREL (PLAVIX) TABLET: 75MG","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"CLOPIDOGREL (PLAVIX) TABLET: 75MG","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"CLOPIDOGREL (PLAVIX) TABLET: 75MG","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"CLOPIDOGREL (PLAVIX) TABLET: 75MG","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"CLOPIDOGREL (PLAVIX) TABLET: 75MG","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"CLOPIDOGREL (PLAVIX) TABLET: 75MG","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"CLOPIDOGREL (PLAVIX) TABLET: 75MG","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"CLOPIDOGREL (PLAVIX) TABLET: 75MG","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"CLOPIDOGREL (PLAVIX) TABLET: 75MG","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"CLOPIDOGREL (PLAVIX) TABLET: 75MG","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"CLOPIDOGREL (PLAVIX) TABLET: 75MG","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"BACITRACIN/POLYM (POLYSPORIN) OINTMT 15G","0637","RC","Both",,,"36","18","Alliant","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"BACITRACIN/POLYM (POLYSPORIN) OINTMT 15G","0637","RC","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.44","0.15","5264.58","percent of total billed charges",,
"BACITRACIN/POLYM (POLYSPORIN) OINTMT 15G","0637","RC","Both",,,"36","18","Medicare",,,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"BACITRACIN/POLYM (POLYSPORIN) OINTMT 15G","0637","RC","Both",,,"36","18","Humana","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"BACITRACIN/POLYM (POLYSPORIN) OINTMT 15G","0637","RC","Both",,,"36","18","UHC","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"BACITRACIN/POLYM (POLYSPORIN) OINTMT 15G","0637","RC","Both",,,"36","18","Clover","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"BACITRACIN/POLYM (POLYSPORIN) OINTMT 15G","0637","RC","Both",,,"36","18","Wellcare","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"BACITRACIN/POLYM (POLYSPORIN) OINTMT 15G","0637","RC","Both",,,"36","18","Amerigroup","Medicaid Managed Care",,,"37",,"13.18","0.15","5264.58","percent of total billed charges",,
"BACITRACIN/POLYM (POLYSPORIN) OINTMT 15G","0637","RC","Both",,,"36","18","Caresource","Medicaid Managed Care",,,"40",,"14.4","0.15","5264.58","percent of total billed charges",,
"BACITRACIN/POLYM (POLYSPORIN) OINTMT 15G","0637","RC","Both",,,"36","18","Wellcare","Medicaid Managed Care",,,"40",,"14.58","0.15","5264.58","percent of total billed charges",,
"BACITRACIN/POLYM (POLYSPORIN) OINTMT 15G","0637","RC","Both",,,"36","18","Aetna","Commercial",,,"64",,"22.97","0.15","5264.58","percent of total billed charges",,
"BACITRACIN/POLYM (POLYSPORIN) OINTMT 15G","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","Pathways",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"BACITRACIN/POLYM (POLYSPORIN) OINTMT 15G","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","HMO",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"BACITRACIN/POLYM (POLYSPORIN) OINTMT 15G","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","PPO",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"BACITRACIN/POLYM (POLYSPORIN) OINTMT 15G","0637","RC","Both",,,"36","18","Ambetter","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"BACITRACIN/POLYM (POLYSPORIN) OINTMT 15G","0637","RC","Both",,,"36","18","Caresource","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"BACITRACIN/POLYM (POLYSPORIN) OINTMT 15G","0637","RC","Both",,,"36","18","Cigna","Commercial",,,"59",,"21.1","0.15","5264.58","percent of total billed charges",,
"BACITRACIN/POLYM (POLYSPORIN) OINTMT 15G","0637","RC","Both",,,"36","18","Humana","Commercial",,,"78",,"27.9","0.15","5264.58","percent of total billed charges",,
"BACITRACIN/POLYM (POLYSPORIN) OINTMT 15G","0637","RC","Both",,,"36","18","UHC","Commercial",,,"75",,"27.14","0.15","5264.58","percent of total billed charges",,
"BACITRACIN/POLYM (POLYSPORIN) OINTMT 15G","0637","RC","Both",,,"36","18","Medicaid",,,,"37",,"13.18","0.15","5264.58","percent of total billed charges",,
"PRAVASTATIN (PRAVACHOL) TABLET: 40MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PRAVASTATIN (PRAVACHOL) TABLET: 40MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"PRAVASTATIN (PRAVACHOL) TABLET: 40MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PRAVASTATIN (PRAVACHOL) TABLET: 40MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PRAVASTATIN (PRAVACHOL) TABLET: 40MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PRAVASTATIN (PRAVACHOL) TABLET: 40MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PRAVASTATIN (PRAVACHOL) TABLET: 40MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PRAVASTATIN (PRAVACHOL) TABLET: 40MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"PRAVASTATIN (PRAVACHOL) TABLET: 40MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"PRAVASTATIN (PRAVACHOL) TABLET: 40MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"PRAVASTATIN (PRAVACHOL) TABLET: 40MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"PRAVASTATIN (PRAVACHOL) TABLET: 40MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PRAVASTATIN (PRAVACHOL) TABLET: 40MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PRAVASTATIN (PRAVACHOL) TABLET: 40MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PRAVASTATIN (PRAVACHOL) TABLET: 40MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PRAVASTATIN (PRAVACHOL) TABLET: 40MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PRAVASTATIN (PRAVACHOL) TABLET: 40MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"PRAVASTATIN (PRAVACHOL) TABLET: 40MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"PRAVASTATIN (PRAVACHOL) TABLET: 40MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"PRAVASTATIN (PRAVACHOL) TABLET: 40MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 10 MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 10 MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 10 MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 10 MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 10 MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 10 MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 10 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 10 MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 10 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 10 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 10 MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 10 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 10 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 10 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 10 MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 10 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 10 MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 10 MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 10 MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 10 MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 20 MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 20 MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 20 MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 20 MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 20 MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 20 MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 20 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 20 MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 20 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 20 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 20 MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 20 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 20 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 20 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 20 MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 20 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 20 MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 20 MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 20 MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 20 MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"OMEPRAZOLE SR (PRILOSEC) CAP: 20 MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"OMEPRAZOLE SR (PRILOSEC) CAP: 20 MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"OMEPRAZOLE SR (PRILOSEC) CAP: 20 MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"OMEPRAZOLE SR (PRILOSEC) CAP: 20 MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"OMEPRAZOLE SR (PRILOSEC) CAP: 20 MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"OMEPRAZOLE SR (PRILOSEC) CAP: 20 MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"OMEPRAZOLE SR (PRILOSEC) CAP: 20 MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"OMEPRAZOLE SR (PRILOSEC) CAP: 20 MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"OMEPRAZOLE SR (PRILOSEC) CAP: 20 MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"OMEPRAZOLE SR (PRILOSEC) CAP: 20 MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"OMEPRAZOLE SR (PRILOSEC) CAP: 20 MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"OMEPRAZOLE SR (PRILOSEC) CAP: 20 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"OMEPRAZOLE SR (PRILOSEC) CAP: 20 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"OMEPRAZOLE SR (PRILOSEC) CAP: 20 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"OMEPRAZOLE SR (PRILOSEC) CAP: 20 MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"OMEPRAZOLE SR (PRILOSEC) CAP: 20 MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"OMEPRAZOLE SR (PRILOSEC) CAP: 20 MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"OMEPRAZOLE SR (PRILOSEC) CAP: 20 MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"OMEPRAZOLE SR (PRILOSEC) CAP: 20 MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"OMEPRAZOLE SR (PRILOSEC) CAP: 20 MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"LISINOPRIL (PRINIVIL) 10 MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LISINOPRIL (PRINIVIL) 10 MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"LISINOPRIL (PRINIVIL) 10 MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LISINOPRIL (PRINIVIL) 10 MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LISINOPRIL (PRINIVIL) 10 MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LISINOPRIL (PRINIVIL) 10 MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LISINOPRIL (PRINIVIL) 10 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LISINOPRIL (PRINIVIL) 10 MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"LISINOPRIL (PRINIVIL) 10 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"LISINOPRIL (PRINIVIL) 10 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"LISINOPRIL (PRINIVIL) 10 MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"LISINOPRIL (PRINIVIL) 10 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LISINOPRIL (PRINIVIL) 10 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LISINOPRIL (PRINIVIL) 10 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LISINOPRIL (PRINIVIL) 10 MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LISINOPRIL (PRINIVIL) 10 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LISINOPRIL (PRINIVIL) 10 MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"LISINOPRIL (PRINIVIL) 10 MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"LISINOPRIL (PRINIVIL) 10 MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"LISINOPRIL (PRINIVIL) 10 MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL SULF (VENTOLIN ) 2MG/5ML SYRUP","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL SULF (VENTOLIN ) 2MG/5ML SYRUP","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL SULF (VENTOLIN ) 2MG/5ML SYRUP","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL SULF (VENTOLIN ) 2MG/5ML SYRUP","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL SULF (VENTOLIN ) 2MG/5ML SYRUP","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL SULF (VENTOLIN ) 2MG/5ML SYRUP","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL SULF (VENTOLIN ) 2MG/5ML SYRUP","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL SULF (VENTOLIN ) 2MG/5ML SYRUP","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL SULF (VENTOLIN ) 2MG/5ML SYRUP","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL SULF (VENTOLIN ) 2MG/5ML SYRUP","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL SULF (VENTOLIN ) 2MG/5ML SYRUP","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL SULF (VENTOLIN ) 2MG/5ML SYRUP","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL SULF (VENTOLIN ) 2MG/5ML SYRUP","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL SULF (VENTOLIN ) 2MG/5ML SYRUP","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL SULF (VENTOLIN ) 2MG/5ML SYRUP","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL SULF (VENTOLIN ) 2MG/5ML SYRUP","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL SULF (VENTOLIN ) 2MG/5ML SYRUP","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL SULF (VENTOLIN ) 2MG/5ML SYRUP","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL SULF (VENTOLIN ) 2MG/5ML SYRUP","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL SULF (VENTOLIN ) 2MG/5ML SYRUP","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL (VENTOLIN HFA) MDI: 90MCG/ACT","0637","RC","Both",,,"36","18","Alliant","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL (VENTOLIN HFA) MDI: 90MCG/ACT","0637","RC","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.44","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL (VENTOLIN HFA) MDI: 90MCG/ACT","0637","RC","Both",,,"36","18","Medicare",,,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL (VENTOLIN HFA) MDI: 90MCG/ACT","0637","RC","Both",,,"36","18","Humana","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL (VENTOLIN HFA) MDI: 90MCG/ACT","0637","RC","Both",,,"36","18","UHC","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL (VENTOLIN HFA) MDI: 90MCG/ACT","0637","RC","Both",,,"36","18","Clover","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL (VENTOLIN HFA) MDI: 90MCG/ACT","0637","RC","Both",,,"36","18","Wellcare","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL (VENTOLIN HFA) MDI: 90MCG/ACT","0637","RC","Both",,,"36","18","Amerigroup","Medicaid Managed Care",,,"37",,"13.18","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL (VENTOLIN HFA) MDI: 90MCG/ACT","0637","RC","Both",,,"36","18","Caresource","Medicaid Managed Care",,,"40",,"14.4","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL (VENTOLIN HFA) MDI: 90MCG/ACT","0637","RC","Both",,,"36","18","Wellcare","Medicaid Managed Care",,,"40",,"14.58","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL (VENTOLIN HFA) MDI: 90MCG/ACT","0637","RC","Both",,,"36","18","Aetna","Commercial",,,"64",,"22.97","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL (VENTOLIN HFA) MDI: 90MCG/ACT","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","Pathways",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL (VENTOLIN HFA) MDI: 90MCG/ACT","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","HMO",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL (VENTOLIN HFA) MDI: 90MCG/ACT","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","PPO",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL (VENTOLIN HFA) MDI: 90MCG/ACT","0637","RC","Both",,,"36","18","Ambetter","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL (VENTOLIN HFA) MDI: 90MCG/ACT","0637","RC","Both",,,"36","18","Caresource","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL (VENTOLIN HFA) MDI: 90MCG/ACT","0637","RC","Both",,,"36","18","Cigna","Commercial",,,"59",,"21.1","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL (VENTOLIN HFA) MDI: 90MCG/ACT","0637","RC","Both",,,"36","18","Humana","Commercial",,,"78",,"27.9","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL (VENTOLIN HFA) MDI: 90MCG/ACT","0637","RC","Both",,,"36","18","UHC","Commercial",,,"75",,"27.14","0.15","5264.58","percent of total billed charges",,
"ALBUTEROL (VENTOLIN HFA) MDI: 90MCG/ACT","0637","RC","Both",,,"36","18","Medicaid",,,,"37",,"13.18","0.15","5264.58","percent of total billed charges",,
"MEDROXYPROGESTERONE (PROVERA) TAB: 10MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"MEDROXYPROGESTERONE (PROVERA) TAB: 10MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"MEDROXYPROGESTERONE (PROVERA) TAB: 10MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"MEDROXYPROGESTERONE (PROVERA) TAB: 10MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"MEDROXYPROGESTERONE (PROVERA) TAB: 10MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"MEDROXYPROGESTERONE (PROVERA) TAB: 10MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"MEDROXYPROGESTERONE (PROVERA) TAB: 10MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"MEDROXYPROGESTERONE (PROVERA) TAB: 10MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"MEDROXYPROGESTERONE (PROVERA) TAB: 10MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"MEDROXYPROGESTERONE (PROVERA) TAB: 10MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"MEDROXYPROGESTERONE (PROVERA) TAB: 10MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"MEDROXYPROGESTERONE (PROVERA) TAB: 10MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"MEDROXYPROGESTERONE (PROVERA) TAB: 10MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"MEDROXYPROGESTERONE (PROVERA) TAB: 10MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"MEDROXYPROGESTERONE (PROVERA) TAB: 10MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"MEDROXYPROGESTERONE (PROVERA) TAB: 10MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"MEDROXYPROGESTERONE (PROVERA) TAB: 10MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"MEDROXYPROGESTERONE (PROVERA) TAB: 10MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"MEDROXYPROGESTERONE (PROVERA) TAB: 10MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"MEDROXYPROGESTERONE (PROVERA) TAB: 10MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"METOCLOPRAMIDE HCL (REGLAN) 10 MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"METOCLOPRAMIDE HCL (REGLAN) 10 MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"METOCLOPRAMIDE HCL (REGLAN) 10 MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METOCLOPRAMIDE HCL (REGLAN) 10 MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METOCLOPRAMIDE HCL (REGLAN) 10 MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METOCLOPRAMIDE HCL (REGLAN) 10 MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METOCLOPRAMIDE HCL (REGLAN) 10 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METOCLOPRAMIDE HCL (REGLAN) 10 MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"METOCLOPRAMIDE HCL (REGLAN) 10 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"METOCLOPRAMIDE HCL (REGLAN) 10 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"METOCLOPRAMIDE HCL (REGLAN) 10 MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"METOCLOPRAMIDE HCL (REGLAN) 10 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"METOCLOPRAMIDE HCL (REGLAN) 10 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"METOCLOPRAMIDE HCL (REGLAN) 10 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"METOCLOPRAMIDE HCL (REGLAN) 10 MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"METOCLOPRAMIDE HCL (REGLAN) 10 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"METOCLOPRAMIDE HCL (REGLAN) 10 MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"METOCLOPRAMIDE HCL (REGLAN) 10 MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"METOCLOPRAMIDE HCL (REGLAN) 10 MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"METOCLOPRAMIDE HCL (REGLAN) 10 MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"METOCLOPRAMIDE HCL (REGLAN) 5 MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"METOCLOPRAMIDE HCL (REGLAN) 5 MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"METOCLOPRAMIDE HCL (REGLAN) 5 MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METOCLOPRAMIDE HCL (REGLAN) 5 MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METOCLOPRAMIDE HCL (REGLAN) 5 MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METOCLOPRAMIDE HCL (REGLAN) 5 MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METOCLOPRAMIDE HCL (REGLAN) 5 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METOCLOPRAMIDE HCL (REGLAN) 5 MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"METOCLOPRAMIDE HCL (REGLAN) 5 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"METOCLOPRAMIDE HCL (REGLAN) 5 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"METOCLOPRAMIDE HCL (REGLAN) 5 MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"METOCLOPRAMIDE HCL (REGLAN) 5 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"METOCLOPRAMIDE HCL (REGLAN) 5 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"METOCLOPRAMIDE HCL (REGLAN) 5 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"METOCLOPRAMIDE HCL (REGLAN) 5 MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"METOCLOPRAMIDE HCL (REGLAN) 5 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"METOCLOPRAMIDE HCL (REGLAN) 5 MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"METOCLOPRAMIDE HCL (REGLAN) 5 MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"METOCLOPRAMIDE HCL (REGLAN) 5 MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"METOCLOPRAMIDE HCL (REGLAN) 5 MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NABUMETONE (RELAFEN) 500 MG TABLET","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NABUMETONE (RELAFEN) 500 MG TABLET","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"NABUMETONE (RELAFEN) 500 MG TABLET","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NABUMETONE (RELAFEN) 500 MG TABLET","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NABUMETONE (RELAFEN) 500 MG TABLET","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NABUMETONE (RELAFEN) 500 MG TABLET","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NABUMETONE (RELAFEN) 500 MG TABLET","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NABUMETONE (RELAFEN) 500 MG TABLET","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"NABUMETONE (RELAFEN) 500 MG TABLET","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"NABUMETONE (RELAFEN) 500 MG TABLET","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"NABUMETONE (RELAFEN) 500 MG TABLET","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"NABUMETONE (RELAFEN) 500 MG TABLET","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NABUMETONE (RELAFEN) 500 MG TABLET","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NABUMETONE (RELAFEN) 500 MG TABLET","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NABUMETONE (RELAFEN) 500 MG TABLET","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NABUMETONE (RELAFEN) 500 MG TABLET","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NABUMETONE (RELAFEN) 500 MG TABLET","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"NABUMETONE (RELAFEN) 500 MG TABLET","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"NABUMETONE (RELAFEN) 500 MG TABLET","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"NABUMETONE (RELAFEN) 500 MG TABLET","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"TEMAZEPAM (RESTORIL) 15mg CAPSULE","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"TEMAZEPAM (RESTORIL) 15mg CAPSULE","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"TEMAZEPAM (RESTORIL) 15mg CAPSULE","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"TEMAZEPAM (RESTORIL) 15mg CAPSULE","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"TEMAZEPAM (RESTORIL) 15mg CAPSULE","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"TEMAZEPAM (RESTORIL) 15mg CAPSULE","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"TEMAZEPAM (RESTORIL) 15mg CAPSULE","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"TEMAZEPAM (RESTORIL) 15mg CAPSULE","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"TEMAZEPAM (RESTORIL) 15mg CAPSULE","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"TEMAZEPAM (RESTORIL) 15mg CAPSULE","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"TEMAZEPAM (RESTORIL) 15mg CAPSULE","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"TEMAZEPAM (RESTORIL) 15mg CAPSULE","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"TEMAZEPAM (RESTORIL) 15mg CAPSULE","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"TEMAZEPAM (RESTORIL) 15mg CAPSULE","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"TEMAZEPAM (RESTORIL) 15mg CAPSULE","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"TEMAZEPAM (RESTORIL) 15mg CAPSULE","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"TEMAZEPAM (RESTORIL) 15mg CAPSULE","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"TEMAZEPAM (RESTORIL) 15mg CAPSULE","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"TEMAZEPAM (RESTORIL) 15mg CAPSULE","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"TEMAZEPAM (RESTORIL) 15mg CAPSULE","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"RISPERIDONE (RISPERDAL) 1MG TABLET","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"RISPERIDONE (RISPERDAL) 1MG TABLET","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"RISPERIDONE (RISPERDAL) 1MG TABLET","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"RISPERIDONE (RISPERDAL) 1MG TABLET","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"RISPERIDONE (RISPERDAL) 1MG TABLET","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"RISPERIDONE (RISPERDAL) 1MG TABLET","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"RISPERIDONE (RISPERDAL) 1MG TABLET","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"RISPERIDONE (RISPERDAL) 1MG TABLET","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"RISPERIDONE (RISPERDAL) 1MG TABLET","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"RISPERIDONE (RISPERDAL) 1MG TABLET","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"RISPERIDONE (RISPERDAL) 1MG TABLET","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"RISPERIDONE (RISPERDAL) 1MG TABLET","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"RISPERIDONE (RISPERDAL) 1MG TABLET","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"RISPERIDONE (RISPERDAL) 1MG TABLET","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"RISPERIDONE (RISPERDAL) 1MG TABLET","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"RISPERIDONE (RISPERDAL) 1MG TABLET","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"RISPERIDONE (RISPERDAL) 1MG TABLET","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"RISPERIDONE (RISPERDAL) 1MG TABLET","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"RISPERIDONE (RISPERDAL) 1MG TABLET","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"RISPERIDONE (RISPERDAL) 1MG TABLET","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"GLYCOPYRROLATE (ROBINUL) 0.2mg/mL INJ","0250","RC","Both",,,"52","26","Alliant","Health Exchange",,,"62",,"32.24","0.04","569.62","percent of total billed charges",,
"GLYCOPYRROLATE (ROBINUL) 0.2mg/mL INJ","0250","RC","Both",,,"52","26","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.08","0.04","569.62","percent of total billed charges",,
"GLYCOPYRROLATE (ROBINUL) 0.2mg/mL INJ","0250","RC","Both",,,"52","26","Medicare",,,,"54",,"28.18","0.04","569.62","percent of total billed charges",,
"GLYCOPYRROLATE (ROBINUL) 0.2mg/mL INJ","0250","RC","Both",,,"52","26","Humana","Medicare Advantage",,,"54",,"28.18","0.04","569.62","percent of total billed charges",,
"GLYCOPYRROLATE (ROBINUL) 0.2mg/mL INJ","0250","RC","Both",,,"52","26","UHC","Medicare Advantage",,,"54",,"28.18","0.04","569.62","percent of total billed charges",,
"GLYCOPYRROLATE (ROBINUL) 0.2mg/mL INJ","0250","RC","Both",,,"52","26","Clover","Medicare Advantage",,,"54",,"28.18","0.04","569.62","percent of total billed charges",,
"GLYCOPYRROLATE (ROBINUL) 0.2mg/mL INJ","0250","RC","Both",,,"52","26","Wellcare","Medicare Advantage",,,"54",,"28.18","0.04","569.62","percent of total billed charges",,
"GLYCOPYRROLATE (ROBINUL) 0.2mg/mL INJ","0250","RC","Both",,,"52","26","Amerigroup","Medicaid Managed Care",,,"37",,"19.03","0.04","569.62","percent of total billed charges",,
"GLYCOPYRROLATE (ROBINUL) 0.2mg/mL INJ","0250","RC","Both",,,"52","26","Caresource","Medicaid Managed Care",,,"40",,"20.8","0.04","569.62","percent of total billed charges",,
"GLYCOPYRROLATE (ROBINUL) 0.2mg/mL INJ","0250","RC","Both",,,"52","26","Wellcare","Medicaid Managed Care",,,"40",,"21.06","0.04","569.62","percent of total billed charges",,
"GLYCOPYRROLATE (ROBINUL) 0.2mg/mL INJ","0250","RC","Both",,,"52","26","Aetna","Commercial",,,"64",,"33.18","0.04","569.62","percent of total billed charges",,
"GLYCOPYRROLATE (ROBINUL) 0.2mg/mL INJ","0250","RC","Both",,,"52","26","Blue Cross Blue Shield","Pathways",,,"71",,"36.71","0.04","569.62","percent of total billed charges",,
"GLYCOPYRROLATE (ROBINUL) 0.2mg/mL INJ","0250","RC","Both",,,"52","26","Blue Cross Blue Shield","HMO",,,"71",,"36.71","0.04","569.62","percent of total billed charges",,
"GLYCOPYRROLATE (ROBINUL) 0.2mg/mL INJ","0250","RC","Both",,,"52","26","Blue Cross Blue Shield","PPO",,,"71",,"36.71","0.04","569.62","percent of total billed charges",,
"GLYCOPYRROLATE (ROBINUL) 0.2mg/mL INJ","0250","RC","Both",,,"52","26","Ambetter","Health Exchange",,,"62",,"32.24","0.04","569.62","percent of total billed charges",,
"GLYCOPYRROLATE (ROBINUL) 0.2mg/mL INJ","0250","RC","Both",,,"52","26","Caresource","Health Exchange",,,"62",,"32.24","0.04","569.62","percent of total billed charges",,
"GLYCOPYRROLATE (ROBINUL) 0.2mg/mL INJ","0250","RC","Both",,,"52","26","Cigna","Commercial",,,"59",,"30.47","0.04","569.62","percent of total billed charges",,
"GLYCOPYRROLATE (ROBINUL) 0.2mg/mL INJ","0250","RC","Both",,,"52","26","Humana","Commercial",,,"78",,"40.3","0.04","569.62","percent of total billed charges",,
"GLYCOPYRROLATE (ROBINUL) 0.2mg/mL INJ","0250","RC","Both",,,"52","26","UHC","Commercial",,,"75",,"39.21","0.04","569.62","percent of total billed charges",,
"GLYCOPYRROLATE (ROBINUL) 0.2mg/mL INJ","0250","RC","Both",,,"52","26","Medicaid",,,,"37",,"19.03","0.04","569.62","percent of total billed charges",,
"GUAIF/DM (ROBITUSSIN DM) SYRUP: 10ML","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"GUAIF/DM (ROBITUSSIN DM) SYRUP: 10ML","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"GUAIF/DM (ROBITUSSIN DM) SYRUP: 10ML","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"GUAIF/DM (ROBITUSSIN DM) SYRUP: 10ML","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"GUAIF/DM (ROBITUSSIN DM) SYRUP: 10ML","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"GUAIF/DM (ROBITUSSIN DM) SYRUP: 10ML","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"GUAIF/DM (ROBITUSSIN DM) SYRUP: 10ML","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"GUAIF/DM (ROBITUSSIN DM) SYRUP: 10ML","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"GUAIF/DM (ROBITUSSIN DM) SYRUP: 10ML","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"GUAIF/DM (ROBITUSSIN DM) SYRUP: 10ML","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"GUAIF/DM (ROBITUSSIN DM) SYRUP: 10ML","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"GUAIF/DM (ROBITUSSIN DM) SYRUP: 10ML","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"GUAIF/DM (ROBITUSSIN DM) SYRUP: 10ML","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"GUAIF/DM (ROBITUSSIN DM) SYRUP: 10ML","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"GUAIF/DM (ROBITUSSIN DM) SYRUP: 10ML","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"GUAIF/DM (ROBITUSSIN DM) SYRUP: 10ML","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"GUAIF/DM (ROBITUSSIN DM) SYRUP: 10ML","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"GUAIF/DM (ROBITUSSIN DM) SYRUP: 10ML","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"GUAIF/DM (ROBITUSSIN DM) SYRUP: 10ML","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"GUAIF/DM (ROBITUSSIN DM) SYRUP: 10ML","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"FLUMAZENIL (ROMAZICON) INJ: 0.5MG/5ML","0250","RC","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"FLUMAZENIL (ROMAZICON) INJ: 0.5MG/5ML","0250","RC","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","0.04","569.62","percent of total billed charges",,
"FLUMAZENIL (ROMAZICON) INJ: 0.5MG/5ML","0250","RC","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"FLUMAZENIL (ROMAZICON) INJ: 0.5MG/5ML","0250","RC","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"FLUMAZENIL (ROMAZICON) INJ: 0.5MG/5ML","0250","RC","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"FLUMAZENIL (ROMAZICON) INJ: 0.5MG/5ML","0250","RC","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"FLUMAZENIL (ROMAZICON) INJ: 0.5MG/5ML","0250","RC","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"FLUMAZENIL (ROMAZICON) INJ: 0.5MG/5ML","0250","RC","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","0.04","569.62","percent of total billed charges",,
"FLUMAZENIL (ROMAZICON) INJ: 0.5MG/5ML","0250","RC","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","0.04","569.62","percent of total billed charges",,
"FLUMAZENIL (ROMAZICON) INJ: 0.5MG/5ML","0250","RC","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","0.04","569.62","percent of total billed charges",,
"FLUMAZENIL (ROMAZICON) INJ: 0.5MG/5ML","0250","RC","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","0.04","569.62","percent of total billed charges",,
"FLUMAZENIL (ROMAZICON) INJ: 0.5MG/5ML","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"FLUMAZENIL (ROMAZICON) INJ: 0.5MG/5ML","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"FLUMAZENIL (ROMAZICON) INJ: 0.5MG/5ML","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"FLUMAZENIL (ROMAZICON) INJ: 0.5MG/5ML","0250","RC","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"FLUMAZENIL (ROMAZICON) INJ: 0.5MG/5ML","0250","RC","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"FLUMAZENIL (ROMAZICON) INJ: 0.5MG/5ML","0250","RC","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","0.04","569.62","percent of total billed charges",,
"FLUMAZENIL (ROMAZICON) INJ: 0.5MG/5ML","0250","RC","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","0.04","569.62","percent of total billed charges",,
"FLUMAZENIL (ROMAZICON) INJ: 0.5MG/5ML","0250","RC","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","0.04","569.62","percent of total billed charges",,
"FLUMAZENIL (ROMAZICON) INJ: 0.5MG/5ML","0250","RC","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","0.04","569.62","percent of total billed charges",,
"SALINE 0.65% NASAL SPRAY 45 ML","0637","RC","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"SALINE 0.65% NASAL SPRAY 45 ML","0637","RC","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","0.15","5264.58","percent of total billed charges",,
"SALINE 0.65% NASAL SPRAY 45 ML","0637","RC","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"SALINE 0.65% NASAL SPRAY 45 ML","0637","RC","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"SALINE 0.65% NASAL SPRAY 45 ML","0637","RC","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"SALINE 0.65% NASAL SPRAY 45 ML","0637","RC","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"SALINE 0.65% NASAL SPRAY 45 ML","0637","RC","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"SALINE 0.65% NASAL SPRAY 45 ML","0637","RC","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"SALINE 0.65% NASAL SPRAY 45 ML","0637","RC","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","0.15","5264.58","percent of total billed charges",,
"SALINE 0.65% NASAL SPRAY 45 ML","0637","RC","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.15","5264.58","percent of total billed charges",,
"SALINE 0.65% NASAL SPRAY 45 ML","0637","RC","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","0.15","5264.58","percent of total billed charges",,
"SALINE 0.65% NASAL SPRAY 45 ML","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"SALINE 0.65% NASAL SPRAY 45 ML","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"SALINE 0.65% NASAL SPRAY 45 ML","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"SALINE 0.65% NASAL SPRAY 45 ML","0637","RC","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"SALINE 0.65% NASAL SPRAY 45 ML","0637","RC","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"SALINE 0.65% NASAL SPRAY 45 ML","0637","RC","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","0.15","5264.58","percent of total billed charges",,
"SALINE 0.65% NASAL SPRAY 45 ML","0637","RC","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","0.15","5264.58","percent of total billed charges",,
"SALINE 0.65% NASAL SPRAY 45 ML","0637","RC","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","0.15","5264.58","percent of total billed charges",,
"SALINE 0.65% NASAL SPRAY 45 ML","0637","RC","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"SULFAMETHOX/TMP(SEPTRA DS) TAB:800/160MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"SULFAMETHOX/TMP(SEPTRA DS) TAB:800/160MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"SULFAMETHOX/TMP(SEPTRA DS) TAB:800/160MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SULFAMETHOX/TMP(SEPTRA DS) TAB:800/160MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SULFAMETHOX/TMP(SEPTRA DS) TAB:800/160MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SULFAMETHOX/TMP(SEPTRA DS) TAB:800/160MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SULFAMETHOX/TMP(SEPTRA DS) TAB:800/160MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SULFAMETHOX/TMP(SEPTRA DS) TAB:800/160MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"SULFAMETHOX/TMP(SEPTRA DS) TAB:800/160MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"SULFAMETHOX/TMP(SEPTRA DS) TAB:800/160MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"SULFAMETHOX/TMP(SEPTRA DS) TAB:800/160MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"SULFAMETHOX/TMP(SEPTRA DS) TAB:800/160MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"SULFAMETHOX/TMP(SEPTRA DS) TAB:800/160MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"SULFAMETHOX/TMP(SEPTRA DS) TAB:800/160MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"SULFAMETHOX/TMP(SEPTRA DS) TAB:800/160MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"SULFAMETHOX/TMP(SEPTRA DS) TAB:800/160MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"SULFAMETHOX/TMP(SEPTRA DS) TAB:800/160MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"SULFAMETHOX/TMP(SEPTRA DS) TAB:800/160MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"SULFAMETHOX/TMP(SEPTRA DS) TAB:800/160MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"SULFAMETHOX/TMP(SEPTRA DS) TAB:800/160MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"SULFAM/TRIMETH (SEPTRA) 200/40MG/5ML SUS","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"SULFAM/TRIMETH (SEPTRA) 200/40MG/5ML SUS","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"SULFAM/TRIMETH (SEPTRA) 200/40MG/5ML SUS","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SULFAM/TRIMETH (SEPTRA) 200/40MG/5ML SUS","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SULFAM/TRIMETH (SEPTRA) 200/40MG/5ML SUS","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SULFAM/TRIMETH (SEPTRA) 200/40MG/5ML SUS","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SULFAM/TRIMETH (SEPTRA) 200/40MG/5ML SUS","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SULFAM/TRIMETH (SEPTRA) 200/40MG/5ML SUS","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"SULFAM/TRIMETH (SEPTRA) 200/40MG/5ML SUS","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"SULFAM/TRIMETH (SEPTRA) 200/40MG/5ML SUS","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"SULFAM/TRIMETH (SEPTRA) 200/40MG/5ML SUS","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"SULFAM/TRIMETH (SEPTRA) 200/40MG/5ML SUS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"SULFAM/TRIMETH (SEPTRA) 200/40MG/5ML SUS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"SULFAM/TRIMETH (SEPTRA) 200/40MG/5ML SUS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"SULFAM/TRIMETH (SEPTRA) 200/40MG/5ML SUS","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"SULFAM/TRIMETH (SEPTRA) 200/40MG/5ML SUS","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"SULFAM/TRIMETH (SEPTRA) 200/40MG/5ML SUS","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"SULFAM/TRIMETH (SEPTRA) 200/40MG/5ML SUS","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"SULFAM/TRIMETH (SEPTRA) 200/40MG/5ML SUS","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"SULFAM/TRIMETH (SEPTRA) 200/40MG/5ML SUS","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"QUETIAPINE (SEROQUEL) 25 MG TABLET","0637","RC","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"QUETIAPINE (SEROQUEL) 25 MG TABLET","0637","RC","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","0.15","5264.58","percent of total billed charges",,
"QUETIAPINE (SEROQUEL) 25 MG TABLET","0637","RC","Both",,,"22","11","Medicare",,,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"QUETIAPINE (SEROQUEL) 25 MG TABLET","0637","RC","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"QUETIAPINE (SEROQUEL) 25 MG TABLET","0637","RC","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"QUETIAPINE (SEROQUEL) 25 MG TABLET","0637","RC","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"QUETIAPINE (SEROQUEL) 25 MG TABLET","0637","RC","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"QUETIAPINE (SEROQUEL) 25 MG TABLET","0637","RC","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"QUETIAPINE (SEROQUEL) 25 MG TABLET","0637","RC","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","0.15","5264.58","percent of total billed charges",,
"QUETIAPINE (SEROQUEL) 25 MG TABLET","0637","RC","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","0.15","5264.58","percent of total billed charges",,
"QUETIAPINE (SEROQUEL) 25 MG TABLET","0637","RC","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","0.15","5264.58","percent of total billed charges",,
"QUETIAPINE (SEROQUEL) 25 MG TABLET","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"QUETIAPINE (SEROQUEL) 25 MG TABLET","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"QUETIAPINE (SEROQUEL) 25 MG TABLET","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"QUETIAPINE (SEROQUEL) 25 MG TABLET","0637","RC","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"QUETIAPINE (SEROQUEL) 25 MG TABLET","0637","RC","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"QUETIAPINE (SEROQUEL) 25 MG TABLET","0637","RC","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","0.15","5264.58","percent of total billed charges",,
"QUETIAPINE (SEROQUEL) 25 MG TABLET","0637","RC","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","0.15","5264.58","percent of total billed charges",,
"QUETIAPINE (SEROQUEL) 25 MG TABLET","0637","RC","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","0.15","5264.58","percent of total billed charges",,
"QUETIAPINE (SEROQUEL) 25 MG TABLET","0637","RC","Both",,,"22","11","Medicaid",,,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"QUETIAPINE (SEROQUEL) 100MG TABLET","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"QUETIAPINE (SEROQUEL) 100MG TABLET","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"QUETIAPINE (SEROQUEL) 100MG TABLET","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"QUETIAPINE (SEROQUEL) 100MG TABLET","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"QUETIAPINE (SEROQUEL) 100MG TABLET","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"QUETIAPINE (SEROQUEL) 100MG TABLET","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"QUETIAPINE (SEROQUEL) 100MG TABLET","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"QUETIAPINE (SEROQUEL) 100MG TABLET","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"QUETIAPINE (SEROQUEL) 100MG TABLET","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"QUETIAPINE (SEROQUEL) 100MG TABLET","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"QUETIAPINE (SEROQUEL) 100MG TABLET","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"QUETIAPINE (SEROQUEL) 100MG TABLET","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"QUETIAPINE (SEROQUEL) 100MG TABLET","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"QUETIAPINE (SEROQUEL) 100MG TABLET","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"QUETIAPINE (SEROQUEL) 100MG TABLET","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"QUETIAPINE (SEROQUEL) 100MG TABLET","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"QUETIAPINE (SEROQUEL) 100MG TABLET","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"QUETIAPINE (SEROQUEL) 100MG TABLET","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"QUETIAPINE (SEROQUEL) 100MG TABLET","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"QUETIAPINE (SEROQUEL) 100MG TABLET","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"SILVER SULFADIAZINE (THERMAZENE) CRM 1%","0637","RC","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"SILVER SULFADIAZINE (THERMAZENE) CRM 1%","0637","RC","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","0.15","5264.58","percent of total billed charges",,
"SILVER SULFADIAZINE (THERMAZENE) CRM 1%","0637","RC","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"SILVER SULFADIAZINE (THERMAZENE) CRM 1%","0637","RC","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"SILVER SULFADIAZINE (THERMAZENE) CRM 1%","0637","RC","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"SILVER SULFADIAZINE (THERMAZENE) CRM 1%","0637","RC","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"SILVER SULFADIAZINE (THERMAZENE) CRM 1%","0637","RC","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"SILVER SULFADIAZINE (THERMAZENE) CRM 1%","0637","RC","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"SILVER SULFADIAZINE (THERMAZENE) CRM 1%","0637","RC","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","0.15","5264.58","percent of total billed charges",,
"SILVER SULFADIAZINE (THERMAZENE) CRM 1%","0637","RC","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.15","5264.58","percent of total billed charges",,
"SILVER SULFADIAZINE (THERMAZENE) CRM 1%","0637","RC","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","0.15","5264.58","percent of total billed charges",,
"SILVER SULFADIAZINE (THERMAZENE) CRM 1%","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"SILVER SULFADIAZINE (THERMAZENE) CRM 1%","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"SILVER SULFADIAZINE (THERMAZENE) CRM 1%","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"SILVER SULFADIAZINE (THERMAZENE) CRM 1%","0637","RC","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"SILVER SULFADIAZINE (THERMAZENE) CRM 1%","0637","RC","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"SILVER SULFADIAZINE (THERMAZENE) CRM 1%","0637","RC","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","0.15","5264.58","percent of total billed charges",,
"SILVER SULFADIAZINE (THERMAZENE) CRM 1%","0637","RC","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","0.15","5264.58","percent of total billed charges",,
"SILVER SULFADIAZINE (THERMAZENE) CRM 1%","0637","RC","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","0.15","5264.58","percent of total billed charges",,
"SILVER SULFADIAZINE (THERMAZENE) CRM 1%","0637","RC","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"SILVER NITRATE (ARZOL) APPLICATORS","0250","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.04","569.62","percent of total billed charges",,
"SILVER NITRATE (ARZOL) APPLICATORS","0250","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.04","569.62","percent of total billed charges",,
"SILVER NITRATE (ARZOL) APPLICATORS","0250","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.04","569.62","percent of total billed charges",,
"SILVER NITRATE (ARZOL) APPLICATORS","0250","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.04","569.62","percent of total billed charges",,
"SILVER NITRATE (ARZOL) APPLICATORS","0250","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.04","569.62","percent of total billed charges",,
"SILVER NITRATE (ARZOL) APPLICATORS","0250","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.04","569.62","percent of total billed charges",,
"SILVER NITRATE (ARZOL) APPLICATORS","0250","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.04","569.62","percent of total billed charges",,
"SILVER NITRATE (ARZOL) APPLICATORS","0250","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.04","569.62","percent of total billed charges",,
"SILVER NITRATE (ARZOL) APPLICATORS","0250","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.04","569.62","percent of total billed charges",,
"SILVER NITRATE (ARZOL) APPLICATORS","0250","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.04","569.62","percent of total billed charges",,
"SILVER NITRATE (ARZOL) APPLICATORS","0250","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.04","569.62","percent of total billed charges",,
"SILVER NITRATE (ARZOL) APPLICATORS","0250","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.04","569.62","percent of total billed charges",,
"SILVER NITRATE (ARZOL) APPLICATORS","0250","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.04","569.62","percent of total billed charges",,
"SILVER NITRATE (ARZOL) APPLICATORS","0250","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.04","569.62","percent of total billed charges",,
"SILVER NITRATE (ARZOL) APPLICATORS","0250","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.04","569.62","percent of total billed charges",,
"SILVER NITRATE (ARZOL) APPLICATORS","0250","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.04","569.62","percent of total billed charges",,
"SILVER NITRATE (ARZOL) APPLICATORS","0250","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.04","569.62","percent of total billed charges",,
"SILVER NITRATE (ARZOL) APPLICATORS","0250","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.04","569.62","percent of total billed charges",,
"SILVER NITRATE (ARZOL) APPLICATORS","0250","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.04","569.62","percent of total billed charges",,
"SILVER NITRATE (ARZOL) APPLICATORS","0250","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.04","569.62","percent of total billed charges",,
"MONTELUKAST (SINGULAIR) 10 MG TABLET","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"MONTELUKAST (SINGULAIR) 10 MG TABLET","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"MONTELUKAST (SINGULAIR) 10 MG TABLET","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"MONTELUKAST (SINGULAIR) 10 MG TABLET","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"MONTELUKAST (SINGULAIR) 10 MG TABLET","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"MONTELUKAST (SINGULAIR) 10 MG TABLET","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"MONTELUKAST (SINGULAIR) 10 MG TABLET","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"MONTELUKAST (SINGULAIR) 10 MG TABLET","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"MONTELUKAST (SINGULAIR) 10 MG TABLET","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"MONTELUKAST (SINGULAIR) 10 MG TABLET","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"MONTELUKAST (SINGULAIR) 10 MG TABLET","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"MONTELUKAST (SINGULAIR) 10 MG TABLET","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"MONTELUKAST (SINGULAIR) 10 MG TABLET","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"MONTELUKAST (SINGULAIR) 10 MG TABLET","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"MONTELUKAST (SINGULAIR) 10 MG TABLET","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"MONTELUKAST (SINGULAIR) 10 MG TABLET","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"MONTELUKAST (SINGULAIR) 10 MG TABLET","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"MONTELUKAST (SINGULAIR) 10 MG TABLET","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"MONTELUKAST (SINGULAIR) 10 MG TABLET","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"MONTELUKAST (SINGULAIR) 10 MG TABLET","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"SODIUM BICARBONATE LSSY 0.5MEQ/ML(PEDS)","0250","RC","Both",,,"38","19","Alliant","Health Exchange",,,"62",,"23.56","0.04","569.62","percent of total billed charges",,
"SODIUM BICARBONATE LSSY 0.5MEQ/ML(PEDS)","0250","RC","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.52","0.04","569.62","percent of total billed charges",,
"SODIUM BICARBONATE LSSY 0.5MEQ/ML(PEDS)","0250","RC","Both",,,"38","19","Medicare",,,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"SODIUM BICARBONATE LSSY 0.5MEQ/ML(PEDS)","0250","RC","Both",,,"38","19","Humana","Medicare Advantage",,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"SODIUM BICARBONATE LSSY 0.5MEQ/ML(PEDS)","0250","RC","Both",,,"38","19","UHC","Medicare Advantage",,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"SODIUM BICARBONATE LSSY 0.5MEQ/ML(PEDS)","0250","RC","Both",,,"38","19","Clover","Medicare Advantage",,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"SODIUM BICARBONATE LSSY 0.5MEQ/ML(PEDS)","0250","RC","Both",,,"38","19","Wellcare","Medicare Advantage",,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"SODIUM BICARBONATE LSSY 0.5MEQ/ML(PEDS)","0250","RC","Both",,,"38","19","Amerigroup","Medicaid Managed Care",,,"37",,"13.91","0.04","569.62","percent of total billed charges",,
"SODIUM BICARBONATE LSSY 0.5MEQ/ML(PEDS)","0250","RC","Both",,,"38","19","Caresource","Medicaid Managed Care",,,"40",,"15.2","0.04","569.62","percent of total billed charges",,
"SODIUM BICARBONATE LSSY 0.5MEQ/ML(PEDS)","0250","RC","Both",,,"38","19","Wellcare","Medicaid Managed Care",,,"40",,"15.39","0.04","569.62","percent of total billed charges",,
"SODIUM BICARBONATE LSSY 0.5MEQ/ML(PEDS)","0250","RC","Both",,,"38","19","Aetna","Commercial",,,"64",,"24.24","0.04","569.62","percent of total billed charges",,
"SODIUM BICARBONATE LSSY 0.5MEQ/ML(PEDS)","0250","RC","Both",,,"38","19","Blue Cross Blue Shield","Pathways",,,"71",,"26.83","0.04","569.62","percent of total billed charges",,
"SODIUM BICARBONATE LSSY 0.5MEQ/ML(PEDS)","0250","RC","Both",,,"38","19","Blue Cross Blue Shield","HMO",,,"71",,"26.83","0.04","569.62","percent of total billed charges",,
"SODIUM BICARBONATE LSSY 0.5MEQ/ML(PEDS)","0250","RC","Both",,,"38","19","Blue Cross Blue Shield","PPO",,,"71",,"26.83","0.04","569.62","percent of total billed charges",,
"SODIUM BICARBONATE LSSY 0.5MEQ/ML(PEDS)","0250","RC","Both",,,"38","19","Ambetter","Health Exchange",,,"62",,"23.56","0.04","569.62","percent of total billed charges",,
"SODIUM BICARBONATE LSSY 0.5MEQ/ML(PEDS)","0250","RC","Both",,,"38","19","Caresource","Health Exchange",,,"62",,"23.56","0.04","569.62","percent of total billed charges",,
"SODIUM BICARBONATE LSSY 0.5MEQ/ML(PEDS)","0250","RC","Both",,,"38","19","Cigna","Commercial",,,"59",,"22.27","0.04","569.62","percent of total billed charges",,
"SODIUM BICARBONATE LSSY 0.5MEQ/ML(PEDS)","0250","RC","Both",,,"38","19","Humana","Commercial",,,"78",,"29.45","0.04","569.62","percent of total billed charges",,
"SODIUM BICARBONATE LSSY 0.5MEQ/ML(PEDS)","0250","RC","Both",,,"38","19","UHC","Commercial",,,"75",,"28.65","0.04","569.62","percent of total billed charges",,
"SODIUM BICARBONATE LSSY 0.5MEQ/ML(PEDS)","0250","RC","Both",,,"38","19","Medicaid",,,,"37",,"13.91","0.04","569.62","percent of total billed charges",,
"SODIUM BICARB 8.4% (1 MEQ/ML) 50 ML SYR","0250","RC","Both",,,"38","19","Alliant","Health Exchange",,,"62",,"23.56","0.04","569.62","percent of total billed charges",,
"SODIUM BICARB 8.4% (1 MEQ/ML) 50 ML SYR","0250","RC","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.52","0.04","569.62","percent of total billed charges",,
"SODIUM BICARB 8.4% (1 MEQ/ML) 50 ML SYR","0250","RC","Both",,,"38","19","Medicare",,,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"SODIUM BICARB 8.4% (1 MEQ/ML) 50 ML SYR","0250","RC","Both",,,"38","19","Humana","Medicare Advantage",,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"SODIUM BICARB 8.4% (1 MEQ/ML) 50 ML SYR","0250","RC","Both",,,"38","19","UHC","Medicare Advantage",,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"SODIUM BICARB 8.4% (1 MEQ/ML) 50 ML SYR","0250","RC","Both",,,"38","19","Clover","Medicare Advantage",,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"SODIUM BICARB 8.4% (1 MEQ/ML) 50 ML SYR","0250","RC","Both",,,"38","19","Wellcare","Medicare Advantage",,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"SODIUM BICARB 8.4% (1 MEQ/ML) 50 ML SYR","0250","RC","Both",,,"38","19","Amerigroup","Medicaid Managed Care",,,"37",,"13.91","0.04","569.62","percent of total billed charges",,
"SODIUM BICARB 8.4% (1 MEQ/ML) 50 ML SYR","0250","RC","Both",,,"38","19","Caresource","Medicaid Managed Care",,,"40",,"15.2","0.04","569.62","percent of total billed charges",,
"SODIUM BICARB 8.4% (1 MEQ/ML) 50 ML SYR","0250","RC","Both",,,"38","19","Wellcare","Medicaid Managed Care",,,"40",,"15.39","0.04","569.62","percent of total billed charges",,
"SODIUM BICARB 8.4% (1 MEQ/ML) 50 ML SYR","0250","RC","Both",,,"38","19","Aetna","Commercial",,,"64",,"24.24","0.04","569.62","percent of total billed charges",,
"SODIUM BICARB 8.4% (1 MEQ/ML) 50 ML SYR","0250","RC","Both",,,"38","19","Blue Cross Blue Shield","Pathways",,,"71",,"26.83","0.04","569.62","percent of total billed charges",,
"SODIUM BICARB 8.4% (1 MEQ/ML) 50 ML SYR","0250","RC","Both",,,"38","19","Blue Cross Blue Shield","HMO",,,"71",,"26.83","0.04","569.62","percent of total billed charges",,
"SODIUM BICARB 8.4% (1 MEQ/ML) 50 ML SYR","0250","RC","Both",,,"38","19","Blue Cross Blue Shield","PPO",,,"71",,"26.83","0.04","569.62","percent of total billed charges",,
"SODIUM BICARB 8.4% (1 MEQ/ML) 50 ML SYR","0250","RC","Both",,,"38","19","Ambetter","Health Exchange",,,"62",,"23.56","0.04","569.62","percent of total billed charges",,
"SODIUM BICARB 8.4% (1 MEQ/ML) 50 ML SYR","0250","RC","Both",,,"38","19","Caresource","Health Exchange",,,"62",,"23.56","0.04","569.62","percent of total billed charges",,
"SODIUM BICARB 8.4% (1 MEQ/ML) 50 ML SYR","0250","RC","Both",,,"38","19","Cigna","Commercial",,,"59",,"22.27","0.04","569.62","percent of total billed charges",,
"SODIUM BICARB 8.4% (1 MEQ/ML) 50 ML SYR","0250","RC","Both",,,"38","19","Humana","Commercial",,,"78",,"29.45","0.04","569.62","percent of total billed charges",,
"SODIUM BICARB 8.4% (1 MEQ/ML) 50 ML SYR","0250","RC","Both",,,"38","19","UHC","Commercial",,,"75",,"28.65","0.04","569.62","percent of total billed charges",,
"SODIUM BICARB 8.4% (1 MEQ/ML) 50 ML SYR","0250","RC","Both",,,"38","19","Medicaid",,,,"37",,"13.91","0.04","569.62","percent of total billed charges",,
"VALACYCLOVIR (VALTREX) CAPLET: 1 GRAM","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"VALACYCLOVIR (VALTREX) CAPLET: 1 GRAM","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"VALACYCLOVIR (VALTREX) CAPLET: 1 GRAM","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"VALACYCLOVIR (VALTREX) CAPLET: 1 GRAM","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"VALACYCLOVIR (VALTREX) CAPLET: 1 GRAM","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"VALACYCLOVIR (VALTREX) CAPLET: 1 GRAM","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"VALACYCLOVIR (VALTREX) CAPLET: 1 GRAM","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"VALACYCLOVIR (VALTREX) CAPLET: 1 GRAM","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"VALACYCLOVIR (VALTREX) CAPLET: 1 GRAM","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"VALACYCLOVIR (VALTREX) CAPLET: 1 GRAM","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"VALACYCLOVIR (VALTREX) CAPLET: 1 GRAM","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"VALACYCLOVIR (VALTREX) CAPLET: 1 GRAM","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"VALACYCLOVIR (VALTREX) CAPLET: 1 GRAM","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"VALACYCLOVIR (VALTREX) CAPLET: 1 GRAM","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"VALACYCLOVIR (VALTREX) CAPLET: 1 GRAM","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"VALACYCLOVIR (VALTREX) CAPLET: 1 GRAM","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"VALACYCLOVIR (VALTREX) CAPLET: 1 GRAM","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"VALACYCLOVIR (VALTREX) CAPLET: 1 GRAM","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"VALACYCLOVIR (VALTREX) CAPLET: 1 GRAM","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"VALACYCLOVIR (VALTREX) CAPLET: 1 GRAM","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"PSEUDOEPHEDRINE (SUDAFED) 30MG TAB","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PSEUDOEPHEDRINE (SUDAFED) 30MG TAB","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"PSEUDOEPHEDRINE (SUDAFED) 30MG TAB","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PSEUDOEPHEDRINE (SUDAFED) 30MG TAB","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PSEUDOEPHEDRINE (SUDAFED) 30MG TAB","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PSEUDOEPHEDRINE (SUDAFED) 30MG TAB","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PSEUDOEPHEDRINE (SUDAFED) 30MG TAB","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PSEUDOEPHEDRINE (SUDAFED) 30MG TAB","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"PSEUDOEPHEDRINE (SUDAFED) 30MG TAB","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"PSEUDOEPHEDRINE (SUDAFED) 30MG TAB","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"PSEUDOEPHEDRINE (SUDAFED) 30MG TAB","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"PSEUDOEPHEDRINE (SUDAFED) 30MG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PSEUDOEPHEDRINE (SUDAFED) 30MG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PSEUDOEPHEDRINE (SUDAFED) 30MG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PSEUDOEPHEDRINE (SUDAFED) 30MG TAB","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PSEUDOEPHEDRINE (SUDAFED) 30MG TAB","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PSEUDOEPHEDRINE (SUDAFED) 30MG TAB","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"PSEUDOEPHEDRINE (SUDAFED) 30MG TAB","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"PSEUDOEPHEDRINE (SUDAFED) 30MG TAB","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"PSEUDOEPHEDRINE (SUDAFED) 30MG TAB","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"SPINAL ANESTHESIA TRAY","0250","RC","Both",,,"60","30","Alliant","Health Exchange",,,"62",,"37.2","0.04","569.62","percent of total billed charges",,
"SPINAL ANESTHESIA TRAY","0250","RC","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage",,,"54",,"32.4","0.04","569.62","percent of total billed charges",,
"SPINAL ANESTHESIA TRAY","0250","RC","Both",,,"60","30","Medicare",,,,"54",,"32.52","0.04","569.62","percent of total billed charges",,
"SPINAL ANESTHESIA TRAY","0250","RC","Both",,,"60","30","Humana","Medicare Advantage",,,"54",,"32.52","0.04","569.62","percent of total billed charges",,
"SPINAL ANESTHESIA TRAY","0250","RC","Both",,,"60","30","UHC","Medicare Advantage",,,"54",,"32.52","0.04","569.62","percent of total billed charges",,
"SPINAL ANESTHESIA TRAY","0250","RC","Both",,,"60","30","Clover","Medicare Advantage",,,"54",,"32.52","0.04","569.62","percent of total billed charges",,
"SPINAL ANESTHESIA TRAY","0250","RC","Both",,,"60","30","Wellcare","Medicare Advantage",,,"54",,"32.52","0.04","569.62","percent of total billed charges",,
"SPINAL ANESTHESIA TRAY","0250","RC","Both",,,"60","30","Amerigroup","Medicaid Managed Care",,,"37",,"21.96","0.04","569.62","percent of total billed charges",,
"SPINAL ANESTHESIA TRAY","0250","RC","Both",,,"60","30","Caresource","Medicaid Managed Care",,,"40",,"24","0.04","569.62","percent of total billed charges",,
"SPINAL ANESTHESIA TRAY","0250","RC","Both",,,"60","30","Wellcare","Medicaid Managed Care",,,"40",,"24.3","0.04","569.62","percent of total billed charges",,
"SPINAL ANESTHESIA TRAY","0250","RC","Both",,,"60","30","Aetna","Commercial",,,"64",,"38.28","0.04","569.62","percent of total billed charges",,
"SPINAL ANESTHESIA TRAY","0250","RC","Both",,,"60","30","Blue Cross Blue Shield","Pathways",,,"71",,"42.36","0.04","569.62","percent of total billed charges",,
"SPINAL ANESTHESIA TRAY","0250","RC","Both",,,"60","30","Blue Cross Blue Shield","HMO",,,"71",,"42.36","0.04","569.62","percent of total billed charges",,
"SPINAL ANESTHESIA TRAY","0250","RC","Both",,,"60","30","Blue Cross Blue Shield","PPO",,,"71",,"42.36","0.04","569.62","percent of total billed charges",,
"SPINAL ANESTHESIA TRAY","0250","RC","Both",,,"60","30","Ambetter","Health Exchange",,,"62",,"37.2","0.04","569.62","percent of total billed charges",,
"SPINAL ANESTHESIA TRAY","0250","RC","Both",,,"60","30","Caresource","Health Exchange",,,"62",,"37.2","0.04","569.62","percent of total billed charges",,
"SPINAL ANESTHESIA TRAY","0250","RC","Both",,,"60","30","Cigna","Commercial",,,"59",,"35.16","0.04","569.62","percent of total billed charges",,
"SPINAL ANESTHESIA TRAY","0250","RC","Both",,,"60","30","Humana","Commercial",,,"78",,"46.5","0.04","569.62","percent of total billed charges",,
"SPINAL ANESTHESIA TRAY","0250","RC","Both",,,"60","30","UHC","Commercial",,,"75",,"45.24","0.04","569.62","percent of total billed charges",,
"SPINAL ANESTHESIA TRAY","0250","RC","Both",,,"60","30","Medicaid",,,,"37",,"21.96","0.04","569.62","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) TAB: 88MCG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) TAB: 88MCG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) TAB: 88MCG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) TAB: 88MCG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) TAB: 88MCG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) TAB: 88MCG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) TAB: 88MCG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) TAB: 88MCG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) TAB: 88MCG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) TAB: 88MCG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) TAB: 88MCG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) TAB: 88MCG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) TAB: 88MCG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) TAB: 88MCG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) TAB: 88MCG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) TAB: 88MCG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) TAB: 88MCG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) TAB: 88MCG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) TAB: 88MCG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) TAB: 88MCG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"SULFACETAMIDE NA 10% OPTH SOLUTION","0637","RC","Both",,,"36","18","Alliant","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"SULFACETAMIDE NA 10% OPTH SOLUTION","0637","RC","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.44","0.15","5264.58","percent of total billed charges",,
"SULFACETAMIDE NA 10% OPTH SOLUTION","0637","RC","Both",,,"36","18","Medicare",,,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"SULFACETAMIDE NA 10% OPTH SOLUTION","0637","RC","Both",,,"36","18","Humana","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"SULFACETAMIDE NA 10% OPTH SOLUTION","0637","RC","Both",,,"36","18","UHC","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"SULFACETAMIDE NA 10% OPTH SOLUTION","0637","RC","Both",,,"36","18","Clover","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"SULFACETAMIDE NA 10% OPTH SOLUTION","0637","RC","Both",,,"36","18","Wellcare","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"SULFACETAMIDE NA 10% OPTH SOLUTION","0637","RC","Both",,,"36","18","Amerigroup","Medicaid Managed Care",,,"37",,"13.18","0.15","5264.58","percent of total billed charges",,
"SULFACETAMIDE NA 10% OPTH SOLUTION","0637","RC","Both",,,"36","18","Caresource","Medicaid Managed Care",,,"40",,"14.4","0.15","5264.58","percent of total billed charges",,
"SULFACETAMIDE NA 10% OPTH SOLUTION","0637","RC","Both",,,"36","18","Wellcare","Medicaid Managed Care",,,"40",,"14.58","0.15","5264.58","percent of total billed charges",,
"SULFACETAMIDE NA 10% OPTH SOLUTION","0637","RC","Both",,,"36","18","Aetna","Commercial",,,"64",,"22.97","0.15","5264.58","percent of total billed charges",,
"SULFACETAMIDE NA 10% OPTH SOLUTION","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","Pathways",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"SULFACETAMIDE NA 10% OPTH SOLUTION","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","HMO",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"SULFACETAMIDE NA 10% OPTH SOLUTION","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","PPO",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"SULFACETAMIDE NA 10% OPTH SOLUTION","0637","RC","Both",,,"36","18","Ambetter","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"SULFACETAMIDE NA 10% OPTH SOLUTION","0637","RC","Both",,,"36","18","Caresource","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"SULFACETAMIDE NA 10% OPTH SOLUTION","0637","RC","Both",,,"36","18","Cigna","Commercial",,,"59",,"21.1","0.15","5264.58","percent of total billed charges",,
"SULFACETAMIDE NA 10% OPTH SOLUTION","0637","RC","Both",,,"36","18","Humana","Commercial",,,"78",,"27.9","0.15","5264.58","percent of total billed charges",,
"SULFACETAMIDE NA 10% OPTH SOLUTION","0637","RC","Both",,,"36","18","UHC","Commercial",,,"75",,"27.14","0.15","5264.58","percent of total billed charges",,
"SULFACETAMIDE NA 10% OPTH SOLUTION","0637","RC","Both",,,"36","18","Medicaid",,,,"37",,"13.18","0.15","5264.58","percent of total billed charges",,
"SURGICEL 4x8 ABSORABLE HEMOSTAT","0637","RC","Both",,,"201","100.5","Alliant","Health Exchange",,,"62",,"124.62","0.15","5264.58","percent of total billed charges",,
"SURGICEL 4x8 ABSORABLE HEMOSTAT","0637","RC","Both",,,"201","100.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"108.54","0.15","5264.58","percent of total billed charges",,
"SURGICEL 4x8 ABSORABLE HEMOSTAT","0637","RC","Both",,,"201","100.5","Medicare",,,,"54",,"108.94","0.15","5264.58","percent of total billed charges",,
"SURGICEL 4x8 ABSORABLE HEMOSTAT","0637","RC","Both",,,"201","100.5","Humana","Medicare Advantage",,,"54",,"108.94","0.15","5264.58","percent of total billed charges",,
"SURGICEL 4x8 ABSORABLE HEMOSTAT","0637","RC","Both",,,"201","100.5","UHC","Medicare Advantage",,,"54",,"108.94","0.15","5264.58","percent of total billed charges",,
"SURGICEL 4x8 ABSORABLE HEMOSTAT","0637","RC","Both",,,"201","100.5","Clover","Medicare Advantage",,,"54",,"108.94","0.15","5264.58","percent of total billed charges",,
"SURGICEL 4x8 ABSORABLE HEMOSTAT","0637","RC","Both",,,"201","100.5","Wellcare","Medicare Advantage",,,"54",,"108.94","0.15","5264.58","percent of total billed charges",,
"SURGICEL 4x8 ABSORABLE HEMOSTAT","0637","RC","Both",,,"201","100.5","Amerigroup","Medicaid Managed Care",,,"37",,"73.57","0.15","5264.58","percent of total billed charges",,
"SURGICEL 4x8 ABSORABLE HEMOSTAT","0637","RC","Both",,,"201","100.5","Caresource","Medicaid Managed Care",,,"40",,"80.4","0.15","5264.58","percent of total billed charges",,
"SURGICEL 4x8 ABSORABLE HEMOSTAT","0637","RC","Both",,,"201","100.5","Wellcare","Medicaid Managed Care",,,"40",,"81.4","0.15","5264.58","percent of total billed charges",,
"SURGICEL 4x8 ABSORABLE HEMOSTAT","0637","RC","Both",,,"201","100.5","Aetna","Commercial",,,"64",,"128.24","0.15","5264.58","percent of total billed charges",,
"SURGICEL 4x8 ABSORABLE HEMOSTAT","0637","RC","Both",,,"201","100.5","Blue Cross Blue Shield","Pathways",,,"71",,"141.91","0.15","5264.58","percent of total billed charges",,
"SURGICEL 4x8 ABSORABLE HEMOSTAT","0637","RC","Both",,,"201","100.5","Blue Cross Blue Shield","HMO",,,"71",,"141.91","0.15","5264.58","percent of total billed charges",,
"SURGICEL 4x8 ABSORABLE HEMOSTAT","0637","RC","Both",,,"201","100.5","Blue Cross Blue Shield","PPO",,,"71",,"141.91","0.15","5264.58","percent of total billed charges",,
"SURGICEL 4x8 ABSORABLE HEMOSTAT","0637","RC","Both",,,"201","100.5","Ambetter","Health Exchange",,,"62",,"124.62","0.15","5264.58","percent of total billed charges",,
"SURGICEL 4x8 ABSORABLE HEMOSTAT","0637","RC","Both",,,"201","100.5","Caresource","Health Exchange",,,"62",,"124.62","0.15","5264.58","percent of total billed charges",,
"SURGICEL 4x8 ABSORABLE HEMOSTAT","0637","RC","Both",,,"201","100.5","Cigna","Commercial",,,"59",,"117.79","0.15","5264.58","percent of total billed charges",,
"SURGICEL 4x8 ABSORABLE HEMOSTAT","0637","RC","Both",,,"201","100.5","Humana","Commercial",,,"78",,"155.78","0.15","5264.58","percent of total billed charges",,
"SURGICEL 4x8 ABSORABLE HEMOSTAT","0637","RC","Both",,,"201","100.5","UHC","Commercial",,,"75",,"151.55","0.15","5264.58","percent of total billed charges",,
"SURGICEL 4x8 ABSORABLE HEMOSTAT","0637","RC","Both",,,"201","100.5","Medicaid",,,,"37",,"73.57","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 75 MCG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 75 MCG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 75 MCG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 75 MCG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 75 MCG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 75 MCG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 75 MCG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 75 MCG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 75 MCG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 75 MCG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 75 MCG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 75 MCG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 75 MCG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 75 MCG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 75 MCG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 75 MCG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 75 MCG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 75 MCG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 75 MCG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 75 MCG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE100 MCG/VIAL INJECTION","0250","RC","Both",,,"130","65","Alliant","Health Exchange",,,"62",,"80.6","0.04","569.62","percent of total billed charges",,
"LEVOTHYROXINE100 MCG/VIAL INJECTION","0250","RC","Both",,,"130","65","Pruitt Healthcare","Medicare Advantage",,,"54",,"70.2","0.04","569.62","percent of total billed charges",,
"LEVOTHYROXINE100 MCG/VIAL INJECTION","0250","RC","Both",,,"130","65","Medicare",,,,"54",,"70.46","0.04","569.62","percent of total billed charges",,
"LEVOTHYROXINE100 MCG/VIAL INJECTION","0250","RC","Both",,,"130","65","Humana","Medicare Advantage",,,"54",,"70.46","0.04","569.62","percent of total billed charges",,
"LEVOTHYROXINE100 MCG/VIAL INJECTION","0250","RC","Both",,,"130","65","UHC","Medicare Advantage",,,"54",,"70.46","0.04","569.62","percent of total billed charges",,
"LEVOTHYROXINE100 MCG/VIAL INJECTION","0250","RC","Both",,,"130","65","Clover","Medicare Advantage",,,"54",,"70.46","0.04","569.62","percent of total billed charges",,
"LEVOTHYROXINE100 MCG/VIAL INJECTION","0250","RC","Both",,,"130","65","Wellcare","Medicare Advantage",,,"54",,"70.46","0.04","569.62","percent of total billed charges",,
"LEVOTHYROXINE100 MCG/VIAL INJECTION","0250","RC","Both",,,"130","65","Amerigroup","Medicaid Managed Care",,,"37",,"47.58","0.04","569.62","percent of total billed charges",,
"LEVOTHYROXINE100 MCG/VIAL INJECTION","0250","RC","Both",,,"130","65","Caresource","Medicaid Managed Care",,,"40",,"52","0.04","569.62","percent of total billed charges",,
"LEVOTHYROXINE100 MCG/VIAL INJECTION","0250","RC","Both",,,"130","65","Wellcare","Medicaid Managed Care",,,"40",,"52.65","0.04","569.62","percent of total billed charges",,
"LEVOTHYROXINE100 MCG/VIAL INJECTION","0250","RC","Both",,,"130","65","Aetna","Commercial",,,"64",,"82.94","0.04","569.62","percent of total billed charges",,
"LEVOTHYROXINE100 MCG/VIAL INJECTION","0250","RC","Both",,,"130","65","Blue Cross Blue Shield","Pathways",,,"71",,"91.78","0.04","569.62","percent of total billed charges",,
"LEVOTHYROXINE100 MCG/VIAL INJECTION","0250","RC","Both",,,"130","65","Blue Cross Blue Shield","HMO",,,"71",,"91.78","0.04","569.62","percent of total billed charges",,
"LEVOTHYROXINE100 MCG/VIAL INJECTION","0250","RC","Both",,,"130","65","Blue Cross Blue Shield","PPO",,,"71",,"91.78","0.04","569.62","percent of total billed charges",,
"LEVOTHYROXINE100 MCG/VIAL INJECTION","0250","RC","Both",,,"130","65","Ambetter","Health Exchange",,,"62",,"80.6","0.04","569.62","percent of total billed charges",,
"LEVOTHYROXINE100 MCG/VIAL INJECTION","0250","RC","Both",,,"130","65","Caresource","Health Exchange",,,"62",,"80.6","0.04","569.62","percent of total billed charges",,
"LEVOTHYROXINE100 MCG/VIAL INJECTION","0250","RC","Both",,,"130","65","Cigna","Commercial",,,"59",,"76.18","0.04","569.62","percent of total billed charges",,
"LEVOTHYROXINE100 MCG/VIAL INJECTION","0250","RC","Both",,,"130","65","Humana","Commercial",,,"78",,"100.75","0.04","569.62","percent of total billed charges",,
"LEVOTHYROXINE100 MCG/VIAL INJECTION","0250","RC","Both",,,"130","65","UHC","Commercial",,,"75",,"98.02","0.04","569.62","percent of total billed charges",,
"LEVOTHYROXINE100 MCG/VIAL INJECTION","0250","RC","Both",,,"130","65","Medicaid",,,,"37",,"47.58","0.04","569.62","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 125 MCG TAB","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 125 MCG TAB","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 125 MCG TAB","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 125 MCG TAB","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 125 MCG TAB","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 125 MCG TAB","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 125 MCG TAB","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 125 MCG TAB","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 125 MCG TAB","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 125 MCG TAB","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 125 MCG TAB","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 125 MCG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 125 MCG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 125 MCG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 125 MCG TAB","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 125 MCG TAB","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 125 MCG TAB","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 125 MCG TAB","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 125 MCG TAB","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 125 MCG TAB","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 100MCG TAB","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 100MCG TAB","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 100MCG TAB","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 100MCG TAB","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 100MCG TAB","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 100MCG TAB","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 100MCG TAB","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 100MCG TAB","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 100MCG TAB","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 100MCG TAB","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 100MCG TAB","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 100MCG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 100MCG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 100MCG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 100MCG TAB","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 100MCG TAB","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 100MCG TAB","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 100MCG TAB","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 100MCG TAB","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 100MCG TAB","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"OSELTAMIVIR (TAMIFLU) 75 MG CAPSULE","0637","RC","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"OSELTAMIVIR (TAMIFLU) 75 MG CAPSULE","0637","RC","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","0.15","5264.58","percent of total billed charges",,
"OSELTAMIVIR (TAMIFLU) 75 MG CAPSULE","0637","RC","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"OSELTAMIVIR (TAMIFLU) 75 MG CAPSULE","0637","RC","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"OSELTAMIVIR (TAMIFLU) 75 MG CAPSULE","0637","RC","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"OSELTAMIVIR (TAMIFLU) 75 MG CAPSULE","0637","RC","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"OSELTAMIVIR (TAMIFLU) 75 MG CAPSULE","0637","RC","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"OSELTAMIVIR (TAMIFLU) 75 MG CAPSULE","0637","RC","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"OSELTAMIVIR (TAMIFLU) 75 MG CAPSULE","0637","RC","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","0.15","5264.58","percent of total billed charges",,
"OSELTAMIVIR (TAMIFLU) 75 MG CAPSULE","0637","RC","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","0.15","5264.58","percent of total billed charges",,
"OSELTAMIVIR (TAMIFLU) 75 MG CAPSULE","0637","RC","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","0.15","5264.58","percent of total billed charges",,
"OSELTAMIVIR (TAMIFLU) 75 MG CAPSULE","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"OSELTAMIVIR (TAMIFLU) 75 MG CAPSULE","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"OSELTAMIVIR (TAMIFLU) 75 MG CAPSULE","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"OSELTAMIVIR (TAMIFLU) 75 MG CAPSULE","0637","RC","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"OSELTAMIVIR (TAMIFLU) 75 MG CAPSULE","0637","RC","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"OSELTAMIVIR (TAMIFLU) 75 MG CAPSULE","0637","RC","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","0.15","5264.58","percent of total billed charges",,
"OSELTAMIVIR (TAMIFLU) 75 MG CAPSULE","0637","RC","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","0.15","5264.58","percent of total billed charges",,
"OSELTAMIVIR (TAMIFLU) 75 MG CAPSULE","0637","RC","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","0.15","5264.58","percent of total billed charges",,
"OSELTAMIVIR (TAMIFLU) 75 MG CAPSULE","0637","RC","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"METHIMAZOLE (TAPAZOLE) 5 MG TABLETS","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"METHIMAZOLE (TAPAZOLE) 5 MG TABLETS","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"METHIMAZOLE (TAPAZOLE) 5 MG TABLETS","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METHIMAZOLE (TAPAZOLE) 5 MG TABLETS","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METHIMAZOLE (TAPAZOLE) 5 MG TABLETS","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METHIMAZOLE (TAPAZOLE) 5 MG TABLETS","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METHIMAZOLE (TAPAZOLE) 5 MG TABLETS","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METHIMAZOLE (TAPAZOLE) 5 MG TABLETS","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"METHIMAZOLE (TAPAZOLE) 5 MG TABLETS","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"METHIMAZOLE (TAPAZOLE) 5 MG TABLETS","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"METHIMAZOLE (TAPAZOLE) 5 MG TABLETS","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"METHIMAZOLE (TAPAZOLE) 5 MG TABLETS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"METHIMAZOLE (TAPAZOLE) 5 MG TABLETS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"METHIMAZOLE (TAPAZOLE) 5 MG TABLETS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"METHIMAZOLE (TAPAZOLE) 5 MG TABLETS","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"METHIMAZOLE (TAPAZOLE) 5 MG TABLETS","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"METHIMAZOLE (TAPAZOLE) 5 MG TABLETS","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"METHIMAZOLE (TAPAZOLE) 5 MG TABLETS","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"METHIMAZOLE (TAPAZOLE) 5 MG TABLETS","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"METHIMAZOLE (TAPAZOLE) 5 MG TABLETS","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"CARBAMAZEPINE (TEGRETOL) TABLET:  200MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CARBAMAZEPINE (TEGRETOL) TABLET:  200MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"CARBAMAZEPINE (TEGRETOL) TABLET:  200MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CARBAMAZEPINE (TEGRETOL) TABLET:  200MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CARBAMAZEPINE (TEGRETOL) TABLET:  200MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CARBAMAZEPINE (TEGRETOL) TABLET:  200MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CARBAMAZEPINE (TEGRETOL) TABLET:  200MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CARBAMAZEPINE (TEGRETOL) TABLET:  200MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"CARBAMAZEPINE (TEGRETOL) TABLET:  200MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"CARBAMAZEPINE (TEGRETOL) TABLET:  200MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"CARBAMAZEPINE (TEGRETOL) TABLET:  200MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"CARBAMAZEPINE (TEGRETOL) TABLET:  200MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CARBAMAZEPINE (TEGRETOL) TABLET:  200MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CARBAMAZEPINE (TEGRETOL) TABLET:  200MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CARBAMAZEPINE (TEGRETOL) TABLET:  200MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CARBAMAZEPINE (TEGRETOL) TABLET:  200MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CARBAMAZEPINE (TEGRETOL) TABLET:  200MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"CARBAMAZEPINE (TEGRETOL) TABLET:  200MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"CARBAMAZEPINE (TEGRETOL) TABLET:  200MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"CARBAMAZEPINE (TEGRETOL) TABLET:  200MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ATENOLOL (TENORMIN) 50 MG TABLETS","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ATENOLOL (TENORMIN) 50 MG TABLETS","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"ATENOLOL (TENORMIN) 50 MG TABLETS","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ATENOLOL (TENORMIN) 50 MG TABLETS","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ATENOLOL (TENORMIN) 50 MG TABLETS","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ATENOLOL (TENORMIN) 50 MG TABLETS","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ATENOLOL (TENORMIN) 50 MG TABLETS","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ATENOLOL (TENORMIN) 50 MG TABLETS","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ATENOLOL (TENORMIN) 50 MG TABLETS","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"ATENOLOL (TENORMIN) 50 MG TABLETS","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"ATENOLOL (TENORMIN) 50 MG TABLETS","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"ATENOLOL (TENORMIN) 50 MG TABLETS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ATENOLOL (TENORMIN) 50 MG TABLETS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ATENOLOL (TENORMIN) 50 MG TABLETS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ATENOLOL (TENORMIN) 50 MG TABLETS","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ATENOLOL (TENORMIN) 50 MG TABLETS","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ATENOLOL (TENORMIN) 50 MG TABLETS","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"ATENOLOL (TENORMIN) 50 MG TABLETS","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"ATENOLOL (TENORMIN) 50 MG TABLETS","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"ATENOLOL (TENORMIN) 50 MG TABLETS","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"BENZONATATE (TESSALON) CAPSULE: 100 MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"BENZONATATE (TESSALON) CAPSULE: 100 MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"BENZONATATE (TESSALON) CAPSULE: 100 MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BENZONATATE (TESSALON) CAPSULE: 100 MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BENZONATATE (TESSALON) CAPSULE: 100 MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BENZONATATE (TESSALON) CAPSULE: 100 MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BENZONATATE (TESSALON) CAPSULE: 100 MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BENZONATATE (TESSALON) CAPSULE: 100 MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"BENZONATATE (TESSALON) CAPSULE: 100 MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"BENZONATATE (TESSALON) CAPSULE: 100 MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"BENZONATATE (TESSALON) CAPSULE: 100 MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"BENZONATATE (TESSALON) CAPSULE: 100 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"BENZONATATE (TESSALON) CAPSULE: 100 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"BENZONATATE (TESSALON) CAPSULE: 100 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"BENZONATATE (TESSALON) CAPSULE: 100 MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"BENZONATATE (TESSALON) CAPSULE: 100 MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"BENZONATATE (TESSALON) CAPSULE: 100 MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"BENZONATATE (TESSALON) CAPSULE: 100 MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"BENZONATATE (TESSALON) CAPSULE: 100 MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"BENZONATATE (TESSALON) CAPSULE: 100 MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"TETRACAINE 0.5% OPTH SOLUTION","0637","RC","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"TETRACAINE 0.5% OPTH SOLUTION","0637","RC","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","0.15","5264.58","percent of total billed charges",,
"TETRACAINE 0.5% OPTH SOLUTION","0637","RC","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"TETRACAINE 0.5% OPTH SOLUTION","0637","RC","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"TETRACAINE 0.5% OPTH SOLUTION","0637","RC","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"TETRACAINE 0.5% OPTH SOLUTION","0637","RC","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"TETRACAINE 0.5% OPTH SOLUTION","0637","RC","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"TETRACAINE 0.5% OPTH SOLUTION","0637","RC","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"TETRACAINE 0.5% OPTH SOLUTION","0637","RC","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","0.15","5264.58","percent of total billed charges",,
"TETRACAINE 0.5% OPTH SOLUTION","0637","RC","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","0.15","5264.58","percent of total billed charges",,
"TETRACAINE 0.5% OPTH SOLUTION","0637","RC","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","0.15","5264.58","percent of total billed charges",,
"TETRACAINE 0.5% OPTH SOLUTION","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"TETRACAINE 0.5% OPTH SOLUTION","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"TETRACAINE 0.5% OPTH SOLUTION","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"TETRACAINE 0.5% OPTH SOLUTION","0637","RC","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"TETRACAINE 0.5% OPTH SOLUTION","0637","RC","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"TETRACAINE 0.5% OPTH SOLUTION","0637","RC","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","0.15","5264.58","percent of total billed charges",,
"TETRACAINE 0.5% OPTH SOLUTION","0637","RC","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","0.15","5264.58","percent of total billed charges",,
"TETRACAINE 0.5% OPTH SOLUTION","0637","RC","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","0.15","5264.58","percent of total billed charges",,
"TETRACAINE 0.5% OPTH SOLUTION","0637","RC","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"THIAMINE HCL (VITA B1) 100 MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"THIAMINE HCL (VITA B1) 100 MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"THIAMINE HCL (VITA B1) 100 MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"THIAMINE HCL (VITA B1) 100 MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"THIAMINE HCL (VITA B1) 100 MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"THIAMINE HCL (VITA B1) 100 MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"THIAMINE HCL (VITA B1) 100 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"THIAMINE HCL (VITA B1) 100 MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"THIAMINE HCL (VITA B1) 100 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"THIAMINE HCL (VITA B1) 100 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"THIAMINE HCL (VITA B1) 100 MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"THIAMINE HCL (VITA B1) 100 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"THIAMINE HCL (VITA B1) 100 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"THIAMINE HCL (VITA B1) 100 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"THIAMINE HCL (VITA B1) 100 MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"THIAMINE HCL (VITA B1) 100 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"THIAMINE HCL (VITA B1) 100 MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"THIAMINE HCL (VITA B1) 100 MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"THIAMINE HCL (VITA B1) 100 MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"THIAMINE HCL (VITA B1) 100 MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"THORACENTESIS TRAY","0250","RC","Both",,,"106","53","Alliant","Health Exchange",,,"62",,"65.72","0.04","569.62","percent of total billed charges",,
"THORACENTESIS TRAY","0250","RC","Both",,,"106","53","Pruitt Healthcare","Medicare Advantage",,,"54",,"57.24","0.04","569.62","percent of total billed charges",,
"THORACENTESIS TRAY","0250","RC","Both",,,"106","53","Medicare",,,,"54",,"57.45","0.04","569.62","percent of total billed charges",,
"THORACENTESIS TRAY","0250","RC","Both",,,"106","53","Humana","Medicare Advantage",,,"54",,"57.45","0.04","569.62","percent of total billed charges",,
"THORACENTESIS TRAY","0250","RC","Both",,,"106","53","UHC","Medicare Advantage",,,"54",,"57.45","0.04","569.62","percent of total billed charges",,
"THORACENTESIS TRAY","0250","RC","Both",,,"106","53","Clover","Medicare Advantage",,,"54",,"57.45","0.04","569.62","percent of total billed charges",,
"THORACENTESIS TRAY","0250","RC","Both",,,"106","53","Wellcare","Medicare Advantage",,,"54",,"57.45","0.04","569.62","percent of total billed charges",,
"THORACENTESIS TRAY","0250","RC","Both",,,"106","53","Amerigroup","Medicaid Managed Care",,,"37",,"38.8","0.04","569.62","percent of total billed charges",,
"THORACENTESIS TRAY","0250","RC","Both",,,"106","53","Caresource","Medicaid Managed Care",,,"40",,"42.4","0.04","569.62","percent of total billed charges",,
"THORACENTESIS TRAY","0250","RC","Both",,,"106","53","Wellcare","Medicaid Managed Care",,,"40",,"42.93","0.04","569.62","percent of total billed charges",,
"THORACENTESIS TRAY","0250","RC","Both",,,"106","53","Aetna","Commercial",,,"64",,"67.63","0.04","569.62","percent of total billed charges",,
"THORACENTESIS TRAY","0250","RC","Both",,,"106","53","Blue Cross Blue Shield","Pathways",,,"71",,"74.84","0.04","569.62","percent of total billed charges",,
"THORACENTESIS TRAY","0250","RC","Both",,,"106","53","Blue Cross Blue Shield","HMO",,,"71",,"74.84","0.04","569.62","percent of total billed charges",,
"THORACENTESIS TRAY","0250","RC","Both",,,"106","53","Blue Cross Blue Shield","PPO",,,"71",,"74.84","0.04","569.62","percent of total billed charges",,
"THORACENTESIS TRAY","0250","RC","Both",,,"106","53","Ambetter","Health Exchange",,,"62",,"65.72","0.04","569.62","percent of total billed charges",,
"THORACENTESIS TRAY","0250","RC","Both",,,"106","53","Caresource","Health Exchange",,,"62",,"65.72","0.04","569.62","percent of total billed charges",,
"THORACENTESIS TRAY","0250","RC","Both",,,"106","53","Cigna","Commercial",,,"59",,"62.12","0.04","569.62","percent of total billed charges",,
"THORACENTESIS TRAY","0250","RC","Both",,,"106","53","Humana","Commercial",,,"78",,"82.15","0.04","569.62","percent of total billed charges",,
"THORACENTESIS TRAY","0250","RC","Both",,,"106","53","UHC","Commercial",,,"75",,"79.92","0.04","569.62","percent of total billed charges",,
"THORACENTESIS TRAY","0250","RC","Both",,,"106","53","Medicaid",,,,"37",,"38.8","0.04","569.62","percent of total billed charges",,
"chlorproMAZINE (THORAZINE) INJ: 25MG/ML","0250","RC","Both",,,"52","26","Alliant","Health Exchange",,,"62",,"32.24","0.04","569.62","percent of total billed charges",,
"chlorproMAZINE (THORAZINE) INJ: 25MG/ML","0250","RC","Both",,,"52","26","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.08","0.04","569.62","percent of total billed charges",,
"chlorproMAZINE (THORAZINE) INJ: 25MG/ML","0250","RC","Both",,,"52","26","Medicare",,,,"54",,"28.18","0.04","569.62","percent of total billed charges",,
"chlorproMAZINE (THORAZINE) INJ: 25MG/ML","0250","RC","Both",,,"52","26","Humana","Medicare Advantage",,,"54",,"28.18","0.04","569.62","percent of total billed charges",,
"chlorproMAZINE (THORAZINE) INJ: 25MG/ML","0250","RC","Both",,,"52","26","UHC","Medicare Advantage",,,"54",,"28.18","0.04","569.62","percent of total billed charges",,
"chlorproMAZINE (THORAZINE) INJ: 25MG/ML","0250","RC","Both",,,"52","26","Clover","Medicare Advantage",,,"54",,"28.18","0.04","569.62","percent of total billed charges",,
"chlorproMAZINE (THORAZINE) INJ: 25MG/ML","0250","RC","Both",,,"52","26","Wellcare","Medicare Advantage",,,"54",,"28.18","0.04","569.62","percent of total billed charges",,
"chlorproMAZINE (THORAZINE) INJ: 25MG/ML","0250","RC","Both",,,"52","26","Amerigroup","Medicaid Managed Care",,,"37",,"19.03","0.04","569.62","percent of total billed charges",,
"chlorproMAZINE (THORAZINE) INJ: 25MG/ML","0250","RC","Both",,,"52","26","Caresource","Medicaid Managed Care",,,"40",,"20.8","0.04","569.62","percent of total billed charges",,
"chlorproMAZINE (THORAZINE) INJ: 25MG/ML","0250","RC","Both",,,"52","26","Wellcare","Medicaid Managed Care",,,"40",,"21.06","0.04","569.62","percent of total billed charges",,
"chlorproMAZINE (THORAZINE) INJ: 25MG/ML","0250","RC","Both",,,"52","26","Aetna","Commercial",,,"64",,"33.18","0.04","569.62","percent of total billed charges",,
"chlorproMAZINE (THORAZINE) INJ: 25MG/ML","0250","RC","Both",,,"52","26","Blue Cross Blue Shield","Pathways",,,"71",,"36.71","0.04","569.62","percent of total billed charges",,
"chlorproMAZINE (THORAZINE) INJ: 25MG/ML","0250","RC","Both",,,"52","26","Blue Cross Blue Shield","HMO",,,"71",,"36.71","0.04","569.62","percent of total billed charges",,
"chlorproMAZINE (THORAZINE) INJ: 25MG/ML","0250","RC","Both",,,"52","26","Blue Cross Blue Shield","PPO",,,"71",,"36.71","0.04","569.62","percent of total billed charges",,
"chlorproMAZINE (THORAZINE) INJ: 25MG/ML","0250","RC","Both",,,"52","26","Ambetter","Health Exchange",,,"62",,"32.24","0.04","569.62","percent of total billed charges",,
"chlorproMAZINE (THORAZINE) INJ: 25MG/ML","0250","RC","Both",,,"52","26","Caresource","Health Exchange",,,"62",,"32.24","0.04","569.62","percent of total billed charges",,
"chlorproMAZINE (THORAZINE) INJ: 25MG/ML","0250","RC","Both",,,"52","26","Cigna","Commercial",,,"59",,"30.47","0.04","569.62","percent of total billed charges",,
"chlorproMAZINE (THORAZINE) INJ: 25MG/ML","0250","RC","Both",,,"52","26","Humana","Commercial",,,"78",,"40.3","0.04","569.62","percent of total billed charges",,
"chlorproMAZINE (THORAZINE) INJ: 25MG/ML","0250","RC","Both",,,"52","26","UHC","Commercial",,,"75",,"39.21","0.04","569.62","percent of total billed charges",,
"chlorproMAZINE (THORAZINE) INJ: 25MG/ML","0250","RC","Both",,,"52","26","Medicaid",,,,"37",,"19.03","0.04","569.62","percent of total billed charges",,
"TOBRAMYCIN (TOBREX) 0.3% OPTH SOLUTION","0637","RC","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"TOBRAMYCIN (TOBREX) 0.3% OPTH SOLUTION","0637","RC","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","0.15","5264.58","percent of total billed charges",,
"TOBRAMYCIN (TOBREX) 0.3% OPTH SOLUTION","0637","RC","Both",,,"22","11","Medicare",,,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"TOBRAMYCIN (TOBREX) 0.3% OPTH SOLUTION","0637","RC","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"TOBRAMYCIN (TOBREX) 0.3% OPTH SOLUTION","0637","RC","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"TOBRAMYCIN (TOBREX) 0.3% OPTH SOLUTION","0637","RC","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"TOBRAMYCIN (TOBREX) 0.3% OPTH SOLUTION","0637","RC","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"TOBRAMYCIN (TOBREX) 0.3% OPTH SOLUTION","0637","RC","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"TOBRAMYCIN (TOBREX) 0.3% OPTH SOLUTION","0637","RC","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","0.15","5264.58","percent of total billed charges",,
"TOBRAMYCIN (TOBREX) 0.3% OPTH SOLUTION","0637","RC","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","0.15","5264.58","percent of total billed charges",,
"TOBRAMYCIN (TOBREX) 0.3% OPTH SOLUTION","0637","RC","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","0.15","5264.58","percent of total billed charges",,
"TOBRAMYCIN (TOBREX) 0.3% OPTH SOLUTION","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"TOBRAMYCIN (TOBREX) 0.3% OPTH SOLUTION","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"TOBRAMYCIN (TOBREX) 0.3% OPTH SOLUTION","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"TOBRAMYCIN (TOBREX) 0.3% OPTH SOLUTION","0637","RC","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"TOBRAMYCIN (TOBREX) 0.3% OPTH SOLUTION","0637","RC","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"TOBRAMYCIN (TOBREX) 0.3% OPTH SOLUTION","0637","RC","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","0.15","5264.58","percent of total billed charges",,
"TOBRAMYCIN (TOBREX) 0.3% OPTH SOLUTION","0637","RC","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","0.15","5264.58","percent of total billed charges",,
"TOBRAMYCIN (TOBREX) 0.3% OPTH SOLUTION","0637","RC","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","0.15","5264.58","percent of total billed charges",,
"TOBRAMYCIN (TOBREX) 0.3% OPTH SOLUTION","0637","RC","Both",,,"22","11","Medicaid",,,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"METOPROLOL succ XL (TOPROL XL) 50 MG TAB","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"METOPROLOL succ XL (TOPROL XL) 50 MG TAB","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"METOPROLOL succ XL (TOPROL XL) 50 MG TAB","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"METOPROLOL succ XL (TOPROL XL) 50 MG TAB","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"METOPROLOL succ XL (TOPROL XL) 50 MG TAB","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"METOPROLOL succ XL (TOPROL XL) 50 MG TAB","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"METOPROLOL succ XL (TOPROL XL) 50 MG TAB","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"METOPROLOL succ XL (TOPROL XL) 50 MG TAB","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"METOPROLOL succ XL (TOPROL XL) 50 MG TAB","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"METOPROLOL succ XL (TOPROL XL) 50 MG TAB","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"METOPROLOL succ XL (TOPROL XL) 50 MG TAB","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"METOPROLOL succ XL (TOPROL XL) 50 MG TAB","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"METOPROLOL succ XL (TOPROL XL) 50 MG TAB","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"METOPROLOL succ XL (TOPROL XL) 50 MG TAB","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"METOPROLOL succ XL (TOPROL XL) 50 MG TAB","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"METOPROLOL succ XL (TOPROL XL) 50 MG TAB","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"METOPROLOL succ XL (TOPROL XL) 50 MG TAB","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"METOPROLOL succ XL (TOPROL XL) 50 MG TAB","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"METOPROLOL succ XL (TOPROL XL) 50 MG TAB","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"METOPROLOL succ XL (TOPROL XL) 50 MG TAB","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"TRIAMCINOLONE (KENALOG) 0.1% CREAM 15 GM","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"TRIAMCINOLONE (KENALOG) 0.1% CREAM 15 GM","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"TRIAMCINOLONE (KENALOG) 0.1% CREAM 15 GM","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"TRIAMCINOLONE (KENALOG) 0.1% CREAM 15 GM","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"TRIAMCINOLONE (KENALOG) 0.1% CREAM 15 GM","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"TRIAMCINOLONE (KENALOG) 0.1% CREAM 15 GM","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"TRIAMCINOLONE (KENALOG) 0.1% CREAM 15 GM","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"TRIAMCINOLONE (KENALOG) 0.1% CREAM 15 GM","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"TRIAMCINOLONE (KENALOG) 0.1% CREAM 15 GM","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"TRIAMCINOLONE (KENALOG) 0.1% CREAM 15 GM","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"TRIAMCINOLONE (KENALOG) 0.1% CREAM 15 GM","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"TRIAMCINOLONE (KENALOG) 0.1% CREAM 15 GM","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"TRIAMCINOLONE (KENALOG) 0.1% CREAM 15 GM","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"TRIAMCINOLONE (KENALOG) 0.1% CREAM 15 GM","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"TRIAMCINOLONE (KENALOG) 0.1% CREAM 15 GM","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"TRIAMCINOLONE (KENALOG) 0.1% CREAM 15 GM","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"TRIAMCINOLONE (KENALOG) 0.1% CREAM 15 GM","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"TRIAMCINOLONE (KENALOG) 0.1% CREAM 15 GM","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"TRIAMCINOLONE (KENALOG) 0.1% CREAM 15 GM","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"TRIAMCINOLONE (KENALOG) 0.1% CREAM 15 GM","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"TRIPLE DYE PIN POINT APPLICATOR","0250","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","569.62","percent of total billed charges",,
"TRIPLE DYE PIN POINT APPLICATOR","0250","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","569.62","percent of total billed charges",,
"TRIPLE DYE PIN POINT APPLICATOR","0250","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","569.62","percent of total billed charges",,
"TRIPLE DYE PIN POINT APPLICATOR","0250","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","569.62","percent of total billed charges",,
"TRIPLE DYE PIN POINT APPLICATOR","0250","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","569.62","percent of total billed charges",,
"TRIPLE DYE PIN POINT APPLICATOR","0250","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","569.62","percent of total billed charges",,
"TRIPLE DYE PIN POINT APPLICATOR","0250","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","569.62","percent of total billed charges",,
"TRIPLE DYE PIN POINT APPLICATOR","0250","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","569.62","percent of total billed charges",,
"TRIPLE DYE PIN POINT APPLICATOR","0250","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","569.62","percent of total billed charges",,
"TRIPLE DYE PIN POINT APPLICATOR","0250","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","569.62","percent of total billed charges",,
"TRIPLE DYE PIN POINT APPLICATOR","0250","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","569.62","percent of total billed charges",,
"TRIPLE DYE PIN POINT APPLICATOR","0250","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","569.62","percent of total billed charges",,
"TRIPLE DYE PIN POINT APPLICATOR","0250","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","569.62","percent of total billed charges",,
"TRIPLE DYE PIN POINT APPLICATOR","0250","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","569.62","percent of total billed charges",,
"TRIPLE DYE PIN POINT APPLICATOR","0250","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","569.62","percent of total billed charges",,
"TRIPLE DYE PIN POINT APPLICATOR","0250","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","569.62","percent of total billed charges",,
"TRIPLE DYE PIN POINT APPLICATOR","0250","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","569.62","percent of total billed charges",,
"TRIPLE DYE PIN POINT APPLICATOR","0250","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","569.62","percent of total billed charges",,
"TRIPLE DYE PIN POINT APPLICATOR","0250","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","569.62","percent of total billed charges",,
"TRIPLE DYE PIN POINT APPLICATOR","0250","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","569.62","percent of total billed charges",,
"CALCIUM CARBONATE (TUMS) 500 MG TAB","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CALCIUM CARBONATE (TUMS) 500 MG TAB","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"CALCIUM CARBONATE (TUMS) 500 MG TAB","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CALCIUM CARBONATE (TUMS) 500 MG TAB","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CALCIUM CARBONATE (TUMS) 500 MG TAB","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CALCIUM CARBONATE (TUMS) 500 MG TAB","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CALCIUM CARBONATE (TUMS) 500 MG TAB","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CALCIUM CARBONATE (TUMS) 500 MG TAB","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"CALCIUM CARBONATE (TUMS) 500 MG TAB","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"CALCIUM CARBONATE (TUMS) 500 MG TAB","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"CALCIUM CARBONATE (TUMS) 500 MG TAB","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"CALCIUM CARBONATE (TUMS) 500 MG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CALCIUM CARBONATE (TUMS) 500 MG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CALCIUM CARBONATE (TUMS) 500 MG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CALCIUM CARBONATE (TUMS) 500 MG TAB","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CALCIUM CARBONATE (TUMS) 500 MG TAB","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CALCIUM CARBONATE (TUMS) 500 MG TAB","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"CALCIUM CARBONATE (TUMS) 500 MG TAB","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"CALCIUM CARBONATE (TUMS) 500 MG TAB","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"CALCIUM CARBONATE (TUMS) 500 MG TAB","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ACETAMIN/CODEIN 300/30MG (TYLENOL #3) TB","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ACETAMIN/CODEIN 300/30MG (TYLENOL #3) TB","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"ACETAMIN/CODEIN 300/30MG (TYLENOL #3) TB","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ACETAMIN/CODEIN 300/30MG (TYLENOL #3) TB","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ACETAMIN/CODEIN 300/30MG (TYLENOL #3) TB","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ACETAMIN/CODEIN 300/30MG (TYLENOL #3) TB","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ACETAMIN/CODEIN 300/30MG (TYLENOL #3) TB","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ACETAMIN/CODEIN 300/30MG (TYLENOL #3) TB","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ACETAMIN/CODEIN 300/30MG (TYLENOL #3) TB","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"ACETAMIN/CODEIN 300/30MG (TYLENOL #3) TB","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"ACETAMIN/CODEIN 300/30MG (TYLENOL #3) TB","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"ACETAMIN/CODEIN 300/30MG (TYLENOL #3) TB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ACETAMIN/CODEIN 300/30MG (TYLENOL #3) TB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ACETAMIN/CODEIN 300/30MG (TYLENOL #3) TB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ACETAMIN/CODEIN 300/30MG (TYLENOL #3) TB","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ACETAMIN/CODEIN 300/30MG (TYLENOL #3) TB","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ACETAMIN/CODEIN 300/30MG (TYLENOL #3) TB","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"ACETAMIN/CODEIN 300/30MG (TYLENOL #3) TB","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"ACETAMIN/CODEIN 300/30MG (TYLENOL #3) TB","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"ACETAMIN/CODEIN 300/30MG (TYLENOL #3) TB","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 325MG SUPP","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 325MG SUPP","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 325MG SUPP","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 325MG SUPP","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 325MG SUPP","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 325MG SUPP","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 325MG SUPP","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 325MG SUPP","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 325MG SUPP","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 325MG SUPP","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 325MG SUPP","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 325MG SUPP","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 325MG SUPP","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 325MG SUPP","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 325MG SUPP","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 325MG SUPP","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 325MG SUPP","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 325MG SUPP","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 325MG SUPP","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 325MG SUPP","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 325 MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 325 MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 325 MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 325 MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 325 MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 325 MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 325 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 325 MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 325 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 325 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 325 MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 325 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 325 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 325 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 325 MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 325 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 325 MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 325 MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 325 MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 325 MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 650 MG SUPP","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 650 MG SUPP","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 650 MG SUPP","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 650 MG SUPP","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 650 MG SUPP","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 650 MG SUPP","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 650 MG SUPP","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 650 MG SUPP","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 650 MG SUPP","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 650 MG SUPP","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 650 MG SUPP","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 650 MG SUPP","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 650 MG SUPP","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 650 MG SUPP","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 650 MG SUPP","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 650 MG SUPP","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 650 MG SUPP","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 650 MG SUPP","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 650 MG SUPP","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 650 MG SUPP","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 120MG SUPPOSITOR","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 120MG SUPPOSITOR","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 120MG SUPPOSITOR","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 120MG SUPPOSITOR","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 120MG SUPPOSITOR","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 120MG SUPPOSITOR","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 120MG SUPPOSITOR","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 120MG SUPPOSITOR","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 120MG SUPPOSITOR","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 120MG SUPPOSITOR","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 120MG SUPPOSITOR","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 120MG SUPPOSITOR","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 120MG SUPPOSITOR","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 120MG SUPPOSITOR","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 120MG SUPPOSITOR","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 120MG SUPPOSITOR","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 120MG SUPPOSITOR","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 120MG SUPPOSITOR","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 120MG SUPPOSITOR","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 120MG SUPPOSITOR","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 80MG SUPP","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 80MG SUPP","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 80MG SUPP","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 80MG SUPP","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 80MG SUPP","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 80MG SUPP","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 80MG SUPP","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 80MG SUPP","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 80MG SUPP","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 80MG SUPP","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 80MG SUPP","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 80MG SUPP","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 80MG SUPP","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 80MG SUPP","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 80MG SUPP","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 80MG SUPP","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 80MG SUPP","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 80MG SUPP","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 80MG SUPP","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) 80MG SUPP","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN/CODEINE 120MG/12MG/5ML LIQ","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN/CODEINE 120MG/12MG/5ML LIQ","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN/CODEINE 120MG/12MG/5ML LIQ","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN/CODEINE 120MG/12MG/5ML LIQ","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN/CODEINE 120MG/12MG/5ML LIQ","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN/CODEINE 120MG/12MG/5ML LIQ","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN/CODEINE 120MG/12MG/5ML LIQ","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN/CODEINE 120MG/12MG/5ML LIQ","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN/CODEINE 120MG/12MG/5ML LIQ","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN/CODEINE 120MG/12MG/5ML LIQ","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN/CODEINE 120MG/12MG/5ML LIQ","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN/CODEINE 120MG/12MG/5ML LIQ","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN/CODEINE 120MG/12MG/5ML LIQ","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN/CODEINE 120MG/12MG/5ML LIQ","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN/CODEINE 120MG/12MG/5ML LIQ","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN/CODEINE 120MG/12MG/5ML LIQ","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN/CODEINE 120MG/12MG/5ML LIQ","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN/CODEINE 120MG/12MG/5ML LIQ","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN/CODEINE 120MG/12MG/5ML LIQ","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN/CODEINE 120MG/12MG/5ML LIQ","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"traMADOL (ULTRAM) 50MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"traMADOL (ULTRAM) 50MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"traMADOL (ULTRAM) 50MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"traMADOL (ULTRAM) 50MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"traMADOL (ULTRAM) 50MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"traMADOL (ULTRAM) 50MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"traMADOL (ULTRAM) 50MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"traMADOL (ULTRAM) 50MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"traMADOL (ULTRAM) 50MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"traMADOL (ULTRAM) 50MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"traMADOL (ULTRAM) 50MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"traMADOL (ULTRAM) 50MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"traMADOL (ULTRAM) 50MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"traMADOL (ULTRAM) 50MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"traMADOL (ULTRAM) 50MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"traMADOL (ULTRAM) 50MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"traMADOL (ULTRAM) 50MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"traMADOL (ULTRAM) 50MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"traMADOL (ULTRAM) 50MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"traMADOL (ULTRAM) 50MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"BETHANEHOL (URECHOLINE) 10mg TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"BETHANEHOL (URECHOLINE) 10mg TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"BETHANEHOL (URECHOLINE) 10mg TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BETHANEHOL (URECHOLINE) 10mg TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BETHANEHOL (URECHOLINE) 10mg TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BETHANEHOL (URECHOLINE) 10mg TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BETHANEHOL (URECHOLINE) 10mg TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BETHANEHOL (URECHOLINE) 10mg TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"BETHANEHOL (URECHOLINE) 10mg TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"BETHANEHOL (URECHOLINE) 10mg TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"BETHANEHOL (URECHOLINE) 10mg TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"BETHANEHOL (URECHOLINE) 10mg TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"BETHANEHOL (URECHOLINE) 10mg TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"BETHANEHOL (URECHOLINE) 10mg TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"BETHANEHOL (URECHOLINE) 10mg TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"BETHANEHOL (URECHOLINE) 10mg TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"BETHANEHOL (URECHOLINE) 10mg TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"BETHANEHOL (URECHOLINE) 10mg TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"BETHANEHOL (URECHOLINE) 10mg TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"BETHANEHOL (URECHOLINE) 10mg TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"BETHANECHOL (URECHOLINE) 25MG TB","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"BETHANECHOL (URECHOLINE) 25MG TB","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"BETHANECHOL (URECHOLINE) 25MG TB","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BETHANECHOL (URECHOLINE) 25MG TB","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BETHANECHOL (URECHOLINE) 25MG TB","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BETHANECHOL (URECHOLINE) 25MG TB","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BETHANECHOL (URECHOLINE) 25MG TB","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BETHANECHOL (URECHOLINE) 25MG TB","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"BETHANECHOL (URECHOLINE) 25MG TB","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"BETHANECHOL (URECHOLINE) 25MG TB","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"BETHANECHOL (URECHOLINE) 25MG TB","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"BETHANECHOL (URECHOLINE) 25MG TB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"BETHANECHOL (URECHOLINE) 25MG TB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"BETHANECHOL (URECHOLINE) 25MG TB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"BETHANECHOL (URECHOLINE) 25MG TB","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"BETHANECHOL (URECHOLINE) 25MG TB","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"BETHANECHOL (URECHOLINE) 25MG TB","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"BETHANECHOL (URECHOLINE) 25MG TB","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"BETHANECHOL (URECHOLINE) 25MG TB","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"BETHANECHOL (URECHOLINE) 25MG TB","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"DIAZEPAM (VALIUM) TABLET: 2MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DIAZEPAM (VALIUM) TABLET: 2MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"DIAZEPAM (VALIUM) TABLET: 2MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DIAZEPAM (VALIUM) TABLET: 2MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DIAZEPAM (VALIUM) TABLET: 2MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DIAZEPAM (VALIUM) TABLET: 2MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DIAZEPAM (VALIUM) TABLET: 2MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DIAZEPAM (VALIUM) TABLET: 2MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"DIAZEPAM (VALIUM) TABLET: 2MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"DIAZEPAM (VALIUM) TABLET: 2MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"DIAZEPAM (VALIUM) TABLET: 2MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"DIAZEPAM (VALIUM) TABLET: 2MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DIAZEPAM (VALIUM) TABLET: 2MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DIAZEPAM (VALIUM) TABLET: 2MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DIAZEPAM (VALIUM) TABLET: 2MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DIAZEPAM (VALIUM) TABLET: 2MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DIAZEPAM (VALIUM) TABLET: 2MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"DIAZEPAM (VALIUM) TABLET: 2MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"DIAZEPAM (VALIUM) TABLET: 2MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"DIAZEPAM (VALIUM) TABLET: 2MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"DIAZEPAM (VALIUM) TABLET: 5MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DIAZEPAM (VALIUM) TABLET: 5MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"DIAZEPAM (VALIUM) TABLET: 5MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DIAZEPAM (VALIUM) TABLET: 5MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DIAZEPAM (VALIUM) TABLET: 5MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DIAZEPAM (VALIUM) TABLET: 5MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DIAZEPAM (VALIUM) TABLET: 5MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DIAZEPAM (VALIUM) TABLET: 5MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"DIAZEPAM (VALIUM) TABLET: 5MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"DIAZEPAM (VALIUM) TABLET: 5MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"DIAZEPAM (VALIUM) TABLET: 5MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"DIAZEPAM (VALIUM) TABLET: 5MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DIAZEPAM (VALIUM) TABLET: 5MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DIAZEPAM (VALIUM) TABLET: 5MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DIAZEPAM (VALIUM) TABLET: 5MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DIAZEPAM (VALIUM) TABLET: 5MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DIAZEPAM (VALIUM) TABLET: 5MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"DIAZEPAM (VALIUM) TABLET: 5MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"DIAZEPAM (VALIUM) TABLET: 5MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"DIAZEPAM (VALIUM) TABLET: 5MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ENALAPRILAT (VASOTEC) INJ: 1.25MG/ML","0250","RC","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"ENALAPRILAT (VASOTEC) INJ: 1.25MG/ML","0250","RC","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","0.04","569.62","percent of total billed charges",,
"ENALAPRILAT (VASOTEC) INJ: 1.25MG/ML","0250","RC","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"ENALAPRILAT (VASOTEC) INJ: 1.25MG/ML","0250","RC","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"ENALAPRILAT (VASOTEC) INJ: 1.25MG/ML","0250","RC","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"ENALAPRILAT (VASOTEC) INJ: 1.25MG/ML","0250","RC","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"ENALAPRILAT (VASOTEC) INJ: 1.25MG/ML","0250","RC","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"ENALAPRILAT (VASOTEC) INJ: 1.25MG/ML","0250","RC","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","0.04","569.62","percent of total billed charges",,
"ENALAPRILAT (VASOTEC) INJ: 1.25MG/ML","0250","RC","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","0.04","569.62","percent of total billed charges",,
"ENALAPRILAT (VASOTEC) INJ: 1.25MG/ML","0250","RC","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","0.04","569.62","percent of total billed charges",,
"ENALAPRILAT (VASOTEC) INJ: 1.25MG/ML","0250","RC","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","0.04","569.62","percent of total billed charges",,
"ENALAPRILAT (VASOTEC) INJ: 1.25MG/ML","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"ENALAPRILAT (VASOTEC) INJ: 1.25MG/ML","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"ENALAPRILAT (VASOTEC) INJ: 1.25MG/ML","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"ENALAPRILAT (VASOTEC) INJ: 1.25MG/ML","0250","RC","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"ENALAPRILAT (VASOTEC) INJ: 1.25MG/ML","0250","RC","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"ENALAPRILAT (VASOTEC) INJ: 1.25MG/ML","0250","RC","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","0.04","569.62","percent of total billed charges",,
"ENALAPRILAT (VASOTEC) INJ: 1.25MG/ML","0250","RC","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","0.04","569.62","percent of total billed charges",,
"ENALAPRILAT (VASOTEC) INJ: 1.25MG/ML","0250","RC","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","0.04","569.62","percent of total billed charges",,
"ENALAPRILAT (VASOTEC) INJ: 1.25MG/ML","0250","RC","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","0.04","569.62","percent of total billed charges",,
"ASCORBIC ACID (VITAMIN C) 500MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ASCORBIC ACID (VITAMIN C) 500MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"ASCORBIC ACID (VITAMIN C) 500MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ASCORBIC ACID (VITAMIN C) 500MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ASCORBIC ACID (VITAMIN C) 500MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ASCORBIC ACID (VITAMIN C) 500MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ASCORBIC ACID (VITAMIN C) 500MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ASCORBIC ACID (VITAMIN C) 500MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ASCORBIC ACID (VITAMIN C) 500MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"ASCORBIC ACID (VITAMIN C) 500MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"ASCORBIC ACID (VITAMIN C) 500MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"ASCORBIC ACID (VITAMIN C) 500MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ASCORBIC ACID (VITAMIN C) 500MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ASCORBIC ACID (VITAMIN C) 500MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ASCORBIC ACID (VITAMIN C) 500MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ASCORBIC ACID (VITAMIN C) 500MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ASCORBIC ACID (VITAMIN C) 500MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"ASCORBIC ACID (VITAMIN C) 500MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"ASCORBIC ACID (VITAMIN C) 500MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"ASCORBIC ACID (VITAMIN C) 500MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"WATER FOR IRRIGATION 1000ML","0258","RC","Both",,,"60","30","Alliant","Health Exchange",,,"62",,"37.2","4.76","93","percent of total billed charges",,
"WATER FOR IRRIGATION 1000ML","0258","RC","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage",,,"54",,"32.4","4.76","93","percent of total billed charges",,
"WATER FOR IRRIGATION 1000ML","0258","RC","Both",,,"60","30","Medicare",,,,"54",,"32.52","4.76","93","percent of total billed charges",,
"WATER FOR IRRIGATION 1000ML","0258","RC","Both",,,"60","30","Humana","Medicare Advantage",,,"54",,"32.52","4.76","93","percent of total billed charges",,
"WATER FOR IRRIGATION 1000ML","0258","RC","Both",,,"60","30","UHC","Medicare Advantage",,,"54",,"32.52","4.76","93","percent of total billed charges",,
"WATER FOR IRRIGATION 1000ML","0258","RC","Both",,,"60","30","Clover","Medicare Advantage",,,"54",,"32.52","4.76","93","percent of total billed charges",,
"WATER FOR IRRIGATION 1000ML","0258","RC","Both",,,"60","30","Wellcare","Medicare Advantage",,,"54",,"32.52","4.76","93","percent of total billed charges",,
"WATER FOR IRRIGATION 1000ML","0258","RC","Both",,,"60","30","Amerigroup","Medicaid Managed Care",,,"37",,"21.96","4.76","93","percent of total billed charges",,
"WATER FOR IRRIGATION 1000ML","0258","RC","Both",,,"60","30","Caresource","Medicaid Managed Care",,,"40",,"24","4.76","93","percent of total billed charges",,
"WATER FOR IRRIGATION 1000ML","0258","RC","Both",,,"60","30","Wellcare","Medicaid Managed Care",,,"40",,"24.3","4.76","93","percent of total billed charges",,
"WATER FOR IRRIGATION 1000ML","0258","RC","Both",,,"60","30","Aetna","Commercial",,,"64",,"38.28","4.76","93","percent of total billed charges",,
"WATER FOR IRRIGATION 1000ML","0258","RC","Both",,,"60","30","Blue Cross Blue Shield","Pathways",,,"71",,"42.36","4.76","93","percent of total billed charges",,
"WATER FOR IRRIGATION 1000ML","0258","RC","Both",,,"60","30","Blue Cross Blue Shield","HMO",,,"71",,"42.36","4.76","93","percent of total billed charges",,
"WATER FOR IRRIGATION 1000ML","0258","RC","Both",,,"60","30","Blue Cross Blue Shield","PPO",,,"71",,"42.36","4.76","93","percent of total billed charges",,
"WATER FOR IRRIGATION 1000ML","0258","RC","Both",,,"60","30","Ambetter","Health Exchange",,,"62",,"37.2","4.76","93","percent of total billed charges",,
"WATER FOR IRRIGATION 1000ML","0258","RC","Both",,,"60","30","Caresource","Health Exchange",,,"62",,"37.2","4.76","93","percent of total billed charges",,
"WATER FOR IRRIGATION 1000ML","0258","RC","Both",,,"60","30","Cigna","Commercial",,,"59",,"35.16","4.76","93","percent of total billed charges",,
"WATER FOR IRRIGATION 1000ML","0258","RC","Both",,,"60","30","Humana","Commercial",,,"78",,"46.5","4.76","93","percent of total billed charges",,
"WATER FOR IRRIGATION 1000ML","0258","RC","Both",,,"60","30","UHC","Commercial",,,"75",,"45.24","4.76","93","percent of total billed charges",,
"WATER FOR IRRIGATION 1000ML","0258","RC","Both",,,"60","30","Medicaid",,,,"37",,"21.96","4.76","93","percent of total billed charges",,
"bupropion SR (wellbutrin SR) 150MG TAB","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"bupropion SR (wellbutrin SR) 150MG TAB","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"bupropion SR (wellbutrin SR) 150MG TAB","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"bupropion SR (wellbutrin SR) 150MG TAB","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"bupropion SR (wellbutrin SR) 150MG TAB","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"bupropion SR (wellbutrin SR) 150MG TAB","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"bupropion SR (wellbutrin SR) 150MG TAB","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"bupropion SR (wellbutrin SR) 150MG TAB","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"bupropion SR (wellbutrin SR) 150MG TAB","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"bupropion SR (wellbutrin SR) 150MG TAB","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"bupropion SR (wellbutrin SR) 150MG TAB","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"bupropion SR (wellbutrin SR) 150MG TAB","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"bupropion SR (wellbutrin SR) 150MG TAB","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"bupropion SR (wellbutrin SR) 150MG TAB","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"bupropion SR (wellbutrin SR) 150MG TAB","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"bupropion SR (wellbutrin SR) 150MG TAB","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"bupropion SR (wellbutrin SR) 150MG TAB","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"bupropion SR (wellbutrin SR) 150MG TAB","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"bupropion SR (wellbutrin SR) 150MG TAB","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"bupropion SR (wellbutrin SR) 150MG TAB","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"ALPRAZOLAM (XANAX) TABLET: 0.25 MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ALPRAZOLAM (XANAX) TABLET: 0.25 MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"ALPRAZOLAM (XANAX) TABLET: 0.25 MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ALPRAZOLAM (XANAX) TABLET: 0.25 MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ALPRAZOLAM (XANAX) TABLET: 0.25 MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ALPRAZOLAM (XANAX) TABLET: 0.25 MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ALPRAZOLAM (XANAX) TABLET: 0.25 MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ALPRAZOLAM (XANAX) TABLET: 0.25 MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ALPRAZOLAM (XANAX) TABLET: 0.25 MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"ALPRAZOLAM (XANAX) TABLET: 0.25 MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"ALPRAZOLAM (XANAX) TABLET: 0.25 MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"ALPRAZOLAM (XANAX) TABLET: 0.25 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ALPRAZOLAM (XANAX) TABLET: 0.25 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ALPRAZOLAM (XANAX) TABLET: 0.25 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ALPRAZOLAM (XANAX) TABLET: 0.25 MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ALPRAZOLAM (XANAX) TABLET: 0.25 MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ALPRAZOLAM (XANAX) TABLET: 0.25 MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"ALPRAZOLAM (XANAX) TABLET: 0.25 MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"ALPRAZOLAM (XANAX) TABLET: 0.25 MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"ALPRAZOLAM (XANAX) TABLET: 0.25 MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ALPRAZOLAM (XANAX) TABLET: 0.5 MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ALPRAZOLAM (XANAX) TABLET: 0.5 MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"ALPRAZOLAM (XANAX) TABLET: 0.5 MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ALPRAZOLAM (XANAX) TABLET: 0.5 MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ALPRAZOLAM (XANAX) TABLET: 0.5 MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ALPRAZOLAM (XANAX) TABLET: 0.5 MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ALPRAZOLAM (XANAX) TABLET: 0.5 MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ALPRAZOLAM (XANAX) TABLET: 0.5 MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ALPRAZOLAM (XANAX) TABLET: 0.5 MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"ALPRAZOLAM (XANAX) TABLET: 0.5 MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"ALPRAZOLAM (XANAX) TABLET: 0.5 MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"ALPRAZOLAM (XANAX) TABLET: 0.5 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ALPRAZOLAM (XANAX) TABLET: 0.5 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ALPRAZOLAM (XANAX) TABLET: 0.5 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ALPRAZOLAM (XANAX) TABLET: 0.5 MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ALPRAZOLAM (XANAX) TABLET: 0.5 MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ALPRAZOLAM (XANAX) TABLET: 0.5 MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"ALPRAZOLAM (XANAX) TABLET: 0.5 MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"ALPRAZOLAM (XANAX) TABLET: 0.5 MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"ALPRAZOLAM (XANAX) TABLET: 0.5 MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"LIDOCAINE HCL (XYLOCAINE) 2% JELLY 5ml","0250","RC","Both",,,"36","18","Alliant","Health Exchange",,,"62",,"22.32","0.04","569.62","percent of total billed charges",,
"LIDOCAINE HCL (XYLOCAINE) 2% JELLY 5ml","0250","RC","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.44","0.04","569.62","percent of total billed charges",,
"LIDOCAINE HCL (XYLOCAINE) 2% JELLY 5ml","0250","RC","Both",,,"36","18","Medicare",,,,"54",,"19.51","0.04","569.62","percent of total billed charges",,
"LIDOCAINE HCL (XYLOCAINE) 2% JELLY 5ml","0250","RC","Both",,,"36","18","Humana","Medicare Advantage",,,"54",,"19.51","0.04","569.62","percent of total billed charges",,
"LIDOCAINE HCL (XYLOCAINE) 2% JELLY 5ml","0250","RC","Both",,,"36","18","UHC","Medicare Advantage",,,"54",,"19.51","0.04","569.62","percent of total billed charges",,
"LIDOCAINE HCL (XYLOCAINE) 2% JELLY 5ml","0250","RC","Both",,,"36","18","Clover","Medicare Advantage",,,"54",,"19.51","0.04","569.62","percent of total billed charges",,
"LIDOCAINE HCL (XYLOCAINE) 2% JELLY 5ml","0250","RC","Both",,,"36","18","Wellcare","Medicare Advantage",,,"54",,"19.51","0.04","569.62","percent of total billed charges",,
"LIDOCAINE HCL (XYLOCAINE) 2% JELLY 5ml","0250","RC","Both",,,"36","18","Amerigroup","Medicaid Managed Care",,,"37",,"13.18","0.04","569.62","percent of total billed charges",,
"LIDOCAINE HCL (XYLOCAINE) 2% JELLY 5ml","0250","RC","Both",,,"36","18","Caresource","Medicaid Managed Care",,,"40",,"14.4","0.04","569.62","percent of total billed charges",,
"LIDOCAINE HCL (XYLOCAINE) 2% JELLY 5ml","0250","RC","Both",,,"36","18","Wellcare","Medicaid Managed Care",,,"40",,"14.58","0.04","569.62","percent of total billed charges",,
"LIDOCAINE HCL (XYLOCAINE) 2% JELLY 5ml","0250","RC","Both",,,"36","18","Aetna","Commercial",,,"64",,"22.97","0.04","569.62","percent of total billed charges",,
"LIDOCAINE HCL (XYLOCAINE) 2% JELLY 5ml","0250","RC","Both",,,"36","18","Blue Cross Blue Shield","Pathways",,,"71",,"25.42","0.04","569.62","percent of total billed charges",,
"LIDOCAINE HCL (XYLOCAINE) 2% JELLY 5ml","0250","RC","Both",,,"36","18","Blue Cross Blue Shield","HMO",,,"71",,"25.42","0.04","569.62","percent of total billed charges",,
"LIDOCAINE HCL (XYLOCAINE) 2% JELLY 5ml","0250","RC","Both",,,"36","18","Blue Cross Blue Shield","PPO",,,"71",,"25.42","0.04","569.62","percent of total billed charges",,
"LIDOCAINE HCL (XYLOCAINE) 2% JELLY 5ml","0250","RC","Both",,,"36","18","Ambetter","Health Exchange",,,"62",,"22.32","0.04","569.62","percent of total billed charges",,
"LIDOCAINE HCL (XYLOCAINE) 2% JELLY 5ml","0250","RC","Both",,,"36","18","Caresource","Health Exchange",,,"62",,"22.32","0.04","569.62","percent of total billed charges",,
"LIDOCAINE HCL (XYLOCAINE) 2% JELLY 5ml","0250","RC","Both",,,"36","18","Cigna","Commercial",,,"59",,"21.1","0.04","569.62","percent of total billed charges",,
"LIDOCAINE HCL (XYLOCAINE) 2% JELLY 5ml","0250","RC","Both",,,"36","18","Humana","Commercial",,,"78",,"27.9","0.04","569.62","percent of total billed charges",,
"LIDOCAINE HCL (XYLOCAINE) 2% JELLY 5ml","0250","RC","Both",,,"36","18","UHC","Commercial",,,"75",,"27.14","0.04","569.62","percent of total billed charges",,
"LIDOCAINE HCL (XYLOCAINE) 2% JELLY 5ml","0250","RC","Both",,,"36","18","Medicaid",,,,"37",,"13.18","0.04","569.62","percent of total billed charges",,
"LIDOCAINE VISCOUS 2% SOLN 15 ML UD CUP","0250","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.04","569.62","percent of total billed charges",,
"LIDOCAINE VISCOUS 2% SOLN 15 ML UD CUP","0250","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.04","569.62","percent of total billed charges",,
"LIDOCAINE VISCOUS 2% SOLN 15 ML UD CUP","0250","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.04","569.62","percent of total billed charges",,
"LIDOCAINE VISCOUS 2% SOLN 15 ML UD CUP","0250","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.04","569.62","percent of total billed charges",,
"LIDOCAINE VISCOUS 2% SOLN 15 ML UD CUP","0250","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.04","569.62","percent of total billed charges",,
"LIDOCAINE VISCOUS 2% SOLN 15 ML UD CUP","0250","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.04","569.62","percent of total billed charges",,
"LIDOCAINE VISCOUS 2% SOLN 15 ML UD CUP","0250","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.04","569.62","percent of total billed charges",,
"LIDOCAINE VISCOUS 2% SOLN 15 ML UD CUP","0250","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.04","569.62","percent of total billed charges",,
"LIDOCAINE VISCOUS 2% SOLN 15 ML UD CUP","0250","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.04","569.62","percent of total billed charges",,
"LIDOCAINE VISCOUS 2% SOLN 15 ML UD CUP","0250","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.04","569.62","percent of total billed charges",,
"LIDOCAINE VISCOUS 2% SOLN 15 ML UD CUP","0250","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.04","569.62","percent of total billed charges",,
"LIDOCAINE VISCOUS 2% SOLN 15 ML UD CUP","0250","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.04","569.62","percent of total billed charges",,
"LIDOCAINE VISCOUS 2% SOLN 15 ML UD CUP","0250","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.04","569.62","percent of total billed charges",,
"LIDOCAINE VISCOUS 2% SOLN 15 ML UD CUP","0250","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.04","569.62","percent of total billed charges",,
"LIDOCAINE VISCOUS 2% SOLN 15 ML UD CUP","0250","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.04","569.62","percent of total billed charges",,
"LIDOCAINE VISCOUS 2% SOLN 15 ML UD CUP","0250","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.04","569.62","percent of total billed charges",,
"LIDOCAINE VISCOUS 2% SOLN 15 ML UD CUP","0250","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.04","569.62","percent of total billed charges",,
"LIDOCAINE VISCOUS 2% SOLN 15 ML UD CUP","0250","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.04","569.62","percent of total billed charges",,
"LIDOCAINE VISCOUS 2% SOLN 15 ML UD CUP","0250","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.04","569.62","percent of total billed charges",,
"LIDOCAINE VISCOUS 2% SOLN 15 ML UD CUP","0250","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.04","569.62","percent of total billed charges",,
"TIZANIDINE HCL (ZANAFLEX) 4MG TABLET","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"TIZANIDINE HCL (ZANAFLEX) 4MG TABLET","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"TIZANIDINE HCL (ZANAFLEX) 4MG TABLET","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"TIZANIDINE HCL (ZANAFLEX) 4MG TABLET","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"TIZANIDINE HCL (ZANAFLEX) 4MG TABLET","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"TIZANIDINE HCL (ZANAFLEX) 4MG TABLET","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"TIZANIDINE HCL (ZANAFLEX) 4MG TABLET","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"TIZANIDINE HCL (ZANAFLEX) 4MG TABLET","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"TIZANIDINE HCL (ZANAFLEX) 4MG TABLET","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"TIZANIDINE HCL (ZANAFLEX) 4MG TABLET","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"TIZANIDINE HCL (ZANAFLEX) 4MG TABLET","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"TIZANIDINE HCL (ZANAFLEX) 4MG TABLET","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"TIZANIDINE HCL (ZANAFLEX) 4MG TABLET","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"TIZANIDINE HCL (ZANAFLEX) 4MG TABLET","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"TIZANIDINE HCL (ZANAFLEX) 4MG TABLET","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"TIZANIDINE HCL (ZANAFLEX) 4MG TABLET","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"TIZANIDINE HCL (ZANAFLEX) 4MG TABLET","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"TIZANIDINE HCL (ZANAFLEX) 4MG TABLET","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"TIZANIDINE HCL (ZANAFLEX) 4MG TABLET","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"TIZANIDINE HCL (ZANAFLEX) 4MG TABLET","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"METOLAZONE (ZAROXOLYN) 2.5 MG TABLET","0250","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.04","569.62","percent of total billed charges",,
"METOLAZONE (ZAROXOLYN) 2.5 MG TABLET","0250","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.04","569.62","percent of total billed charges",,
"METOLAZONE (ZAROXOLYN) 2.5 MG TABLET","0250","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.04","569.62","percent of total billed charges",,
"METOLAZONE (ZAROXOLYN) 2.5 MG TABLET","0250","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.04","569.62","percent of total billed charges",,
"METOLAZONE (ZAROXOLYN) 2.5 MG TABLET","0250","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.04","569.62","percent of total billed charges",,
"METOLAZONE (ZAROXOLYN) 2.5 MG TABLET","0250","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.04","569.62","percent of total billed charges",,
"METOLAZONE (ZAROXOLYN) 2.5 MG TABLET","0250","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.04","569.62","percent of total billed charges",,
"METOLAZONE (ZAROXOLYN) 2.5 MG TABLET","0250","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.04","569.62","percent of total billed charges",,
"METOLAZONE (ZAROXOLYN) 2.5 MG TABLET","0250","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.04","569.62","percent of total billed charges",,
"METOLAZONE (ZAROXOLYN) 2.5 MG TABLET","0250","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.04","569.62","percent of total billed charges",,
"METOLAZONE (ZAROXOLYN) 2.5 MG TABLET","0250","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.04","569.62","percent of total billed charges",,
"METOLAZONE (ZAROXOLYN) 2.5 MG TABLET","0250","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.04","569.62","percent of total billed charges",,
"METOLAZONE (ZAROXOLYN) 2.5 MG TABLET","0250","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.04","569.62","percent of total billed charges",,
"METOLAZONE (ZAROXOLYN) 2.5 MG TABLET","0250","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.04","569.62","percent of total billed charges",,
"METOLAZONE (ZAROXOLYN) 2.5 MG TABLET","0250","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.04","569.62","percent of total billed charges",,
"METOLAZONE (ZAROXOLYN) 2.5 MG TABLET","0250","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.04","569.62","percent of total billed charges",,
"METOLAZONE (ZAROXOLYN) 2.5 MG TABLET","0250","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.04","569.62","percent of total billed charges",,
"METOLAZONE (ZAROXOLYN) 2.5 MG TABLET","0250","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.04","569.62","percent of total billed charges",,
"METOLAZONE (ZAROXOLYN) 2.5 MG TABLET","0250","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.04","569.62","percent of total billed charges",,
"METOLAZONE (ZAROXOLYN) 2.5 MG TABLET","0250","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.04","569.62","percent of total billed charges",,
"BISOPROLOL (ZEBETA) 5 MG TABLET","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL (ZEBETA) 5 MG TABLET","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL (ZEBETA) 5 MG TABLET","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL (ZEBETA) 5 MG TABLET","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL (ZEBETA) 5 MG TABLET","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL (ZEBETA) 5 MG TABLET","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL (ZEBETA) 5 MG TABLET","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL (ZEBETA) 5 MG TABLET","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL (ZEBETA) 5 MG TABLET","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL (ZEBETA) 5 MG TABLET","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL (ZEBETA) 5 MG TABLET","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL (ZEBETA) 5 MG TABLET","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL (ZEBETA) 5 MG TABLET","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL (ZEBETA) 5 MG TABLET","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL (ZEBETA) 5 MG TABLET","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL (ZEBETA) 5 MG TABLET","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL (ZEBETA) 5 MG TABLET","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL (ZEBETA) 5 MG TABLET","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL (ZEBETA) 5 MG TABLET","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL (ZEBETA) 5 MG TABLET","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"BISPROLOL/HCTZ (ZIAC) 5MG/6.25MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"BISPROLOL/HCTZ (ZIAC) 5MG/6.25MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"BISPROLOL/HCTZ (ZIAC) 5MG/6.25MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BISPROLOL/HCTZ (ZIAC) 5MG/6.25MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BISPROLOL/HCTZ (ZIAC) 5MG/6.25MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BISPROLOL/HCTZ (ZIAC) 5MG/6.25MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BISPROLOL/HCTZ (ZIAC) 5MG/6.25MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BISPROLOL/HCTZ (ZIAC) 5MG/6.25MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"BISPROLOL/HCTZ (ZIAC) 5MG/6.25MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"BISPROLOL/HCTZ (ZIAC) 5MG/6.25MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"BISPROLOL/HCTZ (ZIAC) 5MG/6.25MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"BISPROLOL/HCTZ (ZIAC) 5MG/6.25MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"BISPROLOL/HCTZ (ZIAC) 5MG/6.25MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"BISPROLOL/HCTZ (ZIAC) 5MG/6.25MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"BISPROLOL/HCTZ (ZIAC) 5MG/6.25MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"BISPROLOL/HCTZ (ZIAC) 5MG/6.25MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"BISPROLOL/HCTZ (ZIAC) 5MG/6.25MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"BISPROLOL/HCTZ (ZIAC) 5MG/6.25MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"BISPROLOL/HCTZ (ZIAC) 5MG/6.25MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"BISPROLOL/HCTZ (ZIAC) 5MG/6.25MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 100MG/5ML SUSP","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 100MG/5ML SUSP","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 100MG/5ML SUSP","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 100MG/5ML SUSP","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 100MG/5ML SUSP","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 100MG/5ML SUSP","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 100MG/5ML SUSP","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 100MG/5ML SUSP","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 100MG/5ML SUSP","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 100MG/5ML SUSP","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 100MG/5ML SUSP","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 100MG/5ML SUSP","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 100MG/5ML SUSP","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 100MG/5ML SUSP","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 100MG/5ML SUSP","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 100MG/5ML SUSP","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 100MG/5ML SUSP","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 100MG/5ML SUSP","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 100MG/5ML SUSP","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 100MG/5ML SUSP","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 200MG/5ML SUSP","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 200MG/5ML SUSP","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 200MG/5ML SUSP","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 200MG/5ML SUSP","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 200MG/5ML SUSP","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 200MG/5ML SUSP","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 200MG/5ML SUSP","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 200MG/5ML SUSP","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 200MG/5ML SUSP","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 200MG/5ML SUSP","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 200MG/5ML SUSP","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 200MG/5ML SUSP","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 200MG/5ML SUSP","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 200MG/5ML SUSP","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 200MG/5ML SUSP","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 200MG/5ML SUSP","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 200MG/5ML SUSP","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 200MG/5ML SUSP","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 200MG/5ML SUSP","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 200MG/5ML SUSP","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) TABLET: 250MG","0637","RC","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) TABLET: 250MG","0637","RC","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) TABLET: 250MG","0637","RC","Both",,,"22","11","Medicare",,,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) TABLET: 250MG","0637","RC","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) TABLET: 250MG","0637","RC","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) TABLET: 250MG","0637","RC","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) TABLET: 250MG","0637","RC","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) TABLET: 250MG","0637","RC","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) TABLET: 250MG","0637","RC","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) TABLET: 250MG","0637","RC","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) TABLET: 250MG","0637","RC","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) TABLET: 250MG","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) TABLET: 250MG","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) TABLET: 250MG","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) TABLET: 250MG","0637","RC","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) TABLET: 250MG","0637","RC","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) TABLET: 250MG","0637","RC","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) TABLET: 250MG","0637","RC","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) TABLET: 250MG","0637","RC","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","0.15","5264.58","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) TABLET: 250MG","0637","RC","Both",,,"22","11","Medicaid",,,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"SIMVASTATIN (ZOCOR) TABLET: 10 MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"SIMVASTATIN (ZOCOR) TABLET: 10 MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"SIMVASTATIN (ZOCOR) TABLET: 10 MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SIMVASTATIN (ZOCOR) TABLET: 10 MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SIMVASTATIN (ZOCOR) TABLET: 10 MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SIMVASTATIN (ZOCOR) TABLET: 10 MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SIMVASTATIN (ZOCOR) TABLET: 10 MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SIMVASTATIN (ZOCOR) TABLET: 10 MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"SIMVASTATIN (ZOCOR) TABLET: 10 MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"SIMVASTATIN (ZOCOR) TABLET: 10 MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"SIMVASTATIN (ZOCOR) TABLET: 10 MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"SIMVASTATIN (ZOCOR) TABLET: 10 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"SIMVASTATIN (ZOCOR) TABLET: 10 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"SIMVASTATIN (ZOCOR) TABLET: 10 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"SIMVASTATIN (ZOCOR) TABLET: 10 MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"SIMVASTATIN (ZOCOR) TABLET: 10 MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"SIMVASTATIN (ZOCOR) TABLET: 10 MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"SIMVASTATIN (ZOCOR) TABLET: 10 MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"SIMVASTATIN (ZOCOR) TABLET: 10 MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"SIMVASTATIN (ZOCOR) TABLET: 10 MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"SIMVASTATIN (ZOCOR) TABLET: 40 MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"SIMVASTATIN (ZOCOR) TABLET: 40 MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"SIMVASTATIN (ZOCOR) TABLET: 40 MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SIMVASTATIN (ZOCOR) TABLET: 40 MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SIMVASTATIN (ZOCOR) TABLET: 40 MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SIMVASTATIN (ZOCOR) TABLET: 40 MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SIMVASTATIN (ZOCOR) TABLET: 40 MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SIMVASTATIN (ZOCOR) TABLET: 40 MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"SIMVASTATIN (ZOCOR) TABLET: 40 MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"SIMVASTATIN (ZOCOR) TABLET: 40 MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"SIMVASTATIN (ZOCOR) TABLET: 40 MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"SIMVASTATIN (ZOCOR) TABLET: 40 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"SIMVASTATIN (ZOCOR) TABLET: 40 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"SIMVASTATIN (ZOCOR) TABLET: 40 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"SIMVASTATIN (ZOCOR) TABLET: 40 MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"SIMVASTATIN (ZOCOR) TABLET: 40 MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"SIMVASTATIN (ZOCOR) TABLET: 40 MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"SIMVASTATIN (ZOCOR) TABLET: 40 MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"SIMVASTATIN (ZOCOR) TABLET: 40 MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"SIMVASTATIN (ZOCOR) TABLET: 40 MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ROCURONIUM (ZEMURON) INJ: 50MG/5ML","0250","RC","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"ROCURONIUM (ZEMURON) INJ: 50MG/5ML","0250","RC","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","0.04","569.62","percent of total billed charges",,
"ROCURONIUM (ZEMURON) INJ: 50MG/5ML","0250","RC","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"ROCURONIUM (ZEMURON) INJ: 50MG/5ML","0250","RC","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"ROCURONIUM (ZEMURON) INJ: 50MG/5ML","0250","RC","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"ROCURONIUM (ZEMURON) INJ: 50MG/5ML","0250","RC","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"ROCURONIUM (ZEMURON) INJ: 50MG/5ML","0250","RC","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"ROCURONIUM (ZEMURON) INJ: 50MG/5ML","0250","RC","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","0.04","569.62","percent of total billed charges",,
"ROCURONIUM (ZEMURON) INJ: 50MG/5ML","0250","RC","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","0.04","569.62","percent of total billed charges",,
"ROCURONIUM (ZEMURON) INJ: 50MG/5ML","0250","RC","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","0.04","569.62","percent of total billed charges",,
"ROCURONIUM (ZEMURON) INJ: 50MG/5ML","0250","RC","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","0.04","569.62","percent of total billed charges",,
"ROCURONIUM (ZEMURON) INJ: 50MG/5ML","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"ROCURONIUM (ZEMURON) INJ: 50MG/5ML","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"ROCURONIUM (ZEMURON) INJ: 50MG/5ML","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"ROCURONIUM (ZEMURON) INJ: 50MG/5ML","0250","RC","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"ROCURONIUM (ZEMURON) INJ: 50MG/5ML","0250","RC","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"ROCURONIUM (ZEMURON) INJ: 50MG/5ML","0250","RC","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","0.04","569.62","percent of total billed charges",,
"ROCURONIUM (ZEMURON) INJ: 50MG/5ML","0250","RC","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","0.04","569.62","percent of total billed charges",,
"ROCURONIUM (ZEMURON) INJ: 50MG/5ML","0250","RC","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","0.04","569.62","percent of total billed charges",,
"ROCURONIUM (ZEMURON) INJ: 50MG/5ML","0250","RC","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","0.04","569.62","percent of total billed charges",,
"ACYCLOVIR (ZOVIRAX) 200mg CAP","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ACYCLOVIR (ZOVIRAX) 200mg CAP","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"ACYCLOVIR (ZOVIRAX) 200mg CAP","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ACYCLOVIR (ZOVIRAX) 200mg CAP","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ACYCLOVIR (ZOVIRAX) 200mg CAP","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ACYCLOVIR (ZOVIRAX) 200mg CAP","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ACYCLOVIR (ZOVIRAX) 200mg CAP","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ACYCLOVIR (ZOVIRAX) 200mg CAP","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ACYCLOVIR (ZOVIRAX) 200mg CAP","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"ACYCLOVIR (ZOVIRAX) 200mg CAP","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"ACYCLOVIR (ZOVIRAX) 200mg CAP","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"ACYCLOVIR (ZOVIRAX) 200mg CAP","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ACYCLOVIR (ZOVIRAX) 200mg CAP","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ACYCLOVIR (ZOVIRAX) 200mg CAP","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ACYCLOVIR (ZOVIRAX) 200mg CAP","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ACYCLOVIR (ZOVIRAX) 200mg CAP","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ACYCLOVIR (ZOVIRAX) 200mg CAP","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"ACYCLOVIR (ZOVIRAX) 200mg CAP","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"ACYCLOVIR (ZOVIRAX) 200mg CAP","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"ACYCLOVIR (ZOVIRAX) 200mg CAP","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"OLANZAPine (ZyPREXA) 2.5 MG TABLET","0637","RC","Both",,,"36","18","Alliant","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"OLANZAPine (ZyPREXA) 2.5 MG TABLET","0637","RC","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.44","0.15","5264.58","percent of total billed charges",,
"OLANZAPine (ZyPREXA) 2.5 MG TABLET","0637","RC","Both",,,"36","18","Medicare",,,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"OLANZAPine (ZyPREXA) 2.5 MG TABLET","0637","RC","Both",,,"36","18","Humana","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"OLANZAPine (ZyPREXA) 2.5 MG TABLET","0637","RC","Both",,,"36","18","UHC","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"OLANZAPine (ZyPREXA) 2.5 MG TABLET","0637","RC","Both",,,"36","18","Clover","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"OLANZAPine (ZyPREXA) 2.5 MG TABLET","0637","RC","Both",,,"36","18","Wellcare","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"OLANZAPine (ZyPREXA) 2.5 MG TABLET","0637","RC","Both",,,"36","18","Amerigroup","Medicaid Managed Care",,,"37",,"13.18","0.15","5264.58","percent of total billed charges",,
"OLANZAPine (ZyPREXA) 2.5 MG TABLET","0637","RC","Both",,,"36","18","Caresource","Medicaid Managed Care",,,"40",,"14.4","0.15","5264.58","percent of total billed charges",,
"OLANZAPine (ZyPREXA) 2.5 MG TABLET","0637","RC","Both",,,"36","18","Wellcare","Medicaid Managed Care",,,"40",,"14.58","0.15","5264.58","percent of total billed charges",,
"OLANZAPine (ZyPREXA) 2.5 MG TABLET","0637","RC","Both",,,"36","18","Aetna","Commercial",,,"64",,"22.97","0.15","5264.58","percent of total billed charges",,
"OLANZAPine (ZyPREXA) 2.5 MG TABLET","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","Pathways",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"OLANZAPine (ZyPREXA) 2.5 MG TABLET","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","HMO",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"OLANZAPine (ZyPREXA) 2.5 MG TABLET","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","PPO",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"OLANZAPine (ZyPREXA) 2.5 MG TABLET","0637","RC","Both",,,"36","18","Ambetter","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"OLANZAPine (ZyPREXA) 2.5 MG TABLET","0637","RC","Both",,,"36","18","Caresource","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"OLANZAPine (ZyPREXA) 2.5 MG TABLET","0637","RC","Both",,,"36","18","Cigna","Commercial",,,"59",,"21.1","0.15","5264.58","percent of total billed charges",,
"OLANZAPine (ZyPREXA) 2.5 MG TABLET","0637","RC","Both",,,"36","18","Humana","Commercial",,,"78",,"27.9","0.15","5264.58","percent of total billed charges",,
"OLANZAPine (ZyPREXA) 2.5 MG TABLET","0637","RC","Both",,,"36","18","UHC","Commercial",,,"75",,"27.14","0.15","5264.58","percent of total billed charges",,
"OLANZAPine (ZyPREXA) 2.5 MG TABLET","0637","RC","Both",,,"36","18","Medicaid",,,,"37",,"13.18","0.15","5264.58","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) TABLET: 40MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) TABLET: 40MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) TABLET: 40MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) TABLET: 40MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) TABLET: 40MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) TABLET: 40MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) TABLET: 40MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) TABLET: 40MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) TABLET: 40MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) TABLET: 40MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) TABLET: 40MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) TABLET: 40MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) TABLET: 40MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) TABLET: 40MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) TABLET: 40MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) TABLET: 40MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) TABLET: 40MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) TABLET: 40MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) TABLET: 40MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) TABLET: 40MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"HYDROmorphone (DILAUDID) TABLET: 2MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"HYDROmorphone (DILAUDID) TABLET: 2MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"HYDROmorphone (DILAUDID) TABLET: 2MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDROmorphone (DILAUDID) TABLET: 2MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDROmorphone (DILAUDID) TABLET: 2MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDROmorphone (DILAUDID) TABLET: 2MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDROmorphone (DILAUDID) TABLET: 2MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDROmorphone (DILAUDID) TABLET: 2MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"HYDROmorphone (DILAUDID) TABLET: 2MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"HYDROmorphone (DILAUDID) TABLET: 2MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"HYDROmorphone (DILAUDID) TABLET: 2MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"HYDROmorphone (DILAUDID) TABLET: 2MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"HYDROmorphone (DILAUDID) TABLET: 2MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"HYDROmorphone (DILAUDID) TABLET: 2MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"HYDROmorphone (DILAUDID) TABLET: 2MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"HYDROmorphone (DILAUDID) TABLET: 2MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"HYDROmorphone (DILAUDID) TABLET: 2MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"HYDROmorphone (DILAUDID) TABLET: 2MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"HYDROmorphone (DILAUDID) TABLET: 2MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"HYDROmorphone (DILAUDID) TABLET: 2MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"LABETALOL (TRANDATE) MDV INJ: 100MG/20ML","0250","RC","Both",,,"31","15.5","Alliant","Health Exchange",,,"62",,"19.22","0.04","569.62","percent of total billed charges",,
"LABETALOL (TRANDATE) MDV INJ: 100MG/20ML","0250","RC","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.74","0.04","569.62","percent of total billed charges",,
"LABETALOL (TRANDATE) MDV INJ: 100MG/20ML","0250","RC","Both",,,"31","15.5","Medicare",,,,"54",,"16.8","0.04","569.62","percent of total billed charges",,
"LABETALOL (TRANDATE) MDV INJ: 100MG/20ML","0250","RC","Both",,,"31","15.5","Humana","Medicare Advantage",,,"54",,"16.8","0.04","569.62","percent of total billed charges",,
"LABETALOL (TRANDATE) MDV INJ: 100MG/20ML","0250","RC","Both",,,"31","15.5","UHC","Medicare Advantage",,,"54",,"16.8","0.04","569.62","percent of total billed charges",,
"LABETALOL (TRANDATE) MDV INJ: 100MG/20ML","0250","RC","Both",,,"31","15.5","Clover","Medicare Advantage",,,"54",,"16.8","0.04","569.62","percent of total billed charges",,
"LABETALOL (TRANDATE) MDV INJ: 100MG/20ML","0250","RC","Both",,,"31","15.5","Wellcare","Medicare Advantage",,,"54",,"16.8","0.04","569.62","percent of total billed charges",,
"LABETALOL (TRANDATE) MDV INJ: 100MG/20ML","0250","RC","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care",,,"37",,"11.35","0.04","569.62","percent of total billed charges",,
"LABETALOL (TRANDATE) MDV INJ: 100MG/20ML","0250","RC","Both",,,"31","15.5","Caresource","Medicaid Managed Care",,,"40",,"12.4","0.04","569.62","percent of total billed charges",,
"LABETALOL (TRANDATE) MDV INJ: 100MG/20ML","0250","RC","Both",,,"31","15.5","Wellcare","Medicaid Managed Care",,,"40",,"12.56","0.04","569.62","percent of total billed charges",,
"LABETALOL (TRANDATE) MDV INJ: 100MG/20ML","0250","RC","Both",,,"31","15.5","Aetna","Commercial",,,"64",,"19.78","0.04","569.62","percent of total billed charges",,
"LABETALOL (TRANDATE) MDV INJ: 100MG/20ML","0250","RC","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways",,,"71",,"21.89","0.04","569.62","percent of total billed charges",,
"LABETALOL (TRANDATE) MDV INJ: 100MG/20ML","0250","RC","Both",,,"31","15.5","Blue Cross Blue Shield","HMO",,,"71",,"21.89","0.04","569.62","percent of total billed charges",,
"LABETALOL (TRANDATE) MDV INJ: 100MG/20ML","0250","RC","Both",,,"31","15.5","Blue Cross Blue Shield","PPO",,,"71",,"21.89","0.04","569.62","percent of total billed charges",,
"LABETALOL (TRANDATE) MDV INJ: 100MG/20ML","0250","RC","Both",,,"31","15.5","Ambetter","Health Exchange",,,"62",,"19.22","0.04","569.62","percent of total billed charges",,
"LABETALOL (TRANDATE) MDV INJ: 100MG/20ML","0250","RC","Both",,,"31","15.5","Caresource","Health Exchange",,,"62",,"19.22","0.04","569.62","percent of total billed charges",,
"LABETALOL (TRANDATE) MDV INJ: 100MG/20ML","0250","RC","Both",,,"31","15.5","Cigna","Commercial",,,"59",,"18.17","0.04","569.62","percent of total billed charges",,
"LABETALOL (TRANDATE) MDV INJ: 100MG/20ML","0250","RC","Both",,,"31","15.5","Humana","Commercial",,,"78",,"24.02","0.04","569.62","percent of total billed charges",,
"LABETALOL (TRANDATE) MDV INJ: 100MG/20ML","0250","RC","Both",,,"31","15.5","UHC","Commercial",,,"75",,"23.37","0.04","569.62","percent of total billed charges",,
"LABETALOL (TRANDATE) MDV INJ: 100MG/20ML","0250","RC","Both",,,"31","15.5","Medicaid",,,,"37",,"11.35","0.04","569.62","percent of total billed charges",,
"INSULN LIS MIX (HUMALG 75/25):100UNIT/ML","0250","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","569.62","percent of total billed charges",,
"INSULN LIS MIX (HUMALG 75/25):100UNIT/ML","0250","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","569.62","percent of total billed charges",,
"INSULN LIS MIX (HUMALG 75/25):100UNIT/ML","0250","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","569.62","percent of total billed charges",,
"INSULN LIS MIX (HUMALG 75/25):100UNIT/ML","0250","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","569.62","percent of total billed charges",,
"INSULN LIS MIX (HUMALG 75/25):100UNIT/ML","0250","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","569.62","percent of total billed charges",,
"INSULN LIS MIX (HUMALG 75/25):100UNIT/ML","0250","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","569.62","percent of total billed charges",,
"INSULN LIS MIX (HUMALG 75/25):100UNIT/ML","0250","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","569.62","percent of total billed charges",,
"INSULN LIS MIX (HUMALG 75/25):100UNIT/ML","0250","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","569.62","percent of total billed charges",,
"INSULN LIS MIX (HUMALG 75/25):100UNIT/ML","0250","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","569.62","percent of total billed charges",,
"INSULN LIS MIX (HUMALG 75/25):100UNIT/ML","0250","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","569.62","percent of total billed charges",,
"INSULN LIS MIX (HUMALG 75/25):100UNIT/ML","0250","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","569.62","percent of total billed charges",,
"INSULN LIS MIX (HUMALG 75/25):100UNIT/ML","0250","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","569.62","percent of total billed charges",,
"INSULN LIS MIX (HUMALG 75/25):100UNIT/ML","0250","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","569.62","percent of total billed charges",,
"INSULN LIS MIX (HUMALG 75/25):100UNIT/ML","0250","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","569.62","percent of total billed charges",,
"INSULN LIS MIX (HUMALG 75/25):100UNIT/ML","0250","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","569.62","percent of total billed charges",,
"INSULN LIS MIX (HUMALG 75/25):100UNIT/ML","0250","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","569.62","percent of total billed charges",,
"INSULN LIS MIX (HUMALG 75/25):100UNIT/ML","0250","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","569.62","percent of total billed charges",,
"INSULN LIS MIX (HUMALG 75/25):100UNIT/ML","0250","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","569.62","percent of total billed charges",,
"INSULN LIS MIX (HUMALG 75/25):100UNIT/ML","0250","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","569.62","percent of total billed charges",,
"INSULN LIS MIX (HUMALG 75/25):100UNIT/ML","0250","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","569.62","percent of total billed charges",,
"ONDANSETRON (ZOFRAN) ODT TAB: 4 MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ONDANSETRON (ZOFRAN) ODT TAB: 4 MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"ONDANSETRON (ZOFRAN) ODT TAB: 4 MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ONDANSETRON (ZOFRAN) ODT TAB: 4 MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ONDANSETRON (ZOFRAN) ODT TAB: 4 MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ONDANSETRON (ZOFRAN) ODT TAB: 4 MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ONDANSETRON (ZOFRAN) ODT TAB: 4 MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ONDANSETRON (ZOFRAN) ODT TAB: 4 MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ONDANSETRON (ZOFRAN) ODT TAB: 4 MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"ONDANSETRON (ZOFRAN) ODT TAB: 4 MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"ONDANSETRON (ZOFRAN) ODT TAB: 4 MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"ONDANSETRON (ZOFRAN) ODT TAB: 4 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ONDANSETRON (ZOFRAN) ODT TAB: 4 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ONDANSETRON (ZOFRAN) ODT TAB: 4 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ONDANSETRON (ZOFRAN) ODT TAB: 4 MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ONDANSETRON (ZOFRAN) ODT TAB: 4 MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ONDANSETRON (ZOFRAN) ODT TAB: 4 MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"ONDANSETRON (ZOFRAN) ODT TAB: 4 MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"ONDANSETRON (ZOFRAN) ODT TAB: 4 MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"ONDANSETRON (ZOFRAN) ODT TAB: 4 MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) SOLN: 500MG/5ML","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) SOLN: 500MG/5ML","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) SOLN: 500MG/5ML","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) SOLN: 500MG/5ML","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) SOLN: 500MG/5ML","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) SOLN: 500MG/5ML","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) SOLN: 500MG/5ML","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) SOLN: 500MG/5ML","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) SOLN: 500MG/5ML","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) SOLN: 500MG/5ML","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) SOLN: 500MG/5ML","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) SOLN: 500MG/5ML","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) SOLN: 500MG/5ML","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) SOLN: 500MG/5ML","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) SOLN: 500MG/5ML","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) SOLN: 500MG/5ML","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) SOLN: 500MG/5ML","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) SOLN: 500MG/5ML","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) SOLN: 500MG/5ML","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) SOLN: 500MG/5ML","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"ROSUVASTATIN (CRESTOR) TABLET: 10 MG","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"ROSUVASTATIN (CRESTOR) TABLET: 10 MG","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"ROSUVASTATIN (CRESTOR) TABLET: 10 MG","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"ROSUVASTATIN (CRESTOR) TABLET: 10 MG","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"ROSUVASTATIN (CRESTOR) TABLET: 10 MG","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"ROSUVASTATIN (CRESTOR) TABLET: 10 MG","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"ROSUVASTATIN (CRESTOR) TABLET: 10 MG","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"ROSUVASTATIN (CRESTOR) TABLET: 10 MG","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"ROSUVASTATIN (CRESTOR) TABLET: 10 MG","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"ROSUVASTATIN (CRESTOR) TABLET: 10 MG","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"ROSUVASTATIN (CRESTOR) TABLET: 10 MG","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"ROSUVASTATIN (CRESTOR) TABLET: 10 MG","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"ROSUVASTATIN (CRESTOR) TABLET: 10 MG","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"ROSUVASTATIN (CRESTOR) TABLET: 10 MG","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"ROSUVASTATIN (CRESTOR) TABLET: 10 MG","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"ROSUVASTATIN (CRESTOR) TABLET: 10 MG","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"ROSUVASTATIN (CRESTOR) TABLET: 10 MG","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"ROSUVASTATIN (CRESTOR) TABLET: 10 MG","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"ROSUVASTATIN (CRESTOR) TABLET: 10 MG","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"ROSUVASTATIN (CRESTOR) TABLET: 10 MG","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"bupropion XL (wellbutrin XL) 150MG TAB","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"bupropion XL (wellbutrin XL) 150MG TAB","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"bupropion XL (wellbutrin XL) 150MG TAB","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"bupropion XL (wellbutrin XL) 150MG TAB","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"bupropion XL (wellbutrin XL) 150MG TAB","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"bupropion XL (wellbutrin XL) 150MG TAB","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"bupropion XL (wellbutrin XL) 150MG TAB","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"bupropion XL (wellbutrin XL) 150MG TAB","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"bupropion XL (wellbutrin XL) 150MG TAB","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"bupropion XL (wellbutrin XL) 150MG TAB","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"bupropion XL (wellbutrin XL) 150MG TAB","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"bupropion XL (wellbutrin XL) 150MG TAB","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"bupropion XL (wellbutrin XL) 150MG TAB","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"bupropion XL (wellbutrin XL) 150MG TAB","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"bupropion XL (wellbutrin XL) 150MG TAB","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"bupropion XL (wellbutrin XL) 150MG TAB","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"bupropion XL (wellbutrin XL) 150MG TAB","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"bupropion XL (wellbutrin XL) 150MG TAB","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"bupropion XL (wellbutrin XL) 150MG TAB","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"bupropion XL (wellbutrin XL) 150MG TAB","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"PREGABALIN (LYRCIA) 75mg CAPSULE","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"PREGABALIN (LYRCIA) 75mg CAPSULE","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"PREGABALIN (LYRCIA) 75mg CAPSULE","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"PREGABALIN (LYRCIA) 75mg CAPSULE","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"PREGABALIN (LYRCIA) 75mg CAPSULE","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"PREGABALIN (LYRCIA) 75mg CAPSULE","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"PREGABALIN (LYRCIA) 75mg CAPSULE","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"PREGABALIN (LYRCIA) 75mg CAPSULE","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"PREGABALIN (LYRCIA) 75mg CAPSULE","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"PREGABALIN (LYRCIA) 75mg CAPSULE","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"PREGABALIN (LYRCIA) 75mg CAPSULE","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"PREGABALIN (LYRCIA) 75mg CAPSULE","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"PREGABALIN (LYRCIA) 75mg CAPSULE","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"PREGABALIN (LYRCIA) 75mg CAPSULE","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"PREGABALIN (LYRCIA) 75mg CAPSULE","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"PREGABALIN (LYRCIA) 75mg CAPSULE","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"PREGABALIN (LYRCIA) 75mg CAPSULE","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"PREGABALIN (LYRCIA) 75mg CAPSULE","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"PREGABALIN (LYRCIA) 75mg CAPSULE","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"PREGABALIN (LYRCIA) 75mg CAPSULE","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"LAC HYDRIN 12% LOTION 8oz","0637","RC","Both",,,"36","18","Alliant","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"LAC HYDRIN 12% LOTION 8oz","0637","RC","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.44","0.15","5264.58","percent of total billed charges",,
"LAC HYDRIN 12% LOTION 8oz","0637","RC","Both",,,"36","18","Medicare",,,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"LAC HYDRIN 12% LOTION 8oz","0637","RC","Both",,,"36","18","Humana","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"LAC HYDRIN 12% LOTION 8oz","0637","RC","Both",,,"36","18","UHC","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"LAC HYDRIN 12% LOTION 8oz","0637","RC","Both",,,"36","18","Clover","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"LAC HYDRIN 12% LOTION 8oz","0637","RC","Both",,,"36","18","Wellcare","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"LAC HYDRIN 12% LOTION 8oz","0637","RC","Both",,,"36","18","Amerigroup","Medicaid Managed Care",,,"37",,"13.18","0.15","5264.58","percent of total billed charges",,
"LAC HYDRIN 12% LOTION 8oz","0637","RC","Both",,,"36","18","Caresource","Medicaid Managed Care",,,"40",,"14.4","0.15","5264.58","percent of total billed charges",,
"LAC HYDRIN 12% LOTION 8oz","0637","RC","Both",,,"36","18","Wellcare","Medicaid Managed Care",,,"40",,"14.58","0.15","5264.58","percent of total billed charges",,
"LAC HYDRIN 12% LOTION 8oz","0637","RC","Both",,,"36","18","Aetna","Commercial",,,"64",,"22.97","0.15","5264.58","percent of total billed charges",,
"LAC HYDRIN 12% LOTION 8oz","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","Pathways",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"LAC HYDRIN 12% LOTION 8oz","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","HMO",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"LAC HYDRIN 12% LOTION 8oz","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","PPO",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"LAC HYDRIN 12% LOTION 8oz","0637","RC","Both",,,"36","18","Ambetter","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"LAC HYDRIN 12% LOTION 8oz","0637","RC","Both",,,"36","18","Caresource","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"LAC HYDRIN 12% LOTION 8oz","0637","RC","Both",,,"36","18","Cigna","Commercial",,,"59",,"21.1","0.15","5264.58","percent of total billed charges",,
"LAC HYDRIN 12% LOTION 8oz","0637","RC","Both",,,"36","18","Humana","Commercial",,,"78",,"27.9","0.15","5264.58","percent of total billed charges",,
"LAC HYDRIN 12% LOTION 8oz","0637","RC","Both",,,"36","18","UHC","Commercial",,,"75",,"27.14","0.15","5264.58","percent of total billed charges",,
"LAC HYDRIN 12% LOTION 8oz","0637","RC","Both",,,"36","18","Medicaid",,,,"37",,"13.18","0.15","5264.58","percent of total billed charges",,
"ESCITALOPRAM (LEXAPRO) TAB: 10MG","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"ESCITALOPRAM (LEXAPRO) TAB: 10MG","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"ESCITALOPRAM (LEXAPRO) TAB: 10MG","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"ESCITALOPRAM (LEXAPRO) TAB: 10MG","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"ESCITALOPRAM (LEXAPRO) TAB: 10MG","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"ESCITALOPRAM (LEXAPRO) TAB: 10MG","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"ESCITALOPRAM (LEXAPRO) TAB: 10MG","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"ESCITALOPRAM (LEXAPRO) TAB: 10MG","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"ESCITALOPRAM (LEXAPRO) TAB: 10MG","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"ESCITALOPRAM (LEXAPRO) TAB: 10MG","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"ESCITALOPRAM (LEXAPRO) TAB: 10MG","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"ESCITALOPRAM (LEXAPRO) TAB: 10MG","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"ESCITALOPRAM (LEXAPRO) TAB: 10MG","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"ESCITALOPRAM (LEXAPRO) TAB: 10MG","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"ESCITALOPRAM (LEXAPRO) TAB: 10MG","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"ESCITALOPRAM (LEXAPRO) TAB: 10MG","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"ESCITALOPRAM (LEXAPRO) TAB: 10MG","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"ESCITALOPRAM (LEXAPRO) TAB: 10MG","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"ESCITALOPRAM (LEXAPRO) TAB: 10MG","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"ESCITALOPRAM (LEXAPRO) TAB: 10MG","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"DUTASTERIDE (AVODART) GELCAP: 0.5MG","0637","RC","Both",,,"36","18","Alliant","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"DUTASTERIDE (AVODART) GELCAP: 0.5MG","0637","RC","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.44","0.15","5264.58","percent of total billed charges",,
"DUTASTERIDE (AVODART) GELCAP: 0.5MG","0637","RC","Both",,,"36","18","Medicare",,,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"DUTASTERIDE (AVODART) GELCAP: 0.5MG","0637","RC","Both",,,"36","18","Humana","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"DUTASTERIDE (AVODART) GELCAP: 0.5MG","0637","RC","Both",,,"36","18","UHC","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"DUTASTERIDE (AVODART) GELCAP: 0.5MG","0637","RC","Both",,,"36","18","Clover","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"DUTASTERIDE (AVODART) GELCAP: 0.5MG","0637","RC","Both",,,"36","18","Wellcare","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"DUTASTERIDE (AVODART) GELCAP: 0.5MG","0637","RC","Both",,,"36","18","Amerigroup","Medicaid Managed Care",,,"37",,"13.18","0.15","5264.58","percent of total billed charges",,
"DUTASTERIDE (AVODART) GELCAP: 0.5MG","0637","RC","Both",,,"36","18","Caresource","Medicaid Managed Care",,,"40",,"14.4","0.15","5264.58","percent of total billed charges",,
"DUTASTERIDE (AVODART) GELCAP: 0.5MG","0637","RC","Both",,,"36","18","Wellcare","Medicaid Managed Care",,,"40",,"14.58","0.15","5264.58","percent of total billed charges",,
"DUTASTERIDE (AVODART) GELCAP: 0.5MG","0637","RC","Both",,,"36","18","Aetna","Commercial",,,"64",,"22.97","0.15","5264.58","percent of total billed charges",,
"DUTASTERIDE (AVODART) GELCAP: 0.5MG","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","Pathways",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"DUTASTERIDE (AVODART) GELCAP: 0.5MG","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","HMO",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"DUTASTERIDE (AVODART) GELCAP: 0.5MG","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","PPO",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"DUTASTERIDE (AVODART) GELCAP: 0.5MG","0637","RC","Both",,,"36","18","Ambetter","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"DUTASTERIDE (AVODART) GELCAP: 0.5MG","0637","RC","Both",,,"36","18","Caresource","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"DUTASTERIDE (AVODART) GELCAP: 0.5MG","0637","RC","Both",,,"36","18","Cigna","Commercial",,,"59",,"21.1","0.15","5264.58","percent of total billed charges",,
"DUTASTERIDE (AVODART) GELCAP: 0.5MG","0637","RC","Both",,,"36","18","Humana","Commercial",,,"78",,"27.9","0.15","5264.58","percent of total billed charges",,
"DUTASTERIDE (AVODART) GELCAP: 0.5MG","0637","RC","Both",,,"36","18","UHC","Commercial",,,"75",,"27.14","0.15","5264.58","percent of total billed charges",,
"DUTASTERIDE (AVODART) GELCAP: 0.5MG","0637","RC","Both",,,"36","18","Medicaid",,,,"37",,"13.18","0.15","5264.58","percent of total billed charges",,
"CILOSTAZOL (PLETAL) TABLET: 100MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CILOSTAZOL (PLETAL) TABLET: 100MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"CILOSTAZOL (PLETAL) TABLET: 100MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CILOSTAZOL (PLETAL) TABLET: 100MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CILOSTAZOL (PLETAL) TABLET: 100MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CILOSTAZOL (PLETAL) TABLET: 100MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CILOSTAZOL (PLETAL) TABLET: 100MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CILOSTAZOL (PLETAL) TABLET: 100MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"CILOSTAZOL (PLETAL) TABLET: 100MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"CILOSTAZOL (PLETAL) TABLET: 100MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"CILOSTAZOL (PLETAL) TABLET: 100MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"CILOSTAZOL (PLETAL) TABLET: 100MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CILOSTAZOL (PLETAL) TABLET: 100MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CILOSTAZOL (PLETAL) TABLET: 100MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CILOSTAZOL (PLETAL) TABLET: 100MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CILOSTAZOL (PLETAL) TABLET: 100MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CILOSTAZOL (PLETAL) TABLET: 100MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"CILOSTAZOL (PLETAL) TABLET: 100MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"CILOSTAZOL (PLETAL) TABLET: 100MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"CILOSTAZOL (PLETAL) TABLET: 100MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"HYOSCYAMINE (LEVSIN) 0.125mg TABLET","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"HYOSCYAMINE (LEVSIN) 0.125mg TABLET","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"HYOSCYAMINE (LEVSIN) 0.125mg TABLET","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"HYOSCYAMINE (LEVSIN) 0.125mg TABLET","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"HYOSCYAMINE (LEVSIN) 0.125mg TABLET","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"HYOSCYAMINE (LEVSIN) 0.125mg TABLET","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"HYOSCYAMINE (LEVSIN) 0.125mg TABLET","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"HYOSCYAMINE (LEVSIN) 0.125mg TABLET","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"HYOSCYAMINE (LEVSIN) 0.125mg TABLET","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"HYOSCYAMINE (LEVSIN) 0.125mg TABLET","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"HYOSCYAMINE (LEVSIN) 0.125mg TABLET","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"HYOSCYAMINE (LEVSIN) 0.125mg TABLET","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"HYOSCYAMINE (LEVSIN) 0.125mg TABLET","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"HYOSCYAMINE (LEVSIN) 0.125mg TABLET","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"HYOSCYAMINE (LEVSIN) 0.125mg TABLET","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"HYOSCYAMINE (LEVSIN) 0.125mg TABLET","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"HYOSCYAMINE (LEVSIN) 0.125mg TABLET","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"HYOSCYAMINE (LEVSIN) 0.125mg TABLET","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"HYOSCYAMINE (LEVSIN) 0.125mg TABLET","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"HYOSCYAMINE (LEVSIN) 0.125mg TABLET","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"CHOLESTYRAMINE LIGHT (QUESTRAN) PWD: 4GM","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"CHOLESTYRAMINE LIGHT (QUESTRAN) PWD: 4GM","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"CHOLESTYRAMINE LIGHT (QUESTRAN) PWD: 4GM","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"CHOLESTYRAMINE LIGHT (QUESTRAN) PWD: 4GM","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"CHOLESTYRAMINE LIGHT (QUESTRAN) PWD: 4GM","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"CHOLESTYRAMINE LIGHT (QUESTRAN) PWD: 4GM","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"CHOLESTYRAMINE LIGHT (QUESTRAN) PWD: 4GM","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"CHOLESTYRAMINE LIGHT (QUESTRAN) PWD: 4GM","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"CHOLESTYRAMINE LIGHT (QUESTRAN) PWD: 4GM","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"CHOLESTYRAMINE LIGHT (QUESTRAN) PWD: 4GM","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"CHOLESTYRAMINE LIGHT (QUESTRAN) PWD: 4GM","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"CHOLESTYRAMINE LIGHT (QUESTRAN) PWD: 4GM","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"CHOLESTYRAMINE LIGHT (QUESTRAN) PWD: 4GM","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"CHOLESTYRAMINE LIGHT (QUESTRAN) PWD: 4GM","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"CHOLESTYRAMINE LIGHT (QUESTRAN) PWD: 4GM","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"CHOLESTYRAMINE LIGHT (QUESTRAN) PWD: 4GM","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"CHOLESTYRAMINE LIGHT (QUESTRAN) PWD: 4GM","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"CHOLESTYRAMINE LIGHT (QUESTRAN) PWD: 4GM","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"CHOLESTYRAMINE LIGHT (QUESTRAN) PWD: 4GM","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"CHOLESTYRAMINE LIGHT (QUESTRAN) PWD: 4GM","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"HYDROCORTISONE 1% CREAM","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"HYDROCORTISONE 1% CREAM","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"HYDROCORTISONE 1% CREAM","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"HYDROCORTISONE 1% CREAM","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"HYDROCORTISONE 1% CREAM","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"HYDROCORTISONE 1% CREAM","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"HYDROCORTISONE 1% CREAM","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"HYDROCORTISONE 1% CREAM","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"HYDROCORTISONE 1% CREAM","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"HYDROCORTISONE 1% CREAM","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"HYDROCORTISONE 1% CREAM","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"HYDROCORTISONE 1% CREAM","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"HYDROCORTISONE 1% CREAM","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"HYDROCORTISONE 1% CREAM","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"HYDROCORTISONE 1% CREAM","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"HYDROCORTISONE 1% CREAM","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"HYDROCORTISONE 1% CREAM","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"HYDROCORTISONE 1% CREAM","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"HYDROCORTISONE 1% CREAM","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"HYDROCORTISONE 1% CREAM","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"NYSTATIN SUSPENSION: 500,000UNITS/5ML","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NYSTATIN SUSPENSION: 500,000UNITS/5ML","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"NYSTATIN SUSPENSION: 500,000UNITS/5ML","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NYSTATIN SUSPENSION: 500,000UNITS/5ML","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NYSTATIN SUSPENSION: 500,000UNITS/5ML","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NYSTATIN SUSPENSION: 500,000UNITS/5ML","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NYSTATIN SUSPENSION: 500,000UNITS/5ML","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NYSTATIN SUSPENSION: 500,000UNITS/5ML","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"NYSTATIN SUSPENSION: 500,000UNITS/5ML","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"NYSTATIN SUSPENSION: 500,000UNITS/5ML","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"NYSTATIN SUSPENSION: 500,000UNITS/5ML","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"NYSTATIN SUSPENSION: 500,000UNITS/5ML","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NYSTATIN SUSPENSION: 500,000UNITS/5ML","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NYSTATIN SUSPENSION: 500,000UNITS/5ML","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NYSTATIN SUSPENSION: 500,000UNITS/5ML","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NYSTATIN SUSPENSION: 500,000UNITS/5ML","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NYSTATIN SUSPENSION: 500,000UNITS/5ML","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"NYSTATIN SUSPENSION: 500,000UNITS/5ML","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"NYSTATIN SUSPENSION: 500,000UNITS/5ML","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"NYSTATIN SUSPENSION: 500,000UNITS/5ML","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"LIDOCAINE 1% (10 MG/ML) INJECTION","0250","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 1% (10 MG/ML) INJECTION","0250","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 1% (10 MG/ML) INJECTION","0250","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 1% (10 MG/ML) INJECTION","0250","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 1% (10 MG/ML) INJECTION","0250","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 1% (10 MG/ML) INJECTION","0250","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 1% (10 MG/ML) INJECTION","0250","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 1% (10 MG/ML) INJECTION","0250","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 1% (10 MG/ML) INJECTION","0250","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 1% (10 MG/ML) INJECTION","0250","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 1% (10 MG/ML) INJECTION","0250","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 1% (10 MG/ML) INJECTION","0250","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 1% (10 MG/ML) INJECTION","0250","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 1% (10 MG/ML) INJECTION","0250","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 1% (10 MG/ML) INJECTION","0250","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 1% (10 MG/ML) INJECTION","0250","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 1% (10 MG/ML) INJECTION","0250","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 1% (10 MG/ML) INJECTION","0250","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 1% (10 MG/ML) INJECTION","0250","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 1% (10 MG/ML) INJECTION","0250","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.04","569.62","percent of total billed charges",,
"POLYMYXIN/TRIMET (POLYTRIM) EYE GTT 10ML","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"POLYMYXIN/TRIMET (POLYTRIM) EYE GTT 10ML","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"POLYMYXIN/TRIMET (POLYTRIM) EYE GTT 10ML","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"POLYMYXIN/TRIMET (POLYTRIM) EYE GTT 10ML","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"POLYMYXIN/TRIMET (POLYTRIM) EYE GTT 10ML","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"POLYMYXIN/TRIMET (POLYTRIM) EYE GTT 10ML","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"POLYMYXIN/TRIMET (POLYTRIM) EYE GTT 10ML","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"POLYMYXIN/TRIMET (POLYTRIM) EYE GTT 10ML","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"POLYMYXIN/TRIMET (POLYTRIM) EYE GTT 10ML","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"POLYMYXIN/TRIMET (POLYTRIM) EYE GTT 10ML","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"POLYMYXIN/TRIMET (POLYTRIM) EYE GTT 10ML","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"POLYMYXIN/TRIMET (POLYTRIM) EYE GTT 10ML","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"POLYMYXIN/TRIMET (POLYTRIM) EYE GTT 10ML","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"POLYMYXIN/TRIMET (POLYTRIM) EYE GTT 10ML","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"POLYMYXIN/TRIMET (POLYTRIM) EYE GTT 10ML","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"POLYMYXIN/TRIMET (POLYTRIM) EYE GTT 10ML","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"POLYMYXIN/TRIMET (POLYTRIM) EYE GTT 10ML","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"POLYMYXIN/TRIMET (POLYTRIM) EYE GTT 10ML","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"POLYMYXIN/TRIMET (POLYTRIM) EYE GTT 10ML","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"POLYMYXIN/TRIMET (POLYTRIM) EYE GTT 10ML","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"PREGABALIN (LYRICA) 50MG CAPSULE","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"PREGABALIN (LYRICA) 50MG CAPSULE","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"PREGABALIN (LYRICA) 50MG CAPSULE","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"PREGABALIN (LYRICA) 50MG CAPSULE","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"PREGABALIN (LYRICA) 50MG CAPSULE","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"PREGABALIN (LYRICA) 50MG CAPSULE","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"PREGABALIN (LYRICA) 50MG CAPSULE","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"PREGABALIN (LYRICA) 50MG CAPSULE","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"PREGABALIN (LYRICA) 50MG CAPSULE","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"PREGABALIN (LYRICA) 50MG CAPSULE","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"PREGABALIN (LYRICA) 50MG CAPSULE","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"PREGABALIN (LYRICA) 50MG CAPSULE","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"PREGABALIN (LYRICA) 50MG CAPSULE","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"PREGABALIN (LYRICA) 50MG CAPSULE","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"PREGABALIN (LYRICA) 50MG CAPSULE","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"PREGABALIN (LYRICA) 50MG CAPSULE","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"PREGABALIN (LYRICA) 50MG CAPSULE","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"PREGABALIN (LYRICA) 50MG CAPSULE","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"PREGABALIN (LYRICA) 50MG CAPSULE","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"PREGABALIN (LYRICA) 50MG CAPSULE","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"ATROPINE 0.25MG/5ML PED INJ SYRINGE","0250","RC","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"ATROPINE 0.25MG/5ML PED INJ SYRINGE","0250","RC","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","0.04","569.62","percent of total billed charges",,
"ATROPINE 0.25MG/5ML PED INJ SYRINGE","0250","RC","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"ATROPINE 0.25MG/5ML PED INJ SYRINGE","0250","RC","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"ATROPINE 0.25MG/5ML PED INJ SYRINGE","0250","RC","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"ATROPINE 0.25MG/5ML PED INJ SYRINGE","0250","RC","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"ATROPINE 0.25MG/5ML PED INJ SYRINGE","0250","RC","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"ATROPINE 0.25MG/5ML PED INJ SYRINGE","0250","RC","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","0.04","569.62","percent of total billed charges",,
"ATROPINE 0.25MG/5ML PED INJ SYRINGE","0250","RC","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","0.04","569.62","percent of total billed charges",,
"ATROPINE 0.25MG/5ML PED INJ SYRINGE","0250","RC","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","0.04","569.62","percent of total billed charges",,
"ATROPINE 0.25MG/5ML PED INJ SYRINGE","0250","RC","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","0.04","569.62","percent of total billed charges",,
"ATROPINE 0.25MG/5ML PED INJ SYRINGE","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"ATROPINE 0.25MG/5ML PED INJ SYRINGE","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"ATROPINE 0.25MG/5ML PED INJ SYRINGE","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"ATROPINE 0.25MG/5ML PED INJ SYRINGE","0250","RC","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"ATROPINE 0.25MG/5ML PED INJ SYRINGE","0250","RC","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"ATROPINE 0.25MG/5ML PED INJ SYRINGE","0250","RC","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","0.04","569.62","percent of total billed charges",,
"ATROPINE 0.25MG/5ML PED INJ SYRINGE","0250","RC","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","0.04","569.62","percent of total billed charges",,
"ATROPINE 0.25MG/5ML PED INJ SYRINGE","0250","RC","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","0.04","569.62","percent of total billed charges",,
"ATROPINE 0.25MG/5ML PED INJ SYRINGE","0250","RC","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","0.04","569.62","percent of total billed charges",,
"TOLTERODINE 1MG (DETROL 1MG) TAB","0637","RC","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"TOLTERODINE 1MG (DETROL 1MG) TAB","0637","RC","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","0.15","5264.58","percent of total billed charges",,
"TOLTERODINE 1MG (DETROL 1MG) TAB","0637","RC","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"TOLTERODINE 1MG (DETROL 1MG) TAB","0637","RC","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"TOLTERODINE 1MG (DETROL 1MG) TAB","0637","RC","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"TOLTERODINE 1MG (DETROL 1MG) TAB","0637","RC","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"TOLTERODINE 1MG (DETROL 1MG) TAB","0637","RC","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"TOLTERODINE 1MG (DETROL 1MG) TAB","0637","RC","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"TOLTERODINE 1MG (DETROL 1MG) TAB","0637","RC","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","0.15","5264.58","percent of total billed charges",,
"TOLTERODINE 1MG (DETROL 1MG) TAB","0637","RC","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.15","5264.58","percent of total billed charges",,
"TOLTERODINE 1MG (DETROL 1MG) TAB","0637","RC","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","0.15","5264.58","percent of total billed charges",,
"TOLTERODINE 1MG (DETROL 1MG) TAB","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"TOLTERODINE 1MG (DETROL 1MG) TAB","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"TOLTERODINE 1MG (DETROL 1MG) TAB","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"TOLTERODINE 1MG (DETROL 1MG) TAB","0637","RC","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"TOLTERODINE 1MG (DETROL 1MG) TAB","0637","RC","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"TOLTERODINE 1MG (DETROL 1MG) TAB","0637","RC","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","0.15","5264.58","percent of total billed charges",,
"TOLTERODINE 1MG (DETROL 1MG) TAB","0637","RC","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","0.15","5264.58","percent of total billed charges",,
"TOLTERODINE 1MG (DETROL 1MG) TAB","0637","RC","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","0.15","5264.58","percent of total billed charges",,
"TOLTERODINE 1MG (DETROL 1MG) TAB","0637","RC","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"ESTRADIOL (ESTRACE) TABLET: 1MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ESTRADIOL (ESTRACE) TABLET: 1MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"ESTRADIOL (ESTRACE) TABLET: 1MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ESTRADIOL (ESTRACE) TABLET: 1MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ESTRADIOL (ESTRACE) TABLET: 1MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ESTRADIOL (ESTRACE) TABLET: 1MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ESTRADIOL (ESTRACE) TABLET: 1MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ESTRADIOL (ESTRACE) TABLET: 1MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ESTRADIOL (ESTRACE) TABLET: 1MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"ESTRADIOL (ESTRACE) TABLET: 1MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"ESTRADIOL (ESTRACE) TABLET: 1MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"ESTRADIOL (ESTRACE) TABLET: 1MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ESTRADIOL (ESTRACE) TABLET: 1MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ESTRADIOL (ESTRACE) TABLET: 1MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ESTRADIOL (ESTRACE) TABLET: 1MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ESTRADIOL (ESTRACE) TABLET: 1MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ESTRADIOL (ESTRACE) TABLET: 1MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"ESTRADIOL (ESTRACE) TABLET: 1MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"ESTRADIOL (ESTRACE) TABLET: 1MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"ESTRADIOL (ESTRACE) TABLET: 1MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"VALPROIC ACID (DEPAKENE) 250MG/5ML syrp","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"VALPROIC ACID (DEPAKENE) 250MG/5ML syrp","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"VALPROIC ACID (DEPAKENE) 250MG/5ML syrp","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"VALPROIC ACID (DEPAKENE) 250MG/5ML syrp","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"VALPROIC ACID (DEPAKENE) 250MG/5ML syrp","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"VALPROIC ACID (DEPAKENE) 250MG/5ML syrp","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"VALPROIC ACID (DEPAKENE) 250MG/5ML syrp","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"VALPROIC ACID (DEPAKENE) 250MG/5ML syrp","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"VALPROIC ACID (DEPAKENE) 250MG/5ML syrp","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"VALPROIC ACID (DEPAKENE) 250MG/5ML syrp","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"VALPROIC ACID (DEPAKENE) 250MG/5ML syrp","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"VALPROIC ACID (DEPAKENE) 250MG/5ML syrp","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"VALPROIC ACID (DEPAKENE) 250MG/5ML syrp","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"VALPROIC ACID (DEPAKENE) 250MG/5ML syrp","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"VALPROIC ACID (DEPAKENE) 250MG/5ML syrp","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"VALPROIC ACID (DEPAKENE) 250MG/5ML syrp","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"VALPROIC ACID (DEPAKENE) 250MG/5ML syrp","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"VALPROIC ACID (DEPAKENE) 250MG/5ML syrp","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"VALPROIC ACID (DEPAKENE) 250MG/5ML syrp","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"VALPROIC ACID (DEPAKENE) 250MG/5ML syrp","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"CARBAMIDE PEROXIDE (DEBROX) EAR DROPS","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"CARBAMIDE PEROXIDE (DEBROX) EAR DROPS","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"CARBAMIDE PEROXIDE (DEBROX) EAR DROPS","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"CARBAMIDE PEROXIDE (DEBROX) EAR DROPS","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"CARBAMIDE PEROXIDE (DEBROX) EAR DROPS","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"CARBAMIDE PEROXIDE (DEBROX) EAR DROPS","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"CARBAMIDE PEROXIDE (DEBROX) EAR DROPS","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"CARBAMIDE PEROXIDE (DEBROX) EAR DROPS","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"CARBAMIDE PEROXIDE (DEBROX) EAR DROPS","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"CARBAMIDE PEROXIDE (DEBROX) EAR DROPS","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"CARBAMIDE PEROXIDE (DEBROX) EAR DROPS","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"CARBAMIDE PEROXIDE (DEBROX) EAR DROPS","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"CARBAMIDE PEROXIDE (DEBROX) EAR DROPS","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"CARBAMIDE PEROXIDE (DEBROX) EAR DROPS","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"CARBAMIDE PEROXIDE (DEBROX) EAR DROPS","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"CARBAMIDE PEROXIDE (DEBROX) EAR DROPS","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"CARBAMIDE PEROXIDE (DEBROX) EAR DROPS","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"CARBAMIDE PEROXIDE (DEBROX) EAR DROPS","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"CARBAMIDE PEROXIDE (DEBROX) EAR DROPS","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"CARBAMIDE PEROXIDE (DEBROX) EAR DROPS","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 50MCG/HR Patch","0637","RC","Both",,,"36","18","Alliant","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 50MCG/HR Patch","0637","RC","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.44","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 50MCG/HR Patch","0637","RC","Both",,,"36","18","Medicare",,,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 50MCG/HR Patch","0637","RC","Both",,,"36","18","Humana","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 50MCG/HR Patch","0637","RC","Both",,,"36","18","UHC","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 50MCG/HR Patch","0637","RC","Both",,,"36","18","Clover","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 50MCG/HR Patch","0637","RC","Both",,,"36","18","Wellcare","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 50MCG/HR Patch","0637","RC","Both",,,"36","18","Amerigroup","Medicaid Managed Care",,,"37",,"13.18","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 50MCG/HR Patch","0637","RC","Both",,,"36","18","Caresource","Medicaid Managed Care",,,"40",,"14.4","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 50MCG/HR Patch","0637","RC","Both",,,"36","18","Wellcare","Medicaid Managed Care",,,"40",,"14.58","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 50MCG/HR Patch","0637","RC","Both",,,"36","18","Aetna","Commercial",,,"64",,"22.97","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 50MCG/HR Patch","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","Pathways",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 50MCG/HR Patch","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","HMO",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 50MCG/HR Patch","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","PPO",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 50MCG/HR Patch","0637","RC","Both",,,"36","18","Ambetter","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 50MCG/HR Patch","0637","RC","Both",,,"36","18","Caresource","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 50MCG/HR Patch","0637","RC","Both",,,"36","18","Cigna","Commercial",,,"59",,"21.1","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 50MCG/HR Patch","0637","RC","Both",,,"36","18","Humana","Commercial",,,"78",,"27.9","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 50MCG/HR Patch","0637","RC","Both",,,"36","18","UHC","Commercial",,,"75",,"27.14","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 50MCG/HR Patch","0637","RC","Both",,,"36","18","Medicaid",,,,"37",,"13.18","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) SUSP: 160MG/5ML","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) SUSP: 160MG/5ML","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) SUSP: 160MG/5ML","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) SUSP: 160MG/5ML","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) SUSP: 160MG/5ML","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) SUSP: 160MG/5ML","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) SUSP: 160MG/5ML","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) SUSP: 160MG/5ML","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) SUSP: 160MG/5ML","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) SUSP: 160MG/5ML","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) SUSP: 160MG/5ML","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) SUSP: 160MG/5ML","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) SUSP: 160MG/5ML","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) SUSP: 160MG/5ML","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) SUSP: 160MG/5ML","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) SUSP: 160MG/5ML","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) SUSP: 160MG/5ML","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) SUSP: 160MG/5ML","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) SUSP: 160MG/5ML","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN (TYLENOL) SUSP: 160MG/5ML","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"THIORIDAZINE (MELLARIL) 25 MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"THIORIDAZINE (MELLARIL) 25 MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"THIORIDAZINE (MELLARIL) 25 MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"THIORIDAZINE (MELLARIL) 25 MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"THIORIDAZINE (MELLARIL) 25 MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"THIORIDAZINE (MELLARIL) 25 MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"THIORIDAZINE (MELLARIL) 25 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"THIORIDAZINE (MELLARIL) 25 MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"THIORIDAZINE (MELLARIL) 25 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"THIORIDAZINE (MELLARIL) 25 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"THIORIDAZINE (MELLARIL) 25 MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"THIORIDAZINE (MELLARIL) 25 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"THIORIDAZINE (MELLARIL) 25 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"THIORIDAZINE (MELLARIL) 25 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"THIORIDAZINE (MELLARIL) 25 MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"THIORIDAZINE (MELLARIL) 25 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"THIORIDAZINE (MELLARIL) 25 MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"THIORIDAZINE (MELLARIL) 25 MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"THIORIDAZINE (MELLARIL) 25 MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"THIORIDAZINE (MELLARIL) 25 MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"POTASSIUM (KLOR CON) TABLET:  20MEQ","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"POTASSIUM (KLOR CON) TABLET:  20MEQ","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"POTASSIUM (KLOR CON) TABLET:  20MEQ","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"POTASSIUM (KLOR CON) TABLET:  20MEQ","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"POTASSIUM (KLOR CON) TABLET:  20MEQ","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"POTASSIUM (KLOR CON) TABLET:  20MEQ","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"POTASSIUM (KLOR CON) TABLET:  20MEQ","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"POTASSIUM (KLOR CON) TABLET:  20MEQ","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"POTASSIUM (KLOR CON) TABLET:  20MEQ","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"POTASSIUM (KLOR CON) TABLET:  20MEQ","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"POTASSIUM (KLOR CON) TABLET:  20MEQ","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"POTASSIUM (KLOR CON) TABLET:  20MEQ","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"POTASSIUM (KLOR CON) TABLET:  20MEQ","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"POTASSIUM (KLOR CON) TABLET:  20MEQ","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"POTASSIUM (KLOR CON) TABLET:  20MEQ","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"POTASSIUM (KLOR CON) TABLET:  20MEQ","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"POTASSIUM (KLOR CON) TABLET:  20MEQ","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"POTASSIUM (KLOR CON) TABLET:  20MEQ","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"POTASSIUM (KLOR CON) TABLET:  20MEQ","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"POTASSIUM (KLOR CON) TABLET:  20MEQ","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE W/CODEINE 10 ML SYP","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE W/CODEINE 10 ML SYP","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE W/CODEINE 10 ML SYP","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE W/CODEINE 10 ML SYP","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE W/CODEINE 10 ML SYP","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE W/CODEINE 10 ML SYP","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE W/CODEINE 10 ML SYP","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE W/CODEINE 10 ML SYP","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE W/CODEINE 10 ML SYP","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE W/CODEINE 10 ML SYP","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE W/CODEINE 10 ML SYP","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE W/CODEINE 10 ML SYP","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE W/CODEINE 10 ML SYP","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE W/CODEINE 10 ML SYP","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE W/CODEINE 10 ML SYP","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE W/CODEINE 10 ML SYP","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE W/CODEINE 10 ML SYP","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE W/CODEINE 10 ML SYP","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE W/CODEINE 10 ML SYP","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"PROMETHAZINE W/CODEINE 10 ML SYP","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"RIVASTIGMINE (EXELON) 1.5MG CAPSULES","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"RIVASTIGMINE (EXELON) 1.5MG CAPSULES","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"RIVASTIGMINE (EXELON) 1.5MG CAPSULES","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"RIVASTIGMINE (EXELON) 1.5MG CAPSULES","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"RIVASTIGMINE (EXELON) 1.5MG CAPSULES","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"RIVASTIGMINE (EXELON) 1.5MG CAPSULES","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"RIVASTIGMINE (EXELON) 1.5MG CAPSULES","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"RIVASTIGMINE (EXELON) 1.5MG CAPSULES","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"RIVASTIGMINE (EXELON) 1.5MG CAPSULES","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"RIVASTIGMINE (EXELON) 1.5MG CAPSULES","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"RIVASTIGMINE (EXELON) 1.5MG CAPSULES","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"RIVASTIGMINE (EXELON) 1.5MG CAPSULES","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"RIVASTIGMINE (EXELON) 1.5MG CAPSULES","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"RIVASTIGMINE (EXELON) 1.5MG CAPSULES","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"RIVASTIGMINE (EXELON) 1.5MG CAPSULES","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"RIVASTIGMINE (EXELON) 1.5MG CAPSULES","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"RIVASTIGMINE (EXELON) 1.5MG CAPSULES","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"RIVASTIGMINE (EXELON) 1.5MG CAPSULES","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"RIVASTIGMINE (EXELON) 1.5MG CAPSULES","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"RIVASTIGMINE (EXELON) 1.5MG CAPSULES","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN)  400MG CAPSULE","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN)  400MG CAPSULE","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN)  400MG CAPSULE","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN)  400MG CAPSULE","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN)  400MG CAPSULE","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN)  400MG CAPSULE","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN)  400MG CAPSULE","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN)  400MG CAPSULE","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN)  400MG CAPSULE","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN)  400MG CAPSULE","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN)  400MG CAPSULE","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN)  400MG CAPSULE","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN)  400MG CAPSULE","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN)  400MG CAPSULE","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN)  400MG CAPSULE","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN)  400MG CAPSULE","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN)  400MG CAPSULE","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN)  400MG CAPSULE","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN)  400MG CAPSULE","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"GABAPENTIN (NEURONTIN)  400MG CAPSULE","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRATE (ISMO) 20MG TB","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRATE (ISMO) 20MG TB","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRATE (ISMO) 20MG TB","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRATE (ISMO) 20MG TB","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRATE (ISMO) 20MG TB","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRATE (ISMO) 20MG TB","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRATE (ISMO) 20MG TB","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRATE (ISMO) 20MG TB","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRATE (ISMO) 20MG TB","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRATE (ISMO) 20MG TB","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRATE (ISMO) 20MG TB","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRATE (ISMO) 20MG TB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRATE (ISMO) 20MG TB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRATE (ISMO) 20MG TB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRATE (ISMO) 20MG TB","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRATE (ISMO) 20MG TB","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRATE (ISMO) 20MG TB","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRATE (ISMO) 20MG TB","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRATE (ISMO) 20MG TB","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE MONONITRATE (ISMO) 20MG TB","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"TERAZOSIN (HYTRIN) 1 MG CAPSULE","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"TERAZOSIN (HYTRIN) 1 MG CAPSULE","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"TERAZOSIN (HYTRIN) 1 MG CAPSULE","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"TERAZOSIN (HYTRIN) 1 MG CAPSULE","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"TERAZOSIN (HYTRIN) 1 MG CAPSULE","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"TERAZOSIN (HYTRIN) 1 MG CAPSULE","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"TERAZOSIN (HYTRIN) 1 MG CAPSULE","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"TERAZOSIN (HYTRIN) 1 MG CAPSULE","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"TERAZOSIN (HYTRIN) 1 MG CAPSULE","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"TERAZOSIN (HYTRIN) 1 MG CAPSULE","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"TERAZOSIN (HYTRIN) 1 MG CAPSULE","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"TERAZOSIN (HYTRIN) 1 MG CAPSULE","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"TERAZOSIN (HYTRIN) 1 MG CAPSULE","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"TERAZOSIN (HYTRIN) 1 MG CAPSULE","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"TERAZOSIN (HYTRIN) 1 MG CAPSULE","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"TERAZOSIN (HYTRIN) 1 MG CAPSULE","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"TERAZOSIN (HYTRIN) 1 MG CAPSULE","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"TERAZOSIN (HYTRIN) 1 MG CAPSULE","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"TERAZOSIN (HYTRIN) 1 MG CAPSULE","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"TERAZOSIN (HYTRIN) 1 MG CAPSULE","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"STERILE WATER FOR INJ 1000 ML","0258","RC","Both",,,"60","30","Alliant","Health Exchange",,,"62",,"37.2","4.76","93","percent of total billed charges",,
"STERILE WATER FOR INJ 1000 ML","0258","RC","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage",,,"54",,"32.4","4.76","93","percent of total billed charges",,
"STERILE WATER FOR INJ 1000 ML","0258","RC","Both",,,"60","30","Medicare",,,,"54",,"32.52","4.76","93","percent of total billed charges",,
"STERILE WATER FOR INJ 1000 ML","0258","RC","Both",,,"60","30","Humana","Medicare Advantage",,,"54",,"32.52","4.76","93","percent of total billed charges",,
"STERILE WATER FOR INJ 1000 ML","0258","RC","Both",,,"60","30","UHC","Medicare Advantage",,,"54",,"32.52","4.76","93","percent of total billed charges",,
"STERILE WATER FOR INJ 1000 ML","0258","RC","Both",,,"60","30","Clover","Medicare Advantage",,,"54",,"32.52","4.76","93","percent of total billed charges",,
"STERILE WATER FOR INJ 1000 ML","0258","RC","Both",,,"60","30","Wellcare","Medicare Advantage",,,"54",,"32.52","4.76","93","percent of total billed charges",,
"STERILE WATER FOR INJ 1000 ML","0258","RC","Both",,,"60","30","Amerigroup","Medicaid Managed Care",,,"37",,"21.96","4.76","93","percent of total billed charges",,
"STERILE WATER FOR INJ 1000 ML","0258","RC","Both",,,"60","30","Caresource","Medicaid Managed Care",,,"40",,"24","4.76","93","percent of total billed charges",,
"STERILE WATER FOR INJ 1000 ML","0258","RC","Both",,,"60","30","Wellcare","Medicaid Managed Care",,,"40",,"24.3","4.76","93","percent of total billed charges",,
"STERILE WATER FOR INJ 1000 ML","0258","RC","Both",,,"60","30","Aetna","Commercial",,,"64",,"38.28","4.76","93","percent of total billed charges",,
"STERILE WATER FOR INJ 1000 ML","0258","RC","Both",,,"60","30","Blue Cross Blue Shield","Pathways",,,"71",,"42.36","4.76","93","percent of total billed charges",,
"STERILE WATER FOR INJ 1000 ML","0258","RC","Both",,,"60","30","Blue Cross Blue Shield","HMO",,,"71",,"42.36","4.76","93","percent of total billed charges",,
"STERILE WATER FOR INJ 1000 ML","0258","RC","Both",,,"60","30","Blue Cross Blue Shield","PPO",,,"71",,"42.36","4.76","93","percent of total billed charges",,
"STERILE WATER FOR INJ 1000 ML","0258","RC","Both",,,"60","30","Ambetter","Health Exchange",,,"62",,"37.2","4.76","93","percent of total billed charges",,
"STERILE WATER FOR INJ 1000 ML","0258","RC","Both",,,"60","30","Caresource","Health Exchange",,,"62",,"37.2","4.76","93","percent of total billed charges",,
"STERILE WATER FOR INJ 1000 ML","0258","RC","Both",,,"60","30","Cigna","Commercial",,,"59",,"35.16","4.76","93","percent of total billed charges",,
"STERILE WATER FOR INJ 1000 ML","0258","RC","Both",,,"60","30","Humana","Commercial",,,"78",,"46.5","4.76","93","percent of total billed charges",,
"STERILE WATER FOR INJ 1000 ML","0258","RC","Both",,,"60","30","UHC","Commercial",,,"75",,"45.24","4.76","93","percent of total billed charges",,
"STERILE WATER FOR INJ 1000 ML","0258","RC","Both",,,"60","30","Medicaid",,,,"37",,"21.96","4.76","93","percent of total billed charges",,
"ZINC OXIDE OINTMENT 1 OZ","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"ZINC OXIDE OINTMENT 1 OZ","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"ZINC OXIDE OINTMENT 1 OZ","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"ZINC OXIDE OINTMENT 1 OZ","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"ZINC OXIDE OINTMENT 1 OZ","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"ZINC OXIDE OINTMENT 1 OZ","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"ZINC OXIDE OINTMENT 1 OZ","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"ZINC OXIDE OINTMENT 1 OZ","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"ZINC OXIDE OINTMENT 1 OZ","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"ZINC OXIDE OINTMENT 1 OZ","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"ZINC OXIDE OINTMENT 1 OZ","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"ZINC OXIDE OINTMENT 1 OZ","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"ZINC OXIDE OINTMENT 1 OZ","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"ZINC OXIDE OINTMENT 1 OZ","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"ZINC OXIDE OINTMENT 1 OZ","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"ZINC OXIDE OINTMENT 1 OZ","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"ZINC OXIDE OINTMENT 1 OZ","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"ZINC OXIDE OINTMENT 1 OZ","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"ZINC OXIDE OINTMENT 1 OZ","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"ZINC OXIDE OINTMENT 1 OZ","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"HYDROXYCHLOROQUINE (PLAQUENIL) 200 MG TB","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"HYDROXYCHLOROQUINE (PLAQUENIL) 200 MG TB","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"HYDROXYCHLOROQUINE (PLAQUENIL) 200 MG TB","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDROXYCHLOROQUINE (PLAQUENIL) 200 MG TB","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDROXYCHLOROQUINE (PLAQUENIL) 200 MG TB","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDROXYCHLOROQUINE (PLAQUENIL) 200 MG TB","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDROXYCHLOROQUINE (PLAQUENIL) 200 MG TB","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDROXYCHLOROQUINE (PLAQUENIL) 200 MG TB","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"HYDROXYCHLOROQUINE (PLAQUENIL) 200 MG TB","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"HYDROXYCHLOROQUINE (PLAQUENIL) 200 MG TB","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"HYDROXYCHLOROQUINE (PLAQUENIL) 200 MG TB","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"HYDROXYCHLOROQUINE (PLAQUENIL) 200 MG TB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"HYDROXYCHLOROQUINE (PLAQUENIL) 200 MG TB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"HYDROXYCHLOROQUINE (PLAQUENIL) 200 MG TB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"HYDROXYCHLOROQUINE (PLAQUENIL) 200 MG TB","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"HYDROXYCHLOROQUINE (PLAQUENIL) 200 MG TB","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"HYDROXYCHLOROQUINE (PLAQUENIL) 200 MG TB","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"HYDROXYCHLOROQUINE (PLAQUENIL) 200 MG TB","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"HYDROXYCHLOROQUINE (PLAQUENIL) 200 MG TB","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"HYDROXYCHLOROQUINE (PLAQUENIL) 200 MG TB","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"RACEMIC EPINEPHRINE 2.25% INHALATION","0637","RC","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"RACEMIC EPINEPHRINE 2.25% INHALATION","0637","RC","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","0.15","5264.58","percent of total billed charges",,
"RACEMIC EPINEPHRINE 2.25% INHALATION","0637","RC","Both",,,"22","11","Medicare",,,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"RACEMIC EPINEPHRINE 2.25% INHALATION","0637","RC","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"RACEMIC EPINEPHRINE 2.25% INHALATION","0637","RC","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"RACEMIC EPINEPHRINE 2.25% INHALATION","0637","RC","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"RACEMIC EPINEPHRINE 2.25% INHALATION","0637","RC","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"RACEMIC EPINEPHRINE 2.25% INHALATION","0637","RC","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"RACEMIC EPINEPHRINE 2.25% INHALATION","0637","RC","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","0.15","5264.58","percent of total billed charges",,
"RACEMIC EPINEPHRINE 2.25% INHALATION","0637","RC","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","0.15","5264.58","percent of total billed charges",,
"RACEMIC EPINEPHRINE 2.25% INHALATION","0637","RC","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","0.15","5264.58","percent of total billed charges",,
"RACEMIC EPINEPHRINE 2.25% INHALATION","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"RACEMIC EPINEPHRINE 2.25% INHALATION","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"RACEMIC EPINEPHRINE 2.25% INHALATION","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"RACEMIC EPINEPHRINE 2.25% INHALATION","0637","RC","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"RACEMIC EPINEPHRINE 2.25% INHALATION","0637","RC","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"RACEMIC EPINEPHRINE 2.25% INHALATION","0637","RC","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","0.15","5264.58","percent of total billed charges",,
"RACEMIC EPINEPHRINE 2.25% INHALATION","0637","RC","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","0.15","5264.58","percent of total billed charges",,
"RACEMIC EPINEPHRINE 2.25% INHALATION","0637","RC","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","0.15","5264.58","percent of total billed charges",,
"RACEMIC EPINEPHRINE 2.25% INHALATION","0637","RC","Both",,,"22","11","Medicaid",,,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"DOXYCYCLINE (VIBRAMYCIN) 100MG CAPSULE","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DOXYCYCLINE (VIBRAMYCIN) 100MG CAPSULE","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"DOXYCYCLINE (VIBRAMYCIN) 100MG CAPSULE","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DOXYCYCLINE (VIBRAMYCIN) 100MG CAPSULE","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DOXYCYCLINE (VIBRAMYCIN) 100MG CAPSULE","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DOXYCYCLINE (VIBRAMYCIN) 100MG CAPSULE","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DOXYCYCLINE (VIBRAMYCIN) 100MG CAPSULE","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DOXYCYCLINE (VIBRAMYCIN) 100MG CAPSULE","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"DOXYCYCLINE (VIBRAMYCIN) 100MG CAPSULE","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"DOXYCYCLINE (VIBRAMYCIN) 100MG CAPSULE","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"DOXYCYCLINE (VIBRAMYCIN) 100MG CAPSULE","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"DOXYCYCLINE (VIBRAMYCIN) 100MG CAPSULE","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DOXYCYCLINE (VIBRAMYCIN) 100MG CAPSULE","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DOXYCYCLINE (VIBRAMYCIN) 100MG CAPSULE","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DOXYCYCLINE (VIBRAMYCIN) 100MG CAPSULE","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DOXYCYCLINE (VIBRAMYCIN) 100MG CAPSULE","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DOXYCYCLINE (VIBRAMYCIN) 100MG CAPSULE","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"DOXYCYCLINE (VIBRAMYCIN) 100MG CAPSULE","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"DOXYCYCLINE (VIBRAMYCIN) 100MG CAPSULE","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"DOXYCYCLINE (VIBRAMYCIN) 100MG CAPSULE","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 100MCG/HR Patch","0637","RC","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 100MCG/HR Patch","0637","RC","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 100MCG/HR Patch","0637","RC","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 100MCG/HR Patch","0637","RC","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 100MCG/HR Patch","0637","RC","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 100MCG/HR Patch","0637","RC","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 100MCG/HR Patch","0637","RC","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 100MCG/HR Patch","0637","RC","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 100MCG/HR Patch","0637","RC","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 100MCG/HR Patch","0637","RC","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 100MCG/HR Patch","0637","RC","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 100MCG/HR Patch","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 100MCG/HR Patch","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 100MCG/HR Patch","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 100MCG/HR Patch","0637","RC","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 100MCG/HR Patch","0637","RC","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 100MCG/HR Patch","0637","RC","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 100MCG/HR Patch","0637","RC","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 100MCG/HR Patch","0637","RC","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 100MCG/HR Patch","0637","RC","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"MORPHINE ER (MS CONTIN) 15MG TABLET","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"MORPHINE ER (MS CONTIN) 15MG TABLET","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"MORPHINE ER (MS CONTIN) 15MG TABLET","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"MORPHINE ER (MS CONTIN) 15MG TABLET","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"MORPHINE ER (MS CONTIN) 15MG TABLET","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"MORPHINE ER (MS CONTIN) 15MG TABLET","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"MORPHINE ER (MS CONTIN) 15MG TABLET","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"MORPHINE ER (MS CONTIN) 15MG TABLET","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"MORPHINE ER (MS CONTIN) 15MG TABLET","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"MORPHINE ER (MS CONTIN) 15MG TABLET","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"MORPHINE ER (MS CONTIN) 15MG TABLET","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"MORPHINE ER (MS CONTIN) 15MG TABLET","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"MORPHINE ER (MS CONTIN) 15MG TABLET","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"MORPHINE ER (MS CONTIN) 15MG TABLET","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"MORPHINE ER (MS CONTIN) 15MG TABLET","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"MORPHINE ER (MS CONTIN) 15MG TABLET","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"MORPHINE ER (MS CONTIN) 15MG TABLET","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"MORPHINE ER (MS CONTIN) 15MG TABLET","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"MORPHINE ER (MS CONTIN) 15MG TABLET","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"MORPHINE ER (MS CONTIN) 15MG TABLET","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"SODIUM POLYS (KAYEXALATE) 30GM *RECTAL","0250","RC","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"SODIUM POLYS (KAYEXALATE) 30GM *RECTAL","0250","RC","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","0.04","569.62","percent of total billed charges",,
"SODIUM POLYS (KAYEXALATE) 30GM *RECTAL","0250","RC","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"SODIUM POLYS (KAYEXALATE) 30GM *RECTAL","0250","RC","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"SODIUM POLYS (KAYEXALATE) 30GM *RECTAL","0250","RC","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"SODIUM POLYS (KAYEXALATE) 30GM *RECTAL","0250","RC","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"SODIUM POLYS (KAYEXALATE) 30GM *RECTAL","0250","RC","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"SODIUM POLYS (KAYEXALATE) 30GM *RECTAL","0250","RC","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","0.04","569.62","percent of total billed charges",,
"SODIUM POLYS (KAYEXALATE) 30GM *RECTAL","0250","RC","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","0.04","569.62","percent of total billed charges",,
"SODIUM POLYS (KAYEXALATE) 30GM *RECTAL","0250","RC","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","0.04","569.62","percent of total billed charges",,
"SODIUM POLYS (KAYEXALATE) 30GM *RECTAL","0250","RC","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","0.04","569.62","percent of total billed charges",,
"SODIUM POLYS (KAYEXALATE) 30GM *RECTAL","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"SODIUM POLYS (KAYEXALATE) 30GM *RECTAL","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"SODIUM POLYS (KAYEXALATE) 30GM *RECTAL","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"SODIUM POLYS (KAYEXALATE) 30GM *RECTAL","0250","RC","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"SODIUM POLYS (KAYEXALATE) 30GM *RECTAL","0250","RC","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"SODIUM POLYS (KAYEXALATE) 30GM *RECTAL","0250","RC","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","0.04","569.62","percent of total billed charges",,
"SODIUM POLYS (KAYEXALATE) 30GM *RECTAL","0250","RC","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","0.04","569.62","percent of total billed charges",,
"SODIUM POLYS (KAYEXALATE) 30GM *RECTAL","0250","RC","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","0.04","569.62","percent of total billed charges",,
"SODIUM POLYS (KAYEXALATE) 30GM *RECTAL","0250","RC","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","0.04","569.62","percent of total billed charges",,
"ALCOHOL (ISOPROPYL) 70% BOTTLE","0250","RC","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","0.04","569.62","percent of total billed charges",,
"ALCOHOL (ISOPROPYL) 70% BOTTLE","0250","RC","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","0.04","569.62","percent of total billed charges",,
"ALCOHOL (ISOPROPYL) 70% BOTTLE","0250","RC","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","0.04","569.62","percent of total billed charges",,
"ALCOHOL (ISOPROPYL) 70% BOTTLE","0250","RC","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","0.04","569.62","percent of total billed charges",,
"ALCOHOL (ISOPROPYL) 70% BOTTLE","0250","RC","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","0.04","569.62","percent of total billed charges",,
"ALCOHOL (ISOPROPYL) 70% BOTTLE","0250","RC","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","0.04","569.62","percent of total billed charges",,
"ALCOHOL (ISOPROPYL) 70% BOTTLE","0250","RC","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","0.04","569.62","percent of total billed charges",,
"ALCOHOL (ISOPROPYL) 70% BOTTLE","0250","RC","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","0.04","569.62","percent of total billed charges",,
"ALCOHOL (ISOPROPYL) 70% BOTTLE","0250","RC","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","0.04","569.62","percent of total billed charges",,
"ALCOHOL (ISOPROPYL) 70% BOTTLE","0250","RC","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.04","569.62","percent of total billed charges",,
"ALCOHOL (ISOPROPYL) 70% BOTTLE","0250","RC","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","0.04","569.62","percent of total billed charges",,
"ALCOHOL (ISOPROPYL) 70% BOTTLE","0250","RC","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","0.04","569.62","percent of total billed charges",,
"ALCOHOL (ISOPROPYL) 70% BOTTLE","0250","RC","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","0.04","569.62","percent of total billed charges",,
"ALCOHOL (ISOPROPYL) 70% BOTTLE","0250","RC","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","0.04","569.62","percent of total billed charges",,
"ALCOHOL (ISOPROPYL) 70% BOTTLE","0250","RC","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","0.04","569.62","percent of total billed charges",,
"ALCOHOL (ISOPROPYL) 70% BOTTLE","0250","RC","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","0.04","569.62","percent of total billed charges",,
"ALCOHOL (ISOPROPYL) 70% BOTTLE","0250","RC","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","0.04","569.62","percent of total billed charges",,
"ALCOHOL (ISOPROPYL) 70% BOTTLE","0250","RC","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","0.04","569.62","percent of total billed charges",,
"ALCOHOL (ISOPROPYL) 70% BOTTLE","0250","RC","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","0.04","569.62","percent of total billed charges",,
"ALCOHOL (ISOPROPYL) 70% BOTTLE","0250","RC","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","0.04","569.62","percent of total billed charges",,
"BISOPROLOL/HCTZ (ZIAC) 10/6.25 MG TAB","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL/HCTZ (ZIAC) 10/6.25 MG TAB","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL/HCTZ (ZIAC) 10/6.25 MG TAB","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL/HCTZ (ZIAC) 10/6.25 MG TAB","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL/HCTZ (ZIAC) 10/6.25 MG TAB","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL/HCTZ (ZIAC) 10/6.25 MG TAB","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL/HCTZ (ZIAC) 10/6.25 MG TAB","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL/HCTZ (ZIAC) 10/6.25 MG TAB","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL/HCTZ (ZIAC) 10/6.25 MG TAB","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL/HCTZ (ZIAC) 10/6.25 MG TAB","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL/HCTZ (ZIAC) 10/6.25 MG TAB","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL/HCTZ (ZIAC) 10/6.25 MG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL/HCTZ (ZIAC) 10/6.25 MG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL/HCTZ (ZIAC) 10/6.25 MG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL/HCTZ (ZIAC) 10/6.25 MG TAB","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL/HCTZ (ZIAC) 10/6.25 MG TAB","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL/HCTZ (ZIAC) 10/6.25 MG TAB","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL/HCTZ (ZIAC) 10/6.25 MG TAB","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL/HCTZ (ZIAC) 10/6.25 MG TAB","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL/HCTZ (ZIAC) 10/6.25 MG TAB","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"PHOS-NaK (NEUTRA PHOS) POWR PACKET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PHOS-NaK (NEUTRA PHOS) POWR PACKET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"PHOS-NaK (NEUTRA PHOS) POWR PACKET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PHOS-NaK (NEUTRA PHOS) POWR PACKET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PHOS-NaK (NEUTRA PHOS) POWR PACKET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PHOS-NaK (NEUTRA PHOS) POWR PACKET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PHOS-NaK (NEUTRA PHOS) POWR PACKET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PHOS-NaK (NEUTRA PHOS) POWR PACKET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"PHOS-NaK (NEUTRA PHOS) POWR PACKET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"PHOS-NaK (NEUTRA PHOS) POWR PACKET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"PHOS-NaK (NEUTRA PHOS) POWR PACKET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"PHOS-NaK (NEUTRA PHOS) POWR PACKET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PHOS-NaK (NEUTRA PHOS) POWR PACKET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PHOS-NaK (NEUTRA PHOS) POWR PACKET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PHOS-NaK (NEUTRA PHOS) POWR PACKET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PHOS-NaK (NEUTRA PHOS) POWR PACKET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PHOS-NaK (NEUTRA PHOS) POWR PACKET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"PHOS-NaK (NEUTRA PHOS) POWR PACKET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"PHOS-NaK (NEUTRA PHOS) POWR PACKET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"PHOS-NaK (NEUTRA PHOS) POWR PACKET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"PEG 3350 (MIRALAX) PACKET:  17 GM","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"PEG 3350 (MIRALAX) PACKET:  17 GM","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"PEG 3350 (MIRALAX) PACKET:  17 GM","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"PEG 3350 (MIRALAX) PACKET:  17 GM","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"PEG 3350 (MIRALAX) PACKET:  17 GM","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"PEG 3350 (MIRALAX) PACKET:  17 GM","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"PEG 3350 (MIRALAX) PACKET:  17 GM","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"PEG 3350 (MIRALAX) PACKET:  17 GM","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"PEG 3350 (MIRALAX) PACKET:  17 GM","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"PEG 3350 (MIRALAX) PACKET:  17 GM","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"PEG 3350 (MIRALAX) PACKET:  17 GM","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"PEG 3350 (MIRALAX) PACKET:  17 GM","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"PEG 3350 (MIRALAX) PACKET:  17 GM","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"PEG 3350 (MIRALAX) PACKET:  17 GM","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"PEG 3350 (MIRALAX) PACKET:  17 GM","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"PEG 3350 (MIRALAX) PACKET:  17 GM","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"PEG 3350 (MIRALAX) PACKET:  17 GM","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"PEG 3350 (MIRALAX) PACKET:  17 GM","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"PEG 3350 (MIRALAX) PACKET:  17 GM","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"PEG 3350 (MIRALAX) PACKET:  17 GM","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"FLUDROCORTISONE (FLORINEF) 0.1MG Tablet","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"FLUDROCORTISONE (FLORINEF) 0.1MG Tablet","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"FLUDROCORTISONE (FLORINEF) 0.1MG Tablet","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"FLUDROCORTISONE (FLORINEF) 0.1MG Tablet","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"FLUDROCORTISONE (FLORINEF) 0.1MG Tablet","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"FLUDROCORTISONE (FLORINEF) 0.1MG Tablet","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"FLUDROCORTISONE (FLORINEF) 0.1MG Tablet","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"FLUDROCORTISONE (FLORINEF) 0.1MG Tablet","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"FLUDROCORTISONE (FLORINEF) 0.1MG Tablet","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"FLUDROCORTISONE (FLORINEF) 0.1MG Tablet","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"FLUDROCORTISONE (FLORINEF) 0.1MG Tablet","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"FLUDROCORTISONE (FLORINEF) 0.1MG Tablet","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"FLUDROCORTISONE (FLORINEF) 0.1MG Tablet","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"FLUDROCORTISONE (FLORINEF) 0.1MG Tablet","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"FLUDROCORTISONE (FLORINEF) 0.1MG Tablet","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"FLUDROCORTISONE (FLORINEF) 0.1MG Tablet","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"FLUDROCORTISONE (FLORINEF) 0.1MG Tablet","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"FLUDROCORTISONE (FLORINEF) 0.1MG Tablet","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"FLUDROCORTISONE (FLORINEF) 0.1MG Tablet","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"FLUDROCORTISONE (FLORINEF) 0.1MG Tablet","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"STERILE WATER INJ 2000ML","0258","RC","Both",,,"120","60","Alliant","Health Exchange",,,"62",,"74.4","4.76","93","percent of total billed charges",,
"STERILE WATER INJ 2000ML","0258","RC","Both",,,"120","60","Pruitt Healthcare","Medicare Advantage",,,"54",,"64.8","4.76","93","percent of total billed charges",,
"STERILE WATER INJ 2000ML","0258","RC","Both",,,"120","60","Medicare",,,,"54",,"65.04","4.76","93","percent of total billed charges",,
"STERILE WATER INJ 2000ML","0258","RC","Both",,,"120","60","Humana","Medicare Advantage",,,"54",,"65.04","4.76","93","percent of total billed charges",,
"STERILE WATER INJ 2000ML","0258","RC","Both",,,"120","60","UHC","Medicare Advantage",,,"54",,"65.04","4.76","93","percent of total billed charges",,
"STERILE WATER INJ 2000ML","0258","RC","Both",,,"120","60","Clover","Medicare Advantage",,,"54",,"65.04","4.76","93","percent of total billed charges",,
"STERILE WATER INJ 2000ML","0258","RC","Both",,,"120","60","Wellcare","Medicare Advantage",,,"54",,"65.04","4.76","93","percent of total billed charges",,
"STERILE WATER INJ 2000ML","0258","RC","Both",,,"120","60","Amerigroup","Medicaid Managed Care",,,"37",,"43.92","4.76","93","percent of total billed charges",,
"STERILE WATER INJ 2000ML","0258","RC","Both",,,"120","60","Caresource","Medicaid Managed Care",,,"40",,"48","4.76","93","percent of total billed charges",,
"STERILE WATER INJ 2000ML","0258","RC","Both",,,"120","60","Wellcare","Medicaid Managed Care",,,"40",,"48.6","4.76","93","percent of total billed charges",,
"STERILE WATER INJ 2000ML","0258","RC","Both",,,"120","60","Aetna","Commercial",,,"64",,"76.56","4.76","93","percent of total billed charges",,
"STERILE WATER INJ 2000ML","0258","RC","Both",,,"120","60","Blue Cross Blue Shield","Pathways",,,"71",,"84.72","4.76","93","percent of total billed charges",,
"STERILE WATER INJ 2000ML","0258","RC","Both",,,"120","60","Blue Cross Blue Shield","HMO",,,"71",,"84.72","4.76","93","percent of total billed charges",,
"STERILE WATER INJ 2000ML","0258","RC","Both",,,"120","60","Blue Cross Blue Shield","PPO",,,"71",,"84.72","4.76","93","percent of total billed charges",,
"STERILE WATER INJ 2000ML","0258","RC","Both",,,"120","60","Ambetter","Health Exchange",,,"62",,"74.4","4.76","93","percent of total billed charges",,
"STERILE WATER INJ 2000ML","0258","RC","Both",,,"120","60","Caresource","Health Exchange",,,"62",,"74.4","4.76","93","percent of total billed charges",,
"STERILE WATER INJ 2000ML","0258","RC","Both",,,"120","60","Cigna","Commercial",,,"59",,"70.32","4.76","93","percent of total billed charges",,
"STERILE WATER INJ 2000ML","0258","RC","Both",,,"120","60","Humana","Commercial",,,"78",,"93","4.76","93","percent of total billed charges",,
"STERILE WATER INJ 2000ML","0258","RC","Both",,,"120","60","UHC","Commercial",,,"75",,"90.48","4.76","93","percent of total billed charges",,
"STERILE WATER INJ 2000ML","0258","RC","Both",,,"120","60","Medicaid",,,,"37",,"43.92","4.76","93","percent of total billed charges",,
"FLUTICASONE (FLOVENT) HFA 110MCG MDI","0637","RC","Both",,,"317","158.5","Alliant","Health Exchange",,,"62",,"196.54","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE (FLOVENT) HFA 110MCG MDI","0637","RC","Both",,,"317","158.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"171.18","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE (FLOVENT) HFA 110MCG MDI","0637","RC","Both",,,"317","158.5","Medicare",,,,"54",,"171.81","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE (FLOVENT) HFA 110MCG MDI","0637","RC","Both",,,"317","158.5","Humana","Medicare Advantage",,,"54",,"171.81","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE (FLOVENT) HFA 110MCG MDI","0637","RC","Both",,,"317","158.5","UHC","Medicare Advantage",,,"54",,"171.81","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE (FLOVENT) HFA 110MCG MDI","0637","RC","Both",,,"317","158.5","Clover","Medicare Advantage",,,"54",,"171.81","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE (FLOVENT) HFA 110MCG MDI","0637","RC","Both",,,"317","158.5","Wellcare","Medicare Advantage",,,"54",,"171.81","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE (FLOVENT) HFA 110MCG MDI","0637","RC","Both",,,"317","158.5","Amerigroup","Medicaid Managed Care",,,"37",,"116.02","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE (FLOVENT) HFA 110MCG MDI","0637","RC","Both",,,"317","158.5","Caresource","Medicaid Managed Care",,,"40",,"126.8","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE (FLOVENT) HFA 110MCG MDI","0637","RC","Both",,,"317","158.5","Wellcare","Medicaid Managed Care",,,"40",,"128.39","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE (FLOVENT) HFA 110MCG MDI","0637","RC","Both",,,"317","158.5","Aetna","Commercial",,,"64",,"202.25","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE (FLOVENT) HFA 110MCG MDI","0637","RC","Both",,,"317","158.5","Blue Cross Blue Shield","Pathways",,,"71",,"223.8","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE (FLOVENT) HFA 110MCG MDI","0637","RC","Both",,,"317","158.5","Blue Cross Blue Shield","HMO",,,"71",,"223.8","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE (FLOVENT) HFA 110MCG MDI","0637","RC","Both",,,"317","158.5","Blue Cross Blue Shield","PPO",,,"71",,"223.8","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE (FLOVENT) HFA 110MCG MDI","0637","RC","Both",,,"317","158.5","Ambetter","Health Exchange",,,"62",,"196.54","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE (FLOVENT) HFA 110MCG MDI","0637","RC","Both",,,"317","158.5","Caresource","Health Exchange",,,"62",,"196.54","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE (FLOVENT) HFA 110MCG MDI","0637","RC","Both",,,"317","158.5","Cigna","Commercial",,,"59",,"185.76","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE (FLOVENT) HFA 110MCG MDI","0637","RC","Both",,,"317","158.5","Humana","Commercial",,,"78",,"245.68","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE (FLOVENT) HFA 110MCG MDI","0637","RC","Both",,,"317","158.5","UHC","Commercial",,,"75",,"239.02","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE (FLOVENT) HFA 110MCG MDI","0637","RC","Both",,,"317","158.5","Medicaid",,,,"37",,"116.02","0.15","5264.58","percent of total billed charges",,
"ACETYLCYSTEINE (MUCOMYST) 20% VIAL: 30ML","0637","RC","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"ACETYLCYSTEINE (MUCOMYST) 20% VIAL: 30ML","0637","RC","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","0.15","5264.58","percent of total billed charges",,
"ACETYLCYSTEINE (MUCOMYST) 20% VIAL: 30ML","0637","RC","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"ACETYLCYSTEINE (MUCOMYST) 20% VIAL: 30ML","0637","RC","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"ACETYLCYSTEINE (MUCOMYST) 20% VIAL: 30ML","0637","RC","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"ACETYLCYSTEINE (MUCOMYST) 20% VIAL: 30ML","0637","RC","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"ACETYLCYSTEINE (MUCOMYST) 20% VIAL: 30ML","0637","RC","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"ACETYLCYSTEINE (MUCOMYST) 20% VIAL: 30ML","0637","RC","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"ACETYLCYSTEINE (MUCOMYST) 20% VIAL: 30ML","0637","RC","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","0.15","5264.58","percent of total billed charges",,
"ACETYLCYSTEINE (MUCOMYST) 20% VIAL: 30ML","0637","RC","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","0.15","5264.58","percent of total billed charges",,
"ACETYLCYSTEINE (MUCOMYST) 20% VIAL: 30ML","0637","RC","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","0.15","5264.58","percent of total billed charges",,
"ACETYLCYSTEINE (MUCOMYST) 20% VIAL: 30ML","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"ACETYLCYSTEINE (MUCOMYST) 20% VIAL: 30ML","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"ACETYLCYSTEINE (MUCOMYST) 20% VIAL: 30ML","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"ACETYLCYSTEINE (MUCOMYST) 20% VIAL: 30ML","0637","RC","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"ACETYLCYSTEINE (MUCOMYST) 20% VIAL: 30ML","0637","RC","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"ACETYLCYSTEINE (MUCOMYST) 20% VIAL: 30ML","0637","RC","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","0.15","5264.58","percent of total billed charges",,
"ACETYLCYSTEINE (MUCOMYST) 20% VIAL: 30ML","0637","RC","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","0.15","5264.58","percent of total billed charges",,
"ACETYLCYSTEINE (MUCOMYST) 20% VIAL: 30ML","0637","RC","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","0.15","5264.58","percent of total billed charges",,
"ACETYLCYSTEINE (MUCOMYST) 20% VIAL: 30ML","0637","RC","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"CLINDAMYCIN (CLEOCIN) CAPSULE: 150MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CLINDAMYCIN (CLEOCIN) CAPSULE: 150MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"CLINDAMYCIN (CLEOCIN) CAPSULE: 150MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CLINDAMYCIN (CLEOCIN) CAPSULE: 150MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CLINDAMYCIN (CLEOCIN) CAPSULE: 150MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CLINDAMYCIN (CLEOCIN) CAPSULE: 150MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CLINDAMYCIN (CLEOCIN) CAPSULE: 150MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CLINDAMYCIN (CLEOCIN) CAPSULE: 150MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"CLINDAMYCIN (CLEOCIN) CAPSULE: 150MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"CLINDAMYCIN (CLEOCIN) CAPSULE: 150MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"CLINDAMYCIN (CLEOCIN) CAPSULE: 150MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"CLINDAMYCIN (CLEOCIN) CAPSULE: 150MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CLINDAMYCIN (CLEOCIN) CAPSULE: 150MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CLINDAMYCIN (CLEOCIN) CAPSULE: 150MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CLINDAMYCIN (CLEOCIN) CAPSULE: 150MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CLINDAMYCIN (CLEOCIN) CAPSULE: 150MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CLINDAMYCIN (CLEOCIN) CAPSULE: 150MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"CLINDAMYCIN (CLEOCIN) CAPSULE: 150MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"CLINDAMYCIN (CLEOCIN) CAPSULE: 150MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"CLINDAMYCIN (CLEOCIN) CAPSULE: 150MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"PREDNISOLONE 1% (PRED FORTE) EYE DROPS","0637","RC","Both",,,"36","18","Alliant","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"PREDNISOLONE 1% (PRED FORTE) EYE DROPS","0637","RC","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.44","0.15","5264.58","percent of total billed charges",,
"PREDNISOLONE 1% (PRED FORTE) EYE DROPS","0637","RC","Both",,,"36","18","Medicare",,,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"PREDNISOLONE 1% (PRED FORTE) EYE DROPS","0637","RC","Both",,,"36","18","Humana","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"PREDNISOLONE 1% (PRED FORTE) EYE DROPS","0637","RC","Both",,,"36","18","UHC","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"PREDNISOLONE 1% (PRED FORTE) EYE DROPS","0637","RC","Both",,,"36","18","Clover","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"PREDNISOLONE 1% (PRED FORTE) EYE DROPS","0637","RC","Both",,,"36","18","Wellcare","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"PREDNISOLONE 1% (PRED FORTE) EYE DROPS","0637","RC","Both",,,"36","18","Amerigroup","Medicaid Managed Care",,,"37",,"13.18","0.15","5264.58","percent of total billed charges",,
"PREDNISOLONE 1% (PRED FORTE) EYE DROPS","0637","RC","Both",,,"36","18","Caresource","Medicaid Managed Care",,,"40",,"14.4","0.15","5264.58","percent of total billed charges",,
"PREDNISOLONE 1% (PRED FORTE) EYE DROPS","0637","RC","Both",,,"36","18","Wellcare","Medicaid Managed Care",,,"40",,"14.58","0.15","5264.58","percent of total billed charges",,
"PREDNISOLONE 1% (PRED FORTE) EYE DROPS","0637","RC","Both",,,"36","18","Aetna","Commercial",,,"64",,"22.97","0.15","5264.58","percent of total billed charges",,
"PREDNISOLONE 1% (PRED FORTE) EYE DROPS","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","Pathways",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"PREDNISOLONE 1% (PRED FORTE) EYE DROPS","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","HMO",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"PREDNISOLONE 1% (PRED FORTE) EYE DROPS","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","PPO",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"PREDNISOLONE 1% (PRED FORTE) EYE DROPS","0637","RC","Both",,,"36","18","Ambetter","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"PREDNISOLONE 1% (PRED FORTE) EYE DROPS","0637","RC","Both",,,"36","18","Caresource","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"PREDNISOLONE 1% (PRED FORTE) EYE DROPS","0637","RC","Both",,,"36","18","Cigna","Commercial",,,"59",,"21.1","0.15","5264.58","percent of total billed charges",,
"PREDNISOLONE 1% (PRED FORTE) EYE DROPS","0637","RC","Both",,,"36","18","Humana","Commercial",,,"78",,"27.9","0.15","5264.58","percent of total billed charges",,
"PREDNISOLONE 1% (PRED FORTE) EYE DROPS","0637","RC","Both",,,"36","18","UHC","Commercial",,,"75",,"27.14","0.15","5264.58","percent of total billed charges",,
"PREDNISOLONE 1% (PRED FORTE) EYE DROPS","0637","RC","Both",,,"36","18","Medicaid",,,,"37",,"13.18","0.15","5264.58","percent of total billed charges",,
"VITAMIN D 1000 UNITS CAPS","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"VITAMIN D 1000 UNITS CAPS","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"VITAMIN D 1000 UNITS CAPS","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"VITAMIN D 1000 UNITS CAPS","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"VITAMIN D 1000 UNITS CAPS","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"VITAMIN D 1000 UNITS CAPS","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"VITAMIN D 1000 UNITS CAPS","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"VITAMIN D 1000 UNITS CAPS","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"VITAMIN D 1000 UNITS CAPS","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"VITAMIN D 1000 UNITS CAPS","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"VITAMIN D 1000 UNITS CAPS","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"VITAMIN D 1000 UNITS CAPS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"VITAMIN D 1000 UNITS CAPS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"VITAMIN D 1000 UNITS CAPS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"VITAMIN D 1000 UNITS CAPS","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"VITAMIN D 1000 UNITS CAPS","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"VITAMIN D 1000 UNITS CAPS","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"VITAMIN D 1000 UNITS CAPS","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"VITAMIN D 1000 UNITS CAPS","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"VITAMIN D 1000 UNITS CAPS","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"INSULIN LIS MIX (HUMALG 50/50):100UNIT/M","0250","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","569.62","percent of total billed charges",,
"INSULIN LIS MIX (HUMALG 50/50):100UNIT/M","0250","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","569.62","percent of total billed charges",,
"INSULIN LIS MIX (HUMALG 50/50):100UNIT/M","0250","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","569.62","percent of total billed charges",,
"INSULIN LIS MIX (HUMALG 50/50):100UNIT/M","0250","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","569.62","percent of total billed charges",,
"INSULIN LIS MIX (HUMALG 50/50):100UNIT/M","0250","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","569.62","percent of total billed charges",,
"INSULIN LIS MIX (HUMALG 50/50):100UNIT/M","0250","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","569.62","percent of total billed charges",,
"INSULIN LIS MIX (HUMALG 50/50):100UNIT/M","0250","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","569.62","percent of total billed charges",,
"INSULIN LIS MIX (HUMALG 50/50):100UNIT/M","0250","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","569.62","percent of total billed charges",,
"INSULIN LIS MIX (HUMALG 50/50):100UNIT/M","0250","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","569.62","percent of total billed charges",,
"INSULIN LIS MIX (HUMALG 50/50):100UNIT/M","0250","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","569.62","percent of total billed charges",,
"INSULIN LIS MIX (HUMALG 50/50):100UNIT/M","0250","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","569.62","percent of total billed charges",,
"INSULIN LIS MIX (HUMALG 50/50):100UNIT/M","0250","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","569.62","percent of total billed charges",,
"INSULIN LIS MIX (HUMALG 50/50):100UNIT/M","0250","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","569.62","percent of total billed charges",,
"INSULIN LIS MIX (HUMALG 50/50):100UNIT/M","0250","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","569.62","percent of total billed charges",,
"INSULIN LIS MIX (HUMALG 50/50):100UNIT/M","0250","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","569.62","percent of total billed charges",,
"INSULIN LIS MIX (HUMALG 50/50):100UNIT/M","0250","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","569.62","percent of total billed charges",,
"INSULIN LIS MIX (HUMALG 50/50):100UNIT/M","0250","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","569.62","percent of total billed charges",,
"INSULIN LIS MIX (HUMALG 50/50):100UNIT/M","0250","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","569.62","percent of total billed charges",,
"INSULIN LIS MIX (HUMALG 50/50):100UNIT/M","0250","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","569.62","percent of total billed charges",,
"INSULIN LIS MIX (HUMALG 50/50):100UNIT/M","0250","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","569.62","percent of total billed charges",,
"MANNITOL 25% INJ 12.5GM/50ML","0250","RC","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","0.04","569.62","percent of total billed charges",,
"MANNITOL 25% INJ 12.5GM/50ML","0250","RC","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","0.04","569.62","percent of total billed charges",,
"MANNITOL 25% INJ 12.5GM/50ML","0250","RC","Both",,,"22","11","Medicare",,,,"54",,"11.92","0.04","569.62","percent of total billed charges",,
"MANNITOL 25% INJ 12.5GM/50ML","0250","RC","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","0.04","569.62","percent of total billed charges",,
"MANNITOL 25% INJ 12.5GM/50ML","0250","RC","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","0.04","569.62","percent of total billed charges",,
"MANNITOL 25% INJ 12.5GM/50ML","0250","RC","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","0.04","569.62","percent of total billed charges",,
"MANNITOL 25% INJ 12.5GM/50ML","0250","RC","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","0.04","569.62","percent of total billed charges",,
"MANNITOL 25% INJ 12.5GM/50ML","0250","RC","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","0.04","569.62","percent of total billed charges",,
"MANNITOL 25% INJ 12.5GM/50ML","0250","RC","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","0.04","569.62","percent of total billed charges",,
"MANNITOL 25% INJ 12.5GM/50ML","0250","RC","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","0.04","569.62","percent of total billed charges",,
"MANNITOL 25% INJ 12.5GM/50ML","0250","RC","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","0.04","569.62","percent of total billed charges",,
"MANNITOL 25% INJ 12.5GM/50ML","0250","RC","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","0.04","569.62","percent of total billed charges",,
"MANNITOL 25% INJ 12.5GM/50ML","0250","RC","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","0.04","569.62","percent of total billed charges",,
"MANNITOL 25% INJ 12.5GM/50ML","0250","RC","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","0.04","569.62","percent of total billed charges",,
"MANNITOL 25% INJ 12.5GM/50ML","0250","RC","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","0.04","569.62","percent of total billed charges",,
"MANNITOL 25% INJ 12.5GM/50ML","0250","RC","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","0.04","569.62","percent of total billed charges",,
"MANNITOL 25% INJ 12.5GM/50ML","0250","RC","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","0.04","569.62","percent of total billed charges",,
"MANNITOL 25% INJ 12.5GM/50ML","0250","RC","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","0.04","569.62","percent of total billed charges",,
"MANNITOL 25% INJ 12.5GM/50ML","0250","RC","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","0.04","569.62","percent of total billed charges",,
"MANNITOL 25% INJ 12.5GM/50ML","0250","RC","Both",,,"22","11","Medicaid",,,,"37",,"8.05","0.04","569.62","percent of total billed charges",,
"MEDROXYPROGESTERONE (PROVERA) TAB: 2.5MG","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"MEDROXYPROGESTERONE (PROVERA) TAB: 2.5MG","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"MEDROXYPROGESTERONE (PROVERA) TAB: 2.5MG","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"MEDROXYPROGESTERONE (PROVERA) TAB: 2.5MG","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"MEDROXYPROGESTERONE (PROVERA) TAB: 2.5MG","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"MEDROXYPROGESTERONE (PROVERA) TAB: 2.5MG","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"MEDROXYPROGESTERONE (PROVERA) TAB: 2.5MG","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"MEDROXYPROGESTERONE (PROVERA) TAB: 2.5MG","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"MEDROXYPROGESTERONE (PROVERA) TAB: 2.5MG","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"MEDROXYPROGESTERONE (PROVERA) TAB: 2.5MG","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"MEDROXYPROGESTERONE (PROVERA) TAB: 2.5MG","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"MEDROXYPROGESTERONE (PROVERA) TAB: 2.5MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"MEDROXYPROGESTERONE (PROVERA) TAB: 2.5MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"MEDROXYPROGESTERONE (PROVERA) TAB: 2.5MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"MEDROXYPROGESTERONE (PROVERA) TAB: 2.5MG","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"MEDROXYPROGESTERONE (PROVERA) TAB: 2.5MG","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"MEDROXYPROGESTERONE (PROVERA) TAB: 2.5MG","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"MEDROXYPROGESTERONE (PROVERA) TAB: 2.5MG","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"MEDROXYPROGESTERONE (PROVERA) TAB: 2.5MG","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"MEDROXYPROGESTERONE (PROVERA) TAB: 2.5MG","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN SUSP: 650MG/20.3ML","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN SUSP: 650MG/20.3ML","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN SUSP: 650MG/20.3ML","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN SUSP: 650MG/20.3ML","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN SUSP: 650MG/20.3ML","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN SUSP: 650MG/20.3ML","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN SUSP: 650MG/20.3ML","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN SUSP: 650MG/20.3ML","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN SUSP: 650MG/20.3ML","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN SUSP: 650MG/20.3ML","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN SUSP: 650MG/20.3ML","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN SUSP: 650MG/20.3ML","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN SUSP: 650MG/20.3ML","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN SUSP: 650MG/20.3ML","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN SUSP: 650MG/20.3ML","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN SUSP: 650MG/20.3ML","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN SUSP: 650MG/20.3ML","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN SUSP: 650MG/20.3ML","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN SUSP: 650MG/20.3ML","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"ACETAMINOPHEN SUSP: 650MG/20.3ML","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"NYSTATIN OINTMENT 100,000UNITS/GM","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NYSTATIN OINTMENT 100,000UNITS/GM","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"NYSTATIN OINTMENT 100,000UNITS/GM","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NYSTATIN OINTMENT 100,000UNITS/GM","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NYSTATIN OINTMENT 100,000UNITS/GM","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NYSTATIN OINTMENT 100,000UNITS/GM","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NYSTATIN OINTMENT 100,000UNITS/GM","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NYSTATIN OINTMENT 100,000UNITS/GM","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"NYSTATIN OINTMENT 100,000UNITS/GM","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"NYSTATIN OINTMENT 100,000UNITS/GM","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"NYSTATIN OINTMENT 100,000UNITS/GM","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"NYSTATIN OINTMENT 100,000UNITS/GM","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NYSTATIN OINTMENT 100,000UNITS/GM","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NYSTATIN OINTMENT 100,000UNITS/GM","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NYSTATIN OINTMENT 100,000UNITS/GM","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NYSTATIN OINTMENT 100,000UNITS/GM","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NYSTATIN OINTMENT 100,000UNITS/GM","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"NYSTATIN OINTMENT 100,000UNITS/GM","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"NYSTATIN OINTMENT 100,000UNITS/GM","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"NYSTATIN OINTMENT 100,000UNITS/GM","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"HUMULIN 70/30 (NOVOLN 70/30):100UNITS/ML","0250","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","569.62","percent of total billed charges",,
"HUMULIN 70/30 (NOVOLN 70/30):100UNITS/ML","0250","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"HUMULIN 70/30 (NOVOLN 70/30):100UNITS/ML","0250","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"HUMULIN 70/30 (NOVOLN 70/30):100UNITS/ML","0250","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"HUMULIN 70/30 (NOVOLN 70/30):100UNITS/ML","0250","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"HUMULIN 70/30 (NOVOLN 70/30):100UNITS/ML","0250","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"HUMULIN 70/30 (NOVOLN 70/30):100UNITS/ML","0250","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"HUMULIN 70/30 (NOVOLN 70/30):100UNITS/ML","0250","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","569.62","percent of total billed charges",,
"HUMULIN 70/30 (NOVOLN 70/30):100UNITS/ML","0250","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","569.62","percent of total billed charges",,
"HUMULIN 70/30 (NOVOLN 70/30):100UNITS/ML","0250","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","569.62","percent of total billed charges",,
"HUMULIN 70/30 (NOVOLN 70/30):100UNITS/ML","0250","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","569.62","percent of total billed charges",,
"HUMULIN 70/30 (NOVOLN 70/30):100UNITS/ML","0250","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","569.62","percent of total billed charges",,
"HUMULIN 70/30 (NOVOLN 70/30):100UNITS/ML","0250","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","569.62","percent of total billed charges",,
"HUMULIN 70/30 (NOVOLN 70/30):100UNITS/ML","0250","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","569.62","percent of total billed charges",,
"HUMULIN 70/30 (NOVOLN 70/30):100UNITS/ML","0250","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","569.62","percent of total billed charges",,
"HUMULIN 70/30 (NOVOLN 70/30):100UNITS/ML","0250","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","569.62","percent of total billed charges",,
"HUMULIN 70/30 (NOVOLN 70/30):100UNITS/ML","0250","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","569.62","percent of total billed charges",,
"HUMULIN 70/30 (NOVOLN 70/30):100UNITS/ML","0250","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","569.62","percent of total billed charges",,
"HUMULIN 70/30 (NOVOLN 70/30):100UNITS/ML","0250","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","569.62","percent of total billed charges",,
"HUMULIN 70/30 (NOVOLN 70/30):100UNITS/ML","0250","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","569.62","percent of total billed charges",,
"MORPHINE (ROXANOL) ORAL SOLN: 10MG/0.5ML","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"MORPHINE (ROXANOL) ORAL SOLN: 10MG/0.5ML","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"MORPHINE (ROXANOL) ORAL SOLN: 10MG/0.5ML","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"MORPHINE (ROXANOL) ORAL SOLN: 10MG/0.5ML","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"MORPHINE (ROXANOL) ORAL SOLN: 10MG/0.5ML","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"MORPHINE (ROXANOL) ORAL SOLN: 10MG/0.5ML","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"MORPHINE (ROXANOL) ORAL SOLN: 10MG/0.5ML","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"MORPHINE (ROXANOL) ORAL SOLN: 10MG/0.5ML","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"MORPHINE (ROXANOL) ORAL SOLN: 10MG/0.5ML","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"MORPHINE (ROXANOL) ORAL SOLN: 10MG/0.5ML","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"MORPHINE (ROXANOL) ORAL SOLN: 10MG/0.5ML","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"MORPHINE (ROXANOL) ORAL SOLN: 10MG/0.5ML","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"MORPHINE (ROXANOL) ORAL SOLN: 10MG/0.5ML","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"MORPHINE (ROXANOL) ORAL SOLN: 10MG/0.5ML","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"MORPHINE (ROXANOL) ORAL SOLN: 10MG/0.5ML","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"MORPHINE (ROXANOL) ORAL SOLN: 10MG/0.5ML","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"MORPHINE (ROXANOL) ORAL SOLN: 10MG/0.5ML","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"MORPHINE (ROXANOL) ORAL SOLN: 10MG/0.5ML","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"MORPHINE (ROXANOL) ORAL SOLN: 10MG/0.5ML","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"MORPHINE (ROXANOL) ORAL SOLN: 10MG/0.5ML","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"MORPHINE IMMEDIATE REL (MS IR) 15 MG TAB","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"MORPHINE IMMEDIATE REL (MS IR) 15 MG TAB","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"MORPHINE IMMEDIATE REL (MS IR) 15 MG TAB","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"MORPHINE IMMEDIATE REL (MS IR) 15 MG TAB","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"MORPHINE IMMEDIATE REL (MS IR) 15 MG TAB","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"MORPHINE IMMEDIATE REL (MS IR) 15 MG TAB","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"MORPHINE IMMEDIATE REL (MS IR) 15 MG TAB","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"MORPHINE IMMEDIATE REL (MS IR) 15 MG TAB","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"MORPHINE IMMEDIATE REL (MS IR) 15 MG TAB","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"MORPHINE IMMEDIATE REL (MS IR) 15 MG TAB","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"MORPHINE IMMEDIATE REL (MS IR) 15 MG TAB","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"MORPHINE IMMEDIATE REL (MS IR) 15 MG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"MORPHINE IMMEDIATE REL (MS IR) 15 MG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"MORPHINE IMMEDIATE REL (MS IR) 15 MG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"MORPHINE IMMEDIATE REL (MS IR) 15 MG TAB","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"MORPHINE IMMEDIATE REL (MS IR) 15 MG TAB","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"MORPHINE IMMEDIATE REL (MS IR) 15 MG TAB","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"MORPHINE IMMEDIATE REL (MS IR) 15 MG TAB","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"MORPHINE IMMEDIATE REL (MS IR) 15 MG TAB","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"MORPHINE IMMEDIATE REL (MS IR) 15 MG TAB","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"CHOLESTYRAMINE (QUESTRAN) POWDR: 4GM","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"CHOLESTYRAMINE (QUESTRAN) POWDR: 4GM","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"CHOLESTYRAMINE (QUESTRAN) POWDR: 4GM","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"CHOLESTYRAMINE (QUESTRAN) POWDR: 4GM","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"CHOLESTYRAMINE (QUESTRAN) POWDR: 4GM","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"CHOLESTYRAMINE (QUESTRAN) POWDR: 4GM","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"CHOLESTYRAMINE (QUESTRAN) POWDR: 4GM","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"CHOLESTYRAMINE (QUESTRAN) POWDR: 4GM","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"CHOLESTYRAMINE (QUESTRAN) POWDR: 4GM","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"CHOLESTYRAMINE (QUESTRAN) POWDR: 4GM","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"CHOLESTYRAMINE (QUESTRAN) POWDR: 4GM","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"CHOLESTYRAMINE (QUESTRAN) POWDR: 4GM","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"CHOLESTYRAMINE (QUESTRAN) POWDR: 4GM","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"CHOLESTYRAMINE (QUESTRAN) POWDR: 4GM","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"CHOLESTYRAMINE (QUESTRAN) POWDR: 4GM","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"CHOLESTYRAMINE (QUESTRAN) POWDR: 4GM","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"CHOLESTYRAMINE (QUESTRAN) POWDR: 4GM","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"CHOLESTYRAMINE (QUESTRAN) POWDR: 4GM","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"CHOLESTYRAMINE (QUESTRAN) POWDR: 4GM","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"CHOLESTYRAMINE (QUESTRAN) POWDR: 4GM","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"DOXEPIN (SINEQUAN) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DOXEPIN (SINEQUAN) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"DOXEPIN (SINEQUAN) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DOXEPIN (SINEQUAN) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DOXEPIN (SINEQUAN) CAPSULE: 10MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DOXEPIN (SINEQUAN) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DOXEPIN (SINEQUAN) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"DOXEPIN (SINEQUAN) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"DOXEPIN (SINEQUAN) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"DOXEPIN (SINEQUAN) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"DOXEPIN (SINEQUAN) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"DOXEPIN (SINEQUAN) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DOXEPIN (SINEQUAN) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DOXEPIN (SINEQUAN) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"DOXEPIN (SINEQUAN) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DOXEPIN (SINEQUAN) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"DOXEPIN (SINEQUAN) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"DOXEPIN (SINEQUAN) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"DOXEPIN (SINEQUAN) CAPSULE: 10MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"DOXEPIN (SINEQUAN) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.1 MG/HR PATCH","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.1 MG/HR PATCH","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.1 MG/HR PATCH","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.1 MG/HR PATCH","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.1 MG/HR PATCH","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.1 MG/HR PATCH","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.1 MG/HR PATCH","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.1 MG/HR PATCH","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.1 MG/HR PATCH","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.1 MG/HR PATCH","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.1 MG/HR PATCH","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.1 MG/HR PATCH","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.1 MG/HR PATCH","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.1 MG/HR PATCH","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.1 MG/HR PATCH","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.1 MG/HR PATCH","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.1 MG/HR PATCH","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.1 MG/HR PATCH","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.1 MG/HR PATCH","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.1 MG/HR PATCH","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"PRIMIDONE (MYSOLINE) 50 MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PRIMIDONE (MYSOLINE) 50 MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"PRIMIDONE (MYSOLINE) 50 MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PRIMIDONE (MYSOLINE) 50 MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PRIMIDONE (MYSOLINE) 50 MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PRIMIDONE (MYSOLINE) 50 MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PRIMIDONE (MYSOLINE) 50 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PRIMIDONE (MYSOLINE) 50 MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"PRIMIDONE (MYSOLINE) 50 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"PRIMIDONE (MYSOLINE) 50 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"PRIMIDONE (MYSOLINE) 50 MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"PRIMIDONE (MYSOLINE) 50 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PRIMIDONE (MYSOLINE) 50 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PRIMIDONE (MYSOLINE) 50 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PRIMIDONE (MYSOLINE) 50 MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PRIMIDONE (MYSOLINE) 50 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PRIMIDONE (MYSOLINE) 50 MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"PRIMIDONE (MYSOLINE) 50 MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"PRIMIDONE (MYSOLINE) 50 MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"PRIMIDONE (MYSOLINE) 50 MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 1 MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 1 MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 1 MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 1 MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 1 MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 1 MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 1 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 1 MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 1 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 1 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 1 MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 1 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 1 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 1 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 1 MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 1 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 1 MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 1 MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 1 MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 1 MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NORMAL SALINE 1000ML IRRIGATION","0258","RC","Both",,,"23","11.5","Alliant","Health Exchange",,,"62",,"14.26","4.76","93","percent of total billed charges",,
"NORMAL SALINE 1000ML IRRIGATION","0258","RC","Both",,,"23","11.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.42","4.76","93","percent of total billed charges",,
"NORMAL SALINE 1000ML IRRIGATION","0258","RC","Both",,,"23","11.5","Medicare",,,,"54",,"12.47","4.76","93","percent of total billed charges",,
"NORMAL SALINE 1000ML IRRIGATION","0258","RC","Both",,,"23","11.5","Humana","Medicare Advantage",,,"54",,"12.47","4.76","93","percent of total billed charges",,
"NORMAL SALINE 1000ML IRRIGATION","0258","RC","Both",,,"23","11.5","UHC","Medicare Advantage",,,"54",,"12.47","4.76","93","percent of total billed charges",,
"NORMAL SALINE 1000ML IRRIGATION","0258","RC","Both",,,"23","11.5","Clover","Medicare Advantage",,,"54",,"12.47","4.76","93","percent of total billed charges",,
"NORMAL SALINE 1000ML IRRIGATION","0258","RC","Both",,,"23","11.5","Wellcare","Medicare Advantage",,,"54",,"12.47","4.76","93","percent of total billed charges",,
"NORMAL SALINE 1000ML IRRIGATION","0258","RC","Both",,,"23","11.5","Amerigroup","Medicaid Managed Care",,,"37",,"8.42","4.76","93","percent of total billed charges",,
"NORMAL SALINE 1000ML IRRIGATION","0258","RC","Both",,,"23","11.5","Caresource","Medicaid Managed Care",,,"40",,"9.2","4.76","93","percent of total billed charges",,
"NORMAL SALINE 1000ML IRRIGATION","0258","RC","Both",,,"23","11.5","Wellcare","Medicaid Managed Care",,,"40",,"9.32","4.76","93","percent of total billed charges",,
"NORMAL SALINE 1000ML IRRIGATION","0258","RC","Both",,,"23","11.5","Aetna","Commercial",,,"64",,"14.67","4.76","93","percent of total billed charges",,
"NORMAL SALINE 1000ML IRRIGATION","0258","RC","Both",,,"23","11.5","Blue Cross Blue Shield","Pathways",,,"71",,"16.24","4.76","93","percent of total billed charges",,
"NORMAL SALINE 1000ML IRRIGATION","0258","RC","Both",,,"23","11.5","Blue Cross Blue Shield","HMO",,,"71",,"16.24","4.76","93","percent of total billed charges",,
"NORMAL SALINE 1000ML IRRIGATION","0258","RC","Both",,,"23","11.5","Blue Cross Blue Shield","PPO",,,"71",,"16.24","4.76","93","percent of total billed charges",,
"NORMAL SALINE 1000ML IRRIGATION","0258","RC","Both",,,"23","11.5","Ambetter","Health Exchange",,,"62",,"14.26","4.76","93","percent of total billed charges",,
"NORMAL SALINE 1000ML IRRIGATION","0258","RC","Both",,,"23","11.5","Caresource","Health Exchange",,,"62",,"14.26","4.76","93","percent of total billed charges",,
"NORMAL SALINE 1000ML IRRIGATION","0258","RC","Both",,,"23","11.5","Cigna","Commercial",,,"59",,"13.48","4.76","93","percent of total billed charges",,
"NORMAL SALINE 1000ML IRRIGATION","0258","RC","Both",,,"23","11.5","Humana","Commercial",,,"78",,"17.82","4.76","93","percent of total billed charges",,
"NORMAL SALINE 1000ML IRRIGATION","0258","RC","Both",,,"23","11.5","UHC","Commercial",,,"75",,"17.34","4.76","93","percent of total billed charges",,
"NORMAL SALINE 1000ML IRRIGATION","0258","RC","Both",,,"23","11.5","Medicaid",,,,"37",,"8.42","4.76","93","percent of total billed charges",,
"RIFAMPIN 150 MG CAPSULE","0637","RC","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"RIFAMPIN 150 MG CAPSULE","0637","RC","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","0.15","5264.58","percent of total billed charges",,
"RIFAMPIN 150 MG CAPSULE","0637","RC","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"RIFAMPIN 150 MG CAPSULE","0637","RC","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"RIFAMPIN 150 MG CAPSULE","0637","RC","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"RIFAMPIN 150 MG CAPSULE","0637","RC","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"RIFAMPIN 150 MG CAPSULE","0637","RC","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"RIFAMPIN 150 MG CAPSULE","0637","RC","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"RIFAMPIN 150 MG CAPSULE","0637","RC","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","0.15","5264.58","percent of total billed charges",,
"RIFAMPIN 150 MG CAPSULE","0637","RC","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.15","5264.58","percent of total billed charges",,
"RIFAMPIN 150 MG CAPSULE","0637","RC","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","0.15","5264.58","percent of total billed charges",,
"RIFAMPIN 150 MG CAPSULE","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"RIFAMPIN 150 MG CAPSULE","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"RIFAMPIN 150 MG CAPSULE","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"RIFAMPIN 150 MG CAPSULE","0637","RC","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"RIFAMPIN 150 MG CAPSULE","0637","RC","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"RIFAMPIN 150 MG CAPSULE","0637","RC","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","0.15","5264.58","percent of total billed charges",,
"RIFAMPIN 150 MG CAPSULE","0637","RC","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","0.15","5264.58","percent of total billed charges",,
"RIFAMPIN 150 MG CAPSULE","0637","RC","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","0.15","5264.58","percent of total billed charges",,
"RIFAMPIN 150 MG CAPSULE","0637","RC","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"LUBRIDERM LOTION 6 OZ BOTTLE","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"LUBRIDERM LOTION 6 OZ BOTTLE","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"LUBRIDERM LOTION 6 OZ BOTTLE","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"LUBRIDERM LOTION 6 OZ BOTTLE","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"LUBRIDERM LOTION 6 OZ BOTTLE","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"LUBRIDERM LOTION 6 OZ BOTTLE","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"LUBRIDERM LOTION 6 OZ BOTTLE","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"LUBRIDERM LOTION 6 OZ BOTTLE","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"LUBRIDERM LOTION 6 OZ BOTTLE","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"LUBRIDERM LOTION 6 OZ BOTTLE","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"LUBRIDERM LOTION 6 OZ BOTTLE","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"LUBRIDERM LOTION 6 OZ BOTTLE","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"LUBRIDERM LOTION 6 OZ BOTTLE","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"LUBRIDERM LOTION 6 OZ BOTTLE","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"LUBRIDERM LOTION 6 OZ BOTTLE","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"LUBRIDERM LOTION 6 OZ BOTTLE","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"LUBRIDERM LOTION 6 OZ BOTTLE","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"LUBRIDERM LOTION 6 OZ BOTTLE","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"LUBRIDERM LOTION 6 OZ BOTTLE","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"LUBRIDERM LOTION 6 OZ BOTTLE","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"ACYCLOVIR (ZOVIRAX) 500 MG INJECTION","0250","RC","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"ACYCLOVIR (ZOVIRAX) 500 MG INJECTION","0250","RC","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","0.04","569.62","percent of total billed charges",,
"ACYCLOVIR (ZOVIRAX) 500 MG INJECTION","0250","RC","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"ACYCLOVIR (ZOVIRAX) 500 MG INJECTION","0250","RC","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"ACYCLOVIR (ZOVIRAX) 500 MG INJECTION","0250","RC","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"ACYCLOVIR (ZOVIRAX) 500 MG INJECTION","0250","RC","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"ACYCLOVIR (ZOVIRAX) 500 MG INJECTION","0250","RC","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"ACYCLOVIR (ZOVIRAX) 500 MG INJECTION","0250","RC","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","0.04","569.62","percent of total billed charges",,
"ACYCLOVIR (ZOVIRAX) 500 MG INJECTION","0250","RC","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","0.04","569.62","percent of total billed charges",,
"ACYCLOVIR (ZOVIRAX) 500 MG INJECTION","0250","RC","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","0.04","569.62","percent of total billed charges",,
"ACYCLOVIR (ZOVIRAX) 500 MG INJECTION","0250","RC","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","0.04","569.62","percent of total billed charges",,
"ACYCLOVIR (ZOVIRAX) 500 MG INJECTION","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"ACYCLOVIR (ZOVIRAX) 500 MG INJECTION","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"ACYCLOVIR (ZOVIRAX) 500 MG INJECTION","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"ACYCLOVIR (ZOVIRAX) 500 MG INJECTION","0250","RC","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"ACYCLOVIR (ZOVIRAX) 500 MG INJECTION","0250","RC","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"ACYCLOVIR (ZOVIRAX) 500 MG INJECTION","0250","RC","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","0.04","569.62","percent of total billed charges",,
"ACYCLOVIR (ZOVIRAX) 500 MG INJECTION","0250","RC","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","0.04","569.62","percent of total billed charges",,
"ACYCLOVIR (ZOVIRAX) 500 MG INJECTION","0250","RC","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","0.04","569.62","percent of total billed charges",,
"ACYCLOVIR (ZOVIRAX) 500 MG INJECTION","0250","RC","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","0.04","569.62","percent of total billed charges",,
"FINASTERIDE (PROSCAR) 5MG Tablet","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"FINASTERIDE (PROSCAR) 5MG Tablet","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"FINASTERIDE (PROSCAR) 5MG Tablet","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"FINASTERIDE (PROSCAR) 5MG Tablet","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"FINASTERIDE (PROSCAR) 5MG Tablet","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"FINASTERIDE (PROSCAR) 5MG Tablet","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"FINASTERIDE (PROSCAR) 5MG Tablet","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"FINASTERIDE (PROSCAR) 5MG Tablet","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"FINASTERIDE (PROSCAR) 5MG Tablet","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"FINASTERIDE (PROSCAR) 5MG Tablet","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"FINASTERIDE (PROSCAR) 5MG Tablet","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"FINASTERIDE (PROSCAR) 5MG Tablet","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"FINASTERIDE (PROSCAR) 5MG Tablet","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"FINASTERIDE (PROSCAR) 5MG Tablet","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"FINASTERIDE (PROSCAR) 5MG Tablet","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"FINASTERIDE (PROSCAR) 5MG Tablet","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"FINASTERIDE (PROSCAR) 5MG Tablet","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"FINASTERIDE (PROSCAR) 5MG Tablet","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"FINASTERIDE (PROSCAR) 5MG Tablet","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"FINASTERIDE (PROSCAR) 5MG Tablet","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"WATER FOR INJECTION 20 ML VIAL","0250","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.04","569.62","percent of total billed charges",,
"WATER FOR INJECTION 20 ML VIAL","0250","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.04","569.62","percent of total billed charges",,
"WATER FOR INJECTION 20 ML VIAL","0250","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"WATER FOR INJECTION 20 ML VIAL","0250","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"WATER FOR INJECTION 20 ML VIAL","0250","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"WATER FOR INJECTION 20 ML VIAL","0250","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"WATER FOR INJECTION 20 ML VIAL","0250","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"WATER FOR INJECTION 20 ML VIAL","0250","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.04","569.62","percent of total billed charges",,
"WATER FOR INJECTION 20 ML VIAL","0250","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.04","569.62","percent of total billed charges",,
"WATER FOR INJECTION 20 ML VIAL","0250","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.04","569.62","percent of total billed charges",,
"WATER FOR INJECTION 20 ML VIAL","0250","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.04","569.62","percent of total billed charges",,
"WATER FOR INJECTION 20 ML VIAL","0250","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.04","569.62","percent of total billed charges",,
"WATER FOR INJECTION 20 ML VIAL","0250","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.04","569.62","percent of total billed charges",,
"WATER FOR INJECTION 20 ML VIAL","0250","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.04","569.62","percent of total billed charges",,
"WATER FOR INJECTION 20 ML VIAL","0250","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.04","569.62","percent of total billed charges",,
"WATER FOR INJECTION 20 ML VIAL","0250","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.04","569.62","percent of total billed charges",,
"WATER FOR INJECTION 20 ML VIAL","0250","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.04","569.62","percent of total billed charges",,
"WATER FOR INJECTION 20 ML VIAL","0250","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.04","569.62","percent of total billed charges",,
"WATER FOR INJECTION 20 ML VIAL","0250","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.04","569.62","percent of total billed charges",,
"WATER FOR INJECTION 20 ML VIAL","0250","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.04","569.62","percent of total billed charges",,
"GUAIF/DM (MUCINEX DM) TABLET: 600MG/30MG","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"GUAIF/DM (MUCINEX DM) TABLET: 600MG/30MG","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"GUAIF/DM (MUCINEX DM) TABLET: 600MG/30MG","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"GUAIF/DM (MUCINEX DM) TABLET: 600MG/30MG","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"GUAIF/DM (MUCINEX DM) TABLET: 600MG/30MG","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"GUAIF/DM (MUCINEX DM) TABLET: 600MG/30MG","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"GUAIF/DM (MUCINEX DM) TABLET: 600MG/30MG","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"GUAIF/DM (MUCINEX DM) TABLET: 600MG/30MG","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"GUAIF/DM (MUCINEX DM) TABLET: 600MG/30MG","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"GUAIF/DM (MUCINEX DM) TABLET: 600MG/30MG","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"GUAIF/DM (MUCINEX DM) TABLET: 600MG/30MG","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"GUAIF/DM (MUCINEX DM) TABLET: 600MG/30MG","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"GUAIF/DM (MUCINEX DM) TABLET: 600MG/30MG","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"GUAIF/DM (MUCINEX DM) TABLET: 600MG/30MG","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"GUAIF/DM (MUCINEX DM) TABLET: 600MG/30MG","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"GUAIF/DM (MUCINEX DM) TABLET: 600MG/30MG","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"GUAIF/DM (MUCINEX DM) TABLET: 600MG/30MG","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"GUAIF/DM (MUCINEX DM) TABLET: 600MG/30MG","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"GUAIF/DM (MUCINEX DM) TABLET: 600MG/30MG","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"GUAIF/DM (MUCINEX DM) TABLET: 600MG/30MG","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTIN) 200/28.5MG/5ML SUS","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTIN) 200/28.5MG/5ML SUS","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTIN) 200/28.5MG/5ML SUS","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTIN) 200/28.5MG/5ML SUS","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTIN) 200/28.5MG/5ML SUS","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTIN) 200/28.5MG/5ML SUS","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTIN) 200/28.5MG/5ML SUS","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTIN) 200/28.5MG/5ML SUS","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTIN) 200/28.5MG/5ML SUS","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTIN) 200/28.5MG/5ML SUS","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTIN) 200/28.5MG/5ML SUS","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTIN) 200/28.5MG/5ML SUS","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTIN) 200/28.5MG/5ML SUS","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTIN) 200/28.5MG/5ML SUS","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTIN) 200/28.5MG/5ML SUS","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTIN) 200/28.5MG/5ML SUS","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTIN) 200/28.5MG/5ML SUS","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTIN) 200/28.5MG/5ML SUS","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTIN) 200/28.5MG/5ML SUS","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"AMOX/CLAV (AUGMENTIN) 200/28.5MG/5ML SUS","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE 0.12% (PERIDEX) RINSE:16OZ","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE 0.12% (PERIDEX) RINSE:16OZ","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE 0.12% (PERIDEX) RINSE:16OZ","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE 0.12% (PERIDEX) RINSE:16OZ","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE 0.12% (PERIDEX) RINSE:16OZ","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE 0.12% (PERIDEX) RINSE:16OZ","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE 0.12% (PERIDEX) RINSE:16OZ","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE 0.12% (PERIDEX) RINSE:16OZ","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE 0.12% (PERIDEX) RINSE:16OZ","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE 0.12% (PERIDEX) RINSE:16OZ","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE 0.12% (PERIDEX) RINSE:16OZ","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE 0.12% (PERIDEX) RINSE:16OZ","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE 0.12% (PERIDEX) RINSE:16OZ","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE 0.12% (PERIDEX) RINSE:16OZ","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE 0.12% (PERIDEX) RINSE:16OZ","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE 0.12% (PERIDEX) RINSE:16OZ","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE 0.12% (PERIDEX) RINSE:16OZ","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE 0.12% (PERIDEX) RINSE:16OZ","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE 0.12% (PERIDEX) RINSE:16OZ","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE 0.12% (PERIDEX) RINSE:16OZ","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"SODIUM CHLORIDE 0.9% INH 3ML AMP","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"SODIUM CHLORIDE 0.9% INH 3ML AMP","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"SODIUM CHLORIDE 0.9% INH 3ML AMP","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SODIUM CHLORIDE 0.9% INH 3ML AMP","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SODIUM CHLORIDE 0.9% INH 3ML AMP","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SODIUM CHLORIDE 0.9% INH 3ML AMP","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SODIUM CHLORIDE 0.9% INH 3ML AMP","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SODIUM CHLORIDE 0.9% INH 3ML AMP","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"SODIUM CHLORIDE 0.9% INH 3ML AMP","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"SODIUM CHLORIDE 0.9% INH 3ML AMP","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"SODIUM CHLORIDE 0.9% INH 3ML AMP","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"SODIUM CHLORIDE 0.9% INH 3ML AMP","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"SODIUM CHLORIDE 0.9% INH 3ML AMP","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"SODIUM CHLORIDE 0.9% INH 3ML AMP","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"SODIUM CHLORIDE 0.9% INH 3ML AMP","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"SODIUM CHLORIDE 0.9% INH 3ML AMP","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"SODIUM CHLORIDE 0.9% INH 3ML AMP","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"SODIUM CHLORIDE 0.9% INH 3ML AMP","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"SODIUM CHLORIDE 0.9% INH 3ML AMP","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"SODIUM CHLORIDE 0.9% INH 3ML AMP","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 12MCG/HR Patch","0637","RC","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 12MCG/HR Patch","0637","RC","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 12MCG/HR Patch","0637","RC","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 12MCG/HR Patch","0637","RC","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 12MCG/HR Patch","0637","RC","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 12MCG/HR Patch","0637","RC","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 12MCG/HR Patch","0637","RC","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 12MCG/HR Patch","0637","RC","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 12MCG/HR Patch","0637","RC","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 12MCG/HR Patch","0637","RC","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 12MCG/HR Patch","0637","RC","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 12MCG/HR Patch","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 12MCG/HR Patch","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 12MCG/HR Patch","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 12MCG/HR Patch","0637","RC","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 12MCG/HR Patch","0637","RC","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 12MCG/HR Patch","0637","RC","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 12MCG/HR Patch","0637","RC","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 12MCG/HR Patch","0637","RC","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","0.15","5264.58","percent of total billed charges",,
"FENTANYL (DURAGESIC) 12MCG/HR Patch","0637","RC","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"BETAMETHASONE (DIPROLENE) 0.05% CRM 15GM","0637","RC","Both",,,"63","31.5","Alliant","Health Exchange",,,"62",,"39.06","0.15","5264.58","percent of total billed charges",,
"BETAMETHASONE (DIPROLENE) 0.05% CRM 15GM","0637","RC","Both",,,"63","31.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"34.02","0.15","5264.58","percent of total billed charges",,
"BETAMETHASONE (DIPROLENE) 0.05% CRM 15GM","0637","RC","Both",,,"63","31.5","Medicare",,,,"54",,"34.15","0.15","5264.58","percent of total billed charges",,
"BETAMETHASONE (DIPROLENE) 0.05% CRM 15GM","0637","RC","Both",,,"63","31.5","Humana","Medicare Advantage",,,"54",,"34.15","0.15","5264.58","percent of total billed charges",,
"BETAMETHASONE (DIPROLENE) 0.05% CRM 15GM","0637","RC","Both",,,"63","31.5","UHC","Medicare Advantage",,,"54",,"34.15","0.15","5264.58","percent of total billed charges",,
"BETAMETHASONE (DIPROLENE) 0.05% CRM 15GM","0637","RC","Both",,,"63","31.5","Clover","Medicare Advantage",,,"54",,"34.15","0.15","5264.58","percent of total billed charges",,
"BETAMETHASONE (DIPROLENE) 0.05% CRM 15GM","0637","RC","Both",,,"63","31.5","Wellcare","Medicare Advantage",,,"54",,"34.15","0.15","5264.58","percent of total billed charges",,
"BETAMETHASONE (DIPROLENE) 0.05% CRM 15GM","0637","RC","Both",,,"63","31.5","Amerigroup","Medicaid Managed Care",,,"37",,"23.06","0.15","5264.58","percent of total billed charges",,
"BETAMETHASONE (DIPROLENE) 0.05% CRM 15GM","0637","RC","Both",,,"63","31.5","Caresource","Medicaid Managed Care",,,"40",,"25.2","0.15","5264.58","percent of total billed charges",,
"BETAMETHASONE (DIPROLENE) 0.05% CRM 15GM","0637","RC","Both",,,"63","31.5","Wellcare","Medicaid Managed Care",,,"40",,"25.52","0.15","5264.58","percent of total billed charges",,
"BETAMETHASONE (DIPROLENE) 0.05% CRM 15GM","0637","RC","Both",,,"63","31.5","Aetna","Commercial",,,"64",,"40.19","0.15","5264.58","percent of total billed charges",,
"BETAMETHASONE (DIPROLENE) 0.05% CRM 15GM","0637","RC","Both",,,"63","31.5","Blue Cross Blue Shield","Pathways",,,"71",,"44.48","0.15","5264.58","percent of total billed charges",,
"BETAMETHASONE (DIPROLENE) 0.05% CRM 15GM","0637","RC","Both",,,"63","31.5","Blue Cross Blue Shield","HMO",,,"71",,"44.48","0.15","5264.58","percent of total billed charges",,
"BETAMETHASONE (DIPROLENE) 0.05% CRM 15GM","0637","RC","Both",,,"63","31.5","Blue Cross Blue Shield","PPO",,,"71",,"44.48","0.15","5264.58","percent of total billed charges",,
"BETAMETHASONE (DIPROLENE) 0.05% CRM 15GM","0637","RC","Both",,,"63","31.5","Ambetter","Health Exchange",,,"62",,"39.06","0.15","5264.58","percent of total billed charges",,
"BETAMETHASONE (DIPROLENE) 0.05% CRM 15GM","0637","RC","Both",,,"63","31.5","Caresource","Health Exchange",,,"62",,"39.06","0.15","5264.58","percent of total billed charges",,
"BETAMETHASONE (DIPROLENE) 0.05% CRM 15GM","0637","RC","Both",,,"63","31.5","Cigna","Commercial",,,"59",,"36.92","0.15","5264.58","percent of total billed charges",,
"BETAMETHASONE (DIPROLENE) 0.05% CRM 15GM","0637","RC","Both",,,"63","31.5","Humana","Commercial",,,"78",,"48.82","0.15","5264.58","percent of total billed charges",,
"BETAMETHASONE (DIPROLENE) 0.05% CRM 15GM","0637","RC","Both",,,"63","31.5","UHC","Commercial",,,"75",,"47.5","0.15","5264.58","percent of total billed charges",,
"BETAMETHASONE (DIPROLENE) 0.05% CRM 15GM","0637","RC","Both",,,"63","31.5","Medicaid",,,,"37",,"23.06","0.15","5264.58","percent of total billed charges",,
"PIPERONYL/PYRETHRUM (RID) SHAMPOO","0637","RC","Both",,,"49","24.5","Alliant","Health Exchange",,,"62",,"30.38","0.15","5264.58","percent of total billed charges",,
"PIPERONYL/PYRETHRUM (RID) SHAMPOO","0637","RC","Both",,,"49","24.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"26.46","0.15","5264.58","percent of total billed charges",,
"PIPERONYL/PYRETHRUM (RID) SHAMPOO","0637","RC","Both",,,"49","24.5","Medicare",,,,"54",,"26.56","0.15","5264.58","percent of total billed charges",,
"PIPERONYL/PYRETHRUM (RID) SHAMPOO","0637","RC","Both",,,"49","24.5","Humana","Medicare Advantage",,,"54",,"26.56","0.15","5264.58","percent of total billed charges",,
"PIPERONYL/PYRETHRUM (RID) SHAMPOO","0637","RC","Both",,,"49","24.5","UHC","Medicare Advantage",,,"54",,"26.56","0.15","5264.58","percent of total billed charges",,
"PIPERONYL/PYRETHRUM (RID) SHAMPOO","0637","RC","Both",,,"49","24.5","Clover","Medicare Advantage",,,"54",,"26.56","0.15","5264.58","percent of total billed charges",,
"PIPERONYL/PYRETHRUM (RID) SHAMPOO","0637","RC","Both",,,"49","24.5","Wellcare","Medicare Advantage",,,"54",,"26.56","0.15","5264.58","percent of total billed charges",,
"PIPERONYL/PYRETHRUM (RID) SHAMPOO","0637","RC","Both",,,"49","24.5","Amerigroup","Medicaid Managed Care",,,"37",,"17.93","0.15","5264.58","percent of total billed charges",,
"PIPERONYL/PYRETHRUM (RID) SHAMPOO","0637","RC","Both",,,"49","24.5","Caresource","Medicaid Managed Care",,,"40",,"19.6","0.15","5264.58","percent of total billed charges",,
"PIPERONYL/PYRETHRUM (RID) SHAMPOO","0637","RC","Both",,,"49","24.5","Wellcare","Medicaid Managed Care",,,"40",,"19.85","0.15","5264.58","percent of total billed charges",,
"PIPERONYL/PYRETHRUM (RID) SHAMPOO","0637","RC","Both",,,"49","24.5","Aetna","Commercial",,,"64",,"31.26","0.15","5264.58","percent of total billed charges",,
"PIPERONYL/PYRETHRUM (RID) SHAMPOO","0637","RC","Both",,,"49","24.5","Blue Cross Blue Shield","Pathways",,,"71",,"34.59","0.15","5264.58","percent of total billed charges",,
"PIPERONYL/PYRETHRUM (RID) SHAMPOO","0637","RC","Both",,,"49","24.5","Blue Cross Blue Shield","HMO",,,"71",,"34.59","0.15","5264.58","percent of total billed charges",,
"PIPERONYL/PYRETHRUM (RID) SHAMPOO","0637","RC","Both",,,"49","24.5","Blue Cross Blue Shield","PPO",,,"71",,"34.59","0.15","5264.58","percent of total billed charges",,
"PIPERONYL/PYRETHRUM (RID) SHAMPOO","0637","RC","Both",,,"49","24.5","Ambetter","Health Exchange",,,"62",,"30.38","0.15","5264.58","percent of total billed charges",,
"PIPERONYL/PYRETHRUM (RID) SHAMPOO","0637","RC","Both",,,"49","24.5","Caresource","Health Exchange",,,"62",,"30.38","0.15","5264.58","percent of total billed charges",,
"PIPERONYL/PYRETHRUM (RID) SHAMPOO","0637","RC","Both",,,"49","24.5","Cigna","Commercial",,,"59",,"28.71","0.15","5264.58","percent of total billed charges",,
"PIPERONYL/PYRETHRUM (RID) SHAMPOO","0637","RC","Both",,,"49","24.5","Humana","Commercial",,,"78",,"37.98","0.15","5264.58","percent of total billed charges",,
"PIPERONYL/PYRETHRUM (RID) SHAMPOO","0637","RC","Both",,,"49","24.5","UHC","Commercial",,,"75",,"36.95","0.15","5264.58","percent of total billed charges",,
"PIPERONYL/PYRETHRUM (RID) SHAMPOO","0637","RC","Both",,,"49","24.5","Medicaid",,,,"37",,"17.93","0.15","5264.58","percent of total billed charges",,
"NORMAL SALINE 100 ML +PLUS BAG","0258","RC","Both",,,"14","7","Alliant","Health Exchange",,,"62",,"8.68","4.76","93","percent of total billed charges",,
"NORMAL SALINE 100 ML +PLUS BAG","0258","RC","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.56","4.76","93","percent of total billed charges",,
"NORMAL SALINE 100 ML +PLUS BAG","0258","RC","Both",,,"14","7","Medicare",,,,"54",,"7.59","4.76","93","percent of total billed charges",,
"NORMAL SALINE 100 ML +PLUS BAG","0258","RC","Both",,,"14","7","Humana","Medicare Advantage",,,"54",,"7.59","4.76","93","percent of total billed charges",,
"NORMAL SALINE 100 ML +PLUS BAG","0258","RC","Both",,,"14","7","UHC","Medicare Advantage",,,"54",,"7.59","4.76","93","percent of total billed charges",,
"NORMAL SALINE 100 ML +PLUS BAG","0258","RC","Both",,,"14","7","Clover","Medicare Advantage",,,"54",,"7.59","4.76","93","percent of total billed charges",,
"NORMAL SALINE 100 ML +PLUS BAG","0258","RC","Both",,,"14","7","Wellcare","Medicare Advantage",,,"54",,"7.59","4.76","93","percent of total billed charges",,
"NORMAL SALINE 100 ML +PLUS BAG","0258","RC","Both",,,"14","7","Amerigroup","Medicaid Managed Care",,,"37",,"5.12","4.76","93","percent of total billed charges",,
"NORMAL SALINE 100 ML +PLUS BAG","0258","RC","Both",,,"14","7","Caresource","Medicaid Managed Care",,,"40",,"5.6","4.76","93","percent of total billed charges",,
"NORMAL SALINE 100 ML +PLUS BAG","0258","RC","Both",,,"14","7","Wellcare","Medicaid Managed Care",,,"40",,"5.67","4.76","93","percent of total billed charges",,
"NORMAL SALINE 100 ML +PLUS BAG","0258","RC","Both",,,"14","7","Aetna","Commercial",,,"64",,"8.93","4.76","93","percent of total billed charges",,
"NORMAL SALINE 100 ML +PLUS BAG","0258","RC","Both",,,"14","7","Blue Cross Blue Shield","Pathways",,,"71",,"9.88","4.76","93","percent of total billed charges",,
"NORMAL SALINE 100 ML +PLUS BAG","0258","RC","Both",,,"14","7","Blue Cross Blue Shield","HMO",,,"71",,"9.88","4.76","93","percent of total billed charges",,
"NORMAL SALINE 100 ML +PLUS BAG","0258","RC","Both",,,"14","7","Blue Cross Blue Shield","PPO",,,"71",,"9.88","4.76","93","percent of total billed charges",,
"NORMAL SALINE 100 ML +PLUS BAG","0258","RC","Both",,,"14","7","Ambetter","Health Exchange",,,"62",,"8.68","4.76","93","percent of total billed charges",,
"NORMAL SALINE 100 ML +PLUS BAG","0258","RC","Both",,,"14","7","Caresource","Health Exchange",,,"62",,"8.68","4.76","93","percent of total billed charges",,
"NORMAL SALINE 100 ML +PLUS BAG","0258","RC","Both",,,"14","7","Cigna","Commercial",,,"59",,"8.2","4.76","93","percent of total billed charges",,
"NORMAL SALINE 100 ML +PLUS BAG","0258","RC","Both",,,"14","7","Humana","Commercial",,,"78",,"10.85","4.76","93","percent of total billed charges",,
"NORMAL SALINE 100 ML +PLUS BAG","0258","RC","Both",,,"14","7","UHC","Commercial",,,"75",,"10.56","4.76","93","percent of total billed charges",,
"NORMAL SALINE 100 ML +PLUS BAG","0258","RC","Both",,,"14","7","Medicaid",,,,"37",,"5.12","4.76","93","percent of total billed charges",,
"ALBUT/IPRAT (DUONEB) INH: 2.5/0.5MG/3ML","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ALBUT/IPRAT (DUONEB) INH: 2.5/0.5MG/3ML","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"ALBUT/IPRAT (DUONEB) INH: 2.5/0.5MG/3ML","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ALBUT/IPRAT (DUONEB) INH: 2.5/0.5MG/3ML","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ALBUT/IPRAT (DUONEB) INH: 2.5/0.5MG/3ML","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ALBUT/IPRAT (DUONEB) INH: 2.5/0.5MG/3ML","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ALBUT/IPRAT (DUONEB) INH: 2.5/0.5MG/3ML","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ALBUT/IPRAT (DUONEB) INH: 2.5/0.5MG/3ML","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ALBUT/IPRAT (DUONEB) INH: 2.5/0.5MG/3ML","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"ALBUT/IPRAT (DUONEB) INH: 2.5/0.5MG/3ML","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"ALBUT/IPRAT (DUONEB) INH: 2.5/0.5MG/3ML","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"ALBUT/IPRAT (DUONEB) INH: 2.5/0.5MG/3ML","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ALBUT/IPRAT (DUONEB) INH: 2.5/0.5MG/3ML","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ALBUT/IPRAT (DUONEB) INH: 2.5/0.5MG/3ML","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ALBUT/IPRAT (DUONEB) INH: 2.5/0.5MG/3ML","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ALBUT/IPRAT (DUONEB) INH: 2.5/0.5MG/3ML","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ALBUT/IPRAT (DUONEB) INH: 2.5/0.5MG/3ML","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"ALBUT/IPRAT (DUONEB) INH: 2.5/0.5MG/3ML","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"ALBUT/IPRAT (DUONEB) INH: 2.5/0.5MG/3ML","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"ALBUT/IPRAT (DUONEB) INH: 2.5/0.5MG/3ML","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"TETRAHYDROZALINE (VISINE) EYE DROPS 15ML","0250","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.04","569.62","percent of total billed charges",,
"TETRAHYDROZALINE (VISINE) EYE DROPS 15ML","0250","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.04","569.62","percent of total billed charges",,
"TETRAHYDROZALINE (VISINE) EYE DROPS 15ML","0250","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.04","569.62","percent of total billed charges",,
"TETRAHYDROZALINE (VISINE) EYE DROPS 15ML","0250","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.04","569.62","percent of total billed charges",,
"TETRAHYDROZALINE (VISINE) EYE DROPS 15ML","0250","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.04","569.62","percent of total billed charges",,
"TETRAHYDROZALINE (VISINE) EYE DROPS 15ML","0250","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.04","569.62","percent of total billed charges",,
"TETRAHYDROZALINE (VISINE) EYE DROPS 15ML","0250","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.04","569.62","percent of total billed charges",,
"TETRAHYDROZALINE (VISINE) EYE DROPS 15ML","0250","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.04","569.62","percent of total billed charges",,
"TETRAHYDROZALINE (VISINE) EYE DROPS 15ML","0250","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.04","569.62","percent of total billed charges",,
"TETRAHYDROZALINE (VISINE) EYE DROPS 15ML","0250","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.04","569.62","percent of total billed charges",,
"TETRAHYDROZALINE (VISINE) EYE DROPS 15ML","0250","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.04","569.62","percent of total billed charges",,
"TETRAHYDROZALINE (VISINE) EYE DROPS 15ML","0250","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.04","569.62","percent of total billed charges",,
"TETRAHYDROZALINE (VISINE) EYE DROPS 15ML","0250","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.04","569.62","percent of total billed charges",,
"TETRAHYDROZALINE (VISINE) EYE DROPS 15ML","0250","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.04","569.62","percent of total billed charges",,
"TETRAHYDROZALINE (VISINE) EYE DROPS 15ML","0250","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.04","569.62","percent of total billed charges",,
"TETRAHYDROZALINE (VISINE) EYE DROPS 15ML","0250","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.04","569.62","percent of total billed charges",,
"TETRAHYDROZALINE (VISINE) EYE DROPS 15ML","0250","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.04","569.62","percent of total billed charges",,
"TETRAHYDROZALINE (VISINE) EYE DROPS 15ML","0250","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.04","569.62","percent of total billed charges",,
"TETRAHYDROZALINE (VISINE) EYE DROPS 15ML","0250","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.04","569.62","percent of total billed charges",,
"TETRAHYDROZALINE (VISINE) EYE DROPS 15ML","0250","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.04","569.62","percent of total billed charges",,
"ACETIC ACID 0.25% 1000ML IRRIGATION","0258","RC","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","4.76","93","percent of total billed charges",,
"ACETIC ACID 0.25% 1000ML IRRIGATION","0258","RC","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","4.76","93","percent of total billed charges",,
"ACETIC ACID 0.25% 1000ML IRRIGATION","0258","RC","Both",,,"22","11","Medicare",,,,"54",,"11.92","4.76","93","percent of total billed charges",,
"ACETIC ACID 0.25% 1000ML IRRIGATION","0258","RC","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","4.76","93","percent of total billed charges",,
"ACETIC ACID 0.25% 1000ML IRRIGATION","0258","RC","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","4.76","93","percent of total billed charges",,
"ACETIC ACID 0.25% 1000ML IRRIGATION","0258","RC","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","4.76","93","percent of total billed charges",,
"ACETIC ACID 0.25% 1000ML IRRIGATION","0258","RC","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","4.76","93","percent of total billed charges",,
"ACETIC ACID 0.25% 1000ML IRRIGATION","0258","RC","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","4.76","93","percent of total billed charges",,
"ACETIC ACID 0.25% 1000ML IRRIGATION","0258","RC","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","4.76","93","percent of total billed charges",,
"ACETIC ACID 0.25% 1000ML IRRIGATION","0258","RC","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","4.76","93","percent of total billed charges",,
"ACETIC ACID 0.25% 1000ML IRRIGATION","0258","RC","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","4.76","93","percent of total billed charges",,
"ACETIC ACID 0.25% 1000ML IRRIGATION","0258","RC","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","4.76","93","percent of total billed charges",,
"ACETIC ACID 0.25% 1000ML IRRIGATION","0258","RC","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","4.76","93","percent of total billed charges",,
"ACETIC ACID 0.25% 1000ML IRRIGATION","0258","RC","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","4.76","93","percent of total billed charges",,
"ACETIC ACID 0.25% 1000ML IRRIGATION","0258","RC","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","4.76","93","percent of total billed charges",,
"ACETIC ACID 0.25% 1000ML IRRIGATION","0258","RC","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","4.76","93","percent of total billed charges",,
"ACETIC ACID 0.25% 1000ML IRRIGATION","0258","RC","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","4.76","93","percent of total billed charges",,
"ACETIC ACID 0.25% 1000ML IRRIGATION","0258","RC","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","4.76","93","percent of total billed charges",,
"ACETIC ACID 0.25% 1000ML IRRIGATION","0258","RC","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","4.76","93","percent of total billed charges",,
"ACETIC ACID 0.25% 1000ML IRRIGATION","0258","RC","Both",,,"22","11","Medicaid",,,,"37",,"8.05","4.76","93","percent of total billed charges",,
"D5W 100ML","0258","RC","Both",,,"14","7","Alliant","Health Exchange",,,"62",,"8.68","4.76","93","percent of total billed charges",,
"D5W 100ML","0258","RC","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.56","4.76","93","percent of total billed charges",,
"D5W 100ML","0258","RC","Both",,,"14","7","Medicare",,,,"54",,"7.59","4.76","93","percent of total billed charges",,
"D5W 100ML","0258","RC","Both",,,"14","7","Humana","Medicare Advantage",,,"54",,"7.59","4.76","93","percent of total billed charges",,
"D5W 100ML","0258","RC","Both",,,"14","7","UHC","Medicare Advantage",,,"54",,"7.59","4.76","93","percent of total billed charges",,
"D5W 100ML","0258","RC","Both",,,"14","7","Clover","Medicare Advantage",,,"54",,"7.59","4.76","93","percent of total billed charges",,
"D5W 100ML","0258","RC","Both",,,"14","7","Wellcare","Medicare Advantage",,,"54",,"7.59","4.76","93","percent of total billed charges",,
"D5W 100ML","0258","RC","Both",,,"14","7","Amerigroup","Medicaid Managed Care",,,"37",,"5.12","4.76","93","percent of total billed charges",,
"D5W 100ML","0258","RC","Both",,,"14","7","Caresource","Medicaid Managed Care",,,"40",,"5.6","4.76","93","percent of total billed charges",,
"D5W 100ML","0258","RC","Both",,,"14","7","Wellcare","Medicaid Managed Care",,,"40",,"5.67","4.76","93","percent of total billed charges",,
"D5W 100ML","0258","RC","Both",,,"14","7","Aetna","Commercial",,,"64",,"8.93","4.76","93","percent of total billed charges",,
"D5W 100ML","0258","RC","Both",,,"14","7","Blue Cross Blue Shield","Pathways",,,"71",,"9.88","4.76","93","percent of total billed charges",,
"D5W 100ML","0258","RC","Both",,,"14","7","Blue Cross Blue Shield","HMO",,,"71",,"9.88","4.76","93","percent of total billed charges",,
"D5W 100ML","0258","RC","Both",,,"14","7","Blue Cross Blue Shield","PPO",,,"71",,"9.88","4.76","93","percent of total billed charges",,
"D5W 100ML","0258","RC","Both",,,"14","7","Ambetter","Health Exchange",,,"62",,"8.68","4.76","93","percent of total billed charges",,
"D5W 100ML","0258","RC","Both",,,"14","7","Caresource","Health Exchange",,,"62",,"8.68","4.76","93","percent of total billed charges",,
"D5W 100ML","0258","RC","Both",,,"14","7","Cigna","Commercial",,,"59",,"8.2","4.76","93","percent of total billed charges",,
"D5W 100ML","0258","RC","Both",,,"14","7","Humana","Commercial",,,"78",,"10.85","4.76","93","percent of total billed charges",,
"D5W 100ML","0258","RC","Both",,,"14","7","UHC","Commercial",,,"75",,"10.56","4.76","93","percent of total billed charges",,
"D5W 100ML","0258","RC","Both",,,"14","7","Medicaid",,,,"37",,"5.12","4.76","93","percent of total billed charges",,
"WATER GALLON BOTTLE","0258","RC","Both",,,"60","30","Alliant","Health Exchange",,,"62",,"37.2","4.76","93","percent of total billed charges",,
"WATER GALLON BOTTLE","0258","RC","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage",,,"54",,"32.4","4.76","93","percent of total billed charges",,
"WATER GALLON BOTTLE","0258","RC","Both",,,"60","30","Medicare",,,,"54",,"32.52","4.76","93","percent of total billed charges",,
"WATER GALLON BOTTLE","0258","RC","Both",,,"60","30","Humana","Medicare Advantage",,,"54",,"32.52","4.76","93","percent of total billed charges",,
"WATER GALLON BOTTLE","0258","RC","Both",,,"60","30","UHC","Medicare Advantage",,,"54",,"32.52","4.76","93","percent of total billed charges",,
"WATER GALLON BOTTLE","0258","RC","Both",,,"60","30","Clover","Medicare Advantage",,,"54",,"32.52","4.76","93","percent of total billed charges",,
"WATER GALLON BOTTLE","0258","RC","Both",,,"60","30","Wellcare","Medicare Advantage",,,"54",,"32.52","4.76","93","percent of total billed charges",,
"WATER GALLON BOTTLE","0258","RC","Both",,,"60","30","Amerigroup","Medicaid Managed Care",,,"37",,"21.96","4.76","93","percent of total billed charges",,
"WATER GALLON BOTTLE","0258","RC","Both",,,"60","30","Caresource","Medicaid Managed Care",,,"40",,"24","4.76","93","percent of total billed charges",,
"WATER GALLON BOTTLE","0258","RC","Both",,,"60","30","Wellcare","Medicaid Managed Care",,,"40",,"24.3","4.76","93","percent of total billed charges",,
"WATER GALLON BOTTLE","0258","RC","Both",,,"60","30","Aetna","Commercial",,,"64",,"38.28","4.76","93","percent of total billed charges",,
"WATER GALLON BOTTLE","0258","RC","Both",,,"60","30","Blue Cross Blue Shield","Pathways",,,"71",,"42.36","4.76","93","percent of total billed charges",,
"WATER GALLON BOTTLE","0258","RC","Both",,,"60","30","Blue Cross Blue Shield","HMO",,,"71",,"42.36","4.76","93","percent of total billed charges",,
"WATER GALLON BOTTLE","0258","RC","Both",,,"60","30","Blue Cross Blue Shield","PPO",,,"71",,"42.36","4.76","93","percent of total billed charges",,
"WATER GALLON BOTTLE","0258","RC","Both",,,"60","30","Ambetter","Health Exchange",,,"62",,"37.2","4.76","93","percent of total billed charges",,
"WATER GALLON BOTTLE","0258","RC","Both",,,"60","30","Caresource","Health Exchange",,,"62",,"37.2","4.76","93","percent of total billed charges",,
"WATER GALLON BOTTLE","0258","RC","Both",,,"60","30","Cigna","Commercial",,,"59",,"35.16","4.76","93","percent of total billed charges",,
"WATER GALLON BOTTLE","0258","RC","Both",,,"60","30","Humana","Commercial",,,"78",,"46.5","4.76","93","percent of total billed charges",,
"WATER GALLON BOTTLE","0258","RC","Both",,,"60","30","UHC","Commercial",,,"75",,"45.24","4.76","93","percent of total billed charges",,
"WATER GALLON BOTTLE","0258","RC","Both",,,"60","30","Medicaid",,,,"37",,"21.96","4.76","93","percent of total billed charges",,
"WATER FOR IRRIGATION 500ML","0258","RC","Both",,,"23","11.5","Alliant","Health Exchange",,,"62",,"14.26","4.76","93","percent of total billed charges",,
"WATER FOR IRRIGATION 500ML","0258","RC","Both",,,"23","11.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.42","4.76","93","percent of total billed charges",,
"WATER FOR IRRIGATION 500ML","0258","RC","Both",,,"23","11.5","Medicare",,,,"54",,"12.47","4.76","93","percent of total billed charges",,
"WATER FOR IRRIGATION 500ML","0258","RC","Both",,,"23","11.5","Humana","Medicare Advantage",,,"54",,"12.47","4.76","93","percent of total billed charges",,
"WATER FOR IRRIGATION 500ML","0258","RC","Both",,,"23","11.5","UHC","Medicare Advantage",,,"54",,"12.47","4.76","93","percent of total billed charges",,
"WATER FOR IRRIGATION 500ML","0258","RC","Both",,,"23","11.5","Clover","Medicare Advantage",,,"54",,"12.47","4.76","93","percent of total billed charges",,
"WATER FOR IRRIGATION 500ML","0258","RC","Both",,,"23","11.5","Wellcare","Medicare Advantage",,,"54",,"12.47","4.76","93","percent of total billed charges",,
"WATER FOR IRRIGATION 500ML","0258","RC","Both",,,"23","11.5","Amerigroup","Medicaid Managed Care",,,"37",,"8.42","4.76","93","percent of total billed charges",,
"WATER FOR IRRIGATION 500ML","0258","RC","Both",,,"23","11.5","Caresource","Medicaid Managed Care",,,"40",,"9.2","4.76","93","percent of total billed charges",,
"WATER FOR IRRIGATION 500ML","0258","RC","Both",,,"23","11.5","Wellcare","Medicaid Managed Care",,,"40",,"9.32","4.76","93","percent of total billed charges",,
"WATER FOR IRRIGATION 500ML","0258","RC","Both",,,"23","11.5","Aetna","Commercial",,,"64",,"14.67","4.76","93","percent of total billed charges",,
"WATER FOR IRRIGATION 500ML","0258","RC","Both",,,"23","11.5","Blue Cross Blue Shield","Pathways",,,"71",,"16.24","4.76","93","percent of total billed charges",,
"WATER FOR IRRIGATION 500ML","0258","RC","Both",,,"23","11.5","Blue Cross Blue Shield","HMO",,,"71",,"16.24","4.76","93","percent of total billed charges",,
"WATER FOR IRRIGATION 500ML","0258","RC","Both",,,"23","11.5","Blue Cross Blue Shield","PPO",,,"71",,"16.24","4.76","93","percent of total billed charges",,
"WATER FOR IRRIGATION 500ML","0258","RC","Both",,,"23","11.5","Ambetter","Health Exchange",,,"62",,"14.26","4.76","93","percent of total billed charges",,
"WATER FOR IRRIGATION 500ML","0258","RC","Both",,,"23","11.5","Caresource","Health Exchange",,,"62",,"14.26","4.76","93","percent of total billed charges",,
"WATER FOR IRRIGATION 500ML","0258","RC","Both",,,"23","11.5","Cigna","Commercial",,,"59",,"13.48","4.76","93","percent of total billed charges",,
"WATER FOR IRRIGATION 500ML","0258","RC","Both",,,"23","11.5","Humana","Commercial",,,"78",,"17.82","4.76","93","percent of total billed charges",,
"WATER FOR IRRIGATION 500ML","0258","RC","Both",,,"23","11.5","UHC","Commercial",,,"75",,"17.34","4.76","93","percent of total billed charges",,
"WATER FOR IRRIGATION 500ML","0258","RC","Both",,,"23","11.5","Medicaid",,,,"37",,"8.42","4.76","93","percent of total billed charges",,
"NORMAL SALINE 250ML PF","0258","RC","Both",,,"30","15","Alliant","Health Exchange",,,"62",,"18.6","4.76","93","percent of total billed charges",,
"NORMAL SALINE 250ML PF","0258","RC","Both",,,"30","15","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.2","4.76","93","percent of total billed charges",,
"NORMAL SALINE 250ML PF","0258","RC","Both",,,"30","15","Medicare",,,,"54",,"16.26","4.76","93","percent of total billed charges",,
"NORMAL SALINE 250ML PF","0258","RC","Both",,,"30","15","Humana","Medicare Advantage",,,"54",,"16.26","4.76","93","percent of total billed charges",,
"NORMAL SALINE 250ML PF","0258","RC","Both",,,"30","15","UHC","Medicare Advantage",,,"54",,"16.26","4.76","93","percent of total billed charges",,
"NORMAL SALINE 250ML PF","0258","RC","Both",,,"30","15","Clover","Medicare Advantage",,,"54",,"16.26","4.76","93","percent of total billed charges",,
"NORMAL SALINE 250ML PF","0258","RC","Both",,,"30","15","Wellcare","Medicare Advantage",,,"54",,"16.26","4.76","93","percent of total billed charges",,
"NORMAL SALINE 250ML PF","0258","RC","Both",,,"30","15","Amerigroup","Medicaid Managed Care",,,"37",,"10.98","4.76","93","percent of total billed charges",,
"NORMAL SALINE 250ML PF","0258","RC","Both",,,"30","15","Caresource","Medicaid Managed Care",,,"40",,"12","4.76","93","percent of total billed charges",,
"NORMAL SALINE 250ML PF","0258","RC","Both",,,"30","15","Wellcare","Medicaid Managed Care",,,"40",,"12.15","4.76","93","percent of total billed charges",,
"NORMAL SALINE 250ML PF","0258","RC","Both",,,"30","15","Aetna","Commercial",,,"64",,"19.14","4.76","93","percent of total billed charges",,
"NORMAL SALINE 250ML PF","0258","RC","Both",,,"30","15","Blue Cross Blue Shield","Pathways",,,"71",,"21.18","4.76","93","percent of total billed charges",,
"NORMAL SALINE 250ML PF","0258","RC","Both",,,"30","15","Blue Cross Blue Shield","HMO",,,"71",,"21.18","4.76","93","percent of total billed charges",,
"NORMAL SALINE 250ML PF","0258","RC","Both",,,"30","15","Blue Cross Blue Shield","PPO",,,"71",,"21.18","4.76","93","percent of total billed charges",,
"NORMAL SALINE 250ML PF","0258","RC","Both",,,"30","15","Ambetter","Health Exchange",,,"62",,"18.6","4.76","93","percent of total billed charges",,
"NORMAL SALINE 250ML PF","0258","RC","Both",,,"30","15","Caresource","Health Exchange",,,"62",,"18.6","4.76","93","percent of total billed charges",,
"NORMAL SALINE 250ML PF","0258","RC","Both",,,"30","15","Cigna","Commercial",,,"59",,"17.58","4.76","93","percent of total billed charges",,
"NORMAL SALINE 250ML PF","0258","RC","Both",,,"30","15","Humana","Commercial",,,"78",,"23.25","4.76","93","percent of total billed charges",,
"NORMAL SALINE 250ML PF","0258","RC","Both",,,"30","15","UHC","Commercial",,,"75",,"22.62","4.76","93","percent of total billed charges",,
"NORMAL SALINE 250ML PF","0258","RC","Both",,,"30","15","Medicaid",,,,"37",,"10.98","4.76","93","percent of total billed charges",,
"BISOPROLOL/HCTZ (ZIAC) 2.5/6.5MG TABLETS","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL/HCTZ (ZIAC) 2.5/6.5MG TABLETS","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL/HCTZ (ZIAC) 2.5/6.5MG TABLETS","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL/HCTZ (ZIAC) 2.5/6.5MG TABLETS","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL/HCTZ (ZIAC) 2.5/6.5MG TABLETS","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL/HCTZ (ZIAC) 2.5/6.5MG TABLETS","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL/HCTZ (ZIAC) 2.5/6.5MG TABLETS","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL/HCTZ (ZIAC) 2.5/6.5MG TABLETS","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL/HCTZ (ZIAC) 2.5/6.5MG TABLETS","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL/HCTZ (ZIAC) 2.5/6.5MG TABLETS","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL/HCTZ (ZIAC) 2.5/6.5MG TABLETS","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL/HCTZ (ZIAC) 2.5/6.5MG TABLETS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL/HCTZ (ZIAC) 2.5/6.5MG TABLETS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL/HCTZ (ZIAC) 2.5/6.5MG TABLETS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL/HCTZ (ZIAC) 2.5/6.5MG TABLETS","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL/HCTZ (ZIAC) 2.5/6.5MG TABLETS","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL/HCTZ (ZIAC) 2.5/6.5MG TABLETS","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL/HCTZ (ZIAC) 2.5/6.5MG TABLETS","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL/HCTZ (ZIAC) 2.5/6.5MG TABLETS","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"BISOPROLOL/HCTZ (ZIAC) 2.5/6.5MG TABLETS","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"SODIUM CHLORIDE 50ML MINIBAG PLUS","0250","RC","Both",,,"13","6.5","Alliant","Health Exchange",,,"62",,"8.06","0.04","569.62","percent of total billed charges",,
"SODIUM CHLORIDE 50ML MINIBAG PLUS","0250","RC","Both",,,"13","6.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.02","0.04","569.62","percent of total billed charges",,
"SODIUM CHLORIDE 50ML MINIBAG PLUS","0250","RC","Both",,,"13","6.5","Medicare",,,,"54",,"7.05","0.04","569.62","percent of total billed charges",,
"SODIUM CHLORIDE 50ML MINIBAG PLUS","0250","RC","Both",,,"13","6.5","Humana","Medicare Advantage",,,"54",,"7.05","0.04","569.62","percent of total billed charges",,
"SODIUM CHLORIDE 50ML MINIBAG PLUS","0250","RC","Both",,,"13","6.5","UHC","Medicare Advantage",,,"54",,"7.05","0.04","569.62","percent of total billed charges",,
"SODIUM CHLORIDE 50ML MINIBAG PLUS","0250","RC","Both",,,"13","6.5","Clover","Medicare Advantage",,,"54",,"7.05","0.04","569.62","percent of total billed charges",,
"SODIUM CHLORIDE 50ML MINIBAG PLUS","0250","RC","Both",,,"13","6.5","Wellcare","Medicare Advantage",,,"54",,"7.05","0.04","569.62","percent of total billed charges",,
"SODIUM CHLORIDE 50ML MINIBAG PLUS","0250","RC","Both",,,"13","6.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.76","0.04","569.62","percent of total billed charges",,
"SODIUM CHLORIDE 50ML MINIBAG PLUS","0250","RC","Both",,,"13","6.5","Caresource","Medicaid Managed Care",,,"40",,"5.2","0.04","569.62","percent of total billed charges",,
"SODIUM CHLORIDE 50ML MINIBAG PLUS","0250","RC","Both",,,"13","6.5","Wellcare","Medicaid Managed Care",,,"40",,"5.26","0.04","569.62","percent of total billed charges",,
"SODIUM CHLORIDE 50ML MINIBAG PLUS","0250","RC","Both",,,"13","6.5","Aetna","Commercial",,,"64",,"8.29","0.04","569.62","percent of total billed charges",,
"SODIUM CHLORIDE 50ML MINIBAG PLUS","0250","RC","Both",,,"13","6.5","Blue Cross Blue Shield","Pathways",,,"71",,"9.18","0.04","569.62","percent of total billed charges",,
"SODIUM CHLORIDE 50ML MINIBAG PLUS","0250","RC","Both",,,"13","6.5","Blue Cross Blue Shield","HMO",,,"71",,"9.18","0.04","569.62","percent of total billed charges",,
"SODIUM CHLORIDE 50ML MINIBAG PLUS","0250","RC","Both",,,"13","6.5","Blue Cross Blue Shield","PPO",,,"71",,"9.18","0.04","569.62","percent of total billed charges",,
"SODIUM CHLORIDE 50ML MINIBAG PLUS","0250","RC","Both",,,"13","6.5","Ambetter","Health Exchange",,,"62",,"8.06","0.04","569.62","percent of total billed charges",,
"SODIUM CHLORIDE 50ML MINIBAG PLUS","0250","RC","Both",,,"13","6.5","Caresource","Health Exchange",,,"62",,"8.06","0.04","569.62","percent of total billed charges",,
"SODIUM CHLORIDE 50ML MINIBAG PLUS","0250","RC","Both",,,"13","6.5","Cigna","Commercial",,,"59",,"7.62","0.04","569.62","percent of total billed charges",,
"SODIUM CHLORIDE 50ML MINIBAG PLUS","0250","RC","Both",,,"13","6.5","Humana","Commercial",,,"78",,"10.08","0.04","569.62","percent of total billed charges",,
"SODIUM CHLORIDE 50ML MINIBAG PLUS","0250","RC","Both",,,"13","6.5","UHC","Commercial",,,"75",,"9.8","0.04","569.62","percent of total billed charges",,
"SODIUM CHLORIDE 50ML MINIBAG PLUS","0250","RC","Both",,,"13","6.5","Medicaid",,,,"37",,"4.76","0.04","569.62","percent of total billed charges",,
"NF-ACCUPRIL TABLET 20MG","0637","RC","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL TABLET 20MG","0637","RC","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL TABLET 20MG","0637","RC","Both",,,"22","11","Medicare",,,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL TABLET 20MG","0637","RC","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL TABLET 20MG","0637","RC","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL TABLET 20MG","0637","RC","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL TABLET 20MG","0637","RC","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL TABLET 20MG","0637","RC","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL TABLET 20MG","0637","RC","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL TABLET 20MG","0637","RC","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL TABLET 20MG","0637","RC","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL TABLET 20MG","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL TABLET 20MG","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL TABLET 20MG","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL TABLET 20MG","0637","RC","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL TABLET 20MG","0637","RC","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL TABLET 20MG","0637","RC","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL TABLET 20MG","0637","RC","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL TABLET 20MG","0637","RC","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL TABLET 20MG","0637","RC","Both",,,"22","11","Medicaid",,,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL TAB 20MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL TAB 20MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL TAB 20MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL TAB 20MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL TAB 20MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL TAB 20MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL TAB 20MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL TAB 20MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL TAB 20MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL TAB 20MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL TAB 20MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL TAB 20MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL TAB 20MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL TAB 20MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL TAB 20MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL TAB 20MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL TAB 20MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL TAB 20MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL TAB 20MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL TAB 20MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL TAB 10MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL TAB 10MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL TAB 10MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL TAB 10MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL TAB 10MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL TAB 10MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL TAB 10MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL TAB 10MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL TAB 10MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL TAB 10MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL TAB 10MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL TAB 10MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL TAB 10MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL TAB 10MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL TAB 10MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL TAB 10MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL TAB 10MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL TAB 10MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL TAB 10MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL TAB 10MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-FOSINOPRIL SODIUM TAB 10MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-FOSINOPRIL SODIUM TAB 10MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"NF-FOSINOPRIL SODIUM TAB 10MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-FOSINOPRIL SODIUM TAB 10MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-FOSINOPRIL SODIUM TAB 10MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-FOSINOPRIL SODIUM TAB 10MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-FOSINOPRIL SODIUM TAB 10MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-FOSINOPRIL SODIUM TAB 10MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-FOSINOPRIL SODIUM TAB 10MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"NF-FOSINOPRIL SODIUM TAB 10MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-FOSINOPRIL SODIUM TAB 10MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"NF-FOSINOPRIL SODIUM TAB 10MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-FOSINOPRIL SODIUM TAB 10MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-FOSINOPRIL SODIUM TAB 10MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-FOSINOPRIL SODIUM TAB 10MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-FOSINOPRIL SODIUM TAB 10MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-FOSINOPRIL SODIUM TAB 10MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-FOSINOPRIL SODIUM TAB 10MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-FOSINOPRIL SODIUM TAB 10MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"NF-FOSINOPRIL SODIUM TAB 10MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-VIOKASE 8 TABLETS","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-VIOKASE 8 TABLETS","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"NF-VIOKASE 8 TABLETS","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-VIOKASE 8 TABLETS","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-VIOKASE 8 TABLETS","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-VIOKASE 8 TABLETS","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-VIOKASE 8 TABLETS","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-VIOKASE 8 TABLETS","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-VIOKASE 8 TABLETS","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"NF-VIOKASE 8 TABLETS","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-VIOKASE 8 TABLETS","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"NF-VIOKASE 8 TABLETS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-VIOKASE 8 TABLETS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-VIOKASE 8 TABLETS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-VIOKASE 8 TABLETS","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-VIOKASE 8 TABLETS","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-VIOKASE 8 TABLETS","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-VIOKASE 8 TABLETS","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-VIOKASE 8 TABLETS","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"NF-VIOKASE 8 TABLETS","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-DEMECLOCYCLINE HCL TAB 300MG","0637","RC","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"NF-DEMECLOCYCLINE HCL TAB 300MG","0637","RC","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","0.15","5264.58","percent of total billed charges",,
"NF-DEMECLOCYCLINE HCL TAB 300MG","0637","RC","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"NF-DEMECLOCYCLINE HCL TAB 300MG","0637","RC","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"NF-DEMECLOCYCLINE HCL TAB 300MG","0637","RC","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"NF-DEMECLOCYCLINE HCL TAB 300MG","0637","RC","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"NF-DEMECLOCYCLINE HCL TAB 300MG","0637","RC","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"NF-DEMECLOCYCLINE HCL TAB 300MG","0637","RC","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"NF-DEMECLOCYCLINE HCL TAB 300MG","0637","RC","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","0.15","5264.58","percent of total billed charges",,
"NF-DEMECLOCYCLINE HCL TAB 300MG","0637","RC","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","0.15","5264.58","percent of total billed charges",,
"NF-DEMECLOCYCLINE HCL TAB 300MG","0637","RC","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","0.15","5264.58","percent of total billed charges",,
"NF-DEMECLOCYCLINE HCL TAB 300MG","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"NF-DEMECLOCYCLINE HCL TAB 300MG","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"NF-DEMECLOCYCLINE HCL TAB 300MG","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"NF-DEMECLOCYCLINE HCL TAB 300MG","0637","RC","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"NF-DEMECLOCYCLINE HCL TAB 300MG","0637","RC","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"NF-DEMECLOCYCLINE HCL TAB 300MG","0637","RC","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","0.15","5264.58","percent of total billed charges",,
"NF-DEMECLOCYCLINE HCL TAB 300MG","0637","RC","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","0.15","5264.58","percent of total billed charges",,
"NF-DEMECLOCYCLINE HCL TAB 300MG","0637","RC","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","0.15","5264.58","percent of total billed charges",,
"NF-DEMECLOCYCLINE HCL TAB 300MG","0637","RC","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 5MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 5MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 5MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 5MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 5MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 5MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 5MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 5MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 5MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 5MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 5MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 5MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 5MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 5MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 5MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 5MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 5MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 5MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 5MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 5MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR ORAL TABLET 20MG","0637","RC","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR ORAL TABLET 20MG","0637","RC","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR ORAL TABLET 20MG","0637","RC","Both",,,"22","11","Medicare",,,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR ORAL TABLET 20MG","0637","RC","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR ORAL TABLET 20MG","0637","RC","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR ORAL TABLET 20MG","0637","RC","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR ORAL TABLET 20MG","0637","RC","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR ORAL TABLET 20MG","0637","RC","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR ORAL TABLET 20MG","0637","RC","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR ORAL TABLET 20MG","0637","RC","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR ORAL TABLET 20MG","0637","RC","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR ORAL TABLET 20MG","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR ORAL TABLET 20MG","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR ORAL TABLET 20MG","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR ORAL TABLET 20MG","0637","RC","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR ORAL TABLET 20MG","0637","RC","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR ORAL TABLET 20MG","0637","RC","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR ORAL TABLET 20MG","0637","RC","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR ORAL TABLET 20MG","0637","RC","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR ORAL TABLET 20MG","0637","RC","Both",,,"22","11","Medicaid",,,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"NF-AVAPRO TAB 150MG","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"NF-AVAPRO TAB 150MG","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"NF-AVAPRO TAB 150MG","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-AVAPRO TAB 150MG","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-AVAPRO TAB 150MG","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-AVAPRO TAB 150MG","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-AVAPRO TAB 150MG","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-AVAPRO TAB 150MG","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-AVAPRO TAB 150MG","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"NF-AVAPRO TAB 150MG","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"NF-AVAPRO TAB 150MG","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"NF-AVAPRO TAB 150MG","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"NF-AVAPRO TAB 150MG","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"NF-AVAPRO TAB 150MG","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"NF-AVAPRO TAB 150MG","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"NF-AVAPRO TAB 150MG","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"NF-AVAPRO TAB 150MG","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"NF-AVAPRO TAB 150MG","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"NF-AVAPRO TAB 150MG","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"NF-AVAPRO TAB 150MG","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA-D 12 HOUR TAB ER 60MG-120MG","0259","RC","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","0.04","2502.48","percent of total billed charges",,
"NF-ALLEGRA-D 12 HOUR TAB ER 60MG-120MG","0259","RC","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","0.04","2502.48","percent of total billed charges",,
"NF-ALLEGRA-D 12 HOUR TAB ER 60MG-120MG","0259","RC","Both",,,"22","11","Medicare",,,,"54",,"11.92","0.04","2502.48","percent of total billed charges",,
"NF-ALLEGRA-D 12 HOUR TAB ER 60MG-120MG","0259","RC","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","0.04","2502.48","percent of total billed charges",,
"NF-ALLEGRA-D 12 HOUR TAB ER 60MG-120MG","0259","RC","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","0.04","2502.48","percent of total billed charges",,
"NF-ALLEGRA-D 12 HOUR TAB ER 60MG-120MG","0259","RC","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","0.04","2502.48","percent of total billed charges",,
"NF-ALLEGRA-D 12 HOUR TAB ER 60MG-120MG","0259","RC","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","0.04","2502.48","percent of total billed charges",,
"NF-ALLEGRA-D 12 HOUR TAB ER 60MG-120MG","0259","RC","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","0.04","2502.48","percent of total billed charges",,
"NF-ALLEGRA-D 12 HOUR TAB ER 60MG-120MG","0259","RC","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","0.04","2502.48","percent of total billed charges",,
"NF-ALLEGRA-D 12 HOUR TAB ER 60MG-120MG","0259","RC","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","0.04","2502.48","percent of total billed charges",,
"NF-ALLEGRA-D 12 HOUR TAB ER 60MG-120MG","0259","RC","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-ALLEGRA-D 12 HOUR TAB ER 60MG-120MG","0259","RC","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","0.04","2502.48","percent of total billed charges",,
"NF-ALLEGRA-D 12 HOUR TAB ER 60MG-120MG","0259","RC","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","0.04","2502.48","percent of total billed charges",,
"NF-ALLEGRA-D 12 HOUR TAB ER 60MG-120MG","0259","RC","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","0.04","2502.48","percent of total billed charges",,
"NF-ALLEGRA-D 12 HOUR TAB ER 60MG-120MG","0259","RC","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","0.04","2502.48","percent of total billed charges",,
"NF-ALLEGRA-D 12 HOUR TAB ER 60MG-120MG","0259","RC","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","0.04","2502.48","percent of total billed charges",,
"NF-ALLEGRA-D 12 HOUR TAB ER 60MG-120MG","0259","RC","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","0.04","2502.48","percent of total billed charges",,
"NF-ALLEGRA-D 12 HOUR TAB ER 60MG-120MG","0259","RC","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","0.04","2502.48","percent of total billed charges",,
"NF-ALLEGRA-D 12 HOUR TAB ER 60MG-120MG","0259","RC","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-ALLEGRA-D 12 HOUR TAB ER 60MG-120MG","0259","RC","Both",,,"22","11","Medicaid",,,,"37",,"8.05","0.04","2502.48","percent of total billed charges",,
"NF-ACCUPRIL TABLET 5MG","0637","RC","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL TABLET 5MG","0637","RC","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL TABLET 5MG","0637","RC","Both",,,"22","11","Medicare",,,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL TABLET 5MG","0637","RC","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL TABLET 5MG","0637","RC","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL TABLET 5MG","0637","RC","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL TABLET 5MG","0637","RC","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL TABLET 5MG","0637","RC","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL TABLET 5MG","0637","RC","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL TABLET 5MG","0637","RC","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL TABLET 5MG","0637","RC","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL TABLET 5MG","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL TABLET 5MG","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL TABLET 5MG","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL TABLET 5MG","0637","RC","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL TABLET 5MG","0637","RC","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL TABLET 5MG","0637","RC","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL TABLET 5MG","0637","RC","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL TABLET 5MG","0637","RC","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL TABLET 5MG","0637","RC","Both",,,"22","11","Medicaid",,,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"NF-ZOMIG TAB 2.5MG","0637","RC","Both",,,"57","28.5","Alliant","Health Exchange",,,"62",,"35.34","0.15","5264.58","percent of total billed charges",,
"NF-ZOMIG TAB 2.5MG","0637","RC","Both",,,"57","28.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"30.78","0.15","5264.58","percent of total billed charges",,
"NF-ZOMIG TAB 2.5MG","0637","RC","Both",,,"57","28.5","Medicare",,,,"54",,"30.89","0.15","5264.58","percent of total billed charges",,
"NF-ZOMIG TAB 2.5MG","0637","RC","Both",,,"57","28.5","Humana","Medicare Advantage",,,"54",,"30.89","0.15","5264.58","percent of total billed charges",,
"NF-ZOMIG TAB 2.5MG","0637","RC","Both",,,"57","28.5","UHC","Medicare Advantage",,,"54",,"30.89","0.15","5264.58","percent of total billed charges",,
"NF-ZOMIG TAB 2.5MG","0637","RC","Both",,,"57","28.5","Clover","Medicare Advantage",,,"54",,"30.89","0.15","5264.58","percent of total billed charges",,
"NF-ZOMIG TAB 2.5MG","0637","RC","Both",,,"57","28.5","Wellcare","Medicare Advantage",,,"54",,"30.89","0.15","5264.58","percent of total billed charges",,
"NF-ZOMIG TAB 2.5MG","0637","RC","Both",,,"57","28.5","Amerigroup","Medicaid Managed Care",,,"37",,"20.86","0.15","5264.58","percent of total billed charges",,
"NF-ZOMIG TAB 2.5MG","0637","RC","Both",,,"57","28.5","Caresource","Medicaid Managed Care",,,"40",,"22.8","0.15","5264.58","percent of total billed charges",,
"NF-ZOMIG TAB 2.5MG","0637","RC","Both",,,"57","28.5","Wellcare","Medicaid Managed Care",,,"40",,"23.08","0.15","5264.58","percent of total billed charges",,
"NF-ZOMIG TAB 2.5MG","0637","RC","Both",,,"57","28.5","Aetna","Commercial",,,"64",,"36.37","0.15","5264.58","percent of total billed charges",,
"NF-ZOMIG TAB 2.5MG","0637","RC","Both",,,"57","28.5","Blue Cross Blue Shield","Pathways",,,"71",,"40.24","0.15","5264.58","percent of total billed charges",,
"NF-ZOMIG TAB 2.5MG","0637","RC","Both",,,"57","28.5","Blue Cross Blue Shield","HMO",,,"71",,"40.24","0.15","5264.58","percent of total billed charges",,
"NF-ZOMIG TAB 2.5MG","0637","RC","Both",,,"57","28.5","Blue Cross Blue Shield","PPO",,,"71",,"40.24","0.15","5264.58","percent of total billed charges",,
"NF-ZOMIG TAB 2.5MG","0637","RC","Both",,,"57","28.5","Ambetter","Health Exchange",,,"62",,"35.34","0.15","5264.58","percent of total billed charges",,
"NF-ZOMIG TAB 2.5MG","0637","RC","Both",,,"57","28.5","Caresource","Health Exchange",,,"62",,"35.34","0.15","5264.58","percent of total billed charges",,
"NF-ZOMIG TAB 2.5MG","0637","RC","Both",,,"57","28.5","Cigna","Commercial",,,"59",,"33.4","0.15","5264.58","percent of total billed charges",,
"NF-ZOMIG TAB 2.5MG","0637","RC","Both",,,"57","28.5","Humana","Commercial",,,"78",,"44.18","0.15","5264.58","percent of total billed charges",,
"NF-ZOMIG TAB 2.5MG","0637","RC","Both",,,"57","28.5","UHC","Commercial",,,"75",,"42.98","0.15","5264.58","percent of total billed charges",,
"NF-ZOMIG TAB 2.5MG","0637","RC","Both",,,"57","28.5","Medicaid",,,,"37",,"20.86","0.15","5264.58","percent of total billed charges",,
"NF-MICARDIS ORAL TABLET 40MG","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"NF-MICARDIS ORAL TABLET 40MG","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"NF-MICARDIS ORAL TABLET 40MG","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-MICARDIS ORAL TABLET 40MG","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-MICARDIS ORAL TABLET 40MG","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-MICARDIS ORAL TABLET 40MG","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-MICARDIS ORAL TABLET 40MG","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-MICARDIS ORAL TABLET 40MG","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-MICARDIS ORAL TABLET 40MG","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"NF-MICARDIS ORAL TABLET 40MG","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"NF-MICARDIS ORAL TABLET 40MG","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"NF-MICARDIS ORAL TABLET 40MG","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"NF-MICARDIS ORAL TABLET 40MG","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"NF-MICARDIS ORAL TABLET 40MG","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"NF-MICARDIS ORAL TABLET 40MG","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"NF-MICARDIS ORAL TABLET 40MG","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"NF-MICARDIS ORAL TABLET 40MG","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"NF-MICARDIS ORAL TABLET 40MG","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"NF-MICARDIS ORAL TABLET 40MG","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"NF-MICARDIS ORAL TABLET 40MG","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-ASACOL TABLET 400MG","0637","RC","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"NF-ASACOL TABLET 400MG","0637","RC","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","0.15","5264.58","percent of total billed charges",,
"NF-ASACOL TABLET 400MG","0637","RC","Both",,,"22","11","Medicare",,,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NF-ASACOL TABLET 400MG","0637","RC","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NF-ASACOL TABLET 400MG","0637","RC","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NF-ASACOL TABLET 400MG","0637","RC","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NF-ASACOL TABLET 400MG","0637","RC","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NF-ASACOL TABLET 400MG","0637","RC","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"NF-ASACOL TABLET 400MG","0637","RC","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","0.15","5264.58","percent of total billed charges",,
"NF-ASACOL TABLET 400MG","0637","RC","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","0.15","5264.58","percent of total billed charges",,
"NF-ASACOL TABLET 400MG","0637","RC","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","0.15","5264.58","percent of total billed charges",,
"NF-ASACOL TABLET 400MG","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"NF-ASACOL TABLET 400MG","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"NF-ASACOL TABLET 400MG","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"NF-ASACOL TABLET 400MG","0637","RC","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"NF-ASACOL TABLET 400MG","0637","RC","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"NF-ASACOL TABLET 400MG","0637","RC","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","0.15","5264.58","percent of total billed charges",,
"NF-ASACOL TABLET 400MG","0637","RC","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","0.15","5264.58","percent of total billed charges",,
"NF-ASACOL TABLET 400MG","0637","RC","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","0.15","5264.58","percent of total billed charges",,
"NF-ASACOL TABLET 400MG","0637","RC","Both",,,"22","11","Medicaid",,,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL  ORAL CAPSULE 2.5MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL  ORAL CAPSULE 2.5MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL  ORAL CAPSULE 2.5MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL  ORAL CAPSULE 2.5MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL  ORAL CAPSULE 2.5MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL  ORAL CAPSULE 2.5MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL  ORAL CAPSULE 2.5MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL  ORAL CAPSULE 2.5MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL  ORAL CAPSULE 2.5MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL  ORAL CAPSULE 2.5MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL  ORAL CAPSULE 2.5MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL  ORAL CAPSULE 2.5MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL  ORAL CAPSULE 2.5MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL  ORAL CAPSULE 2.5MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL  ORAL CAPSULE 2.5MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL  ORAL CAPSULE 2.5MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL  ORAL CAPSULE 2.5MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL  ORAL CAPSULE 2.5MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL  ORAL CAPSULE 2.5MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL  ORAL CAPSULE 2.5MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"VENLAFAXINE (EFFEXOR) 75 MG TABLETS","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"VENLAFAXINE (EFFEXOR) 75 MG TABLETS","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"VENLAFAXINE (EFFEXOR) 75 MG TABLETS","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"VENLAFAXINE (EFFEXOR) 75 MG TABLETS","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"VENLAFAXINE (EFFEXOR) 75 MG TABLETS","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"VENLAFAXINE (EFFEXOR) 75 MG TABLETS","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"VENLAFAXINE (EFFEXOR) 75 MG TABLETS","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"VENLAFAXINE (EFFEXOR) 75 MG TABLETS","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"VENLAFAXINE (EFFEXOR) 75 MG TABLETS","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"VENLAFAXINE (EFFEXOR) 75 MG TABLETS","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"VENLAFAXINE (EFFEXOR) 75 MG TABLETS","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"VENLAFAXINE (EFFEXOR) 75 MG TABLETS","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"VENLAFAXINE (EFFEXOR) 75 MG TABLETS","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"VENLAFAXINE (EFFEXOR) 75 MG TABLETS","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"VENLAFAXINE (EFFEXOR) 75 MG TABLETS","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"VENLAFAXINE (EFFEXOR) 75 MG TABLETS","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"VENLAFAXINE (EFFEXOR) 75 MG TABLETS","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"VENLAFAXINE (EFFEXOR) 75 MG TABLETS","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"VENLAFAXINE (EFFEXOR) 75 MG TABLETS","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"VENLAFAXINE (EFFEXOR) 75 MG TABLETS","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) 40 MG POWDER PAC","0637","RC","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) 40 MG POWDER PAC","0637","RC","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","0.15","5264.58","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) 40 MG POWDER PAC","0637","RC","Both",,,"22","11","Medicare",,,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) 40 MG POWDER PAC","0637","RC","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) 40 MG POWDER PAC","0637","RC","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) 40 MG POWDER PAC","0637","RC","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) 40 MG POWDER PAC","0637","RC","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) 40 MG POWDER PAC","0637","RC","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) 40 MG POWDER PAC","0637","RC","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","0.15","5264.58","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) 40 MG POWDER PAC","0637","RC","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","0.15","5264.58","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) 40 MG POWDER PAC","0637","RC","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","0.15","5264.58","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) 40 MG POWDER PAC","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) 40 MG POWDER PAC","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) 40 MG POWDER PAC","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) 40 MG POWDER PAC","0637","RC","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) 40 MG POWDER PAC","0637","RC","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) 40 MG POWDER PAC","0637","RC","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","0.15","5264.58","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) 40 MG POWDER PAC","0637","RC","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","0.15","5264.58","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) 40 MG POWDER PAC","0637","RC","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","0.15","5264.58","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) 40 MG POWDER PAC","0637","RC","Both",,,"22","11","Medicaid",,,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"NF-PERMETHRIN LOTION 1%","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"NF-PERMETHRIN LOTION 1%","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"NF-PERMETHRIN LOTION 1%","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-PERMETHRIN LOTION 1%","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-PERMETHRIN LOTION 1%","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-PERMETHRIN LOTION 1%","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-PERMETHRIN LOTION 1%","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-PERMETHRIN LOTION 1%","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-PERMETHRIN LOTION 1%","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"NF-PERMETHRIN LOTION 1%","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"NF-PERMETHRIN LOTION 1%","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"NF-PERMETHRIN LOTION 1%","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"NF-PERMETHRIN LOTION 1%","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"NF-PERMETHRIN LOTION 1%","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"NF-PERMETHRIN LOTION 1%","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"NF-PERMETHRIN LOTION 1%","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"NF-PERMETHRIN LOTION 1%","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"NF-PERMETHRIN LOTION 1%","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"NF-PERMETHRIN LOTION 1%","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"NF-PERMETHRIN LOTION 1%","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-PERMETHRIN TOPICAL CREAM 5%","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"NF-PERMETHRIN TOPICAL CREAM 5%","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"NF-PERMETHRIN TOPICAL CREAM 5%","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-PERMETHRIN TOPICAL CREAM 5%","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-PERMETHRIN TOPICAL CREAM 5%","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-PERMETHRIN TOPICAL CREAM 5%","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-PERMETHRIN TOPICAL CREAM 5%","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-PERMETHRIN TOPICAL CREAM 5%","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-PERMETHRIN TOPICAL CREAM 5%","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"NF-PERMETHRIN TOPICAL CREAM 5%","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"NF-PERMETHRIN TOPICAL CREAM 5%","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"NF-PERMETHRIN TOPICAL CREAM 5%","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"NF-PERMETHRIN TOPICAL CREAM 5%","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"NF-PERMETHRIN TOPICAL CREAM 5%","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"NF-PERMETHRIN TOPICAL CREAM 5%","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"NF-PERMETHRIN TOPICAL CREAM 5%","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"NF-PERMETHRIN TOPICAL CREAM 5%","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"NF-PERMETHRIN TOPICAL CREAM 5%","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"NF-PERMETHRIN TOPICAL CREAM 5%","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"NF-PERMETHRIN TOPICAL CREAM 5%","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-PAXIL CR TAB ER 12.5MG","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"NF-PAXIL CR TAB ER 12.5MG","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"NF-PAXIL CR TAB ER 12.5MG","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-PAXIL CR TAB ER 12.5MG","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-PAXIL CR TAB ER 12.5MG","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-PAXIL CR TAB ER 12.5MG","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-PAXIL CR TAB ER 12.5MG","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-PAXIL CR TAB ER 12.5MG","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-PAXIL CR TAB ER 12.5MG","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"NF-PAXIL CR TAB ER 12.5MG","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"NF-PAXIL CR TAB ER 12.5MG","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"NF-PAXIL CR TAB ER 12.5MG","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"NF-PAXIL CR TAB ER 12.5MG","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"NF-PAXIL CR TAB ER 12.5MG","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"NF-PAXIL CR TAB ER 12.5MG","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"NF-PAXIL CR TAB ER 12.5MG","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"NF-PAXIL CR TAB ER 12.5MG","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"NF-PAXIL CR TAB ER 12.5MG","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"NF-PAXIL CR TAB ER 12.5MG","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"NF-PAXIL CR TAB ER 12.5MG","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-PAXIL CR TAB ER 25MG","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"NF-PAXIL CR TAB ER 25MG","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"NF-PAXIL CR TAB ER 25MG","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-PAXIL CR TAB ER 25MG","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-PAXIL CR TAB ER 25MG","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-PAXIL CR TAB ER 25MG","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-PAXIL CR TAB ER 25MG","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-PAXIL CR TAB ER 25MG","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-PAXIL CR TAB ER 25MG","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"NF-PAXIL CR TAB ER 25MG","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"NF-PAXIL CR TAB ER 25MG","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"NF-PAXIL CR TAB ER 25MG","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"NF-PAXIL CR TAB ER 25MG","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"NF-PAXIL CR TAB ER 25MG","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"NF-PAXIL CR TAB ER 25MG","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"NF-PAXIL CR TAB ER 25MG","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"NF-PAXIL CR TAB ER 25MG","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"NF-PAXIL CR TAB ER 25MG","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"NF-PAXIL CR TAB ER 25MG","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"NF-PAXIL CR TAB ER 25MG","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-OASIS MOISTURIZING MM SPRAY 35%","0637","RC","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"NF-OASIS MOISTURIZING MM SPRAY 35%","0637","RC","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","0.15","5264.58","percent of total billed charges",,
"NF-OASIS MOISTURIZING MM SPRAY 35%","0637","RC","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"NF-OASIS MOISTURIZING MM SPRAY 35%","0637","RC","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"NF-OASIS MOISTURIZING MM SPRAY 35%","0637","RC","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"NF-OASIS MOISTURIZING MM SPRAY 35%","0637","RC","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"NF-OASIS MOISTURIZING MM SPRAY 35%","0637","RC","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"NF-OASIS MOISTURIZING MM SPRAY 35%","0637","RC","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"NF-OASIS MOISTURIZING MM SPRAY 35%","0637","RC","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","0.15","5264.58","percent of total billed charges",,
"NF-OASIS MOISTURIZING MM SPRAY 35%","0637","RC","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","0.15","5264.58","percent of total billed charges",,
"NF-OASIS MOISTURIZING MM SPRAY 35%","0637","RC","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","0.15","5264.58","percent of total billed charges",,
"NF-OASIS MOISTURIZING MM SPRAY 35%","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"NF-OASIS MOISTURIZING MM SPRAY 35%","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"NF-OASIS MOISTURIZING MM SPRAY 35%","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"NF-OASIS MOISTURIZING MM SPRAY 35%","0637","RC","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"NF-OASIS MOISTURIZING MM SPRAY 35%","0637","RC","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"NF-OASIS MOISTURIZING MM SPRAY 35%","0637","RC","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","0.15","5264.58","percent of total billed charges",,
"NF-OASIS MOISTURIZING MM SPRAY 35%","0637","RC","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","0.15","5264.58","percent of total billed charges",,
"NF-OASIS MOISTURIZING MM SPRAY 35%","0637","RC","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","0.15","5264.58","percent of total billed charges",,
"NF-OASIS MOISTURIZING MM SPRAY 35%","0637","RC","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 5/325MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 5/325MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 5/325MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 5/325MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 5/325MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 5/325MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 5/325MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 5/325MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 5/325MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 5/325MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 5/325MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 5/325MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 5/325MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 5/325MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 5/325MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 5/325MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 5/325MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 5/325MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 5/325MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 5/325MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE (HIBICLENS) 32 OZ BOTTLE","0637","RC","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE (HIBICLENS) 32 OZ BOTTLE","0637","RC","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE (HIBICLENS) 32 OZ BOTTLE","0637","RC","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE (HIBICLENS) 32 OZ BOTTLE","0637","RC","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE (HIBICLENS) 32 OZ BOTTLE","0637","RC","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE (HIBICLENS) 32 OZ BOTTLE","0637","RC","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE (HIBICLENS) 32 OZ BOTTLE","0637","RC","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE (HIBICLENS) 32 OZ BOTTLE","0637","RC","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE (HIBICLENS) 32 OZ BOTTLE","0637","RC","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE (HIBICLENS) 32 OZ BOTTLE","0637","RC","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE (HIBICLENS) 32 OZ BOTTLE","0637","RC","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE (HIBICLENS) 32 OZ BOTTLE","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE (HIBICLENS) 32 OZ BOTTLE","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE (HIBICLENS) 32 OZ BOTTLE","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE (HIBICLENS) 32 OZ BOTTLE","0637","RC","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE (HIBICLENS) 32 OZ BOTTLE","0637","RC","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE (HIBICLENS) 32 OZ BOTTLE","0637","RC","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE (HIBICLENS) 32 OZ BOTTLE","0637","RC","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE (HIBICLENS) 32 OZ BOTTLE","0637","RC","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE (HIBICLENS) 32 OZ BOTTLE","0637","RC","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"D5W 500 ML VISIV BAG","0250","RC","Both",,,"30","15","Alliant","Health Exchange",,,"62",,"18.6","0.04","569.62","percent of total billed charges",,
"D5W 500 ML VISIV BAG","0250","RC","Both",,,"30","15","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.2","0.04","569.62","percent of total billed charges",,
"D5W 500 ML VISIV BAG","0250","RC","Both",,,"30","15","Medicare",,,,"54",,"16.26","0.04","569.62","percent of total billed charges",,
"D5W 500 ML VISIV BAG","0250","RC","Both",,,"30","15","Humana","Medicare Advantage",,,"54",,"16.26","0.04","569.62","percent of total billed charges",,
"D5W 500 ML VISIV BAG","0250","RC","Both",,,"30","15","UHC","Medicare Advantage",,,"54",,"16.26","0.04","569.62","percent of total billed charges",,
"D5W 500 ML VISIV BAG","0250","RC","Both",,,"30","15","Clover","Medicare Advantage",,,"54",,"16.26","0.04","569.62","percent of total billed charges",,
"D5W 500 ML VISIV BAG","0250","RC","Both",,,"30","15","Wellcare","Medicare Advantage",,,"54",,"16.26","0.04","569.62","percent of total billed charges",,
"D5W 500 ML VISIV BAG","0250","RC","Both",,,"30","15","Amerigroup","Medicaid Managed Care",,,"37",,"10.98","0.04","569.62","percent of total billed charges",,
"D5W 500 ML VISIV BAG","0250","RC","Both",,,"30","15","Caresource","Medicaid Managed Care",,,"40",,"12","0.04","569.62","percent of total billed charges",,
"D5W 500 ML VISIV BAG","0250","RC","Both",,,"30","15","Wellcare","Medicaid Managed Care",,,"40",,"12.15","0.04","569.62","percent of total billed charges",,
"D5W 500 ML VISIV BAG","0250","RC","Both",,,"30","15","Aetna","Commercial",,,"64",,"19.14","0.04","569.62","percent of total billed charges",,
"D5W 500 ML VISIV BAG","0250","RC","Both",,,"30","15","Blue Cross Blue Shield","Pathways",,,"71",,"21.18","0.04","569.62","percent of total billed charges",,
"D5W 500 ML VISIV BAG","0250","RC","Both",,,"30","15","Blue Cross Blue Shield","HMO",,,"71",,"21.18","0.04","569.62","percent of total billed charges",,
"D5W 500 ML VISIV BAG","0250","RC","Both",,,"30","15","Blue Cross Blue Shield","PPO",,,"71",,"21.18","0.04","569.62","percent of total billed charges",,
"D5W 500 ML VISIV BAG","0250","RC","Both",,,"30","15","Ambetter","Health Exchange",,,"62",,"18.6","0.04","569.62","percent of total billed charges",,
"D5W 500 ML VISIV BAG","0250","RC","Both",,,"30","15","Caresource","Health Exchange",,,"62",,"18.6","0.04","569.62","percent of total billed charges",,
"D5W 500 ML VISIV BAG","0250","RC","Both",,,"30","15","Cigna","Commercial",,,"59",,"17.58","0.04","569.62","percent of total billed charges",,
"D5W 500 ML VISIV BAG","0250","RC","Both",,,"30","15","Humana","Commercial",,,"78",,"23.25","0.04","569.62","percent of total billed charges",,
"D5W 500 ML VISIV BAG","0250","RC","Both",,,"30","15","UHC","Commercial",,,"75",,"22.62","0.04","569.62","percent of total billed charges",,
"D5W 500 ML VISIV BAG","0250","RC","Both",,,"30","15","Medicaid",,,,"37",,"10.98","0.04","569.62","percent of total billed charges",,
"HEMORRHOIDAL OINTMENT 57GM TUBE","0637","RC","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"HEMORRHOIDAL OINTMENT 57GM TUBE","0637","RC","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","0.15","5264.58","percent of total billed charges",,
"HEMORRHOIDAL OINTMENT 57GM TUBE","0637","RC","Both",,,"22","11","Medicare",,,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"HEMORRHOIDAL OINTMENT 57GM TUBE","0637","RC","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"HEMORRHOIDAL OINTMENT 57GM TUBE","0637","RC","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"HEMORRHOIDAL OINTMENT 57GM TUBE","0637","RC","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"HEMORRHOIDAL OINTMENT 57GM TUBE","0637","RC","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"HEMORRHOIDAL OINTMENT 57GM TUBE","0637","RC","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"HEMORRHOIDAL OINTMENT 57GM TUBE","0637","RC","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","0.15","5264.58","percent of total billed charges",,
"HEMORRHOIDAL OINTMENT 57GM TUBE","0637","RC","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","0.15","5264.58","percent of total billed charges",,
"HEMORRHOIDAL OINTMENT 57GM TUBE","0637","RC","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","0.15","5264.58","percent of total billed charges",,
"HEMORRHOIDAL OINTMENT 57GM TUBE","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"HEMORRHOIDAL OINTMENT 57GM TUBE","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"HEMORRHOIDAL OINTMENT 57GM TUBE","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"HEMORRHOIDAL OINTMENT 57GM TUBE","0637","RC","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"HEMORRHOIDAL OINTMENT 57GM TUBE","0637","RC","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"HEMORRHOIDAL OINTMENT 57GM TUBE","0637","RC","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","0.15","5264.58","percent of total billed charges",,
"HEMORRHOIDAL OINTMENT 57GM TUBE","0637","RC","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","0.15","5264.58","percent of total billed charges",,
"HEMORRHOIDAL OINTMENT 57GM TUBE","0637","RC","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","0.15","5264.58","percent of total billed charges",,
"HEMORRHOIDAL OINTMENT 57GM TUBE","0637","RC","Both",,,"22","11","Medicaid",,,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"ETHAMBUTOL (MYAMBUTOL) 100 MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ETHAMBUTOL (MYAMBUTOL) 100 MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"ETHAMBUTOL (MYAMBUTOL) 100 MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ETHAMBUTOL (MYAMBUTOL) 100 MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ETHAMBUTOL (MYAMBUTOL) 100 MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ETHAMBUTOL (MYAMBUTOL) 100 MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ETHAMBUTOL (MYAMBUTOL) 100 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ETHAMBUTOL (MYAMBUTOL) 100 MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ETHAMBUTOL (MYAMBUTOL) 100 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"ETHAMBUTOL (MYAMBUTOL) 100 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"ETHAMBUTOL (MYAMBUTOL) 100 MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"ETHAMBUTOL (MYAMBUTOL) 100 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ETHAMBUTOL (MYAMBUTOL) 100 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ETHAMBUTOL (MYAMBUTOL) 100 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ETHAMBUTOL (MYAMBUTOL) 100 MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ETHAMBUTOL (MYAMBUTOL) 100 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ETHAMBUTOL (MYAMBUTOL) 100 MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"ETHAMBUTOL (MYAMBUTOL) 100 MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"ETHAMBUTOL (MYAMBUTOL) 100 MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"ETHAMBUTOL (MYAMBUTOL) 100 MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"MEBENDAZOLE (VERMOX) 100 MG TABLET","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"MEBENDAZOLE (VERMOX) 100 MG TABLET","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"MEBENDAZOLE (VERMOX) 100 MG TABLET","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"MEBENDAZOLE (VERMOX) 100 MG TABLET","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"MEBENDAZOLE (VERMOX) 100 MG TABLET","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"MEBENDAZOLE (VERMOX) 100 MG TABLET","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"MEBENDAZOLE (VERMOX) 100 MG TABLET","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"MEBENDAZOLE (VERMOX) 100 MG TABLET","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"MEBENDAZOLE (VERMOX) 100 MG TABLET","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"MEBENDAZOLE (VERMOX) 100 MG TABLET","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"MEBENDAZOLE (VERMOX) 100 MG TABLET","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"MEBENDAZOLE (VERMOX) 100 MG TABLET","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"MEBENDAZOLE (VERMOX) 100 MG TABLET","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"MEBENDAZOLE (VERMOX) 100 MG TABLET","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"MEBENDAZOLE (VERMOX) 100 MG TABLET","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"MEBENDAZOLE (VERMOX) 100 MG TABLET","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"MEBENDAZOLE (VERMOX) 100 MG TABLET","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"MEBENDAZOLE (VERMOX) 100 MG TABLET","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"MEBENDAZOLE (VERMOX) 100 MG TABLET","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"MEBENDAZOLE (VERMOX) 100 MG TABLET","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"STERILE WATER FOR INJ 500 ML","0250","RC","Both",,,"30","15","Alliant","Health Exchange",,,"62",,"18.6","0.04","569.62","percent of total billed charges",,
"STERILE WATER FOR INJ 500 ML","0250","RC","Both",,,"30","15","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.2","0.04","569.62","percent of total billed charges",,
"STERILE WATER FOR INJ 500 ML","0250","RC","Both",,,"30","15","Medicare",,,,"54",,"16.26","0.04","569.62","percent of total billed charges",,
"STERILE WATER FOR INJ 500 ML","0250","RC","Both",,,"30","15","Humana","Medicare Advantage",,,"54",,"16.26","0.04","569.62","percent of total billed charges",,
"STERILE WATER FOR INJ 500 ML","0250","RC","Both",,,"30","15","UHC","Medicare Advantage",,,"54",,"16.26","0.04","569.62","percent of total billed charges",,
"STERILE WATER FOR INJ 500 ML","0250","RC","Both",,,"30","15","Clover","Medicare Advantage",,,"54",,"16.26","0.04","569.62","percent of total billed charges",,
"STERILE WATER FOR INJ 500 ML","0250","RC","Both",,,"30","15","Wellcare","Medicare Advantage",,,"54",,"16.26","0.04","569.62","percent of total billed charges",,
"STERILE WATER FOR INJ 500 ML","0250","RC","Both",,,"30","15","Amerigroup","Medicaid Managed Care",,,"37",,"10.98","0.04","569.62","percent of total billed charges",,
"STERILE WATER FOR INJ 500 ML","0250","RC","Both",,,"30","15","Caresource","Medicaid Managed Care",,,"40",,"12","0.04","569.62","percent of total billed charges",,
"STERILE WATER FOR INJ 500 ML","0250","RC","Both",,,"30","15","Wellcare","Medicaid Managed Care",,,"40",,"12.15","0.04","569.62","percent of total billed charges",,
"STERILE WATER FOR INJ 500 ML","0250","RC","Both",,,"30","15","Aetna","Commercial",,,"64",,"19.14","0.04","569.62","percent of total billed charges",,
"STERILE WATER FOR INJ 500 ML","0250","RC","Both",,,"30","15","Blue Cross Blue Shield","Pathways",,,"71",,"21.18","0.04","569.62","percent of total billed charges",,
"STERILE WATER FOR INJ 500 ML","0250","RC","Both",,,"30","15","Blue Cross Blue Shield","HMO",,,"71",,"21.18","0.04","569.62","percent of total billed charges",,
"STERILE WATER FOR INJ 500 ML","0250","RC","Both",,,"30","15","Blue Cross Blue Shield","PPO",,,"71",,"21.18","0.04","569.62","percent of total billed charges",,
"STERILE WATER FOR INJ 500 ML","0250","RC","Both",,,"30","15","Ambetter","Health Exchange",,,"62",,"18.6","0.04","569.62","percent of total billed charges",,
"STERILE WATER FOR INJ 500 ML","0250","RC","Both",,,"30","15","Caresource","Health Exchange",,,"62",,"18.6","0.04","569.62","percent of total billed charges",,
"STERILE WATER FOR INJ 500 ML","0250","RC","Both",,,"30","15","Cigna","Commercial",,,"59",,"17.58","0.04","569.62","percent of total billed charges",,
"STERILE WATER FOR INJ 500 ML","0250","RC","Both",,,"30","15","Humana","Commercial",,,"78",,"23.25","0.04","569.62","percent of total billed charges",,
"STERILE WATER FOR INJ 500 ML","0250","RC","Both",,,"30","15","UHC","Commercial",,,"75",,"22.62","0.04","569.62","percent of total billed charges",,
"STERILE WATER FOR INJ 500 ML","0250","RC","Both",,,"30","15","Medicaid",,,,"37",,"10.98","0.04","569.62","percent of total billed charges",,
"HYDROcodone/APAP 7.5/325MG TAB","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 7.5/325MG TAB","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 7.5/325MG TAB","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 7.5/325MG TAB","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 7.5/325MG TAB","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 7.5/325MG TAB","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 7.5/325MG TAB","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 7.5/325MG TAB","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 7.5/325MG TAB","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 7.5/325MG TAB","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 7.5/325MG TAB","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 7.5/325MG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 7.5/325MG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 7.5/325MG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 7.5/325MG TAB","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 7.5/325MG TAB","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 7.5/325MG TAB","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 7.5/325MG TAB","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 7.5/325MG TAB","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 7.5/325MG TAB","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-SCOT-TUSSIN DM ORAL SOLN 2MG-15MG/5ML","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-SCOT-TUSSIN DM ORAL SOLN 2MG-15MG/5ML","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"NF-SCOT-TUSSIN DM ORAL SOLN 2MG-15MG/5ML","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-SCOT-TUSSIN DM ORAL SOLN 2MG-15MG/5ML","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-SCOT-TUSSIN DM ORAL SOLN 2MG-15MG/5ML","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-SCOT-TUSSIN DM ORAL SOLN 2MG-15MG/5ML","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-SCOT-TUSSIN DM ORAL SOLN 2MG-15MG/5ML","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-SCOT-TUSSIN DM ORAL SOLN 2MG-15MG/5ML","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-SCOT-TUSSIN DM ORAL SOLN 2MG-15MG/5ML","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"NF-SCOT-TUSSIN DM ORAL SOLN 2MG-15MG/5ML","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-SCOT-TUSSIN DM ORAL SOLN 2MG-15MG/5ML","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"NF-SCOT-TUSSIN DM ORAL SOLN 2MG-15MG/5ML","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-SCOT-TUSSIN DM ORAL SOLN 2MG-15MG/5ML","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-SCOT-TUSSIN DM ORAL SOLN 2MG-15MG/5ML","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-SCOT-TUSSIN DM ORAL SOLN 2MG-15MG/5ML","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-SCOT-TUSSIN DM ORAL SOLN 2MG-15MG/5ML","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-SCOT-TUSSIN DM ORAL SOLN 2MG-15MG/5ML","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-SCOT-TUSSIN DM ORAL SOLN 2MG-15MG/5ML","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-SCOT-TUSSIN DM ORAL SOLN 2MG-15MG/5ML","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"NF-SCOT-TUSSIN DM ORAL SOLN 2MG-15MG/5ML","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-MEPERITAB TAB 50MG","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MEPERITAB TAB 50MG","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MEPERITAB TAB 50MG","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MEPERITAB TAB 50MG","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MEPERITAB TAB 50MG","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MEPERITAB TAB 50MG","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MEPERITAB TAB 50MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MEPERITAB TAB 50MG","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-MEPERITAB TAB 50MG","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-MEPERITAB TAB 50MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-MEPERITAB TAB 50MG","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-MEPERITAB TAB 50MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MEPERITAB TAB 50MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MEPERITAB TAB 50MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MEPERITAB TAB 50MG","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MEPERITAB TAB 50MG","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MEPERITAB TAB 50MG","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-MEPERITAB TAB 50MG","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-MEPERITAB TAB 50MG","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-MEPERITAB TAB 50MG","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-CHLORZOXAZONE ORAL TABLET 500MG","0637","RC","Both",,,"2.5","1.25","Alliant","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-CHLORZOXAZONE ORAL TABLET 500MG","0637","RC","Both",,,"2.5","1.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.35","0.15","5264.58","percent of total billed charges",,
"NF-CHLORZOXAZONE ORAL TABLET 500MG","0637","RC","Both",,,"2.5","1.25","Medicare",,,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-CHLORZOXAZONE ORAL TABLET 500MG","0637","RC","Both",,,"2.5","1.25","Humana","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-CHLORZOXAZONE ORAL TABLET 500MG","0637","RC","Both",,,"2.5","1.25","UHC","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-CHLORZOXAZONE ORAL TABLET 500MG","0637","RC","Both",,,"2.5","1.25","Clover","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-CHLORZOXAZONE ORAL TABLET 500MG","0637","RC","Both",,,"2.5","1.25","Wellcare","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-CHLORZOXAZONE ORAL TABLET 500MG","0637","RC","Both",,,"2.5","1.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.92","0.15","5264.58","percent of total billed charges",,
"NF-CHLORZOXAZONE ORAL TABLET 500MG","0637","RC","Both",,,"2.5","1.25","Caresource","Medicaid Managed Care",,,"40",,"1","0.15","5264.58","percent of total billed charges",,
"NF-CHLORZOXAZONE ORAL TABLET 500MG","0637","RC","Both",,,"2.5","1.25","Wellcare","Medicaid Managed Care",,,"40",,"1.01","0.15","5264.58","percent of total billed charges",,
"NF-CHLORZOXAZONE ORAL TABLET 500MG","0637","RC","Both",,,"2.5","1.25","Aetna","Commercial",,,"64",,"1.6","0.15","5264.58","percent of total billed charges",,
"NF-CHLORZOXAZONE ORAL TABLET 500MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","Pathways",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-CHLORZOXAZONE ORAL TABLET 500MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","HMO",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-CHLORZOXAZONE ORAL TABLET 500MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","PPO",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-CHLORZOXAZONE ORAL TABLET 500MG","0637","RC","Both",,,"2.5","1.25","Ambetter","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-CHLORZOXAZONE ORAL TABLET 500MG","0637","RC","Both",,,"2.5","1.25","Caresource","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-CHLORZOXAZONE ORAL TABLET 500MG","0637","RC","Both",,,"2.5","1.25","Cigna","Commercial",,,"59",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-CHLORZOXAZONE ORAL TABLET 500MG","0637","RC","Both",,,"2.5","1.25","Humana","Commercial",,,"78",,"1.94","0.15","5264.58","percent of total billed charges",,
"NF-CHLORZOXAZONE ORAL TABLET 500MG","0637","RC","Both",,,"2.5","1.25","UHC","Commercial",,,"75",,"1.88","0.15","5264.58","percent of total billed charges",,
"NF-CHLORZOXAZONE ORAL TABLET 500MG","0637","RC","Both",,,"2.5","1.25","Medicaid",,,,"37",,"0.92","0.15","5264.58","percent of total billed charges",,
"NF-DANTROLENE SODIUM CAP 25MG","0637","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-DANTROLENE SODIUM CAP 25MG","0637","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-DANTROLENE SODIUM CAP 25MG","0637","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-DANTROLENE SODIUM CAP 25MG","0637","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-DANTROLENE SODIUM CAP 25MG","0637","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-DANTROLENE SODIUM CAP 25MG","0637","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-DANTROLENE SODIUM CAP 25MG","0637","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-DANTROLENE SODIUM CAP 25MG","0637","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-DANTROLENE SODIUM CAP 25MG","0637","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.15","5264.58","percent of total billed charges",,
"NF-DANTROLENE SODIUM CAP 25MG","0637","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.15","5264.58","percent of total billed charges",,
"NF-DANTROLENE SODIUM CAP 25MG","0637","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.15","5264.58","percent of total billed charges",,
"NF-DANTROLENE SODIUM CAP 25MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-DANTROLENE SODIUM CAP 25MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-DANTROLENE SODIUM CAP 25MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-DANTROLENE SODIUM CAP 25MG","0637","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-DANTROLENE SODIUM CAP 25MG","0637","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-DANTROLENE SODIUM CAP 25MG","0637","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-DANTROLENE SODIUM CAP 25MG","0637","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.15","5264.58","percent of total billed charges",,
"NF-DANTROLENE SODIUM CAP 25MG","0637","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.15","5264.58","percent of total billed charges",,
"NF-DANTROLENE SODIUM CAP 25MG","0637","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-ONGLYZA ORAL TABLET 5MG","0637","RC","Both",,,"24.5","12.25","Alliant","Health Exchange",,,"62",,"15.19","0.15","5264.58","percent of total billed charges",,
"NF-ONGLYZA ORAL TABLET 5MG","0637","RC","Both",,,"24.5","12.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"13.23","0.15","5264.58","percent of total billed charges",,
"NF-ONGLYZA ORAL TABLET 5MG","0637","RC","Both",,,"24.5","12.25","Medicare",,,,"54",,"13.28","0.15","5264.58","percent of total billed charges",,
"NF-ONGLYZA ORAL TABLET 5MG","0637","RC","Both",,,"24.5","12.25","Humana","Medicare Advantage",,,"54",,"13.28","0.15","5264.58","percent of total billed charges",,
"NF-ONGLYZA ORAL TABLET 5MG","0637","RC","Both",,,"24.5","12.25","UHC","Medicare Advantage",,,"54",,"13.28","0.15","5264.58","percent of total billed charges",,
"NF-ONGLYZA ORAL TABLET 5MG","0637","RC","Both",,,"24.5","12.25","Clover","Medicare Advantage",,,"54",,"13.28","0.15","5264.58","percent of total billed charges",,
"NF-ONGLYZA ORAL TABLET 5MG","0637","RC","Both",,,"24.5","12.25","Wellcare","Medicare Advantage",,,"54",,"13.28","0.15","5264.58","percent of total billed charges",,
"NF-ONGLYZA ORAL TABLET 5MG","0637","RC","Both",,,"24.5","12.25","Amerigroup","Medicaid Managed Care",,,"37",,"8.97","0.15","5264.58","percent of total billed charges",,
"NF-ONGLYZA ORAL TABLET 5MG","0637","RC","Both",,,"24.5","12.25","Caresource","Medicaid Managed Care",,,"40",,"9.8","0.15","5264.58","percent of total billed charges",,
"NF-ONGLYZA ORAL TABLET 5MG","0637","RC","Both",,,"24.5","12.25","Wellcare","Medicaid Managed Care",,,"40",,"9.92","0.15","5264.58","percent of total billed charges",,
"NF-ONGLYZA ORAL TABLET 5MG","0637","RC","Both",,,"24.5","12.25","Aetna","Commercial",,,"64",,"15.63","0.15","5264.58","percent of total billed charges",,
"NF-ONGLYZA ORAL TABLET 5MG","0637","RC","Both",,,"24.5","12.25","Blue Cross Blue Shield","Pathways",,,"71",,"17.3","0.15","5264.58","percent of total billed charges",,
"NF-ONGLYZA ORAL TABLET 5MG","0637","RC","Both",,,"24.5","12.25","Blue Cross Blue Shield","HMO",,,"71",,"17.3","0.15","5264.58","percent of total billed charges",,
"NF-ONGLYZA ORAL TABLET 5MG","0637","RC","Both",,,"24.5","12.25","Blue Cross Blue Shield","PPO",,,"71",,"17.3","0.15","5264.58","percent of total billed charges",,
"NF-ONGLYZA ORAL TABLET 5MG","0637","RC","Both",,,"24.5","12.25","Ambetter","Health Exchange",,,"62",,"15.19","0.15","5264.58","percent of total billed charges",,
"NF-ONGLYZA ORAL TABLET 5MG","0637","RC","Both",,,"24.5","12.25","Caresource","Health Exchange",,,"62",,"15.19","0.15","5264.58","percent of total billed charges",,
"NF-ONGLYZA ORAL TABLET 5MG","0637","RC","Both",,,"24.5","12.25","Cigna","Commercial",,,"59",,"14.36","0.15","5264.58","percent of total billed charges",,
"NF-ONGLYZA ORAL TABLET 5MG","0637","RC","Both",,,"24.5","12.25","Humana","Commercial",,,"78",,"18.99","0.15","5264.58","percent of total billed charges",,
"NF-ONGLYZA ORAL TABLET 5MG","0637","RC","Both",,,"24.5","12.25","UHC","Commercial",,,"75",,"18.47","0.15","5264.58","percent of total billed charges",,
"NF-ONGLYZA ORAL TABLET 5MG","0637","RC","Both",,,"24.5","12.25","Medicaid",,,,"37",,"8.97","0.15","5264.58","percent of total billed charges",,
"NF-RYTHMOL ORAL TABLET 150MG","0637","RC","Both",,,"14","7","Alliant","Health Exchange",,,"62",,"8.68","0.15","5264.58","percent of total billed charges",,
"NF-RYTHMOL ORAL TABLET 150MG","0637","RC","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.56","0.15","5264.58","percent of total billed charges",,
"NF-RYTHMOL ORAL TABLET 150MG","0637","RC","Both",,,"14","7","Medicare",,,,"54",,"7.59","0.15","5264.58","percent of total billed charges",,
"NF-RYTHMOL ORAL TABLET 150MG","0637","RC","Both",,,"14","7","Humana","Medicare Advantage",,,"54",,"7.59","0.15","5264.58","percent of total billed charges",,
"NF-RYTHMOL ORAL TABLET 150MG","0637","RC","Both",,,"14","7","UHC","Medicare Advantage",,,"54",,"7.59","0.15","5264.58","percent of total billed charges",,
"NF-RYTHMOL ORAL TABLET 150MG","0637","RC","Both",,,"14","7","Clover","Medicare Advantage",,,"54",,"7.59","0.15","5264.58","percent of total billed charges",,
"NF-RYTHMOL ORAL TABLET 150MG","0637","RC","Both",,,"14","7","Wellcare","Medicare Advantage",,,"54",,"7.59","0.15","5264.58","percent of total billed charges",,
"NF-RYTHMOL ORAL TABLET 150MG","0637","RC","Both",,,"14","7","Amerigroup","Medicaid Managed Care",,,"37",,"5.12","0.15","5264.58","percent of total billed charges",,
"NF-RYTHMOL ORAL TABLET 150MG","0637","RC","Both",,,"14","7","Caresource","Medicaid Managed Care",,,"40",,"5.6","0.15","5264.58","percent of total billed charges",,
"NF-RYTHMOL ORAL TABLET 150MG","0637","RC","Both",,,"14","7","Wellcare","Medicaid Managed Care",,,"40",,"5.67","0.15","5264.58","percent of total billed charges",,
"NF-RYTHMOL ORAL TABLET 150MG","0637","RC","Both",,,"14","7","Aetna","Commercial",,,"64",,"8.93","0.15","5264.58","percent of total billed charges",,
"NF-RYTHMOL ORAL TABLET 150MG","0637","RC","Both",,,"14","7","Blue Cross Blue Shield","Pathways",,,"71",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-RYTHMOL ORAL TABLET 150MG","0637","RC","Both",,,"14","7","Blue Cross Blue Shield","HMO",,,"71",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-RYTHMOL ORAL TABLET 150MG","0637","RC","Both",,,"14","7","Blue Cross Blue Shield","PPO",,,"71",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-RYTHMOL ORAL TABLET 150MG","0637","RC","Both",,,"14","7","Ambetter","Health Exchange",,,"62",,"8.68","0.15","5264.58","percent of total billed charges",,
"NF-RYTHMOL ORAL TABLET 150MG","0637","RC","Both",,,"14","7","Caresource","Health Exchange",,,"62",,"8.68","0.15","5264.58","percent of total billed charges",,
"NF-RYTHMOL ORAL TABLET 150MG","0637","RC","Both",,,"14","7","Cigna","Commercial",,,"59",,"8.2","0.15","5264.58","percent of total billed charges",,
"NF-RYTHMOL ORAL TABLET 150MG","0637","RC","Both",,,"14","7","Humana","Commercial",,,"78",,"10.85","0.15","5264.58","percent of total billed charges",,
"NF-RYTHMOL ORAL TABLET 150MG","0637","RC","Both",,,"14","7","UHC","Commercial",,,"75",,"10.56","0.15","5264.58","percent of total billed charges",,
"NF-RYTHMOL ORAL TABLET 150MG","0637","RC","Both",,,"14","7","Medicaid",,,,"37",,"5.12","0.15","5264.58","percent of total billed charges",,
"NF-RYTHMOL SR CAP ER 325MG","0637","RC","Both",,,"25.5","12.75","Alliant","Health Exchange",,,"62",,"15.81","0.15","5264.58","percent of total billed charges",,
"NF-RYTHMOL SR CAP ER 325MG","0637","RC","Both",,,"25.5","12.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-RYTHMOL SR CAP ER 325MG","0637","RC","Both",,,"25.5","12.75","Medicare",,,,"54",,"13.82","0.15","5264.58","percent of total billed charges",,
"NF-RYTHMOL SR CAP ER 325MG","0637","RC","Both",,,"25.5","12.75","Humana","Medicare Advantage",,,"54",,"13.82","0.15","5264.58","percent of total billed charges",,
"NF-RYTHMOL SR CAP ER 325MG","0637","RC","Both",,,"25.5","12.75","UHC","Medicare Advantage",,,"54",,"13.82","0.15","5264.58","percent of total billed charges",,
"NF-RYTHMOL SR CAP ER 325MG","0637","RC","Both",,,"25.5","12.75","Clover","Medicare Advantage",,,"54",,"13.82","0.15","5264.58","percent of total billed charges",,
"NF-RYTHMOL SR CAP ER 325MG","0637","RC","Both",,,"25.5","12.75","Wellcare","Medicare Advantage",,,"54",,"13.82","0.15","5264.58","percent of total billed charges",,
"NF-RYTHMOL SR CAP ER 325MG","0637","RC","Both",,,"25.5","12.75","Amerigroup","Medicaid Managed Care",,,"37",,"9.33","0.15","5264.58","percent of total billed charges",,
"NF-RYTHMOL SR CAP ER 325MG","0637","RC","Both",,,"25.5","12.75","Caresource","Medicaid Managed Care",,,"40",,"10.2","0.15","5264.58","percent of total billed charges",,
"NF-RYTHMOL SR CAP ER 325MG","0637","RC","Both",,,"25.5","12.75","Wellcare","Medicaid Managed Care",,,"40",,"10.33","0.15","5264.58","percent of total billed charges",,
"NF-RYTHMOL SR CAP ER 325MG","0637","RC","Both",,,"25.5","12.75","Aetna","Commercial",,,"64",,"16.27","0.15","5264.58","percent of total billed charges",,
"NF-RYTHMOL SR CAP ER 325MG","0637","RC","Both",,,"25.5","12.75","Blue Cross Blue Shield","Pathways",,,"71",,"18","0.15","5264.58","percent of total billed charges",,
"NF-RYTHMOL SR CAP ER 325MG","0637","RC","Both",,,"25.5","12.75","Blue Cross Blue Shield","HMO",,,"71",,"18","0.15","5264.58","percent of total billed charges",,
"NF-RYTHMOL SR CAP ER 325MG","0637","RC","Both",,,"25.5","12.75","Blue Cross Blue Shield","PPO",,,"71",,"18","0.15","5264.58","percent of total billed charges",,
"NF-RYTHMOL SR CAP ER 325MG","0637","RC","Both",,,"25.5","12.75","Ambetter","Health Exchange",,,"62",,"15.81","0.15","5264.58","percent of total billed charges",,
"NF-RYTHMOL SR CAP ER 325MG","0637","RC","Both",,,"25.5","12.75","Caresource","Health Exchange",,,"62",,"15.81","0.15","5264.58","percent of total billed charges",,
"NF-RYTHMOL SR CAP ER 325MG","0637","RC","Both",,,"25.5","12.75","Cigna","Commercial",,,"59",,"14.94","0.15","5264.58","percent of total billed charges",,
"NF-RYTHMOL SR CAP ER 325MG","0637","RC","Both",,,"25.5","12.75","Humana","Commercial",,,"78",,"19.76","0.15","5264.58","percent of total billed charges",,
"NF-RYTHMOL SR CAP ER 325MG","0637","RC","Both",,,"25.5","12.75","UHC","Commercial",,,"75",,"19.23","0.15","5264.58","percent of total billed charges",,
"NF-RYTHMOL SR CAP ER 325MG","0637","RC","Both",,,"25.5","12.75","Medicaid",,,,"37",,"9.33","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 60MG","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 60MG","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA TAB 2MG","0637","RC","Both",,,"27.5","13.75","Alliant","Health Exchange",,,"62",,"17.05","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA TAB 2MG","0637","RC","Both",,,"27.5","13.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.85","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA TAB 2MG","0637","RC","Both",,,"27.5","13.75","Medicare",,,,"54",,"14.9","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA TAB 2MG","0637","RC","Both",,,"27.5","13.75","Humana","Medicare Advantage",,,"54",,"14.9","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA TAB 2MG","0637","RC","Both",,,"27.5","13.75","UHC","Medicare Advantage",,,"54",,"14.9","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA TAB 2MG","0637","RC","Both",,,"27.5","13.75","Clover","Medicare Advantage",,,"54",,"14.9","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA TAB 2MG","0637","RC","Both",,,"27.5","13.75","Wellcare","Medicare Advantage",,,"54",,"14.9","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA TAB 2MG","0637","RC","Both",,,"27.5","13.75","Amerigroup","Medicaid Managed Care",,,"37",,"10.06","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA TAB 2MG","0637","RC","Both",,,"27.5","13.75","Caresource","Medicaid Managed Care",,,"40",,"11","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA TAB 2MG","0637","RC","Both",,,"27.5","13.75","Wellcare","Medicaid Managed Care",,,"40",,"11.14","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA TAB 2MG","0637","RC","Both",,,"27.5","13.75","Aetna","Commercial",,,"64",,"17.55","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA TAB 2MG","0637","RC","Both",,,"27.5","13.75","Blue Cross Blue Shield","Pathways",,,"71",,"19.42","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA TAB 2MG","0637","RC","Both",,,"27.5","13.75","Blue Cross Blue Shield","HMO",,,"71",,"19.42","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA TAB 2MG","0637","RC","Both",,,"27.5","13.75","Blue Cross Blue Shield","PPO",,,"71",,"19.42","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA TAB 2MG","0637","RC","Both",,,"27.5","13.75","Ambetter","Health Exchange",,,"62",,"17.05","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA TAB 2MG","0637","RC","Both",,,"27.5","13.75","Caresource","Health Exchange",,,"62",,"17.05","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA TAB 2MG","0637","RC","Both",,,"27.5","13.75","Cigna","Commercial",,,"59",,"16.11","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA TAB 2MG","0637","RC","Both",,,"27.5","13.75","Humana","Commercial",,,"78",,"21.31","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA TAB 2MG","0637","RC","Both",,,"27.5","13.75","UHC","Commercial",,,"75",,"20.74","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA TAB 2MG","0637","RC","Both",,,"27.5","13.75","Medicaid",,,,"37",,"10.06","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 10MG","0637","RC","Both",,,"19.5","9.75","Alliant","Health Exchange",,,"62",,"12.09","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 10MG","0637","RC","Both",,,"19.5","9.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.53","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 10MG","0637","RC","Both",,,"19.5","9.75","Medicare",,,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 10MG","0637","RC","Both",,,"19.5","9.75","Humana","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 10MG","0637","RC","Both",,,"19.5","9.75","UHC","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 10MG","0637","RC","Both",,,"19.5","9.75","Clover","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 10MG","0637","RC","Both",,,"19.5","9.75","Wellcare","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 10MG","0637","RC","Both",,,"19.5","9.75","Amerigroup","Medicaid Managed Care",,,"37",,"7.14","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 10MG","0637","RC","Both",,,"19.5","9.75","Caresource","Medicaid Managed Care",,,"40",,"7.8","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 10MG","0637","RC","Both",,,"19.5","9.75","Wellcare","Medicaid Managed Care",,,"40",,"7.9","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 10MG","0637","RC","Both",,,"19.5","9.75","Aetna","Commercial",,,"64",,"12.44","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 10MG","0637","RC","Both",,,"19.5","9.75","Blue Cross Blue Shield","Pathways",,,"71",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 10MG","0637","RC","Both",,,"19.5","9.75","Blue Cross Blue Shield","HMO",,,"71",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 10MG","0637","RC","Both",,,"19.5","9.75","Blue Cross Blue Shield","PPO",,,"71",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 10MG","0637","RC","Both",,,"19.5","9.75","Ambetter","Health Exchange",,,"62",,"12.09","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 10MG","0637","RC","Both",,,"19.5","9.75","Caresource","Health Exchange",,,"62",,"12.09","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 10MG","0637","RC","Both",,,"19.5","9.75","Cigna","Commercial",,,"59",,"11.43","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 10MG","0637","RC","Both",,,"19.5","9.75","Humana","Commercial",,,"78",,"15.11","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 10MG","0637","RC","Both",,,"19.5","9.75","UHC","Commercial",,,"75",,"14.7","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 10MG","0637","RC","Both",,,"19.5","9.75","Medicaid",,,,"37",,"7.14","0.15","5264.58","percent of total billed charges",,
"NF-RANITIDINE HCL TAB 150MG","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-RANITIDINE HCL TAB 150MG","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"NF-RANITIDINE HCL TAB 150MG","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-RANITIDINE HCL TAB 150MG","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-RANITIDINE HCL TAB 150MG","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-RANITIDINE HCL TAB 150MG","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-RANITIDINE HCL TAB 150MG","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-RANITIDINE HCL TAB 150MG","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"NF-RANITIDINE HCL TAB 150MG","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"NF-RANITIDINE HCL TAB 150MG","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"NF-RANITIDINE HCL TAB 150MG","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"NF-RANITIDINE HCL TAB 150MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-RANITIDINE HCL TAB 150MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-RANITIDINE HCL TAB 150MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-RANITIDINE HCL TAB 150MG","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-RANITIDINE HCL TAB 150MG","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-RANITIDINE HCL TAB 150MG","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"NF-RANITIDINE HCL TAB 150MG","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-RANITIDINE HCL TAB 150MG","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"NF-RANITIDINE HCL TAB 150MG","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"NF-DOCUSATE CALCIUM LIQ CAP 240MG","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-DOCUSATE CALCIUM LIQ CAP 240MG","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-DOCUSATE CALCIUM LIQ CAP 240MG","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-DOCUSATE CALCIUM LIQ CAP 240MG","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-DOCUSATE CALCIUM LIQ CAP 240MG","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-DOCUSATE CALCIUM LIQ CAP 240MG","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-DOCUSATE CALCIUM LIQ CAP 240MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-DOCUSATE CALCIUM LIQ CAP 240MG","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-DOCUSATE CALCIUM LIQ CAP 240MG","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-DOCUSATE CALCIUM LIQ CAP 240MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-DOCUSATE CALCIUM LIQ CAP 240MG","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-DOCUSATE CALCIUM LIQ CAP 240MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-DOCUSATE CALCIUM LIQ CAP 240MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-DOCUSATE CALCIUM LIQ CAP 240MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-DOCUSATE CALCIUM LIQ CAP 240MG","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-DOCUSATE CALCIUM LIQ CAP 240MG","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-DOCUSATE CALCIUM LIQ CAP 240MG","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-DOCUSATE CALCIUM LIQ CAP 240MG","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-DOCUSATE CALCIUM LIQ CAP 240MG","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-DOCUSATE CALCIUM LIQ CAP 240MG","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 320MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Alliant","Health Exchange",,,"62",,"8.99","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 320MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.83","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 320MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Medicare",,,,"54",,"7.86","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 320MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Humana","Medicare Advantage",,,"54",,"7.86","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 320MG-12.5MG","0637","RC","Both",,,"14.5","7.25","UHC","Medicare Advantage",,,"54",,"7.86","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 320MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Clover","Medicare Advantage",,,"54",,"7.86","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 320MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Wellcare","Medicare Advantage",,,"54",,"7.86","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 320MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Amerigroup","Medicaid Managed Care",,,"37",,"5.31","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 320MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Caresource","Medicaid Managed Care",,,"40",,"5.8","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 320MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Wellcare","Medicaid Managed Care",,,"40",,"5.87","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 320MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Aetna","Commercial",,,"64",,"9.25","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 320MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Blue Cross Blue Shield","Pathways",,,"71",,"10.24","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 320MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Blue Cross Blue Shield","HMO",,,"71",,"10.24","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 320MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Blue Cross Blue Shield","PPO",,,"71",,"10.24","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 320MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Ambetter","Health Exchange",,,"62",,"8.99","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 320MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Caresource","Health Exchange",,,"62",,"8.99","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 320MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Cigna","Commercial",,,"59",,"8.5","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 320MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Humana","Commercial",,,"78",,"11.24","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 320MG-12.5MG","0637","RC","Both",,,"14.5","7.25","UHC","Commercial",,,"75",,"10.93","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 320MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Medicaid",,,,"37",,"5.31","0.15","5264.58","percent of total billed charges",,
"NF-KEPPRA ORAL TABLET 500MG","0637","RC","Both",,,"17","8.5","Alliant","Health Exchange",,,"62",,"10.54","0.15","5264.58","percent of total billed charges",,
"NF-KEPPRA ORAL TABLET 500MG","0637","RC","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-KEPPRA ORAL TABLET 500MG","0637","RC","Both",,,"17","8.5","Medicare",,,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-KEPPRA ORAL TABLET 500MG","0637","RC","Both",,,"17","8.5","Humana","Medicare Advantage",,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-KEPPRA ORAL TABLET 500MG","0637","RC","Both",,,"17","8.5","UHC","Medicare Advantage",,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-KEPPRA ORAL TABLET 500MG","0637","RC","Both",,,"17","8.5","Clover","Medicare Advantage",,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-KEPPRA ORAL TABLET 500MG","0637","RC","Both",,,"17","8.5","Wellcare","Medicare Advantage",,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-KEPPRA ORAL TABLET 500MG","0637","RC","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.22","0.15","5264.58","percent of total billed charges",,
"NF-KEPPRA ORAL TABLET 500MG","0637","RC","Both",,,"17","8.5","Caresource","Medicaid Managed Care",,,"40",,"6.8","0.15","5264.58","percent of total billed charges",,
"NF-KEPPRA ORAL TABLET 500MG","0637","RC","Both",,,"17","8.5","Wellcare","Medicaid Managed Care",,,"40",,"6.89","0.15","5264.58","percent of total billed charges",,
"NF-KEPPRA ORAL TABLET 500MG","0637","RC","Both",,,"17","8.5","Aetna","Commercial",,,"64",,"10.85","0.15","5264.58","percent of total billed charges",,
"NF-KEPPRA ORAL TABLET 500MG","0637","RC","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways",,,"71",,"12","0.15","5264.58","percent of total billed charges",,
"NF-KEPPRA ORAL TABLET 500MG","0637","RC","Both",,,"17","8.5","Blue Cross Blue Shield","HMO",,,"71",,"12","0.15","5264.58","percent of total billed charges",,
"NF-KEPPRA ORAL TABLET 500MG","0637","RC","Both",,,"17","8.5","Blue Cross Blue Shield","PPO",,,"71",,"12","0.15","5264.58","percent of total billed charges",,
"NF-KEPPRA ORAL TABLET 500MG","0637","RC","Both",,,"17","8.5","Ambetter","Health Exchange",,,"62",,"10.54","0.15","5264.58","percent of total billed charges",,
"NF-KEPPRA ORAL TABLET 500MG","0637","RC","Both",,,"17","8.5","Caresource","Health Exchange",,,"62",,"10.54","0.15","5264.58","percent of total billed charges",,
"NF-KEPPRA ORAL TABLET 500MG","0637","RC","Both",,,"17","8.5","Cigna","Commercial",,,"59",,"9.96","0.15","5264.58","percent of total billed charges",,
"NF-KEPPRA ORAL TABLET 500MG","0637","RC","Both",,,"17","8.5","Humana","Commercial",,,"78",,"13.18","0.15","5264.58","percent of total billed charges",,
"NF-KEPPRA ORAL TABLET 500MG","0637","RC","Both",,,"17","8.5","UHC","Commercial",,,"75",,"12.82","0.15","5264.58","percent of total billed charges",,
"NF-KEPPRA ORAL TABLET 500MG","0637","RC","Both",,,"17","8.5","Medicaid",,,,"37",,"6.22","0.15","5264.58","percent of total billed charges",,
"SEVOFLURANE (ULTANE) INHALATION ANEST","0250","RC","Both",,,"252","126","Alliant","Health Exchange",,,"62",,"156.24","0.04","569.62","percent of total billed charges",,
"SEVOFLURANE (ULTANE) INHALATION ANEST","0250","RC","Both",,,"252","126","Pruitt Healthcare","Medicare Advantage",,,"54",,"136.08","0.04","569.62","percent of total billed charges",,
"SEVOFLURANE (ULTANE) INHALATION ANEST","0250","RC","Both",,,"252","126","Medicare",,,,"54",,"136.58","0.04","569.62","percent of total billed charges",,
"SEVOFLURANE (ULTANE) INHALATION ANEST","0250","RC","Both",,,"252","126","Humana","Medicare Advantage",,,"54",,"136.58","0.04","569.62","percent of total billed charges",,
"SEVOFLURANE (ULTANE) INHALATION ANEST","0250","RC","Both",,,"252","126","UHC","Medicare Advantage",,,"54",,"136.58","0.04","569.62","percent of total billed charges",,
"SEVOFLURANE (ULTANE) INHALATION ANEST","0250","RC","Both",,,"252","126","Clover","Medicare Advantage",,,"54",,"136.58","0.04","569.62","percent of total billed charges",,
"SEVOFLURANE (ULTANE) INHALATION ANEST","0250","RC","Both",,,"252","126","Wellcare","Medicare Advantage",,,"54",,"136.58","0.04","569.62","percent of total billed charges",,
"SEVOFLURANE (ULTANE) INHALATION ANEST","0250","RC","Both",,,"252","126","Amerigroup","Medicaid Managed Care",,,"37",,"92.23","0.04","569.62","percent of total billed charges",,
"SEVOFLURANE (ULTANE) INHALATION ANEST","0250","RC","Both",,,"252","126","Caresource","Medicaid Managed Care",,,"40",,"100.8","0.04","569.62","percent of total billed charges",,
"SEVOFLURANE (ULTANE) INHALATION ANEST","0250","RC","Both",,,"252","126","Wellcare","Medicaid Managed Care",,,"40",,"102.06","0.04","569.62","percent of total billed charges",,
"SEVOFLURANE (ULTANE) INHALATION ANEST","0250","RC","Both",,,"252","126","Aetna","Commercial",,,"64",,"160.78","0.04","569.62","percent of total billed charges",,
"SEVOFLURANE (ULTANE) INHALATION ANEST","0250","RC","Both",,,"252","126","Blue Cross Blue Shield","Pathways",,,"71",,"177.91","0.04","569.62","percent of total billed charges",,
"SEVOFLURANE (ULTANE) INHALATION ANEST","0250","RC","Both",,,"252","126","Blue Cross Blue Shield","HMO",,,"71",,"177.91","0.04","569.62","percent of total billed charges",,
"SEVOFLURANE (ULTANE) INHALATION ANEST","0250","RC","Both",,,"252","126","Blue Cross Blue Shield","PPO",,,"71",,"177.91","0.04","569.62","percent of total billed charges",,
"SEVOFLURANE (ULTANE) INHALATION ANEST","0250","RC","Both",,,"252","126","Ambetter","Health Exchange",,,"62",,"156.24","0.04","569.62","percent of total billed charges",,
"SEVOFLURANE (ULTANE) INHALATION ANEST","0250","RC","Both",,,"252","126","Caresource","Health Exchange",,,"62",,"156.24","0.04","569.62","percent of total billed charges",,
"SEVOFLURANE (ULTANE) INHALATION ANEST","0250","RC","Both",,,"252","126","Cigna","Commercial",,,"59",,"147.67","0.04","569.62","percent of total billed charges",,
"SEVOFLURANE (ULTANE) INHALATION ANEST","0250","RC","Both",,,"252","126","Humana","Commercial",,,"78",,"195.3","0.04","569.62","percent of total billed charges",,
"SEVOFLURANE (ULTANE) INHALATION ANEST","0250","RC","Both",,,"252","126","UHC","Commercial",,,"75",,"190.01","0.04","569.62","percent of total billed charges",,
"SEVOFLURANE (ULTANE) INHALATION ANEST","0250","RC","Both",,,"252","126","Medicaid",,,,"37",,"92.23","0.04","569.62","percent of total billed charges",,
"HYDROcodone/APAP 10MG/325MG TAB","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 10MG/325MG TAB","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 10MG/325MG TAB","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 10MG/325MG TAB","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 10MG/325MG TAB","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 10MG/325MG TAB","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 10MG/325MG TAB","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 10MG/325MG TAB","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 10MG/325MG TAB","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 10MG/325MG TAB","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 10MG/325MG TAB","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 10MG/325MG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 10MG/325MG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 10MG/325MG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 10MG/325MG TAB","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 10MG/325MG TAB","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 10MG/325MG TAB","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 10MG/325MG TAB","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 10MG/325MG TAB","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"HYDROcodone/APAP 10MG/325MG TAB","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-ORPHENADRINE CITRATE ORAL TAB ER 100M","0637","RC","Both",,,"8.58","4.29","Alliant","Health Exchange",,,"62",,"5.32","0.15","5264.58","percent of total billed charges",,
"NF-ORPHENADRINE CITRATE ORAL TAB ER 100M","0637","RC","Both",,,"8.58","4.29","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.63","0.15","5264.58","percent of total billed charges",,
"NF-ORPHENADRINE CITRATE ORAL TAB ER 100M","0637","RC","Both",,,"8.58","4.29","Medicare",,,,"54",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-ORPHENADRINE CITRATE ORAL TAB ER 100M","0637","RC","Both",,,"8.58","4.29","Humana","Medicare Advantage",,,"54",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-ORPHENADRINE CITRATE ORAL TAB ER 100M","0637","RC","Both",,,"8.58","4.29","UHC","Medicare Advantage",,,"54",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-ORPHENADRINE CITRATE ORAL TAB ER 100M","0637","RC","Both",,,"8.58","4.29","Clover","Medicare Advantage",,,"54",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-ORPHENADRINE CITRATE ORAL TAB ER 100M","0637","RC","Both",,,"8.58","4.29","Wellcare","Medicare Advantage",,,"54",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-ORPHENADRINE CITRATE ORAL TAB ER 100M","0637","RC","Both",,,"8.58","4.29","Amerigroup","Medicaid Managed Care",,,"37",,"3.14","0.15","5264.58","percent of total billed charges",,
"NF-ORPHENADRINE CITRATE ORAL TAB ER 100M","0637","RC","Both",,,"8.58","4.29","Caresource","Medicaid Managed Care",,,"40",,"3.43","0.15","5264.58","percent of total billed charges",,
"NF-ORPHENADRINE CITRATE ORAL TAB ER 100M","0637","RC","Both",,,"8.58","4.29","Wellcare","Medicaid Managed Care",,,"40",,"3.47","0.15","5264.58","percent of total billed charges",,
"NF-ORPHENADRINE CITRATE ORAL TAB ER 100M","0637","RC","Both",,,"8.58","4.29","Aetna","Commercial",,,"64",,"5.47","0.15","5264.58","percent of total billed charges",,
"NF-ORPHENADRINE CITRATE ORAL TAB ER 100M","0637","RC","Both",,,"8.58","4.29","Blue Cross Blue Shield","Pathways",,,"71",,"6.06","0.15","5264.58","percent of total billed charges",,
"NF-ORPHENADRINE CITRATE ORAL TAB ER 100M","0637","RC","Both",,,"8.58","4.29","Blue Cross Blue Shield","HMO",,,"71",,"6.06","0.15","5264.58","percent of total billed charges",,
"NF-ORPHENADRINE CITRATE ORAL TAB ER 100M","0637","RC","Both",,,"8.58","4.29","Blue Cross Blue Shield","PPO",,,"71",,"6.06","0.15","5264.58","percent of total billed charges",,
"NF-ORPHENADRINE CITRATE ORAL TAB ER 100M","0637","RC","Both",,,"8.58","4.29","Ambetter","Health Exchange",,,"62",,"5.32","0.15","5264.58","percent of total billed charges",,
"NF-ORPHENADRINE CITRATE ORAL TAB ER 100M","0637","RC","Both",,,"8.58","4.29","Caresource","Health Exchange",,,"62",,"5.32","0.15","5264.58","percent of total billed charges",,
"NF-ORPHENADRINE CITRATE ORAL TAB ER 100M","0637","RC","Both",,,"8.58","4.29","Cigna","Commercial",,,"59",,"5.03","0.15","5264.58","percent of total billed charges",,
"NF-ORPHENADRINE CITRATE ORAL TAB ER 100M","0637","RC","Both",,,"8.58","4.29","Humana","Commercial",,,"78",,"6.65","0.15","5264.58","percent of total billed charges",,
"NF-ORPHENADRINE CITRATE ORAL TAB ER 100M","0637","RC","Both",,,"8.58","4.29","UHC","Commercial",,,"75",,"6.47","0.15","5264.58","percent of total billed charges",,
"NF-ORPHENADRINE CITRATE ORAL TAB ER 100M","0637","RC","Both",,,"8.58","4.29","Medicaid",,,,"37",,"3.14","0.15","5264.58","percent of total billed charges",,
"SODIUM BICARBONATE 8.4% INJ VIAL: 50MEQ","0250","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.04","569.62","percent of total billed charges",,
"SODIUM BICARBONATE 8.4% INJ VIAL: 50MEQ","0250","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.04","569.62","percent of total billed charges",,
"SODIUM BICARBONATE 8.4% INJ VIAL: 50MEQ","0250","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"SODIUM BICARBONATE 8.4% INJ VIAL: 50MEQ","0250","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"SODIUM BICARBONATE 8.4% INJ VIAL: 50MEQ","0250","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"SODIUM BICARBONATE 8.4% INJ VIAL: 50MEQ","0250","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"SODIUM BICARBONATE 8.4% INJ VIAL: 50MEQ","0250","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"SODIUM BICARBONATE 8.4% INJ VIAL: 50MEQ","0250","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.04","569.62","percent of total billed charges",,
"SODIUM BICARBONATE 8.4% INJ VIAL: 50MEQ","0250","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.04","569.62","percent of total billed charges",,
"SODIUM BICARBONATE 8.4% INJ VIAL: 50MEQ","0250","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.04","569.62","percent of total billed charges",,
"SODIUM BICARBONATE 8.4% INJ VIAL: 50MEQ","0250","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.04","569.62","percent of total billed charges",,
"SODIUM BICARBONATE 8.4% INJ VIAL: 50MEQ","0250","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.04","569.62","percent of total billed charges",,
"SODIUM BICARBONATE 8.4% INJ VIAL: 50MEQ","0250","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.04","569.62","percent of total billed charges",,
"SODIUM BICARBONATE 8.4% INJ VIAL: 50MEQ","0250","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.04","569.62","percent of total billed charges",,
"SODIUM BICARBONATE 8.4% INJ VIAL: 50MEQ","0250","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.04","569.62","percent of total billed charges",,
"SODIUM BICARBONATE 8.4% INJ VIAL: 50MEQ","0250","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.04","569.62","percent of total billed charges",,
"SODIUM BICARBONATE 8.4% INJ VIAL: 50MEQ","0250","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.04","569.62","percent of total billed charges",,
"SODIUM BICARBONATE 8.4% INJ VIAL: 50MEQ","0250","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.04","569.62","percent of total billed charges",,
"SODIUM BICARBONATE 8.4% INJ VIAL: 50MEQ","0250","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.04","569.62","percent of total billed charges",,
"SODIUM BICARBONATE 8.4% INJ VIAL: 50MEQ","0250","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.04","569.62","percent of total billed charges",,
"NF-DEMADEX TAB 20MG","0637","RC","Both",,,"6.5","3.25","Alliant","Health Exchange",,,"62",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-DEMADEX TAB 20MG","0637","RC","Both",,,"6.5","3.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.51","0.15","5264.58","percent of total billed charges",,
"NF-DEMADEX TAB 20MG","0637","RC","Both",,,"6.5","3.25","Medicare",,,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-DEMADEX TAB 20MG","0637","RC","Both",,,"6.5","3.25","Humana","Medicare Advantage",,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-DEMADEX TAB 20MG","0637","RC","Both",,,"6.5","3.25","UHC","Medicare Advantage",,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-DEMADEX TAB 20MG","0637","RC","Both",,,"6.5","3.25","Clover","Medicare Advantage",,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-DEMADEX TAB 20MG","0637","RC","Both",,,"6.5","3.25","Wellcare","Medicare Advantage",,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-DEMADEX TAB 20MG","0637","RC","Both",,,"6.5","3.25","Amerigroup","Medicaid Managed Care",,,"37",,"2.38","0.15","5264.58","percent of total billed charges",,
"NF-DEMADEX TAB 20MG","0637","RC","Both",,,"6.5","3.25","Caresource","Medicaid Managed Care",,,"40",,"2.6","0.15","5264.58","percent of total billed charges",,
"NF-DEMADEX TAB 20MG","0637","RC","Both",,,"6.5","3.25","Wellcare","Medicaid Managed Care",,,"40",,"2.63","0.15","5264.58","percent of total billed charges",,
"NF-DEMADEX TAB 20MG","0637","RC","Both",,,"6.5","3.25","Aetna","Commercial",,,"64",,"4.15","0.15","5264.58","percent of total billed charges",,
"NF-DEMADEX TAB 20MG","0637","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","Pathways",,,"71",,"4.59","0.15","5264.58","percent of total billed charges",,
"NF-DEMADEX TAB 20MG","0637","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","HMO",,,"71",,"4.59","0.15","5264.58","percent of total billed charges",,
"NF-DEMADEX TAB 20MG","0637","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","PPO",,,"71",,"4.59","0.15","5264.58","percent of total billed charges",,
"NF-DEMADEX TAB 20MG","0637","RC","Both",,,"6.5","3.25","Ambetter","Health Exchange",,,"62",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-DEMADEX TAB 20MG","0637","RC","Both",,,"6.5","3.25","Caresource","Health Exchange",,,"62",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-DEMADEX TAB 20MG","0637","RC","Both",,,"6.5","3.25","Cigna","Commercial",,,"59",,"3.81","0.15","5264.58","percent of total billed charges",,
"NF-DEMADEX TAB 20MG","0637","RC","Both",,,"6.5","3.25","Humana","Commercial",,,"78",,"5.04","0.15","5264.58","percent of total billed charges",,
"NF-DEMADEX TAB 20MG","0637","RC","Both",,,"6.5","3.25","UHC","Commercial",,,"75",,"4.9","0.15","5264.58","percent of total billed charges",,
"NF-DEMADEX TAB 20MG","0637","RC","Both",,,"6.5","3.25","Medicaid",,,,"37",,"2.38","0.15","5264.58","percent of total billed charges",,
"NF-DEMADEX TAB 10MG","0637","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-DEMADEX TAB 10MG","0637","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.15","5264.58","percent of total billed charges",,
"NF-DEMADEX TAB 10MG","0637","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-DEMADEX TAB 10MG","0637","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-DEMADEX TAB 10MG","0637","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-DEMADEX TAB 10MG","0637","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-DEMADEX TAB 10MG","0637","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-DEMADEX TAB 10MG","0637","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-DEMADEX TAB 10MG","0637","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.15","5264.58","percent of total billed charges",,
"NF-DEMADEX TAB 10MG","0637","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-DEMADEX TAB 10MG","0637","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.15","5264.58","percent of total billed charges",,
"NF-DEMADEX TAB 10MG","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-DEMADEX TAB 10MG","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-DEMADEX TAB 10MG","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-DEMADEX TAB 10MG","0637","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-DEMADEX TAB 10MG","0637","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-DEMADEX TAB 10MG","0637","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.15","5264.58","percent of total billed charges",,
"NF-DEMADEX TAB 10MG","0637","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-DEMADEX TAB 10MG","0637","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.15","5264.58","percent of total billed charges",,
"NF-DEMADEX TAB 10MG","0637","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-ACCURETIC TAB 25MG-20MG","0637","RC","Both",,,"6.5","3.25","Alliant","Health Exchange",,,"62",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-ACCURETIC TAB 25MG-20MG","0637","RC","Both",,,"6.5","3.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.51","0.15","5264.58","percent of total billed charges",,
"NF-ACCURETIC TAB 25MG-20MG","0637","RC","Both",,,"6.5","3.25","Medicare",,,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-ACCURETIC TAB 25MG-20MG","0637","RC","Both",,,"6.5","3.25","Humana","Medicare Advantage",,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-ACCURETIC TAB 25MG-20MG","0637","RC","Both",,,"6.5","3.25","UHC","Medicare Advantage",,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-ACCURETIC TAB 25MG-20MG","0637","RC","Both",,,"6.5","3.25","Clover","Medicare Advantage",,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-ACCURETIC TAB 25MG-20MG","0637","RC","Both",,,"6.5","3.25","Wellcare","Medicare Advantage",,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-ACCURETIC TAB 25MG-20MG","0637","RC","Both",,,"6.5","3.25","Amerigroup","Medicaid Managed Care",,,"37",,"2.38","0.15","5264.58","percent of total billed charges",,
"NF-ACCURETIC TAB 25MG-20MG","0637","RC","Both",,,"6.5","3.25","Caresource","Medicaid Managed Care",,,"40",,"2.6","0.15","5264.58","percent of total billed charges",,
"NF-ACCURETIC TAB 25MG-20MG","0637","RC","Both",,,"6.5","3.25","Wellcare","Medicaid Managed Care",,,"40",,"2.63","0.15","5264.58","percent of total billed charges",,
"NF-ACCURETIC TAB 25MG-20MG","0637","RC","Both",,,"6.5","3.25","Aetna","Commercial",,,"64",,"4.15","0.15","5264.58","percent of total billed charges",,
"NF-ACCURETIC TAB 25MG-20MG","0637","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","Pathways",,,"71",,"4.59","0.15","5264.58","percent of total billed charges",,
"NF-ACCURETIC TAB 25MG-20MG","0637","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","HMO",,,"71",,"4.59","0.15","5264.58","percent of total billed charges",,
"NF-ACCURETIC TAB 25MG-20MG","0637","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","PPO",,,"71",,"4.59","0.15","5264.58","percent of total billed charges",,
"NF-ACCURETIC TAB 25MG-20MG","0637","RC","Both",,,"6.5","3.25","Ambetter","Health Exchange",,,"62",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-ACCURETIC TAB 25MG-20MG","0637","RC","Both",,,"6.5","3.25","Caresource","Health Exchange",,,"62",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-ACCURETIC TAB 25MG-20MG","0637","RC","Both",,,"6.5","3.25","Cigna","Commercial",,,"59",,"3.81","0.15","5264.58","percent of total billed charges",,
"NF-ACCURETIC TAB 25MG-20MG","0637","RC","Both",,,"6.5","3.25","Humana","Commercial",,,"78",,"5.04","0.15","5264.58","percent of total billed charges",,
"NF-ACCURETIC TAB 25MG-20MG","0637","RC","Both",,,"6.5","3.25","UHC","Commercial",,,"75",,"4.9","0.15","5264.58","percent of total billed charges",,
"NF-ACCURETIC TAB 25MG-20MG","0637","RC","Both",,,"6.5","3.25","Medicaid",,,,"37",,"2.38","0.15","5264.58","percent of total billed charges",,
"NF-TRICOR ORAL TABLET 145MG","0637","RC","Both",,,"18.5","9.25","Alliant","Health Exchange",,,"62",,"11.47","0.15","5264.58","percent of total billed charges",,
"NF-TRICOR ORAL TABLET 145MG","0637","RC","Both",,,"18.5","9.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.99","0.15","5264.58","percent of total billed charges",,
"NF-TRICOR ORAL TABLET 145MG","0637","RC","Both",,,"18.5","9.25","Medicare",,,,"54",,"10.03","0.15","5264.58","percent of total billed charges",,
"NF-TRICOR ORAL TABLET 145MG","0637","RC","Both",,,"18.5","9.25","Humana","Medicare Advantage",,,"54",,"10.03","0.15","5264.58","percent of total billed charges",,
"NF-TRICOR ORAL TABLET 145MG","0637","RC","Both",,,"18.5","9.25","UHC","Medicare Advantage",,,"54",,"10.03","0.15","5264.58","percent of total billed charges",,
"NF-TRICOR ORAL TABLET 145MG","0637","RC","Both",,,"18.5","9.25","Clover","Medicare Advantage",,,"54",,"10.03","0.15","5264.58","percent of total billed charges",,
"NF-TRICOR ORAL TABLET 145MG","0637","RC","Both",,,"18.5","9.25","Wellcare","Medicare Advantage",,,"54",,"10.03","0.15","5264.58","percent of total billed charges",,
"NF-TRICOR ORAL TABLET 145MG","0637","RC","Both",,,"18.5","9.25","Amerigroup","Medicaid Managed Care",,,"37",,"6.77","0.15","5264.58","percent of total billed charges",,
"NF-TRICOR ORAL TABLET 145MG","0637","RC","Both",,,"18.5","9.25","Caresource","Medicaid Managed Care",,,"40",,"7.4","0.15","5264.58","percent of total billed charges",,
"NF-TRICOR ORAL TABLET 145MG","0637","RC","Both",,,"18.5","9.25","Wellcare","Medicaid Managed Care",,,"40",,"7.49","0.15","5264.58","percent of total billed charges",,
"NF-TRICOR ORAL TABLET 145MG","0637","RC","Both",,,"18.5","9.25","Aetna","Commercial",,,"64",,"11.8","0.15","5264.58","percent of total billed charges",,
"NF-TRICOR ORAL TABLET 145MG","0637","RC","Both",,,"18.5","9.25","Blue Cross Blue Shield","Pathways",,,"71",,"13.06","0.15","5264.58","percent of total billed charges",,
"NF-TRICOR ORAL TABLET 145MG","0637","RC","Both",,,"18.5","9.25","Blue Cross Blue Shield","HMO",,,"71",,"13.06","0.15","5264.58","percent of total billed charges",,
"NF-TRICOR ORAL TABLET 145MG","0637","RC","Both",,,"18.5","9.25","Blue Cross Blue Shield","PPO",,,"71",,"13.06","0.15","5264.58","percent of total billed charges",,
"NF-TRICOR ORAL TABLET 145MG","0637","RC","Both",,,"18.5","9.25","Ambetter","Health Exchange",,,"62",,"11.47","0.15","5264.58","percent of total billed charges",,
"NF-TRICOR ORAL TABLET 145MG","0637","RC","Both",,,"18.5","9.25","Caresource","Health Exchange",,,"62",,"11.47","0.15","5264.58","percent of total billed charges",,
"NF-TRICOR ORAL TABLET 145MG","0637","RC","Both",,,"18.5","9.25","Cigna","Commercial",,,"59",,"10.84","0.15","5264.58","percent of total billed charges",,
"NF-TRICOR ORAL TABLET 145MG","0637","RC","Both",,,"18.5","9.25","Humana","Commercial",,,"78",,"14.34","0.15","5264.58","percent of total billed charges",,
"NF-TRICOR ORAL TABLET 145MG","0637","RC","Both",,,"18.5","9.25","UHC","Commercial",,,"75",,"13.95","0.15","5264.58","percent of total billed charges",,
"NF-TRICOR ORAL TABLET 145MG","0637","RC","Both",,,"18.5","9.25","Medicaid",,,,"37",,"6.77","0.15","5264.58","percent of total billed charges",,
"NF-NITROSTAT SL TAB 0.4MG","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-NITROSTAT SL TAB 0.4MG","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-NITROSTAT SL TAB 0.4MG","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-NITROSTAT SL TAB 0.4MG","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-NITROSTAT SL TAB 0.4MG","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-NITROSTAT SL TAB 0.4MG","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-NITROSTAT SL TAB 0.4MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-NITROSTAT SL TAB 0.4MG","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-NITROSTAT SL TAB 0.4MG","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-NITROSTAT SL TAB 0.4MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-NITROSTAT SL TAB 0.4MG","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-NITROSTAT SL TAB 0.4MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-NITROSTAT SL TAB 0.4MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-NITROSTAT SL TAB 0.4MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-NITROSTAT SL TAB 0.4MG","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-NITROSTAT SL TAB 0.4MG","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-NITROSTAT SL TAB 0.4MG","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-NITROSTAT SL TAB 0.4MG","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-NITROSTAT SL TAB 0.4MG","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-NITROSTAT SL TAB 0.4MG","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-ZOFRAN INJECTION   2MG/ML","0637","RC","Both",,,"38.5","19.25","Alliant","Health Exchange",,,"62",,"23.87","0.15","5264.58","percent of total billed charges",,
"NF-ZOFRAN INJECTION   2MG/ML","0637","RC","Both",,,"38.5","19.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.79","0.15","5264.58","percent of total billed charges",,
"NF-ZOFRAN INJECTION   2MG/ML","0637","RC","Both",,,"38.5","19.25","Medicare",,,,"54",,"20.87","0.15","5264.58","percent of total billed charges",,
"NF-ZOFRAN INJECTION   2MG/ML","0637","RC","Both",,,"38.5","19.25","Humana","Medicare Advantage",,,"54",,"20.87","0.15","5264.58","percent of total billed charges",,
"NF-ZOFRAN INJECTION   2MG/ML","0637","RC","Both",,,"38.5","19.25","UHC","Medicare Advantage",,,"54",,"20.87","0.15","5264.58","percent of total billed charges",,
"NF-ZOFRAN INJECTION   2MG/ML","0637","RC","Both",,,"38.5","19.25","Clover","Medicare Advantage",,,"54",,"20.87","0.15","5264.58","percent of total billed charges",,
"NF-ZOFRAN INJECTION   2MG/ML","0637","RC","Both",,,"38.5","19.25","Wellcare","Medicare Advantage",,,"54",,"20.87","0.15","5264.58","percent of total billed charges",,
"NF-ZOFRAN INJECTION   2MG/ML","0637","RC","Both",,,"38.5","19.25","Amerigroup","Medicaid Managed Care",,,"37",,"14.09","0.15","5264.58","percent of total billed charges",,
"NF-ZOFRAN INJECTION   2MG/ML","0637","RC","Both",,,"38.5","19.25","Caresource","Medicaid Managed Care",,,"40",,"15.4","0.15","5264.58","percent of total billed charges",,
"NF-ZOFRAN INJECTION   2MG/ML","0637","RC","Both",,,"38.5","19.25","Wellcare","Medicaid Managed Care",,,"40",,"15.59","0.15","5264.58","percent of total billed charges",,
"NF-ZOFRAN INJECTION   2MG/ML","0637","RC","Both",,,"38.5","19.25","Aetna","Commercial",,,"64",,"24.56","0.15","5264.58","percent of total billed charges",,
"NF-ZOFRAN INJECTION   2MG/ML","0637","RC","Both",,,"38.5","19.25","Blue Cross Blue Shield","Pathways",,,"71",,"27.18","0.15","5264.58","percent of total billed charges",,
"NF-ZOFRAN INJECTION   2MG/ML","0637","RC","Both",,,"38.5","19.25","Blue Cross Blue Shield","HMO",,,"71",,"27.18","0.15","5264.58","percent of total billed charges",,
"NF-ZOFRAN INJECTION   2MG/ML","0637","RC","Both",,,"38.5","19.25","Blue Cross Blue Shield","PPO",,,"71",,"27.18","0.15","5264.58","percent of total billed charges",,
"NF-ZOFRAN INJECTION   2MG/ML","0637","RC","Both",,,"38.5","19.25","Ambetter","Health Exchange",,,"62",,"23.87","0.15","5264.58","percent of total billed charges",,
"NF-ZOFRAN INJECTION   2MG/ML","0637","RC","Both",,,"38.5","19.25","Caresource","Health Exchange",,,"62",,"23.87","0.15","5264.58","percent of total billed charges",,
"NF-ZOFRAN INJECTION   2MG/ML","0637","RC","Both",,,"38.5","19.25","Cigna","Commercial",,,"59",,"22.56","0.15","5264.58","percent of total billed charges",,
"NF-ZOFRAN INJECTION   2MG/ML","0637","RC","Both",,,"38.5","19.25","Humana","Commercial",,,"78",,"29.84","0.15","5264.58","percent of total billed charges",,
"NF-ZOFRAN INJECTION   2MG/ML","0637","RC","Both",,,"38.5","19.25","UHC","Commercial",,,"75",,"29.03","0.15","5264.58","percent of total billed charges",,
"NF-ZOFRAN INJECTION   2MG/ML","0637","RC","Both",,,"38.5","19.25","Medicaid",,,,"37",,"14.09","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 320MG-25MG","0637","RC","Both",,,"16.5","8.25","Alliant","Health Exchange",,,"62",,"10.23","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 320MG-25MG","0637","RC","Both",,,"16.5","8.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.91","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 320MG-25MG","0637","RC","Both",,,"16.5","8.25","Medicare",,,,"54",,"8.94","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 320MG-25MG","0637","RC","Both",,,"16.5","8.25","Humana","Medicare Advantage",,,"54",,"8.94","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 320MG-25MG","0637","RC","Both",,,"16.5","8.25","UHC","Medicare Advantage",,,"54",,"8.94","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 320MG-25MG","0637","RC","Both",,,"16.5","8.25","Clover","Medicare Advantage",,,"54",,"8.94","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 320MG-25MG","0637","RC","Both",,,"16.5","8.25","Wellcare","Medicare Advantage",,,"54",,"8.94","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 320MG-25MG","0637","RC","Both",,,"16.5","8.25","Amerigroup","Medicaid Managed Care",,,"37",,"6.04","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 320MG-25MG","0637","RC","Both",,,"16.5","8.25","Caresource","Medicaid Managed Care",,,"40",,"6.6","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 320MG-25MG","0637","RC","Both",,,"16.5","8.25","Wellcare","Medicaid Managed Care",,,"40",,"6.68","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 320MG-25MG","0637","RC","Both",,,"16.5","8.25","Aetna","Commercial",,,"64",,"10.53","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 320MG-25MG","0637","RC","Both",,,"16.5","8.25","Blue Cross Blue Shield","Pathways",,,"71",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 320MG-25MG","0637","RC","Both",,,"16.5","8.25","Blue Cross Blue Shield","HMO",,,"71",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 320MG-25MG","0637","RC","Both",,,"16.5","8.25","Blue Cross Blue Shield","PPO",,,"71",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 320MG-25MG","0637","RC","Both",,,"16.5","8.25","Ambetter","Health Exchange",,,"62",,"10.23","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 320MG-25MG","0637","RC","Both",,,"16.5","8.25","Caresource","Health Exchange",,,"62",,"10.23","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 320MG-25MG","0637","RC","Both",,,"16.5","8.25","Cigna","Commercial",,,"59",,"9.67","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 320MG-25MG","0637","RC","Both",,,"16.5","8.25","Humana","Commercial",,,"78",,"12.79","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 320MG-25MG","0637","RC","Both",,,"16.5","8.25","UHC","Commercial",,,"75",,"12.44","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 320MG-25MG","0637","RC","Both",,,"16.5","8.25","Medicaid",,,,"37",,"6.04","0.15","5264.58","percent of total billed charges",,
"NF-ZAROXOLYN TABLET 5MG","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-ZAROXOLYN TABLET 5MG","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"NF-ZAROXOLYN TABLET 5MG","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-ZAROXOLYN TABLET 5MG","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-ZAROXOLYN TABLET 5MG","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-ZAROXOLYN TABLET 5MG","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-ZAROXOLYN TABLET 5MG","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-ZAROXOLYN TABLET 5MG","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"NF-ZAROXOLYN TABLET 5MG","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"NF-ZAROXOLYN TABLET 5MG","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"NF-ZAROXOLYN TABLET 5MG","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"NF-ZAROXOLYN TABLET 5MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-ZAROXOLYN TABLET 5MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-ZAROXOLYN TABLET 5MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-ZAROXOLYN TABLET 5MG","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-ZAROXOLYN TABLET 5MG","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-ZAROXOLYN TABLET 5MG","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"NF-ZAROXOLYN TABLET 5MG","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-ZAROXOLYN TABLET 5MG","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"NF-ZAROXOLYN TABLET 5MG","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 150MG","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 150MG","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 150MG","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 150MG","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 150MG","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 150MG","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 150MG","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 150MG","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 150MG","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 150MG","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 150MG","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 150MG","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 150MG","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 150MG","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 150MG","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 150MG","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 150MG","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 150MG","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 150MG","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 150MG","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"60.5","30.25","Alliant","Health Exchange",,,"62",,"37.51","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"60.5","30.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"32.67","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"60.5","30.25","Medicare",,,,"54",,"32.79","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"60.5","30.25","Humana","Medicare Advantage",,,"54",,"32.79","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"60.5","30.25","UHC","Medicare Advantage",,,"54",,"32.79","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"60.5","30.25","Clover","Medicare Advantage",,,"54",,"32.79","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"60.5","30.25","Wellcare","Medicare Advantage",,,"54",,"32.79","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"60.5","30.25","Amerigroup","Medicaid Managed Care",,,"37",,"22.14","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"60.5","30.25","Caresource","Medicaid Managed Care",,,"40",,"24.2","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"60.5","30.25","Wellcare","Medicaid Managed Care",,,"40",,"24.5","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"60.5","30.25","Aetna","Commercial",,,"64",,"38.6","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"60.5","30.25","Blue Cross Blue Shield","Pathways",,,"71",,"42.71","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"60.5","30.25","Blue Cross Blue Shield","HMO",,,"71",,"42.71","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"60.5","30.25","Blue Cross Blue Shield","PPO",,,"71",,"42.71","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"60.5","30.25","Ambetter","Health Exchange",,,"62",,"37.51","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"60.5","30.25","Caresource","Health Exchange",,,"62",,"37.51","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"60.5","30.25","Cigna","Commercial",,,"59",,"35.45","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"60.5","30.25","Humana","Commercial",,,"78",,"46.89","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"60.5","30.25","UHC","Commercial",,,"75",,"45.62","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"60.5","30.25","Medicaid",,,,"37",,"22.14","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE TAB 145MG","0637","RC","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE TAB 145MG","0637","RC","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE TAB 145MG","0637","RC","Both",,,"22","11","Medicare",,,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE TAB 145MG","0637","RC","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE TAB 145MG","0637","RC","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE TAB 145MG","0637","RC","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE TAB 145MG","0637","RC","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE TAB 145MG","0637","RC","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE TAB 145MG","0637","RC","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE TAB 145MG","0637","RC","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE TAB 145MG","0637","RC","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE TAB 145MG","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE TAB 145MG","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE TAB 145MG","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE TAB 145MG","0637","RC","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE TAB 145MG","0637","RC","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE TAB 145MG","0637","RC","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE TAB 145MG","0637","RC","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE TAB 145MG","0637","RC","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE TAB 145MG","0637","RC","Both",,,"22","11","Medicaid",,,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"NF-NEXIUM CAP DR 40MG","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"NF-NEXIUM CAP DR 40MG","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"NF-NEXIUM CAP DR 40MG","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-NEXIUM CAP DR 40MG","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-NEXIUM CAP DR 40MG","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-NEXIUM CAP DR 40MG","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-NEXIUM CAP DR 40MG","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-NEXIUM CAP DR 40MG","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-NEXIUM CAP DR 40MG","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"NF-NEXIUM CAP DR 40MG","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"NF-NEXIUM CAP DR 40MG","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"NF-NEXIUM CAP DR 40MG","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"NF-NEXIUM CAP DR 40MG","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"NF-NEXIUM CAP DR 40MG","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"NF-NEXIUM CAP DR 40MG","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"NF-NEXIUM CAP DR 40MG","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"NF-NEXIUM CAP DR 40MG","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"NF-NEXIUM CAP DR 40MG","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"NF-NEXIUM CAP DR 40MG","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"NF-NEXIUM CAP DR 40MG","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-VANCOMYCIN HCL IV PWD FOR SOLN 500MG","0637","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.15","5264.58","percent of total billed charges",,
"NF-VANCOMYCIN HCL IV PWD FOR SOLN 500MG","0637","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.15","5264.58","percent of total billed charges",,
"NF-VANCOMYCIN HCL IV PWD FOR SOLN 500MG","0637","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.15","5264.58","percent of total billed charges",,
"NF-VANCOMYCIN HCL IV PWD FOR SOLN 500MG","0637","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.15","5264.58","percent of total billed charges",,
"NF-VANCOMYCIN HCL IV PWD FOR SOLN 500MG","0637","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.15","5264.58","percent of total billed charges",,
"NF-VANCOMYCIN HCL IV PWD FOR SOLN 500MG","0637","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.15","5264.58","percent of total billed charges",,
"NF-VANCOMYCIN HCL IV PWD FOR SOLN 500MG","0637","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.15","5264.58","percent of total billed charges",,
"NF-VANCOMYCIN HCL IV PWD FOR SOLN 500MG","0637","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.15","5264.58","percent of total billed charges",,
"NF-VANCOMYCIN HCL IV PWD FOR SOLN 500MG","0637","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.15","5264.58","percent of total billed charges",,
"NF-VANCOMYCIN HCL IV PWD FOR SOLN 500MG","0637","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.15","5264.58","percent of total billed charges",,
"NF-VANCOMYCIN HCL IV PWD FOR SOLN 500MG","0637","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.15","5264.58","percent of total billed charges",,
"NF-VANCOMYCIN HCL IV PWD FOR SOLN 500MG","0637","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.15","5264.58","percent of total billed charges",,
"NF-VANCOMYCIN HCL IV PWD FOR SOLN 500MG","0637","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.15","5264.58","percent of total billed charges",,
"NF-VANCOMYCIN HCL IV PWD FOR SOLN 500MG","0637","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.15","5264.58","percent of total billed charges",,
"NF-VANCOMYCIN HCL IV PWD FOR SOLN 500MG","0637","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.15","5264.58","percent of total billed charges",,
"NF-VANCOMYCIN HCL IV PWD FOR SOLN 500MG","0637","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.15","5264.58","percent of total billed charges",,
"NF-VANCOMYCIN HCL IV PWD FOR SOLN 500MG","0637","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.15","5264.58","percent of total billed charges",,
"NF-VANCOMYCIN HCL IV PWD FOR SOLN 500MG","0637","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.15","5264.58","percent of total billed charges",,
"NF-VANCOMYCIN HCL IV PWD FOR SOLN 500MG","0637","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.15","5264.58","percent of total billed charges",,
"NF-VANCOMYCIN HCL IV PWD FOR SOLN 500MG","0637","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.15","5264.58","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL CAP ER 200MG","0637","RC","Both",,,"5.5","2.75","Alliant","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL CAP ER 200MG","0637","RC","Both",,,"5.5","2.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.97","0.15","5264.58","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL CAP ER 200MG","0637","RC","Both",,,"5.5","2.75","Medicare",,,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL CAP ER 200MG","0637","RC","Both",,,"5.5","2.75","Humana","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL CAP ER 200MG","0637","RC","Both",,,"5.5","2.75","UHC","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL CAP ER 200MG","0637","RC","Both",,,"5.5","2.75","Clover","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL CAP ER 200MG","0637","RC","Both",,,"5.5","2.75","Wellcare","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL CAP ER 200MG","0637","RC","Both",,,"5.5","2.75","Amerigroup","Medicaid Managed Care",,,"37",,"2.01","0.15","5264.58","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL CAP ER 200MG","0637","RC","Both",,,"5.5","2.75","Caresource","Medicaid Managed Care",,,"40",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL CAP ER 200MG","0637","RC","Both",,,"5.5","2.75","Wellcare","Medicaid Managed Care",,,"40",,"2.23","0.15","5264.58","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL CAP ER 200MG","0637","RC","Both",,,"5.5","2.75","Aetna","Commercial",,,"64",,"3.51","0.15","5264.58","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL CAP ER 200MG","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","Pathways",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL CAP ER 200MG","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","HMO",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL CAP ER 200MG","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","PPO",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL CAP ER 200MG","0637","RC","Both",,,"5.5","2.75","Ambetter","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL CAP ER 200MG","0637","RC","Both",,,"5.5","2.75","Caresource","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL CAP ER 200MG","0637","RC","Both",,,"5.5","2.75","Cigna","Commercial",,,"59",,"3.22","0.15","5264.58","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL CAP ER 200MG","0637","RC","Both",,,"5.5","2.75","Humana","Commercial",,,"78",,"4.26","0.15","5264.58","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL CAP ER 200MG","0637","RC","Both",,,"5.5","2.75","UHC","Commercial",,,"75",,"4.15","0.15","5264.58","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL CAP ER 200MG","0637","RC","Both",,,"5.5","2.75","Medicaid",,,,"37",,"2.01","0.15","5264.58","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL TAB ER 200MG","0637","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL TAB ER 200MG","0637","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL TAB ER 200MG","0637","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL TAB ER 200MG","0637","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL TAB ER 200MG","0637","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL TAB ER 200MG","0637","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL TAB ER 200MG","0637","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL TAB ER 200MG","0637","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL TAB ER 200MG","0637","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.15","5264.58","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL TAB ER 200MG","0637","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.15","5264.58","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL TAB ER 200MG","0637","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.15","5264.58","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL TAB ER 200MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL TAB ER 200MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL TAB ER 200MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL TAB ER 200MG","0637","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL TAB ER 200MG","0637","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL TAB ER 200MG","0637","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL TAB ER 200MG","0637","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.15","5264.58","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL TAB ER 200MG","0637","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.15","5264.58","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL TAB ER 200MG","0637","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-COLCHICINE ORAL TABLET 0.6MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-COLCHICINE ORAL TABLET 0.6MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"NF-COLCHICINE ORAL TABLET 0.6MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-COLCHICINE ORAL TABLET 0.6MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-COLCHICINE ORAL TABLET 0.6MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-COLCHICINE ORAL TABLET 0.6MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-COLCHICINE ORAL TABLET 0.6MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-COLCHICINE ORAL TABLET 0.6MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-COLCHICINE ORAL TABLET 0.6MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"NF-COLCHICINE ORAL TABLET 0.6MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-COLCHICINE ORAL TABLET 0.6MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"NF-COLCHICINE ORAL TABLET 0.6MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-COLCHICINE ORAL TABLET 0.6MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-COLCHICINE ORAL TABLET 0.6MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-COLCHICINE ORAL TABLET 0.6MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-COLCHICINE ORAL TABLET 0.6MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-COLCHICINE ORAL TABLET 0.6MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-COLCHICINE ORAL TABLET 0.6MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-COLCHICINE ORAL TABLET 0.6MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"NF-COLCHICINE ORAL TABLET 0.6MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN OPHTH SOLN 0.004%","0637","RC","Both",,,"98","49","Alliant","Health Exchange",,,"62",,"60.76","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN OPHTH SOLN 0.004%","0637","RC","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage",,,"54",,"52.92","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN OPHTH SOLN 0.004%","0637","RC","Both",,,"98","49","Medicare",,,,"54",,"53.12","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN OPHTH SOLN 0.004%","0637","RC","Both",,,"98","49","Humana","Medicare Advantage",,,"54",,"53.12","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN OPHTH SOLN 0.004%","0637","RC","Both",,,"98","49","UHC","Medicare Advantage",,,"54",,"53.12","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN OPHTH SOLN 0.004%","0637","RC","Both",,,"98","49","Clover","Medicare Advantage",,,"54",,"53.12","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN OPHTH SOLN 0.004%","0637","RC","Both",,,"98","49","Wellcare","Medicare Advantage",,,"54",,"53.12","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN OPHTH SOLN 0.004%","0637","RC","Both",,,"98","49","Amerigroup","Medicaid Managed Care",,,"37",,"35.87","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN OPHTH SOLN 0.004%","0637","RC","Both",,,"98","49","Caresource","Medicaid Managed Care",,,"40",,"39.2","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN OPHTH SOLN 0.004%","0637","RC","Both",,,"98","49","Wellcare","Medicaid Managed Care",,,"40",,"39.69","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN OPHTH SOLN 0.004%","0637","RC","Both",,,"98","49","Aetna","Commercial",,,"64",,"62.52","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN OPHTH SOLN 0.004%","0637","RC","Both",,,"98","49","Blue Cross Blue Shield","Pathways",,,"71",,"69.19","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN OPHTH SOLN 0.004%","0637","RC","Both",,,"98","49","Blue Cross Blue Shield","HMO",,,"71",,"69.19","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN OPHTH SOLN 0.004%","0637","RC","Both",,,"98","49","Blue Cross Blue Shield","PPO",,,"71",,"69.19","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN OPHTH SOLN 0.004%","0637","RC","Both",,,"98","49","Ambetter","Health Exchange",,,"62",,"60.76","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN OPHTH SOLN 0.004%","0637","RC","Both",,,"98","49","Caresource","Health Exchange",,,"62",,"60.76","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN OPHTH SOLN 0.004%","0637","RC","Both",,,"98","49","Cigna","Commercial",,,"59",,"57.43","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN OPHTH SOLN 0.004%","0637","RC","Both",,,"98","49","Humana","Commercial",,,"78",,"75.95","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN OPHTH SOLN 0.004%","0637","RC","Both",,,"98","49","UHC","Commercial",,,"75",,"73.89","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN OPHTH SOLN 0.004%","0637","RC","Both",,,"98","49","Medicaid",,,,"37",,"35.87","0.15","5264.58","percent of total billed charges",,
"NF-PROMETHAZINE (PHENERGAN) 50MG/ML INJ","0250","RC","Both",,,"31","15.5","Alliant","Health Exchange",,,"62",,"19.22","0.04","569.62","percent of total billed charges",,
"NF-PROMETHAZINE (PHENERGAN) 50MG/ML INJ","0250","RC","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.74","0.04","569.62","percent of total billed charges",,
"NF-PROMETHAZINE (PHENERGAN) 50MG/ML INJ","0250","RC","Both",,,"31","15.5","Medicare",,,,"54",,"16.8","0.04","569.62","percent of total billed charges",,
"NF-PROMETHAZINE (PHENERGAN) 50MG/ML INJ","0250","RC","Both",,,"31","15.5","Humana","Medicare Advantage",,,"54",,"16.8","0.04","569.62","percent of total billed charges",,
"NF-PROMETHAZINE (PHENERGAN) 50MG/ML INJ","0250","RC","Both",,,"31","15.5","UHC","Medicare Advantage",,,"54",,"16.8","0.04","569.62","percent of total billed charges",,
"NF-PROMETHAZINE (PHENERGAN) 50MG/ML INJ","0250","RC","Both",,,"31","15.5","Clover","Medicare Advantage",,,"54",,"16.8","0.04","569.62","percent of total billed charges",,
"NF-PROMETHAZINE (PHENERGAN) 50MG/ML INJ","0250","RC","Both",,,"31","15.5","Wellcare","Medicare Advantage",,,"54",,"16.8","0.04","569.62","percent of total billed charges",,
"NF-PROMETHAZINE (PHENERGAN) 50MG/ML INJ","0250","RC","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care",,,"37",,"11.35","0.04","569.62","percent of total billed charges",,
"NF-PROMETHAZINE (PHENERGAN) 50MG/ML INJ","0250","RC","Both",,,"31","15.5","Caresource","Medicaid Managed Care",,,"40",,"12.4","0.04","569.62","percent of total billed charges",,
"NF-PROMETHAZINE (PHENERGAN) 50MG/ML INJ","0250","RC","Both",,,"31","15.5","Wellcare","Medicaid Managed Care",,,"40",,"12.56","0.04","569.62","percent of total billed charges",,
"NF-PROMETHAZINE (PHENERGAN) 50MG/ML INJ","0250","RC","Both",,,"31","15.5","Aetna","Commercial",,,"64",,"19.78","0.04","569.62","percent of total billed charges",,
"NF-PROMETHAZINE (PHENERGAN) 50MG/ML INJ","0250","RC","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways",,,"71",,"21.89","0.04","569.62","percent of total billed charges",,
"NF-PROMETHAZINE (PHENERGAN) 50MG/ML INJ","0250","RC","Both",,,"31","15.5","Blue Cross Blue Shield","HMO",,,"71",,"21.89","0.04","569.62","percent of total billed charges",,
"NF-PROMETHAZINE (PHENERGAN) 50MG/ML INJ","0250","RC","Both",,,"31","15.5","Blue Cross Blue Shield","PPO",,,"71",,"21.89","0.04","569.62","percent of total billed charges",,
"NF-PROMETHAZINE (PHENERGAN) 50MG/ML INJ","0250","RC","Both",,,"31","15.5","Ambetter","Health Exchange",,,"62",,"19.22","0.04","569.62","percent of total billed charges",,
"NF-PROMETHAZINE (PHENERGAN) 50MG/ML INJ","0250","RC","Both",,,"31","15.5","Caresource","Health Exchange",,,"62",,"19.22","0.04","569.62","percent of total billed charges",,
"NF-PROMETHAZINE (PHENERGAN) 50MG/ML INJ","0250","RC","Both",,,"31","15.5","Cigna","Commercial",,,"59",,"18.17","0.04","569.62","percent of total billed charges",,
"NF-PROMETHAZINE (PHENERGAN) 50MG/ML INJ","0250","RC","Both",,,"31","15.5","Humana","Commercial",,,"78",,"24.02","0.04","569.62","percent of total billed charges",,
"NF-PROMETHAZINE (PHENERGAN) 50MG/ML INJ","0250","RC","Both",,,"31","15.5","UHC","Commercial",,,"75",,"23.37","0.04","569.62","percent of total billed charges",,
"NF-PROMETHAZINE (PHENERGAN) 50MG/ML INJ","0250","RC","Both",,,"31","15.5","Medicaid",,,,"37",,"11.35","0.04","569.62","percent of total billed charges",,
"NF-VALSARTAN TAB 160MG","0637","RC","Both",,,"13.5","6.75","Alliant","Health Exchange",,,"62",,"8.37","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN TAB 160MG","0637","RC","Both",,,"13.5","6.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.29","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN TAB 160MG","0637","RC","Both",,,"13.5","6.75","Medicare",,,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN TAB 160MG","0637","RC","Both",,,"13.5","6.75","Humana","Medicare Advantage",,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN TAB 160MG","0637","RC","Both",,,"13.5","6.75","UHC","Medicare Advantage",,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN TAB 160MG","0637","RC","Both",,,"13.5","6.75","Clover","Medicare Advantage",,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN TAB 160MG","0637","RC","Both",,,"13.5","6.75","Wellcare","Medicare Advantage",,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN TAB 160MG","0637","RC","Both",,,"13.5","6.75","Amerigroup","Medicaid Managed Care",,,"37",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN TAB 160MG","0637","RC","Both",,,"13.5","6.75","Caresource","Medicaid Managed Care",,,"40",,"5.4","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN TAB 160MG","0637","RC","Both",,,"13.5","6.75","Wellcare","Medicaid Managed Care",,,"40",,"5.47","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN TAB 160MG","0637","RC","Both",,,"13.5","6.75","Aetna","Commercial",,,"64",,"8.61","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN TAB 160MG","0637","RC","Both",,,"13.5","6.75","Blue Cross Blue Shield","Pathways",,,"71",,"9.53","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN TAB 160MG","0637","RC","Both",,,"13.5","6.75","Blue Cross Blue Shield","HMO",,,"71",,"9.53","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN TAB 160MG","0637","RC","Both",,,"13.5","6.75","Blue Cross Blue Shield","PPO",,,"71",,"9.53","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN TAB 160MG","0637","RC","Both",,,"13.5","6.75","Ambetter","Health Exchange",,,"62",,"8.37","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN TAB 160MG","0637","RC","Both",,,"13.5","6.75","Caresource","Health Exchange",,,"62",,"8.37","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN TAB 160MG","0637","RC","Both",,,"13.5","6.75","Cigna","Commercial",,,"59",,"7.91","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN TAB 160MG","0637","RC","Both",,,"13.5","6.75","Humana","Commercial",,,"78",,"10.46","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN TAB 160MG","0637","RC","Both",,,"13.5","6.75","UHC","Commercial",,,"75",,"10.18","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN TAB 160MG","0637","RC","Both",,,"13.5","6.75","Medicaid",,,,"37",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-QUINAPRIL-HYDROCHLOROTHIAZIDE TAB 10M","0637","RC","Both",,,"3.5","1.75","Alliant","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-QUINAPRIL-HYDROCHLOROTHIAZIDE TAB 10M","0637","RC","Both",,,"3.5","1.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.89","0.15","5264.58","percent of total billed charges",,
"NF-QUINAPRIL-HYDROCHLOROTHIAZIDE TAB 10M","0637","RC","Both",,,"3.5","1.75","Medicare",,,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-QUINAPRIL-HYDROCHLOROTHIAZIDE TAB 10M","0637","RC","Both",,,"3.5","1.75","Humana","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-QUINAPRIL-HYDROCHLOROTHIAZIDE TAB 10M","0637","RC","Both",,,"3.5","1.75","UHC","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-QUINAPRIL-HYDROCHLOROTHIAZIDE TAB 10M","0637","RC","Both",,,"3.5","1.75","Clover","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-QUINAPRIL-HYDROCHLOROTHIAZIDE TAB 10M","0637","RC","Both",,,"3.5","1.75","Wellcare","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-QUINAPRIL-HYDROCHLOROTHIAZIDE TAB 10M","0637","RC","Both",,,"3.5","1.75","Amerigroup","Medicaid Managed Care",,,"37",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-QUINAPRIL-HYDROCHLOROTHIAZIDE TAB 10M","0637","RC","Both",,,"3.5","1.75","Caresource","Medicaid Managed Care",,,"40",,"1.4","0.15","5264.58","percent of total billed charges",,
"NF-QUINAPRIL-HYDROCHLOROTHIAZIDE TAB 10M","0637","RC","Both",,,"3.5","1.75","Wellcare","Medicaid Managed Care",,,"40",,"1.42","0.15","5264.58","percent of total billed charges",,
"NF-QUINAPRIL-HYDROCHLOROTHIAZIDE TAB 10M","0637","RC","Both",,,"3.5","1.75","Aetna","Commercial",,,"64",,"2.23","0.15","5264.58","percent of total billed charges",,
"NF-QUINAPRIL-HYDROCHLOROTHIAZIDE TAB 10M","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","Pathways",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-QUINAPRIL-HYDROCHLOROTHIAZIDE TAB 10M","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","HMO",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-QUINAPRIL-HYDROCHLOROTHIAZIDE TAB 10M","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","PPO",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-QUINAPRIL-HYDROCHLOROTHIAZIDE TAB 10M","0637","RC","Both",,,"3.5","1.75","Ambetter","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-QUINAPRIL-HYDROCHLOROTHIAZIDE TAB 10M","0637","RC","Both",,,"3.5","1.75","Caresource","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-QUINAPRIL-HYDROCHLOROTHIAZIDE TAB 10M","0637","RC","Both",,,"3.5","1.75","Cigna","Commercial",,,"59",,"2.05","0.15","5264.58","percent of total billed charges",,
"NF-QUINAPRIL-HYDROCHLOROTHIAZIDE TAB 10M","0637","RC","Both",,,"3.5","1.75","Humana","Commercial",,,"78",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-QUINAPRIL-HYDROCHLOROTHIAZIDE TAB 10M","0637","RC","Both",,,"3.5","1.75","UHC","Commercial",,,"75",,"2.64","0.15","5264.58","percent of total billed charges",,
"NF-QUINAPRIL-HYDROCHLOROTHIAZIDE TAB 10M","0637","RC","Both",,,"3.5","1.75","Medicaid",,,,"37",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 3MG","0637","RC","Both",,,"13.5","6.75","Alliant","Health Exchange",,,"62",,"8.37","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 3MG","0637","RC","Both",,,"13.5","6.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.29","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 3MG","0637","RC","Both",,,"13.5","6.75","Medicare",,,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 3MG","0637","RC","Both",,,"13.5","6.75","Humana","Medicare Advantage",,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 3MG","0637","RC","Both",,,"13.5","6.75","UHC","Medicare Advantage",,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 3MG","0637","RC","Both",,,"13.5","6.75","Clover","Medicare Advantage",,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 3MG","0637","RC","Both",,,"13.5","6.75","Wellcare","Medicare Advantage",,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 3MG","0637","RC","Both",,,"13.5","6.75","Amerigroup","Medicaid Managed Care",,,"37",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 3MG","0637","RC","Both",,,"13.5","6.75","Caresource","Medicaid Managed Care",,,"40",,"5.4","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 3MG","0637","RC","Both",,,"13.5","6.75","Wellcare","Medicaid Managed Care",,,"40",,"5.47","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 3MG","0637","RC","Both",,,"13.5","6.75","Aetna","Commercial",,,"64",,"8.61","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 3MG","0637","RC","Both",,,"13.5","6.75","Blue Cross Blue Shield","Pathways",,,"71",,"9.53","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 3MG","0637","RC","Both",,,"13.5","6.75","Blue Cross Blue Shield","HMO",,,"71",,"9.53","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 3MG","0637","RC","Both",,,"13.5","6.75","Blue Cross Blue Shield","PPO",,,"71",,"9.53","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 3MG","0637","RC","Both",,,"13.5","6.75","Ambetter","Health Exchange",,,"62",,"8.37","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 3MG","0637","RC","Both",,,"13.5","6.75","Caresource","Health Exchange",,,"62",,"8.37","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 3MG","0637","RC","Both",,,"13.5","6.75","Cigna","Commercial",,,"59",,"7.91","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 3MG","0637","RC","Both",,,"13.5","6.75","Humana","Commercial",,,"78",,"10.46","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 3MG","0637","RC","Both",,,"13.5","6.75","UHC","Commercial",,,"75",,"10.18","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 3MG","0637","RC","Both",,,"13.5","6.75","Medicaid",,,,"37",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"60.5","30.25","Alliant","Health Exchange",,,"62",,"37.51","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"60.5","30.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"32.67","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"60.5","30.25","Medicare",,,,"54",,"32.79","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"60.5","30.25","Humana","Medicare Advantage",,,"54",,"32.79","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"60.5","30.25","UHC","Medicare Advantage",,,"54",,"32.79","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"60.5","30.25","Clover","Medicare Advantage",,,"54",,"32.79","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"60.5","30.25","Wellcare","Medicare Advantage",,,"54",,"32.79","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"60.5","30.25","Amerigroup","Medicaid Managed Care",,,"37",,"22.14","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"60.5","30.25","Caresource","Medicaid Managed Care",,,"40",,"24.2","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"60.5","30.25","Wellcare","Medicaid Managed Care",,,"40",,"24.5","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"60.5","30.25","Aetna","Commercial",,,"64",,"38.6","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"60.5","30.25","Blue Cross Blue Shield","Pathways",,,"71",,"42.71","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"60.5","30.25","Blue Cross Blue Shield","HMO",,,"71",,"42.71","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"60.5","30.25","Blue Cross Blue Shield","PPO",,,"71",,"42.71","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"60.5","30.25","Ambetter","Health Exchange",,,"62",,"37.51","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"60.5","30.25","Caresource","Health Exchange",,,"62",,"37.51","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"60.5","30.25","Cigna","Commercial",,,"59",,"35.45","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"60.5","30.25","Humana","Commercial",,,"78",,"46.89","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"60.5","30.25","UHC","Commercial",,,"75",,"45.62","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"60.5","30.25","Medicaid",,,,"37",,"22.14","0.15","5264.58","percent of total billed charges",,
"NF-PRED FORTE OPHTH SUSPENSION 1%","0637","RC","Both",,,"21.5","10.75","Alliant","Health Exchange",,,"62",,"13.33","0.15","5264.58","percent of total billed charges",,
"NF-PRED FORTE OPHTH SUSPENSION 1%","0637","RC","Both",,,"21.5","10.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.61","0.15","5264.58","percent of total billed charges",,
"NF-PRED FORTE OPHTH SUSPENSION 1%","0637","RC","Both",,,"21.5","10.75","Medicare",,,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-PRED FORTE OPHTH SUSPENSION 1%","0637","RC","Both",,,"21.5","10.75","Humana","Medicare Advantage",,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-PRED FORTE OPHTH SUSPENSION 1%","0637","RC","Both",,,"21.5","10.75","UHC","Medicare Advantage",,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-PRED FORTE OPHTH SUSPENSION 1%","0637","RC","Both",,,"21.5","10.75","Clover","Medicare Advantage",,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-PRED FORTE OPHTH SUSPENSION 1%","0637","RC","Both",,,"21.5","10.75","Wellcare","Medicare Advantage",,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-PRED FORTE OPHTH SUSPENSION 1%","0637","RC","Both",,,"21.5","10.75","Amerigroup","Medicaid Managed Care",,,"37",,"7.87","0.15","5264.58","percent of total billed charges",,
"NF-PRED FORTE OPHTH SUSPENSION 1%","0637","RC","Both",,,"21.5","10.75","Caresource","Medicaid Managed Care",,,"40",,"8.6","0.15","5264.58","percent of total billed charges",,
"NF-PRED FORTE OPHTH SUSPENSION 1%","0637","RC","Both",,,"21.5","10.75","Wellcare","Medicaid Managed Care",,,"40",,"8.71","0.15","5264.58","percent of total billed charges",,
"NF-PRED FORTE OPHTH SUSPENSION 1%","0637","RC","Both",,,"21.5","10.75","Aetna","Commercial",,,"64",,"13.72","0.15","5264.58","percent of total billed charges",,
"NF-PRED FORTE OPHTH SUSPENSION 1%","0637","RC","Both",,,"21.5","10.75","Blue Cross Blue Shield","Pathways",,,"71",,"15.18","0.15","5264.58","percent of total billed charges",,
"NF-PRED FORTE OPHTH SUSPENSION 1%","0637","RC","Both",,,"21.5","10.75","Blue Cross Blue Shield","HMO",,,"71",,"15.18","0.15","5264.58","percent of total billed charges",,
"NF-PRED FORTE OPHTH SUSPENSION 1%","0637","RC","Both",,,"21.5","10.75","Blue Cross Blue Shield","PPO",,,"71",,"15.18","0.15","5264.58","percent of total billed charges",,
"NF-PRED FORTE OPHTH SUSPENSION 1%","0637","RC","Both",,,"21.5","10.75","Ambetter","Health Exchange",,,"62",,"13.33","0.15","5264.58","percent of total billed charges",,
"NF-PRED FORTE OPHTH SUSPENSION 1%","0637","RC","Both",,,"21.5","10.75","Caresource","Health Exchange",,,"62",,"13.33","0.15","5264.58","percent of total billed charges",,
"NF-PRED FORTE OPHTH SUSPENSION 1%","0637","RC","Both",,,"21.5","10.75","Cigna","Commercial",,,"59",,"12.6","0.15","5264.58","percent of total billed charges",,
"NF-PRED FORTE OPHTH SUSPENSION 1%","0637","RC","Both",,,"21.5","10.75","Humana","Commercial",,,"78",,"16.66","0.15","5264.58","percent of total billed charges",,
"NF-PRED FORTE OPHTH SUSPENSION 1%","0637","RC","Both",,,"21.5","10.75","UHC","Commercial",,,"75",,"16.21","0.15","5264.58","percent of total billed charges",,
"NF-PRED FORTE OPHTH SUSPENSION 1%","0637","RC","Both",,,"21.5","10.75","Medicaid",,,,"37",,"7.87","0.15","5264.58","percent of total billed charges",,
"NF-CYCLOGYL OPHTH SOLUTION 1%","0637","RC","Both",,,"18.5","9.25","Alliant","Health Exchange",,,"62",,"11.47","0.15","5264.58","percent of total billed charges",,
"NF-CYCLOGYL OPHTH SOLUTION 1%","0637","RC","Both",,,"18.5","9.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.99","0.15","5264.58","percent of total billed charges",,
"NF-CYCLOGYL OPHTH SOLUTION 1%","0637","RC","Both",,,"18.5","9.25","Medicare",,,,"54",,"10.03","0.15","5264.58","percent of total billed charges",,
"NF-CYCLOGYL OPHTH SOLUTION 1%","0637","RC","Both",,,"18.5","9.25","Humana","Medicare Advantage",,,"54",,"10.03","0.15","5264.58","percent of total billed charges",,
"NF-CYCLOGYL OPHTH SOLUTION 1%","0637","RC","Both",,,"18.5","9.25","UHC","Medicare Advantage",,,"54",,"10.03","0.15","5264.58","percent of total billed charges",,
"NF-CYCLOGYL OPHTH SOLUTION 1%","0637","RC","Both",,,"18.5","9.25","Clover","Medicare Advantage",,,"54",,"10.03","0.15","5264.58","percent of total billed charges",,
"NF-CYCLOGYL OPHTH SOLUTION 1%","0637","RC","Both",,,"18.5","9.25","Wellcare","Medicare Advantage",,,"54",,"10.03","0.15","5264.58","percent of total billed charges",,
"NF-CYCLOGYL OPHTH SOLUTION 1%","0637","RC","Both",,,"18.5","9.25","Amerigroup","Medicaid Managed Care",,,"37",,"6.77","0.15","5264.58","percent of total billed charges",,
"NF-CYCLOGYL OPHTH SOLUTION 1%","0637","RC","Both",,,"18.5","9.25","Caresource","Medicaid Managed Care",,,"40",,"7.4","0.15","5264.58","percent of total billed charges",,
"NF-CYCLOGYL OPHTH SOLUTION 1%","0637","RC","Both",,,"18.5","9.25","Wellcare","Medicaid Managed Care",,,"40",,"7.49","0.15","5264.58","percent of total billed charges",,
"NF-CYCLOGYL OPHTH SOLUTION 1%","0637","RC","Both",,,"18.5","9.25","Aetna","Commercial",,,"64",,"11.8","0.15","5264.58","percent of total billed charges",,
"NF-CYCLOGYL OPHTH SOLUTION 1%","0637","RC","Both",,,"18.5","9.25","Blue Cross Blue Shield","Pathways",,,"71",,"13.06","0.15","5264.58","percent of total billed charges",,
"NF-CYCLOGYL OPHTH SOLUTION 1%","0637","RC","Both",,,"18.5","9.25","Blue Cross Blue Shield","HMO",,,"71",,"13.06","0.15","5264.58","percent of total billed charges",,
"NF-CYCLOGYL OPHTH SOLUTION 1%","0637","RC","Both",,,"18.5","9.25","Blue Cross Blue Shield","PPO",,,"71",,"13.06","0.15","5264.58","percent of total billed charges",,
"NF-CYCLOGYL OPHTH SOLUTION 1%","0637","RC","Both",,,"18.5","9.25","Ambetter","Health Exchange",,,"62",,"11.47","0.15","5264.58","percent of total billed charges",,
"NF-CYCLOGYL OPHTH SOLUTION 1%","0637","RC","Both",,,"18.5","9.25","Caresource","Health Exchange",,,"62",,"11.47","0.15","5264.58","percent of total billed charges",,
"NF-CYCLOGYL OPHTH SOLUTION 1%","0637","RC","Both",,,"18.5","9.25","Cigna","Commercial",,,"59",,"10.84","0.15","5264.58","percent of total billed charges",,
"NF-CYCLOGYL OPHTH SOLUTION 1%","0637","RC","Both",,,"18.5","9.25","Humana","Commercial",,,"78",,"14.34","0.15","5264.58","percent of total billed charges",,
"NF-CYCLOGYL OPHTH SOLUTION 1%","0637","RC","Both",,,"18.5","9.25","UHC","Commercial",,,"75",,"13.95","0.15","5264.58","percent of total billed charges",,
"NF-CYCLOGYL OPHTH SOLUTION 1%","0637","RC","Both",,,"18.5","9.25","Medicaid",,,,"37",,"6.77","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"138","69","Alliant","Health Exchange",,,"62",,"85.56","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"138","69","Pruitt Healthcare","Medicare Advantage",,,"54",,"74.52","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"138","69","Medicare",,,,"54",,"74.8","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"138","69","Humana","Medicare Advantage",,,"54",,"74.8","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"138","69","UHC","Medicare Advantage",,,"54",,"74.8","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"138","69","Clover","Medicare Advantage",,,"54",,"74.8","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"138","69","Wellcare","Medicare Advantage",,,"54",,"74.8","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"138","69","Amerigroup","Medicaid Managed Care",,,"37",,"50.51","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"138","69","Caresource","Medicaid Managed Care",,,"40",,"55.2","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"138","69","Wellcare","Medicaid Managed Care",,,"40",,"55.89","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"138","69","Aetna","Commercial",,,"64",,"88.04","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"138","69","Blue Cross Blue Shield","Pathways",,,"71",,"97.43","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"138","69","Blue Cross Blue Shield","HMO",,,"71",,"97.43","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"138","69","Blue Cross Blue Shield","PPO",,,"71",,"97.43","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"138","69","Ambetter","Health Exchange",,,"62",,"85.56","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"138","69","Caresource","Health Exchange",,,"62",,"85.56","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"138","69","Cigna","Commercial",,,"59",,"80.87","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"138","69","Humana","Commercial",,,"78",,"106.95","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"138","69","UHC","Commercial",,,"75",,"104.05","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"138","69","Medicaid",,,,"37",,"50.51","0.15","5264.58","percent of total billed charges",,
"NF-CORTENEMA RECTAL ENEMA 100MG/60ML","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-CORTENEMA RECTAL ENEMA 100MG/60ML","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-CORTENEMA RECTAL ENEMA 100MG/60ML","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-CORTENEMA RECTAL ENEMA 100MG/60ML","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-CORTENEMA RECTAL ENEMA 100MG/60ML","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-CORTENEMA RECTAL ENEMA 100MG/60ML","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-CORTENEMA RECTAL ENEMA 100MG/60ML","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-CORTENEMA RECTAL ENEMA 100MG/60ML","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-CORTENEMA RECTAL ENEMA 100MG/60ML","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-CORTENEMA RECTAL ENEMA 100MG/60ML","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-CORTENEMA RECTAL ENEMA 100MG/60ML","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-CORTENEMA RECTAL ENEMA 100MG/60ML","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-CORTENEMA RECTAL ENEMA 100MG/60ML","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-CORTENEMA RECTAL ENEMA 100MG/60ML","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-CORTENEMA RECTAL ENEMA 100MG/60ML","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-CORTENEMA RECTAL ENEMA 100MG/60ML","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-CORTENEMA RECTAL ENEMA 100MG/60ML","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-CORTENEMA RECTAL ENEMA 100MG/60ML","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-CORTENEMA RECTAL ENEMA 100MG/60ML","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-CORTENEMA RECTAL ENEMA 100MG/60ML","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-BARACLUDE ORAL TABLET 0.5MG","0637","RC","Both",,,"99","49.5","Alliant","Health Exchange",,,"62",,"61.38","0.15","5264.58","percent of total billed charges",,
"NF-BARACLUDE ORAL TABLET 0.5MG","0637","RC","Both",,,"99","49.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"53.46","0.15","5264.58","percent of total billed charges",,
"NF-BARACLUDE ORAL TABLET 0.5MG","0637","RC","Both",,,"99","49.5","Medicare",,,,"54",,"53.66","0.15","5264.58","percent of total billed charges",,
"NF-BARACLUDE ORAL TABLET 0.5MG","0637","RC","Both",,,"99","49.5","Humana","Medicare Advantage",,,"54",,"53.66","0.15","5264.58","percent of total billed charges",,
"NF-BARACLUDE ORAL TABLET 0.5MG","0637","RC","Both",,,"99","49.5","UHC","Medicare Advantage",,,"54",,"53.66","0.15","5264.58","percent of total billed charges",,
"NF-BARACLUDE ORAL TABLET 0.5MG","0637","RC","Both",,,"99","49.5","Clover","Medicare Advantage",,,"54",,"53.66","0.15","5264.58","percent of total billed charges",,
"NF-BARACLUDE ORAL TABLET 0.5MG","0637","RC","Both",,,"99","49.5","Wellcare","Medicare Advantage",,,"54",,"53.66","0.15","5264.58","percent of total billed charges",,
"NF-BARACLUDE ORAL TABLET 0.5MG","0637","RC","Both",,,"99","49.5","Amerigroup","Medicaid Managed Care",,,"37",,"36.23","0.15","5264.58","percent of total billed charges",,
"NF-BARACLUDE ORAL TABLET 0.5MG","0637","RC","Both",,,"99","49.5","Caresource","Medicaid Managed Care",,,"40",,"39.6","0.15","5264.58","percent of total billed charges",,
"NF-BARACLUDE ORAL TABLET 0.5MG","0637","RC","Both",,,"99","49.5","Wellcare","Medicaid Managed Care",,,"40",,"40.1","0.15","5264.58","percent of total billed charges",,
"NF-BARACLUDE ORAL TABLET 0.5MG","0637","RC","Both",,,"99","49.5","Aetna","Commercial",,,"64",,"63.16","0.15","5264.58","percent of total billed charges",,
"NF-BARACLUDE ORAL TABLET 0.5MG","0637","RC","Both",,,"99","49.5","Blue Cross Blue Shield","Pathways",,,"71",,"69.89","0.15","5264.58","percent of total billed charges",,
"NF-BARACLUDE ORAL TABLET 0.5MG","0637","RC","Both",,,"99","49.5","Blue Cross Blue Shield","HMO",,,"71",,"69.89","0.15","5264.58","percent of total billed charges",,
"NF-BARACLUDE ORAL TABLET 0.5MG","0637","RC","Both",,,"99","49.5","Blue Cross Blue Shield","PPO",,,"71",,"69.89","0.15","5264.58","percent of total billed charges",,
"NF-BARACLUDE ORAL TABLET 0.5MG","0637","RC","Both",,,"99","49.5","Ambetter","Health Exchange",,,"62",,"61.38","0.15","5264.58","percent of total billed charges",,
"NF-BARACLUDE ORAL TABLET 0.5MG","0637","RC","Both",,,"99","49.5","Caresource","Health Exchange",,,"62",,"61.38","0.15","5264.58","percent of total billed charges",,
"NF-BARACLUDE ORAL TABLET 0.5MG","0637","RC","Both",,,"99","49.5","Cigna","Commercial",,,"59",,"58.01","0.15","5264.58","percent of total billed charges",,
"NF-BARACLUDE ORAL TABLET 0.5MG","0637","RC","Both",,,"99","49.5","Humana","Commercial",,,"78",,"76.73","0.15","5264.58","percent of total billed charges",,
"NF-BARACLUDE ORAL TABLET 0.5MG","0637","RC","Both",,,"99","49.5","UHC","Commercial",,,"75",,"74.65","0.15","5264.58","percent of total billed charges",,
"NF-BARACLUDE ORAL TABLET 0.5MG","0637","RC","Both",,,"99","49.5","Medicaid",,,,"37",,"36.23","0.15","5264.58","percent of total billed charges",,
"INSULIN (REG)/NS IVPB:100UNITS/100ML","0250","RC","Both",,,"57","28.5","Alliant","Health Exchange",,,"62",,"35.34","0.04","569.62","percent of total billed charges",,
"INSULIN (REG)/NS IVPB:100UNITS/100ML","0250","RC","Both",,,"57","28.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"30.78","0.04","569.62","percent of total billed charges",,
"INSULIN (REG)/NS IVPB:100UNITS/100ML","0250","RC","Both",,,"57","28.5","Medicare",,,,"54",,"30.89","0.04","569.62","percent of total billed charges",,
"INSULIN (REG)/NS IVPB:100UNITS/100ML","0250","RC","Both",,,"57","28.5","Humana","Medicare Advantage",,,"54",,"30.89","0.04","569.62","percent of total billed charges",,
"INSULIN (REG)/NS IVPB:100UNITS/100ML","0250","RC","Both",,,"57","28.5","UHC","Medicare Advantage",,,"54",,"30.89","0.04","569.62","percent of total billed charges",,
"INSULIN (REG)/NS IVPB:100UNITS/100ML","0250","RC","Both",,,"57","28.5","Clover","Medicare Advantage",,,"54",,"30.89","0.04","569.62","percent of total billed charges",,
"INSULIN (REG)/NS IVPB:100UNITS/100ML","0250","RC","Both",,,"57","28.5","Wellcare","Medicare Advantage",,,"54",,"30.89","0.04","569.62","percent of total billed charges",,
"INSULIN (REG)/NS IVPB:100UNITS/100ML","0250","RC","Both",,,"57","28.5","Amerigroup","Medicaid Managed Care",,,"37",,"20.86","0.04","569.62","percent of total billed charges",,
"INSULIN (REG)/NS IVPB:100UNITS/100ML","0250","RC","Both",,,"57","28.5","Caresource","Medicaid Managed Care",,,"40",,"22.8","0.04","569.62","percent of total billed charges",,
"INSULIN (REG)/NS IVPB:100UNITS/100ML","0250","RC","Both",,,"57","28.5","Wellcare","Medicaid Managed Care",,,"40",,"23.08","0.04","569.62","percent of total billed charges",,
"INSULIN (REG)/NS IVPB:100UNITS/100ML","0250","RC","Both",,,"57","28.5","Aetna","Commercial",,,"64",,"36.37","0.04","569.62","percent of total billed charges",,
"INSULIN (REG)/NS IVPB:100UNITS/100ML","0250","RC","Both",,,"57","28.5","Blue Cross Blue Shield","Pathways",,,"71",,"40.24","0.04","569.62","percent of total billed charges",,
"INSULIN (REG)/NS IVPB:100UNITS/100ML","0250","RC","Both",,,"57","28.5","Blue Cross Blue Shield","HMO",,,"71",,"40.24","0.04","569.62","percent of total billed charges",,
"INSULIN (REG)/NS IVPB:100UNITS/100ML","0250","RC","Both",,,"57","28.5","Blue Cross Blue Shield","PPO",,,"71",,"40.24","0.04","569.62","percent of total billed charges",,
"INSULIN (REG)/NS IVPB:100UNITS/100ML","0250","RC","Both",,,"57","28.5","Ambetter","Health Exchange",,,"62",,"35.34","0.04","569.62","percent of total billed charges",,
"INSULIN (REG)/NS IVPB:100UNITS/100ML","0250","RC","Both",,,"57","28.5","Caresource","Health Exchange",,,"62",,"35.34","0.04","569.62","percent of total billed charges",,
"INSULIN (REG)/NS IVPB:100UNITS/100ML","0250","RC","Both",,,"57","28.5","Cigna","Commercial",,,"59",,"33.4","0.04","569.62","percent of total billed charges",,
"INSULIN (REG)/NS IVPB:100UNITS/100ML","0250","RC","Both",,,"57","28.5","Humana","Commercial",,,"78",,"44.18","0.04","569.62","percent of total billed charges",,
"INSULIN (REG)/NS IVPB:100UNITS/100ML","0250","RC","Both",,,"57","28.5","UHC","Commercial",,,"75",,"42.98","0.04","569.62","percent of total billed charges",,
"INSULIN (REG)/NS IVPB:100UNITS/100ML","0250","RC","Both",,,"57","28.5","Medicaid",,,,"37",,"20.86","0.04","569.62","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"36.5","18.25","Alliant","Health Exchange",,,"62",,"22.63","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"36.5","18.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.71","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"36.5","18.25","Medicare",,,,"54",,"19.78","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"36.5","18.25","Humana","Medicare Advantage",,,"54",,"19.78","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"36.5","18.25","UHC","Medicare Advantage",,,"54",,"19.78","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"36.5","18.25","Clover","Medicare Advantage",,,"54",,"19.78","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"36.5","18.25","Wellcare","Medicare Advantage",,,"54",,"19.78","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"36.5","18.25","Amerigroup","Medicaid Managed Care",,,"37",,"13.36","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"36.5","18.25","Caresource","Medicaid Managed Care",,,"40",,"14.6","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"36.5","18.25","Wellcare","Medicaid Managed Care",,,"40",,"14.78","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"36.5","18.25","Aetna","Commercial",,,"64",,"23.29","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"36.5","18.25","Blue Cross Blue Shield","Pathways",,,"71",,"25.77","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"36.5","18.25","Blue Cross Blue Shield","HMO",,,"71",,"25.77","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"36.5","18.25","Blue Cross Blue Shield","PPO",,,"71",,"25.77","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"36.5","18.25","Ambetter","Health Exchange",,,"62",,"22.63","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"36.5","18.25","Caresource","Health Exchange",,,"62",,"22.63","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"36.5","18.25","Cigna","Commercial",,,"59",,"21.39","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"36.5","18.25","Humana","Commercial",,,"78",,"28.29","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"36.5","18.25","UHC","Commercial",,,"75",,"27.52","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"36.5","18.25","Medicaid",,,,"37",,"13.36","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 100MG","0637","RC","Both",,,"1.5","0.75","Alliant","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 100MG","0637","RC","Both",,,"1.5","0.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 100MG","0637","RC","Both",,,"1.5","0.75","Medicare",,,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 100MG","0637","RC","Both",,,"1.5","0.75","Humana","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 100MG","0637","RC","Both",,,"1.5","0.75","UHC","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 100MG","0637","RC","Both",,,"1.5","0.75","Clover","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 100MG","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 100MG","0637","RC","Both",,,"1.5","0.75","Amerigroup","Medicaid Managed Care",,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 100MG","0637","RC","Both",,,"1.5","0.75","Caresource","Medicaid Managed Care",,,"40",,"0.6","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 100MG","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicaid Managed Care",,,"40",,"0.61","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 100MG","0637","RC","Both",,,"1.5","0.75","Aetna","Commercial",,,"64",,"0.96","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 100MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","Pathways",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 100MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","HMO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 100MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","PPO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 100MG","0637","RC","Both",,,"1.5","0.75","Ambetter","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 100MG","0637","RC","Both",,,"1.5","0.75","Caresource","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 100MG","0637","RC","Both",,,"1.5","0.75","Cigna","Commercial",,,"59",,"0.88","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 100MG","0637","RC","Both",,,"1.5","0.75","Humana","Commercial",,,"78",,"1.16","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 100MG","0637","RC","Both",,,"1.5","0.75","UHC","Commercial",,,"75",,"1.13","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 100MG","0637","RC","Both",,,"1.5","0.75","Medicaid",,,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-VENLAFAXINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-VENLAFAXINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"NF-VENLAFAXINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-VENLAFAXINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-VENLAFAXINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-VENLAFAXINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-VENLAFAXINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-VENLAFAXINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-VENLAFAXINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"NF-VENLAFAXINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-VENLAFAXINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"NF-VENLAFAXINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-VENLAFAXINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-VENLAFAXINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-VENLAFAXINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-VENLAFAXINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-VENLAFAXINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-VENLAFAXINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-VENLAFAXINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"NF-VENLAFAXINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL TAB 75MG","0637","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL TAB 75MG","0637","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL TAB 75MG","0637","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL TAB 75MG","0637","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL TAB 75MG","0637","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL TAB 75MG","0637","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL TAB 75MG","0637","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL TAB 75MG","0637","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL TAB 75MG","0637","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL TAB 75MG","0637","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL TAB 75MG","0637","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL TAB 75MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL TAB 75MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL TAB 75MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL TAB 75MG","0637","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL TAB 75MG","0637","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL TAB 75MG","0637","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL TAB 75MG","0637","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL TAB 75MG","0637","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL TAB 75MG","0637","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 7.5MG","0637","RC","Both",,,"4.5","2.25","Alliant","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 7.5MG","0637","RC","Both",,,"4.5","2.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 7.5MG","0637","RC","Both",,,"4.5","2.25","Medicare",,,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 7.5MG","0637","RC","Both",,,"4.5","2.25","Humana","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 7.5MG","0637","RC","Both",,,"4.5","2.25","UHC","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 7.5MG","0637","RC","Both",,,"4.5","2.25","Clover","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 7.5MG","0637","RC","Both",,,"4.5","2.25","Wellcare","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 7.5MG","0637","RC","Both",,,"4.5","2.25","Amerigroup","Medicaid Managed Care",,,"37",,"1.65","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 7.5MG","0637","RC","Both",,,"4.5","2.25","Caresource","Medicaid Managed Care",,,"40",,"1.8","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 7.5MG","0637","RC","Both",,,"4.5","2.25","Wellcare","Medicaid Managed Care",,,"40",,"1.82","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 7.5MG","0637","RC","Both",,,"4.5","2.25","Aetna","Commercial",,,"64",,"2.87","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 7.5MG","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","Pathways",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 7.5MG","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","HMO",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 7.5MG","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","PPO",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 7.5MG","0637","RC","Both",,,"4.5","2.25","Ambetter","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 7.5MG","0637","RC","Both",,,"4.5","2.25","Caresource","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 7.5MG","0637","RC","Both",,,"4.5","2.25","Cigna","Commercial",,,"59",,"2.64","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 7.5MG","0637","RC","Both",,,"4.5","2.25","Humana","Commercial",,,"78",,"3.49","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 7.5MG","0637","RC","Both",,,"4.5","2.25","UHC","Commercial",,,"75",,"3.39","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 7.5MG","0637","RC","Both",,,"4.5","2.25","Medicaid",,,,"37",,"1.65","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE TAB DR 20MG","0637","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE TAB DR 20MG","0637","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE TAB DR 20MG","0637","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE TAB DR 20MG","0637","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE TAB DR 20MG","0637","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE TAB DR 20MG","0637","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE TAB DR 20MG","0637","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE TAB DR 20MG","0637","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE TAB DR 20MG","0637","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE TAB DR 20MG","0637","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE TAB DR 20MG","0637","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE TAB DR 20MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE TAB DR 20MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE TAB DR 20MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE TAB DR 20MG","0637","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE TAB DR 20MG","0637","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE TAB DR 20MG","0637","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE TAB DR 20MG","0637","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE TAB DR 20MG","0637","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE TAB DR 20MG","0637","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X EXTRA STRENGTH CAPSULE 125MG","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X EXTRA STRENGTH CAPSULE 125MG","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X EXTRA STRENGTH CAPSULE 125MG","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X EXTRA STRENGTH CAPSULE 125MG","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X EXTRA STRENGTH CAPSULE 125MG","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X EXTRA STRENGTH CAPSULE 125MG","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X EXTRA STRENGTH CAPSULE 125MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X EXTRA STRENGTH CAPSULE 125MG","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X EXTRA STRENGTH CAPSULE 125MG","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X EXTRA STRENGTH CAPSULE 125MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X EXTRA STRENGTH CAPSULE 125MG","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X EXTRA STRENGTH CAPSULE 125MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X EXTRA STRENGTH CAPSULE 125MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X EXTRA STRENGTH CAPSULE 125MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X EXTRA STRENGTH CAPSULE 125MG","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X EXTRA STRENGTH CAPSULE 125MG","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X EXTRA STRENGTH CAPSULE 125MG","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X EXTRA STRENGTH CAPSULE 125MG","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X EXTRA STRENGTH CAPSULE 125MG","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X EXTRA STRENGTH CAPSULE 125MG","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-MULTIVITAMIN TABLET","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MULTIVITAMIN TABLET","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MULTIVITAMIN TABLET","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MULTIVITAMIN TABLET","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MULTIVITAMIN TABLET","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MULTIVITAMIN TABLET","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MULTIVITAMIN TABLET","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MULTIVITAMIN TABLET","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-MULTIVITAMIN TABLET","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-MULTIVITAMIN TABLET","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-MULTIVITAMIN TABLET","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-MULTIVITAMIN TABLET","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MULTIVITAMIN TABLET","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MULTIVITAMIN TABLET","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MULTIVITAMIN TABLET","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MULTIVITAMIN TABLET","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MULTIVITAMIN TABLET","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-MULTIVITAMIN TABLET","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-MULTIVITAMIN TABLET","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-MULTIVITAMIN TABLET","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-TRAMADOL HCL AND APAP TAB 37.5MG-325M","0637","RC","Both",,,"3.5","1.75","Alliant","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-TRAMADOL HCL AND APAP TAB 37.5MG-325M","0637","RC","Both",,,"3.5","1.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.89","0.15","5264.58","percent of total billed charges",,
"NF-TRAMADOL HCL AND APAP TAB 37.5MG-325M","0637","RC","Both",,,"3.5","1.75","Medicare",,,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-TRAMADOL HCL AND APAP TAB 37.5MG-325M","0637","RC","Both",,,"3.5","1.75","Humana","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-TRAMADOL HCL AND APAP TAB 37.5MG-325M","0637","RC","Both",,,"3.5","1.75","UHC","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-TRAMADOL HCL AND APAP TAB 37.5MG-325M","0637","RC","Both",,,"3.5","1.75","Clover","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-TRAMADOL HCL AND APAP TAB 37.5MG-325M","0637","RC","Both",,,"3.5","1.75","Wellcare","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-TRAMADOL HCL AND APAP TAB 37.5MG-325M","0637","RC","Both",,,"3.5","1.75","Amerigroup","Medicaid Managed Care",,,"37",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-TRAMADOL HCL AND APAP TAB 37.5MG-325M","0637","RC","Both",,,"3.5","1.75","Caresource","Medicaid Managed Care",,,"40",,"1.4","0.15","5264.58","percent of total billed charges",,
"NF-TRAMADOL HCL AND APAP TAB 37.5MG-325M","0637","RC","Both",,,"3.5","1.75","Wellcare","Medicaid Managed Care",,,"40",,"1.42","0.15","5264.58","percent of total billed charges",,
"NF-TRAMADOL HCL AND APAP TAB 37.5MG-325M","0637","RC","Both",,,"3.5","1.75","Aetna","Commercial",,,"64",,"2.23","0.15","5264.58","percent of total billed charges",,
"NF-TRAMADOL HCL AND APAP TAB 37.5MG-325M","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","Pathways",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-TRAMADOL HCL AND APAP TAB 37.5MG-325M","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","HMO",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-TRAMADOL HCL AND APAP TAB 37.5MG-325M","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","PPO",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-TRAMADOL HCL AND APAP TAB 37.5MG-325M","0637","RC","Both",,,"3.5","1.75","Ambetter","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-TRAMADOL HCL AND APAP TAB 37.5MG-325M","0637","RC","Both",,,"3.5","1.75","Caresource","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-TRAMADOL HCL AND APAP TAB 37.5MG-325M","0637","RC","Both",,,"3.5","1.75","Cigna","Commercial",,,"59",,"2.05","0.15","5264.58","percent of total billed charges",,
"NF-TRAMADOL HCL AND APAP TAB 37.5MG-325M","0637","RC","Both",,,"3.5","1.75","Humana","Commercial",,,"78",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-TRAMADOL HCL AND APAP TAB 37.5MG-325M","0637","RC","Both",,,"3.5","1.75","UHC","Commercial",,,"75",,"2.64","0.15","5264.58","percent of total billed charges",,
"NF-TRAMADOL HCL AND APAP TAB 37.5MG-325M","0637","RC","Both",,,"3.5","1.75","Medicaid",,,,"37",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM A-D TABLET 2MG","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM A-D TABLET 2MG","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM A-D TABLET 2MG","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM A-D TABLET 2MG","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM A-D TABLET 2MG","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM A-D TABLET 2MG","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM A-D TABLET 2MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM A-D TABLET 2MG","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM A-D TABLET 2MG","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM A-D TABLET 2MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM A-D TABLET 2MG","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM A-D TABLET 2MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM A-D TABLET 2MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM A-D TABLET 2MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM A-D TABLET 2MG","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM A-D TABLET 2MG","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM A-D TABLET 2MG","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM A-D TABLET 2MG","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM A-D TABLET 2MG","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM A-D TABLET 2MG","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM MULTI-SYMPTOM RELIEF 2MG-125M","0637","RC","Both",,,"1.5","0.75","Alliant","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM MULTI-SYMPTOM RELIEF 2MG-125M","0637","RC","Both",,,"1.5","0.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM MULTI-SYMPTOM RELIEF 2MG-125M","0637","RC","Both",,,"1.5","0.75","Medicare",,,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM MULTI-SYMPTOM RELIEF 2MG-125M","0637","RC","Both",,,"1.5","0.75","Humana","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM MULTI-SYMPTOM RELIEF 2MG-125M","0637","RC","Both",,,"1.5","0.75","UHC","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM MULTI-SYMPTOM RELIEF 2MG-125M","0637","RC","Both",,,"1.5","0.75","Clover","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM MULTI-SYMPTOM RELIEF 2MG-125M","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM MULTI-SYMPTOM RELIEF 2MG-125M","0637","RC","Both",,,"1.5","0.75","Amerigroup","Medicaid Managed Care",,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM MULTI-SYMPTOM RELIEF 2MG-125M","0637","RC","Both",,,"1.5","0.75","Caresource","Medicaid Managed Care",,,"40",,"0.6","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM MULTI-SYMPTOM RELIEF 2MG-125M","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicaid Managed Care",,,"40",,"0.61","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM MULTI-SYMPTOM RELIEF 2MG-125M","0637","RC","Both",,,"1.5","0.75","Aetna","Commercial",,,"64",,"0.96","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM MULTI-SYMPTOM RELIEF 2MG-125M","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","Pathways",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM MULTI-SYMPTOM RELIEF 2MG-125M","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","HMO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM MULTI-SYMPTOM RELIEF 2MG-125M","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","PPO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM MULTI-SYMPTOM RELIEF 2MG-125M","0637","RC","Both",,,"1.5","0.75","Ambetter","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM MULTI-SYMPTOM RELIEF 2MG-125M","0637","RC","Both",,,"1.5","0.75","Caresource","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM MULTI-SYMPTOM RELIEF 2MG-125M","0637","RC","Both",,,"1.5","0.75","Cigna","Commercial",,,"59",,"0.88","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM MULTI-SYMPTOM RELIEF 2MG-125M","0637","RC","Both",,,"1.5","0.75","Humana","Commercial",,,"78",,"1.16","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM MULTI-SYMPTOM RELIEF 2MG-125M","0637","RC","Both",,,"1.5","0.75","UHC","Commercial",,,"75",,"1.13","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM MULTI-SYMPTOM RELIEF 2MG-125M","0637","RC","Both",,,"1.5","0.75","Medicaid",,,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"MAGIC MOUTHWASH 120 ML BOTTLE","0637","RC","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"MAGIC MOUTHWASH 120 ML BOTTLE","0637","RC","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","0.15","5264.58","percent of total billed charges",,
"MAGIC MOUTHWASH 120 ML BOTTLE","0637","RC","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"MAGIC MOUTHWASH 120 ML BOTTLE","0637","RC","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"MAGIC MOUTHWASH 120 ML BOTTLE","0637","RC","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"MAGIC MOUTHWASH 120 ML BOTTLE","0637","RC","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"MAGIC MOUTHWASH 120 ML BOTTLE","0637","RC","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"MAGIC MOUTHWASH 120 ML BOTTLE","0637","RC","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"MAGIC MOUTHWASH 120 ML BOTTLE","0637","RC","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","0.15","5264.58","percent of total billed charges",,
"MAGIC MOUTHWASH 120 ML BOTTLE","0637","RC","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","0.15","5264.58","percent of total billed charges",,
"MAGIC MOUTHWASH 120 ML BOTTLE","0637","RC","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","0.15","5264.58","percent of total billed charges",,
"MAGIC MOUTHWASH 120 ML BOTTLE","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"MAGIC MOUTHWASH 120 ML BOTTLE","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"MAGIC MOUTHWASH 120 ML BOTTLE","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"MAGIC MOUTHWASH 120 ML BOTTLE","0637","RC","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"MAGIC MOUTHWASH 120 ML BOTTLE","0637","RC","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"MAGIC MOUTHWASH 120 ML BOTTLE","0637","RC","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","0.15","5264.58","percent of total billed charges",,
"MAGIC MOUTHWASH 120 ML BOTTLE","0637","RC","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","0.15","5264.58","percent of total billed charges",,
"MAGIC MOUTHWASH 120 ML BOTTLE","0637","RC","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","0.15","5264.58","percent of total billed charges",,
"MAGIC MOUTHWASH 120 ML BOTTLE","0637","RC","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL ORAL TABLET 5MG","0637","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL ORAL TABLET 5MG","0637","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL ORAL TABLET 5MG","0637","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL ORAL TABLET 5MG","0637","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL ORAL TABLET 5MG","0637","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL ORAL TABLET 5MG","0637","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL ORAL TABLET 5MG","0637","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL ORAL TABLET 5MG","0637","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL ORAL TABLET 5MG","0637","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL ORAL TABLET 5MG","0637","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL ORAL TABLET 5MG","0637","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL ORAL TABLET 5MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL ORAL TABLET 5MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL ORAL TABLET 5MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL ORAL TABLET 5MG","0637","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL ORAL TABLET 5MG","0637","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL ORAL TABLET 5MG","0637","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL ORAL TABLET 5MG","0637","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL ORAL TABLET 5MG","0637","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.15","5264.58","percent of total billed charges",,
"NF-BENAZEPRIL HCL ORAL TABLET 5MG","0637","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-FLUVOXAMINE MALEATE ORAL TABLET 100MG","0637","RC","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","0.15","5264.58","percent of total billed charges",,
"NF-FLUVOXAMINE MALEATE ORAL TABLET 100MG","0637","RC","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","0.15","5264.58","percent of total billed charges",,
"NF-FLUVOXAMINE MALEATE ORAL TABLET 100MG","0637","RC","Both",,,"8","4","Medicare",,,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-FLUVOXAMINE MALEATE ORAL TABLET 100MG","0637","RC","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-FLUVOXAMINE MALEATE ORAL TABLET 100MG","0637","RC","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-FLUVOXAMINE MALEATE ORAL TABLET 100MG","0637","RC","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-FLUVOXAMINE MALEATE ORAL TABLET 100MG","0637","RC","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-FLUVOXAMINE MALEATE ORAL TABLET 100MG","0637","RC","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","0.15","5264.58","percent of total billed charges",,
"NF-FLUVOXAMINE MALEATE ORAL TABLET 100MG","0637","RC","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","0.15","5264.58","percent of total billed charges",,
"NF-FLUVOXAMINE MALEATE ORAL TABLET 100MG","0637","RC","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","0.15","5264.58","percent of total billed charges",,
"NF-FLUVOXAMINE MALEATE ORAL TABLET 100MG","0637","RC","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","0.15","5264.58","percent of total billed charges",,
"NF-FLUVOXAMINE MALEATE ORAL TABLET 100MG","0637","RC","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","0.15","5264.58","percent of total billed charges",,
"NF-FLUVOXAMINE MALEATE ORAL TABLET 100MG","0637","RC","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","0.15","5264.58","percent of total billed charges",,
"NF-FLUVOXAMINE MALEATE ORAL TABLET 100MG","0637","RC","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","0.15","5264.58","percent of total billed charges",,
"NF-FLUVOXAMINE MALEATE ORAL TABLET 100MG","0637","RC","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","0.15","5264.58","percent of total billed charges",,
"NF-FLUVOXAMINE MALEATE ORAL TABLET 100MG","0637","RC","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","0.15","5264.58","percent of total billed charges",,
"NF-FLUVOXAMINE MALEATE ORAL TABLET 100MG","0637","RC","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","0.15","5264.58","percent of total billed charges",,
"NF-FLUVOXAMINE MALEATE ORAL TABLET 100MG","0637","RC","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-FLUVOXAMINE MALEATE ORAL TABLET 100MG","0637","RC","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","0.15","5264.58","percent of total billed charges",,
"NF-FLUVOXAMINE MALEATE ORAL TABLET 100MG","0637","RC","Both",,,"8","4","Medicaid",,,,"37",,"2.93","0.15","5264.58","percent of total billed charges",,
"LOSARTAN (COZAAR) 50 MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LOSARTAN (COZAAR) 50 MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"LOSARTAN (COZAAR) 50 MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LOSARTAN (COZAAR) 50 MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LOSARTAN (COZAAR) 50 MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LOSARTAN (COZAAR) 50 MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LOSARTAN (COZAAR) 50 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LOSARTAN (COZAAR) 50 MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"LOSARTAN (COZAAR) 50 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"LOSARTAN (COZAAR) 50 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"LOSARTAN (COZAAR) 50 MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"LOSARTAN (COZAAR) 50 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LOSARTAN (COZAAR) 50 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LOSARTAN (COZAAR) 50 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LOSARTAN (COZAAR) 50 MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LOSARTAN (COZAAR) 50 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LOSARTAN (COZAAR) 50 MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"LOSARTAN (COZAAR) 50 MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"LOSARTAN (COZAAR) 50 MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"LOSARTAN (COZAAR) 50 MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"LIDOCAINE 2% WITH EPI 1:100,000 INJ 20ML","0250","RC","Both",,,"31","15.5","Alliant","Health Exchange",,,"62",,"19.22","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 2% WITH EPI 1:100,000 INJ 20ML","0250","RC","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.74","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 2% WITH EPI 1:100,000 INJ 20ML","0250","RC","Both",,,"31","15.5","Medicare",,,,"54",,"16.8","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 2% WITH EPI 1:100,000 INJ 20ML","0250","RC","Both",,,"31","15.5","Humana","Medicare Advantage",,,"54",,"16.8","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 2% WITH EPI 1:100,000 INJ 20ML","0250","RC","Both",,,"31","15.5","UHC","Medicare Advantage",,,"54",,"16.8","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 2% WITH EPI 1:100,000 INJ 20ML","0250","RC","Both",,,"31","15.5","Clover","Medicare Advantage",,,"54",,"16.8","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 2% WITH EPI 1:100,000 INJ 20ML","0250","RC","Both",,,"31","15.5","Wellcare","Medicare Advantage",,,"54",,"16.8","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 2% WITH EPI 1:100,000 INJ 20ML","0250","RC","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care",,,"37",,"11.35","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 2% WITH EPI 1:100,000 INJ 20ML","0250","RC","Both",,,"31","15.5","Caresource","Medicaid Managed Care",,,"40",,"12.4","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 2% WITH EPI 1:100,000 INJ 20ML","0250","RC","Both",,,"31","15.5","Wellcare","Medicaid Managed Care",,,"40",,"12.56","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 2% WITH EPI 1:100,000 INJ 20ML","0250","RC","Both",,,"31","15.5","Aetna","Commercial",,,"64",,"19.78","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 2% WITH EPI 1:100,000 INJ 20ML","0250","RC","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways",,,"71",,"21.89","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 2% WITH EPI 1:100,000 INJ 20ML","0250","RC","Both",,,"31","15.5","Blue Cross Blue Shield","HMO",,,"71",,"21.89","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 2% WITH EPI 1:100,000 INJ 20ML","0250","RC","Both",,,"31","15.5","Blue Cross Blue Shield","PPO",,,"71",,"21.89","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 2% WITH EPI 1:100,000 INJ 20ML","0250","RC","Both",,,"31","15.5","Ambetter","Health Exchange",,,"62",,"19.22","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 2% WITH EPI 1:100,000 INJ 20ML","0250","RC","Both",,,"31","15.5","Caresource","Health Exchange",,,"62",,"19.22","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 2% WITH EPI 1:100,000 INJ 20ML","0250","RC","Both",,,"31","15.5","Cigna","Commercial",,,"59",,"18.17","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 2% WITH EPI 1:100,000 INJ 20ML","0250","RC","Both",,,"31","15.5","Humana","Commercial",,,"78",,"24.02","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 2% WITH EPI 1:100,000 INJ 20ML","0250","RC","Both",,,"31","15.5","UHC","Commercial",,,"75",,"23.37","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 2% WITH EPI 1:100,000 INJ 20ML","0250","RC","Both",,,"31","15.5","Medicaid",,,,"37",,"11.35","0.04","569.62","percent of total billed charges",,
"ESTRADIOL CYP (DEPO-ESTRADIOL) INJ: 5MG","0250","RC","Both",,,"52","26","Alliant","Health Exchange",,,"62",,"32.24","0.04","569.62","percent of total billed charges",,
"ESTRADIOL CYP (DEPO-ESTRADIOL) INJ: 5MG","0250","RC","Both",,,"52","26","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.08","0.04","569.62","percent of total billed charges",,
"ESTRADIOL CYP (DEPO-ESTRADIOL) INJ: 5MG","0250","RC","Both",,,"52","26","Medicare",,,,"54",,"28.18","0.04","569.62","percent of total billed charges",,
"ESTRADIOL CYP (DEPO-ESTRADIOL) INJ: 5MG","0250","RC","Both",,,"52","26","Humana","Medicare Advantage",,,"54",,"28.18","0.04","569.62","percent of total billed charges",,
"ESTRADIOL CYP (DEPO-ESTRADIOL) INJ: 5MG","0250","RC","Both",,,"52","26","UHC","Medicare Advantage",,,"54",,"28.18","0.04","569.62","percent of total billed charges",,
"ESTRADIOL CYP (DEPO-ESTRADIOL) INJ: 5MG","0250","RC","Both",,,"52","26","Clover","Medicare Advantage",,,"54",,"28.18","0.04","569.62","percent of total billed charges",,
"ESTRADIOL CYP (DEPO-ESTRADIOL) INJ: 5MG","0250","RC","Both",,,"52","26","Wellcare","Medicare Advantage",,,"54",,"28.18","0.04","569.62","percent of total billed charges",,
"ESTRADIOL CYP (DEPO-ESTRADIOL) INJ: 5MG","0250","RC","Both",,,"52","26","Amerigroup","Medicaid Managed Care",,,"37",,"19.03","0.04","569.62","percent of total billed charges",,
"ESTRADIOL CYP (DEPO-ESTRADIOL) INJ: 5MG","0250","RC","Both",,,"52","26","Caresource","Medicaid Managed Care",,,"40",,"20.8","0.04","569.62","percent of total billed charges",,
"ESTRADIOL CYP (DEPO-ESTRADIOL) INJ: 5MG","0250","RC","Both",,,"52","26","Wellcare","Medicaid Managed Care",,,"40",,"21.06","0.04","569.62","percent of total billed charges",,
"ESTRADIOL CYP (DEPO-ESTRADIOL) INJ: 5MG","0250","RC","Both",,,"52","26","Aetna","Commercial",,,"64",,"33.18","0.04","569.62","percent of total billed charges",,
"ESTRADIOL CYP (DEPO-ESTRADIOL) INJ: 5MG","0250","RC","Both",,,"52","26","Blue Cross Blue Shield","Pathways",,,"71",,"36.71","0.04","569.62","percent of total billed charges",,
"ESTRADIOL CYP (DEPO-ESTRADIOL) INJ: 5MG","0250","RC","Both",,,"52","26","Blue Cross Blue Shield","HMO",,,"71",,"36.71","0.04","569.62","percent of total billed charges",,
"ESTRADIOL CYP (DEPO-ESTRADIOL) INJ: 5MG","0250","RC","Both",,,"52","26","Blue Cross Blue Shield","PPO",,,"71",,"36.71","0.04","569.62","percent of total billed charges",,
"ESTRADIOL CYP (DEPO-ESTRADIOL) INJ: 5MG","0250","RC","Both",,,"52","26","Ambetter","Health Exchange",,,"62",,"32.24","0.04","569.62","percent of total billed charges",,
"ESTRADIOL CYP (DEPO-ESTRADIOL) INJ: 5MG","0250","RC","Both",,,"52","26","Caresource","Health Exchange",,,"62",,"32.24","0.04","569.62","percent of total billed charges",,
"ESTRADIOL CYP (DEPO-ESTRADIOL) INJ: 5MG","0250","RC","Both",,,"52","26","Cigna","Commercial",,,"59",,"30.47","0.04","569.62","percent of total billed charges",,
"ESTRADIOL CYP (DEPO-ESTRADIOL) INJ: 5MG","0250","RC","Both",,,"52","26","Humana","Commercial",,,"78",,"40.3","0.04","569.62","percent of total billed charges",,
"ESTRADIOL CYP (DEPO-ESTRADIOL) INJ: 5MG","0250","RC","Both",,,"52","26","UHC","Commercial",,,"75",,"39.21","0.04","569.62","percent of total billed charges",,
"ESTRADIOL CYP (DEPO-ESTRADIOL) INJ: 5MG","0250","RC","Both",,,"52","26","Medicaid",,,,"37",,"19.03","0.04","569.62","percent of total billed charges",,
"NF-TRAVATAN Z OPHTHALMIC SOLUTION 0.004%","0637","RC","Both",,,"119","59.5","Alliant","Health Exchange",,,"62",,"73.78","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTHALMIC SOLUTION 0.004%","0637","RC","Both",,,"119","59.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"64.26","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTHALMIC SOLUTION 0.004%","0637","RC","Both",,,"119","59.5","Medicare",,,,"54",,"64.5","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTHALMIC SOLUTION 0.004%","0637","RC","Both",,,"119","59.5","Humana","Medicare Advantage",,,"54",,"64.5","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTHALMIC SOLUTION 0.004%","0637","RC","Both",,,"119","59.5","UHC","Medicare Advantage",,,"54",,"64.5","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTHALMIC SOLUTION 0.004%","0637","RC","Both",,,"119","59.5","Clover","Medicare Advantage",,,"54",,"64.5","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTHALMIC SOLUTION 0.004%","0637","RC","Both",,,"119","59.5","Wellcare","Medicare Advantage",,,"54",,"64.5","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTHALMIC SOLUTION 0.004%","0637","RC","Both",,,"119","59.5","Amerigroup","Medicaid Managed Care",,,"37",,"43.55","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTHALMIC SOLUTION 0.004%","0637","RC","Both",,,"119","59.5","Caresource","Medicaid Managed Care",,,"40",,"47.6","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTHALMIC SOLUTION 0.004%","0637","RC","Both",,,"119","59.5","Wellcare","Medicaid Managed Care",,,"40",,"48.2","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTHALMIC SOLUTION 0.004%","0637","RC","Both",,,"119","59.5","Aetna","Commercial",,,"64",,"75.92","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTHALMIC SOLUTION 0.004%","0637","RC","Both",,,"119","59.5","Blue Cross Blue Shield","Pathways",,,"71",,"84.01","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTHALMIC SOLUTION 0.004%","0637","RC","Both",,,"119","59.5","Blue Cross Blue Shield","HMO",,,"71",,"84.01","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTHALMIC SOLUTION 0.004%","0637","RC","Both",,,"119","59.5","Blue Cross Blue Shield","PPO",,,"71",,"84.01","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTHALMIC SOLUTION 0.004%","0637","RC","Both",,,"119","59.5","Ambetter","Health Exchange",,,"62",,"73.78","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTHALMIC SOLUTION 0.004%","0637","RC","Both",,,"119","59.5","Caresource","Health Exchange",,,"62",,"73.78","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTHALMIC SOLUTION 0.004%","0637","RC","Both",,,"119","59.5","Cigna","Commercial",,,"59",,"69.73","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTHALMIC SOLUTION 0.004%","0637","RC","Both",,,"119","59.5","Humana","Commercial",,,"78",,"92.22","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTHALMIC SOLUTION 0.004%","0637","RC","Both",,,"119","59.5","UHC","Commercial",,,"75",,"89.73","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTHALMIC SOLUTION 0.004%","0637","RC","Both",,,"119","59.5","Medicaid",,,,"37",,"43.55","0.15","5264.58","percent of total billed charges",,
"NF-DULERA INH AER PWD 5MCG-100MCG/ACT","0250","RC","Both",,,"54.69","27.345","Alliant","Health Exchange",,,"62",,"33.91","0.04","569.62","percent of total billed charges",,
"NF-DULERA INH AER PWD 5MCG-100MCG/ACT","0250","RC","Both",,,"54.69","27.345","Pruitt Healthcare","Medicare Advantage",,,"54",,"29.53","0.04","569.62","percent of total billed charges",,
"NF-DULERA INH AER PWD 5MCG-100MCG/ACT","0250","RC","Both",,,"54.69","27.345","Medicare",,,,"54",,"29.64","0.04","569.62","percent of total billed charges",,
"NF-DULERA INH AER PWD 5MCG-100MCG/ACT","0250","RC","Both",,,"54.69","27.345","Humana","Medicare Advantage",,,"54",,"29.64","0.04","569.62","percent of total billed charges",,
"NF-DULERA INH AER PWD 5MCG-100MCG/ACT","0250","RC","Both",,,"54.69","27.345","UHC","Medicare Advantage",,,"54",,"29.64","0.04","569.62","percent of total billed charges",,
"NF-DULERA INH AER PWD 5MCG-100MCG/ACT","0250","RC","Both",,,"54.69","27.345","Clover","Medicare Advantage",,,"54",,"29.64","0.04","569.62","percent of total billed charges",,
"NF-DULERA INH AER PWD 5MCG-100MCG/ACT","0250","RC","Both",,,"54.69","27.345","Wellcare","Medicare Advantage",,,"54",,"29.64","0.04","569.62","percent of total billed charges",,
"NF-DULERA INH AER PWD 5MCG-100MCG/ACT","0250","RC","Both",,,"54.69","27.345","Amerigroup","Medicaid Managed Care",,,"37",,"20.02","0.04","569.62","percent of total billed charges",,
"NF-DULERA INH AER PWD 5MCG-100MCG/ACT","0250","RC","Both",,,"54.69","27.345","Caresource","Medicaid Managed Care",,,"40",,"21.88","0.04","569.62","percent of total billed charges",,
"NF-DULERA INH AER PWD 5MCG-100MCG/ACT","0250","RC","Both",,,"54.69","27.345","Wellcare","Medicaid Managed Care",,,"40",,"22.15","0.04","569.62","percent of total billed charges",,
"NF-DULERA INH AER PWD 5MCG-100MCG/ACT","0250","RC","Both",,,"54.69","27.345","Aetna","Commercial",,,"64",,"34.89","0.04","569.62","percent of total billed charges",,
"NF-DULERA INH AER PWD 5MCG-100MCG/ACT","0250","RC","Both",,,"54.69","27.345","Blue Cross Blue Shield","Pathways",,,"71",,"38.61","0.04","569.62","percent of total billed charges",,
"NF-DULERA INH AER PWD 5MCG-100MCG/ACT","0250","RC","Both",,,"54.69","27.345","Blue Cross Blue Shield","HMO",,,"71",,"38.61","0.04","569.62","percent of total billed charges",,
"NF-DULERA INH AER PWD 5MCG-100MCG/ACT","0250","RC","Both",,,"54.69","27.345","Blue Cross Blue Shield","PPO",,,"71",,"38.61","0.04","569.62","percent of total billed charges",,
"NF-DULERA INH AER PWD 5MCG-100MCG/ACT","0250","RC","Both",,,"54.69","27.345","Ambetter","Health Exchange",,,"62",,"33.91","0.04","569.62","percent of total billed charges",,
"NF-DULERA INH AER PWD 5MCG-100MCG/ACT","0250","RC","Both",,,"54.69","27.345","Caresource","Health Exchange",,,"62",,"33.91","0.04","569.62","percent of total billed charges",,
"NF-DULERA INH AER PWD 5MCG-100MCG/ACT","0250","RC","Both",,,"54.69","27.345","Cigna","Commercial",,,"59",,"32.05","0.04","569.62","percent of total billed charges",,
"NF-DULERA INH AER PWD 5MCG-100MCG/ACT","0250","RC","Both",,,"54.69","27.345","Humana","Commercial",,,"78",,"42.38","0.04","569.62","percent of total billed charges",,
"NF-DULERA INH AER PWD 5MCG-100MCG/ACT","0250","RC","Both",,,"54.69","27.345","UHC","Commercial",,,"75",,"41.24","0.04","569.62","percent of total billed charges",,
"NF-DULERA INH AER PWD 5MCG-100MCG/ACT","0250","RC","Both",,,"54.69","27.345","Medicaid",,,,"37",,"20.02","0.04","569.62","percent of total billed charges",,
"NF-PERFOROMIST INH SOLN 20MCG/2ML","0637","RC","Both",,,"11","5.5","Alliant","Health Exchange",,,"62",,"6.82","0.15","5264.58","percent of total billed charges",,
"NF-PERFOROMIST INH SOLN 20MCG/2ML","0637","RC","Both",,,"11","5.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.94","0.15","5264.58","percent of total billed charges",,
"NF-PERFOROMIST INH SOLN 20MCG/2ML","0637","RC","Both",,,"11","5.5","Medicare",,,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-PERFOROMIST INH SOLN 20MCG/2ML","0637","RC","Both",,,"11","5.5","Humana","Medicare Advantage",,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-PERFOROMIST INH SOLN 20MCG/2ML","0637","RC","Both",,,"11","5.5","UHC","Medicare Advantage",,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-PERFOROMIST INH SOLN 20MCG/2ML","0637","RC","Both",,,"11","5.5","Clover","Medicare Advantage",,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-PERFOROMIST INH SOLN 20MCG/2ML","0637","RC","Both",,,"11","5.5","Wellcare","Medicare Advantage",,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-PERFOROMIST INH SOLN 20MCG/2ML","0637","RC","Both",,,"11","5.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-PERFOROMIST INH SOLN 20MCG/2ML","0637","RC","Both",,,"11","5.5","Caresource","Medicaid Managed Care",,,"40",,"4.4","0.15","5264.58","percent of total billed charges",,
"NF-PERFOROMIST INH SOLN 20MCG/2ML","0637","RC","Both",,,"11","5.5","Wellcare","Medicaid Managed Care",,,"40",,"4.46","0.15","5264.58","percent of total billed charges",,
"NF-PERFOROMIST INH SOLN 20MCG/2ML","0637","RC","Both",,,"11","5.5","Aetna","Commercial",,,"64",,"7.02","0.15","5264.58","percent of total billed charges",,
"NF-PERFOROMIST INH SOLN 20MCG/2ML","0637","RC","Both",,,"11","5.5","Blue Cross Blue Shield","Pathways",,,"71",,"7.77","0.15","5264.58","percent of total billed charges",,
"NF-PERFOROMIST INH SOLN 20MCG/2ML","0637","RC","Both",,,"11","5.5","Blue Cross Blue Shield","HMO",,,"71",,"7.77","0.15","5264.58","percent of total billed charges",,
"NF-PERFOROMIST INH SOLN 20MCG/2ML","0637","RC","Both",,,"11","5.5","Blue Cross Blue Shield","PPO",,,"71",,"7.77","0.15","5264.58","percent of total billed charges",,
"NF-PERFOROMIST INH SOLN 20MCG/2ML","0637","RC","Both",,,"11","5.5","Ambetter","Health Exchange",,,"62",,"6.82","0.15","5264.58","percent of total billed charges",,
"NF-PERFOROMIST INH SOLN 20MCG/2ML","0637","RC","Both",,,"11","5.5","Caresource","Health Exchange",,,"62",,"6.82","0.15","5264.58","percent of total billed charges",,
"NF-PERFOROMIST INH SOLN 20MCG/2ML","0637","RC","Both",,,"11","5.5","Cigna","Commercial",,,"59",,"6.45","0.15","5264.58","percent of total billed charges",,
"NF-PERFOROMIST INH SOLN 20MCG/2ML","0637","RC","Both",,,"11","5.5","Humana","Commercial",,,"78",,"8.52","0.15","5264.58","percent of total billed charges",,
"NF-PERFOROMIST INH SOLN 20MCG/2ML","0637","RC","Both",,,"11","5.5","UHC","Commercial",,,"75",,"8.29","0.15","5264.58","percent of total billed charges",,
"NF-PERFOROMIST INH SOLN 20MCG/2ML","0637","RC","Both",,,"11","5.5","Medicaid",,,,"37",,"4.03","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE (FLOVENT) HFA 44 MCG MDI","0637","RC","Both",,,"305","152.5","Alliant","Health Exchange",,,"62",,"189.1","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE (FLOVENT) HFA 44 MCG MDI","0637","RC","Both",,,"305","152.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"164.7","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE (FLOVENT) HFA 44 MCG MDI","0637","RC","Both",,,"305","152.5","Medicare",,,,"54",,"165.31","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE (FLOVENT) HFA 44 MCG MDI","0637","RC","Both",,,"305","152.5","Humana","Medicare Advantage",,,"54",,"165.31","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE (FLOVENT) HFA 44 MCG MDI","0637","RC","Both",,,"305","152.5","UHC","Medicare Advantage",,,"54",,"165.31","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE (FLOVENT) HFA 44 MCG MDI","0637","RC","Both",,,"305","152.5","Clover","Medicare Advantage",,,"54",,"165.31","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE (FLOVENT) HFA 44 MCG MDI","0637","RC","Both",,,"305","152.5","Wellcare","Medicare Advantage",,,"54",,"165.31","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE (FLOVENT) HFA 44 MCG MDI","0637","RC","Both",,,"305","152.5","Amerigroup","Medicaid Managed Care",,,"37",,"111.63","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE (FLOVENT) HFA 44 MCG MDI","0637","RC","Both",,,"305","152.5","Caresource","Medicaid Managed Care",,,"40",,"122","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE (FLOVENT) HFA 44 MCG MDI","0637","RC","Both",,,"305","152.5","Wellcare","Medicaid Managed Care",,,"40",,"123.52","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE (FLOVENT) HFA 44 MCG MDI","0637","RC","Both",,,"305","152.5","Aetna","Commercial",,,"64",,"194.59","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE (FLOVENT) HFA 44 MCG MDI","0637","RC","Both",,,"305","152.5","Blue Cross Blue Shield","Pathways",,,"71",,"215.33","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE (FLOVENT) HFA 44 MCG MDI","0637","RC","Both",,,"305","152.5","Blue Cross Blue Shield","HMO",,,"71",,"215.33","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE (FLOVENT) HFA 44 MCG MDI","0637","RC","Both",,,"305","152.5","Blue Cross Blue Shield","PPO",,,"71",,"215.33","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE (FLOVENT) HFA 44 MCG MDI","0637","RC","Both",,,"305","152.5","Ambetter","Health Exchange",,,"62",,"189.1","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE (FLOVENT) HFA 44 MCG MDI","0637","RC","Both",,,"305","152.5","Caresource","Health Exchange",,,"62",,"189.1","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE (FLOVENT) HFA 44 MCG MDI","0637","RC","Both",,,"305","152.5","Cigna","Commercial",,,"59",,"178.73","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE (FLOVENT) HFA 44 MCG MDI","0637","RC","Both",,,"305","152.5","Humana","Commercial",,,"78",,"236.38","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE (FLOVENT) HFA 44 MCG MDI","0637","RC","Both",,,"305","152.5","UHC","Commercial",,,"75",,"229.97","0.15","5264.58","percent of total billed charges",,
"FLUTICASONE (FLOVENT) HFA 44 MCG MDI","0637","RC","Both",,,"305","152.5","Medicaid",,,,"37",,"111.63","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 0.31MG/3ML","0637","RC","Both",,,"5.5","2.75","Alliant","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 0.31MG/3ML","0637","RC","Both",,,"5.5","2.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.97","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 0.31MG/3ML","0637","RC","Both",,,"5.5","2.75","Medicare",,,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 0.31MG/3ML","0637","RC","Both",,,"5.5","2.75","Humana","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 0.31MG/3ML","0637","RC","Both",,,"5.5","2.75","UHC","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 0.31MG/3ML","0637","RC","Both",,,"5.5","2.75","Clover","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 0.31MG/3ML","0637","RC","Both",,,"5.5","2.75","Wellcare","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 0.31MG/3ML","0637","RC","Both",,,"5.5","2.75","Amerigroup","Medicaid Managed Care",,,"37",,"2.01","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 0.31MG/3ML","0637","RC","Both",,,"5.5","2.75","Caresource","Medicaid Managed Care",,,"40",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 0.31MG/3ML","0637","RC","Both",,,"5.5","2.75","Wellcare","Medicaid Managed Care",,,"40",,"2.23","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 0.31MG/3ML","0637","RC","Both",,,"5.5","2.75","Aetna","Commercial",,,"64",,"3.51","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 0.31MG/3ML","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","Pathways",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 0.31MG/3ML","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","HMO",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 0.31MG/3ML","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","PPO",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 0.31MG/3ML","0637","RC","Both",,,"5.5","2.75","Ambetter","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 0.31MG/3ML","0637","RC","Both",,,"5.5","2.75","Caresource","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 0.31MG/3ML","0637","RC","Both",,,"5.5","2.75","Cigna","Commercial",,,"59",,"3.22","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 0.31MG/3ML","0637","RC","Both",,,"5.5","2.75","Humana","Commercial",,,"78",,"4.26","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 0.31MG/3ML","0637","RC","Both",,,"5.5","2.75","UHC","Commercial",,,"75",,"4.15","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 0.31MG/3ML","0637","RC","Both",,,"5.5","2.75","Medicaid",,,,"37",,"2.01","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX ORAL TABLET 10MG","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX ORAL TABLET 10MG","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX ORAL TABLET 10MG","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX ORAL TABLET 10MG","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX ORAL TABLET 10MG","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX ORAL TABLET 10MG","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX ORAL TABLET 10MG","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX ORAL TABLET 10MG","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX ORAL TABLET 10MG","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX ORAL TABLET 10MG","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX ORAL TABLET 10MG","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX ORAL TABLET 10MG","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX ORAL TABLET 10MG","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX ORAL TABLET 10MG","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX ORAL TABLET 10MG","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX ORAL TABLET 10MG","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX ORAL TABLET 10MG","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX ORAL TABLET 10MG","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX ORAL TABLET 10MG","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX ORAL TABLET 10MG","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"8","4","Medicare",,,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"8","4","Medicaid",,,,"37",,"2.93","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL/TIMOLOL 22.3MG-6.8MG/","0637","RC","Both",,,"37","18.5","Alliant","Health Exchange",,,"62",,"22.94","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL/TIMOLOL 22.3MG-6.8MG/","0637","RC","Both",,,"37","18.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.98","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL/TIMOLOL 22.3MG-6.8MG/","0637","RC","Both",,,"37","18.5","Medicare",,,,"54",,"20.05","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL/TIMOLOL 22.3MG-6.8MG/","0637","RC","Both",,,"37","18.5","Humana","Medicare Advantage",,,"54",,"20.05","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL/TIMOLOL 22.3MG-6.8MG/","0637","RC","Both",,,"37","18.5","UHC","Medicare Advantage",,,"54",,"20.05","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL/TIMOLOL 22.3MG-6.8MG/","0637","RC","Both",,,"37","18.5","Clover","Medicare Advantage",,,"54",,"20.05","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL/TIMOLOL 22.3MG-6.8MG/","0637","RC","Both",,,"37","18.5","Wellcare","Medicare Advantage",,,"54",,"20.05","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL/TIMOLOL 22.3MG-6.8MG/","0637","RC","Both",,,"37","18.5","Amerigroup","Medicaid Managed Care",,,"37",,"13.54","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL/TIMOLOL 22.3MG-6.8MG/","0637","RC","Both",,,"37","18.5","Caresource","Medicaid Managed Care",,,"40",,"14.8","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL/TIMOLOL 22.3MG-6.8MG/","0637","RC","Both",,,"37","18.5","Wellcare","Medicaid Managed Care",,,"40",,"14.99","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL/TIMOLOL 22.3MG-6.8MG/","0637","RC","Both",,,"37","18.5","Aetna","Commercial",,,"64",,"23.61","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL/TIMOLOL 22.3MG-6.8MG/","0637","RC","Both",,,"37","18.5","Blue Cross Blue Shield","Pathways",,,"71",,"26.12","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL/TIMOLOL 22.3MG-6.8MG/","0637","RC","Both",,,"37","18.5","Blue Cross Blue Shield","HMO",,,"71",,"26.12","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL/TIMOLOL 22.3MG-6.8MG/","0637","RC","Both",,,"37","18.5","Blue Cross Blue Shield","PPO",,,"71",,"26.12","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL/TIMOLOL 22.3MG-6.8MG/","0637","RC","Both",,,"37","18.5","Ambetter","Health Exchange",,,"62",,"22.94","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL/TIMOLOL 22.3MG-6.8MG/","0637","RC","Both",,,"37","18.5","Caresource","Health Exchange",,,"62",,"22.94","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL/TIMOLOL 22.3MG-6.8MG/","0637","RC","Both",,,"37","18.5","Cigna","Commercial",,,"59",,"21.68","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL/TIMOLOL 22.3MG-6.8MG/","0637","RC","Both",,,"37","18.5","Humana","Commercial",,,"78",,"28.68","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL/TIMOLOL 22.3MG-6.8MG/","0637","RC","Both",,,"37","18.5","UHC","Commercial",,,"75",,"27.9","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL/TIMOLOL 22.3MG-6.8MG/","0637","RC","Both",,,"37","18.5","Medicaid",,,,"37",,"13.54","0.15","5264.58","percent of total billed charges",,
"HYDROCOLLOID THIN DRESSNG (DUODERM THIN)","0250","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.04","569.62","percent of total billed charges",,
"HYDROCOLLOID THIN DRESSNG (DUODERM THIN)","0250","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.04","569.62","percent of total billed charges",,
"HYDROCOLLOID THIN DRESSNG (DUODERM THIN)","0250","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"HYDROCOLLOID THIN DRESSNG (DUODERM THIN)","0250","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"HYDROCOLLOID THIN DRESSNG (DUODERM THIN)","0250","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"HYDROCOLLOID THIN DRESSNG (DUODERM THIN)","0250","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"HYDROCOLLOID THIN DRESSNG (DUODERM THIN)","0250","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"HYDROCOLLOID THIN DRESSNG (DUODERM THIN)","0250","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.04","569.62","percent of total billed charges",,
"HYDROCOLLOID THIN DRESSNG (DUODERM THIN)","0250","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.04","569.62","percent of total billed charges",,
"HYDROCOLLOID THIN DRESSNG (DUODERM THIN)","0250","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.04","569.62","percent of total billed charges",,
"HYDROCOLLOID THIN DRESSNG (DUODERM THIN)","0250","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.04","569.62","percent of total billed charges",,
"HYDROCOLLOID THIN DRESSNG (DUODERM THIN)","0250","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.04","569.62","percent of total billed charges",,
"HYDROCOLLOID THIN DRESSNG (DUODERM THIN)","0250","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.04","569.62","percent of total billed charges",,
"HYDROCOLLOID THIN DRESSNG (DUODERM THIN)","0250","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.04","569.62","percent of total billed charges",,
"HYDROCOLLOID THIN DRESSNG (DUODERM THIN)","0250","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.04","569.62","percent of total billed charges",,
"HYDROCOLLOID THIN DRESSNG (DUODERM THIN)","0250","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.04","569.62","percent of total billed charges",,
"HYDROCOLLOID THIN DRESSNG (DUODERM THIN)","0250","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.04","569.62","percent of total billed charges",,
"HYDROCOLLOID THIN DRESSNG (DUODERM THIN)","0250","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.04","569.62","percent of total billed charges",,
"HYDROCOLLOID THIN DRESSNG (DUODERM THIN)","0250","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.04","569.62","percent of total billed charges",,
"HYDROCOLLOID THIN DRESSNG (DUODERM THIN)","0250","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.04","569.62","percent of total billed charges",,
"NF-TRAVATAN OPHTH SOLN 0.004%","0637","RC","Both",,,"89","44.5","Alliant","Health Exchange",,,"62",,"55.18","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN OPHTH SOLN 0.004%","0637","RC","Both",,,"89","44.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"48.06","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN OPHTH SOLN 0.004%","0637","RC","Both",,,"89","44.5","Medicare",,,,"54",,"48.24","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN OPHTH SOLN 0.004%","0637","RC","Both",,,"89","44.5","Humana","Medicare Advantage",,,"54",,"48.24","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN OPHTH SOLN 0.004%","0637","RC","Both",,,"89","44.5","UHC","Medicare Advantage",,,"54",,"48.24","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN OPHTH SOLN 0.004%","0637","RC","Both",,,"89","44.5","Clover","Medicare Advantage",,,"54",,"48.24","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN OPHTH SOLN 0.004%","0637","RC","Both",,,"89","44.5","Wellcare","Medicare Advantage",,,"54",,"48.24","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN OPHTH SOLN 0.004%","0637","RC","Both",,,"89","44.5","Amerigroup","Medicaid Managed Care",,,"37",,"32.57","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN OPHTH SOLN 0.004%","0637","RC","Both",,,"89","44.5","Caresource","Medicaid Managed Care",,,"40",,"35.6","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN OPHTH SOLN 0.004%","0637","RC","Both",,,"89","44.5","Wellcare","Medicaid Managed Care",,,"40",,"36.04","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN OPHTH SOLN 0.004%","0637","RC","Both",,,"89","44.5","Aetna","Commercial",,,"64",,"56.78","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN OPHTH SOLN 0.004%","0637","RC","Both",,,"89","44.5","Blue Cross Blue Shield","Pathways",,,"71",,"62.83","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN OPHTH SOLN 0.004%","0637","RC","Both",,,"89","44.5","Blue Cross Blue Shield","HMO",,,"71",,"62.83","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN OPHTH SOLN 0.004%","0637","RC","Both",,,"89","44.5","Blue Cross Blue Shield","PPO",,,"71",,"62.83","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN OPHTH SOLN 0.004%","0637","RC","Both",,,"89","44.5","Ambetter","Health Exchange",,,"62",,"55.18","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN OPHTH SOLN 0.004%","0637","RC","Both",,,"89","44.5","Caresource","Health Exchange",,,"62",,"55.18","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN OPHTH SOLN 0.004%","0637","RC","Both",,,"89","44.5","Cigna","Commercial",,,"59",,"52.15","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN OPHTH SOLN 0.004%","0637","RC","Both",,,"89","44.5","Humana","Commercial",,,"78",,"68.98","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN OPHTH SOLN 0.004%","0637","RC","Both",,,"89","44.5","UHC","Commercial",,,"75",,"67.11","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN OPHTH SOLN 0.004%","0637","RC","Both",,,"89","44.5","Medicaid",,,,"37",,"32.57","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH TEARS OPHTH SOLUTION 0.5%","0637","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH TEARS OPHTH SOLUTION 0.5%","0637","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH TEARS OPHTH SOLUTION 0.5%","0637","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH TEARS OPHTH SOLUTION 0.5%","0637","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH TEARS OPHTH SOLUTION 0.5%","0637","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH TEARS OPHTH SOLUTION 0.5%","0637","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH TEARS OPHTH SOLUTION 0.5%","0637","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH TEARS OPHTH SOLUTION 0.5%","0637","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH TEARS OPHTH SOLUTION 0.5%","0637","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH TEARS OPHTH SOLUTION 0.5%","0637","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH TEARS OPHTH SOLUTION 0.5%","0637","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH TEARS OPHTH SOLUTION 0.5%","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH TEARS OPHTH SOLUTION 0.5%","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH TEARS OPHTH SOLUTION 0.5%","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH TEARS OPHTH SOLUTION 0.5%","0637","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH TEARS OPHTH SOLUTION 0.5%","0637","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH TEARS OPHTH SOLUTION 0.5%","0637","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH TEARS OPHTH SOLUTION 0.5%","0637","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH TEARS OPHTH SOLUTION 0.5%","0637","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH TEARS OPHTH SOLUTION 0.5%","0637","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN TAB 0.3MG","0637","RC","Both",,,"3.5","1.75","Alliant","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN TAB 0.3MG","0637","RC","Both",,,"3.5","1.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.89","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN TAB 0.3MG","0637","RC","Both",,,"3.5","1.75","Medicare",,,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN TAB 0.3MG","0637","RC","Both",,,"3.5","1.75","Humana","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN TAB 0.3MG","0637","RC","Both",,,"3.5","1.75","UHC","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN TAB 0.3MG","0637","RC","Both",,,"3.5","1.75","Clover","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN TAB 0.3MG","0637","RC","Both",,,"3.5","1.75","Wellcare","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN TAB 0.3MG","0637","RC","Both",,,"3.5","1.75","Amerigroup","Medicaid Managed Care",,,"37",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN TAB 0.3MG","0637","RC","Both",,,"3.5","1.75","Caresource","Medicaid Managed Care",,,"40",,"1.4","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN TAB 0.3MG","0637","RC","Both",,,"3.5","1.75","Wellcare","Medicaid Managed Care",,,"40",,"1.42","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN TAB 0.3MG","0637","RC","Both",,,"3.5","1.75","Aetna","Commercial",,,"64",,"2.23","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN TAB 0.3MG","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","Pathways",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN TAB 0.3MG","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","HMO",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN TAB 0.3MG","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","PPO",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN TAB 0.3MG","0637","RC","Both",,,"3.5","1.75","Ambetter","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN TAB 0.3MG","0637","RC","Both",,,"3.5","1.75","Caresource","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN TAB 0.3MG","0637","RC","Both",,,"3.5","1.75","Cigna","Commercial",,,"59",,"2.05","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN TAB 0.3MG","0637","RC","Both",,,"3.5","1.75","Humana","Commercial",,,"78",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN TAB 0.3MG","0637","RC","Both",,,"3.5","1.75","UHC","Commercial",,,"75",,"2.64","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN TAB 0.3MG","0637","RC","Both",,,"3.5","1.75","Medicaid",,,,"37",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 10MG","0637","RC","Both",,,"6.5","3.25","Alliant","Health Exchange",,,"62",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 10MG","0637","RC","Both",,,"6.5","3.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.51","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 10MG","0637","RC","Both",,,"6.5","3.25","Medicare",,,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 10MG","0637","RC","Both",,,"6.5","3.25","Humana","Medicare Advantage",,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 10MG","0637","RC","Both",,,"6.5","3.25","UHC","Medicare Advantage",,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 10MG","0637","RC","Both",,,"6.5","3.25","Clover","Medicare Advantage",,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 10MG","0637","RC","Both",,,"6.5","3.25","Wellcare","Medicare Advantage",,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 10MG","0637","RC","Both",,,"6.5","3.25","Amerigroup","Medicaid Managed Care",,,"37",,"2.38","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 10MG","0637","RC","Both",,,"6.5","3.25","Caresource","Medicaid Managed Care",,,"40",,"2.6","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 10MG","0637","RC","Both",,,"6.5","3.25","Wellcare","Medicaid Managed Care",,,"40",,"2.63","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 10MG","0637","RC","Both",,,"6.5","3.25","Aetna","Commercial",,,"64",,"4.15","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 10MG","0637","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","Pathways",,,"71",,"4.59","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 10MG","0637","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","HMO",,,"71",,"4.59","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 10MG","0637","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","PPO",,,"71",,"4.59","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 10MG","0637","RC","Both",,,"6.5","3.25","Ambetter","Health Exchange",,,"62",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 10MG","0637","RC","Both",,,"6.5","3.25","Caresource","Health Exchange",,,"62",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 10MG","0637","RC","Both",,,"6.5","3.25","Cigna","Commercial",,,"59",,"3.81","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 10MG","0637","RC","Both",,,"6.5","3.25","Humana","Commercial",,,"78",,"5.04","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 10MG","0637","RC","Both",,,"6.5","3.25","UHC","Commercial",,,"75",,"4.9","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 10MG","0637","RC","Both",,,"6.5","3.25","Medicaid",,,,"37",,"2.38","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL-TIMOLOL 22.3MG-6.8MG/","0637","RC","Both",,,"37","18.5","Alliant","Health Exchange",,,"62",,"22.94","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL-TIMOLOL 22.3MG-6.8MG/","0637","RC","Both",,,"37","18.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.98","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL-TIMOLOL 22.3MG-6.8MG/","0637","RC","Both",,,"37","18.5","Medicare",,,,"54",,"20.05","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL-TIMOLOL 22.3MG-6.8MG/","0637","RC","Both",,,"37","18.5","Humana","Medicare Advantage",,,"54",,"20.05","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL-TIMOLOL 22.3MG-6.8MG/","0637","RC","Both",,,"37","18.5","UHC","Medicare Advantage",,,"54",,"20.05","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL-TIMOLOL 22.3MG-6.8MG/","0637","RC","Both",,,"37","18.5","Clover","Medicare Advantage",,,"54",,"20.05","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL-TIMOLOL 22.3MG-6.8MG/","0637","RC","Both",,,"37","18.5","Wellcare","Medicare Advantage",,,"54",,"20.05","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL-TIMOLOL 22.3MG-6.8MG/","0637","RC","Both",,,"37","18.5","Amerigroup","Medicaid Managed Care",,,"37",,"13.54","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL-TIMOLOL 22.3MG-6.8MG/","0637","RC","Both",,,"37","18.5","Caresource","Medicaid Managed Care",,,"40",,"14.8","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL-TIMOLOL 22.3MG-6.8MG/","0637","RC","Both",,,"37","18.5","Wellcare","Medicaid Managed Care",,,"40",,"14.99","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL-TIMOLOL 22.3MG-6.8MG/","0637","RC","Both",,,"37","18.5","Aetna","Commercial",,,"64",,"23.61","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL-TIMOLOL 22.3MG-6.8MG/","0637","RC","Both",,,"37","18.5","Blue Cross Blue Shield","Pathways",,,"71",,"26.12","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL-TIMOLOL 22.3MG-6.8MG/","0637","RC","Both",,,"37","18.5","Blue Cross Blue Shield","HMO",,,"71",,"26.12","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL-TIMOLOL 22.3MG-6.8MG/","0637","RC","Both",,,"37","18.5","Blue Cross Blue Shield","PPO",,,"71",,"26.12","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL-TIMOLOL 22.3MG-6.8MG/","0637","RC","Both",,,"37","18.5","Ambetter","Health Exchange",,,"62",,"22.94","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL-TIMOLOL 22.3MG-6.8MG/","0637","RC","Both",,,"37","18.5","Caresource","Health Exchange",,,"62",,"22.94","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL-TIMOLOL 22.3MG-6.8MG/","0637","RC","Both",,,"37","18.5","Cigna","Commercial",,,"59",,"21.68","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL-TIMOLOL 22.3MG-6.8MG/","0637","RC","Both",,,"37","18.5","Humana","Commercial",,,"78",,"28.68","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL-TIMOLOL 22.3MG-6.8MG/","0637","RC","Both",,,"37","18.5","UHC","Commercial",,,"75",,"27.9","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL-TIMOLOL 22.3MG-6.8MG/","0637","RC","Both",,,"37","18.5","Medicaid",,,,"37",,"13.54","0.15","5264.58","percent of total billed charges",,
"NF-COLCHICINE ORAL TABLET 0.6MG","0637","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-COLCHICINE ORAL TABLET 0.6MG","0637","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-COLCHICINE ORAL TABLET 0.6MG","0637","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-COLCHICINE ORAL TABLET 0.6MG","0637","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-COLCHICINE ORAL TABLET 0.6MG","0637","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-COLCHICINE ORAL TABLET 0.6MG","0637","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-COLCHICINE ORAL TABLET 0.6MG","0637","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-COLCHICINE ORAL TABLET 0.6MG","0637","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-COLCHICINE ORAL TABLET 0.6MG","0637","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.15","5264.58","percent of total billed charges",,
"NF-COLCHICINE ORAL TABLET 0.6MG","0637","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-COLCHICINE ORAL TABLET 0.6MG","0637","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-COLCHICINE ORAL TABLET 0.6MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-COLCHICINE ORAL TABLET 0.6MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-COLCHICINE ORAL TABLET 0.6MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-COLCHICINE ORAL TABLET 0.6MG","0637","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-COLCHICINE ORAL TABLET 0.6MG","0637","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-COLCHICINE ORAL TABLET 0.6MG","0637","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.15","5264.58","percent of total billed charges",,
"NF-COLCHICINE ORAL TABLET 0.6MG","0637","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-COLCHICINE ORAL TABLET 0.6MG","0637","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.15","5264.58","percent of total billed charges",,
"NF-COLCHICINE ORAL TABLET 0.6MG","0637","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-NEPHRO-VITE RX TAB","0637","RC","Both",,,"1.5","0.75","Alliant","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-NEPHRO-VITE RX TAB","0637","RC","Both",,,"1.5","0.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-NEPHRO-VITE RX TAB","0637","RC","Both",,,"1.5","0.75","Medicare",,,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-NEPHRO-VITE RX TAB","0637","RC","Both",,,"1.5","0.75","Humana","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-NEPHRO-VITE RX TAB","0637","RC","Both",,,"1.5","0.75","UHC","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-NEPHRO-VITE RX TAB","0637","RC","Both",,,"1.5","0.75","Clover","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-NEPHRO-VITE RX TAB","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-NEPHRO-VITE RX TAB","0637","RC","Both",,,"1.5","0.75","Amerigroup","Medicaid Managed Care",,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-NEPHRO-VITE RX TAB","0637","RC","Both",,,"1.5","0.75","Caresource","Medicaid Managed Care",,,"40",,"0.6","0.15","5264.58","percent of total billed charges",,
"NF-NEPHRO-VITE RX TAB","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicaid Managed Care",,,"40",,"0.61","0.15","5264.58","percent of total billed charges",,
"NF-NEPHRO-VITE RX TAB","0637","RC","Both",,,"1.5","0.75","Aetna","Commercial",,,"64",,"0.96","0.15","5264.58","percent of total billed charges",,
"NF-NEPHRO-VITE RX TAB","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","Pathways",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-NEPHRO-VITE RX TAB","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","HMO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-NEPHRO-VITE RX TAB","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","PPO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-NEPHRO-VITE RX TAB","0637","RC","Both",,,"1.5","0.75","Ambetter","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-NEPHRO-VITE RX TAB","0637","RC","Both",,,"1.5","0.75","Caresource","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-NEPHRO-VITE RX TAB","0637","RC","Both",,,"1.5","0.75","Cigna","Commercial",,,"59",,"0.88","0.15","5264.58","percent of total billed charges",,
"NF-NEPHRO-VITE RX TAB","0637","RC","Both",,,"1.5","0.75","Humana","Commercial",,,"78",,"1.16","0.15","5264.58","percent of total billed charges",,
"NF-NEPHRO-VITE RX TAB","0637","RC","Both",,,"1.5","0.75","UHC","Commercial",,,"75",,"1.13","0.15","5264.58","percent of total billed charges",,
"NF-NEPHRO-VITE RX TAB","0637","RC","Both",,,"1.5","0.75","Medicaid",,,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-HECTOROL CAP 1MCG","0637","RC","Both",,,"586","293","Alliant","Health Exchange",,,"62",,"363.32","0.15","5264.58","percent of total billed charges",,
"NF-HECTOROL CAP 1MCG","0637","RC","Both",,,"586","293","Pruitt Healthcare","Medicare Advantage",,,"54",,"316.44","0.15","5264.58","percent of total billed charges",,
"NF-HECTOROL CAP 1MCG","0637","RC","Both",,,"586","293","Medicare",,,,"54",,"317.61","0.15","5264.58","percent of total billed charges",,
"NF-HECTOROL CAP 1MCG","0637","RC","Both",,,"586","293","Humana","Medicare Advantage",,,"54",,"317.61","0.15","5264.58","percent of total billed charges",,
"NF-HECTOROL CAP 1MCG","0637","RC","Both",,,"586","293","UHC","Medicare Advantage",,,"54",,"317.61","0.15","5264.58","percent of total billed charges",,
"NF-HECTOROL CAP 1MCG","0637","RC","Both",,,"586","293","Clover","Medicare Advantage",,,"54",,"317.61","0.15","5264.58","percent of total billed charges",,
"NF-HECTOROL CAP 1MCG","0637","RC","Both",,,"586","293","Wellcare","Medicare Advantage",,,"54",,"317.61","0.15","5264.58","percent of total billed charges",,
"NF-HECTOROL CAP 1MCG","0637","RC","Both",,,"586","293","Amerigroup","Medicaid Managed Care",,,"37",,"214.48","0.15","5264.58","percent of total billed charges",,
"NF-HECTOROL CAP 1MCG","0637","RC","Both",,,"586","293","Caresource","Medicaid Managed Care",,,"40",,"234.4","0.15","5264.58","percent of total billed charges",,
"NF-HECTOROL CAP 1MCG","0637","RC","Both",,,"586","293","Wellcare","Medicaid Managed Care",,,"40",,"237.33","0.15","5264.58","percent of total billed charges",,
"NF-HECTOROL CAP 1MCG","0637","RC","Both",,,"586","293","Aetna","Commercial",,,"64",,"373.87","0.15","5264.58","percent of total billed charges",,
"NF-HECTOROL CAP 1MCG","0637","RC","Both",,,"586","293","Blue Cross Blue Shield","Pathways",,,"71",,"413.72","0.15","5264.58","percent of total billed charges",,
"NF-HECTOROL CAP 1MCG","0637","RC","Both",,,"586","293","Blue Cross Blue Shield","HMO",,,"71",,"413.72","0.15","5264.58","percent of total billed charges",,
"NF-HECTOROL CAP 1MCG","0637","RC","Both",,,"586","293","Blue Cross Blue Shield","PPO",,,"71",,"413.72","0.15","5264.58","percent of total billed charges",,
"NF-HECTOROL CAP 1MCG","0637","RC","Both",,,"586","293","Ambetter","Health Exchange",,,"62",,"363.32","0.15","5264.58","percent of total billed charges",,
"NF-HECTOROL CAP 1MCG","0637","RC","Both",,,"586","293","Caresource","Health Exchange",,,"62",,"363.32","0.15","5264.58","percent of total billed charges",,
"NF-HECTOROL CAP 1MCG","0637","RC","Both",,,"586","293","Cigna","Commercial",,,"59",,"343.4","0.15","5264.58","percent of total billed charges",,
"NF-HECTOROL CAP 1MCG","0637","RC","Both",,,"586","293","Humana","Commercial",,,"78",,"454.15","0.15","5264.58","percent of total billed charges",,
"NF-HECTOROL CAP 1MCG","0637","RC","Both",,,"586","293","UHC","Commercial",,,"75",,"441.84","0.15","5264.58","percent of total billed charges",,
"NF-HECTOROL CAP 1MCG","0637","RC","Both",,,"586","293","Medicaid",,,,"37",,"214.48","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS TAB 0.6MG","0637","RC","Both",,,"17.5","8.75","Alliant","Health Exchange",,,"62",,"10.85","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS TAB 0.6MG","0637","RC","Both",,,"17.5","8.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.45","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS TAB 0.6MG","0637","RC","Both",,,"17.5","8.75","Medicare",,,,"54",,"9.49","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS TAB 0.6MG","0637","RC","Both",,,"17.5","8.75","Humana","Medicare Advantage",,,"54",,"9.49","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS TAB 0.6MG","0637","RC","Both",,,"17.5","8.75","UHC","Medicare Advantage",,,"54",,"9.49","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS TAB 0.6MG","0637","RC","Both",,,"17.5","8.75","Clover","Medicare Advantage",,,"54",,"9.49","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS TAB 0.6MG","0637","RC","Both",,,"17.5","8.75","Wellcare","Medicare Advantage",,,"54",,"9.49","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS TAB 0.6MG","0637","RC","Both",,,"17.5","8.75","Amerigroup","Medicaid Managed Care",,,"37",,"6.4","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS TAB 0.6MG","0637","RC","Both",,,"17.5","8.75","Caresource","Medicaid Managed Care",,,"40",,"7","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS TAB 0.6MG","0637","RC","Both",,,"17.5","8.75","Wellcare","Medicaid Managed Care",,,"40",,"7.09","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS TAB 0.6MG","0637","RC","Both",,,"17.5","8.75","Aetna","Commercial",,,"64",,"11.16","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS TAB 0.6MG","0637","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","Pathways",,,"71",,"12.35","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS TAB 0.6MG","0637","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","HMO",,,"71",,"12.35","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS TAB 0.6MG","0637","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","PPO",,,"71",,"12.35","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS TAB 0.6MG","0637","RC","Both",,,"17.5","8.75","Ambetter","Health Exchange",,,"62",,"10.85","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS TAB 0.6MG","0637","RC","Both",,,"17.5","8.75","Caresource","Health Exchange",,,"62",,"10.85","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS TAB 0.6MG","0637","RC","Both",,,"17.5","8.75","Cigna","Commercial",,,"59",,"10.26","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS TAB 0.6MG","0637","RC","Both",,,"17.5","8.75","Humana","Commercial",,,"78",,"13.56","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS TAB 0.6MG","0637","RC","Both",,,"17.5","8.75","UHC","Commercial",,,"75",,"13.2","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS TAB 0.6MG","0637","RC","Both",,,"17.5","8.75","Medicaid",,,,"37",,"6.4","0.15","5264.58","percent of total billed charges",,
"NF-ARTHROTEC ORAL TABLET 75MG-0.2MG","0637","RC","Both",,,"8.71","4.355","Alliant","Health Exchange",,,"62",,"5.4","0.15","5264.58","percent of total billed charges",,
"NF-ARTHROTEC ORAL TABLET 75MG-0.2MG","0637","RC","Both",,,"8.71","4.355","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.7","0.15","5264.58","percent of total billed charges",,
"NF-ARTHROTEC ORAL TABLET 75MG-0.2MG","0637","RC","Both",,,"8.71","4.355","Medicare",,,,"54",,"4.72","0.15","5264.58","percent of total billed charges",,
"NF-ARTHROTEC ORAL TABLET 75MG-0.2MG","0637","RC","Both",,,"8.71","4.355","Humana","Medicare Advantage",,,"54",,"4.72","0.15","5264.58","percent of total billed charges",,
"NF-ARTHROTEC ORAL TABLET 75MG-0.2MG","0637","RC","Both",,,"8.71","4.355","UHC","Medicare Advantage",,,"54",,"4.72","0.15","5264.58","percent of total billed charges",,
"NF-ARTHROTEC ORAL TABLET 75MG-0.2MG","0637","RC","Both",,,"8.71","4.355","Clover","Medicare Advantage",,,"54",,"4.72","0.15","5264.58","percent of total billed charges",,
"NF-ARTHROTEC ORAL TABLET 75MG-0.2MG","0637","RC","Both",,,"8.71","4.355","Wellcare","Medicare Advantage",,,"54",,"4.72","0.15","5264.58","percent of total billed charges",,
"NF-ARTHROTEC ORAL TABLET 75MG-0.2MG","0637","RC","Both",,,"8.71","4.355","Amerigroup","Medicaid Managed Care",,,"37",,"3.19","0.15","5264.58","percent of total billed charges",,
"NF-ARTHROTEC ORAL TABLET 75MG-0.2MG","0637","RC","Both",,,"8.71","4.355","Caresource","Medicaid Managed Care",,,"40",,"3.48","0.15","5264.58","percent of total billed charges",,
"NF-ARTHROTEC ORAL TABLET 75MG-0.2MG","0637","RC","Both",,,"8.71","4.355","Wellcare","Medicaid Managed Care",,,"40",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-ARTHROTEC ORAL TABLET 75MG-0.2MG","0637","RC","Both",,,"8.71","4.355","Aetna","Commercial",,,"64",,"5.56","0.15","5264.58","percent of total billed charges",,
"NF-ARTHROTEC ORAL TABLET 75MG-0.2MG","0637","RC","Both",,,"8.71","4.355","Blue Cross Blue Shield","Pathways",,,"71",,"6.15","0.15","5264.58","percent of total billed charges",,
"NF-ARTHROTEC ORAL TABLET 75MG-0.2MG","0637","RC","Both",,,"8.71","4.355","Blue Cross Blue Shield","HMO",,,"71",,"6.15","0.15","5264.58","percent of total billed charges",,
"NF-ARTHROTEC ORAL TABLET 75MG-0.2MG","0637","RC","Both",,,"8.71","4.355","Blue Cross Blue Shield","PPO",,,"71",,"6.15","0.15","5264.58","percent of total billed charges",,
"NF-ARTHROTEC ORAL TABLET 75MG-0.2MG","0637","RC","Both",,,"8.71","4.355","Ambetter","Health Exchange",,,"62",,"5.4","0.15","5264.58","percent of total billed charges",,
"NF-ARTHROTEC ORAL TABLET 75MG-0.2MG","0637","RC","Both",,,"8.71","4.355","Caresource","Health Exchange",,,"62",,"5.4","0.15","5264.58","percent of total billed charges",,
"NF-ARTHROTEC ORAL TABLET 75MG-0.2MG","0637","RC","Both",,,"8.71","4.355","Cigna","Commercial",,,"59",,"5.1","0.15","5264.58","percent of total billed charges",,
"NF-ARTHROTEC ORAL TABLET 75MG-0.2MG","0637","RC","Both",,,"8.71","4.355","Humana","Commercial",,,"78",,"6.75","0.15","5264.58","percent of total billed charges",,
"NF-ARTHROTEC ORAL TABLET 75MG-0.2MG","0637","RC","Both",,,"8.71","4.355","UHC","Commercial",,,"75",,"6.57","0.15","5264.58","percent of total billed charges",,
"NF-ARTHROTEC ORAL TABLET 75MG-0.2MG","0637","RC","Both",,,"8.71","4.355","Medicaid",,,,"37",,"3.19","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"1.5","0.75","Alliant","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"1.5","0.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"1.5","0.75","Medicare",,,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"1.5","0.75","Humana","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"1.5","0.75","UHC","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"1.5","0.75","Clover","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"1.5","0.75","Amerigroup","Medicaid Managed Care",,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"1.5","0.75","Caresource","Medicaid Managed Care",,,"40",,"0.6","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicaid Managed Care",,,"40",,"0.61","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"1.5","0.75","Aetna","Commercial",,,"64",,"0.96","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","Pathways",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","HMO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","PPO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"1.5","0.75","Ambetter","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"1.5","0.75","Caresource","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"1.5","0.75","Cigna","Commercial",,,"59",,"0.88","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"1.5","0.75","Humana","Commercial",,,"78",,"1.16","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"1.5","0.75","UHC","Commercial",,,"75",,"1.13","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"1.5","0.75","Medicaid",,,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-ARTHROTEC ORAL TAB EC 75MG-0.2MG","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-ARTHROTEC ORAL TAB EC 75MG-0.2MG","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"NF-ARTHROTEC ORAL TAB EC 75MG-0.2MG","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-ARTHROTEC ORAL TAB EC 75MG-0.2MG","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-ARTHROTEC ORAL TAB EC 75MG-0.2MG","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-ARTHROTEC ORAL TAB EC 75MG-0.2MG","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-ARTHROTEC ORAL TAB EC 75MG-0.2MG","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-ARTHROTEC ORAL TAB EC 75MG-0.2MG","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"NF-ARTHROTEC ORAL TAB EC 75MG-0.2MG","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"NF-ARTHROTEC ORAL TAB EC 75MG-0.2MG","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"NF-ARTHROTEC ORAL TAB EC 75MG-0.2MG","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"NF-ARTHROTEC ORAL TAB EC 75MG-0.2MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-ARTHROTEC ORAL TAB EC 75MG-0.2MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-ARTHROTEC ORAL TAB EC 75MG-0.2MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-ARTHROTEC ORAL TAB EC 75MG-0.2MG","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-ARTHROTEC ORAL TAB EC 75MG-0.2MG","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-ARTHROTEC ORAL TAB EC 75MG-0.2MG","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"NF-ARTHROTEC ORAL TAB EC 75MG-0.2MG","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-ARTHROTEC ORAL TAB EC 75MG-0.2MG","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"NF-ARTHROTEC ORAL TAB EC 75MG-0.2MG","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"NF-FELODIPINE EXTENDED-RELEASE TABLET 5M","0637","RC","Both",,,"4.5","2.25","Alliant","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-FELODIPINE EXTENDED-RELEASE TABLET 5M","0637","RC","Both",,,"4.5","2.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-FELODIPINE EXTENDED-RELEASE TABLET 5M","0637","RC","Both",,,"4.5","2.25","Medicare",,,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-FELODIPINE EXTENDED-RELEASE TABLET 5M","0637","RC","Both",,,"4.5","2.25","Humana","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-FELODIPINE EXTENDED-RELEASE TABLET 5M","0637","RC","Both",,,"4.5","2.25","UHC","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-FELODIPINE EXTENDED-RELEASE TABLET 5M","0637","RC","Both",,,"4.5","2.25","Clover","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-FELODIPINE EXTENDED-RELEASE TABLET 5M","0637","RC","Both",,,"4.5","2.25","Wellcare","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-FELODIPINE EXTENDED-RELEASE TABLET 5M","0637","RC","Both",,,"4.5","2.25","Amerigroup","Medicaid Managed Care",,,"37",,"1.65","0.15","5264.58","percent of total billed charges",,
"NF-FELODIPINE EXTENDED-RELEASE TABLET 5M","0637","RC","Both",,,"4.5","2.25","Caresource","Medicaid Managed Care",,,"40",,"1.8","0.15","5264.58","percent of total billed charges",,
"NF-FELODIPINE EXTENDED-RELEASE TABLET 5M","0637","RC","Both",,,"4.5","2.25","Wellcare","Medicaid Managed Care",,,"40",,"1.82","0.15","5264.58","percent of total billed charges",,
"NF-FELODIPINE EXTENDED-RELEASE TABLET 5M","0637","RC","Both",,,"4.5","2.25","Aetna","Commercial",,,"64",,"2.87","0.15","5264.58","percent of total billed charges",,
"NF-FELODIPINE EXTENDED-RELEASE TABLET 5M","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","Pathways",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-FELODIPINE EXTENDED-RELEASE TABLET 5M","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","HMO",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-FELODIPINE EXTENDED-RELEASE TABLET 5M","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","PPO",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-FELODIPINE EXTENDED-RELEASE TABLET 5M","0637","RC","Both",,,"4.5","2.25","Ambetter","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-FELODIPINE EXTENDED-RELEASE TABLET 5M","0637","RC","Both",,,"4.5","2.25","Caresource","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-FELODIPINE EXTENDED-RELEASE TABLET 5M","0637","RC","Both",,,"4.5","2.25","Cigna","Commercial",,,"59",,"2.64","0.15","5264.58","percent of total billed charges",,
"NF-FELODIPINE EXTENDED-RELEASE TABLET 5M","0637","RC","Both",,,"4.5","2.25","Humana","Commercial",,,"78",,"3.49","0.15","5264.58","percent of total billed charges",,
"NF-FELODIPINE EXTENDED-RELEASE TABLET 5M","0637","RC","Both",,,"4.5","2.25","UHC","Commercial",,,"75",,"3.39","0.15","5264.58","percent of total billed charges",,
"NF-FELODIPINE EXTENDED-RELEASE TABLET 5M","0637","RC","Both",,,"4.5","2.25","Medicaid",,,,"37",,"1.65","0.15","5264.58","percent of total billed charges",,
"NF-DICLOFENAC POTASSIUM TAB 50MG","0637","RC","Both",,,"5.5","2.75","Alliant","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-DICLOFENAC POTASSIUM TAB 50MG","0637","RC","Both",,,"5.5","2.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.97","0.15","5264.58","percent of total billed charges",,
"NF-DICLOFENAC POTASSIUM TAB 50MG","0637","RC","Both",,,"5.5","2.75","Medicare",,,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-DICLOFENAC POTASSIUM TAB 50MG","0637","RC","Both",,,"5.5","2.75","Humana","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-DICLOFENAC POTASSIUM TAB 50MG","0637","RC","Both",,,"5.5","2.75","UHC","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-DICLOFENAC POTASSIUM TAB 50MG","0637","RC","Both",,,"5.5","2.75","Clover","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-DICLOFENAC POTASSIUM TAB 50MG","0637","RC","Both",,,"5.5","2.75","Wellcare","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-DICLOFENAC POTASSIUM TAB 50MG","0637","RC","Both",,,"5.5","2.75","Amerigroup","Medicaid Managed Care",,,"37",,"2.01","0.15","5264.58","percent of total billed charges",,
"NF-DICLOFENAC POTASSIUM TAB 50MG","0637","RC","Both",,,"5.5","2.75","Caresource","Medicaid Managed Care",,,"40",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-DICLOFENAC POTASSIUM TAB 50MG","0637","RC","Both",,,"5.5","2.75","Wellcare","Medicaid Managed Care",,,"40",,"2.23","0.15","5264.58","percent of total billed charges",,
"NF-DICLOFENAC POTASSIUM TAB 50MG","0637","RC","Both",,,"5.5","2.75","Aetna","Commercial",,,"64",,"3.51","0.15","5264.58","percent of total billed charges",,
"NF-DICLOFENAC POTASSIUM TAB 50MG","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","Pathways",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-DICLOFENAC POTASSIUM TAB 50MG","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","HMO",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-DICLOFENAC POTASSIUM TAB 50MG","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","PPO",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-DICLOFENAC POTASSIUM TAB 50MG","0637","RC","Both",,,"5.5","2.75","Ambetter","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-DICLOFENAC POTASSIUM TAB 50MG","0637","RC","Both",,,"5.5","2.75","Caresource","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-DICLOFENAC POTASSIUM TAB 50MG","0637","RC","Both",,,"5.5","2.75","Cigna","Commercial",,,"59",,"3.22","0.15","5264.58","percent of total billed charges",,
"NF-DICLOFENAC POTASSIUM TAB 50MG","0637","RC","Both",,,"5.5","2.75","Humana","Commercial",,,"78",,"4.26","0.15","5264.58","percent of total billed charges",,
"NF-DICLOFENAC POTASSIUM TAB 50MG","0637","RC","Both",,,"5.5","2.75","UHC","Commercial",,,"75",,"4.15","0.15","5264.58","percent of total billed charges",,
"NF-DICLOFENAC POTASSIUM TAB 50MG","0637","RC","Both",,,"5.5","2.75","Medicaid",,,,"37",,"2.01","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-RIVASTIGMINE TARTRATE CAP 6MG","0637","RC","Both",,,"15.5","7.75","Alliant","Health Exchange",,,"62",,"9.61","0.15","5264.58","percent of total billed charges",,
"NF-RIVASTIGMINE TARTRATE CAP 6MG","0637","RC","Both",,,"15.5","7.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.37","0.15","5264.58","percent of total billed charges",,
"NF-RIVASTIGMINE TARTRATE CAP 6MG","0637","RC","Both",,,"15.5","7.75","Medicare",,,,"54",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-RIVASTIGMINE TARTRATE CAP 6MG","0637","RC","Both",,,"15.5","7.75","Humana","Medicare Advantage",,,"54",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-RIVASTIGMINE TARTRATE CAP 6MG","0637","RC","Both",,,"15.5","7.75","UHC","Medicare Advantage",,,"54",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-RIVASTIGMINE TARTRATE CAP 6MG","0637","RC","Both",,,"15.5","7.75","Clover","Medicare Advantage",,,"54",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-RIVASTIGMINE TARTRATE CAP 6MG","0637","RC","Both",,,"15.5","7.75","Wellcare","Medicare Advantage",,,"54",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-RIVASTIGMINE TARTRATE CAP 6MG","0637","RC","Both",,,"15.5","7.75","Amerigroup","Medicaid Managed Care",,,"37",,"5.67","0.15","5264.58","percent of total billed charges",,
"NF-RIVASTIGMINE TARTRATE CAP 6MG","0637","RC","Both",,,"15.5","7.75","Caresource","Medicaid Managed Care",,,"40",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-RIVASTIGMINE TARTRATE CAP 6MG","0637","RC","Both",,,"15.5","7.75","Wellcare","Medicaid Managed Care",,,"40",,"6.28","0.15","5264.58","percent of total billed charges",,
"NF-RIVASTIGMINE TARTRATE CAP 6MG","0637","RC","Both",,,"15.5","7.75","Aetna","Commercial",,,"64",,"9.89","0.15","5264.58","percent of total billed charges",,
"NF-RIVASTIGMINE TARTRATE CAP 6MG","0637","RC","Both",,,"15.5","7.75","Blue Cross Blue Shield","Pathways",,,"71",,"10.94","0.15","5264.58","percent of total billed charges",,
"NF-RIVASTIGMINE TARTRATE CAP 6MG","0637","RC","Both",,,"15.5","7.75","Blue Cross Blue Shield","HMO",,,"71",,"10.94","0.15","5264.58","percent of total billed charges",,
"NF-RIVASTIGMINE TARTRATE CAP 6MG","0637","RC","Both",,,"15.5","7.75","Blue Cross Blue Shield","PPO",,,"71",,"10.94","0.15","5264.58","percent of total billed charges",,
"NF-RIVASTIGMINE TARTRATE CAP 6MG","0637","RC","Both",,,"15.5","7.75","Ambetter","Health Exchange",,,"62",,"9.61","0.15","5264.58","percent of total billed charges",,
"NF-RIVASTIGMINE TARTRATE CAP 6MG","0637","RC","Both",,,"15.5","7.75","Caresource","Health Exchange",,,"62",,"9.61","0.15","5264.58","percent of total billed charges",,
"NF-RIVASTIGMINE TARTRATE CAP 6MG","0637","RC","Both",,,"15.5","7.75","Cigna","Commercial",,,"59",,"9.08","0.15","5264.58","percent of total billed charges",,
"NF-RIVASTIGMINE TARTRATE CAP 6MG","0637","RC","Both",,,"15.5","7.75","Humana","Commercial",,,"78",,"12.01","0.15","5264.58","percent of total billed charges",,
"NF-RIVASTIGMINE TARTRATE CAP 6MG","0637","RC","Both",,,"15.5","7.75","UHC","Commercial",,,"75",,"11.69","0.15","5264.58","percent of total billed charges",,
"NF-RIVASTIGMINE TARTRATE CAP 6MG","0637","RC","Both",,,"15.5","7.75","Medicaid",,,,"37",,"5.67","0.15","5264.58","percent of total billed charges",,
"NF-MISOPROSTOL ORAL TABLET 200MCG","0637","RC","Both",,,"3.5","1.75","Alliant","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-MISOPROSTOL ORAL TABLET 200MCG","0637","RC","Both",,,"3.5","1.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.89","0.15","5264.58","percent of total billed charges",,
"NF-MISOPROSTOL ORAL TABLET 200MCG","0637","RC","Both",,,"3.5","1.75","Medicare",,,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-MISOPROSTOL ORAL TABLET 200MCG","0637","RC","Both",,,"3.5","1.75","Humana","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-MISOPROSTOL ORAL TABLET 200MCG","0637","RC","Both",,,"3.5","1.75","UHC","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-MISOPROSTOL ORAL TABLET 200MCG","0637","RC","Both",,,"3.5","1.75","Clover","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-MISOPROSTOL ORAL TABLET 200MCG","0637","RC","Both",,,"3.5","1.75","Wellcare","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-MISOPROSTOL ORAL TABLET 200MCG","0637","RC","Both",,,"3.5","1.75","Amerigroup","Medicaid Managed Care",,,"37",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-MISOPROSTOL ORAL TABLET 200MCG","0637","RC","Both",,,"3.5","1.75","Caresource","Medicaid Managed Care",,,"40",,"1.4","0.15","5264.58","percent of total billed charges",,
"NF-MISOPROSTOL ORAL TABLET 200MCG","0637","RC","Both",,,"3.5","1.75","Wellcare","Medicaid Managed Care",,,"40",,"1.42","0.15","5264.58","percent of total billed charges",,
"NF-MISOPROSTOL ORAL TABLET 200MCG","0637","RC","Both",,,"3.5","1.75","Aetna","Commercial",,,"64",,"2.23","0.15","5264.58","percent of total billed charges",,
"NF-MISOPROSTOL ORAL TABLET 200MCG","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","Pathways",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-MISOPROSTOL ORAL TABLET 200MCG","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","HMO",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-MISOPROSTOL ORAL TABLET 200MCG","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","PPO",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-MISOPROSTOL ORAL TABLET 200MCG","0637","RC","Both",,,"3.5","1.75","Ambetter","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-MISOPROSTOL ORAL TABLET 200MCG","0637","RC","Both",,,"3.5","1.75","Caresource","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-MISOPROSTOL ORAL TABLET 200MCG","0637","RC","Both",,,"3.5","1.75","Cigna","Commercial",,,"59",,"2.05","0.15","5264.58","percent of total billed charges",,
"NF-MISOPROSTOL ORAL TABLET 200MCG","0637","RC","Both",,,"3.5","1.75","Humana","Commercial",,,"78",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-MISOPROSTOL ORAL TABLET 200MCG","0637","RC","Both",,,"3.5","1.75","UHC","Commercial",,,"75",,"2.64","0.15","5264.58","percent of total billed charges",,
"NF-MISOPROSTOL ORAL TABLET 200MCG","0637","RC","Both",,,"3.5","1.75","Medicaid",,,,"37",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR HCT ORAL TABLET 40MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Alliant","Health Exchange",,,"62",,"8.99","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR HCT ORAL TABLET 40MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.83","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR HCT ORAL TABLET 40MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Medicare",,,,"54",,"7.86","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR HCT ORAL TABLET 40MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Humana","Medicare Advantage",,,"54",,"7.86","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR HCT ORAL TABLET 40MG-12.5MG","0637","RC","Both",,,"14.5","7.25","UHC","Medicare Advantage",,,"54",,"7.86","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR HCT ORAL TABLET 40MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Clover","Medicare Advantage",,,"54",,"7.86","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR HCT ORAL TABLET 40MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Wellcare","Medicare Advantage",,,"54",,"7.86","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR HCT ORAL TABLET 40MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Amerigroup","Medicaid Managed Care",,,"37",,"5.31","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR HCT ORAL TABLET 40MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Caresource","Medicaid Managed Care",,,"40",,"5.8","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR HCT ORAL TABLET 40MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Wellcare","Medicaid Managed Care",,,"40",,"5.87","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR HCT ORAL TABLET 40MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Aetna","Commercial",,,"64",,"9.25","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR HCT ORAL TABLET 40MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Blue Cross Blue Shield","Pathways",,,"71",,"10.24","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR HCT ORAL TABLET 40MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Blue Cross Blue Shield","HMO",,,"71",,"10.24","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR HCT ORAL TABLET 40MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Blue Cross Blue Shield","PPO",,,"71",,"10.24","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR HCT ORAL TABLET 40MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Ambetter","Health Exchange",,,"62",,"8.99","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR HCT ORAL TABLET 40MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Caresource","Health Exchange",,,"62",,"8.99","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR HCT ORAL TABLET 40MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Cigna","Commercial",,,"59",,"8.5","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR HCT ORAL TABLET 40MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Humana","Commercial",,,"78",,"11.24","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR HCT ORAL TABLET 40MG-12.5MG","0637","RC","Both",,,"14.5","7.25","UHC","Commercial",,,"75",,"10.93","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR HCT ORAL TABLET 40MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Medicaid",,,,"37",,"5.31","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL HCTZ ORAL TABLET 20MG-25MG","0637","RC","Both",,,"1.67","0.835","Alliant","Health Exchange",,,"62",,"1.04","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL HCTZ ORAL TABLET 20MG-25MG","0637","RC","Both",,,"1.67","0.835","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.9","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL HCTZ ORAL TABLET 20MG-25MG","0637","RC","Both",,,"1.67","0.835","Medicare",,,,"54",,"0.91","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL HCTZ ORAL TABLET 20MG-25MG","0637","RC","Both",,,"1.67","0.835","Humana","Medicare Advantage",,,"54",,"0.91","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL HCTZ ORAL TABLET 20MG-25MG","0637","RC","Both",,,"1.67","0.835","UHC","Medicare Advantage",,,"54",,"0.91","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL HCTZ ORAL TABLET 20MG-25MG","0637","RC","Both",,,"1.67","0.835","Clover","Medicare Advantage",,,"54",,"0.91","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL HCTZ ORAL TABLET 20MG-25MG","0637","RC","Both",,,"1.67","0.835","Wellcare","Medicare Advantage",,,"54",,"0.91","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL HCTZ ORAL TABLET 20MG-25MG","0637","RC","Both",,,"1.67","0.835","Amerigroup","Medicaid Managed Care",,,"37",,"0.61","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL HCTZ ORAL TABLET 20MG-25MG","0637","RC","Both",,,"1.67","0.835","Caresource","Medicaid Managed Care",,,"40",,"0.67","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL HCTZ ORAL TABLET 20MG-25MG","0637","RC","Both",,,"1.67","0.835","Wellcare","Medicaid Managed Care",,,"40",,"0.68","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL HCTZ ORAL TABLET 20MG-25MG","0637","RC","Both",,,"1.67","0.835","Aetna","Commercial",,,"64",,"1.07","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL HCTZ ORAL TABLET 20MG-25MG","0637","RC","Both",,,"1.67","0.835","Blue Cross Blue Shield","Pathways",,,"71",,"1.18","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL HCTZ ORAL TABLET 20MG-25MG","0637","RC","Both",,,"1.67","0.835","Blue Cross Blue Shield","HMO",,,"71",,"1.18","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL HCTZ ORAL TABLET 20MG-25MG","0637","RC","Both",,,"1.67","0.835","Blue Cross Blue Shield","PPO",,,"71",,"1.18","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL HCTZ ORAL TABLET 20MG-25MG","0637","RC","Both",,,"1.67","0.835","Ambetter","Health Exchange",,,"62",,"1.04","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL HCTZ ORAL TABLET 20MG-25MG","0637","RC","Both",,,"1.67","0.835","Caresource","Health Exchange",,,"62",,"1.04","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL HCTZ ORAL TABLET 20MG-25MG","0637","RC","Both",,,"1.67","0.835","Cigna","Commercial",,,"59",,"0.98","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL HCTZ ORAL TABLET 20MG-25MG","0637","RC","Both",,,"1.67","0.835","Humana","Commercial",,,"78",,"1.29","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL HCTZ ORAL TABLET 20MG-25MG","0637","RC","Both",,,"1.67","0.835","UHC","Commercial",,,"75",,"1.26","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL HCTZ ORAL TABLET 20MG-25MG","0637","RC","Both",,,"1.67","0.835","Medicaid",,,,"37",,"0.61","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 5MG","0637","RC","Both",,,"20.5","10.25","Alliant","Health Exchange",,,"62",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 5MG","0637","RC","Both",,,"20.5","10.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.07","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 5MG","0637","RC","Both",,,"20.5","10.25","Medicare",,,,"54",,"11.11","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 5MG","0637","RC","Both",,,"20.5","10.25","Humana","Medicare Advantage",,,"54",,"11.11","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 5MG","0637","RC","Both",,,"20.5","10.25","UHC","Medicare Advantage",,,"54",,"11.11","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 5MG","0637","RC","Both",,,"20.5","10.25","Clover","Medicare Advantage",,,"54",,"11.11","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 5MG","0637","RC","Both",,,"20.5","10.25","Wellcare","Medicare Advantage",,,"54",,"11.11","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 5MG","0637","RC","Both",,,"20.5","10.25","Amerigroup","Medicaid Managed Care",,,"37",,"7.5","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 5MG","0637","RC","Both",,,"20.5","10.25","Caresource","Medicaid Managed Care",,,"40",,"8.2","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 5MG","0637","RC","Both",,,"20.5","10.25","Wellcare","Medicaid Managed Care",,,"40",,"8.3","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 5MG","0637","RC","Both",,,"20.5","10.25","Aetna","Commercial",,,"64",,"13.08","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 5MG","0637","RC","Both",,,"20.5","10.25","Blue Cross Blue Shield","Pathways",,,"71",,"14.47","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 5MG","0637","RC","Both",,,"20.5","10.25","Blue Cross Blue Shield","HMO",,,"71",,"14.47","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 5MG","0637","RC","Both",,,"20.5","10.25","Blue Cross Blue Shield","PPO",,,"71",,"14.47","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 5MG","0637","RC","Both",,,"20.5","10.25","Ambetter","Health Exchange",,,"62",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 5MG","0637","RC","Both",,,"20.5","10.25","Caresource","Health Exchange",,,"62",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 5MG","0637","RC","Both",,,"20.5","10.25","Cigna","Commercial",,,"59",,"12.01","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 5MG","0637","RC","Both",,,"20.5","10.25","Humana","Commercial",,,"78",,"15.89","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 5MG","0637","RC","Both",,,"20.5","10.25","UHC","Commercial",,,"75",,"15.46","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 5MG","0637","RC","Both",,,"20.5","10.25","Medicaid",,,,"37",,"7.5","0.15","5264.58","percent of total billed charges",,
"NF-AVAPRO ORAL TABLET 150MG","0637","RC","Both",,,"12","6","Alliant","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-AVAPRO ORAL TABLET 150MG","0637","RC","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.48","0.15","5264.58","percent of total billed charges",,
"NF-AVAPRO ORAL TABLET 150MG","0637","RC","Both",,,"12","6","Medicare",,,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-AVAPRO ORAL TABLET 150MG","0637","RC","Both",,,"12","6","Humana","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-AVAPRO ORAL TABLET 150MG","0637","RC","Both",,,"12","6","UHC","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-AVAPRO ORAL TABLET 150MG","0637","RC","Both",,,"12","6","Clover","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-AVAPRO ORAL TABLET 150MG","0637","RC","Both",,,"12","6","Wellcare","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-AVAPRO ORAL TABLET 150MG","0637","RC","Both",,,"12","6","Amerigroup","Medicaid Managed Care",,,"37",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-AVAPRO ORAL TABLET 150MG","0637","RC","Both",,,"12","6","Caresource","Medicaid Managed Care",,,"40",,"4.8","0.15","5264.58","percent of total billed charges",,
"NF-AVAPRO ORAL TABLET 150MG","0637","RC","Both",,,"12","6","Wellcare","Medicaid Managed Care",,,"40",,"4.86","0.15","5264.58","percent of total billed charges",,
"NF-AVAPRO ORAL TABLET 150MG","0637","RC","Both",,,"12","6","Aetna","Commercial",,,"64",,"7.66","0.15","5264.58","percent of total billed charges",,
"NF-AVAPRO ORAL TABLET 150MG","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","Pathways",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-AVAPRO ORAL TABLET 150MG","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","HMO",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-AVAPRO ORAL TABLET 150MG","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","PPO",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-AVAPRO ORAL TABLET 150MG","0637","RC","Both",,,"12","6","Ambetter","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-AVAPRO ORAL TABLET 150MG","0637","RC","Both",,,"12","6","Caresource","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-AVAPRO ORAL TABLET 150MG","0637","RC","Both",,,"12","6","Cigna","Commercial",,,"59",,"7.03","0.15","5264.58","percent of total billed charges",,
"NF-AVAPRO ORAL TABLET 150MG","0637","RC","Both",,,"12","6","Humana","Commercial",,,"78",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-AVAPRO ORAL TABLET 150MG","0637","RC","Both",,,"12","6","UHC","Commercial",,,"75",,"9.05","0.15","5264.58","percent of total billed charges",,
"NF-AVAPRO ORAL TABLET 150MG","0637","RC","Both",,,"12","6","Medicaid",,,,"37",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-SANCTURA XR CAP ER 60MG","0637","RC","Both",,,"19.5","9.75","Alliant","Health Exchange",,,"62",,"12.09","0.15","5264.58","percent of total billed charges",,
"NF-SANCTURA XR CAP ER 60MG","0637","RC","Both",,,"19.5","9.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.53","0.15","5264.58","percent of total billed charges",,
"NF-SANCTURA XR CAP ER 60MG","0637","RC","Both",,,"19.5","9.75","Medicare",,,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-SANCTURA XR CAP ER 60MG","0637","RC","Both",,,"19.5","9.75","Humana","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-SANCTURA XR CAP ER 60MG","0637","RC","Both",,,"19.5","9.75","UHC","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-SANCTURA XR CAP ER 60MG","0637","RC","Both",,,"19.5","9.75","Clover","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-SANCTURA XR CAP ER 60MG","0637","RC","Both",,,"19.5","9.75","Wellcare","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-SANCTURA XR CAP ER 60MG","0637","RC","Both",,,"19.5","9.75","Amerigroup","Medicaid Managed Care",,,"37",,"7.14","0.15","5264.58","percent of total billed charges",,
"NF-SANCTURA XR CAP ER 60MG","0637","RC","Both",,,"19.5","9.75","Caresource","Medicaid Managed Care",,,"40",,"7.8","0.15","5264.58","percent of total billed charges",,
"NF-SANCTURA XR CAP ER 60MG","0637","RC","Both",,,"19.5","9.75","Wellcare","Medicaid Managed Care",,,"40",,"7.9","0.15","5264.58","percent of total billed charges",,
"NF-SANCTURA XR CAP ER 60MG","0637","RC","Both",,,"19.5","9.75","Aetna","Commercial",,,"64",,"12.44","0.15","5264.58","percent of total billed charges",,
"NF-SANCTURA XR CAP ER 60MG","0637","RC","Both",,,"19.5","9.75","Blue Cross Blue Shield","Pathways",,,"71",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-SANCTURA XR CAP ER 60MG","0637","RC","Both",,,"19.5","9.75","Blue Cross Blue Shield","HMO",,,"71",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-SANCTURA XR CAP ER 60MG","0637","RC","Both",,,"19.5","9.75","Blue Cross Blue Shield","PPO",,,"71",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-SANCTURA XR CAP ER 60MG","0637","RC","Both",,,"19.5","9.75","Ambetter","Health Exchange",,,"62",,"12.09","0.15","5264.58","percent of total billed charges",,
"NF-SANCTURA XR CAP ER 60MG","0637","RC","Both",,,"19.5","9.75","Caresource","Health Exchange",,,"62",,"12.09","0.15","5264.58","percent of total billed charges",,
"NF-SANCTURA XR CAP ER 60MG","0637","RC","Both",,,"19.5","9.75","Cigna","Commercial",,,"59",,"11.43","0.15","5264.58","percent of total billed charges",,
"NF-SANCTURA XR CAP ER 60MG","0637","RC","Both",,,"19.5","9.75","Humana","Commercial",,,"78",,"15.11","0.15","5264.58","percent of total billed charges",,
"NF-SANCTURA XR CAP ER 60MG","0637","RC","Both",,,"19.5","9.75","UHC","Commercial",,,"75",,"14.7","0.15","5264.58","percent of total billed charges",,
"NF-SANCTURA XR CAP ER 60MG","0637","RC","Both",,,"19.5","9.75","Medicaid",,,,"37",,"7.14","0.15","5264.58","percent of total billed charges",,
"NF-FLUOXETINE HCL CAP 40MG","0637","RC","Both",,,"16","8","Alliant","Health Exchange",,,"62",,"9.92","0.15","5264.58","percent of total billed charges",,
"NF-FLUOXETINE HCL CAP 40MG","0637","RC","Both",,,"16","8","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.64","0.15","5264.58","percent of total billed charges",,
"NF-FLUOXETINE HCL CAP 40MG","0637","RC","Both",,,"16","8","Medicare",,,,"54",,"8.67","0.15","5264.58","percent of total billed charges",,
"NF-FLUOXETINE HCL CAP 40MG","0637","RC","Both",,,"16","8","Humana","Medicare Advantage",,,"54",,"8.67","0.15","5264.58","percent of total billed charges",,
"NF-FLUOXETINE HCL CAP 40MG","0637","RC","Both",,,"16","8","UHC","Medicare Advantage",,,"54",,"8.67","0.15","5264.58","percent of total billed charges",,
"NF-FLUOXETINE HCL CAP 40MG","0637","RC","Both",,,"16","8","Clover","Medicare Advantage",,,"54",,"8.67","0.15","5264.58","percent of total billed charges",,
"NF-FLUOXETINE HCL CAP 40MG","0637","RC","Both",,,"16","8","Wellcare","Medicare Advantage",,,"54",,"8.67","0.15","5264.58","percent of total billed charges",,
"NF-FLUOXETINE HCL CAP 40MG","0637","RC","Both",,,"16","8","Amerigroup","Medicaid Managed Care",,,"37",,"5.86","0.15","5264.58","percent of total billed charges",,
"NF-FLUOXETINE HCL CAP 40MG","0637","RC","Both",,,"16","8","Caresource","Medicaid Managed Care",,,"40",,"6.4","0.15","5264.58","percent of total billed charges",,
"NF-FLUOXETINE HCL CAP 40MG","0637","RC","Both",,,"16","8","Wellcare","Medicaid Managed Care",,,"40",,"6.48","0.15","5264.58","percent of total billed charges",,
"NF-FLUOXETINE HCL CAP 40MG","0637","RC","Both",,,"16","8","Aetna","Commercial",,,"64",,"10.21","0.15","5264.58","percent of total billed charges",,
"NF-FLUOXETINE HCL CAP 40MG","0637","RC","Both",,,"16","8","Blue Cross Blue Shield","Pathways",,,"71",,"11.3","0.15","5264.58","percent of total billed charges",,
"NF-FLUOXETINE HCL CAP 40MG","0637","RC","Both",,,"16","8","Blue Cross Blue Shield","HMO",,,"71",,"11.3","0.15","5264.58","percent of total billed charges",,
"NF-FLUOXETINE HCL CAP 40MG","0637","RC","Both",,,"16","8","Blue Cross Blue Shield","PPO",,,"71",,"11.3","0.15","5264.58","percent of total billed charges",,
"NF-FLUOXETINE HCL CAP 40MG","0637","RC","Both",,,"16","8","Ambetter","Health Exchange",,,"62",,"9.92","0.15","5264.58","percent of total billed charges",,
"NF-FLUOXETINE HCL CAP 40MG","0637","RC","Both",,,"16","8","Caresource","Health Exchange",,,"62",,"9.92","0.15","5264.58","percent of total billed charges",,
"NF-FLUOXETINE HCL CAP 40MG","0637","RC","Both",,,"16","8","Cigna","Commercial",,,"59",,"9.38","0.15","5264.58","percent of total billed charges",,
"NF-FLUOXETINE HCL CAP 40MG","0637","RC","Both",,,"16","8","Humana","Commercial",,,"78",,"12.4","0.15","5264.58","percent of total billed charges",,
"NF-FLUOXETINE HCL CAP 40MG","0637","RC","Both",,,"16","8","UHC","Commercial",,,"75",,"12.06","0.15","5264.58","percent of total billed charges",,
"NF-FLUOXETINE HCL CAP 40MG","0637","RC","Both",,,"16","8","Medicaid",,,,"37",,"5.86","0.15","5264.58","percent of total billed charges",,
"NF-NORVASC ORAL TABLET 2.5MG","0637","RC","Both",,,"8.5","4.25","Alliant","Health Exchange",,,"62",,"5.27","0.15","5264.58","percent of total billed charges",,
"NF-NORVASC ORAL TABLET 2.5MG","0637","RC","Both",,,"8.5","4.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.59","0.15","5264.58","percent of total billed charges",,
"NF-NORVASC ORAL TABLET 2.5MG","0637","RC","Both",,,"8.5","4.25","Medicare",,,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-NORVASC ORAL TABLET 2.5MG","0637","RC","Both",,,"8.5","4.25","Humana","Medicare Advantage",,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-NORVASC ORAL TABLET 2.5MG","0637","RC","Both",,,"8.5","4.25","UHC","Medicare Advantage",,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-NORVASC ORAL TABLET 2.5MG","0637","RC","Both",,,"8.5","4.25","Clover","Medicare Advantage",,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-NORVASC ORAL TABLET 2.5MG","0637","RC","Both",,,"8.5","4.25","Wellcare","Medicare Advantage",,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-NORVASC ORAL TABLET 2.5MG","0637","RC","Both",,,"8.5","4.25","Amerigroup","Medicaid Managed Care",,,"37",,"3.11","0.15","5264.58","percent of total billed charges",,
"NF-NORVASC ORAL TABLET 2.5MG","0637","RC","Both",,,"8.5","4.25","Caresource","Medicaid Managed Care",,,"40",,"3.4","0.15","5264.58","percent of total billed charges",,
"NF-NORVASC ORAL TABLET 2.5MG","0637","RC","Both",,,"8.5","4.25","Wellcare","Medicaid Managed Care",,,"40",,"3.44","0.15","5264.58","percent of total billed charges",,
"NF-NORVASC ORAL TABLET 2.5MG","0637","RC","Both",,,"8.5","4.25","Aetna","Commercial",,,"64",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-NORVASC ORAL TABLET 2.5MG","0637","RC","Both",,,"8.5","4.25","Blue Cross Blue Shield","Pathways",,,"71",,"6","0.15","5264.58","percent of total billed charges",,
"NF-NORVASC ORAL TABLET 2.5MG","0637","RC","Both",,,"8.5","4.25","Blue Cross Blue Shield","HMO",,,"71",,"6","0.15","5264.58","percent of total billed charges",,
"NF-NORVASC ORAL TABLET 2.5MG","0637","RC","Both",,,"8.5","4.25","Blue Cross Blue Shield","PPO",,,"71",,"6","0.15","5264.58","percent of total billed charges",,
"NF-NORVASC ORAL TABLET 2.5MG","0637","RC","Both",,,"8.5","4.25","Ambetter","Health Exchange",,,"62",,"5.27","0.15","5264.58","percent of total billed charges",,
"NF-NORVASC ORAL TABLET 2.5MG","0637","RC","Both",,,"8.5","4.25","Caresource","Health Exchange",,,"62",,"5.27","0.15","5264.58","percent of total billed charges",,
"NF-NORVASC ORAL TABLET 2.5MG","0637","RC","Both",,,"8.5","4.25","Cigna","Commercial",,,"59",,"4.98","0.15","5264.58","percent of total billed charges",,
"NF-NORVASC ORAL TABLET 2.5MG","0637","RC","Both",,,"8.5","4.25","Humana","Commercial",,,"78",,"6.59","0.15","5264.58","percent of total billed charges",,
"NF-NORVASC ORAL TABLET 2.5MG","0637","RC","Both",,,"8.5","4.25","UHC","Commercial",,,"75",,"6.41","0.15","5264.58","percent of total billed charges",,
"NF-NORVASC ORAL TABLET 2.5MG","0637","RC","Both",,,"8.5","4.25","Medicaid",,,,"37",,"3.11","0.15","5264.58","percent of total billed charges",,
"NF-CIPROFLOXACIN  TABLET 250MG","0637","RC","Both",,,"14","7","Alliant","Health Exchange",,,"62",,"8.68","0.15","5264.58","percent of total billed charges",,
"NF-CIPROFLOXACIN  TABLET 250MG","0637","RC","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.56","0.15","5264.58","percent of total billed charges",,
"NF-CIPROFLOXACIN  TABLET 250MG","0637","RC","Both",,,"14","7","Medicare",,,,"54",,"7.59","0.15","5264.58","percent of total billed charges",,
"NF-CIPROFLOXACIN  TABLET 250MG","0637","RC","Both",,,"14","7","Humana","Medicare Advantage",,,"54",,"7.59","0.15","5264.58","percent of total billed charges",,
"NF-CIPROFLOXACIN  TABLET 250MG","0637","RC","Both",,,"14","7","UHC","Medicare Advantage",,,"54",,"7.59","0.15","5264.58","percent of total billed charges",,
"NF-CIPROFLOXACIN  TABLET 250MG","0637","RC","Both",,,"14","7","Clover","Medicare Advantage",,,"54",,"7.59","0.15","5264.58","percent of total billed charges",,
"NF-CIPROFLOXACIN  TABLET 250MG","0637","RC","Both",,,"14","7","Wellcare","Medicare Advantage",,,"54",,"7.59","0.15","5264.58","percent of total billed charges",,
"NF-CIPROFLOXACIN  TABLET 250MG","0637","RC","Both",,,"14","7","Amerigroup","Medicaid Managed Care",,,"37",,"5.12","0.15","5264.58","percent of total billed charges",,
"NF-CIPROFLOXACIN  TABLET 250MG","0637","RC","Both",,,"14","7","Caresource","Medicaid Managed Care",,,"40",,"5.6","0.15","5264.58","percent of total billed charges",,
"NF-CIPROFLOXACIN  TABLET 250MG","0637","RC","Both",,,"14","7","Wellcare","Medicaid Managed Care",,,"40",,"5.67","0.15","5264.58","percent of total billed charges",,
"NF-CIPROFLOXACIN  TABLET 250MG","0637","RC","Both",,,"14","7","Aetna","Commercial",,,"64",,"8.93","0.15","5264.58","percent of total billed charges",,
"NF-CIPROFLOXACIN  TABLET 250MG","0637","RC","Both",,,"14","7","Blue Cross Blue Shield","Pathways",,,"71",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-CIPROFLOXACIN  TABLET 250MG","0637","RC","Both",,,"14","7","Blue Cross Blue Shield","HMO",,,"71",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-CIPROFLOXACIN  TABLET 250MG","0637","RC","Both",,,"14","7","Blue Cross Blue Shield","PPO",,,"71",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-CIPROFLOXACIN  TABLET 250MG","0637","RC","Both",,,"14","7","Ambetter","Health Exchange",,,"62",,"8.68","0.15","5264.58","percent of total billed charges",,
"NF-CIPROFLOXACIN  TABLET 250MG","0637","RC","Both",,,"14","7","Caresource","Health Exchange",,,"62",,"8.68","0.15","5264.58","percent of total billed charges",,
"NF-CIPROFLOXACIN  TABLET 250MG","0637","RC","Both",,,"14","7","Cigna","Commercial",,,"59",,"8.2","0.15","5264.58","percent of total billed charges",,
"NF-CIPROFLOXACIN  TABLET 250MG","0637","RC","Both",,,"14","7","Humana","Commercial",,,"78",,"10.85","0.15","5264.58","percent of total billed charges",,
"NF-CIPROFLOXACIN  TABLET 250MG","0637","RC","Both",,,"14","7","UHC","Commercial",,,"75",,"10.56","0.15","5264.58","percent of total billed charges",,
"NF-CIPROFLOXACIN  TABLET 250MG","0637","RC","Both",,,"14","7","Medicaid",,,,"37",,"5.12","0.15","5264.58","percent of total billed charges",,
"NF-BROVANA INH SOLN 15MCG/2ML","0637","RC","Both",,,"12","6","Alliant","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-BROVANA INH SOLN 15MCG/2ML","0637","RC","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.48","0.15","5264.58","percent of total billed charges",,
"NF-BROVANA INH SOLN 15MCG/2ML","0637","RC","Both",,,"12","6","Medicare",,,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-BROVANA INH SOLN 15MCG/2ML","0637","RC","Both",,,"12","6","Humana","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-BROVANA INH SOLN 15MCG/2ML","0637","RC","Both",,,"12","6","UHC","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-BROVANA INH SOLN 15MCG/2ML","0637","RC","Both",,,"12","6","Clover","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-BROVANA INH SOLN 15MCG/2ML","0637","RC","Both",,,"12","6","Wellcare","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-BROVANA INH SOLN 15MCG/2ML","0637","RC","Both",,,"12","6","Amerigroup","Medicaid Managed Care",,,"37",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-BROVANA INH SOLN 15MCG/2ML","0637","RC","Both",,,"12","6","Caresource","Medicaid Managed Care",,,"40",,"4.8","0.15","5264.58","percent of total billed charges",,
"NF-BROVANA INH SOLN 15MCG/2ML","0637","RC","Both",,,"12","6","Wellcare","Medicaid Managed Care",,,"40",,"4.86","0.15","5264.58","percent of total billed charges",,
"NF-BROVANA INH SOLN 15MCG/2ML","0637","RC","Both",,,"12","6","Aetna","Commercial",,,"64",,"7.66","0.15","5264.58","percent of total billed charges",,
"NF-BROVANA INH SOLN 15MCG/2ML","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","Pathways",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-BROVANA INH SOLN 15MCG/2ML","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","HMO",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-BROVANA INH SOLN 15MCG/2ML","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","PPO",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-BROVANA INH SOLN 15MCG/2ML","0637","RC","Both",,,"12","6","Ambetter","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-BROVANA INH SOLN 15MCG/2ML","0637","RC","Both",,,"12","6","Caresource","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-BROVANA INH SOLN 15MCG/2ML","0637","RC","Both",,,"12","6","Cigna","Commercial",,,"59",,"7.03","0.15","5264.58","percent of total billed charges",,
"NF-BROVANA INH SOLN 15MCG/2ML","0637","RC","Both",,,"12","6","Humana","Commercial",,,"78",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-BROVANA INH SOLN 15MCG/2ML","0637","RC","Both",,,"12","6","UHC","Commercial",,,"75",,"9.05","0.15","5264.58","percent of total billed charges",,
"NF-BROVANA INH SOLN 15MCG/2ML","0637","RC","Both",,,"12","6","Medicaid",,,,"37",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT FLEXHALER INH/NEB 180MCG/1A","0637","RC","Both",,,"529.5","264.75","Alliant","Health Exchange",,,"62",,"328.29","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT FLEXHALER INH/NEB 180MCG/1A","0637","RC","Both",,,"529.5","264.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"285.93","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT FLEXHALER INH/NEB 180MCG/1A","0637","RC","Both",,,"529.5","264.75","Medicare",,,,"54",,"286.99","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT FLEXHALER INH/NEB 180MCG/1A","0637","RC","Both",,,"529.5","264.75","Humana","Medicare Advantage",,,"54",,"286.99","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT FLEXHALER INH/NEB 180MCG/1A","0637","RC","Both",,,"529.5","264.75","UHC","Medicare Advantage",,,"54",,"286.99","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT FLEXHALER INH/NEB 180MCG/1A","0637","RC","Both",,,"529.5","264.75","Clover","Medicare Advantage",,,"54",,"286.99","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT FLEXHALER INH/NEB 180MCG/1A","0637","RC","Both",,,"529.5","264.75","Wellcare","Medicare Advantage",,,"54",,"286.99","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT FLEXHALER INH/NEB 180MCG/1A","0637","RC","Both",,,"529.5","264.75","Amerigroup","Medicaid Managed Care",,,"37",,"193.8","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT FLEXHALER INH/NEB 180MCG/1A","0637","RC","Both",,,"529.5","264.75","Caresource","Medicaid Managed Care",,,"40",,"211.8","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT FLEXHALER INH/NEB 180MCG/1A","0637","RC","Both",,,"529.5","264.75","Wellcare","Medicaid Managed Care",,,"40",,"214.45","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT FLEXHALER INH/NEB 180MCG/1A","0637","RC","Both",,,"529.5","264.75","Aetna","Commercial",,,"64",,"337.82","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT FLEXHALER INH/NEB 180MCG/1A","0637","RC","Both",,,"529.5","264.75","Blue Cross Blue Shield","Pathways",,,"71",,"373.83","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT FLEXHALER INH/NEB 180MCG/1A","0637","RC","Both",,,"529.5","264.75","Blue Cross Blue Shield","HMO",,,"71",,"373.83","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT FLEXHALER INH/NEB 180MCG/1A","0637","RC","Both",,,"529.5","264.75","Blue Cross Blue Shield","PPO",,,"71",,"373.83","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT FLEXHALER INH/NEB 180MCG/1A","0637","RC","Both",,,"529.5","264.75","Ambetter","Health Exchange",,,"62",,"328.29","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT FLEXHALER INH/NEB 180MCG/1A","0637","RC","Both",,,"529.5","264.75","Caresource","Health Exchange",,,"62",,"328.29","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT FLEXHALER INH/NEB 180MCG/1A","0637","RC","Both",,,"529.5","264.75","Cigna","Commercial",,,"59",,"310.29","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT FLEXHALER INH/NEB 180MCG/1A","0637","RC","Both",,,"529.5","264.75","Humana","Commercial",,,"78",,"410.36","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT FLEXHALER INH/NEB 180MCG/1A","0637","RC","Both",,,"529.5","264.75","UHC","Commercial",,,"75",,"399.24","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT FLEXHALER INH/NEB 180MCG/1A","0637","RC","Both",,,"529.5","264.75","Medicaid",,,,"37",,"193.8","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE-TIMOLOL OPHTH SOLN 2%-0.5","0637","RC","Both",,,"46","23","Alliant","Health Exchange",,,"62",,"28.52","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE-TIMOLOL OPHTH SOLN 2%-0.5","0637","RC","Both",,,"46","23","Pruitt Healthcare","Medicare Advantage",,,"54",,"24.84","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE-TIMOLOL OPHTH SOLN 2%-0.5","0637","RC","Both",,,"46","23","Medicare",,,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE-TIMOLOL OPHTH SOLN 2%-0.5","0637","RC","Both",,,"46","23","Humana","Medicare Advantage",,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE-TIMOLOL OPHTH SOLN 2%-0.5","0637","RC","Both",,,"46","23","UHC","Medicare Advantage",,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE-TIMOLOL OPHTH SOLN 2%-0.5","0637","RC","Both",,,"46","23","Clover","Medicare Advantage",,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE-TIMOLOL OPHTH SOLN 2%-0.5","0637","RC","Both",,,"46","23","Wellcare","Medicare Advantage",,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE-TIMOLOL OPHTH SOLN 2%-0.5","0637","RC","Both",,,"46","23","Amerigroup","Medicaid Managed Care",,,"37",,"16.84","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE-TIMOLOL OPHTH SOLN 2%-0.5","0637","RC","Both",,,"46","23","Caresource","Medicaid Managed Care",,,"40",,"18.4","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE-TIMOLOL OPHTH SOLN 2%-0.5","0637","RC","Both",,,"46","23","Wellcare","Medicaid Managed Care",,,"40",,"18.63","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE-TIMOLOL OPHTH SOLN 2%-0.5","0637","RC","Both",,,"46","23","Aetna","Commercial",,,"64",,"29.35","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE-TIMOLOL OPHTH SOLN 2%-0.5","0637","RC","Both",,,"46","23","Blue Cross Blue Shield","Pathways",,,"71",,"32.48","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE-TIMOLOL OPHTH SOLN 2%-0.5","0637","RC","Both",,,"46","23","Blue Cross Blue Shield","HMO",,,"71",,"32.48","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE-TIMOLOL OPHTH SOLN 2%-0.5","0637","RC","Both",,,"46","23","Blue Cross Blue Shield","PPO",,,"71",,"32.48","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE-TIMOLOL OPHTH SOLN 2%-0.5","0637","RC","Both",,,"46","23","Ambetter","Health Exchange",,,"62",,"28.52","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE-TIMOLOL OPHTH SOLN 2%-0.5","0637","RC","Both",,,"46","23","Caresource","Health Exchange",,,"62",,"28.52","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE-TIMOLOL OPHTH SOLN 2%-0.5","0637","RC","Both",,,"46","23","Cigna","Commercial",,,"59",,"26.96","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE-TIMOLOL OPHTH SOLN 2%-0.5","0637","RC","Both",,,"46","23","Humana","Commercial",,,"78",,"35.65","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE-TIMOLOL OPHTH SOLN 2%-0.5","0637","RC","Both",,,"46","23","UHC","Commercial",,,"75",,"34.68","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE-TIMOLOL OPHTH SOLN 2%-0.5","0637","RC","Both",,,"46","23","Medicaid",,,,"37",,"16.84","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Alliant","Health Exchange",,,"62",,"12.09","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.53","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Medicare",,,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Humana","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","UHC","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Clover","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Wellcare","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Amerigroup","Medicaid Managed Care",,,"37",,"7.14","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Caresource","Medicaid Managed Care",,,"40",,"7.8","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Wellcare","Medicaid Managed Care",,,"40",,"7.9","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Aetna","Commercial",,,"64",,"12.44","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Blue Cross Blue Shield","Pathways",,,"71",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Blue Cross Blue Shield","HMO",,,"71",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Blue Cross Blue Shield","PPO",,,"71",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Ambetter","Health Exchange",,,"62",,"12.09","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Caresource","Health Exchange",,,"62",,"12.09","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Cigna","Commercial",,,"59",,"11.43","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Humana","Commercial",,,"78",,"15.11","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","UHC","Commercial",,,"75",,"14.7","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Medicaid",,,,"37",,"7.14","0.15","5264.58","percent of total billed charges",,
"NF-CENTRUM SILVER TAB","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-CENTRUM SILVER TAB","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-CENTRUM SILVER TAB","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-CENTRUM SILVER TAB","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-CENTRUM SILVER TAB","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-CENTRUM SILVER TAB","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-CENTRUM SILVER TAB","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-CENTRUM SILVER TAB","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-CENTRUM SILVER TAB","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-CENTRUM SILVER TAB","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-CENTRUM SILVER TAB","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-CENTRUM SILVER TAB","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-CENTRUM SILVER TAB","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-CENTRUM SILVER TAB","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-CENTRUM SILVER TAB","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-CENTRUM SILVER TAB","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-CENTRUM SILVER TAB","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-CENTRUM SILVER TAB","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-CENTRUM SILVER TAB","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-CENTRUM SILVER TAB","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-ESTROPIPATE TABLET 0.75MG","0637","RC","Both",,,"3.5","1.75","Alliant","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-ESTROPIPATE TABLET 0.75MG","0637","RC","Both",,,"3.5","1.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.89","0.15","5264.58","percent of total billed charges",,
"NF-ESTROPIPATE TABLET 0.75MG","0637","RC","Both",,,"3.5","1.75","Medicare",,,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-ESTROPIPATE TABLET 0.75MG","0637","RC","Both",,,"3.5","1.75","Humana","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-ESTROPIPATE TABLET 0.75MG","0637","RC","Both",,,"3.5","1.75","UHC","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-ESTROPIPATE TABLET 0.75MG","0637","RC","Both",,,"3.5","1.75","Clover","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-ESTROPIPATE TABLET 0.75MG","0637","RC","Both",,,"3.5","1.75","Wellcare","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-ESTROPIPATE TABLET 0.75MG","0637","RC","Both",,,"3.5","1.75","Amerigroup","Medicaid Managed Care",,,"37",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-ESTROPIPATE TABLET 0.75MG","0637","RC","Both",,,"3.5","1.75","Caresource","Medicaid Managed Care",,,"40",,"1.4","0.15","5264.58","percent of total billed charges",,
"NF-ESTROPIPATE TABLET 0.75MG","0637","RC","Both",,,"3.5","1.75","Wellcare","Medicaid Managed Care",,,"40",,"1.42","0.15","5264.58","percent of total billed charges",,
"NF-ESTROPIPATE TABLET 0.75MG","0637","RC","Both",,,"3.5","1.75","Aetna","Commercial",,,"64",,"2.23","0.15","5264.58","percent of total billed charges",,
"NF-ESTROPIPATE TABLET 0.75MG","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","Pathways",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-ESTROPIPATE TABLET 0.75MG","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","HMO",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-ESTROPIPATE TABLET 0.75MG","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","PPO",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-ESTROPIPATE TABLET 0.75MG","0637","RC","Both",,,"3.5","1.75","Ambetter","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-ESTROPIPATE TABLET 0.75MG","0637","RC","Both",,,"3.5","1.75","Caresource","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-ESTROPIPATE TABLET 0.75MG","0637","RC","Both",,,"3.5","1.75","Cigna","Commercial",,,"59",,"2.05","0.15","5264.58","percent of total billed charges",,
"NF-ESTROPIPATE TABLET 0.75MG","0637","RC","Both",,,"3.5","1.75","Humana","Commercial",,,"78",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-ESTROPIPATE TABLET 0.75MG","0637","RC","Both",,,"3.5","1.75","UHC","Commercial",,,"75",,"2.64","0.15","5264.58","percent of total billed charges",,
"NF-ESTROPIPATE TABLET 0.75MG","0637","RC","Both",,,"3.5","1.75","Medicaid",,,,"37",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-CARBIDOPA/LEVODOPA TABLET 10MG-100MG","0637","RC","Both",,,"3.5","1.75","Alliant","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-CARBIDOPA/LEVODOPA TABLET 10MG-100MG","0637","RC","Both",,,"3.5","1.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.89","0.15","5264.58","percent of total billed charges",,
"NF-CARBIDOPA/LEVODOPA TABLET 10MG-100MG","0637","RC","Both",,,"3.5","1.75","Medicare",,,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-CARBIDOPA/LEVODOPA TABLET 10MG-100MG","0637","RC","Both",,,"3.5","1.75","Humana","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-CARBIDOPA/LEVODOPA TABLET 10MG-100MG","0637","RC","Both",,,"3.5","1.75","UHC","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-CARBIDOPA/LEVODOPA TABLET 10MG-100MG","0637","RC","Both",,,"3.5","1.75","Clover","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-CARBIDOPA/LEVODOPA TABLET 10MG-100MG","0637","RC","Both",,,"3.5","1.75","Wellcare","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-CARBIDOPA/LEVODOPA TABLET 10MG-100MG","0637","RC","Both",,,"3.5","1.75","Amerigroup","Medicaid Managed Care",,,"37",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-CARBIDOPA/LEVODOPA TABLET 10MG-100MG","0637","RC","Both",,,"3.5","1.75","Caresource","Medicaid Managed Care",,,"40",,"1.4","0.15","5264.58","percent of total billed charges",,
"NF-CARBIDOPA/LEVODOPA TABLET 10MG-100MG","0637","RC","Both",,,"3.5","1.75","Wellcare","Medicaid Managed Care",,,"40",,"1.42","0.15","5264.58","percent of total billed charges",,
"NF-CARBIDOPA/LEVODOPA TABLET 10MG-100MG","0637","RC","Both",,,"3.5","1.75","Aetna","Commercial",,,"64",,"2.23","0.15","5264.58","percent of total billed charges",,
"NF-CARBIDOPA/LEVODOPA TABLET 10MG-100MG","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","Pathways",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-CARBIDOPA/LEVODOPA TABLET 10MG-100MG","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","HMO",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-CARBIDOPA/LEVODOPA TABLET 10MG-100MG","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","PPO",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-CARBIDOPA/LEVODOPA TABLET 10MG-100MG","0637","RC","Both",,,"3.5","1.75","Ambetter","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-CARBIDOPA/LEVODOPA TABLET 10MG-100MG","0637","RC","Both",,,"3.5","1.75","Caresource","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-CARBIDOPA/LEVODOPA TABLET 10MG-100MG","0637","RC","Both",,,"3.5","1.75","Cigna","Commercial",,,"59",,"2.05","0.15","5264.58","percent of total billed charges",,
"NF-CARBIDOPA/LEVODOPA TABLET 10MG-100MG","0637","RC","Both",,,"3.5","1.75","Humana","Commercial",,,"78",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-CARBIDOPA/LEVODOPA TABLET 10MG-100MG","0637","RC","Both",,,"3.5","1.75","UHC","Commercial",,,"75",,"2.64","0.15","5264.58","percent of total billed charges",,
"NF-CARBIDOPA/LEVODOPA TABLET 10MG-100MG","0637","RC","Both",,,"3.5","1.75","Medicaid",,,,"37",,"1.28","0.15","5264.58","percent of total billed charges",,
"MEMANTINE (NAMENDA) 10MG TABLET","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"MEMANTINE (NAMENDA) 10MG TABLET","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"MEMANTINE (NAMENDA) 10MG TABLET","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"MEMANTINE (NAMENDA) 10MG TABLET","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"MEMANTINE (NAMENDA) 10MG TABLET","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"MEMANTINE (NAMENDA) 10MG TABLET","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"MEMANTINE (NAMENDA) 10MG TABLET","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"MEMANTINE (NAMENDA) 10MG TABLET","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"MEMANTINE (NAMENDA) 10MG TABLET","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"MEMANTINE (NAMENDA) 10MG TABLET","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"MEMANTINE (NAMENDA) 10MG TABLET","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"MEMANTINE (NAMENDA) 10MG TABLET","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"MEMANTINE (NAMENDA) 10MG TABLET","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"MEMANTINE (NAMENDA) 10MG TABLET","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"MEMANTINE (NAMENDA) 10MG TABLET","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"MEMANTINE (NAMENDA) 10MG TABLET","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"MEMANTINE (NAMENDA) 10MG TABLET","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"MEMANTINE (NAMENDA) 10MG TABLET","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"MEMANTINE (NAMENDA) 10MG TABLET","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"MEMANTINE (NAMENDA) 10MG TABLET","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-PYRIDOSTIGMINE BROMIDE TAB 60MG","0637","RC","Both",,,"2.5","1.25","Alliant","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-PYRIDOSTIGMINE BROMIDE TAB 60MG","0637","RC","Both",,,"2.5","1.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.35","0.15","5264.58","percent of total billed charges",,
"NF-PYRIDOSTIGMINE BROMIDE TAB 60MG","0637","RC","Both",,,"2.5","1.25","Medicare",,,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-PYRIDOSTIGMINE BROMIDE TAB 60MG","0637","RC","Both",,,"2.5","1.25","Humana","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-PYRIDOSTIGMINE BROMIDE TAB 60MG","0637","RC","Both",,,"2.5","1.25","UHC","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-PYRIDOSTIGMINE BROMIDE TAB 60MG","0637","RC","Both",,,"2.5","1.25","Clover","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-PYRIDOSTIGMINE BROMIDE TAB 60MG","0637","RC","Both",,,"2.5","1.25","Wellcare","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-PYRIDOSTIGMINE BROMIDE TAB 60MG","0637","RC","Both",,,"2.5","1.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.92","0.15","5264.58","percent of total billed charges",,
"NF-PYRIDOSTIGMINE BROMIDE TAB 60MG","0637","RC","Both",,,"2.5","1.25","Caresource","Medicaid Managed Care",,,"40",,"1","0.15","5264.58","percent of total billed charges",,
"NF-PYRIDOSTIGMINE BROMIDE TAB 60MG","0637","RC","Both",,,"2.5","1.25","Wellcare","Medicaid Managed Care",,,"40",,"1.01","0.15","5264.58","percent of total billed charges",,
"NF-PYRIDOSTIGMINE BROMIDE TAB 60MG","0637","RC","Both",,,"2.5","1.25","Aetna","Commercial",,,"64",,"1.6","0.15","5264.58","percent of total billed charges",,
"NF-PYRIDOSTIGMINE BROMIDE TAB 60MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","Pathways",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-PYRIDOSTIGMINE BROMIDE TAB 60MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","HMO",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-PYRIDOSTIGMINE BROMIDE TAB 60MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","PPO",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-PYRIDOSTIGMINE BROMIDE TAB 60MG","0637","RC","Both",,,"2.5","1.25","Ambetter","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-PYRIDOSTIGMINE BROMIDE TAB 60MG","0637","RC","Both",,,"2.5","1.25","Caresource","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-PYRIDOSTIGMINE BROMIDE TAB 60MG","0637","RC","Both",,,"2.5","1.25","Cigna","Commercial",,,"59",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-PYRIDOSTIGMINE BROMIDE TAB 60MG","0637","RC","Both",,,"2.5","1.25","Humana","Commercial",,,"78",,"1.94","0.15","5264.58","percent of total billed charges",,
"NF-PYRIDOSTIGMINE BROMIDE TAB 60MG","0637","RC","Both",,,"2.5","1.25","UHC","Commercial",,,"75",,"1.88","0.15","5264.58","percent of total billed charges",,
"NF-PYRIDOSTIGMINE BROMIDE TAB 60MG","0637","RC","Both",,,"2.5","1.25","Medicaid",,,,"37",,"0.92","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0637","RC","Both",,,"1.5","0.75","Alliant","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0637","RC","Both",,,"1.5","0.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0637","RC","Both",,,"1.5","0.75","Medicare",,,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0637","RC","Both",,,"1.5","0.75","Humana","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0637","RC","Both",,,"1.5","0.75","UHC","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0637","RC","Both",,,"1.5","0.75","Clover","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0637","RC","Both",,,"1.5","0.75","Amerigroup","Medicaid Managed Care",,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0637","RC","Both",,,"1.5","0.75","Caresource","Medicaid Managed Care",,,"40",,"0.6","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicaid Managed Care",,,"40",,"0.61","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0637","RC","Both",,,"1.5","0.75","Aetna","Commercial",,,"64",,"0.96","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","Pathways",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","HMO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","PPO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0637","RC","Both",,,"1.5","0.75","Ambetter","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0637","RC","Both",,,"1.5","0.75","Caresource","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0637","RC","Both",,,"1.5","0.75","Cigna","Commercial",,,"59",,"0.88","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0637","RC","Both",,,"1.5","0.75","Humana","Commercial",,,"78",,"1.16","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0637","RC","Both",,,"1.5","0.75","UHC","Commercial",,,"75",,"1.13","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0637","RC","Both",,,"1.5","0.75","Medicaid",,,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"SERTRALINE (ZOLOFT) TABLET: 50 MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"SERTRALINE (ZOLOFT) TABLET: 50 MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"SERTRALINE (ZOLOFT) TABLET: 50 MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SERTRALINE (ZOLOFT) TABLET: 50 MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SERTRALINE (ZOLOFT) TABLET: 50 MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SERTRALINE (ZOLOFT) TABLET: 50 MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SERTRALINE (ZOLOFT) TABLET: 50 MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SERTRALINE (ZOLOFT) TABLET: 50 MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"SERTRALINE (ZOLOFT) TABLET: 50 MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"SERTRALINE (ZOLOFT) TABLET: 50 MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"SERTRALINE (ZOLOFT) TABLET: 50 MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"SERTRALINE (ZOLOFT) TABLET: 50 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"SERTRALINE (ZOLOFT) TABLET: 50 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"SERTRALINE (ZOLOFT) TABLET: 50 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"SERTRALINE (ZOLOFT) TABLET: 50 MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"SERTRALINE (ZOLOFT) TABLET: 50 MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"SERTRALINE (ZOLOFT) TABLET: 50 MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"SERTRALINE (ZOLOFT) TABLET: 50 MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"SERTRALINE (ZOLOFT) TABLET: 50 MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"SERTRALINE (ZOLOFT) TABLET: 50 MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Alliant","Health Exchange",,,"62",,"11.47","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.99","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Medicare",,,,"54",,"10.03","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Humana","Medicare Advantage",,,"54",,"10.03","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","UHC","Medicare Advantage",,,"54",,"10.03","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Clover","Medicare Advantage",,,"54",,"10.03","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Wellcare","Medicare Advantage",,,"54",,"10.03","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Amerigroup","Medicaid Managed Care",,,"37",,"6.77","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Caresource","Medicaid Managed Care",,,"40",,"7.4","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Wellcare","Medicaid Managed Care",,,"40",,"7.49","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Aetna","Commercial",,,"64",,"11.8","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Blue Cross Blue Shield","Pathways",,,"71",,"13.06","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Blue Cross Blue Shield","HMO",,,"71",,"13.06","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Blue Cross Blue Shield","PPO",,,"71",,"13.06","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Ambetter","Health Exchange",,,"62",,"11.47","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Caresource","Health Exchange",,,"62",,"11.47","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Cigna","Commercial",,,"59",,"10.84","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Humana","Commercial",,,"78",,"14.34","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","UHC","Commercial",,,"75",,"13.95","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Medicaid",,,,"37",,"6.77","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 30MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 30MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 30MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 30MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 30MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 30MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 30MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 30MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 30MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 30MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 30MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 30MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 30MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 30MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 30MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 30MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 30MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 30MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 30MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 30MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-ADVICOR TABLET","0637","RC","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-ADVICOR TABLET","0637","RC","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","0.15","5264.58","percent of total billed charges",,
"NF-ADVICOR TABLET","0637","RC","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-ADVICOR TABLET","0637","RC","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-ADVICOR TABLET","0637","RC","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-ADVICOR TABLET","0637","RC","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-ADVICOR TABLET","0637","RC","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-ADVICOR TABLET","0637","RC","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"NF-ADVICOR TABLET","0637","RC","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","0.15","5264.58","percent of total billed charges",,
"NF-ADVICOR TABLET","0637","RC","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.15","5264.58","percent of total billed charges",,
"NF-ADVICOR TABLET","0637","RC","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","0.15","5264.58","percent of total billed charges",,
"NF-ADVICOR TABLET","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"NF-ADVICOR TABLET","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"NF-ADVICOR TABLET","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"NF-ADVICOR TABLET","0637","RC","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-ADVICOR TABLET","0637","RC","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-ADVICOR TABLET","0637","RC","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","0.15","5264.58","percent of total billed charges",,
"NF-ADVICOR TABLET","0637","RC","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","0.15","5264.58","percent of total billed charges",,
"NF-ADVICOR TABLET","0637","RC","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","0.15","5264.58","percent of total billed charges",,
"NF-ADVICOR TABLET","0637","RC","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"NF-ADVICOR TAB ER 20MG-1000MG","0250","RC","Both",,,"14.59","7.295","Alliant","Health Exchange",,,"62",,"9.05","0.04","569.62","percent of total billed charges",,
"NF-ADVICOR TAB ER 20MG-1000MG","0250","RC","Both",,,"14.59","7.295","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.88","0.04","569.62","percent of total billed charges",,
"NF-ADVICOR TAB ER 20MG-1000MG","0250","RC","Both",,,"14.59","7.295","Medicare",,,,"54",,"7.91","0.04","569.62","percent of total billed charges",,
"NF-ADVICOR TAB ER 20MG-1000MG","0250","RC","Both",,,"14.59","7.295","Humana","Medicare Advantage",,,"54",,"7.91","0.04","569.62","percent of total billed charges",,
"NF-ADVICOR TAB ER 20MG-1000MG","0250","RC","Both",,,"14.59","7.295","UHC","Medicare Advantage",,,"54",,"7.91","0.04","569.62","percent of total billed charges",,
"NF-ADVICOR TAB ER 20MG-1000MG","0250","RC","Both",,,"14.59","7.295","Clover","Medicare Advantage",,,"54",,"7.91","0.04","569.62","percent of total billed charges",,
"NF-ADVICOR TAB ER 20MG-1000MG","0250","RC","Both",,,"14.59","7.295","Wellcare","Medicare Advantage",,,"54",,"7.91","0.04","569.62","percent of total billed charges",,
"NF-ADVICOR TAB ER 20MG-1000MG","0250","RC","Both",,,"14.59","7.295","Amerigroup","Medicaid Managed Care",,,"37",,"5.34","0.04","569.62","percent of total billed charges",,
"NF-ADVICOR TAB ER 20MG-1000MG","0250","RC","Both",,,"14.59","7.295","Caresource","Medicaid Managed Care",,,"40",,"5.84","0.04","569.62","percent of total billed charges",,
"NF-ADVICOR TAB ER 20MG-1000MG","0250","RC","Both",,,"14.59","7.295","Wellcare","Medicaid Managed Care",,,"40",,"5.91","0.04","569.62","percent of total billed charges",,
"NF-ADVICOR TAB ER 20MG-1000MG","0250","RC","Both",,,"14.59","7.295","Aetna","Commercial",,,"64",,"9.31","0.04","569.62","percent of total billed charges",,
"NF-ADVICOR TAB ER 20MG-1000MG","0250","RC","Both",,,"14.59","7.295","Blue Cross Blue Shield","Pathways",,,"71",,"10.3","0.04","569.62","percent of total billed charges",,
"NF-ADVICOR TAB ER 20MG-1000MG","0250","RC","Both",,,"14.59","7.295","Blue Cross Blue Shield","HMO",,,"71",,"10.3","0.04","569.62","percent of total billed charges",,
"NF-ADVICOR TAB ER 20MG-1000MG","0250","RC","Both",,,"14.59","7.295","Blue Cross Blue Shield","PPO",,,"71",,"10.3","0.04","569.62","percent of total billed charges",,
"NF-ADVICOR TAB ER 20MG-1000MG","0250","RC","Both",,,"14.59","7.295","Ambetter","Health Exchange",,,"62",,"9.05","0.04","569.62","percent of total billed charges",,
"NF-ADVICOR TAB ER 20MG-1000MG","0250","RC","Both",,,"14.59","7.295","Caresource","Health Exchange",,,"62",,"9.05","0.04","569.62","percent of total billed charges",,
"NF-ADVICOR TAB ER 20MG-1000MG","0250","RC","Both",,,"14.59","7.295","Cigna","Commercial",,,"59",,"8.55","0.04","569.62","percent of total billed charges",,
"NF-ADVICOR TAB ER 20MG-1000MG","0250","RC","Both",,,"14.59","7.295","Humana","Commercial",,,"78",,"11.31","0.04","569.62","percent of total billed charges",,
"NF-ADVICOR TAB ER 20MG-1000MG","0250","RC","Both",,,"14.59","7.295","UHC","Commercial",,,"75",,"11","0.04","569.62","percent of total billed charges",,
"NF-ADVICOR TAB ER 20MG-1000MG","0250","RC","Both",,,"14.59","7.295","Medicaid",,,,"37",,"5.34","0.04","569.62","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.112MG","0637","RC","Both",,,"2.5","1.25","Alliant","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.112MG","0637","RC","Both",,,"2.5","1.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.35","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.112MG","0637","RC","Both",,,"2.5","1.25","Medicare",,,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.112MG","0637","RC","Both",,,"2.5","1.25","Humana","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.112MG","0637","RC","Both",,,"2.5","1.25","UHC","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.112MG","0637","RC","Both",,,"2.5","1.25","Clover","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.112MG","0637","RC","Both",,,"2.5","1.25","Wellcare","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.112MG","0637","RC","Both",,,"2.5","1.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.92","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.112MG","0637","RC","Both",,,"2.5","1.25","Caresource","Medicaid Managed Care",,,"40",,"1","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.112MG","0637","RC","Both",,,"2.5","1.25","Wellcare","Medicaid Managed Care",,,"40",,"1.01","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.112MG","0637","RC","Both",,,"2.5","1.25","Aetna","Commercial",,,"64",,"1.6","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.112MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","Pathways",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.112MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","HMO",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.112MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","PPO",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.112MG","0637","RC","Both",,,"2.5","1.25","Ambetter","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.112MG","0637","RC","Both",,,"2.5","1.25","Caresource","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.112MG","0637","RC","Both",,,"2.5","1.25","Cigna","Commercial",,,"59",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.112MG","0637","RC","Both",,,"2.5","1.25","Humana","Commercial",,,"78",,"1.94","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.112MG","0637","RC","Both",,,"2.5","1.25","UHC","Commercial",,,"75",,"1.88","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.112MG","0637","RC","Both",,,"2.5","1.25","Medicaid",,,,"37",,"0.92","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.112MG","0637","RC","Both",,,"3.11","1.555","Alliant","Health Exchange",,,"62",,"1.93","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.112MG","0637","RC","Both",,,"3.11","1.555","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.68","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.112MG","0637","RC","Both",,,"3.11","1.555","Medicare",,,,"54",,"1.69","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.112MG","0637","RC","Both",,,"3.11","1.555","Humana","Medicare Advantage",,,"54",,"1.69","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.112MG","0637","RC","Both",,,"3.11","1.555","UHC","Medicare Advantage",,,"54",,"1.69","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.112MG","0637","RC","Both",,,"3.11","1.555","Clover","Medicare Advantage",,,"54",,"1.69","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.112MG","0637","RC","Both",,,"3.11","1.555","Wellcare","Medicare Advantage",,,"54",,"1.69","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.112MG","0637","RC","Both",,,"3.11","1.555","Amerigroup","Medicaid Managed Care",,,"37",,"1.14","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.112MG","0637","RC","Both",,,"3.11","1.555","Caresource","Medicaid Managed Care",,,"40",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.112MG","0637","RC","Both",,,"3.11","1.555","Wellcare","Medicaid Managed Care",,,"40",,"1.26","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.112MG","0637","RC","Both",,,"3.11","1.555","Aetna","Commercial",,,"64",,"1.98","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.112MG","0637","RC","Both",,,"3.11","1.555","Blue Cross Blue Shield","Pathways",,,"71",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.112MG","0637","RC","Both",,,"3.11","1.555","Blue Cross Blue Shield","HMO",,,"71",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.112MG","0637","RC","Both",,,"3.11","1.555","Blue Cross Blue Shield","PPO",,,"71",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.112MG","0637","RC","Both",,,"3.11","1.555","Ambetter","Health Exchange",,,"62",,"1.93","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.112MG","0637","RC","Both",,,"3.11","1.555","Caresource","Health Exchange",,,"62",,"1.93","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.112MG","0637","RC","Both",,,"3.11","1.555","Cigna","Commercial",,,"59",,"1.82","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.112MG","0637","RC","Both",,,"3.11","1.555","Humana","Commercial",,,"78",,"2.41","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.112MG","0637","RC","Both",,,"3.11","1.555","UHC","Commercial",,,"75",,"2.34","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.112MG","0637","RC","Both",,,"3.11","1.555","Medicaid",,,,"37",,"1.14","0.15","5264.58","percent of total billed charges",,
"NF-CUBICIN IV POWDER FOR SOLUTION 500MG","0637","RC","Both",,,"973.5","486.75","Alliant","Health Exchange",,,"62",,"603.57","0.15","5264.58","percent of total billed charges",,
"NF-CUBICIN IV POWDER FOR SOLUTION 500MG","0637","RC","Both",,,"973.5","486.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"525.69","0.15","5264.58","percent of total billed charges",,
"NF-CUBICIN IV POWDER FOR SOLUTION 500MG","0637","RC","Both",,,"973.5","486.75","Medicare",,,,"54",,"527.64","0.15","5264.58","percent of total billed charges",,
"NF-CUBICIN IV POWDER FOR SOLUTION 500MG","0637","RC","Both",,,"973.5","486.75","Humana","Medicare Advantage",,,"54",,"527.64","0.15","5264.58","percent of total billed charges",,
"NF-CUBICIN IV POWDER FOR SOLUTION 500MG","0637","RC","Both",,,"973.5","486.75","UHC","Medicare Advantage",,,"54",,"527.64","0.15","5264.58","percent of total billed charges",,
"NF-CUBICIN IV POWDER FOR SOLUTION 500MG","0637","RC","Both",,,"973.5","486.75","Clover","Medicare Advantage",,,"54",,"527.64","0.15","5264.58","percent of total billed charges",,
"NF-CUBICIN IV POWDER FOR SOLUTION 500MG","0637","RC","Both",,,"973.5","486.75","Wellcare","Medicare Advantage",,,"54",,"527.64","0.15","5264.58","percent of total billed charges",,
"NF-CUBICIN IV POWDER FOR SOLUTION 500MG","0637","RC","Both",,,"973.5","486.75","Amerigroup","Medicaid Managed Care",,,"37",,"356.3","0.15","5264.58","percent of total billed charges",,
"NF-CUBICIN IV POWDER FOR SOLUTION 500MG","0637","RC","Both",,,"973.5","486.75","Caresource","Medicaid Managed Care",,,"40",,"389.4","0.15","5264.58","percent of total billed charges",,
"NF-CUBICIN IV POWDER FOR SOLUTION 500MG","0637","RC","Both",,,"973.5","486.75","Wellcare","Medicaid Managed Care",,,"40",,"394.27","0.15","5264.58","percent of total billed charges",,
"NF-CUBICIN IV POWDER FOR SOLUTION 500MG","0637","RC","Both",,,"973.5","486.75","Aetna","Commercial",,,"64",,"621.09","0.15","5264.58","percent of total billed charges",,
"NF-CUBICIN IV POWDER FOR SOLUTION 500MG","0637","RC","Both",,,"973.5","486.75","Blue Cross Blue Shield","Pathways",,,"71",,"687.29","0.15","5264.58","percent of total billed charges",,
"NF-CUBICIN IV POWDER FOR SOLUTION 500MG","0637","RC","Both",,,"973.5","486.75","Blue Cross Blue Shield","HMO",,,"71",,"687.29","0.15","5264.58","percent of total billed charges",,
"NF-CUBICIN IV POWDER FOR SOLUTION 500MG","0637","RC","Both",,,"973.5","486.75","Blue Cross Blue Shield","PPO",,,"71",,"687.29","0.15","5264.58","percent of total billed charges",,
"NF-CUBICIN IV POWDER FOR SOLUTION 500MG","0637","RC","Both",,,"973.5","486.75","Ambetter","Health Exchange",,,"62",,"603.57","0.15","5264.58","percent of total billed charges",,
"NF-CUBICIN IV POWDER FOR SOLUTION 500MG","0637","RC","Both",,,"973.5","486.75","Caresource","Health Exchange",,,"62",,"603.57","0.15","5264.58","percent of total billed charges",,
"NF-CUBICIN IV POWDER FOR SOLUTION 500MG","0637","RC","Both",,,"973.5","486.75","Cigna","Commercial",,,"59",,"570.47","0.15","5264.58","percent of total billed charges",,
"NF-CUBICIN IV POWDER FOR SOLUTION 500MG","0637","RC","Both",,,"973.5","486.75","Humana","Commercial",,,"78",,"754.46","0.15","5264.58","percent of total billed charges",,
"NF-CUBICIN IV POWDER FOR SOLUTION 500MG","0637","RC","Both",,,"973.5","486.75","UHC","Commercial",,,"75",,"734.02","0.15","5264.58","percent of total billed charges",,
"NF-CUBICIN IV POWDER FOR SOLUTION 500MG","0637","RC","Both",,,"973.5","486.75","Medicaid",,,,"37",,"356.3","0.15","5264.58","percent of total billed charges",,
"NF-DEXAMETHASONE OPHTH SOLN 0.1%","0637","RC","Both",,,"10.5","5.25","Alliant","Health Exchange",,,"62",,"6.51","0.15","5264.58","percent of total billed charges",,
"NF-DEXAMETHASONE OPHTH SOLN 0.1%","0637","RC","Both",,,"10.5","5.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.67","0.15","5264.58","percent of total billed charges",,
"NF-DEXAMETHASONE OPHTH SOLN 0.1%","0637","RC","Both",,,"10.5","5.25","Medicare",,,,"54",,"5.69","0.15","5264.58","percent of total billed charges",,
"NF-DEXAMETHASONE OPHTH SOLN 0.1%","0637","RC","Both",,,"10.5","5.25","Humana","Medicare Advantage",,,"54",,"5.69","0.15","5264.58","percent of total billed charges",,
"NF-DEXAMETHASONE OPHTH SOLN 0.1%","0637","RC","Both",,,"10.5","5.25","UHC","Medicare Advantage",,,"54",,"5.69","0.15","5264.58","percent of total billed charges",,
"NF-DEXAMETHASONE OPHTH SOLN 0.1%","0637","RC","Both",,,"10.5","5.25","Clover","Medicare Advantage",,,"54",,"5.69","0.15","5264.58","percent of total billed charges",,
"NF-DEXAMETHASONE OPHTH SOLN 0.1%","0637","RC","Both",,,"10.5","5.25","Wellcare","Medicare Advantage",,,"54",,"5.69","0.15","5264.58","percent of total billed charges",,
"NF-DEXAMETHASONE OPHTH SOLN 0.1%","0637","RC","Both",,,"10.5","5.25","Amerigroup","Medicaid Managed Care",,,"37",,"3.84","0.15","5264.58","percent of total billed charges",,
"NF-DEXAMETHASONE OPHTH SOLN 0.1%","0637","RC","Both",,,"10.5","5.25","Caresource","Medicaid Managed Care",,,"40",,"4.2","0.15","5264.58","percent of total billed charges",,
"NF-DEXAMETHASONE OPHTH SOLN 0.1%","0637","RC","Both",,,"10.5","5.25","Wellcare","Medicaid Managed Care",,,"40",,"4.25","0.15","5264.58","percent of total billed charges",,
"NF-DEXAMETHASONE OPHTH SOLN 0.1%","0637","RC","Both",,,"10.5","5.25","Aetna","Commercial",,,"64",,"6.7","0.15","5264.58","percent of total billed charges",,
"NF-DEXAMETHASONE OPHTH SOLN 0.1%","0637","RC","Both",,,"10.5","5.25","Blue Cross Blue Shield","Pathways",,,"71",,"7.41","0.15","5264.58","percent of total billed charges",,
"NF-DEXAMETHASONE OPHTH SOLN 0.1%","0637","RC","Both",,,"10.5","5.25","Blue Cross Blue Shield","HMO",,,"71",,"7.41","0.15","5264.58","percent of total billed charges",,
"NF-DEXAMETHASONE OPHTH SOLN 0.1%","0637","RC","Both",,,"10.5","5.25","Blue Cross Blue Shield","PPO",,,"71",,"7.41","0.15","5264.58","percent of total billed charges",,
"NF-DEXAMETHASONE OPHTH SOLN 0.1%","0637","RC","Both",,,"10.5","5.25","Ambetter","Health Exchange",,,"62",,"6.51","0.15","5264.58","percent of total billed charges",,
"NF-DEXAMETHASONE OPHTH SOLN 0.1%","0637","RC","Both",,,"10.5","5.25","Caresource","Health Exchange",,,"62",,"6.51","0.15","5264.58","percent of total billed charges",,
"NF-DEXAMETHASONE OPHTH SOLN 0.1%","0637","RC","Both",,,"10.5","5.25","Cigna","Commercial",,,"59",,"6.15","0.15","5264.58","percent of total billed charges",,
"NF-DEXAMETHASONE OPHTH SOLN 0.1%","0637","RC","Both",,,"10.5","5.25","Humana","Commercial",,,"78",,"8.14","0.15","5264.58","percent of total billed charges",,
"NF-DEXAMETHASONE OPHTH SOLN 0.1%","0637","RC","Both",,,"10.5","5.25","UHC","Commercial",,,"75",,"7.92","0.15","5264.58","percent of total billed charges",,
"NF-DEXAMETHASONE OPHTH SOLN 0.1%","0637","RC","Both",,,"10.5","5.25","Medicaid",,,,"37",,"3.84","0.15","5264.58","percent of total billed charges",,
"NF-INVANZ INJECTION POWDER FOR SOLUTION","0250","RC","Both",,,"238.43","119.215","Alliant","Health Exchange",,,"62",,"147.83","0.04","569.62","percent of total billed charges",,
"NF-INVANZ INJECTION POWDER FOR SOLUTION","0250","RC","Both",,,"238.43","119.215","Pruitt Healthcare","Medicare Advantage",,,"54",,"128.75","0.04","569.62","percent of total billed charges",,
"NF-INVANZ INJECTION POWDER FOR SOLUTION","0250","RC","Both",,,"238.43","119.215","Medicare",,,,"54",,"129.23","0.04","569.62","percent of total billed charges",,
"NF-INVANZ INJECTION POWDER FOR SOLUTION","0250","RC","Both",,,"238.43","119.215","Humana","Medicare Advantage",,,"54",,"129.23","0.04","569.62","percent of total billed charges",,
"NF-INVANZ INJECTION POWDER FOR SOLUTION","0250","RC","Both",,,"238.43","119.215","UHC","Medicare Advantage",,,"54",,"129.23","0.04","569.62","percent of total billed charges",,
"NF-INVANZ INJECTION POWDER FOR SOLUTION","0250","RC","Both",,,"238.43","119.215","Clover","Medicare Advantage",,,"54",,"129.23","0.04","569.62","percent of total billed charges",,
"NF-INVANZ INJECTION POWDER FOR SOLUTION","0250","RC","Both",,,"238.43","119.215","Wellcare","Medicare Advantage",,,"54",,"129.23","0.04","569.62","percent of total billed charges",,
"NF-INVANZ INJECTION POWDER FOR SOLUTION","0250","RC","Both",,,"238.43","119.215","Amerigroup","Medicaid Managed Care",,,"37",,"87.27","0.04","569.62","percent of total billed charges",,
"NF-INVANZ INJECTION POWDER FOR SOLUTION","0250","RC","Both",,,"238.43","119.215","Caresource","Medicaid Managed Care",,,"40",,"95.37","0.04","569.62","percent of total billed charges",,
"NF-INVANZ INJECTION POWDER FOR SOLUTION","0250","RC","Both",,,"238.43","119.215","Wellcare","Medicaid Managed Care",,,"40",,"96.56","0.04","569.62","percent of total billed charges",,
"NF-INVANZ INJECTION POWDER FOR SOLUTION","0250","RC","Both",,,"238.43","119.215","Aetna","Commercial",,,"64",,"152.12","0.04","569.62","percent of total billed charges",,
"NF-INVANZ INJECTION POWDER FOR SOLUTION","0250","RC","Both",,,"238.43","119.215","Blue Cross Blue Shield","Pathways",,,"71",,"168.33","0.04","569.62","percent of total billed charges",,
"NF-INVANZ INJECTION POWDER FOR SOLUTION","0250","RC","Both",,,"238.43","119.215","Blue Cross Blue Shield","HMO",,,"71",,"168.33","0.04","569.62","percent of total billed charges",,
"NF-INVANZ INJECTION POWDER FOR SOLUTION","0250","RC","Both",,,"238.43","119.215","Blue Cross Blue Shield","PPO",,,"71",,"168.33","0.04","569.62","percent of total billed charges",,
"NF-INVANZ INJECTION POWDER FOR SOLUTION","0250","RC","Both",,,"238.43","119.215","Ambetter","Health Exchange",,,"62",,"147.83","0.04","569.62","percent of total billed charges",,
"NF-INVANZ INJECTION POWDER FOR SOLUTION","0250","RC","Both",,,"238.43","119.215","Caresource","Health Exchange",,,"62",,"147.83","0.04","569.62","percent of total billed charges",,
"NF-INVANZ INJECTION POWDER FOR SOLUTION","0250","RC","Both",,,"238.43","119.215","Cigna","Commercial",,,"59",,"139.72","0.04","569.62","percent of total billed charges",,
"NF-INVANZ INJECTION POWDER FOR SOLUTION","0250","RC","Both",,,"238.43","119.215","Humana","Commercial",,,"78",,"184.78","0.04","569.62","percent of total billed charges",,
"NF-INVANZ INJECTION POWDER FOR SOLUTION","0250","RC","Both",,,"238.43","119.215","UHC","Commercial",,,"75",,"179.78","0.04","569.62","percent of total billed charges",,
"NF-INVANZ INJECTION POWDER FOR SOLUTION","0250","RC","Both",,,"238.43","119.215","Medicaid",,,,"37",,"87.27","0.04","569.62","percent of total billed charges",,
"NF-AMILORIDE HCL ORAL TABLET 5MG","0637","RC","Both",,,"5.5","2.75","Alliant","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-AMILORIDE HCL ORAL TABLET 5MG","0637","RC","Both",,,"5.5","2.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.97","0.15","5264.58","percent of total billed charges",,
"NF-AMILORIDE HCL ORAL TABLET 5MG","0637","RC","Both",,,"5.5","2.75","Medicare",,,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-AMILORIDE HCL ORAL TABLET 5MG","0637","RC","Both",,,"5.5","2.75","Humana","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-AMILORIDE HCL ORAL TABLET 5MG","0637","RC","Both",,,"5.5","2.75","UHC","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-AMILORIDE HCL ORAL TABLET 5MG","0637","RC","Both",,,"5.5","2.75","Clover","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-AMILORIDE HCL ORAL TABLET 5MG","0637","RC","Both",,,"5.5","2.75","Wellcare","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-AMILORIDE HCL ORAL TABLET 5MG","0637","RC","Both",,,"5.5","2.75","Amerigroup","Medicaid Managed Care",,,"37",,"2.01","0.15","5264.58","percent of total billed charges",,
"NF-AMILORIDE HCL ORAL TABLET 5MG","0637","RC","Both",,,"5.5","2.75","Caresource","Medicaid Managed Care",,,"40",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-AMILORIDE HCL ORAL TABLET 5MG","0637","RC","Both",,,"5.5","2.75","Wellcare","Medicaid Managed Care",,,"40",,"2.23","0.15","5264.58","percent of total billed charges",,
"NF-AMILORIDE HCL ORAL TABLET 5MG","0637","RC","Both",,,"5.5","2.75","Aetna","Commercial",,,"64",,"3.51","0.15","5264.58","percent of total billed charges",,
"NF-AMILORIDE HCL ORAL TABLET 5MG","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","Pathways",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-AMILORIDE HCL ORAL TABLET 5MG","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","HMO",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-AMILORIDE HCL ORAL TABLET 5MG","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","PPO",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-AMILORIDE HCL ORAL TABLET 5MG","0637","RC","Both",,,"5.5","2.75","Ambetter","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-AMILORIDE HCL ORAL TABLET 5MG","0637","RC","Both",,,"5.5","2.75","Caresource","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-AMILORIDE HCL ORAL TABLET 5MG","0637","RC","Both",,,"5.5","2.75","Cigna","Commercial",,,"59",,"3.22","0.15","5264.58","percent of total billed charges",,
"NF-AMILORIDE HCL ORAL TABLET 5MG","0637","RC","Both",,,"5.5","2.75","Humana","Commercial",,,"78",,"4.26","0.15","5264.58","percent of total billed charges",,
"NF-AMILORIDE HCL ORAL TABLET 5MG","0637","RC","Both",,,"5.5","2.75","UHC","Commercial",,,"75",,"4.15","0.15","5264.58","percent of total billed charges",,
"NF-AMILORIDE HCL ORAL TABLET 5MG","0637","RC","Both",,,"5.5","2.75","Medicaid",,,,"37",,"2.01","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TIMESPAN TABLET 180MG","0637","RC","Both",,,"13.5","6.75","Alliant","Health Exchange",,,"62",,"8.37","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TIMESPAN TABLET 180MG","0637","RC","Both",,,"13.5","6.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.29","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TIMESPAN TABLET 180MG","0637","RC","Both",,,"13.5","6.75","Medicare",,,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TIMESPAN TABLET 180MG","0637","RC","Both",,,"13.5","6.75","Humana","Medicare Advantage",,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TIMESPAN TABLET 180MG","0637","RC","Both",,,"13.5","6.75","UHC","Medicare Advantage",,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TIMESPAN TABLET 180MG","0637","RC","Both",,,"13.5","6.75","Clover","Medicare Advantage",,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TIMESPAN TABLET 180MG","0637","RC","Both",,,"13.5","6.75","Wellcare","Medicare Advantage",,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TIMESPAN TABLET 180MG","0637","RC","Both",,,"13.5","6.75","Amerigroup","Medicaid Managed Care",,,"37",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TIMESPAN TABLET 180MG","0637","RC","Both",,,"13.5","6.75","Caresource","Medicaid Managed Care",,,"40",,"5.4","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TIMESPAN TABLET 180MG","0637","RC","Both",,,"13.5","6.75","Wellcare","Medicaid Managed Care",,,"40",,"5.47","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TIMESPAN TABLET 180MG","0637","RC","Both",,,"13.5","6.75","Aetna","Commercial",,,"64",,"8.61","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TIMESPAN TABLET 180MG","0637","RC","Both",,,"13.5","6.75","Blue Cross Blue Shield","Pathways",,,"71",,"9.53","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TIMESPAN TABLET 180MG","0637","RC","Both",,,"13.5","6.75","Blue Cross Blue Shield","HMO",,,"71",,"9.53","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TIMESPAN TABLET 180MG","0637","RC","Both",,,"13.5","6.75","Blue Cross Blue Shield","PPO",,,"71",,"9.53","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TIMESPAN TABLET 180MG","0637","RC","Both",,,"13.5","6.75","Ambetter","Health Exchange",,,"62",,"8.37","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TIMESPAN TABLET 180MG","0637","RC","Both",,,"13.5","6.75","Caresource","Health Exchange",,,"62",,"8.37","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TIMESPAN TABLET 180MG","0637","RC","Both",,,"13.5","6.75","Cigna","Commercial",,,"59",,"7.91","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TIMESPAN TABLET 180MG","0637","RC","Both",,,"13.5","6.75","Humana","Commercial",,,"78",,"10.46","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TIMESPAN TABLET 180MG","0637","RC","Both",,,"13.5","6.75","UHC","Commercial",,,"75",,"10.18","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TIMESPAN TABLET 180MG","0637","RC","Both",,,"13.5","6.75","Medicaid",,,,"37",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"13","6.5","Alliant","Health Exchange",,,"62",,"8.06","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"13","6.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.02","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"13","6.5","Medicare",,,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"13","6.5","Humana","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"13","6.5","UHC","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"13","6.5","Clover","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"13","6.5","Wellcare","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"13","6.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.76","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"13","6.5","Caresource","Medicaid Managed Care",,,"40",,"5.2","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"13","6.5","Wellcare","Medicaid Managed Care",,,"40",,"5.26","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"13","6.5","Aetna","Commercial",,,"64",,"8.29","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"13","6.5","Blue Cross Blue Shield","Pathways",,,"71",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"13","6.5","Blue Cross Blue Shield","HMO",,,"71",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"13","6.5","Blue Cross Blue Shield","PPO",,,"71",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"13","6.5","Ambetter","Health Exchange",,,"62",,"8.06","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"13","6.5","Caresource","Health Exchange",,,"62",,"8.06","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"13","6.5","Cigna","Commercial",,,"59",,"7.62","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"13","6.5","Humana","Commercial",,,"78",,"10.08","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"13","6.5","UHC","Commercial",,,"75",,"9.8","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"13","6.5","Medicaid",,,,"37",,"4.76","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"49.5","24.75","Alliant","Health Exchange",,,"62",,"30.69","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"49.5","24.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"26.73","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"49.5","24.75","Medicare",,,,"54",,"26.83","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"49.5","24.75","Humana","Medicare Advantage",,,"54",,"26.83","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"49.5","24.75","UHC","Medicare Advantage",,,"54",,"26.83","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"49.5","24.75","Clover","Medicare Advantage",,,"54",,"26.83","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"49.5","24.75","Wellcare","Medicare Advantage",,,"54",,"26.83","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"49.5","24.75","Amerigroup","Medicaid Managed Care",,,"37",,"18.12","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"49.5","24.75","Caresource","Medicaid Managed Care",,,"40",,"19.8","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"49.5","24.75","Wellcare","Medicaid Managed Care",,,"40",,"20.05","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"49.5","24.75","Aetna","Commercial",,,"64",,"31.58","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"49.5","24.75","Blue Cross Blue Shield","Pathways",,,"71",,"34.95","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"49.5","24.75","Blue Cross Blue Shield","HMO",,,"71",,"34.95","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"49.5","24.75","Blue Cross Blue Shield","PPO",,,"71",,"34.95","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"49.5","24.75","Ambetter","Health Exchange",,,"62",,"30.69","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"49.5","24.75","Caresource","Health Exchange",,,"62",,"30.69","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"49.5","24.75","Cigna","Commercial",,,"59",,"29.01","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"49.5","24.75","Humana","Commercial",,,"78",,"38.36","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"49.5","24.75","UHC","Commercial",,,"75",,"37.32","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"49.5","24.75","Medicaid",,,,"37",,"18.12","0.15","5264.58","percent of total billed charges",,
"PREDNISOLONE (ORAPRED) SOLN: 15 MG/5 ML","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PREDNISOLONE (ORAPRED) SOLN: 15 MG/5 ML","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"PREDNISOLONE (ORAPRED) SOLN: 15 MG/5 ML","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PREDNISOLONE (ORAPRED) SOLN: 15 MG/5 ML","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PREDNISOLONE (ORAPRED) SOLN: 15 MG/5 ML","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PREDNISOLONE (ORAPRED) SOLN: 15 MG/5 ML","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PREDNISOLONE (ORAPRED) SOLN: 15 MG/5 ML","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PREDNISOLONE (ORAPRED) SOLN: 15 MG/5 ML","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"PREDNISOLONE (ORAPRED) SOLN: 15 MG/5 ML","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"PREDNISOLONE (ORAPRED) SOLN: 15 MG/5 ML","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"PREDNISOLONE (ORAPRED) SOLN: 15 MG/5 ML","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"PREDNISOLONE (ORAPRED) SOLN: 15 MG/5 ML","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PREDNISOLONE (ORAPRED) SOLN: 15 MG/5 ML","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PREDNISOLONE (ORAPRED) SOLN: 15 MG/5 ML","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PREDNISOLONE (ORAPRED) SOLN: 15 MG/5 ML","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PREDNISOLONE (ORAPRED) SOLN: 15 MG/5 ML","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PREDNISOLONE (ORAPRED) SOLN: 15 MG/5 ML","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"PREDNISOLONE (ORAPRED) SOLN: 15 MG/5 ML","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"PREDNISOLONE (ORAPRED) SOLN: 15 MG/5 ML","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"PREDNISOLONE (ORAPRED) SOLN: 15 MG/5 ML","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"2.5","1.25","Alliant","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"2.5","1.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.35","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"2.5","1.25","Medicare",,,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"2.5","1.25","Humana","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"2.5","1.25","UHC","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"2.5","1.25","Clover","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"2.5","1.25","Wellcare","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"2.5","1.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.92","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"2.5","1.25","Caresource","Medicaid Managed Care",,,"40",,"1","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"2.5","1.25","Wellcare","Medicaid Managed Care",,,"40",,"1.01","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"2.5","1.25","Aetna","Commercial",,,"64",,"1.6","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","Pathways",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","HMO",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","PPO",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"2.5","1.25","Ambetter","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"2.5","1.25","Caresource","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"2.5","1.25","Cigna","Commercial",,,"59",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"2.5","1.25","Humana","Commercial",,,"78",,"1.94","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"2.5","1.25","UHC","Commercial",,,"75",,"1.88","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"2.5","1.25","Medicaid",,,,"37",,"0.92","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TIMESPAN TABLET 180MG","0637","RC","Both",,,"15.5","7.75","Alliant","Health Exchange",,,"62",,"9.61","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TIMESPAN TABLET 180MG","0637","RC","Both",,,"15.5","7.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.37","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TIMESPAN TABLET 180MG","0637","RC","Both",,,"15.5","7.75","Medicare",,,,"54",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TIMESPAN TABLET 180MG","0637","RC","Both",,,"15.5","7.75","Humana","Medicare Advantage",,,"54",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TIMESPAN TABLET 180MG","0637","RC","Both",,,"15.5","7.75","UHC","Medicare Advantage",,,"54",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TIMESPAN TABLET 180MG","0637","RC","Both",,,"15.5","7.75","Clover","Medicare Advantage",,,"54",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TIMESPAN TABLET 180MG","0637","RC","Both",,,"15.5","7.75","Wellcare","Medicare Advantage",,,"54",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TIMESPAN TABLET 180MG","0637","RC","Both",,,"15.5","7.75","Amerigroup","Medicaid Managed Care",,,"37",,"5.67","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TIMESPAN TABLET 180MG","0637","RC","Both",,,"15.5","7.75","Caresource","Medicaid Managed Care",,,"40",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TIMESPAN TABLET 180MG","0637","RC","Both",,,"15.5","7.75","Wellcare","Medicaid Managed Care",,,"40",,"6.28","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TIMESPAN TABLET 180MG","0637","RC","Both",,,"15.5","7.75","Aetna","Commercial",,,"64",,"9.89","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TIMESPAN TABLET 180MG","0637","RC","Both",,,"15.5","7.75","Blue Cross Blue Shield","Pathways",,,"71",,"10.94","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TIMESPAN TABLET 180MG","0637","RC","Both",,,"15.5","7.75","Blue Cross Blue Shield","HMO",,,"71",,"10.94","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TIMESPAN TABLET 180MG","0637","RC","Both",,,"15.5","7.75","Blue Cross Blue Shield","PPO",,,"71",,"10.94","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TIMESPAN TABLET 180MG","0637","RC","Both",,,"15.5","7.75","Ambetter","Health Exchange",,,"62",,"9.61","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TIMESPAN TABLET 180MG","0637","RC","Both",,,"15.5","7.75","Caresource","Health Exchange",,,"62",,"9.61","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TIMESPAN TABLET 180MG","0637","RC","Both",,,"15.5","7.75","Cigna","Commercial",,,"59",,"9.08","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TIMESPAN TABLET 180MG","0637","RC","Both",,,"15.5","7.75","Humana","Commercial",,,"78",,"12.01","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TIMESPAN TABLET 180MG","0637","RC","Both",,,"15.5","7.75","UHC","Commercial",,,"75",,"11.69","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TIMESPAN TABLET 180MG","0637","RC","Both",,,"15.5","7.75","Medicaid",,,,"37",,"5.67","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"2.5","1.25","Alliant","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"2.5","1.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.35","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"2.5","1.25","Medicare",,,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"2.5","1.25","Humana","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"2.5","1.25","UHC","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"2.5","1.25","Clover","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"2.5","1.25","Wellcare","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"2.5","1.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.92","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"2.5","1.25","Caresource","Medicaid Managed Care",,,"40",,"1","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"2.5","1.25","Wellcare","Medicaid Managed Care",,,"40",,"1.01","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"2.5","1.25","Aetna","Commercial",,,"64",,"1.6","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","Pathways",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","HMO",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","PPO",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"2.5","1.25","Ambetter","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"2.5","1.25","Caresource","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"2.5","1.25","Cigna","Commercial",,,"59",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"2.5","1.25","Humana","Commercial",,,"78",,"1.94","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"2.5","1.25","UHC","Commercial",,,"75",,"1.88","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"2.5","1.25","Medicaid",,,,"37",,"0.92","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL CAP ER 120MG","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL CAP ER 120MG","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL CAP ER 120MG","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL CAP ER 120MG","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL CAP ER 120MG","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL CAP ER 120MG","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL CAP ER 120MG","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL CAP ER 120MG","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL CAP ER 120MG","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL CAP ER 120MG","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL CAP ER 120MG","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL CAP ER 120MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL CAP ER 120MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL CAP ER 120MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL CAP ER 120MG","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL CAP ER 120MG","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL CAP ER 120MG","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL CAP ER 120MG","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL CAP ER 120MG","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL CAP ER 120MG","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"NF-TRAZODONE HCL ORAL TABLET 100MG","0637","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-TRAZODONE HCL ORAL TABLET 100MG","0637","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.15","5264.58","percent of total billed charges",,
"NF-TRAZODONE HCL ORAL TABLET 100MG","0637","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-TRAZODONE HCL ORAL TABLET 100MG","0637","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-TRAZODONE HCL ORAL TABLET 100MG","0637","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-TRAZODONE HCL ORAL TABLET 100MG","0637","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-TRAZODONE HCL ORAL TABLET 100MG","0637","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-TRAZODONE HCL ORAL TABLET 100MG","0637","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-TRAZODONE HCL ORAL TABLET 100MG","0637","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.15","5264.58","percent of total billed charges",,
"NF-TRAZODONE HCL ORAL TABLET 100MG","0637","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-TRAZODONE HCL ORAL TABLET 100MG","0637","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.15","5264.58","percent of total billed charges",,
"NF-TRAZODONE HCL ORAL TABLET 100MG","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-TRAZODONE HCL ORAL TABLET 100MG","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-TRAZODONE HCL ORAL TABLET 100MG","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-TRAZODONE HCL ORAL TABLET 100MG","0637","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-TRAZODONE HCL ORAL TABLET 100MG","0637","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-TRAZODONE HCL ORAL TABLET 100MG","0637","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.15","5264.58","percent of total billed charges",,
"NF-TRAZODONE HCL ORAL TABLET 100MG","0637","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-TRAZODONE HCL ORAL TABLET 100MG","0637","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.15","5264.58","percent of total billed charges",,
"NF-TRAZODONE HCL ORAL TABLET 100MG","0637","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-MAXALT TABLET 10MG","0637","RC","Both",,,"105.5","52.75","Alliant","Health Exchange",,,"62",,"65.41","0.15","5264.58","percent of total billed charges",,
"NF-MAXALT TABLET 10MG","0637","RC","Both",,,"105.5","52.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"56.97","0.15","5264.58","percent of total billed charges",,
"NF-MAXALT TABLET 10MG","0637","RC","Both",,,"105.5","52.75","Medicare",,,,"54",,"57.18","0.15","5264.58","percent of total billed charges",,
"NF-MAXALT TABLET 10MG","0637","RC","Both",,,"105.5","52.75","Humana","Medicare Advantage",,,"54",,"57.18","0.15","5264.58","percent of total billed charges",,
"NF-MAXALT TABLET 10MG","0637","RC","Both",,,"105.5","52.75","UHC","Medicare Advantage",,,"54",,"57.18","0.15","5264.58","percent of total billed charges",,
"NF-MAXALT TABLET 10MG","0637","RC","Both",,,"105.5","52.75","Clover","Medicare Advantage",,,"54",,"57.18","0.15","5264.58","percent of total billed charges",,
"NF-MAXALT TABLET 10MG","0637","RC","Both",,,"105.5","52.75","Wellcare","Medicare Advantage",,,"54",,"57.18","0.15","5264.58","percent of total billed charges",,
"NF-MAXALT TABLET 10MG","0637","RC","Both",,,"105.5","52.75","Amerigroup","Medicaid Managed Care",,,"37",,"38.61","0.15","5264.58","percent of total billed charges",,
"NF-MAXALT TABLET 10MG","0637","RC","Both",,,"105.5","52.75","Caresource","Medicaid Managed Care",,,"40",,"42.2","0.15","5264.58","percent of total billed charges",,
"NF-MAXALT TABLET 10MG","0637","RC","Both",,,"105.5","52.75","Wellcare","Medicaid Managed Care",,,"40",,"42.73","0.15","5264.58","percent of total billed charges",,
"NF-MAXALT TABLET 10MG","0637","RC","Both",,,"105.5","52.75","Aetna","Commercial",,,"64",,"67.31","0.15","5264.58","percent of total billed charges",,
"NF-MAXALT TABLET 10MG","0637","RC","Both",,,"105.5","52.75","Blue Cross Blue Shield","Pathways",,,"71",,"74.48","0.15","5264.58","percent of total billed charges",,
"NF-MAXALT TABLET 10MG","0637","RC","Both",,,"105.5","52.75","Blue Cross Blue Shield","HMO",,,"71",,"74.48","0.15","5264.58","percent of total billed charges",,
"NF-MAXALT TABLET 10MG","0637","RC","Both",,,"105.5","52.75","Blue Cross Blue Shield","PPO",,,"71",,"74.48","0.15","5264.58","percent of total billed charges",,
"NF-MAXALT TABLET 10MG","0637","RC","Both",,,"105.5","52.75","Ambetter","Health Exchange",,,"62",,"65.41","0.15","5264.58","percent of total billed charges",,
"NF-MAXALT TABLET 10MG","0637","RC","Both",,,"105.5","52.75","Caresource","Health Exchange",,,"62",,"65.41","0.15","5264.58","percent of total billed charges",,
"NF-MAXALT TABLET 10MG","0637","RC","Both",,,"105.5","52.75","Cigna","Commercial",,,"59",,"61.82","0.15","5264.58","percent of total billed charges",,
"NF-MAXALT TABLET 10MG","0637","RC","Both",,,"105.5","52.75","Humana","Commercial",,,"78",,"81.76","0.15","5264.58","percent of total billed charges",,
"NF-MAXALT TABLET 10MG","0637","RC","Both",,,"105.5","52.75","UHC","Commercial",,,"75",,"79.55","0.15","5264.58","percent of total billed charges",,
"NF-MAXALT TABLET 10MG","0637","RC","Both",,,"105.5","52.75","Medicaid",,,,"37",,"38.61","0.15","5264.58","percent of total billed charges",,
"NF-EXELON TD PATCH ER 4.6MG/24HR","0637","RC","Both",,,"31","15.5","Alliant","Health Exchange",,,"62",,"19.22","0.15","5264.58","percent of total billed charges",,
"NF-EXELON TD PATCH ER 4.6MG/24HR","0637","RC","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.74","0.15","5264.58","percent of total billed charges",,
"NF-EXELON TD PATCH ER 4.6MG/24HR","0637","RC","Both",,,"31","15.5","Medicare",,,,"54",,"16.8","0.15","5264.58","percent of total billed charges",,
"NF-EXELON TD PATCH ER 4.6MG/24HR","0637","RC","Both",,,"31","15.5","Humana","Medicare Advantage",,,"54",,"16.8","0.15","5264.58","percent of total billed charges",,
"NF-EXELON TD PATCH ER 4.6MG/24HR","0637","RC","Both",,,"31","15.5","UHC","Medicare Advantage",,,"54",,"16.8","0.15","5264.58","percent of total billed charges",,
"NF-EXELON TD PATCH ER 4.6MG/24HR","0637","RC","Both",,,"31","15.5","Clover","Medicare Advantage",,,"54",,"16.8","0.15","5264.58","percent of total billed charges",,
"NF-EXELON TD PATCH ER 4.6MG/24HR","0637","RC","Both",,,"31","15.5","Wellcare","Medicare Advantage",,,"54",,"16.8","0.15","5264.58","percent of total billed charges",,
"NF-EXELON TD PATCH ER 4.6MG/24HR","0637","RC","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care",,,"37",,"11.35","0.15","5264.58","percent of total billed charges",,
"NF-EXELON TD PATCH ER 4.6MG/24HR","0637","RC","Both",,,"31","15.5","Caresource","Medicaid Managed Care",,,"40",,"12.4","0.15","5264.58","percent of total billed charges",,
"NF-EXELON TD PATCH ER 4.6MG/24HR","0637","RC","Both",,,"31","15.5","Wellcare","Medicaid Managed Care",,,"40",,"12.56","0.15","5264.58","percent of total billed charges",,
"NF-EXELON TD PATCH ER 4.6MG/24HR","0637","RC","Both",,,"31","15.5","Aetna","Commercial",,,"64",,"19.78","0.15","5264.58","percent of total billed charges",,
"NF-EXELON TD PATCH ER 4.6MG/24HR","0637","RC","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways",,,"71",,"21.89","0.15","5264.58","percent of total billed charges",,
"NF-EXELON TD PATCH ER 4.6MG/24HR","0637","RC","Both",,,"31","15.5","Blue Cross Blue Shield","HMO",,,"71",,"21.89","0.15","5264.58","percent of total billed charges",,
"NF-EXELON TD PATCH ER 4.6MG/24HR","0637","RC","Both",,,"31","15.5","Blue Cross Blue Shield","PPO",,,"71",,"21.89","0.15","5264.58","percent of total billed charges",,
"NF-EXELON TD PATCH ER 4.6MG/24HR","0637","RC","Both",,,"31","15.5","Ambetter","Health Exchange",,,"62",,"19.22","0.15","5264.58","percent of total billed charges",,
"NF-EXELON TD PATCH ER 4.6MG/24HR","0637","RC","Both",,,"31","15.5","Caresource","Health Exchange",,,"62",,"19.22","0.15","5264.58","percent of total billed charges",,
"NF-EXELON TD PATCH ER 4.6MG/24HR","0637","RC","Both",,,"31","15.5","Cigna","Commercial",,,"59",,"18.17","0.15","5264.58","percent of total billed charges",,
"NF-EXELON TD PATCH ER 4.6MG/24HR","0637","RC","Both",,,"31","15.5","Humana","Commercial",,,"78",,"24.02","0.15","5264.58","percent of total billed charges",,
"NF-EXELON TD PATCH ER 4.6MG/24HR","0637","RC","Both",,,"31","15.5","UHC","Commercial",,,"75",,"23.37","0.15","5264.58","percent of total billed charges",,
"NF-EXELON TD PATCH ER 4.6MG/24HR","0637","RC","Both",,,"31","15.5","Medicaid",,,,"37",,"11.35","0.15","5264.58","percent of total billed charges",,
"NF-PROPAFENONE HYDROCHLORIDE CAP ER 325M","0637","RC","Both",,,"24.5","12.25","Alliant","Health Exchange",,,"62",,"15.19","0.15","5264.58","percent of total billed charges",,
"NF-PROPAFENONE HYDROCHLORIDE CAP ER 325M","0637","RC","Both",,,"24.5","12.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"13.23","0.15","5264.58","percent of total billed charges",,
"NF-PROPAFENONE HYDROCHLORIDE CAP ER 325M","0637","RC","Both",,,"24.5","12.25","Medicare",,,,"54",,"13.28","0.15","5264.58","percent of total billed charges",,
"NF-PROPAFENONE HYDROCHLORIDE CAP ER 325M","0637","RC","Both",,,"24.5","12.25","Humana","Medicare Advantage",,,"54",,"13.28","0.15","5264.58","percent of total billed charges",,
"NF-PROPAFENONE HYDROCHLORIDE CAP ER 325M","0637","RC","Both",,,"24.5","12.25","UHC","Medicare Advantage",,,"54",,"13.28","0.15","5264.58","percent of total billed charges",,
"NF-PROPAFENONE HYDROCHLORIDE CAP ER 325M","0637","RC","Both",,,"24.5","12.25","Clover","Medicare Advantage",,,"54",,"13.28","0.15","5264.58","percent of total billed charges",,
"NF-PROPAFENONE HYDROCHLORIDE CAP ER 325M","0637","RC","Both",,,"24.5","12.25","Wellcare","Medicare Advantage",,,"54",,"13.28","0.15","5264.58","percent of total billed charges",,
"NF-PROPAFENONE HYDROCHLORIDE CAP ER 325M","0637","RC","Both",,,"24.5","12.25","Amerigroup","Medicaid Managed Care",,,"37",,"8.97","0.15","5264.58","percent of total billed charges",,
"NF-PROPAFENONE HYDROCHLORIDE CAP ER 325M","0637","RC","Both",,,"24.5","12.25","Caresource","Medicaid Managed Care",,,"40",,"9.8","0.15","5264.58","percent of total billed charges",,
"NF-PROPAFENONE HYDROCHLORIDE CAP ER 325M","0637","RC","Both",,,"24.5","12.25","Wellcare","Medicaid Managed Care",,,"40",,"9.92","0.15","5264.58","percent of total billed charges",,
"NF-PROPAFENONE HYDROCHLORIDE CAP ER 325M","0637","RC","Both",,,"24.5","12.25","Aetna","Commercial",,,"64",,"15.63","0.15","5264.58","percent of total billed charges",,
"NF-PROPAFENONE HYDROCHLORIDE CAP ER 325M","0637","RC","Both",,,"24.5","12.25","Blue Cross Blue Shield","Pathways",,,"71",,"17.3","0.15","5264.58","percent of total billed charges",,
"NF-PROPAFENONE HYDROCHLORIDE CAP ER 325M","0637","RC","Both",,,"24.5","12.25","Blue Cross Blue Shield","HMO",,,"71",,"17.3","0.15","5264.58","percent of total billed charges",,
"NF-PROPAFENONE HYDROCHLORIDE CAP ER 325M","0637","RC","Both",,,"24.5","12.25","Blue Cross Blue Shield","PPO",,,"71",,"17.3","0.15","5264.58","percent of total billed charges",,
"NF-PROPAFENONE HYDROCHLORIDE CAP ER 325M","0637","RC","Both",,,"24.5","12.25","Ambetter","Health Exchange",,,"62",,"15.19","0.15","5264.58","percent of total billed charges",,
"NF-PROPAFENONE HYDROCHLORIDE CAP ER 325M","0637","RC","Both",,,"24.5","12.25","Caresource","Health Exchange",,,"62",,"15.19","0.15","5264.58","percent of total billed charges",,
"NF-PROPAFENONE HYDROCHLORIDE CAP ER 325M","0637","RC","Both",,,"24.5","12.25","Cigna","Commercial",,,"59",,"14.36","0.15","5264.58","percent of total billed charges",,
"NF-PROPAFENONE HYDROCHLORIDE CAP ER 325M","0637","RC","Both",,,"24.5","12.25","Humana","Commercial",,,"78",,"18.99","0.15","5264.58","percent of total billed charges",,
"NF-PROPAFENONE HYDROCHLORIDE CAP ER 325M","0637","RC","Both",,,"24.5","12.25","UHC","Commercial",,,"75",,"18.47","0.15","5264.58","percent of total billed charges",,
"NF-PROPAFENONE HYDROCHLORIDE CAP ER 325M","0637","RC","Both",,,"24.5","12.25","Medicaid",,,,"37",,"8.97","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0250","RC","Both",,,"11.7","5.85","Alliant","Health Exchange",,,"62",,"7.25","0.04","569.62","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0250","RC","Both",,,"11.7","5.85","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.32","0.04","569.62","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0250","RC","Both",,,"11.7","5.85","Medicare",,,,"54",,"6.34","0.04","569.62","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0250","RC","Both",,,"11.7","5.85","Humana","Medicare Advantage",,,"54",,"6.34","0.04","569.62","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0250","RC","Both",,,"11.7","5.85","UHC","Medicare Advantage",,,"54",,"6.34","0.04","569.62","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0250","RC","Both",,,"11.7","5.85","Clover","Medicare Advantage",,,"54",,"6.34","0.04","569.62","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0250","RC","Both",,,"11.7","5.85","Wellcare","Medicare Advantage",,,"54",,"6.34","0.04","569.62","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0250","RC","Both",,,"11.7","5.85","Amerigroup","Medicaid Managed Care",,,"37",,"4.28","0.04","569.62","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0250","RC","Both",,,"11.7","5.85","Caresource","Medicaid Managed Care",,,"40",,"4.68","0.04","569.62","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0250","RC","Both",,,"11.7","5.85","Wellcare","Medicaid Managed Care",,,"40",,"4.74","0.04","569.62","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0250","RC","Both",,,"11.7","5.85","Aetna","Commercial",,,"64",,"7.46","0.04","569.62","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0250","RC","Both",,,"11.7","5.85","Blue Cross Blue Shield","Pathways",,,"71",,"8.26","0.04","569.62","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0250","RC","Both",,,"11.7","5.85","Blue Cross Blue Shield","HMO",,,"71",,"8.26","0.04","569.62","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0250","RC","Both",,,"11.7","5.85","Blue Cross Blue Shield","PPO",,,"71",,"8.26","0.04","569.62","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0250","RC","Both",,,"11.7","5.85","Ambetter","Health Exchange",,,"62",,"7.25","0.04","569.62","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0250","RC","Both",,,"11.7","5.85","Caresource","Health Exchange",,,"62",,"7.25","0.04","569.62","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0250","RC","Both",,,"11.7","5.85","Cigna","Commercial",,,"59",,"6.86","0.04","569.62","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0250","RC","Both",,,"11.7","5.85","Humana","Commercial",,,"78",,"9.07","0.04","569.62","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0250","RC","Both",,,"11.7","5.85","UHC","Commercial",,,"75",,"8.82","0.04","569.62","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0250","RC","Both",,,"11.7","5.85","Medicaid",,,,"37",,"4.28","0.04","569.62","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0637","RC","Both",,,"9","4.5","Alliant","Health Exchange",,,"62",,"5.58","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0637","RC","Both",,,"9","4.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.86","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0637","RC","Both",,,"9","4.5","Medicare",,,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0637","RC","Both",,,"9","4.5","Humana","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0637","RC","Both",,,"9","4.5","UHC","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0637","RC","Both",,,"9","4.5","Clover","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0637","RC","Both",,,"9","4.5","Wellcare","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0637","RC","Both",,,"9","4.5","Amerigroup","Medicaid Managed Care",,,"37",,"3.29","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0637","RC","Both",,,"9","4.5","Caresource","Medicaid Managed Care",,,"40",,"3.6","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0637","RC","Both",,,"9","4.5","Wellcare","Medicaid Managed Care",,,"40",,"3.65","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0637","RC","Both",,,"9","4.5","Aetna","Commercial",,,"64",,"5.74","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0637","RC","Both",,,"9","4.5","Blue Cross Blue Shield","Pathways",,,"71",,"6.35","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0637","RC","Both",,,"9","4.5","Blue Cross Blue Shield","HMO",,,"71",,"6.35","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0637","RC","Both",,,"9","4.5","Blue Cross Blue Shield","PPO",,,"71",,"6.35","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0637","RC","Both",,,"9","4.5","Ambetter","Health Exchange",,,"62",,"5.58","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0637","RC","Both",,,"9","4.5","Caresource","Health Exchange",,,"62",,"5.58","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0637","RC","Both",,,"9","4.5","Cigna","Commercial",,,"59",,"5.27","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0637","RC","Both",,,"9","4.5","Humana","Commercial",,,"78",,"6.98","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0637","RC","Both",,,"9","4.5","UHC","Commercial",,,"75",,"6.79","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25M","0637","RC","Both",,,"9","4.5","Medicaid",,,,"37",,"3.29","0.15","5264.58","percent of total billed charges",,
"NF-REGLAN TAB 10MG","0250","RC","Both",,,"7.45","3.725","Alliant","Health Exchange",,,"62",,"4.62","0.04","569.62","percent of total billed charges",,
"NF-REGLAN TAB 10MG","0250","RC","Both",,,"7.45","3.725","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.02","0.04","569.62","percent of total billed charges",,
"NF-REGLAN TAB 10MG","0250","RC","Both",,,"7.45","3.725","Medicare",,,,"54",,"4.04","0.04","569.62","percent of total billed charges",,
"NF-REGLAN TAB 10MG","0250","RC","Both",,,"7.45","3.725","Humana","Medicare Advantage",,,"54",,"4.04","0.04","569.62","percent of total billed charges",,
"NF-REGLAN TAB 10MG","0250","RC","Both",,,"7.45","3.725","UHC","Medicare Advantage",,,"54",,"4.04","0.04","569.62","percent of total billed charges",,
"NF-REGLAN TAB 10MG","0250","RC","Both",,,"7.45","3.725","Clover","Medicare Advantage",,,"54",,"4.04","0.04","569.62","percent of total billed charges",,
"NF-REGLAN TAB 10MG","0250","RC","Both",,,"7.45","3.725","Wellcare","Medicare Advantage",,,"54",,"4.04","0.04","569.62","percent of total billed charges",,
"NF-REGLAN TAB 10MG","0250","RC","Both",,,"7.45","3.725","Amerigroup","Medicaid Managed Care",,,"37",,"2.73","0.04","569.62","percent of total billed charges",,
"NF-REGLAN TAB 10MG","0250","RC","Both",,,"7.45","3.725","Caresource","Medicaid Managed Care",,,"40",,"2.98","0.04","569.62","percent of total billed charges",,
"NF-REGLAN TAB 10MG","0250","RC","Both",,,"7.45","3.725","Wellcare","Medicaid Managed Care",,,"40",,"3.02","0.04","569.62","percent of total billed charges",,
"NF-REGLAN TAB 10MG","0250","RC","Both",,,"7.45","3.725","Aetna","Commercial",,,"64",,"4.75","0.04","569.62","percent of total billed charges",,
"NF-REGLAN TAB 10MG","0250","RC","Both",,,"7.45","3.725","Blue Cross Blue Shield","Pathways",,,"71",,"5.26","0.04","569.62","percent of total billed charges",,
"NF-REGLAN TAB 10MG","0250","RC","Both",,,"7.45","3.725","Blue Cross Blue Shield","HMO",,,"71",,"5.26","0.04","569.62","percent of total billed charges",,
"NF-REGLAN TAB 10MG","0250","RC","Both",,,"7.45","3.725","Blue Cross Blue Shield","PPO",,,"71",,"5.26","0.04","569.62","percent of total billed charges",,
"NF-REGLAN TAB 10MG","0250","RC","Both",,,"7.45","3.725","Ambetter","Health Exchange",,,"62",,"4.62","0.04","569.62","percent of total billed charges",,
"NF-REGLAN TAB 10MG","0250","RC","Both",,,"7.45","3.725","Caresource","Health Exchange",,,"62",,"4.62","0.04","569.62","percent of total billed charges",,
"NF-REGLAN TAB 10MG","0250","RC","Both",,,"7.45","3.725","Cigna","Commercial",,,"59",,"4.37","0.04","569.62","percent of total billed charges",,
"NF-REGLAN TAB 10MG","0250","RC","Both",,,"7.45","3.725","Humana","Commercial",,,"78",,"5.77","0.04","569.62","percent of total billed charges",,
"NF-REGLAN TAB 10MG","0250","RC","Both",,,"7.45","3.725","UHC","Commercial",,,"75",,"5.62","0.04","569.62","percent of total billed charges",,
"NF-REGLAN TAB 10MG","0250","RC","Both",,,"7.45","3.725","Medicaid",,,,"37",,"2.73","0.04","569.62","percent of total billed charges",,
"NF-SANDIMMUNE CAPSULE 100MG","0637","RC","Both",,,"33","16.5","Alliant","Health Exchange",,,"62",,"20.46","0.15","5264.58","percent of total billed charges",,
"NF-SANDIMMUNE CAPSULE 100MG","0637","RC","Both",,,"33","16.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.82","0.15","5264.58","percent of total billed charges",,
"NF-SANDIMMUNE CAPSULE 100MG","0637","RC","Both",,,"33","16.5","Medicare",,,,"54",,"17.89","0.15","5264.58","percent of total billed charges",,
"NF-SANDIMMUNE CAPSULE 100MG","0637","RC","Both",,,"33","16.5","Humana","Medicare Advantage",,,"54",,"17.89","0.15","5264.58","percent of total billed charges",,
"NF-SANDIMMUNE CAPSULE 100MG","0637","RC","Both",,,"33","16.5","UHC","Medicare Advantage",,,"54",,"17.89","0.15","5264.58","percent of total billed charges",,
"NF-SANDIMMUNE CAPSULE 100MG","0637","RC","Both",,,"33","16.5","Clover","Medicare Advantage",,,"54",,"17.89","0.15","5264.58","percent of total billed charges",,
"NF-SANDIMMUNE CAPSULE 100MG","0637","RC","Both",,,"33","16.5","Wellcare","Medicare Advantage",,,"54",,"17.89","0.15","5264.58","percent of total billed charges",,
"NF-SANDIMMUNE CAPSULE 100MG","0637","RC","Both",,,"33","16.5","Amerigroup","Medicaid Managed Care",,,"37",,"12.08","0.15","5264.58","percent of total billed charges",,
"NF-SANDIMMUNE CAPSULE 100MG","0637","RC","Both",,,"33","16.5","Caresource","Medicaid Managed Care",,,"40",,"13.2","0.15","5264.58","percent of total billed charges",,
"NF-SANDIMMUNE CAPSULE 100MG","0637","RC","Both",,,"33","16.5","Wellcare","Medicaid Managed Care",,,"40",,"13.36","0.15","5264.58","percent of total billed charges",,
"NF-SANDIMMUNE CAPSULE 100MG","0637","RC","Both",,,"33","16.5","Aetna","Commercial",,,"64",,"21.05","0.15","5264.58","percent of total billed charges",,
"NF-SANDIMMUNE CAPSULE 100MG","0637","RC","Both",,,"33","16.5","Blue Cross Blue Shield","Pathways",,,"71",,"23.3","0.15","5264.58","percent of total billed charges",,
"NF-SANDIMMUNE CAPSULE 100MG","0637","RC","Both",,,"33","16.5","Blue Cross Blue Shield","HMO",,,"71",,"23.3","0.15","5264.58","percent of total billed charges",,
"NF-SANDIMMUNE CAPSULE 100MG","0637","RC","Both",,,"33","16.5","Blue Cross Blue Shield","PPO",,,"71",,"23.3","0.15","5264.58","percent of total billed charges",,
"NF-SANDIMMUNE CAPSULE 100MG","0637","RC","Both",,,"33","16.5","Ambetter","Health Exchange",,,"62",,"20.46","0.15","5264.58","percent of total billed charges",,
"NF-SANDIMMUNE CAPSULE 100MG","0637","RC","Both",,,"33","16.5","Caresource","Health Exchange",,,"62",,"20.46","0.15","5264.58","percent of total billed charges",,
"NF-SANDIMMUNE CAPSULE 100MG","0637","RC","Both",,,"33","16.5","Cigna","Commercial",,,"59",,"19.34","0.15","5264.58","percent of total billed charges",,
"NF-SANDIMMUNE CAPSULE 100MG","0637","RC","Both",,,"33","16.5","Humana","Commercial",,,"78",,"25.58","0.15","5264.58","percent of total billed charges",,
"NF-SANDIMMUNE CAPSULE 100MG","0637","RC","Both",,,"33","16.5","UHC","Commercial",,,"75",,"24.88","0.15","5264.58","percent of total billed charges",,
"NF-SANDIMMUNE CAPSULE 100MG","0637","RC","Both",,,"33","16.5","Medicaid",,,,"37",,"12.08","0.15","5264.58","percent of total billed charges",,
"NF-SECTRAL CAP 200MG","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-SECTRAL CAP 200MG","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"NF-SECTRAL CAP 200MG","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-SECTRAL CAP 200MG","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-SECTRAL CAP 200MG","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-SECTRAL CAP 200MG","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-SECTRAL CAP 200MG","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-SECTRAL CAP 200MG","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"NF-SECTRAL CAP 200MG","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"NF-SECTRAL CAP 200MG","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"NF-SECTRAL CAP 200MG","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"NF-SECTRAL CAP 200MG","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-SECTRAL CAP 200MG","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-SECTRAL CAP 200MG","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-SECTRAL CAP 200MG","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-SECTRAL CAP 200MG","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-SECTRAL CAP 200MG","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"NF-SECTRAL CAP 200MG","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"NF-SECTRAL CAP 200MG","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"NF-SECTRAL CAP 200MG","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"NF-LIBRAX CAPSULE","0637","RC","Both",,,"5.5","2.75","Alliant","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-LIBRAX CAPSULE","0637","RC","Both",,,"5.5","2.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.97","0.15","5264.58","percent of total billed charges",,
"NF-LIBRAX CAPSULE","0637","RC","Both",,,"5.5","2.75","Medicare",,,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-LIBRAX CAPSULE","0637","RC","Both",,,"5.5","2.75","Humana","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-LIBRAX CAPSULE","0637","RC","Both",,,"5.5","2.75","UHC","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-LIBRAX CAPSULE","0637","RC","Both",,,"5.5","2.75","Clover","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-LIBRAX CAPSULE","0637","RC","Both",,,"5.5","2.75","Wellcare","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-LIBRAX CAPSULE","0637","RC","Both",,,"5.5","2.75","Amerigroup","Medicaid Managed Care",,,"37",,"2.01","0.15","5264.58","percent of total billed charges",,
"NF-LIBRAX CAPSULE","0637","RC","Both",,,"5.5","2.75","Caresource","Medicaid Managed Care",,,"40",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-LIBRAX CAPSULE","0637","RC","Both",,,"5.5","2.75","Wellcare","Medicaid Managed Care",,,"40",,"2.23","0.15","5264.58","percent of total billed charges",,
"NF-LIBRAX CAPSULE","0637","RC","Both",,,"5.5","2.75","Aetna","Commercial",,,"64",,"3.51","0.15","5264.58","percent of total billed charges",,
"NF-LIBRAX CAPSULE","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","Pathways",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-LIBRAX CAPSULE","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","HMO",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-LIBRAX CAPSULE","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","PPO",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-LIBRAX CAPSULE","0637","RC","Both",,,"5.5","2.75","Ambetter","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-LIBRAX CAPSULE","0637","RC","Both",,,"5.5","2.75","Caresource","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-LIBRAX CAPSULE","0637","RC","Both",,,"5.5","2.75","Cigna","Commercial",,,"59",,"3.22","0.15","5264.58","percent of total billed charges",,
"NF-LIBRAX CAPSULE","0637","RC","Both",,,"5.5","2.75","Humana","Commercial",,,"78",,"4.26","0.15","5264.58","percent of total billed charges",,
"NF-LIBRAX CAPSULE","0637","RC","Both",,,"5.5","2.75","UHC","Commercial",,,"75",,"4.15","0.15","5264.58","percent of total billed charges",,
"NF-LIBRAX CAPSULE","0637","RC","Both",,,"5.5","2.75","Medicaid",,,,"37",,"2.01","0.15","5264.58","percent of total billed charges",,
"NF-ACEBUTOLOL HCL CAP 200MG","0637","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-ACEBUTOLOL HCL CAP 200MG","0637","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-ACEBUTOLOL HCL CAP 200MG","0637","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-ACEBUTOLOL HCL CAP 200MG","0637","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-ACEBUTOLOL HCL CAP 200MG","0637","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-ACEBUTOLOL HCL CAP 200MG","0637","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-ACEBUTOLOL HCL CAP 200MG","0637","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-ACEBUTOLOL HCL CAP 200MG","0637","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-ACEBUTOLOL HCL CAP 200MG","0637","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.15","5264.58","percent of total billed charges",,
"NF-ACEBUTOLOL HCL CAP 200MG","0637","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.15","5264.58","percent of total billed charges",,
"NF-ACEBUTOLOL HCL CAP 200MG","0637","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.15","5264.58","percent of total billed charges",,
"NF-ACEBUTOLOL HCL CAP 200MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-ACEBUTOLOL HCL CAP 200MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-ACEBUTOLOL HCL CAP 200MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-ACEBUTOLOL HCL CAP 200MG","0637","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-ACEBUTOLOL HCL CAP 200MG","0637","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-ACEBUTOLOL HCL CAP 200MG","0637","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-ACEBUTOLOL HCL CAP 200MG","0637","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.15","5264.58","percent of total billed charges",,
"NF-ACEBUTOLOL HCL CAP 200MG","0637","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.15","5264.58","percent of total billed charges",,
"NF-ACEBUTOLOL HCL CAP 200MG","0637","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-DILANTIN CAP ER 100MG","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-DILANTIN CAP ER 100MG","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-DILANTIN CAP ER 100MG","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-DILANTIN CAP ER 100MG","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-DILANTIN CAP ER 100MG","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-DILANTIN CAP ER 100MG","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-DILANTIN CAP ER 100MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-DILANTIN CAP ER 100MG","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-DILANTIN CAP ER 100MG","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-DILANTIN CAP ER 100MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-DILANTIN CAP ER 100MG","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-DILANTIN CAP ER 100MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-DILANTIN CAP ER 100MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-DILANTIN CAP ER 100MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-DILANTIN CAP ER 100MG","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-DILANTIN CAP ER 100MG","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-DILANTIN CAP ER 100MG","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-DILANTIN CAP ER 100MG","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-DILANTIN CAP ER 100MG","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-DILANTIN CAP ER 100MG","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL ORAL TABLET 60MG","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL ORAL TABLET 60MG","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL ORAL TABLET 60MG","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL ORAL TABLET 60MG","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL ORAL TABLET 60MG","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL ORAL TABLET 60MG","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL ORAL TABLET 60MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL ORAL TABLET 60MG","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL ORAL TABLET 60MG","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL ORAL TABLET 60MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL ORAL TABLET 60MG","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL ORAL TABLET 60MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL ORAL TABLET 60MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL ORAL TABLET 60MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL ORAL TABLET 60MG","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL ORAL TABLET 60MG","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL ORAL TABLET 60MG","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL ORAL TABLET 60MG","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL ORAL TABLET 60MG","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL ORAL TABLET 60MG","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL TAB 30MG","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL TAB 30MG","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL TAB 30MG","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL TAB 30MG","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL TAB 30MG","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL TAB 30MG","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL TAB 30MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL TAB 30MG","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL TAB 30MG","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL TAB 30MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL TAB 30MG","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL TAB 30MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL TAB 30MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL TAB 30MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL TAB 30MG","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL TAB 30MG","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL TAB 30MG","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL TAB 30MG","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL TAB 30MG","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL TAB 30MG","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"14","7","Alliant","Health Exchange",,,"62",,"8.68","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.56","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"14","7","Medicare",,,,"54",,"7.59","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"14","7","Humana","Medicare Advantage",,,"54",,"7.59","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"14","7","UHC","Medicare Advantage",,,"54",,"7.59","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"14","7","Clover","Medicare Advantage",,,"54",,"7.59","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"14","7","Wellcare","Medicare Advantage",,,"54",,"7.59","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"14","7","Amerigroup","Medicaid Managed Care",,,"37",,"5.12","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"14","7","Caresource","Medicaid Managed Care",,,"40",,"5.6","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"14","7","Wellcare","Medicaid Managed Care",,,"40",,"5.67","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"14","7","Aetna","Commercial",,,"64",,"8.93","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"14","7","Blue Cross Blue Shield","Pathways",,,"71",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"14","7","Blue Cross Blue Shield","HMO",,,"71",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"14","7","Blue Cross Blue Shield","PPO",,,"71",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"14","7","Ambetter","Health Exchange",,,"62",,"8.68","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"14","7","Caresource","Health Exchange",,,"62",,"8.68","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"14","7","Cigna","Commercial",,,"59",,"8.2","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"14","7","Humana","Commercial",,,"78",,"10.85","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"14","7","UHC","Commercial",,,"75",,"10.56","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"14","7","Medicaid",,,,"37",,"5.12","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"14","7","Alliant","Health Exchange",,,"62",,"8.68","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.56","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"14","7","Medicare",,,,"54",,"7.59","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"14","7","Humana","Medicare Advantage",,,"54",,"7.59","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"14","7","UHC","Medicare Advantage",,,"54",,"7.59","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"14","7","Clover","Medicare Advantage",,,"54",,"7.59","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"14","7","Wellcare","Medicare Advantage",,,"54",,"7.59","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"14","7","Amerigroup","Medicaid Managed Care",,,"37",,"5.12","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"14","7","Caresource","Medicaid Managed Care",,,"40",,"5.6","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"14","7","Wellcare","Medicaid Managed Care",,,"40",,"5.67","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"14","7","Aetna","Commercial",,,"64",,"8.93","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"14","7","Blue Cross Blue Shield","Pathways",,,"71",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"14","7","Blue Cross Blue Shield","HMO",,,"71",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"14","7","Blue Cross Blue Shield","PPO",,,"71",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"14","7","Ambetter","Health Exchange",,,"62",,"8.68","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"14","7","Caresource","Health Exchange",,,"62",,"8.68","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"14","7","Cigna","Commercial",,,"59",,"8.2","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"14","7","Humana","Commercial",,,"78",,"10.85","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"14","7","UHC","Commercial",,,"75",,"10.56","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"14","7","Medicaid",,,,"37",,"5.12","0.15","5264.58","percent of total billed charges",,
"INSULIN LISPRO (HUMALOG) INJ:100UNITS/ML","0250","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO (HUMALOG) INJ:100UNITS/ML","0250","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO (HUMALOG) INJ:100UNITS/ML","0250","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO (HUMALOG) INJ:100UNITS/ML","0250","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO (HUMALOG) INJ:100UNITS/ML","0250","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO (HUMALOG) INJ:100UNITS/ML","0250","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO (HUMALOG) INJ:100UNITS/ML","0250","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO (HUMALOG) INJ:100UNITS/ML","0250","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO (HUMALOG) INJ:100UNITS/ML","0250","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO (HUMALOG) INJ:100UNITS/ML","0250","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO (HUMALOG) INJ:100UNITS/ML","0250","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO (HUMALOG) INJ:100UNITS/ML","0250","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO (HUMALOG) INJ:100UNITS/ML","0250","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO (HUMALOG) INJ:100UNITS/ML","0250","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO (HUMALOG) INJ:100UNITS/ML","0250","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO (HUMALOG) INJ:100UNITS/ML","0250","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO (HUMALOG) INJ:100UNITS/ML","0250","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO (HUMALOG) INJ:100UNITS/ML","0250","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO (HUMALOG) INJ:100UNITS/ML","0250","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO (HUMALOG) INJ:100UNITS/ML","0250","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO 75/25 INJ: 100 UNITS/ML","0250","RC","Both",,,"116","58","Alliant","Health Exchange",,,"62",,"71.92","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO 75/25 INJ: 100 UNITS/ML","0250","RC","Both",,,"116","58","Pruitt Healthcare","Medicare Advantage",,,"54",,"62.64","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO 75/25 INJ: 100 UNITS/ML","0250","RC","Both",,,"116","58","Medicare",,,,"54",,"62.87","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO 75/25 INJ: 100 UNITS/ML","0250","RC","Both",,,"116","58","Humana","Medicare Advantage",,,"54",,"62.87","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO 75/25 INJ: 100 UNITS/ML","0250","RC","Both",,,"116","58","UHC","Medicare Advantage",,,"54",,"62.87","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO 75/25 INJ: 100 UNITS/ML","0250","RC","Both",,,"116","58","Clover","Medicare Advantage",,,"54",,"62.87","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO 75/25 INJ: 100 UNITS/ML","0250","RC","Both",,,"116","58","Wellcare","Medicare Advantage",,,"54",,"62.87","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO 75/25 INJ: 100 UNITS/ML","0250","RC","Both",,,"116","58","Amerigroup","Medicaid Managed Care",,,"37",,"42.46","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO 75/25 INJ: 100 UNITS/ML","0250","RC","Both",,,"116","58","Caresource","Medicaid Managed Care",,,"40",,"46.4","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO 75/25 INJ: 100 UNITS/ML","0250","RC","Both",,,"116","58","Wellcare","Medicaid Managed Care",,,"40",,"46.98","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO 75/25 INJ: 100 UNITS/ML","0250","RC","Both",,,"116","58","Aetna","Commercial",,,"64",,"74.01","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO 75/25 INJ: 100 UNITS/ML","0250","RC","Both",,,"116","58","Blue Cross Blue Shield","Pathways",,,"71",,"81.9","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO 75/25 INJ: 100 UNITS/ML","0250","RC","Both",,,"116","58","Blue Cross Blue Shield","HMO",,,"71",,"81.9","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO 75/25 INJ: 100 UNITS/ML","0250","RC","Both",,,"116","58","Blue Cross Blue Shield","PPO",,,"71",,"81.9","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO 75/25 INJ: 100 UNITS/ML","0250","RC","Both",,,"116","58","Ambetter","Health Exchange",,,"62",,"71.92","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO 75/25 INJ: 100 UNITS/ML","0250","RC","Both",,,"116","58","Caresource","Health Exchange",,,"62",,"71.92","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO 75/25 INJ: 100 UNITS/ML","0250","RC","Both",,,"116","58","Cigna","Commercial",,,"59",,"67.98","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO 75/25 INJ: 100 UNITS/ML","0250","RC","Both",,,"116","58","Humana","Commercial",,,"78",,"89.9","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO 75/25 INJ: 100 UNITS/ML","0250","RC","Both",,,"116","58","UHC","Commercial",,,"75",,"87.46","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO 75/25 INJ: 100 UNITS/ML","0250","RC","Both",,,"116","58","Medicaid",,,,"37",,"42.46","0.04","569.62","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"11","5.5","Alliant","Health Exchange",,,"62",,"6.82","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"11","5.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.94","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"11","5.5","Medicare",,,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"11","5.5","Humana","Medicare Advantage",,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"11","5.5","UHC","Medicare Advantage",,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"11","5.5","Clover","Medicare Advantage",,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"11","5.5","Wellcare","Medicare Advantage",,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"11","5.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"11","5.5","Caresource","Medicaid Managed Care",,,"40",,"4.4","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"11","5.5","Wellcare","Medicaid Managed Care",,,"40",,"4.46","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"11","5.5","Aetna","Commercial",,,"64",,"7.02","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"11","5.5","Blue Cross Blue Shield","Pathways",,,"71",,"7.77","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"11","5.5","Blue Cross Blue Shield","HMO",,,"71",,"7.77","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"11","5.5","Blue Cross Blue Shield","PPO",,,"71",,"7.77","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"11","5.5","Ambetter","Health Exchange",,,"62",,"6.82","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"11","5.5","Caresource","Health Exchange",,,"62",,"6.82","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"11","5.5","Cigna","Commercial",,,"59",,"6.45","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"11","5.5","Humana","Commercial",,,"78",,"8.52","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"11","5.5","UHC","Commercial",,,"75",,"8.29","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"11","5.5","Medicaid",,,,"37",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWISTHALER INH PWD 0.22MG/1AC","0637","RC","Both",,,"439","219.5","Alliant","Health Exchange",,,"62",,"272.18","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWISTHALER INH PWD 0.22MG/1AC","0637","RC","Both",,,"439","219.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"237.06","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWISTHALER INH PWD 0.22MG/1AC","0637","RC","Both",,,"439","219.5","Medicare",,,,"54",,"237.94","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWISTHALER INH PWD 0.22MG/1AC","0637","RC","Both",,,"439","219.5","Humana","Medicare Advantage",,,"54",,"237.94","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWISTHALER INH PWD 0.22MG/1AC","0637","RC","Both",,,"439","219.5","UHC","Medicare Advantage",,,"54",,"237.94","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWISTHALER INH PWD 0.22MG/1AC","0637","RC","Both",,,"439","219.5","Clover","Medicare Advantage",,,"54",,"237.94","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWISTHALER INH PWD 0.22MG/1AC","0637","RC","Both",,,"439","219.5","Wellcare","Medicare Advantage",,,"54",,"237.94","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWISTHALER INH PWD 0.22MG/1AC","0637","RC","Both",,,"439","219.5","Amerigroup","Medicaid Managed Care",,,"37",,"160.67","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWISTHALER INH PWD 0.22MG/1AC","0637","RC","Both",,,"439","219.5","Caresource","Medicaid Managed Care",,,"40",,"175.6","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWISTHALER INH PWD 0.22MG/1AC","0637","RC","Both",,,"439","219.5","Wellcare","Medicaid Managed Care",,,"40",,"177.8","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWISTHALER INH PWD 0.22MG/1AC","0637","RC","Both",,,"439","219.5","Aetna","Commercial",,,"64",,"280.08","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWISTHALER INH PWD 0.22MG/1AC","0637","RC","Both",,,"439","219.5","Blue Cross Blue Shield","Pathways",,,"71",,"309.93","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWISTHALER INH PWD 0.22MG/1AC","0637","RC","Both",,,"439","219.5","Blue Cross Blue Shield","HMO",,,"71",,"309.93","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWISTHALER INH PWD 0.22MG/1AC","0637","RC","Both",,,"439","219.5","Blue Cross Blue Shield","PPO",,,"71",,"309.93","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWISTHALER INH PWD 0.22MG/1AC","0637","RC","Both",,,"439","219.5","Ambetter","Health Exchange",,,"62",,"272.18","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWISTHALER INH PWD 0.22MG/1AC","0637","RC","Both",,,"439","219.5","Caresource","Health Exchange",,,"62",,"272.18","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWISTHALER INH PWD 0.22MG/1AC","0637","RC","Both",,,"439","219.5","Cigna","Commercial",,,"59",,"257.25","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWISTHALER INH PWD 0.22MG/1AC","0637","RC","Both",,,"439","219.5","Humana","Commercial",,,"78",,"340.22","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWISTHALER INH PWD 0.22MG/1AC","0637","RC","Both",,,"439","219.5","UHC","Commercial",,,"75",,"331.01","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWISTHALER INH PWD 0.22MG/1AC","0637","RC","Both",,,"439","219.5","Medicaid",,,,"37",,"160.67","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 100MG","0637","RC","Both",,,"5.5","2.75","Alliant","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 100MG","0637","RC","Both",,,"5.5","2.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.97","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 100MG","0637","RC","Both",,,"5.5","2.75","Medicare",,,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 100MG","0637","RC","Both",,,"5.5","2.75","Humana","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 100MG","0637","RC","Both",,,"5.5","2.75","UHC","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 100MG","0637","RC","Both",,,"5.5","2.75","Clover","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 100MG","0637","RC","Both",,,"5.5","2.75","Wellcare","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 100MG","0637","RC","Both",,,"5.5","2.75","Amerigroup","Medicaid Managed Care",,,"37",,"2.01","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 100MG","0637","RC","Both",,,"5.5","2.75","Caresource","Medicaid Managed Care",,,"40",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 100MG","0637","RC","Both",,,"5.5","2.75","Wellcare","Medicaid Managed Care",,,"40",,"2.23","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 100MG","0637","RC","Both",,,"5.5","2.75","Aetna","Commercial",,,"64",,"3.51","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 100MG","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","Pathways",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 100MG","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","HMO",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 100MG","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","PPO",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 100MG","0637","RC","Both",,,"5.5","2.75","Ambetter","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 100MG","0637","RC","Both",,,"5.5","2.75","Caresource","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 100MG","0637","RC","Both",,,"5.5","2.75","Cigna","Commercial",,,"59",,"3.22","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 100MG","0637","RC","Both",,,"5.5","2.75","Humana","Commercial",,,"78",,"4.26","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 100MG","0637","RC","Both",,,"5.5","2.75","UHC","Commercial",,,"75",,"4.15","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 100MG","0637","RC","Both",,,"5.5","2.75","Medicaid",,,,"37",,"2.01","0.15","5264.58","percent of total billed charges",,
"NF-AMILORIDE HCL TAB 5MG","0637","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-AMILORIDE HCL TAB 5MG","0637","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.15","5264.58","percent of total billed charges",,
"NF-AMILORIDE HCL TAB 5MG","0637","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-AMILORIDE HCL TAB 5MG","0637","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-AMILORIDE HCL TAB 5MG","0637","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-AMILORIDE HCL TAB 5MG","0637","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-AMILORIDE HCL TAB 5MG","0637","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-AMILORIDE HCL TAB 5MG","0637","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-AMILORIDE HCL TAB 5MG","0637","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.15","5264.58","percent of total billed charges",,
"NF-AMILORIDE HCL TAB 5MG","0637","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-AMILORIDE HCL TAB 5MG","0637","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.15","5264.58","percent of total billed charges",,
"NF-AMILORIDE HCL TAB 5MG","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-AMILORIDE HCL TAB 5MG","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-AMILORIDE HCL TAB 5MG","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-AMILORIDE HCL TAB 5MG","0637","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-AMILORIDE HCL TAB 5MG","0637","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-AMILORIDE HCL TAB 5MG","0637","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.15","5264.58","percent of total billed charges",,
"NF-AMILORIDE HCL TAB 5MG","0637","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-AMILORIDE HCL TAB 5MG","0637","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.15","5264.58","percent of total billed charges",,
"NF-AMILORIDE HCL TAB 5MG","0637","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INHALATION AEROSOL LIQUID","0637","RC","Both",,,"80","40","Alliant","Health Exchange",,,"62",,"49.6","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INHALATION AEROSOL LIQUID","0637","RC","Both",,,"80","40","Pruitt Healthcare","Medicare Advantage",,,"54",,"43.2","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INHALATION AEROSOL LIQUID","0637","RC","Both",,,"80","40","Medicare",,,,"54",,"43.36","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INHALATION AEROSOL LIQUID","0637","RC","Both",,,"80","40","Humana","Medicare Advantage",,,"54",,"43.36","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INHALATION AEROSOL LIQUID","0637","RC","Both",,,"80","40","UHC","Medicare Advantage",,,"54",,"43.36","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INHALATION AEROSOL LIQUID","0637","RC","Both",,,"80","40","Clover","Medicare Advantage",,,"54",,"43.36","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INHALATION AEROSOL LIQUID","0637","RC","Both",,,"80","40","Wellcare","Medicare Advantage",,,"54",,"43.36","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INHALATION AEROSOL LIQUID","0637","RC","Both",,,"80","40","Amerigroup","Medicaid Managed Care",,,"37",,"29.28","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INHALATION AEROSOL LIQUID","0637","RC","Both",,,"80","40","Caresource","Medicaid Managed Care",,,"40",,"32","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INHALATION AEROSOL LIQUID","0637","RC","Both",,,"80","40","Wellcare","Medicaid Managed Care",,,"40",,"32.4","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INHALATION AEROSOL LIQUID","0637","RC","Both",,,"80","40","Aetna","Commercial",,,"64",,"51.04","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INHALATION AEROSOL LIQUID","0637","RC","Both",,,"80","40","Blue Cross Blue Shield","Pathways",,,"71",,"56.48","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INHALATION AEROSOL LIQUID","0637","RC","Both",,,"80","40","Blue Cross Blue Shield","HMO",,,"71",,"56.48","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INHALATION AEROSOL LIQUID","0637","RC","Both",,,"80","40","Blue Cross Blue Shield","PPO",,,"71",,"56.48","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INHALATION AEROSOL LIQUID","0637","RC","Both",,,"80","40","Ambetter","Health Exchange",,,"62",,"49.6","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INHALATION AEROSOL LIQUID","0637","RC","Both",,,"80","40","Caresource","Health Exchange",,,"62",,"49.6","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INHALATION AEROSOL LIQUID","0637","RC","Both",,,"80","40","Cigna","Commercial",,,"59",,"46.88","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INHALATION AEROSOL LIQUID","0637","RC","Both",,,"80","40","Humana","Commercial",,,"78",,"62","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INHALATION AEROSOL LIQUID","0637","RC","Both",,,"80","40","UHC","Commercial",,,"75",,"60.32","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INHALATION AEROSOL LIQUID","0637","RC","Both",,,"80","40","Medicaid",,,,"37",,"29.28","0.15","5264.58","percent of total billed charges",,
"NF-ENABLEX TAB ER 7.5MG","0637","RC","Both",,,"18","9","Alliant","Health Exchange",,,"62",,"11.16","0.15","5264.58","percent of total billed charges",,
"NF-ENABLEX TAB ER 7.5MG","0637","RC","Both",,,"18","9","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.72","0.15","5264.58","percent of total billed charges",,
"NF-ENABLEX TAB ER 7.5MG","0637","RC","Both",,,"18","9","Medicare",,,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-ENABLEX TAB ER 7.5MG","0637","RC","Both",,,"18","9","Humana","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-ENABLEX TAB ER 7.5MG","0637","RC","Both",,,"18","9","UHC","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-ENABLEX TAB ER 7.5MG","0637","RC","Both",,,"18","9","Clover","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-ENABLEX TAB ER 7.5MG","0637","RC","Both",,,"18","9","Wellcare","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-ENABLEX TAB ER 7.5MG","0637","RC","Both",,,"18","9","Amerigroup","Medicaid Managed Care",,,"37",,"6.59","0.15","5264.58","percent of total billed charges",,
"NF-ENABLEX TAB ER 7.5MG","0637","RC","Both",,,"18","9","Caresource","Medicaid Managed Care",,,"40",,"7.2","0.15","5264.58","percent of total billed charges",,
"NF-ENABLEX TAB ER 7.5MG","0637","RC","Both",,,"18","9","Wellcare","Medicaid Managed Care",,,"40",,"7.29","0.15","5264.58","percent of total billed charges",,
"NF-ENABLEX TAB ER 7.5MG","0637","RC","Both",,,"18","9","Aetna","Commercial",,,"64",,"11.48","0.15","5264.58","percent of total billed charges",,
"NF-ENABLEX TAB ER 7.5MG","0637","RC","Both",,,"18","9","Blue Cross Blue Shield","Pathways",,,"71",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-ENABLEX TAB ER 7.5MG","0637","RC","Both",,,"18","9","Blue Cross Blue Shield","HMO",,,"71",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-ENABLEX TAB ER 7.5MG","0637","RC","Both",,,"18","9","Blue Cross Blue Shield","PPO",,,"71",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-ENABLEX TAB ER 7.5MG","0637","RC","Both",,,"18","9","Ambetter","Health Exchange",,,"62",,"11.16","0.15","5264.58","percent of total billed charges",,
"NF-ENABLEX TAB ER 7.5MG","0637","RC","Both",,,"18","9","Caresource","Health Exchange",,,"62",,"11.16","0.15","5264.58","percent of total billed charges",,
"NF-ENABLEX TAB ER 7.5MG","0637","RC","Both",,,"18","9","Cigna","Commercial",,,"59",,"10.55","0.15","5264.58","percent of total billed charges",,
"NF-ENABLEX TAB ER 7.5MG","0637","RC","Both",,,"18","9","Humana","Commercial",,,"78",,"13.95","0.15","5264.58","percent of total billed charges",,
"NF-ENABLEX TAB ER 7.5MG","0637","RC","Both",,,"18","9","UHC","Commercial",,,"75",,"13.57","0.15","5264.58","percent of total billed charges",,
"NF-ENABLEX TAB ER 7.5MG","0637","RC","Both",,,"18","9","Medicaid",,,,"37",,"6.59","0.15","5264.58","percent of total billed charges",,
"NF-NORFLEX TABLET 100MG","0637","RC","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","0.15","5264.58","percent of total billed charges",,
"NF-NORFLEX TABLET 100MG","0637","RC","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","0.15","5264.58","percent of total billed charges",,
"NF-NORFLEX TABLET 100MG","0637","RC","Both",,,"8","4","Medicare",,,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-NORFLEX TABLET 100MG","0637","RC","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-NORFLEX TABLET 100MG","0637","RC","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-NORFLEX TABLET 100MG","0637","RC","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-NORFLEX TABLET 100MG","0637","RC","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-NORFLEX TABLET 100MG","0637","RC","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","0.15","5264.58","percent of total billed charges",,
"NF-NORFLEX TABLET 100MG","0637","RC","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","0.15","5264.58","percent of total billed charges",,
"NF-NORFLEX TABLET 100MG","0637","RC","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","0.15","5264.58","percent of total billed charges",,
"NF-NORFLEX TABLET 100MG","0637","RC","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","0.15","5264.58","percent of total billed charges",,
"NF-NORFLEX TABLET 100MG","0637","RC","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","0.15","5264.58","percent of total billed charges",,
"NF-NORFLEX TABLET 100MG","0637","RC","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","0.15","5264.58","percent of total billed charges",,
"NF-NORFLEX TABLET 100MG","0637","RC","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","0.15","5264.58","percent of total billed charges",,
"NF-NORFLEX TABLET 100MG","0637","RC","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","0.15","5264.58","percent of total billed charges",,
"NF-NORFLEX TABLET 100MG","0637","RC","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","0.15","5264.58","percent of total billed charges",,
"NF-NORFLEX TABLET 100MG","0637","RC","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","0.15","5264.58","percent of total billed charges",,
"NF-NORFLEX TABLET 100MG","0637","RC","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-NORFLEX TABLET 100MG","0637","RC","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","0.15","5264.58","percent of total billed charges",,
"NF-NORFLEX TABLET 100MG","0637","RC","Both",,,"8","4","Medicaid",,,,"37",,"2.93","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 80MG","0637","RC","Both",,,"1.5","0.75","Alliant","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 80MG","0637","RC","Both",,,"1.5","0.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 80MG","0637","RC","Both",,,"1.5","0.75","Medicare",,,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 80MG","0637","RC","Both",,,"1.5","0.75","Humana","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 80MG","0637","RC","Both",,,"1.5","0.75","UHC","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 80MG","0637","RC","Both",,,"1.5","0.75","Clover","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 80MG","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 80MG","0637","RC","Both",,,"1.5","0.75","Amerigroup","Medicaid Managed Care",,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 80MG","0637","RC","Both",,,"1.5","0.75","Caresource","Medicaid Managed Care",,,"40",,"0.6","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 80MG","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicaid Managed Care",,,"40",,"0.61","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 80MG","0637","RC","Both",,,"1.5","0.75","Aetna","Commercial",,,"64",,"0.96","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 80MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","Pathways",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 80MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","HMO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 80MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","PPO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 80MG","0637","RC","Both",,,"1.5","0.75","Ambetter","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 80MG","0637","RC","Both",,,"1.5","0.75","Caresource","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 80MG","0637","RC","Both",,,"1.5","0.75","Cigna","Commercial",,,"59",,"0.88","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 80MG","0637","RC","Both",,,"1.5","0.75","Humana","Commercial",,,"78",,"1.16","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 80MG","0637","RC","Both",,,"1.5","0.75","UHC","Commercial",,,"75",,"1.13","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 80MG","0637","RC","Both",,,"1.5","0.75","Medicaid",,,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 5MG-20MG","0637","RC","Both",,,"12","6","Alliant","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 5MG-20MG","0637","RC","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.48","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 5MG-20MG","0637","RC","Both",,,"12","6","Medicare",,,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 5MG-20MG","0637","RC","Both",,,"12","6","Humana","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 5MG-20MG","0637","RC","Both",,,"12","6","UHC","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 5MG-20MG","0637","RC","Both",,,"12","6","Clover","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 5MG-20MG","0637","RC","Both",,,"12","6","Wellcare","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 5MG-20MG","0637","RC","Both",,,"12","6","Amerigroup","Medicaid Managed Care",,,"37",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 5MG-20MG","0637","RC","Both",,,"12","6","Caresource","Medicaid Managed Care",,,"40",,"4.8","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 5MG-20MG","0637","RC","Both",,,"12","6","Wellcare","Medicaid Managed Care",,,"40",,"4.86","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 5MG-20MG","0637","RC","Both",,,"12","6","Aetna","Commercial",,,"64",,"7.66","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 5MG-20MG","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","Pathways",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 5MG-20MG","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","HMO",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 5MG-20MG","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","PPO",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 5MG-20MG","0637","RC","Both",,,"12","6","Ambetter","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 5MG-20MG","0637","RC","Both",,,"12","6","Caresource","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 5MG-20MG","0637","RC","Both",,,"12","6","Cigna","Commercial",,,"59",,"7.03","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 5MG-20MG","0637","RC","Both",,,"12","6","Humana","Commercial",,,"78",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 5MG-20MG","0637","RC","Both",,,"12","6","UHC","Commercial",,,"75",,"9.05","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 5MG-20MG","0637","RC","Both",,,"12","6","Medicaid",,,,"37",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-PLENDIL TAB ER 5MG","0637","RC","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-PLENDIL TAB ER 5MG","0637","RC","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","0.15","5264.58","percent of total billed charges",,
"NF-PLENDIL TAB ER 5MG","0637","RC","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-PLENDIL TAB ER 5MG","0637","RC","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-PLENDIL TAB ER 5MG","0637","RC","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-PLENDIL TAB ER 5MG","0637","RC","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-PLENDIL TAB ER 5MG","0637","RC","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-PLENDIL TAB ER 5MG","0637","RC","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","0.15","5264.58","percent of total billed charges",,
"NF-PLENDIL TAB ER 5MG","0637","RC","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","0.15","5264.58","percent of total billed charges",,
"NF-PLENDIL TAB ER 5MG","0637","RC","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","0.15","5264.58","percent of total billed charges",,
"NF-PLENDIL TAB ER 5MG","0637","RC","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","0.15","5264.58","percent of total billed charges",,
"NF-PLENDIL TAB ER 5MG","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-PLENDIL TAB ER 5MG","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-PLENDIL TAB ER 5MG","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-PLENDIL TAB ER 5MG","0637","RC","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-PLENDIL TAB ER 5MG","0637","RC","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-PLENDIL TAB ER 5MG","0637","RC","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","0.15","5264.58","percent of total billed charges",,
"NF-PLENDIL TAB ER 5MG","0637","RC","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-PLENDIL TAB ER 5MG","0637","RC","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","0.15","5264.58","percent of total billed charges",,
"NF-PLENDIL TAB ER 5MG","0637","RC","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","0.15","5264.58","percent of total billed charges",,
"NF-MINOCYCLINE HCL CAP 100MG","0637","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-MINOCYCLINE HCL CAP 100MG","0637","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.15","5264.58","percent of total billed charges",,
"NF-MINOCYCLINE HCL CAP 100MG","0637","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-MINOCYCLINE HCL CAP 100MG","0637","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-MINOCYCLINE HCL CAP 100MG","0637","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-MINOCYCLINE HCL CAP 100MG","0637","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-MINOCYCLINE HCL CAP 100MG","0637","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-MINOCYCLINE HCL CAP 100MG","0637","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-MINOCYCLINE HCL CAP 100MG","0637","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.15","5264.58","percent of total billed charges",,
"NF-MINOCYCLINE HCL CAP 100MG","0637","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-MINOCYCLINE HCL CAP 100MG","0637","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.15","5264.58","percent of total billed charges",,
"NF-MINOCYCLINE HCL CAP 100MG","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-MINOCYCLINE HCL CAP 100MG","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-MINOCYCLINE HCL CAP 100MG","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-MINOCYCLINE HCL CAP 100MG","0637","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-MINOCYCLINE HCL CAP 100MG","0637","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-MINOCYCLINE HCL CAP 100MG","0637","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.15","5264.58","percent of total billed charges",,
"NF-MINOCYCLINE HCL CAP 100MG","0637","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-MINOCYCLINE HCL CAP 100MG","0637","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.15","5264.58","percent of total billed charges",,
"NF-MINOCYCLINE HCL CAP 100MG","0637","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0637","RC","Both",,,"90","45","Alliant","Health Exchange",,,"62",,"55.8","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0637","RC","Both",,,"90","45","Pruitt Healthcare","Medicare Advantage",,,"54",,"48.6","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0637","RC","Both",,,"90","45","Medicare",,,,"54",,"48.78","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0637","RC","Both",,,"90","45","Humana","Medicare Advantage",,,"54",,"48.78","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0637","RC","Both",,,"90","45","UHC","Medicare Advantage",,,"54",,"48.78","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0637","RC","Both",,,"90","45","Clover","Medicare Advantage",,,"54",,"48.78","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0637","RC","Both",,,"90","45","Wellcare","Medicare Advantage",,,"54",,"48.78","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0637","RC","Both",,,"90","45","Amerigroup","Medicaid Managed Care",,,"37",,"32.94","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0637","RC","Both",,,"90","45","Caresource","Medicaid Managed Care",,,"40",,"36","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0637","RC","Both",,,"90","45","Wellcare","Medicaid Managed Care",,,"40",,"36.45","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0637","RC","Both",,,"90","45","Aetna","Commercial",,,"64",,"57.42","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0637","RC","Both",,,"90","45","Blue Cross Blue Shield","Pathways",,,"71",,"63.54","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0637","RC","Both",,,"90","45","Blue Cross Blue Shield","HMO",,,"71",,"63.54","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0637","RC","Both",,,"90","45","Blue Cross Blue Shield","PPO",,,"71",,"63.54","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0637","RC","Both",,,"90","45","Ambetter","Health Exchange",,,"62",,"55.8","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0637","RC","Both",,,"90","45","Caresource","Health Exchange",,,"62",,"55.8","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0637","RC","Both",,,"90","45","Cigna","Commercial",,,"59",,"52.74","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0637","RC","Both",,,"90","45","Humana","Commercial",,,"78",,"69.75","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0637","RC","Both",,,"90","45","UHC","Commercial",,,"75",,"67.86","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0637","RC","Both",,,"90","45","Medicaid",,,,"37",,"32.94","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR HCT TAB 40MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Alliant","Health Exchange",,,"62",,"8.99","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR HCT TAB 40MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.83","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR HCT TAB 40MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Medicare",,,,"54",,"7.86","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR HCT TAB 40MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Humana","Medicare Advantage",,,"54",,"7.86","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR HCT TAB 40MG-12.5MG","0637","RC","Both",,,"14.5","7.25","UHC","Medicare Advantage",,,"54",,"7.86","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR HCT TAB 40MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Clover","Medicare Advantage",,,"54",,"7.86","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR HCT TAB 40MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Wellcare","Medicare Advantage",,,"54",,"7.86","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR HCT TAB 40MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Amerigroup","Medicaid Managed Care",,,"37",,"5.31","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR HCT TAB 40MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Caresource","Medicaid Managed Care",,,"40",,"5.8","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR HCT TAB 40MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Wellcare","Medicaid Managed Care",,,"40",,"5.87","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR HCT TAB 40MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Aetna","Commercial",,,"64",,"9.25","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR HCT TAB 40MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Blue Cross Blue Shield","Pathways",,,"71",,"10.24","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR HCT TAB 40MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Blue Cross Blue Shield","HMO",,,"71",,"10.24","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR HCT TAB 40MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Blue Cross Blue Shield","PPO",,,"71",,"10.24","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR HCT TAB 40MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Ambetter","Health Exchange",,,"62",,"8.99","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR HCT TAB 40MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Caresource","Health Exchange",,,"62",,"8.99","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR HCT TAB 40MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Cigna","Commercial",,,"59",,"8.5","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR HCT TAB 40MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Humana","Commercial",,,"78",,"11.24","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR HCT TAB 40MG-12.5MG","0637","RC","Both",,,"14.5","7.25","UHC","Commercial",,,"75",,"10.93","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR HCT TAB 40MG-12.5MG","0637","RC","Both",,,"14.5","7.25","Medicaid",,,,"37",,"5.31","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 10MG-40MG","0637","RC","Both",,,"19.5","9.75","Alliant","Health Exchange",,,"62",,"12.09","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 10MG-40MG","0637","RC","Both",,,"19.5","9.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.53","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 10MG-40MG","0637","RC","Both",,,"19.5","9.75","Medicare",,,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 10MG-40MG","0637","RC","Both",,,"19.5","9.75","Humana","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 10MG-40MG","0637","RC","Both",,,"19.5","9.75","UHC","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 10MG-40MG","0637","RC","Both",,,"19.5","9.75","Clover","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 10MG-40MG","0637","RC","Both",,,"19.5","9.75","Wellcare","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 10MG-40MG","0637","RC","Both",,,"19.5","9.75","Amerigroup","Medicaid Managed Care",,,"37",,"7.14","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 10MG-40MG","0637","RC","Both",,,"19.5","9.75","Caresource","Medicaid Managed Care",,,"40",,"7.8","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 10MG-40MG","0637","RC","Both",,,"19.5","9.75","Wellcare","Medicaid Managed Care",,,"40",,"7.9","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 10MG-40MG","0637","RC","Both",,,"19.5","9.75","Aetna","Commercial",,,"64",,"12.44","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 10MG-40MG","0637","RC","Both",,,"19.5","9.75","Blue Cross Blue Shield","Pathways",,,"71",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 10MG-40MG","0637","RC","Both",,,"19.5","9.75","Blue Cross Blue Shield","HMO",,,"71",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 10MG-40MG","0637","RC","Both",,,"19.5","9.75","Blue Cross Blue Shield","PPO",,,"71",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 10MG-40MG","0637","RC","Both",,,"19.5","9.75","Ambetter","Health Exchange",,,"62",,"12.09","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 10MG-40MG","0637","RC","Both",,,"19.5","9.75","Caresource","Health Exchange",,,"62",,"12.09","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 10MG-40MG","0637","RC","Both",,,"19.5","9.75","Cigna","Commercial",,,"59",,"11.43","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 10MG-40MG","0637","RC","Both",,,"19.5","9.75","Humana","Commercial",,,"78",,"15.11","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 10MG-40MG","0637","RC","Both",,,"19.5","9.75","UHC","Commercial",,,"75",,"14.7","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 10MG-40MG","0637","RC","Both",,,"19.5","9.75","Medicaid",,,,"37",,"7.14","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH SOLN 0.5%","0637","RC","Both",,,"4.5","2.25","Alliant","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH SOLN 0.5%","0637","RC","Both",,,"4.5","2.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH SOLN 0.5%","0637","RC","Both",,,"4.5","2.25","Medicare",,,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH SOLN 0.5%","0637","RC","Both",,,"4.5","2.25","Humana","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH SOLN 0.5%","0637","RC","Both",,,"4.5","2.25","UHC","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH SOLN 0.5%","0637","RC","Both",,,"4.5","2.25","Clover","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH SOLN 0.5%","0637","RC","Both",,,"4.5","2.25","Wellcare","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH SOLN 0.5%","0637","RC","Both",,,"4.5","2.25","Amerigroup","Medicaid Managed Care",,,"37",,"1.65","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH SOLN 0.5%","0637","RC","Both",,,"4.5","2.25","Caresource","Medicaid Managed Care",,,"40",,"1.8","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH SOLN 0.5%","0637","RC","Both",,,"4.5","2.25","Wellcare","Medicaid Managed Care",,,"40",,"1.82","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH SOLN 0.5%","0637","RC","Both",,,"4.5","2.25","Aetna","Commercial",,,"64",,"2.87","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH SOLN 0.5%","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","Pathways",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH SOLN 0.5%","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","HMO",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH SOLN 0.5%","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","PPO",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH SOLN 0.5%","0637","RC","Both",,,"4.5","2.25","Ambetter","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH SOLN 0.5%","0637","RC","Both",,,"4.5","2.25","Caresource","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH SOLN 0.5%","0637","RC","Both",,,"4.5","2.25","Cigna","Commercial",,,"59",,"2.64","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH SOLN 0.5%","0637","RC","Both",,,"4.5","2.25","Humana","Commercial",,,"78",,"3.49","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH SOLN 0.5%","0637","RC","Both",,,"4.5","2.25","UHC","Commercial",,,"75",,"3.39","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH SOLN 0.5%","0637","RC","Both",,,"4.5","2.25","Medicaid",,,,"37",,"1.65","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"19","9.5","Alliant","Health Exchange",,,"62",,"11.78","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"19","9.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.26","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"19","9.5","Medicare",,,,"54",,"10.3","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"19","9.5","Humana","Medicare Advantage",,,"54",,"10.3","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"19","9.5","UHC","Medicare Advantage",,,"54",,"10.3","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"19","9.5","Clover","Medicare Advantage",,,"54",,"10.3","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"19","9.5","Wellcare","Medicare Advantage",,,"54",,"10.3","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"19","9.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.95","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"19","9.5","Caresource","Medicaid Managed Care",,,"40",,"7.6","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"19","9.5","Wellcare","Medicaid Managed Care",,,"40",,"7.7","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"19","9.5","Aetna","Commercial",,,"64",,"12.12","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"19","9.5","Blue Cross Blue Shield","Pathways",,,"71",,"13.41","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"19","9.5","Blue Cross Blue Shield","HMO",,,"71",,"13.41","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"19","9.5","Blue Cross Blue Shield","PPO",,,"71",,"13.41","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"19","9.5","Ambetter","Health Exchange",,,"62",,"11.78","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"19","9.5","Caresource","Health Exchange",,,"62",,"11.78","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"19","9.5","Cigna","Commercial",,,"59",,"11.13","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"19","9.5","Humana","Commercial",,,"78",,"14.72","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"19","9.5","UHC","Commercial",,,"75",,"14.33","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"19","9.5","Medicaid",,,,"37",,"6.95","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH SOLN 0.5%","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH SOLN 0.5%","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH SOLN 0.5%","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH SOLN 0.5%","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH SOLN 0.5%","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH SOLN 0.5%","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH SOLN 0.5%","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH SOLN 0.5%","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH SOLN 0.5%","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH SOLN 0.5%","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH SOLN 0.5%","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH SOLN 0.5%","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH SOLN 0.5%","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH SOLN 0.5%","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH SOLN 0.5%","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH SOLN 0.5%","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH SOLN 0.5%","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH SOLN 0.5%","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH SOLN 0.5%","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH SOLN 0.5%","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWIST INH/NEB POWDER 220MCG/A","0637","RC","Both",,,"554.5","277.25","Alliant","Health Exchange",,,"62",,"343.79","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWIST INH/NEB POWDER 220MCG/A","0637","RC","Both",,,"554.5","277.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"299.43","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWIST INH/NEB POWDER 220MCG/A","0637","RC","Both",,,"554.5","277.25","Medicare",,,,"54",,"300.54","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWIST INH/NEB POWDER 220MCG/A","0637","RC","Both",,,"554.5","277.25","Humana","Medicare Advantage",,,"54",,"300.54","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWIST INH/NEB POWDER 220MCG/A","0637","RC","Both",,,"554.5","277.25","UHC","Medicare Advantage",,,"54",,"300.54","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWIST INH/NEB POWDER 220MCG/A","0637","RC","Both",,,"554.5","277.25","Clover","Medicare Advantage",,,"54",,"300.54","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWIST INH/NEB POWDER 220MCG/A","0637","RC","Both",,,"554.5","277.25","Wellcare","Medicare Advantage",,,"54",,"300.54","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWIST INH/NEB POWDER 220MCG/A","0637","RC","Both",,,"554.5","277.25","Amerigroup","Medicaid Managed Care",,,"37",,"202.95","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWIST INH/NEB POWDER 220MCG/A","0637","RC","Both",,,"554.5","277.25","Caresource","Medicaid Managed Care",,,"40",,"221.8","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWIST INH/NEB POWDER 220MCG/A","0637","RC","Both",,,"554.5","277.25","Wellcare","Medicaid Managed Care",,,"40",,"224.57","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWIST INH/NEB POWDER 220MCG/A","0637","RC","Both",,,"554.5","277.25","Aetna","Commercial",,,"64",,"353.77","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWIST INH/NEB POWDER 220MCG/A","0637","RC","Both",,,"554.5","277.25","Blue Cross Blue Shield","Pathways",,,"71",,"391.48","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWIST INH/NEB POWDER 220MCG/A","0637","RC","Both",,,"554.5","277.25","Blue Cross Blue Shield","HMO",,,"71",,"391.48","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWIST INH/NEB POWDER 220MCG/A","0637","RC","Both",,,"554.5","277.25","Blue Cross Blue Shield","PPO",,,"71",,"391.48","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWIST INH/NEB POWDER 220MCG/A","0637","RC","Both",,,"554.5","277.25","Ambetter","Health Exchange",,,"62",,"343.79","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWIST INH/NEB POWDER 220MCG/A","0637","RC","Both",,,"554.5","277.25","Caresource","Health Exchange",,,"62",,"343.79","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWIST INH/NEB POWDER 220MCG/A","0637","RC","Both",,,"554.5","277.25","Cigna","Commercial",,,"59",,"324.94","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWIST INH/NEB POWDER 220MCG/A","0637","RC","Both",,,"554.5","277.25","Humana","Commercial",,,"78",,"429.74","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWIST INH/NEB POWDER 220MCG/A","0637","RC","Both",,,"554.5","277.25","UHC","Commercial",,,"75",,"418.09","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWIST INH/NEB POWDER 220MCG/A","0637","RC","Both",,,"554.5","277.25","Medicaid",,,,"37",,"202.95","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX ORAL TABLET 70MG","0637","RC","Both",,,"85.5","42.75","Alliant","Health Exchange",,,"62",,"53.01","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX ORAL TABLET 70MG","0637","RC","Both",,,"85.5","42.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"46.17","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX ORAL TABLET 70MG","0637","RC","Both",,,"85.5","42.75","Medicare",,,,"54",,"46.34","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX ORAL TABLET 70MG","0637","RC","Both",,,"85.5","42.75","Humana","Medicare Advantage",,,"54",,"46.34","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX ORAL TABLET 70MG","0637","RC","Both",,,"85.5","42.75","UHC","Medicare Advantage",,,"54",,"46.34","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX ORAL TABLET 70MG","0637","RC","Both",,,"85.5","42.75","Clover","Medicare Advantage",,,"54",,"46.34","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX ORAL TABLET 70MG","0637","RC","Both",,,"85.5","42.75","Wellcare","Medicare Advantage",,,"54",,"46.34","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX ORAL TABLET 70MG","0637","RC","Both",,,"85.5","42.75","Amerigroup","Medicaid Managed Care",,,"37",,"31.29","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX ORAL TABLET 70MG","0637","RC","Both",,,"85.5","42.75","Caresource","Medicaid Managed Care",,,"40",,"34.2","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX ORAL TABLET 70MG","0637","RC","Both",,,"85.5","42.75","Wellcare","Medicaid Managed Care",,,"40",,"34.63","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX ORAL TABLET 70MG","0637","RC","Both",,,"85.5","42.75","Aetna","Commercial",,,"64",,"54.55","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX ORAL TABLET 70MG","0637","RC","Both",,,"85.5","42.75","Blue Cross Blue Shield","Pathways",,,"71",,"60.36","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX ORAL TABLET 70MG","0637","RC","Both",,,"85.5","42.75","Blue Cross Blue Shield","HMO",,,"71",,"60.36","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX ORAL TABLET 70MG","0637","RC","Both",,,"85.5","42.75","Blue Cross Blue Shield","PPO",,,"71",,"60.36","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX ORAL TABLET 70MG","0637","RC","Both",,,"85.5","42.75","Ambetter","Health Exchange",,,"62",,"53.01","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX ORAL TABLET 70MG","0637","RC","Both",,,"85.5","42.75","Caresource","Health Exchange",,,"62",,"53.01","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX ORAL TABLET 70MG","0637","RC","Both",,,"85.5","42.75","Cigna","Commercial",,,"59",,"50.1","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX ORAL TABLET 70MG","0637","RC","Both",,,"85.5","42.75","Humana","Commercial",,,"78",,"66.26","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX ORAL TABLET 70MG","0637","RC","Both",,,"85.5","42.75","UHC","Commercial",,,"75",,"64.47","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX ORAL TABLET 70MG","0637","RC","Both",,,"85.5","42.75","Medicaid",,,,"37",,"31.29","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN B1 TABLET 100MG","0250","RC","Both",,,"0.11","0.055","Alliant","Health Exchange",,,"62",,"0.07","0.04","569.62","percent of total billed charges",,
"NF-VITAMIN B1 TABLET 100MG","0250","RC","Both",,,"0.11","0.055","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.06","0.04","569.62","percent of total billed charges",,
"NF-VITAMIN B1 TABLET 100MG","0250","RC","Both",,,"0.11","0.055","Medicare",,,,"54",,"0.06","0.04","569.62","percent of total billed charges",,
"NF-VITAMIN B1 TABLET 100MG","0250","RC","Both",,,"0.11","0.055","Humana","Medicare Advantage",,,"54",,"0.06","0.04","569.62","percent of total billed charges",,
"NF-VITAMIN B1 TABLET 100MG","0250","RC","Both",,,"0.11","0.055","UHC","Medicare Advantage",,,"54",,"0.06","0.04","569.62","percent of total billed charges",,
"NF-VITAMIN B1 TABLET 100MG","0250","RC","Both",,,"0.11","0.055","Clover","Medicare Advantage",,,"54",,"0.06","0.04","569.62","percent of total billed charges",,
"NF-VITAMIN B1 TABLET 100MG","0250","RC","Both",,,"0.11","0.055","Wellcare","Medicare Advantage",,,"54",,"0.06","0.04","569.62","percent of total billed charges",,
"NF-VITAMIN B1 TABLET 100MG","0250","RC","Both",,,"0.11","0.055","Amerigroup","Medicaid Managed Care",,,"37",,"0.04","0.04","569.62","percent of total billed charges",,
"NF-VITAMIN B1 TABLET 100MG","0250","RC","Both",,,"0.11","0.055","Caresource","Medicaid Managed Care",,,"40",,"0.04","0.04","569.62","percent of total billed charges",,
"NF-VITAMIN B1 TABLET 100MG","0250","RC","Both",,,"0.11","0.055","Wellcare","Medicaid Managed Care",,,"40",,"0.04","0.04","569.62","percent of total billed charges",,
"NF-VITAMIN B1 TABLET 100MG","0250","RC","Both",,,"0.11","0.055","Aetna","Commercial",,,"64",,"0.07","0.04","569.62","percent of total billed charges",,
"NF-VITAMIN B1 TABLET 100MG","0250","RC","Both",,,"0.11","0.055","Blue Cross Blue Shield","Pathways",,,"71",,"0.08","0.04","569.62","percent of total billed charges",,
"NF-VITAMIN B1 TABLET 100MG","0250","RC","Both",,,"0.11","0.055","Blue Cross Blue Shield","HMO",,,"71",,"0.08","0.04","569.62","percent of total billed charges",,
"NF-VITAMIN B1 TABLET 100MG","0250","RC","Both",,,"0.11","0.055","Blue Cross Blue Shield","PPO",,,"71",,"0.08","0.04","569.62","percent of total billed charges",,
"NF-VITAMIN B1 TABLET 100MG","0250","RC","Both",,,"0.11","0.055","Ambetter","Health Exchange",,,"62",,"0.07","0.04","569.62","percent of total billed charges",,
"NF-VITAMIN B1 TABLET 100MG","0250","RC","Both",,,"0.11","0.055","Caresource","Health Exchange",,,"62",,"0.07","0.04","569.62","percent of total billed charges",,
"NF-VITAMIN B1 TABLET 100MG","0250","RC","Both",,,"0.11","0.055","Cigna","Commercial",,,"59",,"0.06","0.04","569.62","percent of total billed charges",,
"NF-VITAMIN B1 TABLET 100MG","0250","RC","Both",,,"0.11","0.055","Humana","Commercial",,,"78",,"0.09","0.04","569.62","percent of total billed charges",,
"NF-VITAMIN B1 TABLET 100MG","0250","RC","Both",,,"0.11","0.055","UHC","Commercial",,,"75",,"0.08","0.04","569.62","percent of total billed charges",,
"NF-VITAMIN B1 TABLET 100MG","0250","RC","Both",,,"0.11","0.055","Medicaid",,,,"37",,"0.04","0.04","569.62","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"139.5","69.75","Alliant","Health Exchange",,,"62",,"86.49","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"139.5","69.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"75.33","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"139.5","69.75","Medicare",,,,"54",,"75.61","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"139.5","69.75","Humana","Medicare Advantage",,,"54",,"75.61","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"139.5","69.75","UHC","Medicare Advantage",,,"54",,"75.61","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"139.5","69.75","Clover","Medicare Advantage",,,"54",,"75.61","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"139.5","69.75","Wellcare","Medicare Advantage",,,"54",,"75.61","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"139.5","69.75","Amerigroup","Medicaid Managed Care",,,"37",,"51.06","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"139.5","69.75","Caresource","Medicaid Managed Care",,,"40",,"55.8","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"139.5","69.75","Wellcare","Medicaid Managed Care",,,"40",,"56.5","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"139.5","69.75","Aetna","Commercial",,,"64",,"89","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"139.5","69.75","Blue Cross Blue Shield","Pathways",,,"71",,"98.49","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"139.5","69.75","Blue Cross Blue Shield","HMO",,,"71",,"98.49","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"139.5","69.75","Blue Cross Blue Shield","PPO",,,"71",,"98.49","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"139.5","69.75","Ambetter","Health Exchange",,,"62",,"86.49","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"139.5","69.75","Caresource","Health Exchange",,,"62",,"86.49","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"139.5","69.75","Cigna","Commercial",,,"59",,"81.75","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"139.5","69.75","Humana","Commercial",,,"78",,"108.11","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"139.5","69.75","UHC","Commercial",,,"75",,"105.18","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"139.5","69.75","Medicaid",,,,"37",,"51.06","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 10MG","0637","RC","Both",,,"4.5","2.25","Alliant","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 10MG","0637","RC","Both",,,"4.5","2.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 10MG","0637","RC","Both",,,"4.5","2.25","Medicare",,,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 10MG","0637","RC","Both",,,"4.5","2.25","Humana","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 10MG","0637","RC","Both",,,"4.5","2.25","UHC","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 10MG","0637","RC","Both",,,"4.5","2.25","Clover","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 10MG","0637","RC","Both",,,"4.5","2.25","Wellcare","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 10MG","0637","RC","Both",,,"4.5","2.25","Amerigroup","Medicaid Managed Care",,,"37",,"1.65","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 10MG","0637","RC","Both",,,"4.5","2.25","Caresource","Medicaid Managed Care",,,"40",,"1.8","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 10MG","0637","RC","Both",,,"4.5","2.25","Wellcare","Medicaid Managed Care",,,"40",,"1.82","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 10MG","0637","RC","Both",,,"4.5","2.25","Aetna","Commercial",,,"64",,"2.87","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 10MG","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","Pathways",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 10MG","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","HMO",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 10MG","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","PPO",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 10MG","0637","RC","Both",,,"4.5","2.25","Ambetter","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 10MG","0637","RC","Both",,,"4.5","2.25","Caresource","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 10MG","0637","RC","Both",,,"4.5","2.25","Cigna","Commercial",,,"59",,"2.64","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 10MG","0637","RC","Both",,,"4.5","2.25","Humana","Commercial",,,"78",,"3.49","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 10MG","0637","RC","Both",,,"4.5","2.25","UHC","Commercial",,,"75",,"3.39","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 10MG","0637","RC","Both",,,"4.5","2.25","Medicaid",,,,"37",,"1.65","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE ORAL TABLET 20MG","0637","RC","Both",,,"11.5","5.75","Alliant","Health Exchange",,,"62",,"7.13","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE ORAL TABLET 20MG","0637","RC","Both",,,"11.5","5.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.21","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE ORAL TABLET 20MG","0637","RC","Both",,,"11.5","5.75","Medicare",,,,"54",,"6.23","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE ORAL TABLET 20MG","0637","RC","Both",,,"11.5","5.75","Humana","Medicare Advantage",,,"54",,"6.23","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE ORAL TABLET 20MG","0637","RC","Both",,,"11.5","5.75","UHC","Medicare Advantage",,,"54",,"6.23","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE ORAL TABLET 20MG","0637","RC","Both",,,"11.5","5.75","Clover","Medicare Advantage",,,"54",,"6.23","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE ORAL TABLET 20MG","0637","RC","Both",,,"11.5","5.75","Wellcare","Medicare Advantage",,,"54",,"6.23","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE ORAL TABLET 20MG","0637","RC","Both",,,"11.5","5.75","Amerigroup","Medicaid Managed Care",,,"37",,"4.21","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE ORAL TABLET 20MG","0637","RC","Both",,,"11.5","5.75","Caresource","Medicaid Managed Care",,,"40",,"4.6","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE ORAL TABLET 20MG","0637","RC","Both",,,"11.5","5.75","Wellcare","Medicaid Managed Care",,,"40",,"4.66","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE ORAL TABLET 20MG","0637","RC","Both",,,"11.5","5.75","Aetna","Commercial",,,"64",,"7.34","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE ORAL TABLET 20MG","0637","RC","Both",,,"11.5","5.75","Blue Cross Blue Shield","Pathways",,,"71",,"8.12","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE ORAL TABLET 20MG","0637","RC","Both",,,"11.5","5.75","Blue Cross Blue Shield","HMO",,,"71",,"8.12","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE ORAL TABLET 20MG","0637","RC","Both",,,"11.5","5.75","Blue Cross Blue Shield","PPO",,,"71",,"8.12","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE ORAL TABLET 20MG","0637","RC","Both",,,"11.5","5.75","Ambetter","Health Exchange",,,"62",,"7.13","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE ORAL TABLET 20MG","0637","RC","Both",,,"11.5","5.75","Caresource","Health Exchange",,,"62",,"7.13","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE ORAL TABLET 20MG","0637","RC","Both",,,"11.5","5.75","Cigna","Commercial",,,"59",,"6.74","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE ORAL TABLET 20MG","0637","RC","Both",,,"11.5","5.75","Humana","Commercial",,,"78",,"8.91","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE ORAL TABLET 20MG","0637","RC","Both",,,"11.5","5.75","UHC","Commercial",,,"75",,"8.67","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE ORAL TABLET 20MG","0637","RC","Both",,,"11.5","5.75","Medicaid",,,,"37",,"4.21","0.15","5264.58","percent of total billed charges",,
"NF-PROBENECID TAB 500MG","0637","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-PROBENECID TAB 500MG","0637","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-PROBENECID TAB 500MG","0637","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-PROBENECID TAB 500MG","0637","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-PROBENECID TAB 500MG","0637","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-PROBENECID TAB 500MG","0637","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-PROBENECID TAB 500MG","0637","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-PROBENECID TAB 500MG","0637","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-PROBENECID TAB 500MG","0637","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.15","5264.58","percent of total billed charges",,
"NF-PROBENECID TAB 500MG","0637","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.15","5264.58","percent of total billed charges",,
"NF-PROBENECID TAB 500MG","0637","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.15","5264.58","percent of total billed charges",,
"NF-PROBENECID TAB 500MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-PROBENECID TAB 500MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-PROBENECID TAB 500MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-PROBENECID TAB 500MG","0637","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-PROBENECID TAB 500MG","0637","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-PROBENECID TAB 500MG","0637","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-PROBENECID TAB 500MG","0637","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.15","5264.58","percent of total billed charges",,
"NF-PROBENECID TAB 500MG","0637","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.15","5264.58","percent of total billed charges",,
"NF-PROBENECID TAB 500MG","0637","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS TAB 0.6MG","0637","RC","Both",,,"17.5","8.75","Alliant","Health Exchange",,,"62",,"10.85","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS TAB 0.6MG","0637","RC","Both",,,"17.5","8.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.45","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS TAB 0.6MG","0637","RC","Both",,,"17.5","8.75","Medicare",,,,"54",,"9.49","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS TAB 0.6MG","0637","RC","Both",,,"17.5","8.75","Humana","Medicare Advantage",,,"54",,"9.49","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS TAB 0.6MG","0637","RC","Both",,,"17.5","8.75","UHC","Medicare Advantage",,,"54",,"9.49","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS TAB 0.6MG","0637","RC","Both",,,"17.5","8.75","Clover","Medicare Advantage",,,"54",,"9.49","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS TAB 0.6MG","0637","RC","Both",,,"17.5","8.75","Wellcare","Medicare Advantage",,,"54",,"9.49","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS TAB 0.6MG","0637","RC","Both",,,"17.5","8.75","Amerigroup","Medicaid Managed Care",,,"37",,"6.4","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS TAB 0.6MG","0637","RC","Both",,,"17.5","8.75","Caresource","Medicaid Managed Care",,,"40",,"7","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS TAB 0.6MG","0637","RC","Both",,,"17.5","8.75","Wellcare","Medicaid Managed Care",,,"40",,"7.09","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS TAB 0.6MG","0637","RC","Both",,,"17.5","8.75","Aetna","Commercial",,,"64",,"11.16","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS TAB 0.6MG","0637","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","Pathways",,,"71",,"12.35","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS TAB 0.6MG","0637","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","HMO",,,"71",,"12.35","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS TAB 0.6MG","0637","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","PPO",,,"71",,"12.35","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS TAB 0.6MG","0637","RC","Both",,,"17.5","8.75","Ambetter","Health Exchange",,,"62",,"10.85","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS TAB 0.6MG","0637","RC","Both",,,"17.5","8.75","Caresource","Health Exchange",,,"62",,"10.85","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS TAB 0.6MG","0637","RC","Both",,,"17.5","8.75","Cigna","Commercial",,,"59",,"10.26","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS TAB 0.6MG","0637","RC","Both",,,"17.5","8.75","Humana","Commercial",,,"78",,"13.56","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS TAB 0.6MG","0637","RC","Both",,,"17.5","8.75","UHC","Commercial",,,"75",,"13.2","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS TAB 0.6MG","0637","RC","Both",,,"17.5","8.75","Medicaid",,,,"37",,"6.4","0.15","5264.58","percent of total billed charges",,
"NF-CREON CAP DR","0637","RC","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"NF-CREON CAP DR","0637","RC","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","0.15","5264.58","percent of total billed charges",,
"NF-CREON CAP DR","0637","RC","Both",,,"22","11","Medicare",,,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NF-CREON CAP DR","0637","RC","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NF-CREON CAP DR","0637","RC","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NF-CREON CAP DR","0637","RC","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NF-CREON CAP DR","0637","RC","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NF-CREON CAP DR","0637","RC","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"NF-CREON CAP DR","0637","RC","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","0.15","5264.58","percent of total billed charges",,
"NF-CREON CAP DR","0637","RC","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","0.15","5264.58","percent of total billed charges",,
"NF-CREON CAP DR","0637","RC","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","0.15","5264.58","percent of total billed charges",,
"NF-CREON CAP DR","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"NF-CREON CAP DR","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"NF-CREON CAP DR","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"NF-CREON CAP DR","0637","RC","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"NF-CREON CAP DR","0637","RC","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"NF-CREON CAP DR","0637","RC","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","0.15","5264.58","percent of total billed charges",,
"NF-CREON CAP DR","0637","RC","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","0.15","5264.58","percent of total billed charges",,
"NF-CREON CAP DR","0637","RC","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","0.15","5264.58","percent of total billed charges",,
"NF-CREON CAP DR","0637","RC","Both",,,"22","11","Medicaid",,,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"46","23","Alliant","Health Exchange",,,"62",,"28.52","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"46","23","Pruitt Healthcare","Medicare Advantage",,,"54",,"24.84","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"46","23","Medicare",,,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"46","23","Humana","Medicare Advantage",,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"46","23","UHC","Medicare Advantage",,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"46","23","Clover","Medicare Advantage",,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"46","23","Wellcare","Medicare Advantage",,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"46","23","Amerigroup","Medicaid Managed Care",,,"37",,"16.84","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"46","23","Caresource","Medicaid Managed Care",,,"40",,"18.4","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"46","23","Wellcare","Medicaid Managed Care",,,"40",,"18.63","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"46","23","Aetna","Commercial",,,"64",,"29.35","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"46","23","Blue Cross Blue Shield","Pathways",,,"71",,"32.48","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"46","23","Blue Cross Blue Shield","HMO",,,"71",,"32.48","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"46","23","Blue Cross Blue Shield","PPO",,,"71",,"32.48","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"46","23","Ambetter","Health Exchange",,,"62",,"28.52","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"46","23","Caresource","Health Exchange",,,"62",,"28.52","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"46","23","Cigna","Commercial",,,"59",,"26.96","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"46","23","Humana","Commercial",,,"78",,"35.65","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"46","23","UHC","Commercial",,,"75",,"34.68","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"46","23","Medicaid",,,,"37",,"16.84","0.15","5264.58","percent of total billed charges",,
"ROPINIROLE (REQUIP) TABLET: 1MG","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"ROPINIROLE (REQUIP) TABLET: 1MG","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"ROPINIROLE (REQUIP) TABLET: 1MG","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"ROPINIROLE (REQUIP) TABLET: 1MG","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"ROPINIROLE (REQUIP) TABLET: 1MG","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"ROPINIROLE (REQUIP) TABLET: 1MG","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"ROPINIROLE (REQUIP) TABLET: 1MG","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"ROPINIROLE (REQUIP) TABLET: 1MG","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"ROPINIROLE (REQUIP) TABLET: 1MG","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"ROPINIROLE (REQUIP) TABLET: 1MG","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"ROPINIROLE (REQUIP) TABLET: 1MG","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"ROPINIROLE (REQUIP) TABLET: 1MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"ROPINIROLE (REQUIP) TABLET: 1MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"ROPINIROLE (REQUIP) TABLET: 1MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"ROPINIROLE (REQUIP) TABLET: 1MG","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"ROPINIROLE (REQUIP) TABLET: 1MG","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"ROPINIROLE (REQUIP) TABLET: 1MG","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"ROPINIROLE (REQUIP) TABLET: 1MG","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"ROPINIROLE (REQUIP) TABLET: 1MG","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"ROPINIROLE (REQUIP) TABLET: 1MG","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"NF-RENAGEL TAB 800MG","0637","RC","Both",,,"5.5","2.75","Alliant","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-RENAGEL TAB 800MG","0637","RC","Both",,,"5.5","2.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.97","0.15","5264.58","percent of total billed charges",,
"NF-RENAGEL TAB 800MG","0637","RC","Both",,,"5.5","2.75","Medicare",,,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-RENAGEL TAB 800MG","0637","RC","Both",,,"5.5","2.75","Humana","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-RENAGEL TAB 800MG","0637","RC","Both",,,"5.5","2.75","UHC","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-RENAGEL TAB 800MG","0637","RC","Both",,,"5.5","2.75","Clover","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-RENAGEL TAB 800MG","0637","RC","Both",,,"5.5","2.75","Wellcare","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-RENAGEL TAB 800MG","0637","RC","Both",,,"5.5","2.75","Amerigroup","Medicaid Managed Care",,,"37",,"2.01","0.15","5264.58","percent of total billed charges",,
"NF-RENAGEL TAB 800MG","0637","RC","Both",,,"5.5","2.75","Caresource","Medicaid Managed Care",,,"40",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-RENAGEL TAB 800MG","0637","RC","Both",,,"5.5","2.75","Wellcare","Medicaid Managed Care",,,"40",,"2.23","0.15","5264.58","percent of total billed charges",,
"NF-RENAGEL TAB 800MG","0637","RC","Both",,,"5.5","2.75","Aetna","Commercial",,,"64",,"3.51","0.15","5264.58","percent of total billed charges",,
"NF-RENAGEL TAB 800MG","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","Pathways",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-RENAGEL TAB 800MG","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","HMO",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-RENAGEL TAB 800MG","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","PPO",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-RENAGEL TAB 800MG","0637","RC","Both",,,"5.5","2.75","Ambetter","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-RENAGEL TAB 800MG","0637","RC","Both",,,"5.5","2.75","Caresource","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-RENAGEL TAB 800MG","0637","RC","Both",,,"5.5","2.75","Cigna","Commercial",,,"59",,"3.22","0.15","5264.58","percent of total billed charges",,
"NF-RENAGEL TAB 800MG","0637","RC","Both",,,"5.5","2.75","Humana","Commercial",,,"78",,"4.26","0.15","5264.58","percent of total billed charges",,
"NF-RENAGEL TAB 800MG","0637","RC","Both",,,"5.5","2.75","UHC","Commercial",,,"75",,"4.15","0.15","5264.58","percent of total billed charges",,
"NF-RENAGEL TAB 800MG","0637","RC","Both",,,"5.5","2.75","Medicaid",,,,"37",,"2.01","0.15","5264.58","percent of total billed charges",,
"NF-SOMA TAB 350MG","0637","RC","Both",,,"23","11.5","Alliant","Health Exchange",,,"62",,"14.26","0.15","5264.58","percent of total billed charges",,
"NF-SOMA TAB 350MG","0637","RC","Both",,,"23","11.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.42","0.15","5264.58","percent of total billed charges",,
"NF-SOMA TAB 350MG","0637","RC","Both",,,"23","11.5","Medicare",,,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-SOMA TAB 350MG","0637","RC","Both",,,"23","11.5","Humana","Medicare Advantage",,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-SOMA TAB 350MG","0637","RC","Both",,,"23","11.5","UHC","Medicare Advantage",,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-SOMA TAB 350MG","0637","RC","Both",,,"23","11.5","Clover","Medicare Advantage",,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-SOMA TAB 350MG","0637","RC","Both",,,"23","11.5","Wellcare","Medicare Advantage",,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-SOMA TAB 350MG","0637","RC","Both",,,"23","11.5","Amerigroup","Medicaid Managed Care",,,"37",,"8.42","0.15","5264.58","percent of total billed charges",,
"NF-SOMA TAB 350MG","0637","RC","Both",,,"23","11.5","Caresource","Medicaid Managed Care",,,"40",,"9.2","0.15","5264.58","percent of total billed charges",,
"NF-SOMA TAB 350MG","0637","RC","Both",,,"23","11.5","Wellcare","Medicaid Managed Care",,,"40",,"9.32","0.15","5264.58","percent of total billed charges",,
"NF-SOMA TAB 350MG","0637","RC","Both",,,"23","11.5","Aetna","Commercial",,,"64",,"14.67","0.15","5264.58","percent of total billed charges",,
"NF-SOMA TAB 350MG","0637","RC","Both",,,"23","11.5","Blue Cross Blue Shield","Pathways",,,"71",,"16.24","0.15","5264.58","percent of total billed charges",,
"NF-SOMA TAB 350MG","0637","RC","Both",,,"23","11.5","Blue Cross Blue Shield","HMO",,,"71",,"16.24","0.15","5264.58","percent of total billed charges",,
"NF-SOMA TAB 350MG","0637","RC","Both",,,"23","11.5","Blue Cross Blue Shield","PPO",,,"71",,"16.24","0.15","5264.58","percent of total billed charges",,
"NF-SOMA TAB 350MG","0637","RC","Both",,,"23","11.5","Ambetter","Health Exchange",,,"62",,"14.26","0.15","5264.58","percent of total billed charges",,
"NF-SOMA TAB 350MG","0637","RC","Both",,,"23","11.5","Caresource","Health Exchange",,,"62",,"14.26","0.15","5264.58","percent of total billed charges",,
"NF-SOMA TAB 350MG","0637","RC","Both",,,"23","11.5","Cigna","Commercial",,,"59",,"13.48","0.15","5264.58","percent of total billed charges",,
"NF-SOMA TAB 350MG","0637","RC","Both",,,"23","11.5","Humana","Commercial",,,"78",,"17.82","0.15","5264.58","percent of total billed charges",,
"NF-SOMA TAB 350MG","0637","RC","Both",,,"23","11.5","UHC","Commercial",,,"75",,"17.34","0.15","5264.58","percent of total billed charges",,
"NF-SOMA TAB 350MG","0637","RC","Both",,,"23","11.5","Medicaid",,,,"37",,"8.42","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 150MG","0637","RC","Both",,,"9.5","4.75","Alliant","Health Exchange",,,"62",,"5.89","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 150MG","0637","RC","Both",,,"9.5","4.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.13","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 150MG","0637","RC","Both",,,"9.5","4.75","Medicare",,,,"54",,"5.15","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 150MG","0637","RC","Both",,,"9.5","4.75","Humana","Medicare Advantage",,,"54",,"5.15","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 150MG","0637","RC","Both",,,"9.5","4.75","UHC","Medicare Advantage",,,"54",,"5.15","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 150MG","0637","RC","Both",,,"9.5","4.75","Clover","Medicare Advantage",,,"54",,"5.15","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 150MG","0637","RC","Both",,,"9.5","4.75","Wellcare","Medicare Advantage",,,"54",,"5.15","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 150MG","0637","RC","Both",,,"9.5","4.75","Amerigroup","Medicaid Managed Care",,,"37",,"3.48","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 150MG","0637","RC","Both",,,"9.5","4.75","Caresource","Medicaid Managed Care",,,"40",,"3.8","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 150MG","0637","RC","Both",,,"9.5","4.75","Wellcare","Medicaid Managed Care",,,"40",,"3.85","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 150MG","0637","RC","Both",,,"9.5","4.75","Aetna","Commercial",,,"64",,"6.06","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 150MG","0637","RC","Both",,,"9.5","4.75","Blue Cross Blue Shield","Pathways",,,"71",,"6.71","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 150MG","0637","RC","Both",,,"9.5","4.75","Blue Cross Blue Shield","HMO",,,"71",,"6.71","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 150MG","0637","RC","Both",,,"9.5","4.75","Blue Cross Blue Shield","PPO",,,"71",,"6.71","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 150MG","0637","RC","Both",,,"9.5","4.75","Ambetter","Health Exchange",,,"62",,"5.89","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 150MG","0637","RC","Both",,,"9.5","4.75","Caresource","Health Exchange",,,"62",,"5.89","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 150MG","0637","RC","Both",,,"9.5","4.75","Cigna","Commercial",,,"59",,"5.57","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 150MG","0637","RC","Both",,,"9.5","4.75","Humana","Commercial",,,"78",,"7.36","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 150MG","0637","RC","Both",,,"9.5","4.75","UHC","Commercial",,,"75",,"7.16","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 150MG","0637","RC","Both",,,"9.5","4.75","Medicaid",,,,"37",,"3.48","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 150MG","0637","RC","Both",,,"13","6.5","Alliant","Health Exchange",,,"62",,"8.06","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 150MG","0637","RC","Both",,,"13","6.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.02","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 150MG","0637","RC","Both",,,"13","6.5","Medicare",,,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 150MG","0637","RC","Both",,,"13","6.5","Humana","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 150MG","0637","RC","Both",,,"13","6.5","UHC","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 150MG","0637","RC","Both",,,"13","6.5","Clover","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 150MG","0637","RC","Both",,,"13","6.5","Wellcare","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 150MG","0637","RC","Both",,,"13","6.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.76","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 150MG","0637","RC","Both",,,"13","6.5","Caresource","Medicaid Managed Care",,,"40",,"5.2","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 150MG","0637","RC","Both",,,"13","6.5","Wellcare","Medicaid Managed Care",,,"40",,"5.26","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 150MG","0637","RC","Both",,,"13","6.5","Aetna","Commercial",,,"64",,"8.29","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 150MG","0637","RC","Both",,,"13","6.5","Blue Cross Blue Shield","Pathways",,,"71",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 150MG","0637","RC","Both",,,"13","6.5","Blue Cross Blue Shield","HMO",,,"71",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 150MG","0637","RC","Both",,,"13","6.5","Blue Cross Blue Shield","PPO",,,"71",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 150MG","0637","RC","Both",,,"13","6.5","Ambetter","Health Exchange",,,"62",,"8.06","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 150MG","0637","RC","Both",,,"13","6.5","Caresource","Health Exchange",,,"62",,"8.06","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 150MG","0637","RC","Both",,,"13","6.5","Cigna","Commercial",,,"59",,"7.62","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 150MG","0637","RC","Both",,,"13","6.5","Humana","Commercial",,,"78",,"10.08","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 150MG","0637","RC","Both",,,"13","6.5","UHC","Commercial",,,"75",,"9.8","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 150MG","0637","RC","Both",,,"13","6.5","Medicaid",,,,"37",,"4.76","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL SR ORAL 12 HR TAB ER 15","0637","RC","Both",,,"2.5","1.25","Alliant","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL SR ORAL 12 HR TAB ER 15","0637","RC","Both",,,"2.5","1.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.35","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL SR ORAL 12 HR TAB ER 15","0637","RC","Both",,,"2.5","1.25","Medicare",,,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL SR ORAL 12 HR TAB ER 15","0637","RC","Both",,,"2.5","1.25","Humana","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL SR ORAL 12 HR TAB ER 15","0637","RC","Both",,,"2.5","1.25","UHC","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL SR ORAL 12 HR TAB ER 15","0637","RC","Both",,,"2.5","1.25","Clover","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL SR ORAL 12 HR TAB ER 15","0637","RC","Both",,,"2.5","1.25","Wellcare","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL SR ORAL 12 HR TAB ER 15","0637","RC","Both",,,"2.5","1.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.92","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL SR ORAL 12 HR TAB ER 15","0637","RC","Both",,,"2.5","1.25","Caresource","Medicaid Managed Care",,,"40",,"1","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL SR ORAL 12 HR TAB ER 15","0637","RC","Both",,,"2.5","1.25","Wellcare","Medicaid Managed Care",,,"40",,"1.01","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL SR ORAL 12 HR TAB ER 15","0637","RC","Both",,,"2.5","1.25","Aetna","Commercial",,,"64",,"1.6","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL SR ORAL 12 HR TAB ER 15","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","Pathways",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL SR ORAL 12 HR TAB ER 15","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","HMO",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL SR ORAL 12 HR TAB ER 15","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","PPO",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL SR ORAL 12 HR TAB ER 15","0637","RC","Both",,,"2.5","1.25","Ambetter","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL SR ORAL 12 HR TAB ER 15","0637","RC","Both",,,"2.5","1.25","Caresource","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL SR ORAL 12 HR TAB ER 15","0637","RC","Both",,,"2.5","1.25","Cigna","Commercial",,,"59",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL SR ORAL 12 HR TAB ER 15","0637","RC","Both",,,"2.5","1.25","Humana","Commercial",,,"78",,"1.94","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL SR ORAL 12 HR TAB ER 15","0637","RC","Both",,,"2.5","1.25","UHC","Commercial",,,"75",,"1.88","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL SR ORAL 12 HR TAB ER 15","0637","RC","Both",,,"2.5","1.25","Medicaid",,,,"37",,"0.92","0.15","5264.58","percent of total billed charges",,
"NF-FLUVOXAMINE MALEATE TAB 100MG","0637","RC","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","0.15","5264.58","percent of total billed charges",,
"NF-FLUVOXAMINE MALEATE TAB 100MG","0637","RC","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","0.15","5264.58","percent of total billed charges",,
"NF-FLUVOXAMINE MALEATE TAB 100MG","0637","RC","Both",,,"8","4","Medicare",,,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-FLUVOXAMINE MALEATE TAB 100MG","0637","RC","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-FLUVOXAMINE MALEATE TAB 100MG","0637","RC","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-FLUVOXAMINE MALEATE TAB 100MG","0637","RC","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-FLUVOXAMINE MALEATE TAB 100MG","0637","RC","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-FLUVOXAMINE MALEATE TAB 100MG","0637","RC","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","0.15","5264.58","percent of total billed charges",,
"NF-FLUVOXAMINE MALEATE TAB 100MG","0637","RC","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","0.15","5264.58","percent of total billed charges",,
"NF-FLUVOXAMINE MALEATE TAB 100MG","0637","RC","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","0.15","5264.58","percent of total billed charges",,
"NF-FLUVOXAMINE MALEATE TAB 100MG","0637","RC","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","0.15","5264.58","percent of total billed charges",,
"NF-FLUVOXAMINE MALEATE TAB 100MG","0637","RC","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","0.15","5264.58","percent of total billed charges",,
"NF-FLUVOXAMINE MALEATE TAB 100MG","0637","RC","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","0.15","5264.58","percent of total billed charges",,
"NF-FLUVOXAMINE MALEATE TAB 100MG","0637","RC","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","0.15","5264.58","percent of total billed charges",,
"NF-FLUVOXAMINE MALEATE TAB 100MG","0637","RC","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","0.15","5264.58","percent of total billed charges",,
"NF-FLUVOXAMINE MALEATE TAB 100MG","0637","RC","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","0.15","5264.58","percent of total billed charges",,
"NF-FLUVOXAMINE MALEATE TAB 100MG","0637","RC","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","0.15","5264.58","percent of total billed charges",,
"NF-FLUVOXAMINE MALEATE TAB 100MG","0637","RC","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-FLUVOXAMINE MALEATE TAB 100MG","0637","RC","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","0.15","5264.58","percent of total billed charges",,
"NF-FLUVOXAMINE MALEATE TAB 100MG","0637","RC","Both",,,"8","4","Medicaid",,,,"37",,"2.93","0.15","5264.58","percent of total billed charges",,
"NF-CITALOPRAM HBR ORAL TAB 40MG","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-CITALOPRAM HBR ORAL TAB 40MG","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-CITALOPRAM HBR ORAL TAB 40MG","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-CITALOPRAM HBR ORAL TAB 40MG","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-CITALOPRAM HBR ORAL TAB 40MG","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-CITALOPRAM HBR ORAL TAB 40MG","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-CITALOPRAM HBR ORAL TAB 40MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-CITALOPRAM HBR ORAL TAB 40MG","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-CITALOPRAM HBR ORAL TAB 40MG","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-CITALOPRAM HBR ORAL TAB 40MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-CITALOPRAM HBR ORAL TAB 40MG","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-CITALOPRAM HBR ORAL TAB 40MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-CITALOPRAM HBR ORAL TAB 40MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-CITALOPRAM HBR ORAL TAB 40MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-CITALOPRAM HBR ORAL TAB 40MG","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-CITALOPRAM HBR ORAL TAB 40MG","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-CITALOPRAM HBR ORAL TAB 40MG","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-CITALOPRAM HBR ORAL TAB 40MG","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-CITALOPRAM HBR ORAL TAB 40MG","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-CITALOPRAM HBR ORAL TAB 40MG","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1.5","0.75","Alliant","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1.5","0.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1.5","0.75","Medicare",,,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1.5","0.75","Humana","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1.5","0.75","UHC","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1.5","0.75","Clover","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1.5","0.75","Amerigroup","Medicaid Managed Care",,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1.5","0.75","Caresource","Medicaid Managed Care",,,"40",,"0.6","0.15","5264.58","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicaid Managed Care",,,"40",,"0.61","0.15","5264.58","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1.5","0.75","Aetna","Commercial",,,"64",,"0.96","0.15","5264.58","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","Pathways",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","HMO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","PPO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1.5","0.75","Ambetter","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1.5","0.75","Caresource","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1.5","0.75","Cigna","Commercial",,,"59",,"0.88","0.15","5264.58","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1.5","0.75","Humana","Commercial",,,"78",,"1.16","0.15","5264.58","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1.5","0.75","UHC","Commercial",,,"75",,"1.13","0.15","5264.58","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1.5","0.75","Medicaid",,,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-OXYBUTYNIN ORAL TAB ER 10MG","0637","RC","Both",,,"24.5","12.25","Alliant","Health Exchange",,,"62",,"15.19","0.15","5264.58","percent of total billed charges",,
"NF-OXYBUTYNIN ORAL TAB ER 10MG","0637","RC","Both",,,"24.5","12.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"13.23","0.15","5264.58","percent of total billed charges",,
"NF-OXYBUTYNIN ORAL TAB ER 10MG","0637","RC","Both",,,"24.5","12.25","Medicare",,,,"54",,"13.28","0.15","5264.58","percent of total billed charges",,
"NF-OXYBUTYNIN ORAL TAB ER 10MG","0637","RC","Both",,,"24.5","12.25","Humana","Medicare Advantage",,,"54",,"13.28","0.15","5264.58","percent of total billed charges",,
"NF-OXYBUTYNIN ORAL TAB ER 10MG","0637","RC","Both",,,"24.5","12.25","UHC","Medicare Advantage",,,"54",,"13.28","0.15","5264.58","percent of total billed charges",,
"NF-OXYBUTYNIN ORAL TAB ER 10MG","0637","RC","Both",,,"24.5","12.25","Clover","Medicare Advantage",,,"54",,"13.28","0.15","5264.58","percent of total billed charges",,
"NF-OXYBUTYNIN ORAL TAB ER 10MG","0637","RC","Both",,,"24.5","12.25","Wellcare","Medicare Advantage",,,"54",,"13.28","0.15","5264.58","percent of total billed charges",,
"NF-OXYBUTYNIN ORAL TAB ER 10MG","0637","RC","Both",,,"24.5","12.25","Amerigroup","Medicaid Managed Care",,,"37",,"8.97","0.15","5264.58","percent of total billed charges",,
"NF-OXYBUTYNIN ORAL TAB ER 10MG","0637","RC","Both",,,"24.5","12.25","Caresource","Medicaid Managed Care",,,"40",,"9.8","0.15","5264.58","percent of total billed charges",,
"NF-OXYBUTYNIN ORAL TAB ER 10MG","0637","RC","Both",,,"24.5","12.25","Wellcare","Medicaid Managed Care",,,"40",,"9.92","0.15","5264.58","percent of total billed charges",,
"NF-OXYBUTYNIN ORAL TAB ER 10MG","0637","RC","Both",,,"24.5","12.25","Aetna","Commercial",,,"64",,"15.63","0.15","5264.58","percent of total billed charges",,
"NF-OXYBUTYNIN ORAL TAB ER 10MG","0637","RC","Both",,,"24.5","12.25","Blue Cross Blue Shield","Pathways",,,"71",,"17.3","0.15","5264.58","percent of total billed charges",,
"NF-OXYBUTYNIN ORAL TAB ER 10MG","0637","RC","Both",,,"24.5","12.25","Blue Cross Blue Shield","HMO",,,"71",,"17.3","0.15","5264.58","percent of total billed charges",,
"NF-OXYBUTYNIN ORAL TAB ER 10MG","0637","RC","Both",,,"24.5","12.25","Blue Cross Blue Shield","PPO",,,"71",,"17.3","0.15","5264.58","percent of total billed charges",,
"NF-OXYBUTYNIN ORAL TAB ER 10MG","0637","RC","Both",,,"24.5","12.25","Ambetter","Health Exchange",,,"62",,"15.19","0.15","5264.58","percent of total billed charges",,
"NF-OXYBUTYNIN ORAL TAB ER 10MG","0637","RC","Both",,,"24.5","12.25","Caresource","Health Exchange",,,"62",,"15.19","0.15","5264.58","percent of total billed charges",,
"NF-OXYBUTYNIN ORAL TAB ER 10MG","0637","RC","Both",,,"24.5","12.25","Cigna","Commercial",,,"59",,"14.36","0.15","5264.58","percent of total billed charges",,
"NF-OXYBUTYNIN ORAL TAB ER 10MG","0637","RC","Both",,,"24.5","12.25","Humana","Commercial",,,"78",,"18.99","0.15","5264.58","percent of total billed charges",,
"NF-OXYBUTYNIN ORAL TAB ER 10MG","0637","RC","Both",,,"24.5","12.25","UHC","Commercial",,,"75",,"18.47","0.15","5264.58","percent of total billed charges",,
"NF-OXYBUTYNIN ORAL TAB ER 10MG","0637","RC","Both",,,"24.5","12.25","Medicaid",,,,"37",,"8.97","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-ABILITY TAB 30MG","0637","RC","Both",,,"89","44.5","Alliant","Health Exchange",,,"62",,"55.18","0.15","5264.58","percent of total billed charges",,
"NF-ABILITY TAB 30MG","0637","RC","Both",,,"89","44.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"48.06","0.15","5264.58","percent of total billed charges",,
"NF-ABILITY TAB 30MG","0637","RC","Both",,,"89","44.5","Medicare",,,,"54",,"48.24","0.15","5264.58","percent of total billed charges",,
"NF-ABILITY TAB 30MG","0637","RC","Both",,,"89","44.5","Humana","Medicare Advantage",,,"54",,"48.24","0.15","5264.58","percent of total billed charges",,
"NF-ABILITY TAB 30MG","0637","RC","Both",,,"89","44.5","UHC","Medicare Advantage",,,"54",,"48.24","0.15","5264.58","percent of total billed charges",,
"NF-ABILITY TAB 30MG","0637","RC","Both",,,"89","44.5","Clover","Medicare Advantage",,,"54",,"48.24","0.15","5264.58","percent of total billed charges",,
"NF-ABILITY TAB 30MG","0637","RC","Both",,,"89","44.5","Wellcare","Medicare Advantage",,,"54",,"48.24","0.15","5264.58","percent of total billed charges",,
"NF-ABILITY TAB 30MG","0637","RC","Both",,,"89","44.5","Amerigroup","Medicaid Managed Care",,,"37",,"32.57","0.15","5264.58","percent of total billed charges",,
"NF-ABILITY TAB 30MG","0637","RC","Both",,,"89","44.5","Caresource","Medicaid Managed Care",,,"40",,"35.6","0.15","5264.58","percent of total billed charges",,
"NF-ABILITY TAB 30MG","0637","RC","Both",,,"89","44.5","Wellcare","Medicaid Managed Care",,,"40",,"36.04","0.15","5264.58","percent of total billed charges",,
"NF-ABILITY TAB 30MG","0637","RC","Both",,,"89","44.5","Aetna","Commercial",,,"64",,"56.78","0.15","5264.58","percent of total billed charges",,
"NF-ABILITY TAB 30MG","0637","RC","Both",,,"89","44.5","Blue Cross Blue Shield","Pathways",,,"71",,"62.83","0.15","5264.58","percent of total billed charges",,
"NF-ABILITY TAB 30MG","0637","RC","Both",,,"89","44.5","Blue Cross Blue Shield","HMO",,,"71",,"62.83","0.15","5264.58","percent of total billed charges",,
"NF-ABILITY TAB 30MG","0637","RC","Both",,,"89","44.5","Blue Cross Blue Shield","PPO",,,"71",,"62.83","0.15","5264.58","percent of total billed charges",,
"NF-ABILITY TAB 30MG","0637","RC","Both",,,"89","44.5","Ambetter","Health Exchange",,,"62",,"55.18","0.15","5264.58","percent of total billed charges",,
"NF-ABILITY TAB 30MG","0637","RC","Both",,,"89","44.5","Caresource","Health Exchange",,,"62",,"55.18","0.15","5264.58","percent of total billed charges",,
"NF-ABILITY TAB 30MG","0637","RC","Both",,,"89","44.5","Cigna","Commercial",,,"59",,"52.15","0.15","5264.58","percent of total billed charges",,
"NF-ABILITY TAB 30MG","0637","RC","Both",,,"89","44.5","Humana","Commercial",,,"78",,"68.98","0.15","5264.58","percent of total billed charges",,
"NF-ABILITY TAB 30MG","0637","RC","Both",,,"89","44.5","UHC","Commercial",,,"75",,"67.11","0.15","5264.58","percent of total billed charges",,
"NF-ABILITY TAB 30MG","0637","RC","Both",,,"89","44.5","Medicaid",,,,"37",,"32.57","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 2MG","0637","RC","Both",,,"2.5","1.25","Alliant","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 2MG","0637","RC","Both",,,"2.5","1.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.35","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 2MG","0637","RC","Both",,,"2.5","1.25","Medicare",,,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 2MG","0637","RC","Both",,,"2.5","1.25","Humana","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 2MG","0637","RC","Both",,,"2.5","1.25","UHC","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 2MG","0637","RC","Both",,,"2.5","1.25","Clover","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 2MG","0637","RC","Both",,,"2.5","1.25","Wellcare","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 2MG","0637","RC","Both",,,"2.5","1.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.92","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 2MG","0637","RC","Both",,,"2.5","1.25","Caresource","Medicaid Managed Care",,,"40",,"1","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 2MG","0637","RC","Both",,,"2.5","1.25","Wellcare","Medicaid Managed Care",,,"40",,"1.01","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 2MG","0637","RC","Both",,,"2.5","1.25","Aetna","Commercial",,,"64",,"1.6","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 2MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","Pathways",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 2MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","HMO",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 2MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","PPO",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 2MG","0637","RC","Both",,,"2.5","1.25","Ambetter","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 2MG","0637","RC","Both",,,"2.5","1.25","Caresource","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 2MG","0637","RC","Both",,,"2.5","1.25","Cigna","Commercial",,,"59",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 2MG","0637","RC","Both",,,"2.5","1.25","Humana","Commercial",,,"78",,"1.94","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 2MG","0637","RC","Both",,,"2.5","1.25","UHC","Commercial",,,"75",,"1.88","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 2MG","0637","RC","Both",,,"2.5","1.25","Medicaid",,,,"37",,"0.92","0.15","5264.58","percent of total billed charges",,
"NF-DEXILANT CAP DR 60MG","0637","RC","Both",,,"16.5","8.25","Alliant","Health Exchange",,,"62",,"10.23","0.15","5264.58","percent of total billed charges",,
"NF-DEXILANT CAP DR 60MG","0637","RC","Both",,,"16.5","8.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.91","0.15","5264.58","percent of total billed charges",,
"NF-DEXILANT CAP DR 60MG","0637","RC","Both",,,"16.5","8.25","Medicare",,,,"54",,"8.94","0.15","5264.58","percent of total billed charges",,
"NF-DEXILANT CAP DR 60MG","0637","RC","Both",,,"16.5","8.25","Humana","Medicare Advantage",,,"54",,"8.94","0.15","5264.58","percent of total billed charges",,
"NF-DEXILANT CAP DR 60MG","0637","RC","Both",,,"16.5","8.25","UHC","Medicare Advantage",,,"54",,"8.94","0.15","5264.58","percent of total billed charges",,
"NF-DEXILANT CAP DR 60MG","0637","RC","Both",,,"16.5","8.25","Clover","Medicare Advantage",,,"54",,"8.94","0.15","5264.58","percent of total billed charges",,
"NF-DEXILANT CAP DR 60MG","0637","RC","Both",,,"16.5","8.25","Wellcare","Medicare Advantage",,,"54",,"8.94","0.15","5264.58","percent of total billed charges",,
"NF-DEXILANT CAP DR 60MG","0637","RC","Both",,,"16.5","8.25","Amerigroup","Medicaid Managed Care",,,"37",,"6.04","0.15","5264.58","percent of total billed charges",,
"NF-DEXILANT CAP DR 60MG","0637","RC","Both",,,"16.5","8.25","Caresource","Medicaid Managed Care",,,"40",,"6.6","0.15","5264.58","percent of total billed charges",,
"NF-DEXILANT CAP DR 60MG","0637","RC","Both",,,"16.5","8.25","Wellcare","Medicaid Managed Care",,,"40",,"6.68","0.15","5264.58","percent of total billed charges",,
"NF-DEXILANT CAP DR 60MG","0637","RC","Both",,,"16.5","8.25","Aetna","Commercial",,,"64",,"10.53","0.15","5264.58","percent of total billed charges",,
"NF-DEXILANT CAP DR 60MG","0637","RC","Both",,,"16.5","8.25","Blue Cross Blue Shield","Pathways",,,"71",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-DEXILANT CAP DR 60MG","0637","RC","Both",,,"16.5","8.25","Blue Cross Blue Shield","HMO",,,"71",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-DEXILANT CAP DR 60MG","0637","RC","Both",,,"16.5","8.25","Blue Cross Blue Shield","PPO",,,"71",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-DEXILANT CAP DR 60MG","0637","RC","Both",,,"16.5","8.25","Ambetter","Health Exchange",,,"62",,"10.23","0.15","5264.58","percent of total billed charges",,
"NF-DEXILANT CAP DR 60MG","0637","RC","Both",,,"16.5","8.25","Caresource","Health Exchange",,,"62",,"10.23","0.15","5264.58","percent of total billed charges",,
"NF-DEXILANT CAP DR 60MG","0637","RC","Both",,,"16.5","8.25","Cigna","Commercial",,,"59",,"9.67","0.15","5264.58","percent of total billed charges",,
"NF-DEXILANT CAP DR 60MG","0637","RC","Both",,,"16.5","8.25","Humana","Commercial",,,"78",,"12.79","0.15","5264.58","percent of total billed charges",,
"NF-DEXILANT CAP DR 60MG","0637","RC","Both",,,"16.5","8.25","UHC","Commercial",,,"75",,"12.44","0.15","5264.58","percent of total billed charges",,
"NF-DEXILANT CAP DR 60MG","0637","RC","Both",,,"16.5","8.25","Medicaid",,,,"37",,"6.04","0.15","5264.58","percent of total billed charges",,
"NF-TIKOSYN CAP 0.25MG","0637","RC","Both",,,"14","7","Alliant","Health Exchange",,,"62",,"8.68","0.15","5264.58","percent of total billed charges",,
"NF-TIKOSYN CAP 0.25MG","0637","RC","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.56","0.15","5264.58","percent of total billed charges",,
"NF-TIKOSYN CAP 0.25MG","0637","RC","Both",,,"14","7","Medicare",,,,"54",,"7.59","0.15","5264.58","percent of total billed charges",,
"NF-TIKOSYN CAP 0.25MG","0637","RC","Both",,,"14","7","Humana","Medicare Advantage",,,"54",,"7.59","0.15","5264.58","percent of total billed charges",,
"NF-TIKOSYN CAP 0.25MG","0637","RC","Both",,,"14","7","UHC","Medicare Advantage",,,"54",,"7.59","0.15","5264.58","percent of total billed charges",,
"NF-TIKOSYN CAP 0.25MG","0637","RC","Both",,,"14","7","Clover","Medicare Advantage",,,"54",,"7.59","0.15","5264.58","percent of total billed charges",,
"NF-TIKOSYN CAP 0.25MG","0637","RC","Both",,,"14","7","Wellcare","Medicare Advantage",,,"54",,"7.59","0.15","5264.58","percent of total billed charges",,
"NF-TIKOSYN CAP 0.25MG","0637","RC","Both",,,"14","7","Amerigroup","Medicaid Managed Care",,,"37",,"5.12","0.15","5264.58","percent of total billed charges",,
"NF-TIKOSYN CAP 0.25MG","0637","RC","Both",,,"14","7","Caresource","Medicaid Managed Care",,,"40",,"5.6","0.15","5264.58","percent of total billed charges",,
"NF-TIKOSYN CAP 0.25MG","0637","RC","Both",,,"14","7","Wellcare","Medicaid Managed Care",,,"40",,"5.67","0.15","5264.58","percent of total billed charges",,
"NF-TIKOSYN CAP 0.25MG","0637","RC","Both",,,"14","7","Aetna","Commercial",,,"64",,"8.93","0.15","5264.58","percent of total billed charges",,
"NF-TIKOSYN CAP 0.25MG","0637","RC","Both",,,"14","7","Blue Cross Blue Shield","Pathways",,,"71",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-TIKOSYN CAP 0.25MG","0637","RC","Both",,,"14","7","Blue Cross Blue Shield","HMO",,,"71",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-TIKOSYN CAP 0.25MG","0637","RC","Both",,,"14","7","Blue Cross Blue Shield","PPO",,,"71",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-TIKOSYN CAP 0.25MG","0637","RC","Both",,,"14","7","Ambetter","Health Exchange",,,"62",,"8.68","0.15","5264.58","percent of total billed charges",,
"NF-TIKOSYN CAP 0.25MG","0637","RC","Both",,,"14","7","Caresource","Health Exchange",,,"62",,"8.68","0.15","5264.58","percent of total billed charges",,
"NF-TIKOSYN CAP 0.25MG","0637","RC","Both",,,"14","7","Cigna","Commercial",,,"59",,"8.2","0.15","5264.58","percent of total billed charges",,
"NF-TIKOSYN CAP 0.25MG","0637","RC","Both",,,"14","7","Humana","Commercial",,,"78",,"10.85","0.15","5264.58","percent of total billed charges",,
"NF-TIKOSYN CAP 0.25MG","0637","RC","Both",,,"14","7","UHC","Commercial",,,"75",,"10.56","0.15","5264.58","percent of total billed charges",,
"NF-TIKOSYN CAP 0.25MG","0637","RC","Both",,,"14","7","Medicaid",,,,"37",,"5.12","0.15","5264.58","percent of total billed charges",,
"NF-ADIPEX-P TABLET 37.5MG","0637","RC","Both",,,"9.5","4.75","Alliant","Health Exchange",,,"62",,"5.89","0.15","5264.58","percent of total billed charges",,
"NF-ADIPEX-P TABLET 37.5MG","0637","RC","Both",,,"9.5","4.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.13","0.15","5264.58","percent of total billed charges",,
"NF-ADIPEX-P TABLET 37.5MG","0637","RC","Both",,,"9.5","4.75","Medicare",,,,"54",,"5.15","0.15","5264.58","percent of total billed charges",,
"NF-ADIPEX-P TABLET 37.5MG","0637","RC","Both",,,"9.5","4.75","Humana","Medicare Advantage",,,"54",,"5.15","0.15","5264.58","percent of total billed charges",,
"NF-ADIPEX-P TABLET 37.5MG","0637","RC","Both",,,"9.5","4.75","UHC","Medicare Advantage",,,"54",,"5.15","0.15","5264.58","percent of total billed charges",,
"NF-ADIPEX-P TABLET 37.5MG","0637","RC","Both",,,"9.5","4.75","Clover","Medicare Advantage",,,"54",,"5.15","0.15","5264.58","percent of total billed charges",,
"NF-ADIPEX-P TABLET 37.5MG","0637","RC","Both",,,"9.5","4.75","Wellcare","Medicare Advantage",,,"54",,"5.15","0.15","5264.58","percent of total billed charges",,
"NF-ADIPEX-P TABLET 37.5MG","0637","RC","Both",,,"9.5","4.75","Amerigroup","Medicaid Managed Care",,,"37",,"3.48","0.15","5264.58","percent of total billed charges",,
"NF-ADIPEX-P TABLET 37.5MG","0637","RC","Both",,,"9.5","4.75","Caresource","Medicaid Managed Care",,,"40",,"3.8","0.15","5264.58","percent of total billed charges",,
"NF-ADIPEX-P TABLET 37.5MG","0637","RC","Both",,,"9.5","4.75","Wellcare","Medicaid Managed Care",,,"40",,"3.85","0.15","5264.58","percent of total billed charges",,
"NF-ADIPEX-P TABLET 37.5MG","0637","RC","Both",,,"9.5","4.75","Aetna","Commercial",,,"64",,"6.06","0.15","5264.58","percent of total billed charges",,
"NF-ADIPEX-P TABLET 37.5MG","0637","RC","Both",,,"9.5","4.75","Blue Cross Blue Shield","Pathways",,,"71",,"6.71","0.15","5264.58","percent of total billed charges",,
"NF-ADIPEX-P TABLET 37.5MG","0637","RC","Both",,,"9.5","4.75","Blue Cross Blue Shield","HMO",,,"71",,"6.71","0.15","5264.58","percent of total billed charges",,
"NF-ADIPEX-P TABLET 37.5MG","0637","RC","Both",,,"9.5","4.75","Blue Cross Blue Shield","PPO",,,"71",,"6.71","0.15","5264.58","percent of total billed charges",,
"NF-ADIPEX-P TABLET 37.5MG","0637","RC","Both",,,"9.5","4.75","Ambetter","Health Exchange",,,"62",,"5.89","0.15","5264.58","percent of total billed charges",,
"NF-ADIPEX-P TABLET 37.5MG","0637","RC","Both",,,"9.5","4.75","Caresource","Health Exchange",,,"62",,"5.89","0.15","5264.58","percent of total billed charges",,
"NF-ADIPEX-P TABLET 37.5MG","0637","RC","Both",,,"9.5","4.75","Cigna","Commercial",,,"59",,"5.57","0.15","5264.58","percent of total billed charges",,
"NF-ADIPEX-P TABLET 37.5MG","0637","RC","Both",,,"9.5","4.75","Humana","Commercial",,,"78",,"7.36","0.15","5264.58","percent of total billed charges",,
"NF-ADIPEX-P TABLET 37.5MG","0637","RC","Both",,,"9.5","4.75","UHC","Commercial",,,"75",,"7.16","0.15","5264.58","percent of total billed charges",,
"NF-ADIPEX-P TABLET 37.5MG","0637","RC","Both",,,"9.5","4.75","Medicaid",,,,"37",,"3.48","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"7.5","3.75","Alliant","Health Exchange",,,"62",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"7.5","3.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.05","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"7.5","3.75","Medicare",,,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"7.5","3.75","Humana","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"7.5","3.75","UHC","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"7.5","3.75","Clover","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"7.5","3.75","Wellcare","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"7.5","3.75","Amerigroup","Medicaid Managed Care",,,"37",,"2.74","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"7.5","3.75","Caresource","Medicaid Managed Care",,,"40",,"3","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"7.5","3.75","Wellcare","Medicaid Managed Care",,,"40",,"3.04","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"7.5","3.75","Aetna","Commercial",,,"64",,"4.78","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"7.5","3.75","Blue Cross Blue Shield","Pathways",,,"71",,"5.3","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"7.5","3.75","Blue Cross Blue Shield","HMO",,,"71",,"5.3","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"7.5","3.75","Blue Cross Blue Shield","PPO",,,"71",,"5.3","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"7.5","3.75","Ambetter","Health Exchange",,,"62",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"7.5","3.75","Caresource","Health Exchange",,,"62",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"7.5","3.75","Cigna","Commercial",,,"59",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"7.5","3.75","Humana","Commercial",,,"78",,"5.81","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"7.5","3.75","UHC","Commercial",,,"75",,"5.66","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"7.5","3.75","Medicaid",,,,"37",,"2.74","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTH SOLN 0.004%","0637","RC","Both",,,"128.5","64.25","Alliant","Health Exchange",,,"62",,"79.67","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTH SOLN 0.004%","0637","RC","Both",,,"128.5","64.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"69.39","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTH SOLN 0.004%","0637","RC","Both",,,"128.5","64.25","Medicare",,,,"54",,"69.65","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTH SOLN 0.004%","0637","RC","Both",,,"128.5","64.25","Humana","Medicare Advantage",,,"54",,"69.65","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTH SOLN 0.004%","0637","RC","Both",,,"128.5","64.25","UHC","Medicare Advantage",,,"54",,"69.65","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTH SOLN 0.004%","0637","RC","Both",,,"128.5","64.25","Clover","Medicare Advantage",,,"54",,"69.65","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTH SOLN 0.004%","0637","RC","Both",,,"128.5","64.25","Wellcare","Medicare Advantage",,,"54",,"69.65","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTH SOLN 0.004%","0637","RC","Both",,,"128.5","64.25","Amerigroup","Medicaid Managed Care",,,"37",,"47.03","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTH SOLN 0.004%","0637","RC","Both",,,"128.5","64.25","Caresource","Medicaid Managed Care",,,"40",,"51.4","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTH SOLN 0.004%","0637","RC","Both",,,"128.5","64.25","Wellcare","Medicaid Managed Care",,,"40",,"52.04","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTH SOLN 0.004%","0637","RC","Both",,,"128.5","64.25","Aetna","Commercial",,,"64",,"81.98","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTH SOLN 0.004%","0637","RC","Both",,,"128.5","64.25","Blue Cross Blue Shield","Pathways",,,"71",,"90.72","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTH SOLN 0.004%","0637","RC","Both",,,"128.5","64.25","Blue Cross Blue Shield","HMO",,,"71",,"90.72","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTH SOLN 0.004%","0637","RC","Both",,,"128.5","64.25","Blue Cross Blue Shield","PPO",,,"71",,"90.72","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTH SOLN 0.004%","0637","RC","Both",,,"128.5","64.25","Ambetter","Health Exchange",,,"62",,"79.67","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTH SOLN 0.004%","0637","RC","Both",,,"128.5","64.25","Caresource","Health Exchange",,,"62",,"79.67","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTH SOLN 0.004%","0637","RC","Both",,,"128.5","64.25","Cigna","Commercial",,,"59",,"75.3","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTH SOLN 0.004%","0637","RC","Both",,,"128.5","64.25","Humana","Commercial",,,"78",,"99.59","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTH SOLN 0.004%","0637","RC","Both",,,"128.5","64.25","UHC","Commercial",,,"75",,"96.89","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTH SOLN 0.004%","0637","RC","Both",,,"128.5","64.25","Medicaid",,,,"37",,"47.03","0.15","5264.58","percent of total billed charges",,
"NF-CASODEX TABLET 50MG","0637","RC","Both",,,"68","34","Alliant","Health Exchange",,,"62",,"42.16","0.15","5264.58","percent of total billed charges",,
"NF-CASODEX TABLET 50MG","0637","RC","Both",,,"68","34","Pruitt Healthcare","Medicare Advantage",,,"54",,"36.72","0.15","5264.58","percent of total billed charges",,
"NF-CASODEX TABLET 50MG","0637","RC","Both",,,"68","34","Medicare",,,,"54",,"36.86","0.15","5264.58","percent of total billed charges",,
"NF-CASODEX TABLET 50MG","0637","RC","Both",,,"68","34","Humana","Medicare Advantage",,,"54",,"36.86","0.15","5264.58","percent of total billed charges",,
"NF-CASODEX TABLET 50MG","0637","RC","Both",,,"68","34","UHC","Medicare Advantage",,,"54",,"36.86","0.15","5264.58","percent of total billed charges",,
"NF-CASODEX TABLET 50MG","0637","RC","Both",,,"68","34","Clover","Medicare Advantage",,,"54",,"36.86","0.15","5264.58","percent of total billed charges",,
"NF-CASODEX TABLET 50MG","0637","RC","Both",,,"68","34","Wellcare","Medicare Advantage",,,"54",,"36.86","0.15","5264.58","percent of total billed charges",,
"NF-CASODEX TABLET 50MG","0637","RC","Both",,,"68","34","Amerigroup","Medicaid Managed Care",,,"37",,"24.89","0.15","5264.58","percent of total billed charges",,
"NF-CASODEX TABLET 50MG","0637","RC","Both",,,"68","34","Caresource","Medicaid Managed Care",,,"40",,"27.2","0.15","5264.58","percent of total billed charges",,
"NF-CASODEX TABLET 50MG","0637","RC","Both",,,"68","34","Wellcare","Medicaid Managed Care",,,"40",,"27.54","0.15","5264.58","percent of total billed charges",,
"NF-CASODEX TABLET 50MG","0637","RC","Both",,,"68","34","Aetna","Commercial",,,"64",,"43.38","0.15","5264.58","percent of total billed charges",,
"NF-CASODEX TABLET 50MG","0637","RC","Both",,,"68","34","Blue Cross Blue Shield","Pathways",,,"71",,"48.01","0.15","5264.58","percent of total billed charges",,
"NF-CASODEX TABLET 50MG","0637","RC","Both",,,"68","34","Blue Cross Blue Shield","HMO",,,"71",,"48.01","0.15","5264.58","percent of total billed charges",,
"NF-CASODEX TABLET 50MG","0637","RC","Both",,,"68","34","Blue Cross Blue Shield","PPO",,,"71",,"48.01","0.15","5264.58","percent of total billed charges",,
"NF-CASODEX TABLET 50MG","0637","RC","Both",,,"68","34","Ambetter","Health Exchange",,,"62",,"42.16","0.15","5264.58","percent of total billed charges",,
"NF-CASODEX TABLET 50MG","0637","RC","Both",,,"68","34","Caresource","Health Exchange",,,"62",,"42.16","0.15","5264.58","percent of total billed charges",,
"NF-CASODEX TABLET 50MG","0637","RC","Both",,,"68","34","Cigna","Commercial",,,"59",,"39.85","0.15","5264.58","percent of total billed charges",,
"NF-CASODEX TABLET 50MG","0637","RC","Both",,,"68","34","Humana","Commercial",,,"78",,"52.7","0.15","5264.58","percent of total billed charges",,
"NF-CASODEX TABLET 50MG","0637","RC","Both",,,"68","34","UHC","Commercial",,,"75",,"51.27","0.15","5264.58","percent of total billed charges",,
"NF-CASODEX TABLET 50MG","0637","RC","Both",,,"68","34","Medicaid",,,,"37",,"24.89","0.15","5264.58","percent of total billed charges",,
"NF-FLORASTOR CAPSULE 250MG","0637","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-FLORASTOR CAPSULE 250MG","0637","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-FLORASTOR CAPSULE 250MG","0637","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-FLORASTOR CAPSULE 250MG","0637","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-FLORASTOR CAPSULE 250MG","0637","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-FLORASTOR CAPSULE 250MG","0637","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-FLORASTOR CAPSULE 250MG","0637","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-FLORASTOR CAPSULE 250MG","0637","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-FLORASTOR CAPSULE 250MG","0637","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.15","5264.58","percent of total billed charges",,
"NF-FLORASTOR CAPSULE 250MG","0637","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.15","5264.58","percent of total billed charges",,
"NF-FLORASTOR CAPSULE 250MG","0637","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.15","5264.58","percent of total billed charges",,
"NF-FLORASTOR CAPSULE 250MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-FLORASTOR CAPSULE 250MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-FLORASTOR CAPSULE 250MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-FLORASTOR CAPSULE 250MG","0637","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-FLORASTOR CAPSULE 250MG","0637","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-FLORASTOR CAPSULE 250MG","0637","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-FLORASTOR CAPSULE 250MG","0637","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.15","5264.58","percent of total billed charges",,
"NF-FLORASTOR CAPSULE 250MG","0637","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.15","5264.58","percent of total billed charges",,
"NF-FLORASTOR CAPSULE 250MG","0637","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"7.5","3.75","Alliant","Health Exchange",,,"62",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"7.5","3.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.05","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"7.5","3.75","Medicare",,,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"7.5","3.75","Humana","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"7.5","3.75","UHC","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"7.5","3.75","Clover","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"7.5","3.75","Wellcare","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"7.5","3.75","Amerigroup","Medicaid Managed Care",,,"37",,"2.74","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"7.5","3.75","Caresource","Medicaid Managed Care",,,"40",,"3","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"7.5","3.75","Wellcare","Medicaid Managed Care",,,"40",,"3.04","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"7.5","3.75","Aetna","Commercial",,,"64",,"4.78","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"7.5","3.75","Blue Cross Blue Shield","Pathways",,,"71",,"5.3","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"7.5","3.75","Blue Cross Blue Shield","HMO",,,"71",,"5.3","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"7.5","3.75","Blue Cross Blue Shield","PPO",,,"71",,"5.3","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"7.5","3.75","Ambetter","Health Exchange",,,"62",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"7.5","3.75","Caresource","Health Exchange",,,"62",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"7.5","3.75","Cigna","Commercial",,,"59",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"7.5","3.75","Humana","Commercial",,,"78",,"5.81","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"7.5","3.75","UHC","Commercial",,,"75",,"5.66","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"7.5","3.75","Medicaid",,,,"37",,"2.74","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA TAB 180MG","0637","RC","Both",,,"8.5","4.25","Alliant","Health Exchange",,,"62",,"5.27","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA TAB 180MG","0637","RC","Both",,,"8.5","4.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.59","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA TAB 180MG","0637","RC","Both",,,"8.5","4.25","Medicare",,,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA TAB 180MG","0637","RC","Both",,,"8.5","4.25","Humana","Medicare Advantage",,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA TAB 180MG","0637","RC","Both",,,"8.5","4.25","UHC","Medicare Advantage",,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA TAB 180MG","0637","RC","Both",,,"8.5","4.25","Clover","Medicare Advantage",,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA TAB 180MG","0637","RC","Both",,,"8.5","4.25","Wellcare","Medicare Advantage",,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA TAB 180MG","0637","RC","Both",,,"8.5","4.25","Amerigroup","Medicaid Managed Care",,,"37",,"3.11","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA TAB 180MG","0637","RC","Both",,,"8.5","4.25","Caresource","Medicaid Managed Care",,,"40",,"3.4","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA TAB 180MG","0637","RC","Both",,,"8.5","4.25","Wellcare","Medicaid Managed Care",,,"40",,"3.44","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA TAB 180MG","0637","RC","Both",,,"8.5","4.25","Aetna","Commercial",,,"64",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA TAB 180MG","0637","RC","Both",,,"8.5","4.25","Blue Cross Blue Shield","Pathways",,,"71",,"6","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA TAB 180MG","0637","RC","Both",,,"8.5","4.25","Blue Cross Blue Shield","HMO",,,"71",,"6","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA TAB 180MG","0637","RC","Both",,,"8.5","4.25","Blue Cross Blue Shield","PPO",,,"71",,"6","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA TAB 180MG","0637","RC","Both",,,"8.5","4.25","Ambetter","Health Exchange",,,"62",,"5.27","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA TAB 180MG","0637","RC","Both",,,"8.5","4.25","Caresource","Health Exchange",,,"62",,"5.27","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA TAB 180MG","0637","RC","Both",,,"8.5","4.25","Cigna","Commercial",,,"59",,"4.98","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA TAB 180MG","0637","RC","Both",,,"8.5","4.25","Humana","Commercial",,,"78",,"6.59","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA TAB 180MG","0637","RC","Both",,,"8.5","4.25","UHC","Commercial",,,"75",,"6.41","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA TAB 180MG","0637","RC","Both",,,"8.5","4.25","Medicaid",,,,"37",,"3.11","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Alliant","Health Exchange",,,"62",,"12.09","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.53","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Medicare",,,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Humana","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","UHC","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Clover","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Wellcare","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Amerigroup","Medicaid Managed Care",,,"37",,"7.14","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Caresource","Medicaid Managed Care",,,"40",,"7.8","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Wellcare","Medicaid Managed Care",,,"40",,"7.9","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Aetna","Commercial",,,"64",,"12.44","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Blue Cross Blue Shield","Pathways",,,"71",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Blue Cross Blue Shield","HMO",,,"71",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Blue Cross Blue Shield","PPO",,,"71",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Ambetter","Health Exchange",,,"62",,"12.09","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Caresource","Health Exchange",,,"62",,"12.09","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Cigna","Commercial",,,"59",,"11.43","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Humana","Commercial",,,"78",,"15.11","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","UHC","Commercial",,,"75",,"14.7","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Medicaid",,,,"37",,"7.14","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"12","6","Alliant","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.48","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"12","6","Medicare",,,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"12","6","Humana","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"12","6","UHC","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"12","6","Clover","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"12","6","Wellcare","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"12","6","Amerigroup","Medicaid Managed Care",,,"37",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"12","6","Caresource","Medicaid Managed Care",,,"40",,"4.8","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"12","6","Wellcare","Medicaid Managed Care",,,"40",,"4.86","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"12","6","Aetna","Commercial",,,"64",,"7.66","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","Pathways",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","HMO",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","PPO",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"12","6","Ambetter","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"12","6","Caresource","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"12","6","Cigna","Commercial",,,"59",,"7.03","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"12","6","Humana","Commercial",,,"78",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"12","6","UHC","Commercial",,,"75",,"9.05","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"12","6","Medicaid",,,,"37",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-EDURANT TAB 25MG","0637","RC","Both",,,"80.5","40.25","Alliant","Health Exchange",,,"62",,"49.91","0.15","5264.58","percent of total billed charges",,
"NF-EDURANT TAB 25MG","0637","RC","Both",,,"80.5","40.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"43.47","0.15","5264.58","percent of total billed charges",,
"NF-EDURANT TAB 25MG","0637","RC","Both",,,"80.5","40.25","Medicare",,,,"54",,"43.63","0.15","5264.58","percent of total billed charges",,
"NF-EDURANT TAB 25MG","0637","RC","Both",,,"80.5","40.25","Humana","Medicare Advantage",,,"54",,"43.63","0.15","5264.58","percent of total billed charges",,
"NF-EDURANT TAB 25MG","0637","RC","Both",,,"80.5","40.25","UHC","Medicare Advantage",,,"54",,"43.63","0.15","5264.58","percent of total billed charges",,
"NF-EDURANT TAB 25MG","0637","RC","Both",,,"80.5","40.25","Clover","Medicare Advantage",,,"54",,"43.63","0.15","5264.58","percent of total billed charges",,
"NF-EDURANT TAB 25MG","0637","RC","Both",,,"80.5","40.25","Wellcare","Medicare Advantage",,,"54",,"43.63","0.15","5264.58","percent of total billed charges",,
"NF-EDURANT TAB 25MG","0637","RC","Both",,,"80.5","40.25","Amerigroup","Medicaid Managed Care",,,"37",,"29.46","0.15","5264.58","percent of total billed charges",,
"NF-EDURANT TAB 25MG","0637","RC","Both",,,"80.5","40.25","Caresource","Medicaid Managed Care",,,"40",,"32.2","0.15","5264.58","percent of total billed charges",,
"NF-EDURANT TAB 25MG","0637","RC","Both",,,"80.5","40.25","Wellcare","Medicaid Managed Care",,,"40",,"32.6","0.15","5264.58","percent of total billed charges",,
"NF-EDURANT TAB 25MG","0637","RC","Both",,,"80.5","40.25","Aetna","Commercial",,,"64",,"51.36","0.15","5264.58","percent of total billed charges",,
"NF-EDURANT TAB 25MG","0637","RC","Both",,,"80.5","40.25","Blue Cross Blue Shield","Pathways",,,"71",,"56.83","0.15","5264.58","percent of total billed charges",,
"NF-EDURANT TAB 25MG","0637","RC","Both",,,"80.5","40.25","Blue Cross Blue Shield","HMO",,,"71",,"56.83","0.15","5264.58","percent of total billed charges",,
"NF-EDURANT TAB 25MG","0637","RC","Both",,,"80.5","40.25","Blue Cross Blue Shield","PPO",,,"71",,"56.83","0.15","5264.58","percent of total billed charges",,
"NF-EDURANT TAB 25MG","0637","RC","Both",,,"80.5","40.25","Ambetter","Health Exchange",,,"62",,"49.91","0.15","5264.58","percent of total billed charges",,
"NF-EDURANT TAB 25MG","0637","RC","Both",,,"80.5","40.25","Caresource","Health Exchange",,,"62",,"49.91","0.15","5264.58","percent of total billed charges",,
"NF-EDURANT TAB 25MG","0637","RC","Both",,,"80.5","40.25","Cigna","Commercial",,,"59",,"47.17","0.15","5264.58","percent of total billed charges",,
"NF-EDURANT TAB 25MG","0637","RC","Both",,,"80.5","40.25","Humana","Commercial",,,"78",,"62.39","0.15","5264.58","percent of total billed charges",,
"NF-EDURANT TAB 25MG","0637","RC","Both",,,"80.5","40.25","UHC","Commercial",,,"75",,"60.7","0.15","5264.58","percent of total billed charges",,
"NF-EDURANT TAB 25MG","0637","RC","Both",,,"80.5","40.25","Medicaid",,,,"37",,"29.46","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR ORAL TABLET 100MG","0637","RC","Both",,,"31","15.5","Alliant","Health Exchange",,,"62",,"19.22","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR ORAL TABLET 100MG","0637","RC","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.74","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR ORAL TABLET 100MG","0637","RC","Both",,,"31","15.5","Medicare",,,,"54",,"16.8","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR ORAL TABLET 100MG","0637","RC","Both",,,"31","15.5","Humana","Medicare Advantage",,,"54",,"16.8","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR ORAL TABLET 100MG","0637","RC","Both",,,"31","15.5","UHC","Medicare Advantage",,,"54",,"16.8","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR ORAL TABLET 100MG","0637","RC","Both",,,"31","15.5","Clover","Medicare Advantage",,,"54",,"16.8","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR ORAL TABLET 100MG","0637","RC","Both",,,"31","15.5","Wellcare","Medicare Advantage",,,"54",,"16.8","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR ORAL TABLET 100MG","0637","RC","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care",,,"37",,"11.35","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR ORAL TABLET 100MG","0637","RC","Both",,,"31","15.5","Caresource","Medicaid Managed Care",,,"40",,"12.4","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR ORAL TABLET 100MG","0637","RC","Both",,,"31","15.5","Wellcare","Medicaid Managed Care",,,"40",,"12.56","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR ORAL TABLET 100MG","0637","RC","Both",,,"31","15.5","Aetna","Commercial",,,"64",,"19.78","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR ORAL TABLET 100MG","0637","RC","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways",,,"71",,"21.89","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR ORAL TABLET 100MG","0637","RC","Both",,,"31","15.5","Blue Cross Blue Shield","HMO",,,"71",,"21.89","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR ORAL TABLET 100MG","0637","RC","Both",,,"31","15.5","Blue Cross Blue Shield","PPO",,,"71",,"21.89","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR ORAL TABLET 100MG","0637","RC","Both",,,"31","15.5","Ambetter","Health Exchange",,,"62",,"19.22","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR ORAL TABLET 100MG","0637","RC","Both",,,"31","15.5","Caresource","Health Exchange",,,"62",,"19.22","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR ORAL TABLET 100MG","0637","RC","Both",,,"31","15.5","Cigna","Commercial",,,"59",,"18.17","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR ORAL TABLET 100MG","0637","RC","Both",,,"31","15.5","Humana","Commercial",,,"78",,"24.02","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR ORAL TABLET 100MG","0637","RC","Both",,,"31","15.5","UHC","Commercial",,,"75",,"23.37","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR ORAL TABLET 100MG","0637","RC","Both",,,"31","15.5","Medicaid",,,,"37",,"11.35","0.15","5264.58","percent of total billed charges",,
"NF-EMTRIVA CAP 200MG","0637","RC","Both",,,"82","41","Alliant","Health Exchange",,,"62",,"50.84","0.15","5264.58","percent of total billed charges",,
"NF-EMTRIVA CAP 200MG","0637","RC","Both",,,"82","41","Pruitt Healthcare","Medicare Advantage",,,"54",,"44.28","0.15","5264.58","percent of total billed charges",,
"NF-EMTRIVA CAP 200MG","0637","RC","Both",,,"82","41","Medicare",,,,"54",,"44.44","0.15","5264.58","percent of total billed charges",,
"NF-EMTRIVA CAP 200MG","0637","RC","Both",,,"82","41","Humana","Medicare Advantage",,,"54",,"44.44","0.15","5264.58","percent of total billed charges",,
"NF-EMTRIVA CAP 200MG","0637","RC","Both",,,"82","41","UHC","Medicare Advantage",,,"54",,"44.44","0.15","5264.58","percent of total billed charges",,
"NF-EMTRIVA CAP 200MG","0637","RC","Both",,,"82","41","Clover","Medicare Advantage",,,"54",,"44.44","0.15","5264.58","percent of total billed charges",,
"NF-EMTRIVA CAP 200MG","0637","RC","Both",,,"82","41","Wellcare","Medicare Advantage",,,"54",,"44.44","0.15","5264.58","percent of total billed charges",,
"NF-EMTRIVA CAP 200MG","0637","RC","Both",,,"82","41","Amerigroup","Medicaid Managed Care",,,"37",,"30.01","0.15","5264.58","percent of total billed charges",,
"NF-EMTRIVA CAP 200MG","0637","RC","Both",,,"82","41","Caresource","Medicaid Managed Care",,,"40",,"32.8","0.15","5264.58","percent of total billed charges",,
"NF-EMTRIVA CAP 200MG","0637","RC","Both",,,"82","41","Wellcare","Medicaid Managed Care",,,"40",,"33.21","0.15","5264.58","percent of total billed charges",,
"NF-EMTRIVA CAP 200MG","0637","RC","Both",,,"82","41","Aetna","Commercial",,,"64",,"52.32","0.15","5264.58","percent of total billed charges",,
"NF-EMTRIVA CAP 200MG","0637","RC","Both",,,"82","41","Blue Cross Blue Shield","Pathways",,,"71",,"57.89","0.15","5264.58","percent of total billed charges",,
"NF-EMTRIVA CAP 200MG","0637","RC","Both",,,"82","41","Blue Cross Blue Shield","HMO",,,"71",,"57.89","0.15","5264.58","percent of total billed charges",,
"NF-EMTRIVA CAP 200MG","0637","RC","Both",,,"82","41","Blue Cross Blue Shield","PPO",,,"71",,"57.89","0.15","5264.58","percent of total billed charges",,
"NF-EMTRIVA CAP 200MG","0637","RC","Both",,,"82","41","Ambetter","Health Exchange",,,"62",,"50.84","0.15","5264.58","percent of total billed charges",,
"NF-EMTRIVA CAP 200MG","0637","RC","Both",,,"82","41","Caresource","Health Exchange",,,"62",,"50.84","0.15","5264.58","percent of total billed charges",,
"NF-EMTRIVA CAP 200MG","0637","RC","Both",,,"82","41","Cigna","Commercial",,,"59",,"48.05","0.15","5264.58","percent of total billed charges",,
"NF-EMTRIVA CAP 200MG","0637","RC","Both",,,"82","41","Humana","Commercial",,,"78",,"63.55","0.15","5264.58","percent of total billed charges",,
"NF-EMTRIVA CAP 200MG","0637","RC","Both",,,"82","41","UHC","Commercial",,,"75",,"61.83","0.15","5264.58","percent of total billed charges",,
"NF-EMTRIVA CAP 200MG","0637","RC","Both",,,"82","41","Medicaid",,,,"37",,"30.01","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA TAB 400MG","0637","RC","Both",,,"80","40","Alliant","Health Exchange",,,"62",,"49.6","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA TAB 400MG","0637","RC","Both",,,"80","40","Pruitt Healthcare","Medicare Advantage",,,"54",,"43.2","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA TAB 400MG","0637","RC","Both",,,"80","40","Medicare",,,,"54",,"43.36","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA TAB 400MG","0637","RC","Both",,,"80","40","Humana","Medicare Advantage",,,"54",,"43.36","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA TAB 400MG","0637","RC","Both",,,"80","40","UHC","Medicare Advantage",,,"54",,"43.36","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA TAB 400MG","0637","RC","Both",,,"80","40","Clover","Medicare Advantage",,,"54",,"43.36","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA TAB 400MG","0637","RC","Both",,,"80","40","Wellcare","Medicare Advantage",,,"54",,"43.36","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA TAB 400MG","0637","RC","Both",,,"80","40","Amerigroup","Medicaid Managed Care",,,"37",,"29.28","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA TAB 400MG","0637","RC","Both",,,"80","40","Caresource","Medicaid Managed Care",,,"40",,"32","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA TAB 400MG","0637","RC","Both",,,"80","40","Wellcare","Medicaid Managed Care",,,"40",,"32.4","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA TAB 400MG","0637","RC","Both",,,"80","40","Aetna","Commercial",,,"64",,"51.04","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA TAB 400MG","0637","RC","Both",,,"80","40","Blue Cross Blue Shield","Pathways",,,"71",,"56.48","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA TAB 400MG","0637","RC","Both",,,"80","40","Blue Cross Blue Shield","HMO",,,"71",,"56.48","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA TAB 400MG","0637","RC","Both",,,"80","40","Blue Cross Blue Shield","PPO",,,"71",,"56.48","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA TAB 400MG","0637","RC","Both",,,"80","40","Ambetter","Health Exchange",,,"62",,"49.6","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA TAB 400MG","0637","RC","Both",,,"80","40","Caresource","Health Exchange",,,"62",,"49.6","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA TAB 400MG","0637","RC","Both",,,"80","40","Cigna","Commercial",,,"59",,"46.88","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA TAB 400MG","0637","RC","Both",,,"80","40","Humana","Commercial",,,"78",,"62","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA TAB 400MG","0637","RC","Both",,,"80","40","UHC","Commercial",,,"75",,"60.32","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA TAB 400MG","0637","RC","Both",,,"80","40","Medicaid",,,,"37",,"29.28","0.15","5264.58","percent of total billed charges",,
"NF-SULINDAC ORAL TABLET 200MG","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-SULINDAC ORAL TABLET 200MG","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"NF-SULINDAC ORAL TABLET 200MG","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-SULINDAC ORAL TABLET 200MG","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-SULINDAC ORAL TABLET 200MG","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-SULINDAC ORAL TABLET 200MG","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-SULINDAC ORAL TABLET 200MG","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-SULINDAC ORAL TABLET 200MG","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"NF-SULINDAC ORAL TABLET 200MG","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"NF-SULINDAC ORAL TABLET 200MG","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"NF-SULINDAC ORAL TABLET 200MG","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"NF-SULINDAC ORAL TABLET 200MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-SULINDAC ORAL TABLET 200MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-SULINDAC ORAL TABLET 200MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-SULINDAC ORAL TABLET 200MG","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-SULINDAC ORAL TABLET 200MG","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-SULINDAC ORAL TABLET 200MG","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"NF-SULINDAC ORAL TABLET 200MG","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-SULINDAC ORAL TABLET 200MG","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"NF-SULINDAC ORAL TABLET 200MG","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL ORAL TABLET 625MG","0637","RC","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL ORAL TABLET 625MG","0637","RC","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL ORAL TABLET 625MG","0637","RC","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL ORAL TABLET 625MG","0637","RC","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL ORAL TABLET 625MG","0637","RC","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL ORAL TABLET 625MG","0637","RC","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL ORAL TABLET 625MG","0637","RC","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL ORAL TABLET 625MG","0637","RC","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL ORAL TABLET 625MG","0637","RC","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL ORAL TABLET 625MG","0637","RC","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL ORAL TABLET 625MG","0637","RC","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL ORAL TABLET 625MG","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL ORAL TABLET 625MG","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL ORAL TABLET 625MG","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL ORAL TABLET 625MG","0637","RC","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL ORAL TABLET 625MG","0637","RC","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL ORAL TABLET 625MG","0637","RC","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL ORAL TABLET 625MG","0637","RC","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL ORAL TABLET 625MG","0637","RC","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL ORAL TABLET 625MG","0637","RC","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"20","10","Alliant","Health Exchange",,,"62",,"12.4","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"20","10","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.8","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"20","10","Medicare",,,,"54",,"10.84","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"20","10","Humana","Medicare Advantage",,,"54",,"10.84","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"20","10","UHC","Medicare Advantage",,,"54",,"10.84","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"20","10","Clover","Medicare Advantage",,,"54",,"10.84","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"20","10","Wellcare","Medicare Advantage",,,"54",,"10.84","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"20","10","Amerigroup","Medicaid Managed Care",,,"37",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"20","10","Caresource","Medicaid Managed Care",,,"40",,"8","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"20","10","Wellcare","Medicaid Managed Care",,,"40",,"8.1","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"20","10","Aetna","Commercial",,,"64",,"12.76","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"20","10","Blue Cross Blue Shield","Pathways",,,"71",,"14.12","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"20","10","Blue Cross Blue Shield","HMO",,,"71",,"14.12","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"20","10","Blue Cross Blue Shield","PPO",,,"71",,"14.12","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"20","10","Ambetter","Health Exchange",,,"62",,"12.4","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"20","10","Caresource","Health Exchange",,,"62",,"12.4","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"20","10","Cigna","Commercial",,,"59",,"11.72","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"20","10","Humana","Commercial",,,"78",,"15.5","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"20","10","UHC","Commercial",,,"75",,"15.08","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"20","10","Medicaid",,,,"37",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"17","8.5","Alliant","Health Exchange",,,"62",,"10.54","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"17","8.5","Medicare",,,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"17","8.5","Humana","Medicare Advantage",,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"17","8.5","UHC","Medicare Advantage",,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"17","8.5","Clover","Medicare Advantage",,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"17","8.5","Wellcare","Medicare Advantage",,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.22","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"17","8.5","Caresource","Medicaid Managed Care",,,"40",,"6.8","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"17","8.5","Wellcare","Medicaid Managed Care",,,"40",,"6.89","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"17","8.5","Aetna","Commercial",,,"64",,"10.85","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways",,,"71",,"12","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"17","8.5","Blue Cross Blue Shield","HMO",,,"71",,"12","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"17","8.5","Blue Cross Blue Shield","PPO",,,"71",,"12","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"17","8.5","Ambetter","Health Exchange",,,"62",,"10.54","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"17","8.5","Caresource","Health Exchange",,,"62",,"10.54","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"17","8.5","Cigna","Commercial",,,"59",,"9.96","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"17","8.5","Humana","Commercial",,,"78",,"13.18","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"17","8.5","UHC","Commercial",,,"75",,"12.82","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HCL OPHTH SOLN 2%","0637","RC","Both",,,"17","8.5","Medicaid",,,,"37",,"6.22","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"PEG KIT","0270","RC","Both",,,"148","74","Alliant","Health Exchange",,,"62",,"91.76","0.18","1007.5","percent of total billed charges",,
"PEG KIT","0270","RC","Both",,,"148","74","Pruitt Healthcare","Medicare Advantage",,,"54",,"79.92","0.18","1007.5","percent of total billed charges",,
"PEG KIT","0270","RC","Both",,,"148","74","Medicare",,,,"54",,"80.22","0.18","1007.5","percent of total billed charges",,
"PEG KIT","0270","RC","Both",,,"148","74","Humana","Medicare Advantage",,,"54",,"80.22","0.18","1007.5","percent of total billed charges",,
"PEG KIT","0270","RC","Both",,,"148","74","UHC","Medicare Advantage",,,"54",,"80.22","0.18","1007.5","percent of total billed charges",,
"PEG KIT","0270","RC","Both",,,"148","74","Clover","Medicare Advantage",,,"54",,"80.22","0.18","1007.5","percent of total billed charges",,
"PEG KIT","0270","RC","Both",,,"148","74","Wellcare","Medicare Advantage",,,"54",,"80.22","0.18","1007.5","percent of total billed charges",,
"PEG KIT","0270","RC","Both",,,"148","74","Amerigroup","Medicaid Managed Care",,,"37",,"54.17","0.18","1007.5","percent of total billed charges",,
"PEG KIT","0270","RC","Both",,,"148","74","Caresource","Medicaid Managed Care",,,"40",,"59.2","0.18","1007.5","percent of total billed charges",,
"PEG KIT","0270","RC","Both",,,"148","74","Wellcare","Medicaid Managed Care",,,"40",,"59.94","0.18","1007.5","percent of total billed charges",,
"PEG KIT","0270","RC","Both",,,"148","74","Aetna","Commercial",,,"64",,"94.42","0.18","1007.5","percent of total billed charges",,
"PEG KIT","0270","RC","Both",,,"148","74","Blue Cross Blue Shield","Pathways",,,"71",,"104.49","0.18","1007.5","percent of total billed charges",,
"PEG KIT","0270","RC","Both",,,"148","74","Blue Cross Blue Shield","HMO",,,"71",,"104.49","0.18","1007.5","percent of total billed charges",,
"PEG KIT","0270","RC","Both",,,"148","74","Blue Cross Blue Shield","PPO",,,"71",,"104.49","0.18","1007.5","percent of total billed charges",,
"PEG KIT","0270","RC","Both",,,"148","74","Ambetter","Health Exchange",,,"62",,"91.76","0.18","1007.5","percent of total billed charges",,
"PEG KIT","0270","RC","Both",,,"148","74","Caresource","Health Exchange",,,"62",,"91.76","0.18","1007.5","percent of total billed charges",,
"PEG KIT","0270","RC","Both",,,"148","74","Cigna","Commercial",,,"59",,"86.73","0.18","1007.5","percent of total billed charges",,
"PEG KIT","0270","RC","Both",,,"148","74","Humana","Commercial",,,"78",,"114.7","0.18","1007.5","percent of total billed charges",,
"PEG KIT","0270","RC","Both",,,"148","74","UHC","Commercial",,,"75",,"111.59","0.18","1007.5","percent of total billed charges",,
"PEG KIT","0270","RC","Both",,,"148","74","Medicaid",,,,"37",,"54.17","0.18","1007.5","percent of total billed charges",,
"NF-TEMOVATE TOPICAL CREAM 0.05%","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-TEMOVATE TOPICAL CREAM 0.05%","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"NF-TEMOVATE TOPICAL CREAM 0.05%","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-TEMOVATE TOPICAL CREAM 0.05%","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-TEMOVATE TOPICAL CREAM 0.05%","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-TEMOVATE TOPICAL CREAM 0.05%","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-TEMOVATE TOPICAL CREAM 0.05%","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-TEMOVATE TOPICAL CREAM 0.05%","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-TEMOVATE TOPICAL CREAM 0.05%","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"NF-TEMOVATE TOPICAL CREAM 0.05%","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-TEMOVATE TOPICAL CREAM 0.05%","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"NF-TEMOVATE TOPICAL CREAM 0.05%","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-TEMOVATE TOPICAL CREAM 0.05%","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-TEMOVATE TOPICAL CREAM 0.05%","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-TEMOVATE TOPICAL CREAM 0.05%","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-TEMOVATE TOPICAL CREAM 0.05%","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-TEMOVATE TOPICAL CREAM 0.05%","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-TEMOVATE TOPICAL CREAM 0.05%","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-TEMOVATE TOPICAL CREAM 0.05%","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"NF-TEMOVATE TOPICAL CREAM 0.05%","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"PANCREATIC ENZYMES CAPSULES","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"PANCREATIC ENZYMES CAPSULES","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"PANCREATIC ENZYMES CAPSULES","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"PANCREATIC ENZYMES CAPSULES","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"PANCREATIC ENZYMES CAPSULES","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"PANCREATIC ENZYMES CAPSULES","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"PANCREATIC ENZYMES CAPSULES","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"PANCREATIC ENZYMES CAPSULES","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"PANCREATIC ENZYMES CAPSULES","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"PANCREATIC ENZYMES CAPSULES","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"PANCREATIC ENZYMES CAPSULES","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"PANCREATIC ENZYMES CAPSULES","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"PANCREATIC ENZYMES CAPSULES","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"PANCREATIC ENZYMES CAPSULES","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"PANCREATIC ENZYMES CAPSULES","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"PANCREATIC ENZYMES CAPSULES","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"PANCREATIC ENZYMES CAPSULES","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"PANCREATIC ENZYMES CAPSULES","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"PANCREATIC ENZYMES CAPSULES","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"PANCREATIC ENZYMES CAPSULES","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HYDROCHLORIDE-TIMOLOL MAL","0637","RC","Both",,,"20.5","10.25","Alliant","Health Exchange",,,"62",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HYDROCHLORIDE-TIMOLOL MAL","0637","RC","Both",,,"20.5","10.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.07","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HYDROCHLORIDE-TIMOLOL MAL","0637","RC","Both",,,"20.5","10.25","Medicare",,,,"54",,"11.11","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HYDROCHLORIDE-TIMOLOL MAL","0637","RC","Both",,,"20.5","10.25","Humana","Medicare Advantage",,,"54",,"11.11","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HYDROCHLORIDE-TIMOLOL MAL","0637","RC","Both",,,"20.5","10.25","UHC","Medicare Advantage",,,"54",,"11.11","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HYDROCHLORIDE-TIMOLOL MAL","0637","RC","Both",,,"20.5","10.25","Clover","Medicare Advantage",,,"54",,"11.11","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HYDROCHLORIDE-TIMOLOL MAL","0637","RC","Both",,,"20.5","10.25","Wellcare","Medicare Advantage",,,"54",,"11.11","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HYDROCHLORIDE-TIMOLOL MAL","0637","RC","Both",,,"20.5","10.25","Amerigroup","Medicaid Managed Care",,,"37",,"7.5","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HYDROCHLORIDE-TIMOLOL MAL","0637","RC","Both",,,"20.5","10.25","Caresource","Medicaid Managed Care",,,"40",,"8.2","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HYDROCHLORIDE-TIMOLOL MAL","0637","RC","Both",,,"20.5","10.25","Wellcare","Medicaid Managed Care",,,"40",,"8.3","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HYDROCHLORIDE-TIMOLOL MAL","0637","RC","Both",,,"20.5","10.25","Aetna","Commercial",,,"64",,"13.08","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HYDROCHLORIDE-TIMOLOL MAL","0637","RC","Both",,,"20.5","10.25","Blue Cross Blue Shield","Pathways",,,"71",,"14.47","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HYDROCHLORIDE-TIMOLOL MAL","0637","RC","Both",,,"20.5","10.25","Blue Cross Blue Shield","HMO",,,"71",,"14.47","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HYDROCHLORIDE-TIMOLOL MAL","0637","RC","Both",,,"20.5","10.25","Blue Cross Blue Shield","PPO",,,"71",,"14.47","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HYDROCHLORIDE-TIMOLOL MAL","0637","RC","Both",,,"20.5","10.25","Ambetter","Health Exchange",,,"62",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HYDROCHLORIDE-TIMOLOL MAL","0637","RC","Both",,,"20.5","10.25","Caresource","Health Exchange",,,"62",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HYDROCHLORIDE-TIMOLOL MAL","0637","RC","Both",,,"20.5","10.25","Cigna","Commercial",,,"59",,"12.01","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HYDROCHLORIDE-TIMOLOL MAL","0637","RC","Both",,,"20.5","10.25","Humana","Commercial",,,"78",,"15.89","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HYDROCHLORIDE-TIMOLOL MAL","0637","RC","Both",,,"20.5","10.25","UHC","Commercial",,,"75",,"15.46","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HYDROCHLORIDE-TIMOLOL MAL","0637","RC","Both",,,"20.5","10.25","Medicaid",,,,"37",,"7.5","0.15","5264.58","percent of total billed charges",,
"NF-BUDESONIDE INHALATION SUSP 0.5MG/2ML","0637","RC","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"NF-BUDESONIDE INHALATION SUSP 0.5MG/2ML","0637","RC","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","0.15","5264.58","percent of total billed charges",,
"NF-BUDESONIDE INHALATION SUSP 0.5MG/2ML","0637","RC","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"NF-BUDESONIDE INHALATION SUSP 0.5MG/2ML","0637","RC","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"NF-BUDESONIDE INHALATION SUSP 0.5MG/2ML","0637","RC","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"NF-BUDESONIDE INHALATION SUSP 0.5MG/2ML","0637","RC","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"NF-BUDESONIDE INHALATION SUSP 0.5MG/2ML","0637","RC","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"NF-BUDESONIDE INHALATION SUSP 0.5MG/2ML","0637","RC","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"NF-BUDESONIDE INHALATION SUSP 0.5MG/2ML","0637","RC","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","0.15","5264.58","percent of total billed charges",,
"NF-BUDESONIDE INHALATION SUSP 0.5MG/2ML","0637","RC","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","0.15","5264.58","percent of total billed charges",,
"NF-BUDESONIDE INHALATION SUSP 0.5MG/2ML","0637","RC","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","0.15","5264.58","percent of total billed charges",,
"NF-BUDESONIDE INHALATION SUSP 0.5MG/2ML","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"NF-BUDESONIDE INHALATION SUSP 0.5MG/2ML","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"NF-BUDESONIDE INHALATION SUSP 0.5MG/2ML","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"NF-BUDESONIDE INHALATION SUSP 0.5MG/2ML","0637","RC","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"NF-BUDESONIDE INHALATION SUSP 0.5MG/2ML","0637","RC","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"NF-BUDESONIDE INHALATION SUSP 0.5MG/2ML","0637","RC","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","0.15","5264.58","percent of total billed charges",,
"NF-BUDESONIDE INHALATION SUSP 0.5MG/2ML","0637","RC","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","0.15","5264.58","percent of total billed charges",,
"NF-BUDESONIDE INHALATION SUSP 0.5MG/2ML","0637","RC","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","0.15","5264.58","percent of total billed charges",,
"NF-BUDESONIDE INHALATION SUSP 0.5MG/2ML","0637","RC","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"NF-CULTURELLE ORAL CAPSULE 10 BILLION OR","0637","RC","Both",,,"1.5","0.75","Alliant","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-CULTURELLE ORAL CAPSULE 10 BILLION OR","0637","RC","Both",,,"1.5","0.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-CULTURELLE ORAL CAPSULE 10 BILLION OR","0637","RC","Both",,,"1.5","0.75","Medicare",,,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-CULTURELLE ORAL CAPSULE 10 BILLION OR","0637","RC","Both",,,"1.5","0.75","Humana","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-CULTURELLE ORAL CAPSULE 10 BILLION OR","0637","RC","Both",,,"1.5","0.75","UHC","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-CULTURELLE ORAL CAPSULE 10 BILLION OR","0637","RC","Both",,,"1.5","0.75","Clover","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-CULTURELLE ORAL CAPSULE 10 BILLION OR","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-CULTURELLE ORAL CAPSULE 10 BILLION OR","0637","RC","Both",,,"1.5","0.75","Amerigroup","Medicaid Managed Care",,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-CULTURELLE ORAL CAPSULE 10 BILLION OR","0637","RC","Both",,,"1.5","0.75","Caresource","Medicaid Managed Care",,,"40",,"0.6","0.15","5264.58","percent of total billed charges",,
"NF-CULTURELLE ORAL CAPSULE 10 BILLION OR","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicaid Managed Care",,,"40",,"0.61","0.15","5264.58","percent of total billed charges",,
"NF-CULTURELLE ORAL CAPSULE 10 BILLION OR","0637","RC","Both",,,"1.5","0.75","Aetna","Commercial",,,"64",,"0.96","0.15","5264.58","percent of total billed charges",,
"NF-CULTURELLE ORAL CAPSULE 10 BILLION OR","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","Pathways",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-CULTURELLE ORAL CAPSULE 10 BILLION OR","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","HMO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-CULTURELLE ORAL CAPSULE 10 BILLION OR","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","PPO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-CULTURELLE ORAL CAPSULE 10 BILLION OR","0637","RC","Both",,,"1.5","0.75","Ambetter","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-CULTURELLE ORAL CAPSULE 10 BILLION OR","0637","RC","Both",,,"1.5","0.75","Caresource","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-CULTURELLE ORAL CAPSULE 10 BILLION OR","0637","RC","Both",,,"1.5","0.75","Cigna","Commercial",,,"59",,"0.88","0.15","5264.58","percent of total billed charges",,
"NF-CULTURELLE ORAL CAPSULE 10 BILLION OR","0637","RC","Both",,,"1.5","0.75","Humana","Commercial",,,"78",,"1.16","0.15","5264.58","percent of total billed charges",,
"NF-CULTURELLE ORAL CAPSULE 10 BILLION OR","0637","RC","Both",,,"1.5","0.75","UHC","Commercial",,,"75",,"1.13","0.15","5264.58","percent of total billed charges",,
"NF-CULTURELLE ORAL CAPSULE 10 BILLION OR","0637","RC","Both",,,"1.5","0.75","Medicaid",,,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 100MG","0637","RC","Both",,,"12.5","6.25","Alliant","Health Exchange",,,"62",,"7.75","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 100MG","0637","RC","Both",,,"12.5","6.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.75","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 100MG","0637","RC","Both",,,"12.5","6.25","Medicare",,,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 100MG","0637","RC","Both",,,"12.5","6.25","Humana","Medicare Advantage",,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 100MG","0637","RC","Both",,,"12.5","6.25","UHC","Medicare Advantage",,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 100MG","0637","RC","Both",,,"12.5","6.25","Clover","Medicare Advantage",,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 100MG","0637","RC","Both",,,"12.5","6.25","Wellcare","Medicare Advantage",,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 100MG","0637","RC","Both",,,"12.5","6.25","Amerigroup","Medicaid Managed Care",,,"37",,"4.58","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 100MG","0637","RC","Both",,,"12.5","6.25","Caresource","Medicaid Managed Care",,,"40",,"5","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 100MG","0637","RC","Both",,,"12.5","6.25","Wellcare","Medicaid Managed Care",,,"40",,"5.06","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 100MG","0637","RC","Both",,,"12.5","6.25","Aetna","Commercial",,,"64",,"7.98","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 100MG","0637","RC","Both",,,"12.5","6.25","Blue Cross Blue Shield","Pathways",,,"71",,"8.82","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 100MG","0637","RC","Both",,,"12.5","6.25","Blue Cross Blue Shield","HMO",,,"71",,"8.82","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 100MG","0637","RC","Both",,,"12.5","6.25","Blue Cross Blue Shield","PPO",,,"71",,"8.82","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 100MG","0637","RC","Both",,,"12.5","6.25","Ambetter","Health Exchange",,,"62",,"7.75","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 100MG","0637","RC","Both",,,"12.5","6.25","Caresource","Health Exchange",,,"62",,"7.75","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 100MG","0637","RC","Both",,,"12.5","6.25","Cigna","Commercial",,,"59",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 100MG","0637","RC","Both",,,"12.5","6.25","Humana","Commercial",,,"78",,"9.69","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 100MG","0637","RC","Both",,,"12.5","6.25","UHC","Commercial",,,"75",,"9.43","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN SR 12 HR TAB ER 100MG","0637","RC","Both",,,"12.5","6.25","Medicaid",,,,"37",,"4.58","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Alliant","Health Exchange",,,"62",,"11.47","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.99","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Medicare",,,,"54",,"10.03","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Humana","Medicare Advantage",,,"54",,"10.03","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","UHC","Medicare Advantage",,,"54",,"10.03","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Clover","Medicare Advantage",,,"54",,"10.03","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Wellcare","Medicare Advantage",,,"54",,"10.03","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Amerigroup","Medicaid Managed Care",,,"37",,"6.77","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Caresource","Medicaid Managed Care",,,"40",,"7.4","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Wellcare","Medicaid Managed Care",,,"40",,"7.49","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Aetna","Commercial",,,"64",,"11.8","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Blue Cross Blue Shield","Pathways",,,"71",,"13.06","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Blue Cross Blue Shield","HMO",,,"71",,"13.06","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Blue Cross Blue Shield","PPO",,,"71",,"13.06","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Ambetter","Health Exchange",,,"62",,"11.47","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Caresource","Health Exchange",,,"62",,"11.47","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Cigna","Commercial",,,"59",,"10.84","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Humana","Commercial",,,"78",,"14.34","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","UHC","Commercial",,,"75",,"13.95","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Medicaid",,,,"37",,"6.77","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Alliant","Health Exchange",,,"62",,"11.47","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.99","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Medicare",,,,"54",,"10.03","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Humana","Medicare Advantage",,,"54",,"10.03","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","UHC","Medicare Advantage",,,"54",,"10.03","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Clover","Medicare Advantage",,,"54",,"10.03","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Wellcare","Medicare Advantage",,,"54",,"10.03","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Amerigroup","Medicaid Managed Care",,,"37",,"6.77","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Caresource","Medicaid Managed Care",,,"40",,"7.4","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Wellcare","Medicaid Managed Care",,,"40",,"7.49","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Aetna","Commercial",,,"64",,"11.8","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Blue Cross Blue Shield","Pathways",,,"71",,"13.06","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Blue Cross Blue Shield","HMO",,,"71",,"13.06","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Blue Cross Blue Shield","PPO",,,"71",,"13.06","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Ambetter","Health Exchange",,,"62",,"11.47","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Caresource","Health Exchange",,,"62",,"11.47","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Cigna","Commercial",,,"59",,"10.84","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Humana","Commercial",,,"78",,"14.34","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","UHC","Commercial",,,"75",,"13.95","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 160MG","0637","RC","Both",,,"18.5","9.25","Medicaid",,,,"37",,"6.77","0.15","5264.58","percent of total billed charges",,
"NF-JANUMET ORAL TABLET 50MG-1000MG","0637","RC","Both",,,"13.5","6.75","Alliant","Health Exchange",,,"62",,"8.37","0.15","5264.58","percent of total billed charges",,
"NF-JANUMET ORAL TABLET 50MG-1000MG","0637","RC","Both",,,"13.5","6.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.29","0.15","5264.58","percent of total billed charges",,
"NF-JANUMET ORAL TABLET 50MG-1000MG","0637","RC","Both",,,"13.5","6.75","Medicare",,,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-JANUMET ORAL TABLET 50MG-1000MG","0637","RC","Both",,,"13.5","6.75","Humana","Medicare Advantage",,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-JANUMET ORAL TABLET 50MG-1000MG","0637","RC","Both",,,"13.5","6.75","UHC","Medicare Advantage",,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-JANUMET ORAL TABLET 50MG-1000MG","0637","RC","Both",,,"13.5","6.75","Clover","Medicare Advantage",,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-JANUMET ORAL TABLET 50MG-1000MG","0637","RC","Both",,,"13.5","6.75","Wellcare","Medicare Advantage",,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-JANUMET ORAL TABLET 50MG-1000MG","0637","RC","Both",,,"13.5","6.75","Amerigroup","Medicaid Managed Care",,,"37",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-JANUMET ORAL TABLET 50MG-1000MG","0637","RC","Both",,,"13.5","6.75","Caresource","Medicaid Managed Care",,,"40",,"5.4","0.15","5264.58","percent of total billed charges",,
"NF-JANUMET ORAL TABLET 50MG-1000MG","0637","RC","Both",,,"13.5","6.75","Wellcare","Medicaid Managed Care",,,"40",,"5.47","0.15","5264.58","percent of total billed charges",,
"NF-JANUMET ORAL TABLET 50MG-1000MG","0637","RC","Both",,,"13.5","6.75","Aetna","Commercial",,,"64",,"8.61","0.15","5264.58","percent of total billed charges",,
"NF-JANUMET ORAL TABLET 50MG-1000MG","0637","RC","Both",,,"13.5","6.75","Blue Cross Blue Shield","Pathways",,,"71",,"9.53","0.15","5264.58","percent of total billed charges",,
"NF-JANUMET ORAL TABLET 50MG-1000MG","0637","RC","Both",,,"13.5","6.75","Blue Cross Blue Shield","HMO",,,"71",,"9.53","0.15","5264.58","percent of total billed charges",,
"NF-JANUMET ORAL TABLET 50MG-1000MG","0637","RC","Both",,,"13.5","6.75","Blue Cross Blue Shield","PPO",,,"71",,"9.53","0.15","5264.58","percent of total billed charges",,
"NF-JANUMET ORAL TABLET 50MG-1000MG","0637","RC","Both",,,"13.5","6.75","Ambetter","Health Exchange",,,"62",,"8.37","0.15","5264.58","percent of total billed charges",,
"NF-JANUMET ORAL TABLET 50MG-1000MG","0637","RC","Both",,,"13.5","6.75","Caresource","Health Exchange",,,"62",,"8.37","0.15","5264.58","percent of total billed charges",,
"NF-JANUMET ORAL TABLET 50MG-1000MG","0637","RC","Both",,,"13.5","6.75","Cigna","Commercial",,,"59",,"7.91","0.15","5264.58","percent of total billed charges",,
"NF-JANUMET ORAL TABLET 50MG-1000MG","0637","RC","Both",,,"13.5","6.75","Humana","Commercial",,,"78",,"10.46","0.15","5264.58","percent of total billed charges",,
"NF-JANUMET ORAL TABLET 50MG-1000MG","0637","RC","Both",,,"13.5","6.75","UHC","Commercial",,,"75",,"10.18","0.15","5264.58","percent of total billed charges",,
"NF-JANUMET ORAL TABLET 50MG-1000MG","0637","RC","Both",,,"13.5","6.75","Medicaid",,,,"37",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Alliant","Health Exchange",,,"62",,"5.27","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.59","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Medicare",,,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Humana","Medicare Advantage",,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","UHC","Medicare Advantage",,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Clover","Medicare Advantage",,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Wellcare","Medicare Advantage",,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Amerigroup","Medicaid Managed Care",,,"37",,"3.11","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Caresource","Medicaid Managed Care",,,"40",,"3.4","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Wellcare","Medicaid Managed Care",,,"40",,"3.44","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Aetna","Commercial",,,"64",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Blue Cross Blue Shield","Pathways",,,"71",,"6","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Blue Cross Blue Shield","HMO",,,"71",,"6","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Blue Cross Blue Shield","PPO",,,"71",,"6","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Ambetter","Health Exchange",,,"62",,"5.27","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Caresource","Health Exchange",,,"62",,"5.27","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Cigna","Commercial",,,"59",,"4.98","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Humana","Commercial",,,"78",,"6.59","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","UHC","Commercial",,,"75",,"6.41","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Medicaid",,,,"37",,"3.11","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Alliant","Health Exchange",,,"62",,"5.27","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.59","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Medicare",,,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Humana","Medicare Advantage",,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","UHC","Medicare Advantage",,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Clover","Medicare Advantage",,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Wellcare","Medicare Advantage",,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Amerigroup","Medicaid Managed Care",,,"37",,"3.11","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Caresource","Medicaid Managed Care",,,"40",,"3.4","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Wellcare","Medicaid Managed Care",,,"40",,"3.44","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Aetna","Commercial",,,"64",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Blue Cross Blue Shield","Pathways",,,"71",,"6","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Blue Cross Blue Shield","HMO",,,"71",,"6","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Blue Cross Blue Shield","PPO",,,"71",,"6","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Ambetter","Health Exchange",,,"62",,"5.27","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Caresource","Health Exchange",,,"62",,"5.27","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Cigna","Commercial",,,"59",,"4.98","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Humana","Commercial",,,"78",,"6.59","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","UHC","Commercial",,,"75",,"6.41","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Medicaid",,,,"37",,"3.11","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION SR ORAL 12HR TAB ER 100MG","0637","RC","Both",,,"8.5","4.25","Alliant","Health Exchange",,,"62",,"5.27","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION SR ORAL 12HR TAB ER 100MG","0637","RC","Both",,,"8.5","4.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.59","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION SR ORAL 12HR TAB ER 100MG","0637","RC","Both",,,"8.5","4.25","Medicare",,,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION SR ORAL 12HR TAB ER 100MG","0637","RC","Both",,,"8.5","4.25","Humana","Medicare Advantage",,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION SR ORAL 12HR TAB ER 100MG","0637","RC","Both",,,"8.5","4.25","UHC","Medicare Advantage",,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION SR ORAL 12HR TAB ER 100MG","0637","RC","Both",,,"8.5","4.25","Clover","Medicare Advantage",,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION SR ORAL 12HR TAB ER 100MG","0637","RC","Both",,,"8.5","4.25","Wellcare","Medicare Advantage",,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION SR ORAL 12HR TAB ER 100MG","0637","RC","Both",,,"8.5","4.25","Amerigroup","Medicaid Managed Care",,,"37",,"3.11","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION SR ORAL 12HR TAB ER 100MG","0637","RC","Both",,,"8.5","4.25","Caresource","Medicaid Managed Care",,,"40",,"3.4","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION SR ORAL 12HR TAB ER 100MG","0637","RC","Both",,,"8.5","4.25","Wellcare","Medicaid Managed Care",,,"40",,"3.44","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION SR ORAL 12HR TAB ER 100MG","0637","RC","Both",,,"8.5","4.25","Aetna","Commercial",,,"64",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION SR ORAL 12HR TAB ER 100MG","0637","RC","Both",,,"8.5","4.25","Blue Cross Blue Shield","Pathways",,,"71",,"6","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION SR ORAL 12HR TAB ER 100MG","0637","RC","Both",,,"8.5","4.25","Blue Cross Blue Shield","HMO",,,"71",,"6","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION SR ORAL 12HR TAB ER 100MG","0637","RC","Both",,,"8.5","4.25","Blue Cross Blue Shield","PPO",,,"71",,"6","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION SR ORAL 12HR TAB ER 100MG","0637","RC","Both",,,"8.5","4.25","Ambetter","Health Exchange",,,"62",,"5.27","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION SR ORAL 12HR TAB ER 100MG","0637","RC","Both",,,"8.5","4.25","Caresource","Health Exchange",,,"62",,"5.27","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION SR ORAL 12HR TAB ER 100MG","0637","RC","Both",,,"8.5","4.25","Cigna","Commercial",,,"59",,"4.98","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION SR ORAL 12HR TAB ER 100MG","0637","RC","Both",,,"8.5","4.25","Humana","Commercial",,,"78",,"6.59","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION SR ORAL 12HR TAB ER 100MG","0637","RC","Both",,,"8.5","4.25","UHC","Commercial",,,"75",,"6.41","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION SR ORAL 12HR TAB ER 100MG","0637","RC","Both",,,"8.5","4.25","Medicaid",,,,"37",,"3.11","0.15","5264.58","percent of total billed charges",,
"NF-ALENDRONATE SODIUM ORAL TABLET 5MG","0637","RC","Both",,,"9","4.5","Alliant","Health Exchange",,,"62",,"5.58","0.15","5264.58","percent of total billed charges",,
"NF-ALENDRONATE SODIUM ORAL TABLET 5MG","0637","RC","Both",,,"9","4.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.86","0.15","5264.58","percent of total billed charges",,
"NF-ALENDRONATE SODIUM ORAL TABLET 5MG","0637","RC","Both",,,"9","4.5","Medicare",,,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-ALENDRONATE SODIUM ORAL TABLET 5MG","0637","RC","Both",,,"9","4.5","Humana","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-ALENDRONATE SODIUM ORAL TABLET 5MG","0637","RC","Both",,,"9","4.5","UHC","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-ALENDRONATE SODIUM ORAL TABLET 5MG","0637","RC","Both",,,"9","4.5","Clover","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-ALENDRONATE SODIUM ORAL TABLET 5MG","0637","RC","Both",,,"9","4.5","Wellcare","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-ALENDRONATE SODIUM ORAL TABLET 5MG","0637","RC","Both",,,"9","4.5","Amerigroup","Medicaid Managed Care",,,"37",,"3.29","0.15","5264.58","percent of total billed charges",,
"NF-ALENDRONATE SODIUM ORAL TABLET 5MG","0637","RC","Both",,,"9","4.5","Caresource","Medicaid Managed Care",,,"40",,"3.6","0.15","5264.58","percent of total billed charges",,
"NF-ALENDRONATE SODIUM ORAL TABLET 5MG","0637","RC","Both",,,"9","4.5","Wellcare","Medicaid Managed Care",,,"40",,"3.65","0.15","5264.58","percent of total billed charges",,
"NF-ALENDRONATE SODIUM ORAL TABLET 5MG","0637","RC","Both",,,"9","4.5","Aetna","Commercial",,,"64",,"5.74","0.15","5264.58","percent of total billed charges",,
"NF-ALENDRONATE SODIUM ORAL TABLET 5MG","0637","RC","Both",,,"9","4.5","Blue Cross Blue Shield","Pathways",,,"71",,"6.35","0.15","5264.58","percent of total billed charges",,
"NF-ALENDRONATE SODIUM ORAL TABLET 5MG","0637","RC","Both",,,"9","4.5","Blue Cross Blue Shield","HMO",,,"71",,"6.35","0.15","5264.58","percent of total billed charges",,
"NF-ALENDRONATE SODIUM ORAL TABLET 5MG","0637","RC","Both",,,"9","4.5","Blue Cross Blue Shield","PPO",,,"71",,"6.35","0.15","5264.58","percent of total billed charges",,
"NF-ALENDRONATE SODIUM ORAL TABLET 5MG","0637","RC","Both",,,"9","4.5","Ambetter","Health Exchange",,,"62",,"5.58","0.15","5264.58","percent of total billed charges",,
"NF-ALENDRONATE SODIUM ORAL TABLET 5MG","0637","RC","Both",,,"9","4.5","Caresource","Health Exchange",,,"62",,"5.58","0.15","5264.58","percent of total billed charges",,
"NF-ALENDRONATE SODIUM ORAL TABLET 5MG","0637","RC","Both",,,"9","4.5","Cigna","Commercial",,,"59",,"5.27","0.15","5264.58","percent of total billed charges",,
"NF-ALENDRONATE SODIUM ORAL TABLET 5MG","0637","RC","Both",,,"9","4.5","Humana","Commercial",,,"78",,"6.98","0.15","5264.58","percent of total billed charges",,
"NF-ALENDRONATE SODIUM ORAL TABLET 5MG","0637","RC","Both",,,"9","4.5","UHC","Commercial",,,"75",,"6.79","0.15","5264.58","percent of total billed charges",,
"NF-ALENDRONATE SODIUM ORAL TABLET 5MG","0637","RC","Both",,,"9","4.5","Medicaid",,,,"37",,"3.29","0.15","5264.58","percent of total billed charges",,
"NF-SENSIPAR TAB 30MG","0637","RC","Both",,,"37","18.5","Alliant","Health Exchange",,,"62",,"22.94","0.15","5264.58","percent of total billed charges",,
"NF-SENSIPAR TAB 30MG","0637","RC","Both",,,"37","18.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.98","0.15","5264.58","percent of total billed charges",,
"NF-SENSIPAR TAB 30MG","0637","RC","Both",,,"37","18.5","Medicare",,,,"54",,"20.05","0.15","5264.58","percent of total billed charges",,
"NF-SENSIPAR TAB 30MG","0637","RC","Both",,,"37","18.5","Humana","Medicare Advantage",,,"54",,"20.05","0.15","5264.58","percent of total billed charges",,
"NF-SENSIPAR TAB 30MG","0637","RC","Both",,,"37","18.5","UHC","Medicare Advantage",,,"54",,"20.05","0.15","5264.58","percent of total billed charges",,
"NF-SENSIPAR TAB 30MG","0637","RC","Both",,,"37","18.5","Clover","Medicare Advantage",,,"54",,"20.05","0.15","5264.58","percent of total billed charges",,
"NF-SENSIPAR TAB 30MG","0637","RC","Both",,,"37","18.5","Wellcare","Medicare Advantage",,,"54",,"20.05","0.15","5264.58","percent of total billed charges",,
"NF-SENSIPAR TAB 30MG","0637","RC","Both",,,"37","18.5","Amerigroup","Medicaid Managed Care",,,"37",,"13.54","0.15","5264.58","percent of total billed charges",,
"NF-SENSIPAR TAB 30MG","0637","RC","Both",,,"37","18.5","Caresource","Medicaid Managed Care",,,"40",,"14.8","0.15","5264.58","percent of total billed charges",,
"NF-SENSIPAR TAB 30MG","0637","RC","Both",,,"37","18.5","Wellcare","Medicaid Managed Care",,,"40",,"14.99","0.15","5264.58","percent of total billed charges",,
"NF-SENSIPAR TAB 30MG","0637","RC","Both",,,"37","18.5","Aetna","Commercial",,,"64",,"23.61","0.15","5264.58","percent of total billed charges",,
"NF-SENSIPAR TAB 30MG","0637","RC","Both",,,"37","18.5","Blue Cross Blue Shield","Pathways",,,"71",,"26.12","0.15","5264.58","percent of total billed charges",,
"NF-SENSIPAR TAB 30MG","0637","RC","Both",,,"37","18.5","Blue Cross Blue Shield","HMO",,,"71",,"26.12","0.15","5264.58","percent of total billed charges",,
"NF-SENSIPAR TAB 30MG","0637","RC","Both",,,"37","18.5","Blue Cross Blue Shield","PPO",,,"71",,"26.12","0.15","5264.58","percent of total billed charges",,
"NF-SENSIPAR TAB 30MG","0637","RC","Both",,,"37","18.5","Ambetter","Health Exchange",,,"62",,"22.94","0.15","5264.58","percent of total billed charges",,
"NF-SENSIPAR TAB 30MG","0637","RC","Both",,,"37","18.5","Caresource","Health Exchange",,,"62",,"22.94","0.15","5264.58","percent of total billed charges",,
"NF-SENSIPAR TAB 30MG","0637","RC","Both",,,"37","18.5","Cigna","Commercial",,,"59",,"21.68","0.15","5264.58","percent of total billed charges",,
"NF-SENSIPAR TAB 30MG","0637","RC","Both",,,"37","18.5","Humana","Commercial",,,"78",,"28.68","0.15","5264.58","percent of total billed charges",,
"NF-SENSIPAR TAB 30MG","0637","RC","Both",,,"37","18.5","UHC","Commercial",,,"75",,"27.9","0.15","5264.58","percent of total billed charges",,
"NF-SENSIPAR TAB 30MG","0637","RC","Both",,,"37","18.5","Medicaid",,,,"37",,"13.54","0.15","5264.58","percent of total billed charges",,
"NF-MULTAQ TAB 400MG","0637","RC","Both",,,"15.5","7.75","Alliant","Health Exchange",,,"62",,"9.61","0.15","5264.58","percent of total billed charges",,
"NF-MULTAQ TAB 400MG","0637","RC","Both",,,"15.5","7.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.37","0.15","5264.58","percent of total billed charges",,
"NF-MULTAQ TAB 400MG","0637","RC","Both",,,"15.5","7.75","Medicare",,,,"54",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-MULTAQ TAB 400MG","0637","RC","Both",,,"15.5","7.75","Humana","Medicare Advantage",,,"54",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-MULTAQ TAB 400MG","0637","RC","Both",,,"15.5","7.75","UHC","Medicare Advantage",,,"54",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-MULTAQ TAB 400MG","0637","RC","Both",,,"15.5","7.75","Clover","Medicare Advantage",,,"54",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-MULTAQ TAB 400MG","0637","RC","Both",,,"15.5","7.75","Wellcare","Medicare Advantage",,,"54",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-MULTAQ TAB 400MG","0637","RC","Both",,,"15.5","7.75","Amerigroup","Medicaid Managed Care",,,"37",,"5.67","0.15","5264.58","percent of total billed charges",,
"NF-MULTAQ TAB 400MG","0637","RC","Both",,,"15.5","7.75","Caresource","Medicaid Managed Care",,,"40",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-MULTAQ TAB 400MG","0637","RC","Both",,,"15.5","7.75","Wellcare","Medicaid Managed Care",,,"40",,"6.28","0.15","5264.58","percent of total billed charges",,
"NF-MULTAQ TAB 400MG","0637","RC","Both",,,"15.5","7.75","Aetna","Commercial",,,"64",,"9.89","0.15","5264.58","percent of total billed charges",,
"NF-MULTAQ TAB 400MG","0637","RC","Both",,,"15.5","7.75","Blue Cross Blue Shield","Pathways",,,"71",,"10.94","0.15","5264.58","percent of total billed charges",,
"NF-MULTAQ TAB 400MG","0637","RC","Both",,,"15.5","7.75","Blue Cross Blue Shield","HMO",,,"71",,"10.94","0.15","5264.58","percent of total billed charges",,
"NF-MULTAQ TAB 400MG","0637","RC","Both",,,"15.5","7.75","Blue Cross Blue Shield","PPO",,,"71",,"10.94","0.15","5264.58","percent of total billed charges",,
"NF-MULTAQ TAB 400MG","0637","RC","Both",,,"15.5","7.75","Ambetter","Health Exchange",,,"62",,"9.61","0.15","5264.58","percent of total billed charges",,
"NF-MULTAQ TAB 400MG","0637","RC","Both",,,"15.5","7.75","Caresource","Health Exchange",,,"62",,"9.61","0.15","5264.58","percent of total billed charges",,
"NF-MULTAQ TAB 400MG","0637","RC","Both",,,"15.5","7.75","Cigna","Commercial",,,"59",,"9.08","0.15","5264.58","percent of total billed charges",,
"NF-MULTAQ TAB 400MG","0637","RC","Both",,,"15.5","7.75","Humana","Commercial",,,"78",,"12.01","0.15","5264.58","percent of total billed charges",,
"NF-MULTAQ TAB 400MG","0637","RC","Both",,,"15.5","7.75","UHC","Commercial",,,"75",,"11.69","0.15","5264.58","percent of total billed charges",,
"NF-MULTAQ TAB 400MG","0637","RC","Both",,,"15.5","7.75","Medicaid",,,,"37",,"5.67","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"139.5","69.75","Alliant","Health Exchange",,,"62",,"86.49","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"139.5","69.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"75.33","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"139.5","69.75","Medicare",,,,"54",,"75.61","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"139.5","69.75","Humana","Medicare Advantage",,,"54",,"75.61","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"139.5","69.75","UHC","Medicare Advantage",,,"54",,"75.61","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"139.5","69.75","Clover","Medicare Advantage",,,"54",,"75.61","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"139.5","69.75","Wellcare","Medicare Advantage",,,"54",,"75.61","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"139.5","69.75","Amerigroup","Medicaid Managed Care",,,"37",,"51.06","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"139.5","69.75","Caresource","Medicaid Managed Care",,,"40",,"55.8","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"139.5","69.75","Wellcare","Medicaid Managed Care",,,"40",,"56.5","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"139.5","69.75","Aetna","Commercial",,,"64",,"89","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"139.5","69.75","Blue Cross Blue Shield","Pathways",,,"71",,"98.49","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"139.5","69.75","Blue Cross Blue Shield","HMO",,,"71",,"98.49","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"139.5","69.75","Blue Cross Blue Shield","PPO",,,"71",,"98.49","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"139.5","69.75","Ambetter","Health Exchange",,,"62",,"86.49","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"139.5","69.75","Caresource","Health Exchange",,,"62",,"86.49","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"139.5","69.75","Cigna","Commercial",,,"59",,"81.75","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"139.5","69.75","Humana","Commercial",,,"78",,"108.11","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"139.5","69.75","UHC","Commercial",,,"75",,"105.18","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"139.5","69.75","Medicaid",,,,"37",,"51.06","0.15","5264.58","percent of total billed charges",,
"NF-EFFIENT ORAL TABLET 10MG","0637","RC","Both",,,"25","12.5","Alliant","Health Exchange",,,"62",,"15.5","0.15","5264.58","percent of total billed charges",,
"NF-EFFIENT ORAL TABLET 10MG","0637","RC","Both",,,"25","12.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"13.5","0.15","5264.58","percent of total billed charges",,
"NF-EFFIENT ORAL TABLET 10MG","0637","RC","Both",,,"25","12.5","Medicare",,,,"54",,"13.55","0.15","5264.58","percent of total billed charges",,
"NF-EFFIENT ORAL TABLET 10MG","0637","RC","Both",,,"25","12.5","Humana","Medicare Advantage",,,"54",,"13.55","0.15","5264.58","percent of total billed charges",,
"NF-EFFIENT ORAL TABLET 10MG","0637","RC","Both",,,"25","12.5","UHC","Medicare Advantage",,,"54",,"13.55","0.15","5264.58","percent of total billed charges",,
"NF-EFFIENT ORAL TABLET 10MG","0637","RC","Both",,,"25","12.5","Clover","Medicare Advantage",,,"54",,"13.55","0.15","5264.58","percent of total billed charges",,
"NF-EFFIENT ORAL TABLET 10MG","0637","RC","Both",,,"25","12.5","Wellcare","Medicare Advantage",,,"54",,"13.55","0.15","5264.58","percent of total billed charges",,
"NF-EFFIENT ORAL TABLET 10MG","0637","RC","Both",,,"25","12.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.15","0.15","5264.58","percent of total billed charges",,
"NF-EFFIENT ORAL TABLET 10MG","0637","RC","Both",,,"25","12.5","Caresource","Medicaid Managed Care",,,"40",,"10","0.15","5264.58","percent of total billed charges",,
"NF-EFFIENT ORAL TABLET 10MG","0637","RC","Both",,,"25","12.5","Wellcare","Medicaid Managed Care",,,"40",,"10.12","0.15","5264.58","percent of total billed charges",,
"NF-EFFIENT ORAL TABLET 10MG","0637","RC","Both",,,"25","12.5","Aetna","Commercial",,,"64",,"15.95","0.15","5264.58","percent of total billed charges",,
"NF-EFFIENT ORAL TABLET 10MG","0637","RC","Both",,,"25","12.5","Blue Cross Blue Shield","Pathways",,,"71",,"17.65","0.15","5264.58","percent of total billed charges",,
"NF-EFFIENT ORAL TABLET 10MG","0637","RC","Both",,,"25","12.5","Blue Cross Blue Shield","HMO",,,"71",,"17.65","0.15","5264.58","percent of total billed charges",,
"NF-EFFIENT ORAL TABLET 10MG","0637","RC","Both",,,"25","12.5","Blue Cross Blue Shield","PPO",,,"71",,"17.65","0.15","5264.58","percent of total billed charges",,
"NF-EFFIENT ORAL TABLET 10MG","0637","RC","Both",,,"25","12.5","Ambetter","Health Exchange",,,"62",,"15.5","0.15","5264.58","percent of total billed charges",,
"NF-EFFIENT ORAL TABLET 10MG","0637","RC","Both",,,"25","12.5","Caresource","Health Exchange",,,"62",,"15.5","0.15","5264.58","percent of total billed charges",,
"NF-EFFIENT ORAL TABLET 10MG","0637","RC","Both",,,"25","12.5","Cigna","Commercial",,,"59",,"14.65","0.15","5264.58","percent of total billed charges",,
"NF-EFFIENT ORAL TABLET 10MG","0637","RC","Both",,,"25","12.5","Humana","Commercial",,,"78",,"19.38","0.15","5264.58","percent of total billed charges",,
"NF-EFFIENT ORAL TABLET 10MG","0637","RC","Both",,,"25","12.5","UHC","Commercial",,,"75",,"18.85","0.15","5264.58","percent of total billed charges",,
"NF-EFFIENT ORAL TABLET 10MG","0637","RC","Both",,,"25","12.5","Medicaid",,,,"37",,"9.15","0.15","5264.58","percent of total billed charges",,
"NF-ERYTHROMYCIN BASE ORAL TABLET 250MG","0637","RC","Both",,,"1.5","0.75","Alliant","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-ERYTHROMYCIN BASE ORAL TABLET 250MG","0637","RC","Both",,,"1.5","0.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-ERYTHROMYCIN BASE ORAL TABLET 250MG","0637","RC","Both",,,"1.5","0.75","Medicare",,,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-ERYTHROMYCIN BASE ORAL TABLET 250MG","0637","RC","Both",,,"1.5","0.75","Humana","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-ERYTHROMYCIN BASE ORAL TABLET 250MG","0637","RC","Both",,,"1.5","0.75","UHC","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-ERYTHROMYCIN BASE ORAL TABLET 250MG","0637","RC","Both",,,"1.5","0.75","Clover","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-ERYTHROMYCIN BASE ORAL TABLET 250MG","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-ERYTHROMYCIN BASE ORAL TABLET 250MG","0637","RC","Both",,,"1.5","0.75","Amerigroup","Medicaid Managed Care",,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-ERYTHROMYCIN BASE ORAL TABLET 250MG","0637","RC","Both",,,"1.5","0.75","Caresource","Medicaid Managed Care",,,"40",,"0.6","0.15","5264.58","percent of total billed charges",,
"NF-ERYTHROMYCIN BASE ORAL TABLET 250MG","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicaid Managed Care",,,"40",,"0.61","0.15","5264.58","percent of total billed charges",,
"NF-ERYTHROMYCIN BASE ORAL TABLET 250MG","0637","RC","Both",,,"1.5","0.75","Aetna","Commercial",,,"64",,"0.96","0.15","5264.58","percent of total billed charges",,
"NF-ERYTHROMYCIN BASE ORAL TABLET 250MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","Pathways",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-ERYTHROMYCIN BASE ORAL TABLET 250MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","HMO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-ERYTHROMYCIN BASE ORAL TABLET 250MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","PPO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-ERYTHROMYCIN BASE ORAL TABLET 250MG","0637","RC","Both",,,"1.5","0.75","Ambetter","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-ERYTHROMYCIN BASE ORAL TABLET 250MG","0637","RC","Both",,,"1.5","0.75","Caresource","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-ERYTHROMYCIN BASE ORAL TABLET 250MG","0637","RC","Both",,,"1.5","0.75","Cigna","Commercial",,,"59",,"0.88","0.15","5264.58","percent of total billed charges",,
"NF-ERYTHROMYCIN BASE ORAL TABLET 250MG","0637","RC","Both",,,"1.5","0.75","Humana","Commercial",,,"78",,"1.16","0.15","5264.58","percent of total billed charges",,
"NF-ERYTHROMYCIN BASE ORAL TABLET 250MG","0637","RC","Both",,,"1.5","0.75","UHC","Commercial",,,"75",,"1.13","0.15","5264.58","percent of total billed charges",,
"NF-ERYTHROMYCIN BASE ORAL TABLET 250MG","0637","RC","Both",,,"1.5","0.75","Medicaid",,,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA ALLERGY TAB 180MG","0637","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA ALLERGY TAB 180MG","0637","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA ALLERGY TAB 180MG","0637","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA ALLERGY TAB 180MG","0637","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA ALLERGY TAB 180MG","0637","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA ALLERGY TAB 180MG","0637","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA ALLERGY TAB 180MG","0637","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA ALLERGY TAB 180MG","0637","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA ALLERGY TAB 180MG","0637","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA ALLERGY TAB 180MG","0637","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA ALLERGY TAB 180MG","0637","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA ALLERGY TAB 180MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA ALLERGY TAB 180MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA ALLERGY TAB 180MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA ALLERGY TAB 180MG","0637","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA ALLERGY TAB 180MG","0637","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA ALLERGY TAB 180MG","0637","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA ALLERGY TAB 180MG","0637","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA ALLERGY TAB 180MG","0637","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA ALLERGY TAB 180MG","0637","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-INSPRA TAB 25MG","0637","RC","Both",,,"18","9","Alliant","Health Exchange",,,"62",,"11.16","0.15","5264.58","percent of total billed charges",,
"NF-INSPRA TAB 25MG","0637","RC","Both",,,"18","9","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.72","0.15","5264.58","percent of total billed charges",,
"NF-INSPRA TAB 25MG","0637","RC","Both",,,"18","9","Medicare",,,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-INSPRA TAB 25MG","0637","RC","Both",,,"18","9","Humana","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-INSPRA TAB 25MG","0637","RC","Both",,,"18","9","UHC","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-INSPRA TAB 25MG","0637","RC","Both",,,"18","9","Clover","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-INSPRA TAB 25MG","0637","RC","Both",,,"18","9","Wellcare","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-INSPRA TAB 25MG","0637","RC","Both",,,"18","9","Amerigroup","Medicaid Managed Care",,,"37",,"6.59","0.15","5264.58","percent of total billed charges",,
"NF-INSPRA TAB 25MG","0637","RC","Both",,,"18","9","Caresource","Medicaid Managed Care",,,"40",,"7.2","0.15","5264.58","percent of total billed charges",,
"NF-INSPRA TAB 25MG","0637","RC","Both",,,"18","9","Wellcare","Medicaid Managed Care",,,"40",,"7.29","0.15","5264.58","percent of total billed charges",,
"NF-INSPRA TAB 25MG","0637","RC","Both",,,"18","9","Aetna","Commercial",,,"64",,"11.48","0.15","5264.58","percent of total billed charges",,
"NF-INSPRA TAB 25MG","0637","RC","Both",,,"18","9","Blue Cross Blue Shield","Pathways",,,"71",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-INSPRA TAB 25MG","0637","RC","Both",,,"18","9","Blue Cross Blue Shield","HMO",,,"71",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-INSPRA TAB 25MG","0637","RC","Both",,,"18","9","Blue Cross Blue Shield","PPO",,,"71",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-INSPRA TAB 25MG","0637","RC","Both",,,"18","9","Ambetter","Health Exchange",,,"62",,"11.16","0.15","5264.58","percent of total billed charges",,
"NF-INSPRA TAB 25MG","0637","RC","Both",,,"18","9","Caresource","Health Exchange",,,"62",,"11.16","0.15","5264.58","percent of total billed charges",,
"NF-INSPRA TAB 25MG","0637","RC","Both",,,"18","9","Cigna","Commercial",,,"59",,"10.55","0.15","5264.58","percent of total billed charges",,
"NF-INSPRA TAB 25MG","0637","RC","Both",,,"18","9","Humana","Commercial",,,"78",,"13.95","0.15","5264.58","percent of total billed charges",,
"NF-INSPRA TAB 25MG","0637","RC","Both",,,"18","9","UHC","Commercial",,,"75",,"13.57","0.15","5264.58","percent of total billed charges",,
"NF-INSPRA TAB 25MG","0637","RC","Both",,,"18","9","Medicaid",,,,"37",,"6.59","0.15","5264.58","percent of total billed charges",,
"NF-ATENOLOL/CHLORTHALIDONE TABLET 50MG-2","0637","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-ATENOLOL/CHLORTHALIDONE TABLET 50MG-2","0637","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-ATENOLOL/CHLORTHALIDONE TABLET 50MG-2","0637","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-ATENOLOL/CHLORTHALIDONE TABLET 50MG-2","0637","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-ATENOLOL/CHLORTHALIDONE TABLET 50MG-2","0637","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-ATENOLOL/CHLORTHALIDONE TABLET 50MG-2","0637","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-ATENOLOL/CHLORTHALIDONE TABLET 50MG-2","0637","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-ATENOLOL/CHLORTHALIDONE TABLET 50MG-2","0637","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-ATENOLOL/CHLORTHALIDONE TABLET 50MG-2","0637","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.15","5264.58","percent of total billed charges",,
"NF-ATENOLOL/CHLORTHALIDONE TABLET 50MG-2","0637","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.15","5264.58","percent of total billed charges",,
"NF-ATENOLOL/CHLORTHALIDONE TABLET 50MG-2","0637","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.15","5264.58","percent of total billed charges",,
"NF-ATENOLOL/CHLORTHALIDONE TABLET 50MG-2","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-ATENOLOL/CHLORTHALIDONE TABLET 50MG-2","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-ATENOLOL/CHLORTHALIDONE TABLET 50MG-2","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-ATENOLOL/CHLORTHALIDONE TABLET 50MG-2","0637","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-ATENOLOL/CHLORTHALIDONE TABLET 50MG-2","0637","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-ATENOLOL/CHLORTHALIDONE TABLET 50MG-2","0637","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-ATENOLOL/CHLORTHALIDONE TABLET 50MG-2","0637","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.15","5264.58","percent of total billed charges",,
"NF-ATENOLOL/CHLORTHALIDONE TABLET 50MG-2","0637","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.15","5264.58","percent of total billed charges",,
"NF-ATENOLOL/CHLORTHALIDONE TABLET 50MG-2","0637","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) TABLET:  500MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) TABLET:  500MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) TABLET:  500MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) TABLET:  500MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) TABLET:  500MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) TABLET:  500MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) TABLET:  500MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) TABLET:  500MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) TABLET:  500MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) TABLET:  500MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) TABLET:  500MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) TABLET:  500MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) TABLET:  500MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) TABLET:  500MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) TABLET:  500MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) TABLET:  500MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) TABLET:  500MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) TABLET:  500MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) TABLET:  500MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) TABLET:  500MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-BUDESONIDE INH/NEB SUSP 0.25MG/2ML","0637","RC","Both",,,"13","6.5","Alliant","Health Exchange",,,"62",,"8.06","0.15","5264.58","percent of total billed charges",,
"NF-BUDESONIDE INH/NEB SUSP 0.25MG/2ML","0637","RC","Both",,,"13","6.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.02","0.15","5264.58","percent of total billed charges",,
"NF-BUDESONIDE INH/NEB SUSP 0.25MG/2ML","0637","RC","Both",,,"13","6.5","Medicare",,,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-BUDESONIDE INH/NEB SUSP 0.25MG/2ML","0637","RC","Both",,,"13","6.5","Humana","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-BUDESONIDE INH/NEB SUSP 0.25MG/2ML","0637","RC","Both",,,"13","6.5","UHC","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-BUDESONIDE INH/NEB SUSP 0.25MG/2ML","0637","RC","Both",,,"13","6.5","Clover","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-BUDESONIDE INH/NEB SUSP 0.25MG/2ML","0637","RC","Both",,,"13","6.5","Wellcare","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-BUDESONIDE INH/NEB SUSP 0.25MG/2ML","0637","RC","Both",,,"13","6.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.76","0.15","5264.58","percent of total billed charges",,
"NF-BUDESONIDE INH/NEB SUSP 0.25MG/2ML","0637","RC","Both",,,"13","6.5","Caresource","Medicaid Managed Care",,,"40",,"5.2","0.15","5264.58","percent of total billed charges",,
"NF-BUDESONIDE INH/NEB SUSP 0.25MG/2ML","0637","RC","Both",,,"13","6.5","Wellcare","Medicaid Managed Care",,,"40",,"5.26","0.15","5264.58","percent of total billed charges",,
"NF-BUDESONIDE INH/NEB SUSP 0.25MG/2ML","0637","RC","Both",,,"13","6.5","Aetna","Commercial",,,"64",,"8.29","0.15","5264.58","percent of total billed charges",,
"NF-BUDESONIDE INH/NEB SUSP 0.25MG/2ML","0637","RC","Both",,,"13","6.5","Blue Cross Blue Shield","Pathways",,,"71",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-BUDESONIDE INH/NEB SUSP 0.25MG/2ML","0637","RC","Both",,,"13","6.5","Blue Cross Blue Shield","HMO",,,"71",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-BUDESONIDE INH/NEB SUSP 0.25MG/2ML","0637","RC","Both",,,"13","6.5","Blue Cross Blue Shield","PPO",,,"71",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-BUDESONIDE INH/NEB SUSP 0.25MG/2ML","0637","RC","Both",,,"13","6.5","Ambetter","Health Exchange",,,"62",,"8.06","0.15","5264.58","percent of total billed charges",,
"NF-BUDESONIDE INH/NEB SUSP 0.25MG/2ML","0637","RC","Both",,,"13","6.5","Caresource","Health Exchange",,,"62",,"8.06","0.15","5264.58","percent of total billed charges",,
"NF-BUDESONIDE INH/NEB SUSP 0.25MG/2ML","0637","RC","Both",,,"13","6.5","Cigna","Commercial",,,"59",,"7.62","0.15","5264.58","percent of total billed charges",,
"NF-BUDESONIDE INH/NEB SUSP 0.25MG/2ML","0637","RC","Both",,,"13","6.5","Humana","Commercial",,,"78",,"10.08","0.15","5264.58","percent of total billed charges",,
"NF-BUDESONIDE INH/NEB SUSP 0.25MG/2ML","0637","RC","Both",,,"13","6.5","UHC","Commercial",,,"75",,"9.8","0.15","5264.58","percent of total billed charges",,
"NF-BUDESONIDE INH/NEB SUSP 0.25MG/2ML","0637","RC","Both",,,"13","6.5","Medicaid",,,,"37",,"4.76","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"3.5","1.75","Alliant","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"3.5","1.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.89","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"3.5","1.75","Medicare",,,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"3.5","1.75","Humana","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"3.5","1.75","UHC","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"3.5","1.75","Clover","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"3.5","1.75","Wellcare","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"3.5","1.75","Amerigroup","Medicaid Managed Care",,,"37",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"3.5","1.75","Caresource","Medicaid Managed Care",,,"40",,"1.4","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"3.5","1.75","Wellcare","Medicaid Managed Care",,,"40",,"1.42","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"3.5","1.75","Aetna","Commercial",,,"64",,"2.23","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","Pathways",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","HMO",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","PPO",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"3.5","1.75","Ambetter","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"3.5","1.75","Caresource","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"3.5","1.75","Cigna","Commercial",,,"59",,"2.05","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"3.5","1.75","Humana","Commercial",,,"78",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"3.5","1.75","UHC","Commercial",,,"75",,"2.64","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"3.5","1.75","Medicaid",,,,"37",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"11","5.5","Alliant","Health Exchange",,,"62",,"6.82","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"11","5.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.94","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"11","5.5","Medicare",,,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"11","5.5","Humana","Medicare Advantage",,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"11","5.5","UHC","Medicare Advantage",,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"11","5.5","Clover","Medicare Advantage",,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"11","5.5","Wellcare","Medicare Advantage",,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"11","5.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"11","5.5","Caresource","Medicaid Managed Care",,,"40",,"4.4","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"11","5.5","Wellcare","Medicaid Managed Care",,,"40",,"4.46","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"11","5.5","Aetna","Commercial",,,"64",,"7.02","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"11","5.5","Blue Cross Blue Shield","Pathways",,,"71",,"7.77","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"11","5.5","Blue Cross Blue Shield","HMO",,,"71",,"7.77","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"11","5.5","Blue Cross Blue Shield","PPO",,,"71",,"7.77","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"11","5.5","Ambetter","Health Exchange",,,"62",,"6.82","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"11","5.5","Caresource","Health Exchange",,,"62",,"6.82","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"11","5.5","Cigna","Commercial",,,"59",,"6.45","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"11","5.5","Humana","Commercial",,,"78",,"8.52","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"11","5.5","UHC","Commercial",,,"75",,"8.29","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"11","5.5","Medicaid",,,,"37",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-LANTUS SOLOSTAR SUBQ SOLN 100U/1ML","0637","RC","Both",,,"55","27.5","Alliant","Health Exchange",,,"62",,"34.1","0.15","5264.58","percent of total billed charges",,
"NF-LANTUS SOLOSTAR SUBQ SOLN 100U/1ML","0637","RC","Both",,,"55","27.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"29.7","0.15","5264.58","percent of total billed charges",,
"NF-LANTUS SOLOSTAR SUBQ SOLN 100U/1ML","0637","RC","Both",,,"55","27.5","Medicare",,,,"54",,"29.81","0.15","5264.58","percent of total billed charges",,
"NF-LANTUS SOLOSTAR SUBQ SOLN 100U/1ML","0637","RC","Both",,,"55","27.5","Humana","Medicare Advantage",,,"54",,"29.81","0.15","5264.58","percent of total billed charges",,
"NF-LANTUS SOLOSTAR SUBQ SOLN 100U/1ML","0637","RC","Both",,,"55","27.5","UHC","Medicare Advantage",,,"54",,"29.81","0.15","5264.58","percent of total billed charges",,
"NF-LANTUS SOLOSTAR SUBQ SOLN 100U/1ML","0637","RC","Both",,,"55","27.5","Clover","Medicare Advantage",,,"54",,"29.81","0.15","5264.58","percent of total billed charges",,
"NF-LANTUS SOLOSTAR SUBQ SOLN 100U/1ML","0637","RC","Both",,,"55","27.5","Wellcare","Medicare Advantage",,,"54",,"29.81","0.15","5264.58","percent of total billed charges",,
"NF-LANTUS SOLOSTAR SUBQ SOLN 100U/1ML","0637","RC","Both",,,"55","27.5","Amerigroup","Medicaid Managed Care",,,"37",,"20.13","0.15","5264.58","percent of total billed charges",,
"NF-LANTUS SOLOSTAR SUBQ SOLN 100U/1ML","0637","RC","Both",,,"55","27.5","Caresource","Medicaid Managed Care",,,"40",,"22","0.15","5264.58","percent of total billed charges",,
"NF-LANTUS SOLOSTAR SUBQ SOLN 100U/1ML","0637","RC","Both",,,"55","27.5","Wellcare","Medicaid Managed Care",,,"40",,"22.28","0.15","5264.58","percent of total billed charges",,
"NF-LANTUS SOLOSTAR SUBQ SOLN 100U/1ML","0637","RC","Both",,,"55","27.5","Aetna","Commercial",,,"64",,"35.09","0.15","5264.58","percent of total billed charges",,
"NF-LANTUS SOLOSTAR SUBQ SOLN 100U/1ML","0637","RC","Both",,,"55","27.5","Blue Cross Blue Shield","Pathways",,,"71",,"38.83","0.15","5264.58","percent of total billed charges",,
"NF-LANTUS SOLOSTAR SUBQ SOLN 100U/1ML","0637","RC","Both",,,"55","27.5","Blue Cross Blue Shield","HMO",,,"71",,"38.83","0.15","5264.58","percent of total billed charges",,
"NF-LANTUS SOLOSTAR SUBQ SOLN 100U/1ML","0637","RC","Both",,,"55","27.5","Blue Cross Blue Shield","PPO",,,"71",,"38.83","0.15","5264.58","percent of total billed charges",,
"NF-LANTUS SOLOSTAR SUBQ SOLN 100U/1ML","0637","RC","Both",,,"55","27.5","Ambetter","Health Exchange",,,"62",,"34.1","0.15","5264.58","percent of total billed charges",,
"NF-LANTUS SOLOSTAR SUBQ SOLN 100U/1ML","0637","RC","Both",,,"55","27.5","Caresource","Health Exchange",,,"62",,"34.1","0.15","5264.58","percent of total billed charges",,
"NF-LANTUS SOLOSTAR SUBQ SOLN 100U/1ML","0637","RC","Both",,,"55","27.5","Cigna","Commercial",,,"59",,"32.23","0.15","5264.58","percent of total billed charges",,
"NF-LANTUS SOLOSTAR SUBQ SOLN 100U/1ML","0637","RC","Both",,,"55","27.5","Humana","Commercial",,,"78",,"42.62","0.15","5264.58","percent of total billed charges",,
"NF-LANTUS SOLOSTAR SUBQ SOLN 100U/1ML","0637","RC","Both",,,"55","27.5","UHC","Commercial",,,"75",,"41.47","0.15","5264.58","percent of total billed charges",,
"NF-LANTUS SOLOSTAR SUBQ SOLN 100U/1ML","0637","RC","Both",,,"55","27.5","Medicaid",,,,"37",,"20.13","0.15","5264.58","percent of total billed charges",,
"NF-PYRIDOSTIGMINE BROMIDE TAB 60MG","0637","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-PYRIDOSTIGMINE BROMIDE TAB 60MG","0637","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-PYRIDOSTIGMINE BROMIDE TAB 60MG","0637","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-PYRIDOSTIGMINE BROMIDE TAB 60MG","0637","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-PYRIDOSTIGMINE BROMIDE TAB 60MG","0637","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-PYRIDOSTIGMINE BROMIDE TAB 60MG","0637","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-PYRIDOSTIGMINE BROMIDE TAB 60MG","0637","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-PYRIDOSTIGMINE BROMIDE TAB 60MG","0637","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-PYRIDOSTIGMINE BROMIDE TAB 60MG","0637","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.15","5264.58","percent of total billed charges",,
"NF-PYRIDOSTIGMINE BROMIDE TAB 60MG","0637","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-PYRIDOSTIGMINE BROMIDE TAB 60MG","0637","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-PYRIDOSTIGMINE BROMIDE TAB 60MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-PYRIDOSTIGMINE BROMIDE TAB 60MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-PYRIDOSTIGMINE BROMIDE TAB 60MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-PYRIDOSTIGMINE BROMIDE TAB 60MG","0637","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-PYRIDOSTIGMINE BROMIDE TAB 60MG","0637","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-PYRIDOSTIGMINE BROMIDE TAB 60MG","0637","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.15","5264.58","percent of total billed charges",,
"NF-PYRIDOSTIGMINE BROMIDE TAB 60MG","0637","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-PYRIDOSTIGMINE BROMIDE TAB 60MG","0637","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.15","5264.58","percent of total billed charges",,
"NF-PYRIDOSTIGMINE BROMIDE TAB 60MG","0637","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"D10W 250 ML","0258","RC","Both",,,"38","19","Alliant","Health Exchange",,,"62",,"23.56","4.76","93","percent of total billed charges",,
"D10W 250 ML","0258","RC","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.52","4.76","93","percent of total billed charges",,
"D10W 250 ML","0258","RC","Both",,,"38","19","Medicare",,,,"54",,"20.6","4.76","93","percent of total billed charges",,
"D10W 250 ML","0258","RC","Both",,,"38","19","Humana","Medicare Advantage",,,"54",,"20.6","4.76","93","percent of total billed charges",,
"D10W 250 ML","0258","RC","Both",,,"38","19","UHC","Medicare Advantage",,,"54",,"20.6","4.76","93","percent of total billed charges",,
"D10W 250 ML","0258","RC","Both",,,"38","19","Clover","Medicare Advantage",,,"54",,"20.6","4.76","93","percent of total billed charges",,
"D10W 250 ML","0258","RC","Both",,,"38","19","Wellcare","Medicare Advantage",,,"54",,"20.6","4.76","93","percent of total billed charges",,
"D10W 250 ML","0258","RC","Both",,,"38","19","Amerigroup","Medicaid Managed Care",,,"37",,"13.91","4.76","93","percent of total billed charges",,
"D10W 250 ML","0258","RC","Both",,,"38","19","Caresource","Medicaid Managed Care",,,"40",,"15.2","4.76","93","percent of total billed charges",,
"D10W 250 ML","0258","RC","Both",,,"38","19","Wellcare","Medicaid Managed Care",,,"40",,"15.39","4.76","93","percent of total billed charges",,
"D10W 250 ML","0258","RC","Both",,,"38","19","Aetna","Commercial",,,"64",,"24.24","4.76","93","percent of total billed charges",,
"D10W 250 ML","0258","RC","Both",,,"38","19","Blue Cross Blue Shield","Pathways",,,"71",,"26.83","4.76","93","percent of total billed charges",,
"D10W 250 ML","0258","RC","Both",,,"38","19","Blue Cross Blue Shield","HMO",,,"71",,"26.83","4.76","93","percent of total billed charges",,
"D10W 250 ML","0258","RC","Both",,,"38","19","Blue Cross Blue Shield","PPO",,,"71",,"26.83","4.76","93","percent of total billed charges",,
"D10W 250 ML","0258","RC","Both",,,"38","19","Ambetter","Health Exchange",,,"62",,"23.56","4.76","93","percent of total billed charges",,
"D10W 250 ML","0258","RC","Both",,,"38","19","Caresource","Health Exchange",,,"62",,"23.56","4.76","93","percent of total billed charges",,
"D10W 250 ML","0258","RC","Both",,,"38","19","Cigna","Commercial",,,"59",,"22.27","4.76","93","percent of total billed charges",,
"D10W 250 ML","0258","RC","Both",,,"38","19","Humana","Commercial",,,"78",,"29.45","4.76","93","percent of total billed charges",,
"D10W 250 ML","0258","RC","Both",,,"38","19","UHC","Commercial",,,"75",,"28.65","4.76","93","percent of total billed charges",,
"D10W 250 ML","0258","RC","Both",,,"38","19","Medicaid",,,,"37",,"13.91","4.76","93","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0637","RC","Both",,,"77","38.5","Alliant","Health Exchange",,,"62",,"47.74","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0637","RC","Both",,,"77","38.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"41.58","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0637","RC","Both",,,"77","38.5","Medicare",,,,"54",,"41.73","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0637","RC","Both",,,"77","38.5","Humana","Medicare Advantage",,,"54",,"41.73","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0637","RC","Both",,,"77","38.5","UHC","Medicare Advantage",,,"54",,"41.73","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0637","RC","Both",,,"77","38.5","Clover","Medicare Advantage",,,"54",,"41.73","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0637","RC","Both",,,"77","38.5","Wellcare","Medicare Advantage",,,"54",,"41.73","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0637","RC","Both",,,"77","38.5","Amerigroup","Medicaid Managed Care",,,"37",,"28.18","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0637","RC","Both",,,"77","38.5","Caresource","Medicaid Managed Care",,,"40",,"30.8","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0637","RC","Both",,,"77","38.5","Wellcare","Medicaid Managed Care",,,"40",,"31.18","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0637","RC","Both",,,"77","38.5","Aetna","Commercial",,,"64",,"49.13","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0637","RC","Both",,,"77","38.5","Blue Cross Blue Shield","Pathways",,,"71",,"54.36","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0637","RC","Both",,,"77","38.5","Blue Cross Blue Shield","HMO",,,"71",,"54.36","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0637","RC","Both",,,"77","38.5","Blue Cross Blue Shield","PPO",,,"71",,"54.36","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0637","RC","Both",,,"77","38.5","Ambetter","Health Exchange",,,"62",,"47.74","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0637","RC","Both",,,"77","38.5","Caresource","Health Exchange",,,"62",,"47.74","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0637","RC","Both",,,"77","38.5","Cigna","Commercial",,,"59",,"45.12","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0637","RC","Both",,,"77","38.5","Humana","Commercial",,,"78",,"59.68","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0637","RC","Both",,,"77","38.5","UHC","Commercial",,,"75",,"58.06","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0637","RC","Both",,,"77","38.5","Medicaid",,,,"37",,"28.18","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM LIQ CAP 137MCG","0637","RC","Both",,,"3.5","1.75","Alliant","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM LIQ CAP 137MCG","0637","RC","Both",,,"3.5","1.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.89","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM LIQ CAP 137MCG","0637","RC","Both",,,"3.5","1.75","Medicare",,,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM LIQ CAP 137MCG","0637","RC","Both",,,"3.5","1.75","Humana","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM LIQ CAP 137MCG","0637","RC","Both",,,"3.5","1.75","UHC","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM LIQ CAP 137MCG","0637","RC","Both",,,"3.5","1.75","Clover","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM LIQ CAP 137MCG","0637","RC","Both",,,"3.5","1.75","Wellcare","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM LIQ CAP 137MCG","0637","RC","Both",,,"3.5","1.75","Amerigroup","Medicaid Managed Care",,,"37",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM LIQ CAP 137MCG","0637","RC","Both",,,"3.5","1.75","Caresource","Medicaid Managed Care",,,"40",,"1.4","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM LIQ CAP 137MCG","0637","RC","Both",,,"3.5","1.75","Wellcare","Medicaid Managed Care",,,"40",,"1.42","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM LIQ CAP 137MCG","0637","RC","Both",,,"3.5","1.75","Aetna","Commercial",,,"64",,"2.23","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM LIQ CAP 137MCG","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","Pathways",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM LIQ CAP 137MCG","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","HMO",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM LIQ CAP 137MCG","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","PPO",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM LIQ CAP 137MCG","0637","RC","Both",,,"3.5","1.75","Ambetter","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM LIQ CAP 137MCG","0637","RC","Both",,,"3.5","1.75","Caresource","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM LIQ CAP 137MCG","0637","RC","Both",,,"3.5","1.75","Cigna","Commercial",,,"59",,"2.05","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM LIQ CAP 137MCG","0637","RC","Both",,,"3.5","1.75","Humana","Commercial",,,"78",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM LIQ CAP 137MCG","0637","RC","Both",,,"3.5","1.75","UHC","Commercial",,,"75",,"2.64","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM LIQ CAP 137MCG","0637","RC","Both",,,"3.5","1.75","Medicaid",,,,"37",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-LYSODREN TAB 500MG","0637","RC","Both",,,"15.5","7.75","Alliant","Health Exchange",,,"62",,"9.61","0.15","5264.58","percent of total billed charges",,
"NF-LYSODREN TAB 500MG","0637","RC","Both",,,"15.5","7.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.37","0.15","5264.58","percent of total billed charges",,
"NF-LYSODREN TAB 500MG","0637","RC","Both",,,"15.5","7.75","Medicare",,,,"54",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-LYSODREN TAB 500MG","0637","RC","Both",,,"15.5","7.75","Humana","Medicare Advantage",,,"54",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-LYSODREN TAB 500MG","0637","RC","Both",,,"15.5","7.75","UHC","Medicare Advantage",,,"54",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-LYSODREN TAB 500MG","0637","RC","Both",,,"15.5","7.75","Clover","Medicare Advantage",,,"54",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-LYSODREN TAB 500MG","0637","RC","Both",,,"15.5","7.75","Wellcare","Medicare Advantage",,,"54",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-LYSODREN TAB 500MG","0637","RC","Both",,,"15.5","7.75","Amerigroup","Medicaid Managed Care",,,"37",,"5.67","0.15","5264.58","percent of total billed charges",,
"NF-LYSODREN TAB 500MG","0637","RC","Both",,,"15.5","7.75","Caresource","Medicaid Managed Care",,,"40",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-LYSODREN TAB 500MG","0637","RC","Both",,,"15.5","7.75","Wellcare","Medicaid Managed Care",,,"40",,"6.28","0.15","5264.58","percent of total billed charges",,
"NF-LYSODREN TAB 500MG","0637","RC","Both",,,"15.5","7.75","Aetna","Commercial",,,"64",,"9.89","0.15","5264.58","percent of total billed charges",,
"NF-LYSODREN TAB 500MG","0637","RC","Both",,,"15.5","7.75","Blue Cross Blue Shield","Pathways",,,"71",,"10.94","0.15","5264.58","percent of total billed charges",,
"NF-LYSODREN TAB 500MG","0637","RC","Both",,,"15.5","7.75","Blue Cross Blue Shield","HMO",,,"71",,"10.94","0.15","5264.58","percent of total billed charges",,
"NF-LYSODREN TAB 500MG","0637","RC","Both",,,"15.5","7.75","Blue Cross Blue Shield","PPO",,,"71",,"10.94","0.15","5264.58","percent of total billed charges",,
"NF-LYSODREN TAB 500MG","0637","RC","Both",,,"15.5","7.75","Ambetter","Health Exchange",,,"62",,"9.61","0.15","5264.58","percent of total billed charges",,
"NF-LYSODREN TAB 500MG","0637","RC","Both",,,"15.5","7.75","Caresource","Health Exchange",,,"62",,"9.61","0.15","5264.58","percent of total billed charges",,
"NF-LYSODREN TAB 500MG","0637","RC","Both",,,"15.5","7.75","Cigna","Commercial",,,"59",,"9.08","0.15","5264.58","percent of total billed charges",,
"NF-LYSODREN TAB 500MG","0637","RC","Both",,,"15.5","7.75","Humana","Commercial",,,"78",,"12.01","0.15","5264.58","percent of total billed charges",,
"NF-LYSODREN TAB 500MG","0637","RC","Both",,,"15.5","7.75","UHC","Commercial",,,"75",,"11.69","0.15","5264.58","percent of total billed charges",,
"NF-LYSODREN TAB 500MG","0637","RC","Both",,,"15.5","7.75","Medicaid",,,,"37",,"5.67","0.15","5264.58","percent of total billed charges",,
"NF-MECLIZINE HCL ORAL TABLET 12.5MG","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-MECLIZINE HCL ORAL TABLET 12.5MG","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-MECLIZINE HCL ORAL TABLET 12.5MG","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-MECLIZINE HCL ORAL TABLET 12.5MG","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-MECLIZINE HCL ORAL TABLET 12.5MG","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-MECLIZINE HCL ORAL TABLET 12.5MG","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-MECLIZINE HCL ORAL TABLET 12.5MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-MECLIZINE HCL ORAL TABLET 12.5MG","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-MECLIZINE HCL ORAL TABLET 12.5MG","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-MECLIZINE HCL ORAL TABLET 12.5MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-MECLIZINE HCL ORAL TABLET 12.5MG","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-MECLIZINE HCL ORAL TABLET 12.5MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-MECLIZINE HCL ORAL TABLET 12.5MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-MECLIZINE HCL ORAL TABLET 12.5MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-MECLIZINE HCL ORAL TABLET 12.5MG","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-MECLIZINE HCL ORAL TABLET 12.5MG","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-MECLIZINE HCL ORAL TABLET 12.5MG","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-MECLIZINE HCL ORAL TABLET 12.5MG","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-MECLIZINE HCL ORAL TABLET 12.5MG","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-MECLIZINE HCL ORAL TABLET 12.5MG","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0250","RC","Both",,,"2.53","1.265","Alliant","Health Exchange",,,"62",,"1.57","0.04","569.62","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0250","RC","Both",,,"2.53","1.265","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.37","0.04","569.62","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0250","RC","Both",,,"2.53","1.265","Medicare",,,,"54",,"1.37","0.04","569.62","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0250","RC","Both",,,"2.53","1.265","Humana","Medicare Advantage",,,"54",,"1.37","0.04","569.62","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0250","RC","Both",,,"2.53","1.265","UHC","Medicare Advantage",,,"54",,"1.37","0.04","569.62","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0250","RC","Both",,,"2.53","1.265","Clover","Medicare Advantage",,,"54",,"1.37","0.04","569.62","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0250","RC","Both",,,"2.53","1.265","Wellcare","Medicare Advantage",,,"54",,"1.37","0.04","569.62","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0250","RC","Both",,,"2.53","1.265","Amerigroup","Medicaid Managed Care",,,"37",,"0.93","0.04","569.62","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0250","RC","Both",,,"2.53","1.265","Caresource","Medicaid Managed Care",,,"40",,"1.01","0.04","569.62","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0250","RC","Both",,,"2.53","1.265","Wellcare","Medicaid Managed Care",,,"40",,"1.02","0.04","569.62","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0250","RC","Both",,,"2.53","1.265","Aetna","Commercial",,,"64",,"1.61","0.04","569.62","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0250","RC","Both",,,"2.53","1.265","Blue Cross Blue Shield","Pathways",,,"71",,"1.79","0.04","569.62","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0250","RC","Both",,,"2.53","1.265","Blue Cross Blue Shield","HMO",,,"71",,"1.79","0.04","569.62","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0250","RC","Both",,,"2.53","1.265","Blue Cross Blue Shield","PPO",,,"71",,"1.79","0.04","569.62","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0250","RC","Both",,,"2.53","1.265","Ambetter","Health Exchange",,,"62",,"1.57","0.04","569.62","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0250","RC","Both",,,"2.53","1.265","Caresource","Health Exchange",,,"62",,"1.57","0.04","569.62","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0250","RC","Both",,,"2.53","1.265","Cigna","Commercial",,,"59",,"1.48","0.04","569.62","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0250","RC","Both",,,"2.53","1.265","Humana","Commercial",,,"78",,"1.96","0.04","569.62","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0250","RC","Both",,,"2.53","1.265","UHC","Commercial",,,"75",,"1.91","0.04","569.62","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0250","RC","Both",,,"2.53","1.265","Medicaid",,,,"37",,"0.93","0.04","569.62","percent of total billed charges",,
"NF-BENZTROPINE MESYLATE ORAL TABLET 1MG","0250","RC","Both",,,"0.69","0.345","Alliant","Health Exchange",,,"62",,"0.43","0.04","569.62","percent of total billed charges",,
"NF-BENZTROPINE MESYLATE ORAL TABLET 1MG","0250","RC","Both",,,"0.69","0.345","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.37","0.04","569.62","percent of total billed charges",,
"NF-BENZTROPINE MESYLATE ORAL TABLET 1MG","0250","RC","Both",,,"0.69","0.345","Medicare",,,,"54",,"0.37","0.04","569.62","percent of total billed charges",,
"NF-BENZTROPINE MESYLATE ORAL TABLET 1MG","0250","RC","Both",,,"0.69","0.345","Humana","Medicare Advantage",,,"54",,"0.37","0.04","569.62","percent of total billed charges",,
"NF-BENZTROPINE MESYLATE ORAL TABLET 1MG","0250","RC","Both",,,"0.69","0.345","UHC","Medicare Advantage",,,"54",,"0.37","0.04","569.62","percent of total billed charges",,
"NF-BENZTROPINE MESYLATE ORAL TABLET 1MG","0250","RC","Both",,,"0.69","0.345","Clover","Medicare Advantage",,,"54",,"0.37","0.04","569.62","percent of total billed charges",,
"NF-BENZTROPINE MESYLATE ORAL TABLET 1MG","0250","RC","Both",,,"0.69","0.345","Wellcare","Medicare Advantage",,,"54",,"0.37","0.04","569.62","percent of total billed charges",,
"NF-BENZTROPINE MESYLATE ORAL TABLET 1MG","0250","RC","Both",,,"0.69","0.345","Amerigroup","Medicaid Managed Care",,,"37",,"0.25","0.04","569.62","percent of total billed charges",,
"NF-BENZTROPINE MESYLATE ORAL TABLET 1MG","0250","RC","Both",,,"0.69","0.345","Caresource","Medicaid Managed Care",,,"40",,"0.28","0.04","569.62","percent of total billed charges",,
"NF-BENZTROPINE MESYLATE ORAL TABLET 1MG","0250","RC","Both",,,"0.69","0.345","Wellcare","Medicaid Managed Care",,,"40",,"0.28","0.04","569.62","percent of total billed charges",,
"NF-BENZTROPINE MESYLATE ORAL TABLET 1MG","0250","RC","Both",,,"0.69","0.345","Aetna","Commercial",,,"64",,"0.44","0.04","569.62","percent of total billed charges",,
"NF-BENZTROPINE MESYLATE ORAL TABLET 1MG","0250","RC","Both",,,"0.69","0.345","Blue Cross Blue Shield","Pathways",,,"71",,"0.49","0.04","569.62","percent of total billed charges",,
"NF-BENZTROPINE MESYLATE ORAL TABLET 1MG","0250","RC","Both",,,"0.69","0.345","Blue Cross Blue Shield","HMO",,,"71",,"0.49","0.04","569.62","percent of total billed charges",,
"NF-BENZTROPINE MESYLATE ORAL TABLET 1MG","0250","RC","Both",,,"0.69","0.345","Blue Cross Blue Shield","PPO",,,"71",,"0.49","0.04","569.62","percent of total billed charges",,
"NF-BENZTROPINE MESYLATE ORAL TABLET 1MG","0250","RC","Both",,,"0.69","0.345","Ambetter","Health Exchange",,,"62",,"0.43","0.04","569.62","percent of total billed charges",,
"NF-BENZTROPINE MESYLATE ORAL TABLET 1MG","0250","RC","Both",,,"0.69","0.345","Caresource","Health Exchange",,,"62",,"0.43","0.04","569.62","percent of total billed charges",,
"NF-BENZTROPINE MESYLATE ORAL TABLET 1MG","0250","RC","Both",,,"0.69","0.345","Cigna","Commercial",,,"59",,"0.4","0.04","569.62","percent of total billed charges",,
"NF-BENZTROPINE MESYLATE ORAL TABLET 1MG","0250","RC","Both",,,"0.69","0.345","Humana","Commercial",,,"78",,"0.53","0.04","569.62","percent of total billed charges",,
"NF-BENZTROPINE MESYLATE ORAL TABLET 1MG","0250","RC","Both",,,"0.69","0.345","UHC","Commercial",,,"75",,"0.52","0.04","569.62","percent of total billed charges",,
"NF-BENZTROPINE MESYLATE ORAL TABLET 1MG","0250","RC","Both",,,"0.69","0.345","Medicaid",,,,"37",,"0.25","0.04","569.62","percent of total billed charges",,
"NF-SAPHRIS SL TAB 10MG","0637","RC","Both",,,"37.5","18.75","Alliant","Health Exchange",,,"62",,"23.25","0.15","5264.58","percent of total billed charges",,
"NF-SAPHRIS SL TAB 10MG","0637","RC","Both",,,"37.5","18.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.25","0.15","5264.58","percent of total billed charges",,
"NF-SAPHRIS SL TAB 10MG","0637","RC","Both",,,"37.5","18.75","Medicare",,,,"54",,"20.33","0.15","5264.58","percent of total billed charges",,
"NF-SAPHRIS SL TAB 10MG","0637","RC","Both",,,"37.5","18.75","Humana","Medicare Advantage",,,"54",,"20.33","0.15","5264.58","percent of total billed charges",,
"NF-SAPHRIS SL TAB 10MG","0637","RC","Both",,,"37.5","18.75","UHC","Medicare Advantage",,,"54",,"20.33","0.15","5264.58","percent of total billed charges",,
"NF-SAPHRIS SL TAB 10MG","0637","RC","Both",,,"37.5","18.75","Clover","Medicare Advantage",,,"54",,"20.33","0.15","5264.58","percent of total billed charges",,
"NF-SAPHRIS SL TAB 10MG","0637","RC","Both",,,"37.5","18.75","Wellcare","Medicare Advantage",,,"54",,"20.33","0.15","5264.58","percent of total billed charges",,
"NF-SAPHRIS SL TAB 10MG","0637","RC","Both",,,"37.5","18.75","Amerigroup","Medicaid Managed Care",,,"37",,"13.72","0.15","5264.58","percent of total billed charges",,
"NF-SAPHRIS SL TAB 10MG","0637","RC","Both",,,"37.5","18.75","Caresource","Medicaid Managed Care",,,"40",,"15","0.15","5264.58","percent of total billed charges",,
"NF-SAPHRIS SL TAB 10MG","0637","RC","Both",,,"37.5","18.75","Wellcare","Medicaid Managed Care",,,"40",,"15.19","0.15","5264.58","percent of total billed charges",,
"NF-SAPHRIS SL TAB 10MG","0637","RC","Both",,,"37.5","18.75","Aetna","Commercial",,,"64",,"23.92","0.15","5264.58","percent of total billed charges",,
"NF-SAPHRIS SL TAB 10MG","0637","RC","Both",,,"37.5","18.75","Blue Cross Blue Shield","Pathways",,,"71",,"26.48","0.15","5264.58","percent of total billed charges",,
"NF-SAPHRIS SL TAB 10MG","0637","RC","Both",,,"37.5","18.75","Blue Cross Blue Shield","HMO",,,"71",,"26.48","0.15","5264.58","percent of total billed charges",,
"NF-SAPHRIS SL TAB 10MG","0637","RC","Both",,,"37.5","18.75","Blue Cross Blue Shield","PPO",,,"71",,"26.48","0.15","5264.58","percent of total billed charges",,
"NF-SAPHRIS SL TAB 10MG","0637","RC","Both",,,"37.5","18.75","Ambetter","Health Exchange",,,"62",,"23.25","0.15","5264.58","percent of total billed charges",,
"NF-SAPHRIS SL TAB 10MG","0637","RC","Both",,,"37.5","18.75","Caresource","Health Exchange",,,"62",,"23.25","0.15","5264.58","percent of total billed charges",,
"NF-SAPHRIS SL TAB 10MG","0637","RC","Both",,,"37.5","18.75","Cigna","Commercial",,,"59",,"21.98","0.15","5264.58","percent of total billed charges",,
"NF-SAPHRIS SL TAB 10MG","0637","RC","Both",,,"37.5","18.75","Humana","Commercial",,,"78",,"29.06","0.15","5264.58","percent of total billed charges",,
"NF-SAPHRIS SL TAB 10MG","0637","RC","Both",,,"37.5","18.75","UHC","Commercial",,,"75",,"28.28","0.15","5264.58","percent of total billed charges",,
"NF-SAPHRIS SL TAB 10MG","0637","RC","Both",,,"37.5","18.75","Medicaid",,,,"37",,"13.72","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 10MG","0637","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 10MG","0637","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 10MG","0637","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 10MG","0637","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 10MG","0637","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 10MG","0637","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 10MG","0637","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 10MG","0637","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 10MG","0637","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 10MG","0637","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 10MG","0637","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 10MG","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 10MG","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 10MG","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 10MG","0637","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 10MG","0637","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 10MG","0637","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 10MG","0637","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 10MG","0637","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 10MG","0637","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-ADCIRCA TAB 20MG","0637","RC","Both",,,"87","43.5","Alliant","Health Exchange",,,"62",,"53.94","0.15","5264.58","percent of total billed charges",,
"NF-ADCIRCA TAB 20MG","0637","RC","Both",,,"87","43.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"46.98","0.15","5264.58","percent of total billed charges",,
"NF-ADCIRCA TAB 20MG","0637","RC","Both",,,"87","43.5","Medicare",,,,"54",,"47.15","0.15","5264.58","percent of total billed charges",,
"NF-ADCIRCA TAB 20MG","0637","RC","Both",,,"87","43.5","Humana","Medicare Advantage",,,"54",,"47.15","0.15","5264.58","percent of total billed charges",,
"NF-ADCIRCA TAB 20MG","0637","RC","Both",,,"87","43.5","UHC","Medicare Advantage",,,"54",,"47.15","0.15","5264.58","percent of total billed charges",,
"NF-ADCIRCA TAB 20MG","0637","RC","Both",,,"87","43.5","Clover","Medicare Advantage",,,"54",,"47.15","0.15","5264.58","percent of total billed charges",,
"NF-ADCIRCA TAB 20MG","0637","RC","Both",,,"87","43.5","Wellcare","Medicare Advantage",,,"54",,"47.15","0.15","5264.58","percent of total billed charges",,
"NF-ADCIRCA TAB 20MG","0637","RC","Both",,,"87","43.5","Amerigroup","Medicaid Managed Care",,,"37",,"31.84","0.15","5264.58","percent of total billed charges",,
"NF-ADCIRCA TAB 20MG","0637","RC","Both",,,"87","43.5","Caresource","Medicaid Managed Care",,,"40",,"34.8","0.15","5264.58","percent of total billed charges",,
"NF-ADCIRCA TAB 20MG","0637","RC","Both",,,"87","43.5","Wellcare","Medicaid Managed Care",,,"40",,"35.24","0.15","5264.58","percent of total billed charges",,
"NF-ADCIRCA TAB 20MG","0637","RC","Both",,,"87","43.5","Aetna","Commercial",,,"64",,"55.51","0.15","5264.58","percent of total billed charges",,
"NF-ADCIRCA TAB 20MG","0637","RC","Both",,,"87","43.5","Blue Cross Blue Shield","Pathways",,,"71",,"61.42","0.15","5264.58","percent of total billed charges",,
"NF-ADCIRCA TAB 20MG","0637","RC","Both",,,"87","43.5","Blue Cross Blue Shield","HMO",,,"71",,"61.42","0.15","5264.58","percent of total billed charges",,
"NF-ADCIRCA TAB 20MG","0637","RC","Both",,,"87","43.5","Blue Cross Blue Shield","PPO",,,"71",,"61.42","0.15","5264.58","percent of total billed charges",,
"NF-ADCIRCA TAB 20MG","0637","RC","Both",,,"87","43.5","Ambetter","Health Exchange",,,"62",,"53.94","0.15","5264.58","percent of total billed charges",,
"NF-ADCIRCA TAB 20MG","0637","RC","Both",,,"87","43.5","Caresource","Health Exchange",,,"62",,"53.94","0.15","5264.58","percent of total billed charges",,
"NF-ADCIRCA TAB 20MG","0637","RC","Both",,,"87","43.5","Cigna","Commercial",,,"59",,"50.98","0.15","5264.58","percent of total billed charges",,
"NF-ADCIRCA TAB 20MG","0637","RC","Both",,,"87","43.5","Humana","Commercial",,,"78",,"67.42","0.15","5264.58","percent of total billed charges",,
"NF-ADCIRCA TAB 20MG","0637","RC","Both",,,"87","43.5","UHC","Commercial",,,"75",,"65.6","0.15","5264.58","percent of total billed charges",,
"NF-ADCIRCA TAB 20MG","0637","RC","Both",,,"87","43.5","Medicaid",,,,"37",,"31.84","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"74","37","Alliant","Health Exchange",,,"62",,"45.88","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"74","37","Pruitt Healthcare","Medicare Advantage",,,"54",,"39.96","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"74","37","Medicare",,,,"54",,"40.11","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"74","37","Humana","Medicare Advantage",,,"54",,"40.11","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"74","37","UHC","Medicare Advantage",,,"54",,"40.11","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"74","37","Clover","Medicare Advantage",,,"54",,"40.11","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"74","37","Wellcare","Medicare Advantage",,,"54",,"40.11","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"74","37","Amerigroup","Medicaid Managed Care",,,"37",,"27.08","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"74","37","Caresource","Medicaid Managed Care",,,"40",,"29.6","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"74","37","Wellcare","Medicaid Managed Care",,,"40",,"29.97","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"74","37","Aetna","Commercial",,,"64",,"47.21","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"74","37","Blue Cross Blue Shield","Pathways",,,"71",,"52.24","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"74","37","Blue Cross Blue Shield","HMO",,,"71",,"52.24","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"74","37","Blue Cross Blue Shield","PPO",,,"71",,"52.24","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"74","37","Ambetter","Health Exchange",,,"62",,"45.88","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"74","37","Caresource","Health Exchange",,,"62",,"45.88","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"74","37","Cigna","Commercial",,,"59",,"43.36","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"74","37","Humana","Commercial",,,"78",,"57.35","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"74","37","UHC","Commercial",,,"75",,"55.8","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"74","37","Medicaid",,,,"37",,"27.08","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWISTHALER INH PWD 0.22MG/1AC","0637","RC","Both",,,"805","402.5","Alliant","Health Exchange",,,"62",,"499.1","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWISTHALER INH PWD 0.22MG/1AC","0637","RC","Both",,,"805","402.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"434.7","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWISTHALER INH PWD 0.22MG/1AC","0637","RC","Both",,,"805","402.5","Medicare",,,,"54",,"436.31","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWISTHALER INH PWD 0.22MG/1AC","0637","RC","Both",,,"805","402.5","Humana","Medicare Advantage",,,"54",,"436.31","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWISTHALER INH PWD 0.22MG/1AC","0637","RC","Both",,,"805","402.5","UHC","Medicare Advantage",,,"54",,"436.31","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWISTHALER INH PWD 0.22MG/1AC","0637","RC","Both",,,"805","402.5","Clover","Medicare Advantage",,,"54",,"436.31","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWISTHALER INH PWD 0.22MG/1AC","0637","RC","Both",,,"805","402.5","Wellcare","Medicare Advantage",,,"54",,"436.31","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWISTHALER INH PWD 0.22MG/1AC","0637","RC","Both",,,"805","402.5","Amerigroup","Medicaid Managed Care",,,"37",,"294.63","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWISTHALER INH PWD 0.22MG/1AC","0637","RC","Both",,,"805","402.5","Caresource","Medicaid Managed Care",,,"40",,"322","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWISTHALER INH PWD 0.22MG/1AC","0637","RC","Both",,,"805","402.5","Wellcare","Medicaid Managed Care",,,"40",,"326.03","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWISTHALER INH PWD 0.22MG/1AC","0637","RC","Both",,,"805","402.5","Aetna","Commercial",,,"64",,"513.59","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWISTHALER INH PWD 0.22MG/1AC","0637","RC","Both",,,"805","402.5","Blue Cross Blue Shield","Pathways",,,"71",,"568.33","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWISTHALER INH PWD 0.22MG/1AC","0637","RC","Both",,,"805","402.5","Blue Cross Blue Shield","HMO",,,"71",,"568.33","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWISTHALER INH PWD 0.22MG/1AC","0637","RC","Both",,,"805","402.5","Blue Cross Blue Shield","PPO",,,"71",,"568.33","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWISTHALER INH PWD 0.22MG/1AC","0637","RC","Both",,,"805","402.5","Ambetter","Health Exchange",,,"62",,"499.1","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWISTHALER INH PWD 0.22MG/1AC","0637","RC","Both",,,"805","402.5","Caresource","Health Exchange",,,"62",,"499.1","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWISTHALER INH PWD 0.22MG/1AC","0637","RC","Both",,,"805","402.5","Cigna","Commercial",,,"59",,"471.73","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWISTHALER INH PWD 0.22MG/1AC","0637","RC","Both",,,"805","402.5","Humana","Commercial",,,"78",,"623.88","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWISTHALER INH PWD 0.22MG/1AC","0637","RC","Both",,,"805","402.5","UHC","Commercial",,,"75",,"606.97","0.15","5264.58","percent of total billed charges",,
"NF-ASMANEX TWISTHALER INH PWD 0.22MG/1AC","0637","RC","Both",,,"805","402.5","Medicaid",,,,"37",,"294.63","0.15","5264.58","percent of total billed charges",,
"NF-COREG CR CAP ER 40MG","0637","RC","Both",,,"16","8","Alliant","Health Exchange",,,"62",,"9.92","0.15","5264.58","percent of total billed charges",,
"NF-COREG CR CAP ER 40MG","0637","RC","Both",,,"16","8","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.64","0.15","5264.58","percent of total billed charges",,
"NF-COREG CR CAP ER 40MG","0637","RC","Both",,,"16","8","Medicare",,,,"54",,"8.67","0.15","5264.58","percent of total billed charges",,
"NF-COREG CR CAP ER 40MG","0637","RC","Both",,,"16","8","Humana","Medicare Advantage",,,"54",,"8.67","0.15","5264.58","percent of total billed charges",,
"NF-COREG CR CAP ER 40MG","0637","RC","Both",,,"16","8","UHC","Medicare Advantage",,,"54",,"8.67","0.15","5264.58","percent of total billed charges",,
"NF-COREG CR CAP ER 40MG","0637","RC","Both",,,"16","8","Clover","Medicare Advantage",,,"54",,"8.67","0.15","5264.58","percent of total billed charges",,
"NF-COREG CR CAP ER 40MG","0637","RC","Both",,,"16","8","Wellcare","Medicare Advantage",,,"54",,"8.67","0.15","5264.58","percent of total billed charges",,
"NF-COREG CR CAP ER 40MG","0637","RC","Both",,,"16","8","Amerigroup","Medicaid Managed Care",,,"37",,"5.86","0.15","5264.58","percent of total billed charges",,
"NF-COREG CR CAP ER 40MG","0637","RC","Both",,,"16","8","Caresource","Medicaid Managed Care",,,"40",,"6.4","0.15","5264.58","percent of total billed charges",,
"NF-COREG CR CAP ER 40MG","0637","RC","Both",,,"16","8","Wellcare","Medicaid Managed Care",,,"40",,"6.48","0.15","5264.58","percent of total billed charges",,
"NF-COREG CR CAP ER 40MG","0637","RC","Both",,,"16","8","Aetna","Commercial",,,"64",,"10.21","0.15","5264.58","percent of total billed charges",,
"NF-COREG CR CAP ER 40MG","0637","RC","Both",,,"16","8","Blue Cross Blue Shield","Pathways",,,"71",,"11.3","0.15","5264.58","percent of total billed charges",,
"NF-COREG CR CAP ER 40MG","0637","RC","Both",,,"16","8","Blue Cross Blue Shield","HMO",,,"71",,"11.3","0.15","5264.58","percent of total billed charges",,
"NF-COREG CR CAP ER 40MG","0637","RC","Both",,,"16","8","Blue Cross Blue Shield","PPO",,,"71",,"11.3","0.15","5264.58","percent of total billed charges",,
"NF-COREG CR CAP ER 40MG","0637","RC","Both",,,"16","8","Ambetter","Health Exchange",,,"62",,"9.92","0.15","5264.58","percent of total billed charges",,
"NF-COREG CR CAP ER 40MG","0637","RC","Both",,,"16","8","Caresource","Health Exchange",,,"62",,"9.92","0.15","5264.58","percent of total billed charges",,
"NF-COREG CR CAP ER 40MG","0637","RC","Both",,,"16","8","Cigna","Commercial",,,"59",,"9.38","0.15","5264.58","percent of total billed charges",,
"NF-COREG CR CAP ER 40MG","0637","RC","Both",,,"16","8","Humana","Commercial",,,"78",,"12.4","0.15","5264.58","percent of total billed charges",,
"NF-COREG CR CAP ER 40MG","0637","RC","Both",,,"16","8","UHC","Commercial",,,"75",,"12.06","0.15","5264.58","percent of total billed charges",,
"NF-COREG CR CAP ER 40MG","0637","RC","Both",,,"16","8","Medicaid",,,,"37",,"5.86","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL TAB 625MG","0637","RC","Both",,,"7.5","3.75","Alliant","Health Exchange",,,"62",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL TAB 625MG","0637","RC","Both",,,"7.5","3.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.05","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL TAB 625MG","0637","RC","Both",,,"7.5","3.75","Medicare",,,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL TAB 625MG","0637","RC","Both",,,"7.5","3.75","Humana","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL TAB 625MG","0637","RC","Both",,,"7.5","3.75","UHC","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL TAB 625MG","0637","RC","Both",,,"7.5","3.75","Clover","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL TAB 625MG","0637","RC","Both",,,"7.5","3.75","Wellcare","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL TAB 625MG","0637","RC","Both",,,"7.5","3.75","Amerigroup","Medicaid Managed Care",,,"37",,"2.74","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL TAB 625MG","0637","RC","Both",,,"7.5","3.75","Caresource","Medicaid Managed Care",,,"40",,"3","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL TAB 625MG","0637","RC","Both",,,"7.5","3.75","Wellcare","Medicaid Managed Care",,,"40",,"3.04","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL TAB 625MG","0637","RC","Both",,,"7.5","3.75","Aetna","Commercial",,,"64",,"4.78","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL TAB 625MG","0637","RC","Both",,,"7.5","3.75","Blue Cross Blue Shield","Pathways",,,"71",,"5.3","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL TAB 625MG","0637","RC","Both",,,"7.5","3.75","Blue Cross Blue Shield","HMO",,,"71",,"5.3","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL TAB 625MG","0637","RC","Both",,,"7.5","3.75","Blue Cross Blue Shield","PPO",,,"71",,"5.3","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL TAB 625MG","0637","RC","Both",,,"7.5","3.75","Ambetter","Health Exchange",,,"62",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL TAB 625MG","0637","RC","Both",,,"7.5","3.75","Caresource","Health Exchange",,,"62",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL TAB 625MG","0637","RC","Both",,,"7.5","3.75","Cigna","Commercial",,,"59",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL TAB 625MG","0637","RC","Both",,,"7.5","3.75","Humana","Commercial",,,"78",,"5.81","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL TAB 625MG","0637","RC","Both",,,"7.5","3.75","UHC","Commercial",,,"75",,"5.66","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL TAB 625MG","0637","RC","Both",,,"7.5","3.75","Medicaid",,,,"37",,"2.74","0.15","5264.58","percent of total billed charges",,
"CASTOR OIL 60 ML","0250","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.04","569.62","percent of total billed charges",,
"CASTOR OIL 60 ML","0250","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.04","569.62","percent of total billed charges",,
"CASTOR OIL 60 ML","0250","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"CASTOR OIL 60 ML","0250","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"CASTOR OIL 60 ML","0250","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"CASTOR OIL 60 ML","0250","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"CASTOR OIL 60 ML","0250","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"CASTOR OIL 60 ML","0250","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.04","569.62","percent of total billed charges",,
"CASTOR OIL 60 ML","0250","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.04","569.62","percent of total billed charges",,
"CASTOR OIL 60 ML","0250","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.04","569.62","percent of total billed charges",,
"CASTOR OIL 60 ML","0250","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.04","569.62","percent of total billed charges",,
"CASTOR OIL 60 ML","0250","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.04","569.62","percent of total billed charges",,
"CASTOR OIL 60 ML","0250","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.04","569.62","percent of total billed charges",,
"CASTOR OIL 60 ML","0250","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.04","569.62","percent of total billed charges",,
"CASTOR OIL 60 ML","0250","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.04","569.62","percent of total billed charges",,
"CASTOR OIL 60 ML","0250","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.04","569.62","percent of total billed charges",,
"CASTOR OIL 60 ML","0250","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.04","569.62","percent of total billed charges",,
"CASTOR OIL 60 ML","0250","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.04","569.62","percent of total billed charges",,
"CASTOR OIL 60 ML","0250","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.04","569.62","percent of total billed charges",,
"CASTOR OIL 60 ML","0250","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.04","569.62","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"55.5","27.75","Alliant","Health Exchange",,,"62",,"34.41","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"55.5","27.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"29.97","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"55.5","27.75","Medicare",,,,"54",,"30.08","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"55.5","27.75","Humana","Medicare Advantage",,,"54",,"30.08","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"55.5","27.75","UHC","Medicare Advantage",,,"54",,"30.08","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"55.5","27.75","Clover","Medicare Advantage",,,"54",,"30.08","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"55.5","27.75","Wellcare","Medicare Advantage",,,"54",,"30.08","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"55.5","27.75","Amerigroup","Medicaid Managed Care",,,"37",,"20.31","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"55.5","27.75","Caresource","Medicaid Managed Care",,,"40",,"22.2","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"55.5","27.75","Wellcare","Medicaid Managed Care",,,"40",,"22.48","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"55.5","27.75","Aetna","Commercial",,,"64",,"35.41","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"55.5","27.75","Blue Cross Blue Shield","Pathways",,,"71",,"39.18","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"55.5","27.75","Blue Cross Blue Shield","HMO",,,"71",,"39.18","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"55.5","27.75","Blue Cross Blue Shield","PPO",,,"71",,"39.18","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"55.5","27.75","Ambetter","Health Exchange",,,"62",,"34.41","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"55.5","27.75","Caresource","Health Exchange",,,"62",,"34.41","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"55.5","27.75","Cigna","Commercial",,,"59",,"32.52","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"55.5","27.75","Humana","Commercial",,,"78",,"43.01","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"55.5","27.75","UHC","Commercial",,,"75",,"41.85","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"55.5","27.75","Medicaid",,,,"37",,"20.31","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE (LAMICTAL) TABLET: 25 MG","0250","RC","Both",,,"36","18","Alliant","Health Exchange",,,"62",,"22.32","0.04","569.62","percent of total billed charges",,
"NF-LAMOTRIGINE (LAMICTAL) TABLET: 25 MG","0250","RC","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.44","0.04","569.62","percent of total billed charges",,
"NF-LAMOTRIGINE (LAMICTAL) TABLET: 25 MG","0250","RC","Both",,,"36","18","Medicare",,,,"54",,"19.51","0.04","569.62","percent of total billed charges",,
"NF-LAMOTRIGINE (LAMICTAL) TABLET: 25 MG","0250","RC","Both",,,"36","18","Humana","Medicare Advantage",,,"54",,"19.51","0.04","569.62","percent of total billed charges",,
"NF-LAMOTRIGINE (LAMICTAL) TABLET: 25 MG","0250","RC","Both",,,"36","18","UHC","Medicare Advantage",,,"54",,"19.51","0.04","569.62","percent of total billed charges",,
"NF-LAMOTRIGINE (LAMICTAL) TABLET: 25 MG","0250","RC","Both",,,"36","18","Clover","Medicare Advantage",,,"54",,"19.51","0.04","569.62","percent of total billed charges",,
"NF-LAMOTRIGINE (LAMICTAL) TABLET: 25 MG","0250","RC","Both",,,"36","18","Wellcare","Medicare Advantage",,,"54",,"19.51","0.04","569.62","percent of total billed charges",,
"NF-LAMOTRIGINE (LAMICTAL) TABLET: 25 MG","0250","RC","Both",,,"36","18","Amerigroup","Medicaid Managed Care",,,"37",,"13.18","0.04","569.62","percent of total billed charges",,
"NF-LAMOTRIGINE (LAMICTAL) TABLET: 25 MG","0250","RC","Both",,,"36","18","Caresource","Medicaid Managed Care",,,"40",,"14.4","0.04","569.62","percent of total billed charges",,
"NF-LAMOTRIGINE (LAMICTAL) TABLET: 25 MG","0250","RC","Both",,,"36","18","Wellcare","Medicaid Managed Care",,,"40",,"14.58","0.04","569.62","percent of total billed charges",,
"NF-LAMOTRIGINE (LAMICTAL) TABLET: 25 MG","0250","RC","Both",,,"36","18","Aetna","Commercial",,,"64",,"22.97","0.04","569.62","percent of total billed charges",,
"NF-LAMOTRIGINE (LAMICTAL) TABLET: 25 MG","0250","RC","Both",,,"36","18","Blue Cross Blue Shield","Pathways",,,"71",,"25.42","0.04","569.62","percent of total billed charges",,
"NF-LAMOTRIGINE (LAMICTAL) TABLET: 25 MG","0250","RC","Both",,,"36","18","Blue Cross Blue Shield","HMO",,,"71",,"25.42","0.04","569.62","percent of total billed charges",,
"NF-LAMOTRIGINE (LAMICTAL) TABLET: 25 MG","0250","RC","Both",,,"36","18","Blue Cross Blue Shield","PPO",,,"71",,"25.42","0.04","569.62","percent of total billed charges",,
"NF-LAMOTRIGINE (LAMICTAL) TABLET: 25 MG","0250","RC","Both",,,"36","18","Ambetter","Health Exchange",,,"62",,"22.32","0.04","569.62","percent of total billed charges",,
"NF-LAMOTRIGINE (LAMICTAL) TABLET: 25 MG","0250","RC","Both",,,"36","18","Caresource","Health Exchange",,,"62",,"22.32","0.04","569.62","percent of total billed charges",,
"NF-LAMOTRIGINE (LAMICTAL) TABLET: 25 MG","0250","RC","Both",,,"36","18","Cigna","Commercial",,,"59",,"21.1","0.04","569.62","percent of total billed charges",,
"NF-LAMOTRIGINE (LAMICTAL) TABLET: 25 MG","0250","RC","Both",,,"36","18","Humana","Commercial",,,"78",,"27.9","0.04","569.62","percent of total billed charges",,
"NF-LAMOTRIGINE (LAMICTAL) TABLET: 25 MG","0250","RC","Both",,,"36","18","UHC","Commercial",,,"75",,"27.14","0.04","569.62","percent of total billed charges",,
"NF-LAMOTRIGINE (LAMICTAL) TABLET: 25 MG","0250","RC","Both",,,"36","18","Medicaid",,,,"37",,"13.18","0.04","569.62","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0637","RC","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0637","RC","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0637","RC","Both",,,"22","11","Medicare",,,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0637","RC","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0637","RC","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0637","RC","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0637","RC","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0637","RC","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0637","RC","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0637","RC","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0637","RC","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0637","RC","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0637","RC","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0637","RC","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0637","RC","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0637","RC","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0637","RC","Both",,,"22","11","Medicaid",,,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE/APAP ORAL TABLET 7.5MG-325M","0637","RC","Both",,,"5.5","2.75","Alliant","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE/APAP ORAL TABLET 7.5MG-325M","0637","RC","Both",,,"5.5","2.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.97","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE/APAP ORAL TABLET 7.5MG-325M","0637","RC","Both",,,"5.5","2.75","Medicare",,,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE/APAP ORAL TABLET 7.5MG-325M","0637","RC","Both",,,"5.5","2.75","Humana","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE/APAP ORAL TABLET 7.5MG-325M","0637","RC","Both",,,"5.5","2.75","UHC","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE/APAP ORAL TABLET 7.5MG-325M","0637","RC","Both",,,"5.5","2.75","Clover","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE/APAP ORAL TABLET 7.5MG-325M","0637","RC","Both",,,"5.5","2.75","Wellcare","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE/APAP ORAL TABLET 7.5MG-325M","0637","RC","Both",,,"5.5","2.75","Amerigroup","Medicaid Managed Care",,,"37",,"2.01","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE/APAP ORAL TABLET 7.5MG-325M","0637","RC","Both",,,"5.5","2.75","Caresource","Medicaid Managed Care",,,"40",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE/APAP ORAL TABLET 7.5MG-325M","0637","RC","Both",,,"5.5","2.75","Wellcare","Medicaid Managed Care",,,"40",,"2.23","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE/APAP ORAL TABLET 7.5MG-325M","0637","RC","Both",,,"5.5","2.75","Aetna","Commercial",,,"64",,"3.51","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE/APAP ORAL TABLET 7.5MG-325M","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","Pathways",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE/APAP ORAL TABLET 7.5MG-325M","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","HMO",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE/APAP ORAL TABLET 7.5MG-325M","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","PPO",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE/APAP ORAL TABLET 7.5MG-325M","0637","RC","Both",,,"5.5","2.75","Ambetter","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE/APAP ORAL TABLET 7.5MG-325M","0637","RC","Both",,,"5.5","2.75","Caresource","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE/APAP ORAL TABLET 7.5MG-325M","0637","RC","Both",,,"5.5","2.75","Cigna","Commercial",,,"59",,"3.22","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE/APAP ORAL TABLET 7.5MG-325M","0637","RC","Both",,,"5.5","2.75","Humana","Commercial",,,"78",,"4.26","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE/APAP ORAL TABLET 7.5MG-325M","0637","RC","Both",,,"5.5","2.75","UHC","Commercial",,,"75",,"4.15","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE/APAP ORAL TABLET 7.5MG-325M","0637","RC","Both",,,"5.5","2.75","Medicaid",,,,"37",,"2.01","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"17","8.5","Alliant","Health Exchange",,,"62",,"10.54","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"17","8.5","Medicare",,,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"17","8.5","Humana","Medicare Advantage",,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"17","8.5","UHC","Medicare Advantage",,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"17","8.5","Clover","Medicare Advantage",,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"17","8.5","Wellcare","Medicare Advantage",,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.22","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"17","8.5","Caresource","Medicaid Managed Care",,,"40",,"6.8","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"17","8.5","Wellcare","Medicaid Managed Care",,,"40",,"6.89","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"17","8.5","Aetna","Commercial",,,"64",,"10.85","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways",,,"71",,"12","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"17","8.5","Blue Cross Blue Shield","HMO",,,"71",,"12","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"17","8.5","Blue Cross Blue Shield","PPO",,,"71",,"12","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"17","8.5","Ambetter","Health Exchange",,,"62",,"10.54","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"17","8.5","Caresource","Health Exchange",,,"62",,"10.54","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"17","8.5","Cigna","Commercial",,,"59",,"9.96","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"17","8.5","Humana","Commercial",,,"78",,"13.18","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"17","8.5","UHC","Commercial",,,"75",,"12.82","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"17","8.5","Medicaid",,,,"37",,"6.22","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE OPHTH SOLN 0.4","0637","RC","Both",,,"94.5","47.25","Alliant","Health Exchange",,,"62",,"58.59","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE OPHTH SOLN 0.4","0637","RC","Both",,,"94.5","47.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"51.03","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE OPHTH SOLN 0.4","0637","RC","Both",,,"94.5","47.25","Medicare",,,,"54",,"51.22","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE OPHTH SOLN 0.4","0637","RC","Both",,,"94.5","47.25","Humana","Medicare Advantage",,,"54",,"51.22","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE OPHTH SOLN 0.4","0637","RC","Both",,,"94.5","47.25","UHC","Medicare Advantage",,,"54",,"51.22","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE OPHTH SOLN 0.4","0637","RC","Both",,,"94.5","47.25","Clover","Medicare Advantage",,,"54",,"51.22","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE OPHTH SOLN 0.4","0637","RC","Both",,,"94.5","47.25","Wellcare","Medicare Advantage",,,"54",,"51.22","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE OPHTH SOLN 0.4","0637","RC","Both",,,"94.5","47.25","Amerigroup","Medicaid Managed Care",,,"37",,"34.59","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE OPHTH SOLN 0.4","0637","RC","Both",,,"94.5","47.25","Caresource","Medicaid Managed Care",,,"40",,"37.8","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE OPHTH SOLN 0.4","0637","RC","Both",,,"94.5","47.25","Wellcare","Medicaid Managed Care",,,"40",,"38.27","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE OPHTH SOLN 0.4","0637","RC","Both",,,"94.5","47.25","Aetna","Commercial",,,"64",,"60.29","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE OPHTH SOLN 0.4","0637","RC","Both",,,"94.5","47.25","Blue Cross Blue Shield","Pathways",,,"71",,"66.72","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE OPHTH SOLN 0.4","0637","RC","Both",,,"94.5","47.25","Blue Cross Blue Shield","HMO",,,"71",,"66.72","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE OPHTH SOLN 0.4","0637","RC","Both",,,"94.5","47.25","Blue Cross Blue Shield","PPO",,,"71",,"66.72","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE OPHTH SOLN 0.4","0637","RC","Both",,,"94.5","47.25","Ambetter","Health Exchange",,,"62",,"58.59","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE OPHTH SOLN 0.4","0637","RC","Both",,,"94.5","47.25","Caresource","Health Exchange",,,"62",,"58.59","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE OPHTH SOLN 0.4","0637","RC","Both",,,"94.5","47.25","Cigna","Commercial",,,"59",,"55.38","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE OPHTH SOLN 0.4","0637","RC","Both",,,"94.5","47.25","Humana","Commercial",,,"78",,"73.24","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE OPHTH SOLN 0.4","0637","RC","Both",,,"94.5","47.25","UHC","Commercial",,,"75",,"71.25","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE OPHTH SOLN 0.4","0637","RC","Both",,,"94.5","47.25","Medicaid",,,,"37",,"34.59","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"55.5","27.75","Alliant","Health Exchange",,,"62",,"34.41","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"55.5","27.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"29.97","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"55.5","27.75","Medicare",,,,"54",,"30.08","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"55.5","27.75","Humana","Medicare Advantage",,,"54",,"30.08","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"55.5","27.75","UHC","Medicare Advantage",,,"54",,"30.08","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"55.5","27.75","Clover","Medicare Advantage",,,"54",,"30.08","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"55.5","27.75","Wellcare","Medicare Advantage",,,"54",,"30.08","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"55.5","27.75","Amerigroup","Medicaid Managed Care",,,"37",,"20.31","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"55.5","27.75","Caresource","Medicaid Managed Care",,,"40",,"22.2","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"55.5","27.75","Wellcare","Medicaid Managed Care",,,"40",,"22.48","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"55.5","27.75","Aetna","Commercial",,,"64",,"35.41","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"55.5","27.75","Blue Cross Blue Shield","Pathways",,,"71",,"39.18","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"55.5","27.75","Blue Cross Blue Shield","HMO",,,"71",,"39.18","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"55.5","27.75","Blue Cross Blue Shield","PPO",,,"71",,"39.18","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"55.5","27.75","Ambetter","Health Exchange",,,"62",,"34.41","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"55.5","27.75","Caresource","Health Exchange",,,"62",,"34.41","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"55.5","27.75","Cigna","Commercial",,,"59",,"32.52","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"55.5","27.75","Humana","Commercial",,,"78",,"43.01","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"55.5","27.75","UHC","Commercial",,,"75",,"41.85","0.15","5264.58","percent of total billed charges",,
"NF-BICALUTAMIDE ORAL TABLET 50MG","0637","RC","Both",,,"55.5","27.75","Medicaid",,,,"37",,"20.31","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL TAB 5MG","0250","RC","Both",,,"0.26","0.13","Alliant","Health Exchange",,,"62",,"0.16","0.04","569.62","percent of total billed charges",,
"NF-METHADONE HCL TAB 5MG","0250","RC","Both",,,"0.26","0.13","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.14","0.04","569.62","percent of total billed charges",,
"NF-METHADONE HCL TAB 5MG","0250","RC","Both",,,"0.26","0.13","Medicare",,,,"54",,"0.14","0.04","569.62","percent of total billed charges",,
"NF-METHADONE HCL TAB 5MG","0250","RC","Both",,,"0.26","0.13","Humana","Medicare Advantage",,,"54",,"0.14","0.04","569.62","percent of total billed charges",,
"NF-METHADONE HCL TAB 5MG","0250","RC","Both",,,"0.26","0.13","UHC","Medicare Advantage",,,"54",,"0.14","0.04","569.62","percent of total billed charges",,
"NF-METHADONE HCL TAB 5MG","0250","RC","Both",,,"0.26","0.13","Clover","Medicare Advantage",,,"54",,"0.14","0.04","569.62","percent of total billed charges",,
"NF-METHADONE HCL TAB 5MG","0250","RC","Both",,,"0.26","0.13","Wellcare","Medicare Advantage",,,"54",,"0.14","0.04","569.62","percent of total billed charges",,
"NF-METHADONE HCL TAB 5MG","0250","RC","Both",,,"0.26","0.13","Amerigroup","Medicaid Managed Care",,,"37",,"0.1","0.04","569.62","percent of total billed charges",,
"NF-METHADONE HCL TAB 5MG","0250","RC","Both",,,"0.26","0.13","Caresource","Medicaid Managed Care",,,"40",,"0.1","0.04","569.62","percent of total billed charges",,
"NF-METHADONE HCL TAB 5MG","0250","RC","Both",,,"0.26","0.13","Wellcare","Medicaid Managed Care",,,"40",,"0.11","0.04","569.62","percent of total billed charges",,
"NF-METHADONE HCL TAB 5MG","0250","RC","Both",,,"0.26","0.13","Aetna","Commercial",,,"64",,"0.17","0.04","569.62","percent of total billed charges",,
"NF-METHADONE HCL TAB 5MG","0250","RC","Both",,,"0.26","0.13","Blue Cross Blue Shield","Pathways",,,"71",,"0.18","0.04","569.62","percent of total billed charges",,
"NF-METHADONE HCL TAB 5MG","0250","RC","Both",,,"0.26","0.13","Blue Cross Blue Shield","HMO",,,"71",,"0.18","0.04","569.62","percent of total billed charges",,
"NF-METHADONE HCL TAB 5MG","0250","RC","Both",,,"0.26","0.13","Blue Cross Blue Shield","PPO",,,"71",,"0.18","0.04","569.62","percent of total billed charges",,
"NF-METHADONE HCL TAB 5MG","0250","RC","Both",,,"0.26","0.13","Ambetter","Health Exchange",,,"62",,"0.16","0.04","569.62","percent of total billed charges",,
"NF-METHADONE HCL TAB 5MG","0250","RC","Both",,,"0.26","0.13","Caresource","Health Exchange",,,"62",,"0.16","0.04","569.62","percent of total billed charges",,
"NF-METHADONE HCL TAB 5MG","0250","RC","Both",,,"0.26","0.13","Cigna","Commercial",,,"59",,"0.15","0.04","569.62","percent of total billed charges",,
"NF-METHADONE HCL TAB 5MG","0250","RC","Both",,,"0.26","0.13","Humana","Commercial",,,"78",,"0.2","0.04","569.62","percent of total billed charges",,
"NF-METHADONE HCL TAB 5MG","0250","RC","Both",,,"0.26","0.13","UHC","Commercial",,,"75",,"0.2","0.04","569.62","percent of total billed charges",,
"NF-METHADONE HCL TAB 5MG","0250","RC","Both",,,"0.26","0.13","Medicaid",,,,"37",,"0.1","0.04","569.62","percent of total billed charges",,
"CHLORTHALIDONE (HYGROTON) TABLET: 25 MG","0250","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","569.62","percent of total billed charges",,
"CHLORTHALIDONE (HYGROTON) TABLET: 25 MG","0250","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","569.62","percent of total billed charges",,
"CHLORTHALIDONE (HYGROTON) TABLET: 25 MG","0250","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","569.62","percent of total billed charges",,
"CHLORTHALIDONE (HYGROTON) TABLET: 25 MG","0250","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","569.62","percent of total billed charges",,
"CHLORTHALIDONE (HYGROTON) TABLET: 25 MG","0250","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","569.62","percent of total billed charges",,
"CHLORTHALIDONE (HYGROTON) TABLET: 25 MG","0250","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","569.62","percent of total billed charges",,
"CHLORTHALIDONE (HYGROTON) TABLET: 25 MG","0250","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","569.62","percent of total billed charges",,
"CHLORTHALIDONE (HYGROTON) TABLET: 25 MG","0250","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","569.62","percent of total billed charges",,
"CHLORTHALIDONE (HYGROTON) TABLET: 25 MG","0250","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","569.62","percent of total billed charges",,
"CHLORTHALIDONE (HYGROTON) TABLET: 25 MG","0250","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","569.62","percent of total billed charges",,
"CHLORTHALIDONE (HYGROTON) TABLET: 25 MG","0250","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","569.62","percent of total billed charges",,
"CHLORTHALIDONE (HYGROTON) TABLET: 25 MG","0250","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","569.62","percent of total billed charges",,
"CHLORTHALIDONE (HYGROTON) TABLET: 25 MG","0250","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","569.62","percent of total billed charges",,
"CHLORTHALIDONE (HYGROTON) TABLET: 25 MG","0250","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","569.62","percent of total billed charges",,
"CHLORTHALIDONE (HYGROTON) TABLET: 25 MG","0250","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","569.62","percent of total billed charges",,
"CHLORTHALIDONE (HYGROTON) TABLET: 25 MG","0250","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","569.62","percent of total billed charges",,
"CHLORTHALIDONE (HYGROTON) TABLET: 25 MG","0250","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","569.62","percent of total billed charges",,
"CHLORTHALIDONE (HYGROTON) TABLET: 25 MG","0250","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","569.62","percent of total billed charges",,
"CHLORTHALIDONE (HYGROTON) TABLET: 25 MG","0250","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","569.62","percent of total billed charges",,
"CHLORTHALIDONE (HYGROTON) TABLET: 25 MG","0250","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","569.62","percent of total billed charges",,
"PYRIDOSTIGMINE (MESTINON) TABLET: 60 MG","0250","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.04","569.62","percent of total billed charges",,
"PYRIDOSTIGMINE (MESTINON) TABLET: 60 MG","0250","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.04","569.62","percent of total billed charges",,
"PYRIDOSTIGMINE (MESTINON) TABLET: 60 MG","0250","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.04","569.62","percent of total billed charges",,
"PYRIDOSTIGMINE (MESTINON) TABLET: 60 MG","0250","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.04","569.62","percent of total billed charges",,
"PYRIDOSTIGMINE (MESTINON) TABLET: 60 MG","0250","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.04","569.62","percent of total billed charges",,
"PYRIDOSTIGMINE (MESTINON) TABLET: 60 MG","0250","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.04","569.62","percent of total billed charges",,
"PYRIDOSTIGMINE (MESTINON) TABLET: 60 MG","0250","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.04","569.62","percent of total billed charges",,
"PYRIDOSTIGMINE (MESTINON) TABLET: 60 MG","0250","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.04","569.62","percent of total billed charges",,
"PYRIDOSTIGMINE (MESTINON) TABLET: 60 MG","0250","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.04","569.62","percent of total billed charges",,
"PYRIDOSTIGMINE (MESTINON) TABLET: 60 MG","0250","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.04","569.62","percent of total billed charges",,
"PYRIDOSTIGMINE (MESTINON) TABLET: 60 MG","0250","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.04","569.62","percent of total billed charges",,
"PYRIDOSTIGMINE (MESTINON) TABLET: 60 MG","0250","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.04","569.62","percent of total billed charges",,
"PYRIDOSTIGMINE (MESTINON) TABLET: 60 MG","0250","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.04","569.62","percent of total billed charges",,
"PYRIDOSTIGMINE (MESTINON) TABLET: 60 MG","0250","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.04","569.62","percent of total billed charges",,
"PYRIDOSTIGMINE (MESTINON) TABLET: 60 MG","0250","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.04","569.62","percent of total billed charges",,
"PYRIDOSTIGMINE (MESTINON) TABLET: 60 MG","0250","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.04","569.62","percent of total billed charges",,
"PYRIDOSTIGMINE (MESTINON) TABLET: 60 MG","0250","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.04","569.62","percent of total billed charges",,
"PYRIDOSTIGMINE (MESTINON) TABLET: 60 MG","0250","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.04","569.62","percent of total billed charges",,
"PYRIDOSTIGMINE (MESTINON) TABLET: 60 MG","0250","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.04","569.62","percent of total billed charges",,
"PYRIDOSTIGMINE (MESTINON) TABLET: 60 MG","0250","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.04","569.62","percent of total billed charges",,
"ENALAPRIL (VASOTEC) TABLET:  5 MG","0250","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","569.62","percent of total billed charges",,
"ENALAPRIL (VASOTEC) TABLET:  5 MG","0250","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","569.62","percent of total billed charges",,
"ENALAPRIL (VASOTEC) TABLET:  5 MG","0250","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","569.62","percent of total billed charges",,
"ENALAPRIL (VASOTEC) TABLET:  5 MG","0250","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","569.62","percent of total billed charges",,
"ENALAPRIL (VASOTEC) TABLET:  5 MG","0250","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","569.62","percent of total billed charges",,
"ENALAPRIL (VASOTEC) TABLET:  5 MG","0250","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","569.62","percent of total billed charges",,
"ENALAPRIL (VASOTEC) TABLET:  5 MG","0250","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","569.62","percent of total billed charges",,
"ENALAPRIL (VASOTEC) TABLET:  5 MG","0250","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","569.62","percent of total billed charges",,
"ENALAPRIL (VASOTEC) TABLET:  5 MG","0250","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","569.62","percent of total billed charges",,
"ENALAPRIL (VASOTEC) TABLET:  5 MG","0250","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","569.62","percent of total billed charges",,
"ENALAPRIL (VASOTEC) TABLET:  5 MG","0250","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","569.62","percent of total billed charges",,
"ENALAPRIL (VASOTEC) TABLET:  5 MG","0250","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","569.62","percent of total billed charges",,
"ENALAPRIL (VASOTEC) TABLET:  5 MG","0250","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","569.62","percent of total billed charges",,
"ENALAPRIL (VASOTEC) TABLET:  5 MG","0250","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","569.62","percent of total billed charges",,
"ENALAPRIL (VASOTEC) TABLET:  5 MG","0250","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","569.62","percent of total billed charges",,
"ENALAPRIL (VASOTEC) TABLET:  5 MG","0250","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","569.62","percent of total billed charges",,
"ENALAPRIL (VASOTEC) TABLET:  5 MG","0250","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","569.62","percent of total billed charges",,
"ENALAPRIL (VASOTEC) TABLET:  5 MG","0250","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","569.62","percent of total billed charges",,
"ENALAPRIL (VASOTEC) TABLET:  5 MG","0250","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","569.62","percent of total billed charges",,
"ENALAPRIL (VASOTEC) TABLET:  5 MG","0250","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","569.62","percent of total billed charges",,
"NF-XTANDI LIQ CAP 40MG","0637","RC","Both",,,"223.5","111.75","Alliant","Health Exchange",,,"62",,"138.57","0.15","5264.58","percent of total billed charges",,
"NF-XTANDI LIQ CAP 40MG","0637","RC","Both",,,"223.5","111.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"120.69","0.15","5264.58","percent of total billed charges",,
"NF-XTANDI LIQ CAP 40MG","0637","RC","Both",,,"223.5","111.75","Medicare",,,,"54",,"121.14","0.15","5264.58","percent of total billed charges",,
"NF-XTANDI LIQ CAP 40MG","0637","RC","Both",,,"223.5","111.75","Humana","Medicare Advantage",,,"54",,"121.14","0.15","5264.58","percent of total billed charges",,
"NF-XTANDI LIQ CAP 40MG","0637","RC","Both",,,"223.5","111.75","UHC","Medicare Advantage",,,"54",,"121.14","0.15","5264.58","percent of total billed charges",,
"NF-XTANDI LIQ CAP 40MG","0637","RC","Both",,,"223.5","111.75","Clover","Medicare Advantage",,,"54",,"121.14","0.15","5264.58","percent of total billed charges",,
"NF-XTANDI LIQ CAP 40MG","0637","RC","Both",,,"223.5","111.75","Wellcare","Medicare Advantage",,,"54",,"121.14","0.15","5264.58","percent of total billed charges",,
"NF-XTANDI LIQ CAP 40MG","0637","RC","Both",,,"223.5","111.75","Amerigroup","Medicaid Managed Care",,,"37",,"81.8","0.15","5264.58","percent of total billed charges",,
"NF-XTANDI LIQ CAP 40MG","0637","RC","Both",,,"223.5","111.75","Caresource","Medicaid Managed Care",,,"40",,"89.4","0.15","5264.58","percent of total billed charges",,
"NF-XTANDI LIQ CAP 40MG","0637","RC","Both",,,"223.5","111.75","Wellcare","Medicaid Managed Care",,,"40",,"90.52","0.15","5264.58","percent of total billed charges",,
"NF-XTANDI LIQ CAP 40MG","0637","RC","Both",,,"223.5","111.75","Aetna","Commercial",,,"64",,"142.59","0.15","5264.58","percent of total billed charges",,
"NF-XTANDI LIQ CAP 40MG","0637","RC","Both",,,"223.5","111.75","Blue Cross Blue Shield","Pathways",,,"71",,"157.79","0.15","5264.58","percent of total billed charges",,
"NF-XTANDI LIQ CAP 40MG","0637","RC","Both",,,"223.5","111.75","Blue Cross Blue Shield","HMO",,,"71",,"157.79","0.15","5264.58","percent of total billed charges",,
"NF-XTANDI LIQ CAP 40MG","0637","RC","Both",,,"223.5","111.75","Blue Cross Blue Shield","PPO",,,"71",,"157.79","0.15","5264.58","percent of total billed charges",,
"NF-XTANDI LIQ CAP 40MG","0637","RC","Both",,,"223.5","111.75","Ambetter","Health Exchange",,,"62",,"138.57","0.15","5264.58","percent of total billed charges",,
"NF-XTANDI LIQ CAP 40MG","0637","RC","Both",,,"223.5","111.75","Caresource","Health Exchange",,,"62",,"138.57","0.15","5264.58","percent of total billed charges",,
"NF-XTANDI LIQ CAP 40MG","0637","RC","Both",,,"223.5","111.75","Cigna","Commercial",,,"59",,"130.97","0.15","5264.58","percent of total billed charges",,
"NF-XTANDI LIQ CAP 40MG","0637","RC","Both",,,"223.5","111.75","Humana","Commercial",,,"78",,"173.21","0.15","5264.58","percent of total billed charges",,
"NF-XTANDI LIQ CAP 40MG","0637","RC","Both",,,"223.5","111.75","UHC","Commercial",,,"75",,"168.52","0.15","5264.58","percent of total billed charges",,
"NF-XTANDI LIQ CAP 40MG","0637","RC","Both",,,"223.5","111.75","Medicaid",,,,"37",,"81.8","0.15","5264.58","percent of total billed charges",,
"NF-CALTRATE 600+D ORAL TABLET 600MG-200I","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-CALTRATE 600+D ORAL TABLET 600MG-200I","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-CALTRATE 600+D ORAL TABLET 600MG-200I","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-CALTRATE 600+D ORAL TABLET 600MG-200I","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-CALTRATE 600+D ORAL TABLET 600MG-200I","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-CALTRATE 600+D ORAL TABLET 600MG-200I","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-CALTRATE 600+D ORAL TABLET 600MG-200I","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-CALTRATE 600+D ORAL TABLET 600MG-200I","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-CALTRATE 600+D ORAL TABLET 600MG-200I","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-CALTRATE 600+D ORAL TABLET 600MG-200I","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-CALTRATE 600+D ORAL TABLET 600MG-200I","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-CALTRATE 600+D ORAL TABLET 600MG-200I","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-CALTRATE 600+D ORAL TABLET 600MG-200I","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-CALTRATE 600+D ORAL TABLET 600MG-200I","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-CALTRATE 600+D ORAL TABLET 600MG-200I","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-CALTRATE 600+D ORAL TABLET 600MG-200I","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-CALTRATE 600+D ORAL TABLET 600MG-200I","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-CALTRATE 600+D ORAL TABLET 600MG-200I","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-CALTRATE 600+D ORAL TABLET 600MG-200I","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-CALTRATE 600+D ORAL TABLET 600MG-200I","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-EVISTA ORAL TABLET 60MG","0637","RC","Both",,,"19","9.5","Alliant","Health Exchange",,,"62",,"11.78","0.15","5264.58","percent of total billed charges",,
"NF-EVISTA ORAL TABLET 60MG","0637","RC","Both",,,"19","9.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.26","0.15","5264.58","percent of total billed charges",,
"NF-EVISTA ORAL TABLET 60MG","0637","RC","Both",,,"19","9.5","Medicare",,,,"54",,"10.3","0.15","5264.58","percent of total billed charges",,
"NF-EVISTA ORAL TABLET 60MG","0637","RC","Both",,,"19","9.5","Humana","Medicare Advantage",,,"54",,"10.3","0.15","5264.58","percent of total billed charges",,
"NF-EVISTA ORAL TABLET 60MG","0637","RC","Both",,,"19","9.5","UHC","Medicare Advantage",,,"54",,"10.3","0.15","5264.58","percent of total billed charges",,
"NF-EVISTA ORAL TABLET 60MG","0637","RC","Both",,,"19","9.5","Clover","Medicare Advantage",,,"54",,"10.3","0.15","5264.58","percent of total billed charges",,
"NF-EVISTA ORAL TABLET 60MG","0637","RC","Both",,,"19","9.5","Wellcare","Medicare Advantage",,,"54",,"10.3","0.15","5264.58","percent of total billed charges",,
"NF-EVISTA ORAL TABLET 60MG","0637","RC","Both",,,"19","9.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.95","0.15","5264.58","percent of total billed charges",,
"NF-EVISTA ORAL TABLET 60MG","0637","RC","Both",,,"19","9.5","Caresource","Medicaid Managed Care",,,"40",,"7.6","0.15","5264.58","percent of total billed charges",,
"NF-EVISTA ORAL TABLET 60MG","0637","RC","Both",,,"19","9.5","Wellcare","Medicaid Managed Care",,,"40",,"7.7","0.15","5264.58","percent of total billed charges",,
"NF-EVISTA ORAL TABLET 60MG","0637","RC","Both",,,"19","9.5","Aetna","Commercial",,,"64",,"12.12","0.15","5264.58","percent of total billed charges",,
"NF-EVISTA ORAL TABLET 60MG","0637","RC","Both",,,"19","9.5","Blue Cross Blue Shield","Pathways",,,"71",,"13.41","0.15","5264.58","percent of total billed charges",,
"NF-EVISTA ORAL TABLET 60MG","0637","RC","Both",,,"19","9.5","Blue Cross Blue Shield","HMO",,,"71",,"13.41","0.15","5264.58","percent of total billed charges",,
"NF-EVISTA ORAL TABLET 60MG","0637","RC","Both",,,"19","9.5","Blue Cross Blue Shield","PPO",,,"71",,"13.41","0.15","5264.58","percent of total billed charges",,
"NF-EVISTA ORAL TABLET 60MG","0637","RC","Both",,,"19","9.5","Ambetter","Health Exchange",,,"62",,"11.78","0.15","5264.58","percent of total billed charges",,
"NF-EVISTA ORAL TABLET 60MG","0637","RC","Both",,,"19","9.5","Caresource","Health Exchange",,,"62",,"11.78","0.15","5264.58","percent of total billed charges",,
"NF-EVISTA ORAL TABLET 60MG","0637","RC","Both",,,"19","9.5","Cigna","Commercial",,,"59",,"11.13","0.15","5264.58","percent of total billed charges",,
"NF-EVISTA ORAL TABLET 60MG","0637","RC","Both",,,"19","9.5","Humana","Commercial",,,"78",,"14.72","0.15","5264.58","percent of total billed charges",,
"NF-EVISTA ORAL TABLET 60MG","0637","RC","Both",,,"19","9.5","UHC","Commercial",,,"75",,"14.33","0.15","5264.58","percent of total billed charges",,
"NF-EVISTA ORAL TABLET 60MG","0637","RC","Both",,,"19","9.5","Medicaid",,,,"37",,"6.95","0.15","5264.58","percent of total billed charges",,
"NF-QUALAQUIN CAP 324MG","0637","RC","Both",,,"23.5","11.75","Alliant","Health Exchange",,,"62",,"14.57","0.15","5264.58","percent of total billed charges",,
"NF-QUALAQUIN CAP 324MG","0637","RC","Both",,,"23.5","11.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.69","0.15","5264.58","percent of total billed charges",,
"NF-QUALAQUIN CAP 324MG","0637","RC","Both",,,"23.5","11.75","Medicare",,,,"54",,"12.74","0.15","5264.58","percent of total billed charges",,
"NF-QUALAQUIN CAP 324MG","0637","RC","Both",,,"23.5","11.75","Humana","Medicare Advantage",,,"54",,"12.74","0.15","5264.58","percent of total billed charges",,
"NF-QUALAQUIN CAP 324MG","0637","RC","Both",,,"23.5","11.75","UHC","Medicare Advantage",,,"54",,"12.74","0.15","5264.58","percent of total billed charges",,
"NF-QUALAQUIN CAP 324MG","0637","RC","Both",,,"23.5","11.75","Clover","Medicare Advantage",,,"54",,"12.74","0.15","5264.58","percent of total billed charges",,
"NF-QUALAQUIN CAP 324MG","0637","RC","Both",,,"23.5","11.75","Wellcare","Medicare Advantage",,,"54",,"12.74","0.15","5264.58","percent of total billed charges",,
"NF-QUALAQUIN CAP 324MG","0637","RC","Both",,,"23.5","11.75","Amerigroup","Medicaid Managed Care",,,"37",,"8.6","0.15","5264.58","percent of total billed charges",,
"NF-QUALAQUIN CAP 324MG","0637","RC","Both",,,"23.5","11.75","Caresource","Medicaid Managed Care",,,"40",,"9.4","0.15","5264.58","percent of total billed charges",,
"NF-QUALAQUIN CAP 324MG","0637","RC","Both",,,"23.5","11.75","Wellcare","Medicaid Managed Care",,,"40",,"9.52","0.15","5264.58","percent of total billed charges",,
"NF-QUALAQUIN CAP 324MG","0637","RC","Both",,,"23.5","11.75","Aetna","Commercial",,,"64",,"14.99","0.15","5264.58","percent of total billed charges",,
"NF-QUALAQUIN CAP 324MG","0637","RC","Both",,,"23.5","11.75","Blue Cross Blue Shield","Pathways",,,"71",,"16.59","0.15","5264.58","percent of total billed charges",,
"NF-QUALAQUIN CAP 324MG","0637","RC","Both",,,"23.5","11.75","Blue Cross Blue Shield","HMO",,,"71",,"16.59","0.15","5264.58","percent of total billed charges",,
"NF-QUALAQUIN CAP 324MG","0637","RC","Both",,,"23.5","11.75","Blue Cross Blue Shield","PPO",,,"71",,"16.59","0.15","5264.58","percent of total billed charges",,
"NF-QUALAQUIN CAP 324MG","0637","RC","Both",,,"23.5","11.75","Ambetter","Health Exchange",,,"62",,"14.57","0.15","5264.58","percent of total billed charges",,
"NF-QUALAQUIN CAP 324MG","0637","RC","Both",,,"23.5","11.75","Caresource","Health Exchange",,,"62",,"14.57","0.15","5264.58","percent of total billed charges",,
"NF-QUALAQUIN CAP 324MG","0637","RC","Both",,,"23.5","11.75","Cigna","Commercial",,,"59",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-QUALAQUIN CAP 324MG","0637","RC","Both",,,"23.5","11.75","Humana","Commercial",,,"78",,"18.21","0.15","5264.58","percent of total billed charges",,
"NF-QUALAQUIN CAP 324MG","0637","RC","Both",,,"23.5","11.75","UHC","Commercial",,,"75",,"17.72","0.15","5264.58","percent of total billed charges",,
"NF-QUALAQUIN CAP 324MG","0637","RC","Both",,,"23.5","11.75","Medicaid",,,,"37",,"8.6","0.15","5264.58","percent of total billed charges",,
"NF-ROPINIROLE HCL TAB 0.5MG","0637","RC","Both",,,"10.5","5.25","Alliant","Health Exchange",,,"62",,"6.51","0.15","5264.58","percent of total billed charges",,
"NF-ROPINIROLE HCL TAB 0.5MG","0637","RC","Both",,,"10.5","5.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.67","0.15","5264.58","percent of total billed charges",,
"NF-ROPINIROLE HCL TAB 0.5MG","0637","RC","Both",,,"10.5","5.25","Medicare",,,,"54",,"5.69","0.15","5264.58","percent of total billed charges",,
"NF-ROPINIROLE HCL TAB 0.5MG","0637","RC","Both",,,"10.5","5.25","Humana","Medicare Advantage",,,"54",,"5.69","0.15","5264.58","percent of total billed charges",,
"NF-ROPINIROLE HCL TAB 0.5MG","0637","RC","Both",,,"10.5","5.25","UHC","Medicare Advantage",,,"54",,"5.69","0.15","5264.58","percent of total billed charges",,
"NF-ROPINIROLE HCL TAB 0.5MG","0637","RC","Both",,,"10.5","5.25","Clover","Medicare Advantage",,,"54",,"5.69","0.15","5264.58","percent of total billed charges",,
"NF-ROPINIROLE HCL TAB 0.5MG","0637","RC","Both",,,"10.5","5.25","Wellcare","Medicare Advantage",,,"54",,"5.69","0.15","5264.58","percent of total billed charges",,
"NF-ROPINIROLE HCL TAB 0.5MG","0637","RC","Both",,,"10.5","5.25","Amerigroup","Medicaid Managed Care",,,"37",,"3.84","0.15","5264.58","percent of total billed charges",,
"NF-ROPINIROLE HCL TAB 0.5MG","0637","RC","Both",,,"10.5","5.25","Caresource","Medicaid Managed Care",,,"40",,"4.2","0.15","5264.58","percent of total billed charges",,
"NF-ROPINIROLE HCL TAB 0.5MG","0637","RC","Both",,,"10.5","5.25","Wellcare","Medicaid Managed Care",,,"40",,"4.25","0.15","5264.58","percent of total billed charges",,
"NF-ROPINIROLE HCL TAB 0.5MG","0637","RC","Both",,,"10.5","5.25","Aetna","Commercial",,,"64",,"6.7","0.15","5264.58","percent of total billed charges",,
"NF-ROPINIROLE HCL TAB 0.5MG","0637","RC","Both",,,"10.5","5.25","Blue Cross Blue Shield","Pathways",,,"71",,"7.41","0.15","5264.58","percent of total billed charges",,
"NF-ROPINIROLE HCL TAB 0.5MG","0637","RC","Both",,,"10.5","5.25","Blue Cross Blue Shield","HMO",,,"71",,"7.41","0.15","5264.58","percent of total billed charges",,
"NF-ROPINIROLE HCL TAB 0.5MG","0637","RC","Both",,,"10.5","5.25","Blue Cross Blue Shield","PPO",,,"71",,"7.41","0.15","5264.58","percent of total billed charges",,
"NF-ROPINIROLE HCL TAB 0.5MG","0637","RC","Both",,,"10.5","5.25","Ambetter","Health Exchange",,,"62",,"6.51","0.15","5264.58","percent of total billed charges",,
"NF-ROPINIROLE HCL TAB 0.5MG","0637","RC","Both",,,"10.5","5.25","Caresource","Health Exchange",,,"62",,"6.51","0.15","5264.58","percent of total billed charges",,
"NF-ROPINIROLE HCL TAB 0.5MG","0637","RC","Both",,,"10.5","5.25","Cigna","Commercial",,,"59",,"6.15","0.15","5264.58","percent of total billed charges",,
"NF-ROPINIROLE HCL TAB 0.5MG","0637","RC","Both",,,"10.5","5.25","Humana","Commercial",,,"78",,"8.14","0.15","5264.58","percent of total billed charges",,
"NF-ROPINIROLE HCL TAB 0.5MG","0637","RC","Both",,,"10.5","5.25","UHC","Commercial",,,"75",,"7.92","0.15","5264.58","percent of total billed charges",,
"NF-ROPINIROLE HCL TAB 0.5MG","0637","RC","Both",,,"10.5","5.25","Medicaid",,,,"37",,"3.84","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCORTISONE ORAL TABLET 20MG","0637","RC","Both",,,"1.5","0.75","Alliant","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCORTISONE ORAL TABLET 20MG","0637","RC","Both",,,"1.5","0.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCORTISONE ORAL TABLET 20MG","0637","RC","Both",,,"1.5","0.75","Medicare",,,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCORTISONE ORAL TABLET 20MG","0637","RC","Both",,,"1.5","0.75","Humana","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCORTISONE ORAL TABLET 20MG","0637","RC","Both",,,"1.5","0.75","UHC","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCORTISONE ORAL TABLET 20MG","0637","RC","Both",,,"1.5","0.75","Clover","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCORTISONE ORAL TABLET 20MG","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCORTISONE ORAL TABLET 20MG","0637","RC","Both",,,"1.5","0.75","Amerigroup","Medicaid Managed Care",,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCORTISONE ORAL TABLET 20MG","0637","RC","Both",,,"1.5","0.75","Caresource","Medicaid Managed Care",,,"40",,"0.6","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCORTISONE ORAL TABLET 20MG","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicaid Managed Care",,,"40",,"0.61","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCORTISONE ORAL TABLET 20MG","0637","RC","Both",,,"1.5","0.75","Aetna","Commercial",,,"64",,"0.96","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCORTISONE ORAL TABLET 20MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","Pathways",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCORTISONE ORAL TABLET 20MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","HMO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCORTISONE ORAL TABLET 20MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","PPO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCORTISONE ORAL TABLET 20MG","0637","RC","Both",,,"1.5","0.75","Ambetter","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCORTISONE ORAL TABLET 20MG","0637","RC","Both",,,"1.5","0.75","Caresource","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCORTISONE ORAL TABLET 20MG","0637","RC","Both",,,"1.5","0.75","Cigna","Commercial",,,"59",,"0.88","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCORTISONE ORAL TABLET 20MG","0637","RC","Both",,,"1.5","0.75","Humana","Commercial",,,"78",,"1.16","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCORTISONE ORAL TABLET 20MG","0637","RC","Both",,,"1.5","0.75","UHC","Commercial",,,"75",,"1.13","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCORTISONE ORAL TABLET 20MG","0637","RC","Both",,,"1.5","0.75","Medicaid",,,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCORTISONE TABLET 20MG","0637","RC","Both",,,"1.5","0.75","Alliant","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCORTISONE TABLET 20MG","0637","RC","Both",,,"1.5","0.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCORTISONE TABLET 20MG","0637","RC","Both",,,"1.5","0.75","Medicare",,,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCORTISONE TABLET 20MG","0637","RC","Both",,,"1.5","0.75","Humana","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCORTISONE TABLET 20MG","0637","RC","Both",,,"1.5","0.75","UHC","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCORTISONE TABLET 20MG","0637","RC","Both",,,"1.5","0.75","Clover","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCORTISONE TABLET 20MG","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCORTISONE TABLET 20MG","0637","RC","Both",,,"1.5","0.75","Amerigroup","Medicaid Managed Care",,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCORTISONE TABLET 20MG","0637","RC","Both",,,"1.5","0.75","Caresource","Medicaid Managed Care",,,"40",,"0.6","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCORTISONE TABLET 20MG","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicaid Managed Care",,,"40",,"0.61","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCORTISONE TABLET 20MG","0637","RC","Both",,,"1.5","0.75","Aetna","Commercial",,,"64",,"0.96","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCORTISONE TABLET 20MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","Pathways",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCORTISONE TABLET 20MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","HMO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCORTISONE TABLET 20MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","PPO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCORTISONE TABLET 20MG","0637","RC","Both",,,"1.5","0.75","Ambetter","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCORTISONE TABLET 20MG","0637","RC","Both",,,"1.5","0.75","Caresource","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCORTISONE TABLET 20MG","0637","RC","Both",,,"1.5","0.75","Cigna","Commercial",,,"59",,"0.88","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCORTISONE TABLET 20MG","0637","RC","Both",,,"1.5","0.75","Humana","Commercial",,,"78",,"1.16","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCORTISONE TABLET 20MG","0637","RC","Both",,,"1.5","0.75","UHC","Commercial",,,"75",,"1.13","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCORTISONE TABLET 20MG","0637","RC","Both",,,"1.5","0.75","Medicaid",,,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN PREMIX BOTTLE: 25MG/250ML","0250","RC","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"NITROGLYCERIN PREMIX BOTTLE: 25MG/250ML","0250","RC","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","0.04","569.62","percent of total billed charges",,
"NITROGLYCERIN PREMIX BOTTLE: 25MG/250ML","0250","RC","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"NITROGLYCERIN PREMIX BOTTLE: 25MG/250ML","0250","RC","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"NITROGLYCERIN PREMIX BOTTLE: 25MG/250ML","0250","RC","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"NITROGLYCERIN PREMIX BOTTLE: 25MG/250ML","0250","RC","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"NITROGLYCERIN PREMIX BOTTLE: 25MG/250ML","0250","RC","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"NITROGLYCERIN PREMIX BOTTLE: 25MG/250ML","0250","RC","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","0.04","569.62","percent of total billed charges",,
"NITROGLYCERIN PREMIX BOTTLE: 25MG/250ML","0250","RC","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","0.04","569.62","percent of total billed charges",,
"NITROGLYCERIN PREMIX BOTTLE: 25MG/250ML","0250","RC","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","0.04","569.62","percent of total billed charges",,
"NITROGLYCERIN PREMIX BOTTLE: 25MG/250ML","0250","RC","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","0.04","569.62","percent of total billed charges",,
"NITROGLYCERIN PREMIX BOTTLE: 25MG/250ML","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"NITROGLYCERIN PREMIX BOTTLE: 25MG/250ML","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"NITROGLYCERIN PREMIX BOTTLE: 25MG/250ML","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"NITROGLYCERIN PREMIX BOTTLE: 25MG/250ML","0250","RC","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"NITROGLYCERIN PREMIX BOTTLE: 25MG/250ML","0250","RC","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"NITROGLYCERIN PREMIX BOTTLE: 25MG/250ML","0250","RC","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","0.04","569.62","percent of total billed charges",,
"NITROGLYCERIN PREMIX BOTTLE: 25MG/250ML","0250","RC","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","0.04","569.62","percent of total billed charges",,
"NITROGLYCERIN PREMIX BOTTLE: 25MG/250ML","0250","RC","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","0.04","569.62","percent of total billed charges",,
"NITROGLYCERIN PREMIX BOTTLE: 25MG/250ML","0250","RC","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","0.04","569.62","percent of total billed charges",,
"NF-AZELASTINE HCL NASAL SPRAY 137MCG/1AC","0637","RC","Both",,,"10.5","5.25","Alliant","Health Exchange",,,"62",,"6.51","0.15","5264.58","percent of total billed charges",,
"NF-AZELASTINE HCL NASAL SPRAY 137MCG/1AC","0637","RC","Both",,,"10.5","5.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.67","0.15","5264.58","percent of total billed charges",,
"NF-AZELASTINE HCL NASAL SPRAY 137MCG/1AC","0637","RC","Both",,,"10.5","5.25","Medicare",,,,"54",,"5.69","0.15","5264.58","percent of total billed charges",,
"NF-AZELASTINE HCL NASAL SPRAY 137MCG/1AC","0637","RC","Both",,,"10.5","5.25","Humana","Medicare Advantage",,,"54",,"5.69","0.15","5264.58","percent of total billed charges",,
"NF-AZELASTINE HCL NASAL SPRAY 137MCG/1AC","0637","RC","Both",,,"10.5","5.25","UHC","Medicare Advantage",,,"54",,"5.69","0.15","5264.58","percent of total billed charges",,
"NF-AZELASTINE HCL NASAL SPRAY 137MCG/1AC","0637","RC","Both",,,"10.5","5.25","Clover","Medicare Advantage",,,"54",,"5.69","0.15","5264.58","percent of total billed charges",,
"NF-AZELASTINE HCL NASAL SPRAY 137MCG/1AC","0637","RC","Both",,,"10.5","5.25","Wellcare","Medicare Advantage",,,"54",,"5.69","0.15","5264.58","percent of total billed charges",,
"NF-AZELASTINE HCL NASAL SPRAY 137MCG/1AC","0637","RC","Both",,,"10.5","5.25","Amerigroup","Medicaid Managed Care",,,"37",,"3.84","0.15","5264.58","percent of total billed charges",,
"NF-AZELASTINE HCL NASAL SPRAY 137MCG/1AC","0637","RC","Both",,,"10.5","5.25","Caresource","Medicaid Managed Care",,,"40",,"4.2","0.15","5264.58","percent of total billed charges",,
"NF-AZELASTINE HCL NASAL SPRAY 137MCG/1AC","0637","RC","Both",,,"10.5","5.25","Wellcare","Medicaid Managed Care",,,"40",,"4.25","0.15","5264.58","percent of total billed charges",,
"NF-AZELASTINE HCL NASAL SPRAY 137MCG/1AC","0637","RC","Both",,,"10.5","5.25","Aetna","Commercial",,,"64",,"6.7","0.15","5264.58","percent of total billed charges",,
"NF-AZELASTINE HCL NASAL SPRAY 137MCG/1AC","0637","RC","Both",,,"10.5","5.25","Blue Cross Blue Shield","Pathways",,,"71",,"7.41","0.15","5264.58","percent of total billed charges",,
"NF-AZELASTINE HCL NASAL SPRAY 137MCG/1AC","0637","RC","Both",,,"10.5","5.25","Blue Cross Blue Shield","HMO",,,"71",,"7.41","0.15","5264.58","percent of total billed charges",,
"NF-AZELASTINE HCL NASAL SPRAY 137MCG/1AC","0637","RC","Both",,,"10.5","5.25","Blue Cross Blue Shield","PPO",,,"71",,"7.41","0.15","5264.58","percent of total billed charges",,
"NF-AZELASTINE HCL NASAL SPRAY 137MCG/1AC","0637","RC","Both",,,"10.5","5.25","Ambetter","Health Exchange",,,"62",,"6.51","0.15","5264.58","percent of total billed charges",,
"NF-AZELASTINE HCL NASAL SPRAY 137MCG/1AC","0637","RC","Both",,,"10.5","5.25","Caresource","Health Exchange",,,"62",,"6.51","0.15","5264.58","percent of total billed charges",,
"NF-AZELASTINE HCL NASAL SPRAY 137MCG/1AC","0637","RC","Both",,,"10.5","5.25","Cigna","Commercial",,,"59",,"6.15","0.15","5264.58","percent of total billed charges",,
"NF-AZELASTINE HCL NASAL SPRAY 137MCG/1AC","0637","RC","Both",,,"10.5","5.25","Humana","Commercial",,,"78",,"8.14","0.15","5264.58","percent of total billed charges",,
"NF-AZELASTINE HCL NASAL SPRAY 137MCG/1AC","0637","RC","Both",,,"10.5","5.25","UHC","Commercial",,,"75",,"7.92","0.15","5264.58","percent of total billed charges",,
"NF-AZELASTINE HCL NASAL SPRAY 137MCG/1AC","0637","RC","Both",,,"10.5","5.25","Medicaid",,,,"37",,"3.84","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 30MG","0637","RC","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 30MG","0637","RC","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 30MG","0637","RC","Both",,,"8","4","Medicare",,,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 30MG","0637","RC","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 30MG","0637","RC","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 30MG","0637","RC","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 30MG","0637","RC","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 30MG","0637","RC","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 30MG","0637","RC","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 30MG","0637","RC","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 30MG","0637","RC","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 30MG","0637","RC","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 30MG","0637","RC","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 30MG","0637","RC","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 30MG","0637","RC","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 30MG","0637","RC","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 30MG","0637","RC","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 30MG","0637","RC","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 30MG","0637","RC","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","0.15","5264.58","percent of total billed charges",,
"NF-OXYCODONE HCL ORAL TABLET 30MG","0637","RC","Both",,,"8","4","Medicaid",,,,"37",,"2.93","0.15","5264.58","percent of total billed charges",,
"NF-TOPIRAMATE ORAL TABLET 100MG","0637","RC","Both",,,"20.5","10.25","Alliant","Health Exchange",,,"62",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-TOPIRAMATE ORAL TABLET 100MG","0637","RC","Both",,,"20.5","10.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.07","0.15","5264.58","percent of total billed charges",,
"NF-TOPIRAMATE ORAL TABLET 100MG","0637","RC","Both",,,"20.5","10.25","Medicare",,,,"54",,"11.11","0.15","5264.58","percent of total billed charges",,
"NF-TOPIRAMATE ORAL TABLET 100MG","0637","RC","Both",,,"20.5","10.25","Humana","Medicare Advantage",,,"54",,"11.11","0.15","5264.58","percent of total billed charges",,
"NF-TOPIRAMATE ORAL TABLET 100MG","0637","RC","Both",,,"20.5","10.25","UHC","Medicare Advantage",,,"54",,"11.11","0.15","5264.58","percent of total billed charges",,
"NF-TOPIRAMATE ORAL TABLET 100MG","0637","RC","Both",,,"20.5","10.25","Clover","Medicare Advantage",,,"54",,"11.11","0.15","5264.58","percent of total billed charges",,
"NF-TOPIRAMATE ORAL TABLET 100MG","0637","RC","Both",,,"20.5","10.25","Wellcare","Medicare Advantage",,,"54",,"11.11","0.15","5264.58","percent of total billed charges",,
"NF-TOPIRAMATE ORAL TABLET 100MG","0637","RC","Both",,,"20.5","10.25","Amerigroup","Medicaid Managed Care",,,"37",,"7.5","0.15","5264.58","percent of total billed charges",,
"NF-TOPIRAMATE ORAL TABLET 100MG","0637","RC","Both",,,"20.5","10.25","Caresource","Medicaid Managed Care",,,"40",,"8.2","0.15","5264.58","percent of total billed charges",,
"NF-TOPIRAMATE ORAL TABLET 100MG","0637","RC","Both",,,"20.5","10.25","Wellcare","Medicaid Managed Care",,,"40",,"8.3","0.15","5264.58","percent of total billed charges",,
"NF-TOPIRAMATE ORAL TABLET 100MG","0637","RC","Both",,,"20.5","10.25","Aetna","Commercial",,,"64",,"13.08","0.15","5264.58","percent of total billed charges",,
"NF-TOPIRAMATE ORAL TABLET 100MG","0637","RC","Both",,,"20.5","10.25","Blue Cross Blue Shield","Pathways",,,"71",,"14.47","0.15","5264.58","percent of total billed charges",,
"NF-TOPIRAMATE ORAL TABLET 100MG","0637","RC","Both",,,"20.5","10.25","Blue Cross Blue Shield","HMO",,,"71",,"14.47","0.15","5264.58","percent of total billed charges",,
"NF-TOPIRAMATE ORAL TABLET 100MG","0637","RC","Both",,,"20.5","10.25","Blue Cross Blue Shield","PPO",,,"71",,"14.47","0.15","5264.58","percent of total billed charges",,
"NF-TOPIRAMATE ORAL TABLET 100MG","0637","RC","Both",,,"20.5","10.25","Ambetter","Health Exchange",,,"62",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-TOPIRAMATE ORAL TABLET 100MG","0637","RC","Both",,,"20.5","10.25","Caresource","Health Exchange",,,"62",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-TOPIRAMATE ORAL TABLET 100MG","0637","RC","Both",,,"20.5","10.25","Cigna","Commercial",,,"59",,"12.01","0.15","5264.58","percent of total billed charges",,
"NF-TOPIRAMATE ORAL TABLET 100MG","0637","RC","Both",,,"20.5","10.25","Humana","Commercial",,,"78",,"15.89","0.15","5264.58","percent of total billed charges",,
"NF-TOPIRAMATE ORAL TABLET 100MG","0637","RC","Both",,,"20.5","10.25","UHC","Commercial",,,"75",,"15.46","0.15","5264.58","percent of total billed charges",,
"NF-TOPIRAMATE ORAL TABLET 100MG","0637","RC","Both",,,"20.5","10.25","Medicaid",,,,"37",,"7.5","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN D3 LIQUID-FILLED CAPSULE 2000","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN D3 LIQUID-FILLED CAPSULE 2000","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN D3 LIQUID-FILLED CAPSULE 2000","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN D3 LIQUID-FILLED CAPSULE 2000","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN D3 LIQUID-FILLED CAPSULE 2000","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN D3 LIQUID-FILLED CAPSULE 2000","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN D3 LIQUID-FILLED CAPSULE 2000","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN D3 LIQUID-FILLED CAPSULE 2000","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN D3 LIQUID-FILLED CAPSULE 2000","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN D3 LIQUID-FILLED CAPSULE 2000","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN D3 LIQUID-FILLED CAPSULE 2000","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN D3 LIQUID-FILLED CAPSULE 2000","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN D3 LIQUID-FILLED CAPSULE 2000","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN D3 LIQUID-FILLED CAPSULE 2000","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN D3 LIQUID-FILLED CAPSULE 2000","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN D3 LIQUID-FILLED CAPSULE 2000","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN D3 LIQUID-FILLED CAPSULE 2000","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN D3 LIQUID-FILLED CAPSULE 2000","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN D3 LIQUID-FILLED CAPSULE 2000","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN D3 LIQUID-FILLED CAPSULE 2000","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-HCTZ/TRIAMTERENE CAPSULE","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-HCTZ/TRIAMTERENE CAPSULE","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-HCTZ/TRIAMTERENE CAPSULE","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-HCTZ/TRIAMTERENE CAPSULE","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-HCTZ/TRIAMTERENE CAPSULE","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-HCTZ/TRIAMTERENE CAPSULE","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-HCTZ/TRIAMTERENE CAPSULE","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-HCTZ/TRIAMTERENE CAPSULE","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-HCTZ/TRIAMTERENE CAPSULE","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-HCTZ/TRIAMTERENE CAPSULE","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-HCTZ/TRIAMTERENE CAPSULE","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-HCTZ/TRIAMTERENE CAPSULE","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-HCTZ/TRIAMTERENE CAPSULE","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-HCTZ/TRIAMTERENE CAPSULE","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-HCTZ/TRIAMTERENE CAPSULE","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-HCTZ/TRIAMTERENE CAPSULE","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-HCTZ/TRIAMTERENE CAPSULE","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-HCTZ/TRIAMTERENE CAPSULE","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-HCTZ/TRIAMTERENE CAPSULE","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-HCTZ/TRIAMTERENE CAPSULE","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-RANEXA EXTENDED-RELEASE TABLET 500MG","0637","RC","Both",,,"13.5","6.75","Alliant","Health Exchange",,,"62",,"8.37","0.15","5264.58","percent of total billed charges",,
"NF-RANEXA EXTENDED-RELEASE TABLET 500MG","0637","RC","Both",,,"13.5","6.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.29","0.15","5264.58","percent of total billed charges",,
"NF-RANEXA EXTENDED-RELEASE TABLET 500MG","0637","RC","Both",,,"13.5","6.75","Medicare",,,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-RANEXA EXTENDED-RELEASE TABLET 500MG","0637","RC","Both",,,"13.5","6.75","Humana","Medicare Advantage",,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-RANEXA EXTENDED-RELEASE TABLET 500MG","0637","RC","Both",,,"13.5","6.75","UHC","Medicare Advantage",,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-RANEXA EXTENDED-RELEASE TABLET 500MG","0637","RC","Both",,,"13.5","6.75","Clover","Medicare Advantage",,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-RANEXA EXTENDED-RELEASE TABLET 500MG","0637","RC","Both",,,"13.5","6.75","Wellcare","Medicare Advantage",,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-RANEXA EXTENDED-RELEASE TABLET 500MG","0637","RC","Both",,,"13.5","6.75","Amerigroup","Medicaid Managed Care",,,"37",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-RANEXA EXTENDED-RELEASE TABLET 500MG","0637","RC","Both",,,"13.5","6.75","Caresource","Medicaid Managed Care",,,"40",,"5.4","0.15","5264.58","percent of total billed charges",,
"NF-RANEXA EXTENDED-RELEASE TABLET 500MG","0637","RC","Both",,,"13.5","6.75","Wellcare","Medicaid Managed Care",,,"40",,"5.47","0.15","5264.58","percent of total billed charges",,
"NF-RANEXA EXTENDED-RELEASE TABLET 500MG","0637","RC","Both",,,"13.5","6.75","Aetna","Commercial",,,"64",,"8.61","0.15","5264.58","percent of total billed charges",,
"NF-RANEXA EXTENDED-RELEASE TABLET 500MG","0637","RC","Both",,,"13.5","6.75","Blue Cross Blue Shield","Pathways",,,"71",,"9.53","0.15","5264.58","percent of total billed charges",,
"NF-RANEXA EXTENDED-RELEASE TABLET 500MG","0637","RC","Both",,,"13.5","6.75","Blue Cross Blue Shield","HMO",,,"71",,"9.53","0.15","5264.58","percent of total billed charges",,
"NF-RANEXA EXTENDED-RELEASE TABLET 500MG","0637","RC","Both",,,"13.5","6.75","Blue Cross Blue Shield","PPO",,,"71",,"9.53","0.15","5264.58","percent of total billed charges",,
"NF-RANEXA EXTENDED-RELEASE TABLET 500MG","0637","RC","Both",,,"13.5","6.75","Ambetter","Health Exchange",,,"62",,"8.37","0.15","5264.58","percent of total billed charges",,
"NF-RANEXA EXTENDED-RELEASE TABLET 500MG","0637","RC","Both",,,"13.5","6.75","Caresource","Health Exchange",,,"62",,"8.37","0.15","5264.58","percent of total billed charges",,
"NF-RANEXA EXTENDED-RELEASE TABLET 500MG","0637","RC","Both",,,"13.5","6.75","Cigna","Commercial",,,"59",,"7.91","0.15","5264.58","percent of total billed charges",,
"NF-RANEXA EXTENDED-RELEASE TABLET 500MG","0637","RC","Both",,,"13.5","6.75","Humana","Commercial",,,"78",,"10.46","0.15","5264.58","percent of total billed charges",,
"NF-RANEXA EXTENDED-RELEASE TABLET 500MG","0637","RC","Both",,,"13.5","6.75","UHC","Commercial",,,"75",,"10.18","0.15","5264.58","percent of total billed charges",,
"NF-RANEXA EXTENDED-RELEASE TABLET 500MG","0637","RC","Both",,,"13.5","6.75","Medicaid",,,,"37",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"9","4.5","Alliant","Health Exchange",,,"62",,"5.58","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"9","4.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.86","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"9","4.5","Medicare",,,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"9","4.5","Humana","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"9","4.5","UHC","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"9","4.5","Clover","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"9","4.5","Wellcare","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"9","4.5","Amerigroup","Medicaid Managed Care",,,"37",,"3.29","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"9","4.5","Caresource","Medicaid Managed Care",,,"40",,"3.6","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"9","4.5","Wellcare","Medicaid Managed Care",,,"40",,"3.65","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"9","4.5","Aetna","Commercial",,,"64",,"5.74","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"9","4.5","Blue Cross Blue Shield","Pathways",,,"71",,"6.35","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"9","4.5","Blue Cross Blue Shield","HMO",,,"71",,"6.35","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"9","4.5","Blue Cross Blue Shield","PPO",,,"71",,"6.35","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"9","4.5","Ambetter","Health Exchange",,,"62",,"5.58","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"9","4.5","Caresource","Health Exchange",,,"62",,"5.58","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"9","4.5","Cigna","Commercial",,,"59",,"5.27","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"9","4.5","Humana","Commercial",,,"78",,"6.98","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"9","4.5","UHC","Commercial",,,"75",,"6.79","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"9","4.5","Medicaid",,,,"37",,"3.29","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE LUBRICANT EYE DROPS 0.4%-0.3%","0637","RC","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE LUBRICANT EYE DROPS 0.4%-0.3%","0637","RC","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE LUBRICANT EYE DROPS 0.4%-0.3%","0637","RC","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE LUBRICANT EYE DROPS 0.4%-0.3%","0637","RC","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE LUBRICANT EYE DROPS 0.4%-0.3%","0637","RC","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE LUBRICANT EYE DROPS 0.4%-0.3%","0637","RC","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE LUBRICANT EYE DROPS 0.4%-0.3%","0637","RC","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE LUBRICANT EYE DROPS 0.4%-0.3%","0637","RC","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE LUBRICANT EYE DROPS 0.4%-0.3%","0637","RC","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE LUBRICANT EYE DROPS 0.4%-0.3%","0637","RC","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE LUBRICANT EYE DROPS 0.4%-0.3%","0637","RC","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE LUBRICANT EYE DROPS 0.4%-0.3%","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE LUBRICANT EYE DROPS 0.4%-0.3%","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE LUBRICANT EYE DROPS 0.4%-0.3%","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE LUBRICANT EYE DROPS 0.4%-0.3%","0637","RC","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE LUBRICANT EYE DROPS 0.4%-0.3%","0637","RC","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE LUBRICANT EYE DROPS 0.4%-0.3%","0637","RC","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE LUBRICANT EYE DROPS 0.4%-0.3%","0637","RC","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE LUBRICANT EYE DROPS 0.4%-0.3%","0637","RC","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE LUBRICANT EYE DROPS 0.4%-0.3%","0637","RC","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR CAPSULE 100MG","0637","RC","Both",,,"38","19","Alliant","Health Exchange",,,"62",,"23.56","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR CAPSULE 100MG","0637","RC","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.52","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR CAPSULE 100MG","0637","RC","Both",,,"38","19","Medicare",,,,"54",,"20.6","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR CAPSULE 100MG","0637","RC","Both",,,"38","19","Humana","Medicare Advantage",,,"54",,"20.6","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR CAPSULE 100MG","0637","RC","Both",,,"38","19","UHC","Medicare Advantage",,,"54",,"20.6","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR CAPSULE 100MG","0637","RC","Both",,,"38","19","Clover","Medicare Advantage",,,"54",,"20.6","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR CAPSULE 100MG","0637","RC","Both",,,"38","19","Wellcare","Medicare Advantage",,,"54",,"20.6","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR CAPSULE 100MG","0637","RC","Both",,,"38","19","Amerigroup","Medicaid Managed Care",,,"37",,"13.91","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR CAPSULE 100MG","0637","RC","Both",,,"38","19","Caresource","Medicaid Managed Care",,,"40",,"15.2","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR CAPSULE 100MG","0637","RC","Both",,,"38","19","Wellcare","Medicaid Managed Care",,,"40",,"15.39","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR CAPSULE 100MG","0637","RC","Both",,,"38","19","Aetna","Commercial",,,"64",,"24.24","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR CAPSULE 100MG","0637","RC","Both",,,"38","19","Blue Cross Blue Shield","Pathways",,,"71",,"26.83","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR CAPSULE 100MG","0637","RC","Both",,,"38","19","Blue Cross Blue Shield","HMO",,,"71",,"26.83","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR CAPSULE 100MG","0637","RC","Both",,,"38","19","Blue Cross Blue Shield","PPO",,,"71",,"26.83","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR CAPSULE 100MG","0637","RC","Both",,,"38","19","Ambetter","Health Exchange",,,"62",,"23.56","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR CAPSULE 100MG","0637","RC","Both",,,"38","19","Caresource","Health Exchange",,,"62",,"23.56","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR CAPSULE 100MG","0637","RC","Both",,,"38","19","Cigna","Commercial",,,"59",,"22.27","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR CAPSULE 100MG","0637","RC","Both",,,"38","19","Humana","Commercial",,,"78",,"29.45","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR CAPSULE 100MG","0637","RC","Both",,,"38","19","UHC","Commercial",,,"75",,"28.65","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR CAPSULE 100MG","0637","RC","Both",,,"38","19","Medicaid",,,,"37",,"13.91","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA ORAL TABLET 600MG","0637","RC","Both",,,"61.5","30.75","Alliant","Health Exchange",,,"62",,"38.13","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA ORAL TABLET 600MG","0637","RC","Both",,,"61.5","30.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"33.21","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA ORAL TABLET 600MG","0637","RC","Both",,,"61.5","30.75","Medicare",,,,"54",,"33.33","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA ORAL TABLET 600MG","0637","RC","Both",,,"61.5","30.75","Humana","Medicare Advantage",,,"54",,"33.33","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA ORAL TABLET 600MG","0637","RC","Both",,,"61.5","30.75","UHC","Medicare Advantage",,,"54",,"33.33","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA ORAL TABLET 600MG","0637","RC","Both",,,"61.5","30.75","Clover","Medicare Advantage",,,"54",,"33.33","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA ORAL TABLET 600MG","0637","RC","Both",,,"61.5","30.75","Wellcare","Medicare Advantage",,,"54",,"33.33","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA ORAL TABLET 600MG","0637","RC","Both",,,"61.5","30.75","Amerigroup","Medicaid Managed Care",,,"37",,"22.51","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA ORAL TABLET 600MG","0637","RC","Both",,,"61.5","30.75","Caresource","Medicaid Managed Care",,,"40",,"24.6","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA ORAL TABLET 600MG","0637","RC","Both",,,"61.5","30.75","Wellcare","Medicaid Managed Care",,,"40",,"24.91","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA ORAL TABLET 600MG","0637","RC","Both",,,"61.5","30.75","Aetna","Commercial",,,"64",,"39.24","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA ORAL TABLET 600MG","0637","RC","Both",,,"61.5","30.75","Blue Cross Blue Shield","Pathways",,,"71",,"43.42","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA ORAL TABLET 600MG","0637","RC","Both",,,"61.5","30.75","Blue Cross Blue Shield","HMO",,,"71",,"43.42","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA ORAL TABLET 600MG","0637","RC","Both",,,"61.5","30.75","Blue Cross Blue Shield","PPO",,,"71",,"43.42","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA ORAL TABLET 600MG","0637","RC","Both",,,"61.5","30.75","Ambetter","Health Exchange",,,"62",,"38.13","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA ORAL TABLET 600MG","0637","RC","Both",,,"61.5","30.75","Caresource","Health Exchange",,,"62",,"38.13","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA ORAL TABLET 600MG","0637","RC","Both",,,"61.5","30.75","Cigna","Commercial",,,"59",,"36.04","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA ORAL TABLET 600MG","0637","RC","Both",,,"61.5","30.75","Humana","Commercial",,,"78",,"47.66","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA ORAL TABLET 600MG","0637","RC","Both",,,"61.5","30.75","UHC","Commercial",,,"75",,"46.37","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA ORAL TABLET 600MG","0637","RC","Both",,,"61.5","30.75","Medicaid",,,,"37",,"22.51","0.15","5264.58","percent of total billed charges",,
"NF-VIREAD ORAL TABLET 300MG","0637","RC","Both",,,"94","47","Alliant","Health Exchange",,,"62",,"58.28","0.15","5264.58","percent of total billed charges",,
"NF-VIREAD ORAL TABLET 300MG","0637","RC","Both",,,"94","47","Pruitt Healthcare","Medicare Advantage",,,"54",,"50.76","0.15","5264.58","percent of total billed charges",,
"NF-VIREAD ORAL TABLET 300MG","0637","RC","Both",,,"94","47","Medicare",,,,"54",,"50.95","0.15","5264.58","percent of total billed charges",,
"NF-VIREAD ORAL TABLET 300MG","0637","RC","Both",,,"94","47","Humana","Medicare Advantage",,,"54",,"50.95","0.15","5264.58","percent of total billed charges",,
"NF-VIREAD ORAL TABLET 300MG","0637","RC","Both",,,"94","47","UHC","Medicare Advantage",,,"54",,"50.95","0.15","5264.58","percent of total billed charges",,
"NF-VIREAD ORAL TABLET 300MG","0637","RC","Both",,,"94","47","Clover","Medicare Advantage",,,"54",,"50.95","0.15","5264.58","percent of total billed charges",,
"NF-VIREAD ORAL TABLET 300MG","0637","RC","Both",,,"94","47","Wellcare","Medicare Advantage",,,"54",,"50.95","0.15","5264.58","percent of total billed charges",,
"NF-VIREAD ORAL TABLET 300MG","0637","RC","Both",,,"94","47","Amerigroup","Medicaid Managed Care",,,"37",,"34.4","0.15","5264.58","percent of total billed charges",,
"NF-VIREAD ORAL TABLET 300MG","0637","RC","Both",,,"94","47","Caresource","Medicaid Managed Care",,,"40",,"37.6","0.15","5264.58","percent of total billed charges",,
"NF-VIREAD ORAL TABLET 300MG","0637","RC","Both",,,"94","47","Wellcare","Medicaid Managed Care",,,"40",,"38.07","0.15","5264.58","percent of total billed charges",,
"NF-VIREAD ORAL TABLET 300MG","0637","RC","Both",,,"94","47","Aetna","Commercial",,,"64",,"59.97","0.15","5264.58","percent of total billed charges",,
"NF-VIREAD ORAL TABLET 300MG","0637","RC","Both",,,"94","47","Blue Cross Blue Shield","Pathways",,,"71",,"66.36","0.15","5264.58","percent of total billed charges",,
"NF-VIREAD ORAL TABLET 300MG","0637","RC","Both",,,"94","47","Blue Cross Blue Shield","HMO",,,"71",,"66.36","0.15","5264.58","percent of total billed charges",,
"NF-VIREAD ORAL TABLET 300MG","0637","RC","Both",,,"94","47","Blue Cross Blue Shield","PPO",,,"71",,"66.36","0.15","5264.58","percent of total billed charges",,
"NF-VIREAD ORAL TABLET 300MG","0637","RC","Both",,,"94","47","Ambetter","Health Exchange",,,"62",,"58.28","0.15","5264.58","percent of total billed charges",,
"NF-VIREAD ORAL TABLET 300MG","0637","RC","Both",,,"94","47","Caresource","Health Exchange",,,"62",,"58.28","0.15","5264.58","percent of total billed charges",,
"NF-VIREAD ORAL TABLET 300MG","0637","RC","Both",,,"94","47","Cigna","Commercial",,,"59",,"55.08","0.15","5264.58","percent of total billed charges",,
"NF-VIREAD ORAL TABLET 300MG","0637","RC","Both",,,"94","47","Humana","Commercial",,,"78",,"72.85","0.15","5264.58","percent of total billed charges",,
"NF-VIREAD ORAL TABLET 300MG","0637","RC","Both",,,"94","47","UHC","Commercial",,,"75",,"70.88","0.15","5264.58","percent of total billed charges",,
"NF-VIREAD ORAL TABLET 300MG","0637","RC","Both",,,"94","47","Medicaid",,,,"37",,"34.4","0.15","5264.58","percent of total billed charges",,
"NF-SELZENTRY ORAL TABLET 150MG","0637","RC","Both",,,"105","52.5","Alliant","Health Exchange",,,"62",,"65.1","0.15","5264.58","percent of total billed charges",,
"NF-SELZENTRY ORAL TABLET 150MG","0637","RC","Both",,,"105","52.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"56.7","0.15","5264.58","percent of total billed charges",,
"NF-SELZENTRY ORAL TABLET 150MG","0637","RC","Both",,,"105","52.5","Medicare",,,,"54",,"56.91","0.15","5264.58","percent of total billed charges",,
"NF-SELZENTRY ORAL TABLET 150MG","0637","RC","Both",,,"105","52.5","Humana","Medicare Advantage",,,"54",,"56.91","0.15","5264.58","percent of total billed charges",,
"NF-SELZENTRY ORAL TABLET 150MG","0637","RC","Both",,,"105","52.5","UHC","Medicare Advantage",,,"54",,"56.91","0.15","5264.58","percent of total billed charges",,
"NF-SELZENTRY ORAL TABLET 150MG","0637","RC","Both",,,"105","52.5","Clover","Medicare Advantage",,,"54",,"56.91","0.15","5264.58","percent of total billed charges",,
"NF-SELZENTRY ORAL TABLET 150MG","0637","RC","Both",,,"105","52.5","Wellcare","Medicare Advantage",,,"54",,"56.91","0.15","5264.58","percent of total billed charges",,
"NF-SELZENTRY ORAL TABLET 150MG","0637","RC","Both",,,"105","52.5","Amerigroup","Medicaid Managed Care",,,"37",,"38.43","0.15","5264.58","percent of total billed charges",,
"NF-SELZENTRY ORAL TABLET 150MG","0637","RC","Both",,,"105","52.5","Caresource","Medicaid Managed Care",,,"40",,"42","0.15","5264.58","percent of total billed charges",,
"NF-SELZENTRY ORAL TABLET 150MG","0637","RC","Both",,,"105","52.5","Wellcare","Medicaid Managed Care",,,"40",,"42.53","0.15","5264.58","percent of total billed charges",,
"NF-SELZENTRY ORAL TABLET 150MG","0637","RC","Both",,,"105","52.5","Aetna","Commercial",,,"64",,"66.99","0.15","5264.58","percent of total billed charges",,
"NF-SELZENTRY ORAL TABLET 150MG","0637","RC","Both",,,"105","52.5","Blue Cross Blue Shield","Pathways",,,"71",,"74.13","0.15","5264.58","percent of total billed charges",,
"NF-SELZENTRY ORAL TABLET 150MG","0637","RC","Both",,,"105","52.5","Blue Cross Blue Shield","HMO",,,"71",,"74.13","0.15","5264.58","percent of total billed charges",,
"NF-SELZENTRY ORAL TABLET 150MG","0637","RC","Both",,,"105","52.5","Blue Cross Blue Shield","PPO",,,"71",,"74.13","0.15","5264.58","percent of total billed charges",,
"NF-SELZENTRY ORAL TABLET 150MG","0637","RC","Both",,,"105","52.5","Ambetter","Health Exchange",,,"62",,"65.1","0.15","5264.58","percent of total billed charges",,
"NF-SELZENTRY ORAL TABLET 150MG","0637","RC","Both",,,"105","52.5","Caresource","Health Exchange",,,"62",,"65.1","0.15","5264.58","percent of total billed charges",,
"NF-SELZENTRY ORAL TABLET 150MG","0637","RC","Both",,,"105","52.5","Cigna","Commercial",,,"59",,"61.53","0.15","5264.58","percent of total billed charges",,
"NF-SELZENTRY ORAL TABLET 150MG","0637","RC","Both",,,"105","52.5","Humana","Commercial",,,"78",,"81.38","0.15","5264.58","percent of total billed charges",,
"NF-SELZENTRY ORAL TABLET 150MG","0637","RC","Both",,,"105","52.5","UHC","Commercial",,,"75",,"79.17","0.15","5264.58","percent of total billed charges",,
"NF-SELZENTRY ORAL TABLET 150MG","0637","RC","Both",,,"105","52.5","Medicaid",,,,"37",,"38.43","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 1.25MG/0.5ML","0637","RC","Both",,,"22.5","11.25","Alliant","Health Exchange",,,"62",,"13.95","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 1.25MG/0.5ML","0637","RC","Both",,,"22.5","11.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.15","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 1.25MG/0.5ML","0637","RC","Both",,,"22.5","11.25","Medicare",,,,"54",,"12.2","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 1.25MG/0.5ML","0637","RC","Both",,,"22.5","11.25","Humana","Medicare Advantage",,,"54",,"12.2","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 1.25MG/0.5ML","0637","RC","Both",,,"22.5","11.25","UHC","Medicare Advantage",,,"54",,"12.2","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 1.25MG/0.5ML","0637","RC","Both",,,"22.5","11.25","Clover","Medicare Advantage",,,"54",,"12.2","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 1.25MG/0.5ML","0637","RC","Both",,,"22.5","11.25","Wellcare","Medicare Advantage",,,"54",,"12.2","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 1.25MG/0.5ML","0637","RC","Both",,,"22.5","11.25","Amerigroup","Medicaid Managed Care",,,"37",,"8.24","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 1.25MG/0.5ML","0637","RC","Both",,,"22.5","11.25","Caresource","Medicaid Managed Care",,,"40",,"9","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 1.25MG/0.5ML","0637","RC","Both",,,"22.5","11.25","Wellcare","Medicaid Managed Care",,,"40",,"9.11","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 1.25MG/0.5ML","0637","RC","Both",,,"22.5","11.25","Aetna","Commercial",,,"64",,"14.36","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 1.25MG/0.5ML","0637","RC","Both",,,"22.5","11.25","Blue Cross Blue Shield","Pathways",,,"71",,"15.88","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 1.25MG/0.5ML","0637","RC","Both",,,"22.5","11.25","Blue Cross Blue Shield","HMO",,,"71",,"15.88","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 1.25MG/0.5ML","0637","RC","Both",,,"22.5","11.25","Blue Cross Blue Shield","PPO",,,"71",,"15.88","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 1.25MG/0.5ML","0637","RC","Both",,,"22.5","11.25","Ambetter","Health Exchange",,,"62",,"13.95","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 1.25MG/0.5ML","0637","RC","Both",,,"22.5","11.25","Caresource","Health Exchange",,,"62",,"13.95","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 1.25MG/0.5ML","0637","RC","Both",,,"22.5","11.25","Cigna","Commercial",,,"59",,"13.18","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 1.25MG/0.5ML","0637","RC","Both",,,"22.5","11.25","Humana","Commercial",,,"78",,"17.44","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 1.25MG/0.5ML","0637","RC","Both",,,"22.5","11.25","UHC","Commercial",,,"75",,"16.96","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 1.25MG/0.5ML","0637","RC","Both",,,"22.5","11.25","Medicaid",,,,"37",,"8.24","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS ORAL TABLET 0.6MG","0637","RC","Both",,,"21","10.5","Alliant","Health Exchange",,,"62",,"13.02","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS ORAL TABLET 0.6MG","0637","RC","Both",,,"21","10.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.34","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS ORAL TABLET 0.6MG","0637","RC","Both",,,"21","10.5","Medicare",,,,"54",,"11.38","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS ORAL TABLET 0.6MG","0637","RC","Both",,,"21","10.5","Humana","Medicare Advantage",,,"54",,"11.38","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS ORAL TABLET 0.6MG","0637","RC","Both",,,"21","10.5","UHC","Medicare Advantage",,,"54",,"11.38","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS ORAL TABLET 0.6MG","0637","RC","Both",,,"21","10.5","Clover","Medicare Advantage",,,"54",,"11.38","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS ORAL TABLET 0.6MG","0637","RC","Both",,,"21","10.5","Wellcare","Medicare Advantage",,,"54",,"11.38","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS ORAL TABLET 0.6MG","0637","RC","Both",,,"21","10.5","Amerigroup","Medicaid Managed Care",,,"37",,"7.69","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS ORAL TABLET 0.6MG","0637","RC","Both",,,"21","10.5","Caresource","Medicaid Managed Care",,,"40",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS ORAL TABLET 0.6MG","0637","RC","Both",,,"21","10.5","Wellcare","Medicaid Managed Care",,,"40",,"8.51","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS ORAL TABLET 0.6MG","0637","RC","Both",,,"21","10.5","Aetna","Commercial",,,"64",,"13.4","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS ORAL TABLET 0.6MG","0637","RC","Both",,,"21","10.5","Blue Cross Blue Shield","Pathways",,,"71",,"14.83","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS ORAL TABLET 0.6MG","0637","RC","Both",,,"21","10.5","Blue Cross Blue Shield","HMO",,,"71",,"14.83","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS ORAL TABLET 0.6MG","0637","RC","Both",,,"21","10.5","Blue Cross Blue Shield","PPO",,,"71",,"14.83","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS ORAL TABLET 0.6MG","0637","RC","Both",,,"21","10.5","Ambetter","Health Exchange",,,"62",,"13.02","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS ORAL TABLET 0.6MG","0637","RC","Both",,,"21","10.5","Caresource","Health Exchange",,,"62",,"13.02","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS ORAL TABLET 0.6MG","0637","RC","Both",,,"21","10.5","Cigna","Commercial",,,"59",,"12.31","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS ORAL TABLET 0.6MG","0637","RC","Both",,,"21","10.5","Humana","Commercial",,,"78",,"16.28","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS ORAL TABLET 0.6MG","0637","RC","Both",,,"21","10.5","UHC","Commercial",,,"75",,"15.83","0.15","5264.58","percent of total billed charges",,
"NF-COLCRYS ORAL TABLET 0.6MG","0637","RC","Both",,,"21","10.5","Medicaid",,,,"37",,"7.69","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2.5","1.25","Alliant","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2.5","1.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.35","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2.5","1.25","Medicare",,,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2.5","1.25","Humana","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2.5","1.25","UHC","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2.5","1.25","Clover","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2.5","1.25","Wellcare","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2.5","1.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.92","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2.5","1.25","Caresource","Medicaid Managed Care",,,"40",,"1","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2.5","1.25","Wellcare","Medicaid Managed Care",,,"40",,"1.01","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2.5","1.25","Aetna","Commercial",,,"64",,"1.6","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","Pathways",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","HMO",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","PPO",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2.5","1.25","Ambetter","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2.5","1.25","Caresource","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2.5","1.25","Cigna","Commercial",,,"59",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2.5","1.25","Humana","Commercial",,,"78",,"1.94","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2.5","1.25","UHC","Commercial",,,"75",,"1.88","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2.5","1.25","Medicaid",,,,"37",,"0.92","0.15","5264.58","percent of total billed charges",,
"NF-NAPROXEN EC ORAL TAB EC 375MG","0637","RC","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-NAPROXEN EC ORAL TAB EC 375MG","0637","RC","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","0.15","5264.58","percent of total billed charges",,
"NF-NAPROXEN EC ORAL TAB EC 375MG","0637","RC","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-NAPROXEN EC ORAL TAB EC 375MG","0637","RC","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-NAPROXEN EC ORAL TAB EC 375MG","0637","RC","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-NAPROXEN EC ORAL TAB EC 375MG","0637","RC","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-NAPROXEN EC ORAL TAB EC 375MG","0637","RC","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-NAPROXEN EC ORAL TAB EC 375MG","0637","RC","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","0.15","5264.58","percent of total billed charges",,
"NF-NAPROXEN EC ORAL TAB EC 375MG","0637","RC","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","0.15","5264.58","percent of total billed charges",,
"NF-NAPROXEN EC ORAL TAB EC 375MG","0637","RC","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","0.15","5264.58","percent of total billed charges",,
"NF-NAPROXEN EC ORAL TAB EC 375MG","0637","RC","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","0.15","5264.58","percent of total billed charges",,
"NF-NAPROXEN EC ORAL TAB EC 375MG","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-NAPROXEN EC ORAL TAB EC 375MG","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-NAPROXEN EC ORAL TAB EC 375MG","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-NAPROXEN EC ORAL TAB EC 375MG","0637","RC","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-NAPROXEN EC ORAL TAB EC 375MG","0637","RC","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-NAPROXEN EC ORAL TAB EC 375MG","0637","RC","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","0.15","5264.58","percent of total billed charges",,
"NF-NAPROXEN EC ORAL TAB EC 375MG","0637","RC","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-NAPROXEN EC ORAL TAB EC 375MG","0637","RC","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","0.15","5264.58","percent of total billed charges",,
"NF-NAPROXEN EC ORAL TAB EC 375MG","0637","RC","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","0.15","5264.58","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 80MG","0637","RC","Both",,,"16.5","8.25","Alliant","Health Exchange",,,"62",,"10.23","0.15","5264.58","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 80MG","0637","RC","Both",,,"16.5","8.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.91","0.15","5264.58","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 80MG","0637","RC","Both",,,"16.5","8.25","Medicare",,,,"54",,"8.94","0.15","5264.58","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 80MG","0637","RC","Both",,,"16.5","8.25","Humana","Medicare Advantage",,,"54",,"8.94","0.15","5264.58","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 80MG","0637","RC","Both",,,"16.5","8.25","UHC","Medicare Advantage",,,"54",,"8.94","0.15","5264.58","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 80MG","0637","RC","Both",,,"16.5","8.25","Clover","Medicare Advantage",,,"54",,"8.94","0.15","5264.58","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 80MG","0637","RC","Both",,,"16.5","8.25","Wellcare","Medicare Advantage",,,"54",,"8.94","0.15","5264.58","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 80MG","0637","RC","Both",,,"16.5","8.25","Amerigroup","Medicaid Managed Care",,,"37",,"6.04","0.15","5264.58","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 80MG","0637","RC","Both",,,"16.5","8.25","Caresource","Medicaid Managed Care",,,"40",,"6.6","0.15","5264.58","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 80MG","0637","RC","Both",,,"16.5","8.25","Wellcare","Medicaid Managed Care",,,"40",,"6.68","0.15","5264.58","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 80MG","0637","RC","Both",,,"16.5","8.25","Aetna","Commercial",,,"64",,"10.53","0.15","5264.58","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 80MG","0637","RC","Both",,,"16.5","8.25","Blue Cross Blue Shield","Pathways",,,"71",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 80MG","0637","RC","Both",,,"16.5","8.25","Blue Cross Blue Shield","HMO",,,"71",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 80MG","0637","RC","Both",,,"16.5","8.25","Blue Cross Blue Shield","PPO",,,"71",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 80MG","0637","RC","Both",,,"16.5","8.25","Ambetter","Health Exchange",,,"62",,"10.23","0.15","5264.58","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 80MG","0637","RC","Both",,,"16.5","8.25","Caresource","Health Exchange",,,"62",,"10.23","0.15","5264.58","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 80MG","0637","RC","Both",,,"16.5","8.25","Cigna","Commercial",,,"59",,"9.67","0.15","5264.58","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 80MG","0637","RC","Both",,,"16.5","8.25","Humana","Commercial",,,"78",,"12.79","0.15","5264.58","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 80MG","0637","RC","Both",,,"16.5","8.25","UHC","Commercial",,,"75",,"12.44","0.15","5264.58","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 80MG","0637","RC","Both",,,"16.5","8.25","Medicaid",,,,"37",,"6.04","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCODONE BITART/ACET TAB 10MG-650M","0637","RC","Both",,,"1.5","0.75","Alliant","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCODONE BITART/ACET TAB 10MG-650M","0637","RC","Both",,,"1.5","0.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCODONE BITART/ACET TAB 10MG-650M","0637","RC","Both",,,"1.5","0.75","Medicare",,,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCODONE BITART/ACET TAB 10MG-650M","0637","RC","Both",,,"1.5","0.75","Humana","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCODONE BITART/ACET TAB 10MG-650M","0637","RC","Both",,,"1.5","0.75","UHC","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCODONE BITART/ACET TAB 10MG-650M","0637","RC","Both",,,"1.5","0.75","Clover","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCODONE BITART/ACET TAB 10MG-650M","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCODONE BITART/ACET TAB 10MG-650M","0637","RC","Both",,,"1.5","0.75","Amerigroup","Medicaid Managed Care",,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCODONE BITART/ACET TAB 10MG-650M","0637","RC","Both",,,"1.5","0.75","Caresource","Medicaid Managed Care",,,"40",,"0.6","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCODONE BITART/ACET TAB 10MG-650M","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicaid Managed Care",,,"40",,"0.61","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCODONE BITART/ACET TAB 10MG-650M","0637","RC","Both",,,"1.5","0.75","Aetna","Commercial",,,"64",,"0.96","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCODONE BITART/ACET TAB 10MG-650M","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","Pathways",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCODONE BITART/ACET TAB 10MG-650M","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","HMO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCODONE BITART/ACET TAB 10MG-650M","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","PPO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCODONE BITART/ACET TAB 10MG-650M","0637","RC","Both",,,"1.5","0.75","Ambetter","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCODONE BITART/ACET TAB 10MG-650M","0637","RC","Both",,,"1.5","0.75","Caresource","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCODONE BITART/ACET TAB 10MG-650M","0637","RC","Both",,,"1.5","0.75","Cigna","Commercial",,,"59",,"0.88","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCODONE BITART/ACET TAB 10MG-650M","0637","RC","Both",,,"1.5","0.75","Humana","Commercial",,,"78",,"1.16","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCODONE BITART/ACET TAB 10MG-650M","0637","RC","Both",,,"1.5","0.75","UHC","Commercial",,,"75",,"1.13","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCODONE BITART/ACET TAB 10MG-650M","0637","RC","Both",,,"1.5","0.75","Medicaid",,,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-CYMBALTA CAP DR 60MG","0637","RC","Both",,,"20","10","Alliant","Health Exchange",,,"62",,"12.4","0.15","5264.58","percent of total billed charges",,
"NF-CYMBALTA CAP DR 60MG","0637","RC","Both",,,"20","10","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.8","0.15","5264.58","percent of total billed charges",,
"NF-CYMBALTA CAP DR 60MG","0637","RC","Both",,,"20","10","Medicare",,,,"54",,"10.84","0.15","5264.58","percent of total billed charges",,
"NF-CYMBALTA CAP DR 60MG","0637","RC","Both",,,"20","10","Humana","Medicare Advantage",,,"54",,"10.84","0.15","5264.58","percent of total billed charges",,
"NF-CYMBALTA CAP DR 60MG","0637","RC","Both",,,"20","10","UHC","Medicare Advantage",,,"54",,"10.84","0.15","5264.58","percent of total billed charges",,
"NF-CYMBALTA CAP DR 60MG","0637","RC","Both",,,"20","10","Clover","Medicare Advantage",,,"54",,"10.84","0.15","5264.58","percent of total billed charges",,
"NF-CYMBALTA CAP DR 60MG","0637","RC","Both",,,"20","10","Wellcare","Medicare Advantage",,,"54",,"10.84","0.15","5264.58","percent of total billed charges",,
"NF-CYMBALTA CAP DR 60MG","0637","RC","Both",,,"20","10","Amerigroup","Medicaid Managed Care",,,"37",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-CYMBALTA CAP DR 60MG","0637","RC","Both",,,"20","10","Caresource","Medicaid Managed Care",,,"40",,"8","0.15","5264.58","percent of total billed charges",,
"NF-CYMBALTA CAP DR 60MG","0637","RC","Both",,,"20","10","Wellcare","Medicaid Managed Care",,,"40",,"8.1","0.15","5264.58","percent of total billed charges",,
"NF-CYMBALTA CAP DR 60MG","0637","RC","Both",,,"20","10","Aetna","Commercial",,,"64",,"12.76","0.15","5264.58","percent of total billed charges",,
"NF-CYMBALTA CAP DR 60MG","0637","RC","Both",,,"20","10","Blue Cross Blue Shield","Pathways",,,"71",,"14.12","0.15","5264.58","percent of total billed charges",,
"NF-CYMBALTA CAP DR 60MG","0637","RC","Both",,,"20","10","Blue Cross Blue Shield","HMO",,,"71",,"14.12","0.15","5264.58","percent of total billed charges",,
"NF-CYMBALTA CAP DR 60MG","0637","RC","Both",,,"20","10","Blue Cross Blue Shield","PPO",,,"71",,"14.12","0.15","5264.58","percent of total billed charges",,
"NF-CYMBALTA CAP DR 60MG","0637","RC","Both",,,"20","10","Ambetter","Health Exchange",,,"62",,"12.4","0.15","5264.58","percent of total billed charges",,
"NF-CYMBALTA CAP DR 60MG","0637","RC","Both",,,"20","10","Caresource","Health Exchange",,,"62",,"12.4","0.15","5264.58","percent of total billed charges",,
"NF-CYMBALTA CAP DR 60MG","0637","RC","Both",,,"20","10","Cigna","Commercial",,,"59",,"11.72","0.15","5264.58","percent of total billed charges",,
"NF-CYMBALTA CAP DR 60MG","0637","RC","Both",,,"20","10","Humana","Commercial",,,"78",,"15.5","0.15","5264.58","percent of total billed charges",,
"NF-CYMBALTA CAP DR 60MG","0637","RC","Both",,,"20","10","UHC","Commercial",,,"75",,"15.08","0.15","5264.58","percent of total billed charges",,
"NF-CYMBALTA CAP DR 60MG","0637","RC","Both",,,"20","10","Medicaid",,,,"37",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-VOLTAREN GEL 1%","0637","RC","Both",,,"1.5","0.75","Alliant","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-VOLTAREN GEL 1%","0637","RC","Both",,,"1.5","0.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-VOLTAREN GEL 1%","0637","RC","Both",,,"1.5","0.75","Medicare",,,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-VOLTAREN GEL 1%","0637","RC","Both",,,"1.5","0.75","Humana","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-VOLTAREN GEL 1%","0637","RC","Both",,,"1.5","0.75","UHC","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-VOLTAREN GEL 1%","0637","RC","Both",,,"1.5","0.75","Clover","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-VOLTAREN GEL 1%","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-VOLTAREN GEL 1%","0637","RC","Both",,,"1.5","0.75","Amerigroup","Medicaid Managed Care",,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-VOLTAREN GEL 1%","0637","RC","Both",,,"1.5","0.75","Caresource","Medicaid Managed Care",,,"40",,"0.6","0.15","5264.58","percent of total billed charges",,
"NF-VOLTAREN GEL 1%","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicaid Managed Care",,,"40",,"0.61","0.15","5264.58","percent of total billed charges",,
"NF-VOLTAREN GEL 1%","0637","RC","Both",,,"1.5","0.75","Aetna","Commercial",,,"64",,"0.96","0.15","5264.58","percent of total billed charges",,
"NF-VOLTAREN GEL 1%","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","Pathways",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-VOLTAREN GEL 1%","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","HMO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-VOLTAREN GEL 1%","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","PPO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-VOLTAREN GEL 1%","0637","RC","Both",,,"1.5","0.75","Ambetter","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-VOLTAREN GEL 1%","0637","RC","Both",,,"1.5","0.75","Caresource","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-VOLTAREN GEL 1%","0637","RC","Both",,,"1.5","0.75","Cigna","Commercial",,,"59",,"0.88","0.15","5264.58","percent of total billed charges",,
"NF-VOLTAREN GEL 1%","0637","RC","Both",,,"1.5","0.75","Humana","Commercial",,,"78",,"1.16","0.15","5264.58","percent of total billed charges",,
"NF-VOLTAREN GEL 1%","0637","RC","Both",,,"1.5","0.75","UHC","Commercial",,,"75",,"1.13","0.15","5264.58","percent of total billed charges",,
"NF-VOLTAREN GEL 1%","0637","RC","Both",,,"1.5","0.75","Medicaid",,,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-NORVASC ORAL TABLET 2.5MG","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-NORVASC ORAL TABLET 2.5MG","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"NF-NORVASC ORAL TABLET 2.5MG","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-NORVASC ORAL TABLET 2.5MG","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-NORVASC ORAL TABLET 2.5MG","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-NORVASC ORAL TABLET 2.5MG","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-NORVASC ORAL TABLET 2.5MG","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-NORVASC ORAL TABLET 2.5MG","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"NF-NORVASC ORAL TABLET 2.5MG","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"NF-NORVASC ORAL TABLET 2.5MG","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"NF-NORVASC ORAL TABLET 2.5MG","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"NF-NORVASC ORAL TABLET 2.5MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-NORVASC ORAL TABLET 2.5MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-NORVASC ORAL TABLET 2.5MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-NORVASC ORAL TABLET 2.5MG","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-NORVASC ORAL TABLET 2.5MG","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-NORVASC ORAL TABLET 2.5MG","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"NF-NORVASC ORAL TABLET 2.5MG","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-NORVASC ORAL TABLET 2.5MG","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"NF-NORVASC ORAL TABLET 2.5MG","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0250","RC","Both",,,"21.93","10.965","Alliant","Health Exchange",,,"62",,"13.6","0.04","569.62","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0250","RC","Both",,,"21.93","10.965","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.84","0.04","569.62","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0250","RC","Both",,,"21.93","10.965","Medicare",,,,"54",,"11.89","0.04","569.62","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0250","RC","Both",,,"21.93","10.965","Humana","Medicare Advantage",,,"54",,"11.89","0.04","569.62","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0250","RC","Both",,,"21.93","10.965","UHC","Medicare Advantage",,,"54",,"11.89","0.04","569.62","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0250","RC","Both",,,"21.93","10.965","Clover","Medicare Advantage",,,"54",,"11.89","0.04","569.62","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0250","RC","Both",,,"21.93","10.965","Wellcare","Medicare Advantage",,,"54",,"11.89","0.04","569.62","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0250","RC","Both",,,"21.93","10.965","Amerigroup","Medicaid Managed Care",,,"37",,"8.03","0.04","569.62","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0250","RC","Both",,,"21.93","10.965","Caresource","Medicaid Managed Care",,,"40",,"8.77","0.04","569.62","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0250","RC","Both",,,"21.93","10.965","Wellcare","Medicaid Managed Care",,,"40",,"8.88","0.04","569.62","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0250","RC","Both",,,"21.93","10.965","Aetna","Commercial",,,"64",,"13.99","0.04","569.62","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0250","RC","Both",,,"21.93","10.965","Blue Cross Blue Shield","Pathways",,,"71",,"15.48","0.04","569.62","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0250","RC","Both",,,"21.93","10.965","Blue Cross Blue Shield","HMO",,,"71",,"15.48","0.04","569.62","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0250","RC","Both",,,"21.93","10.965","Blue Cross Blue Shield","PPO",,,"71",,"15.48","0.04","569.62","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0250","RC","Both",,,"21.93","10.965","Ambetter","Health Exchange",,,"62",,"13.6","0.04","569.62","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0250","RC","Both",,,"21.93","10.965","Caresource","Health Exchange",,,"62",,"13.6","0.04","569.62","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0250","RC","Both",,,"21.93","10.965","Cigna","Commercial",,,"59",,"12.85","0.04","569.62","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0250","RC","Both",,,"21.93","10.965","Humana","Commercial",,,"78",,"17","0.04","569.62","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0250","RC","Both",,,"21.93","10.965","UHC","Commercial",,,"75",,"16.54","0.04","569.62","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0250","RC","Both",,,"21.93","10.965","Medicaid",,,,"37",,"8.03","0.04","569.62","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0637","RC","Both",,,"15.5","7.75","Alliant","Health Exchange",,,"62",,"9.61","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0637","RC","Both",,,"15.5","7.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.37","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0637","RC","Both",,,"15.5","7.75","Medicare",,,,"54",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0637","RC","Both",,,"15.5","7.75","Humana","Medicare Advantage",,,"54",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0637","RC","Both",,,"15.5","7.75","UHC","Medicare Advantage",,,"54",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0637","RC","Both",,,"15.5","7.75","Clover","Medicare Advantage",,,"54",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0637","RC","Both",,,"15.5","7.75","Wellcare","Medicare Advantage",,,"54",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0637","RC","Both",,,"15.5","7.75","Amerigroup","Medicaid Managed Care",,,"37",,"5.67","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0637","RC","Both",,,"15.5","7.75","Caresource","Medicaid Managed Care",,,"40",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0637","RC","Both",,,"15.5","7.75","Wellcare","Medicaid Managed Care",,,"40",,"6.28","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0637","RC","Both",,,"15.5","7.75","Aetna","Commercial",,,"64",,"9.89","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0637","RC","Both",,,"15.5","7.75","Blue Cross Blue Shield","Pathways",,,"71",,"10.94","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0637","RC","Both",,,"15.5","7.75","Blue Cross Blue Shield","HMO",,,"71",,"10.94","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0637","RC","Both",,,"15.5","7.75","Blue Cross Blue Shield","PPO",,,"71",,"10.94","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0637","RC","Both",,,"15.5","7.75","Ambetter","Health Exchange",,,"62",,"9.61","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0637","RC","Both",,,"15.5","7.75","Caresource","Health Exchange",,,"62",,"9.61","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0637","RC","Both",,,"15.5","7.75","Cigna","Commercial",,,"59",,"9.08","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0637","RC","Both",,,"15.5","7.75","Humana","Commercial",,,"78",,"12.01","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0637","RC","Both",,,"15.5","7.75","UHC","Commercial",,,"75",,"11.69","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0637","RC","Both",,,"15.5","7.75","Medicaid",,,,"37",,"5.67","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN TAB 160MG","0637","RC","Both",,,"14.5","7.25","Alliant","Health Exchange",,,"62",,"8.99","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN TAB 160MG","0637","RC","Both",,,"14.5","7.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.83","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN TAB 160MG","0637","RC","Both",,,"14.5","7.25","Medicare",,,,"54",,"7.86","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN TAB 160MG","0637","RC","Both",,,"14.5","7.25","Humana","Medicare Advantage",,,"54",,"7.86","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN TAB 160MG","0637","RC","Both",,,"14.5","7.25","UHC","Medicare Advantage",,,"54",,"7.86","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN TAB 160MG","0637","RC","Both",,,"14.5","7.25","Clover","Medicare Advantage",,,"54",,"7.86","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN TAB 160MG","0637","RC","Both",,,"14.5","7.25","Wellcare","Medicare Advantage",,,"54",,"7.86","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN TAB 160MG","0637","RC","Both",,,"14.5","7.25","Amerigroup","Medicaid Managed Care",,,"37",,"5.31","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN TAB 160MG","0637","RC","Both",,,"14.5","7.25","Caresource","Medicaid Managed Care",,,"40",,"5.8","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN TAB 160MG","0637","RC","Both",,,"14.5","7.25","Wellcare","Medicaid Managed Care",,,"40",,"5.87","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN TAB 160MG","0637","RC","Both",,,"14.5","7.25","Aetna","Commercial",,,"64",,"9.25","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN TAB 160MG","0637","RC","Both",,,"14.5","7.25","Blue Cross Blue Shield","Pathways",,,"71",,"10.24","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN TAB 160MG","0637","RC","Both",,,"14.5","7.25","Blue Cross Blue Shield","HMO",,,"71",,"10.24","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN TAB 160MG","0637","RC","Both",,,"14.5","7.25","Blue Cross Blue Shield","PPO",,,"71",,"10.24","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN TAB 160MG","0637","RC","Both",,,"14.5","7.25","Ambetter","Health Exchange",,,"62",,"8.99","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN TAB 160MG","0637","RC","Both",,,"14.5","7.25","Caresource","Health Exchange",,,"62",,"8.99","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN TAB 160MG","0637","RC","Both",,,"14.5","7.25","Cigna","Commercial",,,"59",,"8.5","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN TAB 160MG","0637","RC","Both",,,"14.5","7.25","Humana","Commercial",,,"78",,"11.24","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN TAB 160MG","0637","RC","Both",,,"14.5","7.25","UHC","Commercial",,,"75",,"10.93","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN TAB 160MG","0637","RC","Both",,,"14.5","7.25","Medicaid",,,,"37",,"5.31","0.15","5264.58","percent of total billed charges",,
"NF-PROPAFENONE HCL TAB 150MG","0637","RC","Both",,,"4.5","2.25","Alliant","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-PROPAFENONE HCL TAB 150MG","0637","RC","Both",,,"4.5","2.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-PROPAFENONE HCL TAB 150MG","0637","RC","Both",,,"4.5","2.25","Medicare",,,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-PROPAFENONE HCL TAB 150MG","0637","RC","Both",,,"4.5","2.25","Humana","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-PROPAFENONE HCL TAB 150MG","0637","RC","Both",,,"4.5","2.25","UHC","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-PROPAFENONE HCL TAB 150MG","0637","RC","Both",,,"4.5","2.25","Clover","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-PROPAFENONE HCL TAB 150MG","0637","RC","Both",,,"4.5","2.25","Wellcare","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-PROPAFENONE HCL TAB 150MG","0637","RC","Both",,,"4.5","2.25","Amerigroup","Medicaid Managed Care",,,"37",,"1.65","0.15","5264.58","percent of total billed charges",,
"NF-PROPAFENONE HCL TAB 150MG","0637","RC","Both",,,"4.5","2.25","Caresource","Medicaid Managed Care",,,"40",,"1.8","0.15","5264.58","percent of total billed charges",,
"NF-PROPAFENONE HCL TAB 150MG","0637","RC","Both",,,"4.5","2.25","Wellcare","Medicaid Managed Care",,,"40",,"1.82","0.15","5264.58","percent of total billed charges",,
"NF-PROPAFENONE HCL TAB 150MG","0637","RC","Both",,,"4.5","2.25","Aetna","Commercial",,,"64",,"2.87","0.15","5264.58","percent of total billed charges",,
"NF-PROPAFENONE HCL TAB 150MG","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","Pathways",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-PROPAFENONE HCL TAB 150MG","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","HMO",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-PROPAFENONE HCL TAB 150MG","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","PPO",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-PROPAFENONE HCL TAB 150MG","0637","RC","Both",,,"4.5","2.25","Ambetter","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-PROPAFENONE HCL TAB 150MG","0637","RC","Both",,,"4.5","2.25","Caresource","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-PROPAFENONE HCL TAB 150MG","0637","RC","Both",,,"4.5","2.25","Cigna","Commercial",,,"59",,"2.64","0.15","5264.58","percent of total billed charges",,
"NF-PROPAFENONE HCL TAB 150MG","0637","RC","Both",,,"4.5","2.25","Humana","Commercial",,,"78",,"3.49","0.15","5264.58","percent of total billed charges",,
"NF-PROPAFENONE HCL TAB 150MG","0637","RC","Both",,,"4.5","2.25","UHC","Commercial",,,"75",,"3.39","0.15","5264.58","percent of total billed charges",,
"NF-PROPAFENONE HCL TAB 150MG","0637","RC","Both",,,"4.5","2.25","Medicaid",,,,"37",,"1.65","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN ORAL TABLET 160MG","0637","RC","Both",,,"9","4.5","Alliant","Health Exchange",,,"62",,"5.58","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN ORAL TABLET 160MG","0637","RC","Both",,,"9","4.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.86","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN ORAL TABLET 160MG","0637","RC","Both",,,"9","4.5","Medicare",,,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN ORAL TABLET 160MG","0637","RC","Both",,,"9","4.5","Humana","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN ORAL TABLET 160MG","0637","RC","Both",,,"9","4.5","UHC","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN ORAL TABLET 160MG","0637","RC","Both",,,"9","4.5","Clover","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN ORAL TABLET 160MG","0637","RC","Both",,,"9","4.5","Wellcare","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN ORAL TABLET 160MG","0637","RC","Both",,,"9","4.5","Amerigroup","Medicaid Managed Care",,,"37",,"3.29","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN ORAL TABLET 160MG","0637","RC","Both",,,"9","4.5","Caresource","Medicaid Managed Care",,,"40",,"3.6","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN ORAL TABLET 160MG","0637","RC","Both",,,"9","4.5","Wellcare","Medicaid Managed Care",,,"40",,"3.65","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN ORAL TABLET 160MG","0637","RC","Both",,,"9","4.5","Aetna","Commercial",,,"64",,"5.74","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN ORAL TABLET 160MG","0637","RC","Both",,,"9","4.5","Blue Cross Blue Shield","Pathways",,,"71",,"6.35","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN ORAL TABLET 160MG","0637","RC","Both",,,"9","4.5","Blue Cross Blue Shield","HMO",,,"71",,"6.35","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN ORAL TABLET 160MG","0637","RC","Both",,,"9","4.5","Blue Cross Blue Shield","PPO",,,"71",,"6.35","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN ORAL TABLET 160MG","0637","RC","Both",,,"9","4.5","Ambetter","Health Exchange",,,"62",,"5.58","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN ORAL TABLET 160MG","0637","RC","Both",,,"9","4.5","Caresource","Health Exchange",,,"62",,"5.58","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN ORAL TABLET 160MG","0637","RC","Both",,,"9","4.5","Cigna","Commercial",,,"59",,"5.27","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN ORAL TABLET 160MG","0637","RC","Both",,,"9","4.5","Humana","Commercial",,,"78",,"6.98","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN ORAL TABLET 160MG","0637","RC","Both",,,"9","4.5","UHC","Commercial",,,"75",,"6.79","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN ORAL TABLET 160MG","0637","RC","Both",,,"9","4.5","Medicaid",,,,"37",,"3.29","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH/NEB SOLN 0.02","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH/NEB SOLN 0.02","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH/NEB SOLN 0.02","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH/NEB SOLN 0.02","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH/NEB SOLN 0.02","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH/NEB SOLN 0.02","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH/NEB SOLN 0.02","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH/NEB SOLN 0.02","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH/NEB SOLN 0.02","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH/NEB SOLN 0.02","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH/NEB SOLN 0.02","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH/NEB SOLN 0.02","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH/NEB SOLN 0.02","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH/NEB SOLN 0.02","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH/NEB SOLN 0.02","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH/NEB SOLN 0.02","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH/NEB SOLN 0.02","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH/NEB SOLN 0.02","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH/NEB SOLN 0.02","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH/NEB SOLN 0.02","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-BIOTENE DRY MOUTH MOUTHWASH MM SOLUTI","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"NF-BIOTENE DRY MOUTH MOUTHWASH MM SOLUTI","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"NF-BIOTENE DRY MOUTH MOUTHWASH MM SOLUTI","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-BIOTENE DRY MOUTH MOUTHWASH MM SOLUTI","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-BIOTENE DRY MOUTH MOUTHWASH MM SOLUTI","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-BIOTENE DRY MOUTH MOUTHWASH MM SOLUTI","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-BIOTENE DRY MOUTH MOUTHWASH MM SOLUTI","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-BIOTENE DRY MOUTH MOUTHWASH MM SOLUTI","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-BIOTENE DRY MOUTH MOUTHWASH MM SOLUTI","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"NF-BIOTENE DRY MOUTH MOUTHWASH MM SOLUTI","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"NF-BIOTENE DRY MOUTH MOUTHWASH MM SOLUTI","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"NF-BIOTENE DRY MOUTH MOUTHWASH MM SOLUTI","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"NF-BIOTENE DRY MOUTH MOUTHWASH MM SOLUTI","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"NF-BIOTENE DRY MOUTH MOUTHWASH MM SOLUTI","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"NF-BIOTENE DRY MOUTH MOUTHWASH MM SOLUTI","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"NF-BIOTENE DRY MOUTH MOUTHWASH MM SOLUTI","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"NF-BIOTENE DRY MOUTH MOUTHWASH MM SOLUTI","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"NF-BIOTENE DRY MOUTH MOUTHWASH MM SOLUTI","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"NF-BIOTENE DRY MOUTH MOUTHWASH MM SOLUTI","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"NF-BIOTENE DRY MOUTH MOUTHWASH MM SOLUTI","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-VIIBRYD TITRATION PACK TAB 10MG;20MG;","0637","RC","Both",,,"16.5","8.25","Alliant","Health Exchange",,,"62",,"10.23","0.15","5264.58","percent of total billed charges",,
"NF-VIIBRYD TITRATION PACK TAB 10MG;20MG;","0637","RC","Both",,,"16.5","8.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.91","0.15","5264.58","percent of total billed charges",,
"NF-VIIBRYD TITRATION PACK TAB 10MG;20MG;","0637","RC","Both",,,"16.5","8.25","Medicare",,,,"54",,"8.94","0.15","5264.58","percent of total billed charges",,
"NF-VIIBRYD TITRATION PACK TAB 10MG;20MG;","0637","RC","Both",,,"16.5","8.25","Humana","Medicare Advantage",,,"54",,"8.94","0.15","5264.58","percent of total billed charges",,
"NF-VIIBRYD TITRATION PACK TAB 10MG;20MG;","0637","RC","Both",,,"16.5","8.25","UHC","Medicare Advantage",,,"54",,"8.94","0.15","5264.58","percent of total billed charges",,
"NF-VIIBRYD TITRATION PACK TAB 10MG;20MG;","0637","RC","Both",,,"16.5","8.25","Clover","Medicare Advantage",,,"54",,"8.94","0.15","5264.58","percent of total billed charges",,
"NF-VIIBRYD TITRATION PACK TAB 10MG;20MG;","0637","RC","Both",,,"16.5","8.25","Wellcare","Medicare Advantage",,,"54",,"8.94","0.15","5264.58","percent of total billed charges",,
"NF-VIIBRYD TITRATION PACK TAB 10MG;20MG;","0637","RC","Both",,,"16.5","8.25","Amerigroup","Medicaid Managed Care",,,"37",,"6.04","0.15","5264.58","percent of total billed charges",,
"NF-VIIBRYD TITRATION PACK TAB 10MG;20MG;","0637","RC","Both",,,"16.5","8.25","Caresource","Medicaid Managed Care",,,"40",,"6.6","0.15","5264.58","percent of total billed charges",,
"NF-VIIBRYD TITRATION PACK TAB 10MG;20MG;","0637","RC","Both",,,"16.5","8.25","Wellcare","Medicaid Managed Care",,,"40",,"6.68","0.15","5264.58","percent of total billed charges",,
"NF-VIIBRYD TITRATION PACK TAB 10MG;20MG;","0637","RC","Both",,,"16.5","8.25","Aetna","Commercial",,,"64",,"10.53","0.15","5264.58","percent of total billed charges",,
"NF-VIIBRYD TITRATION PACK TAB 10MG;20MG;","0637","RC","Both",,,"16.5","8.25","Blue Cross Blue Shield","Pathways",,,"71",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-VIIBRYD TITRATION PACK TAB 10MG;20MG;","0637","RC","Both",,,"16.5","8.25","Blue Cross Blue Shield","HMO",,,"71",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-VIIBRYD TITRATION PACK TAB 10MG;20MG;","0637","RC","Both",,,"16.5","8.25","Blue Cross Blue Shield","PPO",,,"71",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-VIIBRYD TITRATION PACK TAB 10MG;20MG;","0637","RC","Both",,,"16.5","8.25","Ambetter","Health Exchange",,,"62",,"10.23","0.15","5264.58","percent of total billed charges",,
"NF-VIIBRYD TITRATION PACK TAB 10MG;20MG;","0637","RC","Both",,,"16.5","8.25","Caresource","Health Exchange",,,"62",,"10.23","0.15","5264.58","percent of total billed charges",,
"NF-VIIBRYD TITRATION PACK TAB 10MG;20MG;","0637","RC","Both",,,"16.5","8.25","Cigna","Commercial",,,"59",,"9.67","0.15","5264.58","percent of total billed charges",,
"NF-VIIBRYD TITRATION PACK TAB 10MG;20MG;","0637","RC","Both",,,"16.5","8.25","Humana","Commercial",,,"78",,"12.79","0.15","5264.58","percent of total billed charges",,
"NF-VIIBRYD TITRATION PACK TAB 10MG;20MG;","0637","RC","Both",,,"16.5","8.25","UHC","Commercial",,,"75",,"12.44","0.15","5264.58","percent of total billed charges",,
"NF-VIIBRYD TITRATION PACK TAB 10MG;20MG;","0637","RC","Both",,,"16.5","8.25","Medicaid",,,,"37",,"6.04","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-MEPITEL DRESSING","0637","RC","Both",,,"21.5","10.75","Alliant","Health Exchange",,,"62",,"13.33","0.15","5264.58","percent of total billed charges",,
"NF-MEPITEL DRESSING","0637","RC","Both",,,"21.5","10.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.61","0.15","5264.58","percent of total billed charges",,
"NF-MEPITEL DRESSING","0637","RC","Both",,,"21.5","10.75","Medicare",,,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-MEPITEL DRESSING","0637","RC","Both",,,"21.5","10.75","Humana","Medicare Advantage",,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-MEPITEL DRESSING","0637","RC","Both",,,"21.5","10.75","UHC","Medicare Advantage",,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-MEPITEL DRESSING","0637","RC","Both",,,"21.5","10.75","Clover","Medicare Advantage",,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-MEPITEL DRESSING","0637","RC","Both",,,"21.5","10.75","Wellcare","Medicare Advantage",,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-MEPITEL DRESSING","0637","RC","Both",,,"21.5","10.75","Amerigroup","Medicaid Managed Care",,,"37",,"7.87","0.15","5264.58","percent of total billed charges",,
"NF-MEPITEL DRESSING","0637","RC","Both",,,"21.5","10.75","Caresource","Medicaid Managed Care",,,"40",,"8.6","0.15","5264.58","percent of total billed charges",,
"NF-MEPITEL DRESSING","0637","RC","Both",,,"21.5","10.75","Wellcare","Medicaid Managed Care",,,"40",,"8.71","0.15","5264.58","percent of total billed charges",,
"NF-MEPITEL DRESSING","0637","RC","Both",,,"21.5","10.75","Aetna","Commercial",,,"64",,"13.72","0.15","5264.58","percent of total billed charges",,
"NF-MEPITEL DRESSING","0637","RC","Both",,,"21.5","10.75","Blue Cross Blue Shield","Pathways",,,"71",,"15.18","0.15","5264.58","percent of total billed charges",,
"NF-MEPITEL DRESSING","0637","RC","Both",,,"21.5","10.75","Blue Cross Blue Shield","HMO",,,"71",,"15.18","0.15","5264.58","percent of total billed charges",,
"NF-MEPITEL DRESSING","0637","RC","Both",,,"21.5","10.75","Blue Cross Blue Shield","PPO",,,"71",,"15.18","0.15","5264.58","percent of total billed charges",,
"NF-MEPITEL DRESSING","0637","RC","Both",,,"21.5","10.75","Ambetter","Health Exchange",,,"62",,"13.33","0.15","5264.58","percent of total billed charges",,
"NF-MEPITEL DRESSING","0637","RC","Both",,,"21.5","10.75","Caresource","Health Exchange",,,"62",,"13.33","0.15","5264.58","percent of total billed charges",,
"NF-MEPITEL DRESSING","0637","RC","Both",,,"21.5","10.75","Cigna","Commercial",,,"59",,"12.6","0.15","5264.58","percent of total billed charges",,
"NF-MEPITEL DRESSING","0637","RC","Both",,,"21.5","10.75","Humana","Commercial",,,"78",,"16.66","0.15","5264.58","percent of total billed charges",,
"NF-MEPITEL DRESSING","0637","RC","Both",,,"21.5","10.75","UHC","Commercial",,,"75",,"16.21","0.15","5264.58","percent of total billed charges",,
"NF-MEPITEL DRESSING","0637","RC","Both",,,"21.5","10.75","Medicaid",,,,"37",,"7.87","0.15","5264.58","percent of total billed charges",,
"NF-SECTRAL CAP 400MG","0637","RC","Both",,,"13","6.5","Alliant","Health Exchange",,,"62",,"8.06","0.15","5264.58","percent of total billed charges",,
"NF-SECTRAL CAP 400MG","0637","RC","Both",,,"13","6.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.02","0.15","5264.58","percent of total billed charges",,
"NF-SECTRAL CAP 400MG","0637","RC","Both",,,"13","6.5","Medicare",,,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-SECTRAL CAP 400MG","0637","RC","Both",,,"13","6.5","Humana","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-SECTRAL CAP 400MG","0637","RC","Both",,,"13","6.5","UHC","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-SECTRAL CAP 400MG","0637","RC","Both",,,"13","6.5","Clover","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-SECTRAL CAP 400MG","0637","RC","Both",,,"13","6.5","Wellcare","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-SECTRAL CAP 400MG","0637","RC","Both",,,"13","6.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.76","0.15","5264.58","percent of total billed charges",,
"NF-SECTRAL CAP 400MG","0637","RC","Both",,,"13","6.5","Caresource","Medicaid Managed Care",,,"40",,"5.2","0.15","5264.58","percent of total billed charges",,
"NF-SECTRAL CAP 400MG","0637","RC","Both",,,"13","6.5","Wellcare","Medicaid Managed Care",,,"40",,"5.26","0.15","5264.58","percent of total billed charges",,
"NF-SECTRAL CAP 400MG","0637","RC","Both",,,"13","6.5","Aetna","Commercial",,,"64",,"8.29","0.15","5264.58","percent of total billed charges",,
"NF-SECTRAL CAP 400MG","0637","RC","Both",,,"13","6.5","Blue Cross Blue Shield","Pathways",,,"71",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-SECTRAL CAP 400MG","0637","RC","Both",,,"13","6.5","Blue Cross Blue Shield","HMO",,,"71",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-SECTRAL CAP 400MG","0637","RC","Both",,,"13","6.5","Blue Cross Blue Shield","PPO",,,"71",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-SECTRAL CAP 400MG","0637","RC","Both",,,"13","6.5","Ambetter","Health Exchange",,,"62",,"8.06","0.15","5264.58","percent of total billed charges",,
"NF-SECTRAL CAP 400MG","0637","RC","Both",,,"13","6.5","Caresource","Health Exchange",,,"62",,"8.06","0.15","5264.58","percent of total billed charges",,
"NF-SECTRAL CAP 400MG","0637","RC","Both",,,"13","6.5","Cigna","Commercial",,,"59",,"7.62","0.15","5264.58","percent of total billed charges",,
"NF-SECTRAL CAP 400MG","0637","RC","Both",,,"13","6.5","Humana","Commercial",,,"78",,"10.08","0.15","5264.58","percent of total billed charges",,
"NF-SECTRAL CAP 400MG","0637","RC","Both",,,"13","6.5","UHC","Commercial",,,"75",,"9.8","0.15","5264.58","percent of total billed charges",,
"NF-SECTRAL CAP 400MG","0637","RC","Both",,,"13","6.5","Medicaid",,,,"37",,"4.76","0.15","5264.58","percent of total billed charges",,
"NF-LANSOPRAZOLE CAP DR 15MG","0637","RC","Both",,,"18","9","Alliant","Health Exchange",,,"62",,"11.16","0.15","5264.58","percent of total billed charges",,
"NF-LANSOPRAZOLE CAP DR 15MG","0637","RC","Both",,,"18","9","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.72","0.15","5264.58","percent of total billed charges",,
"NF-LANSOPRAZOLE CAP DR 15MG","0637","RC","Both",,,"18","9","Medicare",,,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-LANSOPRAZOLE CAP DR 15MG","0637","RC","Both",,,"18","9","Humana","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-LANSOPRAZOLE CAP DR 15MG","0637","RC","Both",,,"18","9","UHC","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-LANSOPRAZOLE CAP DR 15MG","0637","RC","Both",,,"18","9","Clover","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-LANSOPRAZOLE CAP DR 15MG","0637","RC","Both",,,"18","9","Wellcare","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-LANSOPRAZOLE CAP DR 15MG","0637","RC","Both",,,"18","9","Amerigroup","Medicaid Managed Care",,,"37",,"6.59","0.15","5264.58","percent of total billed charges",,
"NF-LANSOPRAZOLE CAP DR 15MG","0637","RC","Both",,,"18","9","Caresource","Medicaid Managed Care",,,"40",,"7.2","0.15","5264.58","percent of total billed charges",,
"NF-LANSOPRAZOLE CAP DR 15MG","0637","RC","Both",,,"18","9","Wellcare","Medicaid Managed Care",,,"40",,"7.29","0.15","5264.58","percent of total billed charges",,
"NF-LANSOPRAZOLE CAP DR 15MG","0637","RC","Both",,,"18","9","Aetna","Commercial",,,"64",,"11.48","0.15","5264.58","percent of total billed charges",,
"NF-LANSOPRAZOLE CAP DR 15MG","0637","RC","Both",,,"18","9","Blue Cross Blue Shield","Pathways",,,"71",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-LANSOPRAZOLE CAP DR 15MG","0637","RC","Both",,,"18","9","Blue Cross Blue Shield","HMO",,,"71",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-LANSOPRAZOLE CAP DR 15MG","0637","RC","Both",,,"18","9","Blue Cross Blue Shield","PPO",,,"71",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-LANSOPRAZOLE CAP DR 15MG","0637","RC","Both",,,"18","9","Ambetter","Health Exchange",,,"62",,"11.16","0.15","5264.58","percent of total billed charges",,
"NF-LANSOPRAZOLE CAP DR 15MG","0637","RC","Both",,,"18","9","Caresource","Health Exchange",,,"62",,"11.16","0.15","5264.58","percent of total billed charges",,
"NF-LANSOPRAZOLE CAP DR 15MG","0637","RC","Both",,,"18","9","Cigna","Commercial",,,"59",,"10.55","0.15","5264.58","percent of total billed charges",,
"NF-LANSOPRAZOLE CAP DR 15MG","0637","RC","Both",,,"18","9","Humana","Commercial",,,"78",,"13.95","0.15","5264.58","percent of total billed charges",,
"NF-LANSOPRAZOLE CAP DR 15MG","0637","RC","Both",,,"18","9","UHC","Commercial",,,"75",,"13.57","0.15","5264.58","percent of total billed charges",,
"NF-LANSOPRAZOLE CAP DR 15MG","0637","RC","Both",,,"18","9","Medicaid",,,,"37",,"6.59","0.15","5264.58","percent of total billed charges",,
"NF-HYZAAR ORAL TABLET 12.5MG-50MG","0250","RC","Both",,,"10.17","5.085","Alliant","Health Exchange",,,"62",,"6.31","0.04","569.62","percent of total billed charges",,
"NF-HYZAAR ORAL TABLET 12.5MG-50MG","0250","RC","Both",,,"10.17","5.085","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.49","0.04","569.62","percent of total billed charges",,
"NF-HYZAAR ORAL TABLET 12.5MG-50MG","0250","RC","Both",,,"10.17","5.085","Medicare",,,,"54",,"5.51","0.04","569.62","percent of total billed charges",,
"NF-HYZAAR ORAL TABLET 12.5MG-50MG","0250","RC","Both",,,"10.17","5.085","Humana","Medicare Advantage",,,"54",,"5.51","0.04","569.62","percent of total billed charges",,
"NF-HYZAAR ORAL TABLET 12.5MG-50MG","0250","RC","Both",,,"10.17","5.085","UHC","Medicare Advantage",,,"54",,"5.51","0.04","569.62","percent of total billed charges",,
"NF-HYZAAR ORAL TABLET 12.5MG-50MG","0250","RC","Both",,,"10.17","5.085","Clover","Medicare Advantage",,,"54",,"5.51","0.04","569.62","percent of total billed charges",,
"NF-HYZAAR ORAL TABLET 12.5MG-50MG","0250","RC","Both",,,"10.17","5.085","Wellcare","Medicare Advantage",,,"54",,"5.51","0.04","569.62","percent of total billed charges",,
"NF-HYZAAR ORAL TABLET 12.5MG-50MG","0250","RC","Both",,,"10.17","5.085","Amerigroup","Medicaid Managed Care",,,"37",,"3.72","0.04","569.62","percent of total billed charges",,
"NF-HYZAAR ORAL TABLET 12.5MG-50MG","0250","RC","Both",,,"10.17","5.085","Caresource","Medicaid Managed Care",,,"40",,"4.07","0.04","569.62","percent of total billed charges",,
"NF-HYZAAR ORAL TABLET 12.5MG-50MG","0250","RC","Both",,,"10.17","5.085","Wellcare","Medicaid Managed Care",,,"40",,"4.12","0.04","569.62","percent of total billed charges",,
"NF-HYZAAR ORAL TABLET 12.5MG-50MG","0250","RC","Both",,,"10.17","5.085","Aetna","Commercial",,,"64",,"6.49","0.04","569.62","percent of total billed charges",,
"NF-HYZAAR ORAL TABLET 12.5MG-50MG","0250","RC","Both",,,"10.17","5.085","Blue Cross Blue Shield","Pathways",,,"71",,"7.18","0.04","569.62","percent of total billed charges",,
"NF-HYZAAR ORAL TABLET 12.5MG-50MG","0250","RC","Both",,,"10.17","5.085","Blue Cross Blue Shield","HMO",,,"71",,"7.18","0.04","569.62","percent of total billed charges",,
"NF-HYZAAR ORAL TABLET 12.5MG-50MG","0250","RC","Both",,,"10.17","5.085","Blue Cross Blue Shield","PPO",,,"71",,"7.18","0.04","569.62","percent of total billed charges",,
"NF-HYZAAR ORAL TABLET 12.5MG-50MG","0250","RC","Both",,,"10.17","5.085","Ambetter","Health Exchange",,,"62",,"6.31","0.04","569.62","percent of total billed charges",,
"NF-HYZAAR ORAL TABLET 12.5MG-50MG","0250","RC","Both",,,"10.17","5.085","Caresource","Health Exchange",,,"62",,"6.31","0.04","569.62","percent of total billed charges",,
"NF-HYZAAR ORAL TABLET 12.5MG-50MG","0250","RC","Both",,,"10.17","5.085","Cigna","Commercial",,,"59",,"5.96","0.04","569.62","percent of total billed charges",,
"NF-HYZAAR ORAL TABLET 12.5MG-50MG","0250","RC","Both",,,"10.17","5.085","Humana","Commercial",,,"78",,"7.88","0.04","569.62","percent of total billed charges",,
"NF-HYZAAR ORAL TABLET 12.5MG-50MG","0250","RC","Both",,,"10.17","5.085","UHC","Commercial",,,"75",,"7.67","0.04","569.62","percent of total billed charges",,
"NF-HYZAAR ORAL TABLET 12.5MG-50MG","0250","RC","Both",,,"10.17","5.085","Medicaid",,,,"37",,"3.72","0.04","569.62","percent of total billed charges",,
"NF-LANSOPRAZOLE CAP DR 30MG","0637","RC","Both",,,"19","9.5","Alliant","Health Exchange",,,"62",,"11.78","0.15","5264.58","percent of total billed charges",,
"NF-LANSOPRAZOLE CAP DR 30MG","0637","RC","Both",,,"19","9.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.26","0.15","5264.58","percent of total billed charges",,
"NF-LANSOPRAZOLE CAP DR 30MG","0637","RC","Both",,,"19","9.5","Medicare",,,,"54",,"10.3","0.15","5264.58","percent of total billed charges",,
"NF-LANSOPRAZOLE CAP DR 30MG","0637","RC","Both",,,"19","9.5","Humana","Medicare Advantage",,,"54",,"10.3","0.15","5264.58","percent of total billed charges",,
"NF-LANSOPRAZOLE CAP DR 30MG","0637","RC","Both",,,"19","9.5","UHC","Medicare Advantage",,,"54",,"10.3","0.15","5264.58","percent of total billed charges",,
"NF-LANSOPRAZOLE CAP DR 30MG","0637","RC","Both",,,"19","9.5","Clover","Medicare Advantage",,,"54",,"10.3","0.15","5264.58","percent of total billed charges",,
"NF-LANSOPRAZOLE CAP DR 30MG","0637","RC","Both",,,"19","9.5","Wellcare","Medicare Advantage",,,"54",,"10.3","0.15","5264.58","percent of total billed charges",,
"NF-LANSOPRAZOLE CAP DR 30MG","0637","RC","Both",,,"19","9.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.95","0.15","5264.58","percent of total billed charges",,
"NF-LANSOPRAZOLE CAP DR 30MG","0637","RC","Both",,,"19","9.5","Caresource","Medicaid Managed Care",,,"40",,"7.6","0.15","5264.58","percent of total billed charges",,
"NF-LANSOPRAZOLE CAP DR 30MG","0637","RC","Both",,,"19","9.5","Wellcare","Medicaid Managed Care",,,"40",,"7.7","0.15","5264.58","percent of total billed charges",,
"NF-LANSOPRAZOLE CAP DR 30MG","0637","RC","Both",,,"19","9.5","Aetna","Commercial",,,"64",,"12.12","0.15","5264.58","percent of total billed charges",,
"NF-LANSOPRAZOLE CAP DR 30MG","0637","RC","Both",,,"19","9.5","Blue Cross Blue Shield","Pathways",,,"71",,"13.41","0.15","5264.58","percent of total billed charges",,
"NF-LANSOPRAZOLE CAP DR 30MG","0637","RC","Both",,,"19","9.5","Blue Cross Blue Shield","HMO",,,"71",,"13.41","0.15","5264.58","percent of total billed charges",,
"NF-LANSOPRAZOLE CAP DR 30MG","0637","RC","Both",,,"19","9.5","Blue Cross Blue Shield","PPO",,,"71",,"13.41","0.15","5264.58","percent of total billed charges",,
"NF-LANSOPRAZOLE CAP DR 30MG","0637","RC","Both",,,"19","9.5","Ambetter","Health Exchange",,,"62",,"11.78","0.15","5264.58","percent of total billed charges",,
"NF-LANSOPRAZOLE CAP DR 30MG","0637","RC","Both",,,"19","9.5","Caresource","Health Exchange",,,"62",,"11.78","0.15","5264.58","percent of total billed charges",,
"NF-LANSOPRAZOLE CAP DR 30MG","0637","RC","Both",,,"19","9.5","Cigna","Commercial",,,"59",,"11.13","0.15","5264.58","percent of total billed charges",,
"NF-LANSOPRAZOLE CAP DR 30MG","0637","RC","Both",,,"19","9.5","Humana","Commercial",,,"78",,"14.72","0.15","5264.58","percent of total billed charges",,
"NF-LANSOPRAZOLE CAP DR 30MG","0637","RC","Both",,,"19","9.5","UHC","Commercial",,,"75",,"14.33","0.15","5264.58","percent of total billed charges",,
"NF-LANSOPRAZOLE CAP DR 30MG","0637","RC","Both",,,"19","9.5","Medicaid",,,,"37",,"6.95","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 5MG","0637","RC","Both",,,"15.02","7.51","Alliant","Health Exchange",,,"62",,"9.31","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 5MG","0637","RC","Both",,,"15.02","7.51","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.11","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 5MG","0637","RC","Both",,,"15.02","7.51","Medicare",,,,"54",,"8.14","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 5MG","0637","RC","Both",,,"15.02","7.51","Humana","Medicare Advantage",,,"54",,"8.14","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 5MG","0637","RC","Both",,,"15.02","7.51","UHC","Medicare Advantage",,,"54",,"8.14","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 5MG","0637","RC","Both",,,"15.02","7.51","Clover","Medicare Advantage",,,"54",,"8.14","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 5MG","0637","RC","Both",,,"15.02","7.51","Wellcare","Medicare Advantage",,,"54",,"8.14","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 5MG","0637","RC","Both",,,"15.02","7.51","Amerigroup","Medicaid Managed Care",,,"37",,"5.5","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 5MG","0637","RC","Both",,,"15.02","7.51","Caresource","Medicaid Managed Care",,,"40",,"6.01","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 5MG","0637","RC","Both",,,"15.02","7.51","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 5MG","0637","RC","Both",,,"15.02","7.51","Aetna","Commercial",,,"64",,"9.58","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 5MG","0637","RC","Both",,,"15.02","7.51","Blue Cross Blue Shield","Pathways",,,"71",,"10.6","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 5MG","0637","RC","Both",,,"15.02","7.51","Blue Cross Blue Shield","HMO",,,"71",,"10.6","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 5MG","0637","RC","Both",,,"15.02","7.51","Blue Cross Blue Shield","PPO",,,"71",,"10.6","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 5MG","0637","RC","Both",,,"15.02","7.51","Ambetter","Health Exchange",,,"62",,"9.31","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 5MG","0637","RC","Both",,,"15.02","7.51","Caresource","Health Exchange",,,"62",,"9.31","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 5MG","0637","RC","Both",,,"15.02","7.51","Cigna","Commercial",,,"59",,"8.8","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 5MG","0637","RC","Both",,,"15.02","7.51","Humana","Commercial",,,"78",,"11.64","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 5MG","0637","RC","Both",,,"15.02","7.51","UHC","Commercial",,,"75",,"11.33","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 5MG","0637","RC","Both",,,"15.02","7.51","Medicaid",,,,"37",,"5.5","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 60MG","0637","RC","Both",,,"5.5","2.75","Alliant","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 60MG","0637","RC","Both",,,"5.5","2.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.97","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 60MG","0637","RC","Both",,,"5.5","2.75","Medicare",,,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 60MG","0637","RC","Both",,,"5.5","2.75","Humana","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 60MG","0637","RC","Both",,,"5.5","2.75","UHC","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 60MG","0637","RC","Both",,,"5.5","2.75","Clover","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 60MG","0637","RC","Both",,,"5.5","2.75","Wellcare","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 60MG","0637","RC","Both",,,"5.5","2.75","Amerigroup","Medicaid Managed Care",,,"37",,"2.01","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 60MG","0637","RC","Both",,,"5.5","2.75","Caresource","Medicaid Managed Care",,,"40",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 60MG","0637","RC","Both",,,"5.5","2.75","Wellcare","Medicaid Managed Care",,,"40",,"2.23","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 60MG","0637","RC","Both",,,"5.5","2.75","Aetna","Commercial",,,"64",,"3.51","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 60MG","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","Pathways",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 60MG","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","HMO",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 60MG","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","PPO",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 60MG","0637","RC","Both",,,"5.5","2.75","Ambetter","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 60MG","0637","RC","Both",,,"5.5","2.75","Caresource","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 60MG","0637","RC","Both",,,"5.5","2.75","Cigna","Commercial",,,"59",,"3.22","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 60MG","0637","RC","Both",,,"5.5","2.75","Humana","Commercial",,,"78",,"4.26","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 60MG","0637","RC","Both",,,"5.5","2.75","UHC","Commercial",,,"75",,"4.15","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 60MG","0637","RC","Both",,,"5.5","2.75","Medicaid",,,,"37",,"2.01","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2.5","1.25","Alliant","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2.5","1.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.35","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2.5","1.25","Medicare",,,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2.5","1.25","Humana","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2.5","1.25","UHC","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2.5","1.25","Clover","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2.5","1.25","Wellcare","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2.5","1.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.92","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2.5","1.25","Caresource","Medicaid Managed Care",,,"40",,"1","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2.5","1.25","Wellcare","Medicaid Managed Care",,,"40",,"1.01","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2.5","1.25","Aetna","Commercial",,,"64",,"1.6","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","Pathways",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","HMO",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","PPO",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2.5","1.25","Ambetter","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2.5","1.25","Caresource","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2.5","1.25","Cigna","Commercial",,,"59",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2.5","1.25","Humana","Commercial",,,"78",,"1.94","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2.5","1.25","UHC","Commercial",,,"75",,"1.88","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL TAB 25MG","0637","RC","Both",,,"2.5","1.25","Medicaid",,,,"37",,"0.92","0.15","5264.58","percent of total billed charges",,
"NF-HALCION TAB 0.25MG","0250","RC","Both",,,"9.14","4.57","Alliant","Health Exchange",,,"62",,"5.67","0.04","569.62","percent of total billed charges",,
"NF-HALCION TAB 0.25MG","0250","RC","Both",,,"9.14","4.57","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.94","0.04","569.62","percent of total billed charges",,
"NF-HALCION TAB 0.25MG","0250","RC","Both",,,"9.14","4.57","Medicare",,,,"54",,"4.95","0.04","569.62","percent of total billed charges",,
"NF-HALCION TAB 0.25MG","0250","RC","Both",,,"9.14","4.57","Humana","Medicare Advantage",,,"54",,"4.95","0.04","569.62","percent of total billed charges",,
"NF-HALCION TAB 0.25MG","0250","RC","Both",,,"9.14","4.57","UHC","Medicare Advantage",,,"54",,"4.95","0.04","569.62","percent of total billed charges",,
"NF-HALCION TAB 0.25MG","0250","RC","Both",,,"9.14","4.57","Clover","Medicare Advantage",,,"54",,"4.95","0.04","569.62","percent of total billed charges",,
"NF-HALCION TAB 0.25MG","0250","RC","Both",,,"9.14","4.57","Wellcare","Medicare Advantage",,,"54",,"4.95","0.04","569.62","percent of total billed charges",,
"NF-HALCION TAB 0.25MG","0250","RC","Both",,,"9.14","4.57","Amerigroup","Medicaid Managed Care",,,"37",,"3.35","0.04","569.62","percent of total billed charges",,
"NF-HALCION TAB 0.25MG","0250","RC","Both",,,"9.14","4.57","Caresource","Medicaid Managed Care",,,"40",,"3.66","0.04","569.62","percent of total billed charges",,
"NF-HALCION TAB 0.25MG","0250","RC","Both",,,"9.14","4.57","Wellcare","Medicaid Managed Care",,,"40",,"3.7","0.04","569.62","percent of total billed charges",,
"NF-HALCION TAB 0.25MG","0250","RC","Both",,,"9.14","4.57","Aetna","Commercial",,,"64",,"5.83","0.04","569.62","percent of total billed charges",,
"NF-HALCION TAB 0.25MG","0250","RC","Both",,,"9.14","4.57","Blue Cross Blue Shield","Pathways",,,"71",,"6.45","0.04","569.62","percent of total billed charges",,
"NF-HALCION TAB 0.25MG","0250","RC","Both",,,"9.14","4.57","Blue Cross Blue Shield","HMO",,,"71",,"6.45","0.04","569.62","percent of total billed charges",,
"NF-HALCION TAB 0.25MG","0250","RC","Both",,,"9.14","4.57","Blue Cross Blue Shield","PPO",,,"71",,"6.45","0.04","569.62","percent of total billed charges",,
"NF-HALCION TAB 0.25MG","0250","RC","Both",,,"9.14","4.57","Ambetter","Health Exchange",,,"62",,"5.67","0.04","569.62","percent of total billed charges",,
"NF-HALCION TAB 0.25MG","0250","RC","Both",,,"9.14","4.57","Caresource","Health Exchange",,,"62",,"5.67","0.04","569.62","percent of total billed charges",,
"NF-HALCION TAB 0.25MG","0250","RC","Both",,,"9.14","4.57","Cigna","Commercial",,,"59",,"5.36","0.04","569.62","percent of total billed charges",,
"NF-HALCION TAB 0.25MG","0250","RC","Both",,,"9.14","4.57","Humana","Commercial",,,"78",,"7.08","0.04","569.62","percent of total billed charges",,
"NF-HALCION TAB 0.25MG","0250","RC","Both",,,"9.14","4.57","UHC","Commercial",,,"75",,"6.89","0.04","569.62","percent of total billed charges",,
"NF-HALCION TAB 0.25MG","0250","RC","Both",,,"9.14","4.57","Medicaid",,,,"37",,"3.35","0.04","569.62","percent of total billed charges",,
"NF-LEVOTHYROXINE ORAL TABLET 0.112MG","0637","RC","Both",,,"3.5","1.75","Alliant","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE ORAL TABLET 0.112MG","0637","RC","Both",,,"3.5","1.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.89","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE ORAL TABLET 0.112MG","0637","RC","Both",,,"3.5","1.75","Medicare",,,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE ORAL TABLET 0.112MG","0637","RC","Both",,,"3.5","1.75","Humana","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE ORAL TABLET 0.112MG","0637","RC","Both",,,"3.5","1.75","UHC","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE ORAL TABLET 0.112MG","0637","RC","Both",,,"3.5","1.75","Clover","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE ORAL TABLET 0.112MG","0637","RC","Both",,,"3.5","1.75","Wellcare","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE ORAL TABLET 0.112MG","0637","RC","Both",,,"3.5","1.75","Amerigroup","Medicaid Managed Care",,,"37",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE ORAL TABLET 0.112MG","0637","RC","Both",,,"3.5","1.75","Caresource","Medicaid Managed Care",,,"40",,"1.4","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE ORAL TABLET 0.112MG","0637","RC","Both",,,"3.5","1.75","Wellcare","Medicaid Managed Care",,,"40",,"1.42","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE ORAL TABLET 0.112MG","0637","RC","Both",,,"3.5","1.75","Aetna","Commercial",,,"64",,"2.23","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE ORAL TABLET 0.112MG","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","Pathways",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE ORAL TABLET 0.112MG","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","HMO",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE ORAL TABLET 0.112MG","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","PPO",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE ORAL TABLET 0.112MG","0637","RC","Both",,,"3.5","1.75","Ambetter","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE ORAL TABLET 0.112MG","0637","RC","Both",,,"3.5","1.75","Caresource","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE ORAL TABLET 0.112MG","0637","RC","Both",,,"3.5","1.75","Cigna","Commercial",,,"59",,"2.05","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE ORAL TABLET 0.112MG","0637","RC","Both",,,"3.5","1.75","Humana","Commercial",,,"78",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE ORAL TABLET 0.112MG","0637","RC","Both",,,"3.5","1.75","UHC","Commercial",,,"75",,"2.64","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE ORAL TABLET 0.112MG","0637","RC","Both",,,"3.5","1.75","Medicaid",,,,"37",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-ATENOLOL ORAL TABLET 25MG","0637","RC","Both",,,"2.5","1.25","Alliant","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-ATENOLOL ORAL TABLET 25MG","0637","RC","Both",,,"2.5","1.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.35","0.15","5264.58","percent of total billed charges",,
"NF-ATENOLOL ORAL TABLET 25MG","0637","RC","Both",,,"2.5","1.25","Medicare",,,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-ATENOLOL ORAL TABLET 25MG","0637","RC","Both",,,"2.5","1.25","Humana","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-ATENOLOL ORAL TABLET 25MG","0637","RC","Both",,,"2.5","1.25","UHC","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-ATENOLOL ORAL TABLET 25MG","0637","RC","Both",,,"2.5","1.25","Clover","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-ATENOLOL ORAL TABLET 25MG","0637","RC","Both",,,"2.5","1.25","Wellcare","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-ATENOLOL ORAL TABLET 25MG","0637","RC","Both",,,"2.5","1.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.92","0.15","5264.58","percent of total billed charges",,
"NF-ATENOLOL ORAL TABLET 25MG","0637","RC","Both",,,"2.5","1.25","Caresource","Medicaid Managed Care",,,"40",,"1","0.15","5264.58","percent of total billed charges",,
"NF-ATENOLOL ORAL TABLET 25MG","0637","RC","Both",,,"2.5","1.25","Wellcare","Medicaid Managed Care",,,"40",,"1.01","0.15","5264.58","percent of total billed charges",,
"NF-ATENOLOL ORAL TABLET 25MG","0637","RC","Both",,,"2.5","1.25","Aetna","Commercial",,,"64",,"1.6","0.15","5264.58","percent of total billed charges",,
"NF-ATENOLOL ORAL TABLET 25MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","Pathways",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-ATENOLOL ORAL TABLET 25MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","HMO",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-ATENOLOL ORAL TABLET 25MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","PPO",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-ATENOLOL ORAL TABLET 25MG","0637","RC","Both",,,"2.5","1.25","Ambetter","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-ATENOLOL ORAL TABLET 25MG","0637","RC","Both",,,"2.5","1.25","Caresource","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-ATENOLOL ORAL TABLET 25MG","0637","RC","Both",,,"2.5","1.25","Cigna","Commercial",,,"59",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-ATENOLOL ORAL TABLET 25MG","0637","RC","Both",,,"2.5","1.25","Humana","Commercial",,,"78",,"1.94","0.15","5264.58","percent of total billed charges",,
"NF-ATENOLOL ORAL TABLET 25MG","0637","RC","Both",,,"2.5","1.25","UHC","Commercial",,,"75",,"1.88","0.15","5264.58","percent of total billed charges",,
"NF-ATENOLOL ORAL TABLET 25MG","0637","RC","Both",,,"2.5","1.25","Medicaid",,,,"37",,"0.92","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"88","44","Alliant","Health Exchange",,,"62",,"54.56","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"88","44","Pruitt Healthcare","Medicare Advantage",,,"54",,"47.52","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"88","44","Medicare",,,,"54",,"47.7","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"88","44","Humana","Medicare Advantage",,,"54",,"47.7","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"88","44","UHC","Medicare Advantage",,,"54",,"47.7","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"88","44","Clover","Medicare Advantage",,,"54",,"47.7","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"88","44","Wellcare","Medicare Advantage",,,"54",,"47.7","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"88","44","Amerigroup","Medicaid Managed Care",,,"37",,"32.21","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"88","44","Caresource","Medicaid Managed Care",,,"40",,"35.2","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"88","44","Wellcare","Medicaid Managed Care",,,"40",,"35.64","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"88","44","Aetna","Commercial",,,"64",,"56.14","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"88","44","Blue Cross Blue Shield","Pathways",,,"71",,"62.13","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"88","44","Blue Cross Blue Shield","HMO",,,"71",,"62.13","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"88","44","Blue Cross Blue Shield","PPO",,,"71",,"62.13","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"88","44","Ambetter","Health Exchange",,,"62",,"54.56","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"88","44","Caresource","Health Exchange",,,"62",,"54.56","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"88","44","Cigna","Commercial",,,"59",,"51.57","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"88","44","Humana","Commercial",,,"78",,"68.2","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"88","44","UHC","Commercial",,,"75",,"66.35","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"88","44","Medicaid",,,,"37",,"32.21","0.15","5264.58","percent of total billed charges",,
"NF-TORADOL TABLET 10MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-TORADOL TABLET 10MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"NF-TORADOL TABLET 10MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-TORADOL TABLET 10MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-TORADOL TABLET 10MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-TORADOL TABLET 10MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-TORADOL TABLET 10MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-TORADOL TABLET 10MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-TORADOL TABLET 10MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"NF-TORADOL TABLET 10MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-TORADOL TABLET 10MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"NF-TORADOL TABLET 10MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-TORADOL TABLET 10MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-TORADOL TABLET 10MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-TORADOL TABLET 10MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-TORADOL TABLET 10MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-TORADOL TABLET 10MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-TORADOL TABLET 10MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-TORADOL TABLET 10MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"NF-TORADOL TABLET 10MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 10MG","0637","RC","Both",,,"30","15","Alliant","Health Exchange",,,"62",,"18.6","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 10MG","0637","RC","Both",,,"30","15","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.2","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 10MG","0637","RC","Both",,,"30","15","Medicare",,,,"54",,"16.26","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 10MG","0637","RC","Both",,,"30","15","Humana","Medicare Advantage",,,"54",,"16.26","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 10MG","0637","RC","Both",,,"30","15","UHC","Medicare Advantage",,,"54",,"16.26","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 10MG","0637","RC","Both",,,"30","15","Clover","Medicare Advantage",,,"54",,"16.26","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 10MG","0637","RC","Both",,,"30","15","Wellcare","Medicare Advantage",,,"54",,"16.26","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 10MG","0637","RC","Both",,,"30","15","Amerigroup","Medicaid Managed Care",,,"37",,"10.98","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 10MG","0637","RC","Both",,,"30","15","Caresource","Medicaid Managed Care",,,"40",,"12","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 10MG","0637","RC","Both",,,"30","15","Wellcare","Medicaid Managed Care",,,"40",,"12.15","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 10MG","0637","RC","Both",,,"30","15","Aetna","Commercial",,,"64",,"19.14","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 10MG","0637","RC","Both",,,"30","15","Blue Cross Blue Shield","Pathways",,,"71",,"21.18","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 10MG","0637","RC","Both",,,"30","15","Blue Cross Blue Shield","HMO",,,"71",,"21.18","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 10MG","0637","RC","Both",,,"30","15","Blue Cross Blue Shield","PPO",,,"71",,"21.18","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 10MG","0637","RC","Both",,,"30","15","Ambetter","Health Exchange",,,"62",,"18.6","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 10MG","0637","RC","Both",,,"30","15","Caresource","Health Exchange",,,"62",,"18.6","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 10MG","0637","RC","Both",,,"30","15","Cigna","Commercial",,,"59",,"17.58","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 10MG","0637","RC","Both",,,"30","15","Humana","Commercial",,,"78",,"23.25","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 10MG","0637","RC","Both",,,"30","15","UHC","Commercial",,,"75",,"22.62","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 10MG","0637","RC","Both",,,"30","15","Medicaid",,,,"37",,"10.98","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"30","15","Alliant","Health Exchange",,,"62",,"18.6","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"30","15","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.2","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"30","15","Medicare",,,,"54",,"16.26","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"30","15","Humana","Medicare Advantage",,,"54",,"16.26","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"30","15","UHC","Medicare Advantage",,,"54",,"16.26","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"30","15","Clover","Medicare Advantage",,,"54",,"16.26","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"30","15","Wellcare","Medicare Advantage",,,"54",,"16.26","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"30","15","Amerigroup","Medicaid Managed Care",,,"37",,"10.98","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"30","15","Caresource","Medicaid Managed Care",,,"40",,"12","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"30","15","Wellcare","Medicaid Managed Care",,,"40",,"12.15","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"30","15","Aetna","Commercial",,,"64",,"19.14","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"30","15","Blue Cross Blue Shield","Pathways",,,"71",,"21.18","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"30","15","Blue Cross Blue Shield","HMO",,,"71",,"21.18","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"30","15","Blue Cross Blue Shield","PPO",,,"71",,"21.18","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"30","15","Ambetter","Health Exchange",,,"62",,"18.6","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"30","15","Caresource","Health Exchange",,,"62",,"18.6","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"30","15","Cigna","Commercial",,,"59",,"17.58","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"30","15","Humana","Commercial",,,"78",,"23.25","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"30","15","UHC","Commercial",,,"75",,"22.62","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"30","15","Medicaid",,,,"37",,"10.98","0.15","5264.58","percent of total billed charges",,
"NF-COMBIGAN OPHTH SOLN 0.2%-0.5%","0637","RC","Both",,,"67.5","33.75","Alliant","Health Exchange",,,"62",,"41.85","0.15","5264.58","percent of total billed charges",,
"NF-COMBIGAN OPHTH SOLN 0.2%-0.5%","0637","RC","Both",,,"67.5","33.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"36.45","0.15","5264.58","percent of total billed charges",,
"NF-COMBIGAN OPHTH SOLN 0.2%-0.5%","0637","RC","Both",,,"67.5","33.75","Medicare",,,,"54",,"36.58","0.15","5264.58","percent of total billed charges",,
"NF-COMBIGAN OPHTH SOLN 0.2%-0.5%","0637","RC","Both",,,"67.5","33.75","Humana","Medicare Advantage",,,"54",,"36.58","0.15","5264.58","percent of total billed charges",,
"NF-COMBIGAN OPHTH SOLN 0.2%-0.5%","0637","RC","Both",,,"67.5","33.75","UHC","Medicare Advantage",,,"54",,"36.58","0.15","5264.58","percent of total billed charges",,
"NF-COMBIGAN OPHTH SOLN 0.2%-0.5%","0637","RC","Both",,,"67.5","33.75","Clover","Medicare Advantage",,,"54",,"36.58","0.15","5264.58","percent of total billed charges",,
"NF-COMBIGAN OPHTH SOLN 0.2%-0.5%","0637","RC","Both",,,"67.5","33.75","Wellcare","Medicare Advantage",,,"54",,"36.58","0.15","5264.58","percent of total billed charges",,
"NF-COMBIGAN OPHTH SOLN 0.2%-0.5%","0637","RC","Both",,,"67.5","33.75","Amerigroup","Medicaid Managed Care",,,"37",,"24.7","0.15","5264.58","percent of total billed charges",,
"NF-COMBIGAN OPHTH SOLN 0.2%-0.5%","0637","RC","Both",,,"67.5","33.75","Caresource","Medicaid Managed Care",,,"40",,"27","0.15","5264.58","percent of total billed charges",,
"NF-COMBIGAN OPHTH SOLN 0.2%-0.5%","0637","RC","Both",,,"67.5","33.75","Wellcare","Medicaid Managed Care",,,"40",,"27.34","0.15","5264.58","percent of total billed charges",,
"NF-COMBIGAN OPHTH SOLN 0.2%-0.5%","0637","RC","Both",,,"67.5","33.75","Aetna","Commercial",,,"64",,"43.06","0.15","5264.58","percent of total billed charges",,
"NF-COMBIGAN OPHTH SOLN 0.2%-0.5%","0637","RC","Both",,,"67.5","33.75","Blue Cross Blue Shield","Pathways",,,"71",,"47.65","0.15","5264.58","percent of total billed charges",,
"NF-COMBIGAN OPHTH SOLN 0.2%-0.5%","0637","RC","Both",,,"67.5","33.75","Blue Cross Blue Shield","HMO",,,"71",,"47.65","0.15","5264.58","percent of total billed charges",,
"NF-COMBIGAN OPHTH SOLN 0.2%-0.5%","0637","RC","Both",,,"67.5","33.75","Blue Cross Blue Shield","PPO",,,"71",,"47.65","0.15","5264.58","percent of total billed charges",,
"NF-COMBIGAN OPHTH SOLN 0.2%-0.5%","0637","RC","Both",,,"67.5","33.75","Ambetter","Health Exchange",,,"62",,"41.85","0.15","5264.58","percent of total billed charges",,
"NF-COMBIGAN OPHTH SOLN 0.2%-0.5%","0637","RC","Both",,,"67.5","33.75","Caresource","Health Exchange",,,"62",,"41.85","0.15","5264.58","percent of total billed charges",,
"NF-COMBIGAN OPHTH SOLN 0.2%-0.5%","0637","RC","Both",,,"67.5","33.75","Cigna","Commercial",,,"59",,"39.56","0.15","5264.58","percent of total billed charges",,
"NF-COMBIGAN OPHTH SOLN 0.2%-0.5%","0637","RC","Both",,,"67.5","33.75","Humana","Commercial",,,"78",,"52.31","0.15","5264.58","percent of total billed charges",,
"NF-COMBIGAN OPHTH SOLN 0.2%-0.5%","0637","RC","Both",,,"67.5","33.75","UHC","Commercial",,,"75",,"50.9","0.15","5264.58","percent of total billed charges",,
"NF-COMBIGAN OPHTH SOLN 0.2%-0.5%","0637","RC","Both",,,"67.5","33.75","Medicaid",,,,"37",,"24.7","0.15","5264.58","percent of total billed charges",,
"NF-AMITIZA LIQ CAP 8MCG","0637","RC","Both",,,"13","6.5","Alliant","Health Exchange",,,"62",,"8.06","0.15","5264.58","percent of total billed charges",,
"NF-AMITIZA LIQ CAP 8MCG","0637","RC","Both",,,"13","6.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.02","0.15","5264.58","percent of total billed charges",,
"NF-AMITIZA LIQ CAP 8MCG","0637","RC","Both",,,"13","6.5","Medicare",,,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-AMITIZA LIQ CAP 8MCG","0637","RC","Both",,,"13","6.5","Humana","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-AMITIZA LIQ CAP 8MCG","0637","RC","Both",,,"13","6.5","UHC","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-AMITIZA LIQ CAP 8MCG","0637","RC","Both",,,"13","6.5","Clover","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-AMITIZA LIQ CAP 8MCG","0637","RC","Both",,,"13","6.5","Wellcare","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-AMITIZA LIQ CAP 8MCG","0637","RC","Both",,,"13","6.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.76","0.15","5264.58","percent of total billed charges",,
"NF-AMITIZA LIQ CAP 8MCG","0637","RC","Both",,,"13","6.5","Caresource","Medicaid Managed Care",,,"40",,"5.2","0.15","5264.58","percent of total billed charges",,
"NF-AMITIZA LIQ CAP 8MCG","0637","RC","Both",,,"13","6.5","Wellcare","Medicaid Managed Care",,,"40",,"5.26","0.15","5264.58","percent of total billed charges",,
"NF-AMITIZA LIQ CAP 8MCG","0637","RC","Both",,,"13","6.5","Aetna","Commercial",,,"64",,"8.29","0.15","5264.58","percent of total billed charges",,
"NF-AMITIZA LIQ CAP 8MCG","0637","RC","Both",,,"13","6.5","Blue Cross Blue Shield","Pathways",,,"71",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-AMITIZA LIQ CAP 8MCG","0637","RC","Both",,,"13","6.5","Blue Cross Blue Shield","HMO",,,"71",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-AMITIZA LIQ CAP 8MCG","0637","RC","Both",,,"13","6.5","Blue Cross Blue Shield","PPO",,,"71",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-AMITIZA LIQ CAP 8MCG","0637","RC","Both",,,"13","6.5","Ambetter","Health Exchange",,,"62",,"8.06","0.15","5264.58","percent of total billed charges",,
"NF-AMITIZA LIQ CAP 8MCG","0637","RC","Both",,,"13","6.5","Caresource","Health Exchange",,,"62",,"8.06","0.15","5264.58","percent of total billed charges",,
"NF-AMITIZA LIQ CAP 8MCG","0637","RC","Both",,,"13","6.5","Cigna","Commercial",,,"59",,"7.62","0.15","5264.58","percent of total billed charges",,
"NF-AMITIZA LIQ CAP 8MCG","0637","RC","Both",,,"13","6.5","Humana","Commercial",,,"78",,"10.08","0.15","5264.58","percent of total billed charges",,
"NF-AMITIZA LIQ CAP 8MCG","0637","RC","Both",,,"13","6.5","UHC","Commercial",,,"75",,"9.8","0.15","5264.58","percent of total billed charges",,
"NF-AMITIZA LIQ CAP 8MCG","0637","RC","Both",,,"13","6.5","Medicaid",,,,"37",,"4.76","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0637","RC","Both",,,"18","9","Alliant","Health Exchange",,,"62",,"11.16","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0637","RC","Both",,,"18","9","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.72","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0637","RC","Both",,,"18","9","Medicare",,,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0637","RC","Both",,,"18","9","Humana","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0637","RC","Both",,,"18","9","UHC","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0637","RC","Both",,,"18","9","Clover","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0637","RC","Both",,,"18","9","Wellcare","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0637","RC","Both",,,"18","9","Amerigroup","Medicaid Managed Care",,,"37",,"6.59","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0637","RC","Both",,,"18","9","Caresource","Medicaid Managed Care",,,"40",,"7.2","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0637","RC","Both",,,"18","9","Wellcare","Medicaid Managed Care",,,"40",,"7.29","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0637","RC","Both",,,"18","9","Aetna","Commercial",,,"64",,"11.48","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0637","RC","Both",,,"18","9","Blue Cross Blue Shield","Pathways",,,"71",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0637","RC","Both",,,"18","9","Blue Cross Blue Shield","HMO",,,"71",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0637","RC","Both",,,"18","9","Blue Cross Blue Shield","PPO",,,"71",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0637","RC","Both",,,"18","9","Ambetter","Health Exchange",,,"62",,"11.16","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0637","RC","Both",,,"18","9","Caresource","Health Exchange",,,"62",,"11.16","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0637","RC","Both",,,"18","9","Cigna","Commercial",,,"59",,"10.55","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0637","RC","Both",,,"18","9","Humana","Commercial",,,"78",,"13.95","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0637","RC","Both",,,"18","9","UHC","Commercial",,,"75",,"13.57","0.15","5264.58","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0637","RC","Both",,,"18","9","Medicaid",,,,"37",,"6.59","0.15","5264.58","percent of total billed charges",,
"NF-MIRTAZAPINE ORAL TABLET 15MG","0637","RC","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","0.15","5264.58","percent of total billed charges",,
"NF-MIRTAZAPINE ORAL TABLET 15MG","0637","RC","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","0.15","5264.58","percent of total billed charges",,
"NF-MIRTAZAPINE ORAL TABLET 15MG","0637","RC","Both",,,"8","4","Medicare",,,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-MIRTAZAPINE ORAL TABLET 15MG","0637","RC","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-MIRTAZAPINE ORAL TABLET 15MG","0637","RC","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-MIRTAZAPINE ORAL TABLET 15MG","0637","RC","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-MIRTAZAPINE ORAL TABLET 15MG","0637","RC","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-MIRTAZAPINE ORAL TABLET 15MG","0637","RC","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","0.15","5264.58","percent of total billed charges",,
"NF-MIRTAZAPINE ORAL TABLET 15MG","0637","RC","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","0.15","5264.58","percent of total billed charges",,
"NF-MIRTAZAPINE ORAL TABLET 15MG","0637","RC","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","0.15","5264.58","percent of total billed charges",,
"NF-MIRTAZAPINE ORAL TABLET 15MG","0637","RC","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","0.15","5264.58","percent of total billed charges",,
"NF-MIRTAZAPINE ORAL TABLET 15MG","0637","RC","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","0.15","5264.58","percent of total billed charges",,
"NF-MIRTAZAPINE ORAL TABLET 15MG","0637","RC","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","0.15","5264.58","percent of total billed charges",,
"NF-MIRTAZAPINE ORAL TABLET 15MG","0637","RC","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","0.15","5264.58","percent of total billed charges",,
"NF-MIRTAZAPINE ORAL TABLET 15MG","0637","RC","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","0.15","5264.58","percent of total billed charges",,
"NF-MIRTAZAPINE ORAL TABLET 15MG","0637","RC","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","0.15","5264.58","percent of total billed charges",,
"NF-MIRTAZAPINE ORAL TABLET 15MG","0637","RC","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","0.15","5264.58","percent of total billed charges",,
"NF-MIRTAZAPINE ORAL TABLET 15MG","0637","RC","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-MIRTAZAPINE ORAL TABLET 15MG","0637","RC","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","0.15","5264.58","percent of total billed charges",,
"NF-MIRTAZAPINE ORAL TABLET 15MG","0637","RC","Both",,,"8","4","Medicaid",,,,"37",,"2.93","0.15","5264.58","percent of total billed charges",,
"COLCHICINE (COLYCRYS) TABLET: 0.6 MG","0637","RC","Both",,,"36","18","Alliant","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"COLCHICINE (COLYCRYS) TABLET: 0.6 MG","0637","RC","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.44","0.15","5264.58","percent of total billed charges",,
"COLCHICINE (COLYCRYS) TABLET: 0.6 MG","0637","RC","Both",,,"36","18","Medicare",,,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"COLCHICINE (COLYCRYS) TABLET: 0.6 MG","0637","RC","Both",,,"36","18","Humana","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"COLCHICINE (COLYCRYS) TABLET: 0.6 MG","0637","RC","Both",,,"36","18","UHC","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"COLCHICINE (COLYCRYS) TABLET: 0.6 MG","0637","RC","Both",,,"36","18","Clover","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"COLCHICINE (COLYCRYS) TABLET: 0.6 MG","0637","RC","Both",,,"36","18","Wellcare","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"COLCHICINE (COLYCRYS) TABLET: 0.6 MG","0637","RC","Both",,,"36","18","Amerigroup","Medicaid Managed Care",,,"37",,"13.18","0.15","5264.58","percent of total billed charges",,
"COLCHICINE (COLYCRYS) TABLET: 0.6 MG","0637","RC","Both",,,"36","18","Caresource","Medicaid Managed Care",,,"40",,"14.4","0.15","5264.58","percent of total billed charges",,
"COLCHICINE (COLYCRYS) TABLET: 0.6 MG","0637","RC","Both",,,"36","18","Wellcare","Medicaid Managed Care",,,"40",,"14.58","0.15","5264.58","percent of total billed charges",,
"COLCHICINE (COLYCRYS) TABLET: 0.6 MG","0637","RC","Both",,,"36","18","Aetna","Commercial",,,"64",,"22.97","0.15","5264.58","percent of total billed charges",,
"COLCHICINE (COLYCRYS) TABLET: 0.6 MG","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","Pathways",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"COLCHICINE (COLYCRYS) TABLET: 0.6 MG","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","HMO",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"COLCHICINE (COLYCRYS) TABLET: 0.6 MG","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","PPO",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"COLCHICINE (COLYCRYS) TABLET: 0.6 MG","0637","RC","Both",,,"36","18","Ambetter","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"COLCHICINE (COLYCRYS) TABLET: 0.6 MG","0637","RC","Both",,,"36","18","Caresource","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"COLCHICINE (COLYCRYS) TABLET: 0.6 MG","0637","RC","Both",,,"36","18","Cigna","Commercial",,,"59",,"21.1","0.15","5264.58","percent of total billed charges",,
"COLCHICINE (COLYCRYS) TABLET: 0.6 MG","0637","RC","Both",,,"36","18","Humana","Commercial",,,"78",,"27.9","0.15","5264.58","percent of total billed charges",,
"COLCHICINE (COLYCRYS) TABLET: 0.6 MG","0637","RC","Both",,,"36","18","UHC","Commercial",,,"75",,"27.14","0.15","5264.58","percent of total billed charges",,
"COLCHICINE (COLYCRYS) TABLET: 0.6 MG","0637","RC","Both",,,"36","18","Medicaid",,,,"37",,"13.18","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 25MCG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 25MCG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 25MCG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 25MCG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 25MCG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 25MCG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 25MCG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 25MCG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 25MCG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 25MCG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 25MCG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 25MCG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 25MCG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 25MCG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 25MCG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 25MCG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 25MCG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 25MCG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 25MCG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) 25MCG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"9","4.5","Alliant","Health Exchange",,,"62",,"5.58","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"9","4.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.86","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"9","4.5","Medicare",,,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"9","4.5","Humana","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"9","4.5","UHC","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"9","4.5","Clover","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"9","4.5","Wellcare","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"9","4.5","Amerigroup","Medicaid Managed Care",,,"37",,"3.29","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"9","4.5","Caresource","Medicaid Managed Care",,,"40",,"3.6","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"9","4.5","Wellcare","Medicaid Managed Care",,,"40",,"3.65","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"9","4.5","Aetna","Commercial",,,"64",,"5.74","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"9","4.5","Blue Cross Blue Shield","Pathways",,,"71",,"6.35","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"9","4.5","Blue Cross Blue Shield","HMO",,,"71",,"6.35","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"9","4.5","Blue Cross Blue Shield","PPO",,,"71",,"6.35","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"9","4.5","Ambetter","Health Exchange",,,"62",,"5.58","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"9","4.5","Caresource","Health Exchange",,,"62",,"5.58","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"9","4.5","Cigna","Commercial",,,"59",,"5.27","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"9","4.5","Humana","Commercial",,,"78",,"6.98","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"9","4.5","UHC","Commercial",,,"75",,"6.79","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"9","4.5","Medicaid",,,,"37",,"3.29","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"30","15","Alliant","Health Exchange",,,"62",,"18.6","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"30","15","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.2","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"30","15","Medicare",,,,"54",,"16.26","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"30","15","Humana","Medicare Advantage",,,"54",,"16.26","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"30","15","UHC","Medicare Advantage",,,"54",,"16.26","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"30","15","Clover","Medicare Advantage",,,"54",,"16.26","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"30","15","Wellcare","Medicare Advantage",,,"54",,"16.26","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"30","15","Amerigroup","Medicaid Managed Care",,,"37",,"10.98","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"30","15","Caresource","Medicaid Managed Care",,,"40",,"12","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"30","15","Wellcare","Medicaid Managed Care",,,"40",,"12.15","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"30","15","Aetna","Commercial",,,"64",,"19.14","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"30","15","Blue Cross Blue Shield","Pathways",,,"71",,"21.18","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"30","15","Blue Cross Blue Shield","HMO",,,"71",,"21.18","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"30","15","Blue Cross Blue Shield","PPO",,,"71",,"21.18","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"30","15","Ambetter","Health Exchange",,,"62",,"18.6","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"30","15","Caresource","Health Exchange",,,"62",,"18.6","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"30","15","Cigna","Commercial",,,"59",,"17.58","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"30","15","Humana","Commercial",,,"78",,"23.25","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"30","15","UHC","Commercial",,,"75",,"22.62","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO TAB 20MG","0637","RC","Both",,,"30","15","Medicaid",,,,"37",,"10.98","0.15","5264.58","percent of total billed charges",,
"NF-CEFOTETAN DISODIUM INJ PWD FOR SOLN 1","0250","RC","Both",,,"42.68","21.34","Alliant","Health Exchange",,,"62",,"26.46","0.04","569.62","percent of total billed charges",,
"NF-CEFOTETAN DISODIUM INJ PWD FOR SOLN 1","0250","RC","Both",,,"42.68","21.34","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.05","0.04","569.62","percent of total billed charges",,
"NF-CEFOTETAN DISODIUM INJ PWD FOR SOLN 1","0250","RC","Both",,,"42.68","21.34","Medicare",,,,"54",,"23.13","0.04","569.62","percent of total billed charges",,
"NF-CEFOTETAN DISODIUM INJ PWD FOR SOLN 1","0250","RC","Both",,,"42.68","21.34","Humana","Medicare Advantage",,,"54",,"23.13","0.04","569.62","percent of total billed charges",,
"NF-CEFOTETAN DISODIUM INJ PWD FOR SOLN 1","0250","RC","Both",,,"42.68","21.34","UHC","Medicare Advantage",,,"54",,"23.13","0.04","569.62","percent of total billed charges",,
"NF-CEFOTETAN DISODIUM INJ PWD FOR SOLN 1","0250","RC","Both",,,"42.68","21.34","Clover","Medicare Advantage",,,"54",,"23.13","0.04","569.62","percent of total billed charges",,
"NF-CEFOTETAN DISODIUM INJ PWD FOR SOLN 1","0250","RC","Both",,,"42.68","21.34","Wellcare","Medicare Advantage",,,"54",,"23.13","0.04","569.62","percent of total billed charges",,
"NF-CEFOTETAN DISODIUM INJ PWD FOR SOLN 1","0250","RC","Both",,,"42.68","21.34","Amerigroup","Medicaid Managed Care",,,"37",,"15.62","0.04","569.62","percent of total billed charges",,
"NF-CEFOTETAN DISODIUM INJ PWD FOR SOLN 1","0250","RC","Both",,,"42.68","21.34","Caresource","Medicaid Managed Care",,,"40",,"17.07","0.04","569.62","percent of total billed charges",,
"NF-CEFOTETAN DISODIUM INJ PWD FOR SOLN 1","0250","RC","Both",,,"42.68","21.34","Wellcare","Medicaid Managed Care",,,"40",,"17.29","0.04","569.62","percent of total billed charges",,
"NF-CEFOTETAN DISODIUM INJ PWD FOR SOLN 1","0250","RC","Both",,,"42.68","21.34","Aetna","Commercial",,,"64",,"27.23","0.04","569.62","percent of total billed charges",,
"NF-CEFOTETAN DISODIUM INJ PWD FOR SOLN 1","0250","RC","Both",,,"42.68","21.34","Blue Cross Blue Shield","Pathways",,,"71",,"30.13","0.04","569.62","percent of total billed charges",,
"NF-CEFOTETAN DISODIUM INJ PWD FOR SOLN 1","0250","RC","Both",,,"42.68","21.34","Blue Cross Blue Shield","HMO",,,"71",,"30.13","0.04","569.62","percent of total billed charges",,
"NF-CEFOTETAN DISODIUM INJ PWD FOR SOLN 1","0250","RC","Both",,,"42.68","21.34","Blue Cross Blue Shield","PPO",,,"71",,"30.13","0.04","569.62","percent of total billed charges",,
"NF-CEFOTETAN DISODIUM INJ PWD FOR SOLN 1","0250","RC","Both",,,"42.68","21.34","Ambetter","Health Exchange",,,"62",,"26.46","0.04","569.62","percent of total billed charges",,
"NF-CEFOTETAN DISODIUM INJ PWD FOR SOLN 1","0250","RC","Both",,,"42.68","21.34","Caresource","Health Exchange",,,"62",,"26.46","0.04","569.62","percent of total billed charges",,
"NF-CEFOTETAN DISODIUM INJ PWD FOR SOLN 1","0250","RC","Both",,,"42.68","21.34","Cigna","Commercial",,,"59",,"25.01","0.04","569.62","percent of total billed charges",,
"NF-CEFOTETAN DISODIUM INJ PWD FOR SOLN 1","0250","RC","Both",,,"42.68","21.34","Humana","Commercial",,,"78",,"33.08","0.04","569.62","percent of total billed charges",,
"NF-CEFOTETAN DISODIUM INJ PWD FOR SOLN 1","0250","RC","Both",,,"42.68","21.34","UHC","Commercial",,,"75",,"32.18","0.04","569.62","percent of total billed charges",,
"NF-CEFOTETAN DISODIUM INJ PWD FOR SOLN 1","0250","RC","Both",,,"42.68","21.34","Medicaid",,,,"37",,"15.62","0.04","569.62","percent of total billed charges",,
"CEFOTETAN INJECTION: 1 GM *nf*","0250","RC","Both",,,"60","30","Alliant","Health Exchange",,,"62",,"37.2","0.04","569.62","percent of total billed charges",,
"CEFOTETAN INJECTION: 1 GM *nf*","0250","RC","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage",,,"54",,"32.4","0.04","569.62","percent of total billed charges",,
"CEFOTETAN INJECTION: 1 GM *nf*","0250","RC","Both",,,"60","30","Medicare",,,,"54",,"32.52","0.04","569.62","percent of total billed charges",,
"CEFOTETAN INJECTION: 1 GM *nf*","0250","RC","Both",,,"60","30","Humana","Medicare Advantage",,,"54",,"32.52","0.04","569.62","percent of total billed charges",,
"CEFOTETAN INJECTION: 1 GM *nf*","0250","RC","Both",,,"60","30","UHC","Medicare Advantage",,,"54",,"32.52","0.04","569.62","percent of total billed charges",,
"CEFOTETAN INJECTION: 1 GM *nf*","0250","RC","Both",,,"60","30","Clover","Medicare Advantage",,,"54",,"32.52","0.04","569.62","percent of total billed charges",,
"CEFOTETAN INJECTION: 1 GM *nf*","0250","RC","Both",,,"60","30","Wellcare","Medicare Advantage",,,"54",,"32.52","0.04","569.62","percent of total billed charges",,
"CEFOTETAN INJECTION: 1 GM *nf*","0250","RC","Both",,,"60","30","Amerigroup","Medicaid Managed Care",,,"37",,"21.96","0.04","569.62","percent of total billed charges",,
"CEFOTETAN INJECTION: 1 GM *nf*","0250","RC","Both",,,"60","30","Caresource","Medicaid Managed Care",,,"40",,"24","0.04","569.62","percent of total billed charges",,
"CEFOTETAN INJECTION: 1 GM *nf*","0250","RC","Both",,,"60","30","Wellcare","Medicaid Managed Care",,,"40",,"24.3","0.04","569.62","percent of total billed charges",,
"CEFOTETAN INJECTION: 1 GM *nf*","0250","RC","Both",,,"60","30","Aetna","Commercial",,,"64",,"38.28","0.04","569.62","percent of total billed charges",,
"CEFOTETAN INJECTION: 1 GM *nf*","0250","RC","Both",,,"60","30","Blue Cross Blue Shield","Pathways",,,"71",,"42.36","0.04","569.62","percent of total billed charges",,
"CEFOTETAN INJECTION: 1 GM *nf*","0250","RC","Both",,,"60","30","Blue Cross Blue Shield","HMO",,,"71",,"42.36","0.04","569.62","percent of total billed charges",,
"CEFOTETAN INJECTION: 1 GM *nf*","0250","RC","Both",,,"60","30","Blue Cross Blue Shield","PPO",,,"71",,"42.36","0.04","569.62","percent of total billed charges",,
"CEFOTETAN INJECTION: 1 GM *nf*","0250","RC","Both",,,"60","30","Ambetter","Health Exchange",,,"62",,"37.2","0.04","569.62","percent of total billed charges",,
"CEFOTETAN INJECTION: 1 GM *nf*","0250","RC","Both",,,"60","30","Caresource","Health Exchange",,,"62",,"37.2","0.04","569.62","percent of total billed charges",,
"CEFOTETAN INJECTION: 1 GM *nf*","0250","RC","Both",,,"60","30","Cigna","Commercial",,,"59",,"35.16","0.04","569.62","percent of total billed charges",,
"CEFOTETAN INJECTION: 1 GM *nf*","0250","RC","Both",,,"60","30","Humana","Commercial",,,"78",,"46.5","0.04","569.62","percent of total billed charges",,
"CEFOTETAN INJECTION: 1 GM *nf*","0250","RC","Both",,,"60","30","UHC","Commercial",,,"75",,"45.24","0.04","569.62","percent of total billed charges",,
"CEFOTETAN INJECTION: 1 GM *nf*","0250","RC","Both",,,"60","30","Medicaid",,,,"37",,"21.96","0.04","569.62","percent of total billed charges",,
"NF-LAMIVUDINE AND ZIDOVUDINE ORAL TABLET","0637","RC","Both",,,"46.5","23.25","Alliant","Health Exchange",,,"62",,"28.83","0.15","5264.58","percent of total billed charges",,
"NF-LAMIVUDINE AND ZIDOVUDINE ORAL TABLET","0637","RC","Both",,,"46.5","23.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"25.11","0.15","5264.58","percent of total billed charges",,
"NF-LAMIVUDINE AND ZIDOVUDINE ORAL TABLET","0637","RC","Both",,,"46.5","23.25","Medicare",,,,"54",,"25.2","0.15","5264.58","percent of total billed charges",,
"NF-LAMIVUDINE AND ZIDOVUDINE ORAL TABLET","0637","RC","Both",,,"46.5","23.25","Humana","Medicare Advantage",,,"54",,"25.2","0.15","5264.58","percent of total billed charges",,
"NF-LAMIVUDINE AND ZIDOVUDINE ORAL TABLET","0637","RC","Both",,,"46.5","23.25","UHC","Medicare Advantage",,,"54",,"25.2","0.15","5264.58","percent of total billed charges",,
"NF-LAMIVUDINE AND ZIDOVUDINE ORAL TABLET","0637","RC","Both",,,"46.5","23.25","Clover","Medicare Advantage",,,"54",,"25.2","0.15","5264.58","percent of total billed charges",,
"NF-LAMIVUDINE AND ZIDOVUDINE ORAL TABLET","0637","RC","Both",,,"46.5","23.25","Wellcare","Medicare Advantage",,,"54",,"25.2","0.15","5264.58","percent of total billed charges",,
"NF-LAMIVUDINE AND ZIDOVUDINE ORAL TABLET","0637","RC","Both",,,"46.5","23.25","Amerigroup","Medicaid Managed Care",,,"37",,"17.02","0.15","5264.58","percent of total billed charges",,
"NF-LAMIVUDINE AND ZIDOVUDINE ORAL TABLET","0637","RC","Both",,,"46.5","23.25","Caresource","Medicaid Managed Care",,,"40",,"18.6","0.15","5264.58","percent of total billed charges",,
"NF-LAMIVUDINE AND ZIDOVUDINE ORAL TABLET","0637","RC","Both",,,"46.5","23.25","Wellcare","Medicaid Managed Care",,,"40",,"18.83","0.15","5264.58","percent of total billed charges",,
"NF-LAMIVUDINE AND ZIDOVUDINE ORAL TABLET","0637","RC","Both",,,"46.5","23.25","Aetna","Commercial",,,"64",,"29.67","0.15","5264.58","percent of total billed charges",,
"NF-LAMIVUDINE AND ZIDOVUDINE ORAL TABLET","0637","RC","Both",,,"46.5","23.25","Blue Cross Blue Shield","Pathways",,,"71",,"32.83","0.15","5264.58","percent of total billed charges",,
"NF-LAMIVUDINE AND ZIDOVUDINE ORAL TABLET","0637","RC","Both",,,"46.5","23.25","Blue Cross Blue Shield","HMO",,,"71",,"32.83","0.15","5264.58","percent of total billed charges",,
"NF-LAMIVUDINE AND ZIDOVUDINE ORAL TABLET","0637","RC","Both",,,"46.5","23.25","Blue Cross Blue Shield","PPO",,,"71",,"32.83","0.15","5264.58","percent of total billed charges",,
"NF-LAMIVUDINE AND ZIDOVUDINE ORAL TABLET","0637","RC","Both",,,"46.5","23.25","Ambetter","Health Exchange",,,"62",,"28.83","0.15","5264.58","percent of total billed charges",,
"NF-LAMIVUDINE AND ZIDOVUDINE ORAL TABLET","0637","RC","Both",,,"46.5","23.25","Caresource","Health Exchange",,,"62",,"28.83","0.15","5264.58","percent of total billed charges",,
"NF-LAMIVUDINE AND ZIDOVUDINE ORAL TABLET","0637","RC","Both",,,"46.5","23.25","Cigna","Commercial",,,"59",,"27.25","0.15","5264.58","percent of total billed charges",,
"NF-LAMIVUDINE AND ZIDOVUDINE ORAL TABLET","0637","RC","Both",,,"46.5","23.25","Humana","Commercial",,,"78",,"36.04","0.15","5264.58","percent of total billed charges",,
"NF-LAMIVUDINE AND ZIDOVUDINE ORAL TABLET","0637","RC","Both",,,"46.5","23.25","UHC","Commercial",,,"75",,"35.06","0.15","5264.58","percent of total billed charges",,
"NF-LAMIVUDINE AND ZIDOVUDINE ORAL TABLET","0637","RC","Both",,,"46.5","23.25","Medicaid",,,,"37",,"17.02","0.15","5264.58","percent of total billed charges",,
"NF-TRIMETHOPRIM TAB 100MG","0637","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-TRIMETHOPRIM TAB 100MG","0637","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-TRIMETHOPRIM TAB 100MG","0637","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-TRIMETHOPRIM TAB 100MG","0637","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-TRIMETHOPRIM TAB 100MG","0637","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-TRIMETHOPRIM TAB 100MG","0637","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-TRIMETHOPRIM TAB 100MG","0637","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-TRIMETHOPRIM TAB 100MG","0637","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-TRIMETHOPRIM TAB 100MG","0637","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.15","5264.58","percent of total billed charges",,
"NF-TRIMETHOPRIM TAB 100MG","0637","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-TRIMETHOPRIM TAB 100MG","0637","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-TRIMETHOPRIM TAB 100MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-TRIMETHOPRIM TAB 100MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-TRIMETHOPRIM TAB 100MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-TRIMETHOPRIM TAB 100MG","0637","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-TRIMETHOPRIM TAB 100MG","0637","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-TRIMETHOPRIM TAB 100MG","0637","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.15","5264.58","percent of total billed charges",,
"NF-TRIMETHOPRIM TAB 100MG","0637","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-TRIMETHOPRIM TAB 100MG","0637","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.15","5264.58","percent of total billed charges",,
"NF-TRIMETHOPRIM TAB 100MG","0637","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-AMPYRA TAB ER 10MG","0637","RC","Both",,,"87","43.5","Alliant","Health Exchange",,,"62",,"53.94","0.15","5264.58","percent of total billed charges",,
"NF-AMPYRA TAB ER 10MG","0637","RC","Both",,,"87","43.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"46.98","0.15","5264.58","percent of total billed charges",,
"NF-AMPYRA TAB ER 10MG","0637","RC","Both",,,"87","43.5","Medicare",,,,"54",,"47.15","0.15","5264.58","percent of total billed charges",,
"NF-AMPYRA TAB ER 10MG","0637","RC","Both",,,"87","43.5","Humana","Medicare Advantage",,,"54",,"47.15","0.15","5264.58","percent of total billed charges",,
"NF-AMPYRA TAB ER 10MG","0637","RC","Both",,,"87","43.5","UHC","Medicare Advantage",,,"54",,"47.15","0.15","5264.58","percent of total billed charges",,
"NF-AMPYRA TAB ER 10MG","0637","RC","Both",,,"87","43.5","Clover","Medicare Advantage",,,"54",,"47.15","0.15","5264.58","percent of total billed charges",,
"NF-AMPYRA TAB ER 10MG","0637","RC","Both",,,"87","43.5","Wellcare","Medicare Advantage",,,"54",,"47.15","0.15","5264.58","percent of total billed charges",,
"NF-AMPYRA TAB ER 10MG","0637","RC","Both",,,"87","43.5","Amerigroup","Medicaid Managed Care",,,"37",,"31.84","0.15","5264.58","percent of total billed charges",,
"NF-AMPYRA TAB ER 10MG","0637","RC","Both",,,"87","43.5","Caresource","Medicaid Managed Care",,,"40",,"34.8","0.15","5264.58","percent of total billed charges",,
"NF-AMPYRA TAB ER 10MG","0637","RC","Both",,,"87","43.5","Wellcare","Medicaid Managed Care",,,"40",,"35.24","0.15","5264.58","percent of total billed charges",,
"NF-AMPYRA TAB ER 10MG","0637","RC","Both",,,"87","43.5","Aetna","Commercial",,,"64",,"55.51","0.15","5264.58","percent of total billed charges",,
"NF-AMPYRA TAB ER 10MG","0637","RC","Both",,,"87","43.5","Blue Cross Blue Shield","Pathways",,,"71",,"61.42","0.15","5264.58","percent of total billed charges",,
"NF-AMPYRA TAB ER 10MG","0637","RC","Both",,,"87","43.5","Blue Cross Blue Shield","HMO",,,"71",,"61.42","0.15","5264.58","percent of total billed charges",,
"NF-AMPYRA TAB ER 10MG","0637","RC","Both",,,"87","43.5","Blue Cross Blue Shield","PPO",,,"71",,"61.42","0.15","5264.58","percent of total billed charges",,
"NF-AMPYRA TAB ER 10MG","0637","RC","Both",,,"87","43.5","Ambetter","Health Exchange",,,"62",,"53.94","0.15","5264.58","percent of total billed charges",,
"NF-AMPYRA TAB ER 10MG","0637","RC","Both",,,"87","43.5","Caresource","Health Exchange",,,"62",,"53.94","0.15","5264.58","percent of total billed charges",,
"NF-AMPYRA TAB ER 10MG","0637","RC","Both",,,"87","43.5","Cigna","Commercial",,,"59",,"50.98","0.15","5264.58","percent of total billed charges",,
"NF-AMPYRA TAB ER 10MG","0637","RC","Both",,,"87","43.5","Humana","Commercial",,,"78",,"67.42","0.15","5264.58","percent of total billed charges",,
"NF-AMPYRA TAB ER 10MG","0637","RC","Both",,,"87","43.5","UHC","Commercial",,,"75",,"65.6","0.15","5264.58","percent of total billed charges",,
"NF-AMPYRA TAB ER 10MG","0637","RC","Both",,,"87","43.5","Medicaid",,,,"37",,"31.84","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 200MG","0637","RC","Both",,,"12","6","Alliant","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 200MG","0637","RC","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.48","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 200MG","0637","RC","Both",,,"12","6","Medicare",,,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 200MG","0637","RC","Both",,,"12","6","Humana","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 200MG","0637","RC","Both",,,"12","6","UHC","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 200MG","0637","RC","Both",,,"12","6","Clover","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 200MG","0637","RC","Both",,,"12","6","Wellcare","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 200MG","0637","RC","Both",,,"12","6","Amerigroup","Medicaid Managed Care",,,"37",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 200MG","0637","RC","Both",,,"12","6","Caresource","Medicaid Managed Care",,,"40",,"4.8","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 200MG","0637","RC","Both",,,"12","6","Wellcare","Medicaid Managed Care",,,"40",,"4.86","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 200MG","0637","RC","Both",,,"12","6","Aetna","Commercial",,,"64",,"7.66","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 200MG","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","Pathways",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 200MG","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","HMO",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 200MG","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","PPO",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 200MG","0637","RC","Both",,,"12","6","Ambetter","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 200MG","0637","RC","Both",,,"12","6","Caresource","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 200MG","0637","RC","Both",,,"12","6","Cigna","Commercial",,,"59",,"7.03","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 200MG","0637","RC","Both",,,"12","6","Humana","Commercial",,,"78",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 200MG","0637","RC","Both",,,"12","6","UHC","Commercial",,,"75",,"9.05","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 200MG","0637","RC","Both",,,"12","6","Medicaid",,,,"37",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR TAB 100MG","0637","RC","Both",,,"38.5","19.25","Alliant","Health Exchange",,,"62",,"23.87","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR TAB 100MG","0637","RC","Both",,,"38.5","19.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.79","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR TAB 100MG","0637","RC","Both",,,"38.5","19.25","Medicare",,,,"54",,"20.87","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR TAB 100MG","0637","RC","Both",,,"38.5","19.25","Humana","Medicare Advantage",,,"54",,"20.87","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR TAB 100MG","0637","RC","Both",,,"38.5","19.25","UHC","Medicare Advantage",,,"54",,"20.87","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR TAB 100MG","0637","RC","Both",,,"38.5","19.25","Clover","Medicare Advantage",,,"54",,"20.87","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR TAB 100MG","0637","RC","Both",,,"38.5","19.25","Wellcare","Medicare Advantage",,,"54",,"20.87","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR TAB 100MG","0637","RC","Both",,,"38.5","19.25","Amerigroup","Medicaid Managed Care",,,"37",,"14.09","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR TAB 100MG","0637","RC","Both",,,"38.5","19.25","Caresource","Medicaid Managed Care",,,"40",,"15.4","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR TAB 100MG","0637","RC","Both",,,"38.5","19.25","Wellcare","Medicaid Managed Care",,,"40",,"15.59","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR TAB 100MG","0637","RC","Both",,,"38.5","19.25","Aetna","Commercial",,,"64",,"24.56","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR TAB 100MG","0637","RC","Both",,,"38.5","19.25","Blue Cross Blue Shield","Pathways",,,"71",,"27.18","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR TAB 100MG","0637","RC","Both",,,"38.5","19.25","Blue Cross Blue Shield","HMO",,,"71",,"27.18","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR TAB 100MG","0637","RC","Both",,,"38.5","19.25","Blue Cross Blue Shield","PPO",,,"71",,"27.18","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR TAB 100MG","0637","RC","Both",,,"38.5","19.25","Ambetter","Health Exchange",,,"62",,"23.87","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR TAB 100MG","0637","RC","Both",,,"38.5","19.25","Caresource","Health Exchange",,,"62",,"23.87","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR TAB 100MG","0637","RC","Both",,,"38.5","19.25","Cigna","Commercial",,,"59",,"22.56","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR TAB 100MG","0637","RC","Both",,,"38.5","19.25","Humana","Commercial",,,"78",,"29.84","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR TAB 100MG","0637","RC","Both",,,"38.5","19.25","UHC","Commercial",,,"75",,"29.03","0.15","5264.58","percent of total billed charges",,
"NF-NORVIR TAB 100MG","0637","RC","Both",,,"38.5","19.25","Medicaid",,,,"37",,"14.09","0.15","5264.58","percent of total billed charges",,
"NF-VIREAD TAB 300MG","0637","RC","Both",,,"109","54.5","Alliant","Health Exchange",,,"62",,"67.58","0.15","5264.58","percent of total billed charges",,
"NF-VIREAD TAB 300MG","0637","RC","Both",,,"109","54.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"58.86","0.15","5264.58","percent of total billed charges",,
"NF-VIREAD TAB 300MG","0637","RC","Both",,,"109","54.5","Medicare",,,,"54",,"59.08","0.15","5264.58","percent of total billed charges",,
"NF-VIREAD TAB 300MG","0637","RC","Both",,,"109","54.5","Humana","Medicare Advantage",,,"54",,"59.08","0.15","5264.58","percent of total billed charges",,
"NF-VIREAD TAB 300MG","0637","RC","Both",,,"109","54.5","UHC","Medicare Advantage",,,"54",,"59.08","0.15","5264.58","percent of total billed charges",,
"NF-VIREAD TAB 300MG","0637","RC","Both",,,"109","54.5","Clover","Medicare Advantage",,,"54",,"59.08","0.15","5264.58","percent of total billed charges",,
"NF-VIREAD TAB 300MG","0637","RC","Both",,,"109","54.5","Wellcare","Medicare Advantage",,,"54",,"59.08","0.15","5264.58","percent of total billed charges",,
"NF-VIREAD TAB 300MG","0637","RC","Both",,,"109","54.5","Amerigroup","Medicaid Managed Care",,,"37",,"39.89","0.15","5264.58","percent of total billed charges",,
"NF-VIREAD TAB 300MG","0637","RC","Both",,,"109","54.5","Caresource","Medicaid Managed Care",,,"40",,"43.6","0.15","5264.58","percent of total billed charges",,
"NF-VIREAD TAB 300MG","0637","RC","Both",,,"109","54.5","Wellcare","Medicaid Managed Care",,,"40",,"44.14","0.15","5264.58","percent of total billed charges",,
"NF-VIREAD TAB 300MG","0637","RC","Both",,,"109","54.5","Aetna","Commercial",,,"64",,"69.54","0.15","5264.58","percent of total billed charges",,
"NF-VIREAD TAB 300MG","0637","RC","Both",,,"109","54.5","Blue Cross Blue Shield","Pathways",,,"71",,"76.95","0.15","5264.58","percent of total billed charges",,
"NF-VIREAD TAB 300MG","0637","RC","Both",,,"109","54.5","Blue Cross Blue Shield","HMO",,,"71",,"76.95","0.15","5264.58","percent of total billed charges",,
"NF-VIREAD TAB 300MG","0637","RC","Both",,,"109","54.5","Blue Cross Blue Shield","PPO",,,"71",,"76.95","0.15","5264.58","percent of total billed charges",,
"NF-VIREAD TAB 300MG","0637","RC","Both",,,"109","54.5","Ambetter","Health Exchange",,,"62",,"67.58","0.15","5264.58","percent of total billed charges",,
"NF-VIREAD TAB 300MG","0637","RC","Both",,,"109","54.5","Caresource","Health Exchange",,,"62",,"67.58","0.15","5264.58","percent of total billed charges",,
"NF-VIREAD TAB 300MG","0637","RC","Both",,,"109","54.5","Cigna","Commercial",,,"59",,"63.87","0.15","5264.58","percent of total billed charges",,
"NF-VIREAD TAB 300MG","0637","RC","Both",,,"109","54.5","Humana","Commercial",,,"78",,"84.48","0.15","5264.58","percent of total billed charges",,
"NF-VIREAD TAB 300MG","0637","RC","Both",,,"109","54.5","UHC","Commercial",,,"75",,"82.19","0.15","5264.58","percent of total billed charges",,
"NF-VIREAD TAB 300MG","0637","RC","Both",,,"109","54.5","Medicaid",,,,"37",,"39.89","0.15","5264.58","percent of total billed charges",,
"NF-SELZENTRY TAB 150MG","0637","RC","Both",,,"84.5","42.25","Alliant","Health Exchange",,,"62",,"52.39","0.15","5264.58","percent of total billed charges",,
"NF-SELZENTRY TAB 150MG","0637","RC","Both",,,"84.5","42.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"45.63","0.15","5264.58","percent of total billed charges",,
"NF-SELZENTRY TAB 150MG","0637","RC","Both",,,"84.5","42.25","Medicare",,,,"54",,"45.8","0.15","5264.58","percent of total billed charges",,
"NF-SELZENTRY TAB 150MG","0637","RC","Both",,,"84.5","42.25","Humana","Medicare Advantage",,,"54",,"45.8","0.15","5264.58","percent of total billed charges",,
"NF-SELZENTRY TAB 150MG","0637","RC","Both",,,"84.5","42.25","UHC","Medicare Advantage",,,"54",,"45.8","0.15","5264.58","percent of total billed charges",,
"NF-SELZENTRY TAB 150MG","0637","RC","Both",,,"84.5","42.25","Clover","Medicare Advantage",,,"54",,"45.8","0.15","5264.58","percent of total billed charges",,
"NF-SELZENTRY TAB 150MG","0637","RC","Both",,,"84.5","42.25","Wellcare","Medicare Advantage",,,"54",,"45.8","0.15","5264.58","percent of total billed charges",,
"NF-SELZENTRY TAB 150MG","0637","RC","Both",,,"84.5","42.25","Amerigroup","Medicaid Managed Care",,,"37",,"30.93","0.15","5264.58","percent of total billed charges",,
"NF-SELZENTRY TAB 150MG","0637","RC","Both",,,"84.5","42.25","Caresource","Medicaid Managed Care",,,"40",,"33.8","0.15","5264.58","percent of total billed charges",,
"NF-SELZENTRY TAB 150MG","0637","RC","Both",,,"84.5","42.25","Wellcare","Medicaid Managed Care",,,"40",,"34.22","0.15","5264.58","percent of total billed charges",,
"NF-SELZENTRY TAB 150MG","0637","RC","Both",,,"84.5","42.25","Aetna","Commercial",,,"64",,"53.91","0.15","5264.58","percent of total billed charges",,
"NF-SELZENTRY TAB 150MG","0637","RC","Both",,,"84.5","42.25","Blue Cross Blue Shield","Pathways",,,"71",,"59.66","0.15","5264.58","percent of total billed charges",,
"NF-SELZENTRY TAB 150MG","0637","RC","Both",,,"84.5","42.25","Blue Cross Blue Shield","HMO",,,"71",,"59.66","0.15","5264.58","percent of total billed charges",,
"NF-SELZENTRY TAB 150MG","0637","RC","Both",,,"84.5","42.25","Blue Cross Blue Shield","PPO",,,"71",,"59.66","0.15","5264.58","percent of total billed charges",,
"NF-SELZENTRY TAB 150MG","0637","RC","Both",,,"84.5","42.25","Ambetter","Health Exchange",,,"62",,"52.39","0.15","5264.58","percent of total billed charges",,
"NF-SELZENTRY TAB 150MG","0637","RC","Both",,,"84.5","42.25","Caresource","Health Exchange",,,"62",,"52.39","0.15","5264.58","percent of total billed charges",,
"NF-SELZENTRY TAB 150MG","0637","RC","Both",,,"84.5","42.25","Cigna","Commercial",,,"59",,"49.52","0.15","5264.58","percent of total billed charges",,
"NF-SELZENTRY TAB 150MG","0637","RC","Both",,,"84.5","42.25","Humana","Commercial",,,"78",,"65.49","0.15","5264.58","percent of total billed charges",,
"NF-SELZENTRY TAB 150MG","0637","RC","Both",,,"84.5","42.25","UHC","Commercial",,,"75",,"63.71","0.15","5264.58","percent of total billed charges",,
"NF-SELZENTRY TAB 150MG","0637","RC","Both",,,"84.5","42.25","Medicaid",,,,"37",,"30.93","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA TAB 600MG","0637","RC","Both",,,"77","38.5","Alliant","Health Exchange",,,"62",,"47.74","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA TAB 600MG","0637","RC","Both",,,"77","38.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"41.58","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA TAB 600MG","0637","RC","Both",,,"77","38.5","Medicare",,,,"54",,"41.73","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA TAB 600MG","0637","RC","Both",,,"77","38.5","Humana","Medicare Advantage",,,"54",,"41.73","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA TAB 600MG","0637","RC","Both",,,"77","38.5","UHC","Medicare Advantage",,,"54",,"41.73","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA TAB 600MG","0637","RC","Both",,,"77","38.5","Clover","Medicare Advantage",,,"54",,"41.73","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA TAB 600MG","0637","RC","Both",,,"77","38.5","Wellcare","Medicare Advantage",,,"54",,"41.73","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA TAB 600MG","0637","RC","Both",,,"77","38.5","Amerigroup","Medicaid Managed Care",,,"37",,"28.18","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA TAB 600MG","0637","RC","Both",,,"77","38.5","Caresource","Medicaid Managed Care",,,"40",,"30.8","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA TAB 600MG","0637","RC","Both",,,"77","38.5","Wellcare","Medicaid Managed Care",,,"40",,"31.18","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA TAB 600MG","0637","RC","Both",,,"77","38.5","Aetna","Commercial",,,"64",,"49.13","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA TAB 600MG","0637","RC","Both",,,"77","38.5","Blue Cross Blue Shield","Pathways",,,"71",,"54.36","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA TAB 600MG","0637","RC","Both",,,"77","38.5","Blue Cross Blue Shield","HMO",,,"71",,"54.36","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA TAB 600MG","0637","RC","Both",,,"77","38.5","Blue Cross Blue Shield","PPO",,,"71",,"54.36","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA TAB 600MG","0637","RC","Both",,,"77","38.5","Ambetter","Health Exchange",,,"62",,"47.74","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA TAB 600MG","0637","RC","Both",,,"77","38.5","Caresource","Health Exchange",,,"62",,"47.74","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA TAB 600MG","0637","RC","Both",,,"77","38.5","Cigna","Commercial",,,"59",,"45.12","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA TAB 600MG","0637","RC","Both",,,"77","38.5","Humana","Commercial",,,"78",,"59.68","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA TAB 600MG","0637","RC","Both",,,"77","38.5","UHC","Commercial",,,"75",,"58.06","0.15","5264.58","percent of total billed charges",,
"NF-PREZISTA TAB 600MG","0637","RC","Both",,,"77","38.5","Medicaid",,,,"37",,"28.18","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 100MG","0250","RC","Both",,,"14.2","7.1","Alliant","Health Exchange",,,"62",,"8.8","0.04","569.62","percent of total billed charges",,
"NF-LYRICA CAP 100MG","0250","RC","Both",,,"14.2","7.1","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.67","0.04","569.62","percent of total billed charges",,
"NF-LYRICA CAP 100MG","0250","RC","Both",,,"14.2","7.1","Medicare",,,,"54",,"7.7","0.04","569.62","percent of total billed charges",,
"NF-LYRICA CAP 100MG","0250","RC","Both",,,"14.2","7.1","Humana","Medicare Advantage",,,"54",,"7.7","0.04","569.62","percent of total billed charges",,
"NF-LYRICA CAP 100MG","0250","RC","Both",,,"14.2","7.1","UHC","Medicare Advantage",,,"54",,"7.7","0.04","569.62","percent of total billed charges",,
"NF-LYRICA CAP 100MG","0250","RC","Both",,,"14.2","7.1","Clover","Medicare Advantage",,,"54",,"7.7","0.04","569.62","percent of total billed charges",,
"NF-LYRICA CAP 100MG","0250","RC","Both",,,"14.2","7.1","Wellcare","Medicare Advantage",,,"54",,"7.7","0.04","569.62","percent of total billed charges",,
"NF-LYRICA CAP 100MG","0250","RC","Both",,,"14.2","7.1","Amerigroup","Medicaid Managed Care",,,"37",,"5.2","0.04","569.62","percent of total billed charges",,
"NF-LYRICA CAP 100MG","0250","RC","Both",,,"14.2","7.1","Caresource","Medicaid Managed Care",,,"40",,"5.68","0.04","569.62","percent of total billed charges",,
"NF-LYRICA CAP 100MG","0250","RC","Both",,,"14.2","7.1","Wellcare","Medicaid Managed Care",,,"40",,"5.75","0.04","569.62","percent of total billed charges",,
"NF-LYRICA CAP 100MG","0250","RC","Both",,,"14.2","7.1","Aetna","Commercial",,,"64",,"9.06","0.04","569.62","percent of total billed charges",,
"NF-LYRICA CAP 100MG","0250","RC","Both",,,"14.2","7.1","Blue Cross Blue Shield","Pathways",,,"71",,"10.03","0.04","569.62","percent of total billed charges",,
"NF-LYRICA CAP 100MG","0250","RC","Both",,,"14.2","7.1","Blue Cross Blue Shield","HMO",,,"71",,"10.03","0.04","569.62","percent of total billed charges",,
"NF-LYRICA CAP 100MG","0250","RC","Both",,,"14.2","7.1","Blue Cross Blue Shield","PPO",,,"71",,"10.03","0.04","569.62","percent of total billed charges",,
"NF-LYRICA CAP 100MG","0250","RC","Both",,,"14.2","7.1","Ambetter","Health Exchange",,,"62",,"8.8","0.04","569.62","percent of total billed charges",,
"NF-LYRICA CAP 100MG","0250","RC","Both",,,"14.2","7.1","Caresource","Health Exchange",,,"62",,"8.8","0.04","569.62","percent of total billed charges",,
"NF-LYRICA CAP 100MG","0250","RC","Both",,,"14.2","7.1","Cigna","Commercial",,,"59",,"8.32","0.04","569.62","percent of total billed charges",,
"NF-LYRICA CAP 100MG","0250","RC","Both",,,"14.2","7.1","Humana","Commercial",,,"78",,"11","0.04","569.62","percent of total billed charges",,
"NF-LYRICA CAP 100MG","0250","RC","Both",,,"14.2","7.1","UHC","Commercial",,,"75",,"10.71","0.04","569.62","percent of total billed charges",,
"NF-LYRICA CAP 100MG","0250","RC","Both",,,"14.2","7.1","Medicaid",,,,"37",,"5.2","0.04","569.62","percent of total billed charges",,
"NF-TORSEMIDE ORAL TABLET 20MG","0637","RC","Both",,,"2.5","1.25","Alliant","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-TORSEMIDE ORAL TABLET 20MG","0637","RC","Both",,,"2.5","1.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.35","0.15","5264.58","percent of total billed charges",,
"NF-TORSEMIDE ORAL TABLET 20MG","0637","RC","Both",,,"2.5","1.25","Medicare",,,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-TORSEMIDE ORAL TABLET 20MG","0637","RC","Both",,,"2.5","1.25","Humana","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-TORSEMIDE ORAL TABLET 20MG","0637","RC","Both",,,"2.5","1.25","UHC","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-TORSEMIDE ORAL TABLET 20MG","0637","RC","Both",,,"2.5","1.25","Clover","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-TORSEMIDE ORAL TABLET 20MG","0637","RC","Both",,,"2.5","1.25","Wellcare","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-TORSEMIDE ORAL TABLET 20MG","0637","RC","Both",,,"2.5","1.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.92","0.15","5264.58","percent of total billed charges",,
"NF-TORSEMIDE ORAL TABLET 20MG","0637","RC","Both",,,"2.5","1.25","Caresource","Medicaid Managed Care",,,"40",,"1","0.15","5264.58","percent of total billed charges",,
"NF-TORSEMIDE ORAL TABLET 20MG","0637","RC","Both",,,"2.5","1.25","Wellcare","Medicaid Managed Care",,,"40",,"1.01","0.15","5264.58","percent of total billed charges",,
"NF-TORSEMIDE ORAL TABLET 20MG","0637","RC","Both",,,"2.5","1.25","Aetna","Commercial",,,"64",,"1.6","0.15","5264.58","percent of total billed charges",,
"NF-TORSEMIDE ORAL TABLET 20MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","Pathways",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-TORSEMIDE ORAL TABLET 20MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","HMO",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-TORSEMIDE ORAL TABLET 20MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","PPO",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-TORSEMIDE ORAL TABLET 20MG","0637","RC","Both",,,"2.5","1.25","Ambetter","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-TORSEMIDE ORAL TABLET 20MG","0637","RC","Both",,,"2.5","1.25","Caresource","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-TORSEMIDE ORAL TABLET 20MG","0637","RC","Both",,,"2.5","1.25","Cigna","Commercial",,,"59",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-TORSEMIDE ORAL TABLET 20MG","0637","RC","Both",,,"2.5","1.25","Humana","Commercial",,,"78",,"1.94","0.15","5264.58","percent of total billed charges",,
"NF-TORSEMIDE ORAL TABLET 20MG","0637","RC","Both",,,"2.5","1.25","UHC","Commercial",,,"75",,"1.88","0.15","5264.58","percent of total billed charges",,
"NF-TORSEMIDE ORAL TABLET 20MG","0637","RC","Both",,,"2.5","1.25","Medicaid",,,,"37",,"0.92","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"55","27.5","Alliant","Health Exchange",,,"62",,"34.1","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"55","27.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"29.7","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"55","27.5","Medicare",,,,"54",,"29.81","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"55","27.5","Humana","Medicare Advantage",,,"54",,"29.81","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"55","27.5","UHC","Medicare Advantage",,,"54",,"29.81","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"55","27.5","Clover","Medicare Advantage",,,"54",,"29.81","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"55","27.5","Wellcare","Medicare Advantage",,,"54",,"29.81","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"55","27.5","Amerigroup","Medicaid Managed Care",,,"37",,"20.13","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"55","27.5","Caresource","Medicaid Managed Care",,,"40",,"22","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"55","27.5","Wellcare","Medicaid Managed Care",,,"40",,"22.28","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"55","27.5","Aetna","Commercial",,,"64",,"35.09","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"55","27.5","Blue Cross Blue Shield","Pathways",,,"71",,"38.83","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"55","27.5","Blue Cross Blue Shield","HMO",,,"71",,"38.83","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"55","27.5","Blue Cross Blue Shield","PPO",,,"71",,"38.83","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"55","27.5","Ambetter","Health Exchange",,,"62",,"34.1","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"55","27.5","Caresource","Health Exchange",,,"62",,"34.1","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"55","27.5","Cigna","Commercial",,,"59",,"32.23","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"55","27.5","Humana","Commercial",,,"78",,"42.62","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"55","27.5","UHC","Commercial",,,"75",,"41.47","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"55","27.5","Medicaid",,,,"37",,"20.13","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 5MG","0637","RC","Both",,,"15.02","7.51","Alliant","Health Exchange",,,"62",,"9.31","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 5MG","0637","RC","Both",,,"15.02","7.51","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.11","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 5MG","0637","RC","Both",,,"15.02","7.51","Medicare",,,,"54",,"8.14","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 5MG","0637","RC","Both",,,"15.02","7.51","Humana","Medicare Advantage",,,"54",,"8.14","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 5MG","0637","RC","Both",,,"15.02","7.51","UHC","Medicare Advantage",,,"54",,"8.14","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 5MG","0637","RC","Both",,,"15.02","7.51","Clover","Medicare Advantage",,,"54",,"8.14","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 5MG","0637","RC","Both",,,"15.02","7.51","Wellcare","Medicare Advantage",,,"54",,"8.14","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 5MG","0637","RC","Both",,,"15.02","7.51","Amerigroup","Medicaid Managed Care",,,"37",,"5.5","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 5MG","0637","RC","Both",,,"15.02","7.51","Caresource","Medicaid Managed Care",,,"40",,"6.01","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 5MG","0637","RC","Both",,,"15.02","7.51","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 5MG","0637","RC","Both",,,"15.02","7.51","Aetna","Commercial",,,"64",,"9.58","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 5MG","0637","RC","Both",,,"15.02","7.51","Blue Cross Blue Shield","Pathways",,,"71",,"10.6","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 5MG","0637","RC","Both",,,"15.02","7.51","Blue Cross Blue Shield","HMO",,,"71",,"10.6","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 5MG","0637","RC","Both",,,"15.02","7.51","Blue Cross Blue Shield","PPO",,,"71",,"10.6","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 5MG","0637","RC","Both",,,"15.02","7.51","Ambetter","Health Exchange",,,"62",,"9.31","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 5MG","0637","RC","Both",,,"15.02","7.51","Caresource","Health Exchange",,,"62",,"9.31","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 5MG","0637","RC","Both",,,"15.02","7.51","Cigna","Commercial",,,"59",,"8.8","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 5MG","0637","RC","Both",,,"15.02","7.51","Humana","Commercial",,,"78",,"11.64","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 5MG","0637","RC","Both",,,"15.02","7.51","UHC","Commercial",,,"75",,"11.33","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 5MG","0637","RC","Both",,,"15.02","7.51","Medicaid",,,,"37",,"5.5","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"6.5","3.25","Alliant","Health Exchange",,,"62",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"6.5","3.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.51","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"6.5","3.25","Medicare",,,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"6.5","3.25","Humana","Medicare Advantage",,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"6.5","3.25","UHC","Medicare Advantage",,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"6.5","3.25","Clover","Medicare Advantage",,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"6.5","3.25","Wellcare","Medicare Advantage",,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"6.5","3.25","Amerigroup","Medicaid Managed Care",,,"37",,"2.38","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"6.5","3.25","Caresource","Medicaid Managed Care",,,"40",,"2.6","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"6.5","3.25","Wellcare","Medicaid Managed Care",,,"40",,"2.63","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"6.5","3.25","Aetna","Commercial",,,"64",,"4.15","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","Pathways",,,"71",,"4.59","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","HMO",,,"71",,"4.59","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","PPO",,,"71",,"4.59","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"6.5","3.25","Ambetter","Health Exchange",,,"62",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"6.5","3.25","Caresource","Health Exchange",,,"62",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"6.5","3.25","Cigna","Commercial",,,"59",,"3.81","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"6.5","3.25","Humana","Commercial",,,"78",,"5.04","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"6.5","3.25","UHC","Commercial",,,"75",,"4.9","0.15","5264.58","percent of total billed charges",,
"NF-PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125","0637","RC","Both",,,"6.5","3.25","Medicaid",,,,"37",,"2.38","0.15","5264.58","percent of total billed charges",,
"NF-PERFOROMIST INH SOLN 20MCG/2ML","0637","RC","Both",,,"14","7","Alliant","Health Exchange",,,"62",,"8.68","0.15","5264.58","percent of total billed charges",,
"NF-PERFOROMIST INH SOLN 20MCG/2ML","0637","RC","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.56","0.15","5264.58","percent of total billed charges",,
"NF-PERFOROMIST INH SOLN 20MCG/2ML","0637","RC","Both",,,"14","7","Medicare",,,,"54",,"7.59","0.15","5264.58","percent of total billed charges",,
"NF-PERFOROMIST INH SOLN 20MCG/2ML","0637","RC","Both",,,"14","7","Humana","Medicare Advantage",,,"54",,"7.59","0.15","5264.58","percent of total billed charges",,
"NF-PERFOROMIST INH SOLN 20MCG/2ML","0637","RC","Both",,,"14","7","UHC","Medicare Advantage",,,"54",,"7.59","0.15","5264.58","percent of total billed charges",,
"NF-PERFOROMIST INH SOLN 20MCG/2ML","0637","RC","Both",,,"14","7","Clover","Medicare Advantage",,,"54",,"7.59","0.15","5264.58","percent of total billed charges",,
"NF-PERFOROMIST INH SOLN 20MCG/2ML","0637","RC","Both",,,"14","7","Wellcare","Medicare Advantage",,,"54",,"7.59","0.15","5264.58","percent of total billed charges",,
"NF-PERFOROMIST INH SOLN 20MCG/2ML","0637","RC","Both",,,"14","7","Amerigroup","Medicaid Managed Care",,,"37",,"5.12","0.15","5264.58","percent of total billed charges",,
"NF-PERFOROMIST INH SOLN 20MCG/2ML","0637","RC","Both",,,"14","7","Caresource","Medicaid Managed Care",,,"40",,"5.6","0.15","5264.58","percent of total billed charges",,
"NF-PERFOROMIST INH SOLN 20MCG/2ML","0637","RC","Both",,,"14","7","Wellcare","Medicaid Managed Care",,,"40",,"5.67","0.15","5264.58","percent of total billed charges",,
"NF-PERFOROMIST INH SOLN 20MCG/2ML","0637","RC","Both",,,"14","7","Aetna","Commercial",,,"64",,"8.93","0.15","5264.58","percent of total billed charges",,
"NF-PERFOROMIST INH SOLN 20MCG/2ML","0637","RC","Both",,,"14","7","Blue Cross Blue Shield","Pathways",,,"71",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-PERFOROMIST INH SOLN 20MCG/2ML","0637","RC","Both",,,"14","7","Blue Cross Blue Shield","HMO",,,"71",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-PERFOROMIST INH SOLN 20MCG/2ML","0637","RC","Both",,,"14","7","Blue Cross Blue Shield","PPO",,,"71",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-PERFOROMIST INH SOLN 20MCG/2ML","0637","RC","Both",,,"14","7","Ambetter","Health Exchange",,,"62",,"8.68","0.15","5264.58","percent of total billed charges",,
"NF-PERFOROMIST INH SOLN 20MCG/2ML","0637","RC","Both",,,"14","7","Caresource","Health Exchange",,,"62",,"8.68","0.15","5264.58","percent of total billed charges",,
"NF-PERFOROMIST INH SOLN 20MCG/2ML","0637","RC","Both",,,"14","7","Cigna","Commercial",,,"59",,"8.2","0.15","5264.58","percent of total billed charges",,
"NF-PERFOROMIST INH SOLN 20MCG/2ML","0637","RC","Both",,,"14","7","Humana","Commercial",,,"78",,"10.85","0.15","5264.58","percent of total billed charges",,
"NF-PERFOROMIST INH SOLN 20MCG/2ML","0637","RC","Both",,,"14","7","UHC","Commercial",,,"75",,"10.56","0.15","5264.58","percent of total billed charges",,
"NF-PERFOROMIST INH SOLN 20MCG/2ML","0637","RC","Both",,,"14","7","Medicaid",,,,"37",,"5.12","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH/NEB SOLN 0.02","0637","RC","Both",,,"2.5","1.25","Alliant","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH/NEB SOLN 0.02","0637","RC","Both",,,"2.5","1.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.35","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH/NEB SOLN 0.02","0637","RC","Both",,,"2.5","1.25","Medicare",,,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH/NEB SOLN 0.02","0637","RC","Both",,,"2.5","1.25","Humana","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH/NEB SOLN 0.02","0637","RC","Both",,,"2.5","1.25","UHC","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH/NEB SOLN 0.02","0637","RC","Both",,,"2.5","1.25","Clover","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH/NEB SOLN 0.02","0637","RC","Both",,,"2.5","1.25","Wellcare","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH/NEB SOLN 0.02","0637","RC","Both",,,"2.5","1.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.92","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH/NEB SOLN 0.02","0637","RC","Both",,,"2.5","1.25","Caresource","Medicaid Managed Care",,,"40",,"1","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH/NEB SOLN 0.02","0637","RC","Both",,,"2.5","1.25","Wellcare","Medicaid Managed Care",,,"40",,"1.01","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH/NEB SOLN 0.02","0637","RC","Both",,,"2.5","1.25","Aetna","Commercial",,,"64",,"1.6","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH/NEB SOLN 0.02","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","Pathways",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH/NEB SOLN 0.02","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","HMO",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH/NEB SOLN 0.02","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","PPO",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH/NEB SOLN 0.02","0637","RC","Both",,,"2.5","1.25","Ambetter","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH/NEB SOLN 0.02","0637","RC","Both",,,"2.5","1.25","Caresource","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH/NEB SOLN 0.02","0637","RC","Both",,,"2.5","1.25","Cigna","Commercial",,,"59",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH/NEB SOLN 0.02","0637","RC","Both",,,"2.5","1.25","Humana","Commercial",,,"78",,"1.94","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH/NEB SOLN 0.02","0637","RC","Both",,,"2.5","1.25","UHC","Commercial",,,"75",,"1.88","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH/NEB SOLN 0.02","0637","RC","Both",,,"2.5","1.25","Medicaid",,,,"37",,"0.92","0.15","5264.58","percent of total billed charges",,
"NF-PINDOLOL TAB 5MG","0637","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-PINDOLOL TAB 5MG","0637","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-PINDOLOL TAB 5MG","0637","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-PINDOLOL TAB 5MG","0637","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-PINDOLOL TAB 5MG","0637","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-PINDOLOL TAB 5MG","0637","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-PINDOLOL TAB 5MG","0637","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-PINDOLOL TAB 5MG","0637","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-PINDOLOL TAB 5MG","0637","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.15","5264.58","percent of total billed charges",,
"NF-PINDOLOL TAB 5MG","0637","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.15","5264.58","percent of total billed charges",,
"NF-PINDOLOL TAB 5MG","0637","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.15","5264.58","percent of total billed charges",,
"NF-PINDOLOL TAB 5MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-PINDOLOL TAB 5MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-PINDOLOL TAB 5MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-PINDOLOL TAB 5MG","0637","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-PINDOLOL TAB 5MG","0637","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-PINDOLOL TAB 5MG","0637","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-PINDOLOL TAB 5MG","0637","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.15","5264.58","percent of total billed charges",,
"NF-PINDOLOL TAB 5MG","0637","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.15","5264.58","percent of total billed charges",,
"NF-PINDOLOL TAB 5MG","0637","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-BIAXIN FILMTAB TAB 500MG","0637","RC","Both",,,"25.5","12.75","Alliant","Health Exchange",,,"62",,"15.81","0.15","5264.58","percent of total billed charges",,
"NF-BIAXIN FILMTAB TAB 500MG","0637","RC","Both",,,"25.5","12.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-BIAXIN FILMTAB TAB 500MG","0637","RC","Both",,,"25.5","12.75","Medicare",,,,"54",,"13.82","0.15","5264.58","percent of total billed charges",,
"NF-BIAXIN FILMTAB TAB 500MG","0637","RC","Both",,,"25.5","12.75","Humana","Medicare Advantage",,,"54",,"13.82","0.15","5264.58","percent of total billed charges",,
"NF-BIAXIN FILMTAB TAB 500MG","0637","RC","Both",,,"25.5","12.75","UHC","Medicare Advantage",,,"54",,"13.82","0.15","5264.58","percent of total billed charges",,
"NF-BIAXIN FILMTAB TAB 500MG","0637","RC","Both",,,"25.5","12.75","Clover","Medicare Advantage",,,"54",,"13.82","0.15","5264.58","percent of total billed charges",,
"NF-BIAXIN FILMTAB TAB 500MG","0637","RC","Both",,,"25.5","12.75","Wellcare","Medicare Advantage",,,"54",,"13.82","0.15","5264.58","percent of total billed charges",,
"NF-BIAXIN FILMTAB TAB 500MG","0637","RC","Both",,,"25.5","12.75","Amerigroup","Medicaid Managed Care",,,"37",,"9.33","0.15","5264.58","percent of total billed charges",,
"NF-BIAXIN FILMTAB TAB 500MG","0637","RC","Both",,,"25.5","12.75","Caresource","Medicaid Managed Care",,,"40",,"10.2","0.15","5264.58","percent of total billed charges",,
"NF-BIAXIN FILMTAB TAB 500MG","0637","RC","Both",,,"25.5","12.75","Wellcare","Medicaid Managed Care",,,"40",,"10.33","0.15","5264.58","percent of total billed charges",,
"NF-BIAXIN FILMTAB TAB 500MG","0637","RC","Both",,,"25.5","12.75","Aetna","Commercial",,,"64",,"16.27","0.15","5264.58","percent of total billed charges",,
"NF-BIAXIN FILMTAB TAB 500MG","0637","RC","Both",,,"25.5","12.75","Blue Cross Blue Shield","Pathways",,,"71",,"18","0.15","5264.58","percent of total billed charges",,
"NF-BIAXIN FILMTAB TAB 500MG","0637","RC","Both",,,"25.5","12.75","Blue Cross Blue Shield","HMO",,,"71",,"18","0.15","5264.58","percent of total billed charges",,
"NF-BIAXIN FILMTAB TAB 500MG","0637","RC","Both",,,"25.5","12.75","Blue Cross Blue Shield","PPO",,,"71",,"18","0.15","5264.58","percent of total billed charges",,
"NF-BIAXIN FILMTAB TAB 500MG","0637","RC","Both",,,"25.5","12.75","Ambetter","Health Exchange",,,"62",,"15.81","0.15","5264.58","percent of total billed charges",,
"NF-BIAXIN FILMTAB TAB 500MG","0637","RC","Both",,,"25.5","12.75","Caresource","Health Exchange",,,"62",,"15.81","0.15","5264.58","percent of total billed charges",,
"NF-BIAXIN FILMTAB TAB 500MG","0637","RC","Both",,,"25.5","12.75","Cigna","Commercial",,,"59",,"14.94","0.15","5264.58","percent of total billed charges",,
"NF-BIAXIN FILMTAB TAB 500MG","0637","RC","Both",,,"25.5","12.75","Humana","Commercial",,,"78",,"19.76","0.15","5264.58","percent of total billed charges",,
"NF-BIAXIN FILMTAB TAB 500MG","0637","RC","Both",,,"25.5","12.75","UHC","Commercial",,,"75",,"19.23","0.15","5264.58","percent of total billed charges",,
"NF-BIAXIN FILMTAB TAB 500MG","0637","RC","Both",,,"25.5","12.75","Medicaid",,,,"37",,"9.33","0.15","5264.58","percent of total billed charges",,
"NF-MYCOBUTIN CAP 150MG","0637","RC","Both",,,"71","35.5","Alliant","Health Exchange",,,"62",,"44.02","0.15","5264.58","percent of total billed charges",,
"NF-MYCOBUTIN CAP 150MG","0637","RC","Both",,,"71","35.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"38.34","0.15","5264.58","percent of total billed charges",,
"NF-MYCOBUTIN CAP 150MG","0637","RC","Both",,,"71","35.5","Medicare",,,,"54",,"38.48","0.15","5264.58","percent of total billed charges",,
"NF-MYCOBUTIN CAP 150MG","0637","RC","Both",,,"71","35.5","Humana","Medicare Advantage",,,"54",,"38.48","0.15","5264.58","percent of total billed charges",,
"NF-MYCOBUTIN CAP 150MG","0637","RC","Both",,,"71","35.5","UHC","Medicare Advantage",,,"54",,"38.48","0.15","5264.58","percent of total billed charges",,
"NF-MYCOBUTIN CAP 150MG","0637","RC","Both",,,"71","35.5","Clover","Medicare Advantage",,,"54",,"38.48","0.15","5264.58","percent of total billed charges",,
"NF-MYCOBUTIN CAP 150MG","0637","RC","Both",,,"71","35.5","Wellcare","Medicare Advantage",,,"54",,"38.48","0.15","5264.58","percent of total billed charges",,
"NF-MYCOBUTIN CAP 150MG","0637","RC","Both",,,"71","35.5","Amerigroup","Medicaid Managed Care",,,"37",,"25.99","0.15","5264.58","percent of total billed charges",,
"NF-MYCOBUTIN CAP 150MG","0637","RC","Both",,,"71","35.5","Caresource","Medicaid Managed Care",,,"40",,"28.4","0.15","5264.58","percent of total billed charges",,
"NF-MYCOBUTIN CAP 150MG","0637","RC","Both",,,"71","35.5","Wellcare","Medicaid Managed Care",,,"40",,"28.76","0.15","5264.58","percent of total billed charges",,
"NF-MYCOBUTIN CAP 150MG","0637","RC","Both",,,"71","35.5","Aetna","Commercial",,,"64",,"45.3","0.15","5264.58","percent of total billed charges",,
"NF-MYCOBUTIN CAP 150MG","0637","RC","Both",,,"71","35.5","Blue Cross Blue Shield","Pathways",,,"71",,"50.13","0.15","5264.58","percent of total billed charges",,
"NF-MYCOBUTIN CAP 150MG","0637","RC","Both",,,"71","35.5","Blue Cross Blue Shield","HMO",,,"71",,"50.13","0.15","5264.58","percent of total billed charges",,
"NF-MYCOBUTIN CAP 150MG","0637","RC","Both",,,"71","35.5","Blue Cross Blue Shield","PPO",,,"71",,"50.13","0.15","5264.58","percent of total billed charges",,
"NF-MYCOBUTIN CAP 150MG","0637","RC","Both",,,"71","35.5","Ambetter","Health Exchange",,,"62",,"44.02","0.15","5264.58","percent of total billed charges",,
"NF-MYCOBUTIN CAP 150MG","0637","RC","Both",,,"71","35.5","Caresource","Health Exchange",,,"62",,"44.02","0.15","5264.58","percent of total billed charges",,
"NF-MYCOBUTIN CAP 150MG","0637","RC","Both",,,"71","35.5","Cigna","Commercial",,,"59",,"41.61","0.15","5264.58","percent of total billed charges",,
"NF-MYCOBUTIN CAP 150MG","0637","RC","Both",,,"71","35.5","Humana","Commercial",,,"78",,"55.02","0.15","5264.58","percent of total billed charges",,
"NF-MYCOBUTIN CAP 150MG","0637","RC","Both",,,"71","35.5","UHC","Commercial",,,"75",,"53.53","0.15","5264.58","percent of total billed charges",,
"NF-MYCOBUTIN CAP 150MG","0637","RC","Both",,,"71","35.5","Medicaid",,,,"37",,"25.99","0.15","5264.58","percent of total billed charges",,
"NF-ESTRACE ORAL TABLET 0.5MG","0637","RC","Both",,,"1.5","0.75","Alliant","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-ESTRACE ORAL TABLET 0.5MG","0637","RC","Both",,,"1.5","0.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-ESTRACE ORAL TABLET 0.5MG","0637","RC","Both",,,"1.5","0.75","Medicare",,,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-ESTRACE ORAL TABLET 0.5MG","0637","RC","Both",,,"1.5","0.75","Humana","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-ESTRACE ORAL TABLET 0.5MG","0637","RC","Both",,,"1.5","0.75","UHC","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-ESTRACE ORAL TABLET 0.5MG","0637","RC","Both",,,"1.5","0.75","Clover","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-ESTRACE ORAL TABLET 0.5MG","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-ESTRACE ORAL TABLET 0.5MG","0637","RC","Both",,,"1.5","0.75","Amerigroup","Medicaid Managed Care",,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-ESTRACE ORAL TABLET 0.5MG","0637","RC","Both",,,"1.5","0.75","Caresource","Medicaid Managed Care",,,"40",,"0.6","0.15","5264.58","percent of total billed charges",,
"NF-ESTRACE ORAL TABLET 0.5MG","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicaid Managed Care",,,"40",,"0.61","0.15","5264.58","percent of total billed charges",,
"NF-ESTRACE ORAL TABLET 0.5MG","0637","RC","Both",,,"1.5","0.75","Aetna","Commercial",,,"64",,"0.96","0.15","5264.58","percent of total billed charges",,
"NF-ESTRACE ORAL TABLET 0.5MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","Pathways",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-ESTRACE ORAL TABLET 0.5MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","HMO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-ESTRACE ORAL TABLET 0.5MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","PPO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-ESTRACE ORAL TABLET 0.5MG","0637","RC","Both",,,"1.5","0.75","Ambetter","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-ESTRACE ORAL TABLET 0.5MG","0637","RC","Both",,,"1.5","0.75","Caresource","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-ESTRACE ORAL TABLET 0.5MG","0637","RC","Both",,,"1.5","0.75","Cigna","Commercial",,,"59",,"0.88","0.15","5264.58","percent of total billed charges",,
"NF-ESTRACE ORAL TABLET 0.5MG","0637","RC","Both",,,"1.5","0.75","Humana","Commercial",,,"78",,"1.16","0.15","5264.58","percent of total billed charges",,
"NF-ESTRACE ORAL TABLET 0.5MG","0637","RC","Both",,,"1.5","0.75","UHC","Commercial",,,"75",,"1.13","0.15","5264.58","percent of total billed charges",,
"NF-ESTRACE ORAL TABLET 0.5MG","0637","RC","Both",,,"1.5","0.75","Medicaid",,,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-XIFAXAN TAB 550MG","0637","RC","Both",,,"80.5","40.25","Alliant","Health Exchange",,,"62",,"49.91","0.15","5264.58","percent of total billed charges",,
"NF-XIFAXAN TAB 550MG","0637","RC","Both",,,"80.5","40.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"43.47","0.15","5264.58","percent of total billed charges",,
"NF-XIFAXAN TAB 550MG","0637","RC","Both",,,"80.5","40.25","Medicare",,,,"54",,"43.63","0.15","5264.58","percent of total billed charges",,
"NF-XIFAXAN TAB 550MG","0637","RC","Both",,,"80.5","40.25","Humana","Medicare Advantage",,,"54",,"43.63","0.15","5264.58","percent of total billed charges",,
"NF-XIFAXAN TAB 550MG","0637","RC","Both",,,"80.5","40.25","UHC","Medicare Advantage",,,"54",,"43.63","0.15","5264.58","percent of total billed charges",,
"NF-XIFAXAN TAB 550MG","0637","RC","Both",,,"80.5","40.25","Clover","Medicare Advantage",,,"54",,"43.63","0.15","5264.58","percent of total billed charges",,
"NF-XIFAXAN TAB 550MG","0637","RC","Both",,,"80.5","40.25","Wellcare","Medicare Advantage",,,"54",,"43.63","0.15","5264.58","percent of total billed charges",,
"NF-XIFAXAN TAB 550MG","0637","RC","Both",,,"80.5","40.25","Amerigroup","Medicaid Managed Care",,,"37",,"29.46","0.15","5264.58","percent of total billed charges",,
"NF-XIFAXAN TAB 550MG","0637","RC","Both",,,"80.5","40.25","Caresource","Medicaid Managed Care",,,"40",,"32.2","0.15","5264.58","percent of total billed charges",,
"NF-XIFAXAN TAB 550MG","0637","RC","Both",,,"80.5","40.25","Wellcare","Medicaid Managed Care",,,"40",,"32.6","0.15","5264.58","percent of total billed charges",,
"NF-XIFAXAN TAB 550MG","0637","RC","Both",,,"80.5","40.25","Aetna","Commercial",,,"64",,"51.36","0.15","5264.58","percent of total billed charges",,
"NF-XIFAXAN TAB 550MG","0637","RC","Both",,,"80.5","40.25","Blue Cross Blue Shield","Pathways",,,"71",,"56.83","0.15","5264.58","percent of total billed charges",,
"NF-XIFAXAN TAB 550MG","0637","RC","Both",,,"80.5","40.25","Blue Cross Blue Shield","HMO",,,"71",,"56.83","0.15","5264.58","percent of total billed charges",,
"NF-XIFAXAN TAB 550MG","0637","RC","Both",,,"80.5","40.25","Blue Cross Blue Shield","PPO",,,"71",,"56.83","0.15","5264.58","percent of total billed charges",,
"NF-XIFAXAN TAB 550MG","0637","RC","Both",,,"80.5","40.25","Ambetter","Health Exchange",,,"62",,"49.91","0.15","5264.58","percent of total billed charges",,
"NF-XIFAXAN TAB 550MG","0637","RC","Both",,,"80.5","40.25","Caresource","Health Exchange",,,"62",,"49.91","0.15","5264.58","percent of total billed charges",,
"NF-XIFAXAN TAB 550MG","0637","RC","Both",,,"80.5","40.25","Cigna","Commercial",,,"59",,"47.17","0.15","5264.58","percent of total billed charges",,
"NF-XIFAXAN TAB 550MG","0637","RC","Both",,,"80.5","40.25","Humana","Commercial",,,"78",,"62.39","0.15","5264.58","percent of total billed charges",,
"NF-XIFAXAN TAB 550MG","0637","RC","Both",,,"80.5","40.25","UHC","Commercial",,,"75",,"60.7","0.15","5264.58","percent of total billed charges",,
"NF-XIFAXAN TAB 550MG","0637","RC","Both",,,"80.5","40.25","Medicaid",,,,"37",,"29.46","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL ORAL TABLET 10MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL ORAL TABLET 10MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL ORAL TABLET 10MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL ORAL TABLET 10MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL ORAL TABLET 10MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL ORAL TABLET 10MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL ORAL TABLET 10MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL ORAL TABLET 10MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL ORAL TABLET 10MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL ORAL TABLET 10MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL ORAL TABLET 10MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL ORAL TABLET 10MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL ORAL TABLET 10MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL ORAL TABLET 10MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL ORAL TABLET 10MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL ORAL TABLET 10MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL ORAL TABLET 10MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL ORAL TABLET 10MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL ORAL TABLET 10MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"NF-ACCUPRIL ORAL TABLET 10MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN TAB 5MG","0637","RC","Both",,,"3.5","1.75","Alliant","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN TAB 5MG","0637","RC","Both",,,"3.5","1.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.89","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN TAB 5MG","0637","RC","Both",,,"3.5","1.75","Medicare",,,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN TAB 5MG","0637","RC","Both",,,"3.5","1.75","Humana","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN TAB 5MG","0637","RC","Both",,,"3.5","1.75","UHC","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN TAB 5MG","0637","RC","Both",,,"3.5","1.75","Clover","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN TAB 5MG","0637","RC","Both",,,"3.5","1.75","Wellcare","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN TAB 5MG","0637","RC","Both",,,"3.5","1.75","Amerigroup","Medicaid Managed Care",,,"37",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN TAB 5MG","0637","RC","Both",,,"3.5","1.75","Caresource","Medicaid Managed Care",,,"40",,"1.4","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN TAB 5MG","0637","RC","Both",,,"3.5","1.75","Wellcare","Medicaid Managed Care",,,"40",,"1.42","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN TAB 5MG","0637","RC","Both",,,"3.5","1.75","Aetna","Commercial",,,"64",,"2.23","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN TAB 5MG","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","Pathways",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN TAB 5MG","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","HMO",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN TAB 5MG","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","PPO",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN TAB 5MG","0637","RC","Both",,,"3.5","1.75","Ambetter","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN TAB 5MG","0637","RC","Both",,,"3.5","1.75","Caresource","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN TAB 5MG","0637","RC","Both",,,"3.5","1.75","Cigna","Commercial",,,"59",,"2.05","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN TAB 5MG","0637","RC","Both",,,"3.5","1.75","Humana","Commercial",,,"78",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN TAB 5MG","0637","RC","Both",,,"3.5","1.75","UHC","Commercial",,,"75",,"2.64","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN TAB 5MG","0637","RC","Both",,,"3.5","1.75","Medicaid",,,,"37",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-QUINAPRIL HCL TAB 10MG","0637","RC","Both",,,"8.5","4.25","Alliant","Health Exchange",,,"62",,"5.27","0.15","5264.58","percent of total billed charges",,
"NF-QUINAPRIL HCL TAB 10MG","0637","RC","Both",,,"8.5","4.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.59","0.15","5264.58","percent of total billed charges",,
"NF-QUINAPRIL HCL TAB 10MG","0637","RC","Both",,,"8.5","4.25","Medicare",,,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-QUINAPRIL HCL TAB 10MG","0637","RC","Both",,,"8.5","4.25","Humana","Medicare Advantage",,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-QUINAPRIL HCL TAB 10MG","0637","RC","Both",,,"8.5","4.25","UHC","Medicare Advantage",,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-QUINAPRIL HCL TAB 10MG","0637","RC","Both",,,"8.5","4.25","Clover","Medicare Advantage",,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-QUINAPRIL HCL TAB 10MG","0637","RC","Both",,,"8.5","4.25","Wellcare","Medicare Advantage",,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-QUINAPRIL HCL TAB 10MG","0637","RC","Both",,,"8.5","4.25","Amerigroup","Medicaid Managed Care",,,"37",,"3.11","0.15","5264.58","percent of total billed charges",,
"NF-QUINAPRIL HCL TAB 10MG","0637","RC","Both",,,"8.5","4.25","Caresource","Medicaid Managed Care",,,"40",,"3.4","0.15","5264.58","percent of total billed charges",,
"NF-QUINAPRIL HCL TAB 10MG","0637","RC","Both",,,"8.5","4.25","Wellcare","Medicaid Managed Care",,,"40",,"3.44","0.15","5264.58","percent of total billed charges",,
"NF-QUINAPRIL HCL TAB 10MG","0637","RC","Both",,,"8.5","4.25","Aetna","Commercial",,,"64",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-QUINAPRIL HCL TAB 10MG","0637","RC","Both",,,"8.5","4.25","Blue Cross Blue Shield","Pathways",,,"71",,"6","0.15","5264.58","percent of total billed charges",,
"NF-QUINAPRIL HCL TAB 10MG","0637","RC","Both",,,"8.5","4.25","Blue Cross Blue Shield","HMO",,,"71",,"6","0.15","5264.58","percent of total billed charges",,
"NF-QUINAPRIL HCL TAB 10MG","0637","RC","Both",,,"8.5","4.25","Blue Cross Blue Shield","PPO",,,"71",,"6","0.15","5264.58","percent of total billed charges",,
"NF-QUINAPRIL HCL TAB 10MG","0637","RC","Both",,,"8.5","4.25","Ambetter","Health Exchange",,,"62",,"5.27","0.15","5264.58","percent of total billed charges",,
"NF-QUINAPRIL HCL TAB 10MG","0637","RC","Both",,,"8.5","4.25","Caresource","Health Exchange",,,"62",,"5.27","0.15","5264.58","percent of total billed charges",,
"NF-QUINAPRIL HCL TAB 10MG","0637","RC","Both",,,"8.5","4.25","Cigna","Commercial",,,"59",,"4.98","0.15","5264.58","percent of total billed charges",,
"NF-QUINAPRIL HCL TAB 10MG","0637","RC","Both",,,"8.5","4.25","Humana","Commercial",,,"78",,"6.59","0.15","5264.58","percent of total billed charges",,
"NF-QUINAPRIL HCL TAB 10MG","0637","RC","Both",,,"8.5","4.25","UHC","Commercial",,,"75",,"6.41","0.15","5264.58","percent of total billed charges",,
"NF-QUINAPRIL HCL TAB 10MG","0637","RC","Both",,,"8.5","4.25","Medicaid",,,,"37",,"3.11","0.15","5264.58","percent of total billed charges",,
"NF-COPAXONE SUBQ KIT 20MG/1ML","0637","RC","Both",,,"6793","3396.5","Alliant","Health Exchange",,,"62",,"4211.66","0.15","5264.58","percent of total billed charges",,
"NF-COPAXONE SUBQ KIT 20MG/1ML","0637","RC","Both",,,"6793","3396.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3668.22","0.15","5264.58","percent of total billed charges",,
"NF-COPAXONE SUBQ KIT 20MG/1ML","0637","RC","Both",,,"6793","3396.5","Medicare",,,,"54",,"3681.81","0.15","5264.58","percent of total billed charges",,
"NF-COPAXONE SUBQ KIT 20MG/1ML","0637","RC","Both",,,"6793","3396.5","Humana","Medicare Advantage",,,"54",,"3681.81","0.15","5264.58","percent of total billed charges",,
"NF-COPAXONE SUBQ KIT 20MG/1ML","0637","RC","Both",,,"6793","3396.5","UHC","Medicare Advantage",,,"54",,"3681.81","0.15","5264.58","percent of total billed charges",,
"NF-COPAXONE SUBQ KIT 20MG/1ML","0637","RC","Both",,,"6793","3396.5","Clover","Medicare Advantage",,,"54",,"3681.81","0.15","5264.58","percent of total billed charges",,
"NF-COPAXONE SUBQ KIT 20MG/1ML","0637","RC","Both",,,"6793","3396.5","Wellcare","Medicare Advantage",,,"54",,"3681.81","0.15","5264.58","percent of total billed charges",,
"NF-COPAXONE SUBQ KIT 20MG/1ML","0637","RC","Both",,,"6793","3396.5","Amerigroup","Medicaid Managed Care",,,"37",,"2486.24","0.15","5264.58","percent of total billed charges",,
"NF-COPAXONE SUBQ KIT 20MG/1ML","0637","RC","Both",,,"6793","3396.5","Caresource","Medicaid Managed Care",,,"40",,"2717.2","0.15","5264.58","percent of total billed charges",,
"NF-COPAXONE SUBQ KIT 20MG/1ML","0637","RC","Both",,,"6793","3396.5","Wellcare","Medicaid Managed Care",,,"40",,"2751.16","0.15","5264.58","percent of total billed charges",,
"NF-COPAXONE SUBQ KIT 20MG/1ML","0637","RC","Both",,,"6793","3396.5","Aetna","Commercial",,,"64",,"4333.93","0.15","5264.58","percent of total billed charges",,
"NF-COPAXONE SUBQ KIT 20MG/1ML","0637","RC","Both",,,"6793","3396.5","Blue Cross Blue Shield","Pathways",,,"71",,"4795.86","0.15","5264.58","percent of total billed charges",,
"NF-COPAXONE SUBQ KIT 20MG/1ML","0637","RC","Both",,,"6793","3396.5","Blue Cross Blue Shield","HMO",,,"71",,"4795.86","0.15","5264.58","percent of total billed charges",,
"NF-COPAXONE SUBQ KIT 20MG/1ML","0637","RC","Both",,,"6793","3396.5","Blue Cross Blue Shield","PPO",,,"71",,"4795.86","0.15","5264.58","percent of total billed charges",,
"NF-COPAXONE SUBQ KIT 20MG/1ML","0637","RC","Both",,,"6793","3396.5","Ambetter","Health Exchange",,,"62",,"4211.66","0.15","5264.58","percent of total billed charges",,
"NF-COPAXONE SUBQ KIT 20MG/1ML","0637","RC","Both",,,"6793","3396.5","Caresource","Health Exchange",,,"62",,"4211.66","0.15","5264.58","percent of total billed charges",,
"NF-COPAXONE SUBQ KIT 20MG/1ML","0637","RC","Both",,,"6793","3396.5","Cigna","Commercial",,,"59",,"3980.7","0.15","5264.58","percent of total billed charges",,
"NF-COPAXONE SUBQ KIT 20MG/1ML","0637","RC","Both",,,"6793","3396.5","Humana","Commercial",,,"78",,"5264.58","0.15","5264.58","percent of total billed charges",,
"NF-COPAXONE SUBQ KIT 20MG/1ML","0637","RC","Both",,,"6793","3396.5","UHC","Commercial",,,"75",,"5121.92","0.15","5264.58","percent of total billed charges",,
"NF-COPAXONE SUBQ KIT 20MG/1ML","0637","RC","Both",,,"6793","3396.5","Medicaid",,,,"37",,"2486.24","0.15","5264.58","percent of total billed charges",,
"NF-ESTROPIPATE TAB 0.75MG","0637","RC","Both",,,"1.5","0.75","Alliant","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-ESTROPIPATE TAB 0.75MG","0637","RC","Both",,,"1.5","0.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-ESTROPIPATE TAB 0.75MG","0637","RC","Both",,,"1.5","0.75","Medicare",,,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-ESTROPIPATE TAB 0.75MG","0637","RC","Both",,,"1.5","0.75","Humana","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-ESTROPIPATE TAB 0.75MG","0637","RC","Both",,,"1.5","0.75","UHC","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-ESTROPIPATE TAB 0.75MG","0637","RC","Both",,,"1.5","0.75","Clover","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-ESTROPIPATE TAB 0.75MG","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-ESTROPIPATE TAB 0.75MG","0637","RC","Both",,,"1.5","0.75","Amerigroup","Medicaid Managed Care",,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-ESTROPIPATE TAB 0.75MG","0637","RC","Both",,,"1.5","0.75","Caresource","Medicaid Managed Care",,,"40",,"0.6","0.15","5264.58","percent of total billed charges",,
"NF-ESTROPIPATE TAB 0.75MG","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicaid Managed Care",,,"40",,"0.61","0.15","5264.58","percent of total billed charges",,
"NF-ESTROPIPATE TAB 0.75MG","0637","RC","Both",,,"1.5","0.75","Aetna","Commercial",,,"64",,"0.96","0.15","5264.58","percent of total billed charges",,
"NF-ESTROPIPATE TAB 0.75MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","Pathways",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-ESTROPIPATE TAB 0.75MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","HMO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-ESTROPIPATE TAB 0.75MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","PPO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-ESTROPIPATE TAB 0.75MG","0637","RC","Both",,,"1.5","0.75","Ambetter","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-ESTROPIPATE TAB 0.75MG","0637","RC","Both",,,"1.5","0.75","Caresource","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-ESTROPIPATE TAB 0.75MG","0637","RC","Both",,,"1.5","0.75","Cigna","Commercial",,,"59",,"0.88","0.15","5264.58","percent of total billed charges",,
"NF-ESTROPIPATE TAB 0.75MG","0637","RC","Both",,,"1.5","0.75","Humana","Commercial",,,"78",,"1.16","0.15","5264.58","percent of total billed charges",,
"NF-ESTROPIPATE TAB 0.75MG","0637","RC","Both",,,"1.5","0.75","UHC","Commercial",,,"75",,"1.13","0.15","5264.58","percent of total billed charges",,
"NF-ESTROPIPATE TAB 0.75MG","0637","RC","Both",,,"1.5","0.75","Medicaid",,,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-PREMPRO ORAL TABLET 0.625MG-5MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-PREMPRO ORAL TABLET 0.625MG-5MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"NF-PREMPRO ORAL TABLET 0.625MG-5MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-PREMPRO ORAL TABLET 0.625MG-5MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-PREMPRO ORAL TABLET 0.625MG-5MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-PREMPRO ORAL TABLET 0.625MG-5MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-PREMPRO ORAL TABLET 0.625MG-5MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-PREMPRO ORAL TABLET 0.625MG-5MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-PREMPRO ORAL TABLET 0.625MG-5MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"NF-PREMPRO ORAL TABLET 0.625MG-5MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-PREMPRO ORAL TABLET 0.625MG-5MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"NF-PREMPRO ORAL TABLET 0.625MG-5MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-PREMPRO ORAL TABLET 0.625MG-5MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-PREMPRO ORAL TABLET 0.625MG-5MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-PREMPRO ORAL TABLET 0.625MG-5MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-PREMPRO ORAL TABLET 0.625MG-5MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-PREMPRO ORAL TABLET 0.625MG-5MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-PREMPRO ORAL TABLET 0.625MG-5MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-PREMPRO ORAL TABLET 0.625MG-5MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"NF-PREMPRO ORAL TABLET 0.625MG-5MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 75MG","0637","RC","Both",,,"13","6.5","Alliant","Health Exchange",,,"62",,"8.06","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 75MG","0637","RC","Both",,,"13","6.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.02","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 75MG","0637","RC","Both",,,"13","6.5","Medicare",,,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 75MG","0637","RC","Both",,,"13","6.5","Humana","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 75MG","0637","RC","Both",,,"13","6.5","UHC","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 75MG","0637","RC","Both",,,"13","6.5","Clover","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 75MG","0637","RC","Both",,,"13","6.5","Wellcare","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 75MG","0637","RC","Both",,,"13","6.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.76","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 75MG","0637","RC","Both",,,"13","6.5","Caresource","Medicaid Managed Care",,,"40",,"5.2","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 75MG","0637","RC","Both",,,"13","6.5","Wellcare","Medicaid Managed Care",,,"40",,"5.26","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 75MG","0637","RC","Both",,,"13","6.5","Aetna","Commercial",,,"64",,"8.29","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 75MG","0637","RC","Both",,,"13","6.5","Blue Cross Blue Shield","Pathways",,,"71",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 75MG","0637","RC","Both",,,"13","6.5","Blue Cross Blue Shield","HMO",,,"71",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 75MG","0637","RC","Both",,,"13","6.5","Blue Cross Blue Shield","PPO",,,"71",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 75MG","0637","RC","Both",,,"13","6.5","Ambetter","Health Exchange",,,"62",,"8.06","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 75MG","0637","RC","Both",,,"13","6.5","Caresource","Health Exchange",,,"62",,"8.06","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 75MG","0637","RC","Both",,,"13","6.5","Cigna","Commercial",,,"59",,"7.62","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 75MG","0637","RC","Both",,,"13","6.5","Humana","Commercial",,,"78",,"10.08","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 75MG","0637","RC","Both",,,"13","6.5","UHC","Commercial",,,"75",,"9.8","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 75MG","0637","RC","Both",,,"13","6.5","Medicaid",,,,"37",,"4.76","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 180MG","0637","RC","Both",,,"19.5","9.75","Alliant","Health Exchange",,,"62",,"12.09","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 180MG","0637","RC","Both",,,"19.5","9.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.53","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 180MG","0637","RC","Both",,,"19.5","9.75","Medicare",,,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 180MG","0637","RC","Both",,,"19.5","9.75","Humana","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 180MG","0637","RC","Both",,,"19.5","9.75","UHC","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 180MG","0637","RC","Both",,,"19.5","9.75","Clover","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 180MG","0637","RC","Both",,,"19.5","9.75","Wellcare","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 180MG","0637","RC","Both",,,"19.5","9.75","Amerigroup","Medicaid Managed Care",,,"37",,"7.14","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 180MG","0637","RC","Both",,,"19.5","9.75","Caresource","Medicaid Managed Care",,,"40",,"7.8","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 180MG","0637","RC","Both",,,"19.5","9.75","Wellcare","Medicaid Managed Care",,,"40",,"7.9","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 180MG","0637","RC","Both",,,"19.5","9.75","Aetna","Commercial",,,"64",,"12.44","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 180MG","0637","RC","Both",,,"19.5","9.75","Blue Cross Blue Shield","Pathways",,,"71",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 180MG","0637","RC","Both",,,"19.5","9.75","Blue Cross Blue Shield","HMO",,,"71",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 180MG","0637","RC","Both",,,"19.5","9.75","Blue Cross Blue Shield","PPO",,,"71",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 180MG","0637","RC","Both",,,"19.5","9.75","Ambetter","Health Exchange",,,"62",,"12.09","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 180MG","0637","RC","Both",,,"19.5","9.75","Caresource","Health Exchange",,,"62",,"12.09","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 180MG","0637","RC","Both",,,"19.5","9.75","Cigna","Commercial",,,"59",,"11.43","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 180MG","0637","RC","Both",,,"19.5","9.75","Humana","Commercial",,,"78",,"15.11","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 180MG","0637","RC","Both",,,"19.5","9.75","UHC","Commercial",,,"75",,"14.7","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 180MG","0637","RC","Both",,,"19.5","9.75","Medicaid",,,,"37",,"7.14","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 180MG","0637","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 180MG","0637","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 180MG","0637","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 180MG","0637","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 180MG","0637","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 180MG","0637","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 180MG","0637","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 180MG","0637","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 180MG","0637","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 180MG","0637","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 180MG","0637","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 180MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 180MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 180MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 180MG","0637","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 180MG","0637","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 180MG","0637","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 180MG","0637","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 180MG","0637","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.15","5264.58","percent of total billed charges",,
"NF-FEXOFENADINE HCL ORAL TABLET 180MG","0637","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 75MG","0637","RC","Both",,,"13","6.5","Alliant","Health Exchange",,,"62",,"8.06","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 75MG","0637","RC","Both",,,"13","6.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.02","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 75MG","0637","RC","Both",,,"13","6.5","Medicare",,,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 75MG","0637","RC","Both",,,"13","6.5","Humana","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 75MG","0637","RC","Both",,,"13","6.5","UHC","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 75MG","0637","RC","Both",,,"13","6.5","Clover","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 75MG","0637","RC","Both",,,"13","6.5","Wellcare","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 75MG","0637","RC","Both",,,"13","6.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.76","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 75MG","0637","RC","Both",,,"13","6.5","Caresource","Medicaid Managed Care",,,"40",,"5.2","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 75MG","0637","RC","Both",,,"13","6.5","Wellcare","Medicaid Managed Care",,,"40",,"5.26","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 75MG","0637","RC","Both",,,"13","6.5","Aetna","Commercial",,,"64",,"8.29","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 75MG","0637","RC","Both",,,"13","6.5","Blue Cross Blue Shield","Pathways",,,"71",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 75MG","0637","RC","Both",,,"13","6.5","Blue Cross Blue Shield","HMO",,,"71",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 75MG","0637","RC","Both",,,"13","6.5","Blue Cross Blue Shield","PPO",,,"71",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 75MG","0637","RC","Both",,,"13","6.5","Ambetter","Health Exchange",,,"62",,"8.06","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 75MG","0637","RC","Both",,,"13","6.5","Caresource","Health Exchange",,,"62",,"8.06","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 75MG","0637","RC","Both",,,"13","6.5","Cigna","Commercial",,,"59",,"7.62","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 75MG","0637","RC","Both",,,"13","6.5","Humana","Commercial",,,"78",,"10.08","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 75MG","0637","RC","Both",,,"13","6.5","UHC","Commercial",,,"75",,"9.8","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 75MG","0637","RC","Both",,,"13","6.5","Medicaid",,,,"37",,"4.76","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0637","RC","Both",,,"20.5","10.25","Alliant","Health Exchange",,,"62",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0637","RC","Both",,,"20.5","10.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.07","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0637","RC","Both",,,"20.5","10.25","Medicare",,,,"54",,"11.11","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0637","RC","Both",,,"20.5","10.25","Humana","Medicare Advantage",,,"54",,"11.11","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0637","RC","Both",,,"20.5","10.25","UHC","Medicare Advantage",,,"54",,"11.11","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0637","RC","Both",,,"20.5","10.25","Clover","Medicare Advantage",,,"54",,"11.11","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0637","RC","Both",,,"20.5","10.25","Wellcare","Medicare Advantage",,,"54",,"11.11","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0637","RC","Both",,,"20.5","10.25","Amerigroup","Medicaid Managed Care",,,"37",,"7.5","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0637","RC","Both",,,"20.5","10.25","Caresource","Medicaid Managed Care",,,"40",,"8.2","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0637","RC","Both",,,"20.5","10.25","Wellcare","Medicaid Managed Care",,,"40",,"8.3","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0637","RC","Both",,,"20.5","10.25","Aetna","Commercial",,,"64",,"13.08","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0637","RC","Both",,,"20.5","10.25","Blue Cross Blue Shield","Pathways",,,"71",,"14.47","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0637","RC","Both",,,"20.5","10.25","Blue Cross Blue Shield","HMO",,,"71",,"14.47","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0637","RC","Both",,,"20.5","10.25","Blue Cross Blue Shield","PPO",,,"71",,"14.47","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0637","RC","Both",,,"20.5","10.25","Ambetter","Health Exchange",,,"62",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0637","RC","Both",,,"20.5","10.25","Caresource","Health Exchange",,,"62",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0637","RC","Both",,,"20.5","10.25","Cigna","Commercial",,,"59",,"12.01","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0637","RC","Both",,,"20.5","10.25","Humana","Commercial",,,"78",,"15.89","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0637","RC","Both",,,"20.5","10.25","UHC","Commercial",,,"75",,"15.46","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-160MG","0637","RC","Both",,,"20.5","10.25","Medicaid",,,,"37",,"7.5","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 50MG","0637","RC","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 50MG","0637","RC","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 50MG","0637","RC","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 50MG","0637","RC","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 50MG","0637","RC","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 50MG","0637","RC","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 50MG","0637","RC","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 50MG","0637","RC","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 50MG","0637","RC","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 50MG","0637","RC","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 50MG","0637","RC","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 50MG","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 50MG","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 50MG","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 50MG","0637","RC","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 50MG","0637","RC","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 50MG","0637","RC","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 50MG","0637","RC","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 50MG","0637","RC","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 50MG","0637","RC","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","0.15","5264.58","percent of total billed charges",,
"NF-PAMELOR CAPSULE 50MG","0637","RC","Both",,,"84","42","Alliant","Health Exchange",,,"62",,"52.08","0.15","5264.58","percent of total billed charges",,
"NF-PAMELOR CAPSULE 50MG","0637","RC","Both",,,"84","42","Pruitt Healthcare","Medicare Advantage",,,"54",,"45.36","0.15","5264.58","percent of total billed charges",,
"NF-PAMELOR CAPSULE 50MG","0637","RC","Both",,,"84","42","Medicare",,,,"54",,"45.53","0.15","5264.58","percent of total billed charges",,
"NF-PAMELOR CAPSULE 50MG","0637","RC","Both",,,"84","42","Humana","Medicare Advantage",,,"54",,"45.53","0.15","5264.58","percent of total billed charges",,
"NF-PAMELOR CAPSULE 50MG","0637","RC","Both",,,"84","42","UHC","Medicare Advantage",,,"54",,"45.53","0.15","5264.58","percent of total billed charges",,
"NF-PAMELOR CAPSULE 50MG","0637","RC","Both",,,"84","42","Clover","Medicare Advantage",,,"54",,"45.53","0.15","5264.58","percent of total billed charges",,
"NF-PAMELOR CAPSULE 50MG","0637","RC","Both",,,"84","42","Wellcare","Medicare Advantage",,,"54",,"45.53","0.15","5264.58","percent of total billed charges",,
"NF-PAMELOR CAPSULE 50MG","0637","RC","Both",,,"84","42","Amerigroup","Medicaid Managed Care",,,"37",,"30.74","0.15","5264.58","percent of total billed charges",,
"NF-PAMELOR CAPSULE 50MG","0637","RC","Both",,,"84","42","Caresource","Medicaid Managed Care",,,"40",,"33.6","0.15","5264.58","percent of total billed charges",,
"NF-PAMELOR CAPSULE 50MG","0637","RC","Both",,,"84","42","Wellcare","Medicaid Managed Care",,,"40",,"34.02","0.15","5264.58","percent of total billed charges",,
"NF-PAMELOR CAPSULE 50MG","0637","RC","Both",,,"84","42","Aetna","Commercial",,,"64",,"53.59","0.15","5264.58","percent of total billed charges",,
"NF-PAMELOR CAPSULE 50MG","0637","RC","Both",,,"84","42","Blue Cross Blue Shield","Pathways",,,"71",,"59.3","0.15","5264.58","percent of total billed charges",,
"NF-PAMELOR CAPSULE 50MG","0637","RC","Both",,,"84","42","Blue Cross Blue Shield","HMO",,,"71",,"59.3","0.15","5264.58","percent of total billed charges",,
"NF-PAMELOR CAPSULE 50MG","0637","RC","Both",,,"84","42","Blue Cross Blue Shield","PPO",,,"71",,"59.3","0.15","5264.58","percent of total billed charges",,
"NF-PAMELOR CAPSULE 50MG","0637","RC","Both",,,"84","42","Ambetter","Health Exchange",,,"62",,"52.08","0.15","5264.58","percent of total billed charges",,
"NF-PAMELOR CAPSULE 50MG","0637","RC","Both",,,"84","42","Caresource","Health Exchange",,,"62",,"52.08","0.15","5264.58","percent of total billed charges",,
"NF-PAMELOR CAPSULE 50MG","0637","RC","Both",,,"84","42","Cigna","Commercial",,,"59",,"49.22","0.15","5264.58","percent of total billed charges",,
"NF-PAMELOR CAPSULE 50MG","0637","RC","Both",,,"84","42","Humana","Commercial",,,"78",,"65.1","0.15","5264.58","percent of total billed charges",,
"NF-PAMELOR CAPSULE 50MG","0637","RC","Both",,,"84","42","UHC","Commercial",,,"75",,"63.34","0.15","5264.58","percent of total billed charges",,
"NF-PAMELOR CAPSULE 50MG","0637","RC","Both",,,"84","42","Medicaid",,,,"37",,"30.74","0.15","5264.58","percent of total billed charges",,
"NF-ISENTRESS ORAL TABLET 400MG","0637","RC","Both",,,"64.5","32.25","Alliant","Health Exchange",,,"62",,"39.99","0.15","5264.58","percent of total billed charges",,
"NF-ISENTRESS ORAL TABLET 400MG","0637","RC","Both",,,"64.5","32.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"34.83","0.15","5264.58","percent of total billed charges",,
"NF-ISENTRESS ORAL TABLET 400MG","0637","RC","Both",,,"64.5","32.25","Medicare",,,,"54",,"34.96","0.15","5264.58","percent of total billed charges",,
"NF-ISENTRESS ORAL TABLET 400MG","0637","RC","Both",,,"64.5","32.25","Humana","Medicare Advantage",,,"54",,"34.96","0.15","5264.58","percent of total billed charges",,
"NF-ISENTRESS ORAL TABLET 400MG","0637","RC","Both",,,"64.5","32.25","UHC","Medicare Advantage",,,"54",,"34.96","0.15","5264.58","percent of total billed charges",,
"NF-ISENTRESS ORAL TABLET 400MG","0637","RC","Both",,,"64.5","32.25","Clover","Medicare Advantage",,,"54",,"34.96","0.15","5264.58","percent of total billed charges",,
"NF-ISENTRESS ORAL TABLET 400MG","0637","RC","Both",,,"64.5","32.25","Wellcare","Medicare Advantage",,,"54",,"34.96","0.15","5264.58","percent of total billed charges",,
"NF-ISENTRESS ORAL TABLET 400MG","0637","RC","Both",,,"64.5","32.25","Amerigroup","Medicaid Managed Care",,,"37",,"23.61","0.15","5264.58","percent of total billed charges",,
"NF-ISENTRESS ORAL TABLET 400MG","0637","RC","Both",,,"64.5","32.25","Caresource","Medicaid Managed Care",,,"40",,"25.8","0.15","5264.58","percent of total billed charges",,
"NF-ISENTRESS ORAL TABLET 400MG","0637","RC","Both",,,"64.5","32.25","Wellcare","Medicaid Managed Care",,,"40",,"26.12","0.15","5264.58","percent of total billed charges",,
"NF-ISENTRESS ORAL TABLET 400MG","0637","RC","Both",,,"64.5","32.25","Aetna","Commercial",,,"64",,"41.15","0.15","5264.58","percent of total billed charges",,
"NF-ISENTRESS ORAL TABLET 400MG","0637","RC","Both",,,"64.5","32.25","Blue Cross Blue Shield","Pathways",,,"71",,"45.54","0.15","5264.58","percent of total billed charges",,
"NF-ISENTRESS ORAL TABLET 400MG","0637","RC","Both",,,"64.5","32.25","Blue Cross Blue Shield","HMO",,,"71",,"45.54","0.15","5264.58","percent of total billed charges",,
"NF-ISENTRESS ORAL TABLET 400MG","0637","RC","Both",,,"64.5","32.25","Blue Cross Blue Shield","PPO",,,"71",,"45.54","0.15","5264.58","percent of total billed charges",,
"NF-ISENTRESS ORAL TABLET 400MG","0637","RC","Both",,,"64.5","32.25","Ambetter","Health Exchange",,,"62",,"39.99","0.15","5264.58","percent of total billed charges",,
"NF-ISENTRESS ORAL TABLET 400MG","0637","RC","Both",,,"64.5","32.25","Caresource","Health Exchange",,,"62",,"39.99","0.15","5264.58","percent of total billed charges",,
"NF-ISENTRESS ORAL TABLET 400MG","0637","RC","Both",,,"64.5","32.25","Cigna","Commercial",,,"59",,"37.8","0.15","5264.58","percent of total billed charges",,
"NF-ISENTRESS ORAL TABLET 400MG","0637","RC","Both",,,"64.5","32.25","Humana","Commercial",,,"78",,"49.99","0.15","5264.58","percent of total billed charges",,
"NF-ISENTRESS ORAL TABLET 400MG","0637","RC","Both",,,"64.5","32.25","UHC","Commercial",,,"75",,"48.63","0.15","5264.58","percent of total billed charges",,
"NF-ISENTRESS ORAL TABLET 400MG","0637","RC","Both",,,"64.5","32.25","Medicaid",,,,"37",,"23.61","0.15","5264.58","percent of total billed charges",,
"NF-TRUVADA ORAL TABLET 200MG-300MG","0637","RC","Both",,,"191","95.5","Alliant","Health Exchange",,,"62",,"118.42","0.15","5264.58","percent of total billed charges",,
"NF-TRUVADA ORAL TABLET 200MG-300MG","0637","RC","Both",,,"191","95.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"103.14","0.15","5264.58","percent of total billed charges",,
"NF-TRUVADA ORAL TABLET 200MG-300MG","0637","RC","Both",,,"191","95.5","Medicare",,,,"54",,"103.52","0.15","5264.58","percent of total billed charges",,
"NF-TRUVADA ORAL TABLET 200MG-300MG","0637","RC","Both",,,"191","95.5","Humana","Medicare Advantage",,,"54",,"103.52","0.15","5264.58","percent of total billed charges",,
"NF-TRUVADA ORAL TABLET 200MG-300MG","0637","RC","Both",,,"191","95.5","UHC","Medicare Advantage",,,"54",,"103.52","0.15","5264.58","percent of total billed charges",,
"NF-TRUVADA ORAL TABLET 200MG-300MG","0637","RC","Both",,,"191","95.5","Clover","Medicare Advantage",,,"54",,"103.52","0.15","5264.58","percent of total billed charges",,
"NF-TRUVADA ORAL TABLET 200MG-300MG","0637","RC","Both",,,"191","95.5","Wellcare","Medicare Advantage",,,"54",,"103.52","0.15","5264.58","percent of total billed charges",,
"NF-TRUVADA ORAL TABLET 200MG-300MG","0637","RC","Both",,,"191","95.5","Amerigroup","Medicaid Managed Care",,,"37",,"69.91","0.15","5264.58","percent of total billed charges",,
"NF-TRUVADA ORAL TABLET 200MG-300MG","0637","RC","Both",,,"191","95.5","Caresource","Medicaid Managed Care",,,"40",,"76.4","0.15","5264.58","percent of total billed charges",,
"NF-TRUVADA ORAL TABLET 200MG-300MG","0637","RC","Both",,,"191","95.5","Wellcare","Medicaid Managed Care",,,"40",,"77.36","0.15","5264.58","percent of total billed charges",,
"NF-TRUVADA ORAL TABLET 200MG-300MG","0637","RC","Both",,,"191","95.5","Aetna","Commercial",,,"64",,"121.86","0.15","5264.58","percent of total billed charges",,
"NF-TRUVADA ORAL TABLET 200MG-300MG","0637","RC","Both",,,"191","95.5","Blue Cross Blue Shield","Pathways",,,"71",,"134.85","0.15","5264.58","percent of total billed charges",,
"NF-TRUVADA ORAL TABLET 200MG-300MG","0637","RC","Both",,,"191","95.5","Blue Cross Blue Shield","HMO",,,"71",,"134.85","0.15","5264.58","percent of total billed charges",,
"NF-TRUVADA ORAL TABLET 200MG-300MG","0637","RC","Both",,,"191","95.5","Blue Cross Blue Shield","PPO",,,"71",,"134.85","0.15","5264.58","percent of total billed charges",,
"NF-TRUVADA ORAL TABLET 200MG-300MG","0637","RC","Both",,,"191","95.5","Ambetter","Health Exchange",,,"62",,"118.42","0.15","5264.58","percent of total billed charges",,
"NF-TRUVADA ORAL TABLET 200MG-300MG","0637","RC","Both",,,"191","95.5","Caresource","Health Exchange",,,"62",,"118.42","0.15","5264.58","percent of total billed charges",,
"NF-TRUVADA ORAL TABLET 200MG-300MG","0637","RC","Both",,,"191","95.5","Cigna","Commercial",,,"59",,"111.93","0.15","5264.58","percent of total billed charges",,
"NF-TRUVADA ORAL TABLET 200MG-300MG","0637","RC","Both",,,"191","95.5","Humana","Commercial",,,"78",,"148.02","0.15","5264.58","percent of total billed charges",,
"NF-TRUVADA ORAL TABLET 200MG-300MG","0637","RC","Both",,,"191","95.5","UHC","Commercial",,,"75",,"144.01","0.15","5264.58","percent of total billed charges",,
"NF-TRUVADA ORAL TABLET 200MG-300MG","0637","RC","Both",,,"191","95.5","Medicaid",,,,"37",,"69.91","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 120MG","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 120MG","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 120MG","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 120MG","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 120MG","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 120MG","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 120MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 120MG","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 120MG","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 120MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 120MG","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 120MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 120MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 120MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 120MG","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 120MG","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 120MG","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 120MG","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 120MG","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 120MG","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-SENSIPAR TAB 60MG","0637","RC","Both",,,"112","56","Alliant","Health Exchange",,,"62",,"69.44","0.15","5264.58","percent of total billed charges",,
"NF-SENSIPAR TAB 60MG","0637","RC","Both",,,"112","56","Pruitt Healthcare","Medicare Advantage",,,"54",,"60.48","0.15","5264.58","percent of total billed charges",,
"NF-SENSIPAR TAB 60MG","0637","RC","Both",,,"112","56","Medicare",,,,"54",,"60.7","0.15","5264.58","percent of total billed charges",,
"NF-SENSIPAR TAB 60MG","0637","RC","Both",,,"112","56","Humana","Medicare Advantage",,,"54",,"60.7","0.15","5264.58","percent of total billed charges",,
"NF-SENSIPAR TAB 60MG","0637","RC","Both",,,"112","56","UHC","Medicare Advantage",,,"54",,"60.7","0.15","5264.58","percent of total billed charges",,
"NF-SENSIPAR TAB 60MG","0637","RC","Both",,,"112","56","Clover","Medicare Advantage",,,"54",,"60.7","0.15","5264.58","percent of total billed charges",,
"NF-SENSIPAR TAB 60MG","0637","RC","Both",,,"112","56","Wellcare","Medicare Advantage",,,"54",,"60.7","0.15","5264.58","percent of total billed charges",,
"NF-SENSIPAR TAB 60MG","0637","RC","Both",,,"112","56","Amerigroup","Medicaid Managed Care",,,"37",,"40.99","0.15","5264.58","percent of total billed charges",,
"NF-SENSIPAR TAB 60MG","0637","RC","Both",,,"112","56","Caresource","Medicaid Managed Care",,,"40",,"44.8","0.15","5264.58","percent of total billed charges",,
"NF-SENSIPAR TAB 60MG","0637","RC","Both",,,"112","56","Wellcare","Medicaid Managed Care",,,"40",,"45.36","0.15","5264.58","percent of total billed charges",,
"NF-SENSIPAR TAB 60MG","0637","RC","Both",,,"112","56","Aetna","Commercial",,,"64",,"71.46","0.15","5264.58","percent of total billed charges",,
"NF-SENSIPAR TAB 60MG","0637","RC","Both",,,"112","56","Blue Cross Blue Shield","Pathways",,,"71",,"79.07","0.15","5264.58","percent of total billed charges",,
"NF-SENSIPAR TAB 60MG","0637","RC","Both",,,"112","56","Blue Cross Blue Shield","HMO",,,"71",,"79.07","0.15","5264.58","percent of total billed charges",,
"NF-SENSIPAR TAB 60MG","0637","RC","Both",,,"112","56","Blue Cross Blue Shield","PPO",,,"71",,"79.07","0.15","5264.58","percent of total billed charges",,
"NF-SENSIPAR TAB 60MG","0637","RC","Both",,,"112","56","Ambetter","Health Exchange",,,"62",,"69.44","0.15","5264.58","percent of total billed charges",,
"NF-SENSIPAR TAB 60MG","0637","RC","Both",,,"112","56","Caresource","Health Exchange",,,"62",,"69.44","0.15","5264.58","percent of total billed charges",,
"NF-SENSIPAR TAB 60MG","0637","RC","Both",,,"112","56","Cigna","Commercial",,,"59",,"65.63","0.15","5264.58","percent of total billed charges",,
"NF-SENSIPAR TAB 60MG","0637","RC","Both",,,"112","56","Humana","Commercial",,,"78",,"86.8","0.15","5264.58","percent of total billed charges",,
"NF-SENSIPAR TAB 60MG","0637","RC","Both",,,"112","56","UHC","Commercial",,,"75",,"84.45","0.15","5264.58","percent of total billed charges",,
"NF-SENSIPAR TAB 60MG","0637","RC","Both",,,"112","56","Medicaid",,,,"37",,"40.99","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"151","75.5","Alliant","Health Exchange",,,"62",,"93.62","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"151","75.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"81.54","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"151","75.5","Medicare",,,,"54",,"81.84","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"151","75.5","Humana","Medicare Advantage",,,"54",,"81.84","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"151","75.5","UHC","Medicare Advantage",,,"54",,"81.84","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"151","75.5","Clover","Medicare Advantage",,,"54",,"81.84","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"151","75.5","Wellcare","Medicare Advantage",,,"54",,"81.84","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"151","75.5","Amerigroup","Medicaid Managed Care",,,"37",,"55.27","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"151","75.5","Caresource","Medicaid Managed Care",,,"40",,"60.4","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"151","75.5","Wellcare","Medicaid Managed Care",,,"40",,"61.16","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"151","75.5","Aetna","Commercial",,,"64",,"96.34","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"151","75.5","Blue Cross Blue Shield","Pathways",,,"71",,"106.61","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"151","75.5","Blue Cross Blue Shield","HMO",,,"71",,"106.61","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"151","75.5","Blue Cross Blue Shield","PPO",,,"71",,"106.61","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"151","75.5","Ambetter","Health Exchange",,,"62",,"93.62","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"151","75.5","Caresource","Health Exchange",,,"62",,"93.62","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"151","75.5","Cigna","Commercial",,,"59",,"88.49","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"151","75.5","Humana","Commercial",,,"78",,"117.02","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"151","75.5","UHC","Commercial",,,"75",,"113.85","0.15","5264.58","percent of total billed charges",,
"NF-LUMIGAN OPHTH SOLN 0.01%","0637","RC","Both",,,"151","75.5","Medicaid",,,,"37",,"55.27","0.15","5264.58","percent of total billed charges",,
"NF-LORAZEPAM INTENSOL CONCENTRATE 2MG/ML","0637","RC","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-LORAZEPAM INTENSOL CONCENTRATE 2MG/ML","0637","RC","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","0.15","5264.58","percent of total billed charges",,
"NF-LORAZEPAM INTENSOL CONCENTRATE 2MG/ML","0637","RC","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-LORAZEPAM INTENSOL CONCENTRATE 2MG/ML","0637","RC","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-LORAZEPAM INTENSOL CONCENTRATE 2MG/ML","0637","RC","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-LORAZEPAM INTENSOL CONCENTRATE 2MG/ML","0637","RC","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-LORAZEPAM INTENSOL CONCENTRATE 2MG/ML","0637","RC","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-LORAZEPAM INTENSOL CONCENTRATE 2MG/ML","0637","RC","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","0.15","5264.58","percent of total billed charges",,
"NF-LORAZEPAM INTENSOL CONCENTRATE 2MG/ML","0637","RC","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","0.15","5264.58","percent of total billed charges",,
"NF-LORAZEPAM INTENSOL CONCENTRATE 2MG/ML","0637","RC","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","0.15","5264.58","percent of total billed charges",,
"NF-LORAZEPAM INTENSOL CONCENTRATE 2MG/ML","0637","RC","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","0.15","5264.58","percent of total billed charges",,
"NF-LORAZEPAM INTENSOL CONCENTRATE 2MG/ML","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-LORAZEPAM INTENSOL CONCENTRATE 2MG/ML","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-LORAZEPAM INTENSOL CONCENTRATE 2MG/ML","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-LORAZEPAM INTENSOL CONCENTRATE 2MG/ML","0637","RC","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-LORAZEPAM INTENSOL CONCENTRATE 2MG/ML","0637","RC","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-LORAZEPAM INTENSOL CONCENTRATE 2MG/ML","0637","RC","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","0.15","5264.58","percent of total billed charges",,
"NF-LORAZEPAM INTENSOL CONCENTRATE 2MG/ML","0637","RC","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-LORAZEPAM INTENSOL CONCENTRATE 2MG/ML","0637","RC","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","0.15","5264.58","percent of total billed charges",,
"NF-LORAZEPAM INTENSOL CONCENTRATE 2MG/ML","0637","RC","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","0.15","5264.58","percent of total billed charges",,
"NF-ADVAIR DISKUS 500/50 DISK","0637","RC","Both",,,"19","9.5","Alliant","Health Exchange",,,"62",,"11.78","0.15","5264.58","percent of total billed charges",,
"NF-ADVAIR DISKUS 500/50 DISK","0637","RC","Both",,,"19","9.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.26","0.15","5264.58","percent of total billed charges",,
"NF-ADVAIR DISKUS 500/50 DISK","0637","RC","Both",,,"19","9.5","Medicare",,,,"54",,"10.3","0.15","5264.58","percent of total billed charges",,
"NF-ADVAIR DISKUS 500/50 DISK","0637","RC","Both",,,"19","9.5","Humana","Medicare Advantage",,,"54",,"10.3","0.15","5264.58","percent of total billed charges",,
"NF-ADVAIR DISKUS 500/50 DISK","0637","RC","Both",,,"19","9.5","UHC","Medicare Advantage",,,"54",,"10.3","0.15","5264.58","percent of total billed charges",,
"NF-ADVAIR DISKUS 500/50 DISK","0637","RC","Both",,,"19","9.5","Clover","Medicare Advantage",,,"54",,"10.3","0.15","5264.58","percent of total billed charges",,
"NF-ADVAIR DISKUS 500/50 DISK","0637","RC","Both",,,"19","9.5","Wellcare","Medicare Advantage",,,"54",,"10.3","0.15","5264.58","percent of total billed charges",,
"NF-ADVAIR DISKUS 500/50 DISK","0637","RC","Both",,,"19","9.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.95","0.15","5264.58","percent of total billed charges",,
"NF-ADVAIR DISKUS 500/50 DISK","0637","RC","Both",,,"19","9.5","Caresource","Medicaid Managed Care",,,"40",,"7.6","0.15","5264.58","percent of total billed charges",,
"NF-ADVAIR DISKUS 500/50 DISK","0637","RC","Both",,,"19","9.5","Wellcare","Medicaid Managed Care",,,"40",,"7.7","0.15","5264.58","percent of total billed charges",,
"NF-ADVAIR DISKUS 500/50 DISK","0637","RC","Both",,,"19","9.5","Aetna","Commercial",,,"64",,"12.12","0.15","5264.58","percent of total billed charges",,
"NF-ADVAIR DISKUS 500/50 DISK","0637","RC","Both",,,"19","9.5","Blue Cross Blue Shield","Pathways",,,"71",,"13.41","0.15","5264.58","percent of total billed charges",,
"NF-ADVAIR DISKUS 500/50 DISK","0637","RC","Both",,,"19","9.5","Blue Cross Blue Shield","HMO",,,"71",,"13.41","0.15","5264.58","percent of total billed charges",,
"NF-ADVAIR DISKUS 500/50 DISK","0637","RC","Both",,,"19","9.5","Blue Cross Blue Shield","PPO",,,"71",,"13.41","0.15","5264.58","percent of total billed charges",,
"NF-ADVAIR DISKUS 500/50 DISK","0637","RC","Both",,,"19","9.5","Ambetter","Health Exchange",,,"62",,"11.78","0.15","5264.58","percent of total billed charges",,
"NF-ADVAIR DISKUS 500/50 DISK","0637","RC","Both",,,"19","9.5","Caresource","Health Exchange",,,"62",,"11.78","0.15","5264.58","percent of total billed charges",,
"NF-ADVAIR DISKUS 500/50 DISK","0637","RC","Both",,,"19","9.5","Cigna","Commercial",,,"59",,"11.13","0.15","5264.58","percent of total billed charges",,
"NF-ADVAIR DISKUS 500/50 DISK","0637","RC","Both",,,"19","9.5","Humana","Commercial",,,"78",,"14.72","0.15","5264.58","percent of total billed charges",,
"NF-ADVAIR DISKUS 500/50 DISK","0637","RC","Both",,,"19","9.5","UHC","Commercial",,,"75",,"14.33","0.15","5264.58","percent of total billed charges",,
"NF-ADVAIR DISKUS 500/50 DISK","0637","RC","Both",,,"19","9.5","Medicaid",,,,"37",,"6.95","0.15","5264.58","percent of total billed charges",,
"NF-NITROFURANTOIN CAP 100MG","0637","RC","Both",,,"12","6","Alliant","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-NITROFURANTOIN CAP 100MG","0637","RC","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.48","0.15","5264.58","percent of total billed charges",,
"NF-NITROFURANTOIN CAP 100MG","0637","RC","Both",,,"12","6","Medicare",,,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-NITROFURANTOIN CAP 100MG","0637","RC","Both",,,"12","6","Humana","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-NITROFURANTOIN CAP 100MG","0637","RC","Both",,,"12","6","UHC","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-NITROFURANTOIN CAP 100MG","0637","RC","Both",,,"12","6","Clover","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-NITROFURANTOIN CAP 100MG","0637","RC","Both",,,"12","6","Wellcare","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-NITROFURANTOIN CAP 100MG","0637","RC","Both",,,"12","6","Amerigroup","Medicaid Managed Care",,,"37",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-NITROFURANTOIN CAP 100MG","0637","RC","Both",,,"12","6","Caresource","Medicaid Managed Care",,,"40",,"4.8","0.15","5264.58","percent of total billed charges",,
"NF-NITROFURANTOIN CAP 100MG","0637","RC","Both",,,"12","6","Wellcare","Medicaid Managed Care",,,"40",,"4.86","0.15","5264.58","percent of total billed charges",,
"NF-NITROFURANTOIN CAP 100MG","0637","RC","Both",,,"12","6","Aetna","Commercial",,,"64",,"7.66","0.15","5264.58","percent of total billed charges",,
"NF-NITROFURANTOIN CAP 100MG","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","Pathways",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-NITROFURANTOIN CAP 100MG","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","HMO",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-NITROFURANTOIN CAP 100MG","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","PPO",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-NITROFURANTOIN CAP 100MG","0637","RC","Both",,,"12","6","Ambetter","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-NITROFURANTOIN CAP 100MG","0637","RC","Both",,,"12","6","Caresource","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-NITROFURANTOIN CAP 100MG","0637","RC","Both",,,"12","6","Cigna","Commercial",,,"59",,"7.03","0.15","5264.58","percent of total billed charges",,
"NF-NITROFURANTOIN CAP 100MG","0637","RC","Both",,,"12","6","Humana","Commercial",,,"78",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-NITROFURANTOIN CAP 100MG","0637","RC","Both",,,"12","6","UHC","Commercial",,,"75",,"9.05","0.15","5264.58","percent of total billed charges",,
"NF-NITROFURANTOIN CAP 100MG","0637","RC","Both",,,"12","6","Medicaid",,,,"37",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC ORAL TABLET 10MG","0637","RC","Both",,,"8.5","4.25","Alliant","Health Exchange",,,"62",,"5.27","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC ORAL TABLET 10MG","0637","RC","Both",,,"8.5","4.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.59","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC ORAL TABLET 10MG","0637","RC","Both",,,"8.5","4.25","Medicare",,,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC ORAL TABLET 10MG","0637","RC","Both",,,"8.5","4.25","Humana","Medicare Advantage",,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC ORAL TABLET 10MG","0637","RC","Both",,,"8.5","4.25","UHC","Medicare Advantage",,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC ORAL TABLET 10MG","0637","RC","Both",,,"8.5","4.25","Clover","Medicare Advantage",,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC ORAL TABLET 10MG","0637","RC","Both",,,"8.5","4.25","Wellcare","Medicare Advantage",,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC ORAL TABLET 10MG","0637","RC","Both",,,"8.5","4.25","Amerigroup","Medicaid Managed Care",,,"37",,"3.11","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC ORAL TABLET 10MG","0637","RC","Both",,,"8.5","4.25","Caresource","Medicaid Managed Care",,,"40",,"3.4","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC ORAL TABLET 10MG","0637","RC","Both",,,"8.5","4.25","Wellcare","Medicaid Managed Care",,,"40",,"3.44","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC ORAL TABLET 10MG","0637","RC","Both",,,"8.5","4.25","Aetna","Commercial",,,"64",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC ORAL TABLET 10MG","0637","RC","Both",,,"8.5","4.25","Blue Cross Blue Shield","Pathways",,,"71",,"6","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC ORAL TABLET 10MG","0637","RC","Both",,,"8.5","4.25","Blue Cross Blue Shield","HMO",,,"71",,"6","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC ORAL TABLET 10MG","0637","RC","Both",,,"8.5","4.25","Blue Cross Blue Shield","PPO",,,"71",,"6","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC ORAL TABLET 10MG","0637","RC","Both",,,"8.5","4.25","Ambetter","Health Exchange",,,"62",,"5.27","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC ORAL TABLET 10MG","0637","RC","Both",,,"8.5","4.25","Caresource","Health Exchange",,,"62",,"5.27","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC ORAL TABLET 10MG","0637","RC","Both",,,"8.5","4.25","Cigna","Commercial",,,"59",,"4.98","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC ORAL TABLET 10MG","0637","RC","Both",,,"8.5","4.25","Humana","Commercial",,,"78",,"6.59","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC ORAL TABLET 10MG","0637","RC","Both",,,"8.5","4.25","UHC","Commercial",,,"75",,"6.41","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC ORAL TABLET 10MG","0637","RC","Both",,,"8.5","4.25","Medicaid",,,,"37",,"3.11","0.15","5264.58","percent of total billed charges",,
"NF-ZAFIRLUKAST TAB 20MG","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-ZAFIRLUKAST TAB 20MG","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"NF-ZAFIRLUKAST TAB 20MG","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-ZAFIRLUKAST TAB 20MG","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-ZAFIRLUKAST TAB 20MG","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-ZAFIRLUKAST TAB 20MG","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-ZAFIRLUKAST TAB 20MG","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-ZAFIRLUKAST TAB 20MG","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"NF-ZAFIRLUKAST TAB 20MG","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"NF-ZAFIRLUKAST TAB 20MG","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"NF-ZAFIRLUKAST TAB 20MG","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"NF-ZAFIRLUKAST TAB 20MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-ZAFIRLUKAST TAB 20MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-ZAFIRLUKAST TAB 20MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-ZAFIRLUKAST TAB 20MG","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-ZAFIRLUKAST TAB 20MG","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-ZAFIRLUKAST TAB 20MG","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"NF-ZAFIRLUKAST TAB 20MG","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-ZAFIRLUKAST TAB 20MG","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"NF-ZAFIRLUKAST TAB 20MG","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"NF-LOXAPINE CAPSULE 25MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-LOXAPINE CAPSULE 25MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"NF-LOXAPINE CAPSULE 25MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-LOXAPINE CAPSULE 25MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-LOXAPINE CAPSULE 25MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-LOXAPINE CAPSULE 25MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-LOXAPINE CAPSULE 25MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-LOXAPINE CAPSULE 25MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-LOXAPINE CAPSULE 25MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"NF-LOXAPINE CAPSULE 25MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-LOXAPINE CAPSULE 25MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"NF-LOXAPINE CAPSULE 25MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-LOXAPINE CAPSULE 25MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-LOXAPINE CAPSULE 25MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-LOXAPINE CAPSULE 25MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-LOXAPINE CAPSULE 25MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-LOXAPINE CAPSULE 25MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-LOXAPINE CAPSULE 25MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-LOXAPINE CAPSULE 25MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"NF-LOXAPINE CAPSULE 25MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-ARICEPT ORAL TABLET 23MG","0637","RC","Both",,,"38","19","Alliant","Health Exchange",,,"62",,"23.56","0.15","5264.58","percent of total billed charges",,
"NF-ARICEPT ORAL TABLET 23MG","0637","RC","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.52","0.15","5264.58","percent of total billed charges",,
"NF-ARICEPT ORAL TABLET 23MG","0637","RC","Both",,,"38","19","Medicare",,,,"54",,"20.6","0.15","5264.58","percent of total billed charges",,
"NF-ARICEPT ORAL TABLET 23MG","0637","RC","Both",,,"38","19","Humana","Medicare Advantage",,,"54",,"20.6","0.15","5264.58","percent of total billed charges",,
"NF-ARICEPT ORAL TABLET 23MG","0637","RC","Both",,,"38","19","UHC","Medicare Advantage",,,"54",,"20.6","0.15","5264.58","percent of total billed charges",,
"NF-ARICEPT ORAL TABLET 23MG","0637","RC","Both",,,"38","19","Clover","Medicare Advantage",,,"54",,"20.6","0.15","5264.58","percent of total billed charges",,
"NF-ARICEPT ORAL TABLET 23MG","0637","RC","Both",,,"38","19","Wellcare","Medicare Advantage",,,"54",,"20.6","0.15","5264.58","percent of total billed charges",,
"NF-ARICEPT ORAL TABLET 23MG","0637","RC","Both",,,"38","19","Amerigroup","Medicaid Managed Care",,,"37",,"13.91","0.15","5264.58","percent of total billed charges",,
"NF-ARICEPT ORAL TABLET 23MG","0637","RC","Both",,,"38","19","Caresource","Medicaid Managed Care",,,"40",,"15.2","0.15","5264.58","percent of total billed charges",,
"NF-ARICEPT ORAL TABLET 23MG","0637","RC","Both",,,"38","19","Wellcare","Medicaid Managed Care",,,"40",,"15.39","0.15","5264.58","percent of total billed charges",,
"NF-ARICEPT ORAL TABLET 23MG","0637","RC","Both",,,"38","19","Aetna","Commercial",,,"64",,"24.24","0.15","5264.58","percent of total billed charges",,
"NF-ARICEPT ORAL TABLET 23MG","0637","RC","Both",,,"38","19","Blue Cross Blue Shield","Pathways",,,"71",,"26.83","0.15","5264.58","percent of total billed charges",,
"NF-ARICEPT ORAL TABLET 23MG","0637","RC","Both",,,"38","19","Blue Cross Blue Shield","HMO",,,"71",,"26.83","0.15","5264.58","percent of total billed charges",,
"NF-ARICEPT ORAL TABLET 23MG","0637","RC","Both",,,"38","19","Blue Cross Blue Shield","PPO",,,"71",,"26.83","0.15","5264.58","percent of total billed charges",,
"NF-ARICEPT ORAL TABLET 23MG","0637","RC","Both",,,"38","19","Ambetter","Health Exchange",,,"62",,"23.56","0.15","5264.58","percent of total billed charges",,
"NF-ARICEPT ORAL TABLET 23MG","0637","RC","Both",,,"38","19","Caresource","Health Exchange",,,"62",,"23.56","0.15","5264.58","percent of total billed charges",,
"NF-ARICEPT ORAL TABLET 23MG","0637","RC","Both",,,"38","19","Cigna","Commercial",,,"59",,"22.27","0.15","5264.58","percent of total billed charges",,
"NF-ARICEPT ORAL TABLET 23MG","0637","RC","Both",,,"38","19","Humana","Commercial",,,"78",,"29.45","0.15","5264.58","percent of total billed charges",,
"NF-ARICEPT ORAL TABLET 23MG","0637","RC","Both",,,"38","19","UHC","Commercial",,,"75",,"28.65","0.15","5264.58","percent of total billed charges",,
"NF-ARICEPT ORAL TABLET 23MG","0637","RC","Both",,,"38","19","Medicaid",,,,"37",,"13.91","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYZINE HCL ORAL TABLET 10MG","0637","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYZINE HCL ORAL TABLET 10MG","0637","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYZINE HCL ORAL TABLET 10MG","0637","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYZINE HCL ORAL TABLET 10MG","0637","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYZINE HCL ORAL TABLET 10MG","0637","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYZINE HCL ORAL TABLET 10MG","0637","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYZINE HCL ORAL TABLET 10MG","0637","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYZINE HCL ORAL TABLET 10MG","0637","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYZINE HCL ORAL TABLET 10MG","0637","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYZINE HCL ORAL TABLET 10MG","0637","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYZINE HCL ORAL TABLET 10MG","0637","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYZINE HCL ORAL TABLET 10MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYZINE HCL ORAL TABLET 10MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYZINE HCL ORAL TABLET 10MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYZINE HCL ORAL TABLET 10MG","0637","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYZINE HCL ORAL TABLET 10MG","0637","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYZINE HCL ORAL TABLET 10MG","0637","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYZINE HCL ORAL TABLET 10MG","0637","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYZINE HCL ORAL TABLET 10MG","0637","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYZINE HCL ORAL TABLET 10MG","0637","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-80MG","0637","RC","Both",,,"11","5.5","Alliant","Health Exchange",,,"62",,"6.82","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-80MG","0637","RC","Both",,,"11","5.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.94","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-80MG","0637","RC","Both",,,"11","5.5","Medicare",,,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-80MG","0637","RC","Both",,,"11","5.5","Humana","Medicare Advantage",,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-80MG","0637","RC","Both",,,"11","5.5","UHC","Medicare Advantage",,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-80MG","0637","RC","Both",,,"11","5.5","Clover","Medicare Advantage",,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-80MG","0637","RC","Both",,,"11","5.5","Wellcare","Medicare Advantage",,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-80MG","0637","RC","Both",,,"11","5.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-80MG","0637","RC","Both",,,"11","5.5","Caresource","Medicaid Managed Care",,,"40",,"4.4","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-80MG","0637","RC","Both",,,"11","5.5","Wellcare","Medicaid Managed Care",,,"40",,"4.46","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-80MG","0637","RC","Both",,,"11","5.5","Aetna","Commercial",,,"64",,"7.02","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-80MG","0637","RC","Both",,,"11","5.5","Blue Cross Blue Shield","Pathways",,,"71",,"7.77","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-80MG","0637","RC","Both",,,"11","5.5","Blue Cross Blue Shield","HMO",,,"71",,"7.77","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-80MG","0637","RC","Both",,,"11","5.5","Blue Cross Blue Shield","PPO",,,"71",,"7.77","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-80MG","0637","RC","Both",,,"11","5.5","Ambetter","Health Exchange",,,"62",,"6.82","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-80MG","0637","RC","Both",,,"11","5.5","Caresource","Health Exchange",,,"62",,"6.82","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-80MG","0637","RC","Both",,,"11","5.5","Cigna","Commercial",,,"59",,"6.45","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-80MG","0637","RC","Both",,,"11","5.5","Humana","Commercial",,,"78",,"8.52","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-80MG","0637","RC","Both",,,"11","5.5","UHC","Commercial",,,"75",,"8.29","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-80MG","0637","RC","Both",,,"11","5.5","Medicaid",,,,"37",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-BIAXIN FILMTAB TAB 500MG","0637","RC","Both",,,"16","8","Alliant","Health Exchange",,,"62",,"9.92","0.15","5264.58","percent of total billed charges",,
"NF-BIAXIN FILMTAB TAB 500MG","0637","RC","Both",,,"16","8","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.64","0.15","5264.58","percent of total billed charges",,
"NF-BIAXIN FILMTAB TAB 500MG","0637","RC","Both",,,"16","8","Medicare",,,,"54",,"8.67","0.15","5264.58","percent of total billed charges",,
"NF-BIAXIN FILMTAB TAB 500MG","0637","RC","Both",,,"16","8","Humana","Medicare Advantage",,,"54",,"8.67","0.15","5264.58","percent of total billed charges",,
"NF-BIAXIN FILMTAB TAB 500MG","0637","RC","Both",,,"16","8","UHC","Medicare Advantage",,,"54",,"8.67","0.15","5264.58","percent of total billed charges",,
"NF-BIAXIN FILMTAB TAB 500MG","0637","RC","Both",,,"16","8","Clover","Medicare Advantage",,,"54",,"8.67","0.15","5264.58","percent of total billed charges",,
"NF-BIAXIN FILMTAB TAB 500MG","0637","RC","Both",,,"16","8","Wellcare","Medicare Advantage",,,"54",,"8.67","0.15","5264.58","percent of total billed charges",,
"NF-BIAXIN FILMTAB TAB 500MG","0637","RC","Both",,,"16","8","Amerigroup","Medicaid Managed Care",,,"37",,"5.86","0.15","5264.58","percent of total billed charges",,
"NF-BIAXIN FILMTAB TAB 500MG","0637","RC","Both",,,"16","8","Caresource","Medicaid Managed Care",,,"40",,"6.4","0.15","5264.58","percent of total billed charges",,
"NF-BIAXIN FILMTAB TAB 500MG","0637","RC","Both",,,"16","8","Wellcare","Medicaid Managed Care",,,"40",,"6.48","0.15","5264.58","percent of total billed charges",,
"NF-BIAXIN FILMTAB TAB 500MG","0637","RC","Both",,,"16","8","Aetna","Commercial",,,"64",,"10.21","0.15","5264.58","percent of total billed charges",,
"NF-BIAXIN FILMTAB TAB 500MG","0637","RC","Both",,,"16","8","Blue Cross Blue Shield","Pathways",,,"71",,"11.3","0.15","5264.58","percent of total billed charges",,
"NF-BIAXIN FILMTAB TAB 500MG","0637","RC","Both",,,"16","8","Blue Cross Blue Shield","HMO",,,"71",,"11.3","0.15","5264.58","percent of total billed charges",,
"NF-BIAXIN FILMTAB TAB 500MG","0637","RC","Both",,,"16","8","Blue Cross Blue Shield","PPO",,,"71",,"11.3","0.15","5264.58","percent of total billed charges",,
"NF-BIAXIN FILMTAB TAB 500MG","0637","RC","Both",,,"16","8","Ambetter","Health Exchange",,,"62",,"9.92","0.15","5264.58","percent of total billed charges",,
"NF-BIAXIN FILMTAB TAB 500MG","0637","RC","Both",,,"16","8","Caresource","Health Exchange",,,"62",,"9.92","0.15","5264.58","percent of total billed charges",,
"NF-BIAXIN FILMTAB TAB 500MG","0637","RC","Both",,,"16","8","Cigna","Commercial",,,"59",,"9.38","0.15","5264.58","percent of total billed charges",,
"NF-BIAXIN FILMTAB TAB 500MG","0637","RC","Both",,,"16","8","Humana","Commercial",,,"78",,"12.4","0.15","5264.58","percent of total billed charges",,
"NF-BIAXIN FILMTAB TAB 500MG","0637","RC","Both",,,"16","8","UHC","Commercial",,,"75",,"12.06","0.15","5264.58","percent of total billed charges",,
"NF-BIAXIN FILMTAB TAB 500MG","0637","RC","Both",,,"16","8","Medicaid",,,,"37",,"5.86","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-80MG","0637","RC","Both",,,"14.5","7.25","Alliant","Health Exchange",,,"62",,"8.99","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-80MG","0637","RC","Both",,,"14.5","7.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.83","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-80MG","0637","RC","Both",,,"14.5","7.25","Medicare",,,,"54",,"7.86","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-80MG","0637","RC","Both",,,"14.5","7.25","Humana","Medicare Advantage",,,"54",,"7.86","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-80MG","0637","RC","Both",,,"14.5","7.25","UHC","Medicare Advantage",,,"54",,"7.86","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-80MG","0637","RC","Both",,,"14.5","7.25","Clover","Medicare Advantage",,,"54",,"7.86","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-80MG","0637","RC","Both",,,"14.5","7.25","Wellcare","Medicare Advantage",,,"54",,"7.86","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-80MG","0637","RC","Both",,,"14.5","7.25","Amerigroup","Medicaid Managed Care",,,"37",,"5.31","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-80MG","0637","RC","Both",,,"14.5","7.25","Caresource","Medicaid Managed Care",,,"40",,"5.8","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-80MG","0637","RC","Both",,,"14.5","7.25","Wellcare","Medicaid Managed Care",,,"40",,"5.87","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-80MG","0637","RC","Both",,,"14.5","7.25","Aetna","Commercial",,,"64",,"9.25","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-80MG","0637","RC","Both",,,"14.5","7.25","Blue Cross Blue Shield","Pathways",,,"71",,"10.24","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-80MG","0637","RC","Both",,,"14.5","7.25","Blue Cross Blue Shield","HMO",,,"71",,"10.24","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-80MG","0637","RC","Both",,,"14.5","7.25","Blue Cross Blue Shield","PPO",,,"71",,"10.24","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-80MG","0637","RC","Both",,,"14.5","7.25","Ambetter","Health Exchange",,,"62",,"8.99","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-80MG","0637","RC","Both",,,"14.5","7.25","Caresource","Health Exchange",,,"62",,"8.99","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-80MG","0637","RC","Both",,,"14.5","7.25","Cigna","Commercial",,,"59",,"8.5","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-80MG","0637","RC","Both",,,"14.5","7.25","Humana","Commercial",,,"78",,"11.24","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-80MG","0637","RC","Both",,,"14.5","7.25","UHC","Commercial",,,"75",,"10.93","0.15","5264.58","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 12.5MG-80MG","0637","RC","Both",,,"14.5","7.25","Medicaid",,,,"37",,"5.31","0.15","5264.58","percent of total billed charges",,
"NF-LETROZOLE TAB 2.5MG","0637","RC","Both",,,"54.5","27.25","Alliant","Health Exchange",,,"62",,"33.79","0.15","5264.58","percent of total billed charges",,
"NF-LETROZOLE TAB 2.5MG","0637","RC","Both",,,"54.5","27.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"29.43","0.15","5264.58","percent of total billed charges",,
"NF-LETROZOLE TAB 2.5MG","0637","RC","Both",,,"54.5","27.25","Medicare",,,,"54",,"29.54","0.15","5264.58","percent of total billed charges",,
"NF-LETROZOLE TAB 2.5MG","0637","RC","Both",,,"54.5","27.25","Humana","Medicare Advantage",,,"54",,"29.54","0.15","5264.58","percent of total billed charges",,
"NF-LETROZOLE TAB 2.5MG","0637","RC","Both",,,"54.5","27.25","UHC","Medicare Advantage",,,"54",,"29.54","0.15","5264.58","percent of total billed charges",,
"NF-LETROZOLE TAB 2.5MG","0637","RC","Both",,,"54.5","27.25","Clover","Medicare Advantage",,,"54",,"29.54","0.15","5264.58","percent of total billed charges",,
"NF-LETROZOLE TAB 2.5MG","0637","RC","Both",,,"54.5","27.25","Wellcare","Medicare Advantage",,,"54",,"29.54","0.15","5264.58","percent of total billed charges",,
"NF-LETROZOLE TAB 2.5MG","0637","RC","Both",,,"54.5","27.25","Amerigroup","Medicaid Managed Care",,,"37",,"19.95","0.15","5264.58","percent of total billed charges",,
"NF-LETROZOLE TAB 2.5MG","0637","RC","Both",,,"54.5","27.25","Caresource","Medicaid Managed Care",,,"40",,"21.8","0.15","5264.58","percent of total billed charges",,
"NF-LETROZOLE TAB 2.5MG","0637","RC","Both",,,"54.5","27.25","Wellcare","Medicaid Managed Care",,,"40",,"22.07","0.15","5264.58","percent of total billed charges",,
"NF-LETROZOLE TAB 2.5MG","0637","RC","Both",,,"54.5","27.25","Aetna","Commercial",,,"64",,"34.77","0.15","5264.58","percent of total billed charges",,
"NF-LETROZOLE TAB 2.5MG","0637","RC","Both",,,"54.5","27.25","Blue Cross Blue Shield","Pathways",,,"71",,"38.48","0.15","5264.58","percent of total billed charges",,
"NF-LETROZOLE TAB 2.5MG","0637","RC","Both",,,"54.5","27.25","Blue Cross Blue Shield","HMO",,,"71",,"38.48","0.15","5264.58","percent of total billed charges",,
"NF-LETROZOLE TAB 2.5MG","0637","RC","Both",,,"54.5","27.25","Blue Cross Blue Shield","PPO",,,"71",,"38.48","0.15","5264.58","percent of total billed charges",,
"NF-LETROZOLE TAB 2.5MG","0637","RC","Both",,,"54.5","27.25","Ambetter","Health Exchange",,,"62",,"33.79","0.15","5264.58","percent of total billed charges",,
"NF-LETROZOLE TAB 2.5MG","0637","RC","Both",,,"54.5","27.25","Caresource","Health Exchange",,,"62",,"33.79","0.15","5264.58","percent of total billed charges",,
"NF-LETROZOLE TAB 2.5MG","0637","RC","Both",,,"54.5","27.25","Cigna","Commercial",,,"59",,"31.94","0.15","5264.58","percent of total billed charges",,
"NF-LETROZOLE TAB 2.5MG","0637","RC","Both",,,"54.5","27.25","Humana","Commercial",,,"78",,"42.24","0.15","5264.58","percent of total billed charges",,
"NF-LETROZOLE TAB 2.5MG","0637","RC","Both",,,"54.5","27.25","UHC","Commercial",,,"75",,"41.09","0.15","5264.58","percent of total billed charges",,
"NF-LETROZOLE TAB 2.5MG","0637","RC","Both",,,"54.5","27.25","Medicaid",,,,"37",,"19.95","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTH SOLN 0.004%","0637","RC","Both",,,"138.5","69.25","Alliant","Health Exchange",,,"62",,"85.87","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTH SOLN 0.004%","0637","RC","Both",,,"138.5","69.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"74.79","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTH SOLN 0.004%","0637","RC","Both",,,"138.5","69.25","Medicare",,,,"54",,"75.07","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTH SOLN 0.004%","0637","RC","Both",,,"138.5","69.25","Humana","Medicare Advantage",,,"54",,"75.07","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTH SOLN 0.004%","0637","RC","Both",,,"138.5","69.25","UHC","Medicare Advantage",,,"54",,"75.07","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTH SOLN 0.004%","0637","RC","Both",,,"138.5","69.25","Clover","Medicare Advantage",,,"54",,"75.07","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTH SOLN 0.004%","0637","RC","Both",,,"138.5","69.25","Wellcare","Medicare Advantage",,,"54",,"75.07","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTH SOLN 0.004%","0637","RC","Both",,,"138.5","69.25","Amerigroup","Medicaid Managed Care",,,"37",,"50.69","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTH SOLN 0.004%","0637","RC","Both",,,"138.5","69.25","Caresource","Medicaid Managed Care",,,"40",,"55.4","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTH SOLN 0.004%","0637","RC","Both",,,"138.5","69.25","Wellcare","Medicaid Managed Care",,,"40",,"56.09","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTH SOLN 0.004%","0637","RC","Both",,,"138.5","69.25","Aetna","Commercial",,,"64",,"88.36","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTH SOLN 0.004%","0637","RC","Both",,,"138.5","69.25","Blue Cross Blue Shield","Pathways",,,"71",,"97.78","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTH SOLN 0.004%","0637","RC","Both",,,"138.5","69.25","Blue Cross Blue Shield","HMO",,,"71",,"97.78","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTH SOLN 0.004%","0637","RC","Both",,,"138.5","69.25","Blue Cross Blue Shield","PPO",,,"71",,"97.78","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTH SOLN 0.004%","0637","RC","Both",,,"138.5","69.25","Ambetter","Health Exchange",,,"62",,"85.87","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTH SOLN 0.004%","0637","RC","Both",,,"138.5","69.25","Caresource","Health Exchange",,,"62",,"85.87","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTH SOLN 0.004%","0637","RC","Both",,,"138.5","69.25","Cigna","Commercial",,,"59",,"81.16","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTH SOLN 0.004%","0637","RC","Both",,,"138.5","69.25","Humana","Commercial",,,"78",,"107.34","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTH SOLN 0.004%","0637","RC","Both",,,"138.5","69.25","UHC","Commercial",,,"75",,"104.43","0.15","5264.58","percent of total billed charges",,
"NF-TRAVATAN Z OPHTH SOLN 0.004%","0637","RC","Both",,,"138.5","69.25","Medicaid",,,,"37",,"50.69","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"13.5","6.75","Alliant","Health Exchange",,,"62",,"8.37","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"13.5","6.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.29","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"13.5","6.75","Medicare",,,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"13.5","6.75","Humana","Medicare Advantage",,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"13.5","6.75","UHC","Medicare Advantage",,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"13.5","6.75","Clover","Medicare Advantage",,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"13.5","6.75","Wellcare","Medicare Advantage",,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"13.5","6.75","Amerigroup","Medicaid Managed Care",,,"37",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"13.5","6.75","Caresource","Medicaid Managed Care",,,"40",,"5.4","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"13.5","6.75","Wellcare","Medicaid Managed Care",,,"40",,"5.47","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"13.5","6.75","Aetna","Commercial",,,"64",,"8.61","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"13.5","6.75","Blue Cross Blue Shield","Pathways",,,"71",,"9.53","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"13.5","6.75","Blue Cross Blue Shield","HMO",,,"71",,"9.53","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"13.5","6.75","Blue Cross Blue Shield","PPO",,,"71",,"9.53","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"13.5","6.75","Ambetter","Health Exchange",,,"62",,"8.37","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"13.5","6.75","Caresource","Health Exchange",,,"62",,"8.37","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"13.5","6.75","Cigna","Commercial",,,"59",,"7.91","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"13.5","6.75","Humana","Commercial",,,"78",,"10.46","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"13.5","6.75","UHC","Commercial",,,"75",,"10.18","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"13.5","6.75","Medicaid",,,,"37",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"13.5","6.75","Alliant","Health Exchange",,,"62",,"8.37","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"13.5","6.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.29","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"13.5","6.75","Medicare",,,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"13.5","6.75","Humana","Medicare Advantage",,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"13.5","6.75","UHC","Medicare Advantage",,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"13.5","6.75","Clover","Medicare Advantage",,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"13.5","6.75","Wellcare","Medicare Advantage",,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"13.5","6.75","Amerigroup","Medicaid Managed Care",,,"37",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"13.5","6.75","Caresource","Medicaid Managed Care",,,"40",,"5.4","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"13.5","6.75","Wellcare","Medicaid Managed Care",,,"40",,"5.47","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"13.5","6.75","Aetna","Commercial",,,"64",,"8.61","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"13.5","6.75","Blue Cross Blue Shield","Pathways",,,"71",,"9.53","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"13.5","6.75","Blue Cross Blue Shield","HMO",,,"71",,"9.53","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"13.5","6.75","Blue Cross Blue Shield","PPO",,,"71",,"9.53","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"13.5","6.75","Ambetter","Health Exchange",,,"62",,"8.37","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"13.5","6.75","Caresource","Health Exchange",,,"62",,"8.37","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"13.5","6.75","Cigna","Commercial",,,"59",,"7.91","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"13.5","6.75","Humana","Commercial",,,"78",,"10.46","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"13.5","6.75","UHC","Commercial",,,"75",,"10.18","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"13.5","6.75","Medicaid",,,,"37",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.625MG","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"NF-ACETAZOLAMIDE ORAL TABLET 250MG","0637","RC","Both",,,"13.5","6.75","Alliant","Health Exchange",,,"62",,"8.37","0.15","5264.58","percent of total billed charges",,
"NF-ACETAZOLAMIDE ORAL TABLET 250MG","0637","RC","Both",,,"13.5","6.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.29","0.15","5264.58","percent of total billed charges",,
"NF-ACETAZOLAMIDE ORAL TABLET 250MG","0637","RC","Both",,,"13.5","6.75","Medicare",,,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-ACETAZOLAMIDE ORAL TABLET 250MG","0637","RC","Both",,,"13.5","6.75","Humana","Medicare Advantage",,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-ACETAZOLAMIDE ORAL TABLET 250MG","0637","RC","Both",,,"13.5","6.75","UHC","Medicare Advantage",,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-ACETAZOLAMIDE ORAL TABLET 250MG","0637","RC","Both",,,"13.5","6.75","Clover","Medicare Advantage",,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-ACETAZOLAMIDE ORAL TABLET 250MG","0637","RC","Both",,,"13.5","6.75","Wellcare","Medicare Advantage",,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-ACETAZOLAMIDE ORAL TABLET 250MG","0637","RC","Both",,,"13.5","6.75","Amerigroup","Medicaid Managed Care",,,"37",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-ACETAZOLAMIDE ORAL TABLET 250MG","0637","RC","Both",,,"13.5","6.75","Caresource","Medicaid Managed Care",,,"40",,"5.4","0.15","5264.58","percent of total billed charges",,
"NF-ACETAZOLAMIDE ORAL TABLET 250MG","0637","RC","Both",,,"13.5","6.75","Wellcare","Medicaid Managed Care",,,"40",,"5.47","0.15","5264.58","percent of total billed charges",,
"NF-ACETAZOLAMIDE ORAL TABLET 250MG","0637","RC","Both",,,"13.5","6.75","Aetna","Commercial",,,"64",,"8.61","0.15","5264.58","percent of total billed charges",,
"NF-ACETAZOLAMIDE ORAL TABLET 250MG","0637","RC","Both",,,"13.5","6.75","Blue Cross Blue Shield","Pathways",,,"71",,"9.53","0.15","5264.58","percent of total billed charges",,
"NF-ACETAZOLAMIDE ORAL TABLET 250MG","0637","RC","Both",,,"13.5","6.75","Blue Cross Blue Shield","HMO",,,"71",,"9.53","0.15","5264.58","percent of total billed charges",,
"NF-ACETAZOLAMIDE ORAL TABLET 250MG","0637","RC","Both",,,"13.5","6.75","Blue Cross Blue Shield","PPO",,,"71",,"9.53","0.15","5264.58","percent of total billed charges",,
"NF-ACETAZOLAMIDE ORAL TABLET 250MG","0637","RC","Both",,,"13.5","6.75","Ambetter","Health Exchange",,,"62",,"8.37","0.15","5264.58","percent of total billed charges",,
"NF-ACETAZOLAMIDE ORAL TABLET 250MG","0637","RC","Both",,,"13.5","6.75","Caresource","Health Exchange",,,"62",,"8.37","0.15","5264.58","percent of total billed charges",,
"NF-ACETAZOLAMIDE ORAL TABLET 250MG","0637","RC","Both",,,"13.5","6.75","Cigna","Commercial",,,"59",,"7.91","0.15","5264.58","percent of total billed charges",,
"NF-ACETAZOLAMIDE ORAL TABLET 250MG","0637","RC","Both",,,"13.5","6.75","Humana","Commercial",,,"78",,"10.46","0.15","5264.58","percent of total billed charges",,
"NF-ACETAZOLAMIDE ORAL TABLET 250MG","0637","RC","Both",,,"13.5","6.75","UHC","Commercial",,,"75",,"10.18","0.15","5264.58","percent of total billed charges",,
"NF-ACETAZOLAMIDE ORAL TABLET 250MG","0637","RC","Both",,,"13.5","6.75","Medicaid",,,,"37",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-BUTRANS 20MCG/HR TRANSDERMAL PATCH, E","0637","RC","Both",,,"351","175.5","Alliant","Health Exchange",,,"62",,"217.62","0.15","5264.58","percent of total billed charges",,
"NF-BUTRANS 20MCG/HR TRANSDERMAL PATCH, E","0637","RC","Both",,,"351","175.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"189.54","0.15","5264.58","percent of total billed charges",,
"NF-BUTRANS 20MCG/HR TRANSDERMAL PATCH, E","0637","RC","Both",,,"351","175.5","Medicare",,,,"54",,"190.24","0.15","5264.58","percent of total billed charges",,
"NF-BUTRANS 20MCG/HR TRANSDERMAL PATCH, E","0637","RC","Both",,,"351","175.5","Humana","Medicare Advantage",,,"54",,"190.24","0.15","5264.58","percent of total billed charges",,
"NF-BUTRANS 20MCG/HR TRANSDERMAL PATCH, E","0637","RC","Both",,,"351","175.5","UHC","Medicare Advantage",,,"54",,"190.24","0.15","5264.58","percent of total billed charges",,
"NF-BUTRANS 20MCG/HR TRANSDERMAL PATCH, E","0637","RC","Both",,,"351","175.5","Clover","Medicare Advantage",,,"54",,"190.24","0.15","5264.58","percent of total billed charges",,
"NF-BUTRANS 20MCG/HR TRANSDERMAL PATCH, E","0637","RC","Both",,,"351","175.5","Wellcare","Medicare Advantage",,,"54",,"190.24","0.15","5264.58","percent of total billed charges",,
"NF-BUTRANS 20MCG/HR TRANSDERMAL PATCH, E","0637","RC","Both",,,"351","175.5","Amerigroup","Medicaid Managed Care",,,"37",,"128.47","0.15","5264.58","percent of total billed charges",,
"NF-BUTRANS 20MCG/HR TRANSDERMAL PATCH, E","0637","RC","Both",,,"351","175.5","Caresource","Medicaid Managed Care",,,"40",,"140.4","0.15","5264.58","percent of total billed charges",,
"NF-BUTRANS 20MCG/HR TRANSDERMAL PATCH, E","0637","RC","Both",,,"351","175.5","Wellcare","Medicaid Managed Care",,,"40",,"142.16","0.15","5264.58","percent of total billed charges",,
"NF-BUTRANS 20MCG/HR TRANSDERMAL PATCH, E","0637","RC","Both",,,"351","175.5","Aetna","Commercial",,,"64",,"223.94","0.15","5264.58","percent of total billed charges",,
"NF-BUTRANS 20MCG/HR TRANSDERMAL PATCH, E","0637","RC","Both",,,"351","175.5","Blue Cross Blue Shield","Pathways",,,"71",,"247.81","0.15","5264.58","percent of total billed charges",,
"NF-BUTRANS 20MCG/HR TRANSDERMAL PATCH, E","0637","RC","Both",,,"351","175.5","Blue Cross Blue Shield","HMO",,,"71",,"247.81","0.15","5264.58","percent of total billed charges",,
"NF-BUTRANS 20MCG/HR TRANSDERMAL PATCH, E","0637","RC","Both",,,"351","175.5","Blue Cross Blue Shield","PPO",,,"71",,"247.81","0.15","5264.58","percent of total billed charges",,
"NF-BUTRANS 20MCG/HR TRANSDERMAL PATCH, E","0637","RC","Both",,,"351","175.5","Ambetter","Health Exchange",,,"62",,"217.62","0.15","5264.58","percent of total billed charges",,
"NF-BUTRANS 20MCG/HR TRANSDERMAL PATCH, E","0637","RC","Both",,,"351","175.5","Caresource","Health Exchange",,,"62",,"217.62","0.15","5264.58","percent of total billed charges",,
"NF-BUTRANS 20MCG/HR TRANSDERMAL PATCH, E","0637","RC","Both",,,"351","175.5","Cigna","Commercial",,,"59",,"205.69","0.15","5264.58","percent of total billed charges",,
"NF-BUTRANS 20MCG/HR TRANSDERMAL PATCH, E","0637","RC","Both",,,"351","175.5","Humana","Commercial",,,"78",,"272.03","0.15","5264.58","percent of total billed charges",,
"NF-BUTRANS 20MCG/HR TRANSDERMAL PATCH, E","0637","RC","Both",,,"351","175.5","UHC","Commercial",,,"75",,"264.65","0.15","5264.58","percent of total billed charges",,
"NF-BUTRANS 20MCG/HR TRANSDERMAL PATCH, E","0637","RC","Both",,,"351","175.5","Medicaid",,,,"37",,"128.47","0.15","5264.58","percent of total billed charges",,
"NF-ZYTIGA TAB 250MG","0637","RC","Both",,,"192","96","Alliant","Health Exchange",,,"62",,"119.04","0.15","5264.58","percent of total billed charges",,
"NF-ZYTIGA TAB 250MG","0637","RC","Both",,,"192","96","Pruitt Healthcare","Medicare Advantage",,,"54",,"103.68","0.15","5264.58","percent of total billed charges",,
"NF-ZYTIGA TAB 250MG","0637","RC","Both",,,"192","96","Medicare",,,,"54",,"104.06","0.15","5264.58","percent of total billed charges",,
"NF-ZYTIGA TAB 250MG","0637","RC","Both",,,"192","96","Humana","Medicare Advantage",,,"54",,"104.06","0.15","5264.58","percent of total billed charges",,
"NF-ZYTIGA TAB 250MG","0637","RC","Both",,,"192","96","UHC","Medicare Advantage",,,"54",,"104.06","0.15","5264.58","percent of total billed charges",,
"NF-ZYTIGA TAB 250MG","0637","RC","Both",,,"192","96","Clover","Medicare Advantage",,,"54",,"104.06","0.15","5264.58","percent of total billed charges",,
"NF-ZYTIGA TAB 250MG","0637","RC","Both",,,"192","96","Wellcare","Medicare Advantage",,,"54",,"104.06","0.15","5264.58","percent of total billed charges",,
"NF-ZYTIGA TAB 250MG","0637","RC","Both",,,"192","96","Amerigroup","Medicaid Managed Care",,,"37",,"70.27","0.15","5264.58","percent of total billed charges",,
"NF-ZYTIGA TAB 250MG","0637","RC","Both",,,"192","96","Caresource","Medicaid Managed Care",,,"40",,"76.8","0.15","5264.58","percent of total billed charges",,
"NF-ZYTIGA TAB 250MG","0637","RC","Both",,,"192","96","Wellcare","Medicaid Managed Care",,,"40",,"77.76","0.15","5264.58","percent of total billed charges",,
"NF-ZYTIGA TAB 250MG","0637","RC","Both",,,"192","96","Aetna","Commercial",,,"64",,"122.5","0.15","5264.58","percent of total billed charges",,
"NF-ZYTIGA TAB 250MG","0637","RC","Both",,,"192","96","Blue Cross Blue Shield","Pathways",,,"71",,"135.55","0.15","5264.58","percent of total billed charges",,
"NF-ZYTIGA TAB 250MG","0637","RC","Both",,,"192","96","Blue Cross Blue Shield","HMO",,,"71",,"135.55","0.15","5264.58","percent of total billed charges",,
"NF-ZYTIGA TAB 250MG","0637","RC","Both",,,"192","96","Blue Cross Blue Shield","PPO",,,"71",,"135.55","0.15","5264.58","percent of total billed charges",,
"NF-ZYTIGA TAB 250MG","0637","RC","Both",,,"192","96","Ambetter","Health Exchange",,,"62",,"119.04","0.15","5264.58","percent of total billed charges",,
"NF-ZYTIGA TAB 250MG","0637","RC","Both",,,"192","96","Caresource","Health Exchange",,,"62",,"119.04","0.15","5264.58","percent of total billed charges",,
"NF-ZYTIGA TAB 250MG","0637","RC","Both",,,"192","96","Cigna","Commercial",,,"59",,"112.51","0.15","5264.58","percent of total billed charges",,
"NF-ZYTIGA TAB 250MG","0637","RC","Both",,,"192","96","Humana","Commercial",,,"78",,"148.8","0.15","5264.58","percent of total billed charges",,
"NF-ZYTIGA TAB 250MG","0637","RC","Both",,,"192","96","UHC","Commercial",,,"75",,"144.77","0.15","5264.58","percent of total billed charges",,
"NF-ZYTIGA TAB 250MG","0637","RC","Both",,,"192","96","Medicaid",,,,"37",,"70.27","0.15","5264.58","percent of total billed charges",,
"NF-BYETTA SUBCUTANEOUS SOLUTION 250MCG/1","0637","RC","Both",,,"792","396","Alliant","Health Exchange",,,"62",,"491.04","0.15","5264.58","percent of total billed charges",,
"NF-BYETTA SUBCUTANEOUS SOLUTION 250MCG/1","0637","RC","Both",,,"792","396","Pruitt Healthcare","Medicare Advantage",,,"54",,"427.68","0.15","5264.58","percent of total billed charges",,
"NF-BYETTA SUBCUTANEOUS SOLUTION 250MCG/1","0637","RC","Both",,,"792","396","Medicare",,,,"54",,"429.26","0.15","5264.58","percent of total billed charges",,
"NF-BYETTA SUBCUTANEOUS SOLUTION 250MCG/1","0637","RC","Both",,,"792","396","Humana","Medicare Advantage",,,"54",,"429.26","0.15","5264.58","percent of total billed charges",,
"NF-BYETTA SUBCUTANEOUS SOLUTION 250MCG/1","0637","RC","Both",,,"792","396","UHC","Medicare Advantage",,,"54",,"429.26","0.15","5264.58","percent of total billed charges",,
"NF-BYETTA SUBCUTANEOUS SOLUTION 250MCG/1","0637","RC","Both",,,"792","396","Clover","Medicare Advantage",,,"54",,"429.26","0.15","5264.58","percent of total billed charges",,
"NF-BYETTA SUBCUTANEOUS SOLUTION 250MCG/1","0637","RC","Both",,,"792","396","Wellcare","Medicare Advantage",,,"54",,"429.26","0.15","5264.58","percent of total billed charges",,
"NF-BYETTA SUBCUTANEOUS SOLUTION 250MCG/1","0637","RC","Both",,,"792","396","Amerigroup","Medicaid Managed Care",,,"37",,"289.87","0.15","5264.58","percent of total billed charges",,
"NF-BYETTA SUBCUTANEOUS SOLUTION 250MCG/1","0637","RC","Both",,,"792","396","Caresource","Medicaid Managed Care",,,"40",,"316.8","0.15","5264.58","percent of total billed charges",,
"NF-BYETTA SUBCUTANEOUS SOLUTION 250MCG/1","0637","RC","Both",,,"792","396","Wellcare","Medicaid Managed Care",,,"40",,"320.76","0.15","5264.58","percent of total billed charges",,
"NF-BYETTA SUBCUTANEOUS SOLUTION 250MCG/1","0637","RC","Both",,,"792","396","Aetna","Commercial",,,"64",,"505.3","0.15","5264.58","percent of total billed charges",,
"NF-BYETTA SUBCUTANEOUS SOLUTION 250MCG/1","0637","RC","Both",,,"792","396","Blue Cross Blue Shield","Pathways",,,"71",,"559.15","0.15","5264.58","percent of total billed charges",,
"NF-BYETTA SUBCUTANEOUS SOLUTION 250MCG/1","0637","RC","Both",,,"792","396","Blue Cross Blue Shield","HMO",,,"71",,"559.15","0.15","5264.58","percent of total billed charges",,
"NF-BYETTA SUBCUTANEOUS SOLUTION 250MCG/1","0637","RC","Both",,,"792","396","Blue Cross Blue Shield","PPO",,,"71",,"559.15","0.15","5264.58","percent of total billed charges",,
"NF-BYETTA SUBCUTANEOUS SOLUTION 250MCG/1","0637","RC","Both",,,"792","396","Ambetter","Health Exchange",,,"62",,"491.04","0.15","5264.58","percent of total billed charges",,
"NF-BYETTA SUBCUTANEOUS SOLUTION 250MCG/1","0637","RC","Both",,,"792","396","Caresource","Health Exchange",,,"62",,"491.04","0.15","5264.58","percent of total billed charges",,
"NF-BYETTA SUBCUTANEOUS SOLUTION 250MCG/1","0637","RC","Both",,,"792","396","Cigna","Commercial",,,"59",,"464.11","0.15","5264.58","percent of total billed charges",,
"NF-BYETTA SUBCUTANEOUS SOLUTION 250MCG/1","0637","RC","Both",,,"792","396","Humana","Commercial",,,"78",,"613.8","0.15","5264.58","percent of total billed charges",,
"NF-BYETTA SUBCUTANEOUS SOLUTION 250MCG/1","0637","RC","Both",,,"792","396","UHC","Commercial",,,"75",,"597.17","0.15","5264.58","percent of total billed charges",,
"NF-BYETTA SUBCUTANEOUS SOLUTION 250MCG/1","0637","RC","Both",,,"792","396","Medicaid",,,,"37",,"289.87","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN HCT 20MG-12.5MG ORAL TABLET","0637","RC","Both",,,"4.5","2.25","Alliant","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN HCT 20MG-12.5MG ORAL TABLET","0637","RC","Both",,,"4.5","2.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN HCT 20MG-12.5MG ORAL TABLET","0637","RC","Both",,,"4.5","2.25","Medicare",,,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN HCT 20MG-12.5MG ORAL TABLET","0637","RC","Both",,,"4.5","2.25","Humana","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN HCT 20MG-12.5MG ORAL TABLET","0637","RC","Both",,,"4.5","2.25","UHC","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN HCT 20MG-12.5MG ORAL TABLET","0637","RC","Both",,,"4.5","2.25","Clover","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN HCT 20MG-12.5MG ORAL TABLET","0637","RC","Both",,,"4.5","2.25","Wellcare","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN HCT 20MG-12.5MG ORAL TABLET","0637","RC","Both",,,"4.5","2.25","Amerigroup","Medicaid Managed Care",,,"37",,"1.65","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN HCT 20MG-12.5MG ORAL TABLET","0637","RC","Both",,,"4.5","2.25","Caresource","Medicaid Managed Care",,,"40",,"1.8","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN HCT 20MG-12.5MG ORAL TABLET","0637","RC","Both",,,"4.5","2.25","Wellcare","Medicaid Managed Care",,,"40",,"1.82","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN HCT 20MG-12.5MG ORAL TABLET","0637","RC","Both",,,"4.5","2.25","Aetna","Commercial",,,"64",,"2.87","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN HCT 20MG-12.5MG ORAL TABLET","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","Pathways",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN HCT 20MG-12.5MG ORAL TABLET","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","HMO",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN HCT 20MG-12.5MG ORAL TABLET","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","PPO",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN HCT 20MG-12.5MG ORAL TABLET","0637","RC","Both",,,"4.5","2.25","Ambetter","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN HCT 20MG-12.5MG ORAL TABLET","0637","RC","Both",,,"4.5","2.25","Caresource","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN HCT 20MG-12.5MG ORAL TABLET","0637","RC","Both",,,"4.5","2.25","Cigna","Commercial",,,"59",,"2.64","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN HCT 20MG-12.5MG ORAL TABLET","0637","RC","Both",,,"4.5","2.25","Humana","Commercial",,,"78",,"3.49","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN HCT 20MG-12.5MG ORAL TABLET","0637","RC","Both",,,"4.5","2.25","UHC","Commercial",,,"75",,"3.39","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN HCT 20MG-12.5MG ORAL TABLET","0637","RC","Both",,,"4.5","2.25","Medicaid",,,,"37",,"1.65","0.15","5264.58","percent of total billed charges",,
"NF-FEMARA 2.5MG ORAL TABLET","0637","RC","Both",,,"66.5","33.25","Alliant","Health Exchange",,,"62",,"41.23","0.15","5264.58","percent of total billed charges",,
"NF-FEMARA 2.5MG ORAL TABLET","0637","RC","Both",,,"66.5","33.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"35.91","0.15","5264.58","percent of total billed charges",,
"NF-FEMARA 2.5MG ORAL TABLET","0637","RC","Both",,,"66.5","33.25","Medicare",,,,"54",,"36.04","0.15","5264.58","percent of total billed charges",,
"NF-FEMARA 2.5MG ORAL TABLET","0637","RC","Both",,,"66.5","33.25","Humana","Medicare Advantage",,,"54",,"36.04","0.15","5264.58","percent of total billed charges",,
"NF-FEMARA 2.5MG ORAL TABLET","0637","RC","Both",,,"66.5","33.25","UHC","Medicare Advantage",,,"54",,"36.04","0.15","5264.58","percent of total billed charges",,
"NF-FEMARA 2.5MG ORAL TABLET","0637","RC","Both",,,"66.5","33.25","Clover","Medicare Advantage",,,"54",,"36.04","0.15","5264.58","percent of total billed charges",,
"NF-FEMARA 2.5MG ORAL TABLET","0637","RC","Both",,,"66.5","33.25","Wellcare","Medicare Advantage",,,"54",,"36.04","0.15","5264.58","percent of total billed charges",,
"NF-FEMARA 2.5MG ORAL TABLET","0637","RC","Both",,,"66.5","33.25","Amerigroup","Medicaid Managed Care",,,"37",,"24.34","0.15","5264.58","percent of total billed charges",,
"NF-FEMARA 2.5MG ORAL TABLET","0637","RC","Both",,,"66.5","33.25","Caresource","Medicaid Managed Care",,,"40",,"26.6","0.15","5264.58","percent of total billed charges",,
"NF-FEMARA 2.5MG ORAL TABLET","0637","RC","Both",,,"66.5","33.25","Wellcare","Medicaid Managed Care",,,"40",,"26.93","0.15","5264.58","percent of total billed charges",,
"NF-FEMARA 2.5MG ORAL TABLET","0637","RC","Both",,,"66.5","33.25","Aetna","Commercial",,,"64",,"42.43","0.15","5264.58","percent of total billed charges",,
"NF-FEMARA 2.5MG ORAL TABLET","0637","RC","Both",,,"66.5","33.25","Blue Cross Blue Shield","Pathways",,,"71",,"46.95","0.15","5264.58","percent of total billed charges",,
"NF-FEMARA 2.5MG ORAL TABLET","0637","RC","Both",,,"66.5","33.25","Blue Cross Blue Shield","HMO",,,"71",,"46.95","0.15","5264.58","percent of total billed charges",,
"NF-FEMARA 2.5MG ORAL TABLET","0637","RC","Both",,,"66.5","33.25","Blue Cross Blue Shield","PPO",,,"71",,"46.95","0.15","5264.58","percent of total billed charges",,
"NF-FEMARA 2.5MG ORAL TABLET","0637","RC","Both",,,"66.5","33.25","Ambetter","Health Exchange",,,"62",,"41.23","0.15","5264.58","percent of total billed charges",,
"NF-FEMARA 2.5MG ORAL TABLET","0637","RC","Both",,,"66.5","33.25","Caresource","Health Exchange",,,"62",,"41.23","0.15","5264.58","percent of total billed charges",,
"NF-FEMARA 2.5MG ORAL TABLET","0637","RC","Both",,,"66.5","33.25","Cigna","Commercial",,,"59",,"38.97","0.15","5264.58","percent of total billed charges",,
"NF-FEMARA 2.5MG ORAL TABLET","0637","RC","Both",,,"66.5","33.25","Humana","Commercial",,,"78",,"51.54","0.15","5264.58","percent of total billed charges",,
"NF-FEMARA 2.5MG ORAL TABLET","0637","RC","Both",,,"66.5","33.25","UHC","Commercial",,,"75",,"50.14","0.15","5264.58","percent of total billed charges",,
"NF-FEMARA 2.5MG ORAL TABLET","0637","RC","Both",,,"66.5","33.25","Medicaid",,,,"37",,"24.34","0.15","5264.58","percent of total billed charges",,
"NF-TOPAMAX ORAL TABLET 50MG","0637","RC","Both",,,"16","8","Alliant","Health Exchange",,,"62",,"9.92","0.15","5264.58","percent of total billed charges",,
"NF-TOPAMAX ORAL TABLET 50MG","0637","RC","Both",,,"16","8","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.64","0.15","5264.58","percent of total billed charges",,
"NF-TOPAMAX ORAL TABLET 50MG","0637","RC","Both",,,"16","8","Medicare",,,,"54",,"8.67","0.15","5264.58","percent of total billed charges",,
"NF-TOPAMAX ORAL TABLET 50MG","0637","RC","Both",,,"16","8","Humana","Medicare Advantage",,,"54",,"8.67","0.15","5264.58","percent of total billed charges",,
"NF-TOPAMAX ORAL TABLET 50MG","0637","RC","Both",,,"16","8","UHC","Medicare Advantage",,,"54",,"8.67","0.15","5264.58","percent of total billed charges",,
"NF-TOPAMAX ORAL TABLET 50MG","0637","RC","Both",,,"16","8","Clover","Medicare Advantage",,,"54",,"8.67","0.15","5264.58","percent of total billed charges",,
"NF-TOPAMAX ORAL TABLET 50MG","0637","RC","Both",,,"16","8","Wellcare","Medicare Advantage",,,"54",,"8.67","0.15","5264.58","percent of total billed charges",,
"NF-TOPAMAX ORAL TABLET 50MG","0637","RC","Both",,,"16","8","Amerigroup","Medicaid Managed Care",,,"37",,"5.86","0.15","5264.58","percent of total billed charges",,
"NF-TOPAMAX ORAL TABLET 50MG","0637","RC","Both",,,"16","8","Caresource","Medicaid Managed Care",,,"40",,"6.4","0.15","5264.58","percent of total billed charges",,
"NF-TOPAMAX ORAL TABLET 50MG","0637","RC","Both",,,"16","8","Wellcare","Medicaid Managed Care",,,"40",,"6.48","0.15","5264.58","percent of total billed charges",,
"NF-TOPAMAX ORAL TABLET 50MG","0637","RC","Both",,,"16","8","Aetna","Commercial",,,"64",,"10.21","0.15","5264.58","percent of total billed charges",,
"NF-TOPAMAX ORAL TABLET 50MG","0637","RC","Both",,,"16","8","Blue Cross Blue Shield","Pathways",,,"71",,"11.3","0.15","5264.58","percent of total billed charges",,
"NF-TOPAMAX ORAL TABLET 50MG","0637","RC","Both",,,"16","8","Blue Cross Blue Shield","HMO",,,"71",,"11.3","0.15","5264.58","percent of total billed charges",,
"NF-TOPAMAX ORAL TABLET 50MG","0637","RC","Both",,,"16","8","Blue Cross Blue Shield","PPO",,,"71",,"11.3","0.15","5264.58","percent of total billed charges",,
"NF-TOPAMAX ORAL TABLET 50MG","0637","RC","Both",,,"16","8","Ambetter","Health Exchange",,,"62",,"9.92","0.15","5264.58","percent of total billed charges",,
"NF-TOPAMAX ORAL TABLET 50MG","0637","RC","Both",,,"16","8","Caresource","Health Exchange",,,"62",,"9.92","0.15","5264.58","percent of total billed charges",,
"NF-TOPAMAX ORAL TABLET 50MG","0637","RC","Both",,,"16","8","Cigna","Commercial",,,"59",,"9.38","0.15","5264.58","percent of total billed charges",,
"NF-TOPAMAX ORAL TABLET 50MG","0637","RC","Both",,,"16","8","Humana","Commercial",,,"78",,"12.4","0.15","5264.58","percent of total billed charges",,
"NF-TOPAMAX ORAL TABLET 50MG","0637","RC","Both",,,"16","8","UHC","Commercial",,,"75",,"12.06","0.15","5264.58","percent of total billed charges",,
"NF-TOPAMAX ORAL TABLET 50MG","0637","RC","Both",,,"16","8","Medicaid",,,,"37",,"5.86","0.15","5264.58","percent of total billed charges",,
"NF-TOPIRAMATE ORAL TABLET 50MG","0637","RC","Both",,,"12.5","6.25","Alliant","Health Exchange",,,"62",,"7.75","0.15","5264.58","percent of total billed charges",,
"NF-TOPIRAMATE ORAL TABLET 50MG","0637","RC","Both",,,"12.5","6.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.75","0.15","5264.58","percent of total billed charges",,
"NF-TOPIRAMATE ORAL TABLET 50MG","0637","RC","Both",,,"12.5","6.25","Medicare",,,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-TOPIRAMATE ORAL TABLET 50MG","0637","RC","Both",,,"12.5","6.25","Humana","Medicare Advantage",,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-TOPIRAMATE ORAL TABLET 50MG","0637","RC","Both",,,"12.5","6.25","UHC","Medicare Advantage",,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-TOPIRAMATE ORAL TABLET 50MG","0637","RC","Both",,,"12.5","6.25","Clover","Medicare Advantage",,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-TOPIRAMATE ORAL TABLET 50MG","0637","RC","Both",,,"12.5","6.25","Wellcare","Medicare Advantage",,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-TOPIRAMATE ORAL TABLET 50MG","0637","RC","Both",,,"12.5","6.25","Amerigroup","Medicaid Managed Care",,,"37",,"4.58","0.15","5264.58","percent of total billed charges",,
"NF-TOPIRAMATE ORAL TABLET 50MG","0637","RC","Both",,,"12.5","6.25","Caresource","Medicaid Managed Care",,,"40",,"5","0.15","5264.58","percent of total billed charges",,
"NF-TOPIRAMATE ORAL TABLET 50MG","0637","RC","Both",,,"12.5","6.25","Wellcare","Medicaid Managed Care",,,"40",,"5.06","0.15","5264.58","percent of total billed charges",,
"NF-TOPIRAMATE ORAL TABLET 50MG","0637","RC","Both",,,"12.5","6.25","Aetna","Commercial",,,"64",,"7.98","0.15","5264.58","percent of total billed charges",,
"NF-TOPIRAMATE ORAL TABLET 50MG","0637","RC","Both",,,"12.5","6.25","Blue Cross Blue Shield","Pathways",,,"71",,"8.82","0.15","5264.58","percent of total billed charges",,
"NF-TOPIRAMATE ORAL TABLET 50MG","0637","RC","Both",,,"12.5","6.25","Blue Cross Blue Shield","HMO",,,"71",,"8.82","0.15","5264.58","percent of total billed charges",,
"NF-TOPIRAMATE ORAL TABLET 50MG","0637","RC","Both",,,"12.5","6.25","Blue Cross Blue Shield","PPO",,,"71",,"8.82","0.15","5264.58","percent of total billed charges",,
"NF-TOPIRAMATE ORAL TABLET 50MG","0637","RC","Both",,,"12.5","6.25","Ambetter","Health Exchange",,,"62",,"7.75","0.15","5264.58","percent of total billed charges",,
"NF-TOPIRAMATE ORAL TABLET 50MG","0637","RC","Both",,,"12.5","6.25","Caresource","Health Exchange",,,"62",,"7.75","0.15","5264.58","percent of total billed charges",,
"NF-TOPIRAMATE ORAL TABLET 50MG","0637","RC","Both",,,"12.5","6.25","Cigna","Commercial",,,"59",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-TOPIRAMATE ORAL TABLET 50MG","0637","RC","Both",,,"12.5","6.25","Humana","Commercial",,,"78",,"9.69","0.15","5264.58","percent of total billed charges",,
"NF-TOPIRAMATE ORAL TABLET 50MG","0637","RC","Both",,,"12.5","6.25","UHC","Commercial",,,"75",,"9.43","0.15","5264.58","percent of total billed charges",,
"NF-TOPIRAMATE ORAL TABLET 50MG","0637","RC","Both",,,"12.5","6.25","Medicaid",,,,"37",,"4.58","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"21.5","10.75","Alliant","Health Exchange",,,"62",,"13.33","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"21.5","10.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.61","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"21.5","10.75","Medicare",,,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"21.5","10.75","Humana","Medicare Advantage",,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"21.5","10.75","UHC","Medicare Advantage",,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"21.5","10.75","Clover","Medicare Advantage",,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"21.5","10.75","Wellcare","Medicare Advantage",,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"21.5","10.75","Amerigroup","Medicaid Managed Care",,,"37",,"7.87","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"21.5","10.75","Caresource","Medicaid Managed Care",,,"40",,"8.6","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"21.5","10.75","Wellcare","Medicaid Managed Care",,,"40",,"8.71","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"21.5","10.75","Aetna","Commercial",,,"64",,"13.72","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"21.5","10.75","Blue Cross Blue Shield","Pathways",,,"71",,"15.18","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"21.5","10.75","Blue Cross Blue Shield","HMO",,,"71",,"15.18","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"21.5","10.75","Blue Cross Blue Shield","PPO",,,"71",,"15.18","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"21.5","10.75","Ambetter","Health Exchange",,,"62",,"13.33","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"21.5","10.75","Caresource","Health Exchange",,,"62",,"13.33","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"21.5","10.75","Cigna","Commercial",,,"59",,"12.6","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"21.5","10.75","Humana","Commercial",,,"78",,"16.66","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"21.5","10.75","UHC","Commercial",,,"75",,"16.21","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"21.5","10.75","Medicaid",,,,"37",,"7.87","0.15","5264.58","percent of total billed charges",,
"MIRTAZEPINE (REMERON) TABLET: 15 MG","0250","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","569.62","percent of total billed charges",,
"MIRTAZEPINE (REMERON) TABLET: 15 MG","0250","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","569.62","percent of total billed charges",,
"MIRTAZEPINE (REMERON) TABLET: 15 MG","0250","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","569.62","percent of total billed charges",,
"MIRTAZEPINE (REMERON) TABLET: 15 MG","0250","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","569.62","percent of total billed charges",,
"MIRTAZEPINE (REMERON) TABLET: 15 MG","0250","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","569.62","percent of total billed charges",,
"MIRTAZEPINE (REMERON) TABLET: 15 MG","0250","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","569.62","percent of total billed charges",,
"MIRTAZEPINE (REMERON) TABLET: 15 MG","0250","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","569.62","percent of total billed charges",,
"MIRTAZEPINE (REMERON) TABLET: 15 MG","0250","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","569.62","percent of total billed charges",,
"MIRTAZEPINE (REMERON) TABLET: 15 MG","0250","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","569.62","percent of total billed charges",,
"MIRTAZEPINE (REMERON) TABLET: 15 MG","0250","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","569.62","percent of total billed charges",,
"MIRTAZEPINE (REMERON) TABLET: 15 MG","0250","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","569.62","percent of total billed charges",,
"MIRTAZEPINE (REMERON) TABLET: 15 MG","0250","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","569.62","percent of total billed charges",,
"MIRTAZEPINE (REMERON) TABLET: 15 MG","0250","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","569.62","percent of total billed charges",,
"MIRTAZEPINE (REMERON) TABLET: 15 MG","0250","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","569.62","percent of total billed charges",,
"MIRTAZEPINE (REMERON) TABLET: 15 MG","0250","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","569.62","percent of total billed charges",,
"MIRTAZEPINE (REMERON) TABLET: 15 MG","0250","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","569.62","percent of total billed charges",,
"MIRTAZEPINE (REMERON) TABLET: 15 MG","0250","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","569.62","percent of total billed charges",,
"MIRTAZEPINE (REMERON) TABLET: 15 MG","0250","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","569.62","percent of total billed charges",,
"MIRTAZEPINE (REMERON) TABLET: 15 MG","0250","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","569.62","percent of total billed charges",,
"MIRTAZEPINE (REMERON) TABLET: 15 MG","0250","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","569.62","percent of total billed charges",,
"NF-ANASTROZOLE ORAL TABLET 1MG","0637","RC","Both",,,"40.5","20.25","Alliant","Health Exchange",,,"62",,"25.11","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE ORAL TABLET 1MG","0637","RC","Both",,,"40.5","20.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"21.87","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE ORAL TABLET 1MG","0637","RC","Both",,,"40.5","20.25","Medicare",,,,"54",,"21.95","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE ORAL TABLET 1MG","0637","RC","Both",,,"40.5","20.25","Humana","Medicare Advantage",,,"54",,"21.95","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE ORAL TABLET 1MG","0637","RC","Both",,,"40.5","20.25","UHC","Medicare Advantage",,,"54",,"21.95","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE ORAL TABLET 1MG","0637","RC","Both",,,"40.5","20.25","Clover","Medicare Advantage",,,"54",,"21.95","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE ORAL TABLET 1MG","0637","RC","Both",,,"40.5","20.25","Wellcare","Medicare Advantage",,,"54",,"21.95","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE ORAL TABLET 1MG","0637","RC","Both",,,"40.5","20.25","Amerigroup","Medicaid Managed Care",,,"37",,"14.82","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE ORAL TABLET 1MG","0637","RC","Both",,,"40.5","20.25","Caresource","Medicaid Managed Care",,,"40",,"16.2","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE ORAL TABLET 1MG","0637","RC","Both",,,"40.5","20.25","Wellcare","Medicaid Managed Care",,,"40",,"16.4","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE ORAL TABLET 1MG","0637","RC","Both",,,"40.5","20.25","Aetna","Commercial",,,"64",,"25.84","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE ORAL TABLET 1MG","0637","RC","Both",,,"40.5","20.25","Blue Cross Blue Shield","Pathways",,,"71",,"28.59","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE ORAL TABLET 1MG","0637","RC","Both",,,"40.5","20.25","Blue Cross Blue Shield","HMO",,,"71",,"28.59","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE ORAL TABLET 1MG","0637","RC","Both",,,"40.5","20.25","Blue Cross Blue Shield","PPO",,,"71",,"28.59","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE ORAL TABLET 1MG","0637","RC","Both",,,"40.5","20.25","Ambetter","Health Exchange",,,"62",,"25.11","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE ORAL TABLET 1MG","0637","RC","Both",,,"40.5","20.25","Caresource","Health Exchange",,,"62",,"25.11","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE ORAL TABLET 1MG","0637","RC","Both",,,"40.5","20.25","Cigna","Commercial",,,"59",,"23.73","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE ORAL TABLET 1MG","0637","RC","Both",,,"40.5","20.25","Humana","Commercial",,,"78",,"31.39","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE ORAL TABLET 1MG","0637","RC","Both",,,"40.5","20.25","UHC","Commercial",,,"75",,"30.54","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE ORAL TABLET 1MG","0637","RC","Both",,,"40.5","20.25","Medicaid",,,,"37",,"14.82","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 145MG","0637","RC","Both",,,"17","8.5","Alliant","Health Exchange",,,"62",,"10.54","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 145MG","0637","RC","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 145MG","0637","RC","Both",,,"17","8.5","Medicare",,,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 145MG","0637","RC","Both",,,"17","8.5","Humana","Medicare Advantage",,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 145MG","0637","RC","Both",,,"17","8.5","UHC","Medicare Advantage",,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 145MG","0637","RC","Both",,,"17","8.5","Clover","Medicare Advantage",,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 145MG","0637","RC","Both",,,"17","8.5","Wellcare","Medicare Advantage",,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 145MG","0637","RC","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.22","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 145MG","0637","RC","Both",,,"17","8.5","Caresource","Medicaid Managed Care",,,"40",,"6.8","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 145MG","0637","RC","Both",,,"17","8.5","Wellcare","Medicaid Managed Care",,,"40",,"6.89","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 145MG","0637","RC","Both",,,"17","8.5","Aetna","Commercial",,,"64",,"10.85","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 145MG","0637","RC","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways",,,"71",,"12","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 145MG","0637","RC","Both",,,"17","8.5","Blue Cross Blue Shield","HMO",,,"71",,"12","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 145MG","0637","RC","Both",,,"17","8.5","Blue Cross Blue Shield","PPO",,,"71",,"12","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 145MG","0637","RC","Both",,,"17","8.5","Ambetter","Health Exchange",,,"62",,"10.54","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 145MG","0637","RC","Both",,,"17","8.5","Caresource","Health Exchange",,,"62",,"10.54","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 145MG","0637","RC","Both",,,"17","8.5","Cigna","Commercial",,,"59",,"9.96","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 145MG","0637","RC","Both",,,"17","8.5","Humana","Commercial",,,"78",,"13.18","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 145MG","0637","RC","Both",,,"17","8.5","UHC","Commercial",,,"75",,"12.82","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE ORAL TABLET 145MG","0637","RC","Both",,,"17","8.5","Medicaid",,,,"37",,"6.22","0.15","5264.58","percent of total billed charges",,
"NF-MEPERIDINE HCL TAB 50MG","0637","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-MEPERIDINE HCL TAB 50MG","0637","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-MEPERIDINE HCL TAB 50MG","0637","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-MEPERIDINE HCL TAB 50MG","0637","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-MEPERIDINE HCL TAB 50MG","0637","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-MEPERIDINE HCL TAB 50MG","0637","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-MEPERIDINE HCL TAB 50MG","0637","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-MEPERIDINE HCL TAB 50MG","0637","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-MEPERIDINE HCL TAB 50MG","0637","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.15","5264.58","percent of total billed charges",,
"NF-MEPERIDINE HCL TAB 50MG","0637","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-MEPERIDINE HCL TAB 50MG","0637","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-MEPERIDINE HCL TAB 50MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-MEPERIDINE HCL TAB 50MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-MEPERIDINE HCL TAB 50MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-MEPERIDINE HCL TAB 50MG","0637","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-MEPERIDINE HCL TAB 50MG","0637","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-MEPERIDINE HCL TAB 50MG","0637","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.15","5264.58","percent of total billed charges",,
"NF-MEPERIDINE HCL TAB 50MG","0637","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-MEPERIDINE HCL TAB 50MG","0637","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.15","5264.58","percent of total billed charges",,
"NF-MEPERIDINE HCL TAB 50MG","0637","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC ORAL TABLET 5MG","0637","RC","Both",,,"8.5","4.25","Alliant","Health Exchange",,,"62",,"5.27","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC ORAL TABLET 5MG","0637","RC","Both",,,"8.5","4.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.59","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC ORAL TABLET 5MG","0637","RC","Both",,,"8.5","4.25","Medicare",,,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC ORAL TABLET 5MG","0637","RC","Both",,,"8.5","4.25","Humana","Medicare Advantage",,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC ORAL TABLET 5MG","0637","RC","Both",,,"8.5","4.25","UHC","Medicare Advantage",,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC ORAL TABLET 5MG","0637","RC","Both",,,"8.5","4.25","Clover","Medicare Advantage",,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC ORAL TABLET 5MG","0637","RC","Both",,,"8.5","4.25","Wellcare","Medicare Advantage",,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC ORAL TABLET 5MG","0637","RC","Both",,,"8.5","4.25","Amerigroup","Medicaid Managed Care",,,"37",,"3.11","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC ORAL TABLET 5MG","0637","RC","Both",,,"8.5","4.25","Caresource","Medicaid Managed Care",,,"40",,"3.4","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC ORAL TABLET 5MG","0637","RC","Both",,,"8.5","4.25","Wellcare","Medicaid Managed Care",,,"40",,"3.44","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC ORAL TABLET 5MG","0637","RC","Both",,,"8.5","4.25","Aetna","Commercial",,,"64",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC ORAL TABLET 5MG","0637","RC","Both",,,"8.5","4.25","Blue Cross Blue Shield","Pathways",,,"71",,"6","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC ORAL TABLET 5MG","0637","RC","Both",,,"8.5","4.25","Blue Cross Blue Shield","HMO",,,"71",,"6","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC ORAL TABLET 5MG","0637","RC","Both",,,"8.5","4.25","Blue Cross Blue Shield","PPO",,,"71",,"6","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC ORAL TABLET 5MG","0637","RC","Both",,,"8.5","4.25","Ambetter","Health Exchange",,,"62",,"5.27","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC ORAL TABLET 5MG","0637","RC","Both",,,"8.5","4.25","Caresource","Health Exchange",,,"62",,"5.27","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC ORAL TABLET 5MG","0637","RC","Both",,,"8.5","4.25","Cigna","Commercial",,,"59",,"4.98","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC ORAL TABLET 5MG","0637","RC","Both",,,"8.5","4.25","Humana","Commercial",,,"78",,"6.59","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC ORAL TABLET 5MG","0637","RC","Both",,,"8.5","4.25","UHC","Commercial",,,"75",,"6.41","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC ORAL TABLET 5MG","0637","RC","Both",,,"8.5","4.25","Medicaid",,,,"37",,"3.11","0.15","5264.58","percent of total billed charges",,
"NF-SULFAMYLON 50GM/PACKET","0637","RC","Both",,,"536","268","Alliant","Health Exchange",,,"62",,"332.32","0.15","5264.58","percent of total billed charges",,
"NF-SULFAMYLON 50GM/PACKET","0637","RC","Both",,,"536","268","Pruitt Healthcare","Medicare Advantage",,,"54",,"289.44","0.15","5264.58","percent of total billed charges",,
"NF-SULFAMYLON 50GM/PACKET","0637","RC","Both",,,"536","268","Medicare",,,,"54",,"290.51","0.15","5264.58","percent of total billed charges",,
"NF-SULFAMYLON 50GM/PACKET","0637","RC","Both",,,"536","268","Humana","Medicare Advantage",,,"54",,"290.51","0.15","5264.58","percent of total billed charges",,
"NF-SULFAMYLON 50GM/PACKET","0637","RC","Both",,,"536","268","UHC","Medicare Advantage",,,"54",,"290.51","0.15","5264.58","percent of total billed charges",,
"NF-SULFAMYLON 50GM/PACKET","0637","RC","Both",,,"536","268","Clover","Medicare Advantage",,,"54",,"290.51","0.15","5264.58","percent of total billed charges",,
"NF-SULFAMYLON 50GM/PACKET","0637","RC","Both",,,"536","268","Wellcare","Medicare Advantage",,,"54",,"290.51","0.15","5264.58","percent of total billed charges",,
"NF-SULFAMYLON 50GM/PACKET","0637","RC","Both",,,"536","268","Amerigroup","Medicaid Managed Care",,,"37",,"196.18","0.15","5264.58","percent of total billed charges",,
"NF-SULFAMYLON 50GM/PACKET","0637","RC","Both",,,"536","268","Caresource","Medicaid Managed Care",,,"40",,"214.4","0.15","5264.58","percent of total billed charges",,
"NF-SULFAMYLON 50GM/PACKET","0637","RC","Both",,,"536","268","Wellcare","Medicaid Managed Care",,,"40",,"217.08","0.15","5264.58","percent of total billed charges",,
"NF-SULFAMYLON 50GM/PACKET","0637","RC","Both",,,"536","268","Aetna","Commercial",,,"64",,"341.97","0.15","5264.58","percent of total billed charges",,
"NF-SULFAMYLON 50GM/PACKET","0637","RC","Both",,,"536","268","Blue Cross Blue Shield","Pathways",,,"71",,"378.42","0.15","5264.58","percent of total billed charges",,
"NF-SULFAMYLON 50GM/PACKET","0637","RC","Both",,,"536","268","Blue Cross Blue Shield","HMO",,,"71",,"378.42","0.15","5264.58","percent of total billed charges",,
"NF-SULFAMYLON 50GM/PACKET","0637","RC","Both",,,"536","268","Blue Cross Blue Shield","PPO",,,"71",,"378.42","0.15","5264.58","percent of total billed charges",,
"NF-SULFAMYLON 50GM/PACKET","0637","RC","Both",,,"536","268","Ambetter","Health Exchange",,,"62",,"332.32","0.15","5264.58","percent of total billed charges",,
"NF-SULFAMYLON 50GM/PACKET","0637","RC","Both",,,"536","268","Caresource","Health Exchange",,,"62",,"332.32","0.15","5264.58","percent of total billed charges",,
"NF-SULFAMYLON 50GM/PACKET","0637","RC","Both",,,"536","268","Cigna","Commercial",,,"59",,"314.1","0.15","5264.58","percent of total billed charges",,
"NF-SULFAMYLON 50GM/PACKET","0637","RC","Both",,,"536","268","Humana","Commercial",,,"78",,"415.4","0.15","5264.58","percent of total billed charges",,
"NF-SULFAMYLON 50GM/PACKET","0637","RC","Both",,,"536","268","UHC","Commercial",,,"75",,"404.14","0.15","5264.58","percent of total billed charges",,
"NF-SULFAMYLON 50GM/PACKET","0637","RC","Both",,,"536","268","Medicaid",,,,"37",,"196.18","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE 2.5MG ORAL TABLET","0250","RC","Both",,,"12.15","6.075","Alliant","Health Exchange",,,"62",,"7.53","0.04","569.62","percent of total billed charges",,
"NF-METHOTREXATE 2.5MG ORAL TABLET","0250","RC","Both",,,"12.15","6.075","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.56","0.04","569.62","percent of total billed charges",,
"NF-METHOTREXATE 2.5MG ORAL TABLET","0250","RC","Both",,,"12.15","6.075","Medicare",,,,"54",,"6.59","0.04","569.62","percent of total billed charges",,
"NF-METHOTREXATE 2.5MG ORAL TABLET","0250","RC","Both",,,"12.15","6.075","Humana","Medicare Advantage",,,"54",,"6.59","0.04","569.62","percent of total billed charges",,
"NF-METHOTREXATE 2.5MG ORAL TABLET","0250","RC","Both",,,"12.15","6.075","UHC","Medicare Advantage",,,"54",,"6.59","0.04","569.62","percent of total billed charges",,
"NF-METHOTREXATE 2.5MG ORAL TABLET","0250","RC","Both",,,"12.15","6.075","Clover","Medicare Advantage",,,"54",,"6.59","0.04","569.62","percent of total billed charges",,
"NF-METHOTREXATE 2.5MG ORAL TABLET","0250","RC","Both",,,"12.15","6.075","Wellcare","Medicare Advantage",,,"54",,"6.59","0.04","569.62","percent of total billed charges",,
"NF-METHOTREXATE 2.5MG ORAL TABLET","0250","RC","Both",,,"12.15","6.075","Amerigroup","Medicaid Managed Care",,,"37",,"4.45","0.04","569.62","percent of total billed charges",,
"NF-METHOTREXATE 2.5MG ORAL TABLET","0250","RC","Both",,,"12.15","6.075","Caresource","Medicaid Managed Care",,,"40",,"4.86","0.04","569.62","percent of total billed charges",,
"NF-METHOTREXATE 2.5MG ORAL TABLET","0250","RC","Both",,,"12.15","6.075","Wellcare","Medicaid Managed Care",,,"40",,"4.92","0.04","569.62","percent of total billed charges",,
"NF-METHOTREXATE 2.5MG ORAL TABLET","0250","RC","Both",,,"12.15","6.075","Aetna","Commercial",,,"64",,"7.75","0.04","569.62","percent of total billed charges",,
"NF-METHOTREXATE 2.5MG ORAL TABLET","0250","RC","Both",,,"12.15","6.075","Blue Cross Blue Shield","Pathways",,,"71",,"8.58","0.04","569.62","percent of total billed charges",,
"NF-METHOTREXATE 2.5MG ORAL TABLET","0250","RC","Both",,,"12.15","6.075","Blue Cross Blue Shield","HMO",,,"71",,"8.58","0.04","569.62","percent of total billed charges",,
"NF-METHOTREXATE 2.5MG ORAL TABLET","0250","RC","Both",,,"12.15","6.075","Blue Cross Blue Shield","PPO",,,"71",,"8.58","0.04","569.62","percent of total billed charges",,
"NF-METHOTREXATE 2.5MG ORAL TABLET","0250","RC","Both",,,"12.15","6.075","Ambetter","Health Exchange",,,"62",,"7.53","0.04","569.62","percent of total billed charges",,
"NF-METHOTREXATE 2.5MG ORAL TABLET","0250","RC","Both",,,"12.15","6.075","Caresource","Health Exchange",,,"62",,"7.53","0.04","569.62","percent of total billed charges",,
"NF-METHOTREXATE 2.5MG ORAL TABLET","0250","RC","Both",,,"12.15","6.075","Cigna","Commercial",,,"59",,"7.12","0.04","569.62","percent of total billed charges",,
"NF-METHOTREXATE 2.5MG ORAL TABLET","0250","RC","Both",,,"12.15","6.075","Humana","Commercial",,,"78",,"9.42","0.04","569.62","percent of total billed charges",,
"NF-METHOTREXATE 2.5MG ORAL TABLET","0250","RC","Both",,,"12.15","6.075","UHC","Commercial",,,"75",,"9.16","0.04","569.62","percent of total billed charges",,
"NF-METHOTREXATE 2.5MG ORAL TABLET","0250","RC","Both",,,"12.15","6.075","Medicaid",,,,"37",,"4.45","0.04","569.62","percent of total billed charges",,
"NF-EVISTA 60MG ORAL TABLET","0637","RC","Both",,,"21.5","10.75","Alliant","Health Exchange",,,"62",,"13.33","0.15","5264.58","percent of total billed charges",,
"NF-EVISTA 60MG ORAL TABLET","0637","RC","Both",,,"21.5","10.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.61","0.15","5264.58","percent of total billed charges",,
"NF-EVISTA 60MG ORAL TABLET","0637","RC","Both",,,"21.5","10.75","Medicare",,,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-EVISTA 60MG ORAL TABLET","0637","RC","Both",,,"21.5","10.75","Humana","Medicare Advantage",,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-EVISTA 60MG ORAL TABLET","0637","RC","Both",,,"21.5","10.75","UHC","Medicare Advantage",,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-EVISTA 60MG ORAL TABLET","0637","RC","Both",,,"21.5","10.75","Clover","Medicare Advantage",,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-EVISTA 60MG ORAL TABLET","0637","RC","Both",,,"21.5","10.75","Wellcare","Medicare Advantage",,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-EVISTA 60MG ORAL TABLET","0637","RC","Both",,,"21.5","10.75","Amerigroup","Medicaid Managed Care",,,"37",,"7.87","0.15","5264.58","percent of total billed charges",,
"NF-EVISTA 60MG ORAL TABLET","0637","RC","Both",,,"21.5","10.75","Caresource","Medicaid Managed Care",,,"40",,"8.6","0.15","5264.58","percent of total billed charges",,
"NF-EVISTA 60MG ORAL TABLET","0637","RC","Both",,,"21.5","10.75","Wellcare","Medicaid Managed Care",,,"40",,"8.71","0.15","5264.58","percent of total billed charges",,
"NF-EVISTA 60MG ORAL TABLET","0637","RC","Both",,,"21.5","10.75","Aetna","Commercial",,,"64",,"13.72","0.15","5264.58","percent of total billed charges",,
"NF-EVISTA 60MG ORAL TABLET","0637","RC","Both",,,"21.5","10.75","Blue Cross Blue Shield","Pathways",,,"71",,"15.18","0.15","5264.58","percent of total billed charges",,
"NF-EVISTA 60MG ORAL TABLET","0637","RC","Both",,,"21.5","10.75","Blue Cross Blue Shield","HMO",,,"71",,"15.18","0.15","5264.58","percent of total billed charges",,
"NF-EVISTA 60MG ORAL TABLET","0637","RC","Both",,,"21.5","10.75","Blue Cross Blue Shield","PPO",,,"71",,"15.18","0.15","5264.58","percent of total billed charges",,
"NF-EVISTA 60MG ORAL TABLET","0637","RC","Both",,,"21.5","10.75","Ambetter","Health Exchange",,,"62",,"13.33","0.15","5264.58","percent of total billed charges",,
"NF-EVISTA 60MG ORAL TABLET","0637","RC","Both",,,"21.5","10.75","Caresource","Health Exchange",,,"62",,"13.33","0.15","5264.58","percent of total billed charges",,
"NF-EVISTA 60MG ORAL TABLET","0637","RC","Both",,,"21.5","10.75","Cigna","Commercial",,,"59",,"12.6","0.15","5264.58","percent of total billed charges",,
"NF-EVISTA 60MG ORAL TABLET","0637","RC","Both",,,"21.5","10.75","Humana","Commercial",,,"78",,"16.66","0.15","5264.58","percent of total billed charges",,
"NF-EVISTA 60MG ORAL TABLET","0637","RC","Both",,,"21.5","10.75","UHC","Commercial",,,"75",,"16.21","0.15","5264.58","percent of total billed charges",,
"NF-EVISTA 60MG ORAL TABLET","0637","RC","Both",,,"21.5","10.75","Medicaid",,,,"37",,"7.87","0.15","5264.58","percent of total billed charges",,
"NF-OCELLA TAB 3MG-0.03MG-NO STRENGTH","0637","RC","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","0.15","5264.58","percent of total billed charges",,
"NF-OCELLA TAB 3MG-0.03MG-NO STRENGTH","0637","RC","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","0.15","5264.58","percent of total billed charges",,
"NF-OCELLA TAB 3MG-0.03MG-NO STRENGTH","0637","RC","Both",,,"8","4","Medicare",,,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-OCELLA TAB 3MG-0.03MG-NO STRENGTH","0637","RC","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-OCELLA TAB 3MG-0.03MG-NO STRENGTH","0637","RC","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-OCELLA TAB 3MG-0.03MG-NO STRENGTH","0637","RC","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-OCELLA TAB 3MG-0.03MG-NO STRENGTH","0637","RC","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-OCELLA TAB 3MG-0.03MG-NO STRENGTH","0637","RC","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","0.15","5264.58","percent of total billed charges",,
"NF-OCELLA TAB 3MG-0.03MG-NO STRENGTH","0637","RC","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","0.15","5264.58","percent of total billed charges",,
"NF-OCELLA TAB 3MG-0.03MG-NO STRENGTH","0637","RC","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","0.15","5264.58","percent of total billed charges",,
"NF-OCELLA TAB 3MG-0.03MG-NO STRENGTH","0637","RC","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","0.15","5264.58","percent of total billed charges",,
"NF-OCELLA TAB 3MG-0.03MG-NO STRENGTH","0637","RC","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","0.15","5264.58","percent of total billed charges",,
"NF-OCELLA TAB 3MG-0.03MG-NO STRENGTH","0637","RC","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","0.15","5264.58","percent of total billed charges",,
"NF-OCELLA TAB 3MG-0.03MG-NO STRENGTH","0637","RC","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","0.15","5264.58","percent of total billed charges",,
"NF-OCELLA TAB 3MG-0.03MG-NO STRENGTH","0637","RC","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","0.15","5264.58","percent of total billed charges",,
"NF-OCELLA TAB 3MG-0.03MG-NO STRENGTH","0637","RC","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","0.15","5264.58","percent of total billed charges",,
"NF-OCELLA TAB 3MG-0.03MG-NO STRENGTH","0637","RC","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","0.15","5264.58","percent of total billed charges",,
"NF-OCELLA TAB 3MG-0.03MG-NO STRENGTH","0637","RC","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-OCELLA TAB 3MG-0.03MG-NO STRENGTH","0637","RC","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","0.15","5264.58","percent of total billed charges",,
"NF-OCELLA TAB 3MG-0.03MG-NO STRENGTH","0637","RC","Both",,,"8","4","Medicaid",,,,"37",,"2.93","0.15","5264.58","percent of total billed charges",,
"NF-ACETAZOLAMIDE ORAL TABLET 250MG","0637","RC","Both",,,"13.5","6.75","Alliant","Health Exchange",,,"62",,"8.37","0.15","5264.58","percent of total billed charges",,
"NF-ACETAZOLAMIDE ORAL TABLET 250MG","0637","RC","Both",,,"13.5","6.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.29","0.15","5264.58","percent of total billed charges",,
"NF-ACETAZOLAMIDE ORAL TABLET 250MG","0637","RC","Both",,,"13.5","6.75","Medicare",,,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-ACETAZOLAMIDE ORAL TABLET 250MG","0637","RC","Both",,,"13.5","6.75","Humana","Medicare Advantage",,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-ACETAZOLAMIDE ORAL TABLET 250MG","0637","RC","Both",,,"13.5","6.75","UHC","Medicare Advantage",,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-ACETAZOLAMIDE ORAL TABLET 250MG","0637","RC","Both",,,"13.5","6.75","Clover","Medicare Advantage",,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-ACETAZOLAMIDE ORAL TABLET 250MG","0637","RC","Both",,,"13.5","6.75","Wellcare","Medicare Advantage",,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-ACETAZOLAMIDE ORAL TABLET 250MG","0637","RC","Both",,,"13.5","6.75","Amerigroup","Medicaid Managed Care",,,"37",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-ACETAZOLAMIDE ORAL TABLET 250MG","0637","RC","Both",,,"13.5","6.75","Caresource","Medicaid Managed Care",,,"40",,"5.4","0.15","5264.58","percent of total billed charges",,
"NF-ACETAZOLAMIDE ORAL TABLET 250MG","0637","RC","Both",,,"13.5","6.75","Wellcare","Medicaid Managed Care",,,"40",,"5.47","0.15","5264.58","percent of total billed charges",,
"NF-ACETAZOLAMIDE ORAL TABLET 250MG","0637","RC","Both",,,"13.5","6.75","Aetna","Commercial",,,"64",,"8.61","0.15","5264.58","percent of total billed charges",,
"NF-ACETAZOLAMIDE ORAL TABLET 250MG","0637","RC","Both",,,"13.5","6.75","Blue Cross Blue Shield","Pathways",,,"71",,"9.53","0.15","5264.58","percent of total billed charges",,
"NF-ACETAZOLAMIDE ORAL TABLET 250MG","0637","RC","Both",,,"13.5","6.75","Blue Cross Blue Shield","HMO",,,"71",,"9.53","0.15","5264.58","percent of total billed charges",,
"NF-ACETAZOLAMIDE ORAL TABLET 250MG","0637","RC","Both",,,"13.5","6.75","Blue Cross Blue Shield","PPO",,,"71",,"9.53","0.15","5264.58","percent of total billed charges",,
"NF-ACETAZOLAMIDE ORAL TABLET 250MG","0637","RC","Both",,,"13.5","6.75","Ambetter","Health Exchange",,,"62",,"8.37","0.15","5264.58","percent of total billed charges",,
"NF-ACETAZOLAMIDE ORAL TABLET 250MG","0637","RC","Both",,,"13.5","6.75","Caresource","Health Exchange",,,"62",,"8.37","0.15","5264.58","percent of total billed charges",,
"NF-ACETAZOLAMIDE ORAL TABLET 250MG","0637","RC","Both",,,"13.5","6.75","Cigna","Commercial",,,"59",,"7.91","0.15","5264.58","percent of total billed charges",,
"NF-ACETAZOLAMIDE ORAL TABLET 250MG","0637","RC","Both",,,"13.5","6.75","Humana","Commercial",,,"78",,"10.46","0.15","5264.58","percent of total billed charges",,
"NF-ACETAZOLAMIDE ORAL TABLET 250MG","0637","RC","Both",,,"13.5","6.75","UHC","Commercial",,,"75",,"10.18","0.15","5264.58","percent of total billed charges",,
"NF-ACETAZOLAMIDE ORAL TABLET 250MG","0637","RC","Both",,,"13.5","6.75","Medicaid",,,,"37",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-VIIBRYD TAB 40MG","0637","RC","Both",,,"16.5","8.25","Alliant","Health Exchange",,,"62",,"10.23","0.15","5264.58","percent of total billed charges",,
"NF-VIIBRYD TAB 40MG","0637","RC","Both",,,"16.5","8.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.91","0.15","5264.58","percent of total billed charges",,
"NF-VIIBRYD TAB 40MG","0637","RC","Both",,,"16.5","8.25","Medicare",,,,"54",,"8.94","0.15","5264.58","percent of total billed charges",,
"NF-VIIBRYD TAB 40MG","0637","RC","Both",,,"16.5","8.25","Humana","Medicare Advantage",,,"54",,"8.94","0.15","5264.58","percent of total billed charges",,
"NF-VIIBRYD TAB 40MG","0637","RC","Both",,,"16.5","8.25","UHC","Medicare Advantage",,,"54",,"8.94","0.15","5264.58","percent of total billed charges",,
"NF-VIIBRYD TAB 40MG","0637","RC","Both",,,"16.5","8.25","Clover","Medicare Advantage",,,"54",,"8.94","0.15","5264.58","percent of total billed charges",,
"NF-VIIBRYD TAB 40MG","0637","RC","Both",,,"16.5","8.25","Wellcare","Medicare Advantage",,,"54",,"8.94","0.15","5264.58","percent of total billed charges",,
"NF-VIIBRYD TAB 40MG","0637","RC","Both",,,"16.5","8.25","Amerigroup","Medicaid Managed Care",,,"37",,"6.04","0.15","5264.58","percent of total billed charges",,
"NF-VIIBRYD TAB 40MG","0637","RC","Both",,,"16.5","8.25","Caresource","Medicaid Managed Care",,,"40",,"6.6","0.15","5264.58","percent of total billed charges",,
"NF-VIIBRYD TAB 40MG","0637","RC","Both",,,"16.5","8.25","Wellcare","Medicaid Managed Care",,,"40",,"6.68","0.15","5264.58","percent of total billed charges",,
"NF-VIIBRYD TAB 40MG","0637","RC","Both",,,"16.5","8.25","Aetna","Commercial",,,"64",,"10.53","0.15","5264.58","percent of total billed charges",,
"NF-VIIBRYD TAB 40MG","0637","RC","Both",,,"16.5","8.25","Blue Cross Blue Shield","Pathways",,,"71",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-VIIBRYD TAB 40MG","0637","RC","Both",,,"16.5","8.25","Blue Cross Blue Shield","HMO",,,"71",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-VIIBRYD TAB 40MG","0637","RC","Both",,,"16.5","8.25","Blue Cross Blue Shield","PPO",,,"71",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-VIIBRYD TAB 40MG","0637","RC","Both",,,"16.5","8.25","Ambetter","Health Exchange",,,"62",,"10.23","0.15","5264.58","percent of total billed charges",,
"NF-VIIBRYD TAB 40MG","0637","RC","Both",,,"16.5","8.25","Caresource","Health Exchange",,,"62",,"10.23","0.15","5264.58","percent of total billed charges",,
"NF-VIIBRYD TAB 40MG","0637","RC","Both",,,"16.5","8.25","Cigna","Commercial",,,"59",,"9.67","0.15","5264.58","percent of total billed charges",,
"NF-VIIBRYD TAB 40MG","0637","RC","Both",,,"16.5","8.25","Humana","Commercial",,,"78",,"12.79","0.15","5264.58","percent of total billed charges",,
"NF-VIIBRYD TAB 40MG","0637","RC","Both",,,"16.5","8.25","UHC","Commercial",,,"75",,"12.44","0.15","5264.58","percent of total billed charges",,
"NF-VIIBRYD TAB 40MG","0637","RC","Both",,,"16.5","8.25","Medicaid",,,,"37",,"6.04","0.15","5264.58","percent of total billed charges",,
"NF-ORACEA CAP ER 40MG","0637","RC","Both",,,"52","26","Alliant","Health Exchange",,,"62",,"32.24","0.15","5264.58","percent of total billed charges",,
"NF-ORACEA CAP ER 40MG","0637","RC","Both",,,"52","26","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.08","0.15","5264.58","percent of total billed charges",,
"NF-ORACEA CAP ER 40MG","0637","RC","Both",,,"52","26","Medicare",,,,"54",,"28.18","0.15","5264.58","percent of total billed charges",,
"NF-ORACEA CAP ER 40MG","0637","RC","Both",,,"52","26","Humana","Medicare Advantage",,,"54",,"28.18","0.15","5264.58","percent of total billed charges",,
"NF-ORACEA CAP ER 40MG","0637","RC","Both",,,"52","26","UHC","Medicare Advantage",,,"54",,"28.18","0.15","5264.58","percent of total billed charges",,
"NF-ORACEA CAP ER 40MG","0637","RC","Both",,,"52","26","Clover","Medicare Advantage",,,"54",,"28.18","0.15","5264.58","percent of total billed charges",,
"NF-ORACEA CAP ER 40MG","0637","RC","Both",,,"52","26","Wellcare","Medicare Advantage",,,"54",,"28.18","0.15","5264.58","percent of total billed charges",,
"NF-ORACEA CAP ER 40MG","0637","RC","Both",,,"52","26","Amerigroup","Medicaid Managed Care",,,"37",,"19.03","0.15","5264.58","percent of total billed charges",,
"NF-ORACEA CAP ER 40MG","0637","RC","Both",,,"52","26","Caresource","Medicaid Managed Care",,,"40",,"20.8","0.15","5264.58","percent of total billed charges",,
"NF-ORACEA CAP ER 40MG","0637","RC","Both",,,"52","26","Wellcare","Medicaid Managed Care",,,"40",,"21.06","0.15","5264.58","percent of total billed charges",,
"NF-ORACEA CAP ER 40MG","0637","RC","Both",,,"52","26","Aetna","Commercial",,,"64",,"33.18","0.15","5264.58","percent of total billed charges",,
"NF-ORACEA CAP ER 40MG","0637","RC","Both",,,"52","26","Blue Cross Blue Shield","Pathways",,,"71",,"36.71","0.15","5264.58","percent of total billed charges",,
"NF-ORACEA CAP ER 40MG","0637","RC","Both",,,"52","26","Blue Cross Blue Shield","HMO",,,"71",,"36.71","0.15","5264.58","percent of total billed charges",,
"NF-ORACEA CAP ER 40MG","0637","RC","Both",,,"52","26","Blue Cross Blue Shield","PPO",,,"71",,"36.71","0.15","5264.58","percent of total billed charges",,
"NF-ORACEA CAP ER 40MG","0637","RC","Both",,,"52","26","Ambetter","Health Exchange",,,"62",,"32.24","0.15","5264.58","percent of total billed charges",,
"NF-ORACEA CAP ER 40MG","0637","RC","Both",,,"52","26","Caresource","Health Exchange",,,"62",,"32.24","0.15","5264.58","percent of total billed charges",,
"NF-ORACEA CAP ER 40MG","0637","RC","Both",,,"52","26","Cigna","Commercial",,,"59",,"30.47","0.15","5264.58","percent of total billed charges",,
"NF-ORACEA CAP ER 40MG","0637","RC","Both",,,"52","26","Humana","Commercial",,,"78",,"40.3","0.15","5264.58","percent of total billed charges",,
"NF-ORACEA CAP ER 40MG","0637","RC","Both",,,"52","26","UHC","Commercial",,,"75",,"39.21","0.15","5264.58","percent of total billed charges",,
"NF-ORACEA CAP ER 40MG","0637","RC","Both",,,"52","26","Medicaid",,,,"37",,"19.03","0.15","5264.58","percent of total billed charges",,
"NF-DONEPEZIL HCL TAB 10MG","0637","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.15","5264.58","percent of total billed charges",,
"NF-DONEPEZIL HCL TAB 10MG","0637","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.15","5264.58","percent of total billed charges",,
"NF-DONEPEZIL HCL TAB 10MG","0637","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.15","5264.58","percent of total billed charges",,
"NF-DONEPEZIL HCL TAB 10MG","0637","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.15","5264.58","percent of total billed charges",,
"NF-DONEPEZIL HCL TAB 10MG","0637","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.15","5264.58","percent of total billed charges",,
"NF-DONEPEZIL HCL TAB 10MG","0637","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.15","5264.58","percent of total billed charges",,
"NF-DONEPEZIL HCL TAB 10MG","0637","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.15","5264.58","percent of total billed charges",,
"NF-DONEPEZIL HCL TAB 10MG","0637","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.15","5264.58","percent of total billed charges",,
"NF-DONEPEZIL HCL TAB 10MG","0637","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.15","5264.58","percent of total billed charges",,
"NF-DONEPEZIL HCL TAB 10MG","0637","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.15","5264.58","percent of total billed charges",,
"NF-DONEPEZIL HCL TAB 10MG","0637","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.15","5264.58","percent of total billed charges",,
"NF-DONEPEZIL HCL TAB 10MG","0637","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.15","5264.58","percent of total billed charges",,
"NF-DONEPEZIL HCL TAB 10MG","0637","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.15","5264.58","percent of total billed charges",,
"NF-DONEPEZIL HCL TAB 10MG","0637","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.15","5264.58","percent of total billed charges",,
"NF-DONEPEZIL HCL TAB 10MG","0637","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.15","5264.58","percent of total billed charges",,
"NF-DONEPEZIL HCL TAB 10MG","0637","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.15","5264.58","percent of total billed charges",,
"NF-DONEPEZIL HCL TAB 10MG","0637","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.15","5264.58","percent of total billed charges",,
"NF-DONEPEZIL HCL TAB 10MG","0637","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.15","5264.58","percent of total billed charges",,
"NF-DONEPEZIL HCL TAB 10MG","0637","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.15","5264.58","percent of total billed charges",,
"NF-DONEPEZIL HCL TAB 10MG","0637","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE 2.5MG ORAL TABLET","0637","RC","Both",,,"10.5","5.25","Alliant","Health Exchange",,,"62",,"6.51","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE 2.5MG ORAL TABLET","0637","RC","Both",,,"10.5","5.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.67","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE 2.5MG ORAL TABLET","0637","RC","Both",,,"10.5","5.25","Medicare",,,,"54",,"5.69","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE 2.5MG ORAL TABLET","0637","RC","Both",,,"10.5","5.25","Humana","Medicare Advantage",,,"54",,"5.69","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE 2.5MG ORAL TABLET","0637","RC","Both",,,"10.5","5.25","UHC","Medicare Advantage",,,"54",,"5.69","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE 2.5MG ORAL TABLET","0637","RC","Both",,,"10.5","5.25","Clover","Medicare Advantage",,,"54",,"5.69","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE 2.5MG ORAL TABLET","0637","RC","Both",,,"10.5","5.25","Wellcare","Medicare Advantage",,,"54",,"5.69","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE 2.5MG ORAL TABLET","0637","RC","Both",,,"10.5","5.25","Amerigroup","Medicaid Managed Care",,,"37",,"3.84","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE 2.5MG ORAL TABLET","0637","RC","Both",,,"10.5","5.25","Caresource","Medicaid Managed Care",,,"40",,"4.2","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE 2.5MG ORAL TABLET","0637","RC","Both",,,"10.5","5.25","Wellcare","Medicaid Managed Care",,,"40",,"4.25","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE 2.5MG ORAL TABLET","0637","RC","Both",,,"10.5","5.25","Aetna","Commercial",,,"64",,"6.7","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE 2.5MG ORAL TABLET","0637","RC","Both",,,"10.5","5.25","Blue Cross Blue Shield","Pathways",,,"71",,"7.41","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE 2.5MG ORAL TABLET","0637","RC","Both",,,"10.5","5.25","Blue Cross Blue Shield","HMO",,,"71",,"7.41","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE 2.5MG ORAL TABLET","0637","RC","Both",,,"10.5","5.25","Blue Cross Blue Shield","PPO",,,"71",,"7.41","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE 2.5MG ORAL TABLET","0637","RC","Both",,,"10.5","5.25","Ambetter","Health Exchange",,,"62",,"6.51","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE 2.5MG ORAL TABLET","0637","RC","Both",,,"10.5","5.25","Caresource","Health Exchange",,,"62",,"6.51","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE 2.5MG ORAL TABLET","0637","RC","Both",,,"10.5","5.25","Cigna","Commercial",,,"59",,"6.15","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE 2.5MG ORAL TABLET","0637","RC","Both",,,"10.5","5.25","Humana","Commercial",,,"78",,"8.14","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE 2.5MG ORAL TABLET","0637","RC","Both",,,"10.5","5.25","UHC","Commercial",,,"75",,"7.92","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE 2.5MG ORAL TABLET","0637","RC","Both",,,"10.5","5.25","Medicaid",,,,"37",,"3.84","0.15","5264.58","percent of total billed charges",,
"NF-ARIMIDEX TAB 1MG","0637","RC","Both",,,"52","26","Alliant","Health Exchange",,,"62",,"32.24","0.15","5264.58","percent of total billed charges",,
"NF-ARIMIDEX TAB 1MG","0637","RC","Both",,,"52","26","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.08","0.15","5264.58","percent of total billed charges",,
"NF-ARIMIDEX TAB 1MG","0637","RC","Both",,,"52","26","Medicare",,,,"54",,"28.18","0.15","5264.58","percent of total billed charges",,
"NF-ARIMIDEX TAB 1MG","0637","RC","Both",,,"52","26","Humana","Medicare Advantage",,,"54",,"28.18","0.15","5264.58","percent of total billed charges",,
"NF-ARIMIDEX TAB 1MG","0637","RC","Both",,,"52","26","UHC","Medicare Advantage",,,"54",,"28.18","0.15","5264.58","percent of total billed charges",,
"NF-ARIMIDEX TAB 1MG","0637","RC","Both",,,"52","26","Clover","Medicare Advantage",,,"54",,"28.18","0.15","5264.58","percent of total billed charges",,
"NF-ARIMIDEX TAB 1MG","0637","RC","Both",,,"52","26","Wellcare","Medicare Advantage",,,"54",,"28.18","0.15","5264.58","percent of total billed charges",,
"NF-ARIMIDEX TAB 1MG","0637","RC","Both",,,"52","26","Amerigroup","Medicaid Managed Care",,,"37",,"19.03","0.15","5264.58","percent of total billed charges",,
"NF-ARIMIDEX TAB 1MG","0637","RC","Both",,,"52","26","Caresource","Medicaid Managed Care",,,"40",,"20.8","0.15","5264.58","percent of total billed charges",,
"NF-ARIMIDEX TAB 1MG","0637","RC","Both",,,"52","26","Wellcare","Medicaid Managed Care",,,"40",,"21.06","0.15","5264.58","percent of total billed charges",,
"NF-ARIMIDEX TAB 1MG","0637","RC","Both",,,"52","26","Aetna","Commercial",,,"64",,"33.18","0.15","5264.58","percent of total billed charges",,
"NF-ARIMIDEX TAB 1MG","0637","RC","Both",,,"52","26","Blue Cross Blue Shield","Pathways",,,"71",,"36.71","0.15","5264.58","percent of total billed charges",,
"NF-ARIMIDEX TAB 1MG","0637","RC","Both",,,"52","26","Blue Cross Blue Shield","HMO",,,"71",,"36.71","0.15","5264.58","percent of total billed charges",,
"NF-ARIMIDEX TAB 1MG","0637","RC","Both",,,"52","26","Blue Cross Blue Shield","PPO",,,"71",,"36.71","0.15","5264.58","percent of total billed charges",,
"NF-ARIMIDEX TAB 1MG","0637","RC","Both",,,"52","26","Ambetter","Health Exchange",,,"62",,"32.24","0.15","5264.58","percent of total billed charges",,
"NF-ARIMIDEX TAB 1MG","0637","RC","Both",,,"52","26","Caresource","Health Exchange",,,"62",,"32.24","0.15","5264.58","percent of total billed charges",,
"NF-ARIMIDEX TAB 1MG","0637","RC","Both",,,"52","26","Cigna","Commercial",,,"59",,"30.47","0.15","5264.58","percent of total billed charges",,
"NF-ARIMIDEX TAB 1MG","0637","RC","Both",,,"52","26","Humana","Commercial",,,"78",,"40.3","0.15","5264.58","percent of total billed charges",,
"NF-ARIMIDEX TAB 1MG","0637","RC","Both",,,"52","26","UHC","Commercial",,,"75",,"39.21","0.15","5264.58","percent of total billed charges",,
"NF-ARIMIDEX TAB 1MG","0637","RC","Both",,,"52","26","Medicaid",,,,"37",,"19.03","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"18","9","Alliant","Health Exchange",,,"62",,"11.16","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"18","9","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.72","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"18","9","Medicare",,,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"18","9","Humana","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"18","9","UHC","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"18","9","Clover","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"18","9","Wellcare","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"18","9","Amerigroup","Medicaid Managed Care",,,"37",,"6.59","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"18","9","Caresource","Medicaid Managed Care",,,"40",,"7.2","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"18","9","Wellcare","Medicaid Managed Care",,,"40",,"7.29","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"18","9","Aetna","Commercial",,,"64",,"11.48","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"18","9","Blue Cross Blue Shield","Pathways",,,"71",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"18","9","Blue Cross Blue Shield","HMO",,,"71",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"18","9","Blue Cross Blue Shield","PPO",,,"71",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"18","9","Ambetter","Health Exchange",,,"62",,"11.16","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"18","9","Caresource","Health Exchange",,,"62",,"11.16","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"18","9","Cigna","Commercial",,,"59",,"10.55","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"18","9","Humana","Commercial",,,"78",,"13.95","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"18","9","UHC","Commercial",,,"75",,"13.57","0.15","5264.58","percent of total billed charges",,
"NF-LATANOPROST OPHTH SOLN 0.005%","0637","RC","Both",,,"18","9","Medicaid",,,,"37",,"6.59","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Alliant","Health Exchange",,,"62",,"12.09","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.53","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Medicare",,,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Humana","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","UHC","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Clover","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Wellcare","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Amerigroup","Medicaid Managed Care",,,"37",,"7.14","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Caresource","Medicaid Managed Care",,,"40",,"7.8","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Wellcare","Medicaid Managed Care",,,"40",,"7.9","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Aetna","Commercial",,,"64",,"12.44","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Blue Cross Blue Shield","Pathways",,,"71",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Blue Cross Blue Shield","HMO",,,"71",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Blue Cross Blue Shield","PPO",,,"71",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Ambetter","Health Exchange",,,"62",,"12.09","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Caresource","Health Exchange",,,"62",,"12.09","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Cigna","Commercial",,,"59",,"11.43","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Humana","Commercial",,,"78",,"15.11","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","UHC","Commercial",,,"75",,"14.7","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%","0637","RC","Both",,,"19.5","9.75","Medicaid",,,,"37",,"7.14","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN ORAL TABLET 100MG","0637","RC","Both",,,"5.5","2.75","Alliant","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN ORAL TABLET 100MG","0637","RC","Both",,,"5.5","2.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.97","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN ORAL TABLET 100MG","0637","RC","Both",,,"5.5","2.75","Medicare",,,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN ORAL TABLET 100MG","0637","RC","Both",,,"5.5","2.75","Humana","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN ORAL TABLET 100MG","0637","RC","Both",,,"5.5","2.75","UHC","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN ORAL TABLET 100MG","0637","RC","Both",,,"5.5","2.75","Clover","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN ORAL TABLET 100MG","0637","RC","Both",,,"5.5","2.75","Wellcare","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN ORAL TABLET 100MG","0637","RC","Both",,,"5.5","2.75","Amerigroup","Medicaid Managed Care",,,"37",,"2.01","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN ORAL TABLET 100MG","0637","RC","Both",,,"5.5","2.75","Caresource","Medicaid Managed Care",,,"40",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN ORAL TABLET 100MG","0637","RC","Both",,,"5.5","2.75","Wellcare","Medicaid Managed Care",,,"40",,"2.23","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN ORAL TABLET 100MG","0637","RC","Both",,,"5.5","2.75","Aetna","Commercial",,,"64",,"3.51","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN ORAL TABLET 100MG","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","Pathways",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN ORAL TABLET 100MG","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","HMO",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN ORAL TABLET 100MG","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","PPO",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN ORAL TABLET 100MG","0637","RC","Both",,,"5.5","2.75","Ambetter","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN ORAL TABLET 100MG","0637","RC","Both",,,"5.5","2.75","Caresource","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN ORAL TABLET 100MG","0637","RC","Both",,,"5.5","2.75","Cigna","Commercial",,,"59",,"3.22","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN ORAL TABLET 100MG","0637","RC","Both",,,"5.5","2.75","Humana","Commercial",,,"78",,"4.26","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN ORAL TABLET 100MG","0637","RC","Both",,,"5.5","2.75","UHC","Commercial",,,"75",,"4.15","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN ORAL TABLET 100MG","0637","RC","Both",,,"5.5","2.75","Medicaid",,,,"37",,"2.01","0.15","5264.58","percent of total billed charges",,
"NF-VIAGRA ORAL TABLET 50MG","0637","RC","Both",,,"55","27.5","Alliant","Health Exchange",,,"62",,"34.1","0.15","5264.58","percent of total billed charges",,
"NF-VIAGRA ORAL TABLET 50MG","0637","RC","Both",,,"55","27.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"29.7","0.15","5264.58","percent of total billed charges",,
"NF-VIAGRA ORAL TABLET 50MG","0637","RC","Both",,,"55","27.5","Medicare",,,,"54",,"29.81","0.15","5264.58","percent of total billed charges",,
"NF-VIAGRA ORAL TABLET 50MG","0637","RC","Both",,,"55","27.5","Humana","Medicare Advantage",,,"54",,"29.81","0.15","5264.58","percent of total billed charges",,
"NF-VIAGRA ORAL TABLET 50MG","0637","RC","Both",,,"55","27.5","UHC","Medicare Advantage",,,"54",,"29.81","0.15","5264.58","percent of total billed charges",,
"NF-VIAGRA ORAL TABLET 50MG","0637","RC","Both",,,"55","27.5","Clover","Medicare Advantage",,,"54",,"29.81","0.15","5264.58","percent of total billed charges",,
"NF-VIAGRA ORAL TABLET 50MG","0637","RC","Both",,,"55","27.5","Wellcare","Medicare Advantage",,,"54",,"29.81","0.15","5264.58","percent of total billed charges",,
"NF-VIAGRA ORAL TABLET 50MG","0637","RC","Both",,,"55","27.5","Amerigroup","Medicaid Managed Care",,,"37",,"20.13","0.15","5264.58","percent of total billed charges",,
"NF-VIAGRA ORAL TABLET 50MG","0637","RC","Both",,,"55","27.5","Caresource","Medicaid Managed Care",,,"40",,"22","0.15","5264.58","percent of total billed charges",,
"NF-VIAGRA ORAL TABLET 50MG","0637","RC","Both",,,"55","27.5","Wellcare","Medicaid Managed Care",,,"40",,"22.28","0.15","5264.58","percent of total billed charges",,
"NF-VIAGRA ORAL TABLET 50MG","0637","RC","Both",,,"55","27.5","Aetna","Commercial",,,"64",,"35.09","0.15","5264.58","percent of total billed charges",,
"NF-VIAGRA ORAL TABLET 50MG","0637","RC","Both",,,"55","27.5","Blue Cross Blue Shield","Pathways",,,"71",,"38.83","0.15","5264.58","percent of total billed charges",,
"NF-VIAGRA ORAL TABLET 50MG","0637","RC","Both",,,"55","27.5","Blue Cross Blue Shield","HMO",,,"71",,"38.83","0.15","5264.58","percent of total billed charges",,
"NF-VIAGRA ORAL TABLET 50MG","0637","RC","Both",,,"55","27.5","Blue Cross Blue Shield","PPO",,,"71",,"38.83","0.15","5264.58","percent of total billed charges",,
"NF-VIAGRA ORAL TABLET 50MG","0637","RC","Both",,,"55","27.5","Ambetter","Health Exchange",,,"62",,"34.1","0.15","5264.58","percent of total billed charges",,
"NF-VIAGRA ORAL TABLET 50MG","0637","RC","Both",,,"55","27.5","Caresource","Health Exchange",,,"62",,"34.1","0.15","5264.58","percent of total billed charges",,
"NF-VIAGRA ORAL TABLET 50MG","0637","RC","Both",,,"55","27.5","Cigna","Commercial",,,"59",,"32.23","0.15","5264.58","percent of total billed charges",,
"NF-VIAGRA ORAL TABLET 50MG","0637","RC","Both",,,"55","27.5","Humana","Commercial",,,"78",,"42.62","0.15","5264.58","percent of total billed charges",,
"NF-VIAGRA ORAL TABLET 50MG","0637","RC","Both",,,"55","27.5","UHC","Commercial",,,"75",,"41.47","0.15","5264.58","percent of total billed charges",,
"NF-VIAGRA ORAL TABLET 50MG","0637","RC","Both",,,"55","27.5","Medicaid",,,,"37",,"20.13","0.15","5264.58","percent of total billed charges",,
"NF-METHYLPHENIDATE HCL ORAL TAB ER 36MG","0637","RC","Both",,,"19.5","9.75","Alliant","Health Exchange",,,"62",,"12.09","0.15","5264.58","percent of total billed charges",,
"NF-METHYLPHENIDATE HCL ORAL TAB ER 36MG","0637","RC","Both",,,"19.5","9.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.53","0.15","5264.58","percent of total billed charges",,
"NF-METHYLPHENIDATE HCL ORAL TAB ER 36MG","0637","RC","Both",,,"19.5","9.75","Medicare",,,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-METHYLPHENIDATE HCL ORAL TAB ER 36MG","0637","RC","Both",,,"19.5","9.75","Humana","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-METHYLPHENIDATE HCL ORAL TAB ER 36MG","0637","RC","Both",,,"19.5","9.75","UHC","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-METHYLPHENIDATE HCL ORAL TAB ER 36MG","0637","RC","Both",,,"19.5","9.75","Clover","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-METHYLPHENIDATE HCL ORAL TAB ER 36MG","0637","RC","Both",,,"19.5","9.75","Wellcare","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-METHYLPHENIDATE HCL ORAL TAB ER 36MG","0637","RC","Both",,,"19.5","9.75","Amerigroup","Medicaid Managed Care",,,"37",,"7.14","0.15","5264.58","percent of total billed charges",,
"NF-METHYLPHENIDATE HCL ORAL TAB ER 36MG","0637","RC","Both",,,"19.5","9.75","Caresource","Medicaid Managed Care",,,"40",,"7.8","0.15","5264.58","percent of total billed charges",,
"NF-METHYLPHENIDATE HCL ORAL TAB ER 36MG","0637","RC","Both",,,"19.5","9.75","Wellcare","Medicaid Managed Care",,,"40",,"7.9","0.15","5264.58","percent of total billed charges",,
"NF-METHYLPHENIDATE HCL ORAL TAB ER 36MG","0637","RC","Both",,,"19.5","9.75","Aetna","Commercial",,,"64",,"12.44","0.15","5264.58","percent of total billed charges",,
"NF-METHYLPHENIDATE HCL ORAL TAB ER 36MG","0637","RC","Both",,,"19.5","9.75","Blue Cross Blue Shield","Pathways",,,"71",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-METHYLPHENIDATE HCL ORAL TAB ER 36MG","0637","RC","Both",,,"19.5","9.75","Blue Cross Blue Shield","HMO",,,"71",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-METHYLPHENIDATE HCL ORAL TAB ER 36MG","0637","RC","Both",,,"19.5","9.75","Blue Cross Blue Shield","PPO",,,"71",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-METHYLPHENIDATE HCL ORAL TAB ER 36MG","0637","RC","Both",,,"19.5","9.75","Ambetter","Health Exchange",,,"62",,"12.09","0.15","5264.58","percent of total billed charges",,
"NF-METHYLPHENIDATE HCL ORAL TAB ER 36MG","0637","RC","Both",,,"19.5","9.75","Caresource","Health Exchange",,,"62",,"12.09","0.15","5264.58","percent of total billed charges",,
"NF-METHYLPHENIDATE HCL ORAL TAB ER 36MG","0637","RC","Both",,,"19.5","9.75","Cigna","Commercial",,,"59",,"11.43","0.15","5264.58","percent of total billed charges",,
"NF-METHYLPHENIDATE HCL ORAL TAB ER 36MG","0637","RC","Both",,,"19.5","9.75","Humana","Commercial",,,"78",,"15.11","0.15","5264.58","percent of total billed charges",,
"NF-METHYLPHENIDATE HCL ORAL TAB ER 36MG","0637","RC","Both",,,"19.5","9.75","UHC","Commercial",,,"75",,"14.7","0.15","5264.58","percent of total billed charges",,
"NF-METHYLPHENIDATE HCL ORAL TAB ER 36MG","0637","RC","Both",,,"19.5","9.75","Medicaid",,,,"37",,"7.14","0.15","5264.58","percent of total billed charges",,
"NF-TRI-SPRINTEC 28 ORAL TABLET","0637","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-TRI-SPRINTEC 28 ORAL TABLET","0637","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.15","5264.58","percent of total billed charges",,
"NF-TRI-SPRINTEC 28 ORAL TABLET","0637","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-TRI-SPRINTEC 28 ORAL TABLET","0637","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-TRI-SPRINTEC 28 ORAL TABLET","0637","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-TRI-SPRINTEC 28 ORAL TABLET","0637","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-TRI-SPRINTEC 28 ORAL TABLET","0637","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-TRI-SPRINTEC 28 ORAL TABLET","0637","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-TRI-SPRINTEC 28 ORAL TABLET","0637","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.15","5264.58","percent of total billed charges",,
"NF-TRI-SPRINTEC 28 ORAL TABLET","0637","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-TRI-SPRINTEC 28 ORAL TABLET","0637","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.15","5264.58","percent of total billed charges",,
"NF-TRI-SPRINTEC 28 ORAL TABLET","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-TRI-SPRINTEC 28 ORAL TABLET","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-TRI-SPRINTEC 28 ORAL TABLET","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-TRI-SPRINTEC 28 ORAL TABLET","0637","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-TRI-SPRINTEC 28 ORAL TABLET","0637","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-TRI-SPRINTEC 28 ORAL TABLET","0637","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.15","5264.58","percent of total billed charges",,
"NF-TRI-SPRINTEC 28 ORAL TABLET","0637","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-TRI-SPRINTEC 28 ORAL TABLET","0637","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.15","5264.58","percent of total billed charges",,
"NF-TRI-SPRINTEC 28 ORAL TABLET","0637","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-SILDENAFIL CITRATE TAB 20MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-SILDENAFIL CITRATE TAB 20MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"NF-SILDENAFIL CITRATE TAB 20MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-SILDENAFIL CITRATE TAB 20MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-SILDENAFIL CITRATE TAB 20MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-SILDENAFIL CITRATE TAB 20MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-SILDENAFIL CITRATE TAB 20MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-SILDENAFIL CITRATE TAB 20MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-SILDENAFIL CITRATE TAB 20MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"NF-SILDENAFIL CITRATE TAB 20MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-SILDENAFIL CITRATE TAB 20MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"NF-SILDENAFIL CITRATE TAB 20MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-SILDENAFIL CITRATE TAB 20MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-SILDENAFIL CITRATE TAB 20MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-SILDENAFIL CITRATE TAB 20MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-SILDENAFIL CITRATE TAB 20MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-SILDENAFIL CITRATE TAB 20MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-SILDENAFIL CITRATE TAB 20MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-SILDENAFIL CITRATE TAB 20MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"NF-SILDENAFIL CITRATE TAB 20MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY 20MG ORAL TABLET","0637","RC","Both",,,"113.5","56.75","Alliant","Health Exchange",,,"62",,"70.37","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY 20MG ORAL TABLET","0637","RC","Both",,,"113.5","56.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"61.29","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY 20MG ORAL TABLET","0637","RC","Both",,,"113.5","56.75","Medicare",,,,"54",,"61.52","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY 20MG ORAL TABLET","0637","RC","Both",,,"113.5","56.75","Humana","Medicare Advantage",,,"54",,"61.52","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY 20MG ORAL TABLET","0637","RC","Both",,,"113.5","56.75","UHC","Medicare Advantage",,,"54",,"61.52","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY 20MG ORAL TABLET","0637","RC","Both",,,"113.5","56.75","Clover","Medicare Advantage",,,"54",,"61.52","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY 20MG ORAL TABLET","0637","RC","Both",,,"113.5","56.75","Wellcare","Medicare Advantage",,,"54",,"61.52","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY 20MG ORAL TABLET","0637","RC","Both",,,"113.5","56.75","Amerigroup","Medicaid Managed Care",,,"37",,"41.54","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY 20MG ORAL TABLET","0637","RC","Both",,,"113.5","56.75","Caresource","Medicaid Managed Care",,,"40",,"45.4","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY 20MG ORAL TABLET","0637","RC","Both",,,"113.5","56.75","Wellcare","Medicaid Managed Care",,,"40",,"45.97","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY 20MG ORAL TABLET","0637","RC","Both",,,"113.5","56.75","Aetna","Commercial",,,"64",,"72.41","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY 20MG ORAL TABLET","0637","RC","Both",,,"113.5","56.75","Blue Cross Blue Shield","Pathways",,,"71",,"80.13","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY 20MG ORAL TABLET","0637","RC","Both",,,"113.5","56.75","Blue Cross Blue Shield","HMO",,,"71",,"80.13","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY 20MG ORAL TABLET","0637","RC","Both",,,"113.5","56.75","Blue Cross Blue Shield","PPO",,,"71",,"80.13","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY 20MG ORAL TABLET","0637","RC","Both",,,"113.5","56.75","Ambetter","Health Exchange",,,"62",,"70.37","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY 20MG ORAL TABLET","0637","RC","Both",,,"113.5","56.75","Caresource","Health Exchange",,,"62",,"70.37","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY 20MG ORAL TABLET","0637","RC","Both",,,"113.5","56.75","Cigna","Commercial",,,"59",,"66.51","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY 20MG ORAL TABLET","0637","RC","Both",,,"113.5","56.75","Humana","Commercial",,,"78",,"87.96","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY 20MG ORAL TABLET","0637","RC","Both",,,"113.5","56.75","UHC","Commercial",,,"75",,"85.58","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY 20MG ORAL TABLET","0637","RC","Both",,,"113.5","56.75","Medicaid",,,,"37",,"41.54","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Alliant","Health Exchange",,,"62",,"5.27","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.59","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Medicare",,,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Humana","Medicare Advantage",,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","UHC","Medicare Advantage",,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Clover","Medicare Advantage",,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Wellcare","Medicare Advantage",,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Amerigroup","Medicaid Managed Care",,,"37",,"3.11","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Caresource","Medicaid Managed Care",,,"40",,"3.4","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Wellcare","Medicaid Managed Care",,,"40",,"3.44","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Aetna","Commercial",,,"64",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Blue Cross Blue Shield","Pathways",,,"71",,"6","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Blue Cross Blue Shield","HMO",,,"71",,"6","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Blue Cross Blue Shield","PPO",,,"71",,"6","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Ambetter","Health Exchange",,,"62",,"5.27","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Caresource","Health Exchange",,,"62",,"5.27","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Cigna","Commercial",,,"59",,"4.98","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Humana","Commercial",,,"78",,"6.59","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","UHC","Commercial",,,"75",,"6.41","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.3MG","0637","RC","Both",,,"8.5","4.25","Medicaid",,,,"37",,"3.11","0.15","5264.58","percent of total billed charges",,
"NF-XIFAXAN ORAL TABLET 550MG","0637","RC","Both",,,"79.5","39.75","Alliant","Health Exchange",,,"62",,"49.29","0.15","5264.58","percent of total billed charges",,
"NF-XIFAXAN ORAL TABLET 550MG","0637","RC","Both",,,"79.5","39.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"42.93","0.15","5264.58","percent of total billed charges",,
"NF-XIFAXAN ORAL TABLET 550MG","0637","RC","Both",,,"79.5","39.75","Medicare",,,,"54",,"43.09","0.15","5264.58","percent of total billed charges",,
"NF-XIFAXAN ORAL TABLET 550MG","0637","RC","Both",,,"79.5","39.75","Humana","Medicare Advantage",,,"54",,"43.09","0.15","5264.58","percent of total billed charges",,
"NF-XIFAXAN ORAL TABLET 550MG","0637","RC","Both",,,"79.5","39.75","UHC","Medicare Advantage",,,"54",,"43.09","0.15","5264.58","percent of total billed charges",,
"NF-XIFAXAN ORAL TABLET 550MG","0637","RC","Both",,,"79.5","39.75","Clover","Medicare Advantage",,,"54",,"43.09","0.15","5264.58","percent of total billed charges",,
"NF-XIFAXAN ORAL TABLET 550MG","0637","RC","Both",,,"79.5","39.75","Wellcare","Medicare Advantage",,,"54",,"43.09","0.15","5264.58","percent of total billed charges",,
"NF-XIFAXAN ORAL TABLET 550MG","0637","RC","Both",,,"79.5","39.75","Amerigroup","Medicaid Managed Care",,,"37",,"29.1","0.15","5264.58","percent of total billed charges",,
"NF-XIFAXAN ORAL TABLET 550MG","0637","RC","Both",,,"79.5","39.75","Caresource","Medicaid Managed Care",,,"40",,"31.8","0.15","5264.58","percent of total billed charges",,
"NF-XIFAXAN ORAL TABLET 550MG","0637","RC","Both",,,"79.5","39.75","Wellcare","Medicaid Managed Care",,,"40",,"32.2","0.15","5264.58","percent of total billed charges",,
"NF-XIFAXAN ORAL TABLET 550MG","0637","RC","Both",,,"79.5","39.75","Aetna","Commercial",,,"64",,"50.72","0.15","5264.58","percent of total billed charges",,
"NF-XIFAXAN ORAL TABLET 550MG","0637","RC","Both",,,"79.5","39.75","Blue Cross Blue Shield","Pathways",,,"71",,"56.13","0.15","5264.58","percent of total billed charges",,
"NF-XIFAXAN ORAL TABLET 550MG","0637","RC","Both",,,"79.5","39.75","Blue Cross Blue Shield","HMO",,,"71",,"56.13","0.15","5264.58","percent of total billed charges",,
"NF-XIFAXAN ORAL TABLET 550MG","0637","RC","Both",,,"79.5","39.75","Blue Cross Blue Shield","PPO",,,"71",,"56.13","0.15","5264.58","percent of total billed charges",,
"NF-XIFAXAN ORAL TABLET 550MG","0637","RC","Both",,,"79.5","39.75","Ambetter","Health Exchange",,,"62",,"49.29","0.15","5264.58","percent of total billed charges",,
"NF-XIFAXAN ORAL TABLET 550MG","0637","RC","Both",,,"79.5","39.75","Caresource","Health Exchange",,,"62",,"49.29","0.15","5264.58","percent of total billed charges",,
"NF-XIFAXAN ORAL TABLET 550MG","0637","RC","Both",,,"79.5","39.75","Cigna","Commercial",,,"59",,"46.59","0.15","5264.58","percent of total billed charges",,
"NF-XIFAXAN ORAL TABLET 550MG","0637","RC","Both",,,"79.5","39.75","Humana","Commercial",,,"78",,"61.61","0.15","5264.58","percent of total billed charges",,
"NF-XIFAXAN ORAL TABLET 550MG","0637","RC","Both",,,"79.5","39.75","UHC","Commercial",,,"75",,"59.94","0.15","5264.58","percent of total billed charges",,
"NF-XIFAXAN ORAL TABLET 550MG","0637","RC","Both",,,"79.5","39.75","Medicaid",,,,"37",,"29.1","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"69","34.5","Alliant","Health Exchange",,,"62",,"42.78","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"69","34.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"37.26","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"69","34.5","Medicare",,,,"54",,"37.4","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"69","34.5","Humana","Medicare Advantage",,,"54",,"37.4","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"69","34.5","UHC","Medicare Advantage",,,"54",,"37.4","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"69","34.5","Clover","Medicare Advantage",,,"54",,"37.4","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"69","34.5","Wellcare","Medicare Advantage",,,"54",,"37.4","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"69","34.5","Amerigroup","Medicaid Managed Care",,,"37",,"25.25","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"69","34.5","Caresource","Medicaid Managed Care",,,"40",,"27.6","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"69","34.5","Wellcare","Medicaid Managed Care",,,"40",,"27.94","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"69","34.5","Aetna","Commercial",,,"64",,"44.02","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"69","34.5","Blue Cross Blue Shield","Pathways",,,"71",,"48.71","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"69","34.5","Blue Cross Blue Shield","HMO",,,"71",,"48.71","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"69","34.5","Blue Cross Blue Shield","PPO",,,"71",,"48.71","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"69","34.5","Ambetter","Health Exchange",,,"62",,"42.78","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"69","34.5","Caresource","Health Exchange",,,"62",,"42.78","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"69","34.5","Cigna","Commercial",,,"59",,"40.43","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"69","34.5","Humana","Commercial",,,"78",,"53.48","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"69","34.5","UHC","Commercial",,,"75",,"52.03","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"69","34.5","Medicaid",,,,"37",,"25.25","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"55.5","27.75","Alliant","Health Exchange",,,"62",,"34.41","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"55.5","27.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"29.97","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"55.5","27.75","Medicare",,,,"54",,"30.08","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"55.5","27.75","Humana","Medicare Advantage",,,"54",,"30.08","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"55.5","27.75","UHC","Medicare Advantage",,,"54",,"30.08","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"55.5","27.75","Clover","Medicare Advantage",,,"54",,"30.08","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"55.5","27.75","Wellcare","Medicare Advantage",,,"54",,"30.08","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"55.5","27.75","Amerigroup","Medicaid Managed Care",,,"37",,"20.31","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"55.5","27.75","Caresource","Medicaid Managed Care",,,"40",,"22.2","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"55.5","27.75","Wellcare","Medicaid Managed Care",,,"40",,"22.48","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"55.5","27.75","Aetna","Commercial",,,"64",,"35.41","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"55.5","27.75","Blue Cross Blue Shield","Pathways",,,"71",,"39.18","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"55.5","27.75","Blue Cross Blue Shield","HMO",,,"71",,"39.18","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"55.5","27.75","Blue Cross Blue Shield","PPO",,,"71",,"39.18","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"55.5","27.75","Ambetter","Health Exchange",,,"62",,"34.41","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"55.5","27.75","Caresource","Health Exchange",,,"62",,"34.41","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"55.5","27.75","Cigna","Commercial",,,"59",,"32.52","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"55.5","27.75","Humana","Commercial",,,"78",,"43.01","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"55.5","27.75","UHC","Commercial",,,"75",,"41.85","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 5MG","0637","RC","Both",,,"55.5","27.75","Medicaid",,,,"37",,"20.31","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"99","49.5","Alliant","Health Exchange",,,"62",,"61.38","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"99","49.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"53.46","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"99","49.5","Medicare",,,,"54",,"53.66","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"99","49.5","Humana","Medicare Advantage",,,"54",,"53.66","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"99","49.5","UHC","Medicare Advantage",,,"54",,"53.66","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"99","49.5","Clover","Medicare Advantage",,,"54",,"53.66","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"99","49.5","Wellcare","Medicare Advantage",,,"54",,"53.66","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"99","49.5","Amerigroup","Medicaid Managed Care",,,"37",,"36.23","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"99","49.5","Caresource","Medicaid Managed Care",,,"40",,"39.6","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"99","49.5","Wellcare","Medicaid Managed Care",,,"40",,"40.1","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"99","49.5","Aetna","Commercial",,,"64",,"63.16","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"99","49.5","Blue Cross Blue Shield","Pathways",,,"71",,"69.89","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"99","49.5","Blue Cross Blue Shield","HMO",,,"71",,"69.89","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"99","49.5","Blue Cross Blue Shield","PPO",,,"71",,"69.89","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"99","49.5","Ambetter","Health Exchange",,,"62",,"61.38","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"99","49.5","Caresource","Health Exchange",,,"62",,"61.38","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"99","49.5","Cigna","Commercial",,,"59",,"58.01","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"99","49.5","Humana","Commercial",,,"78",,"76.73","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"99","49.5","UHC","Commercial",,,"75",,"74.65","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"99","49.5","Medicaid",,,,"37",,"36.23","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL TAB 5MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL TAB 5MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL TAB 5MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL TAB 5MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL TAB 5MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL TAB 5MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL TAB 5MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL TAB 5MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL TAB 5MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL TAB 5MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL TAB 5MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL TAB 5MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL TAB 5MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL TAB 5MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL TAB 5MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL TAB 5MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL TAB 5MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL TAB 5MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL TAB 5MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL TAB 5MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-SIMBRINZA 0.2%-1% OPHTHALMIC SUSPENSI","0637","RC","Both",,,"39.5","19.75","Alliant","Health Exchange",,,"62",,"24.49","0.15","5264.58","percent of total billed charges",,
"NF-SIMBRINZA 0.2%-1% OPHTHALMIC SUSPENSI","0637","RC","Both",,,"39.5","19.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"21.33","0.15","5264.58","percent of total billed charges",,
"NF-SIMBRINZA 0.2%-1% OPHTHALMIC SUSPENSI","0637","RC","Both",,,"39.5","19.75","Medicare",,,,"54",,"21.41","0.15","5264.58","percent of total billed charges",,
"NF-SIMBRINZA 0.2%-1% OPHTHALMIC SUSPENSI","0637","RC","Both",,,"39.5","19.75","Humana","Medicare Advantage",,,"54",,"21.41","0.15","5264.58","percent of total billed charges",,
"NF-SIMBRINZA 0.2%-1% OPHTHALMIC SUSPENSI","0637","RC","Both",,,"39.5","19.75","UHC","Medicare Advantage",,,"54",,"21.41","0.15","5264.58","percent of total billed charges",,
"NF-SIMBRINZA 0.2%-1% OPHTHALMIC SUSPENSI","0637","RC","Both",,,"39.5","19.75","Clover","Medicare Advantage",,,"54",,"21.41","0.15","5264.58","percent of total billed charges",,
"NF-SIMBRINZA 0.2%-1% OPHTHALMIC SUSPENSI","0637","RC","Both",,,"39.5","19.75","Wellcare","Medicare Advantage",,,"54",,"21.41","0.15","5264.58","percent of total billed charges",,
"NF-SIMBRINZA 0.2%-1% OPHTHALMIC SUSPENSI","0637","RC","Both",,,"39.5","19.75","Amerigroup","Medicaid Managed Care",,,"37",,"14.46","0.15","5264.58","percent of total billed charges",,
"NF-SIMBRINZA 0.2%-1% OPHTHALMIC SUSPENSI","0637","RC","Both",,,"39.5","19.75","Caresource","Medicaid Managed Care",,,"40",,"15.8","0.15","5264.58","percent of total billed charges",,
"NF-SIMBRINZA 0.2%-1% OPHTHALMIC SUSPENSI","0637","RC","Both",,,"39.5","19.75","Wellcare","Medicaid Managed Care",,,"40",,"16","0.15","5264.58","percent of total billed charges",,
"NF-SIMBRINZA 0.2%-1% OPHTHALMIC SUSPENSI","0637","RC","Both",,,"39.5","19.75","Aetna","Commercial",,,"64",,"25.2","0.15","5264.58","percent of total billed charges",,
"NF-SIMBRINZA 0.2%-1% OPHTHALMIC SUSPENSI","0637","RC","Both",,,"39.5","19.75","Blue Cross Blue Shield","Pathways",,,"71",,"27.89","0.15","5264.58","percent of total billed charges",,
"NF-SIMBRINZA 0.2%-1% OPHTHALMIC SUSPENSI","0637","RC","Both",,,"39.5","19.75","Blue Cross Blue Shield","HMO",,,"71",,"27.89","0.15","5264.58","percent of total billed charges",,
"NF-SIMBRINZA 0.2%-1% OPHTHALMIC SUSPENSI","0637","RC","Both",,,"39.5","19.75","Blue Cross Blue Shield","PPO",,,"71",,"27.89","0.15","5264.58","percent of total billed charges",,
"NF-SIMBRINZA 0.2%-1% OPHTHALMIC SUSPENSI","0637","RC","Both",,,"39.5","19.75","Ambetter","Health Exchange",,,"62",,"24.49","0.15","5264.58","percent of total billed charges",,
"NF-SIMBRINZA 0.2%-1% OPHTHALMIC SUSPENSI","0637","RC","Both",,,"39.5","19.75","Caresource","Health Exchange",,,"62",,"24.49","0.15","5264.58","percent of total billed charges",,
"NF-SIMBRINZA 0.2%-1% OPHTHALMIC SUSPENSI","0637","RC","Both",,,"39.5","19.75","Cigna","Commercial",,,"59",,"23.15","0.15","5264.58","percent of total billed charges",,
"NF-SIMBRINZA 0.2%-1% OPHTHALMIC SUSPENSI","0637","RC","Both",,,"39.5","19.75","Humana","Commercial",,,"78",,"30.61","0.15","5264.58","percent of total billed charges",,
"NF-SIMBRINZA 0.2%-1% OPHTHALMIC SUSPENSI","0637","RC","Both",,,"39.5","19.75","UHC","Commercial",,,"75",,"29.78","0.15","5264.58","percent of total billed charges",,
"NF-SIMBRINZA 0.2%-1% OPHTHALMIC SUSPENSI","0637","RC","Both",,,"39.5","19.75","Medicaid",,,,"37",,"14.46","0.15","5264.58","percent of total billed charges",,
"NF-LINZESS CAP 290MCG","0637","RC","Both",,,"27.5","13.75","Alliant","Health Exchange",,,"62",,"17.05","0.15","5264.58","percent of total billed charges",,
"NF-LINZESS CAP 290MCG","0637","RC","Both",,,"27.5","13.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.85","0.15","5264.58","percent of total billed charges",,
"NF-LINZESS CAP 290MCG","0637","RC","Both",,,"27.5","13.75","Medicare",,,,"54",,"14.9","0.15","5264.58","percent of total billed charges",,
"NF-LINZESS CAP 290MCG","0637","RC","Both",,,"27.5","13.75","Humana","Medicare Advantage",,,"54",,"14.9","0.15","5264.58","percent of total billed charges",,
"NF-LINZESS CAP 290MCG","0637","RC","Both",,,"27.5","13.75","UHC","Medicare Advantage",,,"54",,"14.9","0.15","5264.58","percent of total billed charges",,
"NF-LINZESS CAP 290MCG","0637","RC","Both",,,"27.5","13.75","Clover","Medicare Advantage",,,"54",,"14.9","0.15","5264.58","percent of total billed charges",,
"NF-LINZESS CAP 290MCG","0637","RC","Both",,,"27.5","13.75","Wellcare","Medicare Advantage",,,"54",,"14.9","0.15","5264.58","percent of total billed charges",,
"NF-LINZESS CAP 290MCG","0637","RC","Both",,,"27.5","13.75","Amerigroup","Medicaid Managed Care",,,"37",,"10.06","0.15","5264.58","percent of total billed charges",,
"NF-LINZESS CAP 290MCG","0637","RC","Both",,,"27.5","13.75","Caresource","Medicaid Managed Care",,,"40",,"11","0.15","5264.58","percent of total billed charges",,
"NF-LINZESS CAP 290MCG","0637","RC","Both",,,"27.5","13.75","Wellcare","Medicaid Managed Care",,,"40",,"11.14","0.15","5264.58","percent of total billed charges",,
"NF-LINZESS CAP 290MCG","0637","RC","Both",,,"27.5","13.75","Aetna","Commercial",,,"64",,"17.55","0.15","5264.58","percent of total billed charges",,
"NF-LINZESS CAP 290MCG","0637","RC","Both",,,"27.5","13.75","Blue Cross Blue Shield","Pathways",,,"71",,"19.42","0.15","5264.58","percent of total billed charges",,
"NF-LINZESS CAP 290MCG","0637","RC","Both",,,"27.5","13.75","Blue Cross Blue Shield","HMO",,,"71",,"19.42","0.15","5264.58","percent of total billed charges",,
"NF-LINZESS CAP 290MCG","0637","RC","Both",,,"27.5","13.75","Blue Cross Blue Shield","PPO",,,"71",,"19.42","0.15","5264.58","percent of total billed charges",,
"NF-LINZESS CAP 290MCG","0637","RC","Both",,,"27.5","13.75","Ambetter","Health Exchange",,,"62",,"17.05","0.15","5264.58","percent of total billed charges",,
"NF-LINZESS CAP 290MCG","0637","RC","Both",,,"27.5","13.75","Caresource","Health Exchange",,,"62",,"17.05","0.15","5264.58","percent of total billed charges",,
"NF-LINZESS CAP 290MCG","0637","RC","Both",,,"27.5","13.75","Cigna","Commercial",,,"59",,"16.11","0.15","5264.58","percent of total billed charges",,
"NF-LINZESS CAP 290MCG","0637","RC","Both",,,"27.5","13.75","Humana","Commercial",,,"78",,"21.31","0.15","5264.58","percent of total billed charges",,
"NF-LINZESS CAP 290MCG","0637","RC","Both",,,"27.5","13.75","UHC","Commercial",,,"75",,"20.74","0.15","5264.58","percent of total billed charges",,
"NF-LINZESS CAP 290MCG","0637","RC","Both",,,"27.5","13.75","Medicaid",,,,"37",,"10.06","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Alliant","Health Exchange",,,"62",,"7.75","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.75","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Medicare",,,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Humana","Medicare Advantage",,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","UHC","Medicare Advantage",,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Clover","Medicare Advantage",,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Wellcare","Medicare Advantage",,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Amerigroup","Medicaid Managed Care",,,"37",,"4.58","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Caresource","Medicaid Managed Care",,,"40",,"5","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Wellcare","Medicaid Managed Care",,,"40",,"5.06","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Aetna","Commercial",,,"64",,"7.98","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Blue Cross Blue Shield","Pathways",,,"71",,"8.82","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Blue Cross Blue Shield","HMO",,,"71",,"8.82","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Blue Cross Blue Shield","PPO",,,"71",,"8.82","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Ambetter","Health Exchange",,,"62",,"7.75","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Caresource","Health Exchange",,,"62",,"7.75","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Cigna","Commercial",,,"59",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Humana","Commercial",,,"78",,"9.69","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","UHC","Commercial",,,"75",,"9.43","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Medicaid",,,,"37",,"4.58","0.15","5264.58","percent of total billed charges",,
"NF-ZIAC TAB 10MG-6.25MG","0637","RC","Both",,,"2.5","1.25","Alliant","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-ZIAC TAB 10MG-6.25MG","0637","RC","Both",,,"2.5","1.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.35","0.15","5264.58","percent of total billed charges",,
"NF-ZIAC TAB 10MG-6.25MG","0637","RC","Both",,,"2.5","1.25","Medicare",,,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-ZIAC TAB 10MG-6.25MG","0637","RC","Both",,,"2.5","1.25","Humana","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-ZIAC TAB 10MG-6.25MG","0637","RC","Both",,,"2.5","1.25","UHC","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-ZIAC TAB 10MG-6.25MG","0637","RC","Both",,,"2.5","1.25","Clover","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-ZIAC TAB 10MG-6.25MG","0637","RC","Both",,,"2.5","1.25","Wellcare","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-ZIAC TAB 10MG-6.25MG","0637","RC","Both",,,"2.5","1.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.92","0.15","5264.58","percent of total billed charges",,
"NF-ZIAC TAB 10MG-6.25MG","0637","RC","Both",,,"2.5","1.25","Caresource","Medicaid Managed Care",,,"40",,"1","0.15","5264.58","percent of total billed charges",,
"NF-ZIAC TAB 10MG-6.25MG","0637","RC","Both",,,"2.5","1.25","Wellcare","Medicaid Managed Care",,,"40",,"1.01","0.15","5264.58","percent of total billed charges",,
"NF-ZIAC TAB 10MG-6.25MG","0637","RC","Both",,,"2.5","1.25","Aetna","Commercial",,,"64",,"1.6","0.15","5264.58","percent of total billed charges",,
"NF-ZIAC TAB 10MG-6.25MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","Pathways",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-ZIAC TAB 10MG-6.25MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","HMO",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-ZIAC TAB 10MG-6.25MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","PPO",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-ZIAC TAB 10MG-6.25MG","0637","RC","Both",,,"2.5","1.25","Ambetter","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-ZIAC TAB 10MG-6.25MG","0637","RC","Both",,,"2.5","1.25","Caresource","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-ZIAC TAB 10MG-6.25MG","0637","RC","Both",,,"2.5","1.25","Cigna","Commercial",,,"59",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-ZIAC TAB 10MG-6.25MG","0637","RC","Both",,,"2.5","1.25","Humana","Commercial",,,"78",,"1.94","0.15","5264.58","percent of total billed charges",,
"NF-ZIAC TAB 10MG-6.25MG","0637","RC","Both",,,"2.5","1.25","UHC","Commercial",,,"75",,"1.88","0.15","5264.58","percent of total billed charges",,
"NF-ZIAC TAB 10MG-6.25MG","0637","RC","Both",,,"2.5","1.25","Medicaid",,,,"37",,"0.92","0.15","5264.58","percent of total billed charges",,
"NF-OCELLA TAB 3MG-0.03MG-NO STRENGTH","0637","RC","Both",,,"9.5","4.75","Alliant","Health Exchange",,,"62",,"5.89","0.15","5264.58","percent of total billed charges",,
"NF-OCELLA TAB 3MG-0.03MG-NO STRENGTH","0637","RC","Both",,,"9.5","4.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.13","0.15","5264.58","percent of total billed charges",,
"NF-OCELLA TAB 3MG-0.03MG-NO STRENGTH","0637","RC","Both",,,"9.5","4.75","Medicare",,,,"54",,"5.15","0.15","5264.58","percent of total billed charges",,
"NF-OCELLA TAB 3MG-0.03MG-NO STRENGTH","0637","RC","Both",,,"9.5","4.75","Humana","Medicare Advantage",,,"54",,"5.15","0.15","5264.58","percent of total billed charges",,
"NF-OCELLA TAB 3MG-0.03MG-NO STRENGTH","0637","RC","Both",,,"9.5","4.75","UHC","Medicare Advantage",,,"54",,"5.15","0.15","5264.58","percent of total billed charges",,
"NF-OCELLA TAB 3MG-0.03MG-NO STRENGTH","0637","RC","Both",,,"9.5","4.75","Clover","Medicare Advantage",,,"54",,"5.15","0.15","5264.58","percent of total billed charges",,
"NF-OCELLA TAB 3MG-0.03MG-NO STRENGTH","0637","RC","Both",,,"9.5","4.75","Wellcare","Medicare Advantage",,,"54",,"5.15","0.15","5264.58","percent of total billed charges",,
"NF-OCELLA TAB 3MG-0.03MG-NO STRENGTH","0637","RC","Both",,,"9.5","4.75","Amerigroup","Medicaid Managed Care",,,"37",,"3.48","0.15","5264.58","percent of total billed charges",,
"NF-OCELLA TAB 3MG-0.03MG-NO STRENGTH","0637","RC","Both",,,"9.5","4.75","Caresource","Medicaid Managed Care",,,"40",,"3.8","0.15","5264.58","percent of total billed charges",,
"NF-OCELLA TAB 3MG-0.03MG-NO STRENGTH","0637","RC","Both",,,"9.5","4.75","Wellcare","Medicaid Managed Care",,,"40",,"3.85","0.15","5264.58","percent of total billed charges",,
"NF-OCELLA TAB 3MG-0.03MG-NO STRENGTH","0637","RC","Both",,,"9.5","4.75","Aetna","Commercial",,,"64",,"6.06","0.15","5264.58","percent of total billed charges",,
"NF-OCELLA TAB 3MG-0.03MG-NO STRENGTH","0637","RC","Both",,,"9.5","4.75","Blue Cross Blue Shield","Pathways",,,"71",,"6.71","0.15","5264.58","percent of total billed charges",,
"NF-OCELLA TAB 3MG-0.03MG-NO STRENGTH","0637","RC","Both",,,"9.5","4.75","Blue Cross Blue Shield","HMO",,,"71",,"6.71","0.15","5264.58","percent of total billed charges",,
"NF-OCELLA TAB 3MG-0.03MG-NO STRENGTH","0637","RC","Both",,,"9.5","4.75","Blue Cross Blue Shield","PPO",,,"71",,"6.71","0.15","5264.58","percent of total billed charges",,
"NF-OCELLA TAB 3MG-0.03MG-NO STRENGTH","0637","RC","Both",,,"9.5","4.75","Ambetter","Health Exchange",,,"62",,"5.89","0.15","5264.58","percent of total billed charges",,
"NF-OCELLA TAB 3MG-0.03MG-NO STRENGTH","0637","RC","Both",,,"9.5","4.75","Caresource","Health Exchange",,,"62",,"5.89","0.15","5264.58","percent of total billed charges",,
"NF-OCELLA TAB 3MG-0.03MG-NO STRENGTH","0637","RC","Both",,,"9.5","4.75","Cigna","Commercial",,,"59",,"5.57","0.15","5264.58","percent of total billed charges",,
"NF-OCELLA TAB 3MG-0.03MG-NO STRENGTH","0637","RC","Both",,,"9.5","4.75","Humana","Commercial",,,"78",,"7.36","0.15","5264.58","percent of total billed charges",,
"NF-OCELLA TAB 3MG-0.03MG-NO STRENGTH","0637","RC","Both",,,"9.5","4.75","UHC","Commercial",,,"75",,"7.16","0.15","5264.58","percent of total billed charges",,
"NF-OCELLA TAB 3MG-0.03MG-NO STRENGTH","0637","RC","Both",,,"9.5","4.75","Medicaid",,,,"37",,"3.48","0.15","5264.58","percent of total billed charges",,
"NF-COMBIVENT INH AER PWD 103MCG-18MCG/1","0637","RC","Both",,,"426","213","Alliant","Health Exchange",,,"62",,"264.12","0.15","5264.58","percent of total billed charges",,
"NF-COMBIVENT INH AER PWD 103MCG-18MCG/1","0637","RC","Both",,,"426","213","Pruitt Healthcare","Medicare Advantage",,,"54",,"230.04","0.15","5264.58","percent of total billed charges",,
"NF-COMBIVENT INH AER PWD 103MCG-18MCG/1","0637","RC","Both",,,"426","213","Medicare",,,,"54",,"230.89","0.15","5264.58","percent of total billed charges",,
"NF-COMBIVENT INH AER PWD 103MCG-18MCG/1","0637","RC","Both",,,"426","213","Humana","Medicare Advantage",,,"54",,"230.89","0.15","5264.58","percent of total billed charges",,
"NF-COMBIVENT INH AER PWD 103MCG-18MCG/1","0637","RC","Both",,,"426","213","UHC","Medicare Advantage",,,"54",,"230.89","0.15","5264.58","percent of total billed charges",,
"NF-COMBIVENT INH AER PWD 103MCG-18MCG/1","0637","RC","Both",,,"426","213","Clover","Medicare Advantage",,,"54",,"230.89","0.15","5264.58","percent of total billed charges",,
"NF-COMBIVENT INH AER PWD 103MCG-18MCG/1","0637","RC","Both",,,"426","213","Wellcare","Medicare Advantage",,,"54",,"230.89","0.15","5264.58","percent of total billed charges",,
"NF-COMBIVENT INH AER PWD 103MCG-18MCG/1","0637","RC","Both",,,"426","213","Amerigroup","Medicaid Managed Care",,,"37",,"155.92","0.15","5264.58","percent of total billed charges",,
"NF-COMBIVENT INH AER PWD 103MCG-18MCG/1","0637","RC","Both",,,"426","213","Caresource","Medicaid Managed Care",,,"40",,"170.4","0.15","5264.58","percent of total billed charges",,
"NF-COMBIVENT INH AER PWD 103MCG-18MCG/1","0637","RC","Both",,,"426","213","Wellcare","Medicaid Managed Care",,,"40",,"172.53","0.15","5264.58","percent of total billed charges",,
"NF-COMBIVENT INH AER PWD 103MCG-18MCG/1","0637","RC","Both",,,"426","213","Aetna","Commercial",,,"64",,"271.79","0.15","5264.58","percent of total billed charges",,
"NF-COMBIVENT INH AER PWD 103MCG-18MCG/1","0637","RC","Both",,,"426","213","Blue Cross Blue Shield","Pathways",,,"71",,"300.76","0.15","5264.58","percent of total billed charges",,
"NF-COMBIVENT INH AER PWD 103MCG-18MCG/1","0637","RC","Both",,,"426","213","Blue Cross Blue Shield","HMO",,,"71",,"300.76","0.15","5264.58","percent of total billed charges",,
"NF-COMBIVENT INH AER PWD 103MCG-18MCG/1","0637","RC","Both",,,"426","213","Blue Cross Blue Shield","PPO",,,"71",,"300.76","0.15","5264.58","percent of total billed charges",,
"NF-COMBIVENT INH AER PWD 103MCG-18MCG/1","0637","RC","Both",,,"426","213","Ambetter","Health Exchange",,,"62",,"264.12","0.15","5264.58","percent of total billed charges",,
"NF-COMBIVENT INH AER PWD 103MCG-18MCG/1","0637","RC","Both",,,"426","213","Caresource","Health Exchange",,,"62",,"264.12","0.15","5264.58","percent of total billed charges",,
"NF-COMBIVENT INH AER PWD 103MCG-18MCG/1","0637","RC","Both",,,"426","213","Cigna","Commercial",,,"59",,"249.64","0.15","5264.58","percent of total billed charges",,
"NF-COMBIVENT INH AER PWD 103MCG-18MCG/1","0637","RC","Both",,,"426","213","Humana","Commercial",,,"78",,"330.15","0.15","5264.58","percent of total billed charges",,
"NF-COMBIVENT INH AER PWD 103MCG-18MCG/1","0637","RC","Both",,,"426","213","UHC","Commercial",,,"75",,"321.2","0.15","5264.58","percent of total billed charges",,
"NF-COMBIVENT INH AER PWD 103MCG-18MCG/1","0637","RC","Both",,,"426","213","Medicaid",,,,"37",,"155.92","0.15","5264.58","percent of total billed charges",,
"NF-BC ORAL POWDER 845MG-65MG/1 PACKET","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-BC ORAL POWDER 845MG-65MG/1 PACKET","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-BC ORAL POWDER 845MG-65MG/1 PACKET","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-BC ORAL POWDER 845MG-65MG/1 PACKET","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-BC ORAL POWDER 845MG-65MG/1 PACKET","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-BC ORAL POWDER 845MG-65MG/1 PACKET","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-BC ORAL POWDER 845MG-65MG/1 PACKET","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-BC ORAL POWDER 845MG-65MG/1 PACKET","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-BC ORAL POWDER 845MG-65MG/1 PACKET","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-BC ORAL POWDER 845MG-65MG/1 PACKET","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-BC ORAL POWDER 845MG-65MG/1 PACKET","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-BC ORAL POWDER 845MG-65MG/1 PACKET","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-BC ORAL POWDER 845MG-65MG/1 PACKET","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-BC ORAL POWDER 845MG-65MG/1 PACKET","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-BC ORAL POWDER 845MG-65MG/1 PACKET","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-BC ORAL POWDER 845MG-65MG/1 PACKET","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-BC ORAL POWDER 845MG-65MG/1 PACKET","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-BC ORAL POWDER 845MG-65MG/1 PACKET","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-BC ORAL POWDER 845MG-65MG/1 PACKET","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-BC ORAL POWDER 845MG-65MG/1 PACKET","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-BC POWDER ARTHRITIS","0250","RC","Both",,,"0.51","0.255","Alliant","Health Exchange",,,"62",,"0.32","0.04","569.62","percent of total billed charges",,
"NF-BC POWDER ARTHRITIS","0250","RC","Both",,,"0.51","0.255","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.28","0.04","569.62","percent of total billed charges",,
"NF-BC POWDER ARTHRITIS","0250","RC","Both",,,"0.51","0.255","Medicare",,,,"54",,"0.28","0.04","569.62","percent of total billed charges",,
"NF-BC POWDER ARTHRITIS","0250","RC","Both",,,"0.51","0.255","Humana","Medicare Advantage",,,"54",,"0.28","0.04","569.62","percent of total billed charges",,
"NF-BC POWDER ARTHRITIS","0250","RC","Both",,,"0.51","0.255","UHC","Medicare Advantage",,,"54",,"0.28","0.04","569.62","percent of total billed charges",,
"NF-BC POWDER ARTHRITIS","0250","RC","Both",,,"0.51","0.255","Clover","Medicare Advantage",,,"54",,"0.28","0.04","569.62","percent of total billed charges",,
"NF-BC POWDER ARTHRITIS","0250","RC","Both",,,"0.51","0.255","Wellcare","Medicare Advantage",,,"54",,"0.28","0.04","569.62","percent of total billed charges",,
"NF-BC POWDER ARTHRITIS","0250","RC","Both",,,"0.51","0.255","Amerigroup","Medicaid Managed Care",,,"37",,"0.19","0.04","569.62","percent of total billed charges",,
"NF-BC POWDER ARTHRITIS","0250","RC","Both",,,"0.51","0.255","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.04","569.62","percent of total billed charges",,
"NF-BC POWDER ARTHRITIS","0250","RC","Both",,,"0.51","0.255","Wellcare","Medicaid Managed Care",,,"40",,"0.21","0.04","569.62","percent of total billed charges",,
"NF-BC POWDER ARTHRITIS","0250","RC","Both",,,"0.51","0.255","Aetna","Commercial",,,"64",,"0.33","0.04","569.62","percent of total billed charges",,
"NF-BC POWDER ARTHRITIS","0250","RC","Both",,,"0.51","0.255","Blue Cross Blue Shield","Pathways",,,"71",,"0.36","0.04","569.62","percent of total billed charges",,
"NF-BC POWDER ARTHRITIS","0250","RC","Both",,,"0.51","0.255","Blue Cross Blue Shield","HMO",,,"71",,"0.36","0.04","569.62","percent of total billed charges",,
"NF-BC POWDER ARTHRITIS","0250","RC","Both",,,"0.51","0.255","Blue Cross Blue Shield","PPO",,,"71",,"0.36","0.04","569.62","percent of total billed charges",,
"NF-BC POWDER ARTHRITIS","0250","RC","Both",,,"0.51","0.255","Ambetter","Health Exchange",,,"62",,"0.32","0.04","569.62","percent of total billed charges",,
"NF-BC POWDER ARTHRITIS","0250","RC","Both",,,"0.51","0.255","Caresource","Health Exchange",,,"62",,"0.32","0.04","569.62","percent of total billed charges",,
"NF-BC POWDER ARTHRITIS","0250","RC","Both",,,"0.51","0.255","Cigna","Commercial",,,"59",,"0.3","0.04","569.62","percent of total billed charges",,
"NF-BC POWDER ARTHRITIS","0250","RC","Both",,,"0.51","0.255","Humana","Commercial",,,"78",,"0.4","0.04","569.62","percent of total billed charges",,
"NF-BC POWDER ARTHRITIS","0250","RC","Both",,,"0.51","0.255","UHC","Commercial",,,"75",,"0.38","0.04","569.62","percent of total billed charges",,
"NF-BC POWDER ARTHRITIS","0250","RC","Both",,,"0.51","0.255","Medicaid",,,,"37",,"0.19","0.04","569.62","percent of total billed charges",,
"NF-MINOCIN CAP 100MG","0637","RC","Both",,,"44.5","22.25","Alliant","Health Exchange",,,"62",,"27.59","0.15","5264.58","percent of total billed charges",,
"NF-MINOCIN CAP 100MG","0637","RC","Both",,,"44.5","22.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"24.03","0.15","5264.58","percent of total billed charges",,
"NF-MINOCIN CAP 100MG","0637","RC","Both",,,"44.5","22.25","Medicare",,,,"54",,"24.12","0.15","5264.58","percent of total billed charges",,
"NF-MINOCIN CAP 100MG","0637","RC","Both",,,"44.5","22.25","Humana","Medicare Advantage",,,"54",,"24.12","0.15","5264.58","percent of total billed charges",,
"NF-MINOCIN CAP 100MG","0637","RC","Both",,,"44.5","22.25","UHC","Medicare Advantage",,,"54",,"24.12","0.15","5264.58","percent of total billed charges",,
"NF-MINOCIN CAP 100MG","0637","RC","Both",,,"44.5","22.25","Clover","Medicare Advantage",,,"54",,"24.12","0.15","5264.58","percent of total billed charges",,
"NF-MINOCIN CAP 100MG","0637","RC","Both",,,"44.5","22.25","Wellcare","Medicare Advantage",,,"54",,"24.12","0.15","5264.58","percent of total billed charges",,
"NF-MINOCIN CAP 100MG","0637","RC","Both",,,"44.5","22.25","Amerigroup","Medicaid Managed Care",,,"37",,"16.29","0.15","5264.58","percent of total billed charges",,
"NF-MINOCIN CAP 100MG","0637","RC","Both",,,"44.5","22.25","Caresource","Medicaid Managed Care",,,"40",,"17.8","0.15","5264.58","percent of total billed charges",,
"NF-MINOCIN CAP 100MG","0637","RC","Both",,,"44.5","22.25","Wellcare","Medicaid Managed Care",,,"40",,"18.02","0.15","5264.58","percent of total billed charges",,
"NF-MINOCIN CAP 100MG","0637","RC","Both",,,"44.5","22.25","Aetna","Commercial",,,"64",,"28.39","0.15","5264.58","percent of total billed charges",,
"NF-MINOCIN CAP 100MG","0637","RC","Both",,,"44.5","22.25","Blue Cross Blue Shield","Pathways",,,"71",,"31.42","0.15","5264.58","percent of total billed charges",,
"NF-MINOCIN CAP 100MG","0637","RC","Both",,,"44.5","22.25","Blue Cross Blue Shield","HMO",,,"71",,"31.42","0.15","5264.58","percent of total billed charges",,
"NF-MINOCIN CAP 100MG","0637","RC","Both",,,"44.5","22.25","Blue Cross Blue Shield","PPO",,,"71",,"31.42","0.15","5264.58","percent of total billed charges",,
"NF-MINOCIN CAP 100MG","0637","RC","Both",,,"44.5","22.25","Ambetter","Health Exchange",,,"62",,"27.59","0.15","5264.58","percent of total billed charges",,
"NF-MINOCIN CAP 100MG","0637","RC","Both",,,"44.5","22.25","Caresource","Health Exchange",,,"62",,"27.59","0.15","5264.58","percent of total billed charges",,
"NF-MINOCIN CAP 100MG","0637","RC","Both",,,"44.5","22.25","Cigna","Commercial",,,"59",,"26.08","0.15","5264.58","percent of total billed charges",,
"NF-MINOCIN CAP 100MG","0637","RC","Both",,,"44.5","22.25","Humana","Commercial",,,"78",,"34.49","0.15","5264.58","percent of total billed charges",,
"NF-MINOCIN CAP 100MG","0637","RC","Both",,,"44.5","22.25","UHC","Commercial",,,"75",,"33.55","0.15","5264.58","percent of total billed charges",,
"NF-MINOCIN CAP 100MG","0637","RC","Both",,,"44.5","22.25","Medicaid",,,,"37",,"16.29","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA ORAL TABLET 150MG","0637","RC","Both",,,"390.5","195.25","Alliant","Health Exchange",,,"62",,"242.11","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA ORAL TABLET 150MG","0637","RC","Both",,,"390.5","195.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"210.87","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA ORAL TABLET 150MG","0637","RC","Both",,,"390.5","195.25","Medicare",,,,"54",,"211.65","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA ORAL TABLET 150MG","0637","RC","Both",,,"390.5","195.25","Humana","Medicare Advantage",,,"54",,"211.65","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA ORAL TABLET 150MG","0637","RC","Both",,,"390.5","195.25","UHC","Medicare Advantage",,,"54",,"211.65","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA ORAL TABLET 150MG","0637","RC","Both",,,"390.5","195.25","Clover","Medicare Advantage",,,"54",,"211.65","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA ORAL TABLET 150MG","0637","RC","Both",,,"390.5","195.25","Wellcare","Medicare Advantage",,,"54",,"211.65","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA ORAL TABLET 150MG","0637","RC","Both",,,"390.5","195.25","Amerigroup","Medicaid Managed Care",,,"37",,"142.92","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA ORAL TABLET 150MG","0637","RC","Both",,,"390.5","195.25","Caresource","Medicaid Managed Care",,,"40",,"156.2","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA ORAL TABLET 150MG","0637","RC","Both",,,"390.5","195.25","Wellcare","Medicaid Managed Care",,,"40",,"158.15","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA ORAL TABLET 150MG","0637","RC","Both",,,"390.5","195.25","Aetna","Commercial",,,"64",,"249.14","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA ORAL TABLET 150MG","0637","RC","Both",,,"390.5","195.25","Blue Cross Blue Shield","Pathways",,,"71",,"275.69","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA ORAL TABLET 150MG","0637","RC","Both",,,"390.5","195.25","Blue Cross Blue Shield","HMO",,,"71",,"275.69","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA ORAL TABLET 150MG","0637","RC","Both",,,"390.5","195.25","Blue Cross Blue Shield","PPO",,,"71",,"275.69","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA ORAL TABLET 150MG","0637","RC","Both",,,"390.5","195.25","Ambetter","Health Exchange",,,"62",,"242.11","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA ORAL TABLET 150MG","0637","RC","Both",,,"390.5","195.25","Caresource","Health Exchange",,,"62",,"242.11","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA ORAL TABLET 150MG","0637","RC","Both",,,"390.5","195.25","Cigna","Commercial",,,"59",,"228.83","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA ORAL TABLET 150MG","0637","RC","Both",,,"390.5","195.25","Humana","Commercial",,,"78",,"302.64","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA ORAL TABLET 150MG","0637","RC","Both",,,"390.5","195.25","UHC","Commercial",,,"75",,"294.44","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA ORAL TABLET 150MG","0637","RC","Both",,,"390.5","195.25","Medicaid",,,,"37",,"142.92","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA TAB 150MG","0637","RC","Both",,,"551","275.5","Alliant","Health Exchange",,,"62",,"341.62","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA TAB 150MG","0637","RC","Both",,,"551","275.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"297.54","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA TAB 150MG","0637","RC","Both",,,"551","275.5","Medicare",,,,"54",,"298.64","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA TAB 150MG","0637","RC","Both",,,"551","275.5","Humana","Medicare Advantage",,,"54",,"298.64","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA TAB 150MG","0637","RC","Both",,,"551","275.5","UHC","Medicare Advantage",,,"54",,"298.64","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA TAB 150MG","0637","RC","Both",,,"551","275.5","Clover","Medicare Advantage",,,"54",,"298.64","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA TAB 150MG","0637","RC","Both",,,"551","275.5","Wellcare","Medicare Advantage",,,"54",,"298.64","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA TAB 150MG","0637","RC","Both",,,"551","275.5","Amerigroup","Medicaid Managed Care",,,"37",,"201.67","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA TAB 150MG","0637","RC","Both",,,"551","275.5","Caresource","Medicaid Managed Care",,,"40",,"220.4","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA TAB 150MG","0637","RC","Both",,,"551","275.5","Wellcare","Medicaid Managed Care",,,"40",,"223.16","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA TAB 150MG","0637","RC","Both",,,"551","275.5","Aetna","Commercial",,,"64",,"351.54","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA TAB 150MG","0637","RC","Both",,,"551","275.5","Blue Cross Blue Shield","Pathways",,,"71",,"389.01","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA TAB 150MG","0637","RC","Both",,,"551","275.5","Blue Cross Blue Shield","HMO",,,"71",,"389.01","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA TAB 150MG","0637","RC","Both",,,"551","275.5","Blue Cross Blue Shield","PPO",,,"71",,"389.01","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA TAB 150MG","0637","RC","Both",,,"551","275.5","Ambetter","Health Exchange",,,"62",,"341.62","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA TAB 150MG","0637","RC","Both",,,"551","275.5","Caresource","Health Exchange",,,"62",,"341.62","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA TAB 150MG","0637","RC","Both",,,"551","275.5","Cigna","Commercial",,,"59",,"322.89","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA TAB 150MG","0637","RC","Both",,,"551","275.5","Humana","Commercial",,,"78",,"427.02","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA TAB 150MG","0637","RC","Both",,,"551","275.5","UHC","Commercial",,,"75",,"415.45","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA TAB 150MG","0637","RC","Both",,,"551","275.5","Medicaid",,,,"37",,"201.67","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"99","49.5","Alliant","Health Exchange",,,"62",,"61.38","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"99","49.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"53.46","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"99","49.5","Medicare",,,,"54",,"53.66","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"99","49.5","Humana","Medicare Advantage",,,"54",,"53.66","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"99","49.5","UHC","Medicare Advantage",,,"54",,"53.66","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"99","49.5","Clover","Medicare Advantage",,,"54",,"53.66","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"99","49.5","Wellcare","Medicare Advantage",,,"54",,"53.66","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"99","49.5","Amerigroup","Medicaid Managed Care",,,"37",,"36.23","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"99","49.5","Caresource","Medicaid Managed Care",,,"40",,"39.6","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"99","49.5","Wellcare","Medicaid Managed Care",,,"40",,"40.1","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"99","49.5","Aetna","Commercial",,,"64",,"63.16","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"99","49.5","Blue Cross Blue Shield","Pathways",,,"71",,"69.89","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"99","49.5","Blue Cross Blue Shield","HMO",,,"71",,"69.89","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"99","49.5","Blue Cross Blue Shield","PPO",,,"71",,"69.89","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"99","49.5","Ambetter","Health Exchange",,,"62",,"61.38","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"99","49.5","Caresource","Health Exchange",,,"62",,"61.38","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"99","49.5","Cigna","Commercial",,,"59",,"58.01","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"99","49.5","Humana","Commercial",,,"78",,"76.73","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"99","49.5","UHC","Commercial",,,"75",,"74.65","0.15","5264.58","percent of total billed charges",,
"NF-RIFAXIMIN TAB 550MG","0637","RC","Both",,,"99","49.5","Medicaid",,,,"37",,"36.23","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.137MG","0637","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.137MG","0637","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.137MG","0637","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.137MG","0637","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.137MG","0637","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.137MG","0637","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.137MG","0637","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.137MG","0637","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.137MG","0637","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.137MG","0637","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.137MG","0637","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.137MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.137MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.137MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.137MG","0637","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.137MG","0637","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.137MG","0637","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.137MG","0637","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.137MG","0637","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 0.137MG","0637","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 25MG","0637","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 25MG","0637","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 25MG","0637","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 25MG","0637","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 25MG","0637","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 25MG","0637","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 25MG","0637","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 25MG","0637","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 25MG","0637","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 25MG","0637","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 25MG","0637","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 25MG","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 25MG","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 25MG","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 25MG","0637","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 25MG","0637","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 25MG","0637","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 25MG","0637","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 25MG","0637","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 25MG","0637","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE TAB 100MG","0637","RC","Both",,,"37.5","18.75","Alliant","Health Exchange",,,"62",,"23.25","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE TAB 100MG","0637","RC","Both",,,"37.5","18.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.25","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE TAB 100MG","0637","RC","Both",,,"37.5","18.75","Medicare",,,,"54",,"20.33","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE TAB 100MG","0637","RC","Both",,,"37.5","18.75","Humana","Medicare Advantage",,,"54",,"20.33","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE TAB 100MG","0637","RC","Both",,,"37.5","18.75","UHC","Medicare Advantage",,,"54",,"20.33","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE TAB 100MG","0637","RC","Both",,,"37.5","18.75","Clover","Medicare Advantage",,,"54",,"20.33","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE TAB 100MG","0637","RC","Both",,,"37.5","18.75","Wellcare","Medicare Advantage",,,"54",,"20.33","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE TAB 100MG","0637","RC","Both",,,"37.5","18.75","Amerigroup","Medicaid Managed Care",,,"37",,"13.72","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE TAB 100MG","0637","RC","Both",,,"37.5","18.75","Caresource","Medicaid Managed Care",,,"40",,"15","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE TAB 100MG","0637","RC","Both",,,"37.5","18.75","Wellcare","Medicaid Managed Care",,,"40",,"15.19","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE TAB 100MG","0637","RC","Both",,,"37.5","18.75","Aetna","Commercial",,,"64",,"23.92","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE TAB 100MG","0637","RC","Both",,,"37.5","18.75","Blue Cross Blue Shield","Pathways",,,"71",,"26.48","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE TAB 100MG","0637","RC","Both",,,"37.5","18.75","Blue Cross Blue Shield","HMO",,,"71",,"26.48","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE TAB 100MG","0637","RC","Both",,,"37.5","18.75","Blue Cross Blue Shield","PPO",,,"71",,"26.48","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE TAB 100MG","0637","RC","Both",,,"37.5","18.75","Ambetter","Health Exchange",,,"62",,"23.25","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE TAB 100MG","0637","RC","Both",,,"37.5","18.75","Caresource","Health Exchange",,,"62",,"23.25","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE TAB 100MG","0637","RC","Both",,,"37.5","18.75","Cigna","Commercial",,,"59",,"21.98","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE TAB 100MG","0637","RC","Both",,,"37.5","18.75","Humana","Commercial",,,"78",,"29.06","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE TAB 100MG","0637","RC","Both",,,"37.5","18.75","UHC","Commercial",,,"75",,"28.28","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE TAB 100MG","0637","RC","Both",,,"37.5","18.75","Medicaid",,,,"37",,"13.72","0.15","5264.58","percent of total billed charges",,
"NF-PROCARDIA XL TABLET 30MG","0637","RC","Both",,,"12","6","Alliant","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-PROCARDIA XL TABLET 30MG","0637","RC","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.48","0.15","5264.58","percent of total billed charges",,
"NF-PROCARDIA XL TABLET 30MG","0637","RC","Both",,,"12","6","Medicare",,,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-PROCARDIA XL TABLET 30MG","0637","RC","Both",,,"12","6","Humana","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-PROCARDIA XL TABLET 30MG","0637","RC","Both",,,"12","6","UHC","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-PROCARDIA XL TABLET 30MG","0637","RC","Both",,,"12","6","Clover","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-PROCARDIA XL TABLET 30MG","0637","RC","Both",,,"12","6","Wellcare","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-PROCARDIA XL TABLET 30MG","0637","RC","Both",,,"12","6","Amerigroup","Medicaid Managed Care",,,"37",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-PROCARDIA XL TABLET 30MG","0637","RC","Both",,,"12","6","Caresource","Medicaid Managed Care",,,"40",,"4.8","0.15","5264.58","percent of total billed charges",,
"NF-PROCARDIA XL TABLET 30MG","0637","RC","Both",,,"12","6","Wellcare","Medicaid Managed Care",,,"40",,"4.86","0.15","5264.58","percent of total billed charges",,
"NF-PROCARDIA XL TABLET 30MG","0637","RC","Both",,,"12","6","Aetna","Commercial",,,"64",,"7.66","0.15","5264.58","percent of total billed charges",,
"NF-PROCARDIA XL TABLET 30MG","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","Pathways",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-PROCARDIA XL TABLET 30MG","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","HMO",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-PROCARDIA XL TABLET 30MG","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","PPO",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-PROCARDIA XL TABLET 30MG","0637","RC","Both",,,"12","6","Ambetter","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-PROCARDIA XL TABLET 30MG","0637","RC","Both",,,"12","6","Caresource","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-PROCARDIA XL TABLET 30MG","0637","RC","Both",,,"12","6","Cigna","Commercial",,,"59",,"7.03","0.15","5264.58","percent of total billed charges",,
"NF-PROCARDIA XL TABLET 30MG","0637","RC","Both",,,"12","6","Humana","Commercial",,,"78",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-PROCARDIA XL TABLET 30MG","0637","RC","Both",,,"12","6","UHC","Commercial",,,"75",,"9.05","0.15","5264.58","percent of total billed charges",,
"NF-PROCARDIA XL TABLET 30MG","0637","RC","Both",,,"12","6","Medicaid",,,,"37",,"4.39","0.15","5264.58","percent of total billed charges",,
"LABETALOL (TRANDATE) INJ: 20MG/4ML","0250","RC","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"LABETALOL (TRANDATE) INJ: 20MG/4ML","0250","RC","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","0.04","569.62","percent of total billed charges",,
"LABETALOL (TRANDATE) INJ: 20MG/4ML","0250","RC","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"LABETALOL (TRANDATE) INJ: 20MG/4ML","0250","RC","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"LABETALOL (TRANDATE) INJ: 20MG/4ML","0250","RC","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"LABETALOL (TRANDATE) INJ: 20MG/4ML","0250","RC","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"LABETALOL (TRANDATE) INJ: 20MG/4ML","0250","RC","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"LABETALOL (TRANDATE) INJ: 20MG/4ML","0250","RC","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","0.04","569.62","percent of total billed charges",,
"LABETALOL (TRANDATE) INJ: 20MG/4ML","0250","RC","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","0.04","569.62","percent of total billed charges",,
"LABETALOL (TRANDATE) INJ: 20MG/4ML","0250","RC","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","0.04","569.62","percent of total billed charges",,
"LABETALOL (TRANDATE) INJ: 20MG/4ML","0250","RC","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","0.04","569.62","percent of total billed charges",,
"LABETALOL (TRANDATE) INJ: 20MG/4ML","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"LABETALOL (TRANDATE) INJ: 20MG/4ML","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"LABETALOL (TRANDATE) INJ: 20MG/4ML","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"LABETALOL (TRANDATE) INJ: 20MG/4ML","0250","RC","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"LABETALOL (TRANDATE) INJ: 20MG/4ML","0250","RC","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"LABETALOL (TRANDATE) INJ: 20MG/4ML","0250","RC","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","0.04","569.62","percent of total billed charges",,
"LABETALOL (TRANDATE) INJ: 20MG/4ML","0250","RC","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","0.04","569.62","percent of total billed charges",,
"LABETALOL (TRANDATE) INJ: 20MG/4ML","0250","RC","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","0.04","569.62","percent of total billed charges",,
"LABETALOL (TRANDATE) INJ: 20MG/4ML","0250","RC","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","0.04","569.62","percent of total billed charges",,
"NF-SYSTANE BALANCE OPHTH SOLN 0.6%","0637","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE BALANCE OPHTH SOLN 0.6%","0637","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE BALANCE OPHTH SOLN 0.6%","0637","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE BALANCE OPHTH SOLN 0.6%","0637","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE BALANCE OPHTH SOLN 0.6%","0637","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE BALANCE OPHTH SOLN 0.6%","0637","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE BALANCE OPHTH SOLN 0.6%","0637","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE BALANCE OPHTH SOLN 0.6%","0637","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE BALANCE OPHTH SOLN 0.6%","0637","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE BALANCE OPHTH SOLN 0.6%","0637","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE BALANCE OPHTH SOLN 0.6%","0637","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE BALANCE OPHTH SOLN 0.6%","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE BALANCE OPHTH SOLN 0.6%","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE BALANCE OPHTH SOLN 0.6%","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE BALANCE OPHTH SOLN 0.6%","0637","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE BALANCE OPHTH SOLN 0.6%","0637","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE BALANCE OPHTH SOLN 0.6%","0637","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE BALANCE OPHTH SOLN 0.6%","0637","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE BALANCE OPHTH SOLN 0.6%","0637","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE BALANCE OPHTH SOLN 0.6%","0637","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH OPTIVE SENSITIVE OPHTH SOLN","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH OPTIVE SENSITIVE OPHTH SOLN","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH OPTIVE SENSITIVE OPHTH SOLN","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH OPTIVE SENSITIVE OPHTH SOLN","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH OPTIVE SENSITIVE OPHTH SOLN","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH OPTIVE SENSITIVE OPHTH SOLN","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH OPTIVE SENSITIVE OPHTH SOLN","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH OPTIVE SENSITIVE OPHTH SOLN","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH OPTIVE SENSITIVE OPHTH SOLN","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH OPTIVE SENSITIVE OPHTH SOLN","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH OPTIVE SENSITIVE OPHTH SOLN","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH OPTIVE SENSITIVE OPHTH SOLN","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH OPTIVE SENSITIVE OPHTH SOLN","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH OPTIVE SENSITIVE OPHTH SOLN","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH OPTIVE SENSITIVE OPHTH SOLN","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH OPTIVE SENSITIVE OPHTH SOLN","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH OPTIVE SENSITIVE OPHTH SOLN","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH OPTIVE SENSITIVE OPHTH SOLN","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH OPTIVE SENSITIVE OPHTH SOLN","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH OPTIVE SENSITIVE OPHTH SOLN","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 15MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 15MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 15MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 15MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 15MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 15MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 15MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 15MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 15MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 15MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 15MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 15MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 15MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 15MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 15MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 15MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 15MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 15MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 15MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 15MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-POLYMYXIN B-TRIMETHOPRIM SULFATE OPHT","0637","RC","Both",,,"4.5","2.25","Alliant","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-POLYMYXIN B-TRIMETHOPRIM SULFATE OPHT","0637","RC","Both",,,"4.5","2.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-POLYMYXIN B-TRIMETHOPRIM SULFATE OPHT","0637","RC","Both",,,"4.5","2.25","Medicare",,,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-POLYMYXIN B-TRIMETHOPRIM SULFATE OPHT","0637","RC","Both",,,"4.5","2.25","Humana","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-POLYMYXIN B-TRIMETHOPRIM SULFATE OPHT","0637","RC","Both",,,"4.5","2.25","UHC","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-POLYMYXIN B-TRIMETHOPRIM SULFATE OPHT","0637","RC","Both",,,"4.5","2.25","Clover","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-POLYMYXIN B-TRIMETHOPRIM SULFATE OPHT","0637","RC","Both",,,"4.5","2.25","Wellcare","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-POLYMYXIN B-TRIMETHOPRIM SULFATE OPHT","0637","RC","Both",,,"4.5","2.25","Amerigroup","Medicaid Managed Care",,,"37",,"1.65","0.15","5264.58","percent of total billed charges",,
"NF-POLYMYXIN B-TRIMETHOPRIM SULFATE OPHT","0637","RC","Both",,,"4.5","2.25","Caresource","Medicaid Managed Care",,,"40",,"1.8","0.15","5264.58","percent of total billed charges",,
"NF-POLYMYXIN B-TRIMETHOPRIM SULFATE OPHT","0637","RC","Both",,,"4.5","2.25","Wellcare","Medicaid Managed Care",,,"40",,"1.82","0.15","5264.58","percent of total billed charges",,
"NF-POLYMYXIN B-TRIMETHOPRIM SULFATE OPHT","0637","RC","Both",,,"4.5","2.25","Aetna","Commercial",,,"64",,"2.87","0.15","5264.58","percent of total billed charges",,
"NF-POLYMYXIN B-TRIMETHOPRIM SULFATE OPHT","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","Pathways",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-POLYMYXIN B-TRIMETHOPRIM SULFATE OPHT","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","HMO",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-POLYMYXIN B-TRIMETHOPRIM SULFATE OPHT","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","PPO",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-POLYMYXIN B-TRIMETHOPRIM SULFATE OPHT","0637","RC","Both",,,"4.5","2.25","Ambetter","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-POLYMYXIN B-TRIMETHOPRIM SULFATE OPHT","0637","RC","Both",,,"4.5","2.25","Caresource","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-POLYMYXIN B-TRIMETHOPRIM SULFATE OPHT","0637","RC","Both",,,"4.5","2.25","Cigna","Commercial",,,"59",,"2.64","0.15","5264.58","percent of total billed charges",,
"NF-POLYMYXIN B-TRIMETHOPRIM SULFATE OPHT","0637","RC","Both",,,"4.5","2.25","Humana","Commercial",,,"78",,"3.49","0.15","5264.58","percent of total billed charges",,
"NF-POLYMYXIN B-TRIMETHOPRIM SULFATE OPHT","0637","RC","Both",,,"4.5","2.25","UHC","Commercial",,,"75",,"3.39","0.15","5264.58","percent of total billed charges",,
"NF-POLYMYXIN B-TRIMETHOPRIM SULFATE OPHT","0637","RC","Both",,,"4.5","2.25","Medicaid",,,,"37",,"1.65","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HYDROCHLOROTHIAZIDE TAB","0637","RC","Both",,,"18.5","9.25","Alliant","Health Exchange",,,"62",,"11.47","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HYDROCHLOROTHIAZIDE TAB","0637","RC","Both",,,"18.5","9.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.99","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HYDROCHLOROTHIAZIDE TAB","0637","RC","Both",,,"18.5","9.25","Medicare",,,,"54",,"10.03","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HYDROCHLOROTHIAZIDE TAB","0637","RC","Both",,,"18.5","9.25","Humana","Medicare Advantage",,,"54",,"10.03","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HYDROCHLOROTHIAZIDE TAB","0637","RC","Both",,,"18.5","9.25","UHC","Medicare Advantage",,,"54",,"10.03","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HYDROCHLOROTHIAZIDE TAB","0637","RC","Both",,,"18.5","9.25","Clover","Medicare Advantage",,,"54",,"10.03","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HYDROCHLOROTHIAZIDE TAB","0637","RC","Both",,,"18.5","9.25","Wellcare","Medicare Advantage",,,"54",,"10.03","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HYDROCHLOROTHIAZIDE TAB","0637","RC","Both",,,"18.5","9.25","Amerigroup","Medicaid Managed Care",,,"37",,"6.77","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HYDROCHLOROTHIAZIDE TAB","0637","RC","Both",,,"18.5","9.25","Caresource","Medicaid Managed Care",,,"40",,"7.4","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HYDROCHLOROTHIAZIDE TAB","0637","RC","Both",,,"18.5","9.25","Wellcare","Medicaid Managed Care",,,"40",,"7.49","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HYDROCHLOROTHIAZIDE TAB","0637","RC","Both",,,"18.5","9.25","Aetna","Commercial",,,"64",,"11.8","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HYDROCHLOROTHIAZIDE TAB","0637","RC","Both",,,"18.5","9.25","Blue Cross Blue Shield","Pathways",,,"71",,"13.06","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HYDROCHLOROTHIAZIDE TAB","0637","RC","Both",,,"18.5","9.25","Blue Cross Blue Shield","HMO",,,"71",,"13.06","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HYDROCHLOROTHIAZIDE TAB","0637","RC","Both",,,"18.5","9.25","Blue Cross Blue Shield","PPO",,,"71",,"13.06","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HYDROCHLOROTHIAZIDE TAB","0637","RC","Both",,,"18.5","9.25","Ambetter","Health Exchange",,,"62",,"11.47","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HYDROCHLOROTHIAZIDE TAB","0637","RC","Both",,,"18.5","9.25","Caresource","Health Exchange",,,"62",,"11.47","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HYDROCHLOROTHIAZIDE TAB","0637","RC","Both",,,"18.5","9.25","Cigna","Commercial",,,"59",,"10.84","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HYDROCHLOROTHIAZIDE TAB","0637","RC","Both",,,"18.5","9.25","Humana","Commercial",,,"78",,"14.34","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HYDROCHLOROTHIAZIDE TAB","0637","RC","Both",,,"18.5","9.25","UHC","Commercial",,,"75",,"13.95","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HYDROCHLOROTHIAZIDE TAB","0637","RC","Both",,,"18.5","9.25","Medicaid",,,,"37",,"6.77","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PM OPHTH OINTMENT","0637","RC","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PM OPHTH OINTMENT","0637","RC","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PM OPHTH OINTMENT","0637","RC","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PM OPHTH OINTMENT","0637","RC","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PM OPHTH OINTMENT","0637","RC","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PM OPHTH OINTMENT","0637","RC","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PM OPHTH OINTMENT","0637","RC","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PM OPHTH OINTMENT","0637","RC","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PM OPHTH OINTMENT","0637","RC","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PM OPHTH OINTMENT","0637","RC","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PM OPHTH OINTMENT","0637","RC","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PM OPHTH OINTMENT","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PM OPHTH OINTMENT","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PM OPHTH OINTMENT","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PM OPHTH OINTMENT","0637","RC","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PM OPHTH OINTMENT","0637","RC","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PM OPHTH OINTMENT","0637","RC","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PM OPHTH OINTMENT","0637","RC","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PM OPHTH OINTMENT","0637","RC","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PM OPHTH OINTMENT","0637","RC","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH LIQUIGEL OPHTH GEL 1%","0637","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH LIQUIGEL OPHTH GEL 1%","0637","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH LIQUIGEL OPHTH GEL 1%","0637","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH LIQUIGEL OPHTH GEL 1%","0637","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH LIQUIGEL OPHTH GEL 1%","0637","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH LIQUIGEL OPHTH GEL 1%","0637","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH LIQUIGEL OPHTH GEL 1%","0637","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH LIQUIGEL OPHTH GEL 1%","0637","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH LIQUIGEL OPHTH GEL 1%","0637","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH LIQUIGEL OPHTH GEL 1%","0637","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH LIQUIGEL OPHTH GEL 1%","0637","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH LIQUIGEL OPHTH GEL 1%","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH LIQUIGEL OPHTH GEL 1%","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH LIQUIGEL OPHTH GEL 1%","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH LIQUIGEL OPHTH GEL 1%","0637","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH LIQUIGEL OPHTH GEL 1%","0637","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH LIQUIGEL OPHTH GEL 1%","0637","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH LIQUIGEL OPHTH GEL 1%","0637","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH LIQUIGEL OPHTH GEL 1%","0637","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH LIQUIGEL OPHTH GEL 1%","0637","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X ES ORAL LIQUIDFILLED CAPSULE 12","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X ES ORAL LIQUIDFILLED CAPSULE 12","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X ES ORAL LIQUIDFILLED CAPSULE 12","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X ES ORAL LIQUIDFILLED CAPSULE 12","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X ES ORAL LIQUIDFILLED CAPSULE 12","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X ES ORAL LIQUIDFILLED CAPSULE 12","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X ES ORAL LIQUIDFILLED CAPSULE 12","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X ES ORAL LIQUIDFILLED CAPSULE 12","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X ES ORAL LIQUIDFILLED CAPSULE 12","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X ES ORAL LIQUIDFILLED CAPSULE 12","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X ES ORAL LIQUIDFILLED CAPSULE 12","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X ES ORAL LIQUIDFILLED CAPSULE 12","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X ES ORAL LIQUIDFILLED CAPSULE 12","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X ES ORAL LIQUIDFILLED CAPSULE 12","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X ES ORAL LIQUIDFILLED CAPSULE 12","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X ES ORAL LIQUIDFILLED CAPSULE 12","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X ES ORAL LIQUIDFILLED CAPSULE 12","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X ES ORAL LIQUIDFILLED CAPSULE 12","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X ES ORAL LIQUIDFILLED CAPSULE 12","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X ES ORAL LIQUIDFILLED CAPSULE 12","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PM OPHTH OINTMENT 42.5%-57.3%","0637","RC","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PM OPHTH OINTMENT 42.5%-57.3%","0637","RC","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PM OPHTH OINTMENT 42.5%-57.3%","0637","RC","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PM OPHTH OINTMENT 42.5%-57.3%","0637","RC","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PM OPHTH OINTMENT 42.5%-57.3%","0637","RC","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PM OPHTH OINTMENT 42.5%-57.3%","0637","RC","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PM OPHTH OINTMENT 42.5%-57.3%","0637","RC","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PM OPHTH OINTMENT 42.5%-57.3%","0637","RC","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PM OPHTH OINTMENT 42.5%-57.3%","0637","RC","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PM OPHTH OINTMENT 42.5%-57.3%","0637","RC","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PM OPHTH OINTMENT 42.5%-57.3%","0637","RC","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PM OPHTH OINTMENT 42.5%-57.3%","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PM OPHTH OINTMENT 42.5%-57.3%","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PM OPHTH OINTMENT 42.5%-57.3%","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PM OPHTH OINTMENT 42.5%-57.3%","0637","RC","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PM OPHTH OINTMENT 42.5%-57.3%","0637","RC","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PM OPHTH OINTMENT 42.5%-57.3%","0637","RC","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PM OPHTH OINTMENT 42.5%-57.3%","0637","RC","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PM OPHTH OINTMENT 42.5%-57.3%","0637","RC","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PM OPHTH OINTMENT 42.5%-57.3%","0637","RC","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH TEARS OPHTH SOLUTION 0.5%","0637","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH TEARS OPHTH SOLUTION 0.5%","0637","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH TEARS OPHTH SOLUTION 0.5%","0637","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH TEARS OPHTH SOLUTION 0.5%","0637","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH TEARS OPHTH SOLUTION 0.5%","0637","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH TEARS OPHTH SOLUTION 0.5%","0637","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH TEARS OPHTH SOLUTION 0.5%","0637","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH TEARS OPHTH SOLUTION 0.5%","0637","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH TEARS OPHTH SOLUTION 0.5%","0637","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH TEARS OPHTH SOLUTION 0.5%","0637","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH TEARS OPHTH SOLUTION 0.5%","0637","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH TEARS OPHTH SOLUTION 0.5%","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH TEARS OPHTH SOLUTION 0.5%","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH TEARS OPHTH SOLUTION 0.5%","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH TEARS OPHTH SOLUTION 0.5%","0637","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH TEARS OPHTH SOLUTION 0.5%","0637","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH TEARS OPHTH SOLUTION 0.5%","0637","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH TEARS OPHTH SOLUTION 0.5%","0637","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH TEARS OPHTH SOLUTION 0.5%","0637","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH TEARS OPHTH SOLUTION 0.5%","0637","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"72","36","Alliant","Health Exchange",,,"62",,"44.64","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"72","36","Pruitt Healthcare","Medicare Advantage",,,"54",,"38.88","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"72","36","Medicare",,,,"54",,"39.02","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"72","36","Humana","Medicare Advantage",,,"54",,"39.02","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"72","36","UHC","Medicare Advantage",,,"54",,"39.02","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"72","36","Clover","Medicare Advantage",,,"54",,"39.02","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"72","36","Wellcare","Medicare Advantage",,,"54",,"39.02","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"72","36","Amerigroup","Medicaid Managed Care",,,"37",,"26.35","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"72","36","Caresource","Medicaid Managed Care",,,"40",,"28.8","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"72","36","Wellcare","Medicaid Managed Care",,,"40",,"29.16","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"72","36","Aetna","Commercial",,,"64",,"45.94","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"72","36","Blue Cross Blue Shield","Pathways",,,"71",,"50.83","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"72","36","Blue Cross Blue Shield","HMO",,,"71",,"50.83","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"72","36","Blue Cross Blue Shield","PPO",,,"71",,"50.83","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"72","36","Ambetter","Health Exchange",,,"62",,"44.64","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"72","36","Caresource","Health Exchange",,,"62",,"44.64","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"72","36","Cigna","Commercial",,,"59",,"42.19","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"72","36","Humana","Commercial",,,"78",,"55.8","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"72","36","UHC","Commercial",,,"75",,"54.29","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"72","36","Medicaid",,,,"37",,"26.35","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"64.5","32.25","Alliant","Health Exchange",,,"62",,"39.99","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"64.5","32.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"34.83","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"64.5","32.25","Medicare",,,,"54",,"34.96","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"64.5","32.25","Humana","Medicare Advantage",,,"54",,"34.96","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"64.5","32.25","UHC","Medicare Advantage",,,"54",,"34.96","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"64.5","32.25","Clover","Medicare Advantage",,,"54",,"34.96","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"64.5","32.25","Wellcare","Medicare Advantage",,,"54",,"34.96","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"64.5","32.25","Amerigroup","Medicaid Managed Care",,,"37",,"23.61","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"64.5","32.25","Caresource","Medicaid Managed Care",,,"40",,"25.8","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"64.5","32.25","Wellcare","Medicaid Managed Care",,,"40",,"26.12","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"64.5","32.25","Aetna","Commercial",,,"64",,"41.15","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"64.5","32.25","Blue Cross Blue Shield","Pathways",,,"71",,"45.54","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"64.5","32.25","Blue Cross Blue Shield","HMO",,,"71",,"45.54","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"64.5","32.25","Blue Cross Blue Shield","PPO",,,"71",,"45.54","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"64.5","32.25","Ambetter","Health Exchange",,,"62",,"39.99","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"64.5","32.25","Caresource","Health Exchange",,,"62",,"39.99","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"64.5","32.25","Cigna","Commercial",,,"59",,"37.8","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"64.5","32.25","Humana","Commercial",,,"78",,"49.99","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"64.5","32.25","UHC","Commercial",,,"75",,"48.63","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"64.5","32.25","Medicaid",,,,"37",,"23.61","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"58","29","Alliant","Health Exchange",,,"62",,"35.96","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"58","29","Pruitt Healthcare","Medicare Advantage",,,"54",,"31.32","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"58","29","Medicare",,,,"54",,"31.44","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"58","29","Humana","Medicare Advantage",,,"54",,"31.44","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"58","29","UHC","Medicare Advantage",,,"54",,"31.44","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"58","29","Clover","Medicare Advantage",,,"54",,"31.44","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"58","29","Wellcare","Medicare Advantage",,,"54",,"31.44","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"58","29","Amerigroup","Medicaid Managed Care",,,"37",,"21.23","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"58","29","Caresource","Medicaid Managed Care",,,"40",,"23.2","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"58","29","Wellcare","Medicaid Managed Care",,,"40",,"23.49","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"58","29","Aetna","Commercial",,,"64",,"37","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"58","29","Blue Cross Blue Shield","Pathways",,,"71",,"40.95","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"58","29","Blue Cross Blue Shield","HMO",,,"71",,"40.95","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"58","29","Blue Cross Blue Shield","PPO",,,"71",,"40.95","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"58","29","Ambetter","Health Exchange",,,"62",,"35.96","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"58","29","Caresource","Health Exchange",,,"62",,"35.96","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"58","29","Cigna","Commercial",,,"59",,"33.99","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"58","29","Humana","Commercial",,,"78",,"44.95","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"58","29","UHC","Commercial",,,"75",,"43.73","0.15","5264.58","percent of total billed charges",,
"NF-QVAR INH/NEB AER LIQ 0.08MG/1 ACTUATI","0637","RC","Both",,,"58","29","Medicaid",,,,"37",,"21.23","0.15","5264.58","percent of total billed charges",,
"NF-DANTROLENE SODIUM 100MG ORAL CAPSULE","0637","RC","Both",,,"6.5","3.25","Alliant","Health Exchange",,,"62",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-DANTROLENE SODIUM 100MG ORAL CAPSULE","0637","RC","Both",,,"6.5","3.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.51","0.15","5264.58","percent of total billed charges",,
"NF-DANTROLENE SODIUM 100MG ORAL CAPSULE","0637","RC","Both",,,"6.5","3.25","Medicare",,,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-DANTROLENE SODIUM 100MG ORAL CAPSULE","0637","RC","Both",,,"6.5","3.25","Humana","Medicare Advantage",,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-DANTROLENE SODIUM 100MG ORAL CAPSULE","0637","RC","Both",,,"6.5","3.25","UHC","Medicare Advantage",,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-DANTROLENE SODIUM 100MG ORAL CAPSULE","0637","RC","Both",,,"6.5","3.25","Clover","Medicare Advantage",,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-DANTROLENE SODIUM 100MG ORAL CAPSULE","0637","RC","Both",,,"6.5","3.25","Wellcare","Medicare Advantage",,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-DANTROLENE SODIUM 100MG ORAL CAPSULE","0637","RC","Both",,,"6.5","3.25","Amerigroup","Medicaid Managed Care",,,"37",,"2.38","0.15","5264.58","percent of total billed charges",,
"NF-DANTROLENE SODIUM 100MG ORAL CAPSULE","0637","RC","Both",,,"6.5","3.25","Caresource","Medicaid Managed Care",,,"40",,"2.6","0.15","5264.58","percent of total billed charges",,
"NF-DANTROLENE SODIUM 100MG ORAL CAPSULE","0637","RC","Both",,,"6.5","3.25","Wellcare","Medicaid Managed Care",,,"40",,"2.63","0.15","5264.58","percent of total billed charges",,
"NF-DANTROLENE SODIUM 100MG ORAL CAPSULE","0637","RC","Both",,,"6.5","3.25","Aetna","Commercial",,,"64",,"4.15","0.15","5264.58","percent of total billed charges",,
"NF-DANTROLENE SODIUM 100MG ORAL CAPSULE","0637","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","Pathways",,,"71",,"4.59","0.15","5264.58","percent of total billed charges",,
"NF-DANTROLENE SODIUM 100MG ORAL CAPSULE","0637","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","HMO",,,"71",,"4.59","0.15","5264.58","percent of total billed charges",,
"NF-DANTROLENE SODIUM 100MG ORAL CAPSULE","0637","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","PPO",,,"71",,"4.59","0.15","5264.58","percent of total billed charges",,
"NF-DANTROLENE SODIUM 100MG ORAL CAPSULE","0637","RC","Both",,,"6.5","3.25","Ambetter","Health Exchange",,,"62",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-DANTROLENE SODIUM 100MG ORAL CAPSULE","0637","RC","Both",,,"6.5","3.25","Caresource","Health Exchange",,,"62",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-DANTROLENE SODIUM 100MG ORAL CAPSULE","0637","RC","Both",,,"6.5","3.25","Cigna","Commercial",,,"59",,"3.81","0.15","5264.58","percent of total billed charges",,
"NF-DANTROLENE SODIUM 100MG ORAL CAPSULE","0637","RC","Both",,,"6.5","3.25","Humana","Commercial",,,"78",,"5.04","0.15","5264.58","percent of total billed charges",,
"NF-DANTROLENE SODIUM 100MG ORAL CAPSULE","0637","RC","Both",,,"6.5","3.25","UHC","Commercial",,,"75",,"4.9","0.15","5264.58","percent of total billed charges",,
"NF-DANTROLENE SODIUM 100MG ORAL CAPSULE","0637","RC","Both",,,"6.5","3.25","Medicaid",,,,"37",,"2.38","0.15","5264.58","percent of total billed charges",,
"NF-SAPHRIS SL TAB 5MG","0637","RC","Both",,,"41.5","20.75","Alliant","Health Exchange",,,"62",,"25.73","0.15","5264.58","percent of total billed charges",,
"NF-SAPHRIS SL TAB 5MG","0637","RC","Both",,,"41.5","20.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"22.41","0.15","5264.58","percent of total billed charges",,
"NF-SAPHRIS SL TAB 5MG","0637","RC","Both",,,"41.5","20.75","Medicare",,,,"54",,"22.49","0.15","5264.58","percent of total billed charges",,
"NF-SAPHRIS SL TAB 5MG","0637","RC","Both",,,"41.5","20.75","Humana","Medicare Advantage",,,"54",,"22.49","0.15","5264.58","percent of total billed charges",,
"NF-SAPHRIS SL TAB 5MG","0637","RC","Both",,,"41.5","20.75","UHC","Medicare Advantage",,,"54",,"22.49","0.15","5264.58","percent of total billed charges",,
"NF-SAPHRIS SL TAB 5MG","0637","RC","Both",,,"41.5","20.75","Clover","Medicare Advantage",,,"54",,"22.49","0.15","5264.58","percent of total billed charges",,
"NF-SAPHRIS SL TAB 5MG","0637","RC","Both",,,"41.5","20.75","Wellcare","Medicare Advantage",,,"54",,"22.49","0.15","5264.58","percent of total billed charges",,
"NF-SAPHRIS SL TAB 5MG","0637","RC","Both",,,"41.5","20.75","Amerigroup","Medicaid Managed Care",,,"37",,"15.19","0.15","5264.58","percent of total billed charges",,
"NF-SAPHRIS SL TAB 5MG","0637","RC","Both",,,"41.5","20.75","Caresource","Medicaid Managed Care",,,"40",,"16.6","0.15","5264.58","percent of total billed charges",,
"NF-SAPHRIS SL TAB 5MG","0637","RC","Both",,,"41.5","20.75","Wellcare","Medicaid Managed Care",,,"40",,"16.81","0.15","5264.58","percent of total billed charges",,
"NF-SAPHRIS SL TAB 5MG","0637","RC","Both",,,"41.5","20.75","Aetna","Commercial",,,"64",,"26.48","0.15","5264.58","percent of total billed charges",,
"NF-SAPHRIS SL TAB 5MG","0637","RC","Both",,,"41.5","20.75","Blue Cross Blue Shield","Pathways",,,"71",,"29.3","0.15","5264.58","percent of total billed charges",,
"NF-SAPHRIS SL TAB 5MG","0637","RC","Both",,,"41.5","20.75","Blue Cross Blue Shield","HMO",,,"71",,"29.3","0.15","5264.58","percent of total billed charges",,
"NF-SAPHRIS SL TAB 5MG","0637","RC","Both",,,"41.5","20.75","Blue Cross Blue Shield","PPO",,,"71",,"29.3","0.15","5264.58","percent of total billed charges",,
"NF-SAPHRIS SL TAB 5MG","0637","RC","Both",,,"41.5","20.75","Ambetter","Health Exchange",,,"62",,"25.73","0.15","5264.58","percent of total billed charges",,
"NF-SAPHRIS SL TAB 5MG","0637","RC","Both",,,"41.5","20.75","Caresource","Health Exchange",,,"62",,"25.73","0.15","5264.58","percent of total billed charges",,
"NF-SAPHRIS SL TAB 5MG","0637","RC","Both",,,"41.5","20.75","Cigna","Commercial",,,"59",,"24.32","0.15","5264.58","percent of total billed charges",,
"NF-SAPHRIS SL TAB 5MG","0637","RC","Both",,,"41.5","20.75","Humana","Commercial",,,"78",,"32.16","0.15","5264.58","percent of total billed charges",,
"NF-SAPHRIS SL TAB 5MG","0637","RC","Both",,,"41.5","20.75","UHC","Commercial",,,"75",,"31.29","0.15","5264.58","percent of total billed charges",,
"NF-SAPHRIS SL TAB 5MG","0637","RC","Both",,,"41.5","20.75","Medicaid",,,,"37",,"15.19","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE 0.03% NASAL SPRAY","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE 0.03% NASAL SPRAY","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE 0.03% NASAL SPRAY","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE 0.03% NASAL SPRAY","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE 0.03% NASAL SPRAY","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE 0.03% NASAL SPRAY","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE 0.03% NASAL SPRAY","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE 0.03% NASAL SPRAY","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE 0.03% NASAL SPRAY","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE 0.03% NASAL SPRAY","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE 0.03% NASAL SPRAY","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE 0.03% NASAL SPRAY","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE 0.03% NASAL SPRAY","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE 0.03% NASAL SPRAY","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE 0.03% NASAL SPRAY","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE 0.03% NASAL SPRAY","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE 0.03% NASAL SPRAY","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE 0.03% NASAL SPRAY","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE 0.03% NASAL SPRAY","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE 0.03% NASAL SPRAY","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-BUSPAR 5MG ORAL TABLET","0637","RC","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-BUSPAR 5MG ORAL TABLET","0637","RC","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","0.15","5264.58","percent of total billed charges",,
"NF-BUSPAR 5MG ORAL TABLET","0637","RC","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-BUSPAR 5MG ORAL TABLET","0637","RC","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-BUSPAR 5MG ORAL TABLET","0637","RC","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-BUSPAR 5MG ORAL TABLET","0637","RC","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-BUSPAR 5MG ORAL TABLET","0637","RC","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-BUSPAR 5MG ORAL TABLET","0637","RC","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","0.15","5264.58","percent of total billed charges",,
"NF-BUSPAR 5MG ORAL TABLET","0637","RC","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","0.15","5264.58","percent of total billed charges",,
"NF-BUSPAR 5MG ORAL TABLET","0637","RC","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","0.15","5264.58","percent of total billed charges",,
"NF-BUSPAR 5MG ORAL TABLET","0637","RC","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","0.15","5264.58","percent of total billed charges",,
"NF-BUSPAR 5MG ORAL TABLET","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-BUSPAR 5MG ORAL TABLET","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-BUSPAR 5MG ORAL TABLET","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-BUSPAR 5MG ORAL TABLET","0637","RC","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-BUSPAR 5MG ORAL TABLET","0637","RC","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-BUSPAR 5MG ORAL TABLET","0637","RC","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","0.15","5264.58","percent of total billed charges",,
"NF-BUSPAR 5MG ORAL TABLET","0637","RC","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-BUSPAR 5MG ORAL TABLET","0637","RC","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","0.15","5264.58","percent of total billed charges",,
"NF-BUSPAR 5MG ORAL TABLET","0637","RC","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 15MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 15MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 15MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 15MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 15MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 15MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 15MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 15MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 15MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 15MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 15MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 15MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 15MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 15MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 15MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 15MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 15MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 15MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 15MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL TAB 15MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL TABLET 10MG","0637","RC","Both",,,"1.5","0.75","Alliant","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL TABLET 10MG","0637","RC","Both",,,"1.5","0.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL TABLET 10MG","0637","RC","Both",,,"1.5","0.75","Medicare",,,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL TABLET 10MG","0637","RC","Both",,,"1.5","0.75","Humana","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL TABLET 10MG","0637","RC","Both",,,"1.5","0.75","UHC","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL TABLET 10MG","0637","RC","Both",,,"1.5","0.75","Clover","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL TABLET 10MG","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL TABLET 10MG","0637","RC","Both",,,"1.5","0.75","Amerigroup","Medicaid Managed Care",,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL TABLET 10MG","0637","RC","Both",,,"1.5","0.75","Caresource","Medicaid Managed Care",,,"40",,"0.6","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL TABLET 10MG","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicaid Managed Care",,,"40",,"0.61","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL TABLET 10MG","0637","RC","Both",,,"1.5","0.75","Aetna","Commercial",,,"64",,"0.96","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL TABLET 10MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","Pathways",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL TABLET 10MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","HMO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL TABLET 10MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","PPO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL TABLET 10MG","0637","RC","Both",,,"1.5","0.75","Ambetter","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL TABLET 10MG","0637","RC","Both",,,"1.5","0.75","Caresource","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL TABLET 10MG","0637","RC","Both",,,"1.5","0.75","Cigna","Commercial",,,"59",,"0.88","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL TABLET 10MG","0637","RC","Both",,,"1.5","0.75","Humana","Commercial",,,"78",,"1.16","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL TABLET 10MG","0637","RC","Both",,,"1.5","0.75","UHC","Commercial",,,"75",,"1.13","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL TABLET 10MG","0637","RC","Both",,,"1.5","0.75","Medicaid",,,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-INSPRA TAB 25MG","0637","RC","Both",,,"22.5","11.25","Alliant","Health Exchange",,,"62",,"13.95","0.15","5264.58","percent of total billed charges",,
"NF-INSPRA TAB 25MG","0637","RC","Both",,,"22.5","11.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.15","0.15","5264.58","percent of total billed charges",,
"NF-INSPRA TAB 25MG","0637","RC","Both",,,"22.5","11.25","Medicare",,,,"54",,"12.2","0.15","5264.58","percent of total billed charges",,
"NF-INSPRA TAB 25MG","0637","RC","Both",,,"22.5","11.25","Humana","Medicare Advantage",,,"54",,"12.2","0.15","5264.58","percent of total billed charges",,
"NF-INSPRA TAB 25MG","0637","RC","Both",,,"22.5","11.25","UHC","Medicare Advantage",,,"54",,"12.2","0.15","5264.58","percent of total billed charges",,
"NF-INSPRA TAB 25MG","0637","RC","Both",,,"22.5","11.25","Clover","Medicare Advantage",,,"54",,"12.2","0.15","5264.58","percent of total billed charges",,
"NF-INSPRA TAB 25MG","0637","RC","Both",,,"22.5","11.25","Wellcare","Medicare Advantage",,,"54",,"12.2","0.15","5264.58","percent of total billed charges",,
"NF-INSPRA TAB 25MG","0637","RC","Both",,,"22.5","11.25","Amerigroup","Medicaid Managed Care",,,"37",,"8.24","0.15","5264.58","percent of total billed charges",,
"NF-INSPRA TAB 25MG","0637","RC","Both",,,"22.5","11.25","Caresource","Medicaid Managed Care",,,"40",,"9","0.15","5264.58","percent of total billed charges",,
"NF-INSPRA TAB 25MG","0637","RC","Both",,,"22.5","11.25","Wellcare","Medicaid Managed Care",,,"40",,"9.11","0.15","5264.58","percent of total billed charges",,
"NF-INSPRA TAB 25MG","0637","RC","Both",,,"22.5","11.25","Aetna","Commercial",,,"64",,"14.36","0.15","5264.58","percent of total billed charges",,
"NF-INSPRA TAB 25MG","0637","RC","Both",,,"22.5","11.25","Blue Cross Blue Shield","Pathways",,,"71",,"15.88","0.15","5264.58","percent of total billed charges",,
"NF-INSPRA TAB 25MG","0637","RC","Both",,,"22.5","11.25","Blue Cross Blue Shield","HMO",,,"71",,"15.88","0.15","5264.58","percent of total billed charges",,
"NF-INSPRA TAB 25MG","0637","RC","Both",,,"22.5","11.25","Blue Cross Blue Shield","PPO",,,"71",,"15.88","0.15","5264.58","percent of total billed charges",,
"NF-INSPRA TAB 25MG","0637","RC","Both",,,"22.5","11.25","Ambetter","Health Exchange",,,"62",,"13.95","0.15","5264.58","percent of total billed charges",,
"NF-INSPRA TAB 25MG","0637","RC","Both",,,"22.5","11.25","Caresource","Health Exchange",,,"62",,"13.95","0.15","5264.58","percent of total billed charges",,
"NF-INSPRA TAB 25MG","0637","RC","Both",,,"22.5","11.25","Cigna","Commercial",,,"59",,"13.18","0.15","5264.58","percent of total billed charges",,
"NF-INSPRA TAB 25MG","0637","RC","Both",,,"22.5","11.25","Humana","Commercial",,,"78",,"17.44","0.15","5264.58","percent of total billed charges",,
"NF-INSPRA TAB 25MG","0637","RC","Both",,,"22.5","11.25","UHC","Commercial",,,"75",,"16.96","0.15","5264.58","percent of total billed charges",,
"NF-INSPRA TAB 25MG","0637","RC","Both",,,"22.5","11.25","Medicaid",,,,"37",,"8.24","0.15","5264.58","percent of total billed charges",,
"NF-ALTACE CAP 5MG","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-ALTACE CAP 5MG","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"NF-ALTACE CAP 5MG","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-ALTACE CAP 5MG","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-ALTACE CAP 5MG","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-ALTACE CAP 5MG","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-ALTACE CAP 5MG","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-ALTACE CAP 5MG","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"NF-ALTACE CAP 5MG","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"NF-ALTACE CAP 5MG","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"NF-ALTACE CAP 5MG","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"NF-ALTACE CAP 5MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-ALTACE CAP 5MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-ALTACE CAP 5MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-ALTACE CAP 5MG","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-ALTACE CAP 5MG","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-ALTACE CAP 5MG","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"NF-ALTACE CAP 5MG","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-ALTACE CAP 5MG","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"NF-ALTACE CAP 5MG","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"NF-AZATHIOPRINE ORAL TABLET 50MG","0637","RC","Both",,,"2.5","1.25","Alliant","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-AZATHIOPRINE ORAL TABLET 50MG","0637","RC","Both",,,"2.5","1.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.35","0.15","5264.58","percent of total billed charges",,
"NF-AZATHIOPRINE ORAL TABLET 50MG","0637","RC","Both",,,"2.5","1.25","Medicare",,,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-AZATHIOPRINE ORAL TABLET 50MG","0637","RC","Both",,,"2.5","1.25","Humana","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-AZATHIOPRINE ORAL TABLET 50MG","0637","RC","Both",,,"2.5","1.25","UHC","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-AZATHIOPRINE ORAL TABLET 50MG","0637","RC","Both",,,"2.5","1.25","Clover","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-AZATHIOPRINE ORAL TABLET 50MG","0637","RC","Both",,,"2.5","1.25","Wellcare","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-AZATHIOPRINE ORAL TABLET 50MG","0637","RC","Both",,,"2.5","1.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.92","0.15","5264.58","percent of total billed charges",,
"NF-AZATHIOPRINE ORAL TABLET 50MG","0637","RC","Both",,,"2.5","1.25","Caresource","Medicaid Managed Care",,,"40",,"1","0.15","5264.58","percent of total billed charges",,
"NF-AZATHIOPRINE ORAL TABLET 50MG","0637","RC","Both",,,"2.5","1.25","Wellcare","Medicaid Managed Care",,,"40",,"1.01","0.15","5264.58","percent of total billed charges",,
"NF-AZATHIOPRINE ORAL TABLET 50MG","0637","RC","Both",,,"2.5","1.25","Aetna","Commercial",,,"64",,"1.6","0.15","5264.58","percent of total billed charges",,
"NF-AZATHIOPRINE ORAL TABLET 50MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","Pathways",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-AZATHIOPRINE ORAL TABLET 50MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","HMO",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-AZATHIOPRINE ORAL TABLET 50MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","PPO",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-AZATHIOPRINE ORAL TABLET 50MG","0637","RC","Both",,,"2.5","1.25","Ambetter","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-AZATHIOPRINE ORAL TABLET 50MG","0637","RC","Both",,,"2.5","1.25","Caresource","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-AZATHIOPRINE ORAL TABLET 50MG","0637","RC","Both",,,"2.5","1.25","Cigna","Commercial",,,"59",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-AZATHIOPRINE ORAL TABLET 50MG","0637","RC","Both",,,"2.5","1.25","Humana","Commercial",,,"78",,"1.94","0.15","5264.58","percent of total billed charges",,
"NF-AZATHIOPRINE ORAL TABLET 50MG","0637","RC","Both",,,"2.5","1.25","UHC","Commercial",,,"75",,"1.88","0.15","5264.58","percent of total billed charges",,
"NF-AZATHIOPRINE ORAL TABLET 50MG","0637","RC","Both",,,"2.5","1.25","Medicaid",,,,"37",,"0.92","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HYDROCHLORIDE 2% OPHTHALM","0637","RC","Both",,,"20","10","Alliant","Health Exchange",,,"62",,"12.4","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HYDROCHLORIDE 2% OPHTHALM","0637","RC","Both",,,"20","10","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.8","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HYDROCHLORIDE 2% OPHTHALM","0637","RC","Both",,,"20","10","Medicare",,,,"54",,"10.84","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HYDROCHLORIDE 2% OPHTHALM","0637","RC","Both",,,"20","10","Humana","Medicare Advantage",,,"54",,"10.84","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HYDROCHLORIDE 2% OPHTHALM","0637","RC","Both",,,"20","10","UHC","Medicare Advantage",,,"54",,"10.84","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HYDROCHLORIDE 2% OPHTHALM","0637","RC","Both",,,"20","10","Clover","Medicare Advantage",,,"54",,"10.84","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HYDROCHLORIDE 2% OPHTHALM","0637","RC","Both",,,"20","10","Wellcare","Medicare Advantage",,,"54",,"10.84","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HYDROCHLORIDE 2% OPHTHALM","0637","RC","Both",,,"20","10","Amerigroup","Medicaid Managed Care",,,"37",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HYDROCHLORIDE 2% OPHTHALM","0637","RC","Both",,,"20","10","Caresource","Medicaid Managed Care",,,"40",,"8","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HYDROCHLORIDE 2% OPHTHALM","0637","RC","Both",,,"20","10","Wellcare","Medicaid Managed Care",,,"40",,"8.1","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HYDROCHLORIDE 2% OPHTHALM","0637","RC","Both",,,"20","10","Aetna","Commercial",,,"64",,"12.76","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HYDROCHLORIDE 2% OPHTHALM","0637","RC","Both",,,"20","10","Blue Cross Blue Shield","Pathways",,,"71",,"14.12","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HYDROCHLORIDE 2% OPHTHALM","0637","RC","Both",,,"20","10","Blue Cross Blue Shield","HMO",,,"71",,"14.12","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HYDROCHLORIDE 2% OPHTHALM","0637","RC","Both",,,"20","10","Blue Cross Blue Shield","PPO",,,"71",,"14.12","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HYDROCHLORIDE 2% OPHTHALM","0637","RC","Both",,,"20","10","Ambetter","Health Exchange",,,"62",,"12.4","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HYDROCHLORIDE 2% OPHTHALM","0637","RC","Both",,,"20","10","Caresource","Health Exchange",,,"62",,"12.4","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HYDROCHLORIDE 2% OPHTHALM","0637","RC","Both",,,"20","10","Cigna","Commercial",,,"59",,"11.72","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HYDROCHLORIDE 2% OPHTHALM","0637","RC","Both",,,"20","10","Humana","Commercial",,,"78",,"15.5","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HYDROCHLORIDE 2% OPHTHALM","0637","RC","Both",,,"20","10","UHC","Commercial",,,"75",,"15.08","0.15","5264.58","percent of total billed charges",,
"NF-DORZOLAMIDE HYDROCHLORIDE 2% OPHTHALM","0637","RC","Both",,,"20","10","Medicaid",,,,"37",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 5MG ORAL TABLET","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 5MG ORAL TABLET","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 5MG ORAL TABLET","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 5MG ORAL TABLET","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 5MG ORAL TABLET","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 5MG ORAL TABLET","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 5MG ORAL TABLET","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 5MG ORAL TABLET","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 5MG ORAL TABLET","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 5MG ORAL TABLET","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 5MG ORAL TABLET","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 5MG ORAL TABLET","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 5MG ORAL TABLET","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 5MG ORAL TABLET","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 5MG ORAL TABLET","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 5MG ORAL TABLET","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 5MG ORAL TABLET","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 5MG ORAL TABLET","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 5MG ORAL TABLET","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 5MG ORAL TABLET","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE","0637","RC","Both",,,"44.5","22.25","Alliant","Health Exchange",,,"62",,"27.59","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE","0637","RC","Both",,,"44.5","22.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"24.03","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE","0637","RC","Both",,,"44.5","22.25","Medicare",,,,"54",,"24.12","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE","0637","RC","Both",,,"44.5","22.25","Humana","Medicare Advantage",,,"54",,"24.12","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE","0637","RC","Both",,,"44.5","22.25","UHC","Medicare Advantage",,,"54",,"24.12","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE","0637","RC","Both",,,"44.5","22.25","Clover","Medicare Advantage",,,"54",,"24.12","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE","0637","RC","Both",,,"44.5","22.25","Wellcare","Medicare Advantage",,,"54",,"24.12","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE","0637","RC","Both",,,"44.5","22.25","Amerigroup","Medicaid Managed Care",,,"37",,"16.29","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE","0637","RC","Both",,,"44.5","22.25","Caresource","Medicaid Managed Care",,,"40",,"17.8","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE","0637","RC","Both",,,"44.5","22.25","Wellcare","Medicaid Managed Care",,,"40",,"18.02","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE","0637","RC","Both",,,"44.5","22.25","Aetna","Commercial",,,"64",,"28.39","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE","0637","RC","Both",,,"44.5","22.25","Blue Cross Blue Shield","Pathways",,,"71",,"31.42","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE","0637","RC","Both",,,"44.5","22.25","Blue Cross Blue Shield","HMO",,,"71",,"31.42","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE","0637","RC","Both",,,"44.5","22.25","Blue Cross Blue Shield","PPO",,,"71",,"31.42","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE","0637","RC","Both",,,"44.5","22.25","Ambetter","Health Exchange",,,"62",,"27.59","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE","0637","RC","Both",,,"44.5","22.25","Caresource","Health Exchange",,,"62",,"27.59","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE","0637","RC","Both",,,"44.5","22.25","Cigna","Commercial",,,"59",,"26.08","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE","0637","RC","Both",,,"44.5","22.25","Humana","Commercial",,,"78",,"34.49","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE","0637","RC","Both",,,"44.5","22.25","UHC","Commercial",,,"75",,"33.55","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE","0637","RC","Both",,,"44.5","22.25","Medicaid",,,,"37",,"16.29","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12","0637","RC","Both",,,"4.5","2.25","Alliant","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12","0637","RC","Both",,,"4.5","2.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12","0637","RC","Both",,,"4.5","2.25","Medicare",,,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12","0637","RC","Both",,,"4.5","2.25","Humana","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12","0637","RC","Both",,,"4.5","2.25","UHC","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12","0637","RC","Both",,,"4.5","2.25","Clover","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12","0637","RC","Both",,,"4.5","2.25","Wellcare","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12","0637","RC","Both",,,"4.5","2.25","Amerigroup","Medicaid Managed Care",,,"37",,"1.65","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12","0637","RC","Both",,,"4.5","2.25","Caresource","Medicaid Managed Care",,,"40",,"1.8","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12","0637","RC","Both",,,"4.5","2.25","Wellcare","Medicaid Managed Care",,,"40",,"1.82","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12","0637","RC","Both",,,"4.5","2.25","Aetna","Commercial",,,"64",,"2.87","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","Pathways",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","HMO",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","PPO",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12","0637","RC","Both",,,"4.5","2.25","Ambetter","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12","0637","RC","Both",,,"4.5","2.25","Caresource","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12","0637","RC","Both",,,"4.5","2.25","Cigna","Commercial",,,"59",,"2.64","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12","0637","RC","Both",,,"4.5","2.25","Humana","Commercial",,,"78",,"3.49","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12","0637","RC","Both",,,"4.5","2.25","UHC","Commercial",,,"75",,"3.39","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12","0637","RC","Both",,,"4.5","2.25","Medicaid",,,,"37",,"1.65","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL 24 HR TAB ER 300MG","0637","RC","Both",,,"21.5","10.75","Alliant","Health Exchange",,,"62",,"13.33","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL 24 HR TAB ER 300MG","0637","RC","Both",,,"21.5","10.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.61","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL 24 HR TAB ER 300MG","0637","RC","Both",,,"21.5","10.75","Medicare",,,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL 24 HR TAB ER 300MG","0637","RC","Both",,,"21.5","10.75","Humana","Medicare Advantage",,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL 24 HR TAB ER 300MG","0637","RC","Both",,,"21.5","10.75","UHC","Medicare Advantage",,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL 24 HR TAB ER 300MG","0637","RC","Both",,,"21.5","10.75","Clover","Medicare Advantage",,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL 24 HR TAB ER 300MG","0637","RC","Both",,,"21.5","10.75","Wellcare","Medicare Advantage",,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL 24 HR TAB ER 300MG","0637","RC","Both",,,"21.5","10.75","Amerigroup","Medicaid Managed Care",,,"37",,"7.87","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL 24 HR TAB ER 300MG","0637","RC","Both",,,"21.5","10.75","Caresource","Medicaid Managed Care",,,"40",,"8.6","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL 24 HR TAB ER 300MG","0637","RC","Both",,,"21.5","10.75","Wellcare","Medicaid Managed Care",,,"40",,"8.71","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL 24 HR TAB ER 300MG","0637","RC","Both",,,"21.5","10.75","Aetna","Commercial",,,"64",,"13.72","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL 24 HR TAB ER 300MG","0637","RC","Both",,,"21.5","10.75","Blue Cross Blue Shield","Pathways",,,"71",,"15.18","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL 24 HR TAB ER 300MG","0637","RC","Both",,,"21.5","10.75","Blue Cross Blue Shield","HMO",,,"71",,"15.18","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL 24 HR TAB ER 300MG","0637","RC","Both",,,"21.5","10.75","Blue Cross Blue Shield","PPO",,,"71",,"15.18","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL 24 HR TAB ER 300MG","0637","RC","Both",,,"21.5","10.75","Ambetter","Health Exchange",,,"62",,"13.33","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL 24 HR TAB ER 300MG","0637","RC","Both",,,"21.5","10.75","Caresource","Health Exchange",,,"62",,"13.33","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL 24 HR TAB ER 300MG","0637","RC","Both",,,"21.5","10.75","Cigna","Commercial",,,"59",,"12.6","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL 24 HR TAB ER 300MG","0637","RC","Both",,,"21.5","10.75","Humana","Commercial",,,"78",,"16.66","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL 24 HR TAB ER 300MG","0637","RC","Both",,,"21.5","10.75","UHC","Commercial",,,"75",,"16.21","0.15","5264.58","percent of total billed charges",,
"NF-BUPROPION HCL 24 HR TAB ER 300MG","0637","RC","Both",,,"21.5","10.75","Medicaid",,,,"37",,"7.87","0.15","5264.58","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE ORAL TAB ER 100M","0637","RC","Both",,,"5.5","2.75","Alliant","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE ORAL TAB ER 100M","0637","RC","Both",,,"5.5","2.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.97","0.15","5264.58","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE ORAL TAB ER 100M","0637","RC","Both",,,"5.5","2.75","Medicare",,,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE ORAL TAB ER 100M","0637","RC","Both",,,"5.5","2.75","Humana","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE ORAL TAB ER 100M","0637","RC","Both",,,"5.5","2.75","UHC","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE ORAL TAB ER 100M","0637","RC","Both",,,"5.5","2.75","Clover","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE ORAL TAB ER 100M","0637","RC","Both",,,"5.5","2.75","Wellcare","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE ORAL TAB ER 100M","0637","RC","Both",,,"5.5","2.75","Amerigroup","Medicaid Managed Care",,,"37",,"2.01","0.15","5264.58","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE ORAL TAB ER 100M","0637","RC","Both",,,"5.5","2.75","Caresource","Medicaid Managed Care",,,"40",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE ORAL TAB ER 100M","0637","RC","Both",,,"5.5","2.75","Wellcare","Medicaid Managed Care",,,"40",,"2.23","0.15","5264.58","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE ORAL TAB ER 100M","0637","RC","Both",,,"5.5","2.75","Aetna","Commercial",,,"64",,"3.51","0.15","5264.58","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE ORAL TAB ER 100M","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","Pathways",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE ORAL TAB ER 100M","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","HMO",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE ORAL TAB ER 100M","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","PPO",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE ORAL TAB ER 100M","0637","RC","Both",,,"5.5","2.75","Ambetter","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE ORAL TAB ER 100M","0637","RC","Both",,,"5.5","2.75","Caresource","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE ORAL TAB ER 100M","0637","RC","Both",,,"5.5","2.75","Cigna","Commercial",,,"59",,"3.22","0.15","5264.58","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE ORAL TAB ER 100M","0637","RC","Both",,,"5.5","2.75","Humana","Commercial",,,"78",,"4.26","0.15","5264.58","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE ORAL TAB ER 100M","0637","RC","Both",,,"5.5","2.75","UHC","Commercial",,,"75",,"4.15","0.15","5264.58","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE ORAL TAB ER 100M","0637","RC","Both",,,"5.5","2.75","Medicaid",,,,"37",,"2.01","0.15","5264.58","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 100MG","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 100MG","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 100MG","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 100MG","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 100MG","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 100MG","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 100MG","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 100MG","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 100MG","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 100MG","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 100MG","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 100MG","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 100MG","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 100MG","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 100MG","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 100MG","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 100MG","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 100MG","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 100MG","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 100MG","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"NF-LEVEMIR  SUBQ SOLN 100U/1ML","0637","RC","Both",,,"80","40","Alliant","Health Exchange",,,"62",,"49.6","0.15","5264.58","percent of total billed charges",,
"NF-LEVEMIR  SUBQ SOLN 100U/1ML","0637","RC","Both",,,"80","40","Pruitt Healthcare","Medicare Advantage",,,"54",,"43.2","0.15","5264.58","percent of total billed charges",,
"NF-LEVEMIR  SUBQ SOLN 100U/1ML","0637","RC","Both",,,"80","40","Medicare",,,,"54",,"43.36","0.15","5264.58","percent of total billed charges",,
"NF-LEVEMIR  SUBQ SOLN 100U/1ML","0637","RC","Both",,,"80","40","Humana","Medicare Advantage",,,"54",,"43.36","0.15","5264.58","percent of total billed charges",,
"NF-LEVEMIR  SUBQ SOLN 100U/1ML","0637","RC","Both",,,"80","40","UHC","Medicare Advantage",,,"54",,"43.36","0.15","5264.58","percent of total billed charges",,
"NF-LEVEMIR  SUBQ SOLN 100U/1ML","0637","RC","Both",,,"80","40","Clover","Medicare Advantage",,,"54",,"43.36","0.15","5264.58","percent of total billed charges",,
"NF-LEVEMIR  SUBQ SOLN 100U/1ML","0637","RC","Both",,,"80","40","Wellcare","Medicare Advantage",,,"54",,"43.36","0.15","5264.58","percent of total billed charges",,
"NF-LEVEMIR  SUBQ SOLN 100U/1ML","0637","RC","Both",,,"80","40","Amerigroup","Medicaid Managed Care",,,"37",,"29.28","0.15","5264.58","percent of total billed charges",,
"NF-LEVEMIR  SUBQ SOLN 100U/1ML","0637","RC","Both",,,"80","40","Caresource","Medicaid Managed Care",,,"40",,"32","0.15","5264.58","percent of total billed charges",,
"NF-LEVEMIR  SUBQ SOLN 100U/1ML","0637","RC","Both",,,"80","40","Wellcare","Medicaid Managed Care",,,"40",,"32.4","0.15","5264.58","percent of total billed charges",,
"NF-LEVEMIR  SUBQ SOLN 100U/1ML","0637","RC","Both",,,"80","40","Aetna","Commercial",,,"64",,"51.04","0.15","5264.58","percent of total billed charges",,
"NF-LEVEMIR  SUBQ SOLN 100U/1ML","0637","RC","Both",,,"80","40","Blue Cross Blue Shield","Pathways",,,"71",,"56.48","0.15","5264.58","percent of total billed charges",,
"NF-LEVEMIR  SUBQ SOLN 100U/1ML","0637","RC","Both",,,"80","40","Blue Cross Blue Shield","HMO",,,"71",,"56.48","0.15","5264.58","percent of total billed charges",,
"NF-LEVEMIR  SUBQ SOLN 100U/1ML","0637","RC","Both",,,"80","40","Blue Cross Blue Shield","PPO",,,"71",,"56.48","0.15","5264.58","percent of total billed charges",,
"NF-LEVEMIR  SUBQ SOLN 100U/1ML","0637","RC","Both",,,"80","40","Ambetter","Health Exchange",,,"62",,"49.6","0.15","5264.58","percent of total billed charges",,
"NF-LEVEMIR  SUBQ SOLN 100U/1ML","0637","RC","Both",,,"80","40","Caresource","Health Exchange",,,"62",,"49.6","0.15","5264.58","percent of total billed charges",,
"NF-LEVEMIR  SUBQ SOLN 100U/1ML","0637","RC","Both",,,"80","40","Cigna","Commercial",,,"59",,"46.88","0.15","5264.58","percent of total billed charges",,
"NF-LEVEMIR  SUBQ SOLN 100U/1ML","0637","RC","Both",,,"80","40","Humana","Commercial",,,"78",,"62","0.15","5264.58","percent of total billed charges",,
"NF-LEVEMIR  SUBQ SOLN 100U/1ML","0637","RC","Both",,,"80","40","UHC","Commercial",,,"75",,"60.32","0.15","5264.58","percent of total billed charges",,
"NF-LEVEMIR  SUBQ SOLN 100U/1ML","0637","RC","Both",,,"80","40","Medicaid",,,,"37",,"29.28","0.15","5264.58","percent of total billed charges",,
"NF-HUMALOG INJECTION 100U/ML","0637","RC","Both",,,"66.5","33.25","Alliant","Health Exchange",,,"62",,"41.23","0.15","5264.58","percent of total billed charges",,
"NF-HUMALOG INJECTION 100U/ML","0637","RC","Both",,,"66.5","33.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"35.91","0.15","5264.58","percent of total billed charges",,
"NF-HUMALOG INJECTION 100U/ML","0637","RC","Both",,,"66.5","33.25","Medicare",,,,"54",,"36.04","0.15","5264.58","percent of total billed charges",,
"NF-HUMALOG INJECTION 100U/ML","0637","RC","Both",,,"66.5","33.25","Humana","Medicare Advantage",,,"54",,"36.04","0.15","5264.58","percent of total billed charges",,
"NF-HUMALOG INJECTION 100U/ML","0637","RC","Both",,,"66.5","33.25","UHC","Medicare Advantage",,,"54",,"36.04","0.15","5264.58","percent of total billed charges",,
"NF-HUMALOG INJECTION 100U/ML","0637","RC","Both",,,"66.5","33.25","Clover","Medicare Advantage",,,"54",,"36.04","0.15","5264.58","percent of total billed charges",,
"NF-HUMALOG INJECTION 100U/ML","0637","RC","Both",,,"66.5","33.25","Wellcare","Medicare Advantage",,,"54",,"36.04","0.15","5264.58","percent of total billed charges",,
"NF-HUMALOG INJECTION 100U/ML","0637","RC","Both",,,"66.5","33.25","Amerigroup","Medicaid Managed Care",,,"37",,"24.34","0.15","5264.58","percent of total billed charges",,
"NF-HUMALOG INJECTION 100U/ML","0637","RC","Both",,,"66.5","33.25","Caresource","Medicaid Managed Care",,,"40",,"26.6","0.15","5264.58","percent of total billed charges",,
"NF-HUMALOG INJECTION 100U/ML","0637","RC","Both",,,"66.5","33.25","Wellcare","Medicaid Managed Care",,,"40",,"26.93","0.15","5264.58","percent of total billed charges",,
"NF-HUMALOG INJECTION 100U/ML","0637","RC","Both",,,"66.5","33.25","Aetna","Commercial",,,"64",,"42.43","0.15","5264.58","percent of total billed charges",,
"NF-HUMALOG INJECTION 100U/ML","0637","RC","Both",,,"66.5","33.25","Blue Cross Blue Shield","Pathways",,,"71",,"46.95","0.15","5264.58","percent of total billed charges",,
"NF-HUMALOG INJECTION 100U/ML","0637","RC","Both",,,"66.5","33.25","Blue Cross Blue Shield","HMO",,,"71",,"46.95","0.15","5264.58","percent of total billed charges",,
"NF-HUMALOG INJECTION 100U/ML","0637","RC","Both",,,"66.5","33.25","Blue Cross Blue Shield","PPO",,,"71",,"46.95","0.15","5264.58","percent of total billed charges",,
"NF-HUMALOG INJECTION 100U/ML","0637","RC","Both",,,"66.5","33.25","Ambetter","Health Exchange",,,"62",,"41.23","0.15","5264.58","percent of total billed charges",,
"NF-HUMALOG INJECTION 100U/ML","0637","RC","Both",,,"66.5","33.25","Caresource","Health Exchange",,,"62",,"41.23","0.15","5264.58","percent of total billed charges",,
"NF-HUMALOG INJECTION 100U/ML","0637","RC","Both",,,"66.5","33.25","Cigna","Commercial",,,"59",,"38.97","0.15","5264.58","percent of total billed charges",,
"NF-HUMALOG INJECTION 100U/ML","0637","RC","Both",,,"66.5","33.25","Humana","Commercial",,,"78",,"51.54","0.15","5264.58","percent of total billed charges",,
"NF-HUMALOG INJECTION 100U/ML","0637","RC","Both",,,"66.5","33.25","UHC","Commercial",,,"75",,"50.14","0.15","5264.58","percent of total billed charges",,
"NF-HUMALOG INJECTION 100U/ML","0637","RC","Both",,,"66.5","33.25","Medicaid",,,,"37",,"24.34","0.15","5264.58","percent of total billed charges",,
"NF-TRAVOPROST OPHTH SOLN 0.004%","0637","RC","Both",,,"153","76.5","Alliant","Health Exchange",,,"62",,"94.86","0.15","5264.58","percent of total billed charges",,
"NF-TRAVOPROST OPHTH SOLN 0.004%","0637","RC","Both",,,"153","76.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"82.62","0.15","5264.58","percent of total billed charges",,
"NF-TRAVOPROST OPHTH SOLN 0.004%","0637","RC","Both",,,"153","76.5","Medicare",,,,"54",,"82.93","0.15","5264.58","percent of total billed charges",,
"NF-TRAVOPROST OPHTH SOLN 0.004%","0637","RC","Both",,,"153","76.5","Humana","Medicare Advantage",,,"54",,"82.93","0.15","5264.58","percent of total billed charges",,
"NF-TRAVOPROST OPHTH SOLN 0.004%","0637","RC","Both",,,"153","76.5","UHC","Medicare Advantage",,,"54",,"82.93","0.15","5264.58","percent of total billed charges",,
"NF-TRAVOPROST OPHTH SOLN 0.004%","0637","RC","Both",,,"153","76.5","Clover","Medicare Advantage",,,"54",,"82.93","0.15","5264.58","percent of total billed charges",,
"NF-TRAVOPROST OPHTH SOLN 0.004%","0637","RC","Both",,,"153","76.5","Wellcare","Medicare Advantage",,,"54",,"82.93","0.15","5264.58","percent of total billed charges",,
"NF-TRAVOPROST OPHTH SOLN 0.004%","0637","RC","Both",,,"153","76.5","Amerigroup","Medicaid Managed Care",,,"37",,"56","0.15","5264.58","percent of total billed charges",,
"NF-TRAVOPROST OPHTH SOLN 0.004%","0637","RC","Both",,,"153","76.5","Caresource","Medicaid Managed Care",,,"40",,"61.2","0.15","5264.58","percent of total billed charges",,
"NF-TRAVOPROST OPHTH SOLN 0.004%","0637","RC","Both",,,"153","76.5","Wellcare","Medicaid Managed Care",,,"40",,"61.96","0.15","5264.58","percent of total billed charges",,
"NF-TRAVOPROST OPHTH SOLN 0.004%","0637","RC","Both",,,"153","76.5","Aetna","Commercial",,,"64",,"97.61","0.15","5264.58","percent of total billed charges",,
"NF-TRAVOPROST OPHTH SOLN 0.004%","0637","RC","Both",,,"153","76.5","Blue Cross Blue Shield","Pathways",,,"71",,"108.02","0.15","5264.58","percent of total billed charges",,
"NF-TRAVOPROST OPHTH SOLN 0.004%","0637","RC","Both",,,"153","76.5","Blue Cross Blue Shield","HMO",,,"71",,"108.02","0.15","5264.58","percent of total billed charges",,
"NF-TRAVOPROST OPHTH SOLN 0.004%","0637","RC","Both",,,"153","76.5","Blue Cross Blue Shield","PPO",,,"71",,"108.02","0.15","5264.58","percent of total billed charges",,
"NF-TRAVOPROST OPHTH SOLN 0.004%","0637","RC","Both",,,"153","76.5","Ambetter","Health Exchange",,,"62",,"94.86","0.15","5264.58","percent of total billed charges",,
"NF-TRAVOPROST OPHTH SOLN 0.004%","0637","RC","Both",,,"153","76.5","Caresource","Health Exchange",,,"62",,"94.86","0.15","5264.58","percent of total billed charges",,
"NF-TRAVOPROST OPHTH SOLN 0.004%","0637","RC","Both",,,"153","76.5","Cigna","Commercial",,,"59",,"89.66","0.15","5264.58","percent of total billed charges",,
"NF-TRAVOPROST OPHTH SOLN 0.004%","0637","RC","Both",,,"153","76.5","Humana","Commercial",,,"78",,"118.58","0.15","5264.58","percent of total billed charges",,
"NF-TRAVOPROST OPHTH SOLN 0.004%","0637","RC","Both",,,"153","76.5","UHC","Commercial",,,"75",,"115.36","0.15","5264.58","percent of total billed charges",,
"NF-TRAVOPROST OPHTH SOLN 0.004%","0637","RC","Both",,,"153","76.5","Medicaid",,,,"37",,"56","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE SODIUM 25MG/ML INJECTION","0637","RC","Both",,,"8.5","4.25","Alliant","Health Exchange",,,"62",,"5.27","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE SODIUM 25MG/ML INJECTION","0637","RC","Both",,,"8.5","4.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.59","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE SODIUM 25MG/ML INJECTION","0637","RC","Both",,,"8.5","4.25","Medicare",,,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE SODIUM 25MG/ML INJECTION","0637","RC","Both",,,"8.5","4.25","Humana","Medicare Advantage",,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE SODIUM 25MG/ML INJECTION","0637","RC","Both",,,"8.5","4.25","UHC","Medicare Advantage",,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE SODIUM 25MG/ML INJECTION","0637","RC","Both",,,"8.5","4.25","Clover","Medicare Advantage",,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE SODIUM 25MG/ML INJECTION","0637","RC","Both",,,"8.5","4.25","Wellcare","Medicare Advantage",,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE SODIUM 25MG/ML INJECTION","0637","RC","Both",,,"8.5","4.25","Amerigroup","Medicaid Managed Care",,,"37",,"3.11","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE SODIUM 25MG/ML INJECTION","0637","RC","Both",,,"8.5","4.25","Caresource","Medicaid Managed Care",,,"40",,"3.4","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE SODIUM 25MG/ML INJECTION","0637","RC","Both",,,"8.5","4.25","Wellcare","Medicaid Managed Care",,,"40",,"3.44","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE SODIUM 25MG/ML INJECTION","0637","RC","Both",,,"8.5","4.25","Aetna","Commercial",,,"64",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE SODIUM 25MG/ML INJECTION","0637","RC","Both",,,"8.5","4.25","Blue Cross Blue Shield","Pathways",,,"71",,"6","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE SODIUM 25MG/ML INJECTION","0637","RC","Both",,,"8.5","4.25","Blue Cross Blue Shield","HMO",,,"71",,"6","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE SODIUM 25MG/ML INJECTION","0637","RC","Both",,,"8.5","4.25","Blue Cross Blue Shield","PPO",,,"71",,"6","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE SODIUM 25MG/ML INJECTION","0637","RC","Both",,,"8.5","4.25","Ambetter","Health Exchange",,,"62",,"5.27","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE SODIUM 25MG/ML INJECTION","0637","RC","Both",,,"8.5","4.25","Caresource","Health Exchange",,,"62",,"5.27","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE SODIUM 25MG/ML INJECTION","0637","RC","Both",,,"8.5","4.25","Cigna","Commercial",,,"59",,"4.98","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE SODIUM 25MG/ML INJECTION","0637","RC","Both",,,"8.5","4.25","Humana","Commercial",,,"78",,"6.59","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE SODIUM 25MG/ML INJECTION","0637","RC","Both",,,"8.5","4.25","UHC","Commercial",,,"75",,"6.41","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE SODIUM 25MG/ML INJECTION","0637","RC","Both",,,"8.5","4.25","Medicaid",,,,"37",,"3.11","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12","0637","RC","Both",,,"4.5","2.25","Alliant","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12","0637","RC","Both",,,"4.5","2.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12","0637","RC","Both",,,"4.5","2.25","Medicare",,,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12","0637","RC","Both",,,"4.5","2.25","Humana","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12","0637","RC","Both",,,"4.5","2.25","UHC","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12","0637","RC","Both",,,"4.5","2.25","Clover","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12","0637","RC","Both",,,"4.5","2.25","Wellcare","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12","0637","RC","Both",,,"4.5","2.25","Amerigroup","Medicaid Managed Care",,,"37",,"1.65","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12","0637","RC","Both",,,"4.5","2.25","Caresource","Medicaid Managed Care",,,"40",,"1.8","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12","0637","RC","Both",,,"4.5","2.25","Wellcare","Medicaid Managed Care",,,"40",,"1.82","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12","0637","RC","Both",,,"4.5","2.25","Aetna","Commercial",,,"64",,"2.87","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","Pathways",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","HMO",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","PPO",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12","0637","RC","Both",,,"4.5","2.25","Ambetter","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12","0637","RC","Both",,,"4.5","2.25","Caresource","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12","0637","RC","Both",,,"4.5","2.25","Cigna","Commercial",,,"59",,"2.64","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12","0637","RC","Both",,,"4.5","2.25","Humana","Commercial",,,"78",,"3.49","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12","0637","RC","Both",,,"4.5","2.25","UHC","Commercial",,,"75",,"3.39","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12","0637","RC","Both",,,"4.5","2.25","Medicaid",,,,"37",,"1.65","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA 150MG ORAL TABLET","0637","RC","Both",,,"745.5","372.75","Alliant","Health Exchange",,,"62",,"462.21","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA 150MG ORAL TABLET","0637","RC","Both",,,"745.5","372.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"402.57","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA 150MG ORAL TABLET","0637","RC","Both",,,"745.5","372.75","Medicare",,,,"54",,"404.06","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA 150MG ORAL TABLET","0637","RC","Both",,,"745.5","372.75","Humana","Medicare Advantage",,,"54",,"404.06","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA 150MG ORAL TABLET","0637","RC","Both",,,"745.5","372.75","UHC","Medicare Advantage",,,"54",,"404.06","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA 150MG ORAL TABLET","0637","RC","Both",,,"745.5","372.75","Clover","Medicare Advantage",,,"54",,"404.06","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA 150MG ORAL TABLET","0637","RC","Both",,,"745.5","372.75","Wellcare","Medicare Advantage",,,"54",,"404.06","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA 150MG ORAL TABLET","0637","RC","Both",,,"745.5","372.75","Amerigroup","Medicaid Managed Care",,,"37",,"272.85","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA 150MG ORAL TABLET","0637","RC","Both",,,"745.5","372.75","Caresource","Medicaid Managed Care",,,"40",,"298.2","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA 150MG ORAL TABLET","0637","RC","Both",,,"745.5","372.75","Wellcare","Medicaid Managed Care",,,"40",,"301.93","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA 150MG ORAL TABLET","0637","RC","Both",,,"745.5","372.75","Aetna","Commercial",,,"64",,"475.63","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA 150MG ORAL TABLET","0637","RC","Both",,,"745.5","372.75","Blue Cross Blue Shield","Pathways",,,"71",,"526.32","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA 150MG ORAL TABLET","0637","RC","Both",,,"745.5","372.75","Blue Cross Blue Shield","HMO",,,"71",,"526.32","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA 150MG ORAL TABLET","0637","RC","Both",,,"745.5","372.75","Blue Cross Blue Shield","PPO",,,"71",,"526.32","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA 150MG ORAL TABLET","0637","RC","Both",,,"745.5","372.75","Ambetter","Health Exchange",,,"62",,"462.21","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA 150MG ORAL TABLET","0637","RC","Both",,,"745.5","372.75","Caresource","Health Exchange",,,"62",,"462.21","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA 150MG ORAL TABLET","0637","RC","Both",,,"745.5","372.75","Cigna","Commercial",,,"59",,"436.86","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA 150MG ORAL TABLET","0637","RC","Both",,,"745.5","372.75","Humana","Commercial",,,"78",,"577.76","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA 150MG ORAL TABLET","0637","RC","Both",,,"745.5","372.75","UHC","Commercial",,,"75",,"562.11","0.15","5264.58","percent of total billed charges",,
"NF-TARCEVA 150MG ORAL TABLET","0637","RC","Both",,,"745.5","372.75","Medicaid",,,,"37",,"272.85","0.15","5264.58","percent of total billed charges",,
"NF-ATRIPLA ORAL TABLET 600MG-200MG-300MG","0637","RC","Both",,,"246","123","Alliant","Health Exchange",,,"62",,"152.52","0.15","5264.58","percent of total billed charges",,
"NF-ATRIPLA ORAL TABLET 600MG-200MG-300MG","0637","RC","Both",,,"246","123","Pruitt Healthcare","Medicare Advantage",,,"54",,"132.84","0.15","5264.58","percent of total billed charges",,
"NF-ATRIPLA ORAL TABLET 600MG-200MG-300MG","0637","RC","Both",,,"246","123","Medicare",,,,"54",,"133.33","0.15","5264.58","percent of total billed charges",,
"NF-ATRIPLA ORAL TABLET 600MG-200MG-300MG","0637","RC","Both",,,"246","123","Humana","Medicare Advantage",,,"54",,"133.33","0.15","5264.58","percent of total billed charges",,
"NF-ATRIPLA ORAL TABLET 600MG-200MG-300MG","0637","RC","Both",,,"246","123","UHC","Medicare Advantage",,,"54",,"133.33","0.15","5264.58","percent of total billed charges",,
"NF-ATRIPLA ORAL TABLET 600MG-200MG-300MG","0637","RC","Both",,,"246","123","Clover","Medicare Advantage",,,"54",,"133.33","0.15","5264.58","percent of total billed charges",,
"NF-ATRIPLA ORAL TABLET 600MG-200MG-300MG","0637","RC","Both",,,"246","123","Wellcare","Medicare Advantage",,,"54",,"133.33","0.15","5264.58","percent of total billed charges",,
"NF-ATRIPLA ORAL TABLET 600MG-200MG-300MG","0637","RC","Both",,,"246","123","Amerigroup","Medicaid Managed Care",,,"37",,"90.04","0.15","5264.58","percent of total billed charges",,
"NF-ATRIPLA ORAL TABLET 600MG-200MG-300MG","0637","RC","Both",,,"246","123","Caresource","Medicaid Managed Care",,,"40",,"98.4","0.15","5264.58","percent of total billed charges",,
"NF-ATRIPLA ORAL TABLET 600MG-200MG-300MG","0637","RC","Both",,,"246","123","Wellcare","Medicaid Managed Care",,,"40",,"99.63","0.15","5264.58","percent of total billed charges",,
"NF-ATRIPLA ORAL TABLET 600MG-200MG-300MG","0637","RC","Both",,,"246","123","Aetna","Commercial",,,"64",,"156.95","0.15","5264.58","percent of total billed charges",,
"NF-ATRIPLA ORAL TABLET 600MG-200MG-300MG","0637","RC","Both",,,"246","123","Blue Cross Blue Shield","Pathways",,,"71",,"173.68","0.15","5264.58","percent of total billed charges",,
"NF-ATRIPLA ORAL TABLET 600MG-200MG-300MG","0637","RC","Both",,,"246","123","Blue Cross Blue Shield","HMO",,,"71",,"173.68","0.15","5264.58","percent of total billed charges",,
"NF-ATRIPLA ORAL TABLET 600MG-200MG-300MG","0637","RC","Both",,,"246","123","Blue Cross Blue Shield","PPO",,,"71",,"173.68","0.15","5264.58","percent of total billed charges",,
"NF-ATRIPLA ORAL TABLET 600MG-200MG-300MG","0637","RC","Both",,,"246","123","Ambetter","Health Exchange",,,"62",,"152.52","0.15","5264.58","percent of total billed charges",,
"NF-ATRIPLA ORAL TABLET 600MG-200MG-300MG","0637","RC","Both",,,"246","123","Caresource","Health Exchange",,,"62",,"152.52","0.15","5264.58","percent of total billed charges",,
"NF-ATRIPLA ORAL TABLET 600MG-200MG-300MG","0637","RC","Both",,,"246","123","Cigna","Commercial",,,"59",,"144.16","0.15","5264.58","percent of total billed charges",,
"NF-ATRIPLA ORAL TABLET 600MG-200MG-300MG","0637","RC","Both",,,"246","123","Humana","Commercial",,,"78",,"190.65","0.15","5264.58","percent of total billed charges",,
"NF-ATRIPLA ORAL TABLET 600MG-200MG-300MG","0637","RC","Both",,,"246","123","UHC","Commercial",,,"75",,"185.48","0.15","5264.58","percent of total billed charges",,
"NF-ATRIPLA ORAL TABLET 600MG-200MG-300MG","0637","RC","Both",,,"246","123","Medicaid",,,,"37",,"90.04","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE OPHTHALMIC OINTMENT 3%-94%","0637","RC","Both",,,"7.5","3.75","Alliant","Health Exchange",,,"62",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE OPHTHALMIC OINTMENT 3%-94%","0637","RC","Both",,,"7.5","3.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.05","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE OPHTHALMIC OINTMENT 3%-94%","0637","RC","Both",,,"7.5","3.75","Medicare",,,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE OPHTHALMIC OINTMENT 3%-94%","0637","RC","Both",,,"7.5","3.75","Humana","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE OPHTHALMIC OINTMENT 3%-94%","0637","RC","Both",,,"7.5","3.75","UHC","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE OPHTHALMIC OINTMENT 3%-94%","0637","RC","Both",,,"7.5","3.75","Clover","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE OPHTHALMIC OINTMENT 3%-94%","0637","RC","Both",,,"7.5","3.75","Wellcare","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE OPHTHALMIC OINTMENT 3%-94%","0637","RC","Both",,,"7.5","3.75","Amerigroup","Medicaid Managed Care",,,"37",,"2.74","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE OPHTHALMIC OINTMENT 3%-94%","0637","RC","Both",,,"7.5","3.75","Caresource","Medicaid Managed Care",,,"40",,"3","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE OPHTHALMIC OINTMENT 3%-94%","0637","RC","Both",,,"7.5","3.75","Wellcare","Medicaid Managed Care",,,"40",,"3.04","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE OPHTHALMIC OINTMENT 3%-94%","0637","RC","Both",,,"7.5","3.75","Aetna","Commercial",,,"64",,"4.78","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE OPHTHALMIC OINTMENT 3%-94%","0637","RC","Both",,,"7.5","3.75","Blue Cross Blue Shield","Pathways",,,"71",,"5.3","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE OPHTHALMIC OINTMENT 3%-94%","0637","RC","Both",,,"7.5","3.75","Blue Cross Blue Shield","HMO",,,"71",,"5.3","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE OPHTHALMIC OINTMENT 3%-94%","0637","RC","Both",,,"7.5","3.75","Blue Cross Blue Shield","PPO",,,"71",,"5.3","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE OPHTHALMIC OINTMENT 3%-94%","0637","RC","Both",,,"7.5","3.75","Ambetter","Health Exchange",,,"62",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE OPHTHALMIC OINTMENT 3%-94%","0637","RC","Both",,,"7.5","3.75","Caresource","Health Exchange",,,"62",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE OPHTHALMIC OINTMENT 3%-94%","0637","RC","Both",,,"7.5","3.75","Cigna","Commercial",,,"59",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE OPHTHALMIC OINTMENT 3%-94%","0637","RC","Both",,,"7.5","3.75","Humana","Commercial",,,"78",,"5.81","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE OPHTHALMIC OINTMENT 3%-94%","0637","RC","Both",,,"7.5","3.75","UHC","Commercial",,,"75",,"5.66","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE OPHTHALMIC OINTMENT 3%-94%","0637","RC","Both",,,"7.5","3.75","Medicaid",,,,"37",,"2.74","0.15","5264.58","percent of total billed charges",,
"NF-RAPAFLO 8MG ORAL CAPSULE","0637","RC","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-RAPAFLO 8MG ORAL CAPSULE","0637","RC","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","0.15","5264.58","percent of total billed charges",,
"NF-RAPAFLO 8MG ORAL CAPSULE","0637","RC","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-RAPAFLO 8MG ORAL CAPSULE","0637","RC","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-RAPAFLO 8MG ORAL CAPSULE","0637","RC","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-RAPAFLO 8MG ORAL CAPSULE","0637","RC","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-RAPAFLO 8MG ORAL CAPSULE","0637","RC","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-RAPAFLO 8MG ORAL CAPSULE","0637","RC","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"NF-RAPAFLO 8MG ORAL CAPSULE","0637","RC","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","0.15","5264.58","percent of total billed charges",,
"NF-RAPAFLO 8MG ORAL CAPSULE","0637","RC","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.15","5264.58","percent of total billed charges",,
"NF-RAPAFLO 8MG ORAL CAPSULE","0637","RC","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","0.15","5264.58","percent of total billed charges",,
"NF-RAPAFLO 8MG ORAL CAPSULE","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"NF-RAPAFLO 8MG ORAL CAPSULE","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"NF-RAPAFLO 8MG ORAL CAPSULE","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"NF-RAPAFLO 8MG ORAL CAPSULE","0637","RC","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-RAPAFLO 8MG ORAL CAPSULE","0637","RC","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-RAPAFLO 8MG ORAL CAPSULE","0637","RC","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","0.15","5264.58","percent of total billed charges",,
"NF-RAPAFLO 8MG ORAL CAPSULE","0637","RC","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","0.15","5264.58","percent of total billed charges",,
"NF-RAPAFLO 8MG ORAL CAPSULE","0637","RC","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","0.15","5264.58","percent of total billed charges",,
"NF-RAPAFLO 8MG ORAL CAPSULE","0637","RC","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"NF-","0637","RC","Both",,,"96","48","Alliant","Health Exchange",,,"62",,"59.52","0.15","5264.58","percent of total billed charges",,
"NF-","0637","RC","Both",,,"96","48","Pruitt Healthcare","Medicare Advantage",,,"54",,"51.84","0.15","5264.58","percent of total billed charges",,
"NF-","0637","RC","Both",,,"96","48","Medicare",,,,"54",,"52.03","0.15","5264.58","percent of total billed charges",,
"NF-","0637","RC","Both",,,"96","48","Humana","Medicare Advantage",,,"54",,"52.03","0.15","5264.58","percent of total billed charges",,
"NF-","0637","RC","Both",,,"96","48","UHC","Medicare Advantage",,,"54",,"52.03","0.15","5264.58","percent of total billed charges",,
"NF-","0637","RC","Both",,,"96","48","Clover","Medicare Advantage",,,"54",,"52.03","0.15","5264.58","percent of total billed charges",,
"NF-","0637","RC","Both",,,"96","48","Wellcare","Medicare Advantage",,,"54",,"52.03","0.15","5264.58","percent of total billed charges",,
"NF-","0637","RC","Both",,,"96","48","Amerigroup","Medicaid Managed Care",,,"37",,"35.14","0.15","5264.58","percent of total billed charges",,
"NF-","0637","RC","Both",,,"96","48","Caresource","Medicaid Managed Care",,,"40",,"38.4","0.15","5264.58","percent of total billed charges",,
"NF-","0637","RC","Both",,,"96","48","Wellcare","Medicaid Managed Care",,,"40",,"38.88","0.15","5264.58","percent of total billed charges",,
"NF-","0637","RC","Both",,,"96","48","Aetna","Commercial",,,"64",,"61.25","0.15","5264.58","percent of total billed charges",,
"NF-","0637","RC","Both",,,"96","48","Blue Cross Blue Shield","Pathways",,,"71",,"67.78","0.15","5264.58","percent of total billed charges",,
"NF-","0637","RC","Both",,,"96","48","Blue Cross Blue Shield","HMO",,,"71",,"67.78","0.15","5264.58","percent of total billed charges",,
"NF-","0637","RC","Both",,,"96","48","Blue Cross Blue Shield","PPO",,,"71",,"67.78","0.15","5264.58","percent of total billed charges",,
"NF-","0637","RC","Both",,,"96","48","Ambetter","Health Exchange",,,"62",,"59.52","0.15","5264.58","percent of total billed charges",,
"NF-","0637","RC","Both",,,"96","48","Caresource","Health Exchange",,,"62",,"59.52","0.15","5264.58","percent of total billed charges",,
"NF-","0637","RC","Both",,,"96","48","Cigna","Commercial",,,"59",,"56.26","0.15","5264.58","percent of total billed charges",,
"NF-","0637","RC","Both",,,"96","48","Humana","Commercial",,,"78",,"74.4","0.15","5264.58","percent of total billed charges",,
"NF-","0637","RC","Both",,,"96","48","UHC","Commercial",,,"75",,"72.38","0.15","5264.58","percent of total billed charges",,
"NF-","0637","RC","Both",,,"96","48","Medicaid",,,,"37",,"35.14","0.15","5264.58","percent of total billed charges",,
"NF-RAPAFLO CAP 8MG","0637","RC","Both",,,"18","9","Alliant","Health Exchange",,,"62",,"11.16","0.15","5264.58","percent of total billed charges",,
"NF-RAPAFLO CAP 8MG","0637","RC","Both",,,"18","9","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.72","0.15","5264.58","percent of total billed charges",,
"NF-RAPAFLO CAP 8MG","0637","RC","Both",,,"18","9","Medicare",,,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-RAPAFLO CAP 8MG","0637","RC","Both",,,"18","9","Humana","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-RAPAFLO CAP 8MG","0637","RC","Both",,,"18","9","UHC","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-RAPAFLO CAP 8MG","0637","RC","Both",,,"18","9","Clover","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-RAPAFLO CAP 8MG","0637","RC","Both",,,"18","9","Wellcare","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-RAPAFLO CAP 8MG","0637","RC","Both",,,"18","9","Amerigroup","Medicaid Managed Care",,,"37",,"6.59","0.15","5264.58","percent of total billed charges",,
"NF-RAPAFLO CAP 8MG","0637","RC","Both",,,"18","9","Caresource","Medicaid Managed Care",,,"40",,"7.2","0.15","5264.58","percent of total billed charges",,
"NF-RAPAFLO CAP 8MG","0637","RC","Both",,,"18","9","Wellcare","Medicaid Managed Care",,,"40",,"7.29","0.15","5264.58","percent of total billed charges",,
"NF-RAPAFLO CAP 8MG","0637","RC","Both",,,"18","9","Aetna","Commercial",,,"64",,"11.48","0.15","5264.58","percent of total billed charges",,
"NF-RAPAFLO CAP 8MG","0637","RC","Both",,,"18","9","Blue Cross Blue Shield","Pathways",,,"71",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-RAPAFLO CAP 8MG","0637","RC","Both",,,"18","9","Blue Cross Blue Shield","HMO",,,"71",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-RAPAFLO CAP 8MG","0637","RC","Both",,,"18","9","Blue Cross Blue Shield","PPO",,,"71",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-RAPAFLO CAP 8MG","0637","RC","Both",,,"18","9","Ambetter","Health Exchange",,,"62",,"11.16","0.15","5264.58","percent of total billed charges",,
"NF-RAPAFLO CAP 8MG","0637","RC","Both",,,"18","9","Caresource","Health Exchange",,,"62",,"11.16","0.15","5264.58","percent of total billed charges",,
"NF-RAPAFLO CAP 8MG","0637","RC","Both",,,"18","9","Cigna","Commercial",,,"59",,"10.55","0.15","5264.58","percent of total billed charges",,
"NF-RAPAFLO CAP 8MG","0637","RC","Both",,,"18","9","Humana","Commercial",,,"78",,"13.95","0.15","5264.58","percent of total billed charges",,
"NF-RAPAFLO CAP 8MG","0637","RC","Both",,,"18","9","UHC","Commercial",,,"75",,"13.57","0.15","5264.58","percent of total billed charges",,
"NF-RAPAFLO CAP 8MG","0637","RC","Both",,,"18","9","Medicaid",,,,"37",,"6.59","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN HCT 20MG-12.5MG ORAL TABLET","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN HCT 20MG-12.5MG ORAL TABLET","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN HCT 20MG-12.5MG ORAL TABLET","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN HCT 20MG-12.5MG ORAL TABLET","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN HCT 20MG-12.5MG ORAL TABLET","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN HCT 20MG-12.5MG ORAL TABLET","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN HCT 20MG-12.5MG ORAL TABLET","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN HCT 20MG-12.5MG ORAL TABLET","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN HCT 20MG-12.5MG ORAL TABLET","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN HCT 20MG-12.5MG ORAL TABLET","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN HCT 20MG-12.5MG ORAL TABLET","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN HCT 20MG-12.5MG ORAL TABLET","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN HCT 20MG-12.5MG ORAL TABLET","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN HCT 20MG-12.5MG ORAL TABLET","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN HCT 20MG-12.5MG ORAL TABLET","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN HCT 20MG-12.5MG ORAL TABLET","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN HCT 20MG-12.5MG ORAL TABLET","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN HCT 20MG-12.5MG ORAL TABLET","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN HCT 20MG-12.5MG ORAL TABLET","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"NF-LOTENSIN HCT 20MG-12.5MG ORAL TABLET","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"NF-VOLTAREN GEL TOPICAL GEL 1%","0250","RC","Both",,,"1.51","0.755","Alliant","Health Exchange",,,"62",,"0.94","0.04","569.62","percent of total billed charges",,
"NF-VOLTAREN GEL TOPICAL GEL 1%","0250","RC","Both",,,"1.51","0.755","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.82","0.04","569.62","percent of total billed charges",,
"NF-VOLTAREN GEL TOPICAL GEL 1%","0250","RC","Both",,,"1.51","0.755","Medicare",,,,"54",,"0.82","0.04","569.62","percent of total billed charges",,
"NF-VOLTAREN GEL TOPICAL GEL 1%","0250","RC","Both",,,"1.51","0.755","Humana","Medicare Advantage",,,"54",,"0.82","0.04","569.62","percent of total billed charges",,
"NF-VOLTAREN GEL TOPICAL GEL 1%","0250","RC","Both",,,"1.51","0.755","UHC","Medicare Advantage",,,"54",,"0.82","0.04","569.62","percent of total billed charges",,
"NF-VOLTAREN GEL TOPICAL GEL 1%","0250","RC","Both",,,"1.51","0.755","Clover","Medicare Advantage",,,"54",,"0.82","0.04","569.62","percent of total billed charges",,
"NF-VOLTAREN GEL TOPICAL GEL 1%","0250","RC","Both",,,"1.51","0.755","Wellcare","Medicare Advantage",,,"54",,"0.82","0.04","569.62","percent of total billed charges",,
"NF-VOLTAREN GEL TOPICAL GEL 1%","0250","RC","Both",,,"1.51","0.755","Amerigroup","Medicaid Managed Care",,,"37",,"0.55","0.04","569.62","percent of total billed charges",,
"NF-VOLTAREN GEL TOPICAL GEL 1%","0250","RC","Both",,,"1.51","0.755","Caresource","Medicaid Managed Care",,,"40",,"0.6","0.04","569.62","percent of total billed charges",,
"NF-VOLTAREN GEL TOPICAL GEL 1%","0250","RC","Both",,,"1.51","0.755","Wellcare","Medicaid Managed Care",,,"40",,"0.61","0.04","569.62","percent of total billed charges",,
"NF-VOLTAREN GEL TOPICAL GEL 1%","0250","RC","Both",,,"1.51","0.755","Aetna","Commercial",,,"64",,"0.96","0.04","569.62","percent of total billed charges",,
"NF-VOLTAREN GEL TOPICAL GEL 1%","0250","RC","Both",,,"1.51","0.755","Blue Cross Blue Shield","Pathways",,,"71",,"1.07","0.04","569.62","percent of total billed charges",,
"NF-VOLTAREN GEL TOPICAL GEL 1%","0250","RC","Both",,,"1.51","0.755","Blue Cross Blue Shield","HMO",,,"71",,"1.07","0.04","569.62","percent of total billed charges",,
"NF-VOLTAREN GEL TOPICAL GEL 1%","0250","RC","Both",,,"1.51","0.755","Blue Cross Blue Shield","PPO",,,"71",,"1.07","0.04","569.62","percent of total billed charges",,
"NF-VOLTAREN GEL TOPICAL GEL 1%","0250","RC","Both",,,"1.51","0.755","Ambetter","Health Exchange",,,"62",,"0.94","0.04","569.62","percent of total billed charges",,
"NF-VOLTAREN GEL TOPICAL GEL 1%","0250","RC","Both",,,"1.51","0.755","Caresource","Health Exchange",,,"62",,"0.94","0.04","569.62","percent of total billed charges",,
"NF-VOLTAREN GEL TOPICAL GEL 1%","0250","RC","Both",,,"1.51","0.755","Cigna","Commercial",,,"59",,"0.88","0.04","569.62","percent of total billed charges",,
"NF-VOLTAREN GEL TOPICAL GEL 1%","0250","RC","Both",,,"1.51","0.755","Humana","Commercial",,,"78",,"1.17","0.04","569.62","percent of total billed charges",,
"NF-VOLTAREN GEL TOPICAL GEL 1%","0250","RC","Both",,,"1.51","0.755","UHC","Commercial",,,"75",,"1.14","0.04","569.62","percent of total billed charges",,
"NF-VOLTAREN GEL TOPICAL GEL 1%","0250","RC","Both",,,"1.51","0.755","Medicaid",,,,"37",,"0.55","0.04","569.62","percent of total billed charges",,
"NF-LOTREL 10MG-40MG ORAL CAPSULE","0637","RC","Both",,,"21","10.5","Alliant","Health Exchange",,,"62",,"13.02","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL 10MG-40MG ORAL CAPSULE","0637","RC","Both",,,"21","10.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.34","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL 10MG-40MG ORAL CAPSULE","0637","RC","Both",,,"21","10.5","Medicare",,,,"54",,"11.38","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL 10MG-40MG ORAL CAPSULE","0637","RC","Both",,,"21","10.5","Humana","Medicare Advantage",,,"54",,"11.38","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL 10MG-40MG ORAL CAPSULE","0637","RC","Both",,,"21","10.5","UHC","Medicare Advantage",,,"54",,"11.38","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL 10MG-40MG ORAL CAPSULE","0637","RC","Both",,,"21","10.5","Clover","Medicare Advantage",,,"54",,"11.38","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL 10MG-40MG ORAL CAPSULE","0637","RC","Both",,,"21","10.5","Wellcare","Medicare Advantage",,,"54",,"11.38","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL 10MG-40MG ORAL CAPSULE","0637","RC","Both",,,"21","10.5","Amerigroup","Medicaid Managed Care",,,"37",,"7.69","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL 10MG-40MG ORAL CAPSULE","0637","RC","Both",,,"21","10.5","Caresource","Medicaid Managed Care",,,"40",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL 10MG-40MG ORAL CAPSULE","0637","RC","Both",,,"21","10.5","Wellcare","Medicaid Managed Care",,,"40",,"8.51","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL 10MG-40MG ORAL CAPSULE","0637","RC","Both",,,"21","10.5","Aetna","Commercial",,,"64",,"13.4","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL 10MG-40MG ORAL CAPSULE","0637","RC","Both",,,"21","10.5","Blue Cross Blue Shield","Pathways",,,"71",,"14.83","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL 10MG-40MG ORAL CAPSULE","0637","RC","Both",,,"21","10.5","Blue Cross Blue Shield","HMO",,,"71",,"14.83","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL 10MG-40MG ORAL CAPSULE","0637","RC","Both",,,"21","10.5","Blue Cross Blue Shield","PPO",,,"71",,"14.83","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL 10MG-40MG ORAL CAPSULE","0637","RC","Both",,,"21","10.5","Ambetter","Health Exchange",,,"62",,"13.02","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL 10MG-40MG ORAL CAPSULE","0637","RC","Both",,,"21","10.5","Caresource","Health Exchange",,,"62",,"13.02","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL 10MG-40MG ORAL CAPSULE","0637","RC","Both",,,"21","10.5","Cigna","Commercial",,,"59",,"12.31","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL 10MG-40MG ORAL CAPSULE","0637","RC","Both",,,"21","10.5","Humana","Commercial",,,"78",,"16.28","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL 10MG-40MG ORAL CAPSULE","0637","RC","Both",,,"21","10.5","UHC","Commercial",,,"75",,"15.83","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL 10MG-40MG ORAL CAPSULE","0637","RC","Both",,,"21","10.5","Medicaid",,,,"37",,"7.69","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"2.5","1.25","Alliant","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"2.5","1.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.35","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"2.5","1.25","Medicare",,,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"2.5","1.25","Humana","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"2.5","1.25","UHC","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"2.5","1.25","Clover","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"2.5","1.25","Wellcare","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"2.5","1.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.92","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"2.5","1.25","Caresource","Medicaid Managed Care",,,"40",,"1","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"2.5","1.25","Wellcare","Medicaid Managed Care",,,"40",,"1.01","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"2.5","1.25","Aetna","Commercial",,,"64",,"1.6","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","Pathways",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","HMO",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","PPO",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"2.5","1.25","Ambetter","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"2.5","1.25","Caresource","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"2.5","1.25","Cigna","Commercial",,,"59",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"2.5","1.25","Humana","Commercial",,,"78",,"1.94","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"2.5","1.25","UHC","Commercial",,,"75",,"1.88","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 25MG","0637","RC","Both",,,"2.5","1.25","Medicaid",,,,"37",,"0.92","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE 5MG ORAL TABLET","0637","RC","Both",,,"2.5","1.25","Alliant","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE 5MG ORAL TABLET","0637","RC","Both",,,"2.5","1.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.35","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE 5MG ORAL TABLET","0637","RC","Both",,,"2.5","1.25","Medicare",,,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE 5MG ORAL TABLET","0637","RC","Both",,,"2.5","1.25","Humana","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE 5MG ORAL TABLET","0637","RC","Both",,,"2.5","1.25","UHC","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE 5MG ORAL TABLET","0637","RC","Both",,,"2.5","1.25","Clover","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE 5MG ORAL TABLET","0637","RC","Both",,,"2.5","1.25","Wellcare","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE 5MG ORAL TABLET","0637","RC","Both",,,"2.5","1.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.92","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE 5MG ORAL TABLET","0637","RC","Both",,,"2.5","1.25","Caresource","Medicaid Managed Care",,,"40",,"1","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE 5MG ORAL TABLET","0637","RC","Both",,,"2.5","1.25","Wellcare","Medicaid Managed Care",,,"40",,"1.01","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE 5MG ORAL TABLET","0637","RC","Both",,,"2.5","1.25","Aetna","Commercial",,,"64",,"1.6","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE 5MG ORAL TABLET","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","Pathways",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE 5MG ORAL TABLET","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","HMO",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE 5MG ORAL TABLET","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","PPO",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE 5MG ORAL TABLET","0637","RC","Both",,,"2.5","1.25","Ambetter","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE 5MG ORAL TABLET","0637","RC","Both",,,"2.5","1.25","Caresource","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE 5MG ORAL TABLET","0637","RC","Both",,,"2.5","1.25","Cigna","Commercial",,,"59",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE 5MG ORAL TABLET","0637","RC","Both",,,"2.5","1.25","Humana","Commercial",,,"78",,"1.94","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE 5MG ORAL TABLET","0637","RC","Both",,,"2.5","1.25","UHC","Commercial",,,"75",,"1.88","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE 5MG ORAL TABLET","0637","RC","Both",,,"2.5","1.25","Medicaid",,,,"37",,"0.92","0.15","5264.58","percent of total billed charges",,
"NF-CIPRO TAB 250MG","0637","RC","Both",,,"15.5","7.75","Alliant","Health Exchange",,,"62",,"9.61","0.15","5264.58","percent of total billed charges",,
"NF-CIPRO TAB 250MG","0637","RC","Both",,,"15.5","7.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.37","0.15","5264.58","percent of total billed charges",,
"NF-CIPRO TAB 250MG","0637","RC","Both",,,"15.5","7.75","Medicare",,,,"54",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-CIPRO TAB 250MG","0637","RC","Both",,,"15.5","7.75","Humana","Medicare Advantage",,,"54",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-CIPRO TAB 250MG","0637","RC","Both",,,"15.5","7.75","UHC","Medicare Advantage",,,"54",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-CIPRO TAB 250MG","0637","RC","Both",,,"15.5","7.75","Clover","Medicare Advantage",,,"54",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-CIPRO TAB 250MG","0637","RC","Both",,,"15.5","7.75","Wellcare","Medicare Advantage",,,"54",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-CIPRO TAB 250MG","0637","RC","Both",,,"15.5","7.75","Amerigroup","Medicaid Managed Care",,,"37",,"5.67","0.15","5264.58","percent of total billed charges",,
"NF-CIPRO TAB 250MG","0637","RC","Both",,,"15.5","7.75","Caresource","Medicaid Managed Care",,,"40",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-CIPRO TAB 250MG","0637","RC","Both",,,"15.5","7.75","Wellcare","Medicaid Managed Care",,,"40",,"6.28","0.15","5264.58","percent of total billed charges",,
"NF-CIPRO TAB 250MG","0637","RC","Both",,,"15.5","7.75","Aetna","Commercial",,,"64",,"9.89","0.15","5264.58","percent of total billed charges",,
"NF-CIPRO TAB 250MG","0637","RC","Both",,,"15.5","7.75","Blue Cross Blue Shield","Pathways",,,"71",,"10.94","0.15","5264.58","percent of total billed charges",,
"NF-CIPRO TAB 250MG","0637","RC","Both",,,"15.5","7.75","Blue Cross Blue Shield","HMO",,,"71",,"10.94","0.15","5264.58","percent of total billed charges",,
"NF-CIPRO TAB 250MG","0637","RC","Both",,,"15.5","7.75","Blue Cross Blue Shield","PPO",,,"71",,"10.94","0.15","5264.58","percent of total billed charges",,
"NF-CIPRO TAB 250MG","0637","RC","Both",,,"15.5","7.75","Ambetter","Health Exchange",,,"62",,"9.61","0.15","5264.58","percent of total billed charges",,
"NF-CIPRO TAB 250MG","0637","RC","Both",,,"15.5","7.75","Caresource","Health Exchange",,,"62",,"9.61","0.15","5264.58","percent of total billed charges",,
"NF-CIPRO TAB 250MG","0637","RC","Both",,,"15.5","7.75","Cigna","Commercial",,,"59",,"9.08","0.15","5264.58","percent of total billed charges",,
"NF-CIPRO TAB 250MG","0637","RC","Both",,,"15.5","7.75","Humana","Commercial",,,"78",,"12.01","0.15","5264.58","percent of total billed charges",,
"NF-CIPRO TAB 250MG","0637","RC","Both",,,"15.5","7.75","UHC","Commercial",,,"75",,"11.69","0.15","5264.58","percent of total billed charges",,
"NF-CIPRO TAB 250MG","0637","RC","Both",,,"15.5","7.75","Medicaid",,,,"37",,"5.67","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE 0.15% OPHTHALMIC","0637","RC","Both",,,"63.5","31.75","Alliant","Health Exchange",,,"62",,"39.37","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE 0.15% OPHTHALMIC","0637","RC","Both",,,"63.5","31.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"34.29","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE 0.15% OPHTHALMIC","0637","RC","Both",,,"63.5","31.75","Medicare",,,,"54",,"34.42","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE 0.15% OPHTHALMIC","0637","RC","Both",,,"63.5","31.75","Humana","Medicare Advantage",,,"54",,"34.42","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE 0.15% OPHTHALMIC","0637","RC","Both",,,"63.5","31.75","UHC","Medicare Advantage",,,"54",,"34.42","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE 0.15% OPHTHALMIC","0637","RC","Both",,,"63.5","31.75","Clover","Medicare Advantage",,,"54",,"34.42","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE 0.15% OPHTHALMIC","0637","RC","Both",,,"63.5","31.75","Wellcare","Medicare Advantage",,,"54",,"34.42","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE 0.15% OPHTHALMIC","0637","RC","Both",,,"63.5","31.75","Amerigroup","Medicaid Managed Care",,,"37",,"23.24","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE 0.15% OPHTHALMIC","0637","RC","Both",,,"63.5","31.75","Caresource","Medicaid Managed Care",,,"40",,"25.4","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE 0.15% OPHTHALMIC","0637","RC","Both",,,"63.5","31.75","Wellcare","Medicaid Managed Care",,,"40",,"25.72","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE 0.15% OPHTHALMIC","0637","RC","Both",,,"63.5","31.75","Aetna","Commercial",,,"64",,"40.51","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE 0.15% OPHTHALMIC","0637","RC","Both",,,"63.5","31.75","Blue Cross Blue Shield","Pathways",,,"71",,"44.83","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE 0.15% OPHTHALMIC","0637","RC","Both",,,"63.5","31.75","Blue Cross Blue Shield","HMO",,,"71",,"44.83","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE 0.15% OPHTHALMIC","0637","RC","Both",,,"63.5","31.75","Blue Cross Blue Shield","PPO",,,"71",,"44.83","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE 0.15% OPHTHALMIC","0637","RC","Both",,,"63.5","31.75","Ambetter","Health Exchange",,,"62",,"39.37","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE 0.15% OPHTHALMIC","0637","RC","Both",,,"63.5","31.75","Caresource","Health Exchange",,,"62",,"39.37","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE 0.15% OPHTHALMIC","0637","RC","Both",,,"63.5","31.75","Cigna","Commercial",,,"59",,"37.21","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE 0.15% OPHTHALMIC","0637","RC","Both",,,"63.5","31.75","Humana","Commercial",,,"78",,"49.21","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE 0.15% OPHTHALMIC","0637","RC","Both",,,"63.5","31.75","UHC","Commercial",,,"75",,"47.88","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE 0.15% OPHTHALMIC","0637","RC","Both",,,"63.5","31.75","Medicaid",,,,"37",,"23.24","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.15%","0637","RC","Both",,,"63.5","31.75","Alliant","Health Exchange",,,"62",,"39.37","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.15%","0637","RC","Both",,,"63.5","31.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"34.29","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.15%","0637","RC","Both",,,"63.5","31.75","Medicare",,,,"54",,"34.42","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.15%","0637","RC","Both",,,"63.5","31.75","Humana","Medicare Advantage",,,"54",,"34.42","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.15%","0637","RC","Both",,,"63.5","31.75","UHC","Medicare Advantage",,,"54",,"34.42","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.15%","0637","RC","Both",,,"63.5","31.75","Clover","Medicare Advantage",,,"54",,"34.42","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.15%","0637","RC","Both",,,"63.5","31.75","Wellcare","Medicare Advantage",,,"54",,"34.42","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.15%","0637","RC","Both",,,"63.5","31.75","Amerigroup","Medicaid Managed Care",,,"37",,"23.24","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.15%","0637","RC","Both",,,"63.5","31.75","Caresource","Medicaid Managed Care",,,"40",,"25.4","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.15%","0637","RC","Both",,,"63.5","31.75","Wellcare","Medicaid Managed Care",,,"40",,"25.72","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.15%","0637","RC","Both",,,"63.5","31.75","Aetna","Commercial",,,"64",,"40.51","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.15%","0637","RC","Both",,,"63.5","31.75","Blue Cross Blue Shield","Pathways",,,"71",,"44.83","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.15%","0637","RC","Both",,,"63.5","31.75","Blue Cross Blue Shield","HMO",,,"71",,"44.83","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.15%","0637","RC","Both",,,"63.5","31.75","Blue Cross Blue Shield","PPO",,,"71",,"44.83","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.15%","0637","RC","Both",,,"63.5","31.75","Ambetter","Health Exchange",,,"62",,"39.37","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.15%","0637","RC","Both",,,"63.5","31.75","Caresource","Health Exchange",,,"62",,"39.37","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.15%","0637","RC","Both",,,"63.5","31.75","Cigna","Commercial",,,"59",,"37.21","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.15%","0637","RC","Both",,,"63.5","31.75","Humana","Commercial",,,"78",,"49.21","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.15%","0637","RC","Both",,,"63.5","31.75","UHC","Commercial",,,"75",,"47.88","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.15%","0637","RC","Both",,,"63.5","31.75","Medicaid",,,,"37",,"23.24","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX 70MG ORAL TABLET","0637","RC","Both",,,"83.5","41.75","Alliant","Health Exchange",,,"62",,"51.77","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX 70MG ORAL TABLET","0637","RC","Both",,,"83.5","41.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"45.09","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX 70MG ORAL TABLET","0637","RC","Both",,,"83.5","41.75","Medicare",,,,"54",,"45.26","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX 70MG ORAL TABLET","0637","RC","Both",,,"83.5","41.75","Humana","Medicare Advantage",,,"54",,"45.26","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX 70MG ORAL TABLET","0637","RC","Both",,,"83.5","41.75","UHC","Medicare Advantage",,,"54",,"45.26","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX 70MG ORAL TABLET","0637","RC","Both",,,"83.5","41.75","Clover","Medicare Advantage",,,"54",,"45.26","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX 70MG ORAL TABLET","0637","RC","Both",,,"83.5","41.75","Wellcare","Medicare Advantage",,,"54",,"45.26","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX 70MG ORAL TABLET","0637","RC","Both",,,"83.5","41.75","Amerigroup","Medicaid Managed Care",,,"37",,"30.56","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX 70MG ORAL TABLET","0637","RC","Both",,,"83.5","41.75","Caresource","Medicaid Managed Care",,,"40",,"33.4","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX 70MG ORAL TABLET","0637","RC","Both",,,"83.5","41.75","Wellcare","Medicaid Managed Care",,,"40",,"33.82","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX 70MG ORAL TABLET","0637","RC","Both",,,"83.5","41.75","Aetna","Commercial",,,"64",,"53.27","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX 70MG ORAL TABLET","0637","RC","Both",,,"83.5","41.75","Blue Cross Blue Shield","Pathways",,,"71",,"58.95","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX 70MG ORAL TABLET","0637","RC","Both",,,"83.5","41.75","Blue Cross Blue Shield","HMO",,,"71",,"58.95","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX 70MG ORAL TABLET","0637","RC","Both",,,"83.5","41.75","Blue Cross Blue Shield","PPO",,,"71",,"58.95","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX 70MG ORAL TABLET","0637","RC","Both",,,"83.5","41.75","Ambetter","Health Exchange",,,"62",,"51.77","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX 70MG ORAL TABLET","0637","RC","Both",,,"83.5","41.75","Caresource","Health Exchange",,,"62",,"51.77","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX 70MG ORAL TABLET","0637","RC","Both",,,"83.5","41.75","Cigna","Commercial",,,"59",,"48.93","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX 70MG ORAL TABLET","0637","RC","Both",,,"83.5","41.75","Humana","Commercial",,,"78",,"64.71","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX 70MG ORAL TABLET","0637","RC","Both",,,"83.5","41.75","UHC","Commercial",,,"75",,"62.96","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX 70MG ORAL TABLET","0637","RC","Both",,,"83.5","41.75","Medicaid",,,,"37",,"30.56","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN 0.9MG ORAL TABLET","0637","RC","Both",,,"4.5","2.25","Alliant","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN 0.9MG ORAL TABLET","0637","RC","Both",,,"4.5","2.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN 0.9MG ORAL TABLET","0637","RC","Both",,,"4.5","2.25","Medicare",,,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN 0.9MG ORAL TABLET","0637","RC","Both",,,"4.5","2.25","Humana","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN 0.9MG ORAL TABLET","0637","RC","Both",,,"4.5","2.25","UHC","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN 0.9MG ORAL TABLET","0637","RC","Both",,,"4.5","2.25","Clover","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN 0.9MG ORAL TABLET","0637","RC","Both",,,"4.5","2.25","Wellcare","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN 0.9MG ORAL TABLET","0637","RC","Both",,,"4.5","2.25","Amerigroup","Medicaid Managed Care",,,"37",,"1.65","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN 0.9MG ORAL TABLET","0637","RC","Both",,,"4.5","2.25","Caresource","Medicaid Managed Care",,,"40",,"1.8","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN 0.9MG ORAL TABLET","0637","RC","Both",,,"4.5","2.25","Wellcare","Medicaid Managed Care",,,"40",,"1.82","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN 0.9MG ORAL TABLET","0637","RC","Both",,,"4.5","2.25","Aetna","Commercial",,,"64",,"2.87","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN 0.9MG ORAL TABLET","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","Pathways",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN 0.9MG ORAL TABLET","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","HMO",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN 0.9MG ORAL TABLET","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","PPO",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN 0.9MG ORAL TABLET","0637","RC","Both",,,"4.5","2.25","Ambetter","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN 0.9MG ORAL TABLET","0637","RC","Both",,,"4.5","2.25","Caresource","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN 0.9MG ORAL TABLET","0637","RC","Both",,,"4.5","2.25","Cigna","Commercial",,,"59",,"2.64","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN 0.9MG ORAL TABLET","0637","RC","Both",,,"4.5","2.25","Humana","Commercial",,,"78",,"3.49","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN 0.9MG ORAL TABLET","0637","RC","Both",,,"4.5","2.25","UHC","Commercial",,,"75",,"3.39","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN 0.9MG ORAL TABLET","0637","RC","Both",,,"4.5","2.25","Medicaid",,,,"37",,"1.65","0.15","5264.58","percent of total billed charges",,
"NF-ARICEPT 10MG ORAL TABLET","0637","RC","Both",,,"41.5","20.75","Alliant","Health Exchange",,,"62",,"25.73","0.15","5264.58","percent of total billed charges",,
"NF-ARICEPT 10MG ORAL TABLET","0637","RC","Both",,,"41.5","20.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"22.41","0.15","5264.58","percent of total billed charges",,
"NF-ARICEPT 10MG ORAL TABLET","0637","RC","Both",,,"41.5","20.75","Medicare",,,,"54",,"22.49","0.15","5264.58","percent of total billed charges",,
"NF-ARICEPT 10MG ORAL TABLET","0637","RC","Both",,,"41.5","20.75","Humana","Medicare Advantage",,,"54",,"22.49","0.15","5264.58","percent of total billed charges",,
"NF-ARICEPT 10MG ORAL TABLET","0637","RC","Both",,,"41.5","20.75","UHC","Medicare Advantage",,,"54",,"22.49","0.15","5264.58","percent of total billed charges",,
"NF-ARICEPT 10MG ORAL TABLET","0637","RC","Both",,,"41.5","20.75","Clover","Medicare Advantage",,,"54",,"22.49","0.15","5264.58","percent of total billed charges",,
"NF-ARICEPT 10MG ORAL TABLET","0637","RC","Both",,,"41.5","20.75","Wellcare","Medicare Advantage",,,"54",,"22.49","0.15","5264.58","percent of total billed charges",,
"NF-ARICEPT 10MG ORAL TABLET","0637","RC","Both",,,"41.5","20.75","Amerigroup","Medicaid Managed Care",,,"37",,"15.19","0.15","5264.58","percent of total billed charges",,
"NF-ARICEPT 10MG ORAL TABLET","0637","RC","Both",,,"41.5","20.75","Caresource","Medicaid Managed Care",,,"40",,"16.6","0.15","5264.58","percent of total billed charges",,
"NF-ARICEPT 10MG ORAL TABLET","0637","RC","Both",,,"41.5","20.75","Wellcare","Medicaid Managed Care",,,"40",,"16.81","0.15","5264.58","percent of total billed charges",,
"NF-ARICEPT 10MG ORAL TABLET","0637","RC","Both",,,"41.5","20.75","Aetna","Commercial",,,"64",,"26.48","0.15","5264.58","percent of total billed charges",,
"NF-ARICEPT 10MG ORAL TABLET","0637","RC","Both",,,"41.5","20.75","Blue Cross Blue Shield","Pathways",,,"71",,"29.3","0.15","5264.58","percent of total billed charges",,
"NF-ARICEPT 10MG ORAL TABLET","0637","RC","Both",,,"41.5","20.75","Blue Cross Blue Shield","HMO",,,"71",,"29.3","0.15","5264.58","percent of total billed charges",,
"NF-ARICEPT 10MG ORAL TABLET","0637","RC","Both",,,"41.5","20.75","Blue Cross Blue Shield","PPO",,,"71",,"29.3","0.15","5264.58","percent of total billed charges",,
"NF-ARICEPT 10MG ORAL TABLET","0637","RC","Both",,,"41.5","20.75","Ambetter","Health Exchange",,,"62",,"25.73","0.15","5264.58","percent of total billed charges",,
"NF-ARICEPT 10MG ORAL TABLET","0637","RC","Both",,,"41.5","20.75","Caresource","Health Exchange",,,"62",,"25.73","0.15","5264.58","percent of total billed charges",,
"NF-ARICEPT 10MG ORAL TABLET","0637","RC","Both",,,"41.5","20.75","Cigna","Commercial",,,"59",,"24.32","0.15","5264.58","percent of total billed charges",,
"NF-ARICEPT 10MG ORAL TABLET","0637","RC","Both",,,"41.5","20.75","Humana","Commercial",,,"78",,"32.16","0.15","5264.58","percent of total billed charges",,
"NF-ARICEPT 10MG ORAL TABLET","0637","RC","Both",,,"41.5","20.75","UHC","Commercial",,,"75",,"31.29","0.15","5264.58","percent of total billed charges",,
"NF-ARICEPT 10MG ORAL TABLET","0637","RC","Both",,,"41.5","20.75","Medicaid",,,,"37",,"15.19","0.15","5264.58","percent of total billed charges",,
"NF-PREDNISOLONE ACETATE OPHTH SUSP 1%","0637","RC","Both",,,"64","32","Alliant","Health Exchange",,,"62",,"39.68","0.15","5264.58","percent of total billed charges",,
"NF-PREDNISOLONE ACETATE OPHTH SUSP 1%","0637","RC","Both",,,"64","32","Pruitt Healthcare","Medicare Advantage",,,"54",,"34.56","0.15","5264.58","percent of total billed charges",,
"NF-PREDNISOLONE ACETATE OPHTH SUSP 1%","0637","RC","Both",,,"64","32","Medicare",,,,"54",,"34.69","0.15","5264.58","percent of total billed charges",,
"NF-PREDNISOLONE ACETATE OPHTH SUSP 1%","0637","RC","Both",,,"64","32","Humana","Medicare Advantage",,,"54",,"34.69","0.15","5264.58","percent of total billed charges",,
"NF-PREDNISOLONE ACETATE OPHTH SUSP 1%","0637","RC","Both",,,"64","32","UHC","Medicare Advantage",,,"54",,"34.69","0.15","5264.58","percent of total billed charges",,
"NF-PREDNISOLONE ACETATE OPHTH SUSP 1%","0637","RC","Both",,,"64","32","Clover","Medicare Advantage",,,"54",,"34.69","0.15","5264.58","percent of total billed charges",,
"NF-PREDNISOLONE ACETATE OPHTH SUSP 1%","0637","RC","Both",,,"64","32","Wellcare","Medicare Advantage",,,"54",,"34.69","0.15","5264.58","percent of total billed charges",,
"NF-PREDNISOLONE ACETATE OPHTH SUSP 1%","0637","RC","Both",,,"64","32","Amerigroup","Medicaid Managed Care",,,"37",,"23.42","0.15","5264.58","percent of total billed charges",,
"NF-PREDNISOLONE ACETATE OPHTH SUSP 1%","0637","RC","Both",,,"64","32","Caresource","Medicaid Managed Care",,,"40",,"25.6","0.15","5264.58","percent of total billed charges",,
"NF-PREDNISOLONE ACETATE OPHTH SUSP 1%","0637","RC","Both",,,"64","32","Wellcare","Medicaid Managed Care",,,"40",,"25.92","0.15","5264.58","percent of total billed charges",,
"NF-PREDNISOLONE ACETATE OPHTH SUSP 1%","0637","RC","Both",,,"64","32","Aetna","Commercial",,,"64",,"40.83","0.15","5264.58","percent of total billed charges",,
"NF-PREDNISOLONE ACETATE OPHTH SUSP 1%","0637","RC","Both",,,"64","32","Blue Cross Blue Shield","Pathways",,,"71",,"45.18","0.15","5264.58","percent of total billed charges",,
"NF-PREDNISOLONE ACETATE OPHTH SUSP 1%","0637","RC","Both",,,"64","32","Blue Cross Blue Shield","HMO",,,"71",,"45.18","0.15","5264.58","percent of total billed charges",,
"NF-PREDNISOLONE ACETATE OPHTH SUSP 1%","0637","RC","Both",,,"64","32","Blue Cross Blue Shield","PPO",,,"71",,"45.18","0.15","5264.58","percent of total billed charges",,
"NF-PREDNISOLONE ACETATE OPHTH SUSP 1%","0637","RC","Both",,,"64","32","Ambetter","Health Exchange",,,"62",,"39.68","0.15","5264.58","percent of total billed charges",,
"NF-PREDNISOLONE ACETATE OPHTH SUSP 1%","0637","RC","Both",,,"64","32","Caresource","Health Exchange",,,"62",,"39.68","0.15","5264.58","percent of total billed charges",,
"NF-PREDNISOLONE ACETATE OPHTH SUSP 1%","0637","RC","Both",,,"64","32","Cigna","Commercial",,,"59",,"37.5","0.15","5264.58","percent of total billed charges",,
"NF-PREDNISOLONE ACETATE OPHTH SUSP 1%","0637","RC","Both",,,"64","32","Humana","Commercial",,,"78",,"49.6","0.15","5264.58","percent of total billed charges",,
"NF-PREDNISOLONE ACETATE OPHTH SUSP 1%","0637","RC","Both",,,"64","32","UHC","Commercial",,,"75",,"48.26","0.15","5264.58","percent of total billed charges",,
"NF-PREDNISOLONE ACETATE OPHTH SUSP 1%","0637","RC","Both",,,"64","32","Medicaid",,,,"37",,"23.42","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 1.25MG/3ML","0637","RC","Both",,,"7.5","3.75","Alliant","Health Exchange",,,"62",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 1.25MG/3ML","0637","RC","Both",,,"7.5","3.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.05","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 1.25MG/3ML","0637","RC","Both",,,"7.5","3.75","Medicare",,,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 1.25MG/3ML","0637","RC","Both",,,"7.5","3.75","Humana","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 1.25MG/3ML","0637","RC","Both",,,"7.5","3.75","UHC","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 1.25MG/3ML","0637","RC","Both",,,"7.5","3.75","Clover","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 1.25MG/3ML","0637","RC","Both",,,"7.5","3.75","Wellcare","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 1.25MG/3ML","0637","RC","Both",,,"7.5","3.75","Amerigroup","Medicaid Managed Care",,,"37",,"2.74","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 1.25MG/3ML","0637","RC","Both",,,"7.5","3.75","Caresource","Medicaid Managed Care",,,"40",,"3","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 1.25MG/3ML","0637","RC","Both",,,"7.5","3.75","Wellcare","Medicaid Managed Care",,,"40",,"3.04","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 1.25MG/3ML","0637","RC","Both",,,"7.5","3.75","Aetna","Commercial",,,"64",,"4.78","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 1.25MG/3ML","0637","RC","Both",,,"7.5","3.75","Blue Cross Blue Shield","Pathways",,,"71",,"5.3","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 1.25MG/3ML","0637","RC","Both",,,"7.5","3.75","Blue Cross Blue Shield","HMO",,,"71",,"5.3","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 1.25MG/3ML","0637","RC","Both",,,"7.5","3.75","Blue Cross Blue Shield","PPO",,,"71",,"5.3","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 1.25MG/3ML","0637","RC","Both",,,"7.5","3.75","Ambetter","Health Exchange",,,"62",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 1.25MG/3ML","0637","RC","Both",,,"7.5","3.75","Caresource","Health Exchange",,,"62",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 1.25MG/3ML","0637","RC","Both",,,"7.5","3.75","Cigna","Commercial",,,"59",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 1.25MG/3ML","0637","RC","Both",,,"7.5","3.75","Humana","Commercial",,,"78",,"5.81","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 1.25MG/3ML","0637","RC","Both",,,"7.5","3.75","UHC","Commercial",,,"75",,"5.66","0.15","5264.58","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 1.25MG/3ML","0637","RC","Both",,,"7.5","3.75","Medicaid",,,,"37",,"2.74","0.15","5264.58","percent of total billed charges",,
"NF-ZESTRIL 10MG ORAL TABLET","0637","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-ZESTRIL 10MG ORAL TABLET","0637","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.15","5264.58","percent of total billed charges",,
"NF-ZESTRIL 10MG ORAL TABLET","0637","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-ZESTRIL 10MG ORAL TABLET","0637","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-ZESTRIL 10MG ORAL TABLET","0637","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-ZESTRIL 10MG ORAL TABLET","0637","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-ZESTRIL 10MG ORAL TABLET","0637","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-ZESTRIL 10MG ORAL TABLET","0637","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-ZESTRIL 10MG ORAL TABLET","0637","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.15","5264.58","percent of total billed charges",,
"NF-ZESTRIL 10MG ORAL TABLET","0637","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-ZESTRIL 10MG ORAL TABLET","0637","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.15","5264.58","percent of total billed charges",,
"NF-ZESTRIL 10MG ORAL TABLET","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-ZESTRIL 10MG ORAL TABLET","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-ZESTRIL 10MG ORAL TABLET","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-ZESTRIL 10MG ORAL TABLET","0637","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-ZESTRIL 10MG ORAL TABLET","0637","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-ZESTRIL 10MG ORAL TABLET","0637","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.15","5264.58","percent of total billed charges",,
"NF-ZESTRIL 10MG ORAL TABLET","0637","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-ZESTRIL 10MG ORAL TABLET","0637","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.15","5264.58","percent of total billed charges",,
"NF-ZESTRIL 10MG ORAL TABLET","0637","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-NEVANAC OPHTH SUSP 0.1%","0637","RC","Both",,,"218.5","109.25","Alliant","Health Exchange",,,"62",,"135.47","0.15","5264.58","percent of total billed charges",,
"NF-NEVANAC OPHTH SUSP 0.1%","0637","RC","Both",,,"218.5","109.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"117.99","0.15","5264.58","percent of total billed charges",,
"NF-NEVANAC OPHTH SUSP 0.1%","0637","RC","Both",,,"218.5","109.25","Medicare",,,,"54",,"118.43","0.15","5264.58","percent of total billed charges",,
"NF-NEVANAC OPHTH SUSP 0.1%","0637","RC","Both",,,"218.5","109.25","Humana","Medicare Advantage",,,"54",,"118.43","0.15","5264.58","percent of total billed charges",,
"NF-NEVANAC OPHTH SUSP 0.1%","0637","RC","Both",,,"218.5","109.25","UHC","Medicare Advantage",,,"54",,"118.43","0.15","5264.58","percent of total billed charges",,
"NF-NEVANAC OPHTH SUSP 0.1%","0637","RC","Both",,,"218.5","109.25","Clover","Medicare Advantage",,,"54",,"118.43","0.15","5264.58","percent of total billed charges",,
"NF-NEVANAC OPHTH SUSP 0.1%","0637","RC","Both",,,"218.5","109.25","Wellcare","Medicare Advantage",,,"54",,"118.43","0.15","5264.58","percent of total billed charges",,
"NF-NEVANAC OPHTH SUSP 0.1%","0637","RC","Both",,,"218.5","109.25","Amerigroup","Medicaid Managed Care",,,"37",,"79.97","0.15","5264.58","percent of total billed charges",,
"NF-NEVANAC OPHTH SUSP 0.1%","0637","RC","Both",,,"218.5","109.25","Caresource","Medicaid Managed Care",,,"40",,"87.4","0.15","5264.58","percent of total billed charges",,
"NF-NEVANAC OPHTH SUSP 0.1%","0637","RC","Both",,,"218.5","109.25","Wellcare","Medicaid Managed Care",,,"40",,"88.49","0.15","5264.58","percent of total billed charges",,
"NF-NEVANAC OPHTH SUSP 0.1%","0637","RC","Both",,,"218.5","109.25","Aetna","Commercial",,,"64",,"139.4","0.15","5264.58","percent of total billed charges",,
"NF-NEVANAC OPHTH SUSP 0.1%","0637","RC","Both",,,"218.5","109.25","Blue Cross Blue Shield","Pathways",,,"71",,"154.26","0.15","5264.58","percent of total billed charges",,
"NF-NEVANAC OPHTH SUSP 0.1%","0637","RC","Both",,,"218.5","109.25","Blue Cross Blue Shield","HMO",,,"71",,"154.26","0.15","5264.58","percent of total billed charges",,
"NF-NEVANAC OPHTH SUSP 0.1%","0637","RC","Both",,,"218.5","109.25","Blue Cross Blue Shield","PPO",,,"71",,"154.26","0.15","5264.58","percent of total billed charges",,
"NF-NEVANAC OPHTH SUSP 0.1%","0637","RC","Both",,,"218.5","109.25","Ambetter","Health Exchange",,,"62",,"135.47","0.15","5264.58","percent of total billed charges",,
"NF-NEVANAC OPHTH SUSP 0.1%","0637","RC","Both",,,"218.5","109.25","Caresource","Health Exchange",,,"62",,"135.47","0.15","5264.58","percent of total billed charges",,
"NF-NEVANAC OPHTH SUSP 0.1%","0637","RC","Both",,,"218.5","109.25","Cigna","Commercial",,,"59",,"128.04","0.15","5264.58","percent of total billed charges",,
"NF-NEVANAC OPHTH SUSP 0.1%","0637","RC","Both",,,"218.5","109.25","Humana","Commercial",,,"78",,"169.34","0.15","5264.58","percent of total billed charges",,
"NF-NEVANAC OPHTH SUSP 0.1%","0637","RC","Both",,,"218.5","109.25","UHC","Commercial",,,"75",,"164.75","0.15","5264.58","percent of total billed charges",,
"NF-NEVANAC OPHTH SUSP 0.1%","0637","RC","Both",,,"218.5","109.25","Medicaid",,,,"37",,"79.97","0.15","5264.58","percent of total billed charges",,
"NF-STIVARGA TAB 40MG","0637","RC","Both",,,"468.5","234.25","Alliant","Health Exchange",,,"62",,"290.47","0.15","5264.58","percent of total billed charges",,
"NF-STIVARGA TAB 40MG","0637","RC","Both",,,"468.5","234.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"252.99","0.15","5264.58","percent of total billed charges",,
"NF-STIVARGA TAB 40MG","0637","RC","Both",,,"468.5","234.25","Medicare",,,,"54",,"253.93","0.15","5264.58","percent of total billed charges",,
"NF-STIVARGA TAB 40MG","0637","RC","Both",,,"468.5","234.25","Humana","Medicare Advantage",,,"54",,"253.93","0.15","5264.58","percent of total billed charges",,
"NF-STIVARGA TAB 40MG","0637","RC","Both",,,"468.5","234.25","UHC","Medicare Advantage",,,"54",,"253.93","0.15","5264.58","percent of total billed charges",,
"NF-STIVARGA TAB 40MG","0637","RC","Both",,,"468.5","234.25","Clover","Medicare Advantage",,,"54",,"253.93","0.15","5264.58","percent of total billed charges",,
"NF-STIVARGA TAB 40MG","0637","RC","Both",,,"468.5","234.25","Wellcare","Medicare Advantage",,,"54",,"253.93","0.15","5264.58","percent of total billed charges",,
"NF-STIVARGA TAB 40MG","0637","RC","Both",,,"468.5","234.25","Amerigroup","Medicaid Managed Care",,,"37",,"171.47","0.15","5264.58","percent of total billed charges",,
"NF-STIVARGA TAB 40MG","0637","RC","Both",,,"468.5","234.25","Caresource","Medicaid Managed Care",,,"40",,"187.4","0.15","5264.58","percent of total billed charges",,
"NF-STIVARGA TAB 40MG","0637","RC","Both",,,"468.5","234.25","Wellcare","Medicaid Managed Care",,,"40",,"189.74","0.15","5264.58","percent of total billed charges",,
"NF-STIVARGA TAB 40MG","0637","RC","Both",,,"468.5","234.25","Aetna","Commercial",,,"64",,"298.9","0.15","5264.58","percent of total billed charges",,
"NF-STIVARGA TAB 40MG","0637","RC","Both",,,"468.5","234.25","Blue Cross Blue Shield","Pathways",,,"71",,"330.76","0.15","5264.58","percent of total billed charges",,
"NF-STIVARGA TAB 40MG","0637","RC","Both",,,"468.5","234.25","Blue Cross Blue Shield","HMO",,,"71",,"330.76","0.15","5264.58","percent of total billed charges",,
"NF-STIVARGA TAB 40MG","0637","RC","Both",,,"468.5","234.25","Blue Cross Blue Shield","PPO",,,"71",,"330.76","0.15","5264.58","percent of total billed charges",,
"NF-STIVARGA TAB 40MG","0637","RC","Both",,,"468.5","234.25","Ambetter","Health Exchange",,,"62",,"290.47","0.15","5264.58","percent of total billed charges",,
"NF-STIVARGA TAB 40MG","0637","RC","Both",,,"468.5","234.25","Caresource","Health Exchange",,,"62",,"290.47","0.15","5264.58","percent of total billed charges",,
"NF-STIVARGA TAB 40MG","0637","RC","Both",,,"468.5","234.25","Cigna","Commercial",,,"59",,"274.54","0.15","5264.58","percent of total billed charges",,
"NF-STIVARGA TAB 40MG","0637","RC","Both",,,"468.5","234.25","Humana","Commercial",,,"78",,"363.09","0.15","5264.58","percent of total billed charges",,
"NF-STIVARGA TAB 40MG","0637","RC","Both",,,"468.5","234.25","UHC","Commercial",,,"75",,"353.25","0.15","5264.58","percent of total billed charges",,
"NF-STIVARGA TAB 40MG","0637","RC","Both",,,"468.5","234.25","Medicaid",,,,"37",,"171.47","0.15","5264.58","percent of total billed charges",,
"NF-XENADERM OINT 788MG-87MG-90U/1GM","0637","RC","Both",,,"3.5","1.75","Alliant","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-XENADERM OINT 788MG-87MG-90U/1GM","0637","RC","Both",,,"3.5","1.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.89","0.15","5264.58","percent of total billed charges",,
"NF-XENADERM OINT 788MG-87MG-90U/1GM","0637","RC","Both",,,"3.5","1.75","Medicare",,,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-XENADERM OINT 788MG-87MG-90U/1GM","0637","RC","Both",,,"3.5","1.75","Humana","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-XENADERM OINT 788MG-87MG-90U/1GM","0637","RC","Both",,,"3.5","1.75","UHC","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-XENADERM OINT 788MG-87MG-90U/1GM","0637","RC","Both",,,"3.5","1.75","Clover","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-XENADERM OINT 788MG-87MG-90U/1GM","0637","RC","Both",,,"3.5","1.75","Wellcare","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-XENADERM OINT 788MG-87MG-90U/1GM","0637","RC","Both",,,"3.5","1.75","Amerigroup","Medicaid Managed Care",,,"37",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-XENADERM OINT 788MG-87MG-90U/1GM","0637","RC","Both",,,"3.5","1.75","Caresource","Medicaid Managed Care",,,"40",,"1.4","0.15","5264.58","percent of total billed charges",,
"NF-XENADERM OINT 788MG-87MG-90U/1GM","0637","RC","Both",,,"3.5","1.75","Wellcare","Medicaid Managed Care",,,"40",,"1.42","0.15","5264.58","percent of total billed charges",,
"NF-XENADERM OINT 788MG-87MG-90U/1GM","0637","RC","Both",,,"3.5","1.75","Aetna","Commercial",,,"64",,"2.23","0.15","5264.58","percent of total billed charges",,
"NF-XENADERM OINT 788MG-87MG-90U/1GM","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","Pathways",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-XENADERM OINT 788MG-87MG-90U/1GM","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","HMO",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-XENADERM OINT 788MG-87MG-90U/1GM","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","PPO",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-XENADERM OINT 788MG-87MG-90U/1GM","0637","RC","Both",,,"3.5","1.75","Ambetter","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-XENADERM OINT 788MG-87MG-90U/1GM","0637","RC","Both",,,"3.5","1.75","Caresource","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-XENADERM OINT 788MG-87MG-90U/1GM","0637","RC","Both",,,"3.5","1.75","Cigna","Commercial",,,"59",,"2.05","0.15","5264.58","percent of total billed charges",,
"NF-XENADERM OINT 788MG-87MG-90U/1GM","0637","RC","Both",,,"3.5","1.75","Humana","Commercial",,,"78",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-XENADERM OINT 788MG-87MG-90U/1GM","0637","RC","Both",,,"3.5","1.75","UHC","Commercial",,,"75",,"2.64","0.15","5264.58","percent of total billed charges",,
"NF-XENADERM OINT 788MG-87MG-90U/1GM","0637","RC","Both",,,"3.5","1.75","Medicaid",,,,"37",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL 20MG/5ML ORAL ELIXIR","0250","RC","Both",,,"0.89","0.445","Alliant","Health Exchange",,,"62",,"0.55","0.04","569.62","percent of total billed charges",,
"NF-PHENOBARBITAL 20MG/5ML ORAL ELIXIR","0250","RC","Both",,,"0.89","0.445","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.48","0.04","569.62","percent of total billed charges",,
"NF-PHENOBARBITAL 20MG/5ML ORAL ELIXIR","0250","RC","Both",,,"0.89","0.445","Medicare",,,,"54",,"0.48","0.04","569.62","percent of total billed charges",,
"NF-PHENOBARBITAL 20MG/5ML ORAL ELIXIR","0250","RC","Both",,,"0.89","0.445","Humana","Medicare Advantage",,,"54",,"0.48","0.04","569.62","percent of total billed charges",,
"NF-PHENOBARBITAL 20MG/5ML ORAL ELIXIR","0250","RC","Both",,,"0.89","0.445","UHC","Medicare Advantage",,,"54",,"0.48","0.04","569.62","percent of total billed charges",,
"NF-PHENOBARBITAL 20MG/5ML ORAL ELIXIR","0250","RC","Both",,,"0.89","0.445","Clover","Medicare Advantage",,,"54",,"0.48","0.04","569.62","percent of total billed charges",,
"NF-PHENOBARBITAL 20MG/5ML ORAL ELIXIR","0250","RC","Both",,,"0.89","0.445","Wellcare","Medicare Advantage",,,"54",,"0.48","0.04","569.62","percent of total billed charges",,
"NF-PHENOBARBITAL 20MG/5ML ORAL ELIXIR","0250","RC","Both",,,"0.89","0.445","Amerigroup","Medicaid Managed Care",,,"37",,"0.33","0.04","569.62","percent of total billed charges",,
"NF-PHENOBARBITAL 20MG/5ML ORAL ELIXIR","0250","RC","Both",,,"0.89","0.445","Caresource","Medicaid Managed Care",,,"40",,"0.36","0.04","569.62","percent of total billed charges",,
"NF-PHENOBARBITAL 20MG/5ML ORAL ELIXIR","0250","RC","Both",,,"0.89","0.445","Wellcare","Medicaid Managed Care",,,"40",,"0.36","0.04","569.62","percent of total billed charges",,
"NF-PHENOBARBITAL 20MG/5ML ORAL ELIXIR","0250","RC","Both",,,"0.89","0.445","Aetna","Commercial",,,"64",,"0.57","0.04","569.62","percent of total billed charges",,
"NF-PHENOBARBITAL 20MG/5ML ORAL ELIXIR","0250","RC","Both",,,"0.89","0.445","Blue Cross Blue Shield","Pathways",,,"71",,"0.63","0.04","569.62","percent of total billed charges",,
"NF-PHENOBARBITAL 20MG/5ML ORAL ELIXIR","0250","RC","Both",,,"0.89","0.445","Blue Cross Blue Shield","HMO",,,"71",,"0.63","0.04","569.62","percent of total billed charges",,
"NF-PHENOBARBITAL 20MG/5ML ORAL ELIXIR","0250","RC","Both",,,"0.89","0.445","Blue Cross Blue Shield","PPO",,,"71",,"0.63","0.04","569.62","percent of total billed charges",,
"NF-PHENOBARBITAL 20MG/5ML ORAL ELIXIR","0250","RC","Both",,,"0.89","0.445","Ambetter","Health Exchange",,,"62",,"0.55","0.04","569.62","percent of total billed charges",,
"NF-PHENOBARBITAL 20MG/5ML ORAL ELIXIR","0250","RC","Both",,,"0.89","0.445","Caresource","Health Exchange",,,"62",,"0.55","0.04","569.62","percent of total billed charges",,
"NF-PHENOBARBITAL 20MG/5ML ORAL ELIXIR","0250","RC","Both",,,"0.89","0.445","Cigna","Commercial",,,"59",,"0.52","0.04","569.62","percent of total billed charges",,
"NF-PHENOBARBITAL 20MG/5ML ORAL ELIXIR","0250","RC","Both",,,"0.89","0.445","Humana","Commercial",,,"78",,"0.69","0.04","569.62","percent of total billed charges",,
"NF-PHENOBARBITAL 20MG/5ML ORAL ELIXIR","0250","RC","Both",,,"0.89","0.445","UHC","Commercial",,,"75",,"0.67","0.04","569.62","percent of total billed charges",,
"NF-PHENOBARBITAL 20MG/5ML ORAL ELIXIR","0250","RC","Both",,,"0.89","0.445","Medicaid",,,,"37",,"0.33","0.04","569.62","percent of total billed charges",,
"NF-SYSTANE 0.4%-0.3% OPHTHALMIC SOLUTION","0637","RC","Both",,,"1.5","0.75","Alliant","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE 0.4%-0.3% OPHTHALMIC SOLUTION","0637","RC","Both",,,"1.5","0.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE 0.4%-0.3% OPHTHALMIC SOLUTION","0637","RC","Both",,,"1.5","0.75","Medicare",,,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE 0.4%-0.3% OPHTHALMIC SOLUTION","0637","RC","Both",,,"1.5","0.75","Humana","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE 0.4%-0.3% OPHTHALMIC SOLUTION","0637","RC","Both",,,"1.5","0.75","UHC","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE 0.4%-0.3% OPHTHALMIC SOLUTION","0637","RC","Both",,,"1.5","0.75","Clover","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE 0.4%-0.3% OPHTHALMIC SOLUTION","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE 0.4%-0.3% OPHTHALMIC SOLUTION","0637","RC","Both",,,"1.5","0.75","Amerigroup","Medicaid Managed Care",,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE 0.4%-0.3% OPHTHALMIC SOLUTION","0637","RC","Both",,,"1.5","0.75","Caresource","Medicaid Managed Care",,,"40",,"0.6","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE 0.4%-0.3% OPHTHALMIC SOLUTION","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicaid Managed Care",,,"40",,"0.61","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE 0.4%-0.3% OPHTHALMIC SOLUTION","0637","RC","Both",,,"1.5","0.75","Aetna","Commercial",,,"64",,"0.96","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE 0.4%-0.3% OPHTHALMIC SOLUTION","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","Pathways",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE 0.4%-0.3% OPHTHALMIC SOLUTION","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","HMO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE 0.4%-0.3% OPHTHALMIC SOLUTION","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","PPO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE 0.4%-0.3% OPHTHALMIC SOLUTION","0637","RC","Both",,,"1.5","0.75","Ambetter","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE 0.4%-0.3% OPHTHALMIC SOLUTION","0637","RC","Both",,,"1.5","0.75","Caresource","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE 0.4%-0.3% OPHTHALMIC SOLUTION","0637","RC","Both",,,"1.5","0.75","Cigna","Commercial",,,"59",,"0.88","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE 0.4%-0.3% OPHTHALMIC SOLUTION","0637","RC","Both",,,"1.5","0.75","Humana","Commercial",,,"78",,"1.16","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE 0.4%-0.3% OPHTHALMIC SOLUTION","0637","RC","Both",,,"1.5","0.75","UHC","Commercial",,,"75",,"1.13","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE 0.4%-0.3% OPHTHALMIC SOLUTION","0637","RC","Both",,,"1.5","0.75","Medicaid",,,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-DILTIAZEM CD 240MG ORAL CAPSULE, EXTE","0637","RC","Both",,,"56","28","Alliant","Health Exchange",,,"62",,"34.72","0.15","5264.58","percent of total billed charges",,
"NF-DILTIAZEM CD 240MG ORAL CAPSULE, EXTE","0637","RC","Both",,,"56","28","Pruitt Healthcare","Medicare Advantage",,,"54",,"30.24","0.15","5264.58","percent of total billed charges",,
"NF-DILTIAZEM CD 240MG ORAL CAPSULE, EXTE","0637","RC","Both",,,"56","28","Medicare",,,,"54",,"30.35","0.15","5264.58","percent of total billed charges",,
"NF-DILTIAZEM CD 240MG ORAL CAPSULE, EXTE","0637","RC","Both",,,"56","28","Humana","Medicare Advantage",,,"54",,"30.35","0.15","5264.58","percent of total billed charges",,
"NF-DILTIAZEM CD 240MG ORAL CAPSULE, EXTE","0637","RC","Both",,,"56","28","UHC","Medicare Advantage",,,"54",,"30.35","0.15","5264.58","percent of total billed charges",,
"NF-DILTIAZEM CD 240MG ORAL CAPSULE, EXTE","0637","RC","Both",,,"56","28","Clover","Medicare Advantage",,,"54",,"30.35","0.15","5264.58","percent of total billed charges",,
"NF-DILTIAZEM CD 240MG ORAL CAPSULE, EXTE","0637","RC","Both",,,"56","28","Wellcare","Medicare Advantage",,,"54",,"30.35","0.15","5264.58","percent of total billed charges",,
"NF-DILTIAZEM CD 240MG ORAL CAPSULE, EXTE","0637","RC","Both",,,"56","28","Amerigroup","Medicaid Managed Care",,,"37",,"20.5","0.15","5264.58","percent of total billed charges",,
"NF-DILTIAZEM CD 240MG ORAL CAPSULE, EXTE","0637","RC","Both",,,"56","28","Caresource","Medicaid Managed Care",,,"40",,"22.4","0.15","5264.58","percent of total billed charges",,
"NF-DILTIAZEM CD 240MG ORAL CAPSULE, EXTE","0637","RC","Both",,,"56","28","Wellcare","Medicaid Managed Care",,,"40",,"22.68","0.15","5264.58","percent of total billed charges",,
"NF-DILTIAZEM CD 240MG ORAL CAPSULE, EXTE","0637","RC","Both",,,"56","28","Aetna","Commercial",,,"64",,"35.73","0.15","5264.58","percent of total billed charges",,
"NF-DILTIAZEM CD 240MG ORAL CAPSULE, EXTE","0637","RC","Both",,,"56","28","Blue Cross Blue Shield","Pathways",,,"71",,"39.54","0.15","5264.58","percent of total billed charges",,
"NF-DILTIAZEM CD 240MG ORAL CAPSULE, EXTE","0637","RC","Both",,,"56","28","Blue Cross Blue Shield","HMO",,,"71",,"39.54","0.15","5264.58","percent of total billed charges",,
"NF-DILTIAZEM CD 240MG ORAL CAPSULE, EXTE","0637","RC","Both",,,"56","28","Blue Cross Blue Shield","PPO",,,"71",,"39.54","0.15","5264.58","percent of total billed charges",,
"NF-DILTIAZEM CD 240MG ORAL CAPSULE, EXTE","0637","RC","Both",,,"56","28","Ambetter","Health Exchange",,,"62",,"34.72","0.15","5264.58","percent of total billed charges",,
"NF-DILTIAZEM CD 240MG ORAL CAPSULE, EXTE","0637","RC","Both",,,"56","28","Caresource","Health Exchange",,,"62",,"34.72","0.15","5264.58","percent of total billed charges",,
"NF-DILTIAZEM CD 240MG ORAL CAPSULE, EXTE","0637","RC","Both",,,"56","28","Cigna","Commercial",,,"59",,"32.82","0.15","5264.58","percent of total billed charges",,
"NF-DILTIAZEM CD 240MG ORAL CAPSULE, EXTE","0637","RC","Both",,,"56","28","Humana","Commercial",,,"78",,"43.4","0.15","5264.58","percent of total billed charges",,
"NF-DILTIAZEM CD 240MG ORAL CAPSULE, EXTE","0637","RC","Both",,,"56","28","UHC","Commercial",,,"75",,"42.22","0.15","5264.58","percent of total billed charges",,
"NF-DILTIAZEM CD 240MG ORAL CAPSULE, EXTE","0637","RC","Both",,,"56","28","Medicaid",,,,"37",,"20.5","0.15","5264.58","percent of total billed charges",,
"NF-LETAIRIS TAB 5MG","0637","RC","Both",,,"827","413.5","Alliant","Health Exchange",,,"62",,"512.74","0.15","5264.58","percent of total billed charges",,
"NF-LETAIRIS TAB 5MG","0637","RC","Both",,,"827","413.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"446.58","0.15","5264.58","percent of total billed charges",,
"NF-LETAIRIS TAB 5MG","0637","RC","Both",,,"827","413.5","Medicare",,,,"54",,"448.23","0.15","5264.58","percent of total billed charges",,
"NF-LETAIRIS TAB 5MG","0637","RC","Both",,,"827","413.5","Humana","Medicare Advantage",,,"54",,"448.23","0.15","5264.58","percent of total billed charges",,
"NF-LETAIRIS TAB 5MG","0637","RC","Both",,,"827","413.5","UHC","Medicare Advantage",,,"54",,"448.23","0.15","5264.58","percent of total billed charges",,
"NF-LETAIRIS TAB 5MG","0637","RC","Both",,,"827","413.5","Clover","Medicare Advantage",,,"54",,"448.23","0.15","5264.58","percent of total billed charges",,
"NF-LETAIRIS TAB 5MG","0637","RC","Both",,,"827","413.5","Wellcare","Medicare Advantage",,,"54",,"448.23","0.15","5264.58","percent of total billed charges",,
"NF-LETAIRIS TAB 5MG","0637","RC","Both",,,"827","413.5","Amerigroup","Medicaid Managed Care",,,"37",,"302.68","0.15","5264.58","percent of total billed charges",,
"NF-LETAIRIS TAB 5MG","0637","RC","Both",,,"827","413.5","Caresource","Medicaid Managed Care",,,"40",,"330.8","0.15","5264.58","percent of total billed charges",,
"NF-LETAIRIS TAB 5MG","0637","RC","Both",,,"827","413.5","Wellcare","Medicaid Managed Care",,,"40",,"334.94","0.15","5264.58","percent of total billed charges",,
"NF-LETAIRIS TAB 5MG","0637","RC","Both",,,"827","413.5","Aetna","Commercial",,,"64",,"527.63","0.15","5264.58","percent of total billed charges",,
"NF-LETAIRIS TAB 5MG","0637","RC","Both",,,"827","413.5","Blue Cross Blue Shield","Pathways",,,"71",,"583.86","0.15","5264.58","percent of total billed charges",,
"NF-LETAIRIS TAB 5MG","0637","RC","Both",,,"827","413.5","Blue Cross Blue Shield","HMO",,,"71",,"583.86","0.15","5264.58","percent of total billed charges",,
"NF-LETAIRIS TAB 5MG","0637","RC","Both",,,"827","413.5","Blue Cross Blue Shield","PPO",,,"71",,"583.86","0.15","5264.58","percent of total billed charges",,
"NF-LETAIRIS TAB 5MG","0637","RC","Both",,,"827","413.5","Ambetter","Health Exchange",,,"62",,"512.74","0.15","5264.58","percent of total billed charges",,
"NF-LETAIRIS TAB 5MG","0637","RC","Both",,,"827","413.5","Caresource","Health Exchange",,,"62",,"512.74","0.15","5264.58","percent of total billed charges",,
"NF-LETAIRIS TAB 5MG","0637","RC","Both",,,"827","413.5","Cigna","Commercial",,,"59",,"484.62","0.15","5264.58","percent of total billed charges",,
"NF-LETAIRIS TAB 5MG","0637","RC","Both",,,"827","413.5","Humana","Commercial",,,"78",,"640.93","0.15","5264.58","percent of total billed charges",,
"NF-LETAIRIS TAB 5MG","0637","RC","Both",,,"827","413.5","UHC","Commercial",,,"75",,"623.56","0.15","5264.58","percent of total billed charges",,
"NF-LETAIRIS TAB 5MG","0637","RC","Both",,,"827","413.5","Medicaid",,,,"37",,"302.68","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"12","6","Alliant","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.48","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"12","6","Medicare",,,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"12","6","Humana","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"12","6","UHC","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"12","6","Clover","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"12","6","Wellcare","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"12","6","Amerigroup","Medicaid Managed Care",,,"37",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"12","6","Caresource","Medicaid Managed Care",,,"40",,"4.8","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"12","6","Wellcare","Medicaid Managed Care",,,"40",,"4.86","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"12","6","Aetna","Commercial",,,"64",,"7.66","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","Pathways",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","HMO",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","PPO",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"12","6","Ambetter","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"12","6","Caresource","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"12","6","Cigna","Commercial",,,"59",,"7.03","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"12","6","Humana","Commercial",,,"78",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"12","6","UHC","Commercial",,,"75",,"9.05","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"12","6","Medicaid",,,,"37",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"2.5","1.25","Alliant","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"2.5","1.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.35","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"2.5","1.25","Medicare",,,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"2.5","1.25","Humana","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"2.5","1.25","UHC","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"2.5","1.25","Clover","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"2.5","1.25","Wellcare","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"2.5","1.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.92","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"2.5","1.25","Caresource","Medicaid Managed Care",,,"40",,"1","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"2.5","1.25","Wellcare","Medicaid Managed Care",,,"40",,"1.01","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"2.5","1.25","Aetna","Commercial",,,"64",,"1.6","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","Pathways",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","HMO",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","PPO",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"2.5","1.25","Ambetter","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"2.5","1.25","Caresource","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"2.5","1.25","Cigna","Commercial",,,"59",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"2.5","1.25","Humana","Commercial",,,"78",,"1.94","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"2.5","1.25","UHC","Commercial",,,"75",,"1.88","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"2.5","1.25","Medicaid",,,,"37",,"0.92","0.15","5264.58","percent of total billed charges",,
"NF-AFRIN NASAL SPRAY 0.05%","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-AFRIN NASAL SPRAY 0.05%","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-AFRIN NASAL SPRAY 0.05%","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-AFRIN NASAL SPRAY 0.05%","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-AFRIN NASAL SPRAY 0.05%","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-AFRIN NASAL SPRAY 0.05%","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-AFRIN NASAL SPRAY 0.05%","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-AFRIN NASAL SPRAY 0.05%","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-AFRIN NASAL SPRAY 0.05%","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-AFRIN NASAL SPRAY 0.05%","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-AFRIN NASAL SPRAY 0.05%","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-AFRIN NASAL SPRAY 0.05%","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-AFRIN NASAL SPRAY 0.05%","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-AFRIN NASAL SPRAY 0.05%","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-AFRIN NASAL SPRAY 0.05%","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-AFRIN NASAL SPRAY 0.05%","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-AFRIN NASAL SPRAY 0.05%","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-AFRIN NASAL SPRAY 0.05%","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-AFRIN NASAL SPRAY 0.05%","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-AFRIN NASAL SPRAY 0.05%","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-PREVACID CAP DR 15MG","0637","RC","Both",,,"2.5","1.25","Alliant","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-PREVACID CAP DR 15MG","0637","RC","Both",,,"2.5","1.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.35","0.15","5264.58","percent of total billed charges",,
"NF-PREVACID CAP DR 15MG","0637","RC","Both",,,"2.5","1.25","Medicare",,,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-PREVACID CAP DR 15MG","0637","RC","Both",,,"2.5","1.25","Humana","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-PREVACID CAP DR 15MG","0637","RC","Both",,,"2.5","1.25","UHC","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-PREVACID CAP DR 15MG","0637","RC","Both",,,"2.5","1.25","Clover","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-PREVACID CAP DR 15MG","0637","RC","Both",,,"2.5","1.25","Wellcare","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-PREVACID CAP DR 15MG","0637","RC","Both",,,"2.5","1.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.92","0.15","5264.58","percent of total billed charges",,
"NF-PREVACID CAP DR 15MG","0637","RC","Both",,,"2.5","1.25","Caresource","Medicaid Managed Care",,,"40",,"1","0.15","5264.58","percent of total billed charges",,
"NF-PREVACID CAP DR 15MG","0637","RC","Both",,,"2.5","1.25","Wellcare","Medicaid Managed Care",,,"40",,"1.01","0.15","5264.58","percent of total billed charges",,
"NF-PREVACID CAP DR 15MG","0637","RC","Both",,,"2.5","1.25","Aetna","Commercial",,,"64",,"1.6","0.15","5264.58","percent of total billed charges",,
"NF-PREVACID CAP DR 15MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","Pathways",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-PREVACID CAP DR 15MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","HMO",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-PREVACID CAP DR 15MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","PPO",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-PREVACID CAP DR 15MG","0637","RC","Both",,,"2.5","1.25","Ambetter","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-PREVACID CAP DR 15MG","0637","RC","Both",,,"2.5","1.25","Caresource","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-PREVACID CAP DR 15MG","0637","RC","Both",,,"2.5","1.25","Cigna","Commercial",,,"59",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-PREVACID CAP DR 15MG","0637","RC","Both",,,"2.5","1.25","Humana","Commercial",,,"78",,"1.94","0.15","5264.58","percent of total billed charges",,
"NF-PREVACID CAP DR 15MG","0637","RC","Both",,,"2.5","1.25","UHC","Commercial",,,"75",,"1.88","0.15","5264.58","percent of total billed charges",,
"NF-PREVACID CAP DR 15MG","0637","RC","Both",,,"2.5","1.25","Medicaid",,,,"37",,"0.92","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE SODIUM 2.5MG ORAL TABLET","0637","RC","Both",,,"21.5","10.75","Alliant","Health Exchange",,,"62",,"13.33","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE SODIUM 2.5MG ORAL TABLET","0637","RC","Both",,,"21.5","10.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.61","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE SODIUM 2.5MG ORAL TABLET","0637","RC","Both",,,"21.5","10.75","Medicare",,,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE SODIUM 2.5MG ORAL TABLET","0637","RC","Both",,,"21.5","10.75","Humana","Medicare Advantage",,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE SODIUM 2.5MG ORAL TABLET","0637","RC","Both",,,"21.5","10.75","UHC","Medicare Advantage",,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE SODIUM 2.5MG ORAL TABLET","0637","RC","Both",,,"21.5","10.75","Clover","Medicare Advantage",,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE SODIUM 2.5MG ORAL TABLET","0637","RC","Both",,,"21.5","10.75","Wellcare","Medicare Advantage",,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE SODIUM 2.5MG ORAL TABLET","0637","RC","Both",,,"21.5","10.75","Amerigroup","Medicaid Managed Care",,,"37",,"7.87","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE SODIUM 2.5MG ORAL TABLET","0637","RC","Both",,,"21.5","10.75","Caresource","Medicaid Managed Care",,,"40",,"8.6","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE SODIUM 2.5MG ORAL TABLET","0637","RC","Both",,,"21.5","10.75","Wellcare","Medicaid Managed Care",,,"40",,"8.71","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE SODIUM 2.5MG ORAL TABLET","0637","RC","Both",,,"21.5","10.75","Aetna","Commercial",,,"64",,"13.72","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE SODIUM 2.5MG ORAL TABLET","0637","RC","Both",,,"21.5","10.75","Blue Cross Blue Shield","Pathways",,,"71",,"15.18","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE SODIUM 2.5MG ORAL TABLET","0637","RC","Both",,,"21.5","10.75","Blue Cross Blue Shield","HMO",,,"71",,"15.18","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE SODIUM 2.5MG ORAL TABLET","0637","RC","Both",,,"21.5","10.75","Blue Cross Blue Shield","PPO",,,"71",,"15.18","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE SODIUM 2.5MG ORAL TABLET","0637","RC","Both",,,"21.5","10.75","Ambetter","Health Exchange",,,"62",,"13.33","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE SODIUM 2.5MG ORAL TABLET","0637","RC","Both",,,"21.5","10.75","Caresource","Health Exchange",,,"62",,"13.33","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE SODIUM 2.5MG ORAL TABLET","0637","RC","Both",,,"21.5","10.75","Cigna","Commercial",,,"59",,"12.6","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE SODIUM 2.5MG ORAL TABLET","0637","RC","Both",,,"21.5","10.75","Humana","Commercial",,,"78",,"16.66","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE SODIUM 2.5MG ORAL TABLET","0637","RC","Both",,,"21.5","10.75","UHC","Commercial",,,"75",,"16.21","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE SODIUM 2.5MG ORAL TABLET","0637","RC","Both",,,"21.5","10.75","Medicaid",,,,"37",,"7.87","0.15","5264.58","percent of total billed charges",,
"NF-CRANBERRY CAPSULE 400MG","0637","RC","Both",,,"0.42","0.21","Alliant","Health Exchange",,,"62",,"0.26","0.15","5264.58","percent of total billed charges",,
"NF-CRANBERRY CAPSULE 400MG","0637","RC","Both",,,"0.42","0.21","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.23","0.15","5264.58","percent of total billed charges",,
"NF-CRANBERRY CAPSULE 400MG","0637","RC","Both",,,"0.42","0.21","Medicare",,,,"54",,"0.23","0.15","5264.58","percent of total billed charges",,
"NF-CRANBERRY CAPSULE 400MG","0637","RC","Both",,,"0.42","0.21","Humana","Medicare Advantage",,,"54",,"0.23","0.15","5264.58","percent of total billed charges",,
"NF-CRANBERRY CAPSULE 400MG","0637","RC","Both",,,"0.42","0.21","UHC","Medicare Advantage",,,"54",,"0.23","0.15","5264.58","percent of total billed charges",,
"NF-CRANBERRY CAPSULE 400MG","0637","RC","Both",,,"0.42","0.21","Clover","Medicare Advantage",,,"54",,"0.23","0.15","5264.58","percent of total billed charges",,
"NF-CRANBERRY CAPSULE 400MG","0637","RC","Both",,,"0.42","0.21","Wellcare","Medicare Advantage",,,"54",,"0.23","0.15","5264.58","percent of total billed charges",,
"NF-CRANBERRY CAPSULE 400MG","0637","RC","Both",,,"0.42","0.21","Amerigroup","Medicaid Managed Care",,,"37",,"0.15","0.15","5264.58","percent of total billed charges",,
"NF-CRANBERRY CAPSULE 400MG","0637","RC","Both",,,"0.42","0.21","Caresource","Medicaid Managed Care",,,"40",,"0.17","0.15","5264.58","percent of total billed charges",,
"NF-CRANBERRY CAPSULE 400MG","0637","RC","Both",,,"0.42","0.21","Wellcare","Medicaid Managed Care",,,"40",,"0.17","0.15","5264.58","percent of total billed charges",,
"NF-CRANBERRY CAPSULE 400MG","0637","RC","Both",,,"0.42","0.21","Aetna","Commercial",,,"64",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-CRANBERRY CAPSULE 400MG","0637","RC","Both",,,"0.42","0.21","Blue Cross Blue Shield","Pathways",,,"71",,"0.3","0.15","5264.58","percent of total billed charges",,
"NF-CRANBERRY CAPSULE 400MG","0637","RC","Both",,,"0.42","0.21","Blue Cross Blue Shield","HMO",,,"71",,"0.3","0.15","5264.58","percent of total billed charges",,
"NF-CRANBERRY CAPSULE 400MG","0637","RC","Both",,,"0.42","0.21","Blue Cross Blue Shield","PPO",,,"71",,"0.3","0.15","5264.58","percent of total billed charges",,
"NF-CRANBERRY CAPSULE 400MG","0637","RC","Both",,,"0.42","0.21","Ambetter","Health Exchange",,,"62",,"0.26","0.15","5264.58","percent of total billed charges",,
"NF-CRANBERRY CAPSULE 400MG","0637","RC","Both",,,"0.42","0.21","Caresource","Health Exchange",,,"62",,"0.26","0.15","5264.58","percent of total billed charges",,
"NF-CRANBERRY CAPSULE 400MG","0637","RC","Both",,,"0.42","0.21","Cigna","Commercial",,,"59",,"0.25","0.15","5264.58","percent of total billed charges",,
"NF-CRANBERRY CAPSULE 400MG","0637","RC","Both",,,"0.42","0.21","Humana","Commercial",,,"78",,"0.33","0.15","5264.58","percent of total billed charges",,
"NF-CRANBERRY CAPSULE 400MG","0637","RC","Both",,,"0.42","0.21","UHC","Commercial",,,"75",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-CRANBERRY CAPSULE 400MG","0637","RC","Both",,,"0.42","0.21","Medicaid",,,,"37",,"0.15","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYZINE HCL ORAL TAB 10MG","0637","RC","Both",,,"1.5","0.75","Alliant","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYZINE HCL ORAL TAB 10MG","0637","RC","Both",,,"1.5","0.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYZINE HCL ORAL TAB 10MG","0637","RC","Both",,,"1.5","0.75","Medicare",,,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYZINE HCL ORAL TAB 10MG","0637","RC","Both",,,"1.5","0.75","Humana","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYZINE HCL ORAL TAB 10MG","0637","RC","Both",,,"1.5","0.75","UHC","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYZINE HCL ORAL TAB 10MG","0637","RC","Both",,,"1.5","0.75","Clover","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYZINE HCL ORAL TAB 10MG","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYZINE HCL ORAL TAB 10MG","0637","RC","Both",,,"1.5","0.75","Amerigroup","Medicaid Managed Care",,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYZINE HCL ORAL TAB 10MG","0637","RC","Both",,,"1.5","0.75","Caresource","Medicaid Managed Care",,,"40",,"0.6","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYZINE HCL ORAL TAB 10MG","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicaid Managed Care",,,"40",,"0.61","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYZINE HCL ORAL TAB 10MG","0637","RC","Both",,,"1.5","0.75","Aetna","Commercial",,,"64",,"0.96","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYZINE HCL ORAL TAB 10MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","Pathways",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYZINE HCL ORAL TAB 10MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","HMO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYZINE HCL ORAL TAB 10MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","PPO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYZINE HCL ORAL TAB 10MG","0637","RC","Both",,,"1.5","0.75","Ambetter","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYZINE HCL ORAL TAB 10MG","0637","RC","Both",,,"1.5","0.75","Caresource","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYZINE HCL ORAL TAB 10MG","0637","RC","Both",,,"1.5","0.75","Cigna","Commercial",,,"59",,"0.88","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYZINE HCL ORAL TAB 10MG","0637","RC","Both",,,"1.5","0.75","Humana","Commercial",,,"78",,"1.16","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYZINE HCL ORAL TAB 10MG","0637","RC","Both",,,"1.5","0.75","UHC","Commercial",,,"75",,"1.13","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYZINE HCL ORAL TAB 10MG","0637","RC","Both",,,"1.5","0.75","Medicaid",,,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 10MG","0637","RC","Both",,,"26.5","13.25","Alliant","Health Exchange",,,"62",,"16.43","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 10MG","0637","RC","Both",,,"26.5","13.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.31","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 10MG","0637","RC","Both",,,"26.5","13.25","Medicare",,,,"54",,"14.36","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 10MG","0637","RC","Both",,,"26.5","13.25","Humana","Medicare Advantage",,,"54",,"14.36","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 10MG","0637","RC","Both",,,"26.5","13.25","UHC","Medicare Advantage",,,"54",,"14.36","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 10MG","0637","RC","Both",,,"26.5","13.25","Clover","Medicare Advantage",,,"54",,"14.36","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 10MG","0637","RC","Both",,,"26.5","13.25","Wellcare","Medicare Advantage",,,"54",,"14.36","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 10MG","0637","RC","Both",,,"26.5","13.25","Amerigroup","Medicaid Managed Care",,,"37",,"9.7","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 10MG","0637","RC","Both",,,"26.5","13.25","Caresource","Medicaid Managed Care",,,"40",,"10.6","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 10MG","0637","RC","Both",,,"26.5","13.25","Wellcare","Medicaid Managed Care",,,"40",,"10.73","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 10MG","0637","RC","Both",,,"26.5","13.25","Aetna","Commercial",,,"64",,"16.91","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 10MG","0637","RC","Both",,,"26.5","13.25","Blue Cross Blue Shield","Pathways",,,"71",,"18.71","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 10MG","0637","RC","Both",,,"26.5","13.25","Blue Cross Blue Shield","HMO",,,"71",,"18.71","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 10MG","0637","RC","Both",,,"26.5","13.25","Blue Cross Blue Shield","PPO",,,"71",,"18.71","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 10MG","0637","RC","Both",,,"26.5","13.25","Ambetter","Health Exchange",,,"62",,"16.43","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 10MG","0637","RC","Both",,,"26.5","13.25","Caresource","Health Exchange",,,"62",,"16.43","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 10MG","0637","RC","Both",,,"26.5","13.25","Cigna","Commercial",,,"59",,"15.53","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 10MG","0637","RC","Both",,,"26.5","13.25","Humana","Commercial",,,"78",,"20.54","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 10MG","0637","RC","Both",,,"26.5","13.25","UHC","Commercial",,,"75",,"19.98","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 10MG","0637","RC","Both",,,"26.5","13.25","Medicaid",,,,"37",,"9.7","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 134MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 134MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 134MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 134MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 134MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 134MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 134MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 134MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 134MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 134MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 134MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 134MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 134MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 134MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 134MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 134MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 134MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 134MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 134MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 134MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) TABLET: 250 MG","0250","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","569.62","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) TABLET: 250 MG","0250","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","569.62","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) TABLET: 250 MG","0250","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","569.62","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) TABLET: 250 MG","0250","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","569.62","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) TABLET: 250 MG","0250","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","569.62","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) TABLET: 250 MG","0250","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","569.62","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) TABLET: 250 MG","0250","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","569.62","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) TABLET: 250 MG","0250","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","569.62","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) TABLET: 250 MG","0250","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","569.62","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) TABLET: 250 MG","0250","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","569.62","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) TABLET: 250 MG","0250","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","569.62","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) TABLET: 250 MG","0250","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","569.62","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) TABLET: 250 MG","0250","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","569.62","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) TABLET: 250 MG","0250","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","569.62","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) TABLET: 250 MG","0250","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","569.62","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) TABLET: 250 MG","0250","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","569.62","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) TABLET: 250 MG","0250","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","569.62","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) TABLET: 250 MG","0250","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","569.62","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) TABLET: 250 MG","0250","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","569.62","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) TABLET: 250 MG","0250","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","569.62","percent of total billed charges",,
"NF-ORTHO TRI-CYCLEN 35MCG-0.18MG\;35MCG-","0637","RC","Both",,,"3.5","1.75","Alliant","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-ORTHO TRI-CYCLEN 35MCG-0.18MG\;35MCG-","0637","RC","Both",,,"3.5","1.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.89","0.15","5264.58","percent of total billed charges",,
"NF-ORTHO TRI-CYCLEN 35MCG-0.18MG\;35MCG-","0637","RC","Both",,,"3.5","1.75","Medicare",,,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-ORTHO TRI-CYCLEN 35MCG-0.18MG\;35MCG-","0637","RC","Both",,,"3.5","1.75","Humana","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-ORTHO TRI-CYCLEN 35MCG-0.18MG\;35MCG-","0637","RC","Both",,,"3.5","1.75","UHC","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-ORTHO TRI-CYCLEN 35MCG-0.18MG\;35MCG-","0637","RC","Both",,,"3.5","1.75","Clover","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-ORTHO TRI-CYCLEN 35MCG-0.18MG\;35MCG-","0637","RC","Both",,,"3.5","1.75","Wellcare","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-ORTHO TRI-CYCLEN 35MCG-0.18MG\;35MCG-","0637","RC","Both",,,"3.5","1.75","Amerigroup","Medicaid Managed Care",,,"37",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-ORTHO TRI-CYCLEN 35MCG-0.18MG\;35MCG-","0637","RC","Both",,,"3.5","1.75","Caresource","Medicaid Managed Care",,,"40",,"1.4","0.15","5264.58","percent of total billed charges",,
"NF-ORTHO TRI-CYCLEN 35MCG-0.18MG\;35MCG-","0637","RC","Both",,,"3.5","1.75","Wellcare","Medicaid Managed Care",,,"40",,"1.42","0.15","5264.58","percent of total billed charges",,
"NF-ORTHO TRI-CYCLEN 35MCG-0.18MG\;35MCG-","0637","RC","Both",,,"3.5","1.75","Aetna","Commercial",,,"64",,"2.23","0.15","5264.58","percent of total billed charges",,
"NF-ORTHO TRI-CYCLEN 35MCG-0.18MG\;35MCG-","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","Pathways",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-ORTHO TRI-CYCLEN 35MCG-0.18MG\;35MCG-","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","HMO",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-ORTHO TRI-CYCLEN 35MCG-0.18MG\;35MCG-","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","PPO",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-ORTHO TRI-CYCLEN 35MCG-0.18MG\;35MCG-","0637","RC","Both",,,"3.5","1.75","Ambetter","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-ORTHO TRI-CYCLEN 35MCG-0.18MG\;35MCG-","0637","RC","Both",,,"3.5","1.75","Caresource","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-ORTHO TRI-CYCLEN 35MCG-0.18MG\;35MCG-","0637","RC","Both",,,"3.5","1.75","Cigna","Commercial",,,"59",,"2.05","0.15","5264.58","percent of total billed charges",,
"NF-ORTHO TRI-CYCLEN 35MCG-0.18MG\;35MCG-","0637","RC","Both",,,"3.5","1.75","Humana","Commercial",,,"78",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-ORTHO TRI-CYCLEN 35MCG-0.18MG\;35MCG-","0637","RC","Both",,,"3.5","1.75","UHC","Commercial",,,"75",,"2.64","0.15","5264.58","percent of total billed charges",,
"NF-ORTHO TRI-CYCLEN 35MCG-0.18MG\;35MCG-","0637","RC","Both",,,"3.5","1.75","Medicaid",,,,"37",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-TOBRADEX OPHTH OINT 0.3Ð.1Ð","0637","RC","Both",,,"177.5","88.75","Alliant","Health Exchange",,,"62",,"110.05","0.15","5264.58","percent of total billed charges",,
"NF-TOBRADEX OPHTH OINT 0.3Ð.1Ð","0637","RC","Both",,,"177.5","88.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"95.85","0.15","5264.58","percent of total billed charges",,
"NF-TOBRADEX OPHTH OINT 0.3Ð.1Ð","0637","RC","Both",,,"177.5","88.75","Medicare",,,,"54",,"96.21","0.15","5264.58","percent of total billed charges",,
"NF-TOBRADEX OPHTH OINT 0.3Ð.1Ð","0637","RC","Both",,,"177.5","88.75","Humana","Medicare Advantage",,,"54",,"96.21","0.15","5264.58","percent of total billed charges",,
"NF-TOBRADEX OPHTH OINT 0.3Ð.1Ð","0637","RC","Both",,,"177.5","88.75","UHC","Medicare Advantage",,,"54",,"96.21","0.15","5264.58","percent of total billed charges",,
"NF-TOBRADEX OPHTH OINT 0.3Ð.1Ð","0637","RC","Both",,,"177.5","88.75","Clover","Medicare Advantage",,,"54",,"96.21","0.15","5264.58","percent of total billed charges",,
"NF-TOBRADEX OPHTH OINT 0.3Ð.1Ð","0637","RC","Both",,,"177.5","88.75","Wellcare","Medicare Advantage",,,"54",,"96.21","0.15","5264.58","percent of total billed charges",,
"NF-TOBRADEX OPHTH OINT 0.3Ð.1Ð","0637","RC","Both",,,"177.5","88.75","Amerigroup","Medicaid Managed Care",,,"37",,"64.96","0.15","5264.58","percent of total billed charges",,
"NF-TOBRADEX OPHTH OINT 0.3Ð.1Ð","0637","RC","Both",,,"177.5","88.75","Caresource","Medicaid Managed Care",,,"40",,"71","0.15","5264.58","percent of total billed charges",,
"NF-TOBRADEX OPHTH OINT 0.3Ð.1Ð","0637","RC","Both",,,"177.5","88.75","Wellcare","Medicaid Managed Care",,,"40",,"71.89","0.15","5264.58","percent of total billed charges",,
"NF-TOBRADEX OPHTH OINT 0.3Ð.1Ð","0637","RC","Both",,,"177.5","88.75","Aetna","Commercial",,,"64",,"113.24","0.15","5264.58","percent of total billed charges",,
"NF-TOBRADEX OPHTH OINT 0.3Ð.1Ð","0637","RC","Both",,,"177.5","88.75","Blue Cross Blue Shield","Pathways",,,"71",,"125.32","0.15","5264.58","percent of total billed charges",,
"NF-TOBRADEX OPHTH OINT 0.3Ð.1Ð","0637","RC","Both",,,"177.5","88.75","Blue Cross Blue Shield","HMO",,,"71",,"125.32","0.15","5264.58","percent of total billed charges",,
"NF-TOBRADEX OPHTH OINT 0.3Ð.1Ð","0637","RC","Both",,,"177.5","88.75","Blue Cross Blue Shield","PPO",,,"71",,"125.32","0.15","5264.58","percent of total billed charges",,
"NF-TOBRADEX OPHTH OINT 0.3Ð.1Ð","0637","RC","Both",,,"177.5","88.75","Ambetter","Health Exchange",,,"62",,"110.05","0.15","5264.58","percent of total billed charges",,
"NF-TOBRADEX OPHTH OINT 0.3Ð.1Ð","0637","RC","Both",,,"177.5","88.75","Caresource","Health Exchange",,,"62",,"110.05","0.15","5264.58","percent of total billed charges",,
"NF-TOBRADEX OPHTH OINT 0.3Ð.1Ð","0637","RC","Both",,,"177.5","88.75","Cigna","Commercial",,,"59",,"104.02","0.15","5264.58","percent of total billed charges",,
"NF-TOBRADEX OPHTH OINT 0.3Ð.1Ð","0637","RC","Both",,,"177.5","88.75","Humana","Commercial",,,"78",,"137.56","0.15","5264.58","percent of total billed charges",,
"NF-TOBRADEX OPHTH OINT 0.3Ð.1Ð","0637","RC","Both",,,"177.5","88.75","UHC","Commercial",,,"75",,"133.84","0.15","5264.58","percent of total billed charges",,
"NF-TOBRADEX OPHTH OINT 0.3Ð.1Ð","0637","RC","Both",,,"177.5","88.75","Medicaid",,,,"37",,"64.96","0.15","5264.58","percent of total billed charges",,
"NF-TAMBOCOR 100MG ORAL TABLET","0637","RC","Both",,,"9.5","4.75","Alliant","Health Exchange",,,"62",,"5.89","0.15","5264.58","percent of total billed charges",,
"NF-TAMBOCOR 100MG ORAL TABLET","0637","RC","Both",,,"9.5","4.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.13","0.15","5264.58","percent of total billed charges",,
"NF-TAMBOCOR 100MG ORAL TABLET","0637","RC","Both",,,"9.5","4.75","Medicare",,,,"54",,"5.15","0.15","5264.58","percent of total billed charges",,
"NF-TAMBOCOR 100MG ORAL TABLET","0637","RC","Both",,,"9.5","4.75","Humana","Medicare Advantage",,,"54",,"5.15","0.15","5264.58","percent of total billed charges",,
"NF-TAMBOCOR 100MG ORAL TABLET","0637","RC","Both",,,"9.5","4.75","UHC","Medicare Advantage",,,"54",,"5.15","0.15","5264.58","percent of total billed charges",,
"NF-TAMBOCOR 100MG ORAL TABLET","0637","RC","Both",,,"9.5","4.75","Clover","Medicare Advantage",,,"54",,"5.15","0.15","5264.58","percent of total billed charges",,
"NF-TAMBOCOR 100MG ORAL TABLET","0637","RC","Both",,,"9.5","4.75","Wellcare","Medicare Advantage",,,"54",,"5.15","0.15","5264.58","percent of total billed charges",,
"NF-TAMBOCOR 100MG ORAL TABLET","0637","RC","Both",,,"9.5","4.75","Amerigroup","Medicaid Managed Care",,,"37",,"3.48","0.15","5264.58","percent of total billed charges",,
"NF-TAMBOCOR 100MG ORAL TABLET","0637","RC","Both",,,"9.5","4.75","Caresource","Medicaid Managed Care",,,"40",,"3.8","0.15","5264.58","percent of total billed charges",,
"NF-TAMBOCOR 100MG ORAL TABLET","0637","RC","Both",,,"9.5","4.75","Wellcare","Medicaid Managed Care",,,"40",,"3.85","0.15","5264.58","percent of total billed charges",,
"NF-TAMBOCOR 100MG ORAL TABLET","0637","RC","Both",,,"9.5","4.75","Aetna","Commercial",,,"64",,"6.06","0.15","5264.58","percent of total billed charges",,
"NF-TAMBOCOR 100MG ORAL TABLET","0637","RC","Both",,,"9.5","4.75","Blue Cross Blue Shield","Pathways",,,"71",,"6.71","0.15","5264.58","percent of total billed charges",,
"NF-TAMBOCOR 100MG ORAL TABLET","0637","RC","Both",,,"9.5","4.75","Blue Cross Blue Shield","HMO",,,"71",,"6.71","0.15","5264.58","percent of total billed charges",,
"NF-TAMBOCOR 100MG ORAL TABLET","0637","RC","Both",,,"9.5","4.75","Blue Cross Blue Shield","PPO",,,"71",,"6.71","0.15","5264.58","percent of total billed charges",,
"NF-TAMBOCOR 100MG ORAL TABLET","0637","RC","Both",,,"9.5","4.75","Ambetter","Health Exchange",,,"62",,"5.89","0.15","5264.58","percent of total billed charges",,
"NF-TAMBOCOR 100MG ORAL TABLET","0637","RC","Both",,,"9.5","4.75","Caresource","Health Exchange",,,"62",,"5.89","0.15","5264.58","percent of total billed charges",,
"NF-TAMBOCOR 100MG ORAL TABLET","0637","RC","Both",,,"9.5","4.75","Cigna","Commercial",,,"59",,"5.57","0.15","5264.58","percent of total billed charges",,
"NF-TAMBOCOR 100MG ORAL TABLET","0637","RC","Both",,,"9.5","4.75","Humana","Commercial",,,"78",,"7.36","0.15","5264.58","percent of total billed charges",,
"NF-TAMBOCOR 100MG ORAL TABLET","0637","RC","Both",,,"9.5","4.75","UHC","Commercial",,,"75",,"7.16","0.15","5264.58","percent of total billed charges",,
"NF-TAMBOCOR 100MG ORAL TABLET","0637","RC","Both",,,"9.5","4.75","Medicaid",,,,"37",,"3.48","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL OPHTHALMIC GEL 0.25%-0.3%","0637","RC","Both",,,"1.5","0.75","Alliant","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL OPHTHALMIC GEL 0.25%-0.3%","0637","RC","Both",,,"1.5","0.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL OPHTHALMIC GEL 0.25%-0.3%","0637","RC","Both",,,"1.5","0.75","Medicare",,,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL OPHTHALMIC GEL 0.25%-0.3%","0637","RC","Both",,,"1.5","0.75","Humana","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL OPHTHALMIC GEL 0.25%-0.3%","0637","RC","Both",,,"1.5","0.75","UHC","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL OPHTHALMIC GEL 0.25%-0.3%","0637","RC","Both",,,"1.5","0.75","Clover","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL OPHTHALMIC GEL 0.25%-0.3%","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL OPHTHALMIC GEL 0.25%-0.3%","0637","RC","Both",,,"1.5","0.75","Amerigroup","Medicaid Managed Care",,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL OPHTHALMIC GEL 0.25%-0.3%","0637","RC","Both",,,"1.5","0.75","Caresource","Medicaid Managed Care",,,"40",,"0.6","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL OPHTHALMIC GEL 0.25%-0.3%","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicaid Managed Care",,,"40",,"0.61","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL OPHTHALMIC GEL 0.25%-0.3%","0637","RC","Both",,,"1.5","0.75","Aetna","Commercial",,,"64",,"0.96","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL OPHTHALMIC GEL 0.25%-0.3%","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","Pathways",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL OPHTHALMIC GEL 0.25%-0.3%","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","HMO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL OPHTHALMIC GEL 0.25%-0.3%","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","PPO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL OPHTHALMIC GEL 0.25%-0.3%","0637","RC","Both",,,"1.5","0.75","Ambetter","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL OPHTHALMIC GEL 0.25%-0.3%","0637","RC","Both",,,"1.5","0.75","Caresource","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL OPHTHALMIC GEL 0.25%-0.3%","0637","RC","Both",,,"1.5","0.75","Cigna","Commercial",,,"59",,"0.88","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL OPHTHALMIC GEL 0.25%-0.3%","0637","RC","Both",,,"1.5","0.75","Humana","Commercial",,,"78",,"1.16","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL OPHTHALMIC GEL 0.25%-0.3%","0637","RC","Both",,,"1.5","0.75","UHC","Commercial",,,"75",,"1.13","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL OPHTHALMIC GEL 0.25%-0.3%","0637","RC","Both",,,"1.5","0.75","Medicaid",,,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL PM OINTMENT","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL PM OINTMENT","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL PM OINTMENT","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL PM OINTMENT","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL PM OINTMENT","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL PM OINTMENT","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL PM OINTMENT","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL PM OINTMENT","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL PM OINTMENT","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL PM OINTMENT","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL PM OINTMENT","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL PM OINTMENT","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL PM OINTMENT","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL PM OINTMENT","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL PM OINTMENT","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL PM OINTMENT","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL PM OINTMENT","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL PM OINTMENT","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL PM OINTMENT","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL PM OINTMENT","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"NF-MIRAPEX ORAL TABLET 1MG","0637","RC","Both",,,"6.5","3.25","Alliant","Health Exchange",,,"62",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-MIRAPEX ORAL TABLET 1MG","0637","RC","Both",,,"6.5","3.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.51","0.15","5264.58","percent of total billed charges",,
"NF-MIRAPEX ORAL TABLET 1MG","0637","RC","Both",,,"6.5","3.25","Medicare",,,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-MIRAPEX ORAL TABLET 1MG","0637","RC","Both",,,"6.5","3.25","Humana","Medicare Advantage",,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-MIRAPEX ORAL TABLET 1MG","0637","RC","Both",,,"6.5","3.25","UHC","Medicare Advantage",,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-MIRAPEX ORAL TABLET 1MG","0637","RC","Both",,,"6.5","3.25","Clover","Medicare Advantage",,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-MIRAPEX ORAL TABLET 1MG","0637","RC","Both",,,"6.5","3.25","Wellcare","Medicare Advantage",,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-MIRAPEX ORAL TABLET 1MG","0637","RC","Both",,,"6.5","3.25","Amerigroup","Medicaid Managed Care",,,"37",,"2.38","0.15","5264.58","percent of total billed charges",,
"NF-MIRAPEX ORAL TABLET 1MG","0637","RC","Both",,,"6.5","3.25","Caresource","Medicaid Managed Care",,,"40",,"2.6","0.15","5264.58","percent of total billed charges",,
"NF-MIRAPEX ORAL TABLET 1MG","0637","RC","Both",,,"6.5","3.25","Wellcare","Medicaid Managed Care",,,"40",,"2.63","0.15","5264.58","percent of total billed charges",,
"NF-MIRAPEX ORAL TABLET 1MG","0637","RC","Both",,,"6.5","3.25","Aetna","Commercial",,,"64",,"4.15","0.15","5264.58","percent of total billed charges",,
"NF-MIRAPEX ORAL TABLET 1MG","0637","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","Pathways",,,"71",,"4.59","0.15","5264.58","percent of total billed charges",,
"NF-MIRAPEX ORAL TABLET 1MG","0637","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","HMO",,,"71",,"4.59","0.15","5264.58","percent of total billed charges",,
"NF-MIRAPEX ORAL TABLET 1MG","0637","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","PPO",,,"71",,"4.59","0.15","5264.58","percent of total billed charges",,
"NF-MIRAPEX ORAL TABLET 1MG","0637","RC","Both",,,"6.5","3.25","Ambetter","Health Exchange",,,"62",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-MIRAPEX ORAL TABLET 1MG","0637","RC","Both",,,"6.5","3.25","Caresource","Health Exchange",,,"62",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-MIRAPEX ORAL TABLET 1MG","0637","RC","Both",,,"6.5","3.25","Cigna","Commercial",,,"59",,"3.81","0.15","5264.58","percent of total billed charges",,
"NF-MIRAPEX ORAL TABLET 1MG","0637","RC","Both",,,"6.5","3.25","Humana","Commercial",,,"78",,"5.04","0.15","5264.58","percent of total billed charges",,
"NF-MIRAPEX ORAL TABLET 1MG","0637","RC","Both",,,"6.5","3.25","UHC","Commercial",,,"75",,"4.9","0.15","5264.58","percent of total billed charges",,
"NF-MIRAPEX ORAL TABLET 1MG","0637","RC","Both",,,"6.5","3.25","Medicaid",,,,"37",,"2.38","0.15","5264.58","percent of total billed charges",,
"NF-SILDENAFIL 20MG ORAL TABLET","0637","RC","Both",,,"63","31.5","Alliant","Health Exchange",,,"62",,"39.06","0.15","5264.58","percent of total billed charges",,
"NF-SILDENAFIL 20MG ORAL TABLET","0637","RC","Both",,,"63","31.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"34.02","0.15","5264.58","percent of total billed charges",,
"NF-SILDENAFIL 20MG ORAL TABLET","0637","RC","Both",,,"63","31.5","Medicare",,,,"54",,"34.15","0.15","5264.58","percent of total billed charges",,
"NF-SILDENAFIL 20MG ORAL TABLET","0637","RC","Both",,,"63","31.5","Humana","Medicare Advantage",,,"54",,"34.15","0.15","5264.58","percent of total billed charges",,
"NF-SILDENAFIL 20MG ORAL TABLET","0637","RC","Both",,,"63","31.5","UHC","Medicare Advantage",,,"54",,"34.15","0.15","5264.58","percent of total billed charges",,
"NF-SILDENAFIL 20MG ORAL TABLET","0637","RC","Both",,,"63","31.5","Clover","Medicare Advantage",,,"54",,"34.15","0.15","5264.58","percent of total billed charges",,
"NF-SILDENAFIL 20MG ORAL TABLET","0637","RC","Both",,,"63","31.5","Wellcare","Medicare Advantage",,,"54",,"34.15","0.15","5264.58","percent of total billed charges",,
"NF-SILDENAFIL 20MG ORAL TABLET","0637","RC","Both",,,"63","31.5","Amerigroup","Medicaid Managed Care",,,"37",,"23.06","0.15","5264.58","percent of total billed charges",,
"NF-SILDENAFIL 20MG ORAL TABLET","0637","RC","Both",,,"63","31.5","Caresource","Medicaid Managed Care",,,"40",,"25.2","0.15","5264.58","percent of total billed charges",,
"NF-SILDENAFIL 20MG ORAL TABLET","0637","RC","Both",,,"63","31.5","Wellcare","Medicaid Managed Care",,,"40",,"25.52","0.15","5264.58","percent of total billed charges",,
"NF-SILDENAFIL 20MG ORAL TABLET","0637","RC","Both",,,"63","31.5","Aetna","Commercial",,,"64",,"40.19","0.15","5264.58","percent of total billed charges",,
"NF-SILDENAFIL 20MG ORAL TABLET","0637","RC","Both",,,"63","31.5","Blue Cross Blue Shield","Pathways",,,"71",,"44.48","0.15","5264.58","percent of total billed charges",,
"NF-SILDENAFIL 20MG ORAL TABLET","0637","RC","Both",,,"63","31.5","Blue Cross Blue Shield","HMO",,,"71",,"44.48","0.15","5264.58","percent of total billed charges",,
"NF-SILDENAFIL 20MG ORAL TABLET","0637","RC","Both",,,"63","31.5","Blue Cross Blue Shield","PPO",,,"71",,"44.48","0.15","5264.58","percent of total billed charges",,
"NF-SILDENAFIL 20MG ORAL TABLET","0637","RC","Both",,,"63","31.5","Ambetter","Health Exchange",,,"62",,"39.06","0.15","5264.58","percent of total billed charges",,
"NF-SILDENAFIL 20MG ORAL TABLET","0637","RC","Both",,,"63","31.5","Caresource","Health Exchange",,,"62",,"39.06","0.15","5264.58","percent of total billed charges",,
"NF-SILDENAFIL 20MG ORAL TABLET","0637","RC","Both",,,"63","31.5","Cigna","Commercial",,,"59",,"36.92","0.15","5264.58","percent of total billed charges",,
"NF-SILDENAFIL 20MG ORAL TABLET","0637","RC","Both",,,"63","31.5","Humana","Commercial",,,"78",,"48.82","0.15","5264.58","percent of total billed charges",,
"NF-SILDENAFIL 20MG ORAL TABLET","0637","RC","Both",,,"63","31.5","UHC","Commercial",,,"75",,"47.5","0.15","5264.58","percent of total billed charges",,
"NF-SILDENAFIL 20MG ORAL TABLET","0637","RC","Both",,,"63","31.5","Medicaid",,,,"37",,"23.06","0.15","5264.58","percent of total billed charges",,
"NF-MEDIHONEY TOPICAL GEL 80%","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"NF-MEDIHONEY TOPICAL GEL 80%","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"NF-MEDIHONEY TOPICAL GEL 80%","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-MEDIHONEY TOPICAL GEL 80%","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-MEDIHONEY TOPICAL GEL 80%","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-MEDIHONEY TOPICAL GEL 80%","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-MEDIHONEY TOPICAL GEL 80%","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-MEDIHONEY TOPICAL GEL 80%","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-MEDIHONEY TOPICAL GEL 80%","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"NF-MEDIHONEY TOPICAL GEL 80%","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"NF-MEDIHONEY TOPICAL GEL 80%","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"NF-MEDIHONEY TOPICAL GEL 80%","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"NF-MEDIHONEY TOPICAL GEL 80%","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"NF-MEDIHONEY TOPICAL GEL 80%","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"NF-MEDIHONEY TOPICAL GEL 80%","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"NF-MEDIHONEY TOPICAL GEL 80%","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"NF-MEDIHONEY TOPICAL GEL 80%","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"NF-MEDIHONEY TOPICAL GEL 80%","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"NF-MEDIHONEY TOPICAL GEL 80%","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"NF-MEDIHONEY TOPICAL GEL 80%","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"104","52","Alliant","Health Exchange",,,"62",,"64.48","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"104","52","Pruitt Healthcare","Medicare Advantage",,,"54",,"56.16","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"104","52","Medicare",,,,"54",,"56.37","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"104","52","Humana","Medicare Advantage",,,"54",,"56.37","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"104","52","UHC","Medicare Advantage",,,"54",,"56.37","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"104","52","Clover","Medicare Advantage",,,"54",,"56.37","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"104","52","Wellcare","Medicare Advantage",,,"54",,"56.37","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"104","52","Amerigroup","Medicaid Managed Care",,,"37",,"38.06","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"104","52","Caresource","Medicaid Managed Care",,,"40",,"41.6","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"104","52","Wellcare","Medicaid Managed Care",,,"40",,"42.12","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"104","52","Aetna","Commercial",,,"64",,"66.35","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"104","52","Blue Cross Blue Shield","Pathways",,,"71",,"73.42","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"104","52","Blue Cross Blue Shield","HMO",,,"71",,"73.42","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"104","52","Blue Cross Blue Shield","PPO",,,"71",,"73.42","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"104","52","Ambetter","Health Exchange",,,"62",,"64.48","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"104","52","Caresource","Health Exchange",,,"62",,"64.48","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"104","52","Cigna","Commercial",,,"59",,"60.94","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"104","52","Humana","Commercial",,,"78",,"80.6","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"104","52","UHC","Commercial",,,"75",,"78.42","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 2MG","0637","RC","Both",,,"104","52","Medicaid",,,,"37",,"38.06","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT RESPULES INH SUSP 0.5MG/2ML","0637","RC","Both",,,"14.5","7.25","Alliant","Health Exchange",,,"62",,"8.99","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT RESPULES INH SUSP 0.5MG/2ML","0637","RC","Both",,,"14.5","7.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.83","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT RESPULES INH SUSP 0.5MG/2ML","0637","RC","Both",,,"14.5","7.25","Medicare",,,,"54",,"7.86","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT RESPULES INH SUSP 0.5MG/2ML","0637","RC","Both",,,"14.5","7.25","Humana","Medicare Advantage",,,"54",,"7.86","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT RESPULES INH SUSP 0.5MG/2ML","0637","RC","Both",,,"14.5","7.25","UHC","Medicare Advantage",,,"54",,"7.86","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT RESPULES INH SUSP 0.5MG/2ML","0637","RC","Both",,,"14.5","7.25","Clover","Medicare Advantage",,,"54",,"7.86","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT RESPULES INH SUSP 0.5MG/2ML","0637","RC","Both",,,"14.5","7.25","Wellcare","Medicare Advantage",,,"54",,"7.86","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT RESPULES INH SUSP 0.5MG/2ML","0637","RC","Both",,,"14.5","7.25","Amerigroup","Medicaid Managed Care",,,"37",,"5.31","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT RESPULES INH SUSP 0.5MG/2ML","0637","RC","Both",,,"14.5","7.25","Caresource","Medicaid Managed Care",,,"40",,"5.8","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT RESPULES INH SUSP 0.5MG/2ML","0637","RC","Both",,,"14.5","7.25","Wellcare","Medicaid Managed Care",,,"40",,"5.87","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT RESPULES INH SUSP 0.5MG/2ML","0637","RC","Both",,,"14.5","7.25","Aetna","Commercial",,,"64",,"9.25","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT RESPULES INH SUSP 0.5MG/2ML","0637","RC","Both",,,"14.5","7.25","Blue Cross Blue Shield","Pathways",,,"71",,"10.24","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT RESPULES INH SUSP 0.5MG/2ML","0637","RC","Both",,,"14.5","7.25","Blue Cross Blue Shield","HMO",,,"71",,"10.24","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT RESPULES INH SUSP 0.5MG/2ML","0637","RC","Both",,,"14.5","7.25","Blue Cross Blue Shield","PPO",,,"71",,"10.24","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT RESPULES INH SUSP 0.5MG/2ML","0637","RC","Both",,,"14.5","7.25","Ambetter","Health Exchange",,,"62",,"8.99","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT RESPULES INH SUSP 0.5MG/2ML","0637","RC","Both",,,"14.5","7.25","Caresource","Health Exchange",,,"62",,"8.99","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT RESPULES INH SUSP 0.5MG/2ML","0637","RC","Both",,,"14.5","7.25","Cigna","Commercial",,,"59",,"8.5","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT RESPULES INH SUSP 0.5MG/2ML","0637","RC","Both",,,"14.5","7.25","Humana","Commercial",,,"78",,"11.24","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT RESPULES INH SUSP 0.5MG/2ML","0637","RC","Both",,,"14.5","7.25","UHC","Commercial",,,"75",,"10.93","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT RESPULES INH SUSP 0.5MG/2ML","0637","RC","Both",,,"14.5","7.25","Medicaid",,,,"37",,"5.31","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE 1.25MG ORAL TABLET","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE 1.25MG ORAL TABLET","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE 1.25MG ORAL TABLET","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE 1.25MG ORAL TABLET","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE 1.25MG ORAL TABLET","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE 1.25MG ORAL TABLET","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE 1.25MG ORAL TABLET","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE 1.25MG ORAL TABLET","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE 1.25MG ORAL TABLET","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE 1.25MG ORAL TABLET","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE 1.25MG ORAL TABLET","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE 1.25MG ORAL TABLET","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE 1.25MG ORAL TABLET","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE 1.25MG ORAL TABLET","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE 1.25MG ORAL TABLET","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE 1.25MG ORAL TABLET","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE 1.25MG ORAL TABLET","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE 1.25MG ORAL TABLET","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE 1.25MG ORAL TABLET","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE 1.25MG ORAL TABLET","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"PHENAZOPYRIDINE (PYRIDIUM) TAB: 95 MG","0250","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","569.62","percent of total billed charges",,
"PHENAZOPYRIDINE (PYRIDIUM) TAB: 95 MG","0250","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","569.62","percent of total billed charges",,
"PHENAZOPYRIDINE (PYRIDIUM) TAB: 95 MG","0250","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","569.62","percent of total billed charges",,
"PHENAZOPYRIDINE (PYRIDIUM) TAB: 95 MG","0250","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","569.62","percent of total billed charges",,
"PHENAZOPYRIDINE (PYRIDIUM) TAB: 95 MG","0250","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","569.62","percent of total billed charges",,
"PHENAZOPYRIDINE (PYRIDIUM) TAB: 95 MG","0250","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","569.62","percent of total billed charges",,
"PHENAZOPYRIDINE (PYRIDIUM) TAB: 95 MG","0250","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","569.62","percent of total billed charges",,
"PHENAZOPYRIDINE (PYRIDIUM) TAB: 95 MG","0250","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","569.62","percent of total billed charges",,
"PHENAZOPYRIDINE (PYRIDIUM) TAB: 95 MG","0250","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","569.62","percent of total billed charges",,
"PHENAZOPYRIDINE (PYRIDIUM) TAB: 95 MG","0250","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","569.62","percent of total billed charges",,
"PHENAZOPYRIDINE (PYRIDIUM) TAB: 95 MG","0250","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","569.62","percent of total billed charges",,
"PHENAZOPYRIDINE (PYRIDIUM) TAB: 95 MG","0250","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","569.62","percent of total billed charges",,
"PHENAZOPYRIDINE (PYRIDIUM) TAB: 95 MG","0250","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","569.62","percent of total billed charges",,
"PHENAZOPYRIDINE (PYRIDIUM) TAB: 95 MG","0250","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","569.62","percent of total billed charges",,
"PHENAZOPYRIDINE (PYRIDIUM) TAB: 95 MG","0250","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","569.62","percent of total billed charges",,
"PHENAZOPYRIDINE (PYRIDIUM) TAB: 95 MG","0250","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","569.62","percent of total billed charges",,
"PHENAZOPYRIDINE (PYRIDIUM) TAB: 95 MG","0250","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","569.62","percent of total billed charges",,
"PHENAZOPYRIDINE (PYRIDIUM) TAB: 95 MG","0250","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","569.62","percent of total billed charges",,
"PHENAZOPYRIDINE (PYRIDIUM) TAB: 95 MG","0250","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","569.62","percent of total billed charges",,
"PHENAZOPYRIDINE (PYRIDIUM) TAB: 95 MG","0250","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","569.62","percent of total billed charges",,
"CETIRIZine/PSEUD (ZyrTEC D) TAB: 5/120MG","0250","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.04","569.62","percent of total billed charges",,
"CETIRIZine/PSEUD (ZyrTEC D) TAB: 5/120MG","0250","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.04","569.62","percent of total billed charges",,
"CETIRIZine/PSEUD (ZyrTEC D) TAB: 5/120MG","0250","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.04","569.62","percent of total billed charges",,
"CETIRIZine/PSEUD (ZyrTEC D) TAB: 5/120MG","0250","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.04","569.62","percent of total billed charges",,
"CETIRIZine/PSEUD (ZyrTEC D) TAB: 5/120MG","0250","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.04","569.62","percent of total billed charges",,
"CETIRIZine/PSEUD (ZyrTEC D) TAB: 5/120MG","0250","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.04","569.62","percent of total billed charges",,
"CETIRIZine/PSEUD (ZyrTEC D) TAB: 5/120MG","0250","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.04","569.62","percent of total billed charges",,
"CETIRIZine/PSEUD (ZyrTEC D) TAB: 5/120MG","0250","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.04","569.62","percent of total billed charges",,
"CETIRIZine/PSEUD (ZyrTEC D) TAB: 5/120MG","0250","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.04","569.62","percent of total billed charges",,
"CETIRIZine/PSEUD (ZyrTEC D) TAB: 5/120MG","0250","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.04","569.62","percent of total billed charges",,
"CETIRIZine/PSEUD (ZyrTEC D) TAB: 5/120MG","0250","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.04","569.62","percent of total billed charges",,
"CETIRIZine/PSEUD (ZyrTEC D) TAB: 5/120MG","0250","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.04","569.62","percent of total billed charges",,
"CETIRIZine/PSEUD (ZyrTEC D) TAB: 5/120MG","0250","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.04","569.62","percent of total billed charges",,
"CETIRIZine/PSEUD (ZyrTEC D) TAB: 5/120MG","0250","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.04","569.62","percent of total billed charges",,
"CETIRIZine/PSEUD (ZyrTEC D) TAB: 5/120MG","0250","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.04","569.62","percent of total billed charges",,
"CETIRIZine/PSEUD (ZyrTEC D) TAB: 5/120MG","0250","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.04","569.62","percent of total billed charges",,
"CETIRIZine/PSEUD (ZyrTEC D) TAB: 5/120MG","0250","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.04","569.62","percent of total billed charges",,
"CETIRIZine/PSEUD (ZyrTEC D) TAB: 5/120MG","0250","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.04","569.62","percent of total billed charges",,
"CETIRIZine/PSEUD (ZyrTEC D) TAB: 5/120MG","0250","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.04","569.62","percent of total billed charges",,
"CETIRIZine/PSEUD (ZyrTEC D) TAB: 5/120MG","0250","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.04","569.62","percent of total billed charges",,
"NF-LAMICTAL 100MG ORAL TABLET","0637","RC","Both",,,"30","15","Alliant","Health Exchange",,,"62",,"18.6","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL 100MG ORAL TABLET","0637","RC","Both",,,"30","15","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.2","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL 100MG ORAL TABLET","0637","RC","Both",,,"30","15","Medicare",,,,"54",,"16.26","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL 100MG ORAL TABLET","0637","RC","Both",,,"30","15","Humana","Medicare Advantage",,,"54",,"16.26","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL 100MG ORAL TABLET","0637","RC","Both",,,"30","15","UHC","Medicare Advantage",,,"54",,"16.26","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL 100MG ORAL TABLET","0637","RC","Both",,,"30","15","Clover","Medicare Advantage",,,"54",,"16.26","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL 100MG ORAL TABLET","0637","RC","Both",,,"30","15","Wellcare","Medicare Advantage",,,"54",,"16.26","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL 100MG ORAL TABLET","0637","RC","Both",,,"30","15","Amerigroup","Medicaid Managed Care",,,"37",,"10.98","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL 100MG ORAL TABLET","0637","RC","Both",,,"30","15","Caresource","Medicaid Managed Care",,,"40",,"12","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL 100MG ORAL TABLET","0637","RC","Both",,,"30","15","Wellcare","Medicaid Managed Care",,,"40",,"12.15","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL 100MG ORAL TABLET","0637","RC","Both",,,"30","15","Aetna","Commercial",,,"64",,"19.14","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL 100MG ORAL TABLET","0637","RC","Both",,,"30","15","Blue Cross Blue Shield","Pathways",,,"71",,"21.18","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL 100MG ORAL TABLET","0637","RC","Both",,,"30","15","Blue Cross Blue Shield","HMO",,,"71",,"21.18","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL 100MG ORAL TABLET","0637","RC","Both",,,"30","15","Blue Cross Blue Shield","PPO",,,"71",,"21.18","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL 100MG ORAL TABLET","0637","RC","Both",,,"30","15","Ambetter","Health Exchange",,,"62",,"18.6","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL 100MG ORAL TABLET","0637","RC","Both",,,"30","15","Caresource","Health Exchange",,,"62",,"18.6","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL 100MG ORAL TABLET","0637","RC","Both",,,"30","15","Cigna","Commercial",,,"59",,"17.58","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL 100MG ORAL TABLET","0637","RC","Both",,,"30","15","Humana","Commercial",,,"78",,"23.25","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL 100MG ORAL TABLET","0637","RC","Both",,,"30","15","UHC","Commercial",,,"75",,"22.62","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL 100MG ORAL TABLET","0637","RC","Both",,,"30","15","Medicaid",,,,"37",,"10.98","0.15","5264.58","percent of total billed charges",,
"NF-SULFADIAZINE 500MG ORAL TABLET","0637","RC","Both",,,"12.5","6.25","Alliant","Health Exchange",,,"62",,"7.75","0.15","5264.58","percent of total billed charges",,
"NF-SULFADIAZINE 500MG ORAL TABLET","0637","RC","Both",,,"12.5","6.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.75","0.15","5264.58","percent of total billed charges",,
"NF-SULFADIAZINE 500MG ORAL TABLET","0637","RC","Both",,,"12.5","6.25","Medicare",,,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-SULFADIAZINE 500MG ORAL TABLET","0637","RC","Both",,,"12.5","6.25","Humana","Medicare Advantage",,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-SULFADIAZINE 500MG ORAL TABLET","0637","RC","Both",,,"12.5","6.25","UHC","Medicare Advantage",,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-SULFADIAZINE 500MG ORAL TABLET","0637","RC","Both",,,"12.5","6.25","Clover","Medicare Advantage",,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-SULFADIAZINE 500MG ORAL TABLET","0637","RC","Both",,,"12.5","6.25","Wellcare","Medicare Advantage",,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-SULFADIAZINE 500MG ORAL TABLET","0637","RC","Both",,,"12.5","6.25","Amerigroup","Medicaid Managed Care",,,"37",,"4.58","0.15","5264.58","percent of total billed charges",,
"NF-SULFADIAZINE 500MG ORAL TABLET","0637","RC","Both",,,"12.5","6.25","Caresource","Medicaid Managed Care",,,"40",,"5","0.15","5264.58","percent of total billed charges",,
"NF-SULFADIAZINE 500MG ORAL TABLET","0637","RC","Both",,,"12.5","6.25","Wellcare","Medicaid Managed Care",,,"40",,"5.06","0.15","5264.58","percent of total billed charges",,
"NF-SULFADIAZINE 500MG ORAL TABLET","0637","RC","Both",,,"12.5","6.25","Aetna","Commercial",,,"64",,"7.98","0.15","5264.58","percent of total billed charges",,
"NF-SULFADIAZINE 500MG ORAL TABLET","0637","RC","Both",,,"12.5","6.25","Blue Cross Blue Shield","Pathways",,,"71",,"8.82","0.15","5264.58","percent of total billed charges",,
"NF-SULFADIAZINE 500MG ORAL TABLET","0637","RC","Both",,,"12.5","6.25","Blue Cross Blue Shield","HMO",,,"71",,"8.82","0.15","5264.58","percent of total billed charges",,
"NF-SULFADIAZINE 500MG ORAL TABLET","0637","RC","Both",,,"12.5","6.25","Blue Cross Blue Shield","PPO",,,"71",,"8.82","0.15","5264.58","percent of total billed charges",,
"NF-SULFADIAZINE 500MG ORAL TABLET","0637","RC","Both",,,"12.5","6.25","Ambetter","Health Exchange",,,"62",,"7.75","0.15","5264.58","percent of total billed charges",,
"NF-SULFADIAZINE 500MG ORAL TABLET","0637","RC","Both",,,"12.5","6.25","Caresource","Health Exchange",,,"62",,"7.75","0.15","5264.58","percent of total billed charges",,
"NF-SULFADIAZINE 500MG ORAL TABLET","0637","RC","Both",,,"12.5","6.25","Cigna","Commercial",,,"59",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-SULFADIAZINE 500MG ORAL TABLET","0637","RC","Both",,,"12.5","6.25","Humana","Commercial",,,"78",,"9.69","0.15","5264.58","percent of total billed charges",,
"NF-SULFADIAZINE 500MG ORAL TABLET","0637","RC","Both",,,"12.5","6.25","UHC","Commercial",,,"75",,"9.43","0.15","5264.58","percent of total billed charges",,
"NF-SULFADIAZINE 500MG ORAL TABLET","0637","RC","Both",,,"12.5","6.25","Medicaid",,,,"37",,"4.58","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL 25MG-100MG ORAL TABLET","0637","RC","Both",,,"16.5","8.25","Alliant","Health Exchange",,,"62",,"10.23","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL 25MG-100MG ORAL TABLET","0637","RC","Both",,,"16.5","8.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.91","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL 25MG-100MG ORAL TABLET","0637","RC","Both",,,"16.5","8.25","Medicare",,,,"54",,"8.94","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL 25MG-100MG ORAL TABLET","0637","RC","Both",,,"16.5","8.25","Humana","Medicare Advantage",,,"54",,"8.94","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL 25MG-100MG ORAL TABLET","0637","RC","Both",,,"16.5","8.25","UHC","Medicare Advantage",,,"54",,"8.94","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL 25MG-100MG ORAL TABLET","0637","RC","Both",,,"16.5","8.25","Clover","Medicare Advantage",,,"54",,"8.94","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL 25MG-100MG ORAL TABLET","0637","RC","Both",,,"16.5","8.25","Wellcare","Medicare Advantage",,,"54",,"8.94","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL 25MG-100MG ORAL TABLET","0637","RC","Both",,,"16.5","8.25","Amerigroup","Medicaid Managed Care",,,"37",,"6.04","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL 25MG-100MG ORAL TABLET","0637","RC","Both",,,"16.5","8.25","Caresource","Medicaid Managed Care",,,"40",,"6.6","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL 25MG-100MG ORAL TABLET","0637","RC","Both",,,"16.5","8.25","Wellcare","Medicaid Managed Care",,,"40",,"6.68","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL 25MG-100MG ORAL TABLET","0637","RC","Both",,,"16.5","8.25","Aetna","Commercial",,,"64",,"10.53","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL 25MG-100MG ORAL TABLET","0637","RC","Both",,,"16.5","8.25","Blue Cross Blue Shield","Pathways",,,"71",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL 25MG-100MG ORAL TABLET","0637","RC","Both",,,"16.5","8.25","Blue Cross Blue Shield","HMO",,,"71",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL 25MG-100MG ORAL TABLET","0637","RC","Both",,,"16.5","8.25","Blue Cross Blue Shield","PPO",,,"71",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL 25MG-100MG ORAL TABLET","0637","RC","Both",,,"16.5","8.25","Ambetter","Health Exchange",,,"62",,"10.23","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL 25MG-100MG ORAL TABLET","0637","RC","Both",,,"16.5","8.25","Caresource","Health Exchange",,,"62",,"10.23","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL 25MG-100MG ORAL TABLET","0637","RC","Both",,,"16.5","8.25","Cigna","Commercial",,,"59",,"9.67","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL 25MG-100MG ORAL TABLET","0637","RC","Both",,,"16.5","8.25","Humana","Commercial",,,"78",,"12.79","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL 25MG-100MG ORAL TABLET","0637","RC","Both",,,"16.5","8.25","UHC","Commercial",,,"75",,"12.44","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL 25MG-100MG ORAL TABLET","0637","RC","Both",,,"16.5","8.25","Medicaid",,,,"37",,"6.04","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE SPRINKLES CAP DR 125MG","0637","RC","Both",,,"5.5","2.75","Alliant","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE SPRINKLES CAP DR 125MG","0637","RC","Both",,,"5.5","2.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.97","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE SPRINKLES CAP DR 125MG","0637","RC","Both",,,"5.5","2.75","Medicare",,,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE SPRINKLES CAP DR 125MG","0637","RC","Both",,,"5.5","2.75","Humana","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE SPRINKLES CAP DR 125MG","0637","RC","Both",,,"5.5","2.75","UHC","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE SPRINKLES CAP DR 125MG","0637","RC","Both",,,"5.5","2.75","Clover","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE SPRINKLES CAP DR 125MG","0637","RC","Both",,,"5.5","2.75","Wellcare","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE SPRINKLES CAP DR 125MG","0637","RC","Both",,,"5.5","2.75","Amerigroup","Medicaid Managed Care",,,"37",,"2.01","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE SPRINKLES CAP DR 125MG","0637","RC","Both",,,"5.5","2.75","Caresource","Medicaid Managed Care",,,"40",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE SPRINKLES CAP DR 125MG","0637","RC","Both",,,"5.5","2.75","Wellcare","Medicaid Managed Care",,,"40",,"2.23","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE SPRINKLES CAP DR 125MG","0637","RC","Both",,,"5.5","2.75","Aetna","Commercial",,,"64",,"3.51","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE SPRINKLES CAP DR 125MG","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","Pathways",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE SPRINKLES CAP DR 125MG","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","HMO",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE SPRINKLES CAP DR 125MG","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","PPO",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE SPRINKLES CAP DR 125MG","0637","RC","Both",,,"5.5","2.75","Ambetter","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE SPRINKLES CAP DR 125MG","0637","RC","Both",,,"5.5","2.75","Caresource","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE SPRINKLES CAP DR 125MG","0637","RC","Both",,,"5.5","2.75","Cigna","Commercial",,,"59",,"3.22","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE SPRINKLES CAP DR 125MG","0637","RC","Both",,,"5.5","2.75","Humana","Commercial",,,"78",,"4.26","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE SPRINKLES CAP DR 125MG","0637","RC","Both",,,"5.5","2.75","UHC","Commercial",,,"75",,"4.15","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE SPRINKLES CAP DR 125MG","0637","RC","Both",,,"5.5","2.75","Medicaid",,,,"37",,"2.01","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE SPRINKLES CAP DR 125MG","0637","RC","Both",,,"5.5","2.75","Alliant","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE SPRINKLES CAP DR 125MG","0637","RC","Both",,,"5.5","2.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.97","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE SPRINKLES CAP DR 125MG","0637","RC","Both",,,"5.5","2.75","Medicare",,,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE SPRINKLES CAP DR 125MG","0637","RC","Both",,,"5.5","2.75","Humana","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE SPRINKLES CAP DR 125MG","0637","RC","Both",,,"5.5","2.75","UHC","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE SPRINKLES CAP DR 125MG","0637","RC","Both",,,"5.5","2.75","Clover","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE SPRINKLES CAP DR 125MG","0637","RC","Both",,,"5.5","2.75","Wellcare","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE SPRINKLES CAP DR 125MG","0637","RC","Both",,,"5.5","2.75","Amerigroup","Medicaid Managed Care",,,"37",,"2.01","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE SPRINKLES CAP DR 125MG","0637","RC","Both",,,"5.5","2.75","Caresource","Medicaid Managed Care",,,"40",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE SPRINKLES CAP DR 125MG","0637","RC","Both",,,"5.5","2.75","Wellcare","Medicaid Managed Care",,,"40",,"2.23","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE SPRINKLES CAP DR 125MG","0637","RC","Both",,,"5.5","2.75","Aetna","Commercial",,,"64",,"3.51","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE SPRINKLES CAP DR 125MG","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","Pathways",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE SPRINKLES CAP DR 125MG","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","HMO",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE SPRINKLES CAP DR 125MG","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","PPO",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE SPRINKLES CAP DR 125MG","0637","RC","Both",,,"5.5","2.75","Ambetter","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE SPRINKLES CAP DR 125MG","0637","RC","Both",,,"5.5","2.75","Caresource","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE SPRINKLES CAP DR 125MG","0637","RC","Both",,,"5.5","2.75","Cigna","Commercial",,,"59",,"3.22","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE SPRINKLES CAP DR 125MG","0637","RC","Both",,,"5.5","2.75","Humana","Commercial",,,"78",,"4.26","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE SPRINKLES CAP DR 125MG","0637","RC","Both",,,"5.5","2.75","UHC","Commercial",,,"75",,"4.15","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE SPRINKLES CAP DR 125MG","0637","RC","Both",,,"5.5","2.75","Medicaid",,,,"37",,"2.01","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL ORAL TABLET 100MG","0637","RC","Both",,,"21.5","10.75","Alliant","Health Exchange",,,"62",,"13.33","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL ORAL TABLET 100MG","0637","RC","Both",,,"21.5","10.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.61","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL ORAL TABLET 100MG","0637","RC","Both",,,"21.5","10.75","Medicare",,,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL ORAL TABLET 100MG","0637","RC","Both",,,"21.5","10.75","Humana","Medicare Advantage",,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL ORAL TABLET 100MG","0637","RC","Both",,,"21.5","10.75","UHC","Medicare Advantage",,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL ORAL TABLET 100MG","0637","RC","Both",,,"21.5","10.75","Clover","Medicare Advantage",,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL ORAL TABLET 100MG","0637","RC","Both",,,"21.5","10.75","Wellcare","Medicare Advantage",,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL ORAL TABLET 100MG","0637","RC","Both",,,"21.5","10.75","Amerigroup","Medicaid Managed Care",,,"37",,"7.87","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL ORAL TABLET 100MG","0637","RC","Both",,,"21.5","10.75","Caresource","Medicaid Managed Care",,,"40",,"8.6","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL ORAL TABLET 100MG","0637","RC","Both",,,"21.5","10.75","Wellcare","Medicaid Managed Care",,,"40",,"8.71","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL ORAL TABLET 100MG","0637","RC","Both",,,"21.5","10.75","Aetna","Commercial",,,"64",,"13.72","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL ORAL TABLET 100MG","0637","RC","Both",,,"21.5","10.75","Blue Cross Blue Shield","Pathways",,,"71",,"15.18","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL ORAL TABLET 100MG","0637","RC","Both",,,"21.5","10.75","Blue Cross Blue Shield","HMO",,,"71",,"15.18","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL ORAL TABLET 100MG","0637","RC","Both",,,"21.5","10.75","Blue Cross Blue Shield","PPO",,,"71",,"15.18","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL ORAL TABLET 100MG","0637","RC","Both",,,"21.5","10.75","Ambetter","Health Exchange",,,"62",,"13.33","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL ORAL TABLET 100MG","0637","RC","Both",,,"21.5","10.75","Caresource","Health Exchange",,,"62",,"13.33","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL ORAL TABLET 100MG","0637","RC","Both",,,"21.5","10.75","Cigna","Commercial",,,"59",,"12.6","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL ORAL TABLET 100MG","0637","RC","Both",,,"21.5","10.75","Humana","Commercial",,,"78",,"16.66","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL ORAL TABLET 100MG","0637","RC","Both",,,"21.5","10.75","UHC","Commercial",,,"75",,"16.21","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL ORAL TABLET 100MG","0637","RC","Both",,,"21.5","10.75","Medicaid",,,,"37",,"7.87","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 25MG","0637","RC","Both",,,"30.5","15.25","Alliant","Health Exchange",,,"62",,"18.91","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 25MG","0637","RC","Both",,,"30.5","15.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.47","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 25MG","0637","RC","Both",,,"30.5","15.25","Medicare",,,,"54",,"16.53","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 25MG","0637","RC","Both",,,"30.5","15.25","Humana","Medicare Advantage",,,"54",,"16.53","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 25MG","0637","RC","Both",,,"30.5","15.25","UHC","Medicare Advantage",,,"54",,"16.53","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 25MG","0637","RC","Both",,,"30.5","15.25","Clover","Medicare Advantage",,,"54",,"16.53","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 25MG","0637","RC","Both",,,"30.5","15.25","Wellcare","Medicare Advantage",,,"54",,"16.53","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 25MG","0637","RC","Both",,,"30.5","15.25","Amerigroup","Medicaid Managed Care",,,"37",,"11.16","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 25MG","0637","RC","Both",,,"30.5","15.25","Caresource","Medicaid Managed Care",,,"40",,"12.2","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 25MG","0637","RC","Both",,,"30.5","15.25","Wellcare","Medicaid Managed Care",,,"40",,"12.35","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 25MG","0637","RC","Both",,,"30.5","15.25","Aetna","Commercial",,,"64",,"19.46","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 25MG","0637","RC","Both",,,"30.5","15.25","Blue Cross Blue Shield","Pathways",,,"71",,"21.53","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 25MG","0637","RC","Both",,,"30.5","15.25","Blue Cross Blue Shield","HMO",,,"71",,"21.53","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 25MG","0637","RC","Both",,,"30.5","15.25","Blue Cross Blue Shield","PPO",,,"71",,"21.53","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 25MG","0637","RC","Both",,,"30.5","15.25","Ambetter","Health Exchange",,,"62",,"18.91","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 25MG","0637","RC","Both",,,"30.5","15.25","Caresource","Health Exchange",,,"62",,"18.91","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 25MG","0637","RC","Both",,,"30.5","15.25","Cigna","Commercial",,,"59",,"17.87","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 25MG","0637","RC","Both",,,"30.5","15.25","Humana","Commercial",,,"78",,"23.64","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 25MG","0637","RC","Both",,,"30.5","15.25","UHC","Commercial",,,"75",,"23","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 25MG","0637","RC","Both",,,"30.5","15.25","Medicaid",,,,"37",,"11.16","0.15","5264.58","percent of total billed charges",,
"NF-SULFADIAZINE TABLET 500MG","0637","RC","Both",,,"14","7","Alliant","Health Exchange",,,"62",,"8.68","0.15","5264.58","percent of total billed charges",,
"NF-SULFADIAZINE TABLET 500MG","0637","RC","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.56","0.15","5264.58","percent of total billed charges",,
"NF-SULFADIAZINE TABLET 500MG","0637","RC","Both",,,"14","7","Medicare",,,,"54",,"7.59","0.15","5264.58","percent of total billed charges",,
"NF-SULFADIAZINE TABLET 500MG","0637","RC","Both",,,"14","7","Humana","Medicare Advantage",,,"54",,"7.59","0.15","5264.58","percent of total billed charges",,
"NF-SULFADIAZINE TABLET 500MG","0637","RC","Both",,,"14","7","UHC","Medicare Advantage",,,"54",,"7.59","0.15","5264.58","percent of total billed charges",,
"NF-SULFADIAZINE TABLET 500MG","0637","RC","Both",,,"14","7","Clover","Medicare Advantage",,,"54",,"7.59","0.15","5264.58","percent of total billed charges",,
"NF-SULFADIAZINE TABLET 500MG","0637","RC","Both",,,"14","7","Wellcare","Medicare Advantage",,,"54",,"7.59","0.15","5264.58","percent of total billed charges",,
"NF-SULFADIAZINE TABLET 500MG","0637","RC","Both",,,"14","7","Amerigroup","Medicaid Managed Care",,,"37",,"5.12","0.15","5264.58","percent of total billed charges",,
"NF-SULFADIAZINE TABLET 500MG","0637","RC","Both",,,"14","7","Caresource","Medicaid Managed Care",,,"40",,"5.6","0.15","5264.58","percent of total billed charges",,
"NF-SULFADIAZINE TABLET 500MG","0637","RC","Both",,,"14","7","Wellcare","Medicaid Managed Care",,,"40",,"5.67","0.15","5264.58","percent of total billed charges",,
"NF-SULFADIAZINE TABLET 500MG","0637","RC","Both",,,"14","7","Aetna","Commercial",,,"64",,"8.93","0.15","5264.58","percent of total billed charges",,
"NF-SULFADIAZINE TABLET 500MG","0637","RC","Both",,,"14","7","Blue Cross Blue Shield","Pathways",,,"71",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-SULFADIAZINE TABLET 500MG","0637","RC","Both",,,"14","7","Blue Cross Blue Shield","HMO",,,"71",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-SULFADIAZINE TABLET 500MG","0637","RC","Both",,,"14","7","Blue Cross Blue Shield","PPO",,,"71",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-SULFADIAZINE TABLET 500MG","0637","RC","Both",,,"14","7","Ambetter","Health Exchange",,,"62",,"8.68","0.15","5264.58","percent of total billed charges",,
"NF-SULFADIAZINE TABLET 500MG","0637","RC","Both",,,"14","7","Caresource","Health Exchange",,,"62",,"8.68","0.15","5264.58","percent of total billed charges",,
"NF-SULFADIAZINE TABLET 500MG","0637","RC","Both",,,"14","7","Cigna","Commercial",,,"59",,"8.2","0.15","5264.58","percent of total billed charges",,
"NF-SULFADIAZINE TABLET 500MG","0637","RC","Both",,,"14","7","Humana","Commercial",,,"78",,"10.85","0.15","5264.58","percent of total billed charges",,
"NF-SULFADIAZINE TABLET 500MG","0637","RC","Both",,,"14","7","UHC","Commercial",,,"75",,"10.56","0.15","5264.58","percent of total billed charges",,
"NF-SULFADIAZINE TABLET 500MG","0637","RC","Both",,,"14","7","Medicaid",,,,"37",,"5.12","0.15","5264.58","percent of total billed charges",,
"NF-ACEBUTOLOL HYDROCHLORIDE 200MG ORAL C","0637","RC","Both",,,"3.5","1.75","Alliant","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-ACEBUTOLOL HYDROCHLORIDE 200MG ORAL C","0637","RC","Both",,,"3.5","1.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.89","0.15","5264.58","percent of total billed charges",,
"NF-ACEBUTOLOL HYDROCHLORIDE 200MG ORAL C","0637","RC","Both",,,"3.5","1.75","Medicare",,,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-ACEBUTOLOL HYDROCHLORIDE 200MG ORAL C","0637","RC","Both",,,"3.5","1.75","Humana","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-ACEBUTOLOL HYDROCHLORIDE 200MG ORAL C","0637","RC","Both",,,"3.5","1.75","UHC","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-ACEBUTOLOL HYDROCHLORIDE 200MG ORAL C","0637","RC","Both",,,"3.5","1.75","Clover","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-ACEBUTOLOL HYDROCHLORIDE 200MG ORAL C","0637","RC","Both",,,"3.5","1.75","Wellcare","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-ACEBUTOLOL HYDROCHLORIDE 200MG ORAL C","0637","RC","Both",,,"3.5","1.75","Amerigroup","Medicaid Managed Care",,,"37",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-ACEBUTOLOL HYDROCHLORIDE 200MG ORAL C","0637","RC","Both",,,"3.5","1.75","Caresource","Medicaid Managed Care",,,"40",,"1.4","0.15","5264.58","percent of total billed charges",,
"NF-ACEBUTOLOL HYDROCHLORIDE 200MG ORAL C","0637","RC","Both",,,"3.5","1.75","Wellcare","Medicaid Managed Care",,,"40",,"1.42","0.15","5264.58","percent of total billed charges",,
"NF-ACEBUTOLOL HYDROCHLORIDE 200MG ORAL C","0637","RC","Both",,,"3.5","1.75","Aetna","Commercial",,,"64",,"2.23","0.15","5264.58","percent of total billed charges",,
"NF-ACEBUTOLOL HYDROCHLORIDE 200MG ORAL C","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","Pathways",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-ACEBUTOLOL HYDROCHLORIDE 200MG ORAL C","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","HMO",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-ACEBUTOLOL HYDROCHLORIDE 200MG ORAL C","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","PPO",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-ACEBUTOLOL HYDROCHLORIDE 200MG ORAL C","0637","RC","Both",,,"3.5","1.75","Ambetter","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-ACEBUTOLOL HYDROCHLORIDE 200MG ORAL C","0637","RC","Both",,,"3.5","1.75","Caresource","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-ACEBUTOLOL HYDROCHLORIDE 200MG ORAL C","0637","RC","Both",,,"3.5","1.75","Cigna","Commercial",,,"59",,"2.05","0.15","5264.58","percent of total billed charges",,
"NF-ACEBUTOLOL HYDROCHLORIDE 200MG ORAL C","0637","RC","Both",,,"3.5","1.75","Humana","Commercial",,,"78",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-ACEBUTOLOL HYDROCHLORIDE 200MG ORAL C","0637","RC","Both",,,"3.5","1.75","UHC","Commercial",,,"75",,"2.64","0.15","5264.58","percent of total billed charges",,
"NF-ACEBUTOLOL HYDROCHLORIDE 200MG ORAL C","0637","RC","Both",,,"3.5","1.75","Medicaid",,,,"37",,"1.28","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) ORAL SUSP:400MG/5ML","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) ORAL SUSP:400MG/5ML","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) ORAL SUSP:400MG/5ML","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) ORAL SUSP:400MG/5ML","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) ORAL SUSP:400MG/5ML","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) ORAL SUSP:400MG/5ML","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) ORAL SUSP:400MG/5ML","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) ORAL SUSP:400MG/5ML","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) ORAL SUSP:400MG/5ML","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) ORAL SUSP:400MG/5ML","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) ORAL SUSP:400MG/5ML","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) ORAL SUSP:400MG/5ML","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) ORAL SUSP:400MG/5ML","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) ORAL SUSP:400MG/5ML","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) ORAL SUSP:400MG/5ML","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) ORAL SUSP:400MG/5ML","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) ORAL SUSP:400MG/5ML","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) ORAL SUSP:400MG/5ML","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) ORAL SUSP:400MG/5ML","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"AMOXICILLIN (AMOXIL) ORAL SUSP:400MG/5ML","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-NEXPLANON 68MG INTRADERMAL IMPLANT","0637","RC","Both",,,"2777.5","1388.75","Alliant","Health Exchange",,,"62",,"1722.05","0.15","5264.58","percent of total billed charges",,
"NF-NEXPLANON 68MG INTRADERMAL IMPLANT","0637","RC","Both",,,"2777.5","1388.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"1499.85","0.15","5264.58","percent of total billed charges",,
"NF-NEXPLANON 68MG INTRADERMAL IMPLANT","0637","RC","Both",,,"2777.5","1388.75","Medicare",,,,"54",,"1505.41","0.15","5264.58","percent of total billed charges",,
"NF-NEXPLANON 68MG INTRADERMAL IMPLANT","0637","RC","Both",,,"2777.5","1388.75","Humana","Medicare Advantage",,,"54",,"1505.41","0.15","5264.58","percent of total billed charges",,
"NF-NEXPLANON 68MG INTRADERMAL IMPLANT","0637","RC","Both",,,"2777.5","1388.75","UHC","Medicare Advantage",,,"54",,"1505.41","0.15","5264.58","percent of total billed charges",,
"NF-NEXPLANON 68MG INTRADERMAL IMPLANT","0637","RC","Both",,,"2777.5","1388.75","Clover","Medicare Advantage",,,"54",,"1505.41","0.15","5264.58","percent of total billed charges",,
"NF-NEXPLANON 68MG INTRADERMAL IMPLANT","0637","RC","Both",,,"2777.5","1388.75","Wellcare","Medicare Advantage",,,"54",,"1505.41","0.15","5264.58","percent of total billed charges",,
"NF-NEXPLANON 68MG INTRADERMAL IMPLANT","0637","RC","Both",,,"2777.5","1388.75","Amerigroup","Medicaid Managed Care",,,"37",,"1016.56","0.15","5264.58","percent of total billed charges",,
"NF-NEXPLANON 68MG INTRADERMAL IMPLANT","0637","RC","Both",,,"2777.5","1388.75","Caresource","Medicaid Managed Care",,,"40",,"1111","0.15","5264.58","percent of total billed charges",,
"NF-NEXPLANON 68MG INTRADERMAL IMPLANT","0637","RC","Both",,,"2777.5","1388.75","Wellcare","Medicaid Managed Care",,,"40",,"1124.89","0.15","5264.58","percent of total billed charges",,
"NF-NEXPLANON 68MG INTRADERMAL IMPLANT","0637","RC","Both",,,"2777.5","1388.75","Aetna","Commercial",,,"64",,"1772.04","0.15","5264.58","percent of total billed charges",,
"NF-NEXPLANON 68MG INTRADERMAL IMPLANT","0637","RC","Both",,,"2777.5","1388.75","Blue Cross Blue Shield","Pathways",,,"71",,"1960.92","0.15","5264.58","percent of total billed charges",,
"NF-NEXPLANON 68MG INTRADERMAL IMPLANT","0637","RC","Both",,,"2777.5","1388.75","Blue Cross Blue Shield","HMO",,,"71",,"1960.92","0.15","5264.58","percent of total billed charges",,
"NF-NEXPLANON 68MG INTRADERMAL IMPLANT","0637","RC","Both",,,"2777.5","1388.75","Blue Cross Blue Shield","PPO",,,"71",,"1960.92","0.15","5264.58","percent of total billed charges",,
"NF-NEXPLANON 68MG INTRADERMAL IMPLANT","0637","RC","Both",,,"2777.5","1388.75","Ambetter","Health Exchange",,,"62",,"1722.05","0.15","5264.58","percent of total billed charges",,
"NF-NEXPLANON 68MG INTRADERMAL IMPLANT","0637","RC","Both",,,"2777.5","1388.75","Caresource","Health Exchange",,,"62",,"1722.05","0.15","5264.58","percent of total billed charges",,
"NF-NEXPLANON 68MG INTRADERMAL IMPLANT","0637","RC","Both",,,"2777.5","1388.75","Cigna","Commercial",,,"59",,"1627.62","0.15","5264.58","percent of total billed charges",,
"NF-NEXPLANON 68MG INTRADERMAL IMPLANT","0637","RC","Both",,,"2777.5","1388.75","Humana","Commercial",,,"78",,"2152.56","0.15","5264.58","percent of total billed charges",,
"NF-NEXPLANON 68MG INTRADERMAL IMPLANT","0637","RC","Both",,,"2777.5","1388.75","UHC","Commercial",,,"75",,"2094.24","0.15","5264.58","percent of total billed charges",,
"NF-NEXPLANON 68MG INTRADERMAL IMPLANT","0637","RC","Both",,,"2777.5","1388.75","Medicaid",,,,"37",,"1016.56","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE OPHTHALMIC GEL/JELLY 0.3%","0637","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE OPHTHALMIC GEL/JELLY 0.3%","0637","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE OPHTHALMIC GEL/JELLY 0.3%","0637","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE OPHTHALMIC GEL/JELLY 0.3%","0637","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE OPHTHALMIC GEL/JELLY 0.3%","0637","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE OPHTHALMIC GEL/JELLY 0.3%","0637","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE OPHTHALMIC GEL/JELLY 0.3%","0637","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE OPHTHALMIC GEL/JELLY 0.3%","0637","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE OPHTHALMIC GEL/JELLY 0.3%","0637","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE OPHTHALMIC GEL/JELLY 0.3%","0637","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE OPHTHALMIC GEL/JELLY 0.3%","0637","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE OPHTHALMIC GEL/JELLY 0.3%","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE OPHTHALMIC GEL/JELLY 0.3%","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE OPHTHALMIC GEL/JELLY 0.3%","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE OPHTHALMIC GEL/JELLY 0.3%","0637","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE OPHTHALMIC GEL/JELLY 0.3%","0637","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE OPHTHALMIC GEL/JELLY 0.3%","0637","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE OPHTHALMIC GEL/JELLY 0.3%","0637","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE OPHTHALMIC GEL/JELLY 0.3%","0637","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.15","5264.58","percent of total billed charges",,
"NF-SYSTANE OPHTHALMIC GEL/JELLY 0.3%","0637","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-CLINDAMYCIN HCL CAP 300MG","0637","RC","Both",,,"12","6","Alliant","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-CLINDAMYCIN HCL CAP 300MG","0637","RC","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.48","0.15","5264.58","percent of total billed charges",,
"NF-CLINDAMYCIN HCL CAP 300MG","0637","RC","Both",,,"12","6","Medicare",,,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-CLINDAMYCIN HCL CAP 300MG","0637","RC","Both",,,"12","6","Humana","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-CLINDAMYCIN HCL CAP 300MG","0637","RC","Both",,,"12","6","UHC","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-CLINDAMYCIN HCL CAP 300MG","0637","RC","Both",,,"12","6","Clover","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-CLINDAMYCIN HCL CAP 300MG","0637","RC","Both",,,"12","6","Wellcare","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-CLINDAMYCIN HCL CAP 300MG","0637","RC","Both",,,"12","6","Amerigroup","Medicaid Managed Care",,,"37",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-CLINDAMYCIN HCL CAP 300MG","0637","RC","Both",,,"12","6","Caresource","Medicaid Managed Care",,,"40",,"4.8","0.15","5264.58","percent of total billed charges",,
"NF-CLINDAMYCIN HCL CAP 300MG","0637","RC","Both",,,"12","6","Wellcare","Medicaid Managed Care",,,"40",,"4.86","0.15","5264.58","percent of total billed charges",,
"NF-CLINDAMYCIN HCL CAP 300MG","0637","RC","Both",,,"12","6","Aetna","Commercial",,,"64",,"7.66","0.15","5264.58","percent of total billed charges",,
"NF-CLINDAMYCIN HCL CAP 300MG","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","Pathways",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-CLINDAMYCIN HCL CAP 300MG","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","HMO",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-CLINDAMYCIN HCL CAP 300MG","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","PPO",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-CLINDAMYCIN HCL CAP 300MG","0637","RC","Both",,,"12","6","Ambetter","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-CLINDAMYCIN HCL CAP 300MG","0637","RC","Both",,,"12","6","Caresource","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-CLINDAMYCIN HCL CAP 300MG","0637","RC","Both",,,"12","6","Cigna","Commercial",,,"59",,"7.03","0.15","5264.58","percent of total billed charges",,
"NF-CLINDAMYCIN HCL CAP 300MG","0637","RC","Both",,,"12","6","Humana","Commercial",,,"78",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-CLINDAMYCIN HCL CAP 300MG","0637","RC","Both",,,"12","6","UHC","Commercial",,,"75",,"9.05","0.15","5264.58","percent of total billed charges",,
"NF-CLINDAMYCIN HCL CAP 300MG","0637","RC","Both",,,"12","6","Medicaid",,,,"37",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.45MG","0637","RC","Both",,,"13","6.5","Alliant","Health Exchange",,,"62",,"8.06","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.45MG","0637","RC","Both",,,"13","6.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.02","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.45MG","0637","RC","Both",,,"13","6.5","Medicare",,,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.45MG","0637","RC","Both",,,"13","6.5","Humana","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.45MG","0637","RC","Both",,,"13","6.5","UHC","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.45MG","0637","RC","Both",,,"13","6.5","Clover","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.45MG","0637","RC","Both",,,"13","6.5","Wellcare","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.45MG","0637","RC","Both",,,"13","6.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.76","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.45MG","0637","RC","Both",,,"13","6.5","Caresource","Medicaid Managed Care",,,"40",,"5.2","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.45MG","0637","RC","Both",,,"13","6.5","Wellcare","Medicaid Managed Care",,,"40",,"5.26","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.45MG","0637","RC","Both",,,"13","6.5","Aetna","Commercial",,,"64",,"8.29","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.45MG","0637","RC","Both",,,"13","6.5","Blue Cross Blue Shield","Pathways",,,"71",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.45MG","0637","RC","Both",,,"13","6.5","Blue Cross Blue Shield","HMO",,,"71",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.45MG","0637","RC","Both",,,"13","6.5","Blue Cross Blue Shield","PPO",,,"71",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.45MG","0637","RC","Both",,,"13","6.5","Ambetter","Health Exchange",,,"62",,"8.06","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.45MG","0637","RC","Both",,,"13","6.5","Caresource","Health Exchange",,,"62",,"8.06","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.45MG","0637","RC","Both",,,"13","6.5","Cigna","Commercial",,,"59",,"7.62","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.45MG","0637","RC","Both",,,"13","6.5","Humana","Commercial",,,"78",,"10.08","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.45MG","0637","RC","Both",,,"13","6.5","UHC","Commercial",,,"75",,"9.8","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.45MG","0637","RC","Both",,,"13","6.5","Medicaid",,,,"37",,"4.76","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX TAB 70MG","0637","RC","Both",,,"101","50.5","Alliant","Health Exchange",,,"62",,"62.62","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX TAB 70MG","0637","RC","Both",,,"101","50.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"54.54","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX TAB 70MG","0637","RC","Both",,,"101","50.5","Medicare",,,,"54",,"54.74","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX TAB 70MG","0637","RC","Both",,,"101","50.5","Humana","Medicare Advantage",,,"54",,"54.74","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX TAB 70MG","0637","RC","Both",,,"101","50.5","UHC","Medicare Advantage",,,"54",,"54.74","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX TAB 70MG","0637","RC","Both",,,"101","50.5","Clover","Medicare Advantage",,,"54",,"54.74","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX TAB 70MG","0637","RC","Both",,,"101","50.5","Wellcare","Medicare Advantage",,,"54",,"54.74","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX TAB 70MG","0637","RC","Both",,,"101","50.5","Amerigroup","Medicaid Managed Care",,,"37",,"36.97","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX TAB 70MG","0637","RC","Both",,,"101","50.5","Caresource","Medicaid Managed Care",,,"40",,"40.4","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX TAB 70MG","0637","RC","Both",,,"101","50.5","Wellcare","Medicaid Managed Care",,,"40",,"40.9","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX TAB 70MG","0637","RC","Both",,,"101","50.5","Aetna","Commercial",,,"64",,"64.44","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX TAB 70MG","0637","RC","Both",,,"101","50.5","Blue Cross Blue Shield","Pathways",,,"71",,"71.31","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX TAB 70MG","0637","RC","Both",,,"101","50.5","Blue Cross Blue Shield","HMO",,,"71",,"71.31","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX TAB 70MG","0637","RC","Both",,,"101","50.5","Blue Cross Blue Shield","PPO",,,"71",,"71.31","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX TAB 70MG","0637","RC","Both",,,"101","50.5","Ambetter","Health Exchange",,,"62",,"62.62","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX TAB 70MG","0637","RC","Both",,,"101","50.5","Caresource","Health Exchange",,,"62",,"62.62","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX TAB 70MG","0637","RC","Both",,,"101","50.5","Cigna","Commercial",,,"59",,"59.19","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX TAB 70MG","0637","RC","Both",,,"101","50.5","Humana","Commercial",,,"78",,"78.28","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX TAB 70MG","0637","RC","Both",,,"101","50.5","UHC","Commercial",,,"75",,"76.15","0.15","5264.58","percent of total billed charges",,
"NF-FOSAMAX TAB 70MG","0637","RC","Both",,,"101","50.5","Medicaid",,,,"37",,"36.97","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN 75MG ORAL TABLET","0637","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN 75MG ORAL TABLET","0637","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN 75MG ORAL TABLET","0637","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN 75MG ORAL TABLET","0637","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN 75MG ORAL TABLET","0637","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN 75MG ORAL TABLET","0637","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN 75MG ORAL TABLET","0637","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN 75MG ORAL TABLET","0637","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN 75MG ORAL TABLET","0637","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN 75MG ORAL TABLET","0637","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN 75MG ORAL TABLET","0637","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN 75MG ORAL TABLET","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN 75MG ORAL TABLET","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN 75MG ORAL TABLET","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN 75MG ORAL TABLET","0637","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN 75MG ORAL TABLET","0637","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN 75MG ORAL TABLET","0637","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN 75MG ORAL TABLET","0637","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN 75MG ORAL TABLET","0637","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN 75MG ORAL TABLET","0637","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-KETOTIFEN FUMARATE OPHTH SOLN 0.025%","0637","RC","Both",,,"28.5","14.25","Alliant","Health Exchange",,,"62",,"17.67","0.15","5264.58","percent of total billed charges",,
"NF-KETOTIFEN FUMARATE OPHTH SOLN 0.025%","0637","RC","Both",,,"28.5","14.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.39","0.15","5264.58","percent of total billed charges",,
"NF-KETOTIFEN FUMARATE OPHTH SOLN 0.025%","0637","RC","Both",,,"28.5","14.25","Medicare",,,,"54",,"15.45","0.15","5264.58","percent of total billed charges",,
"NF-KETOTIFEN FUMARATE OPHTH SOLN 0.025%","0637","RC","Both",,,"28.5","14.25","Humana","Medicare Advantage",,,"54",,"15.45","0.15","5264.58","percent of total billed charges",,
"NF-KETOTIFEN FUMARATE OPHTH SOLN 0.025%","0637","RC","Both",,,"28.5","14.25","UHC","Medicare Advantage",,,"54",,"15.45","0.15","5264.58","percent of total billed charges",,
"NF-KETOTIFEN FUMARATE OPHTH SOLN 0.025%","0637","RC","Both",,,"28.5","14.25","Clover","Medicare Advantage",,,"54",,"15.45","0.15","5264.58","percent of total billed charges",,
"NF-KETOTIFEN FUMARATE OPHTH SOLN 0.025%","0637","RC","Both",,,"28.5","14.25","Wellcare","Medicare Advantage",,,"54",,"15.45","0.15","5264.58","percent of total billed charges",,
"NF-KETOTIFEN FUMARATE OPHTH SOLN 0.025%","0637","RC","Both",,,"28.5","14.25","Amerigroup","Medicaid Managed Care",,,"37",,"10.43","0.15","5264.58","percent of total billed charges",,
"NF-KETOTIFEN FUMARATE OPHTH SOLN 0.025%","0637","RC","Both",,,"28.5","14.25","Caresource","Medicaid Managed Care",,,"40",,"11.4","0.15","5264.58","percent of total billed charges",,
"NF-KETOTIFEN FUMARATE OPHTH SOLN 0.025%","0637","RC","Both",,,"28.5","14.25","Wellcare","Medicaid Managed Care",,,"40",,"11.54","0.15","5264.58","percent of total billed charges",,
"NF-KETOTIFEN FUMARATE OPHTH SOLN 0.025%","0637","RC","Both",,,"28.5","14.25","Aetna","Commercial",,,"64",,"18.18","0.15","5264.58","percent of total billed charges",,
"NF-KETOTIFEN FUMARATE OPHTH SOLN 0.025%","0637","RC","Both",,,"28.5","14.25","Blue Cross Blue Shield","Pathways",,,"71",,"20.12","0.15","5264.58","percent of total billed charges",,
"NF-KETOTIFEN FUMARATE OPHTH SOLN 0.025%","0637","RC","Both",,,"28.5","14.25","Blue Cross Blue Shield","HMO",,,"71",,"20.12","0.15","5264.58","percent of total billed charges",,
"NF-KETOTIFEN FUMARATE OPHTH SOLN 0.025%","0637","RC","Both",,,"28.5","14.25","Blue Cross Blue Shield","PPO",,,"71",,"20.12","0.15","5264.58","percent of total billed charges",,
"NF-KETOTIFEN FUMARATE OPHTH SOLN 0.025%","0637","RC","Both",,,"28.5","14.25","Ambetter","Health Exchange",,,"62",,"17.67","0.15","5264.58","percent of total billed charges",,
"NF-KETOTIFEN FUMARATE OPHTH SOLN 0.025%","0637","RC","Both",,,"28.5","14.25","Caresource","Health Exchange",,,"62",,"17.67","0.15","5264.58","percent of total billed charges",,
"NF-KETOTIFEN FUMARATE OPHTH SOLN 0.025%","0637","RC","Both",,,"28.5","14.25","Cigna","Commercial",,,"59",,"16.7","0.15","5264.58","percent of total billed charges",,
"NF-KETOTIFEN FUMARATE OPHTH SOLN 0.025%","0637","RC","Both",,,"28.5","14.25","Humana","Commercial",,,"78",,"22.09","0.15","5264.58","percent of total billed charges",,
"NF-KETOTIFEN FUMARATE OPHTH SOLN 0.025%","0637","RC","Both",,,"28.5","14.25","UHC","Commercial",,,"75",,"21.49","0.15","5264.58","percent of total billed charges",,
"NF-KETOTIFEN FUMARATE OPHTH SOLN 0.025%","0637","RC","Both",,,"28.5","14.25","Medicaid",,,,"37",,"10.43","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL 3.75GM/1 PACKET ORAL POWDER F","0637","RC","Both",,,"29.5","14.75","Alliant","Health Exchange",,,"62",,"18.29","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL 3.75GM/1 PACKET ORAL POWDER F","0637","RC","Both",,,"29.5","14.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.93","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL 3.75GM/1 PACKET ORAL POWDER F","0637","RC","Both",,,"29.5","14.75","Medicare",,,,"54",,"15.99","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL 3.75GM/1 PACKET ORAL POWDER F","0637","RC","Both",,,"29.5","14.75","Humana","Medicare Advantage",,,"54",,"15.99","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL 3.75GM/1 PACKET ORAL POWDER F","0637","RC","Both",,,"29.5","14.75","UHC","Medicare Advantage",,,"54",,"15.99","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL 3.75GM/1 PACKET ORAL POWDER F","0637","RC","Both",,,"29.5","14.75","Clover","Medicare Advantage",,,"54",,"15.99","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL 3.75GM/1 PACKET ORAL POWDER F","0637","RC","Both",,,"29.5","14.75","Wellcare","Medicare Advantage",,,"54",,"15.99","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL 3.75GM/1 PACKET ORAL POWDER F","0637","RC","Both",,,"29.5","14.75","Amerigroup","Medicaid Managed Care",,,"37",,"10.8","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL 3.75GM/1 PACKET ORAL POWDER F","0637","RC","Both",,,"29.5","14.75","Caresource","Medicaid Managed Care",,,"40",,"11.8","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL 3.75GM/1 PACKET ORAL POWDER F","0637","RC","Both",,,"29.5","14.75","Wellcare","Medicaid Managed Care",,,"40",,"11.95","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL 3.75GM/1 PACKET ORAL POWDER F","0637","RC","Both",,,"29.5","14.75","Aetna","Commercial",,,"64",,"18.82","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL 3.75GM/1 PACKET ORAL POWDER F","0637","RC","Both",,,"29.5","14.75","Blue Cross Blue Shield","Pathways",,,"71",,"20.83","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL 3.75GM/1 PACKET ORAL POWDER F","0637","RC","Both",,,"29.5","14.75","Blue Cross Blue Shield","HMO",,,"71",,"20.83","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL 3.75GM/1 PACKET ORAL POWDER F","0637","RC","Both",,,"29.5","14.75","Blue Cross Blue Shield","PPO",,,"71",,"20.83","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL 3.75GM/1 PACKET ORAL POWDER F","0637","RC","Both",,,"29.5","14.75","Ambetter","Health Exchange",,,"62",,"18.29","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL 3.75GM/1 PACKET ORAL POWDER F","0637","RC","Both",,,"29.5","14.75","Caresource","Health Exchange",,,"62",,"18.29","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL 3.75GM/1 PACKET ORAL POWDER F","0637","RC","Both",,,"29.5","14.75","Cigna","Commercial",,,"59",,"17.29","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL 3.75GM/1 PACKET ORAL POWDER F","0637","RC","Both",,,"29.5","14.75","Humana","Commercial",,,"78",,"22.86","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL 3.75GM/1 PACKET ORAL POWDER F","0637","RC","Both",,,"29.5","14.75","UHC","Commercial",,,"75",,"22.24","0.15","5264.58","percent of total billed charges",,
"NF-WELCHOL 3.75GM/1 PACKET ORAL POWDER F","0637","RC","Both",,,"29.5","14.75","Medicaid",,,,"37",,"10.8","0.15","5264.58","percent of total billed charges",,
"NF-COMBIVENT RESPIMAT INH 100MCG-20MCG/A","0637","RC","Both",,,"251","125.5","Alliant","Health Exchange",,,"62",,"155.62","0.15","5264.58","percent of total billed charges",,
"NF-COMBIVENT RESPIMAT INH 100MCG-20MCG/A","0637","RC","Both",,,"251","125.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"135.54","0.15","5264.58","percent of total billed charges",,
"NF-COMBIVENT RESPIMAT INH 100MCG-20MCG/A","0637","RC","Both",,,"251","125.5","Medicare",,,,"54",,"136.04","0.15","5264.58","percent of total billed charges",,
"NF-COMBIVENT RESPIMAT INH 100MCG-20MCG/A","0637","RC","Both",,,"251","125.5","Humana","Medicare Advantage",,,"54",,"136.04","0.15","5264.58","percent of total billed charges",,
"NF-COMBIVENT RESPIMAT INH 100MCG-20MCG/A","0637","RC","Both",,,"251","125.5","UHC","Medicare Advantage",,,"54",,"136.04","0.15","5264.58","percent of total billed charges",,
"NF-COMBIVENT RESPIMAT INH 100MCG-20MCG/A","0637","RC","Both",,,"251","125.5","Clover","Medicare Advantage",,,"54",,"136.04","0.15","5264.58","percent of total billed charges",,
"NF-COMBIVENT RESPIMAT INH 100MCG-20MCG/A","0637","RC","Both",,,"251","125.5","Wellcare","Medicare Advantage",,,"54",,"136.04","0.15","5264.58","percent of total billed charges",,
"NF-COMBIVENT RESPIMAT INH 100MCG-20MCG/A","0637","RC","Both",,,"251","125.5","Amerigroup","Medicaid Managed Care",,,"37",,"91.87","0.15","5264.58","percent of total billed charges",,
"NF-COMBIVENT RESPIMAT INH 100MCG-20MCG/A","0637","RC","Both",,,"251","125.5","Caresource","Medicaid Managed Care",,,"40",,"100.4","0.15","5264.58","percent of total billed charges",,
"NF-COMBIVENT RESPIMAT INH 100MCG-20MCG/A","0637","RC","Both",,,"251","125.5","Wellcare","Medicaid Managed Care",,,"40",,"101.66","0.15","5264.58","percent of total billed charges",,
"NF-COMBIVENT RESPIMAT INH 100MCG-20MCG/A","0637","RC","Both",,,"251","125.5","Aetna","Commercial",,,"64",,"160.14","0.15","5264.58","percent of total billed charges",,
"NF-COMBIVENT RESPIMAT INH 100MCG-20MCG/A","0637","RC","Both",,,"251","125.5","Blue Cross Blue Shield","Pathways",,,"71",,"177.21","0.15","5264.58","percent of total billed charges",,
"NF-COMBIVENT RESPIMAT INH 100MCG-20MCG/A","0637","RC","Both",,,"251","125.5","Blue Cross Blue Shield","HMO",,,"71",,"177.21","0.15","5264.58","percent of total billed charges",,
"NF-COMBIVENT RESPIMAT INH 100MCG-20MCG/A","0637","RC","Both",,,"251","125.5","Blue Cross Blue Shield","PPO",,,"71",,"177.21","0.15","5264.58","percent of total billed charges",,
"NF-COMBIVENT RESPIMAT INH 100MCG-20MCG/A","0637","RC","Both",,,"251","125.5","Ambetter","Health Exchange",,,"62",,"155.62","0.15","5264.58","percent of total billed charges",,
"NF-COMBIVENT RESPIMAT INH 100MCG-20MCG/A","0637","RC","Both",,,"251","125.5","Caresource","Health Exchange",,,"62",,"155.62","0.15","5264.58","percent of total billed charges",,
"NF-COMBIVENT RESPIMAT INH 100MCG-20MCG/A","0637","RC","Both",,,"251","125.5","Cigna","Commercial",,,"59",,"147.09","0.15","5264.58","percent of total billed charges",,
"NF-COMBIVENT RESPIMAT INH 100MCG-20MCG/A","0637","RC","Both",,,"251","125.5","Humana","Commercial",,,"78",,"194.52","0.15","5264.58","percent of total billed charges",,
"NF-COMBIVENT RESPIMAT INH 100MCG-20MCG/A","0637","RC","Both",,,"251","125.5","UHC","Commercial",,,"75",,"189.25","0.15","5264.58","percent of total billed charges",,
"NF-COMBIVENT RESPIMAT INH 100MCG-20MCG/A","0637","RC","Both",,,"251","125.5","Medicaid",,,,"37",,"91.87","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE ER 30MG ORAL TABLET, EXTEN","0637","RC","Both",,,"4.5","2.25","Alliant","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE ER 30MG ORAL TABLET, EXTEN","0637","RC","Both",,,"4.5","2.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE ER 30MG ORAL TABLET, EXTEN","0637","RC","Both",,,"4.5","2.25","Medicare",,,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE ER 30MG ORAL TABLET, EXTEN","0637","RC","Both",,,"4.5","2.25","Humana","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE ER 30MG ORAL TABLET, EXTEN","0637","RC","Both",,,"4.5","2.25","UHC","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE ER 30MG ORAL TABLET, EXTEN","0637","RC","Both",,,"4.5","2.25","Clover","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE ER 30MG ORAL TABLET, EXTEN","0637","RC","Both",,,"4.5","2.25","Wellcare","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE ER 30MG ORAL TABLET, EXTEN","0637","RC","Both",,,"4.5","2.25","Amerigroup","Medicaid Managed Care",,,"37",,"1.65","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE ER 30MG ORAL TABLET, EXTEN","0637","RC","Both",,,"4.5","2.25","Caresource","Medicaid Managed Care",,,"40",,"1.8","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE ER 30MG ORAL TABLET, EXTEN","0637","RC","Both",,,"4.5","2.25","Wellcare","Medicaid Managed Care",,,"40",,"1.82","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE ER 30MG ORAL TABLET, EXTEN","0637","RC","Both",,,"4.5","2.25","Aetna","Commercial",,,"64",,"2.87","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE ER 30MG ORAL TABLET, EXTEN","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","Pathways",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE ER 30MG ORAL TABLET, EXTEN","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","HMO",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE ER 30MG ORAL TABLET, EXTEN","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","PPO",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE ER 30MG ORAL TABLET, EXTEN","0637","RC","Both",,,"4.5","2.25","Ambetter","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE ER 30MG ORAL TABLET, EXTEN","0637","RC","Both",,,"4.5","2.25","Caresource","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE ER 30MG ORAL TABLET, EXTEN","0637","RC","Both",,,"4.5","2.25","Cigna","Commercial",,,"59",,"2.64","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE ER 30MG ORAL TABLET, EXTEN","0637","RC","Both",,,"4.5","2.25","Humana","Commercial",,,"78",,"3.49","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE ER 30MG ORAL TABLET, EXTEN","0637","RC","Both",,,"4.5","2.25","UHC","Commercial",,,"75",,"3.39","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE ER 30MG ORAL TABLET, EXTEN","0637","RC","Both",,,"4.5","2.25","Medicaid",,,,"37",,"1.65","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 2.5MG","0637","RC","Both",,,"19","9.5","Alliant","Health Exchange",,,"62",,"11.78","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 2.5MG","0637","RC","Both",,,"19","9.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.26","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 2.5MG","0637","RC","Both",,,"19","9.5","Medicare",,,,"54",,"10.3","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 2.5MG","0637","RC","Both",,,"19","9.5","Humana","Medicare Advantage",,,"54",,"10.3","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 2.5MG","0637","RC","Both",,,"19","9.5","UHC","Medicare Advantage",,,"54",,"10.3","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 2.5MG","0637","RC","Both",,,"19","9.5","Clover","Medicare Advantage",,,"54",,"10.3","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 2.5MG","0637","RC","Both",,,"19","9.5","Wellcare","Medicare Advantage",,,"54",,"10.3","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 2.5MG","0637","RC","Both",,,"19","9.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.95","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 2.5MG","0637","RC","Both",,,"19","9.5","Caresource","Medicaid Managed Care",,,"40",,"7.6","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 2.5MG","0637","RC","Both",,,"19","9.5","Wellcare","Medicaid Managed Care",,,"40",,"7.7","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 2.5MG","0637","RC","Both",,,"19","9.5","Aetna","Commercial",,,"64",,"12.12","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 2.5MG","0637","RC","Both",,,"19","9.5","Blue Cross Blue Shield","Pathways",,,"71",,"13.41","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 2.5MG","0637","RC","Both",,,"19","9.5","Blue Cross Blue Shield","HMO",,,"71",,"13.41","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 2.5MG","0637","RC","Both",,,"19","9.5","Blue Cross Blue Shield","PPO",,,"71",,"13.41","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 2.5MG","0637","RC","Both",,,"19","9.5","Ambetter","Health Exchange",,,"62",,"11.78","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 2.5MG","0637","RC","Both",,,"19","9.5","Caresource","Health Exchange",,,"62",,"11.78","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 2.5MG","0637","RC","Both",,,"19","9.5","Cigna","Commercial",,,"59",,"11.13","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 2.5MG","0637","RC","Both",,,"19","9.5","Humana","Commercial",,,"78",,"14.72","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 2.5MG","0637","RC","Both",,,"19","9.5","UHC","Commercial",,,"75",,"14.33","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 2.5MG","0637","RC","Both",,,"19","9.5","Medicaid",,,,"37",,"6.95","0.15","5264.58","percent of total billed charges",,
"NF-SIMVASTATIN ORAL TABLET  20MG","0637","RC","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-SIMVASTATIN ORAL TABLET  20MG","0637","RC","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","0.15","5264.58","percent of total billed charges",,
"NF-SIMVASTATIN ORAL TABLET  20MG","0637","RC","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-SIMVASTATIN ORAL TABLET  20MG","0637","RC","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-SIMVASTATIN ORAL TABLET  20MG","0637","RC","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-SIMVASTATIN ORAL TABLET  20MG","0637","RC","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-SIMVASTATIN ORAL TABLET  20MG","0637","RC","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-SIMVASTATIN ORAL TABLET  20MG","0637","RC","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"NF-SIMVASTATIN ORAL TABLET  20MG","0637","RC","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","0.15","5264.58","percent of total billed charges",,
"NF-SIMVASTATIN ORAL TABLET  20MG","0637","RC","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.15","5264.58","percent of total billed charges",,
"NF-SIMVASTATIN ORAL TABLET  20MG","0637","RC","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","0.15","5264.58","percent of total billed charges",,
"NF-SIMVASTATIN ORAL TABLET  20MG","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"NF-SIMVASTATIN ORAL TABLET  20MG","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"NF-SIMVASTATIN ORAL TABLET  20MG","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"NF-SIMVASTATIN ORAL TABLET  20MG","0637","RC","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-SIMVASTATIN ORAL TABLET  20MG","0637","RC","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-SIMVASTATIN ORAL TABLET  20MG","0637","RC","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","0.15","5264.58","percent of total billed charges",,
"NF-SIMVASTATIN ORAL TABLET  20MG","0637","RC","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","0.15","5264.58","percent of total billed charges",,
"NF-SIMVASTATIN ORAL TABLET  20MG","0637","RC","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","0.15","5264.58","percent of total billed charges",,
"NF-SIMVASTATIN ORAL TABLET  20MG","0637","RC","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 7MG","0637","RC","Both",,,"35.5","17.75","Alliant","Health Exchange",,,"62",,"22.01","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 7MG","0637","RC","Both",,,"35.5","17.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.17","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 7MG","0637","RC","Both",,,"35.5","17.75","Medicare",,,,"54",,"19.24","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 7MG","0637","RC","Both",,,"35.5","17.75","Humana","Medicare Advantage",,,"54",,"19.24","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 7MG","0637","RC","Both",,,"35.5","17.75","UHC","Medicare Advantage",,,"54",,"19.24","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 7MG","0637","RC","Both",,,"35.5","17.75","Clover","Medicare Advantage",,,"54",,"19.24","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 7MG","0637","RC","Both",,,"35.5","17.75","Wellcare","Medicare Advantage",,,"54",,"19.24","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 7MG","0637","RC","Both",,,"35.5","17.75","Amerigroup","Medicaid Managed Care",,,"37",,"12.99","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 7MG","0637","RC","Both",,,"35.5","17.75","Caresource","Medicaid Managed Care",,,"40",,"14.2","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 7MG","0637","RC","Both",,,"35.5","17.75","Wellcare","Medicaid Managed Care",,,"40",,"14.38","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 7MG","0637","RC","Both",,,"35.5","17.75","Aetna","Commercial",,,"64",,"22.65","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 7MG","0637","RC","Both",,,"35.5","17.75","Blue Cross Blue Shield","Pathways",,,"71",,"25.06","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 7MG","0637","RC","Both",,,"35.5","17.75","Blue Cross Blue Shield","HMO",,,"71",,"25.06","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 7MG","0637","RC","Both",,,"35.5","17.75","Blue Cross Blue Shield","PPO",,,"71",,"25.06","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 7MG","0637","RC","Both",,,"35.5","17.75","Ambetter","Health Exchange",,,"62",,"22.01","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 7MG","0637","RC","Both",,,"35.5","17.75","Caresource","Health Exchange",,,"62",,"22.01","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 7MG","0637","RC","Both",,,"35.5","17.75","Cigna","Commercial",,,"59",,"20.8","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 7MG","0637","RC","Both",,,"35.5","17.75","Humana","Commercial",,,"78",,"27.51","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 7MG","0637","RC","Both",,,"35.5","17.75","UHC","Commercial",,,"75",,"26.77","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 7MG","0637","RC","Both",,,"35.5","17.75","Medicaid",,,,"37",,"12.99","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 14MG","0637","RC","Both",,,"35.5","17.75","Alliant","Health Exchange",,,"62",,"22.01","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 14MG","0637","RC","Both",,,"35.5","17.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.17","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 14MG","0637","RC","Both",,,"35.5","17.75","Medicare",,,,"54",,"19.24","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 14MG","0637","RC","Both",,,"35.5","17.75","Humana","Medicare Advantage",,,"54",,"19.24","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 14MG","0637","RC","Both",,,"35.5","17.75","UHC","Medicare Advantage",,,"54",,"19.24","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 14MG","0637","RC","Both",,,"35.5","17.75","Clover","Medicare Advantage",,,"54",,"19.24","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 14MG","0637","RC","Both",,,"35.5","17.75","Wellcare","Medicare Advantage",,,"54",,"19.24","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 14MG","0637","RC","Both",,,"35.5","17.75","Amerigroup","Medicaid Managed Care",,,"37",,"12.99","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 14MG","0637","RC","Both",,,"35.5","17.75","Caresource","Medicaid Managed Care",,,"40",,"14.2","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 14MG","0637","RC","Both",,,"35.5","17.75","Wellcare","Medicaid Managed Care",,,"40",,"14.38","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 14MG","0637","RC","Both",,,"35.5","17.75","Aetna","Commercial",,,"64",,"22.65","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 14MG","0637","RC","Both",,,"35.5","17.75","Blue Cross Blue Shield","Pathways",,,"71",,"25.06","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 14MG","0637","RC","Both",,,"35.5","17.75","Blue Cross Blue Shield","HMO",,,"71",,"25.06","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 14MG","0637","RC","Both",,,"35.5","17.75","Blue Cross Blue Shield","PPO",,,"71",,"25.06","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 14MG","0637","RC","Both",,,"35.5","17.75","Ambetter","Health Exchange",,,"62",,"22.01","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 14MG","0637","RC","Both",,,"35.5","17.75","Caresource","Health Exchange",,,"62",,"22.01","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 14MG","0637","RC","Both",,,"35.5","17.75","Cigna","Commercial",,,"59",,"20.8","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 14MG","0637","RC","Both",,,"35.5","17.75","Humana","Commercial",,,"78",,"27.51","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 14MG","0637","RC","Both",,,"35.5","17.75","UHC","Commercial",,,"75",,"26.77","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 14MG","0637","RC","Both",,,"35.5","17.75","Medicaid",,,,"37",,"12.99","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 21MG","0637","RC","Both",,,"35.5","17.75","Alliant","Health Exchange",,,"62",,"22.01","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 21MG","0637","RC","Both",,,"35.5","17.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.17","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 21MG","0637","RC","Both",,,"35.5","17.75","Medicare",,,,"54",,"19.24","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 21MG","0637","RC","Both",,,"35.5","17.75","Humana","Medicare Advantage",,,"54",,"19.24","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 21MG","0637","RC","Both",,,"35.5","17.75","UHC","Medicare Advantage",,,"54",,"19.24","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 21MG","0637","RC","Both",,,"35.5","17.75","Clover","Medicare Advantage",,,"54",,"19.24","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 21MG","0637","RC","Both",,,"35.5","17.75","Wellcare","Medicare Advantage",,,"54",,"19.24","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 21MG","0637","RC","Both",,,"35.5","17.75","Amerigroup","Medicaid Managed Care",,,"37",,"12.99","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 21MG","0637","RC","Both",,,"35.5","17.75","Caresource","Medicaid Managed Care",,,"40",,"14.2","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 21MG","0637","RC","Both",,,"35.5","17.75","Wellcare","Medicaid Managed Care",,,"40",,"14.38","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 21MG","0637","RC","Both",,,"35.5","17.75","Aetna","Commercial",,,"64",,"22.65","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 21MG","0637","RC","Both",,,"35.5","17.75","Blue Cross Blue Shield","Pathways",,,"71",,"25.06","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 21MG","0637","RC","Both",,,"35.5","17.75","Blue Cross Blue Shield","HMO",,,"71",,"25.06","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 21MG","0637","RC","Both",,,"35.5","17.75","Blue Cross Blue Shield","PPO",,,"71",,"25.06","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 21MG","0637","RC","Both",,,"35.5","17.75","Ambetter","Health Exchange",,,"62",,"22.01","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 21MG","0637","RC","Both",,,"35.5","17.75","Caresource","Health Exchange",,,"62",,"22.01","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 21MG","0637","RC","Both",,,"35.5","17.75","Cigna","Commercial",,,"59",,"20.8","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 21MG","0637","RC","Both",,,"35.5","17.75","Humana","Commercial",,,"78",,"27.51","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 21MG","0637","RC","Both",,,"35.5","17.75","UHC","Commercial",,,"75",,"26.77","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 21MG","0637","RC","Both",,,"35.5","17.75","Medicaid",,,,"37",,"12.99","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 28MG","0637","RC","Both",,,"35.5","17.75","Alliant","Health Exchange",,,"62",,"22.01","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 28MG","0637","RC","Both",,,"35.5","17.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.17","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 28MG","0637","RC","Both",,,"35.5","17.75","Medicare",,,,"54",,"19.24","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 28MG","0637","RC","Both",,,"35.5","17.75","Humana","Medicare Advantage",,,"54",,"19.24","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 28MG","0637","RC","Both",,,"35.5","17.75","UHC","Medicare Advantage",,,"54",,"19.24","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 28MG","0637","RC","Both",,,"35.5","17.75","Clover","Medicare Advantage",,,"54",,"19.24","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 28MG","0637","RC","Both",,,"35.5","17.75","Wellcare","Medicare Advantage",,,"54",,"19.24","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 28MG","0637","RC","Both",,,"35.5","17.75","Amerigroup","Medicaid Managed Care",,,"37",,"12.99","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 28MG","0637","RC","Both",,,"35.5","17.75","Caresource","Medicaid Managed Care",,,"40",,"14.2","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 28MG","0637","RC","Both",,,"35.5","17.75","Wellcare","Medicaid Managed Care",,,"40",,"14.38","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 28MG","0637","RC","Both",,,"35.5","17.75","Aetna","Commercial",,,"64",,"22.65","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 28MG","0637","RC","Both",,,"35.5","17.75","Blue Cross Blue Shield","Pathways",,,"71",,"25.06","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 28MG","0637","RC","Both",,,"35.5","17.75","Blue Cross Blue Shield","HMO",,,"71",,"25.06","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 28MG","0637","RC","Both",,,"35.5","17.75","Blue Cross Blue Shield","PPO",,,"71",,"25.06","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 28MG","0637","RC","Both",,,"35.5","17.75","Ambetter","Health Exchange",,,"62",,"22.01","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 28MG","0637","RC","Both",,,"35.5","17.75","Caresource","Health Exchange",,,"62",,"22.01","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 28MG","0637","RC","Both",,,"35.5","17.75","Cigna","Commercial",,,"59",,"20.8","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 28MG","0637","RC","Both",,,"35.5","17.75","Humana","Commercial",,,"78",,"27.51","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 28MG","0637","RC","Both",,,"35.5","17.75","UHC","Commercial",,,"75",,"26.77","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 28MG","0637","RC","Both",,,"35.5","17.75","Medicaid",,,,"37",,"12.99","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Alliant","Health Exchange",,,"62",,"7.75","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.75","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Medicare",,,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Humana","Medicare Advantage",,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","UHC","Medicare Advantage",,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Clover","Medicare Advantage",,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Wellcare","Medicare Advantage",,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Amerigroup","Medicaid Managed Care",,,"37",,"4.58","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Caresource","Medicaid Managed Care",,,"40",,"5","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Wellcare","Medicaid Managed Care",,,"40",,"5.06","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Aetna","Commercial",,,"64",,"7.98","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Blue Cross Blue Shield","Pathways",,,"71",,"8.82","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Blue Cross Blue Shield","HMO",,,"71",,"8.82","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Blue Cross Blue Shield","PPO",,,"71",,"8.82","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Ambetter","Health Exchange",,,"62",,"7.75","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Caresource","Health Exchange",,,"62",,"7.75","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Cigna","Commercial",,,"59",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Humana","Commercial",,,"78",,"9.69","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","UHC","Commercial",,,"75",,"9.43","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Medicaid",,,,"37",,"4.58","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Alliant","Health Exchange",,,"62",,"7.75","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.75","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Medicare",,,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Humana","Medicare Advantage",,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","UHC","Medicare Advantage",,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Clover","Medicare Advantage",,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Wellcare","Medicare Advantage",,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Amerigroup","Medicaid Managed Care",,,"37",,"4.58","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Caresource","Medicaid Managed Care",,,"40",,"5","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Wellcare","Medicaid Managed Care",,,"40",,"5.06","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Aetna","Commercial",,,"64",,"7.98","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Blue Cross Blue Shield","Pathways",,,"71",,"8.82","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Blue Cross Blue Shield","HMO",,,"71",,"8.82","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Blue Cross Blue Shield","PPO",,,"71",,"8.82","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Ambetter","Health Exchange",,,"62",,"7.75","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Caresource","Health Exchange",,,"62",,"7.75","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Cigna","Commercial",,,"59",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Humana","Commercial",,,"78",,"9.69","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","UHC","Commercial",,,"75",,"9.43","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"12.5","6.25","Medicaid",,,,"37",,"4.58","0.15","5264.58","percent of total billed charges",,
"NF-LUBIPROSTONE LIQ CAP 24MCG","0637","RC","Both",,,"23.5","11.75","Alliant","Health Exchange",,,"62",,"14.57","0.15","5264.58","percent of total billed charges",,
"NF-LUBIPROSTONE LIQ CAP 24MCG","0637","RC","Both",,,"23.5","11.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.69","0.15","5264.58","percent of total billed charges",,
"NF-LUBIPROSTONE LIQ CAP 24MCG","0637","RC","Both",,,"23.5","11.75","Medicare",,,,"54",,"12.74","0.15","5264.58","percent of total billed charges",,
"NF-LUBIPROSTONE LIQ CAP 24MCG","0637","RC","Both",,,"23.5","11.75","Humana","Medicare Advantage",,,"54",,"12.74","0.15","5264.58","percent of total billed charges",,
"NF-LUBIPROSTONE LIQ CAP 24MCG","0637","RC","Both",,,"23.5","11.75","UHC","Medicare Advantage",,,"54",,"12.74","0.15","5264.58","percent of total billed charges",,
"NF-LUBIPROSTONE LIQ CAP 24MCG","0637","RC","Both",,,"23.5","11.75","Clover","Medicare Advantage",,,"54",,"12.74","0.15","5264.58","percent of total billed charges",,
"NF-LUBIPROSTONE LIQ CAP 24MCG","0637","RC","Both",,,"23.5","11.75","Wellcare","Medicare Advantage",,,"54",,"12.74","0.15","5264.58","percent of total billed charges",,
"NF-LUBIPROSTONE LIQ CAP 24MCG","0637","RC","Both",,,"23.5","11.75","Amerigroup","Medicaid Managed Care",,,"37",,"8.6","0.15","5264.58","percent of total billed charges",,
"NF-LUBIPROSTONE LIQ CAP 24MCG","0637","RC","Both",,,"23.5","11.75","Caresource","Medicaid Managed Care",,,"40",,"9.4","0.15","5264.58","percent of total billed charges",,
"NF-LUBIPROSTONE LIQ CAP 24MCG","0637","RC","Both",,,"23.5","11.75","Wellcare","Medicaid Managed Care",,,"40",,"9.52","0.15","5264.58","percent of total billed charges",,
"NF-LUBIPROSTONE LIQ CAP 24MCG","0637","RC","Both",,,"23.5","11.75","Aetna","Commercial",,,"64",,"14.99","0.15","5264.58","percent of total billed charges",,
"NF-LUBIPROSTONE LIQ CAP 24MCG","0637","RC","Both",,,"23.5","11.75","Blue Cross Blue Shield","Pathways",,,"71",,"16.59","0.15","5264.58","percent of total billed charges",,
"NF-LUBIPROSTONE LIQ CAP 24MCG","0637","RC","Both",,,"23.5","11.75","Blue Cross Blue Shield","HMO",,,"71",,"16.59","0.15","5264.58","percent of total billed charges",,
"NF-LUBIPROSTONE LIQ CAP 24MCG","0637","RC","Both",,,"23.5","11.75","Blue Cross Blue Shield","PPO",,,"71",,"16.59","0.15","5264.58","percent of total billed charges",,
"NF-LUBIPROSTONE LIQ CAP 24MCG","0637","RC","Both",,,"23.5","11.75","Ambetter","Health Exchange",,,"62",,"14.57","0.15","5264.58","percent of total billed charges",,
"NF-LUBIPROSTONE LIQ CAP 24MCG","0637","RC","Both",,,"23.5","11.75","Caresource","Health Exchange",,,"62",,"14.57","0.15","5264.58","percent of total billed charges",,
"NF-LUBIPROSTONE LIQ CAP 24MCG","0637","RC","Both",,,"23.5","11.75","Cigna","Commercial",,,"59",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-LUBIPROSTONE LIQ CAP 24MCG","0637","RC","Both",,,"23.5","11.75","Humana","Commercial",,,"78",,"18.21","0.15","5264.58","percent of total billed charges",,
"NF-LUBIPROSTONE LIQ CAP 24MCG","0637","RC","Both",,,"23.5","11.75","UHC","Commercial",,,"75",,"17.72","0.15","5264.58","percent of total billed charges",,
"NF-LUBIPROSTONE LIQ CAP 24MCG","0637","RC","Both",,,"23.5","11.75","Medicaid",,,,"37",,"8.6","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-LAMISIL TAB 250MG","0637","RC","Both",,,"81","40.5","Alliant","Health Exchange",,,"62",,"50.22","0.15","5264.58","percent of total billed charges",,
"NF-LAMISIL TAB 250MG","0637","RC","Both",,,"81","40.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"43.74","0.15","5264.58","percent of total billed charges",,
"NF-LAMISIL TAB 250MG","0637","RC","Both",,,"81","40.5","Medicare",,,,"54",,"43.9","0.15","5264.58","percent of total billed charges",,
"NF-LAMISIL TAB 250MG","0637","RC","Both",,,"81","40.5","Humana","Medicare Advantage",,,"54",,"43.9","0.15","5264.58","percent of total billed charges",,
"NF-LAMISIL TAB 250MG","0637","RC","Both",,,"81","40.5","UHC","Medicare Advantage",,,"54",,"43.9","0.15","5264.58","percent of total billed charges",,
"NF-LAMISIL TAB 250MG","0637","RC","Both",,,"81","40.5","Clover","Medicare Advantage",,,"54",,"43.9","0.15","5264.58","percent of total billed charges",,
"NF-LAMISIL TAB 250MG","0637","RC","Both",,,"81","40.5","Wellcare","Medicare Advantage",,,"54",,"43.9","0.15","5264.58","percent of total billed charges",,
"NF-LAMISIL TAB 250MG","0637","RC","Both",,,"81","40.5","Amerigroup","Medicaid Managed Care",,,"37",,"29.65","0.15","5264.58","percent of total billed charges",,
"NF-LAMISIL TAB 250MG","0637","RC","Both",,,"81","40.5","Caresource","Medicaid Managed Care",,,"40",,"32.4","0.15","5264.58","percent of total billed charges",,
"NF-LAMISIL TAB 250MG","0637","RC","Both",,,"81","40.5","Wellcare","Medicaid Managed Care",,,"40",,"32.8","0.15","5264.58","percent of total billed charges",,
"NF-LAMISIL TAB 250MG","0637","RC","Both",,,"81","40.5","Aetna","Commercial",,,"64",,"51.68","0.15","5264.58","percent of total billed charges",,
"NF-LAMISIL TAB 250MG","0637","RC","Both",,,"81","40.5","Blue Cross Blue Shield","Pathways",,,"71",,"57.19","0.15","5264.58","percent of total billed charges",,
"NF-LAMISIL TAB 250MG","0637","RC","Both",,,"81","40.5","Blue Cross Blue Shield","HMO",,,"71",,"57.19","0.15","5264.58","percent of total billed charges",,
"NF-LAMISIL TAB 250MG","0637","RC","Both",,,"81","40.5","Blue Cross Blue Shield","PPO",,,"71",,"57.19","0.15","5264.58","percent of total billed charges",,
"NF-LAMISIL TAB 250MG","0637","RC","Both",,,"81","40.5","Ambetter","Health Exchange",,,"62",,"50.22","0.15","5264.58","percent of total billed charges",,
"NF-LAMISIL TAB 250MG","0637","RC","Both",,,"81","40.5","Caresource","Health Exchange",,,"62",,"50.22","0.15","5264.58","percent of total billed charges",,
"NF-LAMISIL TAB 250MG","0637","RC","Both",,,"81","40.5","Cigna","Commercial",,,"59",,"47.47","0.15","5264.58","percent of total billed charges",,
"NF-LAMISIL TAB 250MG","0637","RC","Both",,,"81","40.5","Humana","Commercial",,,"78",,"62.78","0.15","5264.58","percent of total billed charges",,
"NF-LAMISIL TAB 250MG","0637","RC","Both",,,"81","40.5","UHC","Commercial",,,"75",,"61.07","0.15","5264.58","percent of total billed charges",,
"NF-LAMISIL TAB 250MG","0637","RC","Both",,,"81","40.5","Medicaid",,,,"37",,"29.65","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE DIPROPIONATE AUGMENTED","0637","RC","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE DIPROPIONATE AUGMENTED","0637","RC","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE DIPROPIONATE AUGMENTED","0637","RC","Both",,,"8","4","Medicare",,,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE DIPROPIONATE AUGMENTED","0637","RC","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE DIPROPIONATE AUGMENTED","0637","RC","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE DIPROPIONATE AUGMENTED","0637","RC","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE DIPROPIONATE AUGMENTED","0637","RC","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE DIPROPIONATE AUGMENTED","0637","RC","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE DIPROPIONATE AUGMENTED","0637","RC","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE DIPROPIONATE AUGMENTED","0637","RC","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE DIPROPIONATE AUGMENTED","0637","RC","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE DIPROPIONATE AUGMENTED","0637","RC","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE DIPROPIONATE AUGMENTED","0637","RC","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE DIPROPIONATE AUGMENTED","0637","RC","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE DIPROPIONATE AUGMENTED","0637","RC","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE DIPROPIONATE AUGMENTED","0637","RC","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE DIPROPIONATE AUGMENTED","0637","RC","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE DIPROPIONATE AUGMENTED","0637","RC","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE DIPROPIONATE AUGMENTED","0637","RC","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE DIPROPIONATE AUGMENTED","0637","RC","Both",,,"8","4","Medicaid",,,,"37",,"2.93","0.15","5264.58","percent of total billed charges",,
"NF-GAVISCON EXTRA STRENGTH ORAL CHEW TAB","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-GAVISCON EXTRA STRENGTH ORAL CHEW TAB","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-GAVISCON EXTRA STRENGTH ORAL CHEW TAB","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-GAVISCON EXTRA STRENGTH ORAL CHEW TAB","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-GAVISCON EXTRA STRENGTH ORAL CHEW TAB","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-GAVISCON EXTRA STRENGTH ORAL CHEW TAB","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-GAVISCON EXTRA STRENGTH ORAL CHEW TAB","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-GAVISCON EXTRA STRENGTH ORAL CHEW TAB","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-GAVISCON EXTRA STRENGTH ORAL CHEW TAB","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-GAVISCON EXTRA STRENGTH ORAL CHEW TAB","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-GAVISCON EXTRA STRENGTH ORAL CHEW TAB","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-GAVISCON EXTRA STRENGTH ORAL CHEW TAB","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-GAVISCON EXTRA STRENGTH ORAL CHEW TAB","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-GAVISCON EXTRA STRENGTH ORAL CHEW TAB","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-GAVISCON EXTRA STRENGTH ORAL CHEW TAB","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-GAVISCON EXTRA STRENGTH ORAL CHEW TAB","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-GAVISCON EXTRA STRENGTH ORAL CHEW TAB","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-GAVISCON EXTRA STRENGTH ORAL CHEW TAB","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-GAVISCON EXTRA STRENGTH ORAL CHEW TAB","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-GAVISCON EXTRA STRENGTH ORAL CHEW TAB","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-AMITIZA LIQ CAP 8MCG","0637","RC","Both",,,"18","9","Alliant","Health Exchange",,,"62",,"11.16","0.15","5264.58","percent of total billed charges",,
"NF-AMITIZA LIQ CAP 8MCG","0637","RC","Both",,,"18","9","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.72","0.15","5264.58","percent of total billed charges",,
"NF-AMITIZA LIQ CAP 8MCG","0637","RC","Both",,,"18","9","Medicare",,,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-AMITIZA LIQ CAP 8MCG","0637","RC","Both",,,"18","9","Humana","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-AMITIZA LIQ CAP 8MCG","0637","RC","Both",,,"18","9","UHC","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-AMITIZA LIQ CAP 8MCG","0637","RC","Both",,,"18","9","Clover","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-AMITIZA LIQ CAP 8MCG","0637","RC","Both",,,"18","9","Wellcare","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-AMITIZA LIQ CAP 8MCG","0637","RC","Both",,,"18","9","Amerigroup","Medicaid Managed Care",,,"37",,"6.59","0.15","5264.58","percent of total billed charges",,
"NF-AMITIZA LIQ CAP 8MCG","0637","RC","Both",,,"18","9","Caresource","Medicaid Managed Care",,,"40",,"7.2","0.15","5264.58","percent of total billed charges",,
"NF-AMITIZA LIQ CAP 8MCG","0637","RC","Both",,,"18","9","Wellcare","Medicaid Managed Care",,,"40",,"7.29","0.15","5264.58","percent of total billed charges",,
"NF-AMITIZA LIQ CAP 8MCG","0637","RC","Both",,,"18","9","Aetna","Commercial",,,"64",,"11.48","0.15","5264.58","percent of total billed charges",,
"NF-AMITIZA LIQ CAP 8MCG","0637","RC","Both",,,"18","9","Blue Cross Blue Shield","Pathways",,,"71",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-AMITIZA LIQ CAP 8MCG","0637","RC","Both",,,"18","9","Blue Cross Blue Shield","HMO",,,"71",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-AMITIZA LIQ CAP 8MCG","0637","RC","Both",,,"18","9","Blue Cross Blue Shield","PPO",,,"71",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-AMITIZA LIQ CAP 8MCG","0637","RC","Both",,,"18","9","Ambetter","Health Exchange",,,"62",,"11.16","0.15","5264.58","percent of total billed charges",,
"NF-AMITIZA LIQ CAP 8MCG","0637","RC","Both",,,"18","9","Caresource","Health Exchange",,,"62",,"11.16","0.15","5264.58","percent of total billed charges",,
"NF-AMITIZA LIQ CAP 8MCG","0637","RC","Both",,,"18","9","Cigna","Commercial",,,"59",,"10.55","0.15","5264.58","percent of total billed charges",,
"NF-AMITIZA LIQ CAP 8MCG","0637","RC","Both",,,"18","9","Humana","Commercial",,,"78",,"13.95","0.15","5264.58","percent of total billed charges",,
"NF-AMITIZA LIQ CAP 8MCG","0637","RC","Both",,,"18","9","UHC","Commercial",,,"75",,"13.57","0.15","5264.58","percent of total billed charges",,
"NF-AMITIZA LIQ CAP 8MCG","0637","RC","Both",,,"18","9","Medicaid",,,,"37",,"6.59","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HCTZ TABLET 80MG/12.5MG","0637","RC","Both",,,"13","6.5","Alliant","Health Exchange",,,"62",,"8.06","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HCTZ TABLET 80MG/12.5MG","0637","RC","Both",,,"13","6.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.02","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HCTZ TABLET 80MG/12.5MG","0637","RC","Both",,,"13","6.5","Medicare",,,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HCTZ TABLET 80MG/12.5MG","0637","RC","Both",,,"13","6.5","Humana","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HCTZ TABLET 80MG/12.5MG","0637","RC","Both",,,"13","6.5","UHC","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HCTZ TABLET 80MG/12.5MG","0637","RC","Both",,,"13","6.5","Clover","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HCTZ TABLET 80MG/12.5MG","0637","RC","Both",,,"13","6.5","Wellcare","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HCTZ TABLET 80MG/12.5MG","0637","RC","Both",,,"13","6.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.76","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HCTZ TABLET 80MG/12.5MG","0637","RC","Both",,,"13","6.5","Caresource","Medicaid Managed Care",,,"40",,"5.2","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HCTZ TABLET 80MG/12.5MG","0637","RC","Both",,,"13","6.5","Wellcare","Medicaid Managed Care",,,"40",,"5.26","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HCTZ TABLET 80MG/12.5MG","0637","RC","Both",,,"13","6.5","Aetna","Commercial",,,"64",,"8.29","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HCTZ TABLET 80MG/12.5MG","0637","RC","Both",,,"13","6.5","Blue Cross Blue Shield","Pathways",,,"71",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HCTZ TABLET 80MG/12.5MG","0637","RC","Both",,,"13","6.5","Blue Cross Blue Shield","HMO",,,"71",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HCTZ TABLET 80MG/12.5MG","0637","RC","Both",,,"13","6.5","Blue Cross Blue Shield","PPO",,,"71",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HCTZ TABLET 80MG/12.5MG","0637","RC","Both",,,"13","6.5","Ambetter","Health Exchange",,,"62",,"8.06","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HCTZ TABLET 80MG/12.5MG","0637","RC","Both",,,"13","6.5","Caresource","Health Exchange",,,"62",,"8.06","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HCTZ TABLET 80MG/12.5MG","0637","RC","Both",,,"13","6.5","Cigna","Commercial",,,"59",,"7.62","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HCTZ TABLET 80MG/12.5MG","0637","RC","Both",,,"13","6.5","Humana","Commercial",,,"78",,"10.08","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HCTZ TABLET 80MG/12.5MG","0637","RC","Both",,,"13","6.5","UHC","Commercial",,,"75",,"9.8","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HCTZ TABLET 80MG/12.5MG","0637","RC","Both",,,"13","6.5","Medicaid",,,,"37",,"4.76","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Alliant","Health Exchange",,,"62",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.05","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Medicare",,,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Humana","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","UHC","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Clover","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Wellcare","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Amerigroup","Medicaid Managed Care",,,"37",,"2.74","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Caresource","Medicaid Managed Care",,,"40",,"3","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Wellcare","Medicaid Managed Care",,,"40",,"3.04","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Aetna","Commercial",,,"64",,"4.78","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Blue Cross Blue Shield","Pathways",,,"71",,"5.3","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Blue Cross Blue Shield","HMO",,,"71",,"5.3","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Blue Cross Blue Shield","PPO",,,"71",,"5.3","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Ambetter","Health Exchange",,,"62",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Caresource","Health Exchange",,,"62",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Cigna","Commercial",,,"59",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Humana","Commercial",,,"78",,"5.81","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","UHC","Commercial",,,"75",,"5.66","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Medicaid",,,,"37",,"2.74","0.15","5264.58","percent of total billed charges",,
"NF-AZOPT 1% OPHTHALMIC SUSPENSION","0637","RC","Both",,,"72","36","Alliant","Health Exchange",,,"62",,"44.64","0.15","5264.58","percent of total billed charges",,
"NF-AZOPT 1% OPHTHALMIC SUSPENSION","0637","RC","Both",,,"72","36","Pruitt Healthcare","Medicare Advantage",,,"54",,"38.88","0.15","5264.58","percent of total billed charges",,
"NF-AZOPT 1% OPHTHALMIC SUSPENSION","0637","RC","Both",,,"72","36","Medicare",,,,"54",,"39.02","0.15","5264.58","percent of total billed charges",,
"NF-AZOPT 1% OPHTHALMIC SUSPENSION","0637","RC","Both",,,"72","36","Humana","Medicare Advantage",,,"54",,"39.02","0.15","5264.58","percent of total billed charges",,
"NF-AZOPT 1% OPHTHALMIC SUSPENSION","0637","RC","Both",,,"72","36","UHC","Medicare Advantage",,,"54",,"39.02","0.15","5264.58","percent of total billed charges",,
"NF-AZOPT 1% OPHTHALMIC SUSPENSION","0637","RC","Both",,,"72","36","Clover","Medicare Advantage",,,"54",,"39.02","0.15","5264.58","percent of total billed charges",,
"NF-AZOPT 1% OPHTHALMIC SUSPENSION","0637","RC","Both",,,"72","36","Wellcare","Medicare Advantage",,,"54",,"39.02","0.15","5264.58","percent of total billed charges",,
"NF-AZOPT 1% OPHTHALMIC SUSPENSION","0637","RC","Both",,,"72","36","Amerigroup","Medicaid Managed Care",,,"37",,"26.35","0.15","5264.58","percent of total billed charges",,
"NF-AZOPT 1% OPHTHALMIC SUSPENSION","0637","RC","Both",,,"72","36","Caresource","Medicaid Managed Care",,,"40",,"28.8","0.15","5264.58","percent of total billed charges",,
"NF-AZOPT 1% OPHTHALMIC SUSPENSION","0637","RC","Both",,,"72","36","Wellcare","Medicaid Managed Care",,,"40",,"29.16","0.15","5264.58","percent of total billed charges",,
"NF-AZOPT 1% OPHTHALMIC SUSPENSION","0637","RC","Both",,,"72","36","Aetna","Commercial",,,"64",,"45.94","0.15","5264.58","percent of total billed charges",,
"NF-AZOPT 1% OPHTHALMIC SUSPENSION","0637","RC","Both",,,"72","36","Blue Cross Blue Shield","Pathways",,,"71",,"50.83","0.15","5264.58","percent of total billed charges",,
"NF-AZOPT 1% OPHTHALMIC SUSPENSION","0637","RC","Both",,,"72","36","Blue Cross Blue Shield","HMO",,,"71",,"50.83","0.15","5264.58","percent of total billed charges",,
"NF-AZOPT 1% OPHTHALMIC SUSPENSION","0637","RC","Both",,,"72","36","Blue Cross Blue Shield","PPO",,,"71",,"50.83","0.15","5264.58","percent of total billed charges",,
"NF-AZOPT 1% OPHTHALMIC SUSPENSION","0637","RC","Both",,,"72","36","Ambetter","Health Exchange",,,"62",,"44.64","0.15","5264.58","percent of total billed charges",,
"NF-AZOPT 1% OPHTHALMIC SUSPENSION","0637","RC","Both",,,"72","36","Caresource","Health Exchange",,,"62",,"44.64","0.15","5264.58","percent of total billed charges",,
"NF-AZOPT 1% OPHTHALMIC SUSPENSION","0637","RC","Both",,,"72","36","Cigna","Commercial",,,"59",,"42.19","0.15","5264.58","percent of total billed charges",,
"NF-AZOPT 1% OPHTHALMIC SUSPENSION","0637","RC","Both",,,"72","36","Humana","Commercial",,,"78",,"55.8","0.15","5264.58","percent of total billed charges",,
"NF-AZOPT 1% OPHTHALMIC SUSPENSION","0637","RC","Both",,,"72","36","UHC","Commercial",,,"75",,"54.29","0.15","5264.58","percent of total billed charges",,
"NF-AZOPT 1% OPHTHALMIC SUSPENSION","0637","RC","Both",,,"72","36","Medicaid",,,,"37",,"26.35","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL 4% OPHTHALMIC SOLUTIO","0637","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL 4% OPHTHALMIC SOLUTIO","0637","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL 4% OPHTHALMIC SOLUTIO","0637","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL 4% OPHTHALMIC SOLUTIO","0637","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL 4% OPHTHALMIC SOLUTIO","0637","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL 4% OPHTHALMIC SOLUTIO","0637","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL 4% OPHTHALMIC SOLUTIO","0637","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL 4% OPHTHALMIC SOLUTIO","0637","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL 4% OPHTHALMIC SOLUTIO","0637","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL 4% OPHTHALMIC SOLUTIO","0637","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL 4% OPHTHALMIC SOLUTIO","0637","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL 4% OPHTHALMIC SOLUTIO","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL 4% OPHTHALMIC SOLUTIO","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL 4% OPHTHALMIC SOLUTIO","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL 4% OPHTHALMIC SOLUTIO","0637","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL 4% OPHTHALMIC SOLUTIO","0637","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL 4% OPHTHALMIC SOLUTIO","0637","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL 4% OPHTHALMIC SOLUTIO","0637","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL 4% OPHTHALMIC SOLUTIO","0637","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL 4% OPHTHALMIC SOLUTIO","0637","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-RESTASIS 0.05% OPHTHALMIC EMULSION","0637","RC","Both",,,"21.5","10.75","Alliant","Health Exchange",,,"62",,"13.33","0.15","5264.58","percent of total billed charges",,
"NF-RESTASIS 0.05% OPHTHALMIC EMULSION","0637","RC","Both",,,"21.5","10.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.61","0.15","5264.58","percent of total billed charges",,
"NF-RESTASIS 0.05% OPHTHALMIC EMULSION","0637","RC","Both",,,"21.5","10.75","Medicare",,,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-RESTASIS 0.05% OPHTHALMIC EMULSION","0637","RC","Both",,,"21.5","10.75","Humana","Medicare Advantage",,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-RESTASIS 0.05% OPHTHALMIC EMULSION","0637","RC","Both",,,"21.5","10.75","UHC","Medicare Advantage",,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-RESTASIS 0.05% OPHTHALMIC EMULSION","0637","RC","Both",,,"21.5","10.75","Clover","Medicare Advantage",,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-RESTASIS 0.05% OPHTHALMIC EMULSION","0637","RC","Both",,,"21.5","10.75","Wellcare","Medicare Advantage",,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-RESTASIS 0.05% OPHTHALMIC EMULSION","0637","RC","Both",,,"21.5","10.75","Amerigroup","Medicaid Managed Care",,,"37",,"7.87","0.15","5264.58","percent of total billed charges",,
"NF-RESTASIS 0.05% OPHTHALMIC EMULSION","0637","RC","Both",,,"21.5","10.75","Caresource","Medicaid Managed Care",,,"40",,"8.6","0.15","5264.58","percent of total billed charges",,
"NF-RESTASIS 0.05% OPHTHALMIC EMULSION","0637","RC","Both",,,"21.5","10.75","Wellcare","Medicaid Managed Care",,,"40",,"8.71","0.15","5264.58","percent of total billed charges",,
"NF-RESTASIS 0.05% OPHTHALMIC EMULSION","0637","RC","Both",,,"21.5","10.75","Aetna","Commercial",,,"64",,"13.72","0.15","5264.58","percent of total billed charges",,
"NF-RESTASIS 0.05% OPHTHALMIC EMULSION","0637","RC","Both",,,"21.5","10.75","Blue Cross Blue Shield","Pathways",,,"71",,"15.18","0.15","5264.58","percent of total billed charges",,
"NF-RESTASIS 0.05% OPHTHALMIC EMULSION","0637","RC","Both",,,"21.5","10.75","Blue Cross Blue Shield","HMO",,,"71",,"15.18","0.15","5264.58","percent of total billed charges",,
"NF-RESTASIS 0.05% OPHTHALMIC EMULSION","0637","RC","Both",,,"21.5","10.75","Blue Cross Blue Shield","PPO",,,"71",,"15.18","0.15","5264.58","percent of total billed charges",,
"NF-RESTASIS 0.05% OPHTHALMIC EMULSION","0637","RC","Both",,,"21.5","10.75","Ambetter","Health Exchange",,,"62",,"13.33","0.15","5264.58","percent of total billed charges",,
"NF-RESTASIS 0.05% OPHTHALMIC EMULSION","0637","RC","Both",,,"21.5","10.75","Caresource","Health Exchange",,,"62",,"13.33","0.15","5264.58","percent of total billed charges",,
"NF-RESTASIS 0.05% OPHTHALMIC EMULSION","0637","RC","Both",,,"21.5","10.75","Cigna","Commercial",,,"59",,"12.6","0.15","5264.58","percent of total billed charges",,
"NF-RESTASIS 0.05% OPHTHALMIC EMULSION","0637","RC","Both",,,"21.5","10.75","Humana","Commercial",,,"78",,"16.66","0.15","5264.58","percent of total billed charges",,
"NF-RESTASIS 0.05% OPHTHALMIC EMULSION","0637","RC","Both",,,"21.5","10.75","UHC","Commercial",,,"75",,"16.21","0.15","5264.58","percent of total billed charges",,
"NF-RESTASIS 0.05% OPHTHALMIC EMULSION","0637","RC","Both",,,"21.5","10.75","Medicaid",,,,"37",,"7.87","0.15","5264.58","percent of total billed charges",,
"3% SODIUM CHLORIDE INJ: 500 ML","0258","RC","Both",,,"30","15","Alliant","Health Exchange",,,"62",,"18.6","4.76","93","percent of total billed charges",,
"3% SODIUM CHLORIDE INJ: 500 ML","0258","RC","Both",,,"30","15","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.2","4.76","93","percent of total billed charges",,
"3% SODIUM CHLORIDE INJ: 500 ML","0258","RC","Both",,,"30","15","Medicare",,,,"54",,"16.26","4.76","93","percent of total billed charges",,
"3% SODIUM CHLORIDE INJ: 500 ML","0258","RC","Both",,,"30","15","Humana","Medicare Advantage",,,"54",,"16.26","4.76","93","percent of total billed charges",,
"3% SODIUM CHLORIDE INJ: 500 ML","0258","RC","Both",,,"30","15","UHC","Medicare Advantage",,,"54",,"16.26","4.76","93","percent of total billed charges",,
"3% SODIUM CHLORIDE INJ: 500 ML","0258","RC","Both",,,"30","15","Clover","Medicare Advantage",,,"54",,"16.26","4.76","93","percent of total billed charges",,
"3% SODIUM CHLORIDE INJ: 500 ML","0258","RC","Both",,,"30","15","Wellcare","Medicare Advantage",,,"54",,"16.26","4.76","93","percent of total billed charges",,
"3% SODIUM CHLORIDE INJ: 500 ML","0258","RC","Both",,,"30","15","Amerigroup","Medicaid Managed Care",,,"37",,"10.98","4.76","93","percent of total billed charges",,
"3% SODIUM CHLORIDE INJ: 500 ML","0258","RC","Both",,,"30","15","Caresource","Medicaid Managed Care",,,"40",,"12","4.76","93","percent of total billed charges",,
"3% SODIUM CHLORIDE INJ: 500 ML","0258","RC","Both",,,"30","15","Wellcare","Medicaid Managed Care",,,"40",,"12.15","4.76","93","percent of total billed charges",,
"3% SODIUM CHLORIDE INJ: 500 ML","0258","RC","Both",,,"30","15","Aetna","Commercial",,,"64",,"19.14","4.76","93","percent of total billed charges",,
"3% SODIUM CHLORIDE INJ: 500 ML","0258","RC","Both",,,"30","15","Blue Cross Blue Shield","Pathways",,,"71",,"21.18","4.76","93","percent of total billed charges",,
"3% SODIUM CHLORIDE INJ: 500 ML","0258","RC","Both",,,"30","15","Blue Cross Blue Shield","HMO",,,"71",,"21.18","4.76","93","percent of total billed charges",,
"3% SODIUM CHLORIDE INJ: 500 ML","0258","RC","Both",,,"30","15","Blue Cross Blue Shield","PPO",,,"71",,"21.18","4.76","93","percent of total billed charges",,
"3% SODIUM CHLORIDE INJ: 500 ML","0258","RC","Both",,,"30","15","Ambetter","Health Exchange",,,"62",,"18.6","4.76","93","percent of total billed charges",,
"3% SODIUM CHLORIDE INJ: 500 ML","0258","RC","Both",,,"30","15","Caresource","Health Exchange",,,"62",,"18.6","4.76","93","percent of total billed charges",,
"3% SODIUM CHLORIDE INJ: 500 ML","0258","RC","Both",,,"30","15","Cigna","Commercial",,,"59",,"17.58","4.76","93","percent of total billed charges",,
"3% SODIUM CHLORIDE INJ: 500 ML","0258","RC","Both",,,"30","15","Humana","Commercial",,,"78",,"23.25","4.76","93","percent of total billed charges",,
"3% SODIUM CHLORIDE INJ: 500 ML","0258","RC","Both",,,"30","15","UHC","Commercial",,,"75",,"22.62","4.76","93","percent of total billed charges",,
"3% SODIUM CHLORIDE INJ: 500 ML","0258","RC","Both",,,"30","15","Medicaid",,,,"37",,"10.98","4.76","93","percent of total billed charges",,
"NF-LEVOFLOXACIN ORAL TABLET 500MG","0637","RC","Both",,,"58","29","Alliant","Health Exchange",,,"62",,"35.96","0.15","5264.58","percent of total billed charges",,
"NF-LEVOFLOXACIN ORAL TABLET 500MG","0637","RC","Both",,,"58","29","Pruitt Healthcare","Medicare Advantage",,,"54",,"31.32","0.15","5264.58","percent of total billed charges",,
"NF-LEVOFLOXACIN ORAL TABLET 500MG","0637","RC","Both",,,"58","29","Medicare",,,,"54",,"31.44","0.15","5264.58","percent of total billed charges",,
"NF-LEVOFLOXACIN ORAL TABLET 500MG","0637","RC","Both",,,"58","29","Humana","Medicare Advantage",,,"54",,"31.44","0.15","5264.58","percent of total billed charges",,
"NF-LEVOFLOXACIN ORAL TABLET 500MG","0637","RC","Both",,,"58","29","UHC","Medicare Advantage",,,"54",,"31.44","0.15","5264.58","percent of total billed charges",,
"NF-LEVOFLOXACIN ORAL TABLET 500MG","0637","RC","Both",,,"58","29","Clover","Medicare Advantage",,,"54",,"31.44","0.15","5264.58","percent of total billed charges",,
"NF-LEVOFLOXACIN ORAL TABLET 500MG","0637","RC","Both",,,"58","29","Wellcare","Medicare Advantage",,,"54",,"31.44","0.15","5264.58","percent of total billed charges",,
"NF-LEVOFLOXACIN ORAL TABLET 500MG","0637","RC","Both",,,"58","29","Amerigroup","Medicaid Managed Care",,,"37",,"21.23","0.15","5264.58","percent of total billed charges",,
"NF-LEVOFLOXACIN ORAL TABLET 500MG","0637","RC","Both",,,"58","29","Caresource","Medicaid Managed Care",,,"40",,"23.2","0.15","5264.58","percent of total billed charges",,
"NF-LEVOFLOXACIN ORAL TABLET 500MG","0637","RC","Both",,,"58","29","Wellcare","Medicaid Managed Care",,,"40",,"23.49","0.15","5264.58","percent of total billed charges",,
"NF-LEVOFLOXACIN ORAL TABLET 500MG","0637","RC","Both",,,"58","29","Aetna","Commercial",,,"64",,"37","0.15","5264.58","percent of total billed charges",,
"NF-LEVOFLOXACIN ORAL TABLET 500MG","0637","RC","Both",,,"58","29","Blue Cross Blue Shield","Pathways",,,"71",,"40.95","0.15","5264.58","percent of total billed charges",,
"NF-LEVOFLOXACIN ORAL TABLET 500MG","0637","RC","Both",,,"58","29","Blue Cross Blue Shield","HMO",,,"71",,"40.95","0.15","5264.58","percent of total billed charges",,
"NF-LEVOFLOXACIN ORAL TABLET 500MG","0637","RC","Both",,,"58","29","Blue Cross Blue Shield","PPO",,,"71",,"40.95","0.15","5264.58","percent of total billed charges",,
"NF-LEVOFLOXACIN ORAL TABLET 500MG","0637","RC","Both",,,"58","29","Ambetter","Health Exchange",,,"62",,"35.96","0.15","5264.58","percent of total billed charges",,
"NF-LEVOFLOXACIN ORAL TABLET 500MG","0637","RC","Both",,,"58","29","Caresource","Health Exchange",,,"62",,"35.96","0.15","5264.58","percent of total billed charges",,
"NF-LEVOFLOXACIN ORAL TABLET 500MG","0637","RC","Both",,,"58","29","Cigna","Commercial",,,"59",,"33.99","0.15","5264.58","percent of total billed charges",,
"NF-LEVOFLOXACIN ORAL TABLET 500MG","0637","RC","Both",,,"58","29","Humana","Commercial",,,"78",,"44.95","0.15","5264.58","percent of total billed charges",,
"NF-LEVOFLOXACIN ORAL TABLET 500MG","0637","RC","Both",,,"58","29","UHC","Commercial",,,"75",,"43.73","0.15","5264.58","percent of total billed charges",,
"NF-LEVOFLOXACIN ORAL TABLET 500MG","0637","RC","Both",,,"58","29","Medicaid",,,,"37",,"21.23","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT INH/NEB SUSP 0.25MG/2ML","0637","RC","Both",,,"11.5","5.75","Alliant","Health Exchange",,,"62",,"7.13","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT INH/NEB SUSP 0.25MG/2ML","0637","RC","Both",,,"11.5","5.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.21","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT INH/NEB SUSP 0.25MG/2ML","0637","RC","Both",,,"11.5","5.75","Medicare",,,,"54",,"6.23","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT INH/NEB SUSP 0.25MG/2ML","0637","RC","Both",,,"11.5","5.75","Humana","Medicare Advantage",,,"54",,"6.23","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT INH/NEB SUSP 0.25MG/2ML","0637","RC","Both",,,"11.5","5.75","UHC","Medicare Advantage",,,"54",,"6.23","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT INH/NEB SUSP 0.25MG/2ML","0637","RC","Both",,,"11.5","5.75","Clover","Medicare Advantage",,,"54",,"6.23","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT INH/NEB SUSP 0.25MG/2ML","0637","RC","Both",,,"11.5","5.75","Wellcare","Medicare Advantage",,,"54",,"6.23","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT INH/NEB SUSP 0.25MG/2ML","0637","RC","Both",,,"11.5","5.75","Amerigroup","Medicaid Managed Care",,,"37",,"4.21","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT INH/NEB SUSP 0.25MG/2ML","0637","RC","Both",,,"11.5","5.75","Caresource","Medicaid Managed Care",,,"40",,"4.6","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT INH/NEB SUSP 0.25MG/2ML","0637","RC","Both",,,"11.5","5.75","Wellcare","Medicaid Managed Care",,,"40",,"4.66","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT INH/NEB SUSP 0.25MG/2ML","0637","RC","Both",,,"11.5","5.75","Aetna","Commercial",,,"64",,"7.34","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT INH/NEB SUSP 0.25MG/2ML","0637","RC","Both",,,"11.5","5.75","Blue Cross Blue Shield","Pathways",,,"71",,"8.12","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT INH/NEB SUSP 0.25MG/2ML","0637","RC","Both",,,"11.5","5.75","Blue Cross Blue Shield","HMO",,,"71",,"8.12","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT INH/NEB SUSP 0.25MG/2ML","0637","RC","Both",,,"11.5","5.75","Blue Cross Blue Shield","PPO",,,"71",,"8.12","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT INH/NEB SUSP 0.25MG/2ML","0637","RC","Both",,,"11.5","5.75","Ambetter","Health Exchange",,,"62",,"7.13","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT INH/NEB SUSP 0.25MG/2ML","0637","RC","Both",,,"11.5","5.75","Caresource","Health Exchange",,,"62",,"7.13","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT INH/NEB SUSP 0.25MG/2ML","0637","RC","Both",,,"11.5","5.75","Cigna","Commercial",,,"59",,"6.74","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT INH/NEB SUSP 0.25MG/2ML","0637","RC","Both",,,"11.5","5.75","Humana","Commercial",,,"78",,"8.91","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT INH/NEB SUSP 0.25MG/2ML","0637","RC","Both",,,"11.5","5.75","UHC","Commercial",,,"75",,"8.67","0.15","5264.58","percent of total billed charges",,
"NF-PULMICORT INH/NEB SUSP 0.25MG/2ML","0637","RC","Both",,,"11.5","5.75","Medicaid",,,,"37",,"4.21","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 150MG","0637","RC","Both",,,"15.5","7.75","Alliant","Health Exchange",,,"62",,"9.61","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 150MG","0637","RC","Both",,,"15.5","7.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.37","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 150MG","0637","RC","Both",,,"15.5","7.75","Medicare",,,,"54",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 150MG","0637","RC","Both",,,"15.5","7.75","Humana","Medicare Advantage",,,"54",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 150MG","0637","RC","Both",,,"15.5","7.75","UHC","Medicare Advantage",,,"54",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 150MG","0637","RC","Both",,,"15.5","7.75","Clover","Medicare Advantage",,,"54",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 150MG","0637","RC","Both",,,"15.5","7.75","Wellcare","Medicare Advantage",,,"54",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 150MG","0637","RC","Both",,,"15.5","7.75","Amerigroup","Medicaid Managed Care",,,"37",,"5.67","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 150MG","0637","RC","Both",,,"15.5","7.75","Caresource","Medicaid Managed Care",,,"40",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 150MG","0637","RC","Both",,,"15.5","7.75","Wellcare","Medicaid Managed Care",,,"40",,"6.28","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 150MG","0637","RC","Both",,,"15.5","7.75","Aetna","Commercial",,,"64",,"9.89","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 150MG","0637","RC","Both",,,"15.5","7.75","Blue Cross Blue Shield","Pathways",,,"71",,"10.94","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 150MG","0637","RC","Both",,,"15.5","7.75","Blue Cross Blue Shield","HMO",,,"71",,"10.94","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 150MG","0637","RC","Both",,,"15.5","7.75","Blue Cross Blue Shield","PPO",,,"71",,"10.94","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 150MG","0637","RC","Both",,,"15.5","7.75","Ambetter","Health Exchange",,,"62",,"9.61","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 150MG","0637","RC","Both",,,"15.5","7.75","Caresource","Health Exchange",,,"62",,"9.61","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 150MG","0637","RC","Both",,,"15.5","7.75","Cigna","Commercial",,,"59",,"9.08","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 150MG","0637","RC","Both",,,"15.5","7.75","Humana","Commercial",,,"78",,"12.01","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 150MG","0637","RC","Both",,,"15.5","7.75","UHC","Commercial",,,"75",,"11.69","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 150MG","0637","RC","Both",,,"15.5","7.75","Medicaid",,,,"37",,"5.67","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INH PWD 100MCG-25MCG/1AC","0637","RC","Both",,,"14","7","Alliant","Health Exchange",,,"62",,"8.68","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INH PWD 100MCG-25MCG/1AC","0637","RC","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.56","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INH PWD 100MCG-25MCG/1AC","0637","RC","Both",,,"14","7","Medicare",,,,"54",,"7.59","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INH PWD 100MCG-25MCG/1AC","0637","RC","Both",,,"14","7","Humana","Medicare Advantage",,,"54",,"7.59","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INH PWD 100MCG-25MCG/1AC","0637","RC","Both",,,"14","7","UHC","Medicare Advantage",,,"54",,"7.59","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INH PWD 100MCG-25MCG/1AC","0637","RC","Both",,,"14","7","Clover","Medicare Advantage",,,"54",,"7.59","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INH PWD 100MCG-25MCG/1AC","0637","RC","Both",,,"14","7","Wellcare","Medicare Advantage",,,"54",,"7.59","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INH PWD 100MCG-25MCG/1AC","0637","RC","Both",,,"14","7","Amerigroup","Medicaid Managed Care",,,"37",,"5.12","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INH PWD 100MCG-25MCG/1AC","0637","RC","Both",,,"14","7","Caresource","Medicaid Managed Care",,,"40",,"5.6","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INH PWD 100MCG-25MCG/1AC","0637","RC","Both",,,"14","7","Wellcare","Medicaid Managed Care",,,"40",,"5.67","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INH PWD 100MCG-25MCG/1AC","0637","RC","Both",,,"14","7","Aetna","Commercial",,,"64",,"8.93","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INH PWD 100MCG-25MCG/1AC","0637","RC","Both",,,"14","7","Blue Cross Blue Shield","Pathways",,,"71",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INH PWD 100MCG-25MCG/1AC","0637","RC","Both",,,"14","7","Blue Cross Blue Shield","HMO",,,"71",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INH PWD 100MCG-25MCG/1AC","0637","RC","Both",,,"14","7","Blue Cross Blue Shield","PPO",,,"71",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INH PWD 100MCG-25MCG/1AC","0637","RC","Both",,,"14","7","Ambetter","Health Exchange",,,"62",,"8.68","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INH PWD 100MCG-25MCG/1AC","0637","RC","Both",,,"14","7","Caresource","Health Exchange",,,"62",,"8.68","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INH PWD 100MCG-25MCG/1AC","0637","RC","Both",,,"14","7","Cigna","Commercial",,,"59",,"8.2","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INH PWD 100MCG-25MCG/1AC","0637","RC","Both",,,"14","7","Humana","Commercial",,,"78",,"10.85","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INH PWD 100MCG-25MCG/1AC","0637","RC","Both",,,"14","7","UHC","Commercial",,,"75",,"10.56","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INH PWD 100MCG-25MCG/1AC","0637","RC","Both",,,"14","7","Medicaid",,,,"37",,"5.12","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE CHEW TAB 25MG","0637","RC","Both",,,"32","16","Alliant","Health Exchange",,,"62",,"19.84","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE CHEW TAB 25MG","0637","RC","Both",,,"32","16","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.28","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE CHEW TAB 25MG","0637","RC","Both",,,"32","16","Medicare",,,,"54",,"17.34","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE CHEW TAB 25MG","0637","RC","Both",,,"32","16","Humana","Medicare Advantage",,,"54",,"17.34","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE CHEW TAB 25MG","0637","RC","Both",,,"32","16","UHC","Medicare Advantage",,,"54",,"17.34","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE CHEW TAB 25MG","0637","RC","Both",,,"32","16","Clover","Medicare Advantage",,,"54",,"17.34","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE CHEW TAB 25MG","0637","RC","Both",,,"32","16","Wellcare","Medicare Advantage",,,"54",,"17.34","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE CHEW TAB 25MG","0637","RC","Both",,,"32","16","Amerigroup","Medicaid Managed Care",,,"37",,"11.71","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE CHEW TAB 25MG","0637","RC","Both",,,"32","16","Caresource","Medicaid Managed Care",,,"40",,"12.8","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE CHEW TAB 25MG","0637","RC","Both",,,"32","16","Wellcare","Medicaid Managed Care",,,"40",,"12.96","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE CHEW TAB 25MG","0637","RC","Both",,,"32","16","Aetna","Commercial",,,"64",,"20.42","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE CHEW TAB 25MG","0637","RC","Both",,,"32","16","Blue Cross Blue Shield","Pathways",,,"71",,"22.59","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE CHEW TAB 25MG","0637","RC","Both",,,"32","16","Blue Cross Blue Shield","HMO",,,"71",,"22.59","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE CHEW TAB 25MG","0637","RC","Both",,,"32","16","Blue Cross Blue Shield","PPO",,,"71",,"22.59","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE CHEW TAB 25MG","0637","RC","Both",,,"32","16","Ambetter","Health Exchange",,,"62",,"19.84","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE CHEW TAB 25MG","0637","RC","Both",,,"32","16","Caresource","Health Exchange",,,"62",,"19.84","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE CHEW TAB 25MG","0637","RC","Both",,,"32","16","Cigna","Commercial",,,"59",,"18.75","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE CHEW TAB 25MG","0637","RC","Both",,,"32","16","Humana","Commercial",,,"78",,"24.8","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE CHEW TAB 25MG","0637","RC","Both",,,"32","16","UHC","Commercial",,,"75",,"24.13","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE CHEW TAB 25MG","0637","RC","Both",,,"32","16","Medicaid",,,,"37",,"11.71","0.15","5264.58","percent of total billed charges",,
"KETAMINE 10 MG/ML INJ 5ML DOSE (VIAL)","0250","RC","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"KETAMINE 10 MG/ML INJ 5ML DOSE (VIAL)","0250","RC","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","0.04","569.62","percent of total billed charges",,
"KETAMINE 10 MG/ML INJ 5ML DOSE (VIAL)","0250","RC","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"KETAMINE 10 MG/ML INJ 5ML DOSE (VIAL)","0250","RC","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"KETAMINE 10 MG/ML INJ 5ML DOSE (VIAL)","0250","RC","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"KETAMINE 10 MG/ML INJ 5ML DOSE (VIAL)","0250","RC","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"KETAMINE 10 MG/ML INJ 5ML DOSE (VIAL)","0250","RC","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"KETAMINE 10 MG/ML INJ 5ML DOSE (VIAL)","0250","RC","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","0.04","569.62","percent of total billed charges",,
"KETAMINE 10 MG/ML INJ 5ML DOSE (VIAL)","0250","RC","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","0.04","569.62","percent of total billed charges",,
"KETAMINE 10 MG/ML INJ 5ML DOSE (VIAL)","0250","RC","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","0.04","569.62","percent of total billed charges",,
"KETAMINE 10 MG/ML INJ 5ML DOSE (VIAL)","0250","RC","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","0.04","569.62","percent of total billed charges",,
"KETAMINE 10 MG/ML INJ 5ML DOSE (VIAL)","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"KETAMINE 10 MG/ML INJ 5ML DOSE (VIAL)","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"KETAMINE 10 MG/ML INJ 5ML DOSE (VIAL)","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"KETAMINE 10 MG/ML INJ 5ML DOSE (VIAL)","0250","RC","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"KETAMINE 10 MG/ML INJ 5ML DOSE (VIAL)","0250","RC","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"KETAMINE 10 MG/ML INJ 5ML DOSE (VIAL)","0250","RC","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","0.04","569.62","percent of total billed charges",,
"KETAMINE 10 MG/ML INJ 5ML DOSE (VIAL)","0250","RC","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","0.04","569.62","percent of total billed charges",,
"KETAMINE 10 MG/ML INJ 5ML DOSE (VIAL)","0250","RC","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","0.04","569.62","percent of total billed charges",,
"KETAMINE 10 MG/ML INJ 5ML DOSE (VIAL)","0250","RC","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","0.04","569.62","percent of total billed charges",,
"NF-LETAIRIS ORAL TABLET 5MG","0637","RC","Both",,,"884.5","442.25","Alliant","Health Exchange",,,"62",,"548.39","0.15","5264.58","percent of total billed charges",,
"NF-LETAIRIS ORAL TABLET 5MG","0637","RC","Both",,,"884.5","442.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"477.63","0.15","5264.58","percent of total billed charges",,
"NF-LETAIRIS ORAL TABLET 5MG","0637","RC","Both",,,"884.5","442.25","Medicare",,,,"54",,"479.4","0.15","5264.58","percent of total billed charges",,
"NF-LETAIRIS ORAL TABLET 5MG","0637","RC","Both",,,"884.5","442.25","Humana","Medicare Advantage",,,"54",,"479.4","0.15","5264.58","percent of total billed charges",,
"NF-LETAIRIS ORAL TABLET 5MG","0637","RC","Both",,,"884.5","442.25","UHC","Medicare Advantage",,,"54",,"479.4","0.15","5264.58","percent of total billed charges",,
"NF-LETAIRIS ORAL TABLET 5MG","0637","RC","Both",,,"884.5","442.25","Clover","Medicare Advantage",,,"54",,"479.4","0.15","5264.58","percent of total billed charges",,
"NF-LETAIRIS ORAL TABLET 5MG","0637","RC","Both",,,"884.5","442.25","Wellcare","Medicare Advantage",,,"54",,"479.4","0.15","5264.58","percent of total billed charges",,
"NF-LETAIRIS ORAL TABLET 5MG","0637","RC","Both",,,"884.5","442.25","Amerigroup","Medicaid Managed Care",,,"37",,"323.73","0.15","5264.58","percent of total billed charges",,
"NF-LETAIRIS ORAL TABLET 5MG","0637","RC","Both",,,"884.5","442.25","Caresource","Medicaid Managed Care",,,"40",,"353.8","0.15","5264.58","percent of total billed charges",,
"NF-LETAIRIS ORAL TABLET 5MG","0637","RC","Both",,,"884.5","442.25","Wellcare","Medicaid Managed Care",,,"40",,"358.22","0.15","5264.58","percent of total billed charges",,
"NF-LETAIRIS ORAL TABLET 5MG","0637","RC","Both",,,"884.5","442.25","Aetna","Commercial",,,"64",,"564.31","0.15","5264.58","percent of total billed charges",,
"NF-LETAIRIS ORAL TABLET 5MG","0637","RC","Both",,,"884.5","442.25","Blue Cross Blue Shield","Pathways",,,"71",,"624.46","0.15","5264.58","percent of total billed charges",,
"NF-LETAIRIS ORAL TABLET 5MG","0637","RC","Both",,,"884.5","442.25","Blue Cross Blue Shield","HMO",,,"71",,"624.46","0.15","5264.58","percent of total billed charges",,
"NF-LETAIRIS ORAL TABLET 5MG","0637","RC","Both",,,"884.5","442.25","Blue Cross Blue Shield","PPO",,,"71",,"624.46","0.15","5264.58","percent of total billed charges",,
"NF-LETAIRIS ORAL TABLET 5MG","0637","RC","Both",,,"884.5","442.25","Ambetter","Health Exchange",,,"62",,"548.39","0.15","5264.58","percent of total billed charges",,
"NF-LETAIRIS ORAL TABLET 5MG","0637","RC","Both",,,"884.5","442.25","Caresource","Health Exchange",,,"62",,"548.39","0.15","5264.58","percent of total billed charges",,
"NF-LETAIRIS ORAL TABLET 5MG","0637","RC","Both",,,"884.5","442.25","Cigna","Commercial",,,"59",,"518.32","0.15","5264.58","percent of total billed charges",,
"NF-LETAIRIS ORAL TABLET 5MG","0637","RC","Both",,,"884.5","442.25","Humana","Commercial",,,"78",,"685.49","0.15","5264.58","percent of total billed charges",,
"NF-LETAIRIS ORAL TABLET 5MG","0637","RC","Both",,,"884.5","442.25","UHC","Commercial",,,"75",,"666.91","0.15","5264.58","percent of total billed charges",,
"NF-LETAIRIS ORAL TABLET 5MG","0637","RC","Both",,,"884.5","442.25","Medicaid",,,,"37",,"323.73","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 100MG","0637","RC","Both",,,"5.5","2.75","Alliant","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 100MG","0637","RC","Both",,,"5.5","2.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.97","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 100MG","0637","RC","Both",,,"5.5","2.75","Medicare",,,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 100MG","0637","RC","Both",,,"5.5","2.75","Humana","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 100MG","0637","RC","Both",,,"5.5","2.75","UHC","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 100MG","0637","RC","Both",,,"5.5","2.75","Clover","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 100MG","0637","RC","Both",,,"5.5","2.75","Wellcare","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 100MG","0637","RC","Both",,,"5.5","2.75","Amerigroup","Medicaid Managed Care",,,"37",,"2.01","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 100MG","0637","RC","Both",,,"5.5","2.75","Caresource","Medicaid Managed Care",,,"40",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 100MG","0637","RC","Both",,,"5.5","2.75","Wellcare","Medicaid Managed Care",,,"40",,"2.23","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 100MG","0637","RC","Both",,,"5.5","2.75","Aetna","Commercial",,,"64",,"3.51","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 100MG","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","Pathways",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 100MG","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","HMO",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 100MG","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","PPO",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 100MG","0637","RC","Both",,,"5.5","2.75","Ambetter","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 100MG","0637","RC","Both",,,"5.5","2.75","Caresource","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 100MG","0637","RC","Both",,,"5.5","2.75","Cigna","Commercial",,,"59",,"3.22","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 100MG","0637","RC","Both",,,"5.5","2.75","Humana","Commercial",,,"78",,"4.26","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 100MG","0637","RC","Both",,,"5.5","2.75","UHC","Commercial",,,"75",,"4.15","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 100MG","0637","RC","Both",,,"5.5","2.75","Medicaid",,,,"37",,"2.01","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"6.5","3.25","Alliant","Health Exchange",,,"62",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"6.5","3.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.51","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"6.5","3.25","Medicare",,,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"6.5","3.25","Humana","Medicare Advantage",,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"6.5","3.25","UHC","Medicare Advantage",,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"6.5","3.25","Clover","Medicare Advantage",,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"6.5","3.25","Wellcare","Medicare Advantage",,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"6.5","3.25","Amerigroup","Medicaid Managed Care",,,"37",,"2.38","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"6.5","3.25","Caresource","Medicaid Managed Care",,,"40",,"2.6","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"6.5","3.25","Wellcare","Medicaid Managed Care",,,"40",,"2.63","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"6.5","3.25","Aetna","Commercial",,,"64",,"4.15","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","Pathways",,,"71",,"4.59","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","HMO",,,"71",,"4.59","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","PPO",,,"71",,"4.59","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"6.5","3.25","Ambetter","Health Exchange",,,"62",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"6.5","3.25","Caresource","Health Exchange",,,"62",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"6.5","3.25","Cigna","Commercial",,,"59",,"3.81","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"6.5","3.25","Humana","Commercial",,,"78",,"5.04","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"6.5","3.25","UHC","Commercial",,,"75",,"4.9","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 0.9MG","0637","RC","Both",,,"6.5","3.25","Medicaid",,,,"37",,"2.38","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"ISOFLORANE (TERRELL) LIQUID 100 ML BOTTL","0250","RC","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"ISOFLORANE (TERRELL) LIQUID 100 ML BOTTL","0250","RC","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","0.04","569.62","percent of total billed charges",,
"ISOFLORANE (TERRELL) LIQUID 100 ML BOTTL","0250","RC","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"ISOFLORANE (TERRELL) LIQUID 100 ML BOTTL","0250","RC","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"ISOFLORANE (TERRELL) LIQUID 100 ML BOTTL","0250","RC","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"ISOFLORANE (TERRELL) LIQUID 100 ML BOTTL","0250","RC","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"ISOFLORANE (TERRELL) LIQUID 100 ML BOTTL","0250","RC","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"ISOFLORANE (TERRELL) LIQUID 100 ML BOTTL","0250","RC","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","0.04","569.62","percent of total billed charges",,
"ISOFLORANE (TERRELL) LIQUID 100 ML BOTTL","0250","RC","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","0.04","569.62","percent of total billed charges",,
"ISOFLORANE (TERRELL) LIQUID 100 ML BOTTL","0250","RC","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","0.04","569.62","percent of total billed charges",,
"ISOFLORANE (TERRELL) LIQUID 100 ML BOTTL","0250","RC","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","0.04","569.62","percent of total billed charges",,
"ISOFLORANE (TERRELL) LIQUID 100 ML BOTTL","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"ISOFLORANE (TERRELL) LIQUID 100 ML BOTTL","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"ISOFLORANE (TERRELL) LIQUID 100 ML BOTTL","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"ISOFLORANE (TERRELL) LIQUID 100 ML BOTTL","0250","RC","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"ISOFLORANE (TERRELL) LIQUID 100 ML BOTTL","0250","RC","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"ISOFLORANE (TERRELL) LIQUID 100 ML BOTTL","0250","RC","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","0.04","569.62","percent of total billed charges",,
"ISOFLORANE (TERRELL) LIQUID 100 ML BOTTL","0250","RC","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","0.04","569.62","percent of total billed charges",,
"ISOFLORANE (TERRELL) LIQUID 100 ML BOTTL","0250","RC","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","0.04","569.62","percent of total billed charges",,
"ISOFLORANE (TERRELL) LIQUID 100 ML BOTTL","0250","RC","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","0.04","569.62","percent of total billed charges",,
"NF-SOTALOL HCL AF TABLET 120MG","0637","RC","Both",,,"13","6.5","Alliant","Health Exchange",,,"62",,"8.06","0.15","5264.58","percent of total billed charges",,
"NF-SOTALOL HCL AF TABLET 120MG","0637","RC","Both",,,"13","6.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.02","0.15","5264.58","percent of total billed charges",,
"NF-SOTALOL HCL AF TABLET 120MG","0637","RC","Both",,,"13","6.5","Medicare",,,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-SOTALOL HCL AF TABLET 120MG","0637","RC","Both",,,"13","6.5","Humana","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-SOTALOL HCL AF TABLET 120MG","0637","RC","Both",,,"13","6.5","UHC","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-SOTALOL HCL AF TABLET 120MG","0637","RC","Both",,,"13","6.5","Clover","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-SOTALOL HCL AF TABLET 120MG","0637","RC","Both",,,"13","6.5","Wellcare","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-SOTALOL HCL AF TABLET 120MG","0637","RC","Both",,,"13","6.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.76","0.15","5264.58","percent of total billed charges",,
"NF-SOTALOL HCL AF TABLET 120MG","0637","RC","Both",,,"13","6.5","Caresource","Medicaid Managed Care",,,"40",,"5.2","0.15","5264.58","percent of total billed charges",,
"NF-SOTALOL HCL AF TABLET 120MG","0637","RC","Both",,,"13","6.5","Wellcare","Medicaid Managed Care",,,"40",,"5.26","0.15","5264.58","percent of total billed charges",,
"NF-SOTALOL HCL AF TABLET 120MG","0637","RC","Both",,,"13","6.5","Aetna","Commercial",,,"64",,"8.29","0.15","5264.58","percent of total billed charges",,
"NF-SOTALOL HCL AF TABLET 120MG","0637","RC","Both",,,"13","6.5","Blue Cross Blue Shield","Pathways",,,"71",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-SOTALOL HCL AF TABLET 120MG","0637","RC","Both",,,"13","6.5","Blue Cross Blue Shield","HMO",,,"71",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-SOTALOL HCL AF TABLET 120MG","0637","RC","Both",,,"13","6.5","Blue Cross Blue Shield","PPO",,,"71",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-SOTALOL HCL AF TABLET 120MG","0637","RC","Both",,,"13","6.5","Ambetter","Health Exchange",,,"62",,"8.06","0.15","5264.58","percent of total billed charges",,
"NF-SOTALOL HCL AF TABLET 120MG","0637","RC","Both",,,"13","6.5","Caresource","Health Exchange",,,"62",,"8.06","0.15","5264.58","percent of total billed charges",,
"NF-SOTALOL HCL AF TABLET 120MG","0637","RC","Both",,,"13","6.5","Cigna","Commercial",,,"59",,"7.62","0.15","5264.58","percent of total billed charges",,
"NF-SOTALOL HCL AF TABLET 120MG","0637","RC","Both",,,"13","6.5","Humana","Commercial",,,"78",,"10.08","0.15","5264.58","percent of total billed charges",,
"NF-SOTALOL HCL AF TABLET 120MG","0637","RC","Both",,,"13","6.5","UHC","Commercial",,,"75",,"9.8","0.15","5264.58","percent of total billed charges",,
"NF-SOTALOL HCL AF TABLET 120MG","0637","RC","Both",,,"13","6.5","Medicaid",,,,"37",,"4.76","0.15","5264.58","percent of total billed charges",,
"NF-ANORO ELLIPTA INH PWD 62.5MCG-25MCG/1","0637","RC","Both",,,"18","9","Alliant","Health Exchange",,,"62",,"11.16","0.15","5264.58","percent of total billed charges",,
"NF-ANORO ELLIPTA INH PWD 62.5MCG-25MCG/1","0637","RC","Both",,,"18","9","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.72","0.15","5264.58","percent of total billed charges",,
"NF-ANORO ELLIPTA INH PWD 62.5MCG-25MCG/1","0637","RC","Both",,,"18","9","Medicare",,,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-ANORO ELLIPTA INH PWD 62.5MCG-25MCG/1","0637","RC","Both",,,"18","9","Humana","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-ANORO ELLIPTA INH PWD 62.5MCG-25MCG/1","0637","RC","Both",,,"18","9","UHC","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-ANORO ELLIPTA INH PWD 62.5MCG-25MCG/1","0637","RC","Both",,,"18","9","Clover","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-ANORO ELLIPTA INH PWD 62.5MCG-25MCG/1","0637","RC","Both",,,"18","9","Wellcare","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-ANORO ELLIPTA INH PWD 62.5MCG-25MCG/1","0637","RC","Both",,,"18","9","Amerigroup","Medicaid Managed Care",,,"37",,"6.59","0.15","5264.58","percent of total billed charges",,
"NF-ANORO ELLIPTA INH PWD 62.5MCG-25MCG/1","0637","RC","Both",,,"18","9","Caresource","Medicaid Managed Care",,,"40",,"7.2","0.15","5264.58","percent of total billed charges",,
"NF-ANORO ELLIPTA INH PWD 62.5MCG-25MCG/1","0637","RC","Both",,,"18","9","Wellcare","Medicaid Managed Care",,,"40",,"7.29","0.15","5264.58","percent of total billed charges",,
"NF-ANORO ELLIPTA INH PWD 62.5MCG-25MCG/1","0637","RC","Both",,,"18","9","Aetna","Commercial",,,"64",,"11.48","0.15","5264.58","percent of total billed charges",,
"NF-ANORO ELLIPTA INH PWD 62.5MCG-25MCG/1","0637","RC","Both",,,"18","9","Blue Cross Blue Shield","Pathways",,,"71",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-ANORO ELLIPTA INH PWD 62.5MCG-25MCG/1","0637","RC","Both",,,"18","9","Blue Cross Blue Shield","HMO",,,"71",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-ANORO ELLIPTA INH PWD 62.5MCG-25MCG/1","0637","RC","Both",,,"18","9","Blue Cross Blue Shield","PPO",,,"71",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-ANORO ELLIPTA INH PWD 62.5MCG-25MCG/1","0637","RC","Both",,,"18","9","Ambetter","Health Exchange",,,"62",,"11.16","0.15","5264.58","percent of total billed charges",,
"NF-ANORO ELLIPTA INH PWD 62.5MCG-25MCG/1","0637","RC","Both",,,"18","9","Caresource","Health Exchange",,,"62",,"11.16","0.15","5264.58","percent of total billed charges",,
"NF-ANORO ELLIPTA INH PWD 62.5MCG-25MCG/1","0637","RC","Both",,,"18","9","Cigna","Commercial",,,"59",,"10.55","0.15","5264.58","percent of total billed charges",,
"NF-ANORO ELLIPTA INH PWD 62.5MCG-25MCG/1","0637","RC","Both",,,"18","9","Humana","Commercial",,,"78",,"13.95","0.15","5264.58","percent of total billed charges",,
"NF-ANORO ELLIPTA INH PWD 62.5MCG-25MCG/1","0637","RC","Both",,,"18","9","UHC","Commercial",,,"75",,"13.57","0.15","5264.58","percent of total billed charges",,
"NF-ANORO ELLIPTA INH PWD 62.5MCG-25MCG/1","0637","RC","Both",,,"18","9","Medicaid",,,,"37",,"6.59","0.15","5264.58","percent of total billed charges",,
"NF-EPLERENONE ORAL TABLET 25MG","0637","RC","Both",,,"19.5","9.75","Alliant","Health Exchange",,,"62",,"12.09","0.15","5264.58","percent of total billed charges",,
"NF-EPLERENONE ORAL TABLET 25MG","0637","RC","Both",,,"19.5","9.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.53","0.15","5264.58","percent of total billed charges",,
"NF-EPLERENONE ORAL TABLET 25MG","0637","RC","Both",,,"19.5","9.75","Medicare",,,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-EPLERENONE ORAL TABLET 25MG","0637","RC","Both",,,"19.5","9.75","Humana","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-EPLERENONE ORAL TABLET 25MG","0637","RC","Both",,,"19.5","9.75","UHC","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-EPLERENONE ORAL TABLET 25MG","0637","RC","Both",,,"19.5","9.75","Clover","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-EPLERENONE ORAL TABLET 25MG","0637","RC","Both",,,"19.5","9.75","Wellcare","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-EPLERENONE ORAL TABLET 25MG","0637","RC","Both",,,"19.5","9.75","Amerigroup","Medicaid Managed Care",,,"37",,"7.14","0.15","5264.58","percent of total billed charges",,
"NF-EPLERENONE ORAL TABLET 25MG","0637","RC","Both",,,"19.5","9.75","Caresource","Medicaid Managed Care",,,"40",,"7.8","0.15","5264.58","percent of total billed charges",,
"NF-EPLERENONE ORAL TABLET 25MG","0637","RC","Both",,,"19.5","9.75","Wellcare","Medicaid Managed Care",,,"40",,"7.9","0.15","5264.58","percent of total billed charges",,
"NF-EPLERENONE ORAL TABLET 25MG","0637","RC","Both",,,"19.5","9.75","Aetna","Commercial",,,"64",,"12.44","0.15","5264.58","percent of total billed charges",,
"NF-EPLERENONE ORAL TABLET 25MG","0637","RC","Both",,,"19.5","9.75","Blue Cross Blue Shield","Pathways",,,"71",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-EPLERENONE ORAL TABLET 25MG","0637","RC","Both",,,"19.5","9.75","Blue Cross Blue Shield","HMO",,,"71",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-EPLERENONE ORAL TABLET 25MG","0637","RC","Both",,,"19.5","9.75","Blue Cross Blue Shield","PPO",,,"71",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-EPLERENONE ORAL TABLET 25MG","0637","RC","Both",,,"19.5","9.75","Ambetter","Health Exchange",,,"62",,"12.09","0.15","5264.58","percent of total billed charges",,
"NF-EPLERENONE ORAL TABLET 25MG","0637","RC","Both",,,"19.5","9.75","Caresource","Health Exchange",,,"62",,"12.09","0.15","5264.58","percent of total billed charges",,
"NF-EPLERENONE ORAL TABLET 25MG","0637","RC","Both",,,"19.5","9.75","Cigna","Commercial",,,"59",,"11.43","0.15","5264.58","percent of total billed charges",,
"NF-EPLERENONE ORAL TABLET 25MG","0637","RC","Both",,,"19.5","9.75","Humana","Commercial",,,"78",,"15.11","0.15","5264.58","percent of total billed charges",,
"NF-EPLERENONE ORAL TABLET 25MG","0637","RC","Both",,,"19.5","9.75","UHC","Commercial",,,"75",,"14.7","0.15","5264.58","percent of total billed charges",,
"NF-EPLERENONE ORAL TABLET 25MG","0637","RC","Both",,,"19.5","9.75","Medicaid",,,,"37",,"7.14","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE 0.25% OPHTHALMIC SOLU","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE 0.25% OPHTHALMIC SOLU","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE 0.25% OPHTHALMIC SOLU","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE 0.25% OPHTHALMIC SOLU","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE 0.25% OPHTHALMIC SOLU","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE 0.25% OPHTHALMIC SOLU","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE 0.25% OPHTHALMIC SOLU","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE 0.25% OPHTHALMIC SOLU","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE 0.25% OPHTHALMIC SOLU","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE 0.25% OPHTHALMIC SOLU","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE 0.25% OPHTHALMIC SOLU","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE 0.25% OPHTHALMIC SOLU","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE 0.25% OPHTHALMIC SOLU","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE 0.25% OPHTHALMIC SOLU","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE 0.25% OPHTHALMIC SOLU","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE 0.25% OPHTHALMIC SOLU","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE 0.25% OPHTHALMIC SOLU","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE 0.25% OPHTHALMIC SOLU","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE 0.25% OPHTHALMIC SOLU","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE 0.25% OPHTHALMIC SOLU","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 5MG ORAL TABLET","0637","RC","Both",,,"7.5","3.75","Alliant","Health Exchange",,,"62",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 5MG ORAL TABLET","0637","RC","Both",,,"7.5","3.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.05","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 5MG ORAL TABLET","0637","RC","Both",,,"7.5","3.75","Medicare",,,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 5MG ORAL TABLET","0637","RC","Both",,,"7.5","3.75","Humana","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 5MG ORAL TABLET","0637","RC","Both",,,"7.5","3.75","UHC","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 5MG ORAL TABLET","0637","RC","Both",,,"7.5","3.75","Clover","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 5MG ORAL TABLET","0637","RC","Both",,,"7.5","3.75","Wellcare","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 5MG ORAL TABLET","0637","RC","Both",,,"7.5","3.75","Amerigroup","Medicaid Managed Care",,,"37",,"2.74","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 5MG ORAL TABLET","0637","RC","Both",,,"7.5","3.75","Caresource","Medicaid Managed Care",,,"40",,"3","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 5MG ORAL TABLET","0637","RC","Both",,,"7.5","3.75","Wellcare","Medicaid Managed Care",,,"40",,"3.04","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 5MG ORAL TABLET","0637","RC","Both",,,"7.5","3.75","Aetna","Commercial",,,"64",,"4.78","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 5MG ORAL TABLET","0637","RC","Both",,,"7.5","3.75","Blue Cross Blue Shield","Pathways",,,"71",,"5.3","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 5MG ORAL TABLET","0637","RC","Both",,,"7.5","3.75","Blue Cross Blue Shield","HMO",,,"71",,"5.3","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 5MG ORAL TABLET","0637","RC","Both",,,"7.5","3.75","Blue Cross Blue Shield","PPO",,,"71",,"5.3","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 5MG ORAL TABLET","0637","RC","Both",,,"7.5","3.75","Ambetter","Health Exchange",,,"62",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 5MG ORAL TABLET","0637","RC","Both",,,"7.5","3.75","Caresource","Health Exchange",,,"62",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 5MG ORAL TABLET","0637","RC","Both",,,"7.5","3.75","Cigna","Commercial",,,"59",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 5MG ORAL TABLET","0637","RC","Both",,,"7.5","3.75","Humana","Commercial",,,"78",,"5.81","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 5MG ORAL TABLET","0637","RC","Both",,,"7.5","3.75","UHC","Commercial",,,"75",,"5.66","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 5MG ORAL TABLET","0637","RC","Both",,,"7.5","3.75","Medicaid",,,,"37",,"2.74","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 1%","0637","RC","Both",,,"19.5","9.75","Alliant","Health Exchange",,,"62",,"12.09","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 1%","0637","RC","Both",,,"19.5","9.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.53","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 1%","0637","RC","Both",,,"19.5","9.75","Medicare",,,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 1%","0637","RC","Both",,,"19.5","9.75","Humana","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 1%","0637","RC","Both",,,"19.5","9.75","UHC","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 1%","0637","RC","Both",,,"19.5","9.75","Clover","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 1%","0637","RC","Both",,,"19.5","9.75","Wellcare","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 1%","0637","RC","Both",,,"19.5","9.75","Amerigroup","Medicaid Managed Care",,,"37",,"7.14","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 1%","0637","RC","Both",,,"19.5","9.75","Caresource","Medicaid Managed Care",,,"40",,"7.8","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 1%","0637","RC","Both",,,"19.5","9.75","Wellcare","Medicaid Managed Care",,,"40",,"7.9","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 1%","0637","RC","Both",,,"19.5","9.75","Aetna","Commercial",,,"64",,"12.44","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 1%","0637","RC","Both",,,"19.5","9.75","Blue Cross Blue Shield","Pathways",,,"71",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 1%","0637","RC","Both",,,"19.5","9.75","Blue Cross Blue Shield","HMO",,,"71",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 1%","0637","RC","Both",,,"19.5","9.75","Blue Cross Blue Shield","PPO",,,"71",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 1%","0637","RC","Both",,,"19.5","9.75","Ambetter","Health Exchange",,,"62",,"12.09","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 1%","0637","RC","Both",,,"19.5","9.75","Caresource","Health Exchange",,,"62",,"12.09","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 1%","0637","RC","Both",,,"19.5","9.75","Cigna","Commercial",,,"59",,"11.43","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 1%","0637","RC","Both",,,"19.5","9.75","Humana","Commercial",,,"78",,"15.11","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 1%","0637","RC","Both",,,"19.5","9.75","UHC","Commercial",,,"75",,"14.7","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 1%","0637","RC","Both",,,"19.5","9.75","Medicaid",,,,"37",,"7.14","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 10MG ORAL TABLET","0637","RC","Both",,,"14.5","7.25","Alliant","Health Exchange",,,"62",,"8.99","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 10MG ORAL TABLET","0637","RC","Both",,,"14.5","7.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.83","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 10MG ORAL TABLET","0637","RC","Both",,,"14.5","7.25","Medicare",,,,"54",,"7.86","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 10MG ORAL TABLET","0637","RC","Both",,,"14.5","7.25","Humana","Medicare Advantage",,,"54",,"7.86","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 10MG ORAL TABLET","0637","RC","Both",,,"14.5","7.25","UHC","Medicare Advantage",,,"54",,"7.86","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 10MG ORAL TABLET","0637","RC","Both",,,"14.5","7.25","Clover","Medicare Advantage",,,"54",,"7.86","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 10MG ORAL TABLET","0637","RC","Both",,,"14.5","7.25","Wellcare","Medicare Advantage",,,"54",,"7.86","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 10MG ORAL TABLET","0637","RC","Both",,,"14.5","7.25","Amerigroup","Medicaid Managed Care",,,"37",,"5.31","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 10MG ORAL TABLET","0637","RC","Both",,,"14.5","7.25","Caresource","Medicaid Managed Care",,,"40",,"5.8","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 10MG ORAL TABLET","0637","RC","Both",,,"14.5","7.25","Wellcare","Medicaid Managed Care",,,"40",,"5.87","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 10MG ORAL TABLET","0637","RC","Both",,,"14.5","7.25","Aetna","Commercial",,,"64",,"9.25","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 10MG ORAL TABLET","0637","RC","Both",,,"14.5","7.25","Blue Cross Blue Shield","Pathways",,,"71",,"10.24","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 10MG ORAL TABLET","0637","RC","Both",,,"14.5","7.25","Blue Cross Blue Shield","HMO",,,"71",,"10.24","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 10MG ORAL TABLET","0637","RC","Both",,,"14.5","7.25","Blue Cross Blue Shield","PPO",,,"71",,"10.24","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 10MG ORAL TABLET","0637","RC","Both",,,"14.5","7.25","Ambetter","Health Exchange",,,"62",,"8.99","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 10MG ORAL TABLET","0637","RC","Both",,,"14.5","7.25","Caresource","Health Exchange",,,"62",,"8.99","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 10MG ORAL TABLET","0637","RC","Both",,,"14.5","7.25","Cigna","Commercial",,,"59",,"8.5","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 10MG ORAL TABLET","0637","RC","Both",,,"14.5","7.25","Humana","Commercial",,,"78",,"11.24","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 10MG ORAL TABLET","0637","RC","Both",,,"14.5","7.25","UHC","Commercial",,,"75",,"10.93","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL 10MG ORAL TABLET","0637","RC","Both",,,"14.5","7.25","Medicaid",,,,"37",,"5.31","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH GEL DROP 0.25%","0637","RC","Both",,,"82.5","41.25","Alliant","Health Exchange",,,"62",,"51.15","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH GEL DROP 0.25%","0637","RC","Both",,,"82.5","41.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"44.55","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH GEL DROP 0.25%","0637","RC","Both",,,"82.5","41.25","Medicare",,,,"54",,"44.72","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH GEL DROP 0.25%","0637","RC","Both",,,"82.5","41.25","Humana","Medicare Advantage",,,"54",,"44.72","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH GEL DROP 0.25%","0637","RC","Both",,,"82.5","41.25","UHC","Medicare Advantage",,,"54",,"44.72","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH GEL DROP 0.25%","0637","RC","Both",,,"82.5","41.25","Clover","Medicare Advantage",,,"54",,"44.72","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH GEL DROP 0.25%","0637","RC","Both",,,"82.5","41.25","Wellcare","Medicare Advantage",,,"54",,"44.72","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH GEL DROP 0.25%","0637","RC","Both",,,"82.5","41.25","Amerigroup","Medicaid Managed Care",,,"37",,"30.2","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH GEL DROP 0.25%","0637","RC","Both",,,"82.5","41.25","Caresource","Medicaid Managed Care",,,"40",,"33","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH GEL DROP 0.25%","0637","RC","Both",,,"82.5","41.25","Wellcare","Medicaid Managed Care",,,"40",,"33.41","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH GEL DROP 0.25%","0637","RC","Both",,,"82.5","41.25","Aetna","Commercial",,,"64",,"52.64","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH GEL DROP 0.25%","0637","RC","Both",,,"82.5","41.25","Blue Cross Blue Shield","Pathways",,,"71",,"58.24","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH GEL DROP 0.25%","0637","RC","Both",,,"82.5","41.25","Blue Cross Blue Shield","HMO",,,"71",,"58.24","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH GEL DROP 0.25%","0637","RC","Both",,,"82.5","41.25","Blue Cross Blue Shield","PPO",,,"71",,"58.24","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH GEL DROP 0.25%","0637","RC","Both",,,"82.5","41.25","Ambetter","Health Exchange",,,"62",,"51.15","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH GEL DROP 0.25%","0637","RC","Both",,,"82.5","41.25","Caresource","Health Exchange",,,"62",,"51.15","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH GEL DROP 0.25%","0637","RC","Both",,,"82.5","41.25","Cigna","Commercial",,,"59",,"48.34","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH GEL DROP 0.25%","0637","RC","Both",,,"82.5","41.25","Humana","Commercial",,,"78",,"63.94","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH GEL DROP 0.25%","0637","RC","Both",,,"82.5","41.25","UHC","Commercial",,,"75",,"62.2","0.15","5264.58","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH GEL DROP 0.25%","0637","RC","Both",,,"82.5","41.25","Medicaid",,,,"37",,"30.2","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 5MG ORAL TABLET","0637","RC","Both",,,"11","5.5","Alliant","Health Exchange",,,"62",,"6.82","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 5MG ORAL TABLET","0637","RC","Both",,,"11","5.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.94","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 5MG ORAL TABLET","0637","RC","Both",,,"11","5.5","Medicare",,,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 5MG ORAL TABLET","0637","RC","Both",,,"11","5.5","Humana","Medicare Advantage",,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 5MG ORAL TABLET","0637","RC","Both",,,"11","5.5","UHC","Medicare Advantage",,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 5MG ORAL TABLET","0637","RC","Both",,,"11","5.5","Clover","Medicare Advantage",,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 5MG ORAL TABLET","0637","RC","Both",,,"11","5.5","Wellcare","Medicare Advantage",,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 5MG ORAL TABLET","0637","RC","Both",,,"11","5.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 5MG ORAL TABLET","0637","RC","Both",,,"11","5.5","Caresource","Medicaid Managed Care",,,"40",,"4.4","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 5MG ORAL TABLET","0637","RC","Both",,,"11","5.5","Wellcare","Medicaid Managed Care",,,"40",,"4.46","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 5MG ORAL TABLET","0637","RC","Both",,,"11","5.5","Aetna","Commercial",,,"64",,"7.02","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 5MG ORAL TABLET","0637","RC","Both",,,"11","5.5","Blue Cross Blue Shield","Pathways",,,"71",,"7.77","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 5MG ORAL TABLET","0637","RC","Both",,,"11","5.5","Blue Cross Blue Shield","HMO",,,"71",,"7.77","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 5MG ORAL TABLET","0637","RC","Both",,,"11","5.5","Blue Cross Blue Shield","PPO",,,"71",,"7.77","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 5MG ORAL TABLET","0637","RC","Both",,,"11","5.5","Ambetter","Health Exchange",,,"62",,"6.82","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 5MG ORAL TABLET","0637","RC","Both",,,"11","5.5","Caresource","Health Exchange",,,"62",,"6.82","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 5MG ORAL TABLET","0637","RC","Both",,,"11","5.5","Cigna","Commercial",,,"59",,"6.45","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 5MG ORAL TABLET","0637","RC","Both",,,"11","5.5","Humana","Commercial",,,"78",,"8.52","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 5MG ORAL TABLET","0637","RC","Both",,,"11","5.5","UHC","Commercial",,,"75",,"8.29","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 5MG ORAL TABLET","0637","RC","Both",,,"11","5.5","Medicaid",,,,"37",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 150MG","0637","RC","Both",,,"5.5","2.75","Alliant","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 150MG","0637","RC","Both",,,"5.5","2.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.97","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 150MG","0637","RC","Both",,,"5.5","2.75","Medicare",,,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 150MG","0637","RC","Both",,,"5.5","2.75","Humana","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 150MG","0637","RC","Both",,,"5.5","2.75","UHC","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 150MG","0637","RC","Both",,,"5.5","2.75","Clover","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 150MG","0637","RC","Both",,,"5.5","2.75","Wellcare","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 150MG","0637","RC","Both",,,"5.5","2.75","Amerigroup","Medicaid Managed Care",,,"37",,"2.01","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 150MG","0637","RC","Both",,,"5.5","2.75","Caresource","Medicaid Managed Care",,,"40",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 150MG","0637","RC","Both",,,"5.5","2.75","Wellcare","Medicaid Managed Care",,,"40",,"2.23","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 150MG","0637","RC","Both",,,"5.5","2.75","Aetna","Commercial",,,"64",,"3.51","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 150MG","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","Pathways",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 150MG","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","HMO",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 150MG","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","PPO",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 150MG","0637","RC","Both",,,"5.5","2.75","Ambetter","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 150MG","0637","RC","Both",,,"5.5","2.75","Caresource","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 150MG","0637","RC","Both",,,"5.5","2.75","Cigna","Commercial",,,"59",,"3.22","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 150MG","0637","RC","Both",,,"5.5","2.75","Humana","Commercial",,,"78",,"4.26","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 150MG","0637","RC","Both",,,"5.5","2.75","UHC","Commercial",,,"75",,"4.15","0.15","5264.58","percent of total billed charges",,
"NF-LAMICTAL TAB 150MG","0637","RC","Both",,,"5.5","2.75","Medicaid",,,,"37",,"2.01","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE ER EXTENDED-RELEASE TAB 250M","0637","RC","Both",,,"9.5","4.75","Alliant","Health Exchange",,,"62",,"5.89","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE ER EXTENDED-RELEASE TAB 250M","0637","RC","Both",,,"9.5","4.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.13","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE ER EXTENDED-RELEASE TAB 250M","0637","RC","Both",,,"9.5","4.75","Medicare",,,,"54",,"5.15","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE ER EXTENDED-RELEASE TAB 250M","0637","RC","Both",,,"9.5","4.75","Humana","Medicare Advantage",,,"54",,"5.15","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE ER EXTENDED-RELEASE TAB 250M","0637","RC","Both",,,"9.5","4.75","UHC","Medicare Advantage",,,"54",,"5.15","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE ER EXTENDED-RELEASE TAB 250M","0637","RC","Both",,,"9.5","4.75","Clover","Medicare Advantage",,,"54",,"5.15","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE ER EXTENDED-RELEASE TAB 250M","0637","RC","Both",,,"9.5","4.75","Wellcare","Medicare Advantage",,,"54",,"5.15","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE ER EXTENDED-RELEASE TAB 250M","0637","RC","Both",,,"9.5","4.75","Amerigroup","Medicaid Managed Care",,,"37",,"3.48","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE ER EXTENDED-RELEASE TAB 250M","0637","RC","Both",,,"9.5","4.75","Caresource","Medicaid Managed Care",,,"40",,"3.8","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE ER EXTENDED-RELEASE TAB 250M","0637","RC","Both",,,"9.5","4.75","Wellcare","Medicaid Managed Care",,,"40",,"3.85","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE ER EXTENDED-RELEASE TAB 250M","0637","RC","Both",,,"9.5","4.75","Aetna","Commercial",,,"64",,"6.06","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE ER EXTENDED-RELEASE TAB 250M","0637","RC","Both",,,"9.5","4.75","Blue Cross Blue Shield","Pathways",,,"71",,"6.71","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE ER EXTENDED-RELEASE TAB 250M","0637","RC","Both",,,"9.5","4.75","Blue Cross Blue Shield","HMO",,,"71",,"6.71","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE ER EXTENDED-RELEASE TAB 250M","0637","RC","Both",,,"9.5","4.75","Blue Cross Blue Shield","PPO",,,"71",,"6.71","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE ER EXTENDED-RELEASE TAB 250M","0637","RC","Both",,,"9.5","4.75","Ambetter","Health Exchange",,,"62",,"5.89","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE ER EXTENDED-RELEASE TAB 250M","0637","RC","Both",,,"9.5","4.75","Caresource","Health Exchange",,,"62",,"5.89","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE ER EXTENDED-RELEASE TAB 250M","0637","RC","Both",,,"9.5","4.75","Cigna","Commercial",,,"59",,"5.57","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE ER EXTENDED-RELEASE TAB 250M","0637","RC","Both",,,"9.5","4.75","Humana","Commercial",,,"78",,"7.36","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE ER EXTENDED-RELEASE TAB 250M","0637","RC","Both",,,"9.5","4.75","UHC","Commercial",,,"75",,"7.16","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE ER EXTENDED-RELEASE TAB 250M","0637","RC","Both",,,"9.5","4.75","Medicaid",,,,"37",,"3.48","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE ER TABLET 500MG","0637","RC","Both",,,"17","8.5","Alliant","Health Exchange",,,"62",,"10.54","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE ER TABLET 500MG","0637","RC","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE ER TABLET 500MG","0637","RC","Both",,,"17","8.5","Medicare",,,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE ER TABLET 500MG","0637","RC","Both",,,"17","8.5","Humana","Medicare Advantage",,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE ER TABLET 500MG","0637","RC","Both",,,"17","8.5","UHC","Medicare Advantage",,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE ER TABLET 500MG","0637","RC","Both",,,"17","8.5","Clover","Medicare Advantage",,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE ER TABLET 500MG","0637","RC","Both",,,"17","8.5","Wellcare","Medicare Advantage",,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE ER TABLET 500MG","0637","RC","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.22","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE ER TABLET 500MG","0637","RC","Both",,,"17","8.5","Caresource","Medicaid Managed Care",,,"40",,"6.8","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE ER TABLET 500MG","0637","RC","Both",,,"17","8.5","Wellcare","Medicaid Managed Care",,,"40",,"6.89","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE ER TABLET 500MG","0637","RC","Both",,,"17","8.5","Aetna","Commercial",,,"64",,"10.85","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE ER TABLET 500MG","0637","RC","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways",,,"71",,"12","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE ER TABLET 500MG","0637","RC","Both",,,"17","8.5","Blue Cross Blue Shield","HMO",,,"71",,"12","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE ER TABLET 500MG","0637","RC","Both",,,"17","8.5","Blue Cross Blue Shield","PPO",,,"71",,"12","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE ER TABLET 500MG","0637","RC","Both",,,"17","8.5","Ambetter","Health Exchange",,,"62",,"10.54","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE ER TABLET 500MG","0637","RC","Both",,,"17","8.5","Caresource","Health Exchange",,,"62",,"10.54","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE ER TABLET 500MG","0637","RC","Both",,,"17","8.5","Cigna","Commercial",,,"59",,"9.96","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE ER TABLET 500MG","0637","RC","Both",,,"17","8.5","Humana","Commercial",,,"78",,"13.18","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE ER TABLET 500MG","0637","RC","Both",,,"17","8.5","UHC","Commercial",,,"75",,"12.82","0.15","5264.58","percent of total billed charges",,
"NF-DEPAKOTE ER TABLET 500MG","0637","RC","Both",,,"17","8.5","Medicaid",,,,"37",,"6.22","0.15","5264.58","percent of total billed charges",,
"NF-GEMFIBROZIL TAB 600MG","0637","RC","Both",,,"6.5","3.25","Alliant","Health Exchange",,,"62",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-GEMFIBROZIL TAB 600MG","0637","RC","Both",,,"6.5","3.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.51","0.15","5264.58","percent of total billed charges",,
"NF-GEMFIBROZIL TAB 600MG","0637","RC","Both",,,"6.5","3.25","Medicare",,,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-GEMFIBROZIL TAB 600MG","0637","RC","Both",,,"6.5","3.25","Humana","Medicare Advantage",,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-GEMFIBROZIL TAB 600MG","0637","RC","Both",,,"6.5","3.25","UHC","Medicare Advantage",,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-GEMFIBROZIL TAB 600MG","0637","RC","Both",,,"6.5","3.25","Clover","Medicare Advantage",,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-GEMFIBROZIL TAB 600MG","0637","RC","Both",,,"6.5","3.25","Wellcare","Medicare Advantage",,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-GEMFIBROZIL TAB 600MG","0637","RC","Both",,,"6.5","3.25","Amerigroup","Medicaid Managed Care",,,"37",,"2.38","0.15","5264.58","percent of total billed charges",,
"NF-GEMFIBROZIL TAB 600MG","0637","RC","Both",,,"6.5","3.25","Caresource","Medicaid Managed Care",,,"40",,"2.6","0.15","5264.58","percent of total billed charges",,
"NF-GEMFIBROZIL TAB 600MG","0637","RC","Both",,,"6.5","3.25","Wellcare","Medicaid Managed Care",,,"40",,"2.63","0.15","5264.58","percent of total billed charges",,
"NF-GEMFIBROZIL TAB 600MG","0637","RC","Both",,,"6.5","3.25","Aetna","Commercial",,,"64",,"4.15","0.15","5264.58","percent of total billed charges",,
"NF-GEMFIBROZIL TAB 600MG","0637","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","Pathways",,,"71",,"4.59","0.15","5264.58","percent of total billed charges",,
"NF-GEMFIBROZIL TAB 600MG","0637","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","HMO",,,"71",,"4.59","0.15","5264.58","percent of total billed charges",,
"NF-GEMFIBROZIL TAB 600MG","0637","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","PPO",,,"71",,"4.59","0.15","5264.58","percent of total billed charges",,
"NF-GEMFIBROZIL TAB 600MG","0637","RC","Both",,,"6.5","3.25","Ambetter","Health Exchange",,,"62",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-GEMFIBROZIL TAB 600MG","0637","RC","Both",,,"6.5","3.25","Caresource","Health Exchange",,,"62",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-GEMFIBROZIL TAB 600MG","0637","RC","Both",,,"6.5","3.25","Cigna","Commercial",,,"59",,"3.81","0.15","5264.58","percent of total billed charges",,
"NF-GEMFIBROZIL TAB 600MG","0637","RC","Both",,,"6.5","3.25","Humana","Commercial",,,"78",,"5.04","0.15","5264.58","percent of total billed charges",,
"NF-GEMFIBROZIL TAB 600MG","0637","RC","Both",,,"6.5","3.25","UHC","Commercial",,,"75",,"4.9","0.15","5264.58","percent of total billed charges",,
"NF-GEMFIBROZIL TAB 600MG","0637","RC","Both",,,"6.5","3.25","Medicaid",,,,"37",,"2.38","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1.5","0.75","Alliant","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1.5","0.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1.5","0.75","Medicare",,,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1.5","0.75","Humana","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1.5","0.75","UHC","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1.5","0.75","Clover","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1.5","0.75","Amerigroup","Medicaid Managed Care",,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1.5","0.75","Caresource","Medicaid Managed Care",,,"40",,"0.6","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicaid Managed Care",,,"40",,"0.61","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1.5","0.75","Aetna","Commercial",,,"64",,"0.96","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","Pathways",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","HMO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","PPO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1.5","0.75","Ambetter","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1.5","0.75","Caresource","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1.5","0.75","Cigna","Commercial",,,"59",,"0.88","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1.5","0.75","Humana","Commercial",,,"78",,"1.16","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1.5","0.75","UHC","Commercial",,,"75",,"1.13","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1.5","0.75","Medicaid",,,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-CLOBETASOL PROPIONATE 0.05% TOPICAL A","0637","RC","Both",,,"3.5","1.75","Alliant","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-CLOBETASOL PROPIONATE 0.05% TOPICAL A","0637","RC","Both",,,"3.5","1.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.89","0.15","5264.58","percent of total billed charges",,
"NF-CLOBETASOL PROPIONATE 0.05% TOPICAL A","0637","RC","Both",,,"3.5","1.75","Medicare",,,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-CLOBETASOL PROPIONATE 0.05% TOPICAL A","0637","RC","Both",,,"3.5","1.75","Humana","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-CLOBETASOL PROPIONATE 0.05% TOPICAL A","0637","RC","Both",,,"3.5","1.75","UHC","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-CLOBETASOL PROPIONATE 0.05% TOPICAL A","0637","RC","Both",,,"3.5","1.75","Clover","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-CLOBETASOL PROPIONATE 0.05% TOPICAL A","0637","RC","Both",,,"3.5","1.75","Wellcare","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-CLOBETASOL PROPIONATE 0.05% TOPICAL A","0637","RC","Both",,,"3.5","1.75","Amerigroup","Medicaid Managed Care",,,"37",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-CLOBETASOL PROPIONATE 0.05% TOPICAL A","0637","RC","Both",,,"3.5","1.75","Caresource","Medicaid Managed Care",,,"40",,"1.4","0.15","5264.58","percent of total billed charges",,
"NF-CLOBETASOL PROPIONATE 0.05% TOPICAL A","0637","RC","Both",,,"3.5","1.75","Wellcare","Medicaid Managed Care",,,"40",,"1.42","0.15","5264.58","percent of total billed charges",,
"NF-CLOBETASOL PROPIONATE 0.05% TOPICAL A","0637","RC","Both",,,"3.5","1.75","Aetna","Commercial",,,"64",,"2.23","0.15","5264.58","percent of total billed charges",,
"NF-CLOBETASOL PROPIONATE 0.05% TOPICAL A","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","Pathways",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-CLOBETASOL PROPIONATE 0.05% TOPICAL A","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","HMO",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-CLOBETASOL PROPIONATE 0.05% TOPICAL A","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","PPO",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-CLOBETASOL PROPIONATE 0.05% TOPICAL A","0637","RC","Both",,,"3.5","1.75","Ambetter","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-CLOBETASOL PROPIONATE 0.05% TOPICAL A","0637","RC","Both",,,"3.5","1.75","Caresource","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-CLOBETASOL PROPIONATE 0.05% TOPICAL A","0637","RC","Both",,,"3.5","1.75","Cigna","Commercial",,,"59",,"2.05","0.15","5264.58","percent of total billed charges",,
"NF-CLOBETASOL PROPIONATE 0.05% TOPICAL A","0637","RC","Both",,,"3.5","1.75","Humana","Commercial",,,"78",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-CLOBETASOL PROPIONATE 0.05% TOPICAL A","0637","RC","Both",,,"3.5","1.75","UHC","Commercial",,,"75",,"2.64","0.15","5264.58","percent of total billed charges",,
"NF-CLOBETASOL PROPIONATE 0.05% TOPICAL A","0637","RC","Both",,,"3.5","1.75","Medicaid",,,,"37",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-TRADJENTA 5MG ORAL TABLET","0637","RC","Both",,,"39.5","19.75","Alliant","Health Exchange",,,"62",,"24.49","0.15","5264.58","percent of total billed charges",,
"NF-TRADJENTA 5MG ORAL TABLET","0637","RC","Both",,,"39.5","19.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"21.33","0.15","5264.58","percent of total billed charges",,
"NF-TRADJENTA 5MG ORAL TABLET","0637","RC","Both",,,"39.5","19.75","Medicare",,,,"54",,"21.41","0.15","5264.58","percent of total billed charges",,
"NF-TRADJENTA 5MG ORAL TABLET","0637","RC","Both",,,"39.5","19.75","Humana","Medicare Advantage",,,"54",,"21.41","0.15","5264.58","percent of total billed charges",,
"NF-TRADJENTA 5MG ORAL TABLET","0637","RC","Both",,,"39.5","19.75","UHC","Medicare Advantage",,,"54",,"21.41","0.15","5264.58","percent of total billed charges",,
"NF-TRADJENTA 5MG ORAL TABLET","0637","RC","Both",,,"39.5","19.75","Clover","Medicare Advantage",,,"54",,"21.41","0.15","5264.58","percent of total billed charges",,
"NF-TRADJENTA 5MG ORAL TABLET","0637","RC","Both",,,"39.5","19.75","Wellcare","Medicare Advantage",,,"54",,"21.41","0.15","5264.58","percent of total billed charges",,
"NF-TRADJENTA 5MG ORAL TABLET","0637","RC","Both",,,"39.5","19.75","Amerigroup","Medicaid Managed Care",,,"37",,"14.46","0.15","5264.58","percent of total billed charges",,
"NF-TRADJENTA 5MG ORAL TABLET","0637","RC","Both",,,"39.5","19.75","Caresource","Medicaid Managed Care",,,"40",,"15.8","0.15","5264.58","percent of total billed charges",,
"NF-TRADJENTA 5MG ORAL TABLET","0637","RC","Both",,,"39.5","19.75","Wellcare","Medicaid Managed Care",,,"40",,"16","0.15","5264.58","percent of total billed charges",,
"NF-TRADJENTA 5MG ORAL TABLET","0637","RC","Both",,,"39.5","19.75","Aetna","Commercial",,,"64",,"25.2","0.15","5264.58","percent of total billed charges",,
"NF-TRADJENTA 5MG ORAL TABLET","0637","RC","Both",,,"39.5","19.75","Blue Cross Blue Shield","Pathways",,,"71",,"27.89","0.15","5264.58","percent of total billed charges",,
"NF-TRADJENTA 5MG ORAL TABLET","0637","RC","Both",,,"39.5","19.75","Blue Cross Blue Shield","HMO",,,"71",,"27.89","0.15","5264.58","percent of total billed charges",,
"NF-TRADJENTA 5MG ORAL TABLET","0637","RC","Both",,,"39.5","19.75","Blue Cross Blue Shield","PPO",,,"71",,"27.89","0.15","5264.58","percent of total billed charges",,
"NF-TRADJENTA 5MG ORAL TABLET","0637","RC","Both",,,"39.5","19.75","Ambetter","Health Exchange",,,"62",,"24.49","0.15","5264.58","percent of total billed charges",,
"NF-TRADJENTA 5MG ORAL TABLET","0637","RC","Both",,,"39.5","19.75","Caresource","Health Exchange",,,"62",,"24.49","0.15","5264.58","percent of total billed charges",,
"NF-TRADJENTA 5MG ORAL TABLET","0637","RC","Both",,,"39.5","19.75","Cigna","Commercial",,,"59",,"23.15","0.15","5264.58","percent of total billed charges",,
"NF-TRADJENTA 5MG ORAL TABLET","0637","RC","Both",,,"39.5","19.75","Humana","Commercial",,,"78",,"30.61","0.15","5264.58","percent of total billed charges",,
"NF-TRADJENTA 5MG ORAL TABLET","0637","RC","Both",,,"39.5","19.75","UHC","Commercial",,,"75",,"29.78","0.15","5264.58","percent of total billed charges",,
"NF-TRADJENTA 5MG ORAL TABLET","0637","RC","Both",,,"39.5","19.75","Medicaid",,,,"37",,"14.46","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN XL 24 HR TAB ER 300MG","0637","RC","Both",,,"26.5","13.25","Alliant","Health Exchange",,,"62",,"16.43","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN XL 24 HR TAB ER 300MG","0637","RC","Both",,,"26.5","13.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.31","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN XL 24 HR TAB ER 300MG","0637","RC","Both",,,"26.5","13.25","Medicare",,,,"54",,"14.36","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN XL 24 HR TAB ER 300MG","0637","RC","Both",,,"26.5","13.25","Humana","Medicare Advantage",,,"54",,"14.36","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN XL 24 HR TAB ER 300MG","0637","RC","Both",,,"26.5","13.25","UHC","Medicare Advantage",,,"54",,"14.36","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN XL 24 HR TAB ER 300MG","0637","RC","Both",,,"26.5","13.25","Clover","Medicare Advantage",,,"54",,"14.36","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN XL 24 HR TAB ER 300MG","0637","RC","Both",,,"26.5","13.25","Wellcare","Medicare Advantage",,,"54",,"14.36","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN XL 24 HR TAB ER 300MG","0637","RC","Both",,,"26.5","13.25","Amerigroup","Medicaid Managed Care",,,"37",,"9.7","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN XL 24 HR TAB ER 300MG","0637","RC","Both",,,"26.5","13.25","Caresource","Medicaid Managed Care",,,"40",,"10.6","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN XL 24 HR TAB ER 300MG","0637","RC","Both",,,"26.5","13.25","Wellcare","Medicaid Managed Care",,,"40",,"10.73","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN XL 24 HR TAB ER 300MG","0637","RC","Both",,,"26.5","13.25","Aetna","Commercial",,,"64",,"16.91","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN XL 24 HR TAB ER 300MG","0637","RC","Both",,,"26.5","13.25","Blue Cross Blue Shield","Pathways",,,"71",,"18.71","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN XL 24 HR TAB ER 300MG","0637","RC","Both",,,"26.5","13.25","Blue Cross Blue Shield","HMO",,,"71",,"18.71","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN XL 24 HR TAB ER 300MG","0637","RC","Both",,,"26.5","13.25","Blue Cross Blue Shield","PPO",,,"71",,"18.71","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN XL 24 HR TAB ER 300MG","0637","RC","Both",,,"26.5","13.25","Ambetter","Health Exchange",,,"62",,"16.43","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN XL 24 HR TAB ER 300MG","0637","RC","Both",,,"26.5","13.25","Caresource","Health Exchange",,,"62",,"16.43","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN XL 24 HR TAB ER 300MG","0637","RC","Both",,,"26.5","13.25","Cigna","Commercial",,,"59",,"15.53","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN XL 24 HR TAB ER 300MG","0637","RC","Both",,,"26.5","13.25","Humana","Commercial",,,"78",,"20.54","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN XL 24 HR TAB ER 300MG","0637","RC","Both",,,"26.5","13.25","UHC","Commercial",,,"75",,"19.98","0.15","5264.58","percent of total billed charges",,
"NF-WELLBUTRIN XL 24 HR TAB ER 300MG","0637","RC","Both",,,"26.5","13.25","Medicaid",,,,"37",,"9.7","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 225MG","0637","RC","Both",,,"19","9.5","Alliant","Health Exchange",,,"62",,"11.78","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 225MG","0637","RC","Both",,,"19","9.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.26","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 225MG","0637","RC","Both",,,"19","9.5","Medicare",,,,"54",,"10.3","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 225MG","0637","RC","Both",,,"19","9.5","Humana","Medicare Advantage",,,"54",,"10.3","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 225MG","0637","RC","Both",,,"19","9.5","UHC","Medicare Advantage",,,"54",,"10.3","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 225MG","0637","RC","Both",,,"19","9.5","Clover","Medicare Advantage",,,"54",,"10.3","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 225MG","0637","RC","Both",,,"19","9.5","Wellcare","Medicare Advantage",,,"54",,"10.3","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 225MG","0637","RC","Both",,,"19","9.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.95","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 225MG","0637","RC","Both",,,"19","9.5","Caresource","Medicaid Managed Care",,,"40",,"7.6","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 225MG","0637","RC","Both",,,"19","9.5","Wellcare","Medicaid Managed Care",,,"40",,"7.7","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 225MG","0637","RC","Both",,,"19","9.5","Aetna","Commercial",,,"64",,"12.12","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 225MG","0637","RC","Both",,,"19","9.5","Blue Cross Blue Shield","Pathways",,,"71",,"13.41","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 225MG","0637","RC","Both",,,"19","9.5","Blue Cross Blue Shield","HMO",,,"71",,"13.41","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 225MG","0637","RC","Both",,,"19","9.5","Blue Cross Blue Shield","PPO",,,"71",,"13.41","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 225MG","0637","RC","Both",,,"19","9.5","Ambetter","Health Exchange",,,"62",,"11.78","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 225MG","0637","RC","Both",,,"19","9.5","Caresource","Health Exchange",,,"62",,"11.78","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 225MG","0637","RC","Both",,,"19","9.5","Cigna","Commercial",,,"59",,"11.13","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 225MG","0637","RC","Both",,,"19","9.5","Humana","Commercial",,,"78",,"14.72","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 225MG","0637","RC","Both",,,"19","9.5","UHC","Commercial",,,"75",,"14.33","0.15","5264.58","percent of total billed charges",,
"NF-LYRICA CAP 225MG","0637","RC","Both",,,"19","9.5","Medicaid",,,,"37",,"6.95","0.15","5264.58","percent of total billed charges",,
"NF-TEGASORB HYDROCOLLOID","0637","RC","Both",,,"12.5","6.25","Alliant","Health Exchange",,,"62",,"7.75","0.15","5264.58","percent of total billed charges",,
"NF-TEGASORB HYDROCOLLOID","0637","RC","Both",,,"12.5","6.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.75","0.15","5264.58","percent of total billed charges",,
"NF-TEGASORB HYDROCOLLOID","0637","RC","Both",,,"12.5","6.25","Medicare",,,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-TEGASORB HYDROCOLLOID","0637","RC","Both",,,"12.5","6.25","Humana","Medicare Advantage",,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-TEGASORB HYDROCOLLOID","0637","RC","Both",,,"12.5","6.25","UHC","Medicare Advantage",,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-TEGASORB HYDROCOLLOID","0637","RC","Both",,,"12.5","6.25","Clover","Medicare Advantage",,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-TEGASORB HYDROCOLLOID","0637","RC","Both",,,"12.5","6.25","Wellcare","Medicare Advantage",,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-TEGASORB HYDROCOLLOID","0637","RC","Both",,,"12.5","6.25","Amerigroup","Medicaid Managed Care",,,"37",,"4.58","0.15","5264.58","percent of total billed charges",,
"NF-TEGASORB HYDROCOLLOID","0637","RC","Both",,,"12.5","6.25","Caresource","Medicaid Managed Care",,,"40",,"5","0.15","5264.58","percent of total billed charges",,
"NF-TEGASORB HYDROCOLLOID","0637","RC","Both",,,"12.5","6.25","Wellcare","Medicaid Managed Care",,,"40",,"5.06","0.15","5264.58","percent of total billed charges",,
"NF-TEGASORB HYDROCOLLOID","0637","RC","Both",,,"12.5","6.25","Aetna","Commercial",,,"64",,"7.98","0.15","5264.58","percent of total billed charges",,
"NF-TEGASORB HYDROCOLLOID","0637","RC","Both",,,"12.5","6.25","Blue Cross Blue Shield","Pathways",,,"71",,"8.82","0.15","5264.58","percent of total billed charges",,
"NF-TEGASORB HYDROCOLLOID","0637","RC","Both",,,"12.5","6.25","Blue Cross Blue Shield","HMO",,,"71",,"8.82","0.15","5264.58","percent of total billed charges",,
"NF-TEGASORB HYDROCOLLOID","0637","RC","Both",,,"12.5","6.25","Blue Cross Blue Shield","PPO",,,"71",,"8.82","0.15","5264.58","percent of total billed charges",,
"NF-TEGASORB HYDROCOLLOID","0637","RC","Both",,,"12.5","6.25","Ambetter","Health Exchange",,,"62",,"7.75","0.15","5264.58","percent of total billed charges",,
"NF-TEGASORB HYDROCOLLOID","0637","RC","Both",,,"12.5","6.25","Caresource","Health Exchange",,,"62",,"7.75","0.15","5264.58","percent of total billed charges",,
"NF-TEGASORB HYDROCOLLOID","0637","RC","Both",,,"12.5","6.25","Cigna","Commercial",,,"59",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-TEGASORB HYDROCOLLOID","0637","RC","Both",,,"12.5","6.25","Humana","Commercial",,,"78",,"9.69","0.15","5264.58","percent of total billed charges",,
"NF-TEGASORB HYDROCOLLOID","0637","RC","Both",,,"12.5","6.25","UHC","Commercial",,,"75",,"9.43","0.15","5264.58","percent of total billed charges",,
"NF-TEGASORB HYDROCOLLOID","0637","RC","Both",,,"12.5","6.25","Medicaid",,,,"37",,"4.58","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA 150MG ORAL CAPSULE","0637","RC","Both",,,"18","9","Alliant","Health Exchange",,,"62",,"11.16","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA 150MG ORAL CAPSULE","0637","RC","Both",,,"18","9","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.72","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA 150MG ORAL CAPSULE","0637","RC","Both",,,"18","9","Medicare",,,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA 150MG ORAL CAPSULE","0637","RC","Both",,,"18","9","Humana","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA 150MG ORAL CAPSULE","0637","RC","Both",,,"18","9","UHC","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA 150MG ORAL CAPSULE","0637","RC","Both",,,"18","9","Clover","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA 150MG ORAL CAPSULE","0637","RC","Both",,,"18","9","Wellcare","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA 150MG ORAL CAPSULE","0637","RC","Both",,,"18","9","Amerigroup","Medicaid Managed Care",,,"37",,"6.59","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA 150MG ORAL CAPSULE","0637","RC","Both",,,"18","9","Caresource","Medicaid Managed Care",,,"40",,"7.2","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA 150MG ORAL CAPSULE","0637","RC","Both",,,"18","9","Wellcare","Medicaid Managed Care",,,"40",,"7.29","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA 150MG ORAL CAPSULE","0637","RC","Both",,,"18","9","Aetna","Commercial",,,"64",,"11.48","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA 150MG ORAL CAPSULE","0637","RC","Both",,,"18","9","Blue Cross Blue Shield","Pathways",,,"71",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA 150MG ORAL CAPSULE","0637","RC","Both",,,"18","9","Blue Cross Blue Shield","HMO",,,"71",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA 150MG ORAL CAPSULE","0637","RC","Both",,,"18","9","Blue Cross Blue Shield","PPO",,,"71",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA 150MG ORAL CAPSULE","0637","RC","Both",,,"18","9","Ambetter","Health Exchange",,,"62",,"11.16","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA 150MG ORAL CAPSULE","0637","RC","Both",,,"18","9","Caresource","Health Exchange",,,"62",,"11.16","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA 150MG ORAL CAPSULE","0637","RC","Both",,,"18","9","Cigna","Commercial",,,"59",,"10.55","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA 150MG ORAL CAPSULE","0637","RC","Both",,,"18","9","Humana","Commercial",,,"78",,"13.95","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA 150MG ORAL CAPSULE","0637","RC","Both",,,"18","9","UHC","Commercial",,,"75",,"13.57","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA 150MG ORAL CAPSULE","0637","RC","Both",,,"18","9","Medicaid",,,,"37",,"6.59","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR ORAL TABLET 40MG","0637","RC","Both",,,"24.5","12.25","Alliant","Health Exchange",,,"62",,"15.19","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR ORAL TABLET 40MG","0637","RC","Both",,,"24.5","12.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"13.23","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR ORAL TABLET 40MG","0637","RC","Both",,,"24.5","12.25","Medicare",,,,"54",,"13.28","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR ORAL TABLET 40MG","0637","RC","Both",,,"24.5","12.25","Humana","Medicare Advantage",,,"54",,"13.28","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR ORAL TABLET 40MG","0637","RC","Both",,,"24.5","12.25","UHC","Medicare Advantage",,,"54",,"13.28","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR ORAL TABLET 40MG","0637","RC","Both",,,"24.5","12.25","Clover","Medicare Advantage",,,"54",,"13.28","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR ORAL TABLET 40MG","0637","RC","Both",,,"24.5","12.25","Wellcare","Medicare Advantage",,,"54",,"13.28","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR ORAL TABLET 40MG","0637","RC","Both",,,"24.5","12.25","Amerigroup","Medicaid Managed Care",,,"37",,"8.97","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR ORAL TABLET 40MG","0637","RC","Both",,,"24.5","12.25","Caresource","Medicaid Managed Care",,,"40",,"9.8","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR ORAL TABLET 40MG","0637","RC","Both",,,"24.5","12.25","Wellcare","Medicaid Managed Care",,,"40",,"9.92","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR ORAL TABLET 40MG","0637","RC","Both",,,"24.5","12.25","Aetna","Commercial",,,"64",,"15.63","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR ORAL TABLET 40MG","0637","RC","Both",,,"24.5","12.25","Blue Cross Blue Shield","Pathways",,,"71",,"17.3","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR ORAL TABLET 40MG","0637","RC","Both",,,"24.5","12.25","Blue Cross Blue Shield","HMO",,,"71",,"17.3","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR ORAL TABLET 40MG","0637","RC","Both",,,"24.5","12.25","Blue Cross Blue Shield","PPO",,,"71",,"17.3","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR ORAL TABLET 40MG","0637","RC","Both",,,"24.5","12.25","Ambetter","Health Exchange",,,"62",,"15.19","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR ORAL TABLET 40MG","0637","RC","Both",,,"24.5","12.25","Caresource","Health Exchange",,,"62",,"15.19","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR ORAL TABLET 40MG","0637","RC","Both",,,"24.5","12.25","Cigna","Commercial",,,"59",,"14.36","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR ORAL TABLET 40MG","0637","RC","Both",,,"24.5","12.25","Humana","Commercial",,,"78",,"18.99","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR ORAL TABLET 40MG","0637","RC","Both",,,"24.5","12.25","UHC","Commercial",,,"75",,"18.47","0.15","5264.58","percent of total billed charges",,
"NF-BENICAR ORAL TABLET 40MG","0637","RC","Both",,,"24.5","12.25","Medicaid",,,,"37",,"8.97","0.15","5264.58","percent of total billed charges",,
"NF-SCOPOLAMINE TD PATCH ER 1.5MG","0637","RC","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-SCOPOLAMINE TD PATCH ER 1.5MG","0637","RC","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","0.15","5264.58","percent of total billed charges",,
"NF-SCOPOLAMINE TD PATCH ER 1.5MG","0637","RC","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-SCOPOLAMINE TD PATCH ER 1.5MG","0637","RC","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-SCOPOLAMINE TD PATCH ER 1.5MG","0637","RC","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-SCOPOLAMINE TD PATCH ER 1.5MG","0637","RC","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-SCOPOLAMINE TD PATCH ER 1.5MG","0637","RC","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-SCOPOLAMINE TD PATCH ER 1.5MG","0637","RC","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"NF-SCOPOLAMINE TD PATCH ER 1.5MG","0637","RC","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","0.15","5264.58","percent of total billed charges",,
"NF-SCOPOLAMINE TD PATCH ER 1.5MG","0637","RC","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.15","5264.58","percent of total billed charges",,
"NF-SCOPOLAMINE TD PATCH ER 1.5MG","0637","RC","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","0.15","5264.58","percent of total billed charges",,
"NF-SCOPOLAMINE TD PATCH ER 1.5MG","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"NF-SCOPOLAMINE TD PATCH ER 1.5MG","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"NF-SCOPOLAMINE TD PATCH ER 1.5MG","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"NF-SCOPOLAMINE TD PATCH ER 1.5MG","0637","RC","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-SCOPOLAMINE TD PATCH ER 1.5MG","0637","RC","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-SCOPOLAMINE TD PATCH ER 1.5MG","0637","RC","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","0.15","5264.58","percent of total billed charges",,
"NF-SCOPOLAMINE TD PATCH ER 1.5MG","0637","RC","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","0.15","5264.58","percent of total billed charges",,
"NF-SCOPOLAMINE TD PATCH ER 1.5MG","0637","RC","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","0.15","5264.58","percent of total billed charges",,
"NF-SCOPOLAMINE TD PATCH ER 1.5MG","0637","RC","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE ORAL TABLET 112MCG","0637","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE ORAL TABLET 112MCG","0637","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE ORAL TABLET 112MCG","0637","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE ORAL TABLET 112MCG","0637","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE ORAL TABLET 112MCG","0637","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE ORAL TABLET 112MCG","0637","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE ORAL TABLET 112MCG","0637","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE ORAL TABLET 112MCG","0637","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE ORAL TABLET 112MCG","0637","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE ORAL TABLET 112MCG","0637","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE ORAL TABLET 112MCG","0637","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE ORAL TABLET 112MCG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE ORAL TABLET 112MCG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE ORAL TABLET 112MCG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE ORAL TABLET 112MCG","0637","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE ORAL TABLET 112MCG","0637","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE ORAL TABLET 112MCG","0637","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE ORAL TABLET 112MCG","0637","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE ORAL TABLET 112MCG","0637","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE ORAL TABLET 112MCG","0637","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-LUBIPROSTONE LIQ CAP 24MCG","0637","RC","Both",,,"15.5","7.75","Alliant","Health Exchange",,,"62",,"9.61","0.15","5264.58","percent of total billed charges",,
"NF-LUBIPROSTONE LIQ CAP 24MCG","0637","RC","Both",,,"15.5","7.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.37","0.15","5264.58","percent of total billed charges",,
"NF-LUBIPROSTONE LIQ CAP 24MCG","0637","RC","Both",,,"15.5","7.75","Medicare",,,,"54",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-LUBIPROSTONE LIQ CAP 24MCG","0637","RC","Both",,,"15.5","7.75","Humana","Medicare Advantage",,,"54",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-LUBIPROSTONE LIQ CAP 24MCG","0637","RC","Both",,,"15.5","7.75","UHC","Medicare Advantage",,,"54",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-LUBIPROSTONE LIQ CAP 24MCG","0637","RC","Both",,,"15.5","7.75","Clover","Medicare Advantage",,,"54",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-LUBIPROSTONE LIQ CAP 24MCG","0637","RC","Both",,,"15.5","7.75","Wellcare","Medicare Advantage",,,"54",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-LUBIPROSTONE LIQ CAP 24MCG","0637","RC","Both",,,"15.5","7.75","Amerigroup","Medicaid Managed Care",,,"37",,"5.67","0.15","5264.58","percent of total billed charges",,
"NF-LUBIPROSTONE LIQ CAP 24MCG","0637","RC","Both",,,"15.5","7.75","Caresource","Medicaid Managed Care",,,"40",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-LUBIPROSTONE LIQ CAP 24MCG","0637","RC","Both",,,"15.5","7.75","Wellcare","Medicaid Managed Care",,,"40",,"6.28","0.15","5264.58","percent of total billed charges",,
"NF-LUBIPROSTONE LIQ CAP 24MCG","0637","RC","Both",,,"15.5","7.75","Aetna","Commercial",,,"64",,"9.89","0.15","5264.58","percent of total billed charges",,
"NF-LUBIPROSTONE LIQ CAP 24MCG","0637","RC","Both",,,"15.5","7.75","Blue Cross Blue Shield","Pathways",,,"71",,"10.94","0.15","5264.58","percent of total billed charges",,
"NF-LUBIPROSTONE LIQ CAP 24MCG","0637","RC","Both",,,"15.5","7.75","Blue Cross Blue Shield","HMO",,,"71",,"10.94","0.15","5264.58","percent of total billed charges",,
"NF-LUBIPROSTONE LIQ CAP 24MCG","0637","RC","Both",,,"15.5","7.75","Blue Cross Blue Shield","PPO",,,"71",,"10.94","0.15","5264.58","percent of total billed charges",,
"NF-LUBIPROSTONE LIQ CAP 24MCG","0637","RC","Both",,,"15.5","7.75","Ambetter","Health Exchange",,,"62",,"9.61","0.15","5264.58","percent of total billed charges",,
"NF-LUBIPROSTONE LIQ CAP 24MCG","0637","RC","Both",,,"15.5","7.75","Caresource","Health Exchange",,,"62",,"9.61","0.15","5264.58","percent of total billed charges",,
"NF-LUBIPROSTONE LIQ CAP 24MCG","0637","RC","Both",,,"15.5","7.75","Cigna","Commercial",,,"59",,"9.08","0.15","5264.58","percent of total billed charges",,
"NF-LUBIPROSTONE LIQ CAP 24MCG","0637","RC","Both",,,"15.5","7.75","Humana","Commercial",,,"78",,"12.01","0.15","5264.58","percent of total billed charges",,
"NF-LUBIPROSTONE LIQ CAP 24MCG","0637","RC","Both",,,"15.5","7.75","UHC","Commercial",,,"75",,"11.69","0.15","5264.58","percent of total billed charges",,
"NF-LUBIPROSTONE LIQ CAP 24MCG","0637","RC","Both",,,"15.5","7.75","Medicaid",,,,"37",,"5.67","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 112MCG","0637","RC","Both",,,"1.5","0.75","Alliant","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 112MCG","0637","RC","Both",,,"1.5","0.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 112MCG","0637","RC","Both",,,"1.5","0.75","Medicare",,,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 112MCG","0637","RC","Both",,,"1.5","0.75","Humana","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 112MCG","0637","RC","Both",,,"1.5","0.75","UHC","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 112MCG","0637","RC","Both",,,"1.5","0.75","Clover","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 112MCG","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 112MCG","0637","RC","Both",,,"1.5","0.75","Amerigroup","Medicaid Managed Care",,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 112MCG","0637","RC","Both",,,"1.5","0.75","Caresource","Medicaid Managed Care",,,"40",,"0.6","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 112MCG","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicaid Managed Care",,,"40",,"0.61","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 112MCG","0637","RC","Both",,,"1.5","0.75","Aetna","Commercial",,,"64",,"0.96","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 112MCG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","Pathways",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 112MCG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","HMO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 112MCG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","PPO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 112MCG","0637","RC","Both",,,"1.5","0.75","Ambetter","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 112MCG","0637","RC","Both",,,"1.5","0.75","Caresource","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 112MCG","0637","RC","Both",,,"1.5","0.75","Cigna","Commercial",,,"59",,"0.88","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 112MCG","0637","RC","Both",,,"1.5","0.75","Humana","Commercial",,,"78",,"1.16","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 112MCG","0637","RC","Both",,,"1.5","0.75","UHC","Commercial",,,"75",,"1.13","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID ORAL TABLET 112MCG","0637","RC","Both",,,"1.5","0.75","Medicaid",,,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE TABLET","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE TABLET","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE TABLET","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE TABLET","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE TABLET","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE TABLET","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE TABLET","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE TABLET","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE TABLET","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE TABLET","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE TABLET","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE TABLET","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE TABLET","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE TABLET","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE TABLET","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE TABLET","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE TABLET","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE TABLET","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE TABLET","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE TABLET","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 200MG","0637","RC","Both",,,"22.5","11.25","Alliant","Health Exchange",,,"62",,"13.95","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 200MG","0637","RC","Both",,,"22.5","11.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.15","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 200MG","0637","RC","Both",,,"22.5","11.25","Medicare",,,,"54",,"12.2","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 200MG","0637","RC","Both",,,"22.5","11.25","Humana","Medicare Advantage",,,"54",,"12.2","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 200MG","0637","RC","Both",,,"22.5","11.25","UHC","Medicare Advantage",,,"54",,"12.2","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 200MG","0637","RC","Both",,,"22.5","11.25","Clover","Medicare Advantage",,,"54",,"12.2","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 200MG","0637","RC","Both",,,"22.5","11.25","Wellcare","Medicare Advantage",,,"54",,"12.2","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 200MG","0637","RC","Both",,,"22.5","11.25","Amerigroup","Medicaid Managed Care",,,"37",,"8.24","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 200MG","0637","RC","Both",,,"22.5","11.25","Caresource","Medicaid Managed Care",,,"40",,"9","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 200MG","0637","RC","Both",,,"22.5","11.25","Wellcare","Medicaid Managed Care",,,"40",,"9.11","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 200MG","0637","RC","Both",,,"22.5","11.25","Aetna","Commercial",,,"64",,"14.36","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 200MG","0637","RC","Both",,,"22.5","11.25","Blue Cross Blue Shield","Pathways",,,"71",,"15.88","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 200MG","0637","RC","Both",,,"22.5","11.25","Blue Cross Blue Shield","HMO",,,"71",,"15.88","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 200MG","0637","RC","Both",,,"22.5","11.25","Blue Cross Blue Shield","PPO",,,"71",,"15.88","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 200MG","0637","RC","Both",,,"22.5","11.25","Ambetter","Health Exchange",,,"62",,"13.95","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 200MG","0637","RC","Both",,,"22.5","11.25","Caresource","Health Exchange",,,"62",,"13.95","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 200MG","0637","RC","Both",,,"22.5","11.25","Cigna","Commercial",,,"59",,"13.18","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 200MG","0637","RC","Both",,,"22.5","11.25","Humana","Commercial",,,"78",,"17.44","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 200MG","0637","RC","Both",,,"22.5","11.25","UHC","Commercial",,,"75",,"16.96","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 200MG","0637","RC","Both",,,"22.5","11.25","Medicaid",,,,"37",,"8.24","0.15","5264.58","percent of total billed charges",,
"NF-BUTRANS TD PATCH ER 10MCG/1HR","0637","RC","Both",,,"252","126","Alliant","Health Exchange",,,"62",,"156.24","0.15","5264.58","percent of total billed charges",,
"NF-BUTRANS TD PATCH ER 10MCG/1HR","0637","RC","Both",,,"252","126","Pruitt Healthcare","Medicare Advantage",,,"54",,"136.08","0.15","5264.58","percent of total billed charges",,
"NF-BUTRANS TD PATCH ER 10MCG/1HR","0637","RC","Both",,,"252","126","Medicare",,,,"54",,"136.58","0.15","5264.58","percent of total billed charges",,
"NF-BUTRANS TD PATCH ER 10MCG/1HR","0637","RC","Both",,,"252","126","Humana","Medicare Advantage",,,"54",,"136.58","0.15","5264.58","percent of total billed charges",,
"NF-BUTRANS TD PATCH ER 10MCG/1HR","0637","RC","Both",,,"252","126","UHC","Medicare Advantage",,,"54",,"136.58","0.15","5264.58","percent of total billed charges",,
"NF-BUTRANS TD PATCH ER 10MCG/1HR","0637","RC","Both",,,"252","126","Clover","Medicare Advantage",,,"54",,"136.58","0.15","5264.58","percent of total billed charges",,
"NF-BUTRANS TD PATCH ER 10MCG/1HR","0637","RC","Both",,,"252","126","Wellcare","Medicare Advantage",,,"54",,"136.58","0.15","5264.58","percent of total billed charges",,
"NF-BUTRANS TD PATCH ER 10MCG/1HR","0637","RC","Both",,,"252","126","Amerigroup","Medicaid Managed Care",,,"37",,"92.23","0.15","5264.58","percent of total billed charges",,
"NF-BUTRANS TD PATCH ER 10MCG/1HR","0637","RC","Both",,,"252","126","Caresource","Medicaid Managed Care",,,"40",,"100.8","0.15","5264.58","percent of total billed charges",,
"NF-BUTRANS TD PATCH ER 10MCG/1HR","0637","RC","Both",,,"252","126","Wellcare","Medicaid Managed Care",,,"40",,"102.06","0.15","5264.58","percent of total billed charges",,
"NF-BUTRANS TD PATCH ER 10MCG/1HR","0637","RC","Both",,,"252","126","Aetna","Commercial",,,"64",,"160.78","0.15","5264.58","percent of total billed charges",,
"NF-BUTRANS TD PATCH ER 10MCG/1HR","0637","RC","Both",,,"252","126","Blue Cross Blue Shield","Pathways",,,"71",,"177.91","0.15","5264.58","percent of total billed charges",,
"NF-BUTRANS TD PATCH ER 10MCG/1HR","0637","RC","Both",,,"252","126","Blue Cross Blue Shield","HMO",,,"71",,"177.91","0.15","5264.58","percent of total billed charges",,
"NF-BUTRANS TD PATCH ER 10MCG/1HR","0637","RC","Both",,,"252","126","Blue Cross Blue Shield","PPO",,,"71",,"177.91","0.15","5264.58","percent of total billed charges",,
"NF-BUTRANS TD PATCH ER 10MCG/1HR","0637","RC","Both",,,"252","126","Ambetter","Health Exchange",,,"62",,"156.24","0.15","5264.58","percent of total billed charges",,
"NF-BUTRANS TD PATCH ER 10MCG/1HR","0637","RC","Both",,,"252","126","Caresource","Health Exchange",,,"62",,"156.24","0.15","5264.58","percent of total billed charges",,
"NF-BUTRANS TD PATCH ER 10MCG/1HR","0637","RC","Both",,,"252","126","Cigna","Commercial",,,"59",,"147.67","0.15","5264.58","percent of total billed charges",,
"NF-BUTRANS TD PATCH ER 10MCG/1HR","0637","RC","Both",,,"252","126","Humana","Commercial",,,"78",,"195.3","0.15","5264.58","percent of total billed charges",,
"NF-BUTRANS TD PATCH ER 10MCG/1HR","0637","RC","Both",,,"252","126","UHC","Commercial",,,"75",,"190.01","0.15","5264.58","percent of total billed charges",,
"NF-BUTRANS TD PATCH ER 10MCG/1HR","0637","RC","Both",,,"252","126","Medicaid",,,,"37",,"92.23","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-CRESTOR TAB 5MG","0637","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.15","5264.58","percent of total billed charges",,
"NF-CRESTOR TAB 5MG","0637","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.15","5264.58","percent of total billed charges",,
"NF-CRESTOR TAB 5MG","0637","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.15","5264.58","percent of total billed charges",,
"NF-CRESTOR TAB 5MG","0637","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.15","5264.58","percent of total billed charges",,
"NF-CRESTOR TAB 5MG","0637","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.15","5264.58","percent of total billed charges",,
"NF-CRESTOR TAB 5MG","0637","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.15","5264.58","percent of total billed charges",,
"NF-CRESTOR TAB 5MG","0637","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.15","5264.58","percent of total billed charges",,
"NF-CRESTOR TAB 5MG","0637","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.15","5264.58","percent of total billed charges",,
"NF-CRESTOR TAB 5MG","0637","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.15","5264.58","percent of total billed charges",,
"NF-CRESTOR TAB 5MG","0637","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.15","5264.58","percent of total billed charges",,
"NF-CRESTOR TAB 5MG","0637","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.15","5264.58","percent of total billed charges",,
"NF-CRESTOR TAB 5MG","0637","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.15","5264.58","percent of total billed charges",,
"NF-CRESTOR TAB 5MG","0637","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.15","5264.58","percent of total billed charges",,
"NF-CRESTOR TAB 5MG","0637","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.15","5264.58","percent of total billed charges",,
"NF-CRESTOR TAB 5MG","0637","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.15","5264.58","percent of total billed charges",,
"NF-CRESTOR TAB 5MG","0637","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.15","5264.58","percent of total billed charges",,
"NF-CRESTOR TAB 5MG","0637","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.15","5264.58","percent of total billed charges",,
"NF-CRESTOR TAB 5MG","0637","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.15","5264.58","percent of total billed charges",,
"NF-CRESTOR TAB 5MG","0637","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.15","5264.58","percent of total billed charges",,
"NF-CRESTOR TAB 5MG","0637","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.15","5264.58","percent of total billed charges",,
"NF-TRUVADA ORAL TABLET 200MG-300MG","0637","RC","Both",,,"231","115.5","Alliant","Health Exchange",,,"62",,"143.22","0.15","5264.58","percent of total billed charges",,
"NF-TRUVADA ORAL TABLET 200MG-300MG","0637","RC","Both",,,"231","115.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"124.74","0.15","5264.58","percent of total billed charges",,
"NF-TRUVADA ORAL TABLET 200MG-300MG","0637","RC","Both",,,"231","115.5","Medicare",,,,"54",,"125.2","0.15","5264.58","percent of total billed charges",,
"NF-TRUVADA ORAL TABLET 200MG-300MG","0637","RC","Both",,,"231","115.5","Humana","Medicare Advantage",,,"54",,"125.2","0.15","5264.58","percent of total billed charges",,
"NF-TRUVADA ORAL TABLET 200MG-300MG","0637","RC","Both",,,"231","115.5","UHC","Medicare Advantage",,,"54",,"125.2","0.15","5264.58","percent of total billed charges",,
"NF-TRUVADA ORAL TABLET 200MG-300MG","0637","RC","Both",,,"231","115.5","Clover","Medicare Advantage",,,"54",,"125.2","0.15","5264.58","percent of total billed charges",,
"NF-TRUVADA ORAL TABLET 200MG-300MG","0637","RC","Both",,,"231","115.5","Wellcare","Medicare Advantage",,,"54",,"125.2","0.15","5264.58","percent of total billed charges",,
"NF-TRUVADA ORAL TABLET 200MG-300MG","0637","RC","Both",,,"231","115.5","Amerigroup","Medicaid Managed Care",,,"37",,"84.55","0.15","5264.58","percent of total billed charges",,
"NF-TRUVADA ORAL TABLET 200MG-300MG","0637","RC","Both",,,"231","115.5","Caresource","Medicaid Managed Care",,,"40",,"92.4","0.15","5264.58","percent of total billed charges",,
"NF-TRUVADA ORAL TABLET 200MG-300MG","0637","RC","Both",,,"231","115.5","Wellcare","Medicaid Managed Care",,,"40",,"93.56","0.15","5264.58","percent of total billed charges",,
"NF-TRUVADA ORAL TABLET 200MG-300MG","0637","RC","Both",,,"231","115.5","Aetna","Commercial",,,"64",,"147.38","0.15","5264.58","percent of total billed charges",,
"NF-TRUVADA ORAL TABLET 200MG-300MG","0637","RC","Both",,,"231","115.5","Blue Cross Blue Shield","Pathways",,,"71",,"163.09","0.15","5264.58","percent of total billed charges",,
"NF-TRUVADA ORAL TABLET 200MG-300MG","0637","RC","Both",,,"231","115.5","Blue Cross Blue Shield","HMO",,,"71",,"163.09","0.15","5264.58","percent of total billed charges",,
"NF-TRUVADA ORAL TABLET 200MG-300MG","0637","RC","Both",,,"231","115.5","Blue Cross Blue Shield","PPO",,,"71",,"163.09","0.15","5264.58","percent of total billed charges",,
"NF-TRUVADA ORAL TABLET 200MG-300MG","0637","RC","Both",,,"231","115.5","Ambetter","Health Exchange",,,"62",,"143.22","0.15","5264.58","percent of total billed charges",,
"NF-TRUVADA ORAL TABLET 200MG-300MG","0637","RC","Both",,,"231","115.5","Caresource","Health Exchange",,,"62",,"143.22","0.15","5264.58","percent of total billed charges",,
"NF-TRUVADA ORAL TABLET 200MG-300MG","0637","RC","Both",,,"231","115.5","Cigna","Commercial",,,"59",,"135.37","0.15","5264.58","percent of total billed charges",,
"NF-TRUVADA ORAL TABLET 200MG-300MG","0637","RC","Both",,,"231","115.5","Humana","Commercial",,,"78",,"179.02","0.15","5264.58","percent of total billed charges",,
"NF-TRUVADA ORAL TABLET 200MG-300MG","0637","RC","Both",,,"231","115.5","UHC","Commercial",,,"75",,"174.17","0.15","5264.58","percent of total billed charges",,
"NF-TRUVADA ORAL TABLET 200MG-300MG","0637","RC","Both",,,"231","115.5","Medicaid",,,,"37",,"84.55","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE ORAL TABLET 300MG","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE ORAL TABLET 300MG","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE ORAL TABLET 300MG","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE ORAL TABLET 300MG","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE ORAL TABLET 300MG","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE ORAL TABLET 300MG","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE ORAL TABLET 300MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE ORAL TABLET 300MG","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE ORAL TABLET 300MG","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE ORAL TABLET 300MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE ORAL TABLET 300MG","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE ORAL TABLET 300MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE ORAL TABLET 300MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE ORAL TABLET 300MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE ORAL TABLET 300MG","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE ORAL TABLET 300MG","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE ORAL TABLET 300MG","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE ORAL TABLET 300MG","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE ORAL TABLET 300MG","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE ORAL TABLET 300MG","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-MEPILEX FOAM DRESSING","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"NF-MEPILEX FOAM DRESSING","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"NF-MEPILEX FOAM DRESSING","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-MEPILEX FOAM DRESSING","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-MEPILEX FOAM DRESSING","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-MEPILEX FOAM DRESSING","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-MEPILEX FOAM DRESSING","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-MEPILEX FOAM DRESSING","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-MEPILEX FOAM DRESSING","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"NF-MEPILEX FOAM DRESSING","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"NF-MEPILEX FOAM DRESSING","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"NF-MEPILEX FOAM DRESSING","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"NF-MEPILEX FOAM DRESSING","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"NF-MEPILEX FOAM DRESSING","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"NF-MEPILEX FOAM DRESSING","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"NF-MEPILEX FOAM DRESSING","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"NF-MEPILEX FOAM DRESSING","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"NF-MEPILEX FOAM DRESSING","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"NF-MEPILEX FOAM DRESSING","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"NF-MEPILEX FOAM DRESSING","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE ADULT 50+ LIQUID-FILLED CAPSU","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE ADULT 50+ LIQUID-FILLED CAPSU","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE ADULT 50+ LIQUID-FILLED CAPSU","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE ADULT 50+ LIQUID-FILLED CAPSU","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE ADULT 50+ LIQUID-FILLED CAPSU","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE ADULT 50+ LIQUID-FILLED CAPSU","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE ADULT 50+ LIQUID-FILLED CAPSU","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE ADULT 50+ LIQUID-FILLED CAPSU","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE ADULT 50+ LIQUID-FILLED CAPSU","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE ADULT 50+ LIQUID-FILLED CAPSU","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE ADULT 50+ LIQUID-FILLED CAPSU","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE ADULT 50+ LIQUID-FILLED CAPSU","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE ADULT 50+ LIQUID-FILLED CAPSU","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE ADULT 50+ LIQUID-FILLED CAPSU","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE ADULT 50+ LIQUID-FILLED CAPSU","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE ADULT 50+ LIQUID-FILLED CAPSU","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE ADULT 50+ LIQUID-FILLED CAPSU","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE ADULT 50+ LIQUID-FILLED CAPSU","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE ADULT 50+ LIQUID-FILLED CAPSU","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE ADULT 50+ LIQUID-FILLED CAPSU","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-PREDNISOLONE ACETATE OPHTH SUSP 1%","0637","RC","Both",,,"32","16","Alliant","Health Exchange",,,"62",,"19.84","0.15","5264.58","percent of total billed charges",,
"NF-PREDNISOLONE ACETATE OPHTH SUSP 1%","0637","RC","Both",,,"32","16","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.28","0.15","5264.58","percent of total billed charges",,
"NF-PREDNISOLONE ACETATE OPHTH SUSP 1%","0637","RC","Both",,,"32","16","Medicare",,,,"54",,"17.34","0.15","5264.58","percent of total billed charges",,
"NF-PREDNISOLONE ACETATE OPHTH SUSP 1%","0637","RC","Both",,,"32","16","Humana","Medicare Advantage",,,"54",,"17.34","0.15","5264.58","percent of total billed charges",,
"NF-PREDNISOLONE ACETATE OPHTH SUSP 1%","0637","RC","Both",,,"32","16","UHC","Medicare Advantage",,,"54",,"17.34","0.15","5264.58","percent of total billed charges",,
"NF-PREDNISOLONE ACETATE OPHTH SUSP 1%","0637","RC","Both",,,"32","16","Clover","Medicare Advantage",,,"54",,"17.34","0.15","5264.58","percent of total billed charges",,
"NF-PREDNISOLONE ACETATE OPHTH SUSP 1%","0637","RC","Both",,,"32","16","Wellcare","Medicare Advantage",,,"54",,"17.34","0.15","5264.58","percent of total billed charges",,
"NF-PREDNISOLONE ACETATE OPHTH SUSP 1%","0637","RC","Both",,,"32","16","Amerigroup","Medicaid Managed Care",,,"37",,"11.71","0.15","5264.58","percent of total billed charges",,
"NF-PREDNISOLONE ACETATE OPHTH SUSP 1%","0637","RC","Both",,,"32","16","Caresource","Medicaid Managed Care",,,"40",,"12.8","0.15","5264.58","percent of total billed charges",,
"NF-PREDNISOLONE ACETATE OPHTH SUSP 1%","0637","RC","Both",,,"32","16","Wellcare","Medicaid Managed Care",,,"40",,"12.96","0.15","5264.58","percent of total billed charges",,
"NF-PREDNISOLONE ACETATE OPHTH SUSP 1%","0637","RC","Both",,,"32","16","Aetna","Commercial",,,"64",,"20.42","0.15","5264.58","percent of total billed charges",,
"NF-PREDNISOLONE ACETATE OPHTH SUSP 1%","0637","RC","Both",,,"32","16","Blue Cross Blue Shield","Pathways",,,"71",,"22.59","0.15","5264.58","percent of total billed charges",,
"NF-PREDNISOLONE ACETATE OPHTH SUSP 1%","0637","RC","Both",,,"32","16","Blue Cross Blue Shield","HMO",,,"71",,"22.59","0.15","5264.58","percent of total billed charges",,
"NF-PREDNISOLONE ACETATE OPHTH SUSP 1%","0637","RC","Both",,,"32","16","Blue Cross Blue Shield","PPO",,,"71",,"22.59","0.15","5264.58","percent of total billed charges",,
"NF-PREDNISOLONE ACETATE OPHTH SUSP 1%","0637","RC","Both",,,"32","16","Ambetter","Health Exchange",,,"62",,"19.84","0.15","5264.58","percent of total billed charges",,
"NF-PREDNISOLONE ACETATE OPHTH SUSP 1%","0637","RC","Both",,,"32","16","Caresource","Health Exchange",,,"62",,"19.84","0.15","5264.58","percent of total billed charges",,
"NF-PREDNISOLONE ACETATE OPHTH SUSP 1%","0637","RC","Both",,,"32","16","Cigna","Commercial",,,"59",,"18.75","0.15","5264.58","percent of total billed charges",,
"NF-PREDNISOLONE ACETATE OPHTH SUSP 1%","0637","RC","Both",,,"32","16","Humana","Commercial",,,"78",,"24.8","0.15","5264.58","percent of total billed charges",,
"NF-PREDNISOLONE ACETATE OPHTH SUSP 1%","0637","RC","Both",,,"32","16","UHC","Commercial",,,"75",,"24.13","0.15","5264.58","percent of total billed charges",,
"NF-PREDNISOLONE ACETATE OPHTH SUSP 1%","0637","RC","Both",,,"32","16","Medicaid",,,,"37",,"11.71","0.15","5264.58","percent of total billed charges",,
"NF-ATROVENT HFA SOLN INH ORAL NEB 0.017M","0637","RC","Both",,,"72.5","36.25","Alliant","Health Exchange",,,"62",,"44.95","0.15","5264.58","percent of total billed charges",,
"NF-ATROVENT HFA SOLN INH ORAL NEB 0.017M","0637","RC","Both",,,"72.5","36.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"39.15","0.15","5264.58","percent of total billed charges",,
"NF-ATROVENT HFA SOLN INH ORAL NEB 0.017M","0637","RC","Both",,,"72.5","36.25","Medicare",,,,"54",,"39.3","0.15","5264.58","percent of total billed charges",,
"NF-ATROVENT HFA SOLN INH ORAL NEB 0.017M","0637","RC","Both",,,"72.5","36.25","Humana","Medicare Advantage",,,"54",,"39.3","0.15","5264.58","percent of total billed charges",,
"NF-ATROVENT HFA SOLN INH ORAL NEB 0.017M","0637","RC","Both",,,"72.5","36.25","UHC","Medicare Advantage",,,"54",,"39.3","0.15","5264.58","percent of total billed charges",,
"NF-ATROVENT HFA SOLN INH ORAL NEB 0.017M","0637","RC","Both",,,"72.5","36.25","Clover","Medicare Advantage",,,"54",,"39.3","0.15","5264.58","percent of total billed charges",,
"NF-ATROVENT HFA SOLN INH ORAL NEB 0.017M","0637","RC","Both",,,"72.5","36.25","Wellcare","Medicare Advantage",,,"54",,"39.3","0.15","5264.58","percent of total billed charges",,
"NF-ATROVENT HFA SOLN INH ORAL NEB 0.017M","0637","RC","Both",,,"72.5","36.25","Amerigroup","Medicaid Managed Care",,,"37",,"26.54","0.15","5264.58","percent of total billed charges",,
"NF-ATROVENT HFA SOLN INH ORAL NEB 0.017M","0637","RC","Both",,,"72.5","36.25","Caresource","Medicaid Managed Care",,,"40",,"29","0.15","5264.58","percent of total billed charges",,
"NF-ATROVENT HFA SOLN INH ORAL NEB 0.017M","0637","RC","Both",,,"72.5","36.25","Wellcare","Medicaid Managed Care",,,"40",,"29.36","0.15","5264.58","percent of total billed charges",,
"NF-ATROVENT HFA SOLN INH ORAL NEB 0.017M","0637","RC","Both",,,"72.5","36.25","Aetna","Commercial",,,"64",,"46.26","0.15","5264.58","percent of total billed charges",,
"NF-ATROVENT HFA SOLN INH ORAL NEB 0.017M","0637","RC","Both",,,"72.5","36.25","Blue Cross Blue Shield","Pathways",,,"71",,"51.18","0.15","5264.58","percent of total billed charges",,
"NF-ATROVENT HFA SOLN INH ORAL NEB 0.017M","0637","RC","Both",,,"72.5","36.25","Blue Cross Blue Shield","HMO",,,"71",,"51.18","0.15","5264.58","percent of total billed charges",,
"NF-ATROVENT HFA SOLN INH ORAL NEB 0.017M","0637","RC","Both",,,"72.5","36.25","Blue Cross Blue Shield","PPO",,,"71",,"51.18","0.15","5264.58","percent of total billed charges",,
"NF-ATROVENT HFA SOLN INH ORAL NEB 0.017M","0637","RC","Both",,,"72.5","36.25","Ambetter","Health Exchange",,,"62",,"44.95","0.15","5264.58","percent of total billed charges",,
"NF-ATROVENT HFA SOLN INH ORAL NEB 0.017M","0637","RC","Both",,,"72.5","36.25","Caresource","Health Exchange",,,"62",,"44.95","0.15","5264.58","percent of total billed charges",,
"NF-ATROVENT HFA SOLN INH ORAL NEB 0.017M","0637","RC","Both",,,"72.5","36.25","Cigna","Commercial",,,"59",,"42.48","0.15","5264.58","percent of total billed charges",,
"NF-ATROVENT HFA SOLN INH ORAL NEB 0.017M","0637","RC","Both",,,"72.5","36.25","Humana","Commercial",,,"78",,"56.19","0.15","5264.58","percent of total billed charges",,
"NF-ATROVENT HFA SOLN INH ORAL NEB 0.017M","0637","RC","Both",,,"72.5","36.25","UHC","Commercial",,,"75",,"54.66","0.15","5264.58","percent of total billed charges",,
"NF-ATROVENT HFA SOLN INH ORAL NEB 0.017M","0637","RC","Both",,,"72.5","36.25","Medicaid",,,,"37",,"26.54","0.15","5264.58","percent of total billed charges",,
"NF-DAPSONE 100MG ORAL TABLET","0637","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-DAPSONE 100MG ORAL TABLET","0637","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.15","5264.58","percent of total billed charges",,
"NF-DAPSONE 100MG ORAL TABLET","0637","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-DAPSONE 100MG ORAL TABLET","0637","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-DAPSONE 100MG ORAL TABLET","0637","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-DAPSONE 100MG ORAL TABLET","0637","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-DAPSONE 100MG ORAL TABLET","0637","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-DAPSONE 100MG ORAL TABLET","0637","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-DAPSONE 100MG ORAL TABLET","0637","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.15","5264.58","percent of total billed charges",,
"NF-DAPSONE 100MG ORAL TABLET","0637","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-DAPSONE 100MG ORAL TABLET","0637","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.15","5264.58","percent of total billed charges",,
"NF-DAPSONE 100MG ORAL TABLET","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-DAPSONE 100MG ORAL TABLET","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-DAPSONE 100MG ORAL TABLET","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-DAPSONE 100MG ORAL TABLET","0637","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-DAPSONE 100MG ORAL TABLET","0637","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-DAPSONE 100MG ORAL TABLET","0637","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.15","5264.58","percent of total billed charges",,
"NF-DAPSONE 100MG ORAL TABLET","0637","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-DAPSONE 100MG ORAL TABLET","0637","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.15","5264.58","percent of total billed charges",,
"NF-DAPSONE 100MG ORAL TABLET","0637","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 25MG","0637","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 25MG","0637","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 25MG","0637","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 25MG","0637","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 25MG","0637","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 25MG","0637","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 25MG","0637","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 25MG","0637","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 25MG","0637","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 25MG","0637","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 25MG","0637","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 25MG","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 25MG","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 25MG","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 25MG","0637","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 25MG","0637","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 25MG","0637","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 25MG","0637","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 25MG","0637","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 25MG","0637","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 100MG","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 100MG","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 100MG","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 100MG","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 100MG","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 100MG","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 100MG","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 100MG","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 100MG","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 100MG","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 100MG","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 100MG","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 100MG","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 100MG","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 100MG","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 100MG","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 100MG","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 100MG","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 100MG","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"NF-CLOZAPINE ORAL TABLET 100MG","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"NF-CLOZARIL TABLET 25MG","0637","RC","Both",,,"17.5","8.75","Alliant","Health Exchange",,,"62",,"10.85","0.15","5264.58","percent of total billed charges",,
"NF-CLOZARIL TABLET 25MG","0637","RC","Both",,,"17.5","8.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.45","0.15","5264.58","percent of total billed charges",,
"NF-CLOZARIL TABLET 25MG","0637","RC","Both",,,"17.5","8.75","Medicare",,,,"54",,"9.49","0.15","5264.58","percent of total billed charges",,
"NF-CLOZARIL TABLET 25MG","0637","RC","Both",,,"17.5","8.75","Humana","Medicare Advantage",,,"54",,"9.49","0.15","5264.58","percent of total billed charges",,
"NF-CLOZARIL TABLET 25MG","0637","RC","Both",,,"17.5","8.75","UHC","Medicare Advantage",,,"54",,"9.49","0.15","5264.58","percent of total billed charges",,
"NF-CLOZARIL TABLET 25MG","0637","RC","Both",,,"17.5","8.75","Clover","Medicare Advantage",,,"54",,"9.49","0.15","5264.58","percent of total billed charges",,
"NF-CLOZARIL TABLET 25MG","0637","RC","Both",,,"17.5","8.75","Wellcare","Medicare Advantage",,,"54",,"9.49","0.15","5264.58","percent of total billed charges",,
"NF-CLOZARIL TABLET 25MG","0637","RC","Both",,,"17.5","8.75","Amerigroup","Medicaid Managed Care",,,"37",,"6.4","0.15","5264.58","percent of total billed charges",,
"NF-CLOZARIL TABLET 25MG","0637","RC","Both",,,"17.5","8.75","Caresource","Medicaid Managed Care",,,"40",,"7","0.15","5264.58","percent of total billed charges",,
"NF-CLOZARIL TABLET 25MG","0637","RC","Both",,,"17.5","8.75","Wellcare","Medicaid Managed Care",,,"40",,"7.09","0.15","5264.58","percent of total billed charges",,
"NF-CLOZARIL TABLET 25MG","0637","RC","Both",,,"17.5","8.75","Aetna","Commercial",,,"64",,"11.16","0.15","5264.58","percent of total billed charges",,
"NF-CLOZARIL TABLET 25MG","0637","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","Pathways",,,"71",,"12.35","0.15","5264.58","percent of total billed charges",,
"NF-CLOZARIL TABLET 25MG","0637","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","HMO",,,"71",,"12.35","0.15","5264.58","percent of total billed charges",,
"NF-CLOZARIL TABLET 25MG","0637","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","PPO",,,"71",,"12.35","0.15","5264.58","percent of total billed charges",,
"NF-CLOZARIL TABLET 25MG","0637","RC","Both",,,"17.5","8.75","Ambetter","Health Exchange",,,"62",,"10.85","0.15","5264.58","percent of total billed charges",,
"NF-CLOZARIL TABLET 25MG","0637","RC","Both",,,"17.5","8.75","Caresource","Health Exchange",,,"62",,"10.85","0.15","5264.58","percent of total billed charges",,
"NF-CLOZARIL TABLET 25MG","0637","RC","Both",,,"17.5","8.75","Cigna","Commercial",,,"59",,"10.26","0.15","5264.58","percent of total billed charges",,
"NF-CLOZARIL TABLET 25MG","0637","RC","Both",,,"17.5","8.75","Humana","Commercial",,,"78",,"13.56","0.15","5264.58","percent of total billed charges",,
"NF-CLOZARIL TABLET 25MG","0637","RC","Both",,,"17.5","8.75","UHC","Commercial",,,"75",,"13.2","0.15","5264.58","percent of total billed charges",,
"NF-CLOZARIL TABLET 25MG","0637","RC","Both",,,"17.5","8.75","Medicaid",,,,"37",,"6.4","0.15","5264.58","percent of total billed charges",,
"NF-TACROLIMUS 1MG ORAL CAPSULE","0637","RC","Both",,,"13.5","6.75","Alliant","Health Exchange",,,"62",,"8.37","0.15","5264.58","percent of total billed charges",,
"NF-TACROLIMUS 1MG ORAL CAPSULE","0637","RC","Both",,,"13.5","6.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.29","0.15","5264.58","percent of total billed charges",,
"NF-TACROLIMUS 1MG ORAL CAPSULE","0637","RC","Both",,,"13.5","6.75","Medicare",,,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-TACROLIMUS 1MG ORAL CAPSULE","0637","RC","Both",,,"13.5","6.75","Humana","Medicare Advantage",,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-TACROLIMUS 1MG ORAL CAPSULE","0637","RC","Both",,,"13.5","6.75","UHC","Medicare Advantage",,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-TACROLIMUS 1MG ORAL CAPSULE","0637","RC","Both",,,"13.5","6.75","Clover","Medicare Advantage",,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-TACROLIMUS 1MG ORAL CAPSULE","0637","RC","Both",,,"13.5","6.75","Wellcare","Medicare Advantage",,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-TACROLIMUS 1MG ORAL CAPSULE","0637","RC","Both",,,"13.5","6.75","Amerigroup","Medicaid Managed Care",,,"37",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-TACROLIMUS 1MG ORAL CAPSULE","0637","RC","Both",,,"13.5","6.75","Caresource","Medicaid Managed Care",,,"40",,"5.4","0.15","5264.58","percent of total billed charges",,
"NF-TACROLIMUS 1MG ORAL CAPSULE","0637","RC","Both",,,"13.5","6.75","Wellcare","Medicaid Managed Care",,,"40",,"5.47","0.15","5264.58","percent of total billed charges",,
"NF-TACROLIMUS 1MG ORAL CAPSULE","0637","RC","Both",,,"13.5","6.75","Aetna","Commercial",,,"64",,"8.61","0.15","5264.58","percent of total billed charges",,
"NF-TACROLIMUS 1MG ORAL CAPSULE","0637","RC","Both",,,"13.5","6.75","Blue Cross Blue Shield","Pathways",,,"71",,"9.53","0.15","5264.58","percent of total billed charges",,
"NF-TACROLIMUS 1MG ORAL CAPSULE","0637","RC","Both",,,"13.5","6.75","Blue Cross Blue Shield","HMO",,,"71",,"9.53","0.15","5264.58","percent of total billed charges",,
"NF-TACROLIMUS 1MG ORAL CAPSULE","0637","RC","Both",,,"13.5","6.75","Blue Cross Blue Shield","PPO",,,"71",,"9.53","0.15","5264.58","percent of total billed charges",,
"NF-TACROLIMUS 1MG ORAL CAPSULE","0637","RC","Both",,,"13.5","6.75","Ambetter","Health Exchange",,,"62",,"8.37","0.15","5264.58","percent of total billed charges",,
"NF-TACROLIMUS 1MG ORAL CAPSULE","0637","RC","Both",,,"13.5","6.75","Caresource","Health Exchange",,,"62",,"8.37","0.15","5264.58","percent of total billed charges",,
"NF-TACROLIMUS 1MG ORAL CAPSULE","0637","RC","Both",,,"13.5","6.75","Cigna","Commercial",,,"59",,"7.91","0.15","5264.58","percent of total billed charges",,
"NF-TACROLIMUS 1MG ORAL CAPSULE","0637","RC","Both",,,"13.5","6.75","Humana","Commercial",,,"78",,"10.46","0.15","5264.58","percent of total billed charges",,
"NF-TACROLIMUS 1MG ORAL CAPSULE","0637","RC","Both",,,"13.5","6.75","UHC","Commercial",,,"75",,"10.18","0.15","5264.58","percent of total billed charges",,
"NF-TACROLIMUS 1MG ORAL CAPSULE","0637","RC","Both",,,"13.5","6.75","Medicaid",,,,"37",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-TACROLIMUS 1MG ORAL CAPSULE","0637","RC","Both",,,"13.5","6.75","Alliant","Health Exchange",,,"62",,"8.37","0.15","5264.58","percent of total billed charges",,
"NF-TACROLIMUS 1MG ORAL CAPSULE","0637","RC","Both",,,"13.5","6.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.29","0.15","5264.58","percent of total billed charges",,
"NF-TACROLIMUS 1MG ORAL CAPSULE","0637","RC","Both",,,"13.5","6.75","Medicare",,,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-TACROLIMUS 1MG ORAL CAPSULE","0637","RC","Both",,,"13.5","6.75","Humana","Medicare Advantage",,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-TACROLIMUS 1MG ORAL CAPSULE","0637","RC","Both",,,"13.5","6.75","UHC","Medicare Advantage",,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-TACROLIMUS 1MG ORAL CAPSULE","0637","RC","Both",,,"13.5","6.75","Clover","Medicare Advantage",,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-TACROLIMUS 1MG ORAL CAPSULE","0637","RC","Both",,,"13.5","6.75","Wellcare","Medicare Advantage",,,"54",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-TACROLIMUS 1MG ORAL CAPSULE","0637","RC","Both",,,"13.5","6.75","Amerigroup","Medicaid Managed Care",,,"37",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-TACROLIMUS 1MG ORAL CAPSULE","0637","RC","Both",,,"13.5","6.75","Caresource","Medicaid Managed Care",,,"40",,"5.4","0.15","5264.58","percent of total billed charges",,
"NF-TACROLIMUS 1MG ORAL CAPSULE","0637","RC","Both",,,"13.5","6.75","Wellcare","Medicaid Managed Care",,,"40",,"5.47","0.15","5264.58","percent of total billed charges",,
"NF-TACROLIMUS 1MG ORAL CAPSULE","0637","RC","Both",,,"13.5","6.75","Aetna","Commercial",,,"64",,"8.61","0.15","5264.58","percent of total billed charges",,
"NF-TACROLIMUS 1MG ORAL CAPSULE","0637","RC","Both",,,"13.5","6.75","Blue Cross Blue Shield","Pathways",,,"71",,"9.53","0.15","5264.58","percent of total billed charges",,
"NF-TACROLIMUS 1MG ORAL CAPSULE","0637","RC","Both",,,"13.5","6.75","Blue Cross Blue Shield","HMO",,,"71",,"9.53","0.15","5264.58","percent of total billed charges",,
"NF-TACROLIMUS 1MG ORAL CAPSULE","0637","RC","Both",,,"13.5","6.75","Blue Cross Blue Shield","PPO",,,"71",,"9.53","0.15","5264.58","percent of total billed charges",,
"NF-TACROLIMUS 1MG ORAL CAPSULE","0637","RC","Both",,,"13.5","6.75","Ambetter","Health Exchange",,,"62",,"8.37","0.15","5264.58","percent of total billed charges",,
"NF-TACROLIMUS 1MG ORAL CAPSULE","0637","RC","Both",,,"13.5","6.75","Caresource","Health Exchange",,,"62",,"8.37","0.15","5264.58","percent of total billed charges",,
"NF-TACROLIMUS 1MG ORAL CAPSULE","0637","RC","Both",,,"13.5","6.75","Cigna","Commercial",,,"59",,"7.91","0.15","5264.58","percent of total billed charges",,
"NF-TACROLIMUS 1MG ORAL CAPSULE","0637","RC","Both",,,"13.5","6.75","Humana","Commercial",,,"78",,"10.46","0.15","5264.58","percent of total billed charges",,
"NF-TACROLIMUS 1MG ORAL CAPSULE","0637","RC","Both",,,"13.5","6.75","UHC","Commercial",,,"75",,"10.18","0.15","5264.58","percent of total billed charges",,
"NF-TACROLIMUS 1MG ORAL CAPSULE","0637","RC","Both",,,"13.5","6.75","Medicaid",,,,"37",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-MYCOPHENOLATE MOFETIL 500MG ORAL TABL","0637","RC","Both",,,"4.5","2.25","Alliant","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-MYCOPHENOLATE MOFETIL 500MG ORAL TABL","0637","RC","Both",,,"4.5","2.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-MYCOPHENOLATE MOFETIL 500MG ORAL TABL","0637","RC","Both",,,"4.5","2.25","Medicare",,,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-MYCOPHENOLATE MOFETIL 500MG ORAL TABL","0637","RC","Both",,,"4.5","2.25","Humana","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-MYCOPHENOLATE MOFETIL 500MG ORAL TABL","0637","RC","Both",,,"4.5","2.25","UHC","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-MYCOPHENOLATE MOFETIL 500MG ORAL TABL","0637","RC","Both",,,"4.5","2.25","Clover","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-MYCOPHENOLATE MOFETIL 500MG ORAL TABL","0637","RC","Both",,,"4.5","2.25","Wellcare","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-MYCOPHENOLATE MOFETIL 500MG ORAL TABL","0637","RC","Both",,,"4.5","2.25","Amerigroup","Medicaid Managed Care",,,"37",,"1.65","0.15","5264.58","percent of total billed charges",,
"NF-MYCOPHENOLATE MOFETIL 500MG ORAL TABL","0637","RC","Both",,,"4.5","2.25","Caresource","Medicaid Managed Care",,,"40",,"1.8","0.15","5264.58","percent of total billed charges",,
"NF-MYCOPHENOLATE MOFETIL 500MG ORAL TABL","0637","RC","Both",,,"4.5","2.25","Wellcare","Medicaid Managed Care",,,"40",,"1.82","0.15","5264.58","percent of total billed charges",,
"NF-MYCOPHENOLATE MOFETIL 500MG ORAL TABL","0637","RC","Both",,,"4.5","2.25","Aetna","Commercial",,,"64",,"2.87","0.15","5264.58","percent of total billed charges",,
"NF-MYCOPHENOLATE MOFETIL 500MG ORAL TABL","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","Pathways",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-MYCOPHENOLATE MOFETIL 500MG ORAL TABL","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","HMO",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-MYCOPHENOLATE MOFETIL 500MG ORAL TABL","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","PPO",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-MYCOPHENOLATE MOFETIL 500MG ORAL TABL","0637","RC","Both",,,"4.5","2.25","Ambetter","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-MYCOPHENOLATE MOFETIL 500MG ORAL TABL","0637","RC","Both",,,"4.5","2.25","Caresource","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-MYCOPHENOLATE MOFETIL 500MG ORAL TABL","0637","RC","Both",,,"4.5","2.25","Cigna","Commercial",,,"59",,"2.64","0.15","5264.58","percent of total billed charges",,
"NF-MYCOPHENOLATE MOFETIL 500MG ORAL TABL","0637","RC","Both",,,"4.5","2.25","Humana","Commercial",,,"78",,"3.49","0.15","5264.58","percent of total billed charges",,
"NF-MYCOPHENOLATE MOFETIL 500MG ORAL TABL","0637","RC","Both",,,"4.5","2.25","UHC","Commercial",,,"75",,"3.39","0.15","5264.58","percent of total billed charges",,
"NF-MYCOPHENOLATE MOFETIL 500MG ORAL TABL","0637","RC","Both",,,"4.5","2.25","Medicaid",,,,"37",,"1.65","0.15","5264.58","percent of total billed charges",,
"NF-MYCOPHENOLATE MOFETIL TAB 500MG","0637","RC","Both",,,"51.5","25.75","Alliant","Health Exchange",,,"62",,"31.93","0.15","5264.58","percent of total billed charges",,
"NF-MYCOPHENOLATE MOFETIL TAB 500MG","0637","RC","Both",,,"51.5","25.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"27.81","0.15","5264.58","percent of total billed charges",,
"NF-MYCOPHENOLATE MOFETIL TAB 500MG","0637","RC","Both",,,"51.5","25.75","Medicare",,,,"54",,"27.91","0.15","5264.58","percent of total billed charges",,
"NF-MYCOPHENOLATE MOFETIL TAB 500MG","0637","RC","Both",,,"51.5","25.75","Humana","Medicare Advantage",,,"54",,"27.91","0.15","5264.58","percent of total billed charges",,
"NF-MYCOPHENOLATE MOFETIL TAB 500MG","0637","RC","Both",,,"51.5","25.75","UHC","Medicare Advantage",,,"54",,"27.91","0.15","5264.58","percent of total billed charges",,
"NF-MYCOPHENOLATE MOFETIL TAB 500MG","0637","RC","Both",,,"51.5","25.75","Clover","Medicare Advantage",,,"54",,"27.91","0.15","5264.58","percent of total billed charges",,
"NF-MYCOPHENOLATE MOFETIL TAB 500MG","0637","RC","Both",,,"51.5","25.75","Wellcare","Medicare Advantage",,,"54",,"27.91","0.15","5264.58","percent of total billed charges",,
"NF-MYCOPHENOLATE MOFETIL TAB 500MG","0637","RC","Both",,,"51.5","25.75","Amerigroup","Medicaid Managed Care",,,"37",,"18.85","0.15","5264.58","percent of total billed charges",,
"NF-MYCOPHENOLATE MOFETIL TAB 500MG","0637","RC","Both",,,"51.5","25.75","Caresource","Medicaid Managed Care",,,"40",,"20.6","0.15","5264.58","percent of total billed charges",,
"NF-MYCOPHENOLATE MOFETIL TAB 500MG","0637","RC","Both",,,"51.5","25.75","Wellcare","Medicaid Managed Care",,,"40",,"20.86","0.15","5264.58","percent of total billed charges",,
"NF-MYCOPHENOLATE MOFETIL TAB 500MG","0637","RC","Both",,,"51.5","25.75","Aetna","Commercial",,,"64",,"32.86","0.15","5264.58","percent of total billed charges",,
"NF-MYCOPHENOLATE MOFETIL TAB 500MG","0637","RC","Both",,,"51.5","25.75","Blue Cross Blue Shield","Pathways",,,"71",,"36.36","0.15","5264.58","percent of total billed charges",,
"NF-MYCOPHENOLATE MOFETIL TAB 500MG","0637","RC","Both",,,"51.5","25.75","Blue Cross Blue Shield","HMO",,,"71",,"36.36","0.15","5264.58","percent of total billed charges",,
"NF-MYCOPHENOLATE MOFETIL TAB 500MG","0637","RC","Both",,,"51.5","25.75","Blue Cross Blue Shield","PPO",,,"71",,"36.36","0.15","5264.58","percent of total billed charges",,
"NF-MYCOPHENOLATE MOFETIL TAB 500MG","0637","RC","Both",,,"51.5","25.75","Ambetter","Health Exchange",,,"62",,"31.93","0.15","5264.58","percent of total billed charges",,
"NF-MYCOPHENOLATE MOFETIL TAB 500MG","0637","RC","Both",,,"51.5","25.75","Caresource","Health Exchange",,,"62",,"31.93","0.15","5264.58","percent of total billed charges",,
"NF-MYCOPHENOLATE MOFETIL TAB 500MG","0637","RC","Both",,,"51.5","25.75","Cigna","Commercial",,,"59",,"30.18","0.15","5264.58","percent of total billed charges",,
"NF-MYCOPHENOLATE MOFETIL TAB 500MG","0637","RC","Both",,,"51.5","25.75","Humana","Commercial",,,"78",,"39.91","0.15","5264.58","percent of total billed charges",,
"NF-MYCOPHENOLATE MOFETIL TAB 500MG","0637","RC","Both",,,"51.5","25.75","UHC","Commercial",,,"75",,"38.83","0.15","5264.58","percent of total billed charges",,
"NF-MYCOPHENOLATE MOFETIL TAB 500MG","0637","RC","Both",,,"51.5","25.75","Medicaid",,,,"37",,"18.85","0.15","5264.58","percent of total billed charges",,
"LAMIVUDINE-ZIDOVUDINE TAB: 150MG-300MG","0637","RC","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"LAMIVUDINE-ZIDOVUDINE TAB: 150MG-300MG","0637","RC","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","0.15","5264.58","percent of total billed charges",,
"LAMIVUDINE-ZIDOVUDINE TAB: 150MG-300MG","0637","RC","Both",,,"22","11","Medicare",,,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"LAMIVUDINE-ZIDOVUDINE TAB: 150MG-300MG","0637","RC","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"LAMIVUDINE-ZIDOVUDINE TAB: 150MG-300MG","0637","RC","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"LAMIVUDINE-ZIDOVUDINE TAB: 150MG-300MG","0637","RC","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"LAMIVUDINE-ZIDOVUDINE TAB: 150MG-300MG","0637","RC","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"LAMIVUDINE-ZIDOVUDINE TAB: 150MG-300MG","0637","RC","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"LAMIVUDINE-ZIDOVUDINE TAB: 150MG-300MG","0637","RC","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","0.15","5264.58","percent of total billed charges",,
"LAMIVUDINE-ZIDOVUDINE TAB: 150MG-300MG","0637","RC","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","0.15","5264.58","percent of total billed charges",,
"LAMIVUDINE-ZIDOVUDINE TAB: 150MG-300MG","0637","RC","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","0.15","5264.58","percent of total billed charges",,
"LAMIVUDINE-ZIDOVUDINE TAB: 150MG-300MG","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"LAMIVUDINE-ZIDOVUDINE TAB: 150MG-300MG","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"LAMIVUDINE-ZIDOVUDINE TAB: 150MG-300MG","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"LAMIVUDINE-ZIDOVUDINE TAB: 150MG-300MG","0637","RC","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"LAMIVUDINE-ZIDOVUDINE TAB: 150MG-300MG","0637","RC","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"LAMIVUDINE-ZIDOVUDINE TAB: 150MG-300MG","0637","RC","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","0.15","5264.58","percent of total billed charges",,
"LAMIVUDINE-ZIDOVUDINE TAB: 150MG-300MG","0637","RC","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","0.15","5264.58","percent of total billed charges",,
"LAMIVUDINE-ZIDOVUDINE TAB: 150MG-300MG","0637","RC","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","0.15","5264.58","percent of total billed charges",,
"LAMIVUDINE-ZIDOVUDINE TAB: 150MG-300MG","0637","RC","Both",,,"22","11","Medicaid",,,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"LOPINAVIR/RITONAVIR TAB: 100MG-25MG","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"LOPINAVIR/RITONAVIR TAB: 100MG-25MG","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"LOPINAVIR/RITONAVIR TAB: 100MG-25MG","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"LOPINAVIR/RITONAVIR TAB: 100MG-25MG","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"LOPINAVIR/RITONAVIR TAB: 100MG-25MG","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"LOPINAVIR/RITONAVIR TAB: 100MG-25MG","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"LOPINAVIR/RITONAVIR TAB: 100MG-25MG","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"LOPINAVIR/RITONAVIR TAB: 100MG-25MG","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"LOPINAVIR/RITONAVIR TAB: 100MG-25MG","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"LOPINAVIR/RITONAVIR TAB: 100MG-25MG","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"LOPINAVIR/RITONAVIR TAB: 100MG-25MG","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"LOPINAVIR/RITONAVIR TAB: 100MG-25MG","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"LOPINAVIR/RITONAVIR TAB: 100MG-25MG","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"LOPINAVIR/RITONAVIR TAB: 100MG-25MG","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"LOPINAVIR/RITONAVIR TAB: 100MG-25MG","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"LOPINAVIR/RITONAVIR TAB: 100MG-25MG","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"LOPINAVIR/RITONAVIR TAB: 100MG-25MG","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"LOPINAVIR/RITONAVIR TAB: 100MG-25MG","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"LOPINAVIR/RITONAVIR TAB: 100MG-25MG","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"LOPINAVIR/RITONAVIR TAB: 100MG-25MG","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-TIVICAY 50MG ORAL TABLET","0637","RC","Both",,,"158","79","Alliant","Health Exchange",,,"62",,"97.96","0.15","5264.58","percent of total billed charges",,
"NF-TIVICAY 50MG ORAL TABLET","0637","RC","Both",,,"158","79","Pruitt Healthcare","Medicare Advantage",,,"54",,"85.32","0.15","5264.58","percent of total billed charges",,
"NF-TIVICAY 50MG ORAL TABLET","0637","RC","Both",,,"158","79","Medicare",,,,"54",,"85.64","0.15","5264.58","percent of total billed charges",,
"NF-TIVICAY 50MG ORAL TABLET","0637","RC","Both",,,"158","79","Humana","Medicare Advantage",,,"54",,"85.64","0.15","5264.58","percent of total billed charges",,
"NF-TIVICAY 50MG ORAL TABLET","0637","RC","Both",,,"158","79","UHC","Medicare Advantage",,,"54",,"85.64","0.15","5264.58","percent of total billed charges",,
"NF-TIVICAY 50MG ORAL TABLET","0637","RC","Both",,,"158","79","Clover","Medicare Advantage",,,"54",,"85.64","0.15","5264.58","percent of total billed charges",,
"NF-TIVICAY 50MG ORAL TABLET","0637","RC","Both",,,"158","79","Wellcare","Medicare Advantage",,,"54",,"85.64","0.15","5264.58","percent of total billed charges",,
"NF-TIVICAY 50MG ORAL TABLET","0637","RC","Both",,,"158","79","Amerigroup","Medicaid Managed Care",,,"37",,"57.83","0.15","5264.58","percent of total billed charges",,
"NF-TIVICAY 50MG ORAL TABLET","0637","RC","Both",,,"158","79","Caresource","Medicaid Managed Care",,,"40",,"63.2","0.15","5264.58","percent of total billed charges",,
"NF-TIVICAY 50MG ORAL TABLET","0637","RC","Both",,,"158","79","Wellcare","Medicaid Managed Care",,,"40",,"63.99","0.15","5264.58","percent of total billed charges",,
"NF-TIVICAY 50MG ORAL TABLET","0637","RC","Both",,,"158","79","Aetna","Commercial",,,"64",,"100.8","0.15","5264.58","percent of total billed charges",,
"NF-TIVICAY 50MG ORAL TABLET","0637","RC","Both",,,"158","79","Blue Cross Blue Shield","Pathways",,,"71",,"111.55","0.15","5264.58","percent of total billed charges",,
"NF-TIVICAY 50MG ORAL TABLET","0637","RC","Both",,,"158","79","Blue Cross Blue Shield","HMO",,,"71",,"111.55","0.15","5264.58","percent of total billed charges",,
"NF-TIVICAY 50MG ORAL TABLET","0637","RC","Both",,,"158","79","Blue Cross Blue Shield","PPO",,,"71",,"111.55","0.15","5264.58","percent of total billed charges",,
"NF-TIVICAY 50MG ORAL TABLET","0637","RC","Both",,,"158","79","Ambetter","Health Exchange",,,"62",,"97.96","0.15","5264.58","percent of total billed charges",,
"NF-TIVICAY 50MG ORAL TABLET","0637","RC","Both",,,"158","79","Caresource","Health Exchange",,,"62",,"97.96","0.15","5264.58","percent of total billed charges",,
"NF-TIVICAY 50MG ORAL TABLET","0637","RC","Both",,,"158","79","Cigna","Commercial",,,"59",,"92.59","0.15","5264.58","percent of total billed charges",,
"NF-TIVICAY 50MG ORAL TABLET","0637","RC","Both",,,"158","79","Humana","Commercial",,,"78",,"122.45","0.15","5264.58","percent of total billed charges",,
"NF-TIVICAY 50MG ORAL TABLET","0637","RC","Both",,,"158","79","UHC","Commercial",,,"75",,"119.13","0.15","5264.58","percent of total billed charges",,
"NF-TIVICAY 50MG ORAL TABLET","0637","RC","Both",,,"158","79","Medicaid",,,,"37",,"57.83","0.15","5264.58","percent of total billed charges",,
"NF-MEPRON 750MG/5ML ORAL SUSPENSION","0637","RC","Both",,,"7.5","3.75","Alliant","Health Exchange",,,"62",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-MEPRON 750MG/5ML ORAL SUSPENSION","0637","RC","Both",,,"7.5","3.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.05","0.15","5264.58","percent of total billed charges",,
"NF-MEPRON 750MG/5ML ORAL SUSPENSION","0637","RC","Both",,,"7.5","3.75","Medicare",,,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-MEPRON 750MG/5ML ORAL SUSPENSION","0637","RC","Both",,,"7.5","3.75","Humana","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-MEPRON 750MG/5ML ORAL SUSPENSION","0637","RC","Both",,,"7.5","3.75","UHC","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-MEPRON 750MG/5ML ORAL SUSPENSION","0637","RC","Both",,,"7.5","3.75","Clover","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-MEPRON 750MG/5ML ORAL SUSPENSION","0637","RC","Both",,,"7.5","3.75","Wellcare","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-MEPRON 750MG/5ML ORAL SUSPENSION","0637","RC","Both",,,"7.5","3.75","Amerigroup","Medicaid Managed Care",,,"37",,"2.74","0.15","5264.58","percent of total billed charges",,
"NF-MEPRON 750MG/5ML ORAL SUSPENSION","0637","RC","Both",,,"7.5","3.75","Caresource","Medicaid Managed Care",,,"40",,"3","0.15","5264.58","percent of total billed charges",,
"NF-MEPRON 750MG/5ML ORAL SUSPENSION","0637","RC","Both",,,"7.5","3.75","Wellcare","Medicaid Managed Care",,,"40",,"3.04","0.15","5264.58","percent of total billed charges",,
"NF-MEPRON 750MG/5ML ORAL SUSPENSION","0637","RC","Both",,,"7.5","3.75","Aetna","Commercial",,,"64",,"4.78","0.15","5264.58","percent of total billed charges",,
"NF-MEPRON 750MG/5ML ORAL SUSPENSION","0637","RC","Both",,,"7.5","3.75","Blue Cross Blue Shield","Pathways",,,"71",,"5.3","0.15","5264.58","percent of total billed charges",,
"NF-MEPRON 750MG/5ML ORAL SUSPENSION","0637","RC","Both",,,"7.5","3.75","Blue Cross Blue Shield","HMO",,,"71",,"5.3","0.15","5264.58","percent of total billed charges",,
"NF-MEPRON 750MG/5ML ORAL SUSPENSION","0637","RC","Both",,,"7.5","3.75","Blue Cross Blue Shield","PPO",,,"71",,"5.3","0.15","5264.58","percent of total billed charges",,
"NF-MEPRON 750MG/5ML ORAL SUSPENSION","0637","RC","Both",,,"7.5","3.75","Ambetter","Health Exchange",,,"62",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-MEPRON 750MG/5ML ORAL SUSPENSION","0637","RC","Both",,,"7.5","3.75","Caresource","Health Exchange",,,"62",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-MEPRON 750MG/5ML ORAL SUSPENSION","0637","RC","Both",,,"7.5","3.75","Cigna","Commercial",,,"59",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-MEPRON 750MG/5ML ORAL SUSPENSION","0637","RC","Both",,,"7.5","3.75","Humana","Commercial",,,"78",,"5.81","0.15","5264.58","percent of total billed charges",,
"NF-MEPRON 750MG/5ML ORAL SUSPENSION","0637","RC","Both",,,"7.5","3.75","UHC","Commercial",,,"75",,"5.66","0.15","5264.58","percent of total billed charges",,
"NF-MEPRON 750MG/5ML ORAL SUSPENSION","0637","RC","Both",,,"7.5","3.75","Medicaid",,,,"37",,"2.74","0.15","5264.58","percent of total billed charges",,
"NF-DIFLUPREDNATE OPHTH EMUL 0.05%","0637","RC","Both",,,"77","38.5","Alliant","Health Exchange",,,"62",,"47.74","0.15","5264.58","percent of total billed charges",,
"NF-DIFLUPREDNATE OPHTH EMUL 0.05%","0637","RC","Both",,,"77","38.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"41.58","0.15","5264.58","percent of total billed charges",,
"NF-DIFLUPREDNATE OPHTH EMUL 0.05%","0637","RC","Both",,,"77","38.5","Medicare",,,,"54",,"41.73","0.15","5264.58","percent of total billed charges",,
"NF-DIFLUPREDNATE OPHTH EMUL 0.05%","0637","RC","Both",,,"77","38.5","Humana","Medicare Advantage",,,"54",,"41.73","0.15","5264.58","percent of total billed charges",,
"NF-DIFLUPREDNATE OPHTH EMUL 0.05%","0637","RC","Both",,,"77","38.5","UHC","Medicare Advantage",,,"54",,"41.73","0.15","5264.58","percent of total billed charges",,
"NF-DIFLUPREDNATE OPHTH EMUL 0.05%","0637","RC","Both",,,"77","38.5","Clover","Medicare Advantage",,,"54",,"41.73","0.15","5264.58","percent of total billed charges",,
"NF-DIFLUPREDNATE OPHTH EMUL 0.05%","0637","RC","Both",,,"77","38.5","Wellcare","Medicare Advantage",,,"54",,"41.73","0.15","5264.58","percent of total billed charges",,
"NF-DIFLUPREDNATE OPHTH EMUL 0.05%","0637","RC","Both",,,"77","38.5","Amerigroup","Medicaid Managed Care",,,"37",,"28.18","0.15","5264.58","percent of total billed charges",,
"NF-DIFLUPREDNATE OPHTH EMUL 0.05%","0637","RC","Both",,,"77","38.5","Caresource","Medicaid Managed Care",,,"40",,"30.8","0.15","5264.58","percent of total billed charges",,
"NF-DIFLUPREDNATE OPHTH EMUL 0.05%","0637","RC","Both",,,"77","38.5","Wellcare","Medicaid Managed Care",,,"40",,"31.18","0.15","5264.58","percent of total billed charges",,
"NF-DIFLUPREDNATE OPHTH EMUL 0.05%","0637","RC","Both",,,"77","38.5","Aetna","Commercial",,,"64",,"49.13","0.15","5264.58","percent of total billed charges",,
"NF-DIFLUPREDNATE OPHTH EMUL 0.05%","0637","RC","Both",,,"77","38.5","Blue Cross Blue Shield","Pathways",,,"71",,"54.36","0.15","5264.58","percent of total billed charges",,
"NF-DIFLUPREDNATE OPHTH EMUL 0.05%","0637","RC","Both",,,"77","38.5","Blue Cross Blue Shield","HMO",,,"71",,"54.36","0.15","5264.58","percent of total billed charges",,
"NF-DIFLUPREDNATE OPHTH EMUL 0.05%","0637","RC","Both",,,"77","38.5","Blue Cross Blue Shield","PPO",,,"71",,"54.36","0.15","5264.58","percent of total billed charges",,
"NF-DIFLUPREDNATE OPHTH EMUL 0.05%","0637","RC","Both",,,"77","38.5","Ambetter","Health Exchange",,,"62",,"47.74","0.15","5264.58","percent of total billed charges",,
"NF-DIFLUPREDNATE OPHTH EMUL 0.05%","0637","RC","Both",,,"77","38.5","Caresource","Health Exchange",,,"62",,"47.74","0.15","5264.58","percent of total billed charges",,
"NF-DIFLUPREDNATE OPHTH EMUL 0.05%","0637","RC","Both",,,"77","38.5","Cigna","Commercial",,,"59",,"45.12","0.15","5264.58","percent of total billed charges",,
"NF-DIFLUPREDNATE OPHTH EMUL 0.05%","0637","RC","Both",,,"77","38.5","Humana","Commercial",,,"78",,"59.68","0.15","5264.58","percent of total billed charges",,
"NF-DIFLUPREDNATE OPHTH EMUL 0.05%","0637","RC","Both",,,"77","38.5","UHC","Commercial",,,"75",,"58.06","0.15","5264.58","percent of total billed charges",,
"NF-DIFLUPREDNATE OPHTH EMUL 0.05%","0637","RC","Both",,,"77","38.5","Medicaid",,,,"37",,"28.18","0.15","5264.58","percent of total billed charges",,
"NF-NEPAFENAC OPHTH SUSP 0.3%","0637","RC","Both",,,"476.5","238.25","Alliant","Health Exchange",,,"62",,"295.43","0.15","5264.58","percent of total billed charges",,
"NF-NEPAFENAC OPHTH SUSP 0.3%","0637","RC","Both",,,"476.5","238.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"257.31","0.15","5264.58","percent of total billed charges",,
"NF-NEPAFENAC OPHTH SUSP 0.3%","0637","RC","Both",,,"476.5","238.25","Medicare",,,,"54",,"258.26","0.15","5264.58","percent of total billed charges",,
"NF-NEPAFENAC OPHTH SUSP 0.3%","0637","RC","Both",,,"476.5","238.25","Humana","Medicare Advantage",,,"54",,"258.26","0.15","5264.58","percent of total billed charges",,
"NF-NEPAFENAC OPHTH SUSP 0.3%","0637","RC","Both",,,"476.5","238.25","UHC","Medicare Advantage",,,"54",,"258.26","0.15","5264.58","percent of total billed charges",,
"NF-NEPAFENAC OPHTH SUSP 0.3%","0637","RC","Both",,,"476.5","238.25","Clover","Medicare Advantage",,,"54",,"258.26","0.15","5264.58","percent of total billed charges",,
"NF-NEPAFENAC OPHTH SUSP 0.3%","0637","RC","Both",,,"476.5","238.25","Wellcare","Medicare Advantage",,,"54",,"258.26","0.15","5264.58","percent of total billed charges",,
"NF-NEPAFENAC OPHTH SUSP 0.3%","0637","RC","Both",,,"476.5","238.25","Amerigroup","Medicaid Managed Care",,,"37",,"174.4","0.15","5264.58","percent of total billed charges",,
"NF-NEPAFENAC OPHTH SUSP 0.3%","0637","RC","Both",,,"476.5","238.25","Caresource","Medicaid Managed Care",,,"40",,"190.6","0.15","5264.58","percent of total billed charges",,
"NF-NEPAFENAC OPHTH SUSP 0.3%","0637","RC","Both",,,"476.5","238.25","Wellcare","Medicaid Managed Care",,,"40",,"192.98","0.15","5264.58","percent of total billed charges",,
"NF-NEPAFENAC OPHTH SUSP 0.3%","0637","RC","Both",,,"476.5","238.25","Aetna","Commercial",,,"64",,"304.01","0.15","5264.58","percent of total billed charges",,
"NF-NEPAFENAC OPHTH SUSP 0.3%","0637","RC","Both",,,"476.5","238.25","Blue Cross Blue Shield","Pathways",,,"71",,"336.41","0.15","5264.58","percent of total billed charges",,
"NF-NEPAFENAC OPHTH SUSP 0.3%","0637","RC","Both",,,"476.5","238.25","Blue Cross Blue Shield","HMO",,,"71",,"336.41","0.15","5264.58","percent of total billed charges",,
"NF-NEPAFENAC OPHTH SUSP 0.3%","0637","RC","Both",,,"476.5","238.25","Blue Cross Blue Shield","PPO",,,"71",,"336.41","0.15","5264.58","percent of total billed charges",,
"NF-NEPAFENAC OPHTH SUSP 0.3%","0637","RC","Both",,,"476.5","238.25","Ambetter","Health Exchange",,,"62",,"295.43","0.15","5264.58","percent of total billed charges",,
"NF-NEPAFENAC OPHTH SUSP 0.3%","0637","RC","Both",,,"476.5","238.25","Caresource","Health Exchange",,,"62",,"295.43","0.15","5264.58","percent of total billed charges",,
"NF-NEPAFENAC OPHTH SUSP 0.3%","0637","RC","Both",,,"476.5","238.25","Cigna","Commercial",,,"59",,"279.23","0.15","5264.58","percent of total billed charges",,
"NF-NEPAFENAC OPHTH SUSP 0.3%","0637","RC","Both",,,"476.5","238.25","Humana","Commercial",,,"78",,"369.29","0.15","5264.58","percent of total billed charges",,
"NF-NEPAFENAC OPHTH SUSP 0.3%","0637","RC","Both",,,"476.5","238.25","UHC","Commercial",,,"75",,"359.28","0.15","5264.58","percent of total billed charges",,
"NF-NEPAFENAC OPHTH SUSP 0.3%","0637","RC","Both",,,"476.5","238.25","Medicaid",,,,"37",,"174.4","0.15","5264.58","percent of total billed charges",,
"NF-MEPRON SUSP 750MG/5ML","0637","RC","Both",,,"11.5","5.75","Alliant","Health Exchange",,,"62",,"7.13","0.15","5264.58","percent of total billed charges",,
"NF-MEPRON SUSP 750MG/5ML","0637","RC","Both",,,"11.5","5.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.21","0.15","5264.58","percent of total billed charges",,
"NF-MEPRON SUSP 750MG/5ML","0637","RC","Both",,,"11.5","5.75","Medicare",,,,"54",,"6.23","0.15","5264.58","percent of total billed charges",,
"NF-MEPRON SUSP 750MG/5ML","0637","RC","Both",,,"11.5","5.75","Humana","Medicare Advantage",,,"54",,"6.23","0.15","5264.58","percent of total billed charges",,
"NF-MEPRON SUSP 750MG/5ML","0637","RC","Both",,,"11.5","5.75","UHC","Medicare Advantage",,,"54",,"6.23","0.15","5264.58","percent of total billed charges",,
"NF-MEPRON SUSP 750MG/5ML","0637","RC","Both",,,"11.5","5.75","Clover","Medicare Advantage",,,"54",,"6.23","0.15","5264.58","percent of total billed charges",,
"NF-MEPRON SUSP 750MG/5ML","0637","RC","Both",,,"11.5","5.75","Wellcare","Medicare Advantage",,,"54",,"6.23","0.15","5264.58","percent of total billed charges",,
"NF-MEPRON SUSP 750MG/5ML","0637","RC","Both",,,"11.5","5.75","Amerigroup","Medicaid Managed Care",,,"37",,"4.21","0.15","5264.58","percent of total billed charges",,
"NF-MEPRON SUSP 750MG/5ML","0637","RC","Both",,,"11.5","5.75","Caresource","Medicaid Managed Care",,,"40",,"4.6","0.15","5264.58","percent of total billed charges",,
"NF-MEPRON SUSP 750MG/5ML","0637","RC","Both",,,"11.5","5.75","Wellcare","Medicaid Managed Care",,,"40",,"4.66","0.15","5264.58","percent of total billed charges",,
"NF-MEPRON SUSP 750MG/5ML","0637","RC","Both",,,"11.5","5.75","Aetna","Commercial",,,"64",,"7.34","0.15","5264.58","percent of total billed charges",,
"NF-MEPRON SUSP 750MG/5ML","0637","RC","Both",,,"11.5","5.75","Blue Cross Blue Shield","Pathways",,,"71",,"8.12","0.15","5264.58","percent of total billed charges",,
"NF-MEPRON SUSP 750MG/5ML","0637","RC","Both",,,"11.5","5.75","Blue Cross Blue Shield","HMO",,,"71",,"8.12","0.15","5264.58","percent of total billed charges",,
"NF-MEPRON SUSP 750MG/5ML","0637","RC","Both",,,"11.5","5.75","Blue Cross Blue Shield","PPO",,,"71",,"8.12","0.15","5264.58","percent of total billed charges",,
"NF-MEPRON SUSP 750MG/5ML","0637","RC","Both",,,"11.5","5.75","Ambetter","Health Exchange",,,"62",,"7.13","0.15","5264.58","percent of total billed charges",,
"NF-MEPRON SUSP 750MG/5ML","0637","RC","Both",,,"11.5","5.75","Caresource","Health Exchange",,,"62",,"7.13","0.15","5264.58","percent of total billed charges",,
"NF-MEPRON SUSP 750MG/5ML","0637","RC","Both",,,"11.5","5.75","Cigna","Commercial",,,"59",,"6.74","0.15","5264.58","percent of total billed charges",,
"NF-MEPRON SUSP 750MG/5ML","0637","RC","Both",,,"11.5","5.75","Humana","Commercial",,,"78",,"8.91","0.15","5264.58","percent of total billed charges",,
"NF-MEPRON SUSP 750MG/5ML","0637","RC","Both",,,"11.5","5.75","UHC","Commercial",,,"75",,"8.67","0.15","5264.58","percent of total billed charges",,
"NF-MEPRON SUSP 750MG/5ML","0637","RC","Both",,,"11.5","5.75","Medicaid",,,,"37",,"4.21","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE TAB 300MG","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE TAB 300MG","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE TAB 300MG","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE TAB 300MG","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE TAB 300MG","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE TAB 300MG","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE TAB 300MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE TAB 300MG","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE TAB 300MG","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE TAB 300MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE TAB 300MG","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE TAB 300MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE TAB 300MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE TAB 300MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE TAB 300MG","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE TAB 300MG","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE TAB 300MG","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE TAB 300MG","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE TAB 300MG","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE TAB 300MG","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-NEPAFENAC OPHTH SUSP 0.3%","0637","RC","Both",,,"385","192.5","Alliant","Health Exchange",,,"62",,"238.7","0.15","5264.58","percent of total billed charges",,
"NF-NEPAFENAC OPHTH SUSP 0.3%","0637","RC","Both",,,"385","192.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"207.9","0.15","5264.58","percent of total billed charges",,
"NF-NEPAFENAC OPHTH SUSP 0.3%","0637","RC","Both",,,"385","192.5","Medicare",,,,"54",,"208.67","0.15","5264.58","percent of total billed charges",,
"NF-NEPAFENAC OPHTH SUSP 0.3%","0637","RC","Both",,,"385","192.5","Humana","Medicare Advantage",,,"54",,"208.67","0.15","5264.58","percent of total billed charges",,
"NF-NEPAFENAC OPHTH SUSP 0.3%","0637","RC","Both",,,"385","192.5","UHC","Medicare Advantage",,,"54",,"208.67","0.15","5264.58","percent of total billed charges",,
"NF-NEPAFENAC OPHTH SUSP 0.3%","0637","RC","Both",,,"385","192.5","Clover","Medicare Advantage",,,"54",,"208.67","0.15","5264.58","percent of total billed charges",,
"NF-NEPAFENAC OPHTH SUSP 0.3%","0637","RC","Both",,,"385","192.5","Wellcare","Medicare Advantage",,,"54",,"208.67","0.15","5264.58","percent of total billed charges",,
"NF-NEPAFENAC OPHTH SUSP 0.3%","0637","RC","Both",,,"385","192.5","Amerigroup","Medicaid Managed Care",,,"37",,"140.91","0.15","5264.58","percent of total billed charges",,
"NF-NEPAFENAC OPHTH SUSP 0.3%","0637","RC","Both",,,"385","192.5","Caresource","Medicaid Managed Care",,,"40",,"154","0.15","5264.58","percent of total billed charges",,
"NF-NEPAFENAC OPHTH SUSP 0.3%","0637","RC","Both",,,"385","192.5","Wellcare","Medicaid Managed Care",,,"40",,"155.93","0.15","5264.58","percent of total billed charges",,
"NF-NEPAFENAC OPHTH SUSP 0.3%","0637","RC","Both",,,"385","192.5","Aetna","Commercial",,,"64",,"245.63","0.15","5264.58","percent of total billed charges",,
"NF-NEPAFENAC OPHTH SUSP 0.3%","0637","RC","Both",,,"385","192.5","Blue Cross Blue Shield","Pathways",,,"71",,"271.81","0.15","5264.58","percent of total billed charges",,
"NF-NEPAFENAC OPHTH SUSP 0.3%","0637","RC","Both",,,"385","192.5","Blue Cross Blue Shield","HMO",,,"71",,"271.81","0.15","5264.58","percent of total billed charges",,
"NF-NEPAFENAC OPHTH SUSP 0.3%","0637","RC","Both",,,"385","192.5","Blue Cross Blue Shield","PPO",,,"71",,"271.81","0.15","5264.58","percent of total billed charges",,
"NF-NEPAFENAC OPHTH SUSP 0.3%","0637","RC","Both",,,"385","192.5","Ambetter","Health Exchange",,,"62",,"238.7","0.15","5264.58","percent of total billed charges",,
"NF-NEPAFENAC OPHTH SUSP 0.3%","0637","RC","Both",,,"385","192.5","Caresource","Health Exchange",,,"62",,"238.7","0.15","5264.58","percent of total billed charges",,
"NF-NEPAFENAC OPHTH SUSP 0.3%","0637","RC","Both",,,"385","192.5","Cigna","Commercial",,,"59",,"225.61","0.15","5264.58","percent of total billed charges",,
"NF-NEPAFENAC OPHTH SUSP 0.3%","0637","RC","Both",,,"385","192.5","Humana","Commercial",,,"78",,"298.38","0.15","5264.58","percent of total billed charges",,
"NF-NEPAFENAC OPHTH SUSP 0.3%","0637","RC","Both",,,"385","192.5","UHC","Commercial",,,"75",,"290.29","0.15","5264.58","percent of total billed charges",,
"NF-NEPAFENAC OPHTH SUSP 0.3%","0637","RC","Both",,,"385","192.5","Medicaid",,,,"37",,"140.91","0.15","5264.58","percent of total billed charges",,
"NF-BETAXOLOL HCL OPHTH SUSP 0.25%","0637","RC","Both",,,"98","49","Alliant","Health Exchange",,,"62",,"60.76","0.15","5264.58","percent of total billed charges",,
"NF-BETAXOLOL HCL OPHTH SUSP 0.25%","0637","RC","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage",,,"54",,"52.92","0.15","5264.58","percent of total billed charges",,
"NF-BETAXOLOL HCL OPHTH SUSP 0.25%","0637","RC","Both",,,"98","49","Medicare",,,,"54",,"53.12","0.15","5264.58","percent of total billed charges",,
"NF-BETAXOLOL HCL OPHTH SUSP 0.25%","0637","RC","Both",,,"98","49","Humana","Medicare Advantage",,,"54",,"53.12","0.15","5264.58","percent of total billed charges",,
"NF-BETAXOLOL HCL OPHTH SUSP 0.25%","0637","RC","Both",,,"98","49","UHC","Medicare Advantage",,,"54",,"53.12","0.15","5264.58","percent of total billed charges",,
"NF-BETAXOLOL HCL OPHTH SUSP 0.25%","0637","RC","Both",,,"98","49","Clover","Medicare Advantage",,,"54",,"53.12","0.15","5264.58","percent of total billed charges",,
"NF-BETAXOLOL HCL OPHTH SUSP 0.25%","0637","RC","Both",,,"98","49","Wellcare","Medicare Advantage",,,"54",,"53.12","0.15","5264.58","percent of total billed charges",,
"NF-BETAXOLOL HCL OPHTH SUSP 0.25%","0637","RC","Both",,,"98","49","Amerigroup","Medicaid Managed Care",,,"37",,"35.87","0.15","5264.58","percent of total billed charges",,
"NF-BETAXOLOL HCL OPHTH SUSP 0.25%","0637","RC","Both",,,"98","49","Caresource","Medicaid Managed Care",,,"40",,"39.2","0.15","5264.58","percent of total billed charges",,
"NF-BETAXOLOL HCL OPHTH SUSP 0.25%","0637","RC","Both",,,"98","49","Wellcare","Medicaid Managed Care",,,"40",,"39.69","0.15","5264.58","percent of total billed charges",,
"NF-BETAXOLOL HCL OPHTH SUSP 0.25%","0637","RC","Both",,,"98","49","Aetna","Commercial",,,"64",,"62.52","0.15","5264.58","percent of total billed charges",,
"NF-BETAXOLOL HCL OPHTH SUSP 0.25%","0637","RC","Both",,,"98","49","Blue Cross Blue Shield","Pathways",,,"71",,"69.19","0.15","5264.58","percent of total billed charges",,
"NF-BETAXOLOL HCL OPHTH SUSP 0.25%","0637","RC","Both",,,"98","49","Blue Cross Blue Shield","HMO",,,"71",,"69.19","0.15","5264.58","percent of total billed charges",,
"NF-BETAXOLOL HCL OPHTH SUSP 0.25%","0637","RC","Both",,,"98","49","Blue Cross Blue Shield","PPO",,,"71",,"69.19","0.15","5264.58","percent of total billed charges",,
"NF-BETAXOLOL HCL OPHTH SUSP 0.25%","0637","RC","Both",,,"98","49","Ambetter","Health Exchange",,,"62",,"60.76","0.15","5264.58","percent of total billed charges",,
"NF-BETAXOLOL HCL OPHTH SUSP 0.25%","0637","RC","Both",,,"98","49","Caresource","Health Exchange",,,"62",,"60.76","0.15","5264.58","percent of total billed charges",,
"NF-BETAXOLOL HCL OPHTH SUSP 0.25%","0637","RC","Both",,,"98","49","Cigna","Commercial",,,"59",,"57.43","0.15","5264.58","percent of total billed charges",,
"NF-BETAXOLOL HCL OPHTH SUSP 0.25%","0637","RC","Both",,,"98","49","Humana","Commercial",,,"78",,"75.95","0.15","5264.58","percent of total billed charges",,
"NF-BETAXOLOL HCL OPHTH SUSP 0.25%","0637","RC","Both",,,"98","49","UHC","Commercial",,,"75",,"73.89","0.15","5264.58","percent of total billed charges",,
"NF-BETAXOLOL HCL OPHTH SUSP 0.25%","0637","RC","Both",,,"98","49","Medicaid",,,,"37",,"35.87","0.15","5264.58","percent of total billed charges",,
"NF-MURO-128 OPHTH SOLUTION 5%","0637","RC","Both",,,"20.5","10.25","Alliant","Health Exchange",,,"62",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-MURO-128 OPHTH SOLUTION 5%","0637","RC","Both",,,"20.5","10.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.07","0.15","5264.58","percent of total billed charges",,
"NF-MURO-128 OPHTH SOLUTION 5%","0637","RC","Both",,,"20.5","10.25","Medicare",,,,"54",,"11.11","0.15","5264.58","percent of total billed charges",,
"NF-MURO-128 OPHTH SOLUTION 5%","0637","RC","Both",,,"20.5","10.25","Humana","Medicare Advantage",,,"54",,"11.11","0.15","5264.58","percent of total billed charges",,
"NF-MURO-128 OPHTH SOLUTION 5%","0637","RC","Both",,,"20.5","10.25","UHC","Medicare Advantage",,,"54",,"11.11","0.15","5264.58","percent of total billed charges",,
"NF-MURO-128 OPHTH SOLUTION 5%","0637","RC","Both",,,"20.5","10.25","Clover","Medicare Advantage",,,"54",,"11.11","0.15","5264.58","percent of total billed charges",,
"NF-MURO-128 OPHTH SOLUTION 5%","0637","RC","Both",,,"20.5","10.25","Wellcare","Medicare Advantage",,,"54",,"11.11","0.15","5264.58","percent of total billed charges",,
"NF-MURO-128 OPHTH SOLUTION 5%","0637","RC","Both",,,"20.5","10.25","Amerigroup","Medicaid Managed Care",,,"37",,"7.5","0.15","5264.58","percent of total billed charges",,
"NF-MURO-128 OPHTH SOLUTION 5%","0637","RC","Both",,,"20.5","10.25","Caresource","Medicaid Managed Care",,,"40",,"8.2","0.15","5264.58","percent of total billed charges",,
"NF-MURO-128 OPHTH SOLUTION 5%","0637","RC","Both",,,"20.5","10.25","Wellcare","Medicaid Managed Care",,,"40",,"8.3","0.15","5264.58","percent of total billed charges",,
"NF-MURO-128 OPHTH SOLUTION 5%","0637","RC","Both",,,"20.5","10.25","Aetna","Commercial",,,"64",,"13.08","0.15","5264.58","percent of total billed charges",,
"NF-MURO-128 OPHTH SOLUTION 5%","0637","RC","Both",,,"20.5","10.25","Blue Cross Blue Shield","Pathways",,,"71",,"14.47","0.15","5264.58","percent of total billed charges",,
"NF-MURO-128 OPHTH SOLUTION 5%","0637","RC","Both",,,"20.5","10.25","Blue Cross Blue Shield","HMO",,,"71",,"14.47","0.15","5264.58","percent of total billed charges",,
"NF-MURO-128 OPHTH SOLUTION 5%","0637","RC","Both",,,"20.5","10.25","Blue Cross Blue Shield","PPO",,,"71",,"14.47","0.15","5264.58","percent of total billed charges",,
"NF-MURO-128 OPHTH SOLUTION 5%","0637","RC","Both",,,"20.5","10.25","Ambetter","Health Exchange",,,"62",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-MURO-128 OPHTH SOLUTION 5%","0637","RC","Both",,,"20.5","10.25","Caresource","Health Exchange",,,"62",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-MURO-128 OPHTH SOLUTION 5%","0637","RC","Both",,,"20.5","10.25","Cigna","Commercial",,,"59",,"12.01","0.15","5264.58","percent of total billed charges",,
"NF-MURO-128 OPHTH SOLUTION 5%","0637","RC","Both",,,"20.5","10.25","Humana","Commercial",,,"78",,"15.89","0.15","5264.58","percent of total billed charges",,
"NF-MURO-128 OPHTH SOLUTION 5%","0637","RC","Both",,,"20.5","10.25","UHC","Commercial",,,"75",,"15.46","0.15","5264.58","percent of total billed charges",,
"NF-MURO-128 OPHTH SOLUTION 5%","0637","RC","Both",,,"20.5","10.25","Medicaid",,,,"37",,"7.5","0.15","5264.58","percent of total billed charges",,
"NF-BIMATOPROST OPHTH SOLN 0.03%","0637","RC","Both",,,"140.5","70.25","Alliant","Health Exchange",,,"62",,"87.11","0.15","5264.58","percent of total billed charges",,
"NF-BIMATOPROST OPHTH SOLN 0.03%","0637","RC","Both",,,"140.5","70.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"75.87","0.15","5264.58","percent of total billed charges",,
"NF-BIMATOPROST OPHTH SOLN 0.03%","0637","RC","Both",,,"140.5","70.25","Medicare",,,,"54",,"76.15","0.15","5264.58","percent of total billed charges",,
"NF-BIMATOPROST OPHTH SOLN 0.03%","0637","RC","Both",,,"140.5","70.25","Humana","Medicare Advantage",,,"54",,"76.15","0.15","5264.58","percent of total billed charges",,
"NF-BIMATOPROST OPHTH SOLN 0.03%","0637","RC","Both",,,"140.5","70.25","UHC","Medicare Advantage",,,"54",,"76.15","0.15","5264.58","percent of total billed charges",,
"NF-BIMATOPROST OPHTH SOLN 0.03%","0637","RC","Both",,,"140.5","70.25","Clover","Medicare Advantage",,,"54",,"76.15","0.15","5264.58","percent of total billed charges",,
"NF-BIMATOPROST OPHTH SOLN 0.03%","0637","RC","Both",,,"140.5","70.25","Wellcare","Medicare Advantage",,,"54",,"76.15","0.15","5264.58","percent of total billed charges",,
"NF-BIMATOPROST OPHTH SOLN 0.03%","0637","RC","Both",,,"140.5","70.25","Amerigroup","Medicaid Managed Care",,,"37",,"51.42","0.15","5264.58","percent of total billed charges",,
"NF-BIMATOPROST OPHTH SOLN 0.03%","0637","RC","Both",,,"140.5","70.25","Caresource","Medicaid Managed Care",,,"40",,"56.2","0.15","5264.58","percent of total billed charges",,
"NF-BIMATOPROST OPHTH SOLN 0.03%","0637","RC","Both",,,"140.5","70.25","Wellcare","Medicaid Managed Care",,,"40",,"56.9","0.15","5264.58","percent of total billed charges",,
"NF-BIMATOPROST OPHTH SOLN 0.03%","0637","RC","Both",,,"140.5","70.25","Aetna","Commercial",,,"64",,"89.64","0.15","5264.58","percent of total billed charges",,
"NF-BIMATOPROST OPHTH SOLN 0.03%","0637","RC","Both",,,"140.5","70.25","Blue Cross Blue Shield","Pathways",,,"71",,"99.19","0.15","5264.58","percent of total billed charges",,
"NF-BIMATOPROST OPHTH SOLN 0.03%","0637","RC","Both",,,"140.5","70.25","Blue Cross Blue Shield","HMO",,,"71",,"99.19","0.15","5264.58","percent of total billed charges",,
"NF-BIMATOPROST OPHTH SOLN 0.03%","0637","RC","Both",,,"140.5","70.25","Blue Cross Blue Shield","PPO",,,"71",,"99.19","0.15","5264.58","percent of total billed charges",,
"NF-BIMATOPROST OPHTH SOLN 0.03%","0637","RC","Both",,,"140.5","70.25","Ambetter","Health Exchange",,,"62",,"87.11","0.15","5264.58","percent of total billed charges",,
"NF-BIMATOPROST OPHTH SOLN 0.03%","0637","RC","Both",,,"140.5","70.25","Caresource","Health Exchange",,,"62",,"87.11","0.15","5264.58","percent of total billed charges",,
"NF-BIMATOPROST OPHTH SOLN 0.03%","0637","RC","Both",,,"140.5","70.25","Cigna","Commercial",,,"59",,"82.33","0.15","5264.58","percent of total billed charges",,
"NF-BIMATOPROST OPHTH SOLN 0.03%","0637","RC","Both",,,"140.5","70.25","Humana","Commercial",,,"78",,"108.89","0.15","5264.58","percent of total billed charges",,
"NF-BIMATOPROST OPHTH SOLN 0.03%","0637","RC","Both",,,"140.5","70.25","UHC","Commercial",,,"75",,"105.94","0.15","5264.58","percent of total billed charges",,
"NF-BIMATOPROST OPHTH SOLN 0.03%","0637","RC","Both",,,"140.5","70.25","Medicaid",,,,"37",,"51.42","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL ORAL TABLET 5MG","0637","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL ORAL TABLET 5MG","0637","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL ORAL TABLET 5MG","0637","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL ORAL TABLET 5MG","0637","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL ORAL TABLET 5MG","0637","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL ORAL TABLET 5MG","0637","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL ORAL TABLET 5MG","0637","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL ORAL TABLET 5MG","0637","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL ORAL TABLET 5MG","0637","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL ORAL TABLET 5MG","0637","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL ORAL TABLET 5MG","0637","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL ORAL TABLET 5MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL ORAL TABLET 5MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL ORAL TABLET 5MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL ORAL TABLET 5MG","0637","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL ORAL TABLET 5MG","0637","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL ORAL TABLET 5MG","0637","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL ORAL TABLET 5MG","0637","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL ORAL TABLET 5MG","0637","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL ORAL TABLET 5MG","0637","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-IBUPROFEN ORAL TABLET 200MG","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-IBUPROFEN ORAL TABLET 200MG","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-IBUPROFEN ORAL TABLET 200MG","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-IBUPROFEN ORAL TABLET 200MG","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-IBUPROFEN ORAL TABLET 200MG","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-IBUPROFEN ORAL TABLET 200MG","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-IBUPROFEN ORAL TABLET 200MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-IBUPROFEN ORAL TABLET 200MG","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-IBUPROFEN ORAL TABLET 200MG","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-IBUPROFEN ORAL TABLET 200MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-IBUPROFEN ORAL TABLET 200MG","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-IBUPROFEN ORAL TABLET 200MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-IBUPROFEN ORAL TABLET 200MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-IBUPROFEN ORAL TABLET 200MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-IBUPROFEN ORAL TABLET 200MG","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-IBUPROFEN ORAL TABLET 200MG","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-IBUPROFEN ORAL TABLET 200MG","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-IBUPROFEN ORAL TABLET 200MG","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-IBUPROFEN ORAL TABLET 200MG","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-IBUPROFEN ORAL TABLET 200MG","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-CLOBETASOL PROPIONATE CRM 0.05%","0637","RC","Both",,,"23","11.5","Alliant","Health Exchange",,,"62",,"14.26","0.15","5264.58","percent of total billed charges",,
"NF-CLOBETASOL PROPIONATE CRM 0.05%","0637","RC","Both",,,"23","11.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.42","0.15","5264.58","percent of total billed charges",,
"NF-CLOBETASOL PROPIONATE CRM 0.05%","0637","RC","Both",,,"23","11.5","Medicare",,,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-CLOBETASOL PROPIONATE CRM 0.05%","0637","RC","Both",,,"23","11.5","Humana","Medicare Advantage",,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-CLOBETASOL PROPIONATE CRM 0.05%","0637","RC","Both",,,"23","11.5","UHC","Medicare Advantage",,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-CLOBETASOL PROPIONATE CRM 0.05%","0637","RC","Both",,,"23","11.5","Clover","Medicare Advantage",,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-CLOBETASOL PROPIONATE CRM 0.05%","0637","RC","Both",,,"23","11.5","Wellcare","Medicare Advantage",,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-CLOBETASOL PROPIONATE CRM 0.05%","0637","RC","Both",,,"23","11.5","Amerigroup","Medicaid Managed Care",,,"37",,"8.42","0.15","5264.58","percent of total billed charges",,
"NF-CLOBETASOL PROPIONATE CRM 0.05%","0637","RC","Both",,,"23","11.5","Caresource","Medicaid Managed Care",,,"40",,"9.2","0.15","5264.58","percent of total billed charges",,
"NF-CLOBETASOL PROPIONATE CRM 0.05%","0637","RC","Both",,,"23","11.5","Wellcare","Medicaid Managed Care",,,"40",,"9.32","0.15","5264.58","percent of total billed charges",,
"NF-CLOBETASOL PROPIONATE CRM 0.05%","0637","RC","Both",,,"23","11.5","Aetna","Commercial",,,"64",,"14.67","0.15","5264.58","percent of total billed charges",,
"NF-CLOBETASOL PROPIONATE CRM 0.05%","0637","RC","Both",,,"23","11.5","Blue Cross Blue Shield","Pathways",,,"71",,"16.24","0.15","5264.58","percent of total billed charges",,
"NF-CLOBETASOL PROPIONATE CRM 0.05%","0637","RC","Both",,,"23","11.5","Blue Cross Blue Shield","HMO",,,"71",,"16.24","0.15","5264.58","percent of total billed charges",,
"NF-CLOBETASOL PROPIONATE CRM 0.05%","0637","RC","Both",,,"23","11.5","Blue Cross Blue Shield","PPO",,,"71",,"16.24","0.15","5264.58","percent of total billed charges",,
"NF-CLOBETASOL PROPIONATE CRM 0.05%","0637","RC","Both",,,"23","11.5","Ambetter","Health Exchange",,,"62",,"14.26","0.15","5264.58","percent of total billed charges",,
"NF-CLOBETASOL PROPIONATE CRM 0.05%","0637","RC","Both",,,"23","11.5","Caresource","Health Exchange",,,"62",,"14.26","0.15","5264.58","percent of total billed charges",,
"NF-CLOBETASOL PROPIONATE CRM 0.05%","0637","RC","Both",,,"23","11.5","Cigna","Commercial",,,"59",,"13.48","0.15","5264.58","percent of total billed charges",,
"NF-CLOBETASOL PROPIONATE CRM 0.05%","0637","RC","Both",,,"23","11.5","Humana","Commercial",,,"78",,"17.82","0.15","5264.58","percent of total billed charges",,
"NF-CLOBETASOL PROPIONATE CRM 0.05%","0637","RC","Both",,,"23","11.5","UHC","Commercial",,,"75",,"17.34","0.15","5264.58","percent of total billed charges",,
"NF-CLOBETASOL PROPIONATE CRM 0.05%","0637","RC","Both",,,"23","11.5","Medicaid",,,,"37",,"8.42","0.15","5264.58","percent of total billed charges",,
"NF-NOVOLOG MIX 70/30 FLEXPEN SUBQ SUSP","0637","RC","Both",,,"109.5","54.75","Alliant","Health Exchange",,,"62",,"67.89","0.15","5264.58","percent of total billed charges",,
"NF-NOVOLOG MIX 70/30 FLEXPEN SUBQ SUSP","0637","RC","Both",,,"109.5","54.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"59.13","0.15","5264.58","percent of total billed charges",,
"NF-NOVOLOG MIX 70/30 FLEXPEN SUBQ SUSP","0637","RC","Both",,,"109.5","54.75","Medicare",,,,"54",,"59.35","0.15","5264.58","percent of total billed charges",,
"NF-NOVOLOG MIX 70/30 FLEXPEN SUBQ SUSP","0637","RC","Both",,,"109.5","54.75","Humana","Medicare Advantage",,,"54",,"59.35","0.15","5264.58","percent of total billed charges",,
"NF-NOVOLOG MIX 70/30 FLEXPEN SUBQ SUSP","0637","RC","Both",,,"109.5","54.75","UHC","Medicare Advantage",,,"54",,"59.35","0.15","5264.58","percent of total billed charges",,
"NF-NOVOLOG MIX 70/30 FLEXPEN SUBQ SUSP","0637","RC","Both",,,"109.5","54.75","Clover","Medicare Advantage",,,"54",,"59.35","0.15","5264.58","percent of total billed charges",,
"NF-NOVOLOG MIX 70/30 FLEXPEN SUBQ SUSP","0637","RC","Both",,,"109.5","54.75","Wellcare","Medicare Advantage",,,"54",,"59.35","0.15","5264.58","percent of total billed charges",,
"NF-NOVOLOG MIX 70/30 FLEXPEN SUBQ SUSP","0637","RC","Both",,,"109.5","54.75","Amerigroup","Medicaid Managed Care",,,"37",,"40.08","0.15","5264.58","percent of total billed charges",,
"NF-NOVOLOG MIX 70/30 FLEXPEN SUBQ SUSP","0637","RC","Both",,,"109.5","54.75","Caresource","Medicaid Managed Care",,,"40",,"43.8","0.15","5264.58","percent of total billed charges",,
"NF-NOVOLOG MIX 70/30 FLEXPEN SUBQ SUSP","0637","RC","Both",,,"109.5","54.75","Wellcare","Medicaid Managed Care",,,"40",,"44.35","0.15","5264.58","percent of total billed charges",,
"NF-NOVOLOG MIX 70/30 FLEXPEN SUBQ SUSP","0637","RC","Both",,,"109.5","54.75","Aetna","Commercial",,,"64",,"69.86","0.15","5264.58","percent of total billed charges",,
"NF-NOVOLOG MIX 70/30 FLEXPEN SUBQ SUSP","0637","RC","Both",,,"109.5","54.75","Blue Cross Blue Shield","Pathways",,,"71",,"77.31","0.15","5264.58","percent of total billed charges",,
"NF-NOVOLOG MIX 70/30 FLEXPEN SUBQ SUSP","0637","RC","Both",,,"109.5","54.75","Blue Cross Blue Shield","HMO",,,"71",,"77.31","0.15","5264.58","percent of total billed charges",,
"NF-NOVOLOG MIX 70/30 FLEXPEN SUBQ SUSP","0637","RC","Both",,,"109.5","54.75","Blue Cross Blue Shield","PPO",,,"71",,"77.31","0.15","5264.58","percent of total billed charges",,
"NF-NOVOLOG MIX 70/30 FLEXPEN SUBQ SUSP","0637","RC","Both",,,"109.5","54.75","Ambetter","Health Exchange",,,"62",,"67.89","0.15","5264.58","percent of total billed charges",,
"NF-NOVOLOG MIX 70/30 FLEXPEN SUBQ SUSP","0637","RC","Both",,,"109.5","54.75","Caresource","Health Exchange",,,"62",,"67.89","0.15","5264.58","percent of total billed charges",,
"NF-NOVOLOG MIX 70/30 FLEXPEN SUBQ SUSP","0637","RC","Both",,,"109.5","54.75","Cigna","Commercial",,,"59",,"64.17","0.15","5264.58","percent of total billed charges",,
"NF-NOVOLOG MIX 70/30 FLEXPEN SUBQ SUSP","0637","RC","Both",,,"109.5","54.75","Humana","Commercial",,,"78",,"84.86","0.15","5264.58","percent of total billed charges",,
"NF-NOVOLOG MIX 70/30 FLEXPEN SUBQ SUSP","0637","RC","Both",,,"109.5","54.75","UHC","Commercial",,,"75",,"82.56","0.15","5264.58","percent of total billed charges",,
"NF-NOVOLOG MIX 70/30 FLEXPEN SUBQ SUSP","0637","RC","Both",,,"109.5","54.75","Medicaid",,,,"37",,"40.08","0.15","5264.58","percent of total billed charges",,
"NF-HUMALOG KWIKPEN SUBQ SUSP 100U/1ML","0637","RC","Both",,,"110","55","Alliant","Health Exchange",,,"62",,"68.2","0.15","5264.58","percent of total billed charges",,
"NF-HUMALOG KWIKPEN SUBQ SUSP 100U/1ML","0637","RC","Both",,,"110","55","Pruitt Healthcare","Medicare Advantage",,,"54",,"59.4","0.15","5264.58","percent of total billed charges",,
"NF-HUMALOG KWIKPEN SUBQ SUSP 100U/1ML","0637","RC","Both",,,"110","55","Medicare",,,,"54",,"59.62","0.15","5264.58","percent of total billed charges",,
"NF-HUMALOG KWIKPEN SUBQ SUSP 100U/1ML","0637","RC","Both",,,"110","55","Humana","Medicare Advantage",,,"54",,"59.62","0.15","5264.58","percent of total billed charges",,
"NF-HUMALOG KWIKPEN SUBQ SUSP 100U/1ML","0637","RC","Both",,,"110","55","UHC","Medicare Advantage",,,"54",,"59.62","0.15","5264.58","percent of total billed charges",,
"NF-HUMALOG KWIKPEN SUBQ SUSP 100U/1ML","0637","RC","Both",,,"110","55","Clover","Medicare Advantage",,,"54",,"59.62","0.15","5264.58","percent of total billed charges",,
"NF-HUMALOG KWIKPEN SUBQ SUSP 100U/1ML","0637","RC","Both",,,"110","55","Wellcare","Medicare Advantage",,,"54",,"59.62","0.15","5264.58","percent of total billed charges",,
"NF-HUMALOG KWIKPEN SUBQ SUSP 100U/1ML","0637","RC","Both",,,"110","55","Amerigroup","Medicaid Managed Care",,,"37",,"40.26","0.15","5264.58","percent of total billed charges",,
"NF-HUMALOG KWIKPEN SUBQ SUSP 100U/1ML","0637","RC","Both",,,"110","55","Caresource","Medicaid Managed Care",,,"40",,"44","0.15","5264.58","percent of total billed charges",,
"NF-HUMALOG KWIKPEN SUBQ SUSP 100U/1ML","0637","RC","Both",,,"110","55","Wellcare","Medicaid Managed Care",,,"40",,"44.55","0.15","5264.58","percent of total billed charges",,
"NF-HUMALOG KWIKPEN SUBQ SUSP 100U/1ML","0637","RC","Both",,,"110","55","Aetna","Commercial",,,"64",,"70.18","0.15","5264.58","percent of total billed charges",,
"NF-HUMALOG KWIKPEN SUBQ SUSP 100U/1ML","0637","RC","Both",,,"110","55","Blue Cross Blue Shield","Pathways",,,"71",,"77.66","0.15","5264.58","percent of total billed charges",,
"NF-HUMALOG KWIKPEN SUBQ SUSP 100U/1ML","0637","RC","Both",,,"110","55","Blue Cross Blue Shield","HMO",,,"71",,"77.66","0.15","5264.58","percent of total billed charges",,
"NF-HUMALOG KWIKPEN SUBQ SUSP 100U/1ML","0637","RC","Both",,,"110","55","Blue Cross Blue Shield","PPO",,,"71",,"77.66","0.15","5264.58","percent of total billed charges",,
"NF-HUMALOG KWIKPEN SUBQ SUSP 100U/1ML","0637","RC","Both",,,"110","55","Ambetter","Health Exchange",,,"62",,"68.2","0.15","5264.58","percent of total billed charges",,
"NF-HUMALOG KWIKPEN SUBQ SUSP 100U/1ML","0637","RC","Both",,,"110","55","Caresource","Health Exchange",,,"62",,"68.2","0.15","5264.58","percent of total billed charges",,
"NF-HUMALOG KWIKPEN SUBQ SUSP 100U/1ML","0637","RC","Both",,,"110","55","Cigna","Commercial",,,"59",,"64.46","0.15","5264.58","percent of total billed charges",,
"NF-HUMALOG KWIKPEN SUBQ SUSP 100U/1ML","0637","RC","Both",,,"110","55","Humana","Commercial",,,"78",,"85.25","0.15","5264.58","percent of total billed charges",,
"NF-HUMALOG KWIKPEN SUBQ SUSP 100U/1ML","0637","RC","Both",,,"110","55","UHC","Commercial",,,"75",,"82.94","0.15","5264.58","percent of total billed charges",,
"NF-HUMALOG KWIKPEN SUBQ SUSP 100U/1ML","0637","RC","Both",,,"110","55","Medicaid",,,,"37",,"40.26","0.15","5264.58","percent of total billed charges",,
"NF-REYATAZ CAP 300MG","0637","RC","Both",,,"197.5","98.75","Alliant","Health Exchange",,,"62",,"122.45","0.15","5264.58","percent of total billed charges",,
"NF-REYATAZ CAP 300MG","0637","RC","Both",,,"197.5","98.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"106.65","0.15","5264.58","percent of total billed charges",,
"NF-REYATAZ CAP 300MG","0637","RC","Both",,,"197.5","98.75","Medicare",,,,"54",,"107.04","0.15","5264.58","percent of total billed charges",,
"NF-REYATAZ CAP 300MG","0637","RC","Both",,,"197.5","98.75","Humana","Medicare Advantage",,,"54",,"107.04","0.15","5264.58","percent of total billed charges",,
"NF-REYATAZ CAP 300MG","0637","RC","Both",,,"197.5","98.75","UHC","Medicare Advantage",,,"54",,"107.04","0.15","5264.58","percent of total billed charges",,
"NF-REYATAZ CAP 300MG","0637","RC","Both",,,"197.5","98.75","Clover","Medicare Advantage",,,"54",,"107.04","0.15","5264.58","percent of total billed charges",,
"NF-REYATAZ CAP 300MG","0637","RC","Both",,,"197.5","98.75","Wellcare","Medicare Advantage",,,"54",,"107.04","0.15","5264.58","percent of total billed charges",,
"NF-REYATAZ CAP 300MG","0637","RC","Both",,,"197.5","98.75","Amerigroup","Medicaid Managed Care",,,"37",,"72.28","0.15","5264.58","percent of total billed charges",,
"NF-REYATAZ CAP 300MG","0637","RC","Both",,,"197.5","98.75","Caresource","Medicaid Managed Care",,,"40",,"79","0.15","5264.58","percent of total billed charges",,
"NF-REYATAZ CAP 300MG","0637","RC","Both",,,"197.5","98.75","Wellcare","Medicaid Managed Care",,,"40",,"79.99","0.15","5264.58","percent of total billed charges",,
"NF-REYATAZ CAP 300MG","0637","RC","Both",,,"197.5","98.75","Aetna","Commercial",,,"64",,"126","0.15","5264.58","percent of total billed charges",,
"NF-REYATAZ CAP 300MG","0637","RC","Both",,,"197.5","98.75","Blue Cross Blue Shield","Pathways",,,"71",,"139.44","0.15","5264.58","percent of total billed charges",,
"NF-REYATAZ CAP 300MG","0637","RC","Both",,,"197.5","98.75","Blue Cross Blue Shield","HMO",,,"71",,"139.44","0.15","5264.58","percent of total billed charges",,
"NF-REYATAZ CAP 300MG","0637","RC","Both",,,"197.5","98.75","Blue Cross Blue Shield","PPO",,,"71",,"139.44","0.15","5264.58","percent of total billed charges",,
"NF-REYATAZ CAP 300MG","0637","RC","Both",,,"197.5","98.75","Ambetter","Health Exchange",,,"62",,"122.45","0.15","5264.58","percent of total billed charges",,
"NF-REYATAZ CAP 300MG","0637","RC","Both",,,"197.5","98.75","Caresource","Health Exchange",,,"62",,"122.45","0.15","5264.58","percent of total billed charges",,
"NF-REYATAZ CAP 300MG","0637","RC","Both",,,"197.5","98.75","Cigna","Commercial",,,"59",,"115.74","0.15","5264.58","percent of total billed charges",,
"NF-REYATAZ CAP 300MG","0637","RC","Both",,,"197.5","98.75","Humana","Commercial",,,"78",,"153.06","0.15","5264.58","percent of total billed charges",,
"NF-REYATAZ CAP 300MG","0637","RC","Both",,,"197.5","98.75","UHC","Commercial",,,"75",,"148.92","0.15","5264.58","percent of total billed charges",,
"NF-REYATAZ CAP 300MG","0637","RC","Both",,,"197.5","98.75","Medicaid",,,,"37",,"72.28","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 5MG ORAL TABLET","0637","RC","Both",,,"12.5","6.25","Alliant","Health Exchange",,,"62",,"7.75","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 5MG ORAL TABLET","0637","RC","Both",,,"12.5","6.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.75","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 5MG ORAL TABLET","0637","RC","Both",,,"12.5","6.25","Medicare",,,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 5MG ORAL TABLET","0637","RC","Both",,,"12.5","6.25","Humana","Medicare Advantage",,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 5MG ORAL TABLET","0637","RC","Both",,,"12.5","6.25","UHC","Medicare Advantage",,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 5MG ORAL TABLET","0637","RC","Both",,,"12.5","6.25","Clover","Medicare Advantage",,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 5MG ORAL TABLET","0637","RC","Both",,,"12.5","6.25","Wellcare","Medicare Advantage",,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 5MG ORAL TABLET","0637","RC","Both",,,"12.5","6.25","Amerigroup","Medicaid Managed Care",,,"37",,"4.58","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 5MG ORAL TABLET","0637","RC","Both",,,"12.5","6.25","Caresource","Medicaid Managed Care",,,"40",,"5","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 5MG ORAL TABLET","0637","RC","Both",,,"12.5","6.25","Wellcare","Medicaid Managed Care",,,"40",,"5.06","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 5MG ORAL TABLET","0637","RC","Both",,,"12.5","6.25","Aetna","Commercial",,,"64",,"7.98","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 5MG ORAL TABLET","0637","RC","Both",,,"12.5","6.25","Blue Cross Blue Shield","Pathways",,,"71",,"8.82","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 5MG ORAL TABLET","0637","RC","Both",,,"12.5","6.25","Blue Cross Blue Shield","HMO",,,"71",,"8.82","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 5MG ORAL TABLET","0637","RC","Both",,,"12.5","6.25","Blue Cross Blue Shield","PPO",,,"71",,"8.82","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 5MG ORAL TABLET","0637","RC","Both",,,"12.5","6.25","Ambetter","Health Exchange",,,"62",,"7.75","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 5MG ORAL TABLET","0637","RC","Both",,,"12.5","6.25","Caresource","Health Exchange",,,"62",,"7.75","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 5MG ORAL TABLET","0637","RC","Both",,,"12.5","6.25","Cigna","Commercial",,,"59",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 5MG ORAL TABLET","0637","RC","Both",,,"12.5","6.25","Humana","Commercial",,,"78",,"9.69","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 5MG ORAL TABLET","0637","RC","Both",,,"12.5","6.25","UHC","Commercial",,,"75",,"9.43","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 5MG ORAL TABLET","0637","RC","Both",,,"12.5","6.25","Medicaid",,,,"37",,"4.58","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL ORAL TABLET 20MG","0637","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL ORAL TABLET 20MG","0637","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL ORAL TABLET 20MG","0637","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL ORAL TABLET 20MG","0637","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL ORAL TABLET 20MG","0637","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL ORAL TABLET 20MG","0637","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL ORAL TABLET 20MG","0637","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL ORAL TABLET 20MG","0637","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL ORAL TABLET 20MG","0637","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL ORAL TABLET 20MG","0637","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL ORAL TABLET 20MG","0637","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL ORAL TABLET 20MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL ORAL TABLET 20MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL ORAL TABLET 20MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL ORAL TABLET 20MG","0637","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL ORAL TABLET 20MG","0637","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL ORAL TABLET 20MG","0637","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL ORAL TABLET 20MG","0637","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL ORAL TABLET 20MG","0637","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.15","5264.58","percent of total billed charges",,
"NF-LISINOPRIL ORAL TABLET 20MG","0637","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-ONDANSETRON HCL TAB 4MG","0637","RC","Both",,,"92.5","46.25","Alliant","Health Exchange",,,"62",,"57.35","0.15","5264.58","percent of total billed charges",,
"NF-ONDANSETRON HCL TAB 4MG","0637","RC","Both",,,"92.5","46.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"49.95","0.15","5264.58","percent of total billed charges",,
"NF-ONDANSETRON HCL TAB 4MG","0637","RC","Both",,,"92.5","46.25","Medicare",,,,"54",,"50.14","0.15","5264.58","percent of total billed charges",,
"NF-ONDANSETRON HCL TAB 4MG","0637","RC","Both",,,"92.5","46.25","Humana","Medicare Advantage",,,"54",,"50.14","0.15","5264.58","percent of total billed charges",,
"NF-ONDANSETRON HCL TAB 4MG","0637","RC","Both",,,"92.5","46.25","UHC","Medicare Advantage",,,"54",,"50.14","0.15","5264.58","percent of total billed charges",,
"NF-ONDANSETRON HCL TAB 4MG","0637","RC","Both",,,"92.5","46.25","Clover","Medicare Advantage",,,"54",,"50.14","0.15","5264.58","percent of total billed charges",,
"NF-ONDANSETRON HCL TAB 4MG","0637","RC","Both",,,"92.5","46.25","Wellcare","Medicare Advantage",,,"54",,"50.14","0.15","5264.58","percent of total billed charges",,
"NF-ONDANSETRON HCL TAB 4MG","0637","RC","Both",,,"92.5","46.25","Amerigroup","Medicaid Managed Care",,,"37",,"33.85","0.15","5264.58","percent of total billed charges",,
"NF-ONDANSETRON HCL TAB 4MG","0637","RC","Both",,,"92.5","46.25","Caresource","Medicaid Managed Care",,,"40",,"37","0.15","5264.58","percent of total billed charges",,
"NF-ONDANSETRON HCL TAB 4MG","0637","RC","Both",,,"92.5","46.25","Wellcare","Medicaid Managed Care",,,"40",,"37.46","0.15","5264.58","percent of total billed charges",,
"NF-ONDANSETRON HCL TAB 4MG","0637","RC","Both",,,"92.5","46.25","Aetna","Commercial",,,"64",,"59.02","0.15","5264.58","percent of total billed charges",,
"NF-ONDANSETRON HCL TAB 4MG","0637","RC","Both",,,"92.5","46.25","Blue Cross Blue Shield","Pathways",,,"71",,"65.3","0.15","5264.58","percent of total billed charges",,
"NF-ONDANSETRON HCL TAB 4MG","0637","RC","Both",,,"92.5","46.25","Blue Cross Blue Shield","HMO",,,"71",,"65.3","0.15","5264.58","percent of total billed charges",,
"NF-ONDANSETRON HCL TAB 4MG","0637","RC","Both",,,"92.5","46.25","Blue Cross Blue Shield","PPO",,,"71",,"65.3","0.15","5264.58","percent of total billed charges",,
"NF-ONDANSETRON HCL TAB 4MG","0637","RC","Both",,,"92.5","46.25","Ambetter","Health Exchange",,,"62",,"57.35","0.15","5264.58","percent of total billed charges",,
"NF-ONDANSETRON HCL TAB 4MG","0637","RC","Both",,,"92.5","46.25","Caresource","Health Exchange",,,"62",,"57.35","0.15","5264.58","percent of total billed charges",,
"NF-ONDANSETRON HCL TAB 4MG","0637","RC","Both",,,"92.5","46.25","Cigna","Commercial",,,"59",,"54.2","0.15","5264.58","percent of total billed charges",,
"NF-ONDANSETRON HCL TAB 4MG","0637","RC","Both",,,"92.5","46.25","Humana","Commercial",,,"78",,"71.69","0.15","5264.58","percent of total billed charges",,
"NF-ONDANSETRON HCL TAB 4MG","0637","RC","Both",,,"92.5","46.25","UHC","Commercial",,,"75",,"69.74","0.15","5264.58","percent of total billed charges",,
"NF-ONDANSETRON HCL TAB 4MG","0637","RC","Both",,,"92.5","46.25","Medicaid",,,,"37",,"33.85","0.15","5264.58","percent of total billed charges",,
"NF-MAGNESIUM OXIDE TABLET 420MG","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MAGNESIUM OXIDE TABLET 420MG","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MAGNESIUM OXIDE TABLET 420MG","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MAGNESIUM OXIDE TABLET 420MG","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MAGNESIUM OXIDE TABLET 420MG","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MAGNESIUM OXIDE TABLET 420MG","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MAGNESIUM OXIDE TABLET 420MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MAGNESIUM OXIDE TABLET 420MG","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-MAGNESIUM OXIDE TABLET 420MG","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-MAGNESIUM OXIDE TABLET 420MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-MAGNESIUM OXIDE TABLET 420MG","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-MAGNESIUM OXIDE TABLET 420MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MAGNESIUM OXIDE TABLET 420MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MAGNESIUM OXIDE TABLET 420MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MAGNESIUM OXIDE TABLET 420MG","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MAGNESIUM OXIDE TABLET 420MG","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MAGNESIUM OXIDE TABLET 420MG","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-MAGNESIUM OXIDE TABLET 420MG","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-MAGNESIUM OXIDE TABLET 420MG","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-MAGNESIUM OXIDE TABLET 420MG","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"LIDOCAINE 1% WITH EPI 1:100,000 INJ 20ML","0250","RC","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 1% WITH EPI 1:100,000 INJ 20ML","0250","RC","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 1% WITH EPI 1:100,000 INJ 20ML","0250","RC","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 1% WITH EPI 1:100,000 INJ 20ML","0250","RC","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 1% WITH EPI 1:100,000 INJ 20ML","0250","RC","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 1% WITH EPI 1:100,000 INJ 20ML","0250","RC","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 1% WITH EPI 1:100,000 INJ 20ML","0250","RC","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 1% WITH EPI 1:100,000 INJ 20ML","0250","RC","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 1% WITH EPI 1:100,000 INJ 20ML","0250","RC","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 1% WITH EPI 1:100,000 INJ 20ML","0250","RC","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 1% WITH EPI 1:100,000 INJ 20ML","0250","RC","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 1% WITH EPI 1:100,000 INJ 20ML","0250","RC","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 1% WITH EPI 1:100,000 INJ 20ML","0250","RC","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 1% WITH EPI 1:100,000 INJ 20ML","0250","RC","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 1% WITH EPI 1:100,000 INJ 20ML","0250","RC","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 1% WITH EPI 1:100,000 INJ 20ML","0250","RC","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 1% WITH EPI 1:100,000 INJ 20ML","0250","RC","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 1% WITH EPI 1:100,000 INJ 20ML","0250","RC","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 1% WITH EPI 1:100,000 INJ 20ML","0250","RC","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 1% WITH EPI 1:100,000 INJ 20ML","0250","RC","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","0.04","569.62","percent of total billed charges",,
"NF-LUTEIN LIQUID FILLED CAPSULE 20MG","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-LUTEIN LIQUID FILLED CAPSULE 20MG","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-LUTEIN LIQUID FILLED CAPSULE 20MG","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-LUTEIN LIQUID FILLED CAPSULE 20MG","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-LUTEIN LIQUID FILLED CAPSULE 20MG","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-LUTEIN LIQUID FILLED CAPSULE 20MG","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-LUTEIN LIQUID FILLED CAPSULE 20MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-LUTEIN LIQUID FILLED CAPSULE 20MG","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-LUTEIN LIQUID FILLED CAPSULE 20MG","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-LUTEIN LIQUID FILLED CAPSULE 20MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-LUTEIN LIQUID FILLED CAPSULE 20MG","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-LUTEIN LIQUID FILLED CAPSULE 20MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-LUTEIN LIQUID FILLED CAPSULE 20MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-LUTEIN LIQUID FILLED CAPSULE 20MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-LUTEIN LIQUID FILLED CAPSULE 20MG","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-LUTEIN LIQUID FILLED CAPSULE 20MG","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-LUTEIN LIQUID FILLED CAPSULE 20MG","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-LUTEIN LIQUID FILLED CAPSULE 20MG","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-LUTEIN LIQUID FILLED CAPSULE 20MG","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-LUTEIN LIQUID FILLED CAPSULE 20MG","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-MIRALAX PWD FOR SOLN 17GM/DOSE","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MIRALAX PWD FOR SOLN 17GM/DOSE","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MIRALAX PWD FOR SOLN 17GM/DOSE","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MIRALAX PWD FOR SOLN 17GM/DOSE","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MIRALAX PWD FOR SOLN 17GM/DOSE","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MIRALAX PWD FOR SOLN 17GM/DOSE","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MIRALAX PWD FOR SOLN 17GM/DOSE","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MIRALAX PWD FOR SOLN 17GM/DOSE","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-MIRALAX PWD FOR SOLN 17GM/DOSE","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-MIRALAX PWD FOR SOLN 17GM/DOSE","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-MIRALAX PWD FOR SOLN 17GM/DOSE","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-MIRALAX PWD FOR SOLN 17GM/DOSE","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MIRALAX PWD FOR SOLN 17GM/DOSE","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MIRALAX PWD FOR SOLN 17GM/DOSE","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MIRALAX PWD FOR SOLN 17GM/DOSE","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MIRALAX PWD FOR SOLN 17GM/DOSE","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MIRALAX PWD FOR SOLN 17GM/DOSE","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-MIRALAX PWD FOR SOLN 17GM/DOSE","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-MIRALAX PWD FOR SOLN 17GM/DOSE","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-MIRALAX PWD FOR SOLN 17GM/DOSE","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN ORAL TABLET 600MG","0637","RC","Both",,,"7.5","3.75","Alliant","Health Exchange",,,"62",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN ORAL TABLET 600MG","0637","RC","Both",,,"7.5","3.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.05","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN ORAL TABLET 600MG","0637","RC","Both",,,"7.5","3.75","Medicare",,,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN ORAL TABLET 600MG","0637","RC","Both",,,"7.5","3.75","Humana","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN ORAL TABLET 600MG","0637","RC","Both",,,"7.5","3.75","UHC","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN ORAL TABLET 600MG","0637","RC","Both",,,"7.5","3.75","Clover","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN ORAL TABLET 600MG","0637","RC","Both",,,"7.5","3.75","Wellcare","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN ORAL TABLET 600MG","0637","RC","Both",,,"7.5","3.75","Amerigroup","Medicaid Managed Care",,,"37",,"2.74","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN ORAL TABLET 600MG","0637","RC","Both",,,"7.5","3.75","Caresource","Medicaid Managed Care",,,"40",,"3","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN ORAL TABLET 600MG","0637","RC","Both",,,"7.5","3.75","Wellcare","Medicaid Managed Care",,,"40",,"3.04","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN ORAL TABLET 600MG","0637","RC","Both",,,"7.5","3.75","Aetna","Commercial",,,"64",,"4.78","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN ORAL TABLET 600MG","0637","RC","Both",,,"7.5","3.75","Blue Cross Blue Shield","Pathways",,,"71",,"5.3","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN ORAL TABLET 600MG","0637","RC","Both",,,"7.5","3.75","Blue Cross Blue Shield","HMO",,,"71",,"5.3","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN ORAL TABLET 600MG","0637","RC","Both",,,"7.5","3.75","Blue Cross Blue Shield","PPO",,,"71",,"5.3","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN ORAL TABLET 600MG","0637","RC","Both",,,"7.5","3.75","Ambetter","Health Exchange",,,"62",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN ORAL TABLET 600MG","0637","RC","Both",,,"7.5","3.75","Caresource","Health Exchange",,,"62",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN ORAL TABLET 600MG","0637","RC","Both",,,"7.5","3.75","Cigna","Commercial",,,"59",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN ORAL TABLET 600MG","0637","RC","Both",,,"7.5","3.75","Humana","Commercial",,,"78",,"5.81","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN ORAL TABLET 600MG","0637","RC","Both",,,"7.5","3.75","UHC","Commercial",,,"75",,"5.66","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN ORAL TABLET 600MG","0637","RC","Both",,,"7.5","3.75","Medicaid",,,,"37",,"2.74","0.15","5264.58","percent of total billed charges",,
"NF-SERTRALINE HCL TAB 100MG","0637","RC","Both",,,"11","5.5","Alliant","Health Exchange",,,"62",,"6.82","0.15","5264.58","percent of total billed charges",,
"NF-SERTRALINE HCL TAB 100MG","0637","RC","Both",,,"11","5.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.94","0.15","5264.58","percent of total billed charges",,
"NF-SERTRALINE HCL TAB 100MG","0637","RC","Both",,,"11","5.5","Medicare",,,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-SERTRALINE HCL TAB 100MG","0637","RC","Both",,,"11","5.5","Humana","Medicare Advantage",,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-SERTRALINE HCL TAB 100MG","0637","RC","Both",,,"11","5.5","UHC","Medicare Advantage",,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-SERTRALINE HCL TAB 100MG","0637","RC","Both",,,"11","5.5","Clover","Medicare Advantage",,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-SERTRALINE HCL TAB 100MG","0637","RC","Both",,,"11","5.5","Wellcare","Medicare Advantage",,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-SERTRALINE HCL TAB 100MG","0637","RC","Both",,,"11","5.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-SERTRALINE HCL TAB 100MG","0637","RC","Both",,,"11","5.5","Caresource","Medicaid Managed Care",,,"40",,"4.4","0.15","5264.58","percent of total billed charges",,
"NF-SERTRALINE HCL TAB 100MG","0637","RC","Both",,,"11","5.5","Wellcare","Medicaid Managed Care",,,"40",,"4.46","0.15","5264.58","percent of total billed charges",,
"NF-SERTRALINE HCL TAB 100MG","0637","RC","Both",,,"11","5.5","Aetna","Commercial",,,"64",,"7.02","0.15","5264.58","percent of total billed charges",,
"NF-SERTRALINE HCL TAB 100MG","0637","RC","Both",,,"11","5.5","Blue Cross Blue Shield","Pathways",,,"71",,"7.77","0.15","5264.58","percent of total billed charges",,
"NF-SERTRALINE HCL TAB 100MG","0637","RC","Both",,,"11","5.5","Blue Cross Blue Shield","HMO",,,"71",,"7.77","0.15","5264.58","percent of total billed charges",,
"NF-SERTRALINE HCL TAB 100MG","0637","RC","Both",,,"11","5.5","Blue Cross Blue Shield","PPO",,,"71",,"7.77","0.15","5264.58","percent of total billed charges",,
"NF-SERTRALINE HCL TAB 100MG","0637","RC","Both",,,"11","5.5","Ambetter","Health Exchange",,,"62",,"6.82","0.15","5264.58","percent of total billed charges",,
"NF-SERTRALINE HCL TAB 100MG","0637","RC","Both",,,"11","5.5","Caresource","Health Exchange",,,"62",,"6.82","0.15","5264.58","percent of total billed charges",,
"NF-SERTRALINE HCL TAB 100MG","0637","RC","Both",,,"11","5.5","Cigna","Commercial",,,"59",,"6.45","0.15","5264.58","percent of total billed charges",,
"NF-SERTRALINE HCL TAB 100MG","0637","RC","Both",,,"11","5.5","Humana","Commercial",,,"78",,"8.52","0.15","5264.58","percent of total billed charges",,
"NF-SERTRALINE HCL TAB 100MG","0637","RC","Both",,,"11","5.5","UHC","Commercial",,,"75",,"8.29","0.15","5264.58","percent of total billed charges",,
"NF-SERTRALINE HCL TAB 100MG","0637","RC","Both",,,"11","5.5","Medicaid",,,,"37",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-CYCLOBENZAPRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-CYCLOBENZAPRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","0.15","5264.58","percent of total billed charges",,
"NF-CYCLOBENZAPRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-CYCLOBENZAPRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-CYCLOBENZAPRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-CYCLOBENZAPRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-CYCLOBENZAPRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-CYCLOBENZAPRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","0.15","5264.58","percent of total billed charges",,
"NF-CYCLOBENZAPRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","0.15","5264.58","percent of total billed charges",,
"NF-CYCLOBENZAPRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","0.15","5264.58","percent of total billed charges",,
"NF-CYCLOBENZAPRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","0.15","5264.58","percent of total billed charges",,
"NF-CYCLOBENZAPRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-CYCLOBENZAPRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-CYCLOBENZAPRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-CYCLOBENZAPRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-CYCLOBENZAPRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-CYCLOBENZAPRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","0.15","5264.58","percent of total billed charges",,
"NF-CYCLOBENZAPRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-CYCLOBENZAPRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","0.15","5264.58","percent of total billed charges",,
"NF-CYCLOBENZAPRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE CRM 0.1%","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE CRM 0.1%","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE CRM 0.1%","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE CRM 0.1%","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE CRM 0.1%","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE CRM 0.1%","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE CRM 0.1%","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE CRM 0.1%","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE CRM 0.1%","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE CRM 0.1%","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE CRM 0.1%","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE CRM 0.1%","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE CRM 0.1%","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE CRM 0.1%","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE CRM 0.1%","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE CRM 0.1%","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE CRM 0.1%","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE CRM 0.1%","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE CRM 0.1%","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE CRM 0.1%","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-TANZEUM SUBCUTANEOUS PWD FOR SOLN 30M","0637","RC","Both",,,"366","183","Alliant","Health Exchange",,,"62",,"226.92","0.15","5264.58","percent of total billed charges",,
"NF-TANZEUM SUBCUTANEOUS PWD FOR SOLN 30M","0637","RC","Both",,,"366","183","Pruitt Healthcare","Medicare Advantage",,,"54",,"197.64","0.15","5264.58","percent of total billed charges",,
"NF-TANZEUM SUBCUTANEOUS PWD FOR SOLN 30M","0637","RC","Both",,,"366","183","Medicare",,,,"54",,"198.37","0.15","5264.58","percent of total billed charges",,
"NF-TANZEUM SUBCUTANEOUS PWD FOR SOLN 30M","0637","RC","Both",,,"366","183","Humana","Medicare Advantage",,,"54",,"198.37","0.15","5264.58","percent of total billed charges",,
"NF-TANZEUM SUBCUTANEOUS PWD FOR SOLN 30M","0637","RC","Both",,,"366","183","UHC","Medicare Advantage",,,"54",,"198.37","0.15","5264.58","percent of total billed charges",,
"NF-TANZEUM SUBCUTANEOUS PWD FOR SOLN 30M","0637","RC","Both",,,"366","183","Clover","Medicare Advantage",,,"54",,"198.37","0.15","5264.58","percent of total billed charges",,
"NF-TANZEUM SUBCUTANEOUS PWD FOR SOLN 30M","0637","RC","Both",,,"366","183","Wellcare","Medicare Advantage",,,"54",,"198.37","0.15","5264.58","percent of total billed charges",,
"NF-TANZEUM SUBCUTANEOUS PWD FOR SOLN 30M","0637","RC","Both",,,"366","183","Amerigroup","Medicaid Managed Care",,,"37",,"133.96","0.15","5264.58","percent of total billed charges",,
"NF-TANZEUM SUBCUTANEOUS PWD FOR SOLN 30M","0637","RC","Both",,,"366","183","Caresource","Medicaid Managed Care",,,"40",,"146.4","0.15","5264.58","percent of total billed charges",,
"NF-TANZEUM SUBCUTANEOUS PWD FOR SOLN 30M","0637","RC","Both",,,"366","183","Wellcare","Medicaid Managed Care",,,"40",,"148.23","0.15","5264.58","percent of total billed charges",,
"NF-TANZEUM SUBCUTANEOUS PWD FOR SOLN 30M","0637","RC","Both",,,"366","183","Aetna","Commercial",,,"64",,"233.51","0.15","5264.58","percent of total billed charges",,
"NF-TANZEUM SUBCUTANEOUS PWD FOR SOLN 30M","0637","RC","Both",,,"366","183","Blue Cross Blue Shield","Pathways",,,"71",,"258.4","0.15","5264.58","percent of total billed charges",,
"NF-TANZEUM SUBCUTANEOUS PWD FOR SOLN 30M","0637","RC","Both",,,"366","183","Blue Cross Blue Shield","HMO",,,"71",,"258.4","0.15","5264.58","percent of total billed charges",,
"NF-TANZEUM SUBCUTANEOUS PWD FOR SOLN 30M","0637","RC","Both",,,"366","183","Blue Cross Blue Shield","PPO",,,"71",,"258.4","0.15","5264.58","percent of total billed charges",,
"NF-TANZEUM SUBCUTANEOUS PWD FOR SOLN 30M","0637","RC","Both",,,"366","183","Ambetter","Health Exchange",,,"62",,"226.92","0.15","5264.58","percent of total billed charges",,
"NF-TANZEUM SUBCUTANEOUS PWD FOR SOLN 30M","0637","RC","Both",,,"366","183","Caresource","Health Exchange",,,"62",,"226.92","0.15","5264.58","percent of total billed charges",,
"NF-TANZEUM SUBCUTANEOUS PWD FOR SOLN 30M","0637","RC","Both",,,"366","183","Cigna","Commercial",,,"59",,"214.48","0.15","5264.58","percent of total billed charges",,
"NF-TANZEUM SUBCUTANEOUS PWD FOR SOLN 30M","0637","RC","Both",,,"366","183","Humana","Commercial",,,"78",,"283.65","0.15","5264.58","percent of total billed charges",,
"NF-TANZEUM SUBCUTANEOUS PWD FOR SOLN 30M","0637","RC","Both",,,"366","183","UHC","Commercial",,,"75",,"275.96","0.15","5264.58","percent of total billed charges",,
"NF-TANZEUM SUBCUTANEOUS PWD FOR SOLN 30M","0637","RC","Both",,,"366","183","Medicaid",,,,"37",,"133.96","0.15","5264.58","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 150MG","0637","RC","Both",,,"9","4.5","Alliant","Health Exchange",,,"62",,"5.58","0.15","5264.58","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 150MG","0637","RC","Both",,,"9","4.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.86","0.15","5264.58","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 150MG","0637","RC","Both",,,"9","4.5","Medicare",,,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 150MG","0637","RC","Both",,,"9","4.5","Humana","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 150MG","0637","RC","Both",,,"9","4.5","UHC","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 150MG","0637","RC","Both",,,"9","4.5","Clover","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 150MG","0637","RC","Both",,,"9","4.5","Wellcare","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 150MG","0637","RC","Both",,,"9","4.5","Amerigroup","Medicaid Managed Care",,,"37",,"3.29","0.15","5264.58","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 150MG","0637","RC","Both",,,"9","4.5","Caresource","Medicaid Managed Care",,,"40",,"3.6","0.15","5264.58","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 150MG","0637","RC","Both",,,"9","4.5","Wellcare","Medicaid Managed Care",,,"40",,"3.65","0.15","5264.58","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 150MG","0637","RC","Both",,,"9","4.5","Aetna","Commercial",,,"64",,"5.74","0.15","5264.58","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 150MG","0637","RC","Both",,,"9","4.5","Blue Cross Blue Shield","Pathways",,,"71",,"6.35","0.15","5264.58","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 150MG","0637","RC","Both",,,"9","4.5","Blue Cross Blue Shield","HMO",,,"71",,"6.35","0.15","5264.58","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 150MG","0637","RC","Both",,,"9","4.5","Blue Cross Blue Shield","PPO",,,"71",,"6.35","0.15","5264.58","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 150MG","0637","RC","Both",,,"9","4.5","Ambetter","Health Exchange",,,"62",,"5.58","0.15","5264.58","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 150MG","0637","RC","Both",,,"9","4.5","Caresource","Health Exchange",,,"62",,"5.58","0.15","5264.58","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 150MG","0637","RC","Both",,,"9","4.5","Cigna","Commercial",,,"59",,"5.27","0.15","5264.58","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 150MG","0637","RC","Both",,,"9","4.5","Humana","Commercial",,,"78",,"6.98","0.15","5264.58","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 150MG","0637","RC","Both",,,"9","4.5","UHC","Commercial",,,"75",,"6.79","0.15","5264.58","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 150MG","0637","RC","Both",,,"9","4.5","Medicaid",,,,"37",,"3.29","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN B COMPLEX TAB","0637","RC","Both",,,"1.5","0.75","Alliant","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN B COMPLEX TAB","0637","RC","Both",,,"1.5","0.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN B COMPLEX TAB","0637","RC","Both",,,"1.5","0.75","Medicare",,,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN B COMPLEX TAB","0637","RC","Both",,,"1.5","0.75","Humana","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN B COMPLEX TAB","0637","RC","Both",,,"1.5","0.75","UHC","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN B COMPLEX TAB","0637","RC","Both",,,"1.5","0.75","Clover","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN B COMPLEX TAB","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN B COMPLEX TAB","0637","RC","Both",,,"1.5","0.75","Amerigroup","Medicaid Managed Care",,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN B COMPLEX TAB","0637","RC","Both",,,"1.5","0.75","Caresource","Medicaid Managed Care",,,"40",,"0.6","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN B COMPLEX TAB","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicaid Managed Care",,,"40",,"0.61","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN B COMPLEX TAB","0637","RC","Both",,,"1.5","0.75","Aetna","Commercial",,,"64",,"0.96","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN B COMPLEX TAB","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","Pathways",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN B COMPLEX TAB","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","HMO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN B COMPLEX TAB","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","PPO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN B COMPLEX TAB","0637","RC","Both",,,"1.5","0.75","Ambetter","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN B COMPLEX TAB","0637","RC","Both",,,"1.5","0.75","Caresource","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN B COMPLEX TAB","0637","RC","Both",,,"1.5","0.75","Cigna","Commercial",,,"59",,"0.88","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN B COMPLEX TAB","0637","RC","Both",,,"1.5","0.75","Humana","Commercial",,,"78",,"1.16","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN B COMPLEX TAB","0637","RC","Both",,,"1.5","0.75","UHC","Commercial",,,"75",,"1.13","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN B COMPLEX TAB","0637","RC","Both",,,"1.5","0.75","Medicaid",,,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYUREA CAP 500MG","0637","RC","Both",,,"4.5","2.25","Alliant","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYUREA CAP 500MG","0637","RC","Both",,,"4.5","2.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYUREA CAP 500MG","0637","RC","Both",,,"4.5","2.25","Medicare",,,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYUREA CAP 500MG","0637","RC","Both",,,"4.5","2.25","Humana","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYUREA CAP 500MG","0637","RC","Both",,,"4.5","2.25","UHC","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYUREA CAP 500MG","0637","RC","Both",,,"4.5","2.25","Clover","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYUREA CAP 500MG","0637","RC","Both",,,"4.5","2.25","Wellcare","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYUREA CAP 500MG","0637","RC","Both",,,"4.5","2.25","Amerigroup","Medicaid Managed Care",,,"37",,"1.65","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYUREA CAP 500MG","0637","RC","Both",,,"4.5","2.25","Caresource","Medicaid Managed Care",,,"40",,"1.8","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYUREA CAP 500MG","0637","RC","Both",,,"4.5","2.25","Wellcare","Medicaid Managed Care",,,"40",,"1.82","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYUREA CAP 500MG","0637","RC","Both",,,"4.5","2.25","Aetna","Commercial",,,"64",,"2.87","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYUREA CAP 500MG","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","Pathways",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYUREA CAP 500MG","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","HMO",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYUREA CAP 500MG","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","PPO",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYUREA CAP 500MG","0637","RC","Both",,,"4.5","2.25","Ambetter","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYUREA CAP 500MG","0637","RC","Both",,,"4.5","2.25","Caresource","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYUREA CAP 500MG","0637","RC","Both",,,"4.5","2.25","Cigna","Commercial",,,"59",,"2.64","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYUREA CAP 500MG","0637","RC","Both",,,"4.5","2.25","Humana","Commercial",,,"78",,"3.49","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYUREA CAP 500MG","0637","RC","Both",,,"4.5","2.25","UHC","Commercial",,,"75",,"3.39","0.15","5264.58","percent of total billed charges",,
"NF-HYDROXYUREA CAP 500MG","0637","RC","Both",,,"4.5","2.25","Medicaid",,,,"37",,"1.65","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0250","RC","Both",,,"20","10","Alliant","Health Exchange",,,"62",,"12.4","0.04","569.62","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0250","RC","Both",,,"20","10","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.8","0.04","569.62","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0250","RC","Both",,,"20","10","Medicare",,,,"54",,"10.84","0.04","569.62","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0250","RC","Both",,,"20","10","Humana","Medicare Advantage",,,"54",,"10.84","0.04","569.62","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0250","RC","Both",,,"20","10","UHC","Medicare Advantage",,,"54",,"10.84","0.04","569.62","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0250","RC","Both",,,"20","10","Clover","Medicare Advantage",,,"54",,"10.84","0.04","569.62","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0250","RC","Both",,,"20","10","Wellcare","Medicare Advantage",,,"54",,"10.84","0.04","569.62","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0250","RC","Both",,,"20","10","Amerigroup","Medicaid Managed Care",,,"37",,"7.32","0.04","569.62","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0250","RC","Both",,,"20","10","Caresource","Medicaid Managed Care",,,"40",,"8","0.04","569.62","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0250","RC","Both",,,"20","10","Wellcare","Medicaid Managed Care",,,"40",,"8.1","0.04","569.62","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0250","RC","Both",,,"20","10","Aetna","Commercial",,,"64",,"12.76","0.04","569.62","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0250","RC","Both",,,"20","10","Blue Cross Blue Shield","Pathways",,,"71",,"14.12","0.04","569.62","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0250","RC","Both",,,"20","10","Blue Cross Blue Shield","HMO",,,"71",,"14.12","0.04","569.62","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0250","RC","Both",,,"20","10","Blue Cross Blue Shield","PPO",,,"71",,"14.12","0.04","569.62","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0250","RC","Both",,,"20","10","Ambetter","Health Exchange",,,"62",,"12.4","0.04","569.62","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0250","RC","Both",,,"20","10","Caresource","Health Exchange",,,"62",,"12.4","0.04","569.62","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0250","RC","Both",,,"20","10","Cigna","Commercial",,,"59",,"11.72","0.04","569.62","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0250","RC","Both",,,"20","10","Humana","Commercial",,,"78",,"15.5","0.04","569.62","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0250","RC","Both",,,"20","10","UHC","Commercial",,,"75",,"15.08","0.04","569.62","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0250","RC","Both",,,"20","10","Medicaid",,,,"37",,"7.32","0.04","569.62","percent of total billed charges",,
"NF-CYPROHEPTADINE HCL ORAL TABLET 4MG","0637","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-CYPROHEPTADINE HCL ORAL TABLET 4MG","0637","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-CYPROHEPTADINE HCL ORAL TABLET 4MG","0637","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-CYPROHEPTADINE HCL ORAL TABLET 4MG","0637","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-CYPROHEPTADINE HCL ORAL TABLET 4MG","0637","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-CYPROHEPTADINE HCL ORAL TABLET 4MG","0637","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-CYPROHEPTADINE HCL ORAL TABLET 4MG","0637","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-CYPROHEPTADINE HCL ORAL TABLET 4MG","0637","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-CYPROHEPTADINE HCL ORAL TABLET 4MG","0637","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.15","5264.58","percent of total billed charges",,
"NF-CYPROHEPTADINE HCL ORAL TABLET 4MG","0637","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-CYPROHEPTADINE HCL ORAL TABLET 4MG","0637","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-CYPROHEPTADINE HCL ORAL TABLET 4MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-CYPROHEPTADINE HCL ORAL TABLET 4MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-CYPROHEPTADINE HCL ORAL TABLET 4MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-CYPROHEPTADINE HCL ORAL TABLET 4MG","0637","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-CYPROHEPTADINE HCL ORAL TABLET 4MG","0637","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-CYPROHEPTADINE HCL ORAL TABLET 4MG","0637","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.15","5264.58","percent of total billed charges",,
"NF-CYPROHEPTADINE HCL ORAL TABLET 4MG","0637","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-CYPROHEPTADINE HCL ORAL TABLET 4MG","0637","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.15","5264.58","percent of total billed charges",,
"NF-CYPROHEPTADINE HCL ORAL TABLET 4MG","0637","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS LIQUID FILLED CAPS","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS LIQUID FILLED CAPS","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS LIQUID FILLED CAPS","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS LIQUID FILLED CAPS","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS LIQUID FILLED CAPS","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS LIQUID FILLED CAPS","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS LIQUID FILLED CAPS","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS LIQUID FILLED CAPS","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS LIQUID FILLED CAPS","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS LIQUID FILLED CAPS","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS LIQUID FILLED CAPS","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS LIQUID FILLED CAPS","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS LIQUID FILLED CAPS","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS LIQUID FILLED CAPS","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS LIQUID FILLED CAPS","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS LIQUID FILLED CAPS","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS LIQUID FILLED CAPS","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS LIQUID FILLED CAPS","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS LIQUID FILLED CAPS","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS LIQUID FILLED CAPS","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 20MG","0637","RC","Both",,,"42","21","Alliant","Health Exchange",,,"62",,"26.04","0.15","5264.58","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 20MG","0637","RC","Both",,,"42","21","Pruitt Healthcare","Medicare Advantage",,,"54",,"22.68","0.15","5264.58","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 20MG","0637","RC","Both",,,"42","21","Medicare",,,,"54",,"22.76","0.15","5264.58","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 20MG","0637","RC","Both",,,"42","21","Humana","Medicare Advantage",,,"54",,"22.76","0.15","5264.58","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 20MG","0637","RC","Both",,,"42","21","UHC","Medicare Advantage",,,"54",,"22.76","0.15","5264.58","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 20MG","0637","RC","Both",,,"42","21","Clover","Medicare Advantage",,,"54",,"22.76","0.15","5264.58","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 20MG","0637","RC","Both",,,"42","21","Wellcare","Medicare Advantage",,,"54",,"22.76","0.15","5264.58","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 20MG","0637","RC","Both",,,"42","21","Amerigroup","Medicaid Managed Care",,,"37",,"15.37","0.15","5264.58","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 20MG","0637","RC","Both",,,"42","21","Caresource","Medicaid Managed Care",,,"40",,"16.8","0.15","5264.58","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 20MG","0637","RC","Both",,,"42","21","Wellcare","Medicaid Managed Care",,,"40",,"17.01","0.15","5264.58","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 20MG","0637","RC","Both",,,"42","21","Aetna","Commercial",,,"64",,"26.8","0.15","5264.58","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 20MG","0637","RC","Both",,,"42","21","Blue Cross Blue Shield","Pathways",,,"71",,"29.65","0.15","5264.58","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 20MG","0637","RC","Both",,,"42","21","Blue Cross Blue Shield","HMO",,,"71",,"29.65","0.15","5264.58","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 20MG","0637","RC","Both",,,"42","21","Blue Cross Blue Shield","PPO",,,"71",,"29.65","0.15","5264.58","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 20MG","0637","RC","Both",,,"42","21","Ambetter","Health Exchange",,,"62",,"26.04","0.15","5264.58","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 20MG","0637","RC","Both",,,"42","21","Caresource","Health Exchange",,,"62",,"26.04","0.15","5264.58","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 20MG","0637","RC","Both",,,"42","21","Cigna","Commercial",,,"59",,"24.61","0.15","5264.58","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 20MG","0637","RC","Both",,,"42","21","Humana","Commercial",,,"78",,"32.55","0.15","5264.58","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 20MG","0637","RC","Both",,,"42","21","UHC","Commercial",,,"75",,"31.67","0.15","5264.58","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 20MG","0637","RC","Both",,,"42","21","Medicaid",,,,"37",,"15.37","0.15","5264.58","percent of total billed charges",,
"NF-SERTRALINE HCL ORAL TABLET 25MG","0637","RC","Both",,,"8.5","4.25","Alliant","Health Exchange",,,"62",,"5.27","0.15","5264.58","percent of total billed charges",,
"NF-SERTRALINE HCL ORAL TABLET 25MG","0637","RC","Both",,,"8.5","4.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.59","0.15","5264.58","percent of total billed charges",,
"NF-SERTRALINE HCL ORAL TABLET 25MG","0637","RC","Both",,,"8.5","4.25","Medicare",,,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-SERTRALINE HCL ORAL TABLET 25MG","0637","RC","Both",,,"8.5","4.25","Humana","Medicare Advantage",,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-SERTRALINE HCL ORAL TABLET 25MG","0637","RC","Both",,,"8.5","4.25","UHC","Medicare Advantage",,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-SERTRALINE HCL ORAL TABLET 25MG","0637","RC","Both",,,"8.5","4.25","Clover","Medicare Advantage",,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-SERTRALINE HCL ORAL TABLET 25MG","0637","RC","Both",,,"8.5","4.25","Wellcare","Medicare Advantage",,,"54",,"4.61","0.15","5264.58","percent of total billed charges",,
"NF-SERTRALINE HCL ORAL TABLET 25MG","0637","RC","Both",,,"8.5","4.25","Amerigroup","Medicaid Managed Care",,,"37",,"3.11","0.15","5264.58","percent of total billed charges",,
"NF-SERTRALINE HCL ORAL TABLET 25MG","0637","RC","Both",,,"8.5","4.25","Caresource","Medicaid Managed Care",,,"40",,"3.4","0.15","5264.58","percent of total billed charges",,
"NF-SERTRALINE HCL ORAL TABLET 25MG","0637","RC","Both",,,"8.5","4.25","Wellcare","Medicaid Managed Care",,,"40",,"3.44","0.15","5264.58","percent of total billed charges",,
"NF-SERTRALINE HCL ORAL TABLET 25MG","0637","RC","Both",,,"8.5","4.25","Aetna","Commercial",,,"64",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-SERTRALINE HCL ORAL TABLET 25MG","0637","RC","Both",,,"8.5","4.25","Blue Cross Blue Shield","Pathways",,,"71",,"6","0.15","5264.58","percent of total billed charges",,
"NF-SERTRALINE HCL ORAL TABLET 25MG","0637","RC","Both",,,"8.5","4.25","Blue Cross Blue Shield","HMO",,,"71",,"6","0.15","5264.58","percent of total billed charges",,
"NF-SERTRALINE HCL ORAL TABLET 25MG","0637","RC","Both",,,"8.5","4.25","Blue Cross Blue Shield","PPO",,,"71",,"6","0.15","5264.58","percent of total billed charges",,
"NF-SERTRALINE HCL ORAL TABLET 25MG","0637","RC","Both",,,"8.5","4.25","Ambetter","Health Exchange",,,"62",,"5.27","0.15","5264.58","percent of total billed charges",,
"NF-SERTRALINE HCL ORAL TABLET 25MG","0637","RC","Both",,,"8.5","4.25","Caresource","Health Exchange",,,"62",,"5.27","0.15","5264.58","percent of total billed charges",,
"NF-SERTRALINE HCL ORAL TABLET 25MG","0637","RC","Both",,,"8.5","4.25","Cigna","Commercial",,,"59",,"4.98","0.15","5264.58","percent of total billed charges",,
"NF-SERTRALINE HCL ORAL TABLET 25MG","0637","RC","Both",,,"8.5","4.25","Humana","Commercial",,,"78",,"6.59","0.15","5264.58","percent of total billed charges",,
"NF-SERTRALINE HCL ORAL TABLET 25MG","0637","RC","Both",,,"8.5","4.25","UHC","Commercial",,,"75",,"6.41","0.15","5264.58","percent of total billed charges",,
"NF-SERTRALINE HCL ORAL TABLET 25MG","0637","RC","Both",,,"8.5","4.25","Medicaid",,,,"37",,"3.11","0.15","5264.58","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TAB 100MG","0637","RC","Both",,,"9.5","4.75","Alliant","Health Exchange",,,"62",,"5.89","0.15","5264.58","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TAB 100MG","0637","RC","Both",,,"9.5","4.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.13","0.15","5264.58","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TAB 100MG","0637","RC","Both",,,"9.5","4.75","Medicare",,,,"54",,"5.15","0.15","5264.58","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TAB 100MG","0637","RC","Both",,,"9.5","4.75","Humana","Medicare Advantage",,,"54",,"5.15","0.15","5264.58","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TAB 100MG","0637","RC","Both",,,"9.5","4.75","UHC","Medicare Advantage",,,"54",,"5.15","0.15","5264.58","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TAB 100MG","0637","RC","Both",,,"9.5","4.75","Clover","Medicare Advantage",,,"54",,"5.15","0.15","5264.58","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TAB 100MG","0637","RC","Both",,,"9.5","4.75","Wellcare","Medicare Advantage",,,"54",,"5.15","0.15","5264.58","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TAB 100MG","0637","RC","Both",,,"9.5","4.75","Amerigroup","Medicaid Managed Care",,,"37",,"3.48","0.15","5264.58","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TAB 100MG","0637","RC","Both",,,"9.5","4.75","Caresource","Medicaid Managed Care",,,"40",,"3.8","0.15","5264.58","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TAB 100MG","0637","RC","Both",,,"9.5","4.75","Wellcare","Medicaid Managed Care",,,"40",,"3.85","0.15","5264.58","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TAB 100MG","0637","RC","Both",,,"9.5","4.75","Aetna","Commercial",,,"64",,"6.06","0.15","5264.58","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TAB 100MG","0637","RC","Both",,,"9.5","4.75","Blue Cross Blue Shield","Pathways",,,"71",,"6.71","0.15","5264.58","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TAB 100MG","0637","RC","Both",,,"9.5","4.75","Blue Cross Blue Shield","HMO",,,"71",,"6.71","0.15","5264.58","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TAB 100MG","0637","RC","Both",,,"9.5","4.75","Blue Cross Blue Shield","PPO",,,"71",,"6.71","0.15","5264.58","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TAB 100MG","0637","RC","Both",,,"9.5","4.75","Ambetter","Health Exchange",,,"62",,"5.89","0.15","5264.58","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TAB 100MG","0637","RC","Both",,,"9.5","4.75","Caresource","Health Exchange",,,"62",,"5.89","0.15","5264.58","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TAB 100MG","0637","RC","Both",,,"9.5","4.75","Cigna","Commercial",,,"59",,"5.57","0.15","5264.58","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TAB 100MG","0637","RC","Both",,,"9.5","4.75","Humana","Commercial",,,"78",,"7.36","0.15","5264.58","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TAB 100MG","0637","RC","Both",,,"9.5","4.75","UHC","Commercial",,,"75",,"7.16","0.15","5264.58","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TAB 100MG","0637","RC","Both",,,"9.5","4.75","Medicaid",,,,"37",,"3.48","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE CAP 25MG","0637","RC","Both",,,"2.5","1.25","Alliant","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE CAP 25MG","0637","RC","Both",,,"2.5","1.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.35","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE CAP 25MG","0637","RC","Both",,,"2.5","1.25","Medicare",,,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE CAP 25MG","0637","RC","Both",,,"2.5","1.25","Humana","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE CAP 25MG","0637","RC","Both",,,"2.5","1.25","UHC","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE CAP 25MG","0637","RC","Both",,,"2.5","1.25","Clover","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE CAP 25MG","0637","RC","Both",,,"2.5","1.25","Wellcare","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE CAP 25MG","0637","RC","Both",,,"2.5","1.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.92","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE CAP 25MG","0637","RC","Both",,,"2.5","1.25","Caresource","Medicaid Managed Care",,,"40",,"1","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE CAP 25MG","0637","RC","Both",,,"2.5","1.25","Wellcare","Medicaid Managed Care",,,"40",,"1.01","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE CAP 25MG","0637","RC","Both",,,"2.5","1.25","Aetna","Commercial",,,"64",,"1.6","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE CAP 25MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","Pathways",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE CAP 25MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","HMO",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE CAP 25MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","PPO",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE CAP 25MG","0637","RC","Both",,,"2.5","1.25","Ambetter","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE CAP 25MG","0637","RC","Both",,,"2.5","1.25","Caresource","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE CAP 25MG","0637","RC","Both",,,"2.5","1.25","Cigna","Commercial",,,"59",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE CAP 25MG","0637","RC","Both",,,"2.5","1.25","Humana","Commercial",,,"78",,"1.94","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE CAP 25MG","0637","RC","Both",,,"2.5","1.25","UHC","Commercial",,,"75",,"1.88","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE CAP 25MG","0637","RC","Both",,,"2.5","1.25","Medicaid",,,,"37",,"0.92","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID 112MCG ORAL TABLET","0637","RC","Both",,,"3.5","1.75","Alliant","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID 112MCG ORAL TABLET","0637","RC","Both",,,"3.5","1.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.89","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID 112MCG ORAL TABLET","0637","RC","Both",,,"3.5","1.75","Medicare",,,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID 112MCG ORAL TABLET","0637","RC","Both",,,"3.5","1.75","Humana","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID 112MCG ORAL TABLET","0637","RC","Both",,,"3.5","1.75","UHC","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID 112MCG ORAL TABLET","0637","RC","Both",,,"3.5","1.75","Clover","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID 112MCG ORAL TABLET","0637","RC","Both",,,"3.5","1.75","Wellcare","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID 112MCG ORAL TABLET","0637","RC","Both",,,"3.5","1.75","Amerigroup","Medicaid Managed Care",,,"37",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID 112MCG ORAL TABLET","0637","RC","Both",,,"3.5","1.75","Caresource","Medicaid Managed Care",,,"40",,"1.4","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID 112MCG ORAL TABLET","0637","RC","Both",,,"3.5","1.75","Wellcare","Medicaid Managed Care",,,"40",,"1.42","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID 112MCG ORAL TABLET","0637","RC","Both",,,"3.5","1.75","Aetna","Commercial",,,"64",,"2.23","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID 112MCG ORAL TABLET","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","Pathways",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID 112MCG ORAL TABLET","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","HMO",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID 112MCG ORAL TABLET","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","PPO",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID 112MCG ORAL TABLET","0637","RC","Both",,,"3.5","1.75","Ambetter","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID 112MCG ORAL TABLET","0637","RC","Both",,,"3.5","1.75","Caresource","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID 112MCG ORAL TABLET","0637","RC","Both",,,"3.5","1.75","Cigna","Commercial",,,"59",,"2.05","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID 112MCG ORAL TABLET","0637","RC","Both",,,"3.5","1.75","Humana","Commercial",,,"78",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID 112MCG ORAL TABLET","0637","RC","Both",,,"3.5","1.75","UHC","Commercial",,,"75",,"2.64","0.15","5264.58","percent of total billed charges",,
"NF-SYNTHROID 112MCG ORAL TABLET","0637","RC","Both",,,"3.5","1.75","Medicaid",,,,"37",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-NUCYNTA ORAL TABLET 50MG","0637","RC","Both",,,"16","8","Alliant","Health Exchange",,,"62",,"9.92","0.15","5264.58","percent of total billed charges",,
"NF-NUCYNTA ORAL TABLET 50MG","0637","RC","Both",,,"16","8","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.64","0.15","5264.58","percent of total billed charges",,
"NF-NUCYNTA ORAL TABLET 50MG","0637","RC","Both",,,"16","8","Medicare",,,,"54",,"8.67","0.15","5264.58","percent of total billed charges",,
"NF-NUCYNTA ORAL TABLET 50MG","0637","RC","Both",,,"16","8","Humana","Medicare Advantage",,,"54",,"8.67","0.15","5264.58","percent of total billed charges",,
"NF-NUCYNTA ORAL TABLET 50MG","0637","RC","Both",,,"16","8","UHC","Medicare Advantage",,,"54",,"8.67","0.15","5264.58","percent of total billed charges",,
"NF-NUCYNTA ORAL TABLET 50MG","0637","RC","Both",,,"16","8","Clover","Medicare Advantage",,,"54",,"8.67","0.15","5264.58","percent of total billed charges",,
"NF-NUCYNTA ORAL TABLET 50MG","0637","RC","Both",,,"16","8","Wellcare","Medicare Advantage",,,"54",,"8.67","0.15","5264.58","percent of total billed charges",,
"NF-NUCYNTA ORAL TABLET 50MG","0637","RC","Both",,,"16","8","Amerigroup","Medicaid Managed Care",,,"37",,"5.86","0.15","5264.58","percent of total billed charges",,
"NF-NUCYNTA ORAL TABLET 50MG","0637","RC","Both",,,"16","8","Caresource","Medicaid Managed Care",,,"40",,"6.4","0.15","5264.58","percent of total billed charges",,
"NF-NUCYNTA ORAL TABLET 50MG","0637","RC","Both",,,"16","8","Wellcare","Medicaid Managed Care",,,"40",,"6.48","0.15","5264.58","percent of total billed charges",,
"NF-NUCYNTA ORAL TABLET 50MG","0637","RC","Both",,,"16","8","Aetna","Commercial",,,"64",,"10.21","0.15","5264.58","percent of total billed charges",,
"NF-NUCYNTA ORAL TABLET 50MG","0637","RC","Both",,,"16","8","Blue Cross Blue Shield","Pathways",,,"71",,"11.3","0.15","5264.58","percent of total billed charges",,
"NF-NUCYNTA ORAL TABLET 50MG","0637","RC","Both",,,"16","8","Blue Cross Blue Shield","HMO",,,"71",,"11.3","0.15","5264.58","percent of total billed charges",,
"NF-NUCYNTA ORAL TABLET 50MG","0637","RC","Both",,,"16","8","Blue Cross Blue Shield","PPO",,,"71",,"11.3","0.15","5264.58","percent of total billed charges",,
"NF-NUCYNTA ORAL TABLET 50MG","0637","RC","Both",,,"16","8","Ambetter","Health Exchange",,,"62",,"9.92","0.15","5264.58","percent of total billed charges",,
"NF-NUCYNTA ORAL TABLET 50MG","0637","RC","Both",,,"16","8","Caresource","Health Exchange",,,"62",,"9.92","0.15","5264.58","percent of total billed charges",,
"NF-NUCYNTA ORAL TABLET 50MG","0637","RC","Both",,,"16","8","Cigna","Commercial",,,"59",,"9.38","0.15","5264.58","percent of total billed charges",,
"NF-NUCYNTA ORAL TABLET 50MG","0637","RC","Both",,,"16","8","Humana","Commercial",,,"78",,"12.4","0.15","5264.58","percent of total billed charges",,
"NF-NUCYNTA ORAL TABLET 50MG","0637","RC","Both",,,"16","8","UHC","Commercial",,,"75",,"12.06","0.15","5264.58","percent of total billed charges",,
"NF-NUCYNTA ORAL TABLET 50MG","0637","RC","Both",,,"16","8","Medicaid",,,,"37",,"5.86","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE HCL CAP 25MG","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE HCL CAP 25MG","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE HCL CAP 25MG","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE HCL CAP 25MG","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE HCL CAP 25MG","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE HCL CAP 25MG","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE HCL CAP 25MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE HCL CAP 25MG","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE HCL CAP 25MG","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE HCL CAP 25MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE HCL CAP 25MG","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE HCL CAP 25MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE HCL CAP 25MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE HCL CAP 25MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE HCL CAP 25MG","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE HCL CAP 25MG","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE HCL CAP 25MG","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE HCL CAP 25MG","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE HCL CAP 25MG","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE HCL CAP 25MG","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-ZAFIRLUKAST ORAL TABLET 20MG","0637","RC","Both",,,"5.5","2.75","Alliant","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-ZAFIRLUKAST ORAL TABLET 20MG","0637","RC","Both",,,"5.5","2.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.97","0.15","5264.58","percent of total billed charges",,
"NF-ZAFIRLUKAST ORAL TABLET 20MG","0637","RC","Both",,,"5.5","2.75","Medicare",,,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-ZAFIRLUKAST ORAL TABLET 20MG","0637","RC","Both",,,"5.5","2.75","Humana","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-ZAFIRLUKAST ORAL TABLET 20MG","0637","RC","Both",,,"5.5","2.75","UHC","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-ZAFIRLUKAST ORAL TABLET 20MG","0637","RC","Both",,,"5.5","2.75","Clover","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-ZAFIRLUKAST ORAL TABLET 20MG","0637","RC","Both",,,"5.5","2.75","Wellcare","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-ZAFIRLUKAST ORAL TABLET 20MG","0637","RC","Both",,,"5.5","2.75","Amerigroup","Medicaid Managed Care",,,"37",,"2.01","0.15","5264.58","percent of total billed charges",,
"NF-ZAFIRLUKAST ORAL TABLET 20MG","0637","RC","Both",,,"5.5","2.75","Caresource","Medicaid Managed Care",,,"40",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-ZAFIRLUKAST ORAL TABLET 20MG","0637","RC","Both",,,"5.5","2.75","Wellcare","Medicaid Managed Care",,,"40",,"2.23","0.15","5264.58","percent of total billed charges",,
"NF-ZAFIRLUKAST ORAL TABLET 20MG","0637","RC","Both",,,"5.5","2.75","Aetna","Commercial",,,"64",,"3.51","0.15","5264.58","percent of total billed charges",,
"NF-ZAFIRLUKAST ORAL TABLET 20MG","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","Pathways",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-ZAFIRLUKAST ORAL TABLET 20MG","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","HMO",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-ZAFIRLUKAST ORAL TABLET 20MG","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","PPO",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-ZAFIRLUKAST ORAL TABLET 20MG","0637","RC","Both",,,"5.5","2.75","Ambetter","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-ZAFIRLUKAST ORAL TABLET 20MG","0637","RC","Both",,,"5.5","2.75","Caresource","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-ZAFIRLUKAST ORAL TABLET 20MG","0637","RC","Both",,,"5.5","2.75","Cigna","Commercial",,,"59",,"3.22","0.15","5264.58","percent of total billed charges",,
"NF-ZAFIRLUKAST ORAL TABLET 20MG","0637","RC","Both",,,"5.5","2.75","Humana","Commercial",,,"78",,"4.26","0.15","5264.58","percent of total billed charges",,
"NF-ZAFIRLUKAST ORAL TABLET 20MG","0637","RC","Both",,,"5.5","2.75","UHC","Commercial",,,"75",,"4.15","0.15","5264.58","percent of total billed charges",,
"NF-ZAFIRLUKAST ORAL TABLET 20MG","0637","RC","Both",,,"5.5","2.75","Medicaid",,,,"37",,"2.01","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN TAB 800MG","0637","RC","Both",,,"12.5","6.25","Alliant","Health Exchange",,,"62",,"7.75","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN TAB 800MG","0637","RC","Both",,,"12.5","6.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.75","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN TAB 800MG","0637","RC","Both",,,"12.5","6.25","Medicare",,,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN TAB 800MG","0637","RC","Both",,,"12.5","6.25","Humana","Medicare Advantage",,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN TAB 800MG","0637","RC","Both",,,"12.5","6.25","UHC","Medicare Advantage",,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN TAB 800MG","0637","RC","Both",,,"12.5","6.25","Clover","Medicare Advantage",,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN TAB 800MG","0637","RC","Both",,,"12.5","6.25","Wellcare","Medicare Advantage",,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN TAB 800MG","0637","RC","Both",,,"12.5","6.25","Amerigroup","Medicaid Managed Care",,,"37",,"4.58","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN TAB 800MG","0637","RC","Both",,,"12.5","6.25","Caresource","Medicaid Managed Care",,,"40",,"5","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN TAB 800MG","0637","RC","Both",,,"12.5","6.25","Wellcare","Medicaid Managed Care",,,"40",,"5.06","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN TAB 800MG","0637","RC","Both",,,"12.5","6.25","Aetna","Commercial",,,"64",,"7.98","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN TAB 800MG","0637","RC","Both",,,"12.5","6.25","Blue Cross Blue Shield","Pathways",,,"71",,"8.82","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN TAB 800MG","0637","RC","Both",,,"12.5","6.25","Blue Cross Blue Shield","HMO",,,"71",,"8.82","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN TAB 800MG","0637","RC","Both",,,"12.5","6.25","Blue Cross Blue Shield","PPO",,,"71",,"8.82","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN TAB 800MG","0637","RC","Both",,,"12.5","6.25","Ambetter","Health Exchange",,,"62",,"7.75","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN TAB 800MG","0637","RC","Both",,,"12.5","6.25","Caresource","Health Exchange",,,"62",,"7.75","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN TAB 800MG","0637","RC","Both",,,"12.5","6.25","Cigna","Commercial",,,"59",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN TAB 800MG","0637","RC","Both",,,"12.5","6.25","Humana","Commercial",,,"78",,"9.69","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN TAB 800MG","0637","RC","Both",,,"12.5","6.25","UHC","Commercial",,,"75",,"9.43","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN TAB 800MG","0637","RC","Both",,,"12.5","6.25","Medicaid",,,,"37",,"4.58","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"NF-IPRATROPIUM BROMIDE INH SOLN 0.02%","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 200MG","0637","RC","Both",,,"24.5","12.25","Alliant","Health Exchange",,,"62",,"15.19","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 200MG","0637","RC","Both",,,"24.5","12.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"13.23","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 200MG","0637","RC","Both",,,"24.5","12.25","Medicare",,,,"54",,"13.28","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 200MG","0637","RC","Both",,,"24.5","12.25","Humana","Medicare Advantage",,,"54",,"13.28","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 200MG","0637","RC","Both",,,"24.5","12.25","UHC","Medicare Advantage",,,"54",,"13.28","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 200MG","0637","RC","Both",,,"24.5","12.25","Clover","Medicare Advantage",,,"54",,"13.28","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 200MG","0637","RC","Both",,,"24.5","12.25","Wellcare","Medicare Advantage",,,"54",,"13.28","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 200MG","0637","RC","Both",,,"24.5","12.25","Amerigroup","Medicaid Managed Care",,,"37",,"8.97","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 200MG","0637","RC","Both",,,"24.5","12.25","Caresource","Medicaid Managed Care",,,"40",,"9.8","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 200MG","0637","RC","Both",,,"24.5","12.25","Wellcare","Medicaid Managed Care",,,"40",,"9.92","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 200MG","0637","RC","Both",,,"24.5","12.25","Aetna","Commercial",,,"64",,"15.63","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 200MG","0637","RC","Both",,,"24.5","12.25","Blue Cross Blue Shield","Pathways",,,"71",,"17.3","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 200MG","0637","RC","Both",,,"24.5","12.25","Blue Cross Blue Shield","HMO",,,"71",,"17.3","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 200MG","0637","RC","Both",,,"24.5","12.25","Blue Cross Blue Shield","PPO",,,"71",,"17.3","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 200MG","0637","RC","Both",,,"24.5","12.25","Ambetter","Health Exchange",,,"62",,"15.19","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 200MG","0637","RC","Both",,,"24.5","12.25","Caresource","Health Exchange",,,"62",,"15.19","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 200MG","0637","RC","Both",,,"24.5","12.25","Cigna","Commercial",,,"59",,"14.36","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 200MG","0637","RC","Both",,,"24.5","12.25","Humana","Commercial",,,"78",,"18.99","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 200MG","0637","RC","Both",,,"24.5","12.25","UHC","Commercial",,,"75",,"18.47","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 200MG","0637","RC","Both",,,"24.5","12.25","Medicaid",,,,"37",,"8.97","0.15","5264.58","percent of total billed charges",,
"NF-LINZESS CAP 145MCG","0637","RC","Both",,,"36.5","18.25","Alliant","Health Exchange",,,"62",,"22.63","0.15","5264.58","percent of total billed charges",,
"NF-LINZESS CAP 145MCG","0637","RC","Both",,,"36.5","18.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.71","0.15","5264.58","percent of total billed charges",,
"NF-LINZESS CAP 145MCG","0637","RC","Both",,,"36.5","18.25","Medicare",,,,"54",,"19.78","0.15","5264.58","percent of total billed charges",,
"NF-LINZESS CAP 145MCG","0637","RC","Both",,,"36.5","18.25","Humana","Medicare Advantage",,,"54",,"19.78","0.15","5264.58","percent of total billed charges",,
"NF-LINZESS CAP 145MCG","0637","RC","Both",,,"36.5","18.25","UHC","Medicare Advantage",,,"54",,"19.78","0.15","5264.58","percent of total billed charges",,
"NF-LINZESS CAP 145MCG","0637","RC","Both",,,"36.5","18.25","Clover","Medicare Advantage",,,"54",,"19.78","0.15","5264.58","percent of total billed charges",,
"NF-LINZESS CAP 145MCG","0637","RC","Both",,,"36.5","18.25","Wellcare","Medicare Advantage",,,"54",,"19.78","0.15","5264.58","percent of total billed charges",,
"NF-LINZESS CAP 145MCG","0637","RC","Both",,,"36.5","18.25","Amerigroup","Medicaid Managed Care",,,"37",,"13.36","0.15","5264.58","percent of total billed charges",,
"NF-LINZESS CAP 145MCG","0637","RC","Both",,,"36.5","18.25","Caresource","Medicaid Managed Care",,,"40",,"14.6","0.15","5264.58","percent of total billed charges",,
"NF-LINZESS CAP 145MCG","0637","RC","Both",,,"36.5","18.25","Wellcare","Medicaid Managed Care",,,"40",,"14.78","0.15","5264.58","percent of total billed charges",,
"NF-LINZESS CAP 145MCG","0637","RC","Both",,,"36.5","18.25","Aetna","Commercial",,,"64",,"23.29","0.15","5264.58","percent of total billed charges",,
"NF-LINZESS CAP 145MCG","0637","RC","Both",,,"36.5","18.25","Blue Cross Blue Shield","Pathways",,,"71",,"25.77","0.15","5264.58","percent of total billed charges",,
"NF-LINZESS CAP 145MCG","0637","RC","Both",,,"36.5","18.25","Blue Cross Blue Shield","HMO",,,"71",,"25.77","0.15","5264.58","percent of total billed charges",,
"NF-LINZESS CAP 145MCG","0637","RC","Both",,,"36.5","18.25","Blue Cross Blue Shield","PPO",,,"71",,"25.77","0.15","5264.58","percent of total billed charges",,
"NF-LINZESS CAP 145MCG","0637","RC","Both",,,"36.5","18.25","Ambetter","Health Exchange",,,"62",,"22.63","0.15","5264.58","percent of total billed charges",,
"NF-LINZESS CAP 145MCG","0637","RC","Both",,,"36.5","18.25","Caresource","Health Exchange",,,"62",,"22.63","0.15","5264.58","percent of total billed charges",,
"NF-LINZESS CAP 145MCG","0637","RC","Both",,,"36.5","18.25","Cigna","Commercial",,,"59",,"21.39","0.15","5264.58","percent of total billed charges",,
"NF-LINZESS CAP 145MCG","0637","RC","Both",,,"36.5","18.25","Humana","Commercial",,,"78",,"28.29","0.15","5264.58","percent of total billed charges",,
"NF-LINZESS CAP 145MCG","0637","RC","Both",,,"36.5","18.25","UHC","Commercial",,,"75",,"27.52","0.15","5264.58","percent of total billed charges",,
"NF-LINZESS CAP 145MCG","0637","RC","Both",,,"36.5","18.25","Medicaid",,,,"37",,"13.36","0.15","5264.58","percent of total billed charges",,
"NF-PIOGLITAZONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"21","10.5","Alliant","Health Exchange",,,"62",,"13.02","0.15","5264.58","percent of total billed charges",,
"NF-PIOGLITAZONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"21","10.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.34","0.15","5264.58","percent of total billed charges",,
"NF-PIOGLITAZONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"21","10.5","Medicare",,,,"54",,"11.38","0.15","5264.58","percent of total billed charges",,
"NF-PIOGLITAZONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"21","10.5","Humana","Medicare Advantage",,,"54",,"11.38","0.15","5264.58","percent of total billed charges",,
"NF-PIOGLITAZONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"21","10.5","UHC","Medicare Advantage",,,"54",,"11.38","0.15","5264.58","percent of total billed charges",,
"NF-PIOGLITAZONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"21","10.5","Clover","Medicare Advantage",,,"54",,"11.38","0.15","5264.58","percent of total billed charges",,
"NF-PIOGLITAZONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"21","10.5","Wellcare","Medicare Advantage",,,"54",,"11.38","0.15","5264.58","percent of total billed charges",,
"NF-PIOGLITAZONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"21","10.5","Amerigroup","Medicaid Managed Care",,,"37",,"7.69","0.15","5264.58","percent of total billed charges",,
"NF-PIOGLITAZONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"21","10.5","Caresource","Medicaid Managed Care",,,"40",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-PIOGLITAZONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"21","10.5","Wellcare","Medicaid Managed Care",,,"40",,"8.51","0.15","5264.58","percent of total billed charges",,
"NF-PIOGLITAZONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"21","10.5","Aetna","Commercial",,,"64",,"13.4","0.15","5264.58","percent of total billed charges",,
"NF-PIOGLITAZONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"21","10.5","Blue Cross Blue Shield","Pathways",,,"71",,"14.83","0.15","5264.58","percent of total billed charges",,
"NF-PIOGLITAZONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"21","10.5","Blue Cross Blue Shield","HMO",,,"71",,"14.83","0.15","5264.58","percent of total billed charges",,
"NF-PIOGLITAZONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"21","10.5","Blue Cross Blue Shield","PPO",,,"71",,"14.83","0.15","5264.58","percent of total billed charges",,
"NF-PIOGLITAZONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"21","10.5","Ambetter","Health Exchange",,,"62",,"13.02","0.15","5264.58","percent of total billed charges",,
"NF-PIOGLITAZONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"21","10.5","Caresource","Health Exchange",,,"62",,"13.02","0.15","5264.58","percent of total billed charges",,
"NF-PIOGLITAZONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"21","10.5","Cigna","Commercial",,,"59",,"12.31","0.15","5264.58","percent of total billed charges",,
"NF-PIOGLITAZONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"21","10.5","Humana","Commercial",,,"78",,"16.28","0.15","5264.58","percent of total billed charges",,
"NF-PIOGLITAZONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"21","10.5","UHC","Commercial",,,"75",,"15.83","0.15","5264.58","percent of total billed charges",,
"NF-PIOGLITAZONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"21","10.5","Medicaid",,,,"37",,"7.69","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE ORAL TABLET 2.5MG","0637","RC","Both",,,"4.5","2.25","Alliant","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE ORAL TABLET 2.5MG","0637","RC","Both",,,"4.5","2.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE ORAL TABLET 2.5MG","0637","RC","Both",,,"4.5","2.25","Medicare",,,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE ORAL TABLET 2.5MG","0637","RC","Both",,,"4.5","2.25","Humana","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE ORAL TABLET 2.5MG","0637","RC","Both",,,"4.5","2.25","UHC","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE ORAL TABLET 2.5MG","0637","RC","Both",,,"4.5","2.25","Clover","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE ORAL TABLET 2.5MG","0637","RC","Both",,,"4.5","2.25","Wellcare","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE ORAL TABLET 2.5MG","0637","RC","Both",,,"4.5","2.25","Amerigroup","Medicaid Managed Care",,,"37",,"1.65","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE ORAL TABLET 2.5MG","0637","RC","Both",,,"4.5","2.25","Caresource","Medicaid Managed Care",,,"40",,"1.8","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE ORAL TABLET 2.5MG","0637","RC","Both",,,"4.5","2.25","Wellcare","Medicaid Managed Care",,,"40",,"1.82","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE ORAL TABLET 2.5MG","0637","RC","Both",,,"4.5","2.25","Aetna","Commercial",,,"64",,"2.87","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE ORAL TABLET 2.5MG","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","Pathways",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE ORAL TABLET 2.5MG","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","HMO",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE ORAL TABLET 2.5MG","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","PPO",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE ORAL TABLET 2.5MG","0637","RC","Both",,,"4.5","2.25","Ambetter","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE ORAL TABLET 2.5MG","0637","RC","Both",,,"4.5","2.25","Caresource","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE ORAL TABLET 2.5MG","0637","RC","Both",,,"4.5","2.25","Cigna","Commercial",,,"59",,"2.64","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE ORAL TABLET 2.5MG","0637","RC","Both",,,"4.5","2.25","Humana","Commercial",,,"78",,"3.49","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE ORAL TABLET 2.5MG","0637","RC","Both",,,"4.5","2.25","UHC","Commercial",,,"75",,"3.39","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE ORAL TABLET 2.5MG","0637","RC","Both",,,"4.5","2.25","Medicaid",,,,"37",,"1.65","0.15","5264.58","percent of total billed charges",,
"NF-DEMEROL HYDROCHLORIDE TABLET 50MG","0637","RC","Both",,,"5.5","2.75","Alliant","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-DEMEROL HYDROCHLORIDE TABLET 50MG","0637","RC","Both",,,"5.5","2.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.97","0.15","5264.58","percent of total billed charges",,
"NF-DEMEROL HYDROCHLORIDE TABLET 50MG","0637","RC","Both",,,"5.5","2.75","Medicare",,,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-DEMEROL HYDROCHLORIDE TABLET 50MG","0637","RC","Both",,,"5.5","2.75","Humana","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-DEMEROL HYDROCHLORIDE TABLET 50MG","0637","RC","Both",,,"5.5","2.75","UHC","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-DEMEROL HYDROCHLORIDE TABLET 50MG","0637","RC","Both",,,"5.5","2.75","Clover","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-DEMEROL HYDROCHLORIDE TABLET 50MG","0637","RC","Both",,,"5.5","2.75","Wellcare","Medicare Advantage",,,"54",,"2.98","0.15","5264.58","percent of total billed charges",,
"NF-DEMEROL HYDROCHLORIDE TABLET 50MG","0637","RC","Both",,,"5.5","2.75","Amerigroup","Medicaid Managed Care",,,"37",,"2.01","0.15","5264.58","percent of total billed charges",,
"NF-DEMEROL HYDROCHLORIDE TABLET 50MG","0637","RC","Both",,,"5.5","2.75","Caresource","Medicaid Managed Care",,,"40",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-DEMEROL HYDROCHLORIDE TABLET 50MG","0637","RC","Both",,,"5.5","2.75","Wellcare","Medicaid Managed Care",,,"40",,"2.23","0.15","5264.58","percent of total billed charges",,
"NF-DEMEROL HYDROCHLORIDE TABLET 50MG","0637","RC","Both",,,"5.5","2.75","Aetna","Commercial",,,"64",,"3.51","0.15","5264.58","percent of total billed charges",,
"NF-DEMEROL HYDROCHLORIDE TABLET 50MG","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","Pathways",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-DEMEROL HYDROCHLORIDE TABLET 50MG","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","HMO",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-DEMEROL HYDROCHLORIDE TABLET 50MG","0637","RC","Both",,,"5.5","2.75","Blue Cross Blue Shield","PPO",,,"71",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-DEMEROL HYDROCHLORIDE TABLET 50MG","0637","RC","Both",,,"5.5","2.75","Ambetter","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-DEMEROL HYDROCHLORIDE TABLET 50MG","0637","RC","Both",,,"5.5","2.75","Caresource","Health Exchange",,,"62",,"3.41","0.15","5264.58","percent of total billed charges",,
"NF-DEMEROL HYDROCHLORIDE TABLET 50MG","0637","RC","Both",,,"5.5","2.75","Cigna","Commercial",,,"59",,"3.22","0.15","5264.58","percent of total billed charges",,
"NF-DEMEROL HYDROCHLORIDE TABLET 50MG","0637","RC","Both",,,"5.5","2.75","Humana","Commercial",,,"78",,"4.26","0.15","5264.58","percent of total billed charges",,
"NF-DEMEROL HYDROCHLORIDE TABLET 50MG","0637","RC","Both",,,"5.5","2.75","UHC","Commercial",,,"75",,"4.15","0.15","5264.58","percent of total billed charges",,
"NF-DEMEROL HYDROCHLORIDE TABLET 50MG","0637","RC","Both",,,"5.5","2.75","Medicaid",,,,"37",,"2.01","0.15","5264.58","percent of total billed charges",,
"BENZOIN COMPOUND TINCTURE 2 OZ","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"BENZOIN COMPOUND TINCTURE 2 OZ","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"BENZOIN COMPOUND TINCTURE 2 OZ","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"BENZOIN COMPOUND TINCTURE 2 OZ","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"BENZOIN COMPOUND TINCTURE 2 OZ","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"BENZOIN COMPOUND TINCTURE 2 OZ","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"BENZOIN COMPOUND TINCTURE 2 OZ","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"BENZOIN COMPOUND TINCTURE 2 OZ","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"BENZOIN COMPOUND TINCTURE 2 OZ","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"BENZOIN COMPOUND TINCTURE 2 OZ","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"BENZOIN COMPOUND TINCTURE 2 OZ","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"BENZOIN COMPOUND TINCTURE 2 OZ","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"BENZOIN COMPOUND TINCTURE 2 OZ","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"BENZOIN COMPOUND TINCTURE 2 OZ","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"BENZOIN COMPOUND TINCTURE 2 OZ","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"BENZOIN COMPOUND TINCTURE 2 OZ","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"BENZOIN COMPOUND TINCTURE 2 OZ","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"BENZOIN COMPOUND TINCTURE 2 OZ","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"BENZOIN COMPOUND TINCTURE 2 OZ","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"BENZOIN COMPOUND TINCTURE 2 OZ","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY 5MG ORAL TABLET","0637","RC","Both",,,"183.5","91.75","Alliant","Health Exchange",,,"62",,"113.77","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY 5MG ORAL TABLET","0637","RC","Both",,,"183.5","91.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"99.09","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY 5MG ORAL TABLET","0637","RC","Both",,,"183.5","91.75","Medicare",,,,"54",,"99.46","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY 5MG ORAL TABLET","0637","RC","Both",,,"183.5","91.75","Humana","Medicare Advantage",,,"54",,"99.46","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY 5MG ORAL TABLET","0637","RC","Both",,,"183.5","91.75","UHC","Medicare Advantage",,,"54",,"99.46","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY 5MG ORAL TABLET","0637","RC","Both",,,"183.5","91.75","Clover","Medicare Advantage",,,"54",,"99.46","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY 5MG ORAL TABLET","0637","RC","Both",,,"183.5","91.75","Wellcare","Medicare Advantage",,,"54",,"99.46","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY 5MG ORAL TABLET","0637","RC","Both",,,"183.5","91.75","Amerigroup","Medicaid Managed Care",,,"37",,"67.16","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY 5MG ORAL TABLET","0637","RC","Both",,,"183.5","91.75","Caresource","Medicaid Managed Care",,,"40",,"73.4","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY 5MG ORAL TABLET","0637","RC","Both",,,"183.5","91.75","Wellcare","Medicaid Managed Care",,,"40",,"74.32","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY 5MG ORAL TABLET","0637","RC","Both",,,"183.5","91.75","Aetna","Commercial",,,"64",,"117.07","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY 5MG ORAL TABLET","0637","RC","Both",,,"183.5","91.75","Blue Cross Blue Shield","Pathways",,,"71",,"129.55","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY 5MG ORAL TABLET","0637","RC","Both",,,"183.5","91.75","Blue Cross Blue Shield","HMO",,,"71",,"129.55","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY 5MG ORAL TABLET","0637","RC","Both",,,"183.5","91.75","Blue Cross Blue Shield","PPO",,,"71",,"129.55","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY 5MG ORAL TABLET","0637","RC","Both",,,"183.5","91.75","Ambetter","Health Exchange",,,"62",,"113.77","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY 5MG ORAL TABLET","0637","RC","Both",,,"183.5","91.75","Caresource","Health Exchange",,,"62",,"113.77","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY 5MG ORAL TABLET","0637","RC","Both",,,"183.5","91.75","Cigna","Commercial",,,"59",,"107.53","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY 5MG ORAL TABLET","0637","RC","Both",,,"183.5","91.75","Humana","Commercial",,,"78",,"142.21","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY 5MG ORAL TABLET","0637","RC","Both",,,"183.5","91.75","UHC","Commercial",,,"75",,"138.36","0.15","5264.58","percent of total billed charges",,
"NF-ABILIFY 5MG ORAL TABLET","0637","RC","Both",,,"183.5","91.75","Medicaid",,,,"37",,"67.16","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL OPHTHALMIC GEL 0.3%","0637","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL OPHTHALMIC GEL 0.3%","0637","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL OPHTHALMIC GEL 0.3%","0637","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL OPHTHALMIC GEL 0.3%","0637","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL OPHTHALMIC GEL 0.3%","0637","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL OPHTHALMIC GEL 0.3%","0637","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL OPHTHALMIC GEL 0.3%","0637","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL OPHTHALMIC GEL 0.3%","0637","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL OPHTHALMIC GEL 0.3%","0637","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL OPHTHALMIC GEL 0.3%","0637","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL OPHTHALMIC GEL 0.3%","0637","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL OPHTHALMIC GEL 0.3%","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL OPHTHALMIC GEL 0.3%","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL OPHTHALMIC GEL 0.3%","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL OPHTHALMIC GEL 0.3%","0637","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL OPHTHALMIC GEL 0.3%","0637","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL OPHTHALMIC GEL 0.3%","0637","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL OPHTHALMIC GEL 0.3%","0637","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL OPHTHALMIC GEL 0.3%","0637","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.15","5264.58","percent of total billed charges",,
"NF-GENTEAL OPHTHALMIC GEL 0.3%","0637","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-MORPHINE SULFATE ORAL TAB ER 60MG","0637","RC","Both",,,"7.5","3.75","Alliant","Health Exchange",,,"62",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-MORPHINE SULFATE ORAL TAB ER 60MG","0637","RC","Both",,,"7.5","3.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.05","0.15","5264.58","percent of total billed charges",,
"NF-MORPHINE SULFATE ORAL TAB ER 60MG","0637","RC","Both",,,"7.5","3.75","Medicare",,,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-MORPHINE SULFATE ORAL TAB ER 60MG","0637","RC","Both",,,"7.5","3.75","Humana","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-MORPHINE SULFATE ORAL TAB ER 60MG","0637","RC","Both",,,"7.5","3.75","UHC","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-MORPHINE SULFATE ORAL TAB ER 60MG","0637","RC","Both",,,"7.5","3.75","Clover","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-MORPHINE SULFATE ORAL TAB ER 60MG","0637","RC","Both",,,"7.5","3.75","Wellcare","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-MORPHINE SULFATE ORAL TAB ER 60MG","0637","RC","Both",,,"7.5","3.75","Amerigroup","Medicaid Managed Care",,,"37",,"2.74","0.15","5264.58","percent of total billed charges",,
"NF-MORPHINE SULFATE ORAL TAB ER 60MG","0637","RC","Both",,,"7.5","3.75","Caresource","Medicaid Managed Care",,,"40",,"3","0.15","5264.58","percent of total billed charges",,
"NF-MORPHINE SULFATE ORAL TAB ER 60MG","0637","RC","Both",,,"7.5","3.75","Wellcare","Medicaid Managed Care",,,"40",,"3.04","0.15","5264.58","percent of total billed charges",,
"NF-MORPHINE SULFATE ORAL TAB ER 60MG","0637","RC","Both",,,"7.5","3.75","Aetna","Commercial",,,"64",,"4.78","0.15","5264.58","percent of total billed charges",,
"NF-MORPHINE SULFATE ORAL TAB ER 60MG","0637","RC","Both",,,"7.5","3.75","Blue Cross Blue Shield","Pathways",,,"71",,"5.3","0.15","5264.58","percent of total billed charges",,
"NF-MORPHINE SULFATE ORAL TAB ER 60MG","0637","RC","Both",,,"7.5","3.75","Blue Cross Blue Shield","HMO",,,"71",,"5.3","0.15","5264.58","percent of total billed charges",,
"NF-MORPHINE SULFATE ORAL TAB ER 60MG","0637","RC","Both",,,"7.5","3.75","Blue Cross Blue Shield","PPO",,,"71",,"5.3","0.15","5264.58","percent of total billed charges",,
"NF-MORPHINE SULFATE ORAL TAB ER 60MG","0637","RC","Both",,,"7.5","3.75","Ambetter","Health Exchange",,,"62",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-MORPHINE SULFATE ORAL TAB ER 60MG","0637","RC","Both",,,"7.5","3.75","Caresource","Health Exchange",,,"62",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-MORPHINE SULFATE ORAL TAB ER 60MG","0637","RC","Both",,,"7.5","3.75","Cigna","Commercial",,,"59",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-MORPHINE SULFATE ORAL TAB ER 60MG","0637","RC","Both",,,"7.5","3.75","Humana","Commercial",,,"78",,"5.81","0.15","5264.58","percent of total billed charges",,
"NF-MORPHINE SULFATE ORAL TAB ER 60MG","0637","RC","Both",,,"7.5","3.75","UHC","Commercial",,,"75",,"5.66","0.15","5264.58","percent of total billed charges",,
"NF-MORPHINE SULFATE ORAL TAB ER 60MG","0637","RC","Both",,,"7.5","3.75","Medicaid",,,,"37",,"2.74","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 2.5MG","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 2.5MG","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 2.5MG","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 2.5MG","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 2.5MG","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 2.5MG","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 2.5MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 2.5MG","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 2.5MG","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 2.5MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 2.5MG","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 2.5MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 2.5MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 2.5MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 2.5MG","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 2.5MG","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 2.5MG","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 2.5MG","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 2.5MG","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 2.5MG","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-ESTRADIOL ORAL TABLET 0.5MG","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-ESTRADIOL ORAL TABLET 0.5MG","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-ESTRADIOL ORAL TABLET 0.5MG","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-ESTRADIOL ORAL TABLET 0.5MG","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-ESTRADIOL ORAL TABLET 0.5MG","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-ESTRADIOL ORAL TABLET 0.5MG","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-ESTRADIOL ORAL TABLET 0.5MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-ESTRADIOL ORAL TABLET 0.5MG","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-ESTRADIOL ORAL TABLET 0.5MG","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-ESTRADIOL ORAL TABLET 0.5MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-ESTRADIOL ORAL TABLET 0.5MG","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-ESTRADIOL ORAL TABLET 0.5MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-ESTRADIOL ORAL TABLET 0.5MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-ESTRADIOL ORAL TABLET 0.5MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-ESTRADIOL ORAL TABLET 0.5MG","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-ESTRADIOL ORAL TABLET 0.5MG","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-ESTRADIOL ORAL TABLET 0.5MG","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-ESTRADIOL ORAL TABLET 0.5MG","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-ESTRADIOL ORAL TABLET 0.5MG","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-ESTRADIOL ORAL TABLET 0.5MG","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 24MG-26MG","0637","RC","Both",,,"22.5","11.25","Alliant","Health Exchange",,,"62",,"13.95","0.15","5264.58","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 24MG-26MG","0637","RC","Both",,,"22.5","11.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.15","0.15","5264.58","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 24MG-26MG","0637","RC","Both",,,"22.5","11.25","Medicare",,,,"54",,"12.2","0.15","5264.58","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 24MG-26MG","0637","RC","Both",,,"22.5","11.25","Humana","Medicare Advantage",,,"54",,"12.2","0.15","5264.58","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 24MG-26MG","0637","RC","Both",,,"22.5","11.25","UHC","Medicare Advantage",,,"54",,"12.2","0.15","5264.58","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 24MG-26MG","0637","RC","Both",,,"22.5","11.25","Clover","Medicare Advantage",,,"54",,"12.2","0.15","5264.58","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 24MG-26MG","0637","RC","Both",,,"22.5","11.25","Wellcare","Medicare Advantage",,,"54",,"12.2","0.15","5264.58","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 24MG-26MG","0637","RC","Both",,,"22.5","11.25","Amerigroup","Medicaid Managed Care",,,"37",,"8.24","0.15","5264.58","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 24MG-26MG","0637","RC","Both",,,"22.5","11.25","Caresource","Medicaid Managed Care",,,"40",,"9","0.15","5264.58","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 24MG-26MG","0637","RC","Both",,,"22.5","11.25","Wellcare","Medicaid Managed Care",,,"40",,"9.11","0.15","5264.58","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 24MG-26MG","0637","RC","Both",,,"22.5","11.25","Aetna","Commercial",,,"64",,"14.36","0.15","5264.58","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 24MG-26MG","0637","RC","Both",,,"22.5","11.25","Blue Cross Blue Shield","Pathways",,,"71",,"15.88","0.15","5264.58","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 24MG-26MG","0637","RC","Both",,,"22.5","11.25","Blue Cross Blue Shield","HMO",,,"71",,"15.88","0.15","5264.58","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 24MG-26MG","0637","RC","Both",,,"22.5","11.25","Blue Cross Blue Shield","PPO",,,"71",,"15.88","0.15","5264.58","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 24MG-26MG","0637","RC","Both",,,"22.5","11.25","Ambetter","Health Exchange",,,"62",,"13.95","0.15","5264.58","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 24MG-26MG","0637","RC","Both",,,"22.5","11.25","Caresource","Health Exchange",,,"62",,"13.95","0.15","5264.58","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 24MG-26MG","0637","RC","Both",,,"22.5","11.25","Cigna","Commercial",,,"59",,"13.18","0.15","5264.58","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 24MG-26MG","0637","RC","Both",,,"22.5","11.25","Humana","Commercial",,,"78",,"17.44","0.15","5264.58","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 24MG-26MG","0637","RC","Both",,,"22.5","11.25","UHC","Commercial",,,"75",,"16.96","0.15","5264.58","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 24MG-26MG","0637","RC","Both",,,"22.5","11.25","Medicaid",,,,"37",,"8.24","0.15","5264.58","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 24MG-26MG","0637","RC","Both",,,"22.5","11.25","Alliant","Health Exchange",,,"62",,"13.95","0.15","5264.58","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 24MG-26MG","0637","RC","Both",,,"22.5","11.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.15","0.15","5264.58","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 24MG-26MG","0637","RC","Both",,,"22.5","11.25","Medicare",,,,"54",,"12.2","0.15","5264.58","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 24MG-26MG","0637","RC","Both",,,"22.5","11.25","Humana","Medicare Advantage",,,"54",,"12.2","0.15","5264.58","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 24MG-26MG","0637","RC","Both",,,"22.5","11.25","UHC","Medicare Advantage",,,"54",,"12.2","0.15","5264.58","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 24MG-26MG","0637","RC","Both",,,"22.5","11.25","Clover","Medicare Advantage",,,"54",,"12.2","0.15","5264.58","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 24MG-26MG","0637","RC","Both",,,"22.5","11.25","Wellcare","Medicare Advantage",,,"54",,"12.2","0.15","5264.58","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 24MG-26MG","0637","RC","Both",,,"22.5","11.25","Amerigroup","Medicaid Managed Care",,,"37",,"8.24","0.15","5264.58","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 24MG-26MG","0637","RC","Both",,,"22.5","11.25","Caresource","Medicaid Managed Care",,,"40",,"9","0.15","5264.58","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 24MG-26MG","0637","RC","Both",,,"22.5","11.25","Wellcare","Medicaid Managed Care",,,"40",,"9.11","0.15","5264.58","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 24MG-26MG","0637","RC","Both",,,"22.5","11.25","Aetna","Commercial",,,"64",,"14.36","0.15","5264.58","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 24MG-26MG","0637","RC","Both",,,"22.5","11.25","Blue Cross Blue Shield","Pathways",,,"71",,"15.88","0.15","5264.58","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 24MG-26MG","0637","RC","Both",,,"22.5","11.25","Blue Cross Blue Shield","HMO",,,"71",,"15.88","0.15","5264.58","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 24MG-26MG","0637","RC","Both",,,"22.5","11.25","Blue Cross Blue Shield","PPO",,,"71",,"15.88","0.15","5264.58","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 24MG-26MG","0637","RC","Both",,,"22.5","11.25","Ambetter","Health Exchange",,,"62",,"13.95","0.15","5264.58","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 24MG-26MG","0637","RC","Both",,,"22.5","11.25","Caresource","Health Exchange",,,"62",,"13.95","0.15","5264.58","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 24MG-26MG","0637","RC","Both",,,"22.5","11.25","Cigna","Commercial",,,"59",,"13.18","0.15","5264.58","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 24MG-26MG","0637","RC","Both",,,"22.5","11.25","Humana","Commercial",,,"78",,"17.44","0.15","5264.58","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 24MG-26MG","0637","RC","Both",,,"22.5","11.25","UHC","Commercial",,,"75",,"16.96","0.15","5264.58","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 24MG-26MG","0637","RC","Both",,,"22.5","11.25","Medicaid",,,,"37",,"8.24","0.15","5264.58","percent of total billed charges",,
"NF-TRULICITY SUBQ SOLN 0.75MG/0.5ML","0637","RC","Both",,,"1034.5","517.25","Alliant","Health Exchange",,,"62",,"641.39","0.15","5264.58","percent of total billed charges",,
"NF-TRULICITY SUBQ SOLN 0.75MG/0.5ML","0637","RC","Both",,,"1034.5","517.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"558.63","0.15","5264.58","percent of total billed charges",,
"NF-TRULICITY SUBQ SOLN 0.75MG/0.5ML","0637","RC","Both",,,"1034.5","517.25","Medicare",,,,"54",,"560.7","0.15","5264.58","percent of total billed charges",,
"NF-TRULICITY SUBQ SOLN 0.75MG/0.5ML","0637","RC","Both",,,"1034.5","517.25","Humana","Medicare Advantage",,,"54",,"560.7","0.15","5264.58","percent of total billed charges",,
"NF-TRULICITY SUBQ SOLN 0.75MG/0.5ML","0637","RC","Both",,,"1034.5","517.25","UHC","Medicare Advantage",,,"54",,"560.7","0.15","5264.58","percent of total billed charges",,
"NF-TRULICITY SUBQ SOLN 0.75MG/0.5ML","0637","RC","Both",,,"1034.5","517.25","Clover","Medicare Advantage",,,"54",,"560.7","0.15","5264.58","percent of total billed charges",,
"NF-TRULICITY SUBQ SOLN 0.75MG/0.5ML","0637","RC","Both",,,"1034.5","517.25","Wellcare","Medicare Advantage",,,"54",,"560.7","0.15","5264.58","percent of total billed charges",,
"NF-TRULICITY SUBQ SOLN 0.75MG/0.5ML","0637","RC","Both",,,"1034.5","517.25","Amerigroup","Medicaid Managed Care",,,"37",,"378.63","0.15","5264.58","percent of total billed charges",,
"NF-TRULICITY SUBQ SOLN 0.75MG/0.5ML","0637","RC","Both",,,"1034.5","517.25","Caresource","Medicaid Managed Care",,,"40",,"413.8","0.15","5264.58","percent of total billed charges",,
"NF-TRULICITY SUBQ SOLN 0.75MG/0.5ML","0637","RC","Both",,,"1034.5","517.25","Wellcare","Medicaid Managed Care",,,"40",,"418.97","0.15","5264.58","percent of total billed charges",,
"NF-TRULICITY SUBQ SOLN 0.75MG/0.5ML","0637","RC","Both",,,"1034.5","517.25","Aetna","Commercial",,,"64",,"660.01","0.15","5264.58","percent of total billed charges",,
"NF-TRULICITY SUBQ SOLN 0.75MG/0.5ML","0637","RC","Both",,,"1034.5","517.25","Blue Cross Blue Shield","Pathways",,,"71",,"730.36","0.15","5264.58","percent of total billed charges",,
"NF-TRULICITY SUBQ SOLN 0.75MG/0.5ML","0637","RC","Both",,,"1034.5","517.25","Blue Cross Blue Shield","HMO",,,"71",,"730.36","0.15","5264.58","percent of total billed charges",,
"NF-TRULICITY SUBQ SOLN 0.75MG/0.5ML","0637","RC","Both",,,"1034.5","517.25","Blue Cross Blue Shield","PPO",,,"71",,"730.36","0.15","5264.58","percent of total billed charges",,
"NF-TRULICITY SUBQ SOLN 0.75MG/0.5ML","0637","RC","Both",,,"1034.5","517.25","Ambetter","Health Exchange",,,"62",,"641.39","0.15","5264.58","percent of total billed charges",,
"NF-TRULICITY SUBQ SOLN 0.75MG/0.5ML","0637","RC","Both",,,"1034.5","517.25","Caresource","Health Exchange",,,"62",,"641.39","0.15","5264.58","percent of total billed charges",,
"NF-TRULICITY SUBQ SOLN 0.75MG/0.5ML","0637","RC","Both",,,"1034.5","517.25","Cigna","Commercial",,,"59",,"606.22","0.15","5264.58","percent of total billed charges",,
"NF-TRULICITY SUBQ SOLN 0.75MG/0.5ML","0637","RC","Both",,,"1034.5","517.25","Humana","Commercial",,,"78",,"801.74","0.15","5264.58","percent of total billed charges",,
"NF-TRULICITY SUBQ SOLN 0.75MG/0.5ML","0637","RC","Both",,,"1034.5","517.25","UHC","Commercial",,,"75",,"780.01","0.15","5264.58","percent of total billed charges",,
"NF-TRULICITY SUBQ SOLN 0.75MG/0.5ML","0637","RC","Both",,,"1034.5","517.25","Medicaid",,,,"37",,"378.63","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"21.5","10.75","Alliant","Health Exchange",,,"62",,"13.33","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"21.5","10.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.61","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"21.5","10.75","Medicare",,,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"21.5","10.75","Humana","Medicare Advantage",,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"21.5","10.75","UHC","Medicare Advantage",,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"21.5","10.75","Clover","Medicare Advantage",,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"21.5","10.75","Wellcare","Medicare Advantage",,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"21.5","10.75","Amerigroup","Medicaid Managed Care",,,"37",,"7.87","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"21.5","10.75","Caresource","Medicaid Managed Care",,,"40",,"8.6","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"21.5","10.75","Wellcare","Medicaid Managed Care",,,"40",,"8.71","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"21.5","10.75","Aetna","Commercial",,,"64",,"13.72","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"21.5","10.75","Blue Cross Blue Shield","Pathways",,,"71",,"15.18","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"21.5","10.75","Blue Cross Blue Shield","HMO",,,"71",,"15.18","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"21.5","10.75","Blue Cross Blue Shield","PPO",,,"71",,"15.18","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"21.5","10.75","Ambetter","Health Exchange",,,"62",,"13.33","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"21.5","10.75","Caresource","Health Exchange",,,"62",,"13.33","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"21.5","10.75","Cigna","Commercial",,,"59",,"12.6","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"21.5","10.75","Humana","Commercial",,,"78",,"16.66","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"21.5","10.75","UHC","Commercial",,,"75",,"16.21","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"21.5","10.75","Medicaid",,,,"37",,"7.87","0.15","5264.58","percent of total billed charges",,
"NF-VANCOMYCIN HCL CAP 125MG","0637","RC","Both",,,"94","47","Alliant","Health Exchange",,,"62",,"58.28","0.15","5264.58","percent of total billed charges",,
"NF-VANCOMYCIN HCL CAP 125MG","0637","RC","Both",,,"94","47","Pruitt Healthcare","Medicare Advantage",,,"54",,"50.76","0.15","5264.58","percent of total billed charges",,
"NF-VANCOMYCIN HCL CAP 125MG","0637","RC","Both",,,"94","47","Medicare",,,,"54",,"50.95","0.15","5264.58","percent of total billed charges",,
"NF-VANCOMYCIN HCL CAP 125MG","0637","RC","Both",,,"94","47","Humana","Medicare Advantage",,,"54",,"50.95","0.15","5264.58","percent of total billed charges",,
"NF-VANCOMYCIN HCL CAP 125MG","0637","RC","Both",,,"94","47","UHC","Medicare Advantage",,,"54",,"50.95","0.15","5264.58","percent of total billed charges",,
"NF-VANCOMYCIN HCL CAP 125MG","0637","RC","Both",,,"94","47","Clover","Medicare Advantage",,,"54",,"50.95","0.15","5264.58","percent of total billed charges",,
"NF-VANCOMYCIN HCL CAP 125MG","0637","RC","Both",,,"94","47","Wellcare","Medicare Advantage",,,"54",,"50.95","0.15","5264.58","percent of total billed charges",,
"NF-VANCOMYCIN HCL CAP 125MG","0637","RC","Both",,,"94","47","Amerigroup","Medicaid Managed Care",,,"37",,"34.4","0.15","5264.58","percent of total billed charges",,
"NF-VANCOMYCIN HCL CAP 125MG","0637","RC","Both",,,"94","47","Caresource","Medicaid Managed Care",,,"40",,"37.6","0.15","5264.58","percent of total billed charges",,
"NF-VANCOMYCIN HCL CAP 125MG","0637","RC","Both",,,"94","47","Wellcare","Medicaid Managed Care",,,"40",,"38.07","0.15","5264.58","percent of total billed charges",,
"NF-VANCOMYCIN HCL CAP 125MG","0637","RC","Both",,,"94","47","Aetna","Commercial",,,"64",,"59.97","0.15","5264.58","percent of total billed charges",,
"NF-VANCOMYCIN HCL CAP 125MG","0637","RC","Both",,,"94","47","Blue Cross Blue Shield","Pathways",,,"71",,"66.36","0.15","5264.58","percent of total billed charges",,
"NF-VANCOMYCIN HCL CAP 125MG","0637","RC","Both",,,"94","47","Blue Cross Blue Shield","HMO",,,"71",,"66.36","0.15","5264.58","percent of total billed charges",,
"NF-VANCOMYCIN HCL CAP 125MG","0637","RC","Both",,,"94","47","Blue Cross Blue Shield","PPO",,,"71",,"66.36","0.15","5264.58","percent of total billed charges",,
"NF-VANCOMYCIN HCL CAP 125MG","0637","RC","Both",,,"94","47","Ambetter","Health Exchange",,,"62",,"58.28","0.15","5264.58","percent of total billed charges",,
"NF-VANCOMYCIN HCL CAP 125MG","0637","RC","Both",,,"94","47","Caresource","Health Exchange",,,"62",,"58.28","0.15","5264.58","percent of total billed charges",,
"NF-VANCOMYCIN HCL CAP 125MG","0637","RC","Both",,,"94","47","Cigna","Commercial",,,"59",,"55.08","0.15","5264.58","percent of total billed charges",,
"NF-VANCOMYCIN HCL CAP 125MG","0637","RC","Both",,,"94","47","Humana","Commercial",,,"78",,"72.85","0.15","5264.58","percent of total billed charges",,
"NF-VANCOMYCIN HCL CAP 125MG","0637","RC","Both",,,"94","47","UHC","Commercial",,,"75",,"70.88","0.15","5264.58","percent of total billed charges",,
"NF-VANCOMYCIN HCL CAP 125MG","0637","RC","Both",,,"94","47","Medicaid",,,,"37",,"34.4","0.15","5264.58","percent of total billed charges",,
"NF-MORPHINE SULFATE ORAL TAB ER 30MG","0637","RC","Both",,,"7.5","3.75","Alliant","Health Exchange",,,"62",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-MORPHINE SULFATE ORAL TAB ER 30MG","0637","RC","Both",,,"7.5","3.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.05","0.15","5264.58","percent of total billed charges",,
"NF-MORPHINE SULFATE ORAL TAB ER 30MG","0637","RC","Both",,,"7.5","3.75","Medicare",,,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-MORPHINE SULFATE ORAL TAB ER 30MG","0637","RC","Both",,,"7.5","3.75","Humana","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-MORPHINE SULFATE ORAL TAB ER 30MG","0637","RC","Both",,,"7.5","3.75","UHC","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-MORPHINE SULFATE ORAL TAB ER 30MG","0637","RC","Both",,,"7.5","3.75","Clover","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-MORPHINE SULFATE ORAL TAB ER 30MG","0637","RC","Both",,,"7.5","3.75","Wellcare","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-MORPHINE SULFATE ORAL TAB ER 30MG","0637","RC","Both",,,"7.5","3.75","Amerigroup","Medicaid Managed Care",,,"37",,"2.74","0.15","5264.58","percent of total billed charges",,
"NF-MORPHINE SULFATE ORAL TAB ER 30MG","0637","RC","Both",,,"7.5","3.75","Caresource","Medicaid Managed Care",,,"40",,"3","0.15","5264.58","percent of total billed charges",,
"NF-MORPHINE SULFATE ORAL TAB ER 30MG","0637","RC","Both",,,"7.5","3.75","Wellcare","Medicaid Managed Care",,,"40",,"3.04","0.15","5264.58","percent of total billed charges",,
"NF-MORPHINE SULFATE ORAL TAB ER 30MG","0637","RC","Both",,,"7.5","3.75","Aetna","Commercial",,,"64",,"4.78","0.15","5264.58","percent of total billed charges",,
"NF-MORPHINE SULFATE ORAL TAB ER 30MG","0637","RC","Both",,,"7.5","3.75","Blue Cross Blue Shield","Pathways",,,"71",,"5.3","0.15","5264.58","percent of total billed charges",,
"NF-MORPHINE SULFATE ORAL TAB ER 30MG","0637","RC","Both",,,"7.5","3.75","Blue Cross Blue Shield","HMO",,,"71",,"5.3","0.15","5264.58","percent of total billed charges",,
"NF-MORPHINE SULFATE ORAL TAB ER 30MG","0637","RC","Both",,,"7.5","3.75","Blue Cross Blue Shield","PPO",,,"71",,"5.3","0.15","5264.58","percent of total billed charges",,
"NF-MORPHINE SULFATE ORAL TAB ER 30MG","0637","RC","Both",,,"7.5","3.75","Ambetter","Health Exchange",,,"62",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-MORPHINE SULFATE ORAL TAB ER 30MG","0637","RC","Both",,,"7.5","3.75","Caresource","Health Exchange",,,"62",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-MORPHINE SULFATE ORAL TAB ER 30MG","0637","RC","Both",,,"7.5","3.75","Cigna","Commercial",,,"59",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-MORPHINE SULFATE ORAL TAB ER 30MG","0637","RC","Both",,,"7.5","3.75","Humana","Commercial",,,"78",,"5.81","0.15","5264.58","percent of total billed charges",,
"NF-MORPHINE SULFATE ORAL TAB ER 30MG","0637","RC","Both",,,"7.5","3.75","UHC","Commercial",,,"75",,"5.66","0.15","5264.58","percent of total billed charges",,
"NF-MORPHINE SULFATE ORAL TAB ER 30MG","0637","RC","Both",,,"7.5","3.75","Medicaid",,,,"37",,"2.74","0.15","5264.58","percent of total billed charges",,
"NF-PRISTIQ EXTENDED-RELEASE TABLET 100MG","0637","RC","Both",,,"33.5","16.75","Alliant","Health Exchange",,,"62",,"20.77","0.15","5264.58","percent of total billed charges",,
"NF-PRISTIQ EXTENDED-RELEASE TABLET 100MG","0637","RC","Both",,,"33.5","16.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"18.09","0.15","5264.58","percent of total billed charges",,
"NF-PRISTIQ EXTENDED-RELEASE TABLET 100MG","0637","RC","Both",,,"33.5","16.75","Medicare",,,,"54",,"18.16","0.15","5264.58","percent of total billed charges",,
"NF-PRISTIQ EXTENDED-RELEASE TABLET 100MG","0637","RC","Both",,,"33.5","16.75","Humana","Medicare Advantage",,,"54",,"18.16","0.15","5264.58","percent of total billed charges",,
"NF-PRISTIQ EXTENDED-RELEASE TABLET 100MG","0637","RC","Both",,,"33.5","16.75","UHC","Medicare Advantage",,,"54",,"18.16","0.15","5264.58","percent of total billed charges",,
"NF-PRISTIQ EXTENDED-RELEASE TABLET 100MG","0637","RC","Both",,,"33.5","16.75","Clover","Medicare Advantage",,,"54",,"18.16","0.15","5264.58","percent of total billed charges",,
"NF-PRISTIQ EXTENDED-RELEASE TABLET 100MG","0637","RC","Both",,,"33.5","16.75","Wellcare","Medicare Advantage",,,"54",,"18.16","0.15","5264.58","percent of total billed charges",,
"NF-PRISTIQ EXTENDED-RELEASE TABLET 100MG","0637","RC","Both",,,"33.5","16.75","Amerigroup","Medicaid Managed Care",,,"37",,"12.26","0.15","5264.58","percent of total billed charges",,
"NF-PRISTIQ EXTENDED-RELEASE TABLET 100MG","0637","RC","Both",,,"33.5","16.75","Caresource","Medicaid Managed Care",,,"40",,"13.4","0.15","5264.58","percent of total billed charges",,
"NF-PRISTIQ EXTENDED-RELEASE TABLET 100MG","0637","RC","Both",,,"33.5","16.75","Wellcare","Medicaid Managed Care",,,"40",,"13.57","0.15","5264.58","percent of total billed charges",,
"NF-PRISTIQ EXTENDED-RELEASE TABLET 100MG","0637","RC","Both",,,"33.5","16.75","Aetna","Commercial",,,"64",,"21.37","0.15","5264.58","percent of total billed charges",,
"NF-PRISTIQ EXTENDED-RELEASE TABLET 100MG","0637","RC","Both",,,"33.5","16.75","Blue Cross Blue Shield","Pathways",,,"71",,"23.65","0.15","5264.58","percent of total billed charges",,
"NF-PRISTIQ EXTENDED-RELEASE TABLET 100MG","0637","RC","Both",,,"33.5","16.75","Blue Cross Blue Shield","HMO",,,"71",,"23.65","0.15","5264.58","percent of total billed charges",,
"NF-PRISTIQ EXTENDED-RELEASE TABLET 100MG","0637","RC","Both",,,"33.5","16.75","Blue Cross Blue Shield","PPO",,,"71",,"23.65","0.15","5264.58","percent of total billed charges",,
"NF-PRISTIQ EXTENDED-RELEASE TABLET 100MG","0637","RC","Both",,,"33.5","16.75","Ambetter","Health Exchange",,,"62",,"20.77","0.15","5264.58","percent of total billed charges",,
"NF-PRISTIQ EXTENDED-RELEASE TABLET 100MG","0637","RC","Both",,,"33.5","16.75","Caresource","Health Exchange",,,"62",,"20.77","0.15","5264.58","percent of total billed charges",,
"NF-PRISTIQ EXTENDED-RELEASE TABLET 100MG","0637","RC","Both",,,"33.5","16.75","Cigna","Commercial",,,"59",,"19.63","0.15","5264.58","percent of total billed charges",,
"NF-PRISTIQ EXTENDED-RELEASE TABLET 100MG","0637","RC","Both",,,"33.5","16.75","Humana","Commercial",,,"78",,"25.96","0.15","5264.58","percent of total billed charges",,
"NF-PRISTIQ EXTENDED-RELEASE TABLET 100MG","0637","RC","Both",,,"33.5","16.75","UHC","Commercial",,,"75",,"25.26","0.15","5264.58","percent of total billed charges",,
"NF-PRISTIQ EXTENDED-RELEASE TABLET 100MG","0637","RC","Both",,,"33.5","16.75","Medicaid",,,,"37",,"12.26","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 134MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 134MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 134MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 134MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 134MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 134MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 134MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 134MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 134MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 134MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 134MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 134MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 134MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 134MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 134MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 134MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 134MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 134MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 134MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 134MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-ZETIA TAB 10MG","0637","RC","Both",,,"31","15.5","Alliant","Health Exchange",,,"62",,"19.22","0.15","5264.58","percent of total billed charges",,
"NF-ZETIA TAB 10MG","0637","RC","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.74","0.15","5264.58","percent of total billed charges",,
"NF-ZETIA TAB 10MG","0637","RC","Both",,,"31","15.5","Medicare",,,,"54",,"16.8","0.15","5264.58","percent of total billed charges",,
"NF-ZETIA TAB 10MG","0637","RC","Both",,,"31","15.5","Humana","Medicare Advantage",,,"54",,"16.8","0.15","5264.58","percent of total billed charges",,
"NF-ZETIA TAB 10MG","0637","RC","Both",,,"31","15.5","UHC","Medicare Advantage",,,"54",,"16.8","0.15","5264.58","percent of total billed charges",,
"NF-ZETIA TAB 10MG","0637","RC","Both",,,"31","15.5","Clover","Medicare Advantage",,,"54",,"16.8","0.15","5264.58","percent of total billed charges",,
"NF-ZETIA TAB 10MG","0637","RC","Both",,,"31","15.5","Wellcare","Medicare Advantage",,,"54",,"16.8","0.15","5264.58","percent of total billed charges",,
"NF-ZETIA TAB 10MG","0637","RC","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care",,,"37",,"11.35","0.15","5264.58","percent of total billed charges",,
"NF-ZETIA TAB 10MG","0637","RC","Both",,,"31","15.5","Caresource","Medicaid Managed Care",,,"40",,"12.4","0.15","5264.58","percent of total billed charges",,
"NF-ZETIA TAB 10MG","0637","RC","Both",,,"31","15.5","Wellcare","Medicaid Managed Care",,,"40",,"12.56","0.15","5264.58","percent of total billed charges",,
"NF-ZETIA TAB 10MG","0637","RC","Both",,,"31","15.5","Aetna","Commercial",,,"64",,"19.78","0.15","5264.58","percent of total billed charges",,
"NF-ZETIA TAB 10MG","0637","RC","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways",,,"71",,"21.89","0.15","5264.58","percent of total billed charges",,
"NF-ZETIA TAB 10MG","0637","RC","Both",,,"31","15.5","Blue Cross Blue Shield","HMO",,,"71",,"21.89","0.15","5264.58","percent of total billed charges",,
"NF-ZETIA TAB 10MG","0637","RC","Both",,,"31","15.5","Blue Cross Blue Shield","PPO",,,"71",,"21.89","0.15","5264.58","percent of total billed charges",,
"NF-ZETIA TAB 10MG","0637","RC","Both",,,"31","15.5","Ambetter","Health Exchange",,,"62",,"19.22","0.15","5264.58","percent of total billed charges",,
"NF-ZETIA TAB 10MG","0637","RC","Both",,,"31","15.5","Caresource","Health Exchange",,,"62",,"19.22","0.15","5264.58","percent of total billed charges",,
"NF-ZETIA TAB 10MG","0637","RC","Both",,,"31","15.5","Cigna","Commercial",,,"59",,"18.17","0.15","5264.58","percent of total billed charges",,
"NF-ZETIA TAB 10MG","0637","RC","Both",,,"31","15.5","Humana","Commercial",,,"78",,"24.02","0.15","5264.58","percent of total billed charges",,
"NF-ZETIA TAB 10MG","0637","RC","Both",,,"31","15.5","UHC","Commercial",,,"75",,"23.37","0.15","5264.58","percent of total billed charges",,
"NF-ZETIA TAB 10MG","0637","RC","Both",,,"31","15.5","Medicaid",,,,"37",,"11.35","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL CAPSULE 100MG","0637","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL CAPSULE 100MG","0637","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL CAPSULE 100MG","0637","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL CAPSULE 100MG","0637","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL CAPSULE 100MG","0637","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL CAPSULE 100MG","0637","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL CAPSULE 100MG","0637","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL CAPSULE 100MG","0637","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL CAPSULE 100MG","0637","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL CAPSULE 100MG","0637","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL CAPSULE 100MG","0637","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL CAPSULE 100MG","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL CAPSULE 100MG","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL CAPSULE 100MG","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL CAPSULE 100MG","0637","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL CAPSULE 100MG","0637","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL CAPSULE 100MG","0637","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL CAPSULE 100MG","0637","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL CAPSULE 100MG","0637","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL CAPSULE 100MG","0637","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 80MCG-4.5MCG","0637","RC","Both",,,"90","45","Alliant","Health Exchange",,,"62",,"55.8","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 80MCG-4.5MCG","0637","RC","Both",,,"90","45","Pruitt Healthcare","Medicare Advantage",,,"54",,"48.6","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 80MCG-4.5MCG","0637","RC","Both",,,"90","45","Medicare",,,,"54",,"48.78","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 80MCG-4.5MCG","0637","RC","Both",,,"90","45","Humana","Medicare Advantage",,,"54",,"48.78","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 80MCG-4.5MCG","0637","RC","Both",,,"90","45","UHC","Medicare Advantage",,,"54",,"48.78","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 80MCG-4.5MCG","0637","RC","Both",,,"90","45","Clover","Medicare Advantage",,,"54",,"48.78","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 80MCG-4.5MCG","0637","RC","Both",,,"90","45","Wellcare","Medicare Advantage",,,"54",,"48.78","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 80MCG-4.5MCG","0637","RC","Both",,,"90","45","Amerigroup","Medicaid Managed Care",,,"37",,"32.94","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 80MCG-4.5MCG","0637","RC","Both",,,"90","45","Caresource","Medicaid Managed Care",,,"40",,"36","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 80MCG-4.5MCG","0637","RC","Both",,,"90","45","Wellcare","Medicaid Managed Care",,,"40",,"36.45","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 80MCG-4.5MCG","0637","RC","Both",,,"90","45","Aetna","Commercial",,,"64",,"57.42","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 80MCG-4.5MCG","0637","RC","Both",,,"90","45","Blue Cross Blue Shield","Pathways",,,"71",,"63.54","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 80MCG-4.5MCG","0637","RC","Both",,,"90","45","Blue Cross Blue Shield","HMO",,,"71",,"63.54","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 80MCG-4.5MCG","0637","RC","Both",,,"90","45","Blue Cross Blue Shield","PPO",,,"71",,"63.54","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 80MCG-4.5MCG","0637","RC","Both",,,"90","45","Ambetter","Health Exchange",,,"62",,"55.8","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 80MCG-4.5MCG","0637","RC","Both",,,"90","45","Caresource","Health Exchange",,,"62",,"55.8","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 80MCG-4.5MCG","0637","RC","Both",,,"90","45","Cigna","Commercial",,,"59",,"52.74","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 80MCG-4.5MCG","0637","RC","Both",,,"90","45","Humana","Commercial",,,"78",,"69.75","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 80MCG-4.5MCG","0637","RC","Both",,,"90","45","UHC","Commercial",,,"75",,"67.86","0.15","5264.58","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 80MCG-4.5MCG","0637","RC","Both",,,"90","45","Medicaid",,,,"37",,"32.94","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO 15MG ORAL TABLET","0637","RC","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO 15MG ORAL TABLET","0637","RC","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO 15MG ORAL TABLET","0637","RC","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO 15MG ORAL TABLET","0637","RC","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO 15MG ORAL TABLET","0637","RC","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO 15MG ORAL TABLET","0637","RC","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO 15MG ORAL TABLET","0637","RC","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO 15MG ORAL TABLET","0637","RC","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO 15MG ORAL TABLET","0637","RC","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO 15MG ORAL TABLET","0637","RC","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO 15MG ORAL TABLET","0637","RC","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO 15MG ORAL TABLET","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO 15MG ORAL TABLET","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO 15MG ORAL TABLET","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO 15MG ORAL TABLET","0637","RC","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO 15MG ORAL TABLET","0637","RC","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO 15MG ORAL TABLET","0637","RC","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO 15MG ORAL TABLET","0637","RC","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO 15MG ORAL TABLET","0637","RC","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO 15MG ORAL TABLET","0637","RC","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"LIDOCAINE 2% (20 MG/ML) INJECTION PF","0250","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 2% (20 MG/ML) INJECTION PF","0250","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 2% (20 MG/ML) INJECTION PF","0250","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 2% (20 MG/ML) INJECTION PF","0250","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 2% (20 MG/ML) INJECTION PF","0250","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 2% (20 MG/ML) INJECTION PF","0250","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 2% (20 MG/ML) INJECTION PF","0250","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 2% (20 MG/ML) INJECTION PF","0250","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 2% (20 MG/ML) INJECTION PF","0250","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 2% (20 MG/ML) INJECTION PF","0250","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 2% (20 MG/ML) INJECTION PF","0250","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 2% (20 MG/ML) INJECTION PF","0250","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 2% (20 MG/ML) INJECTION PF","0250","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 2% (20 MG/ML) INJECTION PF","0250","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 2% (20 MG/ML) INJECTION PF","0250","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 2% (20 MG/ML) INJECTION PF","0250","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 2% (20 MG/ML) INJECTION PF","0250","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 2% (20 MG/ML) INJECTION PF","0250","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 2% (20 MG/ML) INJECTION PF","0250","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.04","569.62","percent of total billed charges",,
"LIDOCAINE 2% (20 MG/ML) INJECTION PF","0250","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.04","569.62","percent of total billed charges",,
"BENZOCAINE/MENTHOL 15MG/10MG LOZENGE","0250","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","569.62","percent of total billed charges",,
"BENZOCAINE/MENTHOL 15MG/10MG LOZENGE","0250","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","569.62","percent of total billed charges",,
"BENZOCAINE/MENTHOL 15MG/10MG LOZENGE","0250","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","569.62","percent of total billed charges",,
"BENZOCAINE/MENTHOL 15MG/10MG LOZENGE","0250","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","569.62","percent of total billed charges",,
"BENZOCAINE/MENTHOL 15MG/10MG LOZENGE","0250","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","569.62","percent of total billed charges",,
"BENZOCAINE/MENTHOL 15MG/10MG LOZENGE","0250","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","569.62","percent of total billed charges",,
"BENZOCAINE/MENTHOL 15MG/10MG LOZENGE","0250","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","569.62","percent of total billed charges",,
"BENZOCAINE/MENTHOL 15MG/10MG LOZENGE","0250","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","569.62","percent of total billed charges",,
"BENZOCAINE/MENTHOL 15MG/10MG LOZENGE","0250","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","569.62","percent of total billed charges",,
"BENZOCAINE/MENTHOL 15MG/10MG LOZENGE","0250","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","569.62","percent of total billed charges",,
"BENZOCAINE/MENTHOL 15MG/10MG LOZENGE","0250","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","569.62","percent of total billed charges",,
"BENZOCAINE/MENTHOL 15MG/10MG LOZENGE","0250","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","569.62","percent of total billed charges",,
"BENZOCAINE/MENTHOL 15MG/10MG LOZENGE","0250","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","569.62","percent of total billed charges",,
"BENZOCAINE/MENTHOL 15MG/10MG LOZENGE","0250","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","569.62","percent of total billed charges",,
"BENZOCAINE/MENTHOL 15MG/10MG LOZENGE","0250","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","569.62","percent of total billed charges",,
"BENZOCAINE/MENTHOL 15MG/10MG LOZENGE","0250","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","569.62","percent of total billed charges",,
"BENZOCAINE/MENTHOL 15MG/10MG LOZENGE","0250","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","569.62","percent of total billed charges",,
"BENZOCAINE/MENTHOL 15MG/10MG LOZENGE","0250","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","569.62","percent of total billed charges",,
"BENZOCAINE/MENTHOL 15MG/10MG LOZENGE","0250","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","569.62","percent of total billed charges",,
"BENZOCAINE/MENTHOL 15MG/10MG LOZENGE","0250","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","569.62","percent of total billed charges",,
"NF-APTIOM 800MG ORAL TABLET","0637","RC","Both",,,"91","45.5","Alliant","Health Exchange",,,"62",,"56.42","0.15","5264.58","percent of total billed charges",,
"NF-APTIOM 800MG ORAL TABLET","0637","RC","Both",,,"91","45.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"49.14","0.15","5264.58","percent of total billed charges",,
"NF-APTIOM 800MG ORAL TABLET","0637","RC","Both",,,"91","45.5","Medicare",,,,"54",,"49.32","0.15","5264.58","percent of total billed charges",,
"NF-APTIOM 800MG ORAL TABLET","0637","RC","Both",,,"91","45.5","Humana","Medicare Advantage",,,"54",,"49.32","0.15","5264.58","percent of total billed charges",,
"NF-APTIOM 800MG ORAL TABLET","0637","RC","Both",,,"91","45.5","UHC","Medicare Advantage",,,"54",,"49.32","0.15","5264.58","percent of total billed charges",,
"NF-APTIOM 800MG ORAL TABLET","0637","RC","Both",,,"91","45.5","Clover","Medicare Advantage",,,"54",,"49.32","0.15","5264.58","percent of total billed charges",,
"NF-APTIOM 800MG ORAL TABLET","0637","RC","Both",,,"91","45.5","Wellcare","Medicare Advantage",,,"54",,"49.32","0.15","5264.58","percent of total billed charges",,
"NF-APTIOM 800MG ORAL TABLET","0637","RC","Both",,,"91","45.5","Amerigroup","Medicaid Managed Care",,,"37",,"33.31","0.15","5264.58","percent of total billed charges",,
"NF-APTIOM 800MG ORAL TABLET","0637","RC","Both",,,"91","45.5","Caresource","Medicaid Managed Care",,,"40",,"36.4","0.15","5264.58","percent of total billed charges",,
"NF-APTIOM 800MG ORAL TABLET","0637","RC","Both",,,"91","45.5","Wellcare","Medicaid Managed Care",,,"40",,"36.86","0.15","5264.58","percent of total billed charges",,
"NF-APTIOM 800MG ORAL TABLET","0637","RC","Both",,,"91","45.5","Aetna","Commercial",,,"64",,"58.06","0.15","5264.58","percent of total billed charges",,
"NF-APTIOM 800MG ORAL TABLET","0637","RC","Both",,,"91","45.5","Blue Cross Blue Shield","Pathways",,,"71",,"64.25","0.15","5264.58","percent of total billed charges",,
"NF-APTIOM 800MG ORAL TABLET","0637","RC","Both",,,"91","45.5","Blue Cross Blue Shield","HMO",,,"71",,"64.25","0.15","5264.58","percent of total billed charges",,
"NF-APTIOM 800MG ORAL TABLET","0637","RC","Both",,,"91","45.5","Blue Cross Blue Shield","PPO",,,"71",,"64.25","0.15","5264.58","percent of total billed charges",,
"NF-APTIOM 800MG ORAL TABLET","0637","RC","Both",,,"91","45.5","Ambetter","Health Exchange",,,"62",,"56.42","0.15","5264.58","percent of total billed charges",,
"NF-APTIOM 800MG ORAL TABLET","0637","RC","Both",,,"91","45.5","Caresource","Health Exchange",,,"62",,"56.42","0.15","5264.58","percent of total billed charges",,
"NF-APTIOM 800MG ORAL TABLET","0637","RC","Both",,,"91","45.5","Cigna","Commercial",,,"59",,"53.33","0.15","5264.58","percent of total billed charges",,
"NF-APTIOM 800MG ORAL TABLET","0637","RC","Both",,,"91","45.5","Humana","Commercial",,,"78",,"70.53","0.15","5264.58","percent of total billed charges",,
"NF-APTIOM 800MG ORAL TABLET","0637","RC","Both",,,"91","45.5","UHC","Commercial",,,"75",,"68.61","0.15","5264.58","percent of total billed charges",,
"NF-APTIOM 800MG ORAL TABLET","0637","RC","Both",,,"91","45.5","Medicaid",,,,"37",,"33.31","0.15","5264.58","percent of total billed charges",,
"NF-APTIOM ORAL TABLET 600MG","0637","RC","Both",,,"91","45.5","Alliant","Health Exchange",,,"62",,"56.42","0.15","5264.58","percent of total billed charges",,
"NF-APTIOM ORAL TABLET 600MG","0637","RC","Both",,,"91","45.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"49.14","0.15","5264.58","percent of total billed charges",,
"NF-APTIOM ORAL TABLET 600MG","0637","RC","Both",,,"91","45.5","Medicare",,,,"54",,"49.32","0.15","5264.58","percent of total billed charges",,
"NF-APTIOM ORAL TABLET 600MG","0637","RC","Both",,,"91","45.5","Humana","Medicare Advantage",,,"54",,"49.32","0.15","5264.58","percent of total billed charges",,
"NF-APTIOM ORAL TABLET 600MG","0637","RC","Both",,,"91","45.5","UHC","Medicare Advantage",,,"54",,"49.32","0.15","5264.58","percent of total billed charges",,
"NF-APTIOM ORAL TABLET 600MG","0637","RC","Both",,,"91","45.5","Clover","Medicare Advantage",,,"54",,"49.32","0.15","5264.58","percent of total billed charges",,
"NF-APTIOM ORAL TABLET 600MG","0637","RC","Both",,,"91","45.5","Wellcare","Medicare Advantage",,,"54",,"49.32","0.15","5264.58","percent of total billed charges",,
"NF-APTIOM ORAL TABLET 600MG","0637","RC","Both",,,"91","45.5","Amerigroup","Medicaid Managed Care",,,"37",,"33.31","0.15","5264.58","percent of total billed charges",,
"NF-APTIOM ORAL TABLET 600MG","0637","RC","Both",,,"91","45.5","Caresource","Medicaid Managed Care",,,"40",,"36.4","0.15","5264.58","percent of total billed charges",,
"NF-APTIOM ORAL TABLET 600MG","0637","RC","Both",,,"91","45.5","Wellcare","Medicaid Managed Care",,,"40",,"36.86","0.15","5264.58","percent of total billed charges",,
"NF-APTIOM ORAL TABLET 600MG","0637","RC","Both",,,"91","45.5","Aetna","Commercial",,,"64",,"58.06","0.15","5264.58","percent of total billed charges",,
"NF-APTIOM ORAL TABLET 600MG","0637","RC","Both",,,"91","45.5","Blue Cross Blue Shield","Pathways",,,"71",,"64.25","0.15","5264.58","percent of total billed charges",,
"NF-APTIOM ORAL TABLET 600MG","0637","RC","Both",,,"91","45.5","Blue Cross Blue Shield","HMO",,,"71",,"64.25","0.15","5264.58","percent of total billed charges",,
"NF-APTIOM ORAL TABLET 600MG","0637","RC","Both",,,"91","45.5","Blue Cross Blue Shield","PPO",,,"71",,"64.25","0.15","5264.58","percent of total billed charges",,
"NF-APTIOM ORAL TABLET 600MG","0637","RC","Both",,,"91","45.5","Ambetter","Health Exchange",,,"62",,"56.42","0.15","5264.58","percent of total billed charges",,
"NF-APTIOM ORAL TABLET 600MG","0637","RC","Both",,,"91","45.5","Caresource","Health Exchange",,,"62",,"56.42","0.15","5264.58","percent of total billed charges",,
"NF-APTIOM ORAL TABLET 600MG","0637","RC","Both",,,"91","45.5","Cigna","Commercial",,,"59",,"53.33","0.15","5264.58","percent of total billed charges",,
"NF-APTIOM ORAL TABLET 600MG","0637","RC","Both",,,"91","45.5","Humana","Commercial",,,"78",,"70.53","0.15","5264.58","percent of total billed charges",,
"NF-APTIOM ORAL TABLET 600MG","0637","RC","Both",,,"91","45.5","UHC","Commercial",,,"75",,"68.61","0.15","5264.58","percent of total billed charges",,
"NF-APTIOM ORAL TABLET 600MG","0637","RC","Both",,,"91","45.5","Medicaid",,,,"37",,"33.31","0.15","5264.58","percent of total billed charges",,
"NF-OXYCONTIN EXTENDED RELEASE TABLET 60M","0637","RC","Both",,,"40.5","20.25","Alliant","Health Exchange",,,"62",,"25.11","0.15","5264.58","percent of total billed charges",,
"NF-OXYCONTIN EXTENDED RELEASE TABLET 60M","0637","RC","Both",,,"40.5","20.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"21.87","0.15","5264.58","percent of total billed charges",,
"NF-OXYCONTIN EXTENDED RELEASE TABLET 60M","0637","RC","Both",,,"40.5","20.25","Medicare",,,,"54",,"21.95","0.15","5264.58","percent of total billed charges",,
"NF-OXYCONTIN EXTENDED RELEASE TABLET 60M","0637","RC","Both",,,"40.5","20.25","Humana","Medicare Advantage",,,"54",,"21.95","0.15","5264.58","percent of total billed charges",,
"NF-OXYCONTIN EXTENDED RELEASE TABLET 60M","0637","RC","Both",,,"40.5","20.25","UHC","Medicare Advantage",,,"54",,"21.95","0.15","5264.58","percent of total billed charges",,
"NF-OXYCONTIN EXTENDED RELEASE TABLET 60M","0637","RC","Both",,,"40.5","20.25","Clover","Medicare Advantage",,,"54",,"21.95","0.15","5264.58","percent of total billed charges",,
"NF-OXYCONTIN EXTENDED RELEASE TABLET 60M","0637","RC","Both",,,"40.5","20.25","Wellcare","Medicare Advantage",,,"54",,"21.95","0.15","5264.58","percent of total billed charges",,
"NF-OXYCONTIN EXTENDED RELEASE TABLET 60M","0637","RC","Both",,,"40.5","20.25","Amerigroup","Medicaid Managed Care",,,"37",,"14.82","0.15","5264.58","percent of total billed charges",,
"NF-OXYCONTIN EXTENDED RELEASE TABLET 60M","0637","RC","Both",,,"40.5","20.25","Caresource","Medicaid Managed Care",,,"40",,"16.2","0.15","5264.58","percent of total billed charges",,
"NF-OXYCONTIN EXTENDED RELEASE TABLET 60M","0637","RC","Both",,,"40.5","20.25","Wellcare","Medicaid Managed Care",,,"40",,"16.4","0.15","5264.58","percent of total billed charges",,
"NF-OXYCONTIN EXTENDED RELEASE TABLET 60M","0637","RC","Both",,,"40.5","20.25","Aetna","Commercial",,,"64",,"25.84","0.15","5264.58","percent of total billed charges",,
"NF-OXYCONTIN EXTENDED RELEASE TABLET 60M","0637","RC","Both",,,"40.5","20.25","Blue Cross Blue Shield","Pathways",,,"71",,"28.59","0.15","5264.58","percent of total billed charges",,
"NF-OXYCONTIN EXTENDED RELEASE TABLET 60M","0637","RC","Both",,,"40.5","20.25","Blue Cross Blue Shield","HMO",,,"71",,"28.59","0.15","5264.58","percent of total billed charges",,
"NF-OXYCONTIN EXTENDED RELEASE TABLET 60M","0637","RC","Both",,,"40.5","20.25","Blue Cross Blue Shield","PPO",,,"71",,"28.59","0.15","5264.58","percent of total billed charges",,
"NF-OXYCONTIN EXTENDED RELEASE TABLET 60M","0637","RC","Both",,,"40.5","20.25","Ambetter","Health Exchange",,,"62",,"25.11","0.15","5264.58","percent of total billed charges",,
"NF-OXYCONTIN EXTENDED RELEASE TABLET 60M","0637","RC","Both",,,"40.5","20.25","Caresource","Health Exchange",,,"62",,"25.11","0.15","5264.58","percent of total billed charges",,
"NF-OXYCONTIN EXTENDED RELEASE TABLET 60M","0637","RC","Both",,,"40.5","20.25","Cigna","Commercial",,,"59",,"23.73","0.15","5264.58","percent of total billed charges",,
"NF-OXYCONTIN EXTENDED RELEASE TABLET 60M","0637","RC","Both",,,"40.5","20.25","Humana","Commercial",,,"78",,"31.39","0.15","5264.58","percent of total billed charges",,
"NF-OXYCONTIN EXTENDED RELEASE TABLET 60M","0637","RC","Both",,,"40.5","20.25","UHC","Commercial",,,"75",,"30.54","0.15","5264.58","percent of total billed charges",,
"NF-OXYCONTIN EXTENDED RELEASE TABLET 60M","0637","RC","Both",,,"40.5","20.25","Medicaid",,,,"37",,"14.82","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN EXTRA STRENGTH TABLET","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN EXTRA STRENGTH TABLET","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN EXTRA STRENGTH TABLET","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN EXTRA STRENGTH TABLET","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN EXTRA STRENGTH TABLET","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN EXTRA STRENGTH TABLET","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN EXTRA STRENGTH TABLET","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN EXTRA STRENGTH TABLET","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN EXTRA STRENGTH TABLET","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN EXTRA STRENGTH TABLET","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN EXTRA STRENGTH TABLET","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN EXTRA STRENGTH TABLET","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN EXTRA STRENGTH TABLET","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN EXTRA STRENGTH TABLET","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN EXTRA STRENGTH TABLET","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN EXTRA STRENGTH TABLET","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN EXTRA STRENGTH TABLET","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN EXTRA STRENGTH TABLET","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN EXTRA STRENGTH TABLET","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN EXTRA STRENGTH TABLET","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 100MG","0637","RC","Both",,,"12","6","Alliant","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 100MG","0637","RC","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.48","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 100MG","0637","RC","Both",,,"12","6","Medicare",,,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 100MG","0637","RC","Both",,,"12","6","Humana","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 100MG","0637","RC","Both",,,"12","6","UHC","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 100MG","0637","RC","Both",,,"12","6","Clover","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 100MG","0637","RC","Both",,,"12","6","Wellcare","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 100MG","0637","RC","Both",,,"12","6","Amerigroup","Medicaid Managed Care",,,"37",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 100MG","0637","RC","Both",,,"12","6","Caresource","Medicaid Managed Care",,,"40",,"4.8","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 100MG","0637","RC","Both",,,"12","6","Wellcare","Medicaid Managed Care",,,"40",,"4.86","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 100MG","0637","RC","Both",,,"12","6","Aetna","Commercial",,,"64",,"7.66","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 100MG","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","Pathways",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 100MG","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","HMO",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 100MG","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","PPO",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 100MG","0637","RC","Both",,,"12","6","Ambetter","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 100MG","0637","RC","Both",,,"12","6","Caresource","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 100MG","0637","RC","Both",,,"12","6","Cigna","Commercial",,,"59",,"7.03","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 100MG","0637","RC","Both",,,"12","6","Humana","Commercial",,,"78",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 100MG","0637","RC","Both",,,"12","6","UHC","Commercial",,,"75",,"9.05","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 100MG","0637","RC","Both",,,"12","6","Medicaid",,,,"37",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"17","8.5","Alliant","Health Exchange",,,"62",,"10.54","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"17","8.5","Medicare",,,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"17","8.5","Humana","Medicare Advantage",,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"17","8.5","UHC","Medicare Advantage",,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"17","8.5","Clover","Medicare Advantage",,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"17","8.5","Wellcare","Medicare Advantage",,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.22","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"17","8.5","Caresource","Medicaid Managed Care",,,"40",,"6.8","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"17","8.5","Wellcare","Medicaid Managed Care",,,"40",,"6.89","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"17","8.5","Aetna","Commercial",,,"64",,"10.85","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways",,,"71",,"12","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"17","8.5","Blue Cross Blue Shield","HMO",,,"71",,"12","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"17","8.5","Blue Cross Blue Shield","PPO",,,"71",,"12","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"17","8.5","Ambetter","Health Exchange",,,"62",,"10.54","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"17","8.5","Caresource","Health Exchange",,,"62",,"10.54","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"17","8.5","Cigna","Commercial",,,"59",,"9.96","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"17","8.5","Humana","Commercial",,,"78",,"13.18","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"17","8.5","UHC","Commercial",,,"75",,"12.82","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 200MG","0637","RC","Both",,,"17","8.5","Medicaid",,,,"37",,"6.22","0.15","5264.58","percent of total billed charges",,
"NF-GLYCERIN RECTAL SUPP","0637","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-GLYCERIN RECTAL SUPP","0637","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-GLYCERIN RECTAL SUPP","0637","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-GLYCERIN RECTAL SUPP","0637","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-GLYCERIN RECTAL SUPP","0637","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-GLYCERIN RECTAL SUPP","0637","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-GLYCERIN RECTAL SUPP","0637","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-GLYCERIN RECTAL SUPP","0637","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-GLYCERIN RECTAL SUPP","0637","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.15","5264.58","percent of total billed charges",,
"NF-GLYCERIN RECTAL SUPP","0637","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-GLYCERIN RECTAL SUPP","0637","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-GLYCERIN RECTAL SUPP","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-GLYCERIN RECTAL SUPP","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-GLYCERIN RECTAL SUPP","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-GLYCERIN RECTAL SUPP","0637","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-GLYCERIN RECTAL SUPP","0637","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-GLYCERIN RECTAL SUPP","0637","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.15","5264.58","percent of total billed charges",,
"NF-GLYCERIN RECTAL SUPP","0637","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-GLYCERIN RECTAL SUPP","0637","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.15","5264.58","percent of total billed charges",,
"NF-GLYCERIN RECTAL SUPP","0637","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-PRENATAL VITAMIN ORAL TABLET","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-PRENATAL VITAMIN ORAL TABLET","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-PRENATAL VITAMIN ORAL TABLET","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-PRENATAL VITAMIN ORAL TABLET","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-PRENATAL VITAMIN ORAL TABLET","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-PRENATAL VITAMIN ORAL TABLET","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-PRENATAL VITAMIN ORAL TABLET","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-PRENATAL VITAMIN ORAL TABLET","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-PRENATAL VITAMIN ORAL TABLET","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-PRENATAL VITAMIN ORAL TABLET","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-PRENATAL VITAMIN ORAL TABLET","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-PRENATAL VITAMIN ORAL TABLET","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-PRENATAL VITAMIN ORAL TABLET","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-PRENATAL VITAMIN ORAL TABLET","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-PRENATAL VITAMIN ORAL TABLET","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-PRENATAL VITAMIN ORAL TABLET","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-PRENATAL VITAMIN ORAL TABLET","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-PRENATAL VITAMIN ORAL TABLET","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-PRENATAL VITAMIN ORAL TABLET","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-PRENATAL VITAMIN ORAL TABLET","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-LEVALBUTEROL HCL INH SOLUTION 1.25MG/","0637","RC","Both",,,"6.5","3.25","Alliant","Health Exchange",,,"62",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-LEVALBUTEROL HCL INH SOLUTION 1.25MG/","0637","RC","Both",,,"6.5","3.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.51","0.15","5264.58","percent of total billed charges",,
"NF-LEVALBUTEROL HCL INH SOLUTION 1.25MG/","0637","RC","Both",,,"6.5","3.25","Medicare",,,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-LEVALBUTEROL HCL INH SOLUTION 1.25MG/","0637","RC","Both",,,"6.5","3.25","Humana","Medicare Advantage",,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-LEVALBUTEROL HCL INH SOLUTION 1.25MG/","0637","RC","Both",,,"6.5","3.25","UHC","Medicare Advantage",,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-LEVALBUTEROL HCL INH SOLUTION 1.25MG/","0637","RC","Both",,,"6.5","3.25","Clover","Medicare Advantage",,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-LEVALBUTEROL HCL INH SOLUTION 1.25MG/","0637","RC","Both",,,"6.5","3.25","Wellcare","Medicare Advantage",,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-LEVALBUTEROL HCL INH SOLUTION 1.25MG/","0637","RC","Both",,,"6.5","3.25","Amerigroup","Medicaid Managed Care",,,"37",,"2.38","0.15","5264.58","percent of total billed charges",,
"NF-LEVALBUTEROL HCL INH SOLUTION 1.25MG/","0637","RC","Both",,,"6.5","3.25","Caresource","Medicaid Managed Care",,,"40",,"2.6","0.15","5264.58","percent of total billed charges",,
"NF-LEVALBUTEROL HCL INH SOLUTION 1.25MG/","0637","RC","Both",,,"6.5","3.25","Wellcare","Medicaid Managed Care",,,"40",,"2.63","0.15","5264.58","percent of total billed charges",,
"NF-LEVALBUTEROL HCL INH SOLUTION 1.25MG/","0637","RC","Both",,,"6.5","3.25","Aetna","Commercial",,,"64",,"4.15","0.15","5264.58","percent of total billed charges",,
"NF-LEVALBUTEROL HCL INH SOLUTION 1.25MG/","0637","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","Pathways",,,"71",,"4.59","0.15","5264.58","percent of total billed charges",,
"NF-LEVALBUTEROL HCL INH SOLUTION 1.25MG/","0637","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","HMO",,,"71",,"4.59","0.15","5264.58","percent of total billed charges",,
"NF-LEVALBUTEROL HCL INH SOLUTION 1.25MG/","0637","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","PPO",,,"71",,"4.59","0.15","5264.58","percent of total billed charges",,
"NF-LEVALBUTEROL HCL INH SOLUTION 1.25MG/","0637","RC","Both",,,"6.5","3.25","Ambetter","Health Exchange",,,"62",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-LEVALBUTEROL HCL INH SOLUTION 1.25MG/","0637","RC","Both",,,"6.5","3.25","Caresource","Health Exchange",,,"62",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-LEVALBUTEROL HCL INH SOLUTION 1.25MG/","0637","RC","Both",,,"6.5","3.25","Cigna","Commercial",,,"59",,"3.81","0.15","5264.58","percent of total billed charges",,
"NF-LEVALBUTEROL HCL INH SOLUTION 1.25MG/","0637","RC","Both",,,"6.5","3.25","Humana","Commercial",,,"78",,"5.04","0.15","5264.58","percent of total billed charges",,
"NF-LEVALBUTEROL HCL INH SOLUTION 1.25MG/","0637","RC","Both",,,"6.5","3.25","UHC","Commercial",,,"75",,"4.9","0.15","5264.58","percent of total billed charges",,
"NF-LEVALBUTEROL HCL INH SOLUTION 1.25MG/","0637","RC","Both",,,"6.5","3.25","Medicaid",,,,"37",,"2.38","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"4.5","2.25","Alliant","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"4.5","2.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"4.5","2.25","Medicare",,,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"4.5","2.25","Humana","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"4.5","2.25","UHC","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"4.5","2.25","Clover","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"4.5","2.25","Wellcare","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"4.5","2.25","Amerigroup","Medicaid Managed Care",,,"37",,"1.65","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"4.5","2.25","Caresource","Medicaid Managed Care",,,"40",,"1.8","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"4.5","2.25","Wellcare","Medicaid Managed Care",,,"40",,"1.82","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"4.5","2.25","Aetna","Commercial",,,"64",,"2.87","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","Pathways",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","HMO",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","PPO",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"4.5","2.25","Ambetter","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"4.5","2.25","Caresource","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"4.5","2.25","Cigna","Commercial",,,"59",,"2.64","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"4.5","2.25","Humana","Commercial",,,"78",,"3.49","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"4.5","2.25","UHC","Commercial",,,"75",,"3.39","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"4.5","2.25","Medicaid",,,,"37",,"1.65","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"3.5","1.75","Alliant","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"3.5","1.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.89","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"3.5","1.75","Medicare",,,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"3.5","1.75","Humana","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"3.5","1.75","UHC","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"3.5","1.75","Clover","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"3.5","1.75","Wellcare","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"3.5","1.75","Amerigroup","Medicaid Managed Care",,,"37",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"3.5","1.75","Caresource","Medicaid Managed Care",,,"40",,"1.4","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"3.5","1.75","Wellcare","Medicaid Managed Care",,,"40",,"1.42","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"3.5","1.75","Aetna","Commercial",,,"64",,"2.23","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","Pathways",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","HMO",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","PPO",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"3.5","1.75","Ambetter","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"3.5","1.75","Caresource","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"3.5","1.75","Cigna","Commercial",,,"59",,"2.05","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"3.5","1.75","Humana","Commercial",,,"78",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"3.5","1.75","UHC","Commercial",,,"75",,"2.64","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"3.5","1.75","Medicaid",,,,"37",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"3.5","1.75","Alliant","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"3.5","1.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.89","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"3.5","1.75","Medicare",,,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"3.5","1.75","Humana","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"3.5","1.75","UHC","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"3.5","1.75","Clover","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"3.5","1.75","Wellcare","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"3.5","1.75","Amerigroup","Medicaid Managed Care",,,"37",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"3.5","1.75","Caresource","Medicaid Managed Care",,,"40",,"1.4","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"3.5","1.75","Wellcare","Medicaid Managed Care",,,"40",,"1.42","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"3.5","1.75","Aetna","Commercial",,,"64",,"2.23","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","Pathways",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","HMO",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","PPO",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"3.5","1.75","Ambetter","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"3.5","1.75","Caresource","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"3.5","1.75","Cigna","Commercial",,,"59",,"2.05","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"3.5","1.75","Humana","Commercial",,,"78",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"3.5","1.75","UHC","Commercial",,,"75",,"2.64","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"3.5","1.75","Medicaid",,,,"37",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL 100MG ORAL CAPSULE","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL 100MG ORAL CAPSULE","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL 100MG ORAL CAPSULE","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL 100MG ORAL CAPSULE","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL 100MG ORAL CAPSULE","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL 100MG ORAL CAPSULE","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL 100MG ORAL CAPSULE","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL 100MG ORAL CAPSULE","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL 100MG ORAL CAPSULE","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL 100MG ORAL CAPSULE","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL 100MG ORAL CAPSULE","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL 100MG ORAL CAPSULE","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL 100MG ORAL CAPSULE","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL 100MG ORAL CAPSULE","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL 100MG ORAL CAPSULE","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL 100MG ORAL CAPSULE","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL 100MG ORAL CAPSULE","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL 100MG ORAL CAPSULE","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL 100MG ORAL CAPSULE","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL 100MG ORAL CAPSULE","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 10MG","0637","RC","Both",,,"9.5","4.75","Alliant","Health Exchange",,,"62",,"5.89","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 10MG","0637","RC","Both",,,"9.5","4.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.13","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 10MG","0637","RC","Both",,,"9.5","4.75","Medicare",,,,"54",,"5.15","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 10MG","0637","RC","Both",,,"9.5","4.75","Humana","Medicare Advantage",,,"54",,"5.15","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 10MG","0637","RC","Both",,,"9.5","4.75","UHC","Medicare Advantage",,,"54",,"5.15","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 10MG","0637","RC","Both",,,"9.5","4.75","Clover","Medicare Advantage",,,"54",,"5.15","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 10MG","0637","RC","Both",,,"9.5","4.75","Wellcare","Medicare Advantage",,,"54",,"5.15","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 10MG","0637","RC","Both",,,"9.5","4.75","Amerigroup","Medicaid Managed Care",,,"37",,"3.48","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 10MG","0637","RC","Both",,,"9.5","4.75","Caresource","Medicaid Managed Care",,,"40",,"3.8","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 10MG","0637","RC","Both",,,"9.5","4.75","Wellcare","Medicaid Managed Care",,,"40",,"3.85","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 10MG","0637","RC","Both",,,"9.5","4.75","Aetna","Commercial",,,"64",,"6.06","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 10MG","0637","RC","Both",,,"9.5","4.75","Blue Cross Blue Shield","Pathways",,,"71",,"6.71","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 10MG","0637","RC","Both",,,"9.5","4.75","Blue Cross Blue Shield","HMO",,,"71",,"6.71","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 10MG","0637","RC","Both",,,"9.5","4.75","Blue Cross Blue Shield","PPO",,,"71",,"6.71","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 10MG","0637","RC","Both",,,"9.5","4.75","Ambetter","Health Exchange",,,"62",,"5.89","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 10MG","0637","RC","Both",,,"9.5","4.75","Caresource","Health Exchange",,,"62",,"5.89","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 10MG","0637","RC","Both",,,"9.5","4.75","Cigna","Commercial",,,"59",,"5.57","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 10MG","0637","RC","Both",,,"9.5","4.75","Humana","Commercial",,,"78",,"7.36","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 10MG","0637","RC","Both",,,"9.5","4.75","UHC","Commercial",,,"75",,"7.16","0.15","5264.58","percent of total billed charges",,
"NF-RAMIPRIL CAP 10MG","0637","RC","Both",,,"9.5","4.75","Medicaid",,,,"37",,"3.48","0.15","5264.58","percent of total billed charges",,
"NF-LACOSAMIDE SOLN 10MG/1ML","0637","RC","Both",,,"4.5","2.25","Alliant","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-LACOSAMIDE SOLN 10MG/1ML","0637","RC","Both",,,"4.5","2.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-LACOSAMIDE SOLN 10MG/1ML","0637","RC","Both",,,"4.5","2.25","Medicare",,,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-LACOSAMIDE SOLN 10MG/1ML","0637","RC","Both",,,"4.5","2.25","Humana","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-LACOSAMIDE SOLN 10MG/1ML","0637","RC","Both",,,"4.5","2.25","UHC","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-LACOSAMIDE SOLN 10MG/1ML","0637","RC","Both",,,"4.5","2.25","Clover","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-LACOSAMIDE SOLN 10MG/1ML","0637","RC","Both",,,"4.5","2.25","Wellcare","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-LACOSAMIDE SOLN 10MG/1ML","0637","RC","Both",,,"4.5","2.25","Amerigroup","Medicaid Managed Care",,,"37",,"1.65","0.15","5264.58","percent of total billed charges",,
"NF-LACOSAMIDE SOLN 10MG/1ML","0637","RC","Both",,,"4.5","2.25","Caresource","Medicaid Managed Care",,,"40",,"1.8","0.15","5264.58","percent of total billed charges",,
"NF-LACOSAMIDE SOLN 10MG/1ML","0637","RC","Both",,,"4.5","2.25","Wellcare","Medicaid Managed Care",,,"40",,"1.82","0.15","5264.58","percent of total billed charges",,
"NF-LACOSAMIDE SOLN 10MG/1ML","0637","RC","Both",,,"4.5","2.25","Aetna","Commercial",,,"64",,"2.87","0.15","5264.58","percent of total billed charges",,
"NF-LACOSAMIDE SOLN 10MG/1ML","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","Pathways",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-LACOSAMIDE SOLN 10MG/1ML","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","HMO",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-LACOSAMIDE SOLN 10MG/1ML","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","PPO",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-LACOSAMIDE SOLN 10MG/1ML","0637","RC","Both",,,"4.5","2.25","Ambetter","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-LACOSAMIDE SOLN 10MG/1ML","0637","RC","Both",,,"4.5","2.25","Caresource","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-LACOSAMIDE SOLN 10MG/1ML","0637","RC","Both",,,"4.5","2.25","Cigna","Commercial",,,"59",,"2.64","0.15","5264.58","percent of total billed charges",,
"NF-LACOSAMIDE SOLN 10MG/1ML","0637","RC","Both",,,"4.5","2.25","Humana","Commercial",,,"78",,"3.49","0.15","5264.58","percent of total billed charges",,
"NF-LACOSAMIDE SOLN 10MG/1ML","0637","RC","Both",,,"4.5","2.25","UHC","Commercial",,,"75",,"3.39","0.15","5264.58","percent of total billed charges",,
"NF-LACOSAMIDE SOLN 10MG/1ML","0637","RC","Both",,,"4.5","2.25","Medicaid",,,,"37",,"1.65","0.15","5264.58","percent of total billed charges",,
"NF-COLESTIPOL HCL PWD FOR SUSP 5GM/1PACK","0637","RC","Both",,,"18.5","9.25","Alliant","Health Exchange",,,"62",,"11.47","0.15","5264.58","percent of total billed charges",,
"NF-COLESTIPOL HCL PWD FOR SUSP 5GM/1PACK","0637","RC","Both",,,"18.5","9.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.99","0.15","5264.58","percent of total billed charges",,
"NF-COLESTIPOL HCL PWD FOR SUSP 5GM/1PACK","0637","RC","Both",,,"18.5","9.25","Medicare",,,,"54",,"10.03","0.15","5264.58","percent of total billed charges",,
"NF-COLESTIPOL HCL PWD FOR SUSP 5GM/1PACK","0637","RC","Both",,,"18.5","9.25","Humana","Medicare Advantage",,,"54",,"10.03","0.15","5264.58","percent of total billed charges",,
"NF-COLESTIPOL HCL PWD FOR SUSP 5GM/1PACK","0637","RC","Both",,,"18.5","9.25","UHC","Medicare Advantage",,,"54",,"10.03","0.15","5264.58","percent of total billed charges",,
"NF-COLESTIPOL HCL PWD FOR SUSP 5GM/1PACK","0637","RC","Both",,,"18.5","9.25","Clover","Medicare Advantage",,,"54",,"10.03","0.15","5264.58","percent of total billed charges",,
"NF-COLESTIPOL HCL PWD FOR SUSP 5GM/1PACK","0637","RC","Both",,,"18.5","9.25","Wellcare","Medicare Advantage",,,"54",,"10.03","0.15","5264.58","percent of total billed charges",,
"NF-COLESTIPOL HCL PWD FOR SUSP 5GM/1PACK","0637","RC","Both",,,"18.5","9.25","Amerigroup","Medicaid Managed Care",,,"37",,"6.77","0.15","5264.58","percent of total billed charges",,
"NF-COLESTIPOL HCL PWD FOR SUSP 5GM/1PACK","0637","RC","Both",,,"18.5","9.25","Caresource","Medicaid Managed Care",,,"40",,"7.4","0.15","5264.58","percent of total billed charges",,
"NF-COLESTIPOL HCL PWD FOR SUSP 5GM/1PACK","0637","RC","Both",,,"18.5","9.25","Wellcare","Medicaid Managed Care",,,"40",,"7.49","0.15","5264.58","percent of total billed charges",,
"NF-COLESTIPOL HCL PWD FOR SUSP 5GM/1PACK","0637","RC","Both",,,"18.5","9.25","Aetna","Commercial",,,"64",,"11.8","0.15","5264.58","percent of total billed charges",,
"NF-COLESTIPOL HCL PWD FOR SUSP 5GM/1PACK","0637","RC","Both",,,"18.5","9.25","Blue Cross Blue Shield","Pathways",,,"71",,"13.06","0.15","5264.58","percent of total billed charges",,
"NF-COLESTIPOL HCL PWD FOR SUSP 5GM/1PACK","0637","RC","Both",,,"18.5","9.25","Blue Cross Blue Shield","HMO",,,"71",,"13.06","0.15","5264.58","percent of total billed charges",,
"NF-COLESTIPOL HCL PWD FOR SUSP 5GM/1PACK","0637","RC","Both",,,"18.5","9.25","Blue Cross Blue Shield","PPO",,,"71",,"13.06","0.15","5264.58","percent of total billed charges",,
"NF-COLESTIPOL HCL PWD FOR SUSP 5GM/1PACK","0637","RC","Both",,,"18.5","9.25","Ambetter","Health Exchange",,,"62",,"11.47","0.15","5264.58","percent of total billed charges",,
"NF-COLESTIPOL HCL PWD FOR SUSP 5GM/1PACK","0637","RC","Both",,,"18.5","9.25","Caresource","Health Exchange",,,"62",,"11.47","0.15","5264.58","percent of total billed charges",,
"NF-COLESTIPOL HCL PWD FOR SUSP 5GM/1PACK","0637","RC","Both",,,"18.5","9.25","Cigna","Commercial",,,"59",,"10.84","0.15","5264.58","percent of total billed charges",,
"NF-COLESTIPOL HCL PWD FOR SUSP 5GM/1PACK","0637","RC","Both",,,"18.5","9.25","Humana","Commercial",,,"78",,"14.34","0.15","5264.58","percent of total billed charges",,
"NF-COLESTIPOL HCL PWD FOR SUSP 5GM/1PACK","0637","RC","Both",,,"18.5","9.25","UHC","Commercial",,,"75",,"13.95","0.15","5264.58","percent of total billed charges",,
"NF-COLESTIPOL HCL PWD FOR SUSP 5GM/1PACK","0637","RC","Both",,,"18.5","9.25","Medicaid",,,,"37",,"6.77","0.15","5264.58","percent of total billed charges",,
"NF-OPIUM ORAL TINCTURE 10MG/1ML","0637","RC","Both",,,"2.5","1.25","Alliant","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-OPIUM ORAL TINCTURE 10MG/1ML","0637","RC","Both",,,"2.5","1.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.35","0.15","5264.58","percent of total billed charges",,
"NF-OPIUM ORAL TINCTURE 10MG/1ML","0637","RC","Both",,,"2.5","1.25","Medicare",,,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-OPIUM ORAL TINCTURE 10MG/1ML","0637","RC","Both",,,"2.5","1.25","Humana","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-OPIUM ORAL TINCTURE 10MG/1ML","0637","RC","Both",,,"2.5","1.25","UHC","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-OPIUM ORAL TINCTURE 10MG/1ML","0637","RC","Both",,,"2.5","1.25","Clover","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-OPIUM ORAL TINCTURE 10MG/1ML","0637","RC","Both",,,"2.5","1.25","Wellcare","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-OPIUM ORAL TINCTURE 10MG/1ML","0637","RC","Both",,,"2.5","1.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.92","0.15","5264.58","percent of total billed charges",,
"NF-OPIUM ORAL TINCTURE 10MG/1ML","0637","RC","Both",,,"2.5","1.25","Caresource","Medicaid Managed Care",,,"40",,"1","0.15","5264.58","percent of total billed charges",,
"NF-OPIUM ORAL TINCTURE 10MG/1ML","0637","RC","Both",,,"2.5","1.25","Wellcare","Medicaid Managed Care",,,"40",,"1.01","0.15","5264.58","percent of total billed charges",,
"NF-OPIUM ORAL TINCTURE 10MG/1ML","0637","RC","Both",,,"2.5","1.25","Aetna","Commercial",,,"64",,"1.6","0.15","5264.58","percent of total billed charges",,
"NF-OPIUM ORAL TINCTURE 10MG/1ML","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","Pathways",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-OPIUM ORAL TINCTURE 10MG/1ML","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","HMO",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-OPIUM ORAL TINCTURE 10MG/1ML","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","PPO",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-OPIUM ORAL TINCTURE 10MG/1ML","0637","RC","Both",,,"2.5","1.25","Ambetter","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-OPIUM ORAL TINCTURE 10MG/1ML","0637","RC","Both",,,"2.5","1.25","Caresource","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-OPIUM ORAL TINCTURE 10MG/1ML","0637","RC","Both",,,"2.5","1.25","Cigna","Commercial",,,"59",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-OPIUM ORAL TINCTURE 10MG/1ML","0637","RC","Both",,,"2.5","1.25","Humana","Commercial",,,"78",,"1.94","0.15","5264.58","percent of total billed charges",,
"NF-OPIUM ORAL TINCTURE 10MG/1ML","0637","RC","Both",,,"2.5","1.25","UHC","Commercial",,,"75",,"1.88","0.15","5264.58","percent of total billed charges",,
"NF-OPIUM ORAL TINCTURE 10MG/1ML","0637","RC","Both",,,"2.5","1.25","Medicaid",,,,"37",,"0.92","0.15","5264.58","percent of total billed charges",,
"NF-MEGACE ES ORAL SUSPENSION 625MG/5ML","0637","RC","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"NF-MEGACE ES ORAL SUSPENSION 625MG/5ML","0637","RC","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","0.15","5264.58","percent of total billed charges",,
"NF-MEGACE ES ORAL SUSPENSION 625MG/5ML","0637","RC","Both",,,"22","11","Medicare",,,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NF-MEGACE ES ORAL SUSPENSION 625MG/5ML","0637","RC","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NF-MEGACE ES ORAL SUSPENSION 625MG/5ML","0637","RC","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NF-MEGACE ES ORAL SUSPENSION 625MG/5ML","0637","RC","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NF-MEGACE ES ORAL SUSPENSION 625MG/5ML","0637","RC","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NF-MEGACE ES ORAL SUSPENSION 625MG/5ML","0637","RC","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"NF-MEGACE ES ORAL SUSPENSION 625MG/5ML","0637","RC","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","0.15","5264.58","percent of total billed charges",,
"NF-MEGACE ES ORAL SUSPENSION 625MG/5ML","0637","RC","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","0.15","5264.58","percent of total billed charges",,
"NF-MEGACE ES ORAL SUSPENSION 625MG/5ML","0637","RC","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","0.15","5264.58","percent of total billed charges",,
"NF-MEGACE ES ORAL SUSPENSION 625MG/5ML","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"NF-MEGACE ES ORAL SUSPENSION 625MG/5ML","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"NF-MEGACE ES ORAL SUSPENSION 625MG/5ML","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"NF-MEGACE ES ORAL SUSPENSION 625MG/5ML","0637","RC","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"NF-MEGACE ES ORAL SUSPENSION 625MG/5ML","0637","RC","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"NF-MEGACE ES ORAL SUSPENSION 625MG/5ML","0637","RC","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","0.15","5264.58","percent of total billed charges",,
"NF-MEGACE ES ORAL SUSPENSION 625MG/5ML","0637","RC","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","0.15","5264.58","percent of total billed charges",,
"NF-MEGACE ES ORAL SUSPENSION 625MG/5ML","0637","RC","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","0.15","5264.58","percent of total billed charges",,
"NF-MEGACE ES ORAL SUSPENSION 625MG/5ML","0637","RC","Both",,,"22","11","Medicaid",,,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 10MG","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 10MG","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 10MG","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 10MG","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 10MG","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 10MG","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 10MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 10MG","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 10MG","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 10MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 10MG","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 10MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 10MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 10MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 10MG","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 10MG","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 10MG","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 10MG","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 10MG","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 10MG","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-ALENDRONATE SOD ORAL TABLET 70MG","0637","RC","Both",,,"58","29","Alliant","Health Exchange",,,"62",,"35.96","0.15","5264.58","percent of total billed charges",,
"NF-ALENDRONATE SOD ORAL TABLET 70MG","0637","RC","Both",,,"58","29","Pruitt Healthcare","Medicare Advantage",,,"54",,"31.32","0.15","5264.58","percent of total billed charges",,
"NF-ALENDRONATE SOD ORAL TABLET 70MG","0637","RC","Both",,,"58","29","Medicare",,,,"54",,"31.44","0.15","5264.58","percent of total billed charges",,
"NF-ALENDRONATE SOD ORAL TABLET 70MG","0637","RC","Both",,,"58","29","Humana","Medicare Advantage",,,"54",,"31.44","0.15","5264.58","percent of total billed charges",,
"NF-ALENDRONATE SOD ORAL TABLET 70MG","0637","RC","Both",,,"58","29","UHC","Medicare Advantage",,,"54",,"31.44","0.15","5264.58","percent of total billed charges",,
"NF-ALENDRONATE SOD ORAL TABLET 70MG","0637","RC","Both",,,"58","29","Clover","Medicare Advantage",,,"54",,"31.44","0.15","5264.58","percent of total billed charges",,
"NF-ALENDRONATE SOD ORAL TABLET 70MG","0637","RC","Both",,,"58","29","Wellcare","Medicare Advantage",,,"54",,"31.44","0.15","5264.58","percent of total billed charges",,
"NF-ALENDRONATE SOD ORAL TABLET 70MG","0637","RC","Both",,,"58","29","Amerigroup","Medicaid Managed Care",,,"37",,"21.23","0.15","5264.58","percent of total billed charges",,
"NF-ALENDRONATE SOD ORAL TABLET 70MG","0637","RC","Both",,,"58","29","Caresource","Medicaid Managed Care",,,"40",,"23.2","0.15","5264.58","percent of total billed charges",,
"NF-ALENDRONATE SOD ORAL TABLET 70MG","0637","RC","Both",,,"58","29","Wellcare","Medicaid Managed Care",,,"40",,"23.49","0.15","5264.58","percent of total billed charges",,
"NF-ALENDRONATE SOD ORAL TABLET 70MG","0637","RC","Both",,,"58","29","Aetna","Commercial",,,"64",,"37","0.15","5264.58","percent of total billed charges",,
"NF-ALENDRONATE SOD ORAL TABLET 70MG","0637","RC","Both",,,"58","29","Blue Cross Blue Shield","Pathways",,,"71",,"40.95","0.15","5264.58","percent of total billed charges",,
"NF-ALENDRONATE SOD ORAL TABLET 70MG","0637","RC","Both",,,"58","29","Blue Cross Blue Shield","HMO",,,"71",,"40.95","0.15","5264.58","percent of total billed charges",,
"NF-ALENDRONATE SOD ORAL TABLET 70MG","0637","RC","Both",,,"58","29","Blue Cross Blue Shield","PPO",,,"71",,"40.95","0.15","5264.58","percent of total billed charges",,
"NF-ALENDRONATE SOD ORAL TABLET 70MG","0637","RC","Both",,,"58","29","Ambetter","Health Exchange",,,"62",,"35.96","0.15","5264.58","percent of total billed charges",,
"NF-ALENDRONATE SOD ORAL TABLET 70MG","0637","RC","Both",,,"58","29","Caresource","Health Exchange",,,"62",,"35.96","0.15","5264.58","percent of total billed charges",,
"NF-ALENDRONATE SOD ORAL TABLET 70MG","0637","RC","Both",,,"58","29","Cigna","Commercial",,,"59",,"33.99","0.15","5264.58","percent of total billed charges",,
"NF-ALENDRONATE SOD ORAL TABLET 70MG","0637","RC","Both",,,"58","29","Humana","Commercial",,,"78",,"44.95","0.15","5264.58","percent of total billed charges",,
"NF-ALENDRONATE SOD ORAL TABLET 70MG","0637","RC","Both",,,"58","29","UHC","Commercial",,,"75",,"43.73","0.15","5264.58","percent of total billed charges",,
"NF-ALENDRONATE SOD ORAL TABLET 70MG","0637","RC","Both",,,"58","29","Medicaid",,,,"37",,"21.23","0.15","5264.58","percent of total billed charges",,
"NF-AMITRIPTYLINE-CHLORDIAZEPOXIDE TAB 12","0637","RC","Both",,,"4.5","2.25","Alliant","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-AMITRIPTYLINE-CHLORDIAZEPOXIDE TAB 12","0637","RC","Both",,,"4.5","2.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-AMITRIPTYLINE-CHLORDIAZEPOXIDE TAB 12","0637","RC","Both",,,"4.5","2.25","Medicare",,,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-AMITRIPTYLINE-CHLORDIAZEPOXIDE TAB 12","0637","RC","Both",,,"4.5","2.25","Humana","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-AMITRIPTYLINE-CHLORDIAZEPOXIDE TAB 12","0637","RC","Both",,,"4.5","2.25","UHC","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-AMITRIPTYLINE-CHLORDIAZEPOXIDE TAB 12","0637","RC","Both",,,"4.5","2.25","Clover","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-AMITRIPTYLINE-CHLORDIAZEPOXIDE TAB 12","0637","RC","Both",,,"4.5","2.25","Wellcare","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-AMITRIPTYLINE-CHLORDIAZEPOXIDE TAB 12","0637","RC","Both",,,"4.5","2.25","Amerigroup","Medicaid Managed Care",,,"37",,"1.65","0.15","5264.58","percent of total billed charges",,
"NF-AMITRIPTYLINE-CHLORDIAZEPOXIDE TAB 12","0637","RC","Both",,,"4.5","2.25","Caresource","Medicaid Managed Care",,,"40",,"1.8","0.15","5264.58","percent of total billed charges",,
"NF-AMITRIPTYLINE-CHLORDIAZEPOXIDE TAB 12","0637","RC","Both",,,"4.5","2.25","Wellcare","Medicaid Managed Care",,,"40",,"1.82","0.15","5264.58","percent of total billed charges",,
"NF-AMITRIPTYLINE-CHLORDIAZEPOXIDE TAB 12","0637","RC","Both",,,"4.5","2.25","Aetna","Commercial",,,"64",,"2.87","0.15","5264.58","percent of total billed charges",,
"NF-AMITRIPTYLINE-CHLORDIAZEPOXIDE TAB 12","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","Pathways",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-AMITRIPTYLINE-CHLORDIAZEPOXIDE TAB 12","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","HMO",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-AMITRIPTYLINE-CHLORDIAZEPOXIDE TAB 12","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","PPO",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-AMITRIPTYLINE-CHLORDIAZEPOXIDE TAB 12","0637","RC","Both",,,"4.5","2.25","Ambetter","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-AMITRIPTYLINE-CHLORDIAZEPOXIDE TAB 12","0637","RC","Both",,,"4.5","2.25","Caresource","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-AMITRIPTYLINE-CHLORDIAZEPOXIDE TAB 12","0637","RC","Both",,,"4.5","2.25","Cigna","Commercial",,,"59",,"2.64","0.15","5264.58","percent of total billed charges",,
"NF-AMITRIPTYLINE-CHLORDIAZEPOXIDE TAB 12","0637","RC","Both",,,"4.5","2.25","Humana","Commercial",,,"78",,"3.49","0.15","5264.58","percent of total billed charges",,
"NF-AMITRIPTYLINE-CHLORDIAZEPOXIDE TAB 12","0637","RC","Both",,,"4.5","2.25","UHC","Commercial",,,"75",,"3.39","0.15","5264.58","percent of total billed charges",,
"NF-AMITRIPTYLINE-CHLORDIAZEPOXIDE TAB 12","0637","RC","Both",,,"4.5","2.25","Medicaid",,,,"37",,"1.65","0.15","5264.58","percent of total billed charges",,
"NF-XENAZINE 12.5MG ORAL TABLET","0637","RC","Both",,,"341.5","170.75","Alliant","Health Exchange",,,"62",,"211.73","0.15","5264.58","percent of total billed charges",,
"NF-XENAZINE 12.5MG ORAL TABLET","0637","RC","Both",,,"341.5","170.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"184.41","0.15","5264.58","percent of total billed charges",,
"NF-XENAZINE 12.5MG ORAL TABLET","0637","RC","Both",,,"341.5","170.75","Medicare",,,,"54",,"185.09","0.15","5264.58","percent of total billed charges",,
"NF-XENAZINE 12.5MG ORAL TABLET","0637","RC","Both",,,"341.5","170.75","Humana","Medicare Advantage",,,"54",,"185.09","0.15","5264.58","percent of total billed charges",,
"NF-XENAZINE 12.5MG ORAL TABLET","0637","RC","Both",,,"341.5","170.75","UHC","Medicare Advantage",,,"54",,"185.09","0.15","5264.58","percent of total billed charges",,
"NF-XENAZINE 12.5MG ORAL TABLET","0637","RC","Both",,,"341.5","170.75","Clover","Medicare Advantage",,,"54",,"185.09","0.15","5264.58","percent of total billed charges",,
"NF-XENAZINE 12.5MG ORAL TABLET","0637","RC","Both",,,"341.5","170.75","Wellcare","Medicare Advantage",,,"54",,"185.09","0.15","5264.58","percent of total billed charges",,
"NF-XENAZINE 12.5MG ORAL TABLET","0637","RC","Both",,,"341.5","170.75","Amerigroup","Medicaid Managed Care",,,"37",,"124.99","0.15","5264.58","percent of total billed charges",,
"NF-XENAZINE 12.5MG ORAL TABLET","0637","RC","Both",,,"341.5","170.75","Caresource","Medicaid Managed Care",,,"40",,"136.6","0.15","5264.58","percent of total billed charges",,
"NF-XENAZINE 12.5MG ORAL TABLET","0637","RC","Both",,,"341.5","170.75","Wellcare","Medicaid Managed Care",,,"40",,"138.31","0.15","5264.58","percent of total billed charges",,
"NF-XENAZINE 12.5MG ORAL TABLET","0637","RC","Both",,,"341.5","170.75","Aetna","Commercial",,,"64",,"217.88","0.15","5264.58","percent of total billed charges",,
"NF-XENAZINE 12.5MG ORAL TABLET","0637","RC","Both",,,"341.5","170.75","Blue Cross Blue Shield","Pathways",,,"71",,"241.1","0.15","5264.58","percent of total billed charges",,
"NF-XENAZINE 12.5MG ORAL TABLET","0637","RC","Both",,,"341.5","170.75","Blue Cross Blue Shield","HMO",,,"71",,"241.1","0.15","5264.58","percent of total billed charges",,
"NF-XENAZINE 12.5MG ORAL TABLET","0637","RC","Both",,,"341.5","170.75","Blue Cross Blue Shield","PPO",,,"71",,"241.1","0.15","5264.58","percent of total billed charges",,
"NF-XENAZINE 12.5MG ORAL TABLET","0637","RC","Both",,,"341.5","170.75","Ambetter","Health Exchange",,,"62",,"211.73","0.15","5264.58","percent of total billed charges",,
"NF-XENAZINE 12.5MG ORAL TABLET","0637","RC","Both",,,"341.5","170.75","Caresource","Health Exchange",,,"62",,"211.73","0.15","5264.58","percent of total billed charges",,
"NF-XENAZINE 12.5MG ORAL TABLET","0637","RC","Both",,,"341.5","170.75","Cigna","Commercial",,,"59",,"200.12","0.15","5264.58","percent of total billed charges",,
"NF-XENAZINE 12.5MG ORAL TABLET","0637","RC","Both",,,"341.5","170.75","Humana","Commercial",,,"78",,"264.66","0.15","5264.58","percent of total billed charges",,
"NF-XENAZINE 12.5MG ORAL TABLET","0637","RC","Both",,,"341.5","170.75","UHC","Commercial",,,"75",,"257.49","0.15","5264.58","percent of total billed charges",,
"NF-XENAZINE 12.5MG ORAL TABLET","0637","RC","Both",,,"341.5","170.75","Medicaid",,,,"37",,"124.99","0.15","5264.58","percent of total billed charges",,
"NF-XENAZINE ORAL TABLET 25MG","0637","RC","Both",,,"683","341.5","Alliant","Health Exchange",,,"62",,"423.46","0.15","5264.58","percent of total billed charges",,
"NF-XENAZINE ORAL TABLET 25MG","0637","RC","Both",,,"683","341.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"368.82","0.15","5264.58","percent of total billed charges",,
"NF-XENAZINE ORAL TABLET 25MG","0637","RC","Both",,,"683","341.5","Medicare",,,,"54",,"370.19","0.15","5264.58","percent of total billed charges",,
"NF-XENAZINE ORAL TABLET 25MG","0637","RC","Both",,,"683","341.5","Humana","Medicare Advantage",,,"54",,"370.19","0.15","5264.58","percent of total billed charges",,
"NF-XENAZINE ORAL TABLET 25MG","0637","RC","Both",,,"683","341.5","UHC","Medicare Advantage",,,"54",,"370.19","0.15","5264.58","percent of total billed charges",,
"NF-XENAZINE ORAL TABLET 25MG","0637","RC","Both",,,"683","341.5","Clover","Medicare Advantage",,,"54",,"370.19","0.15","5264.58","percent of total billed charges",,
"NF-XENAZINE ORAL TABLET 25MG","0637","RC","Both",,,"683","341.5","Wellcare","Medicare Advantage",,,"54",,"370.19","0.15","5264.58","percent of total billed charges",,
"NF-XENAZINE ORAL TABLET 25MG","0637","RC","Both",,,"683","341.5","Amerigroup","Medicaid Managed Care",,,"37",,"249.98","0.15","5264.58","percent of total billed charges",,
"NF-XENAZINE ORAL TABLET 25MG","0637","RC","Both",,,"683","341.5","Caresource","Medicaid Managed Care",,,"40",,"273.2","0.15","5264.58","percent of total billed charges",,
"NF-XENAZINE ORAL TABLET 25MG","0637","RC","Both",,,"683","341.5","Wellcare","Medicaid Managed Care",,,"40",,"276.62","0.15","5264.58","percent of total billed charges",,
"NF-XENAZINE ORAL TABLET 25MG","0637","RC","Both",,,"683","341.5","Aetna","Commercial",,,"64",,"435.75","0.15","5264.58","percent of total billed charges",,
"NF-XENAZINE ORAL TABLET 25MG","0637","RC","Both",,,"683","341.5","Blue Cross Blue Shield","Pathways",,,"71",,"482.2","0.15","5264.58","percent of total billed charges",,
"NF-XENAZINE ORAL TABLET 25MG","0637","RC","Both",,,"683","341.5","Blue Cross Blue Shield","HMO",,,"71",,"482.2","0.15","5264.58","percent of total billed charges",,
"NF-XENAZINE ORAL TABLET 25MG","0637","RC","Both",,,"683","341.5","Blue Cross Blue Shield","PPO",,,"71",,"482.2","0.15","5264.58","percent of total billed charges",,
"NF-XENAZINE ORAL TABLET 25MG","0637","RC","Both",,,"683","341.5","Ambetter","Health Exchange",,,"62",,"423.46","0.15","5264.58","percent of total billed charges",,
"NF-XENAZINE ORAL TABLET 25MG","0637","RC","Both",,,"683","341.5","Caresource","Health Exchange",,,"62",,"423.46","0.15","5264.58","percent of total billed charges",,
"NF-XENAZINE ORAL TABLET 25MG","0637","RC","Both",,,"683","341.5","Cigna","Commercial",,,"59",,"400.24","0.15","5264.58","percent of total billed charges",,
"NF-XENAZINE ORAL TABLET 25MG","0637","RC","Both",,,"683","341.5","Humana","Commercial",,,"78",,"529.33","0.15","5264.58","percent of total billed charges",,
"NF-XENAZINE ORAL TABLET 25MG","0637","RC","Both",,,"683","341.5","UHC","Commercial",,,"75",,"514.98","0.15","5264.58","percent of total billed charges",,
"NF-XENAZINE ORAL TABLET 25MG","0637","RC","Both",,,"683","341.5","Medicaid",,,,"37",,"249.98","0.15","5264.58","percent of total billed charges",,
"NF-PRIMIDONE ORAL TABLET 250MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-PRIMIDONE ORAL TABLET 250MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"NF-PRIMIDONE ORAL TABLET 250MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-PRIMIDONE ORAL TABLET 250MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-PRIMIDONE ORAL TABLET 250MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-PRIMIDONE ORAL TABLET 250MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-PRIMIDONE ORAL TABLET 250MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-PRIMIDONE ORAL TABLET 250MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-PRIMIDONE ORAL TABLET 250MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"NF-PRIMIDONE ORAL TABLET 250MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-PRIMIDONE ORAL TABLET 250MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"NF-PRIMIDONE ORAL TABLET 250MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-PRIMIDONE ORAL TABLET 250MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-PRIMIDONE ORAL TABLET 250MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-PRIMIDONE ORAL TABLET 250MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-PRIMIDONE ORAL TABLET 250MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-PRIMIDONE ORAL TABLET 250MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-PRIMIDONE ORAL TABLET 250MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-PRIMIDONE ORAL TABLET 250MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"NF-PRIMIDONE ORAL TABLET 250MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-MYRBETRIQ ORAL TABLET 50MG","0637","RC","Both",,,"35.5","17.75","Alliant","Health Exchange",,,"62",,"22.01","0.15","5264.58","percent of total billed charges",,
"NF-MYRBETRIQ ORAL TABLET 50MG","0637","RC","Both",,,"35.5","17.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.17","0.15","5264.58","percent of total billed charges",,
"NF-MYRBETRIQ ORAL TABLET 50MG","0637","RC","Both",,,"35.5","17.75","Medicare",,,,"54",,"19.24","0.15","5264.58","percent of total billed charges",,
"NF-MYRBETRIQ ORAL TABLET 50MG","0637","RC","Both",,,"35.5","17.75","Humana","Medicare Advantage",,,"54",,"19.24","0.15","5264.58","percent of total billed charges",,
"NF-MYRBETRIQ ORAL TABLET 50MG","0637","RC","Both",,,"35.5","17.75","UHC","Medicare Advantage",,,"54",,"19.24","0.15","5264.58","percent of total billed charges",,
"NF-MYRBETRIQ ORAL TABLET 50MG","0637","RC","Both",,,"35.5","17.75","Clover","Medicare Advantage",,,"54",,"19.24","0.15","5264.58","percent of total billed charges",,
"NF-MYRBETRIQ ORAL TABLET 50MG","0637","RC","Both",,,"35.5","17.75","Wellcare","Medicare Advantage",,,"54",,"19.24","0.15","5264.58","percent of total billed charges",,
"NF-MYRBETRIQ ORAL TABLET 50MG","0637","RC","Both",,,"35.5","17.75","Amerigroup","Medicaid Managed Care",,,"37",,"12.99","0.15","5264.58","percent of total billed charges",,
"NF-MYRBETRIQ ORAL TABLET 50MG","0637","RC","Both",,,"35.5","17.75","Caresource","Medicaid Managed Care",,,"40",,"14.2","0.15","5264.58","percent of total billed charges",,
"NF-MYRBETRIQ ORAL TABLET 50MG","0637","RC","Both",,,"35.5","17.75","Wellcare","Medicaid Managed Care",,,"40",,"14.38","0.15","5264.58","percent of total billed charges",,
"NF-MYRBETRIQ ORAL TABLET 50MG","0637","RC","Both",,,"35.5","17.75","Aetna","Commercial",,,"64",,"22.65","0.15","5264.58","percent of total billed charges",,
"NF-MYRBETRIQ ORAL TABLET 50MG","0637","RC","Both",,,"35.5","17.75","Blue Cross Blue Shield","Pathways",,,"71",,"25.06","0.15","5264.58","percent of total billed charges",,
"NF-MYRBETRIQ ORAL TABLET 50MG","0637","RC","Both",,,"35.5","17.75","Blue Cross Blue Shield","HMO",,,"71",,"25.06","0.15","5264.58","percent of total billed charges",,
"NF-MYRBETRIQ ORAL TABLET 50MG","0637","RC","Both",,,"35.5","17.75","Blue Cross Blue Shield","PPO",,,"71",,"25.06","0.15","5264.58","percent of total billed charges",,
"NF-MYRBETRIQ ORAL TABLET 50MG","0637","RC","Both",,,"35.5","17.75","Ambetter","Health Exchange",,,"62",,"22.01","0.15","5264.58","percent of total billed charges",,
"NF-MYRBETRIQ ORAL TABLET 50MG","0637","RC","Both",,,"35.5","17.75","Caresource","Health Exchange",,,"62",,"22.01","0.15","5264.58","percent of total billed charges",,
"NF-MYRBETRIQ ORAL TABLET 50MG","0637","RC","Both",,,"35.5","17.75","Cigna","Commercial",,,"59",,"20.8","0.15","5264.58","percent of total billed charges",,
"NF-MYRBETRIQ ORAL TABLET 50MG","0637","RC","Both",,,"35.5","17.75","Humana","Commercial",,,"78",,"27.51","0.15","5264.58","percent of total billed charges",,
"NF-MYRBETRIQ ORAL TABLET 50MG","0637","RC","Both",,,"35.5","17.75","UHC","Commercial",,,"75",,"26.77","0.15","5264.58","percent of total billed charges",,
"NF-MYRBETRIQ ORAL TABLET 50MG","0637","RC","Both",,,"35.5","17.75","Medicaid",,,,"37",,"12.99","0.15","5264.58","percent of total billed charges",,
"NF-ASTELIN READY-SPRAY NASAL","0637","RC","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-ASTELIN READY-SPRAY NASAL","0637","RC","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","0.15","5264.58","percent of total billed charges",,
"NF-ASTELIN READY-SPRAY NASAL","0637","RC","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-ASTELIN READY-SPRAY NASAL","0637","RC","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-ASTELIN READY-SPRAY NASAL","0637","RC","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-ASTELIN READY-SPRAY NASAL","0637","RC","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-ASTELIN READY-SPRAY NASAL","0637","RC","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-ASTELIN READY-SPRAY NASAL","0637","RC","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"NF-ASTELIN READY-SPRAY NASAL","0637","RC","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","0.15","5264.58","percent of total billed charges",,
"NF-ASTELIN READY-SPRAY NASAL","0637","RC","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.15","5264.58","percent of total billed charges",,
"NF-ASTELIN READY-SPRAY NASAL","0637","RC","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","0.15","5264.58","percent of total billed charges",,
"NF-ASTELIN READY-SPRAY NASAL","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"NF-ASTELIN READY-SPRAY NASAL","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"NF-ASTELIN READY-SPRAY NASAL","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"NF-ASTELIN READY-SPRAY NASAL","0637","RC","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-ASTELIN READY-SPRAY NASAL","0637","RC","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-ASTELIN READY-SPRAY NASAL","0637","RC","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","0.15","5264.58","percent of total billed charges",,
"NF-ASTELIN READY-SPRAY NASAL","0637","RC","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","0.15","5264.58","percent of total billed charges",,
"NF-ASTELIN READY-SPRAY NASAL","0637","RC","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","0.15","5264.58","percent of total billed charges",,
"NF-ASTELIN READY-SPRAY NASAL","0637","RC","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"NF-VERAMYST NASAL SPRAY 27.5MCG/1 ACT","0637","RC","Both",,,"68","34","Alliant","Health Exchange",,,"62",,"42.16","0.15","5264.58","percent of total billed charges",,
"NF-VERAMYST NASAL SPRAY 27.5MCG/1 ACT","0637","RC","Both",,,"68","34","Pruitt Healthcare","Medicare Advantage",,,"54",,"36.72","0.15","5264.58","percent of total billed charges",,
"NF-VERAMYST NASAL SPRAY 27.5MCG/1 ACT","0637","RC","Both",,,"68","34","Medicare",,,,"54",,"36.86","0.15","5264.58","percent of total billed charges",,
"NF-VERAMYST NASAL SPRAY 27.5MCG/1 ACT","0637","RC","Both",,,"68","34","Humana","Medicare Advantage",,,"54",,"36.86","0.15","5264.58","percent of total billed charges",,
"NF-VERAMYST NASAL SPRAY 27.5MCG/1 ACT","0637","RC","Both",,,"68","34","UHC","Medicare Advantage",,,"54",,"36.86","0.15","5264.58","percent of total billed charges",,
"NF-VERAMYST NASAL SPRAY 27.5MCG/1 ACT","0637","RC","Both",,,"68","34","Clover","Medicare Advantage",,,"54",,"36.86","0.15","5264.58","percent of total billed charges",,
"NF-VERAMYST NASAL SPRAY 27.5MCG/1 ACT","0637","RC","Both",,,"68","34","Wellcare","Medicare Advantage",,,"54",,"36.86","0.15","5264.58","percent of total billed charges",,
"NF-VERAMYST NASAL SPRAY 27.5MCG/1 ACT","0637","RC","Both",,,"68","34","Amerigroup","Medicaid Managed Care",,,"37",,"24.89","0.15","5264.58","percent of total billed charges",,
"NF-VERAMYST NASAL SPRAY 27.5MCG/1 ACT","0637","RC","Both",,,"68","34","Caresource","Medicaid Managed Care",,,"40",,"27.2","0.15","5264.58","percent of total billed charges",,
"NF-VERAMYST NASAL SPRAY 27.5MCG/1 ACT","0637","RC","Both",,,"68","34","Wellcare","Medicaid Managed Care",,,"40",,"27.54","0.15","5264.58","percent of total billed charges",,
"NF-VERAMYST NASAL SPRAY 27.5MCG/1 ACT","0637","RC","Both",,,"68","34","Aetna","Commercial",,,"64",,"43.38","0.15","5264.58","percent of total billed charges",,
"NF-VERAMYST NASAL SPRAY 27.5MCG/1 ACT","0637","RC","Both",,,"68","34","Blue Cross Blue Shield","Pathways",,,"71",,"48.01","0.15","5264.58","percent of total billed charges",,
"NF-VERAMYST NASAL SPRAY 27.5MCG/1 ACT","0637","RC","Both",,,"68","34","Blue Cross Blue Shield","HMO",,,"71",,"48.01","0.15","5264.58","percent of total billed charges",,
"NF-VERAMYST NASAL SPRAY 27.5MCG/1 ACT","0637","RC","Both",,,"68","34","Blue Cross Blue Shield","PPO",,,"71",,"48.01","0.15","5264.58","percent of total billed charges",,
"NF-VERAMYST NASAL SPRAY 27.5MCG/1 ACT","0637","RC","Both",,,"68","34","Ambetter","Health Exchange",,,"62",,"42.16","0.15","5264.58","percent of total billed charges",,
"NF-VERAMYST NASAL SPRAY 27.5MCG/1 ACT","0637","RC","Both",,,"68","34","Caresource","Health Exchange",,,"62",,"42.16","0.15","5264.58","percent of total billed charges",,
"NF-VERAMYST NASAL SPRAY 27.5MCG/1 ACT","0637","RC","Both",,,"68","34","Cigna","Commercial",,,"59",,"39.85","0.15","5264.58","percent of total billed charges",,
"NF-VERAMYST NASAL SPRAY 27.5MCG/1 ACT","0637","RC","Both",,,"68","34","Humana","Commercial",,,"78",,"52.7","0.15","5264.58","percent of total billed charges",,
"NF-VERAMYST NASAL SPRAY 27.5MCG/1 ACT","0637","RC","Both",,,"68","34","UHC","Commercial",,,"75",,"51.27","0.15","5264.58","percent of total billed charges",,
"NF-VERAMYST NASAL SPRAY 27.5MCG/1 ACT","0637","RC","Both",,,"68","34","Medicaid",,,,"37",,"24.89","0.15","5264.58","percent of total billed charges",,
"NF-GLUCOSAMINE & CHONDR CAP 500MG-400MG","0637","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-GLUCOSAMINE & CHONDR CAP 500MG-400MG","0637","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-GLUCOSAMINE & CHONDR CAP 500MG-400MG","0637","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-GLUCOSAMINE & CHONDR CAP 500MG-400MG","0637","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-GLUCOSAMINE & CHONDR CAP 500MG-400MG","0637","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-GLUCOSAMINE & CHONDR CAP 500MG-400MG","0637","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-GLUCOSAMINE & CHONDR CAP 500MG-400MG","0637","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-GLUCOSAMINE & CHONDR CAP 500MG-400MG","0637","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-GLUCOSAMINE & CHONDR CAP 500MG-400MG","0637","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.15","5264.58","percent of total billed charges",,
"NF-GLUCOSAMINE & CHONDR CAP 500MG-400MG","0637","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-GLUCOSAMINE & CHONDR CAP 500MG-400MG","0637","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-GLUCOSAMINE & CHONDR CAP 500MG-400MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-GLUCOSAMINE & CHONDR CAP 500MG-400MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-GLUCOSAMINE & CHONDR CAP 500MG-400MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-GLUCOSAMINE & CHONDR CAP 500MG-400MG","0637","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-GLUCOSAMINE & CHONDR CAP 500MG-400MG","0637","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-GLUCOSAMINE & CHONDR CAP 500MG-400MG","0637","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.15","5264.58","percent of total billed charges",,
"NF-GLUCOSAMINE & CHONDR CAP 500MG-400MG","0637","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-GLUCOSAMINE & CHONDR CAP 500MG-400MG","0637","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.15","5264.58","percent of total billed charges",,
"NF-GLUCOSAMINE & CHONDR CAP 500MG-400MG","0637","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-CO-Q10 TABLET 60MG","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-CO-Q10 TABLET 60MG","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-CO-Q10 TABLET 60MG","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-CO-Q10 TABLET 60MG","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-CO-Q10 TABLET 60MG","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-CO-Q10 TABLET 60MG","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-CO-Q10 TABLET 60MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-CO-Q10 TABLET 60MG","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-CO-Q10 TABLET 60MG","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-CO-Q10 TABLET 60MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-CO-Q10 TABLET 60MG","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-CO-Q10 TABLET 60MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-CO-Q10 TABLET 60MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-CO-Q10 TABLET 60MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-CO-Q10 TABLET 60MG","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-CO-Q10 TABLET 60MG","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-CO-Q10 TABLET 60MG","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-CO-Q10 TABLET 60MG","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-CO-Q10 TABLET 60MG","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-CO-Q10 TABLET 60MG","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-PROLENSA 0.07% OPHTHALMIC SOLUTION","0637","RC","Both",,,"264.5","132.25","Alliant","Health Exchange",,,"62",,"163.99","0.15","5264.58","percent of total billed charges",,
"NF-PROLENSA 0.07% OPHTHALMIC SOLUTION","0637","RC","Both",,,"264.5","132.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"142.83","0.15","5264.58","percent of total billed charges",,
"NF-PROLENSA 0.07% OPHTHALMIC SOLUTION","0637","RC","Both",,,"264.5","132.25","Medicare",,,,"54",,"143.36","0.15","5264.58","percent of total billed charges",,
"NF-PROLENSA 0.07% OPHTHALMIC SOLUTION","0637","RC","Both",,,"264.5","132.25","Humana","Medicare Advantage",,,"54",,"143.36","0.15","5264.58","percent of total billed charges",,
"NF-PROLENSA 0.07% OPHTHALMIC SOLUTION","0637","RC","Both",,,"264.5","132.25","UHC","Medicare Advantage",,,"54",,"143.36","0.15","5264.58","percent of total billed charges",,
"NF-PROLENSA 0.07% OPHTHALMIC SOLUTION","0637","RC","Both",,,"264.5","132.25","Clover","Medicare Advantage",,,"54",,"143.36","0.15","5264.58","percent of total billed charges",,
"NF-PROLENSA 0.07% OPHTHALMIC SOLUTION","0637","RC","Both",,,"264.5","132.25","Wellcare","Medicare Advantage",,,"54",,"143.36","0.15","5264.58","percent of total billed charges",,
"NF-PROLENSA 0.07% OPHTHALMIC SOLUTION","0637","RC","Both",,,"264.5","132.25","Amerigroup","Medicaid Managed Care",,,"37",,"96.81","0.15","5264.58","percent of total billed charges",,
"NF-PROLENSA 0.07% OPHTHALMIC SOLUTION","0637","RC","Both",,,"264.5","132.25","Caresource","Medicaid Managed Care",,,"40",,"105.8","0.15","5264.58","percent of total billed charges",,
"NF-PROLENSA 0.07% OPHTHALMIC SOLUTION","0637","RC","Both",,,"264.5","132.25","Wellcare","Medicaid Managed Care",,,"40",,"107.12","0.15","5264.58","percent of total billed charges",,
"NF-PROLENSA 0.07% OPHTHALMIC SOLUTION","0637","RC","Both",,,"264.5","132.25","Aetna","Commercial",,,"64",,"168.75","0.15","5264.58","percent of total billed charges",,
"NF-PROLENSA 0.07% OPHTHALMIC SOLUTION","0637","RC","Both",,,"264.5","132.25","Blue Cross Blue Shield","Pathways",,,"71",,"186.74","0.15","5264.58","percent of total billed charges",,
"NF-PROLENSA 0.07% OPHTHALMIC SOLUTION","0637","RC","Both",,,"264.5","132.25","Blue Cross Blue Shield","HMO",,,"71",,"186.74","0.15","5264.58","percent of total billed charges",,
"NF-PROLENSA 0.07% OPHTHALMIC SOLUTION","0637","RC","Both",,,"264.5","132.25","Blue Cross Blue Shield","PPO",,,"71",,"186.74","0.15","5264.58","percent of total billed charges",,
"NF-PROLENSA 0.07% OPHTHALMIC SOLUTION","0637","RC","Both",,,"264.5","132.25","Ambetter","Health Exchange",,,"62",,"163.99","0.15","5264.58","percent of total billed charges",,
"NF-PROLENSA 0.07% OPHTHALMIC SOLUTION","0637","RC","Both",,,"264.5","132.25","Caresource","Health Exchange",,,"62",,"163.99","0.15","5264.58","percent of total billed charges",,
"NF-PROLENSA 0.07% OPHTHALMIC SOLUTION","0637","RC","Both",,,"264.5","132.25","Cigna","Commercial",,,"59",,"155","0.15","5264.58","percent of total billed charges",,
"NF-PROLENSA 0.07% OPHTHALMIC SOLUTION","0637","RC","Both",,,"264.5","132.25","Humana","Commercial",,,"78",,"204.99","0.15","5264.58","percent of total billed charges",,
"NF-PROLENSA 0.07% OPHTHALMIC SOLUTION","0637","RC","Both",,,"264.5","132.25","UHC","Commercial",,,"75",,"199.43","0.15","5264.58","percent of total billed charges",,
"NF-PROLENSA 0.07% OPHTHALMIC SOLUTION","0637","RC","Both",,,"264.5","132.25","Medicaid",,,,"37",,"96.81","0.15","5264.58","percent of total billed charges",,
"NF-GATIFLOXACIN 0.5% OPHTHALMIC SOLUTION","0637","RC","Both",,,"142","71","Alliant","Health Exchange",,,"62",,"88.04","0.15","5264.58","percent of total billed charges",,
"NF-GATIFLOXACIN 0.5% OPHTHALMIC SOLUTION","0637","RC","Both",,,"142","71","Pruitt Healthcare","Medicare Advantage",,,"54",,"76.68","0.15","5264.58","percent of total billed charges",,
"NF-GATIFLOXACIN 0.5% OPHTHALMIC SOLUTION","0637","RC","Both",,,"142","71","Medicare",,,,"54",,"76.96","0.15","5264.58","percent of total billed charges",,
"NF-GATIFLOXACIN 0.5% OPHTHALMIC SOLUTION","0637","RC","Both",,,"142","71","Humana","Medicare Advantage",,,"54",,"76.96","0.15","5264.58","percent of total billed charges",,
"NF-GATIFLOXACIN 0.5% OPHTHALMIC SOLUTION","0637","RC","Both",,,"142","71","UHC","Medicare Advantage",,,"54",,"76.96","0.15","5264.58","percent of total billed charges",,
"NF-GATIFLOXACIN 0.5% OPHTHALMIC SOLUTION","0637","RC","Both",,,"142","71","Clover","Medicare Advantage",,,"54",,"76.96","0.15","5264.58","percent of total billed charges",,
"NF-GATIFLOXACIN 0.5% OPHTHALMIC SOLUTION","0637","RC","Both",,,"142","71","Wellcare","Medicare Advantage",,,"54",,"76.96","0.15","5264.58","percent of total billed charges",,
"NF-GATIFLOXACIN 0.5% OPHTHALMIC SOLUTION","0637","RC","Both",,,"142","71","Amerigroup","Medicaid Managed Care",,,"37",,"51.97","0.15","5264.58","percent of total billed charges",,
"NF-GATIFLOXACIN 0.5% OPHTHALMIC SOLUTION","0637","RC","Both",,,"142","71","Caresource","Medicaid Managed Care",,,"40",,"56.8","0.15","5264.58","percent of total billed charges",,
"NF-GATIFLOXACIN 0.5% OPHTHALMIC SOLUTION","0637","RC","Both",,,"142","71","Wellcare","Medicaid Managed Care",,,"40",,"57.51","0.15","5264.58","percent of total billed charges",,
"NF-GATIFLOXACIN 0.5% OPHTHALMIC SOLUTION","0637","RC","Both",,,"142","71","Aetna","Commercial",,,"64",,"90.6","0.15","5264.58","percent of total billed charges",,
"NF-GATIFLOXACIN 0.5% OPHTHALMIC SOLUTION","0637","RC","Both",,,"142","71","Blue Cross Blue Shield","Pathways",,,"71",,"100.25","0.15","5264.58","percent of total billed charges",,
"NF-GATIFLOXACIN 0.5% OPHTHALMIC SOLUTION","0637","RC","Both",,,"142","71","Blue Cross Blue Shield","HMO",,,"71",,"100.25","0.15","5264.58","percent of total billed charges",,
"NF-GATIFLOXACIN 0.5% OPHTHALMIC SOLUTION","0637","RC","Both",,,"142","71","Blue Cross Blue Shield","PPO",,,"71",,"100.25","0.15","5264.58","percent of total billed charges",,
"NF-GATIFLOXACIN 0.5% OPHTHALMIC SOLUTION","0637","RC","Both",,,"142","71","Ambetter","Health Exchange",,,"62",,"88.04","0.15","5264.58","percent of total billed charges",,
"NF-GATIFLOXACIN 0.5% OPHTHALMIC SOLUTION","0637","RC","Both",,,"142","71","Caresource","Health Exchange",,,"62",,"88.04","0.15","5264.58","percent of total billed charges",,
"NF-GATIFLOXACIN 0.5% OPHTHALMIC SOLUTION","0637","RC","Both",,,"142","71","Cigna","Commercial",,,"59",,"83.21","0.15","5264.58","percent of total billed charges",,
"NF-GATIFLOXACIN 0.5% OPHTHALMIC SOLUTION","0637","RC","Both",,,"142","71","Humana","Commercial",,,"78",,"110.05","0.15","5264.58","percent of total billed charges",,
"NF-GATIFLOXACIN 0.5% OPHTHALMIC SOLUTION","0637","RC","Both",,,"142","71","UHC","Commercial",,,"75",,"107.07","0.15","5264.58","percent of total billed charges",,
"NF-GATIFLOXACIN 0.5% OPHTHALMIC SOLUTION","0637","RC","Both",,,"142","71","Medicaid",,,,"37",,"51.97","0.15","5264.58","percent of total billed charges",,
"NF-BISOPROLOL FUMARATE/HYDROCHLOROTHIAZI","0637","RC","Both",,,"3.5","1.75","Alliant","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-BISOPROLOL FUMARATE/HYDROCHLOROTHIAZI","0637","RC","Both",,,"3.5","1.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.89","0.15","5264.58","percent of total billed charges",,
"NF-BISOPROLOL FUMARATE/HYDROCHLOROTHIAZI","0637","RC","Both",,,"3.5","1.75","Medicare",,,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-BISOPROLOL FUMARATE/HYDROCHLOROTHIAZI","0637","RC","Both",,,"3.5","1.75","Humana","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-BISOPROLOL FUMARATE/HYDROCHLOROTHIAZI","0637","RC","Both",,,"3.5","1.75","UHC","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-BISOPROLOL FUMARATE/HYDROCHLOROTHIAZI","0637","RC","Both",,,"3.5","1.75","Clover","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-BISOPROLOL FUMARATE/HYDROCHLOROTHIAZI","0637","RC","Both",,,"3.5","1.75","Wellcare","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-BISOPROLOL FUMARATE/HYDROCHLOROTHIAZI","0637","RC","Both",,,"3.5","1.75","Amerigroup","Medicaid Managed Care",,,"37",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-BISOPROLOL FUMARATE/HYDROCHLOROTHIAZI","0637","RC","Both",,,"3.5","1.75","Caresource","Medicaid Managed Care",,,"40",,"1.4","0.15","5264.58","percent of total billed charges",,
"NF-BISOPROLOL FUMARATE/HYDROCHLOROTHIAZI","0637","RC","Both",,,"3.5","1.75","Wellcare","Medicaid Managed Care",,,"40",,"1.42","0.15","5264.58","percent of total billed charges",,
"NF-BISOPROLOL FUMARATE/HYDROCHLOROTHIAZI","0637","RC","Both",,,"3.5","1.75","Aetna","Commercial",,,"64",,"2.23","0.15","5264.58","percent of total billed charges",,
"NF-BISOPROLOL FUMARATE/HYDROCHLOROTHIAZI","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","Pathways",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-BISOPROLOL FUMARATE/HYDROCHLOROTHIAZI","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","HMO",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-BISOPROLOL FUMARATE/HYDROCHLOROTHIAZI","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","PPO",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-BISOPROLOL FUMARATE/HYDROCHLOROTHIAZI","0637","RC","Both",,,"3.5","1.75","Ambetter","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-BISOPROLOL FUMARATE/HYDROCHLOROTHIAZI","0637","RC","Both",,,"3.5","1.75","Caresource","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-BISOPROLOL FUMARATE/HYDROCHLOROTHIAZI","0637","RC","Both",,,"3.5","1.75","Cigna","Commercial",,,"59",,"2.05","0.15","5264.58","percent of total billed charges",,
"NF-BISOPROLOL FUMARATE/HYDROCHLOROTHIAZI","0637","RC","Both",,,"3.5","1.75","Humana","Commercial",,,"78",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-BISOPROLOL FUMARATE/HYDROCHLOROTHIAZI","0637","RC","Both",,,"3.5","1.75","UHC","Commercial",,,"75",,"2.64","0.15","5264.58","percent of total billed charges",,
"NF-BISOPROLOL FUMARATE/HYDROCHLOROTHIAZI","0637","RC","Both",,,"3.5","1.75","Medicaid",,,,"37",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-TEGRETOL TAB 200MG","0637","RC","Both",,,"6.5","3.25","Alliant","Health Exchange",,,"62",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-TEGRETOL TAB 200MG","0637","RC","Both",,,"6.5","3.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.51","0.15","5264.58","percent of total billed charges",,
"NF-TEGRETOL TAB 200MG","0637","RC","Both",,,"6.5","3.25","Medicare",,,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-TEGRETOL TAB 200MG","0637","RC","Both",,,"6.5","3.25","Humana","Medicare Advantage",,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-TEGRETOL TAB 200MG","0637","RC","Both",,,"6.5","3.25","UHC","Medicare Advantage",,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-TEGRETOL TAB 200MG","0637","RC","Both",,,"6.5","3.25","Clover","Medicare Advantage",,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-TEGRETOL TAB 200MG","0637","RC","Both",,,"6.5","3.25","Wellcare","Medicare Advantage",,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-TEGRETOL TAB 200MG","0637","RC","Both",,,"6.5","3.25","Amerigroup","Medicaid Managed Care",,,"37",,"2.38","0.15","5264.58","percent of total billed charges",,
"NF-TEGRETOL TAB 200MG","0637","RC","Both",,,"6.5","3.25","Caresource","Medicaid Managed Care",,,"40",,"2.6","0.15","5264.58","percent of total billed charges",,
"NF-TEGRETOL TAB 200MG","0637","RC","Both",,,"6.5","3.25","Wellcare","Medicaid Managed Care",,,"40",,"2.63","0.15","5264.58","percent of total billed charges",,
"NF-TEGRETOL TAB 200MG","0637","RC","Both",,,"6.5","3.25","Aetna","Commercial",,,"64",,"4.15","0.15","5264.58","percent of total billed charges",,
"NF-TEGRETOL TAB 200MG","0637","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","Pathways",,,"71",,"4.59","0.15","5264.58","percent of total billed charges",,
"NF-TEGRETOL TAB 200MG","0637","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","HMO",,,"71",,"4.59","0.15","5264.58","percent of total billed charges",,
"NF-TEGRETOL TAB 200MG","0637","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","PPO",,,"71",,"4.59","0.15","5264.58","percent of total billed charges",,
"NF-TEGRETOL TAB 200MG","0637","RC","Both",,,"6.5","3.25","Ambetter","Health Exchange",,,"62",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-TEGRETOL TAB 200MG","0637","RC","Both",,,"6.5","3.25","Caresource","Health Exchange",,,"62",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-TEGRETOL TAB 200MG","0637","RC","Both",,,"6.5","3.25","Cigna","Commercial",,,"59",,"3.81","0.15","5264.58","percent of total billed charges",,
"NF-TEGRETOL TAB 200MG","0637","RC","Both",,,"6.5","3.25","Humana","Commercial",,,"78",,"5.04","0.15","5264.58","percent of total billed charges",,
"NF-TEGRETOL TAB 200MG","0637","RC","Both",,,"6.5","3.25","UHC","Commercial",,,"75",,"4.9","0.15","5264.58","percent of total billed charges",,
"NF-TEGRETOL TAB 200MG","0637","RC","Both",,,"6.5","3.25","Medicaid",,,,"37",,"2.38","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE DISINTEGRATING TABLET 100","0637","RC","Both",,,"30.5","15.25","Alliant","Health Exchange",,,"62",,"18.91","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE DISINTEGRATING TABLET 100","0637","RC","Both",,,"30.5","15.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.47","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE DISINTEGRATING TABLET 100","0637","RC","Both",,,"30.5","15.25","Medicare",,,,"54",,"16.53","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE DISINTEGRATING TABLET 100","0637","RC","Both",,,"30.5","15.25","Humana","Medicare Advantage",,,"54",,"16.53","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE DISINTEGRATING TABLET 100","0637","RC","Both",,,"30.5","15.25","UHC","Medicare Advantage",,,"54",,"16.53","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE DISINTEGRATING TABLET 100","0637","RC","Both",,,"30.5","15.25","Clover","Medicare Advantage",,,"54",,"16.53","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE DISINTEGRATING TABLET 100","0637","RC","Both",,,"30.5","15.25","Wellcare","Medicare Advantage",,,"54",,"16.53","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE DISINTEGRATING TABLET 100","0637","RC","Both",,,"30.5","15.25","Amerigroup","Medicaid Managed Care",,,"37",,"11.16","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE DISINTEGRATING TABLET 100","0637","RC","Both",,,"30.5","15.25","Caresource","Medicaid Managed Care",,,"40",,"12.2","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE DISINTEGRATING TABLET 100","0637","RC","Both",,,"30.5","15.25","Wellcare","Medicaid Managed Care",,,"40",,"12.35","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE DISINTEGRATING TABLET 100","0637","RC","Both",,,"30.5","15.25","Aetna","Commercial",,,"64",,"19.46","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE DISINTEGRATING TABLET 100","0637","RC","Both",,,"30.5","15.25","Blue Cross Blue Shield","Pathways",,,"71",,"21.53","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE DISINTEGRATING TABLET 100","0637","RC","Both",,,"30.5","15.25","Blue Cross Blue Shield","HMO",,,"71",,"21.53","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE DISINTEGRATING TABLET 100","0637","RC","Both",,,"30.5","15.25","Blue Cross Blue Shield","PPO",,,"71",,"21.53","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE DISINTEGRATING TABLET 100","0637","RC","Both",,,"30.5","15.25","Ambetter","Health Exchange",,,"62",,"18.91","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE DISINTEGRATING TABLET 100","0637","RC","Both",,,"30.5","15.25","Caresource","Health Exchange",,,"62",,"18.91","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE DISINTEGRATING TABLET 100","0637","RC","Both",,,"30.5","15.25","Cigna","Commercial",,,"59",,"17.87","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE DISINTEGRATING TABLET 100","0637","RC","Both",,,"30.5","15.25","Humana","Commercial",,,"78",,"23.64","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE DISINTEGRATING TABLET 100","0637","RC","Both",,,"30.5","15.25","UHC","Commercial",,,"75",,"23","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE DISINTEGRATING TABLET 100","0637","RC","Both",,,"30.5","15.25","Medicaid",,,,"37",,"11.16","0.15","5264.58","percent of total billed charges",,
"NF-SULFAZINE TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-SULFAZINE TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-SULFAZINE TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-SULFAZINE TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-SULFAZINE TABLET 500MG","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-SULFAZINE TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-SULFAZINE TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-SULFAZINE TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-SULFAZINE TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-SULFAZINE TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-SULFAZINE TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-SULFAZINE TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-SULFAZINE TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-SULFAZINE TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-SULFAZINE TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-SULFAZINE TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-SULFAZINE TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-SULFAZINE TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-SULFAZINE TABLET 500MG","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-SULFAZINE TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 1.25MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 1.25MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 1.25MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 1.25MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 1.25MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 1.25MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 1.25MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 1.25MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 1.25MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 1.25MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 1.25MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 1.25MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 1.25MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 1.25MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 1.25MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 1.25MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 1.25MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 1.25MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 1.25MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"NF-PREMARIN ORAL TABLET 1.25MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"LACTOBACILLUS (CULTURELLE) CAPSULE","0250","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.04","569.62","percent of total billed charges",,
"LACTOBACILLUS (CULTURELLE) CAPSULE","0250","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.04","569.62","percent of total billed charges",,
"LACTOBACILLUS (CULTURELLE) CAPSULE","0250","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.04","569.62","percent of total billed charges",,
"LACTOBACILLUS (CULTURELLE) CAPSULE","0250","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.04","569.62","percent of total billed charges",,
"LACTOBACILLUS (CULTURELLE) CAPSULE","0250","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.04","569.62","percent of total billed charges",,
"LACTOBACILLUS (CULTURELLE) CAPSULE","0250","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.04","569.62","percent of total billed charges",,
"LACTOBACILLUS (CULTURELLE) CAPSULE","0250","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.04","569.62","percent of total billed charges",,
"LACTOBACILLUS (CULTURELLE) CAPSULE","0250","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.04","569.62","percent of total billed charges",,
"LACTOBACILLUS (CULTURELLE) CAPSULE","0250","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.04","569.62","percent of total billed charges",,
"LACTOBACILLUS (CULTURELLE) CAPSULE","0250","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.04","569.62","percent of total billed charges",,
"LACTOBACILLUS (CULTURELLE) CAPSULE","0250","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.04","569.62","percent of total billed charges",,
"LACTOBACILLUS (CULTURELLE) CAPSULE","0250","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.04","569.62","percent of total billed charges",,
"LACTOBACILLUS (CULTURELLE) CAPSULE","0250","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.04","569.62","percent of total billed charges",,
"LACTOBACILLUS (CULTURELLE) CAPSULE","0250","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.04","569.62","percent of total billed charges",,
"LACTOBACILLUS (CULTURELLE) CAPSULE","0250","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.04","569.62","percent of total billed charges",,
"LACTOBACILLUS (CULTURELLE) CAPSULE","0250","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.04","569.62","percent of total billed charges",,
"LACTOBACILLUS (CULTURELLE) CAPSULE","0250","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.04","569.62","percent of total billed charges",,
"LACTOBACILLUS (CULTURELLE) CAPSULE","0250","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.04","569.62","percent of total billed charges",,
"LACTOBACILLUS (CULTURELLE) CAPSULE","0250","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.04","569.62","percent of total billed charges",,
"LACTOBACILLUS (CULTURELLE) CAPSULE","0250","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.04","569.62","percent of total billed charges",,
"POTASSIUM CL SPRINKLE CAPSULES: 10 MEQ","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"POTASSIUM CL SPRINKLE CAPSULES: 10 MEQ","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"POTASSIUM CL SPRINKLE CAPSULES: 10 MEQ","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"POTASSIUM CL SPRINKLE CAPSULES: 10 MEQ","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"POTASSIUM CL SPRINKLE CAPSULES: 10 MEQ","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"POTASSIUM CL SPRINKLE CAPSULES: 10 MEQ","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"POTASSIUM CL SPRINKLE CAPSULES: 10 MEQ","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"POTASSIUM CL SPRINKLE CAPSULES: 10 MEQ","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"POTASSIUM CL SPRINKLE CAPSULES: 10 MEQ","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"POTASSIUM CL SPRINKLE CAPSULES: 10 MEQ","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"POTASSIUM CL SPRINKLE CAPSULES: 10 MEQ","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"POTASSIUM CL SPRINKLE CAPSULES: 10 MEQ","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"POTASSIUM CL SPRINKLE CAPSULES: 10 MEQ","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"POTASSIUM CL SPRINKLE CAPSULES: 10 MEQ","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"POTASSIUM CL SPRINKLE CAPSULES: 10 MEQ","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"POTASSIUM CL SPRINKLE CAPSULES: 10 MEQ","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"POTASSIUM CL SPRINKLE CAPSULES: 10 MEQ","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"POTASSIUM CL SPRINKLE CAPSULES: 10 MEQ","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"POTASSIUM CL SPRINKLE CAPSULES: 10 MEQ","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"POTASSIUM CL SPRINKLE CAPSULES: 10 MEQ","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 28MG","0637","RC","Both",,,"42.5","21.25","Alliant","Health Exchange",,,"62",,"26.35","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 28MG","0637","RC","Both",,,"42.5","21.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"22.95","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 28MG","0637","RC","Both",,,"42.5","21.25","Medicare",,,,"54",,"23.04","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 28MG","0637","RC","Both",,,"42.5","21.25","Humana","Medicare Advantage",,,"54",,"23.04","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 28MG","0637","RC","Both",,,"42.5","21.25","UHC","Medicare Advantage",,,"54",,"23.04","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 28MG","0637","RC","Both",,,"42.5","21.25","Clover","Medicare Advantage",,,"54",,"23.04","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 28MG","0637","RC","Both",,,"42.5","21.25","Wellcare","Medicare Advantage",,,"54",,"23.04","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 28MG","0637","RC","Both",,,"42.5","21.25","Amerigroup","Medicaid Managed Care",,,"37",,"15.56","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 28MG","0637","RC","Both",,,"42.5","21.25","Caresource","Medicaid Managed Care",,,"40",,"17","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 28MG","0637","RC","Both",,,"42.5","21.25","Wellcare","Medicaid Managed Care",,,"40",,"17.21","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 28MG","0637","RC","Both",,,"42.5","21.25","Aetna","Commercial",,,"64",,"27.12","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 28MG","0637","RC","Both",,,"42.5","21.25","Blue Cross Blue Shield","Pathways",,,"71",,"30","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 28MG","0637","RC","Both",,,"42.5","21.25","Blue Cross Blue Shield","HMO",,,"71",,"30","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 28MG","0637","RC","Both",,,"42.5","21.25","Blue Cross Blue Shield","PPO",,,"71",,"30","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 28MG","0637","RC","Both",,,"42.5","21.25","Ambetter","Health Exchange",,,"62",,"26.35","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 28MG","0637","RC","Both",,,"42.5","21.25","Caresource","Health Exchange",,,"62",,"26.35","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 28MG","0637","RC","Both",,,"42.5","21.25","Cigna","Commercial",,,"59",,"24.9","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 28MG","0637","RC","Both",,,"42.5","21.25","Humana","Commercial",,,"78",,"32.94","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 28MG","0637","RC","Both",,,"42.5","21.25","UHC","Commercial",,,"75",,"32.04","0.15","5264.58","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 28MG","0637","RC","Both",,,"42.5","21.25","Medicaid",,,,"37",,"15.56","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 10MG","0637","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 10MG","0637","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 10MG","0637","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 10MG","0637","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 10MG","0637","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 10MG","0637","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 10MG","0637","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 10MG","0637","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 10MG","0637","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 10MG","0637","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 10MG","0637","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 10MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 10MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 10MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 10MG","0637","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 10MG","0637","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 10MG","0637","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 10MG","0637","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 10MG","0637","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 10MG","0637","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 25MG","0637","RC","Both",,,"1.5","0.75","Alliant","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 25MG","0637","RC","Both",,,"1.5","0.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 25MG","0637","RC","Both",,,"1.5","0.75","Medicare",,,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 25MG","0637","RC","Both",,,"1.5","0.75","Humana","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 25MG","0637","RC","Both",,,"1.5","0.75","UHC","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 25MG","0637","RC","Both",,,"1.5","0.75","Clover","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 25MG","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 25MG","0637","RC","Both",,,"1.5","0.75","Amerigroup","Medicaid Managed Care",,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 25MG","0637","RC","Both",,,"1.5","0.75","Caresource","Medicaid Managed Care",,,"40",,"0.6","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 25MG","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicaid Managed Care",,,"40",,"0.61","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 25MG","0637","RC","Both",,,"1.5","0.75","Aetna","Commercial",,,"64",,"0.96","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 25MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","Pathways",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 25MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","HMO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 25MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","PPO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 25MG","0637","RC","Both",,,"1.5","0.75","Ambetter","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 25MG","0637","RC","Both",,,"1.5","0.75","Caresource","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 25MG","0637","RC","Both",,,"1.5","0.75","Cigna","Commercial",,,"59",,"0.88","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 25MG","0637","RC","Both",,,"1.5","0.75","Humana","Commercial",,,"78",,"1.16","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 25MG","0637","RC","Both",,,"1.5","0.75","UHC","Commercial",,,"75",,"1.13","0.15","5264.58","percent of total billed charges",,
"NF-CHLORPROMAZINE HCL TAB 25MG","0637","RC","Both",,,"1.5","0.75","Medicaid",,,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE 0.4% OPHTHALMI","0637","RC","Both",,,"63.5","31.75","Alliant","Health Exchange",,,"62",,"39.37","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE 0.4% OPHTHALMI","0637","RC","Both",,,"63.5","31.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"34.29","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE 0.4% OPHTHALMI","0637","RC","Both",,,"63.5","31.75","Medicare",,,,"54",,"34.42","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE 0.4% OPHTHALMI","0637","RC","Both",,,"63.5","31.75","Humana","Medicare Advantage",,,"54",,"34.42","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE 0.4% OPHTHALMI","0637","RC","Both",,,"63.5","31.75","UHC","Medicare Advantage",,,"54",,"34.42","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE 0.4% OPHTHALMI","0637","RC","Both",,,"63.5","31.75","Clover","Medicare Advantage",,,"54",,"34.42","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE 0.4% OPHTHALMI","0637","RC","Both",,,"63.5","31.75","Wellcare","Medicare Advantage",,,"54",,"34.42","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE 0.4% OPHTHALMI","0637","RC","Both",,,"63.5","31.75","Amerigroup","Medicaid Managed Care",,,"37",,"23.24","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE 0.4% OPHTHALMI","0637","RC","Both",,,"63.5","31.75","Caresource","Medicaid Managed Care",,,"40",,"25.4","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE 0.4% OPHTHALMI","0637","RC","Both",,,"63.5","31.75","Wellcare","Medicaid Managed Care",,,"40",,"25.72","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE 0.4% OPHTHALMI","0637","RC","Both",,,"63.5","31.75","Aetna","Commercial",,,"64",,"40.51","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE 0.4% OPHTHALMI","0637","RC","Both",,,"63.5","31.75","Blue Cross Blue Shield","Pathways",,,"71",,"44.83","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE 0.4% OPHTHALMI","0637","RC","Both",,,"63.5","31.75","Blue Cross Blue Shield","HMO",,,"71",,"44.83","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE 0.4% OPHTHALMI","0637","RC","Both",,,"63.5","31.75","Blue Cross Blue Shield","PPO",,,"71",,"44.83","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE 0.4% OPHTHALMI","0637","RC","Both",,,"63.5","31.75","Ambetter","Health Exchange",,,"62",,"39.37","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE 0.4% OPHTHALMI","0637","RC","Both",,,"63.5","31.75","Caresource","Health Exchange",,,"62",,"39.37","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE 0.4% OPHTHALMI","0637","RC","Both",,,"63.5","31.75","Cigna","Commercial",,,"59",,"37.21","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE 0.4% OPHTHALMI","0637","RC","Both",,,"63.5","31.75","Humana","Commercial",,,"78",,"49.21","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE 0.4% OPHTHALMI","0637","RC","Both",,,"63.5","31.75","UHC","Commercial",,,"75",,"47.88","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE 0.4% OPHTHALMI","0637","RC","Both",,,"63.5","31.75","Medicaid",,,,"37",,"23.24","0.15","5264.58","percent of total billed charges",,
"NF-VALTREX ORAL TABLET 500MG","0637","RC","Both",,,"25.5","12.75","Alliant","Health Exchange",,,"62",,"15.81","0.15","5264.58","percent of total billed charges",,
"NF-VALTREX ORAL TABLET 500MG","0637","RC","Both",,,"25.5","12.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-VALTREX ORAL TABLET 500MG","0637","RC","Both",,,"25.5","12.75","Medicare",,,,"54",,"13.82","0.15","5264.58","percent of total billed charges",,
"NF-VALTREX ORAL TABLET 500MG","0637","RC","Both",,,"25.5","12.75","Humana","Medicare Advantage",,,"54",,"13.82","0.15","5264.58","percent of total billed charges",,
"NF-VALTREX ORAL TABLET 500MG","0637","RC","Both",,,"25.5","12.75","UHC","Medicare Advantage",,,"54",,"13.82","0.15","5264.58","percent of total billed charges",,
"NF-VALTREX ORAL TABLET 500MG","0637","RC","Both",,,"25.5","12.75","Clover","Medicare Advantage",,,"54",,"13.82","0.15","5264.58","percent of total billed charges",,
"NF-VALTREX ORAL TABLET 500MG","0637","RC","Both",,,"25.5","12.75","Wellcare","Medicare Advantage",,,"54",,"13.82","0.15","5264.58","percent of total billed charges",,
"NF-VALTREX ORAL TABLET 500MG","0637","RC","Both",,,"25.5","12.75","Amerigroup","Medicaid Managed Care",,,"37",,"9.33","0.15","5264.58","percent of total billed charges",,
"NF-VALTREX ORAL TABLET 500MG","0637","RC","Both",,,"25.5","12.75","Caresource","Medicaid Managed Care",,,"40",,"10.2","0.15","5264.58","percent of total billed charges",,
"NF-VALTREX ORAL TABLET 500MG","0637","RC","Both",,,"25.5","12.75","Wellcare","Medicaid Managed Care",,,"40",,"10.33","0.15","5264.58","percent of total billed charges",,
"NF-VALTREX ORAL TABLET 500MG","0637","RC","Both",,,"25.5","12.75","Aetna","Commercial",,,"64",,"16.27","0.15","5264.58","percent of total billed charges",,
"NF-VALTREX ORAL TABLET 500MG","0637","RC","Both",,,"25.5","12.75","Blue Cross Blue Shield","Pathways",,,"71",,"18","0.15","5264.58","percent of total billed charges",,
"NF-VALTREX ORAL TABLET 500MG","0637","RC","Both",,,"25.5","12.75","Blue Cross Blue Shield","HMO",,,"71",,"18","0.15","5264.58","percent of total billed charges",,
"NF-VALTREX ORAL TABLET 500MG","0637","RC","Both",,,"25.5","12.75","Blue Cross Blue Shield","PPO",,,"71",,"18","0.15","5264.58","percent of total billed charges",,
"NF-VALTREX ORAL TABLET 500MG","0637","RC","Both",,,"25.5","12.75","Ambetter","Health Exchange",,,"62",,"15.81","0.15","5264.58","percent of total billed charges",,
"NF-VALTREX ORAL TABLET 500MG","0637","RC","Both",,,"25.5","12.75","Caresource","Health Exchange",,,"62",,"15.81","0.15","5264.58","percent of total billed charges",,
"NF-VALTREX ORAL TABLET 500MG","0637","RC","Both",,,"25.5","12.75","Cigna","Commercial",,,"59",,"14.94","0.15","5264.58","percent of total billed charges",,
"NF-VALTREX ORAL TABLET 500MG","0637","RC","Both",,,"25.5","12.75","Humana","Commercial",,,"78",,"19.76","0.15","5264.58","percent of total billed charges",,
"NF-VALTREX ORAL TABLET 500MG","0637","RC","Both",,,"25.5","12.75","UHC","Commercial",,,"75",,"19.23","0.15","5264.58","percent of total billed charges",,
"NF-VALTREX ORAL TABLET 500MG","0637","RC","Both",,,"25.5","12.75","Medicaid",,,,"37",,"9.33","0.15","5264.58","percent of total billed charges",,
"NF-MYSOLINE TAB 50MG","0637","RC","Both",,,"1.5","0.75","Alliant","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-MYSOLINE TAB 50MG","0637","RC","Both",,,"1.5","0.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-MYSOLINE TAB 50MG","0637","RC","Both",,,"1.5","0.75","Medicare",,,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-MYSOLINE TAB 50MG","0637","RC","Both",,,"1.5","0.75","Humana","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-MYSOLINE TAB 50MG","0637","RC","Both",,,"1.5","0.75","UHC","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-MYSOLINE TAB 50MG","0637","RC","Both",,,"1.5","0.75","Clover","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-MYSOLINE TAB 50MG","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-MYSOLINE TAB 50MG","0637","RC","Both",,,"1.5","0.75","Amerigroup","Medicaid Managed Care",,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-MYSOLINE TAB 50MG","0637","RC","Both",,,"1.5","0.75","Caresource","Medicaid Managed Care",,,"40",,"0.6","0.15","5264.58","percent of total billed charges",,
"NF-MYSOLINE TAB 50MG","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicaid Managed Care",,,"40",,"0.61","0.15","5264.58","percent of total billed charges",,
"NF-MYSOLINE TAB 50MG","0637","RC","Both",,,"1.5","0.75","Aetna","Commercial",,,"64",,"0.96","0.15","5264.58","percent of total billed charges",,
"NF-MYSOLINE TAB 50MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","Pathways",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-MYSOLINE TAB 50MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","HMO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-MYSOLINE TAB 50MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","PPO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-MYSOLINE TAB 50MG","0637","RC","Both",,,"1.5","0.75","Ambetter","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-MYSOLINE TAB 50MG","0637","RC","Both",,,"1.5","0.75","Caresource","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-MYSOLINE TAB 50MG","0637","RC","Both",,,"1.5","0.75","Cigna","Commercial",,,"59",,"0.88","0.15","5264.58","percent of total billed charges",,
"NF-MYSOLINE TAB 50MG","0637","RC","Both",,,"1.5","0.75","Humana","Commercial",,,"78",,"1.16","0.15","5264.58","percent of total billed charges",,
"NF-MYSOLINE TAB 50MG","0637","RC","Both",,,"1.5","0.75","UHC","Commercial",,,"75",,"1.13","0.15","5264.58","percent of total billed charges",,
"NF-MYSOLINE TAB 50MG","0637","RC","Both",,,"1.5","0.75","Medicaid",,,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-PERCOCET ORAL TABLET 10MG-325MG","0637","RC","Both",,,"58","29","Alliant","Health Exchange",,,"62",,"35.96","0.15","5264.58","percent of total billed charges",,
"NF-PERCOCET ORAL TABLET 10MG-325MG","0637","RC","Both",,,"58","29","Pruitt Healthcare","Medicare Advantage",,,"54",,"31.32","0.15","5264.58","percent of total billed charges",,
"NF-PERCOCET ORAL TABLET 10MG-325MG","0637","RC","Both",,,"58","29","Medicare",,,,"54",,"31.44","0.15","5264.58","percent of total billed charges",,
"NF-PERCOCET ORAL TABLET 10MG-325MG","0637","RC","Both",,,"58","29","Humana","Medicare Advantage",,,"54",,"31.44","0.15","5264.58","percent of total billed charges",,
"NF-PERCOCET ORAL TABLET 10MG-325MG","0637","RC","Both",,,"58","29","UHC","Medicare Advantage",,,"54",,"31.44","0.15","5264.58","percent of total billed charges",,
"NF-PERCOCET ORAL TABLET 10MG-325MG","0637","RC","Both",,,"58","29","Clover","Medicare Advantage",,,"54",,"31.44","0.15","5264.58","percent of total billed charges",,
"NF-PERCOCET ORAL TABLET 10MG-325MG","0637","RC","Both",,,"58","29","Wellcare","Medicare Advantage",,,"54",,"31.44","0.15","5264.58","percent of total billed charges",,
"NF-PERCOCET ORAL TABLET 10MG-325MG","0637","RC","Both",,,"58","29","Amerigroup","Medicaid Managed Care",,,"37",,"21.23","0.15","5264.58","percent of total billed charges",,
"NF-PERCOCET ORAL TABLET 10MG-325MG","0637","RC","Both",,,"58","29","Caresource","Medicaid Managed Care",,,"40",,"23.2","0.15","5264.58","percent of total billed charges",,
"NF-PERCOCET ORAL TABLET 10MG-325MG","0637","RC","Both",,,"58","29","Wellcare","Medicaid Managed Care",,,"40",,"23.49","0.15","5264.58","percent of total billed charges",,
"NF-PERCOCET ORAL TABLET 10MG-325MG","0637","RC","Both",,,"58","29","Aetna","Commercial",,,"64",,"37","0.15","5264.58","percent of total billed charges",,
"NF-PERCOCET ORAL TABLET 10MG-325MG","0637","RC","Both",,,"58","29","Blue Cross Blue Shield","Pathways",,,"71",,"40.95","0.15","5264.58","percent of total billed charges",,
"NF-PERCOCET ORAL TABLET 10MG-325MG","0637","RC","Both",,,"58","29","Blue Cross Blue Shield","HMO",,,"71",,"40.95","0.15","5264.58","percent of total billed charges",,
"NF-PERCOCET ORAL TABLET 10MG-325MG","0637","RC","Both",,,"58","29","Blue Cross Blue Shield","PPO",,,"71",,"40.95","0.15","5264.58","percent of total billed charges",,
"NF-PERCOCET ORAL TABLET 10MG-325MG","0637","RC","Both",,,"58","29","Ambetter","Health Exchange",,,"62",,"35.96","0.15","5264.58","percent of total billed charges",,
"NF-PERCOCET ORAL TABLET 10MG-325MG","0637","RC","Both",,,"58","29","Caresource","Health Exchange",,,"62",,"35.96","0.15","5264.58","percent of total billed charges",,
"NF-PERCOCET ORAL TABLET 10MG-325MG","0637","RC","Both",,,"58","29","Cigna","Commercial",,,"59",,"33.99","0.15","5264.58","percent of total billed charges",,
"NF-PERCOCET ORAL TABLET 10MG-325MG","0637","RC","Both",,,"58","29","Humana","Commercial",,,"78",,"44.95","0.15","5264.58","percent of total billed charges",,
"NF-PERCOCET ORAL TABLET 10MG-325MG","0637","RC","Both",,,"58","29","UHC","Commercial",,,"75",,"43.73","0.15","5264.58","percent of total billed charges",,
"NF-PERCOCET ORAL TABLET 10MG-325MG","0637","RC","Both",,,"58","29","Medicaid",,,,"37",,"21.23","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE 15MG/1ML","0637","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE 15MG/1ML","0637","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE 15MG/1ML","0637","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE 15MG/1ML","0637","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE 15MG/1ML","0637","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE 15MG/1ML","0637","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE 15MG/1ML","0637","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE 15MG/1ML","0637","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE 15MG/1ML","0637","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE 15MG/1ML","0637","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE 15MG/1ML","0637","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE 15MG/1ML","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE 15MG/1ML","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE 15MG/1ML","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE 15MG/1ML","0637","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE 15MG/1ML","0637","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE 15MG/1ML","0637","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE 15MG/1ML","0637","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE 15MG/1ML","0637","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.15","5264.58","percent of total billed charges",,
"NF-KETOROLAC TROMETHAMINE 15MG/1ML","0637","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Alliant","Health Exchange",,,"62",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.05","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Medicare",,,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Humana","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","UHC","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Clover","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Wellcare","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Amerigroup","Medicaid Managed Care",,,"37",,"2.74","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Caresource","Medicaid Managed Care",,,"40",,"3","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Wellcare","Medicaid Managed Care",,,"40",,"3.04","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Aetna","Commercial",,,"64",,"4.78","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Blue Cross Blue Shield","Pathways",,,"71",,"5.3","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Blue Cross Blue Shield","HMO",,,"71",,"5.3","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Blue Cross Blue Shield","PPO",,,"71",,"5.3","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Ambetter","Health Exchange",,,"62",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Caresource","Health Exchange",,,"62",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Cigna","Commercial",,,"59",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Humana","Commercial",,,"78",,"5.81","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","UHC","Commercial",,,"75",,"5.66","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Medicaid",,,,"37",,"2.74","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 10MG","0637","RC","Both",,,"14.5","7.25","Alliant","Health Exchange",,,"62",,"8.99","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 10MG","0637","RC","Both",,,"14.5","7.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.83","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 10MG","0637","RC","Both",,,"14.5","7.25","Medicare",,,,"54",,"7.86","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 10MG","0637","RC","Both",,,"14.5","7.25","Humana","Medicare Advantage",,,"54",,"7.86","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 10MG","0637","RC","Both",,,"14.5","7.25","UHC","Medicare Advantage",,,"54",,"7.86","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 10MG","0637","RC","Both",,,"14.5","7.25","Clover","Medicare Advantage",,,"54",,"7.86","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 10MG","0637","RC","Both",,,"14.5","7.25","Wellcare","Medicare Advantage",,,"54",,"7.86","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 10MG","0637","RC","Both",,,"14.5","7.25","Amerigroup","Medicaid Managed Care",,,"37",,"5.31","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 10MG","0637","RC","Both",,,"14.5","7.25","Caresource","Medicaid Managed Care",,,"40",,"5.8","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 10MG","0637","RC","Both",,,"14.5","7.25","Wellcare","Medicaid Managed Care",,,"40",,"5.87","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 10MG","0637","RC","Both",,,"14.5","7.25","Aetna","Commercial",,,"64",,"9.25","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 10MG","0637","RC","Both",,,"14.5","7.25","Blue Cross Blue Shield","Pathways",,,"71",,"10.24","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 10MG","0637","RC","Both",,,"14.5","7.25","Blue Cross Blue Shield","HMO",,,"71",,"10.24","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 10MG","0637","RC","Both",,,"14.5","7.25","Blue Cross Blue Shield","PPO",,,"71",,"10.24","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 10MG","0637","RC","Both",,,"14.5","7.25","Ambetter","Health Exchange",,,"62",,"8.99","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 10MG","0637","RC","Both",,,"14.5","7.25","Caresource","Health Exchange",,,"62",,"8.99","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 10MG","0637","RC","Both",,,"14.5","7.25","Cigna","Commercial",,,"59",,"8.5","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 10MG","0637","RC","Both",,,"14.5","7.25","Humana","Commercial",,,"78",,"11.24","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 10MG","0637","RC","Both",,,"14.5","7.25","UHC","Commercial",,,"75",,"10.93","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 10MG","0637","RC","Both",,,"14.5","7.25","Medicaid",,,,"37",,"5.31","0.15","5264.58","percent of total billed charges",,
"NF-ADDERALL XR 30MG ORAL CAPSULE, EXTEND","0637","RC","Both",,,"17","8.5","Alliant","Health Exchange",,,"62",,"10.54","0.15","5264.58","percent of total billed charges",,
"NF-ADDERALL XR 30MG ORAL CAPSULE, EXTEND","0637","RC","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-ADDERALL XR 30MG ORAL CAPSULE, EXTEND","0637","RC","Both",,,"17","8.5","Medicare",,,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-ADDERALL XR 30MG ORAL CAPSULE, EXTEND","0637","RC","Both",,,"17","8.5","Humana","Medicare Advantage",,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-ADDERALL XR 30MG ORAL CAPSULE, EXTEND","0637","RC","Both",,,"17","8.5","UHC","Medicare Advantage",,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-ADDERALL XR 30MG ORAL CAPSULE, EXTEND","0637","RC","Both",,,"17","8.5","Clover","Medicare Advantage",,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-ADDERALL XR 30MG ORAL CAPSULE, EXTEND","0637","RC","Both",,,"17","8.5","Wellcare","Medicare Advantage",,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-ADDERALL XR 30MG ORAL CAPSULE, EXTEND","0637","RC","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.22","0.15","5264.58","percent of total billed charges",,
"NF-ADDERALL XR 30MG ORAL CAPSULE, EXTEND","0637","RC","Both",,,"17","8.5","Caresource","Medicaid Managed Care",,,"40",,"6.8","0.15","5264.58","percent of total billed charges",,
"NF-ADDERALL XR 30MG ORAL CAPSULE, EXTEND","0637","RC","Both",,,"17","8.5","Wellcare","Medicaid Managed Care",,,"40",,"6.89","0.15","5264.58","percent of total billed charges",,
"NF-ADDERALL XR 30MG ORAL CAPSULE, EXTEND","0637","RC","Both",,,"17","8.5","Aetna","Commercial",,,"64",,"10.85","0.15","5264.58","percent of total billed charges",,
"NF-ADDERALL XR 30MG ORAL CAPSULE, EXTEND","0637","RC","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways",,,"71",,"12","0.15","5264.58","percent of total billed charges",,
"NF-ADDERALL XR 30MG ORAL CAPSULE, EXTEND","0637","RC","Both",,,"17","8.5","Blue Cross Blue Shield","HMO",,,"71",,"12","0.15","5264.58","percent of total billed charges",,
"NF-ADDERALL XR 30MG ORAL CAPSULE, EXTEND","0637","RC","Both",,,"17","8.5","Blue Cross Blue Shield","PPO",,,"71",,"12","0.15","5264.58","percent of total billed charges",,
"NF-ADDERALL XR 30MG ORAL CAPSULE, EXTEND","0637","RC","Both",,,"17","8.5","Ambetter","Health Exchange",,,"62",,"10.54","0.15","5264.58","percent of total billed charges",,
"NF-ADDERALL XR 30MG ORAL CAPSULE, EXTEND","0637","RC","Both",,,"17","8.5","Caresource","Health Exchange",,,"62",,"10.54","0.15","5264.58","percent of total billed charges",,
"NF-ADDERALL XR 30MG ORAL CAPSULE, EXTEND","0637","RC","Both",,,"17","8.5","Cigna","Commercial",,,"59",,"9.96","0.15","5264.58","percent of total billed charges",,
"NF-ADDERALL XR 30MG ORAL CAPSULE, EXTEND","0637","RC","Both",,,"17","8.5","Humana","Commercial",,,"78",,"13.18","0.15","5264.58","percent of total billed charges",,
"NF-ADDERALL XR 30MG ORAL CAPSULE, EXTEND","0637","RC","Both",,,"17","8.5","UHC","Commercial",,,"75",,"12.82","0.15","5264.58","percent of total billed charges",,
"NF-ADDERALL XR 30MG ORAL CAPSULE, EXTEND","0637","RC","Both",,,"17","8.5","Medicaid",,,,"37",,"6.22","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE 1MG ORAL TABLET","0637","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE 1MG ORAL TABLET","0637","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE 1MG ORAL TABLET","0637","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE 1MG ORAL TABLET","0637","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE 1MG ORAL TABLET","0637","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE 1MG ORAL TABLET","0637","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE 1MG ORAL TABLET","0637","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE 1MG ORAL TABLET","0637","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE 1MG ORAL TABLET","0637","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE 1MG ORAL TABLET","0637","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE 1MG ORAL TABLET","0637","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE 1MG ORAL TABLET","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE 1MG ORAL TABLET","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE 1MG ORAL TABLET","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE 1MG ORAL TABLET","0637","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE 1MG ORAL TABLET","0637","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE 1MG ORAL TABLET","0637","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE 1MG ORAL TABLET","0637","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE 1MG ORAL TABLET","0637","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE 1MG ORAL TABLET","0637","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE 1MG ORAL TABLET","0637","RC","Both",,,"40","20","Alliant","Health Exchange",,,"62",,"24.8","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE 1MG ORAL TABLET","0637","RC","Both",,,"40","20","Pruitt Healthcare","Medicare Advantage",,,"54",,"21.6","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE 1MG ORAL TABLET","0637","RC","Both",,,"40","20","Medicare",,,,"54",,"21.68","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE 1MG ORAL TABLET","0637","RC","Both",,,"40","20","Humana","Medicare Advantage",,,"54",,"21.68","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE 1MG ORAL TABLET","0637","RC","Both",,,"40","20","UHC","Medicare Advantage",,,"54",,"21.68","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE 1MG ORAL TABLET","0637","RC","Both",,,"40","20","Clover","Medicare Advantage",,,"54",,"21.68","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE 1MG ORAL TABLET","0637","RC","Both",,,"40","20","Wellcare","Medicare Advantage",,,"54",,"21.68","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE 1MG ORAL TABLET","0637","RC","Both",,,"40","20","Amerigroup","Medicaid Managed Care",,,"37",,"14.64","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE 1MG ORAL TABLET","0637","RC","Both",,,"40","20","Caresource","Medicaid Managed Care",,,"40",,"16","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE 1MG ORAL TABLET","0637","RC","Both",,,"40","20","Wellcare","Medicaid Managed Care",,,"40",,"16.2","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE 1MG ORAL TABLET","0637","RC","Both",,,"40","20","Aetna","Commercial",,,"64",,"25.52","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE 1MG ORAL TABLET","0637","RC","Both",,,"40","20","Blue Cross Blue Shield","Pathways",,,"71",,"28.24","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE 1MG ORAL TABLET","0637","RC","Both",,,"40","20","Blue Cross Blue Shield","HMO",,,"71",,"28.24","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE 1MG ORAL TABLET","0637","RC","Both",,,"40","20","Blue Cross Blue Shield","PPO",,,"71",,"28.24","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE 1MG ORAL TABLET","0637","RC","Both",,,"40","20","Ambetter","Health Exchange",,,"62",,"24.8","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE 1MG ORAL TABLET","0637","RC","Both",,,"40","20","Caresource","Health Exchange",,,"62",,"24.8","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE 1MG ORAL TABLET","0637","RC","Both",,,"40","20","Cigna","Commercial",,,"59",,"23.44","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE 1MG ORAL TABLET","0637","RC","Both",,,"40","20","Humana","Commercial",,,"78",,"31","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE 1MG ORAL TABLET","0637","RC","Both",,,"40","20","UHC","Commercial",,,"75",,"30.16","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE 1MG ORAL TABLET","0637","RC","Both",,,"40","20","Medicaid",,,,"37",,"14.64","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE CAP 12.5MG","0637","RC","Both",,,"1.5","0.75","Alliant","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE CAP 12.5MG","0637","RC","Both",,,"1.5","0.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE CAP 12.5MG","0637","RC","Both",,,"1.5","0.75","Medicare",,,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE CAP 12.5MG","0637","RC","Both",,,"1.5","0.75","Humana","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE CAP 12.5MG","0637","RC","Both",,,"1.5","0.75","UHC","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE CAP 12.5MG","0637","RC","Both",,,"1.5","0.75","Clover","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE CAP 12.5MG","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE CAP 12.5MG","0637","RC","Both",,,"1.5","0.75","Amerigroup","Medicaid Managed Care",,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE CAP 12.5MG","0637","RC","Both",,,"1.5","0.75","Caresource","Medicaid Managed Care",,,"40",,"0.6","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE CAP 12.5MG","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicaid Managed Care",,,"40",,"0.61","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE CAP 12.5MG","0637","RC","Both",,,"1.5","0.75","Aetna","Commercial",,,"64",,"0.96","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE CAP 12.5MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","Pathways",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE CAP 12.5MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","HMO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE CAP 12.5MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","PPO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE CAP 12.5MG","0637","RC","Both",,,"1.5","0.75","Ambetter","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE CAP 12.5MG","0637","RC","Both",,,"1.5","0.75","Caresource","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE CAP 12.5MG","0637","RC","Both",,,"1.5","0.75","Cigna","Commercial",,,"59",,"0.88","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE CAP 12.5MG","0637","RC","Both",,,"1.5","0.75","Humana","Commercial",,,"78",,"1.16","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE CAP 12.5MG","0637","RC","Both",,,"1.5","0.75","UHC","Commercial",,,"75",,"1.13","0.15","5264.58","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE CAP 12.5MG","0637","RC","Both",,,"1.5","0.75","Medicaid",,,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-PROBIOTIC FORMULA CAP 250MG-1BILLION","0637","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-PROBIOTIC FORMULA CAP 250MG-1BILLION","0637","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-PROBIOTIC FORMULA CAP 250MG-1BILLION","0637","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-PROBIOTIC FORMULA CAP 250MG-1BILLION","0637","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-PROBIOTIC FORMULA CAP 250MG-1BILLION","0637","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-PROBIOTIC FORMULA CAP 250MG-1BILLION","0637","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-PROBIOTIC FORMULA CAP 250MG-1BILLION","0637","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-PROBIOTIC FORMULA CAP 250MG-1BILLION","0637","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-PROBIOTIC FORMULA CAP 250MG-1BILLION","0637","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.15","5264.58","percent of total billed charges",,
"NF-PROBIOTIC FORMULA CAP 250MG-1BILLION","0637","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-PROBIOTIC FORMULA CAP 250MG-1BILLION","0637","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-PROBIOTIC FORMULA CAP 250MG-1BILLION","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-PROBIOTIC FORMULA CAP 250MG-1BILLION","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-PROBIOTIC FORMULA CAP 250MG-1BILLION","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-PROBIOTIC FORMULA CAP 250MG-1BILLION","0637","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-PROBIOTIC FORMULA CAP 250MG-1BILLION","0637","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-PROBIOTIC FORMULA CAP 250MG-1BILLION","0637","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.15","5264.58","percent of total billed charges",,
"NF-PROBIOTIC FORMULA CAP 250MG-1BILLION","0637","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-PROBIOTIC FORMULA CAP 250MG-1BILLION","0637","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.15","5264.58","percent of total billed charges",,
"NF-PROBIOTIC FORMULA CAP 250MG-1BILLION","0637","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN ORAL TABLET 600MG","0637","RC","Both",,,"12","6","Alliant","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN ORAL TABLET 600MG","0637","RC","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.48","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN ORAL TABLET 600MG","0637","RC","Both",,,"12","6","Medicare",,,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN ORAL TABLET 600MG","0637","RC","Both",,,"12","6","Humana","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN ORAL TABLET 600MG","0637","RC","Both",,,"12","6","UHC","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN ORAL TABLET 600MG","0637","RC","Both",,,"12","6","Clover","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN ORAL TABLET 600MG","0637","RC","Both",,,"12","6","Wellcare","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN ORAL TABLET 600MG","0637","RC","Both",,,"12","6","Amerigroup","Medicaid Managed Care",,,"37",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN ORAL TABLET 600MG","0637","RC","Both",,,"12","6","Caresource","Medicaid Managed Care",,,"40",,"4.8","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN ORAL TABLET 600MG","0637","RC","Both",,,"12","6","Wellcare","Medicaid Managed Care",,,"40",,"4.86","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN ORAL TABLET 600MG","0637","RC","Both",,,"12","6","Aetna","Commercial",,,"64",,"7.66","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN ORAL TABLET 600MG","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","Pathways",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN ORAL TABLET 600MG","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","HMO",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN ORAL TABLET 600MG","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","PPO",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN ORAL TABLET 600MG","0637","RC","Both",,,"12","6","Ambetter","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN ORAL TABLET 600MG","0637","RC","Both",,,"12","6","Caresource","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN ORAL TABLET 600MG","0637","RC","Both",,,"12","6","Cigna","Commercial",,,"59",,"7.03","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN ORAL TABLET 600MG","0637","RC","Both",,,"12","6","Humana","Commercial",,,"78",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN ORAL TABLET 600MG","0637","RC","Both",,,"12","6","UHC","Commercial",,,"75",,"9.05","0.15","5264.58","percent of total billed charges",,
"NF-GABAPENTIN ORAL TABLET 600MG","0637","RC","Both",,,"12","6","Medicaid",,,,"37",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-ZALEPLON CAP 5MG","0637","RC","Both",,,"9","4.5","Alliant","Health Exchange",,,"62",,"5.58","0.15","5264.58","percent of total billed charges",,
"NF-ZALEPLON CAP 5MG","0637","RC","Both",,,"9","4.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.86","0.15","5264.58","percent of total billed charges",,
"NF-ZALEPLON CAP 5MG","0637","RC","Both",,,"9","4.5","Medicare",,,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-ZALEPLON CAP 5MG","0637","RC","Both",,,"9","4.5","Humana","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-ZALEPLON CAP 5MG","0637","RC","Both",,,"9","4.5","UHC","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-ZALEPLON CAP 5MG","0637","RC","Both",,,"9","4.5","Clover","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-ZALEPLON CAP 5MG","0637","RC","Both",,,"9","4.5","Wellcare","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-ZALEPLON CAP 5MG","0637","RC","Both",,,"9","4.5","Amerigroup","Medicaid Managed Care",,,"37",,"3.29","0.15","5264.58","percent of total billed charges",,
"NF-ZALEPLON CAP 5MG","0637","RC","Both",,,"9","4.5","Caresource","Medicaid Managed Care",,,"40",,"3.6","0.15","5264.58","percent of total billed charges",,
"NF-ZALEPLON CAP 5MG","0637","RC","Both",,,"9","4.5","Wellcare","Medicaid Managed Care",,,"40",,"3.65","0.15","5264.58","percent of total billed charges",,
"NF-ZALEPLON CAP 5MG","0637","RC","Both",,,"9","4.5","Aetna","Commercial",,,"64",,"5.74","0.15","5264.58","percent of total billed charges",,
"NF-ZALEPLON CAP 5MG","0637","RC","Both",,,"9","4.5","Blue Cross Blue Shield","Pathways",,,"71",,"6.35","0.15","5264.58","percent of total billed charges",,
"NF-ZALEPLON CAP 5MG","0637","RC","Both",,,"9","4.5","Blue Cross Blue Shield","HMO",,,"71",,"6.35","0.15","5264.58","percent of total billed charges",,
"NF-ZALEPLON CAP 5MG","0637","RC","Both",,,"9","4.5","Blue Cross Blue Shield","PPO",,,"71",,"6.35","0.15","5264.58","percent of total billed charges",,
"NF-ZALEPLON CAP 5MG","0637","RC","Both",,,"9","4.5","Ambetter","Health Exchange",,,"62",,"5.58","0.15","5264.58","percent of total billed charges",,
"NF-ZALEPLON CAP 5MG","0637","RC","Both",,,"9","4.5","Caresource","Health Exchange",,,"62",,"5.58","0.15","5264.58","percent of total billed charges",,
"NF-ZALEPLON CAP 5MG","0637","RC","Both",,,"9","4.5","Cigna","Commercial",,,"59",,"5.27","0.15","5264.58","percent of total billed charges",,
"NF-ZALEPLON CAP 5MG","0637","RC","Both",,,"9","4.5","Humana","Commercial",,,"78",,"6.98","0.15","5264.58","percent of total billed charges",,
"NF-ZALEPLON CAP 5MG","0637","RC","Both",,,"9","4.5","UHC","Commercial",,,"75",,"6.79","0.15","5264.58","percent of total billed charges",,
"NF-ZALEPLON CAP 5MG","0637","RC","Both",,,"9","4.5","Medicaid",,,,"37",,"3.29","0.15","5264.58","percent of total billed charges",,
"PHENYLEPRINE 0.25% NASAL SPRAY 15 mL","0250","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.04","569.62","percent of total billed charges",,
"PHENYLEPRINE 0.25% NASAL SPRAY 15 mL","0250","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.04","569.62","percent of total billed charges",,
"PHENYLEPRINE 0.25% NASAL SPRAY 15 mL","0250","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"PHENYLEPRINE 0.25% NASAL SPRAY 15 mL","0250","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"PHENYLEPRINE 0.25% NASAL SPRAY 15 mL","0250","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"PHENYLEPRINE 0.25% NASAL SPRAY 15 mL","0250","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"PHENYLEPRINE 0.25% NASAL SPRAY 15 mL","0250","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"PHENYLEPRINE 0.25% NASAL SPRAY 15 mL","0250","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.04","569.62","percent of total billed charges",,
"PHENYLEPRINE 0.25% NASAL SPRAY 15 mL","0250","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.04","569.62","percent of total billed charges",,
"PHENYLEPRINE 0.25% NASAL SPRAY 15 mL","0250","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.04","569.62","percent of total billed charges",,
"PHENYLEPRINE 0.25% NASAL SPRAY 15 mL","0250","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.04","569.62","percent of total billed charges",,
"PHENYLEPRINE 0.25% NASAL SPRAY 15 mL","0250","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.04","569.62","percent of total billed charges",,
"PHENYLEPRINE 0.25% NASAL SPRAY 15 mL","0250","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.04","569.62","percent of total billed charges",,
"PHENYLEPRINE 0.25% NASAL SPRAY 15 mL","0250","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.04","569.62","percent of total billed charges",,
"PHENYLEPRINE 0.25% NASAL SPRAY 15 mL","0250","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.04","569.62","percent of total billed charges",,
"PHENYLEPRINE 0.25% NASAL SPRAY 15 mL","0250","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.04","569.62","percent of total billed charges",,
"PHENYLEPRINE 0.25% NASAL SPRAY 15 mL","0250","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.04","569.62","percent of total billed charges",,
"PHENYLEPRINE 0.25% NASAL SPRAY 15 mL","0250","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.04","569.62","percent of total billed charges",,
"PHENYLEPRINE 0.25% NASAL SPRAY 15 mL","0250","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.04","569.62","percent of total billed charges",,
"PHENYLEPRINE 0.25% NASAL SPRAY 15 mL","0250","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.04","569.62","percent of total billed charges",,
"NF-BETOPTIC S 0.25% OPHTHALMIC SUSPENSIO","0637","RC","Both",,,"98","49","Alliant","Health Exchange",,,"62",,"60.76","0.15","5264.58","percent of total billed charges",,
"NF-BETOPTIC S 0.25% OPHTHALMIC SUSPENSIO","0637","RC","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage",,,"54",,"52.92","0.15","5264.58","percent of total billed charges",,
"NF-BETOPTIC S 0.25% OPHTHALMIC SUSPENSIO","0637","RC","Both",,,"98","49","Medicare",,,,"54",,"53.12","0.15","5264.58","percent of total billed charges",,
"NF-BETOPTIC S 0.25% OPHTHALMIC SUSPENSIO","0637","RC","Both",,,"98","49","Humana","Medicare Advantage",,,"54",,"53.12","0.15","5264.58","percent of total billed charges",,
"NF-BETOPTIC S 0.25% OPHTHALMIC SUSPENSIO","0637","RC","Both",,,"98","49","UHC","Medicare Advantage",,,"54",,"53.12","0.15","5264.58","percent of total billed charges",,
"NF-BETOPTIC S 0.25% OPHTHALMIC SUSPENSIO","0637","RC","Both",,,"98","49","Clover","Medicare Advantage",,,"54",,"53.12","0.15","5264.58","percent of total billed charges",,
"NF-BETOPTIC S 0.25% OPHTHALMIC SUSPENSIO","0637","RC","Both",,,"98","49","Wellcare","Medicare Advantage",,,"54",,"53.12","0.15","5264.58","percent of total billed charges",,
"NF-BETOPTIC S 0.25% OPHTHALMIC SUSPENSIO","0637","RC","Both",,,"98","49","Amerigroup","Medicaid Managed Care",,,"37",,"35.87","0.15","5264.58","percent of total billed charges",,
"NF-BETOPTIC S 0.25% OPHTHALMIC SUSPENSIO","0637","RC","Both",,,"98","49","Caresource","Medicaid Managed Care",,,"40",,"39.2","0.15","5264.58","percent of total billed charges",,
"NF-BETOPTIC S 0.25% OPHTHALMIC SUSPENSIO","0637","RC","Both",,,"98","49","Wellcare","Medicaid Managed Care",,,"40",,"39.69","0.15","5264.58","percent of total billed charges",,
"NF-BETOPTIC S 0.25% OPHTHALMIC SUSPENSIO","0637","RC","Both",,,"98","49","Aetna","Commercial",,,"64",,"62.52","0.15","5264.58","percent of total billed charges",,
"NF-BETOPTIC S 0.25% OPHTHALMIC SUSPENSIO","0637","RC","Both",,,"98","49","Blue Cross Blue Shield","Pathways",,,"71",,"69.19","0.15","5264.58","percent of total billed charges",,
"NF-BETOPTIC S 0.25% OPHTHALMIC SUSPENSIO","0637","RC","Both",,,"98","49","Blue Cross Blue Shield","HMO",,,"71",,"69.19","0.15","5264.58","percent of total billed charges",,
"NF-BETOPTIC S 0.25% OPHTHALMIC SUSPENSIO","0637","RC","Both",,,"98","49","Blue Cross Blue Shield","PPO",,,"71",,"69.19","0.15","5264.58","percent of total billed charges",,
"NF-BETOPTIC S 0.25% OPHTHALMIC SUSPENSIO","0637","RC","Both",,,"98","49","Ambetter","Health Exchange",,,"62",,"60.76","0.15","5264.58","percent of total billed charges",,
"NF-BETOPTIC S 0.25% OPHTHALMIC SUSPENSIO","0637","RC","Both",,,"98","49","Caresource","Health Exchange",,,"62",,"60.76","0.15","5264.58","percent of total billed charges",,
"NF-BETOPTIC S 0.25% OPHTHALMIC SUSPENSIO","0637","RC","Both",,,"98","49","Cigna","Commercial",,,"59",,"57.43","0.15","5264.58","percent of total billed charges",,
"NF-BETOPTIC S 0.25% OPHTHALMIC SUSPENSIO","0637","RC","Both",,,"98","49","Humana","Commercial",,,"78",,"75.95","0.15","5264.58","percent of total billed charges",,
"NF-BETOPTIC S 0.25% OPHTHALMIC SUSPENSIO","0637","RC","Both",,,"98","49","UHC","Commercial",,,"75",,"73.89","0.15","5264.58","percent of total billed charges",,
"NF-BETOPTIC S 0.25% OPHTHALMIC SUSPENSIO","0637","RC","Both",,,"98","49","Medicaid",,,,"37",,"35.87","0.15","5264.58","percent of total billed charges",,
"NF-ERYTHROMYCIN OPHTHALMIC OINTMENT 5MG/","0637","RC","Both",,,"9","4.5","Alliant","Health Exchange",,,"62",,"5.58","0.15","5264.58","percent of total billed charges",,
"NF-ERYTHROMYCIN OPHTHALMIC OINTMENT 5MG/","0637","RC","Both",,,"9","4.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.86","0.15","5264.58","percent of total billed charges",,
"NF-ERYTHROMYCIN OPHTHALMIC OINTMENT 5MG/","0637","RC","Both",,,"9","4.5","Medicare",,,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-ERYTHROMYCIN OPHTHALMIC OINTMENT 5MG/","0637","RC","Both",,,"9","4.5","Humana","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-ERYTHROMYCIN OPHTHALMIC OINTMENT 5MG/","0637","RC","Both",,,"9","4.5","UHC","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-ERYTHROMYCIN OPHTHALMIC OINTMENT 5MG/","0637","RC","Both",,,"9","4.5","Clover","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-ERYTHROMYCIN OPHTHALMIC OINTMENT 5MG/","0637","RC","Both",,,"9","4.5","Wellcare","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-ERYTHROMYCIN OPHTHALMIC OINTMENT 5MG/","0637","RC","Both",,,"9","4.5","Amerigroup","Medicaid Managed Care",,,"37",,"3.29","0.15","5264.58","percent of total billed charges",,
"NF-ERYTHROMYCIN OPHTHALMIC OINTMENT 5MG/","0637","RC","Both",,,"9","4.5","Caresource","Medicaid Managed Care",,,"40",,"3.6","0.15","5264.58","percent of total billed charges",,
"NF-ERYTHROMYCIN OPHTHALMIC OINTMENT 5MG/","0637","RC","Both",,,"9","4.5","Wellcare","Medicaid Managed Care",,,"40",,"3.65","0.15","5264.58","percent of total billed charges",,
"NF-ERYTHROMYCIN OPHTHALMIC OINTMENT 5MG/","0637","RC","Both",,,"9","4.5","Aetna","Commercial",,,"64",,"5.74","0.15","5264.58","percent of total billed charges",,
"NF-ERYTHROMYCIN OPHTHALMIC OINTMENT 5MG/","0637","RC","Both",,,"9","4.5","Blue Cross Blue Shield","Pathways",,,"71",,"6.35","0.15","5264.58","percent of total billed charges",,
"NF-ERYTHROMYCIN OPHTHALMIC OINTMENT 5MG/","0637","RC","Both",,,"9","4.5","Blue Cross Blue Shield","HMO",,,"71",,"6.35","0.15","5264.58","percent of total billed charges",,
"NF-ERYTHROMYCIN OPHTHALMIC OINTMENT 5MG/","0637","RC","Both",,,"9","4.5","Blue Cross Blue Shield","PPO",,,"71",,"6.35","0.15","5264.58","percent of total billed charges",,
"NF-ERYTHROMYCIN OPHTHALMIC OINTMENT 5MG/","0637","RC","Both",,,"9","4.5","Ambetter","Health Exchange",,,"62",,"5.58","0.15","5264.58","percent of total billed charges",,
"NF-ERYTHROMYCIN OPHTHALMIC OINTMENT 5MG/","0637","RC","Both",,,"9","4.5","Caresource","Health Exchange",,,"62",,"5.58","0.15","5264.58","percent of total billed charges",,
"NF-ERYTHROMYCIN OPHTHALMIC OINTMENT 5MG/","0637","RC","Both",,,"9","4.5","Cigna","Commercial",,,"59",,"5.27","0.15","5264.58","percent of total billed charges",,
"NF-ERYTHROMYCIN OPHTHALMIC OINTMENT 5MG/","0637","RC","Both",,,"9","4.5","Humana","Commercial",,,"78",,"6.98","0.15","5264.58","percent of total billed charges",,
"NF-ERYTHROMYCIN OPHTHALMIC OINTMENT 5MG/","0637","RC","Both",,,"9","4.5","UHC","Commercial",,,"75",,"6.79","0.15","5264.58","percent of total billed charges",,
"NF-ERYTHROMYCIN OPHTHALMIC OINTMENT 5MG/","0637","RC","Both",,,"9","4.5","Medicaid",,,,"37",,"3.29","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.15%","0637","RC","Both",,,"78","39","Alliant","Health Exchange",,,"62",,"48.36","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.15%","0637","RC","Both",,,"78","39","Pruitt Healthcare","Medicare Advantage",,,"54",,"42.12","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.15%","0637","RC","Both",,,"78","39","Medicare",,,,"54",,"42.28","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.15%","0637","RC","Both",,,"78","39","Humana","Medicare Advantage",,,"54",,"42.28","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.15%","0637","RC","Both",,,"78","39","UHC","Medicare Advantage",,,"54",,"42.28","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.15%","0637","RC","Both",,,"78","39","Clover","Medicare Advantage",,,"54",,"42.28","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.15%","0637","RC","Both",,,"78","39","Wellcare","Medicare Advantage",,,"54",,"42.28","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.15%","0637","RC","Both",,,"78","39","Amerigroup","Medicaid Managed Care",,,"37",,"28.55","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.15%","0637","RC","Both",,,"78","39","Caresource","Medicaid Managed Care",,,"40",,"31.2","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.15%","0637","RC","Both",,,"78","39","Wellcare","Medicaid Managed Care",,,"40",,"31.59","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.15%","0637","RC","Both",,,"78","39","Aetna","Commercial",,,"64",,"49.76","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.15%","0637","RC","Both",,,"78","39","Blue Cross Blue Shield","Pathways",,,"71",,"55.07","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.15%","0637","RC","Both",,,"78","39","Blue Cross Blue Shield","HMO",,,"71",,"55.07","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.15%","0637","RC","Both",,,"78","39","Blue Cross Blue Shield","PPO",,,"71",,"55.07","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.15%","0637","RC","Both",,,"78","39","Ambetter","Health Exchange",,,"62",,"48.36","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.15%","0637","RC","Both",,,"78","39","Caresource","Health Exchange",,,"62",,"48.36","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.15%","0637","RC","Both",,,"78","39","Cigna","Commercial",,,"59",,"45.71","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.15%","0637","RC","Both",,,"78","39","Humana","Commercial",,,"78",,"60.45","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.15%","0637","RC","Both",,,"78","39","UHC","Commercial",,,"75",,"58.81","0.15","5264.58","percent of total billed charges",,
"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.15%","0637","RC","Both",,,"78","39","Medicaid",,,,"37",,"28.55","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TAB","0637","RC","Both",,,"32","16","Alliant","Health Exchange",,,"62",,"19.84","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TAB","0637","RC","Both",,,"32","16","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.28","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TAB","0637","RC","Both",,,"32","16","Medicare",,,,"54",,"17.34","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TAB","0637","RC","Both",,,"32","16","Humana","Medicare Advantage",,,"54",,"17.34","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TAB","0637","RC","Both",,,"32","16","UHC","Medicare Advantage",,,"54",,"17.34","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TAB","0637","RC","Both",,,"32","16","Clover","Medicare Advantage",,,"54",,"17.34","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TAB","0637","RC","Both",,,"32","16","Wellcare","Medicare Advantage",,,"54",,"17.34","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TAB","0637","RC","Both",,,"32","16","Amerigroup","Medicaid Managed Care",,,"37",,"11.71","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TAB","0637","RC","Both",,,"32","16","Caresource","Medicaid Managed Care",,,"40",,"12.8","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TAB","0637","RC","Both",,,"32","16","Wellcare","Medicaid Managed Care",,,"40",,"12.96","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TAB","0637","RC","Both",,,"32","16","Aetna","Commercial",,,"64",,"20.42","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TAB","0637","RC","Both",,,"32","16","Blue Cross Blue Shield","Pathways",,,"71",,"22.59","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TAB","0637","RC","Both",,,"32","16","Blue Cross Blue Shield","HMO",,,"71",,"22.59","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TAB","0637","RC","Both",,,"32","16","Blue Cross Blue Shield","PPO",,,"71",,"22.59","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TAB","0637","RC","Both",,,"32","16","Ambetter","Health Exchange",,,"62",,"19.84","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TAB","0637","RC","Both",,,"32","16","Caresource","Health Exchange",,,"62",,"19.84","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TAB","0637","RC","Both",,,"32","16","Cigna","Commercial",,,"59",,"18.75","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TAB","0637","RC","Both",,,"32","16","Humana","Commercial",,,"78",,"24.8","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TAB","0637","RC","Both",,,"32","16","UHC","Commercial",,,"75",,"24.13","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TAB","0637","RC","Both",,,"32","16","Medicaid",,,,"37",,"11.71","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TABLET","0637","RC","Both",,,"46","23","Alliant","Health Exchange",,,"62",,"28.52","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TABLET","0637","RC","Both",,,"46","23","Pruitt Healthcare","Medicare Advantage",,,"54",,"24.84","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TABLET","0637","RC","Both",,,"46","23","Medicare",,,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TABLET","0637","RC","Both",,,"46","23","Humana","Medicare Advantage",,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TABLET","0637","RC","Both",,,"46","23","UHC","Medicare Advantage",,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TABLET","0637","RC","Both",,,"46","23","Clover","Medicare Advantage",,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TABLET","0637","RC","Both",,,"46","23","Wellcare","Medicare Advantage",,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TABLET","0637","RC","Both",,,"46","23","Amerigroup","Medicaid Managed Care",,,"37",,"16.84","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TABLET","0637","RC","Both",,,"46","23","Caresource","Medicaid Managed Care",,,"40",,"18.4","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TABLET","0637","RC","Both",,,"46","23","Wellcare","Medicaid Managed Care",,,"40",,"18.63","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TABLET","0637","RC","Both",,,"46","23","Aetna","Commercial",,,"64",,"29.35","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TABLET","0637","RC","Both",,,"46","23","Blue Cross Blue Shield","Pathways",,,"71",,"32.48","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TABLET","0637","RC","Both",,,"46","23","Blue Cross Blue Shield","HMO",,,"71",,"32.48","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TABLET","0637","RC","Both",,,"46","23","Blue Cross Blue Shield","PPO",,,"71",,"32.48","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TABLET","0637","RC","Both",,,"46","23","Ambetter","Health Exchange",,,"62",,"28.52","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TABLET","0637","RC","Both",,,"46","23","Caresource","Health Exchange",,,"62",,"28.52","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TABLET","0637","RC","Both",,,"46","23","Cigna","Commercial",,,"59",,"26.96","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TABLET","0637","RC","Both",,,"46","23","Humana","Commercial",,,"78",,"35.65","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TABLET","0637","RC","Both",,,"46","23","UHC","Commercial",,,"75",,"34.68","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TABLET","0637","RC","Both",,,"46","23","Medicaid",,,,"37",,"16.84","0.15","5264.58","percent of total billed charges",,
"NF-MELOXICAM ORAL TABLET 15MG","0637","RC","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-MELOXICAM ORAL TABLET 15MG","0637","RC","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","0.15","5264.58","percent of total billed charges",,
"NF-MELOXICAM ORAL TABLET 15MG","0637","RC","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-MELOXICAM ORAL TABLET 15MG","0637","RC","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-MELOXICAM ORAL TABLET 15MG","0637","RC","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-MELOXICAM ORAL TABLET 15MG","0637","RC","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-MELOXICAM ORAL TABLET 15MG","0637","RC","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-MELOXICAM ORAL TABLET 15MG","0637","RC","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"NF-MELOXICAM ORAL TABLET 15MG","0637","RC","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","0.15","5264.58","percent of total billed charges",,
"NF-MELOXICAM ORAL TABLET 15MG","0637","RC","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.15","5264.58","percent of total billed charges",,
"NF-MELOXICAM ORAL TABLET 15MG","0637","RC","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","0.15","5264.58","percent of total billed charges",,
"NF-MELOXICAM ORAL TABLET 15MG","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"NF-MELOXICAM ORAL TABLET 15MG","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"NF-MELOXICAM ORAL TABLET 15MG","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"NF-MELOXICAM ORAL TABLET 15MG","0637","RC","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-MELOXICAM ORAL TABLET 15MG","0637","RC","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-MELOXICAM ORAL TABLET 15MG","0637","RC","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","0.15","5264.58","percent of total billed charges",,
"NF-MELOXICAM ORAL TABLET 15MG","0637","RC","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","0.15","5264.58","percent of total billed charges",,
"NF-MELOXICAM ORAL TABLET 15MG","0637","RC","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","0.15","5264.58","percent of total billed charges",,
"NF-MELOXICAM ORAL TABLET 15MG","0637","RC","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HYDROCHLOROTHIAZIDE TAB","0637","RC","Both",,,"12","6","Alliant","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HYDROCHLOROTHIAZIDE TAB","0637","RC","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.48","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HYDROCHLOROTHIAZIDE TAB","0637","RC","Both",,,"12","6","Medicare",,,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HYDROCHLOROTHIAZIDE TAB","0637","RC","Both",,,"12","6","Humana","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HYDROCHLOROTHIAZIDE TAB","0637","RC","Both",,,"12","6","UHC","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HYDROCHLOROTHIAZIDE TAB","0637","RC","Both",,,"12","6","Clover","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HYDROCHLOROTHIAZIDE TAB","0637","RC","Both",,,"12","6","Wellcare","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HYDROCHLOROTHIAZIDE TAB","0637","RC","Both",,,"12","6","Amerigroup","Medicaid Managed Care",,,"37",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HYDROCHLOROTHIAZIDE TAB","0637","RC","Both",,,"12","6","Caresource","Medicaid Managed Care",,,"40",,"4.8","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HYDROCHLOROTHIAZIDE TAB","0637","RC","Both",,,"12","6","Wellcare","Medicaid Managed Care",,,"40",,"4.86","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HYDROCHLOROTHIAZIDE TAB","0637","RC","Both",,,"12","6","Aetna","Commercial",,,"64",,"7.66","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HYDROCHLOROTHIAZIDE TAB","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","Pathways",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HYDROCHLOROTHIAZIDE TAB","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","HMO",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HYDROCHLOROTHIAZIDE TAB","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","PPO",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HYDROCHLOROTHIAZIDE TAB","0637","RC","Both",,,"12","6","Ambetter","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HYDROCHLOROTHIAZIDE TAB","0637","RC","Both",,,"12","6","Caresource","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HYDROCHLOROTHIAZIDE TAB","0637","RC","Both",,,"12","6","Cigna","Commercial",,,"59",,"7.03","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HYDROCHLOROTHIAZIDE TAB","0637","RC","Both",,,"12","6","Humana","Commercial",,,"78",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HYDROCHLOROTHIAZIDE TAB","0637","RC","Both",,,"12","6","UHC","Commercial",,,"75",,"9.05","0.15","5264.58","percent of total billed charges",,
"NF-VALSARTAN AND HYDROCHLOROTHIAZIDE TAB","0637","RC","Both",,,"12","6","Medicaid",,,,"37",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-ROSUVASTATIN CALCIUM ORAL TABLET 20MG","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"NF-ROSUVASTATIN CALCIUM ORAL TABLET 20MG","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"NF-ROSUVASTATIN CALCIUM ORAL TABLET 20MG","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-ROSUVASTATIN CALCIUM ORAL TABLET 20MG","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-ROSUVASTATIN CALCIUM ORAL TABLET 20MG","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-ROSUVASTATIN CALCIUM ORAL TABLET 20MG","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-ROSUVASTATIN CALCIUM ORAL TABLET 20MG","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-ROSUVASTATIN CALCIUM ORAL TABLET 20MG","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-ROSUVASTATIN CALCIUM ORAL TABLET 20MG","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"NF-ROSUVASTATIN CALCIUM ORAL TABLET 20MG","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"NF-ROSUVASTATIN CALCIUM ORAL TABLET 20MG","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"NF-ROSUVASTATIN CALCIUM ORAL TABLET 20MG","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"NF-ROSUVASTATIN CALCIUM ORAL TABLET 20MG","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"NF-ROSUVASTATIN CALCIUM ORAL TABLET 20MG","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"NF-ROSUVASTATIN CALCIUM ORAL TABLET 20MG","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"NF-ROSUVASTATIN CALCIUM ORAL TABLET 20MG","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"NF-ROSUVASTATIN CALCIUM ORAL TABLET 20MG","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"NF-ROSUVASTATIN CALCIUM ORAL TABLET 20MG","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"NF-ROSUVASTATIN CALCIUM ORAL TABLET 20MG","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"NF-ROSUVASTATIN CALCIUM ORAL TABLET 20MG","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-SPIRIVA RESPIMAT INH SPRAY 2.5MCG/1AC","0637","RC","Both",,,"307","153.5","Alliant","Health Exchange",,,"62",,"190.34","0.15","5264.58","percent of total billed charges",,
"NF-SPIRIVA RESPIMAT INH SPRAY 2.5MCG/1AC","0637","RC","Both",,,"307","153.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"165.78","0.15","5264.58","percent of total billed charges",,
"NF-SPIRIVA RESPIMAT INH SPRAY 2.5MCG/1AC","0637","RC","Both",,,"307","153.5","Medicare",,,,"54",,"166.39","0.15","5264.58","percent of total billed charges",,
"NF-SPIRIVA RESPIMAT INH SPRAY 2.5MCG/1AC","0637","RC","Both",,,"307","153.5","Humana","Medicare Advantage",,,"54",,"166.39","0.15","5264.58","percent of total billed charges",,
"NF-SPIRIVA RESPIMAT INH SPRAY 2.5MCG/1AC","0637","RC","Both",,,"307","153.5","UHC","Medicare Advantage",,,"54",,"166.39","0.15","5264.58","percent of total billed charges",,
"NF-SPIRIVA RESPIMAT INH SPRAY 2.5MCG/1AC","0637","RC","Both",,,"307","153.5","Clover","Medicare Advantage",,,"54",,"166.39","0.15","5264.58","percent of total billed charges",,
"NF-SPIRIVA RESPIMAT INH SPRAY 2.5MCG/1AC","0637","RC","Both",,,"307","153.5","Wellcare","Medicare Advantage",,,"54",,"166.39","0.15","5264.58","percent of total billed charges",,
"NF-SPIRIVA RESPIMAT INH SPRAY 2.5MCG/1AC","0637","RC","Both",,,"307","153.5","Amerigroup","Medicaid Managed Care",,,"37",,"112.36","0.15","5264.58","percent of total billed charges",,
"NF-SPIRIVA RESPIMAT INH SPRAY 2.5MCG/1AC","0637","RC","Both",,,"307","153.5","Caresource","Medicaid Managed Care",,,"40",,"122.8","0.15","5264.58","percent of total billed charges",,
"NF-SPIRIVA RESPIMAT INH SPRAY 2.5MCG/1AC","0637","RC","Both",,,"307","153.5","Wellcare","Medicaid Managed Care",,,"40",,"124.34","0.15","5264.58","percent of total billed charges",,
"NF-SPIRIVA RESPIMAT INH SPRAY 2.5MCG/1AC","0637","RC","Both",,,"307","153.5","Aetna","Commercial",,,"64",,"195.87","0.15","5264.58","percent of total billed charges",,
"NF-SPIRIVA RESPIMAT INH SPRAY 2.5MCG/1AC","0637","RC","Both",,,"307","153.5","Blue Cross Blue Shield","Pathways",,,"71",,"216.74","0.15","5264.58","percent of total billed charges",,
"NF-SPIRIVA RESPIMAT INH SPRAY 2.5MCG/1AC","0637","RC","Both",,,"307","153.5","Blue Cross Blue Shield","HMO",,,"71",,"216.74","0.15","5264.58","percent of total billed charges",,
"NF-SPIRIVA RESPIMAT INH SPRAY 2.5MCG/1AC","0637","RC","Both",,,"307","153.5","Blue Cross Blue Shield","PPO",,,"71",,"216.74","0.15","5264.58","percent of total billed charges",,
"NF-SPIRIVA RESPIMAT INH SPRAY 2.5MCG/1AC","0637","RC","Both",,,"307","153.5","Ambetter","Health Exchange",,,"62",,"190.34","0.15","5264.58","percent of total billed charges",,
"NF-SPIRIVA RESPIMAT INH SPRAY 2.5MCG/1AC","0637","RC","Both",,,"307","153.5","Caresource","Health Exchange",,,"62",,"190.34","0.15","5264.58","percent of total billed charges",,
"NF-SPIRIVA RESPIMAT INH SPRAY 2.5MCG/1AC","0637","RC","Both",,,"307","153.5","Cigna","Commercial",,,"59",,"179.9","0.15","5264.58","percent of total billed charges",,
"NF-SPIRIVA RESPIMAT INH SPRAY 2.5MCG/1AC","0637","RC","Both",,,"307","153.5","Humana","Commercial",,,"78",,"237.92","0.15","5264.58","percent of total billed charges",,
"NF-SPIRIVA RESPIMAT INH SPRAY 2.5MCG/1AC","0637","RC","Both",,,"307","153.5","UHC","Commercial",,,"75",,"231.48","0.15","5264.58","percent of total billed charges",,
"NF-SPIRIVA RESPIMAT INH SPRAY 2.5MCG/1AC","0637","RC","Both",,,"307","153.5","Medicaid",,,,"37",,"112.36","0.15","5264.58","percent of total billed charges",,
"NF-DEXILANT CAP DR 60MG","0637","RC","Both",,,"13","6.5","Alliant","Health Exchange",,,"62",,"8.06","0.15","5264.58","percent of total billed charges",,
"NF-DEXILANT CAP DR 60MG","0637","RC","Both",,,"13","6.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.02","0.15","5264.58","percent of total billed charges",,
"NF-DEXILANT CAP DR 60MG","0637","RC","Both",,,"13","6.5","Medicare",,,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-DEXILANT CAP DR 60MG","0637","RC","Both",,,"13","6.5","Humana","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-DEXILANT CAP DR 60MG","0637","RC","Both",,,"13","6.5","UHC","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-DEXILANT CAP DR 60MG","0637","RC","Both",,,"13","6.5","Clover","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-DEXILANT CAP DR 60MG","0637","RC","Both",,,"13","6.5","Wellcare","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-DEXILANT CAP DR 60MG","0637","RC","Both",,,"13","6.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.76","0.15","5264.58","percent of total billed charges",,
"NF-DEXILANT CAP DR 60MG","0637","RC","Both",,,"13","6.5","Caresource","Medicaid Managed Care",,,"40",,"5.2","0.15","5264.58","percent of total billed charges",,
"NF-DEXILANT CAP DR 60MG","0637","RC","Both",,,"13","6.5","Wellcare","Medicaid Managed Care",,,"40",,"5.26","0.15","5264.58","percent of total billed charges",,
"NF-DEXILANT CAP DR 60MG","0637","RC","Both",,,"13","6.5","Aetna","Commercial",,,"64",,"8.29","0.15","5264.58","percent of total billed charges",,
"NF-DEXILANT CAP DR 60MG","0637","RC","Both",,,"13","6.5","Blue Cross Blue Shield","Pathways",,,"71",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-DEXILANT CAP DR 60MG","0637","RC","Both",,,"13","6.5","Blue Cross Blue Shield","HMO",,,"71",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-DEXILANT CAP DR 60MG","0637","RC","Both",,,"13","6.5","Blue Cross Blue Shield","PPO",,,"71",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-DEXILANT CAP DR 60MG","0637","RC","Both",,,"13","6.5","Ambetter","Health Exchange",,,"62",,"8.06","0.15","5264.58","percent of total billed charges",,
"NF-DEXILANT CAP DR 60MG","0637","RC","Both",,,"13","6.5","Caresource","Health Exchange",,,"62",,"8.06","0.15","5264.58","percent of total billed charges",,
"NF-DEXILANT CAP DR 60MG","0637","RC","Both",,,"13","6.5","Cigna","Commercial",,,"59",,"7.62","0.15","5264.58","percent of total billed charges",,
"NF-DEXILANT CAP DR 60MG","0637","RC","Both",,,"13","6.5","Humana","Commercial",,,"78",,"10.08","0.15","5264.58","percent of total billed charges",,
"NF-DEXILANT CAP DR 60MG","0637","RC","Both",,,"13","6.5","UHC","Commercial",,,"75",,"9.8","0.15","5264.58","percent of total billed charges",,
"NF-DEXILANT CAP DR 60MG","0637","RC","Both",,,"13","6.5","Medicaid",,,,"37",,"4.76","0.15","5264.58","percent of total billed charges",,
"NF-ROSUVASTATIN CALCIUM ORAL TABLET 20MG","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"NF-ROSUVASTATIN CALCIUM ORAL TABLET 20MG","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"NF-ROSUVASTATIN CALCIUM ORAL TABLET 20MG","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-ROSUVASTATIN CALCIUM ORAL TABLET 20MG","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-ROSUVASTATIN CALCIUM ORAL TABLET 20MG","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-ROSUVASTATIN CALCIUM ORAL TABLET 20MG","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-ROSUVASTATIN CALCIUM ORAL TABLET 20MG","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-ROSUVASTATIN CALCIUM ORAL TABLET 20MG","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-ROSUVASTATIN CALCIUM ORAL TABLET 20MG","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"NF-ROSUVASTATIN CALCIUM ORAL TABLET 20MG","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"NF-ROSUVASTATIN CALCIUM ORAL TABLET 20MG","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"NF-ROSUVASTATIN CALCIUM ORAL TABLET 20MG","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"NF-ROSUVASTATIN CALCIUM ORAL TABLET 20MG","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"NF-ROSUVASTATIN CALCIUM ORAL TABLET 20MG","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"NF-ROSUVASTATIN CALCIUM ORAL TABLET 20MG","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"NF-ROSUVASTATIN CALCIUM ORAL TABLET 20MG","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"NF-ROSUVASTATIN CALCIUM ORAL TABLET 20MG","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"NF-ROSUVASTATIN CALCIUM ORAL TABLET 20MG","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"NF-ROSUVASTATIN CALCIUM ORAL TABLET 20MG","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"NF-ROSUVASTATIN CALCIUM ORAL TABLET 20MG","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-MELOXICAM ORAL TABLET 15MG","0637","RC","Both",,,"6.5","3.25","Alliant","Health Exchange",,,"62",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-MELOXICAM ORAL TABLET 15MG","0637","RC","Both",,,"6.5","3.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.51","0.15","5264.58","percent of total billed charges",,
"NF-MELOXICAM ORAL TABLET 15MG","0637","RC","Both",,,"6.5","3.25","Medicare",,,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-MELOXICAM ORAL TABLET 15MG","0637","RC","Both",,,"6.5","3.25","Humana","Medicare Advantage",,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-MELOXICAM ORAL TABLET 15MG","0637","RC","Both",,,"6.5","3.25","UHC","Medicare Advantage",,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-MELOXICAM ORAL TABLET 15MG","0637","RC","Both",,,"6.5","3.25","Clover","Medicare Advantage",,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-MELOXICAM ORAL TABLET 15MG","0637","RC","Both",,,"6.5","3.25","Wellcare","Medicare Advantage",,,"54",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-MELOXICAM ORAL TABLET 15MG","0637","RC","Both",,,"6.5","3.25","Amerigroup","Medicaid Managed Care",,,"37",,"2.38","0.15","5264.58","percent of total billed charges",,
"NF-MELOXICAM ORAL TABLET 15MG","0637","RC","Both",,,"6.5","3.25","Caresource","Medicaid Managed Care",,,"40",,"2.6","0.15","5264.58","percent of total billed charges",,
"NF-MELOXICAM ORAL TABLET 15MG","0637","RC","Both",,,"6.5","3.25","Wellcare","Medicaid Managed Care",,,"40",,"2.63","0.15","5264.58","percent of total billed charges",,
"NF-MELOXICAM ORAL TABLET 15MG","0637","RC","Both",,,"6.5","3.25","Aetna","Commercial",,,"64",,"4.15","0.15","5264.58","percent of total billed charges",,
"NF-MELOXICAM ORAL TABLET 15MG","0637","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","Pathways",,,"71",,"4.59","0.15","5264.58","percent of total billed charges",,
"NF-MELOXICAM ORAL TABLET 15MG","0637","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","HMO",,,"71",,"4.59","0.15","5264.58","percent of total billed charges",,
"NF-MELOXICAM ORAL TABLET 15MG","0637","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","PPO",,,"71",,"4.59","0.15","5264.58","percent of total billed charges",,
"NF-MELOXICAM ORAL TABLET 15MG","0637","RC","Both",,,"6.5","3.25","Ambetter","Health Exchange",,,"62",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-MELOXICAM ORAL TABLET 15MG","0637","RC","Both",,,"6.5","3.25","Caresource","Health Exchange",,,"62",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-MELOXICAM ORAL TABLET 15MG","0637","RC","Both",,,"6.5","3.25","Cigna","Commercial",,,"59",,"3.81","0.15","5264.58","percent of total billed charges",,
"NF-MELOXICAM ORAL TABLET 15MG","0637","RC","Both",,,"6.5","3.25","Humana","Commercial",,,"78",,"5.04","0.15","5264.58","percent of total billed charges",,
"NF-MELOXICAM ORAL TABLET 15MG","0637","RC","Both",,,"6.5","3.25","UHC","Commercial",,,"75",,"4.9","0.15","5264.58","percent of total billed charges",,
"NF-MELOXICAM ORAL TABLET 15MG","0637","RC","Both",,,"6.5","3.25","Medicaid",,,,"37",,"2.38","0.15","5264.58","percent of total billed charges",,
"NF-DALIRESP ORAL TABLET 500MCG","0637","RC","Both",,,"35.5","17.75","Alliant","Health Exchange",,,"62",,"22.01","0.15","5264.58","percent of total billed charges",,
"NF-DALIRESP ORAL TABLET 500MCG","0637","RC","Both",,,"35.5","17.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.17","0.15","5264.58","percent of total billed charges",,
"NF-DALIRESP ORAL TABLET 500MCG","0637","RC","Both",,,"35.5","17.75","Medicare",,,,"54",,"19.24","0.15","5264.58","percent of total billed charges",,
"NF-DALIRESP ORAL TABLET 500MCG","0637","RC","Both",,,"35.5","17.75","Humana","Medicare Advantage",,,"54",,"19.24","0.15","5264.58","percent of total billed charges",,
"NF-DALIRESP ORAL TABLET 500MCG","0637","RC","Both",,,"35.5","17.75","UHC","Medicare Advantage",,,"54",,"19.24","0.15","5264.58","percent of total billed charges",,
"NF-DALIRESP ORAL TABLET 500MCG","0637","RC","Both",,,"35.5","17.75","Clover","Medicare Advantage",,,"54",,"19.24","0.15","5264.58","percent of total billed charges",,
"NF-DALIRESP ORAL TABLET 500MCG","0637","RC","Both",,,"35.5","17.75","Wellcare","Medicare Advantage",,,"54",,"19.24","0.15","5264.58","percent of total billed charges",,
"NF-DALIRESP ORAL TABLET 500MCG","0637","RC","Both",,,"35.5","17.75","Amerigroup","Medicaid Managed Care",,,"37",,"12.99","0.15","5264.58","percent of total billed charges",,
"NF-DALIRESP ORAL TABLET 500MCG","0637","RC","Both",,,"35.5","17.75","Caresource","Medicaid Managed Care",,,"40",,"14.2","0.15","5264.58","percent of total billed charges",,
"NF-DALIRESP ORAL TABLET 500MCG","0637","RC","Both",,,"35.5","17.75","Wellcare","Medicaid Managed Care",,,"40",,"14.38","0.15","5264.58","percent of total billed charges",,
"NF-DALIRESP ORAL TABLET 500MCG","0637","RC","Both",,,"35.5","17.75","Aetna","Commercial",,,"64",,"22.65","0.15","5264.58","percent of total billed charges",,
"NF-DALIRESP ORAL TABLET 500MCG","0637","RC","Both",,,"35.5","17.75","Blue Cross Blue Shield","Pathways",,,"71",,"25.06","0.15","5264.58","percent of total billed charges",,
"NF-DALIRESP ORAL TABLET 500MCG","0637","RC","Both",,,"35.5","17.75","Blue Cross Blue Shield","HMO",,,"71",,"25.06","0.15","5264.58","percent of total billed charges",,
"NF-DALIRESP ORAL TABLET 500MCG","0637","RC","Both",,,"35.5","17.75","Blue Cross Blue Shield","PPO",,,"71",,"25.06","0.15","5264.58","percent of total billed charges",,
"NF-DALIRESP ORAL TABLET 500MCG","0637","RC","Both",,,"35.5","17.75","Ambetter","Health Exchange",,,"62",,"22.01","0.15","5264.58","percent of total billed charges",,
"NF-DALIRESP ORAL TABLET 500MCG","0637","RC","Both",,,"35.5","17.75","Caresource","Health Exchange",,,"62",,"22.01","0.15","5264.58","percent of total billed charges",,
"NF-DALIRESP ORAL TABLET 500MCG","0637","RC","Both",,,"35.5","17.75","Cigna","Commercial",,,"59",,"20.8","0.15","5264.58","percent of total billed charges",,
"NF-DALIRESP ORAL TABLET 500MCG","0637","RC","Both",,,"35.5","17.75","Humana","Commercial",,,"78",,"27.51","0.15","5264.58","percent of total billed charges",,
"NF-DALIRESP ORAL TABLET 500MCG","0637","RC","Both",,,"35.5","17.75","UHC","Commercial",,,"75",,"26.77","0.15","5264.58","percent of total billed charges",,
"NF-DALIRESP ORAL TABLET 500MCG","0637","RC","Both",,,"35.5","17.75","Medicaid",,,,"37",,"12.99","0.15","5264.58","percent of total billed charges",,
"NF-ABREVA TOPICAL CREAM 10%","0637","RC","Both",,,"28","14","Alliant","Health Exchange",,,"62",,"17.36","0.15","5264.58","percent of total billed charges",,
"NF-ABREVA TOPICAL CREAM 10%","0637","RC","Both",,,"28","14","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.12","0.15","5264.58","percent of total billed charges",,
"NF-ABREVA TOPICAL CREAM 10%","0637","RC","Both",,,"28","14","Medicare",,,,"54",,"15.18","0.15","5264.58","percent of total billed charges",,
"NF-ABREVA TOPICAL CREAM 10%","0637","RC","Both",,,"28","14","Humana","Medicare Advantage",,,"54",,"15.18","0.15","5264.58","percent of total billed charges",,
"NF-ABREVA TOPICAL CREAM 10%","0637","RC","Both",,,"28","14","UHC","Medicare Advantage",,,"54",,"15.18","0.15","5264.58","percent of total billed charges",,
"NF-ABREVA TOPICAL CREAM 10%","0637","RC","Both",,,"28","14","Clover","Medicare Advantage",,,"54",,"15.18","0.15","5264.58","percent of total billed charges",,
"NF-ABREVA TOPICAL CREAM 10%","0637","RC","Both",,,"28","14","Wellcare","Medicare Advantage",,,"54",,"15.18","0.15","5264.58","percent of total billed charges",,
"NF-ABREVA TOPICAL CREAM 10%","0637","RC","Both",,,"28","14","Amerigroup","Medicaid Managed Care",,,"37",,"10.25","0.15","5264.58","percent of total billed charges",,
"NF-ABREVA TOPICAL CREAM 10%","0637","RC","Both",,,"28","14","Caresource","Medicaid Managed Care",,,"40",,"11.2","0.15","5264.58","percent of total billed charges",,
"NF-ABREVA TOPICAL CREAM 10%","0637","RC","Both",,,"28","14","Wellcare","Medicaid Managed Care",,,"40",,"11.34","0.15","5264.58","percent of total billed charges",,
"NF-ABREVA TOPICAL CREAM 10%","0637","RC","Both",,,"28","14","Aetna","Commercial",,,"64",,"17.86","0.15","5264.58","percent of total billed charges",,
"NF-ABREVA TOPICAL CREAM 10%","0637","RC","Both",,,"28","14","Blue Cross Blue Shield","Pathways",,,"71",,"19.77","0.15","5264.58","percent of total billed charges",,
"NF-ABREVA TOPICAL CREAM 10%","0637","RC","Both",,,"28","14","Blue Cross Blue Shield","HMO",,,"71",,"19.77","0.15","5264.58","percent of total billed charges",,
"NF-ABREVA TOPICAL CREAM 10%","0637","RC","Both",,,"28","14","Blue Cross Blue Shield","PPO",,,"71",,"19.77","0.15","5264.58","percent of total billed charges",,
"NF-ABREVA TOPICAL CREAM 10%","0637","RC","Both",,,"28","14","Ambetter","Health Exchange",,,"62",,"17.36","0.15","5264.58","percent of total billed charges",,
"NF-ABREVA TOPICAL CREAM 10%","0637","RC","Both",,,"28","14","Caresource","Health Exchange",,,"62",,"17.36","0.15","5264.58","percent of total billed charges",,
"NF-ABREVA TOPICAL CREAM 10%","0637","RC","Both",,,"28","14","Cigna","Commercial",,,"59",,"16.41","0.15","5264.58","percent of total billed charges",,
"NF-ABREVA TOPICAL CREAM 10%","0637","RC","Both",,,"28","14","Humana","Commercial",,,"78",,"21.7","0.15","5264.58","percent of total billed charges",,
"NF-ABREVA TOPICAL CREAM 10%","0637","RC","Both",,,"28","14","UHC","Commercial",,,"75",,"21.11","0.15","5264.58","percent of total billed charges",,
"NF-ABREVA TOPICAL CREAM 10%","0637","RC","Both",,,"28","14","Medicaid",,,,"37",,"10.25","0.15","5264.58","percent of total billed charges",,
"NF-DAPTOMYCIN IV PWD FOR SOLN 500MG","0637","RC","Both",,,"706","353","Alliant","Health Exchange",,,"62",,"437.72","0.15","5264.58","percent of total billed charges",,
"NF-DAPTOMYCIN IV PWD FOR SOLN 500MG","0637","RC","Both",,,"706","353","Pruitt Healthcare","Medicare Advantage",,,"54",,"381.24","0.15","5264.58","percent of total billed charges",,
"NF-DAPTOMYCIN IV PWD FOR SOLN 500MG","0637","RC","Both",,,"706","353","Medicare",,,,"54",,"382.65","0.15","5264.58","percent of total billed charges",,
"NF-DAPTOMYCIN IV PWD FOR SOLN 500MG","0637","RC","Both",,,"706","353","Humana","Medicare Advantage",,,"54",,"382.65","0.15","5264.58","percent of total billed charges",,
"NF-DAPTOMYCIN IV PWD FOR SOLN 500MG","0637","RC","Both",,,"706","353","UHC","Medicare Advantage",,,"54",,"382.65","0.15","5264.58","percent of total billed charges",,
"NF-DAPTOMYCIN IV PWD FOR SOLN 500MG","0637","RC","Both",,,"706","353","Clover","Medicare Advantage",,,"54",,"382.65","0.15","5264.58","percent of total billed charges",,
"NF-DAPTOMYCIN IV PWD FOR SOLN 500MG","0637","RC","Both",,,"706","353","Wellcare","Medicare Advantage",,,"54",,"382.65","0.15","5264.58","percent of total billed charges",,
"NF-DAPTOMYCIN IV PWD FOR SOLN 500MG","0637","RC","Both",,,"706","353","Amerigroup","Medicaid Managed Care",,,"37",,"258.4","0.15","5264.58","percent of total billed charges",,
"NF-DAPTOMYCIN IV PWD FOR SOLN 500MG","0637","RC","Both",,,"706","353","Caresource","Medicaid Managed Care",,,"40",,"282.4","0.15","5264.58","percent of total billed charges",,
"NF-DAPTOMYCIN IV PWD FOR SOLN 500MG","0637","RC","Both",,,"706","353","Wellcare","Medicaid Managed Care",,,"40",,"285.93","0.15","5264.58","percent of total billed charges",,
"NF-DAPTOMYCIN IV PWD FOR SOLN 500MG","0637","RC","Both",,,"706","353","Aetna","Commercial",,,"64",,"450.43","0.15","5264.58","percent of total billed charges",,
"NF-DAPTOMYCIN IV PWD FOR SOLN 500MG","0637","RC","Both",,,"706","353","Blue Cross Blue Shield","Pathways",,,"71",,"498.44","0.15","5264.58","percent of total billed charges",,
"NF-DAPTOMYCIN IV PWD FOR SOLN 500MG","0637","RC","Both",,,"706","353","Blue Cross Blue Shield","HMO",,,"71",,"498.44","0.15","5264.58","percent of total billed charges",,
"NF-DAPTOMYCIN IV PWD FOR SOLN 500MG","0637","RC","Both",,,"706","353","Blue Cross Blue Shield","PPO",,,"71",,"498.44","0.15","5264.58","percent of total billed charges",,
"NF-DAPTOMYCIN IV PWD FOR SOLN 500MG","0637","RC","Both",,,"706","353","Ambetter","Health Exchange",,,"62",,"437.72","0.15","5264.58","percent of total billed charges",,
"NF-DAPTOMYCIN IV PWD FOR SOLN 500MG","0637","RC","Both",,,"706","353","Caresource","Health Exchange",,,"62",,"437.72","0.15","5264.58","percent of total billed charges",,
"NF-DAPTOMYCIN IV PWD FOR SOLN 500MG","0637","RC","Both",,,"706","353","Cigna","Commercial",,,"59",,"413.72","0.15","5264.58","percent of total billed charges",,
"NF-DAPTOMYCIN IV PWD FOR SOLN 500MG","0637","RC","Both",,,"706","353","Humana","Commercial",,,"78",,"547.15","0.15","5264.58","percent of total billed charges",,
"NF-DAPTOMYCIN IV PWD FOR SOLN 500MG","0637","RC","Both",,,"706","353","UHC","Commercial",,,"75",,"532.32","0.15","5264.58","percent of total billed charges",,
"NF-DAPTOMYCIN IV PWD FOR SOLN 500MG","0637","RC","Both",,,"706","353","Medicaid",,,,"37",,"258.4","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL ELIX","0637","RC","Both",,,"10.5","5.25","Alliant","Health Exchange",,,"62",,"6.51","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL ELIX","0637","RC","Both",,,"10.5","5.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.67","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL ELIX","0637","RC","Both",,,"10.5","5.25","Medicare",,,,"54",,"5.69","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL ELIX","0637","RC","Both",,,"10.5","5.25","Humana","Medicare Advantage",,,"54",,"5.69","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL ELIX","0637","RC","Both",,,"10.5","5.25","UHC","Medicare Advantage",,,"54",,"5.69","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL ELIX","0637","RC","Both",,,"10.5","5.25","Clover","Medicare Advantage",,,"54",,"5.69","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL ELIX","0637","RC","Both",,,"10.5","5.25","Wellcare","Medicare Advantage",,,"54",,"5.69","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL ELIX","0637","RC","Both",,,"10.5","5.25","Amerigroup","Medicaid Managed Care",,,"37",,"3.84","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL ELIX","0637","RC","Both",,,"10.5","5.25","Caresource","Medicaid Managed Care",,,"40",,"4.2","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL ELIX","0637","RC","Both",,,"10.5","5.25","Wellcare","Medicaid Managed Care",,,"40",,"4.25","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL ELIX","0637","RC","Both",,,"10.5","5.25","Aetna","Commercial",,,"64",,"6.7","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL ELIX","0637","RC","Both",,,"10.5","5.25","Blue Cross Blue Shield","Pathways",,,"71",,"7.41","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL ELIX","0637","RC","Both",,,"10.5","5.25","Blue Cross Blue Shield","HMO",,,"71",,"7.41","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL ELIX","0637","RC","Both",,,"10.5","5.25","Blue Cross Blue Shield","PPO",,,"71",,"7.41","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL ELIX","0637","RC","Both",,,"10.5","5.25","Ambetter","Health Exchange",,,"62",,"6.51","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL ELIX","0637","RC","Both",,,"10.5","5.25","Caresource","Health Exchange",,,"62",,"6.51","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL ELIX","0637","RC","Both",,,"10.5","5.25","Cigna","Commercial",,,"59",,"6.15","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL ELIX","0637","RC","Both",,,"10.5","5.25","Humana","Commercial",,,"78",,"8.14","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL ELIX","0637","RC","Both",,,"10.5","5.25","UHC","Commercial",,,"75",,"7.92","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL ELIX","0637","RC","Both",,,"10.5","5.25","Medicaid",,,,"37",,"3.84","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TAB","0637","RC","Both",,,"34","17","Alliant","Health Exchange",,,"62",,"21.08","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TAB","0637","RC","Both",,,"34","17","Pruitt Healthcare","Medicare Advantage",,,"54",,"18.36","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TAB","0637","RC","Both",,,"34","17","Medicare",,,,"54",,"18.43","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TAB","0637","RC","Both",,,"34","17","Humana","Medicare Advantage",,,"54",,"18.43","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TAB","0637","RC","Both",,,"34","17","UHC","Medicare Advantage",,,"54",,"18.43","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TAB","0637","RC","Both",,,"34","17","Clover","Medicare Advantage",,,"54",,"18.43","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TAB","0637","RC","Both",,,"34","17","Wellcare","Medicare Advantage",,,"54",,"18.43","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TAB","0637","RC","Both",,,"34","17","Amerigroup","Medicaid Managed Care",,,"37",,"12.44","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TAB","0637","RC","Both",,,"34","17","Caresource","Medicaid Managed Care",,,"40",,"13.6","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TAB","0637","RC","Both",,,"34","17","Wellcare","Medicaid Managed Care",,,"40",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TAB","0637","RC","Both",,,"34","17","Aetna","Commercial",,,"64",,"21.69","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TAB","0637","RC","Both",,,"34","17","Blue Cross Blue Shield","Pathways",,,"71",,"24","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TAB","0637","RC","Both",,,"34","17","Blue Cross Blue Shield","HMO",,,"71",,"24","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TAB","0637","RC","Both",,,"34","17","Blue Cross Blue Shield","PPO",,,"71",,"24","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TAB","0637","RC","Both",,,"34","17","Ambetter","Health Exchange",,,"62",,"21.08","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TAB","0637","RC","Both",,,"34","17","Caresource","Health Exchange",,,"62",,"21.08","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TAB","0637","RC","Both",,,"34","17","Cigna","Commercial",,,"59",,"19.92","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TAB","0637","RC","Both",,,"34","17","Humana","Commercial",,,"78",,"26.35","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TAB","0637","RC","Both",,,"34","17","UHC","Commercial",,,"75",,"25.64","0.15","5264.58","percent of total billed charges",,
"NF-DONNATAL TAB","0637","RC","Both",,,"34","17","Medicaid",,,,"37",,"12.44","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM ORAL TABLET 175M","0637","RC","Both",,,"2.5","1.25","Alliant","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM ORAL TABLET 175M","0637","RC","Both",,,"2.5","1.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.35","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM ORAL TABLET 175M","0637","RC","Both",,,"2.5","1.25","Medicare",,,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM ORAL TABLET 175M","0637","RC","Both",,,"2.5","1.25","Humana","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM ORAL TABLET 175M","0637","RC","Both",,,"2.5","1.25","UHC","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM ORAL TABLET 175M","0637","RC","Both",,,"2.5","1.25","Clover","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM ORAL TABLET 175M","0637","RC","Both",,,"2.5","1.25","Wellcare","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM ORAL TABLET 175M","0637","RC","Both",,,"2.5","1.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.92","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM ORAL TABLET 175M","0637","RC","Both",,,"2.5","1.25","Caresource","Medicaid Managed Care",,,"40",,"1","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM ORAL TABLET 175M","0637","RC","Both",,,"2.5","1.25","Wellcare","Medicaid Managed Care",,,"40",,"1.01","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM ORAL TABLET 175M","0637","RC","Both",,,"2.5","1.25","Aetna","Commercial",,,"64",,"1.6","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM ORAL TABLET 175M","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","Pathways",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM ORAL TABLET 175M","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","HMO",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM ORAL TABLET 175M","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","PPO",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM ORAL TABLET 175M","0637","RC","Both",,,"2.5","1.25","Ambetter","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM ORAL TABLET 175M","0637","RC","Both",,,"2.5","1.25","Caresource","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM ORAL TABLET 175M","0637","RC","Both",,,"2.5","1.25","Cigna","Commercial",,,"59",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM ORAL TABLET 175M","0637","RC","Both",,,"2.5","1.25","Humana","Commercial",,,"78",,"1.94","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM ORAL TABLET 175M","0637","RC","Both",,,"2.5","1.25","UHC","Commercial",,,"75",,"1.88","0.15","5264.58","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM ORAL TABLET 175M","0637","RC","Both",,,"2.5","1.25","Medicaid",,,,"37",,"0.92","0.15","5264.58","percent of total billed charges",,
"NF-TORSEMIDE ORAL TABLET 100MG","0637","RC","Both",,,"9","4.5","Alliant","Health Exchange",,,"62",,"5.58","0.15","5264.58","percent of total billed charges",,
"NF-TORSEMIDE ORAL TABLET 100MG","0637","RC","Both",,,"9","4.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.86","0.15","5264.58","percent of total billed charges",,
"NF-TORSEMIDE ORAL TABLET 100MG","0637","RC","Both",,,"9","4.5","Medicare",,,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-TORSEMIDE ORAL TABLET 100MG","0637","RC","Both",,,"9","4.5","Humana","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-TORSEMIDE ORAL TABLET 100MG","0637","RC","Both",,,"9","4.5","UHC","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-TORSEMIDE ORAL TABLET 100MG","0637","RC","Both",,,"9","4.5","Clover","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-TORSEMIDE ORAL TABLET 100MG","0637","RC","Both",,,"9","4.5","Wellcare","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-TORSEMIDE ORAL TABLET 100MG","0637","RC","Both",,,"9","4.5","Amerigroup","Medicaid Managed Care",,,"37",,"3.29","0.15","5264.58","percent of total billed charges",,
"NF-TORSEMIDE ORAL TABLET 100MG","0637","RC","Both",,,"9","4.5","Caresource","Medicaid Managed Care",,,"40",,"3.6","0.15","5264.58","percent of total billed charges",,
"NF-TORSEMIDE ORAL TABLET 100MG","0637","RC","Both",,,"9","4.5","Wellcare","Medicaid Managed Care",,,"40",,"3.65","0.15","5264.58","percent of total billed charges",,
"NF-TORSEMIDE ORAL TABLET 100MG","0637","RC","Both",,,"9","4.5","Aetna","Commercial",,,"64",,"5.74","0.15","5264.58","percent of total billed charges",,
"NF-TORSEMIDE ORAL TABLET 100MG","0637","RC","Both",,,"9","4.5","Blue Cross Blue Shield","Pathways",,,"71",,"6.35","0.15","5264.58","percent of total billed charges",,
"NF-TORSEMIDE ORAL TABLET 100MG","0637","RC","Both",,,"9","4.5","Blue Cross Blue Shield","HMO",,,"71",,"6.35","0.15","5264.58","percent of total billed charges",,
"NF-TORSEMIDE ORAL TABLET 100MG","0637","RC","Both",,,"9","4.5","Blue Cross Blue Shield","PPO",,,"71",,"6.35","0.15","5264.58","percent of total billed charges",,
"NF-TORSEMIDE ORAL TABLET 100MG","0637","RC","Both",,,"9","4.5","Ambetter","Health Exchange",,,"62",,"5.58","0.15","5264.58","percent of total billed charges",,
"NF-TORSEMIDE ORAL TABLET 100MG","0637","RC","Both",,,"9","4.5","Caresource","Health Exchange",,,"62",,"5.58","0.15","5264.58","percent of total billed charges",,
"NF-TORSEMIDE ORAL TABLET 100MG","0637","RC","Both",,,"9","4.5","Cigna","Commercial",,,"59",,"5.27","0.15","5264.58","percent of total billed charges",,
"NF-TORSEMIDE ORAL TABLET 100MG","0637","RC","Both",,,"9","4.5","Humana","Commercial",,,"78",,"6.98","0.15","5264.58","percent of total billed charges",,
"NF-TORSEMIDE ORAL TABLET 100MG","0637","RC","Both",,,"9","4.5","UHC","Commercial",,,"75",,"6.79","0.15","5264.58","percent of total billed charges",,
"NF-TORSEMIDE ORAL TABLET 100MG","0637","RC","Both",,,"9","4.5","Medicaid",,,,"37",,"3.29","0.15","5264.58","percent of total billed charges",,
"NF-BENEFIBER FIBER DRINK MIX ORAL PACKET","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-BENEFIBER FIBER DRINK MIX ORAL PACKET","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-BENEFIBER FIBER DRINK MIX ORAL PACKET","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-BENEFIBER FIBER DRINK MIX ORAL PACKET","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-BENEFIBER FIBER DRINK MIX ORAL PACKET","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-BENEFIBER FIBER DRINK MIX ORAL PACKET","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-BENEFIBER FIBER DRINK MIX ORAL PACKET","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-BENEFIBER FIBER DRINK MIX ORAL PACKET","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-BENEFIBER FIBER DRINK MIX ORAL PACKET","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-BENEFIBER FIBER DRINK MIX ORAL PACKET","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-BENEFIBER FIBER DRINK MIX ORAL PACKET","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-BENEFIBER FIBER DRINK MIX ORAL PACKET","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-BENEFIBER FIBER DRINK MIX ORAL PACKET","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-BENEFIBER FIBER DRINK MIX ORAL PACKET","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-BENEFIBER FIBER DRINK MIX ORAL PACKET","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-BENEFIBER FIBER DRINK MIX ORAL PACKET","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-BENEFIBER FIBER DRINK MIX ORAL PACKET","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-BENEFIBER FIBER DRINK MIX ORAL PACKET","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-BENEFIBER FIBER DRINK MIX ORAL PACKET","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-BENEFIBER FIBER DRINK MIX ORAL PACKET","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-AMITRIPTYLINE HCL ORAL TABLET 25MG","0637","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-AMITRIPTYLINE HCL ORAL TABLET 25MG","0637","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-AMITRIPTYLINE HCL ORAL TABLET 25MG","0637","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-AMITRIPTYLINE HCL ORAL TABLET 25MG","0637","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-AMITRIPTYLINE HCL ORAL TABLET 25MG","0637","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-AMITRIPTYLINE HCL ORAL TABLET 25MG","0637","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-AMITRIPTYLINE HCL ORAL TABLET 25MG","0637","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-AMITRIPTYLINE HCL ORAL TABLET 25MG","0637","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-AMITRIPTYLINE HCL ORAL TABLET 25MG","0637","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.15","5264.58","percent of total billed charges",,
"NF-AMITRIPTYLINE HCL ORAL TABLET 25MG","0637","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-AMITRIPTYLINE HCL ORAL TABLET 25MG","0637","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-AMITRIPTYLINE HCL ORAL TABLET 25MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-AMITRIPTYLINE HCL ORAL TABLET 25MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-AMITRIPTYLINE HCL ORAL TABLET 25MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-AMITRIPTYLINE HCL ORAL TABLET 25MG","0637","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-AMITRIPTYLINE HCL ORAL TABLET 25MG","0637","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-AMITRIPTYLINE HCL ORAL TABLET 25MG","0637","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.15","5264.58","percent of total billed charges",,
"NF-AMITRIPTYLINE HCL ORAL TABLET 25MG","0637","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-AMITRIPTYLINE HCL ORAL TABLET 25MG","0637","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.15","5264.58","percent of total billed charges",,
"NF-AMITRIPTYLINE HCL ORAL TABLET 25MG","0637","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-PHILLIPS' ORAL TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-PHILLIPS' ORAL TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PHILLIPS' ORAL TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PHILLIPS' ORAL TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PHILLIPS' ORAL TABLET 500MG","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PHILLIPS' ORAL TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PHILLIPS' ORAL TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PHILLIPS' ORAL TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-PHILLIPS' ORAL TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-PHILLIPS' ORAL TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-PHILLIPS' ORAL TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-PHILLIPS' ORAL TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-PHILLIPS' ORAL TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-PHILLIPS' ORAL TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-PHILLIPS' ORAL TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-PHILLIPS' ORAL TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-PHILLIPS' ORAL TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-PHILLIPS' ORAL TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-PHILLIPS' ORAL TABLET 500MG","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-PHILLIPS' ORAL TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"BUPIVACAINE 0.25% W/EPI 1:200,000 INJ","0250","RC","Both",,,"52","26","Alliant","Health Exchange",,,"62",,"32.24","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE 0.25% W/EPI 1:200,000 INJ","0250","RC","Both",,,"52","26","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.08","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE 0.25% W/EPI 1:200,000 INJ","0250","RC","Both",,,"52","26","Medicare",,,,"54",,"28.18","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE 0.25% W/EPI 1:200,000 INJ","0250","RC","Both",,,"52","26","Humana","Medicare Advantage",,,"54",,"28.18","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE 0.25% W/EPI 1:200,000 INJ","0250","RC","Both",,,"52","26","UHC","Medicare Advantage",,,"54",,"28.18","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE 0.25% W/EPI 1:200,000 INJ","0250","RC","Both",,,"52","26","Clover","Medicare Advantage",,,"54",,"28.18","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE 0.25% W/EPI 1:200,000 INJ","0250","RC","Both",,,"52","26","Wellcare","Medicare Advantage",,,"54",,"28.18","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE 0.25% W/EPI 1:200,000 INJ","0250","RC","Both",,,"52","26","Amerigroup","Medicaid Managed Care",,,"37",,"19.03","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE 0.25% W/EPI 1:200,000 INJ","0250","RC","Both",,,"52","26","Caresource","Medicaid Managed Care",,,"40",,"20.8","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE 0.25% W/EPI 1:200,000 INJ","0250","RC","Both",,,"52","26","Wellcare","Medicaid Managed Care",,,"40",,"21.06","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE 0.25% W/EPI 1:200,000 INJ","0250","RC","Both",,,"52","26","Aetna","Commercial",,,"64",,"33.18","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE 0.25% W/EPI 1:200,000 INJ","0250","RC","Both",,,"52","26","Blue Cross Blue Shield","Pathways",,,"71",,"36.71","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE 0.25% W/EPI 1:200,000 INJ","0250","RC","Both",,,"52","26","Blue Cross Blue Shield","HMO",,,"71",,"36.71","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE 0.25% W/EPI 1:200,000 INJ","0250","RC","Both",,,"52","26","Blue Cross Blue Shield","PPO",,,"71",,"36.71","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE 0.25% W/EPI 1:200,000 INJ","0250","RC","Both",,,"52","26","Ambetter","Health Exchange",,,"62",,"32.24","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE 0.25% W/EPI 1:200,000 INJ","0250","RC","Both",,,"52","26","Caresource","Health Exchange",,,"62",,"32.24","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE 0.25% W/EPI 1:200,000 INJ","0250","RC","Both",,,"52","26","Cigna","Commercial",,,"59",,"30.47","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE 0.25% W/EPI 1:200,000 INJ","0250","RC","Both",,,"52","26","Humana","Commercial",,,"78",,"40.3","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE 0.25% W/EPI 1:200,000 INJ","0250","RC","Both",,,"52","26","UHC","Commercial",,,"75",,"39.21","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE 0.25% W/EPI 1:200,000 INJ","0250","RC","Both",,,"52","26","Medicaid",,,,"37",,"19.03","0.04","569.62","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Alliant","Health Exchange",,,"62",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.05","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Medicare",,,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Humana","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","UHC","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Clover","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Wellcare","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Amerigroup","Medicaid Managed Care",,,"37",,"2.74","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Caresource","Medicaid Managed Care",,,"40",,"3","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Wellcare","Medicaid Managed Care",,,"40",,"3.04","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Aetna","Commercial",,,"64",,"4.78","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Blue Cross Blue Shield","Pathways",,,"71",,"5.3","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Blue Cross Blue Shield","HMO",,,"71",,"5.3","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Blue Cross Blue Shield","PPO",,,"71",,"5.3","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Ambetter","Health Exchange",,,"62",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Caresource","Health Exchange",,,"62",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Cigna","Commercial",,,"59",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Humana","Commercial",,,"78",,"5.81","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","UHC","Commercial",,,"75",,"5.66","0.15","5264.58","percent of total billed charges",,
"NF-MIDODRINE HCL ORAL TABLET 5MG","0637","RC","Both",,,"7.5","3.75","Medicaid",,,,"37",,"2.74","0.15","5264.58","percent of total billed charges",,
"NF-PEDIAPRED ORAL SOLUTION 5MG/5ML","0637","RC","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-PEDIAPRED ORAL SOLUTION 5MG/5ML","0637","RC","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","0.15","5264.58","percent of total billed charges",,
"NF-PEDIAPRED ORAL SOLUTION 5MG/5ML","0637","RC","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-PEDIAPRED ORAL SOLUTION 5MG/5ML","0637","RC","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-PEDIAPRED ORAL SOLUTION 5MG/5ML","0637","RC","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-PEDIAPRED ORAL SOLUTION 5MG/5ML","0637","RC","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-PEDIAPRED ORAL SOLUTION 5MG/5ML","0637","RC","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-PEDIAPRED ORAL SOLUTION 5MG/5ML","0637","RC","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","0.15","5264.58","percent of total billed charges",,
"NF-PEDIAPRED ORAL SOLUTION 5MG/5ML","0637","RC","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","0.15","5264.58","percent of total billed charges",,
"NF-PEDIAPRED ORAL SOLUTION 5MG/5ML","0637","RC","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","0.15","5264.58","percent of total billed charges",,
"NF-PEDIAPRED ORAL SOLUTION 5MG/5ML","0637","RC","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","0.15","5264.58","percent of total billed charges",,
"NF-PEDIAPRED ORAL SOLUTION 5MG/5ML","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-PEDIAPRED ORAL SOLUTION 5MG/5ML","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-PEDIAPRED ORAL SOLUTION 5MG/5ML","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-PEDIAPRED ORAL SOLUTION 5MG/5ML","0637","RC","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-PEDIAPRED ORAL SOLUTION 5MG/5ML","0637","RC","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-PEDIAPRED ORAL SOLUTION 5MG/5ML","0637","RC","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","0.15","5264.58","percent of total billed charges",,
"NF-PEDIAPRED ORAL SOLUTION 5MG/5ML","0637","RC","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-PEDIAPRED ORAL SOLUTION 5MG/5ML","0637","RC","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","0.15","5264.58","percent of total billed charges",,
"NF-PEDIAPRED ORAL SOLUTION 5MG/5ML","0637","RC","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","0.15","5264.58","percent of total billed charges",,
"NF-LOPERAMIDE HCL ORAL SUSPENSION 1MG/7.","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-LOPERAMIDE HCL ORAL SUSPENSION 1MG/7.","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-LOPERAMIDE HCL ORAL SUSPENSION 1MG/7.","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-LOPERAMIDE HCL ORAL SUSPENSION 1MG/7.","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-LOPERAMIDE HCL ORAL SUSPENSION 1MG/7.","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-LOPERAMIDE HCL ORAL SUSPENSION 1MG/7.","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-LOPERAMIDE HCL ORAL SUSPENSION 1MG/7.","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-LOPERAMIDE HCL ORAL SUSPENSION 1MG/7.","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-LOPERAMIDE HCL ORAL SUSPENSION 1MG/7.","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-LOPERAMIDE HCL ORAL SUSPENSION 1MG/7.","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-LOPERAMIDE HCL ORAL SUSPENSION 1MG/7.","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-LOPERAMIDE HCL ORAL SUSPENSION 1MG/7.","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-LOPERAMIDE HCL ORAL SUSPENSION 1MG/7.","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-LOPERAMIDE HCL ORAL SUSPENSION 1MG/7.","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-LOPERAMIDE HCL ORAL SUSPENSION 1MG/7.","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-LOPERAMIDE HCL ORAL SUSPENSION 1MG/7.","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-LOPERAMIDE HCL ORAL SUSPENSION 1MG/7.","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-LOPERAMIDE HCL ORAL SUSPENSION 1MG/7.","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-LOPERAMIDE HCL ORAL SUSPENSION 1MG/7.","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-LOPERAMIDE HCL ORAL SUSPENSION 1MG/7.","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 50MG","0637","RC","Both",,,"7.5","3.75","Alliant","Health Exchange",,,"62",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 50MG","0637","RC","Both",,,"7.5","3.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.05","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 50MG","0637","RC","Both",,,"7.5","3.75","Medicare",,,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 50MG","0637","RC","Both",,,"7.5","3.75","Humana","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 50MG","0637","RC","Both",,,"7.5","3.75","UHC","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 50MG","0637","RC","Both",,,"7.5","3.75","Clover","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 50MG","0637","RC","Both",,,"7.5","3.75","Wellcare","Medicare Advantage",,,"54",,"4.07","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 50MG","0637","RC","Both",,,"7.5","3.75","Amerigroup","Medicaid Managed Care",,,"37",,"2.74","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 50MG","0637","RC","Both",,,"7.5","3.75","Caresource","Medicaid Managed Care",,,"40",,"3","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 50MG","0637","RC","Both",,,"7.5","3.75","Wellcare","Medicaid Managed Care",,,"40",,"3.04","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 50MG","0637","RC","Both",,,"7.5","3.75","Aetna","Commercial",,,"64",,"4.78","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 50MG","0637","RC","Both",,,"7.5","3.75","Blue Cross Blue Shield","Pathways",,,"71",,"5.3","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 50MG","0637","RC","Both",,,"7.5","3.75","Blue Cross Blue Shield","HMO",,,"71",,"5.3","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 50MG","0637","RC","Both",,,"7.5","3.75","Blue Cross Blue Shield","PPO",,,"71",,"5.3","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 50MG","0637","RC","Both",,,"7.5","3.75","Ambetter","Health Exchange",,,"62",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 50MG","0637","RC","Both",,,"7.5","3.75","Caresource","Health Exchange",,,"62",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 50MG","0637","RC","Both",,,"7.5","3.75","Cigna","Commercial",,,"59",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 50MG","0637","RC","Both",,,"7.5","3.75","Humana","Commercial",,,"78",,"5.81","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 50MG","0637","RC","Both",,,"7.5","3.75","UHC","Commercial",,,"75",,"5.66","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 50MG","0637","RC","Both",,,"7.5","3.75","Medicaid",,,,"37",,"2.74","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 150MG","0637","RC","Both",,,"21.5","10.75","Alliant","Health Exchange",,,"62",,"13.33","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 150MG","0637","RC","Both",,,"21.5","10.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.61","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 150MG","0637","RC","Both",,,"21.5","10.75","Medicare",,,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 150MG","0637","RC","Both",,,"21.5","10.75","Humana","Medicare Advantage",,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 150MG","0637","RC","Both",,,"21.5","10.75","UHC","Medicare Advantage",,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 150MG","0637","RC","Both",,,"21.5","10.75","Clover","Medicare Advantage",,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 150MG","0637","RC","Both",,,"21.5","10.75","Wellcare","Medicare Advantage",,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 150MG","0637","RC","Both",,,"21.5","10.75","Amerigroup","Medicaid Managed Care",,,"37",,"7.87","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 150MG","0637","RC","Both",,,"21.5","10.75","Caresource","Medicaid Managed Care",,,"40",,"8.6","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 150MG","0637","RC","Both",,,"21.5","10.75","Wellcare","Medicaid Managed Care",,,"40",,"8.71","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 150MG","0637","RC","Both",,,"21.5","10.75","Aetna","Commercial",,,"64",,"13.72","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 150MG","0637","RC","Both",,,"21.5","10.75","Blue Cross Blue Shield","Pathways",,,"71",,"15.18","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 150MG","0637","RC","Both",,,"21.5","10.75","Blue Cross Blue Shield","HMO",,,"71",,"15.18","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 150MG","0637","RC","Both",,,"21.5","10.75","Blue Cross Blue Shield","PPO",,,"71",,"15.18","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 150MG","0637","RC","Both",,,"21.5","10.75","Ambetter","Health Exchange",,,"62",,"13.33","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 150MG","0637","RC","Both",,,"21.5","10.75","Caresource","Health Exchange",,,"62",,"13.33","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 150MG","0637","RC","Both",,,"21.5","10.75","Cigna","Commercial",,,"59",,"12.6","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 150MG","0637","RC","Both",,,"21.5","10.75","Humana","Commercial",,,"78",,"16.66","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 150MG","0637","RC","Both",,,"21.5","10.75","UHC","Commercial",,,"75",,"16.21","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE CAP 150MG","0637","RC","Both",,,"21.5","10.75","Medicaid",,,,"37",,"7.87","0.15","5264.58","percent of total billed charges",,
"NF-ESTRACE ORAL TABLET 1MG","0637","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-ESTRACE ORAL TABLET 1MG","0637","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-ESTRACE ORAL TABLET 1MG","0637","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-ESTRACE ORAL TABLET 1MG","0637","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-ESTRACE ORAL TABLET 1MG","0637","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-ESTRACE ORAL TABLET 1MG","0637","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-ESTRACE ORAL TABLET 1MG","0637","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-ESTRACE ORAL TABLET 1MG","0637","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-ESTRACE ORAL TABLET 1MG","0637","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.15","5264.58","percent of total billed charges",,
"NF-ESTRACE ORAL TABLET 1MG","0637","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.15","5264.58","percent of total billed charges",,
"NF-ESTRACE ORAL TABLET 1MG","0637","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.15","5264.58","percent of total billed charges",,
"NF-ESTRACE ORAL TABLET 1MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-ESTRACE ORAL TABLET 1MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-ESTRACE ORAL TABLET 1MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-ESTRACE ORAL TABLET 1MG","0637","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-ESTRACE ORAL TABLET 1MG","0637","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-ESTRACE ORAL TABLET 1MG","0637","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-ESTRACE ORAL TABLET 1MG","0637","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.15","5264.58","percent of total billed charges",,
"NF-ESTRACE ORAL TABLET 1MG","0637","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.15","5264.58","percent of total billed charges",,
"NF-ESTRACE ORAL TABLET 1MG","0637","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-PRIMIDONE ORAL TABLET 50MG","0637","RC","Both",,,"1.5","0.75","Alliant","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-PRIMIDONE ORAL TABLET 50MG","0637","RC","Both",,,"1.5","0.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-PRIMIDONE ORAL TABLET 50MG","0637","RC","Both",,,"1.5","0.75","Medicare",,,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-PRIMIDONE ORAL TABLET 50MG","0637","RC","Both",,,"1.5","0.75","Humana","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-PRIMIDONE ORAL TABLET 50MG","0637","RC","Both",,,"1.5","0.75","UHC","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-PRIMIDONE ORAL TABLET 50MG","0637","RC","Both",,,"1.5","0.75","Clover","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-PRIMIDONE ORAL TABLET 50MG","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-PRIMIDONE ORAL TABLET 50MG","0637","RC","Both",,,"1.5","0.75","Amerigroup","Medicaid Managed Care",,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-PRIMIDONE ORAL TABLET 50MG","0637","RC","Both",,,"1.5","0.75","Caresource","Medicaid Managed Care",,,"40",,"0.6","0.15","5264.58","percent of total billed charges",,
"NF-PRIMIDONE ORAL TABLET 50MG","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicaid Managed Care",,,"40",,"0.61","0.15","5264.58","percent of total billed charges",,
"NF-PRIMIDONE ORAL TABLET 50MG","0637","RC","Both",,,"1.5","0.75","Aetna","Commercial",,,"64",,"0.96","0.15","5264.58","percent of total billed charges",,
"NF-PRIMIDONE ORAL TABLET 50MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","Pathways",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-PRIMIDONE ORAL TABLET 50MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","HMO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-PRIMIDONE ORAL TABLET 50MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","PPO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-PRIMIDONE ORAL TABLET 50MG","0637","RC","Both",,,"1.5","0.75","Ambetter","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-PRIMIDONE ORAL TABLET 50MG","0637","RC","Both",,,"1.5","0.75","Caresource","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-PRIMIDONE ORAL TABLET 50MG","0637","RC","Both",,,"1.5","0.75","Cigna","Commercial",,,"59",,"0.88","0.15","5264.58","percent of total billed charges",,
"NF-PRIMIDONE ORAL TABLET 50MG","0637","RC","Both",,,"1.5","0.75","Humana","Commercial",,,"78",,"1.16","0.15","5264.58","percent of total billed charges",,
"NF-PRIMIDONE ORAL TABLET 50MG","0637","RC","Both",,,"1.5","0.75","UHC","Commercial",,,"75",,"1.13","0.15","5264.58","percent of total billed charges",,
"NF-PRIMIDONE ORAL TABLET 50MG","0637","RC","Both",,,"1.5","0.75","Medicaid",,,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 2.5MG ORAL TABLET","0637","RC","Both",,,"14.5","7.25","Alliant","Health Exchange",,,"62",,"8.99","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 2.5MG ORAL TABLET","0637","RC","Both",,,"14.5","7.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.83","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 2.5MG ORAL TABLET","0637","RC","Both",,,"14.5","7.25","Medicare",,,,"54",,"7.86","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 2.5MG ORAL TABLET","0637","RC","Both",,,"14.5","7.25","Humana","Medicare Advantage",,,"54",,"7.86","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 2.5MG ORAL TABLET","0637","RC","Both",,,"14.5","7.25","UHC","Medicare Advantage",,,"54",,"7.86","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 2.5MG ORAL TABLET","0637","RC","Both",,,"14.5","7.25","Clover","Medicare Advantage",,,"54",,"7.86","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 2.5MG ORAL TABLET","0637","RC","Both",,,"14.5","7.25","Wellcare","Medicare Advantage",,,"54",,"7.86","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 2.5MG ORAL TABLET","0637","RC","Both",,,"14.5","7.25","Amerigroup","Medicaid Managed Care",,,"37",,"5.31","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 2.5MG ORAL TABLET","0637","RC","Both",,,"14.5","7.25","Caresource","Medicaid Managed Care",,,"40",,"5.8","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 2.5MG ORAL TABLET","0637","RC","Both",,,"14.5","7.25","Wellcare","Medicaid Managed Care",,,"40",,"5.87","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 2.5MG ORAL TABLET","0637","RC","Both",,,"14.5","7.25","Aetna","Commercial",,,"64",,"9.25","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 2.5MG ORAL TABLET","0637","RC","Both",,,"14.5","7.25","Blue Cross Blue Shield","Pathways",,,"71",,"10.24","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 2.5MG ORAL TABLET","0637","RC","Both",,,"14.5","7.25","Blue Cross Blue Shield","HMO",,,"71",,"10.24","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 2.5MG ORAL TABLET","0637","RC","Both",,,"14.5","7.25","Blue Cross Blue Shield","PPO",,,"71",,"10.24","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 2.5MG ORAL TABLET","0637","RC","Both",,,"14.5","7.25","Ambetter","Health Exchange",,,"62",,"8.99","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 2.5MG ORAL TABLET","0637","RC","Both",,,"14.5","7.25","Caresource","Health Exchange",,,"62",,"8.99","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 2.5MG ORAL TABLET","0637","RC","Both",,,"14.5","7.25","Cigna","Commercial",,,"59",,"8.5","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 2.5MG ORAL TABLET","0637","RC","Both",,,"14.5","7.25","Humana","Commercial",,,"78",,"11.24","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 2.5MG ORAL TABLET","0637","RC","Both",,,"14.5","7.25","UHC","Commercial",,,"75",,"10.93","0.15","5264.58","percent of total billed charges",,
"NF-BYSTOLIC 2.5MG ORAL TABLET","0637","RC","Both",,,"14.5","7.25","Medicaid",,,,"37",,"5.31","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED","0637","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-NAPROXEN ORAL TABLET 220MG","0637","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-NAPROXEN ORAL TABLET 220MG","0637","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-NAPROXEN ORAL TABLET 220MG","0637","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-NAPROXEN ORAL TABLET 220MG","0637","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-NAPROXEN ORAL TABLET 220MG","0637","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-NAPROXEN ORAL TABLET 220MG","0637","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-NAPROXEN ORAL TABLET 220MG","0637","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-NAPROXEN ORAL TABLET 220MG","0637","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-NAPROXEN ORAL TABLET 220MG","0637","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.15","5264.58","percent of total billed charges",,
"NF-NAPROXEN ORAL TABLET 220MG","0637","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.15","5264.58","percent of total billed charges",,
"NF-NAPROXEN ORAL TABLET 220MG","0637","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.15","5264.58","percent of total billed charges",,
"NF-NAPROXEN ORAL TABLET 220MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-NAPROXEN ORAL TABLET 220MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-NAPROXEN ORAL TABLET 220MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-NAPROXEN ORAL TABLET 220MG","0637","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-NAPROXEN ORAL TABLET 220MG","0637","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-NAPROXEN ORAL TABLET 220MG","0637","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-NAPROXEN ORAL TABLET 220MG","0637","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.15","5264.58","percent of total billed charges",,
"NF-NAPROXEN ORAL TABLET 220MG","0637","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.15","5264.58","percent of total billed charges",,
"NF-NAPROXEN ORAL TABLET 220MG","0637","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-ALPHAGAN P 0.15% OPHTHALMIC SOLUTION","0637","RC","Both",,,"52.5","26.25","Alliant","Health Exchange",,,"62",,"32.55","0.15","5264.58","percent of total billed charges",,
"NF-ALPHAGAN P 0.15% OPHTHALMIC SOLUTION","0637","RC","Both",,,"52.5","26.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.35","0.15","5264.58","percent of total billed charges",,
"NF-ALPHAGAN P 0.15% OPHTHALMIC SOLUTION","0637","RC","Both",,,"52.5","26.25","Medicare",,,,"54",,"28.46","0.15","5264.58","percent of total billed charges",,
"NF-ALPHAGAN P 0.15% OPHTHALMIC SOLUTION","0637","RC","Both",,,"52.5","26.25","Humana","Medicare Advantage",,,"54",,"28.46","0.15","5264.58","percent of total billed charges",,
"NF-ALPHAGAN P 0.15% OPHTHALMIC SOLUTION","0637","RC","Both",,,"52.5","26.25","UHC","Medicare Advantage",,,"54",,"28.46","0.15","5264.58","percent of total billed charges",,
"NF-ALPHAGAN P 0.15% OPHTHALMIC SOLUTION","0637","RC","Both",,,"52.5","26.25","Clover","Medicare Advantage",,,"54",,"28.46","0.15","5264.58","percent of total billed charges",,
"NF-ALPHAGAN P 0.15% OPHTHALMIC SOLUTION","0637","RC","Both",,,"52.5","26.25","Wellcare","Medicare Advantage",,,"54",,"28.46","0.15","5264.58","percent of total billed charges",,
"NF-ALPHAGAN P 0.15% OPHTHALMIC SOLUTION","0637","RC","Both",,,"52.5","26.25","Amerigroup","Medicaid Managed Care",,,"37",,"19.22","0.15","5264.58","percent of total billed charges",,
"NF-ALPHAGAN P 0.15% OPHTHALMIC SOLUTION","0637","RC","Both",,,"52.5","26.25","Caresource","Medicaid Managed Care",,,"40",,"21","0.15","5264.58","percent of total billed charges",,
"NF-ALPHAGAN P 0.15% OPHTHALMIC SOLUTION","0637","RC","Both",,,"52.5","26.25","Wellcare","Medicaid Managed Care",,,"40",,"21.26","0.15","5264.58","percent of total billed charges",,
"NF-ALPHAGAN P 0.15% OPHTHALMIC SOLUTION","0637","RC","Both",,,"52.5","26.25","Aetna","Commercial",,,"64",,"33.49","0.15","5264.58","percent of total billed charges",,
"NF-ALPHAGAN P 0.15% OPHTHALMIC SOLUTION","0637","RC","Both",,,"52.5","26.25","Blue Cross Blue Shield","Pathways",,,"71",,"37.06","0.15","5264.58","percent of total billed charges",,
"NF-ALPHAGAN P 0.15% OPHTHALMIC SOLUTION","0637","RC","Both",,,"52.5","26.25","Blue Cross Blue Shield","HMO",,,"71",,"37.06","0.15","5264.58","percent of total billed charges",,
"NF-ALPHAGAN P 0.15% OPHTHALMIC SOLUTION","0637","RC","Both",,,"52.5","26.25","Blue Cross Blue Shield","PPO",,,"71",,"37.06","0.15","5264.58","percent of total billed charges",,
"NF-ALPHAGAN P 0.15% OPHTHALMIC SOLUTION","0637","RC","Both",,,"52.5","26.25","Ambetter","Health Exchange",,,"62",,"32.55","0.15","5264.58","percent of total billed charges",,
"NF-ALPHAGAN P 0.15% OPHTHALMIC SOLUTION","0637","RC","Both",,,"52.5","26.25","Caresource","Health Exchange",,,"62",,"32.55","0.15","5264.58","percent of total billed charges",,
"NF-ALPHAGAN P 0.15% OPHTHALMIC SOLUTION","0637","RC","Both",,,"52.5","26.25","Cigna","Commercial",,,"59",,"30.76","0.15","5264.58","percent of total billed charges",,
"NF-ALPHAGAN P 0.15% OPHTHALMIC SOLUTION","0637","RC","Both",,,"52.5","26.25","Humana","Commercial",,,"78",,"40.69","0.15","5264.58","percent of total billed charges",,
"NF-ALPHAGAN P 0.15% OPHTHALMIC SOLUTION","0637","RC","Both",,,"52.5","26.25","UHC","Commercial",,,"75",,"39.58","0.15","5264.58","percent of total billed charges",,
"NF-ALPHAGAN P 0.15% OPHTHALMIC SOLUTION","0637","RC","Both",,,"52.5","26.25","Medicaid",,,,"37",,"19.22","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet Extended-Release 90","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet Extended-Release 90","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet Extended-Release 90","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet Extended-Release 90","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet Extended-Release 90","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet Extended-Release 90","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet Extended-Release 90","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet Extended-Release 90","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet Extended-Release 90","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet Extended-Release 90","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet Extended-Release 90","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet Extended-Release 90","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet Extended-Release 90","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet Extended-Release 90","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet Extended-Release 90","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet Extended-Release 90","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet Extended-Release 90","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet Extended-Release 90","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet Extended-Release 90","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet Extended-Release 90","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA ALLERGY ORAL TABLET 180MG","0637","RC","Both",,,"1.5","0.75","Alliant","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA ALLERGY ORAL TABLET 180MG","0637","RC","Both",,,"1.5","0.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA ALLERGY ORAL TABLET 180MG","0637","RC","Both",,,"1.5","0.75","Medicare",,,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA ALLERGY ORAL TABLET 180MG","0637","RC","Both",,,"1.5","0.75","Humana","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA ALLERGY ORAL TABLET 180MG","0637","RC","Both",,,"1.5","0.75","UHC","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA ALLERGY ORAL TABLET 180MG","0637","RC","Both",,,"1.5","0.75","Clover","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA ALLERGY ORAL TABLET 180MG","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA ALLERGY ORAL TABLET 180MG","0637","RC","Both",,,"1.5","0.75","Amerigroup","Medicaid Managed Care",,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA ALLERGY ORAL TABLET 180MG","0637","RC","Both",,,"1.5","0.75","Caresource","Medicaid Managed Care",,,"40",,"0.6","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA ALLERGY ORAL TABLET 180MG","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicaid Managed Care",,,"40",,"0.61","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA ALLERGY ORAL TABLET 180MG","0637","RC","Both",,,"1.5","0.75","Aetna","Commercial",,,"64",,"0.96","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA ALLERGY ORAL TABLET 180MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","Pathways",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA ALLERGY ORAL TABLET 180MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","HMO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA ALLERGY ORAL TABLET 180MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","PPO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA ALLERGY ORAL TABLET 180MG","0637","RC","Both",,,"1.5","0.75","Ambetter","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA ALLERGY ORAL TABLET 180MG","0637","RC","Both",,,"1.5","0.75","Caresource","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA ALLERGY ORAL TABLET 180MG","0637","RC","Both",,,"1.5","0.75","Cigna","Commercial",,,"59",,"0.88","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA ALLERGY ORAL TABLET 180MG","0637","RC","Both",,,"1.5","0.75","Humana","Commercial",,,"78",,"1.16","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA ALLERGY ORAL TABLET 180MG","0637","RC","Both",,,"1.5","0.75","UHC","Commercial",,,"75",,"1.13","0.15","5264.58","percent of total billed charges",,
"NF-ALLEGRA ALLERGY ORAL TABLET 180MG","0637","RC","Both",,,"1.5","0.75","Medicaid",,,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-ALLERGY RELIEF ORAL TABLET 180MG","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-ALLERGY RELIEF ORAL TABLET 180MG","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-ALLERGY RELIEF ORAL TABLET 180MG","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-ALLERGY RELIEF ORAL TABLET 180MG","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-ALLERGY RELIEF ORAL TABLET 180MG","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-ALLERGY RELIEF ORAL TABLET 180MG","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-ALLERGY RELIEF ORAL TABLET 180MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-ALLERGY RELIEF ORAL TABLET 180MG","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-ALLERGY RELIEF ORAL TABLET 180MG","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-ALLERGY RELIEF ORAL TABLET 180MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-ALLERGY RELIEF ORAL TABLET 180MG","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-ALLERGY RELIEF ORAL TABLET 180MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-ALLERGY RELIEF ORAL TABLET 180MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-ALLERGY RELIEF ORAL TABLET 180MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-ALLERGY RELIEF ORAL TABLET 180MG","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-ALLERGY RELIEF ORAL TABLET 180MG","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-ALLERGY RELIEF ORAL TABLET 180MG","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-ALLERGY RELIEF ORAL TABLET 180MG","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-ALLERGY RELIEF ORAL TABLET 180MG","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-ALLERGY RELIEF ORAL TABLET 180MG","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 12 Hr Tab ER 300MG","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 12 Hr Tab ER 300MG","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 12 Hr Tab ER 300MG","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 12 Hr Tab ER 300MG","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 12 Hr Tab ER 300MG","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 12 Hr Tab ER 300MG","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 12 Hr Tab ER 300MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 12 Hr Tab ER 300MG","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 12 Hr Tab ER 300MG","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 12 Hr Tab ER 300MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 12 Hr Tab ER 300MG","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 12 Hr Tab ER 300MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 12 Hr Tab ER 300MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 12 Hr Tab ER 300MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 12 Hr Tab ER 300MG","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 12 Hr Tab ER 300MG","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 12 Hr Tab ER 300MG","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 12 Hr Tab ER 300MG","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 12 Hr Tab ER 300MG","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 12 Hr Tab ER 300MG","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0637","RC","Both",,,"108","54","Alliant","Health Exchange",,,"62",,"66.96","0.15","5264.58","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0637","RC","Both",,,"108","54","Pruitt Healthcare","Medicare Advantage",,,"54",,"58.32","0.15","5264.58","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0637","RC","Both",,,"108","54","Medicare",,,,"54",,"58.54","0.15","5264.58","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0637","RC","Both",,,"108","54","Humana","Medicare Advantage",,,"54",,"58.54","0.15","5264.58","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0637","RC","Both",,,"108","54","UHC","Medicare Advantage",,,"54",,"58.54","0.15","5264.58","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0637","RC","Both",,,"108","54","Clover","Medicare Advantage",,,"54",,"58.54","0.15","5264.58","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0637","RC","Both",,,"108","54","Wellcare","Medicare Advantage",,,"54",,"58.54","0.15","5264.58","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0637","RC","Both",,,"108","54","Amerigroup","Medicaid Managed Care",,,"37",,"39.53","0.15","5264.58","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0637","RC","Both",,,"108","54","Caresource","Medicaid Managed Care",,,"40",,"43.2","0.15","5264.58","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0637","RC","Both",,,"108","54","Wellcare","Medicaid Managed Care",,,"40",,"43.74","0.15","5264.58","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0637","RC","Both",,,"108","54","Aetna","Commercial",,,"64",,"68.9","0.15","5264.58","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0637","RC","Both",,,"108","54","Blue Cross Blue Shield","Pathways",,,"71",,"76.25","0.15","5264.58","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0637","RC","Both",,,"108","54","Blue Cross Blue Shield","HMO",,,"71",,"76.25","0.15","5264.58","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0637","RC","Both",,,"108","54","Blue Cross Blue Shield","PPO",,,"71",,"76.25","0.15","5264.58","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0637","RC","Both",,,"108","54","Ambetter","Health Exchange",,,"62",,"66.96","0.15","5264.58","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0637","RC","Both",,,"108","54","Caresource","Health Exchange",,,"62",,"66.96","0.15","5264.58","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0637","RC","Both",,,"108","54","Cigna","Commercial",,,"59",,"63.29","0.15","5264.58","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0637","RC","Both",,,"108","54","Humana","Commercial",,,"78",,"83.7","0.15","5264.58","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0637","RC","Both",,,"108","54","UHC","Commercial",,,"75",,"81.43","0.15","5264.58","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0637","RC","Both",,,"108","54","Medicaid",,,,"37",,"39.53","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin Oral Capsule 25MG","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin Oral Capsule 25MG","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin Oral Capsule 25MG","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin Oral Capsule 25MG","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin Oral Capsule 25MG","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin Oral Capsule 25MG","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin Oral Capsule 25MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin Oral Capsule 25MG","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin Oral Capsule 25MG","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin Oral Capsule 25MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin Oral Capsule 25MG","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin Oral Capsule 25MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin Oral Capsule 25MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin Oral Capsule 25MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin Oral Capsule 25MG","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin Oral Capsule 25MG","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin Oral Capsule 25MG","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin Oral Capsule 25MG","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin Oral Capsule 25MG","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin Oral Capsule 25MG","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","0637","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","0637","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","0637","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","0637","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","0637","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","0637","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","0637","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","0637","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","0637","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.15","5264.58","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","0637","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.15","5264.58","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","0637","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.15","5264.58","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","0637","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","0637","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","0637","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","0637","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.15","5264.58","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","0637","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.15","5264.58","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","0637","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0637","RC","Both",,,"16.5","8.25","Alliant","Health Exchange",,,"62",,"10.23","0.15","5264.58","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0637","RC","Both",,,"16.5","8.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.91","0.15","5264.58","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0637","RC","Both",,,"16.5","8.25","Medicare",,,,"54",,"8.94","0.15","5264.58","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0637","RC","Both",,,"16.5","8.25","Humana","Medicare Advantage",,,"54",,"8.94","0.15","5264.58","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0637","RC","Both",,,"16.5","8.25","UHC","Medicare Advantage",,,"54",,"8.94","0.15","5264.58","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0637","RC","Both",,,"16.5","8.25","Clover","Medicare Advantage",,,"54",,"8.94","0.15","5264.58","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0637","RC","Both",,,"16.5","8.25","Wellcare","Medicare Advantage",,,"54",,"8.94","0.15","5264.58","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0637","RC","Both",,,"16.5","8.25","Amerigroup","Medicaid Managed Care",,,"37",,"6.04","0.15","5264.58","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0637","RC","Both",,,"16.5","8.25","Caresource","Medicaid Managed Care",,,"40",,"6.6","0.15","5264.58","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0637","RC","Both",,,"16.5","8.25","Wellcare","Medicaid Managed Care",,,"40",,"6.68","0.15","5264.58","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0637","RC","Both",,,"16.5","8.25","Aetna","Commercial",,,"64",,"10.53","0.15","5264.58","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0637","RC","Both",,,"16.5","8.25","Blue Cross Blue Shield","Pathways",,,"71",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0637","RC","Both",,,"16.5","8.25","Blue Cross Blue Shield","HMO",,,"71",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0637","RC","Both",,,"16.5","8.25","Blue Cross Blue Shield","PPO",,,"71",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0637","RC","Both",,,"16.5","8.25","Ambetter","Health Exchange",,,"62",,"10.23","0.15","5264.58","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0637","RC","Both",,,"16.5","8.25","Caresource","Health Exchange",,,"62",,"10.23","0.15","5264.58","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0637","RC","Both",,,"16.5","8.25","Cigna","Commercial",,,"59",,"9.67","0.15","5264.58","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0637","RC","Both",,,"16.5","8.25","Humana","Commercial",,,"78",,"12.79","0.15","5264.58","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0637","RC","Both",,,"16.5","8.25","UHC","Commercial",,,"75",,"12.44","0.15","5264.58","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0637","RC","Both",,,"16.5","8.25","Medicaid",,,,"37",,"6.04","0.15","5264.58","percent of total billed charges",,
"NF-CLONIDINE TD PATCH ER 0.3MG/24HR","0637","RC","Both",,,"483.5","241.75","Alliant","Health Exchange",,,"62",,"299.77","0.15","5264.58","percent of total billed charges",,
"NF-CLONIDINE TD PATCH ER 0.3MG/24HR","0637","RC","Both",,,"483.5","241.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"261.09","0.15","5264.58","percent of total billed charges",,
"NF-CLONIDINE TD PATCH ER 0.3MG/24HR","0637","RC","Both",,,"483.5","241.75","Medicare",,,,"54",,"262.06","0.15","5264.58","percent of total billed charges",,
"NF-CLONIDINE TD PATCH ER 0.3MG/24HR","0637","RC","Both",,,"483.5","241.75","Humana","Medicare Advantage",,,"54",,"262.06","0.15","5264.58","percent of total billed charges",,
"NF-CLONIDINE TD PATCH ER 0.3MG/24HR","0637","RC","Both",,,"483.5","241.75","UHC","Medicare Advantage",,,"54",,"262.06","0.15","5264.58","percent of total billed charges",,
"NF-CLONIDINE TD PATCH ER 0.3MG/24HR","0637","RC","Both",,,"483.5","241.75","Clover","Medicare Advantage",,,"54",,"262.06","0.15","5264.58","percent of total billed charges",,
"NF-CLONIDINE TD PATCH ER 0.3MG/24HR","0637","RC","Both",,,"483.5","241.75","Wellcare","Medicare Advantage",,,"54",,"262.06","0.15","5264.58","percent of total billed charges",,
"NF-CLONIDINE TD PATCH ER 0.3MG/24HR","0637","RC","Both",,,"483.5","241.75","Amerigroup","Medicaid Managed Care",,,"37",,"176.96","0.15","5264.58","percent of total billed charges",,
"NF-CLONIDINE TD PATCH ER 0.3MG/24HR","0637","RC","Both",,,"483.5","241.75","Caresource","Medicaid Managed Care",,,"40",,"193.4","0.15","5264.58","percent of total billed charges",,
"NF-CLONIDINE TD PATCH ER 0.3MG/24HR","0637","RC","Both",,,"483.5","241.75","Wellcare","Medicaid Managed Care",,,"40",,"195.82","0.15","5264.58","percent of total billed charges",,
"NF-CLONIDINE TD PATCH ER 0.3MG/24HR","0637","RC","Both",,,"483.5","241.75","Aetna","Commercial",,,"64",,"308.47","0.15","5264.58","percent of total billed charges",,
"NF-CLONIDINE TD PATCH ER 0.3MG/24HR","0637","RC","Both",,,"483.5","241.75","Blue Cross Blue Shield","Pathways",,,"71",,"341.35","0.15","5264.58","percent of total billed charges",,
"NF-CLONIDINE TD PATCH ER 0.3MG/24HR","0637","RC","Both",,,"483.5","241.75","Blue Cross Blue Shield","HMO",,,"71",,"341.35","0.15","5264.58","percent of total billed charges",,
"NF-CLONIDINE TD PATCH ER 0.3MG/24HR","0637","RC","Both",,,"483.5","241.75","Blue Cross Blue Shield","PPO",,,"71",,"341.35","0.15","5264.58","percent of total billed charges",,
"NF-CLONIDINE TD PATCH ER 0.3MG/24HR","0637","RC","Both",,,"483.5","241.75","Ambetter","Health Exchange",,,"62",,"299.77","0.15","5264.58","percent of total billed charges",,
"NF-CLONIDINE TD PATCH ER 0.3MG/24HR","0637","RC","Both",,,"483.5","241.75","Caresource","Health Exchange",,,"62",,"299.77","0.15","5264.58","percent of total billed charges",,
"NF-CLONIDINE TD PATCH ER 0.3MG/24HR","0637","RC","Both",,,"483.5","241.75","Cigna","Commercial",,,"59",,"283.33","0.15","5264.58","percent of total billed charges",,
"NF-CLONIDINE TD PATCH ER 0.3MG/24HR","0637","RC","Both",,,"483.5","241.75","Humana","Commercial",,,"78",,"374.71","0.15","5264.58","percent of total billed charges",,
"NF-CLONIDINE TD PATCH ER 0.3MG/24HR","0637","RC","Both",,,"483.5","241.75","UHC","Commercial",,,"75",,"364.56","0.15","5264.58","percent of total billed charges",,
"NF-CLONIDINE TD PATCH ER 0.3MG/24HR","0637","RC","Both",,,"483.5","241.75","Medicaid",,,,"37",,"176.96","0.15","5264.58","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","0637","RC","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","0637","RC","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","0.15","5264.58","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","0637","RC","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","0637","RC","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","0637","RC","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","0637","RC","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","0637","RC","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","0637","RC","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","0.15","5264.58","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","0637","RC","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","0.15","5264.58","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","0637","RC","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","0.15","5264.58","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","0637","RC","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","0.15","5264.58","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","0637","RC","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","0637","RC","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","0637","RC","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","0.15","5264.58","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","0637","RC","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","0637","RC","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","0.15","5264.58","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","0637","RC","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","0.15","5264.58","percent of total billed charges",,
"NF-Revlimid Oral Capsule 5MG","0637","RC","Both",,,"2149","1074.5","Alliant","Health Exchange",,,"62",,"1332.38","0.15","5264.58","percent of total billed charges",,
"NF-Revlimid Oral Capsule 5MG","0637","RC","Both",,,"2149","1074.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1160.46","0.15","5264.58","percent of total billed charges",,
"NF-Revlimid Oral Capsule 5MG","0637","RC","Both",,,"2149","1074.5","Medicare",,,,"54",,"1164.76","0.15","5264.58","percent of total billed charges",,
"NF-Revlimid Oral Capsule 5MG","0637","RC","Both",,,"2149","1074.5","Humana","Medicare Advantage",,,"54",,"1164.76","0.15","5264.58","percent of total billed charges",,
"NF-Revlimid Oral Capsule 5MG","0637","RC","Both",,,"2149","1074.5","UHC","Medicare Advantage",,,"54",,"1164.76","0.15","5264.58","percent of total billed charges",,
"NF-Revlimid Oral Capsule 5MG","0637","RC","Both",,,"2149","1074.5","Clover","Medicare Advantage",,,"54",,"1164.76","0.15","5264.58","percent of total billed charges",,
"NF-Revlimid Oral Capsule 5MG","0637","RC","Both",,,"2149","1074.5","Wellcare","Medicare Advantage",,,"54",,"1164.76","0.15","5264.58","percent of total billed charges",,
"NF-Revlimid Oral Capsule 5MG","0637","RC","Both",,,"2149","1074.5","Amerigroup","Medicaid Managed Care",,,"37",,"786.53","0.15","5264.58","percent of total billed charges",,
"NF-Revlimid Oral Capsule 5MG","0637","RC","Both",,,"2149","1074.5","Caresource","Medicaid Managed Care",,,"40",,"859.6","0.15","5264.58","percent of total billed charges",,
"NF-Revlimid Oral Capsule 5MG","0637","RC","Both",,,"2149","1074.5","Wellcare","Medicaid Managed Care",,,"40",,"870.34","0.15","5264.58","percent of total billed charges",,
"NF-Revlimid Oral Capsule 5MG","0637","RC","Both",,,"2149","1074.5","Aetna","Commercial",,,"64",,"1371.06","0.15","5264.58","percent of total billed charges",,
"NF-Revlimid Oral Capsule 5MG","0637","RC","Both",,,"2149","1074.5","Blue Cross Blue Shield","Pathways",,,"71",,"1517.19","0.15","5264.58","percent of total billed charges",,
"NF-Revlimid Oral Capsule 5MG","0637","RC","Both",,,"2149","1074.5","Blue Cross Blue Shield","HMO",,,"71",,"1517.19","0.15","5264.58","percent of total billed charges",,
"NF-Revlimid Oral Capsule 5MG","0637","RC","Both",,,"2149","1074.5","Blue Cross Blue Shield","PPO",,,"71",,"1517.19","0.15","5264.58","percent of total billed charges",,
"NF-Revlimid Oral Capsule 5MG","0637","RC","Both",,,"2149","1074.5","Ambetter","Health Exchange",,,"62",,"1332.38","0.15","5264.58","percent of total billed charges",,
"NF-Revlimid Oral Capsule 5MG","0637","RC","Both",,,"2149","1074.5","Caresource","Health Exchange",,,"62",,"1332.38","0.15","5264.58","percent of total billed charges",,
"NF-Revlimid Oral Capsule 5MG","0637","RC","Both",,,"2149","1074.5","Cigna","Commercial",,,"59",,"1259.31","0.15","5264.58","percent of total billed charges",,
"NF-Revlimid Oral Capsule 5MG","0637","RC","Both",,,"2149","1074.5","Humana","Commercial",,,"78",,"1665.48","0.15","5264.58","percent of total billed charges",,
"NF-Revlimid Oral Capsule 5MG","0637","RC","Both",,,"2149","1074.5","UHC","Commercial",,,"75",,"1620.35","0.15","5264.58","percent of total billed charges",,
"NF-Revlimid Oral Capsule 5MG","0637","RC","Both",,,"2149","1074.5","Medicaid",,,,"37",,"786.53","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0637","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0637","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0637","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0637","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0637","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0637","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0637","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0637","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0637","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0637","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0637","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0637","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0637","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0637","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0637","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0637","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0637","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE ER TABLET 60MG","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE ER TABLET 60MG","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE ER TABLET 60MG","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE ER TABLET 60MG","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE ER TABLET 60MG","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE ER TABLET 60MG","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE ER TABLET 60MG","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE ER TABLET 60MG","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE ER TABLET 60MG","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE ER TABLET 60MG","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE ER TABLET 60MG","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE ER TABLET 60MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE ER TABLET 60MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE ER TABLET 60MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE ER TABLET 60MG","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE ER TABLET 60MG","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE ER TABLET 60MG","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE ER TABLET 60MG","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE ER TABLET 60MG","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"NF-NIFEDIPINE ER TABLET 60MG","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"NF-SENNA CONCENTRATE ORAL TABLET 8.6MG","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-SENNA CONCENTRATE ORAL TABLET 8.6MG","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-SENNA CONCENTRATE ORAL TABLET 8.6MG","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-SENNA CONCENTRATE ORAL TABLET 8.6MG","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-SENNA CONCENTRATE ORAL TABLET 8.6MG","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-SENNA CONCENTRATE ORAL TABLET 8.6MG","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-SENNA CONCENTRATE ORAL TABLET 8.6MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-SENNA CONCENTRATE ORAL TABLET 8.6MG","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-SENNA CONCENTRATE ORAL TABLET 8.6MG","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-SENNA CONCENTRATE ORAL TABLET 8.6MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-SENNA CONCENTRATE ORAL TABLET 8.6MG","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-SENNA CONCENTRATE ORAL TABLET 8.6MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-SENNA CONCENTRATE ORAL TABLET 8.6MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-SENNA CONCENTRATE ORAL TABLET 8.6MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-SENNA CONCENTRATE ORAL TABLET 8.6MG","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-SENNA CONCENTRATE ORAL TABLET 8.6MG","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-SENNA CONCENTRATE ORAL TABLET 8.6MG","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-SENNA CONCENTRATE ORAL TABLET 8.6MG","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-SENNA CONCENTRATE ORAL TABLET 8.6MG","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-SENNA CONCENTRATE ORAL TABLET 8.6MG","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Alliant","Health Exchange",,,"62",,"28.52","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Pruitt Healthcare","Medicare Advantage",,,"54",,"24.84","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Medicare",,,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Humana","Medicare Advantage",,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","UHC","Medicare Advantage",,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Clover","Medicare Advantage",,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Wellcare","Medicare Advantage",,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Amerigroup","Medicaid Managed Care",,,"37",,"16.84","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Caresource","Medicaid Managed Care",,,"40",,"18.4","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Wellcare","Medicaid Managed Care",,,"40",,"18.63","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Aetna","Commercial",,,"64",,"29.35","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Blue Cross Blue Shield","Pathways",,,"71",,"32.48","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Blue Cross Blue Shield","HMO",,,"71",,"32.48","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Blue Cross Blue Shield","PPO",,,"71",,"32.48","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Ambetter","Health Exchange",,,"62",,"28.52","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Caresource","Health Exchange",,,"62",,"28.52","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Cigna","Commercial",,,"59",,"26.96","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Humana","Commercial",,,"78",,"35.65","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","UHC","Commercial",,,"75",,"34.68","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Medicaid",,,,"37",,"16.84","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"23.5","11.75","Alliant","Health Exchange",,,"62",,"14.57","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"23.5","11.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.69","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"23.5","11.75","Medicare",,,,"54",,"12.74","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"23.5","11.75","Humana","Medicare Advantage",,,"54",,"12.74","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"23.5","11.75","UHC","Medicare Advantage",,,"54",,"12.74","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"23.5","11.75","Clover","Medicare Advantage",,,"54",,"12.74","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"23.5","11.75","Wellcare","Medicare Advantage",,,"54",,"12.74","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"23.5","11.75","Amerigroup","Medicaid Managed Care",,,"37",,"8.6","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"23.5","11.75","Caresource","Medicaid Managed Care",,,"40",,"9.4","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"23.5","11.75","Wellcare","Medicaid Managed Care",,,"40",,"9.52","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"23.5","11.75","Aetna","Commercial",,,"64",,"14.99","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"23.5","11.75","Blue Cross Blue Shield","Pathways",,,"71",,"16.59","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"23.5","11.75","Blue Cross Blue Shield","HMO",,,"71",,"16.59","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"23.5","11.75","Blue Cross Blue Shield","PPO",,,"71",,"16.59","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"23.5","11.75","Ambetter","Health Exchange",,,"62",,"14.57","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"23.5","11.75","Caresource","Health Exchange",,,"62",,"14.57","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"23.5","11.75","Cigna","Commercial",,,"59",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"23.5","11.75","Humana","Commercial",,,"78",,"18.21","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"23.5","11.75","UHC","Commercial",,,"75",,"17.72","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"23.5","11.75","Medicaid",,,,"37",,"8.6","0.15","5264.58","percent of total billed charges",,
"NF-EXELON CAP 3MG","0637","RC","Both",,,"20.5","10.25","Alliant","Health Exchange",,,"62",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-EXELON CAP 3MG","0637","RC","Both",,,"20.5","10.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.07","0.15","5264.58","percent of total billed charges",,
"NF-EXELON CAP 3MG","0637","RC","Both",,,"20.5","10.25","Medicare",,,,"54",,"11.11","0.15","5264.58","percent of total billed charges",,
"NF-EXELON CAP 3MG","0637","RC","Both",,,"20.5","10.25","Humana","Medicare Advantage",,,"54",,"11.11","0.15","5264.58","percent of total billed charges",,
"NF-EXELON CAP 3MG","0637","RC","Both",,,"20.5","10.25","UHC","Medicare Advantage",,,"54",,"11.11","0.15","5264.58","percent of total billed charges",,
"NF-EXELON CAP 3MG","0637","RC","Both",,,"20.5","10.25","Clover","Medicare Advantage",,,"54",,"11.11","0.15","5264.58","percent of total billed charges",,
"NF-EXELON CAP 3MG","0637","RC","Both",,,"20.5","10.25","Wellcare","Medicare Advantage",,,"54",,"11.11","0.15","5264.58","percent of total billed charges",,
"NF-EXELON CAP 3MG","0637","RC","Both",,,"20.5","10.25","Amerigroup","Medicaid Managed Care",,,"37",,"7.5","0.15","5264.58","percent of total billed charges",,
"NF-EXELON CAP 3MG","0637","RC","Both",,,"20.5","10.25","Caresource","Medicaid Managed Care",,,"40",,"8.2","0.15","5264.58","percent of total billed charges",,
"NF-EXELON CAP 3MG","0637","RC","Both",,,"20.5","10.25","Wellcare","Medicaid Managed Care",,,"40",,"8.3","0.15","5264.58","percent of total billed charges",,
"NF-EXELON CAP 3MG","0637","RC","Both",,,"20.5","10.25","Aetna","Commercial",,,"64",,"13.08","0.15","5264.58","percent of total billed charges",,
"NF-EXELON CAP 3MG","0637","RC","Both",,,"20.5","10.25","Blue Cross Blue Shield","Pathways",,,"71",,"14.47","0.15","5264.58","percent of total billed charges",,
"NF-EXELON CAP 3MG","0637","RC","Both",,,"20.5","10.25","Blue Cross Blue Shield","HMO",,,"71",,"14.47","0.15","5264.58","percent of total billed charges",,
"NF-EXELON CAP 3MG","0637","RC","Both",,,"20.5","10.25","Blue Cross Blue Shield","PPO",,,"71",,"14.47","0.15","5264.58","percent of total billed charges",,
"NF-EXELON CAP 3MG","0637","RC","Both",,,"20.5","10.25","Ambetter","Health Exchange",,,"62",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-EXELON CAP 3MG","0637","RC","Both",,,"20.5","10.25","Caresource","Health Exchange",,,"62",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-EXELON CAP 3MG","0637","RC","Both",,,"20.5","10.25","Cigna","Commercial",,,"59",,"12.01","0.15","5264.58","percent of total billed charges",,
"NF-EXELON CAP 3MG","0637","RC","Both",,,"20.5","10.25","Humana","Commercial",,,"78",,"15.89","0.15","5264.58","percent of total billed charges",,
"NF-EXELON CAP 3MG","0637","RC","Both",,,"20.5","10.25","UHC","Commercial",,,"75",,"15.46","0.15","5264.58","percent of total billed charges",,
"NF-EXELON CAP 3MG","0637","RC","Both",,,"20.5","10.25","Medicaid",,,,"37",,"7.5","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0637","RC","Both",,,"46","23","Alliant","Health Exchange",,,"62",,"28.52","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0637","RC","Both",,,"46","23","Pruitt Healthcare","Medicare Advantage",,,"54",,"24.84","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0637","RC","Both",,,"46","23","Medicare",,,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0637","RC","Both",,,"46","23","Humana","Medicare Advantage",,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0637","RC","Both",,,"46","23","UHC","Medicare Advantage",,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0637","RC","Both",,,"46","23","Clover","Medicare Advantage",,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0637","RC","Both",,,"46","23","Wellcare","Medicare Advantage",,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0637","RC","Both",,,"46","23","Amerigroup","Medicaid Managed Care",,,"37",,"16.84","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0637","RC","Both",,,"46","23","Caresource","Medicaid Managed Care",,,"40",,"18.4","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0637","RC","Both",,,"46","23","Wellcare","Medicaid Managed Care",,,"40",,"18.63","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0637","RC","Both",,,"46","23","Aetna","Commercial",,,"64",,"29.35","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0637","RC","Both",,,"46","23","Blue Cross Blue Shield","Pathways",,,"71",,"32.48","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0637","RC","Both",,,"46","23","Blue Cross Blue Shield","HMO",,,"71",,"32.48","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0637","RC","Both",,,"46","23","Blue Cross Blue Shield","PPO",,,"71",,"32.48","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0637","RC","Both",,,"46","23","Ambetter","Health Exchange",,,"62",,"28.52","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0637","RC","Both",,,"46","23","Caresource","Health Exchange",,,"62",,"28.52","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0637","RC","Both",,,"46","23","Cigna","Commercial",,,"59",,"26.96","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0637","RC","Both",,,"46","23","Humana","Commercial",,,"78",,"35.65","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0637","RC","Both",,,"46","23","UHC","Commercial",,,"75",,"34.68","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0637","RC","Both",,,"46","23","Medicaid",,,,"37",,"16.84","0.15","5264.58","percent of total billed charges",,
"NF-INVEGA TAB ER 3MG","0637","RC","Both",,,"122","61","Alliant","Health Exchange",,,"62",,"75.64","0.15","5264.58","percent of total billed charges",,
"NF-INVEGA TAB ER 3MG","0637","RC","Both",,,"122","61","Pruitt Healthcare","Medicare Advantage",,,"54",,"65.88","0.15","5264.58","percent of total billed charges",,
"NF-INVEGA TAB ER 3MG","0637","RC","Both",,,"122","61","Medicare",,,,"54",,"66.12","0.15","5264.58","percent of total billed charges",,
"NF-INVEGA TAB ER 3MG","0637","RC","Both",,,"122","61","Humana","Medicare Advantage",,,"54",,"66.12","0.15","5264.58","percent of total billed charges",,
"NF-INVEGA TAB ER 3MG","0637","RC","Both",,,"122","61","UHC","Medicare Advantage",,,"54",,"66.12","0.15","5264.58","percent of total billed charges",,
"NF-INVEGA TAB ER 3MG","0637","RC","Both",,,"122","61","Clover","Medicare Advantage",,,"54",,"66.12","0.15","5264.58","percent of total billed charges",,
"NF-INVEGA TAB ER 3MG","0637","RC","Both",,,"122","61","Wellcare","Medicare Advantage",,,"54",,"66.12","0.15","5264.58","percent of total billed charges",,
"NF-INVEGA TAB ER 3MG","0637","RC","Both",,,"122","61","Amerigroup","Medicaid Managed Care",,,"37",,"44.65","0.15","5264.58","percent of total billed charges",,
"NF-INVEGA TAB ER 3MG","0637","RC","Both",,,"122","61","Caresource","Medicaid Managed Care",,,"40",,"48.8","0.15","5264.58","percent of total billed charges",,
"NF-INVEGA TAB ER 3MG","0637","RC","Both",,,"122","61","Wellcare","Medicaid Managed Care",,,"40",,"49.41","0.15","5264.58","percent of total billed charges",,
"NF-INVEGA TAB ER 3MG","0637","RC","Both",,,"122","61","Aetna","Commercial",,,"64",,"77.84","0.15","5264.58","percent of total billed charges",,
"NF-INVEGA TAB ER 3MG","0637","RC","Both",,,"122","61","Blue Cross Blue Shield","Pathways",,,"71",,"86.13","0.15","5264.58","percent of total billed charges",,
"NF-INVEGA TAB ER 3MG","0637","RC","Both",,,"122","61","Blue Cross Blue Shield","HMO",,,"71",,"86.13","0.15","5264.58","percent of total billed charges",,
"NF-INVEGA TAB ER 3MG","0637","RC","Both",,,"122","61","Blue Cross Blue Shield","PPO",,,"71",,"86.13","0.15","5264.58","percent of total billed charges",,
"NF-INVEGA TAB ER 3MG","0637","RC","Both",,,"122","61","Ambetter","Health Exchange",,,"62",,"75.64","0.15","5264.58","percent of total billed charges",,
"NF-INVEGA TAB ER 3MG","0637","RC","Both",,,"122","61","Caresource","Health Exchange",,,"62",,"75.64","0.15","5264.58","percent of total billed charges",,
"NF-INVEGA TAB ER 3MG","0637","RC","Both",,,"122","61","Cigna","Commercial",,,"59",,"71.49","0.15","5264.58","percent of total billed charges",,
"NF-INVEGA TAB ER 3MG","0637","RC","Both",,,"122","61","Humana","Commercial",,,"78",,"94.55","0.15","5264.58","percent of total billed charges",,
"NF-INVEGA TAB ER 3MG","0637","RC","Both",,,"122","61","UHC","Commercial",,,"75",,"91.99","0.15","5264.58","percent of total billed charges",,
"NF-INVEGA TAB ER 3MG","0637","RC","Both",,,"122","61","Medicaid",,,,"37",,"44.65","0.15","5264.58","percent of total billed charges",,
"NF-LATUDA ORAL TABLET 20MG","0637","RC","Both",,,"133.5","66.75","Alliant","Health Exchange",,,"62",,"82.77","0.15","5264.58","percent of total billed charges",,
"NF-LATUDA ORAL TABLET 20MG","0637","RC","Both",,,"133.5","66.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"72.09","0.15","5264.58","percent of total billed charges",,
"NF-LATUDA ORAL TABLET 20MG","0637","RC","Both",,,"133.5","66.75","Medicare",,,,"54",,"72.36","0.15","5264.58","percent of total billed charges",,
"NF-LATUDA ORAL TABLET 20MG","0637","RC","Both",,,"133.5","66.75","Humana","Medicare Advantage",,,"54",,"72.36","0.15","5264.58","percent of total billed charges",,
"NF-LATUDA ORAL TABLET 20MG","0637","RC","Both",,,"133.5","66.75","UHC","Medicare Advantage",,,"54",,"72.36","0.15","5264.58","percent of total billed charges",,
"NF-LATUDA ORAL TABLET 20MG","0637","RC","Both",,,"133.5","66.75","Clover","Medicare Advantage",,,"54",,"72.36","0.15","5264.58","percent of total billed charges",,
"NF-LATUDA ORAL TABLET 20MG","0637","RC","Both",,,"133.5","66.75","Wellcare","Medicare Advantage",,,"54",,"72.36","0.15","5264.58","percent of total billed charges",,
"NF-LATUDA ORAL TABLET 20MG","0637","RC","Both",,,"133.5","66.75","Amerigroup","Medicaid Managed Care",,,"37",,"48.86","0.15","5264.58","percent of total billed charges",,
"NF-LATUDA ORAL TABLET 20MG","0637","RC","Both",,,"133.5","66.75","Caresource","Medicaid Managed Care",,,"40",,"53.4","0.15","5264.58","percent of total billed charges",,
"NF-LATUDA ORAL TABLET 20MG","0637","RC","Both",,,"133.5","66.75","Wellcare","Medicaid Managed Care",,,"40",,"54.07","0.15","5264.58","percent of total billed charges",,
"NF-LATUDA ORAL TABLET 20MG","0637","RC","Both",,,"133.5","66.75","Aetna","Commercial",,,"64",,"85.17","0.15","5264.58","percent of total billed charges",,
"NF-LATUDA ORAL TABLET 20MG","0637","RC","Both",,,"133.5","66.75","Blue Cross Blue Shield","Pathways",,,"71",,"94.25","0.15","5264.58","percent of total billed charges",,
"NF-LATUDA ORAL TABLET 20MG","0637","RC","Both",,,"133.5","66.75","Blue Cross Blue Shield","HMO",,,"71",,"94.25","0.15","5264.58","percent of total billed charges",,
"NF-LATUDA ORAL TABLET 20MG","0637","RC","Both",,,"133.5","66.75","Blue Cross Blue Shield","PPO",,,"71",,"94.25","0.15","5264.58","percent of total billed charges",,
"NF-LATUDA ORAL TABLET 20MG","0637","RC","Both",,,"133.5","66.75","Ambetter","Health Exchange",,,"62",,"82.77","0.15","5264.58","percent of total billed charges",,
"NF-LATUDA ORAL TABLET 20MG","0637","RC","Both",,,"133.5","66.75","Caresource","Health Exchange",,,"62",,"82.77","0.15","5264.58","percent of total billed charges",,
"NF-LATUDA ORAL TABLET 20MG","0637","RC","Both",,,"133.5","66.75","Cigna","Commercial",,,"59",,"78.23","0.15","5264.58","percent of total billed charges",,
"NF-LATUDA ORAL TABLET 20MG","0637","RC","Both",,,"133.5","66.75","Humana","Commercial",,,"78",,"103.46","0.15","5264.58","percent of total billed charges",,
"NF-LATUDA ORAL TABLET 20MG","0637","RC","Both",,,"133.5","66.75","UHC","Commercial",,,"75",,"100.66","0.15","5264.58","percent of total billed charges",,
"NF-LATUDA ORAL TABLET 20MG","0637","RC","Both",,,"133.5","66.75","Medicaid",,,,"37",,"48.86","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 5MG","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 5MG","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 5MG","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 5MG","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 5MG","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 5MG","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 5MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 5MG","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 5MG","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 5MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 5MG","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 5MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 5MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 5MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 5MG","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 5MG","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 5MG","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 5MG","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 5MG","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 5MG","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 50MG","0637","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 50MG","0637","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 50MG","0637","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 50MG","0637","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 50MG","0637","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 50MG","0637","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 50MG","0637","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 50MG","0637","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 50MG","0637","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.15","5264.58","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 50MG","0637","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.15","5264.58","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 50MG","0637","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.15","5264.58","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 50MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 50MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 50MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 50MG","0637","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 50MG","0637","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 50MG","0637","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 50MG","0637","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.15","5264.58","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 50MG","0637","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.15","5264.58","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 50MG","0637","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE ORAL TABLET 1MG","0637","RC","Both",,,"40","20","Alliant","Health Exchange",,,"62",,"24.8","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE ORAL TABLET 1MG","0637","RC","Both",,,"40","20","Pruitt Healthcare","Medicare Advantage",,,"54",,"21.6","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE ORAL TABLET 1MG","0637","RC","Both",,,"40","20","Medicare",,,,"54",,"21.68","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE ORAL TABLET 1MG","0637","RC","Both",,,"40","20","Humana","Medicare Advantage",,,"54",,"21.68","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE ORAL TABLET 1MG","0637","RC","Both",,,"40","20","UHC","Medicare Advantage",,,"54",,"21.68","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE ORAL TABLET 1MG","0637","RC","Both",,,"40","20","Clover","Medicare Advantage",,,"54",,"21.68","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE ORAL TABLET 1MG","0637","RC","Both",,,"40","20","Wellcare","Medicare Advantage",,,"54",,"21.68","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE ORAL TABLET 1MG","0637","RC","Both",,,"40","20","Amerigroup","Medicaid Managed Care",,,"37",,"14.64","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE ORAL TABLET 1MG","0637","RC","Both",,,"40","20","Caresource","Medicaid Managed Care",,,"40",,"16","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE ORAL TABLET 1MG","0637","RC","Both",,,"40","20","Wellcare","Medicaid Managed Care",,,"40",,"16.2","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE ORAL TABLET 1MG","0637","RC","Both",,,"40","20","Aetna","Commercial",,,"64",,"25.52","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE ORAL TABLET 1MG","0637","RC","Both",,,"40","20","Blue Cross Blue Shield","Pathways",,,"71",,"28.24","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE ORAL TABLET 1MG","0637","RC","Both",,,"40","20","Blue Cross Blue Shield","HMO",,,"71",,"28.24","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE ORAL TABLET 1MG","0637","RC","Both",,,"40","20","Blue Cross Blue Shield","PPO",,,"71",,"28.24","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE ORAL TABLET 1MG","0637","RC","Both",,,"40","20","Ambetter","Health Exchange",,,"62",,"24.8","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE ORAL TABLET 1MG","0637","RC","Both",,,"40","20","Caresource","Health Exchange",,,"62",,"24.8","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE ORAL TABLET 1MG","0637","RC","Both",,,"40","20","Cigna","Commercial",,,"59",,"23.44","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE ORAL TABLET 1MG","0637","RC","Both",,,"40","20","Humana","Commercial",,,"78",,"31","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE ORAL TABLET 1MG","0637","RC","Both",,,"40","20","UHC","Commercial",,,"75",,"30.16","0.15","5264.58","percent of total billed charges",,
"NF-ANASTROZOLE ORAL TABLET 1MG","0637","RC","Both",,,"40","20","Medicaid",,,,"37",,"14.64","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"23.5","11.75","Alliant","Health Exchange",,,"62",,"14.57","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"23.5","11.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.69","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"23.5","11.75","Medicare",,,,"54",,"12.74","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"23.5","11.75","Humana","Medicare Advantage",,,"54",,"12.74","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"23.5","11.75","UHC","Medicare Advantage",,,"54",,"12.74","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"23.5","11.75","Clover","Medicare Advantage",,,"54",,"12.74","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"23.5","11.75","Wellcare","Medicare Advantage",,,"54",,"12.74","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"23.5","11.75","Amerigroup","Medicaid Managed Care",,,"37",,"8.6","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"23.5","11.75","Caresource","Medicaid Managed Care",,,"40",,"9.4","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"23.5","11.75","Wellcare","Medicaid Managed Care",,,"40",,"9.52","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"23.5","11.75","Aetna","Commercial",,,"64",,"14.99","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"23.5","11.75","Blue Cross Blue Shield","Pathways",,,"71",,"16.59","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"23.5","11.75","Blue Cross Blue Shield","HMO",,,"71",,"16.59","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"23.5","11.75","Blue Cross Blue Shield","PPO",,,"71",,"16.59","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"23.5","11.75","Ambetter","Health Exchange",,,"62",,"14.57","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"23.5","11.75","Caresource","Health Exchange",,,"62",,"14.57","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"23.5","11.75","Cigna","Commercial",,,"59",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"23.5","11.75","Humana","Commercial",,,"78",,"18.21","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"23.5","11.75","UHC","Commercial",,,"75",,"17.72","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"23.5","11.75","Medicaid",,,,"37",,"8.6","0.15","5264.58","percent of total billed charges",,
"NF-Propafenone HCl Tablet 150MG","0637","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-Propafenone HCl Tablet 150MG","0637","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.15","5264.58","percent of total billed charges",,
"NF-Propafenone HCl Tablet 150MG","0637","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-Propafenone HCl Tablet 150MG","0637","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-Propafenone HCl Tablet 150MG","0637","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-Propafenone HCl Tablet 150MG","0637","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-Propafenone HCl Tablet 150MG","0637","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-Propafenone HCl Tablet 150MG","0637","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-Propafenone HCl Tablet 150MG","0637","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.15","5264.58","percent of total billed charges",,
"NF-Propafenone HCl Tablet 150MG","0637","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-Propafenone HCl Tablet 150MG","0637","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.15","5264.58","percent of total billed charges",,
"NF-Propafenone HCl Tablet 150MG","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-Propafenone HCl Tablet 150MG","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-Propafenone HCl Tablet 150MG","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-Propafenone HCl Tablet 150MG","0637","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-Propafenone HCl Tablet 150MG","0637","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-Propafenone HCl Tablet 150MG","0637","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.15","5264.58","percent of total billed charges",,
"NF-Propafenone HCl Tablet 150MG","0637","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-Propafenone HCl Tablet 150MG","0637","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.15","5264.58","percent of total billed charges",,
"NF-Propafenone HCl Tablet 150MG","0637","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Alliant","Health Exchange",,,"62",,"28.52","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Pruitt Healthcare","Medicare Advantage",,,"54",,"24.84","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Medicare",,,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Humana","Medicare Advantage",,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","UHC","Medicare Advantage",,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Clover","Medicare Advantage",,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Wellcare","Medicare Advantage",,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Amerigroup","Medicaid Managed Care",,,"37",,"16.84","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Caresource","Medicaid Managed Care",,,"40",,"18.4","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Wellcare","Medicaid Managed Care",,,"40",,"18.63","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Aetna","Commercial",,,"64",,"29.35","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Blue Cross Blue Shield","Pathways",,,"71",,"32.48","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Blue Cross Blue Shield","HMO",,,"71",,"32.48","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Blue Cross Blue Shield","PPO",,,"71",,"32.48","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Ambetter","Health Exchange",,,"62",,"28.52","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Caresource","Health Exchange",,,"62",,"28.52","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Cigna","Commercial",,,"59",,"26.96","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Humana","Commercial",,,"78",,"35.65","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","UHC","Commercial",,,"75",,"34.68","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Medicaid",,,,"37",,"16.84","0.15","5264.58","percent of total billed charges",,
"NF-Namenda XR Oral Capsule ER 14MG","0637","RC","Both",,,"46","23","Alliant","Health Exchange",,,"62",,"28.52","0.15","5264.58","percent of total billed charges",,
"NF-Namenda XR Oral Capsule ER 14MG","0637","RC","Both",,,"46","23","Pruitt Healthcare","Medicare Advantage",,,"54",,"24.84","0.15","5264.58","percent of total billed charges",,
"NF-Namenda XR Oral Capsule ER 14MG","0637","RC","Both",,,"46","23","Medicare",,,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-Namenda XR Oral Capsule ER 14MG","0637","RC","Both",,,"46","23","Humana","Medicare Advantage",,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-Namenda XR Oral Capsule ER 14MG","0637","RC","Both",,,"46","23","UHC","Medicare Advantage",,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-Namenda XR Oral Capsule ER 14MG","0637","RC","Both",,,"46","23","Clover","Medicare Advantage",,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-Namenda XR Oral Capsule ER 14MG","0637","RC","Both",,,"46","23","Wellcare","Medicare Advantage",,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-Namenda XR Oral Capsule ER 14MG","0637","RC","Both",,,"46","23","Amerigroup","Medicaid Managed Care",,,"37",,"16.84","0.15","5264.58","percent of total billed charges",,
"NF-Namenda XR Oral Capsule ER 14MG","0637","RC","Both",,,"46","23","Caresource","Medicaid Managed Care",,,"40",,"18.4","0.15","5264.58","percent of total billed charges",,
"NF-Namenda XR Oral Capsule ER 14MG","0637","RC","Both",,,"46","23","Wellcare","Medicaid Managed Care",,,"40",,"18.63","0.15","5264.58","percent of total billed charges",,
"NF-Namenda XR Oral Capsule ER 14MG","0637","RC","Both",,,"46","23","Aetna","Commercial",,,"64",,"29.35","0.15","5264.58","percent of total billed charges",,
"NF-Namenda XR Oral Capsule ER 14MG","0637","RC","Both",,,"46","23","Blue Cross Blue Shield","Pathways",,,"71",,"32.48","0.15","5264.58","percent of total billed charges",,
"NF-Namenda XR Oral Capsule ER 14MG","0637","RC","Both",,,"46","23","Blue Cross Blue Shield","HMO",,,"71",,"32.48","0.15","5264.58","percent of total billed charges",,
"NF-Namenda XR Oral Capsule ER 14MG","0637","RC","Both",,,"46","23","Blue Cross Blue Shield","PPO",,,"71",,"32.48","0.15","5264.58","percent of total billed charges",,
"NF-Namenda XR Oral Capsule ER 14MG","0637","RC","Both",,,"46","23","Ambetter","Health Exchange",,,"62",,"28.52","0.15","5264.58","percent of total billed charges",,
"NF-Namenda XR Oral Capsule ER 14MG","0637","RC","Both",,,"46","23","Caresource","Health Exchange",,,"62",,"28.52","0.15","5264.58","percent of total billed charges",,
"NF-Namenda XR Oral Capsule ER 14MG","0637","RC","Both",,,"46","23","Cigna","Commercial",,,"59",,"26.96","0.15","5264.58","percent of total billed charges",,
"NF-Namenda XR Oral Capsule ER 14MG","0637","RC","Both",,,"46","23","Humana","Commercial",,,"78",,"35.65","0.15","5264.58","percent of total billed charges",,
"NF-Namenda XR Oral Capsule ER 14MG","0637","RC","Both",,,"46","23","UHC","Commercial",,,"75",,"34.68","0.15","5264.58","percent of total billed charges",,
"NF-Namenda XR Oral Capsule ER 14MG","0637","RC","Both",,,"46","23","Medicaid",,,,"37",,"16.84","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Alliant","Health Exchange",,,"62",,"14.26","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.42","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Medicare",,,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Humana","Medicare Advantage",,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","UHC","Medicare Advantage",,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Clover","Medicare Advantage",,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Wellcare","Medicare Advantage",,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Amerigroup","Medicaid Managed Care",,,"37",,"8.42","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Caresource","Medicaid Managed Care",,,"40",,"9.2","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Wellcare","Medicaid Managed Care",,,"40",,"9.32","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Aetna","Commercial",,,"64",,"14.67","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Blue Cross Blue Shield","Pathways",,,"71",,"16.24","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Blue Cross Blue Shield","HMO",,,"71",,"16.24","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Blue Cross Blue Shield","PPO",,,"71",,"16.24","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Ambetter","Health Exchange",,,"62",,"14.26","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Caresource","Health Exchange",,,"62",,"14.26","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Cigna","Commercial",,,"59",,"13.48","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Humana","Commercial",,,"78",,"17.82","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","UHC","Commercial",,,"75",,"17.34","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Medicaid",,,,"37",,"8.42","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Alliant","Health Exchange",,,"62",,"14.26","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.42","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Medicare",,,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Humana","Medicare Advantage",,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","UHC","Medicare Advantage",,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Clover","Medicare Advantage",,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Wellcare","Medicare Advantage",,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Amerigroup","Medicaid Managed Care",,,"37",,"8.42","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Caresource","Medicaid Managed Care",,,"40",,"9.2","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Wellcare","Medicaid Managed Care",,,"40",,"9.32","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Aetna","Commercial",,,"64",,"14.67","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Blue Cross Blue Shield","Pathways",,,"71",,"16.24","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Blue Cross Blue Shield","HMO",,,"71",,"16.24","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Blue Cross Blue Shield","PPO",,,"71",,"16.24","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Ambetter","Health Exchange",,,"62",,"14.26","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Caresource","Health Exchange",,,"62",,"14.26","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Cigna","Commercial",,,"59",,"13.48","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Humana","Commercial",,,"78",,"17.82","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","UHC","Commercial",,,"75",,"17.34","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Medicaid",,,,"37",,"8.42","0.15","5264.58","percent of total billed charges",,
"NF-Verapamil HCl Tablet 240MG","0637","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-Verapamil HCl Tablet 240MG","0637","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.15","5264.58","percent of total billed charges",,
"NF-Verapamil HCl Tablet 240MG","0637","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-Verapamil HCl Tablet 240MG","0637","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-Verapamil HCl Tablet 240MG","0637","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-Verapamil HCl Tablet 240MG","0637","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-Verapamil HCl Tablet 240MG","0637","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-Verapamil HCl Tablet 240MG","0637","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-Verapamil HCl Tablet 240MG","0637","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.15","5264.58","percent of total billed charges",,
"NF-Verapamil HCl Tablet 240MG","0637","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-Verapamil HCl Tablet 240MG","0637","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.15","5264.58","percent of total billed charges",,
"NF-Verapamil HCl Tablet 240MG","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-Verapamil HCl Tablet 240MG","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-Verapamil HCl Tablet 240MG","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-Verapamil HCl Tablet 240MG","0637","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-Verapamil HCl Tablet 240MG","0637","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-Verapamil HCl Tablet 240MG","0637","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.15","5264.58","percent of total billed charges",,
"NF-Verapamil HCl Tablet 240MG","0637","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-Verapamil HCl Tablet 240MG","0637","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.15","5264.58","percent of total billed charges",,
"NF-Verapamil HCl Tablet 240MG","0637","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-Coumadin Tablet 4MG","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-Coumadin Tablet 4MG","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"NF-Coumadin Tablet 4MG","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-Coumadin Tablet 4MG","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-Coumadin Tablet 4MG","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-Coumadin Tablet 4MG","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-Coumadin Tablet 4MG","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-Coumadin Tablet 4MG","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"NF-Coumadin Tablet 4MG","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"NF-Coumadin Tablet 4MG","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"NF-Coumadin Tablet 4MG","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"NF-Coumadin Tablet 4MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-Coumadin Tablet 4MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-Coumadin Tablet 4MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-Coumadin Tablet 4MG","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-Coumadin Tablet 4MG","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-Coumadin Tablet 4MG","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"NF-Coumadin Tablet 4MG","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-Coumadin Tablet 4MG","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"NF-Coumadin Tablet 4MG","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"NF-Verapamil Hydrochloride Oral Tab 120M","0637","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-Verapamil Hydrochloride Oral Tab 120M","0637","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-Verapamil Hydrochloride Oral Tab 120M","0637","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-Verapamil Hydrochloride Oral Tab 120M","0637","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-Verapamil Hydrochloride Oral Tab 120M","0637","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-Verapamil Hydrochloride Oral Tab 120M","0637","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-Verapamil Hydrochloride Oral Tab 120M","0637","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-Verapamil Hydrochloride Oral Tab 120M","0637","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-Verapamil Hydrochloride Oral Tab 120M","0637","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.15","5264.58","percent of total billed charges",,
"NF-Verapamil Hydrochloride Oral Tab 120M","0637","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-Verapamil Hydrochloride Oral Tab 120M","0637","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-Verapamil Hydrochloride Oral Tab 120M","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-Verapamil Hydrochloride Oral Tab 120M","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-Verapamil Hydrochloride Oral Tab 120M","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-Verapamil Hydrochloride Oral Tab 120M","0637","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-Verapamil Hydrochloride Oral Tab 120M","0637","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-Verapamil Hydrochloride Oral Tab 120M","0637","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.15","5264.58","percent of total billed charges",,
"NF-Verapamil Hydrochloride Oral Tab 120M","0637","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-Verapamil Hydrochloride Oral Tab 120M","0637","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.15","5264.58","percent of total billed charges",,
"NF-Verapamil Hydrochloride Oral Tab 120M","0637","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-Tamoxifen Citrate Tab 20MG","0637","RC","Both",,,"11","5.5","Alliant","Health Exchange",,,"62",,"6.82","0.15","5264.58","percent of total billed charges",,
"NF-Tamoxifen Citrate Tab 20MG","0637","RC","Both",,,"11","5.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.94","0.15","5264.58","percent of total billed charges",,
"NF-Tamoxifen Citrate Tab 20MG","0637","RC","Both",,,"11","5.5","Medicare",,,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-Tamoxifen Citrate Tab 20MG","0637","RC","Both",,,"11","5.5","Humana","Medicare Advantage",,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-Tamoxifen Citrate Tab 20MG","0637","RC","Both",,,"11","5.5","UHC","Medicare Advantage",,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-Tamoxifen Citrate Tab 20MG","0637","RC","Both",,,"11","5.5","Clover","Medicare Advantage",,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-Tamoxifen Citrate Tab 20MG","0637","RC","Both",,,"11","5.5","Wellcare","Medicare Advantage",,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-Tamoxifen Citrate Tab 20MG","0637","RC","Both",,,"11","5.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-Tamoxifen Citrate Tab 20MG","0637","RC","Both",,,"11","5.5","Caresource","Medicaid Managed Care",,,"40",,"4.4","0.15","5264.58","percent of total billed charges",,
"NF-Tamoxifen Citrate Tab 20MG","0637","RC","Both",,,"11","5.5","Wellcare","Medicaid Managed Care",,,"40",,"4.46","0.15","5264.58","percent of total billed charges",,
"NF-Tamoxifen Citrate Tab 20MG","0637","RC","Both",,,"11","5.5","Aetna","Commercial",,,"64",,"7.02","0.15","5264.58","percent of total billed charges",,
"NF-Tamoxifen Citrate Tab 20MG","0637","RC","Both",,,"11","5.5","Blue Cross Blue Shield","Pathways",,,"71",,"7.77","0.15","5264.58","percent of total billed charges",,
"NF-Tamoxifen Citrate Tab 20MG","0637","RC","Both",,,"11","5.5","Blue Cross Blue Shield","HMO",,,"71",,"7.77","0.15","5264.58","percent of total billed charges",,
"NF-Tamoxifen Citrate Tab 20MG","0637","RC","Both",,,"11","5.5","Blue Cross Blue Shield","PPO",,,"71",,"7.77","0.15","5264.58","percent of total billed charges",,
"NF-Tamoxifen Citrate Tab 20MG","0637","RC","Both",,,"11","5.5","Ambetter","Health Exchange",,,"62",,"6.82","0.15","5264.58","percent of total billed charges",,
"NF-Tamoxifen Citrate Tab 20MG","0637","RC","Both",,,"11","5.5","Caresource","Health Exchange",,,"62",,"6.82","0.15","5264.58","percent of total billed charges",,
"NF-Tamoxifen Citrate Tab 20MG","0637","RC","Both",,,"11","5.5","Cigna","Commercial",,,"59",,"6.45","0.15","5264.58","percent of total billed charges",,
"NF-Tamoxifen Citrate Tab 20MG","0637","RC","Both",,,"11","5.5","Humana","Commercial",,,"78",,"8.52","0.15","5264.58","percent of total billed charges",,
"NF-Tamoxifen Citrate Tab 20MG","0637","RC","Both",,,"11","5.5","UHC","Commercial",,,"75",,"8.29","0.15","5264.58","percent of total billed charges",,
"NF-Tamoxifen Citrate Tab 20MG","0637","RC","Both",,,"11","5.5","Medicaid",,,,"37",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Alliant","Health Exchange",,,"62",,"14.26","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.42","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Medicare",,,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Humana","Medicare Advantage",,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","UHC","Medicare Advantage",,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Clover","Medicare Advantage",,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Wellcare","Medicare Advantage",,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Amerigroup","Medicaid Managed Care",,,"37",,"8.42","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Caresource","Medicaid Managed Care",,,"40",,"9.2","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Wellcare","Medicaid Managed Care",,,"40",,"9.32","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Aetna","Commercial",,,"64",,"14.67","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Blue Cross Blue Shield","Pathways",,,"71",,"16.24","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Blue Cross Blue Shield","HMO",,,"71",,"16.24","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Blue Cross Blue Shield","PPO",,,"71",,"16.24","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Ambetter","Health Exchange",,,"62",,"14.26","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Caresource","Health Exchange",,,"62",,"14.26","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Cigna","Commercial",,,"59",,"13.48","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Humana","Commercial",,,"78",,"17.82","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","UHC","Commercial",,,"75",,"17.34","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Medicaid",,,,"37",,"8.42","0.15","5264.58","percent of total billed charges",,
"NF-busPIRone HCl Tablet 10MG","0637","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-busPIRone HCl Tablet 10MG","0637","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-busPIRone HCl Tablet 10MG","0637","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-busPIRone HCl Tablet 10MG","0637","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-busPIRone HCl Tablet 10MG","0637","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-busPIRone HCl Tablet 10MG","0637","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-busPIRone HCl Tablet 10MG","0637","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-busPIRone HCl Tablet 10MG","0637","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-busPIRone HCl Tablet 10MG","0637","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.15","5264.58","percent of total billed charges",,
"NF-busPIRone HCl Tablet 10MG","0637","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.15","5264.58","percent of total billed charges",,
"NF-busPIRone HCl Tablet 10MG","0637","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.15","5264.58","percent of total billed charges",,
"NF-busPIRone HCl Tablet 10MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-busPIRone HCl Tablet 10MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-busPIRone HCl Tablet 10MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-busPIRone HCl Tablet 10MG","0637","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-busPIRone HCl Tablet 10MG","0637","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-busPIRone HCl Tablet 10MG","0637","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-busPIRone HCl Tablet 10MG","0637","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.15","5264.58","percent of total billed charges",,
"NF-busPIRone HCl Tablet 10MG","0637","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.15","5264.58","percent of total billed charges",,
"NF-busPIRone HCl Tablet 10MG","0637","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 10MG","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 10MG","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 10MG","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 10MG","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 10MG","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 10MG","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 10MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 10MG","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 10MG","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 10MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 10MG","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 10MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 10MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 10MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 10MG","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 10MG","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 10MG","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 10MG","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 10MG","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 10MG","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-Tamoxifen Citrate Tab 20MG","0637","RC","Both",,,"11","5.5","Alliant","Health Exchange",,,"62",,"6.82","0.15","5264.58","percent of total billed charges",,
"NF-Tamoxifen Citrate Tab 20MG","0637","RC","Both",,,"11","5.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.94","0.15","5264.58","percent of total billed charges",,
"NF-Tamoxifen Citrate Tab 20MG","0637","RC","Both",,,"11","5.5","Medicare",,,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-Tamoxifen Citrate Tab 20MG","0637","RC","Both",,,"11","5.5","Humana","Medicare Advantage",,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-Tamoxifen Citrate Tab 20MG","0637","RC","Both",,,"11","5.5","UHC","Medicare Advantage",,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-Tamoxifen Citrate Tab 20MG","0637","RC","Both",,,"11","5.5","Clover","Medicare Advantage",,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-Tamoxifen Citrate Tab 20MG","0637","RC","Both",,,"11","5.5","Wellcare","Medicare Advantage",,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-Tamoxifen Citrate Tab 20MG","0637","RC","Both",,,"11","5.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-Tamoxifen Citrate Tab 20MG","0637","RC","Both",,,"11","5.5","Caresource","Medicaid Managed Care",,,"40",,"4.4","0.15","5264.58","percent of total billed charges",,
"NF-Tamoxifen Citrate Tab 20MG","0637","RC","Both",,,"11","5.5","Wellcare","Medicaid Managed Care",,,"40",,"4.46","0.15","5264.58","percent of total billed charges",,
"NF-Tamoxifen Citrate Tab 20MG","0637","RC","Both",,,"11","5.5","Aetna","Commercial",,,"64",,"7.02","0.15","5264.58","percent of total billed charges",,
"NF-Tamoxifen Citrate Tab 20MG","0637","RC","Both",,,"11","5.5","Blue Cross Blue Shield","Pathways",,,"71",,"7.77","0.15","5264.58","percent of total billed charges",,
"NF-Tamoxifen Citrate Tab 20MG","0637","RC","Both",,,"11","5.5","Blue Cross Blue Shield","HMO",,,"71",,"7.77","0.15","5264.58","percent of total billed charges",,
"NF-Tamoxifen Citrate Tab 20MG","0637","RC","Both",,,"11","5.5","Blue Cross Blue Shield","PPO",,,"71",,"7.77","0.15","5264.58","percent of total billed charges",,
"NF-Tamoxifen Citrate Tab 20MG","0637","RC","Both",,,"11","5.5","Ambetter","Health Exchange",,,"62",,"6.82","0.15","5264.58","percent of total billed charges",,
"NF-Tamoxifen Citrate Tab 20MG","0637","RC","Both",,,"11","5.5","Caresource","Health Exchange",,,"62",,"6.82","0.15","5264.58","percent of total billed charges",,
"NF-Tamoxifen Citrate Tab 20MG","0637","RC","Both",,,"11","5.5","Cigna","Commercial",,,"59",,"6.45","0.15","5264.58","percent of total billed charges",,
"NF-Tamoxifen Citrate Tab 20MG","0637","RC","Both",,,"11","5.5","Humana","Commercial",,,"78",,"8.52","0.15","5264.58","percent of total billed charges",,
"NF-Tamoxifen Citrate Tab 20MG","0637","RC","Both",,,"11","5.5","UHC","Commercial",,,"75",,"8.29","0.15","5264.58","percent of total billed charges",,
"NF-Tamoxifen Citrate Tab 20MG","0637","RC","Both",,,"11","5.5","Medicaid",,,,"37",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE ORAL TABLET 20MG","0637","RC","Both",,,"2.5","1.25","Alliant","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE ORAL TABLET 20MG","0637","RC","Both",,,"2.5","1.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.35","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE ORAL TABLET 20MG","0637","RC","Both",,,"2.5","1.25","Medicare",,,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE ORAL TABLET 20MG","0637","RC","Both",,,"2.5","1.25","Humana","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE ORAL TABLET 20MG","0637","RC","Both",,,"2.5","1.25","UHC","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE ORAL TABLET 20MG","0637","RC","Both",,,"2.5","1.25","Clover","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE ORAL TABLET 20MG","0637","RC","Both",,,"2.5","1.25","Wellcare","Medicare Advantage",,,"54",,"1.36","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE ORAL TABLET 20MG","0637","RC","Both",,,"2.5","1.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.92","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE ORAL TABLET 20MG","0637","RC","Both",,,"2.5","1.25","Caresource","Medicaid Managed Care",,,"40",,"1","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE ORAL TABLET 20MG","0637","RC","Both",,,"2.5","1.25","Wellcare","Medicaid Managed Care",,,"40",,"1.01","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE ORAL TABLET 20MG","0637","RC","Both",,,"2.5","1.25","Aetna","Commercial",,,"64",,"1.6","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE ORAL TABLET 20MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","Pathways",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE ORAL TABLET 20MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","HMO",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE ORAL TABLET 20MG","0637","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","PPO",,,"71",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE ORAL TABLET 20MG","0637","RC","Both",,,"2.5","1.25","Ambetter","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE ORAL TABLET 20MG","0637","RC","Both",,,"2.5","1.25","Caresource","Health Exchange",,,"62",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE ORAL TABLET 20MG","0637","RC","Both",,,"2.5","1.25","Cigna","Commercial",,,"59",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE ORAL TABLET 20MG","0637","RC","Both",,,"2.5","1.25","Humana","Commercial",,,"78",,"1.94","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE ORAL TABLET 20MG","0637","RC","Both",,,"2.5","1.25","UHC","Commercial",,,"75",,"1.88","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE ORAL TABLET 20MG","0637","RC","Both",,,"2.5","1.25","Medicaid",,,,"37",,"0.92","0.15","5264.58","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0637","RC","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0637","RC","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","0.15","5264.58","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0637","RC","Both",,,"22","11","Medicare",,,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0637","RC","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0637","RC","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0637","RC","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0637","RC","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0637","RC","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0637","RC","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","0.15","5264.58","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0637","RC","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","0.15","5264.58","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0637","RC","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","0.15","5264.58","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0637","RC","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0637","RC","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0637","RC","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","0.15","5264.58","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0637","RC","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","0.15","5264.58","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0637","RC","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","0.15","5264.58","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0637","RC","Both",,,"22","11","Medicaid",,,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 100MG","0637","RC","Both",,,"12","6","Alliant","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 100MG","0637","RC","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.48","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 100MG","0637","RC","Both",,,"12","6","Medicare",,,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 100MG","0637","RC","Both",,,"12","6","Humana","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 100MG","0637","RC","Both",,,"12","6","UHC","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 100MG","0637","RC","Both",,,"12","6","Clover","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 100MG","0637","RC","Both",,,"12","6","Wellcare","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 100MG","0637","RC","Both",,,"12","6","Amerigroup","Medicaid Managed Care",,,"37",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 100MG","0637","RC","Both",,,"12","6","Caresource","Medicaid Managed Care",,,"40",,"4.8","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 100MG","0637","RC","Both",,,"12","6","Wellcare","Medicaid Managed Care",,,"40",,"4.86","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 100MG","0637","RC","Both",,,"12","6","Aetna","Commercial",,,"64",,"7.66","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 100MG","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","Pathways",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 100MG","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","HMO",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 100MG","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","PPO",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 100MG","0637","RC","Both",,,"12","6","Ambetter","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 100MG","0637","RC","Both",,,"12","6","Caresource","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 100MG","0637","RC","Both",,,"12","6","Cigna","Commercial",,,"59",,"7.03","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 100MG","0637","RC","Both",,,"12","6","Humana","Commercial",,,"78",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 100MG","0637","RC","Both",,,"12","6","UHC","Commercial",,,"75",,"9.05","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE ORAL TABLET 100MG","0637","RC","Both",,,"12","6","Medicaid",,,,"37",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 20MG","0637","RC","Both",,,"46.5","23.25","Alliant","Health Exchange",,,"62",,"28.83","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 20MG","0637","RC","Both",,,"46.5","23.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"25.11","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 20MG","0637","RC","Both",,,"46.5","23.25","Medicare",,,,"54",,"25.2","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 20MG","0637","RC","Both",,,"46.5","23.25","Humana","Medicare Advantage",,,"54",,"25.2","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 20MG","0637","RC","Both",,,"46.5","23.25","UHC","Medicare Advantage",,,"54",,"25.2","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 20MG","0637","RC","Both",,,"46.5","23.25","Clover","Medicare Advantage",,,"54",,"25.2","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 20MG","0637","RC","Both",,,"46.5","23.25","Wellcare","Medicare Advantage",,,"54",,"25.2","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 20MG","0637","RC","Both",,,"46.5","23.25","Amerigroup","Medicaid Managed Care",,,"37",,"17.02","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 20MG","0637","RC","Both",,,"46.5","23.25","Caresource","Medicaid Managed Care",,,"40",,"18.6","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 20MG","0637","RC","Both",,,"46.5","23.25","Wellcare","Medicaid Managed Care",,,"40",,"18.83","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 20MG","0637","RC","Both",,,"46.5","23.25","Aetna","Commercial",,,"64",,"29.67","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 20MG","0637","RC","Both",,,"46.5","23.25","Blue Cross Blue Shield","Pathways",,,"71",,"32.83","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 20MG","0637","RC","Both",,,"46.5","23.25","Blue Cross Blue Shield","HMO",,,"71",,"32.83","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 20MG","0637","RC","Both",,,"46.5","23.25","Blue Cross Blue Shield","PPO",,,"71",,"32.83","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 20MG","0637","RC","Both",,,"46.5","23.25","Ambetter","Health Exchange",,,"62",,"28.83","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 20MG","0637","RC","Both",,,"46.5","23.25","Caresource","Health Exchange",,,"62",,"28.83","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 20MG","0637","RC","Both",,,"46.5","23.25","Cigna","Commercial",,,"59",,"27.25","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 20MG","0637","RC","Both",,,"46.5","23.25","Humana","Commercial",,,"78",,"36.04","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 20MG","0637","RC","Both",,,"46.5","23.25","UHC","Commercial",,,"75",,"35.06","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 20MG","0637","RC","Both",,,"46.5","23.25","Medicaid",,,,"37",,"17.02","0.15","5264.58","percent of total billed charges",,
"NF-Creon Oral Cap DR 3000U-9500U-15000U","0637","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-Creon Oral Cap DR 3000U-9500U-15000U","0637","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.15","5264.58","percent of total billed charges",,
"NF-Creon Oral Cap DR 3000U-9500U-15000U","0637","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-Creon Oral Cap DR 3000U-9500U-15000U","0637","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-Creon Oral Cap DR 3000U-9500U-15000U","0637","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-Creon Oral Cap DR 3000U-9500U-15000U","0637","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-Creon Oral Cap DR 3000U-9500U-15000U","0637","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-Creon Oral Cap DR 3000U-9500U-15000U","0637","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-Creon Oral Cap DR 3000U-9500U-15000U","0637","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.15","5264.58","percent of total billed charges",,
"NF-Creon Oral Cap DR 3000U-9500U-15000U","0637","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-Creon Oral Cap DR 3000U-9500U-15000U","0637","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.15","5264.58","percent of total billed charges",,
"NF-Creon Oral Cap DR 3000U-9500U-15000U","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-Creon Oral Cap DR 3000U-9500U-15000U","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-Creon Oral Cap DR 3000U-9500U-15000U","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-Creon Oral Cap DR 3000U-9500U-15000U","0637","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-Creon Oral Cap DR 3000U-9500U-15000U","0637","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-Creon Oral Cap DR 3000U-9500U-15000U","0637","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.15","5264.58","percent of total billed charges",,
"NF-Creon Oral Cap DR 3000U-9500U-15000U","0637","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-Creon Oral Cap DR 3000U-9500U-15000U","0637","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.15","5264.58","percent of total billed charges",,
"NF-Creon Oral Cap DR 3000U-9500U-15000U","0637","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 100MG","0637","RC","Both",,,"24","12","Alliant","Health Exchange",,,"62",,"14.88","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 100MG","0637","RC","Both",,,"24","12","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.96","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 100MG","0637","RC","Both",,,"24","12","Medicare",,,,"54",,"13.01","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 100MG","0637","RC","Both",,,"24","12","Humana","Medicare Advantage",,,"54",,"13.01","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 100MG","0637","RC","Both",,,"24","12","UHC","Medicare Advantage",,,"54",,"13.01","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 100MG","0637","RC","Both",,,"24","12","Clover","Medicare Advantage",,,"54",,"13.01","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 100MG","0637","RC","Both",,,"24","12","Wellcare","Medicare Advantage",,,"54",,"13.01","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 100MG","0637","RC","Both",,,"24","12","Amerigroup","Medicaid Managed Care",,,"37",,"8.78","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 100MG","0637","RC","Both",,,"24","12","Caresource","Medicaid Managed Care",,,"40",,"9.6","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 100MG","0637","RC","Both",,,"24","12","Wellcare","Medicaid Managed Care",,,"40",,"9.72","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 100MG","0637","RC","Both",,,"24","12","Aetna","Commercial",,,"64",,"15.31","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 100MG","0637","RC","Both",,,"24","12","Blue Cross Blue Shield","Pathways",,,"71",,"16.94","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 100MG","0637","RC","Both",,,"24","12","Blue Cross Blue Shield","HMO",,,"71",,"16.94","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 100MG","0637","RC","Both",,,"24","12","Blue Cross Blue Shield","PPO",,,"71",,"16.94","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 100MG","0637","RC","Both",,,"24","12","Ambetter","Health Exchange",,,"62",,"14.88","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 100MG","0637","RC","Both",,,"24","12","Caresource","Health Exchange",,,"62",,"14.88","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 100MG","0637","RC","Both",,,"24","12","Cigna","Commercial",,,"59",,"14.06","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 100MG","0637","RC","Both",,,"24","12","Humana","Commercial",,,"78",,"18.6","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 100MG","0637","RC","Both",,,"24","12","UHC","Commercial",,,"75",,"18.1","0.15","5264.58","percent of total billed charges",,
"NF-CELEBREX CAP 100MG","0637","RC","Both",,,"24","12","Medicaid",,,,"37",,"8.78","0.15","5264.58","percent of total billed charges",,
"NF-Anagrelide Hydrochloride Capsule 0.5M","0637","RC","Both",,,"17","8.5","Alliant","Health Exchange",,,"62",,"10.54","0.15","5264.58","percent of total billed charges",,
"NF-Anagrelide Hydrochloride Capsule 0.5M","0637","RC","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-Anagrelide Hydrochloride Capsule 0.5M","0637","RC","Both",,,"17","8.5","Medicare",,,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-Anagrelide Hydrochloride Capsule 0.5M","0637","RC","Both",,,"17","8.5","Humana","Medicare Advantage",,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-Anagrelide Hydrochloride Capsule 0.5M","0637","RC","Both",,,"17","8.5","UHC","Medicare Advantage",,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-Anagrelide Hydrochloride Capsule 0.5M","0637","RC","Both",,,"17","8.5","Clover","Medicare Advantage",,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-Anagrelide Hydrochloride Capsule 0.5M","0637","RC","Both",,,"17","8.5","Wellcare","Medicare Advantage",,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-Anagrelide Hydrochloride Capsule 0.5M","0637","RC","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.22","0.15","5264.58","percent of total billed charges",,
"NF-Anagrelide Hydrochloride Capsule 0.5M","0637","RC","Both",,,"17","8.5","Caresource","Medicaid Managed Care",,,"40",,"6.8","0.15","5264.58","percent of total billed charges",,
"NF-Anagrelide Hydrochloride Capsule 0.5M","0637","RC","Both",,,"17","8.5","Wellcare","Medicaid Managed Care",,,"40",,"6.89","0.15","5264.58","percent of total billed charges",,
"NF-Anagrelide Hydrochloride Capsule 0.5M","0637","RC","Both",,,"17","8.5","Aetna","Commercial",,,"64",,"10.85","0.15","5264.58","percent of total billed charges",,
"NF-Anagrelide Hydrochloride Capsule 0.5M","0637","RC","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways",,,"71",,"12","0.15","5264.58","percent of total billed charges",,
"NF-Anagrelide Hydrochloride Capsule 0.5M","0637","RC","Both",,,"17","8.5","Blue Cross Blue Shield","HMO",,,"71",,"12","0.15","5264.58","percent of total billed charges",,
"NF-Anagrelide Hydrochloride Capsule 0.5M","0637","RC","Both",,,"17","8.5","Blue Cross Blue Shield","PPO",,,"71",,"12","0.15","5264.58","percent of total billed charges",,
"NF-Anagrelide Hydrochloride Capsule 0.5M","0637","RC","Both",,,"17","8.5","Ambetter","Health Exchange",,,"62",,"10.54","0.15","5264.58","percent of total billed charges",,
"NF-Anagrelide Hydrochloride Capsule 0.5M","0637","RC","Both",,,"17","8.5","Caresource","Health Exchange",,,"62",,"10.54","0.15","5264.58","percent of total billed charges",,
"NF-Anagrelide Hydrochloride Capsule 0.5M","0637","RC","Both",,,"17","8.5","Cigna","Commercial",,,"59",,"9.96","0.15","5264.58","percent of total billed charges",,
"NF-Anagrelide Hydrochloride Capsule 0.5M","0637","RC","Both",,,"17","8.5","Humana","Commercial",,,"78",,"13.18","0.15","5264.58","percent of total billed charges",,
"NF-Anagrelide Hydrochloride Capsule 0.5M","0637","RC","Both",,,"17","8.5","UHC","Commercial",,,"75",,"12.82","0.15","5264.58","percent of total billed charges",,
"NF-Anagrelide Hydrochloride Capsule 0.5M","0637","RC","Both",,,"17","8.5","Medicaid",,,,"37",,"6.22","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Alliant","Health Exchange",,,"62",,"28.52","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Pruitt Healthcare","Medicare Advantage",,,"54",,"24.84","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Medicare",,,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Humana","Medicare Advantage",,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","UHC","Medicare Advantage",,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Clover","Medicare Advantage",,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Wellcare","Medicare Advantage",,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Amerigroup","Medicaid Managed Care",,,"37",,"16.84","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Caresource","Medicaid Managed Care",,,"40",,"18.4","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Wellcare","Medicaid Managed Care",,,"40",,"18.63","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Aetna","Commercial",,,"64",,"29.35","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Blue Cross Blue Shield","Pathways",,,"71",,"32.48","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Blue Cross Blue Shield","HMO",,,"71",,"32.48","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Blue Cross Blue Shield","PPO",,,"71",,"32.48","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Ambetter","Health Exchange",,,"62",,"28.52","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Caresource","Health Exchange",,,"62",,"28.52","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Cigna","Commercial",,,"59",,"26.96","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Humana","Commercial",,,"78",,"35.65","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","UHC","Commercial",,,"75",,"34.68","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Medicaid",,,,"37",,"16.84","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Alliant","Health Exchange",,,"62",,"28.52","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Pruitt Healthcare","Medicare Advantage",,,"54",,"24.84","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Medicare",,,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Humana","Medicare Advantage",,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","UHC","Medicare Advantage",,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Clover","Medicare Advantage",,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Wellcare","Medicare Advantage",,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Amerigroup","Medicaid Managed Care",,,"37",,"16.84","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Caresource","Medicaid Managed Care",,,"40",,"18.4","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Wellcare","Medicaid Managed Care",,,"40",,"18.63","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Aetna","Commercial",,,"64",,"29.35","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Blue Cross Blue Shield","Pathways",,,"71",,"32.48","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Blue Cross Blue Shield","HMO",,,"71",,"32.48","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Blue Cross Blue Shield","PPO",,,"71",,"32.48","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Ambetter","Health Exchange",,,"62",,"28.52","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Caresource","Health Exchange",,,"62",,"28.52","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Cigna","Commercial",,,"59",,"26.96","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Humana","Commercial",,,"78",,"35.65","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","UHC","Commercial",,,"75",,"34.68","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Medicaid",,,,"37",,"16.84","0.15","5264.58","percent of total billed charges",,
"NF-Naltrexone Oral Tablet 50MG","0637","RC","Both",,,"13","6.5","Alliant","Health Exchange",,,"62",,"8.06","0.15","5264.58","percent of total billed charges",,
"NF-Naltrexone Oral Tablet 50MG","0637","RC","Both",,,"13","6.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.02","0.15","5264.58","percent of total billed charges",,
"NF-Naltrexone Oral Tablet 50MG","0637","RC","Both",,,"13","6.5","Medicare",,,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-Naltrexone Oral Tablet 50MG","0637","RC","Both",,,"13","6.5","Humana","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-Naltrexone Oral Tablet 50MG","0637","RC","Both",,,"13","6.5","UHC","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-Naltrexone Oral Tablet 50MG","0637","RC","Both",,,"13","6.5","Clover","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-Naltrexone Oral Tablet 50MG","0637","RC","Both",,,"13","6.5","Wellcare","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-Naltrexone Oral Tablet 50MG","0637","RC","Both",,,"13","6.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.76","0.15","5264.58","percent of total billed charges",,
"NF-Naltrexone Oral Tablet 50MG","0637","RC","Both",,,"13","6.5","Caresource","Medicaid Managed Care",,,"40",,"5.2","0.15","5264.58","percent of total billed charges",,
"NF-Naltrexone Oral Tablet 50MG","0637","RC","Both",,,"13","6.5","Wellcare","Medicaid Managed Care",,,"40",,"5.26","0.15","5264.58","percent of total billed charges",,
"NF-Naltrexone Oral Tablet 50MG","0637","RC","Both",,,"13","6.5","Aetna","Commercial",,,"64",,"8.29","0.15","5264.58","percent of total billed charges",,
"NF-Naltrexone Oral Tablet 50MG","0637","RC","Both",,,"13","6.5","Blue Cross Blue Shield","Pathways",,,"71",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-Naltrexone Oral Tablet 50MG","0637","RC","Both",,,"13","6.5","Blue Cross Blue Shield","HMO",,,"71",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-Naltrexone Oral Tablet 50MG","0637","RC","Both",,,"13","6.5","Blue Cross Blue Shield","PPO",,,"71",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-Naltrexone Oral Tablet 50MG","0637","RC","Both",,,"13","6.5","Ambetter","Health Exchange",,,"62",,"8.06","0.15","5264.58","percent of total billed charges",,
"NF-Naltrexone Oral Tablet 50MG","0637","RC","Both",,,"13","6.5","Caresource","Health Exchange",,,"62",,"8.06","0.15","5264.58","percent of total billed charges",,
"NF-Naltrexone Oral Tablet 50MG","0637","RC","Both",,,"13","6.5","Cigna","Commercial",,,"59",,"7.62","0.15","5264.58","percent of total billed charges",,
"NF-Naltrexone Oral Tablet 50MG","0637","RC","Both",,,"13","6.5","Humana","Commercial",,,"78",,"10.08","0.15","5264.58","percent of total billed charges",,
"NF-Naltrexone Oral Tablet 50MG","0637","RC","Both",,,"13","6.5","UHC","Commercial",,,"75",,"9.8","0.15","5264.58","percent of total billed charges",,
"NF-Naltrexone Oral Tablet 50MG","0637","RC","Both",,,"13","6.5","Medicaid",,,,"37",,"4.76","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Alliant","Health Exchange",,,"62",,"14.26","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.42","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Medicare",,,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Humana","Medicare Advantage",,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","UHC","Medicare Advantage",,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Clover","Medicare Advantage",,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Wellcare","Medicare Advantage",,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Amerigroup","Medicaid Managed Care",,,"37",,"8.42","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Caresource","Medicaid Managed Care",,,"40",,"9.2","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Wellcare","Medicaid Managed Care",,,"40",,"9.32","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Aetna","Commercial",,,"64",,"14.67","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Blue Cross Blue Shield","Pathways",,,"71",,"16.24","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Blue Cross Blue Shield","HMO",,,"71",,"16.24","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Blue Cross Blue Shield","PPO",,,"71",,"16.24","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Ambetter","Health Exchange",,,"62",,"14.26","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Caresource","Health Exchange",,,"62",,"14.26","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Cigna","Commercial",,,"59",,"13.48","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Humana","Commercial",,,"78",,"17.82","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","UHC","Commercial",,,"75",,"17.34","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Medicaid",,,,"37",,"8.42","0.15","5264.58","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0637","RC","Both",,,"64","32","Alliant","Health Exchange",,,"62",,"39.68","0.15","5264.58","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0637","RC","Both",,,"64","32","Pruitt Healthcare","Medicare Advantage",,,"54",,"34.56","0.15","5264.58","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0637","RC","Both",,,"64","32","Medicare",,,,"54",,"34.69","0.15","5264.58","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0637","RC","Both",,,"64","32","Humana","Medicare Advantage",,,"54",,"34.69","0.15","5264.58","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0637","RC","Both",,,"64","32","UHC","Medicare Advantage",,,"54",,"34.69","0.15","5264.58","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0637","RC","Both",,,"64","32","Clover","Medicare Advantage",,,"54",,"34.69","0.15","5264.58","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0637","RC","Both",,,"64","32","Wellcare","Medicare Advantage",,,"54",,"34.69","0.15","5264.58","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0637","RC","Both",,,"64","32","Amerigroup","Medicaid Managed Care",,,"37",,"23.42","0.15","5264.58","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0637","RC","Both",,,"64","32","Caresource","Medicaid Managed Care",,,"40",,"25.6","0.15","5264.58","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0637","RC","Both",,,"64","32","Wellcare","Medicaid Managed Care",,,"40",,"25.92","0.15","5264.58","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0637","RC","Both",,,"64","32","Aetna","Commercial",,,"64",,"40.83","0.15","5264.58","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0637","RC","Both",,,"64","32","Blue Cross Blue Shield","Pathways",,,"71",,"45.18","0.15","5264.58","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0637","RC","Both",,,"64","32","Blue Cross Blue Shield","HMO",,,"71",,"45.18","0.15","5264.58","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0637","RC","Both",,,"64","32","Blue Cross Blue Shield","PPO",,,"71",,"45.18","0.15","5264.58","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0637","RC","Both",,,"64","32","Ambetter","Health Exchange",,,"62",,"39.68","0.15","5264.58","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0637","RC","Both",,,"64","32","Caresource","Health Exchange",,,"62",,"39.68","0.15","5264.58","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0637","RC","Both",,,"64","32","Cigna","Commercial",,,"59",,"37.5","0.15","5264.58","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0637","RC","Both",,,"64","32","Humana","Commercial",,,"78",,"49.6","0.15","5264.58","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0637","RC","Both",,,"64","32","UHC","Commercial",,,"75",,"48.26","0.15","5264.58","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0637","RC","Both",,,"64","32","Medicaid",,,,"37",,"23.42","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0637","RC","Both",,,"1.5","0.75","Alliant","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0637","RC","Both",,,"1.5","0.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0637","RC","Both",,,"1.5","0.75","Medicare",,,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0637","RC","Both",,,"1.5","0.75","Humana","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0637","RC","Both",,,"1.5","0.75","UHC","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0637","RC","Both",,,"1.5","0.75","Clover","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0637","RC","Both",,,"1.5","0.75","Amerigroup","Medicaid Managed Care",,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0637","RC","Both",,,"1.5","0.75","Caresource","Medicaid Managed Care",,,"40",,"0.6","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicaid Managed Care",,,"40",,"0.61","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0637","RC","Both",,,"1.5","0.75","Aetna","Commercial",,,"64",,"0.96","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","Pathways",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","HMO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","PPO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0637","RC","Both",,,"1.5","0.75","Ambetter","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0637","RC","Both",,,"1.5","0.75","Caresource","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0637","RC","Both",,,"1.5","0.75","Cigna","Commercial",,,"59",,"0.88","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0637","RC","Both",,,"1.5","0.75","Humana","Commercial",,,"78",,"1.16","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0637","RC","Both",,,"1.5","0.75","UHC","Commercial",,,"75",,"1.13","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0637","RC","Both",,,"1.5","0.75","Medicaid",,,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0637","RC","Both",,,"1.5","0.75","Alliant","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0637","RC","Both",,,"1.5","0.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0637","RC","Both",,,"1.5","0.75","Medicare",,,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0637","RC","Both",,,"1.5","0.75","Humana","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0637","RC","Both",,,"1.5","0.75","UHC","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0637","RC","Both",,,"1.5","0.75","Clover","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicare Advantage",,,"54",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0637","RC","Both",,,"1.5","0.75","Amerigroup","Medicaid Managed Care",,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0637","RC","Both",,,"1.5","0.75","Caresource","Medicaid Managed Care",,,"40",,"0.6","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0637","RC","Both",,,"1.5","0.75","Wellcare","Medicaid Managed Care",,,"40",,"0.61","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0637","RC","Both",,,"1.5","0.75","Aetna","Commercial",,,"64",,"0.96","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","Pathways",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","HMO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0637","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","PPO",,,"71",,"1.06","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0637","RC","Both",,,"1.5","0.75","Ambetter","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0637","RC","Both",,,"1.5","0.75","Caresource","Health Exchange",,,"62",,"0.93","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0637","RC","Both",,,"1.5","0.75","Cigna","Commercial",,,"59",,"0.88","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0637","RC","Both",,,"1.5","0.75","Humana","Commercial",,,"78",,"1.16","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0637","RC","Both",,,"1.5","0.75","UHC","Commercial",,,"75",,"1.13","0.15","5264.58","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0637","RC","Both",,,"1.5","0.75","Medicaid",,,,"37",,"0.55","0.15","5264.58","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0637","RC","Both",,,"236","118","Alliant","Health Exchange",,,"62",,"146.32","0.15","5264.58","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0637","RC","Both",,,"236","118","Pruitt Healthcare","Medicare Advantage",,,"54",,"127.44","0.15","5264.58","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0637","RC","Both",,,"236","118","Medicare",,,,"54",,"127.91","0.15","5264.58","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0637","RC","Both",,,"236","118","Humana","Medicare Advantage",,,"54",,"127.91","0.15","5264.58","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0637","RC","Both",,,"236","118","UHC","Medicare Advantage",,,"54",,"127.91","0.15","5264.58","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0637","RC","Both",,,"236","118","Clover","Medicare Advantage",,,"54",,"127.91","0.15","5264.58","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0637","RC","Both",,,"236","118","Wellcare","Medicare Advantage",,,"54",,"127.91","0.15","5264.58","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0637","RC","Both",,,"236","118","Amerigroup","Medicaid Managed Care",,,"37",,"86.38","0.15","5264.58","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0637","RC","Both",,,"236","118","Caresource","Medicaid Managed Care",,,"40",,"94.4","0.15","5264.58","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0637","RC","Both",,,"236","118","Wellcare","Medicaid Managed Care",,,"40",,"95.58","0.15","5264.58","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0637","RC","Both",,,"236","118","Aetna","Commercial",,,"64",,"150.57","0.15","5264.58","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0637","RC","Both",,,"236","118","Blue Cross Blue Shield","Pathways",,,"71",,"166.62","0.15","5264.58","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0637","RC","Both",,,"236","118","Blue Cross Blue Shield","HMO",,,"71",,"166.62","0.15","5264.58","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0637","RC","Both",,,"236","118","Blue Cross Blue Shield","PPO",,,"71",,"166.62","0.15","5264.58","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0637","RC","Both",,,"236","118","Ambetter","Health Exchange",,,"62",,"146.32","0.15","5264.58","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0637","RC","Both",,,"236","118","Caresource","Health Exchange",,,"62",,"146.32","0.15","5264.58","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0637","RC","Both",,,"236","118","Cigna","Commercial",,,"59",,"138.3","0.15","5264.58","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0637","RC","Both",,,"236","118","Humana","Commercial",,,"78",,"182.9","0.15","5264.58","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0637","RC","Both",,,"236","118","UHC","Commercial",,,"75",,"177.94","0.15","5264.58","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0637","RC","Both",,,"236","118","Medicaid",,,,"37",,"86.38","0.15","5264.58","percent of total billed charges",,
"NF-Butrans Transdermal Patch ER 10MCG/1H","0637","RC","Both",,,"330","165","Alliant","Health Exchange",,,"62",,"204.6","0.15","5264.58","percent of total billed charges",,
"NF-Butrans Transdermal Patch ER 10MCG/1H","0637","RC","Both",,,"330","165","Pruitt Healthcare","Medicare Advantage",,,"54",,"178.2","0.15","5264.58","percent of total billed charges",,
"NF-Butrans Transdermal Patch ER 10MCG/1H","0637","RC","Both",,,"330","165","Medicare",,,,"54",,"178.86","0.15","5264.58","percent of total billed charges",,
"NF-Butrans Transdermal Patch ER 10MCG/1H","0637","RC","Both",,,"330","165","Humana","Medicare Advantage",,,"54",,"178.86","0.15","5264.58","percent of total billed charges",,
"NF-Butrans Transdermal Patch ER 10MCG/1H","0637","RC","Both",,,"330","165","UHC","Medicare Advantage",,,"54",,"178.86","0.15","5264.58","percent of total billed charges",,
"NF-Butrans Transdermal Patch ER 10MCG/1H","0637","RC","Both",,,"330","165","Clover","Medicare Advantage",,,"54",,"178.86","0.15","5264.58","percent of total billed charges",,
"NF-Butrans Transdermal Patch ER 10MCG/1H","0637","RC","Both",,,"330","165","Wellcare","Medicare Advantage",,,"54",,"178.86","0.15","5264.58","percent of total billed charges",,
"NF-Butrans Transdermal Patch ER 10MCG/1H","0637","RC","Both",,,"330","165","Amerigroup","Medicaid Managed Care",,,"37",,"120.78","0.15","5264.58","percent of total billed charges",,
"NF-Butrans Transdermal Patch ER 10MCG/1H","0637","RC","Both",,,"330","165","Caresource","Medicaid Managed Care",,,"40",,"132","0.15","5264.58","percent of total billed charges",,
"NF-Butrans Transdermal Patch ER 10MCG/1H","0637","RC","Both",,,"330","165","Wellcare","Medicaid Managed Care",,,"40",,"133.65","0.15","5264.58","percent of total billed charges",,
"NF-Butrans Transdermal Patch ER 10MCG/1H","0637","RC","Both",,,"330","165","Aetna","Commercial",,,"64",,"210.54","0.15","5264.58","percent of total billed charges",,
"NF-Butrans Transdermal Patch ER 10MCG/1H","0637","RC","Both",,,"330","165","Blue Cross Blue Shield","Pathways",,,"71",,"232.98","0.15","5264.58","percent of total billed charges",,
"NF-Butrans Transdermal Patch ER 10MCG/1H","0637","RC","Both",,,"330","165","Blue Cross Blue Shield","HMO",,,"71",,"232.98","0.15","5264.58","percent of total billed charges",,
"NF-Butrans Transdermal Patch ER 10MCG/1H","0637","RC","Both",,,"330","165","Blue Cross Blue Shield","PPO",,,"71",,"232.98","0.15","5264.58","percent of total billed charges",,
"NF-Butrans Transdermal Patch ER 10MCG/1H","0637","RC","Both",,,"330","165","Ambetter","Health Exchange",,,"62",,"204.6","0.15","5264.58","percent of total billed charges",,
"NF-Butrans Transdermal Patch ER 10MCG/1H","0637","RC","Both",,,"330","165","Caresource","Health Exchange",,,"62",,"204.6","0.15","5264.58","percent of total billed charges",,
"NF-Butrans Transdermal Patch ER 10MCG/1H","0637","RC","Both",,,"330","165","Cigna","Commercial",,,"59",,"193.38","0.15","5264.58","percent of total billed charges",,
"NF-Butrans Transdermal Patch ER 10MCG/1H","0637","RC","Both",,,"330","165","Humana","Commercial",,,"78",,"255.75","0.15","5264.58","percent of total billed charges",,
"NF-Butrans Transdermal Patch ER 10MCG/1H","0637","RC","Both",,,"330","165","UHC","Commercial",,,"75",,"248.82","0.15","5264.58","percent of total billed charges",,
"NF-Butrans Transdermal Patch ER 10MCG/1H","0637","RC","Both",,,"330","165","Medicaid",,,,"37",,"120.78","0.15","5264.58","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0637","RC","Both",,,"368","184","Alliant","Health Exchange",,,"62",,"228.16","0.15","5264.58","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0637","RC","Both",,,"368","184","Pruitt Healthcare","Medicare Advantage",,,"54",,"198.72","0.15","5264.58","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0637","RC","Both",,,"368","184","Medicare",,,,"54",,"199.46","0.15","5264.58","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0637","RC","Both",,,"368","184","Humana","Medicare Advantage",,,"54",,"199.46","0.15","5264.58","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0637","RC","Both",,,"368","184","UHC","Medicare Advantage",,,"54",,"199.46","0.15","5264.58","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0637","RC","Both",,,"368","184","Clover","Medicare Advantage",,,"54",,"199.46","0.15","5264.58","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0637","RC","Both",,,"368","184","Wellcare","Medicare Advantage",,,"54",,"199.46","0.15","5264.58","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0637","RC","Both",,,"368","184","Amerigroup","Medicaid Managed Care",,,"37",,"134.69","0.15","5264.58","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0637","RC","Both",,,"368","184","Caresource","Medicaid Managed Care",,,"40",,"147.2","0.15","5264.58","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0637","RC","Both",,,"368","184","Wellcare","Medicaid Managed Care",,,"40",,"149.04","0.15","5264.58","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0637","RC","Both",,,"368","184","Aetna","Commercial",,,"64",,"234.78","0.15","5264.58","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0637","RC","Both",,,"368","184","Blue Cross Blue Shield","Pathways",,,"71",,"259.81","0.15","5264.58","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0637","RC","Both",,,"368","184","Blue Cross Blue Shield","HMO",,,"71",,"259.81","0.15","5264.58","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0637","RC","Both",,,"368","184","Blue Cross Blue Shield","PPO",,,"71",,"259.81","0.15","5264.58","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0637","RC","Both",,,"368","184","Ambetter","Health Exchange",,,"62",,"228.16","0.15","5264.58","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0637","RC","Both",,,"368","184","Caresource","Health Exchange",,,"62",,"228.16","0.15","5264.58","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0637","RC","Both",,,"368","184","Cigna","Commercial",,,"59",,"215.65","0.15","5264.58","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0637","RC","Both",,,"368","184","Humana","Commercial",,,"78",,"285.2","0.15","5264.58","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0637","RC","Both",,,"368","184","UHC","Commercial",,,"75",,"277.47","0.15","5264.58","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0637","RC","Both",,,"368","184","Medicaid",,,,"37",,"134.69","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Alliant","Health Exchange",,,"62",,"688.2","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Pruitt Healthcare","Medicare Advantage",,,"54",,"599.4","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Medicare",,,,"54",,"601.62","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Humana","Medicare Advantage",,,"54",,"601.62","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","UHC","Medicare Advantage",,,"54",,"601.62","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Clover","Medicare Advantage",,,"54",,"601.62","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Wellcare","Medicare Advantage",,,"54",,"601.62","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Amerigroup","Medicaid Managed Care",,,"37",,"406.26","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Caresource","Medicaid Managed Care",,,"40",,"444","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Wellcare","Medicaid Managed Care",,,"40",,"449.55","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Aetna","Commercial",,,"64",,"708.18","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Blue Cross Blue Shield","Pathways",,,"71",,"783.66","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Blue Cross Blue Shield","HMO",,,"71",,"783.66","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Blue Cross Blue Shield","PPO",,,"71",,"783.66","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Ambetter","Health Exchange",,,"62",,"688.2","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Caresource","Health Exchange",,,"62",,"688.2","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Cigna","Commercial",,,"59",,"650.46","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Humana","Commercial",,,"78",,"860.25","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","UHC","Commercial",,,"75",,"836.94","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Medicaid",,,,"37",,"406.26","0.15","5264.58","percent of total billed charges",,
"NF-Prolensa Ophthalmic Solution 0.07%","0637","RC","Both",,,"276","138","Alliant","Health Exchange",,,"62",,"171.12","0.15","5264.58","percent of total billed charges",,
"NF-Prolensa Ophthalmic Solution 0.07%","0637","RC","Both",,,"276","138","Pruitt Healthcare","Medicare Advantage",,,"54",,"149.04","0.15","5264.58","percent of total billed charges",,
"NF-Prolensa Ophthalmic Solution 0.07%","0637","RC","Both",,,"276","138","Medicare",,,,"54",,"149.59","0.15","5264.58","percent of total billed charges",,
"NF-Prolensa Ophthalmic Solution 0.07%","0637","RC","Both",,,"276","138","Humana","Medicare Advantage",,,"54",,"149.59","0.15","5264.58","percent of total billed charges",,
"NF-Prolensa Ophthalmic Solution 0.07%","0637","RC","Both",,,"276","138","UHC","Medicare Advantage",,,"54",,"149.59","0.15","5264.58","percent of total billed charges",,
"NF-Prolensa Ophthalmic Solution 0.07%","0637","RC","Both",,,"276","138","Clover","Medicare Advantage",,,"54",,"149.59","0.15","5264.58","percent of total billed charges",,
"NF-Prolensa Ophthalmic Solution 0.07%","0637","RC","Both",,,"276","138","Wellcare","Medicare Advantage",,,"54",,"149.59","0.15","5264.58","percent of total billed charges",,
"NF-Prolensa Ophthalmic Solution 0.07%","0637","RC","Both",,,"276","138","Amerigroup","Medicaid Managed Care",,,"37",,"101.02","0.15","5264.58","percent of total billed charges",,
"NF-Prolensa Ophthalmic Solution 0.07%","0637","RC","Both",,,"276","138","Caresource","Medicaid Managed Care",,,"40",,"110.4","0.15","5264.58","percent of total billed charges",,
"NF-Prolensa Ophthalmic Solution 0.07%","0637","RC","Both",,,"276","138","Wellcare","Medicaid Managed Care",,,"40",,"111.78","0.15","5264.58","percent of total billed charges",,
"NF-Prolensa Ophthalmic Solution 0.07%","0637","RC","Both",,,"276","138","Aetna","Commercial",,,"64",,"176.09","0.15","5264.58","percent of total billed charges",,
"NF-Prolensa Ophthalmic Solution 0.07%","0637","RC","Both",,,"276","138","Blue Cross Blue Shield","Pathways",,,"71",,"194.86","0.15","5264.58","percent of total billed charges",,
"NF-Prolensa Ophthalmic Solution 0.07%","0637","RC","Both",,,"276","138","Blue Cross Blue Shield","HMO",,,"71",,"194.86","0.15","5264.58","percent of total billed charges",,
"NF-Prolensa Ophthalmic Solution 0.07%","0637","RC","Both",,,"276","138","Blue Cross Blue Shield","PPO",,,"71",,"194.86","0.15","5264.58","percent of total billed charges",,
"NF-Prolensa Ophthalmic Solution 0.07%","0637","RC","Both",,,"276","138","Ambetter","Health Exchange",,,"62",,"171.12","0.15","5264.58","percent of total billed charges",,
"NF-Prolensa Ophthalmic Solution 0.07%","0637","RC","Both",,,"276","138","Caresource","Health Exchange",,,"62",,"171.12","0.15","5264.58","percent of total billed charges",,
"NF-Prolensa Ophthalmic Solution 0.07%","0637","RC","Both",,,"276","138","Cigna","Commercial",,,"59",,"161.74","0.15","5264.58","percent of total billed charges",,
"NF-Prolensa Ophthalmic Solution 0.07%","0637","RC","Both",,,"276","138","Humana","Commercial",,,"78",,"213.9","0.15","5264.58","percent of total billed charges",,
"NF-Prolensa Ophthalmic Solution 0.07%","0637","RC","Both",,,"276","138","UHC","Commercial",,,"75",,"208.1","0.15","5264.58","percent of total billed charges",,
"NF-Prolensa Ophthalmic Solution 0.07%","0637","RC","Both",,,"276","138","Medicaid",,,,"37",,"101.02","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Alliant","Health Exchange",,,"62",,"14.26","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.42","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Medicare",,,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Humana","Medicare Advantage",,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","UHC","Medicare Advantage",,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Clover","Medicare Advantage",,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Wellcare","Medicare Advantage",,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Amerigroup","Medicaid Managed Care",,,"37",,"8.42","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Caresource","Medicaid Managed Care",,,"40",,"9.2","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Wellcare","Medicaid Managed Care",,,"40",,"9.32","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Aetna","Commercial",,,"64",,"14.67","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Blue Cross Blue Shield","Pathways",,,"71",,"16.24","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Blue Cross Blue Shield","HMO",,,"71",,"16.24","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Blue Cross Blue Shield","PPO",,,"71",,"16.24","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Ambetter","Health Exchange",,,"62",,"14.26","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Caresource","Health Exchange",,,"62",,"14.26","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Cigna","Commercial",,,"59",,"13.48","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Humana","Commercial",,,"78",,"17.82","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","UHC","Commercial",,,"75",,"17.34","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Medicaid",,,,"37",,"8.42","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"23.5","11.75","Alliant","Health Exchange",,,"62",,"14.57","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"23.5","11.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.69","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"23.5","11.75","Medicare",,,,"54",,"12.74","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"23.5","11.75","Humana","Medicare Advantage",,,"54",,"12.74","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"23.5","11.75","UHC","Medicare Advantage",,,"54",,"12.74","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"23.5","11.75","Clover","Medicare Advantage",,,"54",,"12.74","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"23.5","11.75","Wellcare","Medicare Advantage",,,"54",,"12.74","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"23.5","11.75","Amerigroup","Medicaid Managed Care",,,"37",,"8.6","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"23.5","11.75","Caresource","Medicaid Managed Care",,,"40",,"9.4","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"23.5","11.75","Wellcare","Medicaid Managed Care",,,"40",,"9.52","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"23.5","11.75","Aetna","Commercial",,,"64",,"14.99","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"23.5","11.75","Blue Cross Blue Shield","Pathways",,,"71",,"16.59","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"23.5","11.75","Blue Cross Blue Shield","HMO",,,"71",,"16.59","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"23.5","11.75","Blue Cross Blue Shield","PPO",,,"71",,"16.59","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"23.5","11.75","Ambetter","Health Exchange",,,"62",,"14.57","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"23.5","11.75","Caresource","Health Exchange",,,"62",,"14.57","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"23.5","11.75","Cigna","Commercial",,,"59",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"23.5","11.75","Humana","Commercial",,,"78",,"18.21","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"23.5","11.75","UHC","Commercial",,,"75",,"17.72","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0637","RC","Both",,,"23.5","11.75","Medicaid",,,,"37",,"8.6","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Alliant","Health Exchange",,,"62",,"28.52","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Pruitt Healthcare","Medicare Advantage",,,"54",,"24.84","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Medicare",,,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Humana","Medicare Advantage",,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","UHC","Medicare Advantage",,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Clover","Medicare Advantage",,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Wellcare","Medicare Advantage",,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Amerigroup","Medicaid Managed Care",,,"37",,"16.84","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Caresource","Medicaid Managed Care",,,"40",,"18.4","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Wellcare","Medicaid Managed Care",,,"40",,"18.63","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Aetna","Commercial",,,"64",,"29.35","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Blue Cross Blue Shield","Pathways",,,"71",,"32.48","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Blue Cross Blue Shield","HMO",,,"71",,"32.48","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Blue Cross Blue Shield","PPO",,,"71",,"32.48","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Ambetter","Health Exchange",,,"62",,"28.52","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Caresource","Health Exchange",,,"62",,"28.52","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Cigna","Commercial",,,"59",,"26.96","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Humana","Commercial",,,"78",,"35.65","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","UHC","Commercial",,,"75",,"34.68","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"46","23","Medicaid",,,,"37",,"16.84","0.15","5264.58","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0637","RC","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0637","RC","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","0.15","5264.58","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0637","RC","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0637","RC","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0637","RC","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0637","RC","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0637","RC","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0637","RC","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","0.15","5264.58","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0637","RC","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","0.15","5264.58","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0637","RC","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","0.15","5264.58","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0637","RC","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","0.15","5264.58","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0637","RC","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0637","RC","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0637","RC","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","0.15","5264.58","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0637","RC","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0637","RC","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","0.15","5264.58","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0637","RC","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 5MG-20MG","0637","RC","Both",,,"12","6","Alliant","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 5MG-20MG","0637","RC","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.48","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 5MG-20MG","0637","RC","Both",,,"12","6","Medicare",,,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 5MG-20MG","0637","RC","Both",,,"12","6","Humana","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 5MG-20MG","0637","RC","Both",,,"12","6","UHC","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 5MG-20MG","0637","RC","Both",,,"12","6","Clover","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 5MG-20MG","0637","RC","Both",,,"12","6","Wellcare","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 5MG-20MG","0637","RC","Both",,,"12","6","Amerigroup","Medicaid Managed Care",,,"37",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 5MG-20MG","0637","RC","Both",,,"12","6","Caresource","Medicaid Managed Care",,,"40",,"4.8","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 5MG-20MG","0637","RC","Both",,,"12","6","Wellcare","Medicaid Managed Care",,,"40",,"4.86","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 5MG-20MG","0637","RC","Both",,,"12","6","Aetna","Commercial",,,"64",,"7.66","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 5MG-20MG","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","Pathways",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 5MG-20MG","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","HMO",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 5MG-20MG","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","PPO",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 5MG-20MG","0637","RC","Both",,,"12","6","Ambetter","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 5MG-20MG","0637","RC","Both",,,"12","6","Caresource","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 5MG-20MG","0637","RC","Both",,,"12","6","Cigna","Commercial",,,"59",,"7.03","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 5MG-20MG","0637","RC","Both",,,"12","6","Humana","Commercial",,,"78",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 5MG-20MG","0637","RC","Both",,,"12","6","UHC","Commercial",,,"75",,"9.05","0.15","5264.58","percent of total billed charges",,
"NF-LOTREL CAP 5MG-20MG","0637","RC","Both",,,"12","6","Medicaid",,,,"37",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INH PWD 100MCG-25MCG/1AC","0637","RC","Both",,,"19.5","9.75","Alliant","Health Exchange",,,"62",,"12.09","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INH PWD 100MCG-25MCG/1AC","0637","RC","Both",,,"19.5","9.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.53","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INH PWD 100MCG-25MCG/1AC","0637","RC","Both",,,"19.5","9.75","Medicare",,,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INH PWD 100MCG-25MCG/1AC","0637","RC","Both",,,"19.5","9.75","Humana","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INH PWD 100MCG-25MCG/1AC","0637","RC","Both",,,"19.5","9.75","UHC","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INH PWD 100MCG-25MCG/1AC","0637","RC","Both",,,"19.5","9.75","Clover","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INH PWD 100MCG-25MCG/1AC","0637","RC","Both",,,"19.5","9.75","Wellcare","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INH PWD 100MCG-25MCG/1AC","0637","RC","Both",,,"19.5","9.75","Amerigroup","Medicaid Managed Care",,,"37",,"7.14","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INH PWD 100MCG-25MCG/1AC","0637","RC","Both",,,"19.5","9.75","Caresource","Medicaid Managed Care",,,"40",,"7.8","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INH PWD 100MCG-25MCG/1AC","0637","RC","Both",,,"19.5","9.75","Wellcare","Medicaid Managed Care",,,"40",,"7.9","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INH PWD 100MCG-25MCG/1AC","0637","RC","Both",,,"19.5","9.75","Aetna","Commercial",,,"64",,"12.44","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INH PWD 100MCG-25MCG/1AC","0637","RC","Both",,,"19.5","9.75","Blue Cross Blue Shield","Pathways",,,"71",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INH PWD 100MCG-25MCG/1AC","0637","RC","Both",,,"19.5","9.75","Blue Cross Blue Shield","HMO",,,"71",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INH PWD 100MCG-25MCG/1AC","0637","RC","Both",,,"19.5","9.75","Blue Cross Blue Shield","PPO",,,"71",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INH PWD 100MCG-25MCG/1AC","0637","RC","Both",,,"19.5","9.75","Ambetter","Health Exchange",,,"62",,"12.09","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INH PWD 100MCG-25MCG/1AC","0637","RC","Both",,,"19.5","9.75","Caresource","Health Exchange",,,"62",,"12.09","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INH PWD 100MCG-25MCG/1AC","0637","RC","Both",,,"19.5","9.75","Cigna","Commercial",,,"59",,"11.43","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INH PWD 100MCG-25MCG/1AC","0637","RC","Both",,,"19.5","9.75","Humana","Commercial",,,"78",,"15.11","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INH PWD 100MCG-25MCG/1AC","0637","RC","Both",,,"19.5","9.75","UHC","Commercial",,,"75",,"14.7","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INH PWD 100MCG-25MCG/1AC","0637","RC","Both",,,"19.5","9.75","Medicaid",,,,"37",,"7.14","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INHALATION POWDER","0637","RC","Both",,,"19.5","9.75","Alliant","Health Exchange",,,"62",,"12.09","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INHALATION POWDER","0637","RC","Both",,,"19.5","9.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.53","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INHALATION POWDER","0637","RC","Both",,,"19.5","9.75","Medicare",,,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INHALATION POWDER","0637","RC","Both",,,"19.5","9.75","Humana","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INHALATION POWDER","0637","RC","Both",,,"19.5","9.75","UHC","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INHALATION POWDER","0637","RC","Both",,,"19.5","9.75","Clover","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INHALATION POWDER","0637","RC","Both",,,"19.5","9.75","Wellcare","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INHALATION POWDER","0637","RC","Both",,,"19.5","9.75","Amerigroup","Medicaid Managed Care",,,"37",,"7.14","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INHALATION POWDER","0637","RC","Both",,,"19.5","9.75","Caresource","Medicaid Managed Care",,,"40",,"7.8","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INHALATION POWDER","0637","RC","Both",,,"19.5","9.75","Wellcare","Medicaid Managed Care",,,"40",,"7.9","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INHALATION POWDER","0637","RC","Both",,,"19.5","9.75","Aetna","Commercial",,,"64",,"12.44","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INHALATION POWDER","0637","RC","Both",,,"19.5","9.75","Blue Cross Blue Shield","Pathways",,,"71",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INHALATION POWDER","0637","RC","Both",,,"19.5","9.75","Blue Cross Blue Shield","HMO",,,"71",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INHALATION POWDER","0637","RC","Both",,,"19.5","9.75","Blue Cross Blue Shield","PPO",,,"71",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INHALATION POWDER","0637","RC","Both",,,"19.5","9.75","Ambetter","Health Exchange",,,"62",,"12.09","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INHALATION POWDER","0637","RC","Both",,,"19.5","9.75","Caresource","Health Exchange",,,"62",,"12.09","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INHALATION POWDER","0637","RC","Both",,,"19.5","9.75","Cigna","Commercial",,,"59",,"11.43","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INHALATION POWDER","0637","RC","Both",,,"19.5","9.75","Humana","Commercial",,,"78",,"15.11","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INHALATION POWDER","0637","RC","Both",,,"19.5","9.75","UHC","Commercial",,,"75",,"14.7","0.15","5264.58","percent of total billed charges",,
"NF-BREO ELLIPTA INHALATION POWDER","0637","RC","Both",,,"19.5","9.75","Medicaid",,,,"37",,"7.14","0.15","5264.58","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0637","RC","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0637","RC","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","0.15","5264.58","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0637","RC","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0637","RC","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0637","RC","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0637","RC","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0637","RC","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0637","RC","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0637","RC","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","0.15","5264.58","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0637","RC","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.15","5264.58","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0637","RC","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","0.15","5264.58","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0637","RC","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0637","RC","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0637","RC","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","0.15","5264.58","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0637","RC","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","0.15","5264.58","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0637","RC","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","0.15","5264.58","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0637","RC","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-Clobetasol Prop Topical Ointment 0.05","0637","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-Clobetasol Prop Topical Ointment 0.05","0637","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-Clobetasol Prop Topical Ointment 0.05","0637","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-Clobetasol Prop Topical Ointment 0.05","0637","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-Clobetasol Prop Topical Ointment 0.05","0637","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-Clobetasol Prop Topical Ointment 0.05","0637","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-Clobetasol Prop Topical Ointment 0.05","0637","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-Clobetasol Prop Topical Ointment 0.05","0637","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-Clobetasol Prop Topical Ointment 0.05","0637","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.15","5264.58","percent of total billed charges",,
"NF-Clobetasol Prop Topical Ointment 0.05","0637","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-Clobetasol Prop Topical Ointment 0.05","0637","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-Clobetasol Prop Topical Ointment 0.05","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-Clobetasol Prop Topical Ointment 0.05","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-Clobetasol Prop Topical Ointment 0.05","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-Clobetasol Prop Topical Ointment 0.05","0637","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-Clobetasol Prop Topical Ointment 0.05","0637","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-Clobetasol Prop Topical Ointment 0.05","0637","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.15","5264.58","percent of total billed charges",,
"NF-Clobetasol Prop Topical Ointment 0.05","0637","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-Clobetasol Prop Topical Ointment 0.05","0637","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.15","5264.58","percent of total billed charges",,
"NF-Clobetasol Prop Topical Ointment 0.05","0637","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0637","RC","Both",,,"23","11.5","Alliant","Health Exchange",,,"62",,"14.26","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0637","RC","Both",,,"23","11.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.42","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0637","RC","Both",,,"23","11.5","Medicare",,,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0637","RC","Both",,,"23","11.5","Humana","Medicare Advantage",,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0637","RC","Both",,,"23","11.5","UHC","Medicare Advantage",,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0637","RC","Both",,,"23","11.5","Clover","Medicare Advantage",,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0637","RC","Both",,,"23","11.5","Wellcare","Medicare Advantage",,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0637","RC","Both",,,"23","11.5","Amerigroup","Medicaid Managed Care",,,"37",,"8.42","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0637","RC","Both",,,"23","11.5","Caresource","Medicaid Managed Care",,,"40",,"9.2","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0637","RC","Both",,,"23","11.5","Wellcare","Medicaid Managed Care",,,"40",,"9.32","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0637","RC","Both",,,"23","11.5","Aetna","Commercial",,,"64",,"14.67","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0637","RC","Both",,,"23","11.5","Blue Cross Blue Shield","Pathways",,,"71",,"16.24","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0637","RC","Both",,,"23","11.5","Blue Cross Blue Shield","HMO",,,"71",,"16.24","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0637","RC","Both",,,"23","11.5","Blue Cross Blue Shield","PPO",,,"71",,"16.24","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0637","RC","Both",,,"23","11.5","Ambetter","Health Exchange",,,"62",,"14.26","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0637","RC","Both",,,"23","11.5","Caresource","Health Exchange",,,"62",,"14.26","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0637","RC","Both",,,"23","11.5","Cigna","Commercial",,,"59",,"13.48","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0637","RC","Both",,,"23","11.5","Humana","Commercial",,,"78",,"17.82","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0637","RC","Both",,,"23","11.5","UHC","Commercial",,,"75",,"17.34","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0637","RC","Both",,,"23","11.5","Medicaid",,,,"37",,"8.42","0.15","5264.58","percent of total billed charges",,
"NF-Anagrelide Hydrochloride Capsule 0.5M","0637","RC","Both",,,"17","8.5","Alliant","Health Exchange",,,"62",,"10.54","0.15","5264.58","percent of total billed charges",,
"NF-Anagrelide Hydrochloride Capsule 0.5M","0637","RC","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-Anagrelide Hydrochloride Capsule 0.5M","0637","RC","Both",,,"17","8.5","Medicare",,,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-Anagrelide Hydrochloride Capsule 0.5M","0637","RC","Both",,,"17","8.5","Humana","Medicare Advantage",,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-Anagrelide Hydrochloride Capsule 0.5M","0637","RC","Both",,,"17","8.5","UHC","Medicare Advantage",,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-Anagrelide Hydrochloride Capsule 0.5M","0637","RC","Both",,,"17","8.5","Clover","Medicare Advantage",,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-Anagrelide Hydrochloride Capsule 0.5M","0637","RC","Both",,,"17","8.5","Wellcare","Medicare Advantage",,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-Anagrelide Hydrochloride Capsule 0.5M","0637","RC","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.22","0.15","5264.58","percent of total billed charges",,
"NF-Anagrelide Hydrochloride Capsule 0.5M","0637","RC","Both",,,"17","8.5","Caresource","Medicaid Managed Care",,,"40",,"6.8","0.15","5264.58","percent of total billed charges",,
"NF-Anagrelide Hydrochloride Capsule 0.5M","0637","RC","Both",,,"17","8.5","Wellcare","Medicaid Managed Care",,,"40",,"6.89","0.15","5264.58","percent of total billed charges",,
"NF-Anagrelide Hydrochloride Capsule 0.5M","0637","RC","Both",,,"17","8.5","Aetna","Commercial",,,"64",,"10.85","0.15","5264.58","percent of total billed charges",,
"NF-Anagrelide Hydrochloride Capsule 0.5M","0637","RC","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways",,,"71",,"12","0.15","5264.58","percent of total billed charges",,
"NF-Anagrelide Hydrochloride Capsule 0.5M","0637","RC","Both",,,"17","8.5","Blue Cross Blue Shield","HMO",,,"71",,"12","0.15","5264.58","percent of total billed charges",,
"NF-Anagrelide Hydrochloride Capsule 0.5M","0637","RC","Both",,,"17","8.5","Blue Cross Blue Shield","PPO",,,"71",,"12","0.15","5264.58","percent of total billed charges",,
"NF-Anagrelide Hydrochloride Capsule 0.5M","0637","RC","Both",,,"17","8.5","Ambetter","Health Exchange",,,"62",,"10.54","0.15","5264.58","percent of total billed charges",,
"NF-Anagrelide Hydrochloride Capsule 0.5M","0637","RC","Both",,,"17","8.5","Caresource","Health Exchange",,,"62",,"10.54","0.15","5264.58","percent of total billed charges",,
"NF-Anagrelide Hydrochloride Capsule 0.5M","0637","RC","Both",,,"17","8.5","Cigna","Commercial",,,"59",,"9.96","0.15","5264.58","percent of total billed charges",,
"NF-Anagrelide Hydrochloride Capsule 0.5M","0637","RC","Both",,,"17","8.5","Humana","Commercial",,,"78",,"13.18","0.15","5264.58","percent of total billed charges",,
"NF-Anagrelide Hydrochloride Capsule 0.5M","0637","RC","Both",,,"17","8.5","UHC","Commercial",,,"75",,"12.82","0.15","5264.58","percent of total billed charges",,
"NF-Anagrelide Hydrochloride Capsule 0.5M","0637","RC","Both",,,"17","8.5","Medicaid",,,,"37",,"6.22","0.15","5264.58","percent of total billed charges",,
"NF-Memantine HCl Oral Tablet 5MG","0637","RC","Both",,,"18","9","Alliant","Health Exchange",,,"62",,"11.16","0.15","5264.58","percent of total billed charges",,
"NF-Memantine HCl Oral Tablet 5MG","0637","RC","Both",,,"18","9","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.72","0.15","5264.58","percent of total billed charges",,
"NF-Memantine HCl Oral Tablet 5MG","0637","RC","Both",,,"18","9","Medicare",,,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-Memantine HCl Oral Tablet 5MG","0637","RC","Both",,,"18","9","Humana","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-Memantine HCl Oral Tablet 5MG","0637","RC","Both",,,"18","9","UHC","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-Memantine HCl Oral Tablet 5MG","0637","RC","Both",,,"18","9","Clover","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-Memantine HCl Oral Tablet 5MG","0637","RC","Both",,,"18","9","Wellcare","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-Memantine HCl Oral Tablet 5MG","0637","RC","Both",,,"18","9","Amerigroup","Medicaid Managed Care",,,"37",,"6.59","0.15","5264.58","percent of total billed charges",,
"NF-Memantine HCl Oral Tablet 5MG","0637","RC","Both",,,"18","9","Caresource","Medicaid Managed Care",,,"40",,"7.2","0.15","5264.58","percent of total billed charges",,
"NF-Memantine HCl Oral Tablet 5MG","0637","RC","Both",,,"18","9","Wellcare","Medicaid Managed Care",,,"40",,"7.29","0.15","5264.58","percent of total billed charges",,
"NF-Memantine HCl Oral Tablet 5MG","0637","RC","Both",,,"18","9","Aetna","Commercial",,,"64",,"11.48","0.15","5264.58","percent of total billed charges",,
"NF-Memantine HCl Oral Tablet 5MG","0637","RC","Both",,,"18","9","Blue Cross Blue Shield","Pathways",,,"71",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-Memantine HCl Oral Tablet 5MG","0637","RC","Both",,,"18","9","Blue Cross Blue Shield","HMO",,,"71",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-Memantine HCl Oral Tablet 5MG","0637","RC","Both",,,"18","9","Blue Cross Blue Shield","PPO",,,"71",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-Memantine HCl Oral Tablet 5MG","0637","RC","Both",,,"18","9","Ambetter","Health Exchange",,,"62",,"11.16","0.15","5264.58","percent of total billed charges",,
"NF-Memantine HCl Oral Tablet 5MG","0637","RC","Both",,,"18","9","Caresource","Health Exchange",,,"62",,"11.16","0.15","5264.58","percent of total billed charges",,
"NF-Memantine HCl Oral Tablet 5MG","0637","RC","Both",,,"18","9","Cigna","Commercial",,,"59",,"10.55","0.15","5264.58","percent of total billed charges",,
"NF-Memantine HCl Oral Tablet 5MG","0637","RC","Both",,,"18","9","Humana","Commercial",,,"78",,"13.95","0.15","5264.58","percent of total billed charges",,
"NF-Memantine HCl Oral Tablet 5MG","0637","RC","Both",,,"18","9","UHC","Commercial",,,"75",,"13.57","0.15","5264.58","percent of total billed charges",,
"NF-Memantine HCl Oral Tablet 5MG","0637","RC","Both",,,"18","9","Medicaid",,,,"37",,"6.59","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Alliant","Health Exchange",,,"62",,"14.26","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.42","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Medicare",,,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Humana","Medicare Advantage",,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","UHC","Medicare Advantage",,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Clover","Medicare Advantage",,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Wellcare","Medicare Advantage",,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Amerigroup","Medicaid Managed Care",,,"37",,"8.42","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Caresource","Medicaid Managed Care",,,"40",,"9.2","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Wellcare","Medicaid Managed Care",,,"40",,"9.32","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Aetna","Commercial",,,"64",,"14.67","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Blue Cross Blue Shield","Pathways",,,"71",,"16.24","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Blue Cross Blue Shield","HMO",,,"71",,"16.24","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Blue Cross Blue Shield","PPO",,,"71",,"16.24","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Ambetter","Health Exchange",,,"62",,"14.26","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Caresource","Health Exchange",,,"62",,"14.26","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Cigna","Commercial",,,"59",,"13.48","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Humana","Commercial",,,"78",,"17.82","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","UHC","Commercial",,,"75",,"17.34","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Medicaid",,,,"37",,"8.42","0.15","5264.58","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0637","RC","Both",,,"120","60","Alliant","Health Exchange",,,"62",,"74.4","0.15","5264.58","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0637","RC","Both",,,"120","60","Pruitt Healthcare","Medicare Advantage",,,"54",,"64.8","0.15","5264.58","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0637","RC","Both",,,"120","60","Medicare",,,,"54",,"65.04","0.15","5264.58","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0637","RC","Both",,,"120","60","Humana","Medicare Advantage",,,"54",,"65.04","0.15","5264.58","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0637","RC","Both",,,"120","60","UHC","Medicare Advantage",,,"54",,"65.04","0.15","5264.58","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0637","RC","Both",,,"120","60","Clover","Medicare Advantage",,,"54",,"65.04","0.15","5264.58","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0637","RC","Both",,,"120","60","Wellcare","Medicare Advantage",,,"54",,"65.04","0.15","5264.58","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0637","RC","Both",,,"120","60","Amerigroup","Medicaid Managed Care",,,"37",,"43.92","0.15","5264.58","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0637","RC","Both",,,"120","60","Caresource","Medicaid Managed Care",,,"40",,"48","0.15","5264.58","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0637","RC","Both",,,"120","60","Wellcare","Medicaid Managed Care",,,"40",,"48.6","0.15","5264.58","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0637","RC","Both",,,"120","60","Aetna","Commercial",,,"64",,"76.56","0.15","5264.58","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0637","RC","Both",,,"120","60","Blue Cross Blue Shield","Pathways",,,"71",,"84.72","0.15","5264.58","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0637","RC","Both",,,"120","60","Blue Cross Blue Shield","HMO",,,"71",,"84.72","0.15","5264.58","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0637","RC","Both",,,"120","60","Blue Cross Blue Shield","PPO",,,"71",,"84.72","0.15","5264.58","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0637","RC","Both",,,"120","60","Ambetter","Health Exchange",,,"62",,"74.4","0.15","5264.58","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0637","RC","Both",,,"120","60","Caresource","Health Exchange",,,"62",,"74.4","0.15","5264.58","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0637","RC","Both",,,"120","60","Cigna","Commercial",,,"59",,"70.32","0.15","5264.58","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0637","RC","Both",,,"120","60","Humana","Commercial",,,"78",,"93","0.15","5264.58","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0637","RC","Both",,,"120","60","UHC","Commercial",,,"75",,"90.48","0.15","5264.58","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0637","RC","Both",,,"120","60","Medicaid",,,,"37",,"43.92","0.15","5264.58","percent of total billed charges",,
"THERAHONEY GEL 0.5 OZ","0250","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.04","569.62","percent of total billed charges",,
"THERAHONEY GEL 0.5 OZ","0250","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.04","569.62","percent of total billed charges",,
"THERAHONEY GEL 0.5 OZ","0250","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"THERAHONEY GEL 0.5 OZ","0250","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"THERAHONEY GEL 0.5 OZ","0250","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"THERAHONEY GEL 0.5 OZ","0250","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"THERAHONEY GEL 0.5 OZ","0250","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"THERAHONEY GEL 0.5 OZ","0250","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.04","569.62","percent of total billed charges",,
"THERAHONEY GEL 0.5 OZ","0250","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.04","569.62","percent of total billed charges",,
"THERAHONEY GEL 0.5 OZ","0250","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.04","569.62","percent of total billed charges",,
"THERAHONEY GEL 0.5 OZ","0250","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.04","569.62","percent of total billed charges",,
"THERAHONEY GEL 0.5 OZ","0250","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.04","569.62","percent of total billed charges",,
"THERAHONEY GEL 0.5 OZ","0250","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.04","569.62","percent of total billed charges",,
"THERAHONEY GEL 0.5 OZ","0250","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.04","569.62","percent of total billed charges",,
"THERAHONEY GEL 0.5 OZ","0250","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.04","569.62","percent of total billed charges",,
"THERAHONEY GEL 0.5 OZ","0250","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.04","569.62","percent of total billed charges",,
"THERAHONEY GEL 0.5 OZ","0250","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.04","569.62","percent of total billed charges",,
"THERAHONEY GEL 0.5 OZ","0250","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.04","569.62","percent of total billed charges",,
"THERAHONEY GEL 0.5 OZ","0250","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.04","569.62","percent of total billed charges",,
"THERAHONEY GEL 0.5 OZ","0250","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.04","569.62","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"16","8","Alliant","Health Exchange",,,"62",,"9.92","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"16","8","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.64","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"16","8","Medicare",,,,"54",,"8.67","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"16","8","Humana","Medicare Advantage",,,"54",,"8.67","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"16","8","UHC","Medicare Advantage",,,"54",,"8.67","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"16","8","Clover","Medicare Advantage",,,"54",,"8.67","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"16","8","Wellcare","Medicare Advantage",,,"54",,"8.67","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"16","8","Amerigroup","Medicaid Managed Care",,,"37",,"5.86","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"16","8","Caresource","Medicaid Managed Care",,,"40",,"6.4","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"16","8","Wellcare","Medicaid Managed Care",,,"40",,"6.48","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"16","8","Aetna","Commercial",,,"64",,"10.21","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"16","8","Blue Cross Blue Shield","Pathways",,,"71",,"11.3","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"16","8","Blue Cross Blue Shield","HMO",,,"71",,"11.3","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"16","8","Blue Cross Blue Shield","PPO",,,"71",,"11.3","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"16","8","Ambetter","Health Exchange",,,"62",,"9.92","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"16","8","Caresource","Health Exchange",,,"62",,"9.92","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"16","8","Cigna","Commercial",,,"59",,"9.38","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"16","8","Humana","Commercial",,,"78",,"12.4","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"16","8","UHC","Commercial",,,"75",,"12.06","0.15","5264.58","percent of total billed charges",,
"NF-METHOTREXATE ORAL TABLET 2.5MG","0637","RC","Both",,,"16","8","Medicaid",,,,"37",,"5.86","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Alliant","Health Exchange",,,"62",,"688.2","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Pruitt Healthcare","Medicare Advantage",,,"54",,"599.4","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Medicare",,,,"54",,"601.62","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Humana","Medicare Advantage",,,"54",,"601.62","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","UHC","Medicare Advantage",,,"54",,"601.62","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Clover","Medicare Advantage",,,"54",,"601.62","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Wellcare","Medicare Advantage",,,"54",,"601.62","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Amerigroup","Medicaid Managed Care",,,"37",,"406.26","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Caresource","Medicaid Managed Care",,,"40",,"444","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Wellcare","Medicaid Managed Care",,,"40",,"449.55","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Aetna","Commercial",,,"64",,"708.18","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Blue Cross Blue Shield","Pathways",,,"71",,"783.66","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Blue Cross Blue Shield","HMO",,,"71",,"783.66","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Blue Cross Blue Shield","PPO",,,"71",,"783.66","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Ambetter","Health Exchange",,,"62",,"688.2","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Caresource","Health Exchange",,,"62",,"688.2","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Cigna","Commercial",,,"59",,"650.46","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Humana","Commercial",,,"78",,"860.25","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","UHC","Commercial",,,"75",,"836.94","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Medicaid",,,,"37",,"406.26","0.15","5264.58","percent of total billed charges",,
"NF-ILEVRO OPHTH SUSP 0.3%","0637","RC","Both",,,"523.5","261.75","Alliant","Health Exchange",,,"62",,"324.57","0.15","5264.58","percent of total billed charges",,
"NF-ILEVRO OPHTH SUSP 0.3%","0637","RC","Both",,,"523.5","261.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"282.69","0.15","5264.58","percent of total billed charges",,
"NF-ILEVRO OPHTH SUSP 0.3%","0637","RC","Both",,,"523.5","261.75","Medicare",,,,"54",,"283.74","0.15","5264.58","percent of total billed charges",,
"NF-ILEVRO OPHTH SUSP 0.3%","0637","RC","Both",,,"523.5","261.75","Humana","Medicare Advantage",,,"54",,"283.74","0.15","5264.58","percent of total billed charges",,
"NF-ILEVRO OPHTH SUSP 0.3%","0637","RC","Both",,,"523.5","261.75","UHC","Medicare Advantage",,,"54",,"283.74","0.15","5264.58","percent of total billed charges",,
"NF-ILEVRO OPHTH SUSP 0.3%","0637","RC","Both",,,"523.5","261.75","Clover","Medicare Advantage",,,"54",,"283.74","0.15","5264.58","percent of total billed charges",,
"NF-ILEVRO OPHTH SUSP 0.3%","0637","RC","Both",,,"523.5","261.75","Wellcare","Medicare Advantage",,,"54",,"283.74","0.15","5264.58","percent of total billed charges",,
"NF-ILEVRO OPHTH SUSP 0.3%","0637","RC","Both",,,"523.5","261.75","Amerigroup","Medicaid Managed Care",,,"37",,"191.6","0.15","5264.58","percent of total billed charges",,
"NF-ILEVRO OPHTH SUSP 0.3%","0637","RC","Both",,,"523.5","261.75","Caresource","Medicaid Managed Care",,,"40",,"209.4","0.15","5264.58","percent of total billed charges",,
"NF-ILEVRO OPHTH SUSP 0.3%","0637","RC","Both",,,"523.5","261.75","Wellcare","Medicaid Managed Care",,,"40",,"212.02","0.15","5264.58","percent of total billed charges",,
"NF-ILEVRO OPHTH SUSP 0.3%","0637","RC","Both",,,"523.5","261.75","Aetna","Commercial",,,"64",,"333.99","0.15","5264.58","percent of total billed charges",,
"NF-ILEVRO OPHTH SUSP 0.3%","0637","RC","Both",,,"523.5","261.75","Blue Cross Blue Shield","Pathways",,,"71",,"369.59","0.15","5264.58","percent of total billed charges",,
"NF-ILEVRO OPHTH SUSP 0.3%","0637","RC","Both",,,"523.5","261.75","Blue Cross Blue Shield","HMO",,,"71",,"369.59","0.15","5264.58","percent of total billed charges",,
"NF-ILEVRO OPHTH SUSP 0.3%","0637","RC","Both",,,"523.5","261.75","Blue Cross Blue Shield","PPO",,,"71",,"369.59","0.15","5264.58","percent of total billed charges",,
"NF-ILEVRO OPHTH SUSP 0.3%","0637","RC","Both",,,"523.5","261.75","Ambetter","Health Exchange",,,"62",,"324.57","0.15","5264.58","percent of total billed charges",,
"NF-ILEVRO OPHTH SUSP 0.3%","0637","RC","Both",,,"523.5","261.75","Caresource","Health Exchange",,,"62",,"324.57","0.15","5264.58","percent of total billed charges",,
"NF-ILEVRO OPHTH SUSP 0.3%","0637","RC","Both",,,"523.5","261.75","Cigna","Commercial",,,"59",,"306.77","0.15","5264.58","percent of total billed charges",,
"NF-ILEVRO OPHTH SUSP 0.3%","0637","RC","Both",,,"523.5","261.75","Humana","Commercial",,,"78",,"405.71","0.15","5264.58","percent of total billed charges",,
"NF-ILEVRO OPHTH SUSP 0.3%","0637","RC","Both",,,"523.5","261.75","UHC","Commercial",,,"75",,"394.72","0.15","5264.58","percent of total billed charges",,
"NF-ILEVRO OPHTH SUSP 0.3%","0637","RC","Both",,,"523.5","261.75","Medicaid",,,,"37",,"191.6","0.15","5264.58","percent of total billed charges",,
"NF-JANUVIA ORAL TABLET 100MG","0637","RC","Both",,,"47.5","23.75","Alliant","Health Exchange",,,"62",,"29.45","0.15","5264.58","percent of total billed charges",,
"NF-JANUVIA ORAL TABLET 100MG","0637","RC","Both",,,"47.5","23.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"25.65","0.15","5264.58","percent of total billed charges",,
"NF-JANUVIA ORAL TABLET 100MG","0637","RC","Both",,,"47.5","23.75","Medicare",,,,"54",,"25.74","0.15","5264.58","percent of total billed charges",,
"NF-JANUVIA ORAL TABLET 100MG","0637","RC","Both",,,"47.5","23.75","Humana","Medicare Advantage",,,"54",,"25.74","0.15","5264.58","percent of total billed charges",,
"NF-JANUVIA ORAL TABLET 100MG","0637","RC","Both",,,"47.5","23.75","UHC","Medicare Advantage",,,"54",,"25.74","0.15","5264.58","percent of total billed charges",,
"NF-JANUVIA ORAL TABLET 100MG","0637","RC","Both",,,"47.5","23.75","Clover","Medicare Advantage",,,"54",,"25.74","0.15","5264.58","percent of total billed charges",,
"NF-JANUVIA ORAL TABLET 100MG","0637","RC","Both",,,"47.5","23.75","Wellcare","Medicare Advantage",,,"54",,"25.74","0.15","5264.58","percent of total billed charges",,
"NF-JANUVIA ORAL TABLET 100MG","0637","RC","Both",,,"47.5","23.75","Amerigroup","Medicaid Managed Care",,,"37",,"17.38","0.15","5264.58","percent of total billed charges",,
"NF-JANUVIA ORAL TABLET 100MG","0637","RC","Both",,,"47.5","23.75","Caresource","Medicaid Managed Care",,,"40",,"19","0.15","5264.58","percent of total billed charges",,
"NF-JANUVIA ORAL TABLET 100MG","0637","RC","Both",,,"47.5","23.75","Wellcare","Medicaid Managed Care",,,"40",,"19.24","0.15","5264.58","percent of total billed charges",,
"NF-JANUVIA ORAL TABLET 100MG","0637","RC","Both",,,"47.5","23.75","Aetna","Commercial",,,"64",,"30.3","0.15","5264.58","percent of total billed charges",,
"NF-JANUVIA ORAL TABLET 100MG","0637","RC","Both",,,"47.5","23.75","Blue Cross Blue Shield","Pathways",,,"71",,"33.53","0.15","5264.58","percent of total billed charges",,
"NF-JANUVIA ORAL TABLET 100MG","0637","RC","Both",,,"47.5","23.75","Blue Cross Blue Shield","HMO",,,"71",,"33.53","0.15","5264.58","percent of total billed charges",,
"NF-JANUVIA ORAL TABLET 100MG","0637","RC","Both",,,"47.5","23.75","Blue Cross Blue Shield","PPO",,,"71",,"33.53","0.15","5264.58","percent of total billed charges",,
"NF-JANUVIA ORAL TABLET 100MG","0637","RC","Both",,,"47.5","23.75","Ambetter","Health Exchange",,,"62",,"29.45","0.15","5264.58","percent of total billed charges",,
"NF-JANUVIA ORAL TABLET 100MG","0637","RC","Both",,,"47.5","23.75","Caresource","Health Exchange",,,"62",,"29.45","0.15","5264.58","percent of total billed charges",,
"NF-JANUVIA ORAL TABLET 100MG","0637","RC","Both",,,"47.5","23.75","Cigna","Commercial",,,"59",,"27.83","0.15","5264.58","percent of total billed charges",,
"NF-JANUVIA ORAL TABLET 100MG","0637","RC","Both",,,"47.5","23.75","Humana","Commercial",,,"78",,"36.81","0.15","5264.58","percent of total billed charges",,
"NF-JANUVIA ORAL TABLET 100MG","0637","RC","Both",,,"47.5","23.75","UHC","Commercial",,,"75",,"35.82","0.15","5264.58","percent of total billed charges",,
"NF-JANUVIA ORAL TABLET 100MG","0637","RC","Both",,,"47.5","23.75","Medicaid",,,,"37",,"17.38","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"4.5","2.25","Alliant","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"4.5","2.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"4.5","2.25","Medicare",,,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"4.5","2.25","Humana","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"4.5","2.25","UHC","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"4.5","2.25","Clover","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"4.5","2.25","Wellcare","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"4.5","2.25","Amerigroup","Medicaid Managed Care",,,"37",,"1.65","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"4.5","2.25","Caresource","Medicaid Managed Care",,,"40",,"1.8","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"4.5","2.25","Wellcare","Medicaid Managed Care",,,"40",,"1.82","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"4.5","2.25","Aetna","Commercial",,,"64",,"2.87","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","Pathways",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","HMO",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","PPO",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"4.5","2.25","Ambetter","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"4.5","2.25","Caresource","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"4.5","2.25","Cigna","Commercial",,,"59",,"2.64","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"4.5","2.25","Humana","Commercial",,,"78",,"3.49","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"4.5","2.25","UHC","Commercial",,,"75",,"3.39","0.15","5264.58","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","0637","RC","Both",,,"4.5","2.25","Medicaid",,,,"37",,"1.65","0.15","5264.58","percent of total billed charges",,
"NF-Casodex Tablet 50MG","0637","RC","Both",,,"63","31.5","Alliant","Health Exchange",,,"62",,"39.06","0.15","5264.58","percent of total billed charges",,
"NF-Casodex Tablet 50MG","0637","RC","Both",,,"63","31.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"34.02","0.15","5264.58","percent of total billed charges",,
"NF-Casodex Tablet 50MG","0637","RC","Both",,,"63","31.5","Medicare",,,,"54",,"34.15","0.15","5264.58","percent of total billed charges",,
"NF-Casodex Tablet 50MG","0637","RC","Both",,,"63","31.5","Humana","Medicare Advantage",,,"54",,"34.15","0.15","5264.58","percent of total billed charges",,
"NF-Casodex Tablet 50MG","0637","RC","Both",,,"63","31.5","UHC","Medicare Advantage",,,"54",,"34.15","0.15","5264.58","percent of total billed charges",,
"NF-Casodex Tablet 50MG","0637","RC","Both",,,"63","31.5","Clover","Medicare Advantage",,,"54",,"34.15","0.15","5264.58","percent of total billed charges",,
"NF-Casodex Tablet 50MG","0637","RC","Both",,,"63","31.5","Wellcare","Medicare Advantage",,,"54",,"34.15","0.15","5264.58","percent of total billed charges",,
"NF-Casodex Tablet 50MG","0637","RC","Both",,,"63","31.5","Amerigroup","Medicaid Managed Care",,,"37",,"23.06","0.15","5264.58","percent of total billed charges",,
"NF-Casodex Tablet 50MG","0637","RC","Both",,,"63","31.5","Caresource","Medicaid Managed Care",,,"40",,"25.2","0.15","5264.58","percent of total billed charges",,
"NF-Casodex Tablet 50MG","0637","RC","Both",,,"63","31.5","Wellcare","Medicaid Managed Care",,,"40",,"25.52","0.15","5264.58","percent of total billed charges",,
"NF-Casodex Tablet 50MG","0637","RC","Both",,,"63","31.5","Aetna","Commercial",,,"64",,"40.19","0.15","5264.58","percent of total billed charges",,
"NF-Casodex Tablet 50MG","0637","RC","Both",,,"63","31.5","Blue Cross Blue Shield","Pathways",,,"71",,"44.48","0.15","5264.58","percent of total billed charges",,
"NF-Casodex Tablet 50MG","0637","RC","Both",,,"63","31.5","Blue Cross Blue Shield","HMO",,,"71",,"44.48","0.15","5264.58","percent of total billed charges",,
"NF-Casodex Tablet 50MG","0637","RC","Both",,,"63","31.5","Blue Cross Blue Shield","PPO",,,"71",,"44.48","0.15","5264.58","percent of total billed charges",,
"NF-Casodex Tablet 50MG","0637","RC","Both",,,"63","31.5","Ambetter","Health Exchange",,,"62",,"39.06","0.15","5264.58","percent of total billed charges",,
"NF-Casodex Tablet 50MG","0637","RC","Both",,,"63","31.5","Caresource","Health Exchange",,,"62",,"39.06","0.15","5264.58","percent of total billed charges",,
"NF-Casodex Tablet 50MG","0637","RC","Both",,,"63","31.5","Cigna","Commercial",,,"59",,"36.92","0.15","5264.58","percent of total billed charges",,
"NF-Casodex Tablet 50MG","0637","RC","Both",,,"63","31.5","Humana","Commercial",,,"78",,"48.82","0.15","5264.58","percent of total billed charges",,
"NF-Casodex Tablet 50MG","0637","RC","Both",,,"63","31.5","UHC","Commercial",,,"75",,"47.5","0.15","5264.58","percent of total billed charges",,
"NF-Casodex Tablet 50MG","0637","RC","Both",,,"63","31.5","Medicaid",,,,"37",,"23.06","0.15","5264.58","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 150MG","0637","RC","Both",,,"9","4.5","Alliant","Health Exchange",,,"62",,"5.58","0.15","5264.58","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 150MG","0637","RC","Both",,,"9","4.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.86","0.15","5264.58","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 150MG","0637","RC","Both",,,"9","4.5","Medicare",,,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 150MG","0637","RC","Both",,,"9","4.5","Humana","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 150MG","0637","RC","Both",,,"9","4.5","UHC","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 150MG","0637","RC","Both",,,"9","4.5","Clover","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 150MG","0637","RC","Both",,,"9","4.5","Wellcare","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 150MG","0637","RC","Both",,,"9","4.5","Amerigroup","Medicaid Managed Care",,,"37",,"3.29","0.15","5264.58","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 150MG","0637","RC","Both",,,"9","4.5","Caresource","Medicaid Managed Care",,,"40",,"3.6","0.15","5264.58","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 150MG","0637","RC","Both",,,"9","4.5","Wellcare","Medicaid Managed Care",,,"40",,"3.65","0.15","5264.58","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 150MG","0637","RC","Both",,,"9","4.5","Aetna","Commercial",,,"64",,"5.74","0.15","5264.58","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 150MG","0637","RC","Both",,,"9","4.5","Blue Cross Blue Shield","Pathways",,,"71",,"6.35","0.15","5264.58","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 150MG","0637","RC","Both",,,"9","4.5","Blue Cross Blue Shield","HMO",,,"71",,"6.35","0.15","5264.58","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 150MG","0637","RC","Both",,,"9","4.5","Blue Cross Blue Shield","PPO",,,"71",,"6.35","0.15","5264.58","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 150MG","0637","RC","Both",,,"9","4.5","Ambetter","Health Exchange",,,"62",,"5.58","0.15","5264.58","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 150MG","0637","RC","Both",,,"9","4.5","Caresource","Health Exchange",,,"62",,"5.58","0.15","5264.58","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 150MG","0637","RC","Both",,,"9","4.5","Cigna","Commercial",,,"59",,"5.27","0.15","5264.58","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 150MG","0637","RC","Both",,,"9","4.5","Humana","Commercial",,,"78",,"6.98","0.15","5264.58","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 150MG","0637","RC","Both",,,"9","4.5","UHC","Commercial",,,"75",,"6.79","0.15","5264.58","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 150MG","0637","RC","Both",,,"9","4.5","Medicaid",,,,"37",,"3.29","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Alliant","Health Exchange",,,"62",,"14.26","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.42","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Medicare",,,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Humana","Medicare Advantage",,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","UHC","Medicare Advantage",,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Clover","Medicare Advantage",,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Wellcare","Medicare Advantage",,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Amerigroup","Medicaid Managed Care",,,"37",,"8.42","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Caresource","Medicaid Managed Care",,,"40",,"9.2","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Wellcare","Medicaid Managed Care",,,"40",,"9.32","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Aetna","Commercial",,,"64",,"14.67","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Blue Cross Blue Shield","Pathways",,,"71",,"16.24","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Blue Cross Blue Shield","HMO",,,"71",,"16.24","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Blue Cross Blue Shield","PPO",,,"71",,"16.24","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Ambetter","Health Exchange",,,"62",,"14.26","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Caresource","Health Exchange",,,"62",,"14.26","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Cigna","Commercial",,,"59",,"13.48","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Humana","Commercial",,,"78",,"17.82","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","UHC","Commercial",,,"75",,"17.34","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"23","11.5","Medicaid",,,,"37",,"8.42","0.15","5264.58","percent of total billed charges",,
"NF-DULERA INH AER PWD 5MCG-200MCG/ACT","0637","RC","Both",,,"80.5","40.25","Alliant","Health Exchange",,,"62",,"49.91","0.15","5264.58","percent of total billed charges",,
"NF-DULERA INH AER PWD 5MCG-200MCG/ACT","0637","RC","Both",,,"80.5","40.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"43.47","0.15","5264.58","percent of total billed charges",,
"NF-DULERA INH AER PWD 5MCG-200MCG/ACT","0637","RC","Both",,,"80.5","40.25","Medicare",,,,"54",,"43.63","0.15","5264.58","percent of total billed charges",,
"NF-DULERA INH AER PWD 5MCG-200MCG/ACT","0637","RC","Both",,,"80.5","40.25","Humana","Medicare Advantage",,,"54",,"43.63","0.15","5264.58","percent of total billed charges",,
"NF-DULERA INH AER PWD 5MCG-200MCG/ACT","0637","RC","Both",,,"80.5","40.25","UHC","Medicare Advantage",,,"54",,"43.63","0.15","5264.58","percent of total billed charges",,
"NF-DULERA INH AER PWD 5MCG-200MCG/ACT","0637","RC","Both",,,"80.5","40.25","Clover","Medicare Advantage",,,"54",,"43.63","0.15","5264.58","percent of total billed charges",,
"NF-DULERA INH AER PWD 5MCG-200MCG/ACT","0637","RC","Both",,,"80.5","40.25","Wellcare","Medicare Advantage",,,"54",,"43.63","0.15","5264.58","percent of total billed charges",,
"NF-DULERA INH AER PWD 5MCG-200MCG/ACT","0637","RC","Both",,,"80.5","40.25","Amerigroup","Medicaid Managed Care",,,"37",,"29.46","0.15","5264.58","percent of total billed charges",,
"NF-DULERA INH AER PWD 5MCG-200MCG/ACT","0637","RC","Both",,,"80.5","40.25","Caresource","Medicaid Managed Care",,,"40",,"32.2","0.15","5264.58","percent of total billed charges",,
"NF-DULERA INH AER PWD 5MCG-200MCG/ACT","0637","RC","Both",,,"80.5","40.25","Wellcare","Medicaid Managed Care",,,"40",,"32.6","0.15","5264.58","percent of total billed charges",,
"NF-DULERA INH AER PWD 5MCG-200MCG/ACT","0637","RC","Both",,,"80.5","40.25","Aetna","Commercial",,,"64",,"51.36","0.15","5264.58","percent of total billed charges",,
"NF-DULERA INH AER PWD 5MCG-200MCG/ACT","0637","RC","Both",,,"80.5","40.25","Blue Cross Blue Shield","Pathways",,,"71",,"56.83","0.15","5264.58","percent of total billed charges",,
"NF-DULERA INH AER PWD 5MCG-200MCG/ACT","0637","RC","Both",,,"80.5","40.25","Blue Cross Blue Shield","HMO",,,"71",,"56.83","0.15","5264.58","percent of total billed charges",,
"NF-DULERA INH AER PWD 5MCG-200MCG/ACT","0637","RC","Both",,,"80.5","40.25","Blue Cross Blue Shield","PPO",,,"71",,"56.83","0.15","5264.58","percent of total billed charges",,
"NF-DULERA INH AER PWD 5MCG-200MCG/ACT","0637","RC","Both",,,"80.5","40.25","Ambetter","Health Exchange",,,"62",,"49.91","0.15","5264.58","percent of total billed charges",,
"NF-DULERA INH AER PWD 5MCG-200MCG/ACT","0637","RC","Both",,,"80.5","40.25","Caresource","Health Exchange",,,"62",,"49.91","0.15","5264.58","percent of total billed charges",,
"NF-DULERA INH AER PWD 5MCG-200MCG/ACT","0637","RC","Both",,,"80.5","40.25","Cigna","Commercial",,,"59",,"47.17","0.15","5264.58","percent of total billed charges",,
"NF-DULERA INH AER PWD 5MCG-200MCG/ACT","0637","RC","Both",,,"80.5","40.25","Humana","Commercial",,,"78",,"62.39","0.15","5264.58","percent of total billed charges",,
"NF-DULERA INH AER PWD 5MCG-200MCG/ACT","0637","RC","Both",,,"80.5","40.25","UHC","Commercial",,,"75",,"60.7","0.15","5264.58","percent of total billed charges",,
"NF-DULERA INH AER PWD 5MCG-200MCG/ACT","0637","RC","Both",,,"80.5","40.25","Medicaid",,,,"37",,"29.46","0.15","5264.58","percent of total billed charges",,
"NF-Alfuzosin Hydrochloride Oral Tab ER 1","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-Alfuzosin Hydrochloride Oral Tab ER 1","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"NF-Alfuzosin Hydrochloride Oral Tab ER 1","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-Alfuzosin Hydrochloride Oral Tab ER 1","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-Alfuzosin Hydrochloride Oral Tab ER 1","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-Alfuzosin Hydrochloride Oral Tab ER 1","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-Alfuzosin Hydrochloride Oral Tab ER 1","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-Alfuzosin Hydrochloride Oral Tab ER 1","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"NF-Alfuzosin Hydrochloride Oral Tab ER 1","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"NF-Alfuzosin Hydrochloride Oral Tab ER 1","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"NF-Alfuzosin Hydrochloride Oral Tab ER 1","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"NF-Alfuzosin Hydrochloride Oral Tab ER 1","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-Alfuzosin Hydrochloride Oral Tab ER 1","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-Alfuzosin Hydrochloride Oral Tab ER 1","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-Alfuzosin Hydrochloride Oral Tab ER 1","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-Alfuzosin Hydrochloride Oral Tab ER 1","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-Alfuzosin Hydrochloride Oral Tab ER 1","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"NF-Alfuzosin Hydrochloride Oral Tab ER 1","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"NF-Alfuzosin Hydrochloride Oral Tab ER 1","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"NF-Alfuzosin Hydrochloride Oral Tab ER 1","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0637","RC","Both",,,"306","153","Alliant","Health Exchange",,,"62",,"189.72","0.15","5264.58","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0637","RC","Both",,,"306","153","Pruitt Healthcare","Medicare Advantage",,,"54",,"165.24","0.15","5264.58","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0637","RC","Both",,,"306","153","Medicare",,,,"54",,"165.85","0.15","5264.58","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0637","RC","Both",,,"306","153","Humana","Medicare Advantage",,,"54",,"165.85","0.15","5264.58","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0637","RC","Both",,,"306","153","UHC","Medicare Advantage",,,"54",,"165.85","0.15","5264.58","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0637","RC","Both",,,"306","153","Clover","Medicare Advantage",,,"54",,"165.85","0.15","5264.58","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0637","RC","Both",,,"306","153","Wellcare","Medicare Advantage",,,"54",,"165.85","0.15","5264.58","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0637","RC","Both",,,"306","153","Amerigroup","Medicaid Managed Care",,,"37",,"112","0.15","5264.58","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0637","RC","Both",,,"306","153","Caresource","Medicaid Managed Care",,,"40",,"122.4","0.15","5264.58","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0637","RC","Both",,,"306","153","Wellcare","Medicaid Managed Care",,,"40",,"123.93","0.15","5264.58","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0637","RC","Both",,,"306","153","Aetna","Commercial",,,"64",,"195.23","0.15","5264.58","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0637","RC","Both",,,"306","153","Blue Cross Blue Shield","Pathways",,,"71",,"216.04","0.15","5264.58","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0637","RC","Both",,,"306","153","Blue Cross Blue Shield","HMO",,,"71",,"216.04","0.15","5264.58","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0637","RC","Both",,,"306","153","Blue Cross Blue Shield","PPO",,,"71",,"216.04","0.15","5264.58","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0637","RC","Both",,,"306","153","Ambetter","Health Exchange",,,"62",,"189.72","0.15","5264.58","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0637","RC","Both",,,"306","153","Caresource","Health Exchange",,,"62",,"189.72","0.15","5264.58","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0637","RC","Both",,,"306","153","Cigna","Commercial",,,"59",,"179.32","0.15","5264.58","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0637","RC","Both",,,"306","153","Humana","Commercial",,,"78",,"237.15","0.15","5264.58","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0637","RC","Both",,,"306","153","UHC","Commercial",,,"75",,"230.72","0.15","5264.58","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0637","RC","Both",,,"306","153","Medicaid",,,,"37",,"112","0.15","5264.58","percent of total billed charges",,
"NF-Nortriptyline Hydrochloride Cap 50MG","0637","RC","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","0.15","5264.58","percent of total billed charges",,
"NF-Nortriptyline Hydrochloride Cap 50MG","0637","RC","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","0.15","5264.58","percent of total billed charges",,
"NF-Nortriptyline Hydrochloride Cap 50MG","0637","RC","Both",,,"8","4","Medicare",,,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-Nortriptyline Hydrochloride Cap 50MG","0637","RC","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-Nortriptyline Hydrochloride Cap 50MG","0637","RC","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-Nortriptyline Hydrochloride Cap 50MG","0637","RC","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-Nortriptyline Hydrochloride Cap 50MG","0637","RC","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-Nortriptyline Hydrochloride Cap 50MG","0637","RC","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","0.15","5264.58","percent of total billed charges",,
"NF-Nortriptyline Hydrochloride Cap 50MG","0637","RC","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","0.15","5264.58","percent of total billed charges",,
"NF-Nortriptyline Hydrochloride Cap 50MG","0637","RC","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","0.15","5264.58","percent of total billed charges",,
"NF-Nortriptyline Hydrochloride Cap 50MG","0637","RC","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","0.15","5264.58","percent of total billed charges",,
"NF-Nortriptyline Hydrochloride Cap 50MG","0637","RC","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","0.15","5264.58","percent of total billed charges",,
"NF-Nortriptyline Hydrochloride Cap 50MG","0637","RC","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","0.15","5264.58","percent of total billed charges",,
"NF-Nortriptyline Hydrochloride Cap 50MG","0637","RC","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","0.15","5264.58","percent of total billed charges",,
"NF-Nortriptyline Hydrochloride Cap 50MG","0637","RC","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","0.15","5264.58","percent of total billed charges",,
"NF-Nortriptyline Hydrochloride Cap 50MG","0637","RC","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","0.15","5264.58","percent of total billed charges",,
"NF-Nortriptyline Hydrochloride Cap 50MG","0637","RC","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","0.15","5264.58","percent of total billed charges",,
"NF-Nortriptyline Hydrochloride Cap 50MG","0637","RC","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-Nortriptyline Hydrochloride Cap 50MG","0637","RC","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","0.15","5264.58","percent of total billed charges",,
"NF-Nortriptyline Hydrochloride Cap 50MG","0637","RC","Both",,,"8","4","Medicaid",,,,"37",,"2.93","0.15","5264.58","percent of total billed charges",,
"NF-ADEMPAS ORAL TABLET 2.5MG","0637","RC","Both",,,"390","195","Alliant","Health Exchange",,,"62",,"241.8","0.15","5264.58","percent of total billed charges",,
"NF-ADEMPAS ORAL TABLET 2.5MG","0637","RC","Both",,,"390","195","Pruitt Healthcare","Medicare Advantage",,,"54",,"210.6","0.15","5264.58","percent of total billed charges",,
"NF-ADEMPAS ORAL TABLET 2.5MG","0637","RC","Both",,,"390","195","Medicare",,,,"54",,"211.38","0.15","5264.58","percent of total billed charges",,
"NF-ADEMPAS ORAL TABLET 2.5MG","0637","RC","Both",,,"390","195","Humana","Medicare Advantage",,,"54",,"211.38","0.15","5264.58","percent of total billed charges",,
"NF-ADEMPAS ORAL TABLET 2.5MG","0637","RC","Both",,,"390","195","UHC","Medicare Advantage",,,"54",,"211.38","0.15","5264.58","percent of total billed charges",,
"NF-ADEMPAS ORAL TABLET 2.5MG","0637","RC","Both",,,"390","195","Clover","Medicare Advantage",,,"54",,"211.38","0.15","5264.58","percent of total billed charges",,
"NF-ADEMPAS ORAL TABLET 2.5MG","0637","RC","Both",,,"390","195","Wellcare","Medicare Advantage",,,"54",,"211.38","0.15","5264.58","percent of total billed charges",,
"NF-ADEMPAS ORAL TABLET 2.5MG","0637","RC","Both",,,"390","195","Amerigroup","Medicaid Managed Care",,,"37",,"142.74","0.15","5264.58","percent of total billed charges",,
"NF-ADEMPAS ORAL TABLET 2.5MG","0637","RC","Both",,,"390","195","Caresource","Medicaid Managed Care",,,"40",,"156","0.15","5264.58","percent of total billed charges",,
"NF-ADEMPAS ORAL TABLET 2.5MG","0637","RC","Both",,,"390","195","Wellcare","Medicaid Managed Care",,,"40",,"157.95","0.15","5264.58","percent of total billed charges",,
"NF-ADEMPAS ORAL TABLET 2.5MG","0637","RC","Both",,,"390","195","Aetna","Commercial",,,"64",,"248.82","0.15","5264.58","percent of total billed charges",,
"NF-ADEMPAS ORAL TABLET 2.5MG","0637","RC","Both",,,"390","195","Blue Cross Blue Shield","Pathways",,,"71",,"275.34","0.15","5264.58","percent of total billed charges",,
"NF-ADEMPAS ORAL TABLET 2.5MG","0637","RC","Both",,,"390","195","Blue Cross Blue Shield","HMO",,,"71",,"275.34","0.15","5264.58","percent of total billed charges",,
"NF-ADEMPAS ORAL TABLET 2.5MG","0637","RC","Both",,,"390","195","Blue Cross Blue Shield","PPO",,,"71",,"275.34","0.15","5264.58","percent of total billed charges",,
"NF-ADEMPAS ORAL TABLET 2.5MG","0637","RC","Both",,,"390","195","Ambetter","Health Exchange",,,"62",,"241.8","0.15","5264.58","percent of total billed charges",,
"NF-ADEMPAS ORAL TABLET 2.5MG","0637","RC","Both",,,"390","195","Caresource","Health Exchange",,,"62",,"241.8","0.15","5264.58","percent of total billed charges",,
"NF-ADEMPAS ORAL TABLET 2.5MG","0637","RC","Both",,,"390","195","Cigna","Commercial",,,"59",,"228.54","0.15","5264.58","percent of total billed charges",,
"NF-ADEMPAS ORAL TABLET 2.5MG","0637","RC","Both",,,"390","195","Humana","Commercial",,,"78",,"302.25","0.15","5264.58","percent of total billed charges",,
"NF-ADEMPAS ORAL TABLET 2.5MG","0637","RC","Both",,,"390","195","UHC","Commercial",,,"75",,"294.06","0.15","5264.58","percent of total billed charges",,
"NF-ADEMPAS ORAL TABLET 2.5MG","0637","RC","Both",,,"390","195","Medicaid",,,,"37",,"142.74","0.15","5264.58","percent of total billed charges",,
"GENTAMICIN SULF 0.1% OINTMENT","0250","RC","Both",,,"91","45.5","Alliant","Health Exchange",,,"62",,"56.42","0.04","569.62","percent of total billed charges",,
"GENTAMICIN SULF 0.1% OINTMENT","0250","RC","Both",,,"91","45.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"49.14","0.04","569.62","percent of total billed charges",,
"GENTAMICIN SULF 0.1% OINTMENT","0250","RC","Both",,,"91","45.5","Medicare",,,,"54",,"49.32","0.04","569.62","percent of total billed charges",,
"GENTAMICIN SULF 0.1% OINTMENT","0250","RC","Both",,,"91","45.5","Humana","Medicare Advantage",,,"54",,"49.32","0.04","569.62","percent of total billed charges",,
"GENTAMICIN SULF 0.1% OINTMENT","0250","RC","Both",,,"91","45.5","UHC","Medicare Advantage",,,"54",,"49.32","0.04","569.62","percent of total billed charges",,
"GENTAMICIN SULF 0.1% OINTMENT","0250","RC","Both",,,"91","45.5","Clover","Medicare Advantage",,,"54",,"49.32","0.04","569.62","percent of total billed charges",,
"GENTAMICIN SULF 0.1% OINTMENT","0250","RC","Both",,,"91","45.5","Wellcare","Medicare Advantage",,,"54",,"49.32","0.04","569.62","percent of total billed charges",,
"GENTAMICIN SULF 0.1% OINTMENT","0250","RC","Both",,,"91","45.5","Amerigroup","Medicaid Managed Care",,,"37",,"33.31","0.04","569.62","percent of total billed charges",,
"GENTAMICIN SULF 0.1% OINTMENT","0250","RC","Both",,,"91","45.5","Caresource","Medicaid Managed Care",,,"40",,"36.4","0.04","569.62","percent of total billed charges",,
"GENTAMICIN SULF 0.1% OINTMENT","0250","RC","Both",,,"91","45.5","Wellcare","Medicaid Managed Care",,,"40",,"36.86","0.04","569.62","percent of total billed charges",,
"GENTAMICIN SULF 0.1% OINTMENT","0250","RC","Both",,,"91","45.5","Aetna","Commercial",,,"64",,"58.06","0.04","569.62","percent of total billed charges",,
"GENTAMICIN SULF 0.1% OINTMENT","0250","RC","Both",,,"91","45.5","Blue Cross Blue Shield","Pathways",,,"71",,"64.25","0.04","569.62","percent of total billed charges",,
"GENTAMICIN SULF 0.1% OINTMENT","0250","RC","Both",,,"91","45.5","Blue Cross Blue Shield","HMO",,,"71",,"64.25","0.04","569.62","percent of total billed charges",,
"GENTAMICIN SULF 0.1% OINTMENT","0250","RC","Both",,,"91","45.5","Blue Cross Blue Shield","PPO",,,"71",,"64.25","0.04","569.62","percent of total billed charges",,
"GENTAMICIN SULF 0.1% OINTMENT","0250","RC","Both",,,"91","45.5","Ambetter","Health Exchange",,,"62",,"56.42","0.04","569.62","percent of total billed charges",,
"GENTAMICIN SULF 0.1% OINTMENT","0250","RC","Both",,,"91","45.5","Caresource","Health Exchange",,,"62",,"56.42","0.04","569.62","percent of total billed charges",,
"GENTAMICIN SULF 0.1% OINTMENT","0250","RC","Both",,,"91","45.5","Cigna","Commercial",,,"59",,"53.33","0.04","569.62","percent of total billed charges",,
"GENTAMICIN SULF 0.1% OINTMENT","0250","RC","Both",,,"91","45.5","Humana","Commercial",,,"78",,"70.53","0.04","569.62","percent of total billed charges",,
"GENTAMICIN SULF 0.1% OINTMENT","0250","RC","Both",,,"91","45.5","UHC","Commercial",,,"75",,"68.61","0.04","569.62","percent of total billed charges",,
"GENTAMICIN SULF 0.1% OINTMENT","0250","RC","Both",,,"91","45.5","Medicaid",,,,"37",,"33.31","0.04","569.62","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Alliant","Health Exchange",,,"62",,"28.52","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Pruitt Healthcare","Medicare Advantage",,,"54",,"24.84","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Medicare",,,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Humana","Medicare Advantage",,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","UHC","Medicare Advantage",,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Clover","Medicare Advantage",,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Wellcare","Medicare Advantage",,,"54",,"24.93","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Amerigroup","Medicaid Managed Care",,,"37",,"16.84","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Caresource","Medicaid Managed Care",,,"40",,"18.4","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Wellcare","Medicaid Managed Care",,,"40",,"18.63","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Aetna","Commercial",,,"64",,"29.35","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Blue Cross Blue Shield","Pathways",,,"71",,"32.48","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Blue Cross Blue Shield","HMO",,,"71",,"32.48","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Blue Cross Blue Shield","PPO",,,"71",,"32.48","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Ambetter","Health Exchange",,,"62",,"28.52","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Caresource","Health Exchange",,,"62",,"28.52","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Cigna","Commercial",,,"59",,"26.96","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Humana","Commercial",,,"78",,"35.65","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","UHC","Commercial",,,"75",,"34.68","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"46","23","Medicaid",,,,"37",,"16.84","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 15MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-GEMFIBROZIL ORAL TABLET 600MG","0637","RC","Both",,,"3.5","1.75","Alliant","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-GEMFIBROZIL ORAL TABLET 600MG","0637","RC","Both",,,"3.5","1.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.89","0.15","5264.58","percent of total billed charges",,
"NF-GEMFIBROZIL ORAL TABLET 600MG","0637","RC","Both",,,"3.5","1.75","Medicare",,,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-GEMFIBROZIL ORAL TABLET 600MG","0637","RC","Both",,,"3.5","1.75","Humana","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-GEMFIBROZIL ORAL TABLET 600MG","0637","RC","Both",,,"3.5","1.75","UHC","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-GEMFIBROZIL ORAL TABLET 600MG","0637","RC","Both",,,"3.5","1.75","Clover","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-GEMFIBROZIL ORAL TABLET 600MG","0637","RC","Both",,,"3.5","1.75","Wellcare","Medicare Advantage",,,"54",,"1.9","0.15","5264.58","percent of total billed charges",,
"NF-GEMFIBROZIL ORAL TABLET 600MG","0637","RC","Both",,,"3.5","1.75","Amerigroup","Medicaid Managed Care",,,"37",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-GEMFIBROZIL ORAL TABLET 600MG","0637","RC","Both",,,"3.5","1.75","Caresource","Medicaid Managed Care",,,"40",,"1.4","0.15","5264.58","percent of total billed charges",,
"NF-GEMFIBROZIL ORAL TABLET 600MG","0637","RC","Both",,,"3.5","1.75","Wellcare","Medicaid Managed Care",,,"40",,"1.42","0.15","5264.58","percent of total billed charges",,
"NF-GEMFIBROZIL ORAL TABLET 600MG","0637","RC","Both",,,"3.5","1.75","Aetna","Commercial",,,"64",,"2.23","0.15","5264.58","percent of total billed charges",,
"NF-GEMFIBROZIL ORAL TABLET 600MG","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","Pathways",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-GEMFIBROZIL ORAL TABLET 600MG","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","HMO",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-GEMFIBROZIL ORAL TABLET 600MG","0637","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","PPO",,,"71",,"2.47","0.15","5264.58","percent of total billed charges",,
"NF-GEMFIBROZIL ORAL TABLET 600MG","0637","RC","Both",,,"3.5","1.75","Ambetter","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-GEMFIBROZIL ORAL TABLET 600MG","0637","RC","Both",,,"3.5","1.75","Caresource","Health Exchange",,,"62",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-GEMFIBROZIL ORAL TABLET 600MG","0637","RC","Both",,,"3.5","1.75","Cigna","Commercial",,,"59",,"2.05","0.15","5264.58","percent of total billed charges",,
"NF-GEMFIBROZIL ORAL TABLET 600MG","0637","RC","Both",,,"3.5","1.75","Humana","Commercial",,,"78",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-GEMFIBROZIL ORAL TABLET 600MG","0637","RC","Both",,,"3.5","1.75","UHC","Commercial",,,"75",,"2.64","0.15","5264.58","percent of total billed charges",,
"NF-GEMFIBROZIL ORAL TABLET 600MG","0637","RC","Both",,,"3.5","1.75","Medicaid",,,,"37",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-Potassium Chloride Oral Tab ER 20MEQ","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-Potassium Chloride Oral Tab ER 20MEQ","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Potassium Chloride Oral Tab ER 20MEQ","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Potassium Chloride Oral Tab ER 20MEQ","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Potassium Chloride Oral Tab ER 20MEQ","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Potassium Chloride Oral Tab ER 20MEQ","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Potassium Chloride Oral Tab ER 20MEQ","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Potassium Chloride Oral Tab ER 20MEQ","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-Potassium Chloride Oral Tab ER 20MEQ","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-Potassium Chloride Oral Tab ER 20MEQ","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-Potassium Chloride Oral Tab ER 20MEQ","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-Potassium Chloride Oral Tab ER 20MEQ","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-Potassium Chloride Oral Tab ER 20MEQ","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-Potassium Chloride Oral Tab ER 20MEQ","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-Potassium Chloride Oral Tab ER 20MEQ","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-Potassium Chloride Oral Tab ER 20MEQ","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-Potassium Chloride Oral Tab ER 20MEQ","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-Potassium Chloride Oral Tab ER 20MEQ","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-Potassium Chloride Oral Tab ER 20MEQ","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-Potassium Chloride Oral Tab ER 20MEQ","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-Soma Tablet 350MG","0637","RC","Both",,,"34","17","Alliant","Health Exchange",,,"62",,"21.08","0.15","5264.58","percent of total billed charges",,
"NF-Soma Tablet 350MG","0637","RC","Both",,,"34","17","Pruitt Healthcare","Medicare Advantage",,,"54",,"18.36","0.15","5264.58","percent of total billed charges",,
"NF-Soma Tablet 350MG","0637","RC","Both",,,"34","17","Medicare",,,,"54",,"18.43","0.15","5264.58","percent of total billed charges",,
"NF-Soma Tablet 350MG","0637","RC","Both",,,"34","17","Humana","Medicare Advantage",,,"54",,"18.43","0.15","5264.58","percent of total billed charges",,
"NF-Soma Tablet 350MG","0637","RC","Both",,,"34","17","UHC","Medicare Advantage",,,"54",,"18.43","0.15","5264.58","percent of total billed charges",,
"NF-Soma Tablet 350MG","0637","RC","Both",,,"34","17","Clover","Medicare Advantage",,,"54",,"18.43","0.15","5264.58","percent of total billed charges",,
"NF-Soma Tablet 350MG","0637","RC","Both",,,"34","17","Wellcare","Medicare Advantage",,,"54",,"18.43","0.15","5264.58","percent of total billed charges",,
"NF-Soma Tablet 350MG","0637","RC","Both",,,"34","17","Amerigroup","Medicaid Managed Care",,,"37",,"12.44","0.15","5264.58","percent of total billed charges",,
"NF-Soma Tablet 350MG","0637","RC","Both",,,"34","17","Caresource","Medicaid Managed Care",,,"40",,"13.6","0.15","5264.58","percent of total billed charges",,
"NF-Soma Tablet 350MG","0637","RC","Both",,,"34","17","Wellcare","Medicaid Managed Care",,,"40",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-Soma Tablet 350MG","0637","RC","Both",,,"34","17","Aetna","Commercial",,,"64",,"21.69","0.15","5264.58","percent of total billed charges",,
"NF-Soma Tablet 350MG","0637","RC","Both",,,"34","17","Blue Cross Blue Shield","Pathways",,,"71",,"24","0.15","5264.58","percent of total billed charges",,
"NF-Soma Tablet 350MG","0637","RC","Both",,,"34","17","Blue Cross Blue Shield","HMO",,,"71",,"24","0.15","5264.58","percent of total billed charges",,
"NF-Soma Tablet 350MG","0637","RC","Both",,,"34","17","Blue Cross Blue Shield","PPO",,,"71",,"24","0.15","5264.58","percent of total billed charges",,
"NF-Soma Tablet 350MG","0637","RC","Both",,,"34","17","Ambetter","Health Exchange",,,"62",,"21.08","0.15","5264.58","percent of total billed charges",,
"NF-Soma Tablet 350MG","0637","RC","Both",,,"34","17","Caresource","Health Exchange",,,"62",,"21.08","0.15","5264.58","percent of total billed charges",,
"NF-Soma Tablet 350MG","0637","RC","Both",,,"34","17","Cigna","Commercial",,,"59",,"19.92","0.15","5264.58","percent of total billed charges",,
"NF-Soma Tablet 350MG","0637","RC","Both",,,"34","17","Humana","Commercial",,,"78",,"26.35","0.15","5264.58","percent of total billed charges",,
"NF-Soma Tablet 350MG","0637","RC","Both",,,"34","17","UHC","Commercial",,,"75",,"25.64","0.15","5264.58","percent of total billed charges",,
"NF-Soma Tablet 350MG","0637","RC","Both",,,"34","17","Medicaid",,,,"37",,"12.44","0.15","5264.58","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0637","RC","Both",,,"63","31.5","Alliant","Health Exchange",,,"62",,"39.06","0.15","5264.58","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0637","RC","Both",,,"63","31.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"34.02","0.15","5264.58","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0637","RC","Both",,,"63","31.5","Medicare",,,,"54",,"34.15","0.15","5264.58","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0637","RC","Both",,,"63","31.5","Humana","Medicare Advantage",,,"54",,"34.15","0.15","5264.58","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0637","RC","Both",,,"63","31.5","UHC","Medicare Advantage",,,"54",,"34.15","0.15","5264.58","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0637","RC","Both",,,"63","31.5","Clover","Medicare Advantage",,,"54",,"34.15","0.15","5264.58","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0637","RC","Both",,,"63","31.5","Wellcare","Medicare Advantage",,,"54",,"34.15","0.15","5264.58","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0637","RC","Both",,,"63","31.5","Amerigroup","Medicaid Managed Care",,,"37",,"23.06","0.15","5264.58","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0637","RC","Both",,,"63","31.5","Caresource","Medicaid Managed Care",,,"40",,"25.2","0.15","5264.58","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0637","RC","Both",,,"63","31.5","Wellcare","Medicaid Managed Care",,,"40",,"25.52","0.15","5264.58","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0637","RC","Both",,,"63","31.5","Aetna","Commercial",,,"64",,"40.19","0.15","5264.58","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0637","RC","Both",,,"63","31.5","Blue Cross Blue Shield","Pathways",,,"71",,"44.48","0.15","5264.58","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0637","RC","Both",,,"63","31.5","Blue Cross Blue Shield","HMO",,,"71",,"44.48","0.15","5264.58","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0637","RC","Both",,,"63","31.5","Blue Cross Blue Shield","PPO",,,"71",,"44.48","0.15","5264.58","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0637","RC","Both",,,"63","31.5","Ambetter","Health Exchange",,,"62",,"39.06","0.15","5264.58","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0637","RC","Both",,,"63","31.5","Caresource","Health Exchange",,,"62",,"39.06","0.15","5264.58","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0637","RC","Both",,,"63","31.5","Cigna","Commercial",,,"59",,"36.92","0.15","5264.58","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0637","RC","Both",,,"63","31.5","Humana","Commercial",,,"78",,"48.82","0.15","5264.58","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0637","RC","Both",,,"63","31.5","UHC","Commercial",,,"75",,"47.5","0.15","5264.58","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0637","RC","Both",,,"63","31.5","Medicaid",,,,"37",,"23.06","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 2MG","0637","RC","Both",,,"21.5","10.75","Alliant","Health Exchange",,,"62",,"13.33","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 2MG","0637","RC","Both",,,"21.5","10.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.61","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 2MG","0637","RC","Both",,,"21.5","10.75","Medicare",,,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 2MG","0637","RC","Both",,,"21.5","10.75","Humana","Medicare Advantage",,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 2MG","0637","RC","Both",,,"21.5","10.75","UHC","Medicare Advantage",,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 2MG","0637","RC","Both",,,"21.5","10.75","Clover","Medicare Advantage",,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 2MG","0637","RC","Both",,,"21.5","10.75","Wellcare","Medicare Advantage",,,"54",,"11.65","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 2MG","0637","RC","Both",,,"21.5","10.75","Amerigroup","Medicaid Managed Care",,,"37",,"7.87","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 2MG","0637","RC","Both",,,"21.5","10.75","Caresource","Medicaid Managed Care",,,"40",,"8.6","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 2MG","0637","RC","Both",,,"21.5","10.75","Wellcare","Medicaid Managed Care",,,"40",,"8.71","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 2MG","0637","RC","Both",,,"21.5","10.75","Aetna","Commercial",,,"64",,"13.72","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 2MG","0637","RC","Both",,,"21.5","10.75","Blue Cross Blue Shield","Pathways",,,"71",,"15.18","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 2MG","0637","RC","Both",,,"21.5","10.75","Blue Cross Blue Shield","HMO",,,"71",,"15.18","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 2MG","0637","RC","Both",,,"21.5","10.75","Blue Cross Blue Shield","PPO",,,"71",,"15.18","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 2MG","0637","RC","Both",,,"21.5","10.75","Ambetter","Health Exchange",,,"62",,"13.33","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 2MG","0637","RC","Both",,,"21.5","10.75","Caresource","Health Exchange",,,"62",,"13.33","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 2MG","0637","RC","Both",,,"21.5","10.75","Cigna","Commercial",,,"59",,"12.6","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 2MG","0637","RC","Both",,,"21.5","10.75","Humana","Commercial",,,"78",,"16.66","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 2MG","0637","RC","Both",,,"21.5","10.75","UHC","Commercial",,,"75",,"16.21","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 2MG","0637","RC","Both",,,"21.5","10.75","Medicaid",,,,"37",,"7.87","0.15","5264.58","percent of total billed charges",,
"NF-SITAGLIPTIN PHOSPHATE TAB 50MG","0637","RC","Both",,,"51.5","25.75","Alliant","Health Exchange",,,"62",,"31.93","0.15","5264.58","percent of total billed charges",,
"NF-SITAGLIPTIN PHOSPHATE TAB 50MG","0637","RC","Both",,,"51.5","25.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"27.81","0.15","5264.58","percent of total billed charges",,
"NF-SITAGLIPTIN PHOSPHATE TAB 50MG","0637","RC","Both",,,"51.5","25.75","Medicare",,,,"54",,"27.91","0.15","5264.58","percent of total billed charges",,
"NF-SITAGLIPTIN PHOSPHATE TAB 50MG","0637","RC","Both",,,"51.5","25.75","Humana","Medicare Advantage",,,"54",,"27.91","0.15","5264.58","percent of total billed charges",,
"NF-SITAGLIPTIN PHOSPHATE TAB 50MG","0637","RC","Both",,,"51.5","25.75","UHC","Medicare Advantage",,,"54",,"27.91","0.15","5264.58","percent of total billed charges",,
"NF-SITAGLIPTIN PHOSPHATE TAB 50MG","0637","RC","Both",,,"51.5","25.75","Clover","Medicare Advantage",,,"54",,"27.91","0.15","5264.58","percent of total billed charges",,
"NF-SITAGLIPTIN PHOSPHATE TAB 50MG","0637","RC","Both",,,"51.5","25.75","Wellcare","Medicare Advantage",,,"54",,"27.91","0.15","5264.58","percent of total billed charges",,
"NF-SITAGLIPTIN PHOSPHATE TAB 50MG","0637","RC","Both",,,"51.5","25.75","Amerigroup","Medicaid Managed Care",,,"37",,"18.85","0.15","5264.58","percent of total billed charges",,
"NF-SITAGLIPTIN PHOSPHATE TAB 50MG","0637","RC","Both",,,"51.5","25.75","Caresource","Medicaid Managed Care",,,"40",,"20.6","0.15","5264.58","percent of total billed charges",,
"NF-SITAGLIPTIN PHOSPHATE TAB 50MG","0637","RC","Both",,,"51.5","25.75","Wellcare","Medicaid Managed Care",,,"40",,"20.86","0.15","5264.58","percent of total billed charges",,
"NF-SITAGLIPTIN PHOSPHATE TAB 50MG","0637","RC","Both",,,"51.5","25.75","Aetna","Commercial",,,"64",,"32.86","0.15","5264.58","percent of total billed charges",,
"NF-SITAGLIPTIN PHOSPHATE TAB 50MG","0637","RC","Both",,,"51.5","25.75","Blue Cross Blue Shield","Pathways",,,"71",,"36.36","0.15","5264.58","percent of total billed charges",,
"NF-SITAGLIPTIN PHOSPHATE TAB 50MG","0637","RC","Both",,,"51.5","25.75","Blue Cross Blue Shield","HMO",,,"71",,"36.36","0.15","5264.58","percent of total billed charges",,
"NF-SITAGLIPTIN PHOSPHATE TAB 50MG","0637","RC","Both",,,"51.5","25.75","Blue Cross Blue Shield","PPO",,,"71",,"36.36","0.15","5264.58","percent of total billed charges",,
"NF-SITAGLIPTIN PHOSPHATE TAB 50MG","0637","RC","Both",,,"51.5","25.75","Ambetter","Health Exchange",,,"62",,"31.93","0.15","5264.58","percent of total billed charges",,
"NF-SITAGLIPTIN PHOSPHATE TAB 50MG","0637","RC","Both",,,"51.5","25.75","Caresource","Health Exchange",,,"62",,"31.93","0.15","5264.58","percent of total billed charges",,
"NF-SITAGLIPTIN PHOSPHATE TAB 50MG","0637","RC","Both",,,"51.5","25.75","Cigna","Commercial",,,"59",,"30.18","0.15","5264.58","percent of total billed charges",,
"NF-SITAGLIPTIN PHOSPHATE TAB 50MG","0637","RC","Both",,,"51.5","25.75","Humana","Commercial",,,"78",,"39.91","0.15","5264.58","percent of total billed charges",,
"NF-SITAGLIPTIN PHOSPHATE TAB 50MG","0637","RC","Both",,,"51.5","25.75","UHC","Commercial",,,"75",,"38.83","0.15","5264.58","percent of total billed charges",,
"NF-SITAGLIPTIN PHOSPHATE TAB 50MG","0637","RC","Both",,,"51.5","25.75","Medicaid",,,,"37",,"18.85","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA TAB 2MG","0637","RC","Both",,,"56.5","28.25","Alliant","Health Exchange",,,"62",,"35.03","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA TAB 2MG","0637","RC","Both",,,"56.5","28.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"30.51","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA TAB 2MG","0637","RC","Both",,,"56.5","28.25","Medicare",,,,"54",,"30.62","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA TAB 2MG","0637","RC","Both",,,"56.5","28.25","Humana","Medicare Advantage",,,"54",,"30.62","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA TAB 2MG","0637","RC","Both",,,"56.5","28.25","UHC","Medicare Advantage",,,"54",,"30.62","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA TAB 2MG","0637","RC","Both",,,"56.5","28.25","Clover","Medicare Advantage",,,"54",,"30.62","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA TAB 2MG","0637","RC","Both",,,"56.5","28.25","Wellcare","Medicare Advantage",,,"54",,"30.62","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA TAB 2MG","0637","RC","Both",,,"56.5","28.25","Amerigroup","Medicaid Managed Care",,,"37",,"20.68","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA TAB 2MG","0637","RC","Both",,,"56.5","28.25","Caresource","Medicaid Managed Care",,,"40",,"22.6","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA TAB 2MG","0637","RC","Both",,,"56.5","28.25","Wellcare","Medicaid Managed Care",,,"40",,"22.88","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA TAB 2MG","0637","RC","Both",,,"56.5","28.25","Aetna","Commercial",,,"64",,"36.05","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA TAB 2MG","0637","RC","Both",,,"56.5","28.25","Blue Cross Blue Shield","Pathways",,,"71",,"39.89","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA TAB 2MG","0637","RC","Both",,,"56.5","28.25","Blue Cross Blue Shield","HMO",,,"71",,"39.89","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA TAB 2MG","0637","RC","Both",,,"56.5","28.25","Blue Cross Blue Shield","PPO",,,"71",,"39.89","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA TAB 2MG","0637","RC","Both",,,"56.5","28.25","Ambetter","Health Exchange",,,"62",,"35.03","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA TAB 2MG","0637","RC","Both",,,"56.5","28.25","Caresource","Health Exchange",,,"62",,"35.03","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA TAB 2MG","0637","RC","Both",,,"56.5","28.25","Cigna","Commercial",,,"59",,"33.11","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA TAB 2MG","0637","RC","Both",,,"56.5","28.25","Humana","Commercial",,,"78",,"43.79","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA TAB 2MG","0637","RC","Both",,,"56.5","28.25","UHC","Commercial",,,"75",,"42.6","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA TAB 2MG","0637","RC","Both",,,"56.5","28.25","Medicaid",,,,"37",,"20.68","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Alliant","Health Exchange",,,"62",,"15.5","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"13.5","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Medicare",,,,"54",,"13.55","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Humana","Medicare Advantage",,,"54",,"13.55","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","UHC","Medicare Advantage",,,"54",,"13.55","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Clover","Medicare Advantage",,,"54",,"13.55","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Wellcare","Medicare Advantage",,,"54",,"13.55","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.15","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Caresource","Medicaid Managed Care",,,"40",,"10","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Wellcare","Medicaid Managed Care",,,"40",,"10.12","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Aetna","Commercial",,,"64",,"15.95","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Blue Cross Blue Shield","Pathways",,,"71",,"17.65","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Blue Cross Blue Shield","HMO",,,"71",,"17.65","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Blue Cross Blue Shield","PPO",,,"71",,"17.65","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Ambetter","Health Exchange",,,"62",,"15.5","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Caresource","Health Exchange",,,"62",,"15.5","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Cigna","Commercial",,,"59",,"14.65","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Humana","Commercial",,,"78",,"19.38","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","UHC","Commercial",,,"75",,"18.85","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Medicaid",,,,"37",,"9.15","0.15","5264.58","percent of total billed charges",,
"NF-ATROPINE SULFATE 1% OPHTHALMIC SOLUTI","0637","RC","Both",,,"4.5","2.25","Alliant","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-ATROPINE SULFATE 1% OPHTHALMIC SOLUTI","0637","RC","Both",,,"4.5","2.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-ATROPINE SULFATE 1% OPHTHALMIC SOLUTI","0637","RC","Both",,,"4.5","2.25","Medicare",,,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-ATROPINE SULFATE 1% OPHTHALMIC SOLUTI","0637","RC","Both",,,"4.5","2.25","Humana","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-ATROPINE SULFATE 1% OPHTHALMIC SOLUTI","0637","RC","Both",,,"4.5","2.25","UHC","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-ATROPINE SULFATE 1% OPHTHALMIC SOLUTI","0637","RC","Both",,,"4.5","2.25","Clover","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-ATROPINE SULFATE 1% OPHTHALMIC SOLUTI","0637","RC","Both",,,"4.5","2.25","Wellcare","Medicare Advantage",,,"54",,"2.44","0.15","5264.58","percent of total billed charges",,
"NF-ATROPINE SULFATE 1% OPHTHALMIC SOLUTI","0637","RC","Both",,,"4.5","2.25","Amerigroup","Medicaid Managed Care",,,"37",,"1.65","0.15","5264.58","percent of total billed charges",,
"NF-ATROPINE SULFATE 1% OPHTHALMIC SOLUTI","0637","RC","Both",,,"4.5","2.25","Caresource","Medicaid Managed Care",,,"40",,"1.8","0.15","5264.58","percent of total billed charges",,
"NF-ATROPINE SULFATE 1% OPHTHALMIC SOLUTI","0637","RC","Both",,,"4.5","2.25","Wellcare","Medicaid Managed Care",,,"40",,"1.82","0.15","5264.58","percent of total billed charges",,
"NF-ATROPINE SULFATE 1% OPHTHALMIC SOLUTI","0637","RC","Both",,,"4.5","2.25","Aetna","Commercial",,,"64",,"2.87","0.15","5264.58","percent of total billed charges",,
"NF-ATROPINE SULFATE 1% OPHTHALMIC SOLUTI","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","Pathways",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-ATROPINE SULFATE 1% OPHTHALMIC SOLUTI","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","HMO",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-ATROPINE SULFATE 1% OPHTHALMIC SOLUTI","0637","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","PPO",,,"71",,"3.18","0.15","5264.58","percent of total billed charges",,
"NF-ATROPINE SULFATE 1% OPHTHALMIC SOLUTI","0637","RC","Both",,,"4.5","2.25","Ambetter","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-ATROPINE SULFATE 1% OPHTHALMIC SOLUTI","0637","RC","Both",,,"4.5","2.25","Caresource","Health Exchange",,,"62",,"2.79","0.15","5264.58","percent of total billed charges",,
"NF-ATROPINE SULFATE 1% OPHTHALMIC SOLUTI","0637","RC","Both",,,"4.5","2.25","Cigna","Commercial",,,"59",,"2.64","0.15","5264.58","percent of total billed charges",,
"NF-ATROPINE SULFATE 1% OPHTHALMIC SOLUTI","0637","RC","Both",,,"4.5","2.25","Humana","Commercial",,,"78",,"3.49","0.15","5264.58","percent of total billed charges",,
"NF-ATROPINE SULFATE 1% OPHTHALMIC SOLUTI","0637","RC","Both",,,"4.5","2.25","UHC","Commercial",,,"75",,"3.39","0.15","5264.58","percent of total billed charges",,
"NF-ATROPINE SULFATE 1% OPHTHALMIC SOLUTI","0637","RC","Both",,,"4.5","2.25","Medicaid",,,,"37",,"1.65","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS 2 ORAL LIQ CAP","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS 2 ORAL LIQ CAP","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS 2 ORAL LIQ CAP","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS 2 ORAL LIQ CAP","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS 2 ORAL LIQ CAP","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS 2 ORAL LIQ CAP","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS 2 ORAL LIQ CAP","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS 2 ORAL LIQ CAP","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS 2 ORAL LIQ CAP","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS 2 ORAL LIQ CAP","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS 2 ORAL LIQ CAP","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS 2 ORAL LIQ CAP","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS 2 ORAL LIQ CAP","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS 2 ORAL LIQ CAP","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS 2 ORAL LIQ CAP","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS 2 ORAL LIQ CAP","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS 2 ORAL LIQ CAP","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS 2 ORAL LIQ CAP","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS 2 ORAL LIQ CAP","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS 2 ORAL LIQ CAP","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-Cardizem Oral Tablet 30MG","0637","RC","Both",,,"23","11.5","Alliant","Health Exchange",,,"62",,"14.26","0.15","5264.58","percent of total billed charges",,
"NF-Cardizem Oral Tablet 30MG","0637","RC","Both",,,"23","11.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.42","0.15","5264.58","percent of total billed charges",,
"NF-Cardizem Oral Tablet 30MG","0637","RC","Both",,,"23","11.5","Medicare",,,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-Cardizem Oral Tablet 30MG","0637","RC","Both",,,"23","11.5","Humana","Medicare Advantage",,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-Cardizem Oral Tablet 30MG","0637","RC","Both",,,"23","11.5","UHC","Medicare Advantage",,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-Cardizem Oral Tablet 30MG","0637","RC","Both",,,"23","11.5","Clover","Medicare Advantage",,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-Cardizem Oral Tablet 30MG","0637","RC","Both",,,"23","11.5","Wellcare","Medicare Advantage",,,"54",,"12.47","0.15","5264.58","percent of total billed charges",,
"NF-Cardizem Oral Tablet 30MG","0637","RC","Both",,,"23","11.5","Amerigroup","Medicaid Managed Care",,,"37",,"8.42","0.15","5264.58","percent of total billed charges",,
"NF-Cardizem Oral Tablet 30MG","0637","RC","Both",,,"23","11.5","Caresource","Medicaid Managed Care",,,"40",,"9.2","0.15","5264.58","percent of total billed charges",,
"NF-Cardizem Oral Tablet 30MG","0637","RC","Both",,,"23","11.5","Wellcare","Medicaid Managed Care",,,"40",,"9.32","0.15","5264.58","percent of total billed charges",,
"NF-Cardizem Oral Tablet 30MG","0637","RC","Both",,,"23","11.5","Aetna","Commercial",,,"64",,"14.67","0.15","5264.58","percent of total billed charges",,
"NF-Cardizem Oral Tablet 30MG","0637","RC","Both",,,"23","11.5","Blue Cross Blue Shield","Pathways",,,"71",,"16.24","0.15","5264.58","percent of total billed charges",,
"NF-Cardizem Oral Tablet 30MG","0637","RC","Both",,,"23","11.5","Blue Cross Blue Shield","HMO",,,"71",,"16.24","0.15","5264.58","percent of total billed charges",,
"NF-Cardizem Oral Tablet 30MG","0637","RC","Both",,,"23","11.5","Blue Cross Blue Shield","PPO",,,"71",,"16.24","0.15","5264.58","percent of total billed charges",,
"NF-Cardizem Oral Tablet 30MG","0637","RC","Both",,,"23","11.5","Ambetter","Health Exchange",,,"62",,"14.26","0.15","5264.58","percent of total billed charges",,
"NF-Cardizem Oral Tablet 30MG","0637","RC","Both",,,"23","11.5","Caresource","Health Exchange",,,"62",,"14.26","0.15","5264.58","percent of total billed charges",,
"NF-Cardizem Oral Tablet 30MG","0637","RC","Both",,,"23","11.5","Cigna","Commercial",,,"59",,"13.48","0.15","5264.58","percent of total billed charges",,
"NF-Cardizem Oral Tablet 30MG","0637","RC","Both",,,"23","11.5","Humana","Commercial",,,"78",,"17.82","0.15","5264.58","percent of total billed charges",,
"NF-Cardizem Oral Tablet 30MG","0637","RC","Both",,,"23","11.5","UHC","Commercial",,,"75",,"17.34","0.15","5264.58","percent of total billed charges",,
"NF-Cardizem Oral Tablet 30MG","0637","RC","Both",,,"23","11.5","Medicaid",,,,"37",,"8.42","0.15","5264.58","percent of total billed charges",,
"NF-Duoderm CGF","0637","RC","Both",,,"84","42","Alliant","Health Exchange",,,"62",,"52.08","0.15","5264.58","percent of total billed charges",,
"NF-Duoderm CGF","0637","RC","Both",,,"84","42","Pruitt Healthcare","Medicare Advantage",,,"54",,"45.36","0.15","5264.58","percent of total billed charges",,
"NF-Duoderm CGF","0637","RC","Both",,,"84","42","Medicare",,,,"54",,"45.53","0.15","5264.58","percent of total billed charges",,
"NF-Duoderm CGF","0637","RC","Both",,,"84","42","Humana","Medicare Advantage",,,"54",,"45.53","0.15","5264.58","percent of total billed charges",,
"NF-Duoderm CGF","0637","RC","Both",,,"84","42","UHC","Medicare Advantage",,,"54",,"45.53","0.15","5264.58","percent of total billed charges",,
"NF-Duoderm CGF","0637","RC","Both",,,"84","42","Clover","Medicare Advantage",,,"54",,"45.53","0.15","5264.58","percent of total billed charges",,
"NF-Duoderm CGF","0637","RC","Both",,,"84","42","Wellcare","Medicare Advantage",,,"54",,"45.53","0.15","5264.58","percent of total billed charges",,
"NF-Duoderm CGF","0637","RC","Both",,,"84","42","Amerigroup","Medicaid Managed Care",,,"37",,"30.74","0.15","5264.58","percent of total billed charges",,
"NF-Duoderm CGF","0637","RC","Both",,,"84","42","Caresource","Medicaid Managed Care",,,"40",,"33.6","0.15","5264.58","percent of total billed charges",,
"NF-Duoderm CGF","0637","RC","Both",,,"84","42","Wellcare","Medicaid Managed Care",,,"40",,"34.02","0.15","5264.58","percent of total billed charges",,
"NF-Duoderm CGF","0637","RC","Both",,,"84","42","Aetna","Commercial",,,"64",,"53.59","0.15","5264.58","percent of total billed charges",,
"NF-Duoderm CGF","0637","RC","Both",,,"84","42","Blue Cross Blue Shield","Pathways",,,"71",,"59.3","0.15","5264.58","percent of total billed charges",,
"NF-Duoderm CGF","0637","RC","Both",,,"84","42","Blue Cross Blue Shield","HMO",,,"71",,"59.3","0.15","5264.58","percent of total billed charges",,
"NF-Duoderm CGF","0637","RC","Both",,,"84","42","Blue Cross Blue Shield","PPO",,,"71",,"59.3","0.15","5264.58","percent of total billed charges",,
"NF-Duoderm CGF","0637","RC","Both",,,"84","42","Ambetter","Health Exchange",,,"62",,"52.08","0.15","5264.58","percent of total billed charges",,
"NF-Duoderm CGF","0637","RC","Both",,,"84","42","Caresource","Health Exchange",,,"62",,"52.08","0.15","5264.58","percent of total billed charges",,
"NF-Duoderm CGF","0637","RC","Both",,,"84","42","Cigna","Commercial",,,"59",,"49.22","0.15","5264.58","percent of total billed charges",,
"NF-Duoderm CGF","0637","RC","Both",,,"84","42","Humana","Commercial",,,"78",,"65.1","0.15","5264.58","percent of total billed charges",,
"NF-Duoderm CGF","0637","RC","Both",,,"84","42","UHC","Commercial",,,"75",,"63.34","0.15","5264.58","percent of total billed charges",,
"NF-Duoderm CGF","0637","RC","Both",,,"84","42","Medicaid",,,,"37",,"30.74","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"8","4","Medicare",,,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"8","4","Medicaid",,,,"37",,"2.93","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 1MG","0637","RC","Both",,,"25.5","12.75","Alliant","Health Exchange",,,"62",,"15.81","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 1MG","0637","RC","Both",,,"25.5","12.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 1MG","0637","RC","Both",,,"25.5","12.75","Medicare",,,,"54",,"13.82","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 1MG","0637","RC","Both",,,"25.5","12.75","Humana","Medicare Advantage",,,"54",,"13.82","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 1MG","0637","RC","Both",,,"25.5","12.75","UHC","Medicare Advantage",,,"54",,"13.82","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 1MG","0637","RC","Both",,,"25.5","12.75","Clover","Medicare Advantage",,,"54",,"13.82","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 1MG","0637","RC","Both",,,"25.5","12.75","Wellcare","Medicare Advantage",,,"54",,"13.82","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 1MG","0637","RC","Both",,,"25.5","12.75","Amerigroup","Medicaid Managed Care",,,"37",,"9.33","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 1MG","0637","RC","Both",,,"25.5","12.75","Caresource","Medicaid Managed Care",,,"40",,"10.2","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 1MG","0637","RC","Both",,,"25.5","12.75","Wellcare","Medicaid Managed Care",,,"40",,"10.33","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 1MG","0637","RC","Both",,,"25.5","12.75","Aetna","Commercial",,,"64",,"16.27","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 1MG","0637","RC","Both",,,"25.5","12.75","Blue Cross Blue Shield","Pathways",,,"71",,"18","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 1MG","0637","RC","Both",,,"25.5","12.75","Blue Cross Blue Shield","HMO",,,"71",,"18","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 1MG","0637","RC","Both",,,"25.5","12.75","Blue Cross Blue Shield","PPO",,,"71",,"18","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 1MG","0637","RC","Both",,,"25.5","12.75","Ambetter","Health Exchange",,,"62",,"15.81","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 1MG","0637","RC","Both",,,"25.5","12.75","Caresource","Health Exchange",,,"62",,"15.81","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 1MG","0637","RC","Both",,,"25.5","12.75","Cigna","Commercial",,,"59",,"14.94","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 1MG","0637","RC","Both",,,"25.5","12.75","Humana","Commercial",,,"78",,"19.76","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 1MG","0637","RC","Both",,,"25.5","12.75","UHC","Commercial",,,"75",,"19.23","0.15","5264.58","percent of total billed charges",,
"NF-LUNESTA ORAL TABLET 1MG","0637","RC","Both",,,"25.5","12.75","Medicaid",,,,"37",,"9.33","0.15","5264.58","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0637","RC","Both",,,"105","52.5","Alliant","Health Exchange",,,"62",,"65.1","0.15","5264.58","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0637","RC","Both",,,"105","52.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"56.7","0.15","5264.58","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0637","RC","Both",,,"105","52.5","Medicare",,,,"54",,"56.91","0.15","5264.58","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0637","RC","Both",,,"105","52.5","Humana","Medicare Advantage",,,"54",,"56.91","0.15","5264.58","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0637","RC","Both",,,"105","52.5","UHC","Medicare Advantage",,,"54",,"56.91","0.15","5264.58","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0637","RC","Both",,,"105","52.5","Clover","Medicare Advantage",,,"54",,"56.91","0.15","5264.58","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0637","RC","Both",,,"105","52.5","Wellcare","Medicare Advantage",,,"54",,"56.91","0.15","5264.58","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0637","RC","Both",,,"105","52.5","Amerigroup","Medicaid Managed Care",,,"37",,"38.43","0.15","5264.58","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0637","RC","Both",,,"105","52.5","Caresource","Medicaid Managed Care",,,"40",,"42","0.15","5264.58","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0637","RC","Both",,,"105","52.5","Wellcare","Medicaid Managed Care",,,"40",,"42.53","0.15","5264.58","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0637","RC","Both",,,"105","52.5","Aetna","Commercial",,,"64",,"66.99","0.15","5264.58","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0637","RC","Both",,,"105","52.5","Blue Cross Blue Shield","Pathways",,,"71",,"74.13","0.15","5264.58","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0637","RC","Both",,,"105","52.5","Blue Cross Blue Shield","HMO",,,"71",,"74.13","0.15","5264.58","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0637","RC","Both",,,"105","52.5","Blue Cross Blue Shield","PPO",,,"71",,"74.13","0.15","5264.58","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0637","RC","Both",,,"105","52.5","Ambetter","Health Exchange",,,"62",,"65.1","0.15","5264.58","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0637","RC","Both",,,"105","52.5","Caresource","Health Exchange",,,"62",,"65.1","0.15","5264.58","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0637","RC","Both",,,"105","52.5","Cigna","Commercial",,,"59",,"61.53","0.15","5264.58","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0637","RC","Both",,,"105","52.5","Humana","Commercial",,,"78",,"81.38","0.15","5264.58","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0637","RC","Both",,,"105","52.5","UHC","Commercial",,,"75",,"79.17","0.15","5264.58","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0637","RC","Both",,,"105","52.5","Medicaid",,,,"37",,"38.43","0.15","5264.58","percent of total billed charges",,
"NF-Azopt Ophth Suspension 1%","0637","RC","Both",,,"102","51","Alliant","Health Exchange",,,"62",,"63.24","0.15","5264.58","percent of total billed charges",,
"NF-Azopt Ophth Suspension 1%","0637","RC","Both",,,"102","51","Pruitt Healthcare","Medicare Advantage",,,"54",,"55.08","0.15","5264.58","percent of total billed charges",,
"NF-Azopt Ophth Suspension 1%","0637","RC","Both",,,"102","51","Medicare",,,,"54",,"55.28","0.15","5264.58","percent of total billed charges",,
"NF-Azopt Ophth Suspension 1%","0637","RC","Both",,,"102","51","Humana","Medicare Advantage",,,"54",,"55.28","0.15","5264.58","percent of total billed charges",,
"NF-Azopt Ophth Suspension 1%","0637","RC","Both",,,"102","51","UHC","Medicare Advantage",,,"54",,"55.28","0.15","5264.58","percent of total billed charges",,
"NF-Azopt Ophth Suspension 1%","0637","RC","Both",,,"102","51","Clover","Medicare Advantage",,,"54",,"55.28","0.15","5264.58","percent of total billed charges",,
"NF-Azopt Ophth Suspension 1%","0637","RC","Both",,,"102","51","Wellcare","Medicare Advantage",,,"54",,"55.28","0.15","5264.58","percent of total billed charges",,
"NF-Azopt Ophth Suspension 1%","0637","RC","Both",,,"102","51","Amerigroup","Medicaid Managed Care",,,"37",,"37.33","0.15","5264.58","percent of total billed charges",,
"NF-Azopt Ophth Suspension 1%","0637","RC","Both",,,"102","51","Caresource","Medicaid Managed Care",,,"40",,"40.8","0.15","5264.58","percent of total billed charges",,
"NF-Azopt Ophth Suspension 1%","0637","RC","Both",,,"102","51","Wellcare","Medicaid Managed Care",,,"40",,"41.31","0.15","5264.58","percent of total billed charges",,
"NF-Azopt Ophth Suspension 1%","0637","RC","Both",,,"102","51","Aetna","Commercial",,,"64",,"65.08","0.15","5264.58","percent of total billed charges",,
"NF-Azopt Ophth Suspension 1%","0637","RC","Both",,,"102","51","Blue Cross Blue Shield","Pathways",,,"71",,"72.01","0.15","5264.58","percent of total billed charges",,
"NF-Azopt Ophth Suspension 1%","0637","RC","Both",,,"102","51","Blue Cross Blue Shield","HMO",,,"71",,"72.01","0.15","5264.58","percent of total billed charges",,
"NF-Azopt Ophth Suspension 1%","0637","RC","Both",,,"102","51","Blue Cross Blue Shield","PPO",,,"71",,"72.01","0.15","5264.58","percent of total billed charges",,
"NF-Azopt Ophth Suspension 1%","0637","RC","Both",,,"102","51","Ambetter","Health Exchange",,,"62",,"63.24","0.15","5264.58","percent of total billed charges",,
"NF-Azopt Ophth Suspension 1%","0637","RC","Both",,,"102","51","Caresource","Health Exchange",,,"62",,"63.24","0.15","5264.58","percent of total billed charges",,
"NF-Azopt Ophth Suspension 1%","0637","RC","Both",,,"102","51","Cigna","Commercial",,,"59",,"59.77","0.15","5264.58","percent of total billed charges",,
"NF-Azopt Ophth Suspension 1%","0637","RC","Both",,,"102","51","Humana","Commercial",,,"78",,"79.05","0.15","5264.58","percent of total billed charges",,
"NF-Azopt Ophth Suspension 1%","0637","RC","Both",,,"102","51","UHC","Commercial",,,"75",,"76.91","0.15","5264.58","percent of total billed charges",,
"NF-Azopt Ophth Suspension 1%","0637","RC","Both",,,"102","51","Medicaid",,,,"37",,"37.33","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Alliant","Health Exchange",,,"62",,"15.5","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"13.5","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Medicare",,,,"54",,"13.55","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Humana","Medicare Advantage",,,"54",,"13.55","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","UHC","Medicare Advantage",,,"54",,"13.55","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Clover","Medicare Advantage",,,"54",,"13.55","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Wellcare","Medicare Advantage",,,"54",,"13.55","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.15","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Caresource","Medicaid Managed Care",,,"40",,"10","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Wellcare","Medicaid Managed Care",,,"40",,"10.12","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Aetna","Commercial",,,"64",,"15.95","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Blue Cross Blue Shield","Pathways",,,"71",,"17.65","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Blue Cross Blue Shield","HMO",,,"71",,"17.65","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Blue Cross Blue Shield","PPO",,,"71",,"17.65","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Ambetter","Health Exchange",,,"62",,"15.5","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Caresource","Health Exchange",,,"62",,"15.5","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Cigna","Commercial",,,"59",,"14.65","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Humana","Commercial",,,"78",,"19.38","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","UHC","Commercial",,,"75",,"18.85","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Medicaid",,,,"37",,"9.15","0.15","5264.58","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0637","RC","Both",,,"21","10.5","Alliant","Health Exchange",,,"62",,"13.02","0.15","5264.58","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0637","RC","Both",,,"21","10.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.34","0.15","5264.58","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0637","RC","Both",,,"21","10.5","Medicare",,,,"54",,"11.38","0.15","5264.58","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0637","RC","Both",,,"21","10.5","Humana","Medicare Advantage",,,"54",,"11.38","0.15","5264.58","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0637","RC","Both",,,"21","10.5","UHC","Medicare Advantage",,,"54",,"11.38","0.15","5264.58","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0637","RC","Both",,,"21","10.5","Clover","Medicare Advantage",,,"54",,"11.38","0.15","5264.58","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0637","RC","Both",,,"21","10.5","Wellcare","Medicare Advantage",,,"54",,"11.38","0.15","5264.58","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0637","RC","Both",,,"21","10.5","Amerigroup","Medicaid Managed Care",,,"37",,"7.69","0.15","5264.58","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0637","RC","Both",,,"21","10.5","Caresource","Medicaid Managed Care",,,"40",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0637","RC","Both",,,"21","10.5","Wellcare","Medicaid Managed Care",,,"40",,"8.51","0.15","5264.58","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0637","RC","Both",,,"21","10.5","Aetna","Commercial",,,"64",,"13.4","0.15","5264.58","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0637","RC","Both",,,"21","10.5","Blue Cross Blue Shield","Pathways",,,"71",,"14.83","0.15","5264.58","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0637","RC","Both",,,"21","10.5","Blue Cross Blue Shield","HMO",,,"71",,"14.83","0.15","5264.58","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0637","RC","Both",,,"21","10.5","Blue Cross Blue Shield","PPO",,,"71",,"14.83","0.15","5264.58","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0637","RC","Both",,,"21","10.5","Ambetter","Health Exchange",,,"62",,"13.02","0.15","5264.58","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0637","RC","Both",,,"21","10.5","Caresource","Health Exchange",,,"62",,"13.02","0.15","5264.58","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0637","RC","Both",,,"21","10.5","Cigna","Commercial",,,"59",,"12.31","0.15","5264.58","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0637","RC","Both",,,"21","10.5","Humana","Commercial",,,"78",,"16.28","0.15","5264.58","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0637","RC","Both",,,"21","10.5","UHC","Commercial",,,"75",,"15.83","0.15","5264.58","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0637","RC","Both",,,"21","10.5","Medicaid",,,,"37",,"7.69","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE AVPAK ORAL TABLET 160MG","0637","RC","Both",,,"15.5","7.75","Alliant","Health Exchange",,,"62",,"9.61","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE AVPAK ORAL TABLET 160MG","0637","RC","Both",,,"15.5","7.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.37","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE AVPAK ORAL TABLET 160MG","0637","RC","Both",,,"15.5","7.75","Medicare",,,,"54",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE AVPAK ORAL TABLET 160MG","0637","RC","Both",,,"15.5","7.75","Humana","Medicare Advantage",,,"54",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE AVPAK ORAL TABLET 160MG","0637","RC","Both",,,"15.5","7.75","UHC","Medicare Advantage",,,"54",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE AVPAK ORAL TABLET 160MG","0637","RC","Both",,,"15.5","7.75","Clover","Medicare Advantage",,,"54",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE AVPAK ORAL TABLET 160MG","0637","RC","Both",,,"15.5","7.75","Wellcare","Medicare Advantage",,,"54",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE AVPAK ORAL TABLET 160MG","0637","RC","Both",,,"15.5","7.75","Amerigroup","Medicaid Managed Care",,,"37",,"5.67","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE AVPAK ORAL TABLET 160MG","0637","RC","Both",,,"15.5","7.75","Caresource","Medicaid Managed Care",,,"40",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE AVPAK ORAL TABLET 160MG","0637","RC","Both",,,"15.5","7.75","Wellcare","Medicaid Managed Care",,,"40",,"6.28","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE AVPAK ORAL TABLET 160MG","0637","RC","Both",,,"15.5","7.75","Aetna","Commercial",,,"64",,"9.89","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE AVPAK ORAL TABLET 160MG","0637","RC","Both",,,"15.5","7.75","Blue Cross Blue Shield","Pathways",,,"71",,"10.94","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE AVPAK ORAL TABLET 160MG","0637","RC","Both",,,"15.5","7.75","Blue Cross Blue Shield","HMO",,,"71",,"10.94","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE AVPAK ORAL TABLET 160MG","0637","RC","Both",,,"15.5","7.75","Blue Cross Blue Shield","PPO",,,"71",,"10.94","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE AVPAK ORAL TABLET 160MG","0637","RC","Both",,,"15.5","7.75","Ambetter","Health Exchange",,,"62",,"9.61","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE AVPAK ORAL TABLET 160MG","0637","RC","Both",,,"15.5","7.75","Caresource","Health Exchange",,,"62",,"9.61","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE AVPAK ORAL TABLET 160MG","0637","RC","Both",,,"15.5","7.75","Cigna","Commercial",,,"59",,"9.08","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE AVPAK ORAL TABLET 160MG","0637","RC","Both",,,"15.5","7.75","Humana","Commercial",,,"78",,"12.01","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE AVPAK ORAL TABLET 160MG","0637","RC","Both",,,"15.5","7.75","UHC","Commercial",,,"75",,"11.69","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRATE AVPAK ORAL TABLET 160MG","0637","RC","Both",,,"15.5","7.75","Medicaid",,,,"37",,"5.67","0.15","5264.58","percent of total billed charges",,
"NF-ZETIA TAB 10MG","0637","RC","Both",,,"41.5","20.75","Alliant","Health Exchange",,,"62",,"25.73","0.15","5264.58","percent of total billed charges",,
"NF-ZETIA TAB 10MG","0637","RC","Both",,,"41.5","20.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"22.41","0.15","5264.58","percent of total billed charges",,
"NF-ZETIA TAB 10MG","0637","RC","Both",,,"41.5","20.75","Medicare",,,,"54",,"22.49","0.15","5264.58","percent of total billed charges",,
"NF-ZETIA TAB 10MG","0637","RC","Both",,,"41.5","20.75","Humana","Medicare Advantage",,,"54",,"22.49","0.15","5264.58","percent of total billed charges",,
"NF-ZETIA TAB 10MG","0637","RC","Both",,,"41.5","20.75","UHC","Medicare Advantage",,,"54",,"22.49","0.15","5264.58","percent of total billed charges",,
"NF-ZETIA TAB 10MG","0637","RC","Both",,,"41.5","20.75","Clover","Medicare Advantage",,,"54",,"22.49","0.15","5264.58","percent of total billed charges",,
"NF-ZETIA TAB 10MG","0637","RC","Both",,,"41.5","20.75","Wellcare","Medicare Advantage",,,"54",,"22.49","0.15","5264.58","percent of total billed charges",,
"NF-ZETIA TAB 10MG","0637","RC","Both",,,"41.5","20.75","Amerigroup","Medicaid Managed Care",,,"37",,"15.19","0.15","5264.58","percent of total billed charges",,
"NF-ZETIA TAB 10MG","0637","RC","Both",,,"41.5","20.75","Caresource","Medicaid Managed Care",,,"40",,"16.6","0.15","5264.58","percent of total billed charges",,
"NF-ZETIA TAB 10MG","0637","RC","Both",,,"41.5","20.75","Wellcare","Medicaid Managed Care",,,"40",,"16.81","0.15","5264.58","percent of total billed charges",,
"NF-ZETIA TAB 10MG","0637","RC","Both",,,"41.5","20.75","Aetna","Commercial",,,"64",,"26.48","0.15","5264.58","percent of total billed charges",,
"NF-ZETIA TAB 10MG","0637","RC","Both",,,"41.5","20.75","Blue Cross Blue Shield","Pathways",,,"71",,"29.3","0.15","5264.58","percent of total billed charges",,
"NF-ZETIA TAB 10MG","0637","RC","Both",,,"41.5","20.75","Blue Cross Blue Shield","HMO",,,"71",,"29.3","0.15","5264.58","percent of total billed charges",,
"NF-ZETIA TAB 10MG","0637","RC","Both",,,"41.5","20.75","Blue Cross Blue Shield","PPO",,,"71",,"29.3","0.15","5264.58","percent of total billed charges",,
"NF-ZETIA TAB 10MG","0637","RC","Both",,,"41.5","20.75","Ambetter","Health Exchange",,,"62",,"25.73","0.15","5264.58","percent of total billed charges",,
"NF-ZETIA TAB 10MG","0637","RC","Both",,,"41.5","20.75","Caresource","Health Exchange",,,"62",,"25.73","0.15","5264.58","percent of total billed charges",,
"NF-ZETIA TAB 10MG","0637","RC","Both",,,"41.5","20.75","Cigna","Commercial",,,"59",,"24.32","0.15","5264.58","percent of total billed charges",,
"NF-ZETIA TAB 10MG","0637","RC","Both",,,"41.5","20.75","Humana","Commercial",,,"78",,"32.16","0.15","5264.58","percent of total billed charges",,
"NF-ZETIA TAB 10MG","0637","RC","Both",,,"41.5","20.75","UHC","Commercial",,,"75",,"31.29","0.15","5264.58","percent of total billed charges",,
"NF-ZETIA TAB 10MG","0637","RC","Both",,,"41.5","20.75","Medicaid",,,,"37",,"15.19","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 10MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 10MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 10MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 10MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 10MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 10MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 10MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 10MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 10MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 10MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 10MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 10MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 10MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 10MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 10MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 10MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 10MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 10MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 10MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 10MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 10MG","0637","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 10MG","0637","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 10MG","0637","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 10MG","0637","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 10MG","0637","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 10MG","0637","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 10MG","0637","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 10MG","0637","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 10MG","0637","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 10MG","0637","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 10MG","0637","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 10MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 10MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 10MG","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 10MG","0637","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 10MG","0637","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 10MG","0637","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 10MG","0637","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 10MG","0637","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 10MG","0637","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"Iopamidol 61% (ISOVUE-300) Inj (RAD)","0250","RC","Both",,,"60","30","Alliant","Health Exchange",,,"62",,"37.2","0.04","569.62","percent of total billed charges",,
"Iopamidol 61% (ISOVUE-300) Inj (RAD)","0250","RC","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage",,,"54",,"32.4","0.04","569.62","percent of total billed charges",,
"Iopamidol 61% (ISOVUE-300) Inj (RAD)","0250","RC","Both",,,"60","30","Medicare",,,,"54",,"32.52","0.04","569.62","percent of total billed charges",,
"Iopamidol 61% (ISOVUE-300) Inj (RAD)","0250","RC","Both",,,"60","30","Humana","Medicare Advantage",,,"54",,"32.52","0.04","569.62","percent of total billed charges",,
"Iopamidol 61% (ISOVUE-300) Inj (RAD)","0250","RC","Both",,,"60","30","UHC","Medicare Advantage",,,"54",,"32.52","0.04","569.62","percent of total billed charges",,
"Iopamidol 61% (ISOVUE-300) Inj (RAD)","0250","RC","Both",,,"60","30","Clover","Medicare Advantage",,,"54",,"32.52","0.04","569.62","percent of total billed charges",,
"Iopamidol 61% (ISOVUE-300) Inj (RAD)","0250","RC","Both",,,"60","30","Wellcare","Medicare Advantage",,,"54",,"32.52","0.04","569.62","percent of total billed charges",,
"Iopamidol 61% (ISOVUE-300) Inj (RAD)","0250","RC","Both",,,"60","30","Amerigroup","Medicaid Managed Care",,,"37",,"21.96","0.04","569.62","percent of total billed charges",,
"Iopamidol 61% (ISOVUE-300) Inj (RAD)","0250","RC","Both",,,"60","30","Caresource","Medicaid Managed Care",,,"40",,"24","0.04","569.62","percent of total billed charges",,
"Iopamidol 61% (ISOVUE-300) Inj (RAD)","0250","RC","Both",,,"60","30","Wellcare","Medicaid Managed Care",,,"40",,"24.3","0.04","569.62","percent of total billed charges",,
"Iopamidol 61% (ISOVUE-300) Inj (RAD)","0250","RC","Both",,,"60","30","Aetna","Commercial",,,"64",,"38.28","0.04","569.62","percent of total billed charges",,
"Iopamidol 61% (ISOVUE-300) Inj (RAD)","0250","RC","Both",,,"60","30","Blue Cross Blue Shield","Pathways",,,"71",,"42.36","0.04","569.62","percent of total billed charges",,
"Iopamidol 61% (ISOVUE-300) Inj (RAD)","0250","RC","Both",,,"60","30","Blue Cross Blue Shield","HMO",,,"71",,"42.36","0.04","569.62","percent of total billed charges",,
"Iopamidol 61% (ISOVUE-300) Inj (RAD)","0250","RC","Both",,,"60","30","Blue Cross Blue Shield","PPO",,,"71",,"42.36","0.04","569.62","percent of total billed charges",,
"Iopamidol 61% (ISOVUE-300) Inj (RAD)","0250","RC","Both",,,"60","30","Ambetter","Health Exchange",,,"62",,"37.2","0.04","569.62","percent of total billed charges",,
"Iopamidol 61% (ISOVUE-300) Inj (RAD)","0250","RC","Both",,,"60","30","Caresource","Health Exchange",,,"62",,"37.2","0.04","569.62","percent of total billed charges",,
"Iopamidol 61% (ISOVUE-300) Inj (RAD)","0250","RC","Both",,,"60","30","Cigna","Commercial",,,"59",,"35.16","0.04","569.62","percent of total billed charges",,
"Iopamidol 61% (ISOVUE-300) Inj (RAD)","0250","RC","Both",,,"60","30","Humana","Commercial",,,"78",,"46.5","0.04","569.62","percent of total billed charges",,
"Iopamidol 61% (ISOVUE-300) Inj (RAD)","0250","RC","Both",,,"60","30","UHC","Commercial",,,"75",,"45.24","0.04","569.62","percent of total billed charges",,
"Iopamidol 61% (ISOVUE-300) Inj (RAD)","0250","RC","Both",,,"60","30","Medicaid",,,,"37",,"21.96","0.04","569.62","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0637","RC","Both",,,"12","6","Alliant","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0637","RC","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.48","0.15","5264.58","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0637","RC","Both",,,"12","6","Medicare",,,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0637","RC","Both",,,"12","6","Humana","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0637","RC","Both",,,"12","6","UHC","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0637","RC","Both",,,"12","6","Clover","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0637","RC","Both",,,"12","6","Wellcare","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0637","RC","Both",,,"12","6","Amerigroup","Medicaid Managed Care",,,"37",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0637","RC","Both",,,"12","6","Caresource","Medicaid Managed Care",,,"40",,"4.8","0.15","5264.58","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0637","RC","Both",,,"12","6","Wellcare","Medicaid Managed Care",,,"40",,"4.86","0.15","5264.58","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0637","RC","Both",,,"12","6","Aetna","Commercial",,,"64",,"7.66","0.15","5264.58","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","Pathways",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","HMO",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","PPO",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0637","RC","Both",,,"12","6","Ambetter","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0637","RC","Both",,,"12","6","Caresource","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0637","RC","Both",,,"12","6","Cigna","Commercial",,,"59",,"7.03","0.15","5264.58","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0637","RC","Both",,,"12","6","Humana","Commercial",,,"78",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0637","RC","Both",,,"12","6","UHC","Commercial",,,"75",,"9.05","0.15","5264.58","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0637","RC","Both",,,"12","6","Medicaid",,,,"37",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0637","RC","Both",,,"258","129","Alliant","Health Exchange",,,"62",,"159.96","0.15","5264.58","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0637","RC","Both",,,"258","129","Pruitt Healthcare","Medicare Advantage",,,"54",,"139.32","0.15","5264.58","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0637","RC","Both",,,"258","129","Medicare",,,,"54",,"139.84","0.15","5264.58","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0637","RC","Both",,,"258","129","Humana","Medicare Advantage",,,"54",,"139.84","0.15","5264.58","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0637","RC","Both",,,"258","129","UHC","Medicare Advantage",,,"54",,"139.84","0.15","5264.58","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0637","RC","Both",,,"258","129","Clover","Medicare Advantage",,,"54",,"139.84","0.15","5264.58","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0637","RC","Both",,,"258","129","Wellcare","Medicare Advantage",,,"54",,"139.84","0.15","5264.58","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0637","RC","Both",,,"258","129","Amerigroup","Medicaid Managed Care",,,"37",,"94.43","0.15","5264.58","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0637","RC","Both",,,"258","129","Caresource","Medicaid Managed Care",,,"40",,"103.2","0.15","5264.58","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0637","RC","Both",,,"258","129","Wellcare","Medicaid Managed Care",,,"40",,"104.49","0.15","5264.58","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0637","RC","Both",,,"258","129","Aetna","Commercial",,,"64",,"164.6","0.15","5264.58","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0637","RC","Both",,,"258","129","Blue Cross Blue Shield","Pathways",,,"71",,"182.15","0.15","5264.58","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0637","RC","Both",,,"258","129","Blue Cross Blue Shield","HMO",,,"71",,"182.15","0.15","5264.58","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0637","RC","Both",,,"258","129","Blue Cross Blue Shield","PPO",,,"71",,"182.15","0.15","5264.58","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0637","RC","Both",,,"258","129","Ambetter","Health Exchange",,,"62",,"159.96","0.15","5264.58","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0637","RC","Both",,,"258","129","Caresource","Health Exchange",,,"62",,"159.96","0.15","5264.58","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0637","RC","Both",,,"258","129","Cigna","Commercial",,,"59",,"151.19","0.15","5264.58","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0637","RC","Both",,,"258","129","Humana","Commercial",,,"78",,"199.95","0.15","5264.58","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0637","RC","Both",,,"258","129","UHC","Commercial",,,"75",,"194.53","0.15","5264.58","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0637","RC","Both",,,"258","129","Medicaid",,,,"37",,"94.43","0.15","5264.58","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0637","RC","Both",,,"21","10.5","Alliant","Health Exchange",,,"62",,"13.02","0.15","5264.58","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0637","RC","Both",,,"21","10.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.34","0.15","5264.58","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0637","RC","Both",,,"21","10.5","Medicare",,,,"54",,"11.38","0.15","5264.58","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0637","RC","Both",,,"21","10.5","Humana","Medicare Advantage",,,"54",,"11.38","0.15","5264.58","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0637","RC","Both",,,"21","10.5","UHC","Medicare Advantage",,,"54",,"11.38","0.15","5264.58","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0637","RC","Both",,,"21","10.5","Clover","Medicare Advantage",,,"54",,"11.38","0.15","5264.58","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0637","RC","Both",,,"21","10.5","Wellcare","Medicare Advantage",,,"54",,"11.38","0.15","5264.58","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0637","RC","Both",,,"21","10.5","Amerigroup","Medicaid Managed Care",,,"37",,"7.69","0.15","5264.58","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0637","RC","Both",,,"21","10.5","Caresource","Medicaid Managed Care",,,"40",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0637","RC","Both",,,"21","10.5","Wellcare","Medicaid Managed Care",,,"40",,"8.51","0.15","5264.58","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0637","RC","Both",,,"21","10.5","Aetna","Commercial",,,"64",,"13.4","0.15","5264.58","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0637","RC","Both",,,"21","10.5","Blue Cross Blue Shield","Pathways",,,"71",,"14.83","0.15","5264.58","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0637","RC","Both",,,"21","10.5","Blue Cross Blue Shield","HMO",,,"71",,"14.83","0.15","5264.58","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0637","RC","Both",,,"21","10.5","Blue Cross Blue Shield","PPO",,,"71",,"14.83","0.15","5264.58","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0637","RC","Both",,,"21","10.5","Ambetter","Health Exchange",,,"62",,"13.02","0.15","5264.58","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0637","RC","Both",,,"21","10.5","Caresource","Health Exchange",,,"62",,"13.02","0.15","5264.58","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0637","RC","Both",,,"21","10.5","Cigna","Commercial",,,"59",,"12.31","0.15","5264.58","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0637","RC","Both",,,"21","10.5","Humana","Commercial",,,"78",,"16.28","0.15","5264.58","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0637","RC","Both",,,"21","10.5","UHC","Commercial",,,"75",,"15.83","0.15","5264.58","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0637","RC","Both",,,"21","10.5","Medicaid",,,,"37",,"7.69","0.15","5264.58","percent of total billed charges",,
"IRBESARTAN (AVAPRO) TABLETS: 150 MG","0250","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","569.62","percent of total billed charges",,
"IRBESARTAN (AVAPRO) TABLETS: 150 MG","0250","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","569.62","percent of total billed charges",,
"IRBESARTAN (AVAPRO) TABLETS: 150 MG","0250","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","569.62","percent of total billed charges",,
"IRBESARTAN (AVAPRO) TABLETS: 150 MG","0250","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","569.62","percent of total billed charges",,
"IRBESARTAN (AVAPRO) TABLETS: 150 MG","0250","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","569.62","percent of total billed charges",,
"IRBESARTAN (AVAPRO) TABLETS: 150 MG","0250","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","569.62","percent of total billed charges",,
"IRBESARTAN (AVAPRO) TABLETS: 150 MG","0250","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","569.62","percent of total billed charges",,
"IRBESARTAN (AVAPRO) TABLETS: 150 MG","0250","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","569.62","percent of total billed charges",,
"IRBESARTAN (AVAPRO) TABLETS: 150 MG","0250","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","569.62","percent of total billed charges",,
"IRBESARTAN (AVAPRO) TABLETS: 150 MG","0250","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","569.62","percent of total billed charges",,
"IRBESARTAN (AVAPRO) TABLETS: 150 MG","0250","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","569.62","percent of total billed charges",,
"IRBESARTAN (AVAPRO) TABLETS: 150 MG","0250","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","569.62","percent of total billed charges",,
"IRBESARTAN (AVAPRO) TABLETS: 150 MG","0250","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","569.62","percent of total billed charges",,
"IRBESARTAN (AVAPRO) TABLETS: 150 MG","0250","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","569.62","percent of total billed charges",,
"IRBESARTAN (AVAPRO) TABLETS: 150 MG","0250","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","569.62","percent of total billed charges",,
"IRBESARTAN (AVAPRO) TABLETS: 150 MG","0250","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","569.62","percent of total billed charges",,
"IRBESARTAN (AVAPRO) TABLETS: 150 MG","0250","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","569.62","percent of total billed charges",,
"IRBESARTAN (AVAPRO) TABLETS: 150 MG","0250","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","569.62","percent of total billed charges",,
"IRBESARTAN (AVAPRO) TABLETS: 150 MG","0250","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","569.62","percent of total billed charges",,
"IRBESARTAN (AVAPRO) TABLETS: 150 MG","0250","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","569.62","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE TAB 20MG","0637","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE TAB 20MG","0637","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE TAB 20MG","0637","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE TAB 20MG","0637","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE TAB 20MG","0637","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE TAB 20MG","0637","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE TAB 20MG","0637","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE TAB 20MG","0637","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE TAB 20MG","0637","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE TAB 20MG","0637","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE TAB 20MG","0637","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE TAB 20MG","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE TAB 20MG","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE TAB 20MG","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE TAB 20MG","0637","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE TAB 20MG","0637","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE TAB 20MG","0637","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE TAB 20MG","0637","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE TAB 20MG","0637","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.15","5264.58","percent of total billed charges",,
"NF-TAMOXIFEN CITRATE TAB 20MG","0637","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLUTION 4%","0637","RC","Both",,,"20.5","10.25","Alliant","Health Exchange",,,"62",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLUTION 4%","0637","RC","Both",,,"20.5","10.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.07","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLUTION 4%","0637","RC","Both",,,"20.5","10.25","Medicare",,,,"54",,"11.11","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLUTION 4%","0637","RC","Both",,,"20.5","10.25","Humana","Medicare Advantage",,,"54",,"11.11","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLUTION 4%","0637","RC","Both",,,"20.5","10.25","UHC","Medicare Advantage",,,"54",,"11.11","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLUTION 4%","0637","RC","Both",,,"20.5","10.25","Clover","Medicare Advantage",,,"54",,"11.11","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLUTION 4%","0637","RC","Both",,,"20.5","10.25","Wellcare","Medicare Advantage",,,"54",,"11.11","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLUTION 4%","0637","RC","Both",,,"20.5","10.25","Amerigroup","Medicaid Managed Care",,,"37",,"7.5","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLUTION 4%","0637","RC","Both",,,"20.5","10.25","Caresource","Medicaid Managed Care",,,"40",,"8.2","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLUTION 4%","0637","RC","Both",,,"20.5","10.25","Wellcare","Medicaid Managed Care",,,"40",,"8.3","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLUTION 4%","0637","RC","Both",,,"20.5","10.25","Aetna","Commercial",,,"64",,"13.08","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLUTION 4%","0637","RC","Both",,,"20.5","10.25","Blue Cross Blue Shield","Pathways",,,"71",,"14.47","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLUTION 4%","0637","RC","Both",,,"20.5","10.25","Blue Cross Blue Shield","HMO",,,"71",,"14.47","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLUTION 4%","0637","RC","Both",,,"20.5","10.25","Blue Cross Blue Shield","PPO",,,"71",,"14.47","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLUTION 4%","0637","RC","Both",,,"20.5","10.25","Ambetter","Health Exchange",,,"62",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLUTION 4%","0637","RC","Both",,,"20.5","10.25","Caresource","Health Exchange",,,"62",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLUTION 4%","0637","RC","Both",,,"20.5","10.25","Cigna","Commercial",,,"59",,"12.01","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLUTION 4%","0637","RC","Both",,,"20.5","10.25","Humana","Commercial",,,"78",,"15.89","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLUTION 4%","0637","RC","Both",,,"20.5","10.25","UHC","Commercial",,,"75",,"15.46","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLUTION 4%","0637","RC","Both",,,"20.5","10.25","Medicaid",,,,"37",,"7.5","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0637","RC","Both",,,"25","12.5","Alliant","Health Exchange",,,"62",,"15.5","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0637","RC","Both",,,"25","12.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"13.5","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0637","RC","Both",,,"25","12.5","Medicare",,,,"54",,"13.55","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0637","RC","Both",,,"25","12.5","Humana","Medicare Advantage",,,"54",,"13.55","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0637","RC","Both",,,"25","12.5","UHC","Medicare Advantage",,,"54",,"13.55","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0637","RC","Both",,,"25","12.5","Clover","Medicare Advantage",,,"54",,"13.55","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0637","RC","Both",,,"25","12.5","Wellcare","Medicare Advantage",,,"54",,"13.55","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0637","RC","Both",,,"25","12.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.15","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0637","RC","Both",,,"25","12.5","Caresource","Medicaid Managed Care",,,"40",,"10","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0637","RC","Both",,,"25","12.5","Wellcare","Medicaid Managed Care",,,"40",,"10.12","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0637","RC","Both",,,"25","12.5","Aetna","Commercial",,,"64",,"15.95","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0637","RC","Both",,,"25","12.5","Blue Cross Blue Shield","Pathways",,,"71",,"17.65","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0637","RC","Both",,,"25","12.5","Blue Cross Blue Shield","HMO",,,"71",,"17.65","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0637","RC","Both",,,"25","12.5","Blue Cross Blue Shield","PPO",,,"71",,"17.65","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0637","RC","Both",,,"25","12.5","Ambetter","Health Exchange",,,"62",,"15.5","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0637","RC","Both",,,"25","12.5","Caresource","Health Exchange",,,"62",,"15.5","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0637","RC","Both",,,"25","12.5","Cigna","Commercial",,,"59",,"14.65","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0637","RC","Both",,,"25","12.5","Humana","Commercial",,,"78",,"19.38","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0637","RC","Both",,,"25","12.5","UHC","Commercial",,,"75",,"18.85","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0637","RC","Both",,,"25","12.5","Medicaid",,,,"37",,"9.15","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0637","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0637","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0637","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0637","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0637","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0637","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0637","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0637","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0637","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0637","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0637","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0637","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0637","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0637","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0637","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0637","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0637","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Alliant","Health Exchange",,,"62",,"15.5","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"13.5","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Medicare",,,,"54",,"13.55","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Humana","Medicare Advantage",,,"54",,"13.55","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","UHC","Medicare Advantage",,,"54",,"13.55","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Clover","Medicare Advantage",,,"54",,"13.55","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Wellcare","Medicare Advantage",,,"54",,"13.55","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.15","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Caresource","Medicaid Managed Care",,,"40",,"10","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Wellcare","Medicaid Managed Care",,,"40",,"10.12","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Aetna","Commercial",,,"64",,"15.95","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Blue Cross Blue Shield","Pathways",,,"71",,"17.65","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Blue Cross Blue Shield","HMO",,,"71",,"17.65","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Blue Cross Blue Shield","PPO",,,"71",,"17.65","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Ambetter","Health Exchange",,,"62",,"15.5","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Caresource","Health Exchange",,,"62",,"15.5","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Cigna","Commercial",,,"59",,"14.65","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Humana","Commercial",,,"78",,"19.38","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","UHC","Commercial",,,"75",,"18.85","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Medicaid",,,,"37",,"9.15","0.15","5264.58","percent of total billed charges",,
"NF-QUETIAPINE FUMARATE AVPAK TABLET 50MG","0637","RC","Both",,,"18.5","9.25","Alliant","Health Exchange",,,"62",,"11.47","0.15","5264.58","percent of total billed charges",,
"NF-QUETIAPINE FUMARATE AVPAK TABLET 50MG","0637","RC","Both",,,"18.5","9.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.99","0.15","5264.58","percent of total billed charges",,
"NF-QUETIAPINE FUMARATE AVPAK TABLET 50MG","0637","RC","Both",,,"18.5","9.25","Medicare",,,,"54",,"10.03","0.15","5264.58","percent of total billed charges",,
"NF-QUETIAPINE FUMARATE AVPAK TABLET 50MG","0637","RC","Both",,,"18.5","9.25","Humana","Medicare Advantage",,,"54",,"10.03","0.15","5264.58","percent of total billed charges",,
"NF-QUETIAPINE FUMARATE AVPAK TABLET 50MG","0637","RC","Both",,,"18.5","9.25","UHC","Medicare Advantage",,,"54",,"10.03","0.15","5264.58","percent of total billed charges",,
"NF-QUETIAPINE FUMARATE AVPAK TABLET 50MG","0637","RC","Both",,,"18.5","9.25","Clover","Medicare Advantage",,,"54",,"10.03","0.15","5264.58","percent of total billed charges",,
"NF-QUETIAPINE FUMARATE AVPAK TABLET 50MG","0637","RC","Both",,,"18.5","9.25","Wellcare","Medicare Advantage",,,"54",,"10.03","0.15","5264.58","percent of total billed charges",,
"NF-QUETIAPINE FUMARATE AVPAK TABLET 50MG","0637","RC","Both",,,"18.5","9.25","Amerigroup","Medicaid Managed Care",,,"37",,"6.77","0.15","5264.58","percent of total billed charges",,
"NF-QUETIAPINE FUMARATE AVPAK TABLET 50MG","0637","RC","Both",,,"18.5","9.25","Caresource","Medicaid Managed Care",,,"40",,"7.4","0.15","5264.58","percent of total billed charges",,
"NF-QUETIAPINE FUMARATE AVPAK TABLET 50MG","0637","RC","Both",,,"18.5","9.25","Wellcare","Medicaid Managed Care",,,"40",,"7.49","0.15","5264.58","percent of total billed charges",,
"NF-QUETIAPINE FUMARATE AVPAK TABLET 50MG","0637","RC","Both",,,"18.5","9.25","Aetna","Commercial",,,"64",,"11.8","0.15","5264.58","percent of total billed charges",,
"NF-QUETIAPINE FUMARATE AVPAK TABLET 50MG","0637","RC","Both",,,"18.5","9.25","Blue Cross Blue Shield","Pathways",,,"71",,"13.06","0.15","5264.58","percent of total billed charges",,
"NF-QUETIAPINE FUMARATE AVPAK TABLET 50MG","0637","RC","Both",,,"18.5","9.25","Blue Cross Blue Shield","HMO",,,"71",,"13.06","0.15","5264.58","percent of total billed charges",,
"NF-QUETIAPINE FUMARATE AVPAK TABLET 50MG","0637","RC","Both",,,"18.5","9.25","Blue Cross Blue Shield","PPO",,,"71",,"13.06","0.15","5264.58","percent of total billed charges",,
"NF-QUETIAPINE FUMARATE AVPAK TABLET 50MG","0637","RC","Both",,,"18.5","9.25","Ambetter","Health Exchange",,,"62",,"11.47","0.15","5264.58","percent of total billed charges",,
"NF-QUETIAPINE FUMARATE AVPAK TABLET 50MG","0637","RC","Both",,,"18.5","9.25","Caresource","Health Exchange",,,"62",,"11.47","0.15","5264.58","percent of total billed charges",,
"NF-QUETIAPINE FUMARATE AVPAK TABLET 50MG","0637","RC","Both",,,"18.5","9.25","Cigna","Commercial",,,"59",,"10.84","0.15","5264.58","percent of total billed charges",,
"NF-QUETIAPINE FUMARATE AVPAK TABLET 50MG","0637","RC","Both",,,"18.5","9.25","Humana","Commercial",,,"78",,"14.34","0.15","5264.58","percent of total billed charges",,
"NF-QUETIAPINE FUMARATE AVPAK TABLET 50MG","0637","RC","Both",,,"18.5","9.25","UHC","Commercial",,,"75",,"13.95","0.15","5264.58","percent of total billed charges",,
"NF-QUETIAPINE FUMARATE AVPAK TABLET 50MG","0637","RC","Both",,,"18.5","9.25","Medicaid",,,,"37",,"6.77","0.15","5264.58","percent of total billed charges",,
"NF-Pulmicort Inhalant Suspension 0.25MG/","0637","RC","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-Pulmicort Inhalant Suspension 0.25MG/","0637","RC","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","0.15","5264.58","percent of total billed charges",,
"NF-Pulmicort Inhalant Suspension 0.25MG/","0637","RC","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-Pulmicort Inhalant Suspension 0.25MG/","0637","RC","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-Pulmicort Inhalant Suspension 0.25MG/","0637","RC","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-Pulmicort Inhalant Suspension 0.25MG/","0637","RC","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-Pulmicort Inhalant Suspension 0.25MG/","0637","RC","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-Pulmicort Inhalant Suspension 0.25MG/","0637","RC","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"NF-Pulmicort Inhalant Suspension 0.25MG/","0637","RC","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","0.15","5264.58","percent of total billed charges",,
"NF-Pulmicort Inhalant Suspension 0.25MG/","0637","RC","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.15","5264.58","percent of total billed charges",,
"NF-Pulmicort Inhalant Suspension 0.25MG/","0637","RC","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","0.15","5264.58","percent of total billed charges",,
"NF-Pulmicort Inhalant Suspension 0.25MG/","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"NF-Pulmicort Inhalant Suspension 0.25MG/","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"NF-Pulmicort Inhalant Suspension 0.25MG/","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"NF-Pulmicort Inhalant Suspension 0.25MG/","0637","RC","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-Pulmicort Inhalant Suspension 0.25MG/","0637","RC","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-Pulmicort Inhalant Suspension 0.25MG/","0637","RC","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","0.15","5264.58","percent of total billed charges",,
"NF-Pulmicort Inhalant Suspension 0.25MG/","0637","RC","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","0.15","5264.58","percent of total billed charges",,
"NF-Pulmicort Inhalant Suspension 0.25MG/","0637","RC","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","0.15","5264.58","percent of total billed charges",,
"NF-Pulmicort Inhalant Suspension 0.25MG/","0637","RC","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"NF-ACTOS ORAL TABLET 30MG","0637","RC","Both",,,"33","16.5","Alliant","Health Exchange",,,"62",,"20.46","0.15","5264.58","percent of total billed charges",,
"NF-ACTOS ORAL TABLET 30MG","0637","RC","Both",,,"33","16.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.82","0.15","5264.58","percent of total billed charges",,
"NF-ACTOS ORAL TABLET 30MG","0637","RC","Both",,,"33","16.5","Medicare",,,,"54",,"17.89","0.15","5264.58","percent of total billed charges",,
"NF-ACTOS ORAL TABLET 30MG","0637","RC","Both",,,"33","16.5","Humana","Medicare Advantage",,,"54",,"17.89","0.15","5264.58","percent of total billed charges",,
"NF-ACTOS ORAL TABLET 30MG","0637","RC","Both",,,"33","16.5","UHC","Medicare Advantage",,,"54",,"17.89","0.15","5264.58","percent of total billed charges",,
"NF-ACTOS ORAL TABLET 30MG","0637","RC","Both",,,"33","16.5","Clover","Medicare Advantage",,,"54",,"17.89","0.15","5264.58","percent of total billed charges",,
"NF-ACTOS ORAL TABLET 30MG","0637","RC","Both",,,"33","16.5","Wellcare","Medicare Advantage",,,"54",,"17.89","0.15","5264.58","percent of total billed charges",,
"NF-ACTOS ORAL TABLET 30MG","0637","RC","Both",,,"33","16.5","Amerigroup","Medicaid Managed Care",,,"37",,"12.08","0.15","5264.58","percent of total billed charges",,
"NF-ACTOS ORAL TABLET 30MG","0637","RC","Both",,,"33","16.5","Caresource","Medicaid Managed Care",,,"40",,"13.2","0.15","5264.58","percent of total billed charges",,
"NF-ACTOS ORAL TABLET 30MG","0637","RC","Both",,,"33","16.5","Wellcare","Medicaid Managed Care",,,"40",,"13.36","0.15","5264.58","percent of total billed charges",,
"NF-ACTOS ORAL TABLET 30MG","0637","RC","Both",,,"33","16.5","Aetna","Commercial",,,"64",,"21.05","0.15","5264.58","percent of total billed charges",,
"NF-ACTOS ORAL TABLET 30MG","0637","RC","Both",,,"33","16.5","Blue Cross Blue Shield","Pathways",,,"71",,"23.3","0.15","5264.58","percent of total billed charges",,
"NF-ACTOS ORAL TABLET 30MG","0637","RC","Both",,,"33","16.5","Blue Cross Blue Shield","HMO",,,"71",,"23.3","0.15","5264.58","percent of total billed charges",,
"NF-ACTOS ORAL TABLET 30MG","0637","RC","Both",,,"33","16.5","Blue Cross Blue Shield","PPO",,,"71",,"23.3","0.15","5264.58","percent of total billed charges",,
"NF-ACTOS ORAL TABLET 30MG","0637","RC","Both",,,"33","16.5","Ambetter","Health Exchange",,,"62",,"20.46","0.15","5264.58","percent of total billed charges",,
"NF-ACTOS ORAL TABLET 30MG","0637","RC","Both",,,"33","16.5","Caresource","Health Exchange",,,"62",,"20.46","0.15","5264.58","percent of total billed charges",,
"NF-ACTOS ORAL TABLET 30MG","0637","RC","Both",,,"33","16.5","Cigna","Commercial",,,"59",,"19.34","0.15","5264.58","percent of total billed charges",,
"NF-ACTOS ORAL TABLET 30MG","0637","RC","Both",,,"33","16.5","Humana","Commercial",,,"78",,"25.58","0.15","5264.58","percent of total billed charges",,
"NF-ACTOS ORAL TABLET 30MG","0637","RC","Both",,,"33","16.5","UHC","Commercial",,,"75",,"24.88","0.15","5264.58","percent of total billed charges",,
"NF-ACTOS ORAL TABLET 30MG","0637","RC","Both",,,"33","16.5","Medicaid",,,,"37",,"12.08","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRIC ACID CAP DR 135MG","0637","RC","Both",,,"18","9","Alliant","Health Exchange",,,"62",,"11.16","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRIC ACID CAP DR 135MG","0637","RC","Both",,,"18","9","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.72","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRIC ACID CAP DR 135MG","0637","RC","Both",,,"18","9","Medicare",,,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRIC ACID CAP DR 135MG","0637","RC","Both",,,"18","9","Humana","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRIC ACID CAP DR 135MG","0637","RC","Both",,,"18","9","UHC","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRIC ACID CAP DR 135MG","0637","RC","Both",,,"18","9","Clover","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRIC ACID CAP DR 135MG","0637","RC","Both",,,"18","9","Wellcare","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRIC ACID CAP DR 135MG","0637","RC","Both",,,"18","9","Amerigroup","Medicaid Managed Care",,,"37",,"6.59","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRIC ACID CAP DR 135MG","0637","RC","Both",,,"18","9","Caresource","Medicaid Managed Care",,,"40",,"7.2","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRIC ACID CAP DR 135MG","0637","RC","Both",,,"18","9","Wellcare","Medicaid Managed Care",,,"40",,"7.29","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRIC ACID CAP DR 135MG","0637","RC","Both",,,"18","9","Aetna","Commercial",,,"64",,"11.48","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRIC ACID CAP DR 135MG","0637","RC","Both",,,"18","9","Blue Cross Blue Shield","Pathways",,,"71",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRIC ACID CAP DR 135MG","0637","RC","Both",,,"18","9","Blue Cross Blue Shield","HMO",,,"71",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRIC ACID CAP DR 135MG","0637","RC","Both",,,"18","9","Blue Cross Blue Shield","PPO",,,"71",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRIC ACID CAP DR 135MG","0637","RC","Both",,,"18","9","Ambetter","Health Exchange",,,"62",,"11.16","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRIC ACID CAP DR 135MG","0637","RC","Both",,,"18","9","Caresource","Health Exchange",,,"62",,"11.16","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRIC ACID CAP DR 135MG","0637","RC","Both",,,"18","9","Cigna","Commercial",,,"59",,"10.55","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRIC ACID CAP DR 135MG","0637","RC","Both",,,"18","9","Humana","Commercial",,,"78",,"13.95","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRIC ACID CAP DR 135MG","0637","RC","Both",,,"18","9","UHC","Commercial",,,"75",,"13.57","0.15","5264.58","percent of total billed charges",,
"NF-FENOFIBRIC ACID CAP DR 135MG","0637","RC","Both",,,"18","9","Medicaid",,,,"37",,"6.59","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 5MG","0637","RC","Both",,,"19.5","9.75","Alliant","Health Exchange",,,"62",,"12.09","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 5MG","0637","RC","Both",,,"19.5","9.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.53","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 5MG","0637","RC","Both",,,"19.5","9.75","Medicare",,,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 5MG","0637","RC","Both",,,"19.5","9.75","Humana","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 5MG","0637","RC","Both",,,"19.5","9.75","UHC","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 5MG","0637","RC","Both",,,"19.5","9.75","Clover","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 5MG","0637","RC","Both",,,"19.5","9.75","Wellcare","Medicare Advantage",,,"54",,"10.57","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 5MG","0637","RC","Both",,,"19.5","9.75","Amerigroup","Medicaid Managed Care",,,"37",,"7.14","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 5MG","0637","RC","Both",,,"19.5","9.75","Caresource","Medicaid Managed Care",,,"40",,"7.8","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 5MG","0637","RC","Both",,,"19.5","9.75","Wellcare","Medicaid Managed Care",,,"40",,"7.9","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 5MG","0637","RC","Both",,,"19.5","9.75","Aetna","Commercial",,,"64",,"12.44","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 5MG","0637","RC","Both",,,"19.5","9.75","Blue Cross Blue Shield","Pathways",,,"71",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 5MG","0637","RC","Both",,,"19.5","9.75","Blue Cross Blue Shield","HMO",,,"71",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 5MG","0637","RC","Both",,,"19.5","9.75","Blue Cross Blue Shield","PPO",,,"71",,"13.77","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 5MG","0637","RC","Both",,,"19.5","9.75","Ambetter","Health Exchange",,,"62",,"12.09","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 5MG","0637","RC","Both",,,"19.5","9.75","Caresource","Health Exchange",,,"62",,"12.09","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 5MG","0637","RC","Both",,,"19.5","9.75","Cigna","Commercial",,,"59",,"11.43","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 5MG","0637","RC","Both",,,"19.5","9.75","Humana","Commercial",,,"78",,"15.11","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 5MG","0637","RC","Both",,,"19.5","9.75","UHC","Commercial",,,"75",,"14.7","0.15","5264.58","percent of total billed charges",,
"NF-VESICARE ORAL TABLET 5MG","0637","RC","Both",,,"19.5","9.75","Medicaid",,,,"37",,"7.14","0.15","5264.58","percent of total billed charges",,
"NF-DICLOFENAC SODIUM CRM 1%","0637","RC","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"NF-DICLOFENAC SODIUM CRM 1%","0637","RC","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","0.15","5264.58","percent of total billed charges",,
"NF-DICLOFENAC SODIUM CRM 1%","0637","RC","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"NF-DICLOFENAC SODIUM CRM 1%","0637","RC","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"NF-DICLOFENAC SODIUM CRM 1%","0637","RC","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"NF-DICLOFENAC SODIUM CRM 1%","0637","RC","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"NF-DICLOFENAC SODIUM CRM 1%","0637","RC","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"NF-DICLOFENAC SODIUM CRM 1%","0637","RC","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"NF-DICLOFENAC SODIUM CRM 1%","0637","RC","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","0.15","5264.58","percent of total billed charges",,
"NF-DICLOFENAC SODIUM CRM 1%","0637","RC","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","0.15","5264.58","percent of total billed charges",,
"NF-DICLOFENAC SODIUM CRM 1%","0637","RC","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","0.15","5264.58","percent of total billed charges",,
"NF-DICLOFENAC SODIUM CRM 1%","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"NF-DICLOFENAC SODIUM CRM 1%","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"NF-DICLOFENAC SODIUM CRM 1%","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"NF-DICLOFENAC SODIUM CRM 1%","0637","RC","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"NF-DICLOFENAC SODIUM CRM 1%","0637","RC","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"NF-DICLOFENAC SODIUM CRM 1%","0637","RC","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","0.15","5264.58","percent of total billed charges",,
"NF-DICLOFENAC SODIUM CRM 1%","0637","RC","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","0.15","5264.58","percent of total billed charges",,
"NF-DICLOFENAC SODIUM CRM 1%","0637","RC","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","0.15","5264.58","percent of total billed charges",,
"NF-DICLOFENAC SODIUM CRM 1%","0637","RC","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"24","12","Alliant","Health Exchange",,,"62",,"14.88","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"24","12","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.96","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"24","12","Medicare",,,,"54",,"13.01","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"24","12","Humana","Medicare Advantage",,,"54",,"13.01","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"24","12","UHC","Medicare Advantage",,,"54",,"13.01","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"24","12","Clover","Medicare Advantage",,,"54",,"13.01","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"24","12","Wellcare","Medicare Advantage",,,"54",,"13.01","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"24","12","Amerigroup","Medicaid Managed Care",,,"37",,"8.78","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"24","12","Caresource","Medicaid Managed Care",,,"40",,"9.6","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"24","12","Wellcare","Medicaid Managed Care",,,"40",,"9.72","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"24","12","Aetna","Commercial",,,"64",,"15.31","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"24","12","Blue Cross Blue Shield","Pathways",,,"71",,"16.94","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"24","12","Blue Cross Blue Shield","HMO",,,"71",,"16.94","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"24","12","Blue Cross Blue Shield","PPO",,,"71",,"16.94","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"24","12","Ambetter","Health Exchange",,,"62",,"14.88","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"24","12","Caresource","Health Exchange",,,"62",,"14.88","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"24","12","Cigna","Commercial",,,"59",,"14.06","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"24","12","Humana","Commercial",,,"78",,"18.6","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"24","12","UHC","Commercial",,,"75",,"18.1","0.15","5264.58","percent of total billed charges",,
"NF-PRADAXA CAP 150MG","0637","RC","Both",,,"24","12","Medicaid",,,,"37",,"8.78","0.15","5264.58","percent of total billed charges",,
"NF-SANTYL OINT 250U/1GM","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-SANTYL OINT 250U/1GM","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"NF-SANTYL OINT 250U/1GM","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-SANTYL OINT 250U/1GM","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-SANTYL OINT 250U/1GM","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-SANTYL OINT 250U/1GM","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-SANTYL OINT 250U/1GM","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-SANTYL OINT 250U/1GM","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"NF-SANTYL OINT 250U/1GM","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"NF-SANTYL OINT 250U/1GM","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"NF-SANTYL OINT 250U/1GM","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"NF-SANTYL OINT 250U/1GM","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-SANTYL OINT 250U/1GM","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-SANTYL OINT 250U/1GM","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-SANTYL OINT 250U/1GM","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-SANTYL OINT 250U/1GM","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-SANTYL OINT 250U/1GM","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"NF-SANTYL OINT 250U/1GM","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-SANTYL OINT 250U/1GM","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"NF-SANTYL OINT 250U/1GM","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"NF-VIMPAT ORAL TABLET 200MG","0637","RC","Both",,,"51.5","25.75","Alliant","Health Exchange",,,"62",,"31.93","0.15","5264.58","percent of total billed charges",,
"NF-VIMPAT ORAL TABLET 200MG","0637","RC","Both",,,"51.5","25.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"27.81","0.15","5264.58","percent of total billed charges",,
"NF-VIMPAT ORAL TABLET 200MG","0637","RC","Both",,,"51.5","25.75","Medicare",,,,"54",,"27.91","0.15","5264.58","percent of total billed charges",,
"NF-VIMPAT ORAL TABLET 200MG","0637","RC","Both",,,"51.5","25.75","Humana","Medicare Advantage",,,"54",,"27.91","0.15","5264.58","percent of total billed charges",,
"NF-VIMPAT ORAL TABLET 200MG","0637","RC","Both",,,"51.5","25.75","UHC","Medicare Advantage",,,"54",,"27.91","0.15","5264.58","percent of total billed charges",,
"NF-VIMPAT ORAL TABLET 200MG","0637","RC","Both",,,"51.5","25.75","Clover","Medicare Advantage",,,"54",,"27.91","0.15","5264.58","percent of total billed charges",,
"NF-VIMPAT ORAL TABLET 200MG","0637","RC","Both",,,"51.5","25.75","Wellcare","Medicare Advantage",,,"54",,"27.91","0.15","5264.58","percent of total billed charges",,
"NF-VIMPAT ORAL TABLET 200MG","0637","RC","Both",,,"51.5","25.75","Amerigroup","Medicaid Managed Care",,,"37",,"18.85","0.15","5264.58","percent of total billed charges",,
"NF-VIMPAT ORAL TABLET 200MG","0637","RC","Both",,,"51.5","25.75","Caresource","Medicaid Managed Care",,,"40",,"20.6","0.15","5264.58","percent of total billed charges",,
"NF-VIMPAT ORAL TABLET 200MG","0637","RC","Both",,,"51.5","25.75","Wellcare","Medicaid Managed Care",,,"40",,"20.86","0.15","5264.58","percent of total billed charges",,
"NF-VIMPAT ORAL TABLET 200MG","0637","RC","Both",,,"51.5","25.75","Aetna","Commercial",,,"64",,"32.86","0.15","5264.58","percent of total billed charges",,
"NF-VIMPAT ORAL TABLET 200MG","0637","RC","Both",,,"51.5","25.75","Blue Cross Blue Shield","Pathways",,,"71",,"36.36","0.15","5264.58","percent of total billed charges",,
"NF-VIMPAT ORAL TABLET 200MG","0637","RC","Both",,,"51.5","25.75","Blue Cross Blue Shield","HMO",,,"71",,"36.36","0.15","5264.58","percent of total billed charges",,
"NF-VIMPAT ORAL TABLET 200MG","0637","RC","Both",,,"51.5","25.75","Blue Cross Blue Shield","PPO",,,"71",,"36.36","0.15","5264.58","percent of total billed charges",,
"NF-VIMPAT ORAL TABLET 200MG","0637","RC","Both",,,"51.5","25.75","Ambetter","Health Exchange",,,"62",,"31.93","0.15","5264.58","percent of total billed charges",,
"NF-VIMPAT ORAL TABLET 200MG","0637","RC","Both",,,"51.5","25.75","Caresource","Health Exchange",,,"62",,"31.93","0.15","5264.58","percent of total billed charges",,
"NF-VIMPAT ORAL TABLET 200MG","0637","RC","Both",,,"51.5","25.75","Cigna","Commercial",,,"59",,"30.18","0.15","5264.58","percent of total billed charges",,
"NF-VIMPAT ORAL TABLET 200MG","0637","RC","Both",,,"51.5","25.75","Humana","Commercial",,,"78",,"39.91","0.15","5264.58","percent of total billed charges",,
"NF-VIMPAT ORAL TABLET 200MG","0637","RC","Both",,,"51.5","25.75","UHC","Commercial",,,"75",,"38.83","0.15","5264.58","percent of total billed charges",,
"NF-VIMPAT ORAL TABLET 200MG","0637","RC","Both",,,"51.5","25.75","Medicaid",,,,"37",,"18.85","0.15","5264.58","percent of total billed charges",,
"NF-FYCOMPA ORAL TABLET 4MG","0637","RC","Both",,,"107.5","53.75","Alliant","Health Exchange",,,"62",,"66.65","0.15","5264.58","percent of total billed charges",,
"NF-FYCOMPA ORAL TABLET 4MG","0637","RC","Both",,,"107.5","53.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"58.05","0.15","5264.58","percent of total billed charges",,
"NF-FYCOMPA ORAL TABLET 4MG","0637","RC","Both",,,"107.5","53.75","Medicare",,,,"54",,"58.26","0.15","5264.58","percent of total billed charges",,
"NF-FYCOMPA ORAL TABLET 4MG","0637","RC","Both",,,"107.5","53.75","Humana","Medicare Advantage",,,"54",,"58.26","0.15","5264.58","percent of total billed charges",,
"NF-FYCOMPA ORAL TABLET 4MG","0637","RC","Both",,,"107.5","53.75","UHC","Medicare Advantage",,,"54",,"58.26","0.15","5264.58","percent of total billed charges",,
"NF-FYCOMPA ORAL TABLET 4MG","0637","RC","Both",,,"107.5","53.75","Clover","Medicare Advantage",,,"54",,"58.26","0.15","5264.58","percent of total billed charges",,
"NF-FYCOMPA ORAL TABLET 4MG","0637","RC","Both",,,"107.5","53.75","Wellcare","Medicare Advantage",,,"54",,"58.26","0.15","5264.58","percent of total billed charges",,
"NF-FYCOMPA ORAL TABLET 4MG","0637","RC","Both",,,"107.5","53.75","Amerigroup","Medicaid Managed Care",,,"37",,"39.34","0.15","5264.58","percent of total billed charges",,
"NF-FYCOMPA ORAL TABLET 4MG","0637","RC","Both",,,"107.5","53.75","Caresource","Medicaid Managed Care",,,"40",,"43","0.15","5264.58","percent of total billed charges",,
"NF-FYCOMPA ORAL TABLET 4MG","0637","RC","Both",,,"107.5","53.75","Wellcare","Medicaid Managed Care",,,"40",,"43.54","0.15","5264.58","percent of total billed charges",,
"NF-FYCOMPA ORAL TABLET 4MG","0637","RC","Both",,,"107.5","53.75","Aetna","Commercial",,,"64",,"68.59","0.15","5264.58","percent of total billed charges",,
"NF-FYCOMPA ORAL TABLET 4MG","0637","RC","Both",,,"107.5","53.75","Blue Cross Blue Shield","Pathways",,,"71",,"75.9","0.15","5264.58","percent of total billed charges",,
"NF-FYCOMPA ORAL TABLET 4MG","0637","RC","Both",,,"107.5","53.75","Blue Cross Blue Shield","HMO",,,"71",,"75.9","0.15","5264.58","percent of total billed charges",,
"NF-FYCOMPA ORAL TABLET 4MG","0637","RC","Both",,,"107.5","53.75","Blue Cross Blue Shield","PPO",,,"71",,"75.9","0.15","5264.58","percent of total billed charges",,
"NF-FYCOMPA ORAL TABLET 4MG","0637","RC","Both",,,"107.5","53.75","Ambetter","Health Exchange",,,"62",,"66.65","0.15","5264.58","percent of total billed charges",,
"NF-FYCOMPA ORAL TABLET 4MG","0637","RC","Both",,,"107.5","53.75","Caresource","Health Exchange",,,"62",,"66.65","0.15","5264.58","percent of total billed charges",,
"NF-FYCOMPA ORAL TABLET 4MG","0637","RC","Both",,,"107.5","53.75","Cigna","Commercial",,,"59",,"63","0.15","5264.58","percent of total billed charges",,
"NF-FYCOMPA ORAL TABLET 4MG","0637","RC","Both",,,"107.5","53.75","Humana","Commercial",,,"78",,"83.31","0.15","5264.58","percent of total billed charges",,
"NF-FYCOMPA ORAL TABLET 4MG","0637","RC","Both",,,"107.5","53.75","UHC","Commercial",,,"75",,"81.06","0.15","5264.58","percent of total billed charges",,
"NF-FYCOMPA ORAL TABLET 4MG","0637","RC","Both",,,"107.5","53.75","Medicaid",,,,"37",,"39.34","0.15","5264.58","percent of total billed charges",,
"NF-NAMZARIC CAP ER 28MG-10MG","0637","RC","Both",,,"50.5","25.25","Alliant","Health Exchange",,,"62",,"31.31","0.15","5264.58","percent of total billed charges",,
"NF-NAMZARIC CAP ER 28MG-10MG","0637","RC","Both",,,"50.5","25.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"27.27","0.15","5264.58","percent of total billed charges",,
"NF-NAMZARIC CAP ER 28MG-10MG","0637","RC","Both",,,"50.5","25.25","Medicare",,,,"54",,"27.37","0.15","5264.58","percent of total billed charges",,
"NF-NAMZARIC CAP ER 28MG-10MG","0637","RC","Both",,,"50.5","25.25","Humana","Medicare Advantage",,,"54",,"27.37","0.15","5264.58","percent of total billed charges",,
"NF-NAMZARIC CAP ER 28MG-10MG","0637","RC","Both",,,"50.5","25.25","UHC","Medicare Advantage",,,"54",,"27.37","0.15","5264.58","percent of total billed charges",,
"NF-NAMZARIC CAP ER 28MG-10MG","0637","RC","Both",,,"50.5","25.25","Clover","Medicare Advantage",,,"54",,"27.37","0.15","5264.58","percent of total billed charges",,
"NF-NAMZARIC CAP ER 28MG-10MG","0637","RC","Both",,,"50.5","25.25","Wellcare","Medicare Advantage",,,"54",,"27.37","0.15","5264.58","percent of total billed charges",,
"NF-NAMZARIC CAP ER 28MG-10MG","0637","RC","Both",,,"50.5","25.25","Amerigroup","Medicaid Managed Care",,,"37",,"18.48","0.15","5264.58","percent of total billed charges",,
"NF-NAMZARIC CAP ER 28MG-10MG","0637","RC","Both",,,"50.5","25.25","Caresource","Medicaid Managed Care",,,"40",,"20.2","0.15","5264.58","percent of total billed charges",,
"NF-NAMZARIC CAP ER 28MG-10MG","0637","RC","Both",,,"50.5","25.25","Wellcare","Medicaid Managed Care",,,"40",,"20.45","0.15","5264.58","percent of total billed charges",,
"NF-NAMZARIC CAP ER 28MG-10MG","0637","RC","Both",,,"50.5","25.25","Aetna","Commercial",,,"64",,"32.22","0.15","5264.58","percent of total billed charges",,
"NF-NAMZARIC CAP ER 28MG-10MG","0637","RC","Both",,,"50.5","25.25","Blue Cross Blue Shield","Pathways",,,"71",,"35.65","0.15","5264.58","percent of total billed charges",,
"NF-NAMZARIC CAP ER 28MG-10MG","0637","RC","Both",,,"50.5","25.25","Blue Cross Blue Shield","HMO",,,"71",,"35.65","0.15","5264.58","percent of total billed charges",,
"NF-NAMZARIC CAP ER 28MG-10MG","0637","RC","Both",,,"50.5","25.25","Blue Cross Blue Shield","PPO",,,"71",,"35.65","0.15","5264.58","percent of total billed charges",,
"NF-NAMZARIC CAP ER 28MG-10MG","0637","RC","Both",,,"50.5","25.25","Ambetter","Health Exchange",,,"62",,"31.31","0.15","5264.58","percent of total billed charges",,
"NF-NAMZARIC CAP ER 28MG-10MG","0637","RC","Both",,,"50.5","25.25","Caresource","Health Exchange",,,"62",,"31.31","0.15","5264.58","percent of total billed charges",,
"NF-NAMZARIC CAP ER 28MG-10MG","0637","RC","Both",,,"50.5","25.25","Cigna","Commercial",,,"59",,"29.59","0.15","5264.58","percent of total billed charges",,
"NF-NAMZARIC CAP ER 28MG-10MG","0637","RC","Both",,,"50.5","25.25","Humana","Commercial",,,"78",,"39.14","0.15","5264.58","percent of total billed charges",,
"NF-NAMZARIC CAP ER 28MG-10MG","0637","RC","Both",,,"50.5","25.25","UHC","Commercial",,,"75",,"38.08","0.15","5264.58","percent of total billed charges",,
"NF-NAMZARIC CAP ER 28MG-10MG","0637","RC","Both",,,"50.5","25.25","Medicaid",,,,"37",,"18.48","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 24Hour Tablet ER 40","0637","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 24Hour Tablet ER 40","0637","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 24Hour Tablet ER 40","0637","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 24Hour Tablet ER 40","0637","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 24Hour Tablet ER 40","0637","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 24Hour Tablet ER 40","0637","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 24Hour Tablet ER 40","0637","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 24Hour Tablet ER 40","0637","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 24Hour Tablet ER 40","0637","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 24Hour Tablet ER 40","0637","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 24Hour Tablet ER 40","0637","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 24Hour Tablet ER 40","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 24Hour Tablet ER 40","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 24Hour Tablet ER 40","0637","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 24Hour Tablet ER 40","0637","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 24Hour Tablet ER 40","0637","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 24Hour Tablet ER 40","0637","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 24Hour Tablet ER 40","0637","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 24Hour Tablet ER 40","0637","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 24Hour Tablet ER 40","0637","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.15","5264.58","percent of total billed charges",,
"NF-THEOPHYLLINE 24 HR CAP ER 400MG","0637","RC","Both",,,"18.5","9.25","Alliant","Health Exchange",,,"62",,"11.47","0.15","5264.58","percent of total billed charges",,
"NF-THEOPHYLLINE 24 HR CAP ER 400MG","0637","RC","Both",,,"18.5","9.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.99","0.15","5264.58","percent of total billed charges",,
"NF-THEOPHYLLINE 24 HR CAP ER 400MG","0637","RC","Both",,,"18.5","9.25","Medicare",,,,"54",,"10.03","0.15","5264.58","percent of total billed charges",,
"NF-THEOPHYLLINE 24 HR CAP ER 400MG","0637","RC","Both",,,"18.5","9.25","Humana","Medicare Advantage",,,"54",,"10.03","0.15","5264.58","percent of total billed charges",,
"NF-THEOPHYLLINE 24 HR CAP ER 400MG","0637","RC","Both",,,"18.5","9.25","UHC","Medicare Advantage",,,"54",,"10.03","0.15","5264.58","percent of total billed charges",,
"NF-THEOPHYLLINE 24 HR CAP ER 400MG","0637","RC","Both",,,"18.5","9.25","Clover","Medicare Advantage",,,"54",,"10.03","0.15","5264.58","percent of total billed charges",,
"NF-THEOPHYLLINE 24 HR CAP ER 400MG","0637","RC","Both",,,"18.5","9.25","Wellcare","Medicare Advantage",,,"54",,"10.03","0.15","5264.58","percent of total billed charges",,
"NF-THEOPHYLLINE 24 HR CAP ER 400MG","0637","RC","Both",,,"18.5","9.25","Amerigroup","Medicaid Managed Care",,,"37",,"6.77","0.15","5264.58","percent of total billed charges",,
"NF-THEOPHYLLINE 24 HR CAP ER 400MG","0637","RC","Both",,,"18.5","9.25","Caresource","Medicaid Managed Care",,,"40",,"7.4","0.15","5264.58","percent of total billed charges",,
"NF-THEOPHYLLINE 24 HR CAP ER 400MG","0637","RC","Both",,,"18.5","9.25","Wellcare","Medicaid Managed Care",,,"40",,"7.49","0.15","5264.58","percent of total billed charges",,
"NF-THEOPHYLLINE 24 HR CAP ER 400MG","0637","RC","Both",,,"18.5","9.25","Aetna","Commercial",,,"64",,"11.8","0.15","5264.58","percent of total billed charges",,
"NF-THEOPHYLLINE 24 HR CAP ER 400MG","0637","RC","Both",,,"18.5","9.25","Blue Cross Blue Shield","Pathways",,,"71",,"13.06","0.15","5264.58","percent of total billed charges",,
"NF-THEOPHYLLINE 24 HR CAP ER 400MG","0637","RC","Both",,,"18.5","9.25","Blue Cross Blue Shield","HMO",,,"71",,"13.06","0.15","5264.58","percent of total billed charges",,
"NF-THEOPHYLLINE 24 HR CAP ER 400MG","0637","RC","Both",,,"18.5","9.25","Blue Cross Blue Shield","PPO",,,"71",,"13.06","0.15","5264.58","percent of total billed charges",,
"NF-THEOPHYLLINE 24 HR CAP ER 400MG","0637","RC","Both",,,"18.5","9.25","Ambetter","Health Exchange",,,"62",,"11.47","0.15","5264.58","percent of total billed charges",,
"NF-THEOPHYLLINE 24 HR CAP ER 400MG","0637","RC","Both",,,"18.5","9.25","Caresource","Health Exchange",,,"62",,"11.47","0.15","5264.58","percent of total billed charges",,
"NF-THEOPHYLLINE 24 HR CAP ER 400MG","0637","RC","Both",,,"18.5","9.25","Cigna","Commercial",,,"59",,"10.84","0.15","5264.58","percent of total billed charges",,
"NF-THEOPHYLLINE 24 HR CAP ER 400MG","0637","RC","Both",,,"18.5","9.25","Humana","Commercial",,,"78",,"14.34","0.15","5264.58","percent of total billed charges",,
"NF-THEOPHYLLINE 24 HR CAP ER 400MG","0637","RC","Both",,,"18.5","9.25","UHC","Commercial",,,"75",,"13.95","0.15","5264.58","percent of total billed charges",,
"NF-THEOPHYLLINE 24 HR CAP ER 400MG","0637","RC","Both",,,"18.5","9.25","Medicaid",,,,"37",,"6.77","0.15","5264.58","percent of total billed charges",,
"NF-SIMETHICONE CAPSULE, LIQUID FILLED 12","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-SIMETHICONE CAPSULE, LIQUID FILLED 12","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-SIMETHICONE CAPSULE, LIQUID FILLED 12","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-SIMETHICONE CAPSULE, LIQUID FILLED 12","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-SIMETHICONE CAPSULE, LIQUID FILLED 12","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-SIMETHICONE CAPSULE, LIQUID FILLED 12","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-SIMETHICONE CAPSULE, LIQUID FILLED 12","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-SIMETHICONE CAPSULE, LIQUID FILLED 12","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-SIMETHICONE CAPSULE, LIQUID FILLED 12","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-SIMETHICONE CAPSULE, LIQUID FILLED 12","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-SIMETHICONE CAPSULE, LIQUID FILLED 12","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-SIMETHICONE CAPSULE, LIQUID FILLED 12","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-SIMETHICONE CAPSULE, LIQUID FILLED 12","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-SIMETHICONE CAPSULE, LIQUID FILLED 12","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-SIMETHICONE CAPSULE, LIQUID FILLED 12","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-SIMETHICONE CAPSULE, LIQUID FILLED 12","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-SIMETHICONE CAPSULE, LIQUID FILLED 12","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-SIMETHICONE CAPSULE, LIQUID FILLED 12","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-SIMETHICONE CAPSULE, LIQUID FILLED 12","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-SIMETHICONE CAPSULE, LIQUID FILLED 12","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-NITROFURANTOIN MACROCRYSTA CAPSULE 10","0637","RC","Both",,,"13","6.5","Alliant","Health Exchange",,,"62",,"8.06","0.15","5264.58","percent of total billed charges",,
"NF-NITROFURANTOIN MACROCRYSTA CAPSULE 10","0637","RC","Both",,,"13","6.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.02","0.15","5264.58","percent of total billed charges",,
"NF-NITROFURANTOIN MACROCRYSTA CAPSULE 10","0637","RC","Both",,,"13","6.5","Medicare",,,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-NITROFURANTOIN MACROCRYSTA CAPSULE 10","0637","RC","Both",,,"13","6.5","Humana","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-NITROFURANTOIN MACROCRYSTA CAPSULE 10","0637","RC","Both",,,"13","6.5","UHC","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-NITROFURANTOIN MACROCRYSTA CAPSULE 10","0637","RC","Both",,,"13","6.5","Clover","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-NITROFURANTOIN MACROCRYSTA CAPSULE 10","0637","RC","Both",,,"13","6.5","Wellcare","Medicare Advantage",,,"54",,"7.05","0.15","5264.58","percent of total billed charges",,
"NF-NITROFURANTOIN MACROCRYSTA CAPSULE 10","0637","RC","Both",,,"13","6.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.76","0.15","5264.58","percent of total billed charges",,
"NF-NITROFURANTOIN MACROCRYSTA CAPSULE 10","0637","RC","Both",,,"13","6.5","Caresource","Medicaid Managed Care",,,"40",,"5.2","0.15","5264.58","percent of total billed charges",,
"NF-NITROFURANTOIN MACROCRYSTA CAPSULE 10","0637","RC","Both",,,"13","6.5","Wellcare","Medicaid Managed Care",,,"40",,"5.26","0.15","5264.58","percent of total billed charges",,
"NF-NITROFURANTOIN MACROCRYSTA CAPSULE 10","0637","RC","Both",,,"13","6.5","Aetna","Commercial",,,"64",,"8.29","0.15","5264.58","percent of total billed charges",,
"NF-NITROFURANTOIN MACROCRYSTA CAPSULE 10","0637","RC","Both",,,"13","6.5","Blue Cross Blue Shield","Pathways",,,"71",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-NITROFURANTOIN MACROCRYSTA CAPSULE 10","0637","RC","Both",,,"13","6.5","Blue Cross Blue Shield","HMO",,,"71",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-NITROFURANTOIN MACROCRYSTA CAPSULE 10","0637","RC","Both",,,"13","6.5","Blue Cross Blue Shield","PPO",,,"71",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-NITROFURANTOIN MACROCRYSTA CAPSULE 10","0637","RC","Both",,,"13","6.5","Ambetter","Health Exchange",,,"62",,"8.06","0.15","5264.58","percent of total billed charges",,
"NF-NITROFURANTOIN MACROCRYSTA CAPSULE 10","0637","RC","Both",,,"13","6.5","Caresource","Health Exchange",,,"62",,"8.06","0.15","5264.58","percent of total billed charges",,
"NF-NITROFURANTOIN MACROCRYSTA CAPSULE 10","0637","RC","Both",,,"13","6.5","Cigna","Commercial",,,"59",,"7.62","0.15","5264.58","percent of total billed charges",,
"NF-NITROFURANTOIN MACROCRYSTA CAPSULE 10","0637","RC","Both",,,"13","6.5","Humana","Commercial",,,"78",,"10.08","0.15","5264.58","percent of total billed charges",,
"NF-NITROFURANTOIN MACROCRYSTA CAPSULE 10","0637","RC","Both",,,"13","6.5","UHC","Commercial",,,"75",,"9.8","0.15","5264.58","percent of total billed charges",,
"NF-NITROFURANTOIN MACROCRYSTA CAPSULE 10","0637","RC","Both",,,"13","6.5","Medicaid",,,,"37",,"4.76","0.15","5264.58","percent of total billed charges",,
"NF-CELECOXIB CAP 200MG","0637","RC","Both",,,"17","8.5","Alliant","Health Exchange",,,"62",,"10.54","0.15","5264.58","percent of total billed charges",,
"NF-CELECOXIB CAP 200MG","0637","RC","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.18","0.15","5264.58","percent of total billed charges",,
"NF-CELECOXIB CAP 200MG","0637","RC","Both",,,"17","8.5","Medicare",,,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-CELECOXIB CAP 200MG","0637","RC","Both",,,"17","8.5","Humana","Medicare Advantage",,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-CELECOXIB CAP 200MG","0637","RC","Both",,,"17","8.5","UHC","Medicare Advantage",,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-CELECOXIB CAP 200MG","0637","RC","Both",,,"17","8.5","Clover","Medicare Advantage",,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-CELECOXIB CAP 200MG","0637","RC","Both",,,"17","8.5","Wellcare","Medicare Advantage",,,"54",,"9.21","0.15","5264.58","percent of total billed charges",,
"NF-CELECOXIB CAP 200MG","0637","RC","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.22","0.15","5264.58","percent of total billed charges",,
"NF-CELECOXIB CAP 200MG","0637","RC","Both",,,"17","8.5","Caresource","Medicaid Managed Care",,,"40",,"6.8","0.15","5264.58","percent of total billed charges",,
"NF-CELECOXIB CAP 200MG","0637","RC","Both",,,"17","8.5","Wellcare","Medicaid Managed Care",,,"40",,"6.89","0.15","5264.58","percent of total billed charges",,
"NF-CELECOXIB CAP 200MG","0637","RC","Both",,,"17","8.5","Aetna","Commercial",,,"64",,"10.85","0.15","5264.58","percent of total billed charges",,
"NF-CELECOXIB CAP 200MG","0637","RC","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways",,,"71",,"12","0.15","5264.58","percent of total billed charges",,
"NF-CELECOXIB CAP 200MG","0637","RC","Both",,,"17","8.5","Blue Cross Blue Shield","HMO",,,"71",,"12","0.15","5264.58","percent of total billed charges",,
"NF-CELECOXIB CAP 200MG","0637","RC","Both",,,"17","8.5","Blue Cross Blue Shield","PPO",,,"71",,"12","0.15","5264.58","percent of total billed charges",,
"NF-CELECOXIB CAP 200MG","0637","RC","Both",,,"17","8.5","Ambetter","Health Exchange",,,"62",,"10.54","0.15","5264.58","percent of total billed charges",,
"NF-CELECOXIB CAP 200MG","0637","RC","Both",,,"17","8.5","Caresource","Health Exchange",,,"62",,"10.54","0.15","5264.58","percent of total billed charges",,
"NF-CELECOXIB CAP 200MG","0637","RC","Both",,,"17","8.5","Cigna","Commercial",,,"59",,"9.96","0.15","5264.58","percent of total billed charges",,
"NF-CELECOXIB CAP 200MG","0637","RC","Both",,,"17","8.5","Humana","Commercial",,,"78",,"13.18","0.15","5264.58","percent of total billed charges",,
"NF-CELECOXIB CAP 200MG","0637","RC","Both",,,"17","8.5","UHC","Commercial",,,"75",,"12.82","0.15","5264.58","percent of total billed charges",,
"NF-CELECOXIB CAP 200MG","0637","RC","Both",,,"17","8.5","Medicaid",,,,"37",,"6.22","0.15","5264.58","percent of total billed charges",,
"NF-RESTASIS MULTIDOSE OPHTH EMUL 0.05%","0637","RC","Both",,,"279.5","139.75","Alliant","Health Exchange",,,"62",,"173.29","0.15","5264.58","percent of total billed charges",,
"NF-RESTASIS MULTIDOSE OPHTH EMUL 0.05%","0637","RC","Both",,,"279.5","139.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"150.93","0.15","5264.58","percent of total billed charges",,
"NF-RESTASIS MULTIDOSE OPHTH EMUL 0.05%","0637","RC","Both",,,"279.5","139.75","Medicare",,,,"54",,"151.49","0.15","5264.58","percent of total billed charges",,
"NF-RESTASIS MULTIDOSE OPHTH EMUL 0.05%","0637","RC","Both",,,"279.5","139.75","Humana","Medicare Advantage",,,"54",,"151.49","0.15","5264.58","percent of total billed charges",,
"NF-RESTASIS MULTIDOSE OPHTH EMUL 0.05%","0637","RC","Both",,,"279.5","139.75","UHC","Medicare Advantage",,,"54",,"151.49","0.15","5264.58","percent of total billed charges",,
"NF-RESTASIS MULTIDOSE OPHTH EMUL 0.05%","0637","RC","Both",,,"279.5","139.75","Clover","Medicare Advantage",,,"54",,"151.49","0.15","5264.58","percent of total billed charges",,
"NF-RESTASIS MULTIDOSE OPHTH EMUL 0.05%","0637","RC","Both",,,"279.5","139.75","Wellcare","Medicare Advantage",,,"54",,"151.49","0.15","5264.58","percent of total billed charges",,
"NF-RESTASIS MULTIDOSE OPHTH EMUL 0.05%","0637","RC","Both",,,"279.5","139.75","Amerigroup","Medicaid Managed Care",,,"37",,"102.3","0.15","5264.58","percent of total billed charges",,
"NF-RESTASIS MULTIDOSE OPHTH EMUL 0.05%","0637","RC","Both",,,"279.5","139.75","Caresource","Medicaid Managed Care",,,"40",,"111.8","0.15","5264.58","percent of total billed charges",,
"NF-RESTASIS MULTIDOSE OPHTH EMUL 0.05%","0637","RC","Both",,,"279.5","139.75","Wellcare","Medicaid Managed Care",,,"40",,"113.2","0.15","5264.58","percent of total billed charges",,
"NF-RESTASIS MULTIDOSE OPHTH EMUL 0.05%","0637","RC","Both",,,"279.5","139.75","Aetna","Commercial",,,"64",,"178.32","0.15","5264.58","percent of total billed charges",,
"NF-RESTASIS MULTIDOSE OPHTH EMUL 0.05%","0637","RC","Both",,,"279.5","139.75","Blue Cross Blue Shield","Pathways",,,"71",,"197.33","0.15","5264.58","percent of total billed charges",,
"NF-RESTASIS MULTIDOSE OPHTH EMUL 0.05%","0637","RC","Both",,,"279.5","139.75","Blue Cross Blue Shield","HMO",,,"71",,"197.33","0.15","5264.58","percent of total billed charges",,
"NF-RESTASIS MULTIDOSE OPHTH EMUL 0.05%","0637","RC","Both",,,"279.5","139.75","Blue Cross Blue Shield","PPO",,,"71",,"197.33","0.15","5264.58","percent of total billed charges",,
"NF-RESTASIS MULTIDOSE OPHTH EMUL 0.05%","0637","RC","Both",,,"279.5","139.75","Ambetter","Health Exchange",,,"62",,"173.29","0.15","5264.58","percent of total billed charges",,
"NF-RESTASIS MULTIDOSE OPHTH EMUL 0.05%","0637","RC","Both",,,"279.5","139.75","Caresource","Health Exchange",,,"62",,"173.29","0.15","5264.58","percent of total billed charges",,
"NF-RESTASIS MULTIDOSE OPHTH EMUL 0.05%","0637","RC","Both",,,"279.5","139.75","Cigna","Commercial",,,"59",,"163.79","0.15","5264.58","percent of total billed charges",,
"NF-RESTASIS MULTIDOSE OPHTH EMUL 0.05%","0637","RC","Both",,,"279.5","139.75","Humana","Commercial",,,"78",,"216.61","0.15","5264.58","percent of total billed charges",,
"NF-RESTASIS MULTIDOSE OPHTH EMUL 0.05%","0637","RC","Both",,,"279.5","139.75","UHC","Commercial",,,"75",,"210.74","0.15","5264.58","percent of total billed charges",,
"NF-RESTASIS MULTIDOSE OPHTH EMUL 0.05%","0637","RC","Both",,,"279.5","139.75","Medicaid",,,,"37",,"102.3","0.15","5264.58","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0637","RC","Both",,,"16","8","Alliant","Health Exchange",,,"62",,"9.92","0.15","5264.58","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0637","RC","Both",,,"16","8","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.64","0.15","5264.58","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0637","RC","Both",,,"16","8","Medicare",,,,"54",,"8.67","0.15","5264.58","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0637","RC","Both",,,"16","8","Humana","Medicare Advantage",,,"54",,"8.67","0.15","5264.58","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0637","RC","Both",,,"16","8","UHC","Medicare Advantage",,,"54",,"8.67","0.15","5264.58","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0637","RC","Both",,,"16","8","Clover","Medicare Advantage",,,"54",,"8.67","0.15","5264.58","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0637","RC","Both",,,"16","8","Wellcare","Medicare Advantage",,,"54",,"8.67","0.15","5264.58","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0637","RC","Both",,,"16","8","Amerigroup","Medicaid Managed Care",,,"37",,"5.86","0.15","5264.58","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0637","RC","Both",,,"16","8","Caresource","Medicaid Managed Care",,,"40",,"6.4","0.15","5264.58","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0637","RC","Both",,,"16","8","Wellcare","Medicaid Managed Care",,,"40",,"6.48","0.15","5264.58","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0637","RC","Both",,,"16","8","Aetna","Commercial",,,"64",,"10.21","0.15","5264.58","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0637","RC","Both",,,"16","8","Blue Cross Blue Shield","Pathways",,,"71",,"11.3","0.15","5264.58","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0637","RC","Both",,,"16","8","Blue Cross Blue Shield","HMO",,,"71",,"11.3","0.15","5264.58","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0637","RC","Both",,,"16","8","Blue Cross Blue Shield","PPO",,,"71",,"11.3","0.15","5264.58","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0637","RC","Both",,,"16","8","Ambetter","Health Exchange",,,"62",,"9.92","0.15","5264.58","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0637","RC","Both",,,"16","8","Caresource","Health Exchange",,,"62",,"9.92","0.15","5264.58","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0637","RC","Both",,,"16","8","Cigna","Commercial",,,"59",,"9.38","0.15","5264.58","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0637","RC","Both",,,"16","8","Humana","Commercial",,,"78",,"12.4","0.15","5264.58","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0637","RC","Both",,,"16","8","UHC","Commercial",,,"75",,"12.06","0.15","5264.58","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0637","RC","Both",,,"16","8","Medicaid",,,,"37",,"5.86","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0637","RC","Both",,,"50","25","Alliant","Health Exchange",,,"62",,"31","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0637","RC","Both",,,"50","25","Pruitt Healthcare","Medicare Advantage",,,"54",,"27","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0637","RC","Both",,,"50","25","Medicare",,,,"54",,"27.1","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0637","RC","Both",,,"50","25","Humana","Medicare Advantage",,,"54",,"27.1","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0637","RC","Both",,,"50","25","UHC","Medicare Advantage",,,"54",,"27.1","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0637","RC","Both",,,"50","25","Clover","Medicare Advantage",,,"54",,"27.1","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0637","RC","Both",,,"50","25","Wellcare","Medicare Advantage",,,"54",,"27.1","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0637","RC","Both",,,"50","25","Amerigroup","Medicaid Managed Care",,,"37",,"18.3","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0637","RC","Both",,,"50","25","Caresource","Medicaid Managed Care",,,"40",,"20","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0637","RC","Both",,,"50","25","Wellcare","Medicaid Managed Care",,,"40",,"20.25","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0637","RC","Both",,,"50","25","Aetna","Commercial",,,"64",,"31.9","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0637","RC","Both",,,"50","25","Blue Cross Blue Shield","Pathways",,,"71",,"35.3","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0637","RC","Both",,,"50","25","Blue Cross Blue Shield","HMO",,,"71",,"35.3","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0637","RC","Both",,,"50","25","Blue Cross Blue Shield","PPO",,,"71",,"35.3","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0637","RC","Both",,,"50","25","Ambetter","Health Exchange",,,"62",,"31","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0637","RC","Both",,,"50","25","Caresource","Health Exchange",,,"62",,"31","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0637","RC","Both",,,"50","25","Cigna","Commercial",,,"59",,"29.3","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0637","RC","Both",,,"50","25","Humana","Commercial",,,"78",,"38.75","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0637","RC","Both",,,"50","25","UHC","Commercial",,,"75",,"37.7","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0637","RC","Both",,,"50","25","Medicaid",,,,"37",,"18.3","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 15MG","0637","RC","Both",,,"50.5","25.25","Alliant","Health Exchange",,,"62",,"31.31","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 15MG","0637","RC","Both",,,"50.5","25.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"27.27","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 15MG","0637","RC","Both",,,"50.5","25.25","Medicare",,,,"54",,"27.37","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 15MG","0637","RC","Both",,,"50.5","25.25","Humana","Medicare Advantage",,,"54",,"27.37","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 15MG","0637","RC","Both",,,"50.5","25.25","UHC","Medicare Advantage",,,"54",,"27.37","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 15MG","0637","RC","Both",,,"50.5","25.25","Clover","Medicare Advantage",,,"54",,"27.37","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 15MG","0637","RC","Both",,,"50.5","25.25","Wellcare","Medicare Advantage",,,"54",,"27.37","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 15MG","0637","RC","Both",,,"50.5","25.25","Amerigroup","Medicaid Managed Care",,,"37",,"18.48","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 15MG","0637","RC","Both",,,"50.5","25.25","Caresource","Medicaid Managed Care",,,"40",,"20.2","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 15MG","0637","RC","Both",,,"50.5","25.25","Wellcare","Medicaid Managed Care",,,"40",,"20.45","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 15MG","0637","RC","Both",,,"50.5","25.25","Aetna","Commercial",,,"64",,"32.22","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 15MG","0637","RC","Both",,,"50.5","25.25","Blue Cross Blue Shield","Pathways",,,"71",,"35.65","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 15MG","0637","RC","Both",,,"50.5","25.25","Blue Cross Blue Shield","HMO",,,"71",,"35.65","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 15MG","0637","RC","Both",,,"50.5","25.25","Blue Cross Blue Shield","PPO",,,"71",,"35.65","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 15MG","0637","RC","Both",,,"50.5","25.25","Ambetter","Health Exchange",,,"62",,"31.31","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 15MG","0637","RC","Both",,,"50.5","25.25","Caresource","Health Exchange",,,"62",,"31.31","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 15MG","0637","RC","Both",,,"50.5","25.25","Cigna","Commercial",,,"59",,"29.59","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 15MG","0637","RC","Both",,,"50.5","25.25","Humana","Commercial",,,"78",,"39.14","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 15MG","0637","RC","Both",,,"50.5","25.25","UHC","Commercial",,,"75",,"38.08","0.15","5264.58","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 15MG","0637","RC","Both",,,"50.5","25.25","Medicaid",,,,"37",,"18.48","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 25MG","0637","RC","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 25MG","0637","RC","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 25MG","0637","RC","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 25MG","0637","RC","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 25MG","0637","RC","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 25MG","0637","RC","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 25MG","0637","RC","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 25MG","0637","RC","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 25MG","0637","RC","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 25MG","0637","RC","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 25MG","0637","RC","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 25MG","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 25MG","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 25MG","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 25MG","0637","RC","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 25MG","0637","RC","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 25MG","0637","RC","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 25MG","0637","RC","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 25MG","0637","RC","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 25MG","0637","RC","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 25MG","0637","RC","Both",,,"12.5","6.25","Alliant","Health Exchange",,,"62",,"7.75","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 25MG","0637","RC","Both",,,"12.5","6.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.75","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 25MG","0637","RC","Both",,,"12.5","6.25","Medicare",,,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 25MG","0637","RC","Both",,,"12.5","6.25","Humana","Medicare Advantage",,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 25MG","0637","RC","Both",,,"12.5","6.25","UHC","Medicare Advantage",,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 25MG","0637","RC","Both",,,"12.5","6.25","Clover","Medicare Advantage",,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 25MG","0637","RC","Both",,,"12.5","6.25","Wellcare","Medicare Advantage",,,"54",,"6.78","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 25MG","0637","RC","Both",,,"12.5","6.25","Amerigroup","Medicaid Managed Care",,,"37",,"4.58","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 25MG","0637","RC","Both",,,"12.5","6.25","Caresource","Medicaid Managed Care",,,"40",,"5","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 25MG","0637","RC","Both",,,"12.5","6.25","Wellcare","Medicaid Managed Care",,,"40",,"5.06","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 25MG","0637","RC","Both",,,"12.5","6.25","Aetna","Commercial",,,"64",,"7.98","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 25MG","0637","RC","Both",,,"12.5","6.25","Blue Cross Blue Shield","Pathways",,,"71",,"8.82","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 25MG","0637","RC","Both",,,"12.5","6.25","Blue Cross Blue Shield","HMO",,,"71",,"8.82","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 25MG","0637","RC","Both",,,"12.5","6.25","Blue Cross Blue Shield","PPO",,,"71",,"8.82","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 25MG","0637","RC","Both",,,"12.5","6.25","Ambetter","Health Exchange",,,"62",,"7.75","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 25MG","0637","RC","Both",,,"12.5","6.25","Caresource","Health Exchange",,,"62",,"7.75","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 25MG","0637","RC","Both",,,"12.5","6.25","Cigna","Commercial",,,"59",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 25MG","0637","RC","Both",,,"12.5","6.25","Humana","Commercial",,,"78",,"9.69","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 25MG","0637","RC","Both",,,"12.5","6.25","UHC","Commercial",,,"75",,"9.43","0.15","5264.58","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 25MG","0637","RC","Both",,,"12.5","6.25","Medicaid",,,,"37",,"4.58","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Alliant","Health Exchange",,,"62",,"15.5","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"13.5","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Medicare",,,,"54",,"13.55","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Humana","Medicare Advantage",,,"54",,"13.55","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","UHC","Medicare Advantage",,,"54",,"13.55","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Clover","Medicare Advantage",,,"54",,"13.55","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Wellcare","Medicare Advantage",,,"54",,"13.55","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.15","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Caresource","Medicaid Managed Care",,,"40",,"10","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Wellcare","Medicaid Managed Care",,,"40",,"10.12","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Aetna","Commercial",,,"64",,"15.95","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Blue Cross Blue Shield","Pathways",,,"71",,"17.65","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Blue Cross Blue Shield","HMO",,,"71",,"17.65","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Blue Cross Blue Shield","PPO",,,"71",,"17.65","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Ambetter","Health Exchange",,,"62",,"15.5","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Caresource","Health Exchange",,,"62",,"15.5","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Cigna","Commercial",,,"59",,"14.65","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Humana","Commercial",,,"78",,"19.38","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","UHC","Commercial",,,"75",,"18.85","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Medicaid",,,,"37",,"9.15","0.15","5264.58","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0637","RC","Both",,,"31","15.5","Alliant","Health Exchange",,,"62",,"19.22","0.15","5264.58","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0637","RC","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.74","0.15","5264.58","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0637","RC","Both",,,"31","15.5","Medicare",,,,"54",,"16.8","0.15","5264.58","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0637","RC","Both",,,"31","15.5","Humana","Medicare Advantage",,,"54",,"16.8","0.15","5264.58","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0637","RC","Both",,,"31","15.5","UHC","Medicare Advantage",,,"54",,"16.8","0.15","5264.58","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0637","RC","Both",,,"31","15.5","Clover","Medicare Advantage",,,"54",,"16.8","0.15","5264.58","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0637","RC","Both",,,"31","15.5","Wellcare","Medicare Advantage",,,"54",,"16.8","0.15","5264.58","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0637","RC","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care",,,"37",,"11.35","0.15","5264.58","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0637","RC","Both",,,"31","15.5","Caresource","Medicaid Managed Care",,,"40",,"12.4","0.15","5264.58","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0637","RC","Both",,,"31","15.5","Wellcare","Medicaid Managed Care",,,"40",,"12.56","0.15","5264.58","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0637","RC","Both",,,"31","15.5","Aetna","Commercial",,,"64",,"19.78","0.15","5264.58","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0637","RC","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways",,,"71",,"21.89","0.15","5264.58","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0637","RC","Both",,,"31","15.5","Blue Cross Blue Shield","HMO",,,"71",,"21.89","0.15","5264.58","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0637","RC","Both",,,"31","15.5","Blue Cross Blue Shield","PPO",,,"71",,"21.89","0.15","5264.58","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0637","RC","Both",,,"31","15.5","Ambetter","Health Exchange",,,"62",,"19.22","0.15","5264.58","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0637","RC","Both",,,"31","15.5","Caresource","Health Exchange",,,"62",,"19.22","0.15","5264.58","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0637","RC","Both",,,"31","15.5","Cigna","Commercial",,,"59",,"18.17","0.15","5264.58","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0637","RC","Both",,,"31","15.5","Humana","Commercial",,,"78",,"24.02","0.15","5264.58","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0637","RC","Both",,,"31","15.5","UHC","Commercial",,,"75",,"23.37","0.15","5264.58","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0637","RC","Both",,,"31","15.5","Medicaid",,,,"37",,"11.35","0.15","5264.58","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol Ophth Soln","0637","RC","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","0.15","5264.58","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol Ophth Soln","0637","RC","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","0.15","5264.58","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol Ophth Soln","0637","RC","Both",,,"8","4","Medicare",,,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol Ophth Soln","0637","RC","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol Ophth Soln","0637","RC","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol Ophth Soln","0637","RC","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol Ophth Soln","0637","RC","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol Ophth Soln","0637","RC","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","0.15","5264.58","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol Ophth Soln","0637","RC","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","0.15","5264.58","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol Ophth Soln","0637","RC","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","0.15","5264.58","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol Ophth Soln","0637","RC","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","0.15","5264.58","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol Ophth Soln","0637","RC","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","0.15","5264.58","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol Ophth Soln","0637","RC","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","0.15","5264.58","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol Ophth Soln","0637","RC","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","0.15","5264.58","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol Ophth Soln","0637","RC","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","0.15","5264.58","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol Ophth Soln","0637","RC","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","0.15","5264.58","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol Ophth Soln","0637","RC","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","0.15","5264.58","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol Ophth Soln","0637","RC","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol Ophth Soln","0637","RC","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","0.15","5264.58","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol Ophth Soln","0637","RC","Both",,,"8","4","Medicaid",,,,"37",,"2.93","0.15","5264.58","percent of total billed charges",,
"NF-TRIAMCINOLONE ACETONIDE MM PASTE 0.1%","0637","RC","Both",,,"48.5","24.25","Alliant","Health Exchange",,,"62",,"30.07","0.15","5264.58","percent of total billed charges",,
"NF-TRIAMCINOLONE ACETONIDE MM PASTE 0.1%","0637","RC","Both",,,"48.5","24.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"26.19","0.15","5264.58","percent of total billed charges",,
"NF-TRIAMCINOLONE ACETONIDE MM PASTE 0.1%","0637","RC","Both",,,"48.5","24.25","Medicare",,,,"54",,"26.29","0.15","5264.58","percent of total billed charges",,
"NF-TRIAMCINOLONE ACETONIDE MM PASTE 0.1%","0637","RC","Both",,,"48.5","24.25","Humana","Medicare Advantage",,,"54",,"26.29","0.15","5264.58","percent of total billed charges",,
"NF-TRIAMCINOLONE ACETONIDE MM PASTE 0.1%","0637","RC","Both",,,"48.5","24.25","UHC","Medicare Advantage",,,"54",,"26.29","0.15","5264.58","percent of total billed charges",,
"NF-TRIAMCINOLONE ACETONIDE MM PASTE 0.1%","0637","RC","Both",,,"48.5","24.25","Clover","Medicare Advantage",,,"54",,"26.29","0.15","5264.58","percent of total billed charges",,
"NF-TRIAMCINOLONE ACETONIDE MM PASTE 0.1%","0637","RC","Both",,,"48.5","24.25","Wellcare","Medicare Advantage",,,"54",,"26.29","0.15","5264.58","percent of total billed charges",,
"NF-TRIAMCINOLONE ACETONIDE MM PASTE 0.1%","0637","RC","Both",,,"48.5","24.25","Amerigroup","Medicaid Managed Care",,,"37",,"17.75","0.15","5264.58","percent of total billed charges",,
"NF-TRIAMCINOLONE ACETONIDE MM PASTE 0.1%","0637","RC","Both",,,"48.5","24.25","Caresource","Medicaid Managed Care",,,"40",,"19.4","0.15","5264.58","percent of total billed charges",,
"NF-TRIAMCINOLONE ACETONIDE MM PASTE 0.1%","0637","RC","Both",,,"48.5","24.25","Wellcare","Medicaid Managed Care",,,"40",,"19.64","0.15","5264.58","percent of total billed charges",,
"NF-TRIAMCINOLONE ACETONIDE MM PASTE 0.1%","0637","RC","Both",,,"48.5","24.25","Aetna","Commercial",,,"64",,"30.94","0.15","5264.58","percent of total billed charges",,
"NF-TRIAMCINOLONE ACETONIDE MM PASTE 0.1%","0637","RC","Both",,,"48.5","24.25","Blue Cross Blue Shield","Pathways",,,"71",,"34.24","0.15","5264.58","percent of total billed charges",,
"NF-TRIAMCINOLONE ACETONIDE MM PASTE 0.1%","0637","RC","Both",,,"48.5","24.25","Blue Cross Blue Shield","HMO",,,"71",,"34.24","0.15","5264.58","percent of total billed charges",,
"NF-TRIAMCINOLONE ACETONIDE MM PASTE 0.1%","0637","RC","Both",,,"48.5","24.25","Blue Cross Blue Shield","PPO",,,"71",,"34.24","0.15","5264.58","percent of total billed charges",,
"NF-TRIAMCINOLONE ACETONIDE MM PASTE 0.1%","0637","RC","Both",,,"48.5","24.25","Ambetter","Health Exchange",,,"62",,"30.07","0.15","5264.58","percent of total billed charges",,
"NF-TRIAMCINOLONE ACETONIDE MM PASTE 0.1%","0637","RC","Both",,,"48.5","24.25","Caresource","Health Exchange",,,"62",,"30.07","0.15","5264.58","percent of total billed charges",,
"NF-TRIAMCINOLONE ACETONIDE MM PASTE 0.1%","0637","RC","Both",,,"48.5","24.25","Cigna","Commercial",,,"59",,"28.42","0.15","5264.58","percent of total billed charges",,
"NF-TRIAMCINOLONE ACETONIDE MM PASTE 0.1%","0637","RC","Both",,,"48.5","24.25","Humana","Commercial",,,"78",,"37.59","0.15","5264.58","percent of total billed charges",,
"NF-TRIAMCINOLONE ACETONIDE MM PASTE 0.1%","0637","RC","Both",,,"48.5","24.25","UHC","Commercial",,,"75",,"36.57","0.15","5264.58","percent of total billed charges",,
"NF-TRIAMCINOLONE ACETONIDE MM PASTE 0.1%","0637","RC","Both",,,"48.5","24.25","Medicaid",,,,"37",,"17.75","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Alliant","Health Exchange",,,"62",,"15.5","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"13.5","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Medicare",,,,"54",,"13.55","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Humana","Medicare Advantage",,,"54",,"13.55","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","UHC","Medicare Advantage",,,"54",,"13.55","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Clover","Medicare Advantage",,,"54",,"13.55","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Wellcare","Medicare Advantage",,,"54",,"13.55","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.15","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Caresource","Medicaid Managed Care",,,"40",,"10","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Wellcare","Medicaid Managed Care",,,"40",,"10.12","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Aetna","Commercial",,,"64",,"15.95","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Blue Cross Blue Shield","Pathways",,,"71",,"17.65","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Blue Cross Blue Shield","HMO",,,"71",,"17.65","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Blue Cross Blue Shield","PPO",,,"71",,"17.65","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Ambetter","Health Exchange",,,"62",,"15.5","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Caresource","Health Exchange",,,"62",,"15.5","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Cigna","Commercial",,,"59",,"14.65","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Humana","Commercial",,,"78",,"19.38","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","UHC","Commercial",,,"75",,"18.85","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0637","RC","Both",,,"25","12.5","Medicaid",,,,"37",,"9.15","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"25","12.5","Alliant","Health Exchange",,,"62",,"15.5","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"25","12.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"13.5","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"25","12.5","Medicare",,,,"54",,"13.55","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"25","12.5","Humana","Medicare Advantage",,,"54",,"13.55","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"25","12.5","UHC","Medicare Advantage",,,"54",,"13.55","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"25","12.5","Clover","Medicare Advantage",,,"54",,"13.55","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"25","12.5","Wellcare","Medicare Advantage",,,"54",,"13.55","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"25","12.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.15","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"25","12.5","Caresource","Medicaid Managed Care",,,"40",,"10","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"25","12.5","Wellcare","Medicaid Managed Care",,,"40",,"10.12","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"25","12.5","Aetna","Commercial",,,"64",,"15.95","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"25","12.5","Blue Cross Blue Shield","Pathways",,,"71",,"17.65","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"25","12.5","Blue Cross Blue Shield","HMO",,,"71",,"17.65","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"25","12.5","Blue Cross Blue Shield","PPO",,,"71",,"17.65","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"25","12.5","Ambetter","Health Exchange",,,"62",,"15.5","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"25","12.5","Caresource","Health Exchange",,,"62",,"15.5","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"25","12.5","Cigna","Commercial",,,"59",,"14.65","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"25","12.5","Humana","Commercial",,,"78",,"19.38","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"25","12.5","UHC","Commercial",,,"75",,"18.85","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"25","12.5","Medicaid",,,,"37",,"9.15","0.15","5264.58","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 25MG","0637","RC","Both",,,"12","6","Alliant","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 25MG","0637","RC","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.48","0.15","5264.58","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 25MG","0637","RC","Both",,,"12","6","Medicare",,,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 25MG","0637","RC","Both",,,"12","6","Humana","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 25MG","0637","RC","Both",,,"12","6","UHC","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 25MG","0637","RC","Both",,,"12","6","Clover","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 25MG","0637","RC","Both",,,"12","6","Wellcare","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 25MG","0637","RC","Both",,,"12","6","Amerigroup","Medicaid Managed Care",,,"37",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 25MG","0637","RC","Both",,,"12","6","Caresource","Medicaid Managed Care",,,"40",,"4.8","0.15","5264.58","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 25MG","0637","RC","Both",,,"12","6","Wellcare","Medicaid Managed Care",,,"40",,"4.86","0.15","5264.58","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 25MG","0637","RC","Both",,,"12","6","Aetna","Commercial",,,"64",,"7.66","0.15","5264.58","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 25MG","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","Pathways",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 25MG","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","HMO",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 25MG","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","PPO",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 25MG","0637","RC","Both",,,"12","6","Ambetter","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 25MG","0637","RC","Both",,,"12","6","Caresource","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 25MG","0637","RC","Both",,,"12","6","Cigna","Commercial",,,"59",,"7.03","0.15","5264.58","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 25MG","0637","RC","Both",,,"12","6","Humana","Commercial",,,"78",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 25MG","0637","RC","Both",,,"12","6","UHC","Commercial",,,"75",,"9.05","0.15","5264.58","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 25MG","0637","RC","Both",,,"12","6","Medicaid",,,,"37",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 25MG","0637","RC","Both",,,"12","6","Alliant","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 25MG","0637","RC","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.48","0.15","5264.58","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 25MG","0637","RC","Both",,,"12","6","Medicare",,,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 25MG","0637","RC","Both",,,"12","6","Humana","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 25MG","0637","RC","Both",,,"12","6","UHC","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 25MG","0637","RC","Both",,,"12","6","Clover","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 25MG","0637","RC","Both",,,"12","6","Wellcare","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 25MG","0637","RC","Both",,,"12","6","Amerigroup","Medicaid Managed Care",,,"37",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 25MG","0637","RC","Both",,,"12","6","Caresource","Medicaid Managed Care",,,"40",,"4.8","0.15","5264.58","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 25MG","0637","RC","Both",,,"12","6","Wellcare","Medicaid Managed Care",,,"40",,"4.86","0.15","5264.58","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 25MG","0637","RC","Both",,,"12","6","Aetna","Commercial",,,"64",,"7.66","0.15","5264.58","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 25MG","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","Pathways",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 25MG","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","HMO",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 25MG","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","PPO",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 25MG","0637","RC","Both",,,"12","6","Ambetter","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 25MG","0637","RC","Both",,,"12","6","Caresource","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 25MG","0637","RC","Both",,,"12","6","Cigna","Commercial",,,"59",,"7.03","0.15","5264.58","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 25MG","0637","RC","Both",,,"12","6","Humana","Commercial",,,"78",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 25MG","0637","RC","Both",,,"12","6","UHC","Commercial",,,"75",,"9.05","0.15","5264.58","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 25MG","0637","RC","Both",,,"12","6","Medicaid",,,,"37",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE AVPAK TAB 50MG","0637","RC","Both",,,"12","6","Alliant","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE AVPAK TAB 50MG","0637","RC","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.48","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE AVPAK TAB 50MG","0637","RC","Both",,,"12","6","Medicare",,,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE AVPAK TAB 50MG","0637","RC","Both",,,"12","6","Humana","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE AVPAK TAB 50MG","0637","RC","Both",,,"12","6","UHC","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE AVPAK TAB 50MG","0637","RC","Both",,,"12","6","Clover","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE AVPAK TAB 50MG","0637","RC","Both",,,"12","6","Wellcare","Medicare Advantage",,,"54",,"6.5","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE AVPAK TAB 50MG","0637","RC","Both",,,"12","6","Amerigroup","Medicaid Managed Care",,,"37",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE AVPAK TAB 50MG","0637","RC","Both",,,"12","6","Caresource","Medicaid Managed Care",,,"40",,"4.8","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE AVPAK TAB 50MG","0637","RC","Both",,,"12","6","Wellcare","Medicaid Managed Care",,,"40",,"4.86","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE AVPAK TAB 50MG","0637","RC","Both",,,"12","6","Aetna","Commercial",,,"64",,"7.66","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE AVPAK TAB 50MG","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","Pathways",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE AVPAK TAB 50MG","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","HMO",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE AVPAK TAB 50MG","0637","RC","Both",,,"12","6","Blue Cross Blue Shield","PPO",,,"71",,"8.47","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE AVPAK TAB 50MG","0637","RC","Both",,,"12","6","Ambetter","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE AVPAK TAB 50MG","0637","RC","Both",,,"12","6","Caresource","Health Exchange",,,"62",,"7.44","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE AVPAK TAB 50MG","0637","RC","Both",,,"12","6","Cigna","Commercial",,,"59",,"7.03","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE AVPAK TAB 50MG","0637","RC","Both",,,"12","6","Humana","Commercial",,,"78",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE AVPAK TAB 50MG","0637","RC","Both",,,"12","6","UHC","Commercial",,,"75",,"9.05","0.15","5264.58","percent of total billed charges",,
"NF-FLECAINIDE ACETATE AVPAK TAB 50MG","0637","RC","Both",,,"12","6","Medicaid",,,,"37",,"4.39","0.15","5264.58","percent of total billed charges",,
"NF-LATUDA ORAL TABLET 40MG","0637","RC","Both",,,"147","73.5","Alliant","Health Exchange",,,"62",,"91.14","0.15","5264.58","percent of total billed charges",,
"NF-LATUDA ORAL TABLET 40MG","0637","RC","Both",,,"147","73.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"79.38","0.15","5264.58","percent of total billed charges",,
"NF-LATUDA ORAL TABLET 40MG","0637","RC","Both",,,"147","73.5","Medicare",,,,"54",,"79.67","0.15","5264.58","percent of total billed charges",,
"NF-LATUDA ORAL TABLET 40MG","0637","RC","Both",,,"147","73.5","Humana","Medicare Advantage",,,"54",,"79.67","0.15","5264.58","percent of total billed charges",,
"NF-LATUDA ORAL TABLET 40MG","0637","RC","Both",,,"147","73.5","UHC","Medicare Advantage",,,"54",,"79.67","0.15","5264.58","percent of total billed charges",,
"NF-LATUDA ORAL TABLET 40MG","0637","RC","Both",,,"147","73.5","Clover","Medicare Advantage",,,"54",,"79.67","0.15","5264.58","percent of total billed charges",,
"NF-LATUDA ORAL TABLET 40MG","0637","RC","Both",,,"147","73.5","Wellcare","Medicare Advantage",,,"54",,"79.67","0.15","5264.58","percent of total billed charges",,
"NF-LATUDA ORAL TABLET 40MG","0637","RC","Both",,,"147","73.5","Amerigroup","Medicaid Managed Care",,,"37",,"53.8","0.15","5264.58","percent of total billed charges",,
"NF-LATUDA ORAL TABLET 40MG","0637","RC","Both",,,"147","73.5","Caresource","Medicaid Managed Care",,,"40",,"58.8","0.15","5264.58","percent of total billed charges",,
"NF-LATUDA ORAL TABLET 40MG","0637","RC","Both",,,"147","73.5","Wellcare","Medicaid Managed Care",,,"40",,"59.54","0.15","5264.58","percent of total billed charges",,
"NF-LATUDA ORAL TABLET 40MG","0637","RC","Both",,,"147","73.5","Aetna","Commercial",,,"64",,"93.79","0.15","5264.58","percent of total billed charges",,
"NF-LATUDA ORAL TABLET 40MG","0637","RC","Both",,,"147","73.5","Blue Cross Blue Shield","Pathways",,,"71",,"103.78","0.15","5264.58","percent of total billed charges",,
"NF-LATUDA ORAL TABLET 40MG","0637","RC","Both",,,"147","73.5","Blue Cross Blue Shield","HMO",,,"71",,"103.78","0.15","5264.58","percent of total billed charges",,
"NF-LATUDA ORAL TABLET 40MG","0637","RC","Both",,,"147","73.5","Blue Cross Blue Shield","PPO",,,"71",,"103.78","0.15","5264.58","percent of total billed charges",,
"NF-LATUDA ORAL TABLET 40MG","0637","RC","Both",,,"147","73.5","Ambetter","Health Exchange",,,"62",,"91.14","0.15","5264.58","percent of total billed charges",,
"NF-LATUDA ORAL TABLET 40MG","0637","RC","Both",,,"147","73.5","Caresource","Health Exchange",,,"62",,"91.14","0.15","5264.58","percent of total billed charges",,
"NF-LATUDA ORAL TABLET 40MG","0637","RC","Both",,,"147","73.5","Cigna","Commercial",,,"59",,"86.14","0.15","5264.58","percent of total billed charges",,
"NF-LATUDA ORAL TABLET 40MG","0637","RC","Both",,,"147","73.5","Humana","Commercial",,,"78",,"113.92","0.15","5264.58","percent of total billed charges",,
"NF-LATUDA ORAL TABLET 40MG","0637","RC","Both",,,"147","73.5","UHC","Commercial",,,"75",,"110.84","0.15","5264.58","percent of total billed charges",,
"NF-LATUDA ORAL TABLET 40MG","0637","RC","Both",,,"147","73.5","Medicaid",,,,"37",,"53.8","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"25","12.5","Alliant","Health Exchange",,,"62",,"15.5","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"25","12.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"13.5","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"25","12.5","Medicare",,,,"54",,"13.55","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"25","12.5","Humana","Medicare Advantage",,,"54",,"13.55","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"25","12.5","UHC","Medicare Advantage",,,"54",,"13.55","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"25","12.5","Clover","Medicare Advantage",,,"54",,"13.55","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"25","12.5","Wellcare","Medicare Advantage",,,"54",,"13.55","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"25","12.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.15","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"25","12.5","Caresource","Medicaid Managed Care",,,"40",,"10","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"25","12.5","Wellcare","Medicaid Managed Care",,,"40",,"10.12","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"25","12.5","Aetna","Commercial",,,"64",,"15.95","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"25","12.5","Blue Cross Blue Shield","Pathways",,,"71",,"17.65","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"25","12.5","Blue Cross Blue Shield","HMO",,,"71",,"17.65","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"25","12.5","Blue Cross Blue Shield","PPO",,,"71",,"17.65","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"25","12.5","Ambetter","Health Exchange",,,"62",,"15.5","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"25","12.5","Caresource","Health Exchange",,,"62",,"15.5","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"25","12.5","Cigna","Commercial",,,"59",,"14.65","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"25","12.5","Humana","Commercial",,,"78",,"19.38","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"25","12.5","UHC","Commercial",,,"75",,"18.85","0.15","5264.58","percent of total billed charges",,
"NF-ELIQUIS TAB 2.5MG","0637","RC","Both",,,"25","12.5","Medicaid",,,,"37",,"9.15","0.15","5264.58","percent of total billed charges",,
"NF-Durezol Ophthalmic Emulsion 0.05%","0637","RC","Both",,,"124","62","Alliant","Health Exchange",,,"62",,"76.88","0.15","5264.58","percent of total billed charges",,
"NF-Durezol Ophthalmic Emulsion 0.05%","0637","RC","Both",,,"124","62","Pruitt Healthcare","Medicare Advantage",,,"54",,"66.96","0.15","5264.58","percent of total billed charges",,
"NF-Durezol Ophthalmic Emulsion 0.05%","0637","RC","Both",,,"124","62","Medicare",,,,"54",,"67.21","0.15","5264.58","percent of total billed charges",,
"NF-Durezol Ophthalmic Emulsion 0.05%","0637","RC","Both",,,"124","62","Humana","Medicare Advantage",,,"54",,"67.21","0.15","5264.58","percent of total billed charges",,
"NF-Durezol Ophthalmic Emulsion 0.05%","0637","RC","Both",,,"124","62","UHC","Medicare Advantage",,,"54",,"67.21","0.15","5264.58","percent of total billed charges",,
"NF-Durezol Ophthalmic Emulsion 0.05%","0637","RC","Both",,,"124","62","Clover","Medicare Advantage",,,"54",,"67.21","0.15","5264.58","percent of total billed charges",,
"NF-Durezol Ophthalmic Emulsion 0.05%","0637","RC","Both",,,"124","62","Wellcare","Medicare Advantage",,,"54",,"67.21","0.15","5264.58","percent of total billed charges",,
"NF-Durezol Ophthalmic Emulsion 0.05%","0637","RC","Both",,,"124","62","Amerigroup","Medicaid Managed Care",,,"37",,"45.38","0.15","5264.58","percent of total billed charges",,
"NF-Durezol Ophthalmic Emulsion 0.05%","0637","RC","Both",,,"124","62","Caresource","Medicaid Managed Care",,,"40",,"49.6","0.15","5264.58","percent of total billed charges",,
"NF-Durezol Ophthalmic Emulsion 0.05%","0637","RC","Both",,,"124","62","Wellcare","Medicaid Managed Care",,,"40",,"50.22","0.15","5264.58","percent of total billed charges",,
"NF-Durezol Ophthalmic Emulsion 0.05%","0637","RC","Both",,,"124","62","Aetna","Commercial",,,"64",,"79.11","0.15","5264.58","percent of total billed charges",,
"NF-Durezol Ophthalmic Emulsion 0.05%","0637","RC","Both",,,"124","62","Blue Cross Blue Shield","Pathways",,,"71",,"87.54","0.15","5264.58","percent of total billed charges",,
"NF-Durezol Ophthalmic Emulsion 0.05%","0637","RC","Both",,,"124","62","Blue Cross Blue Shield","HMO",,,"71",,"87.54","0.15","5264.58","percent of total billed charges",,
"NF-Durezol Ophthalmic Emulsion 0.05%","0637","RC","Both",,,"124","62","Blue Cross Blue Shield","PPO",,,"71",,"87.54","0.15","5264.58","percent of total billed charges",,
"NF-Durezol Ophthalmic Emulsion 0.05%","0637","RC","Both",,,"124","62","Ambetter","Health Exchange",,,"62",,"76.88","0.15","5264.58","percent of total billed charges",,
"NF-Durezol Ophthalmic Emulsion 0.05%","0637","RC","Both",,,"124","62","Caresource","Health Exchange",,,"62",,"76.88","0.15","5264.58","percent of total billed charges",,
"NF-Durezol Ophthalmic Emulsion 0.05%","0637","RC","Both",,,"124","62","Cigna","Commercial",,,"59",,"72.66","0.15","5264.58","percent of total billed charges",,
"NF-Durezol Ophthalmic Emulsion 0.05%","0637","RC","Both",,,"124","62","Humana","Commercial",,,"78",,"96.1","0.15","5264.58","percent of total billed charges",,
"NF-Durezol Ophthalmic Emulsion 0.05%","0637","RC","Both",,,"124","62","UHC","Commercial",,,"75",,"93.5","0.15","5264.58","percent of total billed charges",,
"NF-Durezol Ophthalmic Emulsion 0.05%","0637","RC","Both",,,"124","62","Medicaid",,,,"37",,"45.38","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 50MG","0637","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 50MG","0637","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 50MG","0637","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 50MG","0637","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 50MG","0637","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 50MG","0637","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 50MG","0637","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 50MG","0637","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 50MG","0637","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 50MG","0637","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 50MG","0637","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 50MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 50MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 50MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 50MG","0637","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 50MG","0637","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 50MG","0637","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 50MG","0637","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 50MG","0637","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 50MG","0637","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-Bromsite Ophthalmic Solution 0.075%","0637","RC","Both",,,"194","97","Alliant","Health Exchange",,,"62",,"120.28","0.15","5264.58","percent of total billed charges",,
"NF-Bromsite Ophthalmic Solution 0.075%","0637","RC","Both",,,"194","97","Pruitt Healthcare","Medicare Advantage",,,"54",,"104.76","0.15","5264.58","percent of total billed charges",,
"NF-Bromsite Ophthalmic Solution 0.075%","0637","RC","Both",,,"194","97","Medicare",,,,"54",,"105.15","0.15","5264.58","percent of total billed charges",,
"NF-Bromsite Ophthalmic Solution 0.075%","0637","RC","Both",,,"194","97","Humana","Medicare Advantage",,,"54",,"105.15","0.15","5264.58","percent of total billed charges",,
"NF-Bromsite Ophthalmic Solution 0.075%","0637","RC","Both",,,"194","97","UHC","Medicare Advantage",,,"54",,"105.15","0.15","5264.58","percent of total billed charges",,
"NF-Bromsite Ophthalmic Solution 0.075%","0637","RC","Both",,,"194","97","Clover","Medicare Advantage",,,"54",,"105.15","0.15","5264.58","percent of total billed charges",,
"NF-Bromsite Ophthalmic Solution 0.075%","0637","RC","Both",,,"194","97","Wellcare","Medicare Advantage",,,"54",,"105.15","0.15","5264.58","percent of total billed charges",,
"NF-Bromsite Ophthalmic Solution 0.075%","0637","RC","Both",,,"194","97","Amerigroup","Medicaid Managed Care",,,"37",,"71","0.15","5264.58","percent of total billed charges",,
"NF-Bromsite Ophthalmic Solution 0.075%","0637","RC","Both",,,"194","97","Caresource","Medicaid Managed Care",,,"40",,"77.6","0.15","5264.58","percent of total billed charges",,
"NF-Bromsite Ophthalmic Solution 0.075%","0637","RC","Both",,,"194","97","Wellcare","Medicaid Managed Care",,,"40",,"78.57","0.15","5264.58","percent of total billed charges",,
"NF-Bromsite Ophthalmic Solution 0.075%","0637","RC","Both",,,"194","97","Aetna","Commercial",,,"64",,"123.77","0.15","5264.58","percent of total billed charges",,
"NF-Bromsite Ophthalmic Solution 0.075%","0637","RC","Both",,,"194","97","Blue Cross Blue Shield","Pathways",,,"71",,"136.96","0.15","5264.58","percent of total billed charges",,
"NF-Bromsite Ophthalmic Solution 0.075%","0637","RC","Both",,,"194","97","Blue Cross Blue Shield","HMO",,,"71",,"136.96","0.15","5264.58","percent of total billed charges",,
"NF-Bromsite Ophthalmic Solution 0.075%","0637","RC","Both",,,"194","97","Blue Cross Blue Shield","PPO",,,"71",,"136.96","0.15","5264.58","percent of total billed charges",,
"NF-Bromsite Ophthalmic Solution 0.075%","0637","RC","Both",,,"194","97","Ambetter","Health Exchange",,,"62",,"120.28","0.15","5264.58","percent of total billed charges",,
"NF-Bromsite Ophthalmic Solution 0.075%","0637","RC","Both",,,"194","97","Caresource","Health Exchange",,,"62",,"120.28","0.15","5264.58","percent of total billed charges",,
"NF-Bromsite Ophthalmic Solution 0.075%","0637","RC","Both",,,"194","97","Cigna","Commercial",,,"59",,"113.68","0.15","5264.58","percent of total billed charges",,
"NF-Bromsite Ophthalmic Solution 0.075%","0637","RC","Both",,,"194","97","Humana","Commercial",,,"78",,"150.35","0.15","5264.58","percent of total billed charges",,
"NF-Bromsite Ophthalmic Solution 0.075%","0637","RC","Both",,,"194","97","UHC","Commercial",,,"75",,"146.28","0.15","5264.58","percent of total billed charges",,
"NF-Bromsite Ophthalmic Solution 0.075%","0637","RC","Both",,,"194","97","Medicaid",,,,"37",,"71","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Alliant","Health Exchange",,,"62",,"688.2","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Pruitt Healthcare","Medicare Advantage",,,"54",,"599.4","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Medicare",,,,"54",,"601.62","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Humana","Medicare Advantage",,,"54",,"601.62","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","UHC","Medicare Advantage",,,"54",,"601.62","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Clover","Medicare Advantage",,,"54",,"601.62","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Wellcare","Medicare Advantage",,,"54",,"601.62","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Amerigroup","Medicaid Managed Care",,,"37",,"406.26","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Caresource","Medicaid Managed Care",,,"40",,"444","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Wellcare","Medicaid Managed Care",,,"40",,"449.55","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Aetna","Commercial",,,"64",,"708.18","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Blue Cross Blue Shield","Pathways",,,"71",,"783.66","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Blue Cross Blue Shield","HMO",,,"71",,"783.66","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Blue Cross Blue Shield","PPO",,,"71",,"783.66","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Ambetter","Health Exchange",,,"62",,"688.2","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Caresource","Health Exchange",,,"62",,"688.2","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Cigna","Commercial",,,"59",,"650.46","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Humana","Commercial",,,"78",,"860.25","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","UHC","Commercial",,,"75",,"836.94","0.15","5264.58","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0637","RC","Both",,,"1110","555","Medicaid",,,,"37",,"406.26","0.15","5264.58","percent of total billed charges",,
"NF-TRADJENTA ORAL TABLET 5MG","0637","RC","Both",,,"49.5","24.75","Alliant","Health Exchange",,,"62",,"30.69","0.15","5264.58","percent of total billed charges",,
"NF-TRADJENTA ORAL TABLET 5MG","0637","RC","Both",,,"49.5","24.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"26.73","0.15","5264.58","percent of total billed charges",,
"NF-TRADJENTA ORAL TABLET 5MG","0637","RC","Both",,,"49.5","24.75","Medicare",,,,"54",,"26.83","0.15","5264.58","percent of total billed charges",,
"NF-TRADJENTA ORAL TABLET 5MG","0637","RC","Both",,,"49.5","24.75","Humana","Medicare Advantage",,,"54",,"26.83","0.15","5264.58","percent of total billed charges",,
"NF-TRADJENTA ORAL TABLET 5MG","0637","RC","Both",,,"49.5","24.75","UHC","Medicare Advantage",,,"54",,"26.83","0.15","5264.58","percent of total billed charges",,
"NF-TRADJENTA ORAL TABLET 5MG","0637","RC","Both",,,"49.5","24.75","Clover","Medicare Advantage",,,"54",,"26.83","0.15","5264.58","percent of total billed charges",,
"NF-TRADJENTA ORAL TABLET 5MG","0637","RC","Both",,,"49.5","24.75","Wellcare","Medicare Advantage",,,"54",,"26.83","0.15","5264.58","percent of total billed charges",,
"NF-TRADJENTA ORAL TABLET 5MG","0637","RC","Both",,,"49.5","24.75","Amerigroup","Medicaid Managed Care",,,"37",,"18.12","0.15","5264.58","percent of total billed charges",,
"NF-TRADJENTA ORAL TABLET 5MG","0637","RC","Both",,,"49.5","24.75","Caresource","Medicaid Managed Care",,,"40",,"19.8","0.15","5264.58","percent of total billed charges",,
"NF-TRADJENTA ORAL TABLET 5MG","0637","RC","Both",,,"49.5","24.75","Wellcare","Medicaid Managed Care",,,"40",,"20.05","0.15","5264.58","percent of total billed charges",,
"NF-TRADJENTA ORAL TABLET 5MG","0637","RC","Both",,,"49.5","24.75","Aetna","Commercial",,,"64",,"31.58","0.15","5264.58","percent of total billed charges",,
"NF-TRADJENTA ORAL TABLET 5MG","0637","RC","Both",,,"49.5","24.75","Blue Cross Blue Shield","Pathways",,,"71",,"34.95","0.15","5264.58","percent of total billed charges",,
"NF-TRADJENTA ORAL TABLET 5MG","0637","RC","Both",,,"49.5","24.75","Blue Cross Blue Shield","HMO",,,"71",,"34.95","0.15","5264.58","percent of total billed charges",,
"NF-TRADJENTA ORAL TABLET 5MG","0637","RC","Both",,,"49.5","24.75","Blue Cross Blue Shield","PPO",,,"71",,"34.95","0.15","5264.58","percent of total billed charges",,
"NF-TRADJENTA ORAL TABLET 5MG","0637","RC","Both",,,"49.5","24.75","Ambetter","Health Exchange",,,"62",,"30.69","0.15","5264.58","percent of total billed charges",,
"NF-TRADJENTA ORAL TABLET 5MG","0637","RC","Both",,,"49.5","24.75","Caresource","Health Exchange",,,"62",,"30.69","0.15","5264.58","percent of total billed charges",,
"NF-TRADJENTA ORAL TABLET 5MG","0637","RC","Both",,,"49.5","24.75","Cigna","Commercial",,,"59",,"29.01","0.15","5264.58","percent of total billed charges",,
"NF-TRADJENTA ORAL TABLET 5MG","0637","RC","Both",,,"49.5","24.75","Humana","Commercial",,,"78",,"38.36","0.15","5264.58","percent of total billed charges",,
"NF-TRADJENTA ORAL TABLET 5MG","0637","RC","Both",,,"49.5","24.75","UHC","Commercial",,,"75",,"37.32","0.15","5264.58","percent of total billed charges",,
"NF-TRADJENTA ORAL TABLET 5MG","0637","RC","Both",,,"49.5","24.75","Medicaid",,,,"37",,"18.12","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-CYPROHEPTADINE HCL ORAL TABLET 4MG","0259","RC","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-CYPROHEPTADINE HCL ORAL TABLET 4MG","0259","RC","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","0.04","2502.48","percent of total billed charges",,
"NF-CYPROHEPTADINE HCL ORAL TABLET 4MG","0259","RC","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-CYPROHEPTADINE HCL ORAL TABLET 4MG","0259","RC","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-CYPROHEPTADINE HCL ORAL TABLET 4MG","0259","RC","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-CYPROHEPTADINE HCL ORAL TABLET 4MG","0259","RC","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-CYPROHEPTADINE HCL ORAL TABLET 4MG","0259","RC","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-CYPROHEPTADINE HCL ORAL TABLET 4MG","0259","RC","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","0.04","2502.48","percent of total billed charges",,
"NF-CYPROHEPTADINE HCL ORAL TABLET 4MG","0259","RC","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","0.04","2502.48","percent of total billed charges",,
"NF-CYPROHEPTADINE HCL ORAL TABLET 4MG","0259","RC","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","0.04","2502.48","percent of total billed charges",,
"NF-CYPROHEPTADINE HCL ORAL TABLET 4MG","0259","RC","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","0.04","2502.48","percent of total billed charges",,
"NF-CYPROHEPTADINE HCL ORAL TABLET 4MG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-CYPROHEPTADINE HCL ORAL TABLET 4MG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-CYPROHEPTADINE HCL ORAL TABLET 4MG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-CYPROHEPTADINE HCL ORAL TABLET 4MG","0259","RC","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-CYPROHEPTADINE HCL ORAL TABLET 4MG","0259","RC","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-CYPROHEPTADINE HCL ORAL TABLET 4MG","0259","RC","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-CYPROHEPTADINE HCL ORAL TABLET 4MG","0259","RC","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","0.04","2502.48","percent of total billed charges",,
"NF-CYPROHEPTADINE HCL ORAL TABLET 4MG","0259","RC","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","0.04","2502.48","percent of total billed charges",,
"NF-CYPROHEPTADINE HCL ORAL TABLET 4MG","0259","RC","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","0.04","2502.48","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 97MG-103MG","0259","RC","Both",,,"28","14","Alliant","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 97MG-103MG","0259","RC","Both",,,"28","14","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.12","0.04","2502.48","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 97MG-103MG","0259","RC","Both",,,"28","14","Medicare",,,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 97MG-103MG","0259","RC","Both",,,"28","14","Humana","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 97MG-103MG","0259","RC","Both",,,"28","14","UHC","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 97MG-103MG","0259","RC","Both",,,"28","14","Clover","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 97MG-103MG","0259","RC","Both",,,"28","14","Wellcare","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 97MG-103MG","0259","RC","Both",,,"28","14","Amerigroup","Medicaid Managed Care",,,"37",,"10.25","0.04","2502.48","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 97MG-103MG","0259","RC","Both",,,"28","14","Caresource","Medicaid Managed Care",,,"40",,"11.2","0.04","2502.48","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 97MG-103MG","0259","RC","Both",,,"28","14","Wellcare","Medicaid Managed Care",,,"40",,"11.34","0.04","2502.48","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 97MG-103MG","0259","RC","Both",,,"28","14","Aetna","Commercial",,,"64",,"17.86","0.04","2502.48","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 97MG-103MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","Pathways",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 97MG-103MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","HMO",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 97MG-103MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","PPO",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 97MG-103MG","0259","RC","Both",,,"28","14","Ambetter","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 97MG-103MG","0259","RC","Both",,,"28","14","Caresource","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 97MG-103MG","0259","RC","Both",,,"28","14","Cigna","Commercial",,,"59",,"16.41","0.04","2502.48","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 97MG-103MG","0259","RC","Both",,,"28","14","Humana","Commercial",,,"78",,"21.7","0.04","2502.48","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 97MG-103MG","0259","RC","Both",,,"28","14","UHC","Commercial",,,"75",,"21.11","0.04","2502.48","percent of total billed charges",,
"NF-ENTRESTO ORAL TABLET 97MG-103MG","0259","RC","Both",,,"28","14","Medicaid",,,,"37",,"10.25","0.04","2502.48","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0259","RC","Both",,,"115.5","57.75","Alliant","Health Exchange",,,"62",,"71.61","0.04","2502.48","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0259","RC","Both",,,"115.5","57.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"62.37","0.04","2502.48","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0259","RC","Both",,,"115.5","57.75","Medicare",,,,"54",,"62.6","0.04","2502.48","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0259","RC","Both",,,"115.5","57.75","Humana","Medicare Advantage",,,"54",,"62.6","0.04","2502.48","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0259","RC","Both",,,"115.5","57.75","UHC","Medicare Advantage",,,"54",,"62.6","0.04","2502.48","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0259","RC","Both",,,"115.5","57.75","Clover","Medicare Advantage",,,"54",,"62.6","0.04","2502.48","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0259","RC","Both",,,"115.5","57.75","Wellcare","Medicare Advantage",,,"54",,"62.6","0.04","2502.48","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0259","RC","Both",,,"115.5","57.75","Amerigroup","Medicaid Managed Care",,,"37",,"42.27","0.04","2502.48","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0259","RC","Both",,,"115.5","57.75","Caresource","Medicaid Managed Care",,,"40",,"46.2","0.04","2502.48","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0259","RC","Both",,,"115.5","57.75","Wellcare","Medicaid Managed Care",,,"40",,"46.78","0.04","2502.48","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0259","RC","Both",,,"115.5","57.75","Aetna","Commercial",,,"64",,"73.69","0.04","2502.48","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0259","RC","Both",,,"115.5","57.75","Blue Cross Blue Shield","Pathways",,,"71",,"81.54","0.04","2502.48","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0259","RC","Both",,,"115.5","57.75","Blue Cross Blue Shield","HMO",,,"71",,"81.54","0.04","2502.48","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0259","RC","Both",,,"115.5","57.75","Blue Cross Blue Shield","PPO",,,"71",,"81.54","0.04","2502.48","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0259","RC","Both",,,"115.5","57.75","Ambetter","Health Exchange",,,"62",,"71.61","0.04","2502.48","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0259","RC","Both",,,"115.5","57.75","Caresource","Health Exchange",,,"62",,"71.61","0.04","2502.48","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0259","RC","Both",,,"115.5","57.75","Cigna","Commercial",,,"59",,"67.68","0.04","2502.48","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0259","RC","Both",,,"115.5","57.75","Humana","Commercial",,,"78",,"89.51","0.04","2502.48","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0259","RC","Both",,,"115.5","57.75","UHC","Commercial",,,"75",,"87.09","0.04","2502.48","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","0259","RC","Both",,,"115.5","57.75","Medicaid",,,,"37",,"42.27","0.04","2502.48","percent of total billed charges",,
"NF-ENVARSUS XR TAB ER 1MG","0259","RC","Both",,,"18","9","Alliant","Health Exchange",,,"62",,"11.16","0.04","2502.48","percent of total billed charges",,
"NF-ENVARSUS XR TAB ER 1MG","0259","RC","Both",,,"18","9","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.72","0.04","2502.48","percent of total billed charges",,
"NF-ENVARSUS XR TAB ER 1MG","0259","RC","Both",,,"18","9","Medicare",,,,"54",,"9.76","0.04","2502.48","percent of total billed charges",,
"NF-ENVARSUS XR TAB ER 1MG","0259","RC","Both",,,"18","9","Humana","Medicare Advantage",,,"54",,"9.76","0.04","2502.48","percent of total billed charges",,
"NF-ENVARSUS XR TAB ER 1MG","0259","RC","Both",,,"18","9","UHC","Medicare Advantage",,,"54",,"9.76","0.04","2502.48","percent of total billed charges",,
"NF-ENVARSUS XR TAB ER 1MG","0259","RC","Both",,,"18","9","Clover","Medicare Advantage",,,"54",,"9.76","0.04","2502.48","percent of total billed charges",,
"NF-ENVARSUS XR TAB ER 1MG","0259","RC","Both",,,"18","9","Wellcare","Medicare Advantage",,,"54",,"9.76","0.04","2502.48","percent of total billed charges",,
"NF-ENVARSUS XR TAB ER 1MG","0259","RC","Both",,,"18","9","Amerigroup","Medicaid Managed Care",,,"37",,"6.59","0.04","2502.48","percent of total billed charges",,
"NF-ENVARSUS XR TAB ER 1MG","0259","RC","Both",,,"18","9","Caresource","Medicaid Managed Care",,,"40",,"7.2","0.04","2502.48","percent of total billed charges",,
"NF-ENVARSUS XR TAB ER 1MG","0259","RC","Both",,,"18","9","Wellcare","Medicaid Managed Care",,,"40",,"7.29","0.04","2502.48","percent of total billed charges",,
"NF-ENVARSUS XR TAB ER 1MG","0259","RC","Both",,,"18","9","Aetna","Commercial",,,"64",,"11.48","0.04","2502.48","percent of total billed charges",,
"NF-ENVARSUS XR TAB ER 1MG","0259","RC","Both",,,"18","9","Blue Cross Blue Shield","Pathways",,,"71",,"12.71","0.04","2502.48","percent of total billed charges",,
"NF-ENVARSUS XR TAB ER 1MG","0259","RC","Both",,,"18","9","Blue Cross Blue Shield","HMO",,,"71",,"12.71","0.04","2502.48","percent of total billed charges",,
"NF-ENVARSUS XR TAB ER 1MG","0259","RC","Both",,,"18","9","Blue Cross Blue Shield","PPO",,,"71",,"12.71","0.04","2502.48","percent of total billed charges",,
"NF-ENVARSUS XR TAB ER 1MG","0259","RC","Both",,,"18","9","Ambetter","Health Exchange",,,"62",,"11.16","0.04","2502.48","percent of total billed charges",,
"NF-ENVARSUS XR TAB ER 1MG","0259","RC","Both",,,"18","9","Caresource","Health Exchange",,,"62",,"11.16","0.04","2502.48","percent of total billed charges",,
"NF-ENVARSUS XR TAB ER 1MG","0259","RC","Both",,,"18","9","Cigna","Commercial",,,"59",,"10.55","0.04","2502.48","percent of total billed charges",,
"NF-ENVARSUS XR TAB ER 1MG","0259","RC","Both",,,"18","9","Humana","Commercial",,,"78",,"13.95","0.04","2502.48","percent of total billed charges",,
"NF-ENVARSUS XR TAB ER 1MG","0259","RC","Both",,,"18","9","UHC","Commercial",,,"75",,"13.57","0.04","2502.48","percent of total billed charges",,
"NF-ENVARSUS XR TAB ER 1MG","0259","RC","Both",,,"18","9","Medicaid",,,,"37",,"6.59","0.04","2502.48","percent of total billed charges",,
"NF-CELLCEPT CAP 250MG","0259","RC","Both",,,"32.5","16.25","Alliant","Health Exchange",,,"62",,"20.15","0.04","2502.48","percent of total billed charges",,
"NF-CELLCEPT CAP 250MG","0259","RC","Both",,,"32.5","16.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.55","0.04","2502.48","percent of total billed charges",,
"NF-CELLCEPT CAP 250MG","0259","RC","Both",,,"32.5","16.25","Medicare",,,,"54",,"17.62","0.04","2502.48","percent of total billed charges",,
"NF-CELLCEPT CAP 250MG","0259","RC","Both",,,"32.5","16.25","Humana","Medicare Advantage",,,"54",,"17.62","0.04","2502.48","percent of total billed charges",,
"NF-CELLCEPT CAP 250MG","0259","RC","Both",,,"32.5","16.25","UHC","Medicare Advantage",,,"54",,"17.62","0.04","2502.48","percent of total billed charges",,
"NF-CELLCEPT CAP 250MG","0259","RC","Both",,,"32.5","16.25","Clover","Medicare Advantage",,,"54",,"17.62","0.04","2502.48","percent of total billed charges",,
"NF-CELLCEPT CAP 250MG","0259","RC","Both",,,"32.5","16.25","Wellcare","Medicare Advantage",,,"54",,"17.62","0.04","2502.48","percent of total billed charges",,
"NF-CELLCEPT CAP 250MG","0259","RC","Both",,,"32.5","16.25","Amerigroup","Medicaid Managed Care",,,"37",,"11.9","0.04","2502.48","percent of total billed charges",,
"NF-CELLCEPT CAP 250MG","0259","RC","Both",,,"32.5","16.25","Caresource","Medicaid Managed Care",,,"40",,"13","0.04","2502.48","percent of total billed charges",,
"NF-CELLCEPT CAP 250MG","0259","RC","Both",,,"32.5","16.25","Wellcare","Medicaid Managed Care",,,"40",,"13.16","0.04","2502.48","percent of total billed charges",,
"NF-CELLCEPT CAP 250MG","0259","RC","Both",,,"32.5","16.25","Aetna","Commercial",,,"64",,"20.74","0.04","2502.48","percent of total billed charges",,
"NF-CELLCEPT CAP 250MG","0259","RC","Both",,,"32.5","16.25","Blue Cross Blue Shield","Pathways",,,"71",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-CELLCEPT CAP 250MG","0259","RC","Both",,,"32.5","16.25","Blue Cross Blue Shield","HMO",,,"71",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-CELLCEPT CAP 250MG","0259","RC","Both",,,"32.5","16.25","Blue Cross Blue Shield","PPO",,,"71",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-CELLCEPT CAP 250MG","0259","RC","Both",,,"32.5","16.25","Ambetter","Health Exchange",,,"62",,"20.15","0.04","2502.48","percent of total billed charges",,
"NF-CELLCEPT CAP 250MG","0259","RC","Both",,,"32.5","16.25","Caresource","Health Exchange",,,"62",,"20.15","0.04","2502.48","percent of total billed charges",,
"NF-CELLCEPT CAP 250MG","0259","RC","Both",,,"32.5","16.25","Cigna","Commercial",,,"59",,"19.04","0.04","2502.48","percent of total billed charges",,
"NF-CELLCEPT CAP 250MG","0259","RC","Both",,,"32.5","16.25","Humana","Commercial",,,"78",,"25.19","0.04","2502.48","percent of total billed charges",,
"NF-CELLCEPT CAP 250MG","0259","RC","Both",,,"32.5","16.25","UHC","Commercial",,,"75",,"24.5","0.04","2502.48","percent of total billed charges",,
"NF-CELLCEPT CAP 250MG","0259","RC","Both",,,"32.5","16.25","Medicaid",,,,"37",,"11.9","0.04","2502.48","percent of total billed charges",,
"NF-MEXILETINE HCL CAP 150MG","0259","RC","Both",,,"2.5","1.25","Alliant","Health Exchange",,,"62",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-MEXILETINE HCL CAP 150MG","0259","RC","Both",,,"2.5","1.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.35","0.04","2502.48","percent of total billed charges",,
"NF-MEXILETINE HCL CAP 150MG","0259","RC","Both",,,"2.5","1.25","Medicare",,,,"54",,"1.36","0.04","2502.48","percent of total billed charges",,
"NF-MEXILETINE HCL CAP 150MG","0259","RC","Both",,,"2.5","1.25","Humana","Medicare Advantage",,,"54",,"1.36","0.04","2502.48","percent of total billed charges",,
"NF-MEXILETINE HCL CAP 150MG","0259","RC","Both",,,"2.5","1.25","UHC","Medicare Advantage",,,"54",,"1.36","0.04","2502.48","percent of total billed charges",,
"NF-MEXILETINE HCL CAP 150MG","0259","RC","Both",,,"2.5","1.25","Clover","Medicare Advantage",,,"54",,"1.36","0.04","2502.48","percent of total billed charges",,
"NF-MEXILETINE HCL CAP 150MG","0259","RC","Both",,,"2.5","1.25","Wellcare","Medicare Advantage",,,"54",,"1.36","0.04","2502.48","percent of total billed charges",,
"NF-MEXILETINE HCL CAP 150MG","0259","RC","Both",,,"2.5","1.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.92","0.04","2502.48","percent of total billed charges",,
"NF-MEXILETINE HCL CAP 150MG","0259","RC","Both",,,"2.5","1.25","Caresource","Medicaid Managed Care",,,"40",,"1","0.04","2502.48","percent of total billed charges",,
"NF-MEXILETINE HCL CAP 150MG","0259","RC","Both",,,"2.5","1.25","Wellcare","Medicaid Managed Care",,,"40",,"1.01","0.04","2502.48","percent of total billed charges",,
"NF-MEXILETINE HCL CAP 150MG","0259","RC","Both",,,"2.5","1.25","Aetna","Commercial",,,"64",,"1.6","0.04","2502.48","percent of total billed charges",,
"NF-MEXILETINE HCL CAP 150MG","0259","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","Pathways",,,"71",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-MEXILETINE HCL CAP 150MG","0259","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","HMO",,,"71",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-MEXILETINE HCL CAP 150MG","0259","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","PPO",,,"71",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-MEXILETINE HCL CAP 150MG","0259","RC","Both",,,"2.5","1.25","Ambetter","Health Exchange",,,"62",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-MEXILETINE HCL CAP 150MG","0259","RC","Both",,,"2.5","1.25","Caresource","Health Exchange",,,"62",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-MEXILETINE HCL CAP 150MG","0259","RC","Both",,,"2.5","1.25","Cigna","Commercial",,,"59",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-MEXILETINE HCL CAP 150MG","0259","RC","Both",,,"2.5","1.25","Humana","Commercial",,,"78",,"1.94","0.04","2502.48","percent of total billed charges",,
"NF-MEXILETINE HCL CAP 150MG","0259","RC","Both",,,"2.5","1.25","UHC","Commercial",,,"75",,"1.88","0.04","2502.48","percent of total billed charges",,
"NF-MEXILETINE HCL CAP 150MG","0259","RC","Both",,,"2.5","1.25","Medicaid",,,,"37",,"0.92","0.04","2502.48","percent of total billed charges",,
"NF-OXYCODONE/ACETAMINOPHEN TAB 10MG-325M","0259","RC","Both",,,"10.5","5.25","Alliant","Health Exchange",,,"62",,"6.51","0.04","2502.48","percent of total billed charges",,
"NF-OXYCODONE/ACETAMINOPHEN TAB 10MG-325M","0259","RC","Both",,,"10.5","5.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.67","0.04","2502.48","percent of total billed charges",,
"NF-OXYCODONE/ACETAMINOPHEN TAB 10MG-325M","0259","RC","Both",,,"10.5","5.25","Medicare",,,,"54",,"5.69","0.04","2502.48","percent of total billed charges",,
"NF-OXYCODONE/ACETAMINOPHEN TAB 10MG-325M","0259","RC","Both",,,"10.5","5.25","Humana","Medicare Advantage",,,"54",,"5.69","0.04","2502.48","percent of total billed charges",,
"NF-OXYCODONE/ACETAMINOPHEN TAB 10MG-325M","0259","RC","Both",,,"10.5","5.25","UHC","Medicare Advantage",,,"54",,"5.69","0.04","2502.48","percent of total billed charges",,
"NF-OXYCODONE/ACETAMINOPHEN TAB 10MG-325M","0259","RC","Both",,,"10.5","5.25","Clover","Medicare Advantage",,,"54",,"5.69","0.04","2502.48","percent of total billed charges",,
"NF-OXYCODONE/ACETAMINOPHEN TAB 10MG-325M","0259","RC","Both",,,"10.5","5.25","Wellcare","Medicare Advantage",,,"54",,"5.69","0.04","2502.48","percent of total billed charges",,
"NF-OXYCODONE/ACETAMINOPHEN TAB 10MG-325M","0259","RC","Both",,,"10.5","5.25","Amerigroup","Medicaid Managed Care",,,"37",,"3.84","0.04","2502.48","percent of total billed charges",,
"NF-OXYCODONE/ACETAMINOPHEN TAB 10MG-325M","0259","RC","Both",,,"10.5","5.25","Caresource","Medicaid Managed Care",,,"40",,"4.2","0.04","2502.48","percent of total billed charges",,
"NF-OXYCODONE/ACETAMINOPHEN TAB 10MG-325M","0259","RC","Both",,,"10.5","5.25","Wellcare","Medicaid Managed Care",,,"40",,"4.25","0.04","2502.48","percent of total billed charges",,
"NF-OXYCODONE/ACETAMINOPHEN TAB 10MG-325M","0259","RC","Both",,,"10.5","5.25","Aetna","Commercial",,,"64",,"6.7","0.04","2502.48","percent of total billed charges",,
"NF-OXYCODONE/ACETAMINOPHEN TAB 10MG-325M","0259","RC","Both",,,"10.5","5.25","Blue Cross Blue Shield","Pathways",,,"71",,"7.41","0.04","2502.48","percent of total billed charges",,
"NF-OXYCODONE/ACETAMINOPHEN TAB 10MG-325M","0259","RC","Both",,,"10.5","5.25","Blue Cross Blue Shield","HMO",,,"71",,"7.41","0.04","2502.48","percent of total billed charges",,
"NF-OXYCODONE/ACETAMINOPHEN TAB 10MG-325M","0259","RC","Both",,,"10.5","5.25","Blue Cross Blue Shield","PPO",,,"71",,"7.41","0.04","2502.48","percent of total billed charges",,
"NF-OXYCODONE/ACETAMINOPHEN TAB 10MG-325M","0259","RC","Both",,,"10.5","5.25","Ambetter","Health Exchange",,,"62",,"6.51","0.04","2502.48","percent of total billed charges",,
"NF-OXYCODONE/ACETAMINOPHEN TAB 10MG-325M","0259","RC","Both",,,"10.5","5.25","Caresource","Health Exchange",,,"62",,"6.51","0.04","2502.48","percent of total billed charges",,
"NF-OXYCODONE/ACETAMINOPHEN TAB 10MG-325M","0259","RC","Both",,,"10.5","5.25","Cigna","Commercial",,,"59",,"6.15","0.04","2502.48","percent of total billed charges",,
"NF-OXYCODONE/ACETAMINOPHEN TAB 10MG-325M","0259","RC","Both",,,"10.5","5.25","Humana","Commercial",,,"78",,"8.14","0.04","2502.48","percent of total billed charges",,
"NF-OXYCODONE/ACETAMINOPHEN TAB 10MG-325M","0259","RC","Both",,,"10.5","5.25","UHC","Commercial",,,"75",,"7.92","0.04","2502.48","percent of total billed charges",,
"NF-OXYCODONE/ACETAMINOPHEN TAB 10MG-325M","0259","RC","Both",,,"10.5","5.25","Medicaid",,,,"37",,"3.84","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-TRELEGY ELLIPTA INH PWD","0259","RC","Both",,,"32","16","Alliant","Health Exchange",,,"62",,"19.84","0.04","2502.48","percent of total billed charges",,
"NF-TRELEGY ELLIPTA INH PWD","0259","RC","Both",,,"32","16","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.28","0.04","2502.48","percent of total billed charges",,
"NF-TRELEGY ELLIPTA INH PWD","0259","RC","Both",,,"32","16","Medicare",,,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-TRELEGY ELLIPTA INH PWD","0259","RC","Both",,,"32","16","Humana","Medicare Advantage",,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-TRELEGY ELLIPTA INH PWD","0259","RC","Both",,,"32","16","UHC","Medicare Advantage",,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-TRELEGY ELLIPTA INH PWD","0259","RC","Both",,,"32","16","Clover","Medicare Advantage",,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-TRELEGY ELLIPTA INH PWD","0259","RC","Both",,,"32","16","Wellcare","Medicare Advantage",,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-TRELEGY ELLIPTA INH PWD","0259","RC","Both",,,"32","16","Amerigroup","Medicaid Managed Care",,,"37",,"11.71","0.04","2502.48","percent of total billed charges",,
"NF-TRELEGY ELLIPTA INH PWD","0259","RC","Both",,,"32","16","Caresource","Medicaid Managed Care",,,"40",,"12.8","0.04","2502.48","percent of total billed charges",,
"NF-TRELEGY ELLIPTA INH PWD","0259","RC","Both",,,"32","16","Wellcare","Medicaid Managed Care",,,"40",,"12.96","0.04","2502.48","percent of total billed charges",,
"NF-TRELEGY ELLIPTA INH PWD","0259","RC","Both",,,"32","16","Aetna","Commercial",,,"64",,"20.42","0.04","2502.48","percent of total billed charges",,
"NF-TRELEGY ELLIPTA INH PWD","0259","RC","Both",,,"32","16","Blue Cross Blue Shield","Pathways",,,"71",,"22.59","0.04","2502.48","percent of total billed charges",,
"NF-TRELEGY ELLIPTA INH PWD","0259","RC","Both",,,"32","16","Blue Cross Blue Shield","HMO",,,"71",,"22.59","0.04","2502.48","percent of total billed charges",,
"NF-TRELEGY ELLIPTA INH PWD","0259","RC","Both",,,"32","16","Blue Cross Blue Shield","PPO",,,"71",,"22.59","0.04","2502.48","percent of total billed charges",,
"NF-TRELEGY ELLIPTA INH PWD","0259","RC","Both",,,"32","16","Ambetter","Health Exchange",,,"62",,"19.84","0.04","2502.48","percent of total billed charges",,
"NF-TRELEGY ELLIPTA INH PWD","0259","RC","Both",,,"32","16","Caresource","Health Exchange",,,"62",,"19.84","0.04","2502.48","percent of total billed charges",,
"NF-TRELEGY ELLIPTA INH PWD","0259","RC","Both",,,"32","16","Cigna","Commercial",,,"59",,"18.75","0.04","2502.48","percent of total billed charges",,
"NF-TRELEGY ELLIPTA INH PWD","0259","RC","Both",,,"32","16","Humana","Commercial",,,"78",,"24.8","0.04","2502.48","percent of total billed charges",,
"NF-TRELEGY ELLIPTA INH PWD","0259","RC","Both",,,"32","16","UHC","Commercial",,,"75",,"24.13","0.04","2502.48","percent of total billed charges",,
"NF-TRELEGY ELLIPTA INH PWD","0259","RC","Both",,,"32","16","Medicaid",,,,"37",,"11.71","0.04","2502.48","percent of total billed charges",,
"NF-VIMPAT ORAL TABLET 50MG","0259","RC","Both",,,"34","17","Alliant","Health Exchange",,,"62",,"21.08","0.04","2502.48","percent of total billed charges",,
"NF-VIMPAT ORAL TABLET 50MG","0259","RC","Both",,,"34","17","Pruitt Healthcare","Medicare Advantage",,,"54",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-VIMPAT ORAL TABLET 50MG","0259","RC","Both",,,"34","17","Medicare",,,,"54",,"18.43","0.04","2502.48","percent of total billed charges",,
"NF-VIMPAT ORAL TABLET 50MG","0259","RC","Both",,,"34","17","Humana","Medicare Advantage",,,"54",,"18.43","0.04","2502.48","percent of total billed charges",,
"NF-VIMPAT ORAL TABLET 50MG","0259","RC","Both",,,"34","17","UHC","Medicare Advantage",,,"54",,"18.43","0.04","2502.48","percent of total billed charges",,
"NF-VIMPAT ORAL TABLET 50MG","0259","RC","Both",,,"34","17","Clover","Medicare Advantage",,,"54",,"18.43","0.04","2502.48","percent of total billed charges",,
"NF-VIMPAT ORAL TABLET 50MG","0259","RC","Both",,,"34","17","Wellcare","Medicare Advantage",,,"54",,"18.43","0.04","2502.48","percent of total billed charges",,
"NF-VIMPAT ORAL TABLET 50MG","0259","RC","Both",,,"34","17","Amerigroup","Medicaid Managed Care",,,"37",,"12.44","0.04","2502.48","percent of total billed charges",,
"NF-VIMPAT ORAL TABLET 50MG","0259","RC","Both",,,"34","17","Caresource","Medicaid Managed Care",,,"40",,"13.6","0.04","2502.48","percent of total billed charges",,
"NF-VIMPAT ORAL TABLET 50MG","0259","RC","Both",,,"34","17","Wellcare","Medicaid Managed Care",,,"40",,"13.77","0.04","2502.48","percent of total billed charges",,
"NF-VIMPAT ORAL TABLET 50MG","0259","RC","Both",,,"34","17","Aetna","Commercial",,,"64",,"21.69","0.04","2502.48","percent of total billed charges",,
"NF-VIMPAT ORAL TABLET 50MG","0259","RC","Both",,,"34","17","Blue Cross Blue Shield","Pathways",,,"71",,"24","0.04","2502.48","percent of total billed charges",,
"NF-VIMPAT ORAL TABLET 50MG","0259","RC","Both",,,"34","17","Blue Cross Blue Shield","HMO",,,"71",,"24","0.04","2502.48","percent of total billed charges",,
"NF-VIMPAT ORAL TABLET 50MG","0259","RC","Both",,,"34","17","Blue Cross Blue Shield","PPO",,,"71",,"24","0.04","2502.48","percent of total billed charges",,
"NF-VIMPAT ORAL TABLET 50MG","0259","RC","Both",,,"34","17","Ambetter","Health Exchange",,,"62",,"21.08","0.04","2502.48","percent of total billed charges",,
"NF-VIMPAT ORAL TABLET 50MG","0259","RC","Both",,,"34","17","Caresource","Health Exchange",,,"62",,"21.08","0.04","2502.48","percent of total billed charges",,
"NF-VIMPAT ORAL TABLET 50MG","0259","RC","Both",,,"34","17","Cigna","Commercial",,,"59",,"19.92","0.04","2502.48","percent of total billed charges",,
"NF-VIMPAT ORAL TABLET 50MG","0259","RC","Both",,,"34","17","Humana","Commercial",,,"78",,"26.35","0.04","2502.48","percent of total billed charges",,
"NF-VIMPAT ORAL TABLET 50MG","0259","RC","Both",,,"34","17","UHC","Commercial",,,"75",,"25.64","0.04","2502.48","percent of total billed charges",,
"NF-VIMPAT ORAL TABLET 50MG","0259","RC","Both",,,"34","17","Medicaid",,,,"37",,"12.44","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","0259","RC","Both",,,"11","5.5","Alliant","Health Exchange",,,"62",,"6.82","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","0259","RC","Both",,,"11","5.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.94","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","0259","RC","Both",,,"11","5.5","Medicare",,,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","0259","RC","Both",,,"11","5.5","Humana","Medicare Advantage",,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","0259","RC","Both",,,"11","5.5","UHC","Medicare Advantage",,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","0259","RC","Both",,,"11","5.5","Clover","Medicare Advantage",,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","0259","RC","Both",,,"11","5.5","Wellcare","Medicare Advantage",,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","0259","RC","Both",,,"11","5.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.03","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","0259","RC","Both",,,"11","5.5","Caresource","Medicaid Managed Care",,,"40",,"4.4","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","0259","RC","Both",,,"11","5.5","Wellcare","Medicaid Managed Care",,,"40",,"4.46","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","0259","RC","Both",,,"11","5.5","Aetna","Commercial",,,"64",,"7.02","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","0259","RC","Both",,,"11","5.5","Blue Cross Blue Shield","Pathways",,,"71",,"7.77","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","0259","RC","Both",,,"11","5.5","Blue Cross Blue Shield","HMO",,,"71",,"7.77","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","0259","RC","Both",,,"11","5.5","Blue Cross Blue Shield","PPO",,,"71",,"7.77","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","0259","RC","Both",,,"11","5.5","Ambetter","Health Exchange",,,"62",,"6.82","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","0259","RC","Both",,,"11","5.5","Caresource","Health Exchange",,,"62",,"6.82","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","0259","RC","Both",,,"11","5.5","Cigna","Commercial",,,"59",,"6.45","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","0259","RC","Both",,,"11","5.5","Humana","Commercial",,,"78",,"8.52","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","0259","RC","Both",,,"11","5.5","UHC","Commercial",,,"75",,"8.29","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","0259","RC","Both",,,"11","5.5","Medicaid",,,,"37",,"4.03","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"131","65.5","Alliant","Health Exchange",,,"62",,"81.22","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"131","65.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"70.74","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"131","65.5","Medicare",,,,"54",,"71","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"131","65.5","Humana","Medicare Advantage",,,"54",,"71","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"131","65.5","UHC","Medicare Advantage",,,"54",,"71","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"131","65.5","Clover","Medicare Advantage",,,"54",,"71","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"131","65.5","Wellcare","Medicare Advantage",,,"54",,"71","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"131","65.5","Amerigroup","Medicaid Managed Care",,,"37",,"47.95","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"131","65.5","Caresource","Medicaid Managed Care",,,"40",,"52.4","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"131","65.5","Wellcare","Medicaid Managed Care",,,"40",,"53.06","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"131","65.5","Aetna","Commercial",,,"64",,"83.58","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"131","65.5","Blue Cross Blue Shield","Pathways",,,"71",,"92.49","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"131","65.5","Blue Cross Blue Shield","HMO",,,"71",,"92.49","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"131","65.5","Blue Cross Blue Shield","PPO",,,"71",,"92.49","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"131","65.5","Ambetter","Health Exchange",,,"62",,"81.22","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"131","65.5","Caresource","Health Exchange",,,"62",,"81.22","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"131","65.5","Cigna","Commercial",,,"59",,"76.77","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"131","65.5","Humana","Commercial",,,"78",,"101.52","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"131","65.5","UHC","Commercial",,,"75",,"98.77","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"131","65.5","Medicaid",,,,"37",,"47.95","0.04","2502.48","percent of total billed charges",,
"NF-hydroCHLOROthiazide Oral Tablet 12.5M","0259","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-hydroCHLOROthiazide Oral Tablet 12.5M","0259","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-hydroCHLOROthiazide Oral Tablet 12.5M","0259","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-hydroCHLOROthiazide Oral Tablet 12.5M","0259","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-hydroCHLOROthiazide Oral Tablet 12.5M","0259","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-hydroCHLOROthiazide Oral Tablet 12.5M","0259","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-hydroCHLOROthiazide Oral Tablet 12.5M","0259","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-hydroCHLOROthiazide Oral Tablet 12.5M","0259","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-hydroCHLOROthiazide Oral Tablet 12.5M","0259","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","2502.48","percent of total billed charges",,
"NF-hydroCHLOROthiazide Oral Tablet 12.5M","0259","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-hydroCHLOROthiazide Oral Tablet 12.5M","0259","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-hydroCHLOROthiazide Oral Tablet 12.5M","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-hydroCHLOROthiazide Oral Tablet 12.5M","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-hydroCHLOROthiazide Oral Tablet 12.5M","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-hydroCHLOROthiazide Oral Tablet 12.5M","0259","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-hydroCHLOROthiazide Oral Tablet 12.5M","0259","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-hydroCHLOROthiazide Oral Tablet 12.5M","0259","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","2502.48","percent of total billed charges",,
"NF-hydroCHLOROthiazide Oral Tablet 12.5M","0259","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-hydroCHLOROthiazide Oral Tablet 12.5M","0259","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","2502.48","percent of total billed charges",,
"NF-hydroCHLOROthiazide Oral Tablet 12.5M","0259","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH GFS 0.5%","0259","RC","Both",,,"130.5","65.25","Alliant","Health Exchange",,,"62",,"80.91","0.04","2502.48","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH GFS 0.5%","0259","RC","Both",,,"130.5","65.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"70.47","0.04","2502.48","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH GFS 0.5%","0259","RC","Both",,,"130.5","65.25","Medicare",,,,"54",,"70.73","0.04","2502.48","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH GFS 0.5%","0259","RC","Both",,,"130.5","65.25","Humana","Medicare Advantage",,,"54",,"70.73","0.04","2502.48","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH GFS 0.5%","0259","RC","Both",,,"130.5","65.25","UHC","Medicare Advantage",,,"54",,"70.73","0.04","2502.48","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH GFS 0.5%","0259","RC","Both",,,"130.5","65.25","Clover","Medicare Advantage",,,"54",,"70.73","0.04","2502.48","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH GFS 0.5%","0259","RC","Both",,,"130.5","65.25","Wellcare","Medicare Advantage",,,"54",,"70.73","0.04","2502.48","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH GFS 0.5%","0259","RC","Both",,,"130.5","65.25","Amerigroup","Medicaid Managed Care",,,"37",,"47.76","0.04","2502.48","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH GFS 0.5%","0259","RC","Both",,,"130.5","65.25","Caresource","Medicaid Managed Care",,,"40",,"52.2","0.04","2502.48","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH GFS 0.5%","0259","RC","Both",,,"130.5","65.25","Wellcare","Medicaid Managed Care",,,"40",,"52.85","0.04","2502.48","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH GFS 0.5%","0259","RC","Both",,,"130.5","65.25","Aetna","Commercial",,,"64",,"83.26","0.04","2502.48","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH GFS 0.5%","0259","RC","Both",,,"130.5","65.25","Blue Cross Blue Shield","Pathways",,,"71",,"92.13","0.04","2502.48","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH GFS 0.5%","0259","RC","Both",,,"130.5","65.25","Blue Cross Blue Shield","HMO",,,"71",,"92.13","0.04","2502.48","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH GFS 0.5%","0259","RC","Both",,,"130.5","65.25","Blue Cross Blue Shield","PPO",,,"71",,"92.13","0.04","2502.48","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH GFS 0.5%","0259","RC","Both",,,"130.5","65.25","Ambetter","Health Exchange",,,"62",,"80.91","0.04","2502.48","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH GFS 0.5%","0259","RC","Both",,,"130.5","65.25","Caresource","Health Exchange",,,"62",,"80.91","0.04","2502.48","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH GFS 0.5%","0259","RC","Both",,,"130.5","65.25","Cigna","Commercial",,,"59",,"76.47","0.04","2502.48","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH GFS 0.5%","0259","RC","Both",,,"130.5","65.25","Humana","Commercial",,,"78",,"101.14","0.04","2502.48","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH GFS 0.5%","0259","RC","Both",,,"130.5","65.25","UHC","Commercial",,,"75",,"98.4","0.04","2502.48","percent of total billed charges",,
"NF-TIMOLOL MALEATE OPHTH GFS 0.5%","0259","RC","Both",,,"130.5","65.25","Medicaid",,,,"37",,"47.76","0.04","2502.48","percent of total billed charges",,
"NF-AMANTADINE HCL ORAL TABLET 100MG","0259","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-AMANTADINE HCL ORAL TABLET 100MG","0259","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.04","2502.48","percent of total billed charges",,
"NF-AMANTADINE HCL ORAL TABLET 100MG","0259","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-AMANTADINE HCL ORAL TABLET 100MG","0259","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-AMANTADINE HCL ORAL TABLET 100MG","0259","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-AMANTADINE HCL ORAL TABLET 100MG","0259","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-AMANTADINE HCL ORAL TABLET 100MG","0259","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-AMANTADINE HCL ORAL TABLET 100MG","0259","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.04","2502.48","percent of total billed charges",,
"NF-AMANTADINE HCL ORAL TABLET 100MG","0259","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.04","2502.48","percent of total billed charges",,
"NF-AMANTADINE HCL ORAL TABLET 100MG","0259","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.04","2502.48","percent of total billed charges",,
"NF-AMANTADINE HCL ORAL TABLET 100MG","0259","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.04","2502.48","percent of total billed charges",,
"NF-AMANTADINE HCL ORAL TABLET 100MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-AMANTADINE HCL ORAL TABLET 100MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-AMANTADINE HCL ORAL TABLET 100MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-AMANTADINE HCL ORAL TABLET 100MG","0259","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-AMANTADINE HCL ORAL TABLET 100MG","0259","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-AMANTADINE HCL ORAL TABLET 100MG","0259","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.04","2502.48","percent of total billed charges",,
"NF-AMANTADINE HCL ORAL TABLET 100MG","0259","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-AMANTADINE HCL ORAL TABLET 100MG","0259","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.04","2502.48","percent of total billed charges",,
"NF-AMANTADINE HCL ORAL TABLET 100MG","0259","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.04","2502.48","percent of total billed charges",,
"NF-ACETAZOLAMIDE CAP ER 500MG","0259","RC","Both",,,"13","6.5","Alliant","Health Exchange",,,"62",,"8.06","0.04","2502.48","percent of total billed charges",,
"NF-ACETAZOLAMIDE CAP ER 500MG","0259","RC","Both",,,"13","6.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.02","0.04","2502.48","percent of total billed charges",,
"NF-ACETAZOLAMIDE CAP ER 500MG","0259","RC","Both",,,"13","6.5","Medicare",,,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-ACETAZOLAMIDE CAP ER 500MG","0259","RC","Both",,,"13","6.5","Humana","Medicare Advantage",,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-ACETAZOLAMIDE CAP ER 500MG","0259","RC","Both",,,"13","6.5","UHC","Medicare Advantage",,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-ACETAZOLAMIDE CAP ER 500MG","0259","RC","Both",,,"13","6.5","Clover","Medicare Advantage",,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-ACETAZOLAMIDE CAP ER 500MG","0259","RC","Both",,,"13","6.5","Wellcare","Medicare Advantage",,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-ACETAZOLAMIDE CAP ER 500MG","0259","RC","Both",,,"13","6.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.76","0.04","2502.48","percent of total billed charges",,
"NF-ACETAZOLAMIDE CAP ER 500MG","0259","RC","Both",,,"13","6.5","Caresource","Medicaid Managed Care",,,"40",,"5.2","0.04","2502.48","percent of total billed charges",,
"NF-ACETAZOLAMIDE CAP ER 500MG","0259","RC","Both",,,"13","6.5","Wellcare","Medicaid Managed Care",,,"40",,"5.26","0.04","2502.48","percent of total billed charges",,
"NF-ACETAZOLAMIDE CAP ER 500MG","0259","RC","Both",,,"13","6.5","Aetna","Commercial",,,"64",,"8.29","0.04","2502.48","percent of total billed charges",,
"NF-ACETAZOLAMIDE CAP ER 500MG","0259","RC","Both",,,"13","6.5","Blue Cross Blue Shield","Pathways",,,"71",,"9.18","0.04","2502.48","percent of total billed charges",,
"NF-ACETAZOLAMIDE CAP ER 500MG","0259","RC","Both",,,"13","6.5","Blue Cross Blue Shield","HMO",,,"71",,"9.18","0.04","2502.48","percent of total billed charges",,
"NF-ACETAZOLAMIDE CAP ER 500MG","0259","RC","Both",,,"13","6.5","Blue Cross Blue Shield","PPO",,,"71",,"9.18","0.04","2502.48","percent of total billed charges",,
"NF-ACETAZOLAMIDE CAP ER 500MG","0259","RC","Both",,,"13","6.5","Ambetter","Health Exchange",,,"62",,"8.06","0.04","2502.48","percent of total billed charges",,
"NF-ACETAZOLAMIDE CAP ER 500MG","0259","RC","Both",,,"13","6.5","Caresource","Health Exchange",,,"62",,"8.06","0.04","2502.48","percent of total billed charges",,
"NF-ACETAZOLAMIDE CAP ER 500MG","0259","RC","Both",,,"13","6.5","Cigna","Commercial",,,"59",,"7.62","0.04","2502.48","percent of total billed charges",,
"NF-ACETAZOLAMIDE CAP ER 500MG","0259","RC","Both",,,"13","6.5","Humana","Commercial",,,"78",,"10.08","0.04","2502.48","percent of total billed charges",,
"NF-ACETAZOLAMIDE CAP ER 500MG","0259","RC","Both",,,"13","6.5","UHC","Commercial",,,"75",,"9.8","0.04","2502.48","percent of total billed charges",,
"NF-ACETAZOLAMIDE CAP ER 500MG","0259","RC","Both",,,"13","6.5","Medicaid",,,,"37",,"4.76","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Alliant","Health Exchange",,,"62",,"32.86","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.62","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Medicare",,,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Humana","Medicare Advantage",,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","UHC","Medicare Advantage",,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Clover","Medicare Advantage",,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Wellcare","Medicare Advantage",,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Amerigroup","Medicaid Managed Care",,,"37",,"19.4","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Caresource","Medicaid Managed Care",,,"40",,"21.2","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Wellcare","Medicaid Managed Care",,,"40",,"21.46","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Aetna","Commercial",,,"64",,"33.81","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Blue Cross Blue Shield","Pathways",,,"71",,"37.42","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Blue Cross Blue Shield","HMO",,,"71",,"37.42","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Blue Cross Blue Shield","PPO",,,"71",,"37.42","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Ambetter","Health Exchange",,,"62",,"32.86","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Caresource","Health Exchange",,,"62",,"32.86","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Cigna","Commercial",,,"59",,"31.06","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Humana","Commercial",,,"78",,"41.08","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","UHC","Commercial",,,"75",,"39.96","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Medicaid",,,,"37",,"19.4","0.04","2502.48","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 15MG","0259","RC","Both",,,"54","27","Alliant","Health Exchange",,,"62",,"33.48","0.04","2502.48","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 15MG","0259","RC","Both",,,"54","27","Pruitt Healthcare","Medicare Advantage",,,"54",,"29.16","0.04","2502.48","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 15MG","0259","RC","Both",,,"54","27","Medicare",,,,"54",,"29.27","0.04","2502.48","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 15MG","0259","RC","Both",,,"54","27","Humana","Medicare Advantage",,,"54",,"29.27","0.04","2502.48","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 15MG","0259","RC","Both",,,"54","27","UHC","Medicare Advantage",,,"54",,"29.27","0.04","2502.48","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 15MG","0259","RC","Both",,,"54","27","Clover","Medicare Advantage",,,"54",,"29.27","0.04","2502.48","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 15MG","0259","RC","Both",,,"54","27","Wellcare","Medicare Advantage",,,"54",,"29.27","0.04","2502.48","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 15MG","0259","RC","Both",,,"54","27","Amerigroup","Medicaid Managed Care",,,"37",,"19.76","0.04","2502.48","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 15MG","0259","RC","Both",,,"54","27","Caresource","Medicaid Managed Care",,,"40",,"21.6","0.04","2502.48","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 15MG","0259","RC","Both",,,"54","27","Wellcare","Medicaid Managed Care",,,"40",,"21.87","0.04","2502.48","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 15MG","0259","RC","Both",,,"54","27","Aetna","Commercial",,,"64",,"34.45","0.04","2502.48","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 15MG","0259","RC","Both",,,"54","27","Blue Cross Blue Shield","Pathways",,,"71",,"38.12","0.04","2502.48","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 15MG","0259","RC","Both",,,"54","27","Blue Cross Blue Shield","HMO",,,"71",,"38.12","0.04","2502.48","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 15MG","0259","RC","Both",,,"54","27","Blue Cross Blue Shield","PPO",,,"71",,"38.12","0.04","2502.48","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 15MG","0259","RC","Both",,,"54","27","Ambetter","Health Exchange",,,"62",,"33.48","0.04","2502.48","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 15MG","0259","RC","Both",,,"54","27","Caresource","Health Exchange",,,"62",,"33.48","0.04","2502.48","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 15MG","0259","RC","Both",,,"54","27","Cigna","Commercial",,,"59",,"31.64","0.04","2502.48","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 15MG","0259","RC","Both",,,"54","27","Humana","Commercial",,,"78",,"41.85","0.04","2502.48","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 15MG","0259","RC","Both",,,"54","27","UHC","Commercial",,,"75",,"40.72","0.04","2502.48","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 15MG","0259","RC","Both",,,"54","27","Medicaid",,,,"37",,"19.76","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 20MG","0259","RC","Both",,,"146","73","Alliant","Health Exchange",,,"62",,"90.52","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 20MG","0259","RC","Both",,,"146","73","Pruitt Healthcare","Medicare Advantage",,,"54",,"78.84","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 20MG","0259","RC","Both",,,"146","73","Medicare",,,,"54",,"79.13","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 20MG","0259","RC","Both",,,"146","73","Humana","Medicare Advantage",,,"54",,"79.13","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 20MG","0259","RC","Both",,,"146","73","UHC","Medicare Advantage",,,"54",,"79.13","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 20MG","0259","RC","Both",,,"146","73","Clover","Medicare Advantage",,,"54",,"79.13","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 20MG","0259","RC","Both",,,"146","73","Wellcare","Medicare Advantage",,,"54",,"79.13","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 20MG","0259","RC","Both",,,"146","73","Amerigroup","Medicaid Managed Care",,,"37",,"53.44","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 20MG","0259","RC","Both",,,"146","73","Caresource","Medicaid Managed Care",,,"40",,"58.4","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 20MG","0259","RC","Both",,,"146","73","Wellcare","Medicaid Managed Care",,,"40",,"59.13","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 20MG","0259","RC","Both",,,"146","73","Aetna","Commercial",,,"64",,"93.15","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 20MG","0259","RC","Both",,,"146","73","Blue Cross Blue Shield","Pathways",,,"71",,"103.08","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 20MG","0259","RC","Both",,,"146","73","Blue Cross Blue Shield","HMO",,,"71",,"103.08","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 20MG","0259","RC","Both",,,"146","73","Blue Cross Blue Shield","PPO",,,"71",,"103.08","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 20MG","0259","RC","Both",,,"146","73","Ambetter","Health Exchange",,,"62",,"90.52","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 20MG","0259","RC","Both",,,"146","73","Caresource","Health Exchange",,,"62",,"90.52","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 20MG","0259","RC","Both",,,"146","73","Cigna","Commercial",,,"59",,"85.56","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 20MG","0259","RC","Both",,,"146","73","Humana","Commercial",,,"78",,"113.15","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 20MG","0259","RC","Both",,,"146","73","UHC","Commercial",,,"75",,"110.08","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 20MG","0259","RC","Both",,,"146","73","Medicaid",,,,"37",,"53.44","0.04","2502.48","percent of total billed charges",,
"NF-Robaxin-750 Oral Tablet 750MG","0259","RC","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Robaxin-750 Oral Tablet 750MG","0259","RC","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","0.04","2502.48","percent of total billed charges",,
"NF-Robaxin-750 Oral Tablet 750MG","0259","RC","Both",,,"8","4","Medicare",,,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Robaxin-750 Oral Tablet 750MG","0259","RC","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Robaxin-750 Oral Tablet 750MG","0259","RC","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Robaxin-750 Oral Tablet 750MG","0259","RC","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Robaxin-750 Oral Tablet 750MG","0259","RC","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Robaxin-750 Oral Tablet 750MG","0259","RC","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Robaxin-750 Oral Tablet 750MG","0259","RC","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","0.04","2502.48","percent of total billed charges",,
"NF-Robaxin-750 Oral Tablet 750MG","0259","RC","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-Robaxin-750 Oral Tablet 750MG","0259","RC","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","0.04","2502.48","percent of total billed charges",,
"NF-Robaxin-750 Oral Tablet 750MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Robaxin-750 Oral Tablet 750MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Robaxin-750 Oral Tablet 750MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Robaxin-750 Oral Tablet 750MG","0259","RC","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Robaxin-750 Oral Tablet 750MG","0259","RC","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Robaxin-750 Oral Tablet 750MG","0259","RC","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","0.04","2502.48","percent of total billed charges",,
"NF-Robaxin-750 Oral Tablet 750MG","0259","RC","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Robaxin-750 Oral Tablet 750MG","0259","RC","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","0.04","2502.48","percent of total billed charges",,
"NF-Robaxin-750 Oral Tablet 750MG","0259","RC","Both",,,"8","4","Medicaid",,,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 120MG","0259","RC","Both",,,"219","109.5","Alliant","Health Exchange",,,"62",,"135.78","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 120MG","0259","RC","Both",,,"219","109.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"118.26","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 120MG","0259","RC","Both",,,"219","109.5","Medicare",,,,"54",,"118.7","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 120MG","0259","RC","Both",,,"219","109.5","Humana","Medicare Advantage",,,"54",,"118.7","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 120MG","0259","RC","Both",,,"219","109.5","UHC","Medicare Advantage",,,"54",,"118.7","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 120MG","0259","RC","Both",,,"219","109.5","Clover","Medicare Advantage",,,"54",,"118.7","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 120MG","0259","RC","Both",,,"219","109.5","Wellcare","Medicare Advantage",,,"54",,"118.7","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 120MG","0259","RC","Both",,,"219","109.5","Amerigroup","Medicaid Managed Care",,,"37",,"80.15","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 120MG","0259","RC","Both",,,"219","109.5","Caresource","Medicaid Managed Care",,,"40",,"87.6","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 120MG","0259","RC","Both",,,"219","109.5","Wellcare","Medicaid Managed Care",,,"40",,"88.7","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 120MG","0259","RC","Both",,,"219","109.5","Aetna","Commercial",,,"64",,"139.72","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 120MG","0259","RC","Both",,,"219","109.5","Blue Cross Blue Shield","Pathways",,,"71",,"154.61","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 120MG","0259","RC","Both",,,"219","109.5","Blue Cross Blue Shield","HMO",,,"71",,"154.61","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 120MG","0259","RC","Both",,,"219","109.5","Blue Cross Blue Shield","PPO",,,"71",,"154.61","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 120MG","0259","RC","Both",,,"219","109.5","Ambetter","Health Exchange",,,"62",,"135.78","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 120MG","0259","RC","Both",,,"219","109.5","Caresource","Health Exchange",,,"62",,"135.78","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 120MG","0259","RC","Both",,,"219","109.5","Cigna","Commercial",,,"59",,"128.33","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 120MG","0259","RC","Both",,,"219","109.5","Humana","Commercial",,,"78",,"169.72","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 120MG","0259","RC","Both",,,"219","109.5","UHC","Commercial",,,"75",,"165.13","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 120MG","0259","RC","Both",,,"219","109.5","Medicaid",,,,"37",,"80.15","0.04","2502.48","percent of total billed charges",,
"NF-LaMICtal Oral Tablet 100MG","0259","RC","Both",,,"19","9.5","Alliant","Health Exchange",,,"62",,"11.78","0.04","2502.48","percent of total billed charges",,
"NF-LaMICtal Oral Tablet 100MG","0259","RC","Both",,,"19","9.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.26","0.04","2502.48","percent of total billed charges",,
"NF-LaMICtal Oral Tablet 100MG","0259","RC","Both",,,"19","9.5","Medicare",,,,"54",,"10.3","0.04","2502.48","percent of total billed charges",,
"NF-LaMICtal Oral Tablet 100MG","0259","RC","Both",,,"19","9.5","Humana","Medicare Advantage",,,"54",,"10.3","0.04","2502.48","percent of total billed charges",,
"NF-LaMICtal Oral Tablet 100MG","0259","RC","Both",,,"19","9.5","UHC","Medicare Advantage",,,"54",,"10.3","0.04","2502.48","percent of total billed charges",,
"NF-LaMICtal Oral Tablet 100MG","0259","RC","Both",,,"19","9.5","Clover","Medicare Advantage",,,"54",,"10.3","0.04","2502.48","percent of total billed charges",,
"NF-LaMICtal Oral Tablet 100MG","0259","RC","Both",,,"19","9.5","Wellcare","Medicare Advantage",,,"54",,"10.3","0.04","2502.48","percent of total billed charges",,
"NF-LaMICtal Oral Tablet 100MG","0259","RC","Both",,,"19","9.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.95","0.04","2502.48","percent of total billed charges",,
"NF-LaMICtal Oral Tablet 100MG","0259","RC","Both",,,"19","9.5","Caresource","Medicaid Managed Care",,,"40",,"7.6","0.04","2502.48","percent of total billed charges",,
"NF-LaMICtal Oral Tablet 100MG","0259","RC","Both",,,"19","9.5","Wellcare","Medicaid Managed Care",,,"40",,"7.7","0.04","2502.48","percent of total billed charges",,
"NF-LaMICtal Oral Tablet 100MG","0259","RC","Both",,,"19","9.5","Aetna","Commercial",,,"64",,"12.12","0.04","2502.48","percent of total billed charges",,
"NF-LaMICtal Oral Tablet 100MG","0259","RC","Both",,,"19","9.5","Blue Cross Blue Shield","Pathways",,,"71",,"13.41","0.04","2502.48","percent of total billed charges",,
"NF-LaMICtal Oral Tablet 100MG","0259","RC","Both",,,"19","9.5","Blue Cross Blue Shield","HMO",,,"71",,"13.41","0.04","2502.48","percent of total billed charges",,
"NF-LaMICtal Oral Tablet 100MG","0259","RC","Both",,,"19","9.5","Blue Cross Blue Shield","PPO",,,"71",,"13.41","0.04","2502.48","percent of total billed charges",,
"NF-LaMICtal Oral Tablet 100MG","0259","RC","Both",,,"19","9.5","Ambetter","Health Exchange",,,"62",,"11.78","0.04","2502.48","percent of total billed charges",,
"NF-LaMICtal Oral Tablet 100MG","0259","RC","Both",,,"19","9.5","Caresource","Health Exchange",,,"62",,"11.78","0.04","2502.48","percent of total billed charges",,
"NF-LaMICtal Oral Tablet 100MG","0259","RC","Both",,,"19","9.5","Cigna","Commercial",,,"59",,"11.13","0.04","2502.48","percent of total billed charges",,
"NF-LaMICtal Oral Tablet 100MG","0259","RC","Both",,,"19","9.5","Humana","Commercial",,,"78",,"14.72","0.04","2502.48","percent of total billed charges",,
"NF-LaMICtal Oral Tablet 100MG","0259","RC","Both",,,"19","9.5","UHC","Commercial",,,"75",,"14.33","0.04","2502.48","percent of total billed charges",,
"NF-LaMICtal Oral Tablet 100MG","0259","RC","Both",,,"19","9.5","Medicaid",,,,"37",,"6.95","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 40MG","0259","RC","Both",,,"146","73","Alliant","Health Exchange",,,"62",,"90.52","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 40MG","0259","RC","Both",,,"146","73","Pruitt Healthcare","Medicare Advantage",,,"54",,"78.84","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 40MG","0259","RC","Both",,,"146","73","Medicare",,,,"54",,"79.13","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 40MG","0259","RC","Both",,,"146","73","Humana","Medicare Advantage",,,"54",,"79.13","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 40MG","0259","RC","Both",,,"146","73","UHC","Medicare Advantage",,,"54",,"79.13","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 40MG","0259","RC","Both",,,"146","73","Clover","Medicare Advantage",,,"54",,"79.13","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 40MG","0259","RC","Both",,,"146","73","Wellcare","Medicare Advantage",,,"54",,"79.13","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 40MG","0259","RC","Both",,,"146","73","Amerigroup","Medicaid Managed Care",,,"37",,"53.44","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 40MG","0259","RC","Both",,,"146","73","Caresource","Medicaid Managed Care",,,"40",,"58.4","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 40MG","0259","RC","Both",,,"146","73","Wellcare","Medicaid Managed Care",,,"40",,"59.13","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 40MG","0259","RC","Both",,,"146","73","Aetna","Commercial",,,"64",,"93.15","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 40MG","0259","RC","Both",,,"146","73","Blue Cross Blue Shield","Pathways",,,"71",,"103.08","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 40MG","0259","RC","Both",,,"146","73","Blue Cross Blue Shield","HMO",,,"71",,"103.08","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 40MG","0259","RC","Both",,,"146","73","Blue Cross Blue Shield","PPO",,,"71",,"103.08","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 40MG","0259","RC","Both",,,"146","73","Ambetter","Health Exchange",,,"62",,"90.52","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 40MG","0259","RC","Both",,,"146","73","Caresource","Health Exchange",,,"62",,"90.52","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 40MG","0259","RC","Both",,,"146","73","Cigna","Commercial",,,"59",,"85.56","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 40MG","0259","RC","Both",,,"146","73","Humana","Commercial",,,"78",,"113.15","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 40MG","0259","RC","Both",,,"146","73","UHC","Commercial",,,"75",,"110.08","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 40MG","0259","RC","Both",,,"146","73","Medicaid",,,,"37",,"53.44","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 30MG","0259","RC","Both",,,"13","6.5","Alliant","Health Exchange",,,"62",,"8.06","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 30MG","0259","RC","Both",,,"13","6.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.02","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 30MG","0259","RC","Both",,,"13","6.5","Medicare",,,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 30MG","0259","RC","Both",,,"13","6.5","Humana","Medicare Advantage",,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 30MG","0259","RC","Both",,,"13","6.5","UHC","Medicare Advantage",,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 30MG","0259","RC","Both",,,"13","6.5","Clover","Medicare Advantage",,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 30MG","0259","RC","Both",,,"13","6.5","Wellcare","Medicare Advantage",,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 30MG","0259","RC","Both",,,"13","6.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.76","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 30MG","0259","RC","Both",,,"13","6.5","Caresource","Medicaid Managed Care",,,"40",,"5.2","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 30MG","0259","RC","Both",,,"13","6.5","Wellcare","Medicaid Managed Care",,,"40",,"5.26","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 30MG","0259","RC","Both",,,"13","6.5","Aetna","Commercial",,,"64",,"8.29","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 30MG","0259","RC","Both",,,"13","6.5","Blue Cross Blue Shield","Pathways",,,"71",,"9.18","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 30MG","0259","RC","Both",,,"13","6.5","Blue Cross Blue Shield","HMO",,,"71",,"9.18","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 30MG","0259","RC","Both",,,"13","6.5","Blue Cross Blue Shield","PPO",,,"71",,"9.18","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 30MG","0259","RC","Both",,,"13","6.5","Ambetter","Health Exchange",,,"62",,"8.06","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 30MG","0259","RC","Both",,,"13","6.5","Caresource","Health Exchange",,,"62",,"8.06","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 30MG","0259","RC","Both",,,"13","6.5","Cigna","Commercial",,,"59",,"7.62","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 30MG","0259","RC","Both",,,"13","6.5","Humana","Commercial",,,"78",,"10.08","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 30MG","0259","RC","Both",,,"13","6.5","UHC","Commercial",,,"75",,"9.8","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 30MG","0259","RC","Both",,,"13","6.5","Medicaid",,,,"37",,"4.76","0.04","2502.48","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 100MG","0259","RC","Both",,,"15.5","7.75","Alliant","Health Exchange",,,"62",,"9.61","0.04","2502.48","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 100MG","0259","RC","Both",,,"15.5","7.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.37","0.04","2502.48","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 100MG","0259","RC","Both",,,"15.5","7.75","Medicare",,,,"54",,"8.4","0.04","2502.48","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 100MG","0259","RC","Both",,,"15.5","7.75","Humana","Medicare Advantage",,,"54",,"8.4","0.04","2502.48","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 100MG","0259","RC","Both",,,"15.5","7.75","UHC","Medicare Advantage",,,"54",,"8.4","0.04","2502.48","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 100MG","0259","RC","Both",,,"15.5","7.75","Clover","Medicare Advantage",,,"54",,"8.4","0.04","2502.48","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 100MG","0259","RC","Both",,,"15.5","7.75","Wellcare","Medicare Advantage",,,"54",,"8.4","0.04","2502.48","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 100MG","0259","RC","Both",,,"15.5","7.75","Amerigroup","Medicaid Managed Care",,,"37",,"5.67","0.04","2502.48","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 100MG","0259","RC","Both",,,"15.5","7.75","Caresource","Medicaid Managed Care",,,"40",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 100MG","0259","RC","Both",,,"15.5","7.75","Wellcare","Medicaid Managed Care",,,"40",,"6.28","0.04","2502.48","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 100MG","0259","RC","Both",,,"15.5","7.75","Aetna","Commercial",,,"64",,"9.89","0.04","2502.48","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 100MG","0259","RC","Both",,,"15.5","7.75","Blue Cross Blue Shield","Pathways",,,"71",,"10.94","0.04","2502.48","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 100MG","0259","RC","Both",,,"15.5","7.75","Blue Cross Blue Shield","HMO",,,"71",,"10.94","0.04","2502.48","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 100MG","0259","RC","Both",,,"15.5","7.75","Blue Cross Blue Shield","PPO",,,"71",,"10.94","0.04","2502.48","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 100MG","0259","RC","Both",,,"15.5","7.75","Ambetter","Health Exchange",,,"62",,"9.61","0.04","2502.48","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 100MG","0259","RC","Both",,,"15.5","7.75","Caresource","Health Exchange",,,"62",,"9.61","0.04","2502.48","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 100MG","0259","RC","Both",,,"15.5","7.75","Cigna","Commercial",,,"59",,"9.08","0.04","2502.48","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 100MG","0259","RC","Both",,,"15.5","7.75","Humana","Commercial",,,"78",,"12.01","0.04","2502.48","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 100MG","0259","RC","Both",,,"15.5","7.75","UHC","Commercial",,,"75",,"11.69","0.04","2502.48","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 100MG","0259","RC","Both",,,"15.5","7.75","Medicaid",,,,"37",,"5.67","0.04","2502.48","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 100MG","0259","RC","Both",,,"31.5","15.75","Alliant","Health Exchange",,,"62",,"19.53","0.04","2502.48","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 100MG","0259","RC","Both",,,"31.5","15.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.01","0.04","2502.48","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 100MG","0259","RC","Both",,,"31.5","15.75","Medicare",,,,"54",,"17.07","0.04","2502.48","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 100MG","0259","RC","Both",,,"31.5","15.75","Humana","Medicare Advantage",,,"54",,"17.07","0.04","2502.48","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 100MG","0259","RC","Both",,,"31.5","15.75","UHC","Medicare Advantage",,,"54",,"17.07","0.04","2502.48","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 100MG","0259","RC","Both",,,"31.5","15.75","Clover","Medicare Advantage",,,"54",,"17.07","0.04","2502.48","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 100MG","0259","RC","Both",,,"31.5","15.75","Wellcare","Medicare Advantage",,,"54",,"17.07","0.04","2502.48","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 100MG","0259","RC","Both",,,"31.5","15.75","Amerigroup","Medicaid Managed Care",,,"37",,"11.53","0.04","2502.48","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 100MG","0259","RC","Both",,,"31.5","15.75","Caresource","Medicaid Managed Care",,,"40",,"12.6","0.04","2502.48","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 100MG","0259","RC","Both",,,"31.5","15.75","Wellcare","Medicaid Managed Care",,,"40",,"12.76","0.04","2502.48","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 100MG","0259","RC","Both",,,"31.5","15.75","Aetna","Commercial",,,"64",,"20.1","0.04","2502.48","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 100MG","0259","RC","Both",,,"31.5","15.75","Blue Cross Blue Shield","Pathways",,,"71",,"22.24","0.04","2502.48","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 100MG","0259","RC","Both",,,"31.5","15.75","Blue Cross Blue Shield","HMO",,,"71",,"22.24","0.04","2502.48","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 100MG","0259","RC","Both",,,"31.5","15.75","Blue Cross Blue Shield","PPO",,,"71",,"22.24","0.04","2502.48","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 100MG","0259","RC","Both",,,"31.5","15.75","Ambetter","Health Exchange",,,"62",,"19.53","0.04","2502.48","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 100MG","0259","RC","Both",,,"31.5","15.75","Caresource","Health Exchange",,,"62",,"19.53","0.04","2502.48","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 100MG","0259","RC","Both",,,"31.5","15.75","Cigna","Commercial",,,"59",,"18.46","0.04","2502.48","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 100MG","0259","RC","Both",,,"31.5","15.75","Humana","Commercial",,,"78",,"24.41","0.04","2502.48","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 100MG","0259","RC","Both",,,"31.5","15.75","UHC","Commercial",,,"75",,"23.75","0.04","2502.48","percent of total billed charges",,
"NF-LAMOTRIGINE ORAL TABLET 100MG","0259","RC","Both",,,"31.5","15.75","Medicaid",,,,"37",,"11.53","0.04","2502.48","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 30MG","0259","RC","Both",,,"11","5.5","Alliant","Health Exchange",,,"62",,"6.82","0.04","2502.48","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 30MG","0259","RC","Both",,,"11","5.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.94","0.04","2502.48","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 30MG","0259","RC","Both",,,"11","5.5","Medicare",,,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 30MG","0259","RC","Both",,,"11","5.5","Humana","Medicare Advantage",,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 30MG","0259","RC","Both",,,"11","5.5","UHC","Medicare Advantage",,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 30MG","0259","RC","Both",,,"11","5.5","Clover","Medicare Advantage",,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 30MG","0259","RC","Both",,,"11","5.5","Wellcare","Medicare Advantage",,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 30MG","0259","RC","Both",,,"11","5.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.03","0.04","2502.48","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 30MG","0259","RC","Both",,,"11","5.5","Caresource","Medicaid Managed Care",,,"40",,"4.4","0.04","2502.48","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 30MG","0259","RC","Both",,,"11","5.5","Wellcare","Medicaid Managed Care",,,"40",,"4.46","0.04","2502.48","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 30MG","0259","RC","Both",,,"11","5.5","Aetna","Commercial",,,"64",,"7.02","0.04","2502.48","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 30MG","0259","RC","Both",,,"11","5.5","Blue Cross Blue Shield","Pathways",,,"71",,"7.77","0.04","2502.48","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 30MG","0259","RC","Both",,,"11","5.5","Blue Cross Blue Shield","HMO",,,"71",,"7.77","0.04","2502.48","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 30MG","0259","RC","Both",,,"11","5.5","Blue Cross Blue Shield","PPO",,,"71",,"7.77","0.04","2502.48","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 30MG","0259","RC","Both",,,"11","5.5","Ambetter","Health Exchange",,,"62",,"6.82","0.04","2502.48","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 30MG","0259","RC","Both",,,"11","5.5","Caresource","Health Exchange",,,"62",,"6.82","0.04","2502.48","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 30MG","0259","RC","Both",,,"11","5.5","Cigna","Commercial",,,"59",,"6.45","0.04","2502.48","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 30MG","0259","RC","Both",,,"11","5.5","Humana","Commercial",,,"78",,"8.52","0.04","2502.48","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 30MG","0259","RC","Both",,,"11","5.5","UHC","Commercial",,,"75",,"8.29","0.04","2502.48","percent of total billed charges",,
"NF-BUSPIRONE HCL ORAL TABLET 30MG","0259","RC","Both",,,"11","5.5","Medicaid",,,,"37",,"4.03","0.04","2502.48","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","0259","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","0259","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","0259","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","0259","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","0259","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","0259","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","0259","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","0259","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","2502.48","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","2502.48","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","0259","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","2502.48","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","0259","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","0259","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","0259","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","0259","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","2502.48","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","0259","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","2502.48","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","0259","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0259","RC","Both",,,"6.5","3.25","Alliant","Health Exchange",,,"62",,"4.03","0.04","2502.48","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0259","RC","Both",,,"6.5","3.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.51","0.04","2502.48","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0259","RC","Both",,,"6.5","3.25","Medicare",,,,"54",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0259","RC","Both",,,"6.5","3.25","Humana","Medicare Advantage",,,"54",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0259","RC","Both",,,"6.5","3.25","UHC","Medicare Advantage",,,"54",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0259","RC","Both",,,"6.5","3.25","Clover","Medicare Advantage",,,"54",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0259","RC","Both",,,"6.5","3.25","Wellcare","Medicare Advantage",,,"54",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0259","RC","Both",,,"6.5","3.25","Amerigroup","Medicaid Managed Care",,,"37",,"2.38","0.04","2502.48","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0259","RC","Both",,,"6.5","3.25","Caresource","Medicaid Managed Care",,,"40",,"2.6","0.04","2502.48","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0259","RC","Both",,,"6.5","3.25","Wellcare","Medicaid Managed Care",,,"40",,"2.63","0.04","2502.48","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0259","RC","Both",,,"6.5","3.25","Aetna","Commercial",,,"64",,"4.15","0.04","2502.48","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0259","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","Pathways",,,"71",,"4.59","0.04","2502.48","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0259","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","HMO",,,"71",,"4.59","0.04","2502.48","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0259","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","PPO",,,"71",,"4.59","0.04","2502.48","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0259","RC","Both",,,"6.5","3.25","Ambetter","Health Exchange",,,"62",,"4.03","0.04","2502.48","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0259","RC","Both",,,"6.5","3.25","Caresource","Health Exchange",,,"62",,"4.03","0.04","2502.48","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0259","RC","Both",,,"6.5","3.25","Cigna","Commercial",,,"59",,"3.81","0.04","2502.48","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0259","RC","Both",,,"6.5","3.25","Humana","Commercial",,,"78",,"5.04","0.04","2502.48","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0259","RC","Both",,,"6.5","3.25","UHC","Commercial",,,"75",,"4.9","0.04","2502.48","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0259","RC","Both",,,"6.5","3.25","Medicaid",,,,"37",,"2.38","0.04","2502.48","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0259","RC","Both",,,"6.5","3.25","Alliant","Health Exchange",,,"62",,"4.03","0.04","2502.48","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0259","RC","Both",,,"6.5","3.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.51","0.04","2502.48","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0259","RC","Both",,,"6.5","3.25","Medicare",,,,"54",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0259","RC","Both",,,"6.5","3.25","Humana","Medicare Advantage",,,"54",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0259","RC","Both",,,"6.5","3.25","UHC","Medicare Advantage",,,"54",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0259","RC","Both",,,"6.5","3.25","Clover","Medicare Advantage",,,"54",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0259","RC","Both",,,"6.5","3.25","Wellcare","Medicare Advantage",,,"54",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0259","RC","Both",,,"6.5","3.25","Amerigroup","Medicaid Managed Care",,,"37",,"2.38","0.04","2502.48","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0259","RC","Both",,,"6.5","3.25","Caresource","Medicaid Managed Care",,,"40",,"2.6","0.04","2502.48","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0259","RC","Both",,,"6.5","3.25","Wellcare","Medicaid Managed Care",,,"40",,"2.63","0.04","2502.48","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0259","RC","Both",,,"6.5","3.25","Aetna","Commercial",,,"64",,"4.15","0.04","2502.48","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0259","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","Pathways",,,"71",,"4.59","0.04","2502.48","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0259","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","HMO",,,"71",,"4.59","0.04","2502.48","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0259","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","PPO",,,"71",,"4.59","0.04","2502.48","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0259","RC","Both",,,"6.5","3.25","Ambetter","Health Exchange",,,"62",,"4.03","0.04","2502.48","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0259","RC","Both",,,"6.5","3.25","Caresource","Health Exchange",,,"62",,"4.03","0.04","2502.48","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0259","RC","Both",,,"6.5","3.25","Cigna","Commercial",,,"59",,"3.81","0.04","2502.48","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0259","RC","Both",,,"6.5","3.25","Humana","Commercial",,,"78",,"5.04","0.04","2502.48","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0259","RC","Both",,,"6.5","3.25","UHC","Commercial",,,"75",,"4.9","0.04","2502.48","percent of total billed charges",,
"NF-ZONISAMIDE CAP 100MG","0259","RC","Both",,,"6.5","3.25","Medicaid",,,,"37",,"2.38","0.04","2502.48","percent of total billed charges",,
"NF-Theophylline Oral 24Hour Tablet ER 40","0259","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Theophylline Oral 24Hour Tablet ER 40","0259","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.04","2502.48","percent of total billed charges",,
"NF-Theophylline Oral 24Hour Tablet ER 40","0259","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Theophylline Oral 24Hour Tablet ER 40","0259","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Theophylline Oral 24Hour Tablet ER 40","0259","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Theophylline Oral 24Hour Tablet ER 40","0259","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Theophylline Oral 24Hour Tablet ER 40","0259","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Theophylline Oral 24Hour Tablet ER 40","0259","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-Theophylline Oral 24Hour Tablet ER 40","0259","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.04","2502.48","percent of total billed charges",,
"NF-Theophylline Oral 24Hour Tablet ER 40","0259","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Theophylline Oral 24Hour Tablet ER 40","0259","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.04","2502.48","percent of total billed charges",,
"NF-Theophylline Oral 24Hour Tablet ER 40","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Theophylline Oral 24Hour Tablet ER 40","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Theophylline Oral 24Hour Tablet ER 40","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Theophylline Oral 24Hour Tablet ER 40","0259","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Theophylline Oral 24Hour Tablet ER 40","0259","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Theophylline Oral 24Hour Tablet ER 40","0259","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.04","2502.48","percent of total billed charges",,
"NF-Theophylline Oral 24Hour Tablet ER 40","0259","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Theophylline Oral 24Hour Tablet ER 40","0259","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.04","2502.48","percent of total billed charges",,
"NF-Theophylline Oral 24Hour Tablet ER 40","0259","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Oral Tablet","0259","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Oral Tablet","0259","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Oral Tablet","0259","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Oral Tablet","0259","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Oral Tablet","0259","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Oral Tablet","0259","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Oral Tablet","0259","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Oral Tablet","0259","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Oral Tablet","0259","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Oral Tablet","0259","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Oral Tablet","0259","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Oral Tablet","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Oral Tablet","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Oral Tablet","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Oral Tablet","0259","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Oral Tablet","0259","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Oral Tablet","0259","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Oral Tablet","0259","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Oral Tablet","0259","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Oral Tablet","0259","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Trintellix Oral Tablet 10MG","0259","RC","Both",,,"38","19","Alliant","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trintellix Oral Tablet 10MG","0259","RC","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.52","0.04","2502.48","percent of total billed charges",,
"NF-Trintellix Oral Tablet 10MG","0259","RC","Both",,,"38","19","Medicare",,,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trintellix Oral Tablet 10MG","0259","RC","Both",,,"38","19","Humana","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trintellix Oral Tablet 10MG","0259","RC","Both",,,"38","19","UHC","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trintellix Oral Tablet 10MG","0259","RC","Both",,,"38","19","Clover","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trintellix Oral Tablet 10MG","0259","RC","Both",,,"38","19","Wellcare","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trintellix Oral Tablet 10MG","0259","RC","Both",,,"38","19","Amerigroup","Medicaid Managed Care",,,"37",,"13.91","0.04","2502.48","percent of total billed charges",,
"NF-Trintellix Oral Tablet 10MG","0259","RC","Both",,,"38","19","Caresource","Medicaid Managed Care",,,"40",,"15.2","0.04","2502.48","percent of total billed charges",,
"NF-Trintellix Oral Tablet 10MG","0259","RC","Both",,,"38","19","Wellcare","Medicaid Managed Care",,,"40",,"15.39","0.04","2502.48","percent of total billed charges",,
"NF-Trintellix Oral Tablet 10MG","0259","RC","Both",,,"38","19","Aetna","Commercial",,,"64",,"24.24","0.04","2502.48","percent of total billed charges",,
"NF-Trintellix Oral Tablet 10MG","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","Pathways",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trintellix Oral Tablet 10MG","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","HMO",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trintellix Oral Tablet 10MG","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","PPO",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trintellix Oral Tablet 10MG","0259","RC","Both",,,"38","19","Ambetter","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trintellix Oral Tablet 10MG","0259","RC","Both",,,"38","19","Caresource","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trintellix Oral Tablet 10MG","0259","RC","Both",,,"38","19","Cigna","Commercial",,,"59",,"22.27","0.04","2502.48","percent of total billed charges",,
"NF-Trintellix Oral Tablet 10MG","0259","RC","Both",,,"38","19","Humana","Commercial",,,"78",,"29.45","0.04","2502.48","percent of total billed charges",,
"NF-Trintellix Oral Tablet 10MG","0259","RC","Both",,,"38","19","UHC","Commercial",,,"75",,"28.65","0.04","2502.48","percent of total billed charges",,
"NF-Trintellix Oral Tablet 10MG","0259","RC","Both",,,"38","19","Medicaid",,,,"37",,"13.91","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 5MG","0259","RC","Both",,,"20","10","Alliant","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 5MG","0259","RC","Both",,,"20","10","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.8","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 5MG","0259","RC","Both",,,"20","10","Medicare",,,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 5MG","0259","RC","Both",,,"20","10","Humana","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 5MG","0259","RC","Both",,,"20","10","UHC","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 5MG","0259","RC","Both",,,"20","10","Clover","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 5MG","0259","RC","Both",,,"20","10","Wellcare","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 5MG","0259","RC","Both",,,"20","10","Amerigroup","Medicaid Managed Care",,,"37",,"7.32","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 5MG","0259","RC","Both",,,"20","10","Caresource","Medicaid Managed Care",,,"40",,"8","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 5MG","0259","RC","Both",,,"20","10","Wellcare","Medicaid Managed Care",,,"40",,"8.1","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 5MG","0259","RC","Both",,,"20","10","Aetna","Commercial",,,"64",,"12.76","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 5MG","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","Pathways",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 5MG","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","HMO",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 5MG","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","PPO",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 5MG","0259","RC","Both",,,"20","10","Ambetter","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 5MG","0259","RC","Both",,,"20","10","Caresource","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 5MG","0259","RC","Both",,,"20","10","Cigna","Commercial",,,"59",,"11.72","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 5MG","0259","RC","Both",,,"20","10","Humana","Commercial",,,"78",,"15.5","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 5MG","0259","RC","Both",,,"20","10","UHC","Commercial",,,"75",,"15.08","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 5MG","0259","RC","Both",,,"20","10","Medicaid",,,,"37",,"7.32","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Alliant","Health Exchange",,,"62",,"32.86","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.62","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Medicare",,,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Humana","Medicare Advantage",,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","UHC","Medicare Advantage",,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Clover","Medicare Advantage",,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Wellcare","Medicare Advantage",,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Amerigroup","Medicaid Managed Care",,,"37",,"19.4","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Caresource","Medicaid Managed Care",,,"40",,"21.2","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Wellcare","Medicaid Managed Care",,,"40",,"21.46","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Aetna","Commercial",,,"64",,"33.81","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Blue Cross Blue Shield","Pathways",,,"71",,"37.42","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Blue Cross Blue Shield","HMO",,,"71",,"37.42","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Blue Cross Blue Shield","PPO",,,"71",,"37.42","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Ambetter","Health Exchange",,,"62",,"32.86","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Caresource","Health Exchange",,,"62",,"32.86","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Cigna","Commercial",,,"59",,"31.06","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Humana","Commercial",,,"78",,"41.08","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","UHC","Commercial",,,"75",,"39.96","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Medicaid",,,,"37",,"19.4","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Alliant","Health Exchange",,,"62",,"10.54","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.18","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Medicare",,,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Humana","Medicare Advantage",,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","UHC","Medicare Advantage",,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Clover","Medicare Advantage",,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Wellcare","Medicare Advantage",,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.22","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Caresource","Medicaid Managed Care",,,"40",,"6.8","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Wellcare","Medicaid Managed Care",,,"40",,"6.89","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Aetna","Commercial",,,"64",,"10.85","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways",,,"71",,"12","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Blue Cross Blue Shield","HMO",,,"71",,"12","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Blue Cross Blue Shield","PPO",,,"71",,"12","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Ambetter","Health Exchange",,,"62",,"10.54","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Caresource","Health Exchange",,,"62",,"10.54","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Cigna","Commercial",,,"59",,"9.96","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Humana","Commercial",,,"78",,"13.18","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","UHC","Commercial",,,"75",,"12.82","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Medicaid",,,,"37",,"6.22","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCL Oral Capsule 100MG","0259","RC","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 5MG","0259","RC","Both",,,"20","10","Alliant","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 5MG","0259","RC","Both",,,"20","10","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.8","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 5MG","0259","RC","Both",,,"20","10","Medicare",,,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 5MG","0259","RC","Both",,,"20","10","Humana","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 5MG","0259","RC","Both",,,"20","10","UHC","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 5MG","0259","RC","Both",,,"20","10","Clover","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 5MG","0259","RC","Both",,,"20","10","Wellcare","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 5MG","0259","RC","Both",,,"20","10","Amerigroup","Medicaid Managed Care",,,"37",,"7.32","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 5MG","0259","RC","Both",,,"20","10","Caresource","Medicaid Managed Care",,,"40",,"8","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 5MG","0259","RC","Both",,,"20","10","Wellcare","Medicaid Managed Care",,,"40",,"8.1","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 5MG","0259","RC","Both",,,"20","10","Aetna","Commercial",,,"64",,"12.76","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 5MG","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","Pathways",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 5MG","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","HMO",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 5MG","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","PPO",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 5MG","0259","RC","Both",,,"20","10","Ambetter","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 5MG","0259","RC","Both",,,"20","10","Caresource","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 5MG","0259","RC","Both",,,"20","10","Cigna","Commercial",,,"59",,"11.72","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 5MG","0259","RC","Both",,,"20","10","Humana","Commercial",,,"78",,"15.5","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 5MG","0259","RC","Both",,,"20","10","UHC","Commercial",,,"75",,"15.08","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 5MG","0259","RC","Both",,,"20","10","Medicaid",,,,"37",,"7.32","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium Bromide Inh Soln 0.02%","0259","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium Bromide Inh Soln 0.02%","0259","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium Bromide Inh Soln 0.02%","0259","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium Bromide Inh Soln 0.02%","0259","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium Bromide Inh Soln 0.02%","0259","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium Bromide Inh Soln 0.02%","0259","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium Bromide Inh Soln 0.02%","0259","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium Bromide Inh Soln 0.02%","0259","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium Bromide Inh Soln 0.02%","0259","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium Bromide Inh Soln 0.02%","0259","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium Bromide Inh Soln 0.02%","0259","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium Bromide Inh Soln 0.02%","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium Bromide Inh Soln 0.02%","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium Bromide Inh Soln 0.02%","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium Bromide Inh Soln 0.02%","0259","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium Bromide Inh Soln 0.02%","0259","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium Bromide Inh Soln 0.02%","0259","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium Bromide Inh Soln 0.02%","0259","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium Bromide Inh Soln 0.02%","0259","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium Bromide Inh Soln 0.02%","0259","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","0259","RC","Both",,,"14","7","Alliant","Health Exchange",,,"62",,"8.68","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","0259","RC","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.56","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","0259","RC","Both",,,"14","7","Medicare",,,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","0259","RC","Both",,,"14","7","Humana","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","0259","RC","Both",,,"14","7","UHC","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","0259","RC","Both",,,"14","7","Clover","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","0259","RC","Both",,,"14","7","Wellcare","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","0259","RC","Both",,,"14","7","Amerigroup","Medicaid Managed Care",,,"37",,"5.12","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","0259","RC","Both",,,"14","7","Caresource","Medicaid Managed Care",,,"40",,"5.6","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","0259","RC","Both",,,"14","7","Wellcare","Medicaid Managed Care",,,"40",,"5.67","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","0259","RC","Both",,,"14","7","Aetna","Commercial",,,"64",,"8.93","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","0259","RC","Both",,,"14","7","Blue Cross Blue Shield","Pathways",,,"71",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","0259","RC","Both",,,"14","7","Blue Cross Blue Shield","HMO",,,"71",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","0259","RC","Both",,,"14","7","Blue Cross Blue Shield","PPO",,,"71",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","0259","RC","Both",,,"14","7","Ambetter","Health Exchange",,,"62",,"8.68","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","0259","RC","Both",,,"14","7","Caresource","Health Exchange",,,"62",,"8.68","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","0259","RC","Both",,,"14","7","Cigna","Commercial",,,"59",,"8.2","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","0259","RC","Both",,,"14","7","Humana","Commercial",,,"78",,"10.85","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","0259","RC","Both",,,"14","7","UHC","Commercial",,,"75",,"10.56","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","0259","RC","Both",,,"14","7","Medicaid",,,,"37",,"5.12","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Alliant","Health Exchange",,,"62",,"175.46","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"152.82","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Medicare",,,,"54",,"153.39","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Humana","Medicare Advantage",,,"54",,"153.39","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","UHC","Medicare Advantage",,,"54",,"153.39","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Clover","Medicare Advantage",,,"54",,"153.39","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Wellcare","Medicare Advantage",,,"54",,"153.39","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Amerigroup","Medicaid Managed Care",,,"37",,"103.58","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Caresource","Medicaid Managed Care",,,"40",,"113.2","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Wellcare","Medicaid Managed Care",,,"40",,"114.62","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Aetna","Commercial",,,"64",,"180.55","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Blue Cross Blue Shield","Pathways",,,"71",,"199.8","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Blue Cross Blue Shield","HMO",,,"71",,"199.8","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Blue Cross Blue Shield","PPO",,,"71",,"199.8","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Ambetter","Health Exchange",,,"62",,"175.46","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Caresource","Health Exchange",,,"62",,"175.46","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Cigna","Commercial",,,"59",,"165.84","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Humana","Commercial",,,"78",,"219.32","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","UHC","Commercial",,,"75",,"213.38","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Medicaid",,,,"37",,"103.58","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"390","195","Alliant","Health Exchange",,,"62",,"241.8","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"390","195","Pruitt Healthcare","Medicare Advantage",,,"54",,"210.6","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"390","195","Medicare",,,,"54",,"211.38","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"390","195","Humana","Medicare Advantage",,,"54",,"211.38","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"390","195","UHC","Medicare Advantage",,,"54",,"211.38","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"390","195","Clover","Medicare Advantage",,,"54",,"211.38","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"390","195","Wellcare","Medicare Advantage",,,"54",,"211.38","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"390","195","Amerigroup","Medicaid Managed Care",,,"37",,"142.74","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"390","195","Caresource","Medicaid Managed Care",,,"40",,"156","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"390","195","Wellcare","Medicaid Managed Care",,,"40",,"157.95","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"390","195","Aetna","Commercial",,,"64",,"248.82","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"390","195","Blue Cross Blue Shield","Pathways",,,"71",,"275.34","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"390","195","Blue Cross Blue Shield","HMO",,,"71",,"275.34","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"390","195","Blue Cross Blue Shield","PPO",,,"71",,"275.34","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"390","195","Ambetter","Health Exchange",,,"62",,"241.8","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"390","195","Caresource","Health Exchange",,,"62",,"241.8","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"390","195","Cigna","Commercial",,,"59",,"228.54","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"390","195","Humana","Commercial",,,"78",,"302.25","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"390","195","UHC","Commercial",,,"75",,"294.06","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"390","195","Medicaid",,,,"37",,"142.74","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1164","582","Alliant","Health Exchange",,,"62",,"721.68","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1164","582","Pruitt Healthcare","Medicare Advantage",,,"54",,"628.56","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1164","582","Medicare",,,,"54",,"630.89","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1164","582","Humana","Medicare Advantage",,,"54",,"630.89","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1164","582","UHC","Medicare Advantage",,,"54",,"630.89","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1164","582","Clover","Medicare Advantage",,,"54",,"630.89","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1164","582","Wellcare","Medicare Advantage",,,"54",,"630.89","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1164","582","Amerigroup","Medicaid Managed Care",,,"37",,"426.02","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1164","582","Caresource","Medicaid Managed Care",,,"40",,"465.6","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1164","582","Wellcare","Medicaid Managed Care",,,"40",,"471.42","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1164","582","Aetna","Commercial",,,"64",,"742.63","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1164","582","Blue Cross Blue Shield","Pathways",,,"71",,"821.78","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1164","582","Blue Cross Blue Shield","HMO",,,"71",,"821.78","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1164","582","Blue Cross Blue Shield","PPO",,,"71",,"821.78","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1164","582","Ambetter","Health Exchange",,,"62",,"721.68","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1164","582","Caresource","Health Exchange",,,"62",,"721.68","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1164","582","Cigna","Commercial",,,"59",,"682.1","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1164","582","Humana","Commercial",,,"78",,"902.1","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1164","582","UHC","Commercial",,,"75",,"877.66","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1164","582","Medicaid",,,,"37",,"426.02","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical 1%","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical 1%","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical 1%","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical 1%","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical 1%","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical 1%","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical 1%","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical 1%","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical 1%","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical 1%","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical 1%","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical 1%","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical 1%","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical 1%","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical 1%","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical 1%","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical 1%","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical 1%","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical 1%","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical 1%","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tablet 100MG","0259","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tablet 100MG","0259","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tablet 100MG","0259","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tablet 100MG","0259","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tablet 100MG","0259","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tablet 100MG","0259","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tablet 100MG","0259","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tablet 100MG","0259","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tablet 100MG","0259","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tablet 100MG","0259","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tablet 100MG","0259","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tablet 100MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tablet 100MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tablet 100MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tablet 100MG","0259","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tablet 100MG","0259","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tablet 100MG","0259","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tablet 100MG","0259","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tablet 100MG","0259","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tablet 100MG","0259","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-METFORMIN ER ORAL TAB ER 500MG","0259","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-METFORMIN ER ORAL TAB ER 500MG","0259","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-METFORMIN ER ORAL TAB ER 500MG","0259","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-METFORMIN ER ORAL TAB ER 500MG","0259","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-METFORMIN ER ORAL TAB ER 500MG","0259","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-METFORMIN ER ORAL TAB ER 500MG","0259","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-METFORMIN ER ORAL TAB ER 500MG","0259","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-METFORMIN ER ORAL TAB ER 500MG","0259","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-METFORMIN ER ORAL TAB ER 500MG","0259","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","2502.48","percent of total billed charges",,
"NF-METFORMIN ER ORAL TAB ER 500MG","0259","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-METFORMIN ER ORAL TAB ER 500MG","0259","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-METFORMIN ER ORAL TAB ER 500MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-METFORMIN ER ORAL TAB ER 500MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-METFORMIN ER ORAL TAB ER 500MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-METFORMIN ER ORAL TAB ER 500MG","0259","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-METFORMIN ER ORAL TAB ER 500MG","0259","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-METFORMIN ER ORAL TAB ER 500MG","0259","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","2502.48","percent of total billed charges",,
"NF-METFORMIN ER ORAL TAB ER 500MG","0259","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-METFORMIN ER ORAL TAB ER 500MG","0259","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","2502.48","percent of total billed charges",,
"NF-METFORMIN ER ORAL TAB ER 500MG","0259","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-DONEPEZIL HCL ORAL TABLET 10MG","0259","RC","Both",,,"23.5","11.75","Alliant","Health Exchange",,,"62",,"14.57","0.04","2502.48","percent of total billed charges",,
"NF-DONEPEZIL HCL ORAL TABLET 10MG","0259","RC","Both",,,"23.5","11.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.69","0.04","2502.48","percent of total billed charges",,
"NF-DONEPEZIL HCL ORAL TABLET 10MG","0259","RC","Both",,,"23.5","11.75","Medicare",,,,"54",,"12.74","0.04","2502.48","percent of total billed charges",,
"NF-DONEPEZIL HCL ORAL TABLET 10MG","0259","RC","Both",,,"23.5","11.75","Humana","Medicare Advantage",,,"54",,"12.74","0.04","2502.48","percent of total billed charges",,
"NF-DONEPEZIL HCL ORAL TABLET 10MG","0259","RC","Both",,,"23.5","11.75","UHC","Medicare Advantage",,,"54",,"12.74","0.04","2502.48","percent of total billed charges",,
"NF-DONEPEZIL HCL ORAL TABLET 10MG","0259","RC","Both",,,"23.5","11.75","Clover","Medicare Advantage",,,"54",,"12.74","0.04","2502.48","percent of total billed charges",,
"NF-DONEPEZIL HCL ORAL TABLET 10MG","0259","RC","Both",,,"23.5","11.75","Wellcare","Medicare Advantage",,,"54",,"12.74","0.04","2502.48","percent of total billed charges",,
"NF-DONEPEZIL HCL ORAL TABLET 10MG","0259","RC","Both",,,"23.5","11.75","Amerigroup","Medicaid Managed Care",,,"37",,"8.6","0.04","2502.48","percent of total billed charges",,
"NF-DONEPEZIL HCL ORAL TABLET 10MG","0259","RC","Both",,,"23.5","11.75","Caresource","Medicaid Managed Care",,,"40",,"9.4","0.04","2502.48","percent of total billed charges",,
"NF-DONEPEZIL HCL ORAL TABLET 10MG","0259","RC","Both",,,"23.5","11.75","Wellcare","Medicaid Managed Care",,,"40",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-DONEPEZIL HCL ORAL TABLET 10MG","0259","RC","Both",,,"23.5","11.75","Aetna","Commercial",,,"64",,"14.99","0.04","2502.48","percent of total billed charges",,
"NF-DONEPEZIL HCL ORAL TABLET 10MG","0259","RC","Both",,,"23.5","11.75","Blue Cross Blue Shield","Pathways",,,"71",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-DONEPEZIL HCL ORAL TABLET 10MG","0259","RC","Both",,,"23.5","11.75","Blue Cross Blue Shield","HMO",,,"71",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-DONEPEZIL HCL ORAL TABLET 10MG","0259","RC","Both",,,"23.5","11.75","Blue Cross Blue Shield","PPO",,,"71",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-DONEPEZIL HCL ORAL TABLET 10MG","0259","RC","Both",,,"23.5","11.75","Ambetter","Health Exchange",,,"62",,"14.57","0.04","2502.48","percent of total billed charges",,
"NF-DONEPEZIL HCL ORAL TABLET 10MG","0259","RC","Both",,,"23.5","11.75","Caresource","Health Exchange",,,"62",,"14.57","0.04","2502.48","percent of total billed charges",,
"NF-DONEPEZIL HCL ORAL TABLET 10MG","0259","RC","Both",,,"23.5","11.75","Cigna","Commercial",,,"59",,"13.77","0.04","2502.48","percent of total billed charges",,
"NF-DONEPEZIL HCL ORAL TABLET 10MG","0259","RC","Both",,,"23.5","11.75","Humana","Commercial",,,"78",,"18.21","0.04","2502.48","percent of total billed charges",,
"NF-DONEPEZIL HCL ORAL TABLET 10MG","0259","RC","Both",,,"23.5","11.75","UHC","Commercial",,,"75",,"17.72","0.04","2502.48","percent of total billed charges",,
"NF-DONEPEZIL HCL ORAL TABLET 10MG","0259","RC","Both",,,"23.5","11.75","Medicaid",,,,"37",,"8.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"25","12.5","Alliant","Health Exchange",,,"62",,"15.5","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"25","12.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"13.5","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"25","12.5","Medicare",,,,"54",,"13.55","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"25","12.5","Humana","Medicare Advantage",,,"54",,"13.55","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"25","12.5","UHC","Medicare Advantage",,,"54",,"13.55","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"25","12.5","Clover","Medicare Advantage",,,"54",,"13.55","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"25","12.5","Wellcare","Medicare Advantage",,,"54",,"13.55","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"25","12.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.15","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"25","12.5","Caresource","Medicaid Managed Care",,,"40",,"10","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"25","12.5","Wellcare","Medicaid Managed Care",,,"40",,"10.12","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"25","12.5","Aetna","Commercial",,,"64",,"15.95","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"25","12.5","Blue Cross Blue Shield","Pathways",,,"71",,"17.65","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"25","12.5","Blue Cross Blue Shield","HMO",,,"71",,"17.65","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"25","12.5","Blue Cross Blue Shield","PPO",,,"71",,"17.65","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"25","12.5","Ambetter","Health Exchange",,,"62",,"15.5","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"25","12.5","Caresource","Health Exchange",,,"62",,"15.5","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"25","12.5","Cigna","Commercial",,,"59",,"14.65","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"25","12.5","Humana","Commercial",,,"78",,"19.38","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"25","12.5","UHC","Commercial",,,"75",,"18.85","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"25","12.5","Medicaid",,,,"37",,"9.15","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 5MG","0259","RC","Both",,,"46","23","Alliant","Health Exchange",,,"62",,"28.52","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 5MG","0259","RC","Both",,,"46","23","Pruitt Healthcare","Medicare Advantage",,,"54",,"24.84","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 5MG","0259","RC","Both",,,"46","23","Medicare",,,,"54",,"24.93","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 5MG","0259","RC","Both",,,"46","23","Humana","Medicare Advantage",,,"54",,"24.93","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 5MG","0259","RC","Both",,,"46","23","UHC","Medicare Advantage",,,"54",,"24.93","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 5MG","0259","RC","Both",,,"46","23","Clover","Medicare Advantage",,,"54",,"24.93","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 5MG","0259","RC","Both",,,"46","23","Wellcare","Medicare Advantage",,,"54",,"24.93","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 5MG","0259","RC","Both",,,"46","23","Amerigroup","Medicaid Managed Care",,,"37",,"16.84","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 5MG","0259","RC","Both",,,"46","23","Caresource","Medicaid Managed Care",,,"40",,"18.4","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 5MG","0259","RC","Both",,,"46","23","Wellcare","Medicaid Managed Care",,,"40",,"18.63","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 5MG","0259","RC","Both",,,"46","23","Aetna","Commercial",,,"64",,"29.35","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 5MG","0259","RC","Both",,,"46","23","Blue Cross Blue Shield","Pathways",,,"71",,"32.48","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 5MG","0259","RC","Both",,,"46","23","Blue Cross Blue Shield","HMO",,,"71",,"32.48","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 5MG","0259","RC","Both",,,"46","23","Blue Cross Blue Shield","PPO",,,"71",,"32.48","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 5MG","0259","RC","Both",,,"46","23","Ambetter","Health Exchange",,,"62",,"28.52","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 5MG","0259","RC","Both",,,"46","23","Caresource","Health Exchange",,,"62",,"28.52","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 5MG","0259","RC","Both",,,"46","23","Cigna","Commercial",,,"59",,"26.96","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 5MG","0259","RC","Both",,,"46","23","Humana","Commercial",,,"78",,"35.65","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 5MG","0259","RC","Both",,,"46","23","UHC","Commercial",,,"75",,"34.68","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 5MG","0259","RC","Both",,,"46","23","Medicaid",,,,"37",,"16.84","0.04","2502.48","percent of total billed charges",,
"NF-Jentadueto Oral Tablet 2.5MG-500MG","0259","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Jentadueto Oral Tablet 2.5MG-500MG","0259","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-Jentadueto Oral Tablet 2.5MG-500MG","0259","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Jentadueto Oral Tablet 2.5MG-500MG","0259","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Jentadueto Oral Tablet 2.5MG-500MG","0259","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Jentadueto Oral Tablet 2.5MG-500MG","0259","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Jentadueto Oral Tablet 2.5MG-500MG","0259","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Jentadueto Oral Tablet 2.5MG-500MG","0259","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Jentadueto Oral Tablet 2.5MG-500MG","0259","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.04","2502.48","percent of total billed charges",,
"NF-Jentadueto Oral Tablet 2.5MG-500MG","0259","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.04","2502.48","percent of total billed charges",,
"NF-Jentadueto Oral Tablet 2.5MG-500MG","0259","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-Jentadueto Oral Tablet 2.5MG-500MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Jentadueto Oral Tablet 2.5MG-500MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Jentadueto Oral Tablet 2.5MG-500MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Jentadueto Oral Tablet 2.5MG-500MG","0259","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Jentadueto Oral Tablet 2.5MG-500MG","0259","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Jentadueto Oral Tablet 2.5MG-500MG","0259","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.04","2502.48","percent of total billed charges",,
"NF-Jentadueto Oral Tablet 2.5MG-500MG","0259","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.04","2502.48","percent of total billed charges",,
"NF-Jentadueto Oral Tablet 2.5MG-500MG","0259","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.04","2502.48","percent of total billed charges",,
"NF-Jentadueto Oral Tablet 2.5MG-500MG","0259","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Alliant","Health Exchange",,,"62",,"28.52","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Pruitt Healthcare","Medicare Advantage",,,"54",,"24.84","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Medicare",,,,"54",,"24.93","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Humana","Medicare Advantage",,,"54",,"24.93","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","UHC","Medicare Advantage",,,"54",,"24.93","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Clover","Medicare Advantage",,,"54",,"24.93","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Wellcare","Medicare Advantage",,,"54",,"24.93","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Amerigroup","Medicaid Managed Care",,,"37",,"16.84","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Caresource","Medicaid Managed Care",,,"40",,"18.4","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Wellcare","Medicaid Managed Care",,,"40",,"18.63","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Aetna","Commercial",,,"64",,"29.35","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Blue Cross Blue Shield","Pathways",,,"71",,"32.48","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Blue Cross Blue Shield","HMO",,,"71",,"32.48","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Blue Cross Blue Shield","PPO",,,"71",,"32.48","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Ambetter","Health Exchange",,,"62",,"28.52","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Caresource","Health Exchange",,,"62",,"28.52","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Cigna","Commercial",,,"59",,"26.96","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Humana","Commercial",,,"78",,"35.65","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","UHC","Commercial",,,"75",,"34.68","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Medicaid",,,,"37",,"16.84","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Alliant","Health Exchange",,,"62",,"22.32","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.44","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Medicare",,,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Humana","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","UHC","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Clover","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Wellcare","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Amerigroup","Medicaid Managed Care",,,"37",,"13.18","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Caresource","Medicaid Managed Care",,,"40",,"14.4","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Wellcare","Medicaid Managed Care",,,"40",,"14.58","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Aetna","Commercial",,,"64",,"22.97","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Blue Cross Blue Shield","Pathways",,,"71",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Blue Cross Blue Shield","HMO",,,"71",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Blue Cross Blue Shield","PPO",,,"71",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Ambetter","Health Exchange",,,"62",,"22.32","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Caresource","Health Exchange",,,"62",,"22.32","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Cigna","Commercial",,,"59",,"21.1","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Humana","Commercial",,,"78",,"27.9","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","UHC","Commercial",,,"75",,"27.14","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Medicaid",,,,"37",,"13.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Tacrolimus Oral Capsule 1MG","0259","RC","Both",,,"13","6.5","Alliant","Health Exchange",,,"62",,"8.06","0.04","2502.48","percent of total billed charges",,
"NF-Tacrolimus Oral Capsule 1MG","0259","RC","Both",,,"13","6.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.02","0.04","2502.48","percent of total billed charges",,
"NF-Tacrolimus Oral Capsule 1MG","0259","RC","Both",,,"13","6.5","Medicare",,,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-Tacrolimus Oral Capsule 1MG","0259","RC","Both",,,"13","6.5","Humana","Medicare Advantage",,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-Tacrolimus Oral Capsule 1MG","0259","RC","Both",,,"13","6.5","UHC","Medicare Advantage",,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-Tacrolimus Oral Capsule 1MG","0259","RC","Both",,,"13","6.5","Clover","Medicare Advantage",,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-Tacrolimus Oral Capsule 1MG","0259","RC","Both",,,"13","6.5","Wellcare","Medicare Advantage",,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-Tacrolimus Oral Capsule 1MG","0259","RC","Both",,,"13","6.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.76","0.04","2502.48","percent of total billed charges",,
"NF-Tacrolimus Oral Capsule 1MG","0259","RC","Both",,,"13","6.5","Caresource","Medicaid Managed Care",,,"40",,"5.2","0.04","2502.48","percent of total billed charges",,
"NF-Tacrolimus Oral Capsule 1MG","0259","RC","Both",,,"13","6.5","Wellcare","Medicaid Managed Care",,,"40",,"5.26","0.04","2502.48","percent of total billed charges",,
"NF-Tacrolimus Oral Capsule 1MG","0259","RC","Both",,,"13","6.5","Aetna","Commercial",,,"64",,"8.29","0.04","2502.48","percent of total billed charges",,
"NF-Tacrolimus Oral Capsule 1MG","0259","RC","Both",,,"13","6.5","Blue Cross Blue Shield","Pathways",,,"71",,"9.18","0.04","2502.48","percent of total billed charges",,
"NF-Tacrolimus Oral Capsule 1MG","0259","RC","Both",,,"13","6.5","Blue Cross Blue Shield","HMO",,,"71",,"9.18","0.04","2502.48","percent of total billed charges",,
"NF-Tacrolimus Oral Capsule 1MG","0259","RC","Both",,,"13","6.5","Blue Cross Blue Shield","PPO",,,"71",,"9.18","0.04","2502.48","percent of total billed charges",,
"NF-Tacrolimus Oral Capsule 1MG","0259","RC","Both",,,"13","6.5","Ambetter","Health Exchange",,,"62",,"8.06","0.04","2502.48","percent of total billed charges",,
"NF-Tacrolimus Oral Capsule 1MG","0259","RC","Both",,,"13","6.5","Caresource","Health Exchange",,,"62",,"8.06","0.04","2502.48","percent of total billed charges",,
"NF-Tacrolimus Oral Capsule 1MG","0259","RC","Both",,,"13","6.5","Cigna","Commercial",,,"59",,"7.62","0.04","2502.48","percent of total billed charges",,
"NF-Tacrolimus Oral Capsule 1MG","0259","RC","Both",,,"13","6.5","Humana","Commercial",,,"78",,"10.08","0.04","2502.48","percent of total billed charges",,
"NF-Tacrolimus Oral Capsule 1MG","0259","RC","Both",,,"13","6.5","UHC","Commercial",,,"75",,"9.8","0.04","2502.48","percent of total billed charges",,
"NF-Tacrolimus Oral Capsule 1MG","0259","RC","Both",,,"13","6.5","Medicaid",,,,"37",,"4.76","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"50","25","Alliant","Health Exchange",,,"62",,"31","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"50","25","Pruitt Healthcare","Medicare Advantage",,,"54",,"27","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"50","25","Medicare",,,,"54",,"27.1","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"50","25","Humana","Medicare Advantage",,,"54",,"27.1","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"50","25","UHC","Medicare Advantage",,,"54",,"27.1","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"50","25","Clover","Medicare Advantage",,,"54",,"27.1","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"50","25","Wellcare","Medicare Advantage",,,"54",,"27.1","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"50","25","Amerigroup","Medicaid Managed Care",,,"37",,"18.3","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"50","25","Caresource","Medicaid Managed Care",,,"40",,"20","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"50","25","Wellcare","Medicaid Managed Care",,,"40",,"20.25","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"50","25","Aetna","Commercial",,,"64",,"31.9","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"50","25","Blue Cross Blue Shield","Pathways",,,"71",,"35.3","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"50","25","Blue Cross Blue Shield","HMO",,,"71",,"35.3","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"50","25","Blue Cross Blue Shield","PPO",,,"71",,"35.3","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"50","25","Ambetter","Health Exchange",,,"62",,"31","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"50","25","Caresource","Health Exchange",,,"62",,"31","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"50","25","Cigna","Commercial",,,"59",,"29.3","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"50","25","Humana","Commercial",,,"78",,"38.75","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"50","25","UHC","Commercial",,,"75",,"37.7","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"50","25","Medicaid",,,,"37",,"18.3","0.04","2502.48","percent of total billed charges",,
"NF-Prazosin HCl Capsule 1MG","0259","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Prazosin HCl Capsule 1MG","0259","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Prazosin HCl Capsule 1MG","0259","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Prazosin HCl Capsule 1MG","0259","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Prazosin HCl Capsule 1MG","0259","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Prazosin HCl Capsule 1MG","0259","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Prazosin HCl Capsule 1MG","0259","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Prazosin HCl Capsule 1MG","0259","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Prazosin HCl Capsule 1MG","0259","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","2502.48","percent of total billed charges",,
"NF-Prazosin HCl Capsule 1MG","0259","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-Prazosin HCl Capsule 1MG","0259","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-Prazosin HCl Capsule 1MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Prazosin HCl Capsule 1MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Prazosin HCl Capsule 1MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Prazosin HCl Capsule 1MG","0259","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Prazosin HCl Capsule 1MG","0259","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Prazosin HCl Capsule 1MG","0259","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","2502.48","percent of total billed charges",,
"NF-Prazosin HCl Capsule 1MG","0259","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-Prazosin HCl Capsule 1MG","0259","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","2502.48","percent of total billed charges",,
"NF-Prazosin HCl Capsule 1MG","0259","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"40","20","Alliant","Health Exchange",,,"62",,"24.8","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"40","20","Pruitt Healthcare","Medicare Advantage",,,"54",,"21.6","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"40","20","Medicare",,,,"54",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"40","20","Humana","Medicare Advantage",,,"54",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"40","20","UHC","Medicare Advantage",,,"54",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"40","20","Clover","Medicare Advantage",,,"54",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"40","20","Wellcare","Medicare Advantage",,,"54",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"40","20","Amerigroup","Medicaid Managed Care",,,"37",,"14.64","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"40","20","Caresource","Medicaid Managed Care",,,"40",,"16","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"40","20","Wellcare","Medicaid Managed Care",,,"40",,"16.2","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"40","20","Aetna","Commercial",,,"64",,"25.52","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"40","20","Blue Cross Blue Shield","Pathways",,,"71",,"28.24","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"40","20","Blue Cross Blue Shield","HMO",,,"71",,"28.24","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"40","20","Blue Cross Blue Shield","PPO",,,"71",,"28.24","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"40","20","Ambetter","Health Exchange",,,"62",,"24.8","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"40","20","Caresource","Health Exchange",,,"62",,"24.8","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"40","20","Cigna","Commercial",,,"59",,"23.44","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"40","20","Humana","Commercial",,,"78",,"31","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"40","20","UHC","Commercial",,,"75",,"30.16","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"40","20","Medicaid",,,,"37",,"14.64","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Oral Tablet 1.25MG","0259","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Oral Tablet 1.25MG","0259","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Oral Tablet 1.25MG","0259","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Oral Tablet 1.25MG","0259","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Oral Tablet 1.25MG","0259","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Oral Tablet 1.25MG","0259","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Oral Tablet 1.25MG","0259","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Oral Tablet 1.25MG","0259","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Oral Tablet 1.25MG","0259","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Oral Tablet 1.25MG","0259","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Oral Tablet 1.25MG","0259","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Oral Tablet 1.25MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Oral Tablet 1.25MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Oral Tablet 1.25MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Oral Tablet 1.25MG","0259","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Oral Tablet 1.25MG","0259","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Oral Tablet 1.25MG","0259","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Oral Tablet 1.25MG","0259","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Oral Tablet 1.25MG","0259","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Oral Tablet 1.25MG","0259","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","0259","RC","Both",,,"14","7","Alliant","Health Exchange",,,"62",,"8.68","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","0259","RC","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.56","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","0259","RC","Both",,,"14","7","Medicare",,,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","0259","RC","Both",,,"14","7","Humana","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","0259","RC","Both",,,"14","7","UHC","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","0259","RC","Both",,,"14","7","Clover","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","0259","RC","Both",,,"14","7","Wellcare","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","0259","RC","Both",,,"14","7","Amerigroup","Medicaid Managed Care",,,"37",,"5.12","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","0259","RC","Both",,,"14","7","Caresource","Medicaid Managed Care",,,"40",,"5.6","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","0259","RC","Both",,,"14","7","Wellcare","Medicaid Managed Care",,,"40",,"5.67","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","0259","RC","Both",,,"14","7","Aetna","Commercial",,,"64",,"8.93","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","0259","RC","Both",,,"14","7","Blue Cross Blue Shield","Pathways",,,"71",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","0259","RC","Both",,,"14","7","Blue Cross Blue Shield","HMO",,,"71",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","0259","RC","Both",,,"14","7","Blue Cross Blue Shield","PPO",,,"71",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","0259","RC","Both",,,"14","7","Ambetter","Health Exchange",,,"62",,"8.68","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","0259","RC","Both",,,"14","7","Caresource","Health Exchange",,,"62",,"8.68","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","0259","RC","Both",,,"14","7","Cigna","Commercial",,,"59",,"8.2","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","0259","RC","Both",,,"14","7","Humana","Commercial",,,"78",,"10.85","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","0259","RC","Both",,,"14","7","UHC","Commercial",,,"75",,"10.56","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","0259","RC","Both",,,"14","7","Medicaid",,,,"37",,"5.12","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","0259","RC","Both",,,"14","7","Alliant","Health Exchange",,,"62",,"8.68","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","0259","RC","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.56","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","0259","RC","Both",,,"14","7","Medicare",,,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","0259","RC","Both",,,"14","7","Humana","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","0259","RC","Both",,,"14","7","UHC","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","0259","RC","Both",,,"14","7","Clover","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","0259","RC","Both",,,"14","7","Wellcare","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","0259","RC","Both",,,"14","7","Amerigroup","Medicaid Managed Care",,,"37",,"5.12","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","0259","RC","Both",,,"14","7","Caresource","Medicaid Managed Care",,,"40",,"5.6","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","0259","RC","Both",,,"14","7","Wellcare","Medicaid Managed Care",,,"40",,"5.67","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","0259","RC","Both",,,"14","7","Aetna","Commercial",,,"64",,"8.93","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","0259","RC","Both",,,"14","7","Blue Cross Blue Shield","Pathways",,,"71",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","0259","RC","Both",,,"14","7","Blue Cross Blue Shield","HMO",,,"71",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","0259","RC","Both",,,"14","7","Blue Cross Blue Shield","PPO",,,"71",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","0259","RC","Both",,,"14","7","Ambetter","Health Exchange",,,"62",,"8.68","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","0259","RC","Both",,,"14","7","Caresource","Health Exchange",,,"62",,"8.68","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","0259","RC","Both",,,"14","7","Cigna","Commercial",,,"59",,"8.2","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","0259","RC","Both",,,"14","7","Humana","Commercial",,,"78",,"10.85","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","0259","RC","Both",,,"14","7","UHC","Commercial",,,"75",,"10.56","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","0259","RC","Both",,,"14","7","Medicaid",,,,"37",,"5.12","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Tablet 50MG","0259","RC","Both",,,"69","34.5","Alliant","Health Exchange",,,"62",,"42.78","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Tablet 50MG","0259","RC","Both",,,"69","34.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"37.26","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Tablet 50MG","0259","RC","Both",,,"69","34.5","Medicare",,,,"54",,"37.4","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Tablet 50MG","0259","RC","Both",,,"69","34.5","Humana","Medicare Advantage",,,"54",,"37.4","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Tablet 50MG","0259","RC","Both",,,"69","34.5","UHC","Medicare Advantage",,,"54",,"37.4","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Tablet 50MG","0259","RC","Both",,,"69","34.5","Clover","Medicare Advantage",,,"54",,"37.4","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Tablet 50MG","0259","RC","Both",,,"69","34.5","Wellcare","Medicare Advantage",,,"54",,"37.4","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Tablet 50MG","0259","RC","Both",,,"69","34.5","Amerigroup","Medicaid Managed Care",,,"37",,"25.25","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Tablet 50MG","0259","RC","Both",,,"69","34.5","Caresource","Medicaid Managed Care",,,"40",,"27.6","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Tablet 50MG","0259","RC","Both",,,"69","34.5","Wellcare","Medicaid Managed Care",,,"40",,"27.94","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Tablet 50MG","0259","RC","Both",,,"69","34.5","Aetna","Commercial",,,"64",,"44.02","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Tablet 50MG","0259","RC","Both",,,"69","34.5","Blue Cross Blue Shield","Pathways",,,"71",,"48.71","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Tablet 50MG","0259","RC","Both",,,"69","34.5","Blue Cross Blue Shield","HMO",,,"71",,"48.71","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Tablet 50MG","0259","RC","Both",,,"69","34.5","Blue Cross Blue Shield","PPO",,,"71",,"48.71","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Tablet 50MG","0259","RC","Both",,,"69","34.5","Ambetter","Health Exchange",,,"62",,"42.78","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Tablet 50MG","0259","RC","Both",,,"69","34.5","Caresource","Health Exchange",,,"62",,"42.78","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Tablet 50MG","0259","RC","Both",,,"69","34.5","Cigna","Commercial",,,"59",,"40.43","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Tablet 50MG","0259","RC","Both",,,"69","34.5","Humana","Commercial",,,"78",,"53.48","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Tablet 50MG","0259","RC","Both",,,"69","34.5","UHC","Commercial",,,"75",,"52.03","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Tablet 50MG","0259","RC","Both",,,"69","34.5","Medicaid",,,,"37",,"25.25","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Memantine HCl Oral Capsule ER 28MG","0259","RC","Both",,,"45","22.5","Alliant","Health Exchange",,,"62",,"27.9","0.04","2502.48","percent of total billed charges",,
"NF-Memantine HCl Oral Capsule ER 28MG","0259","RC","Both",,,"45","22.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"24.3","0.04","2502.48","percent of total billed charges",,
"NF-Memantine HCl Oral Capsule ER 28MG","0259","RC","Both",,,"45","22.5","Medicare",,,,"54",,"24.39","0.04","2502.48","percent of total billed charges",,
"NF-Memantine HCl Oral Capsule ER 28MG","0259","RC","Both",,,"45","22.5","Humana","Medicare Advantage",,,"54",,"24.39","0.04","2502.48","percent of total billed charges",,
"NF-Memantine HCl Oral Capsule ER 28MG","0259","RC","Both",,,"45","22.5","UHC","Medicare Advantage",,,"54",,"24.39","0.04","2502.48","percent of total billed charges",,
"NF-Memantine HCl Oral Capsule ER 28MG","0259","RC","Both",,,"45","22.5","Clover","Medicare Advantage",,,"54",,"24.39","0.04","2502.48","percent of total billed charges",,
"NF-Memantine HCl Oral Capsule ER 28MG","0259","RC","Both",,,"45","22.5","Wellcare","Medicare Advantage",,,"54",,"24.39","0.04","2502.48","percent of total billed charges",,
"NF-Memantine HCl Oral Capsule ER 28MG","0259","RC","Both",,,"45","22.5","Amerigroup","Medicaid Managed Care",,,"37",,"16.47","0.04","2502.48","percent of total billed charges",,
"NF-Memantine HCl Oral Capsule ER 28MG","0259","RC","Both",,,"45","22.5","Caresource","Medicaid Managed Care",,,"40",,"18","0.04","2502.48","percent of total billed charges",,
"NF-Memantine HCl Oral Capsule ER 28MG","0259","RC","Both",,,"45","22.5","Wellcare","Medicaid Managed Care",,,"40",,"18.23","0.04","2502.48","percent of total billed charges",,
"NF-Memantine HCl Oral Capsule ER 28MG","0259","RC","Both",,,"45","22.5","Aetna","Commercial",,,"64",,"28.71","0.04","2502.48","percent of total billed charges",,
"NF-Memantine HCl Oral Capsule ER 28MG","0259","RC","Both",,,"45","22.5","Blue Cross Blue Shield","Pathways",,,"71",,"31.77","0.04","2502.48","percent of total billed charges",,
"NF-Memantine HCl Oral Capsule ER 28MG","0259","RC","Both",,,"45","22.5","Blue Cross Blue Shield","HMO",,,"71",,"31.77","0.04","2502.48","percent of total billed charges",,
"NF-Memantine HCl Oral Capsule ER 28MG","0259","RC","Both",,,"45","22.5","Blue Cross Blue Shield","PPO",,,"71",,"31.77","0.04","2502.48","percent of total billed charges",,
"NF-Memantine HCl Oral Capsule ER 28MG","0259","RC","Both",,,"45","22.5","Ambetter","Health Exchange",,,"62",,"27.9","0.04","2502.48","percent of total billed charges",,
"NF-Memantine HCl Oral Capsule ER 28MG","0259","RC","Both",,,"45","22.5","Caresource","Health Exchange",,,"62",,"27.9","0.04","2502.48","percent of total billed charges",,
"NF-Memantine HCl Oral Capsule ER 28MG","0259","RC","Both",,,"45","22.5","Cigna","Commercial",,,"59",,"26.37","0.04","2502.48","percent of total billed charges",,
"NF-Memantine HCl Oral Capsule ER 28MG","0259","RC","Both",,,"45","22.5","Humana","Commercial",,,"78",,"34.88","0.04","2502.48","percent of total billed charges",,
"NF-Memantine HCl Oral Capsule ER 28MG","0259","RC","Both",,,"45","22.5","UHC","Commercial",,,"75",,"33.93","0.04","2502.48","percent of total billed charges",,
"NF-Memantine HCl Oral Capsule ER 28MG","0259","RC","Both",,,"45","22.5","Medicaid",,,,"37",,"16.47","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","0259","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","0259","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","0259","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","0259","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","0259","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","0259","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","0259","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","0259","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","0259","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","0259","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","0259","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","0259","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","0259","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","0259","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","0259","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","0259","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","0259","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Oral Tablet 50mg","0259","RC","Both",,,"361","180.5","Alliant","Health Exchange",,,"62",,"223.82","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Oral Tablet 50mg","0259","RC","Both",,,"361","180.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"194.94","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Oral Tablet 50mg","0259","RC","Both",,,"361","180.5","Medicare",,,,"54",,"195.66","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Oral Tablet 50mg","0259","RC","Both",,,"361","180.5","Humana","Medicare Advantage",,,"54",,"195.66","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Oral Tablet 50mg","0259","RC","Both",,,"361","180.5","UHC","Medicare Advantage",,,"54",,"195.66","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Oral Tablet 50mg","0259","RC","Both",,,"361","180.5","Clover","Medicare Advantage",,,"54",,"195.66","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Oral Tablet 50mg","0259","RC","Both",,,"361","180.5","Wellcare","Medicare Advantage",,,"54",,"195.66","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Oral Tablet 50mg","0259","RC","Both",,,"361","180.5","Amerigroup","Medicaid Managed Care",,,"37",,"132.13","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Oral Tablet 50mg","0259","RC","Both",,,"361","180.5","Caresource","Medicaid Managed Care",,,"40",,"144.4","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Oral Tablet 50mg","0259","RC","Both",,,"361","180.5","Wellcare","Medicaid Managed Care",,,"40",,"146.21","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Oral Tablet 50mg","0259","RC","Both",,,"361","180.5","Aetna","Commercial",,,"64",,"230.32","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Oral Tablet 50mg","0259","RC","Both",,,"361","180.5","Blue Cross Blue Shield","Pathways",,,"71",,"254.87","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Oral Tablet 50mg","0259","RC","Both",,,"361","180.5","Blue Cross Blue Shield","HMO",,,"71",,"254.87","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Oral Tablet 50mg","0259","RC","Both",,,"361","180.5","Blue Cross Blue Shield","PPO",,,"71",,"254.87","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Oral Tablet 50mg","0259","RC","Both",,,"361","180.5","Ambetter","Health Exchange",,,"62",,"223.82","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Oral Tablet 50mg","0259","RC","Both",,,"361","180.5","Caresource","Health Exchange",,,"62",,"223.82","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Oral Tablet 50mg","0259","RC","Both",,,"361","180.5","Cigna","Commercial",,,"59",,"211.55","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Oral Tablet 50mg","0259","RC","Both",,,"361","180.5","Humana","Commercial",,,"78",,"279.78","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Oral Tablet 50mg","0259","RC","Both",,,"361","180.5","UHC","Commercial",,,"75",,"272.19","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Oral Tablet 50mg","0259","RC","Both",,,"361","180.5","Medicaid",,,,"37",,"132.13","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Alliant","Health Exchange",,,"62",,"22.32","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.44","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Medicare",,,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Humana","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","UHC","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Clover","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Wellcare","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Amerigroup","Medicaid Managed Care",,,"37",,"13.18","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Caresource","Medicaid Managed Care",,,"40",,"14.4","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Wellcare","Medicaid Managed Care",,,"40",,"14.58","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Aetna","Commercial",,,"64",,"22.97","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Blue Cross Blue Shield","Pathways",,,"71",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Blue Cross Blue Shield","HMO",,,"71",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Blue Cross Blue Shield","PPO",,,"71",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Ambetter","Health Exchange",,,"62",,"22.32","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Caresource","Health Exchange",,,"62",,"22.32","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Cigna","Commercial",,,"59",,"21.1","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Humana","Commercial",,,"78",,"27.9","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","UHC","Commercial",,,"75",,"27.14","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Medicaid",,,,"37",,"13.18","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Alliant","Health Exchange",,,"62",,"22.32","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.44","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Medicare",,,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Humana","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","UHC","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Clover","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Wellcare","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Amerigroup","Medicaid Managed Care",,,"37",,"13.18","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Caresource","Medicaid Managed Care",,,"40",,"14.4","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Wellcare","Medicaid Managed Care",,,"40",,"14.58","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Aetna","Commercial",,,"64",,"22.97","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Blue Cross Blue Shield","Pathways",,,"71",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Blue Cross Blue Shield","HMO",,,"71",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Blue Cross Blue Shield","PPO",,,"71",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Ambetter","Health Exchange",,,"62",,"22.32","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Caresource","Health Exchange",,,"62",,"22.32","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Cigna","Commercial",,,"59",,"21.1","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Humana","Commercial",,,"78",,"27.9","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","UHC","Commercial",,,"75",,"27.14","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Medicaid",,,,"37",,"13.18","0.04","2502.48","percent of total billed charges",,
"NF-Pristiq Extended-Release Tablet 50MG","0259","RC","Both",,,"48","24","Alliant","Health Exchange",,,"62",,"29.76","0.04","2502.48","percent of total billed charges",,
"NF-Pristiq Extended-Release Tablet 50MG","0259","RC","Both",,,"48","24","Pruitt Healthcare","Medicare Advantage",,,"54",,"25.92","0.04","2502.48","percent of total billed charges",,
"NF-Pristiq Extended-Release Tablet 50MG","0259","RC","Both",,,"48","24","Medicare",,,,"54",,"26.02","0.04","2502.48","percent of total billed charges",,
"NF-Pristiq Extended-Release Tablet 50MG","0259","RC","Both",,,"48","24","Humana","Medicare Advantage",,,"54",,"26.02","0.04","2502.48","percent of total billed charges",,
"NF-Pristiq Extended-Release Tablet 50MG","0259","RC","Both",,,"48","24","UHC","Medicare Advantage",,,"54",,"26.02","0.04","2502.48","percent of total billed charges",,
"NF-Pristiq Extended-Release Tablet 50MG","0259","RC","Both",,,"48","24","Clover","Medicare Advantage",,,"54",,"26.02","0.04","2502.48","percent of total billed charges",,
"NF-Pristiq Extended-Release Tablet 50MG","0259","RC","Both",,,"48","24","Wellcare","Medicare Advantage",,,"54",,"26.02","0.04","2502.48","percent of total billed charges",,
"NF-Pristiq Extended-Release Tablet 50MG","0259","RC","Both",,,"48","24","Amerigroup","Medicaid Managed Care",,,"37",,"17.57","0.04","2502.48","percent of total billed charges",,
"NF-Pristiq Extended-Release Tablet 50MG","0259","RC","Both",,,"48","24","Caresource","Medicaid Managed Care",,,"40",,"19.2","0.04","2502.48","percent of total billed charges",,
"NF-Pristiq Extended-Release Tablet 50MG","0259","RC","Both",,,"48","24","Wellcare","Medicaid Managed Care",,,"40",,"19.44","0.04","2502.48","percent of total billed charges",,
"NF-Pristiq Extended-Release Tablet 50MG","0259","RC","Both",,,"48","24","Aetna","Commercial",,,"64",,"30.62","0.04","2502.48","percent of total billed charges",,
"NF-Pristiq Extended-Release Tablet 50MG","0259","RC","Both",,,"48","24","Blue Cross Blue Shield","Pathways",,,"71",,"33.89","0.04","2502.48","percent of total billed charges",,
"NF-Pristiq Extended-Release Tablet 50MG","0259","RC","Both",,,"48","24","Blue Cross Blue Shield","HMO",,,"71",,"33.89","0.04","2502.48","percent of total billed charges",,
"NF-Pristiq Extended-Release Tablet 50MG","0259","RC","Both",,,"48","24","Blue Cross Blue Shield","PPO",,,"71",,"33.89","0.04","2502.48","percent of total billed charges",,
"NF-Pristiq Extended-Release Tablet 50MG","0259","RC","Both",,,"48","24","Ambetter","Health Exchange",,,"62",,"29.76","0.04","2502.48","percent of total billed charges",,
"NF-Pristiq Extended-Release Tablet 50MG","0259","RC","Both",,,"48","24","Caresource","Health Exchange",,,"62",,"29.76","0.04","2502.48","percent of total billed charges",,
"NF-Pristiq Extended-Release Tablet 50MG","0259","RC","Both",,,"48","24","Cigna","Commercial",,,"59",,"28.13","0.04","2502.48","percent of total billed charges",,
"NF-Pristiq Extended-Release Tablet 50MG","0259","RC","Both",,,"48","24","Humana","Commercial",,,"78",,"37.2","0.04","2502.48","percent of total billed charges",,
"NF-Pristiq Extended-Release Tablet 50MG","0259","RC","Both",,,"48","24","UHC","Commercial",,,"75",,"36.19","0.04","2502.48","percent of total billed charges",,
"NF-Pristiq Extended-Release Tablet 50MG","0259","RC","Both",,,"48","24","Medicaid",,,,"37",,"17.57","0.04","2502.48","percent of total billed charges",,
"NF-TEGretol Oral Suspension 100MG/5ML","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-TEGretol Oral Suspension 100MG/5ML","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-TEGretol Oral Suspension 100MG/5ML","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-TEGretol Oral Suspension 100MG/5ML","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-TEGretol Oral Suspension 100MG/5ML","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-TEGretol Oral Suspension 100MG/5ML","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-TEGretol Oral Suspension 100MG/5ML","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-TEGretol Oral Suspension 100MG/5ML","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-TEGretol Oral Suspension 100MG/5ML","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-TEGretol Oral Suspension 100MG/5ML","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-TEGretol Oral Suspension 100MG/5ML","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-TEGretol Oral Suspension 100MG/5ML","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-TEGretol Oral Suspension 100MG/5ML","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-TEGretol Oral Suspension 100MG/5ML","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-TEGretol Oral Suspension 100MG/5ML","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-TEGretol Oral Suspension 100MG/5ML","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-TEGretol Oral Suspension 100MG/5ML","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-TEGretol Oral Suspension 100MG/5ML","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-TEGretol Oral Suspension 100MG/5ML","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-TEGretol Oral Suspension 100MG/5ML","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE CAP ER 25MG","0259","RC","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE CAP ER 25MG","0259","RC","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE CAP ER 25MG","0259","RC","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE CAP ER 25MG","0259","RC","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE CAP ER 25MG","0259","RC","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE CAP ER 25MG","0259","RC","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE CAP ER 25MG","0259","RC","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE CAP ER 25MG","0259","RC","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE CAP ER 25MG","0259","RC","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE CAP ER 25MG","0259","RC","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE CAP ER 25MG","0259","RC","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE CAP ER 25MG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE CAP ER 25MG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE CAP ER 25MG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE CAP ER 25MG","0259","RC","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE CAP ER 25MG","0259","RC","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE CAP ER 25MG","0259","RC","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE CAP ER 25MG","0259","RC","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE CAP ER 25MG","0259","RC","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE CAP ER 25MG","0259","RC","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE ER TAB ER 25MG","0259","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE ER TAB ER 25MG","0259","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE ER TAB ER 25MG","0259","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE ER TAB ER 25MG","0259","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE ER TAB ER 25MG","0259","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE ER TAB ER 25MG","0259","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE ER TAB ER 25MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE ER TAB ER 25MG","0259","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE ER TAB ER 25MG","0259","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE ER TAB ER 25MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE ER TAB ER 25MG","0259","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE ER TAB ER 25MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE ER TAB ER 25MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE ER TAB ER 25MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE ER TAB ER 25MG","0259","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE ER TAB ER 25MG","0259","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE ER TAB ER 25MG","0259","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE ER TAB ER 25MG","0259","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE ER TAB ER 25MG","0259","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCCINATE ER TAB ER 25MG","0259","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Lidoderm Patch 5%","0259","RC","Both",,,"28","14","Alliant","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Lidoderm Patch 5%","0259","RC","Both",,,"28","14","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.12","0.04","2502.48","percent of total billed charges",,
"NF-Lidoderm Patch 5%","0259","RC","Both",,,"28","14","Medicare",,,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Lidoderm Patch 5%","0259","RC","Both",,,"28","14","Humana","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Lidoderm Patch 5%","0259","RC","Both",,,"28","14","UHC","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Lidoderm Patch 5%","0259","RC","Both",,,"28","14","Clover","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Lidoderm Patch 5%","0259","RC","Both",,,"28","14","Wellcare","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Lidoderm Patch 5%","0259","RC","Both",,,"28","14","Amerigroup","Medicaid Managed Care",,,"37",,"10.25","0.04","2502.48","percent of total billed charges",,
"NF-Lidoderm Patch 5%","0259","RC","Both",,,"28","14","Caresource","Medicaid Managed Care",,,"40",,"11.2","0.04","2502.48","percent of total billed charges",,
"NF-Lidoderm Patch 5%","0259","RC","Both",,,"28","14","Wellcare","Medicaid Managed Care",,,"40",,"11.34","0.04","2502.48","percent of total billed charges",,
"NF-Lidoderm Patch 5%","0259","RC","Both",,,"28","14","Aetna","Commercial",,,"64",,"17.86","0.04","2502.48","percent of total billed charges",,
"NF-Lidoderm Patch 5%","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","Pathways",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Lidoderm Patch 5%","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","HMO",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Lidoderm Patch 5%","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","PPO",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Lidoderm Patch 5%","0259","RC","Both",,,"28","14","Ambetter","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Lidoderm Patch 5%","0259","RC","Both",,,"28","14","Caresource","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Lidoderm Patch 5%","0259","RC","Both",,,"28","14","Cigna","Commercial",,,"59",,"16.41","0.04","2502.48","percent of total billed charges",,
"NF-Lidoderm Patch 5%","0259","RC","Both",,,"28","14","Humana","Commercial",,,"78",,"21.7","0.04","2502.48","percent of total billed charges",,
"NF-Lidoderm Patch 5%","0259","RC","Both",,,"28","14","UHC","Commercial",,,"75",,"21.11","0.04","2502.48","percent of total billed charges",,
"NF-Lidoderm Patch 5%","0259","RC","Both",,,"28","14","Medicaid",,,,"37",,"10.25","0.04","2502.48","percent of total billed charges",,
"NF-Lotemax Ophth Suspension 0.5%","0259","RC","Both",,,"171","85.5","Alliant","Health Exchange",,,"62",,"106.02","0.04","2502.48","percent of total billed charges",,
"NF-Lotemax Ophth Suspension 0.5%","0259","RC","Both",,,"171","85.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"92.34","0.04","2502.48","percent of total billed charges",,
"NF-Lotemax Ophth Suspension 0.5%","0259","RC","Both",,,"171","85.5","Medicare",,,,"54",,"92.68","0.04","2502.48","percent of total billed charges",,
"NF-Lotemax Ophth Suspension 0.5%","0259","RC","Both",,,"171","85.5","Humana","Medicare Advantage",,,"54",,"92.68","0.04","2502.48","percent of total billed charges",,
"NF-Lotemax Ophth Suspension 0.5%","0259","RC","Both",,,"171","85.5","UHC","Medicare Advantage",,,"54",,"92.68","0.04","2502.48","percent of total billed charges",,
"NF-Lotemax Ophth Suspension 0.5%","0259","RC","Both",,,"171","85.5","Clover","Medicare Advantage",,,"54",,"92.68","0.04","2502.48","percent of total billed charges",,
"NF-Lotemax Ophth Suspension 0.5%","0259","RC","Both",,,"171","85.5","Wellcare","Medicare Advantage",,,"54",,"92.68","0.04","2502.48","percent of total billed charges",,
"NF-Lotemax Ophth Suspension 0.5%","0259","RC","Both",,,"171","85.5","Amerigroup","Medicaid Managed Care",,,"37",,"62.59","0.04","2502.48","percent of total billed charges",,
"NF-Lotemax Ophth Suspension 0.5%","0259","RC","Both",,,"171","85.5","Caresource","Medicaid Managed Care",,,"40",,"68.4","0.04","2502.48","percent of total billed charges",,
"NF-Lotemax Ophth Suspension 0.5%","0259","RC","Both",,,"171","85.5","Wellcare","Medicaid Managed Care",,,"40",,"69.26","0.04","2502.48","percent of total billed charges",,
"NF-Lotemax Ophth Suspension 0.5%","0259","RC","Both",,,"171","85.5","Aetna","Commercial",,,"64",,"109.1","0.04","2502.48","percent of total billed charges",,
"NF-Lotemax Ophth Suspension 0.5%","0259","RC","Both",,,"171","85.5","Blue Cross Blue Shield","Pathways",,,"71",,"120.73","0.04","2502.48","percent of total billed charges",,
"NF-Lotemax Ophth Suspension 0.5%","0259","RC","Both",,,"171","85.5","Blue Cross Blue Shield","HMO",,,"71",,"120.73","0.04","2502.48","percent of total billed charges",,
"NF-Lotemax Ophth Suspension 0.5%","0259","RC","Both",,,"171","85.5","Blue Cross Blue Shield","PPO",,,"71",,"120.73","0.04","2502.48","percent of total billed charges",,
"NF-Lotemax Ophth Suspension 0.5%","0259","RC","Both",,,"171","85.5","Ambetter","Health Exchange",,,"62",,"106.02","0.04","2502.48","percent of total billed charges",,
"NF-Lotemax Ophth Suspension 0.5%","0259","RC","Both",,,"171","85.5","Caresource","Health Exchange",,,"62",,"106.02","0.04","2502.48","percent of total billed charges",,
"NF-Lotemax Ophth Suspension 0.5%","0259","RC","Both",,,"171","85.5","Cigna","Commercial",,,"59",,"100.21","0.04","2502.48","percent of total billed charges",,
"NF-Lotemax Ophth Suspension 0.5%","0259","RC","Both",,,"171","85.5","Humana","Commercial",,,"78",,"132.52","0.04","2502.48","percent of total billed charges",,
"NF-Lotemax Ophth Suspension 0.5%","0259","RC","Both",,,"171","85.5","UHC","Commercial",,,"75",,"128.93","0.04","2502.48","percent of total billed charges",,
"NF-Lotemax Ophth Suspension 0.5%","0259","RC","Both",,,"171","85.5","Medicaid",,,,"37",,"62.59","0.04","2502.48","percent of total billed charges",,
"NF-Desvenlafaxine Oral Tab ER 25MG","0259","RC","Both",,,"34","17","Alliant","Health Exchange",,,"62",,"21.08","0.04","2502.48","percent of total billed charges",,
"NF-Desvenlafaxine Oral Tab ER 25MG","0259","RC","Both",,,"34","17","Pruitt Healthcare","Medicare Advantage",,,"54",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Desvenlafaxine Oral Tab ER 25MG","0259","RC","Both",,,"34","17","Medicare",,,,"54",,"18.43","0.04","2502.48","percent of total billed charges",,
"NF-Desvenlafaxine Oral Tab ER 25MG","0259","RC","Both",,,"34","17","Humana","Medicare Advantage",,,"54",,"18.43","0.04","2502.48","percent of total billed charges",,
"NF-Desvenlafaxine Oral Tab ER 25MG","0259","RC","Both",,,"34","17","UHC","Medicare Advantage",,,"54",,"18.43","0.04","2502.48","percent of total billed charges",,
"NF-Desvenlafaxine Oral Tab ER 25MG","0259","RC","Both",,,"34","17","Clover","Medicare Advantage",,,"54",,"18.43","0.04","2502.48","percent of total billed charges",,
"NF-Desvenlafaxine Oral Tab ER 25MG","0259","RC","Both",,,"34","17","Wellcare","Medicare Advantage",,,"54",,"18.43","0.04","2502.48","percent of total billed charges",,
"NF-Desvenlafaxine Oral Tab ER 25MG","0259","RC","Both",,,"34","17","Amerigroup","Medicaid Managed Care",,,"37",,"12.44","0.04","2502.48","percent of total billed charges",,
"NF-Desvenlafaxine Oral Tab ER 25MG","0259","RC","Both",,,"34","17","Caresource","Medicaid Managed Care",,,"40",,"13.6","0.04","2502.48","percent of total billed charges",,
"NF-Desvenlafaxine Oral Tab ER 25MG","0259","RC","Both",,,"34","17","Wellcare","Medicaid Managed Care",,,"40",,"13.77","0.04","2502.48","percent of total billed charges",,
"NF-Desvenlafaxine Oral Tab ER 25MG","0259","RC","Both",,,"34","17","Aetna","Commercial",,,"64",,"21.69","0.04","2502.48","percent of total billed charges",,
"NF-Desvenlafaxine Oral Tab ER 25MG","0259","RC","Both",,,"34","17","Blue Cross Blue Shield","Pathways",,,"71",,"24","0.04","2502.48","percent of total billed charges",,
"NF-Desvenlafaxine Oral Tab ER 25MG","0259","RC","Both",,,"34","17","Blue Cross Blue Shield","HMO",,,"71",,"24","0.04","2502.48","percent of total billed charges",,
"NF-Desvenlafaxine Oral Tab ER 25MG","0259","RC","Both",,,"34","17","Blue Cross Blue Shield","PPO",,,"71",,"24","0.04","2502.48","percent of total billed charges",,
"NF-Desvenlafaxine Oral Tab ER 25MG","0259","RC","Both",,,"34","17","Ambetter","Health Exchange",,,"62",,"21.08","0.04","2502.48","percent of total billed charges",,
"NF-Desvenlafaxine Oral Tab ER 25MG","0259","RC","Both",,,"34","17","Caresource","Health Exchange",,,"62",,"21.08","0.04","2502.48","percent of total billed charges",,
"NF-Desvenlafaxine Oral Tab ER 25MG","0259","RC","Both",,,"34","17","Cigna","Commercial",,,"59",,"19.92","0.04","2502.48","percent of total billed charges",,
"NF-Desvenlafaxine Oral Tab ER 25MG","0259","RC","Both",,,"34","17","Humana","Commercial",,,"78",,"26.35","0.04","2502.48","percent of total billed charges",,
"NF-Desvenlafaxine Oral Tab ER 25MG","0259","RC","Both",,,"34","17","UHC","Commercial",,,"75",,"25.64","0.04","2502.48","percent of total billed charges",,
"NF-Desvenlafaxine Oral Tab ER 25MG","0259","RC","Both",,,"34","17","Medicaid",,,,"37",,"12.44","0.04","2502.48","percent of total billed charges",,
"NF-Desvenlafaxine Oral Tab ER 100MG","0259","RC","Both",,,"35","17.5","Alliant","Health Exchange",,,"62",,"21.7","0.04","2502.48","percent of total billed charges",,
"NF-Desvenlafaxine Oral Tab ER 100MG","0259","RC","Both",,,"35","17.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"18.9","0.04","2502.48","percent of total billed charges",,
"NF-Desvenlafaxine Oral Tab ER 100MG","0259","RC","Both",,,"35","17.5","Medicare",,,,"54",,"18.97","0.04","2502.48","percent of total billed charges",,
"NF-Desvenlafaxine Oral Tab ER 100MG","0259","RC","Both",,,"35","17.5","Humana","Medicare Advantage",,,"54",,"18.97","0.04","2502.48","percent of total billed charges",,
"NF-Desvenlafaxine Oral Tab ER 100MG","0259","RC","Both",,,"35","17.5","UHC","Medicare Advantage",,,"54",,"18.97","0.04","2502.48","percent of total billed charges",,
"NF-Desvenlafaxine Oral Tab ER 100MG","0259","RC","Both",,,"35","17.5","Clover","Medicare Advantage",,,"54",,"18.97","0.04","2502.48","percent of total billed charges",,
"NF-Desvenlafaxine Oral Tab ER 100MG","0259","RC","Both",,,"35","17.5","Wellcare","Medicare Advantage",,,"54",,"18.97","0.04","2502.48","percent of total billed charges",,
"NF-Desvenlafaxine Oral Tab ER 100MG","0259","RC","Both",,,"35","17.5","Amerigroup","Medicaid Managed Care",,,"37",,"12.81","0.04","2502.48","percent of total billed charges",,
"NF-Desvenlafaxine Oral Tab ER 100MG","0259","RC","Both",,,"35","17.5","Caresource","Medicaid Managed Care",,,"40",,"14","0.04","2502.48","percent of total billed charges",,
"NF-Desvenlafaxine Oral Tab ER 100MG","0259","RC","Both",,,"35","17.5","Wellcare","Medicaid Managed Care",,,"40",,"14.18","0.04","2502.48","percent of total billed charges",,
"NF-Desvenlafaxine Oral Tab ER 100MG","0259","RC","Both",,,"35","17.5","Aetna","Commercial",,,"64",,"22.33","0.04","2502.48","percent of total billed charges",,
"NF-Desvenlafaxine Oral Tab ER 100MG","0259","RC","Both",,,"35","17.5","Blue Cross Blue Shield","Pathways",,,"71",,"24.71","0.04","2502.48","percent of total billed charges",,
"NF-Desvenlafaxine Oral Tab ER 100MG","0259","RC","Both",,,"35","17.5","Blue Cross Blue Shield","HMO",,,"71",,"24.71","0.04","2502.48","percent of total billed charges",,
"NF-Desvenlafaxine Oral Tab ER 100MG","0259","RC","Both",,,"35","17.5","Blue Cross Blue Shield","PPO",,,"71",,"24.71","0.04","2502.48","percent of total billed charges",,
"NF-Desvenlafaxine Oral Tab ER 100MG","0259","RC","Both",,,"35","17.5","Ambetter","Health Exchange",,,"62",,"21.7","0.04","2502.48","percent of total billed charges",,
"NF-Desvenlafaxine Oral Tab ER 100MG","0259","RC","Both",,,"35","17.5","Caresource","Health Exchange",,,"62",,"21.7","0.04","2502.48","percent of total billed charges",,
"NF-Desvenlafaxine Oral Tab ER 100MG","0259","RC","Both",,,"35","17.5","Cigna","Commercial",,,"59",,"20.51","0.04","2502.48","percent of total billed charges",,
"NF-Desvenlafaxine Oral Tab ER 100MG","0259","RC","Both",,,"35","17.5","Humana","Commercial",,,"78",,"27.12","0.04","2502.48","percent of total billed charges",,
"NF-Desvenlafaxine Oral Tab ER 100MG","0259","RC","Both",,,"35","17.5","UHC","Commercial",,,"75",,"26.39","0.04","2502.48","percent of total billed charges",,
"NF-Desvenlafaxine Oral Tab ER 100MG","0259","RC","Both",,,"35","17.5","Medicaid",,,,"37",,"12.81","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","0259","RC","Both",,,"11","5.5","Alliant","Health Exchange",,,"62",,"6.82","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","0259","RC","Both",,,"11","5.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.94","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","0259","RC","Both",,,"11","5.5","Medicare",,,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","0259","RC","Both",,,"11","5.5","Humana","Medicare Advantage",,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","0259","RC","Both",,,"11","5.5","UHC","Medicare Advantage",,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","0259","RC","Both",,,"11","5.5","Clover","Medicare Advantage",,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","0259","RC","Both",,,"11","5.5","Wellcare","Medicare Advantage",,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","0259","RC","Both",,,"11","5.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.03","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","0259","RC","Both",,,"11","5.5","Caresource","Medicaid Managed Care",,,"40",,"4.4","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","0259","RC","Both",,,"11","5.5","Wellcare","Medicaid Managed Care",,,"40",,"4.46","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","0259","RC","Both",,,"11","5.5","Aetna","Commercial",,,"64",,"7.02","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","0259","RC","Both",,,"11","5.5","Blue Cross Blue Shield","Pathways",,,"71",,"7.77","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","0259","RC","Both",,,"11","5.5","Blue Cross Blue Shield","HMO",,,"71",,"7.77","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","0259","RC","Both",,,"11","5.5","Blue Cross Blue Shield","PPO",,,"71",,"7.77","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","0259","RC","Both",,,"11","5.5","Ambetter","Health Exchange",,,"62",,"6.82","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","0259","RC","Both",,,"11","5.5","Caresource","Health Exchange",,,"62",,"6.82","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","0259","RC","Both",,,"11","5.5","Cigna","Commercial",,,"59",,"6.45","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","0259","RC","Both",,,"11","5.5","Humana","Commercial",,,"78",,"8.52","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","0259","RC","Both",,,"11","5.5","UHC","Commercial",,,"75",,"8.29","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","0259","RC","Both",,,"11","5.5","Medicaid",,,,"37",,"4.03","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"142","71","Alliant","Health Exchange",,,"62",,"88.04","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"142","71","Pruitt Healthcare","Medicare Advantage",,,"54",,"76.68","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"142","71","Medicare",,,,"54",,"76.96","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"142","71","Humana","Medicare Advantage",,,"54",,"76.96","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"142","71","UHC","Medicare Advantage",,,"54",,"76.96","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"142","71","Clover","Medicare Advantage",,,"54",,"76.96","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"142","71","Wellcare","Medicare Advantage",,,"54",,"76.96","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"142","71","Amerigroup","Medicaid Managed Care",,,"37",,"51.97","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"142","71","Caresource","Medicaid Managed Care",,,"40",,"56.8","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"142","71","Wellcare","Medicaid Managed Care",,,"40",,"57.51","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"142","71","Aetna","Commercial",,,"64",,"90.6","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"142","71","Blue Cross Blue Shield","Pathways",,,"71",,"100.25","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"142","71","Blue Cross Blue Shield","HMO",,,"71",,"100.25","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"142","71","Blue Cross Blue Shield","PPO",,,"71",,"100.25","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"142","71","Ambetter","Health Exchange",,,"62",,"88.04","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"142","71","Caresource","Health Exchange",,,"62",,"88.04","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"142","71","Cigna","Commercial",,,"59",,"83.21","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"142","71","Humana","Commercial",,,"78",,"110.05","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"142","71","UHC","Commercial",,,"75",,"107.07","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"142","71","Medicaid",,,,"37",,"51.97","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"115","57.5","Alliant","Health Exchange",,,"62",,"71.3","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"115","57.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"62.1","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"115","57.5","Medicare",,,,"54",,"62.33","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"115","57.5","Humana","Medicare Advantage",,,"54",,"62.33","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"115","57.5","UHC","Medicare Advantage",,,"54",,"62.33","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"115","57.5","Clover","Medicare Advantage",,,"54",,"62.33","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"115","57.5","Wellcare","Medicare Advantage",,,"54",,"62.33","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"115","57.5","Amerigroup","Medicaid Managed Care",,,"37",,"42.09","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"115","57.5","Caresource","Medicaid Managed Care",,,"40",,"46","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"115","57.5","Wellcare","Medicaid Managed Care",,,"40",,"46.58","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"115","57.5","Aetna","Commercial",,,"64",,"73.37","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"115","57.5","Blue Cross Blue Shield","Pathways",,,"71",,"81.19","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"115","57.5","Blue Cross Blue Shield","HMO",,,"71",,"81.19","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"115","57.5","Blue Cross Blue Shield","PPO",,,"71",,"81.19","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"115","57.5","Ambetter","Health Exchange",,,"62",,"71.3","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"115","57.5","Caresource","Health Exchange",,,"62",,"71.3","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"115","57.5","Cigna","Commercial",,,"59",,"67.39","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"115","57.5","Humana","Commercial",,,"78",,"89.12","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"115","57.5","UHC","Commercial",,,"75",,"86.71","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"115","57.5","Medicaid",,,,"37",,"42.09","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Alliant","Health Exchange",,,"62",,"39.68","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Pruitt Healthcare","Medicare Advantage",,,"54",,"34.56","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Medicare",,,,"54",,"34.69","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Humana","Medicare Advantage",,,"54",,"34.69","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","UHC","Medicare Advantage",,,"54",,"34.69","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Clover","Medicare Advantage",,,"54",,"34.69","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Wellcare","Medicare Advantage",,,"54",,"34.69","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Amerigroup","Medicaid Managed Care",,,"37",,"23.42","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Caresource","Medicaid Managed Care",,,"40",,"25.6","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Wellcare","Medicaid Managed Care",,,"40",,"25.92","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Aetna","Commercial",,,"64",,"40.83","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Blue Cross Blue Shield","Pathways",,,"71",,"45.18","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Blue Cross Blue Shield","HMO",,,"71",,"45.18","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Blue Cross Blue Shield","PPO",,,"71",,"45.18","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Ambetter","Health Exchange",,,"62",,"39.68","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Caresource","Health Exchange",,,"62",,"39.68","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Cigna","Commercial",,,"59",,"37.5","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Humana","Commercial",,,"78",,"49.6","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","UHC","Commercial",,,"75",,"48.26","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Medicaid",,,,"37",,"23.42","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"54","27","Alliant","Health Exchange",,,"62",,"33.48","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"54","27","Pruitt Healthcare","Medicare Advantage",,,"54",,"29.16","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"54","27","Medicare",,,,"54",,"29.27","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"54","27","Humana","Medicare Advantage",,,"54",,"29.27","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"54","27","UHC","Medicare Advantage",,,"54",,"29.27","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"54","27","Clover","Medicare Advantage",,,"54",,"29.27","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"54","27","Wellcare","Medicare Advantage",,,"54",,"29.27","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"54","27","Amerigroup","Medicaid Managed Care",,,"37",,"19.76","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"54","27","Caresource","Medicaid Managed Care",,,"40",,"21.6","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"54","27","Wellcare","Medicaid Managed Care",,,"40",,"21.87","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"54","27","Aetna","Commercial",,,"64",,"34.45","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"54","27","Blue Cross Blue Shield","Pathways",,,"71",,"38.12","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"54","27","Blue Cross Blue Shield","HMO",,,"71",,"38.12","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"54","27","Blue Cross Blue Shield","PPO",,,"71",,"38.12","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"54","27","Ambetter","Health Exchange",,,"62",,"33.48","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"54","27","Caresource","Health Exchange",,,"62",,"33.48","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"54","27","Cigna","Commercial",,,"59",,"31.64","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"54","27","Humana","Commercial",,,"78",,"41.85","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"54","27","UHC","Commercial",,,"75",,"40.72","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"54","27","Medicaid",,,,"37",,"19.76","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Alliant","Health Exchange",,,"62",,"32.86","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.62","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Medicare",,,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Humana","Medicare Advantage",,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","UHC","Medicare Advantage",,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Clover","Medicare Advantage",,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Wellcare","Medicare Advantage",,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Amerigroup","Medicaid Managed Care",,,"37",,"19.4","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Caresource","Medicaid Managed Care",,,"40",,"21.2","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Wellcare","Medicaid Managed Care",,,"40",,"21.46","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Aetna","Commercial",,,"64",,"33.81","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Blue Cross Blue Shield","Pathways",,,"71",,"37.42","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Blue Cross Blue Shield","HMO",,,"71",,"37.42","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Blue Cross Blue Shield","PPO",,,"71",,"37.42","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Ambetter","Health Exchange",,,"62",,"32.86","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Caresource","Health Exchange",,,"62",,"32.86","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Cigna","Commercial",,,"59",,"31.06","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Humana","Commercial",,,"78",,"41.08","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","UHC","Commercial",,,"75",,"39.96","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Medicaid",,,,"37",,"19.4","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0259","RC","Both",,,"37","18.5","Alliant","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0259","RC","Both",,,"37","18.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.98","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0259","RC","Both",,,"37","18.5","Medicare",,,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0259","RC","Both",,,"37","18.5","Humana","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0259","RC","Both",,,"37","18.5","UHC","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0259","RC","Both",,,"37","18.5","Clover","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0259","RC","Both",,,"37","18.5","Wellcare","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0259","RC","Both",,,"37","18.5","Amerigroup","Medicaid Managed Care",,,"37",,"13.54","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0259","RC","Both",,,"37","18.5","Caresource","Medicaid Managed Care",,,"40",,"14.8","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0259","RC","Both",,,"37","18.5","Wellcare","Medicaid Managed Care",,,"40",,"14.99","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0259","RC","Both",,,"37","18.5","Aetna","Commercial",,,"64",,"23.61","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","Pathways",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","HMO",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","PPO",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0259","RC","Both",,,"37","18.5","Ambetter","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0259","RC","Both",,,"37","18.5","Caresource","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0259","RC","Both",,,"37","18.5","Cigna","Commercial",,,"59",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0259","RC","Both",,,"37","18.5","Humana","Commercial",,,"78",,"28.68","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0259","RC","Both",,,"37","18.5","UHC","Commercial",,,"75",,"27.9","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0259","RC","Both",,,"37","18.5","Medicaid",,,,"37",,"13.54","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Alliant","Health Exchange",,,"62",,"32.86","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.62","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Medicare",,,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Humana","Medicare Advantage",,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","UHC","Medicare Advantage",,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Clover","Medicare Advantage",,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Wellcare","Medicare Advantage",,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Amerigroup","Medicaid Managed Care",,,"37",,"19.4","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Caresource","Medicaid Managed Care",,,"40",,"21.2","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Wellcare","Medicaid Managed Care",,,"40",,"21.46","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Aetna","Commercial",,,"64",,"33.81","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Blue Cross Blue Shield","Pathways",,,"71",,"37.42","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Blue Cross Blue Shield","HMO",,,"71",,"37.42","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Blue Cross Blue Shield","PPO",,,"71",,"37.42","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Ambetter","Health Exchange",,,"62",,"32.86","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Caresource","Health Exchange",,,"62",,"32.86","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Cigna","Commercial",,,"59",,"31.06","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Humana","Commercial",,,"78",,"41.08","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","UHC","Commercial",,,"75",,"39.96","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Medicaid",,,,"37",,"19.4","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine HCl Oral Tablet 4MG","0259","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine HCl Oral Tablet 4MG","0259","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine HCl Oral Tablet 4MG","0259","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine HCl Oral Tablet 4MG","0259","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine HCl Oral Tablet 4MG","0259","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine HCl Oral Tablet 4MG","0259","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine HCl Oral Tablet 4MG","0259","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine HCl Oral Tablet 4MG","0259","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine HCl Oral Tablet 4MG","0259","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine HCl Oral Tablet 4MG","0259","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine HCl Oral Tablet 4MG","0259","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine HCl Oral Tablet 4MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine HCl Oral Tablet 4MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine HCl Oral Tablet 4MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine HCl Oral Tablet 4MG","0259","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine HCl Oral Tablet 4MG","0259","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine HCl Oral Tablet 4MG","0259","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine HCl Oral Tablet 4MG","0259","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine HCl Oral Tablet 4MG","0259","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine HCl Oral Tablet 4MG","0259","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"25","12.5","Alliant","Health Exchange",,,"62",,"15.5","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"25","12.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"13.5","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"25","12.5","Medicare",,,,"54",,"13.55","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"25","12.5","Humana","Medicare Advantage",,,"54",,"13.55","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"25","12.5","UHC","Medicare Advantage",,,"54",,"13.55","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"25","12.5","Clover","Medicare Advantage",,,"54",,"13.55","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"25","12.5","Wellcare","Medicare Advantage",,,"54",,"13.55","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"25","12.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.15","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"25","12.5","Caresource","Medicaid Managed Care",,,"40",,"10","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"25","12.5","Wellcare","Medicaid Managed Care",,,"40",,"10.12","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"25","12.5","Aetna","Commercial",,,"64",,"15.95","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"25","12.5","Blue Cross Blue Shield","Pathways",,,"71",,"17.65","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"25","12.5","Blue Cross Blue Shield","HMO",,,"71",,"17.65","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"25","12.5","Blue Cross Blue Shield","PPO",,,"71",,"17.65","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"25","12.5","Ambetter","Health Exchange",,,"62",,"15.5","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"25","12.5","Caresource","Health Exchange",,,"62",,"15.5","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"25","12.5","Cigna","Commercial",,,"59",,"14.65","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"25","12.5","Humana","Commercial",,,"78",,"19.38","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"25","12.5","UHC","Commercial",,,"75",,"18.85","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"25","12.5","Medicaid",,,,"37",,"9.15","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Propafenone HCl Tablet 150MG","0259","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Propafenone HCl Tablet 150MG","0259","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.04","2502.48","percent of total billed charges",,
"NF-Propafenone HCl Tablet 150MG","0259","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Propafenone HCl Tablet 150MG","0259","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Propafenone HCl Tablet 150MG","0259","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Propafenone HCl Tablet 150MG","0259","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Propafenone HCl Tablet 150MG","0259","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Propafenone HCl Tablet 150MG","0259","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-Propafenone HCl Tablet 150MG","0259","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.04","2502.48","percent of total billed charges",,
"NF-Propafenone HCl Tablet 150MG","0259","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Propafenone HCl Tablet 150MG","0259","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.04","2502.48","percent of total billed charges",,
"NF-Propafenone HCl Tablet 150MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Propafenone HCl Tablet 150MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Propafenone HCl Tablet 150MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Propafenone HCl Tablet 150MG","0259","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Propafenone HCl Tablet 150MG","0259","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Propafenone HCl Tablet 150MG","0259","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.04","2502.48","percent of total billed charges",,
"NF-Propafenone HCl Tablet 150MG","0259","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Propafenone HCl Tablet 150MG","0259","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.04","2502.48","percent of total billed charges",,
"NF-Propafenone HCl Tablet 150MG","0259","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"25","12.5","Alliant","Health Exchange",,,"62",,"15.5","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"25","12.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"13.5","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"25","12.5","Medicare",,,,"54",,"13.55","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"25","12.5","Humana","Medicare Advantage",,,"54",,"13.55","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"25","12.5","UHC","Medicare Advantage",,,"54",,"13.55","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"25","12.5","Clover","Medicare Advantage",,,"54",,"13.55","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"25","12.5","Wellcare","Medicare Advantage",,,"54",,"13.55","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"25","12.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.15","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"25","12.5","Caresource","Medicaid Managed Care",,,"40",,"10","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"25","12.5","Wellcare","Medicaid Managed Care",,,"40",,"10.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"25","12.5","Aetna","Commercial",,,"64",,"15.95","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"25","12.5","Blue Cross Blue Shield","Pathways",,,"71",,"17.65","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"25","12.5","Blue Cross Blue Shield","HMO",,,"71",,"17.65","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"25","12.5","Blue Cross Blue Shield","PPO",,,"71",,"17.65","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"25","12.5","Ambetter","Health Exchange",,,"62",,"15.5","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"25","12.5","Caresource","Health Exchange",,,"62",,"15.5","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"25","12.5","Cigna","Commercial",,,"59",,"14.65","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"25","12.5","Humana","Commercial",,,"78",,"19.38","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"25","12.5","UHC","Commercial",,,"75",,"18.85","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"25","12.5","Medicaid",,,,"37",,"9.15","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Propafenone HCl Oral Tablet 150MG","0259","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Propafenone HCl Oral Tablet 150MG","0259","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.04","2502.48","percent of total billed charges",,
"NF-Propafenone HCl Oral Tablet 150MG","0259","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Propafenone HCl Oral Tablet 150MG","0259","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Propafenone HCl Oral Tablet 150MG","0259","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Propafenone HCl Oral Tablet 150MG","0259","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Propafenone HCl Oral Tablet 150MG","0259","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Propafenone HCl Oral Tablet 150MG","0259","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-Propafenone HCl Oral Tablet 150MG","0259","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.04","2502.48","percent of total billed charges",,
"NF-Propafenone HCl Oral Tablet 150MG","0259","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Propafenone HCl Oral Tablet 150MG","0259","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.04","2502.48","percent of total billed charges",,
"NF-Propafenone HCl Oral Tablet 150MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Propafenone HCl Oral Tablet 150MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Propafenone HCl Oral Tablet 150MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Propafenone HCl Oral Tablet 150MG","0259","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Propafenone HCl Oral Tablet 150MG","0259","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Propafenone HCl Oral Tablet 150MG","0259","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.04","2502.48","percent of total billed charges",,
"NF-Propafenone HCl Oral Tablet 150MG","0259","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Propafenone HCl Oral Tablet 150MG","0259","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.04","2502.48","percent of total billed charges",,
"NF-Propafenone HCl Oral Tablet 150MG","0259","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"30","15","Alliant","Health Exchange",,,"62",,"18.6","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"30","15","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.2","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"30","15","Medicare",,,,"54",,"16.26","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"30","15","Humana","Medicare Advantage",,,"54",,"16.26","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"30","15","UHC","Medicare Advantage",,,"54",,"16.26","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"30","15","Clover","Medicare Advantage",,,"54",,"16.26","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"30","15","Wellcare","Medicare Advantage",,,"54",,"16.26","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"30","15","Amerigroup","Medicaid Managed Care",,,"37",,"10.98","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"30","15","Caresource","Medicaid Managed Care",,,"40",,"12","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"30","15","Wellcare","Medicaid Managed Care",,,"40",,"12.15","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"30","15","Aetna","Commercial",,,"64",,"19.14","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"30","15","Blue Cross Blue Shield","Pathways",,,"71",,"21.18","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"30","15","Blue Cross Blue Shield","HMO",,,"71",,"21.18","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"30","15","Blue Cross Blue Shield","PPO",,,"71",,"21.18","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"30","15","Ambetter","Health Exchange",,,"62",,"18.6","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"30","15","Caresource","Health Exchange",,,"62",,"18.6","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"30","15","Cigna","Commercial",,,"59",,"17.58","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"30","15","Humana","Commercial",,,"78",,"23.25","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"30","15","UHC","Commercial",,,"75",,"22.62","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"30","15","Medicaid",,,,"37",,"10.98","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Alliant","Health Exchange",,,"62",,"175.46","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"152.82","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Medicare",,,,"54",,"153.39","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Humana","Medicare Advantage",,,"54",,"153.39","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","UHC","Medicare Advantage",,,"54",,"153.39","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Clover","Medicare Advantage",,,"54",,"153.39","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Wellcare","Medicare Advantage",,,"54",,"153.39","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Amerigroup","Medicaid Managed Care",,,"37",,"103.58","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Caresource","Medicaid Managed Care",,,"40",,"113.2","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Wellcare","Medicaid Managed Care",,,"40",,"114.62","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Aetna","Commercial",,,"64",,"180.55","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Blue Cross Blue Shield","Pathways",,,"71",,"199.8","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Blue Cross Blue Shield","HMO",,,"71",,"199.8","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Blue Cross Blue Shield","PPO",,,"71",,"199.8","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Ambetter","Health Exchange",,,"62",,"175.46","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Caresource","Health Exchange",,,"62",,"175.46","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Cigna","Commercial",,,"59",,"165.84","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Humana","Commercial",,,"78",,"219.32","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","UHC","Commercial",,,"75",,"213.38","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Medicaid",,,,"37",,"103.58","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"142","71","Alliant","Health Exchange",,,"62",,"88.04","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"142","71","Pruitt Healthcare","Medicare Advantage",,,"54",,"76.68","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"142","71","Medicare",,,,"54",,"76.96","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"142","71","Humana","Medicare Advantage",,,"54",,"76.96","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"142","71","UHC","Medicare Advantage",,,"54",,"76.96","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"142","71","Clover","Medicare Advantage",,,"54",,"76.96","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"142","71","Wellcare","Medicare Advantage",,,"54",,"76.96","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"142","71","Amerigroup","Medicaid Managed Care",,,"37",,"51.97","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"142","71","Caresource","Medicaid Managed Care",,,"40",,"56.8","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"142","71","Wellcare","Medicaid Managed Care",,,"40",,"57.51","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"142","71","Aetna","Commercial",,,"64",,"90.6","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"142","71","Blue Cross Blue Shield","Pathways",,,"71",,"100.25","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"142","71","Blue Cross Blue Shield","HMO",,,"71",,"100.25","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"142","71","Blue Cross Blue Shield","PPO",,,"71",,"100.25","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"142","71","Ambetter","Health Exchange",,,"62",,"88.04","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"142","71","Caresource","Health Exchange",,,"62",,"88.04","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"142","71","Cigna","Commercial",,,"59",,"83.21","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"142","71","Humana","Commercial",,,"78",,"110.05","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"142","71","UHC","Commercial",,,"75",,"107.07","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"142","71","Medicaid",,,,"37",,"51.97","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","0259","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","0259","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","0259","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","0259","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","0259","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","0259","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","0259","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","0259","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","0259","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","0259","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","0259","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","0259","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","0259","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","0259","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","0259","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","0259","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","0259","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 5MG","0259","RC","Both",,,"46","23","Alliant","Health Exchange",,,"62",,"28.52","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 5MG","0259","RC","Both",,,"46","23","Pruitt Healthcare","Medicare Advantage",,,"54",,"24.84","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 5MG","0259","RC","Both",,,"46","23","Medicare",,,,"54",,"24.93","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 5MG","0259","RC","Both",,,"46","23","Humana","Medicare Advantage",,,"54",,"24.93","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 5MG","0259","RC","Both",,,"46","23","UHC","Medicare Advantage",,,"54",,"24.93","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 5MG","0259","RC","Both",,,"46","23","Clover","Medicare Advantage",,,"54",,"24.93","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 5MG","0259","RC","Both",,,"46","23","Wellcare","Medicare Advantage",,,"54",,"24.93","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 5MG","0259","RC","Both",,,"46","23","Amerigroup","Medicaid Managed Care",,,"37",,"16.84","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 5MG","0259","RC","Both",,,"46","23","Caresource","Medicaid Managed Care",,,"40",,"18.4","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 5MG","0259","RC","Both",,,"46","23","Wellcare","Medicaid Managed Care",,,"40",,"18.63","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 5MG","0259","RC","Both",,,"46","23","Aetna","Commercial",,,"64",,"29.35","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 5MG","0259","RC","Both",,,"46","23","Blue Cross Blue Shield","Pathways",,,"71",,"32.48","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 5MG","0259","RC","Both",,,"46","23","Blue Cross Blue Shield","HMO",,,"71",,"32.48","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 5MG","0259","RC","Both",,,"46","23","Blue Cross Blue Shield","PPO",,,"71",,"32.48","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 5MG","0259","RC","Both",,,"46","23","Ambetter","Health Exchange",,,"62",,"28.52","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 5MG","0259","RC","Both",,,"46","23","Caresource","Health Exchange",,,"62",,"28.52","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 5MG","0259","RC","Both",,,"46","23","Cigna","Commercial",,,"59",,"26.96","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 5MG","0259","RC","Both",,,"46","23","Humana","Commercial",,,"78",,"35.65","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 5MG","0259","RC","Both",,,"46","23","UHC","Commercial",,,"75",,"34.68","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 5MG","0259","RC","Both",,,"46","23","Medicaid",,,,"37",,"16.84","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone HCl Oral Tablet 30MG","0259","RC","Both",,,"32","16","Alliant","Health Exchange",,,"62",,"19.84","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone HCl Oral Tablet 30MG","0259","RC","Both",,,"32","16","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.28","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone HCl Oral Tablet 30MG","0259","RC","Both",,,"32","16","Medicare",,,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone HCl Oral Tablet 30MG","0259","RC","Both",,,"32","16","Humana","Medicare Advantage",,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone HCl Oral Tablet 30MG","0259","RC","Both",,,"32","16","UHC","Medicare Advantage",,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone HCl Oral Tablet 30MG","0259","RC","Both",,,"32","16","Clover","Medicare Advantage",,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone HCl Oral Tablet 30MG","0259","RC","Both",,,"32","16","Wellcare","Medicare Advantage",,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone HCl Oral Tablet 30MG","0259","RC","Both",,,"32","16","Amerigroup","Medicaid Managed Care",,,"37",,"11.71","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone HCl Oral Tablet 30MG","0259","RC","Both",,,"32","16","Caresource","Medicaid Managed Care",,,"40",,"12.8","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone HCl Oral Tablet 30MG","0259","RC","Both",,,"32","16","Wellcare","Medicaid Managed Care",,,"40",,"12.96","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone HCl Oral Tablet 30MG","0259","RC","Both",,,"32","16","Aetna","Commercial",,,"64",,"20.42","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone HCl Oral Tablet 30MG","0259","RC","Both",,,"32","16","Blue Cross Blue Shield","Pathways",,,"71",,"22.59","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone HCl Oral Tablet 30MG","0259","RC","Both",,,"32","16","Blue Cross Blue Shield","HMO",,,"71",,"22.59","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone HCl Oral Tablet 30MG","0259","RC","Both",,,"32","16","Blue Cross Blue Shield","PPO",,,"71",,"22.59","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone HCl Oral Tablet 30MG","0259","RC","Both",,,"32","16","Ambetter","Health Exchange",,,"62",,"19.84","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone HCl Oral Tablet 30MG","0259","RC","Both",,,"32","16","Caresource","Health Exchange",,,"62",,"19.84","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone HCl Oral Tablet 30MG","0259","RC","Both",,,"32","16","Cigna","Commercial",,,"59",,"18.75","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone HCl Oral Tablet 30MG","0259","RC","Both",,,"32","16","Humana","Commercial",,,"78",,"24.8","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone HCl Oral Tablet 30MG","0259","RC","Both",,,"32","16","UHC","Commercial",,,"75",,"24.13","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone HCl Oral Tablet 30MG","0259","RC","Both",,,"32","16","Medicaid",,,,"37",,"11.71","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibric Acid Oral Cap DR 135MG","0259","RC","Both",,,"16","8","Alliant","Health Exchange",,,"62",,"9.92","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibric Acid Oral Cap DR 135MG","0259","RC","Both",,,"16","8","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.64","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibric Acid Oral Cap DR 135MG","0259","RC","Both",,,"16","8","Medicare",,,,"54",,"8.67","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibric Acid Oral Cap DR 135MG","0259","RC","Both",,,"16","8","Humana","Medicare Advantage",,,"54",,"8.67","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibric Acid Oral Cap DR 135MG","0259","RC","Both",,,"16","8","UHC","Medicare Advantage",,,"54",,"8.67","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibric Acid Oral Cap DR 135MG","0259","RC","Both",,,"16","8","Clover","Medicare Advantage",,,"54",,"8.67","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibric Acid Oral Cap DR 135MG","0259","RC","Both",,,"16","8","Wellcare","Medicare Advantage",,,"54",,"8.67","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibric Acid Oral Cap DR 135MG","0259","RC","Both",,,"16","8","Amerigroup","Medicaid Managed Care",,,"37",,"5.86","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibric Acid Oral Cap DR 135MG","0259","RC","Both",,,"16","8","Caresource","Medicaid Managed Care",,,"40",,"6.4","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibric Acid Oral Cap DR 135MG","0259","RC","Both",,,"16","8","Wellcare","Medicaid Managed Care",,,"40",,"6.48","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibric Acid Oral Cap DR 135MG","0259","RC","Both",,,"16","8","Aetna","Commercial",,,"64",,"10.21","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibric Acid Oral Cap DR 135MG","0259","RC","Both",,,"16","8","Blue Cross Blue Shield","Pathways",,,"71",,"11.3","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibric Acid Oral Cap DR 135MG","0259","RC","Both",,,"16","8","Blue Cross Blue Shield","HMO",,,"71",,"11.3","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibric Acid Oral Cap DR 135MG","0259","RC","Both",,,"16","8","Blue Cross Blue Shield","PPO",,,"71",,"11.3","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibric Acid Oral Cap DR 135MG","0259","RC","Both",,,"16","8","Ambetter","Health Exchange",,,"62",,"9.92","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibric Acid Oral Cap DR 135MG","0259","RC","Both",,,"16","8","Caresource","Health Exchange",,,"62",,"9.92","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibric Acid Oral Cap DR 135MG","0259","RC","Both",,,"16","8","Cigna","Commercial",,,"59",,"9.38","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibric Acid Oral Cap DR 135MG","0259","RC","Both",,,"16","8","Humana","Commercial",,,"78",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibric Acid Oral Cap DR 135MG","0259","RC","Both",,,"16","8","UHC","Commercial",,,"75",,"12.06","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibric Acid Oral Cap DR 135MG","0259","RC","Both",,,"16","8","Medicaid",,,,"37",,"5.86","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"59","29.5","Alliant","Health Exchange",,,"62",,"36.58","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"59","29.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"31.86","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"59","29.5","Medicare",,,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"59","29.5","Humana","Medicare Advantage",,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"59","29.5","UHC","Medicare Advantage",,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"59","29.5","Clover","Medicare Advantage",,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"59","29.5","Wellcare","Medicare Advantage",,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"59","29.5","Amerigroup","Medicaid Managed Care",,,"37",,"21.59","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"59","29.5","Caresource","Medicaid Managed Care",,,"40",,"23.6","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"59","29.5","Wellcare","Medicaid Managed Care",,,"40",,"23.9","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"59","29.5","Aetna","Commercial",,,"64",,"37.64","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"59","29.5","Blue Cross Blue Shield","Pathways",,,"71",,"41.65","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"59","29.5","Blue Cross Blue Shield","HMO",,,"71",,"41.65","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"59","29.5","Blue Cross Blue Shield","PPO",,,"71",,"41.65","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"59","29.5","Ambetter","Health Exchange",,,"62",,"36.58","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"59","29.5","Caresource","Health Exchange",,,"62",,"36.58","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"59","29.5","Cigna","Commercial",,,"59",,"34.57","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"59","29.5","Humana","Commercial",,,"78",,"45.72","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"59","29.5","UHC","Commercial",,,"75",,"44.49","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"59","29.5","Medicaid",,,,"37",,"21.59","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 50MG","0259","RC","Both",,,"36","18","Alliant","Health Exchange",,,"62",,"22.32","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 50MG","0259","RC","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.44","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 50MG","0259","RC","Both",,,"36","18","Medicare",,,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 50MG","0259","RC","Both",,,"36","18","Humana","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 50MG","0259","RC","Both",,,"36","18","UHC","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 50MG","0259","RC","Both",,,"36","18","Clover","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 50MG","0259","RC","Both",,,"36","18","Wellcare","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 50MG","0259","RC","Both",,,"36","18","Amerigroup","Medicaid Managed Care",,,"37",,"13.18","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 50MG","0259","RC","Both",,,"36","18","Caresource","Medicaid Managed Care",,,"40",,"14.4","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 50MG","0259","RC","Both",,,"36","18","Wellcare","Medicaid Managed Care",,,"40",,"14.58","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 50MG","0259","RC","Both",,,"36","18","Aetna","Commercial",,,"64",,"22.97","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 50MG","0259","RC","Both",,,"36","18","Blue Cross Blue Shield","Pathways",,,"71",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 50MG","0259","RC","Both",,,"36","18","Blue Cross Blue Shield","HMO",,,"71",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 50MG","0259","RC","Both",,,"36","18","Blue Cross Blue Shield","PPO",,,"71",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 50MG","0259","RC","Both",,,"36","18","Ambetter","Health Exchange",,,"62",,"22.32","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 50MG","0259","RC","Both",,,"36","18","Caresource","Health Exchange",,,"62",,"22.32","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 50MG","0259","RC","Both",,,"36","18","Cigna","Commercial",,,"59",,"21.1","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 50MG","0259","RC","Both",,,"36","18","Humana","Commercial",,,"78",,"27.9","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 50MG","0259","RC","Both",,,"36","18","UHC","Commercial",,,"75",,"27.14","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 50MG","0259","RC","Both",,,"36","18","Medicaid",,,,"37",,"13.18","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"24","12","Alliant","Health Exchange",,,"62",,"14.88","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"24","12","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.96","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"24","12","Medicare",,,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"24","12","Humana","Medicare Advantage",,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"24","12","UHC","Medicare Advantage",,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"24","12","Clover","Medicare Advantage",,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"24","12","Wellcare","Medicare Advantage",,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"24","12","Amerigroup","Medicaid Managed Care",,,"37",,"8.78","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"24","12","Caresource","Medicaid Managed Care",,,"40",,"9.6","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"24","12","Wellcare","Medicaid Managed Care",,,"40",,"9.72","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"24","12","Aetna","Commercial",,,"64",,"15.31","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"24","12","Blue Cross Blue Shield","Pathways",,,"71",,"16.94","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"24","12","Blue Cross Blue Shield","HMO",,,"71",,"16.94","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"24","12","Blue Cross Blue Shield","PPO",,,"71",,"16.94","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"24","12","Ambetter","Health Exchange",,,"62",,"14.88","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"24","12","Caresource","Health Exchange",,,"62",,"14.88","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"24","12","Cigna","Commercial",,,"59",,"14.06","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"24","12","Humana","Commercial",,,"78",,"18.6","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"24","12","UHC","Commercial",,,"75",,"18.1","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"24","12","Medicaid",,,,"37",,"8.78","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 60MG","0259","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 60MG","0259","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 60MG","0259","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 60MG","0259","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 60MG","0259","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 60MG","0259","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 60MG","0259","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 60MG","0259","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 60MG","0259","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 60MG","0259","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 60MG","0259","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 60MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 60MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 60MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 60MG","0259","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 60MG","0259","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 60MG","0259","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 60MG","0259","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 60MG","0259","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 60MG","0259","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Evista Oral Tablet 60MG","0259","RC","Both",,,"23","11.5","Alliant","Health Exchange",,,"62",,"14.26","0.04","2502.48","percent of total billed charges",,
"NF-Evista Oral Tablet 60MG","0259","RC","Both",,,"23","11.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.42","0.04","2502.48","percent of total billed charges",,
"NF-Evista Oral Tablet 60MG","0259","RC","Both",,,"23","11.5","Medicare",,,,"54",,"12.47","0.04","2502.48","percent of total billed charges",,
"NF-Evista Oral Tablet 60MG","0259","RC","Both",,,"23","11.5","Humana","Medicare Advantage",,,"54",,"12.47","0.04","2502.48","percent of total billed charges",,
"NF-Evista Oral Tablet 60MG","0259","RC","Both",,,"23","11.5","UHC","Medicare Advantage",,,"54",,"12.47","0.04","2502.48","percent of total billed charges",,
"NF-Evista Oral Tablet 60MG","0259","RC","Both",,,"23","11.5","Clover","Medicare Advantage",,,"54",,"12.47","0.04","2502.48","percent of total billed charges",,
"NF-Evista Oral Tablet 60MG","0259","RC","Both",,,"23","11.5","Wellcare","Medicare Advantage",,,"54",,"12.47","0.04","2502.48","percent of total billed charges",,
"NF-Evista Oral Tablet 60MG","0259","RC","Both",,,"23","11.5","Amerigroup","Medicaid Managed Care",,,"37",,"8.42","0.04","2502.48","percent of total billed charges",,
"NF-Evista Oral Tablet 60MG","0259","RC","Both",,,"23","11.5","Caresource","Medicaid Managed Care",,,"40",,"9.2","0.04","2502.48","percent of total billed charges",,
"NF-Evista Oral Tablet 60MG","0259","RC","Both",,,"23","11.5","Wellcare","Medicaid Managed Care",,,"40",,"9.32","0.04","2502.48","percent of total billed charges",,
"NF-Evista Oral Tablet 60MG","0259","RC","Both",,,"23","11.5","Aetna","Commercial",,,"64",,"14.67","0.04","2502.48","percent of total billed charges",,
"NF-Evista Oral Tablet 60MG","0259","RC","Both",,,"23","11.5","Blue Cross Blue Shield","Pathways",,,"71",,"16.24","0.04","2502.48","percent of total billed charges",,
"NF-Evista Oral Tablet 60MG","0259","RC","Both",,,"23","11.5","Blue Cross Blue Shield","HMO",,,"71",,"16.24","0.04","2502.48","percent of total billed charges",,
"NF-Evista Oral Tablet 60MG","0259","RC","Both",,,"23","11.5","Blue Cross Blue Shield","PPO",,,"71",,"16.24","0.04","2502.48","percent of total billed charges",,
"NF-Evista Oral Tablet 60MG","0259","RC","Both",,,"23","11.5","Ambetter","Health Exchange",,,"62",,"14.26","0.04","2502.48","percent of total billed charges",,
"NF-Evista Oral Tablet 60MG","0259","RC","Both",,,"23","11.5","Caresource","Health Exchange",,,"62",,"14.26","0.04","2502.48","percent of total billed charges",,
"NF-Evista Oral Tablet 60MG","0259","RC","Both",,,"23","11.5","Cigna","Commercial",,,"59",,"13.48","0.04","2502.48","percent of total billed charges",,
"NF-Evista Oral Tablet 60MG","0259","RC","Both",,,"23","11.5","Humana","Commercial",,,"78",,"17.82","0.04","2502.48","percent of total billed charges",,
"NF-Evista Oral Tablet 60MG","0259","RC","Both",,,"23","11.5","UHC","Commercial",,,"75",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-Evista Oral Tablet 60MG","0259","RC","Both",,,"23","11.5","Medicaid",,,,"37",,"8.42","0.04","2502.48","percent of total billed charges",,
"NF-diazePAM Rectal Delivery System Kit","0259","RC","Both",,,"1092","546","Alliant","Health Exchange",,,"62",,"677.04","0.04","2502.48","percent of total billed charges",,
"NF-diazePAM Rectal Delivery System Kit","0259","RC","Both",,,"1092","546","Pruitt Healthcare","Medicare Advantage",,,"54",,"589.68","0.04","2502.48","percent of total billed charges",,
"NF-diazePAM Rectal Delivery System Kit","0259","RC","Both",,,"1092","546","Medicare",,,,"54",,"591.86","0.04","2502.48","percent of total billed charges",,
"NF-diazePAM Rectal Delivery System Kit","0259","RC","Both",,,"1092","546","Humana","Medicare Advantage",,,"54",,"591.86","0.04","2502.48","percent of total billed charges",,
"NF-diazePAM Rectal Delivery System Kit","0259","RC","Both",,,"1092","546","UHC","Medicare Advantage",,,"54",,"591.86","0.04","2502.48","percent of total billed charges",,
"NF-diazePAM Rectal Delivery System Kit","0259","RC","Both",,,"1092","546","Clover","Medicare Advantage",,,"54",,"591.86","0.04","2502.48","percent of total billed charges",,
"NF-diazePAM Rectal Delivery System Kit","0259","RC","Both",,,"1092","546","Wellcare","Medicare Advantage",,,"54",,"591.86","0.04","2502.48","percent of total billed charges",,
"NF-diazePAM Rectal Delivery System Kit","0259","RC","Both",,,"1092","546","Amerigroup","Medicaid Managed Care",,,"37",,"399.67","0.04","2502.48","percent of total billed charges",,
"NF-diazePAM Rectal Delivery System Kit","0259","RC","Both",,,"1092","546","Caresource","Medicaid Managed Care",,,"40",,"436.8","0.04","2502.48","percent of total billed charges",,
"NF-diazePAM Rectal Delivery System Kit","0259","RC","Both",,,"1092","546","Wellcare","Medicaid Managed Care",,,"40",,"442.26","0.04","2502.48","percent of total billed charges",,
"NF-diazePAM Rectal Delivery System Kit","0259","RC","Both",,,"1092","546","Aetna","Commercial",,,"64",,"696.7","0.04","2502.48","percent of total billed charges",,
"NF-diazePAM Rectal Delivery System Kit","0259","RC","Both",,,"1092","546","Blue Cross Blue Shield","Pathways",,,"71",,"770.95","0.04","2502.48","percent of total billed charges",,
"NF-diazePAM Rectal Delivery System Kit","0259","RC","Both",,,"1092","546","Blue Cross Blue Shield","HMO",,,"71",,"770.95","0.04","2502.48","percent of total billed charges",,
"NF-diazePAM Rectal Delivery System Kit","0259","RC","Both",,,"1092","546","Blue Cross Blue Shield","PPO",,,"71",,"770.95","0.04","2502.48","percent of total billed charges",,
"NF-diazePAM Rectal Delivery System Kit","0259","RC","Both",,,"1092","546","Ambetter","Health Exchange",,,"62",,"677.04","0.04","2502.48","percent of total billed charges",,
"NF-diazePAM Rectal Delivery System Kit","0259","RC","Both",,,"1092","546","Caresource","Health Exchange",,,"62",,"677.04","0.04","2502.48","percent of total billed charges",,
"NF-diazePAM Rectal Delivery System Kit","0259","RC","Both",,,"1092","546","Cigna","Commercial",,,"59",,"639.91","0.04","2502.48","percent of total billed charges",,
"NF-diazePAM Rectal Delivery System Kit","0259","RC","Both",,,"1092","546","Humana","Commercial",,,"78",,"846.3","0.04","2502.48","percent of total billed charges",,
"NF-diazePAM Rectal Delivery System Kit","0259","RC","Both",,,"1092","546","UHC","Commercial",,,"75",,"823.37","0.04","2502.48","percent of total billed charges",,
"NF-diazePAM Rectal Delivery System Kit","0259","RC","Both",,,"1092","546","Medicaid",,,,"37",,"399.67","0.04","2502.48","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 200MG","0259","RC","Both",,,"17","8.5","Alliant","Health Exchange",,,"62",,"10.54","0.04","2502.48","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 200MG","0259","RC","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.18","0.04","2502.48","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 200MG","0259","RC","Both",,,"17","8.5","Medicare",,,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 200MG","0259","RC","Both",,,"17","8.5","Humana","Medicare Advantage",,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 200MG","0259","RC","Both",,,"17","8.5","UHC","Medicare Advantage",,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 200MG","0259","RC","Both",,,"17","8.5","Clover","Medicare Advantage",,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 200MG","0259","RC","Both",,,"17","8.5","Wellcare","Medicare Advantage",,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 200MG","0259","RC","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.22","0.04","2502.48","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 200MG","0259","RC","Both",,,"17","8.5","Caresource","Medicaid Managed Care",,,"40",,"6.8","0.04","2502.48","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 200MG","0259","RC","Both",,,"17","8.5","Wellcare","Medicaid Managed Care",,,"40",,"6.89","0.04","2502.48","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 200MG","0259","RC","Both",,,"17","8.5","Aetna","Commercial",,,"64",,"10.85","0.04","2502.48","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 200MG","0259","RC","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways",,,"71",,"12","0.04","2502.48","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 200MG","0259","RC","Both",,,"17","8.5","Blue Cross Blue Shield","HMO",,,"71",,"12","0.04","2502.48","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 200MG","0259","RC","Both",,,"17","8.5","Blue Cross Blue Shield","PPO",,,"71",,"12","0.04","2502.48","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 200MG","0259","RC","Both",,,"17","8.5","Ambetter","Health Exchange",,,"62",,"10.54","0.04","2502.48","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 200MG","0259","RC","Both",,,"17","8.5","Caresource","Health Exchange",,,"62",,"10.54","0.04","2502.48","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 200MG","0259","RC","Both",,,"17","8.5","Cigna","Commercial",,,"59",,"9.96","0.04","2502.48","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 200MG","0259","RC","Both",,,"17","8.5","Humana","Commercial",,,"78",,"13.18","0.04","2502.48","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 200MG","0259","RC","Both",,,"17","8.5","UHC","Commercial",,,"75",,"12.82","0.04","2502.48","percent of total billed charges",,
"NF-lamoTRIgine Oral Tablet 200MG","0259","RC","Both",,,"17","8.5","Medicaid",,,,"37",,"6.22","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"88","44","Alliant","Health Exchange",,,"62",,"54.56","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"88","44","Pruitt Healthcare","Medicare Advantage",,,"54",,"47.52","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"88","44","Medicare",,,,"54",,"47.7","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"88","44","Humana","Medicare Advantage",,,"54",,"47.7","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"88","44","UHC","Medicare Advantage",,,"54",,"47.7","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"88","44","Clover","Medicare Advantage",,,"54",,"47.7","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"88","44","Wellcare","Medicare Advantage",,,"54",,"47.7","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"88","44","Amerigroup","Medicaid Managed Care",,,"37",,"32.21","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"88","44","Caresource","Medicaid Managed Care",,,"40",,"35.2","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"88","44","Wellcare","Medicaid Managed Care",,,"40",,"35.64","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"88","44","Aetna","Commercial",,,"64",,"56.14","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"88","44","Blue Cross Blue Shield","Pathways",,,"71",,"62.13","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"88","44","Blue Cross Blue Shield","HMO",,,"71",,"62.13","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"88","44","Blue Cross Blue Shield","PPO",,,"71",,"62.13","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"88","44","Ambetter","Health Exchange",,,"62",,"54.56","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"88","44","Caresource","Health Exchange",,,"62",,"54.56","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"88","44","Cigna","Commercial",,,"59",,"51.57","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"88","44","Humana","Commercial",,,"78",,"68.2","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"88","44","UHC","Commercial",,,"75",,"66.35","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"88","44","Medicaid",,,,"37",,"32.21","0.04","2502.48","percent of total billed charges",,
"TIOTROPIUM (SPIRIVA RESPIMAT):2.5MCG/ACT","0637","RC","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"TIOTROPIUM (SPIRIVA RESPIMAT):2.5MCG/ACT","0637","RC","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","0.15","5264.58","percent of total billed charges",,
"TIOTROPIUM (SPIRIVA RESPIMAT):2.5MCG/ACT","0637","RC","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"TIOTROPIUM (SPIRIVA RESPIMAT):2.5MCG/ACT","0637","RC","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"TIOTROPIUM (SPIRIVA RESPIMAT):2.5MCG/ACT","0637","RC","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"TIOTROPIUM (SPIRIVA RESPIMAT):2.5MCG/ACT","0637","RC","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"TIOTROPIUM (SPIRIVA RESPIMAT):2.5MCG/ACT","0637","RC","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"TIOTROPIUM (SPIRIVA RESPIMAT):2.5MCG/ACT","0637","RC","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"TIOTROPIUM (SPIRIVA RESPIMAT):2.5MCG/ACT","0637","RC","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","0.15","5264.58","percent of total billed charges",,
"TIOTROPIUM (SPIRIVA RESPIMAT):2.5MCG/ACT","0637","RC","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","0.15","5264.58","percent of total billed charges",,
"TIOTROPIUM (SPIRIVA RESPIMAT):2.5MCG/ACT","0637","RC","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","0.15","5264.58","percent of total billed charges",,
"TIOTROPIUM (SPIRIVA RESPIMAT):2.5MCG/ACT","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"TIOTROPIUM (SPIRIVA RESPIMAT):2.5MCG/ACT","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"TIOTROPIUM (SPIRIVA RESPIMAT):2.5MCG/ACT","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"TIOTROPIUM (SPIRIVA RESPIMAT):2.5MCG/ACT","0637","RC","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"TIOTROPIUM (SPIRIVA RESPIMAT):2.5MCG/ACT","0637","RC","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"TIOTROPIUM (SPIRIVA RESPIMAT):2.5MCG/ACT","0637","RC","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","0.15","5264.58","percent of total billed charges",,
"TIOTROPIUM (SPIRIVA RESPIMAT):2.5MCG/ACT","0637","RC","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","0.15","5264.58","percent of total billed charges",,
"TIOTROPIUM (SPIRIVA RESPIMAT):2.5MCG/ACT","0637","RC","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","0.15","5264.58","percent of total billed charges",,
"TIOTROPIUM (SPIRIVA RESPIMAT):2.5MCG/ACT","0637","RC","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"Levonorgestrel 1.5 mg Tablet (MY WAY)","0637","RC","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"Levonorgestrel 1.5 mg Tablet (MY WAY)","0637","RC","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","0.15","5264.58","percent of total billed charges",,
"Levonorgestrel 1.5 mg Tablet (MY WAY)","0637","RC","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"Levonorgestrel 1.5 mg Tablet (MY WAY)","0637","RC","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"Levonorgestrel 1.5 mg Tablet (MY WAY)","0637","RC","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"Levonorgestrel 1.5 mg Tablet (MY WAY)","0637","RC","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"Levonorgestrel 1.5 mg Tablet (MY WAY)","0637","RC","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"Levonorgestrel 1.5 mg Tablet (MY WAY)","0637","RC","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"Levonorgestrel 1.5 mg Tablet (MY WAY)","0637","RC","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","0.15","5264.58","percent of total billed charges",,
"Levonorgestrel 1.5 mg Tablet (MY WAY)","0637","RC","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","0.15","5264.58","percent of total billed charges",,
"Levonorgestrel 1.5 mg Tablet (MY WAY)","0637","RC","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","0.15","5264.58","percent of total billed charges",,
"Levonorgestrel 1.5 mg Tablet (MY WAY)","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"Levonorgestrel 1.5 mg Tablet (MY WAY)","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"Levonorgestrel 1.5 mg Tablet (MY WAY)","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"Levonorgestrel 1.5 mg Tablet (MY WAY)","0637","RC","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"Levonorgestrel 1.5 mg Tablet (MY WAY)","0637","RC","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"Levonorgestrel 1.5 mg Tablet (MY WAY)","0637","RC","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","0.15","5264.58","percent of total billed charges",,
"Levonorgestrel 1.5 mg Tablet (MY WAY)","0637","RC","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","0.15","5264.58","percent of total billed charges",,
"Levonorgestrel 1.5 mg Tablet (MY WAY)","0637","RC","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","0.15","5264.58","percent of total billed charges",,
"Levonorgestrel 1.5 mg Tablet (MY WAY)","0637","RC","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"NF-Inderal LA Oral Capsule ER 160MG","0259","RC","Both",,,"259","129.5","Alliant","Health Exchange",,,"62",,"160.58","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Capsule ER 160MG","0259","RC","Both",,,"259","129.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"139.86","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Capsule ER 160MG","0259","RC","Both",,,"259","129.5","Medicare",,,,"54",,"140.38","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Capsule ER 160MG","0259","RC","Both",,,"259","129.5","Humana","Medicare Advantage",,,"54",,"140.38","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Capsule ER 160MG","0259","RC","Both",,,"259","129.5","UHC","Medicare Advantage",,,"54",,"140.38","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Capsule ER 160MG","0259","RC","Both",,,"259","129.5","Clover","Medicare Advantage",,,"54",,"140.38","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Capsule ER 160MG","0259","RC","Both",,,"259","129.5","Wellcare","Medicare Advantage",,,"54",,"140.38","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Capsule ER 160MG","0259","RC","Both",,,"259","129.5","Amerigroup","Medicaid Managed Care",,,"37",,"94.79","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Capsule ER 160MG","0259","RC","Both",,,"259","129.5","Caresource","Medicaid Managed Care",,,"40",,"103.6","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Capsule ER 160MG","0259","RC","Both",,,"259","129.5","Wellcare","Medicaid Managed Care",,,"40",,"104.9","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Capsule ER 160MG","0259","RC","Both",,,"259","129.5","Aetna","Commercial",,,"64",,"165.24","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Capsule ER 160MG","0259","RC","Both",,,"259","129.5","Blue Cross Blue Shield","Pathways",,,"71",,"182.85","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Capsule ER 160MG","0259","RC","Both",,,"259","129.5","Blue Cross Blue Shield","HMO",,,"71",,"182.85","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Capsule ER 160MG","0259","RC","Both",,,"259","129.5","Blue Cross Blue Shield","PPO",,,"71",,"182.85","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Capsule ER 160MG","0259","RC","Both",,,"259","129.5","Ambetter","Health Exchange",,,"62",,"160.58","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Capsule ER 160MG","0259","RC","Both",,,"259","129.5","Caresource","Health Exchange",,,"62",,"160.58","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Capsule ER 160MG","0259","RC","Both",,,"259","129.5","Cigna","Commercial",,,"59",,"151.77","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Capsule ER 160MG","0259","RC","Both",,,"259","129.5","Humana","Commercial",,,"78",,"200.72","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Capsule ER 160MG","0259","RC","Both",,,"259","129.5","UHC","Commercial",,,"75",,"195.29","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Capsule ER 160MG","0259","RC","Both",,,"259","129.5","Medicaid",,,,"37",,"94.79","0.04","2502.48","percent of total billed charges",,
"NF-METHOCARBAMOL  TAB  750MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-METHOCARBAMOL  TAB  750MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-METHOCARBAMOL  TAB  750MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-METHOCARBAMOL  TAB  750MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-METHOCARBAMOL  TAB  750MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-METHOCARBAMOL  TAB  750MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-METHOCARBAMOL  TAB  750MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-METHOCARBAMOL  TAB  750MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-METHOCARBAMOL  TAB  750MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-METHOCARBAMOL  TAB  750MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-METHOCARBAMOL  TAB  750MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-METHOCARBAMOL  TAB  750MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-METHOCARBAMOL  TAB  750MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-METHOCARBAMOL  TAB  750MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-METHOCARBAMOL  TAB  750MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-METHOCARBAMOL  TAB  750MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-METHOCARBAMOL  TAB  750MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-METHOCARBAMOL  TAB  750MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-METHOCARBAMOL  TAB  750MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-METHOCARBAMOL  TAB  750MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 10MG","0259","RC","Both",,,"43.5","21.75","Alliant","Health Exchange",,,"62",,"26.97","0.04","2502.48","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 10MG","0259","RC","Both",,,"43.5","21.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.49","0.04","2502.48","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 10MG","0259","RC","Both",,,"43.5","21.75","Medicare",,,,"54",,"23.58","0.04","2502.48","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 10MG","0259","RC","Both",,,"43.5","21.75","Humana","Medicare Advantage",,,"54",,"23.58","0.04","2502.48","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 10MG","0259","RC","Both",,,"43.5","21.75","UHC","Medicare Advantage",,,"54",,"23.58","0.04","2502.48","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 10MG","0259","RC","Both",,,"43.5","21.75","Clover","Medicare Advantage",,,"54",,"23.58","0.04","2502.48","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 10MG","0259","RC","Both",,,"43.5","21.75","Wellcare","Medicare Advantage",,,"54",,"23.58","0.04","2502.48","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 10MG","0259","RC","Both",,,"43.5","21.75","Amerigroup","Medicaid Managed Care",,,"37",,"15.92","0.04","2502.48","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 10MG","0259","RC","Both",,,"43.5","21.75","Caresource","Medicaid Managed Care",,,"40",,"17.4","0.04","2502.48","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 10MG","0259","RC","Both",,,"43.5","21.75","Wellcare","Medicaid Managed Care",,,"40",,"17.62","0.04","2502.48","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 10MG","0259","RC","Both",,,"43.5","21.75","Aetna","Commercial",,,"64",,"27.75","0.04","2502.48","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 10MG","0259","RC","Both",,,"43.5","21.75","Blue Cross Blue Shield","Pathways",,,"71",,"30.71","0.04","2502.48","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 10MG","0259","RC","Both",,,"43.5","21.75","Blue Cross Blue Shield","HMO",,,"71",,"30.71","0.04","2502.48","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 10MG","0259","RC","Both",,,"43.5","21.75","Blue Cross Blue Shield","PPO",,,"71",,"30.71","0.04","2502.48","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 10MG","0259","RC","Both",,,"43.5","21.75","Ambetter","Health Exchange",,,"62",,"26.97","0.04","2502.48","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 10MG","0259","RC","Both",,,"43.5","21.75","Caresource","Health Exchange",,,"62",,"26.97","0.04","2502.48","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 10MG","0259","RC","Both",,,"43.5","21.75","Cigna","Commercial",,,"59",,"25.49","0.04","2502.48","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 10MG","0259","RC","Both",,,"43.5","21.75","Humana","Commercial",,,"78",,"33.71","0.04","2502.48","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 10MG","0259","RC","Both",,,"43.5","21.75","UHC","Commercial",,,"75",,"32.8","0.04","2502.48","percent of total billed charges",,
"NF-ABILIFY ORAL TABLET 10MG","0259","RC","Both",,,"43.5","21.75","Medicaid",,,,"37",,"15.92","0.04","2502.48","percent of total billed charges",,
"NF-CALCIPOTRIENE CRM 0.005%","0259","RC","Both",,,"14.5","7.25","Alliant","Health Exchange",,,"62",,"8.99","0.04","2502.48","percent of total billed charges",,
"NF-CALCIPOTRIENE CRM 0.005%","0259","RC","Both",,,"14.5","7.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.83","0.04","2502.48","percent of total billed charges",,
"NF-CALCIPOTRIENE CRM 0.005%","0259","RC","Both",,,"14.5","7.25","Medicare",,,,"54",,"7.86","0.04","2502.48","percent of total billed charges",,
"NF-CALCIPOTRIENE CRM 0.005%","0259","RC","Both",,,"14.5","7.25","Humana","Medicare Advantage",,,"54",,"7.86","0.04","2502.48","percent of total billed charges",,
"NF-CALCIPOTRIENE CRM 0.005%","0259","RC","Both",,,"14.5","7.25","UHC","Medicare Advantage",,,"54",,"7.86","0.04","2502.48","percent of total billed charges",,
"NF-CALCIPOTRIENE CRM 0.005%","0259","RC","Both",,,"14.5","7.25","Clover","Medicare Advantage",,,"54",,"7.86","0.04","2502.48","percent of total billed charges",,
"NF-CALCIPOTRIENE CRM 0.005%","0259","RC","Both",,,"14.5","7.25","Wellcare","Medicare Advantage",,,"54",,"7.86","0.04","2502.48","percent of total billed charges",,
"NF-CALCIPOTRIENE CRM 0.005%","0259","RC","Both",,,"14.5","7.25","Amerigroup","Medicaid Managed Care",,,"37",,"5.31","0.04","2502.48","percent of total billed charges",,
"NF-CALCIPOTRIENE CRM 0.005%","0259","RC","Both",,,"14.5","7.25","Caresource","Medicaid Managed Care",,,"40",,"5.8","0.04","2502.48","percent of total billed charges",,
"NF-CALCIPOTRIENE CRM 0.005%","0259","RC","Both",,,"14.5","7.25","Wellcare","Medicaid Managed Care",,,"40",,"5.87","0.04","2502.48","percent of total billed charges",,
"NF-CALCIPOTRIENE CRM 0.005%","0259","RC","Both",,,"14.5","7.25","Aetna","Commercial",,,"64",,"9.25","0.04","2502.48","percent of total billed charges",,
"NF-CALCIPOTRIENE CRM 0.005%","0259","RC","Both",,,"14.5","7.25","Blue Cross Blue Shield","Pathways",,,"71",,"10.24","0.04","2502.48","percent of total billed charges",,
"NF-CALCIPOTRIENE CRM 0.005%","0259","RC","Both",,,"14.5","7.25","Blue Cross Blue Shield","HMO",,,"71",,"10.24","0.04","2502.48","percent of total billed charges",,
"NF-CALCIPOTRIENE CRM 0.005%","0259","RC","Both",,,"14.5","7.25","Blue Cross Blue Shield","PPO",,,"71",,"10.24","0.04","2502.48","percent of total billed charges",,
"NF-CALCIPOTRIENE CRM 0.005%","0259","RC","Both",,,"14.5","7.25","Ambetter","Health Exchange",,,"62",,"8.99","0.04","2502.48","percent of total billed charges",,
"NF-CALCIPOTRIENE CRM 0.005%","0259","RC","Both",,,"14.5","7.25","Caresource","Health Exchange",,,"62",,"8.99","0.04","2502.48","percent of total billed charges",,
"NF-CALCIPOTRIENE CRM 0.005%","0259","RC","Both",,,"14.5","7.25","Cigna","Commercial",,,"59",,"8.5","0.04","2502.48","percent of total billed charges",,
"NF-CALCIPOTRIENE CRM 0.005%","0259","RC","Both",,,"14.5","7.25","Humana","Commercial",,,"78",,"11.24","0.04","2502.48","percent of total billed charges",,
"NF-CALCIPOTRIENE CRM 0.005%","0259","RC","Both",,,"14.5","7.25","UHC","Commercial",,,"75",,"10.93","0.04","2502.48","percent of total billed charges",,
"NF-CALCIPOTRIENE CRM 0.005%","0259","RC","Both",,,"14.5","7.25","Medicaid",,,,"37",,"5.31","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1MG","0259","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1MG","0259","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1MG","0259","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1MG","0259","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1MG","0259","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1MG","0259","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1MG","0259","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1MG","0259","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1MG","0259","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1MG","0259","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1MG","0259","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1MG","0259","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1MG","0259","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1MG","0259","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1MG","0259","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1MG","0259","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1MG","0259","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Alliant","Health Exchange",,,"62",,"14.88","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.96","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Medicare",,,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Humana","Medicare Advantage",,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","UHC","Medicare Advantage",,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Clover","Medicare Advantage",,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Wellcare","Medicare Advantage",,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Amerigroup","Medicaid Managed Care",,,"37",,"8.78","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Caresource","Medicaid Managed Care",,,"40",,"9.6","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Wellcare","Medicaid Managed Care",,,"40",,"9.72","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Aetna","Commercial",,,"64",,"15.31","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Blue Cross Blue Shield","Pathways",,,"71",,"16.94","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Blue Cross Blue Shield","HMO",,,"71",,"16.94","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Blue Cross Blue Shield","PPO",,,"71",,"16.94","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Ambetter","Health Exchange",,,"62",,"14.88","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Caresource","Health Exchange",,,"62",,"14.88","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Cigna","Commercial",,,"59",,"14.06","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Humana","Commercial",,,"78",,"18.6","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","UHC","Commercial",,,"75",,"18.1","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Medicaid",,,,"37",,"8.78","0.04","2502.48","percent of total billed charges",,
"NF-Welchol Oral Tablet 625MG","0259","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Welchol Oral Tablet 625MG","0259","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.04","2502.48","percent of total billed charges",,
"NF-Welchol Oral Tablet 625MG","0259","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Welchol Oral Tablet 625MG","0259","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Welchol Oral Tablet 625MG","0259","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Welchol Oral Tablet 625MG","0259","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Welchol Oral Tablet 625MG","0259","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Welchol Oral Tablet 625MG","0259","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-Welchol Oral Tablet 625MG","0259","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.04","2502.48","percent of total billed charges",,
"NF-Welchol Oral Tablet 625MG","0259","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Welchol Oral Tablet 625MG","0259","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.04","2502.48","percent of total billed charges",,
"NF-Welchol Oral Tablet 625MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Welchol Oral Tablet 625MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Welchol Oral Tablet 625MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Welchol Oral Tablet 625MG","0259","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Welchol Oral Tablet 625MG","0259","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Welchol Oral Tablet 625MG","0259","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.04","2502.48","percent of total billed charges",,
"NF-Welchol Oral Tablet 625MG","0259","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Welchol Oral Tablet 625MG","0259","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.04","2502.48","percent of total billed charges",,
"NF-Welchol Oral Tablet 625MG","0259","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"LAMOTRIGINE (LAMICTAL) 25 MG TABLETS","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LAMOTRIGINE (LAMICTAL) 25 MG TABLETS","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"LAMOTRIGINE (LAMICTAL) 25 MG TABLETS","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LAMOTRIGINE (LAMICTAL) 25 MG TABLETS","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LAMOTRIGINE (LAMICTAL) 25 MG TABLETS","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LAMOTRIGINE (LAMICTAL) 25 MG TABLETS","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LAMOTRIGINE (LAMICTAL) 25 MG TABLETS","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LAMOTRIGINE (LAMICTAL) 25 MG TABLETS","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"LAMOTRIGINE (LAMICTAL) 25 MG TABLETS","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"LAMOTRIGINE (LAMICTAL) 25 MG TABLETS","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"LAMOTRIGINE (LAMICTAL) 25 MG TABLETS","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"LAMOTRIGINE (LAMICTAL) 25 MG TABLETS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LAMOTRIGINE (LAMICTAL) 25 MG TABLETS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LAMOTRIGINE (LAMICTAL) 25 MG TABLETS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LAMOTRIGINE (LAMICTAL) 25 MG TABLETS","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LAMOTRIGINE (LAMICTAL) 25 MG TABLETS","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LAMOTRIGINE (LAMICTAL) 25 MG TABLETS","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"LAMOTRIGINE (LAMICTAL) 25 MG TABLETS","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"LAMOTRIGINE (LAMICTAL) 25 MG TABLETS","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"LAMOTRIGINE (LAMICTAL) 25 MG TABLETS","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Oral Tablet 20MG","0259","RC","Both",,,"11","5.5","Alliant","Health Exchange",,,"62",,"6.82","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Oral Tablet 20MG","0259","RC","Both",,,"11","5.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.94","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Oral Tablet 20MG","0259","RC","Both",,,"11","5.5","Medicare",,,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Oral Tablet 20MG","0259","RC","Both",,,"11","5.5","Humana","Medicare Advantage",,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Oral Tablet 20MG","0259","RC","Both",,,"11","5.5","UHC","Medicare Advantage",,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Oral Tablet 20MG","0259","RC","Both",,,"11","5.5","Clover","Medicare Advantage",,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Oral Tablet 20MG","0259","RC","Both",,,"11","5.5","Wellcare","Medicare Advantage",,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Oral Tablet 20MG","0259","RC","Both",,,"11","5.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.03","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Oral Tablet 20MG","0259","RC","Both",,,"11","5.5","Caresource","Medicaid Managed Care",,,"40",,"4.4","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Oral Tablet 20MG","0259","RC","Both",,,"11","5.5","Wellcare","Medicaid Managed Care",,,"40",,"4.46","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Oral Tablet 20MG","0259","RC","Both",,,"11","5.5","Aetna","Commercial",,,"64",,"7.02","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Oral Tablet 20MG","0259","RC","Both",,,"11","5.5","Blue Cross Blue Shield","Pathways",,,"71",,"7.77","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Oral Tablet 20MG","0259","RC","Both",,,"11","5.5","Blue Cross Blue Shield","HMO",,,"71",,"7.77","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Oral Tablet 20MG","0259","RC","Both",,,"11","5.5","Blue Cross Blue Shield","PPO",,,"71",,"7.77","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Oral Tablet 20MG","0259","RC","Both",,,"11","5.5","Ambetter","Health Exchange",,,"62",,"6.82","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Oral Tablet 20MG","0259","RC","Both",,,"11","5.5","Caresource","Health Exchange",,,"62",,"6.82","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Oral Tablet 20MG","0259","RC","Both",,,"11","5.5","Cigna","Commercial",,,"59",,"6.45","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Oral Tablet 20MG","0259","RC","Both",,,"11","5.5","Humana","Commercial",,,"78",,"8.52","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Oral Tablet 20MG","0259","RC","Both",,,"11","5.5","UHC","Commercial",,,"75",,"8.29","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Oral Tablet 20MG","0259","RC","Both",,,"11","5.5","Medicaid",,,,"37",,"4.03","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Alliant","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Pruitt Healthcare","Medicare Advantage",,,"54",,"30.24","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Medicare",,,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Humana","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","UHC","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Clover","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Wellcare","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Amerigroup","Medicaid Managed Care",,,"37",,"20.5","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Caresource","Medicaid Managed Care",,,"40",,"22.4","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Wellcare","Medicaid Managed Care",,,"40",,"22.68","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Aetna","Commercial",,,"64",,"35.73","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","Pathways",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","HMO",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","PPO",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Ambetter","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Caresource","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Cigna","Commercial",,,"59",,"32.82","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Humana","Commercial",,,"78",,"43.4","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","UHC","Commercial",,,"75",,"42.22","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Medicaid",,,,"37",,"20.5","0.04","2502.48","percent of total billed charges",,
"NF-TRILEPTAL ORAL TABLET 150MG","0259","RC","Both",,,"17","8.5","Alliant","Health Exchange",,,"62",,"10.54","0.04","2502.48","percent of total billed charges",,
"NF-TRILEPTAL ORAL TABLET 150MG","0259","RC","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.18","0.04","2502.48","percent of total billed charges",,
"NF-TRILEPTAL ORAL TABLET 150MG","0259","RC","Both",,,"17","8.5","Medicare",,,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-TRILEPTAL ORAL TABLET 150MG","0259","RC","Both",,,"17","8.5","Humana","Medicare Advantage",,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-TRILEPTAL ORAL TABLET 150MG","0259","RC","Both",,,"17","8.5","UHC","Medicare Advantage",,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-TRILEPTAL ORAL TABLET 150MG","0259","RC","Both",,,"17","8.5","Clover","Medicare Advantage",,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-TRILEPTAL ORAL TABLET 150MG","0259","RC","Both",,,"17","8.5","Wellcare","Medicare Advantage",,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-TRILEPTAL ORAL TABLET 150MG","0259","RC","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.22","0.04","2502.48","percent of total billed charges",,
"NF-TRILEPTAL ORAL TABLET 150MG","0259","RC","Both",,,"17","8.5","Caresource","Medicaid Managed Care",,,"40",,"6.8","0.04","2502.48","percent of total billed charges",,
"NF-TRILEPTAL ORAL TABLET 150MG","0259","RC","Both",,,"17","8.5","Wellcare","Medicaid Managed Care",,,"40",,"6.89","0.04","2502.48","percent of total billed charges",,
"NF-TRILEPTAL ORAL TABLET 150MG","0259","RC","Both",,,"17","8.5","Aetna","Commercial",,,"64",,"10.85","0.04","2502.48","percent of total billed charges",,
"NF-TRILEPTAL ORAL TABLET 150MG","0259","RC","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways",,,"71",,"12","0.04","2502.48","percent of total billed charges",,
"NF-TRILEPTAL ORAL TABLET 150MG","0259","RC","Both",,,"17","8.5","Blue Cross Blue Shield","HMO",,,"71",,"12","0.04","2502.48","percent of total billed charges",,
"NF-TRILEPTAL ORAL TABLET 150MG","0259","RC","Both",,,"17","8.5","Blue Cross Blue Shield","PPO",,,"71",,"12","0.04","2502.48","percent of total billed charges",,
"NF-TRILEPTAL ORAL TABLET 150MG","0259","RC","Both",,,"17","8.5","Ambetter","Health Exchange",,,"62",,"10.54","0.04","2502.48","percent of total billed charges",,
"NF-TRILEPTAL ORAL TABLET 150MG","0259","RC","Both",,,"17","8.5","Caresource","Health Exchange",,,"62",,"10.54","0.04","2502.48","percent of total billed charges",,
"NF-TRILEPTAL ORAL TABLET 150MG","0259","RC","Both",,,"17","8.5","Cigna","Commercial",,,"59",,"9.96","0.04","2502.48","percent of total billed charges",,
"NF-TRILEPTAL ORAL TABLET 150MG","0259","RC","Both",,,"17","8.5","Humana","Commercial",,,"78",,"13.18","0.04","2502.48","percent of total billed charges",,
"NF-TRILEPTAL ORAL TABLET 150MG","0259","RC","Both",,,"17","8.5","UHC","Commercial",,,"75",,"12.82","0.04","2502.48","percent of total billed charges",,
"NF-TRILEPTAL ORAL TABLET 150MG","0259","RC","Both",,,"17","8.5","Medicaid",,,,"37",,"6.22","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 60","0259","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 60","0259","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 60","0259","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 60","0259","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 60","0259","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 60","0259","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 60","0259","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 60","0259","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 60","0259","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 60","0259","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 60","0259","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 60","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 60","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 60","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 60","0259","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 60","0259","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 60","0259","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 60","0259","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 60","0259","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 60","0259","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet ER 60MG","0259","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet ER 60MG","0259","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet ER 60MG","0259","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet ER 60MG","0259","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet ER 60MG","0259","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet ER 60MG","0259","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet ER 60MG","0259","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet ER 60MG","0259","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet ER 60MG","0259","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet ER 60MG","0259","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet ER 60MG","0259","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet ER 60MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet ER 60MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet ER 60MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet ER 60MG","0259","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet ER 60MG","0259","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet ER 60MG","0259","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet ER 60MG","0259","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet ER 60MG","0259","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet ER 60MG","0259","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 90MG","0259","RC","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 90MG","0259","RC","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 90MG","0259","RC","Both",,,"8","4","Medicare",,,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 90MG","0259","RC","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 90MG","0259","RC","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 90MG","0259","RC","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 90MG","0259","RC","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 90MG","0259","RC","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 90MG","0259","RC","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 90MG","0259","RC","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 90MG","0259","RC","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 90MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 90MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 90MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 90MG","0259","RC","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 90MG","0259","RC","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 90MG","0259","RC","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 90MG","0259","RC","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 90MG","0259","RC","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 90MG","0259","RC","Both",,,"8","4","Medicaid",,,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"CALCIUM CHLORID 10% INJ VIAL: 1 GM/10 ML","0250","RC","Both",,,"60","30","Alliant","Health Exchange",,,"62",,"37.2","0.04","569.62","percent of total billed charges",,
"CALCIUM CHLORID 10% INJ VIAL: 1 GM/10 ML","0250","RC","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage",,,"54",,"32.4","0.04","569.62","percent of total billed charges",,
"CALCIUM CHLORID 10% INJ VIAL: 1 GM/10 ML","0250","RC","Both",,,"60","30","Medicare",,,,"54",,"32.52","0.04","569.62","percent of total billed charges",,
"CALCIUM CHLORID 10% INJ VIAL: 1 GM/10 ML","0250","RC","Both",,,"60","30","Humana","Medicare Advantage",,,"54",,"32.52","0.04","569.62","percent of total billed charges",,
"CALCIUM CHLORID 10% INJ VIAL: 1 GM/10 ML","0250","RC","Both",,,"60","30","UHC","Medicare Advantage",,,"54",,"32.52","0.04","569.62","percent of total billed charges",,
"CALCIUM CHLORID 10% INJ VIAL: 1 GM/10 ML","0250","RC","Both",,,"60","30","Clover","Medicare Advantage",,,"54",,"32.52","0.04","569.62","percent of total billed charges",,
"CALCIUM CHLORID 10% INJ VIAL: 1 GM/10 ML","0250","RC","Both",,,"60","30","Wellcare","Medicare Advantage",,,"54",,"32.52","0.04","569.62","percent of total billed charges",,
"CALCIUM CHLORID 10% INJ VIAL: 1 GM/10 ML","0250","RC","Both",,,"60","30","Amerigroup","Medicaid Managed Care",,,"37",,"21.96","0.04","569.62","percent of total billed charges",,
"CALCIUM CHLORID 10% INJ VIAL: 1 GM/10 ML","0250","RC","Both",,,"60","30","Caresource","Medicaid Managed Care",,,"40",,"24","0.04","569.62","percent of total billed charges",,
"CALCIUM CHLORID 10% INJ VIAL: 1 GM/10 ML","0250","RC","Both",,,"60","30","Wellcare","Medicaid Managed Care",,,"40",,"24.3","0.04","569.62","percent of total billed charges",,
"CALCIUM CHLORID 10% INJ VIAL: 1 GM/10 ML","0250","RC","Both",,,"60","30","Aetna","Commercial",,,"64",,"38.28","0.04","569.62","percent of total billed charges",,
"CALCIUM CHLORID 10% INJ VIAL: 1 GM/10 ML","0250","RC","Both",,,"60","30","Blue Cross Blue Shield","Pathways",,,"71",,"42.36","0.04","569.62","percent of total billed charges",,
"CALCIUM CHLORID 10% INJ VIAL: 1 GM/10 ML","0250","RC","Both",,,"60","30","Blue Cross Blue Shield","HMO",,,"71",,"42.36","0.04","569.62","percent of total billed charges",,
"CALCIUM CHLORID 10% INJ VIAL: 1 GM/10 ML","0250","RC","Both",,,"60","30","Blue Cross Blue Shield","PPO",,,"71",,"42.36","0.04","569.62","percent of total billed charges",,
"CALCIUM CHLORID 10% INJ VIAL: 1 GM/10 ML","0250","RC","Both",,,"60","30","Ambetter","Health Exchange",,,"62",,"37.2","0.04","569.62","percent of total billed charges",,
"CALCIUM CHLORID 10% INJ VIAL: 1 GM/10 ML","0250","RC","Both",,,"60","30","Caresource","Health Exchange",,,"62",,"37.2","0.04","569.62","percent of total billed charges",,
"CALCIUM CHLORID 10% INJ VIAL: 1 GM/10 ML","0250","RC","Both",,,"60","30","Cigna","Commercial",,,"59",,"35.16","0.04","569.62","percent of total billed charges",,
"CALCIUM CHLORID 10% INJ VIAL: 1 GM/10 ML","0250","RC","Both",,,"60","30","Humana","Commercial",,,"78",,"46.5","0.04","569.62","percent of total billed charges",,
"CALCIUM CHLORID 10% INJ VIAL: 1 GM/10 ML","0250","RC","Both",,,"60","30","UHC","Commercial",,,"75",,"45.24","0.04","569.62","percent of total billed charges",,
"CALCIUM CHLORID 10% INJ VIAL: 1 GM/10 ML","0250","RC","Both",,,"60","30","Medicaid",,,,"37",,"21.96","0.04","569.62","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Alliant","Health Exchange",,,"62",,"175.46","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"152.82","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Medicare",,,,"54",,"153.39","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Humana","Medicare Advantage",,,"54",,"153.39","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","UHC","Medicare Advantage",,,"54",,"153.39","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Clover","Medicare Advantage",,,"54",,"153.39","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Wellcare","Medicare Advantage",,,"54",,"153.39","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Amerigroup","Medicaid Managed Care",,,"37",,"103.58","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Caresource","Medicaid Managed Care",,,"40",,"113.2","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Wellcare","Medicaid Managed Care",,,"40",,"114.62","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Aetna","Commercial",,,"64",,"180.55","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Blue Cross Blue Shield","Pathways",,,"71",,"199.8","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Blue Cross Blue Shield","HMO",,,"71",,"199.8","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Blue Cross Blue Shield","PPO",,,"71",,"199.8","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Ambetter","Health Exchange",,,"62",,"175.46","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Caresource","Health Exchange",,,"62",,"175.46","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Cigna","Commercial",,,"59",,"165.84","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Humana","Commercial",,,"78",,"219.32","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","UHC","Commercial",,,"75",,"213.38","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"283","141.5","Medicaid",,,,"37",,"103.58","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 7.5MG","0259","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 7.5MG","0259","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 7.5MG","0259","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 7.5MG","0259","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 7.5MG","0259","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 7.5MG","0259","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 7.5MG","0259","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 7.5MG","0259","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 7.5MG","0259","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 7.5MG","0259","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 7.5MG","0259","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 7.5MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 7.5MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 7.5MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 7.5MG","0259","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 7.5MG","0259","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 7.5MG","0259","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 7.5MG","0259","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 7.5MG","0259","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 7.5MG","0259","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Alliant","Health Exchange",,,"62",,"32.86","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.62","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Medicare",,,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Humana","Medicare Advantage",,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","UHC","Medicare Advantage",,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Clover","Medicare Advantage",,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Wellcare","Medicare Advantage",,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Amerigroup","Medicaid Managed Care",,,"37",,"19.4","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Caresource","Medicaid Managed Care",,,"40",,"21.2","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Wellcare","Medicaid Managed Care",,,"40",,"21.46","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Aetna","Commercial",,,"64",,"33.81","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Blue Cross Blue Shield","Pathways",,,"71",,"37.42","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Blue Cross Blue Shield","HMO",,,"71",,"37.42","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Blue Cross Blue Shield","PPO",,,"71",,"37.42","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Ambetter","Health Exchange",,,"62",,"32.86","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Caresource","Health Exchange",,,"62",,"32.86","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Cigna","Commercial",,,"59",,"31.06","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Humana","Commercial",,,"78",,"41.08","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","UHC","Commercial",,,"75",,"39.96","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"53","26.5","Medicaid",,,,"37",,"19.4","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Advanced Ophth Soln","0259","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Advanced Ophth Soln","0259","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Advanced Ophth Soln","0259","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Advanced Ophth Soln","0259","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Advanced Ophth Soln","0259","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Advanced Ophth Soln","0259","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Advanced Ophth Soln","0259","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Advanced Ophth Soln","0259","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Advanced Ophth Soln","0259","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Advanced Ophth Soln","0259","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Advanced Ophth Soln","0259","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Advanced Ophth Soln","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Advanced Ophth Soln","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Advanced Ophth Soln","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Advanced Ophth Soln","0259","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Advanced Ophth Soln","0259","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Advanced Ophth Soln","0259","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Advanced Ophth Soln","0259","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Advanced Ophth Soln","0259","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Advanced Ophth Soln","0259","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Multidose Ophth Emulsion 0.0","0259","RC","Both",,,"279","139.5","Alliant","Health Exchange",,,"62",,"172.98","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Multidose Ophth Emulsion 0.0","0259","RC","Both",,,"279","139.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"150.66","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Multidose Ophth Emulsion 0.0","0259","RC","Both",,,"279","139.5","Medicare",,,,"54",,"151.22","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Multidose Ophth Emulsion 0.0","0259","RC","Both",,,"279","139.5","Humana","Medicare Advantage",,,"54",,"151.22","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Multidose Ophth Emulsion 0.0","0259","RC","Both",,,"279","139.5","UHC","Medicare Advantage",,,"54",,"151.22","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Multidose Ophth Emulsion 0.0","0259","RC","Both",,,"279","139.5","Clover","Medicare Advantage",,,"54",,"151.22","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Multidose Ophth Emulsion 0.0","0259","RC","Both",,,"279","139.5","Wellcare","Medicare Advantage",,,"54",,"151.22","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Multidose Ophth Emulsion 0.0","0259","RC","Both",,,"279","139.5","Amerigroup","Medicaid Managed Care",,,"37",,"102.11","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Multidose Ophth Emulsion 0.0","0259","RC","Both",,,"279","139.5","Caresource","Medicaid Managed Care",,,"40",,"111.6","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Multidose Ophth Emulsion 0.0","0259","RC","Both",,,"279","139.5","Wellcare","Medicaid Managed Care",,,"40",,"113","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Multidose Ophth Emulsion 0.0","0259","RC","Both",,,"279","139.5","Aetna","Commercial",,,"64",,"178","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Multidose Ophth Emulsion 0.0","0259","RC","Both",,,"279","139.5","Blue Cross Blue Shield","Pathways",,,"71",,"196.97","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Multidose Ophth Emulsion 0.0","0259","RC","Both",,,"279","139.5","Blue Cross Blue Shield","HMO",,,"71",,"196.97","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Multidose Ophth Emulsion 0.0","0259","RC","Both",,,"279","139.5","Blue Cross Blue Shield","PPO",,,"71",,"196.97","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Multidose Ophth Emulsion 0.0","0259","RC","Both",,,"279","139.5","Ambetter","Health Exchange",,,"62",,"172.98","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Multidose Ophth Emulsion 0.0","0259","RC","Both",,,"279","139.5","Caresource","Health Exchange",,,"62",,"172.98","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Multidose Ophth Emulsion 0.0","0259","RC","Both",,,"279","139.5","Cigna","Commercial",,,"59",,"163.49","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Multidose Ophth Emulsion 0.0","0259","RC","Both",,,"279","139.5","Humana","Commercial",,,"78",,"216.22","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Multidose Ophth Emulsion 0.0","0259","RC","Both",,,"279","139.5","UHC","Commercial",,,"75",,"210.37","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Multidose Ophth Emulsion 0.0","0259","RC","Both",,,"279","139.5","Medicaid",,,,"37",,"102.11","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.15%","0259","RC","Both",,,"60","30","Alliant","Health Exchange",,,"62",,"37.2","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.15%","0259","RC","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage",,,"54",,"32.4","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.15%","0259","RC","Both",,,"60","30","Medicare",,,,"54",,"32.52","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.15%","0259","RC","Both",,,"60","30","Humana","Medicare Advantage",,,"54",,"32.52","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.15%","0259","RC","Both",,,"60","30","UHC","Medicare Advantage",,,"54",,"32.52","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.15%","0259","RC","Both",,,"60","30","Clover","Medicare Advantage",,,"54",,"32.52","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.15%","0259","RC","Both",,,"60","30","Wellcare","Medicare Advantage",,,"54",,"32.52","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.15%","0259","RC","Both",,,"60","30","Amerigroup","Medicaid Managed Care",,,"37",,"21.96","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.15%","0259","RC","Both",,,"60","30","Caresource","Medicaid Managed Care",,,"40",,"24","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.15%","0259","RC","Both",,,"60","30","Wellcare","Medicaid Managed Care",,,"40",,"24.3","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.15%","0259","RC","Both",,,"60","30","Aetna","Commercial",,,"64",,"38.28","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.15%","0259","RC","Both",,,"60","30","Blue Cross Blue Shield","Pathways",,,"71",,"42.36","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.15%","0259","RC","Both",,,"60","30","Blue Cross Blue Shield","HMO",,,"71",,"42.36","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.15%","0259","RC","Both",,,"60","30","Blue Cross Blue Shield","PPO",,,"71",,"42.36","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.15%","0259","RC","Both",,,"60","30","Ambetter","Health Exchange",,,"62",,"37.2","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.15%","0259","RC","Both",,,"60","30","Caresource","Health Exchange",,,"62",,"37.2","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.15%","0259","RC","Both",,,"60","30","Cigna","Commercial",,,"59",,"35.16","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.15%","0259","RC","Both",,,"60","30","Humana","Commercial",,,"78",,"46.5","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.15%","0259","RC","Both",,,"60","30","UHC","Commercial",,,"75",,"45.24","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.15%","0259","RC","Both",,,"60","30","Medicaid",,,,"37",,"21.96","0.04","2502.48","percent of total billed charges",,
"NF-BETIMOL OPHTH SOLN 0.5%","0259","RC","Both",,,"46.5","23.25","Alliant","Health Exchange",,,"62",,"28.83","0.04","2502.48","percent of total billed charges",,
"NF-BETIMOL OPHTH SOLN 0.5%","0259","RC","Both",,,"46.5","23.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"25.11","0.04","2502.48","percent of total billed charges",,
"NF-BETIMOL OPHTH SOLN 0.5%","0259","RC","Both",,,"46.5","23.25","Medicare",,,,"54",,"25.2","0.04","2502.48","percent of total billed charges",,
"NF-BETIMOL OPHTH SOLN 0.5%","0259","RC","Both",,,"46.5","23.25","Humana","Medicare Advantage",,,"54",,"25.2","0.04","2502.48","percent of total billed charges",,
"NF-BETIMOL OPHTH SOLN 0.5%","0259","RC","Both",,,"46.5","23.25","UHC","Medicare Advantage",,,"54",,"25.2","0.04","2502.48","percent of total billed charges",,
"NF-BETIMOL OPHTH SOLN 0.5%","0259","RC","Both",,,"46.5","23.25","Clover","Medicare Advantage",,,"54",,"25.2","0.04","2502.48","percent of total billed charges",,
"NF-BETIMOL OPHTH SOLN 0.5%","0259","RC","Both",,,"46.5","23.25","Wellcare","Medicare Advantage",,,"54",,"25.2","0.04","2502.48","percent of total billed charges",,
"NF-BETIMOL OPHTH SOLN 0.5%","0259","RC","Both",,,"46.5","23.25","Amerigroup","Medicaid Managed Care",,,"37",,"17.02","0.04","2502.48","percent of total billed charges",,
"NF-BETIMOL OPHTH SOLN 0.5%","0259","RC","Both",,,"46.5","23.25","Caresource","Medicaid Managed Care",,,"40",,"18.6","0.04","2502.48","percent of total billed charges",,
"NF-BETIMOL OPHTH SOLN 0.5%","0259","RC","Both",,,"46.5","23.25","Wellcare","Medicaid Managed Care",,,"40",,"18.83","0.04","2502.48","percent of total billed charges",,
"NF-BETIMOL OPHTH SOLN 0.5%","0259","RC","Both",,,"46.5","23.25","Aetna","Commercial",,,"64",,"29.67","0.04","2502.48","percent of total billed charges",,
"NF-BETIMOL OPHTH SOLN 0.5%","0259","RC","Both",,,"46.5","23.25","Blue Cross Blue Shield","Pathways",,,"71",,"32.83","0.04","2502.48","percent of total billed charges",,
"NF-BETIMOL OPHTH SOLN 0.5%","0259","RC","Both",,,"46.5","23.25","Blue Cross Blue Shield","HMO",,,"71",,"32.83","0.04","2502.48","percent of total billed charges",,
"NF-BETIMOL OPHTH SOLN 0.5%","0259","RC","Both",,,"46.5","23.25","Blue Cross Blue Shield","PPO",,,"71",,"32.83","0.04","2502.48","percent of total billed charges",,
"NF-BETIMOL OPHTH SOLN 0.5%","0259","RC","Both",,,"46.5","23.25","Ambetter","Health Exchange",,,"62",,"28.83","0.04","2502.48","percent of total billed charges",,
"NF-BETIMOL OPHTH SOLN 0.5%","0259","RC","Both",,,"46.5","23.25","Caresource","Health Exchange",,,"62",,"28.83","0.04","2502.48","percent of total billed charges",,
"NF-BETIMOL OPHTH SOLN 0.5%","0259","RC","Both",,,"46.5","23.25","Cigna","Commercial",,,"59",,"27.25","0.04","2502.48","percent of total billed charges",,
"NF-BETIMOL OPHTH SOLN 0.5%","0259","RC","Both",,,"46.5","23.25","Humana","Commercial",,,"78",,"36.04","0.04","2502.48","percent of total billed charges",,
"NF-BETIMOL OPHTH SOLN 0.5%","0259","RC","Both",,,"46.5","23.25","UHC","Commercial",,,"75",,"35.06","0.04","2502.48","percent of total billed charges",,
"NF-BETIMOL OPHTH SOLN 0.5%","0259","RC","Both",,,"46.5","23.25","Medicaid",,,,"37",,"17.02","0.04","2502.48","percent of total billed charges",,
"NF-Namzaric Oral Cap ER 28MG-10MG","0259","RC","Both",,,"55","27.5","Alliant","Health Exchange",,,"62",,"34.1","0.04","2502.48","percent of total billed charges",,
"NF-Namzaric Oral Cap ER 28MG-10MG","0259","RC","Both",,,"55","27.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"29.7","0.04","2502.48","percent of total billed charges",,
"NF-Namzaric Oral Cap ER 28MG-10MG","0259","RC","Both",,,"55","27.5","Medicare",,,,"54",,"29.81","0.04","2502.48","percent of total billed charges",,
"NF-Namzaric Oral Cap ER 28MG-10MG","0259","RC","Both",,,"55","27.5","Humana","Medicare Advantage",,,"54",,"29.81","0.04","2502.48","percent of total billed charges",,
"NF-Namzaric Oral Cap ER 28MG-10MG","0259","RC","Both",,,"55","27.5","UHC","Medicare Advantage",,,"54",,"29.81","0.04","2502.48","percent of total billed charges",,
"NF-Namzaric Oral Cap ER 28MG-10MG","0259","RC","Both",,,"55","27.5","Clover","Medicare Advantage",,,"54",,"29.81","0.04","2502.48","percent of total billed charges",,
"NF-Namzaric Oral Cap ER 28MG-10MG","0259","RC","Both",,,"55","27.5","Wellcare","Medicare Advantage",,,"54",,"29.81","0.04","2502.48","percent of total billed charges",,
"NF-Namzaric Oral Cap ER 28MG-10MG","0259","RC","Both",,,"55","27.5","Amerigroup","Medicaid Managed Care",,,"37",,"20.13","0.04","2502.48","percent of total billed charges",,
"NF-Namzaric Oral Cap ER 28MG-10MG","0259","RC","Both",,,"55","27.5","Caresource","Medicaid Managed Care",,,"40",,"22","0.04","2502.48","percent of total billed charges",,
"NF-Namzaric Oral Cap ER 28MG-10MG","0259","RC","Both",,,"55","27.5","Wellcare","Medicaid Managed Care",,,"40",,"22.28","0.04","2502.48","percent of total billed charges",,
"NF-Namzaric Oral Cap ER 28MG-10MG","0259","RC","Both",,,"55","27.5","Aetna","Commercial",,,"64",,"35.09","0.04","2502.48","percent of total billed charges",,
"NF-Namzaric Oral Cap ER 28MG-10MG","0259","RC","Both",,,"55","27.5","Blue Cross Blue Shield","Pathways",,,"71",,"38.83","0.04","2502.48","percent of total billed charges",,
"NF-Namzaric Oral Cap ER 28MG-10MG","0259","RC","Both",,,"55","27.5","Blue Cross Blue Shield","HMO",,,"71",,"38.83","0.04","2502.48","percent of total billed charges",,
"NF-Namzaric Oral Cap ER 28MG-10MG","0259","RC","Both",,,"55","27.5","Blue Cross Blue Shield","PPO",,,"71",,"38.83","0.04","2502.48","percent of total billed charges",,
"NF-Namzaric Oral Cap ER 28MG-10MG","0259","RC","Both",,,"55","27.5","Ambetter","Health Exchange",,,"62",,"34.1","0.04","2502.48","percent of total billed charges",,
"NF-Namzaric Oral Cap ER 28MG-10MG","0259","RC","Both",,,"55","27.5","Caresource","Health Exchange",,,"62",,"34.1","0.04","2502.48","percent of total billed charges",,
"NF-Namzaric Oral Cap ER 28MG-10MG","0259","RC","Both",,,"55","27.5","Cigna","Commercial",,,"59",,"32.23","0.04","2502.48","percent of total billed charges",,
"NF-Namzaric Oral Cap ER 28MG-10MG","0259","RC","Both",,,"55","27.5","Humana","Commercial",,,"78",,"42.62","0.04","2502.48","percent of total billed charges",,
"NF-Namzaric Oral Cap ER 28MG-10MG","0259","RC","Both",,,"55","27.5","UHC","Commercial",,,"75",,"41.47","0.04","2502.48","percent of total billed charges",,
"NF-Namzaric Oral Cap ER 28MG-10MG","0259","RC","Both",,,"55","27.5","Medicaid",,,,"37",,"20.13","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"33","16.5","Alliant","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"33","16.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.82","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"33","16.5","Medicare",,,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"33","16.5","Humana","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"33","16.5","UHC","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"33","16.5","Clover","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"33","16.5","Wellcare","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"33","16.5","Amerigroup","Medicaid Managed Care",,,"37",,"12.08","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"33","16.5","Caresource","Medicaid Managed Care",,,"40",,"13.2","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"33","16.5","Wellcare","Medicaid Managed Care",,,"40",,"13.36","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"33","16.5","Aetna","Commercial",,,"64",,"21.05","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","Pathways",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","HMO",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","PPO",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"33","16.5","Ambetter","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"33","16.5","Caresource","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"33","16.5","Cigna","Commercial",,,"59",,"19.34","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"33","16.5","Humana","Commercial",,,"78",,"25.58","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"33","16.5","UHC","Commercial",,,"75",,"24.88","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"33","16.5","Medicaid",,,,"37",,"12.08","0.04","2502.48","percent of total billed charges",,
"NF-Betimol Ophth Solution 0.5%","0259","RC","Both",,,"46","23","Alliant","Health Exchange",,,"62",,"28.52","0.04","2502.48","percent of total billed charges",,
"NF-Betimol Ophth Solution 0.5%","0259","RC","Both",,,"46","23","Pruitt Healthcare","Medicare Advantage",,,"54",,"24.84","0.04","2502.48","percent of total billed charges",,
"NF-Betimol Ophth Solution 0.5%","0259","RC","Both",,,"46","23","Medicare",,,,"54",,"24.93","0.04","2502.48","percent of total billed charges",,
"NF-Betimol Ophth Solution 0.5%","0259","RC","Both",,,"46","23","Humana","Medicare Advantage",,,"54",,"24.93","0.04","2502.48","percent of total billed charges",,
"NF-Betimol Ophth Solution 0.5%","0259","RC","Both",,,"46","23","UHC","Medicare Advantage",,,"54",,"24.93","0.04","2502.48","percent of total billed charges",,
"NF-Betimol Ophth Solution 0.5%","0259","RC","Both",,,"46","23","Clover","Medicare Advantage",,,"54",,"24.93","0.04","2502.48","percent of total billed charges",,
"NF-Betimol Ophth Solution 0.5%","0259","RC","Both",,,"46","23","Wellcare","Medicare Advantage",,,"54",,"24.93","0.04","2502.48","percent of total billed charges",,
"NF-Betimol Ophth Solution 0.5%","0259","RC","Both",,,"46","23","Amerigroup","Medicaid Managed Care",,,"37",,"16.84","0.04","2502.48","percent of total billed charges",,
"NF-Betimol Ophth Solution 0.5%","0259","RC","Both",,,"46","23","Caresource","Medicaid Managed Care",,,"40",,"18.4","0.04","2502.48","percent of total billed charges",,
"NF-Betimol Ophth Solution 0.5%","0259","RC","Both",,,"46","23","Wellcare","Medicaid Managed Care",,,"40",,"18.63","0.04","2502.48","percent of total billed charges",,
"NF-Betimol Ophth Solution 0.5%","0259","RC","Both",,,"46","23","Aetna","Commercial",,,"64",,"29.35","0.04","2502.48","percent of total billed charges",,
"NF-Betimol Ophth Solution 0.5%","0259","RC","Both",,,"46","23","Blue Cross Blue Shield","Pathways",,,"71",,"32.48","0.04","2502.48","percent of total billed charges",,
"NF-Betimol Ophth Solution 0.5%","0259","RC","Both",,,"46","23","Blue Cross Blue Shield","HMO",,,"71",,"32.48","0.04","2502.48","percent of total billed charges",,
"NF-Betimol Ophth Solution 0.5%","0259","RC","Both",,,"46","23","Blue Cross Blue Shield","PPO",,,"71",,"32.48","0.04","2502.48","percent of total billed charges",,
"NF-Betimol Ophth Solution 0.5%","0259","RC","Both",,,"46","23","Ambetter","Health Exchange",,,"62",,"28.52","0.04","2502.48","percent of total billed charges",,
"NF-Betimol Ophth Solution 0.5%","0259","RC","Both",,,"46","23","Caresource","Health Exchange",,,"62",,"28.52","0.04","2502.48","percent of total billed charges",,
"NF-Betimol Ophth Solution 0.5%","0259","RC","Both",,,"46","23","Cigna","Commercial",,,"59",,"26.96","0.04","2502.48","percent of total billed charges",,
"NF-Betimol Ophth Solution 0.5%","0259","RC","Both",,,"46","23","Humana","Commercial",,,"78",,"35.65","0.04","2502.48","percent of total billed charges",,
"NF-Betimol Ophth Solution 0.5%","0259","RC","Both",,,"46","23","UHC","Commercial",,,"75",,"34.68","0.04","2502.48","percent of total billed charges",,
"NF-Betimol Ophth Solution 0.5%","0259","RC","Both",,,"46","23","Medicaid",,,,"37",,"16.84","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Alliant","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.82","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Medicare",,,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Humana","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","UHC","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Clover","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Wellcare","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Amerigroup","Medicaid Managed Care",,,"37",,"12.08","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Caresource","Medicaid Managed Care",,,"40",,"13.2","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Wellcare","Medicaid Managed Care",,,"40",,"13.36","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Aetna","Commercial",,,"64",,"21.05","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","Pathways",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","HMO",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","PPO",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Ambetter","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Caresource","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Cigna","Commercial",,,"59",,"19.34","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Humana","Commercial",,,"78",,"25.58","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","UHC","Commercial",,,"75",,"24.88","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Medicaid",,,,"37",,"12.08","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Methylphenidate Oral Tab ER 10MG","0259","RC","Both",,,"9","4.5","Alliant","Health Exchange",,,"62",,"5.58","0.04","2502.48","percent of total billed charges",,
"NF-Methylphenidate Oral Tab ER 10MG","0259","RC","Both",,,"9","4.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.86","0.04","2502.48","percent of total billed charges",,
"NF-Methylphenidate Oral Tab ER 10MG","0259","RC","Both",,,"9","4.5","Medicare",,,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Methylphenidate Oral Tab ER 10MG","0259","RC","Both",,,"9","4.5","Humana","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Methylphenidate Oral Tab ER 10MG","0259","RC","Both",,,"9","4.5","UHC","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Methylphenidate Oral Tab ER 10MG","0259","RC","Both",,,"9","4.5","Clover","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Methylphenidate Oral Tab ER 10MG","0259","RC","Both",,,"9","4.5","Wellcare","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Methylphenidate Oral Tab ER 10MG","0259","RC","Both",,,"9","4.5","Amerigroup","Medicaid Managed Care",,,"37",,"3.29","0.04","2502.48","percent of total billed charges",,
"NF-Methylphenidate Oral Tab ER 10MG","0259","RC","Both",,,"9","4.5","Caresource","Medicaid Managed Care",,,"40",,"3.6","0.04","2502.48","percent of total billed charges",,
"NF-Methylphenidate Oral Tab ER 10MG","0259","RC","Both",,,"9","4.5","Wellcare","Medicaid Managed Care",,,"40",,"3.65","0.04","2502.48","percent of total billed charges",,
"NF-Methylphenidate Oral Tab ER 10MG","0259","RC","Both",,,"9","4.5","Aetna","Commercial",,,"64",,"5.74","0.04","2502.48","percent of total billed charges",,
"NF-Methylphenidate Oral Tab ER 10MG","0259","RC","Both",,,"9","4.5","Blue Cross Blue Shield","Pathways",,,"71",,"6.35","0.04","2502.48","percent of total billed charges",,
"NF-Methylphenidate Oral Tab ER 10MG","0259","RC","Both",,,"9","4.5","Blue Cross Blue Shield","HMO",,,"71",,"6.35","0.04","2502.48","percent of total billed charges",,
"NF-Methylphenidate Oral Tab ER 10MG","0259","RC","Both",,,"9","4.5","Blue Cross Blue Shield","PPO",,,"71",,"6.35","0.04","2502.48","percent of total billed charges",,
"NF-Methylphenidate Oral Tab ER 10MG","0259","RC","Both",,,"9","4.5","Ambetter","Health Exchange",,,"62",,"5.58","0.04","2502.48","percent of total billed charges",,
"NF-Methylphenidate Oral Tab ER 10MG","0259","RC","Both",,,"9","4.5","Caresource","Health Exchange",,,"62",,"5.58","0.04","2502.48","percent of total billed charges",,
"NF-Methylphenidate Oral Tab ER 10MG","0259","RC","Both",,,"9","4.5","Cigna","Commercial",,,"59",,"5.27","0.04","2502.48","percent of total billed charges",,
"NF-Methylphenidate Oral Tab ER 10MG","0259","RC","Both",,,"9","4.5","Humana","Commercial",,,"78",,"6.98","0.04","2502.48","percent of total billed charges",,
"NF-Methylphenidate Oral Tab ER 10MG","0259","RC","Both",,,"9","4.5","UHC","Commercial",,,"75",,"6.79","0.04","2502.48","percent of total billed charges",,
"NF-Methylphenidate Oral Tab ER 10MG","0259","RC","Both",,,"9","4.5","Medicaid",,,,"37",,"3.29","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.15%","0259","RC","Both",,,"60","30","Alliant","Health Exchange",,,"62",,"37.2","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.15%","0259","RC","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage",,,"54",,"32.4","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.15%","0259","RC","Both",,,"60","30","Medicare",,,,"54",,"32.52","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.15%","0259","RC","Both",,,"60","30","Humana","Medicare Advantage",,,"54",,"32.52","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.15%","0259","RC","Both",,,"60","30","UHC","Medicare Advantage",,,"54",,"32.52","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.15%","0259","RC","Both",,,"60","30","Clover","Medicare Advantage",,,"54",,"32.52","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.15%","0259","RC","Both",,,"60","30","Wellcare","Medicare Advantage",,,"54",,"32.52","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.15%","0259","RC","Both",,,"60","30","Amerigroup","Medicaid Managed Care",,,"37",,"21.96","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.15%","0259","RC","Both",,,"60","30","Caresource","Medicaid Managed Care",,,"40",,"24","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.15%","0259","RC","Both",,,"60","30","Wellcare","Medicaid Managed Care",,,"40",,"24.3","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.15%","0259","RC","Both",,,"60","30","Aetna","Commercial",,,"64",,"38.28","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.15%","0259","RC","Both",,,"60","30","Blue Cross Blue Shield","Pathways",,,"71",,"42.36","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.15%","0259","RC","Both",,,"60","30","Blue Cross Blue Shield","HMO",,,"71",,"42.36","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.15%","0259","RC","Both",,,"60","30","Blue Cross Blue Shield","PPO",,,"71",,"42.36","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.15%","0259","RC","Both",,,"60","30","Ambetter","Health Exchange",,,"62",,"37.2","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.15%","0259","RC","Both",,,"60","30","Caresource","Health Exchange",,,"62",,"37.2","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.15%","0259","RC","Both",,,"60","30","Cigna","Commercial",,,"59",,"35.16","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.15%","0259","RC","Both",,,"60","30","Humana","Commercial",,,"78",,"46.5","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.15%","0259","RC","Both",,,"60","30","UHC","Commercial",,,"75",,"45.24","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.15%","0259","RC","Both",,,"60","30","Medicaid",,,,"37",,"21.96","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Advanced Ophth Soln","0259","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Advanced Ophth Soln","0259","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Advanced Ophth Soln","0259","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Advanced Ophth Soln","0259","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Advanced Ophth Soln","0259","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Advanced Ophth Soln","0259","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Advanced Ophth Soln","0259","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Advanced Ophth Soln","0259","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Advanced Ophth Soln","0259","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Advanced Ophth Soln","0259","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Advanced Ophth Soln","0259","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Advanced Ophth Soln","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Advanced Ophth Soln","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Advanced Ophth Soln","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Advanced Ophth Soln","0259","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Advanced Ophth Soln","0259","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Advanced Ophth Soln","0259","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Advanced Ophth Soln","0259","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Advanced Ophth Soln","0259","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Advanced Ophth Soln","0259","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"33","16.5","Alliant","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"33","16.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.82","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"33","16.5","Medicare",,,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"33","16.5","Humana","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"33","16.5","UHC","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"33","16.5","Clover","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"33","16.5","Wellcare","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"33","16.5","Amerigroup","Medicaid Managed Care",,,"37",,"12.08","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"33","16.5","Caresource","Medicaid Managed Care",,,"40",,"13.2","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"33","16.5","Wellcare","Medicaid Managed Care",,,"40",,"13.36","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"33","16.5","Aetna","Commercial",,,"64",,"21.05","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","Pathways",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","HMO",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","PPO",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"33","16.5","Ambetter","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"33","16.5","Caresource","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"33","16.5","Cigna","Commercial",,,"59",,"19.34","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"33","16.5","Humana","Commercial",,,"78",,"25.58","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"33","16.5","UHC","Commercial",,,"75",,"24.88","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"33","16.5","Medicaid",,,,"37",,"12.08","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-GLUCOSAMINE CHONDROITIN 1500 COM CAPS","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-GLUCOSAMINE CHONDROITIN 1500 COM CAPS","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-GLUCOSAMINE CHONDROITIN 1500 COM CAPS","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-GLUCOSAMINE CHONDROITIN 1500 COM CAPS","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-GLUCOSAMINE CHONDROITIN 1500 COM CAPS","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-GLUCOSAMINE CHONDROITIN 1500 COM CAPS","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-GLUCOSAMINE CHONDROITIN 1500 COM CAPS","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-GLUCOSAMINE CHONDROITIN 1500 COM CAPS","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-GLUCOSAMINE CHONDROITIN 1500 COM CAPS","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-GLUCOSAMINE CHONDROITIN 1500 COM CAPS","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-GLUCOSAMINE CHONDROITIN 1500 COM CAPS","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-GLUCOSAMINE CHONDROITIN 1500 COM CAPS","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-GLUCOSAMINE CHONDROITIN 1500 COM CAPS","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-GLUCOSAMINE CHONDROITIN 1500 COM CAPS","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-GLUCOSAMINE CHONDROITIN 1500 COM CAPS","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-GLUCOSAMINE CHONDROITIN 1500 COM CAPS","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-GLUCOSAMINE CHONDROITIN 1500 COM CAPS","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-GLUCOSAMINE CHONDROITIN 1500 COM CAPS","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-GLUCOSAMINE CHONDROITIN 1500 COM CAPS","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-GLUCOSAMINE CHONDROITIN 1500 COM CAPS","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0259","RC","Both",,,"3.5","1.75","Alliant","Health Exchange",,,"62",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0259","RC","Both",,,"3.5","1.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.89","0.04","2502.48","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0259","RC","Both",,,"3.5","1.75","Medicare",,,,"54",,"1.9","0.04","2502.48","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0259","RC","Both",,,"3.5","1.75","Humana","Medicare Advantage",,,"54",,"1.9","0.04","2502.48","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0259","RC","Both",,,"3.5","1.75","UHC","Medicare Advantage",,,"54",,"1.9","0.04","2502.48","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0259","RC","Both",,,"3.5","1.75","Clover","Medicare Advantage",,,"54",,"1.9","0.04","2502.48","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0259","RC","Both",,,"3.5","1.75","Wellcare","Medicare Advantage",,,"54",,"1.9","0.04","2502.48","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0259","RC","Both",,,"3.5","1.75","Amerigroup","Medicaid Managed Care",,,"37",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0259","RC","Both",,,"3.5","1.75","Caresource","Medicaid Managed Care",,,"40",,"1.4","0.04","2502.48","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0259","RC","Both",,,"3.5","1.75","Wellcare","Medicaid Managed Care",,,"40",,"1.42","0.04","2502.48","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0259","RC","Both",,,"3.5","1.75","Aetna","Commercial",,,"64",,"2.23","0.04","2502.48","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0259","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","Pathways",,,"71",,"2.47","0.04","2502.48","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0259","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","HMO",,,"71",,"2.47","0.04","2502.48","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0259","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","PPO",,,"71",,"2.47","0.04","2502.48","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0259","RC","Both",,,"3.5","1.75","Ambetter","Health Exchange",,,"62",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0259","RC","Both",,,"3.5","1.75","Caresource","Health Exchange",,,"62",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0259","RC","Both",,,"3.5","1.75","Cigna","Commercial",,,"59",,"2.05","0.04","2502.48","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0259","RC","Both",,,"3.5","1.75","Humana","Commercial",,,"78",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0259","RC","Both",,,"3.5","1.75","UHC","Commercial",,,"75",,"2.64","0.04","2502.48","percent of total billed charges",,
"NF-BUMETANIDE ORAL TABLET 1MG","0259","RC","Both",,,"3.5","1.75","Medicaid",,,,"37",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-ALTAVERA ORAL TABLET 0.15MG-30MCG","0259","RC","Both",,,"3.5","1.75","Alliant","Health Exchange",,,"62",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-ALTAVERA ORAL TABLET 0.15MG-30MCG","0259","RC","Both",,,"3.5","1.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.89","0.04","2502.48","percent of total billed charges",,
"NF-ALTAVERA ORAL TABLET 0.15MG-30MCG","0259","RC","Both",,,"3.5","1.75","Medicare",,,,"54",,"1.9","0.04","2502.48","percent of total billed charges",,
"NF-ALTAVERA ORAL TABLET 0.15MG-30MCG","0259","RC","Both",,,"3.5","1.75","Humana","Medicare Advantage",,,"54",,"1.9","0.04","2502.48","percent of total billed charges",,
"NF-ALTAVERA ORAL TABLET 0.15MG-30MCG","0259","RC","Both",,,"3.5","1.75","UHC","Medicare Advantage",,,"54",,"1.9","0.04","2502.48","percent of total billed charges",,
"NF-ALTAVERA ORAL TABLET 0.15MG-30MCG","0259","RC","Both",,,"3.5","1.75","Clover","Medicare Advantage",,,"54",,"1.9","0.04","2502.48","percent of total billed charges",,
"NF-ALTAVERA ORAL TABLET 0.15MG-30MCG","0259","RC","Both",,,"3.5","1.75","Wellcare","Medicare Advantage",,,"54",,"1.9","0.04","2502.48","percent of total billed charges",,
"NF-ALTAVERA ORAL TABLET 0.15MG-30MCG","0259","RC","Both",,,"3.5","1.75","Amerigroup","Medicaid Managed Care",,,"37",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-ALTAVERA ORAL TABLET 0.15MG-30MCG","0259","RC","Both",,,"3.5","1.75","Caresource","Medicaid Managed Care",,,"40",,"1.4","0.04","2502.48","percent of total billed charges",,
"NF-ALTAVERA ORAL TABLET 0.15MG-30MCG","0259","RC","Both",,,"3.5","1.75","Wellcare","Medicaid Managed Care",,,"40",,"1.42","0.04","2502.48","percent of total billed charges",,
"NF-ALTAVERA ORAL TABLET 0.15MG-30MCG","0259","RC","Both",,,"3.5","1.75","Aetna","Commercial",,,"64",,"2.23","0.04","2502.48","percent of total billed charges",,
"NF-ALTAVERA ORAL TABLET 0.15MG-30MCG","0259","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","Pathways",,,"71",,"2.47","0.04","2502.48","percent of total billed charges",,
"NF-ALTAVERA ORAL TABLET 0.15MG-30MCG","0259","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","HMO",,,"71",,"2.47","0.04","2502.48","percent of total billed charges",,
"NF-ALTAVERA ORAL TABLET 0.15MG-30MCG","0259","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","PPO",,,"71",,"2.47","0.04","2502.48","percent of total billed charges",,
"NF-ALTAVERA ORAL TABLET 0.15MG-30MCG","0259","RC","Both",,,"3.5","1.75","Ambetter","Health Exchange",,,"62",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-ALTAVERA ORAL TABLET 0.15MG-30MCG","0259","RC","Both",,,"3.5","1.75","Caresource","Health Exchange",,,"62",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-ALTAVERA ORAL TABLET 0.15MG-30MCG","0259","RC","Both",,,"3.5","1.75","Cigna","Commercial",,,"59",,"2.05","0.04","2502.48","percent of total billed charges",,
"NF-ALTAVERA ORAL TABLET 0.15MG-30MCG","0259","RC","Both",,,"3.5","1.75","Humana","Commercial",,,"78",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-ALTAVERA ORAL TABLET 0.15MG-30MCG","0259","RC","Both",,,"3.5","1.75","UHC","Commercial",,,"75",,"2.64","0.04","2502.48","percent of total billed charges",,
"NF-ALTAVERA ORAL TABLET 0.15MG-30MCG","0259","RC","Both",,,"3.5","1.75","Medicaid",,,,"37",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-BETADINE SWAB 10%","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-BETADINE SWAB 10%","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-BETADINE SWAB 10%","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-BETADINE SWAB 10%","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-BETADINE SWAB 10%","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-BETADINE SWAB 10%","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-BETADINE SWAB 10%","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-BETADINE SWAB 10%","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-BETADINE SWAB 10%","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-BETADINE SWAB 10%","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-BETADINE SWAB 10%","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-BETADINE SWAB 10%","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-BETADINE SWAB 10%","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-BETADINE SWAB 10%","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-BETADINE SWAB 10%","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-BETADINE SWAB 10%","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-BETADINE SWAB 10%","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-BETADINE SWAB 10%","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-BETADINE SWAB 10%","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-BETADINE SWAB 10%","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-KLOR-CON 10 ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-KLOR-CON 10 ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-KLOR-CON 10 ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-KLOR-CON 10 ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-KLOR-CON 10 ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-KLOR-CON 10 ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-KLOR-CON 10 ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-KLOR-CON 10 ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-KLOR-CON 10 ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","2502.48","percent of total billed charges",,
"NF-KLOR-CON 10 ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-KLOR-CON 10 ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-KLOR-CON 10 ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-KLOR-CON 10 ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-KLOR-CON 10 ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-KLOR-CON 10 ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-KLOR-CON 10 ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-KLOR-CON 10 ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","2502.48","percent of total billed charges",,
"NF-KLOR-CON 10 ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-KLOR-CON 10 ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","2502.48","percent of total billed charges",,
"NF-KLOR-CON 10 ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-BENZONATATE CAPSULE LIQUID FILLED 200","0259","RC","Both",,,"4.5","2.25","Alliant","Health Exchange",,,"62",,"2.79","0.04","2502.48","percent of total billed charges",,
"NF-BENZONATATE CAPSULE LIQUID FILLED 200","0259","RC","Both",,,"4.5","2.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.43","0.04","2502.48","percent of total billed charges",,
"NF-BENZONATATE CAPSULE LIQUID FILLED 200","0259","RC","Both",,,"4.5","2.25","Medicare",,,,"54",,"2.44","0.04","2502.48","percent of total billed charges",,
"NF-BENZONATATE CAPSULE LIQUID FILLED 200","0259","RC","Both",,,"4.5","2.25","Humana","Medicare Advantage",,,"54",,"2.44","0.04","2502.48","percent of total billed charges",,
"NF-BENZONATATE CAPSULE LIQUID FILLED 200","0259","RC","Both",,,"4.5","2.25","UHC","Medicare Advantage",,,"54",,"2.44","0.04","2502.48","percent of total billed charges",,
"NF-BENZONATATE CAPSULE LIQUID FILLED 200","0259","RC","Both",,,"4.5","2.25","Clover","Medicare Advantage",,,"54",,"2.44","0.04","2502.48","percent of total billed charges",,
"NF-BENZONATATE CAPSULE LIQUID FILLED 200","0259","RC","Both",,,"4.5","2.25","Wellcare","Medicare Advantage",,,"54",,"2.44","0.04","2502.48","percent of total billed charges",,
"NF-BENZONATATE CAPSULE LIQUID FILLED 200","0259","RC","Both",,,"4.5","2.25","Amerigroup","Medicaid Managed Care",,,"37",,"1.65","0.04","2502.48","percent of total billed charges",,
"NF-BENZONATATE CAPSULE LIQUID FILLED 200","0259","RC","Both",,,"4.5","2.25","Caresource","Medicaid Managed Care",,,"40",,"1.8","0.04","2502.48","percent of total billed charges",,
"NF-BENZONATATE CAPSULE LIQUID FILLED 200","0259","RC","Both",,,"4.5","2.25","Wellcare","Medicaid Managed Care",,,"40",,"1.82","0.04","2502.48","percent of total billed charges",,
"NF-BENZONATATE CAPSULE LIQUID FILLED 200","0259","RC","Both",,,"4.5","2.25","Aetna","Commercial",,,"64",,"2.87","0.04","2502.48","percent of total billed charges",,
"NF-BENZONATATE CAPSULE LIQUID FILLED 200","0259","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","Pathways",,,"71",,"3.18","0.04","2502.48","percent of total billed charges",,
"NF-BENZONATATE CAPSULE LIQUID FILLED 200","0259","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","HMO",,,"71",,"3.18","0.04","2502.48","percent of total billed charges",,
"NF-BENZONATATE CAPSULE LIQUID FILLED 200","0259","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","PPO",,,"71",,"3.18","0.04","2502.48","percent of total billed charges",,
"NF-BENZONATATE CAPSULE LIQUID FILLED 200","0259","RC","Both",,,"4.5","2.25","Ambetter","Health Exchange",,,"62",,"2.79","0.04","2502.48","percent of total billed charges",,
"NF-BENZONATATE CAPSULE LIQUID FILLED 200","0259","RC","Both",,,"4.5","2.25","Caresource","Health Exchange",,,"62",,"2.79","0.04","2502.48","percent of total billed charges",,
"NF-BENZONATATE CAPSULE LIQUID FILLED 200","0259","RC","Both",,,"4.5","2.25","Cigna","Commercial",,,"59",,"2.64","0.04","2502.48","percent of total billed charges",,
"NF-BENZONATATE CAPSULE LIQUID FILLED 200","0259","RC","Both",,,"4.5","2.25","Humana","Commercial",,,"78",,"3.49","0.04","2502.48","percent of total billed charges",,
"NF-BENZONATATE CAPSULE LIQUID FILLED 200","0259","RC","Both",,,"4.5","2.25","UHC","Commercial",,,"75",,"3.39","0.04","2502.48","percent of total billed charges",,
"NF-BENZONATATE CAPSULE LIQUID FILLED 200","0259","RC","Both",,,"4.5","2.25","Medicaid",,,,"37",,"1.65","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Oral Tablet DR 1.2GM","0259","RC","Both",,,"30","15","Alliant","Health Exchange",,,"62",,"18.6","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Oral Tablet DR 1.2GM","0259","RC","Both",,,"30","15","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.2","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Oral Tablet DR 1.2GM","0259","RC","Both",,,"30","15","Medicare",,,,"54",,"16.26","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Oral Tablet DR 1.2GM","0259","RC","Both",,,"30","15","Humana","Medicare Advantage",,,"54",,"16.26","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Oral Tablet DR 1.2GM","0259","RC","Both",,,"30","15","UHC","Medicare Advantage",,,"54",,"16.26","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Oral Tablet DR 1.2GM","0259","RC","Both",,,"30","15","Clover","Medicare Advantage",,,"54",,"16.26","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Oral Tablet DR 1.2GM","0259","RC","Both",,,"30","15","Wellcare","Medicare Advantage",,,"54",,"16.26","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Oral Tablet DR 1.2GM","0259","RC","Both",,,"30","15","Amerigroup","Medicaid Managed Care",,,"37",,"10.98","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Oral Tablet DR 1.2GM","0259","RC","Both",,,"30","15","Caresource","Medicaid Managed Care",,,"40",,"12","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Oral Tablet DR 1.2GM","0259","RC","Both",,,"30","15","Wellcare","Medicaid Managed Care",,,"40",,"12.15","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Oral Tablet DR 1.2GM","0259","RC","Both",,,"30","15","Aetna","Commercial",,,"64",,"19.14","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Oral Tablet DR 1.2GM","0259","RC","Both",,,"30","15","Blue Cross Blue Shield","Pathways",,,"71",,"21.18","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Oral Tablet DR 1.2GM","0259","RC","Both",,,"30","15","Blue Cross Blue Shield","HMO",,,"71",,"21.18","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Oral Tablet DR 1.2GM","0259","RC","Both",,,"30","15","Blue Cross Blue Shield","PPO",,,"71",,"21.18","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Oral Tablet DR 1.2GM","0259","RC","Both",,,"30","15","Ambetter","Health Exchange",,,"62",,"18.6","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Oral Tablet DR 1.2GM","0259","RC","Both",,,"30","15","Caresource","Health Exchange",,,"62",,"18.6","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Oral Tablet DR 1.2GM","0259","RC","Both",,,"30","15","Cigna","Commercial",,,"59",,"17.58","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Oral Tablet DR 1.2GM","0259","RC","Both",,,"30","15","Humana","Commercial",,,"78",,"23.25","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Oral Tablet DR 1.2GM","0259","RC","Both",,,"30","15","UHC","Commercial",,,"75",,"22.62","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Oral Tablet DR 1.2GM","0259","RC","Both",,,"30","15","Medicaid",,,,"37",,"10.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 20MG","0259","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 20MG","0259","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 20MG","0259","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 20MG","0259","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 20MG","0259","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 20MG","0259","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 20MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 20MG","0259","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 20MG","0259","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 20MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 20MG","0259","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 20MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 20MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 20MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 20MG","0259","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 20MG","0259","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 20MG","0259","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 20MG","0259","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 20MG","0259","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 20MG","0259","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"25","12.5","Alliant","Health Exchange",,,"62",,"15.5","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"25","12.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"13.5","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"25","12.5","Medicare",,,,"54",,"13.55","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"25","12.5","Humana","Medicare Advantage",,,"54",,"13.55","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"25","12.5","UHC","Medicare Advantage",,,"54",,"13.55","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"25","12.5","Clover","Medicare Advantage",,,"54",,"13.55","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"25","12.5","Wellcare","Medicare Advantage",,,"54",,"13.55","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"25","12.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.15","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"25","12.5","Caresource","Medicaid Managed Care",,,"40",,"10","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"25","12.5","Wellcare","Medicaid Managed Care",,,"40",,"10.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"25","12.5","Aetna","Commercial",,,"64",,"15.95","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"25","12.5","Blue Cross Blue Shield","Pathways",,,"71",,"17.65","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"25","12.5","Blue Cross Blue Shield","HMO",,,"71",,"17.65","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"25","12.5","Blue Cross Blue Shield","PPO",,,"71",,"17.65","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"25","12.5","Ambetter","Health Exchange",,,"62",,"15.5","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"25","12.5","Caresource","Health Exchange",,,"62",,"15.5","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"25","12.5","Cigna","Commercial",,,"59",,"14.65","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"25","12.5","Humana","Commercial",,,"78",,"19.38","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"25","12.5","UHC","Commercial",,,"75",,"18.85","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"25","12.5","Medicaid",,,,"37",,"9.15","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"25","12.5","Alliant","Health Exchange",,,"62",,"15.5","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"25","12.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"13.5","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"25","12.5","Medicare",,,,"54",,"13.55","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"25","12.5","Humana","Medicare Advantage",,,"54",,"13.55","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"25","12.5","UHC","Medicare Advantage",,,"54",,"13.55","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"25","12.5","Clover","Medicare Advantage",,,"54",,"13.55","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"25","12.5","Wellcare","Medicare Advantage",,,"54",,"13.55","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"25","12.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.15","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"25","12.5","Caresource","Medicaid Managed Care",,,"40",,"10","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"25","12.5","Wellcare","Medicaid Managed Care",,,"40",,"10.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"25","12.5","Aetna","Commercial",,,"64",,"15.95","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"25","12.5","Blue Cross Blue Shield","Pathways",,,"71",,"17.65","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"25","12.5","Blue Cross Blue Shield","HMO",,,"71",,"17.65","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"25","12.5","Blue Cross Blue Shield","PPO",,,"71",,"17.65","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"25","12.5","Ambetter","Health Exchange",,,"62",,"15.5","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"25","12.5","Caresource","Health Exchange",,,"62",,"15.5","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"25","12.5","Cigna","Commercial",,,"59",,"14.65","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"25","12.5","Humana","Commercial",,,"78",,"19.38","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"25","12.5","UHC","Commercial",,,"75",,"18.85","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"25","12.5","Medicaid",,,,"37",,"9.15","0.04","2502.48","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0259","RC","Both",,,"26.5","13.25","Alliant","Health Exchange",,,"62",,"16.43","0.04","2502.48","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0259","RC","Both",,,"26.5","13.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.31","0.04","2502.48","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0259","RC","Both",,,"26.5","13.25","Medicare",,,,"54",,"14.36","0.04","2502.48","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0259","RC","Both",,,"26.5","13.25","Humana","Medicare Advantage",,,"54",,"14.36","0.04","2502.48","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0259","RC","Both",,,"26.5","13.25","UHC","Medicare Advantage",,,"54",,"14.36","0.04","2502.48","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0259","RC","Both",,,"26.5","13.25","Clover","Medicare Advantage",,,"54",,"14.36","0.04","2502.48","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0259","RC","Both",,,"26.5","13.25","Wellcare","Medicare Advantage",,,"54",,"14.36","0.04","2502.48","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0259","RC","Both",,,"26.5","13.25","Amerigroup","Medicaid Managed Care",,,"37",,"9.7","0.04","2502.48","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0259","RC","Both",,,"26.5","13.25","Caresource","Medicaid Managed Care",,,"40",,"10.6","0.04","2502.48","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0259","RC","Both",,,"26.5","13.25","Wellcare","Medicaid Managed Care",,,"40",,"10.73","0.04","2502.48","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0259","RC","Both",,,"26.5","13.25","Aetna","Commercial",,,"64",,"16.91","0.04","2502.48","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0259","RC","Both",,,"26.5","13.25","Blue Cross Blue Shield","Pathways",,,"71",,"18.71","0.04","2502.48","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0259","RC","Both",,,"26.5","13.25","Blue Cross Blue Shield","HMO",,,"71",,"18.71","0.04","2502.48","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0259","RC","Both",,,"26.5","13.25","Blue Cross Blue Shield","PPO",,,"71",,"18.71","0.04","2502.48","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0259","RC","Both",,,"26.5","13.25","Ambetter","Health Exchange",,,"62",,"16.43","0.04","2502.48","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0259","RC","Both",,,"26.5","13.25","Caresource","Health Exchange",,,"62",,"16.43","0.04","2502.48","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0259","RC","Both",,,"26.5","13.25","Cigna","Commercial",,,"59",,"15.53","0.04","2502.48","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0259","RC","Both",,,"26.5","13.25","Humana","Commercial",,,"78",,"20.54","0.04","2502.48","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0259","RC","Both",,,"26.5","13.25","UHC","Commercial",,,"75",,"19.98","0.04","2502.48","percent of total billed charges",,
"NF-ELIQUIS ORAL TABLET 5MG","0259","RC","Both",,,"26.5","13.25","Medicaid",,,,"37",,"9.7","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Oral Tablet 20MG","0259","RC","Both",,,"11","5.5","Alliant","Health Exchange",,,"62",,"6.82","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Oral Tablet 20MG","0259","RC","Both",,,"11","5.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.94","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Oral Tablet 20MG","0259","RC","Both",,,"11","5.5","Medicare",,,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Oral Tablet 20MG","0259","RC","Both",,,"11","5.5","Humana","Medicare Advantage",,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Oral Tablet 20MG","0259","RC","Both",,,"11","5.5","UHC","Medicare Advantage",,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Oral Tablet 20MG","0259","RC","Both",,,"11","5.5","Clover","Medicare Advantage",,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Oral Tablet 20MG","0259","RC","Both",,,"11","5.5","Wellcare","Medicare Advantage",,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Oral Tablet 20MG","0259","RC","Both",,,"11","5.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.03","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Oral Tablet 20MG","0259","RC","Both",,,"11","5.5","Caresource","Medicaid Managed Care",,,"40",,"4.4","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Oral Tablet 20MG","0259","RC","Both",,,"11","5.5","Wellcare","Medicaid Managed Care",,,"40",,"4.46","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Oral Tablet 20MG","0259","RC","Both",,,"11","5.5","Aetna","Commercial",,,"64",,"7.02","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Oral Tablet 20MG","0259","RC","Both",,,"11","5.5","Blue Cross Blue Shield","Pathways",,,"71",,"7.77","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Oral Tablet 20MG","0259","RC","Both",,,"11","5.5","Blue Cross Blue Shield","HMO",,,"71",,"7.77","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Oral Tablet 20MG","0259","RC","Both",,,"11","5.5","Blue Cross Blue Shield","PPO",,,"71",,"7.77","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Oral Tablet 20MG","0259","RC","Both",,,"11","5.5","Ambetter","Health Exchange",,,"62",,"6.82","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Oral Tablet 20MG","0259","RC","Both",,,"11","5.5","Caresource","Health Exchange",,,"62",,"6.82","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Oral Tablet 20MG","0259","RC","Both",,,"11","5.5","Cigna","Commercial",,,"59",,"6.45","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Oral Tablet 20MG","0259","RC","Both",,,"11","5.5","Humana","Commercial",,,"78",,"8.52","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Oral Tablet 20MG","0259","RC","Both",,,"11","5.5","UHC","Commercial",,,"75",,"8.29","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Oral Tablet 20MG","0259","RC","Both",,,"11","5.5","Medicaid",,,,"37",,"4.03","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 90","0259","RC","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 90","0259","RC","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 90","0259","RC","Both",,,"8","4","Medicare",,,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 90","0259","RC","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 90","0259","RC","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 90","0259","RC","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 90","0259","RC","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 90","0259","RC","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 90","0259","RC","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 90","0259","RC","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 90","0259","RC","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 90","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 90","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 90","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 90","0259","RC","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 90","0259","RC","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 90","0259","RC","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 90","0259","RC","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 90","0259","RC","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 90","0259","RC","Both",,,"8","4","Medicaid",,,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Lidocaine Topical Extended Release Pa","0259","RC","Both",,,"28","14","Alliant","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Lidocaine Topical Extended Release Pa","0259","RC","Both",,,"28","14","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.12","0.04","2502.48","percent of total billed charges",,
"NF-Lidocaine Topical Extended Release Pa","0259","RC","Both",,,"28","14","Medicare",,,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Lidocaine Topical Extended Release Pa","0259","RC","Both",,,"28","14","Humana","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Lidocaine Topical Extended Release Pa","0259","RC","Both",,,"28","14","UHC","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Lidocaine Topical Extended Release Pa","0259","RC","Both",,,"28","14","Clover","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Lidocaine Topical Extended Release Pa","0259","RC","Both",,,"28","14","Wellcare","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Lidocaine Topical Extended Release Pa","0259","RC","Both",,,"28","14","Amerigroup","Medicaid Managed Care",,,"37",,"10.25","0.04","2502.48","percent of total billed charges",,
"NF-Lidocaine Topical Extended Release Pa","0259","RC","Both",,,"28","14","Caresource","Medicaid Managed Care",,,"40",,"11.2","0.04","2502.48","percent of total billed charges",,
"NF-Lidocaine Topical Extended Release Pa","0259","RC","Both",,,"28","14","Wellcare","Medicaid Managed Care",,,"40",,"11.34","0.04","2502.48","percent of total billed charges",,
"NF-Lidocaine Topical Extended Release Pa","0259","RC","Both",,,"28","14","Aetna","Commercial",,,"64",,"17.86","0.04","2502.48","percent of total billed charges",,
"NF-Lidocaine Topical Extended Release Pa","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","Pathways",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Lidocaine Topical Extended Release Pa","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","HMO",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Lidocaine Topical Extended Release Pa","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","PPO",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Lidocaine Topical Extended Release Pa","0259","RC","Both",,,"28","14","Ambetter","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Lidocaine Topical Extended Release Pa","0259","RC","Both",,,"28","14","Caresource","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Lidocaine Topical Extended Release Pa","0259","RC","Both",,,"28","14","Cigna","Commercial",,,"59",,"16.41","0.04","2502.48","percent of total billed charges",,
"NF-Lidocaine Topical Extended Release Pa","0259","RC","Both",,,"28","14","Humana","Commercial",,,"78",,"21.7","0.04","2502.48","percent of total billed charges",,
"NF-Lidocaine Topical Extended Release Pa","0259","RC","Both",,,"28","14","UHC","Commercial",,,"75",,"21.11","0.04","2502.48","percent of total billed charges",,
"NF-Lidocaine Topical Extended Release Pa","0259","RC","Both",,,"28","14","Medicaid",,,,"37",,"10.25","0.04","2502.48","percent of total billed charges",,
"NF-Patanol Ophth Solution 0.1%","0259","RC","Both",,,"209","104.5","Alliant","Health Exchange",,,"62",,"129.58","0.04","2502.48","percent of total billed charges",,
"NF-Patanol Ophth Solution 0.1%","0259","RC","Both",,,"209","104.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"112.86","0.04","2502.48","percent of total billed charges",,
"NF-Patanol Ophth Solution 0.1%","0259","RC","Both",,,"209","104.5","Medicare",,,,"54",,"113.28","0.04","2502.48","percent of total billed charges",,
"NF-Patanol Ophth Solution 0.1%","0259","RC","Both",,,"209","104.5","Humana","Medicare Advantage",,,"54",,"113.28","0.04","2502.48","percent of total billed charges",,
"NF-Patanol Ophth Solution 0.1%","0259","RC","Both",,,"209","104.5","UHC","Medicare Advantage",,,"54",,"113.28","0.04","2502.48","percent of total billed charges",,
"NF-Patanol Ophth Solution 0.1%","0259","RC","Both",,,"209","104.5","Clover","Medicare Advantage",,,"54",,"113.28","0.04","2502.48","percent of total billed charges",,
"NF-Patanol Ophth Solution 0.1%","0259","RC","Both",,,"209","104.5","Wellcare","Medicare Advantage",,,"54",,"113.28","0.04","2502.48","percent of total billed charges",,
"NF-Patanol Ophth Solution 0.1%","0259","RC","Both",,,"209","104.5","Amerigroup","Medicaid Managed Care",,,"37",,"76.49","0.04","2502.48","percent of total billed charges",,
"NF-Patanol Ophth Solution 0.1%","0259","RC","Both",,,"209","104.5","Caresource","Medicaid Managed Care",,,"40",,"83.6","0.04","2502.48","percent of total billed charges",,
"NF-Patanol Ophth Solution 0.1%","0259","RC","Both",,,"209","104.5","Wellcare","Medicaid Managed Care",,,"40",,"84.65","0.04","2502.48","percent of total billed charges",,
"NF-Patanol Ophth Solution 0.1%","0259","RC","Both",,,"209","104.5","Aetna","Commercial",,,"64",,"133.34","0.04","2502.48","percent of total billed charges",,
"NF-Patanol Ophth Solution 0.1%","0259","RC","Both",,,"209","104.5","Blue Cross Blue Shield","Pathways",,,"71",,"147.55","0.04","2502.48","percent of total billed charges",,
"NF-Patanol Ophth Solution 0.1%","0259","RC","Both",,,"209","104.5","Blue Cross Blue Shield","HMO",,,"71",,"147.55","0.04","2502.48","percent of total billed charges",,
"NF-Patanol Ophth Solution 0.1%","0259","RC","Both",,,"209","104.5","Blue Cross Blue Shield","PPO",,,"71",,"147.55","0.04","2502.48","percent of total billed charges",,
"NF-Patanol Ophth Solution 0.1%","0259","RC","Both",,,"209","104.5","Ambetter","Health Exchange",,,"62",,"129.58","0.04","2502.48","percent of total billed charges",,
"NF-Patanol Ophth Solution 0.1%","0259","RC","Both",,,"209","104.5","Caresource","Health Exchange",,,"62",,"129.58","0.04","2502.48","percent of total billed charges",,
"NF-Patanol Ophth Solution 0.1%","0259","RC","Both",,,"209","104.5","Cigna","Commercial",,,"59",,"122.47","0.04","2502.48","percent of total billed charges",,
"NF-Patanol Ophth Solution 0.1%","0259","RC","Both",,,"209","104.5","Humana","Commercial",,,"78",,"161.98","0.04","2502.48","percent of total billed charges",,
"NF-Patanol Ophth Solution 0.1%","0259","RC","Both",,,"209","104.5","UHC","Commercial",,,"75",,"157.59","0.04","2502.48","percent of total billed charges",,
"NF-Patanol Ophth Solution 0.1%","0259","RC","Both",,,"209","104.5","Medicaid",,,,"37",,"76.49","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Astelin Ready-Spray Nasal","0259","RC","Both",,,"14","7","Alliant","Health Exchange",,,"62",,"8.68","0.04","2502.48","percent of total billed charges",,
"NF-Astelin Ready-Spray Nasal","0259","RC","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.56","0.04","2502.48","percent of total billed charges",,
"NF-Astelin Ready-Spray Nasal","0259","RC","Both",,,"14","7","Medicare",,,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Astelin Ready-Spray Nasal","0259","RC","Both",,,"14","7","Humana","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Astelin Ready-Spray Nasal","0259","RC","Both",,,"14","7","UHC","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Astelin Ready-Spray Nasal","0259","RC","Both",,,"14","7","Clover","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Astelin Ready-Spray Nasal","0259","RC","Both",,,"14","7","Wellcare","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Astelin Ready-Spray Nasal","0259","RC","Both",,,"14","7","Amerigroup","Medicaid Managed Care",,,"37",,"5.12","0.04","2502.48","percent of total billed charges",,
"NF-Astelin Ready-Spray Nasal","0259","RC","Both",,,"14","7","Caresource","Medicaid Managed Care",,,"40",,"5.6","0.04","2502.48","percent of total billed charges",,
"NF-Astelin Ready-Spray Nasal","0259","RC","Both",,,"14","7","Wellcare","Medicaid Managed Care",,,"40",,"5.67","0.04","2502.48","percent of total billed charges",,
"NF-Astelin Ready-Spray Nasal","0259","RC","Both",,,"14","7","Aetna","Commercial",,,"64",,"8.93","0.04","2502.48","percent of total billed charges",,
"NF-Astelin Ready-Spray Nasal","0259","RC","Both",,,"14","7","Blue Cross Blue Shield","Pathways",,,"71",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Astelin Ready-Spray Nasal","0259","RC","Both",,,"14","7","Blue Cross Blue Shield","HMO",,,"71",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Astelin Ready-Spray Nasal","0259","RC","Both",,,"14","7","Blue Cross Blue Shield","PPO",,,"71",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Astelin Ready-Spray Nasal","0259","RC","Both",,,"14","7","Ambetter","Health Exchange",,,"62",,"8.68","0.04","2502.48","percent of total billed charges",,
"NF-Astelin Ready-Spray Nasal","0259","RC","Both",,,"14","7","Caresource","Health Exchange",,,"62",,"8.68","0.04","2502.48","percent of total billed charges",,
"NF-Astelin Ready-Spray Nasal","0259","RC","Both",,,"14","7","Cigna","Commercial",,,"59",,"8.2","0.04","2502.48","percent of total billed charges",,
"NF-Astelin Ready-Spray Nasal","0259","RC","Both",,,"14","7","Humana","Commercial",,,"78",,"10.85","0.04","2502.48","percent of total billed charges",,
"NF-Astelin Ready-Spray Nasal","0259","RC","Both",,,"14","7","UHC","Commercial",,,"75",,"10.56","0.04","2502.48","percent of total billed charges",,
"NF-Astelin Ready-Spray Nasal","0259","RC","Both",,,"14","7","Medicaid",,,,"37",,"5.12","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Alliant","Health Exchange",,,"62",,"32.86","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.62","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Medicare",,,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Humana","Medicare Advantage",,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","UHC","Medicare Advantage",,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Clover","Medicare Advantage",,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Wellcare","Medicare Advantage",,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Amerigroup","Medicaid Managed Care",,,"37",,"19.4","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Caresource","Medicaid Managed Care",,,"40",,"21.2","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Wellcare","Medicaid Managed Care",,,"40",,"21.46","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Aetna","Commercial",,,"64",,"33.81","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Blue Cross Blue Shield","Pathways",,,"71",,"37.42","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Blue Cross Blue Shield","HMO",,,"71",,"37.42","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Blue Cross Blue Shield","PPO",,,"71",,"37.42","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Ambetter","Health Exchange",,,"62",,"32.86","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Caresource","Health Exchange",,,"62",,"32.86","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Cigna","Commercial",,,"59",,"31.06","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Humana","Commercial",,,"78",,"41.08","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","UHC","Commercial",,,"75",,"39.96","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"53","26.5","Medicaid",,,,"37",,"19.4","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Alliant","Health Exchange",,,"62",,"292.64","0.04","2502.48","percent of total billed charges",,
"NF-tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Pruitt Healthcare","Medicare Advantage",,,"54",,"254.88","0.04","2502.48","percent of total billed charges",,
"NF-tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Medicare",,,,"54",,"255.82","0.04","2502.48","percent of total billed charges",,
"NF-tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Humana","Medicare Advantage",,,"54",,"255.82","0.04","2502.48","percent of total billed charges",,
"NF-tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","UHC","Medicare Advantage",,,"54",,"255.82","0.04","2502.48","percent of total billed charges",,
"NF-tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Clover","Medicare Advantage",,,"54",,"255.82","0.04","2502.48","percent of total billed charges",,
"NF-tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Wellcare","Medicare Advantage",,,"54",,"255.82","0.04","2502.48","percent of total billed charges",,
"NF-tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Amerigroup","Medicaid Managed Care",,,"37",,"172.75","0.04","2502.48","percent of total billed charges",,
"NF-tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Caresource","Medicaid Managed Care",,,"40",,"188.8","0.04","2502.48","percent of total billed charges",,
"NF-tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Wellcare","Medicaid Managed Care",,,"40",,"191.16","0.04","2502.48","percent of total billed charges",,
"NF-tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Aetna","Commercial",,,"64",,"301.14","0.04","2502.48","percent of total billed charges",,
"NF-tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Blue Cross Blue Shield","Pathways",,,"71",,"333.23","0.04","2502.48","percent of total billed charges",,
"NF-tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Blue Cross Blue Shield","HMO",,,"71",,"333.23","0.04","2502.48","percent of total billed charges",,
"NF-tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Blue Cross Blue Shield","PPO",,,"71",,"333.23","0.04","2502.48","percent of total billed charges",,
"NF-tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Ambetter","Health Exchange",,,"62",,"292.64","0.04","2502.48","percent of total billed charges",,
"NF-tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Caresource","Health Exchange",,,"62",,"292.64","0.04","2502.48","percent of total billed charges",,
"NF-tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Cigna","Commercial",,,"59",,"276.59","0.04","2502.48","percent of total billed charges",,
"NF-tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Humana","Commercial",,,"78",,"365.8","0.04","2502.48","percent of total billed charges",,
"NF-tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","UHC","Commercial",,,"75",,"355.89","0.04","2502.48","percent of total billed charges",,
"NF-tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Medicaid",,,,"37",,"172.75","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Oral Tablet 150MG","0259","RC","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Oral Tablet 150MG","0259","RC","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Oral Tablet 150MG","0259","RC","Both",,,"8","4","Medicare",,,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Oral Tablet 150MG","0259","RC","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Oral Tablet 150MG","0259","RC","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Oral Tablet 150MG","0259","RC","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Oral Tablet 150MG","0259","RC","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Oral Tablet 150MG","0259","RC","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Oral Tablet 150MG","0259","RC","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Oral Tablet 150MG","0259","RC","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Oral Tablet 150MG","0259","RC","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Oral Tablet 150MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Oral Tablet 150MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Oral Tablet 150MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Oral Tablet 150MG","0259","RC","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Oral Tablet 150MG","0259","RC","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Oral Tablet 150MG","0259","RC","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Oral Tablet 150MG","0259","RC","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Oral Tablet 150MG","0259","RC","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Oral Tablet 150MG","0259","RC","Both",,,"8","4","Medicaid",,,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate AvPak Tablet 150MG","0259","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate AvPak Tablet 150MG","0259","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate AvPak Tablet 150MG","0259","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate AvPak Tablet 150MG","0259","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate AvPak Tablet 150MG","0259","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate AvPak Tablet 150MG","0259","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate AvPak Tablet 150MG","0259","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate AvPak Tablet 150MG","0259","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate AvPak Tablet 150MG","0259","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate AvPak Tablet 150MG","0259","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate AvPak Tablet 150MG","0259","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate AvPak Tablet 150MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate AvPak Tablet 150MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate AvPak Tablet 150MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate AvPak Tablet 150MG","0259","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate AvPak Tablet 150MG","0259","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate AvPak Tablet 150MG","0259","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate AvPak Tablet 150MG","0259","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate AvPak Tablet 150MG","0259","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate AvPak Tablet 150MG","0259","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Travoprost Ophthalmic Solution 0.004%","0259","RC","Both",,,"238","119","Alliant","Health Exchange",,,"62",,"147.56","0.04","2502.48","percent of total billed charges",,
"NF-Travoprost Ophthalmic Solution 0.004%","0259","RC","Both",,,"238","119","Pruitt Healthcare","Medicare Advantage",,,"54",,"128.52","0.04","2502.48","percent of total billed charges",,
"NF-Travoprost Ophthalmic Solution 0.004%","0259","RC","Both",,,"238","119","Medicare",,,,"54",,"129","0.04","2502.48","percent of total billed charges",,
"NF-Travoprost Ophthalmic Solution 0.004%","0259","RC","Both",,,"238","119","Humana","Medicare Advantage",,,"54",,"129","0.04","2502.48","percent of total billed charges",,
"NF-Travoprost Ophthalmic Solution 0.004%","0259","RC","Both",,,"238","119","UHC","Medicare Advantage",,,"54",,"129","0.04","2502.48","percent of total billed charges",,
"NF-Travoprost Ophthalmic Solution 0.004%","0259","RC","Both",,,"238","119","Clover","Medicare Advantage",,,"54",,"129","0.04","2502.48","percent of total billed charges",,
"NF-Travoprost Ophthalmic Solution 0.004%","0259","RC","Both",,,"238","119","Wellcare","Medicare Advantage",,,"54",,"129","0.04","2502.48","percent of total billed charges",,
"NF-Travoprost Ophthalmic Solution 0.004%","0259","RC","Both",,,"238","119","Amerigroup","Medicaid Managed Care",,,"37",,"87.11","0.04","2502.48","percent of total billed charges",,
"NF-Travoprost Ophthalmic Solution 0.004%","0259","RC","Both",,,"238","119","Caresource","Medicaid Managed Care",,,"40",,"95.2","0.04","2502.48","percent of total billed charges",,
"NF-Travoprost Ophthalmic Solution 0.004%","0259","RC","Both",,,"238","119","Wellcare","Medicaid Managed Care",,,"40",,"96.39","0.04","2502.48","percent of total billed charges",,
"NF-Travoprost Ophthalmic Solution 0.004%","0259","RC","Both",,,"238","119","Aetna","Commercial",,,"64",,"151.84","0.04","2502.48","percent of total billed charges",,
"NF-Travoprost Ophthalmic Solution 0.004%","0259","RC","Both",,,"238","119","Blue Cross Blue Shield","Pathways",,,"71",,"168.03","0.04","2502.48","percent of total billed charges",,
"NF-Travoprost Ophthalmic Solution 0.004%","0259","RC","Both",,,"238","119","Blue Cross Blue Shield","HMO",,,"71",,"168.03","0.04","2502.48","percent of total billed charges",,
"NF-Travoprost Ophthalmic Solution 0.004%","0259","RC","Both",,,"238","119","Blue Cross Blue Shield","PPO",,,"71",,"168.03","0.04","2502.48","percent of total billed charges",,
"NF-Travoprost Ophthalmic Solution 0.004%","0259","RC","Both",,,"238","119","Ambetter","Health Exchange",,,"62",,"147.56","0.04","2502.48","percent of total billed charges",,
"NF-Travoprost Ophthalmic Solution 0.004%","0259","RC","Both",,,"238","119","Caresource","Health Exchange",,,"62",,"147.56","0.04","2502.48","percent of total billed charges",,
"NF-Travoprost Ophthalmic Solution 0.004%","0259","RC","Both",,,"238","119","Cigna","Commercial",,,"59",,"139.47","0.04","2502.48","percent of total billed charges",,
"NF-Travoprost Ophthalmic Solution 0.004%","0259","RC","Both",,,"238","119","Humana","Commercial",,,"78",,"184.45","0.04","2502.48","percent of total billed charges",,
"NF-Travoprost Ophthalmic Solution 0.004%","0259","RC","Both",,,"238","119","UHC","Commercial",,,"75",,"179.45","0.04","2502.48","percent of total billed charges",,
"NF-Travoprost Ophthalmic Solution 0.004%","0259","RC","Both",,,"238","119","Medicaid",,,,"37",,"87.11","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Captopril Tablet 12.5MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Captopril Tablet 12.5MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Captopril Tablet 12.5MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Captopril Tablet 12.5MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Captopril Tablet 12.5MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Captopril Tablet 12.5MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Captopril Tablet 12.5MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Captopril Tablet 12.5MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Captopril Tablet 12.5MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Captopril Tablet 12.5MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Captopril Tablet 12.5MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Captopril Tablet 12.5MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Captopril Tablet 12.5MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Captopril Tablet 12.5MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Captopril Tablet 12.5MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Captopril Tablet 12.5MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Captopril Tablet 12.5MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Captopril Tablet 12.5MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Captopril Tablet 12.5MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Captopril Tablet 12.5MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Alliant","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Medicare",,,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Humana","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","UHC","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Clover","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Wellcare","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Amerigroup","Medicaid Managed Care",,,"37",,"10.25","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Caresource","Medicaid Managed Care",,,"40",,"11.2","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Wellcare","Medicaid Managed Care",,,"40",,"11.34","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Aetna","Commercial",,,"64",,"17.86","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","Pathways",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","HMO",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","PPO",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Ambetter","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Caresource","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Cigna","Commercial",,,"59",,"16.41","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Humana","Commercial",,,"78",,"21.7","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","UHC","Commercial",,,"75",,"21.11","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Medicaid",,,,"37",,"10.25","0.04","2502.48","percent of total billed charges",,
"NF-Acular Ophthalmic Solution 0.5%","0259","RC","Both",,,"188","94","Alliant","Health Exchange",,,"62",,"116.56","0.04","2502.48","percent of total billed charges",,
"NF-Acular Ophthalmic Solution 0.5%","0259","RC","Both",,,"188","94","Pruitt Healthcare","Medicare Advantage",,,"54",,"101.52","0.04","2502.48","percent of total billed charges",,
"NF-Acular Ophthalmic Solution 0.5%","0259","RC","Both",,,"188","94","Medicare",,,,"54",,"101.9","0.04","2502.48","percent of total billed charges",,
"NF-Acular Ophthalmic Solution 0.5%","0259","RC","Both",,,"188","94","Humana","Medicare Advantage",,,"54",,"101.9","0.04","2502.48","percent of total billed charges",,
"NF-Acular Ophthalmic Solution 0.5%","0259","RC","Both",,,"188","94","UHC","Medicare Advantage",,,"54",,"101.9","0.04","2502.48","percent of total billed charges",,
"NF-Acular Ophthalmic Solution 0.5%","0259","RC","Both",,,"188","94","Clover","Medicare Advantage",,,"54",,"101.9","0.04","2502.48","percent of total billed charges",,
"NF-Acular Ophthalmic Solution 0.5%","0259","RC","Both",,,"188","94","Wellcare","Medicare Advantage",,,"54",,"101.9","0.04","2502.48","percent of total billed charges",,
"NF-Acular Ophthalmic Solution 0.5%","0259","RC","Both",,,"188","94","Amerigroup","Medicaid Managed Care",,,"37",,"68.81","0.04","2502.48","percent of total billed charges",,
"NF-Acular Ophthalmic Solution 0.5%","0259","RC","Both",,,"188","94","Caresource","Medicaid Managed Care",,,"40",,"75.2","0.04","2502.48","percent of total billed charges",,
"NF-Acular Ophthalmic Solution 0.5%","0259","RC","Both",,,"188","94","Wellcare","Medicaid Managed Care",,,"40",,"76.14","0.04","2502.48","percent of total billed charges",,
"NF-Acular Ophthalmic Solution 0.5%","0259","RC","Both",,,"188","94","Aetna","Commercial",,,"64",,"119.94","0.04","2502.48","percent of total billed charges",,
"NF-Acular Ophthalmic Solution 0.5%","0259","RC","Both",,,"188","94","Blue Cross Blue Shield","Pathways",,,"71",,"132.73","0.04","2502.48","percent of total billed charges",,
"NF-Acular Ophthalmic Solution 0.5%","0259","RC","Both",,,"188","94","Blue Cross Blue Shield","HMO",,,"71",,"132.73","0.04","2502.48","percent of total billed charges",,
"NF-Acular Ophthalmic Solution 0.5%","0259","RC","Both",,,"188","94","Blue Cross Blue Shield","PPO",,,"71",,"132.73","0.04","2502.48","percent of total billed charges",,
"NF-Acular Ophthalmic Solution 0.5%","0259","RC","Both",,,"188","94","Ambetter","Health Exchange",,,"62",,"116.56","0.04","2502.48","percent of total billed charges",,
"NF-Acular Ophthalmic Solution 0.5%","0259","RC","Both",,,"188","94","Caresource","Health Exchange",,,"62",,"116.56","0.04","2502.48","percent of total billed charges",,
"NF-Acular Ophthalmic Solution 0.5%","0259","RC","Both",,,"188","94","Cigna","Commercial",,,"59",,"110.17","0.04","2502.48","percent of total billed charges",,
"NF-Acular Ophthalmic Solution 0.5%","0259","RC","Both",,,"188","94","Humana","Commercial",,,"78",,"145.7","0.04","2502.48","percent of total billed charges",,
"NF-Acular Ophthalmic Solution 0.5%","0259","RC","Both",,,"188","94","UHC","Commercial",,,"75",,"141.75","0.04","2502.48","percent of total billed charges",,
"NF-Acular Ophthalmic Solution 0.5%","0259","RC","Both",,,"188","94","Medicaid",,,,"37",,"68.81","0.04","2502.48","percent of total billed charges",,
"NF-CLARITHROMYCIN ORAL TABLET 500MG","0259","RC","Both",,,"14","7","Alliant","Health Exchange",,,"62",,"8.68","0.04","2502.48","percent of total billed charges",,
"NF-CLARITHROMYCIN ORAL TABLET 500MG","0259","RC","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.56","0.04","2502.48","percent of total billed charges",,
"NF-CLARITHROMYCIN ORAL TABLET 500MG","0259","RC","Both",,,"14","7","Medicare",,,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-CLARITHROMYCIN ORAL TABLET 500MG","0259","RC","Both",,,"14","7","Humana","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-CLARITHROMYCIN ORAL TABLET 500MG","0259","RC","Both",,,"14","7","UHC","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-CLARITHROMYCIN ORAL TABLET 500MG","0259","RC","Both",,,"14","7","Clover","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-CLARITHROMYCIN ORAL TABLET 500MG","0259","RC","Both",,,"14","7","Wellcare","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-CLARITHROMYCIN ORAL TABLET 500MG","0259","RC","Both",,,"14","7","Amerigroup","Medicaid Managed Care",,,"37",,"5.12","0.04","2502.48","percent of total billed charges",,
"NF-CLARITHROMYCIN ORAL TABLET 500MG","0259","RC","Both",,,"14","7","Caresource","Medicaid Managed Care",,,"40",,"5.6","0.04","2502.48","percent of total billed charges",,
"NF-CLARITHROMYCIN ORAL TABLET 500MG","0259","RC","Both",,,"14","7","Wellcare","Medicaid Managed Care",,,"40",,"5.67","0.04","2502.48","percent of total billed charges",,
"NF-CLARITHROMYCIN ORAL TABLET 500MG","0259","RC","Both",,,"14","7","Aetna","Commercial",,,"64",,"8.93","0.04","2502.48","percent of total billed charges",,
"NF-CLARITHROMYCIN ORAL TABLET 500MG","0259","RC","Both",,,"14","7","Blue Cross Blue Shield","Pathways",,,"71",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-CLARITHROMYCIN ORAL TABLET 500MG","0259","RC","Both",,,"14","7","Blue Cross Blue Shield","HMO",,,"71",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-CLARITHROMYCIN ORAL TABLET 500MG","0259","RC","Both",,,"14","7","Blue Cross Blue Shield","PPO",,,"71",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-CLARITHROMYCIN ORAL TABLET 500MG","0259","RC","Both",,,"14","7","Ambetter","Health Exchange",,,"62",,"8.68","0.04","2502.48","percent of total billed charges",,
"NF-CLARITHROMYCIN ORAL TABLET 500MG","0259","RC","Both",,,"14","7","Caresource","Health Exchange",,,"62",,"8.68","0.04","2502.48","percent of total billed charges",,
"NF-CLARITHROMYCIN ORAL TABLET 500MG","0259","RC","Both",,,"14","7","Cigna","Commercial",,,"59",,"8.2","0.04","2502.48","percent of total billed charges",,
"NF-CLARITHROMYCIN ORAL TABLET 500MG","0259","RC","Both",,,"14","7","Humana","Commercial",,,"78",,"10.85","0.04","2502.48","percent of total billed charges",,
"NF-CLARITHROMYCIN ORAL TABLET 500MG","0259","RC","Both",,,"14","7","UHC","Commercial",,,"75",,"10.56","0.04","2502.48","percent of total billed charges",,
"NF-CLARITHROMYCIN ORAL TABLET 500MG","0259","RC","Both",,,"14","7","Medicaid",,,,"37",,"5.12","0.04","2502.48","percent of total billed charges",,
"NF-TERAZOSIN HCL CAP 10MG","0259","RC","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-TERAZOSIN HCL CAP 10MG","0259","RC","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","0.04","2502.48","percent of total billed charges",,
"NF-TERAZOSIN HCL CAP 10MG","0259","RC","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-TERAZOSIN HCL CAP 10MG","0259","RC","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-TERAZOSIN HCL CAP 10MG","0259","RC","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-TERAZOSIN HCL CAP 10MG","0259","RC","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-TERAZOSIN HCL CAP 10MG","0259","RC","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-TERAZOSIN HCL CAP 10MG","0259","RC","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","0.04","2502.48","percent of total billed charges",,
"NF-TERAZOSIN HCL CAP 10MG","0259","RC","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","0.04","2502.48","percent of total billed charges",,
"NF-TERAZOSIN HCL CAP 10MG","0259","RC","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","0.04","2502.48","percent of total billed charges",,
"NF-TERAZOSIN HCL CAP 10MG","0259","RC","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","0.04","2502.48","percent of total billed charges",,
"NF-TERAZOSIN HCL CAP 10MG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-TERAZOSIN HCL CAP 10MG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-TERAZOSIN HCL CAP 10MG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-TERAZOSIN HCL CAP 10MG","0259","RC","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-TERAZOSIN HCL CAP 10MG","0259","RC","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-TERAZOSIN HCL CAP 10MG","0259","RC","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-TERAZOSIN HCL CAP 10MG","0259","RC","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","0.04","2502.48","percent of total billed charges",,
"NF-TERAZOSIN HCL CAP 10MG","0259","RC","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","0.04","2502.48","percent of total billed charges",,
"NF-TERAZOSIN HCL CAP 10MG","0259","RC","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","0.04","2502.48","percent of total billed charges",,
"NF-SPIRIVA INH/NEB CAP 18MCG","0259","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.04","2502.48","percent of total billed charges",,
"NF-SPIRIVA INH/NEB CAP 18MCG","0259","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.04","2502.48","percent of total billed charges",,
"NF-SPIRIVA INH/NEB CAP 18MCG","0259","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-SPIRIVA INH/NEB CAP 18MCG","0259","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-SPIRIVA INH/NEB CAP 18MCG","0259","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-SPIRIVA INH/NEB CAP 18MCG","0259","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-SPIRIVA INH/NEB CAP 18MCG","0259","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-SPIRIVA INH/NEB CAP 18MCG","0259","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-SPIRIVA INH/NEB CAP 18MCG","0259","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.04","2502.48","percent of total billed charges",,
"NF-SPIRIVA INH/NEB CAP 18MCG","0259","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.04","2502.48","percent of total billed charges",,
"NF-SPIRIVA INH/NEB CAP 18MCG","0259","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.04","2502.48","percent of total billed charges",,
"NF-SPIRIVA INH/NEB CAP 18MCG","0259","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.04","2502.48","percent of total billed charges",,
"NF-SPIRIVA INH/NEB CAP 18MCG","0259","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.04","2502.48","percent of total billed charges",,
"NF-SPIRIVA INH/NEB CAP 18MCG","0259","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.04","2502.48","percent of total billed charges",,
"NF-SPIRIVA INH/NEB CAP 18MCG","0259","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.04","2502.48","percent of total billed charges",,
"NF-SPIRIVA INH/NEB CAP 18MCG","0259","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.04","2502.48","percent of total billed charges",,
"NF-SPIRIVA INH/NEB CAP 18MCG","0259","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.04","2502.48","percent of total billed charges",,
"NF-SPIRIVA INH/NEB CAP 18MCG","0259","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.04","2502.48","percent of total billed charges",,
"NF-SPIRIVA INH/NEB CAP 18MCG","0259","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.04","2502.48","percent of total billed charges",,
"NF-SPIRIVA INH/NEB CAP 18MCG","0259","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Ketotifen Fumarate Ophth Solution 0.0","0259","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Ketotifen Fumarate Ophth Solution 0.0","0259","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.04","2502.48","percent of total billed charges",,
"NF-Ketotifen Fumarate Ophth Solution 0.0","0259","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Ketotifen Fumarate Ophth Solution 0.0","0259","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Ketotifen Fumarate Ophth Solution 0.0","0259","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Ketotifen Fumarate Ophth Solution 0.0","0259","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Ketotifen Fumarate Ophth Solution 0.0","0259","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Ketotifen Fumarate Ophth Solution 0.0","0259","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.04","2502.48","percent of total billed charges",,
"NF-Ketotifen Fumarate Ophth Solution 0.0","0259","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.04","2502.48","percent of total billed charges",,
"NF-Ketotifen Fumarate Ophth Solution 0.0","0259","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.04","2502.48","percent of total billed charges",,
"NF-Ketotifen Fumarate Ophth Solution 0.0","0259","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.04","2502.48","percent of total billed charges",,
"NF-Ketotifen Fumarate Ophth Solution 0.0","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-Ketotifen Fumarate Ophth Solution 0.0","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-Ketotifen Fumarate Ophth Solution 0.0","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-Ketotifen Fumarate Ophth Solution 0.0","0259","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Ketotifen Fumarate Ophth Solution 0.0","0259","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Ketotifen Fumarate Ophth Solution 0.0","0259","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.04","2502.48","percent of total billed charges",,
"NF-Ketotifen Fumarate Ophth Solution 0.0","0259","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Ketotifen Fumarate Ophth Solution 0.0","0259","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.04","2502.48","percent of total billed charges",,
"NF-Ketotifen Fumarate Ophth Solution 0.0","0259","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet Extended-Release 90","0259","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet Extended-Release 90","0259","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet Extended-Release 90","0259","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet Extended-Release 90","0259","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet Extended-Release 90","0259","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet Extended-Release 90","0259","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet Extended-Release 90","0259","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet Extended-Release 90","0259","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet Extended-Release 90","0259","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet Extended-Release 90","0259","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet Extended-Release 90","0259","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet Extended-Release 90","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet Extended-Release 90","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet Extended-Release 90","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet Extended-Release 90","0259","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet Extended-Release 90","0259","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet Extended-Release 90","0259","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet Extended-Release 90","0259","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet Extended-Release 90","0259","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet Extended-Release 90","0259","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Ophth Solution 0.15%","0259","RC","Both",,,"128","64","Alliant","Health Exchange",,,"62",,"79.36","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Ophth Solution 0.15%","0259","RC","Both",,,"128","64","Pruitt Healthcare","Medicare Advantage",,,"54",,"69.12","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Ophth Solution 0.15%","0259","RC","Both",,,"128","64","Medicare",,,,"54",,"69.38","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Ophth Solution 0.15%","0259","RC","Both",,,"128","64","Humana","Medicare Advantage",,,"54",,"69.38","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Ophth Solution 0.15%","0259","RC","Both",,,"128","64","UHC","Medicare Advantage",,,"54",,"69.38","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Ophth Solution 0.15%","0259","RC","Both",,,"128","64","Clover","Medicare Advantage",,,"54",,"69.38","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Ophth Solution 0.15%","0259","RC","Both",,,"128","64","Wellcare","Medicare Advantage",,,"54",,"69.38","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Ophth Solution 0.15%","0259","RC","Both",,,"128","64","Amerigroup","Medicaid Managed Care",,,"37",,"46.85","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Ophth Solution 0.15%","0259","RC","Both",,,"128","64","Caresource","Medicaid Managed Care",,,"40",,"51.2","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Ophth Solution 0.15%","0259","RC","Both",,,"128","64","Wellcare","Medicaid Managed Care",,,"40",,"51.84","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Ophth Solution 0.15%","0259","RC","Both",,,"128","64","Aetna","Commercial",,,"64",,"81.66","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Ophth Solution 0.15%","0259","RC","Both",,,"128","64","Blue Cross Blue Shield","Pathways",,,"71",,"90.37","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Ophth Solution 0.15%","0259","RC","Both",,,"128","64","Blue Cross Blue Shield","HMO",,,"71",,"90.37","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Ophth Solution 0.15%","0259","RC","Both",,,"128","64","Blue Cross Blue Shield","PPO",,,"71",,"90.37","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Ophth Solution 0.15%","0259","RC","Both",,,"128","64","Ambetter","Health Exchange",,,"62",,"79.36","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Ophth Solution 0.15%","0259","RC","Both",,,"128","64","Caresource","Health Exchange",,,"62",,"79.36","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Ophth Solution 0.15%","0259","RC","Both",,,"128","64","Cigna","Commercial",,,"59",,"75.01","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Ophth Solution 0.15%","0259","RC","Both",,,"128","64","Humana","Commercial",,,"78",,"99.2","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Ophth Solution 0.15%","0259","RC","Both",,,"128","64","UHC","Commercial",,,"75",,"96.51","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Ophth Solution 0.15%","0259","RC","Both",,,"128","64","Medicaid",,,,"37",,"46.85","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Alliant","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Medicare",,,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Humana","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","UHC","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Clover","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Wellcare","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Amerigroup","Medicaid Managed Care",,,"37",,"10.25","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Caresource","Medicaid Managed Care",,,"40",,"11.2","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Wellcare","Medicaid Managed Care",,,"40",,"11.34","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Aetna","Commercial",,,"64",,"17.86","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","Pathways",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","HMO",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","PPO",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Ambetter","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Caresource","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Cigna","Commercial",,,"59",,"16.41","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Humana","Commercial",,,"78",,"21.7","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","UHC","Commercial",,,"75",,"21.11","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Medicaid",,,,"37",,"10.25","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Alliant","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Medicare",,,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Humana","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","UHC","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Clover","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Wellcare","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Amerigroup","Medicaid Managed Care",,,"37",,"10.25","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Caresource","Medicaid Managed Care",,,"40",,"11.2","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Wellcare","Medicaid Managed Care",,,"40",,"11.34","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Aetna","Commercial",,,"64",,"17.86","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","Pathways",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","HMO",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","PPO",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Ambetter","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Caresource","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Cigna","Commercial",,,"59",,"16.41","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Humana","Commercial",,,"78",,"21.7","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","UHC","Commercial",,,"75",,"21.11","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Medicaid",,,,"37",,"10.25","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Alliant","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Medicare",,,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Humana","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","UHC","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Clover","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Wellcare","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Amerigroup","Medicaid Managed Care",,,"37",,"10.25","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Caresource","Medicaid Managed Care",,,"40",,"11.2","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Wellcare","Medicaid Managed Care",,,"40",,"11.34","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Aetna","Commercial",,,"64",,"17.86","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","Pathways",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","HMO",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","PPO",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Ambetter","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Caresource","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Cigna","Commercial",,,"59",,"16.41","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Humana","Commercial",,,"78",,"21.7","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","UHC","Commercial",,,"75",,"21.11","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Medicaid",,,,"37",,"10.25","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Oral Tabl","0259","RC","Both",,,"48","24","Alliant","Health Exchange",,,"62",,"29.76","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Oral Tabl","0259","RC","Both",,,"48","24","Pruitt Healthcare","Medicare Advantage",,,"54",,"25.92","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Oral Tabl","0259","RC","Both",,,"48","24","Medicare",,,,"54",,"26.02","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Oral Tabl","0259","RC","Both",,,"48","24","Humana","Medicare Advantage",,,"54",,"26.02","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Oral Tabl","0259","RC","Both",,,"48","24","UHC","Medicare Advantage",,,"54",,"26.02","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Oral Tabl","0259","RC","Both",,,"48","24","Clover","Medicare Advantage",,,"54",,"26.02","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Oral Tabl","0259","RC","Both",,,"48","24","Wellcare","Medicare Advantage",,,"54",,"26.02","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Oral Tabl","0259","RC","Both",,,"48","24","Amerigroup","Medicaid Managed Care",,,"37",,"17.57","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Oral Tabl","0259","RC","Both",,,"48","24","Caresource","Medicaid Managed Care",,,"40",,"19.2","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Oral Tabl","0259","RC","Both",,,"48","24","Wellcare","Medicaid Managed Care",,,"40",,"19.44","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Oral Tabl","0259","RC","Both",,,"48","24","Aetna","Commercial",,,"64",,"30.62","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Oral Tabl","0259","RC","Both",,,"48","24","Blue Cross Blue Shield","Pathways",,,"71",,"33.89","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Oral Tabl","0259","RC","Both",,,"48","24","Blue Cross Blue Shield","HMO",,,"71",,"33.89","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Oral Tabl","0259","RC","Both",,,"48","24","Blue Cross Blue Shield","PPO",,,"71",,"33.89","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Oral Tabl","0259","RC","Both",,,"48","24","Ambetter","Health Exchange",,,"62",,"29.76","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Oral Tabl","0259","RC","Both",,,"48","24","Caresource","Health Exchange",,,"62",,"29.76","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Oral Tabl","0259","RC","Both",,,"48","24","Cigna","Commercial",,,"59",,"28.13","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Oral Tabl","0259","RC","Both",,,"48","24","Humana","Commercial",,,"78",,"37.2","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Oral Tabl","0259","RC","Both",,,"48","24","UHC","Commercial",,,"75",,"36.19","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Oral Tabl","0259","RC","Both",,,"48","24","Medicaid",,,,"37",,"17.57","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"25","12.5","Alliant","Health Exchange",,,"62",,"15.5","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"25","12.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"13.5","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"25","12.5","Medicare",,,,"54",,"13.55","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"25","12.5","Humana","Medicare Advantage",,,"54",,"13.55","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"25","12.5","UHC","Medicare Advantage",,,"54",,"13.55","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"25","12.5","Clover","Medicare Advantage",,,"54",,"13.55","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"25","12.5","Wellcare","Medicare Advantage",,,"54",,"13.55","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"25","12.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.15","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"25","12.5","Caresource","Medicaid Managed Care",,,"40",,"10","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"25","12.5","Wellcare","Medicaid Managed Care",,,"40",,"10.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"25","12.5","Aetna","Commercial",,,"64",,"15.95","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"25","12.5","Blue Cross Blue Shield","Pathways",,,"71",,"17.65","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"25","12.5","Blue Cross Blue Shield","HMO",,,"71",,"17.65","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"25","12.5","Blue Cross Blue Shield","PPO",,,"71",,"17.65","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"25","12.5","Ambetter","Health Exchange",,,"62",,"15.5","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"25","12.5","Caresource","Health Exchange",,,"62",,"15.5","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"25","12.5","Cigna","Commercial",,,"59",,"14.65","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"25","12.5","Humana","Commercial",,,"78",,"19.38","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"25","12.5","UHC","Commercial",,,"75",,"18.85","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"25","12.5","Medicaid",,,,"37",,"9.15","0.04","2502.48","percent of total billed charges",,
"NF-SPIRONOLACTONE ORAL TAB 50MG","0259","RC","Both",,,"2.5","1.25","Alliant","Health Exchange",,,"62",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-SPIRONOLACTONE ORAL TAB 50MG","0259","RC","Both",,,"2.5","1.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.35","0.04","2502.48","percent of total billed charges",,
"NF-SPIRONOLACTONE ORAL TAB 50MG","0259","RC","Both",,,"2.5","1.25","Medicare",,,,"54",,"1.36","0.04","2502.48","percent of total billed charges",,
"NF-SPIRONOLACTONE ORAL TAB 50MG","0259","RC","Both",,,"2.5","1.25","Humana","Medicare Advantage",,,"54",,"1.36","0.04","2502.48","percent of total billed charges",,
"NF-SPIRONOLACTONE ORAL TAB 50MG","0259","RC","Both",,,"2.5","1.25","UHC","Medicare Advantage",,,"54",,"1.36","0.04","2502.48","percent of total billed charges",,
"NF-SPIRONOLACTONE ORAL TAB 50MG","0259","RC","Both",,,"2.5","1.25","Clover","Medicare Advantage",,,"54",,"1.36","0.04","2502.48","percent of total billed charges",,
"NF-SPIRONOLACTONE ORAL TAB 50MG","0259","RC","Both",,,"2.5","1.25","Wellcare","Medicare Advantage",,,"54",,"1.36","0.04","2502.48","percent of total billed charges",,
"NF-SPIRONOLACTONE ORAL TAB 50MG","0259","RC","Both",,,"2.5","1.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.92","0.04","2502.48","percent of total billed charges",,
"NF-SPIRONOLACTONE ORAL TAB 50MG","0259","RC","Both",,,"2.5","1.25","Caresource","Medicaid Managed Care",,,"40",,"1","0.04","2502.48","percent of total billed charges",,
"NF-SPIRONOLACTONE ORAL TAB 50MG","0259","RC","Both",,,"2.5","1.25","Wellcare","Medicaid Managed Care",,,"40",,"1.01","0.04","2502.48","percent of total billed charges",,
"NF-SPIRONOLACTONE ORAL TAB 50MG","0259","RC","Both",,,"2.5","1.25","Aetna","Commercial",,,"64",,"1.6","0.04","2502.48","percent of total billed charges",,
"NF-SPIRONOLACTONE ORAL TAB 50MG","0259","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","Pathways",,,"71",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-SPIRONOLACTONE ORAL TAB 50MG","0259","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","HMO",,,"71",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-SPIRONOLACTONE ORAL TAB 50MG","0259","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","PPO",,,"71",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-SPIRONOLACTONE ORAL TAB 50MG","0259","RC","Both",,,"2.5","1.25","Ambetter","Health Exchange",,,"62",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-SPIRONOLACTONE ORAL TAB 50MG","0259","RC","Both",,,"2.5","1.25","Caresource","Health Exchange",,,"62",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-SPIRONOLACTONE ORAL TAB 50MG","0259","RC","Both",,,"2.5","1.25","Cigna","Commercial",,,"59",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-SPIRONOLACTONE ORAL TAB 50MG","0259","RC","Both",,,"2.5","1.25","Humana","Commercial",,,"78",,"1.94","0.04","2502.48","percent of total billed charges",,
"NF-SPIRONOLACTONE ORAL TAB 50MG","0259","RC","Both",,,"2.5","1.25","UHC","Commercial",,,"75",,"1.88","0.04","2502.48","percent of total billed charges",,
"NF-SPIRONOLACTONE ORAL TAB 50MG","0259","RC","Both",,,"2.5","1.25","Medicaid",,,,"37",,"0.92","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 50MG","0259","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 50MG","0259","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 50MG","0259","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 50MG","0259","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 50MG","0259","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 50MG","0259","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 50MG","0259","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 50MG","0259","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 50MG","0259","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 50MG","0259","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 50MG","0259","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 50MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 50MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 50MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 50MG","0259","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 50MG","0259","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 50MG","0259","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 50MG","0259","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 50MG","0259","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 50MG","0259","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Alliant","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Medicare",,,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Humana","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","UHC","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Clover","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Wellcare","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Amerigroup","Medicaid Managed Care",,,"37",,"10.25","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Caresource","Medicaid Managed Care",,,"40",,"11.2","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Wellcare","Medicaid Managed Care",,,"40",,"11.34","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Aetna","Commercial",,,"64",,"17.86","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","Pathways",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","HMO",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","PPO",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Ambetter","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Caresource","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Cigna","Commercial",,,"59",,"16.41","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Humana","Commercial",,,"78",,"21.7","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","UHC","Commercial",,,"75",,"21.11","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Medicaid",,,,"37",,"10.25","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Alliant","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Medicare",,,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Humana","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","UHC","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Clover","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Wellcare","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Amerigroup","Medicaid Managed Care",,,"37",,"10.25","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Caresource","Medicaid Managed Care",,,"40",,"11.2","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Wellcare","Medicaid Managed Care",,,"40",,"11.34","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Aetna","Commercial",,,"64",,"17.86","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","Pathways",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","HMO",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","PPO",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Ambetter","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Caresource","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Cigna","Commercial",,,"59",,"16.41","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Humana","Commercial",,,"78",,"21.7","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","UHC","Commercial",,,"75",,"21.11","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Medicaid",,,,"37",,"10.25","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.25%","0259","RC","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.25%","0259","RC","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.25%","0259","RC","Both",,,"8","4","Medicare",,,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.25%","0259","RC","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.25%","0259","RC","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.25%","0259","RC","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.25%","0259","RC","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.25%","0259","RC","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.25%","0259","RC","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.25%","0259","RC","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.25%","0259","RC","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.25%","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.25%","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.25%","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.25%","0259","RC","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.25%","0259","RC","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.25%","0259","RC","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.25%","0259","RC","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.25%","0259","RC","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.25%","0259","RC","Both",,,"8","4","Medicaid",,,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"62","31","Alliant","Health Exchange",,,"62",,"38.44","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"62","31","Pruitt Healthcare","Medicare Advantage",,,"54",,"33.48","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"62","31","Medicare",,,,"54",,"33.6","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"62","31","Humana","Medicare Advantage",,,"54",,"33.6","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"62","31","UHC","Medicare Advantage",,,"54",,"33.6","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"62","31","Clover","Medicare Advantage",,,"54",,"33.6","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"62","31","Wellcare","Medicare Advantage",,,"54",,"33.6","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"62","31","Amerigroup","Medicaid Managed Care",,,"37",,"22.69","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"62","31","Caresource","Medicaid Managed Care",,,"40",,"24.8","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"62","31","Wellcare","Medicaid Managed Care",,,"40",,"25.11","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"62","31","Aetna","Commercial",,,"64",,"39.56","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"62","31","Blue Cross Blue Shield","Pathways",,,"71",,"43.77","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"62","31","Blue Cross Blue Shield","HMO",,,"71",,"43.77","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"62","31","Blue Cross Blue Shield","PPO",,,"71",,"43.77","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"62","31","Ambetter","Health Exchange",,,"62",,"38.44","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"62","31","Caresource","Health Exchange",,,"62",,"38.44","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"62","31","Cigna","Commercial",,,"59",,"36.33","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"62","31","Humana","Commercial",,,"78",,"48.05","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"62","31","UHC","Commercial",,,"75",,"46.75","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"62","31","Medicaid",,,,"37",,"22.69","0.04","2502.48","percent of total billed charges",,
"NF-Creon Oral Cap DR 180000U-36000U-1140","0259","RC","Both",,,"36","18","Alliant","Health Exchange",,,"62",,"22.32","0.04","2502.48","percent of total billed charges",,
"NF-Creon Oral Cap DR 180000U-36000U-1140","0259","RC","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.44","0.04","2502.48","percent of total billed charges",,
"NF-Creon Oral Cap DR 180000U-36000U-1140","0259","RC","Both",,,"36","18","Medicare",,,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Creon Oral Cap DR 180000U-36000U-1140","0259","RC","Both",,,"36","18","Humana","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Creon Oral Cap DR 180000U-36000U-1140","0259","RC","Both",,,"36","18","UHC","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Creon Oral Cap DR 180000U-36000U-1140","0259","RC","Both",,,"36","18","Clover","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Creon Oral Cap DR 180000U-36000U-1140","0259","RC","Both",,,"36","18","Wellcare","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Creon Oral Cap DR 180000U-36000U-1140","0259","RC","Both",,,"36","18","Amerigroup","Medicaid Managed Care",,,"37",,"13.18","0.04","2502.48","percent of total billed charges",,
"NF-Creon Oral Cap DR 180000U-36000U-1140","0259","RC","Both",,,"36","18","Caresource","Medicaid Managed Care",,,"40",,"14.4","0.04","2502.48","percent of total billed charges",,
"NF-Creon Oral Cap DR 180000U-36000U-1140","0259","RC","Both",,,"36","18","Wellcare","Medicaid Managed Care",,,"40",,"14.58","0.04","2502.48","percent of total billed charges",,
"NF-Creon Oral Cap DR 180000U-36000U-1140","0259","RC","Both",,,"36","18","Aetna","Commercial",,,"64",,"22.97","0.04","2502.48","percent of total billed charges",,
"NF-Creon Oral Cap DR 180000U-36000U-1140","0259","RC","Both",,,"36","18","Blue Cross Blue Shield","Pathways",,,"71",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Creon Oral Cap DR 180000U-36000U-1140","0259","RC","Both",,,"36","18","Blue Cross Blue Shield","HMO",,,"71",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Creon Oral Cap DR 180000U-36000U-1140","0259","RC","Both",,,"36","18","Blue Cross Blue Shield","PPO",,,"71",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Creon Oral Cap DR 180000U-36000U-1140","0259","RC","Both",,,"36","18","Ambetter","Health Exchange",,,"62",,"22.32","0.04","2502.48","percent of total billed charges",,
"NF-Creon Oral Cap DR 180000U-36000U-1140","0259","RC","Both",,,"36","18","Caresource","Health Exchange",,,"62",,"22.32","0.04","2502.48","percent of total billed charges",,
"NF-Creon Oral Cap DR 180000U-36000U-1140","0259","RC","Both",,,"36","18","Cigna","Commercial",,,"59",,"21.1","0.04","2502.48","percent of total billed charges",,
"NF-Creon Oral Cap DR 180000U-36000U-1140","0259","RC","Both",,,"36","18","Humana","Commercial",,,"78",,"27.9","0.04","2502.48","percent of total billed charges",,
"NF-Creon Oral Cap DR 180000U-36000U-1140","0259","RC","Both",,,"36","18","UHC","Commercial",,,"75",,"27.14","0.04","2502.48","percent of total billed charges",,
"NF-Creon Oral Cap DR 180000U-36000U-1140","0259","RC","Both",,,"36","18","Medicaid",,,,"37",,"13.18","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"32","16","Alliant","Health Exchange",,,"62",,"19.84","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"32","16","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.28","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"32","16","Medicare",,,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"32","16","Humana","Medicare Advantage",,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"32","16","UHC","Medicare Advantage",,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"32","16","Clover","Medicare Advantage",,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"32","16","Wellcare","Medicare Advantage",,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"32","16","Amerigroup","Medicaid Managed Care",,,"37",,"11.71","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"32","16","Caresource","Medicaid Managed Care",,,"40",,"12.8","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"32","16","Wellcare","Medicaid Managed Care",,,"40",,"12.96","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"32","16","Aetna","Commercial",,,"64",,"20.42","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"32","16","Blue Cross Blue Shield","Pathways",,,"71",,"22.59","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"32","16","Blue Cross Blue Shield","HMO",,,"71",,"22.59","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"32","16","Blue Cross Blue Shield","PPO",,,"71",,"22.59","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"32","16","Ambetter","Health Exchange",,,"62",,"19.84","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"32","16","Caresource","Health Exchange",,,"62",,"19.84","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"32","16","Cigna","Commercial",,,"59",,"18.75","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"32","16","Humana","Commercial",,,"78",,"24.8","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"32","16","UHC","Commercial",,,"75",,"24.13","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"32","16","Medicaid",,,,"37",,"11.71","0.04","2502.48","percent of total billed charges",,
"NF-Duoderm CGF","0259","RC","Both",,,"17","8.5","Alliant","Health Exchange",,,"62",,"10.54","0.04","2502.48","percent of total billed charges",,
"NF-Duoderm CGF","0259","RC","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.18","0.04","2502.48","percent of total billed charges",,
"NF-Duoderm CGF","0259","RC","Both",,,"17","8.5","Medicare",,,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-Duoderm CGF","0259","RC","Both",,,"17","8.5","Humana","Medicare Advantage",,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-Duoderm CGF","0259","RC","Both",,,"17","8.5","UHC","Medicare Advantage",,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-Duoderm CGF","0259","RC","Both",,,"17","8.5","Clover","Medicare Advantage",,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-Duoderm CGF","0259","RC","Both",,,"17","8.5","Wellcare","Medicare Advantage",,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-Duoderm CGF","0259","RC","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.22","0.04","2502.48","percent of total billed charges",,
"NF-Duoderm CGF","0259","RC","Both",,,"17","8.5","Caresource","Medicaid Managed Care",,,"40",,"6.8","0.04","2502.48","percent of total billed charges",,
"NF-Duoderm CGF","0259","RC","Both",,,"17","8.5","Wellcare","Medicaid Managed Care",,,"40",,"6.89","0.04","2502.48","percent of total billed charges",,
"NF-Duoderm CGF","0259","RC","Both",,,"17","8.5","Aetna","Commercial",,,"64",,"10.85","0.04","2502.48","percent of total billed charges",,
"NF-Duoderm CGF","0259","RC","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways",,,"71",,"12","0.04","2502.48","percent of total billed charges",,
"NF-Duoderm CGF","0259","RC","Both",,,"17","8.5","Blue Cross Blue Shield","HMO",,,"71",,"12","0.04","2502.48","percent of total billed charges",,
"NF-Duoderm CGF","0259","RC","Both",,,"17","8.5","Blue Cross Blue Shield","PPO",,,"71",,"12","0.04","2502.48","percent of total billed charges",,
"NF-Duoderm CGF","0259","RC","Both",,,"17","8.5","Ambetter","Health Exchange",,,"62",,"10.54","0.04","2502.48","percent of total billed charges",,
"NF-Duoderm CGF","0259","RC","Both",,,"17","8.5","Caresource","Health Exchange",,,"62",,"10.54","0.04","2502.48","percent of total billed charges",,
"NF-Duoderm CGF","0259","RC","Both",,,"17","8.5","Cigna","Commercial",,,"59",,"9.96","0.04","2502.48","percent of total billed charges",,
"NF-Duoderm CGF","0259","RC","Both",,,"17","8.5","Humana","Commercial",,,"78",,"13.18","0.04","2502.48","percent of total billed charges",,
"NF-Duoderm CGF","0259","RC","Both",,,"17","8.5","UHC","Commercial",,,"75",,"12.82","0.04","2502.48","percent of total billed charges",,
"NF-Duoderm CGF","0259","RC","Both",,,"17","8.5","Medicaid",,,,"37",,"6.22","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Alliant","Health Exchange",,,"62",,"184.14","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"160.38","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Medicare",,,,"54",,"160.97","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Humana","Medicare Advantage",,,"54",,"160.97","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","UHC","Medicare Advantage",,,"54",,"160.97","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Clover","Medicare Advantage",,,"54",,"160.97","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Wellcare","Medicare Advantage",,,"54",,"160.97","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Amerigroup","Medicaid Managed Care",,,"37",,"108.7","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Caresource","Medicaid Managed Care",,,"40",,"118.8","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Wellcare","Medicaid Managed Care",,,"40",,"120.29","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Aetna","Commercial",,,"64",,"189.49","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Blue Cross Blue Shield","Pathways",,,"71",,"209.68","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Blue Cross Blue Shield","HMO",,,"71",,"209.68","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Blue Cross Blue Shield","PPO",,,"71",,"209.68","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Ambetter","Health Exchange",,,"62",,"184.14","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Caresource","Health Exchange",,,"62",,"184.14","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Cigna","Commercial",,,"59",,"174.04","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Humana","Commercial",,,"78",,"230.18","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","UHC","Commercial",,,"75",,"223.94","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Medicaid",,,,"37",,"108.7","0.04","2502.48","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0259","RC","Both",,,"21","10.5","Alliant","Health Exchange",,,"62",,"13.02","0.04","2502.48","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0259","RC","Both",,,"21","10.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.34","0.04","2502.48","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0259","RC","Both",,,"21","10.5","Medicare",,,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0259","RC","Both",,,"21","10.5","Humana","Medicare Advantage",,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0259","RC","Both",,,"21","10.5","UHC","Medicare Advantage",,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0259","RC","Both",,,"21","10.5","Clover","Medicare Advantage",,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0259","RC","Both",,,"21","10.5","Wellcare","Medicare Advantage",,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0259","RC","Both",,,"21","10.5","Amerigroup","Medicaid Managed Care",,,"37",,"7.69","0.04","2502.48","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0259","RC","Both",,,"21","10.5","Caresource","Medicaid Managed Care",,,"40",,"8.4","0.04","2502.48","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0259","RC","Both",,,"21","10.5","Wellcare","Medicaid Managed Care",,,"40",,"8.51","0.04","2502.48","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0259","RC","Both",,,"21","10.5","Aetna","Commercial",,,"64",,"13.4","0.04","2502.48","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0259","RC","Both",,,"21","10.5","Blue Cross Blue Shield","Pathways",,,"71",,"14.83","0.04","2502.48","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0259","RC","Both",,,"21","10.5","Blue Cross Blue Shield","HMO",,,"71",,"14.83","0.04","2502.48","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0259","RC","Both",,,"21","10.5","Blue Cross Blue Shield","PPO",,,"71",,"14.83","0.04","2502.48","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0259","RC","Both",,,"21","10.5","Ambetter","Health Exchange",,,"62",,"13.02","0.04","2502.48","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0259","RC","Both",,,"21","10.5","Caresource","Health Exchange",,,"62",,"13.02","0.04","2502.48","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0259","RC","Both",,,"21","10.5","Cigna","Commercial",,,"59",,"12.31","0.04","2502.48","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0259","RC","Both",,,"21","10.5","Humana","Commercial",,,"78",,"16.28","0.04","2502.48","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0259","RC","Both",,,"21","10.5","UHC","Commercial",,,"75",,"15.83","0.04","2502.48","percent of total billed charges",,
"NF-Pilocarpine Ophth Solution 4%","0259","RC","Both",,,"21","10.5","Medicaid",,,,"37",,"7.69","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Alliant","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Medicare",,,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Humana","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","UHC","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Clover","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Wellcare","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Amerigroup","Medicaid Managed Care",,,"37",,"10.25","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Caresource","Medicaid Managed Care",,,"40",,"11.2","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Wellcare","Medicaid Managed Care",,,"40",,"11.34","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Aetna","Commercial",,,"64",,"17.86","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","Pathways",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","HMO",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","PPO",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Ambetter","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Caresource","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Cigna","Commercial",,,"59",,"16.41","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Humana","Commercial",,,"78",,"21.7","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","UHC","Commercial",,,"75",,"21.11","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Medicaid",,,,"37",,"10.25","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Alliant","Health Exchange",,,"62",,"184.14","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"160.38","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Medicare",,,,"54",,"160.97","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Humana","Medicare Advantage",,,"54",,"160.97","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","UHC","Medicare Advantage",,,"54",,"160.97","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Clover","Medicare Advantage",,,"54",,"160.97","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Wellcare","Medicare Advantage",,,"54",,"160.97","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Amerigroup","Medicaid Managed Care",,,"37",,"108.7","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Caresource","Medicaid Managed Care",,,"40",,"118.8","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Wellcare","Medicaid Managed Care",,,"40",,"120.29","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Aetna","Commercial",,,"64",,"189.49","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Blue Cross Blue Shield","Pathways",,,"71",,"209.68","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Blue Cross Blue Shield","HMO",,,"71",,"209.68","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Blue Cross Blue Shield","PPO",,,"71",,"209.68","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Ambetter","Health Exchange",,,"62",,"184.14","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Caresource","Health Exchange",,,"62",,"184.14","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Cigna","Commercial",,,"59",,"174.04","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Humana","Commercial",,,"78",,"230.18","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","UHC","Commercial",,,"75",,"223.94","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Medicaid",,,,"37",,"108.7","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Alliant","Health Exchange",,,"62",,"82.46","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"71.82","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Medicare",,,,"54",,"72.09","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Humana","Medicare Advantage",,,"54",,"72.09","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","UHC","Medicare Advantage",,,"54",,"72.09","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Clover","Medicare Advantage",,,"54",,"72.09","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Wellcare","Medicare Advantage",,,"54",,"72.09","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Amerigroup","Medicaid Managed Care",,,"37",,"48.68","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Caresource","Medicaid Managed Care",,,"40",,"53.2","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Wellcare","Medicaid Managed Care",,,"40",,"53.86","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Aetna","Commercial",,,"64",,"84.85","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Blue Cross Blue Shield","Pathways",,,"71",,"93.9","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Blue Cross Blue Shield","HMO",,,"71",,"93.9","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Blue Cross Blue Shield","PPO",,,"71",,"93.9","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Ambetter","Health Exchange",,,"62",,"82.46","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Caresource","Health Exchange",,,"62",,"82.46","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Cigna","Commercial",,,"59",,"77.94","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Humana","Commercial",,,"78",,"103.08","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","UHC","Commercial",,,"75",,"100.28","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Medicaid",,,,"37",,"48.68","0.04","2502.48","percent of total billed charges",,
"NF-Duoderm CGF","0259","RC","Both",,,"17","8.5","Alliant","Health Exchange",,,"62",,"10.54","0.04","2502.48","percent of total billed charges",,
"NF-Duoderm CGF","0259","RC","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.18","0.04","2502.48","percent of total billed charges",,
"NF-Duoderm CGF","0259","RC","Both",,,"17","8.5","Medicare",,,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-Duoderm CGF","0259","RC","Both",,,"17","8.5","Humana","Medicare Advantage",,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-Duoderm CGF","0259","RC","Both",,,"17","8.5","UHC","Medicare Advantage",,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-Duoderm CGF","0259","RC","Both",,,"17","8.5","Clover","Medicare Advantage",,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-Duoderm CGF","0259","RC","Both",,,"17","8.5","Wellcare","Medicare Advantage",,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-Duoderm CGF","0259","RC","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.22","0.04","2502.48","percent of total billed charges",,
"NF-Duoderm CGF","0259","RC","Both",,,"17","8.5","Caresource","Medicaid Managed Care",,,"40",,"6.8","0.04","2502.48","percent of total billed charges",,
"NF-Duoderm CGF","0259","RC","Both",,,"17","8.5","Wellcare","Medicaid Managed Care",,,"40",,"6.89","0.04","2502.48","percent of total billed charges",,
"NF-Duoderm CGF","0259","RC","Both",,,"17","8.5","Aetna","Commercial",,,"64",,"10.85","0.04","2502.48","percent of total billed charges",,
"NF-Duoderm CGF","0259","RC","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways",,,"71",,"12","0.04","2502.48","percent of total billed charges",,
"NF-Duoderm CGF","0259","RC","Both",,,"17","8.5","Blue Cross Blue Shield","HMO",,,"71",,"12","0.04","2502.48","percent of total billed charges",,
"NF-Duoderm CGF","0259","RC","Both",,,"17","8.5","Blue Cross Blue Shield","PPO",,,"71",,"12","0.04","2502.48","percent of total billed charges",,
"NF-Duoderm CGF","0259","RC","Both",,,"17","8.5","Ambetter","Health Exchange",,,"62",,"10.54","0.04","2502.48","percent of total billed charges",,
"NF-Duoderm CGF","0259","RC","Both",,,"17","8.5","Caresource","Health Exchange",,,"62",,"10.54","0.04","2502.48","percent of total billed charges",,
"NF-Duoderm CGF","0259","RC","Both",,,"17","8.5","Cigna","Commercial",,,"59",,"9.96","0.04","2502.48","percent of total billed charges",,
"NF-Duoderm CGF","0259","RC","Both",,,"17","8.5","Humana","Commercial",,,"78",,"13.18","0.04","2502.48","percent of total billed charges",,
"NF-Duoderm CGF","0259","RC","Both",,,"17","8.5","UHC","Commercial",,,"75",,"12.82","0.04","2502.48","percent of total billed charges",,
"NF-Duoderm CGF","0259","RC","Both",,,"17","8.5","Medicaid",,,,"37",,"6.22","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Medicare",,,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Medicaid",,,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Alliant","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Medicare",,,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Humana","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","UHC","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Clover","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Wellcare","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Amerigroup","Medicaid Managed Care",,,"37",,"10.25","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Caresource","Medicaid Managed Care",,,"40",,"11.2","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Wellcare","Medicaid Managed Care",,,"40",,"11.34","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Aetna","Commercial",,,"64",,"17.86","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","Pathways",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","HMO",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","PPO",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Ambetter","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Caresource","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Cigna","Commercial",,,"59",,"16.41","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Humana","Commercial",,,"78",,"21.7","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","UHC","Commercial",,,"75",,"21.11","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Medicaid",,,,"37",,"10.25","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"66","33","Alliant","Health Exchange",,,"62",,"40.92","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"66","33","Pruitt Healthcare","Medicare Advantage",,,"54",,"35.64","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"66","33","Medicare",,,,"54",,"35.77","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"66","33","Humana","Medicare Advantage",,,"54",,"35.77","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"66","33","UHC","Medicare Advantage",,,"54",,"35.77","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"66","33","Clover","Medicare Advantage",,,"54",,"35.77","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"66","33","Wellcare","Medicare Advantage",,,"54",,"35.77","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"66","33","Amerigroup","Medicaid Managed Care",,,"37",,"24.16","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"66","33","Caresource","Medicaid Managed Care",,,"40",,"26.4","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"66","33","Wellcare","Medicaid Managed Care",,,"40",,"26.73","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"66","33","Aetna","Commercial",,,"64",,"42.11","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"66","33","Blue Cross Blue Shield","Pathways",,,"71",,"46.6","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"66","33","Blue Cross Blue Shield","HMO",,,"71",,"46.6","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"66","33","Blue Cross Blue Shield","PPO",,,"71",,"46.6","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"66","33","Ambetter","Health Exchange",,,"62",,"40.92","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"66","33","Caresource","Health Exchange",,,"62",,"40.92","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"66","33","Cigna","Commercial",,,"59",,"38.68","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"66","33","Humana","Commercial",,,"78",,"51.15","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"66","33","UHC","Commercial",,,"75",,"49.76","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"66","33","Medicaid",,,,"37",,"24.16","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Alliant","Health Exchange",,,"62",,"184.14","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"160.38","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Medicare",,,,"54",,"160.97","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Humana","Medicare Advantage",,,"54",,"160.97","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","UHC","Medicare Advantage",,,"54",,"160.97","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Clover","Medicare Advantage",,,"54",,"160.97","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Wellcare","Medicare Advantage",,,"54",,"160.97","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Amerigroup","Medicaid Managed Care",,,"37",,"108.7","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Caresource","Medicaid Managed Care",,,"40",,"118.8","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Wellcare","Medicaid Managed Care",,,"40",,"120.29","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Aetna","Commercial",,,"64",,"189.49","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Blue Cross Blue Shield","Pathways",,,"71",,"209.68","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Blue Cross Blue Shield","HMO",,,"71",,"209.68","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Blue Cross Blue Shield","PPO",,,"71",,"209.68","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Ambetter","Health Exchange",,,"62",,"184.14","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Caresource","Health Exchange",,,"62",,"184.14","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Cigna","Commercial",,,"59",,"174.04","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Humana","Commercial",,,"78",,"230.18","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","UHC","Commercial",,,"75",,"223.94","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Medicaid",,,,"37",,"108.7","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Mega-3 Ophth Soln","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Mega-3 Ophth Soln","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Mega-3 Ophth Soln","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Mega-3 Ophth Soln","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Mega-3 Ophth Soln","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Mega-3 Ophth Soln","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Mega-3 Ophth Soln","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Mega-3 Ophth Soln","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Mega-3 Ophth Soln","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Mega-3 Ophth Soln","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Mega-3 Ophth Soln","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Mega-3 Ophth Soln","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Mega-3 Ophth Soln","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Mega-3 Ophth Soln","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Mega-3 Ophth Soln","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Mega-3 Ophth Soln","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Mega-3 Ophth Soln","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Mega-3 Ophth Soln","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Mega-3 Ophth Soln","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Mega-3 Ophth Soln","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Fluorometholone Ophth Suspension 0.1%","0259","RC","Both",,,"24","12","Alliant","Health Exchange",,,"62",,"14.88","0.04","2502.48","percent of total billed charges",,
"NF-Fluorometholone Ophth Suspension 0.1%","0259","RC","Both",,,"24","12","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.96","0.04","2502.48","percent of total billed charges",,
"NF-Fluorometholone Ophth Suspension 0.1%","0259","RC","Both",,,"24","12","Medicare",,,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Fluorometholone Ophth Suspension 0.1%","0259","RC","Both",,,"24","12","Humana","Medicare Advantage",,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Fluorometholone Ophth Suspension 0.1%","0259","RC","Both",,,"24","12","UHC","Medicare Advantage",,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Fluorometholone Ophth Suspension 0.1%","0259","RC","Both",,,"24","12","Clover","Medicare Advantage",,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Fluorometholone Ophth Suspension 0.1%","0259","RC","Both",,,"24","12","Wellcare","Medicare Advantage",,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Fluorometholone Ophth Suspension 0.1%","0259","RC","Both",,,"24","12","Amerigroup","Medicaid Managed Care",,,"37",,"8.78","0.04","2502.48","percent of total billed charges",,
"NF-Fluorometholone Ophth Suspension 0.1%","0259","RC","Both",,,"24","12","Caresource","Medicaid Managed Care",,,"40",,"9.6","0.04","2502.48","percent of total billed charges",,
"NF-Fluorometholone Ophth Suspension 0.1%","0259","RC","Both",,,"24","12","Wellcare","Medicaid Managed Care",,,"40",,"9.72","0.04","2502.48","percent of total billed charges",,
"NF-Fluorometholone Ophth Suspension 0.1%","0259","RC","Both",,,"24","12","Aetna","Commercial",,,"64",,"15.31","0.04","2502.48","percent of total billed charges",,
"NF-Fluorometholone Ophth Suspension 0.1%","0259","RC","Both",,,"24","12","Blue Cross Blue Shield","Pathways",,,"71",,"16.94","0.04","2502.48","percent of total billed charges",,
"NF-Fluorometholone Ophth Suspension 0.1%","0259","RC","Both",,,"24","12","Blue Cross Blue Shield","HMO",,,"71",,"16.94","0.04","2502.48","percent of total billed charges",,
"NF-Fluorometholone Ophth Suspension 0.1%","0259","RC","Both",,,"24","12","Blue Cross Blue Shield","PPO",,,"71",,"16.94","0.04","2502.48","percent of total billed charges",,
"NF-Fluorometholone Ophth Suspension 0.1%","0259","RC","Both",,,"24","12","Ambetter","Health Exchange",,,"62",,"14.88","0.04","2502.48","percent of total billed charges",,
"NF-Fluorometholone Ophth Suspension 0.1%","0259","RC","Both",,,"24","12","Caresource","Health Exchange",,,"62",,"14.88","0.04","2502.48","percent of total billed charges",,
"NF-Fluorometholone Ophth Suspension 0.1%","0259","RC","Both",,,"24","12","Cigna","Commercial",,,"59",,"14.06","0.04","2502.48","percent of total billed charges",,
"NF-Fluorometholone Ophth Suspension 0.1%","0259","RC","Both",,,"24","12","Humana","Commercial",,,"78",,"18.6","0.04","2502.48","percent of total billed charges",,
"NF-Fluorometholone Ophth Suspension 0.1%","0259","RC","Both",,,"24","12","UHC","Commercial",,,"75",,"18.1","0.04","2502.48","percent of total billed charges",,
"NF-Fluorometholone Ophth Suspension 0.1%","0259","RC","Both",,,"24","12","Medicaid",,,,"37",,"8.78","0.04","2502.48","percent of total billed charges",,
"NF-Oxazepam Capsule 15MG","0259","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Oxazepam Capsule 15MG","0259","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Oxazepam Capsule 15MG","0259","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Oxazepam Capsule 15MG","0259","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Oxazepam Capsule 15MG","0259","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Oxazepam Capsule 15MG","0259","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Oxazepam Capsule 15MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Oxazepam Capsule 15MG","0259","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Oxazepam Capsule 15MG","0259","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","2502.48","percent of total billed charges",,
"NF-Oxazepam Capsule 15MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","2502.48","percent of total billed charges",,
"NF-Oxazepam Capsule 15MG","0259","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","2502.48","percent of total billed charges",,
"NF-Oxazepam Capsule 15MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Oxazepam Capsule 15MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Oxazepam Capsule 15MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Oxazepam Capsule 15MG","0259","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Oxazepam Capsule 15MG","0259","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Oxazepam Capsule 15MG","0259","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-Oxazepam Capsule 15MG","0259","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","2502.48","percent of total billed charges",,
"NF-Oxazepam Capsule 15MG","0259","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","2502.48","percent of total billed charges",,
"NF-Oxazepam Capsule 15MG","0259","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","0259","RC","Both",,,"37","18.5","Alliant","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","0259","RC","Both",,,"37","18.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.98","0.04","2502.48","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","0259","RC","Both",,,"37","18.5","Medicare",,,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","0259","RC","Both",,,"37","18.5","Humana","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","0259","RC","Both",,,"37","18.5","UHC","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","0259","RC","Both",,,"37","18.5","Clover","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","0259","RC","Both",,,"37","18.5","Wellcare","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","0259","RC","Both",,,"37","18.5","Amerigroup","Medicaid Managed Care",,,"37",,"13.54","0.04","2502.48","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","0259","RC","Both",,,"37","18.5","Caresource","Medicaid Managed Care",,,"40",,"14.8","0.04","2502.48","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","0259","RC","Both",,,"37","18.5","Wellcare","Medicaid Managed Care",,,"40",,"14.99","0.04","2502.48","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","0259","RC","Both",,,"37","18.5","Aetna","Commercial",,,"64",,"23.61","0.04","2502.48","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","Pathways",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","HMO",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","PPO",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","0259","RC","Both",,,"37","18.5","Ambetter","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","0259","RC","Both",,,"37","18.5","Caresource","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","0259","RC","Both",,,"37","18.5","Cigna","Commercial",,,"59",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","0259","RC","Both",,,"37","18.5","Humana","Commercial",,,"78",,"28.68","0.04","2502.48","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","0259","RC","Both",,,"37","18.5","UHC","Commercial",,,"75",,"27.9","0.04","2502.48","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","0259","RC","Both",,,"37","18.5","Medicaid",,,,"37",,"13.54","0.04","2502.48","percent of total billed charges",,
"NF-Oxazepam Capsule 15MG","0259","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Oxazepam Capsule 15MG","0259","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Oxazepam Capsule 15MG","0259","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Oxazepam Capsule 15MG","0259","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Oxazepam Capsule 15MG","0259","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Oxazepam Capsule 15MG","0259","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Oxazepam Capsule 15MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Oxazepam Capsule 15MG","0259","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Oxazepam Capsule 15MG","0259","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","2502.48","percent of total billed charges",,
"NF-Oxazepam Capsule 15MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","2502.48","percent of total billed charges",,
"NF-Oxazepam Capsule 15MG","0259","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","2502.48","percent of total billed charges",,
"NF-Oxazepam Capsule 15MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Oxazepam Capsule 15MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Oxazepam Capsule 15MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Oxazepam Capsule 15MG","0259","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Oxazepam Capsule 15MG","0259","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Oxazepam Capsule 15MG","0259","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-Oxazepam Capsule 15MG","0259","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","2502.48","percent of total billed charges",,
"NF-Oxazepam Capsule 15MG","0259","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","2502.48","percent of total billed charges",,
"NF-Oxazepam Capsule 15MG","0259","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Alliant","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Medicare",,,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Humana","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","UHC","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Clover","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Wellcare","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Amerigroup","Medicaid Managed Care",,,"37",,"10.25","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Caresource","Medicaid Managed Care",,,"40",,"11.2","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Wellcare","Medicaid Managed Care",,,"40",,"11.34","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Aetna","Commercial",,,"64",,"17.86","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","Pathways",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","HMO",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","PPO",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Ambetter","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Caresource","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Cigna","Commercial",,,"59",,"16.41","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Humana","Commercial",,,"78",,"21.7","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","UHC","Commercial",,,"75",,"21.11","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Medicaid",,,,"37",,"10.25","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"56","28","Alliant","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"56","28","Pruitt Healthcare","Medicare Advantage",,,"54",,"30.24","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"56","28","Medicare",,,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"56","28","Humana","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"56","28","UHC","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"56","28","Clover","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"56","28","Wellcare","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"56","28","Amerigroup","Medicaid Managed Care",,,"37",,"20.5","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"56","28","Caresource","Medicaid Managed Care",,,"40",,"22.4","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"56","28","Wellcare","Medicaid Managed Care",,,"40",,"22.68","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"56","28","Aetna","Commercial",,,"64",,"35.73","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","Pathways",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","HMO",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","PPO",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"56","28","Ambetter","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"56","28","Caresource","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"56","28","Cigna","Commercial",,,"59",,"32.82","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"56","28","Humana","Commercial",,,"78",,"43.4","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"56","28","UHC","Commercial",,,"75",,"42.22","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0259","RC","Both",,,"56","28","Medicaid",,,,"37",,"20.5","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-Onglyza Oral Tablet 5MG","0259","RC","Both",,,"35","17.5","Alliant","Health Exchange",,,"62",,"21.7","0.04","2502.48","percent of total billed charges",,
"NF-Onglyza Oral Tablet 5MG","0259","RC","Both",,,"35","17.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"18.9","0.04","2502.48","percent of total billed charges",,
"NF-Onglyza Oral Tablet 5MG","0259","RC","Both",,,"35","17.5","Medicare",,,,"54",,"18.97","0.04","2502.48","percent of total billed charges",,
"NF-Onglyza Oral Tablet 5MG","0259","RC","Both",,,"35","17.5","Humana","Medicare Advantage",,,"54",,"18.97","0.04","2502.48","percent of total billed charges",,
"NF-Onglyza Oral Tablet 5MG","0259","RC","Both",,,"35","17.5","UHC","Medicare Advantage",,,"54",,"18.97","0.04","2502.48","percent of total billed charges",,
"NF-Onglyza Oral Tablet 5MG","0259","RC","Both",,,"35","17.5","Clover","Medicare Advantage",,,"54",,"18.97","0.04","2502.48","percent of total billed charges",,
"NF-Onglyza Oral Tablet 5MG","0259","RC","Both",,,"35","17.5","Wellcare","Medicare Advantage",,,"54",,"18.97","0.04","2502.48","percent of total billed charges",,
"NF-Onglyza Oral Tablet 5MG","0259","RC","Both",,,"35","17.5","Amerigroup","Medicaid Managed Care",,,"37",,"12.81","0.04","2502.48","percent of total billed charges",,
"NF-Onglyza Oral Tablet 5MG","0259","RC","Both",,,"35","17.5","Caresource","Medicaid Managed Care",,,"40",,"14","0.04","2502.48","percent of total billed charges",,
"NF-Onglyza Oral Tablet 5MG","0259","RC","Both",,,"35","17.5","Wellcare","Medicaid Managed Care",,,"40",,"14.18","0.04","2502.48","percent of total billed charges",,
"NF-Onglyza Oral Tablet 5MG","0259","RC","Both",,,"35","17.5","Aetna","Commercial",,,"64",,"22.33","0.04","2502.48","percent of total billed charges",,
"NF-Onglyza Oral Tablet 5MG","0259","RC","Both",,,"35","17.5","Blue Cross Blue Shield","Pathways",,,"71",,"24.71","0.04","2502.48","percent of total billed charges",,
"NF-Onglyza Oral Tablet 5MG","0259","RC","Both",,,"35","17.5","Blue Cross Blue Shield","HMO",,,"71",,"24.71","0.04","2502.48","percent of total billed charges",,
"NF-Onglyza Oral Tablet 5MG","0259","RC","Both",,,"35","17.5","Blue Cross Blue Shield","PPO",,,"71",,"24.71","0.04","2502.48","percent of total billed charges",,
"NF-Onglyza Oral Tablet 5MG","0259","RC","Both",,,"35","17.5","Ambetter","Health Exchange",,,"62",,"21.7","0.04","2502.48","percent of total billed charges",,
"NF-Onglyza Oral Tablet 5MG","0259","RC","Both",,,"35","17.5","Caresource","Health Exchange",,,"62",,"21.7","0.04","2502.48","percent of total billed charges",,
"NF-Onglyza Oral Tablet 5MG","0259","RC","Both",,,"35","17.5","Cigna","Commercial",,,"59",,"20.51","0.04","2502.48","percent of total billed charges",,
"NF-Onglyza Oral Tablet 5MG","0259","RC","Both",,,"35","17.5","Humana","Commercial",,,"78",,"27.12","0.04","2502.48","percent of total billed charges",,
"NF-Onglyza Oral Tablet 5MG","0259","RC","Both",,,"35","17.5","UHC","Commercial",,,"75",,"26.39","0.04","2502.48","percent of total billed charges",,
"NF-Onglyza Oral Tablet 5MG","0259","RC","Both",,,"35","17.5","Medicaid",,,,"37",,"12.81","0.04","2502.48","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","0259","RC","Both",,,"496","248","Alliant","Health Exchange",,,"62",,"307.52","0.04","2502.48","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","0259","RC","Both",,,"496","248","Pruitt Healthcare","Medicare Advantage",,,"54",,"267.84","0.04","2502.48","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","0259","RC","Both",,,"496","248","Medicare",,,,"54",,"268.83","0.04","2502.48","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","0259","RC","Both",,,"496","248","Humana","Medicare Advantage",,,"54",,"268.83","0.04","2502.48","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","0259","RC","Both",,,"496","248","UHC","Medicare Advantage",,,"54",,"268.83","0.04","2502.48","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","0259","RC","Both",,,"496","248","Clover","Medicare Advantage",,,"54",,"268.83","0.04","2502.48","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","0259","RC","Both",,,"496","248","Wellcare","Medicare Advantage",,,"54",,"268.83","0.04","2502.48","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","0259","RC","Both",,,"496","248","Amerigroup","Medicaid Managed Care",,,"37",,"181.54","0.04","2502.48","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","0259","RC","Both",,,"496","248","Caresource","Medicaid Managed Care",,,"40",,"198.4","0.04","2502.48","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","0259","RC","Both",,,"496","248","Wellcare","Medicaid Managed Care",,,"40",,"200.88","0.04","2502.48","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","0259","RC","Both",,,"496","248","Aetna","Commercial",,,"64",,"316.45","0.04","2502.48","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","0259","RC","Both",,,"496","248","Blue Cross Blue Shield","Pathways",,,"71",,"350.18","0.04","2502.48","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","0259","RC","Both",,,"496","248","Blue Cross Blue Shield","HMO",,,"71",,"350.18","0.04","2502.48","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","0259","RC","Both",,,"496","248","Blue Cross Blue Shield","PPO",,,"71",,"350.18","0.04","2502.48","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","0259","RC","Both",,,"496","248","Ambetter","Health Exchange",,,"62",,"307.52","0.04","2502.48","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","0259","RC","Both",,,"496","248","Caresource","Health Exchange",,,"62",,"307.52","0.04","2502.48","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","0259","RC","Both",,,"496","248","Cigna","Commercial",,,"59",,"290.66","0.04","2502.48","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","0259","RC","Both",,,"496","248","Humana","Commercial",,,"78",,"384.4","0.04","2502.48","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","0259","RC","Both",,,"496","248","UHC","Commercial",,,"75",,"373.98","0.04","2502.48","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","0259","RC","Both",,,"496","248","Medicaid",,,,"37",,"181.54","0.04","2502.48","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","0259","RC","Both",,,"496","248","Alliant","Health Exchange",,,"62",,"307.52","0.04","2502.48","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","0259","RC","Both",,,"496","248","Pruitt Healthcare","Medicare Advantage",,,"54",,"267.84","0.04","2502.48","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","0259","RC","Both",,,"496","248","Medicare",,,,"54",,"268.83","0.04","2502.48","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","0259","RC","Both",,,"496","248","Humana","Medicare Advantage",,,"54",,"268.83","0.04","2502.48","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","0259","RC","Both",,,"496","248","UHC","Medicare Advantage",,,"54",,"268.83","0.04","2502.48","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","0259","RC","Both",,,"496","248","Clover","Medicare Advantage",,,"54",,"268.83","0.04","2502.48","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","0259","RC","Both",,,"496","248","Wellcare","Medicare Advantage",,,"54",,"268.83","0.04","2502.48","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","0259","RC","Both",,,"496","248","Amerigroup","Medicaid Managed Care",,,"37",,"181.54","0.04","2502.48","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","0259","RC","Both",,,"496","248","Caresource","Medicaid Managed Care",,,"40",,"198.4","0.04","2502.48","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","0259","RC","Both",,,"496","248","Wellcare","Medicaid Managed Care",,,"40",,"200.88","0.04","2502.48","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","0259","RC","Both",,,"496","248","Aetna","Commercial",,,"64",,"316.45","0.04","2502.48","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","0259","RC","Both",,,"496","248","Blue Cross Blue Shield","Pathways",,,"71",,"350.18","0.04","2502.48","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","0259","RC","Both",,,"496","248","Blue Cross Blue Shield","HMO",,,"71",,"350.18","0.04","2502.48","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","0259","RC","Both",,,"496","248","Blue Cross Blue Shield","PPO",,,"71",,"350.18","0.04","2502.48","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","0259","RC","Both",,,"496","248","Ambetter","Health Exchange",,,"62",,"307.52","0.04","2502.48","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","0259","RC","Both",,,"496","248","Caresource","Health Exchange",,,"62",,"307.52","0.04","2502.48","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","0259","RC","Both",,,"496","248","Cigna","Commercial",,,"59",,"290.66","0.04","2502.48","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","0259","RC","Both",,,"496","248","Humana","Commercial",,,"78",,"384.4","0.04","2502.48","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","0259","RC","Both",,,"496","248","UHC","Commercial",,,"75",,"373.98","0.04","2502.48","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","0259","RC","Both",,,"496","248","Medicaid",,,,"37",,"181.54","0.04","2502.48","percent of total billed charges",,
"Sugammadex (Bridion) 200 mg/2 mL Inj","0250","RC","Both",,,"220","110","Alliant","Health Exchange",,,"62",,"136.4","0.04","569.62","percent of total billed charges",,
"Sugammadex (Bridion) 200 mg/2 mL Inj","0250","RC","Both",,,"220","110","Pruitt Healthcare","Medicare Advantage",,,"54",,"118.8","0.04","569.62","percent of total billed charges",,
"Sugammadex (Bridion) 200 mg/2 mL Inj","0250","RC","Both",,,"220","110","Medicare",,,,"54",,"119.24","0.04","569.62","percent of total billed charges",,
"Sugammadex (Bridion) 200 mg/2 mL Inj","0250","RC","Both",,,"220","110","Humana","Medicare Advantage",,,"54",,"119.24","0.04","569.62","percent of total billed charges",,
"Sugammadex (Bridion) 200 mg/2 mL Inj","0250","RC","Both",,,"220","110","UHC","Medicare Advantage",,,"54",,"119.24","0.04","569.62","percent of total billed charges",,
"Sugammadex (Bridion) 200 mg/2 mL Inj","0250","RC","Both",,,"220","110","Clover","Medicare Advantage",,,"54",,"119.24","0.04","569.62","percent of total billed charges",,
"Sugammadex (Bridion) 200 mg/2 mL Inj","0250","RC","Both",,,"220","110","Wellcare","Medicare Advantage",,,"54",,"119.24","0.04","569.62","percent of total billed charges",,
"Sugammadex (Bridion) 200 mg/2 mL Inj","0250","RC","Both",,,"220","110","Amerigroup","Medicaid Managed Care",,,"37",,"80.52","0.04","569.62","percent of total billed charges",,
"Sugammadex (Bridion) 200 mg/2 mL Inj","0250","RC","Both",,,"220","110","Caresource","Medicaid Managed Care",,,"40",,"88","0.04","569.62","percent of total billed charges",,
"Sugammadex (Bridion) 200 mg/2 mL Inj","0250","RC","Both",,,"220","110","Wellcare","Medicaid Managed Care",,,"40",,"89.1","0.04","569.62","percent of total billed charges",,
"Sugammadex (Bridion) 200 mg/2 mL Inj","0250","RC","Both",,,"220","110","Aetna","Commercial",,,"64",,"140.36","0.04","569.62","percent of total billed charges",,
"Sugammadex (Bridion) 200 mg/2 mL Inj","0250","RC","Both",,,"220","110","Blue Cross Blue Shield","Pathways",,,"71",,"155.32","0.04","569.62","percent of total billed charges",,
"Sugammadex (Bridion) 200 mg/2 mL Inj","0250","RC","Both",,,"220","110","Blue Cross Blue Shield","HMO",,,"71",,"155.32","0.04","569.62","percent of total billed charges",,
"Sugammadex (Bridion) 200 mg/2 mL Inj","0250","RC","Both",,,"220","110","Blue Cross Blue Shield","PPO",,,"71",,"155.32","0.04","569.62","percent of total billed charges",,
"Sugammadex (Bridion) 200 mg/2 mL Inj","0250","RC","Both",,,"220","110","Ambetter","Health Exchange",,,"62",,"136.4","0.04","569.62","percent of total billed charges",,
"Sugammadex (Bridion) 200 mg/2 mL Inj","0250","RC","Both",,,"220","110","Caresource","Health Exchange",,,"62",,"136.4","0.04","569.62","percent of total billed charges",,
"Sugammadex (Bridion) 200 mg/2 mL Inj","0250","RC","Both",,,"220","110","Cigna","Commercial",,,"59",,"128.92","0.04","569.62","percent of total billed charges",,
"Sugammadex (Bridion) 200 mg/2 mL Inj","0250","RC","Both",,,"220","110","Humana","Commercial",,,"78",,"170.5","0.04","569.62","percent of total billed charges",,
"Sugammadex (Bridion) 200 mg/2 mL Inj","0250","RC","Both",,,"220","110","UHC","Commercial",,,"75",,"165.88","0.04","569.62","percent of total billed charges",,
"Sugammadex (Bridion) 200 mg/2 mL Inj","0250","RC","Both",,,"220","110","Medicaid",,,,"37",,"80.52","0.04","569.62","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1435","717.5","Alliant","Health Exchange",,,"62",,"889.7","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1435","717.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"774.9","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1435","717.5","Medicare",,,,"54",,"777.77","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1435","717.5","Humana","Medicare Advantage",,,"54",,"777.77","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1435","717.5","UHC","Medicare Advantage",,,"54",,"777.77","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1435","717.5","Clover","Medicare Advantage",,,"54",,"777.77","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1435","717.5","Wellcare","Medicare Advantage",,,"54",,"777.77","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1435","717.5","Amerigroup","Medicaid Managed Care",,,"37",,"525.21","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1435","717.5","Caresource","Medicaid Managed Care",,,"40",,"574","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1435","717.5","Wellcare","Medicaid Managed Care",,,"40",,"581.18","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1435","717.5","Aetna","Commercial",,,"64",,"915.53","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1435","717.5","Blue Cross Blue Shield","Pathways",,,"71",,"1013.11","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1435","717.5","Blue Cross Blue Shield","HMO",,,"71",,"1013.11","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1435","717.5","Blue Cross Blue Shield","PPO",,,"71",,"1013.11","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1435","717.5","Ambetter","Health Exchange",,,"62",,"889.7","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1435","717.5","Caresource","Health Exchange",,,"62",,"889.7","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1435","717.5","Cigna","Commercial",,,"59",,"840.91","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1435","717.5","Humana","Commercial",,,"78",,"1112.12","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1435","717.5","UHC","Commercial",,,"75",,"1081.99","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1435","717.5","Medicaid",,,,"37",,"525.21","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Alliant","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Medicare",,,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Humana","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","UHC","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Clover","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Wellcare","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Amerigroup","Medicaid Managed Care",,,"37",,"10.25","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Caresource","Medicaid Managed Care",,,"40",,"11.2","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Wellcare","Medicaid Managed Care",,,"40",,"11.34","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Aetna","Commercial",,,"64",,"17.86","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","Pathways",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","HMO",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","PPO",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Ambetter","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Caresource","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Cigna","Commercial",,,"59",,"16.41","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Humana","Commercial",,,"78",,"21.7","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","UHC","Commercial",,,"75",,"21.11","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Medicaid",,,,"37",,"10.25","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","0259","RC","Both",,,"11","5.5","Alliant","Health Exchange",,,"62",,"6.82","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","0259","RC","Both",,,"11","5.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.94","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","0259","RC","Both",,,"11","5.5","Medicare",,,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","0259","RC","Both",,,"11","5.5","Humana","Medicare Advantage",,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","0259","RC","Both",,,"11","5.5","UHC","Medicare Advantage",,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","0259","RC","Both",,,"11","5.5","Clover","Medicare Advantage",,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","0259","RC","Both",,,"11","5.5","Wellcare","Medicare Advantage",,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","0259","RC","Both",,,"11","5.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.03","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","0259","RC","Both",,,"11","5.5","Caresource","Medicaid Managed Care",,,"40",,"4.4","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","0259","RC","Both",,,"11","5.5","Wellcare","Medicaid Managed Care",,,"40",,"4.46","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","0259","RC","Both",,,"11","5.5","Aetna","Commercial",,,"64",,"7.02","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","0259","RC","Both",,,"11","5.5","Blue Cross Blue Shield","Pathways",,,"71",,"7.77","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","0259","RC","Both",,,"11","5.5","Blue Cross Blue Shield","HMO",,,"71",,"7.77","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","0259","RC","Both",,,"11","5.5","Blue Cross Blue Shield","PPO",,,"71",,"7.77","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","0259","RC","Both",,,"11","5.5","Ambetter","Health Exchange",,,"62",,"6.82","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","0259","RC","Both",,,"11","5.5","Caresource","Health Exchange",,,"62",,"6.82","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","0259","RC","Both",,,"11","5.5","Cigna","Commercial",,,"59",,"6.45","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","0259","RC","Both",,,"11","5.5","Humana","Commercial",,,"78",,"8.52","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","0259","RC","Both",,,"11","5.5","UHC","Commercial",,,"75",,"8.29","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","0259","RC","Both",,,"11","5.5","Medicaid",,,,"37",,"4.03","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Alliant","Health Exchange",,,"62",,"14.88","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.96","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Medicare",,,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Humana","Medicare Advantage",,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","UHC","Medicare Advantage",,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Clover","Medicare Advantage",,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Wellcare","Medicare Advantage",,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Amerigroup","Medicaid Managed Care",,,"37",,"8.78","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Caresource","Medicaid Managed Care",,,"40",,"9.6","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Wellcare","Medicaid Managed Care",,,"40",,"9.72","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Aetna","Commercial",,,"64",,"15.31","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Blue Cross Blue Shield","Pathways",,,"71",,"16.94","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Blue Cross Blue Shield","HMO",,,"71",,"16.94","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Blue Cross Blue Shield","PPO",,,"71",,"16.94","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Ambetter","Health Exchange",,,"62",,"14.88","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Caresource","Health Exchange",,,"62",,"14.88","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Cigna","Commercial",,,"59",,"14.06","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Humana","Commercial",,,"78",,"18.6","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","UHC","Commercial",,,"75",,"18.1","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Medicaid",,,,"37",,"8.78","0.04","2502.48","percent of total billed charges",,
"NF-Mirapex Oral Tablet 1.5MG","0259","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Mirapex Oral Tablet 1.5MG","0259","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-Mirapex Oral Tablet 1.5MG","0259","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Mirapex Oral Tablet 1.5MG","0259","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Mirapex Oral Tablet 1.5MG","0259","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Mirapex Oral Tablet 1.5MG","0259","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Mirapex Oral Tablet 1.5MG","0259","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Mirapex Oral Tablet 1.5MG","0259","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Mirapex Oral Tablet 1.5MG","0259","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.04","2502.48","percent of total billed charges",,
"NF-Mirapex Oral Tablet 1.5MG","0259","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.04","2502.48","percent of total billed charges",,
"NF-Mirapex Oral Tablet 1.5MG","0259","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-Mirapex Oral Tablet 1.5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Mirapex Oral Tablet 1.5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Mirapex Oral Tablet 1.5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Mirapex Oral Tablet 1.5MG","0259","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Mirapex Oral Tablet 1.5MG","0259","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Mirapex Oral Tablet 1.5MG","0259","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.04","2502.48","percent of total billed charges",,
"NF-Mirapex Oral Tablet 1.5MG","0259","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.04","2502.48","percent of total billed charges",,
"NF-Mirapex Oral Tablet 1.5MG","0259","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.04","2502.48","percent of total billed charges",,
"NF-Mirapex Oral Tablet 1.5MG","0259","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-HALOPERIDOL CONCENTRATE 2MG/ML","0259","RC","Both",,,"1.5","0.75","Alliant","Health Exchange",,,"62",,"0.93","0.04","2502.48","percent of total billed charges",,
"NF-HALOPERIDOL CONCENTRATE 2MG/ML","0259","RC","Both",,,"1.5","0.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-HALOPERIDOL CONCENTRATE 2MG/ML","0259","RC","Both",,,"1.5","0.75","Medicare",,,,"54",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-HALOPERIDOL CONCENTRATE 2MG/ML","0259","RC","Both",,,"1.5","0.75","Humana","Medicare Advantage",,,"54",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-HALOPERIDOL CONCENTRATE 2MG/ML","0259","RC","Both",,,"1.5","0.75","UHC","Medicare Advantage",,,"54",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-HALOPERIDOL CONCENTRATE 2MG/ML","0259","RC","Both",,,"1.5","0.75","Clover","Medicare Advantage",,,"54",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-HALOPERIDOL CONCENTRATE 2MG/ML","0259","RC","Both",,,"1.5","0.75","Wellcare","Medicare Advantage",,,"54",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-HALOPERIDOL CONCENTRATE 2MG/ML","0259","RC","Both",,,"1.5","0.75","Amerigroup","Medicaid Managed Care",,,"37",,"0.55","0.04","2502.48","percent of total billed charges",,
"NF-HALOPERIDOL CONCENTRATE 2MG/ML","0259","RC","Both",,,"1.5","0.75","Caresource","Medicaid Managed Care",,,"40",,"0.6","0.04","2502.48","percent of total billed charges",,
"NF-HALOPERIDOL CONCENTRATE 2MG/ML","0259","RC","Both",,,"1.5","0.75","Wellcare","Medicaid Managed Care",,,"40",,"0.61","0.04","2502.48","percent of total billed charges",,
"NF-HALOPERIDOL CONCENTRATE 2MG/ML","0259","RC","Both",,,"1.5","0.75","Aetna","Commercial",,,"64",,"0.96","0.04","2502.48","percent of total billed charges",,
"NF-HALOPERIDOL CONCENTRATE 2MG/ML","0259","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","Pathways",,,"71",,"1.06","0.04","2502.48","percent of total billed charges",,
"NF-HALOPERIDOL CONCENTRATE 2MG/ML","0259","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","HMO",,,"71",,"1.06","0.04","2502.48","percent of total billed charges",,
"NF-HALOPERIDOL CONCENTRATE 2MG/ML","0259","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","PPO",,,"71",,"1.06","0.04","2502.48","percent of total billed charges",,
"NF-HALOPERIDOL CONCENTRATE 2MG/ML","0259","RC","Both",,,"1.5","0.75","Ambetter","Health Exchange",,,"62",,"0.93","0.04","2502.48","percent of total billed charges",,
"NF-HALOPERIDOL CONCENTRATE 2MG/ML","0259","RC","Both",,,"1.5","0.75","Caresource","Health Exchange",,,"62",,"0.93","0.04","2502.48","percent of total billed charges",,
"NF-HALOPERIDOL CONCENTRATE 2MG/ML","0259","RC","Both",,,"1.5","0.75","Cigna","Commercial",,,"59",,"0.88","0.04","2502.48","percent of total billed charges",,
"NF-HALOPERIDOL CONCENTRATE 2MG/ML","0259","RC","Both",,,"1.5","0.75","Humana","Commercial",,,"78",,"1.16","0.04","2502.48","percent of total billed charges",,
"NF-HALOPERIDOL CONCENTRATE 2MG/ML","0259","RC","Both",,,"1.5","0.75","UHC","Commercial",,,"75",,"1.13","0.04","2502.48","percent of total billed charges",,
"NF-HALOPERIDOL CONCENTRATE 2MG/ML","0259","RC","Both",,,"1.5","0.75","Medicaid",,,,"37",,"0.55","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"128","64","Alliant","Health Exchange",,,"62",,"79.36","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"128","64","Pruitt Healthcare","Medicare Advantage",,,"54",,"69.12","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"128","64","Medicare",,,,"54",,"69.38","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"128","64","Humana","Medicare Advantage",,,"54",,"69.38","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"128","64","UHC","Medicare Advantage",,,"54",,"69.38","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"128","64","Clover","Medicare Advantage",,,"54",,"69.38","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"128","64","Wellcare","Medicare Advantage",,,"54",,"69.38","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"128","64","Amerigroup","Medicaid Managed Care",,,"37",,"46.85","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"128","64","Caresource","Medicaid Managed Care",,,"40",,"51.2","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"128","64","Wellcare","Medicaid Managed Care",,,"40",,"51.84","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"128","64","Aetna","Commercial",,,"64",,"81.66","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"128","64","Blue Cross Blue Shield","Pathways",,,"71",,"90.37","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"128","64","Blue Cross Blue Shield","HMO",,,"71",,"90.37","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"128","64","Blue Cross Blue Shield","PPO",,,"71",,"90.37","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"128","64","Ambetter","Health Exchange",,,"62",,"79.36","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"128","64","Caresource","Health Exchange",,,"62",,"79.36","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"128","64","Cigna","Commercial",,,"59",,"75.01","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"128","64","Humana","Commercial",,,"78",,"99.2","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"128","64","UHC","Commercial",,,"75",,"96.51","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"128","64","Medicaid",,,,"37",,"46.85","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"128","64","Alliant","Health Exchange",,,"62",,"79.36","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"128","64","Pruitt Healthcare","Medicare Advantage",,,"54",,"69.12","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"128","64","Medicare",,,,"54",,"69.38","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"128","64","Humana","Medicare Advantage",,,"54",,"69.38","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"128","64","UHC","Medicare Advantage",,,"54",,"69.38","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"128","64","Clover","Medicare Advantage",,,"54",,"69.38","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"128","64","Wellcare","Medicare Advantage",,,"54",,"69.38","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"128","64","Amerigroup","Medicaid Managed Care",,,"37",,"46.85","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"128","64","Caresource","Medicaid Managed Care",,,"40",,"51.2","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"128","64","Wellcare","Medicaid Managed Care",,,"40",,"51.84","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"128","64","Aetna","Commercial",,,"64",,"81.66","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"128","64","Blue Cross Blue Shield","Pathways",,,"71",,"90.37","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"128","64","Blue Cross Blue Shield","HMO",,,"71",,"90.37","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"128","64","Blue Cross Blue Shield","PPO",,,"71",,"90.37","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"128","64","Ambetter","Health Exchange",,,"62",,"79.36","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"128","64","Caresource","Health Exchange",,,"62",,"79.36","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"128","64","Cigna","Commercial",,,"59",,"75.01","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"128","64","Humana","Commercial",,,"78",,"99.2","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"128","64","UHC","Commercial",,,"75",,"96.51","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"128","64","Medicaid",,,,"37",,"46.85","0.04","2502.48","percent of total billed charges",,
"NF-PERMETHRIN CRM 5%","0259","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-PERMETHRIN CRM 5%","0259","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-PERMETHRIN CRM 5%","0259","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-PERMETHRIN CRM 5%","0259","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-PERMETHRIN CRM 5%","0259","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-PERMETHRIN CRM 5%","0259","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-PERMETHRIN CRM 5%","0259","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-PERMETHRIN CRM 5%","0259","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-PERMETHRIN CRM 5%","0259","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","2502.48","percent of total billed charges",,
"NF-PERMETHRIN CRM 5%","0259","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","2502.48","percent of total billed charges",,
"NF-PERMETHRIN CRM 5%","0259","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","2502.48","percent of total billed charges",,
"NF-PERMETHRIN CRM 5%","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-PERMETHRIN CRM 5%","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-PERMETHRIN CRM 5%","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-PERMETHRIN CRM 5%","0259","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-PERMETHRIN CRM 5%","0259","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-PERMETHRIN CRM 5%","0259","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-PERMETHRIN CRM 5%","0259","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","2502.48","percent of total billed charges",,
"NF-PERMETHRIN CRM 5%","0259","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","2502.48","percent of total billed charges",,
"NF-PERMETHRIN CRM 5%","0259","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1435","717.5","Alliant","Health Exchange",,,"62",,"889.7","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1435","717.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"774.9","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1435","717.5","Medicare",,,,"54",,"777.77","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1435","717.5","Humana","Medicare Advantage",,,"54",,"777.77","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1435","717.5","UHC","Medicare Advantage",,,"54",,"777.77","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1435","717.5","Clover","Medicare Advantage",,,"54",,"777.77","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1435","717.5","Wellcare","Medicare Advantage",,,"54",,"777.77","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1435","717.5","Amerigroup","Medicaid Managed Care",,,"37",,"525.21","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1435","717.5","Caresource","Medicaid Managed Care",,,"40",,"574","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1435","717.5","Wellcare","Medicaid Managed Care",,,"40",,"581.18","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1435","717.5","Aetna","Commercial",,,"64",,"915.53","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1435","717.5","Blue Cross Blue Shield","Pathways",,,"71",,"1013.11","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1435","717.5","Blue Cross Blue Shield","HMO",,,"71",,"1013.11","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1435","717.5","Blue Cross Blue Shield","PPO",,,"71",,"1013.11","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1435","717.5","Ambetter","Health Exchange",,,"62",,"889.7","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1435","717.5","Caresource","Health Exchange",,,"62",,"889.7","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1435","717.5","Cigna","Commercial",,,"59",,"840.91","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1435","717.5","Humana","Commercial",,,"78",,"1112.12","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1435","717.5","UHC","Commercial",,,"75",,"1081.99","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1435","717.5","Medicaid",,,,"37",,"525.21","0.04","2502.48","percent of total billed charges",,
"NF-Dexamethasone Oral Tablet 2MG","0259","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Dexamethasone Oral Tablet 2MG","0259","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Dexamethasone Oral Tablet 2MG","0259","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Dexamethasone Oral Tablet 2MG","0259","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Dexamethasone Oral Tablet 2MG","0259","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Dexamethasone Oral Tablet 2MG","0259","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Dexamethasone Oral Tablet 2MG","0259","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Dexamethasone Oral Tablet 2MG","0259","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Dexamethasone Oral Tablet 2MG","0259","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","2502.48","percent of total billed charges",,
"NF-Dexamethasone Oral Tablet 2MG","0259","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-Dexamethasone Oral Tablet 2MG","0259","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-Dexamethasone Oral Tablet 2MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Dexamethasone Oral Tablet 2MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Dexamethasone Oral Tablet 2MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Dexamethasone Oral Tablet 2MG","0259","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Dexamethasone Oral Tablet 2MG","0259","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Dexamethasone Oral Tablet 2MG","0259","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","2502.48","percent of total billed charges",,
"NF-Dexamethasone Oral Tablet 2MG","0259","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-Dexamethasone Oral Tablet 2MG","0259","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","2502.48","percent of total billed charges",,
"NF-Dexamethasone Oral Tablet 2MG","0259","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Combivent Respimat Inhalation Spray","0259","RC","Both",,,"383","191.5","Alliant","Health Exchange",,,"62",,"237.46","0.04","2502.48","percent of total billed charges",,
"NF-Combivent Respimat Inhalation Spray","0259","RC","Both",,,"383","191.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"206.82","0.04","2502.48","percent of total billed charges",,
"NF-Combivent Respimat Inhalation Spray","0259","RC","Both",,,"383","191.5","Medicare",,,,"54",,"207.59","0.04","2502.48","percent of total billed charges",,
"NF-Combivent Respimat Inhalation Spray","0259","RC","Both",,,"383","191.5","Humana","Medicare Advantage",,,"54",,"207.59","0.04","2502.48","percent of total billed charges",,
"NF-Combivent Respimat Inhalation Spray","0259","RC","Both",,,"383","191.5","UHC","Medicare Advantage",,,"54",,"207.59","0.04","2502.48","percent of total billed charges",,
"NF-Combivent Respimat Inhalation Spray","0259","RC","Both",,,"383","191.5","Clover","Medicare Advantage",,,"54",,"207.59","0.04","2502.48","percent of total billed charges",,
"NF-Combivent Respimat Inhalation Spray","0259","RC","Both",,,"383","191.5","Wellcare","Medicare Advantage",,,"54",,"207.59","0.04","2502.48","percent of total billed charges",,
"NF-Combivent Respimat Inhalation Spray","0259","RC","Both",,,"383","191.5","Amerigroup","Medicaid Managed Care",,,"37",,"140.18","0.04","2502.48","percent of total billed charges",,
"NF-Combivent Respimat Inhalation Spray","0259","RC","Both",,,"383","191.5","Caresource","Medicaid Managed Care",,,"40",,"153.2","0.04","2502.48","percent of total billed charges",,
"NF-Combivent Respimat Inhalation Spray","0259","RC","Both",,,"383","191.5","Wellcare","Medicaid Managed Care",,,"40",,"155.12","0.04","2502.48","percent of total billed charges",,
"NF-Combivent Respimat Inhalation Spray","0259","RC","Both",,,"383","191.5","Aetna","Commercial",,,"64",,"244.35","0.04","2502.48","percent of total billed charges",,
"NF-Combivent Respimat Inhalation Spray","0259","RC","Both",,,"383","191.5","Blue Cross Blue Shield","Pathways",,,"71",,"270.4","0.04","2502.48","percent of total billed charges",,
"NF-Combivent Respimat Inhalation Spray","0259","RC","Both",,,"383","191.5","Blue Cross Blue Shield","HMO",,,"71",,"270.4","0.04","2502.48","percent of total billed charges",,
"NF-Combivent Respimat Inhalation Spray","0259","RC","Both",,,"383","191.5","Blue Cross Blue Shield","PPO",,,"71",,"270.4","0.04","2502.48","percent of total billed charges",,
"NF-Combivent Respimat Inhalation Spray","0259","RC","Both",,,"383","191.5","Ambetter","Health Exchange",,,"62",,"237.46","0.04","2502.48","percent of total billed charges",,
"NF-Combivent Respimat Inhalation Spray","0259","RC","Both",,,"383","191.5","Caresource","Health Exchange",,,"62",,"237.46","0.04","2502.48","percent of total billed charges",,
"NF-Combivent Respimat Inhalation Spray","0259","RC","Both",,,"383","191.5","Cigna","Commercial",,,"59",,"224.44","0.04","2502.48","percent of total billed charges",,
"NF-Combivent Respimat Inhalation Spray","0259","RC","Both",,,"383","191.5","Humana","Commercial",,,"78",,"296.82","0.04","2502.48","percent of total billed charges",,
"NF-Combivent Respimat Inhalation Spray","0259","RC","Both",,,"383","191.5","UHC","Commercial",,,"75",,"288.78","0.04","2502.48","percent of total billed charges",,
"NF-Combivent Respimat Inhalation Spray","0259","RC","Both",,,"383","191.5","Medicaid",,,,"37",,"140.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Alliant","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Medicare",,,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Humana","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","UHC","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Clover","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Wellcare","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Amerigroup","Medicaid Managed Care",,,"37",,"10.25","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Caresource","Medicaid Managed Care",,,"40",,"11.2","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Wellcare","Medicaid Managed Care",,,"40",,"11.34","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Aetna","Commercial",,,"64",,"17.86","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","Pathways",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","HMO",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","PPO",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Ambetter","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Caresource","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Cigna","Commercial",,,"59",,"16.41","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Humana","Commercial",,,"78",,"21.7","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","UHC","Commercial",,,"75",,"21.11","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Medicaid",,,,"37",,"10.25","0.04","2502.48","percent of total billed charges",,
"NF-Dexamethasone Oral Tablet 2MG","0259","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Dexamethasone Oral Tablet 2MG","0259","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-Dexamethasone Oral Tablet 2MG","0259","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Dexamethasone Oral Tablet 2MG","0259","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Dexamethasone Oral Tablet 2MG","0259","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Dexamethasone Oral Tablet 2MG","0259","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Dexamethasone Oral Tablet 2MG","0259","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Dexamethasone Oral Tablet 2MG","0259","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Dexamethasone Oral Tablet 2MG","0259","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","2502.48","percent of total billed charges",,
"NF-Dexamethasone Oral Tablet 2MG","0259","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","2502.48","percent of total billed charges",,
"NF-Dexamethasone Oral Tablet 2MG","0259","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","2502.48","percent of total billed charges",,
"NF-Dexamethasone Oral Tablet 2MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Dexamethasone Oral Tablet 2MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Dexamethasone Oral Tablet 2MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Dexamethasone Oral Tablet 2MG","0259","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Dexamethasone Oral Tablet 2MG","0259","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Dexamethasone Oral Tablet 2MG","0259","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-Dexamethasone Oral Tablet 2MG","0259","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","2502.48","percent of total billed charges",,
"NF-Dexamethasone Oral Tablet 2MG","0259","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","2502.48","percent of total billed charges",,
"NF-Dexamethasone Oral Tablet 2MG","0259","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"379","189.5","Alliant","Health Exchange",,,"62",,"234.98","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"379","189.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"204.66","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"379","189.5","Medicare",,,,"54",,"205.42","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"379","189.5","Humana","Medicare Advantage",,,"54",,"205.42","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"379","189.5","UHC","Medicare Advantage",,,"54",,"205.42","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"379","189.5","Clover","Medicare Advantage",,,"54",,"205.42","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"379","189.5","Wellcare","Medicare Advantage",,,"54",,"205.42","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"379","189.5","Amerigroup","Medicaid Managed Care",,,"37",,"138.71","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"379","189.5","Caresource","Medicaid Managed Care",,,"40",,"151.6","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"379","189.5","Wellcare","Medicaid Managed Care",,,"40",,"153.5","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"379","189.5","Aetna","Commercial",,,"64",,"241.8","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"379","189.5","Blue Cross Blue Shield","Pathways",,,"71",,"267.57","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"379","189.5","Blue Cross Blue Shield","HMO",,,"71",,"267.57","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"379","189.5","Blue Cross Blue Shield","PPO",,,"71",,"267.57","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"379","189.5","Ambetter","Health Exchange",,,"62",,"234.98","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"379","189.5","Caresource","Health Exchange",,,"62",,"234.98","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"379","189.5","Cigna","Commercial",,,"59",,"222.09","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"379","189.5","Humana","Commercial",,,"78",,"293.73","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"379","189.5","UHC","Commercial",,,"75",,"285.77","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"379","189.5","Medicaid",,,,"37",,"138.71","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride/Timolol Sol","0259","RC","Both",,,"20","10","Alliant","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride/Timolol Sol","0259","RC","Both",,,"20","10","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.8","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride/Timolol Sol","0259","RC","Both",,,"20","10","Medicare",,,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride/Timolol Sol","0259","RC","Both",,,"20","10","Humana","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride/Timolol Sol","0259","RC","Both",,,"20","10","UHC","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride/Timolol Sol","0259","RC","Both",,,"20","10","Clover","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride/Timolol Sol","0259","RC","Both",,,"20","10","Wellcare","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride/Timolol Sol","0259","RC","Both",,,"20","10","Amerigroup","Medicaid Managed Care",,,"37",,"7.32","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride/Timolol Sol","0259","RC","Both",,,"20","10","Caresource","Medicaid Managed Care",,,"40",,"8","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride/Timolol Sol","0259","RC","Both",,,"20","10","Wellcare","Medicaid Managed Care",,,"40",,"8.1","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride/Timolol Sol","0259","RC","Both",,,"20","10","Aetna","Commercial",,,"64",,"12.76","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride/Timolol Sol","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","Pathways",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride/Timolol Sol","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","HMO",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride/Timolol Sol","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","PPO",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride/Timolol Sol","0259","RC","Both",,,"20","10","Ambetter","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride/Timolol Sol","0259","RC","Both",,,"20","10","Caresource","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride/Timolol Sol","0259","RC","Both",,,"20","10","Cigna","Commercial",,,"59",,"11.72","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride/Timolol Sol","0259","RC","Both",,,"20","10","Humana","Commercial",,,"78",,"15.5","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride/Timolol Sol","0259","RC","Both",,,"20","10","UHC","Commercial",,,"75",,"15.08","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride/Timolol Sol","0259","RC","Both",,,"20","10","Medicaid",,,,"37",,"7.32","0.04","2502.48","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","0259","RC","Both",,,"279","139.5","Alliant","Health Exchange",,,"62",,"172.98","0.04","2502.48","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","0259","RC","Both",,,"279","139.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"150.66","0.04","2502.48","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","0259","RC","Both",,,"279","139.5","Medicare",,,,"54",,"151.22","0.04","2502.48","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","0259","RC","Both",,,"279","139.5","Humana","Medicare Advantage",,,"54",,"151.22","0.04","2502.48","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","0259","RC","Both",,,"279","139.5","UHC","Medicare Advantage",,,"54",,"151.22","0.04","2502.48","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","0259","RC","Both",,,"279","139.5","Clover","Medicare Advantage",,,"54",,"151.22","0.04","2502.48","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","0259","RC","Both",,,"279","139.5","Wellcare","Medicare Advantage",,,"54",,"151.22","0.04","2502.48","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","0259","RC","Both",,,"279","139.5","Amerigroup","Medicaid Managed Care",,,"37",,"102.11","0.04","2502.48","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","0259","RC","Both",,,"279","139.5","Caresource","Medicaid Managed Care",,,"40",,"111.6","0.04","2502.48","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","0259","RC","Both",,,"279","139.5","Wellcare","Medicaid Managed Care",,,"40",,"113","0.04","2502.48","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","0259","RC","Both",,,"279","139.5","Aetna","Commercial",,,"64",,"178","0.04","2502.48","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","0259","RC","Both",,,"279","139.5","Blue Cross Blue Shield","Pathways",,,"71",,"196.97","0.04","2502.48","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","0259","RC","Both",,,"279","139.5","Blue Cross Blue Shield","HMO",,,"71",,"196.97","0.04","2502.48","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","0259","RC","Both",,,"279","139.5","Blue Cross Blue Shield","PPO",,,"71",,"196.97","0.04","2502.48","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","0259","RC","Both",,,"279","139.5","Ambetter","Health Exchange",,,"62",,"172.98","0.04","2502.48","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","0259","RC","Both",,,"279","139.5","Caresource","Health Exchange",,,"62",,"172.98","0.04","2502.48","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","0259","RC","Both",,,"279","139.5","Cigna","Commercial",,,"59",,"163.49","0.04","2502.48","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","0259","RC","Both",,,"279","139.5","Humana","Commercial",,,"78",,"216.22","0.04","2502.48","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","0259","RC","Both",,,"279","139.5","UHC","Commercial",,,"75",,"210.37","0.04","2502.48","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","0259","RC","Both",,,"279","139.5","Medicaid",,,,"37",,"102.11","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate AvPak Oral Tablet 145MG","0259","RC","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate AvPak Oral Tablet 145MG","0259","RC","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate AvPak Oral Tablet 145MG","0259","RC","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate AvPak Oral Tablet 145MG","0259","RC","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate AvPak Oral Tablet 145MG","0259","RC","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate AvPak Oral Tablet 145MG","0259","RC","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate AvPak Oral Tablet 145MG","0259","RC","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate AvPak Oral Tablet 145MG","0259","RC","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate AvPak Oral Tablet 145MG","0259","RC","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate AvPak Oral Tablet 145MG","0259","RC","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate AvPak Oral Tablet 145MG","0259","RC","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate AvPak Oral Tablet 145MG","0259","RC","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate AvPak Oral Tablet 145MG","0259","RC","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate AvPak Oral Tablet 145MG","0259","RC","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate AvPak Oral Tablet 145MG","0259","RC","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate AvPak Oral Tablet 145MG","0259","RC","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate AvPak Oral Tablet 145MG","0259","RC","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate AvPak Oral Tablet 145MG","0259","RC","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate AvPak Oral Tablet 145MG","0259","RC","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate AvPak Oral Tablet 145MG","0259","RC","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Alliant","Health Exchange",,,"62",,"22.32","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.44","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Medicare",,,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Humana","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","UHC","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Clover","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Wellcare","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Amerigroup","Medicaid Managed Care",,,"37",,"13.18","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Caresource","Medicaid Managed Care",,,"40",,"14.4","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Wellcare","Medicaid Managed Care",,,"40",,"14.58","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Aetna","Commercial",,,"64",,"22.97","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Blue Cross Blue Shield","Pathways",,,"71",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Blue Cross Blue Shield","HMO",,,"71",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Blue Cross Blue Shield","PPO",,,"71",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Ambetter","Health Exchange",,,"62",,"22.32","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Caresource","Health Exchange",,,"62",,"22.32","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Cigna","Commercial",,,"59",,"21.1","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Humana","Commercial",,,"78",,"27.9","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","UHC","Commercial",,,"75",,"27.14","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Medicaid",,,,"37",,"13.18","0.04","2502.48","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","0259","RC","Both",,,"279","139.5","Alliant","Health Exchange",,,"62",,"172.98","0.04","2502.48","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","0259","RC","Both",,,"279","139.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"150.66","0.04","2502.48","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","0259","RC","Both",,,"279","139.5","Medicare",,,,"54",,"151.22","0.04","2502.48","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","0259","RC","Both",,,"279","139.5","Humana","Medicare Advantage",,,"54",,"151.22","0.04","2502.48","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","0259","RC","Both",,,"279","139.5","UHC","Medicare Advantage",,,"54",,"151.22","0.04","2502.48","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","0259","RC","Both",,,"279","139.5","Clover","Medicare Advantage",,,"54",,"151.22","0.04","2502.48","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","0259","RC","Both",,,"279","139.5","Wellcare","Medicare Advantage",,,"54",,"151.22","0.04","2502.48","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","0259","RC","Both",,,"279","139.5","Amerigroup","Medicaid Managed Care",,,"37",,"102.11","0.04","2502.48","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","0259","RC","Both",,,"279","139.5","Caresource","Medicaid Managed Care",,,"40",,"111.6","0.04","2502.48","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","0259","RC","Both",,,"279","139.5","Wellcare","Medicaid Managed Care",,,"40",,"113","0.04","2502.48","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","0259","RC","Both",,,"279","139.5","Aetna","Commercial",,,"64",,"178","0.04","2502.48","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","0259","RC","Both",,,"279","139.5","Blue Cross Blue Shield","Pathways",,,"71",,"196.97","0.04","2502.48","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","0259","RC","Both",,,"279","139.5","Blue Cross Blue Shield","HMO",,,"71",,"196.97","0.04","2502.48","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","0259","RC","Both",,,"279","139.5","Blue Cross Blue Shield","PPO",,,"71",,"196.97","0.04","2502.48","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","0259","RC","Both",,,"279","139.5","Ambetter","Health Exchange",,,"62",,"172.98","0.04","2502.48","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","0259","RC","Both",,,"279","139.5","Caresource","Health Exchange",,,"62",,"172.98","0.04","2502.48","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","0259","RC","Both",,,"279","139.5","Cigna","Commercial",,,"59",,"163.49","0.04","2502.48","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","0259","RC","Both",,,"279","139.5","Humana","Commercial",,,"78",,"216.22","0.04","2502.48","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","0259","RC","Both",,,"279","139.5","UHC","Commercial",,,"75",,"210.37","0.04","2502.48","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","0259","RC","Both",,,"279","139.5","Medicaid",,,,"37",,"102.11","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate AvPak Oral Tablet 145MG","0259","RC","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate AvPak Oral Tablet 145MG","0259","RC","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate AvPak Oral Tablet 145MG","0259","RC","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate AvPak Oral Tablet 145MG","0259","RC","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate AvPak Oral Tablet 145MG","0259","RC","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate AvPak Oral Tablet 145MG","0259","RC","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate AvPak Oral Tablet 145MG","0259","RC","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate AvPak Oral Tablet 145MG","0259","RC","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate AvPak Oral Tablet 145MG","0259","RC","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate AvPak Oral Tablet 145MG","0259","RC","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate AvPak Oral Tablet 145MG","0259","RC","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate AvPak Oral Tablet 145MG","0259","RC","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate AvPak Oral Tablet 145MG","0259","RC","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate AvPak Oral Tablet 145MG","0259","RC","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate AvPak Oral Tablet 145MG","0259","RC","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate AvPak Oral Tablet 145MG","0259","RC","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate AvPak Oral Tablet 145MG","0259","RC","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate AvPak Oral Tablet 145MG","0259","RC","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate AvPak Oral Tablet 145MG","0259","RC","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate AvPak Oral Tablet 145MG","0259","RC","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","0.04","2502.48","percent of total billed charges",,
"NF-Exemestane Oral Tablet 25MG","0259","RC","Both",,,"60","30","Alliant","Health Exchange",,,"62",,"37.2","0.04","2502.48","percent of total billed charges",,
"NF-Exemestane Oral Tablet 25MG","0259","RC","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage",,,"54",,"32.4","0.04","2502.48","percent of total billed charges",,
"NF-Exemestane Oral Tablet 25MG","0259","RC","Both",,,"60","30","Medicare",,,,"54",,"32.52","0.04","2502.48","percent of total billed charges",,
"NF-Exemestane Oral Tablet 25MG","0259","RC","Both",,,"60","30","Humana","Medicare Advantage",,,"54",,"32.52","0.04","2502.48","percent of total billed charges",,
"NF-Exemestane Oral Tablet 25MG","0259","RC","Both",,,"60","30","UHC","Medicare Advantage",,,"54",,"32.52","0.04","2502.48","percent of total billed charges",,
"NF-Exemestane Oral Tablet 25MG","0259","RC","Both",,,"60","30","Clover","Medicare Advantage",,,"54",,"32.52","0.04","2502.48","percent of total billed charges",,
"NF-Exemestane Oral Tablet 25MG","0259","RC","Both",,,"60","30","Wellcare","Medicare Advantage",,,"54",,"32.52","0.04","2502.48","percent of total billed charges",,
"NF-Exemestane Oral Tablet 25MG","0259","RC","Both",,,"60","30","Amerigroup","Medicaid Managed Care",,,"37",,"21.96","0.04","2502.48","percent of total billed charges",,
"NF-Exemestane Oral Tablet 25MG","0259","RC","Both",,,"60","30","Caresource","Medicaid Managed Care",,,"40",,"24","0.04","2502.48","percent of total billed charges",,
"NF-Exemestane Oral Tablet 25MG","0259","RC","Both",,,"60","30","Wellcare","Medicaid Managed Care",,,"40",,"24.3","0.04","2502.48","percent of total billed charges",,
"NF-Exemestane Oral Tablet 25MG","0259","RC","Both",,,"60","30","Aetna","Commercial",,,"64",,"38.28","0.04","2502.48","percent of total billed charges",,
"NF-Exemestane Oral Tablet 25MG","0259","RC","Both",,,"60","30","Blue Cross Blue Shield","Pathways",,,"71",,"42.36","0.04","2502.48","percent of total billed charges",,
"NF-Exemestane Oral Tablet 25MG","0259","RC","Both",,,"60","30","Blue Cross Blue Shield","HMO",,,"71",,"42.36","0.04","2502.48","percent of total billed charges",,
"NF-Exemestane Oral Tablet 25MG","0259","RC","Both",,,"60","30","Blue Cross Blue Shield","PPO",,,"71",,"42.36","0.04","2502.48","percent of total billed charges",,
"NF-Exemestane Oral Tablet 25MG","0259","RC","Both",,,"60","30","Ambetter","Health Exchange",,,"62",,"37.2","0.04","2502.48","percent of total billed charges",,
"NF-Exemestane Oral Tablet 25MG","0259","RC","Both",,,"60","30","Caresource","Health Exchange",,,"62",,"37.2","0.04","2502.48","percent of total billed charges",,
"NF-Exemestane Oral Tablet 25MG","0259","RC","Both",,,"60","30","Cigna","Commercial",,,"59",,"35.16","0.04","2502.48","percent of total billed charges",,
"NF-Exemestane Oral Tablet 25MG","0259","RC","Both",,,"60","30","Humana","Commercial",,,"78",,"46.5","0.04","2502.48","percent of total billed charges",,
"NF-Exemestane Oral Tablet 25MG","0259","RC","Both",,,"60","30","UHC","Commercial",,,"75",,"45.24","0.04","2502.48","percent of total billed charges",,
"NF-Exemestane Oral Tablet 25MG","0259","RC","Both",,,"60","30","Medicaid",,,,"37",,"21.96","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"48","24","Alliant","Health Exchange",,,"62",,"29.76","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"48","24","Pruitt Healthcare","Medicare Advantage",,,"54",,"25.92","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"48","24","Medicare",,,,"54",,"26.02","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"48","24","Humana","Medicare Advantage",,,"54",,"26.02","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"48","24","UHC","Medicare Advantage",,,"54",,"26.02","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"48","24","Clover","Medicare Advantage",,,"54",,"26.02","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"48","24","Wellcare","Medicare Advantage",,,"54",,"26.02","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"48","24","Amerigroup","Medicaid Managed Care",,,"37",,"17.57","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"48","24","Caresource","Medicaid Managed Care",,,"40",,"19.2","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"48","24","Wellcare","Medicaid Managed Care",,,"40",,"19.44","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"48","24","Aetna","Commercial",,,"64",,"30.62","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"48","24","Blue Cross Blue Shield","Pathways",,,"71",,"33.89","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"48","24","Blue Cross Blue Shield","HMO",,,"71",,"33.89","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"48","24","Blue Cross Blue Shield","PPO",,,"71",,"33.89","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"48","24","Ambetter","Health Exchange",,,"62",,"29.76","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"48","24","Caresource","Health Exchange",,,"62",,"29.76","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"48","24","Cigna","Commercial",,,"59",,"28.13","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"48","24","Humana","Commercial",,,"78",,"37.2","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"48","24","UHC","Commercial",,,"75",,"36.19","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"48","24","Medicaid",,,,"37",,"17.57","0.04","2502.48","percent of total billed charges",,
"NF-Toviaz Oral Extended Release Tablet 4","0259","RC","Both",,,"41","20.5","Alliant","Health Exchange",,,"62",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Toviaz Oral Extended Release Tablet 4","0259","RC","Both",,,"41","20.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"22.14","0.04","2502.48","percent of total billed charges",,
"NF-Toviaz Oral Extended Release Tablet 4","0259","RC","Both",,,"41","20.5","Medicare",,,,"54",,"22.22","0.04","2502.48","percent of total billed charges",,
"NF-Toviaz Oral Extended Release Tablet 4","0259","RC","Both",,,"41","20.5","Humana","Medicare Advantage",,,"54",,"22.22","0.04","2502.48","percent of total billed charges",,
"NF-Toviaz Oral Extended Release Tablet 4","0259","RC","Both",,,"41","20.5","UHC","Medicare Advantage",,,"54",,"22.22","0.04","2502.48","percent of total billed charges",,
"NF-Toviaz Oral Extended Release Tablet 4","0259","RC","Both",,,"41","20.5","Clover","Medicare Advantage",,,"54",,"22.22","0.04","2502.48","percent of total billed charges",,
"NF-Toviaz Oral Extended Release Tablet 4","0259","RC","Both",,,"41","20.5","Wellcare","Medicare Advantage",,,"54",,"22.22","0.04","2502.48","percent of total billed charges",,
"NF-Toviaz Oral Extended Release Tablet 4","0259","RC","Both",,,"41","20.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.01","0.04","2502.48","percent of total billed charges",,
"NF-Toviaz Oral Extended Release Tablet 4","0259","RC","Both",,,"41","20.5","Caresource","Medicaid Managed Care",,,"40",,"16.4","0.04","2502.48","percent of total billed charges",,
"NF-Toviaz Oral Extended Release Tablet 4","0259","RC","Both",,,"41","20.5","Wellcare","Medicaid Managed Care",,,"40",,"16.6","0.04","2502.48","percent of total billed charges",,
"NF-Toviaz Oral Extended Release Tablet 4","0259","RC","Both",,,"41","20.5","Aetna","Commercial",,,"64",,"26.16","0.04","2502.48","percent of total billed charges",,
"NF-Toviaz Oral Extended Release Tablet 4","0259","RC","Both",,,"41","20.5","Blue Cross Blue Shield","Pathways",,,"71",,"28.95","0.04","2502.48","percent of total billed charges",,
"NF-Toviaz Oral Extended Release Tablet 4","0259","RC","Both",,,"41","20.5","Blue Cross Blue Shield","HMO",,,"71",,"28.95","0.04","2502.48","percent of total billed charges",,
"NF-Toviaz Oral Extended Release Tablet 4","0259","RC","Both",,,"41","20.5","Blue Cross Blue Shield","PPO",,,"71",,"28.95","0.04","2502.48","percent of total billed charges",,
"NF-Toviaz Oral Extended Release Tablet 4","0259","RC","Both",,,"41","20.5","Ambetter","Health Exchange",,,"62",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Toviaz Oral Extended Release Tablet 4","0259","RC","Both",,,"41","20.5","Caresource","Health Exchange",,,"62",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Toviaz Oral Extended Release Tablet 4","0259","RC","Both",,,"41","20.5","Cigna","Commercial",,,"59",,"24.03","0.04","2502.48","percent of total billed charges",,
"NF-Toviaz Oral Extended Release Tablet 4","0259","RC","Both",,,"41","20.5","Humana","Commercial",,,"78",,"31.78","0.04","2502.48","percent of total billed charges",,
"NF-Toviaz Oral Extended Release Tablet 4","0259","RC","Both",,,"41","20.5","UHC","Commercial",,,"75",,"30.91","0.04","2502.48","percent of total billed charges",,
"NF-Toviaz Oral Extended Release Tablet 4","0259","RC","Both",,,"41","20.5","Medicaid",,,,"37",,"15.01","0.04","2502.48","percent of total billed charges",,
"NF-Welchol Oral Tablet 625MG","0259","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Welchol Oral Tablet 625MG","0259","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.04","2502.48","percent of total billed charges",,
"NF-Welchol Oral Tablet 625MG","0259","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Welchol Oral Tablet 625MG","0259","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Welchol Oral Tablet 625MG","0259","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Welchol Oral Tablet 625MG","0259","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Welchol Oral Tablet 625MG","0259","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Welchol Oral Tablet 625MG","0259","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-Welchol Oral Tablet 625MG","0259","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.04","2502.48","percent of total billed charges",,
"NF-Welchol Oral Tablet 625MG","0259","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Welchol Oral Tablet 625MG","0259","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.04","2502.48","percent of total billed charges",,
"NF-Welchol Oral Tablet 625MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Welchol Oral Tablet 625MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Welchol Oral Tablet 625MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Welchol Oral Tablet 625MG","0259","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Welchol Oral Tablet 625MG","0259","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Welchol Oral Tablet 625MG","0259","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.04","2502.48","percent of total billed charges",,
"NF-Welchol Oral Tablet 625MG","0259","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Welchol Oral Tablet 625MG","0259","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.04","2502.48","percent of total billed charges",,
"NF-Welchol Oral Tablet 625MG","0259","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Alliant","Health Exchange",,,"62",,"82.46","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"71.82","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Medicare",,,,"54",,"72.09","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Humana","Medicare Advantage",,,"54",,"72.09","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","UHC","Medicare Advantage",,,"54",,"72.09","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Clover","Medicare Advantage",,,"54",,"72.09","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Wellcare","Medicare Advantage",,,"54",,"72.09","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Amerigroup","Medicaid Managed Care",,,"37",,"48.68","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Caresource","Medicaid Managed Care",,,"40",,"53.2","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Wellcare","Medicaid Managed Care",,,"40",,"53.86","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Aetna","Commercial",,,"64",,"84.85","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Blue Cross Blue Shield","Pathways",,,"71",,"93.9","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Blue Cross Blue Shield","HMO",,,"71",,"93.9","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Blue Cross Blue Shield","PPO",,,"71",,"93.9","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Ambetter","Health Exchange",,,"62",,"82.46","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Caresource","Health Exchange",,,"62",,"82.46","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Cigna","Commercial",,,"59",,"77.94","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Humana","Commercial",,,"78",,"103.08","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","UHC","Commercial",,,"75",,"100.28","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Medicaid",,,,"37",,"48.68","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Alliant","Health Exchange",,,"62",,"184.14","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"160.38","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Medicare",,,,"54",,"160.97","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Humana","Medicare Advantage",,,"54",,"160.97","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","UHC","Medicare Advantage",,,"54",,"160.97","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Clover","Medicare Advantage",,,"54",,"160.97","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Wellcare","Medicare Advantage",,,"54",,"160.97","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Amerigroup","Medicaid Managed Care",,,"37",,"108.7","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Caresource","Medicaid Managed Care",,,"40",,"118.8","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Wellcare","Medicaid Managed Care",,,"40",,"120.29","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Aetna","Commercial",,,"64",,"189.49","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Blue Cross Blue Shield","Pathways",,,"71",,"209.68","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Blue Cross Blue Shield","HMO",,,"71",,"209.68","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Blue Cross Blue Shield","PPO",,,"71",,"209.68","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Ambetter","Health Exchange",,,"62",,"184.14","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Caresource","Health Exchange",,,"62",,"184.14","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Cigna","Commercial",,,"59",,"174.04","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Humana","Commercial",,,"78",,"230.18","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","UHC","Commercial",,,"75",,"223.94","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"297","148.5","Medicaid",,,,"37",,"108.7","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"88","44","Alliant","Health Exchange",,,"62",,"54.56","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"88","44","Pruitt Healthcare","Medicare Advantage",,,"54",,"47.52","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"88","44","Medicare",,,,"54",,"47.7","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"88","44","Humana","Medicare Advantage",,,"54",,"47.7","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"88","44","UHC","Medicare Advantage",,,"54",,"47.7","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"88","44","Clover","Medicare Advantage",,,"54",,"47.7","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"88","44","Wellcare","Medicare Advantage",,,"54",,"47.7","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"88","44","Amerigroup","Medicaid Managed Care",,,"37",,"32.21","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"88","44","Caresource","Medicaid Managed Care",,,"40",,"35.2","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"88","44","Wellcare","Medicaid Managed Care",,,"40",,"35.64","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"88","44","Aetna","Commercial",,,"64",,"56.14","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"88","44","Blue Cross Blue Shield","Pathways",,,"71",,"62.13","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"88","44","Blue Cross Blue Shield","HMO",,,"71",,"62.13","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"88","44","Blue Cross Blue Shield","PPO",,,"71",,"62.13","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"88","44","Ambetter","Health Exchange",,,"62",,"54.56","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"88","44","Caresource","Health Exchange",,,"62",,"54.56","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"88","44","Cigna","Commercial",,,"59",,"51.57","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"88","44","Humana","Commercial",,,"78",,"68.2","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"88","44","UHC","Commercial",,,"75",,"66.35","0.04","2502.48","percent of total billed charges",,
"NF-Xifaxan Oral Tablet 550MG","0259","RC","Both",,,"88","44","Medicaid",,,,"37",,"32.21","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Alliant","Health Exchange",,,"62",,"14.88","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.96","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Medicare",,,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Humana","Medicare Advantage",,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","UHC","Medicare Advantage",,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Clover","Medicare Advantage",,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Wellcare","Medicare Advantage",,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Amerigroup","Medicaid Managed Care",,,"37",,"8.78","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Caresource","Medicaid Managed Care",,,"40",,"9.6","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Wellcare","Medicaid Managed Care",,,"40",,"9.72","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Aetna","Commercial",,,"64",,"15.31","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Blue Cross Blue Shield","Pathways",,,"71",,"16.94","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Blue Cross Blue Shield","HMO",,,"71",,"16.94","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Blue Cross Blue Shield","PPO",,,"71",,"16.94","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Ambetter","Health Exchange",,,"62",,"14.88","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Caresource","Health Exchange",,,"62",,"14.88","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Cigna","Commercial",,,"59",,"14.06","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Humana","Commercial",,,"78",,"18.6","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","UHC","Commercial",,,"75",,"18.1","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Medicaid",,,,"37",,"8.78","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Alliant","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Pruitt Healthcare","Medicare Advantage",,,"54",,"30.24","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Medicare",,,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Humana","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","UHC","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Clover","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Wellcare","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Amerigroup","Medicaid Managed Care",,,"37",,"20.5","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Caresource","Medicaid Managed Care",,,"40",,"22.4","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Wellcare","Medicaid Managed Care",,,"40",,"22.68","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Aetna","Commercial",,,"64",,"35.73","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","Pathways",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","HMO",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","PPO",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Ambetter","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Caresource","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Cigna","Commercial",,,"59",,"32.82","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Humana","Commercial",,,"78",,"43.4","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","UHC","Commercial",,,"75",,"42.22","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Medicaid",,,,"37",,"20.5","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Alliant","Health Exchange",,,"62",,"75.64","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Pruitt Healthcare","Medicare Advantage",,,"54",,"65.88","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Medicare",,,,"54",,"66.12","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Humana","Medicare Advantage",,,"54",,"66.12","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","UHC","Medicare Advantage",,,"54",,"66.12","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Clover","Medicare Advantage",,,"54",,"66.12","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Wellcare","Medicare Advantage",,,"54",,"66.12","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Amerigroup","Medicaid Managed Care",,,"37",,"44.65","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Caresource","Medicaid Managed Care",,,"40",,"48.8","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Wellcare","Medicaid Managed Care",,,"40",,"49.41","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Aetna","Commercial",,,"64",,"77.84","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Blue Cross Blue Shield","Pathways",,,"71",,"86.13","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Blue Cross Blue Shield","HMO",,,"71",,"86.13","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Blue Cross Blue Shield","PPO",,,"71",,"86.13","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Ambetter","Health Exchange",,,"62",,"75.64","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Caresource","Health Exchange",,,"62",,"75.64","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Cigna","Commercial",,,"59",,"71.49","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Humana","Commercial",,,"78",,"94.55","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","UHC","Commercial",,,"75",,"91.99","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Medicaid",,,,"37",,"44.65","0.04","2502.48","percent of total billed charges",,
"NF-Latanoprost Ophth Solution 0.005%","0259","RC","Both",,,"114","57","Alliant","Health Exchange",,,"62",,"70.68","0.04","2502.48","percent of total billed charges",,
"NF-Latanoprost Ophth Solution 0.005%","0259","RC","Both",,,"114","57","Pruitt Healthcare","Medicare Advantage",,,"54",,"61.56","0.04","2502.48","percent of total billed charges",,
"NF-Latanoprost Ophth Solution 0.005%","0259","RC","Both",,,"114","57","Medicare",,,,"54",,"61.79","0.04","2502.48","percent of total billed charges",,
"NF-Latanoprost Ophth Solution 0.005%","0259","RC","Both",,,"114","57","Humana","Medicare Advantage",,,"54",,"61.79","0.04","2502.48","percent of total billed charges",,
"NF-Latanoprost Ophth Solution 0.005%","0259","RC","Both",,,"114","57","UHC","Medicare Advantage",,,"54",,"61.79","0.04","2502.48","percent of total billed charges",,
"NF-Latanoprost Ophth Solution 0.005%","0259","RC","Both",,,"114","57","Clover","Medicare Advantage",,,"54",,"61.79","0.04","2502.48","percent of total billed charges",,
"NF-Latanoprost Ophth Solution 0.005%","0259","RC","Both",,,"114","57","Wellcare","Medicare Advantage",,,"54",,"61.79","0.04","2502.48","percent of total billed charges",,
"NF-Latanoprost Ophth Solution 0.005%","0259","RC","Both",,,"114","57","Amerigroup","Medicaid Managed Care",,,"37",,"41.72","0.04","2502.48","percent of total billed charges",,
"NF-Latanoprost Ophth Solution 0.005%","0259","RC","Both",,,"114","57","Caresource","Medicaid Managed Care",,,"40",,"45.6","0.04","2502.48","percent of total billed charges",,
"NF-Latanoprost Ophth Solution 0.005%","0259","RC","Both",,,"114","57","Wellcare","Medicaid Managed Care",,,"40",,"46.17","0.04","2502.48","percent of total billed charges",,
"NF-Latanoprost Ophth Solution 0.005%","0259","RC","Both",,,"114","57","Aetna","Commercial",,,"64",,"72.73","0.04","2502.48","percent of total billed charges",,
"NF-Latanoprost Ophth Solution 0.005%","0259","RC","Both",,,"114","57","Blue Cross Blue Shield","Pathways",,,"71",,"80.48","0.04","2502.48","percent of total billed charges",,
"NF-Latanoprost Ophth Solution 0.005%","0259","RC","Both",,,"114","57","Blue Cross Blue Shield","HMO",,,"71",,"80.48","0.04","2502.48","percent of total billed charges",,
"NF-Latanoprost Ophth Solution 0.005%","0259","RC","Both",,,"114","57","Blue Cross Blue Shield","PPO",,,"71",,"80.48","0.04","2502.48","percent of total billed charges",,
"NF-Latanoprost Ophth Solution 0.005%","0259","RC","Both",,,"114","57","Ambetter","Health Exchange",,,"62",,"70.68","0.04","2502.48","percent of total billed charges",,
"NF-Latanoprost Ophth Solution 0.005%","0259","RC","Both",,,"114","57","Caresource","Health Exchange",,,"62",,"70.68","0.04","2502.48","percent of total billed charges",,
"NF-Latanoprost Ophth Solution 0.005%","0259","RC","Both",,,"114","57","Cigna","Commercial",,,"59",,"66.8","0.04","2502.48","percent of total billed charges",,
"NF-Latanoprost Ophth Solution 0.005%","0259","RC","Both",,,"114","57","Humana","Commercial",,,"78",,"88.35","0.04","2502.48","percent of total billed charges",,
"NF-Latanoprost Ophth Solution 0.005%","0259","RC","Both",,,"114","57","UHC","Commercial",,,"75",,"85.96","0.04","2502.48","percent of total billed charges",,
"NF-Latanoprost Ophth Solution 0.005%","0259","RC","Both",,,"114","57","Medicaid",,,,"37",,"41.72","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 15MG","0259","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 15MG","0259","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 15MG","0259","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 15MG","0259","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 15MG","0259","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 15MG","0259","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 15MG","0259","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 15MG","0259","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 15MG","0259","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 15MG","0259","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 15MG","0259","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 15MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 15MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 15MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 15MG","0259","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 15MG","0259","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 15MG","0259","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 15MG","0259","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 15MG","0259","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 15MG","0259","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Alliant","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Medicare",,,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Humana","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","UHC","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Clover","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Wellcare","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Amerigroup","Medicaid Managed Care",,,"37",,"10.25","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Caresource","Medicaid Managed Care",,,"40",,"11.2","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Wellcare","Medicaid Managed Care",,,"40",,"11.34","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Aetna","Commercial",,,"64",,"17.86","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","Pathways",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","HMO",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","PPO",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Ambetter","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Caresource","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Cigna","Commercial",,,"59",,"16.41","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Humana","Commercial",,,"78",,"21.7","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","UHC","Commercial",,,"75",,"21.11","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Medicaid",,,,"37",,"10.25","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","0259","RC","Both",,,"12","6","Alliant","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","0259","RC","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.48","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","0259","RC","Both",,,"12","6","Medicare",,,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","0259","RC","Both",,,"12","6","Humana","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","0259","RC","Both",,,"12","6","UHC","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","0259","RC","Both",,,"12","6","Clover","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","0259","RC","Both",,,"12","6","Wellcare","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","0259","RC","Both",,,"12","6","Amerigroup","Medicaid Managed Care",,,"37",,"4.39","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","0259","RC","Both",,,"12","6","Caresource","Medicaid Managed Care",,,"40",,"4.8","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","0259","RC","Both",,,"12","6","Wellcare","Medicaid Managed Care",,,"40",,"4.86","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","0259","RC","Both",,,"12","6","Aetna","Commercial",,,"64",,"7.66","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","Pathways",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","HMO",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","PPO",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","0259","RC","Both",,,"12","6","Ambetter","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","0259","RC","Both",,,"12","6","Caresource","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","0259","RC","Both",,,"12","6","Cigna","Commercial",,,"59",,"7.03","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","0259","RC","Both",,,"12","6","Humana","Commercial",,,"78",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","0259","RC","Both",,,"12","6","UHC","Commercial",,,"75",,"9.05","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","0259","RC","Both",,,"12","6","Medicaid",,,,"37",,"4.39","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Alliant","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Pruitt Healthcare","Medicare Advantage",,,"54",,"30.24","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Medicare",,,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Humana","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","UHC","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Clover","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Wellcare","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Amerigroup","Medicaid Managed Care",,,"37",,"20.5","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Caresource","Medicaid Managed Care",,,"40",,"22.4","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Wellcare","Medicaid Managed Care",,,"40",,"22.68","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Aetna","Commercial",,,"64",,"35.73","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","Pathways",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","HMO",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","PPO",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Ambetter","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Caresource","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Cigna","Commercial",,,"59",,"32.82","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Humana","Commercial",,,"78",,"43.4","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","UHC","Commercial",,,"75",,"42.22","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Medicaid",,,,"37",,"20.5","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Alliant","Health Exchange",,,"62",,"82.46","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"71.82","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Medicare",,,,"54",,"72.09","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Humana","Medicare Advantage",,,"54",,"72.09","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","UHC","Medicare Advantage",,,"54",,"72.09","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Clover","Medicare Advantage",,,"54",,"72.09","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Wellcare","Medicare Advantage",,,"54",,"72.09","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Amerigroup","Medicaid Managed Care",,,"37",,"48.68","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Caresource","Medicaid Managed Care",,,"40",,"53.2","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Wellcare","Medicaid Managed Care",,,"40",,"53.86","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Aetna","Commercial",,,"64",,"84.85","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Blue Cross Blue Shield","Pathways",,,"71",,"93.9","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Blue Cross Blue Shield","HMO",,,"71",,"93.9","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Blue Cross Blue Shield","PPO",,,"71",,"93.9","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Ambetter","Health Exchange",,,"62",,"82.46","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Caresource","Health Exchange",,,"62",,"82.46","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Cigna","Commercial",,,"59",,"77.94","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Humana","Commercial",,,"78",,"103.08","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","UHC","Commercial",,,"75",,"100.28","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"133","66.5","Medicaid",,,,"37",,"48.68","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Alliant","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Medicare",,,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Humana","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","UHC","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Clover","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Wellcare","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Amerigroup","Medicaid Managed Care",,,"37",,"10.25","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Caresource","Medicaid Managed Care",,,"40",,"11.2","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Wellcare","Medicaid Managed Care",,,"40",,"11.34","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Aetna","Commercial",,,"64",,"17.86","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","Pathways",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","HMO",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","PPO",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Ambetter","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Caresource","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Cigna","Commercial",,,"59",,"16.41","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Humana","Commercial",,,"78",,"21.7","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","UHC","Commercial",,,"75",,"21.11","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Medicaid",,,,"37",,"10.25","0.04","2502.48","percent of total billed charges",,
"ZINC SULFATE 220 MG CAPSULES","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ZINC SULFATE 220 MG CAPSULES","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"ZINC SULFATE 220 MG CAPSULES","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ZINC SULFATE 220 MG CAPSULES","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ZINC SULFATE 220 MG CAPSULES","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ZINC SULFATE 220 MG CAPSULES","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ZINC SULFATE 220 MG CAPSULES","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ZINC SULFATE 220 MG CAPSULES","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ZINC SULFATE 220 MG CAPSULES","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"ZINC SULFATE 220 MG CAPSULES","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"ZINC SULFATE 220 MG CAPSULES","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"ZINC SULFATE 220 MG CAPSULES","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ZINC SULFATE 220 MG CAPSULES","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ZINC SULFATE 220 MG CAPSULES","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ZINC SULFATE 220 MG CAPSULES","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ZINC SULFATE 220 MG CAPSULES","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ZINC SULFATE 220 MG CAPSULES","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"ZINC SULFATE 220 MG CAPSULES","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"ZINC SULFATE 220 MG CAPSULES","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"ZINC SULFATE 220 MG CAPSULES","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-busPIRone Oral Tablet 15MG","0259","RC","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 15MG","0259","RC","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 15MG","0259","RC","Both",,,"8","4","Medicare",,,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 15MG","0259","RC","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 15MG","0259","RC","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 15MG","0259","RC","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 15MG","0259","RC","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 15MG","0259","RC","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 15MG","0259","RC","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 15MG","0259","RC","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 15MG","0259","RC","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 15MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 15MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 15MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 15MG","0259","RC","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 15MG","0259","RC","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 15MG","0259","RC","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 15MG","0259","RC","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 15MG","0259","RC","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 15MG","0259","RC","Both",,,"8","4","Medicaid",,,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 30MG","0259","RC","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 30MG","0259","RC","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 30MG","0259","RC","Both",,,"8","4","Medicare",,,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 30MG","0259","RC","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 30MG","0259","RC","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 30MG","0259","RC","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 30MG","0259","RC","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 30MG","0259","RC","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 30MG","0259","RC","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 30MG","0259","RC","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 30MG","0259","RC","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 30MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 30MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 30MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 30MG","0259","RC","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 30MG","0259","RC","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 30MG","0259","RC","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 30MG","0259","RC","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 30MG","0259","RC","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 30MG","0259","RC","Both",,,"8","4","Medicaid",,,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"MELATONIN 3 MG TABLETS","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"MELATONIN 3 MG TABLETS","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"MELATONIN 3 MG TABLETS","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"MELATONIN 3 MG TABLETS","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"MELATONIN 3 MG TABLETS","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"MELATONIN 3 MG TABLETS","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"MELATONIN 3 MG TABLETS","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"MELATONIN 3 MG TABLETS","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"MELATONIN 3 MG TABLETS","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"MELATONIN 3 MG TABLETS","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"MELATONIN 3 MG TABLETS","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"MELATONIN 3 MG TABLETS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"MELATONIN 3 MG TABLETS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"MELATONIN 3 MG TABLETS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"MELATONIN 3 MG TABLETS","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"MELATONIN 3 MG TABLETS","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"MELATONIN 3 MG TABLETS","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"MELATONIN 3 MG TABLETS","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"MELATONIN 3 MG TABLETS","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"MELATONIN 3 MG TABLETS","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Alliant","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Medicare",,,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Humana","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","UHC","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Clover","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Wellcare","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Amerigroup","Medicaid Managed Care",,,"37",,"10.25","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Caresource","Medicaid Managed Care",,,"40",,"11.2","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Wellcare","Medicaid Managed Care",,,"40",,"11.34","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Aetna","Commercial",,,"64",,"17.86","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","Pathways",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","HMO",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","PPO",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Ambetter","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Caresource","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Cigna","Commercial",,,"59",,"16.41","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Humana","Commercial",,,"78",,"21.7","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","UHC","Commercial",,,"75",,"21.11","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"28","14","Medicaid",,,,"37",,"10.25","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"32","16","Alliant","Health Exchange",,,"62",,"19.84","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"32","16","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.28","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"32","16","Medicare",,,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"32","16","Humana","Medicare Advantage",,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"32","16","UHC","Medicare Advantage",,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"32","16","Clover","Medicare Advantage",,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"32","16","Wellcare","Medicare Advantage",,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"32","16","Amerigroup","Medicaid Managed Care",,,"37",,"11.71","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"32","16","Caresource","Medicaid Managed Care",,,"40",,"12.8","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"32","16","Wellcare","Medicaid Managed Care",,,"40",,"12.96","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"32","16","Aetna","Commercial",,,"64",,"20.42","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"32","16","Blue Cross Blue Shield","Pathways",,,"71",,"22.59","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"32","16","Blue Cross Blue Shield","HMO",,,"71",,"22.59","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"32","16","Blue Cross Blue Shield","PPO",,,"71",,"22.59","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"32","16","Ambetter","Health Exchange",,,"62",,"19.84","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"32","16","Caresource","Health Exchange",,,"62",,"19.84","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"32","16","Cigna","Commercial",,,"59",,"18.75","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"32","16","Humana","Commercial",,,"78",,"24.8","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"32","16","UHC","Commercial",,,"75",,"24.13","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"32","16","Medicaid",,,,"37",,"11.71","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Alliant","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.82","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Medicare",,,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Humana","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","UHC","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Clover","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Wellcare","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Amerigroup","Medicaid Managed Care",,,"37",,"12.08","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Caresource","Medicaid Managed Care",,,"40",,"13.2","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Wellcare","Medicaid Managed Care",,,"40",,"13.36","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Aetna","Commercial",,,"64",,"21.05","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","Pathways",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","HMO",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","PPO",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Ambetter","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Caresource","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Cigna","Commercial",,,"59",,"19.34","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Humana","Commercial",,,"78",,"25.58","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","UHC","Commercial",,,"75",,"24.88","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Medicaid",,,,"37",,"12.08","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Alliant","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Pruitt Healthcare","Medicare Advantage",,,"54",,"30.24","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Medicare",,,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Humana","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","UHC","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Clover","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Wellcare","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Amerigroup","Medicaid Managed Care",,,"37",,"20.5","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Caresource","Medicaid Managed Care",,,"40",,"22.4","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Wellcare","Medicaid Managed Care",,,"40",,"22.68","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Aetna","Commercial",,,"64",,"35.73","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","Pathways",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","HMO",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","PPO",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Ambetter","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Caresource","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Cigna","Commercial",,,"59",,"32.82","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Humana","Commercial",,,"78",,"43.4","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","UHC","Commercial",,,"75",,"42.22","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"56","28","Medicaid",,,,"37",,"20.5","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Alliant","Health Exchange",,,"62",,"39.68","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Pruitt Healthcare","Medicare Advantage",,,"54",,"34.56","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Medicare",,,,"54",,"34.69","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Humana","Medicare Advantage",,,"54",,"34.69","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","UHC","Medicare Advantage",,,"54",,"34.69","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Clover","Medicare Advantage",,,"54",,"34.69","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Wellcare","Medicare Advantage",,,"54",,"34.69","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Amerigroup","Medicaid Managed Care",,,"37",,"23.42","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Caresource","Medicaid Managed Care",,,"40",,"25.6","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Wellcare","Medicaid Managed Care",,,"40",,"25.92","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Aetna","Commercial",,,"64",,"40.83","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Blue Cross Blue Shield","Pathways",,,"71",,"45.18","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Blue Cross Blue Shield","HMO",,,"71",,"45.18","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Blue Cross Blue Shield","PPO",,,"71",,"45.18","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Ambetter","Health Exchange",,,"62",,"39.68","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Caresource","Health Exchange",,,"62",,"39.68","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Cigna","Commercial",,,"59",,"37.5","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Humana","Commercial",,,"78",,"49.6","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","UHC","Commercial",,,"75",,"48.26","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Medicaid",,,,"37",,"23.42","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","0259","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","0259","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","0259","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","0259","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","0259","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","0259","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","0259","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","0259","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","0259","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","0259","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","0259","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","0259","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","0259","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","0259","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","0259","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","0259","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.04","2502.48","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","0259","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","0259","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","0259","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","0259","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","0259","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","0259","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","0259","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","0259","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","0259","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","0259","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","2502.48","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","0259","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","2502.48","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","0259","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","2502.48","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","0259","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","0259","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","0259","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","0259","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","2502.48","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","0259","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","2502.48","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","0259","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"8","4","Medicare",,,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"8","4","Medicaid",,,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Alliant","Health Exchange",,,"62",,"39.68","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Pruitt Healthcare","Medicare Advantage",,,"54",,"34.56","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Medicare",,,,"54",,"34.69","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Humana","Medicare Advantage",,,"54",,"34.69","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","UHC","Medicare Advantage",,,"54",,"34.69","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Clover","Medicare Advantage",,,"54",,"34.69","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Wellcare","Medicare Advantage",,,"54",,"34.69","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Amerigroup","Medicaid Managed Care",,,"37",,"23.42","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Caresource","Medicaid Managed Care",,,"40",,"25.6","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Wellcare","Medicaid Managed Care",,,"40",,"25.92","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Aetna","Commercial",,,"64",,"40.83","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Blue Cross Blue Shield","Pathways",,,"71",,"45.18","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Blue Cross Blue Shield","HMO",,,"71",,"45.18","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Blue Cross Blue Shield","PPO",,,"71",,"45.18","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Ambetter","Health Exchange",,,"62",,"39.68","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Caresource","Health Exchange",,,"62",,"39.68","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Cigna","Commercial",,,"59",,"37.5","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Humana","Commercial",,,"78",,"49.6","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","UHC","Commercial",,,"75",,"48.26","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Medicaid",,,,"37",,"23.42","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 750MG","0259","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 750MG","0259","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 750MG","0259","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 750MG","0259","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 750MG","0259","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 750MG","0259","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 750MG","0259","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 750MG","0259","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 750MG","0259","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 750MG","0259","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 750MG","0259","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 750MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 750MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 750MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 750MG","0259","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 750MG","0259","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 750MG","0259","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 750MG","0259","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 750MG","0259","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 750MG","0259","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-ESCITALOPRAM ORAL TABLET 20MG","0259","RC","Both",,,"13.5","6.75","Alliant","Health Exchange",,,"62",,"8.37","0.04","2502.48","percent of total billed charges",,
"NF-ESCITALOPRAM ORAL TABLET 20MG","0259","RC","Both",,,"13.5","6.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.29","0.04","2502.48","percent of total billed charges",,
"NF-ESCITALOPRAM ORAL TABLET 20MG","0259","RC","Both",,,"13.5","6.75","Medicare",,,,"54",,"7.32","0.04","2502.48","percent of total billed charges",,
"NF-ESCITALOPRAM ORAL TABLET 20MG","0259","RC","Both",,,"13.5","6.75","Humana","Medicare Advantage",,,"54",,"7.32","0.04","2502.48","percent of total billed charges",,
"NF-ESCITALOPRAM ORAL TABLET 20MG","0259","RC","Both",,,"13.5","6.75","UHC","Medicare Advantage",,,"54",,"7.32","0.04","2502.48","percent of total billed charges",,
"NF-ESCITALOPRAM ORAL TABLET 20MG","0259","RC","Both",,,"13.5","6.75","Clover","Medicare Advantage",,,"54",,"7.32","0.04","2502.48","percent of total billed charges",,
"NF-ESCITALOPRAM ORAL TABLET 20MG","0259","RC","Both",,,"13.5","6.75","Wellcare","Medicare Advantage",,,"54",,"7.32","0.04","2502.48","percent of total billed charges",,
"NF-ESCITALOPRAM ORAL TABLET 20MG","0259","RC","Both",,,"13.5","6.75","Amerigroup","Medicaid Managed Care",,,"37",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-ESCITALOPRAM ORAL TABLET 20MG","0259","RC","Both",,,"13.5","6.75","Caresource","Medicaid Managed Care",,,"40",,"5.4","0.04","2502.48","percent of total billed charges",,
"NF-ESCITALOPRAM ORAL TABLET 20MG","0259","RC","Both",,,"13.5","6.75","Wellcare","Medicaid Managed Care",,,"40",,"5.47","0.04","2502.48","percent of total billed charges",,
"NF-ESCITALOPRAM ORAL TABLET 20MG","0259","RC","Both",,,"13.5","6.75","Aetna","Commercial",,,"64",,"8.61","0.04","2502.48","percent of total billed charges",,
"NF-ESCITALOPRAM ORAL TABLET 20MG","0259","RC","Both",,,"13.5","6.75","Blue Cross Blue Shield","Pathways",,,"71",,"9.53","0.04","2502.48","percent of total billed charges",,
"NF-ESCITALOPRAM ORAL TABLET 20MG","0259","RC","Both",,,"13.5","6.75","Blue Cross Blue Shield","HMO",,,"71",,"9.53","0.04","2502.48","percent of total billed charges",,
"NF-ESCITALOPRAM ORAL TABLET 20MG","0259","RC","Both",,,"13.5","6.75","Blue Cross Blue Shield","PPO",,,"71",,"9.53","0.04","2502.48","percent of total billed charges",,
"NF-ESCITALOPRAM ORAL TABLET 20MG","0259","RC","Both",,,"13.5","6.75","Ambetter","Health Exchange",,,"62",,"8.37","0.04","2502.48","percent of total billed charges",,
"NF-ESCITALOPRAM ORAL TABLET 20MG","0259","RC","Both",,,"13.5","6.75","Caresource","Health Exchange",,,"62",,"8.37","0.04","2502.48","percent of total billed charges",,
"NF-ESCITALOPRAM ORAL TABLET 20MG","0259","RC","Both",,,"13.5","6.75","Cigna","Commercial",,,"59",,"7.91","0.04","2502.48","percent of total billed charges",,
"NF-ESCITALOPRAM ORAL TABLET 20MG","0259","RC","Both",,,"13.5","6.75","Humana","Commercial",,,"78",,"10.46","0.04","2502.48","percent of total billed charges",,
"NF-ESCITALOPRAM ORAL TABLET 20MG","0259","RC","Both",,,"13.5","6.75","UHC","Commercial",,,"75",,"10.18","0.04","2502.48","percent of total billed charges",,
"NF-ESCITALOPRAM ORAL TABLET 20MG","0259","RC","Both",,,"13.5","6.75","Medicaid",,,,"37",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Alliant","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Medicare",,,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Humana","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","UHC","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Clover","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Wellcare","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Amerigroup","Medicaid Managed Care",,,"37",,"10.25","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Caresource","Medicaid Managed Care",,,"40",,"11.2","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Wellcare","Medicaid Managed Care",,,"40",,"11.34","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Aetna","Commercial",,,"64",,"17.86","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","Pathways",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","HMO",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","PPO",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Ambetter","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Caresource","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Cigna","Commercial",,,"59",,"16.41","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Humana","Commercial",,,"78",,"21.7","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","UHC","Commercial",,,"75",,"21.11","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"28","14","Medicaid",,,,"37",,"10.25","0.04","2502.48","percent of total billed charges",,
"NF-Ciclopirox Crm 0.77%","0259","RC","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Ciclopirox Crm 0.77%","0259","RC","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","0.04","2502.48","percent of total billed charges",,
"NF-Ciclopirox Crm 0.77%","0259","RC","Both",,,"8","4","Medicare",,,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Ciclopirox Crm 0.77%","0259","RC","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Ciclopirox Crm 0.77%","0259","RC","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Ciclopirox Crm 0.77%","0259","RC","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Ciclopirox Crm 0.77%","0259","RC","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Ciclopirox Crm 0.77%","0259","RC","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Ciclopirox Crm 0.77%","0259","RC","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","0.04","2502.48","percent of total billed charges",,
"NF-Ciclopirox Crm 0.77%","0259","RC","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-Ciclopirox Crm 0.77%","0259","RC","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","0.04","2502.48","percent of total billed charges",,
"NF-Ciclopirox Crm 0.77%","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Ciclopirox Crm 0.77%","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Ciclopirox Crm 0.77%","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Ciclopirox Crm 0.77%","0259","RC","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Ciclopirox Crm 0.77%","0259","RC","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Ciclopirox Crm 0.77%","0259","RC","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","0.04","2502.48","percent of total billed charges",,
"NF-Ciclopirox Crm 0.77%","0259","RC","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Ciclopirox Crm 0.77%","0259","RC","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","0.04","2502.48","percent of total billed charges",,
"NF-Ciclopirox Crm 0.77%","0259","RC","Both",,,"8","4","Medicaid",,,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 100MG","0259","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 100MG","0259","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 100MG","0259","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 100MG","0259","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 100MG","0259","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 100MG","0259","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 100MG","0259","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 100MG","0259","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 100MG","0259","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","2502.48","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 100MG","0259","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","2502.48","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 100MG","0259","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","2502.48","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 100MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 100MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 100MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 100MG","0259","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 100MG","0259","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 100MG","0259","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 100MG","0259","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","2502.48","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 100MG","0259","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","2502.48","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 100MG","0259","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Ciclopirox Crm 0.77%","0259","RC","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Ciclopirox Crm 0.77%","0259","RC","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","0.04","2502.48","percent of total billed charges",,
"NF-Ciclopirox Crm 0.77%","0259","RC","Both",,,"8","4","Medicare",,,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Ciclopirox Crm 0.77%","0259","RC","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Ciclopirox Crm 0.77%","0259","RC","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Ciclopirox Crm 0.77%","0259","RC","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Ciclopirox Crm 0.77%","0259","RC","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Ciclopirox Crm 0.77%","0259","RC","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Ciclopirox Crm 0.77%","0259","RC","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","0.04","2502.48","percent of total billed charges",,
"NF-Ciclopirox Crm 0.77%","0259","RC","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-Ciclopirox Crm 0.77%","0259","RC","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","0.04","2502.48","percent of total billed charges",,
"NF-Ciclopirox Crm 0.77%","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Ciclopirox Crm 0.77%","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Ciclopirox Crm 0.77%","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Ciclopirox Crm 0.77%","0259","RC","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Ciclopirox Crm 0.77%","0259","RC","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Ciclopirox Crm 0.77%","0259","RC","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","0.04","2502.48","percent of total billed charges",,
"NF-Ciclopirox Crm 0.77%","0259","RC","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Ciclopirox Crm 0.77%","0259","RC","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","0.04","2502.48","percent of total billed charges",,
"NF-Ciclopirox Crm 0.77%","0259","RC","Both",,,"8","4","Medicaid",,,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Alliant","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.66","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Medicare",,,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Humana","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","UHC","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Clover","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Amerigroup","Medicaid Managed Care",,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Caresource","Medicaid Managed Care",,,"40",,"11.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicaid Managed Care",,,"40",,"11.74","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Aetna","Commercial",,,"64",,"18.5","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","Pathways",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","HMO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","PPO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Ambetter","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Caresource","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Cigna","Commercial",,,"59",,"16.99","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Humana","Commercial",,,"78",,"22.48","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","UHC","Commercial",,,"75",,"21.87","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Medicaid",,,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Alliant","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Pruitt Healthcare","Medicare Advantage",,,"54",,"30.24","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Medicare",,,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Humana","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","UHC","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Clover","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Wellcare","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Amerigroup","Medicaid Managed Care",,,"37",,"20.5","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Caresource","Medicaid Managed Care",,,"40",,"22.4","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Wellcare","Medicaid Managed Care",,,"40",,"22.68","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Aetna","Commercial",,,"64",,"35.73","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","Pathways",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","HMO",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","PPO",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Ambetter","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Caresource","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Cigna","Commercial",,,"59",,"32.82","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Humana","Commercial",,,"78",,"43.4","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","UHC","Commercial",,,"75",,"42.22","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Medicaid",,,,"37",,"20.5","0.04","2502.48","percent of total billed charges",,
"NF-Metaxalone Oral Tablet 800MG","0259","RC","Both",,,"14","7","Alliant","Health Exchange",,,"62",,"8.68","0.04","2502.48","percent of total billed charges",,
"NF-Metaxalone Oral Tablet 800MG","0259","RC","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.56","0.04","2502.48","percent of total billed charges",,
"NF-Metaxalone Oral Tablet 800MG","0259","RC","Both",,,"14","7","Medicare",,,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Metaxalone Oral Tablet 800MG","0259","RC","Both",,,"14","7","Humana","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Metaxalone Oral Tablet 800MG","0259","RC","Both",,,"14","7","UHC","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Metaxalone Oral Tablet 800MG","0259","RC","Both",,,"14","7","Clover","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Metaxalone Oral Tablet 800MG","0259","RC","Both",,,"14","7","Wellcare","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Metaxalone Oral Tablet 800MG","0259","RC","Both",,,"14","7","Amerigroup","Medicaid Managed Care",,,"37",,"5.12","0.04","2502.48","percent of total billed charges",,
"NF-Metaxalone Oral Tablet 800MG","0259","RC","Both",,,"14","7","Caresource","Medicaid Managed Care",,,"40",,"5.6","0.04","2502.48","percent of total billed charges",,
"NF-Metaxalone Oral Tablet 800MG","0259","RC","Both",,,"14","7","Wellcare","Medicaid Managed Care",,,"40",,"5.67","0.04","2502.48","percent of total billed charges",,
"NF-Metaxalone Oral Tablet 800MG","0259","RC","Both",,,"14","7","Aetna","Commercial",,,"64",,"8.93","0.04","2502.48","percent of total billed charges",,
"NF-Metaxalone Oral Tablet 800MG","0259","RC","Both",,,"14","7","Blue Cross Blue Shield","Pathways",,,"71",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Metaxalone Oral Tablet 800MG","0259","RC","Both",,,"14","7","Blue Cross Blue Shield","HMO",,,"71",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Metaxalone Oral Tablet 800MG","0259","RC","Both",,,"14","7","Blue Cross Blue Shield","PPO",,,"71",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Metaxalone Oral Tablet 800MG","0259","RC","Both",,,"14","7","Ambetter","Health Exchange",,,"62",,"8.68","0.04","2502.48","percent of total billed charges",,
"NF-Metaxalone Oral Tablet 800MG","0259","RC","Both",,,"14","7","Caresource","Health Exchange",,,"62",,"8.68","0.04","2502.48","percent of total billed charges",,
"NF-Metaxalone Oral Tablet 800MG","0259","RC","Both",,,"14","7","Cigna","Commercial",,,"59",,"8.2","0.04","2502.48","percent of total billed charges",,
"NF-Metaxalone Oral Tablet 800MG","0259","RC","Both",,,"14","7","Humana","Commercial",,,"78",,"10.85","0.04","2502.48","percent of total billed charges",,
"NF-Metaxalone Oral Tablet 800MG","0259","RC","Both",,,"14","7","UHC","Commercial",,,"75",,"10.56","0.04","2502.48","percent of total billed charges",,
"NF-Metaxalone Oral Tablet 800MG","0259","RC","Both",,,"14","7","Medicaid",,,,"37",,"5.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Alliant","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.66","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Medicare",,,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Humana","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","UHC","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Clover","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Amerigroup","Medicaid Managed Care",,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Caresource","Medicaid Managed Care",,,"40",,"11.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicaid Managed Care",,,"40",,"11.74","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Aetna","Commercial",,,"64",,"18.5","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","Pathways",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","HMO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","PPO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Ambetter","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Caresource","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Cigna","Commercial",,,"59",,"16.99","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Humana","Commercial",,,"78",,"22.48","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","UHC","Commercial",,,"75",,"21.87","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Medicaid",,,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM DISINTEGRATING TAB 1MG","0259","RC","Both",,,"4.5","2.25","Alliant","Health Exchange",,,"62",,"2.79","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM DISINTEGRATING TAB 1MG","0259","RC","Both",,,"4.5","2.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.43","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM DISINTEGRATING TAB 1MG","0259","RC","Both",,,"4.5","2.25","Medicare",,,,"54",,"2.44","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM DISINTEGRATING TAB 1MG","0259","RC","Both",,,"4.5","2.25","Humana","Medicare Advantage",,,"54",,"2.44","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM DISINTEGRATING TAB 1MG","0259","RC","Both",,,"4.5","2.25","UHC","Medicare Advantage",,,"54",,"2.44","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM DISINTEGRATING TAB 1MG","0259","RC","Both",,,"4.5","2.25","Clover","Medicare Advantage",,,"54",,"2.44","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM DISINTEGRATING TAB 1MG","0259","RC","Both",,,"4.5","2.25","Wellcare","Medicare Advantage",,,"54",,"2.44","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM DISINTEGRATING TAB 1MG","0259","RC","Both",,,"4.5","2.25","Amerigroup","Medicaid Managed Care",,,"37",,"1.65","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM DISINTEGRATING TAB 1MG","0259","RC","Both",,,"4.5","2.25","Caresource","Medicaid Managed Care",,,"40",,"1.8","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM DISINTEGRATING TAB 1MG","0259","RC","Both",,,"4.5","2.25","Wellcare","Medicaid Managed Care",,,"40",,"1.82","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM DISINTEGRATING TAB 1MG","0259","RC","Both",,,"4.5","2.25","Aetna","Commercial",,,"64",,"2.87","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM DISINTEGRATING TAB 1MG","0259","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","Pathways",,,"71",,"3.18","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM DISINTEGRATING TAB 1MG","0259","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","HMO",,,"71",,"3.18","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM DISINTEGRATING TAB 1MG","0259","RC","Both",,,"4.5","2.25","Blue Cross Blue Shield","PPO",,,"71",,"3.18","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM DISINTEGRATING TAB 1MG","0259","RC","Both",,,"4.5","2.25","Ambetter","Health Exchange",,,"62",,"2.79","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM DISINTEGRATING TAB 1MG","0259","RC","Both",,,"4.5","2.25","Caresource","Health Exchange",,,"62",,"2.79","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM DISINTEGRATING TAB 1MG","0259","RC","Both",,,"4.5","2.25","Cigna","Commercial",,,"59",,"2.64","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM DISINTEGRATING TAB 1MG","0259","RC","Both",,,"4.5","2.25","Humana","Commercial",,,"78",,"3.49","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM DISINTEGRATING TAB 1MG","0259","RC","Both",,,"4.5","2.25","UHC","Commercial",,,"75",,"3.39","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM DISINTEGRATING TAB 1MG","0259","RC","Both",,,"4.5","2.25","Medicaid",,,,"37",,"1.65","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 1MG","0259","RC","Both",,,"2.5","1.25","Alliant","Health Exchange",,,"62",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 1MG","0259","RC","Both",,,"2.5","1.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.35","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 1MG","0259","RC","Both",,,"2.5","1.25","Medicare",,,,"54",,"1.36","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 1MG","0259","RC","Both",,,"2.5","1.25","Humana","Medicare Advantage",,,"54",,"1.36","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 1MG","0259","RC","Both",,,"2.5","1.25","UHC","Medicare Advantage",,,"54",,"1.36","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 1MG","0259","RC","Both",,,"2.5","1.25","Clover","Medicare Advantage",,,"54",,"1.36","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 1MG","0259","RC","Both",,,"2.5","1.25","Wellcare","Medicare Advantage",,,"54",,"1.36","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 1MG","0259","RC","Both",,,"2.5","1.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.92","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 1MG","0259","RC","Both",,,"2.5","1.25","Caresource","Medicaid Managed Care",,,"40",,"1","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 1MG","0259","RC","Both",,,"2.5","1.25","Wellcare","Medicaid Managed Care",,,"40",,"1.01","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 1MG","0259","RC","Both",,,"2.5","1.25","Aetna","Commercial",,,"64",,"1.6","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 1MG","0259","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","Pathways",,,"71",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 1MG","0259","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","HMO",,,"71",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 1MG","0259","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","PPO",,,"71",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 1MG","0259","RC","Both",,,"2.5","1.25","Ambetter","Health Exchange",,,"62",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 1MG","0259","RC","Both",,,"2.5","1.25","Caresource","Health Exchange",,,"62",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 1MG","0259","RC","Both",,,"2.5","1.25","Cigna","Commercial",,,"59",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 1MG","0259","RC","Both",,,"2.5","1.25","Humana","Commercial",,,"78",,"1.94","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 1MG","0259","RC","Both",,,"2.5","1.25","UHC","Commercial",,,"75",,"1.88","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 1MG","0259","RC","Both",,,"2.5","1.25","Medicaid",,,,"37",,"0.92","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCC XL ORAL TAB ER 100MG","0259","RC","Both",,,"7.5","3.75","Alliant","Health Exchange",,,"62",,"4.65","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCC XL ORAL TAB ER 100MG","0259","RC","Both",,,"7.5","3.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.05","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCC XL ORAL TAB ER 100MG","0259","RC","Both",,,"7.5","3.75","Medicare",,,,"54",,"4.07","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCC XL ORAL TAB ER 100MG","0259","RC","Both",,,"7.5","3.75","Humana","Medicare Advantage",,,"54",,"4.07","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCC XL ORAL TAB ER 100MG","0259","RC","Both",,,"7.5","3.75","UHC","Medicare Advantage",,,"54",,"4.07","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCC XL ORAL TAB ER 100MG","0259","RC","Both",,,"7.5","3.75","Clover","Medicare Advantage",,,"54",,"4.07","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCC XL ORAL TAB ER 100MG","0259","RC","Both",,,"7.5","3.75","Wellcare","Medicare Advantage",,,"54",,"4.07","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCC XL ORAL TAB ER 100MG","0259","RC","Both",,,"7.5","3.75","Amerigroup","Medicaid Managed Care",,,"37",,"2.74","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCC XL ORAL TAB ER 100MG","0259","RC","Both",,,"7.5","3.75","Caresource","Medicaid Managed Care",,,"40",,"3","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCC XL ORAL TAB ER 100MG","0259","RC","Both",,,"7.5","3.75","Wellcare","Medicaid Managed Care",,,"40",,"3.04","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCC XL ORAL TAB ER 100MG","0259","RC","Both",,,"7.5","3.75","Aetna","Commercial",,,"64",,"4.78","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCC XL ORAL TAB ER 100MG","0259","RC","Both",,,"7.5","3.75","Blue Cross Blue Shield","Pathways",,,"71",,"5.3","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCC XL ORAL TAB ER 100MG","0259","RC","Both",,,"7.5","3.75","Blue Cross Blue Shield","HMO",,,"71",,"5.3","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCC XL ORAL TAB ER 100MG","0259","RC","Both",,,"7.5","3.75","Blue Cross Blue Shield","PPO",,,"71",,"5.3","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCC XL ORAL TAB ER 100MG","0259","RC","Both",,,"7.5","3.75","Ambetter","Health Exchange",,,"62",,"4.65","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCC XL ORAL TAB ER 100MG","0259","RC","Both",,,"7.5","3.75","Caresource","Health Exchange",,,"62",,"4.65","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCC XL ORAL TAB ER 100MG","0259","RC","Both",,,"7.5","3.75","Cigna","Commercial",,,"59",,"4.39","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCC XL ORAL TAB ER 100MG","0259","RC","Both",,,"7.5","3.75","Humana","Commercial",,,"78",,"5.81","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCC XL ORAL TAB ER 100MG","0259","RC","Both",,,"7.5","3.75","UHC","Commercial",,,"75",,"5.66","0.04","2502.48","percent of total billed charges",,
"NF-METOPROLOL SUCC XL ORAL TAB ER 100MG","0259","RC","Both",,,"7.5","3.75","Medicaid",,,,"37",,"2.74","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE CAP ER 10MEQ","0259","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE CAP ER 10MEQ","0259","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE CAP ER 10MEQ","0259","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE CAP ER 10MEQ","0259","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE CAP ER 10MEQ","0259","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE CAP ER 10MEQ","0259","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE CAP ER 10MEQ","0259","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE CAP ER 10MEQ","0259","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE CAP ER 10MEQ","0259","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE CAP ER 10MEQ","0259","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE CAP ER 10MEQ","0259","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE CAP ER 10MEQ","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE CAP ER 10MEQ","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE CAP ER 10MEQ","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE CAP ER 10MEQ","0259","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE CAP ER 10MEQ","0259","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE CAP ER 10MEQ","0259","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE CAP ER 10MEQ","0259","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE CAP ER 10MEQ","0259","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE CAP ER 10MEQ","0259","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"1.5","0.75","Alliant","Health Exchange",,,"62",,"0.93","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"1.5","0.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"1.5","0.75","Medicare",,,,"54",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"1.5","0.75","Humana","Medicare Advantage",,,"54",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"1.5","0.75","UHC","Medicare Advantage",,,"54",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"1.5","0.75","Clover","Medicare Advantage",,,"54",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"1.5","0.75","Wellcare","Medicare Advantage",,,"54",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"1.5","0.75","Amerigroup","Medicaid Managed Care",,,"37",,"0.55","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"1.5","0.75","Caresource","Medicaid Managed Care",,,"40",,"0.6","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"1.5","0.75","Wellcare","Medicaid Managed Care",,,"40",,"0.61","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"1.5","0.75","Aetna","Commercial",,,"64",,"0.96","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","Pathways",,,"71",,"1.06","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","HMO",,,"71",,"1.06","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","PPO",,,"71",,"1.06","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"1.5","0.75","Ambetter","Health Exchange",,,"62",,"0.93","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"1.5","0.75","Caresource","Health Exchange",,,"62",,"0.93","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"1.5","0.75","Cigna","Commercial",,,"59",,"0.88","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"1.5","0.75","Humana","Commercial",,,"78",,"1.16","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"1.5","0.75","UHC","Commercial",,,"75",,"1.13","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"1.5","0.75","Medicaid",,,,"37",,"0.55","0.04","2502.48","percent of total billed charges",,
"NF-SERTRALINE HCL ORAL TABLET 100MG","0259","RC","Both",,,"8.5","4.25","Alliant","Health Exchange",,,"62",,"5.27","0.04","2502.48","percent of total billed charges",,
"NF-SERTRALINE HCL ORAL TABLET 100MG","0259","RC","Both",,,"8.5","4.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.59","0.04","2502.48","percent of total billed charges",,
"NF-SERTRALINE HCL ORAL TABLET 100MG","0259","RC","Both",,,"8.5","4.25","Medicare",,,,"54",,"4.61","0.04","2502.48","percent of total billed charges",,
"NF-SERTRALINE HCL ORAL TABLET 100MG","0259","RC","Both",,,"8.5","4.25","Humana","Medicare Advantage",,,"54",,"4.61","0.04","2502.48","percent of total billed charges",,
"NF-SERTRALINE HCL ORAL TABLET 100MG","0259","RC","Both",,,"8.5","4.25","UHC","Medicare Advantage",,,"54",,"4.61","0.04","2502.48","percent of total billed charges",,
"NF-SERTRALINE HCL ORAL TABLET 100MG","0259","RC","Both",,,"8.5","4.25","Clover","Medicare Advantage",,,"54",,"4.61","0.04","2502.48","percent of total billed charges",,
"NF-SERTRALINE HCL ORAL TABLET 100MG","0259","RC","Both",,,"8.5","4.25","Wellcare","Medicare Advantage",,,"54",,"4.61","0.04","2502.48","percent of total billed charges",,
"NF-SERTRALINE HCL ORAL TABLET 100MG","0259","RC","Both",,,"8.5","4.25","Amerigroup","Medicaid Managed Care",,,"37",,"3.11","0.04","2502.48","percent of total billed charges",,
"NF-SERTRALINE HCL ORAL TABLET 100MG","0259","RC","Both",,,"8.5","4.25","Caresource","Medicaid Managed Care",,,"40",,"3.4","0.04","2502.48","percent of total billed charges",,
"NF-SERTRALINE HCL ORAL TABLET 100MG","0259","RC","Both",,,"8.5","4.25","Wellcare","Medicaid Managed Care",,,"40",,"3.44","0.04","2502.48","percent of total billed charges",,
"NF-SERTRALINE HCL ORAL TABLET 100MG","0259","RC","Both",,,"8.5","4.25","Aetna","Commercial",,,"64",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-SERTRALINE HCL ORAL TABLET 100MG","0259","RC","Both",,,"8.5","4.25","Blue Cross Blue Shield","Pathways",,,"71",,"6","0.04","2502.48","percent of total billed charges",,
"NF-SERTRALINE HCL ORAL TABLET 100MG","0259","RC","Both",,,"8.5","4.25","Blue Cross Blue Shield","HMO",,,"71",,"6","0.04","2502.48","percent of total billed charges",,
"NF-SERTRALINE HCL ORAL TABLET 100MG","0259","RC","Both",,,"8.5","4.25","Blue Cross Blue Shield","PPO",,,"71",,"6","0.04","2502.48","percent of total billed charges",,
"NF-SERTRALINE HCL ORAL TABLET 100MG","0259","RC","Both",,,"8.5","4.25","Ambetter","Health Exchange",,,"62",,"5.27","0.04","2502.48","percent of total billed charges",,
"NF-SERTRALINE HCL ORAL TABLET 100MG","0259","RC","Both",,,"8.5","4.25","Caresource","Health Exchange",,,"62",,"5.27","0.04","2502.48","percent of total billed charges",,
"NF-SERTRALINE HCL ORAL TABLET 100MG","0259","RC","Both",,,"8.5","4.25","Cigna","Commercial",,,"59",,"4.98","0.04","2502.48","percent of total billed charges",,
"NF-SERTRALINE HCL ORAL TABLET 100MG","0259","RC","Both",,,"8.5","4.25","Humana","Commercial",,,"78",,"6.59","0.04","2502.48","percent of total billed charges",,
"NF-SERTRALINE HCL ORAL TABLET 100MG","0259","RC","Both",,,"8.5","4.25","UHC","Commercial",,,"75",,"6.41","0.04","2502.48","percent of total billed charges",,
"NF-SERTRALINE HCL ORAL TABLET 100MG","0259","RC","Both",,,"8.5","4.25","Medicaid",,,,"37",,"3.11","0.04","2502.48","percent of total billed charges",,
"NF-Trusopt Ocumeter Ophth Solution 2%","0259","RC","Both",,,"20","10","Alliant","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Trusopt Ocumeter Ophth Solution 2%","0259","RC","Both",,,"20","10","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.8","0.04","2502.48","percent of total billed charges",,
"NF-Trusopt Ocumeter Ophth Solution 2%","0259","RC","Both",,,"20","10","Medicare",,,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Trusopt Ocumeter Ophth Solution 2%","0259","RC","Both",,,"20","10","Humana","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Trusopt Ocumeter Ophth Solution 2%","0259","RC","Both",,,"20","10","UHC","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Trusopt Ocumeter Ophth Solution 2%","0259","RC","Both",,,"20","10","Clover","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Trusopt Ocumeter Ophth Solution 2%","0259","RC","Both",,,"20","10","Wellcare","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Trusopt Ocumeter Ophth Solution 2%","0259","RC","Both",,,"20","10","Amerigroup","Medicaid Managed Care",,,"37",,"7.32","0.04","2502.48","percent of total billed charges",,
"NF-Trusopt Ocumeter Ophth Solution 2%","0259","RC","Both",,,"20","10","Caresource","Medicaid Managed Care",,,"40",,"8","0.04","2502.48","percent of total billed charges",,
"NF-Trusopt Ocumeter Ophth Solution 2%","0259","RC","Both",,,"20","10","Wellcare","Medicaid Managed Care",,,"40",,"8.1","0.04","2502.48","percent of total billed charges",,
"NF-Trusopt Ocumeter Ophth Solution 2%","0259","RC","Both",,,"20","10","Aetna","Commercial",,,"64",,"12.76","0.04","2502.48","percent of total billed charges",,
"NF-Trusopt Ocumeter Ophth Solution 2%","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","Pathways",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Trusopt Ocumeter Ophth Solution 2%","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","HMO",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Trusopt Ocumeter Ophth Solution 2%","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","PPO",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Trusopt Ocumeter Ophth Solution 2%","0259","RC","Both",,,"20","10","Ambetter","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Trusopt Ocumeter Ophth Solution 2%","0259","RC","Both",,,"20","10","Caresource","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Trusopt Ocumeter Ophth Solution 2%","0259","RC","Both",,,"20","10","Cigna","Commercial",,,"59",,"11.72","0.04","2502.48","percent of total billed charges",,
"NF-Trusopt Ocumeter Ophth Solution 2%","0259","RC","Both",,,"20","10","Humana","Commercial",,,"78",,"15.5","0.04","2502.48","percent of total billed charges",,
"NF-Trusopt Ocumeter Ophth Solution 2%","0259","RC","Both",,,"20","10","UHC","Commercial",,,"75",,"15.08","0.04","2502.48","percent of total billed charges",,
"NF-Trusopt Ocumeter Ophth Solution 2%","0259","RC","Both",,,"20","10","Medicaid",,,,"37",,"7.32","0.04","2502.48","percent of total billed charges",,
"NF-Advair Diskus 100/50 Disk","0259","RC","Both",,,"19","9.5","Alliant","Health Exchange",,,"62",,"11.78","0.04","2502.48","percent of total billed charges",,
"NF-Advair Diskus 100/50 Disk","0259","RC","Both",,,"19","9.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.26","0.04","2502.48","percent of total billed charges",,
"NF-Advair Diskus 100/50 Disk","0259","RC","Both",,,"19","9.5","Medicare",,,,"54",,"10.3","0.04","2502.48","percent of total billed charges",,
"NF-Advair Diskus 100/50 Disk","0259","RC","Both",,,"19","9.5","Humana","Medicare Advantage",,,"54",,"10.3","0.04","2502.48","percent of total billed charges",,
"NF-Advair Diskus 100/50 Disk","0259","RC","Both",,,"19","9.5","UHC","Medicare Advantage",,,"54",,"10.3","0.04","2502.48","percent of total billed charges",,
"NF-Advair Diskus 100/50 Disk","0259","RC","Both",,,"19","9.5","Clover","Medicare Advantage",,,"54",,"10.3","0.04","2502.48","percent of total billed charges",,
"NF-Advair Diskus 100/50 Disk","0259","RC","Both",,,"19","9.5","Wellcare","Medicare Advantage",,,"54",,"10.3","0.04","2502.48","percent of total billed charges",,
"NF-Advair Diskus 100/50 Disk","0259","RC","Both",,,"19","9.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.95","0.04","2502.48","percent of total billed charges",,
"NF-Advair Diskus 100/50 Disk","0259","RC","Both",,,"19","9.5","Caresource","Medicaid Managed Care",,,"40",,"7.6","0.04","2502.48","percent of total billed charges",,
"NF-Advair Diskus 100/50 Disk","0259","RC","Both",,,"19","9.5","Wellcare","Medicaid Managed Care",,,"40",,"7.7","0.04","2502.48","percent of total billed charges",,
"NF-Advair Diskus 100/50 Disk","0259","RC","Both",,,"19","9.5","Aetna","Commercial",,,"64",,"12.12","0.04","2502.48","percent of total billed charges",,
"NF-Advair Diskus 100/50 Disk","0259","RC","Both",,,"19","9.5","Blue Cross Blue Shield","Pathways",,,"71",,"13.41","0.04","2502.48","percent of total billed charges",,
"NF-Advair Diskus 100/50 Disk","0259","RC","Both",,,"19","9.5","Blue Cross Blue Shield","HMO",,,"71",,"13.41","0.04","2502.48","percent of total billed charges",,
"NF-Advair Diskus 100/50 Disk","0259","RC","Both",,,"19","9.5","Blue Cross Blue Shield","PPO",,,"71",,"13.41","0.04","2502.48","percent of total billed charges",,
"NF-Advair Diskus 100/50 Disk","0259","RC","Both",,,"19","9.5","Ambetter","Health Exchange",,,"62",,"11.78","0.04","2502.48","percent of total billed charges",,
"NF-Advair Diskus 100/50 Disk","0259","RC","Both",,,"19","9.5","Caresource","Health Exchange",,,"62",,"11.78","0.04","2502.48","percent of total billed charges",,
"NF-Advair Diskus 100/50 Disk","0259","RC","Both",,,"19","9.5","Cigna","Commercial",,,"59",,"11.13","0.04","2502.48","percent of total billed charges",,
"NF-Advair Diskus 100/50 Disk","0259","RC","Both",,,"19","9.5","Humana","Commercial",,,"78",,"14.72","0.04","2502.48","percent of total billed charges",,
"NF-Advair Diskus 100/50 Disk","0259","RC","Both",,,"19","9.5","UHC","Commercial",,,"75",,"14.33","0.04","2502.48","percent of total billed charges",,
"NF-Advair Diskus 100/50 Disk","0259","RC","Both",,,"19","9.5","Medicaid",,,,"37",,"6.95","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 175MCG","0259","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 175MCG","0259","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 175MCG","0259","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 175MCG","0259","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 175MCG","0259","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 175MCG","0259","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 175MCG","0259","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 175MCG","0259","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 175MCG","0259","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 175MCG","0259","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 175MCG","0259","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 175MCG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 175MCG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 175MCG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 175MCG","0259","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 175MCG","0259","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 175MCG","0259","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 175MCG","0259","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 175MCG","0259","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 175MCG","0259","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Fexofenadine HCl Oral Tablet 60MG","0259","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Fexofenadine HCl Oral Tablet 60MG","0259","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Fexofenadine HCl Oral Tablet 60MG","0259","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Fexofenadine HCl Oral Tablet 60MG","0259","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Fexofenadine HCl Oral Tablet 60MG","0259","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Fexofenadine HCl Oral Tablet 60MG","0259","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Fexofenadine HCl Oral Tablet 60MG","0259","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Fexofenadine HCl Oral Tablet 60MG","0259","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Fexofenadine HCl Oral Tablet 60MG","0259","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","2502.48","percent of total billed charges",,
"NF-Fexofenadine HCl Oral Tablet 60MG","0259","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-Fexofenadine HCl Oral Tablet 60MG","0259","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-Fexofenadine HCl Oral Tablet 60MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Fexofenadine HCl Oral Tablet 60MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Fexofenadine HCl Oral Tablet 60MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Fexofenadine HCl Oral Tablet 60MG","0259","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Fexofenadine HCl Oral Tablet 60MG","0259","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Fexofenadine HCl Oral Tablet 60MG","0259","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","2502.48","percent of total billed charges",,
"NF-Fexofenadine HCl Oral Tablet 60MG","0259","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-Fexofenadine HCl Oral Tablet 60MG","0259","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","2502.48","percent of total billed charges",,
"NF-Fexofenadine HCl Oral Tablet 60MG","0259","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","0.04","2502.48","percent of total billed charges",,
"NF-Vitamin D2 Liquid-Filled Cap 50,000IU","0259","RC","Both",,,"9","4.5","Alliant","Health Exchange",,,"62",,"5.58","0.04","2502.48","percent of total billed charges",,
"NF-Vitamin D2 Liquid-Filled Cap 50,000IU","0259","RC","Both",,,"9","4.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.86","0.04","2502.48","percent of total billed charges",,
"NF-Vitamin D2 Liquid-Filled Cap 50,000IU","0259","RC","Both",,,"9","4.5","Medicare",,,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Vitamin D2 Liquid-Filled Cap 50,000IU","0259","RC","Both",,,"9","4.5","Humana","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Vitamin D2 Liquid-Filled Cap 50,000IU","0259","RC","Both",,,"9","4.5","UHC","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Vitamin D2 Liquid-Filled Cap 50,000IU","0259","RC","Both",,,"9","4.5","Clover","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Vitamin D2 Liquid-Filled Cap 50,000IU","0259","RC","Both",,,"9","4.5","Wellcare","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Vitamin D2 Liquid-Filled Cap 50,000IU","0259","RC","Both",,,"9","4.5","Amerigroup","Medicaid Managed Care",,,"37",,"3.29","0.04","2502.48","percent of total billed charges",,
"NF-Vitamin D2 Liquid-Filled Cap 50,000IU","0259","RC","Both",,,"9","4.5","Caresource","Medicaid Managed Care",,,"40",,"3.6","0.04","2502.48","percent of total billed charges",,
"NF-Vitamin D2 Liquid-Filled Cap 50,000IU","0259","RC","Both",,,"9","4.5","Wellcare","Medicaid Managed Care",,,"40",,"3.65","0.04","2502.48","percent of total billed charges",,
"NF-Vitamin D2 Liquid-Filled Cap 50,000IU","0259","RC","Both",,,"9","4.5","Aetna","Commercial",,,"64",,"5.74","0.04","2502.48","percent of total billed charges",,
"NF-Vitamin D2 Liquid-Filled Cap 50,000IU","0259","RC","Both",,,"9","4.5","Blue Cross Blue Shield","Pathways",,,"71",,"6.35","0.04","2502.48","percent of total billed charges",,
"NF-Vitamin D2 Liquid-Filled Cap 50,000IU","0259","RC","Both",,,"9","4.5","Blue Cross Blue Shield","HMO",,,"71",,"6.35","0.04","2502.48","percent of total billed charges",,
"NF-Vitamin D2 Liquid-Filled Cap 50,000IU","0259","RC","Both",,,"9","4.5","Blue Cross Blue Shield","PPO",,,"71",,"6.35","0.04","2502.48","percent of total billed charges",,
"NF-Vitamin D2 Liquid-Filled Cap 50,000IU","0259","RC","Both",,,"9","4.5","Ambetter","Health Exchange",,,"62",,"5.58","0.04","2502.48","percent of total billed charges",,
"NF-Vitamin D2 Liquid-Filled Cap 50,000IU","0259","RC","Both",,,"9","4.5","Caresource","Health Exchange",,,"62",,"5.58","0.04","2502.48","percent of total billed charges",,
"NF-Vitamin D2 Liquid-Filled Cap 50,000IU","0259","RC","Both",,,"9","4.5","Cigna","Commercial",,,"59",,"5.27","0.04","2502.48","percent of total billed charges",,
"NF-Vitamin D2 Liquid-Filled Cap 50,000IU","0259","RC","Both",,,"9","4.5","Humana","Commercial",,,"78",,"6.98","0.04","2502.48","percent of total billed charges",,
"NF-Vitamin D2 Liquid-Filled Cap 50,000IU","0259","RC","Both",,,"9","4.5","UHC","Commercial",,,"75",,"6.79","0.04","2502.48","percent of total billed charges",,
"NF-Vitamin D2 Liquid-Filled Cap 50,000IU","0259","RC","Both",,,"9","4.5","Medicaid",,,,"37",,"3.29","0.04","2502.48","percent of total billed charges",,
"NF-Vitamin D2 Liquid-Filled Cap 50,000IU","0259","RC","Both",,,"9","4.5","Alliant","Health Exchange",,,"62",,"5.58","0.04","2502.48","percent of total billed charges",,
"NF-Vitamin D2 Liquid-Filled Cap 50,000IU","0259","RC","Both",,,"9","4.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.86","0.04","2502.48","percent of total billed charges",,
"NF-Vitamin D2 Liquid-Filled Cap 50,000IU","0259","RC","Both",,,"9","4.5","Medicare",,,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Vitamin D2 Liquid-Filled Cap 50,000IU","0259","RC","Both",,,"9","4.5","Humana","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Vitamin D2 Liquid-Filled Cap 50,000IU","0259","RC","Both",,,"9","4.5","UHC","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Vitamin D2 Liquid-Filled Cap 50,000IU","0259","RC","Both",,,"9","4.5","Clover","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Vitamin D2 Liquid-Filled Cap 50,000IU","0259","RC","Both",,,"9","4.5","Wellcare","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Vitamin D2 Liquid-Filled Cap 50,000IU","0259","RC","Both",,,"9","4.5","Amerigroup","Medicaid Managed Care",,,"37",,"3.29","0.04","2502.48","percent of total billed charges",,
"NF-Vitamin D2 Liquid-Filled Cap 50,000IU","0259","RC","Both",,,"9","4.5","Caresource","Medicaid Managed Care",,,"40",,"3.6","0.04","2502.48","percent of total billed charges",,
"NF-Vitamin D2 Liquid-Filled Cap 50,000IU","0259","RC","Both",,,"9","4.5","Wellcare","Medicaid Managed Care",,,"40",,"3.65","0.04","2502.48","percent of total billed charges",,
"NF-Vitamin D2 Liquid-Filled Cap 50,000IU","0259","RC","Both",,,"9","4.5","Aetna","Commercial",,,"64",,"5.74","0.04","2502.48","percent of total billed charges",,
"NF-Vitamin D2 Liquid-Filled Cap 50,000IU","0259","RC","Both",,,"9","4.5","Blue Cross Blue Shield","Pathways",,,"71",,"6.35","0.04","2502.48","percent of total billed charges",,
"NF-Vitamin D2 Liquid-Filled Cap 50,000IU","0259","RC","Both",,,"9","4.5","Blue Cross Blue Shield","HMO",,,"71",,"6.35","0.04","2502.48","percent of total billed charges",,
"NF-Vitamin D2 Liquid-Filled Cap 50,000IU","0259","RC","Both",,,"9","4.5","Blue Cross Blue Shield","PPO",,,"71",,"6.35","0.04","2502.48","percent of total billed charges",,
"NF-Vitamin D2 Liquid-Filled Cap 50,000IU","0259","RC","Both",,,"9","4.5","Ambetter","Health Exchange",,,"62",,"5.58","0.04","2502.48","percent of total billed charges",,
"NF-Vitamin D2 Liquid-Filled Cap 50,000IU","0259","RC","Both",,,"9","4.5","Caresource","Health Exchange",,,"62",,"5.58","0.04","2502.48","percent of total billed charges",,
"NF-Vitamin D2 Liquid-Filled Cap 50,000IU","0259","RC","Both",,,"9","4.5","Cigna","Commercial",,,"59",,"5.27","0.04","2502.48","percent of total billed charges",,
"NF-Vitamin D2 Liquid-Filled Cap 50,000IU","0259","RC","Both",,,"9","4.5","Humana","Commercial",,,"78",,"6.98","0.04","2502.48","percent of total billed charges",,
"NF-Vitamin D2 Liquid-Filled Cap 50,000IU","0259","RC","Both",,,"9","4.5","UHC","Commercial",,,"75",,"6.79","0.04","2502.48","percent of total billed charges",,
"NF-Vitamin D2 Liquid-Filled Cap 50,000IU","0259","RC","Both",,,"9","4.5","Medicaid",,,,"37",,"3.29","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"22","11","Medicare",,,,"54",,"11.92","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"22","11","Medicaid",,,,"37",,"8.05","0.04","2502.48","percent of total billed charges",,
"NF-Piperacillin/Tazobactam IV Pwd for So","0259","RC","Both",,,"55","27.5","Alliant","Health Exchange",,,"62",,"34.1","0.04","2502.48","percent of total billed charges",,
"NF-Piperacillin/Tazobactam IV Pwd for So","0259","RC","Both",,,"55","27.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"29.7","0.04","2502.48","percent of total billed charges",,
"NF-Piperacillin/Tazobactam IV Pwd for So","0259","RC","Both",,,"55","27.5","Medicare",,,,"54",,"29.81","0.04","2502.48","percent of total billed charges",,
"NF-Piperacillin/Tazobactam IV Pwd for So","0259","RC","Both",,,"55","27.5","Humana","Medicare Advantage",,,"54",,"29.81","0.04","2502.48","percent of total billed charges",,
"NF-Piperacillin/Tazobactam IV Pwd for So","0259","RC","Both",,,"55","27.5","UHC","Medicare Advantage",,,"54",,"29.81","0.04","2502.48","percent of total billed charges",,
"NF-Piperacillin/Tazobactam IV Pwd for So","0259","RC","Both",,,"55","27.5","Clover","Medicare Advantage",,,"54",,"29.81","0.04","2502.48","percent of total billed charges",,
"NF-Piperacillin/Tazobactam IV Pwd for So","0259","RC","Both",,,"55","27.5","Wellcare","Medicare Advantage",,,"54",,"29.81","0.04","2502.48","percent of total billed charges",,
"NF-Piperacillin/Tazobactam IV Pwd for So","0259","RC","Both",,,"55","27.5","Amerigroup","Medicaid Managed Care",,,"37",,"20.13","0.04","2502.48","percent of total billed charges",,
"NF-Piperacillin/Tazobactam IV Pwd for So","0259","RC","Both",,,"55","27.5","Caresource","Medicaid Managed Care",,,"40",,"22","0.04","2502.48","percent of total billed charges",,
"NF-Piperacillin/Tazobactam IV Pwd for So","0259","RC","Both",,,"55","27.5","Wellcare","Medicaid Managed Care",,,"40",,"22.28","0.04","2502.48","percent of total billed charges",,
"NF-Piperacillin/Tazobactam IV Pwd for So","0259","RC","Both",,,"55","27.5","Aetna","Commercial",,,"64",,"35.09","0.04","2502.48","percent of total billed charges",,
"NF-Piperacillin/Tazobactam IV Pwd for So","0259","RC","Both",,,"55","27.5","Blue Cross Blue Shield","Pathways",,,"71",,"38.83","0.04","2502.48","percent of total billed charges",,
"NF-Piperacillin/Tazobactam IV Pwd for So","0259","RC","Both",,,"55","27.5","Blue Cross Blue Shield","HMO",,,"71",,"38.83","0.04","2502.48","percent of total billed charges",,
"NF-Piperacillin/Tazobactam IV Pwd for So","0259","RC","Both",,,"55","27.5","Blue Cross Blue Shield","PPO",,,"71",,"38.83","0.04","2502.48","percent of total billed charges",,
"NF-Piperacillin/Tazobactam IV Pwd for So","0259","RC","Both",,,"55","27.5","Ambetter","Health Exchange",,,"62",,"34.1","0.04","2502.48","percent of total billed charges",,
"NF-Piperacillin/Tazobactam IV Pwd for So","0259","RC","Both",,,"55","27.5","Caresource","Health Exchange",,,"62",,"34.1","0.04","2502.48","percent of total billed charges",,
"NF-Piperacillin/Tazobactam IV Pwd for So","0259","RC","Both",,,"55","27.5","Cigna","Commercial",,,"59",,"32.23","0.04","2502.48","percent of total billed charges",,
"NF-Piperacillin/Tazobactam IV Pwd for So","0259","RC","Both",,,"55","27.5","Humana","Commercial",,,"78",,"42.62","0.04","2502.48","percent of total billed charges",,
"NF-Piperacillin/Tazobactam IV Pwd for So","0259","RC","Both",,,"55","27.5","UHC","Commercial",,,"75",,"41.47","0.04","2502.48","percent of total billed charges",,
"NF-Piperacillin/Tazobactam IV Pwd for So","0259","RC","Both",,,"55","27.5","Medicaid",,,,"37",,"20.13","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"1.5","0.75","Alliant","Health Exchange",,,"62",,"0.93","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"1.5","0.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"1.5","0.75","Medicare",,,,"54",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"1.5","0.75","Humana","Medicare Advantage",,,"54",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"1.5","0.75","UHC","Medicare Advantage",,,"54",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"1.5","0.75","Clover","Medicare Advantage",,,"54",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"1.5","0.75","Wellcare","Medicare Advantage",,,"54",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"1.5","0.75","Amerigroup","Medicaid Managed Care",,,"37",,"0.55","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"1.5","0.75","Caresource","Medicaid Managed Care",,,"40",,"0.6","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"1.5","0.75","Wellcare","Medicaid Managed Care",,,"40",,"0.61","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"1.5","0.75","Aetna","Commercial",,,"64",,"0.96","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","Pathways",,,"71",,"1.06","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","HMO",,,"71",,"1.06","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"1.5","0.75","Blue Cross Blue Shield","PPO",,,"71",,"1.06","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"1.5","0.75","Ambetter","Health Exchange",,,"62",,"0.93","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"1.5","0.75","Caresource","Health Exchange",,,"62",,"0.93","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"1.5","0.75","Cigna","Commercial",,,"59",,"0.88","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"1.5","0.75","Humana","Commercial",,,"78",,"1.16","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"1.5","0.75","UHC","Commercial",,,"75",,"1.13","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"1.5","0.75","Medicaid",,,,"37",,"0.55","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0259","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 0.5MG","0259","RC","Both",,,"2.5","1.25","Alliant","Health Exchange",,,"62",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 0.5MG","0259","RC","Both",,,"2.5","1.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.35","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 0.5MG","0259","RC","Both",,,"2.5","1.25","Medicare",,,,"54",,"1.36","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 0.5MG","0259","RC","Both",,,"2.5","1.25","Humana","Medicare Advantage",,,"54",,"1.36","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 0.5MG","0259","RC","Both",,,"2.5","1.25","UHC","Medicare Advantage",,,"54",,"1.36","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 0.5MG","0259","RC","Both",,,"2.5","1.25","Clover","Medicare Advantage",,,"54",,"1.36","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 0.5MG","0259","RC","Both",,,"2.5","1.25","Wellcare","Medicare Advantage",,,"54",,"1.36","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 0.5MG","0259","RC","Both",,,"2.5","1.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.92","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 0.5MG","0259","RC","Both",,,"2.5","1.25","Caresource","Medicaid Managed Care",,,"40",,"1","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 0.5MG","0259","RC","Both",,,"2.5","1.25","Wellcare","Medicaid Managed Care",,,"40",,"1.01","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 0.5MG","0259","RC","Both",,,"2.5","1.25","Aetna","Commercial",,,"64",,"1.6","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 0.5MG","0259","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","Pathways",,,"71",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 0.5MG","0259","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","HMO",,,"71",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 0.5MG","0259","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","PPO",,,"71",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 0.5MG","0259","RC","Both",,,"2.5","1.25","Ambetter","Health Exchange",,,"62",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 0.5MG","0259","RC","Both",,,"2.5","1.25","Caresource","Health Exchange",,,"62",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 0.5MG","0259","RC","Both",,,"2.5","1.25","Cigna","Commercial",,,"59",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 0.5MG","0259","RC","Both",,,"2.5","1.25","Humana","Commercial",,,"78",,"1.94","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 0.5MG","0259","RC","Both",,,"2.5","1.25","UHC","Commercial",,,"75",,"1.88","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 0.5MG","0259","RC","Both",,,"2.5","1.25","Medicaid",,,,"37",,"0.92","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 1MG","0259","RC","Both",,,"2.5","1.25","Alliant","Health Exchange",,,"62",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 1MG","0259","RC","Both",,,"2.5","1.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.35","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 1MG","0259","RC","Both",,,"2.5","1.25","Medicare",,,,"54",,"1.36","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 1MG","0259","RC","Both",,,"2.5","1.25","Humana","Medicare Advantage",,,"54",,"1.36","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 1MG","0259","RC","Both",,,"2.5","1.25","UHC","Medicare Advantage",,,"54",,"1.36","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 1MG","0259","RC","Both",,,"2.5","1.25","Clover","Medicare Advantage",,,"54",,"1.36","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 1MG","0259","RC","Both",,,"2.5","1.25","Wellcare","Medicare Advantage",,,"54",,"1.36","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 1MG","0259","RC","Both",,,"2.5","1.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.92","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 1MG","0259","RC","Both",,,"2.5","1.25","Caresource","Medicaid Managed Care",,,"40",,"1","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 1MG","0259","RC","Both",,,"2.5","1.25","Wellcare","Medicaid Managed Care",,,"40",,"1.01","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 1MG","0259","RC","Both",,,"2.5","1.25","Aetna","Commercial",,,"64",,"1.6","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 1MG","0259","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","Pathways",,,"71",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 1MG","0259","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","HMO",,,"71",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 1MG","0259","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","PPO",,,"71",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 1MG","0259","RC","Both",,,"2.5","1.25","Ambetter","Health Exchange",,,"62",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 1MG","0259","RC","Both",,,"2.5","1.25","Caresource","Health Exchange",,,"62",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 1MG","0259","RC","Both",,,"2.5","1.25","Cigna","Commercial",,,"59",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 1MG","0259","RC","Both",,,"2.5","1.25","Humana","Commercial",,,"78",,"1.94","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 1MG","0259","RC","Both",,,"2.5","1.25","UHC","Commercial",,,"75",,"1.88","0.04","2502.48","percent of total billed charges",,
"NF-CLONAZEPAM ORAL TABLET 1MG","0259","RC","Both",,,"2.5","1.25","Medicaid",,,,"37",,"0.92","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN EXTRA STRENGT TABLET 50","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN EXTRA STRENGT TABLET 50","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN EXTRA STRENGT TABLET 50","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN EXTRA STRENGT TABLET 50","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN EXTRA STRENGT TABLET 50","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN EXTRA STRENGT TABLET 50","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN EXTRA STRENGT TABLET 50","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN EXTRA STRENGT TABLET 50","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN EXTRA STRENGT TABLET 50","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN EXTRA STRENGT TABLET 50","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN EXTRA STRENGT TABLET 50","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN EXTRA STRENGT TABLET 50","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN EXTRA STRENGT TABLET 50","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN EXTRA STRENGT TABLET 50","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN EXTRA STRENGT TABLET 50","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN EXTRA STRENGT TABLET 50","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN EXTRA STRENGT TABLET 50","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN EXTRA STRENGT TABLET 50","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN EXTRA STRENGT TABLET 50","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN EXTRA STRENGT TABLET 50","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Alliant","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.66","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Medicare",,,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Humana","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","UHC","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Clover","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Amerigroup","Medicaid Managed Care",,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Caresource","Medicaid Managed Care",,,"40",,"11.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicaid Managed Care",,,"40",,"11.74","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Aetna","Commercial",,,"64",,"18.5","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","Pathways",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","HMO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","PPO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Ambetter","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Caresource","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Cigna","Commercial",,,"59",,"16.99","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Humana","Commercial",,,"78",,"22.48","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","UHC","Commercial",,,"75",,"21.87","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Medicaid",,,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Pilocarpine Hydrochloride Tablet 7.5M","0259","RC","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Pilocarpine Hydrochloride Tablet 7.5M","0259","RC","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","0.04","2502.48","percent of total billed charges",,
"NF-Pilocarpine Hydrochloride Tablet 7.5M","0259","RC","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Pilocarpine Hydrochloride Tablet 7.5M","0259","RC","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Pilocarpine Hydrochloride Tablet 7.5M","0259","RC","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Pilocarpine Hydrochloride Tablet 7.5M","0259","RC","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Pilocarpine Hydrochloride Tablet 7.5M","0259","RC","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Pilocarpine Hydrochloride Tablet 7.5M","0259","RC","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","0.04","2502.48","percent of total billed charges",,
"NF-Pilocarpine Hydrochloride Tablet 7.5M","0259","RC","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","0.04","2502.48","percent of total billed charges",,
"NF-Pilocarpine Hydrochloride Tablet 7.5M","0259","RC","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","0.04","2502.48","percent of total billed charges",,
"NF-Pilocarpine Hydrochloride Tablet 7.5M","0259","RC","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","0.04","2502.48","percent of total billed charges",,
"NF-Pilocarpine Hydrochloride Tablet 7.5M","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-Pilocarpine Hydrochloride Tablet 7.5M","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-Pilocarpine Hydrochloride Tablet 7.5M","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-Pilocarpine Hydrochloride Tablet 7.5M","0259","RC","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Pilocarpine Hydrochloride Tablet 7.5M","0259","RC","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Pilocarpine Hydrochloride Tablet 7.5M","0259","RC","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Pilocarpine Hydrochloride Tablet 7.5M","0259","RC","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","0.04","2502.48","percent of total billed charges",,
"NF-Pilocarpine Hydrochloride Tablet 7.5M","0259","RC","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","0.04","2502.48","percent of total billed charges",,
"NF-Pilocarpine Hydrochloride Tablet 7.5M","0259","RC","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.04","2502.48","percent of total billed charges",,
"NF-ADVAIR HFA 115/21 INH AER 115MCG-21MC","0259","RC","Both",,,"121.5","60.75","Alliant","Health Exchange",,,"62",,"75.33","0.04","2502.48","percent of total billed charges",,
"NF-ADVAIR HFA 115/21 INH AER 115MCG-21MC","0259","RC","Both",,,"121.5","60.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"65.61","0.04","2502.48","percent of total billed charges",,
"NF-ADVAIR HFA 115/21 INH AER 115MCG-21MC","0259","RC","Both",,,"121.5","60.75","Medicare",,,,"54",,"65.85","0.04","2502.48","percent of total billed charges",,
"NF-ADVAIR HFA 115/21 INH AER 115MCG-21MC","0259","RC","Both",,,"121.5","60.75","Humana","Medicare Advantage",,,"54",,"65.85","0.04","2502.48","percent of total billed charges",,
"NF-ADVAIR HFA 115/21 INH AER 115MCG-21MC","0259","RC","Both",,,"121.5","60.75","UHC","Medicare Advantage",,,"54",,"65.85","0.04","2502.48","percent of total billed charges",,
"NF-ADVAIR HFA 115/21 INH AER 115MCG-21MC","0259","RC","Both",,,"121.5","60.75","Clover","Medicare Advantage",,,"54",,"65.85","0.04","2502.48","percent of total billed charges",,
"NF-ADVAIR HFA 115/21 INH AER 115MCG-21MC","0259","RC","Both",,,"121.5","60.75","Wellcare","Medicare Advantage",,,"54",,"65.85","0.04","2502.48","percent of total billed charges",,
"NF-ADVAIR HFA 115/21 INH AER 115MCG-21MC","0259","RC","Both",,,"121.5","60.75","Amerigroup","Medicaid Managed Care",,,"37",,"44.47","0.04","2502.48","percent of total billed charges",,
"NF-ADVAIR HFA 115/21 INH AER 115MCG-21MC","0259","RC","Both",,,"121.5","60.75","Caresource","Medicaid Managed Care",,,"40",,"48.6","0.04","2502.48","percent of total billed charges",,
"NF-ADVAIR HFA 115/21 INH AER 115MCG-21MC","0259","RC","Both",,,"121.5","60.75","Wellcare","Medicaid Managed Care",,,"40",,"49.21","0.04","2502.48","percent of total billed charges",,
"NF-ADVAIR HFA 115/21 INH AER 115MCG-21MC","0259","RC","Both",,,"121.5","60.75","Aetna","Commercial",,,"64",,"77.52","0.04","2502.48","percent of total billed charges",,
"NF-ADVAIR HFA 115/21 INH AER 115MCG-21MC","0259","RC","Both",,,"121.5","60.75","Blue Cross Blue Shield","Pathways",,,"71",,"85.78","0.04","2502.48","percent of total billed charges",,
"NF-ADVAIR HFA 115/21 INH AER 115MCG-21MC","0259","RC","Both",,,"121.5","60.75","Blue Cross Blue Shield","HMO",,,"71",,"85.78","0.04","2502.48","percent of total billed charges",,
"NF-ADVAIR HFA 115/21 INH AER 115MCG-21MC","0259","RC","Both",,,"121.5","60.75","Blue Cross Blue Shield","PPO",,,"71",,"85.78","0.04","2502.48","percent of total billed charges",,
"NF-ADVAIR HFA 115/21 INH AER 115MCG-21MC","0259","RC","Both",,,"121.5","60.75","Ambetter","Health Exchange",,,"62",,"75.33","0.04","2502.48","percent of total billed charges",,
"NF-ADVAIR HFA 115/21 INH AER 115MCG-21MC","0259","RC","Both",,,"121.5","60.75","Caresource","Health Exchange",,,"62",,"75.33","0.04","2502.48","percent of total billed charges",,
"NF-ADVAIR HFA 115/21 INH AER 115MCG-21MC","0259","RC","Both",,,"121.5","60.75","Cigna","Commercial",,,"59",,"71.2","0.04","2502.48","percent of total billed charges",,
"NF-ADVAIR HFA 115/21 INH AER 115MCG-21MC","0259","RC","Both",,,"121.5","60.75","Humana","Commercial",,,"78",,"94.16","0.04","2502.48","percent of total billed charges",,
"NF-ADVAIR HFA 115/21 INH AER 115MCG-21MC","0259","RC","Both",,,"121.5","60.75","UHC","Commercial",,,"75",,"91.61","0.04","2502.48","percent of total billed charges",,
"NF-ADVAIR HFA 115/21 INH AER 115MCG-21MC","0259","RC","Both",,,"121.5","60.75","Medicaid",,,,"37",,"44.47","0.04","2502.48","percent of total billed charges",,
"NF-D3-50 CAP 50000IU","0259","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.04","2502.48","percent of total billed charges",,
"NF-D3-50 CAP 50000IU","0259","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.04","2502.48","percent of total billed charges",,
"NF-D3-50 CAP 50000IU","0259","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.04","2502.48","percent of total billed charges",,
"NF-D3-50 CAP 50000IU","0259","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.04","2502.48","percent of total billed charges",,
"NF-D3-50 CAP 50000IU","0259","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.04","2502.48","percent of total billed charges",,
"NF-D3-50 CAP 50000IU","0259","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.04","2502.48","percent of total billed charges",,
"NF-D3-50 CAP 50000IU","0259","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.04","2502.48","percent of total billed charges",,
"NF-D3-50 CAP 50000IU","0259","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.04","2502.48","percent of total billed charges",,
"NF-D3-50 CAP 50000IU","0259","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.04","2502.48","percent of total billed charges",,
"NF-D3-50 CAP 50000IU","0259","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.04","2502.48","percent of total billed charges",,
"NF-D3-50 CAP 50000IU","0259","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.04","2502.48","percent of total billed charges",,
"NF-D3-50 CAP 50000IU","0259","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.04","2502.48","percent of total billed charges",,
"NF-D3-50 CAP 50000IU","0259","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.04","2502.48","percent of total billed charges",,
"NF-D3-50 CAP 50000IU","0259","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.04","2502.48","percent of total billed charges",,
"NF-D3-50 CAP 50000IU","0259","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.04","2502.48","percent of total billed charges",,
"NF-D3-50 CAP 50000IU","0259","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.04","2502.48","percent of total billed charges",,
"NF-D3-50 CAP 50000IU","0259","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.04","2502.48","percent of total billed charges",,
"NF-D3-50 CAP 50000IU","0259","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.04","2502.48","percent of total billed charges",,
"NF-D3-50 CAP 50000IU","0259","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.04","2502.48","percent of total billed charges",,
"NF-D3-50 CAP 50000IU","0259","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.04","2502.48","percent of total billed charges",,
"NF-ROBAXIN TABLET 500MG","0259","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-ROBAXIN TABLET 500MG","0259","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-ROBAXIN TABLET 500MG","0259","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-ROBAXIN TABLET 500MG","0259","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-ROBAXIN TABLET 500MG","0259","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-ROBAXIN TABLET 500MG","0259","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-ROBAXIN TABLET 500MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-ROBAXIN TABLET 500MG","0259","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-ROBAXIN TABLET 500MG","0259","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","2502.48","percent of total billed charges",,
"NF-ROBAXIN TABLET 500MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","2502.48","percent of total billed charges",,
"NF-ROBAXIN TABLET 500MG","0259","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","2502.48","percent of total billed charges",,
"NF-ROBAXIN TABLET 500MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-ROBAXIN TABLET 500MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-ROBAXIN TABLET 500MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-ROBAXIN TABLET 500MG","0259","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-ROBAXIN TABLET 500MG","0259","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-ROBAXIN TABLET 500MG","0259","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-ROBAXIN TABLET 500MG","0259","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","2502.48","percent of total billed charges",,
"NF-ROBAXIN TABLET 500MG","0259","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","2502.48","percent of total billed charges",,
"NF-ROBAXIN TABLET 500MG","0259","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-APAP W/ CODEINE ORAL TABLET 300MG-15M","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-APAP W/ CODEINE ORAL TABLET 300MG-15M","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-APAP W/ CODEINE ORAL TABLET 300MG-15M","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-APAP W/ CODEINE ORAL TABLET 300MG-15M","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-APAP W/ CODEINE ORAL TABLET 300MG-15M","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-APAP W/ CODEINE ORAL TABLET 300MG-15M","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-APAP W/ CODEINE ORAL TABLET 300MG-15M","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-APAP W/ CODEINE ORAL TABLET 300MG-15M","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-APAP W/ CODEINE ORAL TABLET 300MG-15M","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-APAP W/ CODEINE ORAL TABLET 300MG-15M","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-APAP W/ CODEINE ORAL TABLET 300MG-15M","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-APAP W/ CODEINE ORAL TABLET 300MG-15M","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-APAP W/ CODEINE ORAL TABLET 300MG-15M","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-APAP W/ CODEINE ORAL TABLET 300MG-15M","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-APAP W/ CODEINE ORAL TABLET 300MG-15M","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-APAP W/ CODEINE ORAL TABLET 300MG-15M","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-APAP W/ CODEINE ORAL TABLET 300MG-15M","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-APAP W/ CODEINE ORAL TABLET 300MG-15M","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-APAP W/ CODEINE ORAL TABLET 300MG-15M","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-APAP W/ CODEINE ORAL TABLET 300MG-15M","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Alliant","Health Exchange",,,"62",,"36.58","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"31.86","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Medicare",,,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Humana","Medicare Advantage",,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","UHC","Medicare Advantage",,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Clover","Medicare Advantage",,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Wellcare","Medicare Advantage",,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Amerigroup","Medicaid Managed Care",,,"37",,"21.59","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Caresource","Medicaid Managed Care",,,"40",,"23.6","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Wellcare","Medicaid Managed Care",,,"40",,"23.9","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Aetna","Commercial",,,"64",,"37.64","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Blue Cross Blue Shield","Pathways",,,"71",,"41.65","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Blue Cross Blue Shield","HMO",,,"71",,"41.65","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Blue Cross Blue Shield","PPO",,,"71",,"41.65","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Ambetter","Health Exchange",,,"62",,"36.58","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Caresource","Health Exchange",,,"62",,"36.58","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Cigna","Commercial",,,"59",,"34.57","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Humana","Commercial",,,"78",,"45.72","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","UHC","Commercial",,,"75",,"44.49","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Medicaid",,,,"37",,"21.59","0.04","2502.48","percent of total billed charges",,
"NF-Dulera Inh Aer Pwd 5MCG-100MCG/Act","0259","RC","Both",,,"86","43","Alliant","Health Exchange",,,"62",,"53.32","0.04","2502.48","percent of total billed charges",,
"NF-Dulera Inh Aer Pwd 5MCG-100MCG/Act","0259","RC","Both",,,"86","43","Pruitt Healthcare","Medicare Advantage",,,"54",,"46.44","0.04","2502.48","percent of total billed charges",,
"NF-Dulera Inh Aer Pwd 5MCG-100MCG/Act","0259","RC","Both",,,"86","43","Medicare",,,,"54",,"46.61","0.04","2502.48","percent of total billed charges",,
"NF-Dulera Inh Aer Pwd 5MCG-100MCG/Act","0259","RC","Both",,,"86","43","Humana","Medicare Advantage",,,"54",,"46.61","0.04","2502.48","percent of total billed charges",,
"NF-Dulera Inh Aer Pwd 5MCG-100MCG/Act","0259","RC","Both",,,"86","43","UHC","Medicare Advantage",,,"54",,"46.61","0.04","2502.48","percent of total billed charges",,
"NF-Dulera Inh Aer Pwd 5MCG-100MCG/Act","0259","RC","Both",,,"86","43","Clover","Medicare Advantage",,,"54",,"46.61","0.04","2502.48","percent of total billed charges",,
"NF-Dulera Inh Aer Pwd 5MCG-100MCG/Act","0259","RC","Both",,,"86","43","Wellcare","Medicare Advantage",,,"54",,"46.61","0.04","2502.48","percent of total billed charges",,
"NF-Dulera Inh Aer Pwd 5MCG-100MCG/Act","0259","RC","Both",,,"86","43","Amerigroup","Medicaid Managed Care",,,"37",,"31.48","0.04","2502.48","percent of total billed charges",,
"NF-Dulera Inh Aer Pwd 5MCG-100MCG/Act","0259","RC","Both",,,"86","43","Caresource","Medicaid Managed Care",,,"40",,"34.4","0.04","2502.48","percent of total billed charges",,
"NF-Dulera Inh Aer Pwd 5MCG-100MCG/Act","0259","RC","Both",,,"86","43","Wellcare","Medicaid Managed Care",,,"40",,"34.83","0.04","2502.48","percent of total billed charges",,
"NF-Dulera Inh Aer Pwd 5MCG-100MCG/Act","0259","RC","Both",,,"86","43","Aetna","Commercial",,,"64",,"54.87","0.04","2502.48","percent of total billed charges",,
"NF-Dulera Inh Aer Pwd 5MCG-100MCG/Act","0259","RC","Both",,,"86","43","Blue Cross Blue Shield","Pathways",,,"71",,"60.72","0.04","2502.48","percent of total billed charges",,
"NF-Dulera Inh Aer Pwd 5MCG-100MCG/Act","0259","RC","Both",,,"86","43","Blue Cross Blue Shield","HMO",,,"71",,"60.72","0.04","2502.48","percent of total billed charges",,
"NF-Dulera Inh Aer Pwd 5MCG-100MCG/Act","0259","RC","Both",,,"86","43","Blue Cross Blue Shield","PPO",,,"71",,"60.72","0.04","2502.48","percent of total billed charges",,
"NF-Dulera Inh Aer Pwd 5MCG-100MCG/Act","0259","RC","Both",,,"86","43","Ambetter","Health Exchange",,,"62",,"53.32","0.04","2502.48","percent of total billed charges",,
"NF-Dulera Inh Aer Pwd 5MCG-100MCG/Act","0259","RC","Both",,,"86","43","Caresource","Health Exchange",,,"62",,"53.32","0.04","2502.48","percent of total billed charges",,
"NF-Dulera Inh Aer Pwd 5MCG-100MCG/Act","0259","RC","Both",,,"86","43","Cigna","Commercial",,,"59",,"50.4","0.04","2502.48","percent of total billed charges",,
"NF-Dulera Inh Aer Pwd 5MCG-100MCG/Act","0259","RC","Both",,,"86","43","Humana","Commercial",,,"78",,"66.65","0.04","2502.48","percent of total billed charges",,
"NF-Dulera Inh Aer Pwd 5MCG-100MCG/Act","0259","RC","Both",,,"86","43","UHC","Commercial",,,"75",,"64.84","0.04","2502.48","percent of total billed charges",,
"NF-Dulera Inh Aer Pwd 5MCG-100MCG/Act","0259","RC","Both",,,"86","43","Medicaid",,,,"37",,"31.48","0.04","2502.48","percent of total billed charges",,
"NF-Dulera Inh Aer Pwd 5MCG-200MCG/Act","0259","RC","Both",,,"86","43","Alliant","Health Exchange",,,"62",,"53.32","0.04","2502.48","percent of total billed charges",,
"NF-Dulera Inh Aer Pwd 5MCG-200MCG/Act","0259","RC","Both",,,"86","43","Pruitt Healthcare","Medicare Advantage",,,"54",,"46.44","0.04","2502.48","percent of total billed charges",,
"NF-Dulera Inh Aer Pwd 5MCG-200MCG/Act","0259","RC","Both",,,"86","43","Medicare",,,,"54",,"46.61","0.04","2502.48","percent of total billed charges",,
"NF-Dulera Inh Aer Pwd 5MCG-200MCG/Act","0259","RC","Both",,,"86","43","Humana","Medicare Advantage",,,"54",,"46.61","0.04","2502.48","percent of total billed charges",,
"NF-Dulera Inh Aer Pwd 5MCG-200MCG/Act","0259","RC","Both",,,"86","43","UHC","Medicare Advantage",,,"54",,"46.61","0.04","2502.48","percent of total billed charges",,
"NF-Dulera Inh Aer Pwd 5MCG-200MCG/Act","0259","RC","Both",,,"86","43","Clover","Medicare Advantage",,,"54",,"46.61","0.04","2502.48","percent of total billed charges",,
"NF-Dulera Inh Aer Pwd 5MCG-200MCG/Act","0259","RC","Both",,,"86","43","Wellcare","Medicare Advantage",,,"54",,"46.61","0.04","2502.48","percent of total billed charges",,
"NF-Dulera Inh Aer Pwd 5MCG-200MCG/Act","0259","RC","Both",,,"86","43","Amerigroup","Medicaid Managed Care",,,"37",,"31.48","0.04","2502.48","percent of total billed charges",,
"NF-Dulera Inh Aer Pwd 5MCG-200MCG/Act","0259","RC","Both",,,"86","43","Caresource","Medicaid Managed Care",,,"40",,"34.4","0.04","2502.48","percent of total billed charges",,
"NF-Dulera Inh Aer Pwd 5MCG-200MCG/Act","0259","RC","Both",,,"86","43","Wellcare","Medicaid Managed Care",,,"40",,"34.83","0.04","2502.48","percent of total billed charges",,
"NF-Dulera Inh Aer Pwd 5MCG-200MCG/Act","0259","RC","Both",,,"86","43","Aetna","Commercial",,,"64",,"54.87","0.04","2502.48","percent of total billed charges",,
"NF-Dulera Inh Aer Pwd 5MCG-200MCG/Act","0259","RC","Both",,,"86","43","Blue Cross Blue Shield","Pathways",,,"71",,"60.72","0.04","2502.48","percent of total billed charges",,
"NF-Dulera Inh Aer Pwd 5MCG-200MCG/Act","0259","RC","Both",,,"86","43","Blue Cross Blue Shield","HMO",,,"71",,"60.72","0.04","2502.48","percent of total billed charges",,
"NF-Dulera Inh Aer Pwd 5MCG-200MCG/Act","0259","RC","Both",,,"86","43","Blue Cross Blue Shield","PPO",,,"71",,"60.72","0.04","2502.48","percent of total billed charges",,
"NF-Dulera Inh Aer Pwd 5MCG-200MCG/Act","0259","RC","Both",,,"86","43","Ambetter","Health Exchange",,,"62",,"53.32","0.04","2502.48","percent of total billed charges",,
"NF-Dulera Inh Aer Pwd 5MCG-200MCG/Act","0259","RC","Both",,,"86","43","Caresource","Health Exchange",,,"62",,"53.32","0.04","2502.48","percent of total billed charges",,
"NF-Dulera Inh Aer Pwd 5MCG-200MCG/Act","0259","RC","Both",,,"86","43","Cigna","Commercial",,,"59",,"50.4","0.04","2502.48","percent of total billed charges",,
"NF-Dulera Inh Aer Pwd 5MCG-200MCG/Act","0259","RC","Both",,,"86","43","Humana","Commercial",,,"78",,"66.65","0.04","2502.48","percent of total billed charges",,
"NF-Dulera Inh Aer Pwd 5MCG-200MCG/Act","0259","RC","Both",,,"86","43","UHC","Commercial",,,"75",,"64.84","0.04","2502.48","percent of total billed charges",,
"NF-Dulera Inh Aer Pwd 5MCG-200MCG/Act","0259","RC","Both",,,"86","43","Medicaid",,,,"37",,"31.48","0.04","2502.48","percent of total billed charges",,
"NF-Galantamine Oral Tablet 12MG","0259","RC","Both",,,"9","4.5","Alliant","Health Exchange",,,"62",,"5.58","0.04","2502.48","percent of total billed charges",,
"NF-Galantamine Oral Tablet 12MG","0259","RC","Both",,,"9","4.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.86","0.04","2502.48","percent of total billed charges",,
"NF-Galantamine Oral Tablet 12MG","0259","RC","Both",,,"9","4.5","Medicare",,,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Galantamine Oral Tablet 12MG","0259","RC","Both",,,"9","4.5","Humana","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Galantamine Oral Tablet 12MG","0259","RC","Both",,,"9","4.5","UHC","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Galantamine Oral Tablet 12MG","0259","RC","Both",,,"9","4.5","Clover","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Galantamine Oral Tablet 12MG","0259","RC","Both",,,"9","4.5","Wellcare","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Galantamine Oral Tablet 12MG","0259","RC","Both",,,"9","4.5","Amerigroup","Medicaid Managed Care",,,"37",,"3.29","0.04","2502.48","percent of total billed charges",,
"NF-Galantamine Oral Tablet 12MG","0259","RC","Both",,,"9","4.5","Caresource","Medicaid Managed Care",,,"40",,"3.6","0.04","2502.48","percent of total billed charges",,
"NF-Galantamine Oral Tablet 12MG","0259","RC","Both",,,"9","4.5","Wellcare","Medicaid Managed Care",,,"40",,"3.65","0.04","2502.48","percent of total billed charges",,
"NF-Galantamine Oral Tablet 12MG","0259","RC","Both",,,"9","4.5","Aetna","Commercial",,,"64",,"5.74","0.04","2502.48","percent of total billed charges",,
"NF-Galantamine Oral Tablet 12MG","0259","RC","Both",,,"9","4.5","Blue Cross Blue Shield","Pathways",,,"71",,"6.35","0.04","2502.48","percent of total billed charges",,
"NF-Galantamine Oral Tablet 12MG","0259","RC","Both",,,"9","4.5","Blue Cross Blue Shield","HMO",,,"71",,"6.35","0.04","2502.48","percent of total billed charges",,
"NF-Galantamine Oral Tablet 12MG","0259","RC","Both",,,"9","4.5","Blue Cross Blue Shield","PPO",,,"71",,"6.35","0.04","2502.48","percent of total billed charges",,
"NF-Galantamine Oral Tablet 12MG","0259","RC","Both",,,"9","4.5","Ambetter","Health Exchange",,,"62",,"5.58","0.04","2502.48","percent of total billed charges",,
"NF-Galantamine Oral Tablet 12MG","0259","RC","Both",,,"9","4.5","Caresource","Health Exchange",,,"62",,"5.58","0.04","2502.48","percent of total billed charges",,
"NF-Galantamine Oral Tablet 12MG","0259","RC","Both",,,"9","4.5","Cigna","Commercial",,,"59",,"5.27","0.04","2502.48","percent of total billed charges",,
"NF-Galantamine Oral Tablet 12MG","0259","RC","Both",,,"9","4.5","Humana","Commercial",,,"78",,"6.98","0.04","2502.48","percent of total billed charges",,
"NF-Galantamine Oral Tablet 12MG","0259","RC","Both",,,"9","4.5","UHC","Commercial",,,"75",,"6.79","0.04","2502.48","percent of total billed charges",,
"NF-Galantamine Oral Tablet 12MG","0259","RC","Both",,,"9","4.5","Medicaid",,,,"37",,"3.29","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Capsule, Liquid Filled 2","0259","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Capsule, Liquid Filled 2","0259","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Capsule, Liquid Filled 2","0259","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Capsule, Liquid Filled 2","0259","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Capsule, Liquid Filled 2","0259","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Capsule, Liquid Filled 2","0259","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Capsule, Liquid Filled 2","0259","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Capsule, Liquid Filled 2","0259","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Capsule, Liquid Filled 2","0259","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Capsule, Liquid Filled 2","0259","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Capsule, Liquid Filled 2","0259","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Capsule, Liquid Filled 2","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Capsule, Liquid Filled 2","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Capsule, Liquid Filled 2","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Capsule, Liquid Filled 2","0259","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Capsule, Liquid Filled 2","0259","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Capsule, Liquid Filled 2","0259","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Capsule, Liquid Filled 2","0259","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Capsule, Liquid Filled 2","0259","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Capsule, Liquid Filled 2","0259","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Alliant","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.66","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Medicare",,,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Humana","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","UHC","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Clover","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Amerigroup","Medicaid Managed Care",,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Caresource","Medicaid Managed Care",,,"40",,"11.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicaid Managed Care",,,"40",,"11.74","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Aetna","Commercial",,,"64",,"18.5","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","Pathways",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","HMO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","PPO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Ambetter","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Caresource","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Cigna","Commercial",,,"59",,"16.99","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Humana","Commercial",,,"78",,"22.48","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","UHC","Commercial",,,"75",,"21.87","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Medicaid",,,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Alliant","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Pruitt Healthcare","Medicare Advantage",,,"54",,"30.24","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Medicare",,,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Humana","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","UHC","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Clover","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Wellcare","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Amerigroup","Medicaid Managed Care",,,"37",,"20.5","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Caresource","Medicaid Managed Care",,,"40",,"22.4","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Wellcare","Medicaid Managed Care",,,"40",,"22.68","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Aetna","Commercial",,,"64",,"35.73","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","Pathways",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","HMO",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","PPO",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Ambetter","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Caresource","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Cigna","Commercial",,,"59",,"32.82","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Humana","Commercial",,,"78",,"43.4","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","UHC","Commercial",,,"75",,"42.22","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Medicaid",,,,"37",,"20.5","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Capsule Delayed Release 3M","0259","RC","Both",,,"56","28","Alliant","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Capsule Delayed Release 3M","0259","RC","Both",,,"56","28","Pruitt Healthcare","Medicare Advantage",,,"54",,"30.24","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Capsule Delayed Release 3M","0259","RC","Both",,,"56","28","Medicare",,,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Capsule Delayed Release 3M","0259","RC","Both",,,"56","28","Humana","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Capsule Delayed Release 3M","0259","RC","Both",,,"56","28","UHC","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Capsule Delayed Release 3M","0259","RC","Both",,,"56","28","Clover","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Capsule Delayed Release 3M","0259","RC","Both",,,"56","28","Wellcare","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Capsule Delayed Release 3M","0259","RC","Both",,,"56","28","Amerigroup","Medicaid Managed Care",,,"37",,"20.5","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Capsule Delayed Release 3M","0259","RC","Both",,,"56","28","Caresource","Medicaid Managed Care",,,"40",,"22.4","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Capsule Delayed Release 3M","0259","RC","Both",,,"56","28","Wellcare","Medicaid Managed Care",,,"40",,"22.68","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Capsule Delayed Release 3M","0259","RC","Both",,,"56","28","Aetna","Commercial",,,"64",,"35.73","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Capsule Delayed Release 3M","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","Pathways",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Capsule Delayed Release 3M","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","HMO",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Capsule Delayed Release 3M","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","PPO",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Capsule Delayed Release 3M","0259","RC","Both",,,"56","28","Ambetter","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Capsule Delayed Release 3M","0259","RC","Both",,,"56","28","Caresource","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Capsule Delayed Release 3M","0259","RC","Both",,,"56","28","Cigna","Commercial",,,"59",,"32.82","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Capsule Delayed Release 3M","0259","RC","Both",,,"56","28","Humana","Commercial",,,"78",,"43.4","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Capsule Delayed Release 3M","0259","RC","Both",,,"56","28","UHC","Commercial",,,"75",,"42.22","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Capsule Delayed Release 3M","0259","RC","Both",,,"56","28","Medicaid",,,,"37",,"20.5","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Capsule 25MG","0259","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Capsule 25MG","0259","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Capsule 25MG","0259","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Capsule 25MG","0259","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Capsule 25MG","0259","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Capsule 25MG","0259","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Capsule 25MG","0259","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Capsule 25MG","0259","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Capsule 25MG","0259","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Capsule 25MG","0259","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Capsule 25MG","0259","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Capsule 25MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Capsule 25MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Capsule 25MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Capsule 25MG","0259","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Capsule 25MG","0259","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Capsule 25MG","0259","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Capsule 25MG","0259","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Capsule 25MG","0259","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Capsule 25MG","0259","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Alliant","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.66","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Medicare",,,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Humana","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","UHC","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Clover","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Amerigroup","Medicaid Managed Care",,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Caresource","Medicaid Managed Care",,,"40",,"11.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicaid Managed Care",,,"40",,"11.74","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Aetna","Commercial",,,"64",,"18.5","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","Pathways",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","HMO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","PPO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Ambetter","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Caresource","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Cigna","Commercial",,,"59",,"16.99","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Humana","Commercial",,,"78",,"22.48","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","UHC","Commercial",,,"75",,"21.87","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Medicaid",,,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","2502.48","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","0259","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 10MG","0259","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 10MG","0259","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 10MG","0259","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 10MG","0259","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 10MG","0259","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 10MG","0259","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 10MG","0259","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 10MG","0259","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 10MG","0259","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 10MG","0259","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 10MG","0259","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 10MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 10MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 10MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 10MG","0259","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 10MG","0259","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 10MG","0259","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 10MG","0259","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 10MG","0259","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 10MG","0259","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-DEXAMETHASONE ORAL TABLET 2MG","0259","RC","Both",,,"14","7","Alliant","Health Exchange",,,"62",,"8.68","0.04","2502.48","percent of total billed charges",,
"NF-DEXAMETHASONE ORAL TABLET 2MG","0259","RC","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.56","0.04","2502.48","percent of total billed charges",,
"NF-DEXAMETHASONE ORAL TABLET 2MG","0259","RC","Both",,,"14","7","Medicare",,,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-DEXAMETHASONE ORAL TABLET 2MG","0259","RC","Both",,,"14","7","Humana","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-DEXAMETHASONE ORAL TABLET 2MG","0259","RC","Both",,,"14","7","UHC","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-DEXAMETHASONE ORAL TABLET 2MG","0259","RC","Both",,,"14","7","Clover","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-DEXAMETHASONE ORAL TABLET 2MG","0259","RC","Both",,,"14","7","Wellcare","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-DEXAMETHASONE ORAL TABLET 2MG","0259","RC","Both",,,"14","7","Amerigroup","Medicaid Managed Care",,,"37",,"5.12","0.04","2502.48","percent of total billed charges",,
"NF-DEXAMETHASONE ORAL TABLET 2MG","0259","RC","Both",,,"14","7","Caresource","Medicaid Managed Care",,,"40",,"5.6","0.04","2502.48","percent of total billed charges",,
"NF-DEXAMETHASONE ORAL TABLET 2MG","0259","RC","Both",,,"14","7","Wellcare","Medicaid Managed Care",,,"40",,"5.67","0.04","2502.48","percent of total billed charges",,
"NF-DEXAMETHASONE ORAL TABLET 2MG","0259","RC","Both",,,"14","7","Aetna","Commercial",,,"64",,"8.93","0.04","2502.48","percent of total billed charges",,
"NF-DEXAMETHASONE ORAL TABLET 2MG","0259","RC","Both",,,"14","7","Blue Cross Blue Shield","Pathways",,,"71",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-DEXAMETHASONE ORAL TABLET 2MG","0259","RC","Both",,,"14","7","Blue Cross Blue Shield","HMO",,,"71",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-DEXAMETHASONE ORAL TABLET 2MG","0259","RC","Both",,,"14","7","Blue Cross Blue Shield","PPO",,,"71",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-DEXAMETHASONE ORAL TABLET 2MG","0259","RC","Both",,,"14","7","Ambetter","Health Exchange",,,"62",,"8.68","0.04","2502.48","percent of total billed charges",,
"NF-DEXAMETHASONE ORAL TABLET 2MG","0259","RC","Both",,,"14","7","Caresource","Health Exchange",,,"62",,"8.68","0.04","2502.48","percent of total billed charges",,
"NF-DEXAMETHASONE ORAL TABLET 2MG","0259","RC","Both",,,"14","7","Cigna","Commercial",,,"59",,"8.2","0.04","2502.48","percent of total billed charges",,
"NF-DEXAMETHASONE ORAL TABLET 2MG","0259","RC","Both",,,"14","7","Humana","Commercial",,,"78",,"10.85","0.04","2502.48","percent of total billed charges",,
"NF-DEXAMETHASONE ORAL TABLET 2MG","0259","RC","Both",,,"14","7","UHC","Commercial",,,"75",,"10.56","0.04","2502.48","percent of total billed charges",,
"NF-DEXAMETHASONE ORAL TABLET 2MG","0259","RC","Both",,,"14","7","Medicaid",,,,"37",,"5.12","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Alliant","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.66","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Medicare",,,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Humana","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","UHC","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Clover","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Amerigroup","Medicaid Managed Care",,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Caresource","Medicaid Managed Care",,,"40",,"11.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicaid Managed Care",,,"40",,"11.74","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Aetna","Commercial",,,"64",,"18.5","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","Pathways",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","HMO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","PPO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Ambetter","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Caresource","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Cigna","Commercial",,,"59",,"16.99","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Humana","Commercial",,,"78",,"22.48","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","UHC","Commercial",,,"75",,"21.87","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Medicaid",,,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Alliant","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.48","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Medicare",,,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Humana","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","UHC","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Clover","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Wellcare","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Amerigroup","Medicaid Managed Care",,,"37",,"4.39","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Caresource","Medicaid Managed Care",,,"40",,"4.8","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Wellcare","Medicaid Managed Care",,,"40",,"4.86","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Aetna","Commercial",,,"64",,"7.66","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","Pathways",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","HMO",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","PPO",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Ambetter","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Caresource","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Cigna","Commercial",,,"59",,"7.03","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Humana","Commercial",,,"78",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","UHC","Commercial",,,"75",,"9.05","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Medicaid",,,,"37",,"4.39","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"139","69.5","Alliant","Health Exchange",,,"62",,"86.18","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"139","69.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"75.06","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"139","69.5","Medicare",,,,"54",,"75.34","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"139","69.5","Humana","Medicare Advantage",,,"54",,"75.34","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"139","69.5","UHC","Medicare Advantage",,,"54",,"75.34","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"139","69.5","Clover","Medicare Advantage",,,"54",,"75.34","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"139","69.5","Wellcare","Medicare Advantage",,,"54",,"75.34","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"139","69.5","Amerigroup","Medicaid Managed Care",,,"37",,"50.87","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"139","69.5","Caresource","Medicaid Managed Care",,,"40",,"55.6","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"139","69.5","Wellcare","Medicaid Managed Care",,,"40",,"56.3","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"139","69.5","Aetna","Commercial",,,"64",,"88.68","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"139","69.5","Blue Cross Blue Shield","Pathways",,,"71",,"98.13","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"139","69.5","Blue Cross Blue Shield","HMO",,,"71",,"98.13","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"139","69.5","Blue Cross Blue Shield","PPO",,,"71",,"98.13","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"139","69.5","Ambetter","Health Exchange",,,"62",,"86.18","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"139","69.5","Caresource","Health Exchange",,,"62",,"86.18","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"139","69.5","Cigna","Commercial",,,"59",,"81.45","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"139","69.5","Humana","Commercial",,,"78",,"107.72","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"139","69.5","UHC","Commercial",,,"75",,"104.81","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"139","69.5","Medicaid",,,,"37",,"50.87","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"312","156","Alliant","Health Exchange",,,"62",,"193.44","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"312","156","Pruitt Healthcare","Medicare Advantage",,,"54",,"168.48","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"312","156","Medicare",,,,"54",,"169.1","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"312","156","Humana","Medicare Advantage",,,"54",,"169.1","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"312","156","UHC","Medicare Advantage",,,"54",,"169.1","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"312","156","Clover","Medicare Advantage",,,"54",,"169.1","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"312","156","Wellcare","Medicare Advantage",,,"54",,"169.1","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"312","156","Amerigroup","Medicaid Managed Care",,,"37",,"114.19","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"312","156","Caresource","Medicaid Managed Care",,,"40",,"124.8","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"312","156","Wellcare","Medicaid Managed Care",,,"40",,"126.36","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"312","156","Aetna","Commercial",,,"64",,"199.06","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"312","156","Blue Cross Blue Shield","Pathways",,,"71",,"220.27","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"312","156","Blue Cross Blue Shield","HMO",,,"71",,"220.27","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"312","156","Blue Cross Blue Shield","PPO",,,"71",,"220.27","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"312","156","Ambetter","Health Exchange",,,"62",,"193.44","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"312","156","Caresource","Health Exchange",,,"62",,"193.44","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"312","156","Cigna","Commercial",,,"59",,"182.83","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"312","156","Humana","Commercial",,,"78",,"241.8","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"312","156","UHC","Commercial",,,"75",,"235.25","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"312","156","Medicaid",,,,"37",,"114.19","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"34","17","Alliant","Health Exchange",,,"62",,"21.08","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"34","17","Pruitt Healthcare","Medicare Advantage",,,"54",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"34","17","Medicare",,,,"54",,"18.43","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"34","17","Humana","Medicare Advantage",,,"54",,"18.43","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"34","17","UHC","Medicare Advantage",,,"54",,"18.43","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"34","17","Clover","Medicare Advantage",,,"54",,"18.43","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"34","17","Wellcare","Medicare Advantage",,,"54",,"18.43","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"34","17","Amerigroup","Medicaid Managed Care",,,"37",,"12.44","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"34","17","Caresource","Medicaid Managed Care",,,"40",,"13.6","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"34","17","Wellcare","Medicaid Managed Care",,,"40",,"13.77","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"34","17","Aetna","Commercial",,,"64",,"21.69","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"34","17","Blue Cross Blue Shield","Pathways",,,"71",,"24","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"34","17","Blue Cross Blue Shield","HMO",,,"71",,"24","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"34","17","Blue Cross Blue Shield","PPO",,,"71",,"24","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"34","17","Ambetter","Health Exchange",,,"62",,"21.08","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"34","17","Caresource","Health Exchange",,,"62",,"21.08","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"34","17","Cigna","Commercial",,,"59",,"19.92","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"34","17","Humana","Commercial",,,"78",,"26.35","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"34","17","UHC","Commercial",,,"75",,"25.64","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"34","17","Medicaid",,,,"37",,"12.44","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Alliant","Health Exchange",,,"62",,"75.64","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Pruitt Healthcare","Medicare Advantage",,,"54",,"65.88","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Medicare",,,,"54",,"66.12","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Humana","Medicare Advantage",,,"54",,"66.12","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","UHC","Medicare Advantage",,,"54",,"66.12","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Clover","Medicare Advantage",,,"54",,"66.12","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Wellcare","Medicare Advantage",,,"54",,"66.12","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Amerigroup","Medicaid Managed Care",,,"37",,"44.65","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Caresource","Medicaid Managed Care",,,"40",,"48.8","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Wellcare","Medicaid Managed Care",,,"40",,"49.41","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Aetna","Commercial",,,"64",,"77.84","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Blue Cross Blue Shield","Pathways",,,"71",,"86.13","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Blue Cross Blue Shield","HMO",,,"71",,"86.13","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Blue Cross Blue Shield","PPO",,,"71",,"86.13","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Ambetter","Health Exchange",,,"62",,"75.64","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Caresource","Health Exchange",,,"62",,"75.64","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Cigna","Commercial",,,"59",,"71.49","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Humana","Commercial",,,"78",,"94.55","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","UHC","Commercial",,,"75",,"91.99","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Medicaid",,,,"37",,"44.65","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"885","442.5","Alliant","Health Exchange",,,"62",,"548.7","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"885","442.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"477.9","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"885","442.5","Medicare",,,,"54",,"479.67","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"885","442.5","Humana","Medicare Advantage",,,"54",,"479.67","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"885","442.5","UHC","Medicare Advantage",,,"54",,"479.67","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"885","442.5","Clover","Medicare Advantage",,,"54",,"479.67","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"885","442.5","Wellcare","Medicare Advantage",,,"54",,"479.67","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"885","442.5","Amerigroup","Medicaid Managed Care",,,"37",,"323.91","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"885","442.5","Caresource","Medicaid Managed Care",,,"40",,"354","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"885","442.5","Wellcare","Medicaid Managed Care",,,"40",,"358.42","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"885","442.5","Aetna","Commercial",,,"64",,"564.63","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"885","442.5","Blue Cross Blue Shield","Pathways",,,"71",,"624.81","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"885","442.5","Blue Cross Blue Shield","HMO",,,"71",,"624.81","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"885","442.5","Blue Cross Blue Shield","PPO",,,"71",,"624.81","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"885","442.5","Ambetter","Health Exchange",,,"62",,"548.7","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"885","442.5","Caresource","Health Exchange",,,"62",,"548.7","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"885","442.5","Cigna","Commercial",,,"59",,"518.61","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"885","442.5","Humana","Commercial",,,"78",,"685.88","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"885","442.5","UHC","Commercial",,,"75",,"667.29","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"885","442.5","Medicaid",,,,"37",,"323.91","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Tablet 10MG","0259","RC","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Tablet 10MG","0259","RC","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Tablet 10MG","0259","RC","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Tablet 10MG","0259","RC","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Tablet 10MG","0259","RC","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Tablet 10MG","0259","RC","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Tablet 10MG","0259","RC","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Tablet 10MG","0259","RC","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Tablet 10MG","0259","RC","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Tablet 10MG","0259","RC","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Tablet 10MG","0259","RC","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Tablet 10MG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Tablet 10MG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Tablet 10MG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Tablet 10MG","0259","RC","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Tablet 10MG","0259","RC","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Tablet 10MG","0259","RC","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Tablet 10MG","0259","RC","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Tablet 10MG","0259","RC","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Tablet 10MG","0259","RC","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Tablet 10MG","0259","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Tablet 10MG","0259","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Tablet 10MG","0259","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Tablet 10MG","0259","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Tablet 10MG","0259","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Tablet 10MG","0259","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Tablet 10MG","0259","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Tablet 10MG","0259","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Tablet 10MG","0259","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Tablet 10MG","0259","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Tablet 10MG","0259","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Tablet 10MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Tablet 10MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Tablet 10MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Tablet 10MG","0259","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Tablet 10MG","0259","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Tablet 10MG","0259","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Tablet 10MG","0259","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Tablet 10MG","0259","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Citrate Tablet 10MG","0259","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Alliant","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.66","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Medicare",,,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Humana","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","UHC","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Clover","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Amerigroup","Medicaid Managed Care",,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Caresource","Medicaid Managed Care",,,"40",,"11.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicaid Managed Care",,,"40",,"11.74","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Aetna","Commercial",,,"64",,"18.5","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","Pathways",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","HMO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","PPO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Ambetter","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Caresource","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Cigna","Commercial",,,"59",,"16.99","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Humana","Commercial",,,"78",,"22.48","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","UHC","Commercial",,,"75",,"21.87","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Medicaid",,,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Alliant","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.66","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Medicare",,,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Humana","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","UHC","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Clover","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Amerigroup","Medicaid Managed Care",,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Caresource","Medicaid Managed Care",,,"40",,"11.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicaid Managed Care",,,"40",,"11.74","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Aetna","Commercial",,,"64",,"18.5","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","Pathways",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","HMO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","PPO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Ambetter","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Caresource","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Cigna","Commercial",,,"59",,"16.99","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Humana","Commercial",,,"78",,"22.48","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","UHC","Commercial",,,"75",,"21.87","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Medicaid",,,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-QUINAPRIL HCL TAB 40MG","0259","RC","Both",,,"3.5","1.75","Alliant","Health Exchange",,,"62",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-QUINAPRIL HCL TAB 40MG","0259","RC","Both",,,"3.5","1.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.89","0.04","2502.48","percent of total billed charges",,
"NF-QUINAPRIL HCL TAB 40MG","0259","RC","Both",,,"3.5","1.75","Medicare",,,,"54",,"1.9","0.04","2502.48","percent of total billed charges",,
"NF-QUINAPRIL HCL TAB 40MG","0259","RC","Both",,,"3.5","1.75","Humana","Medicare Advantage",,,"54",,"1.9","0.04","2502.48","percent of total billed charges",,
"NF-QUINAPRIL HCL TAB 40MG","0259","RC","Both",,,"3.5","1.75","UHC","Medicare Advantage",,,"54",,"1.9","0.04","2502.48","percent of total billed charges",,
"NF-QUINAPRIL HCL TAB 40MG","0259","RC","Both",,,"3.5","1.75","Clover","Medicare Advantage",,,"54",,"1.9","0.04","2502.48","percent of total billed charges",,
"NF-QUINAPRIL HCL TAB 40MG","0259","RC","Both",,,"3.5","1.75","Wellcare","Medicare Advantage",,,"54",,"1.9","0.04","2502.48","percent of total billed charges",,
"NF-QUINAPRIL HCL TAB 40MG","0259","RC","Both",,,"3.5","1.75","Amerigroup","Medicaid Managed Care",,,"37",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-QUINAPRIL HCL TAB 40MG","0259","RC","Both",,,"3.5","1.75","Caresource","Medicaid Managed Care",,,"40",,"1.4","0.04","2502.48","percent of total billed charges",,
"NF-QUINAPRIL HCL TAB 40MG","0259","RC","Both",,,"3.5","1.75","Wellcare","Medicaid Managed Care",,,"40",,"1.42","0.04","2502.48","percent of total billed charges",,
"NF-QUINAPRIL HCL TAB 40MG","0259","RC","Both",,,"3.5","1.75","Aetna","Commercial",,,"64",,"2.23","0.04","2502.48","percent of total billed charges",,
"NF-QUINAPRIL HCL TAB 40MG","0259","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","Pathways",,,"71",,"2.47","0.04","2502.48","percent of total billed charges",,
"NF-QUINAPRIL HCL TAB 40MG","0259","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","HMO",,,"71",,"2.47","0.04","2502.48","percent of total billed charges",,
"NF-QUINAPRIL HCL TAB 40MG","0259","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","PPO",,,"71",,"2.47","0.04","2502.48","percent of total billed charges",,
"NF-QUINAPRIL HCL TAB 40MG","0259","RC","Both",,,"3.5","1.75","Ambetter","Health Exchange",,,"62",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-QUINAPRIL HCL TAB 40MG","0259","RC","Both",,,"3.5","1.75","Caresource","Health Exchange",,,"62",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-QUINAPRIL HCL TAB 40MG","0259","RC","Both",,,"3.5","1.75","Cigna","Commercial",,,"59",,"2.05","0.04","2502.48","percent of total billed charges",,
"NF-QUINAPRIL HCL TAB 40MG","0259","RC","Both",,,"3.5","1.75","Humana","Commercial",,,"78",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-QUINAPRIL HCL TAB 40MG","0259","RC","Both",,,"3.5","1.75","UHC","Commercial",,,"75",,"2.64","0.04","2502.48","percent of total billed charges",,
"NF-QUINAPRIL HCL TAB 40MG","0259","RC","Both",,,"3.5","1.75","Medicaid",,,,"37",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-TIZANIDINE HCL ORAL TABLET 2MG","0259","RC","Both",,,"3.5","1.75","Alliant","Health Exchange",,,"62",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-TIZANIDINE HCL ORAL TABLET 2MG","0259","RC","Both",,,"3.5","1.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.89","0.04","2502.48","percent of total billed charges",,
"NF-TIZANIDINE HCL ORAL TABLET 2MG","0259","RC","Both",,,"3.5","1.75","Medicare",,,,"54",,"1.9","0.04","2502.48","percent of total billed charges",,
"NF-TIZANIDINE HCL ORAL TABLET 2MG","0259","RC","Both",,,"3.5","1.75","Humana","Medicare Advantage",,,"54",,"1.9","0.04","2502.48","percent of total billed charges",,
"NF-TIZANIDINE HCL ORAL TABLET 2MG","0259","RC","Both",,,"3.5","1.75","UHC","Medicare Advantage",,,"54",,"1.9","0.04","2502.48","percent of total billed charges",,
"NF-TIZANIDINE HCL ORAL TABLET 2MG","0259","RC","Both",,,"3.5","1.75","Clover","Medicare Advantage",,,"54",,"1.9","0.04","2502.48","percent of total billed charges",,
"NF-TIZANIDINE HCL ORAL TABLET 2MG","0259","RC","Both",,,"3.5","1.75","Wellcare","Medicare Advantage",,,"54",,"1.9","0.04","2502.48","percent of total billed charges",,
"NF-TIZANIDINE HCL ORAL TABLET 2MG","0259","RC","Both",,,"3.5","1.75","Amerigroup","Medicaid Managed Care",,,"37",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-TIZANIDINE HCL ORAL TABLET 2MG","0259","RC","Both",,,"3.5","1.75","Caresource","Medicaid Managed Care",,,"40",,"1.4","0.04","2502.48","percent of total billed charges",,
"NF-TIZANIDINE HCL ORAL TABLET 2MG","0259","RC","Both",,,"3.5","1.75","Wellcare","Medicaid Managed Care",,,"40",,"1.42","0.04","2502.48","percent of total billed charges",,
"NF-TIZANIDINE HCL ORAL TABLET 2MG","0259","RC","Both",,,"3.5","1.75","Aetna","Commercial",,,"64",,"2.23","0.04","2502.48","percent of total billed charges",,
"NF-TIZANIDINE HCL ORAL TABLET 2MG","0259","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","Pathways",,,"71",,"2.47","0.04","2502.48","percent of total billed charges",,
"NF-TIZANIDINE HCL ORAL TABLET 2MG","0259","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","HMO",,,"71",,"2.47","0.04","2502.48","percent of total billed charges",,
"NF-TIZANIDINE HCL ORAL TABLET 2MG","0259","RC","Both",,,"3.5","1.75","Blue Cross Blue Shield","PPO",,,"71",,"2.47","0.04","2502.48","percent of total billed charges",,
"NF-TIZANIDINE HCL ORAL TABLET 2MG","0259","RC","Both",,,"3.5","1.75","Ambetter","Health Exchange",,,"62",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-TIZANIDINE HCL ORAL TABLET 2MG","0259","RC","Both",,,"3.5","1.75","Caresource","Health Exchange",,,"62",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-TIZANIDINE HCL ORAL TABLET 2MG","0259","RC","Both",,,"3.5","1.75","Cigna","Commercial",,,"59",,"2.05","0.04","2502.48","percent of total billed charges",,
"NF-TIZANIDINE HCL ORAL TABLET 2MG","0259","RC","Both",,,"3.5","1.75","Humana","Commercial",,,"78",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-TIZANIDINE HCL ORAL TABLET 2MG","0259","RC","Both",,,"3.5","1.75","UHC","Commercial",,,"75",,"2.64","0.04","2502.48","percent of total billed charges",,
"NF-TIZANIDINE HCL ORAL TABLET 2MG","0259","RC","Both",,,"3.5","1.75","Medicaid",,,,"37",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-CYCLOBENZAPRINE HCL ORAL TABLET 5MG","0259","RC","Both",,,"6.5","3.25","Alliant","Health Exchange",,,"62",,"4.03","0.04","2502.48","percent of total billed charges",,
"NF-CYCLOBENZAPRINE HCL ORAL TABLET 5MG","0259","RC","Both",,,"6.5","3.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.51","0.04","2502.48","percent of total billed charges",,
"NF-CYCLOBENZAPRINE HCL ORAL TABLET 5MG","0259","RC","Both",,,"6.5","3.25","Medicare",,,,"54",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-CYCLOBENZAPRINE HCL ORAL TABLET 5MG","0259","RC","Both",,,"6.5","3.25","Humana","Medicare Advantage",,,"54",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-CYCLOBENZAPRINE HCL ORAL TABLET 5MG","0259","RC","Both",,,"6.5","3.25","UHC","Medicare Advantage",,,"54",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-CYCLOBENZAPRINE HCL ORAL TABLET 5MG","0259","RC","Both",,,"6.5","3.25","Clover","Medicare Advantage",,,"54",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-CYCLOBENZAPRINE HCL ORAL TABLET 5MG","0259","RC","Both",,,"6.5","3.25","Wellcare","Medicare Advantage",,,"54",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-CYCLOBENZAPRINE HCL ORAL TABLET 5MG","0259","RC","Both",,,"6.5","3.25","Amerigroup","Medicaid Managed Care",,,"37",,"2.38","0.04","2502.48","percent of total billed charges",,
"NF-CYCLOBENZAPRINE HCL ORAL TABLET 5MG","0259","RC","Both",,,"6.5","3.25","Caresource","Medicaid Managed Care",,,"40",,"2.6","0.04","2502.48","percent of total billed charges",,
"NF-CYCLOBENZAPRINE HCL ORAL TABLET 5MG","0259","RC","Both",,,"6.5","3.25","Wellcare","Medicaid Managed Care",,,"40",,"2.63","0.04","2502.48","percent of total billed charges",,
"NF-CYCLOBENZAPRINE HCL ORAL TABLET 5MG","0259","RC","Both",,,"6.5","3.25","Aetna","Commercial",,,"64",,"4.15","0.04","2502.48","percent of total billed charges",,
"NF-CYCLOBENZAPRINE HCL ORAL TABLET 5MG","0259","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","Pathways",,,"71",,"4.59","0.04","2502.48","percent of total billed charges",,
"NF-CYCLOBENZAPRINE HCL ORAL TABLET 5MG","0259","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","HMO",,,"71",,"4.59","0.04","2502.48","percent of total billed charges",,
"NF-CYCLOBENZAPRINE HCL ORAL TABLET 5MG","0259","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","PPO",,,"71",,"4.59","0.04","2502.48","percent of total billed charges",,
"NF-CYCLOBENZAPRINE HCL ORAL TABLET 5MG","0259","RC","Both",,,"6.5","3.25","Ambetter","Health Exchange",,,"62",,"4.03","0.04","2502.48","percent of total billed charges",,
"NF-CYCLOBENZAPRINE HCL ORAL TABLET 5MG","0259","RC","Both",,,"6.5","3.25","Caresource","Health Exchange",,,"62",,"4.03","0.04","2502.48","percent of total billed charges",,
"NF-CYCLOBENZAPRINE HCL ORAL TABLET 5MG","0259","RC","Both",,,"6.5","3.25","Cigna","Commercial",,,"59",,"3.81","0.04","2502.48","percent of total billed charges",,
"NF-CYCLOBENZAPRINE HCL ORAL TABLET 5MG","0259","RC","Both",,,"6.5","3.25","Humana","Commercial",,,"78",,"5.04","0.04","2502.48","percent of total billed charges",,
"NF-CYCLOBENZAPRINE HCL ORAL TABLET 5MG","0259","RC","Both",,,"6.5","3.25","UHC","Commercial",,,"75",,"4.9","0.04","2502.48","percent of total billed charges",,
"NF-CYCLOBENZAPRINE HCL ORAL TABLET 5MG","0259","RC","Both",,,"6.5","3.25","Medicaid",,,,"37",,"2.38","0.04","2502.48","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","0259","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","0259","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.04","2502.48","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","0259","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","0259","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","0259","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","0259","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","0259","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","0259","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","0259","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.04","2502.48","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","0259","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.04","2502.48","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","0259","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.04","2502.48","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","0259","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","0259","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","0259","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.04","2502.48","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","0259","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.04","2502.48","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","0259","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.04","2502.48","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","0259","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Aminocaproic Acid Oral Tablet 500MG","0259","RC","Both",,,"67","33.5","Alliant","Health Exchange",,,"62",,"41.54","0.04","2502.48","percent of total billed charges",,
"NF-Aminocaproic Acid Oral Tablet 500MG","0259","RC","Both",,,"67","33.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"36.18","0.04","2502.48","percent of total billed charges",,
"NF-Aminocaproic Acid Oral Tablet 500MG","0259","RC","Both",,,"67","33.5","Medicare",,,,"54",,"36.31","0.04","2502.48","percent of total billed charges",,
"NF-Aminocaproic Acid Oral Tablet 500MG","0259","RC","Both",,,"67","33.5","Humana","Medicare Advantage",,,"54",,"36.31","0.04","2502.48","percent of total billed charges",,
"NF-Aminocaproic Acid Oral Tablet 500MG","0259","RC","Both",,,"67","33.5","UHC","Medicare Advantage",,,"54",,"36.31","0.04","2502.48","percent of total billed charges",,
"NF-Aminocaproic Acid Oral Tablet 500MG","0259","RC","Both",,,"67","33.5","Clover","Medicare Advantage",,,"54",,"36.31","0.04","2502.48","percent of total billed charges",,
"NF-Aminocaproic Acid Oral Tablet 500MG","0259","RC","Both",,,"67","33.5","Wellcare","Medicare Advantage",,,"54",,"36.31","0.04","2502.48","percent of total billed charges",,
"NF-Aminocaproic Acid Oral Tablet 500MG","0259","RC","Both",,,"67","33.5","Amerigroup","Medicaid Managed Care",,,"37",,"24.52","0.04","2502.48","percent of total billed charges",,
"NF-Aminocaproic Acid Oral Tablet 500MG","0259","RC","Both",,,"67","33.5","Caresource","Medicaid Managed Care",,,"40",,"26.8","0.04","2502.48","percent of total billed charges",,
"NF-Aminocaproic Acid Oral Tablet 500MG","0259","RC","Both",,,"67","33.5","Wellcare","Medicaid Managed Care",,,"40",,"27.14","0.04","2502.48","percent of total billed charges",,
"NF-Aminocaproic Acid Oral Tablet 500MG","0259","RC","Both",,,"67","33.5","Aetna","Commercial",,,"64",,"42.75","0.04","2502.48","percent of total billed charges",,
"NF-Aminocaproic Acid Oral Tablet 500MG","0259","RC","Both",,,"67","33.5","Blue Cross Blue Shield","Pathways",,,"71",,"47.3","0.04","2502.48","percent of total billed charges",,
"NF-Aminocaproic Acid Oral Tablet 500MG","0259","RC","Both",,,"67","33.5","Blue Cross Blue Shield","HMO",,,"71",,"47.3","0.04","2502.48","percent of total billed charges",,
"NF-Aminocaproic Acid Oral Tablet 500MG","0259","RC","Both",,,"67","33.5","Blue Cross Blue Shield","PPO",,,"71",,"47.3","0.04","2502.48","percent of total billed charges",,
"NF-Aminocaproic Acid Oral Tablet 500MG","0259","RC","Both",,,"67","33.5","Ambetter","Health Exchange",,,"62",,"41.54","0.04","2502.48","percent of total billed charges",,
"NF-Aminocaproic Acid Oral Tablet 500MG","0259","RC","Both",,,"67","33.5","Caresource","Health Exchange",,,"62",,"41.54","0.04","2502.48","percent of total billed charges",,
"NF-Aminocaproic Acid Oral Tablet 500MG","0259","RC","Both",,,"67","33.5","Cigna","Commercial",,,"59",,"39.26","0.04","2502.48","percent of total billed charges",,
"NF-Aminocaproic Acid Oral Tablet 500MG","0259","RC","Both",,,"67","33.5","Humana","Commercial",,,"78",,"51.92","0.04","2502.48","percent of total billed charges",,
"NF-Aminocaproic Acid Oral Tablet 500MG","0259","RC","Both",,,"67","33.5","UHC","Commercial",,,"75",,"50.52","0.04","2502.48","percent of total billed charges",,
"NF-Aminocaproic Acid Oral Tablet 500MG","0259","RC","Both",,,"67","33.5","Medicaid",,,,"37",,"24.52","0.04","2502.48","percent of total billed charges",,
"NF-Abilify Oral Tablet 2MG","0259","RC","Both",,,"69","34.5","Alliant","Health Exchange",,,"62",,"42.78","0.04","2502.48","percent of total billed charges",,
"NF-Abilify Oral Tablet 2MG","0259","RC","Both",,,"69","34.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"37.26","0.04","2502.48","percent of total billed charges",,
"NF-Abilify Oral Tablet 2MG","0259","RC","Both",,,"69","34.5","Medicare",,,,"54",,"37.4","0.04","2502.48","percent of total billed charges",,
"NF-Abilify Oral Tablet 2MG","0259","RC","Both",,,"69","34.5","Humana","Medicare Advantage",,,"54",,"37.4","0.04","2502.48","percent of total billed charges",,
"NF-Abilify Oral Tablet 2MG","0259","RC","Both",,,"69","34.5","UHC","Medicare Advantage",,,"54",,"37.4","0.04","2502.48","percent of total billed charges",,
"NF-Abilify Oral Tablet 2MG","0259","RC","Both",,,"69","34.5","Clover","Medicare Advantage",,,"54",,"37.4","0.04","2502.48","percent of total billed charges",,
"NF-Abilify Oral Tablet 2MG","0259","RC","Both",,,"69","34.5","Wellcare","Medicare Advantage",,,"54",,"37.4","0.04","2502.48","percent of total billed charges",,
"NF-Abilify Oral Tablet 2MG","0259","RC","Both",,,"69","34.5","Amerigroup","Medicaid Managed Care",,,"37",,"25.25","0.04","2502.48","percent of total billed charges",,
"NF-Abilify Oral Tablet 2MG","0259","RC","Both",,,"69","34.5","Caresource","Medicaid Managed Care",,,"40",,"27.6","0.04","2502.48","percent of total billed charges",,
"NF-Abilify Oral Tablet 2MG","0259","RC","Both",,,"69","34.5","Wellcare","Medicaid Managed Care",,,"40",,"27.94","0.04","2502.48","percent of total billed charges",,
"NF-Abilify Oral Tablet 2MG","0259","RC","Both",,,"69","34.5","Aetna","Commercial",,,"64",,"44.02","0.04","2502.48","percent of total billed charges",,
"NF-Abilify Oral Tablet 2MG","0259","RC","Both",,,"69","34.5","Blue Cross Blue Shield","Pathways",,,"71",,"48.71","0.04","2502.48","percent of total billed charges",,
"NF-Abilify Oral Tablet 2MG","0259","RC","Both",,,"69","34.5","Blue Cross Blue Shield","HMO",,,"71",,"48.71","0.04","2502.48","percent of total billed charges",,
"NF-Abilify Oral Tablet 2MG","0259","RC","Both",,,"69","34.5","Blue Cross Blue Shield","PPO",,,"71",,"48.71","0.04","2502.48","percent of total billed charges",,
"NF-Abilify Oral Tablet 2MG","0259","RC","Both",,,"69","34.5","Ambetter","Health Exchange",,,"62",,"42.78","0.04","2502.48","percent of total billed charges",,
"NF-Abilify Oral Tablet 2MG","0259","RC","Both",,,"69","34.5","Caresource","Health Exchange",,,"62",,"42.78","0.04","2502.48","percent of total billed charges",,
"NF-Abilify Oral Tablet 2MG","0259","RC","Both",,,"69","34.5","Cigna","Commercial",,,"59",,"40.43","0.04","2502.48","percent of total billed charges",,
"NF-Abilify Oral Tablet 2MG","0259","RC","Both",,,"69","34.5","Humana","Commercial",,,"78",,"53.48","0.04","2502.48","percent of total billed charges",,
"NF-Abilify Oral Tablet 2MG","0259","RC","Both",,,"69","34.5","UHC","Commercial",,,"75",,"52.03","0.04","2502.48","percent of total billed charges",,
"NF-Abilify Oral Tablet 2MG","0259","RC","Both",,,"69","34.5","Medicaid",,,,"37",,"25.25","0.04","2502.48","percent of total billed charges",,
"NF-Abilify Oral Tablet 2MG","0637","RC","Both",,,"69","34.5","Alliant","Health Exchange",,,"62",,"42.78","0.15","5264.58","percent of total billed charges",,
"NF-Abilify Oral Tablet 2MG","0637","RC","Both",,,"69","34.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"37.26","0.15","5264.58","percent of total billed charges",,
"NF-Abilify Oral Tablet 2MG","0637","RC","Both",,,"69","34.5","Medicare",,,,"54",,"37.4","0.15","5264.58","percent of total billed charges",,
"NF-Abilify Oral Tablet 2MG","0637","RC","Both",,,"69","34.5","Humana","Medicare Advantage",,,"54",,"37.4","0.15","5264.58","percent of total billed charges",,
"NF-Abilify Oral Tablet 2MG","0637","RC","Both",,,"69","34.5","UHC","Medicare Advantage",,,"54",,"37.4","0.15","5264.58","percent of total billed charges",,
"NF-Abilify Oral Tablet 2MG","0637","RC","Both",,,"69","34.5","Clover","Medicare Advantage",,,"54",,"37.4","0.15","5264.58","percent of total billed charges",,
"NF-Abilify Oral Tablet 2MG","0637","RC","Both",,,"69","34.5","Wellcare","Medicare Advantage",,,"54",,"37.4","0.15","5264.58","percent of total billed charges",,
"NF-Abilify Oral Tablet 2MG","0637","RC","Both",,,"69","34.5","Amerigroup","Medicaid Managed Care",,,"37",,"25.25","0.15","5264.58","percent of total billed charges",,
"NF-Abilify Oral Tablet 2MG","0637","RC","Both",,,"69","34.5","Caresource","Medicaid Managed Care",,,"40",,"27.6","0.15","5264.58","percent of total billed charges",,
"NF-Abilify Oral Tablet 2MG","0637","RC","Both",,,"69","34.5","Wellcare","Medicaid Managed Care",,,"40",,"27.94","0.15","5264.58","percent of total billed charges",,
"NF-Abilify Oral Tablet 2MG","0637","RC","Both",,,"69","34.5","Aetna","Commercial",,,"64",,"44.02","0.15","5264.58","percent of total billed charges",,
"NF-Abilify Oral Tablet 2MG","0637","RC","Both",,,"69","34.5","Blue Cross Blue Shield","Pathways",,,"71",,"48.71","0.15","5264.58","percent of total billed charges",,
"NF-Abilify Oral Tablet 2MG","0637","RC","Both",,,"69","34.5","Blue Cross Blue Shield","HMO",,,"71",,"48.71","0.15","5264.58","percent of total billed charges",,
"NF-Abilify Oral Tablet 2MG","0637","RC","Both",,,"69","34.5","Blue Cross Blue Shield","PPO",,,"71",,"48.71","0.15","5264.58","percent of total billed charges",,
"NF-Abilify Oral Tablet 2MG","0637","RC","Both",,,"69","34.5","Ambetter","Health Exchange",,,"62",,"42.78","0.15","5264.58","percent of total billed charges",,
"NF-Abilify Oral Tablet 2MG","0637","RC","Both",,,"69","34.5","Caresource","Health Exchange",,,"62",,"42.78","0.15","5264.58","percent of total billed charges",,
"NF-Abilify Oral Tablet 2MG","0637","RC","Both",,,"69","34.5","Cigna","Commercial",,,"59",,"40.43","0.15","5264.58","percent of total billed charges",,
"NF-Abilify Oral Tablet 2MG","0637","RC","Both",,,"69","34.5","Humana","Commercial",,,"78",,"53.48","0.15","5264.58","percent of total billed charges",,
"NF-Abilify Oral Tablet 2MG","0637","RC","Both",,,"69","34.5","UHC","Commercial",,,"75",,"52.03","0.15","5264.58","percent of total billed charges",,
"NF-Abilify Oral Tablet 2MG","0637","RC","Both",,,"69","34.5","Medicaid",,,,"37",,"25.25","0.15","5264.58","percent of total billed charges",,
"NF-Viibryd Oral Tablet 40MG","0259","RC","Both",,,"36","18","Alliant","Health Exchange",,,"62",,"22.32","0.04","2502.48","percent of total billed charges",,
"NF-Viibryd Oral Tablet 40MG","0259","RC","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.44","0.04","2502.48","percent of total billed charges",,
"NF-Viibryd Oral Tablet 40MG","0259","RC","Both",,,"36","18","Medicare",,,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Viibryd Oral Tablet 40MG","0259","RC","Both",,,"36","18","Humana","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Viibryd Oral Tablet 40MG","0259","RC","Both",,,"36","18","UHC","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Viibryd Oral Tablet 40MG","0259","RC","Both",,,"36","18","Clover","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Viibryd Oral Tablet 40MG","0259","RC","Both",,,"36","18","Wellcare","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Viibryd Oral Tablet 40MG","0259","RC","Both",,,"36","18","Amerigroup","Medicaid Managed Care",,,"37",,"13.18","0.04","2502.48","percent of total billed charges",,
"NF-Viibryd Oral Tablet 40MG","0259","RC","Both",,,"36","18","Caresource","Medicaid Managed Care",,,"40",,"14.4","0.04","2502.48","percent of total billed charges",,
"NF-Viibryd Oral Tablet 40MG","0259","RC","Both",,,"36","18","Wellcare","Medicaid Managed Care",,,"40",,"14.58","0.04","2502.48","percent of total billed charges",,
"NF-Viibryd Oral Tablet 40MG","0259","RC","Both",,,"36","18","Aetna","Commercial",,,"64",,"22.97","0.04","2502.48","percent of total billed charges",,
"NF-Viibryd Oral Tablet 40MG","0259","RC","Both",,,"36","18","Blue Cross Blue Shield","Pathways",,,"71",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Viibryd Oral Tablet 40MG","0259","RC","Both",,,"36","18","Blue Cross Blue Shield","HMO",,,"71",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Viibryd Oral Tablet 40MG","0259","RC","Both",,,"36","18","Blue Cross Blue Shield","PPO",,,"71",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Viibryd Oral Tablet 40MG","0259","RC","Both",,,"36","18","Ambetter","Health Exchange",,,"62",,"22.32","0.04","2502.48","percent of total billed charges",,
"NF-Viibryd Oral Tablet 40MG","0259","RC","Both",,,"36","18","Caresource","Health Exchange",,,"62",,"22.32","0.04","2502.48","percent of total billed charges",,
"NF-Viibryd Oral Tablet 40MG","0259","RC","Both",,,"36","18","Cigna","Commercial",,,"59",,"21.1","0.04","2502.48","percent of total billed charges",,
"NF-Viibryd Oral Tablet 40MG","0259","RC","Both",,,"36","18","Humana","Commercial",,,"78",,"27.9","0.04","2502.48","percent of total billed charges",,
"NF-Viibryd Oral Tablet 40MG","0259","RC","Both",,,"36","18","UHC","Commercial",,,"75",,"27.14","0.04","2502.48","percent of total billed charges",,
"NF-Viibryd Oral Tablet 40MG","0259","RC","Both",,,"36","18","Medicaid",,,,"37",,"13.18","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Inhalation Suspension 1MG/","0637","RC","Both",,,"18","9","Alliant","Health Exchange",,,"62",,"11.16","0.15","5264.58","percent of total billed charges",,
"NF-Budesonide Inhalation Suspension 1MG/","0637","RC","Both",,,"18","9","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.72","0.15","5264.58","percent of total billed charges",,
"NF-Budesonide Inhalation Suspension 1MG/","0637","RC","Both",,,"18","9","Medicare",,,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-Budesonide Inhalation Suspension 1MG/","0637","RC","Both",,,"18","9","Humana","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-Budesonide Inhalation Suspension 1MG/","0637","RC","Both",,,"18","9","UHC","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-Budesonide Inhalation Suspension 1MG/","0637","RC","Both",,,"18","9","Clover","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-Budesonide Inhalation Suspension 1MG/","0637","RC","Both",,,"18","9","Wellcare","Medicare Advantage",,,"54",,"9.76","0.15","5264.58","percent of total billed charges",,
"NF-Budesonide Inhalation Suspension 1MG/","0637","RC","Both",,,"18","9","Amerigroup","Medicaid Managed Care",,,"37",,"6.59","0.15","5264.58","percent of total billed charges",,
"NF-Budesonide Inhalation Suspension 1MG/","0637","RC","Both",,,"18","9","Caresource","Medicaid Managed Care",,,"40",,"7.2","0.15","5264.58","percent of total billed charges",,
"NF-Budesonide Inhalation Suspension 1MG/","0637","RC","Both",,,"18","9","Wellcare","Medicaid Managed Care",,,"40",,"7.29","0.15","5264.58","percent of total billed charges",,
"NF-Budesonide Inhalation Suspension 1MG/","0637","RC","Both",,,"18","9","Aetna","Commercial",,,"64",,"11.48","0.15","5264.58","percent of total billed charges",,
"NF-Budesonide Inhalation Suspension 1MG/","0637","RC","Both",,,"18","9","Blue Cross Blue Shield","Pathways",,,"71",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-Budesonide Inhalation Suspension 1MG/","0637","RC","Both",,,"18","9","Blue Cross Blue Shield","HMO",,,"71",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-Budesonide Inhalation Suspension 1MG/","0637","RC","Both",,,"18","9","Blue Cross Blue Shield","PPO",,,"71",,"12.71","0.15","5264.58","percent of total billed charges",,
"NF-Budesonide Inhalation Suspension 1MG/","0637","RC","Both",,,"18","9","Ambetter","Health Exchange",,,"62",,"11.16","0.15","5264.58","percent of total billed charges",,
"NF-Budesonide Inhalation Suspension 1MG/","0637","RC","Both",,,"18","9","Caresource","Health Exchange",,,"62",,"11.16","0.15","5264.58","percent of total billed charges",,
"NF-Budesonide Inhalation Suspension 1MG/","0637","RC","Both",,,"18","9","Cigna","Commercial",,,"59",,"10.55","0.15","5264.58","percent of total billed charges",,
"NF-Budesonide Inhalation Suspension 1MG/","0637","RC","Both",,,"18","9","Humana","Commercial",,,"78",,"13.95","0.15","5264.58","percent of total billed charges",,
"NF-Budesonide Inhalation Suspension 1MG/","0637","RC","Both",,,"18","9","UHC","Commercial",,,"75",,"13.57","0.15","5264.58","percent of total billed charges",,
"NF-Budesonide Inhalation Suspension 1MG/","0637","RC","Both",,,"18","9","Medicaid",,,,"37",,"6.59","0.15","5264.58","percent of total billed charges",,
"NF-Capecitabine Oral Tablet 500MG","0259","RC","Both",,,"117","58.5","Alliant","Health Exchange",,,"62",,"72.54","0.04","2502.48","percent of total billed charges",,
"NF-Capecitabine Oral Tablet 500MG","0259","RC","Both",,,"117","58.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"63.18","0.04","2502.48","percent of total billed charges",,
"NF-Capecitabine Oral Tablet 500MG","0259","RC","Both",,,"117","58.5","Medicare",,,,"54",,"63.41","0.04","2502.48","percent of total billed charges",,
"NF-Capecitabine Oral Tablet 500MG","0259","RC","Both",,,"117","58.5","Humana","Medicare Advantage",,,"54",,"63.41","0.04","2502.48","percent of total billed charges",,
"NF-Capecitabine Oral Tablet 500MG","0259","RC","Both",,,"117","58.5","UHC","Medicare Advantage",,,"54",,"63.41","0.04","2502.48","percent of total billed charges",,
"NF-Capecitabine Oral Tablet 500MG","0259","RC","Both",,,"117","58.5","Clover","Medicare Advantage",,,"54",,"63.41","0.04","2502.48","percent of total billed charges",,
"NF-Capecitabine Oral Tablet 500MG","0259","RC","Both",,,"117","58.5","Wellcare","Medicare Advantage",,,"54",,"63.41","0.04","2502.48","percent of total billed charges",,
"NF-Capecitabine Oral Tablet 500MG","0259","RC","Both",,,"117","58.5","Amerigroup","Medicaid Managed Care",,,"37",,"42.82","0.04","2502.48","percent of total billed charges",,
"NF-Capecitabine Oral Tablet 500MG","0259","RC","Both",,,"117","58.5","Caresource","Medicaid Managed Care",,,"40",,"46.8","0.04","2502.48","percent of total billed charges",,
"NF-Capecitabine Oral Tablet 500MG","0259","RC","Both",,,"117","58.5","Wellcare","Medicaid Managed Care",,,"40",,"47.39","0.04","2502.48","percent of total billed charges",,
"NF-Capecitabine Oral Tablet 500MG","0259","RC","Both",,,"117","58.5","Aetna","Commercial",,,"64",,"74.65","0.04","2502.48","percent of total billed charges",,
"NF-Capecitabine Oral Tablet 500MG","0259","RC","Both",,,"117","58.5","Blue Cross Blue Shield","Pathways",,,"71",,"82.6","0.04","2502.48","percent of total billed charges",,
"NF-Capecitabine Oral Tablet 500MG","0259","RC","Both",,,"117","58.5","Blue Cross Blue Shield","HMO",,,"71",,"82.6","0.04","2502.48","percent of total billed charges",,
"NF-Capecitabine Oral Tablet 500MG","0259","RC","Both",,,"117","58.5","Blue Cross Blue Shield","PPO",,,"71",,"82.6","0.04","2502.48","percent of total billed charges",,
"NF-Capecitabine Oral Tablet 500MG","0259","RC","Both",,,"117","58.5","Ambetter","Health Exchange",,,"62",,"72.54","0.04","2502.48","percent of total billed charges",,
"NF-Capecitabine Oral Tablet 500MG","0259","RC","Both",,,"117","58.5","Caresource","Health Exchange",,,"62",,"72.54","0.04","2502.48","percent of total billed charges",,
"NF-Capecitabine Oral Tablet 500MG","0259","RC","Both",,,"117","58.5","Cigna","Commercial",,,"59",,"68.56","0.04","2502.48","percent of total billed charges",,
"NF-Capecitabine Oral Tablet 500MG","0259","RC","Both",,,"117","58.5","Humana","Commercial",,,"78",,"90.68","0.04","2502.48","percent of total billed charges",,
"NF-Capecitabine Oral Tablet 500MG","0259","RC","Both",,,"117","58.5","UHC","Commercial",,,"75",,"88.22","0.04","2502.48","percent of total billed charges",,
"NF-Capecitabine Oral Tablet 500MG","0259","RC","Both",,,"117","58.5","Medicaid",,,,"37",,"42.82","0.04","2502.48","percent of total billed charges",,
"NF-Viibryd Oral Tablet 40MG","0259","RC","Both",,,"36","18","Alliant","Health Exchange",,,"62",,"22.32","0.04","2502.48","percent of total billed charges",,
"NF-Viibryd Oral Tablet 40MG","0259","RC","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.44","0.04","2502.48","percent of total billed charges",,
"NF-Viibryd Oral Tablet 40MG","0259","RC","Both",,,"36","18","Medicare",,,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Viibryd Oral Tablet 40MG","0259","RC","Both",,,"36","18","Humana","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Viibryd Oral Tablet 40MG","0259","RC","Both",,,"36","18","UHC","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Viibryd Oral Tablet 40MG","0259","RC","Both",,,"36","18","Clover","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Viibryd Oral Tablet 40MG","0259","RC","Both",,,"36","18","Wellcare","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Viibryd Oral Tablet 40MG","0259","RC","Both",,,"36","18","Amerigroup","Medicaid Managed Care",,,"37",,"13.18","0.04","2502.48","percent of total billed charges",,
"NF-Viibryd Oral Tablet 40MG","0259","RC","Both",,,"36","18","Caresource","Medicaid Managed Care",,,"40",,"14.4","0.04","2502.48","percent of total billed charges",,
"NF-Viibryd Oral Tablet 40MG","0259","RC","Both",,,"36","18","Wellcare","Medicaid Managed Care",,,"40",,"14.58","0.04","2502.48","percent of total billed charges",,
"NF-Viibryd Oral Tablet 40MG","0259","RC","Both",,,"36","18","Aetna","Commercial",,,"64",,"22.97","0.04","2502.48","percent of total billed charges",,
"NF-Viibryd Oral Tablet 40MG","0259","RC","Both",,,"36","18","Blue Cross Blue Shield","Pathways",,,"71",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Viibryd Oral Tablet 40MG","0259","RC","Both",,,"36","18","Blue Cross Blue Shield","HMO",,,"71",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Viibryd Oral Tablet 40MG","0259","RC","Both",,,"36","18","Blue Cross Blue Shield","PPO",,,"71",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Viibryd Oral Tablet 40MG","0259","RC","Both",,,"36","18","Ambetter","Health Exchange",,,"62",,"22.32","0.04","2502.48","percent of total billed charges",,
"NF-Viibryd Oral Tablet 40MG","0259","RC","Both",,,"36","18","Caresource","Health Exchange",,,"62",,"22.32","0.04","2502.48","percent of total billed charges",,
"NF-Viibryd Oral Tablet 40MG","0259","RC","Both",,,"36","18","Cigna","Commercial",,,"59",,"21.1","0.04","2502.48","percent of total billed charges",,
"NF-Viibryd Oral Tablet 40MG","0259","RC","Both",,,"36","18","Humana","Commercial",,,"78",,"27.9","0.04","2502.48","percent of total billed charges",,
"NF-Viibryd Oral Tablet 40MG","0259","RC","Both",,,"36","18","UHC","Commercial",,,"75",,"27.14","0.04","2502.48","percent of total billed charges",,
"NF-Viibryd Oral Tablet 40MG","0259","RC","Both",,,"36","18","Medicaid",,,,"37",,"13.18","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 10MG","0259","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 10MG","0259","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 10MG","0259","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 10MG","0259","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 10MG","0259","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 10MG","0259","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 10MG","0259","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 10MG","0259","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 10MG","0259","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 10MG","0259","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 10MG","0259","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 10MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 10MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 10MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 10MG","0259","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 10MG","0259","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 10MG","0259","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 10MG","0259","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 10MG","0259","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 10MG","0259","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tab ER 225MG","0259","RC","Both",,,"47","23.5","Alliant","Health Exchange",,,"62",,"29.14","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tab ER 225MG","0259","RC","Both",,,"47","23.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"25.38","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tab ER 225MG","0259","RC","Both",,,"47","23.5","Medicare",,,,"54",,"25.47","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tab ER 225MG","0259","RC","Both",,,"47","23.5","Humana","Medicare Advantage",,,"54",,"25.47","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tab ER 225MG","0259","RC","Both",,,"47","23.5","UHC","Medicare Advantage",,,"54",,"25.47","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tab ER 225MG","0259","RC","Both",,,"47","23.5","Clover","Medicare Advantage",,,"54",,"25.47","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tab ER 225MG","0259","RC","Both",,,"47","23.5","Wellcare","Medicare Advantage",,,"54",,"25.47","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tab ER 225MG","0259","RC","Both",,,"47","23.5","Amerigroup","Medicaid Managed Care",,,"37",,"17.2","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tab ER 225MG","0259","RC","Both",,,"47","23.5","Caresource","Medicaid Managed Care",,,"40",,"18.8","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tab ER 225MG","0259","RC","Both",,,"47","23.5","Wellcare","Medicaid Managed Care",,,"40",,"19.04","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tab ER 225MG","0259","RC","Both",,,"47","23.5","Aetna","Commercial",,,"64",,"29.99","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tab ER 225MG","0259","RC","Both",,,"47","23.5","Blue Cross Blue Shield","Pathways",,,"71",,"33.18","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tab ER 225MG","0259","RC","Both",,,"47","23.5","Blue Cross Blue Shield","HMO",,,"71",,"33.18","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tab ER 225MG","0259","RC","Both",,,"47","23.5","Blue Cross Blue Shield","PPO",,,"71",,"33.18","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tab ER 225MG","0259","RC","Both",,,"47","23.5","Ambetter","Health Exchange",,,"62",,"29.14","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tab ER 225MG","0259","RC","Both",,,"47","23.5","Caresource","Health Exchange",,,"62",,"29.14","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tab ER 225MG","0259","RC","Both",,,"47","23.5","Cigna","Commercial",,,"59",,"27.54","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tab ER 225MG","0259","RC","Both",,,"47","23.5","Humana","Commercial",,,"78",,"36.43","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tab ER 225MG","0259","RC","Both",,,"47","23.5","UHC","Commercial",,,"75",,"35.44","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tab ER 225MG","0259","RC","Both",,,"47","23.5","Medicaid",,,,"37",,"17.2","0.04","2502.48","percent of total billed charges",,
"NF-Carboxymethylcelull Sod Ophth Soln 0.","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Carboxymethylcelull Sod Ophth Soln 0.","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Carboxymethylcelull Sod Ophth Soln 0.","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Carboxymethylcelull Sod Ophth Soln 0.","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Carboxymethylcelull Sod Ophth Soln 0.","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Carboxymethylcelull Sod Ophth Soln 0.","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Carboxymethylcelull Sod Ophth Soln 0.","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Carboxymethylcelull Sod Ophth Soln 0.","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Carboxymethylcelull Sod Ophth Soln 0.","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Carboxymethylcelull Sod Ophth Soln 0.","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Carboxymethylcelull Sod Ophth Soln 0.","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Carboxymethylcelull Sod Ophth Soln 0.","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Carboxymethylcelull Sod Ophth Soln 0.","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Carboxymethylcelull Sod Ophth Soln 0.","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Carboxymethylcelull Sod Ophth Soln 0.","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Carboxymethylcelull Sod Ophth Soln 0.","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Carboxymethylcelull Sod Ophth Soln 0.","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Carboxymethylcelull Sod Ophth Soln 0.","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Carboxymethylcelull Sod Ophth Soln 0.","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Carboxymethylcelull Sod Ophth Soln 0.","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Alliant","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.66","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Medicare",,,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Humana","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","UHC","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Clover","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Amerigroup","Medicaid Managed Care",,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Caresource","Medicaid Managed Care",,,"40",,"11.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicaid Managed Care",,,"40",,"11.74","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Aetna","Commercial",,,"64",,"18.5","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","Pathways",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","HMO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","PPO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Ambetter","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Caresource","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Cigna","Commercial",,,"59",,"16.99","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Humana","Commercial",,,"78",,"22.48","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","UHC","Commercial",,,"75",,"21.87","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Medicaid",,,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Ethacrynic Acid Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Alliant","Health Exchange",,,"62",,"44.02","0.04","2502.48","percent of total billed charges",,
"NF-Ethacrynic Acid Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"38.34","0.04","2502.48","percent of total billed charges",,
"NF-Ethacrynic Acid Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Medicare",,,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Ethacrynic Acid Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Humana","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Ethacrynic Acid Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","UHC","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Ethacrynic Acid Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Clover","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Ethacrynic Acid Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Wellcare","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Ethacrynic Acid Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Amerigroup","Medicaid Managed Care",,,"37",,"25.99","0.04","2502.48","percent of total billed charges",,
"NF-Ethacrynic Acid Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Caresource","Medicaid Managed Care",,,"40",,"28.4","0.04","2502.48","percent of total billed charges",,
"NF-Ethacrynic Acid Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Wellcare","Medicaid Managed Care",,,"40",,"28.76","0.04","2502.48","percent of total billed charges",,
"NF-Ethacrynic Acid Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Aetna","Commercial",,,"64",,"45.3","0.04","2502.48","percent of total billed charges",,
"NF-Ethacrynic Acid Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Blue Cross Blue Shield","Pathways",,,"71",,"50.13","0.04","2502.48","percent of total billed charges",,
"NF-Ethacrynic Acid Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Blue Cross Blue Shield","HMO",,,"71",,"50.13","0.04","2502.48","percent of total billed charges",,
"NF-Ethacrynic Acid Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Blue Cross Blue Shield","PPO",,,"71",,"50.13","0.04","2502.48","percent of total billed charges",,
"NF-Ethacrynic Acid Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Ambetter","Health Exchange",,,"62",,"44.02","0.04","2502.48","percent of total billed charges",,
"NF-Ethacrynic Acid Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Caresource","Health Exchange",,,"62",,"44.02","0.04","2502.48","percent of total billed charges",,
"NF-Ethacrynic Acid Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Cigna","Commercial",,,"59",,"41.61","0.04","2502.48","percent of total billed charges",,
"NF-Ethacrynic Acid Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Humana","Commercial",,,"78",,"55.02","0.04","2502.48","percent of total billed charges",,
"NF-Ethacrynic Acid Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","UHC","Commercial",,,"75",,"53.53","0.04","2502.48","percent of total billed charges",,
"NF-Ethacrynic Acid Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Medicaid",,,,"37",,"25.99","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 75MG","0259","RC","Both",,,"13","6.5","Alliant","Health Exchange",,,"62",,"8.06","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 75MG","0259","RC","Both",,,"13","6.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.02","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 75MG","0259","RC","Both",,,"13","6.5","Medicare",,,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 75MG","0259","RC","Both",,,"13","6.5","Humana","Medicare Advantage",,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 75MG","0259","RC","Both",,,"13","6.5","UHC","Medicare Advantage",,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 75MG","0259","RC","Both",,,"13","6.5","Clover","Medicare Advantage",,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 75MG","0259","RC","Both",,,"13","6.5","Wellcare","Medicare Advantage",,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 75MG","0259","RC","Both",,,"13","6.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.76","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 75MG","0259","RC","Both",,,"13","6.5","Caresource","Medicaid Managed Care",,,"40",,"5.2","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 75MG","0259","RC","Both",,,"13","6.5","Wellcare","Medicaid Managed Care",,,"40",,"5.26","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 75MG","0259","RC","Both",,,"13","6.5","Aetna","Commercial",,,"64",,"8.29","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 75MG","0259","RC","Both",,,"13","6.5","Blue Cross Blue Shield","Pathways",,,"71",,"9.18","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 75MG","0259","RC","Both",,,"13","6.5","Blue Cross Blue Shield","HMO",,,"71",,"9.18","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 75MG","0259","RC","Both",,,"13","6.5","Blue Cross Blue Shield","PPO",,,"71",,"9.18","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 75MG","0259","RC","Both",,,"13","6.5","Ambetter","Health Exchange",,,"62",,"8.06","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 75MG","0259","RC","Both",,,"13","6.5","Caresource","Health Exchange",,,"62",,"8.06","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 75MG","0259","RC","Both",,,"13","6.5","Cigna","Commercial",,,"59",,"7.62","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 75MG","0259","RC","Both",,,"13","6.5","Humana","Commercial",,,"78",,"10.08","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 75MG","0259","RC","Both",,,"13","6.5","UHC","Commercial",,,"75",,"9.8","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 75MG","0259","RC","Both",,,"13","6.5","Medicaid",,,,"37",,"4.76","0.04","2502.48","percent of total billed charges",,
"NF-Lotemax Ophth Suspension 0.5%","0259","RC","Both",,,"192","96","Alliant","Health Exchange",,,"62",,"119.04","0.04","2502.48","percent of total billed charges",,
"NF-Lotemax Ophth Suspension 0.5%","0259","RC","Both",,,"192","96","Pruitt Healthcare","Medicare Advantage",,,"54",,"103.68","0.04","2502.48","percent of total billed charges",,
"NF-Lotemax Ophth Suspension 0.5%","0259","RC","Both",,,"192","96","Medicare",,,,"54",,"104.06","0.04","2502.48","percent of total billed charges",,
"NF-Lotemax Ophth Suspension 0.5%","0259","RC","Both",,,"192","96","Humana","Medicare Advantage",,,"54",,"104.06","0.04","2502.48","percent of total billed charges",,
"NF-Lotemax Ophth Suspension 0.5%","0259","RC","Both",,,"192","96","UHC","Medicare Advantage",,,"54",,"104.06","0.04","2502.48","percent of total billed charges",,
"NF-Lotemax Ophth Suspension 0.5%","0259","RC","Both",,,"192","96","Clover","Medicare Advantage",,,"54",,"104.06","0.04","2502.48","percent of total billed charges",,
"NF-Lotemax Ophth Suspension 0.5%","0259","RC","Both",,,"192","96","Wellcare","Medicare Advantage",,,"54",,"104.06","0.04","2502.48","percent of total billed charges",,
"NF-Lotemax Ophth Suspension 0.5%","0259","RC","Both",,,"192","96","Amerigroup","Medicaid Managed Care",,,"37",,"70.27","0.04","2502.48","percent of total billed charges",,
"NF-Lotemax Ophth Suspension 0.5%","0259","RC","Both",,,"192","96","Caresource","Medicaid Managed Care",,,"40",,"76.8","0.04","2502.48","percent of total billed charges",,
"NF-Lotemax Ophth Suspension 0.5%","0259","RC","Both",,,"192","96","Wellcare","Medicaid Managed Care",,,"40",,"77.76","0.04","2502.48","percent of total billed charges",,
"NF-Lotemax Ophth Suspension 0.5%","0259","RC","Both",,,"192","96","Aetna","Commercial",,,"64",,"122.5","0.04","2502.48","percent of total billed charges",,
"NF-Lotemax Ophth Suspension 0.5%","0259","RC","Both",,,"192","96","Blue Cross Blue Shield","Pathways",,,"71",,"135.55","0.04","2502.48","percent of total billed charges",,
"NF-Lotemax Ophth Suspension 0.5%","0259","RC","Both",,,"192","96","Blue Cross Blue Shield","HMO",,,"71",,"135.55","0.04","2502.48","percent of total billed charges",,
"NF-Lotemax Ophth Suspension 0.5%","0259","RC","Both",,,"192","96","Blue Cross Blue Shield","PPO",,,"71",,"135.55","0.04","2502.48","percent of total billed charges",,
"NF-Lotemax Ophth Suspension 0.5%","0259","RC","Both",,,"192","96","Ambetter","Health Exchange",,,"62",,"119.04","0.04","2502.48","percent of total billed charges",,
"NF-Lotemax Ophth Suspension 0.5%","0259","RC","Both",,,"192","96","Caresource","Health Exchange",,,"62",,"119.04","0.04","2502.48","percent of total billed charges",,
"NF-Lotemax Ophth Suspension 0.5%","0259","RC","Both",,,"192","96","Cigna","Commercial",,,"59",,"112.51","0.04","2502.48","percent of total billed charges",,
"NF-Lotemax Ophth Suspension 0.5%","0259","RC","Both",,,"192","96","Humana","Commercial",,,"78",,"148.8","0.04","2502.48","percent of total billed charges",,
"NF-Lotemax Ophth Suspension 0.5%","0259","RC","Both",,,"192","96","UHC","Commercial",,,"75",,"144.77","0.04","2502.48","percent of total billed charges",,
"NF-Lotemax Ophth Suspension 0.5%","0259","RC","Both",,,"192","96","Medicaid",,,,"37",,"70.27","0.04","2502.48","percent of total billed charges",,
"NF-buPROPion HCl SR Oral 12 HR Tab ER 15","0637","RC","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-buPROPion HCl SR Oral 12 HR Tab ER 15","0637","RC","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","0.15","5264.58","percent of total billed charges",,
"NF-buPROPion HCl SR Oral 12 HR Tab ER 15","0637","RC","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-buPROPion HCl SR Oral 12 HR Tab ER 15","0637","RC","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-buPROPion HCl SR Oral 12 HR Tab ER 15","0637","RC","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-buPROPion HCl SR Oral 12 HR Tab ER 15","0637","RC","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-buPROPion HCl SR Oral 12 HR Tab ER 15","0637","RC","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-buPROPion HCl SR Oral 12 HR Tab ER 15","0637","RC","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","0.15","5264.58","percent of total billed charges",,
"NF-buPROPion HCl SR Oral 12 HR Tab ER 15","0637","RC","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","0.15","5264.58","percent of total billed charges",,
"NF-buPROPion HCl SR Oral 12 HR Tab ER 15","0637","RC","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","0.15","5264.58","percent of total billed charges",,
"NF-buPROPion HCl SR Oral 12 HR Tab ER 15","0637","RC","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","0.15","5264.58","percent of total billed charges",,
"NF-buPROPion HCl SR Oral 12 HR Tab ER 15","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-buPROPion HCl SR Oral 12 HR Tab ER 15","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-buPROPion HCl SR Oral 12 HR Tab ER 15","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-buPROPion HCl SR Oral 12 HR Tab ER 15","0637","RC","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-buPROPion HCl SR Oral 12 HR Tab ER 15","0637","RC","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-buPROPion HCl SR Oral 12 HR Tab ER 15","0637","RC","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","0.15","5264.58","percent of total billed charges",,
"NF-buPROPion HCl SR Oral 12 HR Tab ER 15","0637","RC","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-buPROPion HCl SR Oral 12 HR Tab ER 15","0637","RC","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","0.15","5264.58","percent of total billed charges",,
"NF-buPROPion HCl SR Oral 12 HR Tab ER 15","0637","RC","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","0.15","5264.58","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Alliant","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.66","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Medicare",,,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Humana","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","UHC","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Clover","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Amerigroup","Medicaid Managed Care",,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Caresource","Medicaid Managed Care",,,"40",,"11.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicaid Managed Care",,,"40",,"11.74","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Aetna","Commercial",,,"64",,"18.5","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","Pathways",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","HMO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","PPO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Ambetter","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Caresource","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Cigna","Commercial",,,"59",,"16.99","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Humana","Commercial",,,"78",,"22.48","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","UHC","Commercial",,,"75",,"21.87","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Medicaid",,,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Revlimid Oral Capsule 10MG","0259","RC","Both",,,"2870","1435","Alliant","Health Exchange",,,"62",,"1779.4","0.04","2502.48","percent of total billed charges",,
"NF-Revlimid Oral Capsule 10MG","0259","RC","Both",,,"2870","1435","Pruitt Healthcare","Medicare Advantage",,,"54",,"1549.8","0.04","2502.48","percent of total billed charges",,
"NF-Revlimid Oral Capsule 10MG","0259","RC","Both",,,"2870","1435","Medicare",,,,"54",,"1555.54","0.04","2502.48","percent of total billed charges",,
"NF-Revlimid Oral Capsule 10MG","0259","RC","Both",,,"2870","1435","Humana","Medicare Advantage",,,"54",,"1555.54","0.04","2502.48","percent of total billed charges",,
"NF-Revlimid Oral Capsule 10MG","0259","RC","Both",,,"2870","1435","UHC","Medicare Advantage",,,"54",,"1555.54","0.04","2502.48","percent of total billed charges",,
"NF-Revlimid Oral Capsule 10MG","0259","RC","Both",,,"2870","1435","Clover","Medicare Advantage",,,"54",,"1555.54","0.04","2502.48","percent of total billed charges",,
"NF-Revlimid Oral Capsule 10MG","0259","RC","Both",,,"2870","1435","Wellcare","Medicare Advantage",,,"54",,"1555.54","0.04","2502.48","percent of total billed charges",,
"NF-Revlimid Oral Capsule 10MG","0259","RC","Both",,,"2870","1435","Amerigroup","Medicaid Managed Care",,,"37",,"1050.42","0.04","2502.48","percent of total billed charges",,
"NF-Revlimid Oral Capsule 10MG","0259","RC","Both",,,"2870","1435","Caresource","Medicaid Managed Care",,,"40",,"1148","0.04","2502.48","percent of total billed charges",,
"NF-Revlimid Oral Capsule 10MG","0259","RC","Both",,,"2870","1435","Wellcare","Medicaid Managed Care",,,"40",,"1162.35","0.04","2502.48","percent of total billed charges",,
"NF-Revlimid Oral Capsule 10MG","0259","RC","Both",,,"2870","1435","Aetna","Commercial",,,"64",,"1831.06","0.04","2502.48","percent of total billed charges",,
"NF-Revlimid Oral Capsule 10MG","0259","RC","Both",,,"2870","1435","Blue Cross Blue Shield","Pathways",,,"71",,"2026.22","0.04","2502.48","percent of total billed charges",,
"NF-Revlimid Oral Capsule 10MG","0259","RC","Both",,,"2870","1435","Blue Cross Blue Shield","HMO",,,"71",,"2026.22","0.04","2502.48","percent of total billed charges",,
"NF-Revlimid Oral Capsule 10MG","0259","RC","Both",,,"2870","1435","Blue Cross Blue Shield","PPO",,,"71",,"2026.22","0.04","2502.48","percent of total billed charges",,
"NF-Revlimid Oral Capsule 10MG","0259","RC","Both",,,"2870","1435","Ambetter","Health Exchange",,,"62",,"1779.4","0.04","2502.48","percent of total billed charges",,
"NF-Revlimid Oral Capsule 10MG","0259","RC","Both",,,"2870","1435","Caresource","Health Exchange",,,"62",,"1779.4","0.04","2502.48","percent of total billed charges",,
"NF-Revlimid Oral Capsule 10MG","0259","RC","Both",,,"2870","1435","Cigna","Commercial",,,"59",,"1681.82","0.04","2502.48","percent of total billed charges",,
"NF-Revlimid Oral Capsule 10MG","0259","RC","Both",,,"2870","1435","Humana","Commercial",,,"78",,"2224.25","0.04","2502.48","percent of total billed charges",,
"NF-Revlimid Oral Capsule 10MG","0259","RC","Both",,,"2870","1435","UHC","Commercial",,,"75",,"2163.98","0.04","2502.48","percent of total billed charges",,
"NF-Revlimid Oral Capsule 10MG","0259","RC","Both",,,"2870","1435","Medicaid",,,,"37",,"1050.42","0.04","2502.48","percent of total billed charges",,
"AMANTADINE (SYMMETREL) 100 MG CAPSULES","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"AMANTADINE (SYMMETREL) 100 MG CAPSULES","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"AMANTADINE (SYMMETREL) 100 MG CAPSULES","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"AMANTADINE (SYMMETREL) 100 MG CAPSULES","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"AMANTADINE (SYMMETREL) 100 MG CAPSULES","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"AMANTADINE (SYMMETREL) 100 MG CAPSULES","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"AMANTADINE (SYMMETREL) 100 MG CAPSULES","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"AMANTADINE (SYMMETREL) 100 MG CAPSULES","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"AMANTADINE (SYMMETREL) 100 MG CAPSULES","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"AMANTADINE (SYMMETREL) 100 MG CAPSULES","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"AMANTADINE (SYMMETREL) 100 MG CAPSULES","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"AMANTADINE (SYMMETREL) 100 MG CAPSULES","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"AMANTADINE (SYMMETREL) 100 MG CAPSULES","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"AMANTADINE (SYMMETREL) 100 MG CAPSULES","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"AMANTADINE (SYMMETREL) 100 MG CAPSULES","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"AMANTADINE (SYMMETREL) 100 MG CAPSULES","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"AMANTADINE (SYMMETREL) 100 MG CAPSULES","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"AMANTADINE (SYMMETREL) 100 MG CAPSULES","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"AMANTADINE (SYMMETREL) 100 MG CAPSULES","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"AMANTADINE (SYMMETREL) 100 MG CAPSULES","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"BUSPIRONE (BUSPAR) 5 MG TABLETS","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"BUSPIRONE (BUSPAR) 5 MG TABLETS","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"BUSPIRONE (BUSPAR) 5 MG TABLETS","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BUSPIRONE (BUSPAR) 5 MG TABLETS","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BUSPIRONE (BUSPAR) 5 MG TABLETS","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BUSPIRONE (BUSPAR) 5 MG TABLETS","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BUSPIRONE (BUSPAR) 5 MG TABLETS","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"BUSPIRONE (BUSPAR) 5 MG TABLETS","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"BUSPIRONE (BUSPAR) 5 MG TABLETS","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"BUSPIRONE (BUSPAR) 5 MG TABLETS","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"BUSPIRONE (BUSPAR) 5 MG TABLETS","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"BUSPIRONE (BUSPAR) 5 MG TABLETS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"BUSPIRONE (BUSPAR) 5 MG TABLETS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"BUSPIRONE (BUSPAR) 5 MG TABLETS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"BUSPIRONE (BUSPAR) 5 MG TABLETS","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"BUSPIRONE (BUSPAR) 5 MG TABLETS","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"BUSPIRONE (BUSPAR) 5 MG TABLETS","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"BUSPIRONE (BUSPAR) 5 MG TABLETS","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"BUSPIRONE (BUSPAR) 5 MG TABLETS","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"BUSPIRONE (BUSPAR) 5 MG TABLETS","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"METHYLPHENIDATE (RITALIN) 5 MG TABLETS","0637","RC","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"METHYLPHENIDATE (RITALIN) 5 MG TABLETS","0637","RC","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","0.15","5264.58","percent of total billed charges",,
"METHYLPHENIDATE (RITALIN) 5 MG TABLETS","0637","RC","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"METHYLPHENIDATE (RITALIN) 5 MG TABLETS","0637","RC","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"METHYLPHENIDATE (RITALIN) 5 MG TABLETS","0637","RC","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"METHYLPHENIDATE (RITALIN) 5 MG TABLETS","0637","RC","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"METHYLPHENIDATE (RITALIN) 5 MG TABLETS","0637","RC","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"METHYLPHENIDATE (RITALIN) 5 MG TABLETS","0637","RC","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"METHYLPHENIDATE (RITALIN) 5 MG TABLETS","0637","RC","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","0.15","5264.58","percent of total billed charges",,
"METHYLPHENIDATE (RITALIN) 5 MG TABLETS","0637","RC","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.15","5264.58","percent of total billed charges",,
"METHYLPHENIDATE (RITALIN) 5 MG TABLETS","0637","RC","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","0.15","5264.58","percent of total billed charges",,
"METHYLPHENIDATE (RITALIN) 5 MG TABLETS","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"METHYLPHENIDATE (RITALIN) 5 MG TABLETS","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"METHYLPHENIDATE (RITALIN) 5 MG TABLETS","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"METHYLPHENIDATE (RITALIN) 5 MG TABLETS","0637","RC","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"METHYLPHENIDATE (RITALIN) 5 MG TABLETS","0637","RC","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"METHYLPHENIDATE (RITALIN) 5 MG TABLETS","0637","RC","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","0.15","5264.58","percent of total billed charges",,
"METHYLPHENIDATE (RITALIN) 5 MG TABLETS","0637","RC","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","0.15","5264.58","percent of total billed charges",,
"METHYLPHENIDATE (RITALIN) 5 MG TABLETS","0637","RC","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","0.15","5264.58","percent of total billed charges",,
"METHYLPHENIDATE (RITALIN) 5 MG TABLETS","0637","RC","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"LAMOTRIGINE (LAMICTAL) 100 MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LAMOTRIGINE (LAMICTAL) 100 MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"LAMOTRIGINE (LAMICTAL) 100 MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LAMOTRIGINE (LAMICTAL) 100 MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LAMOTRIGINE (LAMICTAL) 100 MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LAMOTRIGINE (LAMICTAL) 100 MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LAMOTRIGINE (LAMICTAL) 100 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LAMOTRIGINE (LAMICTAL) 100 MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"LAMOTRIGINE (LAMICTAL) 100 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"LAMOTRIGINE (LAMICTAL) 100 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"LAMOTRIGINE (LAMICTAL) 100 MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"LAMOTRIGINE (LAMICTAL) 100 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LAMOTRIGINE (LAMICTAL) 100 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LAMOTRIGINE (LAMICTAL) 100 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LAMOTRIGINE (LAMICTAL) 100 MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LAMOTRIGINE (LAMICTAL) 100 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LAMOTRIGINE (LAMICTAL) 100 MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"LAMOTRIGINE (LAMICTAL) 100 MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"LAMOTRIGINE (LAMICTAL) 100 MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"LAMOTRIGINE (LAMICTAL) 100 MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ARIPIPRAZOLE (ABILIFY) 5 MG TABLETS","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ARIPIPRAZOLE (ABILIFY) 5 MG TABLETS","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"ARIPIPRAZOLE (ABILIFY) 5 MG TABLETS","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ARIPIPRAZOLE (ABILIFY) 5 MG TABLETS","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ARIPIPRAZOLE (ABILIFY) 5 MG TABLETS","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ARIPIPRAZOLE (ABILIFY) 5 MG TABLETS","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ARIPIPRAZOLE (ABILIFY) 5 MG TABLETS","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ARIPIPRAZOLE (ABILIFY) 5 MG TABLETS","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ARIPIPRAZOLE (ABILIFY) 5 MG TABLETS","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"ARIPIPRAZOLE (ABILIFY) 5 MG TABLETS","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"ARIPIPRAZOLE (ABILIFY) 5 MG TABLETS","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"ARIPIPRAZOLE (ABILIFY) 5 MG TABLETS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ARIPIPRAZOLE (ABILIFY) 5 MG TABLETS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ARIPIPRAZOLE (ABILIFY) 5 MG TABLETS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ARIPIPRAZOLE (ABILIFY) 5 MG TABLETS","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ARIPIPRAZOLE (ABILIFY) 5 MG TABLETS","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ARIPIPRAZOLE (ABILIFY) 5 MG TABLETS","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"ARIPIPRAZOLE (ABILIFY) 5 MG TABLETS","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"ARIPIPRAZOLE (ABILIFY) 5 MG TABLETS","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"ARIPIPRAZOLE (ABILIFY) 5 MG TABLETS","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"OLANZAPine (ZyPREXA) 10 MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"OLANZAPine (ZyPREXA) 10 MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"OLANZAPine (ZyPREXA) 10 MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"OLANZAPine (ZyPREXA) 10 MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"OLANZAPine (ZyPREXA) 10 MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"OLANZAPine (ZyPREXA) 10 MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"OLANZAPine (ZyPREXA) 10 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"OLANZAPine (ZyPREXA) 10 MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"OLANZAPine (ZyPREXA) 10 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"OLANZAPine (ZyPREXA) 10 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"OLANZAPine (ZyPREXA) 10 MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"OLANZAPine (ZyPREXA) 10 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"OLANZAPine (ZyPREXA) 10 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"OLANZAPine (ZyPREXA) 10 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"OLANZAPine (ZyPREXA) 10 MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"OLANZAPine (ZyPREXA) 10 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"OLANZAPine (ZyPREXA) 10 MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"OLANZAPine (ZyPREXA) 10 MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"OLANZAPine (ZyPREXA) 10 MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"OLANZAPine (ZyPREXA) 10 MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"OXCARBAZEPINE (TRILEPTAL) 150 MG TABLET","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"OXCARBAZEPINE (TRILEPTAL) 150 MG TABLET","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"OXCARBAZEPINE (TRILEPTAL) 150 MG TABLET","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"OXCARBAZEPINE (TRILEPTAL) 150 MG TABLET","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"OXCARBAZEPINE (TRILEPTAL) 150 MG TABLET","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"OXCARBAZEPINE (TRILEPTAL) 150 MG TABLET","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"OXCARBAZEPINE (TRILEPTAL) 150 MG TABLET","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"OXCARBAZEPINE (TRILEPTAL) 150 MG TABLET","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"OXCARBAZEPINE (TRILEPTAL) 150 MG TABLET","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"OXCARBAZEPINE (TRILEPTAL) 150 MG TABLET","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"OXCARBAZEPINE (TRILEPTAL) 150 MG TABLET","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"OXCARBAZEPINE (TRILEPTAL) 150 MG TABLET","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"OXCARBAZEPINE (TRILEPTAL) 150 MG TABLET","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"OXCARBAZEPINE (TRILEPTAL) 150 MG TABLET","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"OXCARBAZEPINE (TRILEPTAL) 150 MG TABLET","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"OXCARBAZEPINE (TRILEPTAL) 150 MG TABLET","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"OXCARBAZEPINE (TRILEPTAL) 150 MG TABLET","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"OXCARBAZEPINE (TRILEPTAL) 150 MG TABLET","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"OXCARBAZEPINE (TRILEPTAL) 150 MG TABLET","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"OXCARBAZEPINE (TRILEPTAL) 150 MG TABLET","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"PERPHENAZINE 4 MG TABLET","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"PERPHENAZINE 4 MG TABLET","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"PERPHENAZINE 4 MG TABLET","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"PERPHENAZINE 4 MG TABLET","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"PERPHENAZINE 4 MG TABLET","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"PERPHENAZINE 4 MG TABLET","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"PERPHENAZINE 4 MG TABLET","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"PERPHENAZINE 4 MG TABLET","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"PERPHENAZINE 4 MG TABLET","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"PERPHENAZINE 4 MG TABLET","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"PERPHENAZINE 4 MG TABLET","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"PERPHENAZINE 4 MG TABLET","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"PERPHENAZINE 4 MG TABLET","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"PERPHENAZINE 4 MG TABLET","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"PERPHENAZINE 4 MG TABLET","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"PERPHENAZINE 4 MG TABLET","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"PERPHENAZINE 4 MG TABLET","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"PERPHENAZINE 4 MG TABLET","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"PERPHENAZINE 4 MG TABLET","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"PERPHENAZINE 4 MG TABLET","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"DRONABINOL (MARINOL) 2.5 MG CAPSULE","0637","RC","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"DRONABINOL (MARINOL) 2.5 MG CAPSULE","0637","RC","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","0.15","5264.58","percent of total billed charges",,
"DRONABINOL (MARINOL) 2.5 MG CAPSULE","0637","RC","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"DRONABINOL (MARINOL) 2.5 MG CAPSULE","0637","RC","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"DRONABINOL (MARINOL) 2.5 MG CAPSULE","0637","RC","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"DRONABINOL (MARINOL) 2.5 MG CAPSULE","0637","RC","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"DRONABINOL (MARINOL) 2.5 MG CAPSULE","0637","RC","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"DRONABINOL (MARINOL) 2.5 MG CAPSULE","0637","RC","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"DRONABINOL (MARINOL) 2.5 MG CAPSULE","0637","RC","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","0.15","5264.58","percent of total billed charges",,
"DRONABINOL (MARINOL) 2.5 MG CAPSULE","0637","RC","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.15","5264.58","percent of total billed charges",,
"DRONABINOL (MARINOL) 2.5 MG CAPSULE","0637","RC","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","0.15","5264.58","percent of total billed charges",,
"DRONABINOL (MARINOL) 2.5 MG CAPSULE","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"DRONABINOL (MARINOL) 2.5 MG CAPSULE","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"DRONABINOL (MARINOL) 2.5 MG CAPSULE","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"DRONABINOL (MARINOL) 2.5 MG CAPSULE","0637","RC","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"DRONABINOL (MARINOL) 2.5 MG CAPSULE","0637","RC","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"DRONABINOL (MARINOL) 2.5 MG CAPSULE","0637","RC","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","0.15","5264.58","percent of total billed charges",,
"DRONABINOL (MARINOL) 2.5 MG CAPSULE","0637","RC","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","0.15","5264.58","percent of total billed charges",,
"DRONABINOL (MARINOL) 2.5 MG CAPSULE","0637","RC","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","0.15","5264.58","percent of total billed charges",,
"DRONABINOL (MARINOL) 2.5 MG CAPSULE","0637","RC","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Alliant","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Pruitt Healthcare","Medicare Advantage",,,"54",,"30.24","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Medicare",,,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Humana","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","UHC","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Clover","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Wellcare","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Amerigroup","Medicaid Managed Care",,,"37",,"20.5","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Caresource","Medicaid Managed Care",,,"40",,"22.4","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Wellcare","Medicaid Managed Care",,,"40",,"22.68","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Aetna","Commercial",,,"64",,"35.73","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","Pathways",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","HMO",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","PPO",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Ambetter","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Caresource","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Cigna","Commercial",,,"59",,"32.82","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Humana","Commercial",,,"78",,"43.4","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","UHC","Commercial",,,"75",,"42.22","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Medicaid",,,,"37",,"20.5","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Capsule, Liquid Filled 2","0259","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Capsule, Liquid Filled 2","0259","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Capsule, Liquid Filled 2","0259","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Capsule, Liquid Filled 2","0259","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Capsule, Liquid Filled 2","0259","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Capsule, Liquid Filled 2","0259","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Capsule, Liquid Filled 2","0259","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Capsule, Liquid Filled 2","0259","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Capsule, Liquid Filled 2","0259","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Capsule, Liquid Filled 2","0259","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Capsule, Liquid Filled 2","0259","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Capsule, Liquid Filled 2","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Capsule, Liquid Filled 2","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Capsule, Liquid Filled 2","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Capsule, Liquid Filled 2","0259","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Capsule, Liquid Filled 2","0259","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Capsule, Liquid Filled 2","0259","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Capsule, Liquid Filled 2","0259","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Capsule, Liquid Filled 2","0259","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Capsule, Liquid Filled 2","0259","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-Rivastigmine TD Patch ER 4.6MG/24HR","0259","RC","Both",,,"48","24","Alliant","Health Exchange",,,"62",,"29.76","0.04","2502.48","percent of total billed charges",,
"NF-Rivastigmine TD Patch ER 4.6MG/24HR","0259","RC","Both",,,"48","24","Pruitt Healthcare","Medicare Advantage",,,"54",,"25.92","0.04","2502.48","percent of total billed charges",,
"NF-Rivastigmine TD Patch ER 4.6MG/24HR","0259","RC","Both",,,"48","24","Medicare",,,,"54",,"26.02","0.04","2502.48","percent of total billed charges",,
"NF-Rivastigmine TD Patch ER 4.6MG/24HR","0259","RC","Both",,,"48","24","Humana","Medicare Advantage",,,"54",,"26.02","0.04","2502.48","percent of total billed charges",,
"NF-Rivastigmine TD Patch ER 4.6MG/24HR","0259","RC","Both",,,"48","24","UHC","Medicare Advantage",,,"54",,"26.02","0.04","2502.48","percent of total billed charges",,
"NF-Rivastigmine TD Patch ER 4.6MG/24HR","0259","RC","Both",,,"48","24","Clover","Medicare Advantage",,,"54",,"26.02","0.04","2502.48","percent of total billed charges",,
"NF-Rivastigmine TD Patch ER 4.6MG/24HR","0259","RC","Both",,,"48","24","Wellcare","Medicare Advantage",,,"54",,"26.02","0.04","2502.48","percent of total billed charges",,
"NF-Rivastigmine TD Patch ER 4.6MG/24HR","0259","RC","Both",,,"48","24","Amerigroup","Medicaid Managed Care",,,"37",,"17.57","0.04","2502.48","percent of total billed charges",,
"NF-Rivastigmine TD Patch ER 4.6MG/24HR","0259","RC","Both",,,"48","24","Caresource","Medicaid Managed Care",,,"40",,"19.2","0.04","2502.48","percent of total billed charges",,
"NF-Rivastigmine TD Patch ER 4.6MG/24HR","0259","RC","Both",,,"48","24","Wellcare","Medicaid Managed Care",,,"40",,"19.44","0.04","2502.48","percent of total billed charges",,
"NF-Rivastigmine TD Patch ER 4.6MG/24HR","0259","RC","Both",,,"48","24","Aetna","Commercial",,,"64",,"30.62","0.04","2502.48","percent of total billed charges",,
"NF-Rivastigmine TD Patch ER 4.6MG/24HR","0259","RC","Both",,,"48","24","Blue Cross Blue Shield","Pathways",,,"71",,"33.89","0.04","2502.48","percent of total billed charges",,
"NF-Rivastigmine TD Patch ER 4.6MG/24HR","0259","RC","Both",,,"48","24","Blue Cross Blue Shield","HMO",,,"71",,"33.89","0.04","2502.48","percent of total billed charges",,
"NF-Rivastigmine TD Patch ER 4.6MG/24HR","0259","RC","Both",,,"48","24","Blue Cross Blue Shield","PPO",,,"71",,"33.89","0.04","2502.48","percent of total billed charges",,
"NF-Rivastigmine TD Patch ER 4.6MG/24HR","0259","RC","Both",,,"48","24","Ambetter","Health Exchange",,,"62",,"29.76","0.04","2502.48","percent of total billed charges",,
"NF-Rivastigmine TD Patch ER 4.6MG/24HR","0259","RC","Both",,,"48","24","Caresource","Health Exchange",,,"62",,"29.76","0.04","2502.48","percent of total billed charges",,
"NF-Rivastigmine TD Patch ER 4.6MG/24HR","0259","RC","Both",,,"48","24","Cigna","Commercial",,,"59",,"28.13","0.04","2502.48","percent of total billed charges",,
"NF-Rivastigmine TD Patch ER 4.6MG/24HR","0259","RC","Both",,,"48","24","Humana","Commercial",,,"78",,"37.2","0.04","2502.48","percent of total billed charges",,
"NF-Rivastigmine TD Patch ER 4.6MG/24HR","0259","RC","Both",,,"48","24","UHC","Commercial",,,"75",,"36.19","0.04","2502.48","percent of total billed charges",,
"NF-Rivastigmine TD Patch ER 4.6MG/24HR","0259","RC","Both",,,"48","24","Medicaid",,,,"37",,"17.57","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Oral Cap ER 10MEQ","0259","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Oral Cap ER 10MEQ","0259","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Oral Cap ER 10MEQ","0259","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Oral Cap ER 10MEQ","0259","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Oral Cap ER 10MEQ","0259","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Oral Cap ER 10MEQ","0259","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Oral Cap ER 10MEQ","0259","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Oral Cap ER 10MEQ","0259","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Oral Cap ER 10MEQ","0259","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Oral Cap ER 10MEQ","0259","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Oral Cap ER 10MEQ","0259","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Oral Cap ER 10MEQ","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Oral Cap ER 10MEQ","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Oral Cap ER 10MEQ","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Oral Cap ER 10MEQ","0259","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Oral Cap ER 10MEQ","0259","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Oral Cap ER 10MEQ","0259","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Oral Cap ER 10MEQ","0259","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Oral Cap ER 10MEQ","0259","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Oral Cap ER 10MEQ","0259","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Tablet 20MG","0259","RC","Both",,,"11","5.5","Alliant","Health Exchange",,,"62",,"6.82","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Tablet 20MG","0259","RC","Both",,,"11","5.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.94","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Tablet 20MG","0259","RC","Both",,,"11","5.5","Medicare",,,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Tablet 20MG","0259","RC","Both",,,"11","5.5","Humana","Medicare Advantage",,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Tablet 20MG","0259","RC","Both",,,"11","5.5","UHC","Medicare Advantage",,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Tablet 20MG","0259","RC","Both",,,"11","5.5","Clover","Medicare Advantage",,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Tablet 20MG","0259","RC","Both",,,"11","5.5","Wellcare","Medicare Advantage",,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Tablet 20MG","0259","RC","Both",,,"11","5.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.03","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Tablet 20MG","0259","RC","Both",,,"11","5.5","Caresource","Medicaid Managed Care",,,"40",,"4.4","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Tablet 20MG","0259","RC","Both",,,"11","5.5","Wellcare","Medicaid Managed Care",,,"40",,"4.46","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Tablet 20MG","0259","RC","Both",,,"11","5.5","Aetna","Commercial",,,"64",,"7.02","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Tablet 20MG","0259","RC","Both",,,"11","5.5","Blue Cross Blue Shield","Pathways",,,"71",,"7.77","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Tablet 20MG","0259","RC","Both",,,"11","5.5","Blue Cross Blue Shield","HMO",,,"71",,"7.77","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Tablet 20MG","0259","RC","Both",,,"11","5.5","Blue Cross Blue Shield","PPO",,,"71",,"7.77","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Tablet 20MG","0259","RC","Both",,,"11","5.5","Ambetter","Health Exchange",,,"62",,"6.82","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Tablet 20MG","0259","RC","Both",,,"11","5.5","Caresource","Health Exchange",,,"62",,"6.82","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Tablet 20MG","0259","RC","Both",,,"11","5.5","Cigna","Commercial",,,"59",,"6.45","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Tablet 20MG","0259","RC","Both",,,"11","5.5","Humana","Commercial",,,"78",,"8.52","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Tablet 20MG","0259","RC","Both",,,"11","5.5","UHC","Commercial",,,"75",,"8.29","0.04","2502.48","percent of total billed charges",,
"NF-Tamoxifen Tablet 20MG","0259","RC","Both",,,"11","5.5","Medicaid",,,,"37",,"4.03","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Alliant","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.66","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Medicare",,,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Humana","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","UHC","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Clover","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Amerigroup","Medicaid Managed Care",,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Caresource","Medicaid Managed Care",,,"40",,"11.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicaid Managed Care",,,"40",,"11.74","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Aetna","Commercial",,,"64",,"18.5","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","Pathways",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","HMO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","PPO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Ambetter","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Caresource","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Cigna","Commercial",,,"59",,"16.99","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Humana","Commercial",,,"78",,"22.48","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","UHC","Commercial",,,"75",,"21.87","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Medicaid",,,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Alliant","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.66","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Medicare",,,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Humana","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","UHC","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Clover","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Amerigroup","Medicaid Managed Care",,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Caresource","Medicaid Managed Care",,,"40",,"11.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicaid Managed Care",,,"40",,"11.74","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Aetna","Commercial",,,"64",,"18.5","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","Pathways",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","HMO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","PPO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Ambetter","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Caresource","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Cigna","Commercial",,,"59",,"16.99","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Humana","Commercial",,,"78",,"22.48","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","UHC","Commercial",,,"75",,"21.87","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Medicaid",,,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Alliant","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.66","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Medicare",,,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Humana","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","UHC","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Clover","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Amerigroup","Medicaid Managed Care",,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Caresource","Medicaid Managed Care",,,"40",,"11.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicaid Managed Care",,,"40",,"11.74","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Aetna","Commercial",,,"64",,"18.5","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","Pathways",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","HMO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","PPO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Ambetter","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Caresource","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Cigna","Commercial",,,"59",,"16.99","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Humana","Commercial",,,"78",,"22.48","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","UHC","Commercial",,,"75",,"21.87","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Medicaid",,,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 60MG","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 60MG","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 60MG","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 60MG","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 60MG","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 60MG","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 60MG","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 60MG","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 60MG","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 60MG","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 60MG","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 60MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 60MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 60MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 60MG","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 60MG","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 60MG","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 60MG","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 60MG","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 60MG","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Alliant","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.66","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Medicare",,,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Humana","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","UHC","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Clover","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Amerigroup","Medicaid Managed Care",,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Caresource","Medicaid Managed Care",,,"40",,"11.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicaid Managed Care",,,"40",,"11.74","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Aetna","Commercial",,,"64",,"18.5","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","Pathways",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","HMO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","PPO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Ambetter","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Caresource","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Cigna","Commercial",,,"59",,"16.99","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Humana","Commercial",,,"78",,"22.48","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","UHC","Commercial",,,"75",,"21.87","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Medicaid",,,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Alliant","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Pruitt Healthcare","Medicare Advantage",,,"54",,"30.24","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Medicare",,,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Humana","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","UHC","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Clover","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Wellcare","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Amerigroup","Medicaid Managed Care",,,"37",,"20.5","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Caresource","Medicaid Managed Care",,,"40",,"22.4","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Wellcare","Medicaid Managed Care",,,"40",,"22.68","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Aetna","Commercial",,,"64",,"35.73","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","Pathways",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","HMO",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","PPO",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Ambetter","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Caresource","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Cigna","Commercial",,,"59",,"32.82","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Humana","Commercial",,,"78",,"43.4","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","UHC","Commercial",,,"75",,"42.22","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0259","RC","Both",,,"56","28","Medicaid",,,,"37",,"20.5","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0637","RC","Both",,,"68","34","Alliant","Health Exchange",,,"62",,"42.16","0.15","5264.58","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0637","RC","Both",,,"68","34","Pruitt Healthcare","Medicare Advantage",,,"54",,"36.72","0.15","5264.58","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0637","RC","Both",,,"68","34","Medicare",,,,"54",,"36.86","0.15","5264.58","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0637","RC","Both",,,"68","34","Humana","Medicare Advantage",,,"54",,"36.86","0.15","5264.58","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0637","RC","Both",,,"68","34","UHC","Medicare Advantage",,,"54",,"36.86","0.15","5264.58","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0637","RC","Both",,,"68","34","Clover","Medicare Advantage",,,"54",,"36.86","0.15","5264.58","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0637","RC","Both",,,"68","34","Wellcare","Medicare Advantage",,,"54",,"36.86","0.15","5264.58","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0637","RC","Both",,,"68","34","Amerigroup","Medicaid Managed Care",,,"37",,"24.89","0.15","5264.58","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0637","RC","Both",,,"68","34","Caresource","Medicaid Managed Care",,,"40",,"27.2","0.15","5264.58","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0637","RC","Both",,,"68","34","Wellcare","Medicaid Managed Care",,,"40",,"27.54","0.15","5264.58","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0637","RC","Both",,,"68","34","Aetna","Commercial",,,"64",,"43.38","0.15","5264.58","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0637","RC","Both",,,"68","34","Blue Cross Blue Shield","Pathways",,,"71",,"48.01","0.15","5264.58","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0637","RC","Both",,,"68","34","Blue Cross Blue Shield","HMO",,,"71",,"48.01","0.15","5264.58","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0637","RC","Both",,,"68","34","Blue Cross Blue Shield","PPO",,,"71",,"48.01","0.15","5264.58","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0637","RC","Both",,,"68","34","Ambetter","Health Exchange",,,"62",,"42.16","0.15","5264.58","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0637","RC","Both",,,"68","34","Caresource","Health Exchange",,,"62",,"42.16","0.15","5264.58","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0637","RC","Both",,,"68","34","Cigna","Commercial",,,"59",,"39.85","0.15","5264.58","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0637","RC","Both",,,"68","34","Humana","Commercial",,,"78",,"52.7","0.15","5264.58","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0637","RC","Both",,,"68","34","UHC","Commercial",,,"75",,"51.27","0.15","5264.58","percent of total billed charges",,
"NF-Budesonide Delayed Release Capsule 3M","0637","RC","Both",,,"68","34","Medicaid",,,,"37",,"24.89","0.15","5264.58","percent of total billed charges",,
"NF-Calcitonin-Salmon Nasal Spray 200IU/1","0259","RC","Both",,,"96","48","Alliant","Health Exchange",,,"62",,"59.52","0.04","2502.48","percent of total billed charges",,
"NF-Calcitonin-Salmon Nasal Spray 200IU/1","0259","RC","Both",,,"96","48","Pruitt Healthcare","Medicare Advantage",,,"54",,"51.84","0.04","2502.48","percent of total billed charges",,
"NF-Calcitonin-Salmon Nasal Spray 200IU/1","0259","RC","Both",,,"96","48","Medicare",,,,"54",,"52.03","0.04","2502.48","percent of total billed charges",,
"NF-Calcitonin-Salmon Nasal Spray 200IU/1","0259","RC","Both",,,"96","48","Humana","Medicare Advantage",,,"54",,"52.03","0.04","2502.48","percent of total billed charges",,
"NF-Calcitonin-Salmon Nasal Spray 200IU/1","0259","RC","Both",,,"96","48","UHC","Medicare Advantage",,,"54",,"52.03","0.04","2502.48","percent of total billed charges",,
"NF-Calcitonin-Salmon Nasal Spray 200IU/1","0259","RC","Both",,,"96","48","Clover","Medicare Advantage",,,"54",,"52.03","0.04","2502.48","percent of total billed charges",,
"NF-Calcitonin-Salmon Nasal Spray 200IU/1","0259","RC","Both",,,"96","48","Wellcare","Medicare Advantage",,,"54",,"52.03","0.04","2502.48","percent of total billed charges",,
"NF-Calcitonin-Salmon Nasal Spray 200IU/1","0259","RC","Both",,,"96","48","Amerigroup","Medicaid Managed Care",,,"37",,"35.14","0.04","2502.48","percent of total billed charges",,
"NF-Calcitonin-Salmon Nasal Spray 200IU/1","0259","RC","Both",,,"96","48","Caresource","Medicaid Managed Care",,,"40",,"38.4","0.04","2502.48","percent of total billed charges",,
"NF-Calcitonin-Salmon Nasal Spray 200IU/1","0259","RC","Both",,,"96","48","Wellcare","Medicaid Managed Care",,,"40",,"38.88","0.04","2502.48","percent of total billed charges",,
"NF-Calcitonin-Salmon Nasal Spray 200IU/1","0259","RC","Both",,,"96","48","Aetna","Commercial",,,"64",,"61.25","0.04","2502.48","percent of total billed charges",,
"NF-Calcitonin-Salmon Nasal Spray 200IU/1","0259","RC","Both",,,"96","48","Blue Cross Blue Shield","Pathways",,,"71",,"67.78","0.04","2502.48","percent of total billed charges",,
"NF-Calcitonin-Salmon Nasal Spray 200IU/1","0259","RC","Both",,,"96","48","Blue Cross Blue Shield","HMO",,,"71",,"67.78","0.04","2502.48","percent of total billed charges",,
"NF-Calcitonin-Salmon Nasal Spray 200IU/1","0259","RC","Both",,,"96","48","Blue Cross Blue Shield","PPO",,,"71",,"67.78","0.04","2502.48","percent of total billed charges",,
"NF-Calcitonin-Salmon Nasal Spray 200IU/1","0259","RC","Both",,,"96","48","Ambetter","Health Exchange",,,"62",,"59.52","0.04","2502.48","percent of total billed charges",,
"NF-Calcitonin-Salmon Nasal Spray 200IU/1","0259","RC","Both",,,"96","48","Caresource","Health Exchange",,,"62",,"59.52","0.04","2502.48","percent of total billed charges",,
"NF-Calcitonin-Salmon Nasal Spray 200IU/1","0259","RC","Both",,,"96","48","Cigna","Commercial",,,"59",,"56.26","0.04","2502.48","percent of total billed charges",,
"NF-Calcitonin-Salmon Nasal Spray 200IU/1","0259","RC","Both",,,"96","48","Humana","Commercial",,,"78",,"74.4","0.04","2502.48","percent of total billed charges",,
"NF-Calcitonin-Salmon Nasal Spray 200IU/1","0259","RC","Both",,,"96","48","UHC","Commercial",,,"75",,"72.38","0.04","2502.48","percent of total billed charges",,
"NF-Calcitonin-Salmon Nasal Spray 200IU/1","0259","RC","Both",,,"96","48","Medicaid",,,,"37",,"35.14","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"59","29.5","Alliant","Health Exchange",,,"62",,"36.58","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"59","29.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"31.86","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"59","29.5","Medicare",,,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"59","29.5","Humana","Medicare Advantage",,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"59","29.5","UHC","Medicare Advantage",,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"59","29.5","Clover","Medicare Advantage",,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"59","29.5","Wellcare","Medicare Advantage",,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"59","29.5","Amerigroup","Medicaid Managed Care",,,"37",,"21.59","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"59","29.5","Caresource","Medicaid Managed Care",,,"40",,"23.6","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"59","29.5","Wellcare","Medicaid Managed Care",,,"40",,"23.9","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"59","29.5","Aetna","Commercial",,,"64",,"37.64","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"59","29.5","Blue Cross Blue Shield","Pathways",,,"71",,"41.65","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"59","29.5","Blue Cross Blue Shield","HMO",,,"71",,"41.65","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"59","29.5","Blue Cross Blue Shield","PPO",,,"71",,"41.65","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"59","29.5","Ambetter","Health Exchange",,,"62",,"36.58","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"59","29.5","Caresource","Health Exchange",,,"62",,"36.58","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"59","29.5","Cigna","Commercial",,,"59",,"34.57","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"59","29.5","Humana","Commercial",,,"78",,"45.72","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"59","29.5","UHC","Commercial",,,"75",,"44.49","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"59","29.5","Medicaid",,,,"37",,"21.59","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Alliant","Health Exchange",,,"62",,"6.82","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.94","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Medicare",,,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Humana","Medicare Advantage",,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","UHC","Medicare Advantage",,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Clover","Medicare Advantage",,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Wellcare","Medicare Advantage",,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Caresource","Medicaid Managed Care",,,"40",,"4.4","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Wellcare","Medicaid Managed Care",,,"40",,"4.46","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Aetna","Commercial",,,"64",,"7.02","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Blue Cross Blue Shield","Pathways",,,"71",,"7.77","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Blue Cross Blue Shield","HMO",,,"71",,"7.77","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Blue Cross Blue Shield","PPO",,,"71",,"7.77","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Ambetter","Health Exchange",,,"62",,"6.82","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Caresource","Health Exchange",,,"62",,"6.82","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Cigna","Commercial",,,"59",,"6.45","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Humana","Commercial",,,"78",,"8.52","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","UHC","Commercial",,,"75",,"8.29","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Medicaid",,,,"37",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Alliant","Health Exchange",,,"62",,"6.82","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.94","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Medicare",,,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Humana","Medicare Advantage",,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","UHC","Medicare Advantage",,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Clover","Medicare Advantage",,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Wellcare","Medicare Advantage",,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Caresource","Medicaid Managed Care",,,"40",,"4.4","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Wellcare","Medicaid Managed Care",,,"40",,"4.46","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Aetna","Commercial",,,"64",,"7.02","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Blue Cross Blue Shield","Pathways",,,"71",,"7.77","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Blue Cross Blue Shield","HMO",,,"71",,"7.77","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Blue Cross Blue Shield","PPO",,,"71",,"7.77","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Ambetter","Health Exchange",,,"62",,"6.82","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Caresource","Health Exchange",,,"62",,"6.82","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Cigna","Commercial",,,"59",,"6.45","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Humana","Commercial",,,"78",,"8.52","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","UHC","Commercial",,,"75",,"8.29","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Medicaid",,,,"37",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Alliant","Health Exchange",,,"62",,"6.82","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.94","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Medicare",,,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Humana","Medicare Advantage",,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","UHC","Medicare Advantage",,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Clover","Medicare Advantage",,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Wellcare","Medicare Advantage",,,"54",,"5.96","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Caresource","Medicaid Managed Care",,,"40",,"4.4","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Wellcare","Medicaid Managed Care",,,"40",,"4.46","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Aetna","Commercial",,,"64",,"7.02","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Blue Cross Blue Shield","Pathways",,,"71",,"7.77","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Blue Cross Blue Shield","HMO",,,"71",,"7.77","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Blue Cross Blue Shield","PPO",,,"71",,"7.77","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Ambetter","Health Exchange",,,"62",,"6.82","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Caresource","Health Exchange",,,"62",,"6.82","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Cigna","Commercial",,,"59",,"6.45","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Humana","Commercial",,,"78",,"8.52","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","UHC","Commercial",,,"75",,"8.29","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0637","RC","Both",,,"11","5.5","Medicaid",,,,"37",,"4.03","0.15","5264.58","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0259","RC","Both",,,"11","5.5","Alliant","Health Exchange",,,"62",,"6.82","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0259","RC","Both",,,"11","5.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.94","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0259","RC","Both",,,"11","5.5","Medicare",,,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0259","RC","Both",,,"11","5.5","Humana","Medicare Advantage",,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0259","RC","Both",,,"11","5.5","UHC","Medicare Advantage",,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0259","RC","Both",,,"11","5.5","Clover","Medicare Advantage",,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0259","RC","Both",,,"11","5.5","Wellcare","Medicare Advantage",,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0259","RC","Both",,,"11","5.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.03","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0259","RC","Both",,,"11","5.5","Caresource","Medicaid Managed Care",,,"40",,"4.4","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0259","RC","Both",,,"11","5.5","Wellcare","Medicaid Managed Care",,,"40",,"4.46","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0259","RC","Both",,,"11","5.5","Aetna","Commercial",,,"64",,"7.02","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0259","RC","Both",,,"11","5.5","Blue Cross Blue Shield","Pathways",,,"71",,"7.77","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0259","RC","Both",,,"11","5.5","Blue Cross Blue Shield","HMO",,,"71",,"7.77","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0259","RC","Both",,,"11","5.5","Blue Cross Blue Shield","PPO",,,"71",,"7.77","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0259","RC","Both",,,"11","5.5","Ambetter","Health Exchange",,,"62",,"6.82","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0259","RC","Both",,,"11","5.5","Caresource","Health Exchange",,,"62",,"6.82","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0259","RC","Both",,,"11","5.5","Cigna","Commercial",,,"59",,"6.45","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0259","RC","Both",,,"11","5.5","Humana","Commercial",,,"78",,"8.52","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0259","RC","Both",,,"11","5.5","UHC","Commercial",,,"75",,"8.29","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan/HCTZ Oral Tablet 12.5MG-15","0259","RC","Both",,,"11","5.5","Medicaid",,,,"37",,"4.03","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 3MG","0637","RC","Both",,,"20","10","Alliant","Health Exchange",,,"62",,"12.4","0.15","5264.58","percent of total billed charges",,
"NF-Requip Tablet 3MG","0637","RC","Both",,,"20","10","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.8","0.15","5264.58","percent of total billed charges",,
"NF-Requip Tablet 3MG","0637","RC","Both",,,"20","10","Medicare",,,,"54",,"10.84","0.15","5264.58","percent of total billed charges",,
"NF-Requip Tablet 3MG","0637","RC","Both",,,"20","10","Humana","Medicare Advantage",,,"54",,"10.84","0.15","5264.58","percent of total billed charges",,
"NF-Requip Tablet 3MG","0637","RC","Both",,,"20","10","UHC","Medicare Advantage",,,"54",,"10.84","0.15","5264.58","percent of total billed charges",,
"NF-Requip Tablet 3MG","0637","RC","Both",,,"20","10","Clover","Medicare Advantage",,,"54",,"10.84","0.15","5264.58","percent of total billed charges",,
"NF-Requip Tablet 3MG","0637","RC","Both",,,"20","10","Wellcare","Medicare Advantage",,,"54",,"10.84","0.15","5264.58","percent of total billed charges",,
"NF-Requip Tablet 3MG","0637","RC","Both",,,"20","10","Amerigroup","Medicaid Managed Care",,,"37",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-Requip Tablet 3MG","0637","RC","Both",,,"20","10","Caresource","Medicaid Managed Care",,,"40",,"8","0.15","5264.58","percent of total billed charges",,
"NF-Requip Tablet 3MG","0637","RC","Both",,,"20","10","Wellcare","Medicaid Managed Care",,,"40",,"8.1","0.15","5264.58","percent of total billed charges",,
"NF-Requip Tablet 3MG","0637","RC","Both",,,"20","10","Aetna","Commercial",,,"64",,"12.76","0.15","5264.58","percent of total billed charges",,
"NF-Requip Tablet 3MG","0637","RC","Both",,,"20","10","Blue Cross Blue Shield","Pathways",,,"71",,"14.12","0.15","5264.58","percent of total billed charges",,
"NF-Requip Tablet 3MG","0637","RC","Both",,,"20","10","Blue Cross Blue Shield","HMO",,,"71",,"14.12","0.15","5264.58","percent of total billed charges",,
"NF-Requip Tablet 3MG","0637","RC","Both",,,"20","10","Blue Cross Blue Shield","PPO",,,"71",,"14.12","0.15","5264.58","percent of total billed charges",,
"NF-Requip Tablet 3MG","0637","RC","Both",,,"20","10","Ambetter","Health Exchange",,,"62",,"12.4","0.15","5264.58","percent of total billed charges",,
"NF-Requip Tablet 3MG","0637","RC","Both",,,"20","10","Caresource","Health Exchange",,,"62",,"12.4","0.15","5264.58","percent of total billed charges",,
"NF-Requip Tablet 3MG","0637","RC","Both",,,"20","10","Cigna","Commercial",,,"59",,"11.72","0.15","5264.58","percent of total billed charges",,
"NF-Requip Tablet 3MG","0637","RC","Both",,,"20","10","Humana","Commercial",,,"78",,"15.5","0.15","5264.58","percent of total billed charges",,
"NF-Requip Tablet 3MG","0637","RC","Both",,,"20","10","UHC","Commercial",,,"75",,"15.08","0.15","5264.58","percent of total billed charges",,
"NF-Requip Tablet 3MG","0637","RC","Both",,,"20","10","Medicaid",,,,"37",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0637","RC","Both",,,"59","29.5","Alliant","Health Exchange",,,"62",,"36.58","0.15","5264.58","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0637","RC","Both",,,"59","29.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"31.86","0.15","5264.58","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0637","RC","Both",,,"59","29.5","Medicare",,,,"54",,"31.98","0.15","5264.58","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0637","RC","Both",,,"59","29.5","Humana","Medicare Advantage",,,"54",,"31.98","0.15","5264.58","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0637","RC","Both",,,"59","29.5","UHC","Medicare Advantage",,,"54",,"31.98","0.15","5264.58","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0637","RC","Both",,,"59","29.5","Clover","Medicare Advantage",,,"54",,"31.98","0.15","5264.58","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0637","RC","Both",,,"59","29.5","Wellcare","Medicare Advantage",,,"54",,"31.98","0.15","5264.58","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0637","RC","Both",,,"59","29.5","Amerigroup","Medicaid Managed Care",,,"37",,"21.59","0.15","5264.58","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0637","RC","Both",,,"59","29.5","Caresource","Medicaid Managed Care",,,"40",,"23.6","0.15","5264.58","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0637","RC","Both",,,"59","29.5","Wellcare","Medicaid Managed Care",,,"40",,"23.9","0.15","5264.58","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0637","RC","Both",,,"59","29.5","Aetna","Commercial",,,"64",,"37.64","0.15","5264.58","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0637","RC","Both",,,"59","29.5","Blue Cross Blue Shield","Pathways",,,"71",,"41.65","0.15","5264.58","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0637","RC","Both",,,"59","29.5","Blue Cross Blue Shield","HMO",,,"71",,"41.65","0.15","5264.58","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0637","RC","Both",,,"59","29.5","Blue Cross Blue Shield","PPO",,,"71",,"41.65","0.15","5264.58","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0637","RC","Both",,,"59","29.5","Ambetter","Health Exchange",,,"62",,"36.58","0.15","5264.58","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0637","RC","Both",,,"59","29.5","Caresource","Health Exchange",,,"62",,"36.58","0.15","5264.58","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0637","RC","Both",,,"59","29.5","Cigna","Commercial",,,"59",,"34.57","0.15","5264.58","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0637","RC","Both",,,"59","29.5","Humana","Commercial",,,"78",,"45.72","0.15","5264.58","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0637","RC","Both",,,"59","29.5","UHC","Commercial",,,"75",,"44.49","0.15","5264.58","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0637","RC","Both",,,"59","29.5","Medicaid",,,,"37",,"21.59","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0637","RC","Both",,,"9","4.5","Alliant","Health Exchange",,,"62",,"5.58","0.15","5264.58","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0637","RC","Both",,,"9","4.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.86","0.15","5264.58","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0637","RC","Both",,,"9","4.5","Medicare",,,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0637","RC","Both",,,"9","4.5","Humana","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0637","RC","Both",,,"9","4.5","UHC","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0637","RC","Both",,,"9","4.5","Clover","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0637","RC","Both",,,"9","4.5","Wellcare","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0637","RC","Both",,,"9","4.5","Amerigroup","Medicaid Managed Care",,,"37",,"3.29","0.15","5264.58","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0637","RC","Both",,,"9","4.5","Caresource","Medicaid Managed Care",,,"40",,"3.6","0.15","5264.58","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0637","RC","Both",,,"9","4.5","Wellcare","Medicaid Managed Care",,,"40",,"3.65","0.15","5264.58","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0637","RC","Both",,,"9","4.5","Aetna","Commercial",,,"64",,"5.74","0.15","5264.58","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0637","RC","Both",,,"9","4.5","Blue Cross Blue Shield","Pathways",,,"71",,"6.35","0.15","5264.58","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0637","RC","Both",,,"9","4.5","Blue Cross Blue Shield","HMO",,,"71",,"6.35","0.15","5264.58","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0637","RC","Both",,,"9","4.5","Blue Cross Blue Shield","PPO",,,"71",,"6.35","0.15","5264.58","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0637","RC","Both",,,"9","4.5","Ambetter","Health Exchange",,,"62",,"5.58","0.15","5264.58","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0637","RC","Both",,,"9","4.5","Caresource","Health Exchange",,,"62",,"5.58","0.15","5264.58","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0637","RC","Both",,,"9","4.5","Cigna","Commercial",,,"59",,"5.27","0.15","5264.58","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0637","RC","Both",,,"9","4.5","Humana","Commercial",,,"78",,"6.98","0.15","5264.58","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0637","RC","Both",,,"9","4.5","UHC","Commercial",,,"75",,"6.79","0.15","5264.58","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0637","RC","Both",,,"9","4.5","Medicaid",,,,"37",,"3.29","0.15","5264.58","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0637","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0637","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0637","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0637","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0637","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0637","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0637","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0637","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0637","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.15","5264.58","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0637","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.15","5264.58","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0637","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.15","5264.58","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0637","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0637","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0637","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0637","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.15","5264.58","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0637","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.15","5264.58","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0637","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-Requip Tablet 3MG","0637","RC","Both",,,"20","10","Alliant","Health Exchange",,,"62",,"12.4","0.15","5264.58","percent of total billed charges",,
"NF-Requip Tablet 3MG","0637","RC","Both",,,"20","10","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.8","0.15","5264.58","percent of total billed charges",,
"NF-Requip Tablet 3MG","0637","RC","Both",,,"20","10","Medicare",,,,"54",,"10.84","0.15","5264.58","percent of total billed charges",,
"NF-Requip Tablet 3MG","0637","RC","Both",,,"20","10","Humana","Medicare Advantage",,,"54",,"10.84","0.15","5264.58","percent of total billed charges",,
"NF-Requip Tablet 3MG","0637","RC","Both",,,"20","10","UHC","Medicare Advantage",,,"54",,"10.84","0.15","5264.58","percent of total billed charges",,
"NF-Requip Tablet 3MG","0637","RC","Both",,,"20","10","Clover","Medicare Advantage",,,"54",,"10.84","0.15","5264.58","percent of total billed charges",,
"NF-Requip Tablet 3MG","0637","RC","Both",,,"20","10","Wellcare","Medicare Advantage",,,"54",,"10.84","0.15","5264.58","percent of total billed charges",,
"NF-Requip Tablet 3MG","0637","RC","Both",,,"20","10","Amerigroup","Medicaid Managed Care",,,"37",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-Requip Tablet 3MG","0637","RC","Both",,,"20","10","Caresource","Medicaid Managed Care",,,"40",,"8","0.15","5264.58","percent of total billed charges",,
"NF-Requip Tablet 3MG","0637","RC","Both",,,"20","10","Wellcare","Medicaid Managed Care",,,"40",,"8.1","0.15","5264.58","percent of total billed charges",,
"NF-Requip Tablet 3MG","0637","RC","Both",,,"20","10","Aetna","Commercial",,,"64",,"12.76","0.15","5264.58","percent of total billed charges",,
"NF-Requip Tablet 3MG","0637","RC","Both",,,"20","10","Blue Cross Blue Shield","Pathways",,,"71",,"14.12","0.15","5264.58","percent of total billed charges",,
"NF-Requip Tablet 3MG","0637","RC","Both",,,"20","10","Blue Cross Blue Shield","HMO",,,"71",,"14.12","0.15","5264.58","percent of total billed charges",,
"NF-Requip Tablet 3MG","0637","RC","Both",,,"20","10","Blue Cross Blue Shield","PPO",,,"71",,"14.12","0.15","5264.58","percent of total billed charges",,
"NF-Requip Tablet 3MG","0637","RC","Both",,,"20","10","Ambetter","Health Exchange",,,"62",,"12.4","0.15","5264.58","percent of total billed charges",,
"NF-Requip Tablet 3MG","0637","RC","Both",,,"20","10","Caresource","Health Exchange",,,"62",,"12.4","0.15","5264.58","percent of total billed charges",,
"NF-Requip Tablet 3MG","0637","RC","Both",,,"20","10","Cigna","Commercial",,,"59",,"11.72","0.15","5264.58","percent of total billed charges",,
"NF-Requip Tablet 3MG","0637","RC","Both",,,"20","10","Humana","Commercial",,,"78",,"15.5","0.15","5264.58","percent of total billed charges",,
"NF-Requip Tablet 3MG","0637","RC","Both",,,"20","10","UHC","Commercial",,,"75",,"15.08","0.15","5264.58","percent of total billed charges",,
"NF-Requip Tablet 3MG","0637","RC","Both",,,"20","10","Medicaid",,,,"37",,"7.32","0.15","5264.58","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0637","RC","Both",,,"59","29.5","Alliant","Health Exchange",,,"62",,"36.58","0.15","5264.58","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0637","RC","Both",,,"59","29.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"31.86","0.15","5264.58","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0637","RC","Both",,,"59","29.5","Medicare",,,,"54",,"31.98","0.15","5264.58","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0637","RC","Both",,,"59","29.5","Humana","Medicare Advantage",,,"54",,"31.98","0.15","5264.58","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0637","RC","Both",,,"59","29.5","UHC","Medicare Advantage",,,"54",,"31.98","0.15","5264.58","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0637","RC","Both",,,"59","29.5","Clover","Medicare Advantage",,,"54",,"31.98","0.15","5264.58","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0637","RC","Both",,,"59","29.5","Wellcare","Medicare Advantage",,,"54",,"31.98","0.15","5264.58","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0637","RC","Both",,,"59","29.5","Amerigroup","Medicaid Managed Care",,,"37",,"21.59","0.15","5264.58","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0637","RC","Both",,,"59","29.5","Caresource","Medicaid Managed Care",,,"40",,"23.6","0.15","5264.58","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0637","RC","Both",,,"59","29.5","Wellcare","Medicaid Managed Care",,,"40",,"23.9","0.15","5264.58","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0637","RC","Both",,,"59","29.5","Aetna","Commercial",,,"64",,"37.64","0.15","5264.58","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0637","RC","Both",,,"59","29.5","Blue Cross Blue Shield","Pathways",,,"71",,"41.65","0.15","5264.58","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0637","RC","Both",,,"59","29.5","Blue Cross Blue Shield","HMO",,,"71",,"41.65","0.15","5264.58","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0637","RC","Both",,,"59","29.5","Blue Cross Blue Shield","PPO",,,"71",,"41.65","0.15","5264.58","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0637","RC","Both",,,"59","29.5","Ambetter","Health Exchange",,,"62",,"36.58","0.15","5264.58","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0637","RC","Both",,,"59","29.5","Caresource","Health Exchange",,,"62",,"36.58","0.15","5264.58","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0637","RC","Both",,,"59","29.5","Cigna","Commercial",,,"59",,"34.57","0.15","5264.58","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0637","RC","Both",,,"59","29.5","Humana","Commercial",,,"78",,"45.72","0.15","5264.58","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0637","RC","Both",,,"59","29.5","UHC","Commercial",,,"75",,"44.49","0.15","5264.58","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0637","RC","Both",,,"59","29.5","Medicaid",,,,"37",,"21.59","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0637","RC","Both",,,"9","4.5","Alliant","Health Exchange",,,"62",,"5.58","0.15","5264.58","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0637","RC","Both",,,"9","4.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.86","0.15","5264.58","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0637","RC","Both",,,"9","4.5","Medicare",,,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0637","RC","Both",,,"9","4.5","Humana","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0637","RC","Both",,,"9","4.5","UHC","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0637","RC","Both",,,"9","4.5","Clover","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0637","RC","Both",,,"9","4.5","Wellcare","Medicare Advantage",,,"54",,"4.88","0.15","5264.58","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0637","RC","Both",,,"9","4.5","Amerigroup","Medicaid Managed Care",,,"37",,"3.29","0.15","5264.58","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0637","RC","Both",,,"9","4.5","Caresource","Medicaid Managed Care",,,"40",,"3.6","0.15","5264.58","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0637","RC","Both",,,"9","4.5","Wellcare","Medicaid Managed Care",,,"40",,"3.65","0.15","5264.58","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0637","RC","Both",,,"9","4.5","Aetna","Commercial",,,"64",,"5.74","0.15","5264.58","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0637","RC","Both",,,"9","4.5","Blue Cross Blue Shield","Pathways",,,"71",,"6.35","0.15","5264.58","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0637","RC","Both",,,"9","4.5","Blue Cross Blue Shield","HMO",,,"71",,"6.35","0.15","5264.58","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0637","RC","Both",,,"9","4.5","Blue Cross Blue Shield","PPO",,,"71",,"6.35","0.15","5264.58","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0637","RC","Both",,,"9","4.5","Ambetter","Health Exchange",,,"62",,"5.58","0.15","5264.58","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0637","RC","Both",,,"9","4.5","Caresource","Health Exchange",,,"62",,"5.58","0.15","5264.58","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0637","RC","Both",,,"9","4.5","Cigna","Commercial",,,"59",,"5.27","0.15","5264.58","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0637","RC","Both",,,"9","4.5","Humana","Commercial",,,"78",,"6.98","0.15","5264.58","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0637","RC","Both",,,"9","4.5","UHC","Commercial",,,"75",,"6.79","0.15","5264.58","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0637","RC","Both",,,"9","4.5","Medicaid",,,,"37",,"3.29","0.15","5264.58","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0637","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0637","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0637","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0637","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0637","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0637","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0637","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0637","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0637","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.15","5264.58","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0637","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.15","5264.58","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0637","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.15","5264.58","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0637","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0637","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0637","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0637","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.15","5264.58","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0637","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.15","5264.58","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0637","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-Requip Tablet 3MG","0259","RC","Both",,,"20","10","Alliant","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 3MG","0259","RC","Both",,,"20","10","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.8","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 3MG","0259","RC","Both",,,"20","10","Medicare",,,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 3MG","0259","RC","Both",,,"20","10","Humana","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 3MG","0259","RC","Both",,,"20","10","UHC","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 3MG","0259","RC","Both",,,"20","10","Clover","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 3MG","0259","RC","Both",,,"20","10","Wellcare","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 3MG","0259","RC","Both",,,"20","10","Amerigroup","Medicaid Managed Care",,,"37",,"7.32","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 3MG","0259","RC","Both",,,"20","10","Caresource","Medicaid Managed Care",,,"40",,"8","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 3MG","0259","RC","Both",,,"20","10","Wellcare","Medicaid Managed Care",,,"40",,"8.1","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 3MG","0259","RC","Both",,,"20","10","Aetna","Commercial",,,"64",,"12.76","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 3MG","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","Pathways",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 3MG","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","HMO",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 3MG","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","PPO",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 3MG","0259","RC","Both",,,"20","10","Ambetter","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 3MG","0259","RC","Both",,,"20","10","Caresource","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 3MG","0259","RC","Both",,,"20","10","Cigna","Commercial",,,"59",,"11.72","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 3MG","0259","RC","Both",,,"20","10","Humana","Commercial",,,"78",,"15.5","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 3MG","0259","RC","Both",,,"20","10","UHC","Commercial",,,"75",,"15.08","0.04","2502.48","percent of total billed charges",,
"NF-Requip Tablet 3MG","0259","RC","Both",,,"20","10","Medicaid",,,,"37",,"7.32","0.04","2502.48","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0259","RC","Both",,,"59","29.5","Alliant","Health Exchange",,,"62",,"36.58","0.04","2502.48","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0259","RC","Both",,,"59","29.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"31.86","0.04","2502.48","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0259","RC","Both",,,"59","29.5","Medicare",,,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0259","RC","Both",,,"59","29.5","Humana","Medicare Advantage",,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0259","RC","Both",,,"59","29.5","UHC","Medicare Advantage",,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0259","RC","Both",,,"59","29.5","Clover","Medicare Advantage",,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0259","RC","Both",,,"59","29.5","Wellcare","Medicare Advantage",,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0259","RC","Both",,,"59","29.5","Amerigroup","Medicaid Managed Care",,,"37",,"21.59","0.04","2502.48","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0259","RC","Both",,,"59","29.5","Caresource","Medicaid Managed Care",,,"40",,"23.6","0.04","2502.48","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0259","RC","Both",,,"59","29.5","Wellcare","Medicaid Managed Care",,,"40",,"23.9","0.04","2502.48","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0259","RC","Both",,,"59","29.5","Aetna","Commercial",,,"64",,"37.64","0.04","2502.48","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0259","RC","Both",,,"59","29.5","Blue Cross Blue Shield","Pathways",,,"71",,"41.65","0.04","2502.48","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0259","RC","Both",,,"59","29.5","Blue Cross Blue Shield","HMO",,,"71",,"41.65","0.04","2502.48","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0259","RC","Both",,,"59","29.5","Blue Cross Blue Shield","PPO",,,"71",,"41.65","0.04","2502.48","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0259","RC","Both",,,"59","29.5","Ambetter","Health Exchange",,,"62",,"36.58","0.04","2502.48","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0259","RC","Both",,,"59","29.5","Caresource","Health Exchange",,,"62",,"36.58","0.04","2502.48","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0259","RC","Both",,,"59","29.5","Cigna","Commercial",,,"59",,"34.57","0.04","2502.48","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0259","RC","Both",,,"59","29.5","Humana","Commercial",,,"78",,"45.72","0.04","2502.48","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0259","RC","Both",,,"59","29.5","UHC","Commercial",,,"75",,"44.49","0.04","2502.48","percent of total billed charges",,
"NF-Lipitor Tablet 20MG","0259","RC","Both",,,"59","29.5","Medicaid",,,,"37",,"21.59","0.04","2502.48","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.15","5264.58","percent of total billed charges",,
"NF-Nitroglycerin Sublingual Tablet 0.4MG","0637","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.15","5264.58","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0259","RC","Both",,,"9","4.5","Alliant","Health Exchange",,,"62",,"5.58","0.04","2502.48","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0259","RC","Both",,,"9","4.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.86","0.04","2502.48","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0259","RC","Both",,,"9","4.5","Medicare",,,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0259","RC","Both",,,"9","4.5","Humana","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0259","RC","Both",,,"9","4.5","UHC","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0259","RC","Both",,,"9","4.5","Clover","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0259","RC","Both",,,"9","4.5","Wellcare","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0259","RC","Both",,,"9","4.5","Amerigroup","Medicaid Managed Care",,,"37",,"3.29","0.04","2502.48","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0259","RC","Both",,,"9","4.5","Caresource","Medicaid Managed Care",,,"40",,"3.6","0.04","2502.48","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0259","RC","Both",,,"9","4.5","Wellcare","Medicaid Managed Care",,,"40",,"3.65","0.04","2502.48","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0259","RC","Both",,,"9","4.5","Aetna","Commercial",,,"64",,"5.74","0.04","2502.48","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0259","RC","Both",,,"9","4.5","Blue Cross Blue Shield","Pathways",,,"71",,"6.35","0.04","2502.48","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0259","RC","Both",,,"9","4.5","Blue Cross Blue Shield","HMO",,,"71",,"6.35","0.04","2502.48","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0259","RC","Both",,,"9","4.5","Blue Cross Blue Shield","PPO",,,"71",,"6.35","0.04","2502.48","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0259","RC","Both",,,"9","4.5","Ambetter","Health Exchange",,,"62",,"5.58","0.04","2502.48","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0259","RC","Both",,,"9","4.5","Caresource","Health Exchange",,,"62",,"5.58","0.04","2502.48","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0259","RC","Both",,,"9","4.5","Cigna","Commercial",,,"59",,"5.27","0.04","2502.48","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0259","RC","Both",,,"9","4.5","Humana","Commercial",,,"78",,"6.98","0.04","2502.48","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0259","RC","Both",,,"9","4.5","UHC","Commercial",,,"75",,"6.79","0.04","2502.48","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","0259","RC","Both",,,"9","4.5","Medicaid",,,,"37",,"3.29","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0259","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0259","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0259","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0259","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0259","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0259","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0259","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0259","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0259","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0259","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0259","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0259","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0259","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0259","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate ER Tab ER 25MG","0259","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Alliant","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.66","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Medicare",,,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Humana","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","UHC","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Clover","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Amerigroup","Medicaid Managed Care",,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Caresource","Medicaid Managed Care",,,"40",,"11.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicaid Managed Care",,,"40",,"11.74","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Aetna","Commercial",,,"64",,"18.5","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","Pathways",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","HMO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","PPO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Ambetter","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Caresource","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Cigna","Commercial",,,"59",,"16.99","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Humana","Commercial",,,"78",,"22.48","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","UHC","Commercial",,,"75",,"21.87","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Medicaid",,,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Erythromycin Topical Solution 2%","0259","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Erythromycin Topical Solution 2%","0259","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Erythromycin Topical Solution 2%","0259","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Erythromycin Topical Solution 2%","0259","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Erythromycin Topical Solution 2%","0259","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Erythromycin Topical Solution 2%","0259","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Erythromycin Topical Solution 2%","0259","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Erythromycin Topical Solution 2%","0259","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Erythromycin Topical Solution 2%","0259","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","2502.48","percent of total billed charges",,
"NF-Erythromycin Topical Solution 2%","0259","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-Erythromycin Topical Solution 2%","0259","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-Erythromycin Topical Solution 2%","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Erythromycin Topical Solution 2%","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Erythromycin Topical Solution 2%","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Erythromycin Topical Solution 2%","0259","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Erythromycin Topical Solution 2%","0259","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Erythromycin Topical Solution 2%","0259","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","2502.48","percent of total billed charges",,
"NF-Erythromycin Topical Solution 2%","0259","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-Erythromycin Topical Solution 2%","0259","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","2502.48","percent of total billed charges",,
"NF-Erythromycin Topical Solution 2%","0259","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Alliant","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.66","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Medicare",,,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Humana","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","UHC","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Clover","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Amerigroup","Medicaid Managed Care",,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Caresource","Medicaid Managed Care",,,"40",,"11.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicaid Managed Care",,,"40",,"11.74","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Aetna","Commercial",,,"64",,"18.5","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","Pathways",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","HMO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","PPO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Ambetter","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Caresource","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Cigna","Commercial",,,"59",,"16.99","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Humana","Commercial",,,"78",,"22.48","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","UHC","Commercial",,,"75",,"21.87","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Medicaid",,,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Alliant","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.66","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Medicare",,,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Humana","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","UHC","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Clover","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Amerigroup","Medicaid Managed Care",,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Caresource","Medicaid Managed Care",,,"40",,"11.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicaid Managed Care",,,"40",,"11.74","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Aetna","Commercial",,,"64",,"18.5","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","Pathways",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","HMO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","PPO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Ambetter","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Caresource","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Cigna","Commercial",,,"59",,"16.99","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Humana","Commercial",,,"78",,"22.48","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","UHC","Commercial",,,"75",,"21.87","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Medicaid",,,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"34","17","Alliant","Health Exchange",,,"62",,"21.08","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"34","17","Pruitt Healthcare","Medicare Advantage",,,"54",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"34","17","Medicare",,,,"54",,"18.43","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"34","17","Humana","Medicare Advantage",,,"54",,"18.43","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"34","17","UHC","Medicare Advantage",,,"54",,"18.43","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"34","17","Clover","Medicare Advantage",,,"54",,"18.43","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"34","17","Wellcare","Medicare Advantage",,,"54",,"18.43","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"34","17","Amerigroup","Medicaid Managed Care",,,"37",,"12.44","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"34","17","Caresource","Medicaid Managed Care",,,"40",,"13.6","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"34","17","Wellcare","Medicaid Managed Care",,,"40",,"13.77","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"34","17","Aetna","Commercial",,,"64",,"21.69","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"34","17","Blue Cross Blue Shield","Pathways",,,"71",,"24","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"34","17","Blue Cross Blue Shield","HMO",,,"71",,"24","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"34","17","Blue Cross Blue Shield","PPO",,,"71",,"24","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"34","17","Ambetter","Health Exchange",,,"62",,"21.08","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"34","17","Caresource","Health Exchange",,,"62",,"21.08","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"34","17","Cigna","Commercial",,,"59",,"19.92","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"34","17","Humana","Commercial",,,"78",,"26.35","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"34","17","UHC","Commercial",,,"75",,"25.64","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"34","17","Medicaid",,,,"37",,"12.44","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Alliant","Health Exchange",,,"62",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"22.14","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Medicare",,,,"54",,"22.22","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Humana","Medicare Advantage",,,"54",,"22.22","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","UHC","Medicare Advantage",,,"54",,"22.22","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Clover","Medicare Advantage",,,"54",,"22.22","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Wellcare","Medicare Advantage",,,"54",,"22.22","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.01","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Caresource","Medicaid Managed Care",,,"40",,"16.4","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Wellcare","Medicaid Managed Care",,,"40",,"16.6","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Aetna","Commercial",,,"64",,"26.16","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Blue Cross Blue Shield","Pathways",,,"71",,"28.95","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Blue Cross Blue Shield","HMO",,,"71",,"28.95","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Blue Cross Blue Shield","PPO",,,"71",,"28.95","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Ambetter","Health Exchange",,,"62",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Caresource","Health Exchange",,,"62",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Cigna","Commercial",,,"59",,"24.03","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Humana","Commercial",,,"78",,"31.78","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","UHC","Commercial",,,"75",,"30.91","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Medicaid",,,,"37",,"15.01","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Alliant","Health Exchange",,,"62",,"11.16","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.72","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Medicare",,,,"54",,"9.76","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Humana","Medicare Advantage",,,"54",,"9.76","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","UHC","Medicare Advantage",,,"54",,"9.76","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Clover","Medicare Advantage",,,"54",,"9.76","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Wellcare","Medicare Advantage",,,"54",,"9.76","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Amerigroup","Medicaid Managed Care",,,"37",,"6.59","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Caresource","Medicaid Managed Care",,,"40",,"7.2","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Wellcare","Medicaid Managed Care",,,"40",,"7.29","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Aetna","Commercial",,,"64",,"11.48","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Blue Cross Blue Shield","Pathways",,,"71",,"12.71","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Blue Cross Blue Shield","HMO",,,"71",,"12.71","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Blue Cross Blue Shield","PPO",,,"71",,"12.71","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Ambetter","Health Exchange",,,"62",,"11.16","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Caresource","Health Exchange",,,"62",,"11.16","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Cigna","Commercial",,,"59",,"10.55","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Humana","Commercial",,,"78",,"13.95","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","UHC","Commercial",,,"75",,"13.57","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Medicaid",,,,"37",,"6.59","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Alliant","Health Exchange",,,"62",,"11.16","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.72","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Medicare",,,,"54",,"9.76","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Humana","Medicare Advantage",,,"54",,"9.76","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","UHC","Medicare Advantage",,,"54",,"9.76","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Clover","Medicare Advantage",,,"54",,"9.76","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Wellcare","Medicare Advantage",,,"54",,"9.76","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Amerigroup","Medicaid Managed Care",,,"37",,"6.59","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Caresource","Medicaid Managed Care",,,"40",,"7.2","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Wellcare","Medicaid Managed Care",,,"40",,"7.29","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Aetna","Commercial",,,"64",,"11.48","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Blue Cross Blue Shield","Pathways",,,"71",,"12.71","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Blue Cross Blue Shield","HMO",,,"71",,"12.71","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Blue Cross Blue Shield","PPO",,,"71",,"12.71","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Ambetter","Health Exchange",,,"62",,"11.16","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Caresource","Health Exchange",,,"62",,"11.16","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Cigna","Commercial",,,"59",,"10.55","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Humana","Commercial",,,"78",,"13.95","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","UHC","Commercial",,,"75",,"13.57","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Medicaid",,,,"37",,"6.59","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Alliant","Health Exchange",,,"62",,"11.16","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.72","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Medicare",,,,"54",,"9.76","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Humana","Medicare Advantage",,,"54",,"9.76","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","UHC","Medicare Advantage",,,"54",,"9.76","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Clover","Medicare Advantage",,,"54",,"9.76","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Wellcare","Medicare Advantage",,,"54",,"9.76","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Amerigroup","Medicaid Managed Care",,,"37",,"6.59","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Caresource","Medicaid Managed Care",,,"40",,"7.2","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Wellcare","Medicaid Managed Care",,,"40",,"7.29","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Aetna","Commercial",,,"64",,"11.48","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Blue Cross Blue Shield","Pathways",,,"71",,"12.71","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Blue Cross Blue Shield","HMO",,,"71",,"12.71","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Blue Cross Blue Shield","PPO",,,"71",,"12.71","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Ambetter","Health Exchange",,,"62",,"11.16","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Caresource","Health Exchange",,,"62",,"11.16","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Cigna","Commercial",,,"59",,"10.55","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Humana","Commercial",,,"78",,"13.95","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","UHC","Commercial",,,"75",,"13.57","0.04","2502.48","percent of total billed charges",,
"NF-Suboxone Sublingual Film 2MG-0.5MG","0259","RC","Both",,,"18","9","Medicaid",,,,"37",,"6.59","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Alliant","Health Exchange",,,"62",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"22.14","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Medicare",,,,"54",,"22.22","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Humana","Medicare Advantage",,,"54",,"22.22","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","UHC","Medicare Advantage",,,"54",,"22.22","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Clover","Medicare Advantage",,,"54",,"22.22","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Wellcare","Medicare Advantage",,,"54",,"22.22","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.01","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Caresource","Medicaid Managed Care",,,"40",,"16.4","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Wellcare","Medicaid Managed Care",,,"40",,"16.6","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Aetna","Commercial",,,"64",,"26.16","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Blue Cross Blue Shield","Pathways",,,"71",,"28.95","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Blue Cross Blue Shield","HMO",,,"71",,"28.95","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Blue Cross Blue Shield","PPO",,,"71",,"28.95","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Ambetter","Health Exchange",,,"62",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Caresource","Health Exchange",,,"62",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Cigna","Commercial",,,"59",,"24.03","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Humana","Commercial",,,"78",,"31.78","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","UHC","Commercial",,,"75",,"30.91","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Medicaid",,,,"37",,"15.01","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Alliant","Health Exchange",,,"62",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"22.14","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Medicare",,,,"54",,"22.22","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Humana","Medicare Advantage",,,"54",,"22.22","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","UHC","Medicare Advantage",,,"54",,"22.22","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Clover","Medicare Advantage",,,"54",,"22.22","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Wellcare","Medicare Advantage",,,"54",,"22.22","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.01","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Caresource","Medicaid Managed Care",,,"40",,"16.4","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Wellcare","Medicaid Managed Care",,,"40",,"16.6","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Aetna","Commercial",,,"64",,"26.16","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Blue Cross Blue Shield","Pathways",,,"71",,"28.95","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Blue Cross Blue Shield","HMO",,,"71",,"28.95","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Blue Cross Blue Shield","PPO",,,"71",,"28.95","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Ambetter","Health Exchange",,,"62",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Caresource","Health Exchange",,,"62",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Cigna","Commercial",,,"59",,"24.03","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Humana","Commercial",,,"78",,"31.78","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","UHC","Commercial",,,"75",,"30.91","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Medicaid",,,,"37",,"15.01","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Alliant","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.82","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Medicare",,,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Humana","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","UHC","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Clover","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Wellcare","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Amerigroup","Medicaid Managed Care",,,"37",,"12.08","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Caresource","Medicaid Managed Care",,,"40",,"13.2","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Wellcare","Medicaid Managed Care",,,"40",,"13.36","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Aetna","Commercial",,,"64",,"21.05","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","Pathways",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","HMO",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","PPO",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Ambetter","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Caresource","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Cigna","Commercial",,,"59",,"19.34","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Humana","Commercial",,,"78",,"25.58","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","UHC","Commercial",,,"75",,"24.88","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Medicaid",,,,"37",,"12.08","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide AvPak Oral Tablet 1MG","0259","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide AvPak Oral Tablet 1MG","0259","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide AvPak Oral Tablet 1MG","0259","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide AvPak Oral Tablet 1MG","0259","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide AvPak Oral Tablet 1MG","0259","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide AvPak Oral Tablet 1MG","0259","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide AvPak Oral Tablet 1MG","0259","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide AvPak Oral Tablet 1MG","0259","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide AvPak Oral Tablet 1MG","0259","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide AvPak Oral Tablet 1MG","0259","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide AvPak Oral Tablet 1MG","0259","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide AvPak Oral Tablet 1MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide AvPak Oral Tablet 1MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide AvPak Oral Tablet 1MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide AvPak Oral Tablet 1MG","0259","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide AvPak Oral Tablet 1MG","0259","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide AvPak Oral Tablet 1MG","0259","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide AvPak Oral Tablet 1MG","0259","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide AvPak Oral Tablet 1MG","0259","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide AvPak Oral Tablet 1MG","0259","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-Miconazole-3 Vaginal Suppository 200M","0259","RC","Both",,,"52","26","Alliant","Health Exchange",,,"62",,"32.24","0.04","2502.48","percent of total billed charges",,
"NF-Miconazole-3 Vaginal Suppository 200M","0259","RC","Both",,,"52","26","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.08","0.04","2502.48","percent of total billed charges",,
"NF-Miconazole-3 Vaginal Suppository 200M","0259","RC","Both",,,"52","26","Medicare",,,,"54",,"28.18","0.04","2502.48","percent of total billed charges",,
"NF-Miconazole-3 Vaginal Suppository 200M","0259","RC","Both",,,"52","26","Humana","Medicare Advantage",,,"54",,"28.18","0.04","2502.48","percent of total billed charges",,
"NF-Miconazole-3 Vaginal Suppository 200M","0259","RC","Both",,,"52","26","UHC","Medicare Advantage",,,"54",,"28.18","0.04","2502.48","percent of total billed charges",,
"NF-Miconazole-3 Vaginal Suppository 200M","0259","RC","Both",,,"52","26","Clover","Medicare Advantage",,,"54",,"28.18","0.04","2502.48","percent of total billed charges",,
"NF-Miconazole-3 Vaginal Suppository 200M","0259","RC","Both",,,"52","26","Wellcare","Medicare Advantage",,,"54",,"28.18","0.04","2502.48","percent of total billed charges",,
"NF-Miconazole-3 Vaginal Suppository 200M","0259","RC","Both",,,"52","26","Amerigroup","Medicaid Managed Care",,,"37",,"19.03","0.04","2502.48","percent of total billed charges",,
"NF-Miconazole-3 Vaginal Suppository 200M","0259","RC","Both",,,"52","26","Caresource","Medicaid Managed Care",,,"40",,"20.8","0.04","2502.48","percent of total billed charges",,
"NF-Miconazole-3 Vaginal Suppository 200M","0259","RC","Both",,,"52","26","Wellcare","Medicaid Managed Care",,,"40",,"21.06","0.04","2502.48","percent of total billed charges",,
"NF-Miconazole-3 Vaginal Suppository 200M","0259","RC","Both",,,"52","26","Aetna","Commercial",,,"64",,"33.18","0.04","2502.48","percent of total billed charges",,
"NF-Miconazole-3 Vaginal Suppository 200M","0259","RC","Both",,,"52","26","Blue Cross Blue Shield","Pathways",,,"71",,"36.71","0.04","2502.48","percent of total billed charges",,
"NF-Miconazole-3 Vaginal Suppository 200M","0259","RC","Both",,,"52","26","Blue Cross Blue Shield","HMO",,,"71",,"36.71","0.04","2502.48","percent of total billed charges",,
"NF-Miconazole-3 Vaginal Suppository 200M","0259","RC","Both",,,"52","26","Blue Cross Blue Shield","PPO",,,"71",,"36.71","0.04","2502.48","percent of total billed charges",,
"NF-Miconazole-3 Vaginal Suppository 200M","0259","RC","Both",,,"52","26","Ambetter","Health Exchange",,,"62",,"32.24","0.04","2502.48","percent of total billed charges",,
"NF-Miconazole-3 Vaginal Suppository 200M","0259","RC","Both",,,"52","26","Caresource","Health Exchange",,,"62",,"32.24","0.04","2502.48","percent of total billed charges",,
"NF-Miconazole-3 Vaginal Suppository 200M","0259","RC","Both",,,"52","26","Cigna","Commercial",,,"59",,"30.47","0.04","2502.48","percent of total billed charges",,
"NF-Miconazole-3 Vaginal Suppository 200M","0259","RC","Both",,,"52","26","Humana","Commercial",,,"78",,"40.3","0.04","2502.48","percent of total billed charges",,
"NF-Miconazole-3 Vaginal Suppository 200M","0259","RC","Both",,,"52","26","UHC","Commercial",,,"75",,"39.21","0.04","2502.48","percent of total billed charges",,
"NF-Miconazole-3 Vaginal Suppository 200M","0259","RC","Both",,,"52","26","Medicaid",,,,"37",,"19.03","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"394","197","Alliant","Health Exchange",,,"62",,"244.28","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"394","197","Pruitt Healthcare","Medicare Advantage",,,"54",,"212.76","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"394","197","Medicare",,,,"54",,"213.55","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"394","197","Humana","Medicare Advantage",,,"54",,"213.55","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"394","197","UHC","Medicare Advantage",,,"54",,"213.55","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"394","197","Clover","Medicare Advantage",,,"54",,"213.55","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"394","197","Wellcare","Medicare Advantage",,,"54",,"213.55","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"394","197","Amerigroup","Medicaid Managed Care",,,"37",,"144.2","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"394","197","Caresource","Medicaid Managed Care",,,"40",,"157.6","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"394","197","Wellcare","Medicaid Managed Care",,,"40",,"159.57","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"394","197","Aetna","Commercial",,,"64",,"251.37","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"394","197","Blue Cross Blue Shield","Pathways",,,"71",,"278.16","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"394","197","Blue Cross Blue Shield","HMO",,,"71",,"278.16","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"394","197","Blue Cross Blue Shield","PPO",,,"71",,"278.16","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"394","197","Ambetter","Health Exchange",,,"62",,"244.28","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"394","197","Caresource","Health Exchange",,,"62",,"244.28","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"394","197","Cigna","Commercial",,,"59",,"230.88","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"394","197","Humana","Commercial",,,"78",,"305.35","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"394","197","UHC","Commercial",,,"75",,"297.08","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"394","197","Medicaid",,,,"37",,"144.2","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"394","197","Alliant","Health Exchange",,,"62",,"244.28","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"394","197","Pruitt Healthcare","Medicare Advantage",,,"54",,"212.76","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"394","197","Medicare",,,,"54",,"213.55","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"394","197","Humana","Medicare Advantage",,,"54",,"213.55","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"394","197","UHC","Medicare Advantage",,,"54",,"213.55","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"394","197","Clover","Medicare Advantage",,,"54",,"213.55","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"394","197","Wellcare","Medicare Advantage",,,"54",,"213.55","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"394","197","Amerigroup","Medicaid Managed Care",,,"37",,"144.2","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"394","197","Caresource","Medicaid Managed Care",,,"40",,"157.6","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"394","197","Wellcare","Medicaid Managed Care",,,"40",,"159.57","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"394","197","Aetna","Commercial",,,"64",,"251.37","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"394","197","Blue Cross Blue Shield","Pathways",,,"71",,"278.16","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"394","197","Blue Cross Blue Shield","HMO",,,"71",,"278.16","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"394","197","Blue Cross Blue Shield","PPO",,,"71",,"278.16","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"394","197","Ambetter","Health Exchange",,,"62",,"244.28","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"394","197","Caresource","Health Exchange",,,"62",,"244.28","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"394","197","Cigna","Commercial",,,"59",,"230.88","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"394","197","Humana","Commercial",,,"78",,"305.35","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"394","197","UHC","Commercial",,,"75",,"297.08","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"394","197","Medicaid",,,,"37",,"144.2","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium AvPak Topical Gel 1","0259","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium AvPak Topical Gel 1","0259","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium AvPak Topical Gel 1","0259","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium AvPak Topical Gel 1","0259","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium AvPak Topical Gel 1","0259","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium AvPak Topical Gel 1","0259","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium AvPak Topical Gel 1","0259","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium AvPak Topical Gel 1","0259","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium AvPak Topical Gel 1","0259","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium AvPak Topical Gel 1","0259","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium AvPak Topical Gel 1","0259","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium AvPak Topical Gel 1","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium AvPak Topical Gel 1","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium AvPak Topical Gel 1","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium AvPak Topical Gel 1","0259","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium AvPak Topical Gel 1","0259","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium AvPak Topical Gel 1","0259","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium AvPak Topical Gel 1","0259","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium AvPak Topical Gel 1","0259","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium AvPak Topical Gel 1","0259","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"198","99","Alliant","Health Exchange",,,"62",,"122.76","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"198","99","Pruitt Healthcare","Medicare Advantage",,,"54",,"106.92","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"198","99","Medicare",,,,"54",,"107.32","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"198","99","Humana","Medicare Advantage",,,"54",,"107.32","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"198","99","UHC","Medicare Advantage",,,"54",,"107.32","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"198","99","Clover","Medicare Advantage",,,"54",,"107.32","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"198","99","Wellcare","Medicare Advantage",,,"54",,"107.32","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"198","99","Amerigroup","Medicaid Managed Care",,,"37",,"72.47","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"198","99","Caresource","Medicaid Managed Care",,,"40",,"79.2","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"198","99","Wellcare","Medicaid Managed Care",,,"40",,"80.19","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"198","99","Aetna","Commercial",,,"64",,"126.32","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"198","99","Blue Cross Blue Shield","Pathways",,,"71",,"139.79","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"198","99","Blue Cross Blue Shield","HMO",,,"71",,"139.79","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"198","99","Blue Cross Blue Shield","PPO",,,"71",,"139.79","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"198","99","Ambetter","Health Exchange",,,"62",,"122.76","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"198","99","Caresource","Health Exchange",,,"62",,"122.76","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"198","99","Cigna","Commercial",,,"59",,"116.03","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"198","99","Humana","Commercial",,,"78",,"153.45","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"198","99","UHC","Commercial",,,"75",,"149.29","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"198","99","Medicaid",,,,"37",,"72.47","0.04","2502.48","percent of total billed charges",,
"NF-Gabapentin Oral Tablet 800MG","0259","RC","Both",,,"9","4.5","Alliant","Health Exchange",,,"62",,"5.58","0.04","2502.48","percent of total billed charges",,
"NF-Gabapentin Oral Tablet 800MG","0259","RC","Both",,,"9","4.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.86","0.04","2502.48","percent of total billed charges",,
"NF-Gabapentin Oral Tablet 800MG","0259","RC","Both",,,"9","4.5","Medicare",,,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Gabapentin Oral Tablet 800MG","0259","RC","Both",,,"9","4.5","Humana","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Gabapentin Oral Tablet 800MG","0259","RC","Both",,,"9","4.5","UHC","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Gabapentin Oral Tablet 800MG","0259","RC","Both",,,"9","4.5","Clover","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Gabapentin Oral Tablet 800MG","0259","RC","Both",,,"9","4.5","Wellcare","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Gabapentin Oral Tablet 800MG","0259","RC","Both",,,"9","4.5","Amerigroup","Medicaid Managed Care",,,"37",,"3.29","0.04","2502.48","percent of total billed charges",,
"NF-Gabapentin Oral Tablet 800MG","0259","RC","Both",,,"9","4.5","Caresource","Medicaid Managed Care",,,"40",,"3.6","0.04","2502.48","percent of total billed charges",,
"NF-Gabapentin Oral Tablet 800MG","0259","RC","Both",,,"9","4.5","Wellcare","Medicaid Managed Care",,,"40",,"3.65","0.04","2502.48","percent of total billed charges",,
"NF-Gabapentin Oral Tablet 800MG","0259","RC","Both",,,"9","4.5","Aetna","Commercial",,,"64",,"5.74","0.04","2502.48","percent of total billed charges",,
"NF-Gabapentin Oral Tablet 800MG","0259","RC","Both",,,"9","4.5","Blue Cross Blue Shield","Pathways",,,"71",,"6.35","0.04","2502.48","percent of total billed charges",,
"NF-Gabapentin Oral Tablet 800MG","0259","RC","Both",,,"9","4.5","Blue Cross Blue Shield","HMO",,,"71",,"6.35","0.04","2502.48","percent of total billed charges",,
"NF-Gabapentin Oral Tablet 800MG","0259","RC","Both",,,"9","4.5","Blue Cross Blue Shield","PPO",,,"71",,"6.35","0.04","2502.48","percent of total billed charges",,
"NF-Gabapentin Oral Tablet 800MG","0259","RC","Both",,,"9","4.5","Ambetter","Health Exchange",,,"62",,"5.58","0.04","2502.48","percent of total billed charges",,
"NF-Gabapentin Oral Tablet 800MG","0259","RC","Both",,,"9","4.5","Caresource","Health Exchange",,,"62",,"5.58","0.04","2502.48","percent of total billed charges",,
"NF-Gabapentin Oral Tablet 800MG","0259","RC","Both",,,"9","4.5","Cigna","Commercial",,,"59",,"5.27","0.04","2502.48","percent of total billed charges",,
"NF-Gabapentin Oral Tablet 800MG","0259","RC","Both",,,"9","4.5","Humana","Commercial",,,"78",,"6.98","0.04","2502.48","percent of total billed charges",,
"NF-Gabapentin Oral Tablet 800MG","0259","RC","Both",,,"9","4.5","UHC","Commercial",,,"75",,"6.79","0.04","2502.48","percent of total billed charges",,
"NF-Gabapentin Oral Tablet 800MG","0259","RC","Both",,,"9","4.5","Medicaid",,,,"37",,"3.29","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Alliant","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.82","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Medicare",,,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Humana","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","UHC","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Clover","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Wellcare","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Amerigroup","Medicaid Managed Care",,,"37",,"12.08","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Caresource","Medicaid Managed Care",,,"40",,"13.2","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Wellcare","Medicaid Managed Care",,,"40",,"13.36","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Aetna","Commercial",,,"64",,"21.05","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","Pathways",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","HMO",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","PPO",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Ambetter","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Caresource","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Cigna","Commercial",,,"59",,"19.34","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Humana","Commercial",,,"78",,"25.58","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","UHC","Commercial",,,"75",,"24.88","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Medicaid",,,,"37",,"12.08","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Alliant","Health Exchange",,,"62",,"35.96","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Pruitt Healthcare","Medicare Advantage",,,"54",,"31.32","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Medicare",,,,"54",,"31.44","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Humana","Medicare Advantage",,,"54",,"31.44","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","UHC","Medicare Advantage",,,"54",,"31.44","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Clover","Medicare Advantage",,,"54",,"31.44","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Wellcare","Medicare Advantage",,,"54",,"31.44","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Amerigroup","Medicaid Managed Care",,,"37",,"21.23","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Caresource","Medicaid Managed Care",,,"40",,"23.2","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Wellcare","Medicaid Managed Care",,,"40",,"23.49","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Aetna","Commercial",,,"64",,"37","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Blue Cross Blue Shield","Pathways",,,"71",,"40.95","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Blue Cross Blue Shield","HMO",,,"71",,"40.95","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Blue Cross Blue Shield","PPO",,,"71",,"40.95","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Ambetter","Health Exchange",,,"62",,"35.96","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Caresource","Health Exchange",,,"62",,"35.96","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Cigna","Commercial",,,"59",,"33.99","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Humana","Commercial",,,"78",,"44.95","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","UHC","Commercial",,,"75",,"43.73","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Medicaid",,,,"37",,"21.23","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 5MG","0259","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 5MG","0259","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 5MG","0259","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 5MG","0259","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 5MG","0259","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 5MG","0259","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 5MG","0259","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 5MG","0259","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 5MG","0259","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 5MG","0259","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 5MG","0259","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 5MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 5MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 5MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 5MG","0259","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 5MG","0259","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 5MG","0259","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 5MG","0259","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 5MG","0259","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 5MG","0259","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Alliant","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.66","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Medicare",,,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Humana","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","UHC","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Clover","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Amerigroup","Medicaid Managed Care",,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Caresource","Medicaid Managed Care",,,"40",,"11.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicaid Managed Care",,,"40",,"11.74","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Aetna","Commercial",,,"64",,"18.5","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","Pathways",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","HMO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","PPO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Ambetter","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Caresource","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Cigna","Commercial",,,"59",,"16.99","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Humana","Commercial",,,"78",,"22.48","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","UHC","Commercial",,,"75",,"21.87","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Medicaid",,,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Alliant","Health Exchange",,,"62",,"562.34","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"489.78","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Medicare",,,,"54",,"491.59","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Humana","Medicare Advantage",,,"54",,"491.59","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","UHC","Medicare Advantage",,,"54",,"491.59","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Clover","Medicare Advantage",,,"54",,"491.59","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Wellcare","Medicare Advantage",,,"54",,"491.59","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Amerigroup","Medicaid Managed Care",,,"37",,"331.96","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Caresource","Medicaid Managed Care",,,"40",,"362.8","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Wellcare","Medicaid Managed Care",,,"40",,"367.34","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Aetna","Commercial",,,"64",,"578.67","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Blue Cross Blue Shield","Pathways",,,"71",,"640.34","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Blue Cross Blue Shield","HMO",,,"71",,"640.34","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Blue Cross Blue Shield","PPO",,,"71",,"640.34","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Ambetter","Health Exchange",,,"62",,"562.34","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Caresource","Health Exchange",,,"62",,"562.34","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Cigna","Commercial",,,"59",,"531.5","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Humana","Commercial",,,"78",,"702.92","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","UHC","Commercial",,,"75",,"683.88","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Medicaid",,,,"37",,"331.96","0.04","2502.48","percent of total billed charges",,
"NF-Aricept Tablet 10MG","0259","RC","Both",,,"60","30","Alliant","Health Exchange",,,"62",,"37.2","0.04","2502.48","percent of total billed charges",,
"NF-Aricept Tablet 10MG","0259","RC","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage",,,"54",,"32.4","0.04","2502.48","percent of total billed charges",,
"NF-Aricept Tablet 10MG","0259","RC","Both",,,"60","30","Medicare",,,,"54",,"32.52","0.04","2502.48","percent of total billed charges",,
"NF-Aricept Tablet 10MG","0259","RC","Both",,,"60","30","Humana","Medicare Advantage",,,"54",,"32.52","0.04","2502.48","percent of total billed charges",,
"NF-Aricept Tablet 10MG","0259","RC","Both",,,"60","30","UHC","Medicare Advantage",,,"54",,"32.52","0.04","2502.48","percent of total billed charges",,
"NF-Aricept Tablet 10MG","0259","RC","Both",,,"60","30","Clover","Medicare Advantage",,,"54",,"32.52","0.04","2502.48","percent of total billed charges",,
"NF-Aricept Tablet 10MG","0259","RC","Both",,,"60","30","Wellcare","Medicare Advantage",,,"54",,"32.52","0.04","2502.48","percent of total billed charges",,
"NF-Aricept Tablet 10MG","0259","RC","Both",,,"60","30","Amerigroup","Medicaid Managed Care",,,"37",,"21.96","0.04","2502.48","percent of total billed charges",,
"NF-Aricept Tablet 10MG","0259","RC","Both",,,"60","30","Caresource","Medicaid Managed Care",,,"40",,"24","0.04","2502.48","percent of total billed charges",,
"NF-Aricept Tablet 10MG","0259","RC","Both",,,"60","30","Wellcare","Medicaid Managed Care",,,"40",,"24.3","0.04","2502.48","percent of total billed charges",,
"NF-Aricept Tablet 10MG","0259","RC","Both",,,"60","30","Aetna","Commercial",,,"64",,"38.28","0.04","2502.48","percent of total billed charges",,
"NF-Aricept Tablet 10MG","0259","RC","Both",,,"60","30","Blue Cross Blue Shield","Pathways",,,"71",,"42.36","0.04","2502.48","percent of total billed charges",,
"NF-Aricept Tablet 10MG","0259","RC","Both",,,"60","30","Blue Cross Blue Shield","HMO",,,"71",,"42.36","0.04","2502.48","percent of total billed charges",,
"NF-Aricept Tablet 10MG","0259","RC","Both",,,"60","30","Blue Cross Blue Shield","PPO",,,"71",,"42.36","0.04","2502.48","percent of total billed charges",,
"NF-Aricept Tablet 10MG","0259","RC","Both",,,"60","30","Ambetter","Health Exchange",,,"62",,"37.2","0.04","2502.48","percent of total billed charges",,
"NF-Aricept Tablet 10MG","0259","RC","Both",,,"60","30","Caresource","Health Exchange",,,"62",,"37.2","0.04","2502.48","percent of total billed charges",,
"NF-Aricept Tablet 10MG","0259","RC","Both",,,"60","30","Cigna","Commercial",,,"59",,"35.16","0.04","2502.48","percent of total billed charges",,
"NF-Aricept Tablet 10MG","0259","RC","Both",,,"60","30","Humana","Commercial",,,"78",,"46.5","0.04","2502.48","percent of total billed charges",,
"NF-Aricept Tablet 10MG","0259","RC","Both",,,"60","30","UHC","Commercial",,,"75",,"45.24","0.04","2502.48","percent of total billed charges",,
"NF-Aricept Tablet 10MG","0259","RC","Both",,,"60","30","Medicaid",,,,"37",,"21.96","0.04","2502.48","percent of total billed charges",,
"NF-Cyanocobalamin Injection 1000MCG/ML","0250","RC","Both",,,"16","8","Alliant","Health Exchange",,,"62",,"9.92","0.04","569.62","percent of total billed charges",,
"NF-Cyanocobalamin Injection 1000MCG/ML","0250","RC","Both",,,"16","8","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.64","0.04","569.62","percent of total billed charges",,
"NF-Cyanocobalamin Injection 1000MCG/ML","0250","RC","Both",,,"16","8","Medicare",,,,"54",,"8.67","0.04","569.62","percent of total billed charges",,
"NF-Cyanocobalamin Injection 1000MCG/ML","0250","RC","Both",,,"16","8","Humana","Medicare Advantage",,,"54",,"8.67","0.04","569.62","percent of total billed charges",,
"NF-Cyanocobalamin Injection 1000MCG/ML","0250","RC","Both",,,"16","8","UHC","Medicare Advantage",,,"54",,"8.67","0.04","569.62","percent of total billed charges",,
"NF-Cyanocobalamin Injection 1000MCG/ML","0250","RC","Both",,,"16","8","Clover","Medicare Advantage",,,"54",,"8.67","0.04","569.62","percent of total billed charges",,
"NF-Cyanocobalamin Injection 1000MCG/ML","0250","RC","Both",,,"16","8","Wellcare","Medicare Advantage",,,"54",,"8.67","0.04","569.62","percent of total billed charges",,
"NF-Cyanocobalamin Injection 1000MCG/ML","0250","RC","Both",,,"16","8","Amerigroup","Medicaid Managed Care",,,"37",,"5.86","0.04","569.62","percent of total billed charges",,
"NF-Cyanocobalamin Injection 1000MCG/ML","0250","RC","Both",,,"16","8","Caresource","Medicaid Managed Care",,,"40",,"6.4","0.04","569.62","percent of total billed charges",,
"NF-Cyanocobalamin Injection 1000MCG/ML","0250","RC","Both",,,"16","8","Wellcare","Medicaid Managed Care",,,"40",,"6.48","0.04","569.62","percent of total billed charges",,
"NF-Cyanocobalamin Injection 1000MCG/ML","0250","RC","Both",,,"16","8","Aetna","Commercial",,,"64",,"10.21","0.04","569.62","percent of total billed charges",,
"NF-Cyanocobalamin Injection 1000MCG/ML","0250","RC","Both",,,"16","8","Blue Cross Blue Shield","Pathways",,,"71",,"11.3","0.04","569.62","percent of total billed charges",,
"NF-Cyanocobalamin Injection 1000MCG/ML","0250","RC","Both",,,"16","8","Blue Cross Blue Shield","HMO",,,"71",,"11.3","0.04","569.62","percent of total billed charges",,
"NF-Cyanocobalamin Injection 1000MCG/ML","0250","RC","Both",,,"16","8","Blue Cross Blue Shield","PPO",,,"71",,"11.3","0.04","569.62","percent of total billed charges",,
"NF-Cyanocobalamin Injection 1000MCG/ML","0250","RC","Both",,,"16","8","Ambetter","Health Exchange",,,"62",,"9.92","0.04","569.62","percent of total billed charges",,
"NF-Cyanocobalamin Injection 1000MCG/ML","0250","RC","Both",,,"16","8","Caresource","Health Exchange",,,"62",,"9.92","0.04","569.62","percent of total billed charges",,
"NF-Cyanocobalamin Injection 1000MCG/ML","0250","RC","Both",,,"16","8","Cigna","Commercial",,,"59",,"9.38","0.04","569.62","percent of total billed charges",,
"NF-Cyanocobalamin Injection 1000MCG/ML","0250","RC","Both",,,"16","8","Humana","Commercial",,,"78",,"12.4","0.04","569.62","percent of total billed charges",,
"NF-Cyanocobalamin Injection 1000MCG/ML","0250","RC","Both",,,"16","8","UHC","Commercial",,,"75",,"12.06","0.04","569.62","percent of total billed charges",,
"NF-Cyanocobalamin Injection 1000MCG/ML","0250","RC","Both",,,"16","8","Medicaid",,,,"37",,"5.86","0.04","569.62","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Alliant","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Pruitt Healthcare","Medicare Advantage",,,"54",,"30.24","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Medicare",,,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Humana","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","UHC","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Clover","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Wellcare","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Amerigroup","Medicaid Managed Care",,,"37",,"20.5","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Caresource","Medicaid Managed Care",,,"40",,"22.4","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Wellcare","Medicaid Managed Care",,,"40",,"22.68","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Aetna","Commercial",,,"64",,"35.73","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","Pathways",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","HMO",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","PPO",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Ambetter","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Caresource","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Cigna","Commercial",,,"59",,"32.82","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Humana","Commercial",,,"78",,"43.4","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","UHC","Commercial",,,"75",,"42.22","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Medicaid",,,,"37",,"20.5","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Alliant","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.82","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Medicare",,,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Humana","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","UHC","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Clover","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Wellcare","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Amerigroup","Medicaid Managed Care",,,"37",,"12.08","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Caresource","Medicaid Managed Care",,,"40",,"13.2","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Wellcare","Medicaid Managed Care",,,"40",,"13.36","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Aetna","Commercial",,,"64",,"21.05","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","Pathways",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","HMO",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","PPO",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Ambetter","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Caresource","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Cigna","Commercial",,,"59",,"19.34","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Humana","Commercial",,,"78",,"25.58","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","UHC","Commercial",,,"75",,"24.88","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Medicaid",,,,"37",,"12.08","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Alliant","Health Exchange",,,"62",,"562.34","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"489.78","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Medicare",,,,"54",,"491.59","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Humana","Medicare Advantage",,,"54",,"491.59","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","UHC","Medicare Advantage",,,"54",,"491.59","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Clover","Medicare Advantage",,,"54",,"491.59","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Wellcare","Medicare Advantage",,,"54",,"491.59","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Amerigroup","Medicaid Managed Care",,,"37",,"331.96","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Caresource","Medicaid Managed Care",,,"40",,"362.8","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Wellcare","Medicaid Managed Care",,,"40",,"367.34","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Aetna","Commercial",,,"64",,"578.67","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Blue Cross Blue Shield","Pathways",,,"71",,"640.34","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Blue Cross Blue Shield","HMO",,,"71",,"640.34","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Blue Cross Blue Shield","PPO",,,"71",,"640.34","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Ambetter","Health Exchange",,,"62",,"562.34","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Caresource","Health Exchange",,,"62",,"562.34","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Cigna","Commercial",,,"59",,"531.5","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Humana","Commercial",,,"78",,"702.92","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","UHC","Commercial",,,"75",,"683.88","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Medicaid",,,,"37",,"331.96","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"56","28","Alliant","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"56","28","Pruitt Healthcare","Medicare Advantage",,,"54",,"30.24","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"56","28","Medicare",,,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"56","28","Humana","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"56","28","UHC","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"56","28","Clover","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"56","28","Wellcare","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"56","28","Amerigroup","Medicaid Managed Care",,,"37",,"20.5","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"56","28","Caresource","Medicaid Managed Care",,,"40",,"22.4","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"56","28","Wellcare","Medicaid Managed Care",,,"40",,"22.68","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"56","28","Aetna","Commercial",,,"64",,"35.73","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","Pathways",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","HMO",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","PPO",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"56","28","Ambetter","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"56","28","Caresource","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"56","28","Cigna","Commercial",,,"59",,"32.82","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"56","28","Humana","Commercial",,,"78",,"43.4","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"56","28","UHC","Commercial",,,"75",,"42.22","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"56","28","Medicaid",,,,"37",,"20.5","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Alliant","Health Exchange",,,"62",,"35.96","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Pruitt Healthcare","Medicare Advantage",,,"54",,"31.32","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Medicare",,,,"54",,"31.44","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Humana","Medicare Advantage",,,"54",,"31.44","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","UHC","Medicare Advantage",,,"54",,"31.44","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Clover","Medicare Advantage",,,"54",,"31.44","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Wellcare","Medicare Advantage",,,"54",,"31.44","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Amerigroup","Medicaid Managed Care",,,"37",,"21.23","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Caresource","Medicaid Managed Care",,,"40",,"23.2","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Wellcare","Medicaid Managed Care",,,"40",,"23.49","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Aetna","Commercial",,,"64",,"37","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Blue Cross Blue Shield","Pathways",,,"71",,"40.95","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Blue Cross Blue Shield","HMO",,,"71",,"40.95","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Blue Cross Blue Shield","PPO",,,"71",,"40.95","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Ambetter","Health Exchange",,,"62",,"35.96","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Caresource","Health Exchange",,,"62",,"35.96","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Cigna","Commercial",,,"59",,"33.99","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Humana","Commercial",,,"78",,"44.95","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","UHC","Commercial",,,"75",,"43.73","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Medicaid",,,,"37",,"21.23","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 15MG","0259","RC","Both",,,"46","23","Alliant","Health Exchange",,,"62",,"28.52","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 15MG","0259","RC","Both",,,"46","23","Pruitt Healthcare","Medicare Advantage",,,"54",,"24.84","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 15MG","0259","RC","Both",,,"46","23","Medicare",,,,"54",,"24.93","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 15MG","0259","RC","Both",,,"46","23","Humana","Medicare Advantage",,,"54",,"24.93","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 15MG","0259","RC","Both",,,"46","23","UHC","Medicare Advantage",,,"54",,"24.93","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 15MG","0259","RC","Both",,,"46","23","Clover","Medicare Advantage",,,"54",,"24.93","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 15MG","0259","RC","Both",,,"46","23","Wellcare","Medicare Advantage",,,"54",,"24.93","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 15MG","0259","RC","Both",,,"46","23","Amerigroup","Medicaid Managed Care",,,"37",,"16.84","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 15MG","0259","RC","Both",,,"46","23","Caresource","Medicaid Managed Care",,,"40",,"18.4","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 15MG","0259","RC","Both",,,"46","23","Wellcare","Medicaid Managed Care",,,"40",,"18.63","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 15MG","0259","RC","Both",,,"46","23","Aetna","Commercial",,,"64",,"29.35","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 15MG","0259","RC","Both",,,"46","23","Blue Cross Blue Shield","Pathways",,,"71",,"32.48","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 15MG","0259","RC","Both",,,"46","23","Blue Cross Blue Shield","HMO",,,"71",,"32.48","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 15MG","0259","RC","Both",,,"46","23","Blue Cross Blue Shield","PPO",,,"71",,"32.48","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 15MG","0259","RC","Both",,,"46","23","Ambetter","Health Exchange",,,"62",,"28.52","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 15MG","0259","RC","Both",,,"46","23","Caresource","Health Exchange",,,"62",,"28.52","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 15MG","0259","RC","Both",,,"46","23","Cigna","Commercial",,,"59",,"26.96","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 15MG","0259","RC","Both",,,"46","23","Humana","Commercial",,,"78",,"35.65","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 15MG","0259","RC","Both",,,"46","23","UHC","Commercial",,,"75",,"34.68","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 15MG","0259","RC","Both",,,"46","23","Medicaid",,,,"37",,"16.84","0.04","2502.48","percent of total billed charges",,
"NF-Crestor Oral Tablet 20MG","0259","RC","Both",,,"33","16.5","Alliant","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Crestor Oral Tablet 20MG","0259","RC","Both",,,"33","16.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.82","0.04","2502.48","percent of total billed charges",,
"NF-Crestor Oral Tablet 20MG","0259","RC","Both",,,"33","16.5","Medicare",,,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Crestor Oral Tablet 20MG","0259","RC","Both",,,"33","16.5","Humana","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Crestor Oral Tablet 20MG","0259","RC","Both",,,"33","16.5","UHC","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Crestor Oral Tablet 20MG","0259","RC","Both",,,"33","16.5","Clover","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Crestor Oral Tablet 20MG","0259","RC","Both",,,"33","16.5","Wellcare","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Crestor Oral Tablet 20MG","0259","RC","Both",,,"33","16.5","Amerigroup","Medicaid Managed Care",,,"37",,"12.08","0.04","2502.48","percent of total billed charges",,
"NF-Crestor Oral Tablet 20MG","0259","RC","Both",,,"33","16.5","Caresource","Medicaid Managed Care",,,"40",,"13.2","0.04","2502.48","percent of total billed charges",,
"NF-Crestor Oral Tablet 20MG","0259","RC","Both",,,"33","16.5","Wellcare","Medicaid Managed Care",,,"40",,"13.36","0.04","2502.48","percent of total billed charges",,
"NF-Crestor Oral Tablet 20MG","0259","RC","Both",,,"33","16.5","Aetna","Commercial",,,"64",,"21.05","0.04","2502.48","percent of total billed charges",,
"NF-Crestor Oral Tablet 20MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","Pathways",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Crestor Oral Tablet 20MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","HMO",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Crestor Oral Tablet 20MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","PPO",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Crestor Oral Tablet 20MG","0259","RC","Both",,,"33","16.5","Ambetter","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Crestor Oral Tablet 20MG","0259","RC","Both",,,"33","16.5","Caresource","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Crestor Oral Tablet 20MG","0259","RC","Both",,,"33","16.5","Cigna","Commercial",,,"59",,"19.34","0.04","2502.48","percent of total billed charges",,
"NF-Crestor Oral Tablet 20MG","0259","RC","Both",,,"33","16.5","Humana","Commercial",,,"78",,"25.58","0.04","2502.48","percent of total billed charges",,
"NF-Crestor Oral Tablet 20MG","0259","RC","Both",,,"33","16.5","UHC","Commercial",,,"75",,"24.88","0.04","2502.48","percent of total billed charges",,
"NF-Crestor Oral Tablet 20MG","0259","RC","Both",,,"33","16.5","Medicaid",,,,"37",,"12.08","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Alliant","Health Exchange",,,"62",,"36.58","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"31.86","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Medicare",,,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Humana","Medicare Advantage",,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","UHC","Medicare Advantage",,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Clover","Medicare Advantage",,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Wellcare","Medicare Advantage",,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Amerigroup","Medicaid Managed Care",,,"37",,"21.59","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Caresource","Medicaid Managed Care",,,"40",,"23.6","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Wellcare","Medicaid Managed Care",,,"40",,"23.9","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Aetna","Commercial",,,"64",,"37.64","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Blue Cross Blue Shield","Pathways",,,"71",,"41.65","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Blue Cross Blue Shield","HMO",,,"71",,"41.65","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Blue Cross Blue Shield","PPO",,,"71",,"41.65","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Ambetter","Health Exchange",,,"62",,"36.58","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Caresource","Health Exchange",,,"62",,"36.58","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Cigna","Commercial",,,"59",,"34.57","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Humana","Commercial",,,"78",,"45.72","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","UHC","Commercial",,,"75",,"44.49","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Medicaid",,,,"37",,"21.59","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"59","29.5","Alliant","Health Exchange",,,"62",,"36.58","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"59","29.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"31.86","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"59","29.5","Medicare",,,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"59","29.5","Humana","Medicare Advantage",,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"59","29.5","UHC","Medicare Advantage",,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"59","29.5","Clover","Medicare Advantage",,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"59","29.5","Wellcare","Medicare Advantage",,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"59","29.5","Amerigroup","Medicaid Managed Care",,,"37",,"21.59","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"59","29.5","Caresource","Medicaid Managed Care",,,"40",,"23.6","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"59","29.5","Wellcare","Medicaid Managed Care",,,"40",,"23.9","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"59","29.5","Aetna","Commercial",,,"64",,"37.64","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"59","29.5","Blue Cross Blue Shield","Pathways",,,"71",,"41.65","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"59","29.5","Blue Cross Blue Shield","HMO",,,"71",,"41.65","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"59","29.5","Blue Cross Blue Shield","PPO",,,"71",,"41.65","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"59","29.5","Ambetter","Health Exchange",,,"62",,"36.58","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"59","29.5","Caresource","Health Exchange",,,"62",,"36.58","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"59","29.5","Cigna","Commercial",,,"59",,"34.57","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"59","29.5","Humana","Commercial",,,"78",,"45.72","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"59","29.5","UHC","Commercial",,,"75",,"44.49","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"59","29.5","Medicaid",,,,"37",,"21.59","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Alliant","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.66","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Medicare",,,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Humana","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","UHC","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Clover","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Amerigroup","Medicaid Managed Care",,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Caresource","Medicaid Managed Care",,,"40",,"11.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicaid Managed Care",,,"40",,"11.74","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Aetna","Commercial",,,"64",,"18.5","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","Pathways",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","HMO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","PPO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Ambetter","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Caresource","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Cigna","Commercial",,,"59",,"16.99","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Humana","Commercial",,,"78",,"22.48","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","UHC","Commercial",,,"75",,"21.87","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Medicaid",,,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Alliant","Health Exchange",,,"62",,"22.32","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.44","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Medicare",,,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Humana","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","UHC","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Clover","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Wellcare","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Amerigroup","Medicaid Managed Care",,,"37",,"13.18","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Caresource","Medicaid Managed Care",,,"40",,"14.4","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Wellcare","Medicaid Managed Care",,,"40",,"14.58","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Aetna","Commercial",,,"64",,"22.97","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Blue Cross Blue Shield","Pathways",,,"71",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Blue Cross Blue Shield","HMO",,,"71",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Blue Cross Blue Shield","PPO",,,"71",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Ambetter","Health Exchange",,,"62",,"22.32","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Caresource","Health Exchange",,,"62",,"22.32","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Cigna","Commercial",,,"59",,"21.1","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Humana","Commercial",,,"78",,"27.9","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","UHC","Commercial",,,"75",,"27.14","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Medicaid",,,,"37",,"13.18","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","0.04","2502.48","percent of total billed charges",,
"NF-Descovy Oral Tablet 200MG-25MG","0259","RC","Both",,,"231","115.5","Alliant","Health Exchange",,,"62",,"143.22","0.04","2502.48","percent of total billed charges",,
"NF-Descovy Oral Tablet 200MG-25MG","0259","RC","Both",,,"231","115.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"124.74","0.04","2502.48","percent of total billed charges",,
"NF-Descovy Oral Tablet 200MG-25MG","0259","RC","Both",,,"231","115.5","Medicare",,,,"54",,"125.2","0.04","2502.48","percent of total billed charges",,
"NF-Descovy Oral Tablet 200MG-25MG","0259","RC","Both",,,"231","115.5","Humana","Medicare Advantage",,,"54",,"125.2","0.04","2502.48","percent of total billed charges",,
"NF-Descovy Oral Tablet 200MG-25MG","0259","RC","Both",,,"231","115.5","UHC","Medicare Advantage",,,"54",,"125.2","0.04","2502.48","percent of total billed charges",,
"NF-Descovy Oral Tablet 200MG-25MG","0259","RC","Both",,,"231","115.5","Clover","Medicare Advantage",,,"54",,"125.2","0.04","2502.48","percent of total billed charges",,
"NF-Descovy Oral Tablet 200MG-25MG","0259","RC","Both",,,"231","115.5","Wellcare","Medicare Advantage",,,"54",,"125.2","0.04","2502.48","percent of total billed charges",,
"NF-Descovy Oral Tablet 200MG-25MG","0259","RC","Both",,,"231","115.5","Amerigroup","Medicaid Managed Care",,,"37",,"84.55","0.04","2502.48","percent of total billed charges",,
"NF-Descovy Oral Tablet 200MG-25MG","0259","RC","Both",,,"231","115.5","Caresource","Medicaid Managed Care",,,"40",,"92.4","0.04","2502.48","percent of total billed charges",,
"NF-Descovy Oral Tablet 200MG-25MG","0259","RC","Both",,,"231","115.5","Wellcare","Medicaid Managed Care",,,"40",,"93.56","0.04","2502.48","percent of total billed charges",,
"NF-Descovy Oral Tablet 200MG-25MG","0259","RC","Both",,,"231","115.5","Aetna","Commercial",,,"64",,"147.38","0.04","2502.48","percent of total billed charges",,
"NF-Descovy Oral Tablet 200MG-25MG","0259","RC","Both",,,"231","115.5","Blue Cross Blue Shield","Pathways",,,"71",,"163.09","0.04","2502.48","percent of total billed charges",,
"NF-Descovy Oral Tablet 200MG-25MG","0259","RC","Both",,,"231","115.5","Blue Cross Blue Shield","HMO",,,"71",,"163.09","0.04","2502.48","percent of total billed charges",,
"NF-Descovy Oral Tablet 200MG-25MG","0259","RC","Both",,,"231","115.5","Blue Cross Blue Shield","PPO",,,"71",,"163.09","0.04","2502.48","percent of total billed charges",,
"NF-Descovy Oral Tablet 200MG-25MG","0259","RC","Both",,,"231","115.5","Ambetter","Health Exchange",,,"62",,"143.22","0.04","2502.48","percent of total billed charges",,
"NF-Descovy Oral Tablet 200MG-25MG","0259","RC","Both",,,"231","115.5","Caresource","Health Exchange",,,"62",,"143.22","0.04","2502.48","percent of total billed charges",,
"NF-Descovy Oral Tablet 200MG-25MG","0259","RC","Both",,,"231","115.5","Cigna","Commercial",,,"59",,"135.37","0.04","2502.48","percent of total billed charges",,
"NF-Descovy Oral Tablet 200MG-25MG","0259","RC","Both",,,"231","115.5","Humana","Commercial",,,"78",,"179.02","0.04","2502.48","percent of total billed charges",,
"NF-Descovy Oral Tablet 200MG-25MG","0259","RC","Both",,,"231","115.5","UHC","Commercial",,,"75",,"174.17","0.04","2502.48","percent of total billed charges",,
"NF-Descovy Oral Tablet 200MG-25MG","0259","RC","Both",,,"231","115.5","Medicaid",,,,"37",,"84.55","0.04","2502.48","percent of total billed charges",,
"NF-Tivicay Oral Tablet 50MG","0259","RC","Both",,,"230","115","Alliant","Health Exchange",,,"62",,"142.6","0.04","2502.48","percent of total billed charges",,
"NF-Tivicay Oral Tablet 50MG","0259","RC","Both",,,"230","115","Pruitt Healthcare","Medicare Advantage",,,"54",,"124.2","0.04","2502.48","percent of total billed charges",,
"NF-Tivicay Oral Tablet 50MG","0259","RC","Both",,,"230","115","Medicare",,,,"54",,"124.66","0.04","2502.48","percent of total billed charges",,
"NF-Tivicay Oral Tablet 50MG","0259","RC","Both",,,"230","115","Humana","Medicare Advantage",,,"54",,"124.66","0.04","2502.48","percent of total billed charges",,
"NF-Tivicay Oral Tablet 50MG","0259","RC","Both",,,"230","115","UHC","Medicare Advantage",,,"54",,"124.66","0.04","2502.48","percent of total billed charges",,
"NF-Tivicay Oral Tablet 50MG","0259","RC","Both",,,"230","115","Clover","Medicare Advantage",,,"54",,"124.66","0.04","2502.48","percent of total billed charges",,
"NF-Tivicay Oral Tablet 50MG","0259","RC","Both",,,"230","115","Wellcare","Medicare Advantage",,,"54",,"124.66","0.04","2502.48","percent of total billed charges",,
"NF-Tivicay Oral Tablet 50MG","0259","RC","Both",,,"230","115","Amerigroup","Medicaid Managed Care",,,"37",,"84.18","0.04","2502.48","percent of total billed charges",,
"NF-Tivicay Oral Tablet 50MG","0259","RC","Both",,,"230","115","Caresource","Medicaid Managed Care",,,"40",,"92","0.04","2502.48","percent of total billed charges",,
"NF-Tivicay Oral Tablet 50MG","0259","RC","Both",,,"230","115","Wellcare","Medicaid Managed Care",,,"40",,"93.15","0.04","2502.48","percent of total billed charges",,
"NF-Tivicay Oral Tablet 50MG","0259","RC","Both",,,"230","115","Aetna","Commercial",,,"64",,"146.74","0.04","2502.48","percent of total billed charges",,
"NF-Tivicay Oral Tablet 50MG","0259","RC","Both",,,"230","115","Blue Cross Blue Shield","Pathways",,,"71",,"162.38","0.04","2502.48","percent of total billed charges",,
"NF-Tivicay Oral Tablet 50MG","0259","RC","Both",,,"230","115","Blue Cross Blue Shield","HMO",,,"71",,"162.38","0.04","2502.48","percent of total billed charges",,
"NF-Tivicay Oral Tablet 50MG","0259","RC","Both",,,"230","115","Blue Cross Blue Shield","PPO",,,"71",,"162.38","0.04","2502.48","percent of total billed charges",,
"NF-Tivicay Oral Tablet 50MG","0259","RC","Both",,,"230","115","Ambetter","Health Exchange",,,"62",,"142.6","0.04","2502.48","percent of total billed charges",,
"NF-Tivicay Oral Tablet 50MG","0259","RC","Both",,,"230","115","Caresource","Health Exchange",,,"62",,"142.6","0.04","2502.48","percent of total billed charges",,
"NF-Tivicay Oral Tablet 50MG","0259","RC","Both",,,"230","115","Cigna","Commercial",,,"59",,"134.78","0.04","2502.48","percent of total billed charges",,
"NF-Tivicay Oral Tablet 50MG","0259","RC","Both",,,"230","115","Humana","Commercial",,,"78",,"178.25","0.04","2502.48","percent of total billed charges",,
"NF-Tivicay Oral Tablet 50MG","0259","RC","Both",,,"230","115","UHC","Commercial",,,"75",,"173.42","0.04","2502.48","percent of total billed charges",,
"NF-Tivicay Oral Tablet 50MG","0259","RC","Both",,,"230","115","Medicaid",,,,"37",,"84.18","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Alliant","Health Exchange",,,"62",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"22.14","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Medicare",,,,"54",,"22.22","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Humana","Medicare Advantage",,,"54",,"22.22","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","UHC","Medicare Advantage",,,"54",,"22.22","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Clover","Medicare Advantage",,,"54",,"22.22","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Wellcare","Medicare Advantage",,,"54",,"22.22","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.01","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Caresource","Medicaid Managed Care",,,"40",,"16.4","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Wellcare","Medicaid Managed Care",,,"40",,"16.6","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Aetna","Commercial",,,"64",,"26.16","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Blue Cross Blue Shield","Pathways",,,"71",,"28.95","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Blue Cross Blue Shield","HMO",,,"71",,"28.95","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Blue Cross Blue Shield","PPO",,,"71",,"28.95","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Ambetter","Health Exchange",,,"62",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Caresource","Health Exchange",,,"62",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Cigna","Commercial",,,"59",,"24.03","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Humana","Commercial",,,"78",,"31.78","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","UHC","Commercial",,,"75",,"30.91","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Medicaid",,,,"37",,"15.01","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sodium Oral Tablet 70MG","0259","RC","Both",,,"61","30.5","Alliant","Health Exchange",,,"62",,"37.82","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sodium Oral Tablet 70MG","0259","RC","Both",,,"61","30.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"32.94","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sodium Oral Tablet 70MG","0259","RC","Both",,,"61","30.5","Medicare",,,,"54",,"33.06","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sodium Oral Tablet 70MG","0259","RC","Both",,,"61","30.5","Humana","Medicare Advantage",,,"54",,"33.06","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sodium Oral Tablet 70MG","0259","RC","Both",,,"61","30.5","UHC","Medicare Advantage",,,"54",,"33.06","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sodium Oral Tablet 70MG","0259","RC","Both",,,"61","30.5","Clover","Medicare Advantage",,,"54",,"33.06","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sodium Oral Tablet 70MG","0259","RC","Both",,,"61","30.5","Wellcare","Medicare Advantage",,,"54",,"33.06","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sodium Oral Tablet 70MG","0259","RC","Both",,,"61","30.5","Amerigroup","Medicaid Managed Care",,,"37",,"22.33","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sodium Oral Tablet 70MG","0259","RC","Both",,,"61","30.5","Caresource","Medicaid Managed Care",,,"40",,"24.4","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sodium Oral Tablet 70MG","0259","RC","Both",,,"61","30.5","Wellcare","Medicaid Managed Care",,,"40",,"24.7","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sodium Oral Tablet 70MG","0259","RC","Both",,,"61","30.5","Aetna","Commercial",,,"64",,"38.92","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sodium Oral Tablet 70MG","0259","RC","Both",,,"61","30.5","Blue Cross Blue Shield","Pathways",,,"71",,"43.07","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sodium Oral Tablet 70MG","0259","RC","Both",,,"61","30.5","Blue Cross Blue Shield","HMO",,,"71",,"43.07","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sodium Oral Tablet 70MG","0259","RC","Both",,,"61","30.5","Blue Cross Blue Shield","PPO",,,"71",,"43.07","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sodium Oral Tablet 70MG","0259","RC","Both",,,"61","30.5","Ambetter","Health Exchange",,,"62",,"37.82","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sodium Oral Tablet 70MG","0259","RC","Both",,,"61","30.5","Caresource","Health Exchange",,,"62",,"37.82","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sodium Oral Tablet 70MG","0259","RC","Both",,,"61","30.5","Cigna","Commercial",,,"59",,"35.75","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sodium Oral Tablet 70MG","0259","RC","Both",,,"61","30.5","Humana","Commercial",,,"78",,"47.28","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sodium Oral Tablet 70MG","0259","RC","Both",,,"61","30.5","UHC","Commercial",,,"75",,"45.99","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sodium Oral Tablet 70MG","0259","RC","Both",,,"61","30.5","Medicaid",,,,"37",,"22.33","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"22","11","Medicare",,,,"54",,"11.92","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"22","11","Medicaid",,,,"37",,"8.05","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Alliant","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.82","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Medicare",,,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Humana","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","UHC","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Clover","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Wellcare","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Amerigroup","Medicaid Managed Care",,,"37",,"12.08","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Caresource","Medicaid Managed Care",,,"40",,"13.2","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Wellcare","Medicaid Managed Care",,,"40",,"13.36","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Aetna","Commercial",,,"64",,"21.05","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","Pathways",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","HMO",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","PPO",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Ambetter","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Caresource","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Cigna","Commercial",,,"59",,"19.34","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Humana","Commercial",,,"78",,"25.58","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","UHC","Commercial",,,"75",,"24.88","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Medicaid",,,,"37",,"12.08","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Alliant","Health Exchange",,,"62",,"562.34","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"489.78","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Medicare",,,,"54",,"491.59","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Humana","Medicare Advantage",,,"54",,"491.59","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","UHC","Medicare Advantage",,,"54",,"491.59","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Clover","Medicare Advantage",,,"54",,"491.59","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Wellcare","Medicare Advantage",,,"54",,"491.59","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Amerigroup","Medicaid Managed Care",,,"37",,"331.96","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Caresource","Medicaid Managed Care",,,"40",,"362.8","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Wellcare","Medicaid Managed Care",,,"40",,"367.34","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Aetna","Commercial",,,"64",,"578.67","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Blue Cross Blue Shield","Pathways",,,"71",,"640.34","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Blue Cross Blue Shield","HMO",,,"71",,"640.34","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Blue Cross Blue Shield","PPO",,,"71",,"640.34","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Ambetter","Health Exchange",,,"62",,"562.34","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Caresource","Health Exchange",,,"62",,"562.34","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Cigna","Commercial",,,"59",,"531.5","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Humana","Commercial",,,"78",,"702.92","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","UHC","Commercial",,,"75",,"683.88","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Medicaid",,,,"37",,"331.96","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Alliant","Health Exchange",,,"62",,"35.96","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Pruitt Healthcare","Medicare Advantage",,,"54",,"31.32","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Medicare",,,,"54",,"31.44","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Humana","Medicare Advantage",,,"54",,"31.44","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","UHC","Medicare Advantage",,,"54",,"31.44","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Clover","Medicare Advantage",,,"54",,"31.44","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Wellcare","Medicare Advantage",,,"54",,"31.44","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Amerigroup","Medicaid Managed Care",,,"37",,"21.23","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Caresource","Medicaid Managed Care",,,"40",,"23.2","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Wellcare","Medicaid Managed Care",,,"40",,"23.49","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Aetna","Commercial",,,"64",,"37","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Blue Cross Blue Shield","Pathways",,,"71",,"40.95","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Blue Cross Blue Shield","HMO",,,"71",,"40.95","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Blue Cross Blue Shield","PPO",,,"71",,"40.95","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Ambetter","Health Exchange",,,"62",,"35.96","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Caresource","Health Exchange",,,"62",,"35.96","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Cigna","Commercial",,,"59",,"33.99","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Humana","Commercial",,,"78",,"44.95","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","UHC","Commercial",,,"75",,"43.73","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Medicaid",,,,"37",,"21.23","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 5MG","0259","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 5MG","0259","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 5MG","0259","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 5MG","0259","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 5MG","0259","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 5MG","0259","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 5MG","0259","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 5MG","0259","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 5MG","0259","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 5MG","0259","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 5MG","0259","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 5MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 5MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 5MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 5MG","0259","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 5MG","0259","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 5MG","0259","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 5MG","0259","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 5MG","0259","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 5MG","0259","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Alliant","Health Exchange",,,"62",,"35.96","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Pruitt Healthcare","Medicare Advantage",,,"54",,"31.32","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Medicare",,,,"54",,"31.44","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Humana","Medicare Advantage",,,"54",,"31.44","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","UHC","Medicare Advantage",,,"54",,"31.44","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Clover","Medicare Advantage",,,"54",,"31.44","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Wellcare","Medicare Advantage",,,"54",,"31.44","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Amerigroup","Medicaid Managed Care",,,"37",,"21.23","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Caresource","Medicaid Managed Care",,,"40",,"23.2","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Wellcare","Medicaid Managed Care",,,"40",,"23.49","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Aetna","Commercial",,,"64",,"37","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Blue Cross Blue Shield","Pathways",,,"71",,"40.95","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Blue Cross Blue Shield","HMO",,,"71",,"40.95","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Blue Cross Blue Shield","PPO",,,"71",,"40.95","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Ambetter","Health Exchange",,,"62",,"35.96","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Caresource","Health Exchange",,,"62",,"35.96","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Cigna","Commercial",,,"59",,"33.99","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Humana","Commercial",,,"78",,"44.95","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","UHC","Commercial",,,"75",,"43.73","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"58","29","Medicaid",,,,"37",,"21.23","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0259","RC","Both",,,"59","29.5","Alliant","Health Exchange",,,"62",,"36.58","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0259","RC","Both",,,"59","29.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"31.86","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0259","RC","Both",,,"59","29.5","Medicare",,,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0259","RC","Both",,,"59","29.5","Humana","Medicare Advantage",,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0259","RC","Both",,,"59","29.5","UHC","Medicare Advantage",,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0259","RC","Both",,,"59","29.5","Clover","Medicare Advantage",,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0259","RC","Both",,,"59","29.5","Wellcare","Medicare Advantage",,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0259","RC","Both",,,"59","29.5","Amerigroup","Medicaid Managed Care",,,"37",,"21.59","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0259","RC","Both",,,"59","29.5","Caresource","Medicaid Managed Care",,,"40",,"23.6","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0259","RC","Both",,,"59","29.5","Wellcare","Medicaid Managed Care",,,"40",,"23.9","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0259","RC","Both",,,"59","29.5","Aetna","Commercial",,,"64",,"37.64","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0259","RC","Both",,,"59","29.5","Blue Cross Blue Shield","Pathways",,,"71",,"41.65","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0259","RC","Both",,,"59","29.5","Blue Cross Blue Shield","HMO",,,"71",,"41.65","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0259","RC","Both",,,"59","29.5","Blue Cross Blue Shield","PPO",,,"71",,"41.65","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0259","RC","Both",,,"59","29.5","Ambetter","Health Exchange",,,"62",,"36.58","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0259","RC","Both",,,"59","29.5","Caresource","Health Exchange",,,"62",,"36.58","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0259","RC","Both",,,"59","29.5","Cigna","Commercial",,,"59",,"34.57","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0259","RC","Both",,,"59","29.5","Humana","Commercial",,,"78",,"45.72","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0259","RC","Both",,,"59","29.5","UHC","Commercial",,,"75",,"44.49","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0259","RC","Both",,,"59","29.5","Medicaid",,,,"37",,"21.59","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Alliant","Health Exchange",,,"62",,"562.34","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"489.78","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Medicare",,,,"54",,"491.59","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Humana","Medicare Advantage",,,"54",,"491.59","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","UHC","Medicare Advantage",,,"54",,"491.59","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Clover","Medicare Advantage",,,"54",,"491.59","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Wellcare","Medicare Advantage",,,"54",,"491.59","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Amerigroup","Medicaid Managed Care",,,"37",,"331.96","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Caresource","Medicaid Managed Care",,,"40",,"362.8","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Wellcare","Medicaid Managed Care",,,"40",,"367.34","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Aetna","Commercial",,,"64",,"578.67","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Blue Cross Blue Shield","Pathways",,,"71",,"640.34","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Blue Cross Blue Shield","HMO",,,"71",,"640.34","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Blue Cross Blue Shield","PPO",,,"71",,"640.34","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Ambetter","Health Exchange",,,"62",,"562.34","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Caresource","Health Exchange",,,"62",,"562.34","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Cigna","Commercial",,,"59",,"531.5","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Humana","Commercial",,,"78",,"702.92","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","UHC","Commercial",,,"75",,"683.88","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"907","453.5","Medicaid",,,,"37",,"331.96","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Alliant","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.82","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Medicare",,,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Humana","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","UHC","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Clover","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Wellcare","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Amerigroup","Medicaid Managed Care",,,"37",,"12.08","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Caresource","Medicaid Managed Care",,,"40",,"13.2","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Wellcare","Medicaid Managed Care",,,"40",,"13.36","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Aetna","Commercial",,,"64",,"21.05","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","Pathways",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","HMO",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","PPO",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Ambetter","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Caresource","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Cigna","Commercial",,,"59",,"19.34","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Humana","Commercial",,,"78",,"25.58","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","UHC","Commercial",,,"75",,"24.88","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Medicaid",,,,"37",,"12.08","0.04","2502.48","percent of total billed charges",,
"NF-Ziac Oral Tablet 10MG-6.25MG","0259","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Ziac Oral Tablet 10MG-6.25MG","0259","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Ziac Oral Tablet 10MG-6.25MG","0259","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Ziac Oral Tablet 10MG-6.25MG","0259","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Ziac Oral Tablet 10MG-6.25MG","0259","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Ziac Oral Tablet 10MG-6.25MG","0259","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Ziac Oral Tablet 10MG-6.25MG","0259","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Ziac Oral Tablet 10MG-6.25MG","0259","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Ziac Oral Tablet 10MG-6.25MG","0259","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","2502.48","percent of total billed charges",,
"NF-Ziac Oral Tablet 10MG-6.25MG","0259","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-Ziac Oral Tablet 10MG-6.25MG","0259","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-Ziac Oral Tablet 10MG-6.25MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Ziac Oral Tablet 10MG-6.25MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Ziac Oral Tablet 10MG-6.25MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Ziac Oral Tablet 10MG-6.25MG","0259","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Ziac Oral Tablet 10MG-6.25MG","0259","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Ziac Oral Tablet 10MG-6.25MG","0259","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","2502.48","percent of total billed charges",,
"NF-Ziac Oral Tablet 10MG-6.25MG","0259","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-Ziac Oral Tablet 10MG-6.25MG","0259","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","2502.48","percent of total billed charges",,
"NF-Ziac Oral Tablet 10MG-6.25MG","0259","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 500MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 500MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 500MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 500MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 500MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 500MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 500MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 500MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 500MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 500MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 500MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 500MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 500MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 500MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 500MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 500MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 500MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 500MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 500MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 500MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Lasix Tablet 20MG","0259","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Lasix Tablet 20MG","0259","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Lasix Tablet 20MG","0259","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Lasix Tablet 20MG","0259","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Lasix Tablet 20MG","0259","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Lasix Tablet 20MG","0259","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Lasix Tablet 20MG","0259","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Lasix Tablet 20MG","0259","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Lasix Tablet 20MG","0259","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","2502.48","percent of total billed charges",,
"NF-Lasix Tablet 20MG","0259","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-Lasix Tablet 20MG","0259","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-Lasix Tablet 20MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Lasix Tablet 20MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Lasix Tablet 20MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Lasix Tablet 20MG","0259","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Lasix Tablet 20MG","0259","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Lasix Tablet 20MG","0259","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","2502.48","percent of total billed charges",,
"NF-Lasix Tablet 20MG","0259","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-Lasix Tablet 20MG","0259","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","2502.48","percent of total billed charges",,
"NF-Lasix Tablet 20MG","0259","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Aliskiren Oral Tablet 300MG","0259","RC","Both",,,"29","14.5","Alliant","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Aliskiren Oral Tablet 300MG","0259","RC","Both",,,"29","14.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.66","0.04","2502.48","percent of total billed charges",,
"NF-Aliskiren Oral Tablet 300MG","0259","RC","Both",,,"29","14.5","Medicare",,,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Aliskiren Oral Tablet 300MG","0259","RC","Both",,,"29","14.5","Humana","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Aliskiren Oral Tablet 300MG","0259","RC","Both",,,"29","14.5","UHC","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Aliskiren Oral Tablet 300MG","0259","RC","Both",,,"29","14.5","Clover","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Aliskiren Oral Tablet 300MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Aliskiren Oral Tablet 300MG","0259","RC","Both",,,"29","14.5","Amerigroup","Medicaid Managed Care",,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Aliskiren Oral Tablet 300MG","0259","RC","Both",,,"29","14.5","Caresource","Medicaid Managed Care",,,"40",,"11.6","0.04","2502.48","percent of total billed charges",,
"NF-Aliskiren Oral Tablet 300MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicaid Managed Care",,,"40",,"11.74","0.04","2502.48","percent of total billed charges",,
"NF-Aliskiren Oral Tablet 300MG","0259","RC","Both",,,"29","14.5","Aetna","Commercial",,,"64",,"18.5","0.04","2502.48","percent of total billed charges",,
"NF-Aliskiren Oral Tablet 300MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","Pathways",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Aliskiren Oral Tablet 300MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","HMO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Aliskiren Oral Tablet 300MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","PPO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Aliskiren Oral Tablet 300MG","0259","RC","Both",,,"29","14.5","Ambetter","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Aliskiren Oral Tablet 300MG","0259","RC","Both",,,"29","14.5","Caresource","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Aliskiren Oral Tablet 300MG","0259","RC","Both",,,"29","14.5","Cigna","Commercial",,,"59",,"16.99","0.04","2502.48","percent of total billed charges",,
"NF-Aliskiren Oral Tablet 300MG","0259","RC","Both",,,"29","14.5","Humana","Commercial",,,"78",,"22.48","0.04","2502.48","percent of total billed charges",,
"NF-Aliskiren Oral Tablet 300MG","0259","RC","Both",,,"29","14.5","UHC","Commercial",,,"75",,"21.87","0.04","2502.48","percent of total billed charges",,
"NF-Aliskiren Oral Tablet 300MG","0259","RC","Both",,,"29","14.5","Medicaid",,,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","0259","RC","Both",,,"59","29.5","Alliant","Health Exchange",,,"62",,"36.58","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","0259","RC","Both",,,"59","29.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"31.86","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","0259","RC","Both",,,"59","29.5","Medicare",,,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","0259","RC","Both",,,"59","29.5","Humana","Medicare Advantage",,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","0259","RC","Both",,,"59","29.5","UHC","Medicare Advantage",,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","0259","RC","Both",,,"59","29.5","Clover","Medicare Advantage",,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","0259","RC","Both",,,"59","29.5","Wellcare","Medicare Advantage",,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","0259","RC","Both",,,"59","29.5","Amerigroup","Medicaid Managed Care",,,"37",,"21.59","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","0259","RC","Both",,,"59","29.5","Caresource","Medicaid Managed Care",,,"40",,"23.6","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","0259","RC","Both",,,"59","29.5","Wellcare","Medicaid Managed Care",,,"40",,"23.9","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","0259","RC","Both",,,"59","29.5","Aetna","Commercial",,,"64",,"37.64","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","0259","RC","Both",,,"59","29.5","Blue Cross Blue Shield","Pathways",,,"71",,"41.65","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","0259","RC","Both",,,"59","29.5","Blue Cross Blue Shield","HMO",,,"71",,"41.65","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","0259","RC","Both",,,"59","29.5","Blue Cross Blue Shield","PPO",,,"71",,"41.65","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","0259","RC","Both",,,"59","29.5","Ambetter","Health Exchange",,,"62",,"36.58","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","0259","RC","Both",,,"59","29.5","Caresource","Health Exchange",,,"62",,"36.58","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","0259","RC","Both",,,"59","29.5","Cigna","Commercial",,,"59",,"34.57","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","0259","RC","Both",,,"59","29.5","Humana","Commercial",,,"78",,"45.72","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","0259","RC","Both",,,"59","29.5","UHC","Commercial",,,"75",,"44.49","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","0259","RC","Both",,,"59","29.5","Medicaid",,,,"37",,"21.59","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 10MG","0259","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 10MG","0259","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 10MG","0259","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 10MG","0259","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 10MG","0259","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 10MG","0259","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 10MG","0259","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 10MG","0259","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 10MG","0259","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 10MG","0259","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 10MG","0259","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 10MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 10MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 10MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 10MG","0259","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 10MG","0259","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 10MG","0259","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 10MG","0259","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 10MG","0259","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 10MG","0259","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-OLANZapine Oral Tablet 20MG","0259","RC","Both",,,"111","55.5","Alliant","Health Exchange",,,"62",,"68.82","0.04","2502.48","percent of total billed charges",,
"NF-OLANZapine Oral Tablet 20MG","0259","RC","Both",,,"111","55.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"59.94","0.04","2502.48","percent of total billed charges",,
"NF-OLANZapine Oral Tablet 20MG","0259","RC","Both",,,"111","55.5","Medicare",,,,"54",,"60.16","0.04","2502.48","percent of total billed charges",,
"NF-OLANZapine Oral Tablet 20MG","0259","RC","Both",,,"111","55.5","Humana","Medicare Advantage",,,"54",,"60.16","0.04","2502.48","percent of total billed charges",,
"NF-OLANZapine Oral Tablet 20MG","0259","RC","Both",,,"111","55.5","UHC","Medicare Advantage",,,"54",,"60.16","0.04","2502.48","percent of total billed charges",,
"NF-OLANZapine Oral Tablet 20MG","0259","RC","Both",,,"111","55.5","Clover","Medicare Advantage",,,"54",,"60.16","0.04","2502.48","percent of total billed charges",,
"NF-OLANZapine Oral Tablet 20MG","0259","RC","Both",,,"111","55.5","Wellcare","Medicare Advantage",,,"54",,"60.16","0.04","2502.48","percent of total billed charges",,
"NF-OLANZapine Oral Tablet 20MG","0259","RC","Both",,,"111","55.5","Amerigroup","Medicaid Managed Care",,,"37",,"40.63","0.04","2502.48","percent of total billed charges",,
"NF-OLANZapine Oral Tablet 20MG","0259","RC","Both",,,"111","55.5","Caresource","Medicaid Managed Care",,,"40",,"44.4","0.04","2502.48","percent of total billed charges",,
"NF-OLANZapine Oral Tablet 20MG","0259","RC","Both",,,"111","55.5","Wellcare","Medicaid Managed Care",,,"40",,"44.96","0.04","2502.48","percent of total billed charges",,
"NF-OLANZapine Oral Tablet 20MG","0259","RC","Both",,,"111","55.5","Aetna","Commercial",,,"64",,"70.82","0.04","2502.48","percent of total billed charges",,
"NF-OLANZapine Oral Tablet 20MG","0259","RC","Both",,,"111","55.5","Blue Cross Blue Shield","Pathways",,,"71",,"78.37","0.04","2502.48","percent of total billed charges",,
"NF-OLANZapine Oral Tablet 20MG","0259","RC","Both",,,"111","55.5","Blue Cross Blue Shield","HMO",,,"71",,"78.37","0.04","2502.48","percent of total billed charges",,
"NF-OLANZapine Oral Tablet 20MG","0259","RC","Both",,,"111","55.5","Blue Cross Blue Shield","PPO",,,"71",,"78.37","0.04","2502.48","percent of total billed charges",,
"NF-OLANZapine Oral Tablet 20MG","0259","RC","Both",,,"111","55.5","Ambetter","Health Exchange",,,"62",,"68.82","0.04","2502.48","percent of total billed charges",,
"NF-OLANZapine Oral Tablet 20MG","0259","RC","Both",,,"111","55.5","Caresource","Health Exchange",,,"62",,"68.82","0.04","2502.48","percent of total billed charges",,
"NF-OLANZapine Oral Tablet 20MG","0259","RC","Both",,,"111","55.5","Cigna","Commercial",,,"59",,"65.05","0.04","2502.48","percent of total billed charges",,
"NF-OLANZapine Oral Tablet 20MG","0259","RC","Both",,,"111","55.5","Humana","Commercial",,,"78",,"86.02","0.04","2502.48","percent of total billed charges",,
"NF-OLANZapine Oral Tablet 20MG","0259","RC","Both",,,"111","55.5","UHC","Commercial",,,"75",,"83.69","0.04","2502.48","percent of total billed charges",,
"NF-OLANZapine Oral Tablet 20MG","0259","RC","Both",,,"111","55.5","Medicaid",,,,"37",,"40.63","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl Tablet 20MG","0259","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl Tablet 20MG","0259","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl Tablet 20MG","0259","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl Tablet 20MG","0259","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl Tablet 20MG","0259","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl Tablet 20MG","0259","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl Tablet 20MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl Tablet 20MG","0259","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl Tablet 20MG","0259","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl Tablet 20MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl Tablet 20MG","0259","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl Tablet 20MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl Tablet 20MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl Tablet 20MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl Tablet 20MG","0259","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl Tablet 20MG","0259","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl Tablet 20MG","0259","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl Tablet 20MG","0259","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl Tablet 20MG","0259","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl Tablet 20MG","0259","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Mometasone Furoate Ointment 0.1%","0259","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Mometasone Furoate Ointment 0.1%","0259","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Mometasone Furoate Ointment 0.1%","0259","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Mometasone Furoate Ointment 0.1%","0259","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Mometasone Furoate Ointment 0.1%","0259","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Mometasone Furoate Ointment 0.1%","0259","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Mometasone Furoate Ointment 0.1%","0259","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Mometasone Furoate Ointment 0.1%","0259","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Mometasone Furoate Ointment 0.1%","0259","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","2502.48","percent of total billed charges",,
"NF-Mometasone Furoate Ointment 0.1%","0259","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-Mometasone Furoate Ointment 0.1%","0259","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-Mometasone Furoate Ointment 0.1%","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Mometasone Furoate Ointment 0.1%","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Mometasone Furoate Ointment 0.1%","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Mometasone Furoate Ointment 0.1%","0259","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Mometasone Furoate Ointment 0.1%","0259","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Mometasone Furoate Ointment 0.1%","0259","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","2502.48","percent of total billed charges",,
"NF-Mometasone Furoate Ointment 0.1%","0259","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-Mometasone Furoate Ointment 0.1%","0259","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","2502.48","percent of total billed charges",,
"NF-Mometasone Furoate Ointment 0.1%","0259","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Alliant","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.66","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Medicare",,,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Humana","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","UHC","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Clover","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Amerigroup","Medicaid Managed Care",,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Caresource","Medicaid Managed Care",,,"40",,"11.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicaid Managed Care",,,"40",,"11.74","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Aetna","Commercial",,,"64",,"18.5","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","Pathways",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","HMO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","PPO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Ambetter","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Caresource","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Cigna","Commercial",,,"59",,"16.99","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Humana","Commercial",,,"78",,"22.48","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","UHC","Commercial",,,"75",,"21.87","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Medicaid",,,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.04","2502.48","percent of total billed charges",,
"NF-Divalproex Sodium Oral Tab ER 500MG","0259","RC","Both",,,"12","6","Alliant","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Divalproex Sodium Oral Tab ER 500MG","0259","RC","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.48","0.04","2502.48","percent of total billed charges",,
"NF-Divalproex Sodium Oral Tab ER 500MG","0259","RC","Both",,,"12","6","Medicare",,,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Divalproex Sodium Oral Tab ER 500MG","0259","RC","Both",,,"12","6","Humana","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Divalproex Sodium Oral Tab ER 500MG","0259","RC","Both",,,"12","6","UHC","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Divalproex Sodium Oral Tab ER 500MG","0259","RC","Both",,,"12","6","Clover","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Divalproex Sodium Oral Tab ER 500MG","0259","RC","Both",,,"12","6","Wellcare","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Divalproex Sodium Oral Tab ER 500MG","0259","RC","Both",,,"12","6","Amerigroup","Medicaid Managed Care",,,"37",,"4.39","0.04","2502.48","percent of total billed charges",,
"NF-Divalproex Sodium Oral Tab ER 500MG","0259","RC","Both",,,"12","6","Caresource","Medicaid Managed Care",,,"40",,"4.8","0.04","2502.48","percent of total billed charges",,
"NF-Divalproex Sodium Oral Tab ER 500MG","0259","RC","Both",,,"12","6","Wellcare","Medicaid Managed Care",,,"40",,"4.86","0.04","2502.48","percent of total billed charges",,
"NF-Divalproex Sodium Oral Tab ER 500MG","0259","RC","Both",,,"12","6","Aetna","Commercial",,,"64",,"7.66","0.04","2502.48","percent of total billed charges",,
"NF-Divalproex Sodium Oral Tab ER 500MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","Pathways",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Divalproex Sodium Oral Tab ER 500MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","HMO",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Divalproex Sodium Oral Tab ER 500MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","PPO",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Divalproex Sodium Oral Tab ER 500MG","0259","RC","Both",,,"12","6","Ambetter","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Divalproex Sodium Oral Tab ER 500MG","0259","RC","Both",,,"12","6","Caresource","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Divalproex Sodium Oral Tab ER 500MG","0259","RC","Both",,,"12","6","Cigna","Commercial",,,"59",,"7.03","0.04","2502.48","percent of total billed charges",,
"NF-Divalproex Sodium Oral Tab ER 500MG","0259","RC","Both",,,"12","6","Humana","Commercial",,,"78",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Divalproex Sodium Oral Tab ER 500MG","0259","RC","Both",,,"12","6","UHC","Commercial",,,"75",,"9.05","0.04","2502.48","percent of total billed charges",,
"NF-Divalproex Sodium Oral Tab ER 500MG","0259","RC","Both",,,"12","6","Medicaid",,,,"37",,"4.39","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Alliant","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.66","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Medicare",,,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Humana","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","UHC","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Clover","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Amerigroup","Medicaid Managed Care",,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Caresource","Medicaid Managed Care",,,"40",,"11.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicaid Managed Care",,,"40",,"11.74","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Aetna","Commercial",,,"64",,"18.5","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","Pathways",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","HMO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","PPO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Ambetter","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Caresource","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Cigna","Commercial",,,"59",,"16.99","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Humana","Commercial",,,"78",,"22.48","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","UHC","Commercial",,,"75",,"21.87","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Medicaid",,,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","0259","RC","Both",,,"11","5.5","Alliant","Health Exchange",,,"62",,"6.82","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","0259","RC","Both",,,"11","5.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.94","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","0259","RC","Both",,,"11","5.5","Medicare",,,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","0259","RC","Both",,,"11","5.5","Humana","Medicare Advantage",,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","0259","RC","Both",,,"11","5.5","UHC","Medicare Advantage",,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","0259","RC","Both",,,"11","5.5","Clover","Medicare Advantage",,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","0259","RC","Both",,,"11","5.5","Wellcare","Medicare Advantage",,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","0259","RC","Both",,,"11","5.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.03","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","0259","RC","Both",,,"11","5.5","Caresource","Medicaid Managed Care",,,"40",,"4.4","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","0259","RC","Both",,,"11","5.5","Wellcare","Medicaid Managed Care",,,"40",,"4.46","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","0259","RC","Both",,,"11","5.5","Aetna","Commercial",,,"64",,"7.02","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","0259","RC","Both",,,"11","5.5","Blue Cross Blue Shield","Pathways",,,"71",,"7.77","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","0259","RC","Both",,,"11","5.5","Blue Cross Blue Shield","HMO",,,"71",,"7.77","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","0259","RC","Both",,,"11","5.5","Blue Cross Blue Shield","PPO",,,"71",,"7.77","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","0259","RC","Both",,,"11","5.5","Ambetter","Health Exchange",,,"62",,"6.82","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","0259","RC","Both",,,"11","5.5","Caresource","Health Exchange",,,"62",,"6.82","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","0259","RC","Both",,,"11","5.5","Cigna","Commercial",,,"59",,"6.45","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","0259","RC","Both",,,"11","5.5","Humana","Commercial",,,"78",,"8.52","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","0259","RC","Both",,,"11","5.5","UHC","Commercial",,,"75",,"8.29","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","0259","RC","Both",,,"11","5.5","Medicaid",,,,"37",,"4.03","0.04","2502.48","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","0259","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","0259","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","0259","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","0259","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","0259","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","0259","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","0259","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","0259","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","2502.48","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","2502.48","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","0259","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","2502.48","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","0259","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","0259","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","0259","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","0259","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","2502.48","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","0259","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","2502.48","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","0259","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Alliant","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.66","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Medicare",,,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Humana","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","UHC","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Clover","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Amerigroup","Medicaid Managed Care",,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Caresource","Medicaid Managed Care",,,"40",,"11.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicaid Managed Care",,,"40",,"11.74","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Aetna","Commercial",,,"64",,"18.5","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","Pathways",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","HMO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","PPO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Ambetter","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Caresource","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Cigna","Commercial",,,"59",,"16.99","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Humana","Commercial",,,"78",,"22.48","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","UHC","Commercial",,,"75",,"21.87","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Medicaid",,,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Alliant","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Pruitt Healthcare","Medicare Advantage",,,"54",,"30.24","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Medicare",,,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Humana","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","UHC","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Clover","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Wellcare","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Amerigroup","Medicaid Managed Care",,,"37",,"20.5","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Caresource","Medicaid Managed Care",,,"40",,"22.4","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Wellcare","Medicaid Managed Care",,,"40",,"22.68","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Aetna","Commercial",,,"64",,"35.73","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","Pathways",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","HMO",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","PPO",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Ambetter","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Caresource","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Cigna","Commercial",,,"59",,"32.82","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Humana","Commercial",,,"78",,"43.4","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","UHC","Commercial",,,"75",,"42.22","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Medicaid",,,,"37",,"20.5","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Alliant","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.66","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Medicare",,,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Humana","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","UHC","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Clover","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Amerigroup","Medicaid Managed Care",,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Caresource","Medicaid Managed Care",,,"40",,"11.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicaid Managed Care",,,"40",,"11.74","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Aetna","Commercial",,,"64",,"18.5","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","Pathways",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","HMO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","PPO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Ambetter","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Caresource","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Cigna","Commercial",,,"59",,"16.99","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Humana","Commercial",,,"78",,"22.48","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","UHC","Commercial",,,"75",,"21.87","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Medicaid",,,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Alliant","Health Exchange",,,"62",,"22.32","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.44","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Medicare",,,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Humana","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","UHC","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Clover","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Wellcare","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Amerigroup","Medicaid Managed Care",,,"37",,"13.18","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Caresource","Medicaid Managed Care",,,"40",,"14.4","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Wellcare","Medicaid Managed Care",,,"40",,"14.58","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Aetna","Commercial",,,"64",,"22.97","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Blue Cross Blue Shield","Pathways",,,"71",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Blue Cross Blue Shield","HMO",,,"71",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Blue Cross Blue Shield","PPO",,,"71",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Ambetter","Health Exchange",,,"62",,"22.32","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Caresource","Health Exchange",,,"62",,"22.32","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Cigna","Commercial",,,"59",,"21.1","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Humana","Commercial",,,"78",,"27.9","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","UHC","Commercial",,,"75",,"27.14","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Medicaid",,,,"37",,"13.18","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","0259","RC","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","0.04","2502.48","percent of total billed charges",,
"NF-Edarbyclor Oral Tablet 40MG-25MG","0259","RC","Both",,,"16","8","Alliant","Health Exchange",,,"62",,"9.92","0.04","2502.48","percent of total billed charges",,
"NF-Edarbyclor Oral Tablet 40MG-25MG","0259","RC","Both",,,"16","8","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.64","0.04","2502.48","percent of total billed charges",,
"NF-Edarbyclor Oral Tablet 40MG-25MG","0259","RC","Both",,,"16","8","Medicare",,,,"54",,"8.67","0.04","2502.48","percent of total billed charges",,
"NF-Edarbyclor Oral Tablet 40MG-25MG","0259","RC","Both",,,"16","8","Humana","Medicare Advantage",,,"54",,"8.67","0.04","2502.48","percent of total billed charges",,
"NF-Edarbyclor Oral Tablet 40MG-25MG","0259","RC","Both",,,"16","8","UHC","Medicare Advantage",,,"54",,"8.67","0.04","2502.48","percent of total billed charges",,
"NF-Edarbyclor Oral Tablet 40MG-25MG","0259","RC","Both",,,"16","8","Clover","Medicare Advantage",,,"54",,"8.67","0.04","2502.48","percent of total billed charges",,
"NF-Edarbyclor Oral Tablet 40MG-25MG","0259","RC","Both",,,"16","8","Wellcare","Medicare Advantage",,,"54",,"8.67","0.04","2502.48","percent of total billed charges",,
"NF-Edarbyclor Oral Tablet 40MG-25MG","0259","RC","Both",,,"16","8","Amerigroup","Medicaid Managed Care",,,"37",,"5.86","0.04","2502.48","percent of total billed charges",,
"NF-Edarbyclor Oral Tablet 40MG-25MG","0259","RC","Both",,,"16","8","Caresource","Medicaid Managed Care",,,"40",,"6.4","0.04","2502.48","percent of total billed charges",,
"NF-Edarbyclor Oral Tablet 40MG-25MG","0259","RC","Both",,,"16","8","Wellcare","Medicaid Managed Care",,,"40",,"6.48","0.04","2502.48","percent of total billed charges",,
"NF-Edarbyclor Oral Tablet 40MG-25MG","0259","RC","Both",,,"16","8","Aetna","Commercial",,,"64",,"10.21","0.04","2502.48","percent of total billed charges",,
"NF-Edarbyclor Oral Tablet 40MG-25MG","0259","RC","Both",,,"16","8","Blue Cross Blue Shield","Pathways",,,"71",,"11.3","0.04","2502.48","percent of total billed charges",,
"NF-Edarbyclor Oral Tablet 40MG-25MG","0259","RC","Both",,,"16","8","Blue Cross Blue Shield","HMO",,,"71",,"11.3","0.04","2502.48","percent of total billed charges",,
"NF-Edarbyclor Oral Tablet 40MG-25MG","0259","RC","Both",,,"16","8","Blue Cross Blue Shield","PPO",,,"71",,"11.3","0.04","2502.48","percent of total billed charges",,
"NF-Edarbyclor Oral Tablet 40MG-25MG","0259","RC","Both",,,"16","8","Ambetter","Health Exchange",,,"62",,"9.92","0.04","2502.48","percent of total billed charges",,
"NF-Edarbyclor Oral Tablet 40MG-25MG","0259","RC","Both",,,"16","8","Caresource","Health Exchange",,,"62",,"9.92","0.04","2502.48","percent of total billed charges",,
"NF-Edarbyclor Oral Tablet 40MG-25MG","0259","RC","Both",,,"16","8","Cigna","Commercial",,,"59",,"9.38","0.04","2502.48","percent of total billed charges",,
"NF-Edarbyclor Oral Tablet 40MG-25MG","0259","RC","Both",,,"16","8","Humana","Commercial",,,"78",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Edarbyclor Oral Tablet 40MG-25MG","0259","RC","Both",,,"16","8","UHC","Commercial",,,"75",,"12.06","0.04","2502.48","percent of total billed charges",,
"NF-Edarbyclor Oral Tablet 40MG-25MG","0259","RC","Both",,,"16","8","Medicaid",,,,"37",,"5.86","0.04","2502.48","percent of total billed charges",,
"NF-Requip XL Oral Tab ER 12MG","0259","RC","Both",,,"88","44","Alliant","Health Exchange",,,"62",,"54.56","0.04","2502.48","percent of total billed charges",,
"NF-Requip XL Oral Tab ER 12MG","0259","RC","Both",,,"88","44","Pruitt Healthcare","Medicare Advantage",,,"54",,"47.52","0.04","2502.48","percent of total billed charges",,
"NF-Requip XL Oral Tab ER 12MG","0259","RC","Both",,,"88","44","Medicare",,,,"54",,"47.7","0.04","2502.48","percent of total billed charges",,
"NF-Requip XL Oral Tab ER 12MG","0259","RC","Both",,,"88","44","Humana","Medicare Advantage",,,"54",,"47.7","0.04","2502.48","percent of total billed charges",,
"NF-Requip XL Oral Tab ER 12MG","0259","RC","Both",,,"88","44","UHC","Medicare Advantage",,,"54",,"47.7","0.04","2502.48","percent of total billed charges",,
"NF-Requip XL Oral Tab ER 12MG","0259","RC","Both",,,"88","44","Clover","Medicare Advantage",,,"54",,"47.7","0.04","2502.48","percent of total billed charges",,
"NF-Requip XL Oral Tab ER 12MG","0259","RC","Both",,,"88","44","Wellcare","Medicare Advantage",,,"54",,"47.7","0.04","2502.48","percent of total billed charges",,
"NF-Requip XL Oral Tab ER 12MG","0259","RC","Both",,,"88","44","Amerigroup","Medicaid Managed Care",,,"37",,"32.21","0.04","2502.48","percent of total billed charges",,
"NF-Requip XL Oral Tab ER 12MG","0259","RC","Both",,,"88","44","Caresource","Medicaid Managed Care",,,"40",,"35.2","0.04","2502.48","percent of total billed charges",,
"NF-Requip XL Oral Tab ER 12MG","0259","RC","Both",,,"88","44","Wellcare","Medicaid Managed Care",,,"40",,"35.64","0.04","2502.48","percent of total billed charges",,
"NF-Requip XL Oral Tab ER 12MG","0259","RC","Both",,,"88","44","Aetna","Commercial",,,"64",,"56.14","0.04","2502.48","percent of total billed charges",,
"NF-Requip XL Oral Tab ER 12MG","0259","RC","Both",,,"88","44","Blue Cross Blue Shield","Pathways",,,"71",,"62.13","0.04","2502.48","percent of total billed charges",,
"NF-Requip XL Oral Tab ER 12MG","0259","RC","Both",,,"88","44","Blue Cross Blue Shield","HMO",,,"71",,"62.13","0.04","2502.48","percent of total billed charges",,
"NF-Requip XL Oral Tab ER 12MG","0259","RC","Both",,,"88","44","Blue Cross Blue Shield","PPO",,,"71",,"62.13","0.04","2502.48","percent of total billed charges",,
"NF-Requip XL Oral Tab ER 12MG","0259","RC","Both",,,"88","44","Ambetter","Health Exchange",,,"62",,"54.56","0.04","2502.48","percent of total billed charges",,
"NF-Requip XL Oral Tab ER 12MG","0259","RC","Both",,,"88","44","Caresource","Health Exchange",,,"62",,"54.56","0.04","2502.48","percent of total billed charges",,
"NF-Requip XL Oral Tab ER 12MG","0259","RC","Both",,,"88","44","Cigna","Commercial",,,"59",,"51.57","0.04","2502.48","percent of total billed charges",,
"NF-Requip XL Oral Tab ER 12MG","0259","RC","Both",,,"88","44","Humana","Commercial",,,"78",,"68.2","0.04","2502.48","percent of total billed charges",,
"NF-Requip XL Oral Tab ER 12MG","0259","RC","Both",,,"88","44","UHC","Commercial",,,"75",,"66.35","0.04","2502.48","percent of total billed charges",,
"NF-Requip XL Oral Tab ER 12MG","0259","RC","Both",,,"88","44","Medicaid",,,,"37",,"32.21","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Medicare",,,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Medicaid",,,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Capsaicin Topical Cream 0.025%","0259","RC","Both",,,"21","10.5","Alliant","Health Exchange",,,"62",,"13.02","0.04","2502.48","percent of total billed charges",,
"NF-Capsaicin Topical Cream 0.025%","0259","RC","Both",,,"21","10.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.34","0.04","2502.48","percent of total billed charges",,
"NF-Capsaicin Topical Cream 0.025%","0259","RC","Both",,,"21","10.5","Medicare",,,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Capsaicin Topical Cream 0.025%","0259","RC","Both",,,"21","10.5","Humana","Medicare Advantage",,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Capsaicin Topical Cream 0.025%","0259","RC","Both",,,"21","10.5","UHC","Medicare Advantage",,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Capsaicin Topical Cream 0.025%","0259","RC","Both",,,"21","10.5","Clover","Medicare Advantage",,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Capsaicin Topical Cream 0.025%","0259","RC","Both",,,"21","10.5","Wellcare","Medicare Advantage",,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Capsaicin Topical Cream 0.025%","0259","RC","Both",,,"21","10.5","Amerigroup","Medicaid Managed Care",,,"37",,"7.69","0.04","2502.48","percent of total billed charges",,
"NF-Capsaicin Topical Cream 0.025%","0259","RC","Both",,,"21","10.5","Caresource","Medicaid Managed Care",,,"40",,"8.4","0.04","2502.48","percent of total billed charges",,
"NF-Capsaicin Topical Cream 0.025%","0259","RC","Both",,,"21","10.5","Wellcare","Medicaid Managed Care",,,"40",,"8.51","0.04","2502.48","percent of total billed charges",,
"NF-Capsaicin Topical Cream 0.025%","0259","RC","Both",,,"21","10.5","Aetna","Commercial",,,"64",,"13.4","0.04","2502.48","percent of total billed charges",,
"NF-Capsaicin Topical Cream 0.025%","0259","RC","Both",,,"21","10.5","Blue Cross Blue Shield","Pathways",,,"71",,"14.83","0.04","2502.48","percent of total billed charges",,
"NF-Capsaicin Topical Cream 0.025%","0259","RC","Both",,,"21","10.5","Blue Cross Blue Shield","HMO",,,"71",,"14.83","0.04","2502.48","percent of total billed charges",,
"NF-Capsaicin Topical Cream 0.025%","0259","RC","Both",,,"21","10.5","Blue Cross Blue Shield","PPO",,,"71",,"14.83","0.04","2502.48","percent of total billed charges",,
"NF-Capsaicin Topical Cream 0.025%","0259","RC","Both",,,"21","10.5","Ambetter","Health Exchange",,,"62",,"13.02","0.04","2502.48","percent of total billed charges",,
"NF-Capsaicin Topical Cream 0.025%","0259","RC","Both",,,"21","10.5","Caresource","Health Exchange",,,"62",,"13.02","0.04","2502.48","percent of total billed charges",,
"NF-Capsaicin Topical Cream 0.025%","0259","RC","Both",,,"21","10.5","Cigna","Commercial",,,"59",,"12.31","0.04","2502.48","percent of total billed charges",,
"NF-Capsaicin Topical Cream 0.025%","0259","RC","Both",,,"21","10.5","Humana","Commercial",,,"78",,"16.28","0.04","2502.48","percent of total billed charges",,
"NF-Capsaicin Topical Cream 0.025%","0259","RC","Both",,,"21","10.5","UHC","Commercial",,,"75",,"15.83","0.04","2502.48","percent of total billed charges",,
"NF-Capsaicin Topical Cream 0.025%","0259","RC","Both",,,"21","10.5","Medicaid",,,,"37",,"7.69","0.04","2502.48","percent of total billed charges",,
"NF-Mirapex Oral Tablet 0.5MG","0259","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Mirapex Oral Tablet 0.5MG","0259","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-Mirapex Oral Tablet 0.5MG","0259","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Mirapex Oral Tablet 0.5MG","0259","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Mirapex Oral Tablet 0.5MG","0259","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Mirapex Oral Tablet 0.5MG","0259","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Mirapex Oral Tablet 0.5MG","0259","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Mirapex Oral Tablet 0.5MG","0259","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Mirapex Oral Tablet 0.5MG","0259","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.04","2502.48","percent of total billed charges",,
"NF-Mirapex Oral Tablet 0.5MG","0259","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.04","2502.48","percent of total billed charges",,
"NF-Mirapex Oral Tablet 0.5MG","0259","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-Mirapex Oral Tablet 0.5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Mirapex Oral Tablet 0.5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Mirapex Oral Tablet 0.5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Mirapex Oral Tablet 0.5MG","0259","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Mirapex Oral Tablet 0.5MG","0259","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Mirapex Oral Tablet 0.5MG","0259","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.04","2502.48","percent of total billed charges",,
"NF-Mirapex Oral Tablet 0.5MG","0259","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.04","2502.48","percent of total billed charges",,
"NF-Mirapex Oral Tablet 0.5MG","0259","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.04","2502.48","percent of total billed charges",,
"NF-Mirapex Oral Tablet 0.5MG","0259","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"PRAZOSIN (MINIPRESS) 1 MG CAPSULE","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"PRAZOSIN (MINIPRESS) 1 MG CAPSULE","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"PRAZOSIN (MINIPRESS) 1 MG CAPSULE","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"PRAZOSIN (MINIPRESS) 1 MG CAPSULE","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"PRAZOSIN (MINIPRESS) 1 MG CAPSULE","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"PRAZOSIN (MINIPRESS) 1 MG CAPSULE","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"PRAZOSIN (MINIPRESS) 1 MG CAPSULE","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"PRAZOSIN (MINIPRESS) 1 MG CAPSULE","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"PRAZOSIN (MINIPRESS) 1 MG CAPSULE","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"PRAZOSIN (MINIPRESS) 1 MG CAPSULE","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"PRAZOSIN (MINIPRESS) 1 MG CAPSULE","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"PRAZOSIN (MINIPRESS) 1 MG CAPSULE","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"PRAZOSIN (MINIPRESS) 1 MG CAPSULE","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"PRAZOSIN (MINIPRESS) 1 MG CAPSULE","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"PRAZOSIN (MINIPRESS) 1 MG CAPSULE","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"PRAZOSIN (MINIPRESS) 1 MG CAPSULE","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"PRAZOSIN (MINIPRESS) 1 MG CAPSULE","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"PRAZOSIN (MINIPRESS) 1 MG CAPSULE","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"PRAZOSIN (MINIPRESS) 1 MG CAPSULE","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"PRAZOSIN (MINIPRESS) 1 MG CAPSULE","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"BUDESONIDE (Pulmicort) 0.5mg/2ml INH","0637","RC","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"BUDESONIDE (Pulmicort) 0.5mg/2ml INH","0637","RC","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","0.15","5264.58","percent of total billed charges",,
"BUDESONIDE (Pulmicort) 0.5mg/2ml INH","0637","RC","Both",,,"22","11","Medicare",,,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"BUDESONIDE (Pulmicort) 0.5mg/2ml INH","0637","RC","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"BUDESONIDE (Pulmicort) 0.5mg/2ml INH","0637","RC","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"BUDESONIDE (Pulmicort) 0.5mg/2ml INH","0637","RC","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"BUDESONIDE (Pulmicort) 0.5mg/2ml INH","0637","RC","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"BUDESONIDE (Pulmicort) 0.5mg/2ml INH","0637","RC","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"BUDESONIDE (Pulmicort) 0.5mg/2ml INH","0637","RC","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","0.15","5264.58","percent of total billed charges",,
"BUDESONIDE (Pulmicort) 0.5mg/2ml INH","0637","RC","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","0.15","5264.58","percent of total billed charges",,
"BUDESONIDE (Pulmicort) 0.5mg/2ml INH","0637","RC","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","0.15","5264.58","percent of total billed charges",,
"BUDESONIDE (Pulmicort) 0.5mg/2ml INH","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"BUDESONIDE (Pulmicort) 0.5mg/2ml INH","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"BUDESONIDE (Pulmicort) 0.5mg/2ml INH","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"BUDESONIDE (Pulmicort) 0.5mg/2ml INH","0637","RC","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"BUDESONIDE (Pulmicort) 0.5mg/2ml INH","0637","RC","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"BUDESONIDE (Pulmicort) 0.5mg/2ml INH","0637","RC","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","0.15","5264.58","percent of total billed charges",,
"BUDESONIDE (Pulmicort) 0.5mg/2ml INH","0637","RC","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","0.15","5264.58","percent of total billed charges",,
"BUDESONIDE (Pulmicort) 0.5mg/2ml INH","0637","RC","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","0.15","5264.58","percent of total billed charges",,
"BUDESONIDE (Pulmicort) 0.5mg/2ml INH","0637","RC","Both",,,"22","11","Medicaid",,,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"131","65.5","Alliant","Health Exchange",,,"62",,"81.22","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"131","65.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"70.74","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"131","65.5","Medicare",,,,"54",,"71","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"131","65.5","Humana","Medicare Advantage",,,"54",,"71","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"131","65.5","UHC","Medicare Advantage",,,"54",,"71","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"131","65.5","Clover","Medicare Advantage",,,"54",,"71","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"131","65.5","Wellcare","Medicare Advantage",,,"54",,"71","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"131","65.5","Amerigroup","Medicaid Managed Care",,,"37",,"47.95","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"131","65.5","Caresource","Medicaid Managed Care",,,"40",,"52.4","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"131","65.5","Wellcare","Medicaid Managed Care",,,"40",,"53.06","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"131","65.5","Aetna","Commercial",,,"64",,"83.58","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"131","65.5","Blue Cross Blue Shield","Pathways",,,"71",,"92.49","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"131","65.5","Blue Cross Blue Shield","HMO",,,"71",,"92.49","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"131","65.5","Blue Cross Blue Shield","PPO",,,"71",,"92.49","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"131","65.5","Ambetter","Health Exchange",,,"62",,"81.22","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"131","65.5","Caresource","Health Exchange",,,"62",,"81.22","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"131","65.5","Cigna","Commercial",,,"59",,"76.77","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"131","65.5","Humana","Commercial",,,"78",,"101.52","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"131","65.5","UHC","Commercial",,,"75",,"98.77","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"131","65.5","Medicaid",,,,"37",,"47.95","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Alliant","Health Exchange",,,"62",,"22.32","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.44","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Medicare",,,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Humana","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","UHC","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Clover","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Wellcare","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Amerigroup","Medicaid Managed Care",,,"37",,"13.18","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Caresource","Medicaid Managed Care",,,"40",,"14.4","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Wellcare","Medicaid Managed Care",,,"40",,"14.58","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Aetna","Commercial",,,"64",,"22.97","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Blue Cross Blue Shield","Pathways",,,"71",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Blue Cross Blue Shield","HMO",,,"71",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Blue Cross Blue Shield","PPO",,,"71",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Ambetter","Health Exchange",,,"62",,"22.32","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Caresource","Health Exchange",,,"62",,"22.32","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Cigna","Commercial",,,"59",,"21.1","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Humana","Commercial",,,"78",,"27.9","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","UHC","Commercial",,,"75",,"27.14","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta Inhalation Powder","0259","RC","Both",,,"36","18","Medicaid",,,,"37",,"13.18","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Alliant","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.66","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Medicare",,,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Humana","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","UHC","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Clover","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Amerigroup","Medicaid Managed Care",,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Caresource","Medicaid Managed Care",,,"40",,"11.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicaid Managed Care",,,"40",,"11.74","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Aetna","Commercial",,,"64",,"18.5","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","Pathways",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","HMO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","PPO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Ambetter","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Caresource","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Cigna","Commercial",,,"59",,"16.99","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Humana","Commercial",,,"78",,"22.48","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","UHC","Commercial",,,"75",,"21.87","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"29","14.5","Medicaid",,,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 25MG","0259","RC","Both",,,"20","10","Alliant","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 25MG","0259","RC","Both",,,"20","10","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.8","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 25MG","0259","RC","Both",,,"20","10","Medicare",,,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 25MG","0259","RC","Both",,,"20","10","Humana","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 25MG","0259","RC","Both",,,"20","10","UHC","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 25MG","0259","RC","Both",,,"20","10","Clover","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 25MG","0259","RC","Both",,,"20","10","Wellcare","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 25MG","0259","RC","Both",,,"20","10","Amerigroup","Medicaid Managed Care",,,"37",,"7.32","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 25MG","0259","RC","Both",,,"20","10","Caresource","Medicaid Managed Care",,,"40",,"8","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 25MG","0259","RC","Both",,,"20","10","Wellcare","Medicaid Managed Care",,,"40",,"8.1","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 25MG","0259","RC","Both",,,"20","10","Aetna","Commercial",,,"64",,"12.76","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 25MG","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","Pathways",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 25MG","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","HMO",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 25MG","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","PPO",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 25MG","0259","RC","Both",,,"20","10","Ambetter","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 25MG","0259","RC","Both",,,"20","10","Caresource","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 25MG","0259","RC","Both",,,"20","10","Cigna","Commercial",,,"59",,"11.72","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 25MG","0259","RC","Both",,,"20","10","Humana","Commercial",,,"78",,"15.5","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 25MG","0259","RC","Both",,,"20","10","UHC","Commercial",,,"75",,"15.08","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 25MG","0259","RC","Both",,,"20","10","Medicaid",,,,"37",,"7.32","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"198","99","Alliant","Health Exchange",,,"62",,"122.76","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"198","99","Pruitt Healthcare","Medicare Advantage",,,"54",,"106.92","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"198","99","Medicare",,,,"54",,"107.32","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"198","99","Humana","Medicare Advantage",,,"54",,"107.32","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"198","99","UHC","Medicare Advantage",,,"54",,"107.32","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"198","99","Clover","Medicare Advantage",,,"54",,"107.32","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"198","99","Wellcare","Medicare Advantage",,,"54",,"107.32","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"198","99","Amerigroup","Medicaid Managed Care",,,"37",,"72.47","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"198","99","Caresource","Medicaid Managed Care",,,"40",,"79.2","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"198","99","Wellcare","Medicaid Managed Care",,,"40",,"80.19","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"198","99","Aetna","Commercial",,,"64",,"126.32","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"198","99","Blue Cross Blue Shield","Pathways",,,"71",,"139.79","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"198","99","Blue Cross Blue Shield","HMO",,,"71",,"139.79","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"198","99","Blue Cross Blue Shield","PPO",,,"71",,"139.79","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"198","99","Ambetter","Health Exchange",,,"62",,"122.76","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"198","99","Caresource","Health Exchange",,,"62",,"122.76","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"198","99","Cigna","Commercial",,,"59",,"116.03","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"198","99","Humana","Commercial",,,"78",,"153.45","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"198","99","UHC","Commercial",,,"75",,"149.29","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"198","99","Medicaid",,,,"37",,"72.47","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Oral Tablet 200MG","0259","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Oral Tablet 200MG","0259","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Oral Tablet 200MG","0259","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Oral Tablet 200MG","0259","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Oral Tablet 200MG","0259","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Oral Tablet 200MG","0259","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Oral Tablet 200MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Oral Tablet 200MG","0259","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Oral Tablet 200MG","0259","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Oral Tablet 200MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Oral Tablet 200MG","0259","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Oral Tablet 200MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Oral Tablet 200MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Oral Tablet 200MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Oral Tablet 200MG","0259","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Oral Tablet 200MG","0259","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Oral Tablet 200MG","0259","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Oral Tablet 200MG","0259","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Oral Tablet 200MG","0259","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Oral Tablet 200MG","0259","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Alliant","Health Exchange",,,"62",,"36.58","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"31.86","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Medicare",,,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Humana","Medicare Advantage",,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","UHC","Medicare Advantage",,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Clover","Medicare Advantage",,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Wellcare","Medicare Advantage",,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Amerigroup","Medicaid Managed Care",,,"37",,"21.59","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Caresource","Medicaid Managed Care",,,"40",,"23.6","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Wellcare","Medicaid Managed Care",,,"40",,"23.9","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Aetna","Commercial",,,"64",,"37.64","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Blue Cross Blue Shield","Pathways",,,"71",,"41.65","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Blue Cross Blue Shield","HMO",,,"71",,"41.65","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Blue Cross Blue Shield","PPO",,,"71",,"41.65","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Ambetter","Health Exchange",,,"62",,"36.58","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Caresource","Health Exchange",,,"62",,"36.58","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Cigna","Commercial",,,"59",,"34.57","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Humana","Commercial",,,"78",,"45.72","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","UHC","Commercial",,,"75",,"44.49","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"59","29.5","Medicaid",,,,"37",,"21.59","0.04","2502.48","percent of total billed charges",,
"NF-cloNIDine HCl Oral Tab ER 0.1MG","0259","RC","Both",,,"23","11.5","Alliant","Health Exchange",,,"62",,"14.26","0.04","2502.48","percent of total billed charges",,
"NF-cloNIDine HCl Oral Tab ER 0.1MG","0259","RC","Both",,,"23","11.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.42","0.04","2502.48","percent of total billed charges",,
"NF-cloNIDine HCl Oral Tab ER 0.1MG","0259","RC","Both",,,"23","11.5","Medicare",,,,"54",,"12.47","0.04","2502.48","percent of total billed charges",,
"NF-cloNIDine HCl Oral Tab ER 0.1MG","0259","RC","Both",,,"23","11.5","Humana","Medicare Advantage",,,"54",,"12.47","0.04","2502.48","percent of total billed charges",,
"NF-cloNIDine HCl Oral Tab ER 0.1MG","0259","RC","Both",,,"23","11.5","UHC","Medicare Advantage",,,"54",,"12.47","0.04","2502.48","percent of total billed charges",,
"NF-cloNIDine HCl Oral Tab ER 0.1MG","0259","RC","Both",,,"23","11.5","Clover","Medicare Advantage",,,"54",,"12.47","0.04","2502.48","percent of total billed charges",,
"NF-cloNIDine HCl Oral Tab ER 0.1MG","0259","RC","Both",,,"23","11.5","Wellcare","Medicare Advantage",,,"54",,"12.47","0.04","2502.48","percent of total billed charges",,
"NF-cloNIDine HCl Oral Tab ER 0.1MG","0259","RC","Both",,,"23","11.5","Amerigroup","Medicaid Managed Care",,,"37",,"8.42","0.04","2502.48","percent of total billed charges",,
"NF-cloNIDine HCl Oral Tab ER 0.1MG","0259","RC","Both",,,"23","11.5","Caresource","Medicaid Managed Care",,,"40",,"9.2","0.04","2502.48","percent of total billed charges",,
"NF-cloNIDine HCl Oral Tab ER 0.1MG","0259","RC","Both",,,"23","11.5","Wellcare","Medicaid Managed Care",,,"40",,"9.32","0.04","2502.48","percent of total billed charges",,
"NF-cloNIDine HCl Oral Tab ER 0.1MG","0259","RC","Both",,,"23","11.5","Aetna","Commercial",,,"64",,"14.67","0.04","2502.48","percent of total billed charges",,
"NF-cloNIDine HCl Oral Tab ER 0.1MG","0259","RC","Both",,,"23","11.5","Blue Cross Blue Shield","Pathways",,,"71",,"16.24","0.04","2502.48","percent of total billed charges",,
"NF-cloNIDine HCl Oral Tab ER 0.1MG","0259","RC","Both",,,"23","11.5","Blue Cross Blue Shield","HMO",,,"71",,"16.24","0.04","2502.48","percent of total billed charges",,
"NF-cloNIDine HCl Oral Tab ER 0.1MG","0259","RC","Both",,,"23","11.5","Blue Cross Blue Shield","PPO",,,"71",,"16.24","0.04","2502.48","percent of total billed charges",,
"NF-cloNIDine HCl Oral Tab ER 0.1MG","0259","RC","Both",,,"23","11.5","Ambetter","Health Exchange",,,"62",,"14.26","0.04","2502.48","percent of total billed charges",,
"NF-cloNIDine HCl Oral Tab ER 0.1MG","0259","RC","Both",,,"23","11.5","Caresource","Health Exchange",,,"62",,"14.26","0.04","2502.48","percent of total billed charges",,
"NF-cloNIDine HCl Oral Tab ER 0.1MG","0259","RC","Both",,,"23","11.5","Cigna","Commercial",,,"59",,"13.48","0.04","2502.48","percent of total billed charges",,
"NF-cloNIDine HCl Oral Tab ER 0.1MG","0259","RC","Both",,,"23","11.5","Humana","Commercial",,,"78",,"17.82","0.04","2502.48","percent of total billed charges",,
"NF-cloNIDine HCl Oral Tab ER 0.1MG","0259","RC","Both",,,"23","11.5","UHC","Commercial",,,"75",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-cloNIDine HCl Oral Tab ER 0.1MG","0259","RC","Both",,,"23","11.5","Medicaid",,,,"37",,"8.42","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 50MG","0259","RC","Both",,,"36","18","Alliant","Health Exchange",,,"62",,"22.32","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 50MG","0259","RC","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.44","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 50MG","0259","RC","Both",,,"36","18","Medicare",,,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 50MG","0259","RC","Both",,,"36","18","Humana","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 50MG","0259","RC","Both",,,"36","18","UHC","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 50MG","0259","RC","Both",,,"36","18","Clover","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 50MG","0259","RC","Both",,,"36","18","Wellcare","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 50MG","0259","RC","Both",,,"36","18","Amerigroup","Medicaid Managed Care",,,"37",,"13.18","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 50MG","0259","RC","Both",,,"36","18","Caresource","Medicaid Managed Care",,,"40",,"14.4","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 50MG","0259","RC","Both",,,"36","18","Wellcare","Medicaid Managed Care",,,"40",,"14.58","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 50MG","0259","RC","Both",,,"36","18","Aetna","Commercial",,,"64",,"22.97","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 50MG","0259","RC","Both",,,"36","18","Blue Cross Blue Shield","Pathways",,,"71",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 50MG","0259","RC","Both",,,"36","18","Blue Cross Blue Shield","HMO",,,"71",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 50MG","0259","RC","Both",,,"36","18","Blue Cross Blue Shield","PPO",,,"71",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 50MG","0259","RC","Both",,,"36","18","Ambetter","Health Exchange",,,"62",,"22.32","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 50MG","0259","RC","Both",,,"36","18","Caresource","Health Exchange",,,"62",,"22.32","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 50MG","0259","RC","Both",,,"36","18","Cigna","Commercial",,,"59",,"21.1","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 50MG","0259","RC","Both",,,"36","18","Humana","Commercial",,,"78",,"27.9","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 50MG","0259","RC","Both",,,"36","18","UHC","Commercial",,,"75",,"27.14","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 50MG","0259","RC","Both",,,"36","18","Medicaid",,,,"37",,"13.18","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Medicare",,,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Medicaid",,,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Celecoxib Oral Capsule 100MG","0259","RC","Both",,,"13","6.5","Alliant","Health Exchange",,,"62",,"8.06","0.04","2502.48","percent of total billed charges",,
"NF-Celecoxib Oral Capsule 100MG","0259","RC","Both",,,"13","6.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.02","0.04","2502.48","percent of total billed charges",,
"NF-Celecoxib Oral Capsule 100MG","0259","RC","Both",,,"13","6.5","Medicare",,,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-Celecoxib Oral Capsule 100MG","0259","RC","Both",,,"13","6.5","Humana","Medicare Advantage",,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-Celecoxib Oral Capsule 100MG","0259","RC","Both",,,"13","6.5","UHC","Medicare Advantage",,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-Celecoxib Oral Capsule 100MG","0259","RC","Both",,,"13","6.5","Clover","Medicare Advantage",,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-Celecoxib Oral Capsule 100MG","0259","RC","Both",,,"13","6.5","Wellcare","Medicare Advantage",,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-Celecoxib Oral Capsule 100MG","0259","RC","Both",,,"13","6.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.76","0.04","2502.48","percent of total billed charges",,
"NF-Celecoxib Oral Capsule 100MG","0259","RC","Both",,,"13","6.5","Caresource","Medicaid Managed Care",,,"40",,"5.2","0.04","2502.48","percent of total billed charges",,
"NF-Celecoxib Oral Capsule 100MG","0259","RC","Both",,,"13","6.5","Wellcare","Medicaid Managed Care",,,"40",,"5.26","0.04","2502.48","percent of total billed charges",,
"NF-Celecoxib Oral Capsule 100MG","0259","RC","Both",,,"13","6.5","Aetna","Commercial",,,"64",,"8.29","0.04","2502.48","percent of total billed charges",,
"NF-Celecoxib Oral Capsule 100MG","0259","RC","Both",,,"13","6.5","Blue Cross Blue Shield","Pathways",,,"71",,"9.18","0.04","2502.48","percent of total billed charges",,
"NF-Celecoxib Oral Capsule 100MG","0259","RC","Both",,,"13","6.5","Blue Cross Blue Shield","HMO",,,"71",,"9.18","0.04","2502.48","percent of total billed charges",,
"NF-Celecoxib Oral Capsule 100MG","0259","RC","Both",,,"13","6.5","Blue Cross Blue Shield","PPO",,,"71",,"9.18","0.04","2502.48","percent of total billed charges",,
"NF-Celecoxib Oral Capsule 100MG","0259","RC","Both",,,"13","6.5","Ambetter","Health Exchange",,,"62",,"8.06","0.04","2502.48","percent of total billed charges",,
"NF-Celecoxib Oral Capsule 100MG","0259","RC","Both",,,"13","6.5","Caresource","Health Exchange",,,"62",,"8.06","0.04","2502.48","percent of total billed charges",,
"NF-Celecoxib Oral Capsule 100MG","0259","RC","Both",,,"13","6.5","Cigna","Commercial",,,"59",,"7.62","0.04","2502.48","percent of total billed charges",,
"NF-Celecoxib Oral Capsule 100MG","0259","RC","Both",,,"13","6.5","Humana","Commercial",,,"78",,"10.08","0.04","2502.48","percent of total billed charges",,
"NF-Celecoxib Oral Capsule 100MG","0259","RC","Both",,,"13","6.5","UHC","Commercial",,,"75",,"9.8","0.04","2502.48","percent of total billed charges",,
"NF-Celecoxib Oral Capsule 100MG","0259","RC","Both",,,"13","6.5","Medicaid",,,,"37",,"4.76","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.04","2502.48","percent of total billed charges",,
"NF-RisperDAL Oral Tablet 0.5MG","0259","RC","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-RisperDAL Oral Tablet 0.5MG","0259","RC","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","0.04","2502.48","percent of total billed charges",,
"NF-RisperDAL Oral Tablet 0.5MG","0259","RC","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-RisperDAL Oral Tablet 0.5MG","0259","RC","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-RisperDAL Oral Tablet 0.5MG","0259","RC","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-RisperDAL Oral Tablet 0.5MG","0259","RC","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-RisperDAL Oral Tablet 0.5MG","0259","RC","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-RisperDAL Oral Tablet 0.5MG","0259","RC","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","0.04","2502.48","percent of total billed charges",,
"NF-RisperDAL Oral Tablet 0.5MG","0259","RC","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","0.04","2502.48","percent of total billed charges",,
"NF-RisperDAL Oral Tablet 0.5MG","0259","RC","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.04","2502.48","percent of total billed charges",,
"NF-RisperDAL Oral Tablet 0.5MG","0259","RC","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","0.04","2502.48","percent of total billed charges",,
"NF-RisperDAL Oral Tablet 0.5MG","0259","RC","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","0.04","2502.48","percent of total billed charges",,
"NF-RisperDAL Oral Tablet 0.5MG","0259","RC","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","0.04","2502.48","percent of total billed charges",,
"NF-RisperDAL Oral Tablet 0.5MG","0259","RC","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","0.04","2502.48","percent of total billed charges",,
"NF-RisperDAL Oral Tablet 0.5MG","0259","RC","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-RisperDAL Oral Tablet 0.5MG","0259","RC","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-RisperDAL Oral Tablet 0.5MG","0259","RC","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","0.04","2502.48","percent of total billed charges",,
"NF-RisperDAL Oral Tablet 0.5MG","0259","RC","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","0.04","2502.48","percent of total billed charges",,
"NF-RisperDAL Oral Tablet 0.5MG","0259","RC","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","0.04","2502.48","percent of total billed charges",,
"NF-RisperDAL Oral Tablet 0.5MG","0259","RC","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","0.04","2502.48","percent of total billed charges",,
"NF-Zoloft Tablet 100MG","0259","RC","Both",,,"14","7","Alliant","Health Exchange",,,"62",,"8.68","0.04","2502.48","percent of total billed charges",,
"NF-Zoloft Tablet 100MG","0259","RC","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.56","0.04","2502.48","percent of total billed charges",,
"NF-Zoloft Tablet 100MG","0259","RC","Both",,,"14","7","Medicare",,,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Zoloft Tablet 100MG","0259","RC","Both",,,"14","7","Humana","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Zoloft Tablet 100MG","0259","RC","Both",,,"14","7","UHC","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Zoloft Tablet 100MG","0259","RC","Both",,,"14","7","Clover","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Zoloft Tablet 100MG","0259","RC","Both",,,"14","7","Wellcare","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Zoloft Tablet 100MG","0259","RC","Both",,,"14","7","Amerigroup","Medicaid Managed Care",,,"37",,"5.12","0.04","2502.48","percent of total billed charges",,
"NF-Zoloft Tablet 100MG","0259","RC","Both",,,"14","7","Caresource","Medicaid Managed Care",,,"40",,"5.6","0.04","2502.48","percent of total billed charges",,
"NF-Zoloft Tablet 100MG","0259","RC","Both",,,"14","7","Wellcare","Medicaid Managed Care",,,"40",,"5.67","0.04","2502.48","percent of total billed charges",,
"NF-Zoloft Tablet 100MG","0259","RC","Both",,,"14","7","Aetna","Commercial",,,"64",,"8.93","0.04","2502.48","percent of total billed charges",,
"NF-Zoloft Tablet 100MG","0259","RC","Both",,,"14","7","Blue Cross Blue Shield","Pathways",,,"71",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Zoloft Tablet 100MG","0259","RC","Both",,,"14","7","Blue Cross Blue Shield","HMO",,,"71",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Zoloft Tablet 100MG","0259","RC","Both",,,"14","7","Blue Cross Blue Shield","PPO",,,"71",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Zoloft Tablet 100MG","0259","RC","Both",,,"14","7","Ambetter","Health Exchange",,,"62",,"8.68","0.04","2502.48","percent of total billed charges",,
"NF-Zoloft Tablet 100MG","0259","RC","Both",,,"14","7","Caresource","Health Exchange",,,"62",,"8.68","0.04","2502.48","percent of total billed charges",,
"NF-Zoloft Tablet 100MG","0259","RC","Both",,,"14","7","Cigna","Commercial",,,"59",,"8.2","0.04","2502.48","percent of total billed charges",,
"NF-Zoloft Tablet 100MG","0259","RC","Both",,,"14","7","Humana","Commercial",,,"78",,"10.85","0.04","2502.48","percent of total billed charges",,
"NF-Zoloft Tablet 100MG","0259","RC","Both",,,"14","7","UHC","Commercial",,,"75",,"10.56","0.04","2502.48","percent of total billed charges",,
"NF-Zoloft Tablet 100MG","0259","RC","Both",,,"14","7","Medicaid",,,,"37",,"5.12","0.04","2502.48","percent of total billed charges",,
"NF-Nuedexta Oral Capsule 20MG-10MG","0259","RC","Both",,,"85","42.5","Alliant","Health Exchange",,,"62",,"52.7","0.04","2502.48","percent of total billed charges",,
"NF-Nuedexta Oral Capsule 20MG-10MG","0259","RC","Both",,,"85","42.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"45.9","0.04","2502.48","percent of total billed charges",,
"NF-Nuedexta Oral Capsule 20MG-10MG","0259","RC","Both",,,"85","42.5","Medicare",,,,"54",,"46.07","0.04","2502.48","percent of total billed charges",,
"NF-Nuedexta Oral Capsule 20MG-10MG","0259","RC","Both",,,"85","42.5","Humana","Medicare Advantage",,,"54",,"46.07","0.04","2502.48","percent of total billed charges",,
"NF-Nuedexta Oral Capsule 20MG-10MG","0259","RC","Both",,,"85","42.5","UHC","Medicare Advantage",,,"54",,"46.07","0.04","2502.48","percent of total billed charges",,
"NF-Nuedexta Oral Capsule 20MG-10MG","0259","RC","Both",,,"85","42.5","Clover","Medicare Advantage",,,"54",,"46.07","0.04","2502.48","percent of total billed charges",,
"NF-Nuedexta Oral Capsule 20MG-10MG","0259","RC","Both",,,"85","42.5","Wellcare","Medicare Advantage",,,"54",,"46.07","0.04","2502.48","percent of total billed charges",,
"NF-Nuedexta Oral Capsule 20MG-10MG","0259","RC","Both",,,"85","42.5","Amerigroup","Medicaid Managed Care",,,"37",,"31.11","0.04","2502.48","percent of total billed charges",,
"NF-Nuedexta Oral Capsule 20MG-10MG","0259","RC","Both",,,"85","42.5","Caresource","Medicaid Managed Care",,,"40",,"34","0.04","2502.48","percent of total billed charges",,
"NF-Nuedexta Oral Capsule 20MG-10MG","0259","RC","Both",,,"85","42.5","Wellcare","Medicaid Managed Care",,,"40",,"34.43","0.04","2502.48","percent of total billed charges",,
"NF-Nuedexta Oral Capsule 20MG-10MG","0259","RC","Both",,,"85","42.5","Aetna","Commercial",,,"64",,"54.23","0.04","2502.48","percent of total billed charges",,
"NF-Nuedexta Oral Capsule 20MG-10MG","0259","RC","Both",,,"85","42.5","Blue Cross Blue Shield","Pathways",,,"71",,"60.01","0.04","2502.48","percent of total billed charges",,
"NF-Nuedexta Oral Capsule 20MG-10MG","0259","RC","Both",,,"85","42.5","Blue Cross Blue Shield","HMO",,,"71",,"60.01","0.04","2502.48","percent of total billed charges",,
"NF-Nuedexta Oral Capsule 20MG-10MG","0259","RC","Both",,,"85","42.5","Blue Cross Blue Shield","PPO",,,"71",,"60.01","0.04","2502.48","percent of total billed charges",,
"NF-Nuedexta Oral Capsule 20MG-10MG","0259","RC","Both",,,"85","42.5","Ambetter","Health Exchange",,,"62",,"52.7","0.04","2502.48","percent of total billed charges",,
"NF-Nuedexta Oral Capsule 20MG-10MG","0259","RC","Both",,,"85","42.5","Caresource","Health Exchange",,,"62",,"52.7","0.04","2502.48","percent of total billed charges",,
"NF-Nuedexta Oral Capsule 20MG-10MG","0259","RC","Both",,,"85","42.5","Cigna","Commercial",,,"59",,"49.81","0.04","2502.48","percent of total billed charges",,
"NF-Nuedexta Oral Capsule 20MG-10MG","0259","RC","Both",,,"85","42.5","Humana","Commercial",,,"78",,"65.88","0.04","2502.48","percent of total billed charges",,
"NF-Nuedexta Oral Capsule 20MG-10MG","0259","RC","Both",,,"85","42.5","UHC","Commercial",,,"75",,"64.09","0.04","2502.48","percent of total billed charges",,
"NF-Nuedexta Oral Capsule 20MG-10MG","0259","RC","Both",,,"85","42.5","Medicaid",,,,"37",,"31.11","0.04","2502.48","percent of total billed charges",,
"NF-Naltrexone HCl Oral Tablet 50MG","0259","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Naltrexone HCl Oral Tablet 50MG","0259","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.04","2502.48","percent of total billed charges",,
"NF-Naltrexone HCl Oral Tablet 50MG","0259","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Naltrexone HCl Oral Tablet 50MG","0259","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Naltrexone HCl Oral Tablet 50MG","0259","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Naltrexone HCl Oral Tablet 50MG","0259","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Naltrexone HCl Oral Tablet 50MG","0259","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Naltrexone HCl Oral Tablet 50MG","0259","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Naltrexone HCl Oral Tablet 50MG","0259","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.04","2502.48","percent of total billed charges",,
"NF-Naltrexone HCl Oral Tablet 50MG","0259","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.04","2502.48","percent of total billed charges",,
"NF-Naltrexone HCl Oral Tablet 50MG","0259","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.04","2502.48","percent of total billed charges",,
"NF-Naltrexone HCl Oral Tablet 50MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Naltrexone HCl Oral Tablet 50MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Naltrexone HCl Oral Tablet 50MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Naltrexone HCl Oral Tablet 50MG","0259","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Naltrexone HCl Oral Tablet 50MG","0259","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Naltrexone HCl Oral Tablet 50MG","0259","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.04","2502.48","percent of total billed charges",,
"NF-Naltrexone HCl Oral Tablet 50MG","0259","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.04","2502.48","percent of total billed charges",,
"NF-Naltrexone HCl Oral Tablet 50MG","0259","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.04","2502.48","percent of total billed charges",,
"NF-Naltrexone HCl Oral Tablet 50MG","0259","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 50MG","0259","RC","Both",,,"36","18","Alliant","Health Exchange",,,"62",,"22.32","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 50MG","0259","RC","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.44","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 50MG","0259","RC","Both",,,"36","18","Medicare",,,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 50MG","0259","RC","Both",,,"36","18","Humana","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 50MG","0259","RC","Both",,,"36","18","UHC","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 50MG","0259","RC","Both",,,"36","18","Clover","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 50MG","0259","RC","Both",,,"36","18","Wellcare","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 50MG","0259","RC","Both",,,"36","18","Amerigroup","Medicaid Managed Care",,,"37",,"13.18","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 50MG","0259","RC","Both",,,"36","18","Caresource","Medicaid Managed Care",,,"40",,"14.4","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 50MG","0259","RC","Both",,,"36","18","Wellcare","Medicaid Managed Care",,,"40",,"14.58","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 50MG","0259","RC","Both",,,"36","18","Aetna","Commercial",,,"64",,"22.97","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 50MG","0259","RC","Both",,,"36","18","Blue Cross Blue Shield","Pathways",,,"71",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 50MG","0259","RC","Both",,,"36","18","Blue Cross Blue Shield","HMO",,,"71",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 50MG","0259","RC","Both",,,"36","18","Blue Cross Blue Shield","PPO",,,"71",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 50MG","0259","RC","Both",,,"36","18","Ambetter","Health Exchange",,,"62",,"22.32","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 50MG","0259","RC","Both",,,"36","18","Caresource","Health Exchange",,,"62",,"22.32","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 50MG","0259","RC","Both",,,"36","18","Cigna","Commercial",,,"59",,"21.1","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 50MG","0259","RC","Both",,,"36","18","Humana","Commercial",,,"78",,"27.9","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 50MG","0259","RC","Both",,,"36","18","UHC","Commercial",,,"75",,"27.14","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 50MG","0259","RC","Both",,,"36","18","Medicaid",,,,"37",,"13.18","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Alliant","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.82","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Medicare",,,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Humana","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","UHC","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Clover","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Wellcare","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Amerigroup","Medicaid Managed Care",,,"37",,"12.08","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Caresource","Medicaid Managed Care",,,"40",,"13.2","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Wellcare","Medicaid Managed Care",,,"40",,"13.36","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Aetna","Commercial",,,"64",,"21.05","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","Pathways",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","HMO",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","PPO",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Ambetter","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Caresource","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Cigna","Commercial",,,"59",,"19.34","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Humana","Commercial",,,"78",,"25.58","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","UHC","Commercial",,,"75",,"24.88","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Medicaid",,,,"37",,"12.08","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"934","467","Alliant","Health Exchange",,,"62",,"579.08","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"934","467","Pruitt Healthcare","Medicare Advantage",,,"54",,"504.36","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"934","467","Medicare",,,,"54",,"506.23","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"934","467","Humana","Medicare Advantage",,,"54",,"506.23","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"934","467","UHC","Medicare Advantage",,,"54",,"506.23","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"934","467","Clover","Medicare Advantage",,,"54",,"506.23","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"934","467","Wellcare","Medicare Advantage",,,"54",,"506.23","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"934","467","Amerigroup","Medicaid Managed Care",,,"37",,"341.84","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"934","467","Caresource","Medicaid Managed Care",,,"40",,"373.6","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"934","467","Wellcare","Medicaid Managed Care",,,"40",,"378.27","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"934","467","Aetna","Commercial",,,"64",,"595.89","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"934","467","Blue Cross Blue Shield","Pathways",,,"71",,"659.4","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"934","467","Blue Cross Blue Shield","HMO",,,"71",,"659.4","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"934","467","Blue Cross Blue Shield","PPO",,,"71",,"659.4","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"934","467","Ambetter","Health Exchange",,,"62",,"579.08","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"934","467","Caresource","Health Exchange",,,"62",,"579.08","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"934","467","Cigna","Commercial",,,"59",,"547.32","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"934","467","Humana","Commercial",,,"78",,"723.85","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"934","467","UHC","Commercial",,,"75",,"704.24","0.04","2502.48","percent of total billed charges",,
"NF-Jakafi Oral Tablet 5MG","0259","RC","Both",,,"934","467","Medicaid",,,,"37",,"341.84","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"56","28","Alliant","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"56","28","Pruitt Healthcare","Medicare Advantage",,,"54",,"30.24","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"56","28","Medicare",,,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"56","28","Humana","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"56","28","UHC","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"56","28","Clover","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"56","28","Wellcare","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"56","28","Amerigroup","Medicaid Managed Care",,,"37",,"20.5","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"56","28","Caresource","Medicaid Managed Care",,,"40",,"22.4","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"56","28","Wellcare","Medicaid Managed Care",,,"40",,"22.68","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"56","28","Aetna","Commercial",,,"64",,"35.73","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","Pathways",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","HMO",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","PPO",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"56","28","Ambetter","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"56","28","Caresource","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"56","28","Cigna","Commercial",,,"59",,"32.82","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"56","28","Humana","Commercial",,,"78",,"43.4","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"56","28","UHC","Commercial",,,"75",,"42.22","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"56","28","Medicaid",,,,"37",,"20.5","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Alliant","Health Exchange",,,"62",,"38.44","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Pruitt Healthcare","Medicare Advantage",,,"54",,"33.48","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Medicare",,,,"54",,"33.6","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Humana","Medicare Advantage",,,"54",,"33.6","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","UHC","Medicare Advantage",,,"54",,"33.6","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Clover","Medicare Advantage",,,"54",,"33.6","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Wellcare","Medicare Advantage",,,"54",,"33.6","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Amerigroup","Medicaid Managed Care",,,"37",,"22.69","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Caresource","Medicaid Managed Care",,,"40",,"24.8","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Wellcare","Medicaid Managed Care",,,"40",,"25.11","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Aetna","Commercial",,,"64",,"39.56","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Blue Cross Blue Shield","Pathways",,,"71",,"43.77","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Blue Cross Blue Shield","HMO",,,"71",,"43.77","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Blue Cross Blue Shield","PPO",,,"71",,"43.77","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Ambetter","Health Exchange",,,"62",,"38.44","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Caresource","Health Exchange",,,"62",,"38.44","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Cigna","Commercial",,,"59",,"36.33","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Humana","Commercial",,,"78",,"48.05","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","UHC","Commercial",,,"75",,"46.75","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Medicaid",,,,"37",,"22.69","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate   Tab  2.5MG","0259","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate   Tab  2.5MG","0259","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate   Tab  2.5MG","0259","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate   Tab  2.5MG","0259","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate   Tab  2.5MG","0259","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate   Tab  2.5MG","0259","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate   Tab  2.5MG","0259","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate   Tab  2.5MG","0259","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate   Tab  2.5MG","0259","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate   Tab  2.5MG","0259","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate   Tab  2.5MG","0259","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate   Tab  2.5MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate   Tab  2.5MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate   Tab  2.5MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate   Tab  2.5MG","0259","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate   Tab  2.5MG","0259","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate   Tab  2.5MG","0259","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate   Tab  2.5MG","0259","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate   Tab  2.5MG","0259","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate   Tab  2.5MG","0259","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Naltrexone HCl Oral Tablet 50MG","0259","RC","Both",,,"12","6","Alliant","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Naltrexone HCl Oral Tablet 50MG","0259","RC","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.48","0.04","2502.48","percent of total billed charges",,
"NF-Naltrexone HCl Oral Tablet 50MG","0259","RC","Both",,,"12","6","Medicare",,,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Naltrexone HCl Oral Tablet 50MG","0259","RC","Both",,,"12","6","Humana","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Naltrexone HCl Oral Tablet 50MG","0259","RC","Both",,,"12","6","UHC","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Naltrexone HCl Oral Tablet 50MG","0259","RC","Both",,,"12","6","Clover","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Naltrexone HCl Oral Tablet 50MG","0259","RC","Both",,,"12","6","Wellcare","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Naltrexone HCl Oral Tablet 50MG","0259","RC","Both",,,"12","6","Amerigroup","Medicaid Managed Care",,,"37",,"4.39","0.04","2502.48","percent of total billed charges",,
"NF-Naltrexone HCl Oral Tablet 50MG","0259","RC","Both",,,"12","6","Caresource","Medicaid Managed Care",,,"40",,"4.8","0.04","2502.48","percent of total billed charges",,
"NF-Naltrexone HCl Oral Tablet 50MG","0259","RC","Both",,,"12","6","Wellcare","Medicaid Managed Care",,,"40",,"4.86","0.04","2502.48","percent of total billed charges",,
"NF-Naltrexone HCl Oral Tablet 50MG","0259","RC","Both",,,"12","6","Aetna","Commercial",,,"64",,"7.66","0.04","2502.48","percent of total billed charges",,
"NF-Naltrexone HCl Oral Tablet 50MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","Pathways",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Naltrexone HCl Oral Tablet 50MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","HMO",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Naltrexone HCl Oral Tablet 50MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","PPO",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Naltrexone HCl Oral Tablet 50MG","0259","RC","Both",,,"12","6","Ambetter","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Naltrexone HCl Oral Tablet 50MG","0259","RC","Both",,,"12","6","Caresource","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Naltrexone HCl Oral Tablet 50MG","0259","RC","Both",,,"12","6","Cigna","Commercial",,,"59",,"7.03","0.04","2502.48","percent of total billed charges",,
"NF-Naltrexone HCl Oral Tablet 50MG","0259","RC","Both",,,"12","6","Humana","Commercial",,,"78",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Naltrexone HCl Oral Tablet 50MG","0259","RC","Both",,,"12","6","UHC","Commercial",,,"75",,"9.05","0.04","2502.48","percent of total billed charges",,
"NF-Naltrexone HCl Oral Tablet 50MG","0259","RC","Both",,,"12","6","Medicaid",,,,"37",,"4.39","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Alliant","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.82","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Medicare",,,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Humana","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","UHC","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Clover","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Wellcare","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Amerigroup","Medicaid Managed Care",,,"37",,"12.08","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Caresource","Medicaid Managed Care",,,"40",,"13.2","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Wellcare","Medicaid Managed Care",,,"40",,"13.36","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Aetna","Commercial",,,"64",,"21.05","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","Pathways",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","HMO",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","PPO",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Ambetter","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Caresource","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Cigna","Commercial",,,"59",,"19.34","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Humana","Commercial",,,"78",,"25.58","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","UHC","Commercial",,,"75",,"24.88","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Medicaid",,,,"37",,"12.08","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Alliant","Health Exchange",,,"62",,"19.22","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.74","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Medicare",,,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Humana","Medicare Advantage",,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","UHC","Medicare Advantage",,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Clover","Medicare Advantage",,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Wellcare","Medicare Advantage",,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care",,,"37",,"11.35","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Caresource","Medicaid Managed Care",,,"40",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Wellcare","Medicaid Managed Care",,,"40",,"12.56","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Aetna","Commercial",,,"64",,"19.78","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways",,,"71",,"21.89","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Blue Cross Blue Shield","HMO",,,"71",,"21.89","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Blue Cross Blue Shield","PPO",,,"71",,"21.89","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Ambetter","Health Exchange",,,"62",,"19.22","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Caresource","Health Exchange",,,"62",,"19.22","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Cigna","Commercial",,,"59",,"18.17","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Humana","Commercial",,,"78",,"24.02","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","UHC","Commercial",,,"75",,"23.37","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Medicaid",,,,"37",,"11.35","0.04","2502.48","percent of total billed charges",,
"NF-Modafinil Oral Tablet 200MG","0259","RC","Both",,,"100","50","Alliant","Health Exchange",,,"62",,"62","0.04","2502.48","percent of total billed charges",,
"NF-Modafinil Oral Tablet 200MG","0259","RC","Both",,,"100","50","Pruitt Healthcare","Medicare Advantage",,,"54",,"54","0.04","2502.48","percent of total billed charges",,
"NF-Modafinil Oral Tablet 200MG","0259","RC","Both",,,"100","50","Medicare",,,,"54",,"54.2","0.04","2502.48","percent of total billed charges",,
"NF-Modafinil Oral Tablet 200MG","0259","RC","Both",,,"100","50","Humana","Medicare Advantage",,,"54",,"54.2","0.04","2502.48","percent of total billed charges",,
"NF-Modafinil Oral Tablet 200MG","0259","RC","Both",,,"100","50","UHC","Medicare Advantage",,,"54",,"54.2","0.04","2502.48","percent of total billed charges",,
"NF-Modafinil Oral Tablet 200MG","0259","RC","Both",,,"100","50","Clover","Medicare Advantage",,,"54",,"54.2","0.04","2502.48","percent of total billed charges",,
"NF-Modafinil Oral Tablet 200MG","0259","RC","Both",,,"100","50","Wellcare","Medicare Advantage",,,"54",,"54.2","0.04","2502.48","percent of total billed charges",,
"NF-Modafinil Oral Tablet 200MG","0259","RC","Both",,,"100","50","Amerigroup","Medicaid Managed Care",,,"37",,"36.6","0.04","2502.48","percent of total billed charges",,
"NF-Modafinil Oral Tablet 200MG","0259","RC","Both",,,"100","50","Caresource","Medicaid Managed Care",,,"40",,"40","0.04","2502.48","percent of total billed charges",,
"NF-Modafinil Oral Tablet 200MG","0259","RC","Both",,,"100","50","Wellcare","Medicaid Managed Care",,,"40",,"40.5","0.04","2502.48","percent of total billed charges",,
"NF-Modafinil Oral Tablet 200MG","0259","RC","Both",,,"100","50","Aetna","Commercial",,,"64",,"63.8","0.04","2502.48","percent of total billed charges",,
"NF-Modafinil Oral Tablet 200MG","0259","RC","Both",,,"100","50","Blue Cross Blue Shield","Pathways",,,"71",,"70.6","0.04","2502.48","percent of total billed charges",,
"NF-Modafinil Oral Tablet 200MG","0259","RC","Both",,,"100","50","Blue Cross Blue Shield","HMO",,,"71",,"70.6","0.04","2502.48","percent of total billed charges",,
"NF-Modafinil Oral Tablet 200MG","0259","RC","Both",,,"100","50","Blue Cross Blue Shield","PPO",,,"71",,"70.6","0.04","2502.48","percent of total billed charges",,
"NF-Modafinil Oral Tablet 200MG","0259","RC","Both",,,"100","50","Ambetter","Health Exchange",,,"62",,"62","0.04","2502.48","percent of total billed charges",,
"NF-Modafinil Oral Tablet 200MG","0259","RC","Both",,,"100","50","Caresource","Health Exchange",,,"62",,"62","0.04","2502.48","percent of total billed charges",,
"NF-Modafinil Oral Tablet 200MG","0259","RC","Both",,,"100","50","Cigna","Commercial",,,"59",,"58.6","0.04","2502.48","percent of total billed charges",,
"NF-Modafinil Oral Tablet 200MG","0259","RC","Both",,,"100","50","Humana","Commercial",,,"78",,"77.5","0.04","2502.48","percent of total billed charges",,
"NF-Modafinil Oral Tablet 200MG","0259","RC","Both",,,"100","50","UHC","Commercial",,,"75",,"75.4","0.04","2502.48","percent of total billed charges",,
"NF-Modafinil Oral Tablet 200MG","0259","RC","Both",,,"100","50","Medicaid",,,,"37",,"36.6","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 750MG","0259","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 750MG","0259","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 750MG","0259","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 750MG","0259","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 750MG","0259","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 750MG","0259","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 750MG","0259","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 750MG","0259","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 750MG","0259","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 750MG","0259","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 750MG","0259","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 750MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 750MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 750MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 750MG","0259","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 750MG","0259","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 750MG","0259","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 750MG","0259","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 750MG","0259","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 750MG","0259","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 200MG","0259","RC","Both",,,"105","52.5","Alliant","Health Exchange",,,"62",,"65.1","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 200MG","0259","RC","Both",,,"105","52.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"56.7","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 200MG","0259","RC","Both",,,"105","52.5","Medicare",,,,"54",,"56.91","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 200MG","0259","RC","Both",,,"105","52.5","Humana","Medicare Advantage",,,"54",,"56.91","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 200MG","0259","RC","Both",,,"105","52.5","UHC","Medicare Advantage",,,"54",,"56.91","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 200MG","0259","RC","Both",,,"105","52.5","Clover","Medicare Advantage",,,"54",,"56.91","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 200MG","0259","RC","Both",,,"105","52.5","Wellcare","Medicare Advantage",,,"54",,"56.91","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 200MG","0259","RC","Both",,,"105","52.5","Amerigroup","Medicaid Managed Care",,,"37",,"38.43","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 200MG","0259","RC","Both",,,"105","52.5","Caresource","Medicaid Managed Care",,,"40",,"42","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 200MG","0259","RC","Both",,,"105","52.5","Wellcare","Medicaid Managed Care",,,"40",,"42.53","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 200MG","0259","RC","Both",,,"105","52.5","Aetna","Commercial",,,"64",,"66.99","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 200MG","0259","RC","Both",,,"105","52.5","Blue Cross Blue Shield","Pathways",,,"71",,"74.13","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 200MG","0259","RC","Both",,,"105","52.5","Blue Cross Blue Shield","HMO",,,"71",,"74.13","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 200MG","0259","RC","Both",,,"105","52.5","Blue Cross Blue Shield","PPO",,,"71",,"74.13","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 200MG","0259","RC","Both",,,"105","52.5","Ambetter","Health Exchange",,,"62",,"65.1","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 200MG","0259","RC","Both",,,"105","52.5","Caresource","Health Exchange",,,"62",,"65.1","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 200MG","0259","RC","Both",,,"105","52.5","Cigna","Commercial",,,"59",,"61.53","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 200MG","0259","RC","Both",,,"105","52.5","Humana","Commercial",,,"78",,"81.38","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 200MG","0259","RC","Both",,,"105","52.5","UHC","Commercial",,,"75",,"79.17","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 200MG","0259","RC","Both",,,"105","52.5","Medicaid",,,,"37",,"38.43","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Alliant","Health Exchange",,,"62",,"32.24","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.08","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Medicare",,,,"54",,"28.18","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Humana","Medicare Advantage",,,"54",,"28.18","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","UHC","Medicare Advantage",,,"54",,"28.18","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Clover","Medicare Advantage",,,"54",,"28.18","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Wellcare","Medicare Advantage",,,"54",,"28.18","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Amerigroup","Medicaid Managed Care",,,"37",,"19.03","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Caresource","Medicaid Managed Care",,,"40",,"20.8","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Wellcare","Medicaid Managed Care",,,"40",,"21.06","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Aetna","Commercial",,,"64",,"33.18","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Blue Cross Blue Shield","Pathways",,,"71",,"36.71","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Blue Cross Blue Shield","HMO",,,"71",,"36.71","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Blue Cross Blue Shield","PPO",,,"71",,"36.71","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Ambetter","Health Exchange",,,"62",,"32.24","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Caresource","Health Exchange",,,"62",,"32.24","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Cigna","Commercial",,,"59",,"30.47","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Humana","Commercial",,,"78",,"40.3","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","UHC","Commercial",,,"75",,"39.21","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Medicaid",,,,"37",,"19.03","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","0259","RC","Both",,,"20","10","Alliant","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","0259","RC","Both",,,"20","10","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.8","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","0259","RC","Both",,,"20","10","Medicare",,,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","0259","RC","Both",,,"20","10","Humana","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","0259","RC","Both",,,"20","10","UHC","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","0259","RC","Both",,,"20","10","Clover","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","0259","RC","Both",,,"20","10","Wellcare","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","0259","RC","Both",,,"20","10","Amerigroup","Medicaid Managed Care",,,"37",,"7.32","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","0259","RC","Both",,,"20","10","Caresource","Medicaid Managed Care",,,"40",,"8","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","0259","RC","Both",,,"20","10","Wellcare","Medicaid Managed Care",,,"40",,"8.1","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","0259","RC","Both",,,"20","10","Aetna","Commercial",,,"64",,"12.76","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","Pathways",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","HMO",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","PPO",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","0259","RC","Both",,,"20","10","Ambetter","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","0259","RC","Both",,,"20","10","Caresource","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","0259","RC","Both",,,"20","10","Cigna","Commercial",,,"59",,"11.72","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","0259","RC","Both",,,"20","10","Humana","Commercial",,,"78",,"15.5","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","0259","RC","Both",,,"20","10","UHC","Commercial",,,"75",,"15.08","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","0259","RC","Both",,,"20","10","Medicaid",,,,"37",,"7.32","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 200MG","0259","RC","Both",,,"105","52.5","Alliant","Health Exchange",,,"62",,"65.1","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 200MG","0259","RC","Both",,,"105","52.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"56.7","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 200MG","0259","RC","Both",,,"105","52.5","Medicare",,,,"54",,"56.91","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 200MG","0259","RC","Both",,,"105","52.5","Humana","Medicare Advantage",,,"54",,"56.91","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 200MG","0259","RC","Both",,,"105","52.5","UHC","Medicare Advantage",,,"54",,"56.91","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 200MG","0259","RC","Both",,,"105","52.5","Clover","Medicare Advantage",,,"54",,"56.91","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 200MG","0259","RC","Both",,,"105","52.5","Wellcare","Medicare Advantage",,,"54",,"56.91","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 200MG","0259","RC","Both",,,"105","52.5","Amerigroup","Medicaid Managed Care",,,"37",,"38.43","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 200MG","0259","RC","Both",,,"105","52.5","Caresource","Medicaid Managed Care",,,"40",,"42","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 200MG","0259","RC","Both",,,"105","52.5","Wellcare","Medicaid Managed Care",,,"40",,"42.53","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 200MG","0259","RC","Both",,,"105","52.5","Aetna","Commercial",,,"64",,"66.99","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 200MG","0259","RC","Both",,,"105","52.5","Blue Cross Blue Shield","Pathways",,,"71",,"74.13","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 200MG","0259","RC","Both",,,"105","52.5","Blue Cross Blue Shield","HMO",,,"71",,"74.13","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 200MG","0259","RC","Both",,,"105","52.5","Blue Cross Blue Shield","PPO",,,"71",,"74.13","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 200MG","0259","RC","Both",,,"105","52.5","Ambetter","Health Exchange",,,"62",,"65.1","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 200MG","0259","RC","Both",,,"105","52.5","Caresource","Health Exchange",,,"62",,"65.1","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 200MG","0259","RC","Both",,,"105","52.5","Cigna","Commercial",,,"59",,"61.53","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 200MG","0259","RC","Both",,,"105","52.5","Humana","Commercial",,,"78",,"81.38","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 200MG","0259","RC","Both",,,"105","52.5","UHC","Commercial",,,"75",,"79.17","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Oral Tablet 200MG","0259","RC","Both",,,"105","52.5","Medicaid",,,,"37",,"38.43","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Alliant","Health Exchange",,,"62",,"32.24","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.08","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Medicare",,,,"54",,"28.18","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Humana","Medicare Advantage",,,"54",,"28.18","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","UHC","Medicare Advantage",,,"54",,"28.18","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Clover","Medicare Advantage",,,"54",,"28.18","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Wellcare","Medicare Advantage",,,"54",,"28.18","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Amerigroup","Medicaid Managed Care",,,"37",,"19.03","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Caresource","Medicaid Managed Care",,,"40",,"20.8","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Wellcare","Medicaid Managed Care",,,"40",,"21.06","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Aetna","Commercial",,,"64",,"33.18","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Blue Cross Blue Shield","Pathways",,,"71",,"36.71","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Blue Cross Blue Shield","HMO",,,"71",,"36.71","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Blue Cross Blue Shield","PPO",,,"71",,"36.71","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Ambetter","Health Exchange",,,"62",,"32.24","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Caresource","Health Exchange",,,"62",,"32.24","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Cigna","Commercial",,,"59",,"30.47","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Humana","Commercial",,,"78",,"40.3","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","UHC","Commercial",,,"75",,"39.21","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Medicaid",,,,"37",,"19.03","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Alliant","Health Exchange",,,"62",,"32.24","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.08","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Medicare",,,,"54",,"28.18","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Humana","Medicare Advantage",,,"54",,"28.18","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","UHC","Medicare Advantage",,,"54",,"28.18","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Clover","Medicare Advantage",,,"54",,"28.18","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Wellcare","Medicare Advantage",,,"54",,"28.18","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Amerigroup","Medicaid Managed Care",,,"37",,"19.03","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Caresource","Medicaid Managed Care",,,"40",,"20.8","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Wellcare","Medicaid Managed Care",,,"40",,"21.06","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Aetna","Commercial",,,"64",,"33.18","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Blue Cross Blue Shield","Pathways",,,"71",,"36.71","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Blue Cross Blue Shield","HMO",,,"71",,"36.71","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Blue Cross Blue Shield","PPO",,,"71",,"36.71","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Ambetter","Health Exchange",,,"62",,"32.24","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Caresource","Health Exchange",,,"62",,"32.24","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Cigna","Commercial",,,"59",,"30.47","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Humana","Commercial",,,"78",,"40.3","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","UHC","Commercial",,,"75",,"39.21","0.04","2502.48","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","0259","RC","Both",,,"52","26","Medicaid",,,,"37",,"19.03","0.04","2502.48","percent of total billed charges",,
"CLOZAPINE (CLOZARIL) 100 MG TABLETS","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"CLOZAPINE (CLOZARIL) 100 MG TABLETS","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"CLOZAPINE (CLOZARIL) 100 MG TABLETS","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"CLOZAPINE (CLOZARIL) 100 MG TABLETS","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"CLOZAPINE (CLOZARIL) 100 MG TABLETS","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"CLOZAPINE (CLOZARIL) 100 MG TABLETS","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"CLOZAPINE (CLOZARIL) 100 MG TABLETS","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"CLOZAPINE (CLOZARIL) 100 MG TABLETS","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"CLOZAPINE (CLOZARIL) 100 MG TABLETS","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"CLOZAPINE (CLOZARIL) 100 MG TABLETS","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"CLOZAPINE (CLOZARIL) 100 MG TABLETS","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"CLOZAPINE (CLOZARIL) 100 MG TABLETS","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"CLOZAPINE (CLOZARIL) 100 MG TABLETS","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"CLOZAPINE (CLOZARIL) 100 MG TABLETS","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"CLOZAPINE (CLOZARIL) 100 MG TABLETS","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"CLOZAPINE (CLOZARIL) 100 MG TABLETS","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"CLOZAPINE (CLOZARIL) 100 MG TABLETS","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"CLOZAPINE (CLOZARIL) 100 MG TABLETS","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"CLOZAPINE (CLOZARIL) 100 MG TABLETS","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"CLOZAPINE (CLOZARIL) 100 MG TABLETS","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"CLOZAPINE (CLOZARIL) 25 MG TABLETS","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CLOZAPINE (CLOZARIL) 25 MG TABLETS","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"CLOZAPINE (CLOZARIL) 25 MG TABLETS","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CLOZAPINE (CLOZARIL) 25 MG TABLETS","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CLOZAPINE (CLOZARIL) 25 MG TABLETS","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CLOZAPINE (CLOZARIL) 25 MG TABLETS","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CLOZAPINE (CLOZARIL) 25 MG TABLETS","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CLOZAPINE (CLOZARIL) 25 MG TABLETS","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"CLOZAPINE (CLOZARIL) 25 MG TABLETS","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"CLOZAPINE (CLOZARIL) 25 MG TABLETS","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"CLOZAPINE (CLOZARIL) 25 MG TABLETS","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"CLOZAPINE (CLOZARIL) 25 MG TABLETS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CLOZAPINE (CLOZARIL) 25 MG TABLETS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CLOZAPINE (CLOZARIL) 25 MG TABLETS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CLOZAPINE (CLOZARIL) 25 MG TABLETS","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CLOZAPINE (CLOZARIL) 25 MG TABLETS","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CLOZAPINE (CLOZARIL) 25 MG TABLETS","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"CLOZAPINE (CLOZARIL) 25 MG TABLETS","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"CLOZAPINE (CLOZARIL) 25 MG TABLETS","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"CLOZAPINE (CLOZARIL) 25 MG TABLETS","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Alliant","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Pruitt Healthcare","Medicare Advantage",,,"54",,"30.24","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Medicare",,,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Humana","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","UHC","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Clover","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Wellcare","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Amerigroup","Medicaid Managed Care",,,"37",,"20.5","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Caresource","Medicaid Managed Care",,,"40",,"22.4","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Wellcare","Medicaid Managed Care",,,"40",,"22.68","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Aetna","Commercial",,,"64",,"35.73","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","Pathways",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","HMO",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","PPO",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Ambetter","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Caresource","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Cigna","Commercial",,,"59",,"32.82","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Humana","Commercial",,,"78",,"43.4","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","UHC","Commercial",,,"75",,"42.22","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"56","28","Medicaid",,,,"37",,"20.5","0.04","2502.48","percent of total billed charges",,
"NF-Azor Oral Tablet 10MG-40MG","0259","RC","Both",,,"45","22.5","Alliant","Health Exchange",,,"62",,"27.9","0.04","2502.48","percent of total billed charges",,
"NF-Azor Oral Tablet 10MG-40MG","0259","RC","Both",,,"45","22.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"24.3","0.04","2502.48","percent of total billed charges",,
"NF-Azor Oral Tablet 10MG-40MG","0259","RC","Both",,,"45","22.5","Medicare",,,,"54",,"24.39","0.04","2502.48","percent of total billed charges",,
"NF-Azor Oral Tablet 10MG-40MG","0259","RC","Both",,,"45","22.5","Humana","Medicare Advantage",,,"54",,"24.39","0.04","2502.48","percent of total billed charges",,
"NF-Azor Oral Tablet 10MG-40MG","0259","RC","Both",,,"45","22.5","UHC","Medicare Advantage",,,"54",,"24.39","0.04","2502.48","percent of total billed charges",,
"NF-Azor Oral Tablet 10MG-40MG","0259","RC","Both",,,"45","22.5","Clover","Medicare Advantage",,,"54",,"24.39","0.04","2502.48","percent of total billed charges",,
"NF-Azor Oral Tablet 10MG-40MG","0259","RC","Both",,,"45","22.5","Wellcare","Medicare Advantage",,,"54",,"24.39","0.04","2502.48","percent of total billed charges",,
"NF-Azor Oral Tablet 10MG-40MG","0259","RC","Both",,,"45","22.5","Amerigroup","Medicaid Managed Care",,,"37",,"16.47","0.04","2502.48","percent of total billed charges",,
"NF-Azor Oral Tablet 10MG-40MG","0259","RC","Both",,,"45","22.5","Caresource","Medicaid Managed Care",,,"40",,"18","0.04","2502.48","percent of total billed charges",,
"NF-Azor Oral Tablet 10MG-40MG","0259","RC","Both",,,"45","22.5","Wellcare","Medicaid Managed Care",,,"40",,"18.23","0.04","2502.48","percent of total billed charges",,
"NF-Azor Oral Tablet 10MG-40MG","0259","RC","Both",,,"45","22.5","Aetna","Commercial",,,"64",,"28.71","0.04","2502.48","percent of total billed charges",,
"NF-Azor Oral Tablet 10MG-40MG","0259","RC","Both",,,"45","22.5","Blue Cross Blue Shield","Pathways",,,"71",,"31.77","0.04","2502.48","percent of total billed charges",,
"NF-Azor Oral Tablet 10MG-40MG","0259","RC","Both",,,"45","22.5","Blue Cross Blue Shield","HMO",,,"71",,"31.77","0.04","2502.48","percent of total billed charges",,
"NF-Azor Oral Tablet 10MG-40MG","0259","RC","Both",,,"45","22.5","Blue Cross Blue Shield","PPO",,,"71",,"31.77","0.04","2502.48","percent of total billed charges",,
"NF-Azor Oral Tablet 10MG-40MG","0259","RC","Both",,,"45","22.5","Ambetter","Health Exchange",,,"62",,"27.9","0.04","2502.48","percent of total billed charges",,
"NF-Azor Oral Tablet 10MG-40MG","0259","RC","Both",,,"45","22.5","Caresource","Health Exchange",,,"62",,"27.9","0.04","2502.48","percent of total billed charges",,
"NF-Azor Oral Tablet 10MG-40MG","0259","RC","Both",,,"45","22.5","Cigna","Commercial",,,"59",,"26.37","0.04","2502.48","percent of total billed charges",,
"NF-Azor Oral Tablet 10MG-40MG","0259","RC","Both",,,"45","22.5","Humana","Commercial",,,"78",,"34.88","0.04","2502.48","percent of total billed charges",,
"NF-Azor Oral Tablet 10MG-40MG","0259","RC","Both",,,"45","22.5","UHC","Commercial",,,"75",,"33.93","0.04","2502.48","percent of total billed charges",,
"NF-Azor Oral Tablet 10MG-40MG","0259","RC","Both",,,"45","22.5","Medicaid",,,,"37",,"16.47","0.04","2502.48","percent of total billed charges",,
"NF-Bystolic Oral Tablet 10MG","0259","RC","Both",,,"18","9","Alliant","Health Exchange",,,"62",,"11.16","0.04","2502.48","percent of total billed charges",,
"NF-Bystolic Oral Tablet 10MG","0259","RC","Both",,,"18","9","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.72","0.04","2502.48","percent of total billed charges",,
"NF-Bystolic Oral Tablet 10MG","0259","RC","Both",,,"18","9","Medicare",,,,"54",,"9.76","0.04","2502.48","percent of total billed charges",,
"NF-Bystolic Oral Tablet 10MG","0259","RC","Both",,,"18","9","Humana","Medicare Advantage",,,"54",,"9.76","0.04","2502.48","percent of total billed charges",,
"NF-Bystolic Oral Tablet 10MG","0259","RC","Both",,,"18","9","UHC","Medicare Advantage",,,"54",,"9.76","0.04","2502.48","percent of total billed charges",,
"NF-Bystolic Oral Tablet 10MG","0259","RC","Both",,,"18","9","Clover","Medicare Advantage",,,"54",,"9.76","0.04","2502.48","percent of total billed charges",,
"NF-Bystolic Oral Tablet 10MG","0259","RC","Both",,,"18","9","Wellcare","Medicare Advantage",,,"54",,"9.76","0.04","2502.48","percent of total billed charges",,
"NF-Bystolic Oral Tablet 10MG","0259","RC","Both",,,"18","9","Amerigroup","Medicaid Managed Care",,,"37",,"6.59","0.04","2502.48","percent of total billed charges",,
"NF-Bystolic Oral Tablet 10MG","0259","RC","Both",,,"18","9","Caresource","Medicaid Managed Care",,,"40",,"7.2","0.04","2502.48","percent of total billed charges",,
"NF-Bystolic Oral Tablet 10MG","0259","RC","Both",,,"18","9","Wellcare","Medicaid Managed Care",,,"40",,"7.29","0.04","2502.48","percent of total billed charges",,
"NF-Bystolic Oral Tablet 10MG","0259","RC","Both",,,"18","9","Aetna","Commercial",,,"64",,"11.48","0.04","2502.48","percent of total billed charges",,
"NF-Bystolic Oral Tablet 10MG","0259","RC","Both",,,"18","9","Blue Cross Blue Shield","Pathways",,,"71",,"12.71","0.04","2502.48","percent of total billed charges",,
"NF-Bystolic Oral Tablet 10MG","0259","RC","Both",,,"18","9","Blue Cross Blue Shield","HMO",,,"71",,"12.71","0.04","2502.48","percent of total billed charges",,
"NF-Bystolic Oral Tablet 10MG","0259","RC","Both",,,"18","9","Blue Cross Blue Shield","PPO",,,"71",,"12.71","0.04","2502.48","percent of total billed charges",,
"NF-Bystolic Oral Tablet 10MG","0259","RC","Both",,,"18","9","Ambetter","Health Exchange",,,"62",,"11.16","0.04","2502.48","percent of total billed charges",,
"NF-Bystolic Oral Tablet 10MG","0259","RC","Both",,,"18","9","Caresource","Health Exchange",,,"62",,"11.16","0.04","2502.48","percent of total billed charges",,
"NF-Bystolic Oral Tablet 10MG","0259","RC","Both",,,"18","9","Cigna","Commercial",,,"59",,"10.55","0.04","2502.48","percent of total billed charges",,
"NF-Bystolic Oral Tablet 10MG","0259","RC","Both",,,"18","9","Humana","Commercial",,,"78",,"13.95","0.04","2502.48","percent of total billed charges",,
"NF-Bystolic Oral Tablet 10MG","0259","RC","Both",,,"18","9","UHC","Commercial",,,"75",,"13.57","0.04","2502.48","percent of total billed charges",,
"NF-Bystolic Oral Tablet 10MG","0259","RC","Both",,,"18","9","Medicaid",,,,"37",,"6.59","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Alliant","Health Exchange",,,"62",,"19.22","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.74","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Medicare",,,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Humana","Medicare Advantage",,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","UHC","Medicare Advantage",,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Clover","Medicare Advantage",,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Wellcare","Medicare Advantage",,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care",,,"37",,"11.35","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Caresource","Medicaid Managed Care",,,"40",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Wellcare","Medicaid Managed Care",,,"40",,"12.56","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Aetna","Commercial",,,"64",,"19.78","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways",,,"71",,"21.89","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Blue Cross Blue Shield","HMO",,,"71",,"21.89","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Blue Cross Blue Shield","PPO",,,"71",,"21.89","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Ambetter","Health Exchange",,,"62",,"19.22","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Caresource","Health Exchange",,,"62",,"19.22","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Cigna","Commercial",,,"59",,"18.17","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Humana","Commercial",,,"78",,"24.02","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","UHC","Commercial",,,"75",,"23.37","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Medicaid",,,,"37",,"11.35","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Alliant","Health Exchange",,,"62",,"19.84","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.28","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Medicare",,,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Humana","Medicare Advantage",,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","UHC","Medicare Advantage",,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Clover","Medicare Advantage",,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Wellcare","Medicare Advantage",,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Amerigroup","Medicaid Managed Care",,,"37",,"11.71","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Caresource","Medicaid Managed Care",,,"40",,"12.8","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Wellcare","Medicaid Managed Care",,,"40",,"12.96","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Aetna","Commercial",,,"64",,"20.42","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Blue Cross Blue Shield","Pathways",,,"71",,"22.59","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Blue Cross Blue Shield","HMO",,,"71",,"22.59","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Blue Cross Blue Shield","PPO",,,"71",,"22.59","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Ambetter","Health Exchange",,,"62",,"19.84","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Caresource","Health Exchange",,,"62",,"19.84","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Cigna","Commercial",,,"59",,"18.75","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Humana","Commercial",,,"78",,"24.8","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","UHC","Commercial",,,"75",,"24.13","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Medicaid",,,,"37",,"11.71","0.04","2502.48","percent of total billed charges",,
"NF-Cephalexin Oral Capsule 500MG","0259","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Cephalexin Oral Capsule 500MG","0259","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Cephalexin Oral Capsule 500MG","0259","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Cephalexin Oral Capsule 500MG","0259","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Cephalexin Oral Capsule 500MG","0259","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Cephalexin Oral Capsule 500MG","0259","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Cephalexin Oral Capsule 500MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Cephalexin Oral Capsule 500MG","0259","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Cephalexin Oral Capsule 500MG","0259","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","2502.48","percent of total billed charges",,
"NF-Cephalexin Oral Capsule 500MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","2502.48","percent of total billed charges",,
"NF-Cephalexin Oral Capsule 500MG","0259","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","2502.48","percent of total billed charges",,
"NF-Cephalexin Oral Capsule 500MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Cephalexin Oral Capsule 500MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Cephalexin Oral Capsule 500MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Cephalexin Oral Capsule 500MG","0259","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Cephalexin Oral Capsule 500MG","0259","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Cephalexin Oral Capsule 500MG","0259","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-Cephalexin Oral Capsule 500MG","0259","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","2502.48","percent of total billed charges",,
"NF-Cephalexin Oral Capsule 500MG","0259","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","2502.48","percent of total billed charges",,
"NF-Cephalexin Oral Capsule 500MG","0259","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","0259","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","0259","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","0259","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","0259","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","0259","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","0259","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","0259","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","0259","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","0259","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","0259","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","0259","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","0259","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","0259","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","0259","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","0259","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","0259","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","0259","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"204","102","Alliant","Health Exchange",,,"62",,"126.48","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"204","102","Pruitt Healthcare","Medicare Advantage",,,"54",,"110.16","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"204","102","Medicare",,,,"54",,"110.57","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"204","102","Humana","Medicare Advantage",,,"54",,"110.57","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"204","102","UHC","Medicare Advantage",,,"54",,"110.57","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"204","102","Clover","Medicare Advantage",,,"54",,"110.57","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"204","102","Wellcare","Medicare Advantage",,,"54",,"110.57","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"204","102","Amerigroup","Medicaid Managed Care",,,"37",,"74.66","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"204","102","Caresource","Medicaid Managed Care",,,"40",,"81.6","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"204","102","Wellcare","Medicaid Managed Care",,,"40",,"82.62","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"204","102","Aetna","Commercial",,,"64",,"130.15","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"204","102","Blue Cross Blue Shield","Pathways",,,"71",,"144.02","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"204","102","Blue Cross Blue Shield","HMO",,,"71",,"144.02","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"204","102","Blue Cross Blue Shield","PPO",,,"71",,"144.02","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"204","102","Ambetter","Health Exchange",,,"62",,"126.48","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"204","102","Caresource","Health Exchange",,,"62",,"126.48","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"204","102","Cigna","Commercial",,,"59",,"119.54","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"204","102","Humana","Commercial",,,"78",,"158.1","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"204","102","UHC","Commercial",,,"75",,"153.82","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"204","102","Medicaid",,,,"37",,"74.66","0.04","2502.48","percent of total billed charges",,
"NF-Vistaril Capsule 50MG","0259","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Vistaril Capsule 50MG","0259","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.04","2502.48","percent of total billed charges",,
"NF-Vistaril Capsule 50MG","0259","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Vistaril Capsule 50MG","0259","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Vistaril Capsule 50MG","0259","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Vistaril Capsule 50MG","0259","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Vistaril Capsule 50MG","0259","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Vistaril Capsule 50MG","0259","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Vistaril Capsule 50MG","0259","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.04","2502.48","percent of total billed charges",,
"NF-Vistaril Capsule 50MG","0259","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.04","2502.48","percent of total billed charges",,
"NF-Vistaril Capsule 50MG","0259","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.04","2502.48","percent of total billed charges",,
"NF-Vistaril Capsule 50MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Vistaril Capsule 50MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Vistaril Capsule 50MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Vistaril Capsule 50MG","0259","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Vistaril Capsule 50MG","0259","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Vistaril Capsule 50MG","0259","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.04","2502.48","percent of total billed charges",,
"NF-Vistaril Capsule 50MG","0259","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.04","2502.48","percent of total billed charges",,
"NF-Vistaril Capsule 50MG","0259","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.04","2502.48","percent of total billed charges",,
"NF-Vistaril Capsule 50MG","0259","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Alliant","Health Exchange",,,"62",,"19.22","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.74","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Medicare",,,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Humana","Medicare Advantage",,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","UHC","Medicare Advantage",,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Clover","Medicare Advantage",,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Wellcare","Medicare Advantage",,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care",,,"37",,"11.35","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Caresource","Medicaid Managed Care",,,"40",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Wellcare","Medicaid Managed Care",,,"40",,"12.56","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Aetna","Commercial",,,"64",,"19.78","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways",,,"71",,"21.89","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Blue Cross Blue Shield","HMO",,,"71",,"21.89","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Blue Cross Blue Shield","PPO",,,"71",,"21.89","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Ambetter","Health Exchange",,,"62",,"19.22","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Caresource","Health Exchange",,,"62",,"19.22","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Cigna","Commercial",,,"59",,"18.17","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Humana","Commercial",,,"78",,"24.02","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","UHC","Commercial",,,"75",,"23.37","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","0259","RC","Both",,,"31","15.5","Medicaid",,,,"37",,"11.35","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"62","31","Alliant","Health Exchange",,,"62",,"38.44","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"62","31","Pruitt Healthcare","Medicare Advantage",,,"54",,"33.48","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"62","31","Medicare",,,,"54",,"33.6","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"62","31","Humana","Medicare Advantage",,,"54",,"33.6","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"62","31","UHC","Medicare Advantage",,,"54",,"33.6","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"62","31","Clover","Medicare Advantage",,,"54",,"33.6","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"62","31","Wellcare","Medicare Advantage",,,"54",,"33.6","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"62","31","Amerigroup","Medicaid Managed Care",,,"37",,"22.69","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"62","31","Caresource","Medicaid Managed Care",,,"40",,"24.8","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"62","31","Wellcare","Medicaid Managed Care",,,"40",,"25.11","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"62","31","Aetna","Commercial",,,"64",,"39.56","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"62","31","Blue Cross Blue Shield","Pathways",,,"71",,"43.77","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"62","31","Blue Cross Blue Shield","HMO",,,"71",,"43.77","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"62","31","Blue Cross Blue Shield","PPO",,,"71",,"43.77","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"62","31","Ambetter","Health Exchange",,,"62",,"38.44","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"62","31","Caresource","Health Exchange",,,"62",,"38.44","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"62","31","Cigna","Commercial",,,"59",,"36.33","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"62","31","Humana","Commercial",,,"78",,"48.05","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"62","31","UHC","Commercial",,,"75",,"46.75","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"62","31","Medicaid",,,,"37",,"22.69","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"312","156","Alliant","Health Exchange",,,"62",,"193.44","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"312","156","Pruitt Healthcare","Medicare Advantage",,,"54",,"168.48","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"312","156","Medicare",,,,"54",,"169.1","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"312","156","Humana","Medicare Advantage",,,"54",,"169.1","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"312","156","UHC","Medicare Advantage",,,"54",,"169.1","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"312","156","Clover","Medicare Advantage",,,"54",,"169.1","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"312","156","Wellcare","Medicare Advantage",,,"54",,"169.1","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"312","156","Amerigroup","Medicaid Managed Care",,,"37",,"114.19","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"312","156","Caresource","Medicaid Managed Care",,,"40",,"124.8","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"312","156","Wellcare","Medicaid Managed Care",,,"40",,"126.36","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"312","156","Aetna","Commercial",,,"64",,"199.06","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"312","156","Blue Cross Blue Shield","Pathways",,,"71",,"220.27","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"312","156","Blue Cross Blue Shield","HMO",,,"71",,"220.27","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"312","156","Blue Cross Blue Shield","PPO",,,"71",,"220.27","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"312","156","Ambetter","Health Exchange",,,"62",,"193.44","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"312","156","Caresource","Health Exchange",,,"62",,"193.44","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"312","156","Cigna","Commercial",,,"59",,"182.83","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"312","156","Humana","Commercial",,,"78",,"241.8","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"312","156","UHC","Commercial",,,"75",,"235.25","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"312","156","Medicaid",,,,"37",,"114.19","0.04","2502.48","percent of total billed charges",,
"DICLOFENAC 1% TOPICAL GEL","0637","RC","Both",,,"36","18","Alliant","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"DICLOFENAC 1% TOPICAL GEL","0637","RC","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.44","0.15","5264.58","percent of total billed charges",,
"DICLOFENAC 1% TOPICAL GEL","0637","RC","Both",,,"36","18","Medicare",,,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"DICLOFENAC 1% TOPICAL GEL","0637","RC","Both",,,"36","18","Humana","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"DICLOFENAC 1% TOPICAL GEL","0637","RC","Both",,,"36","18","UHC","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"DICLOFENAC 1% TOPICAL GEL","0637","RC","Both",,,"36","18","Clover","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"DICLOFENAC 1% TOPICAL GEL","0637","RC","Both",,,"36","18","Wellcare","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"DICLOFENAC 1% TOPICAL GEL","0637","RC","Both",,,"36","18","Amerigroup","Medicaid Managed Care",,,"37",,"13.18","0.15","5264.58","percent of total billed charges",,
"DICLOFENAC 1% TOPICAL GEL","0637","RC","Both",,,"36","18","Caresource","Medicaid Managed Care",,,"40",,"14.4","0.15","5264.58","percent of total billed charges",,
"DICLOFENAC 1% TOPICAL GEL","0637","RC","Both",,,"36","18","Wellcare","Medicaid Managed Care",,,"40",,"14.58","0.15","5264.58","percent of total billed charges",,
"DICLOFENAC 1% TOPICAL GEL","0637","RC","Both",,,"36","18","Aetna","Commercial",,,"64",,"22.97","0.15","5264.58","percent of total billed charges",,
"DICLOFENAC 1% TOPICAL GEL","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","Pathways",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"DICLOFENAC 1% TOPICAL GEL","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","HMO",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"DICLOFENAC 1% TOPICAL GEL","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","PPO",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"DICLOFENAC 1% TOPICAL GEL","0637","RC","Both",,,"36","18","Ambetter","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"DICLOFENAC 1% TOPICAL GEL","0637","RC","Both",,,"36","18","Caresource","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"DICLOFENAC 1% TOPICAL GEL","0637","RC","Both",,,"36","18","Cigna","Commercial",,,"59",,"21.1","0.15","5264.58","percent of total billed charges",,
"DICLOFENAC 1% TOPICAL GEL","0637","RC","Both",,,"36","18","Humana","Commercial",,,"78",,"27.9","0.15","5264.58","percent of total billed charges",,
"DICLOFENAC 1% TOPICAL GEL","0637","RC","Both",,,"36","18","UHC","Commercial",,,"75",,"27.14","0.15","5264.58","percent of total billed charges",,
"DICLOFENAC 1% TOPICAL GEL","0637","RC","Both",,,"36","18","Medicaid",,,,"37",,"13.18","0.15","5264.58","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"430","215","Alliant","Health Exchange",,,"62",,"266.6","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"430","215","Pruitt Healthcare","Medicare Advantage",,,"54",,"232.2","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"430","215","Medicare",,,,"54",,"233.06","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"430","215","Humana","Medicare Advantage",,,"54",,"233.06","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"430","215","UHC","Medicare Advantage",,,"54",,"233.06","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"430","215","Clover","Medicare Advantage",,,"54",,"233.06","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"430","215","Wellcare","Medicare Advantage",,,"54",,"233.06","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"430","215","Amerigroup","Medicaid Managed Care",,,"37",,"157.38","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"430","215","Caresource","Medicaid Managed Care",,,"40",,"172","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"430","215","Wellcare","Medicaid Managed Care",,,"40",,"174.15","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"430","215","Aetna","Commercial",,,"64",,"274.34","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"430","215","Blue Cross Blue Shield","Pathways",,,"71",,"303.58","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"430","215","Blue Cross Blue Shield","HMO",,,"71",,"303.58","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"430","215","Blue Cross Blue Shield","PPO",,,"71",,"303.58","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"430","215","Ambetter","Health Exchange",,,"62",,"266.6","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"430","215","Caresource","Health Exchange",,,"62",,"266.6","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"430","215","Cigna","Commercial",,,"59",,"251.98","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"430","215","Humana","Commercial",,,"78",,"333.25","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"430","215","UHC","Commercial",,,"75",,"324.22","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"430","215","Medicaid",,,,"37",,"157.38","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Alliant","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.82","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Medicare",,,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Humana","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","UHC","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Clover","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Wellcare","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Amerigroup","Medicaid Managed Care",,,"37",,"12.08","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Caresource","Medicaid Managed Care",,,"40",,"13.2","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Wellcare","Medicaid Managed Care",,,"40",,"13.36","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Aetna","Commercial",,,"64",,"21.05","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","Pathways",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","HMO",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","PPO",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Ambetter","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Caresource","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Cigna","Commercial",,,"59",,"19.34","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Humana","Commercial",,,"78",,"25.58","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","UHC","Commercial",,,"75",,"24.88","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Medicaid",,,,"37",,"12.08","0.04","2502.48","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 40MG","0259","RC","Both",,,"16","8","Alliant","Health Exchange",,,"62",,"9.92","0.04","2502.48","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 40MG","0259","RC","Both",,,"16","8","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.64","0.04","2502.48","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 40MG","0259","RC","Both",,,"16","8","Medicare",,,,"54",,"8.67","0.04","2502.48","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 40MG","0259","RC","Both",,,"16","8","Humana","Medicare Advantage",,,"54",,"8.67","0.04","2502.48","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 40MG","0259","RC","Both",,,"16","8","UHC","Medicare Advantage",,,"54",,"8.67","0.04","2502.48","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 40MG","0259","RC","Both",,,"16","8","Clover","Medicare Advantage",,,"54",,"8.67","0.04","2502.48","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 40MG","0259","RC","Both",,,"16","8","Wellcare","Medicare Advantage",,,"54",,"8.67","0.04","2502.48","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 40MG","0259","RC","Both",,,"16","8","Amerigroup","Medicaid Managed Care",,,"37",,"5.86","0.04","2502.48","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 40MG","0259","RC","Both",,,"16","8","Caresource","Medicaid Managed Care",,,"40",,"6.4","0.04","2502.48","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 40MG","0259","RC","Both",,,"16","8","Wellcare","Medicaid Managed Care",,,"40",,"6.48","0.04","2502.48","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 40MG","0259","RC","Both",,,"16","8","Aetna","Commercial",,,"64",,"10.21","0.04","2502.48","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 40MG","0259","RC","Both",,,"16","8","Blue Cross Blue Shield","Pathways",,,"71",,"11.3","0.04","2502.48","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 40MG","0259","RC","Both",,,"16","8","Blue Cross Blue Shield","HMO",,,"71",,"11.3","0.04","2502.48","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 40MG","0259","RC","Both",,,"16","8","Blue Cross Blue Shield","PPO",,,"71",,"11.3","0.04","2502.48","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 40MG","0259","RC","Both",,,"16","8","Ambetter","Health Exchange",,,"62",,"9.92","0.04","2502.48","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 40MG","0259","RC","Both",,,"16","8","Caresource","Health Exchange",,,"62",,"9.92","0.04","2502.48","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 40MG","0259","RC","Both",,,"16","8","Cigna","Commercial",,,"59",,"9.38","0.04","2502.48","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 40MG","0259","RC","Both",,,"16","8","Humana","Commercial",,,"78",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 40MG","0259","RC","Both",,,"16","8","UHC","Commercial",,,"75",,"12.06","0.04","2502.48","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 40MG","0259","RC","Both",,,"16","8","Medicaid",,,,"37",,"5.86","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Alliant","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.82","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Medicare",,,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Humana","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","UHC","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Clover","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Wellcare","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Amerigroup","Medicaid Managed Care",,,"37",,"12.08","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Caresource","Medicaid Managed Care",,,"40",,"13.2","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Wellcare","Medicaid Managed Care",,,"40",,"13.36","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Aetna","Commercial",,,"64",,"21.05","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","Pathways",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","HMO",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","PPO",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Ambetter","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Caresource","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Cigna","Commercial",,,"59",,"19.34","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Humana","Commercial",,,"78",,"25.58","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","UHC","Commercial",,,"75",,"24.88","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Medicaid",,,,"37",,"12.08","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Medicare",,,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Medicaid",,,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Medicare",,,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","0.04","2502.48","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 50MG","0259","RC","Both",,,"8","4","Medicaid",,,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-L-5 Hydroxytryprophan Powder","0259","RC","Both",,,"24","12","Alliant","Health Exchange",,,"62",,"14.88","0.04","2502.48","percent of total billed charges",,
"NF-L-5 Hydroxytryprophan Powder","0259","RC","Both",,,"24","12","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.96","0.04","2502.48","percent of total billed charges",,
"NF-L-5 Hydroxytryprophan Powder","0259","RC","Both",,,"24","12","Medicare",,,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-L-5 Hydroxytryprophan Powder","0259","RC","Both",,,"24","12","Humana","Medicare Advantage",,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-L-5 Hydroxytryprophan Powder","0259","RC","Both",,,"24","12","UHC","Medicare Advantage",,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-L-5 Hydroxytryprophan Powder","0259","RC","Both",,,"24","12","Clover","Medicare Advantage",,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-L-5 Hydroxytryprophan Powder","0259","RC","Both",,,"24","12","Wellcare","Medicare Advantage",,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-L-5 Hydroxytryprophan Powder","0259","RC","Both",,,"24","12","Amerigroup","Medicaid Managed Care",,,"37",,"8.78","0.04","2502.48","percent of total billed charges",,
"NF-L-5 Hydroxytryprophan Powder","0259","RC","Both",,,"24","12","Caresource","Medicaid Managed Care",,,"40",,"9.6","0.04","2502.48","percent of total billed charges",,
"NF-L-5 Hydroxytryprophan Powder","0259","RC","Both",,,"24","12","Wellcare","Medicaid Managed Care",,,"40",,"9.72","0.04","2502.48","percent of total billed charges",,
"NF-L-5 Hydroxytryprophan Powder","0259","RC","Both",,,"24","12","Aetna","Commercial",,,"64",,"15.31","0.04","2502.48","percent of total billed charges",,
"NF-L-5 Hydroxytryprophan Powder","0259","RC","Both",,,"24","12","Blue Cross Blue Shield","Pathways",,,"71",,"16.94","0.04","2502.48","percent of total billed charges",,
"NF-L-5 Hydroxytryprophan Powder","0259","RC","Both",,,"24","12","Blue Cross Blue Shield","HMO",,,"71",,"16.94","0.04","2502.48","percent of total billed charges",,
"NF-L-5 Hydroxytryprophan Powder","0259","RC","Both",,,"24","12","Blue Cross Blue Shield","PPO",,,"71",,"16.94","0.04","2502.48","percent of total billed charges",,
"NF-L-5 Hydroxytryprophan Powder","0259","RC","Both",,,"24","12","Ambetter","Health Exchange",,,"62",,"14.88","0.04","2502.48","percent of total billed charges",,
"NF-L-5 Hydroxytryprophan Powder","0259","RC","Both",,,"24","12","Caresource","Health Exchange",,,"62",,"14.88","0.04","2502.48","percent of total billed charges",,
"NF-L-5 Hydroxytryprophan Powder","0259","RC","Both",,,"24","12","Cigna","Commercial",,,"59",,"14.06","0.04","2502.48","percent of total billed charges",,
"NF-L-5 Hydroxytryprophan Powder","0259","RC","Both",,,"24","12","Humana","Commercial",,,"78",,"18.6","0.04","2502.48","percent of total billed charges",,
"NF-L-5 Hydroxytryprophan Powder","0259","RC","Both",,,"24","12","UHC","Commercial",,,"75",,"18.1","0.04","2502.48","percent of total billed charges",,
"NF-L-5 Hydroxytryprophan Powder","0259","RC","Both",,,"24","12","Medicaid",,,,"37",,"8.78","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.04","2502.48","percent of total billed charges",,
"CALCIUM ACETATE 667 MG CAPSULES","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"CALCIUM ACETATE 667 MG CAPSULES","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"CALCIUM ACETATE 667 MG CAPSULES","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"CALCIUM ACETATE 667 MG CAPSULES","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"CALCIUM ACETATE 667 MG CAPSULES","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"CALCIUM ACETATE 667 MG CAPSULES","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"CALCIUM ACETATE 667 MG CAPSULES","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"CALCIUM ACETATE 667 MG CAPSULES","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"CALCIUM ACETATE 667 MG CAPSULES","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"CALCIUM ACETATE 667 MG CAPSULES","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"CALCIUM ACETATE 667 MG CAPSULES","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"CALCIUM ACETATE 667 MG CAPSULES","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"CALCIUM ACETATE 667 MG CAPSULES","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"CALCIUM ACETATE 667 MG CAPSULES","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"CALCIUM ACETATE 667 MG CAPSULES","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"CALCIUM ACETATE 667 MG CAPSULES","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"CALCIUM ACETATE 667 MG CAPSULES","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"CALCIUM ACETATE 667 MG CAPSULES","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"CALCIUM ACETATE 667 MG CAPSULES","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"CALCIUM ACETATE 667 MG CAPSULES","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"APIXABAN (ELIQUIS) 5 MG TABLETS","0637","RC","Both",,,"36","18","Alliant","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"APIXABAN (ELIQUIS) 5 MG TABLETS","0637","RC","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.44","0.15","5264.58","percent of total billed charges",,
"APIXABAN (ELIQUIS) 5 MG TABLETS","0637","RC","Both",,,"36","18","Medicare",,,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"APIXABAN (ELIQUIS) 5 MG TABLETS","0637","RC","Both",,,"36","18","Humana","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"APIXABAN (ELIQUIS) 5 MG TABLETS","0637","RC","Both",,,"36","18","UHC","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"APIXABAN (ELIQUIS) 5 MG TABLETS","0637","RC","Both",,,"36","18","Clover","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"APIXABAN (ELIQUIS) 5 MG TABLETS","0637","RC","Both",,,"36","18","Wellcare","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"APIXABAN (ELIQUIS) 5 MG TABLETS","0637","RC","Both",,,"36","18","Amerigroup","Medicaid Managed Care",,,"37",,"13.18","0.15","5264.58","percent of total billed charges",,
"APIXABAN (ELIQUIS) 5 MG TABLETS","0637","RC","Both",,,"36","18","Caresource","Medicaid Managed Care",,,"40",,"14.4","0.15","5264.58","percent of total billed charges",,
"APIXABAN (ELIQUIS) 5 MG TABLETS","0637","RC","Both",,,"36","18","Wellcare","Medicaid Managed Care",,,"40",,"14.58","0.15","5264.58","percent of total billed charges",,
"APIXABAN (ELIQUIS) 5 MG TABLETS","0637","RC","Both",,,"36","18","Aetna","Commercial",,,"64",,"22.97","0.15","5264.58","percent of total billed charges",,
"APIXABAN (ELIQUIS) 5 MG TABLETS","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","Pathways",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"APIXABAN (ELIQUIS) 5 MG TABLETS","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","HMO",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"APIXABAN (ELIQUIS) 5 MG TABLETS","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","PPO",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"APIXABAN (ELIQUIS) 5 MG TABLETS","0637","RC","Both",,,"36","18","Ambetter","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"APIXABAN (ELIQUIS) 5 MG TABLETS","0637","RC","Both",,,"36","18","Caresource","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"APIXABAN (ELIQUIS) 5 MG TABLETS","0637","RC","Both",,,"36","18","Cigna","Commercial",,,"59",,"21.1","0.15","5264.58","percent of total billed charges",,
"APIXABAN (ELIQUIS) 5 MG TABLETS","0637","RC","Both",,,"36","18","Humana","Commercial",,,"78",,"27.9","0.15","5264.58","percent of total billed charges",,
"APIXABAN (ELIQUIS) 5 MG TABLETS","0637","RC","Both",,,"36","18","UHC","Commercial",,,"75",,"27.14","0.15","5264.58","percent of total billed charges",,
"APIXABAN (ELIQUIS) 5 MG TABLETS","0637","RC","Both",,,"36","18","Medicaid",,,,"37",,"13.18","0.15","5264.58","percent of total billed charges",,
"BENZOCAINE 20% ORAL ANESTHETIC SPRAY","0637","RC","Both",,,"75","37.5","Alliant","Health Exchange",,,"62",,"46.5","0.15","5264.58","percent of total billed charges",,
"BENZOCAINE 20% ORAL ANESTHETIC SPRAY","0637","RC","Both",,,"75","37.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"40.5","0.15","5264.58","percent of total billed charges",,
"BENZOCAINE 20% ORAL ANESTHETIC SPRAY","0637","RC","Both",,,"75","37.5","Medicare",,,,"54",,"40.65","0.15","5264.58","percent of total billed charges",,
"BENZOCAINE 20% ORAL ANESTHETIC SPRAY","0637","RC","Both",,,"75","37.5","Humana","Medicare Advantage",,,"54",,"40.65","0.15","5264.58","percent of total billed charges",,
"BENZOCAINE 20% ORAL ANESTHETIC SPRAY","0637","RC","Both",,,"75","37.5","UHC","Medicare Advantage",,,"54",,"40.65","0.15","5264.58","percent of total billed charges",,
"BENZOCAINE 20% ORAL ANESTHETIC SPRAY","0637","RC","Both",,,"75","37.5","Clover","Medicare Advantage",,,"54",,"40.65","0.15","5264.58","percent of total billed charges",,
"BENZOCAINE 20% ORAL ANESTHETIC SPRAY","0637","RC","Both",,,"75","37.5","Wellcare","Medicare Advantage",,,"54",,"40.65","0.15","5264.58","percent of total billed charges",,
"BENZOCAINE 20% ORAL ANESTHETIC SPRAY","0637","RC","Both",,,"75","37.5","Amerigroup","Medicaid Managed Care",,,"37",,"27.45","0.15","5264.58","percent of total billed charges",,
"BENZOCAINE 20% ORAL ANESTHETIC SPRAY","0637","RC","Both",,,"75","37.5","Caresource","Medicaid Managed Care",,,"40",,"30","0.15","5264.58","percent of total billed charges",,
"BENZOCAINE 20% ORAL ANESTHETIC SPRAY","0637","RC","Both",,,"75","37.5","Wellcare","Medicaid Managed Care",,,"40",,"30.38","0.15","5264.58","percent of total billed charges",,
"BENZOCAINE 20% ORAL ANESTHETIC SPRAY","0637","RC","Both",,,"75","37.5","Aetna","Commercial",,,"64",,"47.85","0.15","5264.58","percent of total billed charges",,
"BENZOCAINE 20% ORAL ANESTHETIC SPRAY","0637","RC","Both",,,"75","37.5","Blue Cross Blue Shield","Pathways",,,"71",,"52.95","0.15","5264.58","percent of total billed charges",,
"BENZOCAINE 20% ORAL ANESTHETIC SPRAY","0637","RC","Both",,,"75","37.5","Blue Cross Blue Shield","HMO",,,"71",,"52.95","0.15","5264.58","percent of total billed charges",,
"BENZOCAINE 20% ORAL ANESTHETIC SPRAY","0637","RC","Both",,,"75","37.5","Blue Cross Blue Shield","PPO",,,"71",,"52.95","0.15","5264.58","percent of total billed charges",,
"BENZOCAINE 20% ORAL ANESTHETIC SPRAY","0637","RC","Both",,,"75","37.5","Ambetter","Health Exchange",,,"62",,"46.5","0.15","5264.58","percent of total billed charges",,
"BENZOCAINE 20% ORAL ANESTHETIC SPRAY","0637","RC","Both",,,"75","37.5","Caresource","Health Exchange",,,"62",,"46.5","0.15","5264.58","percent of total billed charges",,
"BENZOCAINE 20% ORAL ANESTHETIC SPRAY","0637","RC","Both",,,"75","37.5","Cigna","Commercial",,,"59",,"43.95","0.15","5264.58","percent of total billed charges",,
"BENZOCAINE 20% ORAL ANESTHETIC SPRAY","0637","RC","Both",,,"75","37.5","Humana","Commercial",,,"78",,"58.12","0.15","5264.58","percent of total billed charges",,
"BENZOCAINE 20% ORAL ANESTHETIC SPRAY","0637","RC","Both",,,"75","37.5","UHC","Commercial",,,"75",,"56.55","0.15","5264.58","percent of total billed charges",,
"BENZOCAINE 20% ORAL ANESTHETIC SPRAY","0637","RC","Both",,,"75","37.5","Medicaid",,,,"37",,"27.45","0.15","5264.58","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Alliant","Health Exchange",,,"62",,"37.2","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage",,,"54",,"32.4","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Medicare",,,,"54",,"32.52","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Humana","Medicare Advantage",,,"54",,"32.52","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","UHC","Medicare Advantage",,,"54",,"32.52","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Clover","Medicare Advantage",,,"54",,"32.52","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Wellcare","Medicare Advantage",,,"54",,"32.52","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Amerigroup","Medicaid Managed Care",,,"37",,"21.96","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Caresource","Medicaid Managed Care",,,"40",,"24","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Wellcare","Medicaid Managed Care",,,"40",,"24.3","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Aetna","Commercial",,,"64",,"38.28","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Blue Cross Blue Shield","Pathways",,,"71",,"42.36","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Blue Cross Blue Shield","HMO",,,"71",,"42.36","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Blue Cross Blue Shield","PPO",,,"71",,"42.36","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Ambetter","Health Exchange",,,"62",,"37.2","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Caresource","Health Exchange",,,"62",,"37.2","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Cigna","Commercial",,,"59",,"35.16","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Humana","Commercial",,,"78",,"46.5","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","UHC","Commercial",,,"75",,"45.24","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Medicaid",,,,"37",,"21.96","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0259","RC","Both",,,"64","32","Alliant","Health Exchange",,,"62",,"39.68","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0259","RC","Both",,,"64","32","Pruitt Healthcare","Medicare Advantage",,,"54",,"34.56","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0259","RC","Both",,,"64","32","Medicare",,,,"54",,"34.69","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0259","RC","Both",,,"64","32","Humana","Medicare Advantage",,,"54",,"34.69","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0259","RC","Both",,,"64","32","UHC","Medicare Advantage",,,"54",,"34.69","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0259","RC","Both",,,"64","32","Clover","Medicare Advantage",,,"54",,"34.69","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0259","RC","Both",,,"64","32","Wellcare","Medicare Advantage",,,"54",,"34.69","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0259","RC","Both",,,"64","32","Amerigroup","Medicaid Managed Care",,,"37",,"23.42","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0259","RC","Both",,,"64","32","Caresource","Medicaid Managed Care",,,"40",,"25.6","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0259","RC","Both",,,"64","32","Wellcare","Medicaid Managed Care",,,"40",,"25.92","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0259","RC","Both",,,"64","32","Aetna","Commercial",,,"64",,"40.83","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0259","RC","Both",,,"64","32","Blue Cross Blue Shield","Pathways",,,"71",,"45.18","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0259","RC","Both",,,"64","32","Blue Cross Blue Shield","HMO",,,"71",,"45.18","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0259","RC","Both",,,"64","32","Blue Cross Blue Shield","PPO",,,"71",,"45.18","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0259","RC","Both",,,"64","32","Ambetter","Health Exchange",,,"62",,"39.68","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0259","RC","Both",,,"64","32","Caresource","Health Exchange",,,"62",,"39.68","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0259","RC","Both",,,"64","32","Cigna","Commercial",,,"59",,"37.5","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0259","RC","Both",,,"64","32","Humana","Commercial",,,"78",,"49.6","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0259","RC","Both",,,"64","32","UHC","Commercial",,,"75",,"48.26","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0259","RC","Both",,,"64","32","Medicaid",,,,"37",,"23.42","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Alliant","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.66","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Medicare",,,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Humana","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","UHC","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Clover","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Amerigroup","Medicaid Managed Care",,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Caresource","Medicaid Managed Care",,,"40",,"11.6","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicaid Managed Care",,,"40",,"11.74","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Aetna","Commercial",,,"64",,"18.5","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","Pathways",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","HMO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","PPO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Ambetter","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Caresource","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Cigna","Commercial",,,"59",,"16.99","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Humana","Commercial",,,"78",,"22.48","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","UHC","Commercial",,,"75",,"21.87","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"29","14.5","Medicaid",,,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0259","RC","Both",,,"64","32","Alliant","Health Exchange",,,"62",,"39.68","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0259","RC","Both",,,"64","32","Pruitt Healthcare","Medicare Advantage",,,"54",,"34.56","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0259","RC","Both",,,"64","32","Medicare",,,,"54",,"34.69","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0259","RC","Both",,,"64","32","Humana","Medicare Advantage",,,"54",,"34.69","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0259","RC","Both",,,"64","32","UHC","Medicare Advantage",,,"54",,"34.69","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0259","RC","Both",,,"64","32","Clover","Medicare Advantage",,,"54",,"34.69","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0259","RC","Both",,,"64","32","Wellcare","Medicare Advantage",,,"54",,"34.69","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0259","RC","Both",,,"64","32","Amerigroup","Medicaid Managed Care",,,"37",,"23.42","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0259","RC","Both",,,"64","32","Caresource","Medicaid Managed Care",,,"40",,"25.6","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0259","RC","Both",,,"64","32","Wellcare","Medicaid Managed Care",,,"40",,"25.92","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0259","RC","Both",,,"64","32","Aetna","Commercial",,,"64",,"40.83","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0259","RC","Both",,,"64","32","Blue Cross Blue Shield","Pathways",,,"71",,"45.18","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0259","RC","Both",,,"64","32","Blue Cross Blue Shield","HMO",,,"71",,"45.18","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0259","RC","Both",,,"64","32","Blue Cross Blue Shield","PPO",,,"71",,"45.18","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0259","RC","Both",,,"64","32","Ambetter","Health Exchange",,,"62",,"39.68","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0259","RC","Both",,,"64","32","Caresource","Health Exchange",,,"62",,"39.68","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0259","RC","Both",,,"64","32","Cigna","Commercial",,,"59",,"37.5","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0259","RC","Both",,,"64","32","Humana","Commercial",,,"78",,"49.6","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0259","RC","Both",,,"64","32","UHC","Commercial",,,"75",,"48.26","0.04","2502.48","percent of total billed charges",,
"NF-Inderal LA Oral Cap ER 60MG","0259","RC","Both",,,"64","32","Medicaid",,,,"37",,"23.42","0.04","2502.48","percent of total billed charges",,
"NF-Oxybutynin Chloride Oral Tab ER 5MG","0259","RC","Both",,,"9","4.5","Alliant","Health Exchange",,,"62",,"5.58","0.04","2502.48","percent of total billed charges",,
"NF-Oxybutynin Chloride Oral Tab ER 5MG","0259","RC","Both",,,"9","4.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.86","0.04","2502.48","percent of total billed charges",,
"NF-Oxybutynin Chloride Oral Tab ER 5MG","0259","RC","Both",,,"9","4.5","Medicare",,,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Oxybutynin Chloride Oral Tab ER 5MG","0259","RC","Both",,,"9","4.5","Humana","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Oxybutynin Chloride Oral Tab ER 5MG","0259","RC","Both",,,"9","4.5","UHC","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Oxybutynin Chloride Oral Tab ER 5MG","0259","RC","Both",,,"9","4.5","Clover","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Oxybutynin Chloride Oral Tab ER 5MG","0259","RC","Both",,,"9","4.5","Wellcare","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Oxybutynin Chloride Oral Tab ER 5MG","0259","RC","Both",,,"9","4.5","Amerigroup","Medicaid Managed Care",,,"37",,"3.29","0.04","2502.48","percent of total billed charges",,
"NF-Oxybutynin Chloride Oral Tab ER 5MG","0259","RC","Both",,,"9","4.5","Caresource","Medicaid Managed Care",,,"40",,"3.6","0.04","2502.48","percent of total billed charges",,
"NF-Oxybutynin Chloride Oral Tab ER 5MG","0259","RC","Both",,,"9","4.5","Wellcare","Medicaid Managed Care",,,"40",,"3.65","0.04","2502.48","percent of total billed charges",,
"NF-Oxybutynin Chloride Oral Tab ER 5MG","0259","RC","Both",,,"9","4.5","Aetna","Commercial",,,"64",,"5.74","0.04","2502.48","percent of total billed charges",,
"NF-Oxybutynin Chloride Oral Tab ER 5MG","0259","RC","Both",,,"9","4.5","Blue Cross Blue Shield","Pathways",,,"71",,"6.35","0.04","2502.48","percent of total billed charges",,
"NF-Oxybutynin Chloride Oral Tab ER 5MG","0259","RC","Both",,,"9","4.5","Blue Cross Blue Shield","HMO",,,"71",,"6.35","0.04","2502.48","percent of total billed charges",,
"NF-Oxybutynin Chloride Oral Tab ER 5MG","0259","RC","Both",,,"9","4.5","Blue Cross Blue Shield","PPO",,,"71",,"6.35","0.04","2502.48","percent of total billed charges",,
"NF-Oxybutynin Chloride Oral Tab ER 5MG","0259","RC","Both",,,"9","4.5","Ambetter","Health Exchange",,,"62",,"5.58","0.04","2502.48","percent of total billed charges",,
"NF-Oxybutynin Chloride Oral Tab ER 5MG","0259","RC","Both",,,"9","4.5","Caresource","Health Exchange",,,"62",,"5.58","0.04","2502.48","percent of total billed charges",,
"NF-Oxybutynin Chloride Oral Tab ER 5MG","0259","RC","Both",,,"9","4.5","Cigna","Commercial",,,"59",,"5.27","0.04","2502.48","percent of total billed charges",,
"NF-Oxybutynin Chloride Oral Tab ER 5MG","0259","RC","Both",,,"9","4.5","Humana","Commercial",,,"78",,"6.98","0.04","2502.48","percent of total billed charges",,
"NF-Oxybutynin Chloride Oral Tab ER 5MG","0259","RC","Both",,,"9","4.5","UHC","Commercial",,,"75",,"6.79","0.04","2502.48","percent of total billed charges",,
"NF-Oxybutynin Chloride Oral Tab ER 5MG","0259","RC","Both",,,"9","4.5","Medicaid",,,,"37",,"3.29","0.04","2502.48","percent of total billed charges",,
"TRANEXAMIC ACID 1 GM INJECTION","0250","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.04","569.62","percent of total billed charges",,
"TRANEXAMIC ACID 1 GM INJECTION","0250","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.04","569.62","percent of total billed charges",,
"TRANEXAMIC ACID 1 GM INJECTION","0250","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"TRANEXAMIC ACID 1 GM INJECTION","0250","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"TRANEXAMIC ACID 1 GM INJECTION","0250","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"TRANEXAMIC ACID 1 GM INJECTION","0250","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"TRANEXAMIC ACID 1 GM INJECTION","0250","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"TRANEXAMIC ACID 1 GM INJECTION","0250","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.04","569.62","percent of total billed charges",,
"TRANEXAMIC ACID 1 GM INJECTION","0250","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.04","569.62","percent of total billed charges",,
"TRANEXAMIC ACID 1 GM INJECTION","0250","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.04","569.62","percent of total billed charges",,
"TRANEXAMIC ACID 1 GM INJECTION","0250","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.04","569.62","percent of total billed charges",,
"TRANEXAMIC ACID 1 GM INJECTION","0250","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.04","569.62","percent of total billed charges",,
"TRANEXAMIC ACID 1 GM INJECTION","0250","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.04","569.62","percent of total billed charges",,
"TRANEXAMIC ACID 1 GM INJECTION","0250","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.04","569.62","percent of total billed charges",,
"TRANEXAMIC ACID 1 GM INJECTION","0250","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.04","569.62","percent of total billed charges",,
"TRANEXAMIC ACID 1 GM INJECTION","0250","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.04","569.62","percent of total billed charges",,
"TRANEXAMIC ACID 1 GM INJECTION","0250","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.04","569.62","percent of total billed charges",,
"TRANEXAMIC ACID 1 GM INJECTION","0250","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.04","569.62","percent of total billed charges",,
"TRANEXAMIC ACID 1 GM INJECTION","0250","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.04","569.62","percent of total billed charges",,
"TRANEXAMIC ACID 1 GM INJECTION","0250","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.04","569.62","percent of total billed charges",,
"NF-Indapamide Oral Tablet 1.25MG","0259","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Oral Tablet 1.25MG","0259","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Oral Tablet 1.25MG","0259","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Oral Tablet 1.25MG","0259","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Oral Tablet 1.25MG","0259","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Oral Tablet 1.25MG","0259","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Oral Tablet 1.25MG","0259","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Oral Tablet 1.25MG","0259","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Oral Tablet 1.25MG","0259","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Oral Tablet 1.25MG","0259","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Oral Tablet 1.25MG","0259","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Oral Tablet 1.25MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Oral Tablet 1.25MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Oral Tablet 1.25MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Oral Tablet 1.25MG","0259","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Oral Tablet 1.25MG","0259","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Oral Tablet 1.25MG","0259","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Oral Tablet 1.25MG","0259","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Oral Tablet 1.25MG","0259","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Oral Tablet 1.25MG","0259","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-Sucralfate Tablet 1GM","0259","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Sucralfate Tablet 1GM","0259","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Sucralfate Tablet 1GM","0259","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Sucralfate Tablet 1GM","0259","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Sucralfate Tablet 1GM","0259","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Sucralfate Tablet 1GM","0259","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Sucralfate Tablet 1GM","0259","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Sucralfate Tablet 1GM","0259","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Sucralfate Tablet 1GM","0259","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","2502.48","percent of total billed charges",,
"NF-Sucralfate Tablet 1GM","0259","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-Sucralfate Tablet 1GM","0259","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-Sucralfate Tablet 1GM","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Sucralfate Tablet 1GM","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Sucralfate Tablet 1GM","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Sucralfate Tablet 1GM","0259","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Sucralfate Tablet 1GM","0259","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Sucralfate Tablet 1GM","0259","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","2502.48","percent of total billed charges",,
"NF-Sucralfate Tablet 1GM","0259","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-Sucralfate Tablet 1GM","0259","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","2502.48","percent of total billed charges",,
"NF-Sucralfate Tablet 1GM","0259","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Isosorbide Mononitrate Tablet 10MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Isosorbide Mononitrate Tablet 10MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Isosorbide Mononitrate Tablet 10MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Isosorbide Mononitrate Tablet 10MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Isosorbide Mononitrate Tablet 10MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Isosorbide Mononitrate Tablet 10MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Isosorbide Mononitrate Tablet 10MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Isosorbide Mononitrate Tablet 10MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Isosorbide Mononitrate Tablet 10MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Isosorbide Mononitrate Tablet 10MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Isosorbide Mononitrate Tablet 10MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Isosorbide Mononitrate Tablet 10MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Isosorbide Mononitrate Tablet 10MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Isosorbide Mononitrate Tablet 10MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Isosorbide Mononitrate Tablet 10MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Isosorbide Mononitrate Tablet 10MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Isosorbide Mononitrate Tablet 10MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Isosorbide Mononitrate Tablet 10MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Isosorbide Mononitrate Tablet 10MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Isosorbide Mononitrate Tablet 10MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Alliant","Health Exchange",,,"62",,"10.54","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.18","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Medicare",,,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Humana","Medicare Advantage",,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","UHC","Medicare Advantage",,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Clover","Medicare Advantage",,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Wellcare","Medicare Advantage",,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.22","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Caresource","Medicaid Managed Care",,,"40",,"6.8","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Wellcare","Medicaid Managed Care",,,"40",,"6.89","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Aetna","Commercial",,,"64",,"10.85","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways",,,"71",,"12","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Blue Cross Blue Shield","HMO",,,"71",,"12","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Blue Cross Blue Shield","PPO",,,"71",,"12","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Ambetter","Health Exchange",,,"62",,"10.54","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Caresource","Health Exchange",,,"62",,"10.54","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Cigna","Commercial",,,"59",,"9.96","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Humana","Commercial",,,"78",,"13.18","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","UHC","Commercial",,,"75",,"12.82","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Medicaid",,,,"37",,"6.22","0.04","2502.48","percent of total billed charges",,
"risperDONE 1 mg/ml Oral Liquid 30 ml","0637","RC","Both",,,"75","37.5","Alliant","Health Exchange",,,"62",,"46.5","0.15","5264.58","percent of total billed charges",,
"risperDONE 1 mg/ml Oral Liquid 30 ml","0637","RC","Both",,,"75","37.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"40.5","0.15","5264.58","percent of total billed charges",,
"risperDONE 1 mg/ml Oral Liquid 30 ml","0637","RC","Both",,,"75","37.5","Medicare",,,,"54",,"40.65","0.15","5264.58","percent of total billed charges",,
"risperDONE 1 mg/ml Oral Liquid 30 ml","0637","RC","Both",,,"75","37.5","Humana","Medicare Advantage",,,"54",,"40.65","0.15","5264.58","percent of total billed charges",,
"risperDONE 1 mg/ml Oral Liquid 30 ml","0637","RC","Both",,,"75","37.5","UHC","Medicare Advantage",,,"54",,"40.65","0.15","5264.58","percent of total billed charges",,
"risperDONE 1 mg/ml Oral Liquid 30 ml","0637","RC","Both",,,"75","37.5","Clover","Medicare Advantage",,,"54",,"40.65","0.15","5264.58","percent of total billed charges",,
"risperDONE 1 mg/ml Oral Liquid 30 ml","0637","RC","Both",,,"75","37.5","Wellcare","Medicare Advantage",,,"54",,"40.65","0.15","5264.58","percent of total billed charges",,
"risperDONE 1 mg/ml Oral Liquid 30 ml","0637","RC","Both",,,"75","37.5","Amerigroup","Medicaid Managed Care",,,"37",,"27.45","0.15","5264.58","percent of total billed charges",,
"risperDONE 1 mg/ml Oral Liquid 30 ml","0637","RC","Both",,,"75","37.5","Caresource","Medicaid Managed Care",,,"40",,"30","0.15","5264.58","percent of total billed charges",,
"risperDONE 1 mg/ml Oral Liquid 30 ml","0637","RC","Both",,,"75","37.5","Wellcare","Medicaid Managed Care",,,"40",,"30.38","0.15","5264.58","percent of total billed charges",,
"risperDONE 1 mg/ml Oral Liquid 30 ml","0637","RC","Both",,,"75","37.5","Aetna","Commercial",,,"64",,"47.85","0.15","5264.58","percent of total billed charges",,
"risperDONE 1 mg/ml Oral Liquid 30 ml","0637","RC","Both",,,"75","37.5","Blue Cross Blue Shield","Pathways",,,"71",,"52.95","0.15","5264.58","percent of total billed charges",,
"risperDONE 1 mg/ml Oral Liquid 30 ml","0637","RC","Both",,,"75","37.5","Blue Cross Blue Shield","HMO",,,"71",,"52.95","0.15","5264.58","percent of total billed charges",,
"risperDONE 1 mg/ml Oral Liquid 30 ml","0637","RC","Both",,,"75","37.5","Blue Cross Blue Shield","PPO",,,"71",,"52.95","0.15","5264.58","percent of total billed charges",,
"risperDONE 1 mg/ml Oral Liquid 30 ml","0637","RC","Both",,,"75","37.5","Ambetter","Health Exchange",,,"62",,"46.5","0.15","5264.58","percent of total billed charges",,
"risperDONE 1 mg/ml Oral Liquid 30 ml","0637","RC","Both",,,"75","37.5","Caresource","Health Exchange",,,"62",,"46.5","0.15","5264.58","percent of total billed charges",,
"risperDONE 1 mg/ml Oral Liquid 30 ml","0637","RC","Both",,,"75","37.5","Cigna","Commercial",,,"59",,"43.95","0.15","5264.58","percent of total billed charges",,
"risperDONE 1 mg/ml Oral Liquid 30 ml","0637","RC","Both",,,"75","37.5","Humana","Commercial",,,"78",,"58.12","0.15","5264.58","percent of total billed charges",,
"risperDONE 1 mg/ml Oral Liquid 30 ml","0637","RC","Both",,,"75","37.5","UHC","Commercial",,,"75",,"56.55","0.15","5264.58","percent of total billed charges",,
"risperDONE 1 mg/ml Oral Liquid 30 ml","0637","RC","Both",,,"75","37.5","Medicaid",,,,"37",,"27.45","0.15","5264.58","percent of total billed charges",,
"KETAMINE 50 MG/ML SYRINGE (Nephron)","0250","RC","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"KETAMINE 50 MG/ML SYRINGE (Nephron)","0250","RC","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","0.04","569.62","percent of total billed charges",,
"KETAMINE 50 MG/ML SYRINGE (Nephron)","0250","RC","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"KETAMINE 50 MG/ML SYRINGE (Nephron)","0250","RC","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"KETAMINE 50 MG/ML SYRINGE (Nephron)","0250","RC","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"KETAMINE 50 MG/ML SYRINGE (Nephron)","0250","RC","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"KETAMINE 50 MG/ML SYRINGE (Nephron)","0250","RC","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","0.04","569.62","percent of total billed charges",,
"KETAMINE 50 MG/ML SYRINGE (Nephron)","0250","RC","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","0.04","569.62","percent of total billed charges",,
"KETAMINE 50 MG/ML SYRINGE (Nephron)","0250","RC","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","0.04","569.62","percent of total billed charges",,
"KETAMINE 50 MG/ML SYRINGE (Nephron)","0250","RC","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","0.04","569.62","percent of total billed charges",,
"KETAMINE 50 MG/ML SYRINGE (Nephron)","0250","RC","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","0.04","569.62","percent of total billed charges",,
"KETAMINE 50 MG/ML SYRINGE (Nephron)","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"KETAMINE 50 MG/ML SYRINGE (Nephron)","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"KETAMINE 50 MG/ML SYRINGE (Nephron)","0250","RC","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","0.04","569.62","percent of total billed charges",,
"KETAMINE 50 MG/ML SYRINGE (Nephron)","0250","RC","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"KETAMINE 50 MG/ML SYRINGE (Nephron)","0250","RC","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","0.04","569.62","percent of total billed charges",,
"KETAMINE 50 MG/ML SYRINGE (Nephron)","0250","RC","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","0.04","569.62","percent of total billed charges",,
"KETAMINE 50 MG/ML SYRINGE (Nephron)","0250","RC","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","0.04","569.62","percent of total billed charges",,
"KETAMINE 50 MG/ML SYRINGE (Nephron)","0250","RC","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","0.04","569.62","percent of total billed charges",,
"KETAMINE 50 MG/ML SYRINGE (Nephron)","0250","RC","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","0.04","569.62","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","0259","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","0259","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","0259","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","0259","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","0259","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","0259","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","0259","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","0259","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","0259","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","0259","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","0259","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","0259","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","0259","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","0259","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","0259","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 320MG","0259","RC","Both",,,"18","9","Alliant","Health Exchange",,,"62",,"11.16","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 320MG","0259","RC","Both",,,"18","9","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.72","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 320MG","0259","RC","Both",,,"18","9","Medicare",,,,"54",,"9.76","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 320MG","0259","RC","Both",,,"18","9","Humana","Medicare Advantage",,,"54",,"9.76","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 320MG","0259","RC","Both",,,"18","9","UHC","Medicare Advantage",,,"54",,"9.76","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 320MG","0259","RC","Both",,,"18","9","Clover","Medicare Advantage",,,"54",,"9.76","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 320MG","0259","RC","Both",,,"18","9","Wellcare","Medicare Advantage",,,"54",,"9.76","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 320MG","0259","RC","Both",,,"18","9","Amerigroup","Medicaid Managed Care",,,"37",,"6.59","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 320MG","0259","RC","Both",,,"18","9","Caresource","Medicaid Managed Care",,,"40",,"7.2","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 320MG","0259","RC","Both",,,"18","9","Wellcare","Medicaid Managed Care",,,"40",,"7.29","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 320MG","0259","RC","Both",,,"18","9","Aetna","Commercial",,,"64",,"11.48","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 320MG","0259","RC","Both",,,"18","9","Blue Cross Blue Shield","Pathways",,,"71",,"12.71","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 320MG","0259","RC","Both",,,"18","9","Blue Cross Blue Shield","HMO",,,"71",,"12.71","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 320MG","0259","RC","Both",,,"18","9","Blue Cross Blue Shield","PPO",,,"71",,"12.71","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 320MG","0259","RC","Both",,,"18","9","Ambetter","Health Exchange",,,"62",,"11.16","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 320MG","0259","RC","Both",,,"18","9","Caresource","Health Exchange",,,"62",,"11.16","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 320MG","0259","RC","Both",,,"18","9","Cigna","Commercial",,,"59",,"10.55","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 320MG","0259","RC","Both",,,"18","9","Humana","Commercial",,,"78",,"13.95","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 320MG","0259","RC","Both",,,"18","9","UHC","Commercial",,,"75",,"13.57","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 320MG","0259","RC","Both",,,"18","9","Medicaid",,,,"37",,"6.59","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Alliant","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.98","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Medicare",,,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Humana","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","UHC","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Clover","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Wellcare","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Amerigroup","Medicaid Managed Care",,,"37",,"13.54","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Caresource","Medicaid Managed Care",,,"40",,"14.8","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Wellcare","Medicaid Managed Care",,,"40",,"14.99","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Aetna","Commercial",,,"64",,"23.61","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","Pathways",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","HMO",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","PPO",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Ambetter","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Caresource","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Cigna","Commercial",,,"59",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Humana","Commercial",,,"78",,"28.68","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","UHC","Commercial",,,"75",,"27.9","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Medicaid",,,,"37",,"13.54","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"23","11.5","Alliant","Health Exchange",,,"62",,"14.26","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"23","11.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.42","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"23","11.5","Medicare",,,,"54",,"12.47","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"23","11.5","Humana","Medicare Advantage",,,"54",,"12.47","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"23","11.5","UHC","Medicare Advantage",,,"54",,"12.47","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"23","11.5","Clover","Medicare Advantage",,,"54",,"12.47","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"23","11.5","Wellcare","Medicare Advantage",,,"54",,"12.47","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"23","11.5","Amerigroup","Medicaid Managed Care",,,"37",,"8.42","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"23","11.5","Caresource","Medicaid Managed Care",,,"40",,"9.2","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"23","11.5","Wellcare","Medicaid Managed Care",,,"40",,"9.32","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"23","11.5","Aetna","Commercial",,,"64",,"14.67","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"23","11.5","Blue Cross Blue Shield","Pathways",,,"71",,"16.24","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"23","11.5","Blue Cross Blue Shield","HMO",,,"71",,"16.24","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"23","11.5","Blue Cross Blue Shield","PPO",,,"71",,"16.24","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"23","11.5","Ambetter","Health Exchange",,,"62",,"14.26","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"23","11.5","Caresource","Health Exchange",,,"62",,"14.26","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"23","11.5","Cigna","Commercial",,,"59",,"13.48","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"23","11.5","Humana","Commercial",,,"78",,"17.82","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"23","11.5","UHC","Commercial",,,"75",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0259","RC","Both",,,"23","11.5","Medicaid",,,,"37",,"8.42","0.04","2502.48","percent of total billed charges",,
"NF-Hydrocortisone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Hydrocortisone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Hydrocortisone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Hydrocortisone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Hydrocortisone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Hydrocortisone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Hydrocortisone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Hydrocortisone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Hydrocortisone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Hydrocortisone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Hydrocortisone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Hydrocortisone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Hydrocortisone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Hydrocortisone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Hydrocortisone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Hydrocortisone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Hydrocortisone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Hydrocortisone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Hydrocortisone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Hydrocortisone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Pataday Twice Daily Ophth Soln 0.1%","0259","RC","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Pataday Twice Daily Ophth Soln 0.1%","0259","RC","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","0.04","2502.48","percent of total billed charges",,
"NF-Pataday Twice Daily Ophth Soln 0.1%","0259","RC","Both",,,"8","4","Medicare",,,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Pataday Twice Daily Ophth Soln 0.1%","0259","RC","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Pataday Twice Daily Ophth Soln 0.1%","0259","RC","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Pataday Twice Daily Ophth Soln 0.1%","0259","RC","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Pataday Twice Daily Ophth Soln 0.1%","0259","RC","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Pataday Twice Daily Ophth Soln 0.1%","0259","RC","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Pataday Twice Daily Ophth Soln 0.1%","0259","RC","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","0.04","2502.48","percent of total billed charges",,
"NF-Pataday Twice Daily Ophth Soln 0.1%","0259","RC","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-Pataday Twice Daily Ophth Soln 0.1%","0259","RC","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","0.04","2502.48","percent of total billed charges",,
"NF-Pataday Twice Daily Ophth Soln 0.1%","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Pataday Twice Daily Ophth Soln 0.1%","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Pataday Twice Daily Ophth Soln 0.1%","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Pataday Twice Daily Ophth Soln 0.1%","0259","RC","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Pataday Twice Daily Ophth Soln 0.1%","0259","RC","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Pataday Twice Daily Ophth Soln 0.1%","0259","RC","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","0.04","2502.48","percent of total billed charges",,
"NF-Pataday Twice Daily Ophth Soln 0.1%","0259","RC","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Pataday Twice Daily Ophth Soln 0.1%","0259","RC","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","0.04","2502.48","percent of total billed charges",,
"NF-Pataday Twice Daily Ophth Soln 0.1%","0259","RC","Both",,,"8","4","Medicaid",,,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Nasonex Spray 0.05MG/Inh","0259","RC","Both",,,"53","26.5","Alliant","Health Exchange",,,"62",,"32.86","0.04","2502.48","percent of total billed charges",,
"NF-Nasonex Spray 0.05MG/Inh","0259","RC","Both",,,"53","26.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.62","0.04","2502.48","percent of total billed charges",,
"NF-Nasonex Spray 0.05MG/Inh","0259","RC","Both",,,"53","26.5","Medicare",,,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Nasonex Spray 0.05MG/Inh","0259","RC","Both",,,"53","26.5","Humana","Medicare Advantage",,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Nasonex Spray 0.05MG/Inh","0259","RC","Both",,,"53","26.5","UHC","Medicare Advantage",,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Nasonex Spray 0.05MG/Inh","0259","RC","Both",,,"53","26.5","Clover","Medicare Advantage",,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Nasonex Spray 0.05MG/Inh","0259","RC","Both",,,"53","26.5","Wellcare","Medicare Advantage",,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Nasonex Spray 0.05MG/Inh","0259","RC","Both",,,"53","26.5","Amerigroup","Medicaid Managed Care",,,"37",,"19.4","0.04","2502.48","percent of total billed charges",,
"NF-Nasonex Spray 0.05MG/Inh","0259","RC","Both",,,"53","26.5","Caresource","Medicaid Managed Care",,,"40",,"21.2","0.04","2502.48","percent of total billed charges",,
"NF-Nasonex Spray 0.05MG/Inh","0259","RC","Both",,,"53","26.5","Wellcare","Medicaid Managed Care",,,"40",,"21.46","0.04","2502.48","percent of total billed charges",,
"NF-Nasonex Spray 0.05MG/Inh","0259","RC","Both",,,"53","26.5","Aetna","Commercial",,,"64",,"33.81","0.04","2502.48","percent of total billed charges",,
"NF-Nasonex Spray 0.05MG/Inh","0259","RC","Both",,,"53","26.5","Blue Cross Blue Shield","Pathways",,,"71",,"37.42","0.04","2502.48","percent of total billed charges",,
"NF-Nasonex Spray 0.05MG/Inh","0259","RC","Both",,,"53","26.5","Blue Cross Blue Shield","HMO",,,"71",,"37.42","0.04","2502.48","percent of total billed charges",,
"NF-Nasonex Spray 0.05MG/Inh","0259","RC","Both",,,"53","26.5","Blue Cross Blue Shield","PPO",,,"71",,"37.42","0.04","2502.48","percent of total billed charges",,
"NF-Nasonex Spray 0.05MG/Inh","0259","RC","Both",,,"53","26.5","Ambetter","Health Exchange",,,"62",,"32.86","0.04","2502.48","percent of total billed charges",,
"NF-Nasonex Spray 0.05MG/Inh","0259","RC","Both",,,"53","26.5","Caresource","Health Exchange",,,"62",,"32.86","0.04","2502.48","percent of total billed charges",,
"NF-Nasonex Spray 0.05MG/Inh","0259","RC","Both",,,"53","26.5","Cigna","Commercial",,,"59",,"31.06","0.04","2502.48","percent of total billed charges",,
"NF-Nasonex Spray 0.05MG/Inh","0259","RC","Both",,,"53","26.5","Humana","Commercial",,,"78",,"41.08","0.04","2502.48","percent of total billed charges",,
"NF-Nasonex Spray 0.05MG/Inh","0259","RC","Both",,,"53","26.5","UHC","Commercial",,,"75",,"39.96","0.04","2502.48","percent of total billed charges",,
"NF-Nasonex Spray 0.05MG/Inh","0259","RC","Both",,,"53","26.5","Medicaid",,,,"37",,"19.4","0.04","2502.48","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","0259","RC","Both",,,"12","6","Alliant","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","0259","RC","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.48","0.04","2502.48","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","0259","RC","Both",,,"12","6","Medicare",,,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","0259","RC","Both",,,"12","6","Humana","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","0259","RC","Both",,,"12","6","UHC","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","0259","RC","Both",,,"12","6","Clover","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","0259","RC","Both",,,"12","6","Wellcare","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","0259","RC","Both",,,"12","6","Amerigroup","Medicaid Managed Care",,,"37",,"4.39","0.04","2502.48","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","0259","RC","Both",,,"12","6","Caresource","Medicaid Managed Care",,,"40",,"4.8","0.04","2502.48","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","0259","RC","Both",,,"12","6","Wellcare","Medicaid Managed Care",,,"40",,"4.86","0.04","2502.48","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","0259","RC","Both",,,"12","6","Aetna","Commercial",,,"64",,"7.66","0.04","2502.48","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","Pathways",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","HMO",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","PPO",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","0259","RC","Both",,,"12","6","Ambetter","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","0259","RC","Both",,,"12","6","Caresource","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","0259","RC","Both",,,"12","6","Cigna","Commercial",,,"59",,"7.03","0.04","2502.48","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","0259","RC","Both",,,"12","6","Humana","Commercial",,,"78",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","0259","RC","Both",,,"12","6","UHC","Commercial",,,"75",,"9.05","0.04","2502.48","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","0259","RC","Both",,,"12","6","Medicaid",,,,"37",,"4.39","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0259","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Alliant","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.98","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Medicare",,,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Humana","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","UHC","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Clover","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Wellcare","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Amerigroup","Medicaid Managed Care",,,"37",,"13.54","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Caresource","Medicaid Managed Care",,,"40",,"14.8","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Wellcare","Medicaid Managed Care",,,"40",,"14.99","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Aetna","Commercial",,,"64",,"23.61","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","Pathways",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","HMO",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","PPO",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Ambetter","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Caresource","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Cigna","Commercial",,,"59",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Humana","Commercial",,,"78",,"28.68","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","UHC","Commercial",,,"75",,"27.9","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Medicaid",,,,"37",,"13.54","0.04","2502.48","percent of total billed charges",,
"NF-Vagifem Vaginal Tablet 10MCG","0259","RC","Both",,,"28","14","Alliant","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Vagifem Vaginal Tablet 10MCG","0259","RC","Both",,,"28","14","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.12","0.04","2502.48","percent of total billed charges",,
"NF-Vagifem Vaginal Tablet 10MCG","0259","RC","Both",,,"28","14","Medicare",,,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Vagifem Vaginal Tablet 10MCG","0259","RC","Both",,,"28","14","Humana","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Vagifem Vaginal Tablet 10MCG","0259","RC","Both",,,"28","14","UHC","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Vagifem Vaginal Tablet 10MCG","0259","RC","Both",,,"28","14","Clover","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Vagifem Vaginal Tablet 10MCG","0259","RC","Both",,,"28","14","Wellcare","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Vagifem Vaginal Tablet 10MCG","0259","RC","Both",,,"28","14","Amerigroup","Medicaid Managed Care",,,"37",,"10.25","0.04","2502.48","percent of total billed charges",,
"NF-Vagifem Vaginal Tablet 10MCG","0259","RC","Both",,,"28","14","Caresource","Medicaid Managed Care",,,"40",,"11.2","0.04","2502.48","percent of total billed charges",,
"NF-Vagifem Vaginal Tablet 10MCG","0259","RC","Both",,,"28","14","Wellcare","Medicaid Managed Care",,,"40",,"11.34","0.04","2502.48","percent of total billed charges",,
"NF-Vagifem Vaginal Tablet 10MCG","0259","RC","Both",,,"28","14","Aetna","Commercial",,,"64",,"17.86","0.04","2502.48","percent of total billed charges",,
"NF-Vagifem Vaginal Tablet 10MCG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","Pathways",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Vagifem Vaginal Tablet 10MCG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","HMO",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Vagifem Vaginal Tablet 10MCG","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","PPO",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Vagifem Vaginal Tablet 10MCG","0259","RC","Both",,,"28","14","Ambetter","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Vagifem Vaginal Tablet 10MCG","0259","RC","Both",,,"28","14","Caresource","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Vagifem Vaginal Tablet 10MCG","0259","RC","Both",,,"28","14","Cigna","Commercial",,,"59",,"16.41","0.04","2502.48","percent of total billed charges",,
"NF-Vagifem Vaginal Tablet 10MCG","0259","RC","Both",,,"28","14","Humana","Commercial",,,"78",,"21.7","0.04","2502.48","percent of total billed charges",,
"NF-Vagifem Vaginal Tablet 10MCG","0259","RC","Both",,,"28","14","UHC","Commercial",,,"75",,"21.11","0.04","2502.48","percent of total billed charges",,
"NF-Vagifem Vaginal Tablet 10MCG","0259","RC","Both",,,"28","14","Medicaid",,,,"37",,"10.25","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"HALOPERIDOL (HALDOL) 2 MG TABLETS","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"HALOPERIDOL (HALDOL) 2 MG TABLETS","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"HALOPERIDOL (HALDOL) 2 MG TABLETS","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"HALOPERIDOL (HALDOL) 2 MG TABLETS","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"HALOPERIDOL (HALDOL) 2 MG TABLETS","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"HALOPERIDOL (HALDOL) 2 MG TABLETS","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"HALOPERIDOL (HALDOL) 2 MG TABLETS","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"HALOPERIDOL (HALDOL) 2 MG TABLETS","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"HALOPERIDOL (HALDOL) 2 MG TABLETS","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"HALOPERIDOL (HALDOL) 2 MG TABLETS","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"HALOPERIDOL (HALDOL) 2 MG TABLETS","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"HALOPERIDOL (HALDOL) 2 MG TABLETS","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"HALOPERIDOL (HALDOL) 2 MG TABLETS","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"HALOPERIDOL (HALDOL) 2 MG TABLETS","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"HALOPERIDOL (HALDOL) 2 MG TABLETS","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"HALOPERIDOL (HALDOL) 2 MG TABLETS","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"HALOPERIDOL (HALDOL) 2 MG TABLETS","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"HALOPERIDOL (HALDOL) 2 MG TABLETS","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"HALOPERIDOL (HALDOL) 2 MG TABLETS","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"HALOPERIDOL (HALDOL) 2 MG TABLETS","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"NALTREXONE (VIVITROL) 50 MG TABLETS","0637","RC","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"NALTREXONE (VIVITROL) 50 MG TABLETS","0637","RC","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","0.15","5264.58","percent of total billed charges",,
"NALTREXONE (VIVITROL) 50 MG TABLETS","0637","RC","Both",,,"22","11","Medicare",,,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NALTREXONE (VIVITROL) 50 MG TABLETS","0637","RC","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NALTREXONE (VIVITROL) 50 MG TABLETS","0637","RC","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NALTREXONE (VIVITROL) 50 MG TABLETS","0637","RC","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NALTREXONE (VIVITROL) 50 MG TABLETS","0637","RC","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"NALTREXONE (VIVITROL) 50 MG TABLETS","0637","RC","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"NALTREXONE (VIVITROL) 50 MG TABLETS","0637","RC","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","0.15","5264.58","percent of total billed charges",,
"NALTREXONE (VIVITROL) 50 MG TABLETS","0637","RC","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","0.15","5264.58","percent of total billed charges",,
"NALTREXONE (VIVITROL) 50 MG TABLETS","0637","RC","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","0.15","5264.58","percent of total billed charges",,
"NALTREXONE (VIVITROL) 50 MG TABLETS","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"NALTREXONE (VIVITROL) 50 MG TABLETS","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"NALTREXONE (VIVITROL) 50 MG TABLETS","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"NALTREXONE (VIVITROL) 50 MG TABLETS","0637","RC","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"NALTREXONE (VIVITROL) 50 MG TABLETS","0637","RC","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"NALTREXONE (VIVITROL) 50 MG TABLETS","0637","RC","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","0.15","5264.58","percent of total billed charges",,
"NALTREXONE (VIVITROL) 50 MG TABLETS","0637","RC","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","0.15","5264.58","percent of total billed charges",,
"NALTREXONE (VIVITROL) 50 MG TABLETS","0637","RC","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","0.15","5264.58","percent of total billed charges",,
"NALTREXONE (VIVITROL) 50 MG TABLETS","0637","RC","Both",,,"22","11","Medicaid",,,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","0259","RC","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","0259","RC","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","0259","RC","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","0259","RC","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","0259","RC","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","0259","RC","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","0259","RC","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","0259","RC","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","0259","RC","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","0259","RC","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","0259","RC","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","0259","RC","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","0259","RC","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","0259","RC","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","0259","RC","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","0259","RC","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","0.04","2502.48","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","0259","RC","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Alliant","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.98","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Medicare",,,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Humana","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","UHC","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Clover","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Wellcare","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Amerigroup","Medicaid Managed Care",,,"37",,"13.54","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Caresource","Medicaid Managed Care",,,"40",,"14.8","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Wellcare","Medicaid Managed Care",,,"40",,"14.99","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Aetna","Commercial",,,"64",,"23.61","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","Pathways",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","HMO",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","PPO",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Ambetter","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Caresource","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Cigna","Commercial",,,"59",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Humana","Commercial",,,"78",,"28.68","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","UHC","Commercial",,,"75",,"27.9","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Medicaid",,,,"37",,"13.54","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Alliant","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.98","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Medicare",,,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Humana","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","UHC","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Clover","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Wellcare","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Amerigroup","Medicaid Managed Care",,,"37",,"13.54","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Caresource","Medicaid Managed Care",,,"40",,"14.8","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Wellcare","Medicaid Managed Care",,,"40",,"14.99","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Aetna","Commercial",,,"64",,"23.61","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","Pathways",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","HMO",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","PPO",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Ambetter","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Caresource","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Cigna","Commercial",,,"59",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Humana","Commercial",,,"78",,"28.68","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","UHC","Commercial",,,"75",,"27.9","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Medicaid",,,,"37",,"13.54","0.04","2502.48","percent of total billed charges",,
"NF-Bethkis Inhalation Solution 300MG/4ML","0259","RC","Both",,,"99","49.5","Alliant","Health Exchange",,,"62",,"61.38","0.04","2502.48","percent of total billed charges",,
"NF-Bethkis Inhalation Solution 300MG/4ML","0259","RC","Both",,,"99","49.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"53.46","0.04","2502.48","percent of total billed charges",,
"NF-Bethkis Inhalation Solution 300MG/4ML","0259","RC","Both",,,"99","49.5","Medicare",,,,"54",,"53.66","0.04","2502.48","percent of total billed charges",,
"NF-Bethkis Inhalation Solution 300MG/4ML","0259","RC","Both",,,"99","49.5","Humana","Medicare Advantage",,,"54",,"53.66","0.04","2502.48","percent of total billed charges",,
"NF-Bethkis Inhalation Solution 300MG/4ML","0259","RC","Both",,,"99","49.5","UHC","Medicare Advantage",,,"54",,"53.66","0.04","2502.48","percent of total billed charges",,
"NF-Bethkis Inhalation Solution 300MG/4ML","0259","RC","Both",,,"99","49.5","Clover","Medicare Advantage",,,"54",,"53.66","0.04","2502.48","percent of total billed charges",,
"NF-Bethkis Inhalation Solution 300MG/4ML","0259","RC","Both",,,"99","49.5","Wellcare","Medicare Advantage",,,"54",,"53.66","0.04","2502.48","percent of total billed charges",,
"NF-Bethkis Inhalation Solution 300MG/4ML","0259","RC","Both",,,"99","49.5","Amerigroup","Medicaid Managed Care",,,"37",,"36.23","0.04","2502.48","percent of total billed charges",,
"NF-Bethkis Inhalation Solution 300MG/4ML","0259","RC","Both",,,"99","49.5","Caresource","Medicaid Managed Care",,,"40",,"39.6","0.04","2502.48","percent of total billed charges",,
"NF-Bethkis Inhalation Solution 300MG/4ML","0259","RC","Both",,,"99","49.5","Wellcare","Medicaid Managed Care",,,"40",,"40.1","0.04","2502.48","percent of total billed charges",,
"NF-Bethkis Inhalation Solution 300MG/4ML","0259","RC","Both",,,"99","49.5","Aetna","Commercial",,,"64",,"63.16","0.04","2502.48","percent of total billed charges",,
"NF-Bethkis Inhalation Solution 300MG/4ML","0259","RC","Both",,,"99","49.5","Blue Cross Blue Shield","Pathways",,,"71",,"69.89","0.04","2502.48","percent of total billed charges",,
"NF-Bethkis Inhalation Solution 300MG/4ML","0259","RC","Both",,,"99","49.5","Blue Cross Blue Shield","HMO",,,"71",,"69.89","0.04","2502.48","percent of total billed charges",,
"NF-Bethkis Inhalation Solution 300MG/4ML","0259","RC","Both",,,"99","49.5","Blue Cross Blue Shield","PPO",,,"71",,"69.89","0.04","2502.48","percent of total billed charges",,
"NF-Bethkis Inhalation Solution 300MG/4ML","0259","RC","Both",,,"99","49.5","Ambetter","Health Exchange",,,"62",,"61.38","0.04","2502.48","percent of total billed charges",,
"NF-Bethkis Inhalation Solution 300MG/4ML","0259","RC","Both",,,"99","49.5","Caresource","Health Exchange",,,"62",,"61.38","0.04","2502.48","percent of total billed charges",,
"NF-Bethkis Inhalation Solution 300MG/4ML","0259","RC","Both",,,"99","49.5","Cigna","Commercial",,,"59",,"58.01","0.04","2502.48","percent of total billed charges",,
"NF-Bethkis Inhalation Solution 300MG/4ML","0259","RC","Both",,,"99","49.5","Humana","Commercial",,,"78",,"76.73","0.04","2502.48","percent of total billed charges",,
"NF-Bethkis Inhalation Solution 300MG/4ML","0259","RC","Both",,,"99","49.5","UHC","Commercial",,,"75",,"74.65","0.04","2502.48","percent of total billed charges",,
"NF-Bethkis Inhalation Solution 300MG/4ML","0259","RC","Both",,,"99","49.5","Medicaid",,,,"37",,"36.23","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Alliant","Health Exchange",,,"62",,"82.46","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"71.82","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Medicare",,,,"54",,"72.09","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Humana","Medicare Advantage",,,"54",,"72.09","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","UHC","Medicare Advantage",,,"54",,"72.09","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Clover","Medicare Advantage",,,"54",,"72.09","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Wellcare","Medicare Advantage",,,"54",,"72.09","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Amerigroup","Medicaid Managed Care",,,"37",,"48.68","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Caresource","Medicaid Managed Care",,,"40",,"53.2","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Wellcare","Medicaid Managed Care",,,"40",,"53.86","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Aetna","Commercial",,,"64",,"84.85","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Blue Cross Blue Shield","Pathways",,,"71",,"93.9","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Blue Cross Blue Shield","HMO",,,"71",,"93.9","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Blue Cross Blue Shield","PPO",,,"71",,"93.9","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Ambetter","Health Exchange",,,"62",,"82.46","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Caresource","Health Exchange",,,"62",,"82.46","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Cigna","Commercial",,,"59",,"77.94","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Humana","Commercial",,,"78",,"103.08","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","UHC","Commercial",,,"75",,"100.28","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Medicaid",,,,"37",,"48.68","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","0259","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","0259","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","0259","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","0259","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","0259","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","0259","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","0259","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","0259","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","0259","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","2502.48","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","0259","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","2502.48","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","0259","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","2502.48","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","0259","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","0259","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","0259","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","0259","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","2502.48","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","0259","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","2502.48","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","0259","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Permethrin Cream 5%","0259","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Permethrin Cream 5%","0259","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-Permethrin Cream 5%","0259","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Permethrin Cream 5%","0259","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Permethrin Cream 5%","0259","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Permethrin Cream 5%","0259","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Permethrin Cream 5%","0259","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Permethrin Cream 5%","0259","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Permethrin Cream 5%","0259","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","2502.48","percent of total billed charges",,
"NF-Permethrin Cream 5%","0259","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","2502.48","percent of total billed charges",,
"NF-Permethrin Cream 5%","0259","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","2502.48","percent of total billed charges",,
"NF-Permethrin Cream 5%","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Permethrin Cream 5%","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Permethrin Cream 5%","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Permethrin Cream 5%","0259","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Permethrin Cream 5%","0259","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Permethrin Cream 5%","0259","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-Permethrin Cream 5%","0259","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","2502.48","percent of total billed charges",,
"NF-Permethrin Cream 5%","0259","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","2502.48","percent of total billed charges",,
"NF-Permethrin Cream 5%","0259","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Alliant","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.48","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Medicare",,,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Humana","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","UHC","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Clover","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Wellcare","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Amerigroup","Medicaid Managed Care",,,"37",,"4.39","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Caresource","Medicaid Managed Care",,,"40",,"4.8","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Wellcare","Medicaid Managed Care",,,"40",,"4.86","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Aetna","Commercial",,,"64",,"7.66","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","Pathways",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","HMO",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","PPO",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Ambetter","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Caresource","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Cigna","Commercial",,,"59",,"7.03","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Humana","Commercial",,,"78",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","UHC","Commercial",,,"75",,"9.05","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Medicaid",,,,"37",,"4.39","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Alliant","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.48","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Medicare",,,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Humana","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","UHC","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Clover","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Wellcare","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Amerigroup","Medicaid Managed Care",,,"37",,"4.39","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Caresource","Medicaid Managed Care",,,"40",,"4.8","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Wellcare","Medicaid Managed Care",,,"40",,"4.86","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Aetna","Commercial",,,"64",,"7.66","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","Pathways",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","HMO",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","PPO",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Ambetter","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Caresource","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Cigna","Commercial",,,"59",,"7.03","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Humana","Commercial",,,"78",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","UHC","Commercial",,,"75",,"9.05","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"12","6","Medicaid",,,,"37",,"4.39","0.04","2502.48","percent of total billed charges",,
"NF-Coreg CR Oral Capsule ER 80MG","0259","RC","Both",,,"39","19.5","Alliant","Health Exchange",,,"62",,"24.18","0.04","2502.48","percent of total billed charges",,
"NF-Coreg CR Oral Capsule ER 80MG","0259","RC","Both",,,"39","19.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"21.06","0.04","2502.48","percent of total billed charges",,
"NF-Coreg CR Oral Capsule ER 80MG","0259","RC","Both",,,"39","19.5","Medicare",,,,"54",,"21.14","0.04","2502.48","percent of total billed charges",,
"NF-Coreg CR Oral Capsule ER 80MG","0259","RC","Both",,,"39","19.5","Humana","Medicare Advantage",,,"54",,"21.14","0.04","2502.48","percent of total billed charges",,
"NF-Coreg CR Oral Capsule ER 80MG","0259","RC","Both",,,"39","19.5","UHC","Medicare Advantage",,,"54",,"21.14","0.04","2502.48","percent of total billed charges",,
"NF-Coreg CR Oral Capsule ER 80MG","0259","RC","Both",,,"39","19.5","Clover","Medicare Advantage",,,"54",,"21.14","0.04","2502.48","percent of total billed charges",,
"NF-Coreg CR Oral Capsule ER 80MG","0259","RC","Both",,,"39","19.5","Wellcare","Medicare Advantage",,,"54",,"21.14","0.04","2502.48","percent of total billed charges",,
"NF-Coreg CR Oral Capsule ER 80MG","0259","RC","Both",,,"39","19.5","Amerigroup","Medicaid Managed Care",,,"37",,"14.27","0.04","2502.48","percent of total billed charges",,
"NF-Coreg CR Oral Capsule ER 80MG","0259","RC","Both",,,"39","19.5","Caresource","Medicaid Managed Care",,,"40",,"15.6","0.04","2502.48","percent of total billed charges",,
"NF-Coreg CR Oral Capsule ER 80MG","0259","RC","Both",,,"39","19.5","Wellcare","Medicaid Managed Care",,,"40",,"15.8","0.04","2502.48","percent of total billed charges",,
"NF-Coreg CR Oral Capsule ER 80MG","0259","RC","Both",,,"39","19.5","Aetna","Commercial",,,"64",,"24.88","0.04","2502.48","percent of total billed charges",,
"NF-Coreg CR Oral Capsule ER 80MG","0259","RC","Both",,,"39","19.5","Blue Cross Blue Shield","Pathways",,,"71",,"27.53","0.04","2502.48","percent of total billed charges",,
"NF-Coreg CR Oral Capsule ER 80MG","0259","RC","Both",,,"39","19.5","Blue Cross Blue Shield","HMO",,,"71",,"27.53","0.04","2502.48","percent of total billed charges",,
"NF-Coreg CR Oral Capsule ER 80MG","0259","RC","Both",,,"39","19.5","Blue Cross Blue Shield","PPO",,,"71",,"27.53","0.04","2502.48","percent of total billed charges",,
"NF-Coreg CR Oral Capsule ER 80MG","0259","RC","Both",,,"39","19.5","Ambetter","Health Exchange",,,"62",,"24.18","0.04","2502.48","percent of total billed charges",,
"NF-Coreg CR Oral Capsule ER 80MG","0259","RC","Both",,,"39","19.5","Caresource","Health Exchange",,,"62",,"24.18","0.04","2502.48","percent of total billed charges",,
"NF-Coreg CR Oral Capsule ER 80MG","0259","RC","Both",,,"39","19.5","Cigna","Commercial",,,"59",,"22.85","0.04","2502.48","percent of total billed charges",,
"NF-Coreg CR Oral Capsule ER 80MG","0259","RC","Both",,,"39","19.5","Humana","Commercial",,,"78",,"30.22","0.04","2502.48","percent of total billed charges",,
"NF-Coreg CR Oral Capsule ER 80MG","0259","RC","Both",,,"39","19.5","UHC","Commercial",,,"75",,"29.41","0.04","2502.48","percent of total billed charges",,
"NF-Coreg CR Oral Capsule ER 80MG","0259","RC","Both",,,"39","19.5","Medicaid",,,,"37",,"14.27","0.04","2502.48","percent of total billed charges",,
"NF-levocetirizine DiHCl Oral Tablet 5MG","0259","RC","Both",,,"9","4.5","Alliant","Health Exchange",,,"62",,"5.58","0.04","2502.48","percent of total billed charges",,
"NF-levocetirizine DiHCl Oral Tablet 5MG","0259","RC","Both",,,"9","4.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.86","0.04","2502.48","percent of total billed charges",,
"NF-levocetirizine DiHCl Oral Tablet 5MG","0259","RC","Both",,,"9","4.5","Medicare",,,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-levocetirizine DiHCl Oral Tablet 5MG","0259","RC","Both",,,"9","4.5","Humana","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-levocetirizine DiHCl Oral Tablet 5MG","0259","RC","Both",,,"9","4.5","UHC","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-levocetirizine DiHCl Oral Tablet 5MG","0259","RC","Both",,,"9","4.5","Clover","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-levocetirizine DiHCl Oral Tablet 5MG","0259","RC","Both",,,"9","4.5","Wellcare","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-levocetirizine DiHCl Oral Tablet 5MG","0259","RC","Both",,,"9","4.5","Amerigroup","Medicaid Managed Care",,,"37",,"3.29","0.04","2502.48","percent of total billed charges",,
"NF-levocetirizine DiHCl Oral Tablet 5MG","0259","RC","Both",,,"9","4.5","Caresource","Medicaid Managed Care",,,"40",,"3.6","0.04","2502.48","percent of total billed charges",,
"NF-levocetirizine DiHCl Oral Tablet 5MG","0259","RC","Both",,,"9","4.5","Wellcare","Medicaid Managed Care",,,"40",,"3.65","0.04","2502.48","percent of total billed charges",,
"NF-levocetirizine DiHCl Oral Tablet 5MG","0259","RC","Both",,,"9","4.5","Aetna","Commercial",,,"64",,"5.74","0.04","2502.48","percent of total billed charges",,
"NF-levocetirizine DiHCl Oral Tablet 5MG","0259","RC","Both",,,"9","4.5","Blue Cross Blue Shield","Pathways",,,"71",,"6.35","0.04","2502.48","percent of total billed charges",,
"NF-levocetirizine DiHCl Oral Tablet 5MG","0259","RC","Both",,,"9","4.5","Blue Cross Blue Shield","HMO",,,"71",,"6.35","0.04","2502.48","percent of total billed charges",,
"NF-levocetirizine DiHCl Oral Tablet 5MG","0259","RC","Both",,,"9","4.5","Blue Cross Blue Shield","PPO",,,"71",,"6.35","0.04","2502.48","percent of total billed charges",,
"NF-levocetirizine DiHCl Oral Tablet 5MG","0259","RC","Both",,,"9","4.5","Ambetter","Health Exchange",,,"62",,"5.58","0.04","2502.48","percent of total billed charges",,
"NF-levocetirizine DiHCl Oral Tablet 5MG","0259","RC","Both",,,"9","4.5","Caresource","Health Exchange",,,"62",,"5.58","0.04","2502.48","percent of total billed charges",,
"NF-levocetirizine DiHCl Oral Tablet 5MG","0259","RC","Both",,,"9","4.5","Cigna","Commercial",,,"59",,"5.27","0.04","2502.48","percent of total billed charges",,
"NF-levocetirizine DiHCl Oral Tablet 5MG","0259","RC","Both",,,"9","4.5","Humana","Commercial",,,"78",,"6.98","0.04","2502.48","percent of total billed charges",,
"NF-levocetirizine DiHCl Oral Tablet 5MG","0259","RC","Both",,,"9","4.5","UHC","Commercial",,,"75",,"6.79","0.04","2502.48","percent of total billed charges",,
"NF-levocetirizine DiHCl Oral Tablet 5MG","0259","RC","Both",,,"9","4.5","Medicaid",,,,"37",,"3.29","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Alliant","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.98","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Medicare",,,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Humana","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","UHC","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Clover","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Wellcare","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Amerigroup","Medicaid Managed Care",,,"37",,"13.54","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Caresource","Medicaid Managed Care",,,"40",,"14.8","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Wellcare","Medicaid Managed Care",,,"40",,"14.99","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Aetna","Commercial",,,"64",,"23.61","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","Pathways",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","HMO",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","PPO",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Ambetter","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Caresource","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Cigna","Commercial",,,"59",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Humana","Commercial",,,"78",,"28.68","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","UHC","Commercial",,,"75",,"27.9","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Medicaid",,,,"37",,"13.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Alliant","Health Exchange",,,"62",,"19.22","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.74","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Medicare",,,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Humana","Medicare Advantage",,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","UHC","Medicare Advantage",,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Clover","Medicare Advantage",,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Wellcare","Medicare Advantage",,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care",,,"37",,"11.35","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Caresource","Medicaid Managed Care",,,"40",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Wellcare","Medicaid Managed Care",,,"40",,"12.56","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Aetna","Commercial",,,"64",,"19.78","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways",,,"71",,"21.89","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Blue Cross Blue Shield","HMO",,,"71",,"21.89","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Blue Cross Blue Shield","PPO",,,"71",,"21.89","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Ambetter","Health Exchange",,,"62",,"19.22","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Caresource","Health Exchange",,,"62",,"19.22","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Cigna","Commercial",,,"59",,"18.17","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Humana","Commercial",,,"78",,"24.02","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","UHC","Commercial",,,"75",,"23.37","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Medicaid",,,,"37",,"11.35","0.04","2502.48","percent of total billed charges",,
"NF-Occlusive Petrolatum Gauze Patch Devi","0259","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Occlusive Petrolatum Gauze Patch Devi","0259","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Occlusive Petrolatum Gauze Patch Devi","0259","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Occlusive Petrolatum Gauze Patch Devi","0259","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Occlusive Petrolatum Gauze Patch Devi","0259","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Occlusive Petrolatum Gauze Patch Devi","0259","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Occlusive Petrolatum Gauze Patch Devi","0259","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Occlusive Petrolatum Gauze Patch Devi","0259","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Occlusive Petrolatum Gauze Patch Devi","0259","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","2502.48","percent of total billed charges",,
"NF-Occlusive Petrolatum Gauze Patch Devi","0259","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-Occlusive Petrolatum Gauze Patch Devi","0259","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-Occlusive Petrolatum Gauze Patch Devi","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Occlusive Petrolatum Gauze Patch Devi","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Occlusive Petrolatum Gauze Patch Devi","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Occlusive Petrolatum Gauze Patch Devi","0259","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Occlusive Petrolatum Gauze Patch Devi","0259","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Occlusive Petrolatum Gauze Patch Devi","0259","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","2502.48","percent of total billed charges",,
"NF-Occlusive Petrolatum Gauze Patch Devi","0259","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-Occlusive Petrolatum Gauze Patch Devi","0259","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","2502.48","percent of total billed charges",,
"NF-Occlusive Petrolatum Gauze Patch Devi","0259","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","0259","RC","Both",,,"20","10","Alliant","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","0259","RC","Both",,,"20","10","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.8","0.04","2502.48","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","0259","RC","Both",,,"20","10","Medicare",,,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","0259","RC","Both",,,"20","10","Humana","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","0259","RC","Both",,,"20","10","UHC","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","0259","RC","Both",,,"20","10","Clover","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","0259","RC","Both",,,"20","10","Wellcare","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","0259","RC","Both",,,"20","10","Amerigroup","Medicaid Managed Care",,,"37",,"7.32","0.04","2502.48","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","0259","RC","Both",,,"20","10","Caresource","Medicaid Managed Care",,,"40",,"8","0.04","2502.48","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","0259","RC","Both",,,"20","10","Wellcare","Medicaid Managed Care",,,"40",,"8.1","0.04","2502.48","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","0259","RC","Both",,,"20","10","Aetna","Commercial",,,"64",,"12.76","0.04","2502.48","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","Pathways",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","HMO",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","PPO",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","0259","RC","Both",,,"20","10","Ambetter","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","0259","RC","Both",,,"20","10","Caresource","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","0259","RC","Both",,,"20","10","Cigna","Commercial",,,"59",,"11.72","0.04","2502.48","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","0259","RC","Both",,,"20","10","Humana","Commercial",,,"78",,"15.5","0.04","2502.48","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","0259","RC","Both",,,"20","10","UHC","Commercial",,,"75",,"15.08","0.04","2502.48","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","0259","RC","Both",,,"20","10","Medicaid",,,,"37",,"7.32","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1595","797.5","Alliant","Health Exchange",,,"62",,"988.9","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1595","797.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"861.3","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1595","797.5","Medicare",,,,"54",,"864.49","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1595","797.5","Humana","Medicare Advantage",,,"54",,"864.49","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1595","797.5","UHC","Medicare Advantage",,,"54",,"864.49","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1595","797.5","Clover","Medicare Advantage",,,"54",,"864.49","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1595","797.5","Wellcare","Medicare Advantage",,,"54",,"864.49","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1595","797.5","Amerigroup","Medicaid Managed Care",,,"37",,"583.77","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1595","797.5","Caresource","Medicaid Managed Care",,,"40",,"638","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1595","797.5","Wellcare","Medicaid Managed Care",,,"40",,"645.98","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1595","797.5","Aetna","Commercial",,,"64",,"1017.61","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1595","797.5","Blue Cross Blue Shield","Pathways",,,"71",,"1126.07","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1595","797.5","Blue Cross Blue Shield","HMO",,,"71",,"1126.07","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1595","797.5","Blue Cross Blue Shield","PPO",,,"71",,"1126.07","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1595","797.5","Ambetter","Health Exchange",,,"62",,"988.9","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1595","797.5","Caresource","Health Exchange",,,"62",,"988.9","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1595","797.5","Cigna","Commercial",,,"59",,"934.67","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1595","797.5","Humana","Commercial",,,"78",,"1236.12","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1595","797.5","UHC","Commercial",,,"75",,"1202.63","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1595","797.5","Medicaid",,,,"37",,"583.77","0.04","2502.48","percent of total billed charges",,
"PICC LINE KIT (2-L 5 FR X 50 CM)","0250","RC","Both",,,"504","252","Alliant","Health Exchange",,,"62",,"312.48","0.04","569.62","percent of total billed charges",,
"PICC LINE KIT (2-L 5 FR X 50 CM)","0250","RC","Both",,,"504","252","Pruitt Healthcare","Medicare Advantage",,,"54",,"272.16","0.04","569.62","percent of total billed charges",,
"PICC LINE KIT (2-L 5 FR X 50 CM)","0250","RC","Both",,,"504","252","Medicare",,,,"54",,"273.17","0.04","569.62","percent of total billed charges",,
"PICC LINE KIT (2-L 5 FR X 50 CM)","0250","RC","Both",,,"504","252","Humana","Medicare Advantage",,,"54",,"273.17","0.04","569.62","percent of total billed charges",,
"PICC LINE KIT (2-L 5 FR X 50 CM)","0250","RC","Both",,,"504","252","UHC","Medicare Advantage",,,"54",,"273.17","0.04","569.62","percent of total billed charges",,
"PICC LINE KIT (2-L 5 FR X 50 CM)","0250","RC","Both",,,"504","252","Clover","Medicare Advantage",,,"54",,"273.17","0.04","569.62","percent of total billed charges",,
"PICC LINE KIT (2-L 5 FR X 50 CM)","0250","RC","Both",,,"504","252","Wellcare","Medicare Advantage",,,"54",,"273.17","0.04","569.62","percent of total billed charges",,
"PICC LINE KIT (2-L 5 FR X 50 CM)","0250","RC","Both",,,"504","252","Amerigroup","Medicaid Managed Care",,,"37",,"184.46","0.04","569.62","percent of total billed charges",,
"PICC LINE KIT (2-L 5 FR X 50 CM)","0250","RC","Both",,,"504","252","Caresource","Medicaid Managed Care",,,"40",,"201.6","0.04","569.62","percent of total billed charges",,
"PICC LINE KIT (2-L 5 FR X 50 CM)","0250","RC","Both",,,"504","252","Wellcare","Medicaid Managed Care",,,"40",,"204.12","0.04","569.62","percent of total billed charges",,
"PICC LINE KIT (2-L 5 FR X 50 CM)","0250","RC","Both",,,"504","252","Aetna","Commercial",,,"64",,"321.55","0.04","569.62","percent of total billed charges",,
"PICC LINE KIT (2-L 5 FR X 50 CM)","0250","RC","Both",,,"504","252","Blue Cross Blue Shield","Pathways",,,"71",,"355.82","0.04","569.62","percent of total billed charges",,
"PICC LINE KIT (2-L 5 FR X 50 CM)","0250","RC","Both",,,"504","252","Blue Cross Blue Shield","HMO",,,"71",,"355.82","0.04","569.62","percent of total billed charges",,
"PICC LINE KIT (2-L 5 FR X 50 CM)","0250","RC","Both",,,"504","252","Blue Cross Blue Shield","PPO",,,"71",,"355.82","0.04","569.62","percent of total billed charges",,
"PICC LINE KIT (2-L 5 FR X 50 CM)","0250","RC","Both",,,"504","252","Ambetter","Health Exchange",,,"62",,"312.48","0.04","569.62","percent of total billed charges",,
"PICC LINE KIT (2-L 5 FR X 50 CM)","0250","RC","Both",,,"504","252","Caresource","Health Exchange",,,"62",,"312.48","0.04","569.62","percent of total billed charges",,
"PICC LINE KIT (2-L 5 FR X 50 CM)","0250","RC","Both",,,"504","252","Cigna","Commercial",,,"59",,"295.34","0.04","569.62","percent of total billed charges",,
"PICC LINE KIT (2-L 5 FR X 50 CM)","0250","RC","Both",,,"504","252","Humana","Commercial",,,"78",,"390.6","0.04","569.62","percent of total billed charges",,
"PICC LINE KIT (2-L 5 FR X 50 CM)","0250","RC","Both",,,"504","252","UHC","Commercial",,,"75",,"380.02","0.04","569.62","percent of total billed charges",,
"PICC LINE KIT (2-L 5 FR X 50 CM)","0250","RC","Both",,,"504","252","Medicaid",,,,"37",,"184.46","0.04","569.62","percent of total billed charges",,
"NF-Aristada IM Susp ER 441MG/1.6ML","0259","RC","Both",,,"3180","1590","Alliant","Health Exchange",,,"62",,"1971.6","0.04","2502.48","percent of total billed charges",,
"NF-Aristada IM Susp ER 441MG/1.6ML","0259","RC","Both",,,"3180","1590","Pruitt Healthcare","Medicare Advantage",,,"54",,"1717.2","0.04","2502.48","percent of total billed charges",,
"NF-Aristada IM Susp ER 441MG/1.6ML","0259","RC","Both",,,"3180","1590","Medicare",,,,"54",,"1723.56","0.04","2502.48","percent of total billed charges",,
"NF-Aristada IM Susp ER 441MG/1.6ML","0259","RC","Both",,,"3180","1590","Humana","Medicare Advantage",,,"54",,"1723.56","0.04","2502.48","percent of total billed charges",,
"NF-Aristada IM Susp ER 441MG/1.6ML","0259","RC","Both",,,"3180","1590","UHC","Medicare Advantage",,,"54",,"1723.56","0.04","2502.48","percent of total billed charges",,
"NF-Aristada IM Susp ER 441MG/1.6ML","0259","RC","Both",,,"3180","1590","Clover","Medicare Advantage",,,"54",,"1723.56","0.04","2502.48","percent of total billed charges",,
"NF-Aristada IM Susp ER 441MG/1.6ML","0259","RC","Both",,,"3180","1590","Wellcare","Medicare Advantage",,,"54",,"1723.56","0.04","2502.48","percent of total billed charges",,
"NF-Aristada IM Susp ER 441MG/1.6ML","0259","RC","Both",,,"3180","1590","Amerigroup","Medicaid Managed Care",,,"37",,"1163.88","0.04","2502.48","percent of total billed charges",,
"NF-Aristada IM Susp ER 441MG/1.6ML","0259","RC","Both",,,"3180","1590","Caresource","Medicaid Managed Care",,,"40",,"1272","0.04","2502.48","percent of total billed charges",,
"NF-Aristada IM Susp ER 441MG/1.6ML","0259","RC","Both",,,"3180","1590","Wellcare","Medicaid Managed Care",,,"40",,"1287.9","0.04","2502.48","percent of total billed charges",,
"NF-Aristada IM Susp ER 441MG/1.6ML","0259","RC","Both",,,"3180","1590","Aetna","Commercial",,,"64",,"2028.84","0.04","2502.48","percent of total billed charges",,
"NF-Aristada IM Susp ER 441MG/1.6ML","0259","RC","Both",,,"3180","1590","Blue Cross Blue Shield","Pathways",,,"71",,"2245.08","0.04","2502.48","percent of total billed charges",,
"NF-Aristada IM Susp ER 441MG/1.6ML","0259","RC","Both",,,"3180","1590","Blue Cross Blue Shield","HMO",,,"71",,"2245.08","0.04","2502.48","percent of total billed charges",,
"NF-Aristada IM Susp ER 441MG/1.6ML","0259","RC","Both",,,"3180","1590","Blue Cross Blue Shield","PPO",,,"71",,"2245.08","0.04","2502.48","percent of total billed charges",,
"NF-Aristada IM Susp ER 441MG/1.6ML","0259","RC","Both",,,"3180","1590","Ambetter","Health Exchange",,,"62",,"1971.6","0.04","2502.48","percent of total billed charges",,
"NF-Aristada IM Susp ER 441MG/1.6ML","0259","RC","Both",,,"3180","1590","Caresource","Health Exchange",,,"62",,"1971.6","0.04","2502.48","percent of total billed charges",,
"NF-Aristada IM Susp ER 441MG/1.6ML","0259","RC","Both",,,"3180","1590","Cigna","Commercial",,,"59",,"1863.48","0.04","2502.48","percent of total billed charges",,
"NF-Aristada IM Susp ER 441MG/1.6ML","0259","RC","Both",,,"3180","1590","Humana","Commercial",,,"78",,"2464.5","0.04","2502.48","percent of total billed charges",,
"NF-Aristada IM Susp ER 441MG/1.6ML","0259","RC","Both",,,"3180","1590","UHC","Commercial",,,"75",,"2397.72","0.04","2502.48","percent of total billed charges",,
"NF-Aristada IM Susp ER 441MG/1.6ML","0259","RC","Both",,,"3180","1590","Medicaid",,,,"37",,"1163.88","0.04","2502.48","percent of total billed charges",,
"NF-Glucosamine & Chondr Cap 500MG-400MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Glucosamine & Chondr Cap 500MG-400MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Glucosamine & Chondr Cap 500MG-400MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Glucosamine & Chondr Cap 500MG-400MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Glucosamine & Chondr Cap 500MG-400MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Glucosamine & Chondr Cap 500MG-400MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Glucosamine & Chondr Cap 500MG-400MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Glucosamine & Chondr Cap 500MG-400MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Glucosamine & Chondr Cap 500MG-400MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Glucosamine & Chondr Cap 500MG-400MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Glucosamine & Chondr Cap 500MG-400MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Glucosamine & Chondr Cap 500MG-400MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Glucosamine & Chondr Cap 500MG-400MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Glucosamine & Chondr Cap 500MG-400MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Glucosamine & Chondr Cap 500MG-400MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Glucosamine & Chondr Cap 500MG-400MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Glucosamine & Chondr Cap 500MG-400MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Glucosamine & Chondr Cap 500MG-400MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Glucosamine & Chondr Cap 500MG-400MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Glucosamine & Chondr Cap 500MG-400MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","0259","RC","Both",,,"57","28.5","Alliant","Health Exchange",,,"62",,"35.34","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","0259","RC","Both",,,"57","28.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"30.78","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","0259","RC","Both",,,"57","28.5","Medicare",,,,"54",,"30.89","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","0259","RC","Both",,,"57","28.5","Humana","Medicare Advantage",,,"54",,"30.89","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","0259","RC","Both",,,"57","28.5","UHC","Medicare Advantage",,,"54",,"30.89","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","0259","RC","Both",,,"57","28.5","Clover","Medicare Advantage",,,"54",,"30.89","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","0259","RC","Both",,,"57","28.5","Wellcare","Medicare Advantage",,,"54",,"30.89","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","0259","RC","Both",,,"57","28.5","Amerigroup","Medicaid Managed Care",,,"37",,"20.86","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","0259","RC","Both",,,"57","28.5","Caresource","Medicaid Managed Care",,,"40",,"22.8","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","0259","RC","Both",,,"57","28.5","Wellcare","Medicaid Managed Care",,,"40",,"23.08","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","0259","RC","Both",,,"57","28.5","Aetna","Commercial",,,"64",,"36.37","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","0259","RC","Both",,,"57","28.5","Blue Cross Blue Shield","Pathways",,,"71",,"40.24","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","0259","RC","Both",,,"57","28.5","Blue Cross Blue Shield","HMO",,,"71",,"40.24","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","0259","RC","Both",,,"57","28.5","Blue Cross Blue Shield","PPO",,,"71",,"40.24","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","0259","RC","Both",,,"57","28.5","Ambetter","Health Exchange",,,"62",,"35.34","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","0259","RC","Both",,,"57","28.5","Caresource","Health Exchange",,,"62",,"35.34","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","0259","RC","Both",,,"57","28.5","Cigna","Commercial",,,"59",,"33.4","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","0259","RC","Both",,,"57","28.5","Humana","Commercial",,,"78",,"44.18","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","0259","RC","Both",,,"57","28.5","UHC","Commercial",,,"75",,"42.98","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","0259","RC","Both",,,"57","28.5","Medicaid",,,,"37",,"20.86","0.04","2502.48","percent of total billed charges",,
"DOXEPIN (SINEQUAN) 25 MG CAPSULES","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"DOXEPIN (SINEQUAN) 25 MG CAPSULES","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"DOXEPIN (SINEQUAN) 25 MG CAPSULES","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"DOXEPIN (SINEQUAN) 25 MG CAPSULES","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"DOXEPIN (SINEQUAN) 25 MG CAPSULES","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"DOXEPIN (SINEQUAN) 25 MG CAPSULES","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"DOXEPIN (SINEQUAN) 25 MG CAPSULES","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"DOXEPIN (SINEQUAN) 25 MG CAPSULES","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"DOXEPIN (SINEQUAN) 25 MG CAPSULES","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"DOXEPIN (SINEQUAN) 25 MG CAPSULES","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"DOXEPIN (SINEQUAN) 25 MG CAPSULES","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"DOXEPIN (SINEQUAN) 25 MG CAPSULES","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"DOXEPIN (SINEQUAN) 25 MG CAPSULES","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"DOXEPIN (SINEQUAN) 25 MG CAPSULES","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"DOXEPIN (SINEQUAN) 25 MG CAPSULES","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"DOXEPIN (SINEQUAN) 25 MG CAPSULES","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"DOXEPIN (SINEQUAN) 25 MG CAPSULES","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"DOXEPIN (SINEQUAN) 25 MG CAPSULES","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"DOXEPIN (SINEQUAN) 25 MG CAPSULES","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"DOXEPIN (SINEQUAN) 25 MG CAPSULES","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"HYDRALAZINE (APRESOLINE) 100 MG TABLETS","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"HYDRALAZINE (APRESOLINE) 100 MG TABLETS","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"HYDRALAZINE (APRESOLINE) 100 MG TABLETS","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDRALAZINE (APRESOLINE) 100 MG TABLETS","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDRALAZINE (APRESOLINE) 100 MG TABLETS","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDRALAZINE (APRESOLINE) 100 MG TABLETS","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDRALAZINE (APRESOLINE) 100 MG TABLETS","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDRALAZINE (APRESOLINE) 100 MG TABLETS","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"HYDRALAZINE (APRESOLINE) 100 MG TABLETS","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"HYDRALAZINE (APRESOLINE) 100 MG TABLETS","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"HYDRALAZINE (APRESOLINE) 100 MG TABLETS","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"HYDRALAZINE (APRESOLINE) 100 MG TABLETS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"HYDRALAZINE (APRESOLINE) 100 MG TABLETS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"HYDRALAZINE (APRESOLINE) 100 MG TABLETS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"HYDRALAZINE (APRESOLINE) 100 MG TABLETS","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"HYDRALAZINE (APRESOLINE) 100 MG TABLETS","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"HYDRALAZINE (APRESOLINE) 100 MG TABLETS","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"HYDRALAZINE (APRESOLINE) 100 MG TABLETS","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"HYDRALAZINE (APRESOLINE) 100 MG TABLETS","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"HYDRALAZINE (APRESOLINE) 100 MG TABLETS","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"PERMETHRIN 5% CREAM","0637","RC","Both",,,"55","27.5","Alliant","Health Exchange",,,"62",,"34.1","0.15","5264.58","percent of total billed charges",,
"PERMETHRIN 5% CREAM","0637","RC","Both",,,"55","27.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"29.7","0.15","5264.58","percent of total billed charges",,
"PERMETHRIN 5% CREAM","0637","RC","Both",,,"55","27.5","Medicare",,,,"54",,"29.81","0.15","5264.58","percent of total billed charges",,
"PERMETHRIN 5% CREAM","0637","RC","Both",,,"55","27.5","Humana","Medicare Advantage",,,"54",,"29.81","0.15","5264.58","percent of total billed charges",,
"PERMETHRIN 5% CREAM","0637","RC","Both",,,"55","27.5","UHC","Medicare Advantage",,,"54",,"29.81","0.15","5264.58","percent of total billed charges",,
"PERMETHRIN 5% CREAM","0637","RC","Both",,,"55","27.5","Clover","Medicare Advantage",,,"54",,"29.81","0.15","5264.58","percent of total billed charges",,
"PERMETHRIN 5% CREAM","0637","RC","Both",,,"55","27.5","Wellcare","Medicare Advantage",,,"54",,"29.81","0.15","5264.58","percent of total billed charges",,
"PERMETHRIN 5% CREAM","0637","RC","Both",,,"55","27.5","Amerigroup","Medicaid Managed Care",,,"37",,"20.13","0.15","5264.58","percent of total billed charges",,
"PERMETHRIN 5% CREAM","0637","RC","Both",,,"55","27.5","Caresource","Medicaid Managed Care",,,"40",,"22","0.15","5264.58","percent of total billed charges",,
"PERMETHRIN 5% CREAM","0637","RC","Both",,,"55","27.5","Wellcare","Medicaid Managed Care",,,"40",,"22.28","0.15","5264.58","percent of total billed charges",,
"PERMETHRIN 5% CREAM","0637","RC","Both",,,"55","27.5","Aetna","Commercial",,,"64",,"35.09","0.15","5264.58","percent of total billed charges",,
"PERMETHRIN 5% CREAM","0637","RC","Both",,,"55","27.5","Blue Cross Blue Shield","Pathways",,,"71",,"38.83","0.15","5264.58","percent of total billed charges",,
"PERMETHRIN 5% CREAM","0637","RC","Both",,,"55","27.5","Blue Cross Blue Shield","HMO",,,"71",,"38.83","0.15","5264.58","percent of total billed charges",,
"PERMETHRIN 5% CREAM","0637","RC","Both",,,"55","27.5","Blue Cross Blue Shield","PPO",,,"71",,"38.83","0.15","5264.58","percent of total billed charges",,
"PERMETHRIN 5% CREAM","0637","RC","Both",,,"55","27.5","Ambetter","Health Exchange",,,"62",,"34.1","0.15","5264.58","percent of total billed charges",,
"PERMETHRIN 5% CREAM","0637","RC","Both",,,"55","27.5","Caresource","Health Exchange",,,"62",,"34.1","0.15","5264.58","percent of total billed charges",,
"PERMETHRIN 5% CREAM","0637","RC","Both",,,"55","27.5","Cigna","Commercial",,,"59",,"32.23","0.15","5264.58","percent of total billed charges",,
"PERMETHRIN 5% CREAM","0637","RC","Both",,,"55","27.5","Humana","Commercial",,,"78",,"42.62","0.15","5264.58","percent of total billed charges",,
"PERMETHRIN 5% CREAM","0637","RC","Both",,,"55","27.5","UHC","Commercial",,,"75",,"41.47","0.15","5264.58","percent of total billed charges",,
"PERMETHRIN 5% CREAM","0637","RC","Both",,,"55","27.5","Medicaid",,,,"37",,"20.13","0.15","5264.58","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 60MG","0259","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 60MG","0259","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 60MG","0259","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 60MG","0259","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 60MG","0259","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 60MG","0259","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 60MG","0259","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 60MG","0259","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 60MG","0259","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 60MG","0259","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 60MG","0259","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 60MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 60MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 60MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 60MG","0259","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 60MG","0259","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 60MG","0259","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 60MG","0259","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 60MG","0259","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 60MG","0259","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.04","2502.48","percent of total billed charges",,
"NF-Arimidex Oral Tablet 1MG","0259","RC","Both",,,"195","97.5","Alliant","Health Exchange",,,"62",,"120.9","0.04","2502.48","percent of total billed charges",,
"NF-Arimidex Oral Tablet 1MG","0259","RC","Both",,,"195","97.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"105.3","0.04","2502.48","percent of total billed charges",,
"NF-Arimidex Oral Tablet 1MG","0259","RC","Both",,,"195","97.5","Medicare",,,,"54",,"105.69","0.04","2502.48","percent of total billed charges",,
"NF-Arimidex Oral Tablet 1MG","0259","RC","Both",,,"195","97.5","Humana","Medicare Advantage",,,"54",,"105.69","0.04","2502.48","percent of total billed charges",,
"NF-Arimidex Oral Tablet 1MG","0259","RC","Both",,,"195","97.5","UHC","Medicare Advantage",,,"54",,"105.69","0.04","2502.48","percent of total billed charges",,
"NF-Arimidex Oral Tablet 1MG","0259","RC","Both",,,"195","97.5","Clover","Medicare Advantage",,,"54",,"105.69","0.04","2502.48","percent of total billed charges",,
"NF-Arimidex Oral Tablet 1MG","0259","RC","Both",,,"195","97.5","Wellcare","Medicare Advantage",,,"54",,"105.69","0.04","2502.48","percent of total billed charges",,
"NF-Arimidex Oral Tablet 1MG","0259","RC","Both",,,"195","97.5","Amerigroup","Medicaid Managed Care",,,"37",,"71.37","0.04","2502.48","percent of total billed charges",,
"NF-Arimidex Oral Tablet 1MG","0259","RC","Both",,,"195","97.5","Caresource","Medicaid Managed Care",,,"40",,"78","0.04","2502.48","percent of total billed charges",,
"NF-Arimidex Oral Tablet 1MG","0259","RC","Both",,,"195","97.5","Wellcare","Medicaid Managed Care",,,"40",,"78.98","0.04","2502.48","percent of total billed charges",,
"NF-Arimidex Oral Tablet 1MG","0259","RC","Both",,,"195","97.5","Aetna","Commercial",,,"64",,"124.41","0.04","2502.48","percent of total billed charges",,
"NF-Arimidex Oral Tablet 1MG","0259","RC","Both",,,"195","97.5","Blue Cross Blue Shield","Pathways",,,"71",,"137.67","0.04","2502.48","percent of total billed charges",,
"NF-Arimidex Oral Tablet 1MG","0259","RC","Both",,,"195","97.5","Blue Cross Blue Shield","HMO",,,"71",,"137.67","0.04","2502.48","percent of total billed charges",,
"NF-Arimidex Oral Tablet 1MG","0259","RC","Both",,,"195","97.5","Blue Cross Blue Shield","PPO",,,"71",,"137.67","0.04","2502.48","percent of total billed charges",,
"NF-Arimidex Oral Tablet 1MG","0259","RC","Both",,,"195","97.5","Ambetter","Health Exchange",,,"62",,"120.9","0.04","2502.48","percent of total billed charges",,
"NF-Arimidex Oral Tablet 1MG","0259","RC","Both",,,"195","97.5","Caresource","Health Exchange",,,"62",,"120.9","0.04","2502.48","percent of total billed charges",,
"NF-Arimidex Oral Tablet 1MG","0259","RC","Both",,,"195","97.5","Cigna","Commercial",,,"59",,"114.27","0.04","2502.48","percent of total billed charges",,
"NF-Arimidex Oral Tablet 1MG","0259","RC","Both",,,"195","97.5","Humana","Commercial",,,"78",,"151.12","0.04","2502.48","percent of total billed charges",,
"NF-Arimidex Oral Tablet 1MG","0259","RC","Both",,,"195","97.5","UHC","Commercial",,,"75",,"147.03","0.04","2502.48","percent of total billed charges",,
"NF-Arimidex Oral Tablet 1MG","0259","RC","Both",,,"195","97.5","Medicaid",,,,"37",,"71.37","0.04","2502.48","percent of total billed charges",,
"NF-Ferrous Sulfate Oral Solution 15MG/1M","0259","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Ferrous Sulfate Oral Solution 15MG/1M","0259","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.04","2502.48","percent of total billed charges",,
"NF-Ferrous Sulfate Oral Solution 15MG/1M","0259","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Ferrous Sulfate Oral Solution 15MG/1M","0259","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Ferrous Sulfate Oral Solution 15MG/1M","0259","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Ferrous Sulfate Oral Solution 15MG/1M","0259","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Ferrous Sulfate Oral Solution 15MG/1M","0259","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Ferrous Sulfate Oral Solution 15MG/1M","0259","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-Ferrous Sulfate Oral Solution 15MG/1M","0259","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.04","2502.48","percent of total billed charges",,
"NF-Ferrous Sulfate Oral Solution 15MG/1M","0259","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Ferrous Sulfate Oral Solution 15MG/1M","0259","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.04","2502.48","percent of total billed charges",,
"NF-Ferrous Sulfate Oral Solution 15MG/1M","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Ferrous Sulfate Oral Solution 15MG/1M","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Ferrous Sulfate Oral Solution 15MG/1M","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Ferrous Sulfate Oral Solution 15MG/1M","0259","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Ferrous Sulfate Oral Solution 15MG/1M","0259","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Ferrous Sulfate Oral Solution 15MG/1M","0259","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.04","2502.48","percent of total billed charges",,
"NF-Ferrous Sulfate Oral Solution 15MG/1M","0259","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Ferrous Sulfate Oral Solution 15MG/1M","0259","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.04","2502.48","percent of total billed charges",,
"NF-Ferrous Sulfate Oral Solution 15MG/1M","0259","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Alliant","Health Exchange",,,"62",,"19.22","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.74","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Medicare",,,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Humana","Medicare Advantage",,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","UHC","Medicare Advantage",,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Clover","Medicare Advantage",,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Wellcare","Medicare Advantage",,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care",,,"37",,"11.35","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Caresource","Medicaid Managed Care",,,"40",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Wellcare","Medicaid Managed Care",,,"40",,"12.56","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Aetna","Commercial",,,"64",,"19.78","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways",,,"71",,"21.89","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Blue Cross Blue Shield","HMO",,,"71",,"21.89","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Blue Cross Blue Shield","PPO",,,"71",,"21.89","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Ambetter","Health Exchange",,,"62",,"19.22","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Caresource","Health Exchange",,,"62",,"19.22","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Cigna","Commercial",,,"59",,"18.17","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Humana","Commercial",,,"78",,"24.02","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","UHC","Commercial",,,"75",,"23.37","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Medicaid",,,,"37",,"11.35","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Alliant","Health Exchange",,,"62",,"19.22","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.74","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Medicare",,,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Humana","Medicare Advantage",,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","UHC","Medicare Advantage",,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Clover","Medicare Advantage",,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Wellcare","Medicare Advantage",,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care",,,"37",,"11.35","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Caresource","Medicaid Managed Care",,,"40",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Wellcare","Medicaid Managed Care",,,"40",,"12.56","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Aetna","Commercial",,,"64",,"19.78","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways",,,"71",,"21.89","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Blue Cross Blue Shield","HMO",,,"71",,"21.89","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Blue Cross Blue Shield","PPO",,,"71",,"21.89","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Ambetter","Health Exchange",,,"62",,"19.22","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Caresource","Health Exchange",,,"62",,"19.22","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Cigna","Commercial",,,"59",,"18.17","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Humana","Commercial",,,"78",,"24.02","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","UHC","Commercial",,,"75",,"23.37","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Medicaid",,,,"37",,"11.35","0.04","2502.48","percent of total billed charges",,
"NF-DILTIAZEM CD 24 HR CAP 240MG","0259","RC","Both",,,"9.96","4.98","Alliant","Health Exchange",,,"62",,"6.18","0.04","2502.48","percent of total billed charges",,
"NF-DILTIAZEM CD 24 HR CAP 240MG","0259","RC","Both",,,"9.96","4.98","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.38","0.04","2502.48","percent of total billed charges",,
"NF-DILTIAZEM CD 24 HR CAP 240MG","0259","RC","Both",,,"9.96","4.98","Medicare",,,,"54",,"5.4","0.04","2502.48","percent of total billed charges",,
"NF-DILTIAZEM CD 24 HR CAP 240MG","0259","RC","Both",,,"9.96","4.98","Humana","Medicare Advantage",,,"54",,"5.4","0.04","2502.48","percent of total billed charges",,
"NF-DILTIAZEM CD 24 HR CAP 240MG","0259","RC","Both",,,"9.96","4.98","UHC","Medicare Advantage",,,"54",,"5.4","0.04","2502.48","percent of total billed charges",,
"NF-DILTIAZEM CD 24 HR CAP 240MG","0259","RC","Both",,,"9.96","4.98","Clover","Medicare Advantage",,,"54",,"5.4","0.04","2502.48","percent of total billed charges",,
"NF-DILTIAZEM CD 24 HR CAP 240MG","0259","RC","Both",,,"9.96","4.98","Wellcare","Medicare Advantage",,,"54",,"5.4","0.04","2502.48","percent of total billed charges",,
"NF-DILTIAZEM CD 24 HR CAP 240MG","0259","RC","Both",,,"9.96","4.98","Amerigroup","Medicaid Managed Care",,,"37",,"3.65","0.04","2502.48","percent of total billed charges",,
"NF-DILTIAZEM CD 24 HR CAP 240MG","0259","RC","Both",,,"9.96","4.98","Caresource","Medicaid Managed Care",,,"40",,"3.98","0.04","2502.48","percent of total billed charges",,
"NF-DILTIAZEM CD 24 HR CAP 240MG","0259","RC","Both",,,"9.96","4.98","Wellcare","Medicaid Managed Care",,,"40",,"4.03","0.04","2502.48","percent of total billed charges",,
"NF-DILTIAZEM CD 24 HR CAP 240MG","0259","RC","Both",,,"9.96","4.98","Aetna","Commercial",,,"64",,"6.35","0.04","2502.48","percent of total billed charges",,
"NF-DILTIAZEM CD 24 HR CAP 240MG","0259","RC","Both",,,"9.96","4.98","Blue Cross Blue Shield","Pathways",,,"71",,"7.03","0.04","2502.48","percent of total billed charges",,
"NF-DILTIAZEM CD 24 HR CAP 240MG","0259","RC","Both",,,"9.96","4.98","Blue Cross Blue Shield","HMO",,,"71",,"7.03","0.04","2502.48","percent of total billed charges",,
"NF-DILTIAZEM CD 24 HR CAP 240MG","0259","RC","Both",,,"9.96","4.98","Blue Cross Blue Shield","PPO",,,"71",,"7.03","0.04","2502.48","percent of total billed charges",,
"NF-DILTIAZEM CD 24 HR CAP 240MG","0259","RC","Both",,,"9.96","4.98","Ambetter","Health Exchange",,,"62",,"6.18","0.04","2502.48","percent of total billed charges",,
"NF-DILTIAZEM CD 24 HR CAP 240MG","0259","RC","Both",,,"9.96","4.98","Caresource","Health Exchange",,,"62",,"6.18","0.04","2502.48","percent of total billed charges",,
"NF-DILTIAZEM CD 24 HR CAP 240MG","0259","RC","Both",,,"9.96","4.98","Cigna","Commercial",,,"59",,"5.84","0.04","2502.48","percent of total billed charges",,
"NF-DILTIAZEM CD 24 HR CAP 240MG","0259","RC","Both",,,"9.96","4.98","Humana","Commercial",,,"78",,"7.72","0.04","2502.48","percent of total billed charges",,
"NF-DILTIAZEM CD 24 HR CAP 240MG","0259","RC","Both",,,"9.96","4.98","UHC","Commercial",,,"75",,"7.51","0.04","2502.48","percent of total billed charges",,
"NF-DILTIAZEM CD 24 HR CAP 240MG","0259","RC","Both",,,"9.96","4.98","Medicaid",,,,"37",,"3.65","0.04","2502.48","percent of total billed charges",,
"Nitrofurantoin (Macrodantin) 50 mg Caps","0637","RC","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"Nitrofurantoin (Macrodantin) 50 mg Caps","0637","RC","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","0.15","5264.58","percent of total billed charges",,
"Nitrofurantoin (Macrodantin) 50 mg Caps","0637","RC","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"Nitrofurantoin (Macrodantin) 50 mg Caps","0637","RC","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"Nitrofurantoin (Macrodantin) 50 mg Caps","0637","RC","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"Nitrofurantoin (Macrodantin) 50 mg Caps","0637","RC","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"Nitrofurantoin (Macrodantin) 50 mg Caps","0637","RC","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"Nitrofurantoin (Macrodantin) 50 mg Caps","0637","RC","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"Nitrofurantoin (Macrodantin) 50 mg Caps","0637","RC","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","0.15","5264.58","percent of total billed charges",,
"Nitrofurantoin (Macrodantin) 50 mg Caps","0637","RC","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.15","5264.58","percent of total billed charges",,
"Nitrofurantoin (Macrodantin) 50 mg Caps","0637","RC","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","0.15","5264.58","percent of total billed charges",,
"Nitrofurantoin (Macrodantin) 50 mg Caps","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"Nitrofurantoin (Macrodantin) 50 mg Caps","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"Nitrofurantoin (Macrodantin) 50 mg Caps","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"Nitrofurantoin (Macrodantin) 50 mg Caps","0637","RC","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"Nitrofurantoin (Macrodantin) 50 mg Caps","0637","RC","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"Nitrofurantoin (Macrodantin) 50 mg Caps","0637","RC","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","0.15","5264.58","percent of total billed charges",,
"Nitrofurantoin (Macrodantin) 50 mg Caps","0637","RC","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","0.15","5264.58","percent of total billed charges",,
"Nitrofurantoin (Macrodantin) 50 mg Caps","0637","RC","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","0.15","5264.58","percent of total billed charges",,
"Nitrofurantoin (Macrodantin) 50 mg Caps","0637","RC","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","0259","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","0259","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","0259","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","0259","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","0259","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","0259","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","0259","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","0259","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","0259","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","0259","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","0259","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","0259","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","0259","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","0259","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","0259","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","0259","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","0259","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.04","2502.48","percent of total billed charges",,
"NF-FLUCONAZOLE ORAL TABLET 150MG","0259","RC","Both",,,"41.79","20.895","Alliant","Health Exchange",,,"62",,"25.91","0.04","2502.48","percent of total billed charges",,
"NF-FLUCONAZOLE ORAL TABLET 150MG","0259","RC","Both",,,"41.79","20.895","Pruitt Healthcare","Medicare Advantage",,,"54",,"22.57","0.04","2502.48","percent of total billed charges",,
"NF-FLUCONAZOLE ORAL TABLET 150MG","0259","RC","Both",,,"41.79","20.895","Medicare",,,,"54",,"22.65","0.04","2502.48","percent of total billed charges",,
"NF-FLUCONAZOLE ORAL TABLET 150MG","0259","RC","Both",,,"41.79","20.895","Humana","Medicare Advantage",,,"54",,"22.65","0.04","2502.48","percent of total billed charges",,
"NF-FLUCONAZOLE ORAL TABLET 150MG","0259","RC","Both",,,"41.79","20.895","UHC","Medicare Advantage",,,"54",,"22.65","0.04","2502.48","percent of total billed charges",,
"NF-FLUCONAZOLE ORAL TABLET 150MG","0259","RC","Both",,,"41.79","20.895","Clover","Medicare Advantage",,,"54",,"22.65","0.04","2502.48","percent of total billed charges",,
"NF-FLUCONAZOLE ORAL TABLET 150MG","0259","RC","Both",,,"41.79","20.895","Wellcare","Medicare Advantage",,,"54",,"22.65","0.04","2502.48","percent of total billed charges",,
"NF-FLUCONAZOLE ORAL TABLET 150MG","0259","RC","Both",,,"41.79","20.895","Amerigroup","Medicaid Managed Care",,,"37",,"15.3","0.04","2502.48","percent of total billed charges",,
"NF-FLUCONAZOLE ORAL TABLET 150MG","0259","RC","Both",,,"41.79","20.895","Caresource","Medicaid Managed Care",,,"40",,"16.72","0.04","2502.48","percent of total billed charges",,
"NF-FLUCONAZOLE ORAL TABLET 150MG","0259","RC","Both",,,"41.79","20.895","Wellcare","Medicaid Managed Care",,,"40",,"16.92","0.04","2502.48","percent of total billed charges",,
"NF-FLUCONAZOLE ORAL TABLET 150MG","0259","RC","Both",,,"41.79","20.895","Aetna","Commercial",,,"64",,"26.66","0.04","2502.48","percent of total billed charges",,
"NF-FLUCONAZOLE ORAL TABLET 150MG","0259","RC","Both",,,"41.79","20.895","Blue Cross Blue Shield","Pathways",,,"71",,"29.5","0.04","2502.48","percent of total billed charges",,
"NF-FLUCONAZOLE ORAL TABLET 150MG","0259","RC","Both",,,"41.79","20.895","Blue Cross Blue Shield","HMO",,,"71",,"29.5","0.04","2502.48","percent of total billed charges",,
"NF-FLUCONAZOLE ORAL TABLET 150MG","0259","RC","Both",,,"41.79","20.895","Blue Cross Blue Shield","PPO",,,"71",,"29.5","0.04","2502.48","percent of total billed charges",,
"NF-FLUCONAZOLE ORAL TABLET 150MG","0259","RC","Both",,,"41.79","20.895","Ambetter","Health Exchange",,,"62",,"25.91","0.04","2502.48","percent of total billed charges",,
"NF-FLUCONAZOLE ORAL TABLET 150MG","0259","RC","Both",,,"41.79","20.895","Caresource","Health Exchange",,,"62",,"25.91","0.04","2502.48","percent of total billed charges",,
"NF-FLUCONAZOLE ORAL TABLET 150MG","0259","RC","Both",,,"41.79","20.895","Cigna","Commercial",,,"59",,"24.49","0.04","2502.48","percent of total billed charges",,
"NF-FLUCONAZOLE ORAL TABLET 150MG","0259","RC","Both",,,"41.79","20.895","Humana","Commercial",,,"78",,"32.39","0.04","2502.48","percent of total billed charges",,
"NF-FLUCONAZOLE ORAL TABLET 150MG","0259","RC","Both",,,"41.79","20.895","UHC","Commercial",,,"75",,"31.51","0.04","2502.48","percent of total billed charges",,
"NF-FLUCONAZOLE ORAL TABLET 150MG","0259","RC","Both",,,"41.79","20.895","Medicaid",,,,"37",,"15.3","0.04","2502.48","percent of total billed charges",,
"NF-FLUCONAZOLE ORAL TABLET 200MG","0259","RC","Both",,,"44.37","22.185","Alliant","Health Exchange",,,"62",,"27.51","0.04","2502.48","percent of total billed charges",,
"NF-FLUCONAZOLE ORAL TABLET 200MG","0259","RC","Both",,,"44.37","22.185","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.96","0.04","2502.48","percent of total billed charges",,
"NF-FLUCONAZOLE ORAL TABLET 200MG","0259","RC","Both",,,"44.37","22.185","Medicare",,,,"54",,"24.05","0.04","2502.48","percent of total billed charges",,
"NF-FLUCONAZOLE ORAL TABLET 200MG","0259","RC","Both",,,"44.37","22.185","Humana","Medicare Advantage",,,"54",,"24.05","0.04","2502.48","percent of total billed charges",,
"NF-FLUCONAZOLE ORAL TABLET 200MG","0259","RC","Both",,,"44.37","22.185","UHC","Medicare Advantage",,,"54",,"24.05","0.04","2502.48","percent of total billed charges",,
"NF-FLUCONAZOLE ORAL TABLET 200MG","0259","RC","Both",,,"44.37","22.185","Clover","Medicare Advantage",,,"54",,"24.05","0.04","2502.48","percent of total billed charges",,
"NF-FLUCONAZOLE ORAL TABLET 200MG","0259","RC","Both",,,"44.37","22.185","Wellcare","Medicare Advantage",,,"54",,"24.05","0.04","2502.48","percent of total billed charges",,
"NF-FLUCONAZOLE ORAL TABLET 200MG","0259","RC","Both",,,"44.37","22.185","Amerigroup","Medicaid Managed Care",,,"37",,"16.24","0.04","2502.48","percent of total billed charges",,
"NF-FLUCONAZOLE ORAL TABLET 200MG","0259","RC","Both",,,"44.37","22.185","Caresource","Medicaid Managed Care",,,"40",,"17.75","0.04","2502.48","percent of total billed charges",,
"NF-FLUCONAZOLE ORAL TABLET 200MG","0259","RC","Both",,,"44.37","22.185","Wellcare","Medicaid Managed Care",,,"40",,"17.97","0.04","2502.48","percent of total billed charges",,
"NF-FLUCONAZOLE ORAL TABLET 200MG","0259","RC","Both",,,"44.37","22.185","Aetna","Commercial",,,"64",,"28.31","0.04","2502.48","percent of total billed charges",,
"NF-FLUCONAZOLE ORAL TABLET 200MG","0259","RC","Both",,,"44.37","22.185","Blue Cross Blue Shield","Pathways",,,"71",,"31.33","0.04","2502.48","percent of total billed charges",,
"NF-FLUCONAZOLE ORAL TABLET 200MG","0259","RC","Both",,,"44.37","22.185","Blue Cross Blue Shield","HMO",,,"71",,"31.33","0.04","2502.48","percent of total billed charges",,
"NF-FLUCONAZOLE ORAL TABLET 200MG","0259","RC","Both",,,"44.37","22.185","Blue Cross Blue Shield","PPO",,,"71",,"31.33","0.04","2502.48","percent of total billed charges",,
"NF-FLUCONAZOLE ORAL TABLET 200MG","0259","RC","Both",,,"44.37","22.185","Ambetter","Health Exchange",,,"62",,"27.51","0.04","2502.48","percent of total billed charges",,
"NF-FLUCONAZOLE ORAL TABLET 200MG","0259","RC","Both",,,"44.37","22.185","Caresource","Health Exchange",,,"62",,"27.51","0.04","2502.48","percent of total billed charges",,
"NF-FLUCONAZOLE ORAL TABLET 200MG","0259","RC","Both",,,"44.37","22.185","Cigna","Commercial",,,"59",,"26","0.04","2502.48","percent of total billed charges",,
"NF-FLUCONAZOLE ORAL TABLET 200MG","0259","RC","Both",,,"44.37","22.185","Humana","Commercial",,,"78",,"34.39","0.04","2502.48","percent of total billed charges",,
"NF-FLUCONAZOLE ORAL TABLET 200MG","0259","RC","Both",,,"44.37","22.185","UHC","Commercial",,,"75",,"33.45","0.04","2502.48","percent of total billed charges",,
"NF-FLUCONAZOLE ORAL TABLET 200MG","0259","RC","Both",,,"44.37","22.185","Medicaid",,,,"37",,"16.24","0.04","2502.48","percent of total billed charges",,
"NF-DOXYCYCLINE HYCLATE AVPAK TAB 100MG","0259","RC","Both",,,"16.04","8.02","Alliant","Health Exchange",,,"62",,"9.94","0.04","2502.48","percent of total billed charges",,
"NF-DOXYCYCLINE HYCLATE AVPAK TAB 100MG","0259","RC","Both",,,"16.04","8.02","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.66","0.04","2502.48","percent of total billed charges",,
"NF-DOXYCYCLINE HYCLATE AVPAK TAB 100MG","0259","RC","Both",,,"16.04","8.02","Medicare",,,,"54",,"8.69","0.04","2502.48","percent of total billed charges",,
"NF-DOXYCYCLINE HYCLATE AVPAK TAB 100MG","0259","RC","Both",,,"16.04","8.02","Humana","Medicare Advantage",,,"54",,"8.69","0.04","2502.48","percent of total billed charges",,
"NF-DOXYCYCLINE HYCLATE AVPAK TAB 100MG","0259","RC","Both",,,"16.04","8.02","UHC","Medicare Advantage",,,"54",,"8.69","0.04","2502.48","percent of total billed charges",,
"NF-DOXYCYCLINE HYCLATE AVPAK TAB 100MG","0259","RC","Both",,,"16.04","8.02","Clover","Medicare Advantage",,,"54",,"8.69","0.04","2502.48","percent of total billed charges",,
"NF-DOXYCYCLINE HYCLATE AVPAK TAB 100MG","0259","RC","Both",,,"16.04","8.02","Wellcare","Medicare Advantage",,,"54",,"8.69","0.04","2502.48","percent of total billed charges",,
"NF-DOXYCYCLINE HYCLATE AVPAK TAB 100MG","0259","RC","Both",,,"16.04","8.02","Amerigroup","Medicaid Managed Care",,,"37",,"5.87","0.04","2502.48","percent of total billed charges",,
"NF-DOXYCYCLINE HYCLATE AVPAK TAB 100MG","0259","RC","Both",,,"16.04","8.02","Caresource","Medicaid Managed Care",,,"40",,"6.42","0.04","2502.48","percent of total billed charges",,
"NF-DOXYCYCLINE HYCLATE AVPAK TAB 100MG","0259","RC","Both",,,"16.04","8.02","Wellcare","Medicaid Managed Care",,,"40",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-DOXYCYCLINE HYCLATE AVPAK TAB 100MG","0259","RC","Both",,,"16.04","8.02","Aetna","Commercial",,,"64",,"10.23","0.04","2502.48","percent of total billed charges",,
"NF-DOXYCYCLINE HYCLATE AVPAK TAB 100MG","0259","RC","Both",,,"16.04","8.02","Blue Cross Blue Shield","Pathways",,,"71",,"11.32","0.04","2502.48","percent of total billed charges",,
"NF-DOXYCYCLINE HYCLATE AVPAK TAB 100MG","0259","RC","Both",,,"16.04","8.02","Blue Cross Blue Shield","HMO",,,"71",,"11.32","0.04","2502.48","percent of total billed charges",,
"NF-DOXYCYCLINE HYCLATE AVPAK TAB 100MG","0259","RC","Both",,,"16.04","8.02","Blue Cross Blue Shield","PPO",,,"71",,"11.32","0.04","2502.48","percent of total billed charges",,
"NF-DOXYCYCLINE HYCLATE AVPAK TAB 100MG","0259","RC","Both",,,"16.04","8.02","Ambetter","Health Exchange",,,"62",,"9.94","0.04","2502.48","percent of total billed charges",,
"NF-DOXYCYCLINE HYCLATE AVPAK TAB 100MG","0259","RC","Both",,,"16.04","8.02","Caresource","Health Exchange",,,"62",,"9.94","0.04","2502.48","percent of total billed charges",,
"NF-DOXYCYCLINE HYCLATE AVPAK TAB 100MG","0259","RC","Both",,,"16.04","8.02","Cigna","Commercial",,,"59",,"9.4","0.04","2502.48","percent of total billed charges",,
"NF-DOXYCYCLINE HYCLATE AVPAK TAB 100MG","0259","RC","Both",,,"16.04","8.02","Humana","Commercial",,,"78",,"12.43","0.04","2502.48","percent of total billed charges",,
"NF-DOXYCYCLINE HYCLATE AVPAK TAB 100MG","0259","RC","Both",,,"16.04","8.02","UHC","Commercial",,,"75",,"12.09","0.04","2502.48","percent of total billed charges",,
"NF-DOXYCYCLINE HYCLATE AVPAK TAB 100MG","0259","RC","Both",,,"16.04","8.02","Medicaid",,,,"37",,"5.87","0.04","2502.48","percent of total billed charges",,
"NF-BUPROPION HCL ORAL TABLET 100MG","0259","RC","Both",,,"2.59","1.295","Alliant","Health Exchange",,,"62",,"1.61","0.04","2502.48","percent of total billed charges",,
"NF-BUPROPION HCL ORAL TABLET 100MG","0259","RC","Both",,,"2.59","1.295","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.4","0.04","2502.48","percent of total billed charges",,
"NF-BUPROPION HCL ORAL TABLET 100MG","0259","RC","Both",,,"2.59","1.295","Medicare",,,,"54",,"1.4","0.04","2502.48","percent of total billed charges",,
"NF-BUPROPION HCL ORAL TABLET 100MG","0259","RC","Both",,,"2.59","1.295","Humana","Medicare Advantage",,,"54",,"1.4","0.04","2502.48","percent of total billed charges",,
"NF-BUPROPION HCL ORAL TABLET 100MG","0259","RC","Both",,,"2.59","1.295","UHC","Medicare Advantage",,,"54",,"1.4","0.04","2502.48","percent of total billed charges",,
"NF-BUPROPION HCL ORAL TABLET 100MG","0259","RC","Both",,,"2.59","1.295","Clover","Medicare Advantage",,,"54",,"1.4","0.04","2502.48","percent of total billed charges",,
"NF-BUPROPION HCL ORAL TABLET 100MG","0259","RC","Both",,,"2.59","1.295","Wellcare","Medicare Advantage",,,"54",,"1.4","0.04","2502.48","percent of total billed charges",,
"NF-BUPROPION HCL ORAL TABLET 100MG","0259","RC","Both",,,"2.59","1.295","Amerigroup","Medicaid Managed Care",,,"37",,"0.95","0.04","2502.48","percent of total billed charges",,
"NF-BUPROPION HCL ORAL TABLET 100MG","0259","RC","Both",,,"2.59","1.295","Caresource","Medicaid Managed Care",,,"40",,"1.04","0.04","2502.48","percent of total billed charges",,
"NF-BUPROPION HCL ORAL TABLET 100MG","0259","RC","Both",,,"2.59","1.295","Wellcare","Medicaid Managed Care",,,"40",,"1.05","0.04","2502.48","percent of total billed charges",,
"NF-BUPROPION HCL ORAL TABLET 100MG","0259","RC","Both",,,"2.59","1.295","Aetna","Commercial",,,"64",,"1.65","0.04","2502.48","percent of total billed charges",,
"NF-BUPROPION HCL ORAL TABLET 100MG","0259","RC","Both",,,"2.59","1.295","Blue Cross Blue Shield","Pathways",,,"71",,"1.83","0.04","2502.48","percent of total billed charges",,
"NF-BUPROPION HCL ORAL TABLET 100MG","0259","RC","Both",,,"2.59","1.295","Blue Cross Blue Shield","HMO",,,"71",,"1.83","0.04","2502.48","percent of total billed charges",,
"NF-BUPROPION HCL ORAL TABLET 100MG","0259","RC","Both",,,"2.59","1.295","Blue Cross Blue Shield","PPO",,,"71",,"1.83","0.04","2502.48","percent of total billed charges",,
"NF-BUPROPION HCL ORAL TABLET 100MG","0259","RC","Both",,,"2.59","1.295","Ambetter","Health Exchange",,,"62",,"1.61","0.04","2502.48","percent of total billed charges",,
"NF-BUPROPION HCL ORAL TABLET 100MG","0259","RC","Both",,,"2.59","1.295","Caresource","Health Exchange",,,"62",,"1.61","0.04","2502.48","percent of total billed charges",,
"NF-BUPROPION HCL ORAL TABLET 100MG","0259","RC","Both",,,"2.59","1.295","Cigna","Commercial",,,"59",,"1.52","0.04","2502.48","percent of total billed charges",,
"NF-BUPROPION HCL ORAL TABLET 100MG","0259","RC","Both",,,"2.59","1.295","Humana","Commercial",,,"78",,"2.01","0.04","2502.48","percent of total billed charges",,
"NF-BUPROPION HCL ORAL TABLET 100MG","0259","RC","Both",,,"2.59","1.295","UHC","Commercial",,,"75",,"1.95","0.04","2502.48","percent of total billed charges",,
"NF-BUPROPION HCL ORAL TABLET 100MG","0259","RC","Both",,,"2.59","1.295","Medicaid",,,,"37",,"0.95","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN ER ORAL TAB ER 650MG","0259","RC","Both",,,"0.2","0.1","Alliant","Health Exchange",,,"62",,"0.12","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN ER ORAL TAB ER 650MG","0259","RC","Both",,,"0.2","0.1","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.11","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN ER ORAL TAB ER 650MG","0259","RC","Both",,,"0.2","0.1","Medicare",,,,"54",,"0.11","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN ER ORAL TAB ER 650MG","0259","RC","Both",,,"0.2","0.1","Humana","Medicare Advantage",,,"54",,"0.11","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN ER ORAL TAB ER 650MG","0259","RC","Both",,,"0.2","0.1","UHC","Medicare Advantage",,,"54",,"0.11","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN ER ORAL TAB ER 650MG","0259","RC","Both",,,"0.2","0.1","Clover","Medicare Advantage",,,"54",,"0.11","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN ER ORAL TAB ER 650MG","0259","RC","Both",,,"0.2","0.1","Wellcare","Medicare Advantage",,,"54",,"0.11","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN ER ORAL TAB ER 650MG","0259","RC","Both",,,"0.2","0.1","Amerigroup","Medicaid Managed Care",,,"37",,"0.07","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN ER ORAL TAB ER 650MG","0259","RC","Both",,,"0.2","0.1","Caresource","Medicaid Managed Care",,,"40",,"0.08","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN ER ORAL TAB ER 650MG","0259","RC","Both",,,"0.2","0.1","Wellcare","Medicaid Managed Care",,,"40",,"0.08","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN ER ORAL TAB ER 650MG","0259","RC","Both",,,"0.2","0.1","Aetna","Commercial",,,"64",,"0.13","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN ER ORAL TAB ER 650MG","0259","RC","Both",,,"0.2","0.1","Blue Cross Blue Shield","Pathways",,,"71",,"0.14","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN ER ORAL TAB ER 650MG","0259","RC","Both",,,"0.2","0.1","Blue Cross Blue Shield","HMO",,,"71",,"0.14","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN ER ORAL TAB ER 650MG","0259","RC","Both",,,"0.2","0.1","Blue Cross Blue Shield","PPO",,,"71",,"0.14","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN ER ORAL TAB ER 650MG","0259","RC","Both",,,"0.2","0.1","Ambetter","Health Exchange",,,"62",,"0.12","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN ER ORAL TAB ER 650MG","0259","RC","Both",,,"0.2","0.1","Caresource","Health Exchange",,,"62",,"0.12","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN ER ORAL TAB ER 650MG","0259","RC","Both",,,"0.2","0.1","Cigna","Commercial",,,"59",,"0.12","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN ER ORAL TAB ER 650MG","0259","RC","Both",,,"0.2","0.1","Humana","Commercial",,,"78",,"0.16","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN ER ORAL TAB ER 650MG","0259","RC","Both",,,"0.2","0.1","UHC","Commercial",,,"75",,"0.15","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN ER ORAL TAB ER 650MG","0259","RC","Both",,,"0.2","0.1","Medicaid",,,,"37",,"0.07","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Alliant","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.98","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Medicare",,,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Humana","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","UHC","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Clover","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Wellcare","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Amerigroup","Medicaid Managed Care",,,"37",,"13.54","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Caresource","Medicaid Managed Care",,,"40",,"14.8","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Wellcare","Medicaid Managed Care",,,"40",,"14.99","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Aetna","Commercial",,,"64",,"23.61","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","Pathways",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","HMO",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","PPO",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Ambetter","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Caresource","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Cigna","Commercial",,,"59",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Humana","Commercial",,,"78",,"28.68","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","UHC","Commercial",,,"75",,"27.9","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Medicaid",,,,"37",,"13.54","0.04","2502.48","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolate Mofetil Oral Tablet 500","0259","RC","Both",,,"23","11.5","Alliant","Health Exchange",,,"62",,"14.26","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolate Mofetil Oral Tablet 500","0259","RC","Both",,,"23","11.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.42","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolate Mofetil Oral Tablet 500","0259","RC","Both",,,"23","11.5","Medicare",,,,"54",,"12.47","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolate Mofetil Oral Tablet 500","0259","RC","Both",,,"23","11.5","Humana","Medicare Advantage",,,"54",,"12.47","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolate Mofetil Oral Tablet 500","0259","RC","Both",,,"23","11.5","UHC","Medicare Advantage",,,"54",,"12.47","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolate Mofetil Oral Tablet 500","0259","RC","Both",,,"23","11.5","Clover","Medicare Advantage",,,"54",,"12.47","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolate Mofetil Oral Tablet 500","0259","RC","Both",,,"23","11.5","Wellcare","Medicare Advantage",,,"54",,"12.47","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolate Mofetil Oral Tablet 500","0259","RC","Both",,,"23","11.5","Amerigroup","Medicaid Managed Care",,,"37",,"8.42","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolate Mofetil Oral Tablet 500","0259","RC","Both",,,"23","11.5","Caresource","Medicaid Managed Care",,,"40",,"9.2","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolate Mofetil Oral Tablet 500","0259","RC","Both",,,"23","11.5","Wellcare","Medicaid Managed Care",,,"40",,"9.32","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolate Mofetil Oral Tablet 500","0259","RC","Both",,,"23","11.5","Aetna","Commercial",,,"64",,"14.67","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolate Mofetil Oral Tablet 500","0259","RC","Both",,,"23","11.5","Blue Cross Blue Shield","Pathways",,,"71",,"16.24","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolate Mofetil Oral Tablet 500","0259","RC","Both",,,"23","11.5","Blue Cross Blue Shield","HMO",,,"71",,"16.24","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolate Mofetil Oral Tablet 500","0259","RC","Both",,,"23","11.5","Blue Cross Blue Shield","PPO",,,"71",,"16.24","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolate Mofetil Oral Tablet 500","0259","RC","Both",,,"23","11.5","Ambetter","Health Exchange",,,"62",,"14.26","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolate Mofetil Oral Tablet 500","0259","RC","Both",,,"23","11.5","Caresource","Health Exchange",,,"62",,"14.26","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolate Mofetil Oral Tablet 500","0259","RC","Both",,,"23","11.5","Cigna","Commercial",,,"59",,"13.48","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolate Mofetil Oral Tablet 500","0259","RC","Both",,,"23","11.5","Humana","Commercial",,,"78",,"17.82","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolate Mofetil Oral Tablet 500","0259","RC","Both",,,"23","11.5","UHC","Commercial",,,"75",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolate Mofetil Oral Tablet 500","0259","RC","Both",,,"23","11.5","Medicaid",,,,"37",,"8.42","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolate Mofetil Oral Tablet 500","0259","RC","Both",,,"23","11.5","Alliant","Health Exchange",,,"62",,"14.26","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolate Mofetil Oral Tablet 500","0259","RC","Both",,,"23","11.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.42","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolate Mofetil Oral Tablet 500","0259","RC","Both",,,"23","11.5","Medicare",,,,"54",,"12.47","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolate Mofetil Oral Tablet 500","0259","RC","Both",,,"23","11.5","Humana","Medicare Advantage",,,"54",,"12.47","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolate Mofetil Oral Tablet 500","0259","RC","Both",,,"23","11.5","UHC","Medicare Advantage",,,"54",,"12.47","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolate Mofetil Oral Tablet 500","0259","RC","Both",,,"23","11.5","Clover","Medicare Advantage",,,"54",,"12.47","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolate Mofetil Oral Tablet 500","0259","RC","Both",,,"23","11.5","Wellcare","Medicare Advantage",,,"54",,"12.47","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolate Mofetil Oral Tablet 500","0259","RC","Both",,,"23","11.5","Amerigroup","Medicaid Managed Care",,,"37",,"8.42","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolate Mofetil Oral Tablet 500","0259","RC","Both",,,"23","11.5","Caresource","Medicaid Managed Care",,,"40",,"9.2","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolate Mofetil Oral Tablet 500","0259","RC","Both",,,"23","11.5","Wellcare","Medicaid Managed Care",,,"40",,"9.32","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolate Mofetil Oral Tablet 500","0259","RC","Both",,,"23","11.5","Aetna","Commercial",,,"64",,"14.67","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolate Mofetil Oral Tablet 500","0259","RC","Both",,,"23","11.5","Blue Cross Blue Shield","Pathways",,,"71",,"16.24","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolate Mofetil Oral Tablet 500","0259","RC","Both",,,"23","11.5","Blue Cross Blue Shield","HMO",,,"71",,"16.24","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolate Mofetil Oral Tablet 500","0259","RC","Both",,,"23","11.5","Blue Cross Blue Shield","PPO",,,"71",,"16.24","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolate Mofetil Oral Tablet 500","0259","RC","Both",,,"23","11.5","Ambetter","Health Exchange",,,"62",,"14.26","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolate Mofetil Oral Tablet 500","0259","RC","Both",,,"23","11.5","Caresource","Health Exchange",,,"62",,"14.26","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolate Mofetil Oral Tablet 500","0259","RC","Both",,,"23","11.5","Cigna","Commercial",,,"59",,"13.48","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolate Mofetil Oral Tablet 500","0259","RC","Both",,,"23","11.5","Humana","Commercial",,,"78",,"17.82","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolate Mofetil Oral Tablet 500","0259","RC","Both",,,"23","11.5","UHC","Commercial",,,"75",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolate Mofetil Oral Tablet 500","0259","RC","Both",,,"23","11.5","Medicaid",,,,"37",,"8.42","0.04","2502.48","percent of total billed charges",,
"NF-Sodium Chloride Tablets","0259","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Sodium Chloride Tablets","0259","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-Sodium Chloride Tablets","0259","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Sodium Chloride Tablets","0259","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Sodium Chloride Tablets","0259","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Sodium Chloride Tablets","0259","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Sodium Chloride Tablets","0259","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Sodium Chloride Tablets","0259","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Sodium Chloride Tablets","0259","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","2502.48","percent of total billed charges",,
"NF-Sodium Chloride Tablets","0259","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","2502.48","percent of total billed charges",,
"NF-Sodium Chloride Tablets","0259","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","2502.48","percent of total billed charges",,
"NF-Sodium Chloride Tablets","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Sodium Chloride Tablets","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Sodium Chloride Tablets","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Sodium Chloride Tablets","0259","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Sodium Chloride Tablets","0259","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Sodium Chloride Tablets","0259","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-Sodium Chloride Tablets","0259","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","2502.48","percent of total billed charges",,
"NF-Sodium Chloride Tablets","0259","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","2502.48","percent of total billed charges",,
"NF-Sodium Chloride Tablets","0259","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Sodium Chloride Tablets","0259","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Sodium Chloride Tablets","0259","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-Sodium Chloride Tablets","0259","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Sodium Chloride Tablets","0259","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Sodium Chloride Tablets","0259","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Sodium Chloride Tablets","0259","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Sodium Chloride Tablets","0259","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Sodium Chloride Tablets","0259","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Sodium Chloride Tablets","0259","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","2502.48","percent of total billed charges",,
"NF-Sodium Chloride Tablets","0259","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","2502.48","percent of total billed charges",,
"NF-Sodium Chloride Tablets","0259","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","2502.48","percent of total billed charges",,
"NF-Sodium Chloride Tablets","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Sodium Chloride Tablets","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Sodium Chloride Tablets","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Sodium Chloride Tablets","0259","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Sodium Chloride Tablets","0259","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Sodium Chloride Tablets","0259","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-Sodium Chloride Tablets","0259","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","2502.48","percent of total billed charges",,
"NF-Sodium Chloride Tablets","0259","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","2502.48","percent of total billed charges",,
"NF-Sodium Chloride Tablets","0259","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Fluorouracil Topical Cream 5%","0259","RC","Both",,,"19","9.5","Alliant","Health Exchange",,,"62",,"11.78","0.04","2502.48","percent of total billed charges",,
"NF-Fluorouracil Topical Cream 5%","0259","RC","Both",,,"19","9.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.26","0.04","2502.48","percent of total billed charges",,
"NF-Fluorouracil Topical Cream 5%","0259","RC","Both",,,"19","9.5","Medicare",,,,"54",,"10.3","0.04","2502.48","percent of total billed charges",,
"NF-Fluorouracil Topical Cream 5%","0259","RC","Both",,,"19","9.5","Humana","Medicare Advantage",,,"54",,"10.3","0.04","2502.48","percent of total billed charges",,
"NF-Fluorouracil Topical Cream 5%","0259","RC","Both",,,"19","9.5","UHC","Medicare Advantage",,,"54",,"10.3","0.04","2502.48","percent of total billed charges",,
"NF-Fluorouracil Topical Cream 5%","0259","RC","Both",,,"19","9.5","Clover","Medicare Advantage",,,"54",,"10.3","0.04","2502.48","percent of total billed charges",,
"NF-Fluorouracil Topical Cream 5%","0259","RC","Both",,,"19","9.5","Wellcare","Medicare Advantage",,,"54",,"10.3","0.04","2502.48","percent of total billed charges",,
"NF-Fluorouracil Topical Cream 5%","0259","RC","Both",,,"19","9.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.95","0.04","2502.48","percent of total billed charges",,
"NF-Fluorouracil Topical Cream 5%","0259","RC","Both",,,"19","9.5","Caresource","Medicaid Managed Care",,,"40",,"7.6","0.04","2502.48","percent of total billed charges",,
"NF-Fluorouracil Topical Cream 5%","0259","RC","Both",,,"19","9.5","Wellcare","Medicaid Managed Care",,,"40",,"7.7","0.04","2502.48","percent of total billed charges",,
"NF-Fluorouracil Topical Cream 5%","0259","RC","Both",,,"19","9.5","Aetna","Commercial",,,"64",,"12.12","0.04","2502.48","percent of total billed charges",,
"NF-Fluorouracil Topical Cream 5%","0259","RC","Both",,,"19","9.5","Blue Cross Blue Shield","Pathways",,,"71",,"13.41","0.04","2502.48","percent of total billed charges",,
"NF-Fluorouracil Topical Cream 5%","0259","RC","Both",,,"19","9.5","Blue Cross Blue Shield","HMO",,,"71",,"13.41","0.04","2502.48","percent of total billed charges",,
"NF-Fluorouracil Topical Cream 5%","0259","RC","Both",,,"19","9.5","Blue Cross Blue Shield","PPO",,,"71",,"13.41","0.04","2502.48","percent of total billed charges",,
"NF-Fluorouracil Topical Cream 5%","0259","RC","Both",,,"19","9.5","Ambetter","Health Exchange",,,"62",,"11.78","0.04","2502.48","percent of total billed charges",,
"NF-Fluorouracil Topical Cream 5%","0259","RC","Both",,,"19","9.5","Caresource","Health Exchange",,,"62",,"11.78","0.04","2502.48","percent of total billed charges",,
"NF-Fluorouracil Topical Cream 5%","0259","RC","Both",,,"19","9.5","Cigna","Commercial",,,"59",,"11.13","0.04","2502.48","percent of total billed charges",,
"NF-Fluorouracil Topical Cream 5%","0259","RC","Both",,,"19","9.5","Humana","Commercial",,,"78",,"14.72","0.04","2502.48","percent of total billed charges",,
"NF-Fluorouracil Topical Cream 5%","0259","RC","Both",,,"19","9.5","UHC","Commercial",,,"75",,"14.33","0.04","2502.48","percent of total billed charges",,
"NF-Fluorouracil Topical Cream 5%","0259","RC","Both",,,"19","9.5","Medicaid",,,,"37",,"6.95","0.04","2502.48","percent of total billed charges",,
"NF-Macrobid Capsule 100MG","0259","RC","Both",,,"12","6","Alliant","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Macrobid Capsule 100MG","0259","RC","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.48","0.04","2502.48","percent of total billed charges",,
"NF-Macrobid Capsule 100MG","0259","RC","Both",,,"12","6","Medicare",,,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Macrobid Capsule 100MG","0259","RC","Both",,,"12","6","Humana","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Macrobid Capsule 100MG","0259","RC","Both",,,"12","6","UHC","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Macrobid Capsule 100MG","0259","RC","Both",,,"12","6","Clover","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Macrobid Capsule 100MG","0259","RC","Both",,,"12","6","Wellcare","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Macrobid Capsule 100MG","0259","RC","Both",,,"12","6","Amerigroup","Medicaid Managed Care",,,"37",,"4.39","0.04","2502.48","percent of total billed charges",,
"NF-Macrobid Capsule 100MG","0259","RC","Both",,,"12","6","Caresource","Medicaid Managed Care",,,"40",,"4.8","0.04","2502.48","percent of total billed charges",,
"NF-Macrobid Capsule 100MG","0259","RC","Both",,,"12","6","Wellcare","Medicaid Managed Care",,,"40",,"4.86","0.04","2502.48","percent of total billed charges",,
"NF-Macrobid Capsule 100MG","0259","RC","Both",,,"12","6","Aetna","Commercial",,,"64",,"7.66","0.04","2502.48","percent of total billed charges",,
"NF-Macrobid Capsule 100MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","Pathways",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Macrobid Capsule 100MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","HMO",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Macrobid Capsule 100MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","PPO",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Macrobid Capsule 100MG","0259","RC","Both",,,"12","6","Ambetter","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Macrobid Capsule 100MG","0259","RC","Both",,,"12","6","Caresource","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Macrobid Capsule 100MG","0259","RC","Both",,,"12","6","Cigna","Commercial",,,"59",,"7.03","0.04","2502.48","percent of total billed charges",,
"NF-Macrobid Capsule 100MG","0259","RC","Both",,,"12","6","Humana","Commercial",,,"78",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Macrobid Capsule 100MG","0259","RC","Both",,,"12","6","UHC","Commercial",,,"75",,"9.05","0.04","2502.48","percent of total billed charges",,
"NF-Macrobid Capsule 100MG","0259","RC","Both",,,"12","6","Medicaid",,,,"37",,"4.39","0.04","2502.48","percent of total billed charges",,
"NF-acetaZOLAMIDE Oral Tablet 250MG","0259","RC","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-acetaZOLAMIDE Oral Tablet 250MG","0259","RC","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","0.04","2502.48","percent of total billed charges",,
"NF-acetaZOLAMIDE Oral Tablet 250MG","0259","RC","Both",,,"8","4","Medicare",,,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-acetaZOLAMIDE Oral Tablet 250MG","0259","RC","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-acetaZOLAMIDE Oral Tablet 250MG","0259","RC","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-acetaZOLAMIDE Oral Tablet 250MG","0259","RC","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-acetaZOLAMIDE Oral Tablet 250MG","0259","RC","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-acetaZOLAMIDE Oral Tablet 250MG","0259","RC","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-acetaZOLAMIDE Oral Tablet 250MG","0259","RC","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","0.04","2502.48","percent of total billed charges",,
"NF-acetaZOLAMIDE Oral Tablet 250MG","0259","RC","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-acetaZOLAMIDE Oral Tablet 250MG","0259","RC","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","0.04","2502.48","percent of total billed charges",,
"NF-acetaZOLAMIDE Oral Tablet 250MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-acetaZOLAMIDE Oral Tablet 250MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-acetaZOLAMIDE Oral Tablet 250MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-acetaZOLAMIDE Oral Tablet 250MG","0259","RC","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-acetaZOLAMIDE Oral Tablet 250MG","0259","RC","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-acetaZOLAMIDE Oral Tablet 250MG","0259","RC","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","0.04","2502.48","percent of total billed charges",,
"NF-acetaZOLAMIDE Oral Tablet 250MG","0259","RC","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-acetaZOLAMIDE Oral Tablet 250MG","0259","RC","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","0.04","2502.48","percent of total billed charges",,
"NF-acetaZOLAMIDE Oral Tablet 250MG","0259","RC","Both",,,"8","4","Medicaid",,,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","0259","RC","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","0259","RC","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","0259","RC","Both",,,"8","4","Medicare",,,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","0259","RC","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","0259","RC","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","0259","RC","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","0259","RC","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","0259","RC","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","0259","RC","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","0259","RC","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","0259","RC","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","0259","RC","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","0259","RC","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","0259","RC","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","0259","RC","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","0259","RC","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","0.04","2502.48","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","0259","RC","Both",,,"8","4","Medicaid",,,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Voriconazole Oral Tablet 200MG","0259","RC","Both",,,"150","75","Alliant","Health Exchange",,,"62",,"93","0.04","2502.48","percent of total billed charges",,
"NF-Voriconazole Oral Tablet 200MG","0259","RC","Both",,,"150","75","Pruitt Healthcare","Medicare Advantage",,,"54",,"81","0.04","2502.48","percent of total billed charges",,
"NF-Voriconazole Oral Tablet 200MG","0259","RC","Both",,,"150","75","Medicare",,,,"54",,"81.3","0.04","2502.48","percent of total billed charges",,
"NF-Voriconazole Oral Tablet 200MG","0259","RC","Both",,,"150","75","Humana","Medicare Advantage",,,"54",,"81.3","0.04","2502.48","percent of total billed charges",,
"NF-Voriconazole Oral Tablet 200MG","0259","RC","Both",,,"150","75","UHC","Medicare Advantage",,,"54",,"81.3","0.04","2502.48","percent of total billed charges",,
"NF-Voriconazole Oral Tablet 200MG","0259","RC","Both",,,"150","75","Clover","Medicare Advantage",,,"54",,"81.3","0.04","2502.48","percent of total billed charges",,
"NF-Voriconazole Oral Tablet 200MG","0259","RC","Both",,,"150","75","Wellcare","Medicare Advantage",,,"54",,"81.3","0.04","2502.48","percent of total billed charges",,
"NF-Voriconazole Oral Tablet 200MG","0259","RC","Both",,,"150","75","Amerigroup","Medicaid Managed Care",,,"37",,"54.9","0.04","2502.48","percent of total billed charges",,
"NF-Voriconazole Oral Tablet 200MG","0259","RC","Both",,,"150","75","Caresource","Medicaid Managed Care",,,"40",,"60","0.04","2502.48","percent of total billed charges",,
"NF-Voriconazole Oral Tablet 200MG","0259","RC","Both",,,"150","75","Wellcare","Medicaid Managed Care",,,"40",,"60.75","0.04","2502.48","percent of total billed charges",,
"NF-Voriconazole Oral Tablet 200MG","0259","RC","Both",,,"150","75","Aetna","Commercial",,,"64",,"95.7","0.04","2502.48","percent of total billed charges",,
"NF-Voriconazole Oral Tablet 200MG","0259","RC","Both",,,"150","75","Blue Cross Blue Shield","Pathways",,,"71",,"105.9","0.04","2502.48","percent of total billed charges",,
"NF-Voriconazole Oral Tablet 200MG","0259","RC","Both",,,"150","75","Blue Cross Blue Shield","HMO",,,"71",,"105.9","0.04","2502.48","percent of total billed charges",,
"NF-Voriconazole Oral Tablet 200MG","0259","RC","Both",,,"150","75","Blue Cross Blue Shield","PPO",,,"71",,"105.9","0.04","2502.48","percent of total billed charges",,
"NF-Voriconazole Oral Tablet 200MG","0259","RC","Both",,,"150","75","Ambetter","Health Exchange",,,"62",,"93","0.04","2502.48","percent of total billed charges",,
"NF-Voriconazole Oral Tablet 200MG","0259","RC","Both",,,"150","75","Caresource","Health Exchange",,,"62",,"93","0.04","2502.48","percent of total billed charges",,
"NF-Voriconazole Oral Tablet 200MG","0259","RC","Both",,,"150","75","Cigna","Commercial",,,"59",,"87.9","0.04","2502.48","percent of total billed charges",,
"NF-Voriconazole Oral Tablet 200MG","0259","RC","Both",,,"150","75","Humana","Commercial",,,"78",,"116.25","0.04","2502.48","percent of total billed charges",,
"NF-Voriconazole Oral Tablet 200MG","0259","RC","Both",,,"150","75","UHC","Commercial",,,"75",,"113.1","0.04","2502.48","percent of total billed charges",,
"NF-Voriconazole Oral Tablet 200MG","0259","RC","Both",,,"150","75","Medicaid",,,,"37",,"54.9","0.04","2502.48","percent of total billed charges",,
"NF-Esbriet Oral Tablet 801MG","0259","RC","Both",,,"417","208.5","Alliant","Health Exchange",,,"62",,"258.54","0.04","2502.48","percent of total billed charges",,
"NF-Esbriet Oral Tablet 801MG","0259","RC","Both",,,"417","208.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"225.18","0.04","2502.48","percent of total billed charges",,
"NF-Esbriet Oral Tablet 801MG","0259","RC","Both",,,"417","208.5","Medicare",,,,"54",,"226.01","0.04","2502.48","percent of total billed charges",,
"NF-Esbriet Oral Tablet 801MG","0259","RC","Both",,,"417","208.5","Humana","Medicare Advantage",,,"54",,"226.01","0.04","2502.48","percent of total billed charges",,
"NF-Esbriet Oral Tablet 801MG","0259","RC","Both",,,"417","208.5","UHC","Medicare Advantage",,,"54",,"226.01","0.04","2502.48","percent of total billed charges",,
"NF-Esbriet Oral Tablet 801MG","0259","RC","Both",,,"417","208.5","Clover","Medicare Advantage",,,"54",,"226.01","0.04","2502.48","percent of total billed charges",,
"NF-Esbriet Oral Tablet 801MG","0259","RC","Both",,,"417","208.5","Wellcare","Medicare Advantage",,,"54",,"226.01","0.04","2502.48","percent of total billed charges",,
"NF-Esbriet Oral Tablet 801MG","0259","RC","Both",,,"417","208.5","Amerigroup","Medicaid Managed Care",,,"37",,"152.62","0.04","2502.48","percent of total billed charges",,
"NF-Esbriet Oral Tablet 801MG","0259","RC","Both",,,"417","208.5","Caresource","Medicaid Managed Care",,,"40",,"166.8","0.04","2502.48","percent of total billed charges",,
"NF-Esbriet Oral Tablet 801MG","0259","RC","Both",,,"417","208.5","Wellcare","Medicaid Managed Care",,,"40",,"168.89","0.04","2502.48","percent of total billed charges",,
"NF-Esbriet Oral Tablet 801MG","0259","RC","Both",,,"417","208.5","Aetna","Commercial",,,"64",,"266.05","0.04","2502.48","percent of total billed charges",,
"NF-Esbriet Oral Tablet 801MG","0259","RC","Both",,,"417","208.5","Blue Cross Blue Shield","Pathways",,,"71",,"294.4","0.04","2502.48","percent of total billed charges",,
"NF-Esbriet Oral Tablet 801MG","0259","RC","Both",,,"417","208.5","Blue Cross Blue Shield","HMO",,,"71",,"294.4","0.04","2502.48","percent of total billed charges",,
"NF-Esbriet Oral Tablet 801MG","0259","RC","Both",,,"417","208.5","Blue Cross Blue Shield","PPO",,,"71",,"294.4","0.04","2502.48","percent of total billed charges",,
"NF-Esbriet Oral Tablet 801MG","0259","RC","Both",,,"417","208.5","Ambetter","Health Exchange",,,"62",,"258.54","0.04","2502.48","percent of total billed charges",,
"NF-Esbriet Oral Tablet 801MG","0259","RC","Both",,,"417","208.5","Caresource","Health Exchange",,,"62",,"258.54","0.04","2502.48","percent of total billed charges",,
"NF-Esbriet Oral Tablet 801MG","0259","RC","Both",,,"417","208.5","Cigna","Commercial",,,"59",,"244.36","0.04","2502.48","percent of total billed charges",,
"NF-Esbriet Oral Tablet 801MG","0259","RC","Both",,,"417","208.5","Humana","Commercial",,,"78",,"323.18","0.04","2502.48","percent of total billed charges",,
"NF-Esbriet Oral Tablet 801MG","0259","RC","Both",,,"417","208.5","UHC","Commercial",,,"75",,"314.42","0.04","2502.48","percent of total billed charges",,
"NF-Esbriet Oral Tablet 801MG","0259","RC","Both",,,"417","208.5","Medicaid",,,,"37",,"152.62","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Alliant","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.98","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Medicare",,,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Humana","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","UHC","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Clover","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Wellcare","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Amerigroup","Medicaid Managed Care",,,"37",,"13.54","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Caresource","Medicaid Managed Care",,,"40",,"14.8","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Wellcare","Medicaid Managed Care",,,"40",,"14.99","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Aetna","Commercial",,,"64",,"23.61","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","Pathways",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","HMO",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","PPO",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Ambetter","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Caresource","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Cigna","Commercial",,,"59",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Humana","Commercial",,,"78",,"28.68","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","UHC","Commercial",,,"75",,"27.9","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"37","18.5","Medicaid",,,,"37",,"13.54","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","0259","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","0259","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","0259","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","0259","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","0259","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","0259","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","0259","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","0259","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","0259","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","0259","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","0259","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","0259","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","0259","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","0259","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","2502.48","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","0259","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","0259","RC","Both",,,"13","6.5","Alliant","Health Exchange",,,"62",,"8.06","0.04","2502.48","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","0259","RC","Both",,,"13","6.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.02","0.04","2502.48","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","0259","RC","Both",,,"13","6.5","Medicare",,,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","0259","RC","Both",,,"13","6.5","Humana","Medicare Advantage",,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","0259","RC","Both",,,"13","6.5","UHC","Medicare Advantage",,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","0259","RC","Both",,,"13","6.5","Clover","Medicare Advantage",,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","0259","RC","Both",,,"13","6.5","Wellcare","Medicare Advantage",,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","0259","RC","Both",,,"13","6.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.76","0.04","2502.48","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","0259","RC","Both",,,"13","6.5","Caresource","Medicaid Managed Care",,,"40",,"5.2","0.04","2502.48","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","0259","RC","Both",,,"13","6.5","Wellcare","Medicaid Managed Care",,,"40",,"5.26","0.04","2502.48","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","0259","RC","Both",,,"13","6.5","Aetna","Commercial",,,"64",,"8.29","0.04","2502.48","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","0259","RC","Both",,,"13","6.5","Blue Cross Blue Shield","Pathways",,,"71",,"9.18","0.04","2502.48","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","0259","RC","Both",,,"13","6.5","Blue Cross Blue Shield","HMO",,,"71",,"9.18","0.04","2502.48","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","0259","RC","Both",,,"13","6.5","Blue Cross Blue Shield","PPO",,,"71",,"9.18","0.04","2502.48","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","0259","RC","Both",,,"13","6.5","Ambetter","Health Exchange",,,"62",,"8.06","0.04","2502.48","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","0259","RC","Both",,,"13","6.5","Caresource","Health Exchange",,,"62",,"8.06","0.04","2502.48","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","0259","RC","Both",,,"13","6.5","Cigna","Commercial",,,"59",,"7.62","0.04","2502.48","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","0259","RC","Both",,,"13","6.5","Humana","Commercial",,,"78",,"10.08","0.04","2502.48","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","0259","RC","Both",,,"13","6.5","UHC","Commercial",,,"75",,"9.8","0.04","2502.48","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","0259","RC","Both",,,"13","6.5","Medicaid",,,,"37",,"4.76","0.04","2502.48","percent of total billed charges",,
"NF-Effexor XR Oral Cap ER 150MG","0259","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Effexor XR Oral Cap ER 150MG","0259","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-Effexor XR Oral Cap ER 150MG","0259","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Effexor XR Oral Cap ER 150MG","0259","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Effexor XR Oral Cap ER 150MG","0259","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Effexor XR Oral Cap ER 150MG","0259","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Effexor XR Oral Cap ER 150MG","0259","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Effexor XR Oral Cap ER 150MG","0259","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Effexor XR Oral Cap ER 150MG","0259","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.04","2502.48","percent of total billed charges",,
"NF-Effexor XR Oral Cap ER 150MG","0259","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.04","2502.48","percent of total billed charges",,
"NF-Effexor XR Oral Cap ER 150MG","0259","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-Effexor XR Oral Cap ER 150MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Effexor XR Oral Cap ER 150MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Effexor XR Oral Cap ER 150MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Effexor XR Oral Cap ER 150MG","0259","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Effexor XR Oral Cap ER 150MG","0259","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Effexor XR Oral Cap ER 150MG","0259","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.04","2502.48","percent of total billed charges",,
"NF-Effexor XR Oral Cap ER 150MG","0259","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.04","2502.48","percent of total billed charges",,
"NF-Effexor XR Oral Cap ER 150MG","0259","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.04","2502.48","percent of total billed charges",,
"NF-Effexor XR Oral Cap ER 150MG","0259","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"31","15.5","Alliant","Health Exchange",,,"62",,"19.22","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.74","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"31","15.5","Medicare",,,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"31","15.5","Humana","Medicare Advantage",,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"31","15.5","UHC","Medicare Advantage",,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"31","15.5","Clover","Medicare Advantage",,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"31","15.5","Wellcare","Medicare Advantage",,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care",,,"37",,"11.35","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"31","15.5","Caresource","Medicaid Managed Care",,,"40",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"31","15.5","Wellcare","Medicaid Managed Care",,,"40",,"12.56","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"31","15.5","Aetna","Commercial",,,"64",,"19.78","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways",,,"71",,"21.89","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"31","15.5","Blue Cross Blue Shield","HMO",,,"71",,"21.89","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"31","15.5","Blue Cross Blue Shield","PPO",,,"71",,"21.89","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"31","15.5","Ambetter","Health Exchange",,,"62",,"19.22","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"31","15.5","Caresource","Health Exchange",,,"62",,"19.22","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"31","15.5","Cigna","Commercial",,,"59",,"18.17","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"31","15.5","Humana","Commercial",,,"78",,"24.02","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"31","15.5","UHC","Commercial",,,"75",,"23.37","0.04","2502.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","0259","RC","Both",,,"31","15.5","Medicaid",,,,"37",,"11.35","0.04","2502.48","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0259","RC","Both",,,"40","20","Alliant","Health Exchange",,,"62",,"24.8","0.04","2502.48","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0259","RC","Both",,,"40","20","Pruitt Healthcare","Medicare Advantage",,,"54",,"21.6","0.04","2502.48","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0259","RC","Both",,,"40","20","Medicare",,,,"54",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0259","RC","Both",,,"40","20","Humana","Medicare Advantage",,,"54",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0259","RC","Both",,,"40","20","UHC","Medicare Advantage",,,"54",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0259","RC","Both",,,"40","20","Clover","Medicare Advantage",,,"54",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0259","RC","Both",,,"40","20","Wellcare","Medicare Advantage",,,"54",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0259","RC","Both",,,"40","20","Amerigroup","Medicaid Managed Care",,,"37",,"14.64","0.04","2502.48","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0259","RC","Both",,,"40","20","Caresource","Medicaid Managed Care",,,"40",,"16","0.04","2502.48","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0259","RC","Both",,,"40","20","Wellcare","Medicaid Managed Care",,,"40",,"16.2","0.04","2502.48","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0259","RC","Both",,,"40","20","Aetna","Commercial",,,"64",,"25.52","0.04","2502.48","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0259","RC","Both",,,"40","20","Blue Cross Blue Shield","Pathways",,,"71",,"28.24","0.04","2502.48","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0259","RC","Both",,,"40","20","Blue Cross Blue Shield","HMO",,,"71",,"28.24","0.04","2502.48","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0259","RC","Both",,,"40","20","Blue Cross Blue Shield","PPO",,,"71",,"28.24","0.04","2502.48","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0259","RC","Both",,,"40","20","Ambetter","Health Exchange",,,"62",,"24.8","0.04","2502.48","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0259","RC","Both",,,"40","20","Caresource","Health Exchange",,,"62",,"24.8","0.04","2502.48","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0259","RC","Both",,,"40","20","Cigna","Commercial",,,"59",,"23.44","0.04","2502.48","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0259","RC","Both",,,"40","20","Humana","Commercial",,,"78",,"31","0.04","2502.48","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0259","RC","Both",,,"40","20","UHC","Commercial",,,"75",,"30.16","0.04","2502.48","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0259","RC","Both",,,"40","20","Medicaid",,,,"37",,"14.64","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 80MG","0259","RC","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 80MG","0259","RC","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 80MG","0259","RC","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 80MG","0259","RC","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 80MG","0259","RC","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 80MG","0259","RC","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 80MG","0259","RC","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 80MG","0259","RC","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 80MG","0259","RC","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 80MG","0259","RC","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 80MG","0259","RC","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 80MG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 80MG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 80MG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 80MG","0259","RC","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 80MG","0259","RC","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 80MG","0259","RC","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 80MG","0259","RC","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 80MG","0259","RC","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 80MG","0259","RC","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"37","18.5","Alliant","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"37","18.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.98","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"37","18.5","Medicare",,,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"37","18.5","Humana","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"37","18.5","UHC","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"37","18.5","Clover","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"37","18.5","Wellcare","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"37","18.5","Amerigroup","Medicaid Managed Care",,,"37",,"13.54","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"37","18.5","Caresource","Medicaid Managed Care",,,"40",,"14.8","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"37","18.5","Wellcare","Medicaid Managed Care",,,"40",,"14.99","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"37","18.5","Aetna","Commercial",,,"64",,"23.61","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","Pathways",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","HMO",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","PPO",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"37","18.5","Ambetter","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"37","18.5","Caresource","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"37","18.5","Cigna","Commercial",,,"59",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"37","18.5","Humana","Commercial",,,"78",,"28.68","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"37","18.5","UHC","Commercial",,,"75",,"27.9","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"37","18.5","Medicaid",,,,"37",,"13.54","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Medicare",,,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Medicaid",,,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"62","31","Alliant","Health Exchange",,,"62",,"38.44","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"62","31","Pruitt Healthcare","Medicare Advantage",,,"54",,"33.48","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"62","31","Medicare",,,,"54",,"33.6","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"62","31","Humana","Medicare Advantage",,,"54",,"33.6","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"62","31","UHC","Medicare Advantage",,,"54",,"33.6","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"62","31","Clover","Medicare Advantage",,,"54",,"33.6","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"62","31","Wellcare","Medicare Advantage",,,"54",,"33.6","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"62","31","Amerigroup","Medicaid Managed Care",,,"37",,"22.69","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"62","31","Caresource","Medicaid Managed Care",,,"40",,"24.8","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"62","31","Wellcare","Medicaid Managed Care",,,"40",,"25.11","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"62","31","Aetna","Commercial",,,"64",,"39.56","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"62","31","Blue Cross Blue Shield","Pathways",,,"71",,"43.77","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"62","31","Blue Cross Blue Shield","HMO",,,"71",,"43.77","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"62","31","Blue Cross Blue Shield","PPO",,,"71",,"43.77","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"62","31","Ambetter","Health Exchange",,,"62",,"38.44","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"62","31","Caresource","Health Exchange",,,"62",,"38.44","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"62","31","Cigna","Commercial",,,"59",,"36.33","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"62","31","Humana","Commercial",,,"78",,"48.05","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"62","31","UHC","Commercial",,,"75",,"46.75","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"62","31","Medicaid",,,,"37",,"22.69","0.04","2502.48","percent of total billed charges",,
"NF-Megestrol Acetate Tablet 40MG","0259","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Megestrol Acetate Tablet 40MG","0259","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Megestrol Acetate Tablet 40MG","0259","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Megestrol Acetate Tablet 40MG","0259","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Megestrol Acetate Tablet 40MG","0259","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Megestrol Acetate Tablet 40MG","0259","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Megestrol Acetate Tablet 40MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Megestrol Acetate Tablet 40MG","0259","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Megestrol Acetate Tablet 40MG","0259","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","2502.48","percent of total billed charges",,
"NF-Megestrol Acetate Tablet 40MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","2502.48","percent of total billed charges",,
"NF-Megestrol Acetate Tablet 40MG","0259","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","2502.48","percent of total billed charges",,
"NF-Megestrol Acetate Tablet 40MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Megestrol Acetate Tablet 40MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Megestrol Acetate Tablet 40MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Megestrol Acetate Tablet 40MG","0259","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Megestrol Acetate Tablet 40MG","0259","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Megestrol Acetate Tablet 40MG","0259","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-Megestrol Acetate Tablet 40MG","0259","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","2502.48","percent of total billed charges",,
"NF-Megestrol Acetate Tablet 40MG","0259","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","2502.48","percent of total billed charges",,
"NF-Megestrol Acetate Tablet 40MG","0259","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Acebutolol Hydrochloride Capsule 200M","0259","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Acebutolol Hydrochloride Capsule 200M","0259","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.04","2502.48","percent of total billed charges",,
"NF-Acebutolol Hydrochloride Capsule 200M","0259","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Acebutolol Hydrochloride Capsule 200M","0259","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Acebutolol Hydrochloride Capsule 200M","0259","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Acebutolol Hydrochloride Capsule 200M","0259","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Acebutolol Hydrochloride Capsule 200M","0259","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Acebutolol Hydrochloride Capsule 200M","0259","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-Acebutolol Hydrochloride Capsule 200M","0259","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.04","2502.48","percent of total billed charges",,
"NF-Acebutolol Hydrochloride Capsule 200M","0259","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Acebutolol Hydrochloride Capsule 200M","0259","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.04","2502.48","percent of total billed charges",,
"NF-Acebutolol Hydrochloride Capsule 200M","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Acebutolol Hydrochloride Capsule 200M","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Acebutolol Hydrochloride Capsule 200M","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Acebutolol Hydrochloride Capsule 200M","0259","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Acebutolol Hydrochloride Capsule 200M","0259","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Acebutolol Hydrochloride Capsule 200M","0259","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.04","2502.48","percent of total billed charges",,
"NF-Acebutolol Hydrochloride Capsule 200M","0259","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Acebutolol Hydrochloride Capsule 200M","0259","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.04","2502.48","percent of total billed charges",,
"NF-Acebutolol Hydrochloride Capsule 200M","0259","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0259","RC","Both",,,"49","24.5","Alliant","Health Exchange",,,"62",,"30.38","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0259","RC","Both",,,"49","24.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"26.46","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0259","RC","Both",,,"49","24.5","Medicare",,,,"54",,"26.56","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0259","RC","Both",,,"49","24.5","Humana","Medicare Advantage",,,"54",,"26.56","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0259","RC","Both",,,"49","24.5","UHC","Medicare Advantage",,,"54",,"26.56","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0259","RC","Both",,,"49","24.5","Clover","Medicare Advantage",,,"54",,"26.56","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0259","RC","Both",,,"49","24.5","Wellcare","Medicare Advantage",,,"54",,"26.56","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0259","RC","Both",,,"49","24.5","Amerigroup","Medicaid Managed Care",,,"37",,"17.93","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0259","RC","Both",,,"49","24.5","Caresource","Medicaid Managed Care",,,"40",,"19.6","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0259","RC","Both",,,"49","24.5","Wellcare","Medicaid Managed Care",,,"40",,"19.85","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0259","RC","Both",,,"49","24.5","Aetna","Commercial",,,"64",,"31.26","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0259","RC","Both",,,"49","24.5","Blue Cross Blue Shield","Pathways",,,"71",,"34.59","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0259","RC","Both",,,"49","24.5","Blue Cross Blue Shield","HMO",,,"71",,"34.59","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0259","RC","Both",,,"49","24.5","Blue Cross Blue Shield","PPO",,,"71",,"34.59","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0259","RC","Both",,,"49","24.5","Ambetter","Health Exchange",,,"62",,"30.38","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0259","RC","Both",,,"49","24.5","Caresource","Health Exchange",,,"62",,"30.38","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0259","RC","Both",,,"49","24.5","Cigna","Commercial",,,"59",,"28.71","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0259","RC","Both",,,"49","24.5","Humana","Commercial",,,"78",,"37.98","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0259","RC","Both",,,"49","24.5","UHC","Commercial",,,"75",,"36.95","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0259","RC","Both",,,"49","24.5","Medicaid",,,,"37",,"17.93","0.04","2502.48","percent of total billed charges",,
"NF-Calquence Oral Capsule 100MG","0259","RC","Both",,,"869","434.5","Alliant","Health Exchange",,,"62",,"538.78","0.04","2502.48","percent of total billed charges",,
"NF-Calquence Oral Capsule 100MG","0259","RC","Both",,,"869","434.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"469.26","0.04","2502.48","percent of total billed charges",,
"NF-Calquence Oral Capsule 100MG","0259","RC","Both",,,"869","434.5","Medicare",,,,"54",,"471","0.04","2502.48","percent of total billed charges",,
"NF-Calquence Oral Capsule 100MG","0259","RC","Both",,,"869","434.5","Humana","Medicare Advantage",,,"54",,"471","0.04","2502.48","percent of total billed charges",,
"NF-Calquence Oral Capsule 100MG","0259","RC","Both",,,"869","434.5","UHC","Medicare Advantage",,,"54",,"471","0.04","2502.48","percent of total billed charges",,
"NF-Calquence Oral Capsule 100MG","0259","RC","Both",,,"869","434.5","Clover","Medicare Advantage",,,"54",,"471","0.04","2502.48","percent of total billed charges",,
"NF-Calquence Oral Capsule 100MG","0259","RC","Both",,,"869","434.5","Wellcare","Medicare Advantage",,,"54",,"471","0.04","2502.48","percent of total billed charges",,
"NF-Calquence Oral Capsule 100MG","0259","RC","Both",,,"869","434.5","Amerigroup","Medicaid Managed Care",,,"37",,"318.05","0.04","2502.48","percent of total billed charges",,
"NF-Calquence Oral Capsule 100MG","0259","RC","Both",,,"869","434.5","Caresource","Medicaid Managed Care",,,"40",,"347.6","0.04","2502.48","percent of total billed charges",,
"NF-Calquence Oral Capsule 100MG","0259","RC","Both",,,"869","434.5","Wellcare","Medicaid Managed Care",,,"40",,"351.95","0.04","2502.48","percent of total billed charges",,
"NF-Calquence Oral Capsule 100MG","0259","RC","Both",,,"869","434.5","Aetna","Commercial",,,"64",,"554.42","0.04","2502.48","percent of total billed charges",,
"NF-Calquence Oral Capsule 100MG","0259","RC","Both",,,"869","434.5","Blue Cross Blue Shield","Pathways",,,"71",,"613.51","0.04","2502.48","percent of total billed charges",,
"NF-Calquence Oral Capsule 100MG","0259","RC","Both",,,"869","434.5","Blue Cross Blue Shield","HMO",,,"71",,"613.51","0.04","2502.48","percent of total billed charges",,
"NF-Calquence Oral Capsule 100MG","0259","RC","Both",,,"869","434.5","Blue Cross Blue Shield","PPO",,,"71",,"613.51","0.04","2502.48","percent of total billed charges",,
"NF-Calquence Oral Capsule 100MG","0259","RC","Both",,,"869","434.5","Ambetter","Health Exchange",,,"62",,"538.78","0.04","2502.48","percent of total billed charges",,
"NF-Calquence Oral Capsule 100MG","0259","RC","Both",,,"869","434.5","Caresource","Health Exchange",,,"62",,"538.78","0.04","2502.48","percent of total billed charges",,
"NF-Calquence Oral Capsule 100MG","0259","RC","Both",,,"869","434.5","Cigna","Commercial",,,"59",,"509.23","0.04","2502.48","percent of total billed charges",,
"NF-Calquence Oral Capsule 100MG","0259","RC","Both",,,"869","434.5","Humana","Commercial",,,"78",,"673.48","0.04","2502.48","percent of total billed charges",,
"NF-Calquence Oral Capsule 100MG","0259","RC","Both",,,"869","434.5","UHC","Commercial",,,"75",,"655.23","0.04","2502.48","percent of total billed charges",,
"NF-Calquence Oral Capsule 100MG","0259","RC","Both",,,"869","434.5","Medicaid",,,,"37",,"318.05","0.04","2502.48","percent of total billed charges",,
"NF-NITROFURANTOIN MACROCRYSTAL CAPSULE 5","0259","RC","Both",,,"8.02","4.01","Alliant","Health Exchange",,,"62",,"4.97","0.04","2502.48","percent of total billed charges",,
"NF-NITROFURANTOIN MACROCRYSTAL CAPSULE 5","0259","RC","Both",,,"8.02","4.01","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.33","0.04","2502.48","percent of total billed charges",,
"NF-NITROFURANTOIN MACROCRYSTAL CAPSULE 5","0259","RC","Both",,,"8.02","4.01","Medicare",,,,"54",,"4.35","0.04","2502.48","percent of total billed charges",,
"NF-NITROFURANTOIN MACROCRYSTAL CAPSULE 5","0259","RC","Both",,,"8.02","4.01","Humana","Medicare Advantage",,,"54",,"4.35","0.04","2502.48","percent of total billed charges",,
"NF-NITROFURANTOIN MACROCRYSTAL CAPSULE 5","0259","RC","Both",,,"8.02","4.01","UHC","Medicare Advantage",,,"54",,"4.35","0.04","2502.48","percent of total billed charges",,
"NF-NITROFURANTOIN MACROCRYSTAL CAPSULE 5","0259","RC","Both",,,"8.02","4.01","Clover","Medicare Advantage",,,"54",,"4.35","0.04","2502.48","percent of total billed charges",,
"NF-NITROFURANTOIN MACROCRYSTAL CAPSULE 5","0259","RC","Both",,,"8.02","4.01","Wellcare","Medicare Advantage",,,"54",,"4.35","0.04","2502.48","percent of total billed charges",,
"NF-NITROFURANTOIN MACROCRYSTAL CAPSULE 5","0259","RC","Both",,,"8.02","4.01","Amerigroup","Medicaid Managed Care",,,"37",,"2.94","0.04","2502.48","percent of total billed charges",,
"NF-NITROFURANTOIN MACROCRYSTAL CAPSULE 5","0259","RC","Both",,,"8.02","4.01","Caresource","Medicaid Managed Care",,,"40",,"3.21","0.04","2502.48","percent of total billed charges",,
"NF-NITROFURANTOIN MACROCRYSTAL CAPSULE 5","0259","RC","Both",,,"8.02","4.01","Wellcare","Medicaid Managed Care",,,"40",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-NITROFURANTOIN MACROCRYSTAL CAPSULE 5","0259","RC","Both",,,"8.02","4.01","Aetna","Commercial",,,"64",,"5.12","0.04","2502.48","percent of total billed charges",,
"NF-NITROFURANTOIN MACROCRYSTAL CAPSULE 5","0259","RC","Both",,,"8.02","4.01","Blue Cross Blue Shield","Pathways",,,"71",,"5.66","0.04","2502.48","percent of total billed charges",,
"NF-NITROFURANTOIN MACROCRYSTAL CAPSULE 5","0259","RC","Both",,,"8.02","4.01","Blue Cross Blue Shield","HMO",,,"71",,"5.66","0.04","2502.48","percent of total billed charges",,
"NF-NITROFURANTOIN MACROCRYSTAL CAPSULE 5","0259","RC","Both",,,"8.02","4.01","Blue Cross Blue Shield","PPO",,,"71",,"5.66","0.04","2502.48","percent of total billed charges",,
"NF-NITROFURANTOIN MACROCRYSTAL CAPSULE 5","0259","RC","Both",,,"8.02","4.01","Ambetter","Health Exchange",,,"62",,"4.97","0.04","2502.48","percent of total billed charges",,
"NF-NITROFURANTOIN MACROCRYSTAL CAPSULE 5","0259","RC","Both",,,"8.02","4.01","Caresource","Health Exchange",,,"62",,"4.97","0.04","2502.48","percent of total billed charges",,
"NF-NITROFURANTOIN MACROCRYSTAL CAPSULE 5","0259","RC","Both",,,"8.02","4.01","Cigna","Commercial",,,"59",,"4.7","0.04","2502.48","percent of total billed charges",,
"NF-NITROFURANTOIN MACROCRYSTAL CAPSULE 5","0259","RC","Both",,,"8.02","4.01","Humana","Commercial",,,"78",,"6.22","0.04","2502.48","percent of total billed charges",,
"NF-NITROFURANTOIN MACROCRYSTAL CAPSULE 5","0259","RC","Both",,,"8.02","4.01","UHC","Commercial",,,"75",,"6.05","0.04","2502.48","percent of total billed charges",,
"NF-NITROFURANTOIN MACROCRYSTAL CAPSULE 5","0259","RC","Both",,,"8.02","4.01","Medicaid",,,,"37",,"2.94","0.04","2502.48","percent of total billed charges",,
"NF-Raloxifene HCl Oral Tablet 60MG","0259","RC","Both",,,"21","10.5","Alliant","Health Exchange",,,"62",,"13.02","0.04","2502.48","percent of total billed charges",,
"NF-Raloxifene HCl Oral Tablet 60MG","0259","RC","Both",,,"21","10.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.34","0.04","2502.48","percent of total billed charges",,
"NF-Raloxifene HCl Oral Tablet 60MG","0259","RC","Both",,,"21","10.5","Medicare",,,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Raloxifene HCl Oral Tablet 60MG","0259","RC","Both",,,"21","10.5","Humana","Medicare Advantage",,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Raloxifene HCl Oral Tablet 60MG","0259","RC","Both",,,"21","10.5","UHC","Medicare Advantage",,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Raloxifene HCl Oral Tablet 60MG","0259","RC","Both",,,"21","10.5","Clover","Medicare Advantage",,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Raloxifene HCl Oral Tablet 60MG","0259","RC","Both",,,"21","10.5","Wellcare","Medicare Advantage",,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Raloxifene HCl Oral Tablet 60MG","0259","RC","Both",,,"21","10.5","Amerigroup","Medicaid Managed Care",,,"37",,"7.69","0.04","2502.48","percent of total billed charges",,
"NF-Raloxifene HCl Oral Tablet 60MG","0259","RC","Both",,,"21","10.5","Caresource","Medicaid Managed Care",,,"40",,"8.4","0.04","2502.48","percent of total billed charges",,
"NF-Raloxifene HCl Oral Tablet 60MG","0259","RC","Both",,,"21","10.5","Wellcare","Medicaid Managed Care",,,"40",,"8.51","0.04","2502.48","percent of total billed charges",,
"NF-Raloxifene HCl Oral Tablet 60MG","0259","RC","Both",,,"21","10.5","Aetna","Commercial",,,"64",,"13.4","0.04","2502.48","percent of total billed charges",,
"NF-Raloxifene HCl Oral Tablet 60MG","0259","RC","Both",,,"21","10.5","Blue Cross Blue Shield","Pathways",,,"71",,"14.83","0.04","2502.48","percent of total billed charges",,
"NF-Raloxifene HCl Oral Tablet 60MG","0259","RC","Both",,,"21","10.5","Blue Cross Blue Shield","HMO",,,"71",,"14.83","0.04","2502.48","percent of total billed charges",,
"NF-Raloxifene HCl Oral Tablet 60MG","0259","RC","Both",,,"21","10.5","Blue Cross Blue Shield","PPO",,,"71",,"14.83","0.04","2502.48","percent of total billed charges",,
"NF-Raloxifene HCl Oral Tablet 60MG","0259","RC","Both",,,"21","10.5","Ambetter","Health Exchange",,,"62",,"13.02","0.04","2502.48","percent of total billed charges",,
"NF-Raloxifene HCl Oral Tablet 60MG","0259","RC","Both",,,"21","10.5","Caresource","Health Exchange",,,"62",,"13.02","0.04","2502.48","percent of total billed charges",,
"NF-Raloxifene HCl Oral Tablet 60MG","0259","RC","Both",,,"21","10.5","Cigna","Commercial",,,"59",,"12.31","0.04","2502.48","percent of total billed charges",,
"NF-Raloxifene HCl Oral Tablet 60MG","0259","RC","Both",,,"21","10.5","Humana","Commercial",,,"78",,"16.28","0.04","2502.48","percent of total billed charges",,
"NF-Raloxifene HCl Oral Tablet 60MG","0259","RC","Both",,,"21","10.5","UHC","Commercial",,,"75",,"15.83","0.04","2502.48","percent of total billed charges",,
"NF-Raloxifene HCl Oral Tablet 60MG","0259","RC","Both",,,"21","10.5","Medicaid",,,,"37",,"7.69","0.04","2502.48","percent of total billed charges",,
"NF-Pravastatin Sodium Oral Tablet 10MG","0259","RC","Both",,,"9","4.5","Alliant","Health Exchange",,,"62",,"5.58","0.04","2502.48","percent of total billed charges",,
"NF-Pravastatin Sodium Oral Tablet 10MG","0259","RC","Both",,,"9","4.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.86","0.04","2502.48","percent of total billed charges",,
"NF-Pravastatin Sodium Oral Tablet 10MG","0259","RC","Both",,,"9","4.5","Medicare",,,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Pravastatin Sodium Oral Tablet 10MG","0259","RC","Both",,,"9","4.5","Humana","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Pravastatin Sodium Oral Tablet 10MG","0259","RC","Both",,,"9","4.5","UHC","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Pravastatin Sodium Oral Tablet 10MG","0259","RC","Both",,,"9","4.5","Clover","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Pravastatin Sodium Oral Tablet 10MG","0259","RC","Both",,,"9","4.5","Wellcare","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Pravastatin Sodium Oral Tablet 10MG","0259","RC","Both",,,"9","4.5","Amerigroup","Medicaid Managed Care",,,"37",,"3.29","0.04","2502.48","percent of total billed charges",,
"NF-Pravastatin Sodium Oral Tablet 10MG","0259","RC","Both",,,"9","4.5","Caresource","Medicaid Managed Care",,,"40",,"3.6","0.04","2502.48","percent of total billed charges",,
"NF-Pravastatin Sodium Oral Tablet 10MG","0259","RC","Both",,,"9","4.5","Wellcare","Medicaid Managed Care",,,"40",,"3.65","0.04","2502.48","percent of total billed charges",,
"NF-Pravastatin Sodium Oral Tablet 10MG","0259","RC","Both",,,"9","4.5","Aetna","Commercial",,,"64",,"5.74","0.04","2502.48","percent of total billed charges",,
"NF-Pravastatin Sodium Oral Tablet 10MG","0259","RC","Both",,,"9","4.5","Blue Cross Blue Shield","Pathways",,,"71",,"6.35","0.04","2502.48","percent of total billed charges",,
"NF-Pravastatin Sodium Oral Tablet 10MG","0259","RC","Both",,,"9","4.5","Blue Cross Blue Shield","HMO",,,"71",,"6.35","0.04","2502.48","percent of total billed charges",,
"NF-Pravastatin Sodium Oral Tablet 10MG","0259","RC","Both",,,"9","4.5","Blue Cross Blue Shield","PPO",,,"71",,"6.35","0.04","2502.48","percent of total billed charges",,
"NF-Pravastatin Sodium Oral Tablet 10MG","0259","RC","Both",,,"9","4.5","Ambetter","Health Exchange",,,"62",,"5.58","0.04","2502.48","percent of total billed charges",,
"NF-Pravastatin Sodium Oral Tablet 10MG","0259","RC","Both",,,"9","4.5","Caresource","Health Exchange",,,"62",,"5.58","0.04","2502.48","percent of total billed charges",,
"NF-Pravastatin Sodium Oral Tablet 10MG","0259","RC","Both",,,"9","4.5","Cigna","Commercial",,,"59",,"5.27","0.04","2502.48","percent of total billed charges",,
"NF-Pravastatin Sodium Oral Tablet 10MG","0259","RC","Both",,,"9","4.5","Humana","Commercial",,,"78",,"6.98","0.04","2502.48","percent of total billed charges",,
"NF-Pravastatin Sodium Oral Tablet 10MG","0259","RC","Both",,,"9","4.5","UHC","Commercial",,,"75",,"6.79","0.04","2502.48","percent of total billed charges",,
"NF-Pravastatin Sodium Oral Tablet 10MG","0259","RC","Both",,,"9","4.5","Medicaid",,,,"37",,"3.29","0.04","2502.48","percent of total billed charges",,
"NF-Brovana Inhalation Solution 15MCG/2ML","0259","RC","Both",,,"33","16.5","Alliant","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Brovana Inhalation Solution 15MCG/2ML","0259","RC","Both",,,"33","16.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.82","0.04","2502.48","percent of total billed charges",,
"NF-Brovana Inhalation Solution 15MCG/2ML","0259","RC","Both",,,"33","16.5","Medicare",,,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Brovana Inhalation Solution 15MCG/2ML","0259","RC","Both",,,"33","16.5","Humana","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Brovana Inhalation Solution 15MCG/2ML","0259","RC","Both",,,"33","16.5","UHC","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Brovana Inhalation Solution 15MCG/2ML","0259","RC","Both",,,"33","16.5","Clover","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Brovana Inhalation Solution 15MCG/2ML","0259","RC","Both",,,"33","16.5","Wellcare","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Brovana Inhalation Solution 15MCG/2ML","0259","RC","Both",,,"33","16.5","Amerigroup","Medicaid Managed Care",,,"37",,"12.08","0.04","2502.48","percent of total billed charges",,
"NF-Brovana Inhalation Solution 15MCG/2ML","0259","RC","Both",,,"33","16.5","Caresource","Medicaid Managed Care",,,"40",,"13.2","0.04","2502.48","percent of total billed charges",,
"NF-Brovana Inhalation Solution 15MCG/2ML","0259","RC","Both",,,"33","16.5","Wellcare","Medicaid Managed Care",,,"40",,"13.36","0.04","2502.48","percent of total billed charges",,
"NF-Brovana Inhalation Solution 15MCG/2ML","0259","RC","Both",,,"33","16.5","Aetna","Commercial",,,"64",,"21.05","0.04","2502.48","percent of total billed charges",,
"NF-Brovana Inhalation Solution 15MCG/2ML","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","Pathways",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Brovana Inhalation Solution 15MCG/2ML","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","HMO",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Brovana Inhalation Solution 15MCG/2ML","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","PPO",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Brovana Inhalation Solution 15MCG/2ML","0259","RC","Both",,,"33","16.5","Ambetter","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Brovana Inhalation Solution 15MCG/2ML","0259","RC","Both",,,"33","16.5","Caresource","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Brovana Inhalation Solution 15MCG/2ML","0259","RC","Both",,,"33","16.5","Cigna","Commercial",,,"59",,"19.34","0.04","2502.48","percent of total billed charges",,
"NF-Brovana Inhalation Solution 15MCG/2ML","0259","RC","Both",,,"33","16.5","Humana","Commercial",,,"78",,"25.58","0.04","2502.48","percent of total billed charges",,
"NF-Brovana Inhalation Solution 15MCG/2ML","0259","RC","Both",,,"33","16.5","UHC","Commercial",,,"75",,"24.88","0.04","2502.48","percent of total billed charges",,
"NF-Brovana Inhalation Solution 15MCG/2ML","0259","RC","Both",,,"33","16.5","Medicaid",,,,"37",,"12.08","0.04","2502.48","percent of total billed charges",,
"NF-Ferrous Sulfate Oral Solution 15MG/1M","0259","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Ferrous Sulfate Oral Solution 15MG/1M","0259","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.04","2502.48","percent of total billed charges",,
"NF-Ferrous Sulfate Oral Solution 15MG/1M","0259","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Ferrous Sulfate Oral Solution 15MG/1M","0259","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Ferrous Sulfate Oral Solution 15MG/1M","0259","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Ferrous Sulfate Oral Solution 15MG/1M","0259","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Ferrous Sulfate Oral Solution 15MG/1M","0259","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Ferrous Sulfate Oral Solution 15MG/1M","0259","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-Ferrous Sulfate Oral Solution 15MG/1M","0259","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.04","2502.48","percent of total billed charges",,
"NF-Ferrous Sulfate Oral Solution 15MG/1M","0259","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Ferrous Sulfate Oral Solution 15MG/1M","0259","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.04","2502.48","percent of total billed charges",,
"NF-Ferrous Sulfate Oral Solution 15MG/1M","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Ferrous Sulfate Oral Solution 15MG/1M","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Ferrous Sulfate Oral Solution 15MG/1M","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Ferrous Sulfate Oral Solution 15MG/1M","0259","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Ferrous Sulfate Oral Solution 15MG/1M","0259","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Ferrous Sulfate Oral Solution 15MG/1M","0259","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.04","2502.48","percent of total billed charges",,
"NF-Ferrous Sulfate Oral Solution 15MG/1M","0259","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Ferrous Sulfate Oral Solution 15MG/1M","0259","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.04","2502.48","percent of total billed charges",,
"NF-Ferrous Sulfate Oral Solution 15MG/1M","0259","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Oral PwdforSoln 20","0259","RC","Both",,,"30","15","Alliant","Health Exchange",,,"62",,"18.6","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Oral PwdforSoln 20","0259","RC","Both",,,"30","15","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.2","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Oral PwdforSoln 20","0259","RC","Both",,,"30","15","Medicare",,,,"54",,"16.26","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Oral PwdforSoln 20","0259","RC","Both",,,"30","15","Humana","Medicare Advantage",,,"54",,"16.26","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Oral PwdforSoln 20","0259","RC","Both",,,"30","15","UHC","Medicare Advantage",,,"54",,"16.26","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Oral PwdforSoln 20","0259","RC","Both",,,"30","15","Clover","Medicare Advantage",,,"54",,"16.26","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Oral PwdforSoln 20","0259","RC","Both",,,"30","15","Wellcare","Medicare Advantage",,,"54",,"16.26","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Oral PwdforSoln 20","0259","RC","Both",,,"30","15","Amerigroup","Medicaid Managed Care",,,"37",,"10.98","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Oral PwdforSoln 20","0259","RC","Both",,,"30","15","Caresource","Medicaid Managed Care",,,"40",,"12","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Oral PwdforSoln 20","0259","RC","Both",,,"30","15","Wellcare","Medicaid Managed Care",,,"40",,"12.15","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Oral PwdforSoln 20","0259","RC","Both",,,"30","15","Aetna","Commercial",,,"64",,"19.14","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Oral PwdforSoln 20","0259","RC","Both",,,"30","15","Blue Cross Blue Shield","Pathways",,,"71",,"21.18","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Oral PwdforSoln 20","0259","RC","Both",,,"30","15","Blue Cross Blue Shield","HMO",,,"71",,"21.18","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Oral PwdforSoln 20","0259","RC","Both",,,"30","15","Blue Cross Blue Shield","PPO",,,"71",,"21.18","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Oral PwdforSoln 20","0259","RC","Both",,,"30","15","Ambetter","Health Exchange",,,"62",,"18.6","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Oral PwdforSoln 20","0259","RC","Both",,,"30","15","Caresource","Health Exchange",,,"62",,"18.6","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Oral PwdforSoln 20","0259","RC","Both",,,"30","15","Cigna","Commercial",,,"59",,"17.58","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Oral PwdforSoln 20","0259","RC","Both",,,"30","15","Humana","Commercial",,,"78",,"23.25","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Oral PwdforSoln 20","0259","RC","Both",,,"30","15","UHC","Commercial",,,"75",,"22.62","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Oral PwdforSoln 20","0259","RC","Both",,,"30","15","Medicaid",,,,"37",,"10.98","0.04","2502.48","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 2.5MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 2.5MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Alliant","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.82","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Medicare",,,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Humana","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","UHC","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Clover","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Wellcare","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Amerigroup","Medicaid Managed Care",,,"37",,"12.08","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Caresource","Medicaid Managed Care",,,"40",,"13.2","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Wellcare","Medicaid Managed Care",,,"40",,"13.36","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Aetna","Commercial",,,"64",,"21.05","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","Pathways",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","HMO",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","PPO",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Ambetter","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Caresource","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Cigna","Commercial",,,"59",,"19.34","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Humana","Commercial",,,"78",,"25.58","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","UHC","Commercial",,,"75",,"24.88","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Medicaid",,,,"37",,"12.08","0.04","2502.48","percent of total billed charges",,
"NF-Namzaric Oral Cap ER 28MG-10MG","0259","RC","Both",,,"64","32","Alliant","Health Exchange",,,"62",,"39.68","0.04","2502.48","percent of total billed charges",,
"NF-Namzaric Oral Cap ER 28MG-10MG","0259","RC","Both",,,"64","32","Pruitt Healthcare","Medicare Advantage",,,"54",,"34.56","0.04","2502.48","percent of total billed charges",,
"NF-Namzaric Oral Cap ER 28MG-10MG","0259","RC","Both",,,"64","32","Medicare",,,,"54",,"34.69","0.04","2502.48","percent of total billed charges",,
"NF-Namzaric Oral Cap ER 28MG-10MG","0259","RC","Both",,,"64","32","Humana","Medicare Advantage",,,"54",,"34.69","0.04","2502.48","percent of total billed charges",,
"NF-Namzaric Oral Cap ER 28MG-10MG","0259","RC","Both",,,"64","32","UHC","Medicare Advantage",,,"54",,"34.69","0.04","2502.48","percent of total billed charges",,
"NF-Namzaric Oral Cap ER 28MG-10MG","0259","RC","Both",,,"64","32","Clover","Medicare Advantage",,,"54",,"34.69","0.04","2502.48","percent of total billed charges",,
"NF-Namzaric Oral Cap ER 28MG-10MG","0259","RC","Both",,,"64","32","Wellcare","Medicare Advantage",,,"54",,"34.69","0.04","2502.48","percent of total billed charges",,
"NF-Namzaric Oral Cap ER 28MG-10MG","0259","RC","Both",,,"64","32","Amerigroup","Medicaid Managed Care",,,"37",,"23.42","0.04","2502.48","percent of total billed charges",,
"NF-Namzaric Oral Cap ER 28MG-10MG","0259","RC","Both",,,"64","32","Caresource","Medicaid Managed Care",,,"40",,"25.6","0.04","2502.48","percent of total billed charges",,
"NF-Namzaric Oral Cap ER 28MG-10MG","0259","RC","Both",,,"64","32","Wellcare","Medicaid Managed Care",,,"40",,"25.92","0.04","2502.48","percent of total billed charges",,
"NF-Namzaric Oral Cap ER 28MG-10MG","0259","RC","Both",,,"64","32","Aetna","Commercial",,,"64",,"40.83","0.04","2502.48","percent of total billed charges",,
"NF-Namzaric Oral Cap ER 28MG-10MG","0259","RC","Both",,,"64","32","Blue Cross Blue Shield","Pathways",,,"71",,"45.18","0.04","2502.48","percent of total billed charges",,
"NF-Namzaric Oral Cap ER 28MG-10MG","0259","RC","Both",,,"64","32","Blue Cross Blue Shield","HMO",,,"71",,"45.18","0.04","2502.48","percent of total billed charges",,
"NF-Namzaric Oral Cap ER 28MG-10MG","0259","RC","Both",,,"64","32","Blue Cross Blue Shield","PPO",,,"71",,"45.18","0.04","2502.48","percent of total billed charges",,
"NF-Namzaric Oral Cap ER 28MG-10MG","0259","RC","Both",,,"64","32","Ambetter","Health Exchange",,,"62",,"39.68","0.04","2502.48","percent of total billed charges",,
"NF-Namzaric Oral Cap ER 28MG-10MG","0259","RC","Both",,,"64","32","Caresource","Health Exchange",,,"62",,"39.68","0.04","2502.48","percent of total billed charges",,
"NF-Namzaric Oral Cap ER 28MG-10MG","0259","RC","Both",,,"64","32","Cigna","Commercial",,,"59",,"37.5","0.04","2502.48","percent of total billed charges",,
"NF-Namzaric Oral Cap ER 28MG-10MG","0259","RC","Both",,,"64","32","Humana","Commercial",,,"78",,"49.6","0.04","2502.48","percent of total billed charges",,
"NF-Namzaric Oral Cap ER 28MG-10MG","0259","RC","Both",,,"64","32","UHC","Commercial",,,"75",,"48.26","0.04","2502.48","percent of total billed charges",,
"NF-Namzaric Oral Cap ER 28MG-10MG","0259","RC","Both",,,"64","32","Medicaid",,,,"37",,"23.42","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Alliant","Health Exchange",,,"62",,"37.2","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage",,,"54",,"32.4","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Medicare",,,,"54",,"32.52","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Humana","Medicare Advantage",,,"54",,"32.52","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","UHC","Medicare Advantage",,,"54",,"32.52","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Clover","Medicare Advantage",,,"54",,"32.52","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Wellcare","Medicare Advantage",,,"54",,"32.52","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Amerigroup","Medicaid Managed Care",,,"37",,"21.96","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Caresource","Medicaid Managed Care",,,"40",,"24","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Wellcare","Medicaid Managed Care",,,"40",,"24.3","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Aetna","Commercial",,,"64",,"38.28","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Blue Cross Blue Shield","Pathways",,,"71",,"42.36","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Blue Cross Blue Shield","HMO",,,"71",,"42.36","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Blue Cross Blue Shield","PPO",,,"71",,"42.36","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Ambetter","Health Exchange",,,"62",,"37.2","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Caresource","Health Exchange",,,"62",,"37.2","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Cigna","Commercial",,,"59",,"35.16","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Humana","Commercial",,,"78",,"46.5","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","UHC","Commercial",,,"75",,"45.24","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Medicaid",,,,"37",,"21.96","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0637","RC","Both",,,"37","18.5","Alliant","Health Exchange",,,"62",,"22.94","0.15","5264.58","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0637","RC","Both",,,"37","18.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.98","0.15","5264.58","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0637","RC","Both",,,"37","18.5","Medicare",,,,"54",,"20.05","0.15","5264.58","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0637","RC","Both",,,"37","18.5","Humana","Medicare Advantage",,,"54",,"20.05","0.15","5264.58","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0637","RC","Both",,,"37","18.5","UHC","Medicare Advantage",,,"54",,"20.05","0.15","5264.58","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0637","RC","Both",,,"37","18.5","Clover","Medicare Advantage",,,"54",,"20.05","0.15","5264.58","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0637","RC","Both",,,"37","18.5","Wellcare","Medicare Advantage",,,"54",,"20.05","0.15","5264.58","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0637","RC","Both",,,"37","18.5","Amerigroup","Medicaid Managed Care",,,"37",,"13.54","0.15","5264.58","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0637","RC","Both",,,"37","18.5","Caresource","Medicaid Managed Care",,,"40",,"14.8","0.15","5264.58","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0637","RC","Both",,,"37","18.5","Wellcare","Medicaid Managed Care",,,"40",,"14.99","0.15","5264.58","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0637","RC","Both",,,"37","18.5","Aetna","Commercial",,,"64",,"23.61","0.15","5264.58","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0637","RC","Both",,,"37","18.5","Blue Cross Blue Shield","Pathways",,,"71",,"26.12","0.15","5264.58","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0637","RC","Both",,,"37","18.5","Blue Cross Blue Shield","HMO",,,"71",,"26.12","0.15","5264.58","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0637","RC","Both",,,"37","18.5","Blue Cross Blue Shield","PPO",,,"71",,"26.12","0.15","5264.58","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0637","RC","Both",,,"37","18.5","Ambetter","Health Exchange",,,"62",,"22.94","0.15","5264.58","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0637","RC","Both",,,"37","18.5","Caresource","Health Exchange",,,"62",,"22.94","0.15","5264.58","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0637","RC","Both",,,"37","18.5","Cigna","Commercial",,,"59",,"21.68","0.15","5264.58","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0637","RC","Both",,,"37","18.5","Humana","Commercial",,,"78",,"28.68","0.15","5264.58","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0637","RC","Both",,,"37","18.5","UHC","Commercial",,,"75",,"27.9","0.15","5264.58","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0637","RC","Both",,,"37","18.5","Medicaid",,,,"37",,"13.54","0.15","5264.58","percent of total billed charges",,
"METOPROLOL succ XL (Toprol XL) 25 MG TAB","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"METOPROLOL succ XL (Toprol XL) 25 MG TAB","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"METOPROLOL succ XL (Toprol XL) 25 MG TAB","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METOPROLOL succ XL (Toprol XL) 25 MG TAB","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METOPROLOL succ XL (Toprol XL) 25 MG TAB","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METOPROLOL succ XL (Toprol XL) 25 MG TAB","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METOPROLOL succ XL (Toprol XL) 25 MG TAB","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METOPROLOL succ XL (Toprol XL) 25 MG TAB","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"METOPROLOL succ XL (Toprol XL) 25 MG TAB","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"METOPROLOL succ XL (Toprol XL) 25 MG TAB","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"METOPROLOL succ XL (Toprol XL) 25 MG TAB","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"METOPROLOL succ XL (Toprol XL) 25 MG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"METOPROLOL succ XL (Toprol XL) 25 MG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"METOPROLOL succ XL (Toprol XL) 25 MG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"METOPROLOL succ XL (Toprol XL) 25 MG TAB","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"METOPROLOL succ XL (Toprol XL) 25 MG TAB","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"METOPROLOL succ XL (Toprol XL) 25 MG TAB","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"METOPROLOL succ XL (Toprol XL) 25 MG TAB","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"METOPROLOL succ XL (Toprol XL) 25 MG TAB","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"METOPROLOL succ XL (Toprol XL) 25 MG TAB","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"SODIUM CHLORIDE 1 GM TABLETS","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"SODIUM CHLORIDE 1 GM TABLETS","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"SODIUM CHLORIDE 1 GM TABLETS","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SODIUM CHLORIDE 1 GM TABLETS","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SODIUM CHLORIDE 1 GM TABLETS","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SODIUM CHLORIDE 1 GM TABLETS","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SODIUM CHLORIDE 1 GM TABLETS","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SODIUM CHLORIDE 1 GM TABLETS","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"SODIUM CHLORIDE 1 GM TABLETS","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"SODIUM CHLORIDE 1 GM TABLETS","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"SODIUM CHLORIDE 1 GM TABLETS","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"SODIUM CHLORIDE 1 GM TABLETS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"SODIUM CHLORIDE 1 GM TABLETS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"SODIUM CHLORIDE 1 GM TABLETS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"SODIUM CHLORIDE 1 GM TABLETS","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"SODIUM CHLORIDE 1 GM TABLETS","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"SODIUM CHLORIDE 1 GM TABLETS","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"SODIUM CHLORIDE 1 GM TABLETS","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"SODIUM CHLORIDE 1 GM TABLETS","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"SODIUM CHLORIDE 1 GM TABLETS","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"59","29.5","Alliant","Health Exchange",,,"62",,"36.58","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"59","29.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"31.86","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"59","29.5","Medicare",,,,"54",,"31.98","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"59","29.5","Humana","Medicare Advantage",,,"54",,"31.98","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"59","29.5","UHC","Medicare Advantage",,,"54",,"31.98","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"59","29.5","Clover","Medicare Advantage",,,"54",,"31.98","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"59","29.5","Wellcare","Medicare Advantage",,,"54",,"31.98","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"59","29.5","Amerigroup","Medicaid Managed Care",,,"37",,"21.59","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"59","29.5","Caresource","Medicaid Managed Care",,,"40",,"23.6","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"59","29.5","Wellcare","Medicaid Managed Care",,,"40",,"23.9","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"59","29.5","Aetna","Commercial",,,"64",,"37.64","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"59","29.5","Blue Cross Blue Shield","Pathways",,,"71",,"41.65","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"59","29.5","Blue Cross Blue Shield","HMO",,,"71",,"41.65","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"59","29.5","Blue Cross Blue Shield","PPO",,,"71",,"41.65","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"59","29.5","Ambetter","Health Exchange",,,"62",,"36.58","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"59","29.5","Caresource","Health Exchange",,,"62",,"36.58","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"59","29.5","Cigna","Commercial",,,"59",,"34.57","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"59","29.5","Humana","Commercial",,,"78",,"45.72","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"59","29.5","UHC","Commercial",,,"75",,"44.49","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0637","RC","Both",,,"59","29.5","Medicaid",,,,"37",,"21.59","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"62","31","Alliant","Health Exchange",,,"62",,"38.44","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"62","31","Pruitt Healthcare","Medicare Advantage",,,"54",,"33.48","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"62","31","Medicare",,,,"54",,"33.6","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"62","31","Humana","Medicare Advantage",,,"54",,"33.6","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"62","31","UHC","Medicare Advantage",,,"54",,"33.6","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"62","31","Clover","Medicare Advantage",,,"54",,"33.6","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"62","31","Wellcare","Medicare Advantage",,,"54",,"33.6","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"62","31","Amerigroup","Medicaid Managed Care",,,"37",,"22.69","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"62","31","Caresource","Medicaid Managed Care",,,"40",,"24.8","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"62","31","Wellcare","Medicaid Managed Care",,,"40",,"25.11","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"62","31","Aetna","Commercial",,,"64",,"39.56","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"62","31","Blue Cross Blue Shield","Pathways",,,"71",,"43.77","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"62","31","Blue Cross Blue Shield","HMO",,,"71",,"43.77","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"62","31","Blue Cross Blue Shield","PPO",,,"71",,"43.77","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"62","31","Ambetter","Health Exchange",,,"62",,"38.44","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"62","31","Caresource","Health Exchange",,,"62",,"38.44","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"62","31","Cigna","Commercial",,,"59",,"36.33","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"62","31","Humana","Commercial",,,"78",,"48.05","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"62","31","UHC","Commercial",,,"75",,"46.75","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"62","31","Medicaid",,,,"37",,"22.69","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"62","31","Alliant","Health Exchange",,,"62",,"38.44","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"62","31","Pruitt Healthcare","Medicare Advantage",,,"54",,"33.48","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"62","31","Medicare",,,,"54",,"33.6","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"62","31","Humana","Medicare Advantage",,,"54",,"33.6","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"62","31","UHC","Medicare Advantage",,,"54",,"33.6","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"62","31","Clover","Medicare Advantage",,,"54",,"33.6","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"62","31","Wellcare","Medicare Advantage",,,"54",,"33.6","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"62","31","Amerigroup","Medicaid Managed Care",,,"37",,"22.69","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"62","31","Caresource","Medicaid Managed Care",,,"40",,"24.8","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"62","31","Wellcare","Medicaid Managed Care",,,"40",,"25.11","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"62","31","Aetna","Commercial",,,"64",,"39.56","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"62","31","Blue Cross Blue Shield","Pathways",,,"71",,"43.77","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"62","31","Blue Cross Blue Shield","HMO",,,"71",,"43.77","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"62","31","Blue Cross Blue Shield","PPO",,,"71",,"43.77","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"62","31","Ambetter","Health Exchange",,,"62",,"38.44","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"62","31","Caresource","Health Exchange",,,"62",,"38.44","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"62","31","Cigna","Commercial",,,"59",,"36.33","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"62","31","Humana","Commercial",,,"78",,"48.05","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"62","31","UHC","Commercial",,,"75",,"46.75","0.15","5264.58","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","0637","RC","Both",,,"62","31","Medicaid",,,,"37",,"22.69","0.15","5264.58","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0637","RC","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0637","RC","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","0.15","5264.58","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0637","RC","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0637","RC","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0637","RC","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0637","RC","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0637","RC","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0637","RC","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0637","RC","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","0.15","5264.58","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0637","RC","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","0.15","5264.58","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0637","RC","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","0.15","5264.58","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0637","RC","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0637","RC","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0637","RC","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","0.15","5264.58","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0637","RC","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","0.15","5264.58","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0637","RC","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","0.15","5264.58","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0637","RC","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","0637","RC","Both",,,"21","10.5","Alliant","Health Exchange",,,"62",,"13.02","0.15","5264.58","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","0637","RC","Both",,,"21","10.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.34","0.15","5264.58","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","0637","RC","Both",,,"21","10.5","Medicare",,,,"54",,"11.38","0.15","5264.58","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","0637","RC","Both",,,"21","10.5","Humana","Medicare Advantage",,,"54",,"11.38","0.15","5264.58","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","0637","RC","Both",,,"21","10.5","UHC","Medicare Advantage",,,"54",,"11.38","0.15","5264.58","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","0637","RC","Both",,,"21","10.5","Clover","Medicare Advantage",,,"54",,"11.38","0.15","5264.58","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","0637","RC","Both",,,"21","10.5","Wellcare","Medicare Advantage",,,"54",,"11.38","0.15","5264.58","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","0637","RC","Both",,,"21","10.5","Amerigroup","Medicaid Managed Care",,,"37",,"7.69","0.15","5264.58","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","0637","RC","Both",,,"21","10.5","Caresource","Medicaid Managed Care",,,"40",,"8.4","0.15","5264.58","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","0637","RC","Both",,,"21","10.5","Wellcare","Medicaid Managed Care",,,"40",,"8.51","0.15","5264.58","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","0637","RC","Both",,,"21","10.5","Aetna","Commercial",,,"64",,"13.4","0.15","5264.58","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","0637","RC","Both",,,"21","10.5","Blue Cross Blue Shield","Pathways",,,"71",,"14.83","0.15","5264.58","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","0637","RC","Both",,,"21","10.5","Blue Cross Blue Shield","HMO",,,"71",,"14.83","0.15","5264.58","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","0637","RC","Both",,,"21","10.5","Blue Cross Blue Shield","PPO",,,"71",,"14.83","0.15","5264.58","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","0637","RC","Both",,,"21","10.5","Ambetter","Health Exchange",,,"62",,"13.02","0.15","5264.58","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","0637","RC","Both",,,"21","10.5","Caresource","Health Exchange",,,"62",,"13.02","0.15","5264.58","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","0637","RC","Both",,,"21","10.5","Cigna","Commercial",,,"59",,"12.31","0.15","5264.58","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","0637","RC","Both",,,"21","10.5","Humana","Commercial",,,"78",,"16.28","0.15","5264.58","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","0637","RC","Both",,,"21","10.5","UHC","Commercial",,,"75",,"15.83","0.15","5264.58","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","0637","RC","Both",,,"21","10.5","Medicaid",,,,"37",,"7.69","0.15","5264.58","percent of total billed charges",,
"NF-NexIUM Capsule 40MG","0637","RC","Both",,,"33","16.5","Alliant","Health Exchange",,,"62",,"20.46","0.15","5264.58","percent of total billed charges",,
"NF-NexIUM Capsule 40MG","0637","RC","Both",,,"33","16.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.82","0.15","5264.58","percent of total billed charges",,
"NF-NexIUM Capsule 40MG","0637","RC","Both",,,"33","16.5","Medicare",,,,"54",,"17.89","0.15","5264.58","percent of total billed charges",,
"NF-NexIUM Capsule 40MG","0637","RC","Both",,,"33","16.5","Humana","Medicare Advantage",,,"54",,"17.89","0.15","5264.58","percent of total billed charges",,
"NF-NexIUM Capsule 40MG","0637","RC","Both",,,"33","16.5","UHC","Medicare Advantage",,,"54",,"17.89","0.15","5264.58","percent of total billed charges",,
"NF-NexIUM Capsule 40MG","0637","RC","Both",,,"33","16.5","Clover","Medicare Advantage",,,"54",,"17.89","0.15","5264.58","percent of total billed charges",,
"NF-NexIUM Capsule 40MG","0637","RC","Both",,,"33","16.5","Wellcare","Medicare Advantage",,,"54",,"17.89","0.15","5264.58","percent of total billed charges",,
"NF-NexIUM Capsule 40MG","0637","RC","Both",,,"33","16.5","Amerigroup","Medicaid Managed Care",,,"37",,"12.08","0.15","5264.58","percent of total billed charges",,
"NF-NexIUM Capsule 40MG","0637","RC","Both",,,"33","16.5","Caresource","Medicaid Managed Care",,,"40",,"13.2","0.15","5264.58","percent of total billed charges",,
"NF-NexIUM Capsule 40MG","0637","RC","Both",,,"33","16.5","Wellcare","Medicaid Managed Care",,,"40",,"13.36","0.15","5264.58","percent of total billed charges",,
"NF-NexIUM Capsule 40MG","0637","RC","Both",,,"33","16.5","Aetna","Commercial",,,"64",,"21.05","0.15","5264.58","percent of total billed charges",,
"NF-NexIUM Capsule 40MG","0637","RC","Both",,,"33","16.5","Blue Cross Blue Shield","Pathways",,,"71",,"23.3","0.15","5264.58","percent of total billed charges",,
"NF-NexIUM Capsule 40MG","0637","RC","Both",,,"33","16.5","Blue Cross Blue Shield","HMO",,,"71",,"23.3","0.15","5264.58","percent of total billed charges",,
"NF-NexIUM Capsule 40MG","0637","RC","Both",,,"33","16.5","Blue Cross Blue Shield","PPO",,,"71",,"23.3","0.15","5264.58","percent of total billed charges",,
"NF-NexIUM Capsule 40MG","0637","RC","Both",,,"33","16.5","Ambetter","Health Exchange",,,"62",,"20.46","0.15","5264.58","percent of total billed charges",,
"NF-NexIUM Capsule 40MG","0637","RC","Both",,,"33","16.5","Caresource","Health Exchange",,,"62",,"20.46","0.15","5264.58","percent of total billed charges",,
"NF-NexIUM Capsule 40MG","0637","RC","Both",,,"33","16.5","Cigna","Commercial",,,"59",,"19.34","0.15","5264.58","percent of total billed charges",,
"NF-NexIUM Capsule 40MG","0637","RC","Both",,,"33","16.5","Humana","Commercial",,,"78",,"25.58","0.15","5264.58","percent of total billed charges",,
"NF-NexIUM Capsule 40MG","0637","RC","Both",,,"33","16.5","UHC","Commercial",,,"75",,"24.88","0.15","5264.58","percent of total billed charges",,
"NF-NexIUM Capsule 40MG","0637","RC","Both",,,"33","16.5","Medicaid",,,,"37",,"12.08","0.15","5264.58","percent of total billed charges",,
"NF-Cyanocobalamin Injection 1000MCG/ML","0250","RC","Both",,,"12","6","Alliant","Health Exchange",,,"62",,"7.44","0.04","569.62","percent of total billed charges",,
"NF-Cyanocobalamin Injection 1000MCG/ML","0250","RC","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.48","0.04","569.62","percent of total billed charges",,
"NF-Cyanocobalamin Injection 1000MCG/ML","0250","RC","Both",,,"12","6","Medicare",,,,"54",,"6.5","0.04","569.62","percent of total billed charges",,
"NF-Cyanocobalamin Injection 1000MCG/ML","0250","RC","Both",,,"12","6","Humana","Medicare Advantage",,,"54",,"6.5","0.04","569.62","percent of total billed charges",,
"NF-Cyanocobalamin Injection 1000MCG/ML","0250","RC","Both",,,"12","6","UHC","Medicare Advantage",,,"54",,"6.5","0.04","569.62","percent of total billed charges",,
"NF-Cyanocobalamin Injection 1000MCG/ML","0250","RC","Both",,,"12","6","Clover","Medicare Advantage",,,"54",,"6.5","0.04","569.62","percent of total billed charges",,
"NF-Cyanocobalamin Injection 1000MCG/ML","0250","RC","Both",,,"12","6","Wellcare","Medicare Advantage",,,"54",,"6.5","0.04","569.62","percent of total billed charges",,
"NF-Cyanocobalamin Injection 1000MCG/ML","0250","RC","Both",,,"12","6","Amerigroup","Medicaid Managed Care",,,"37",,"4.39","0.04","569.62","percent of total billed charges",,
"NF-Cyanocobalamin Injection 1000MCG/ML","0250","RC","Both",,,"12","6","Caresource","Medicaid Managed Care",,,"40",,"4.8","0.04","569.62","percent of total billed charges",,
"NF-Cyanocobalamin Injection 1000MCG/ML","0250","RC","Both",,,"12","6","Wellcare","Medicaid Managed Care",,,"40",,"4.86","0.04","569.62","percent of total billed charges",,
"NF-Cyanocobalamin Injection 1000MCG/ML","0250","RC","Both",,,"12","6","Aetna","Commercial",,,"64",,"7.66","0.04","569.62","percent of total billed charges",,
"NF-Cyanocobalamin Injection 1000MCG/ML","0250","RC","Both",,,"12","6","Blue Cross Blue Shield","Pathways",,,"71",,"8.47","0.04","569.62","percent of total billed charges",,
"NF-Cyanocobalamin Injection 1000MCG/ML","0250","RC","Both",,,"12","6","Blue Cross Blue Shield","HMO",,,"71",,"8.47","0.04","569.62","percent of total billed charges",,
"NF-Cyanocobalamin Injection 1000MCG/ML","0250","RC","Both",,,"12","6","Blue Cross Blue Shield","PPO",,,"71",,"8.47","0.04","569.62","percent of total billed charges",,
"NF-Cyanocobalamin Injection 1000MCG/ML","0250","RC","Both",,,"12","6","Ambetter","Health Exchange",,,"62",,"7.44","0.04","569.62","percent of total billed charges",,
"NF-Cyanocobalamin Injection 1000MCG/ML","0250","RC","Both",,,"12","6","Caresource","Health Exchange",,,"62",,"7.44","0.04","569.62","percent of total billed charges",,
"NF-Cyanocobalamin Injection 1000MCG/ML","0250","RC","Both",,,"12","6","Cigna","Commercial",,,"59",,"7.03","0.04","569.62","percent of total billed charges",,
"NF-Cyanocobalamin Injection 1000MCG/ML","0250","RC","Both",,,"12","6","Humana","Commercial",,,"78",,"9.3","0.04","569.62","percent of total billed charges",,
"NF-Cyanocobalamin Injection 1000MCG/ML","0250","RC","Both",,,"12","6","UHC","Commercial",,,"75",,"9.05","0.04","569.62","percent of total billed charges",,
"NF-Cyanocobalamin Injection 1000MCG/ML","0250","RC","Both",,,"12","6","Medicaid",,,,"37",,"4.39","0.04","569.62","percent of total billed charges",,
"NF-Losartan/Hctz Oral Tablet 100MG-25MG","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-Losartan/Hctz Oral Tablet 100MG-25MG","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"NF-Losartan/Hctz Oral Tablet 100MG-25MG","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-Losartan/Hctz Oral Tablet 100MG-25MG","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-Losartan/Hctz Oral Tablet 100MG-25MG","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-Losartan/Hctz Oral Tablet 100MG-25MG","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-Losartan/Hctz Oral Tablet 100MG-25MG","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-Losartan/Hctz Oral Tablet 100MG-25MG","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"NF-Losartan/Hctz Oral Tablet 100MG-25MG","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"NF-Losartan/Hctz Oral Tablet 100MG-25MG","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"NF-Losartan/Hctz Oral Tablet 100MG-25MG","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"NF-Losartan/Hctz Oral Tablet 100MG-25MG","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-Losartan/Hctz Oral Tablet 100MG-25MG","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-Losartan/Hctz Oral Tablet 100MG-25MG","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-Losartan/Hctz Oral Tablet 100MG-25MG","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-Losartan/Hctz Oral Tablet 100MG-25MG","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-Losartan/Hctz Oral Tablet 100MG-25MG","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"NF-Losartan/Hctz Oral Tablet 100MG-25MG","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"NF-Losartan/Hctz Oral Tablet 100MG-25MG","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"NF-Losartan/Hctz Oral Tablet 100MG-25MG","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"NF-Levothyroxine Sodium Oral Tablet 137M","0637","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-Levothyroxine Sodium Oral Tablet 137M","0637","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-Levothyroxine Sodium Oral Tablet 137M","0637","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-Levothyroxine Sodium Oral Tablet 137M","0637","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-Levothyroxine Sodium Oral Tablet 137M","0637","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-Levothyroxine Sodium Oral Tablet 137M","0637","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-Levothyroxine Sodium Oral Tablet 137M","0637","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.15","5264.58","percent of total billed charges",,
"NF-Levothyroxine Sodium Oral Tablet 137M","0637","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-Levothyroxine Sodium Oral Tablet 137M","0637","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.15","5264.58","percent of total billed charges",,
"NF-Levothyroxine Sodium Oral Tablet 137M","0637","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.15","5264.58","percent of total billed charges",,
"NF-Levothyroxine Sodium Oral Tablet 137M","0637","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.15","5264.58","percent of total billed charges",,
"NF-Levothyroxine Sodium Oral Tablet 137M","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-Levothyroxine Sodium Oral Tablet 137M","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-Levothyroxine Sodium Oral Tablet 137M","0637","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.15","5264.58","percent of total billed charges",,
"NF-Levothyroxine Sodium Oral Tablet 137M","0637","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-Levothyroxine Sodium Oral Tablet 137M","0637","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.15","5264.58","percent of total billed charges",,
"NF-Levothyroxine Sodium Oral Tablet 137M","0637","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.15","5264.58","percent of total billed charges",,
"NF-Levothyroxine Sodium Oral Tablet 137M","0637","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.15","5264.58","percent of total billed charges",,
"NF-Levothyroxine Sodium Oral Tablet 137M","0637","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.15","5264.58","percent of total billed charges",,
"NF-Levothyroxine Sodium Oral Tablet 137M","0637","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.15","5264.58","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 10MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 10MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 10MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 10MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 10MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 10MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 10MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 10MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 10MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 10MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 10MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 10MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 10MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 10MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 10MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 10MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 10MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 10MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 10MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 10MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-Loperamide Oral Tablet 2MG","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-Loperamide Oral Tablet 2MG","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Loperamide Oral Tablet 2MG","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Loperamide Oral Tablet 2MG","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Loperamide Oral Tablet 2MG","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Loperamide Oral Tablet 2MG","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Loperamide Oral Tablet 2MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Loperamide Oral Tablet 2MG","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-Loperamide Oral Tablet 2MG","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-Loperamide Oral Tablet 2MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-Loperamide Oral Tablet 2MG","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-Loperamide Oral Tablet 2MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-Loperamide Oral Tablet 2MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-Loperamide Oral Tablet 2MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-Loperamide Oral Tablet 2MG","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-Loperamide Oral Tablet 2MG","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-Loperamide Oral Tablet 2MG","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-Loperamide Oral Tablet 2MG","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-Loperamide Oral Tablet 2MG","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-Loperamide Oral Tablet 2MG","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-Lonsurf Oral Tablet 8.19MG-20MG","0637","RC","Both",,,"902","451","Alliant","Health Exchange",,,"62",,"559.24","0.15","5264.58","percent of total billed charges",,
"NF-Lonsurf Oral Tablet 8.19MG-20MG","0637","RC","Both",,,"902","451","Pruitt Healthcare","Medicare Advantage",,,"54",,"487.08","0.15","5264.58","percent of total billed charges",,
"NF-Lonsurf Oral Tablet 8.19MG-20MG","0637","RC","Both",,,"902","451","Medicare",,,,"54",,"488.88","0.15","5264.58","percent of total billed charges",,
"NF-Lonsurf Oral Tablet 8.19MG-20MG","0637","RC","Both",,,"902","451","Humana","Medicare Advantage",,,"54",,"488.88","0.15","5264.58","percent of total billed charges",,
"NF-Lonsurf Oral Tablet 8.19MG-20MG","0637","RC","Both",,,"902","451","UHC","Medicare Advantage",,,"54",,"488.88","0.15","5264.58","percent of total billed charges",,
"NF-Lonsurf Oral Tablet 8.19MG-20MG","0637","RC","Both",,,"902","451","Clover","Medicare Advantage",,,"54",,"488.88","0.15","5264.58","percent of total billed charges",,
"NF-Lonsurf Oral Tablet 8.19MG-20MG","0637","RC","Both",,,"902","451","Wellcare","Medicare Advantage",,,"54",,"488.88","0.15","5264.58","percent of total billed charges",,
"NF-Lonsurf Oral Tablet 8.19MG-20MG","0637","RC","Both",,,"902","451","Amerigroup","Medicaid Managed Care",,,"37",,"330.13","0.15","5264.58","percent of total billed charges",,
"NF-Lonsurf Oral Tablet 8.19MG-20MG","0637","RC","Both",,,"902","451","Caresource","Medicaid Managed Care",,,"40",,"360.8","0.15","5264.58","percent of total billed charges",,
"NF-Lonsurf Oral Tablet 8.19MG-20MG","0637","RC","Both",,,"902","451","Wellcare","Medicaid Managed Care",,,"40",,"365.31","0.15","5264.58","percent of total billed charges",,
"NF-Lonsurf Oral Tablet 8.19MG-20MG","0637","RC","Both",,,"902","451","Aetna","Commercial",,,"64",,"575.48","0.15","5264.58","percent of total billed charges",,
"NF-Lonsurf Oral Tablet 8.19MG-20MG","0637","RC","Both",,,"902","451","Blue Cross Blue Shield","Pathways",,,"71",,"636.81","0.15","5264.58","percent of total billed charges",,
"NF-Lonsurf Oral Tablet 8.19MG-20MG","0637","RC","Both",,,"902","451","Blue Cross Blue Shield","HMO",,,"71",,"636.81","0.15","5264.58","percent of total billed charges",,
"NF-Lonsurf Oral Tablet 8.19MG-20MG","0637","RC","Both",,,"902","451","Blue Cross Blue Shield","PPO",,,"71",,"636.81","0.15","5264.58","percent of total billed charges",,
"NF-Lonsurf Oral Tablet 8.19MG-20MG","0637","RC","Both",,,"902","451","Ambetter","Health Exchange",,,"62",,"559.24","0.15","5264.58","percent of total billed charges",,
"NF-Lonsurf Oral Tablet 8.19MG-20MG","0637","RC","Both",,,"902","451","Caresource","Health Exchange",,,"62",,"559.24","0.15","5264.58","percent of total billed charges",,
"NF-Lonsurf Oral Tablet 8.19MG-20MG","0637","RC","Both",,,"902","451","Cigna","Commercial",,,"59",,"528.57","0.15","5264.58","percent of total billed charges",,
"NF-Lonsurf Oral Tablet 8.19MG-20MG","0637","RC","Both",,,"902","451","Humana","Commercial",,,"78",,"699.05","0.15","5264.58","percent of total billed charges",,
"NF-Lonsurf Oral Tablet 8.19MG-20MG","0637","RC","Both",,,"902","451","UHC","Commercial",,,"75",,"680.11","0.15","5264.58","percent of total billed charges",,
"NF-Lonsurf Oral Tablet 8.19MG-20MG","0637","RC","Both",,,"902","451","Medicaid",,,,"37",,"330.13","0.15","5264.58","percent of total billed charges",,
"NF-Lonsurf Oral Tablet 8.19MG-20MG","0637","RC","Both",,,"902","451","Alliant","Health Exchange",,,"62",,"559.24","0.15","5264.58","percent of total billed charges",,
"NF-Lonsurf Oral Tablet 8.19MG-20MG","0637","RC","Both",,,"902","451","Pruitt Healthcare","Medicare Advantage",,,"54",,"487.08","0.15","5264.58","percent of total billed charges",,
"NF-Lonsurf Oral Tablet 8.19MG-20MG","0637","RC","Both",,,"902","451","Medicare",,,,"54",,"488.88","0.15","5264.58","percent of total billed charges",,
"NF-Lonsurf Oral Tablet 8.19MG-20MG","0637","RC","Both",,,"902","451","Humana","Medicare Advantage",,,"54",,"488.88","0.15","5264.58","percent of total billed charges",,
"NF-Lonsurf Oral Tablet 8.19MG-20MG","0637","RC","Both",,,"902","451","UHC","Medicare Advantage",,,"54",,"488.88","0.15","5264.58","percent of total billed charges",,
"NF-Lonsurf Oral Tablet 8.19MG-20MG","0637","RC","Both",,,"902","451","Clover","Medicare Advantage",,,"54",,"488.88","0.15","5264.58","percent of total billed charges",,
"NF-Lonsurf Oral Tablet 8.19MG-20MG","0637","RC","Both",,,"902","451","Wellcare","Medicare Advantage",,,"54",,"488.88","0.15","5264.58","percent of total billed charges",,
"NF-Lonsurf Oral Tablet 8.19MG-20MG","0637","RC","Both",,,"902","451","Amerigroup","Medicaid Managed Care",,,"37",,"330.13","0.15","5264.58","percent of total billed charges",,
"NF-Lonsurf Oral Tablet 8.19MG-20MG","0637","RC","Both",,,"902","451","Caresource","Medicaid Managed Care",,,"40",,"360.8","0.15","5264.58","percent of total billed charges",,
"NF-Lonsurf Oral Tablet 8.19MG-20MG","0637","RC","Both",,,"902","451","Wellcare","Medicaid Managed Care",,,"40",,"365.31","0.15","5264.58","percent of total billed charges",,
"NF-Lonsurf Oral Tablet 8.19MG-20MG","0637","RC","Both",,,"902","451","Aetna","Commercial",,,"64",,"575.48","0.15","5264.58","percent of total billed charges",,
"NF-Lonsurf Oral Tablet 8.19MG-20MG","0637","RC","Both",,,"902","451","Blue Cross Blue Shield","Pathways",,,"71",,"636.81","0.15","5264.58","percent of total billed charges",,
"NF-Lonsurf Oral Tablet 8.19MG-20MG","0637","RC","Both",,,"902","451","Blue Cross Blue Shield","HMO",,,"71",,"636.81","0.15","5264.58","percent of total billed charges",,
"NF-Lonsurf Oral Tablet 8.19MG-20MG","0637","RC","Both",,,"902","451","Blue Cross Blue Shield","PPO",,,"71",,"636.81","0.15","5264.58","percent of total billed charges",,
"NF-Lonsurf Oral Tablet 8.19MG-20MG","0637","RC","Both",,,"902","451","Ambetter","Health Exchange",,,"62",,"559.24","0.15","5264.58","percent of total billed charges",,
"NF-Lonsurf Oral Tablet 8.19MG-20MG","0637","RC","Both",,,"902","451","Caresource","Health Exchange",,,"62",,"559.24","0.15","5264.58","percent of total billed charges",,
"NF-Lonsurf Oral Tablet 8.19MG-20MG","0637","RC","Both",,,"902","451","Cigna","Commercial",,,"59",,"528.57","0.15","5264.58","percent of total billed charges",,
"NF-Lonsurf Oral Tablet 8.19MG-20MG","0637","RC","Both",,,"902","451","Humana","Commercial",,,"78",,"699.05","0.15","5264.58","percent of total billed charges",,
"NF-Lonsurf Oral Tablet 8.19MG-20MG","0637","RC","Both",,,"902","451","UHC","Commercial",,,"75",,"680.11","0.15","5264.58","percent of total billed charges",,
"NF-Lonsurf Oral Tablet 8.19MG-20MG","0637","RC","Both",,,"902","451","Medicaid",,,,"37",,"330.13","0.15","5264.58","percent of total billed charges",,
"NF-losartan potassium-HCTZ Tab 100MG-12.","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-losartan potassium-HCTZ Tab 100MG-12.","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"NF-losartan potassium-HCTZ Tab 100MG-12.","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-losartan potassium-HCTZ Tab 100MG-12.","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-losartan potassium-HCTZ Tab 100MG-12.","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-losartan potassium-HCTZ Tab 100MG-12.","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-losartan potassium-HCTZ Tab 100MG-12.","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"NF-losartan potassium-HCTZ Tab 100MG-12.","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"NF-losartan potassium-HCTZ Tab 100MG-12.","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"NF-losartan potassium-HCTZ Tab 100MG-12.","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"NF-losartan potassium-HCTZ Tab 100MG-12.","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"NF-losartan potassium-HCTZ Tab 100MG-12.","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-losartan potassium-HCTZ Tab 100MG-12.","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-losartan potassium-HCTZ Tab 100MG-12.","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"NF-losartan potassium-HCTZ Tab 100MG-12.","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-losartan potassium-HCTZ Tab 100MG-12.","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"NF-losartan potassium-HCTZ Tab 100MG-12.","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"NF-losartan potassium-HCTZ Tab 100MG-12.","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"NF-losartan potassium-HCTZ Tab 100MG-12.","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"NF-losartan potassium-HCTZ Tab 100MG-12.","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"NF-dofetilide Oral Capsule 250MCG","0259","RC","Both",,,"25","12.5","Alliant","Health Exchange",,,"62",,"15.5","0.04","2502.48","percent of total billed charges",,
"NF-dofetilide Oral Capsule 250MCG","0259","RC","Both",,,"25","12.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"13.5","0.04","2502.48","percent of total billed charges",,
"NF-dofetilide Oral Capsule 250MCG","0259","RC","Both",,,"25","12.5","Medicare",,,,"54",,"13.55","0.04","2502.48","percent of total billed charges",,
"NF-dofetilide Oral Capsule 250MCG","0259","RC","Both",,,"25","12.5","Humana","Medicare Advantage",,,"54",,"13.55","0.04","2502.48","percent of total billed charges",,
"NF-dofetilide Oral Capsule 250MCG","0259","RC","Both",,,"25","12.5","UHC","Medicare Advantage",,,"54",,"13.55","0.04","2502.48","percent of total billed charges",,
"NF-dofetilide Oral Capsule 250MCG","0259","RC","Both",,,"25","12.5","Clover","Medicare Advantage",,,"54",,"13.55","0.04","2502.48","percent of total billed charges",,
"NF-dofetilide Oral Capsule 250MCG","0259","RC","Both",,,"25","12.5","Wellcare","Medicare Advantage",,,"54",,"13.55","0.04","2502.48","percent of total billed charges",,
"NF-dofetilide Oral Capsule 250MCG","0259","RC","Both",,,"25","12.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.15","0.04","2502.48","percent of total billed charges",,
"NF-dofetilide Oral Capsule 250MCG","0259","RC","Both",,,"25","12.5","Caresource","Medicaid Managed Care",,,"40",,"10","0.04","2502.48","percent of total billed charges",,
"NF-dofetilide Oral Capsule 250MCG","0259","RC","Both",,,"25","12.5","Wellcare","Medicaid Managed Care",,,"40",,"10.12","0.04","2502.48","percent of total billed charges",,
"NF-dofetilide Oral Capsule 250MCG","0259","RC","Both",,,"25","12.5","Aetna","Commercial",,,"64",,"15.95","0.04","2502.48","percent of total billed charges",,
"NF-dofetilide Oral Capsule 250MCG","0259","RC","Both",,,"25","12.5","Blue Cross Blue Shield","Pathways",,,"71",,"17.65","0.04","2502.48","percent of total billed charges",,
"NF-dofetilide Oral Capsule 250MCG","0259","RC","Both",,,"25","12.5","Blue Cross Blue Shield","HMO",,,"71",,"17.65","0.04","2502.48","percent of total billed charges",,
"NF-dofetilide Oral Capsule 250MCG","0259","RC","Both",,,"25","12.5","Blue Cross Blue Shield","PPO",,,"71",,"17.65","0.04","2502.48","percent of total billed charges",,
"NF-dofetilide Oral Capsule 250MCG","0259","RC","Both",,,"25","12.5","Ambetter","Health Exchange",,,"62",,"15.5","0.04","2502.48","percent of total billed charges",,
"NF-dofetilide Oral Capsule 250MCG","0259","RC","Both",,,"25","12.5","Caresource","Health Exchange",,,"62",,"15.5","0.04","2502.48","percent of total billed charges",,
"NF-dofetilide Oral Capsule 250MCG","0259","RC","Both",,,"25","12.5","Cigna","Commercial",,,"59",,"14.65","0.04","2502.48","percent of total billed charges",,
"NF-dofetilide Oral Capsule 250MCG","0259","RC","Both",,,"25","12.5","Humana","Commercial",,,"78",,"19.38","0.04","2502.48","percent of total billed charges",,
"NF-dofetilide Oral Capsule 250MCG","0259","RC","Both",,,"25","12.5","UHC","Commercial",,,"75",,"18.85","0.04","2502.48","percent of total billed charges",,
"NF-dofetilide Oral Capsule 250MCG","0259","RC","Both",,,"25","12.5","Medicaid",,,,"37",,"9.15","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"430","215","Alliant","Health Exchange",,,"62",,"266.6","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"430","215","Pruitt Healthcare","Medicare Advantage",,,"54",,"232.2","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"430","215","Medicare",,,,"54",,"233.06","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"430","215","Humana","Medicare Advantage",,,"54",,"233.06","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"430","215","UHC","Medicare Advantage",,,"54",,"233.06","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"430","215","Clover","Medicare Advantage",,,"54",,"233.06","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"430","215","Wellcare","Medicare Advantage",,,"54",,"233.06","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"430","215","Amerigroup","Medicaid Managed Care",,,"37",,"157.38","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"430","215","Caresource","Medicaid Managed Care",,,"40",,"172","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"430","215","Wellcare","Medicaid Managed Care",,,"40",,"174.15","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"430","215","Aetna","Commercial",,,"64",,"274.34","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"430","215","Blue Cross Blue Shield","Pathways",,,"71",,"303.58","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"430","215","Blue Cross Blue Shield","HMO",,,"71",,"303.58","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"430","215","Blue Cross Blue Shield","PPO",,,"71",,"303.58","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"430","215","Ambetter","Health Exchange",,,"62",,"266.6","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"430","215","Caresource","Health Exchange",,,"62",,"266.6","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"430","215","Cigna","Commercial",,,"59",,"251.98","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"430","215","Humana","Commercial",,,"78",,"333.25","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"430","215","UHC","Commercial",,,"75",,"324.22","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"430","215","Medicaid",,,,"37",,"157.38","0.04","2502.48","percent of total billed charges",,
"NF-terbinafine Oral Tablet 250MG","0259","RC","Both",,,"38","19","Alliant","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-terbinafine Oral Tablet 250MG","0259","RC","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.52","0.04","2502.48","percent of total billed charges",,
"NF-terbinafine Oral Tablet 250MG","0259","RC","Both",,,"38","19","Medicare",,,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-terbinafine Oral Tablet 250MG","0259","RC","Both",,,"38","19","Humana","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-terbinafine Oral Tablet 250MG","0259","RC","Both",,,"38","19","UHC","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-terbinafine Oral Tablet 250MG","0259","RC","Both",,,"38","19","Clover","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-terbinafine Oral Tablet 250MG","0259","RC","Both",,,"38","19","Wellcare","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-terbinafine Oral Tablet 250MG","0259","RC","Both",,,"38","19","Amerigroup","Medicaid Managed Care",,,"37",,"13.91","0.04","2502.48","percent of total billed charges",,
"NF-terbinafine Oral Tablet 250MG","0259","RC","Both",,,"38","19","Caresource","Medicaid Managed Care",,,"40",,"15.2","0.04","2502.48","percent of total billed charges",,
"NF-terbinafine Oral Tablet 250MG","0259","RC","Both",,,"38","19","Wellcare","Medicaid Managed Care",,,"40",,"15.39","0.04","2502.48","percent of total billed charges",,
"NF-terbinafine Oral Tablet 250MG","0259","RC","Both",,,"38","19","Aetna","Commercial",,,"64",,"24.24","0.04","2502.48","percent of total billed charges",,
"NF-terbinafine Oral Tablet 250MG","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","Pathways",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-terbinafine Oral Tablet 250MG","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","HMO",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-terbinafine Oral Tablet 250MG","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","PPO",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-terbinafine Oral Tablet 250MG","0259","RC","Both",,,"38","19","Ambetter","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-terbinafine Oral Tablet 250MG","0259","RC","Both",,,"38","19","Caresource","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-terbinafine Oral Tablet 250MG","0259","RC","Both",,,"38","19","Cigna","Commercial",,,"59",,"22.27","0.04","2502.48","percent of total billed charges",,
"NF-terbinafine Oral Tablet 250MG","0259","RC","Both",,,"38","19","Humana","Commercial",,,"78",,"29.45","0.04","2502.48","percent of total billed charges",,
"NF-terbinafine Oral Tablet 250MG","0259","RC","Both",,,"38","19","UHC","Commercial",,,"75",,"28.65","0.04","2502.48","percent of total billed charges",,
"NF-terbinafine Oral Tablet 250MG","0259","RC","Both",,,"38","19","Medicaid",,,,"37",,"13.91","0.04","2502.48","percent of total billed charges",,
"NF-Lo Loestrin Fe Oral Tab","0259","RC","Both",,,"20","10","Alliant","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Lo Loestrin Fe Oral Tab","0259","RC","Both",,,"20","10","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.8","0.04","2502.48","percent of total billed charges",,
"NF-Lo Loestrin Fe Oral Tab","0259","RC","Both",,,"20","10","Medicare",,,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Lo Loestrin Fe Oral Tab","0259","RC","Both",,,"20","10","Humana","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Lo Loestrin Fe Oral Tab","0259","RC","Both",,,"20","10","UHC","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Lo Loestrin Fe Oral Tab","0259","RC","Both",,,"20","10","Clover","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Lo Loestrin Fe Oral Tab","0259","RC","Both",,,"20","10","Wellcare","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Lo Loestrin Fe Oral Tab","0259","RC","Both",,,"20","10","Amerigroup","Medicaid Managed Care",,,"37",,"7.32","0.04","2502.48","percent of total billed charges",,
"NF-Lo Loestrin Fe Oral Tab","0259","RC","Both",,,"20","10","Caresource","Medicaid Managed Care",,,"40",,"8","0.04","2502.48","percent of total billed charges",,
"NF-Lo Loestrin Fe Oral Tab","0259","RC","Both",,,"20","10","Wellcare","Medicaid Managed Care",,,"40",,"8.1","0.04","2502.48","percent of total billed charges",,
"NF-Lo Loestrin Fe Oral Tab","0259","RC","Both",,,"20","10","Aetna","Commercial",,,"64",,"12.76","0.04","2502.48","percent of total billed charges",,
"NF-Lo Loestrin Fe Oral Tab","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","Pathways",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Lo Loestrin Fe Oral Tab","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","HMO",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Lo Loestrin Fe Oral Tab","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","PPO",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Lo Loestrin Fe Oral Tab","0259","RC","Both",,,"20","10","Ambetter","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Lo Loestrin Fe Oral Tab","0259","RC","Both",,,"20","10","Caresource","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Lo Loestrin Fe Oral Tab","0259","RC","Both",,,"20","10","Cigna","Commercial",,,"59",,"11.72","0.04","2502.48","percent of total billed charges",,
"NF-Lo Loestrin Fe Oral Tab","0259","RC","Both",,,"20","10","Humana","Commercial",,,"78",,"15.5","0.04","2502.48","percent of total billed charges",,
"NF-Lo Loestrin Fe Oral Tab","0259","RC","Both",,,"20","10","UHC","Commercial",,,"75",,"15.08","0.04","2502.48","percent of total billed charges",,
"NF-Lo Loestrin Fe Oral Tab","0259","RC","Both",,,"20","10","Medicaid",,,,"37",,"7.32","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0259","RC","Both",,,"32","16","Alliant","Health Exchange",,,"62",,"19.84","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0259","RC","Both",,,"32","16","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.28","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0259","RC","Both",,,"32","16","Medicare",,,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0259","RC","Both",,,"32","16","Humana","Medicare Advantage",,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0259","RC","Both",,,"32","16","UHC","Medicare Advantage",,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0259","RC","Both",,,"32","16","Clover","Medicare Advantage",,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0259","RC","Both",,,"32","16","Wellcare","Medicare Advantage",,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0259","RC","Both",,,"32","16","Amerigroup","Medicaid Managed Care",,,"37",,"11.71","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0259","RC","Both",,,"32","16","Caresource","Medicaid Managed Care",,,"40",,"12.8","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0259","RC","Both",,,"32","16","Wellcare","Medicaid Managed Care",,,"40",,"12.96","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0259","RC","Both",,,"32","16","Aetna","Commercial",,,"64",,"20.42","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0259","RC","Both",,,"32","16","Blue Cross Blue Shield","Pathways",,,"71",,"22.59","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0259","RC","Both",,,"32","16","Blue Cross Blue Shield","HMO",,,"71",,"22.59","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0259","RC","Both",,,"32","16","Blue Cross Blue Shield","PPO",,,"71",,"22.59","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0259","RC","Both",,,"32","16","Ambetter","Health Exchange",,,"62",,"19.84","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0259","RC","Both",,,"32","16","Caresource","Health Exchange",,,"62",,"19.84","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0259","RC","Both",,,"32","16","Cigna","Commercial",,,"59",,"18.75","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0259","RC","Both",,,"32","16","Humana","Commercial",,,"78",,"24.8","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0259","RC","Both",,,"32","16","UHC","Commercial",,,"75",,"24.13","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0259","RC","Both",,,"32","16","Medicaid",,,,"37",,"11.71","0.04","2502.48","percent of total billed charges",,
"NF-Activella Oral Tablet 1MG-0.5MG","0259","RC","Both",,,"36","18","Alliant","Health Exchange",,,"62",,"22.32","0.04","2502.48","percent of total billed charges",,
"NF-Activella Oral Tablet 1MG-0.5MG","0259","RC","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.44","0.04","2502.48","percent of total billed charges",,
"NF-Activella Oral Tablet 1MG-0.5MG","0259","RC","Both",,,"36","18","Medicare",,,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Activella Oral Tablet 1MG-0.5MG","0259","RC","Both",,,"36","18","Humana","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Activella Oral Tablet 1MG-0.5MG","0259","RC","Both",,,"36","18","UHC","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Activella Oral Tablet 1MG-0.5MG","0259","RC","Both",,,"36","18","Clover","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Activella Oral Tablet 1MG-0.5MG","0259","RC","Both",,,"36","18","Wellcare","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Activella Oral Tablet 1MG-0.5MG","0259","RC","Both",,,"36","18","Amerigroup","Medicaid Managed Care",,,"37",,"13.18","0.04","2502.48","percent of total billed charges",,
"NF-Activella Oral Tablet 1MG-0.5MG","0259","RC","Both",,,"36","18","Caresource","Medicaid Managed Care",,,"40",,"14.4","0.04","2502.48","percent of total billed charges",,
"NF-Activella Oral Tablet 1MG-0.5MG","0259","RC","Both",,,"36","18","Wellcare","Medicaid Managed Care",,,"40",,"14.58","0.04","2502.48","percent of total billed charges",,
"NF-Activella Oral Tablet 1MG-0.5MG","0259","RC","Both",,,"36","18","Aetna","Commercial",,,"64",,"22.97","0.04","2502.48","percent of total billed charges",,
"NF-Activella Oral Tablet 1MG-0.5MG","0259","RC","Both",,,"36","18","Blue Cross Blue Shield","Pathways",,,"71",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Activella Oral Tablet 1MG-0.5MG","0259","RC","Both",,,"36","18","Blue Cross Blue Shield","HMO",,,"71",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Activella Oral Tablet 1MG-0.5MG","0259","RC","Both",,,"36","18","Blue Cross Blue Shield","PPO",,,"71",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Activella Oral Tablet 1MG-0.5MG","0259","RC","Both",,,"36","18","Ambetter","Health Exchange",,,"62",,"22.32","0.04","2502.48","percent of total billed charges",,
"NF-Activella Oral Tablet 1MG-0.5MG","0259","RC","Both",,,"36","18","Caresource","Health Exchange",,,"62",,"22.32","0.04","2502.48","percent of total billed charges",,
"NF-Activella Oral Tablet 1MG-0.5MG","0259","RC","Both",,,"36","18","Cigna","Commercial",,,"59",,"21.1","0.04","2502.48","percent of total billed charges",,
"NF-Activella Oral Tablet 1MG-0.5MG","0259","RC","Both",,,"36","18","Humana","Commercial",,,"78",,"27.9","0.04","2502.48","percent of total billed charges",,
"NF-Activella Oral Tablet 1MG-0.5MG","0259","RC","Both",,,"36","18","UHC","Commercial",,,"75",,"27.14","0.04","2502.48","percent of total billed charges",,
"NF-Activella Oral Tablet 1MG-0.5MG","0259","RC","Both",,,"36","18","Medicaid",,,,"37",,"13.18","0.04","2502.48","percent of total billed charges",,
"NF-SEROquel XR Oral Tab ER 200MG","0259","RC","Both",,,"58","29","Alliant","Health Exchange",,,"62",,"35.96","0.04","2502.48","percent of total billed charges",,
"NF-SEROquel XR Oral Tab ER 200MG","0259","RC","Both",,,"58","29","Pruitt Healthcare","Medicare Advantage",,,"54",,"31.32","0.04","2502.48","percent of total billed charges",,
"NF-SEROquel XR Oral Tab ER 200MG","0259","RC","Both",,,"58","29","Medicare",,,,"54",,"31.44","0.04","2502.48","percent of total billed charges",,
"NF-SEROquel XR Oral Tab ER 200MG","0259","RC","Both",,,"58","29","Humana","Medicare Advantage",,,"54",,"31.44","0.04","2502.48","percent of total billed charges",,
"NF-SEROquel XR Oral Tab ER 200MG","0259","RC","Both",,,"58","29","UHC","Medicare Advantage",,,"54",,"31.44","0.04","2502.48","percent of total billed charges",,
"NF-SEROquel XR Oral Tab ER 200MG","0259","RC","Both",,,"58","29","Clover","Medicare Advantage",,,"54",,"31.44","0.04","2502.48","percent of total billed charges",,
"NF-SEROquel XR Oral Tab ER 200MG","0259","RC","Both",,,"58","29","Wellcare","Medicare Advantage",,,"54",,"31.44","0.04","2502.48","percent of total billed charges",,
"NF-SEROquel XR Oral Tab ER 200MG","0259","RC","Both",,,"58","29","Amerigroup","Medicaid Managed Care",,,"37",,"21.23","0.04","2502.48","percent of total billed charges",,
"NF-SEROquel XR Oral Tab ER 200MG","0259","RC","Both",,,"58","29","Caresource","Medicaid Managed Care",,,"40",,"23.2","0.04","2502.48","percent of total billed charges",,
"NF-SEROquel XR Oral Tab ER 200MG","0259","RC","Both",,,"58","29","Wellcare","Medicaid Managed Care",,,"40",,"23.49","0.04","2502.48","percent of total billed charges",,
"NF-SEROquel XR Oral Tab ER 200MG","0259","RC","Both",,,"58","29","Aetna","Commercial",,,"64",,"37","0.04","2502.48","percent of total billed charges",,
"NF-SEROquel XR Oral Tab ER 200MG","0259","RC","Both",,,"58","29","Blue Cross Blue Shield","Pathways",,,"71",,"40.95","0.04","2502.48","percent of total billed charges",,
"NF-SEROquel XR Oral Tab ER 200MG","0259","RC","Both",,,"58","29","Blue Cross Blue Shield","HMO",,,"71",,"40.95","0.04","2502.48","percent of total billed charges",,
"NF-SEROquel XR Oral Tab ER 200MG","0259","RC","Both",,,"58","29","Blue Cross Blue Shield","PPO",,,"71",,"40.95","0.04","2502.48","percent of total billed charges",,
"NF-SEROquel XR Oral Tab ER 200MG","0259","RC","Both",,,"58","29","Ambetter","Health Exchange",,,"62",,"35.96","0.04","2502.48","percent of total billed charges",,
"NF-SEROquel XR Oral Tab ER 200MG","0259","RC","Both",,,"58","29","Caresource","Health Exchange",,,"62",,"35.96","0.04","2502.48","percent of total billed charges",,
"NF-SEROquel XR Oral Tab ER 200MG","0259","RC","Both",,,"58","29","Cigna","Commercial",,,"59",,"33.99","0.04","2502.48","percent of total billed charges",,
"NF-SEROquel XR Oral Tab ER 200MG","0259","RC","Both",,,"58","29","Humana","Commercial",,,"78",,"44.95","0.04","2502.48","percent of total billed charges",,
"NF-SEROquel XR Oral Tab ER 200MG","0259","RC","Both",,,"58","29","UHC","Commercial",,,"75",,"43.73","0.04","2502.48","percent of total billed charges",,
"NF-SEROquel XR Oral Tab ER 200MG","0259","RC","Both",,,"58","29","Medicaid",,,,"37",,"21.23","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Alliant","Health Exchange",,,"62",,"254.2","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Pruitt Healthcare","Medicare Advantage",,,"54",,"221.4","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Medicare",,,,"54",,"222.22","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Humana","Medicare Advantage",,,"54",,"222.22","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","UHC","Medicare Advantage",,,"54",,"222.22","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Clover","Medicare Advantage",,,"54",,"222.22","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Wellcare","Medicare Advantage",,,"54",,"222.22","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Amerigroup","Medicaid Managed Care",,,"37",,"150.06","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Caresource","Medicaid Managed Care",,,"40",,"164","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Wellcare","Medicaid Managed Care",,,"40",,"166.05","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Aetna","Commercial",,,"64",,"261.58","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Blue Cross Blue Shield","Pathways",,,"71",,"289.46","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Blue Cross Blue Shield","HMO",,,"71",,"289.46","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Blue Cross Blue Shield","PPO",,,"71",,"289.46","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Ambetter","Health Exchange",,,"62",,"254.2","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Caresource","Health Exchange",,,"62",,"254.2","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Cigna","Commercial",,,"59",,"240.26","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Humana","Commercial",,,"78",,"317.75","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","UHC","Commercial",,,"75",,"309.14","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Medicaid",,,,"37",,"150.06","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Alliant","Health Exchange",,,"62",,"254.2","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Pruitt Healthcare","Medicare Advantage",,,"54",,"221.4","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Medicare",,,,"54",,"222.22","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Humana","Medicare Advantage",,,"54",,"222.22","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","UHC","Medicare Advantage",,,"54",,"222.22","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Clover","Medicare Advantage",,,"54",,"222.22","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Wellcare","Medicare Advantage",,,"54",,"222.22","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Amerigroup","Medicaid Managed Care",,,"37",,"150.06","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Caresource","Medicaid Managed Care",,,"40",,"164","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Wellcare","Medicaid Managed Care",,,"40",,"166.05","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Aetna","Commercial",,,"64",,"261.58","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Blue Cross Blue Shield","Pathways",,,"71",,"289.46","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Blue Cross Blue Shield","HMO",,,"71",,"289.46","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Blue Cross Blue Shield","PPO",,,"71",,"289.46","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Ambetter","Health Exchange",,,"62",,"254.2","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Caresource","Health Exchange",,,"62",,"254.2","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Cigna","Commercial",,,"59",,"240.26","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Humana","Commercial",,,"78",,"317.75","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","UHC","Commercial",,,"75",,"309.14","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Medicaid",,,,"37",,"150.06","0.04","2502.48","percent of total billed charges",,
"NF-Lubiprostone Liquid Filled Capsule 8M","0259","RC","Both",,,"20","10","Alliant","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Lubiprostone Liquid Filled Capsule 8M","0259","RC","Both",,,"20","10","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.8","0.04","2502.48","percent of total billed charges",,
"NF-Lubiprostone Liquid Filled Capsule 8M","0259","RC","Both",,,"20","10","Medicare",,,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Lubiprostone Liquid Filled Capsule 8M","0259","RC","Both",,,"20","10","Humana","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Lubiprostone Liquid Filled Capsule 8M","0259","RC","Both",,,"20","10","UHC","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Lubiprostone Liquid Filled Capsule 8M","0259","RC","Both",,,"20","10","Clover","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Lubiprostone Liquid Filled Capsule 8M","0259","RC","Both",,,"20","10","Wellcare","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Lubiprostone Liquid Filled Capsule 8M","0259","RC","Both",,,"20","10","Amerigroup","Medicaid Managed Care",,,"37",,"7.32","0.04","2502.48","percent of total billed charges",,
"NF-Lubiprostone Liquid Filled Capsule 8M","0259","RC","Both",,,"20","10","Caresource","Medicaid Managed Care",,,"40",,"8","0.04","2502.48","percent of total billed charges",,
"NF-Lubiprostone Liquid Filled Capsule 8M","0259","RC","Both",,,"20","10","Wellcare","Medicaid Managed Care",,,"40",,"8.1","0.04","2502.48","percent of total billed charges",,
"NF-Lubiprostone Liquid Filled Capsule 8M","0259","RC","Both",,,"20","10","Aetna","Commercial",,,"64",,"12.76","0.04","2502.48","percent of total billed charges",,
"NF-Lubiprostone Liquid Filled Capsule 8M","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","Pathways",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Lubiprostone Liquid Filled Capsule 8M","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","HMO",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Lubiprostone Liquid Filled Capsule 8M","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","PPO",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Lubiprostone Liquid Filled Capsule 8M","0259","RC","Both",,,"20","10","Ambetter","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Lubiprostone Liquid Filled Capsule 8M","0259","RC","Both",,,"20","10","Caresource","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Lubiprostone Liquid Filled Capsule 8M","0259","RC","Both",,,"20","10","Cigna","Commercial",,,"59",,"11.72","0.04","2502.48","percent of total billed charges",,
"NF-Lubiprostone Liquid Filled Capsule 8M","0259","RC","Both",,,"20","10","Humana","Commercial",,,"78",,"15.5","0.04","2502.48","percent of total billed charges",,
"NF-Lubiprostone Liquid Filled Capsule 8M","0259","RC","Both",,,"20","10","UHC","Commercial",,,"75",,"15.08","0.04","2502.48","percent of total billed charges",,
"NF-Lubiprostone Liquid Filled Capsule 8M","0259","RC","Both",,,"20","10","Medicaid",,,,"37",,"7.32","0.04","2502.48","percent of total billed charges",,
"NF-Cellcept Tablet 500MG","0259","RC","Both",,,"64","32","Alliant","Health Exchange",,,"62",,"39.68","0.04","2502.48","percent of total billed charges",,
"NF-Cellcept Tablet 500MG","0259","RC","Both",,,"64","32","Pruitt Healthcare","Medicare Advantage",,,"54",,"34.56","0.04","2502.48","percent of total billed charges",,
"NF-Cellcept Tablet 500MG","0259","RC","Both",,,"64","32","Medicare",,,,"54",,"34.69","0.04","2502.48","percent of total billed charges",,
"NF-Cellcept Tablet 500MG","0259","RC","Both",,,"64","32","Humana","Medicare Advantage",,,"54",,"34.69","0.04","2502.48","percent of total billed charges",,
"NF-Cellcept Tablet 500MG","0259","RC","Both",,,"64","32","UHC","Medicare Advantage",,,"54",,"34.69","0.04","2502.48","percent of total billed charges",,
"NF-Cellcept Tablet 500MG","0259","RC","Both",,,"64","32","Clover","Medicare Advantage",,,"54",,"34.69","0.04","2502.48","percent of total billed charges",,
"NF-Cellcept Tablet 500MG","0259","RC","Both",,,"64","32","Wellcare","Medicare Advantage",,,"54",,"34.69","0.04","2502.48","percent of total billed charges",,
"NF-Cellcept Tablet 500MG","0259","RC","Both",,,"64","32","Amerigroup","Medicaid Managed Care",,,"37",,"23.42","0.04","2502.48","percent of total billed charges",,
"NF-Cellcept Tablet 500MG","0259","RC","Both",,,"64","32","Caresource","Medicaid Managed Care",,,"40",,"25.6","0.04","2502.48","percent of total billed charges",,
"NF-Cellcept Tablet 500MG","0259","RC","Both",,,"64","32","Wellcare","Medicaid Managed Care",,,"40",,"25.92","0.04","2502.48","percent of total billed charges",,
"NF-Cellcept Tablet 500MG","0259","RC","Both",,,"64","32","Aetna","Commercial",,,"64",,"40.83","0.04","2502.48","percent of total billed charges",,
"NF-Cellcept Tablet 500MG","0259","RC","Both",,,"64","32","Blue Cross Blue Shield","Pathways",,,"71",,"45.18","0.04","2502.48","percent of total billed charges",,
"NF-Cellcept Tablet 500MG","0259","RC","Both",,,"64","32","Blue Cross Blue Shield","HMO",,,"71",,"45.18","0.04","2502.48","percent of total billed charges",,
"NF-Cellcept Tablet 500MG","0259","RC","Both",,,"64","32","Blue Cross Blue Shield","PPO",,,"71",,"45.18","0.04","2502.48","percent of total billed charges",,
"NF-Cellcept Tablet 500MG","0259","RC","Both",,,"64","32","Ambetter","Health Exchange",,,"62",,"39.68","0.04","2502.48","percent of total billed charges",,
"NF-Cellcept Tablet 500MG","0259","RC","Both",,,"64","32","Caresource","Health Exchange",,,"62",,"39.68","0.04","2502.48","percent of total billed charges",,
"NF-Cellcept Tablet 500MG","0259","RC","Both",,,"64","32","Cigna","Commercial",,,"59",,"37.5","0.04","2502.48","percent of total billed charges",,
"NF-Cellcept Tablet 500MG","0259","RC","Both",,,"64","32","Humana","Commercial",,,"78",,"49.6","0.04","2502.48","percent of total billed charges",,
"NF-Cellcept Tablet 500MG","0259","RC","Both",,,"64","32","UHC","Commercial",,,"75",,"48.26","0.04","2502.48","percent of total billed charges",,
"NF-Cellcept Tablet 500MG","0259","RC","Both",,,"64","32","Medicaid",,,,"37",,"23.42","0.04","2502.48","percent of total billed charges",,
"NF-Prograf Capsule 0.5MG","0259","RC","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Prograf Capsule 0.5MG","0259","RC","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","0.04","2502.48","percent of total billed charges",,
"NF-Prograf Capsule 0.5MG","0259","RC","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Prograf Capsule 0.5MG","0259","RC","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Prograf Capsule 0.5MG","0259","RC","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Prograf Capsule 0.5MG","0259","RC","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Prograf Capsule 0.5MG","0259","RC","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Prograf Capsule 0.5MG","0259","RC","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","0.04","2502.48","percent of total billed charges",,
"NF-Prograf Capsule 0.5MG","0259","RC","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","0.04","2502.48","percent of total billed charges",,
"NF-Prograf Capsule 0.5MG","0259","RC","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","0.04","2502.48","percent of total billed charges",,
"NF-Prograf Capsule 0.5MG","0259","RC","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","0.04","2502.48","percent of total billed charges",,
"NF-Prograf Capsule 0.5MG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-Prograf Capsule 0.5MG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-Prograf Capsule 0.5MG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-Prograf Capsule 0.5MG","0259","RC","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Prograf Capsule 0.5MG","0259","RC","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Prograf Capsule 0.5MG","0259","RC","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Prograf Capsule 0.5MG","0259","RC","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","0.04","2502.48","percent of total billed charges",,
"NF-Prograf Capsule 0.5MG","0259","RC","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","0.04","2502.48","percent of total billed charges",,
"NF-Prograf Capsule 0.5MG","0259","RC","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","0.04","2502.48","percent of total billed charges",,
"NF-Tacrolimus Oral Capsule 0.5MG","0259","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Tacrolimus Oral Capsule 0.5MG","0259","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-Tacrolimus Oral Capsule 0.5MG","0259","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Tacrolimus Oral Capsule 0.5MG","0259","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Tacrolimus Oral Capsule 0.5MG","0259","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Tacrolimus Oral Capsule 0.5MG","0259","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Tacrolimus Oral Capsule 0.5MG","0259","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Tacrolimus Oral Capsule 0.5MG","0259","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Tacrolimus Oral Capsule 0.5MG","0259","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","2502.48","percent of total billed charges",,
"NF-Tacrolimus Oral Capsule 0.5MG","0259","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","2502.48","percent of total billed charges",,
"NF-Tacrolimus Oral Capsule 0.5MG","0259","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","2502.48","percent of total billed charges",,
"NF-Tacrolimus Oral Capsule 0.5MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Tacrolimus Oral Capsule 0.5MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Tacrolimus Oral Capsule 0.5MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Tacrolimus Oral Capsule 0.5MG","0259","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Tacrolimus Oral Capsule 0.5MG","0259","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Tacrolimus Oral Capsule 0.5MG","0259","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-Tacrolimus Oral Capsule 0.5MG","0259","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","2502.48","percent of total billed charges",,
"NF-Tacrolimus Oral Capsule 0.5MG","0259","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","2502.48","percent of total billed charges",,
"NF-Tacrolimus Oral Capsule 0.5MG","0259","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Alliant","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.82","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Medicare",,,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Humana","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","UHC","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Clover","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Wellcare","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Amerigroup","Medicaid Managed Care",,,"37",,"12.08","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Caresource","Medicaid Managed Care",,,"40",,"13.2","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Wellcare","Medicaid Managed Care",,,"40",,"13.36","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Aetna","Commercial",,,"64",,"21.05","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","Pathways",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","HMO",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","PPO",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Ambetter","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Caresource","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Cigna","Commercial",,,"59",,"19.34","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Humana","Commercial",,,"78",,"25.58","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","UHC","Commercial",,,"75",,"24.88","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Medicaid",,,,"37",,"12.08","0.04","2502.48","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","0259","RC","Both",,,"59","29.5","Alliant","Health Exchange",,,"62",,"36.58","0.04","2502.48","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","0259","RC","Both",,,"59","29.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"31.86","0.04","2502.48","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","0259","RC","Both",,,"59","29.5","Medicare",,,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","0259","RC","Both",,,"59","29.5","Humana","Medicare Advantage",,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","0259","RC","Both",,,"59","29.5","UHC","Medicare Advantage",,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","0259","RC","Both",,,"59","29.5","Clover","Medicare Advantage",,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","0259","RC","Both",,,"59","29.5","Wellcare","Medicare Advantage",,,"54",,"31.98","0.04","2502.48","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","0259","RC","Both",,,"59","29.5","Amerigroup","Medicaid Managed Care",,,"37",,"21.59","0.04","2502.48","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","0259","RC","Both",,,"59","29.5","Caresource","Medicaid Managed Care",,,"40",,"23.6","0.04","2502.48","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","0259","RC","Both",,,"59","29.5","Wellcare","Medicaid Managed Care",,,"40",,"23.9","0.04","2502.48","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","0259","RC","Both",,,"59","29.5","Aetna","Commercial",,,"64",,"37.64","0.04","2502.48","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","0259","RC","Both",,,"59","29.5","Blue Cross Blue Shield","Pathways",,,"71",,"41.65","0.04","2502.48","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","0259","RC","Both",,,"59","29.5","Blue Cross Blue Shield","HMO",,,"71",,"41.65","0.04","2502.48","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","0259","RC","Both",,,"59","29.5","Blue Cross Blue Shield","PPO",,,"71",,"41.65","0.04","2502.48","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","0259","RC","Both",,,"59","29.5","Ambetter","Health Exchange",,,"62",,"36.58","0.04","2502.48","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","0259","RC","Both",,,"59","29.5","Caresource","Health Exchange",,,"62",,"36.58","0.04","2502.48","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","0259","RC","Both",,,"59","29.5","Cigna","Commercial",,,"59",,"34.57","0.04","2502.48","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","0259","RC","Both",,,"59","29.5","Humana","Commercial",,,"78",,"45.72","0.04","2502.48","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","0259","RC","Both",,,"59","29.5","UHC","Commercial",,,"75",,"44.49","0.04","2502.48","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","0259","RC","Both",,,"59","29.5","Medicaid",,,,"37",,"21.59","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"38","19","Alliant","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.52","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"38","19","Medicare",,,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"38","19","Humana","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"38","19","UHC","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"38","19","Clover","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"38","19","Wellcare","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"38","19","Amerigroup","Medicaid Managed Care",,,"37",,"13.91","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"38","19","Caresource","Medicaid Managed Care",,,"40",,"15.2","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"38","19","Wellcare","Medicaid Managed Care",,,"40",,"15.39","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"38","19","Aetna","Commercial",,,"64",,"24.24","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","Pathways",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","HMO",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","PPO",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"38","19","Ambetter","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"38","19","Caresource","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"38","19","Cigna","Commercial",,,"59",,"22.27","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"38","19","Humana","Commercial",,,"78",,"29.45","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"38","19","UHC","Commercial",,,"75",,"28.65","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"38","19","Medicaid",,,,"37",,"13.91","0.04","2502.48","percent of total billed charges",,
"CALCIUM GLUCONATE 1 GM/50 ML PREMIX INF","0636","RC","Both",,,"60","30","Alliant","Health Exchange",,,"62",,"37.2","21.96","143.38","percent of total billed charges",,
"CALCIUM GLUCONATE 1 GM/50 ML PREMIX INF","0636","RC","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage",,,"54",,"32.4","21.96","143.38","percent of total billed charges",,
"CALCIUM GLUCONATE 1 GM/50 ML PREMIX INF","0636","RC","Both",,,"60","30","Medicare",,,,"54",,"32.52","21.96","143.38","percent of total billed charges",,
"CALCIUM GLUCONATE 1 GM/50 ML PREMIX INF","0636","RC","Both",,,"60","30","Humana","Medicare Advantage",,,"54",,"32.52","21.96","143.38","percent of total billed charges",,
"CALCIUM GLUCONATE 1 GM/50 ML PREMIX INF","0636","RC","Both",,,"60","30","UHC","Medicare Advantage",,,"54",,"32.52","21.96","143.38","percent of total billed charges",,
"CALCIUM GLUCONATE 1 GM/50 ML PREMIX INF","0636","RC","Both",,,"60","30","Clover","Medicare Advantage",,,"54",,"32.52","21.96","143.38","percent of total billed charges",,
"CALCIUM GLUCONATE 1 GM/50 ML PREMIX INF","0636","RC","Both",,,"60","30","Wellcare","Medicare Advantage",,,"54",,"32.52","21.96","143.38","percent of total billed charges",,
"CALCIUM GLUCONATE 1 GM/50 ML PREMIX INF","0636","RC","Both",,,"60","30","Amerigroup","Medicaid Managed Care",,,"37",,"21.96","21.96","143.38","percent of total billed charges",,
"CALCIUM GLUCONATE 1 GM/50 ML PREMIX INF","0636","RC","Both",,,"60","30","Caresource","Medicaid Managed Care",,,"40",,"24","21.96","143.38","percent of total billed charges",,
"CALCIUM GLUCONATE 1 GM/50 ML PREMIX INF","0636","RC","Both",,,"60","30","Wellcare","Medicaid Managed Care",,,"40",,"24.3","21.96","143.38","percent of total billed charges",,
"CALCIUM GLUCONATE 1 GM/50 ML PREMIX INF","0636","RC","Both",,,"60","30","Aetna","Commercial",,,"64",,"38.28","21.96","143.38","percent of total billed charges",,
"CALCIUM GLUCONATE 1 GM/50 ML PREMIX INF","0636","RC","Both",,,"60","30","Blue Cross Blue Shield","Pathways",,,"71",,"42.36","21.96","143.38","percent of total billed charges",,
"CALCIUM GLUCONATE 1 GM/50 ML PREMIX INF","0636","RC","Both",,,"60","30","Blue Cross Blue Shield","HMO",,,"71",,"42.36","21.96","143.38","percent of total billed charges",,
"CALCIUM GLUCONATE 1 GM/50 ML PREMIX INF","0636","RC","Both",,,"60","30","Blue Cross Blue Shield","PPO",,,"71",,"42.36","21.96","143.38","percent of total billed charges",,
"CALCIUM GLUCONATE 1 GM/50 ML PREMIX INF","0636","RC","Both",,,"60","30","Ambetter","Health Exchange",,,"62",,"37.2","21.96","143.38","percent of total billed charges",,
"CALCIUM GLUCONATE 1 GM/50 ML PREMIX INF","0636","RC","Both",,,"60","30","Caresource","Health Exchange",,,"62",,"37.2","21.96","143.38","percent of total billed charges",,
"CALCIUM GLUCONATE 1 GM/50 ML PREMIX INF","0636","RC","Both",,,"60","30","Cigna","Commercial",,,"59",,"35.16","21.96","143.38","percent of total billed charges",,
"CALCIUM GLUCONATE 1 GM/50 ML PREMIX INF","0636","RC","Both",,,"60","30","Humana","Commercial",,,"78",,"46.5","21.96","143.38","percent of total billed charges",,
"CALCIUM GLUCONATE 1 GM/50 ML PREMIX INF","0636","RC","Both",,,"60","30","UHC","Commercial",,,"75",,"45.24","21.96","143.38","percent of total billed charges",,
"CALCIUM GLUCONATE 1 GM/50 ML PREMIX INF","0636","RC","Both",,,"60","30","Medicaid",,,,"37",,"21.96","21.96","143.38","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Alliant","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.82","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Medicare",,,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Humana","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","UHC","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Clover","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Wellcare","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Amerigroup","Medicaid Managed Care",,,"37",,"12.08","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Caresource","Medicaid Managed Care",,,"40",,"13.2","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Wellcare","Medicaid Managed Care",,,"40",,"13.36","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Aetna","Commercial",,,"64",,"21.05","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","Pathways",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","HMO",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","PPO",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Ambetter","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Caresource","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Cigna","Commercial",,,"59",,"19.34","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Humana","Commercial",,,"78",,"25.58","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","UHC","Commercial",,,"75",,"24.88","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Medicaid",,,,"37",,"12.08","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Alliant","Health Exchange",,,"62",,"10.54","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.18","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Medicare",,,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Humana","Medicare Advantage",,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","UHC","Medicare Advantage",,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Clover","Medicare Advantage",,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Wellcare","Medicare Advantage",,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.22","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Caresource","Medicaid Managed Care",,,"40",,"6.8","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Wellcare","Medicaid Managed Care",,,"40",,"6.89","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Aetna","Commercial",,,"64",,"10.85","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways",,,"71",,"12","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Blue Cross Blue Shield","HMO",,,"71",,"12","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Blue Cross Blue Shield","PPO",,,"71",,"12","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Ambetter","Health Exchange",,,"62",,"10.54","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Caresource","Health Exchange",,,"62",,"10.54","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Cigna","Commercial",,,"59",,"9.96","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Humana","Commercial",,,"78",,"13.18","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","UHC","Commercial",,,"75",,"12.82","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Medicaid",,,,"37",,"6.22","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0259","RC","Both",,,"49","24.5","Alliant","Health Exchange",,,"62",,"30.38","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0259","RC","Both",,,"49","24.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"26.46","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0259","RC","Both",,,"49","24.5","Medicare",,,,"54",,"26.56","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0259","RC","Both",,,"49","24.5","Humana","Medicare Advantage",,,"54",,"26.56","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0259","RC","Both",,,"49","24.5","UHC","Medicare Advantage",,,"54",,"26.56","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0259","RC","Both",,,"49","24.5","Clover","Medicare Advantage",,,"54",,"26.56","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0259","RC","Both",,,"49","24.5","Wellcare","Medicare Advantage",,,"54",,"26.56","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0259","RC","Both",,,"49","24.5","Amerigroup","Medicaid Managed Care",,,"37",,"17.93","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0259","RC","Both",,,"49","24.5","Caresource","Medicaid Managed Care",,,"40",,"19.6","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0259","RC","Both",,,"49","24.5","Wellcare","Medicaid Managed Care",,,"40",,"19.85","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0259","RC","Both",,,"49","24.5","Aetna","Commercial",,,"64",,"31.26","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0259","RC","Both",,,"49","24.5","Blue Cross Blue Shield","Pathways",,,"71",,"34.59","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0259","RC","Both",,,"49","24.5","Blue Cross Blue Shield","HMO",,,"71",,"34.59","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0259","RC","Both",,,"49","24.5","Blue Cross Blue Shield","PPO",,,"71",,"34.59","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0259","RC","Both",,,"49","24.5","Ambetter","Health Exchange",,,"62",,"30.38","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0259","RC","Both",,,"49","24.5","Caresource","Health Exchange",,,"62",,"30.38","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0259","RC","Both",,,"49","24.5","Cigna","Commercial",,,"59",,"28.71","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0259","RC","Both",,,"49","24.5","Humana","Commercial",,,"78",,"37.98","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0259","RC","Both",,,"49","24.5","UHC","Commercial",,,"75",,"36.95","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0259","RC","Both",,,"49","24.5","Medicaid",,,,"37",,"17.93","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone Tablet 750MG","0259","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone Tablet 750MG","0259","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone Tablet 750MG","0259","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone Tablet 750MG","0259","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone Tablet 750MG","0259","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone Tablet 750MG","0259","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone Tablet 750MG","0259","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone Tablet 750MG","0259","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone Tablet 750MG","0259","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone Tablet 750MG","0259","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone Tablet 750MG","0259","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone Tablet 750MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone Tablet 750MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone Tablet 750MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone Tablet 750MG","0259","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone Tablet 750MG","0259","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone Tablet 750MG","0259","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone Tablet 750MG","0259","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone Tablet 750MG","0259","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone Tablet 750MG","0259","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone 750MG Tablet","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone 750MG Tablet","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone 750MG Tablet","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone 750MG Tablet","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone 750MG Tablet","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone 750MG Tablet","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone 750MG Tablet","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone 750MG Tablet","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone 750MG Tablet","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone 750MG Tablet","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone 750MG Tablet","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone 750MG Tablet","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone 750MG Tablet","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone 750MG Tablet","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone 750MG Tablet","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone 750MG Tablet","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone 750MG Tablet","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone 750MG Tablet","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone 750MG Tablet","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone 750MG Tablet","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Alliant","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.82","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Medicare",,,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Humana","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","UHC","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Clover","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Wellcare","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Amerigroup","Medicaid Managed Care",,,"37",,"12.08","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Caresource","Medicaid Managed Care",,,"40",,"13.2","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Wellcare","Medicaid Managed Care",,,"40",,"13.36","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Aetna","Commercial",,,"64",,"21.05","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","Pathways",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","HMO",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","PPO",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Ambetter","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Caresource","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Cigna","Commercial",,,"59",,"19.34","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Humana","Commercial",,,"78",,"25.58","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","UHC","Commercial",,,"75",,"24.88","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Medicaid",,,,"37",,"12.08","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Alliant","Health Exchange",,,"62",,"37.2","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage",,,"54",,"32.4","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Medicare",,,,"54",,"32.52","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Humana","Medicare Advantage",,,"54",,"32.52","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","UHC","Medicare Advantage",,,"54",,"32.52","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Clover","Medicare Advantage",,,"54",,"32.52","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Wellcare","Medicare Advantage",,,"54",,"32.52","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Amerigroup","Medicaid Managed Care",,,"37",,"21.96","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Caresource","Medicaid Managed Care",,,"40",,"24","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Wellcare","Medicaid Managed Care",,,"40",,"24.3","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Aetna","Commercial",,,"64",,"38.28","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Blue Cross Blue Shield","Pathways",,,"71",,"42.36","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Blue Cross Blue Shield","HMO",,,"71",,"42.36","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Blue Cross Blue Shield","PPO",,,"71",,"42.36","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Ambetter","Health Exchange",,,"62",,"37.2","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Caresource","Health Exchange",,,"62",,"37.2","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Cigna","Commercial",,,"59",,"35.16","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Humana","Commercial",,,"78",,"46.5","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","UHC","Commercial",,,"75",,"45.24","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"60","30","Medicaid",,,,"37",,"21.96","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 120MG","0259","RC","Both",,,"94","47","Alliant","Health Exchange",,,"62",,"58.28","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 120MG","0259","RC","Both",,,"94","47","Pruitt Healthcare","Medicare Advantage",,,"54",,"50.76","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 120MG","0259","RC","Both",,,"94","47","Medicare",,,,"54",,"50.95","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 120MG","0259","RC","Both",,,"94","47","Humana","Medicare Advantage",,,"54",,"50.95","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 120MG","0259","RC","Both",,,"94","47","UHC","Medicare Advantage",,,"54",,"50.95","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 120MG","0259","RC","Both",,,"94","47","Clover","Medicare Advantage",,,"54",,"50.95","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 120MG","0259","RC","Both",,,"94","47","Wellcare","Medicare Advantage",,,"54",,"50.95","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 120MG","0259","RC","Both",,,"94","47","Amerigroup","Medicaid Managed Care",,,"37",,"34.4","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 120MG","0259","RC","Both",,,"94","47","Caresource","Medicaid Managed Care",,,"40",,"37.6","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 120MG","0259","RC","Both",,,"94","47","Wellcare","Medicaid Managed Care",,,"40",,"38.07","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 120MG","0259","RC","Both",,,"94","47","Aetna","Commercial",,,"64",,"59.97","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 120MG","0259","RC","Both",,,"94","47","Blue Cross Blue Shield","Pathways",,,"71",,"66.36","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 120MG","0259","RC","Both",,,"94","47","Blue Cross Blue Shield","HMO",,,"71",,"66.36","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 120MG","0259","RC","Both",,,"94","47","Blue Cross Blue Shield","PPO",,,"71",,"66.36","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 120MG","0259","RC","Both",,,"94","47","Ambetter","Health Exchange",,,"62",,"58.28","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 120MG","0259","RC","Both",,,"94","47","Caresource","Health Exchange",,,"62",,"58.28","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 120MG","0259","RC","Both",,,"94","47","Cigna","Commercial",,,"59",,"55.08","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 120MG","0259","RC","Both",,,"94","47","Humana","Commercial",,,"78",,"72.85","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 120MG","0259","RC","Both",,,"94","47","UHC","Commercial",,,"75",,"70.88","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 120MG","0259","RC","Both",,,"94","47","Medicaid",,,,"37",,"34.4","0.04","2502.48","percent of total billed charges",,
"NF-Lidocaine Patch ER 3.5%","0259","RC","Both",,,"138","69","Alliant","Health Exchange",,,"62",,"85.56","0.04","2502.48","percent of total billed charges",,
"NF-Lidocaine Patch ER 3.5%","0259","RC","Both",,,"138","69","Pruitt Healthcare","Medicare Advantage",,,"54",,"74.52","0.04","2502.48","percent of total billed charges",,
"NF-Lidocaine Patch ER 3.5%","0259","RC","Both",,,"138","69","Medicare",,,,"54",,"74.8","0.04","2502.48","percent of total billed charges",,
"NF-Lidocaine Patch ER 3.5%","0259","RC","Both",,,"138","69","Humana","Medicare Advantage",,,"54",,"74.8","0.04","2502.48","percent of total billed charges",,
"NF-Lidocaine Patch ER 3.5%","0259","RC","Both",,,"138","69","UHC","Medicare Advantage",,,"54",,"74.8","0.04","2502.48","percent of total billed charges",,
"NF-Lidocaine Patch ER 3.5%","0259","RC","Both",,,"138","69","Clover","Medicare Advantage",,,"54",,"74.8","0.04","2502.48","percent of total billed charges",,
"NF-Lidocaine Patch ER 3.5%","0259","RC","Both",,,"138","69","Wellcare","Medicare Advantage",,,"54",,"74.8","0.04","2502.48","percent of total billed charges",,
"NF-Lidocaine Patch ER 3.5%","0259","RC","Both",,,"138","69","Amerigroup","Medicaid Managed Care",,,"37",,"50.51","0.04","2502.48","percent of total billed charges",,
"NF-Lidocaine Patch ER 3.5%","0259","RC","Both",,,"138","69","Caresource","Medicaid Managed Care",,,"40",,"55.2","0.04","2502.48","percent of total billed charges",,
"NF-Lidocaine Patch ER 3.5%","0259","RC","Both",,,"138","69","Wellcare","Medicaid Managed Care",,,"40",,"55.89","0.04","2502.48","percent of total billed charges",,
"NF-Lidocaine Patch ER 3.5%","0259","RC","Both",,,"138","69","Aetna","Commercial",,,"64",,"88.04","0.04","2502.48","percent of total billed charges",,
"NF-Lidocaine Patch ER 3.5%","0259","RC","Both",,,"138","69","Blue Cross Blue Shield","Pathways",,,"71",,"97.43","0.04","2502.48","percent of total billed charges",,
"NF-Lidocaine Patch ER 3.5%","0259","RC","Both",,,"138","69","Blue Cross Blue Shield","HMO",,,"71",,"97.43","0.04","2502.48","percent of total billed charges",,
"NF-Lidocaine Patch ER 3.5%","0259","RC","Both",,,"138","69","Blue Cross Blue Shield","PPO",,,"71",,"97.43","0.04","2502.48","percent of total billed charges",,
"NF-Lidocaine Patch ER 3.5%","0259","RC","Both",,,"138","69","Ambetter","Health Exchange",,,"62",,"85.56","0.04","2502.48","percent of total billed charges",,
"NF-Lidocaine Patch ER 3.5%","0259","RC","Both",,,"138","69","Caresource","Health Exchange",,,"62",,"85.56","0.04","2502.48","percent of total billed charges",,
"NF-Lidocaine Patch ER 3.5%","0259","RC","Both",,,"138","69","Cigna","Commercial",,,"59",,"80.87","0.04","2502.48","percent of total billed charges",,
"NF-Lidocaine Patch ER 3.5%","0259","RC","Both",,,"138","69","Humana","Commercial",,,"78",,"106.95","0.04","2502.48","percent of total billed charges",,
"NF-Lidocaine Patch ER 3.5%","0259","RC","Both",,,"138","69","UHC","Commercial",,,"75",,"104.05","0.04","2502.48","percent of total billed charges",,
"NF-Lidocaine Patch ER 3.5%","0259","RC","Both",,,"138","69","Medicaid",,,,"37",,"50.51","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"38","19","Alliant","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.52","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"38","19","Medicare",,,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"38","19","Humana","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"38","19","UHC","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"38","19","Clover","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"38","19","Wellcare","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"38","19","Amerigroup","Medicaid Managed Care",,,"37",,"13.91","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"38","19","Caresource","Medicaid Managed Care",,,"40",,"15.2","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"38","19","Wellcare","Medicaid Managed Care",,,"40",,"15.39","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"38","19","Aetna","Commercial",,,"64",,"24.24","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","Pathways",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","HMO",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","PPO",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"38","19","Ambetter","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"38","19","Caresource","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"38","19","Cigna","Commercial",,,"59",,"22.27","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"38","19","Humana","Commercial",,,"78",,"29.45","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"38","19","UHC","Commercial",,,"75",,"28.65","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"38","19","Medicaid",,,,"37",,"13.91","0.04","2502.48","percent of total billed charges",,
"NF-Capzasin-HP Topical Cream 0.1%","0259","RC","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","0.04","2502.48","percent of total billed charges",,
"NF-Capzasin-HP Topical Cream 0.1%","0259","RC","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","0.04","2502.48","percent of total billed charges",,
"NF-Capzasin-HP Topical Cream 0.1%","0259","RC","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","0.04","2502.48","percent of total billed charges",,
"NF-Capzasin-HP Topical Cream 0.1%","0259","RC","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","0.04","2502.48","percent of total billed charges",,
"NF-Capzasin-HP Topical Cream 0.1%","0259","RC","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","0.04","2502.48","percent of total billed charges",,
"NF-Capzasin-HP Topical Cream 0.1%","0259","RC","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","0.04","2502.48","percent of total billed charges",,
"NF-Capzasin-HP Topical Cream 0.1%","0259","RC","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","0.04","2502.48","percent of total billed charges",,
"NF-Capzasin-HP Topical Cream 0.1%","0259","RC","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","0.04","2502.48","percent of total billed charges",,
"NF-Capzasin-HP Topical Cream 0.1%","0259","RC","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","0.04","2502.48","percent of total billed charges",,
"NF-Capzasin-HP Topical Cream 0.1%","0259","RC","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","0.04","2502.48","percent of total billed charges",,
"NF-Capzasin-HP Topical Cream 0.1%","0259","RC","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","0.04","2502.48","percent of total billed charges",,
"NF-Capzasin-HP Topical Cream 0.1%","0259","RC","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","0.04","2502.48","percent of total billed charges",,
"NF-Capzasin-HP Topical Cream 0.1%","0259","RC","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","0.04","2502.48","percent of total billed charges",,
"NF-Capzasin-HP Topical Cream 0.1%","0259","RC","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","0.04","2502.48","percent of total billed charges",,
"NF-Capzasin-HP Topical Cream 0.1%","0259","RC","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","0.04","2502.48","percent of total billed charges",,
"NF-Capzasin-HP Topical Cream 0.1%","0259","RC","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","0.04","2502.48","percent of total billed charges",,
"NF-Capzasin-HP Topical Cream 0.1%","0259","RC","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","0.04","2502.48","percent of total billed charges",,
"NF-Capzasin-HP Topical Cream 0.1%","0259","RC","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","0.04","2502.48","percent of total billed charges",,
"NF-Capzasin-HP Topical Cream 0.1%","0259","RC","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","0.04","2502.48","percent of total billed charges",,
"NF-Capzasin-HP Topical Cream 0.1%","0259","RC","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"95","47.5","Alliant","Health Exchange",,,"62",,"58.9","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"95","47.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"51.3","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"95","47.5","Medicare",,,,"54",,"51.49","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"95","47.5","Humana","Medicare Advantage",,,"54",,"51.49","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"95","47.5","UHC","Medicare Advantage",,,"54",,"51.49","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"95","47.5","Clover","Medicare Advantage",,,"54",,"51.49","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"95","47.5","Wellcare","Medicare Advantage",,,"54",,"51.49","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"95","47.5","Amerigroup","Medicaid Managed Care",,,"37",,"34.77","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"95","47.5","Caresource","Medicaid Managed Care",,,"40",,"38","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"95","47.5","Wellcare","Medicaid Managed Care",,,"40",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"95","47.5","Aetna","Commercial",,,"64",,"60.61","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"95","47.5","Blue Cross Blue Shield","Pathways",,,"71",,"67.07","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"95","47.5","Blue Cross Blue Shield","HMO",,,"71",,"67.07","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"95","47.5","Blue Cross Blue Shield","PPO",,,"71",,"67.07","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"95","47.5","Ambetter","Health Exchange",,,"62",,"58.9","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"95","47.5","Caresource","Health Exchange",,,"62",,"58.9","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"95","47.5","Cigna","Commercial",,,"59",,"55.67","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"95","47.5","Humana","Commercial",,,"78",,"73.62","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"95","47.5","UHC","Commercial",,,"75",,"71.63","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"95","47.5","Medicaid",,,,"37",,"34.77","0.04","2502.48","percent of total billed charges",,
"NF-Oxandrolone Oral Tablet 10MG","0259","RC","Both",,,"56","28","Alliant","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Oxandrolone Oral Tablet 10MG","0259","RC","Both",,,"56","28","Pruitt Healthcare","Medicare Advantage",,,"54",,"30.24","0.04","2502.48","percent of total billed charges",,
"NF-Oxandrolone Oral Tablet 10MG","0259","RC","Both",,,"56","28","Medicare",,,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Oxandrolone Oral Tablet 10MG","0259","RC","Both",,,"56","28","Humana","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Oxandrolone Oral Tablet 10MG","0259","RC","Both",,,"56","28","UHC","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Oxandrolone Oral Tablet 10MG","0259","RC","Both",,,"56","28","Clover","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Oxandrolone Oral Tablet 10MG","0259","RC","Both",,,"56","28","Wellcare","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-Oxandrolone Oral Tablet 10MG","0259","RC","Both",,,"56","28","Amerigroup","Medicaid Managed Care",,,"37",,"20.5","0.04","2502.48","percent of total billed charges",,
"NF-Oxandrolone Oral Tablet 10MG","0259","RC","Both",,,"56","28","Caresource","Medicaid Managed Care",,,"40",,"22.4","0.04","2502.48","percent of total billed charges",,
"NF-Oxandrolone Oral Tablet 10MG","0259","RC","Both",,,"56","28","Wellcare","Medicaid Managed Care",,,"40",,"22.68","0.04","2502.48","percent of total billed charges",,
"NF-Oxandrolone Oral Tablet 10MG","0259","RC","Both",,,"56","28","Aetna","Commercial",,,"64",,"35.73","0.04","2502.48","percent of total billed charges",,
"NF-Oxandrolone Oral Tablet 10MG","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","Pathways",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Oxandrolone Oral Tablet 10MG","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","HMO",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Oxandrolone Oral Tablet 10MG","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","PPO",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-Oxandrolone Oral Tablet 10MG","0259","RC","Both",,,"56","28","Ambetter","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Oxandrolone Oral Tablet 10MG","0259","RC","Both",,,"56","28","Caresource","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-Oxandrolone Oral Tablet 10MG","0259","RC","Both",,,"56","28","Cigna","Commercial",,,"59",,"32.82","0.04","2502.48","percent of total billed charges",,
"NF-Oxandrolone Oral Tablet 10MG","0259","RC","Both",,,"56","28","Humana","Commercial",,,"78",,"43.4","0.04","2502.48","percent of total billed charges",,
"NF-Oxandrolone Oral Tablet 10MG","0259","RC","Both",,,"56","28","UHC","Commercial",,,"75",,"42.22","0.04","2502.48","percent of total billed charges",,
"NF-Oxandrolone Oral Tablet 10MG","0259","RC","Both",,,"56","28","Medicaid",,,,"37",,"20.5","0.04","2502.48","percent of total billed charges",,
"NF-Symproic Oral Tablet 0.2MG","0259","RC","Both",,,"49","24.5","Alliant","Health Exchange",,,"62",,"30.38","0.04","2502.48","percent of total billed charges",,
"NF-Symproic Oral Tablet 0.2MG","0259","RC","Both",,,"49","24.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"26.46","0.04","2502.48","percent of total billed charges",,
"NF-Symproic Oral Tablet 0.2MG","0259","RC","Both",,,"49","24.5","Medicare",,,,"54",,"26.56","0.04","2502.48","percent of total billed charges",,
"NF-Symproic Oral Tablet 0.2MG","0259","RC","Both",,,"49","24.5","Humana","Medicare Advantage",,,"54",,"26.56","0.04","2502.48","percent of total billed charges",,
"NF-Symproic Oral Tablet 0.2MG","0259","RC","Both",,,"49","24.5","UHC","Medicare Advantage",,,"54",,"26.56","0.04","2502.48","percent of total billed charges",,
"NF-Symproic Oral Tablet 0.2MG","0259","RC","Both",,,"49","24.5","Clover","Medicare Advantage",,,"54",,"26.56","0.04","2502.48","percent of total billed charges",,
"NF-Symproic Oral Tablet 0.2MG","0259","RC","Both",,,"49","24.5","Wellcare","Medicare Advantage",,,"54",,"26.56","0.04","2502.48","percent of total billed charges",,
"NF-Symproic Oral Tablet 0.2MG","0259","RC","Both",,,"49","24.5","Amerigroup","Medicaid Managed Care",,,"37",,"17.93","0.04","2502.48","percent of total billed charges",,
"NF-Symproic Oral Tablet 0.2MG","0259","RC","Both",,,"49","24.5","Caresource","Medicaid Managed Care",,,"40",,"19.6","0.04","2502.48","percent of total billed charges",,
"NF-Symproic Oral Tablet 0.2MG","0259","RC","Both",,,"49","24.5","Wellcare","Medicaid Managed Care",,,"40",,"19.85","0.04","2502.48","percent of total billed charges",,
"NF-Symproic Oral Tablet 0.2MG","0259","RC","Both",,,"49","24.5","Aetna","Commercial",,,"64",,"31.26","0.04","2502.48","percent of total billed charges",,
"NF-Symproic Oral Tablet 0.2MG","0259","RC","Both",,,"49","24.5","Blue Cross Blue Shield","Pathways",,,"71",,"34.59","0.04","2502.48","percent of total billed charges",,
"NF-Symproic Oral Tablet 0.2MG","0259","RC","Both",,,"49","24.5","Blue Cross Blue Shield","HMO",,,"71",,"34.59","0.04","2502.48","percent of total billed charges",,
"NF-Symproic Oral Tablet 0.2MG","0259","RC","Both",,,"49","24.5","Blue Cross Blue Shield","PPO",,,"71",,"34.59","0.04","2502.48","percent of total billed charges",,
"NF-Symproic Oral Tablet 0.2MG","0259","RC","Both",,,"49","24.5","Ambetter","Health Exchange",,,"62",,"30.38","0.04","2502.48","percent of total billed charges",,
"NF-Symproic Oral Tablet 0.2MG","0259","RC","Both",,,"49","24.5","Caresource","Health Exchange",,,"62",,"30.38","0.04","2502.48","percent of total billed charges",,
"NF-Symproic Oral Tablet 0.2MG","0259","RC","Both",,,"49","24.5","Cigna","Commercial",,,"59",,"28.71","0.04","2502.48","percent of total billed charges",,
"NF-Symproic Oral Tablet 0.2MG","0259","RC","Both",,,"49","24.5","Humana","Commercial",,,"78",,"37.98","0.04","2502.48","percent of total billed charges",,
"NF-Symproic Oral Tablet 0.2MG","0259","RC","Both",,,"49","24.5","UHC","Commercial",,,"75",,"36.95","0.04","2502.48","percent of total billed charges",,
"NF-Symproic Oral Tablet 0.2MG","0259","RC","Both",,,"49","24.5","Medicaid",,,,"37",,"17.93","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 200MG","0259","RC","Both",,,"63","31.5","Alliant","Health Exchange",,,"62",,"39.06","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 200MG","0259","RC","Both",,,"63","31.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"34.02","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 200MG","0259","RC","Both",,,"63","31.5","Medicare",,,,"54",,"34.15","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 200MG","0259","RC","Both",,,"63","31.5","Humana","Medicare Advantage",,,"54",,"34.15","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 200MG","0259","RC","Both",,,"63","31.5","UHC","Medicare Advantage",,,"54",,"34.15","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 200MG","0259","RC","Both",,,"63","31.5","Clover","Medicare Advantage",,,"54",,"34.15","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 200MG","0259","RC","Both",,,"63","31.5","Wellcare","Medicare Advantage",,,"54",,"34.15","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 200MG","0259","RC","Both",,,"63","31.5","Amerigroup","Medicaid Managed Care",,,"37",,"23.06","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 200MG","0259","RC","Both",,,"63","31.5","Caresource","Medicaid Managed Care",,,"40",,"25.2","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 200MG","0259","RC","Both",,,"63","31.5","Wellcare","Medicaid Managed Care",,,"40",,"25.52","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 200MG","0259","RC","Both",,,"63","31.5","Aetna","Commercial",,,"64",,"40.19","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 200MG","0259","RC","Both",,,"63","31.5","Blue Cross Blue Shield","Pathways",,,"71",,"44.48","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 200MG","0259","RC","Both",,,"63","31.5","Blue Cross Blue Shield","HMO",,,"71",,"44.48","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 200MG","0259","RC","Both",,,"63","31.5","Blue Cross Blue Shield","PPO",,,"71",,"44.48","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 200MG","0259","RC","Both",,,"63","31.5","Ambetter","Health Exchange",,,"62",,"39.06","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 200MG","0259","RC","Both",,,"63","31.5","Caresource","Health Exchange",,,"62",,"39.06","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 200MG","0259","RC","Both",,,"63","31.5","Cigna","Commercial",,,"59",,"36.92","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 200MG","0259","RC","Both",,,"63","31.5","Humana","Commercial",,,"78",,"48.82","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 200MG","0259","RC","Both",,,"63","31.5","UHC","Commercial",,,"75",,"47.5","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 200MG","0259","RC","Both",,,"63","31.5","Medicaid",,,,"37",,"23.06","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0250","RC","Both",,,"23","11.5","Alliant","Health Exchange",,,"62",,"14.26","0.04","569.62","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0250","RC","Both",,,"23","11.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.42","0.04","569.62","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0250","RC","Both",,,"23","11.5","Medicare",,,,"54",,"12.47","0.04","569.62","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0250","RC","Both",,,"23","11.5","Humana","Medicare Advantage",,,"54",,"12.47","0.04","569.62","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0250","RC","Both",,,"23","11.5","UHC","Medicare Advantage",,,"54",,"12.47","0.04","569.62","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0250","RC","Both",,,"23","11.5","Clover","Medicare Advantage",,,"54",,"12.47","0.04","569.62","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0250","RC","Both",,,"23","11.5","Wellcare","Medicare Advantage",,,"54",,"12.47","0.04","569.62","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0250","RC","Both",,,"23","11.5","Amerigroup","Medicaid Managed Care",,,"37",,"8.42","0.04","569.62","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0250","RC","Both",,,"23","11.5","Caresource","Medicaid Managed Care",,,"40",,"9.2","0.04","569.62","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0250","RC","Both",,,"23","11.5","Wellcare","Medicaid Managed Care",,,"40",,"9.32","0.04","569.62","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0250","RC","Both",,,"23","11.5","Aetna","Commercial",,,"64",,"14.67","0.04","569.62","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0250","RC","Both",,,"23","11.5","Blue Cross Blue Shield","Pathways",,,"71",,"16.24","0.04","569.62","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0250","RC","Both",,,"23","11.5","Blue Cross Blue Shield","HMO",,,"71",,"16.24","0.04","569.62","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0250","RC","Both",,,"23","11.5","Blue Cross Blue Shield","PPO",,,"71",,"16.24","0.04","569.62","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0250","RC","Both",,,"23","11.5","Ambetter","Health Exchange",,,"62",,"14.26","0.04","569.62","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0250","RC","Both",,,"23","11.5","Caresource","Health Exchange",,,"62",,"14.26","0.04","569.62","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0250","RC","Both",,,"23","11.5","Cigna","Commercial",,,"59",,"13.48","0.04","569.62","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0250","RC","Both",,,"23","11.5","Humana","Commercial",,,"78",,"17.82","0.04","569.62","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0250","RC","Both",,,"23","11.5","UHC","Commercial",,,"75",,"17.34","0.04","569.62","percent of total billed charges",,
"NF-Breo Ellipta Inhalation Powder","0250","RC","Both",,,"23","11.5","Medicaid",,,,"37",,"8.42","0.04","569.62","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","0259","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Alliant","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.48","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Medicare",,,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Humana","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","UHC","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Clover","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Wellcare","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Amerigroup","Medicaid Managed Care",,,"37",,"4.39","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Caresource","Medicaid Managed Care",,,"40",,"4.8","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Wellcare","Medicaid Managed Care",,,"40",,"4.86","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Aetna","Commercial",,,"64",,"7.66","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","Pathways",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","HMO",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","PPO",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Ambetter","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Caresource","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Cigna","Commercial",,,"59",,"7.03","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Humana","Commercial",,,"78",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","UHC","Commercial",,,"75",,"9.05","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Medicaid",,,,"37",,"4.39","0.04","2502.48","percent of total billed charges",,
"NF-Fexofenadine Oral Tablet 180MG","0259","RC","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Fexofenadine Oral Tablet 180MG","0259","RC","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","0.04","2502.48","percent of total billed charges",,
"NF-Fexofenadine Oral Tablet 180MG","0259","RC","Both",,,"8","4","Medicare",,,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Fexofenadine Oral Tablet 180MG","0259","RC","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Fexofenadine Oral Tablet 180MG","0259","RC","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Fexofenadine Oral Tablet 180MG","0259","RC","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Fexofenadine Oral Tablet 180MG","0259","RC","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Fexofenadine Oral Tablet 180MG","0259","RC","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Fexofenadine Oral Tablet 180MG","0259","RC","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","0.04","2502.48","percent of total billed charges",,
"NF-Fexofenadine Oral Tablet 180MG","0259","RC","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-Fexofenadine Oral Tablet 180MG","0259","RC","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","0.04","2502.48","percent of total billed charges",,
"NF-Fexofenadine Oral Tablet 180MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Fexofenadine Oral Tablet 180MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Fexofenadine Oral Tablet 180MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Fexofenadine Oral Tablet 180MG","0259","RC","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Fexofenadine Oral Tablet 180MG","0259","RC","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Fexofenadine Oral Tablet 180MG","0259","RC","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","0.04","2502.48","percent of total billed charges",,
"NF-Fexofenadine Oral Tablet 180MG","0259","RC","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Fexofenadine Oral Tablet 180MG","0259","RC","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","0.04","2502.48","percent of total billed charges",,
"NF-Fexofenadine Oral Tablet 180MG","0259","RC","Both",,,"8","4","Medicaid",,,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Alliant","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.82","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Medicare",,,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Humana","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","UHC","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Clover","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Wellcare","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Amerigroup","Medicaid Managed Care",,,"37",,"12.08","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Caresource","Medicaid Managed Care",,,"40",,"13.2","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Wellcare","Medicaid Managed Care",,,"40",,"13.36","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Aetna","Commercial",,,"64",,"21.05","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","Pathways",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","HMO",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","PPO",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Ambetter","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Caresource","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Cigna","Commercial",,,"59",,"19.34","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Humana","Commercial",,,"78",,"25.58","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","UHC","Commercial",,,"75",,"24.88","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"33","16.5","Medicaid",,,,"37",,"12.08","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Alliant","Health Exchange",,,"62",,"38.44","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Pruitt Healthcare","Medicare Advantage",,,"54",,"33.48","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Medicare",,,,"54",,"33.6","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Humana","Medicare Advantage",,,"54",,"33.6","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","UHC","Medicare Advantage",,,"54",,"33.6","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Clover","Medicare Advantage",,,"54",,"33.6","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Wellcare","Medicare Advantage",,,"54",,"33.6","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Amerigroup","Medicaid Managed Care",,,"37",,"22.69","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Caresource","Medicaid Managed Care",,,"40",,"24.8","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Wellcare","Medicaid Managed Care",,,"40",,"25.11","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Aetna","Commercial",,,"64",,"39.56","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Blue Cross Blue Shield","Pathways",,,"71",,"43.77","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Blue Cross Blue Shield","HMO",,,"71",,"43.77","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Blue Cross Blue Shield","PPO",,,"71",,"43.77","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Ambetter","Health Exchange",,,"62",,"38.44","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Caresource","Health Exchange",,,"62",,"38.44","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Cigna","Commercial",,,"59",,"36.33","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Humana","Commercial",,,"78",,"48.05","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","UHC","Commercial",,,"75",,"46.75","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Medicaid",,,,"37",,"22.69","0.04","2502.48","percent of total billed charges",,
"NF-Crestor Oral Tablet 5MG","0259","RC","Both",,,"33","16.5","Alliant","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Crestor Oral Tablet 5MG","0259","RC","Both",,,"33","16.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.82","0.04","2502.48","percent of total billed charges",,
"NF-Crestor Oral Tablet 5MG","0259","RC","Both",,,"33","16.5","Medicare",,,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Crestor Oral Tablet 5MG","0259","RC","Both",,,"33","16.5","Humana","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Crestor Oral Tablet 5MG","0259","RC","Both",,,"33","16.5","UHC","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Crestor Oral Tablet 5MG","0259","RC","Both",,,"33","16.5","Clover","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Crestor Oral Tablet 5MG","0259","RC","Both",,,"33","16.5","Wellcare","Medicare Advantage",,,"54",,"17.89","0.04","2502.48","percent of total billed charges",,
"NF-Crestor Oral Tablet 5MG","0259","RC","Both",,,"33","16.5","Amerigroup","Medicaid Managed Care",,,"37",,"12.08","0.04","2502.48","percent of total billed charges",,
"NF-Crestor Oral Tablet 5MG","0259","RC","Both",,,"33","16.5","Caresource","Medicaid Managed Care",,,"40",,"13.2","0.04","2502.48","percent of total billed charges",,
"NF-Crestor Oral Tablet 5MG","0259","RC","Both",,,"33","16.5","Wellcare","Medicaid Managed Care",,,"40",,"13.36","0.04","2502.48","percent of total billed charges",,
"NF-Crestor Oral Tablet 5MG","0259","RC","Both",,,"33","16.5","Aetna","Commercial",,,"64",,"21.05","0.04","2502.48","percent of total billed charges",,
"NF-Crestor Oral Tablet 5MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","Pathways",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Crestor Oral Tablet 5MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","HMO",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Crestor Oral Tablet 5MG","0259","RC","Both",,,"33","16.5","Blue Cross Blue Shield","PPO",,,"71",,"23.3","0.04","2502.48","percent of total billed charges",,
"NF-Crestor Oral Tablet 5MG","0259","RC","Both",,,"33","16.5","Ambetter","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Crestor Oral Tablet 5MG","0259","RC","Both",,,"33","16.5","Caresource","Health Exchange",,,"62",,"20.46","0.04","2502.48","percent of total billed charges",,
"NF-Crestor Oral Tablet 5MG","0259","RC","Both",,,"33","16.5","Cigna","Commercial",,,"59",,"19.34","0.04","2502.48","percent of total billed charges",,
"NF-Crestor Oral Tablet 5MG","0259","RC","Both",,,"33","16.5","Humana","Commercial",,,"78",,"25.58","0.04","2502.48","percent of total billed charges",,
"NF-Crestor Oral Tablet 5MG","0259","RC","Both",,,"33","16.5","UHC","Commercial",,,"75",,"24.88","0.04","2502.48","percent of total billed charges",,
"NF-Crestor Oral Tablet 5MG","0259","RC","Both",,,"33","16.5","Medicaid",,,,"37",,"12.08","0.04","2502.48","percent of total billed charges",,
"NF-Benicar Oral Tablet 5MG","0259","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Benicar Oral Tablet 5MG","0259","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-Benicar Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Benicar Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Benicar Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Benicar Oral Tablet 5MG","0259","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Benicar Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-Benicar Oral Tablet 5MG","0259","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Benicar Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.04","2502.48","percent of total billed charges",,
"NF-Benicar Oral Tablet 5MG","0259","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.04","2502.48","percent of total billed charges",,
"NF-Benicar Oral Tablet 5MG","0259","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-Benicar Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Benicar Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Benicar Oral Tablet 5MG","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-Benicar Oral Tablet 5MG","0259","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Benicar Oral Tablet 5MG","0259","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-Benicar Oral Tablet 5MG","0259","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.04","2502.48","percent of total billed charges",,
"NF-Benicar Oral Tablet 5MG","0259","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.04","2502.48","percent of total billed charges",,
"NF-Benicar Oral Tablet 5MG","0259","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.04","2502.48","percent of total billed charges",,
"NF-Benicar Oral Tablet 5MG","0259","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","0259","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","0259","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","0259","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","0259","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","0259","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","0259","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","0259","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","0259","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","0259","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","0259","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","0259","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","0259","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","0259","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","0259","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","0259","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","0259","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","0259","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0259","RC","Both",,,"21","10.5","Alliant","Health Exchange",,,"62",,"13.02","0.04","2502.48","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0259","RC","Both",,,"21","10.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.34","0.04","2502.48","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0259","RC","Both",,,"21","10.5","Medicare",,,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0259","RC","Both",,,"21","10.5","Humana","Medicare Advantage",,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0259","RC","Both",,,"21","10.5","UHC","Medicare Advantage",,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0259","RC","Both",,,"21","10.5","Clover","Medicare Advantage",,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0259","RC","Both",,,"21","10.5","Wellcare","Medicare Advantage",,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0259","RC","Both",,,"21","10.5","Amerigroup","Medicaid Managed Care",,,"37",,"7.69","0.04","2502.48","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0259","RC","Both",,,"21","10.5","Caresource","Medicaid Managed Care",,,"40",,"8.4","0.04","2502.48","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0259","RC","Both",,,"21","10.5","Wellcare","Medicaid Managed Care",,,"40",,"8.51","0.04","2502.48","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0259","RC","Both",,,"21","10.5","Aetna","Commercial",,,"64",,"13.4","0.04","2502.48","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0259","RC","Both",,,"21","10.5","Blue Cross Blue Shield","Pathways",,,"71",,"14.83","0.04","2502.48","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0259","RC","Both",,,"21","10.5","Blue Cross Blue Shield","HMO",,,"71",,"14.83","0.04","2502.48","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0259","RC","Both",,,"21","10.5","Blue Cross Blue Shield","PPO",,,"71",,"14.83","0.04","2502.48","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0259","RC","Both",,,"21","10.5","Ambetter","Health Exchange",,,"62",,"13.02","0.04","2502.48","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0259","RC","Both",,,"21","10.5","Caresource","Health Exchange",,,"62",,"13.02","0.04","2502.48","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0259","RC","Both",,,"21","10.5","Cigna","Commercial",,,"59",,"12.31","0.04","2502.48","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0259","RC","Both",,,"21","10.5","Humana","Commercial",,,"78",,"16.28","0.04","2502.48","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0259","RC","Both",,,"21","10.5","UHC","Commercial",,,"75",,"15.83","0.04","2502.48","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0259","RC","Both",,,"21","10.5","Medicaid",,,,"37",,"7.69","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Alliant","Health Exchange",,,"62",,"38.44","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Pruitt Healthcare","Medicare Advantage",,,"54",,"33.48","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Medicare",,,,"54",,"33.6","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Humana","Medicare Advantage",,,"54",,"33.6","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","UHC","Medicare Advantage",,,"54",,"33.6","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Clover","Medicare Advantage",,,"54",,"33.6","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Wellcare","Medicare Advantage",,,"54",,"33.6","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Amerigroup","Medicaid Managed Care",,,"37",,"22.69","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Caresource","Medicaid Managed Care",,,"40",,"24.8","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Wellcare","Medicaid Managed Care",,,"40",,"25.11","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Aetna","Commercial",,,"64",,"39.56","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Blue Cross Blue Shield","Pathways",,,"71",,"43.77","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Blue Cross Blue Shield","HMO",,,"71",,"43.77","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Blue Cross Blue Shield","PPO",,,"71",,"43.77","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Ambetter","Health Exchange",,,"62",,"38.44","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Caresource","Health Exchange",,,"62",,"38.44","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Cigna","Commercial",,,"59",,"36.33","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Humana","Commercial",,,"78",,"48.05","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","UHC","Commercial",,,"75",,"46.75","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"62","31","Medicaid",,,,"37",,"22.69","0.04","2502.48","percent of total billed charges",,
"NF-Rosuvastatin Calcium Oral Tablet 5MG","0259","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Rosuvastatin Calcium Oral Tablet 5MG","0259","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.04","2502.48","percent of total billed charges",,
"NF-Rosuvastatin Calcium Oral Tablet 5MG","0259","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Rosuvastatin Calcium Oral Tablet 5MG","0259","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Rosuvastatin Calcium Oral Tablet 5MG","0259","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Rosuvastatin Calcium Oral Tablet 5MG","0259","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Rosuvastatin Calcium Oral Tablet 5MG","0259","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Rosuvastatin Calcium Oral Tablet 5MG","0259","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-Rosuvastatin Calcium Oral Tablet 5MG","0259","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.04","2502.48","percent of total billed charges",,
"NF-Rosuvastatin Calcium Oral Tablet 5MG","0259","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Rosuvastatin Calcium Oral Tablet 5MG","0259","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.04","2502.48","percent of total billed charges",,
"NF-Rosuvastatin Calcium Oral Tablet 5MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Rosuvastatin Calcium Oral Tablet 5MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Rosuvastatin Calcium Oral Tablet 5MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Rosuvastatin Calcium Oral Tablet 5MG","0259","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Rosuvastatin Calcium Oral Tablet 5MG","0259","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Rosuvastatin Calcium Oral Tablet 5MG","0259","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.04","2502.48","percent of total billed charges",,
"NF-Rosuvastatin Calcium Oral Tablet 5MG","0259","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Rosuvastatin Calcium Oral Tablet 5MG","0259","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.04","2502.48","percent of total billed charges",,
"NF-Rosuvastatin Calcium Oral Tablet 5MG","0259","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Alliant","Health Exchange",,,"62",,"292.64","0.04","2502.48","percent of total billed charges",,
"NF-tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Pruitt Healthcare","Medicare Advantage",,,"54",,"254.88","0.04","2502.48","percent of total billed charges",,
"NF-tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Medicare",,,,"54",,"255.82","0.04","2502.48","percent of total billed charges",,
"NF-tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Humana","Medicare Advantage",,,"54",,"255.82","0.04","2502.48","percent of total billed charges",,
"NF-tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","UHC","Medicare Advantage",,,"54",,"255.82","0.04","2502.48","percent of total billed charges",,
"NF-tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Clover","Medicare Advantage",,,"54",,"255.82","0.04","2502.48","percent of total billed charges",,
"NF-tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Wellcare","Medicare Advantage",,,"54",,"255.82","0.04","2502.48","percent of total billed charges",,
"NF-tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Amerigroup","Medicaid Managed Care",,,"37",,"172.75","0.04","2502.48","percent of total billed charges",,
"NF-tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Caresource","Medicaid Managed Care",,,"40",,"188.8","0.04","2502.48","percent of total billed charges",,
"NF-tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Wellcare","Medicaid Managed Care",,,"40",,"191.16","0.04","2502.48","percent of total billed charges",,
"NF-tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Aetna","Commercial",,,"64",,"301.14","0.04","2502.48","percent of total billed charges",,
"NF-tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Blue Cross Blue Shield","Pathways",,,"71",,"333.23","0.04","2502.48","percent of total billed charges",,
"NF-tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Blue Cross Blue Shield","HMO",,,"71",,"333.23","0.04","2502.48","percent of total billed charges",,
"NF-tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Blue Cross Blue Shield","PPO",,,"71",,"333.23","0.04","2502.48","percent of total billed charges",,
"NF-tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Ambetter","Health Exchange",,,"62",,"292.64","0.04","2502.48","percent of total billed charges",,
"NF-tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Caresource","Health Exchange",,,"62",,"292.64","0.04","2502.48","percent of total billed charges",,
"NF-tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Cigna","Commercial",,,"59",,"276.59","0.04","2502.48","percent of total billed charges",,
"NF-tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Humana","Commercial",,,"78",,"365.8","0.04","2502.48","percent of total billed charges",,
"NF-tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","UHC","Commercial",,,"75",,"355.89","0.04","2502.48","percent of total billed charges",,
"NF-tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Medicaid",,,,"37",,"172.75","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine AvPak Tab ER 60MG","0259","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine AvPak Tab ER 60MG","0259","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine AvPak Tab ER 60MG","0259","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine AvPak Tab ER 60MG","0259","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine AvPak Tab ER 60MG","0259","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine AvPak Tab ER 60MG","0259","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine AvPak Tab ER 60MG","0259","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine AvPak Tab ER 60MG","0259","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine AvPak Tab ER 60MG","0259","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine AvPak Tab ER 60MG","0259","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine AvPak Tab ER 60MG","0259","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine AvPak Tab ER 60MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine AvPak Tab ER 60MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine AvPak Tab ER 60MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine AvPak Tab ER 60MG","0259","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine AvPak Tab ER 60MG","0259","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine AvPak Tab ER 60MG","0259","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine AvPak Tab ER 60MG","0259","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine AvPak Tab ER 60MG","0259","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine AvPak Tab ER 60MG","0259","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"68","34","Alliant","Health Exchange",,,"62",,"42.16","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"68","34","Pruitt Healthcare","Medicare Advantage",,,"54",,"36.72","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"68","34","Medicare",,,,"54",,"36.86","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"68","34","Humana","Medicare Advantage",,,"54",,"36.86","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"68","34","UHC","Medicare Advantage",,,"54",,"36.86","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"68","34","Clover","Medicare Advantage",,,"54",,"36.86","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"68","34","Wellcare","Medicare Advantage",,,"54",,"36.86","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"68","34","Amerigroup","Medicaid Managed Care",,,"37",,"24.89","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"68","34","Caresource","Medicaid Managed Care",,,"40",,"27.2","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"68","34","Wellcare","Medicaid Managed Care",,,"40",,"27.54","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"68","34","Aetna","Commercial",,,"64",,"43.38","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"68","34","Blue Cross Blue Shield","Pathways",,,"71",,"48.01","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"68","34","Blue Cross Blue Shield","HMO",,,"71",,"48.01","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"68","34","Blue Cross Blue Shield","PPO",,,"71",,"48.01","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"68","34","Ambetter","Health Exchange",,,"62",,"42.16","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"68","34","Caresource","Health Exchange",,,"62",,"42.16","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"68","34","Cigna","Commercial",,,"59",,"39.85","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"68","34","Humana","Commercial",,,"78",,"52.7","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"68","34","UHC","Commercial",,,"75",,"51.27","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"68","34","Medicaid",,,,"37",,"24.89","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1595","797.5","Alliant","Health Exchange",,,"62",,"988.9","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1595","797.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"861.3","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1595","797.5","Medicare",,,,"54",,"864.49","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1595","797.5","Humana","Medicare Advantage",,,"54",,"864.49","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1595","797.5","UHC","Medicare Advantage",,,"54",,"864.49","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1595","797.5","Clover","Medicare Advantage",,,"54",,"864.49","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1595","797.5","Wellcare","Medicare Advantage",,,"54",,"864.49","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1595","797.5","Amerigroup","Medicaid Managed Care",,,"37",,"583.77","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1595","797.5","Caresource","Medicaid Managed Care",,,"40",,"638","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1595","797.5","Wellcare","Medicaid Managed Care",,,"40",,"645.98","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1595","797.5","Aetna","Commercial",,,"64",,"1017.61","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1595","797.5","Blue Cross Blue Shield","Pathways",,,"71",,"1126.07","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1595","797.5","Blue Cross Blue Shield","HMO",,,"71",,"1126.07","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1595","797.5","Blue Cross Blue Shield","PPO",,,"71",,"1126.07","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1595","797.5","Ambetter","Health Exchange",,,"62",,"988.9","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1595","797.5","Caresource","Health Exchange",,,"62",,"988.9","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1595","797.5","Cigna","Commercial",,,"59",,"934.67","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1595","797.5","Humana","Commercial",,,"78",,"1236.12","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1595","797.5","UHC","Commercial",,,"75",,"1202.63","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Solution 0.75MG/0.5ML","0259","RC","Both",,,"1595","797.5","Medicaid",,,,"37",,"583.77","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 60MG","0259","RC","Both",,,"12","6","Alliant","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 60MG","0259","RC","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.48","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 60MG","0259","RC","Both",,,"12","6","Medicare",,,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 60MG","0259","RC","Both",,,"12","6","Humana","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 60MG","0259","RC","Both",,,"12","6","UHC","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 60MG","0259","RC","Both",,,"12","6","Clover","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 60MG","0259","RC","Both",,,"12","6","Wellcare","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 60MG","0259","RC","Both",,,"12","6","Amerigroup","Medicaid Managed Care",,,"37",,"4.39","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 60MG","0259","RC","Both",,,"12","6","Caresource","Medicaid Managed Care",,,"40",,"4.8","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 60MG","0259","RC","Both",,,"12","6","Wellcare","Medicaid Managed Care",,,"40",,"4.86","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 60MG","0259","RC","Both",,,"12","6","Aetna","Commercial",,,"64",,"7.66","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 60MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","Pathways",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 60MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","HMO",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 60MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","PPO",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 60MG","0259","RC","Both",,,"12","6","Ambetter","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 60MG","0259","RC","Both",,,"12","6","Caresource","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 60MG","0259","RC","Both",,,"12","6","Cigna","Commercial",,,"59",,"7.03","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 60MG","0259","RC","Both",,,"12","6","Humana","Commercial",,,"78",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 60MG","0259","RC","Both",,,"12","6","UHC","Commercial",,,"75",,"9.05","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 60MG","0259","RC","Both",,,"12","6","Medicaid",,,,"37",,"4.39","0.04","2502.48","percent of total billed charges",,
"NF-Tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Alliant","Health Exchange",,,"62",,"292.64","0.04","2502.48","percent of total billed charges",,
"NF-Tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Pruitt Healthcare","Medicare Advantage",,,"54",,"254.88","0.04","2502.48","percent of total billed charges",,
"NF-Tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Medicare",,,,"54",,"255.82","0.04","2502.48","percent of total billed charges",,
"NF-Tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Humana","Medicare Advantage",,,"54",,"255.82","0.04","2502.48","percent of total billed charges",,
"NF-Tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","UHC","Medicare Advantage",,,"54",,"255.82","0.04","2502.48","percent of total billed charges",,
"NF-Tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Clover","Medicare Advantage",,,"54",,"255.82","0.04","2502.48","percent of total billed charges",,
"NF-Tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Wellcare","Medicare Advantage",,,"54",,"255.82","0.04","2502.48","percent of total billed charges",,
"NF-Tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Amerigroup","Medicaid Managed Care",,,"37",,"172.75","0.04","2502.48","percent of total billed charges",,
"NF-Tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Caresource","Medicaid Managed Care",,,"40",,"188.8","0.04","2502.48","percent of total billed charges",,
"NF-Tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Wellcare","Medicaid Managed Care",,,"40",,"191.16","0.04","2502.48","percent of total billed charges",,
"NF-Tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Aetna","Commercial",,,"64",,"301.14","0.04","2502.48","percent of total billed charges",,
"NF-Tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Blue Cross Blue Shield","Pathways",,,"71",,"333.23","0.04","2502.48","percent of total billed charges",,
"NF-Tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Blue Cross Blue Shield","HMO",,,"71",,"333.23","0.04","2502.48","percent of total billed charges",,
"NF-Tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Blue Cross Blue Shield","PPO",,,"71",,"333.23","0.04","2502.48","percent of total billed charges",,
"NF-Tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Ambetter","Health Exchange",,,"62",,"292.64","0.04","2502.48","percent of total billed charges",,
"NF-Tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Caresource","Health Exchange",,,"62",,"292.64","0.04","2502.48","percent of total billed charges",,
"NF-Tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Cigna","Commercial",,,"59",,"276.59","0.04","2502.48","percent of total billed charges",,
"NF-Tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Humana","Commercial",,,"78",,"365.8","0.04","2502.48","percent of total billed charges",,
"NF-Tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","UHC","Commercial",,,"75",,"355.89","0.04","2502.48","percent of total billed charges",,
"NF-Tetrabenazine Oral Tablet 25MG","0259","RC","Both",,,"472","236","Medicaid",,,,"37",,"172.75","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0250","RC","Both",,,"38","19","Alliant","Health Exchange",,,"62",,"23.56","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0250","RC","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.52","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0250","RC","Both",,,"38","19","Medicare",,,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0250","RC","Both",,,"38","19","Humana","Medicare Advantage",,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0250","RC","Both",,,"38","19","UHC","Medicare Advantage",,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0250","RC","Both",,,"38","19","Clover","Medicare Advantage",,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0250","RC","Both",,,"38","19","Wellcare","Medicare Advantage",,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0250","RC","Both",,,"38","19","Amerigroup","Medicaid Managed Care",,,"37",,"13.91","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0250","RC","Both",,,"38","19","Caresource","Medicaid Managed Care",,,"40",,"15.2","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0250","RC","Both",,,"38","19","Wellcare","Medicaid Managed Care",,,"40",,"15.39","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0250","RC","Both",,,"38","19","Aetna","Commercial",,,"64",,"24.24","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0250","RC","Both",,,"38","19","Blue Cross Blue Shield","Pathways",,,"71",,"26.83","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0250","RC","Both",,,"38","19","Blue Cross Blue Shield","HMO",,,"71",,"26.83","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0250","RC","Both",,,"38","19","Blue Cross Blue Shield","PPO",,,"71",,"26.83","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0250","RC","Both",,,"38","19","Ambetter","Health Exchange",,,"62",,"23.56","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0250","RC","Both",,,"38","19","Caresource","Health Exchange",,,"62",,"23.56","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0250","RC","Both",,,"38","19","Cigna","Commercial",,,"59",,"22.27","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0250","RC","Both",,,"38","19","Humana","Commercial",,,"78",,"29.45","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0250","RC","Both",,,"38","19","UHC","Commercial",,,"75",,"28.65","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0250","RC","Both",,,"38","19","Medicaid",,,,"37",,"13.91","0.04","569.62","percent of total billed charges",,
"NF-Entacapone Oral Tablet 200MG","0259","RC","Both",,,"11","5.5","Alliant","Health Exchange",,,"62",,"6.82","0.04","2502.48","percent of total billed charges",,
"NF-Entacapone Oral Tablet 200MG","0259","RC","Both",,,"11","5.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.94","0.04","2502.48","percent of total billed charges",,
"NF-Entacapone Oral Tablet 200MG","0259","RC","Both",,,"11","5.5","Medicare",,,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Entacapone Oral Tablet 200MG","0259","RC","Both",,,"11","5.5","Humana","Medicare Advantage",,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Entacapone Oral Tablet 200MG","0259","RC","Both",,,"11","5.5","UHC","Medicare Advantage",,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Entacapone Oral Tablet 200MG","0259","RC","Both",,,"11","5.5","Clover","Medicare Advantage",,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Entacapone Oral Tablet 200MG","0259","RC","Both",,,"11","5.5","Wellcare","Medicare Advantage",,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Entacapone Oral Tablet 200MG","0259","RC","Both",,,"11","5.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.03","0.04","2502.48","percent of total billed charges",,
"NF-Entacapone Oral Tablet 200MG","0259","RC","Both",,,"11","5.5","Caresource","Medicaid Managed Care",,,"40",,"4.4","0.04","2502.48","percent of total billed charges",,
"NF-Entacapone Oral Tablet 200MG","0259","RC","Both",,,"11","5.5","Wellcare","Medicaid Managed Care",,,"40",,"4.46","0.04","2502.48","percent of total billed charges",,
"NF-Entacapone Oral Tablet 200MG","0259","RC","Both",,,"11","5.5","Aetna","Commercial",,,"64",,"7.02","0.04","2502.48","percent of total billed charges",,
"NF-Entacapone Oral Tablet 200MG","0259","RC","Both",,,"11","5.5","Blue Cross Blue Shield","Pathways",,,"71",,"7.77","0.04","2502.48","percent of total billed charges",,
"NF-Entacapone Oral Tablet 200MG","0259","RC","Both",,,"11","5.5","Blue Cross Blue Shield","HMO",,,"71",,"7.77","0.04","2502.48","percent of total billed charges",,
"NF-Entacapone Oral Tablet 200MG","0259","RC","Both",,,"11","5.5","Blue Cross Blue Shield","PPO",,,"71",,"7.77","0.04","2502.48","percent of total billed charges",,
"NF-Entacapone Oral Tablet 200MG","0259","RC","Both",,,"11","5.5","Ambetter","Health Exchange",,,"62",,"6.82","0.04","2502.48","percent of total billed charges",,
"NF-Entacapone Oral Tablet 200MG","0259","RC","Both",,,"11","5.5","Caresource","Health Exchange",,,"62",,"6.82","0.04","2502.48","percent of total billed charges",,
"NF-Entacapone Oral Tablet 200MG","0259","RC","Both",,,"11","5.5","Cigna","Commercial",,,"59",,"6.45","0.04","2502.48","percent of total billed charges",,
"NF-Entacapone Oral Tablet 200MG","0259","RC","Both",,,"11","5.5","Humana","Commercial",,,"78",,"8.52","0.04","2502.48","percent of total billed charges",,
"NF-Entacapone Oral Tablet 200MG","0259","RC","Both",,,"11","5.5","UHC","Commercial",,,"75",,"8.29","0.04","2502.48","percent of total billed charges",,
"NF-Entacapone Oral Tablet 200MG","0259","RC","Both",,,"11","5.5","Medicaid",,,,"37",,"4.03","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Alliant","Health Exchange",,,"62",,"82.46","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"71.82","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Medicare",,,,"54",,"72.09","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Humana","Medicare Advantage",,,"54",,"72.09","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","UHC","Medicare Advantage",,,"54",,"72.09","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Clover","Medicare Advantage",,,"54",,"72.09","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Wellcare","Medicare Advantage",,,"54",,"72.09","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Amerigroup","Medicaid Managed Care",,,"37",,"48.68","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Caresource","Medicaid Managed Care",,,"40",,"53.2","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Wellcare","Medicaid Managed Care",,,"40",,"53.86","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Aetna","Commercial",,,"64",,"84.85","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Blue Cross Blue Shield","Pathways",,,"71",,"93.9","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Blue Cross Blue Shield","HMO",,,"71",,"93.9","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Blue Cross Blue Shield","PPO",,,"71",,"93.9","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Ambetter","Health Exchange",,,"62",,"82.46","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Caresource","Health Exchange",,,"62",,"82.46","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Cigna","Commercial",,,"59",,"77.94","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Humana","Commercial",,,"78",,"103.08","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","UHC","Commercial",,,"75",,"100.28","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Medicaid",,,,"37",,"48.68","0.04","2502.48","percent of total billed charges",,
"NF-Entacapone Oral Tablet 200MG","0259","RC","Both",,,"13","6.5","Alliant","Health Exchange",,,"62",,"8.06","0.04","2502.48","percent of total billed charges",,
"NF-Entacapone Oral Tablet 200MG","0259","RC","Both",,,"13","6.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.02","0.04","2502.48","percent of total billed charges",,
"NF-Entacapone Oral Tablet 200MG","0259","RC","Both",,,"13","6.5","Medicare",,,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-Entacapone Oral Tablet 200MG","0259","RC","Both",,,"13","6.5","Humana","Medicare Advantage",,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-Entacapone Oral Tablet 200MG","0259","RC","Both",,,"13","6.5","UHC","Medicare Advantage",,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-Entacapone Oral Tablet 200MG","0259","RC","Both",,,"13","6.5","Clover","Medicare Advantage",,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-Entacapone Oral Tablet 200MG","0259","RC","Both",,,"13","6.5","Wellcare","Medicare Advantage",,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-Entacapone Oral Tablet 200MG","0259","RC","Both",,,"13","6.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.76","0.04","2502.48","percent of total billed charges",,
"NF-Entacapone Oral Tablet 200MG","0259","RC","Both",,,"13","6.5","Caresource","Medicaid Managed Care",,,"40",,"5.2","0.04","2502.48","percent of total billed charges",,
"NF-Entacapone Oral Tablet 200MG","0259","RC","Both",,,"13","6.5","Wellcare","Medicaid Managed Care",,,"40",,"5.26","0.04","2502.48","percent of total billed charges",,
"NF-Entacapone Oral Tablet 200MG","0259","RC","Both",,,"13","6.5","Aetna","Commercial",,,"64",,"8.29","0.04","2502.48","percent of total billed charges",,
"NF-Entacapone Oral Tablet 200MG","0259","RC","Both",,,"13","6.5","Blue Cross Blue Shield","Pathways",,,"71",,"9.18","0.04","2502.48","percent of total billed charges",,
"NF-Entacapone Oral Tablet 200MG","0259","RC","Both",,,"13","6.5","Blue Cross Blue Shield","HMO",,,"71",,"9.18","0.04","2502.48","percent of total billed charges",,
"NF-Entacapone Oral Tablet 200MG","0259","RC","Both",,,"13","6.5","Blue Cross Blue Shield","PPO",,,"71",,"9.18","0.04","2502.48","percent of total billed charges",,
"NF-Entacapone Oral Tablet 200MG","0259","RC","Both",,,"13","6.5","Ambetter","Health Exchange",,,"62",,"8.06","0.04","2502.48","percent of total billed charges",,
"NF-Entacapone Oral Tablet 200MG","0259","RC","Both",,,"13","6.5","Caresource","Health Exchange",,,"62",,"8.06","0.04","2502.48","percent of total billed charges",,
"NF-Entacapone Oral Tablet 200MG","0259","RC","Both",,,"13","6.5","Cigna","Commercial",,,"59",,"7.62","0.04","2502.48","percent of total billed charges",,
"NF-Entacapone Oral Tablet 200MG","0259","RC","Both",,,"13","6.5","Humana","Commercial",,,"78",,"10.08","0.04","2502.48","percent of total billed charges",,
"NF-Entacapone Oral Tablet 200MG","0259","RC","Both",,,"13","6.5","UHC","Commercial",,,"75",,"9.8","0.04","2502.48","percent of total billed charges",,
"NF-Entacapone Oral Tablet 200MG","0259","RC","Both",,,"13","6.5","Medicaid",,,,"37",,"4.76","0.04","2502.48","percent of total billed charges",,
"NF-Carbidopa & Levodopa Oral Tab 25MG-10","0259","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Carbidopa & Levodopa Oral Tab 25MG-10","0259","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Carbidopa & Levodopa Oral Tab 25MG-10","0259","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Carbidopa & Levodopa Oral Tab 25MG-10","0259","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Carbidopa & Levodopa Oral Tab 25MG-10","0259","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Carbidopa & Levodopa Oral Tab 25MG-10","0259","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Carbidopa & Levodopa Oral Tab 25MG-10","0259","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Carbidopa & Levodopa Oral Tab 25MG-10","0259","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Carbidopa & Levodopa Oral Tab 25MG-10","0259","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","2502.48","percent of total billed charges",,
"NF-Carbidopa & Levodopa Oral Tab 25MG-10","0259","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-Carbidopa & Levodopa Oral Tab 25MG-10","0259","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-Carbidopa & Levodopa Oral Tab 25MG-10","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Carbidopa & Levodopa Oral Tab 25MG-10","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Carbidopa & Levodopa Oral Tab 25MG-10","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Carbidopa & Levodopa Oral Tab 25MG-10","0259","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Carbidopa & Levodopa Oral Tab 25MG-10","0259","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Carbidopa & Levodopa Oral Tab 25MG-10","0259","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","2502.48","percent of total billed charges",,
"NF-Carbidopa & Levodopa Oral Tab 25MG-10","0259","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-Carbidopa & Levodopa Oral Tab 25MG-10","0259","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","2502.48","percent of total billed charges",,
"NF-Carbidopa & Levodopa Oral Tab 25MG-10","0259","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-DULOXETINE CAPSULE DELAYED RELEASE 20","0259","RC","Both",,,"18.66","9.33","Alliant","Health Exchange",,,"62",,"11.57","0.04","2502.48","percent of total billed charges",,
"NF-DULOXETINE CAPSULE DELAYED RELEASE 20","0259","RC","Both",,,"18.66","9.33","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.08","0.04","2502.48","percent of total billed charges",,
"NF-DULOXETINE CAPSULE DELAYED RELEASE 20","0259","RC","Both",,,"18.66","9.33","Medicare",,,,"54",,"10.11","0.04","2502.48","percent of total billed charges",,
"NF-DULOXETINE CAPSULE DELAYED RELEASE 20","0259","RC","Both",,,"18.66","9.33","Humana","Medicare Advantage",,,"54",,"10.11","0.04","2502.48","percent of total billed charges",,
"NF-DULOXETINE CAPSULE DELAYED RELEASE 20","0259","RC","Both",,,"18.66","9.33","UHC","Medicare Advantage",,,"54",,"10.11","0.04","2502.48","percent of total billed charges",,
"NF-DULOXETINE CAPSULE DELAYED RELEASE 20","0259","RC","Both",,,"18.66","9.33","Clover","Medicare Advantage",,,"54",,"10.11","0.04","2502.48","percent of total billed charges",,
"NF-DULOXETINE CAPSULE DELAYED RELEASE 20","0259","RC","Both",,,"18.66","9.33","Wellcare","Medicare Advantage",,,"54",,"10.11","0.04","2502.48","percent of total billed charges",,
"NF-DULOXETINE CAPSULE DELAYED RELEASE 20","0259","RC","Both",,,"18.66","9.33","Amerigroup","Medicaid Managed Care",,,"37",,"6.83","0.04","2502.48","percent of total billed charges",,
"NF-DULOXETINE CAPSULE DELAYED RELEASE 20","0259","RC","Both",,,"18.66","9.33","Caresource","Medicaid Managed Care",,,"40",,"7.46","0.04","2502.48","percent of total billed charges",,
"NF-DULOXETINE CAPSULE DELAYED RELEASE 20","0259","RC","Both",,,"18.66","9.33","Wellcare","Medicaid Managed Care",,,"40",,"7.56","0.04","2502.48","percent of total billed charges",,
"NF-DULOXETINE CAPSULE DELAYED RELEASE 20","0259","RC","Both",,,"18.66","9.33","Aetna","Commercial",,,"64",,"11.91","0.04","2502.48","percent of total billed charges",,
"NF-DULOXETINE CAPSULE DELAYED RELEASE 20","0259","RC","Both",,,"18.66","9.33","Blue Cross Blue Shield","Pathways",,,"71",,"13.17","0.04","2502.48","percent of total billed charges",,
"NF-DULOXETINE CAPSULE DELAYED RELEASE 20","0259","RC","Both",,,"18.66","9.33","Blue Cross Blue Shield","HMO",,,"71",,"13.17","0.04","2502.48","percent of total billed charges",,
"NF-DULOXETINE CAPSULE DELAYED RELEASE 20","0259","RC","Both",,,"18.66","9.33","Blue Cross Blue Shield","PPO",,,"71",,"13.17","0.04","2502.48","percent of total billed charges",,
"NF-DULOXETINE CAPSULE DELAYED RELEASE 20","0259","RC","Both",,,"18.66","9.33","Ambetter","Health Exchange",,,"62",,"11.57","0.04","2502.48","percent of total billed charges",,
"NF-DULOXETINE CAPSULE DELAYED RELEASE 20","0259","RC","Both",,,"18.66","9.33","Caresource","Health Exchange",,,"62",,"11.57","0.04","2502.48","percent of total billed charges",,
"NF-DULOXETINE CAPSULE DELAYED RELEASE 20","0259","RC","Both",,,"18.66","9.33","Cigna","Commercial",,,"59",,"10.93","0.04","2502.48","percent of total billed charges",,
"NF-DULOXETINE CAPSULE DELAYED RELEASE 20","0259","RC","Both",,,"18.66","9.33","Humana","Commercial",,,"78",,"14.46","0.04","2502.48","percent of total billed charges",,
"NF-DULOXETINE CAPSULE DELAYED RELEASE 20","0259","RC","Both",,,"18.66","9.33","UHC","Commercial",,,"75",,"14.07","0.04","2502.48","percent of total billed charges",,
"NF-DULOXETINE CAPSULE DELAYED RELEASE 20","0259","RC","Both",,,"18.66","9.33","Medicaid",,,,"37",,"6.83","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0250","RC","Both",,,"38","19","Alliant","Health Exchange",,,"62",,"23.56","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0250","RC","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.52","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0250","RC","Both",,,"38","19","Medicare",,,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0250","RC","Both",,,"38","19","Humana","Medicare Advantage",,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0250","RC","Both",,,"38","19","UHC","Medicare Advantage",,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0250","RC","Both",,,"38","19","Clover","Medicare Advantage",,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0250","RC","Both",,,"38","19","Wellcare","Medicare Advantage",,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0250","RC","Both",,,"38","19","Amerigroup","Medicaid Managed Care",,,"37",,"13.91","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0250","RC","Both",,,"38","19","Caresource","Medicaid Managed Care",,,"40",,"15.2","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0250","RC","Both",,,"38","19","Wellcare","Medicaid Managed Care",,,"40",,"15.39","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0250","RC","Both",,,"38","19","Aetna","Commercial",,,"64",,"24.24","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0250","RC","Both",,,"38","19","Blue Cross Blue Shield","Pathways",,,"71",,"26.83","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0250","RC","Both",,,"38","19","Blue Cross Blue Shield","HMO",,,"71",,"26.83","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0250","RC","Both",,,"38","19","Blue Cross Blue Shield","PPO",,,"71",,"26.83","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0250","RC","Both",,,"38","19","Ambetter","Health Exchange",,,"62",,"23.56","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0250","RC","Both",,,"38","19","Caresource","Health Exchange",,,"62",,"23.56","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0250","RC","Both",,,"38","19","Cigna","Commercial",,,"59",,"22.27","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0250","RC","Both",,,"38","19","Humana","Commercial",,,"78",,"29.45","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0250","RC","Both",,,"38","19","UHC","Commercial",,,"75",,"28.65","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0250","RC","Both",,,"38","19","Medicaid",,,,"37",,"13.91","0.04","569.62","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Alliant","Health Exchange",,,"62",,"254.2","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Pruitt Healthcare","Medicare Advantage",,,"54",,"221.4","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Medicare",,,,"54",,"222.22","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Humana","Medicare Advantage",,,"54",,"222.22","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","UHC","Medicare Advantage",,,"54",,"222.22","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Clover","Medicare Advantage",,,"54",,"222.22","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Wellcare","Medicare Advantage",,,"54",,"222.22","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Amerigroup","Medicaid Managed Care",,,"37",,"150.06","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Caresource","Medicaid Managed Care",,,"40",,"164","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Wellcare","Medicaid Managed Care",,,"40",,"166.05","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Aetna","Commercial",,,"64",,"261.58","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Blue Cross Blue Shield","Pathways",,,"71",,"289.46","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Blue Cross Blue Shield","HMO",,,"71",,"289.46","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Blue Cross Blue Shield","PPO",,,"71",,"289.46","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Ambetter","Health Exchange",,,"62",,"254.2","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Caresource","Health Exchange",,,"62",,"254.2","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Cigna","Commercial",,,"59",,"240.26","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Humana","Commercial",,,"78",,"317.75","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","UHC","Commercial",,,"75",,"309.14","0.04","2502.48","percent of total billed charges",,
"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act","0259","RC","Both",,,"410","205","Medicaid",,,,"37",,"150.06","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 15MG","0259","RC","Both",,,"21","10.5","Alliant","Health Exchange",,,"62",,"13.02","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 15MG","0259","RC","Both",,,"21","10.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.34","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 15MG","0259","RC","Both",,,"21","10.5","Medicare",,,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 15MG","0259","RC","Both",,,"21","10.5","Humana","Medicare Advantage",,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 15MG","0259","RC","Both",,,"21","10.5","UHC","Medicare Advantage",,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 15MG","0259","RC","Both",,,"21","10.5","Clover","Medicare Advantage",,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 15MG","0259","RC","Both",,,"21","10.5","Wellcare","Medicare Advantage",,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 15MG","0259","RC","Both",,,"21","10.5","Amerigroup","Medicaid Managed Care",,,"37",,"7.69","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 15MG","0259","RC","Both",,,"21","10.5","Caresource","Medicaid Managed Care",,,"40",,"8.4","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 15MG","0259","RC","Both",,,"21","10.5","Wellcare","Medicaid Managed Care",,,"40",,"8.51","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 15MG","0259","RC","Both",,,"21","10.5","Aetna","Commercial",,,"64",,"13.4","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 15MG","0259","RC","Both",,,"21","10.5","Blue Cross Blue Shield","Pathways",,,"71",,"14.83","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 15MG","0259","RC","Both",,,"21","10.5","Blue Cross Blue Shield","HMO",,,"71",,"14.83","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 15MG","0259","RC","Both",,,"21","10.5","Blue Cross Blue Shield","PPO",,,"71",,"14.83","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 15MG","0259","RC","Both",,,"21","10.5","Ambetter","Health Exchange",,,"62",,"13.02","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 15MG","0259","RC","Both",,,"21","10.5","Caresource","Health Exchange",,,"62",,"13.02","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 15MG","0259","RC","Both",,,"21","10.5","Cigna","Commercial",,,"59",,"12.31","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 15MG","0259","RC","Both",,,"21","10.5","Humana","Commercial",,,"78",,"16.28","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 15MG","0259","RC","Both",,,"21","10.5","UHC","Commercial",,,"75",,"15.83","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 15MG","0259","RC","Both",,,"21","10.5","Medicaid",,,,"37",,"7.69","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0250","RC","Both",,,"49","24.5","Alliant","Health Exchange",,,"62",,"30.38","0.04","569.62","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0250","RC","Both",,,"49","24.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"26.46","0.04","569.62","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0250","RC","Both",,,"49","24.5","Medicare",,,,"54",,"26.56","0.04","569.62","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0250","RC","Both",,,"49","24.5","Humana","Medicare Advantage",,,"54",,"26.56","0.04","569.62","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0250","RC","Both",,,"49","24.5","UHC","Medicare Advantage",,,"54",,"26.56","0.04","569.62","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0250","RC","Both",,,"49","24.5","Clover","Medicare Advantage",,,"54",,"26.56","0.04","569.62","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0250","RC","Both",,,"49","24.5","Wellcare","Medicare Advantage",,,"54",,"26.56","0.04","569.62","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0250","RC","Both",,,"49","24.5","Amerigroup","Medicaid Managed Care",,,"37",,"17.93","0.04","569.62","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0250","RC","Both",,,"49","24.5","Caresource","Medicaid Managed Care",,,"40",,"19.6","0.04","569.62","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0250","RC","Both",,,"49","24.5","Wellcare","Medicaid Managed Care",,,"40",,"19.85","0.04","569.62","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0250","RC","Both",,,"49","24.5","Aetna","Commercial",,,"64",,"31.26","0.04","569.62","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0250","RC","Both",,,"49","24.5","Blue Cross Blue Shield","Pathways",,,"71",,"34.59","0.04","569.62","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0250","RC","Both",,,"49","24.5","Blue Cross Blue Shield","HMO",,,"71",,"34.59","0.04","569.62","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0250","RC","Both",,,"49","24.5","Blue Cross Blue Shield","PPO",,,"71",,"34.59","0.04","569.62","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0250","RC","Both",,,"49","24.5","Ambetter","Health Exchange",,,"62",,"30.38","0.04","569.62","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0250","RC","Both",,,"49","24.5","Caresource","Health Exchange",,,"62",,"30.38","0.04","569.62","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0250","RC","Both",,,"49","24.5","Cigna","Commercial",,,"59",,"28.71","0.04","569.62","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0250","RC","Both",,,"49","24.5","Humana","Commercial",,,"78",,"37.98","0.04","569.62","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0250","RC","Both",,,"49","24.5","UHC","Commercial",,,"75",,"36.95","0.04","569.62","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0250","RC","Both",,,"49","24.5","Medicaid",,,,"37",,"17.93","0.04","569.62","percent of total billed charges",,
"NF-Morphine Sulfate Oral Capsule ER 60MG","0250","RC","Both",,,"34","17","Alliant","Health Exchange",,,"62",,"21.08","0.04","569.62","percent of total billed charges",,
"NF-Morphine Sulfate Oral Capsule ER 60MG","0250","RC","Both",,,"34","17","Pruitt Healthcare","Medicare Advantage",,,"54",,"18.36","0.04","569.62","percent of total billed charges",,
"NF-Morphine Sulfate Oral Capsule ER 60MG","0250","RC","Both",,,"34","17","Medicare",,,,"54",,"18.43","0.04","569.62","percent of total billed charges",,
"NF-Morphine Sulfate Oral Capsule ER 60MG","0250","RC","Both",,,"34","17","Humana","Medicare Advantage",,,"54",,"18.43","0.04","569.62","percent of total billed charges",,
"NF-Morphine Sulfate Oral Capsule ER 60MG","0250","RC","Both",,,"34","17","UHC","Medicare Advantage",,,"54",,"18.43","0.04","569.62","percent of total billed charges",,
"NF-Morphine Sulfate Oral Capsule ER 60MG","0250","RC","Both",,,"34","17","Clover","Medicare Advantage",,,"54",,"18.43","0.04","569.62","percent of total billed charges",,
"NF-Morphine Sulfate Oral Capsule ER 60MG","0250","RC","Both",,,"34","17","Wellcare","Medicare Advantage",,,"54",,"18.43","0.04","569.62","percent of total billed charges",,
"NF-Morphine Sulfate Oral Capsule ER 60MG","0250","RC","Both",,,"34","17","Amerigroup","Medicaid Managed Care",,,"37",,"12.44","0.04","569.62","percent of total billed charges",,
"NF-Morphine Sulfate Oral Capsule ER 60MG","0250","RC","Both",,,"34","17","Caresource","Medicaid Managed Care",,,"40",,"13.6","0.04","569.62","percent of total billed charges",,
"NF-Morphine Sulfate Oral Capsule ER 60MG","0250","RC","Both",,,"34","17","Wellcare","Medicaid Managed Care",,,"40",,"13.77","0.04","569.62","percent of total billed charges",,
"NF-Morphine Sulfate Oral Capsule ER 60MG","0250","RC","Both",,,"34","17","Aetna","Commercial",,,"64",,"21.69","0.04","569.62","percent of total billed charges",,
"NF-Morphine Sulfate Oral Capsule ER 60MG","0250","RC","Both",,,"34","17","Blue Cross Blue Shield","Pathways",,,"71",,"24","0.04","569.62","percent of total billed charges",,
"NF-Morphine Sulfate Oral Capsule ER 60MG","0250","RC","Both",,,"34","17","Blue Cross Blue Shield","HMO",,,"71",,"24","0.04","569.62","percent of total billed charges",,
"NF-Morphine Sulfate Oral Capsule ER 60MG","0250","RC","Both",,,"34","17","Blue Cross Blue Shield","PPO",,,"71",,"24","0.04","569.62","percent of total billed charges",,
"NF-Morphine Sulfate Oral Capsule ER 60MG","0250","RC","Both",,,"34","17","Ambetter","Health Exchange",,,"62",,"21.08","0.04","569.62","percent of total billed charges",,
"NF-Morphine Sulfate Oral Capsule ER 60MG","0250","RC","Both",,,"34","17","Caresource","Health Exchange",,,"62",,"21.08","0.04","569.62","percent of total billed charges",,
"NF-Morphine Sulfate Oral Capsule ER 60MG","0250","RC","Both",,,"34","17","Cigna","Commercial",,,"59",,"19.92","0.04","569.62","percent of total billed charges",,
"NF-Morphine Sulfate Oral Capsule ER 60MG","0250","RC","Both",,,"34","17","Humana","Commercial",,,"78",,"26.35","0.04","569.62","percent of total billed charges",,
"NF-Morphine Sulfate Oral Capsule ER 60MG","0250","RC","Both",,,"34","17","UHC","Commercial",,,"75",,"25.64","0.04","569.62","percent of total billed charges",,
"NF-Morphine Sulfate Oral Capsule ER 60MG","0250","RC","Both",,,"34","17","Medicaid",,,,"37",,"12.44","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"68","34","Alliant","Health Exchange",,,"62",,"42.16","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"68","34","Pruitt Healthcare","Medicare Advantage",,,"54",,"36.72","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"68","34","Medicare",,,,"54",,"36.86","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"68","34","Humana","Medicare Advantage",,,"54",,"36.86","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"68","34","UHC","Medicare Advantage",,,"54",,"36.86","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"68","34","Clover","Medicare Advantage",,,"54",,"36.86","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"68","34","Wellcare","Medicare Advantage",,,"54",,"36.86","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"68","34","Amerigroup","Medicaid Managed Care",,,"37",,"24.89","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"68","34","Caresource","Medicaid Managed Care",,,"40",,"27.2","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"68","34","Wellcare","Medicaid Managed Care",,,"40",,"27.54","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"68","34","Aetna","Commercial",,,"64",,"43.38","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"68","34","Blue Cross Blue Shield","Pathways",,,"71",,"48.01","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"68","34","Blue Cross Blue Shield","HMO",,,"71",,"48.01","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"68","34","Blue Cross Blue Shield","PPO",,,"71",,"48.01","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"68","34","Ambetter","Health Exchange",,,"62",,"42.16","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"68","34","Caresource","Health Exchange",,,"62",,"42.16","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"68","34","Cigna","Commercial",,,"59",,"39.85","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"68","34","Humana","Commercial",,,"78",,"52.7","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"68","34","UHC","Commercial",,,"75",,"51.27","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"68","34","Medicaid",,,,"37",,"24.89","0.04","569.62","percent of total billed charges",,
"NF-Ramipril Oral Capsule 2.5MG","0250","RC","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","0.04","569.62","percent of total billed charges",,
"NF-Ramipril Oral Capsule 2.5MG","0250","RC","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","0.04","569.62","percent of total billed charges",,
"NF-Ramipril Oral Capsule 2.5MG","0250","RC","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","0.04","569.62","percent of total billed charges",,
"NF-Ramipril Oral Capsule 2.5MG","0250","RC","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","0.04","569.62","percent of total billed charges",,
"NF-Ramipril Oral Capsule 2.5MG","0250","RC","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","0.04","569.62","percent of total billed charges",,
"NF-Ramipril Oral Capsule 2.5MG","0250","RC","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","0.04","569.62","percent of total billed charges",,
"NF-Ramipril Oral Capsule 2.5MG","0250","RC","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","0.04","569.62","percent of total billed charges",,
"NF-Ramipril Oral Capsule 2.5MG","0250","RC","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","0.04","569.62","percent of total billed charges",,
"NF-Ramipril Oral Capsule 2.5MG","0250","RC","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","0.04","569.62","percent of total billed charges",,
"NF-Ramipril Oral Capsule 2.5MG","0250","RC","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","0.04","569.62","percent of total billed charges",,
"NF-Ramipril Oral Capsule 2.5MG","0250","RC","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","0.04","569.62","percent of total billed charges",,
"NF-Ramipril Oral Capsule 2.5MG","0250","RC","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","0.04","569.62","percent of total billed charges",,
"NF-Ramipril Oral Capsule 2.5MG","0250","RC","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","0.04","569.62","percent of total billed charges",,
"NF-Ramipril Oral Capsule 2.5MG","0250","RC","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","0.04","569.62","percent of total billed charges",,
"NF-Ramipril Oral Capsule 2.5MG","0250","RC","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","0.04","569.62","percent of total billed charges",,
"NF-Ramipril Oral Capsule 2.5MG","0250","RC","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","0.04","569.62","percent of total billed charges",,
"NF-Ramipril Oral Capsule 2.5MG","0250","RC","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","0.04","569.62","percent of total billed charges",,
"NF-Ramipril Oral Capsule 2.5MG","0250","RC","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","0.04","569.62","percent of total billed charges",,
"NF-Ramipril Oral Capsule 2.5MG","0250","RC","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","0.04","569.62","percent of total billed charges",,
"NF-Ramipril Oral Capsule 2.5MG","0250","RC","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","0.04","569.62","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","0259","RC","Both",,,"157","78.5","Alliant","Health Exchange",,,"62",,"97.34","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","0259","RC","Both",,,"157","78.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"84.78","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","0259","RC","Both",,,"157","78.5","Medicare",,,,"54",,"85.09","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","0259","RC","Both",,,"157","78.5","Humana","Medicare Advantage",,,"54",,"85.09","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","0259","RC","Both",,,"157","78.5","UHC","Medicare Advantage",,,"54",,"85.09","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","0259","RC","Both",,,"157","78.5","Clover","Medicare Advantage",,,"54",,"85.09","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","0259","RC","Both",,,"157","78.5","Wellcare","Medicare Advantage",,,"54",,"85.09","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","0259","RC","Both",,,"157","78.5","Amerigroup","Medicaid Managed Care",,,"37",,"57.46","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","0259","RC","Both",,,"157","78.5","Caresource","Medicaid Managed Care",,,"40",,"62.8","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","0259","RC","Both",,,"157","78.5","Wellcare","Medicaid Managed Care",,,"40",,"63.58","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","0259","RC","Both",,,"157","78.5","Aetna","Commercial",,,"64",,"100.17","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","0259","RC","Both",,,"157","78.5","Blue Cross Blue Shield","Pathways",,,"71",,"110.84","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","0259","RC","Both",,,"157","78.5","Blue Cross Blue Shield","HMO",,,"71",,"110.84","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","0259","RC","Both",,,"157","78.5","Blue Cross Blue Shield","PPO",,,"71",,"110.84","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","0259","RC","Both",,,"157","78.5","Ambetter","Health Exchange",,,"62",,"97.34","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","0259","RC","Both",,,"157","78.5","Caresource","Health Exchange",,,"62",,"97.34","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","0259","RC","Both",,,"157","78.5","Cigna","Commercial",,,"59",,"92","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","0259","RC","Both",,,"157","78.5","Humana","Commercial",,,"78",,"121.68","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","0259","RC","Both",,,"157","78.5","UHC","Commercial",,,"75",,"118.38","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","0259","RC","Both",,,"157","78.5","Medicaid",,,,"37",,"57.46","0.04","2502.48","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0259","RC","Both",,,"21","10.5","Alliant","Health Exchange",,,"62",,"13.02","0.04","2502.48","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0259","RC","Both",,,"21","10.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.34","0.04","2502.48","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0259","RC","Both",,,"21","10.5","Medicare",,,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0259","RC","Both",,,"21","10.5","Humana","Medicare Advantage",,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0259","RC","Both",,,"21","10.5","UHC","Medicare Advantage",,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0259","RC","Both",,,"21","10.5","Clover","Medicare Advantage",,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0259","RC","Both",,,"21","10.5","Wellcare","Medicare Advantage",,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0259","RC","Both",,,"21","10.5","Amerigroup","Medicaid Managed Care",,,"37",,"7.69","0.04","2502.48","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0259","RC","Both",,,"21","10.5","Caresource","Medicaid Managed Care",,,"40",,"8.4","0.04","2502.48","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0259","RC","Both",,,"21","10.5","Wellcare","Medicaid Managed Care",,,"40",,"8.51","0.04","2502.48","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0259","RC","Both",,,"21","10.5","Aetna","Commercial",,,"64",,"13.4","0.04","2502.48","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0259","RC","Both",,,"21","10.5","Blue Cross Blue Shield","Pathways",,,"71",,"14.83","0.04","2502.48","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0259","RC","Both",,,"21","10.5","Blue Cross Blue Shield","HMO",,,"71",,"14.83","0.04","2502.48","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0259","RC","Both",,,"21","10.5","Blue Cross Blue Shield","PPO",,,"71",,"14.83","0.04","2502.48","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0259","RC","Both",,,"21","10.5","Ambetter","Health Exchange",,,"62",,"13.02","0.04","2502.48","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0259","RC","Both",,,"21","10.5","Caresource","Health Exchange",,,"62",,"13.02","0.04","2502.48","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0259","RC","Both",,,"21","10.5","Cigna","Commercial",,,"59",,"12.31","0.04","2502.48","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0259","RC","Both",,,"21","10.5","Humana","Commercial",,,"78",,"16.28","0.04","2502.48","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0259","RC","Both",,,"21","10.5","UHC","Commercial",,,"75",,"15.83","0.04","2502.48","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0259","RC","Both",,,"21","10.5","Medicaid",,,,"37",,"7.69","0.04","2502.48","percent of total billed charges",,
"NF-ENTACAPONE ORAL TABLET 200MG","0259","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-ENTACAPONE ORAL TABLET 200MG","0259","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.04","2502.48","percent of total billed charges",,
"NF-ENTACAPONE ORAL TABLET 200MG","0259","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-ENTACAPONE ORAL TABLET 200MG","0259","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-ENTACAPONE ORAL TABLET 200MG","0259","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-ENTACAPONE ORAL TABLET 200MG","0259","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-ENTACAPONE ORAL TABLET 200MG","0259","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-ENTACAPONE ORAL TABLET 200MG","0259","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-ENTACAPONE ORAL TABLET 200MG","0259","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.04","2502.48","percent of total billed charges",,
"NF-ENTACAPONE ORAL TABLET 200MG","0259","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.04","2502.48","percent of total billed charges",,
"NF-ENTACAPONE ORAL TABLET 200MG","0259","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.04","2502.48","percent of total billed charges",,
"NF-ENTACAPONE ORAL TABLET 200MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-ENTACAPONE ORAL TABLET 200MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-ENTACAPONE ORAL TABLET 200MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-ENTACAPONE ORAL TABLET 200MG","0259","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-ENTACAPONE ORAL TABLET 200MG","0259","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-ENTACAPONE ORAL TABLET 200MG","0259","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.04","2502.48","percent of total billed charges",,
"NF-ENTACAPONE ORAL TABLET 200MG","0259","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.04","2502.48","percent of total billed charges",,
"NF-ENTACAPONE ORAL TABLET 200MG","0259","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.04","2502.48","percent of total billed charges",,
"NF-ENTACAPONE ORAL TABLET 200MG","0259","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"CAPSAICIN 0.1% CREAM 42.5 GM TUBE","0637","RC","Both",,,"36","18","Alliant","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"CAPSAICIN 0.1% CREAM 42.5 GM TUBE","0637","RC","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.44","0.15","5264.58","percent of total billed charges",,
"CAPSAICIN 0.1% CREAM 42.5 GM TUBE","0637","RC","Both",,,"36","18","Medicare",,,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"CAPSAICIN 0.1% CREAM 42.5 GM TUBE","0637","RC","Both",,,"36","18","Humana","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"CAPSAICIN 0.1% CREAM 42.5 GM TUBE","0637","RC","Both",,,"36","18","UHC","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"CAPSAICIN 0.1% CREAM 42.5 GM TUBE","0637","RC","Both",,,"36","18","Clover","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"CAPSAICIN 0.1% CREAM 42.5 GM TUBE","0637","RC","Both",,,"36","18","Wellcare","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"CAPSAICIN 0.1% CREAM 42.5 GM TUBE","0637","RC","Both",,,"36","18","Amerigroup","Medicaid Managed Care",,,"37",,"13.18","0.15","5264.58","percent of total billed charges",,
"CAPSAICIN 0.1% CREAM 42.5 GM TUBE","0637","RC","Both",,,"36","18","Caresource","Medicaid Managed Care",,,"40",,"14.4","0.15","5264.58","percent of total billed charges",,
"CAPSAICIN 0.1% CREAM 42.5 GM TUBE","0637","RC","Both",,,"36","18","Wellcare","Medicaid Managed Care",,,"40",,"14.58","0.15","5264.58","percent of total billed charges",,
"CAPSAICIN 0.1% CREAM 42.5 GM TUBE","0637","RC","Both",,,"36","18","Aetna","Commercial",,,"64",,"22.97","0.15","5264.58","percent of total billed charges",,
"CAPSAICIN 0.1% CREAM 42.5 GM TUBE","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","Pathways",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"CAPSAICIN 0.1% CREAM 42.5 GM TUBE","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","HMO",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"CAPSAICIN 0.1% CREAM 42.5 GM TUBE","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","PPO",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"CAPSAICIN 0.1% CREAM 42.5 GM TUBE","0637","RC","Both",,,"36","18","Ambetter","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"CAPSAICIN 0.1% CREAM 42.5 GM TUBE","0637","RC","Both",,,"36","18","Caresource","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"CAPSAICIN 0.1% CREAM 42.5 GM TUBE","0637","RC","Both",,,"36","18","Cigna","Commercial",,,"59",,"21.1","0.15","5264.58","percent of total billed charges",,
"CAPSAICIN 0.1% CREAM 42.5 GM TUBE","0637","RC","Both",,,"36","18","Humana","Commercial",,,"78",,"27.9","0.15","5264.58","percent of total billed charges",,
"CAPSAICIN 0.1% CREAM 42.5 GM TUBE","0637","RC","Both",,,"36","18","UHC","Commercial",,,"75",,"27.14","0.15","5264.58","percent of total billed charges",,
"CAPSAICIN 0.1% CREAM 42.5 GM TUBE","0637","RC","Both",,,"36","18","Medicaid",,,,"37",,"13.18","0.15","5264.58","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/12.5MG","0259","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/12.5MG","0259","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/12.5MG","0259","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/12.5MG","0259","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/12.5MG","0259","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/12.5MG","0259","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/12.5MG","0259","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/12.5MG","0259","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/12.5MG","0259","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/12.5MG","0259","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/12.5MG","0259","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/12.5MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/12.5MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/12.5MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/12.5MG","0259","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/12.5MG","0259","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/12.5MG","0259","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/12.5MG","0259","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/12.5MG","0259","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/12.5MG","0259","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Simvastatin Oral Tablet 20MG","0259","RC","Both",,,"14","7","Alliant","Health Exchange",,,"62",,"8.68","0.04","2502.48","percent of total billed charges",,
"NF-Simvastatin Oral Tablet 20MG","0259","RC","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.56","0.04","2502.48","percent of total billed charges",,
"NF-Simvastatin Oral Tablet 20MG","0259","RC","Both",,,"14","7","Medicare",,,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Simvastatin Oral Tablet 20MG","0259","RC","Both",,,"14","7","Humana","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Simvastatin Oral Tablet 20MG","0259","RC","Both",,,"14","7","UHC","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Simvastatin Oral Tablet 20MG","0259","RC","Both",,,"14","7","Clover","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Simvastatin Oral Tablet 20MG","0259","RC","Both",,,"14","7","Wellcare","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Simvastatin Oral Tablet 20MG","0259","RC","Both",,,"14","7","Amerigroup","Medicaid Managed Care",,,"37",,"5.12","0.04","2502.48","percent of total billed charges",,
"NF-Simvastatin Oral Tablet 20MG","0259","RC","Both",,,"14","7","Caresource","Medicaid Managed Care",,,"40",,"5.6","0.04","2502.48","percent of total billed charges",,
"NF-Simvastatin Oral Tablet 20MG","0259","RC","Both",,,"14","7","Wellcare","Medicaid Managed Care",,,"40",,"5.67","0.04","2502.48","percent of total billed charges",,
"NF-Simvastatin Oral Tablet 20MG","0259","RC","Both",,,"14","7","Aetna","Commercial",,,"64",,"8.93","0.04","2502.48","percent of total billed charges",,
"NF-Simvastatin Oral Tablet 20MG","0259","RC","Both",,,"14","7","Blue Cross Blue Shield","Pathways",,,"71",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Simvastatin Oral Tablet 20MG","0259","RC","Both",,,"14","7","Blue Cross Blue Shield","HMO",,,"71",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Simvastatin Oral Tablet 20MG","0259","RC","Both",,,"14","7","Blue Cross Blue Shield","PPO",,,"71",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Simvastatin Oral Tablet 20MG","0259","RC","Both",,,"14","7","Ambetter","Health Exchange",,,"62",,"8.68","0.04","2502.48","percent of total billed charges",,
"NF-Simvastatin Oral Tablet 20MG","0259","RC","Both",,,"14","7","Caresource","Health Exchange",,,"62",,"8.68","0.04","2502.48","percent of total billed charges",,
"NF-Simvastatin Oral Tablet 20MG","0259","RC","Both",,,"14","7","Cigna","Commercial",,,"59",,"8.2","0.04","2502.48","percent of total billed charges",,
"NF-Simvastatin Oral Tablet 20MG","0259","RC","Both",,,"14","7","Humana","Commercial",,,"78",,"10.85","0.04","2502.48","percent of total billed charges",,
"NF-Simvastatin Oral Tablet 20MG","0259","RC","Both",,,"14","7","UHC","Commercial",,,"75",,"10.56","0.04","2502.48","percent of total billed charges",,
"NF-Simvastatin Oral Tablet 20MG","0259","RC","Both",,,"14","7","Medicaid",,,,"37",,"5.12","0.04","2502.48","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 100MG","0259","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 100MG","0259","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 100MG","0259","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 100MG","0259","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 100MG","0259","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 100MG","0259","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 100MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 100MG","0259","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 100MG","0259","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","2502.48","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 100MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","2502.48","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 100MG","0259","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","2502.48","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 100MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 100MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 100MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 100MG","0259","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 100MG","0259","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 100MG","0259","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 100MG","0259","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","2502.48","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 100MG","0259","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","2502.48","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 100MG","0259","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Alliant","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.98","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Medicare",,,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Humana","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","UHC","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Clover","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Wellcare","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Amerigroup","Medicaid Managed Care",,,"37",,"13.54","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Caresource","Medicaid Managed Care",,,"40",,"14.8","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Wellcare","Medicaid Managed Care",,,"40",,"14.99","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Aetna","Commercial",,,"64",,"23.61","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","Pathways",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","HMO",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","PPO",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Ambetter","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Caresource","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Cigna","Commercial",,,"59",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Humana","Commercial",,,"78",,"28.68","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","UHC","Commercial",,,"75",,"27.9","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Medicaid",,,,"37",,"13.54","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 290MCG","0250","RC","Both",,,"58","29","Alliant","Health Exchange",,,"62",,"35.96","0.04","569.62","percent of total billed charges",,
"NF-Linzess Oral Capsule 290MCG","0250","RC","Both",,,"58","29","Pruitt Healthcare","Medicare Advantage",,,"54",,"31.32","0.04","569.62","percent of total billed charges",,
"NF-Linzess Oral Capsule 290MCG","0250","RC","Both",,,"58","29","Medicare",,,,"54",,"31.44","0.04","569.62","percent of total billed charges",,
"NF-Linzess Oral Capsule 290MCG","0250","RC","Both",,,"58","29","Humana","Medicare Advantage",,,"54",,"31.44","0.04","569.62","percent of total billed charges",,
"NF-Linzess Oral Capsule 290MCG","0250","RC","Both",,,"58","29","UHC","Medicare Advantage",,,"54",,"31.44","0.04","569.62","percent of total billed charges",,
"NF-Linzess Oral Capsule 290MCG","0250","RC","Both",,,"58","29","Clover","Medicare Advantage",,,"54",,"31.44","0.04","569.62","percent of total billed charges",,
"NF-Linzess Oral Capsule 290MCG","0250","RC","Both",,,"58","29","Wellcare","Medicare Advantage",,,"54",,"31.44","0.04","569.62","percent of total billed charges",,
"NF-Linzess Oral Capsule 290MCG","0250","RC","Both",,,"58","29","Amerigroup","Medicaid Managed Care",,,"37",,"21.23","0.04","569.62","percent of total billed charges",,
"NF-Linzess Oral Capsule 290MCG","0250","RC","Both",,,"58","29","Caresource","Medicaid Managed Care",,,"40",,"23.2","0.04","569.62","percent of total billed charges",,
"NF-Linzess Oral Capsule 290MCG","0250","RC","Both",,,"58","29","Wellcare","Medicaid Managed Care",,,"40",,"23.49","0.04","569.62","percent of total billed charges",,
"NF-Linzess Oral Capsule 290MCG","0250","RC","Both",,,"58","29","Aetna","Commercial",,,"64",,"37","0.04","569.62","percent of total billed charges",,
"NF-Linzess Oral Capsule 290MCG","0250","RC","Both",,,"58","29","Blue Cross Blue Shield","Pathways",,,"71",,"40.95","0.04","569.62","percent of total billed charges",,
"NF-Linzess Oral Capsule 290MCG","0250","RC","Both",,,"58","29","Blue Cross Blue Shield","HMO",,,"71",,"40.95","0.04","569.62","percent of total billed charges",,
"NF-Linzess Oral Capsule 290MCG","0250","RC","Both",,,"58","29","Blue Cross Blue Shield","PPO",,,"71",,"40.95","0.04","569.62","percent of total billed charges",,
"NF-Linzess Oral Capsule 290MCG","0250","RC","Both",,,"58","29","Ambetter","Health Exchange",,,"62",,"35.96","0.04","569.62","percent of total billed charges",,
"NF-Linzess Oral Capsule 290MCG","0250","RC","Both",,,"58","29","Caresource","Health Exchange",,,"62",,"35.96","0.04","569.62","percent of total billed charges",,
"NF-Linzess Oral Capsule 290MCG","0250","RC","Both",,,"58","29","Cigna","Commercial",,,"59",,"33.99","0.04","569.62","percent of total billed charges",,
"NF-Linzess Oral Capsule 290MCG","0250","RC","Both",,,"58","29","Humana","Commercial",,,"78",,"44.95","0.04","569.62","percent of total billed charges",,
"NF-Linzess Oral Capsule 290MCG","0250","RC","Both",,,"58","29","UHC","Commercial",,,"75",,"43.73","0.04","569.62","percent of total billed charges",,
"NF-Linzess Oral Capsule 290MCG","0250","RC","Both",,,"58","29","Medicaid",,,,"37",,"21.23","0.04","569.62","percent of total billed charges",,
"NF-Esomeprazole Mg Capsule DR 40MG","0259","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Esomeprazole Mg Capsule DR 40MG","0259","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Esomeprazole Mg Capsule DR 40MG","0259","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Esomeprazole Mg Capsule DR 40MG","0259","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Esomeprazole Mg Capsule DR 40MG","0259","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Esomeprazole Mg Capsule DR 40MG","0259","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Esomeprazole Mg Capsule DR 40MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Esomeprazole Mg Capsule DR 40MG","0259","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Esomeprazole Mg Capsule DR 40MG","0259","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","2502.48","percent of total billed charges",,
"NF-Esomeprazole Mg Capsule DR 40MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","2502.48","percent of total billed charges",,
"NF-Esomeprazole Mg Capsule DR 40MG","0259","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","2502.48","percent of total billed charges",,
"NF-Esomeprazole Mg Capsule DR 40MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Esomeprazole Mg Capsule DR 40MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Esomeprazole Mg Capsule DR 40MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Esomeprazole Mg Capsule DR 40MG","0259","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Esomeprazole Mg Capsule DR 40MG","0259","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Esomeprazole Mg Capsule DR 40MG","0259","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-Esomeprazole Mg Capsule DR 40MG","0259","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","2502.48","percent of total billed charges",,
"NF-Esomeprazole Mg Capsule DR 40MG","0259","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","2502.48","percent of total billed charges",,
"NF-Esomeprazole Mg Capsule DR 40MG","0259","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Tolterodine Tartrate Oral Tablet 2MG","0259","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Tolterodine Tartrate Oral Tablet 2MG","0259","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.04","2502.48","percent of total billed charges",,
"NF-Tolterodine Tartrate Oral Tablet 2MG","0259","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Tolterodine Tartrate Oral Tablet 2MG","0259","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Tolterodine Tartrate Oral Tablet 2MG","0259","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Tolterodine Tartrate Oral Tablet 2MG","0259","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Tolterodine Tartrate Oral Tablet 2MG","0259","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Tolterodine Tartrate Oral Tablet 2MG","0259","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Tolterodine Tartrate Oral Tablet 2MG","0259","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.04","2502.48","percent of total billed charges",,
"NF-Tolterodine Tartrate Oral Tablet 2MG","0259","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.04","2502.48","percent of total billed charges",,
"NF-Tolterodine Tartrate Oral Tablet 2MG","0259","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.04","2502.48","percent of total billed charges",,
"NF-Tolterodine Tartrate Oral Tablet 2MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Tolterodine Tartrate Oral Tablet 2MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Tolterodine Tartrate Oral Tablet 2MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Tolterodine Tartrate Oral Tablet 2MG","0259","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Tolterodine Tartrate Oral Tablet 2MG","0259","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Tolterodine Tartrate Oral Tablet 2MG","0259","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.04","2502.48","percent of total billed charges",,
"NF-Tolterodine Tartrate Oral Tablet 2MG","0259","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.04","2502.48","percent of total billed charges",,
"NF-Tolterodine Tartrate Oral Tablet 2MG","0259","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.04","2502.48","percent of total billed charges",,
"NF-Tolterodine Tartrate Oral Tablet 2MG","0259","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"62","31","Alliant","Health Exchange",,,"62",,"38.44","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"62","31","Pruitt Healthcare","Medicare Advantage",,,"54",,"33.48","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"62","31","Medicare",,,,"54",,"33.6","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"62","31","Humana","Medicare Advantage",,,"54",,"33.6","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"62","31","UHC","Medicare Advantage",,,"54",,"33.6","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"62","31","Clover","Medicare Advantage",,,"54",,"33.6","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"62","31","Wellcare","Medicare Advantage",,,"54",,"33.6","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"62","31","Amerigroup","Medicaid Managed Care",,,"37",,"22.69","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"62","31","Caresource","Medicaid Managed Care",,,"40",,"24.8","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"62","31","Wellcare","Medicaid Managed Care",,,"40",,"25.11","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"62","31","Aetna","Commercial",,,"64",,"39.56","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"62","31","Blue Cross Blue Shield","Pathways",,,"71",,"43.77","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"62","31","Blue Cross Blue Shield","HMO",,,"71",,"43.77","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"62","31","Blue Cross Blue Shield","PPO",,,"71",,"43.77","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"62","31","Ambetter","Health Exchange",,,"62",,"38.44","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"62","31","Caresource","Health Exchange",,,"62",,"38.44","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"62","31","Cigna","Commercial",,,"59",,"36.33","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"62","31","Humana","Commercial",,,"78",,"48.05","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"62","31","UHC","Commercial",,,"75",,"46.75","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"62","31","Medicaid",,,,"37",,"22.69","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 40MG","0259","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 40MG","0259","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 40MG","0259","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 40MG","0259","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 40MG","0259","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 40MG","0259","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 40MG","0259","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 40MG","0259","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 40MG","0259","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 40MG","0259","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 40MG","0259","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 40MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 40MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 40MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 40MG","0259","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 40MG","0259","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 40MG","0259","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 40MG","0259","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 40MG","0259","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan Oral Tablet 40MG","0259","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-Megestrol Acetate Tablet 40MG","0250","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","569.62","percent of total billed charges",,
"NF-Megestrol Acetate Tablet 40MG","0250","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","569.62","percent of total billed charges",,
"NF-Megestrol Acetate Tablet 40MG","0250","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","569.62","percent of total billed charges",,
"NF-Megestrol Acetate Tablet 40MG","0250","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","569.62","percent of total billed charges",,
"NF-Megestrol Acetate Tablet 40MG","0250","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","569.62","percent of total billed charges",,
"NF-Megestrol Acetate Tablet 40MG","0250","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","569.62","percent of total billed charges",,
"NF-Megestrol Acetate Tablet 40MG","0250","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","569.62","percent of total billed charges",,
"NF-Megestrol Acetate Tablet 40MG","0250","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","569.62","percent of total billed charges",,
"NF-Megestrol Acetate Tablet 40MG","0250","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","569.62","percent of total billed charges",,
"NF-Megestrol Acetate Tablet 40MG","0250","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","569.62","percent of total billed charges",,
"NF-Megestrol Acetate Tablet 40MG","0250","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","569.62","percent of total billed charges",,
"NF-Megestrol Acetate Tablet 40MG","0250","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","569.62","percent of total billed charges",,
"NF-Megestrol Acetate Tablet 40MG","0250","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","569.62","percent of total billed charges",,
"NF-Megestrol Acetate Tablet 40MG","0250","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","569.62","percent of total billed charges",,
"NF-Megestrol Acetate Tablet 40MG","0250","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","569.62","percent of total billed charges",,
"NF-Megestrol Acetate Tablet 40MG","0250","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","569.62","percent of total billed charges",,
"NF-Megestrol Acetate Tablet 40MG","0250","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","569.62","percent of total billed charges",,
"NF-Megestrol Acetate Tablet 40MG","0250","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","569.62","percent of total billed charges",,
"NF-Megestrol Acetate Tablet 40MG","0250","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","569.62","percent of total billed charges",,
"NF-Megestrol Acetate Tablet 40MG","0250","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","569.62","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","0250","RC","Both",,,"20","10","Alliant","Health Exchange",,,"62",,"12.4","0.04","569.62","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","0250","RC","Both",,,"20","10","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.8","0.04","569.62","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","0250","RC","Both",,,"20","10","Medicare",,,,"54",,"10.84","0.04","569.62","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","0250","RC","Both",,,"20","10","Humana","Medicare Advantage",,,"54",,"10.84","0.04","569.62","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","0250","RC","Both",,,"20","10","UHC","Medicare Advantage",,,"54",,"10.84","0.04","569.62","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","0250","RC","Both",,,"20","10","Clover","Medicare Advantage",,,"54",,"10.84","0.04","569.62","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","0250","RC","Both",,,"20","10","Wellcare","Medicare Advantage",,,"54",,"10.84","0.04","569.62","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","0250","RC","Both",,,"20","10","Amerigroup","Medicaid Managed Care",,,"37",,"7.32","0.04","569.62","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","0250","RC","Both",,,"20","10","Caresource","Medicaid Managed Care",,,"40",,"8","0.04","569.62","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","0250","RC","Both",,,"20","10","Wellcare","Medicaid Managed Care",,,"40",,"8.1","0.04","569.62","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","0250","RC","Both",,,"20","10","Aetna","Commercial",,,"64",,"12.76","0.04","569.62","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","0250","RC","Both",,,"20","10","Blue Cross Blue Shield","Pathways",,,"71",,"14.12","0.04","569.62","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","0250","RC","Both",,,"20","10","Blue Cross Blue Shield","HMO",,,"71",,"14.12","0.04","569.62","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","0250","RC","Both",,,"20","10","Blue Cross Blue Shield","PPO",,,"71",,"14.12","0.04","569.62","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","0250","RC","Both",,,"20","10","Ambetter","Health Exchange",,,"62",,"12.4","0.04","569.62","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","0250","RC","Both",,,"20","10","Caresource","Health Exchange",,,"62",,"12.4","0.04","569.62","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","0250","RC","Both",,,"20","10","Cigna","Commercial",,,"59",,"11.72","0.04","569.62","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","0250","RC","Both",,,"20","10","Humana","Commercial",,,"78",,"15.5","0.04","569.62","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","0250","RC","Both",,,"20","10","UHC","Commercial",,,"75",,"15.08","0.04","569.62","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","0250","RC","Both",,,"20","10","Medicaid",,,,"37",,"7.32","0.04","569.62","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Solution 0","0250","RC","Both",,,"19","9.5","Alliant","Health Exchange",,,"62",,"11.78","0.04","569.62","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Solution 0","0250","RC","Both",,,"19","9.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.26","0.04","569.62","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Solution 0","0250","RC","Both",,,"19","9.5","Medicare",,,,"54",,"10.3","0.04","569.62","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Solution 0","0250","RC","Both",,,"19","9.5","Humana","Medicare Advantage",,,"54",,"10.3","0.04","569.62","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Solution 0","0250","RC","Both",,,"19","9.5","UHC","Medicare Advantage",,,"54",,"10.3","0.04","569.62","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Solution 0","0250","RC","Both",,,"19","9.5","Clover","Medicare Advantage",,,"54",,"10.3","0.04","569.62","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Solution 0","0250","RC","Both",,,"19","9.5","Wellcare","Medicare Advantage",,,"54",,"10.3","0.04","569.62","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Solution 0","0250","RC","Both",,,"19","9.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.95","0.04","569.62","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Solution 0","0250","RC","Both",,,"19","9.5","Caresource","Medicaid Managed Care",,,"40",,"7.6","0.04","569.62","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Solution 0","0250","RC","Both",,,"19","9.5","Wellcare","Medicaid Managed Care",,,"40",,"7.7","0.04","569.62","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Solution 0","0250","RC","Both",,,"19","9.5","Aetna","Commercial",,,"64",,"12.12","0.04","569.62","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Solution 0","0250","RC","Both",,,"19","9.5","Blue Cross Blue Shield","Pathways",,,"71",,"13.41","0.04","569.62","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Solution 0","0250","RC","Both",,,"19","9.5","Blue Cross Blue Shield","HMO",,,"71",,"13.41","0.04","569.62","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Solution 0","0250","RC","Both",,,"19","9.5","Blue Cross Blue Shield","PPO",,,"71",,"13.41","0.04","569.62","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Solution 0","0250","RC","Both",,,"19","9.5","Ambetter","Health Exchange",,,"62",,"11.78","0.04","569.62","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Solution 0","0250","RC","Both",,,"19","9.5","Caresource","Health Exchange",,,"62",,"11.78","0.04","569.62","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Solution 0","0250","RC","Both",,,"19","9.5","Cigna","Commercial",,,"59",,"11.13","0.04","569.62","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Solution 0","0250","RC","Both",,,"19","9.5","Humana","Commercial",,,"78",,"14.72","0.04","569.62","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Solution 0","0250","RC","Both",,,"19","9.5","UHC","Commercial",,,"75",,"14.33","0.04","569.62","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Solution 0","0250","RC","Both",,,"19","9.5","Medicaid",,,,"37",,"6.95","0.04","569.62","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Alliant","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.98","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Medicare",,,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Humana","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","UHC","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Clover","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Wellcare","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Amerigroup","Medicaid Managed Care",,,"37",,"13.54","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Caresource","Medicaid Managed Care",,,"40",,"14.8","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Wellcare","Medicaid Managed Care",,,"40",,"14.99","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Aetna","Commercial",,,"64",,"23.61","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","Pathways",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","HMO",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","PPO",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Ambetter","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Caresource","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Cigna","Commercial",,,"59",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Humana","Commercial",,,"78",,"28.68","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","UHC","Commercial",,,"75",,"27.9","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Medicaid",,,,"37",,"13.54","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Alliant","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.98","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Medicare",,,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Humana","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","UHC","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Clover","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Wellcare","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Amerigroup","Medicaid Managed Care",,,"37",,"13.54","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Caresource","Medicaid Managed Care",,,"40",,"14.8","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Wellcare","Medicaid Managed Care",,,"40",,"14.99","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Aetna","Commercial",,,"64",,"23.61","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","Pathways",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","HMO",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","PPO",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Ambetter","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Caresource","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Cigna","Commercial",,,"59",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Humana","Commercial",,,"78",,"28.68","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","UHC","Commercial",,,"75",,"27.9","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"37","18.5","Medicaid",,,,"37",,"13.54","0.04","2502.48","percent of total billed charges",,
"NF-rivastigmine TD Patch ER 9.5MG/24HR","0250","RC","Both",,,"48","24","Alliant","Health Exchange",,,"62",,"29.76","0.04","569.62","percent of total billed charges",,
"NF-rivastigmine TD Patch ER 9.5MG/24HR","0250","RC","Both",,,"48","24","Pruitt Healthcare","Medicare Advantage",,,"54",,"25.92","0.04","569.62","percent of total billed charges",,
"NF-rivastigmine TD Patch ER 9.5MG/24HR","0250","RC","Both",,,"48","24","Medicare",,,,"54",,"26.02","0.04","569.62","percent of total billed charges",,
"NF-rivastigmine TD Patch ER 9.5MG/24HR","0250","RC","Both",,,"48","24","Humana","Medicare Advantage",,,"54",,"26.02","0.04","569.62","percent of total billed charges",,
"NF-rivastigmine TD Patch ER 9.5MG/24HR","0250","RC","Both",,,"48","24","UHC","Medicare Advantage",,,"54",,"26.02","0.04","569.62","percent of total billed charges",,
"NF-rivastigmine TD Patch ER 9.5MG/24HR","0250","RC","Both",,,"48","24","Clover","Medicare Advantage",,,"54",,"26.02","0.04","569.62","percent of total billed charges",,
"NF-rivastigmine TD Patch ER 9.5MG/24HR","0250","RC","Both",,,"48","24","Wellcare","Medicare Advantage",,,"54",,"26.02","0.04","569.62","percent of total billed charges",,
"NF-rivastigmine TD Patch ER 9.5MG/24HR","0250","RC","Both",,,"48","24","Amerigroup","Medicaid Managed Care",,,"37",,"17.57","0.04","569.62","percent of total billed charges",,
"NF-rivastigmine TD Patch ER 9.5MG/24HR","0250","RC","Both",,,"48","24","Caresource","Medicaid Managed Care",,,"40",,"19.2","0.04","569.62","percent of total billed charges",,
"NF-rivastigmine TD Patch ER 9.5MG/24HR","0250","RC","Both",,,"48","24","Wellcare","Medicaid Managed Care",,,"40",,"19.44","0.04","569.62","percent of total billed charges",,
"NF-rivastigmine TD Patch ER 9.5MG/24HR","0250","RC","Both",,,"48","24","Aetna","Commercial",,,"64",,"30.62","0.04","569.62","percent of total billed charges",,
"NF-rivastigmine TD Patch ER 9.5MG/24HR","0250","RC","Both",,,"48","24","Blue Cross Blue Shield","Pathways",,,"71",,"33.89","0.04","569.62","percent of total billed charges",,
"NF-rivastigmine TD Patch ER 9.5MG/24HR","0250","RC","Both",,,"48","24","Blue Cross Blue Shield","HMO",,,"71",,"33.89","0.04","569.62","percent of total billed charges",,
"NF-rivastigmine TD Patch ER 9.5MG/24HR","0250","RC","Both",,,"48","24","Blue Cross Blue Shield","PPO",,,"71",,"33.89","0.04","569.62","percent of total billed charges",,
"NF-rivastigmine TD Patch ER 9.5MG/24HR","0250","RC","Both",,,"48","24","Ambetter","Health Exchange",,,"62",,"29.76","0.04","569.62","percent of total billed charges",,
"NF-rivastigmine TD Patch ER 9.5MG/24HR","0250","RC","Both",,,"48","24","Caresource","Health Exchange",,,"62",,"29.76","0.04","569.62","percent of total billed charges",,
"NF-rivastigmine TD Patch ER 9.5MG/24HR","0250","RC","Both",,,"48","24","Cigna","Commercial",,,"59",,"28.13","0.04","569.62","percent of total billed charges",,
"NF-rivastigmine TD Patch ER 9.5MG/24HR","0250","RC","Both",,,"48","24","Humana","Commercial",,,"78",,"37.2","0.04","569.62","percent of total billed charges",,
"NF-rivastigmine TD Patch ER 9.5MG/24HR","0250","RC","Both",,,"48","24","UHC","Commercial",,,"75",,"36.19","0.04","569.62","percent of total billed charges",,
"NF-rivastigmine TD Patch ER 9.5MG/24HR","0250","RC","Both",,,"48","24","Medicaid",,,,"37",,"17.57","0.04","569.62","percent of total billed charges",,
"NF-Irbesartan Oral Tablet 300MG","0259","RC","Both",,,"14","7","Alliant","Health Exchange",,,"62",,"8.68","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan Oral Tablet 300MG","0259","RC","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.56","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan Oral Tablet 300MG","0259","RC","Both",,,"14","7","Medicare",,,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan Oral Tablet 300MG","0259","RC","Both",,,"14","7","Humana","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan Oral Tablet 300MG","0259","RC","Both",,,"14","7","UHC","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan Oral Tablet 300MG","0259","RC","Both",,,"14","7","Clover","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan Oral Tablet 300MG","0259","RC","Both",,,"14","7","Wellcare","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan Oral Tablet 300MG","0259","RC","Both",,,"14","7","Amerigroup","Medicaid Managed Care",,,"37",,"5.12","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan Oral Tablet 300MG","0259","RC","Both",,,"14","7","Caresource","Medicaid Managed Care",,,"40",,"5.6","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan Oral Tablet 300MG","0259","RC","Both",,,"14","7","Wellcare","Medicaid Managed Care",,,"40",,"5.67","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan Oral Tablet 300MG","0259","RC","Both",,,"14","7","Aetna","Commercial",,,"64",,"8.93","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan Oral Tablet 300MG","0259","RC","Both",,,"14","7","Blue Cross Blue Shield","Pathways",,,"71",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan Oral Tablet 300MG","0259","RC","Both",,,"14","7","Blue Cross Blue Shield","HMO",,,"71",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan Oral Tablet 300MG","0259","RC","Both",,,"14","7","Blue Cross Blue Shield","PPO",,,"71",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan Oral Tablet 300MG","0259","RC","Both",,,"14","7","Ambetter","Health Exchange",,,"62",,"8.68","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan Oral Tablet 300MG","0259","RC","Both",,,"14","7","Caresource","Health Exchange",,,"62",,"8.68","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan Oral Tablet 300MG","0259","RC","Both",,,"14","7","Cigna","Commercial",,,"59",,"8.2","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan Oral Tablet 300MG","0259","RC","Both",,,"14","7","Humana","Commercial",,,"78",,"10.85","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan Oral Tablet 300MG","0259","RC","Both",,,"14","7","UHC","Commercial",,,"75",,"10.56","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan Oral Tablet 300MG","0259","RC","Both",,,"14","7","Medicaid",,,,"37",,"5.12","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Pindolol Tablet 5MG","0259","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Pindolol Tablet 5MG","0259","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Pindolol Tablet 5MG","0259","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Pindolol Tablet 5MG","0259","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Pindolol Tablet 5MG","0259","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Pindolol Tablet 5MG","0259","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Pindolol Tablet 5MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Pindolol Tablet 5MG","0259","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Pindolol Tablet 5MG","0259","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","2502.48","percent of total billed charges",,
"NF-Pindolol Tablet 5MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","2502.48","percent of total billed charges",,
"NF-Pindolol Tablet 5MG","0259","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","2502.48","percent of total billed charges",,
"NF-Pindolol Tablet 5MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Pindolol Tablet 5MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Pindolol Tablet 5MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Pindolol Tablet 5MG","0259","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Pindolol Tablet 5MG","0259","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Pindolol Tablet 5MG","0259","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-Pindolol Tablet 5MG","0259","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","2502.48","percent of total billed charges",,
"NF-Pindolol Tablet 5MG","0259","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","2502.48","percent of total billed charges",,
"NF-Pindolol Tablet 5MG","0259","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"133","66.5","Alliant","Health Exchange",,,"62",,"82.46","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"133","66.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"71.82","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"133","66.5","Medicare",,,,"54",,"72.09","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"133","66.5","Humana","Medicare Advantage",,,"54",,"72.09","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"133","66.5","UHC","Medicare Advantage",,,"54",,"72.09","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"133","66.5","Clover","Medicare Advantage",,,"54",,"72.09","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"133","66.5","Wellcare","Medicare Advantage",,,"54",,"72.09","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"133","66.5","Amerigroup","Medicaid Managed Care",,,"37",,"48.68","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"133","66.5","Caresource","Medicaid Managed Care",,,"40",,"53.2","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"133","66.5","Wellcare","Medicaid Managed Care",,,"40",,"53.86","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"133","66.5","Aetna","Commercial",,,"64",,"84.85","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"133","66.5","Blue Cross Blue Shield","Pathways",,,"71",,"93.9","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"133","66.5","Blue Cross Blue Shield","HMO",,,"71",,"93.9","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"133","66.5","Blue Cross Blue Shield","PPO",,,"71",,"93.9","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"133","66.5","Ambetter","Health Exchange",,,"62",,"82.46","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"133","66.5","Caresource","Health Exchange",,,"62",,"82.46","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"133","66.5","Cigna","Commercial",,,"59",,"77.94","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"133","66.5","Humana","Commercial",,,"78",,"103.08","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"133","66.5","UHC","Commercial",,,"75",,"100.28","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"133","66.5","Medicaid",,,,"37",,"48.68","0.04","2502.48","percent of total billed charges",,
"NF-gatifloxacin Ophthalmic Solution 0.5%","0259","RC","Both",,,"141","70.5","Alliant","Health Exchange",,,"62",,"87.42","0.04","2502.48","percent of total billed charges",,
"NF-gatifloxacin Ophthalmic Solution 0.5%","0259","RC","Both",,,"141","70.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"76.14","0.04","2502.48","percent of total billed charges",,
"NF-gatifloxacin Ophthalmic Solution 0.5%","0259","RC","Both",,,"141","70.5","Medicare",,,,"54",,"76.42","0.04","2502.48","percent of total billed charges",,
"NF-gatifloxacin Ophthalmic Solution 0.5%","0259","RC","Both",,,"141","70.5","Humana","Medicare Advantage",,,"54",,"76.42","0.04","2502.48","percent of total billed charges",,
"NF-gatifloxacin Ophthalmic Solution 0.5%","0259","RC","Both",,,"141","70.5","UHC","Medicare Advantage",,,"54",,"76.42","0.04","2502.48","percent of total billed charges",,
"NF-gatifloxacin Ophthalmic Solution 0.5%","0259","RC","Both",,,"141","70.5","Clover","Medicare Advantage",,,"54",,"76.42","0.04","2502.48","percent of total billed charges",,
"NF-gatifloxacin Ophthalmic Solution 0.5%","0259","RC","Both",,,"141","70.5","Wellcare","Medicare Advantage",,,"54",,"76.42","0.04","2502.48","percent of total billed charges",,
"NF-gatifloxacin Ophthalmic Solution 0.5%","0259","RC","Both",,,"141","70.5","Amerigroup","Medicaid Managed Care",,,"37",,"51.61","0.04","2502.48","percent of total billed charges",,
"NF-gatifloxacin Ophthalmic Solution 0.5%","0259","RC","Both",,,"141","70.5","Caresource","Medicaid Managed Care",,,"40",,"56.4","0.04","2502.48","percent of total billed charges",,
"NF-gatifloxacin Ophthalmic Solution 0.5%","0259","RC","Both",,,"141","70.5","Wellcare","Medicaid Managed Care",,,"40",,"57.1","0.04","2502.48","percent of total billed charges",,
"NF-gatifloxacin Ophthalmic Solution 0.5%","0259","RC","Both",,,"141","70.5","Aetna","Commercial",,,"64",,"89.96","0.04","2502.48","percent of total billed charges",,
"NF-gatifloxacin Ophthalmic Solution 0.5%","0259","RC","Both",,,"141","70.5","Blue Cross Blue Shield","Pathways",,,"71",,"99.55","0.04","2502.48","percent of total billed charges",,
"NF-gatifloxacin Ophthalmic Solution 0.5%","0259","RC","Both",,,"141","70.5","Blue Cross Blue Shield","HMO",,,"71",,"99.55","0.04","2502.48","percent of total billed charges",,
"NF-gatifloxacin Ophthalmic Solution 0.5%","0259","RC","Both",,,"141","70.5","Blue Cross Blue Shield","PPO",,,"71",,"99.55","0.04","2502.48","percent of total billed charges",,
"NF-gatifloxacin Ophthalmic Solution 0.5%","0259","RC","Both",,,"141","70.5","Ambetter","Health Exchange",,,"62",,"87.42","0.04","2502.48","percent of total billed charges",,
"NF-gatifloxacin Ophthalmic Solution 0.5%","0259","RC","Both",,,"141","70.5","Caresource","Health Exchange",,,"62",,"87.42","0.04","2502.48","percent of total billed charges",,
"NF-gatifloxacin Ophthalmic Solution 0.5%","0259","RC","Both",,,"141","70.5","Cigna","Commercial",,,"59",,"82.63","0.04","2502.48","percent of total billed charges",,
"NF-gatifloxacin Ophthalmic Solution 0.5%","0259","RC","Both",,,"141","70.5","Humana","Commercial",,,"78",,"109.28","0.04","2502.48","percent of total billed charges",,
"NF-gatifloxacin Ophthalmic Solution 0.5%","0259","RC","Both",,,"141","70.5","UHC","Commercial",,,"75",,"106.31","0.04","2502.48","percent of total billed charges",,
"NF-gatifloxacin Ophthalmic Solution 0.5%","0259","RC","Both",,,"141","70.5","Medicaid",,,,"37",,"51.61","0.04","2502.48","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 80MG","0259","RC","Both",,,"16","8","Alliant","Health Exchange",,,"62",,"9.92","0.04","2502.48","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 80MG","0259","RC","Both",,,"16","8","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.64","0.04","2502.48","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 80MG","0259","RC","Both",,,"16","8","Medicare",,,,"54",,"8.67","0.04","2502.48","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 80MG","0259","RC","Both",,,"16","8","Humana","Medicare Advantage",,,"54",,"8.67","0.04","2502.48","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 80MG","0259","RC","Both",,,"16","8","UHC","Medicare Advantage",,,"54",,"8.67","0.04","2502.48","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 80MG","0259","RC","Both",,,"16","8","Clover","Medicare Advantage",,,"54",,"8.67","0.04","2502.48","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 80MG","0259","RC","Both",,,"16","8","Wellcare","Medicare Advantage",,,"54",,"8.67","0.04","2502.48","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 80MG","0259","RC","Both",,,"16","8","Amerigroup","Medicaid Managed Care",,,"37",,"5.86","0.04","2502.48","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 80MG","0259","RC","Both",,,"16","8","Caresource","Medicaid Managed Care",,,"40",,"6.4","0.04","2502.48","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 80MG","0259","RC","Both",,,"16","8","Wellcare","Medicaid Managed Care",,,"40",,"6.48","0.04","2502.48","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 80MG","0259","RC","Both",,,"16","8","Aetna","Commercial",,,"64",,"10.21","0.04","2502.48","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 80MG","0259","RC","Both",,,"16","8","Blue Cross Blue Shield","Pathways",,,"71",,"11.3","0.04","2502.48","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 80MG","0259","RC","Both",,,"16","8","Blue Cross Blue Shield","HMO",,,"71",,"11.3","0.04","2502.48","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 80MG","0259","RC","Both",,,"16","8","Blue Cross Blue Shield","PPO",,,"71",,"11.3","0.04","2502.48","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 80MG","0259","RC","Both",,,"16","8","Ambetter","Health Exchange",,,"62",,"9.92","0.04","2502.48","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 80MG","0259","RC","Both",,,"16","8","Caresource","Health Exchange",,,"62",,"9.92","0.04","2502.48","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 80MG","0259","RC","Both",,,"16","8","Cigna","Commercial",,,"59",,"9.38","0.04","2502.48","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 80MG","0259","RC","Both",,,"16","8","Humana","Commercial",,,"78",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 80MG","0259","RC","Both",,,"16","8","UHC","Commercial",,,"75",,"12.06","0.04","2502.48","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 80MG","0259","RC","Both",,,"16","8","Medicaid",,,,"37",,"5.86","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","0.04","2502.48","percent of total billed charges",,
"NF-DULoxetine HCl Oral Capsule DR 20MG","0250","RC","Both",,,"20","10","Alliant","Health Exchange",,,"62",,"12.4","0.04","569.62","percent of total billed charges",,
"NF-DULoxetine HCl Oral Capsule DR 20MG","0250","RC","Both",,,"20","10","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.8","0.04","569.62","percent of total billed charges",,
"NF-DULoxetine HCl Oral Capsule DR 20MG","0250","RC","Both",,,"20","10","Medicare",,,,"54",,"10.84","0.04","569.62","percent of total billed charges",,
"NF-DULoxetine HCl Oral Capsule DR 20MG","0250","RC","Both",,,"20","10","Humana","Medicare Advantage",,,"54",,"10.84","0.04","569.62","percent of total billed charges",,
"NF-DULoxetine HCl Oral Capsule DR 20MG","0250","RC","Both",,,"20","10","UHC","Medicare Advantage",,,"54",,"10.84","0.04","569.62","percent of total billed charges",,
"NF-DULoxetine HCl Oral Capsule DR 20MG","0250","RC","Both",,,"20","10","Clover","Medicare Advantage",,,"54",,"10.84","0.04","569.62","percent of total billed charges",,
"NF-DULoxetine HCl Oral Capsule DR 20MG","0250","RC","Both",,,"20","10","Wellcare","Medicare Advantage",,,"54",,"10.84","0.04","569.62","percent of total billed charges",,
"NF-DULoxetine HCl Oral Capsule DR 20MG","0250","RC","Both",,,"20","10","Amerigroup","Medicaid Managed Care",,,"37",,"7.32","0.04","569.62","percent of total billed charges",,
"NF-DULoxetine HCl Oral Capsule DR 20MG","0250","RC","Both",,,"20","10","Caresource","Medicaid Managed Care",,,"40",,"8","0.04","569.62","percent of total billed charges",,
"NF-DULoxetine HCl Oral Capsule DR 20MG","0250","RC","Both",,,"20","10","Wellcare","Medicaid Managed Care",,,"40",,"8.1","0.04","569.62","percent of total billed charges",,
"NF-DULoxetine HCl Oral Capsule DR 20MG","0250","RC","Both",,,"20","10","Aetna","Commercial",,,"64",,"12.76","0.04","569.62","percent of total billed charges",,
"NF-DULoxetine HCl Oral Capsule DR 20MG","0250","RC","Both",,,"20","10","Blue Cross Blue Shield","Pathways",,,"71",,"14.12","0.04","569.62","percent of total billed charges",,
"NF-DULoxetine HCl Oral Capsule DR 20MG","0250","RC","Both",,,"20","10","Blue Cross Blue Shield","HMO",,,"71",,"14.12","0.04","569.62","percent of total billed charges",,
"NF-DULoxetine HCl Oral Capsule DR 20MG","0250","RC","Both",,,"20","10","Blue Cross Blue Shield","PPO",,,"71",,"14.12","0.04","569.62","percent of total billed charges",,
"NF-DULoxetine HCl Oral Capsule DR 20MG","0250","RC","Both",,,"20","10","Ambetter","Health Exchange",,,"62",,"12.4","0.04","569.62","percent of total billed charges",,
"NF-DULoxetine HCl Oral Capsule DR 20MG","0250","RC","Both",,,"20","10","Caresource","Health Exchange",,,"62",,"12.4","0.04","569.62","percent of total billed charges",,
"NF-DULoxetine HCl Oral Capsule DR 20MG","0250","RC","Both",,,"20","10","Cigna","Commercial",,,"59",,"11.72","0.04","569.62","percent of total billed charges",,
"NF-DULoxetine HCl Oral Capsule DR 20MG","0250","RC","Both",,,"20","10","Humana","Commercial",,,"78",,"15.5","0.04","569.62","percent of total billed charges",,
"NF-DULoxetine HCl Oral Capsule DR 20MG","0250","RC","Both",,,"20","10","UHC","Commercial",,,"75",,"15.08","0.04","569.62","percent of total billed charges",,
"NF-DULoxetine HCl Oral Capsule DR 20MG","0250","RC","Both",,,"20","10","Medicaid",,,,"37",,"7.32","0.04","569.62","percent of total billed charges",,
"NF-NP Thyroid 60 Oral Tab 60MG","0259","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-NP Thyroid 60 Oral Tab 60MG","0259","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-NP Thyroid 60 Oral Tab 60MG","0259","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-NP Thyroid 60 Oral Tab 60MG","0259","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-NP Thyroid 60 Oral Tab 60MG","0259","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-NP Thyroid 60 Oral Tab 60MG","0259","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-NP Thyroid 60 Oral Tab 60MG","0259","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-NP Thyroid 60 Oral Tab 60MG","0259","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-NP Thyroid 60 Oral Tab 60MG","0259","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","2502.48","percent of total billed charges",,
"NF-NP Thyroid 60 Oral Tab 60MG","0259","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-NP Thyroid 60 Oral Tab 60MG","0259","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-NP Thyroid 60 Oral Tab 60MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-NP Thyroid 60 Oral Tab 60MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-NP Thyroid 60 Oral Tab 60MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-NP Thyroid 60 Oral Tab 60MG","0259","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-NP Thyroid 60 Oral Tab 60MG","0259","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-NP Thyroid 60 Oral Tab 60MG","0259","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","2502.48","percent of total billed charges",,
"NF-NP Thyroid 60 Oral Tab 60MG","0259","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-NP Thyroid 60 Oral Tab 60MG","0259","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","2502.48","percent of total billed charges",,
"NF-NP Thyroid 60 Oral Tab 60MG","0259","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Ilevro Ophthalmic Suspension 0.3%","0259","RC","Both",,,"395","197.5","Alliant","Health Exchange",,,"62",,"244.9","0.04","2502.48","percent of total billed charges",,
"NF-Ilevro Ophthalmic Suspension 0.3%","0259","RC","Both",,,"395","197.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"213.3","0.04","2502.48","percent of total billed charges",,
"NF-Ilevro Ophthalmic Suspension 0.3%","0259","RC","Both",,,"395","197.5","Medicare",,,,"54",,"214.09","0.04","2502.48","percent of total billed charges",,
"NF-Ilevro Ophthalmic Suspension 0.3%","0259","RC","Both",,,"395","197.5","Humana","Medicare Advantage",,,"54",,"214.09","0.04","2502.48","percent of total billed charges",,
"NF-Ilevro Ophthalmic Suspension 0.3%","0259","RC","Both",,,"395","197.5","UHC","Medicare Advantage",,,"54",,"214.09","0.04","2502.48","percent of total billed charges",,
"NF-Ilevro Ophthalmic Suspension 0.3%","0259","RC","Both",,,"395","197.5","Clover","Medicare Advantage",,,"54",,"214.09","0.04","2502.48","percent of total billed charges",,
"NF-Ilevro Ophthalmic Suspension 0.3%","0259","RC","Both",,,"395","197.5","Wellcare","Medicare Advantage",,,"54",,"214.09","0.04","2502.48","percent of total billed charges",,
"NF-Ilevro Ophthalmic Suspension 0.3%","0259","RC","Both",,,"395","197.5","Amerigroup","Medicaid Managed Care",,,"37",,"144.57","0.04","2502.48","percent of total billed charges",,
"NF-Ilevro Ophthalmic Suspension 0.3%","0259","RC","Both",,,"395","197.5","Caresource","Medicaid Managed Care",,,"40",,"158","0.04","2502.48","percent of total billed charges",,
"NF-Ilevro Ophthalmic Suspension 0.3%","0259","RC","Both",,,"395","197.5","Wellcare","Medicaid Managed Care",,,"40",,"159.98","0.04","2502.48","percent of total billed charges",,
"NF-Ilevro Ophthalmic Suspension 0.3%","0259","RC","Both",,,"395","197.5","Aetna","Commercial",,,"64",,"252.01","0.04","2502.48","percent of total billed charges",,
"NF-Ilevro Ophthalmic Suspension 0.3%","0259","RC","Both",,,"395","197.5","Blue Cross Blue Shield","Pathways",,,"71",,"278.87","0.04","2502.48","percent of total billed charges",,
"NF-Ilevro Ophthalmic Suspension 0.3%","0259","RC","Both",,,"395","197.5","Blue Cross Blue Shield","HMO",,,"71",,"278.87","0.04","2502.48","percent of total billed charges",,
"NF-Ilevro Ophthalmic Suspension 0.3%","0259","RC","Both",,,"395","197.5","Blue Cross Blue Shield","PPO",,,"71",,"278.87","0.04","2502.48","percent of total billed charges",,
"NF-Ilevro Ophthalmic Suspension 0.3%","0259","RC","Both",,,"395","197.5","Ambetter","Health Exchange",,,"62",,"244.9","0.04","2502.48","percent of total billed charges",,
"NF-Ilevro Ophthalmic Suspension 0.3%","0259","RC","Both",,,"395","197.5","Caresource","Health Exchange",,,"62",,"244.9","0.04","2502.48","percent of total billed charges",,
"NF-Ilevro Ophthalmic Suspension 0.3%","0259","RC","Both",,,"395","197.5","Cigna","Commercial",,,"59",,"231.47","0.04","2502.48","percent of total billed charges",,
"NF-Ilevro Ophthalmic Suspension 0.3%","0259","RC","Both",,,"395","197.5","Humana","Commercial",,,"78",,"306.12","0.04","2502.48","percent of total billed charges",,
"NF-Ilevro Ophthalmic Suspension 0.3%","0259","RC","Both",,,"395","197.5","UHC","Commercial",,,"75",,"297.83","0.04","2502.48","percent of total billed charges",,
"NF-Ilevro Ophthalmic Suspension 0.3%","0259","RC","Both",,,"395","197.5","Medicaid",,,,"37",,"144.57","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"133","66.5","Alliant","Health Exchange",,,"62",,"82.46","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"133","66.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"71.82","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"133","66.5","Medicare",,,,"54",,"72.09","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"133","66.5","Humana","Medicare Advantage",,,"54",,"72.09","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"133","66.5","UHC","Medicare Advantage",,,"54",,"72.09","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"133","66.5","Clover","Medicare Advantage",,,"54",,"72.09","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"133","66.5","Wellcare","Medicare Advantage",,,"54",,"72.09","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"133","66.5","Amerigroup","Medicaid Managed Care",,,"37",,"48.68","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"133","66.5","Caresource","Medicaid Managed Care",,,"40",,"53.2","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"133","66.5","Wellcare","Medicaid Managed Care",,,"40",,"53.86","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"133","66.5","Aetna","Commercial",,,"64",,"84.85","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"133","66.5","Blue Cross Blue Shield","Pathways",,,"71",,"93.9","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"133","66.5","Blue Cross Blue Shield","HMO",,,"71",,"93.9","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"133","66.5","Blue Cross Blue Shield","PPO",,,"71",,"93.9","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"133","66.5","Ambetter","Health Exchange",,,"62",,"82.46","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"133","66.5","Caresource","Health Exchange",,,"62",,"82.46","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"133","66.5","Cigna","Commercial",,,"59",,"77.94","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"133","66.5","Humana","Commercial",,,"78",,"103.08","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"133","66.5","UHC","Commercial",,,"75",,"100.28","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"133","66.5","Medicaid",,,,"37",,"48.68","0.04","2502.48","percent of total billed charges",,
"NF-gatifloxacin Ophthalmic Solution 0.5%","0259","RC","Both",,,"141","70.5","Alliant","Health Exchange",,,"62",,"87.42","0.04","2502.48","percent of total billed charges",,
"NF-gatifloxacin Ophthalmic Solution 0.5%","0259","RC","Both",,,"141","70.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"76.14","0.04","2502.48","percent of total billed charges",,
"NF-gatifloxacin Ophthalmic Solution 0.5%","0259","RC","Both",,,"141","70.5","Medicare",,,,"54",,"76.42","0.04","2502.48","percent of total billed charges",,
"NF-gatifloxacin Ophthalmic Solution 0.5%","0259","RC","Both",,,"141","70.5","Humana","Medicare Advantage",,,"54",,"76.42","0.04","2502.48","percent of total billed charges",,
"NF-gatifloxacin Ophthalmic Solution 0.5%","0259","RC","Both",,,"141","70.5","UHC","Medicare Advantage",,,"54",,"76.42","0.04","2502.48","percent of total billed charges",,
"NF-gatifloxacin Ophthalmic Solution 0.5%","0259","RC","Both",,,"141","70.5","Clover","Medicare Advantage",,,"54",,"76.42","0.04","2502.48","percent of total billed charges",,
"NF-gatifloxacin Ophthalmic Solution 0.5%","0259","RC","Both",,,"141","70.5","Wellcare","Medicare Advantage",,,"54",,"76.42","0.04","2502.48","percent of total billed charges",,
"NF-gatifloxacin Ophthalmic Solution 0.5%","0259","RC","Both",,,"141","70.5","Amerigroup","Medicaid Managed Care",,,"37",,"51.61","0.04","2502.48","percent of total billed charges",,
"NF-gatifloxacin Ophthalmic Solution 0.5%","0259","RC","Both",,,"141","70.5","Caresource","Medicaid Managed Care",,,"40",,"56.4","0.04","2502.48","percent of total billed charges",,
"NF-gatifloxacin Ophthalmic Solution 0.5%","0259","RC","Both",,,"141","70.5","Wellcare","Medicaid Managed Care",,,"40",,"57.1","0.04","2502.48","percent of total billed charges",,
"NF-gatifloxacin Ophthalmic Solution 0.5%","0259","RC","Both",,,"141","70.5","Aetna","Commercial",,,"64",,"89.96","0.04","2502.48","percent of total billed charges",,
"NF-gatifloxacin Ophthalmic Solution 0.5%","0259","RC","Both",,,"141","70.5","Blue Cross Blue Shield","Pathways",,,"71",,"99.55","0.04","2502.48","percent of total billed charges",,
"NF-gatifloxacin Ophthalmic Solution 0.5%","0259","RC","Both",,,"141","70.5","Blue Cross Blue Shield","HMO",,,"71",,"99.55","0.04","2502.48","percent of total billed charges",,
"NF-gatifloxacin Ophthalmic Solution 0.5%","0259","RC","Both",,,"141","70.5","Blue Cross Blue Shield","PPO",,,"71",,"99.55","0.04","2502.48","percent of total billed charges",,
"NF-gatifloxacin Ophthalmic Solution 0.5%","0259","RC","Both",,,"141","70.5","Ambetter","Health Exchange",,,"62",,"87.42","0.04","2502.48","percent of total billed charges",,
"NF-gatifloxacin Ophthalmic Solution 0.5%","0259","RC","Both",,,"141","70.5","Caresource","Health Exchange",,,"62",,"87.42","0.04","2502.48","percent of total billed charges",,
"NF-gatifloxacin Ophthalmic Solution 0.5%","0259","RC","Both",,,"141","70.5","Cigna","Commercial",,,"59",,"82.63","0.04","2502.48","percent of total billed charges",,
"NF-gatifloxacin Ophthalmic Solution 0.5%","0259","RC","Both",,,"141","70.5","Humana","Commercial",,,"78",,"109.28","0.04","2502.48","percent of total billed charges",,
"NF-gatifloxacin Ophthalmic Solution 0.5%","0259","RC","Both",,,"141","70.5","UHC","Commercial",,,"75",,"106.31","0.04","2502.48","percent of total billed charges",,
"NF-gatifloxacin Ophthalmic Solution 0.5%","0259","RC","Both",,,"141","70.5","Medicaid",,,,"37",,"51.61","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","0259","RC","Both",,,"157","78.5","Alliant","Health Exchange",,,"62",,"97.34","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","0259","RC","Both",,,"157","78.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"84.78","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","0259","RC","Both",,,"157","78.5","Medicare",,,,"54",,"85.09","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","0259","RC","Both",,,"157","78.5","Humana","Medicare Advantage",,,"54",,"85.09","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","0259","RC","Both",,,"157","78.5","UHC","Medicare Advantage",,,"54",,"85.09","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","0259","RC","Both",,,"157","78.5","Clover","Medicare Advantage",,,"54",,"85.09","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","0259","RC","Both",,,"157","78.5","Wellcare","Medicare Advantage",,,"54",,"85.09","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","0259","RC","Both",,,"157","78.5","Amerigroup","Medicaid Managed Care",,,"37",,"57.46","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","0259","RC","Both",,,"157","78.5","Caresource","Medicaid Managed Care",,,"40",,"62.8","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","0259","RC","Both",,,"157","78.5","Wellcare","Medicaid Managed Care",,,"40",,"63.58","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","0259","RC","Both",,,"157","78.5","Aetna","Commercial",,,"64",,"100.17","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","0259","RC","Both",,,"157","78.5","Blue Cross Blue Shield","Pathways",,,"71",,"110.84","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","0259","RC","Both",,,"157","78.5","Blue Cross Blue Shield","HMO",,,"71",,"110.84","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","0259","RC","Both",,,"157","78.5","Blue Cross Blue Shield","PPO",,,"71",,"110.84","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","0259","RC","Both",,,"157","78.5","Ambetter","Health Exchange",,,"62",,"97.34","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","0259","RC","Both",,,"157","78.5","Caresource","Health Exchange",,,"62",,"97.34","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","0259","RC","Both",,,"157","78.5","Cigna","Commercial",,,"59",,"92","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","0259","RC","Both",,,"157","78.5","Humana","Commercial",,,"78",,"121.68","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","0259","RC","Both",,,"157","78.5","UHC","Commercial",,,"75",,"118.38","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","0259","RC","Both",,,"157","78.5","Medicaid",,,,"37",,"57.46","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","0259","RC","Both",,,"157","78.5","Alliant","Health Exchange",,,"62",,"97.34","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","0259","RC","Both",,,"157","78.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"84.78","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","0259","RC","Both",,,"157","78.5","Medicare",,,,"54",,"85.09","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","0259","RC","Both",,,"157","78.5","Humana","Medicare Advantage",,,"54",,"85.09","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","0259","RC","Both",,,"157","78.5","UHC","Medicare Advantage",,,"54",,"85.09","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","0259","RC","Both",,,"157","78.5","Clover","Medicare Advantage",,,"54",,"85.09","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","0259","RC","Both",,,"157","78.5","Wellcare","Medicare Advantage",,,"54",,"85.09","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","0259","RC","Both",,,"157","78.5","Amerigroup","Medicaid Managed Care",,,"37",,"57.46","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","0259","RC","Both",,,"157","78.5","Caresource","Medicaid Managed Care",,,"40",,"62.8","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","0259","RC","Both",,,"157","78.5","Wellcare","Medicaid Managed Care",,,"40",,"63.58","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","0259","RC","Both",,,"157","78.5","Aetna","Commercial",,,"64",,"100.17","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","0259","RC","Both",,,"157","78.5","Blue Cross Blue Shield","Pathways",,,"71",,"110.84","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","0259","RC","Both",,,"157","78.5","Blue Cross Blue Shield","HMO",,,"71",,"110.84","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","0259","RC","Both",,,"157","78.5","Blue Cross Blue Shield","PPO",,,"71",,"110.84","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","0259","RC","Both",,,"157","78.5","Ambetter","Health Exchange",,,"62",,"97.34","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","0259","RC","Both",,,"157","78.5","Caresource","Health Exchange",,,"62",,"97.34","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","0259","RC","Both",,,"157","78.5","Cigna","Commercial",,,"59",,"92","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","0259","RC","Both",,,"157","78.5","Humana","Commercial",,,"78",,"121.68","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","0259","RC","Both",,,"157","78.5","UHC","Commercial",,,"75",,"118.38","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","0259","RC","Both",,,"157","78.5","Medicaid",,,,"37",,"57.46","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan and HCTZ Tablet 300-12.5MG","0259","RC","Both",,,"12","6","Alliant","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan and HCTZ Tablet 300-12.5MG","0259","RC","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.48","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan and HCTZ Tablet 300-12.5MG","0259","RC","Both",,,"12","6","Medicare",,,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan and HCTZ Tablet 300-12.5MG","0259","RC","Both",,,"12","6","Humana","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan and HCTZ Tablet 300-12.5MG","0259","RC","Both",,,"12","6","UHC","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan and HCTZ Tablet 300-12.5MG","0259","RC","Both",,,"12","6","Clover","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan and HCTZ Tablet 300-12.5MG","0259","RC","Both",,,"12","6","Wellcare","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan and HCTZ Tablet 300-12.5MG","0259","RC","Both",,,"12","6","Amerigroup","Medicaid Managed Care",,,"37",,"4.39","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan and HCTZ Tablet 300-12.5MG","0259","RC","Both",,,"12","6","Caresource","Medicaid Managed Care",,,"40",,"4.8","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan and HCTZ Tablet 300-12.5MG","0259","RC","Both",,,"12","6","Wellcare","Medicaid Managed Care",,,"40",,"4.86","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan and HCTZ Tablet 300-12.5MG","0259","RC","Both",,,"12","6","Aetna","Commercial",,,"64",,"7.66","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan and HCTZ Tablet 300-12.5MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","Pathways",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan and HCTZ Tablet 300-12.5MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","HMO",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan and HCTZ Tablet 300-12.5MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","PPO",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan and HCTZ Tablet 300-12.5MG","0259","RC","Both",,,"12","6","Ambetter","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan and HCTZ Tablet 300-12.5MG","0259","RC","Both",,,"12","6","Caresource","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan and HCTZ Tablet 300-12.5MG","0259","RC","Both",,,"12","6","Cigna","Commercial",,,"59",,"7.03","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan and HCTZ Tablet 300-12.5MG","0259","RC","Both",,,"12","6","Humana","Commercial",,,"78",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan and HCTZ Tablet 300-12.5MG","0259","RC","Both",,,"12","6","UHC","Commercial",,,"75",,"9.05","0.04","2502.48","percent of total billed charges",,
"NF-Irbesartan and HCTZ Tablet 300-12.5MG","0259","RC","Both",,,"12","6","Medicaid",,,,"37",,"4.39","0.04","2502.48","percent of total billed charges",,
"NF-ACYCLOVIR AVPAK CAP 400MG","0259","RC","Both",,,"11.24","5.62","Alliant","Health Exchange",,,"62",,"6.97","0.04","2502.48","percent of total billed charges",,
"NF-ACYCLOVIR AVPAK CAP 400MG","0259","RC","Both",,,"11.24","5.62","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.07","0.04","2502.48","percent of total billed charges",,
"NF-ACYCLOVIR AVPAK CAP 400MG","0259","RC","Both",,,"11.24","5.62","Medicare",,,,"54",,"6.09","0.04","2502.48","percent of total billed charges",,
"NF-ACYCLOVIR AVPAK CAP 400MG","0259","RC","Both",,,"11.24","5.62","Humana","Medicare Advantage",,,"54",,"6.09","0.04","2502.48","percent of total billed charges",,
"NF-ACYCLOVIR AVPAK CAP 400MG","0259","RC","Both",,,"11.24","5.62","UHC","Medicare Advantage",,,"54",,"6.09","0.04","2502.48","percent of total billed charges",,
"NF-ACYCLOVIR AVPAK CAP 400MG","0259","RC","Both",,,"11.24","5.62","Clover","Medicare Advantage",,,"54",,"6.09","0.04","2502.48","percent of total billed charges",,
"NF-ACYCLOVIR AVPAK CAP 400MG","0259","RC","Both",,,"11.24","5.62","Wellcare","Medicare Advantage",,,"54",,"6.09","0.04","2502.48","percent of total billed charges",,
"NF-ACYCLOVIR AVPAK CAP 400MG","0259","RC","Both",,,"11.24","5.62","Amerigroup","Medicaid Managed Care",,,"37",,"4.11","0.04","2502.48","percent of total billed charges",,
"NF-ACYCLOVIR AVPAK CAP 400MG","0259","RC","Both",,,"11.24","5.62","Caresource","Medicaid Managed Care",,,"40",,"4.5","0.04","2502.48","percent of total billed charges",,
"NF-ACYCLOVIR AVPAK CAP 400MG","0259","RC","Both",,,"11.24","5.62","Wellcare","Medicaid Managed Care",,,"40",,"4.55","0.04","2502.48","percent of total billed charges",,
"NF-ACYCLOVIR AVPAK CAP 400MG","0259","RC","Both",,,"11.24","5.62","Aetna","Commercial",,,"64",,"7.17","0.04","2502.48","percent of total billed charges",,
"NF-ACYCLOVIR AVPAK CAP 400MG","0259","RC","Both",,,"11.24","5.62","Blue Cross Blue Shield","Pathways",,,"71",,"7.94","0.04","2502.48","percent of total billed charges",,
"NF-ACYCLOVIR AVPAK CAP 400MG","0259","RC","Both",,,"11.24","5.62","Blue Cross Blue Shield","HMO",,,"71",,"7.94","0.04","2502.48","percent of total billed charges",,
"NF-ACYCLOVIR AVPAK CAP 400MG","0259","RC","Both",,,"11.24","5.62","Blue Cross Blue Shield","PPO",,,"71",,"7.94","0.04","2502.48","percent of total billed charges",,
"NF-ACYCLOVIR AVPAK CAP 400MG","0259","RC","Both",,,"11.24","5.62","Ambetter","Health Exchange",,,"62",,"6.97","0.04","2502.48","percent of total billed charges",,
"NF-ACYCLOVIR AVPAK CAP 400MG","0259","RC","Both",,,"11.24","5.62","Caresource","Health Exchange",,,"62",,"6.97","0.04","2502.48","percent of total billed charges",,
"NF-ACYCLOVIR AVPAK CAP 400MG","0259","RC","Both",,,"11.24","5.62","Cigna","Commercial",,,"59",,"6.59","0.04","2502.48","percent of total billed charges",,
"NF-ACYCLOVIR AVPAK CAP 400MG","0259","RC","Both",,,"11.24","5.62","Humana","Commercial",,,"78",,"8.71","0.04","2502.48","percent of total billed charges",,
"NF-ACYCLOVIR AVPAK CAP 400MG","0259","RC","Both",,,"11.24","5.62","UHC","Commercial",,,"75",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-ACYCLOVIR AVPAK CAP 400MG","0259","RC","Both",,,"11.24","5.62","Medicaid",,,,"37",,"4.11","0.04","2502.48","percent of total billed charges",,
"NF-Lodine Oral Tablet 400MG","0259","RC","Both",,,"65","32.5","Alliant","Health Exchange",,,"62",,"40.3","0.04","2502.48","percent of total billed charges",,
"NF-Lodine Oral Tablet 400MG","0259","RC","Both",,,"65","32.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"35.1","0.04","2502.48","percent of total billed charges",,
"NF-Lodine Oral Tablet 400MG","0259","RC","Both",,,"65","32.5","Medicare",,,,"54",,"35.23","0.04","2502.48","percent of total billed charges",,
"NF-Lodine Oral Tablet 400MG","0259","RC","Both",,,"65","32.5","Humana","Medicare Advantage",,,"54",,"35.23","0.04","2502.48","percent of total billed charges",,
"NF-Lodine Oral Tablet 400MG","0259","RC","Both",,,"65","32.5","UHC","Medicare Advantage",,,"54",,"35.23","0.04","2502.48","percent of total billed charges",,
"NF-Lodine Oral Tablet 400MG","0259","RC","Both",,,"65","32.5","Clover","Medicare Advantage",,,"54",,"35.23","0.04","2502.48","percent of total billed charges",,
"NF-Lodine Oral Tablet 400MG","0259","RC","Both",,,"65","32.5","Wellcare","Medicare Advantage",,,"54",,"35.23","0.04","2502.48","percent of total billed charges",,
"NF-Lodine Oral Tablet 400MG","0259","RC","Both",,,"65","32.5","Amerigroup","Medicaid Managed Care",,,"37",,"23.79","0.04","2502.48","percent of total billed charges",,
"NF-Lodine Oral Tablet 400MG","0259","RC","Both",,,"65","32.5","Caresource","Medicaid Managed Care",,,"40",,"26","0.04","2502.48","percent of total billed charges",,
"NF-Lodine Oral Tablet 400MG","0259","RC","Both",,,"65","32.5","Wellcare","Medicaid Managed Care",,,"40",,"26.33","0.04","2502.48","percent of total billed charges",,
"NF-Lodine Oral Tablet 400MG","0259","RC","Both",,,"65","32.5","Aetna","Commercial",,,"64",,"41.47","0.04","2502.48","percent of total billed charges",,
"NF-Lodine Oral Tablet 400MG","0259","RC","Both",,,"65","32.5","Blue Cross Blue Shield","Pathways",,,"71",,"45.89","0.04","2502.48","percent of total billed charges",,
"NF-Lodine Oral Tablet 400MG","0259","RC","Both",,,"65","32.5","Blue Cross Blue Shield","HMO",,,"71",,"45.89","0.04","2502.48","percent of total billed charges",,
"NF-Lodine Oral Tablet 400MG","0259","RC","Both",,,"65","32.5","Blue Cross Blue Shield","PPO",,,"71",,"45.89","0.04","2502.48","percent of total billed charges",,
"NF-Lodine Oral Tablet 400MG","0259","RC","Both",,,"65","32.5","Ambetter","Health Exchange",,,"62",,"40.3","0.04","2502.48","percent of total billed charges",,
"NF-Lodine Oral Tablet 400MG","0259","RC","Both",,,"65","32.5","Caresource","Health Exchange",,,"62",,"40.3","0.04","2502.48","percent of total billed charges",,
"NF-Lodine Oral Tablet 400MG","0259","RC","Both",,,"65","32.5","Cigna","Commercial",,,"59",,"38.09","0.04","2502.48","percent of total billed charges",,
"NF-Lodine Oral Tablet 400MG","0259","RC","Both",,,"65","32.5","Humana","Commercial",,,"78",,"50.38","0.04","2502.48","percent of total billed charges",,
"NF-Lodine Oral Tablet 400MG","0259","RC","Both",,,"65","32.5","UHC","Commercial",,,"75",,"49.01","0.04","2502.48","percent of total billed charges",,
"NF-Lodine Oral Tablet 400MG","0259","RC","Both",,,"65","32.5","Medicaid",,,,"37",,"23.79","0.04","2502.48","percent of total billed charges",,
"NF-Diovan HCT Oral Tablet 160MG-25MG","0259","RC","Both",,,"41","20.5","Alliant","Health Exchange",,,"62",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Diovan HCT Oral Tablet 160MG-25MG","0259","RC","Both",,,"41","20.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"22.14","0.04","2502.48","percent of total billed charges",,
"NF-Diovan HCT Oral Tablet 160MG-25MG","0259","RC","Both",,,"41","20.5","Medicare",,,,"54",,"22.22","0.04","2502.48","percent of total billed charges",,
"NF-Diovan HCT Oral Tablet 160MG-25MG","0259","RC","Both",,,"41","20.5","Humana","Medicare Advantage",,,"54",,"22.22","0.04","2502.48","percent of total billed charges",,
"NF-Diovan HCT Oral Tablet 160MG-25MG","0259","RC","Both",,,"41","20.5","UHC","Medicare Advantage",,,"54",,"22.22","0.04","2502.48","percent of total billed charges",,
"NF-Diovan HCT Oral Tablet 160MG-25MG","0259","RC","Both",,,"41","20.5","Clover","Medicare Advantage",,,"54",,"22.22","0.04","2502.48","percent of total billed charges",,
"NF-Diovan HCT Oral Tablet 160MG-25MG","0259","RC","Both",,,"41","20.5","Wellcare","Medicare Advantage",,,"54",,"22.22","0.04","2502.48","percent of total billed charges",,
"NF-Diovan HCT Oral Tablet 160MG-25MG","0259","RC","Both",,,"41","20.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.01","0.04","2502.48","percent of total billed charges",,
"NF-Diovan HCT Oral Tablet 160MG-25MG","0259","RC","Both",,,"41","20.5","Caresource","Medicaid Managed Care",,,"40",,"16.4","0.04","2502.48","percent of total billed charges",,
"NF-Diovan HCT Oral Tablet 160MG-25MG","0259","RC","Both",,,"41","20.5","Wellcare","Medicaid Managed Care",,,"40",,"16.6","0.04","2502.48","percent of total billed charges",,
"NF-Diovan HCT Oral Tablet 160MG-25MG","0259","RC","Both",,,"41","20.5","Aetna","Commercial",,,"64",,"26.16","0.04","2502.48","percent of total billed charges",,
"NF-Diovan HCT Oral Tablet 160MG-25MG","0259","RC","Both",,,"41","20.5","Blue Cross Blue Shield","Pathways",,,"71",,"28.95","0.04","2502.48","percent of total billed charges",,
"NF-Diovan HCT Oral Tablet 160MG-25MG","0259","RC","Both",,,"41","20.5","Blue Cross Blue Shield","HMO",,,"71",,"28.95","0.04","2502.48","percent of total billed charges",,
"NF-Diovan HCT Oral Tablet 160MG-25MG","0259","RC","Both",,,"41","20.5","Blue Cross Blue Shield","PPO",,,"71",,"28.95","0.04","2502.48","percent of total billed charges",,
"NF-Diovan HCT Oral Tablet 160MG-25MG","0259","RC","Both",,,"41","20.5","Ambetter","Health Exchange",,,"62",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Diovan HCT Oral Tablet 160MG-25MG","0259","RC","Both",,,"41","20.5","Caresource","Health Exchange",,,"62",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Diovan HCT Oral Tablet 160MG-25MG","0259","RC","Both",,,"41","20.5","Cigna","Commercial",,,"59",,"24.03","0.04","2502.48","percent of total billed charges",,
"NF-Diovan HCT Oral Tablet 160MG-25MG","0259","RC","Both",,,"41","20.5","Humana","Commercial",,,"78",,"31.78","0.04","2502.48","percent of total billed charges",,
"NF-Diovan HCT Oral Tablet 160MG-25MG","0259","RC","Both",,,"41","20.5","UHC","Commercial",,,"75",,"30.91","0.04","2502.48","percent of total billed charges",,
"NF-Diovan HCT Oral Tablet 160MG-25MG","0259","RC","Both",,,"41","20.5","Medicaid",,,,"37",,"15.01","0.04","2502.48","percent of total billed charges",,
"NF-Prevacid Delayed-Release Capsule 30MG","0259","RC","Both",,,"17","8.5","Alliant","Health Exchange",,,"62",,"10.54","0.04","2502.48","percent of total billed charges",,
"NF-Prevacid Delayed-Release Capsule 30MG","0259","RC","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.18","0.04","2502.48","percent of total billed charges",,
"NF-Prevacid Delayed-Release Capsule 30MG","0259","RC","Both",,,"17","8.5","Medicare",,,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-Prevacid Delayed-Release Capsule 30MG","0259","RC","Both",,,"17","8.5","Humana","Medicare Advantage",,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-Prevacid Delayed-Release Capsule 30MG","0259","RC","Both",,,"17","8.5","UHC","Medicare Advantage",,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-Prevacid Delayed-Release Capsule 30MG","0259","RC","Both",,,"17","8.5","Clover","Medicare Advantage",,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-Prevacid Delayed-Release Capsule 30MG","0259","RC","Both",,,"17","8.5","Wellcare","Medicare Advantage",,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-Prevacid Delayed-Release Capsule 30MG","0259","RC","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.22","0.04","2502.48","percent of total billed charges",,
"NF-Prevacid Delayed-Release Capsule 30MG","0259","RC","Both",,,"17","8.5","Caresource","Medicaid Managed Care",,,"40",,"6.8","0.04","2502.48","percent of total billed charges",,
"NF-Prevacid Delayed-Release Capsule 30MG","0259","RC","Both",,,"17","8.5","Wellcare","Medicaid Managed Care",,,"40",,"6.89","0.04","2502.48","percent of total billed charges",,
"NF-Prevacid Delayed-Release Capsule 30MG","0259","RC","Both",,,"17","8.5","Aetna","Commercial",,,"64",,"10.85","0.04","2502.48","percent of total billed charges",,
"NF-Prevacid Delayed-Release Capsule 30MG","0259","RC","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways",,,"71",,"12","0.04","2502.48","percent of total billed charges",,
"NF-Prevacid Delayed-Release Capsule 30MG","0259","RC","Both",,,"17","8.5","Blue Cross Blue Shield","HMO",,,"71",,"12","0.04","2502.48","percent of total billed charges",,
"NF-Prevacid Delayed-Release Capsule 30MG","0259","RC","Both",,,"17","8.5","Blue Cross Blue Shield","PPO",,,"71",,"12","0.04","2502.48","percent of total billed charges",,
"NF-Prevacid Delayed-Release Capsule 30MG","0259","RC","Both",,,"17","8.5","Ambetter","Health Exchange",,,"62",,"10.54","0.04","2502.48","percent of total billed charges",,
"NF-Prevacid Delayed-Release Capsule 30MG","0259","RC","Both",,,"17","8.5","Caresource","Health Exchange",,,"62",,"10.54","0.04","2502.48","percent of total billed charges",,
"NF-Prevacid Delayed-Release Capsule 30MG","0259","RC","Both",,,"17","8.5","Cigna","Commercial",,,"59",,"9.96","0.04","2502.48","percent of total billed charges",,
"NF-Prevacid Delayed-Release Capsule 30MG","0259","RC","Both",,,"17","8.5","Humana","Commercial",,,"78",,"13.18","0.04","2502.48","percent of total billed charges",,
"NF-Prevacid Delayed-Release Capsule 30MG","0259","RC","Both",,,"17","8.5","UHC","Commercial",,,"75",,"12.82","0.04","2502.48","percent of total billed charges",,
"NF-Prevacid Delayed-Release Capsule 30MG","0259","RC","Both",,,"17","8.5","Medicaid",,,,"37",,"6.22","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"29","14.5","Alliant","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"29","14.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.66","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"29","14.5","Medicare",,,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"29","14.5","Humana","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"29","14.5","UHC","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"29","14.5","Clover","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"29","14.5","Amerigroup","Medicaid Managed Care",,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"29","14.5","Caresource","Medicaid Managed Care",,,"40",,"11.6","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"29","14.5","Wellcare","Medicaid Managed Care",,,"40",,"11.74","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"29","14.5","Aetna","Commercial",,,"64",,"18.5","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","Pathways",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","HMO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","PPO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"29","14.5","Ambetter","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"29","14.5","Caresource","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"29","14.5","Cigna","Commercial",,,"59",,"16.99","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"29","14.5","Humana","Commercial",,,"78",,"22.48","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"29","14.5","UHC","Commercial",,,"75",,"21.87","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"29","14.5","Medicaid",,,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"52","26","Alliant","Health Exchange",,,"62",,"32.24","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"52","26","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.08","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"52","26","Medicare",,,,"54",,"28.18","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"52","26","Humana","Medicare Advantage",,,"54",,"28.18","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"52","26","UHC","Medicare Advantage",,,"54",,"28.18","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"52","26","Clover","Medicare Advantage",,,"54",,"28.18","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"52","26","Wellcare","Medicare Advantage",,,"54",,"28.18","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"52","26","Amerigroup","Medicaid Managed Care",,,"37",,"19.03","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"52","26","Caresource","Medicaid Managed Care",,,"40",,"20.8","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"52","26","Wellcare","Medicaid Managed Care",,,"40",,"21.06","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"52","26","Aetna","Commercial",,,"64",,"33.18","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"52","26","Blue Cross Blue Shield","Pathways",,,"71",,"36.71","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"52","26","Blue Cross Blue Shield","HMO",,,"71",,"36.71","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"52","26","Blue Cross Blue Shield","PPO",,,"71",,"36.71","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"52","26","Ambetter","Health Exchange",,,"62",,"32.24","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"52","26","Caresource","Health Exchange",,,"62",,"32.24","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"52","26","Cigna","Commercial",,,"59",,"30.47","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"52","26","Humana","Commercial",,,"78",,"40.3","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"52","26","UHC","Commercial",,,"75",,"39.21","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"52","26","Medicaid",,,,"37",,"19.03","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.3MG","0259","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan AvPak Tablet 160MG","0259","RC","Both",,,"14","7","Alliant","Health Exchange",,,"62",,"8.68","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan AvPak Tablet 160MG","0259","RC","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.56","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan AvPak Tablet 160MG","0259","RC","Both",,,"14","7","Medicare",,,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan AvPak Tablet 160MG","0259","RC","Both",,,"14","7","Humana","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan AvPak Tablet 160MG","0259","RC","Both",,,"14","7","UHC","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan AvPak Tablet 160MG","0259","RC","Both",,,"14","7","Clover","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan AvPak Tablet 160MG","0259","RC","Both",,,"14","7","Wellcare","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan AvPak Tablet 160MG","0259","RC","Both",,,"14","7","Amerigroup","Medicaid Managed Care",,,"37",,"5.12","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan AvPak Tablet 160MG","0259","RC","Both",,,"14","7","Caresource","Medicaid Managed Care",,,"40",,"5.6","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan AvPak Tablet 160MG","0259","RC","Both",,,"14","7","Wellcare","Medicaid Managed Care",,,"40",,"5.67","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan AvPak Tablet 160MG","0259","RC","Both",,,"14","7","Aetna","Commercial",,,"64",,"8.93","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan AvPak Tablet 160MG","0259","RC","Both",,,"14","7","Blue Cross Blue Shield","Pathways",,,"71",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan AvPak Tablet 160MG","0259","RC","Both",,,"14","7","Blue Cross Blue Shield","HMO",,,"71",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan AvPak Tablet 160MG","0259","RC","Both",,,"14","7","Blue Cross Blue Shield","PPO",,,"71",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan AvPak Tablet 160MG","0259","RC","Both",,,"14","7","Ambetter","Health Exchange",,,"62",,"8.68","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan AvPak Tablet 160MG","0259","RC","Both",,,"14","7","Caresource","Health Exchange",,,"62",,"8.68","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan AvPak Tablet 160MG","0259","RC","Both",,,"14","7","Cigna","Commercial",,,"59",,"8.2","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan AvPak Tablet 160MG","0259","RC","Both",,,"14","7","Humana","Commercial",,,"78",,"10.85","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan AvPak Tablet 160MG","0259","RC","Both",,,"14","7","UHC","Commercial",,,"75",,"10.56","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan AvPak Tablet 160MG","0259","RC","Both",,,"14","7","Medicaid",,,,"37",,"5.12","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","0259","RC","Both",,,"157","78.5","Alliant","Health Exchange",,,"62",,"97.34","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","0259","RC","Both",,,"157","78.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"84.78","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","0259","RC","Both",,,"157","78.5","Medicare",,,,"54",,"85.09","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","0259","RC","Both",,,"157","78.5","Humana","Medicare Advantage",,,"54",,"85.09","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","0259","RC","Both",,,"157","78.5","UHC","Medicare Advantage",,,"54",,"85.09","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","0259","RC","Both",,,"157","78.5","Clover","Medicare Advantage",,,"54",,"85.09","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","0259","RC","Both",,,"157","78.5","Wellcare","Medicare Advantage",,,"54",,"85.09","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","0259","RC","Both",,,"157","78.5","Amerigroup","Medicaid Managed Care",,,"37",,"57.46","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","0259","RC","Both",,,"157","78.5","Caresource","Medicaid Managed Care",,,"40",,"62.8","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","0259","RC","Both",,,"157","78.5","Wellcare","Medicaid Managed Care",,,"40",,"63.58","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","0259","RC","Both",,,"157","78.5","Aetna","Commercial",,,"64",,"100.17","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","0259","RC","Both",,,"157","78.5","Blue Cross Blue Shield","Pathways",,,"71",,"110.84","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","0259","RC","Both",,,"157","78.5","Blue Cross Blue Shield","HMO",,,"71",,"110.84","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","0259","RC","Both",,,"157","78.5","Blue Cross Blue Shield","PPO",,,"71",,"110.84","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","0259","RC","Both",,,"157","78.5","Ambetter","Health Exchange",,,"62",,"97.34","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","0259","RC","Both",,,"157","78.5","Caresource","Health Exchange",,,"62",,"97.34","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","0259","RC","Both",,,"157","78.5","Cigna","Commercial",,,"59",,"92","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","0259","RC","Both",,,"157","78.5","Humana","Commercial",,,"78",,"121.68","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","0259","RC","Both",,,"157","78.5","UHC","Commercial",,,"75",,"118.38","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","0259","RC","Both",,,"157","78.5","Medicaid",,,,"37",,"57.46","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic 0.25MG or 0.5MG Doses 2MG/1.5","0259","RC","Both",,,"2140","1070","Alliant","Health Exchange",,,"62",,"1326.8","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic 0.25MG or 0.5MG Doses 2MG/1.5","0259","RC","Both",,,"2140","1070","Pruitt Healthcare","Medicare Advantage",,,"54",,"1155.6","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic 0.25MG or 0.5MG Doses 2MG/1.5","0259","RC","Both",,,"2140","1070","Medicare",,,,"54",,"1159.88","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic 0.25MG or 0.5MG Doses 2MG/1.5","0259","RC","Both",,,"2140","1070","Humana","Medicare Advantage",,,"54",,"1159.88","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic 0.25MG or 0.5MG Doses 2MG/1.5","0259","RC","Both",,,"2140","1070","UHC","Medicare Advantage",,,"54",,"1159.88","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic 0.25MG or 0.5MG Doses 2MG/1.5","0259","RC","Both",,,"2140","1070","Clover","Medicare Advantage",,,"54",,"1159.88","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic 0.25MG or 0.5MG Doses 2MG/1.5","0259","RC","Both",,,"2140","1070","Wellcare","Medicare Advantage",,,"54",,"1159.88","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic 0.25MG or 0.5MG Doses 2MG/1.5","0259","RC","Both",,,"2140","1070","Amerigroup","Medicaid Managed Care",,,"37",,"783.24","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic 0.25MG or 0.5MG Doses 2MG/1.5","0259","RC","Both",,,"2140","1070","Caresource","Medicaid Managed Care",,,"40",,"856","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic 0.25MG or 0.5MG Doses 2MG/1.5","0259","RC","Both",,,"2140","1070","Wellcare","Medicaid Managed Care",,,"40",,"866.7","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic 0.25MG or 0.5MG Doses 2MG/1.5","0259","RC","Both",,,"2140","1070","Aetna","Commercial",,,"64",,"1365.32","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic 0.25MG or 0.5MG Doses 2MG/1.5","0259","RC","Both",,,"2140","1070","Blue Cross Blue Shield","Pathways",,,"71",,"1510.84","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic 0.25MG or 0.5MG Doses 2MG/1.5","0259","RC","Both",,,"2140","1070","Blue Cross Blue Shield","HMO",,,"71",,"1510.84","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic 0.25MG or 0.5MG Doses 2MG/1.5","0259","RC","Both",,,"2140","1070","Blue Cross Blue Shield","PPO",,,"71",,"1510.84","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic 0.25MG or 0.5MG Doses 2MG/1.5","0259","RC","Both",,,"2140","1070","Ambetter","Health Exchange",,,"62",,"1326.8","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic 0.25MG or 0.5MG Doses 2MG/1.5","0259","RC","Both",,,"2140","1070","Caresource","Health Exchange",,,"62",,"1326.8","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic 0.25MG or 0.5MG Doses 2MG/1.5","0259","RC","Both",,,"2140","1070","Cigna","Commercial",,,"59",,"1254.04","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic 0.25MG or 0.5MG Doses 2MG/1.5","0259","RC","Both",,,"2140","1070","Humana","Commercial",,,"78",,"1658.5","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic 0.25MG or 0.5MG Doses 2MG/1.5","0259","RC","Both",,,"2140","1070","UHC","Commercial",,,"75",,"1613.56","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic 0.25MG or 0.5MG Doses 2MG/1.5","0259","RC","Both",,,"2140","1070","Medicaid",,,,"37",,"783.24","0.04","2502.48","percent of total billed charges",,
"NF-Enalapril/HCTZ 10MG-25MG Tablet","0250","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","569.62","percent of total billed charges",,
"NF-Enalapril/HCTZ 10MG-25MG Tablet","0250","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","569.62","percent of total billed charges",,
"NF-Enalapril/HCTZ 10MG-25MG Tablet","0250","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","569.62","percent of total billed charges",,
"NF-Enalapril/HCTZ 10MG-25MG Tablet","0250","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","569.62","percent of total billed charges",,
"NF-Enalapril/HCTZ 10MG-25MG Tablet","0250","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","569.62","percent of total billed charges",,
"NF-Enalapril/HCTZ 10MG-25MG Tablet","0250","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","569.62","percent of total billed charges",,
"NF-Enalapril/HCTZ 10MG-25MG Tablet","0250","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","569.62","percent of total billed charges",,
"NF-Enalapril/HCTZ 10MG-25MG Tablet","0250","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","569.62","percent of total billed charges",,
"NF-Enalapril/HCTZ 10MG-25MG Tablet","0250","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","569.62","percent of total billed charges",,
"NF-Enalapril/HCTZ 10MG-25MG Tablet","0250","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","569.62","percent of total billed charges",,
"NF-Enalapril/HCTZ 10MG-25MG Tablet","0250","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","569.62","percent of total billed charges",,
"NF-Enalapril/HCTZ 10MG-25MG Tablet","0250","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","569.62","percent of total billed charges",,
"NF-Enalapril/HCTZ 10MG-25MG Tablet","0250","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","569.62","percent of total billed charges",,
"NF-Enalapril/HCTZ 10MG-25MG Tablet","0250","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","569.62","percent of total billed charges",,
"NF-Enalapril/HCTZ 10MG-25MG Tablet","0250","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","569.62","percent of total billed charges",,
"NF-Enalapril/HCTZ 10MG-25MG Tablet","0250","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","569.62","percent of total billed charges",,
"NF-Enalapril/HCTZ 10MG-25MG Tablet","0250","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","569.62","percent of total billed charges",,
"NF-Enalapril/HCTZ 10MG-25MG Tablet","0250","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","569.62","percent of total billed charges",,
"NF-Enalapril/HCTZ 10MG-25MG Tablet","0250","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","569.62","percent of total billed charges",,
"NF-Enalapril/HCTZ 10MG-25MG Tablet","0250","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","569.62","percent of total billed charges",,
"NF-rivastigmine TD Patch, ER 9.5MG/24HR","0250","RC","Both",,,"48","24","Alliant","Health Exchange",,,"62",,"29.76","0.04","569.62","percent of total billed charges",,
"NF-rivastigmine TD Patch, ER 9.5MG/24HR","0250","RC","Both",,,"48","24","Pruitt Healthcare","Medicare Advantage",,,"54",,"25.92","0.04","569.62","percent of total billed charges",,
"NF-rivastigmine TD Patch, ER 9.5MG/24HR","0250","RC","Both",,,"48","24","Medicare",,,,"54",,"26.02","0.04","569.62","percent of total billed charges",,
"NF-rivastigmine TD Patch, ER 9.5MG/24HR","0250","RC","Both",,,"48","24","Humana","Medicare Advantage",,,"54",,"26.02","0.04","569.62","percent of total billed charges",,
"NF-rivastigmine TD Patch, ER 9.5MG/24HR","0250","RC","Both",,,"48","24","UHC","Medicare Advantage",,,"54",,"26.02","0.04","569.62","percent of total billed charges",,
"NF-rivastigmine TD Patch, ER 9.5MG/24HR","0250","RC","Both",,,"48","24","Clover","Medicare Advantage",,,"54",,"26.02","0.04","569.62","percent of total billed charges",,
"NF-rivastigmine TD Patch, ER 9.5MG/24HR","0250","RC","Both",,,"48","24","Wellcare","Medicare Advantage",,,"54",,"26.02","0.04","569.62","percent of total billed charges",,
"NF-rivastigmine TD Patch, ER 9.5MG/24HR","0250","RC","Both",,,"48","24","Amerigroup","Medicaid Managed Care",,,"37",,"17.57","0.04","569.62","percent of total billed charges",,
"NF-rivastigmine TD Patch, ER 9.5MG/24HR","0250","RC","Both",,,"48","24","Caresource","Medicaid Managed Care",,,"40",,"19.2","0.04","569.62","percent of total billed charges",,
"NF-rivastigmine TD Patch, ER 9.5MG/24HR","0250","RC","Both",,,"48","24","Wellcare","Medicaid Managed Care",,,"40",,"19.44","0.04","569.62","percent of total billed charges",,
"NF-rivastigmine TD Patch, ER 9.5MG/24HR","0250","RC","Both",,,"48","24","Aetna","Commercial",,,"64",,"30.62","0.04","569.62","percent of total billed charges",,
"NF-rivastigmine TD Patch, ER 9.5MG/24HR","0250","RC","Both",,,"48","24","Blue Cross Blue Shield","Pathways",,,"71",,"33.89","0.04","569.62","percent of total billed charges",,
"NF-rivastigmine TD Patch, ER 9.5MG/24HR","0250","RC","Both",,,"48","24","Blue Cross Blue Shield","HMO",,,"71",,"33.89","0.04","569.62","percent of total billed charges",,
"NF-rivastigmine TD Patch, ER 9.5MG/24HR","0250","RC","Both",,,"48","24","Blue Cross Blue Shield","PPO",,,"71",,"33.89","0.04","569.62","percent of total billed charges",,
"NF-rivastigmine TD Patch, ER 9.5MG/24HR","0250","RC","Both",,,"48","24","Ambetter","Health Exchange",,,"62",,"29.76","0.04","569.62","percent of total billed charges",,
"NF-rivastigmine TD Patch, ER 9.5MG/24HR","0250","RC","Both",,,"48","24","Caresource","Health Exchange",,,"62",,"29.76","0.04","569.62","percent of total billed charges",,
"NF-rivastigmine TD Patch, ER 9.5MG/24HR","0250","RC","Both",,,"48","24","Cigna","Commercial",,,"59",,"28.13","0.04","569.62","percent of total billed charges",,
"NF-rivastigmine TD Patch, ER 9.5MG/24HR","0250","RC","Both",,,"48","24","Humana","Commercial",,,"78",,"37.2","0.04","569.62","percent of total billed charges",,
"NF-rivastigmine TD Patch, ER 9.5MG/24HR","0250","RC","Both",,,"48","24","UHC","Commercial",,,"75",,"36.19","0.04","569.62","percent of total billed charges",,
"NF-rivastigmine TD Patch, ER 9.5MG/24HR","0250","RC","Both",,,"48","24","Medicaid",,,,"37",,"17.57","0.04","569.62","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 25MG","0259","RC","Both",,,"0.66","0.33","Alliant","Health Exchange",,,"62",,"0.41","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 25MG","0259","RC","Both",,,"0.66","0.33","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.36","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 25MG","0259","RC","Both",,,"0.66","0.33","Medicare",,,,"54",,"0.36","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 25MG","0259","RC","Both",,,"0.66","0.33","Humana","Medicare Advantage",,,"54",,"0.36","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 25MG","0259","RC","Both",,,"0.66","0.33","UHC","Medicare Advantage",,,"54",,"0.36","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 25MG","0259","RC","Both",,,"0.66","0.33","Clover","Medicare Advantage",,,"54",,"0.36","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 25MG","0259","RC","Both",,,"0.66","0.33","Wellcare","Medicare Advantage",,,"54",,"0.36","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 25MG","0259","RC","Both",,,"0.66","0.33","Amerigroup","Medicaid Managed Care",,,"37",,"0.24","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 25MG","0259","RC","Both",,,"0.66","0.33","Caresource","Medicaid Managed Care",,,"40",,"0.26","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 25MG","0259","RC","Both",,,"0.66","0.33","Wellcare","Medicaid Managed Care",,,"40",,"0.27","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 25MG","0259","RC","Both",,,"0.66","0.33","Aetna","Commercial",,,"64",,"0.42","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 25MG","0259","RC","Both",,,"0.66","0.33","Blue Cross Blue Shield","Pathways",,,"71",,"0.47","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 25MG","0259","RC","Both",,,"0.66","0.33","Blue Cross Blue Shield","HMO",,,"71",,"0.47","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 25MG","0259","RC","Both",,,"0.66","0.33","Blue Cross Blue Shield","PPO",,,"71",,"0.47","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 25MG","0259","RC","Both",,,"0.66","0.33","Ambetter","Health Exchange",,,"62",,"0.41","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 25MG","0259","RC","Both",,,"0.66","0.33","Caresource","Health Exchange",,,"62",,"0.41","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 25MG","0259","RC","Both",,,"0.66","0.33","Cigna","Commercial",,,"59",,"0.39","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 25MG","0259","RC","Both",,,"0.66","0.33","Humana","Commercial",,,"78",,"0.51","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 25MG","0259","RC","Both",,,"0.66","0.33","UHC","Commercial",,,"75",,"0.5","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 25MG","0259","RC","Both",,,"0.66","0.33","Medicaid",,,,"37",,"0.24","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Alliant","Health Exchange",,,"62",,"0.61","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.53","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Amerigroup","Medicaid Managed Care",,,"37",,"0.36","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Aetna","Commercial",,,"64",,"0.63","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Blue Cross Blue Shield","Pathways",,,"71",,"0.7","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Blue Cross Blue Shield","HMO",,,"71",,"0.7","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Blue Cross Blue Shield","PPO",,,"71",,"0.7","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Ambetter","Health Exchange",,,"62",,"0.61","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Caresource","Health Exchange",,,"62",,"0.61","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Cigna","Commercial",,,"59",,"0.58","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Humana","Commercial",,,"78",,"0.77","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Medicaid",,,,"37",,"0.36","0.04","2502.48","percent of total billed charges",,
"NF-OMEPRAZOLE AVPAK CAP DR 40MG","0259","RC","Both",,,"22.39","11.195","Alliant","Health Exchange",,,"62",,"13.88","0.04","2502.48","percent of total billed charges",,
"NF-OMEPRAZOLE AVPAK CAP DR 40MG","0259","RC","Both",,,"22.39","11.195","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.09","0.04","2502.48","percent of total billed charges",,
"NF-OMEPRAZOLE AVPAK CAP DR 40MG","0259","RC","Both",,,"22.39","11.195","Medicare",,,,"54",,"12.14","0.04","2502.48","percent of total billed charges",,
"NF-OMEPRAZOLE AVPAK CAP DR 40MG","0259","RC","Both",,,"22.39","11.195","Humana","Medicare Advantage",,,"54",,"12.14","0.04","2502.48","percent of total billed charges",,
"NF-OMEPRAZOLE AVPAK CAP DR 40MG","0259","RC","Both",,,"22.39","11.195","UHC","Medicare Advantage",,,"54",,"12.14","0.04","2502.48","percent of total billed charges",,
"NF-OMEPRAZOLE AVPAK CAP DR 40MG","0259","RC","Both",,,"22.39","11.195","Clover","Medicare Advantage",,,"54",,"12.14","0.04","2502.48","percent of total billed charges",,
"NF-OMEPRAZOLE AVPAK CAP DR 40MG","0259","RC","Both",,,"22.39","11.195","Wellcare","Medicare Advantage",,,"54",,"12.14","0.04","2502.48","percent of total billed charges",,
"NF-OMEPRAZOLE AVPAK CAP DR 40MG","0259","RC","Both",,,"22.39","11.195","Amerigroup","Medicaid Managed Care",,,"37",,"8.19","0.04","2502.48","percent of total billed charges",,
"NF-OMEPRAZOLE AVPAK CAP DR 40MG","0259","RC","Both",,,"22.39","11.195","Caresource","Medicaid Managed Care",,,"40",,"8.96","0.04","2502.48","percent of total billed charges",,
"NF-OMEPRAZOLE AVPAK CAP DR 40MG","0259","RC","Both",,,"22.39","11.195","Wellcare","Medicaid Managed Care",,,"40",,"9.07","0.04","2502.48","percent of total billed charges",,
"NF-OMEPRAZOLE AVPAK CAP DR 40MG","0259","RC","Both",,,"22.39","11.195","Aetna","Commercial",,,"64",,"14.28","0.04","2502.48","percent of total billed charges",,
"NF-OMEPRAZOLE AVPAK CAP DR 40MG","0259","RC","Both",,,"22.39","11.195","Blue Cross Blue Shield","Pathways",,,"71",,"15.81","0.04","2502.48","percent of total billed charges",,
"NF-OMEPRAZOLE AVPAK CAP DR 40MG","0259","RC","Both",,,"22.39","11.195","Blue Cross Blue Shield","HMO",,,"71",,"15.81","0.04","2502.48","percent of total billed charges",,
"NF-OMEPRAZOLE AVPAK CAP DR 40MG","0259","RC","Both",,,"22.39","11.195","Blue Cross Blue Shield","PPO",,,"71",,"15.81","0.04","2502.48","percent of total billed charges",,
"NF-OMEPRAZOLE AVPAK CAP DR 40MG","0259","RC","Both",,,"22.39","11.195","Ambetter","Health Exchange",,,"62",,"13.88","0.04","2502.48","percent of total billed charges",,
"NF-OMEPRAZOLE AVPAK CAP DR 40MG","0259","RC","Both",,,"22.39","11.195","Caresource","Health Exchange",,,"62",,"13.88","0.04","2502.48","percent of total billed charges",,
"NF-OMEPRAZOLE AVPAK CAP DR 40MG","0259","RC","Both",,,"22.39","11.195","Cigna","Commercial",,,"59",,"13.12","0.04","2502.48","percent of total billed charges",,
"NF-OMEPRAZOLE AVPAK CAP DR 40MG","0259","RC","Both",,,"22.39","11.195","Humana","Commercial",,,"78",,"17.35","0.04","2502.48","percent of total billed charges",,
"NF-OMEPRAZOLE AVPAK CAP DR 40MG","0259","RC","Both",,,"22.39","11.195","UHC","Commercial",,,"75",,"16.88","0.04","2502.48","percent of total billed charges",,
"NF-OMEPRAZOLE AVPAK CAP DR 40MG","0259","RC","Both",,,"22.39","11.195","Medicaid",,,,"37",,"8.19","0.04","2502.48","percent of total billed charges",,
"NF-PROBIOTIC ORAL CAPSULE","0259","RC","Both",,,"2.29","1.145","Alliant","Health Exchange",,,"62",,"1.42","0.04","2502.48","percent of total billed charges",,
"NF-PROBIOTIC ORAL CAPSULE","0259","RC","Both",,,"2.29","1.145","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-PROBIOTIC ORAL CAPSULE","0259","RC","Both",,,"2.29","1.145","Medicare",,,,"54",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-PROBIOTIC ORAL CAPSULE","0259","RC","Both",,,"2.29","1.145","Humana","Medicare Advantage",,,"54",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-PROBIOTIC ORAL CAPSULE","0259","RC","Both",,,"2.29","1.145","UHC","Medicare Advantage",,,"54",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-PROBIOTIC ORAL CAPSULE","0259","RC","Both",,,"2.29","1.145","Clover","Medicare Advantage",,,"54",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-PROBIOTIC ORAL CAPSULE","0259","RC","Both",,,"2.29","1.145","Wellcare","Medicare Advantage",,,"54",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-PROBIOTIC ORAL CAPSULE","0259","RC","Both",,,"2.29","1.145","Amerigroup","Medicaid Managed Care",,,"37",,"0.84","0.04","2502.48","percent of total billed charges",,
"NF-PROBIOTIC ORAL CAPSULE","0259","RC","Both",,,"2.29","1.145","Caresource","Medicaid Managed Care",,,"40",,"0.92","0.04","2502.48","percent of total billed charges",,
"NF-PROBIOTIC ORAL CAPSULE","0259","RC","Both",,,"2.29","1.145","Wellcare","Medicaid Managed Care",,,"40",,"0.93","0.04","2502.48","percent of total billed charges",,
"NF-PROBIOTIC ORAL CAPSULE","0259","RC","Both",,,"2.29","1.145","Aetna","Commercial",,,"64",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-PROBIOTIC ORAL CAPSULE","0259","RC","Both",,,"2.29","1.145","Blue Cross Blue Shield","Pathways",,,"71",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-PROBIOTIC ORAL CAPSULE","0259","RC","Both",,,"2.29","1.145","Blue Cross Blue Shield","HMO",,,"71",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-PROBIOTIC ORAL CAPSULE","0259","RC","Both",,,"2.29","1.145","Blue Cross Blue Shield","PPO",,,"71",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-PROBIOTIC ORAL CAPSULE","0259","RC","Both",,,"2.29","1.145","Ambetter","Health Exchange",,,"62",,"1.42","0.04","2502.48","percent of total billed charges",,
"NF-PROBIOTIC ORAL CAPSULE","0259","RC","Both",,,"2.29","1.145","Caresource","Health Exchange",,,"62",,"1.42","0.04","2502.48","percent of total billed charges",,
"NF-PROBIOTIC ORAL CAPSULE","0259","RC","Both",,,"2.29","1.145","Cigna","Commercial",,,"59",,"1.34","0.04","2502.48","percent of total billed charges",,
"NF-PROBIOTIC ORAL CAPSULE","0259","RC","Both",,,"2.29","1.145","Humana","Commercial",,,"78",,"1.77","0.04","2502.48","percent of total billed charges",,
"NF-PROBIOTIC ORAL CAPSULE","0259","RC","Both",,,"2.29","1.145","UHC","Commercial",,,"75",,"1.73","0.04","2502.48","percent of total billed charges",,
"NF-PROBIOTIC ORAL CAPSULE","0259","RC","Both",,,"2.29","1.145","Medicaid",,,,"37",,"0.84","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan and hydroCHLOROthiazide Tab","0259","RC","Both",,,"14","7","Alliant","Health Exchange",,,"62",,"8.68","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan and hydroCHLOROthiazide Tab","0259","RC","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.56","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan and hydroCHLOROthiazide Tab","0259","RC","Both",,,"14","7","Medicare",,,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan and hydroCHLOROthiazide Tab","0259","RC","Both",,,"14","7","Humana","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan and hydroCHLOROthiazide Tab","0259","RC","Both",,,"14","7","UHC","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan and hydroCHLOROthiazide Tab","0259","RC","Both",,,"14","7","Clover","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan and hydroCHLOROthiazide Tab","0259","RC","Both",,,"14","7","Wellcare","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan and hydroCHLOROthiazide Tab","0259","RC","Both",,,"14","7","Amerigroup","Medicaid Managed Care",,,"37",,"5.12","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan and hydroCHLOROthiazide Tab","0259","RC","Both",,,"14","7","Caresource","Medicaid Managed Care",,,"40",,"5.6","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan and hydroCHLOROthiazide Tab","0259","RC","Both",,,"14","7","Wellcare","Medicaid Managed Care",,,"40",,"5.67","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan and hydroCHLOROthiazide Tab","0259","RC","Both",,,"14","7","Aetna","Commercial",,,"64",,"8.93","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan and hydroCHLOROthiazide Tab","0259","RC","Both",,,"14","7","Blue Cross Blue Shield","Pathways",,,"71",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan and hydroCHLOROthiazide Tab","0259","RC","Both",,,"14","7","Blue Cross Blue Shield","HMO",,,"71",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan and hydroCHLOROthiazide Tab","0259","RC","Both",,,"14","7","Blue Cross Blue Shield","PPO",,,"71",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan and hydroCHLOROthiazide Tab","0259","RC","Both",,,"14","7","Ambetter","Health Exchange",,,"62",,"8.68","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan and hydroCHLOROthiazide Tab","0259","RC","Both",,,"14","7","Caresource","Health Exchange",,,"62",,"8.68","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan and hydroCHLOROthiazide Tab","0259","RC","Both",,,"14","7","Cigna","Commercial",,,"59",,"8.2","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan and hydroCHLOROthiazide Tab","0259","RC","Both",,,"14","7","Humana","Commercial",,,"78",,"10.85","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan and hydroCHLOROthiazide Tab","0259","RC","Both",,,"14","7","UHC","Commercial",,,"75",,"10.56","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan and hydroCHLOROthiazide Tab","0259","RC","Both",,,"14","7","Medicaid",,,,"37",,"5.12","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 4.5MG","0259","RC","Both",,,"157","78.5","Alliant","Health Exchange",,,"62",,"97.34","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 4.5MG","0259","RC","Both",,,"157","78.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"84.78","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 4.5MG","0259","RC","Both",,,"157","78.5","Medicare",,,,"54",,"85.09","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 4.5MG","0259","RC","Both",,,"157","78.5","Humana","Medicare Advantage",,,"54",,"85.09","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 4.5MG","0259","RC","Both",,,"157","78.5","UHC","Medicare Advantage",,,"54",,"85.09","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 4.5MG","0259","RC","Both",,,"157","78.5","Clover","Medicare Advantage",,,"54",,"85.09","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 4.5MG","0259","RC","Both",,,"157","78.5","Wellcare","Medicare Advantage",,,"54",,"85.09","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 4.5MG","0259","RC","Both",,,"157","78.5","Amerigroup","Medicaid Managed Care",,,"37",,"57.46","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 4.5MG","0259","RC","Both",,,"157","78.5","Caresource","Medicaid Managed Care",,,"40",,"62.8","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 4.5MG","0259","RC","Both",,,"157","78.5","Wellcare","Medicaid Managed Care",,,"40",,"63.58","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 4.5MG","0259","RC","Both",,,"157","78.5","Aetna","Commercial",,,"64",,"100.17","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 4.5MG","0259","RC","Both",,,"157","78.5","Blue Cross Blue Shield","Pathways",,,"71",,"110.84","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 4.5MG","0259","RC","Both",,,"157","78.5","Blue Cross Blue Shield","HMO",,,"71",,"110.84","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 4.5MG","0259","RC","Both",,,"157","78.5","Blue Cross Blue Shield","PPO",,,"71",,"110.84","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 4.5MG","0259","RC","Both",,,"157","78.5","Ambetter","Health Exchange",,,"62",,"97.34","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 4.5MG","0259","RC","Both",,,"157","78.5","Caresource","Health Exchange",,,"62",,"97.34","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 4.5MG","0259","RC","Both",,,"157","78.5","Cigna","Commercial",,,"59",,"92","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 4.5MG","0259","RC","Both",,,"157","78.5","Humana","Commercial",,,"78",,"121.68","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 4.5MG","0259","RC","Both",,,"157","78.5","UHC","Commercial",,,"75",,"118.38","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 4.5MG","0259","RC","Both",,,"157","78.5","Medicaid",,,,"37",,"57.46","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 6MG","0259","RC","Both",,,"157","78.5","Alliant","Health Exchange",,,"62",,"97.34","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 6MG","0259","RC","Both",,,"157","78.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"84.78","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 6MG","0259","RC","Both",,,"157","78.5","Medicare",,,,"54",,"85.09","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 6MG","0259","RC","Both",,,"157","78.5","Humana","Medicare Advantage",,,"54",,"85.09","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 6MG","0259","RC","Both",,,"157","78.5","UHC","Medicare Advantage",,,"54",,"85.09","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 6MG","0259","RC","Both",,,"157","78.5","Clover","Medicare Advantage",,,"54",,"85.09","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 6MG","0259","RC","Both",,,"157","78.5","Wellcare","Medicare Advantage",,,"54",,"85.09","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 6MG","0259","RC","Both",,,"157","78.5","Amerigroup","Medicaid Managed Care",,,"37",,"57.46","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 6MG","0259","RC","Both",,,"157","78.5","Caresource","Medicaid Managed Care",,,"40",,"62.8","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 6MG","0259","RC","Both",,,"157","78.5","Wellcare","Medicaid Managed Care",,,"40",,"63.58","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 6MG","0259","RC","Both",,,"157","78.5","Aetna","Commercial",,,"64",,"100.17","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 6MG","0259","RC","Both",,,"157","78.5","Blue Cross Blue Shield","Pathways",,,"71",,"110.84","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 6MG","0259","RC","Both",,,"157","78.5","Blue Cross Blue Shield","HMO",,,"71",,"110.84","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 6MG","0259","RC","Both",,,"157","78.5","Blue Cross Blue Shield","PPO",,,"71",,"110.84","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 6MG","0259","RC","Both",,,"157","78.5","Ambetter","Health Exchange",,,"62",,"97.34","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 6MG","0259","RC","Both",,,"157","78.5","Caresource","Health Exchange",,,"62",,"97.34","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 6MG","0259","RC","Both",,,"157","78.5","Cigna","Commercial",,,"59",,"92","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 6MG","0259","RC","Both",,,"157","78.5","Humana","Commercial",,,"78",,"121.68","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 6MG","0259","RC","Both",,,"157","78.5","UHC","Commercial",,,"75",,"118.38","0.04","2502.48","percent of total billed charges",,
"NF-Vraylar Oral Capsule 6MG","0259","RC","Both",,,"157","78.5","Medicaid",,,,"37",,"57.46","0.04","2502.48","percent of total billed charges",,
"NF-Namzaric Oral Capsule, ER 21MG-10MG","0250","RC","Both",,,"64","32","Alliant","Health Exchange",,,"62",,"39.68","0.04","569.62","percent of total billed charges",,
"NF-Namzaric Oral Capsule, ER 21MG-10MG","0250","RC","Both",,,"64","32","Pruitt Healthcare","Medicare Advantage",,,"54",,"34.56","0.04","569.62","percent of total billed charges",,
"NF-Namzaric Oral Capsule, ER 21MG-10MG","0250","RC","Both",,,"64","32","Medicare",,,,"54",,"34.69","0.04","569.62","percent of total billed charges",,
"NF-Namzaric Oral Capsule, ER 21MG-10MG","0250","RC","Both",,,"64","32","Humana","Medicare Advantage",,,"54",,"34.69","0.04","569.62","percent of total billed charges",,
"NF-Namzaric Oral Capsule, ER 21MG-10MG","0250","RC","Both",,,"64","32","UHC","Medicare Advantage",,,"54",,"34.69","0.04","569.62","percent of total billed charges",,
"NF-Namzaric Oral Capsule, ER 21MG-10MG","0250","RC","Both",,,"64","32","Clover","Medicare Advantage",,,"54",,"34.69","0.04","569.62","percent of total billed charges",,
"NF-Namzaric Oral Capsule, ER 21MG-10MG","0250","RC","Both",,,"64","32","Wellcare","Medicare Advantage",,,"54",,"34.69","0.04","569.62","percent of total billed charges",,
"NF-Namzaric Oral Capsule, ER 21MG-10MG","0250","RC","Both",,,"64","32","Amerigroup","Medicaid Managed Care",,,"37",,"23.42","0.04","569.62","percent of total billed charges",,
"NF-Namzaric Oral Capsule, ER 21MG-10MG","0250","RC","Both",,,"64","32","Caresource","Medicaid Managed Care",,,"40",,"25.6","0.04","569.62","percent of total billed charges",,
"NF-Namzaric Oral Capsule, ER 21MG-10MG","0250","RC","Both",,,"64","32","Wellcare","Medicaid Managed Care",,,"40",,"25.92","0.04","569.62","percent of total billed charges",,
"NF-Namzaric Oral Capsule, ER 21MG-10MG","0250","RC","Both",,,"64","32","Aetna","Commercial",,,"64",,"40.83","0.04","569.62","percent of total billed charges",,
"NF-Namzaric Oral Capsule, ER 21MG-10MG","0250","RC","Both",,,"64","32","Blue Cross Blue Shield","Pathways",,,"71",,"45.18","0.04","569.62","percent of total billed charges",,
"NF-Namzaric Oral Capsule, ER 21MG-10MG","0250","RC","Both",,,"64","32","Blue Cross Blue Shield","HMO",,,"71",,"45.18","0.04","569.62","percent of total billed charges",,
"NF-Namzaric Oral Capsule, ER 21MG-10MG","0250","RC","Both",,,"64","32","Blue Cross Blue Shield","PPO",,,"71",,"45.18","0.04","569.62","percent of total billed charges",,
"NF-Namzaric Oral Capsule, ER 21MG-10MG","0250","RC","Both",,,"64","32","Ambetter","Health Exchange",,,"62",,"39.68","0.04","569.62","percent of total billed charges",,
"NF-Namzaric Oral Capsule, ER 21MG-10MG","0250","RC","Both",,,"64","32","Caresource","Health Exchange",,,"62",,"39.68","0.04","569.62","percent of total billed charges",,
"NF-Namzaric Oral Capsule, ER 21MG-10MG","0250","RC","Both",,,"64","32","Cigna","Commercial",,,"59",,"37.5","0.04","569.62","percent of total billed charges",,
"NF-Namzaric Oral Capsule, ER 21MG-10MG","0250","RC","Both",,,"64","32","Humana","Commercial",,,"78",,"49.6","0.04","569.62","percent of total billed charges",,
"NF-Namzaric Oral Capsule, ER 21MG-10MG","0250","RC","Both",,,"64","32","UHC","Commercial",,,"75",,"48.26","0.04","569.62","percent of total billed charges",,
"NF-Namzaric Oral Capsule, ER 21MG-10MG","0250","RC","Both",,,"64","32","Medicaid",,,,"37",,"23.42","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0250","RC","Both",,,"62","31","Alliant","Health Exchange",,,"62",,"38.44","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0250","RC","Both",,,"62","31","Pruitt Healthcare","Medicare Advantage",,,"54",,"33.48","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0250","RC","Both",,,"62","31","Medicare",,,,"54",,"33.6","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0250","RC","Both",,,"62","31","Humana","Medicare Advantage",,,"54",,"33.6","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0250","RC","Both",,,"62","31","UHC","Medicare Advantage",,,"54",,"33.6","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0250","RC","Both",,,"62","31","Clover","Medicare Advantage",,,"54",,"33.6","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0250","RC","Both",,,"62","31","Wellcare","Medicare Advantage",,,"54",,"33.6","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0250","RC","Both",,,"62","31","Amerigroup","Medicaid Managed Care",,,"37",,"22.69","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0250","RC","Both",,,"62","31","Caresource","Medicaid Managed Care",,,"40",,"24.8","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0250","RC","Both",,,"62","31","Wellcare","Medicaid Managed Care",,,"40",,"25.11","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0250","RC","Both",,,"62","31","Aetna","Commercial",,,"64",,"39.56","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0250","RC","Both",,,"62","31","Blue Cross Blue Shield","Pathways",,,"71",,"43.77","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0250","RC","Both",,,"62","31","Blue Cross Blue Shield","HMO",,,"71",,"43.77","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0250","RC","Both",,,"62","31","Blue Cross Blue Shield","PPO",,,"71",,"43.77","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0250","RC","Both",,,"62","31","Ambetter","Health Exchange",,,"62",,"38.44","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0250","RC","Both",,,"62","31","Caresource","Health Exchange",,,"62",,"38.44","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0250","RC","Both",,,"62","31","Cigna","Commercial",,,"59",,"36.33","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0250","RC","Both",,,"62","31","Humana","Commercial",,,"78",,"48.05","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0250","RC","Both",,,"62","31","UHC","Commercial",,,"75",,"46.75","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 10MG","0250","RC","Both",,,"62","31","Medicaid",,,,"37",,"22.69","0.04","569.62","percent of total billed charges",,
"NF-VRAYLAR CAP 3MG","0259","RC","Both",,,"157.45","78.725","Alliant","Health Exchange",,,"62",,"97.62","0.04","2502.48","percent of total billed charges",,
"NF-VRAYLAR CAP 3MG","0259","RC","Both",,,"157.45","78.725","Pruitt Healthcare","Medicare Advantage",,,"54",,"85.02","0.04","2502.48","percent of total billed charges",,
"NF-VRAYLAR CAP 3MG","0259","RC","Both",,,"157.45","78.725","Medicare",,,,"54",,"85.34","0.04","2502.48","percent of total billed charges",,
"NF-VRAYLAR CAP 3MG","0259","RC","Both",,,"157.45","78.725","Humana","Medicare Advantage",,,"54",,"85.34","0.04","2502.48","percent of total billed charges",,
"NF-VRAYLAR CAP 3MG","0259","RC","Both",,,"157.45","78.725","UHC","Medicare Advantage",,,"54",,"85.34","0.04","2502.48","percent of total billed charges",,
"NF-VRAYLAR CAP 3MG","0259","RC","Both",,,"157.45","78.725","Clover","Medicare Advantage",,,"54",,"85.34","0.04","2502.48","percent of total billed charges",,
"NF-VRAYLAR CAP 3MG","0259","RC","Both",,,"157.45","78.725","Wellcare","Medicare Advantage",,,"54",,"85.34","0.04","2502.48","percent of total billed charges",,
"NF-VRAYLAR CAP 3MG","0259","RC","Both",,,"157.45","78.725","Amerigroup","Medicaid Managed Care",,,"37",,"57.63","0.04","2502.48","percent of total billed charges",,
"NF-VRAYLAR CAP 3MG","0259","RC","Both",,,"157.45","78.725","Caresource","Medicaid Managed Care",,,"40",,"62.98","0.04","2502.48","percent of total billed charges",,
"NF-VRAYLAR CAP 3MG","0259","RC","Both",,,"157.45","78.725","Wellcare","Medicaid Managed Care",,,"40",,"63.77","0.04","2502.48","percent of total billed charges",,
"NF-VRAYLAR CAP 3MG","0259","RC","Both",,,"157.45","78.725","Aetna","Commercial",,,"64",,"100.45","0.04","2502.48","percent of total billed charges",,
"NF-VRAYLAR CAP 3MG","0259","RC","Both",,,"157.45","78.725","Blue Cross Blue Shield","Pathways",,,"71",,"111.16","0.04","2502.48","percent of total billed charges",,
"NF-VRAYLAR CAP 3MG","0259","RC","Both",,,"157.45","78.725","Blue Cross Blue Shield","HMO",,,"71",,"111.16","0.04","2502.48","percent of total billed charges",,
"NF-VRAYLAR CAP 3MG","0259","RC","Both",,,"157.45","78.725","Blue Cross Blue Shield","PPO",,,"71",,"111.16","0.04","2502.48","percent of total billed charges",,
"NF-VRAYLAR CAP 3MG","0259","RC","Both",,,"157.45","78.725","Ambetter","Health Exchange",,,"62",,"97.62","0.04","2502.48","percent of total billed charges",,
"NF-VRAYLAR CAP 3MG","0259","RC","Both",,,"157.45","78.725","Caresource","Health Exchange",,,"62",,"97.62","0.04","2502.48","percent of total billed charges",,
"NF-VRAYLAR CAP 3MG","0259","RC","Both",,,"157.45","78.725","Cigna","Commercial",,,"59",,"92.27","0.04","2502.48","percent of total billed charges",,
"NF-VRAYLAR CAP 3MG","0259","RC","Both",,,"157.45","78.725","Humana","Commercial",,,"78",,"122.02","0.04","2502.48","percent of total billed charges",,
"NF-VRAYLAR CAP 3MG","0259","RC","Both",,,"157.45","78.725","UHC","Commercial",,,"75",,"118.72","0.04","2502.48","percent of total billed charges",,
"NF-VRAYLAR CAP 3MG","0259","RC","Both",,,"157.45","78.725","Medicaid",,,,"37",,"57.63","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Lisinopril/HCTZ AvPak Tab 20MG-12.5MG","0259","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Lisinopril/HCTZ AvPak Tab 20MG-12.5MG","0259","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Lisinopril/HCTZ AvPak Tab 20MG-12.5MG","0259","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Lisinopril/HCTZ AvPak Tab 20MG-12.5MG","0259","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Lisinopril/HCTZ AvPak Tab 20MG-12.5MG","0259","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Lisinopril/HCTZ AvPak Tab 20MG-12.5MG","0259","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Lisinopril/HCTZ AvPak Tab 20MG-12.5MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Lisinopril/HCTZ AvPak Tab 20MG-12.5MG","0259","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Lisinopril/HCTZ AvPak Tab 20MG-12.5MG","0259","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","2502.48","percent of total billed charges",,
"NF-Lisinopril/HCTZ AvPak Tab 20MG-12.5MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","2502.48","percent of total billed charges",,
"NF-Lisinopril/HCTZ AvPak Tab 20MG-12.5MG","0259","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","2502.48","percent of total billed charges",,
"NF-Lisinopril/HCTZ AvPak Tab 20MG-12.5MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Lisinopril/HCTZ AvPak Tab 20MG-12.5MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Lisinopril/HCTZ AvPak Tab 20MG-12.5MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Lisinopril/HCTZ AvPak Tab 20MG-12.5MG","0259","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Lisinopril/HCTZ AvPak Tab 20MG-12.5MG","0259","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Lisinopril/HCTZ AvPak Tab 20MG-12.5MG","0259","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-Lisinopril/HCTZ AvPak Tab 20MG-12.5MG","0259","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","2502.48","percent of total billed charges",,
"NF-Lisinopril/HCTZ AvPak Tab 20MG-12.5MG","0259","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","2502.48","percent of total billed charges",,
"NF-Lisinopril/HCTZ AvPak Tab 20MG-12.5MG","0259","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 160MG-25MG","0259","RC","Both",,,"14","7","Alliant","Health Exchange",,,"62",,"8.68","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 160MG-25MG","0259","RC","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.56","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 160MG-25MG","0259","RC","Both",,,"14","7","Medicare",,,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 160MG-25MG","0259","RC","Both",,,"14","7","Humana","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 160MG-25MG","0259","RC","Both",,,"14","7","UHC","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 160MG-25MG","0259","RC","Both",,,"14","7","Clover","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 160MG-25MG","0259","RC","Both",,,"14","7","Wellcare","Medicare Advantage",,,"54",,"7.59","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 160MG-25MG","0259","RC","Both",,,"14","7","Amerigroup","Medicaid Managed Care",,,"37",,"5.12","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 160MG-25MG","0259","RC","Both",,,"14","7","Caresource","Medicaid Managed Care",,,"40",,"5.6","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 160MG-25MG","0259","RC","Both",,,"14","7","Wellcare","Medicaid Managed Care",,,"40",,"5.67","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 160MG-25MG","0259","RC","Both",,,"14","7","Aetna","Commercial",,,"64",,"8.93","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 160MG-25MG","0259","RC","Both",,,"14","7","Blue Cross Blue Shield","Pathways",,,"71",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 160MG-25MG","0259","RC","Both",,,"14","7","Blue Cross Blue Shield","HMO",,,"71",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 160MG-25MG","0259","RC","Both",,,"14","7","Blue Cross Blue Shield","PPO",,,"71",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 160MG-25MG","0259","RC","Both",,,"14","7","Ambetter","Health Exchange",,,"62",,"8.68","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 160MG-25MG","0259","RC","Both",,,"14","7","Caresource","Health Exchange",,,"62",,"8.68","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 160MG-25MG","0259","RC","Both",,,"14","7","Cigna","Commercial",,,"59",,"8.2","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 160MG-25MG","0259","RC","Both",,,"14","7","Humana","Commercial",,,"78",,"10.85","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 160MG-25MG","0259","RC","Both",,,"14","7","UHC","Commercial",,,"75",,"10.56","0.04","2502.48","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 160MG-25MG","0259","RC","Both",,,"14","7","Medicaid",,,,"37",,"5.12","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0250","RC","Both",,,"46","23","Alliant","Health Exchange",,,"62",,"28.52","0.04","569.62","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0250","RC","Both",,,"46","23","Pruitt Healthcare","Medicare Advantage",,,"54",,"24.84","0.04","569.62","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0250","RC","Both",,,"46","23","Medicare",,,,"54",,"24.93","0.04","569.62","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0250","RC","Both",,,"46","23","Humana","Medicare Advantage",,,"54",,"24.93","0.04","569.62","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0250","RC","Both",,,"46","23","UHC","Medicare Advantage",,,"54",,"24.93","0.04","569.62","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0250","RC","Both",,,"46","23","Clover","Medicare Advantage",,,"54",,"24.93","0.04","569.62","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0250","RC","Both",,,"46","23","Wellcare","Medicare Advantage",,,"54",,"24.93","0.04","569.62","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0250","RC","Both",,,"46","23","Amerigroup","Medicaid Managed Care",,,"37",,"16.84","0.04","569.62","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0250","RC","Both",,,"46","23","Caresource","Medicaid Managed Care",,,"40",,"18.4","0.04","569.62","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0250","RC","Both",,,"46","23","Wellcare","Medicaid Managed Care",,,"40",,"18.63","0.04","569.62","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0250","RC","Both",,,"46","23","Aetna","Commercial",,,"64",,"29.35","0.04","569.62","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0250","RC","Both",,,"46","23","Blue Cross Blue Shield","Pathways",,,"71",,"32.48","0.04","569.62","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0250","RC","Both",,,"46","23","Blue Cross Blue Shield","HMO",,,"71",,"32.48","0.04","569.62","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0250","RC","Both",,,"46","23","Blue Cross Blue Shield","PPO",,,"71",,"32.48","0.04","569.62","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0250","RC","Both",,,"46","23","Ambetter","Health Exchange",,,"62",,"28.52","0.04","569.62","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0250","RC","Both",,,"46","23","Caresource","Health Exchange",,,"62",,"28.52","0.04","569.62","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0250","RC","Both",,,"46","23","Cigna","Commercial",,,"59",,"26.96","0.04","569.62","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0250","RC","Both",,,"46","23","Humana","Commercial",,,"78",,"35.65","0.04","569.62","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0250","RC","Both",,,"46","23","UHC","Commercial",,,"75",,"34.68","0.04","569.62","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0250","RC","Both",,,"46","23","Medicaid",,,,"37",,"16.84","0.04","569.62","percent of total billed charges",,
"NF-Dapsone Tablet 100MG","0259","RC","Both",,,"9","4.5","Alliant","Health Exchange",,,"62",,"5.58","0.04","2502.48","percent of total billed charges",,
"NF-Dapsone Tablet 100MG","0259","RC","Both",,,"9","4.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.86","0.04","2502.48","percent of total billed charges",,
"NF-Dapsone Tablet 100MG","0259","RC","Both",,,"9","4.5","Medicare",,,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Dapsone Tablet 100MG","0259","RC","Both",,,"9","4.5","Humana","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Dapsone Tablet 100MG","0259","RC","Both",,,"9","4.5","UHC","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Dapsone Tablet 100MG","0259","RC","Both",,,"9","4.5","Clover","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Dapsone Tablet 100MG","0259","RC","Both",,,"9","4.5","Wellcare","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Dapsone Tablet 100MG","0259","RC","Both",,,"9","4.5","Amerigroup","Medicaid Managed Care",,,"37",,"3.29","0.04","2502.48","percent of total billed charges",,
"NF-Dapsone Tablet 100MG","0259","RC","Both",,,"9","4.5","Caresource","Medicaid Managed Care",,,"40",,"3.6","0.04","2502.48","percent of total billed charges",,
"NF-Dapsone Tablet 100MG","0259","RC","Both",,,"9","4.5","Wellcare","Medicaid Managed Care",,,"40",,"3.65","0.04","2502.48","percent of total billed charges",,
"NF-Dapsone Tablet 100MG","0259","RC","Both",,,"9","4.5","Aetna","Commercial",,,"64",,"5.74","0.04","2502.48","percent of total billed charges",,
"NF-Dapsone Tablet 100MG","0259","RC","Both",,,"9","4.5","Blue Cross Blue Shield","Pathways",,,"71",,"6.35","0.04","2502.48","percent of total billed charges",,
"NF-Dapsone Tablet 100MG","0259","RC","Both",,,"9","4.5","Blue Cross Blue Shield","HMO",,,"71",,"6.35","0.04","2502.48","percent of total billed charges",,
"NF-Dapsone Tablet 100MG","0259","RC","Both",,,"9","4.5","Blue Cross Blue Shield","PPO",,,"71",,"6.35","0.04","2502.48","percent of total billed charges",,
"NF-Dapsone Tablet 100MG","0259","RC","Both",,,"9","4.5","Ambetter","Health Exchange",,,"62",,"5.58","0.04","2502.48","percent of total billed charges",,
"NF-Dapsone Tablet 100MG","0259","RC","Both",,,"9","4.5","Caresource","Health Exchange",,,"62",,"5.58","0.04","2502.48","percent of total billed charges",,
"NF-Dapsone Tablet 100MG","0259","RC","Both",,,"9","4.5","Cigna","Commercial",,,"59",,"5.27","0.04","2502.48","percent of total billed charges",,
"NF-Dapsone Tablet 100MG","0259","RC","Both",,,"9","4.5","Humana","Commercial",,,"78",,"6.98","0.04","2502.48","percent of total billed charges",,
"NF-Dapsone Tablet 100MG","0259","RC","Both",,,"9","4.5","UHC","Commercial",,,"75",,"6.79","0.04","2502.48","percent of total billed charges",,
"NF-Dapsone Tablet 100MG","0259","RC","Both",,,"9","4.5","Medicaid",,,,"37",,"3.29","0.04","2502.48","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 80MG","0259","RC","Both",,,"42.2","21.1","Alliant","Health Exchange",,,"62",,"26.16","0.04","2502.48","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 80MG","0259","RC","Both",,,"42.2","21.1","Pruitt Healthcare","Medicare Advantage",,,"54",,"22.79","0.04","2502.48","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 80MG","0259","RC","Both",,,"42.2","21.1","Medicare",,,,"54",,"22.87","0.04","2502.48","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 80MG","0259","RC","Both",,,"42.2","21.1","Humana","Medicare Advantage",,,"54",,"22.87","0.04","2502.48","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 80MG","0259","RC","Both",,,"42.2","21.1","UHC","Medicare Advantage",,,"54",,"22.87","0.04","2502.48","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 80MG","0259","RC","Both",,,"42.2","21.1","Clover","Medicare Advantage",,,"54",,"22.87","0.04","2502.48","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 80MG","0259","RC","Both",,,"42.2","21.1","Wellcare","Medicare Advantage",,,"54",,"22.87","0.04","2502.48","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 80MG","0259","RC","Both",,,"42.2","21.1","Amerigroup","Medicaid Managed Care",,,"37",,"15.45","0.04","2502.48","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 80MG","0259","RC","Both",,,"42.2","21.1","Caresource","Medicaid Managed Care",,,"40",,"16.88","0.04","2502.48","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 80MG","0259","RC","Both",,,"42.2","21.1","Wellcare","Medicaid Managed Care",,,"40",,"17.09","0.04","2502.48","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 80MG","0259","RC","Both",,,"42.2","21.1","Aetna","Commercial",,,"64",,"26.92","0.04","2502.48","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 80MG","0259","RC","Both",,,"42.2","21.1","Blue Cross Blue Shield","Pathways",,,"71",,"29.79","0.04","2502.48","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 80MG","0259","RC","Both",,,"42.2","21.1","Blue Cross Blue Shield","HMO",,,"71",,"29.79","0.04","2502.48","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 80MG","0259","RC","Both",,,"42.2","21.1","Blue Cross Blue Shield","PPO",,,"71",,"29.79","0.04","2502.48","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 80MG","0259","RC","Both",,,"42.2","21.1","Ambetter","Health Exchange",,,"62",,"26.16","0.04","2502.48","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 80MG","0259","RC","Both",,,"42.2","21.1","Caresource","Health Exchange",,,"62",,"26.16","0.04","2502.48","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 80MG","0259","RC","Both",,,"42.2","21.1","Cigna","Commercial",,,"59",,"24.73","0.04","2502.48","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 80MG","0259","RC","Both",,,"42.2","21.1","Humana","Commercial",,,"78",,"32.71","0.04","2502.48","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 80MG","0259","RC","Both",,,"42.2","21.1","UHC","Commercial",,,"75",,"31.82","0.04","2502.48","percent of total billed charges",,
"NF-ATORVASTATIN CALCIUM ORAL TAB 80MG","0259","RC","Both",,,"42.2","21.1","Medicaid",,,,"37",,"15.45","0.04","2502.48","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE ORAL TAB 12.5MG","0259","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.04","2502.48","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE ORAL TAB 12.5MG","0259","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.04","2502.48","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE ORAL TAB 12.5MG","0259","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.04","2502.48","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE ORAL TAB 12.5MG","0259","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.04","2502.48","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE ORAL TAB 12.5MG","0259","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.04","2502.48","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE ORAL TAB 12.5MG","0259","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.04","2502.48","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE ORAL TAB 12.5MG","0259","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.04","2502.48","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE ORAL TAB 12.5MG","0259","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.04","2502.48","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE ORAL TAB 12.5MG","0259","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.04","2502.48","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE ORAL TAB 12.5MG","0259","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.04","2502.48","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE ORAL TAB 12.5MG","0259","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.04","2502.48","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE ORAL TAB 12.5MG","0259","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.04","2502.48","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE ORAL TAB 12.5MG","0259","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.04","2502.48","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE ORAL TAB 12.5MG","0259","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.04","2502.48","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE ORAL TAB 12.5MG","0259","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.04","2502.48","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE ORAL TAB 12.5MG","0259","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.04","2502.48","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE ORAL TAB 12.5MG","0259","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.04","2502.48","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE ORAL TAB 12.5MG","0259","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.04","2502.48","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE ORAL TAB 12.5MG","0259","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.04","2502.48","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE ORAL TAB 12.5MG","0259","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.04","2502.48","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 300MG","0259","RC","Both",,,"11.08","5.54","Alliant","Health Exchange",,,"62",,"6.87","0.04","2502.48","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 300MG","0259","RC","Both",,,"11.08","5.54","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.98","0.04","2502.48","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 300MG","0259","RC","Both",,,"11.08","5.54","Medicare",,,,"54",,"6.01","0.04","2502.48","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 300MG","0259","RC","Both",,,"11.08","5.54","Humana","Medicare Advantage",,,"54",,"6.01","0.04","2502.48","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 300MG","0259","RC","Both",,,"11.08","5.54","UHC","Medicare Advantage",,,"54",,"6.01","0.04","2502.48","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 300MG","0259","RC","Both",,,"11.08","5.54","Clover","Medicare Advantage",,,"54",,"6.01","0.04","2502.48","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 300MG","0259","RC","Both",,,"11.08","5.54","Wellcare","Medicare Advantage",,,"54",,"6.01","0.04","2502.48","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 300MG","0259","RC","Both",,,"11.08","5.54","Amerigroup","Medicaid Managed Care",,,"37",,"4.06","0.04","2502.48","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 300MG","0259","RC","Both",,,"11.08","5.54","Caresource","Medicaid Managed Care",,,"40",,"4.43","0.04","2502.48","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 300MG","0259","RC","Both",,,"11.08","5.54","Wellcare","Medicaid Managed Care",,,"40",,"4.49","0.04","2502.48","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 300MG","0259","RC","Both",,,"11.08","5.54","Aetna","Commercial",,,"64",,"7.07","0.04","2502.48","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 300MG","0259","RC","Both",,,"11.08","5.54","Blue Cross Blue Shield","Pathways",,,"71",,"7.82","0.04","2502.48","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 300MG","0259","RC","Both",,,"11.08","5.54","Blue Cross Blue Shield","HMO",,,"71",,"7.82","0.04","2502.48","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 300MG","0259","RC","Both",,,"11.08","5.54","Blue Cross Blue Shield","PPO",,,"71",,"7.82","0.04","2502.48","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 300MG","0259","RC","Both",,,"11.08","5.54","Ambetter","Health Exchange",,,"62",,"6.87","0.04","2502.48","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 300MG","0259","RC","Both",,,"11.08","5.54","Caresource","Health Exchange",,,"62",,"6.87","0.04","2502.48","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 300MG","0259","RC","Both",,,"11.08","5.54","Cigna","Commercial",,,"59",,"6.49","0.04","2502.48","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 300MG","0259","RC","Both",,,"11.08","5.54","Humana","Commercial",,,"78",,"8.59","0.04","2502.48","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 300MG","0259","RC","Both",,,"11.08","5.54","UHC","Commercial",,,"75",,"8.35","0.04","2502.48","percent of total billed charges",,
"NF-IRBESARTAN ORAL TABLET 300MG","0259","RC","Both",,,"11.08","5.54","Medicaid",,,,"37",,"4.06","0.04","2502.48","percent of total billed charges",,
"NF-SENNA-PLUS TAB 50MG-8.6MG","0259","RC","Both",,,"0.27","0.135","Alliant","Health Exchange",,,"62",,"0.17","0.04","2502.48","percent of total billed charges",,
"NF-SENNA-PLUS TAB 50MG-8.6MG","0259","RC","Both",,,"0.27","0.135","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.15","0.04","2502.48","percent of total billed charges",,
"NF-SENNA-PLUS TAB 50MG-8.6MG","0259","RC","Both",,,"0.27","0.135","Medicare",,,,"54",,"0.15","0.04","2502.48","percent of total billed charges",,
"NF-SENNA-PLUS TAB 50MG-8.6MG","0259","RC","Both",,,"0.27","0.135","Humana","Medicare Advantage",,,"54",,"0.15","0.04","2502.48","percent of total billed charges",,
"NF-SENNA-PLUS TAB 50MG-8.6MG","0259","RC","Both",,,"0.27","0.135","UHC","Medicare Advantage",,,"54",,"0.15","0.04","2502.48","percent of total billed charges",,
"NF-SENNA-PLUS TAB 50MG-8.6MG","0259","RC","Both",,,"0.27","0.135","Clover","Medicare Advantage",,,"54",,"0.15","0.04","2502.48","percent of total billed charges",,
"NF-SENNA-PLUS TAB 50MG-8.6MG","0259","RC","Both",,,"0.27","0.135","Wellcare","Medicare Advantage",,,"54",,"0.15","0.04","2502.48","percent of total billed charges",,
"NF-SENNA-PLUS TAB 50MG-8.6MG","0259","RC","Both",,,"0.27","0.135","Amerigroup","Medicaid Managed Care",,,"37",,"0.1","0.04","2502.48","percent of total billed charges",,
"NF-SENNA-PLUS TAB 50MG-8.6MG","0259","RC","Both",,,"0.27","0.135","Caresource","Medicaid Managed Care",,,"40",,"0.11","0.04","2502.48","percent of total billed charges",,
"NF-SENNA-PLUS TAB 50MG-8.6MG","0259","RC","Both",,,"0.27","0.135","Wellcare","Medicaid Managed Care",,,"40",,"0.11","0.04","2502.48","percent of total billed charges",,
"NF-SENNA-PLUS TAB 50MG-8.6MG","0259","RC","Both",,,"0.27","0.135","Aetna","Commercial",,,"64",,"0.17","0.04","2502.48","percent of total billed charges",,
"NF-SENNA-PLUS TAB 50MG-8.6MG","0259","RC","Both",,,"0.27","0.135","Blue Cross Blue Shield","Pathways",,,"71",,"0.19","0.04","2502.48","percent of total billed charges",,
"NF-SENNA-PLUS TAB 50MG-8.6MG","0259","RC","Both",,,"0.27","0.135","Blue Cross Blue Shield","HMO",,,"71",,"0.19","0.04","2502.48","percent of total billed charges",,
"NF-SENNA-PLUS TAB 50MG-8.6MG","0259","RC","Both",,,"0.27","0.135","Blue Cross Blue Shield","PPO",,,"71",,"0.19","0.04","2502.48","percent of total billed charges",,
"NF-SENNA-PLUS TAB 50MG-8.6MG","0259","RC","Both",,,"0.27","0.135","Ambetter","Health Exchange",,,"62",,"0.17","0.04","2502.48","percent of total billed charges",,
"NF-SENNA-PLUS TAB 50MG-8.6MG","0259","RC","Both",,,"0.27","0.135","Caresource","Health Exchange",,,"62",,"0.17","0.04","2502.48","percent of total billed charges",,
"NF-SENNA-PLUS TAB 50MG-8.6MG","0259","RC","Both",,,"0.27","0.135","Cigna","Commercial",,,"59",,"0.16","0.04","2502.48","percent of total billed charges",,
"NF-SENNA-PLUS TAB 50MG-8.6MG","0259","RC","Both",,,"0.27","0.135","Humana","Commercial",,,"78",,"0.21","0.04","2502.48","percent of total billed charges",,
"NF-SENNA-PLUS TAB 50MG-8.6MG","0259","RC","Both",,,"0.27","0.135","UHC","Commercial",,,"75",,"0.2","0.04","2502.48","percent of total billed charges",,
"NF-SENNA-PLUS TAB 50MG-8.6MG","0259","RC","Both",,,"0.27","0.135","Medicaid",,,,"37",,"0.1","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Alliant","Health Exchange",,,"62",,"13.02","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.34","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Medicare",,,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Humana","Medicare Advantage",,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","UHC","Medicare Advantage",,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Clover","Medicare Advantage",,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Wellcare","Medicare Advantage",,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Amerigroup","Medicaid Managed Care",,,"37",,"7.69","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Caresource","Medicaid Managed Care",,,"40",,"8.4","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Wellcare","Medicaid Managed Care",,,"40",,"8.51","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Aetna","Commercial",,,"64",,"13.4","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Blue Cross Blue Shield","Pathways",,,"71",,"14.83","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Blue Cross Blue Shield","HMO",,,"71",,"14.83","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Blue Cross Blue Shield","PPO",,,"71",,"14.83","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Ambetter","Health Exchange",,,"62",,"13.02","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Caresource","Health Exchange",,,"62",,"13.02","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Cigna","Commercial",,,"59",,"12.31","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Humana","Commercial",,,"78",,"16.28","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","UHC","Commercial",,,"75",,"15.83","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Medicaid",,,,"37",,"7.69","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","0259","RC","Both",,,"20","10","Alliant","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","0259","RC","Both",,,"20","10","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.8","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","0259","RC","Both",,,"20","10","Medicare",,,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","0259","RC","Both",,,"20","10","Humana","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","0259","RC","Both",,,"20","10","UHC","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","0259","RC","Both",,,"20","10","Clover","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","0259","RC","Both",,,"20","10","Wellcare","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","0259","RC","Both",,,"20","10","Amerigroup","Medicaid Managed Care",,,"37",,"7.32","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","0259","RC","Both",,,"20","10","Caresource","Medicaid Managed Care",,,"40",,"8","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","0259","RC","Both",,,"20","10","Wellcare","Medicaid Managed Care",,,"40",,"8.1","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","0259","RC","Both",,,"20","10","Aetna","Commercial",,,"64",,"12.76","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","Pathways",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","HMO",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","PPO",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","0259","RC","Both",,,"20","10","Ambetter","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","0259","RC","Both",,,"20","10","Caresource","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","0259","RC","Both",,,"20","10","Cigna","Commercial",,,"59",,"11.72","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","0259","RC","Both",,,"20","10","Humana","Commercial",,,"78",,"15.5","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","0259","RC","Both",,,"20","10","UHC","Commercial",,,"75",,"15.08","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","0259","RC","Both",,,"20","10","Medicaid",,,,"37",,"7.32","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","0259","RC","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","0259","RC","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","0259","RC","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","0259","RC","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","0259","RC","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","0259","RC","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","0259","RC","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","0259","RC","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","0259","RC","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","0259","RC","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","0259","RC","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","0259","RC","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","0259","RC","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","0259","RC","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","0259","RC","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","0259","RC","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","0259","RC","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","0259","RC","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","0259","RC","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","0259","RC","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Alliant","Health Exchange",,,"62",,"39.06","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"34.02","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Medicare",,,,"54",,"34.15","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Humana","Medicare Advantage",,,"54",,"34.15","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","UHC","Medicare Advantage",,,"54",,"34.15","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Clover","Medicare Advantage",,,"54",,"34.15","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Wellcare","Medicare Advantage",,,"54",,"34.15","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Amerigroup","Medicaid Managed Care",,,"37",,"23.06","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Caresource","Medicaid Managed Care",,,"40",,"25.2","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Wellcare","Medicaid Managed Care",,,"40",,"25.52","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Aetna","Commercial",,,"64",,"40.19","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Blue Cross Blue Shield","Pathways",,,"71",,"44.48","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Blue Cross Blue Shield","HMO",,,"71",,"44.48","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Blue Cross Blue Shield","PPO",,,"71",,"44.48","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Ambetter","Health Exchange",,,"62",,"39.06","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Caresource","Health Exchange",,,"62",,"39.06","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Cigna","Commercial",,,"59",,"36.92","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Humana","Commercial",,,"78",,"48.82","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","UHC","Commercial",,,"75",,"47.5","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Medicaid",,,,"37",,"23.06","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Alliant","Health Exchange",,,"62",,"39.06","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"34.02","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Medicare",,,,"54",,"34.15","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Humana","Medicare Advantage",,,"54",,"34.15","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","UHC","Medicare Advantage",,,"54",,"34.15","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Clover","Medicare Advantage",,,"54",,"34.15","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Wellcare","Medicare Advantage",,,"54",,"34.15","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Amerigroup","Medicaid Managed Care",,,"37",,"23.06","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Caresource","Medicaid Managed Care",,,"40",,"25.2","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Wellcare","Medicaid Managed Care",,,"40",,"25.52","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Aetna","Commercial",,,"64",,"40.19","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Blue Cross Blue Shield","Pathways",,,"71",,"44.48","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Blue Cross Blue Shield","HMO",,,"71",,"44.48","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Blue Cross Blue Shield","PPO",,,"71",,"44.48","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Ambetter","Health Exchange",,,"62",,"39.06","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Caresource","Health Exchange",,,"62",,"39.06","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Cigna","Commercial",,,"59",,"36.92","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Humana","Commercial",,,"78",,"48.82","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","UHC","Commercial",,,"75",,"47.5","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Medicaid",,,,"37",,"23.06","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 20MG","0259","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 20MG","0259","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 20MG","0259","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 20MG","0259","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 20MG","0259","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 20MG","0259","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 20MG","0259","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 20MG","0259","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 20MG","0259","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 20MG","0259","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 20MG","0259","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 20MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 20MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 20MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 20MG","0259","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 20MG","0259","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 20MG","0259","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 20MG","0259","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 20MG","0259","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol Tablet 20MG","0259","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","0259","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","0259","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","0259","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","0259","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","0259","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","0259","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","0259","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","0259","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","0259","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","0259","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","0259","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","0259","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","0259","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","0259","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","0259","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","0259","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.04","2502.48","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","0259","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"16","8","Alliant","Health Exchange",,,"62",,"9.92","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"16","8","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.64","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"16","8","Medicare",,,,"54",,"8.67","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"16","8","Humana","Medicare Advantage",,,"54",,"8.67","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"16","8","UHC","Medicare Advantage",,,"54",,"8.67","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"16","8","Clover","Medicare Advantage",,,"54",,"8.67","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"16","8","Wellcare","Medicare Advantage",,,"54",,"8.67","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"16","8","Amerigroup","Medicaid Managed Care",,,"37",,"5.86","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"16","8","Caresource","Medicaid Managed Care",,,"40",,"6.4","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"16","8","Wellcare","Medicaid Managed Care",,,"40",,"6.48","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"16","8","Aetna","Commercial",,,"64",,"10.21","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"16","8","Blue Cross Blue Shield","Pathways",,,"71",,"11.3","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"16","8","Blue Cross Blue Shield","HMO",,,"71",,"11.3","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"16","8","Blue Cross Blue Shield","PPO",,,"71",,"11.3","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"16","8","Ambetter","Health Exchange",,,"62",,"9.92","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"16","8","Caresource","Health Exchange",,,"62",,"9.92","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"16","8","Cigna","Commercial",,,"59",,"9.38","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"16","8","Humana","Commercial",,,"78",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"16","8","UHC","Commercial",,,"75",,"12.06","0.04","2502.48","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","0259","RC","Both",,,"16","8","Medicaid",,,,"37",,"5.86","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-DONEPEZIL HCL ORAL TABLET 10MG","0259","RC","Both",,,"23.31","11.655","Alliant","Health Exchange",,,"62",,"14.45","0.04","2502.48","percent of total billed charges",,
"NF-DONEPEZIL HCL ORAL TABLET 10MG","0259","RC","Both",,,"23.31","11.655","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.59","0.04","2502.48","percent of total billed charges",,
"NF-DONEPEZIL HCL ORAL TABLET 10MG","0259","RC","Both",,,"23.31","11.655","Medicare",,,,"54",,"12.63","0.04","2502.48","percent of total billed charges",,
"NF-DONEPEZIL HCL ORAL TABLET 10MG","0259","RC","Both",,,"23.31","11.655","Humana","Medicare Advantage",,,"54",,"12.63","0.04","2502.48","percent of total billed charges",,
"NF-DONEPEZIL HCL ORAL TABLET 10MG","0259","RC","Both",,,"23.31","11.655","UHC","Medicare Advantage",,,"54",,"12.63","0.04","2502.48","percent of total billed charges",,
"NF-DONEPEZIL HCL ORAL TABLET 10MG","0259","RC","Both",,,"23.31","11.655","Clover","Medicare Advantage",,,"54",,"12.63","0.04","2502.48","percent of total billed charges",,
"NF-DONEPEZIL HCL ORAL TABLET 10MG","0259","RC","Both",,,"23.31","11.655","Wellcare","Medicare Advantage",,,"54",,"12.63","0.04","2502.48","percent of total billed charges",,
"NF-DONEPEZIL HCL ORAL TABLET 10MG","0259","RC","Both",,,"23.31","11.655","Amerigroup","Medicaid Managed Care",,,"37",,"8.53","0.04","2502.48","percent of total billed charges",,
"NF-DONEPEZIL HCL ORAL TABLET 10MG","0259","RC","Both",,,"23.31","11.655","Caresource","Medicaid Managed Care",,,"40",,"9.32","0.04","2502.48","percent of total billed charges",,
"NF-DONEPEZIL HCL ORAL TABLET 10MG","0259","RC","Both",,,"23.31","11.655","Wellcare","Medicaid Managed Care",,,"40",,"9.44","0.04","2502.48","percent of total billed charges",,
"NF-DONEPEZIL HCL ORAL TABLET 10MG","0259","RC","Both",,,"23.31","11.655","Aetna","Commercial",,,"64",,"14.87","0.04","2502.48","percent of total billed charges",,
"NF-DONEPEZIL HCL ORAL TABLET 10MG","0259","RC","Both",,,"23.31","11.655","Blue Cross Blue Shield","Pathways",,,"71",,"16.46","0.04","2502.48","percent of total billed charges",,
"NF-DONEPEZIL HCL ORAL TABLET 10MG","0259","RC","Both",,,"23.31","11.655","Blue Cross Blue Shield","HMO",,,"71",,"16.46","0.04","2502.48","percent of total billed charges",,
"NF-DONEPEZIL HCL ORAL TABLET 10MG","0259","RC","Both",,,"23.31","11.655","Blue Cross Blue Shield","PPO",,,"71",,"16.46","0.04","2502.48","percent of total billed charges",,
"NF-DONEPEZIL HCL ORAL TABLET 10MG","0259","RC","Both",,,"23.31","11.655","Ambetter","Health Exchange",,,"62",,"14.45","0.04","2502.48","percent of total billed charges",,
"NF-DONEPEZIL HCL ORAL TABLET 10MG","0259","RC","Both",,,"23.31","11.655","Caresource","Health Exchange",,,"62",,"14.45","0.04","2502.48","percent of total billed charges",,
"NF-DONEPEZIL HCL ORAL TABLET 10MG","0259","RC","Both",,,"23.31","11.655","Cigna","Commercial",,,"59",,"13.66","0.04","2502.48","percent of total billed charges",,
"NF-DONEPEZIL HCL ORAL TABLET 10MG","0259","RC","Both",,,"23.31","11.655","Humana","Commercial",,,"78",,"18.07","0.04","2502.48","percent of total billed charges",,
"NF-DONEPEZIL HCL ORAL TABLET 10MG","0259","RC","Both",,,"23.31","11.655","UHC","Commercial",,,"75",,"17.58","0.04","2502.48","percent of total billed charges",,
"NF-DONEPEZIL HCL ORAL TABLET 10MG","0259","RC","Both",,,"23.31","11.655","Medicaid",,,,"37",,"8.53","0.04","2502.48","percent of total billed charges",,
"NF-DOXYCYCLINE MONOHYDRATE CAPSULE 100MG","0259","RC","Both",,,"7.39","3.695","Alliant","Health Exchange",,,"62",,"4.58","0.04","2502.48","percent of total billed charges",,
"NF-DOXYCYCLINE MONOHYDRATE CAPSULE 100MG","0259","RC","Both",,,"7.39","3.695","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.99","0.04","2502.48","percent of total billed charges",,
"NF-DOXYCYCLINE MONOHYDRATE CAPSULE 100MG","0259","RC","Both",,,"7.39","3.695","Medicare",,,,"54",,"4.01","0.04","2502.48","percent of total billed charges",,
"NF-DOXYCYCLINE MONOHYDRATE CAPSULE 100MG","0259","RC","Both",,,"7.39","3.695","Humana","Medicare Advantage",,,"54",,"4.01","0.04","2502.48","percent of total billed charges",,
"NF-DOXYCYCLINE MONOHYDRATE CAPSULE 100MG","0259","RC","Both",,,"7.39","3.695","UHC","Medicare Advantage",,,"54",,"4.01","0.04","2502.48","percent of total billed charges",,
"NF-DOXYCYCLINE MONOHYDRATE CAPSULE 100MG","0259","RC","Both",,,"7.39","3.695","Clover","Medicare Advantage",,,"54",,"4.01","0.04","2502.48","percent of total billed charges",,
"NF-DOXYCYCLINE MONOHYDRATE CAPSULE 100MG","0259","RC","Both",,,"7.39","3.695","Wellcare","Medicare Advantage",,,"54",,"4.01","0.04","2502.48","percent of total billed charges",,
"NF-DOXYCYCLINE MONOHYDRATE CAPSULE 100MG","0259","RC","Both",,,"7.39","3.695","Amerigroup","Medicaid Managed Care",,,"37",,"2.7","0.04","2502.48","percent of total billed charges",,
"NF-DOXYCYCLINE MONOHYDRATE CAPSULE 100MG","0259","RC","Both",,,"7.39","3.695","Caresource","Medicaid Managed Care",,,"40",,"2.96","0.04","2502.48","percent of total billed charges",,
"NF-DOXYCYCLINE MONOHYDRATE CAPSULE 100MG","0259","RC","Both",,,"7.39","3.695","Wellcare","Medicaid Managed Care",,,"40",,"2.99","0.04","2502.48","percent of total billed charges",,
"NF-DOXYCYCLINE MONOHYDRATE CAPSULE 100MG","0259","RC","Both",,,"7.39","3.695","Aetna","Commercial",,,"64",,"4.71","0.04","2502.48","percent of total billed charges",,
"NF-DOXYCYCLINE MONOHYDRATE CAPSULE 100MG","0259","RC","Both",,,"7.39","3.695","Blue Cross Blue Shield","Pathways",,,"71",,"5.22","0.04","2502.48","percent of total billed charges",,
"NF-DOXYCYCLINE MONOHYDRATE CAPSULE 100MG","0259","RC","Both",,,"7.39","3.695","Blue Cross Blue Shield","HMO",,,"71",,"5.22","0.04","2502.48","percent of total billed charges",,
"NF-DOXYCYCLINE MONOHYDRATE CAPSULE 100MG","0259","RC","Both",,,"7.39","3.695","Blue Cross Blue Shield","PPO",,,"71",,"5.22","0.04","2502.48","percent of total billed charges",,
"NF-DOXYCYCLINE MONOHYDRATE CAPSULE 100MG","0259","RC","Both",,,"7.39","3.695","Ambetter","Health Exchange",,,"62",,"4.58","0.04","2502.48","percent of total billed charges",,
"NF-DOXYCYCLINE MONOHYDRATE CAPSULE 100MG","0259","RC","Both",,,"7.39","3.695","Caresource","Health Exchange",,,"62",,"4.58","0.04","2502.48","percent of total billed charges",,
"NF-DOXYCYCLINE MONOHYDRATE CAPSULE 100MG","0259","RC","Both",,,"7.39","3.695","Cigna","Commercial",,,"59",,"4.33","0.04","2502.48","percent of total billed charges",,
"NF-DOXYCYCLINE MONOHYDRATE CAPSULE 100MG","0259","RC","Both",,,"7.39","3.695","Humana","Commercial",,,"78",,"5.73","0.04","2502.48","percent of total billed charges",,
"NF-DOXYCYCLINE MONOHYDRATE CAPSULE 100MG","0259","RC","Both",,,"7.39","3.695","UHC","Commercial",,,"75",,"5.57","0.04","2502.48","percent of total billed charges",,
"NF-DOXYCYCLINE MONOHYDRATE CAPSULE 100MG","0259","RC","Both",,,"7.39","3.695","Medicaid",,,,"37",,"2.7","0.04","2502.48","percent of total billed charges",,
"NF-CELEBREX CAP 100MG","0259","RC","Both",,,"15.94","7.97","Alliant","Health Exchange",,,"62",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-CELEBREX CAP 100MG","0259","RC","Both",,,"15.94","7.97","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.61","0.04","2502.48","percent of total billed charges",,
"NF-CELEBREX CAP 100MG","0259","RC","Both",,,"15.94","7.97","Medicare",,,,"54",,"8.64","0.04","2502.48","percent of total billed charges",,
"NF-CELEBREX CAP 100MG","0259","RC","Both",,,"15.94","7.97","Humana","Medicare Advantage",,,"54",,"8.64","0.04","2502.48","percent of total billed charges",,
"NF-CELEBREX CAP 100MG","0259","RC","Both",,,"15.94","7.97","UHC","Medicare Advantage",,,"54",,"8.64","0.04","2502.48","percent of total billed charges",,
"NF-CELEBREX CAP 100MG","0259","RC","Both",,,"15.94","7.97","Clover","Medicare Advantage",,,"54",,"8.64","0.04","2502.48","percent of total billed charges",,
"NF-CELEBREX CAP 100MG","0259","RC","Both",,,"15.94","7.97","Wellcare","Medicare Advantage",,,"54",,"8.64","0.04","2502.48","percent of total billed charges",,
"NF-CELEBREX CAP 100MG","0259","RC","Both",,,"15.94","7.97","Amerigroup","Medicaid Managed Care",,,"37",,"5.83","0.04","2502.48","percent of total billed charges",,
"NF-CELEBREX CAP 100MG","0259","RC","Both",,,"15.94","7.97","Caresource","Medicaid Managed Care",,,"40",,"6.38","0.04","2502.48","percent of total billed charges",,
"NF-CELEBREX CAP 100MG","0259","RC","Both",,,"15.94","7.97","Wellcare","Medicaid Managed Care",,,"40",,"6.46","0.04","2502.48","percent of total billed charges",,
"NF-CELEBREX CAP 100MG","0259","RC","Both",,,"15.94","7.97","Aetna","Commercial",,,"64",,"10.17","0.04","2502.48","percent of total billed charges",,
"NF-CELEBREX CAP 100MG","0259","RC","Both",,,"15.94","7.97","Blue Cross Blue Shield","Pathways",,,"71",,"11.25","0.04","2502.48","percent of total billed charges",,
"NF-CELEBREX CAP 100MG","0259","RC","Both",,,"15.94","7.97","Blue Cross Blue Shield","HMO",,,"71",,"11.25","0.04","2502.48","percent of total billed charges",,
"NF-CELEBREX CAP 100MG","0259","RC","Both",,,"15.94","7.97","Blue Cross Blue Shield","PPO",,,"71",,"11.25","0.04","2502.48","percent of total billed charges",,
"NF-CELEBREX CAP 100MG","0259","RC","Both",,,"15.94","7.97","Ambetter","Health Exchange",,,"62",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-CELEBREX CAP 100MG","0259","RC","Both",,,"15.94","7.97","Caresource","Health Exchange",,,"62",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-CELEBREX CAP 100MG","0259","RC","Both",,,"15.94","7.97","Cigna","Commercial",,,"59",,"9.34","0.04","2502.48","percent of total billed charges",,
"NF-CELEBREX CAP 100MG","0259","RC","Both",,,"15.94","7.97","Humana","Commercial",,,"78",,"12.35","0.04","2502.48","percent of total billed charges",,
"NF-CELEBREX CAP 100MG","0259","RC","Both",,,"15.94","7.97","UHC","Commercial",,,"75",,"12.02","0.04","2502.48","percent of total billed charges",,
"NF-CELEBREX CAP 100MG","0259","RC","Both",,,"15.94","7.97","Medicaid",,,,"37",,"5.83","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ER ORAL TAB ER 10M","0259","RC","Both",,,"1.02","0.51","Alliant","Health Exchange",,,"62",,"0.63","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ER ORAL TAB ER 10M","0259","RC","Both",,,"1.02","0.51","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.55","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ER ORAL TAB ER 10M","0259","RC","Both",,,"1.02","0.51","Medicare",,,,"54",,"0.55","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ER ORAL TAB ER 10M","0259","RC","Both",,,"1.02","0.51","Humana","Medicare Advantage",,,"54",,"0.55","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ER ORAL TAB ER 10M","0259","RC","Both",,,"1.02","0.51","UHC","Medicare Advantage",,,"54",,"0.55","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ER ORAL TAB ER 10M","0259","RC","Both",,,"1.02","0.51","Clover","Medicare Advantage",,,"54",,"0.55","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ER ORAL TAB ER 10M","0259","RC","Both",,,"1.02","0.51","Wellcare","Medicare Advantage",,,"54",,"0.55","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ER ORAL TAB ER 10M","0259","RC","Both",,,"1.02","0.51","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ER ORAL TAB ER 10M","0259","RC","Both",,,"1.02","0.51","Caresource","Medicaid Managed Care",,,"40",,"0.41","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ER ORAL TAB ER 10M","0259","RC","Both",,,"1.02","0.51","Wellcare","Medicaid Managed Care",,,"40",,"0.41","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ER ORAL TAB ER 10M","0259","RC","Both",,,"1.02","0.51","Aetna","Commercial",,,"64",,"0.65","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ER ORAL TAB ER 10M","0259","RC","Both",,,"1.02","0.51","Blue Cross Blue Shield","Pathways",,,"71",,"0.72","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ER ORAL TAB ER 10M","0259","RC","Both",,,"1.02","0.51","Blue Cross Blue Shield","HMO",,,"71",,"0.72","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ER ORAL TAB ER 10M","0259","RC","Both",,,"1.02","0.51","Blue Cross Blue Shield","PPO",,,"71",,"0.72","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ER ORAL TAB ER 10M","0259","RC","Both",,,"1.02","0.51","Ambetter","Health Exchange",,,"62",,"0.63","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ER ORAL TAB ER 10M","0259","RC","Both",,,"1.02","0.51","Caresource","Health Exchange",,,"62",,"0.63","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ER ORAL TAB ER 10M","0259","RC","Both",,,"1.02","0.51","Cigna","Commercial",,,"59",,"0.6","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ER ORAL TAB ER 10M","0259","RC","Both",,,"1.02","0.51","Humana","Commercial",,,"78",,"0.79","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ER ORAL TAB ER 10M","0259","RC","Both",,,"1.02","0.51","UHC","Commercial",,,"75",,"0.77","0.04","2502.48","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ER ORAL TAB ER 10M","0259","RC","Both",,,"1.02","0.51","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-THIAMINE HCL TABLET 250MG","0259","RC","Both",,,"0.27","0.135","Alliant","Health Exchange",,,"62",,"0.17","0.04","2502.48","percent of total billed charges",,
"NF-THIAMINE HCL TABLET 250MG","0259","RC","Both",,,"0.27","0.135","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.15","0.04","2502.48","percent of total billed charges",,
"NF-THIAMINE HCL TABLET 250MG","0259","RC","Both",,,"0.27","0.135","Medicare",,,,"54",,"0.15","0.04","2502.48","percent of total billed charges",,
"NF-THIAMINE HCL TABLET 250MG","0259","RC","Both",,,"0.27","0.135","Humana","Medicare Advantage",,,"54",,"0.15","0.04","2502.48","percent of total billed charges",,
"NF-THIAMINE HCL TABLET 250MG","0259","RC","Both",,,"0.27","0.135","UHC","Medicare Advantage",,,"54",,"0.15","0.04","2502.48","percent of total billed charges",,
"NF-THIAMINE HCL TABLET 250MG","0259","RC","Both",,,"0.27","0.135","Clover","Medicare Advantage",,,"54",,"0.15","0.04","2502.48","percent of total billed charges",,
"NF-THIAMINE HCL TABLET 250MG","0259","RC","Both",,,"0.27","0.135","Wellcare","Medicare Advantage",,,"54",,"0.15","0.04","2502.48","percent of total billed charges",,
"NF-THIAMINE HCL TABLET 250MG","0259","RC","Both",,,"0.27","0.135","Amerigroup","Medicaid Managed Care",,,"37",,"0.1","0.04","2502.48","percent of total billed charges",,
"NF-THIAMINE HCL TABLET 250MG","0259","RC","Both",,,"0.27","0.135","Caresource","Medicaid Managed Care",,,"40",,"0.11","0.04","2502.48","percent of total billed charges",,
"NF-THIAMINE HCL TABLET 250MG","0259","RC","Both",,,"0.27","0.135","Wellcare","Medicaid Managed Care",,,"40",,"0.11","0.04","2502.48","percent of total billed charges",,
"NF-THIAMINE HCL TABLET 250MG","0259","RC","Both",,,"0.27","0.135","Aetna","Commercial",,,"64",,"0.17","0.04","2502.48","percent of total billed charges",,
"NF-THIAMINE HCL TABLET 250MG","0259","RC","Both",,,"0.27","0.135","Blue Cross Blue Shield","Pathways",,,"71",,"0.19","0.04","2502.48","percent of total billed charges",,
"NF-THIAMINE HCL TABLET 250MG","0259","RC","Both",,,"0.27","0.135","Blue Cross Blue Shield","HMO",,,"71",,"0.19","0.04","2502.48","percent of total billed charges",,
"NF-THIAMINE HCL TABLET 250MG","0259","RC","Both",,,"0.27","0.135","Blue Cross Blue Shield","PPO",,,"71",,"0.19","0.04","2502.48","percent of total billed charges",,
"NF-THIAMINE HCL TABLET 250MG","0259","RC","Both",,,"0.27","0.135","Ambetter","Health Exchange",,,"62",,"0.17","0.04","2502.48","percent of total billed charges",,
"NF-THIAMINE HCL TABLET 250MG","0259","RC","Both",,,"0.27","0.135","Caresource","Health Exchange",,,"62",,"0.17","0.04","2502.48","percent of total billed charges",,
"NF-THIAMINE HCL TABLET 250MG","0259","RC","Both",,,"0.27","0.135","Cigna","Commercial",,,"59",,"0.16","0.04","2502.48","percent of total billed charges",,
"NF-THIAMINE HCL TABLET 250MG","0259","RC","Both",,,"0.27","0.135","Humana","Commercial",,,"78",,"0.21","0.04","2502.48","percent of total billed charges",,
"NF-THIAMINE HCL TABLET 250MG","0259","RC","Both",,,"0.27","0.135","UHC","Commercial",,,"75",,"0.2","0.04","2502.48","percent of total billed charges",,
"NF-THIAMINE HCL TABLET 250MG","0259","RC","Both",,,"0.27","0.135","Medicaid",,,,"37",,"0.1","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D CAPSULE 400IU","0259","RC","Both",,,"0.12","0.06","Alliant","Health Exchange",,,"62",,"0.07","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D CAPSULE 400IU","0259","RC","Both",,,"0.12","0.06","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.06","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D CAPSULE 400IU","0259","RC","Both",,,"0.12","0.06","Medicare",,,,"54",,"0.07","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D CAPSULE 400IU","0259","RC","Both",,,"0.12","0.06","Humana","Medicare Advantage",,,"54",,"0.07","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D CAPSULE 400IU","0259","RC","Both",,,"0.12","0.06","UHC","Medicare Advantage",,,"54",,"0.07","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D CAPSULE 400IU","0259","RC","Both",,,"0.12","0.06","Clover","Medicare Advantage",,,"54",,"0.07","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D CAPSULE 400IU","0259","RC","Both",,,"0.12","0.06","Wellcare","Medicare Advantage",,,"54",,"0.07","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D CAPSULE 400IU","0259","RC","Both",,,"0.12","0.06","Amerigroup","Medicaid Managed Care",,,"37",,"0.04","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D CAPSULE 400IU","0259","RC","Both",,,"0.12","0.06","Caresource","Medicaid Managed Care",,,"40",,"0.05","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D CAPSULE 400IU","0259","RC","Both",,,"0.12","0.06","Wellcare","Medicaid Managed Care",,,"40",,"0.05","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D CAPSULE 400IU","0259","RC","Both",,,"0.12","0.06","Aetna","Commercial",,,"64",,"0.08","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D CAPSULE 400IU","0259","RC","Both",,,"0.12","0.06","Blue Cross Blue Shield","Pathways",,,"71",,"0.08","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D CAPSULE 400IU","0259","RC","Both",,,"0.12","0.06","Blue Cross Blue Shield","HMO",,,"71",,"0.08","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D CAPSULE 400IU","0259","RC","Both",,,"0.12","0.06","Blue Cross Blue Shield","PPO",,,"71",,"0.08","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D CAPSULE 400IU","0259","RC","Both",,,"0.12","0.06","Ambetter","Health Exchange",,,"62",,"0.07","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D CAPSULE 400IU","0259","RC","Both",,,"0.12","0.06","Caresource","Health Exchange",,,"62",,"0.07","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D CAPSULE 400IU","0259","RC","Both",,,"0.12","0.06","Cigna","Commercial",,,"59",,"0.07","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D CAPSULE 400IU","0259","RC","Both",,,"0.12","0.06","Humana","Commercial",,,"78",,"0.09","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D CAPSULE 400IU","0259","RC","Both",,,"0.12","0.06","UHC","Commercial",,,"75",,"0.09","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D CAPSULE 400IU","0259","RC","Both",,,"0.12","0.06","Medicaid",,,,"37",,"0.04","0.04","2502.48","percent of total billed charges",,
"NF-OMEGA 3-6-9 ORAL LIQUID FILLED CAPSUL","0259","RC","Both",,,"0.56","0.28","Alliant","Health Exchange",,,"62",,"0.35","0.04","2502.48","percent of total billed charges",,
"NF-OMEGA 3-6-9 ORAL LIQUID FILLED CAPSUL","0259","RC","Both",,,"0.56","0.28","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.3","0.04","2502.48","percent of total billed charges",,
"NF-OMEGA 3-6-9 ORAL LIQUID FILLED CAPSUL","0259","RC","Both",,,"0.56","0.28","Medicare",,,,"54",,"0.3","0.04","2502.48","percent of total billed charges",,
"NF-OMEGA 3-6-9 ORAL LIQUID FILLED CAPSUL","0259","RC","Both",,,"0.56","0.28","Humana","Medicare Advantage",,,"54",,"0.3","0.04","2502.48","percent of total billed charges",,
"NF-OMEGA 3-6-9 ORAL LIQUID FILLED CAPSUL","0259","RC","Both",,,"0.56","0.28","UHC","Medicare Advantage",,,"54",,"0.3","0.04","2502.48","percent of total billed charges",,
"NF-OMEGA 3-6-9 ORAL LIQUID FILLED CAPSUL","0259","RC","Both",,,"0.56","0.28","Clover","Medicare Advantage",,,"54",,"0.3","0.04","2502.48","percent of total billed charges",,
"NF-OMEGA 3-6-9 ORAL LIQUID FILLED CAPSUL","0259","RC","Both",,,"0.56","0.28","Wellcare","Medicare Advantage",,,"54",,"0.3","0.04","2502.48","percent of total billed charges",,
"NF-OMEGA 3-6-9 ORAL LIQUID FILLED CAPSUL","0259","RC","Both",,,"0.56","0.28","Amerigroup","Medicaid Managed Care",,,"37",,"0.2","0.04","2502.48","percent of total billed charges",,
"NF-OMEGA 3-6-9 ORAL LIQUID FILLED CAPSUL","0259","RC","Both",,,"0.56","0.28","Caresource","Medicaid Managed Care",,,"40",,"0.22","0.04","2502.48","percent of total billed charges",,
"NF-OMEGA 3-6-9 ORAL LIQUID FILLED CAPSUL","0259","RC","Both",,,"0.56","0.28","Wellcare","Medicaid Managed Care",,,"40",,"0.23","0.04","2502.48","percent of total billed charges",,
"NF-OMEGA 3-6-9 ORAL LIQUID FILLED CAPSUL","0259","RC","Both",,,"0.56","0.28","Aetna","Commercial",,,"64",,"0.36","0.04","2502.48","percent of total billed charges",,
"NF-OMEGA 3-6-9 ORAL LIQUID FILLED CAPSUL","0259","RC","Both",,,"0.56","0.28","Blue Cross Blue Shield","Pathways",,,"71",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-OMEGA 3-6-9 ORAL LIQUID FILLED CAPSUL","0259","RC","Both",,,"0.56","0.28","Blue Cross Blue Shield","HMO",,,"71",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-OMEGA 3-6-9 ORAL LIQUID FILLED CAPSUL","0259","RC","Both",,,"0.56","0.28","Blue Cross Blue Shield","PPO",,,"71",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-OMEGA 3-6-9 ORAL LIQUID FILLED CAPSUL","0259","RC","Both",,,"0.56","0.28","Ambetter","Health Exchange",,,"62",,"0.35","0.04","2502.48","percent of total billed charges",,
"NF-OMEGA 3-6-9 ORAL LIQUID FILLED CAPSUL","0259","RC","Both",,,"0.56","0.28","Caresource","Health Exchange",,,"62",,"0.35","0.04","2502.48","percent of total billed charges",,
"NF-OMEGA 3-6-9 ORAL LIQUID FILLED CAPSUL","0259","RC","Both",,,"0.56","0.28","Cigna","Commercial",,,"59",,"0.33","0.04","2502.48","percent of total billed charges",,
"NF-OMEGA 3-6-9 ORAL LIQUID FILLED CAPSUL","0259","RC","Both",,,"0.56","0.28","Humana","Commercial",,,"78",,"0.43","0.04","2502.48","percent of total billed charges",,
"NF-OMEGA 3-6-9 ORAL LIQUID FILLED CAPSUL","0259","RC","Both",,,"0.56","0.28","UHC","Commercial",,,"75",,"0.42","0.04","2502.48","percent of total billed charges",,
"NF-OMEGA 3-6-9 ORAL LIQUID FILLED CAPSUL","0259","RC","Both",,,"0.56","0.28","Medicaid",,,,"37",,"0.2","0.04","2502.48","percent of total billed charges",,
"NF-CLEARLAX PWDER FOR SOLUTION 17GM/1DOS","0259","RC","Both",,,"0.11","0.055","Alliant","Health Exchange",,,"62",,"0.07","0.04","2502.48","percent of total billed charges",,
"NF-CLEARLAX PWDER FOR SOLUTION 17GM/1DOS","0259","RC","Both",,,"0.11","0.055","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.06","0.04","2502.48","percent of total billed charges",,
"NF-CLEARLAX PWDER FOR SOLUTION 17GM/1DOS","0259","RC","Both",,,"0.11","0.055","Medicare",,,,"54",,"0.06","0.04","2502.48","percent of total billed charges",,
"NF-CLEARLAX PWDER FOR SOLUTION 17GM/1DOS","0259","RC","Both",,,"0.11","0.055","Humana","Medicare Advantage",,,"54",,"0.06","0.04","2502.48","percent of total billed charges",,
"NF-CLEARLAX PWDER FOR SOLUTION 17GM/1DOS","0259","RC","Both",,,"0.11","0.055","UHC","Medicare Advantage",,,"54",,"0.06","0.04","2502.48","percent of total billed charges",,
"NF-CLEARLAX PWDER FOR SOLUTION 17GM/1DOS","0259","RC","Both",,,"0.11","0.055","Clover","Medicare Advantage",,,"54",,"0.06","0.04","2502.48","percent of total billed charges",,
"NF-CLEARLAX PWDER FOR SOLUTION 17GM/1DOS","0259","RC","Both",,,"0.11","0.055","Wellcare","Medicare Advantage",,,"54",,"0.06","0.04","2502.48","percent of total billed charges",,
"NF-CLEARLAX PWDER FOR SOLUTION 17GM/1DOS","0259","RC","Both",,,"0.11","0.055","Amerigroup","Medicaid Managed Care",,,"37",,"0.04","0.04","2502.48","percent of total billed charges",,
"NF-CLEARLAX PWDER FOR SOLUTION 17GM/1DOS","0259","RC","Both",,,"0.11","0.055","Caresource","Medicaid Managed Care",,,"40",,"0.04","0.04","2502.48","percent of total billed charges",,
"NF-CLEARLAX PWDER FOR SOLUTION 17GM/1DOS","0259","RC","Both",,,"0.11","0.055","Wellcare","Medicaid Managed Care",,,"40",,"0.04","0.04","2502.48","percent of total billed charges",,
"NF-CLEARLAX PWDER FOR SOLUTION 17GM/1DOS","0259","RC","Both",,,"0.11","0.055","Aetna","Commercial",,,"64",,"0.07","0.04","2502.48","percent of total billed charges",,
"NF-CLEARLAX PWDER FOR SOLUTION 17GM/1DOS","0259","RC","Both",,,"0.11","0.055","Blue Cross Blue Shield","Pathways",,,"71",,"0.08","0.04","2502.48","percent of total billed charges",,
"NF-CLEARLAX PWDER FOR SOLUTION 17GM/1DOS","0259","RC","Both",,,"0.11","0.055","Blue Cross Blue Shield","HMO",,,"71",,"0.08","0.04","2502.48","percent of total billed charges",,
"NF-CLEARLAX PWDER FOR SOLUTION 17GM/1DOS","0259","RC","Both",,,"0.11","0.055","Blue Cross Blue Shield","PPO",,,"71",,"0.08","0.04","2502.48","percent of total billed charges",,
"NF-CLEARLAX PWDER FOR SOLUTION 17GM/1DOS","0259","RC","Both",,,"0.11","0.055","Ambetter","Health Exchange",,,"62",,"0.07","0.04","2502.48","percent of total billed charges",,
"NF-CLEARLAX PWDER FOR SOLUTION 17GM/1DOS","0259","RC","Both",,,"0.11","0.055","Caresource","Health Exchange",,,"62",,"0.07","0.04","2502.48","percent of total billed charges",,
"NF-CLEARLAX PWDER FOR SOLUTION 17GM/1DOS","0259","RC","Both",,,"0.11","0.055","Cigna","Commercial",,,"59",,"0.06","0.04","2502.48","percent of total billed charges",,
"NF-CLEARLAX PWDER FOR SOLUTION 17GM/1DOS","0259","RC","Both",,,"0.11","0.055","Humana","Commercial",,,"78",,"0.09","0.04","2502.48","percent of total billed charges",,
"NF-CLEARLAX PWDER FOR SOLUTION 17GM/1DOS","0259","RC","Both",,,"0.11","0.055","UHC","Commercial",,,"75",,"0.08","0.04","2502.48","percent of total billed charges",,
"NF-CLEARLAX PWDER FOR SOLUTION 17GM/1DOS","0259","RC","Both",,,"0.11","0.055","Medicaid",,,,"37",,"0.04","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 0.25M","0259","RC","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 0.25M","0259","RC","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 0.25M","0259","RC","Both",,,"8","4","Medicare",,,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 0.25M","0259","RC","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 0.25M","0259","RC","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 0.25M","0259","RC","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 0.25M","0259","RC","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 0.25M","0259","RC","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 0.25M","0259","RC","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 0.25M","0259","RC","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 0.25M","0259","RC","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 0.25M","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 0.25M","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 0.25M","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 0.25M","0259","RC","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 0.25M","0259","RC","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 0.25M","0259","RC","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 0.25M","0259","RC","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 0.25M","0259","RC","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 0.25M","0259","RC","Both",,,"8","4","Medicaid",,,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0259","RC","Both",,,"32","16","Alliant","Health Exchange",,,"62",,"19.84","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0259","RC","Both",,,"32","16","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.28","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0259","RC","Both",,,"32","16","Medicare",,,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0259","RC","Both",,,"32","16","Humana","Medicare Advantage",,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0259","RC","Both",,,"32","16","UHC","Medicare Advantage",,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0259","RC","Both",,,"32","16","Clover","Medicare Advantage",,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0259","RC","Both",,,"32","16","Wellcare","Medicare Advantage",,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0259","RC","Both",,,"32","16","Amerigroup","Medicaid Managed Care",,,"37",,"11.71","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0259","RC","Both",,,"32","16","Caresource","Medicaid Managed Care",,,"40",,"12.8","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0259","RC","Both",,,"32","16","Wellcare","Medicaid Managed Care",,,"40",,"12.96","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0259","RC","Both",,,"32","16","Aetna","Commercial",,,"64",,"20.42","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0259","RC","Both",,,"32","16","Blue Cross Blue Shield","Pathways",,,"71",,"22.59","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0259","RC","Both",,,"32","16","Blue Cross Blue Shield","HMO",,,"71",,"22.59","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0259","RC","Both",,,"32","16","Blue Cross Blue Shield","PPO",,,"71",,"22.59","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0259","RC","Both",,,"32","16","Ambetter","Health Exchange",,,"62",,"19.84","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0259","RC","Both",,,"32","16","Caresource","Health Exchange",,,"62",,"19.84","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0259","RC","Both",,,"32","16","Cigna","Commercial",,,"59",,"18.75","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0259","RC","Both",,,"32","16","Humana","Commercial",,,"78",,"24.8","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0259","RC","Both",,,"32","16","UHC","Commercial",,,"75",,"24.13","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0259","RC","Both",,,"32","16","Medicaid",,,,"37",,"11.71","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Alliant","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.98","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Medicare",,,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Humana","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","UHC","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Clover","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Wellcare","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Amerigroup","Medicaid Managed Care",,,"37",,"13.54","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Caresource","Medicaid Managed Care",,,"40",,"14.8","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Wellcare","Medicaid Managed Care",,,"40",,"14.99","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Aetna","Commercial",,,"64",,"23.61","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","Pathways",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","HMO",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","PPO",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Ambetter","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Caresource","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Cigna","Commercial",,,"59",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Humana","Commercial",,,"78",,"28.68","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","UHC","Commercial",,,"75",,"27.9","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Medicaid",,,,"37",,"13.54","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Alliant","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.8","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Medicare",,,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Humana","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","UHC","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Clover","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Wellcare","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Amerigroup","Medicaid Managed Care",,,"37",,"7.32","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Caresource","Medicaid Managed Care",,,"40",,"8","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Wellcare","Medicaid Managed Care",,,"40",,"8.1","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Aetna","Commercial",,,"64",,"12.76","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","Pathways",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","HMO",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","PPO",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Ambetter","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Caresource","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Cigna","Commercial",,,"59",,"11.72","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Humana","Commercial",,,"78",,"15.5","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","UHC","Commercial",,,"75",,"15.08","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Medicaid",,,,"37",,"7.32","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl-Fluticasone Propionate","0259","RC","Both",,,"29","14.5","Alliant","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl-Fluticasone Propionate","0259","RC","Both",,,"29","14.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.66","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl-Fluticasone Propionate","0259","RC","Both",,,"29","14.5","Medicare",,,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl-Fluticasone Propionate","0259","RC","Both",,,"29","14.5","Humana","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl-Fluticasone Propionate","0259","RC","Both",,,"29","14.5","UHC","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl-Fluticasone Propionate","0259","RC","Both",,,"29","14.5","Clover","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl-Fluticasone Propionate","0259","RC","Both",,,"29","14.5","Wellcare","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl-Fluticasone Propionate","0259","RC","Both",,,"29","14.5","Amerigroup","Medicaid Managed Care",,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl-Fluticasone Propionate","0259","RC","Both",,,"29","14.5","Caresource","Medicaid Managed Care",,,"40",,"11.6","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl-Fluticasone Propionate","0259","RC","Both",,,"29","14.5","Wellcare","Medicaid Managed Care",,,"40",,"11.74","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl-Fluticasone Propionate","0259","RC","Both",,,"29","14.5","Aetna","Commercial",,,"64",,"18.5","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl-Fluticasone Propionate","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","Pathways",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl-Fluticasone Propionate","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","HMO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl-Fluticasone Propionate","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","PPO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl-Fluticasone Propionate","0259","RC","Both",,,"29","14.5","Ambetter","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl-Fluticasone Propionate","0259","RC","Both",,,"29","14.5","Caresource","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl-Fluticasone Propionate","0259","RC","Both",,,"29","14.5","Cigna","Commercial",,,"59",,"16.99","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl-Fluticasone Propionate","0259","RC","Both",,,"29","14.5","Humana","Commercial",,,"78",,"22.48","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl-Fluticasone Propionate","0259","RC","Both",,,"29","14.5","UHC","Commercial",,,"75",,"21.87","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl-Fluticasone Propionate","0259","RC","Both",,,"29","14.5","Medicaid",,,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Procardia XL Tablet 30MG","0259","RC","Both",,,"23","11.5","Alliant","Health Exchange",,,"62",,"14.26","0.04","2502.48","percent of total billed charges",,
"NF-Procardia XL Tablet 30MG","0259","RC","Both",,,"23","11.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.42","0.04","2502.48","percent of total billed charges",,
"NF-Procardia XL Tablet 30MG","0259","RC","Both",,,"23","11.5","Medicare",,,,"54",,"12.47","0.04","2502.48","percent of total billed charges",,
"NF-Procardia XL Tablet 30MG","0259","RC","Both",,,"23","11.5","Humana","Medicare Advantage",,,"54",,"12.47","0.04","2502.48","percent of total billed charges",,
"NF-Procardia XL Tablet 30MG","0259","RC","Both",,,"23","11.5","UHC","Medicare Advantage",,,"54",,"12.47","0.04","2502.48","percent of total billed charges",,
"NF-Procardia XL Tablet 30MG","0259","RC","Both",,,"23","11.5","Clover","Medicare Advantage",,,"54",,"12.47","0.04","2502.48","percent of total billed charges",,
"NF-Procardia XL Tablet 30MG","0259","RC","Both",,,"23","11.5","Wellcare","Medicare Advantage",,,"54",,"12.47","0.04","2502.48","percent of total billed charges",,
"NF-Procardia XL Tablet 30MG","0259","RC","Both",,,"23","11.5","Amerigroup","Medicaid Managed Care",,,"37",,"8.42","0.04","2502.48","percent of total billed charges",,
"NF-Procardia XL Tablet 30MG","0259","RC","Both",,,"23","11.5","Caresource","Medicaid Managed Care",,,"40",,"9.2","0.04","2502.48","percent of total billed charges",,
"NF-Procardia XL Tablet 30MG","0259","RC","Both",,,"23","11.5","Wellcare","Medicaid Managed Care",,,"40",,"9.32","0.04","2502.48","percent of total billed charges",,
"NF-Procardia XL Tablet 30MG","0259","RC","Both",,,"23","11.5","Aetna","Commercial",,,"64",,"14.67","0.04","2502.48","percent of total billed charges",,
"NF-Procardia XL Tablet 30MG","0259","RC","Both",,,"23","11.5","Blue Cross Blue Shield","Pathways",,,"71",,"16.24","0.04","2502.48","percent of total billed charges",,
"NF-Procardia XL Tablet 30MG","0259","RC","Both",,,"23","11.5","Blue Cross Blue Shield","HMO",,,"71",,"16.24","0.04","2502.48","percent of total billed charges",,
"NF-Procardia XL Tablet 30MG","0259","RC","Both",,,"23","11.5","Blue Cross Blue Shield","PPO",,,"71",,"16.24","0.04","2502.48","percent of total billed charges",,
"NF-Procardia XL Tablet 30MG","0259","RC","Both",,,"23","11.5","Ambetter","Health Exchange",,,"62",,"14.26","0.04","2502.48","percent of total billed charges",,
"NF-Procardia XL Tablet 30MG","0259","RC","Both",,,"23","11.5","Caresource","Health Exchange",,,"62",,"14.26","0.04","2502.48","percent of total billed charges",,
"NF-Procardia XL Tablet 30MG","0259","RC","Both",,,"23","11.5","Cigna","Commercial",,,"59",,"13.48","0.04","2502.48","percent of total billed charges",,
"NF-Procardia XL Tablet 30MG","0259","RC","Both",,,"23","11.5","Humana","Commercial",,,"78",,"17.82","0.04","2502.48","percent of total billed charges",,
"NF-Procardia XL Tablet 30MG","0259","RC","Both",,,"23","11.5","UHC","Commercial",,,"75",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-Procardia XL Tablet 30MG","0259","RC","Both",,,"23","11.5","Medicaid",,,,"37",,"8.42","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended Release Tablet 30","0259","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended Release Tablet 30","0259","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended Release Tablet 30","0259","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended Release Tablet 30","0259","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended Release Tablet 30","0259","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended Release Tablet 30","0259","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended Release Tablet 30","0259","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended Release Tablet 30","0259","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended Release Tablet 30","0259","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended Release Tablet 30","0259","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended Release Tablet 30","0259","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended Release Tablet 30","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended Release Tablet 30","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended Release Tablet 30","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended Release Tablet 30","0259","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended Release Tablet 30","0259","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended Release Tablet 30","0259","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended Release Tablet 30","0259","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended Release Tablet 30","0259","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Extended Release Tablet 30","0259","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Alliant","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.98","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Medicare",,,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Humana","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","UHC","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Clover","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Wellcare","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Amerigroup","Medicaid Managed Care",,,"37",,"13.54","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Caresource","Medicaid Managed Care",,,"40",,"14.8","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Wellcare","Medicaid Managed Care",,,"40",,"14.99","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Aetna","Commercial",,,"64",,"23.61","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","Pathways",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","HMO",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","PPO",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Ambetter","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Caresource","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Cigna","Commercial",,,"59",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Humana","Commercial",,,"78",,"28.68","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","UHC","Commercial",,,"75",,"27.9","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Medicaid",,,,"37",,"13.54","0.04","2502.48","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","0259","RC","Both",,,"425","212.5","Alliant","Health Exchange",,,"62",,"263.5","0.04","2502.48","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","0259","RC","Both",,,"425","212.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"229.5","0.04","2502.48","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","0259","RC","Both",,,"425","212.5","Medicare",,,,"54",,"230.35","0.04","2502.48","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","0259","RC","Both",,,"425","212.5","Humana","Medicare Advantage",,,"54",,"230.35","0.04","2502.48","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","0259","RC","Both",,,"425","212.5","UHC","Medicare Advantage",,,"54",,"230.35","0.04","2502.48","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","0259","RC","Both",,,"425","212.5","Clover","Medicare Advantage",,,"54",,"230.35","0.04","2502.48","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","0259","RC","Both",,,"425","212.5","Wellcare","Medicare Advantage",,,"54",,"230.35","0.04","2502.48","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","0259","RC","Both",,,"425","212.5","Amerigroup","Medicaid Managed Care",,,"37",,"155.55","0.04","2502.48","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","0259","RC","Both",,,"425","212.5","Caresource","Medicaid Managed Care",,,"40",,"170","0.04","2502.48","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","0259","RC","Both",,,"425","212.5","Wellcare","Medicaid Managed Care",,,"40",,"172.12","0.04","2502.48","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","0259","RC","Both",,,"425","212.5","Aetna","Commercial",,,"64",,"271.15","0.04","2502.48","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","0259","RC","Both",,,"425","212.5","Blue Cross Blue Shield","Pathways",,,"71",,"300.05","0.04","2502.48","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","0259","RC","Both",,,"425","212.5","Blue Cross Blue Shield","HMO",,,"71",,"300.05","0.04","2502.48","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","0259","RC","Both",,,"425","212.5","Blue Cross Blue Shield","PPO",,,"71",,"300.05","0.04","2502.48","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","0259","RC","Both",,,"425","212.5","Ambetter","Health Exchange",,,"62",,"263.5","0.04","2502.48","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","0259","RC","Both",,,"425","212.5","Caresource","Health Exchange",,,"62",,"263.5","0.04","2502.48","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","0259","RC","Both",,,"425","212.5","Cigna","Commercial",,,"59",,"249.05","0.04","2502.48","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","0259","RC","Both",,,"425","212.5","Humana","Commercial",,,"78",,"329.38","0.04","2502.48","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","0259","RC","Both",,,"425","212.5","UHC","Commercial",,,"75",,"320.45","0.04","2502.48","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","0259","RC","Both",,,"425","212.5","Medicaid",,,,"37",,"155.55","0.04","2502.48","percent of total billed charges",,
"NF-Fioricet Oral Capsule 300MG-50MG-40MG","0259","RC","Both",,,"23","11.5","Alliant","Health Exchange",,,"62",,"14.26","0.04","2502.48","percent of total billed charges",,
"NF-Fioricet Oral Capsule 300MG-50MG-40MG","0259","RC","Both",,,"23","11.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.42","0.04","2502.48","percent of total billed charges",,
"NF-Fioricet Oral Capsule 300MG-50MG-40MG","0259","RC","Both",,,"23","11.5","Medicare",,,,"54",,"12.47","0.04","2502.48","percent of total billed charges",,
"NF-Fioricet Oral Capsule 300MG-50MG-40MG","0259","RC","Both",,,"23","11.5","Humana","Medicare Advantage",,,"54",,"12.47","0.04","2502.48","percent of total billed charges",,
"NF-Fioricet Oral Capsule 300MG-50MG-40MG","0259","RC","Both",,,"23","11.5","UHC","Medicare Advantage",,,"54",,"12.47","0.04","2502.48","percent of total billed charges",,
"NF-Fioricet Oral Capsule 300MG-50MG-40MG","0259","RC","Both",,,"23","11.5","Clover","Medicare Advantage",,,"54",,"12.47","0.04","2502.48","percent of total billed charges",,
"NF-Fioricet Oral Capsule 300MG-50MG-40MG","0259","RC","Both",,,"23","11.5","Wellcare","Medicare Advantage",,,"54",,"12.47","0.04","2502.48","percent of total billed charges",,
"NF-Fioricet Oral Capsule 300MG-50MG-40MG","0259","RC","Both",,,"23","11.5","Amerigroup","Medicaid Managed Care",,,"37",,"8.42","0.04","2502.48","percent of total billed charges",,
"NF-Fioricet Oral Capsule 300MG-50MG-40MG","0259","RC","Both",,,"23","11.5","Caresource","Medicaid Managed Care",,,"40",,"9.2","0.04","2502.48","percent of total billed charges",,
"NF-Fioricet Oral Capsule 300MG-50MG-40MG","0259","RC","Both",,,"23","11.5","Wellcare","Medicaid Managed Care",,,"40",,"9.32","0.04","2502.48","percent of total billed charges",,
"NF-Fioricet Oral Capsule 300MG-50MG-40MG","0259","RC","Both",,,"23","11.5","Aetna","Commercial",,,"64",,"14.67","0.04","2502.48","percent of total billed charges",,
"NF-Fioricet Oral Capsule 300MG-50MG-40MG","0259","RC","Both",,,"23","11.5","Blue Cross Blue Shield","Pathways",,,"71",,"16.24","0.04","2502.48","percent of total billed charges",,
"NF-Fioricet Oral Capsule 300MG-50MG-40MG","0259","RC","Both",,,"23","11.5","Blue Cross Blue Shield","HMO",,,"71",,"16.24","0.04","2502.48","percent of total billed charges",,
"NF-Fioricet Oral Capsule 300MG-50MG-40MG","0259","RC","Both",,,"23","11.5","Blue Cross Blue Shield","PPO",,,"71",,"16.24","0.04","2502.48","percent of total billed charges",,
"NF-Fioricet Oral Capsule 300MG-50MG-40MG","0259","RC","Both",,,"23","11.5","Ambetter","Health Exchange",,,"62",,"14.26","0.04","2502.48","percent of total billed charges",,
"NF-Fioricet Oral Capsule 300MG-50MG-40MG","0259","RC","Both",,,"23","11.5","Caresource","Health Exchange",,,"62",,"14.26","0.04","2502.48","percent of total billed charges",,
"NF-Fioricet Oral Capsule 300MG-50MG-40MG","0259","RC","Both",,,"23","11.5","Cigna","Commercial",,,"59",,"13.48","0.04","2502.48","percent of total billed charges",,
"NF-Fioricet Oral Capsule 300MG-50MG-40MG","0259","RC","Both",,,"23","11.5","Humana","Commercial",,,"78",,"17.82","0.04","2502.48","percent of total billed charges",,
"NF-Fioricet Oral Capsule 300MG-50MG-40MG","0259","RC","Both",,,"23","11.5","UHC","Commercial",,,"75",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-Fioricet Oral Capsule 300MG-50MG-40MG","0259","RC","Both",,,"23","11.5","Medicaid",,,,"37",,"8.42","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0250","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","569.62","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0250","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0250","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0250","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0250","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0250","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0250","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0250","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","569.62","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0250","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","569.62","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0250","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","569.62","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0250","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","569.62","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0250","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","569.62","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0250","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","569.62","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0250","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","569.62","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0250","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","569.62","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0250","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","569.62","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0250","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","569.62","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0250","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","569.62","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0250","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","569.62","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0250","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","569.62","percent of total billed charges",,
"NF-Lisinopril Oral Tablet 20MG","0250","RC","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","0.04","569.62","percent of total billed charges",,
"NF-Lisinopril Oral Tablet 20MG","0250","RC","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","0.04","569.62","percent of total billed charges",,
"NF-Lisinopril Oral Tablet 20MG","0250","RC","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","0.04","569.62","percent of total billed charges",,
"NF-Lisinopril Oral Tablet 20MG","0250","RC","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","0.04","569.62","percent of total billed charges",,
"NF-Lisinopril Oral Tablet 20MG","0250","RC","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","0.04","569.62","percent of total billed charges",,
"NF-Lisinopril Oral Tablet 20MG","0250","RC","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","0.04","569.62","percent of total billed charges",,
"NF-Lisinopril Oral Tablet 20MG","0250","RC","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","0.04","569.62","percent of total billed charges",,
"NF-Lisinopril Oral Tablet 20MG","0250","RC","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","0.04","569.62","percent of total billed charges",,
"NF-Lisinopril Oral Tablet 20MG","0250","RC","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","0.04","569.62","percent of total billed charges",,
"NF-Lisinopril Oral Tablet 20MG","0250","RC","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","0.04","569.62","percent of total billed charges",,
"NF-Lisinopril Oral Tablet 20MG","0250","RC","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","0.04","569.62","percent of total billed charges",,
"NF-Lisinopril Oral Tablet 20MG","0250","RC","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","0.04","569.62","percent of total billed charges",,
"NF-Lisinopril Oral Tablet 20MG","0250","RC","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","0.04","569.62","percent of total billed charges",,
"NF-Lisinopril Oral Tablet 20MG","0250","RC","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","0.04","569.62","percent of total billed charges",,
"NF-Lisinopril Oral Tablet 20MG","0250","RC","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","0.04","569.62","percent of total billed charges",,
"NF-Lisinopril Oral Tablet 20MG","0250","RC","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","0.04","569.62","percent of total billed charges",,
"NF-Lisinopril Oral Tablet 20MG","0250","RC","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","0.04","569.62","percent of total billed charges",,
"NF-Lisinopril Oral Tablet 20MG","0250","RC","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","0.04","569.62","percent of total billed charges",,
"NF-Lisinopril Oral Tablet 20MG","0250","RC","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","0.04","569.62","percent of total billed charges",,
"NF-Lisinopril Oral Tablet 20MG","0250","RC","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","0.04","569.62","percent of total billed charges",,
"NF-Omeprazole Delayed-Release Capsule 40","0250","RC","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","0.04","569.62","percent of total billed charges",,
"NF-Omeprazole Delayed-Release Capsule 40","0250","RC","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","0.04","569.62","percent of total billed charges",,
"NF-Omeprazole Delayed-Release Capsule 40","0250","RC","Both",,,"22","11","Medicare",,,,"54",,"11.92","0.04","569.62","percent of total billed charges",,
"NF-Omeprazole Delayed-Release Capsule 40","0250","RC","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","0.04","569.62","percent of total billed charges",,
"NF-Omeprazole Delayed-Release Capsule 40","0250","RC","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","0.04","569.62","percent of total billed charges",,
"NF-Omeprazole Delayed-Release Capsule 40","0250","RC","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","0.04","569.62","percent of total billed charges",,
"NF-Omeprazole Delayed-Release Capsule 40","0250","RC","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","0.04","569.62","percent of total billed charges",,
"NF-Omeprazole Delayed-Release Capsule 40","0250","RC","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","0.04","569.62","percent of total billed charges",,
"NF-Omeprazole Delayed-Release Capsule 40","0250","RC","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","0.04","569.62","percent of total billed charges",,
"NF-Omeprazole Delayed-Release Capsule 40","0250","RC","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","0.04","569.62","percent of total billed charges",,
"NF-Omeprazole Delayed-Release Capsule 40","0250","RC","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","0.04","569.62","percent of total billed charges",,
"NF-Omeprazole Delayed-Release Capsule 40","0250","RC","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","0.04","569.62","percent of total billed charges",,
"NF-Omeprazole Delayed-Release Capsule 40","0250","RC","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","0.04","569.62","percent of total billed charges",,
"NF-Omeprazole Delayed-Release Capsule 40","0250","RC","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","0.04","569.62","percent of total billed charges",,
"NF-Omeprazole Delayed-Release Capsule 40","0250","RC","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","0.04","569.62","percent of total billed charges",,
"NF-Omeprazole Delayed-Release Capsule 40","0250","RC","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","0.04","569.62","percent of total billed charges",,
"NF-Omeprazole Delayed-Release Capsule 40","0250","RC","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","0.04","569.62","percent of total billed charges",,
"NF-Omeprazole Delayed-Release Capsule 40","0250","RC","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","0.04","569.62","percent of total billed charges",,
"NF-Omeprazole Delayed-Release Capsule 40","0250","RC","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","0.04","569.62","percent of total billed charges",,
"NF-Omeprazole Delayed-Release Capsule 40","0250","RC","Both",,,"22","11","Medicaid",,,,"37",,"8.05","0.04","569.62","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 10MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 10MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 10MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 10MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 10MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 10MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 10MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 10MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 10MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 10MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 10MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 10MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 10MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 10MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 10MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 10MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 10MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 10MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 10MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 10MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0250","RC","Both",,,"146","73","Alliant","Health Exchange",,,"62",,"90.52","0.04","569.62","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0250","RC","Both",,,"146","73","Pruitt Healthcare","Medicare Advantage",,,"54",,"78.84","0.04","569.62","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0250","RC","Both",,,"146","73","Medicare",,,,"54",,"79.13","0.04","569.62","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0250","RC","Both",,,"146","73","Humana","Medicare Advantage",,,"54",,"79.13","0.04","569.62","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0250","RC","Both",,,"146","73","UHC","Medicare Advantage",,,"54",,"79.13","0.04","569.62","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0250","RC","Both",,,"146","73","Clover","Medicare Advantage",,,"54",,"79.13","0.04","569.62","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0250","RC","Both",,,"146","73","Wellcare","Medicare Advantage",,,"54",,"79.13","0.04","569.62","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0250","RC","Both",,,"146","73","Amerigroup","Medicaid Managed Care",,,"37",,"53.44","0.04","569.62","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0250","RC","Both",,,"146","73","Caresource","Medicaid Managed Care",,,"40",,"58.4","0.04","569.62","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0250","RC","Both",,,"146","73","Wellcare","Medicaid Managed Care",,,"40",,"59.13","0.04","569.62","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0250","RC","Both",,,"146","73","Aetna","Commercial",,,"64",,"93.15","0.04","569.62","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0250","RC","Both",,,"146","73","Blue Cross Blue Shield","Pathways",,,"71",,"103.08","0.04","569.62","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0250","RC","Both",,,"146","73","Blue Cross Blue Shield","HMO",,,"71",,"103.08","0.04","569.62","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0250","RC","Both",,,"146","73","Blue Cross Blue Shield","PPO",,,"71",,"103.08","0.04","569.62","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0250","RC","Both",,,"146","73","Ambetter","Health Exchange",,,"62",,"90.52","0.04","569.62","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0250","RC","Both",,,"146","73","Caresource","Health Exchange",,,"62",,"90.52","0.04","569.62","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0250","RC","Both",,,"146","73","Cigna","Commercial",,,"59",,"85.56","0.04","569.62","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0250","RC","Both",,,"146","73","Humana","Commercial",,,"78",,"113.15","0.04","569.62","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0250","RC","Both",,,"146","73","UHC","Commercial",,,"75",,"110.08","0.04","569.62","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0250","RC","Both",,,"146","73","Medicaid",,,,"37",,"53.44","0.04","569.62","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","0259","RC","Both",,,"74","37","Alliant","Health Exchange",,,"62",,"45.88","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","0259","RC","Both",,,"74","37","Pruitt Healthcare","Medicare Advantage",,,"54",,"39.96","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","0259","RC","Both",,,"74","37","Medicare",,,,"54",,"40.11","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","0259","RC","Both",,,"74","37","Humana","Medicare Advantage",,,"54",,"40.11","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","0259","RC","Both",,,"74","37","UHC","Medicare Advantage",,,"54",,"40.11","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","0259","RC","Both",,,"74","37","Clover","Medicare Advantage",,,"54",,"40.11","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","0259","RC","Both",,,"74","37","Wellcare","Medicare Advantage",,,"54",,"40.11","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","0259","RC","Both",,,"74","37","Amerigroup","Medicaid Managed Care",,,"37",,"27.08","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","0259","RC","Both",,,"74","37","Caresource","Medicaid Managed Care",,,"40",,"29.6","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","0259","RC","Both",,,"74","37","Wellcare","Medicaid Managed Care",,,"40",,"29.97","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","0259","RC","Both",,,"74","37","Aetna","Commercial",,,"64",,"47.21","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","0259","RC","Both",,,"74","37","Blue Cross Blue Shield","Pathways",,,"71",,"52.24","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","0259","RC","Both",,,"74","37","Blue Cross Blue Shield","HMO",,,"71",,"52.24","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","0259","RC","Both",,,"74","37","Blue Cross Blue Shield","PPO",,,"71",,"52.24","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","0259","RC","Both",,,"74","37","Ambetter","Health Exchange",,,"62",,"45.88","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","0259","RC","Both",,,"74","37","Caresource","Health Exchange",,,"62",,"45.88","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","0259","RC","Both",,,"74","37","Cigna","Commercial",,,"59",,"43.36","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","0259","RC","Both",,,"74","37","Humana","Commercial",,,"78",,"57.35","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","0259","RC","Both",,,"74","37","UHC","Commercial",,,"75",,"55.8","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","0259","RC","Both",,,"74","37","Medicaid",,,,"37",,"27.08","0.04","2502.48","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","0259","RC","Both",,,"120","60","Alliant","Health Exchange",,,"62",,"74.4","0.04","2502.48","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","0259","RC","Both",,,"120","60","Pruitt Healthcare","Medicare Advantage",,,"54",,"64.8","0.04","2502.48","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","0259","RC","Both",,,"120","60","Medicare",,,,"54",,"65.04","0.04","2502.48","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","0259","RC","Both",,,"120","60","Humana","Medicare Advantage",,,"54",,"65.04","0.04","2502.48","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","0259","RC","Both",,,"120","60","UHC","Medicare Advantage",,,"54",,"65.04","0.04","2502.48","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","0259","RC","Both",,,"120","60","Clover","Medicare Advantage",,,"54",,"65.04","0.04","2502.48","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","0259","RC","Both",,,"120","60","Wellcare","Medicare Advantage",,,"54",,"65.04","0.04","2502.48","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","0259","RC","Both",,,"120","60","Amerigroup","Medicaid Managed Care",,,"37",,"43.92","0.04","2502.48","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","0259","RC","Both",,,"120","60","Caresource","Medicaid Managed Care",,,"40",,"48","0.04","2502.48","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","0259","RC","Both",,,"120","60","Wellcare","Medicaid Managed Care",,,"40",,"48.6","0.04","2502.48","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","0259","RC","Both",,,"120","60","Aetna","Commercial",,,"64",,"76.56","0.04","2502.48","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","0259","RC","Both",,,"120","60","Blue Cross Blue Shield","Pathways",,,"71",,"84.72","0.04","2502.48","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","0259","RC","Both",,,"120","60","Blue Cross Blue Shield","HMO",,,"71",,"84.72","0.04","2502.48","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","0259","RC","Both",,,"120","60","Blue Cross Blue Shield","PPO",,,"71",,"84.72","0.04","2502.48","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","0259","RC","Both",,,"120","60","Ambetter","Health Exchange",,,"62",,"74.4","0.04","2502.48","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","0259","RC","Both",,,"120","60","Caresource","Health Exchange",,,"62",,"74.4","0.04","2502.48","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","0259","RC","Both",,,"120","60","Cigna","Commercial",,,"59",,"70.32","0.04","2502.48","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","0259","RC","Both",,,"120","60","Humana","Commercial",,,"78",,"93","0.04","2502.48","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","0259","RC","Both",,,"120","60","UHC","Commercial",,,"75",,"90.48","0.04","2502.48","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","0259","RC","Both",,,"120","60","Medicaid",,,,"37",,"43.92","0.04","2502.48","percent of total billed charges",,
"NF-Rytary ExtendedRelease Cap 36.25MG-14","0259","RC","Both",,,"13","6.5","Alliant","Health Exchange",,,"62",,"8.06","0.04","2502.48","percent of total billed charges",,
"NF-Rytary ExtendedRelease Cap 36.25MG-14","0259","RC","Both",,,"13","6.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.02","0.04","2502.48","percent of total billed charges",,
"NF-Rytary ExtendedRelease Cap 36.25MG-14","0259","RC","Both",,,"13","6.5","Medicare",,,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-Rytary ExtendedRelease Cap 36.25MG-14","0259","RC","Both",,,"13","6.5","Humana","Medicare Advantage",,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-Rytary ExtendedRelease Cap 36.25MG-14","0259","RC","Both",,,"13","6.5","UHC","Medicare Advantage",,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-Rytary ExtendedRelease Cap 36.25MG-14","0259","RC","Both",,,"13","6.5","Clover","Medicare Advantage",,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-Rytary ExtendedRelease Cap 36.25MG-14","0259","RC","Both",,,"13","6.5","Wellcare","Medicare Advantage",,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-Rytary ExtendedRelease Cap 36.25MG-14","0259","RC","Both",,,"13","6.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.76","0.04","2502.48","percent of total billed charges",,
"NF-Rytary ExtendedRelease Cap 36.25MG-14","0259","RC","Both",,,"13","6.5","Caresource","Medicaid Managed Care",,,"40",,"5.2","0.04","2502.48","percent of total billed charges",,
"NF-Rytary ExtendedRelease Cap 36.25MG-14","0259","RC","Both",,,"13","6.5","Wellcare","Medicaid Managed Care",,,"40",,"5.26","0.04","2502.48","percent of total billed charges",,
"NF-Rytary ExtendedRelease Cap 36.25MG-14","0259","RC","Both",,,"13","6.5","Aetna","Commercial",,,"64",,"8.29","0.04","2502.48","percent of total billed charges",,
"NF-Rytary ExtendedRelease Cap 36.25MG-14","0259","RC","Both",,,"13","6.5","Blue Cross Blue Shield","Pathways",,,"71",,"9.18","0.04","2502.48","percent of total billed charges",,
"NF-Rytary ExtendedRelease Cap 36.25MG-14","0259","RC","Both",,,"13","6.5","Blue Cross Blue Shield","HMO",,,"71",,"9.18","0.04","2502.48","percent of total billed charges",,
"NF-Rytary ExtendedRelease Cap 36.25MG-14","0259","RC","Both",,,"13","6.5","Blue Cross Blue Shield","PPO",,,"71",,"9.18","0.04","2502.48","percent of total billed charges",,
"NF-Rytary ExtendedRelease Cap 36.25MG-14","0259","RC","Both",,,"13","6.5","Ambetter","Health Exchange",,,"62",,"8.06","0.04","2502.48","percent of total billed charges",,
"NF-Rytary ExtendedRelease Cap 36.25MG-14","0259","RC","Both",,,"13","6.5","Caresource","Health Exchange",,,"62",,"8.06","0.04","2502.48","percent of total billed charges",,
"NF-Rytary ExtendedRelease Cap 36.25MG-14","0259","RC","Both",,,"13","6.5","Cigna","Commercial",,,"59",,"7.62","0.04","2502.48","percent of total billed charges",,
"NF-Rytary ExtendedRelease Cap 36.25MG-14","0259","RC","Both",,,"13","6.5","Humana","Commercial",,,"78",,"10.08","0.04","2502.48","percent of total billed charges",,
"NF-Rytary ExtendedRelease Cap 36.25MG-14","0259","RC","Both",,,"13","6.5","UHC","Commercial",,,"75",,"9.8","0.04","2502.48","percent of total billed charges",,
"NF-Rytary ExtendedRelease Cap 36.25MG-14","0259","RC","Both",,,"13","6.5","Medicaid",,,,"37",,"4.76","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","0259","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","0259","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","0259","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","0259","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","0259","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","0259","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","0259","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","0259","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","0259","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","0259","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","0259","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","0259","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","0259","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","0259","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","0259","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","0259","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","0259","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Diovan Tablet 320MG","0259","RC","Both",,,"40","20","Alliant","Health Exchange",,,"62",,"24.8","0.04","2502.48","percent of total billed charges",,
"NF-Diovan Tablet 320MG","0259","RC","Both",,,"40","20","Pruitt Healthcare","Medicare Advantage",,,"54",,"21.6","0.04","2502.48","percent of total billed charges",,
"NF-Diovan Tablet 320MG","0259","RC","Both",,,"40","20","Medicare",,,,"54",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Diovan Tablet 320MG","0259","RC","Both",,,"40","20","Humana","Medicare Advantage",,,"54",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Diovan Tablet 320MG","0259","RC","Both",,,"40","20","UHC","Medicare Advantage",,,"54",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Diovan Tablet 320MG","0259","RC","Both",,,"40","20","Clover","Medicare Advantage",,,"54",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Diovan Tablet 320MG","0259","RC","Both",,,"40","20","Wellcare","Medicare Advantage",,,"54",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Diovan Tablet 320MG","0259","RC","Both",,,"40","20","Amerigroup","Medicaid Managed Care",,,"37",,"14.64","0.04","2502.48","percent of total billed charges",,
"NF-Diovan Tablet 320MG","0259","RC","Both",,,"40","20","Caresource","Medicaid Managed Care",,,"40",,"16","0.04","2502.48","percent of total billed charges",,
"NF-Diovan Tablet 320MG","0259","RC","Both",,,"40","20","Wellcare","Medicaid Managed Care",,,"40",,"16.2","0.04","2502.48","percent of total billed charges",,
"NF-Diovan Tablet 320MG","0259","RC","Both",,,"40","20","Aetna","Commercial",,,"64",,"25.52","0.04","2502.48","percent of total billed charges",,
"NF-Diovan Tablet 320MG","0259","RC","Both",,,"40","20","Blue Cross Blue Shield","Pathways",,,"71",,"28.24","0.04","2502.48","percent of total billed charges",,
"NF-Diovan Tablet 320MG","0259","RC","Both",,,"40","20","Blue Cross Blue Shield","HMO",,,"71",,"28.24","0.04","2502.48","percent of total billed charges",,
"NF-Diovan Tablet 320MG","0259","RC","Both",,,"40","20","Blue Cross Blue Shield","PPO",,,"71",,"28.24","0.04","2502.48","percent of total billed charges",,
"NF-Diovan Tablet 320MG","0259","RC","Both",,,"40","20","Ambetter","Health Exchange",,,"62",,"24.8","0.04","2502.48","percent of total billed charges",,
"NF-Diovan Tablet 320MG","0259","RC","Both",,,"40","20","Caresource","Health Exchange",,,"62",,"24.8","0.04","2502.48","percent of total billed charges",,
"NF-Diovan Tablet 320MG","0259","RC","Both",,,"40","20","Cigna","Commercial",,,"59",,"23.44","0.04","2502.48","percent of total billed charges",,
"NF-Diovan Tablet 320MG","0259","RC","Both",,,"40","20","Humana","Commercial",,,"78",,"31","0.04","2502.48","percent of total billed charges",,
"NF-Diovan Tablet 320MG","0259","RC","Both",,,"40","20","UHC","Commercial",,,"75",,"30.16","0.04","2502.48","percent of total billed charges",,
"NF-Diovan Tablet 320MG","0259","RC","Both",,,"40","20","Medicaid",,,,"37",,"14.64","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","0259","RC","Both",,,"20","10","Alliant","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","0259","RC","Both",,,"20","10","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.8","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","0259","RC","Both",,,"20","10","Medicare",,,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","0259","RC","Both",,,"20","10","Humana","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","0259","RC","Both",,,"20","10","UHC","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","0259","RC","Both",,,"20","10","Clover","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","0259","RC","Both",,,"20","10","Wellcare","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","0259","RC","Both",,,"20","10","Amerigroup","Medicaid Managed Care",,,"37",,"7.32","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","0259","RC","Both",,,"20","10","Caresource","Medicaid Managed Care",,,"40",,"8","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","0259","RC","Both",,,"20","10","Wellcare","Medicaid Managed Care",,,"40",,"8.1","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","0259","RC","Both",,,"20","10","Aetna","Commercial",,,"64",,"12.76","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","Pathways",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","HMO",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","PPO",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","0259","RC","Both",,,"20","10","Ambetter","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","0259","RC","Both",,,"20","10","Caresource","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","0259","RC","Both",,,"20","10","Cigna","Commercial",,,"59",,"11.72","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","0259","RC","Both",,,"20","10","Humana","Commercial",,,"78",,"15.5","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","0259","RC","Both",,,"20","10","UHC","Commercial",,,"75",,"15.08","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","0259","RC","Both",,,"20","10","Medicaid",,,,"37",,"7.32","0.04","2502.48","percent of total billed charges",,
"NF-Ilevro Ophthalmic Suspension 0.3%","0259","RC","Both",,,"395","197.5","Alliant","Health Exchange",,,"62",,"244.9","0.04","2502.48","percent of total billed charges",,
"NF-Ilevro Ophthalmic Suspension 0.3%","0259","RC","Both",,,"395","197.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"213.3","0.04","2502.48","percent of total billed charges",,
"NF-Ilevro Ophthalmic Suspension 0.3%","0259","RC","Both",,,"395","197.5","Medicare",,,,"54",,"214.09","0.04","2502.48","percent of total billed charges",,
"NF-Ilevro Ophthalmic Suspension 0.3%","0259","RC","Both",,,"395","197.5","Humana","Medicare Advantage",,,"54",,"214.09","0.04","2502.48","percent of total billed charges",,
"NF-Ilevro Ophthalmic Suspension 0.3%","0259","RC","Both",,,"395","197.5","UHC","Medicare Advantage",,,"54",,"214.09","0.04","2502.48","percent of total billed charges",,
"NF-Ilevro Ophthalmic Suspension 0.3%","0259","RC","Both",,,"395","197.5","Clover","Medicare Advantage",,,"54",,"214.09","0.04","2502.48","percent of total billed charges",,
"NF-Ilevro Ophthalmic Suspension 0.3%","0259","RC","Both",,,"395","197.5","Wellcare","Medicare Advantage",,,"54",,"214.09","0.04","2502.48","percent of total billed charges",,
"NF-Ilevro Ophthalmic Suspension 0.3%","0259","RC","Both",,,"395","197.5","Amerigroup","Medicaid Managed Care",,,"37",,"144.57","0.04","2502.48","percent of total billed charges",,
"NF-Ilevro Ophthalmic Suspension 0.3%","0259","RC","Both",,,"395","197.5","Caresource","Medicaid Managed Care",,,"40",,"158","0.04","2502.48","percent of total billed charges",,
"NF-Ilevro Ophthalmic Suspension 0.3%","0259","RC","Both",,,"395","197.5","Wellcare","Medicaid Managed Care",,,"40",,"159.98","0.04","2502.48","percent of total billed charges",,
"NF-Ilevro Ophthalmic Suspension 0.3%","0259","RC","Both",,,"395","197.5","Aetna","Commercial",,,"64",,"252.01","0.04","2502.48","percent of total billed charges",,
"NF-Ilevro Ophthalmic Suspension 0.3%","0259","RC","Both",,,"395","197.5","Blue Cross Blue Shield","Pathways",,,"71",,"278.87","0.04","2502.48","percent of total billed charges",,
"NF-Ilevro Ophthalmic Suspension 0.3%","0259","RC","Both",,,"395","197.5","Blue Cross Blue Shield","HMO",,,"71",,"278.87","0.04","2502.48","percent of total billed charges",,
"NF-Ilevro Ophthalmic Suspension 0.3%","0259","RC","Both",,,"395","197.5","Blue Cross Blue Shield","PPO",,,"71",,"278.87","0.04","2502.48","percent of total billed charges",,
"NF-Ilevro Ophthalmic Suspension 0.3%","0259","RC","Both",,,"395","197.5","Ambetter","Health Exchange",,,"62",,"244.9","0.04","2502.48","percent of total billed charges",,
"NF-Ilevro Ophthalmic Suspension 0.3%","0259","RC","Both",,,"395","197.5","Caresource","Health Exchange",,,"62",,"244.9","0.04","2502.48","percent of total billed charges",,
"NF-Ilevro Ophthalmic Suspension 0.3%","0259","RC","Both",,,"395","197.5","Cigna","Commercial",,,"59",,"231.47","0.04","2502.48","percent of total billed charges",,
"NF-Ilevro Ophthalmic Suspension 0.3%","0259","RC","Both",,,"395","197.5","Humana","Commercial",,,"78",,"306.12","0.04","2502.48","percent of total billed charges",,
"NF-Ilevro Ophthalmic Suspension 0.3%","0259","RC","Both",,,"395","197.5","UHC","Commercial",,,"75",,"297.83","0.04","2502.48","percent of total billed charges",,
"NF-Ilevro Ophthalmic Suspension 0.3%","0259","RC","Both",,,"395","197.5","Medicaid",,,,"37",,"144.57","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"63","31.5","Alliant","Health Exchange",,,"62",,"39.06","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"63","31.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"34.02","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"63","31.5","Medicare",,,,"54",,"34.15","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"63","31.5","Humana","Medicare Advantage",,,"54",,"34.15","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"63","31.5","UHC","Medicare Advantage",,,"54",,"34.15","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"63","31.5","Clover","Medicare Advantage",,,"54",,"34.15","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"63","31.5","Wellcare","Medicare Advantage",,,"54",,"34.15","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"63","31.5","Amerigroup","Medicaid Managed Care",,,"37",,"23.06","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"63","31.5","Caresource","Medicaid Managed Care",,,"40",,"25.2","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"63","31.5","Wellcare","Medicaid Managed Care",,,"40",,"25.52","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"63","31.5","Aetna","Commercial",,,"64",,"40.19","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"63","31.5","Blue Cross Blue Shield","Pathways",,,"71",,"44.48","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"63","31.5","Blue Cross Blue Shield","HMO",,,"71",,"44.48","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"63","31.5","Blue Cross Blue Shield","PPO",,,"71",,"44.48","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"63","31.5","Ambetter","Health Exchange",,,"62",,"39.06","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"63","31.5","Caresource","Health Exchange",,,"62",,"39.06","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"63","31.5","Cigna","Commercial",,,"59",,"36.92","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"63","31.5","Humana","Commercial",,,"78",,"48.82","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"63","31.5","UHC","Commercial",,,"75",,"47.5","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"63","31.5","Medicaid",,,,"37",,"23.06","0.04","2502.48","percent of total billed charges",,
"NF-Austedo Oral Tablet 12MG","0259","RC","Both",,,"424","212","Alliant","Health Exchange",,,"62",,"262.88","0.04","2502.48","percent of total billed charges",,
"NF-Austedo Oral Tablet 12MG","0259","RC","Both",,,"424","212","Pruitt Healthcare","Medicare Advantage",,,"54",,"228.96","0.04","2502.48","percent of total billed charges",,
"NF-Austedo Oral Tablet 12MG","0259","RC","Both",,,"424","212","Medicare",,,,"54",,"229.81","0.04","2502.48","percent of total billed charges",,
"NF-Austedo Oral Tablet 12MG","0259","RC","Both",,,"424","212","Humana","Medicare Advantage",,,"54",,"229.81","0.04","2502.48","percent of total billed charges",,
"NF-Austedo Oral Tablet 12MG","0259","RC","Both",,,"424","212","UHC","Medicare Advantage",,,"54",,"229.81","0.04","2502.48","percent of total billed charges",,
"NF-Austedo Oral Tablet 12MG","0259","RC","Both",,,"424","212","Clover","Medicare Advantage",,,"54",,"229.81","0.04","2502.48","percent of total billed charges",,
"NF-Austedo Oral Tablet 12MG","0259","RC","Both",,,"424","212","Wellcare","Medicare Advantage",,,"54",,"229.81","0.04","2502.48","percent of total billed charges",,
"NF-Austedo Oral Tablet 12MG","0259","RC","Both",,,"424","212","Amerigroup","Medicaid Managed Care",,,"37",,"155.18","0.04","2502.48","percent of total billed charges",,
"NF-Austedo Oral Tablet 12MG","0259","RC","Both",,,"424","212","Caresource","Medicaid Managed Care",,,"40",,"169.6","0.04","2502.48","percent of total billed charges",,
"NF-Austedo Oral Tablet 12MG","0259","RC","Both",,,"424","212","Wellcare","Medicaid Managed Care",,,"40",,"171.72","0.04","2502.48","percent of total billed charges",,
"NF-Austedo Oral Tablet 12MG","0259","RC","Both",,,"424","212","Aetna","Commercial",,,"64",,"270.51","0.04","2502.48","percent of total billed charges",,
"NF-Austedo Oral Tablet 12MG","0259","RC","Both",,,"424","212","Blue Cross Blue Shield","Pathways",,,"71",,"299.34","0.04","2502.48","percent of total billed charges",,
"NF-Austedo Oral Tablet 12MG","0259","RC","Both",,,"424","212","Blue Cross Blue Shield","HMO",,,"71",,"299.34","0.04","2502.48","percent of total billed charges",,
"NF-Austedo Oral Tablet 12MG","0259","RC","Both",,,"424","212","Blue Cross Blue Shield","PPO",,,"71",,"299.34","0.04","2502.48","percent of total billed charges",,
"NF-Austedo Oral Tablet 12MG","0259","RC","Both",,,"424","212","Ambetter","Health Exchange",,,"62",,"262.88","0.04","2502.48","percent of total billed charges",,
"NF-Austedo Oral Tablet 12MG","0259","RC","Both",,,"424","212","Caresource","Health Exchange",,,"62",,"262.88","0.04","2502.48","percent of total billed charges",,
"NF-Austedo Oral Tablet 12MG","0259","RC","Both",,,"424","212","Cigna","Commercial",,,"59",,"248.46","0.04","2502.48","percent of total billed charges",,
"NF-Austedo Oral Tablet 12MG","0259","RC","Both",,,"424","212","Humana","Commercial",,,"78",,"328.6","0.04","2502.48","percent of total billed charges",,
"NF-Austedo Oral Tablet 12MG","0259","RC","Both",,,"424","212","UHC","Commercial",,,"75",,"319.7","0.04","2502.48","percent of total billed charges",,
"NF-Austedo Oral Tablet 12MG","0259","RC","Both",,,"424","212","Medicaid",,,,"37",,"155.18","0.04","2502.48","percent of total billed charges",,
"NF-tiZANidine Hydrochloride Capsule 4MG","0259","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-tiZANidine Hydrochloride Capsule 4MG","0259","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.04","2502.48","percent of total billed charges",,
"NF-tiZANidine Hydrochloride Capsule 4MG","0259","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-tiZANidine Hydrochloride Capsule 4MG","0259","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-tiZANidine Hydrochloride Capsule 4MG","0259","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-tiZANidine Hydrochloride Capsule 4MG","0259","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-tiZANidine Hydrochloride Capsule 4MG","0259","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-tiZANidine Hydrochloride Capsule 4MG","0259","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-tiZANidine Hydrochloride Capsule 4MG","0259","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.04","2502.48","percent of total billed charges",,
"NF-tiZANidine Hydrochloride Capsule 4MG","0259","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.04","2502.48","percent of total billed charges",,
"NF-tiZANidine Hydrochloride Capsule 4MG","0259","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.04","2502.48","percent of total billed charges",,
"NF-tiZANidine Hydrochloride Capsule 4MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-tiZANidine Hydrochloride Capsule 4MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-tiZANidine Hydrochloride Capsule 4MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-tiZANidine Hydrochloride Capsule 4MG","0259","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-tiZANidine Hydrochloride Capsule 4MG","0259","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-tiZANidine Hydrochloride Capsule 4MG","0259","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.04","2502.48","percent of total billed charges",,
"NF-tiZANidine Hydrochloride Capsule 4MG","0259","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.04","2502.48","percent of total billed charges",,
"NF-tiZANidine Hydrochloride Capsule 4MG","0259","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.04","2502.48","percent of total billed charges",,
"NF-tiZANidine Hydrochloride Capsule 4MG","0259","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Alliant","Health Exchange",,,"62",,"82.46","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"71.82","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Medicare",,,,"54",,"72.09","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Humana","Medicare Advantage",,,"54",,"72.09","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","UHC","Medicare Advantage",,,"54",,"72.09","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Clover","Medicare Advantage",,,"54",,"72.09","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Wellcare","Medicare Advantage",,,"54",,"72.09","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Amerigroup","Medicaid Managed Care",,,"37",,"48.68","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Caresource","Medicaid Managed Care",,,"40",,"53.2","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Wellcare","Medicaid Managed Care",,,"40",,"53.86","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Aetna","Commercial",,,"64",,"84.85","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Blue Cross Blue Shield","Pathways",,,"71",,"93.9","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Blue Cross Blue Shield","HMO",,,"71",,"93.9","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Blue Cross Blue Shield","PPO",,,"71",,"93.9","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Ambetter","Health Exchange",,,"62",,"82.46","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Caresource","Health Exchange",,,"62",,"82.46","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Cigna","Commercial",,,"59",,"77.94","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Humana","Commercial",,,"78",,"103.08","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","UHC","Commercial",,,"75",,"100.28","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Medicaid",,,,"37",,"48.68","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 10MG","0259","RC","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 10MG","0259","RC","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 10MG","0259","RC","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 10MG","0259","RC","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 10MG","0259","RC","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 10MG","0259","RC","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 10MG","0259","RC","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 10MG","0259","RC","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 10MG","0259","RC","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 10MG","0259","RC","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 10MG","0259","RC","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 10MG","0259","RC","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 10MG","0259","RC","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 10MG","0259","RC","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 10MG","0259","RC","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 10MG","0259","RC","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 10MG","0259","RC","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 10MG","0259","RC","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 10MG","0259","RC","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","0.04","2502.48","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 10MG","0259","RC","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Vaginal Cream 0.625MG/1GM","0259","RC","Both",,,"52","26","Alliant","Health Exchange",,,"62",,"32.24","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Vaginal Cream 0.625MG/1GM","0259","RC","Both",,,"52","26","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.08","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Vaginal Cream 0.625MG/1GM","0259","RC","Both",,,"52","26","Medicare",,,,"54",,"28.18","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Vaginal Cream 0.625MG/1GM","0259","RC","Both",,,"52","26","Humana","Medicare Advantage",,,"54",,"28.18","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Vaginal Cream 0.625MG/1GM","0259","RC","Both",,,"52","26","UHC","Medicare Advantage",,,"54",,"28.18","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Vaginal Cream 0.625MG/1GM","0259","RC","Both",,,"52","26","Clover","Medicare Advantage",,,"54",,"28.18","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Vaginal Cream 0.625MG/1GM","0259","RC","Both",,,"52","26","Wellcare","Medicare Advantage",,,"54",,"28.18","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Vaginal Cream 0.625MG/1GM","0259","RC","Both",,,"52","26","Amerigroup","Medicaid Managed Care",,,"37",,"19.03","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Vaginal Cream 0.625MG/1GM","0259","RC","Both",,,"52","26","Caresource","Medicaid Managed Care",,,"40",,"20.8","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Vaginal Cream 0.625MG/1GM","0259","RC","Both",,,"52","26","Wellcare","Medicaid Managed Care",,,"40",,"21.06","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Vaginal Cream 0.625MG/1GM","0259","RC","Both",,,"52","26","Aetna","Commercial",,,"64",,"33.18","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Vaginal Cream 0.625MG/1GM","0259","RC","Both",,,"52","26","Blue Cross Blue Shield","Pathways",,,"71",,"36.71","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Vaginal Cream 0.625MG/1GM","0259","RC","Both",,,"52","26","Blue Cross Blue Shield","HMO",,,"71",,"36.71","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Vaginal Cream 0.625MG/1GM","0259","RC","Both",,,"52","26","Blue Cross Blue Shield","PPO",,,"71",,"36.71","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Vaginal Cream 0.625MG/1GM","0259","RC","Both",,,"52","26","Ambetter","Health Exchange",,,"62",,"32.24","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Vaginal Cream 0.625MG/1GM","0259","RC","Both",,,"52","26","Caresource","Health Exchange",,,"62",,"32.24","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Vaginal Cream 0.625MG/1GM","0259","RC","Both",,,"52","26","Cigna","Commercial",,,"59",,"30.47","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Vaginal Cream 0.625MG/1GM","0259","RC","Both",,,"52","26","Humana","Commercial",,,"78",,"40.3","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Vaginal Cream 0.625MG/1GM","0259","RC","Both",,,"52","26","UHC","Commercial",,,"75",,"39.21","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Vaginal Cream 0.625MG/1GM","0259","RC","Both",,,"52","26","Medicaid",,,,"37",,"19.03","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Alliant","Health Exchange",,,"62",,"82.46","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"71.82","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Medicare",,,,"54",,"72.09","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Humana","Medicare Advantage",,,"54",,"72.09","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","UHC","Medicare Advantage",,,"54",,"72.09","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Clover","Medicare Advantage",,,"54",,"72.09","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Wellcare","Medicare Advantage",,,"54",,"72.09","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Amerigroup","Medicaid Managed Care",,,"37",,"48.68","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Caresource","Medicaid Managed Care",,,"40",,"53.2","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Wellcare","Medicaid Managed Care",,,"40",,"53.86","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Aetna","Commercial",,,"64",,"84.85","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Blue Cross Blue Shield","Pathways",,,"71",,"93.9","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Blue Cross Blue Shield","HMO",,,"71",,"93.9","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Blue Cross Blue Shield","PPO",,,"71",,"93.9","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Ambetter","Health Exchange",,,"62",,"82.46","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Caresource","Health Exchange",,,"62",,"82.46","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Cigna","Commercial",,,"59",,"77.94","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Humana","Commercial",,,"78",,"103.08","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","UHC","Commercial",,,"75",,"100.28","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"133","66.5","Medicaid",,,,"37",,"48.68","0.04","2502.48","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tab 50MG-25MG","0259","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tab 50MG-25MG","0259","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tab 50MG-25MG","0259","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tab 50MG-25MG","0259","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tab 50MG-25MG","0259","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tab 50MG-25MG","0259","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tab 50MG-25MG","0259","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tab 50MG-25MG","0259","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tab 50MG-25MG","0259","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","2502.48","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tab 50MG-25MG","0259","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tab 50MG-25MG","0259","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tab 50MG-25MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tab 50MG-25MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tab 50MG-25MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tab 50MG-25MG","0259","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tab 50MG-25MG","0259","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tab 50MG-25MG","0259","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","2502.48","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tab 50MG-25MG","0259","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tab 50MG-25MG","0259","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","2502.48","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tab 50MG-25MG","0259","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Alliant","Health Exchange",,,"62",,"19.84","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.28","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Medicare",,,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Humana","Medicare Advantage",,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","UHC","Medicare Advantage",,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Clover","Medicare Advantage",,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Wellcare","Medicare Advantage",,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Amerigroup","Medicaid Managed Care",,,"37",,"11.71","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Caresource","Medicaid Managed Care",,,"40",,"12.8","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Wellcare","Medicaid Managed Care",,,"40",,"12.96","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Aetna","Commercial",,,"64",,"20.42","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Blue Cross Blue Shield","Pathways",,,"71",,"22.59","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Blue Cross Blue Shield","HMO",,,"71",,"22.59","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Blue Cross Blue Shield","PPO",,,"71",,"22.59","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Ambetter","Health Exchange",,,"62",,"19.84","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Caresource","Health Exchange",,,"62",,"19.84","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Cigna","Commercial",,,"59",,"18.75","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Humana","Commercial",,,"78",,"24.8","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","UHC","Commercial",,,"75",,"24.13","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Medicaid",,,,"37",,"11.71","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 80MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 80MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 80MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 80MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 80MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 80MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 80MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 80MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 80MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 80MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 80MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 80MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 80MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 80MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 80MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 80MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 80MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 80MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 80MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 80MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","0250","RC","Both",,,"14","7","Alliant","Health Exchange",,,"62",,"8.68","0.04","569.62","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","0250","RC","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.56","0.04","569.62","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","0250","RC","Both",,,"14","7","Medicare",,,,"54",,"7.59","0.04","569.62","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","0250","RC","Both",,,"14","7","Humana","Medicare Advantage",,,"54",,"7.59","0.04","569.62","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","0250","RC","Both",,,"14","7","UHC","Medicare Advantage",,,"54",,"7.59","0.04","569.62","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","0250","RC","Both",,,"14","7","Clover","Medicare Advantage",,,"54",,"7.59","0.04","569.62","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","0250","RC","Both",,,"14","7","Wellcare","Medicare Advantage",,,"54",,"7.59","0.04","569.62","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","0250","RC","Both",,,"14","7","Amerigroup","Medicaid Managed Care",,,"37",,"5.12","0.04","569.62","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","0250","RC","Both",,,"14","7","Caresource","Medicaid Managed Care",,,"40",,"5.6","0.04","569.62","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","0250","RC","Both",,,"14","7","Wellcare","Medicaid Managed Care",,,"40",,"5.67","0.04","569.62","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","0250","RC","Both",,,"14","7","Aetna","Commercial",,,"64",,"8.93","0.04","569.62","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","0250","RC","Both",,,"14","7","Blue Cross Blue Shield","Pathways",,,"71",,"9.88","0.04","569.62","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","0250","RC","Both",,,"14","7","Blue Cross Blue Shield","HMO",,,"71",,"9.88","0.04","569.62","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","0250","RC","Both",,,"14","7","Blue Cross Blue Shield","PPO",,,"71",,"9.88","0.04","569.62","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","0250","RC","Both",,,"14","7","Ambetter","Health Exchange",,,"62",,"8.68","0.04","569.62","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","0250","RC","Both",,,"14","7","Caresource","Health Exchange",,,"62",,"8.68","0.04","569.62","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","0250","RC","Both",,,"14","7","Cigna","Commercial",,,"59",,"8.2","0.04","569.62","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","0250","RC","Both",,,"14","7","Humana","Commercial",,,"78",,"10.85","0.04","569.62","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","0250","RC","Both",,,"14","7","UHC","Commercial",,,"75",,"10.56","0.04","569.62","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","0250","RC","Both",,,"14","7","Medicaid",,,,"37",,"5.12","0.04","569.62","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Alliant","Health Exchange",,,"62",,"19.84","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.28","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Medicare",,,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Humana","Medicare Advantage",,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","UHC","Medicare Advantage",,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Clover","Medicare Advantage",,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Wellcare","Medicare Advantage",,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Amerigroup","Medicaid Managed Care",,,"37",,"11.71","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Caresource","Medicaid Managed Care",,,"40",,"12.8","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Wellcare","Medicaid Managed Care",,,"40",,"12.96","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Aetna","Commercial",,,"64",,"20.42","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Blue Cross Blue Shield","Pathways",,,"71",,"22.59","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Blue Cross Blue Shield","HMO",,,"71",,"22.59","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Blue Cross Blue Shield","PPO",,,"71",,"22.59","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Ambetter","Health Exchange",,,"62",,"19.84","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Caresource","Health Exchange",,,"62",,"19.84","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Cigna","Commercial",,,"59",,"18.75","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Humana","Commercial",,,"78",,"24.8","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","UHC","Commercial",,,"75",,"24.13","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Medicaid",,,,"37",,"11.71","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0637","RC","Both",,,"38","19","Alliant","Health Exchange",,,"62",,"23.56","0.15","5264.58","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0637","RC","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.52","0.15","5264.58","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0637","RC","Both",,,"38","19","Medicare",,,,"54",,"20.6","0.15","5264.58","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0637","RC","Both",,,"38","19","Humana","Medicare Advantage",,,"54",,"20.6","0.15","5264.58","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0637","RC","Both",,,"38","19","UHC","Medicare Advantage",,,"54",,"20.6","0.15","5264.58","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0637","RC","Both",,,"38","19","Clover","Medicare Advantage",,,"54",,"20.6","0.15","5264.58","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0637","RC","Both",,,"38","19","Wellcare","Medicare Advantage",,,"54",,"20.6","0.15","5264.58","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0637","RC","Both",,,"38","19","Amerigroup","Medicaid Managed Care",,,"37",,"13.91","0.15","5264.58","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0637","RC","Both",,,"38","19","Caresource","Medicaid Managed Care",,,"40",,"15.2","0.15","5264.58","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0637","RC","Both",,,"38","19","Wellcare","Medicaid Managed Care",,,"40",,"15.39","0.15","5264.58","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0637","RC","Both",,,"38","19","Aetna","Commercial",,,"64",,"24.24","0.15","5264.58","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0637","RC","Both",,,"38","19","Blue Cross Blue Shield","Pathways",,,"71",,"26.83","0.15","5264.58","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0637","RC","Both",,,"38","19","Blue Cross Blue Shield","HMO",,,"71",,"26.83","0.15","5264.58","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0637","RC","Both",,,"38","19","Blue Cross Blue Shield","PPO",,,"71",,"26.83","0.15","5264.58","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0637","RC","Both",,,"38","19","Ambetter","Health Exchange",,,"62",,"23.56","0.15","5264.58","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0637","RC","Both",,,"38","19","Caresource","Health Exchange",,,"62",,"23.56","0.15","5264.58","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0637","RC","Both",,,"38","19","Cigna","Commercial",,,"59",,"22.27","0.15","5264.58","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0637","RC","Both",,,"38","19","Humana","Commercial",,,"78",,"29.45","0.15","5264.58","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0637","RC","Both",,,"38","19","UHC","Commercial",,,"75",,"28.65","0.15","5264.58","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0637","RC","Both",,,"38","19","Medicaid",,,,"37",,"13.91","0.15","5264.58","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"131","65.5","Alliant","Health Exchange",,,"62",,"81.22","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"131","65.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"70.74","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"131","65.5","Medicare",,,,"54",,"71","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"131","65.5","Humana","Medicare Advantage",,,"54",,"71","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"131","65.5","UHC","Medicare Advantage",,,"54",,"71","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"131","65.5","Clover","Medicare Advantage",,,"54",,"71","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"131","65.5","Wellcare","Medicare Advantage",,,"54",,"71","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"131","65.5","Amerigroup","Medicaid Managed Care",,,"37",,"47.95","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"131","65.5","Caresource","Medicaid Managed Care",,,"40",,"52.4","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"131","65.5","Wellcare","Medicaid Managed Care",,,"40",,"53.06","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"131","65.5","Aetna","Commercial",,,"64",,"83.58","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"131","65.5","Blue Cross Blue Shield","Pathways",,,"71",,"92.49","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"131","65.5","Blue Cross Blue Shield","HMO",,,"71",,"92.49","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"131","65.5","Blue Cross Blue Shield","PPO",,,"71",,"92.49","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"131","65.5","Ambetter","Health Exchange",,,"62",,"81.22","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"131","65.5","Caresource","Health Exchange",,,"62",,"81.22","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"131","65.5","Cigna","Commercial",,,"59",,"76.77","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"131","65.5","Humana","Commercial",,,"78",,"101.52","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"131","65.5","UHC","Commercial",,,"75",,"98.77","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"131","65.5","Medicaid",,,,"37",,"47.95","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Alliant","Health Exchange",,,"62",,"44.02","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"38.34","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Medicare",,,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Humana","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","UHC","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Clover","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Wellcare","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Amerigroup","Medicaid Managed Care",,,"37",,"25.99","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Caresource","Medicaid Managed Care",,,"40",,"28.4","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Wellcare","Medicaid Managed Care",,,"40",,"28.76","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Aetna","Commercial",,,"64",,"45.3","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Blue Cross Blue Shield","Pathways",,,"71",,"50.13","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Blue Cross Blue Shield","HMO",,,"71",,"50.13","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Blue Cross Blue Shield","PPO",,,"71",,"50.13","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Ambetter","Health Exchange",,,"62",,"44.02","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Caresource","Health Exchange",,,"62",,"44.02","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Cigna","Commercial",,,"59",,"41.61","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Humana","Commercial",,,"78",,"55.02","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","UHC","Commercial",,,"75",,"53.53","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Medicaid",,,,"37",,"25.99","0.04","2502.48","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","0259","RC","Both",,,"120","60","Alliant","Health Exchange",,,"62",,"74.4","0.04","2502.48","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","0259","RC","Both",,,"120","60","Pruitt Healthcare","Medicare Advantage",,,"54",,"64.8","0.04","2502.48","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","0259","RC","Both",,,"120","60","Medicare",,,,"54",,"65.04","0.04","2502.48","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","0259","RC","Both",,,"120","60","Humana","Medicare Advantage",,,"54",,"65.04","0.04","2502.48","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","0259","RC","Both",,,"120","60","UHC","Medicare Advantage",,,"54",,"65.04","0.04","2502.48","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","0259","RC","Both",,,"120","60","Clover","Medicare Advantage",,,"54",,"65.04","0.04","2502.48","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","0259","RC","Both",,,"120","60","Wellcare","Medicare Advantage",,,"54",,"65.04","0.04","2502.48","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","0259","RC","Both",,,"120","60","Amerigroup","Medicaid Managed Care",,,"37",,"43.92","0.04","2502.48","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","0259","RC","Both",,,"120","60","Caresource","Medicaid Managed Care",,,"40",,"48","0.04","2502.48","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","0259","RC","Both",,,"120","60","Wellcare","Medicaid Managed Care",,,"40",,"48.6","0.04","2502.48","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","0259","RC","Both",,,"120","60","Aetna","Commercial",,,"64",,"76.56","0.04","2502.48","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","0259","RC","Both",,,"120","60","Blue Cross Blue Shield","Pathways",,,"71",,"84.72","0.04","2502.48","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","0259","RC","Both",,,"120","60","Blue Cross Blue Shield","HMO",,,"71",,"84.72","0.04","2502.48","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","0259","RC","Both",,,"120","60","Blue Cross Blue Shield","PPO",,,"71",,"84.72","0.04","2502.48","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","0259","RC","Both",,,"120","60","Ambetter","Health Exchange",,,"62",,"74.4","0.04","2502.48","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","0259","RC","Both",,,"120","60","Caresource","Health Exchange",,,"62",,"74.4","0.04","2502.48","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","0259","RC","Both",,,"120","60","Cigna","Commercial",,,"59",,"70.32","0.04","2502.48","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","0259","RC","Both",,,"120","60","Humana","Commercial",,,"78",,"93","0.04","2502.48","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","0259","RC","Both",,,"120","60","UHC","Commercial",,,"75",,"90.48","0.04","2502.48","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","0259","RC","Both",,,"120","60","Medicaid",,,,"37",,"43.92","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Alliant","Health Exchange",,,"62",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"22.14","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Medicare",,,,"54",,"22.22","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Humana","Medicare Advantage",,,"54",,"22.22","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","UHC","Medicare Advantage",,,"54",,"22.22","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Clover","Medicare Advantage",,,"54",,"22.22","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Wellcare","Medicare Advantage",,,"54",,"22.22","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.01","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Caresource","Medicaid Managed Care",,,"40",,"16.4","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Wellcare","Medicaid Managed Care",,,"40",,"16.6","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Aetna","Commercial",,,"64",,"26.16","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Blue Cross Blue Shield","Pathways",,,"71",,"28.95","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Blue Cross Blue Shield","HMO",,,"71",,"28.95","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Blue Cross Blue Shield","PPO",,,"71",,"28.95","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Ambetter","Health Exchange",,,"62",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Caresource","Health Exchange",,,"62",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Cigna","Commercial",,,"59",,"24.03","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Humana","Commercial",,,"78",,"31.78","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","UHC","Commercial",,,"75",,"30.91","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"41","20.5","Medicaid",,,,"37",,"15.01","0.04","2502.48","percent of total billed charges",,
"NF-Vitamin D Oral Tablet 5000IU","0637","RC","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-Vitamin D Oral Tablet 5000IU","0637","RC","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","0.15","5264.58","percent of total billed charges",,
"NF-Vitamin D Oral Tablet 5000IU","0637","RC","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-Vitamin D Oral Tablet 5000IU","0637","RC","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-Vitamin D Oral Tablet 5000IU","0637","RC","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-Vitamin D Oral Tablet 5000IU","0637","RC","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-Vitamin D Oral Tablet 5000IU","0637","RC","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","0.15","5264.58","percent of total billed charges",,
"NF-Vitamin D Oral Tablet 5000IU","0637","RC","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","0.15","5264.58","percent of total billed charges",,
"NF-Vitamin D Oral Tablet 5000IU","0637","RC","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","0.15","5264.58","percent of total billed charges",,
"NF-Vitamin D Oral Tablet 5000IU","0637","RC","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","0.15","5264.58","percent of total billed charges",,
"NF-Vitamin D Oral Tablet 5000IU","0637","RC","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","0.15","5264.58","percent of total billed charges",,
"NF-Vitamin D Oral Tablet 5000IU","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-Vitamin D Oral Tablet 5000IU","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-Vitamin D Oral Tablet 5000IU","0637","RC","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","0.15","5264.58","percent of total billed charges",,
"NF-Vitamin D Oral Tablet 5000IU","0637","RC","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-Vitamin D Oral Tablet 5000IU","0637","RC","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","0.15","5264.58","percent of total billed charges",,
"NF-Vitamin D Oral Tablet 5000IU","0637","RC","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","0.15","5264.58","percent of total billed charges",,
"NF-Vitamin D Oral Tablet 5000IU","0637","RC","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","0.15","5264.58","percent of total billed charges",,
"NF-Vitamin D Oral Tablet 5000IU","0637","RC","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","0.15","5264.58","percent of total billed charges",,
"NF-Vitamin D Oral Tablet 5000IU","0637","RC","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","0.15","5264.58","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0250","RC","Both",,,"28","14","Alliant","Health Exchange",,,"62",,"17.36","0.04","569.62","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0250","RC","Both",,,"28","14","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.12","0.04","569.62","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0250","RC","Both",,,"28","14","Medicare",,,,"54",,"15.18","0.04","569.62","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0250","RC","Both",,,"28","14","Humana","Medicare Advantage",,,"54",,"15.18","0.04","569.62","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0250","RC","Both",,,"28","14","UHC","Medicare Advantage",,,"54",,"15.18","0.04","569.62","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0250","RC","Both",,,"28","14","Clover","Medicare Advantage",,,"54",,"15.18","0.04","569.62","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0250","RC","Both",,,"28","14","Wellcare","Medicare Advantage",,,"54",,"15.18","0.04","569.62","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0250","RC","Both",,,"28","14","Amerigroup","Medicaid Managed Care",,,"37",,"10.25","0.04","569.62","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0250","RC","Both",,,"28","14","Caresource","Medicaid Managed Care",,,"40",,"11.2","0.04","569.62","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0250","RC","Both",,,"28","14","Wellcare","Medicaid Managed Care",,,"40",,"11.34","0.04","569.62","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0250","RC","Both",,,"28","14","Aetna","Commercial",,,"64",,"17.86","0.04","569.62","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0250","RC","Both",,,"28","14","Blue Cross Blue Shield","Pathways",,,"71",,"19.77","0.04","569.62","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0250","RC","Both",,,"28","14","Blue Cross Blue Shield","HMO",,,"71",,"19.77","0.04","569.62","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0250","RC","Both",,,"28","14","Blue Cross Blue Shield","PPO",,,"71",,"19.77","0.04","569.62","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0250","RC","Both",,,"28","14","Ambetter","Health Exchange",,,"62",,"17.36","0.04","569.62","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0250","RC","Both",,,"28","14","Caresource","Health Exchange",,,"62",,"17.36","0.04","569.62","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0250","RC","Both",,,"28","14","Cigna","Commercial",,,"59",,"16.41","0.04","569.62","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0250","RC","Both",,,"28","14","Humana","Commercial",,,"78",,"21.7","0.04","569.62","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0250","RC","Both",,,"28","14","UHC","Commercial",,,"75",,"21.11","0.04","569.62","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0250","RC","Both",,,"28","14","Medicaid",,,,"37",,"10.25","0.04","569.62","percent of total billed charges",,
"NF-amLODIPine/Benazepril Capsule 10MG-20","0259","RC","Both",,,"9","4.5","Alliant","Health Exchange",,,"62",,"5.58","0.04","2502.48","percent of total billed charges",,
"NF-amLODIPine/Benazepril Capsule 10MG-20","0259","RC","Both",,,"9","4.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.86","0.04","2502.48","percent of total billed charges",,
"NF-amLODIPine/Benazepril Capsule 10MG-20","0259","RC","Both",,,"9","4.5","Medicare",,,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-amLODIPine/Benazepril Capsule 10MG-20","0259","RC","Both",,,"9","4.5","Humana","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-amLODIPine/Benazepril Capsule 10MG-20","0259","RC","Both",,,"9","4.5","UHC","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-amLODIPine/Benazepril Capsule 10MG-20","0259","RC","Both",,,"9","4.5","Clover","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-amLODIPine/Benazepril Capsule 10MG-20","0259","RC","Both",,,"9","4.5","Wellcare","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-amLODIPine/Benazepril Capsule 10MG-20","0259","RC","Both",,,"9","4.5","Amerigroup","Medicaid Managed Care",,,"37",,"3.29","0.04","2502.48","percent of total billed charges",,
"NF-amLODIPine/Benazepril Capsule 10MG-20","0259","RC","Both",,,"9","4.5","Caresource","Medicaid Managed Care",,,"40",,"3.6","0.04","2502.48","percent of total billed charges",,
"NF-amLODIPine/Benazepril Capsule 10MG-20","0259","RC","Both",,,"9","4.5","Wellcare","Medicaid Managed Care",,,"40",,"3.65","0.04","2502.48","percent of total billed charges",,
"NF-amLODIPine/Benazepril Capsule 10MG-20","0259","RC","Both",,,"9","4.5","Aetna","Commercial",,,"64",,"5.74","0.04","2502.48","percent of total billed charges",,
"NF-amLODIPine/Benazepril Capsule 10MG-20","0259","RC","Both",,,"9","4.5","Blue Cross Blue Shield","Pathways",,,"71",,"6.35","0.04","2502.48","percent of total billed charges",,
"NF-amLODIPine/Benazepril Capsule 10MG-20","0259","RC","Both",,,"9","4.5","Blue Cross Blue Shield","HMO",,,"71",,"6.35","0.04","2502.48","percent of total billed charges",,
"NF-amLODIPine/Benazepril Capsule 10MG-20","0259","RC","Both",,,"9","4.5","Blue Cross Blue Shield","PPO",,,"71",,"6.35","0.04","2502.48","percent of total billed charges",,
"NF-amLODIPine/Benazepril Capsule 10MG-20","0259","RC","Both",,,"9","4.5","Ambetter","Health Exchange",,,"62",,"5.58","0.04","2502.48","percent of total billed charges",,
"NF-amLODIPine/Benazepril Capsule 10MG-20","0259","RC","Both",,,"9","4.5","Caresource","Health Exchange",,,"62",,"5.58","0.04","2502.48","percent of total billed charges",,
"NF-amLODIPine/Benazepril Capsule 10MG-20","0259","RC","Both",,,"9","4.5","Cigna","Commercial",,,"59",,"5.27","0.04","2502.48","percent of total billed charges",,
"NF-amLODIPine/Benazepril Capsule 10MG-20","0259","RC","Both",,,"9","4.5","Humana","Commercial",,,"78",,"6.98","0.04","2502.48","percent of total billed charges",,
"NF-amLODIPine/Benazepril Capsule 10MG-20","0259","RC","Both",,,"9","4.5","UHC","Commercial",,,"75",,"6.79","0.04","2502.48","percent of total billed charges",,
"NF-amLODIPine/Benazepril Capsule 10MG-20","0259","RC","Both",,,"9","4.5","Medicaid",,,,"37",,"3.29","0.04","2502.48","percent of total billed charges",,
"NF-Atorvastatin Calcium Oral Tablet 80MG","0637","RC","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-Atorvastatin Calcium Oral Tablet 80MG","0637","RC","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","0.15","5264.58","percent of total billed charges",,
"NF-Atorvastatin Calcium Oral Tablet 80MG","0637","RC","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-Atorvastatin Calcium Oral Tablet 80MG","0637","RC","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-Atorvastatin Calcium Oral Tablet 80MG","0637","RC","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-Atorvastatin Calcium Oral Tablet 80MG","0637","RC","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-Atorvastatin Calcium Oral Tablet 80MG","0637","RC","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"NF-Atorvastatin Calcium Oral Tablet 80MG","0637","RC","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"NF-Atorvastatin Calcium Oral Tablet 80MG","0637","RC","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","0.15","5264.58","percent of total billed charges",,
"NF-Atorvastatin Calcium Oral Tablet 80MG","0637","RC","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.15","5264.58","percent of total billed charges",,
"NF-Atorvastatin Calcium Oral Tablet 80MG","0637","RC","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","0.15","5264.58","percent of total billed charges",,
"NF-Atorvastatin Calcium Oral Tablet 80MG","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"NF-Atorvastatin Calcium Oral Tablet 80MG","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"NF-Atorvastatin Calcium Oral Tablet 80MG","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"NF-Atorvastatin Calcium Oral Tablet 80MG","0637","RC","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-Atorvastatin Calcium Oral Tablet 80MG","0637","RC","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"NF-Atorvastatin Calcium Oral Tablet 80MG","0637","RC","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","0.15","5264.58","percent of total billed charges",,
"NF-Atorvastatin Calcium Oral Tablet 80MG","0637","RC","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","0.15","5264.58","percent of total billed charges",,
"NF-Atorvastatin Calcium Oral Tablet 80MG","0637","RC","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","0.15","5264.58","percent of total billed charges",,
"NF-Atorvastatin Calcium Oral Tablet 80MG","0637","RC","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"NF-Bisoprolol/HCTZ 5MG-6.25MG Tablet","0259","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Bisoprolol/HCTZ 5MG-6.25MG Tablet","0259","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Bisoprolol/HCTZ 5MG-6.25MG Tablet","0259","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Bisoprolol/HCTZ 5MG-6.25MG Tablet","0259","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Bisoprolol/HCTZ 5MG-6.25MG Tablet","0259","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Bisoprolol/HCTZ 5MG-6.25MG Tablet","0259","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Bisoprolol/HCTZ 5MG-6.25MG Tablet","0259","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Bisoprolol/HCTZ 5MG-6.25MG Tablet","0259","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Bisoprolol/HCTZ 5MG-6.25MG Tablet","0259","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","2502.48","percent of total billed charges",,
"NF-Bisoprolol/HCTZ 5MG-6.25MG Tablet","0259","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","2502.48","percent of total billed charges",,
"NF-Bisoprolol/HCTZ 5MG-6.25MG Tablet","0259","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","2502.48","percent of total billed charges",,
"NF-Bisoprolol/HCTZ 5MG-6.25MG Tablet","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Bisoprolol/HCTZ 5MG-6.25MG Tablet","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Bisoprolol/HCTZ 5MG-6.25MG Tablet","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Bisoprolol/HCTZ 5MG-6.25MG Tablet","0259","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Bisoprolol/HCTZ 5MG-6.25MG Tablet","0259","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Bisoprolol/HCTZ 5MG-6.25MG Tablet","0259","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-Bisoprolol/HCTZ 5MG-6.25MG Tablet","0259","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","2502.48","percent of total billed charges",,
"NF-Bisoprolol/HCTZ 5MG-6.25MG Tablet","0259","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","2502.48","percent of total billed charges",,
"NF-Bisoprolol/HCTZ 5MG-6.25MG Tablet","0259","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Alliant","Health Exchange",,,"62",,"13.02","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.34","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Medicare",,,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Humana","Medicare Advantage",,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","UHC","Medicare Advantage",,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Clover","Medicare Advantage",,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Wellcare","Medicare Advantage",,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Amerigroup","Medicaid Managed Care",,,"37",,"7.69","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Caresource","Medicaid Managed Care",,,"40",,"8.4","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Wellcare","Medicaid Managed Care",,,"40",,"8.51","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Aetna","Commercial",,,"64",,"13.4","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Blue Cross Blue Shield","Pathways",,,"71",,"14.83","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Blue Cross Blue Shield","HMO",,,"71",,"14.83","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Blue Cross Blue Shield","PPO",,,"71",,"14.83","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Ambetter","Health Exchange",,,"62",,"13.02","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Caresource","Health Exchange",,,"62",,"13.02","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Cigna","Commercial",,,"59",,"12.31","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Humana","Commercial",,,"78",,"16.28","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","UHC","Commercial",,,"75",,"15.83","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Medicaid",,,,"37",,"7.69","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"137","68.5","Alliant","Health Exchange",,,"62",,"84.94","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"137","68.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"73.98","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"137","68.5","Medicare",,,,"54",,"74.25","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"137","68.5","Humana","Medicare Advantage",,,"54",,"74.25","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"137","68.5","UHC","Medicare Advantage",,,"54",,"74.25","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"137","68.5","Clover","Medicare Advantage",,,"54",,"74.25","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"137","68.5","Wellcare","Medicare Advantage",,,"54",,"74.25","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"137","68.5","Amerigroup","Medicaid Managed Care",,,"37",,"50.14","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"137","68.5","Caresource","Medicaid Managed Care",,,"40",,"54.8","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"137","68.5","Wellcare","Medicaid Managed Care",,,"40",,"55.49","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"137","68.5","Aetna","Commercial",,,"64",,"87.41","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"137","68.5","Blue Cross Blue Shield","Pathways",,,"71",,"96.72","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"137","68.5","Blue Cross Blue Shield","HMO",,,"71",,"96.72","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"137","68.5","Blue Cross Blue Shield","PPO",,,"71",,"96.72","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"137","68.5","Ambetter","Health Exchange",,,"62",,"84.94","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"137","68.5","Caresource","Health Exchange",,,"62",,"84.94","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"137","68.5","Cigna","Commercial",,,"59",,"80.28","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"137","68.5","Humana","Commercial",,,"78",,"106.18","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"137","68.5","UHC","Commercial",,,"75",,"103.3","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"137","68.5","Medicaid",,,,"37",,"50.14","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"146","73","Alliant","Health Exchange",,,"62",,"90.52","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"146","73","Pruitt Healthcare","Medicare Advantage",,,"54",,"78.84","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"146","73","Medicare",,,,"54",,"79.13","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"146","73","Humana","Medicare Advantage",,,"54",,"79.13","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"146","73","UHC","Medicare Advantage",,,"54",,"79.13","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"146","73","Clover","Medicare Advantage",,,"54",,"79.13","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"146","73","Wellcare","Medicare Advantage",,,"54",,"79.13","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"146","73","Amerigroup","Medicaid Managed Care",,,"37",,"53.44","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"146","73","Caresource","Medicaid Managed Care",,,"40",,"58.4","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"146","73","Wellcare","Medicaid Managed Care",,,"40",,"59.13","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"146","73","Aetna","Commercial",,,"64",,"93.15","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"146","73","Blue Cross Blue Shield","Pathways",,,"71",,"103.08","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"146","73","Blue Cross Blue Shield","HMO",,,"71",,"103.08","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"146","73","Blue Cross Blue Shield","PPO",,,"71",,"103.08","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"146","73","Ambetter","Health Exchange",,,"62",,"90.52","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"146","73","Caresource","Health Exchange",,,"62",,"90.52","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"146","73","Cigna","Commercial",,,"59",,"85.56","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"146","73","Humana","Commercial",,,"78",,"113.15","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"146","73","UHC","Commercial",,,"75",,"110.08","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"146","73","Medicaid",,,,"37",,"53.44","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Alliant","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.8","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Medicare",,,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Humana","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","UHC","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Clover","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Wellcare","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Amerigroup","Medicaid Managed Care",,,"37",,"7.32","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Caresource","Medicaid Managed Care",,,"40",,"8","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Wellcare","Medicaid Managed Care",,,"40",,"8.1","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Aetna","Commercial",,,"64",,"12.76","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","Pathways",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","HMO",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","PPO",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Ambetter","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Caresource","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Cigna","Commercial",,,"59",,"11.72","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Humana","Commercial",,,"78",,"15.5","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","UHC","Commercial",,,"75",,"15.08","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Medicaid",,,,"37",,"7.32","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"344","172","Alliant","Health Exchange",,,"62",,"213.28","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"344","172","Pruitt Healthcare","Medicare Advantage",,,"54",,"185.76","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"344","172","Medicare",,,,"54",,"186.45","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"344","172","Humana","Medicare Advantage",,,"54",,"186.45","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"344","172","UHC","Medicare Advantage",,,"54",,"186.45","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"344","172","Clover","Medicare Advantage",,,"54",,"186.45","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"344","172","Wellcare","Medicare Advantage",,,"54",,"186.45","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"344","172","Amerigroup","Medicaid Managed Care",,,"37",,"125.9","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"344","172","Caresource","Medicaid Managed Care",,,"40",,"137.6","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"344","172","Wellcare","Medicaid Managed Care",,,"40",,"139.32","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"344","172","Aetna","Commercial",,,"64",,"219.47","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"344","172","Blue Cross Blue Shield","Pathways",,,"71",,"242.86","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"344","172","Blue Cross Blue Shield","HMO",,,"71",,"242.86","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"344","172","Blue Cross Blue Shield","PPO",,,"71",,"242.86","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"344","172","Ambetter","Health Exchange",,,"62",,"213.28","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"344","172","Caresource","Health Exchange",,,"62",,"213.28","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"344","172","Cigna","Commercial",,,"59",,"201.58","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"344","172","Humana","Commercial",,,"78",,"266.6","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"344","172","UHC","Commercial",,,"75",,"259.38","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"344","172","Medicaid",,,,"37",,"125.9","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"13","6.5","Alliant","Health Exchange",,,"62",,"8.06","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"13","6.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.02","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"13","6.5","Medicare",,,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"13","6.5","Humana","Medicare Advantage",,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"13","6.5","UHC","Medicare Advantage",,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"13","6.5","Clover","Medicare Advantage",,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"13","6.5","Wellcare","Medicare Advantage",,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"13","6.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.76","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"13","6.5","Caresource","Medicaid Managed Care",,,"40",,"5.2","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"13","6.5","Wellcare","Medicaid Managed Care",,,"40",,"5.26","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"13","6.5","Aetna","Commercial",,,"64",,"8.29","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"13","6.5","Blue Cross Blue Shield","Pathways",,,"71",,"9.18","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"13","6.5","Blue Cross Blue Shield","HMO",,,"71",,"9.18","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"13","6.5","Blue Cross Blue Shield","PPO",,,"71",,"9.18","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"13","6.5","Ambetter","Health Exchange",,,"62",,"8.06","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"13","6.5","Caresource","Health Exchange",,,"62",,"8.06","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"13","6.5","Cigna","Commercial",,,"59",,"7.62","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"13","6.5","Humana","Commercial",,,"78",,"10.08","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"13","6.5","UHC","Commercial",,,"75",,"9.8","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","0259","RC","Both",,,"13","6.5","Medicaid",,,,"37",,"4.76","0.04","2502.48","percent of total billed charges",,
"NF-Enalapril/HCTZ 5MG-12.5MG Tablet","0259","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Enalapril/HCTZ 5MG-12.5MG Tablet","0259","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Enalapril/HCTZ 5MG-12.5MG Tablet","0259","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Enalapril/HCTZ 5MG-12.5MG Tablet","0259","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Enalapril/HCTZ 5MG-12.5MG Tablet","0259","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Enalapril/HCTZ 5MG-12.5MG Tablet","0259","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Enalapril/HCTZ 5MG-12.5MG Tablet","0259","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Enalapril/HCTZ 5MG-12.5MG Tablet","0259","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Enalapril/HCTZ 5MG-12.5MG Tablet","0259","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","2502.48","percent of total billed charges",,
"NF-Enalapril/HCTZ 5MG-12.5MG Tablet","0259","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","2502.48","percent of total billed charges",,
"NF-Enalapril/HCTZ 5MG-12.5MG Tablet","0259","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","2502.48","percent of total billed charges",,
"NF-Enalapril/HCTZ 5MG-12.5MG Tablet","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Enalapril/HCTZ 5MG-12.5MG Tablet","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Enalapril/HCTZ 5MG-12.5MG Tablet","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Enalapril/HCTZ 5MG-12.5MG Tablet","0259","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Enalapril/HCTZ 5MG-12.5MG Tablet","0259","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Enalapril/HCTZ 5MG-12.5MG Tablet","0259","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-Enalapril/HCTZ 5MG-12.5MG Tablet","0259","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","2502.48","percent of total billed charges",,
"NF-Enalapril/HCTZ 5MG-12.5MG Tablet","0259","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","2502.48","percent of total billed charges",,
"NF-Enalapril/HCTZ 5MG-12.5MG Tablet","0259","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 30MG-120MG-15MG","0259","RC","Both",,,"430","215","Alliant","Health Exchange",,,"62",,"266.6","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 30MG-120MG-15MG","0259","RC","Both",,,"430","215","Pruitt Healthcare","Medicare Advantage",,,"54",,"232.2","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 30MG-120MG-15MG","0259","RC","Both",,,"430","215","Medicare",,,,"54",,"233.06","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 30MG-120MG-15MG","0259","RC","Both",,,"430","215","Humana","Medicare Advantage",,,"54",,"233.06","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 30MG-120MG-15MG","0259","RC","Both",,,"430","215","UHC","Medicare Advantage",,,"54",,"233.06","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 30MG-120MG-15MG","0259","RC","Both",,,"430","215","Clover","Medicare Advantage",,,"54",,"233.06","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 30MG-120MG-15MG","0259","RC","Both",,,"430","215","Wellcare","Medicare Advantage",,,"54",,"233.06","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 30MG-120MG-15MG","0259","RC","Both",,,"430","215","Amerigroup","Medicaid Managed Care",,,"37",,"157.38","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 30MG-120MG-15MG","0259","RC","Both",,,"430","215","Caresource","Medicaid Managed Care",,,"40",,"172","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 30MG-120MG-15MG","0259","RC","Both",,,"430","215","Wellcare","Medicaid Managed Care",,,"40",,"174.15","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 30MG-120MG-15MG","0259","RC","Both",,,"430","215","Aetna","Commercial",,,"64",,"274.34","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 30MG-120MG-15MG","0259","RC","Both",,,"430","215","Blue Cross Blue Shield","Pathways",,,"71",,"303.58","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 30MG-120MG-15MG","0259","RC","Both",,,"430","215","Blue Cross Blue Shield","HMO",,,"71",,"303.58","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 30MG-120MG-15MG","0259","RC","Both",,,"430","215","Blue Cross Blue Shield","PPO",,,"71",,"303.58","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 30MG-120MG-15MG","0259","RC","Both",,,"430","215","Ambetter","Health Exchange",,,"62",,"266.6","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 30MG-120MG-15MG","0259","RC","Both",,,"430","215","Caresource","Health Exchange",,,"62",,"266.6","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 30MG-120MG-15MG","0259","RC","Both",,,"430","215","Cigna","Commercial",,,"59",,"251.98","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 30MG-120MG-15MG","0259","RC","Both",,,"430","215","Humana","Commercial",,,"78",,"333.25","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 30MG-120MG-15MG","0259","RC","Both",,,"430","215","UHC","Commercial",,,"75",,"324.22","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 30MG-120MG-15MG","0259","RC","Both",,,"430","215","Medicaid",,,,"37",,"157.38","0.04","2502.48","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM LIQ CAPSULE 137M","0259","RC","Both",,,"15.22","7.61","Alliant","Health Exchange",,,"62",,"9.44","0.04","2502.48","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM LIQ CAPSULE 137M","0259","RC","Both",,,"15.22","7.61","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.22","0.04","2502.48","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM LIQ CAPSULE 137M","0259","RC","Both",,,"15.22","7.61","Medicare",,,,"54",,"8.25","0.04","2502.48","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM LIQ CAPSULE 137M","0259","RC","Both",,,"15.22","7.61","Humana","Medicare Advantage",,,"54",,"8.25","0.04","2502.48","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM LIQ CAPSULE 137M","0259","RC","Both",,,"15.22","7.61","UHC","Medicare Advantage",,,"54",,"8.25","0.04","2502.48","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM LIQ CAPSULE 137M","0259","RC","Both",,,"15.22","7.61","Clover","Medicare Advantage",,,"54",,"8.25","0.04","2502.48","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM LIQ CAPSULE 137M","0259","RC","Both",,,"15.22","7.61","Wellcare","Medicare Advantage",,,"54",,"8.25","0.04","2502.48","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM LIQ CAPSULE 137M","0259","RC","Both",,,"15.22","7.61","Amerigroup","Medicaid Managed Care",,,"37",,"5.57","0.04","2502.48","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM LIQ CAPSULE 137M","0259","RC","Both",,,"15.22","7.61","Caresource","Medicaid Managed Care",,,"40",,"6.09","0.04","2502.48","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM LIQ CAPSULE 137M","0259","RC","Both",,,"15.22","7.61","Wellcare","Medicaid Managed Care",,,"40",,"6.16","0.04","2502.48","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM LIQ CAPSULE 137M","0259","RC","Both",,,"15.22","7.61","Aetna","Commercial",,,"64",,"9.71","0.04","2502.48","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM LIQ CAPSULE 137M","0259","RC","Both",,,"15.22","7.61","Blue Cross Blue Shield","Pathways",,,"71",,"10.75","0.04","2502.48","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM LIQ CAPSULE 137M","0259","RC","Both",,,"15.22","7.61","Blue Cross Blue Shield","HMO",,,"71",,"10.75","0.04","2502.48","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM LIQ CAPSULE 137M","0259","RC","Both",,,"15.22","7.61","Blue Cross Blue Shield","PPO",,,"71",,"10.75","0.04","2502.48","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM LIQ CAPSULE 137M","0259","RC","Both",,,"15.22","7.61","Ambetter","Health Exchange",,,"62",,"9.44","0.04","2502.48","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM LIQ CAPSULE 137M","0259","RC","Both",,,"15.22","7.61","Caresource","Health Exchange",,,"62",,"9.44","0.04","2502.48","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM LIQ CAPSULE 137M","0259","RC","Both",,,"15.22","7.61","Cigna","Commercial",,,"59",,"8.92","0.04","2502.48","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM LIQ CAPSULE 137M","0259","RC","Both",,,"15.22","7.61","Humana","Commercial",,,"78",,"11.8","0.04","2502.48","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM LIQ CAPSULE 137M","0259","RC","Both",,,"15.22","7.61","UHC","Commercial",,,"75",,"11.48","0.04","2502.48","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM LIQ CAPSULE 137M","0259","RC","Both",,,"15.22","7.61","Medicaid",,,,"37",,"5.57","0.04","2502.48","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM ORAL TABLET 137M","0259","RC","Both",,,"2.49","1.245","Alliant","Health Exchange",,,"62",,"1.54","0.04","2502.48","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM ORAL TABLET 137M","0259","RC","Both",,,"2.49","1.245","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.34","0.04","2502.48","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM ORAL TABLET 137M","0259","RC","Both",,,"2.49","1.245","Medicare",,,,"54",,"1.35","0.04","2502.48","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM ORAL TABLET 137M","0259","RC","Both",,,"2.49","1.245","Humana","Medicare Advantage",,,"54",,"1.35","0.04","2502.48","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM ORAL TABLET 137M","0259","RC","Both",,,"2.49","1.245","UHC","Medicare Advantage",,,"54",,"1.35","0.04","2502.48","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM ORAL TABLET 137M","0259","RC","Both",,,"2.49","1.245","Clover","Medicare Advantage",,,"54",,"1.35","0.04","2502.48","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM ORAL TABLET 137M","0259","RC","Both",,,"2.49","1.245","Wellcare","Medicare Advantage",,,"54",,"1.35","0.04","2502.48","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM ORAL TABLET 137M","0259","RC","Both",,,"2.49","1.245","Amerigroup","Medicaid Managed Care",,,"37",,"0.91","0.04","2502.48","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM ORAL TABLET 137M","0259","RC","Both",,,"2.49","1.245","Caresource","Medicaid Managed Care",,,"40",,"1","0.04","2502.48","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM ORAL TABLET 137M","0259","RC","Both",,,"2.49","1.245","Wellcare","Medicaid Managed Care",,,"40",,"1.01","0.04","2502.48","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM ORAL TABLET 137M","0259","RC","Both",,,"2.49","1.245","Aetna","Commercial",,,"64",,"1.59","0.04","2502.48","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM ORAL TABLET 137M","0259","RC","Both",,,"2.49","1.245","Blue Cross Blue Shield","Pathways",,,"71",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM ORAL TABLET 137M","0259","RC","Both",,,"2.49","1.245","Blue Cross Blue Shield","HMO",,,"71",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM ORAL TABLET 137M","0259","RC","Both",,,"2.49","1.245","Blue Cross Blue Shield","PPO",,,"71",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM ORAL TABLET 137M","0259","RC","Both",,,"2.49","1.245","Ambetter","Health Exchange",,,"62",,"1.54","0.04","2502.48","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM ORAL TABLET 137M","0259","RC","Both",,,"2.49","1.245","Caresource","Health Exchange",,,"62",,"1.54","0.04","2502.48","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM ORAL TABLET 137M","0259","RC","Both",,,"2.49","1.245","Cigna","Commercial",,,"59",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM ORAL TABLET 137M","0259","RC","Both",,,"2.49","1.245","Humana","Commercial",,,"78",,"1.93","0.04","2502.48","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM ORAL TABLET 137M","0259","RC","Both",,,"2.49","1.245","UHC","Commercial",,,"75",,"1.88","0.04","2502.48","percent of total billed charges",,
"NF-LEVOTHYROXINE SODIUM ORAL TABLET 137M","0259","RC","Both",,,"2.49","1.245","Medicaid",,,,"37",,"0.91","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"28","14","Alliant","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"28","14","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.12","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"28","14","Medicare",,,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"28","14","Humana","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"28","14","UHC","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"28","14","Clover","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"28","14","Wellcare","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"28","14","Amerigroup","Medicaid Managed Care",,,"37",,"10.25","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"28","14","Caresource","Medicaid Managed Care",,,"40",,"11.2","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"28","14","Wellcare","Medicaid Managed Care",,,"40",,"11.34","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"28","14","Aetna","Commercial",,,"64",,"17.86","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","Pathways",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","HMO",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","PPO",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"28","14","Ambetter","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"28","14","Caresource","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"28","14","Cigna","Commercial",,,"59",,"16.41","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"28","14","Humana","Commercial",,,"78",,"21.7","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"28","14","UHC","Commercial",,,"75",,"21.11","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"28","14","Medicaid",,,,"37",,"10.25","0.04","2502.48","percent of total billed charges",,
"NF-Atropine Sulfate Ophth Solution 1%","0259","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Atropine Sulfate Ophth Solution 1%","0259","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-Atropine Sulfate Ophth Solution 1%","0259","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Atropine Sulfate Ophth Solution 1%","0259","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Atropine Sulfate Ophth Solution 1%","0259","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Atropine Sulfate Ophth Solution 1%","0259","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Atropine Sulfate Ophth Solution 1%","0259","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Atropine Sulfate Ophth Solution 1%","0259","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Atropine Sulfate Ophth Solution 1%","0259","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","2502.48","percent of total billed charges",,
"NF-Atropine Sulfate Ophth Solution 1%","0259","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","2502.48","percent of total billed charges",,
"NF-Atropine Sulfate Ophth Solution 1%","0259","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","2502.48","percent of total billed charges",,
"NF-Atropine Sulfate Ophth Solution 1%","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Atropine Sulfate Ophth Solution 1%","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Atropine Sulfate Ophth Solution 1%","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Atropine Sulfate Ophth Solution 1%","0259","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Atropine Sulfate Ophth Solution 1%","0259","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Atropine Sulfate Ophth Solution 1%","0259","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-Atropine Sulfate Ophth Solution 1%","0259","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","2502.48","percent of total billed charges",,
"NF-Atropine Sulfate Ophth Solution 1%","0259","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","2502.48","percent of total billed charges",,
"NF-Atropine Sulfate Ophth Solution 1%","0259","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.04","2502.48","percent of total billed charges",,
"NF-Prevagen Oral Cap 10MG-50MCG","0259","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Prevagen Oral Cap 10MG-50MCG","0259","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Prevagen Oral Cap 10MG-50MCG","0259","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Prevagen Oral Cap 10MG-50MCG","0259","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Prevagen Oral Cap 10MG-50MCG","0259","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Prevagen Oral Cap 10MG-50MCG","0259","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Prevagen Oral Cap 10MG-50MCG","0259","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Prevagen Oral Cap 10MG-50MCG","0259","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Prevagen Oral Cap 10MG-50MCG","0259","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","2502.48","percent of total billed charges",,
"NF-Prevagen Oral Cap 10MG-50MCG","0259","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-Prevagen Oral Cap 10MG-50MCG","0259","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-Prevagen Oral Cap 10MG-50MCG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Prevagen Oral Cap 10MG-50MCG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Prevagen Oral Cap 10MG-50MCG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Prevagen Oral Cap 10MG-50MCG","0259","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Prevagen Oral Cap 10MG-50MCG","0259","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Prevagen Oral Cap 10MG-50MCG","0259","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","2502.48","percent of total billed charges",,
"NF-Prevagen Oral Cap 10MG-50MCG","0259","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-Prevagen Oral Cap 10MG-50MCG","0259","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","2502.48","percent of total billed charges",,
"NF-Prevagen Oral Cap 10MG-50MCG","0259","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Ursodiol Oral Capsule 300MG","0259","RC","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","0.04","2502.48","percent of total billed charges",,
"NF-Ursodiol Oral Capsule 300MG","0259","RC","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","0.04","2502.48","percent of total billed charges",,
"NF-Ursodiol Oral Capsule 300MG","0259","RC","Both",,,"22","11","Medicare",,,,"54",,"11.92","0.04","2502.48","percent of total billed charges",,
"NF-Ursodiol Oral Capsule 300MG","0259","RC","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","0.04","2502.48","percent of total billed charges",,
"NF-Ursodiol Oral Capsule 300MG","0259","RC","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","0.04","2502.48","percent of total billed charges",,
"NF-Ursodiol Oral Capsule 300MG","0259","RC","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","0.04","2502.48","percent of total billed charges",,
"NF-Ursodiol Oral Capsule 300MG","0259","RC","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","0.04","2502.48","percent of total billed charges",,
"NF-Ursodiol Oral Capsule 300MG","0259","RC","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","0.04","2502.48","percent of total billed charges",,
"NF-Ursodiol Oral Capsule 300MG","0259","RC","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","0.04","2502.48","percent of total billed charges",,
"NF-Ursodiol Oral Capsule 300MG","0259","RC","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","0.04","2502.48","percent of total billed charges",,
"NF-Ursodiol Oral Capsule 300MG","0259","RC","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-Ursodiol Oral Capsule 300MG","0259","RC","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","0.04","2502.48","percent of total billed charges",,
"NF-Ursodiol Oral Capsule 300MG","0259","RC","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","0.04","2502.48","percent of total billed charges",,
"NF-Ursodiol Oral Capsule 300MG","0259","RC","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","0.04","2502.48","percent of total billed charges",,
"NF-Ursodiol Oral Capsule 300MG","0259","RC","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","0.04","2502.48","percent of total billed charges",,
"NF-Ursodiol Oral Capsule 300MG","0259","RC","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","0.04","2502.48","percent of total billed charges",,
"NF-Ursodiol Oral Capsule 300MG","0259","RC","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","0.04","2502.48","percent of total billed charges",,
"NF-Ursodiol Oral Capsule 300MG","0259","RC","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","0.04","2502.48","percent of total billed charges",,
"NF-Ursodiol Oral Capsule 300MG","0259","RC","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-Ursodiol Oral Capsule 300MG","0259","RC","Both",,,"22","11","Medicaid",,,,"37",,"8.05","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical Gel 1%","0259","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical Gel 1%","0259","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical Gel 1%","0259","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical Gel 1%","0259","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical Gel 1%","0259","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical Gel 1%","0259","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical Gel 1%","0259","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical Gel 1%","0259","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical Gel 1%","0259","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical Gel 1%","0259","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical Gel 1%","0259","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical Gel 1%","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical Gel 1%","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical Gel 1%","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical Gel 1%","0259","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical Gel 1%","0259","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical Gel 1%","0259","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical Gel 1%","0259","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical Gel 1%","0259","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical Gel 1%","0259","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-Arimidex Oral Tablet 1MG","0259","RC","Both",,,"195","97.5","Alliant","Health Exchange",,,"62",,"120.9","0.04","2502.48","percent of total billed charges",,
"NF-Arimidex Oral Tablet 1MG","0259","RC","Both",,,"195","97.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"105.3","0.04","2502.48","percent of total billed charges",,
"NF-Arimidex Oral Tablet 1MG","0259","RC","Both",,,"195","97.5","Medicare",,,,"54",,"105.69","0.04","2502.48","percent of total billed charges",,
"NF-Arimidex Oral Tablet 1MG","0259","RC","Both",,,"195","97.5","Humana","Medicare Advantage",,,"54",,"105.69","0.04","2502.48","percent of total billed charges",,
"NF-Arimidex Oral Tablet 1MG","0259","RC","Both",,,"195","97.5","UHC","Medicare Advantage",,,"54",,"105.69","0.04","2502.48","percent of total billed charges",,
"NF-Arimidex Oral Tablet 1MG","0259","RC","Both",,,"195","97.5","Clover","Medicare Advantage",,,"54",,"105.69","0.04","2502.48","percent of total billed charges",,
"NF-Arimidex Oral Tablet 1MG","0259","RC","Both",,,"195","97.5","Wellcare","Medicare Advantage",,,"54",,"105.69","0.04","2502.48","percent of total billed charges",,
"NF-Arimidex Oral Tablet 1MG","0259","RC","Both",,,"195","97.5","Amerigroup","Medicaid Managed Care",,,"37",,"71.37","0.04","2502.48","percent of total billed charges",,
"NF-Arimidex Oral Tablet 1MG","0259","RC","Both",,,"195","97.5","Caresource","Medicaid Managed Care",,,"40",,"78","0.04","2502.48","percent of total billed charges",,
"NF-Arimidex Oral Tablet 1MG","0259","RC","Both",,,"195","97.5","Wellcare","Medicaid Managed Care",,,"40",,"78.98","0.04","2502.48","percent of total billed charges",,
"NF-Arimidex Oral Tablet 1MG","0259","RC","Both",,,"195","97.5","Aetna","Commercial",,,"64",,"124.41","0.04","2502.48","percent of total billed charges",,
"NF-Arimidex Oral Tablet 1MG","0259","RC","Both",,,"195","97.5","Blue Cross Blue Shield","Pathways",,,"71",,"137.67","0.04","2502.48","percent of total billed charges",,
"NF-Arimidex Oral Tablet 1MG","0259","RC","Both",,,"195","97.5","Blue Cross Blue Shield","HMO",,,"71",,"137.67","0.04","2502.48","percent of total billed charges",,
"NF-Arimidex Oral Tablet 1MG","0259","RC","Both",,,"195","97.5","Blue Cross Blue Shield","PPO",,,"71",,"137.67","0.04","2502.48","percent of total billed charges",,
"NF-Arimidex Oral Tablet 1MG","0259","RC","Both",,,"195","97.5","Ambetter","Health Exchange",,,"62",,"120.9","0.04","2502.48","percent of total billed charges",,
"NF-Arimidex Oral Tablet 1MG","0259","RC","Both",,,"195","97.5","Caresource","Health Exchange",,,"62",,"120.9","0.04","2502.48","percent of total billed charges",,
"NF-Arimidex Oral Tablet 1MG","0259","RC","Both",,,"195","97.5","Cigna","Commercial",,,"59",,"114.27","0.04","2502.48","percent of total billed charges",,
"NF-Arimidex Oral Tablet 1MG","0259","RC","Both",,,"195","97.5","Humana","Commercial",,,"78",,"151.12","0.04","2502.48","percent of total billed charges",,
"NF-Arimidex Oral Tablet 1MG","0259","RC","Both",,,"195","97.5","UHC","Commercial",,,"75",,"147.03","0.04","2502.48","percent of total billed charges",,
"NF-Arimidex Oral Tablet 1MG","0259","RC","Both",,,"195","97.5","Medicaid",,,,"37",,"71.37","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","0259","RC","Both",,,"71","35.5","Alliant","Health Exchange",,,"62",,"44.02","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","0259","RC","Both",,,"71","35.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"38.34","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","0259","RC","Both",,,"71","35.5","Medicare",,,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","0259","RC","Both",,,"71","35.5","Humana","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","0259","RC","Both",,,"71","35.5","UHC","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","0259","RC","Both",,,"71","35.5","Clover","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","0259","RC","Both",,,"71","35.5","Wellcare","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","0259","RC","Both",,,"71","35.5","Amerigroup","Medicaid Managed Care",,,"37",,"25.99","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","0259","RC","Both",,,"71","35.5","Caresource","Medicaid Managed Care",,,"40",,"28.4","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","0259","RC","Both",,,"71","35.5","Wellcare","Medicaid Managed Care",,,"40",,"28.76","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","0259","RC","Both",,,"71","35.5","Aetna","Commercial",,,"64",,"45.3","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","0259","RC","Both",,,"71","35.5","Blue Cross Blue Shield","Pathways",,,"71",,"50.13","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","0259","RC","Both",,,"71","35.5","Blue Cross Blue Shield","HMO",,,"71",,"50.13","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","0259","RC","Both",,,"71","35.5","Blue Cross Blue Shield","PPO",,,"71",,"50.13","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","0259","RC","Both",,,"71","35.5","Ambetter","Health Exchange",,,"62",,"44.02","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","0259","RC","Both",,,"71","35.5","Caresource","Health Exchange",,,"62",,"44.02","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","0259","RC","Both",,,"71","35.5","Cigna","Commercial",,,"59",,"41.61","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","0259","RC","Both",,,"71","35.5","Humana","Commercial",,,"78",,"55.02","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","0259","RC","Both",,,"71","35.5","UHC","Commercial",,,"75",,"53.53","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","0259","RC","Both",,,"71","35.5","Medicaid",,,,"37",,"25.99","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Alliant","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.98","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Medicare",,,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Humana","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","UHC","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Clover","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Wellcare","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Amerigroup","Medicaid Managed Care",,,"37",,"13.54","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Caresource","Medicaid Managed Care",,,"40",,"14.8","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Wellcare","Medicaid Managed Care",,,"40",,"14.99","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Aetna","Commercial",,,"64",,"23.61","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","Pathways",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","HMO",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","PPO",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Ambetter","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Caresource","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Cigna","Commercial",,,"59",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Humana","Commercial",,,"78",,"28.68","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","UHC","Commercial",,,"75",,"27.9","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Medicaid",,,,"37",,"13.54","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Alliant","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.8","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Medicare",,,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Humana","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","UHC","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Clover","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Wellcare","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Amerigroup","Medicaid Managed Care",,,"37",,"7.32","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Caresource","Medicaid Managed Care",,,"40",,"8","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Wellcare","Medicaid Managed Care",,,"40",,"8.1","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Aetna","Commercial",,,"64",,"12.76","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","Pathways",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","HMO",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","PPO",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Ambetter","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Caresource","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Cigna","Commercial",,,"59",,"11.72","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Humana","Commercial",,,"78",,"15.5","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","UHC","Commercial",,,"75",,"15.08","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Medicaid",,,,"37",,"7.32","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Alliant","Health Exchange",,,"62",,"13.02","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.34","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Medicare",,,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Humana","Medicare Advantage",,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","UHC","Medicare Advantage",,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Clover","Medicare Advantage",,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Wellcare","Medicare Advantage",,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Amerigroup","Medicaid Managed Care",,,"37",,"7.69","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Caresource","Medicaid Managed Care",,,"40",,"8.4","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Wellcare","Medicaid Managed Care",,,"40",,"8.51","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Aetna","Commercial",,,"64",,"13.4","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Blue Cross Blue Shield","Pathways",,,"71",,"14.83","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Blue Cross Blue Shield","HMO",,,"71",,"14.83","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Blue Cross Blue Shield","PPO",,,"71",,"14.83","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Ambetter","Health Exchange",,,"62",,"13.02","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Caresource","Health Exchange",,,"62",,"13.02","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Cigna","Commercial",,,"59",,"12.31","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Humana","Commercial",,,"78",,"16.28","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","UHC","Commercial",,,"75",,"15.83","0.04","2502.48","percent of total billed charges",,
"NF-Estradiol Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"21","10.5","Medicaid",,,,"37",,"7.69","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Alliant","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.98","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Medicare",,,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Humana","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","UHC","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Clover","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Wellcare","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Amerigroup","Medicaid Managed Care",,,"37",,"13.54","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Caresource","Medicaid Managed Care",,,"40",,"14.8","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Wellcare","Medicaid Managed Care",,,"40",,"14.99","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Aetna","Commercial",,,"64",,"23.61","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","Pathways",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","HMO",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","PPO",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Ambetter","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Caresource","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Cigna","Commercial",,,"59",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Humana","Commercial",,,"78",,"28.68","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","UHC","Commercial",,,"75",,"27.9","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Medicaid",,,,"37",,"13.54","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Alliant","Health Exchange",,,"62",,"19.84","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.28","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Medicare",,,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Humana","Medicare Advantage",,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","UHC","Medicare Advantage",,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Clover","Medicare Advantage",,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Wellcare","Medicare Advantage",,,"54",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Amerigroup","Medicaid Managed Care",,,"37",,"11.71","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Caresource","Medicaid Managed Care",,,"40",,"12.8","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Wellcare","Medicaid Managed Care",,,"40",,"12.96","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Aetna","Commercial",,,"64",,"20.42","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Blue Cross Blue Shield","Pathways",,,"71",,"22.59","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Blue Cross Blue Shield","HMO",,,"71",,"22.59","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Blue Cross Blue Shield","PPO",,,"71",,"22.59","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Ambetter","Health Exchange",,,"62",,"19.84","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Caresource","Health Exchange",,,"62",,"19.84","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Cigna","Commercial",,,"59",,"18.75","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Humana","Commercial",,,"78",,"24.8","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","UHC","Commercial",,,"75",,"24.13","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0259","RC","Both",,,"32","16","Medicaid",,,,"37",,"11.71","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Alliant","Health Exchange",,,"62",,"39.06","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"34.02","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Medicare",,,,"54",,"34.15","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Humana","Medicare Advantage",,,"54",,"34.15","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","UHC","Medicare Advantage",,,"54",,"34.15","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Clover","Medicare Advantage",,,"54",,"34.15","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Wellcare","Medicare Advantage",,,"54",,"34.15","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Amerigroup","Medicaid Managed Care",,,"37",,"23.06","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Caresource","Medicaid Managed Care",,,"40",,"25.2","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Wellcare","Medicaid Managed Care",,,"40",,"25.52","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Aetna","Commercial",,,"64",,"40.19","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Blue Cross Blue Shield","Pathways",,,"71",,"44.48","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Blue Cross Blue Shield","HMO",,,"71",,"44.48","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Blue Cross Blue Shield","PPO",,,"71",,"44.48","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Ambetter","Health Exchange",,,"62",,"39.06","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Caresource","Health Exchange",,,"62",,"39.06","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Cigna","Commercial",,,"59",,"36.92","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Humana","Commercial",,,"78",,"48.82","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","UHC","Commercial",,,"75",,"47.5","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"63","31.5","Medicaid",,,,"37",,"23.06","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0250","RC","Both",,,"40","20","Alliant","Health Exchange",,,"62",,"24.8","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0250","RC","Both",,,"40","20","Pruitt Healthcare","Medicare Advantage",,,"54",,"21.6","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0250","RC","Both",,,"40","20","Medicare",,,,"54",,"21.68","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0250","RC","Both",,,"40","20","Humana","Medicare Advantage",,,"54",,"21.68","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0250","RC","Both",,,"40","20","UHC","Medicare Advantage",,,"54",,"21.68","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0250","RC","Both",,,"40","20","Clover","Medicare Advantage",,,"54",,"21.68","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0250","RC","Both",,,"40","20","Wellcare","Medicare Advantage",,,"54",,"21.68","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0250","RC","Both",,,"40","20","Amerigroup","Medicaid Managed Care",,,"37",,"14.64","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0250","RC","Both",,,"40","20","Caresource","Medicaid Managed Care",,,"40",,"16","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0250","RC","Both",,,"40","20","Wellcare","Medicaid Managed Care",,,"40",,"16.2","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0250","RC","Both",,,"40","20","Aetna","Commercial",,,"64",,"25.52","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0250","RC","Both",,,"40","20","Blue Cross Blue Shield","Pathways",,,"71",,"28.24","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0250","RC","Both",,,"40","20","Blue Cross Blue Shield","HMO",,,"71",,"28.24","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0250","RC","Both",,,"40","20","Blue Cross Blue Shield","PPO",,,"71",,"28.24","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0250","RC","Both",,,"40","20","Ambetter","Health Exchange",,,"62",,"24.8","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0250","RC","Both",,,"40","20","Caresource","Health Exchange",,,"62",,"24.8","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0250","RC","Both",,,"40","20","Cigna","Commercial",,,"59",,"23.44","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0250","RC","Both",,,"40","20","Humana","Commercial",,,"78",,"31","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0250","RC","Both",,,"40","20","UHC","Commercial",,,"75",,"30.16","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0250","RC","Both",,,"40","20","Medicaid",,,,"37",,"14.64","0.04","569.62","percent of total billed charges",,
"NF-Casodex Oral Tablet 50mg","0259","RC","Both",,,"395","197.5","Alliant","Health Exchange",,,"62",,"244.9","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Oral Tablet 50mg","0259","RC","Both",,,"395","197.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"213.3","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Oral Tablet 50mg","0259","RC","Both",,,"395","197.5","Medicare",,,,"54",,"214.09","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Oral Tablet 50mg","0259","RC","Both",,,"395","197.5","Humana","Medicare Advantage",,,"54",,"214.09","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Oral Tablet 50mg","0259","RC","Both",,,"395","197.5","UHC","Medicare Advantage",,,"54",,"214.09","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Oral Tablet 50mg","0259","RC","Both",,,"395","197.5","Clover","Medicare Advantage",,,"54",,"214.09","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Oral Tablet 50mg","0259","RC","Both",,,"395","197.5","Wellcare","Medicare Advantage",,,"54",,"214.09","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Oral Tablet 50mg","0259","RC","Both",,,"395","197.5","Amerigroup","Medicaid Managed Care",,,"37",,"144.57","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Oral Tablet 50mg","0259","RC","Both",,,"395","197.5","Caresource","Medicaid Managed Care",,,"40",,"158","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Oral Tablet 50mg","0259","RC","Both",,,"395","197.5","Wellcare","Medicaid Managed Care",,,"40",,"159.98","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Oral Tablet 50mg","0259","RC","Both",,,"395","197.5","Aetna","Commercial",,,"64",,"252.01","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Oral Tablet 50mg","0259","RC","Both",,,"395","197.5","Blue Cross Blue Shield","Pathways",,,"71",,"278.87","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Oral Tablet 50mg","0259","RC","Both",,,"395","197.5","Blue Cross Blue Shield","HMO",,,"71",,"278.87","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Oral Tablet 50mg","0259","RC","Both",,,"395","197.5","Blue Cross Blue Shield","PPO",,,"71",,"278.87","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Oral Tablet 50mg","0259","RC","Both",,,"395","197.5","Ambetter","Health Exchange",,,"62",,"244.9","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Oral Tablet 50mg","0259","RC","Both",,,"395","197.5","Caresource","Health Exchange",,,"62",,"244.9","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Oral Tablet 50mg","0259","RC","Both",,,"395","197.5","Cigna","Commercial",,,"59",,"231.47","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Oral Tablet 50mg","0259","RC","Both",,,"395","197.5","Humana","Commercial",,,"78",,"306.12","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Oral Tablet 50mg","0259","RC","Both",,,"395","197.5","UHC","Commercial",,,"75",,"297.83","0.04","2502.48","percent of total billed charges",,
"NF-Casodex Oral Tablet 50mg","0259","RC","Both",,,"395","197.5","Medicaid",,,,"37",,"144.57","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Aptiom Oral Tablet 600MG","0259","RC","Both",,,"134","67","Alliant","Health Exchange",,,"62",,"83.08","0.04","2502.48","percent of total billed charges",,
"NF-Aptiom Oral Tablet 600MG","0259","RC","Both",,,"134","67","Pruitt Healthcare","Medicare Advantage",,,"54",,"72.36","0.04","2502.48","percent of total billed charges",,
"NF-Aptiom Oral Tablet 600MG","0259","RC","Both",,,"134","67","Medicare",,,,"54",,"72.63","0.04","2502.48","percent of total billed charges",,
"NF-Aptiom Oral Tablet 600MG","0259","RC","Both",,,"134","67","Humana","Medicare Advantage",,,"54",,"72.63","0.04","2502.48","percent of total billed charges",,
"NF-Aptiom Oral Tablet 600MG","0259","RC","Both",,,"134","67","UHC","Medicare Advantage",,,"54",,"72.63","0.04","2502.48","percent of total billed charges",,
"NF-Aptiom Oral Tablet 600MG","0259","RC","Both",,,"134","67","Clover","Medicare Advantage",,,"54",,"72.63","0.04","2502.48","percent of total billed charges",,
"NF-Aptiom Oral Tablet 600MG","0259","RC","Both",,,"134","67","Wellcare","Medicare Advantage",,,"54",,"72.63","0.04","2502.48","percent of total billed charges",,
"NF-Aptiom Oral Tablet 600MG","0259","RC","Both",,,"134","67","Amerigroup","Medicaid Managed Care",,,"37",,"49.04","0.04","2502.48","percent of total billed charges",,
"NF-Aptiom Oral Tablet 600MG","0259","RC","Both",,,"134","67","Caresource","Medicaid Managed Care",,,"40",,"53.6","0.04","2502.48","percent of total billed charges",,
"NF-Aptiom Oral Tablet 600MG","0259","RC","Both",,,"134","67","Wellcare","Medicaid Managed Care",,,"40",,"54.27","0.04","2502.48","percent of total billed charges",,
"NF-Aptiom Oral Tablet 600MG","0259","RC","Both",,,"134","67","Aetna","Commercial",,,"64",,"85.49","0.04","2502.48","percent of total billed charges",,
"NF-Aptiom Oral Tablet 600MG","0259","RC","Both",,,"134","67","Blue Cross Blue Shield","Pathways",,,"71",,"94.6","0.04","2502.48","percent of total billed charges",,
"NF-Aptiom Oral Tablet 600MG","0259","RC","Both",,,"134","67","Blue Cross Blue Shield","HMO",,,"71",,"94.6","0.04","2502.48","percent of total billed charges",,
"NF-Aptiom Oral Tablet 600MG","0259","RC","Both",,,"134","67","Blue Cross Blue Shield","PPO",,,"71",,"94.6","0.04","2502.48","percent of total billed charges",,
"NF-Aptiom Oral Tablet 600MG","0259","RC","Both",,,"134","67","Ambetter","Health Exchange",,,"62",,"83.08","0.04","2502.48","percent of total billed charges",,
"NF-Aptiom Oral Tablet 600MG","0259","RC","Both",,,"134","67","Caresource","Health Exchange",,,"62",,"83.08","0.04","2502.48","percent of total billed charges",,
"NF-Aptiom Oral Tablet 600MG","0259","RC","Both",,,"134","67","Cigna","Commercial",,,"59",,"78.52","0.04","2502.48","percent of total billed charges",,
"NF-Aptiom Oral Tablet 600MG","0259","RC","Both",,,"134","67","Humana","Commercial",,,"78",,"103.85","0.04","2502.48","percent of total billed charges",,
"NF-Aptiom Oral Tablet 600MG","0259","RC","Both",,,"134","67","UHC","Commercial",,,"75",,"101.04","0.04","2502.48","percent of total billed charges",,
"NF-Aptiom Oral Tablet 600MG","0259","RC","Both",,,"134","67","Medicaid",,,,"37",,"49.04","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 6MG","0259","RC","Both",,,"138","69","Alliant","Health Exchange",,,"62",,"85.56","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 6MG","0259","RC","Both",,,"138","69","Pruitt Healthcare","Medicare Advantage",,,"54",,"74.52","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 6MG","0259","RC","Both",,,"138","69","Medicare",,,,"54",,"74.8","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 6MG","0259","RC","Both",,,"138","69","Humana","Medicare Advantage",,,"54",,"74.8","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 6MG","0259","RC","Both",,,"138","69","UHC","Medicare Advantage",,,"54",,"74.8","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 6MG","0259","RC","Both",,,"138","69","Clover","Medicare Advantage",,,"54",,"74.8","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 6MG","0259","RC","Both",,,"138","69","Wellcare","Medicare Advantage",,,"54",,"74.8","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 6MG","0259","RC","Both",,,"138","69","Amerigroup","Medicaid Managed Care",,,"37",,"50.51","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 6MG","0259","RC","Both",,,"138","69","Caresource","Medicaid Managed Care",,,"40",,"55.2","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 6MG","0259","RC","Both",,,"138","69","Wellcare","Medicaid Managed Care",,,"40",,"55.89","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 6MG","0259","RC","Both",,,"138","69","Aetna","Commercial",,,"64",,"88.04","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 6MG","0259","RC","Both",,,"138","69","Blue Cross Blue Shield","Pathways",,,"71",,"97.43","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 6MG","0259","RC","Both",,,"138","69","Blue Cross Blue Shield","HMO",,,"71",,"97.43","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 6MG","0259","RC","Both",,,"138","69","Blue Cross Blue Shield","PPO",,,"71",,"97.43","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 6MG","0259","RC","Both",,,"138","69","Ambetter","Health Exchange",,,"62",,"85.56","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 6MG","0259","RC","Both",,,"138","69","Caresource","Health Exchange",,,"62",,"85.56","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 6MG","0259","RC","Both",,,"138","69","Cigna","Commercial",,,"59",,"80.87","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 6MG","0259","RC","Both",,,"138","69","Humana","Commercial",,,"78",,"106.95","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 6MG","0259","RC","Both",,,"138","69","UHC","Commercial",,,"75",,"104.05","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 6MG","0259","RC","Both",,,"138","69","Medicaid",,,,"37",,"50.51","0.04","2502.48","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","0259","RC","Both",,,"53","26.5","Alliant","Health Exchange",,,"62",,"32.86","0.04","2502.48","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","0259","RC","Both",,,"53","26.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.62","0.04","2502.48","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","0259","RC","Both",,,"53","26.5","Medicare",,,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","0259","RC","Both",,,"53","26.5","Humana","Medicare Advantage",,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","0259","RC","Both",,,"53","26.5","UHC","Medicare Advantage",,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","0259","RC","Both",,,"53","26.5","Clover","Medicare Advantage",,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","0259","RC","Both",,,"53","26.5","Wellcare","Medicare Advantage",,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","0259","RC","Both",,,"53","26.5","Amerigroup","Medicaid Managed Care",,,"37",,"19.4","0.04","2502.48","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","0259","RC","Both",,,"53","26.5","Caresource","Medicaid Managed Care",,,"40",,"21.2","0.04","2502.48","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","0259","RC","Both",,,"53","26.5","Wellcare","Medicaid Managed Care",,,"40",,"21.46","0.04","2502.48","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","0259","RC","Both",,,"53","26.5","Aetna","Commercial",,,"64",,"33.81","0.04","2502.48","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","0259","RC","Both",,,"53","26.5","Blue Cross Blue Shield","Pathways",,,"71",,"37.42","0.04","2502.48","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","0259","RC","Both",,,"53","26.5","Blue Cross Blue Shield","HMO",,,"71",,"37.42","0.04","2502.48","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","0259","RC","Both",,,"53","26.5","Blue Cross Blue Shield","PPO",,,"71",,"37.42","0.04","2502.48","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","0259","RC","Both",,,"53","26.5","Ambetter","Health Exchange",,,"62",,"32.86","0.04","2502.48","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","0259","RC","Both",,,"53","26.5","Caresource","Health Exchange",,,"62",,"32.86","0.04","2502.48","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","0259","RC","Both",,,"53","26.5","Cigna","Commercial",,,"59",,"31.06","0.04","2502.48","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","0259","RC","Both",,,"53","26.5","Humana","Commercial",,,"78",,"41.08","0.04","2502.48","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","0259","RC","Both",,,"53","26.5","UHC","Commercial",,,"75",,"39.96","0.04","2502.48","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","0259","RC","Both",,,"53","26.5","Medicaid",,,,"37",,"19.4","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Solution Ophthalmic 0.03%","0259","RC","Both",,,"105","52.5","Alliant","Health Exchange",,,"62",,"65.1","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Solution Ophthalmic 0.03%","0259","RC","Both",,,"105","52.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"56.7","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Solution Ophthalmic 0.03%","0259","RC","Both",,,"105","52.5","Medicare",,,,"54",,"56.91","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Solution Ophthalmic 0.03%","0259","RC","Both",,,"105","52.5","Humana","Medicare Advantage",,,"54",,"56.91","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Solution Ophthalmic 0.03%","0259","RC","Both",,,"105","52.5","UHC","Medicare Advantage",,,"54",,"56.91","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Solution Ophthalmic 0.03%","0259","RC","Both",,,"105","52.5","Clover","Medicare Advantage",,,"54",,"56.91","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Solution Ophthalmic 0.03%","0259","RC","Both",,,"105","52.5","Wellcare","Medicare Advantage",,,"54",,"56.91","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Solution Ophthalmic 0.03%","0259","RC","Both",,,"105","52.5","Amerigroup","Medicaid Managed Care",,,"37",,"38.43","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Solution Ophthalmic 0.03%","0259","RC","Both",,,"105","52.5","Caresource","Medicaid Managed Care",,,"40",,"42","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Solution Ophthalmic 0.03%","0259","RC","Both",,,"105","52.5","Wellcare","Medicaid Managed Care",,,"40",,"42.53","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Solution Ophthalmic 0.03%","0259","RC","Both",,,"105","52.5","Aetna","Commercial",,,"64",,"66.99","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Solution Ophthalmic 0.03%","0259","RC","Both",,,"105","52.5","Blue Cross Blue Shield","Pathways",,,"71",,"74.13","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Solution Ophthalmic 0.03%","0259","RC","Both",,,"105","52.5","Blue Cross Blue Shield","HMO",,,"71",,"74.13","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Solution Ophthalmic 0.03%","0259","RC","Both",,,"105","52.5","Blue Cross Blue Shield","PPO",,,"71",,"74.13","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Solution Ophthalmic 0.03%","0259","RC","Both",,,"105","52.5","Ambetter","Health Exchange",,,"62",,"65.1","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Solution Ophthalmic 0.03%","0259","RC","Both",,,"105","52.5","Caresource","Health Exchange",,,"62",,"65.1","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Solution Ophthalmic 0.03%","0259","RC","Both",,,"105","52.5","Cigna","Commercial",,,"59",,"61.53","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Solution Ophthalmic 0.03%","0259","RC","Both",,,"105","52.5","Humana","Commercial",,,"78",,"81.38","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Solution Ophthalmic 0.03%","0259","RC","Both",,,"105","52.5","UHC","Commercial",,,"75",,"79.17","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Solution Ophthalmic 0.03%","0259","RC","Both",,,"105","52.5","Medicaid",,,,"37",,"38.43","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Alliant","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.52","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Medicare",,,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Humana","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","UHC","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Clover","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Wellcare","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Amerigroup","Medicaid Managed Care",,,"37",,"13.91","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Caresource","Medicaid Managed Care",,,"40",,"15.2","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Wellcare","Medicaid Managed Care",,,"40",,"15.39","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Aetna","Commercial",,,"64",,"24.24","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","Pathways",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","HMO",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","PPO",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Ambetter","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Caresource","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Cigna","Commercial",,,"59",,"22.27","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Humana","Commercial",,,"78",,"29.45","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","UHC","Commercial",,,"75",,"28.65","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Medicaid",,,,"37",,"13.91","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"65","32.5","Alliant","Health Exchange",,,"62",,"40.3","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"65","32.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"35.1","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"65","32.5","Medicare",,,,"54",,"35.23","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"65","32.5","Humana","Medicare Advantage",,,"54",,"35.23","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"65","32.5","UHC","Medicare Advantage",,,"54",,"35.23","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"65","32.5","Clover","Medicare Advantage",,,"54",,"35.23","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"65","32.5","Wellcare","Medicare Advantage",,,"54",,"35.23","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"65","32.5","Amerigroup","Medicaid Managed Care",,,"37",,"23.79","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"65","32.5","Caresource","Medicaid Managed Care",,,"40",,"26","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"65","32.5","Wellcare","Medicaid Managed Care",,,"40",,"26.33","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"65","32.5","Aetna","Commercial",,,"64",,"41.47","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"65","32.5","Blue Cross Blue Shield","Pathways",,,"71",,"45.89","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"65","32.5","Blue Cross Blue Shield","HMO",,,"71",,"45.89","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"65","32.5","Blue Cross Blue Shield","PPO",,,"71",,"45.89","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"65","32.5","Ambetter","Health Exchange",,,"62",,"40.3","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"65","32.5","Caresource","Health Exchange",,,"62",,"40.3","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"65","32.5","Cigna","Commercial",,,"59",,"38.09","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"65","32.5","Humana","Commercial",,,"78",,"50.38","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"65","32.5","UHC","Commercial",,,"75",,"49.01","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","0259","RC","Both",,,"65","32.5","Medicaid",,,,"37",,"23.79","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","0259","RC","Both",,,"74","37","Alliant","Health Exchange",,,"62",,"45.88","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","0259","RC","Both",,,"74","37","Pruitt Healthcare","Medicare Advantage",,,"54",,"39.96","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","0259","RC","Both",,,"74","37","Medicare",,,,"54",,"40.11","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","0259","RC","Both",,,"74","37","Humana","Medicare Advantage",,,"54",,"40.11","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","0259","RC","Both",,,"74","37","UHC","Medicare Advantage",,,"54",,"40.11","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","0259","RC","Both",,,"74","37","Clover","Medicare Advantage",,,"54",,"40.11","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","0259","RC","Both",,,"74","37","Wellcare","Medicare Advantage",,,"54",,"40.11","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","0259","RC","Both",,,"74","37","Amerigroup","Medicaid Managed Care",,,"37",,"27.08","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","0259","RC","Both",,,"74","37","Caresource","Medicaid Managed Care",,,"40",,"29.6","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","0259","RC","Both",,,"74","37","Wellcare","Medicaid Managed Care",,,"40",,"29.97","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","0259","RC","Both",,,"74","37","Aetna","Commercial",,,"64",,"47.21","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","0259","RC","Both",,,"74","37","Blue Cross Blue Shield","Pathways",,,"71",,"52.24","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","0259","RC","Both",,,"74","37","Blue Cross Blue Shield","HMO",,,"71",,"52.24","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","0259","RC","Both",,,"74","37","Blue Cross Blue Shield","PPO",,,"71",,"52.24","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","0259","RC","Both",,,"74","37","Ambetter","Health Exchange",,,"62",,"45.88","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","0259","RC","Both",,,"74","37","Caresource","Health Exchange",,,"62",,"45.88","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","0259","RC","Both",,,"74","37","Cigna","Commercial",,,"59",,"43.36","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","0259","RC","Both",,,"74","37","Humana","Commercial",,,"78",,"57.35","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","0259","RC","Both",,,"74","37","UHC","Commercial",,,"75",,"55.8","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","0259","RC","Both",,,"74","37","Medicaid",,,,"37",,"27.08","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Alliant","Health Exchange",,,"62",,"19.22","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.74","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Medicare",,,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Humana","Medicare Advantage",,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","UHC","Medicare Advantage",,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Clover","Medicare Advantage",,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Wellcare","Medicare Advantage",,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care",,,"37",,"11.35","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Caresource","Medicaid Managed Care",,,"40",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Wellcare","Medicaid Managed Care",,,"40",,"12.56","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Aetna","Commercial",,,"64",,"19.78","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways",,,"71",,"21.89","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Blue Cross Blue Shield","HMO",,,"71",,"21.89","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Blue Cross Blue Shield","PPO",,,"71",,"21.89","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Ambetter","Health Exchange",,,"62",,"19.22","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Caresource","Health Exchange",,,"62",,"19.22","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Cigna","Commercial",,,"59",,"18.17","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Humana","Commercial",,,"78",,"24.02","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","UHC","Commercial",,,"75",,"23.37","0.04","2502.48","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","0259","RC","Both",,,"31","15.5","Medicaid",,,,"37",,"11.35","0.04","2502.48","percent of total billed charges",,
"NF-Cholecalciferol Crystal","0259","RC","Both",,,"869","434.5","Alliant","Health Exchange",,,"62",,"538.78","0.04","2502.48","percent of total billed charges",,
"NF-Cholecalciferol Crystal","0259","RC","Both",,,"869","434.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"469.26","0.04","2502.48","percent of total billed charges",,
"NF-Cholecalciferol Crystal","0259","RC","Both",,,"869","434.5","Medicare",,,,"54",,"471","0.04","2502.48","percent of total billed charges",,
"NF-Cholecalciferol Crystal","0259","RC","Both",,,"869","434.5","Humana","Medicare Advantage",,,"54",,"471","0.04","2502.48","percent of total billed charges",,
"NF-Cholecalciferol Crystal","0259","RC","Both",,,"869","434.5","UHC","Medicare Advantage",,,"54",,"471","0.04","2502.48","percent of total billed charges",,
"NF-Cholecalciferol Crystal","0259","RC","Both",,,"869","434.5","Clover","Medicare Advantage",,,"54",,"471","0.04","2502.48","percent of total billed charges",,
"NF-Cholecalciferol Crystal","0259","RC","Both",,,"869","434.5","Wellcare","Medicare Advantage",,,"54",,"471","0.04","2502.48","percent of total billed charges",,
"NF-Cholecalciferol Crystal","0259","RC","Both",,,"869","434.5","Amerigroup","Medicaid Managed Care",,,"37",,"318.05","0.04","2502.48","percent of total billed charges",,
"NF-Cholecalciferol Crystal","0259","RC","Both",,,"869","434.5","Caresource","Medicaid Managed Care",,,"40",,"347.6","0.04","2502.48","percent of total billed charges",,
"NF-Cholecalciferol Crystal","0259","RC","Both",,,"869","434.5","Wellcare","Medicaid Managed Care",,,"40",,"351.95","0.04","2502.48","percent of total billed charges",,
"NF-Cholecalciferol Crystal","0259","RC","Both",,,"869","434.5","Aetna","Commercial",,,"64",,"554.42","0.04","2502.48","percent of total billed charges",,
"NF-Cholecalciferol Crystal","0259","RC","Both",,,"869","434.5","Blue Cross Blue Shield","Pathways",,,"71",,"613.51","0.04","2502.48","percent of total billed charges",,
"NF-Cholecalciferol Crystal","0259","RC","Both",,,"869","434.5","Blue Cross Blue Shield","HMO",,,"71",,"613.51","0.04","2502.48","percent of total billed charges",,
"NF-Cholecalciferol Crystal","0259","RC","Both",,,"869","434.5","Blue Cross Blue Shield","PPO",,,"71",,"613.51","0.04","2502.48","percent of total billed charges",,
"NF-Cholecalciferol Crystal","0259","RC","Both",,,"869","434.5","Ambetter","Health Exchange",,,"62",,"538.78","0.04","2502.48","percent of total billed charges",,
"NF-Cholecalciferol Crystal","0259","RC","Both",,,"869","434.5","Caresource","Health Exchange",,,"62",,"538.78","0.04","2502.48","percent of total billed charges",,
"NF-Cholecalciferol Crystal","0259","RC","Both",,,"869","434.5","Cigna","Commercial",,,"59",,"509.23","0.04","2502.48","percent of total billed charges",,
"NF-Cholecalciferol Crystal","0259","RC","Both",,,"869","434.5","Humana","Commercial",,,"78",,"673.48","0.04","2502.48","percent of total billed charges",,
"NF-Cholecalciferol Crystal","0259","RC","Both",,,"869","434.5","UHC","Commercial",,,"75",,"655.23","0.04","2502.48","percent of total billed charges",,
"NF-Cholecalciferol Crystal","0259","RC","Both",,,"869","434.5","Medicaid",,,,"37",,"318.05","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 15MG","0259","RC","Both",,,"21","10.5","Alliant","Health Exchange",,,"62",,"13.02","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 15MG","0259","RC","Both",,,"21","10.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.34","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 15MG","0259","RC","Both",,,"21","10.5","Medicare",,,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 15MG","0259","RC","Both",,,"21","10.5","Humana","Medicare Advantage",,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 15MG","0259","RC","Both",,,"21","10.5","UHC","Medicare Advantage",,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 15MG","0259","RC","Both",,,"21","10.5","Clover","Medicare Advantage",,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 15MG","0259","RC","Both",,,"21","10.5","Wellcare","Medicare Advantage",,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 15MG","0259","RC","Both",,,"21","10.5","Amerigroup","Medicaid Managed Care",,,"37",,"7.69","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 15MG","0259","RC","Both",,,"21","10.5","Caresource","Medicaid Managed Care",,,"40",,"8.4","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 15MG","0259","RC","Both",,,"21","10.5","Wellcare","Medicaid Managed Care",,,"40",,"8.51","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 15MG","0259","RC","Both",,,"21","10.5","Aetna","Commercial",,,"64",,"13.4","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 15MG","0259","RC","Both",,,"21","10.5","Blue Cross Blue Shield","Pathways",,,"71",,"14.83","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 15MG","0259","RC","Both",,,"21","10.5","Blue Cross Blue Shield","HMO",,,"71",,"14.83","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 15MG","0259","RC","Both",,,"21","10.5","Blue Cross Blue Shield","PPO",,,"71",,"14.83","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 15MG","0259","RC","Both",,,"21","10.5","Ambetter","Health Exchange",,,"62",,"13.02","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 15MG","0259","RC","Both",,,"21","10.5","Caresource","Health Exchange",,,"62",,"13.02","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 15MG","0259","RC","Both",,,"21","10.5","Cigna","Commercial",,,"59",,"12.31","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 15MG","0259","RC","Both",,,"21","10.5","Humana","Commercial",,,"78",,"16.28","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 15MG","0259","RC","Both",,,"21","10.5","UHC","Commercial",,,"75",,"15.83","0.04","2502.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 15MG","0259","RC","Both",,,"21","10.5","Medicaid",,,,"37",,"7.69","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium Bromide Nasal Spray 0.03%","0259","RC","Both",,,"11","5.5","Alliant","Health Exchange",,,"62",,"6.82","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium Bromide Nasal Spray 0.03%","0259","RC","Both",,,"11","5.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.94","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium Bromide Nasal Spray 0.03%","0259","RC","Both",,,"11","5.5","Medicare",,,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium Bromide Nasal Spray 0.03%","0259","RC","Both",,,"11","5.5","Humana","Medicare Advantage",,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium Bromide Nasal Spray 0.03%","0259","RC","Both",,,"11","5.5","UHC","Medicare Advantage",,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium Bromide Nasal Spray 0.03%","0259","RC","Both",,,"11","5.5","Clover","Medicare Advantage",,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium Bromide Nasal Spray 0.03%","0259","RC","Both",,,"11","5.5","Wellcare","Medicare Advantage",,,"54",,"5.96","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium Bromide Nasal Spray 0.03%","0259","RC","Both",,,"11","5.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.03","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium Bromide Nasal Spray 0.03%","0259","RC","Both",,,"11","5.5","Caresource","Medicaid Managed Care",,,"40",,"4.4","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium Bromide Nasal Spray 0.03%","0259","RC","Both",,,"11","5.5","Wellcare","Medicaid Managed Care",,,"40",,"4.46","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium Bromide Nasal Spray 0.03%","0259","RC","Both",,,"11","5.5","Aetna","Commercial",,,"64",,"7.02","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium Bromide Nasal Spray 0.03%","0259","RC","Both",,,"11","5.5","Blue Cross Blue Shield","Pathways",,,"71",,"7.77","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium Bromide Nasal Spray 0.03%","0259","RC","Both",,,"11","5.5","Blue Cross Blue Shield","HMO",,,"71",,"7.77","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium Bromide Nasal Spray 0.03%","0259","RC","Both",,,"11","5.5","Blue Cross Blue Shield","PPO",,,"71",,"7.77","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium Bromide Nasal Spray 0.03%","0259","RC","Both",,,"11","5.5","Ambetter","Health Exchange",,,"62",,"6.82","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium Bromide Nasal Spray 0.03%","0259","RC","Both",,,"11","5.5","Caresource","Health Exchange",,,"62",,"6.82","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium Bromide Nasal Spray 0.03%","0259","RC","Both",,,"11","5.5","Cigna","Commercial",,,"59",,"6.45","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium Bromide Nasal Spray 0.03%","0259","RC","Both",,,"11","5.5","Humana","Commercial",,,"78",,"8.52","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium Bromide Nasal Spray 0.03%","0259","RC","Both",,,"11","5.5","UHC","Commercial",,,"75",,"8.29","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium Bromide Nasal Spray 0.03%","0259","RC","Both",,,"11","5.5","Medicaid",,,,"37",,"4.03","0.04","2502.48","percent of total billed charges",,
"NF-Aptiom Oral Tablet 600MG","0259","RC","Both",,,"134","67","Alliant","Health Exchange",,,"62",,"83.08","0.04","2502.48","percent of total billed charges",,
"NF-Aptiom Oral Tablet 600MG","0259","RC","Both",,,"134","67","Pruitt Healthcare","Medicare Advantage",,,"54",,"72.36","0.04","2502.48","percent of total billed charges",,
"NF-Aptiom Oral Tablet 600MG","0259","RC","Both",,,"134","67","Medicare",,,,"54",,"72.63","0.04","2502.48","percent of total billed charges",,
"NF-Aptiom Oral Tablet 600MG","0259","RC","Both",,,"134","67","Humana","Medicare Advantage",,,"54",,"72.63","0.04","2502.48","percent of total billed charges",,
"NF-Aptiom Oral Tablet 600MG","0259","RC","Both",,,"134","67","UHC","Medicare Advantage",,,"54",,"72.63","0.04","2502.48","percent of total billed charges",,
"NF-Aptiom Oral Tablet 600MG","0259","RC","Both",,,"134","67","Clover","Medicare Advantage",,,"54",,"72.63","0.04","2502.48","percent of total billed charges",,
"NF-Aptiom Oral Tablet 600MG","0259","RC","Both",,,"134","67","Wellcare","Medicare Advantage",,,"54",,"72.63","0.04","2502.48","percent of total billed charges",,
"NF-Aptiom Oral Tablet 600MG","0259","RC","Both",,,"134","67","Amerigroup","Medicaid Managed Care",,,"37",,"49.04","0.04","2502.48","percent of total billed charges",,
"NF-Aptiom Oral Tablet 600MG","0259","RC","Both",,,"134","67","Caresource","Medicaid Managed Care",,,"40",,"53.6","0.04","2502.48","percent of total billed charges",,
"NF-Aptiom Oral Tablet 600MG","0259","RC","Both",,,"134","67","Wellcare","Medicaid Managed Care",,,"40",,"54.27","0.04","2502.48","percent of total billed charges",,
"NF-Aptiom Oral Tablet 600MG","0259","RC","Both",,,"134","67","Aetna","Commercial",,,"64",,"85.49","0.04","2502.48","percent of total billed charges",,
"NF-Aptiom Oral Tablet 600MG","0259","RC","Both",,,"134","67","Blue Cross Blue Shield","Pathways",,,"71",,"94.6","0.04","2502.48","percent of total billed charges",,
"NF-Aptiom Oral Tablet 600MG","0259","RC","Both",,,"134","67","Blue Cross Blue Shield","HMO",,,"71",,"94.6","0.04","2502.48","percent of total billed charges",,
"NF-Aptiom Oral Tablet 600MG","0259","RC","Both",,,"134","67","Blue Cross Blue Shield","PPO",,,"71",,"94.6","0.04","2502.48","percent of total billed charges",,
"NF-Aptiom Oral Tablet 600MG","0259","RC","Both",,,"134","67","Ambetter","Health Exchange",,,"62",,"83.08","0.04","2502.48","percent of total billed charges",,
"NF-Aptiom Oral Tablet 600MG","0259","RC","Both",,,"134","67","Caresource","Health Exchange",,,"62",,"83.08","0.04","2502.48","percent of total billed charges",,
"NF-Aptiom Oral Tablet 600MG","0259","RC","Both",,,"134","67","Cigna","Commercial",,,"59",,"78.52","0.04","2502.48","percent of total billed charges",,
"NF-Aptiom Oral Tablet 600MG","0259","RC","Both",,,"134","67","Humana","Commercial",,,"78",,"103.85","0.04","2502.48","percent of total billed charges",,
"NF-Aptiom Oral Tablet 600MG","0259","RC","Both",,,"134","67","UHC","Commercial",,,"75",,"101.04","0.04","2502.48","percent of total billed charges",,
"NF-Aptiom Oral Tablet 600MG","0259","RC","Both",,,"134","67","Medicaid",,,,"37",,"49.04","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 6MG","0259","RC","Both",,,"138","69","Alliant","Health Exchange",,,"62",,"85.56","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 6MG","0259","RC","Both",,,"138","69","Pruitt Healthcare","Medicare Advantage",,,"54",,"74.52","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 6MG","0259","RC","Both",,,"138","69","Medicare",,,,"54",,"74.8","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 6MG","0259","RC","Both",,,"138","69","Humana","Medicare Advantage",,,"54",,"74.8","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 6MG","0259","RC","Both",,,"138","69","UHC","Medicare Advantage",,,"54",,"74.8","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 6MG","0259","RC","Both",,,"138","69","Clover","Medicare Advantage",,,"54",,"74.8","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 6MG","0259","RC","Both",,,"138","69","Wellcare","Medicare Advantage",,,"54",,"74.8","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 6MG","0259","RC","Both",,,"138","69","Amerigroup","Medicaid Managed Care",,,"37",,"50.51","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 6MG","0259","RC","Both",,,"138","69","Caresource","Medicaid Managed Care",,,"40",,"55.2","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 6MG","0259","RC","Both",,,"138","69","Wellcare","Medicaid Managed Care",,,"40",,"55.89","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 6MG","0259","RC","Both",,,"138","69","Aetna","Commercial",,,"64",,"88.04","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 6MG","0259","RC","Both",,,"138","69","Blue Cross Blue Shield","Pathways",,,"71",,"97.43","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 6MG","0259","RC","Both",,,"138","69","Blue Cross Blue Shield","HMO",,,"71",,"97.43","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 6MG","0259","RC","Both",,,"138","69","Blue Cross Blue Shield","PPO",,,"71",,"97.43","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 6MG","0259","RC","Both",,,"138","69","Ambetter","Health Exchange",,,"62",,"85.56","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 6MG","0259","RC","Both",,,"138","69","Caresource","Health Exchange",,,"62",,"85.56","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 6MG","0259","RC","Both",,,"138","69","Cigna","Commercial",,,"59",,"80.87","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 6MG","0259","RC","Both",,,"138","69","Humana","Commercial",,,"78",,"106.95","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 6MG","0259","RC","Both",,,"138","69","UHC","Commercial",,,"75",,"104.05","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 6MG","0259","RC","Both",,,"138","69","Medicaid",,,,"37",,"50.51","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.04","569.62","percent of total billed charges",,
"NF-olmesartan medoxomil-hydroCHLOROthiaz","0259","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-olmesartan medoxomil-hydroCHLOROthiaz","0259","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-olmesartan medoxomil-hydroCHLOROthiaz","0259","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-olmesartan medoxomil-hydroCHLOROthiaz","0259","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-olmesartan medoxomil-hydroCHLOROthiaz","0259","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-olmesartan medoxomil-hydroCHLOROthiaz","0259","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-olmesartan medoxomil-hydroCHLOROthiaz","0259","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.04","2502.48","percent of total billed charges",,
"NF-olmesartan medoxomil-hydroCHLOROthiaz","0259","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-olmesartan medoxomil-hydroCHLOROthiaz","0259","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.04","2502.48","percent of total billed charges",,
"NF-olmesartan medoxomil-hydroCHLOROthiaz","0259","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.04","2502.48","percent of total billed charges",,
"NF-olmesartan medoxomil-hydroCHLOROthiaz","0259","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-olmesartan medoxomil-hydroCHLOROthiaz","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-olmesartan medoxomil-hydroCHLOROthiaz","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-olmesartan medoxomil-hydroCHLOROthiaz","0259","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.04","2502.48","percent of total billed charges",,
"NF-olmesartan medoxomil-hydroCHLOROthiaz","0259","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-olmesartan medoxomil-hydroCHLOROthiaz","0259","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.04","2502.48","percent of total billed charges",,
"NF-olmesartan medoxomil-hydroCHLOROthiaz","0259","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.04","2502.48","percent of total billed charges",,
"NF-olmesartan medoxomil-hydroCHLOROthiaz","0259","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.04","2502.48","percent of total billed charges",,
"NF-olmesartan medoxomil-hydroCHLOROthiaz","0259","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.04","2502.48","percent of total billed charges",,
"NF-olmesartan medoxomil-hydroCHLOROthiaz","0259","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Alliant","Health Exchange",,,"62",,"40.3","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"35.1","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Medicare",,,,"54",,"35.23","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Humana","Medicare Advantage",,,"54",,"35.23","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","UHC","Medicare Advantage",,,"54",,"35.23","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Clover","Medicare Advantage",,,"54",,"35.23","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Wellcare","Medicare Advantage",,,"54",,"35.23","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Amerigroup","Medicaid Managed Care",,,"37",,"23.79","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Caresource","Medicaid Managed Care",,,"40",,"26","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Wellcare","Medicaid Managed Care",,,"40",,"26.33","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Aetna","Commercial",,,"64",,"41.47","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Blue Cross Blue Shield","Pathways",,,"71",,"45.89","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Blue Cross Blue Shield","HMO",,,"71",,"45.89","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Blue Cross Blue Shield","PPO",,,"71",,"45.89","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Ambetter","Health Exchange",,,"62",,"40.3","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Caresource","Health Exchange",,,"62",,"40.3","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Cigna","Commercial",,,"59",,"38.09","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Humana","Commercial",,,"78",,"50.38","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","UHC","Commercial",,,"75",,"49.01","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Medicaid",,,,"37",,"23.79","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Alliant","Health Exchange",,,"62",,"37.82","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"32.94","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Medicare",,,,"54",,"33.06","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Humana","Medicare Advantage",,,"54",,"33.06","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","UHC","Medicare Advantage",,,"54",,"33.06","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Clover","Medicare Advantage",,,"54",,"33.06","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Wellcare","Medicare Advantage",,,"54",,"33.06","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Amerigroup","Medicaid Managed Care",,,"37",,"22.33","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Caresource","Medicaid Managed Care",,,"40",,"24.4","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Wellcare","Medicaid Managed Care",,,"40",,"24.7","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Aetna","Commercial",,,"64",,"38.92","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Blue Cross Blue Shield","Pathways",,,"71",,"43.07","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Blue Cross Blue Shield","HMO",,,"71",,"43.07","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Blue Cross Blue Shield","PPO",,,"71",,"43.07","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Ambetter","Health Exchange",,,"62",,"37.82","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Caresource","Health Exchange",,,"62",,"37.82","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Cigna","Commercial",,,"59",,"35.75","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Humana","Commercial",,,"78",,"47.28","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","UHC","Commercial",,,"75",,"45.99","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Medicaid",,,,"37",,"22.33","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide-Formoterol Fum 160/4.5","0259","RC","Both",,,"118","59","Alliant","Health Exchange",,,"62",,"73.16","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide-Formoterol Fum 160/4.5","0259","RC","Both",,,"118","59","Pruitt Healthcare","Medicare Advantage",,,"54",,"63.72","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide-Formoterol Fum 160/4.5","0259","RC","Both",,,"118","59","Medicare",,,,"54",,"63.96","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide-Formoterol Fum 160/4.5","0259","RC","Both",,,"118","59","Humana","Medicare Advantage",,,"54",,"63.96","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide-Formoterol Fum 160/4.5","0259","RC","Both",,,"118","59","UHC","Medicare Advantage",,,"54",,"63.96","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide-Formoterol Fum 160/4.5","0259","RC","Both",,,"118","59","Clover","Medicare Advantage",,,"54",,"63.96","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide-Formoterol Fum 160/4.5","0259","RC","Both",,,"118","59","Wellcare","Medicare Advantage",,,"54",,"63.96","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide-Formoterol Fum 160/4.5","0259","RC","Both",,,"118","59","Amerigroup","Medicaid Managed Care",,,"37",,"43.19","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide-Formoterol Fum 160/4.5","0259","RC","Both",,,"118","59","Caresource","Medicaid Managed Care",,,"40",,"47.2","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide-Formoterol Fum 160/4.5","0259","RC","Both",,,"118","59","Wellcare","Medicaid Managed Care",,,"40",,"47.79","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide-Formoterol Fum 160/4.5","0259","RC","Both",,,"118","59","Aetna","Commercial",,,"64",,"75.28","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide-Formoterol Fum 160/4.5","0259","RC","Both",,,"118","59","Blue Cross Blue Shield","Pathways",,,"71",,"83.31","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide-Formoterol Fum 160/4.5","0259","RC","Both",,,"118","59","Blue Cross Blue Shield","HMO",,,"71",,"83.31","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide-Formoterol Fum 160/4.5","0259","RC","Both",,,"118","59","Blue Cross Blue Shield","PPO",,,"71",,"83.31","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide-Formoterol Fum 160/4.5","0259","RC","Both",,,"118","59","Ambetter","Health Exchange",,,"62",,"73.16","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide-Formoterol Fum 160/4.5","0259","RC","Both",,,"118","59","Caresource","Health Exchange",,,"62",,"73.16","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide-Formoterol Fum 160/4.5","0259","RC","Both",,,"118","59","Cigna","Commercial",,,"59",,"69.15","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide-Formoterol Fum 160/4.5","0259","RC","Both",,,"118","59","Humana","Commercial",,,"78",,"91.45","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide-Formoterol Fum 160/4.5","0259","RC","Both",,,"118","59","UHC","Commercial",,,"75",,"88.97","0.04","2502.48","percent of total billed charges",,
"NF-Budesonide-Formoterol Fum 160/4.5","0259","RC","Both",,,"118","59","Medicaid",,,,"37",,"43.19","0.04","2502.48","percent of total billed charges",,
"NF-Amitiza Liquid Capsule 24MCG","0259","RC","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Amitiza Liquid Capsule 24MCG","0259","RC","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","0.04","2502.48","percent of total billed charges",,
"NF-Amitiza Liquid Capsule 24MCG","0259","RC","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Amitiza Liquid Capsule 24MCG","0259","RC","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Amitiza Liquid Capsule 24MCG","0259","RC","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Amitiza Liquid Capsule 24MCG","0259","RC","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Amitiza Liquid Capsule 24MCG","0259","RC","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","0.04","2502.48","percent of total billed charges",,
"NF-Amitiza Liquid Capsule 24MCG","0259","RC","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","0.04","2502.48","percent of total billed charges",,
"NF-Amitiza Liquid Capsule 24MCG","0259","RC","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","0.04","2502.48","percent of total billed charges",,
"NF-Amitiza Liquid Capsule 24MCG","0259","RC","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.04","2502.48","percent of total billed charges",,
"NF-Amitiza Liquid Capsule 24MCG","0259","RC","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","0.04","2502.48","percent of total billed charges",,
"NF-Amitiza Liquid Capsule 24MCG","0259","RC","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","0.04","2502.48","percent of total billed charges",,
"NF-Amitiza Liquid Capsule 24MCG","0259","RC","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","0.04","2502.48","percent of total billed charges",,
"NF-Amitiza Liquid Capsule 24MCG","0259","RC","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","0.04","2502.48","percent of total billed charges",,
"NF-Amitiza Liquid Capsule 24MCG","0259","RC","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Amitiza Liquid Capsule 24MCG","0259","RC","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Amitiza Liquid Capsule 24MCG","0259","RC","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","0.04","2502.48","percent of total billed charges",,
"NF-Amitiza Liquid Capsule 24MCG","0259","RC","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","0.04","2502.48","percent of total billed charges",,
"NF-Amitiza Liquid Capsule 24MCG","0259","RC","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","0.04","2502.48","percent of total billed charges",,
"NF-Amitiza Liquid Capsule 24MCG","0259","RC","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","0.04","2502.48","percent of total billed charges",,
"NF-Lubiprostone Liq Cap 24MCG","0259","RC","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","0.04","2502.48","percent of total billed charges",,
"NF-Lubiprostone Liq Cap 24MCG","0259","RC","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","0.04","2502.48","percent of total billed charges",,
"NF-Lubiprostone Liq Cap 24MCG","0259","RC","Both",,,"22","11","Medicare",,,,"54",,"11.92","0.04","2502.48","percent of total billed charges",,
"NF-Lubiprostone Liq Cap 24MCG","0259","RC","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","0.04","2502.48","percent of total billed charges",,
"NF-Lubiprostone Liq Cap 24MCG","0259","RC","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","0.04","2502.48","percent of total billed charges",,
"NF-Lubiprostone Liq Cap 24MCG","0259","RC","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","0.04","2502.48","percent of total billed charges",,
"NF-Lubiprostone Liq Cap 24MCG","0259","RC","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","0.04","2502.48","percent of total billed charges",,
"NF-Lubiprostone Liq Cap 24MCG","0259","RC","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","0.04","2502.48","percent of total billed charges",,
"NF-Lubiprostone Liq Cap 24MCG","0259","RC","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","0.04","2502.48","percent of total billed charges",,
"NF-Lubiprostone Liq Cap 24MCG","0259","RC","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","0.04","2502.48","percent of total billed charges",,
"NF-Lubiprostone Liq Cap 24MCG","0259","RC","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-Lubiprostone Liq Cap 24MCG","0259","RC","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","0.04","2502.48","percent of total billed charges",,
"NF-Lubiprostone Liq Cap 24MCG","0259","RC","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","0.04","2502.48","percent of total billed charges",,
"NF-Lubiprostone Liq Cap 24MCG","0259","RC","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","0.04","2502.48","percent of total billed charges",,
"NF-Lubiprostone Liq Cap 24MCG","0259","RC","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","0.04","2502.48","percent of total billed charges",,
"NF-Lubiprostone Liq Cap 24MCG","0259","RC","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","0.04","2502.48","percent of total billed charges",,
"NF-Lubiprostone Liq Cap 24MCG","0259","RC","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","0.04","2502.48","percent of total billed charges",,
"NF-Lubiprostone Liq Cap 24MCG","0259","RC","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","0.04","2502.48","percent of total billed charges",,
"NF-Lubiprostone Liq Cap 24MCG","0259","RC","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-Lubiprostone Liq Cap 24MCG","0259","RC","Both",,,"22","11","Medicaid",,,,"37",,"8.05","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium/Albuterol Inh 0.5MG-3MG/3","0259","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium/Albuterol Inh 0.5MG-3MG/3","0259","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium/Albuterol Inh 0.5MG-3MG/3","0259","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium/Albuterol Inh 0.5MG-3MG/3","0259","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium/Albuterol Inh 0.5MG-3MG/3","0259","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium/Albuterol Inh 0.5MG-3MG/3","0259","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium/Albuterol Inh 0.5MG-3MG/3","0259","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium/Albuterol Inh 0.5MG-3MG/3","0259","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium/Albuterol Inh 0.5MG-3MG/3","0259","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium/Albuterol Inh 0.5MG-3MG/3","0259","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium/Albuterol Inh 0.5MG-3MG/3","0259","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium/Albuterol Inh 0.5MG-3MG/3","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium/Albuterol Inh 0.5MG-3MG/3","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium/Albuterol Inh 0.5MG-3MG/3","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium/Albuterol Inh 0.5MG-3MG/3","0259","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium/Albuterol Inh 0.5MG-3MG/3","0259","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium/Albuterol Inh 0.5MG-3MG/3","0259","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium/Albuterol Inh 0.5MG-3MG/3","0259","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium/Albuterol Inh 0.5MG-3MG/3","0259","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","2502.48","percent of total billed charges",,
"NF-Ipratropium/Albuterol Inh 0.5MG-3MG/3","0259","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Pulmicort Inhalant Suspension 0.5MG/2","0259","RC","Both",,,"18","9","Alliant","Health Exchange",,,"62",,"11.16","0.04","2502.48","percent of total billed charges",,
"NF-Pulmicort Inhalant Suspension 0.5MG/2","0259","RC","Both",,,"18","9","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.72","0.04","2502.48","percent of total billed charges",,
"NF-Pulmicort Inhalant Suspension 0.5MG/2","0259","RC","Both",,,"18","9","Medicare",,,,"54",,"9.76","0.04","2502.48","percent of total billed charges",,
"NF-Pulmicort Inhalant Suspension 0.5MG/2","0259","RC","Both",,,"18","9","Humana","Medicare Advantage",,,"54",,"9.76","0.04","2502.48","percent of total billed charges",,
"NF-Pulmicort Inhalant Suspension 0.5MG/2","0259","RC","Both",,,"18","9","UHC","Medicare Advantage",,,"54",,"9.76","0.04","2502.48","percent of total billed charges",,
"NF-Pulmicort Inhalant Suspension 0.5MG/2","0259","RC","Both",,,"18","9","Clover","Medicare Advantage",,,"54",,"9.76","0.04","2502.48","percent of total billed charges",,
"NF-Pulmicort Inhalant Suspension 0.5MG/2","0259","RC","Both",,,"18","9","Wellcare","Medicare Advantage",,,"54",,"9.76","0.04","2502.48","percent of total billed charges",,
"NF-Pulmicort Inhalant Suspension 0.5MG/2","0259","RC","Both",,,"18","9","Amerigroup","Medicaid Managed Care",,,"37",,"6.59","0.04","2502.48","percent of total billed charges",,
"NF-Pulmicort Inhalant Suspension 0.5MG/2","0259","RC","Both",,,"18","9","Caresource","Medicaid Managed Care",,,"40",,"7.2","0.04","2502.48","percent of total billed charges",,
"NF-Pulmicort Inhalant Suspension 0.5MG/2","0259","RC","Both",,,"18","9","Wellcare","Medicaid Managed Care",,,"40",,"7.29","0.04","2502.48","percent of total billed charges",,
"NF-Pulmicort Inhalant Suspension 0.5MG/2","0259","RC","Both",,,"18","9","Aetna","Commercial",,,"64",,"11.48","0.04","2502.48","percent of total billed charges",,
"NF-Pulmicort Inhalant Suspension 0.5MG/2","0259","RC","Both",,,"18","9","Blue Cross Blue Shield","Pathways",,,"71",,"12.71","0.04","2502.48","percent of total billed charges",,
"NF-Pulmicort Inhalant Suspension 0.5MG/2","0259","RC","Both",,,"18","9","Blue Cross Blue Shield","HMO",,,"71",,"12.71","0.04","2502.48","percent of total billed charges",,
"NF-Pulmicort Inhalant Suspension 0.5MG/2","0259","RC","Both",,,"18","9","Blue Cross Blue Shield","PPO",,,"71",,"12.71","0.04","2502.48","percent of total billed charges",,
"NF-Pulmicort Inhalant Suspension 0.5MG/2","0259","RC","Both",,,"18","9","Ambetter","Health Exchange",,,"62",,"11.16","0.04","2502.48","percent of total billed charges",,
"NF-Pulmicort Inhalant Suspension 0.5MG/2","0259","RC","Both",,,"18","9","Caresource","Health Exchange",,,"62",,"11.16","0.04","2502.48","percent of total billed charges",,
"NF-Pulmicort Inhalant Suspension 0.5MG/2","0259","RC","Both",,,"18","9","Cigna","Commercial",,,"59",,"10.55","0.04","2502.48","percent of total billed charges",,
"NF-Pulmicort Inhalant Suspension 0.5MG/2","0259","RC","Both",,,"18","9","Humana","Commercial",,,"78",,"13.95","0.04","2502.48","percent of total billed charges",,
"NF-Pulmicort Inhalant Suspension 0.5MG/2","0259","RC","Both",,,"18","9","UHC","Commercial",,,"75",,"13.57","0.04","2502.48","percent of total billed charges",,
"NF-Pulmicort Inhalant Suspension 0.5MG/2","0259","RC","Both",,,"18","9","Medicaid",,,,"37",,"6.59","0.04","2502.48","percent of total billed charges",,
"NF-Daliresp Oral Tablet 250MCG","0250","RC","Both",,,"51","25.5","Alliant","Health Exchange",,,"62",,"31.62","0.04","569.62","percent of total billed charges",,
"NF-Daliresp Oral Tablet 250MCG","0250","RC","Both",,,"51","25.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"27.54","0.04","569.62","percent of total billed charges",,
"NF-Daliresp Oral Tablet 250MCG","0250","RC","Both",,,"51","25.5","Medicare",,,,"54",,"27.64","0.04","569.62","percent of total billed charges",,
"NF-Daliresp Oral Tablet 250MCG","0250","RC","Both",,,"51","25.5","Humana","Medicare Advantage",,,"54",,"27.64","0.04","569.62","percent of total billed charges",,
"NF-Daliresp Oral Tablet 250MCG","0250","RC","Both",,,"51","25.5","UHC","Medicare Advantage",,,"54",,"27.64","0.04","569.62","percent of total billed charges",,
"NF-Daliresp Oral Tablet 250MCG","0250","RC","Both",,,"51","25.5","Clover","Medicare Advantage",,,"54",,"27.64","0.04","569.62","percent of total billed charges",,
"NF-Daliresp Oral Tablet 250MCG","0250","RC","Both",,,"51","25.5","Wellcare","Medicare Advantage",,,"54",,"27.64","0.04","569.62","percent of total billed charges",,
"NF-Daliresp Oral Tablet 250MCG","0250","RC","Both",,,"51","25.5","Amerigroup","Medicaid Managed Care",,,"37",,"18.67","0.04","569.62","percent of total billed charges",,
"NF-Daliresp Oral Tablet 250MCG","0250","RC","Both",,,"51","25.5","Caresource","Medicaid Managed Care",,,"40",,"20.4","0.04","569.62","percent of total billed charges",,
"NF-Daliresp Oral Tablet 250MCG","0250","RC","Both",,,"51","25.5","Wellcare","Medicaid Managed Care",,,"40",,"20.66","0.04","569.62","percent of total billed charges",,
"NF-Daliresp Oral Tablet 250MCG","0250","RC","Both",,,"51","25.5","Aetna","Commercial",,,"64",,"32.54","0.04","569.62","percent of total billed charges",,
"NF-Daliresp Oral Tablet 250MCG","0250","RC","Both",,,"51","25.5","Blue Cross Blue Shield","Pathways",,,"71",,"36.01","0.04","569.62","percent of total billed charges",,
"NF-Daliresp Oral Tablet 250MCG","0250","RC","Both",,,"51","25.5","Blue Cross Blue Shield","HMO",,,"71",,"36.01","0.04","569.62","percent of total billed charges",,
"NF-Daliresp Oral Tablet 250MCG","0250","RC","Both",,,"51","25.5","Blue Cross Blue Shield","PPO",,,"71",,"36.01","0.04","569.62","percent of total billed charges",,
"NF-Daliresp Oral Tablet 250MCG","0250","RC","Both",,,"51","25.5","Ambetter","Health Exchange",,,"62",,"31.62","0.04","569.62","percent of total billed charges",,
"NF-Daliresp Oral Tablet 250MCG","0250","RC","Both",,,"51","25.5","Caresource","Health Exchange",,,"62",,"31.62","0.04","569.62","percent of total billed charges",,
"NF-Daliresp Oral Tablet 250MCG","0250","RC","Both",,,"51","25.5","Cigna","Commercial",,,"59",,"29.89","0.04","569.62","percent of total billed charges",,
"NF-Daliresp Oral Tablet 250MCG","0250","RC","Both",,,"51","25.5","Humana","Commercial",,,"78",,"39.52","0.04","569.62","percent of total billed charges",,
"NF-Daliresp Oral Tablet 250MCG","0250","RC","Both",,,"51","25.5","UHC","Commercial",,,"75",,"38.45","0.04","569.62","percent of total billed charges",,
"NF-Daliresp Oral Tablet 250MCG","0250","RC","Both",,,"51","25.5","Medicaid",,,,"37",,"18.67","0.04","569.62","percent of total billed charges",,
"NF-valACYclovir HCl Oral Tablet 500MG","0250","RC","Both",,,"21","10.5","Alliant","Health Exchange",,,"62",,"13.02","0.04","569.62","percent of total billed charges",,
"NF-valACYclovir HCl Oral Tablet 500MG","0250","RC","Both",,,"21","10.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.34","0.04","569.62","percent of total billed charges",,
"NF-valACYclovir HCl Oral Tablet 500MG","0250","RC","Both",,,"21","10.5","Medicare",,,,"54",,"11.38","0.04","569.62","percent of total billed charges",,
"NF-valACYclovir HCl Oral Tablet 500MG","0250","RC","Both",,,"21","10.5","Humana","Medicare Advantage",,,"54",,"11.38","0.04","569.62","percent of total billed charges",,
"NF-valACYclovir HCl Oral Tablet 500MG","0250","RC","Both",,,"21","10.5","UHC","Medicare Advantage",,,"54",,"11.38","0.04","569.62","percent of total billed charges",,
"NF-valACYclovir HCl Oral Tablet 500MG","0250","RC","Both",,,"21","10.5","Clover","Medicare Advantage",,,"54",,"11.38","0.04","569.62","percent of total billed charges",,
"NF-valACYclovir HCl Oral Tablet 500MG","0250","RC","Both",,,"21","10.5","Wellcare","Medicare Advantage",,,"54",,"11.38","0.04","569.62","percent of total billed charges",,
"NF-valACYclovir HCl Oral Tablet 500MG","0250","RC","Both",,,"21","10.5","Amerigroup","Medicaid Managed Care",,,"37",,"7.69","0.04","569.62","percent of total billed charges",,
"NF-valACYclovir HCl Oral Tablet 500MG","0250","RC","Both",,,"21","10.5","Caresource","Medicaid Managed Care",,,"40",,"8.4","0.04","569.62","percent of total billed charges",,
"NF-valACYclovir HCl Oral Tablet 500MG","0250","RC","Both",,,"21","10.5","Wellcare","Medicaid Managed Care",,,"40",,"8.51","0.04","569.62","percent of total billed charges",,
"NF-valACYclovir HCl Oral Tablet 500MG","0250","RC","Both",,,"21","10.5","Aetna","Commercial",,,"64",,"13.4","0.04","569.62","percent of total billed charges",,
"NF-valACYclovir HCl Oral Tablet 500MG","0250","RC","Both",,,"21","10.5","Blue Cross Blue Shield","Pathways",,,"71",,"14.83","0.04","569.62","percent of total billed charges",,
"NF-valACYclovir HCl Oral Tablet 500MG","0250","RC","Both",,,"21","10.5","Blue Cross Blue Shield","HMO",,,"71",,"14.83","0.04","569.62","percent of total billed charges",,
"NF-valACYclovir HCl Oral Tablet 500MG","0250","RC","Both",,,"21","10.5","Blue Cross Blue Shield","PPO",,,"71",,"14.83","0.04","569.62","percent of total billed charges",,
"NF-valACYclovir HCl Oral Tablet 500MG","0250","RC","Both",,,"21","10.5","Ambetter","Health Exchange",,,"62",,"13.02","0.04","569.62","percent of total billed charges",,
"NF-valACYclovir HCl Oral Tablet 500MG","0250","RC","Both",,,"21","10.5","Caresource","Health Exchange",,,"62",,"13.02","0.04","569.62","percent of total billed charges",,
"NF-valACYclovir HCl Oral Tablet 500MG","0250","RC","Both",,,"21","10.5","Cigna","Commercial",,,"59",,"12.31","0.04","569.62","percent of total billed charges",,
"NF-valACYclovir HCl Oral Tablet 500MG","0250","RC","Both",,,"21","10.5","Humana","Commercial",,,"78",,"16.28","0.04","569.62","percent of total billed charges",,
"NF-valACYclovir HCl Oral Tablet 500MG","0250","RC","Both",,,"21","10.5","UHC","Commercial",,,"75",,"15.83","0.04","569.62","percent of total billed charges",,
"NF-valACYclovir HCl Oral Tablet 500MG","0250","RC","Both",,,"21","10.5","Medicaid",,,,"37",,"7.69","0.04","569.62","percent of total billed charges",,
"NF-Toujeo Max SubQ Solution 300U/1ML","0259","RC","Both",,,"326","163","Alliant","Health Exchange",,,"62",,"202.12","0.04","2502.48","percent of total billed charges",,
"NF-Toujeo Max SubQ Solution 300U/1ML","0259","RC","Both",,,"326","163","Pruitt Healthcare","Medicare Advantage",,,"54",,"176.04","0.04","2502.48","percent of total billed charges",,
"NF-Toujeo Max SubQ Solution 300U/1ML","0259","RC","Both",,,"326","163","Medicare",,,,"54",,"176.69","0.04","2502.48","percent of total billed charges",,
"NF-Toujeo Max SubQ Solution 300U/1ML","0259","RC","Both",,,"326","163","Humana","Medicare Advantage",,,"54",,"176.69","0.04","2502.48","percent of total billed charges",,
"NF-Toujeo Max SubQ Solution 300U/1ML","0259","RC","Both",,,"326","163","UHC","Medicare Advantage",,,"54",,"176.69","0.04","2502.48","percent of total billed charges",,
"NF-Toujeo Max SubQ Solution 300U/1ML","0259","RC","Both",,,"326","163","Clover","Medicare Advantage",,,"54",,"176.69","0.04","2502.48","percent of total billed charges",,
"NF-Toujeo Max SubQ Solution 300U/1ML","0259","RC","Both",,,"326","163","Wellcare","Medicare Advantage",,,"54",,"176.69","0.04","2502.48","percent of total billed charges",,
"NF-Toujeo Max SubQ Solution 300U/1ML","0259","RC","Both",,,"326","163","Amerigroup","Medicaid Managed Care",,,"37",,"119.32","0.04","2502.48","percent of total billed charges",,
"NF-Toujeo Max SubQ Solution 300U/1ML","0259","RC","Both",,,"326","163","Caresource","Medicaid Managed Care",,,"40",,"130.4","0.04","2502.48","percent of total billed charges",,
"NF-Toujeo Max SubQ Solution 300U/1ML","0259","RC","Both",,,"326","163","Wellcare","Medicaid Managed Care",,,"40",,"132.03","0.04","2502.48","percent of total billed charges",,
"NF-Toujeo Max SubQ Solution 300U/1ML","0259","RC","Both",,,"326","163","Aetna","Commercial",,,"64",,"207.99","0.04","2502.48","percent of total billed charges",,
"NF-Toujeo Max SubQ Solution 300U/1ML","0259","RC","Both",,,"326","163","Blue Cross Blue Shield","Pathways",,,"71",,"230.16","0.04","2502.48","percent of total billed charges",,
"NF-Toujeo Max SubQ Solution 300U/1ML","0259","RC","Both",,,"326","163","Blue Cross Blue Shield","HMO",,,"71",,"230.16","0.04","2502.48","percent of total billed charges",,
"NF-Toujeo Max SubQ Solution 300U/1ML","0259","RC","Both",,,"326","163","Blue Cross Blue Shield","PPO",,,"71",,"230.16","0.04","2502.48","percent of total billed charges",,
"NF-Toujeo Max SubQ Solution 300U/1ML","0259","RC","Both",,,"326","163","Ambetter","Health Exchange",,,"62",,"202.12","0.04","2502.48","percent of total billed charges",,
"NF-Toujeo Max SubQ Solution 300U/1ML","0259","RC","Both",,,"326","163","Caresource","Health Exchange",,,"62",,"202.12","0.04","2502.48","percent of total billed charges",,
"NF-Toujeo Max SubQ Solution 300U/1ML","0259","RC","Both",,,"326","163","Cigna","Commercial",,,"59",,"191.04","0.04","2502.48","percent of total billed charges",,
"NF-Toujeo Max SubQ Solution 300U/1ML","0259","RC","Both",,,"326","163","Humana","Commercial",,,"78",,"252.65","0.04","2502.48","percent of total billed charges",,
"NF-Toujeo Max SubQ Solution 300U/1ML","0259","RC","Both",,,"326","163","UHC","Commercial",,,"75",,"245.8","0.04","2502.48","percent of total billed charges",,
"NF-Toujeo Max SubQ Solution 300U/1ML","0259","RC","Both",,,"326","163","Medicaid",,,,"37",,"119.32","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 3MG","0259","RC","Both",,,"112","56","Alliant","Health Exchange",,,"62",,"69.44","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 3MG","0259","RC","Both",,,"112","56","Pruitt Healthcare","Medicare Advantage",,,"54",,"60.48","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 3MG","0259","RC","Both",,,"112","56","Medicare",,,,"54",,"60.7","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 3MG","0259","RC","Both",,,"112","56","Humana","Medicare Advantage",,,"54",,"60.7","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 3MG","0259","RC","Both",,,"112","56","UHC","Medicare Advantage",,,"54",,"60.7","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 3MG","0259","RC","Both",,,"112","56","Clover","Medicare Advantage",,,"54",,"60.7","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 3MG","0259","RC","Both",,,"112","56","Wellcare","Medicare Advantage",,,"54",,"60.7","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 3MG","0259","RC","Both",,,"112","56","Amerigroup","Medicaid Managed Care",,,"37",,"40.99","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 3MG","0259","RC","Both",,,"112","56","Caresource","Medicaid Managed Care",,,"40",,"44.8","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 3MG","0259","RC","Both",,,"112","56","Wellcare","Medicaid Managed Care",,,"40",,"45.36","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 3MG","0259","RC","Both",,,"112","56","Aetna","Commercial",,,"64",,"71.46","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 3MG","0259","RC","Both",,,"112","56","Blue Cross Blue Shield","Pathways",,,"71",,"79.07","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 3MG","0259","RC","Both",,,"112","56","Blue Cross Blue Shield","HMO",,,"71",,"79.07","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 3MG","0259","RC","Both",,,"112","56","Blue Cross Blue Shield","PPO",,,"71",,"79.07","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 3MG","0259","RC","Both",,,"112","56","Ambetter","Health Exchange",,,"62",,"69.44","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 3MG","0259","RC","Both",,,"112","56","Caresource","Health Exchange",,,"62",,"69.44","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 3MG","0259","RC","Both",,,"112","56","Cigna","Commercial",,,"59",,"65.63","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 3MG","0259","RC","Both",,,"112","56","Humana","Commercial",,,"78",,"86.8","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 3MG","0259","RC","Both",,,"112","56","UHC","Commercial",,,"75",,"84.45","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 3MG","0259","RC","Both",,,"112","56","Medicaid",,,,"37",,"40.99","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 3MG","0259","RC","Both",,,"112","56","Alliant","Health Exchange",,,"62",,"69.44","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 3MG","0259","RC","Both",,,"112","56","Pruitt Healthcare","Medicare Advantage",,,"54",,"60.48","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 3MG","0259","RC","Both",,,"112","56","Medicare",,,,"54",,"60.7","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 3MG","0259","RC","Both",,,"112","56","Humana","Medicare Advantage",,,"54",,"60.7","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 3MG","0259","RC","Both",,,"112","56","UHC","Medicare Advantage",,,"54",,"60.7","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 3MG","0259","RC","Both",,,"112","56","Clover","Medicare Advantage",,,"54",,"60.7","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 3MG","0259","RC","Both",,,"112","56","Wellcare","Medicare Advantage",,,"54",,"60.7","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 3MG","0259","RC","Both",,,"112","56","Amerigroup","Medicaid Managed Care",,,"37",,"40.99","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 3MG","0259","RC","Both",,,"112","56","Caresource","Medicaid Managed Care",,,"40",,"44.8","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 3MG","0259","RC","Both",,,"112","56","Wellcare","Medicaid Managed Care",,,"40",,"45.36","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 3MG","0259","RC","Both",,,"112","56","Aetna","Commercial",,,"64",,"71.46","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 3MG","0259","RC","Both",,,"112","56","Blue Cross Blue Shield","Pathways",,,"71",,"79.07","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 3MG","0259","RC","Both",,,"112","56","Blue Cross Blue Shield","HMO",,,"71",,"79.07","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 3MG","0259","RC","Both",,,"112","56","Blue Cross Blue Shield","PPO",,,"71",,"79.07","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 3MG","0259","RC","Both",,,"112","56","Ambetter","Health Exchange",,,"62",,"69.44","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 3MG","0259","RC","Both",,,"112","56","Caresource","Health Exchange",,,"62",,"69.44","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 3MG","0259","RC","Both",,,"112","56","Cigna","Commercial",,,"59",,"65.63","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 3MG","0259","RC","Both",,,"112","56","Humana","Commercial",,,"78",,"86.8","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 3MG","0259","RC","Both",,,"112","56","UHC","Commercial",,,"75",,"84.45","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 3MG","0259","RC","Both",,,"112","56","Medicaid",,,,"37",,"40.99","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 7MG","0259","RC","Both",,,"112","56","Alliant","Health Exchange",,,"62",,"69.44","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 7MG","0259","RC","Both",,,"112","56","Pruitt Healthcare","Medicare Advantage",,,"54",,"60.48","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 7MG","0259","RC","Both",,,"112","56","Medicare",,,,"54",,"60.7","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 7MG","0259","RC","Both",,,"112","56","Humana","Medicare Advantage",,,"54",,"60.7","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 7MG","0259","RC","Both",,,"112","56","UHC","Medicare Advantage",,,"54",,"60.7","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 7MG","0259","RC","Both",,,"112","56","Clover","Medicare Advantage",,,"54",,"60.7","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 7MG","0259","RC","Both",,,"112","56","Wellcare","Medicare Advantage",,,"54",,"60.7","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 7MG","0259","RC","Both",,,"112","56","Amerigroup","Medicaid Managed Care",,,"37",,"40.99","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 7MG","0259","RC","Both",,,"112","56","Caresource","Medicaid Managed Care",,,"40",,"44.8","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 7MG","0259","RC","Both",,,"112","56","Wellcare","Medicaid Managed Care",,,"40",,"45.36","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 7MG","0259","RC","Both",,,"112","56","Aetna","Commercial",,,"64",,"71.46","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 7MG","0259","RC","Both",,,"112","56","Blue Cross Blue Shield","Pathways",,,"71",,"79.07","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 7MG","0259","RC","Both",,,"112","56","Blue Cross Blue Shield","HMO",,,"71",,"79.07","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 7MG","0259","RC","Both",,,"112","56","Blue Cross Blue Shield","PPO",,,"71",,"79.07","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 7MG","0259","RC","Both",,,"112","56","Ambetter","Health Exchange",,,"62",,"69.44","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 7MG","0259","RC","Both",,,"112","56","Caresource","Health Exchange",,,"62",,"69.44","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 7MG","0259","RC","Both",,,"112","56","Cigna","Commercial",,,"59",,"65.63","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 7MG","0259","RC","Both",,,"112","56","Humana","Commercial",,,"78",,"86.8","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 7MG","0259","RC","Both",,,"112","56","UHC","Commercial",,,"75",,"84.45","0.04","2502.48","percent of total billed charges",,
"NF-Rybelsus Oral Tablet 7MG","0259","RC","Both",,,"112","56","Medicaid",,,,"37",,"40.99","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Macrobid Capsule 100MG","0259","RC","Both",,,"12","6","Alliant","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Macrobid Capsule 100MG","0259","RC","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.48","0.04","2502.48","percent of total billed charges",,
"NF-Macrobid Capsule 100MG","0259","RC","Both",,,"12","6","Medicare",,,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Macrobid Capsule 100MG","0259","RC","Both",,,"12","6","Humana","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Macrobid Capsule 100MG","0259","RC","Both",,,"12","6","UHC","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Macrobid Capsule 100MG","0259","RC","Both",,,"12","6","Clover","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Macrobid Capsule 100MG","0259","RC","Both",,,"12","6","Wellcare","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Macrobid Capsule 100MG","0259","RC","Both",,,"12","6","Amerigroup","Medicaid Managed Care",,,"37",,"4.39","0.04","2502.48","percent of total billed charges",,
"NF-Macrobid Capsule 100MG","0259","RC","Both",,,"12","6","Caresource","Medicaid Managed Care",,,"40",,"4.8","0.04","2502.48","percent of total billed charges",,
"NF-Macrobid Capsule 100MG","0259","RC","Both",,,"12","6","Wellcare","Medicaid Managed Care",,,"40",,"4.86","0.04","2502.48","percent of total billed charges",,
"NF-Macrobid Capsule 100MG","0259","RC","Both",,,"12","6","Aetna","Commercial",,,"64",,"7.66","0.04","2502.48","percent of total billed charges",,
"NF-Macrobid Capsule 100MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","Pathways",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Macrobid Capsule 100MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","HMO",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Macrobid Capsule 100MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","PPO",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Macrobid Capsule 100MG","0259","RC","Both",,,"12","6","Ambetter","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Macrobid Capsule 100MG","0259","RC","Both",,,"12","6","Caresource","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Macrobid Capsule 100MG","0259","RC","Both",,,"12","6","Cigna","Commercial",,,"59",,"7.03","0.04","2502.48","percent of total billed charges",,
"NF-Macrobid Capsule 100MG","0259","RC","Both",,,"12","6","Humana","Commercial",,,"78",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Macrobid Capsule 100MG","0259","RC","Both",,,"12","6","UHC","Commercial",,,"75",,"9.05","0.04","2502.48","percent of total billed charges",,
"NF-Macrobid Capsule 100MG","0259","RC","Both",,,"12","6","Medicaid",,,,"37",,"4.39","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0259","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0259","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0259","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0259","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0259","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0259","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0259","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0259","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0259","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0259","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0259","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0259","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0259","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0259","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0259","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0259","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0259","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Capsule 100MG","0259","RC","Both",,,"9","4.5","Alliant","Health Exchange",,,"62",,"5.58","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Capsule 100MG","0259","RC","Both",,,"9","4.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.86","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Capsule 100MG","0259","RC","Both",,,"9","4.5","Medicare",,,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Capsule 100MG","0259","RC","Both",,,"9","4.5","Humana","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Capsule 100MG","0259","RC","Both",,,"9","4.5","UHC","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Capsule 100MG","0259","RC","Both",,,"9","4.5","Clover","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Capsule 100MG","0259","RC","Both",,,"9","4.5","Wellcare","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Capsule 100MG","0259","RC","Both",,,"9","4.5","Amerigroup","Medicaid Managed Care",,,"37",,"3.29","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Capsule 100MG","0259","RC","Both",,,"9","4.5","Caresource","Medicaid Managed Care",,,"40",,"3.6","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Capsule 100MG","0259","RC","Both",,,"9","4.5","Wellcare","Medicaid Managed Care",,,"40",,"3.65","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Capsule 100MG","0259","RC","Both",,,"9","4.5","Aetna","Commercial",,,"64",,"5.74","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Capsule 100MG","0259","RC","Both",,,"9","4.5","Blue Cross Blue Shield","Pathways",,,"71",,"6.35","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Capsule 100MG","0259","RC","Both",,,"9","4.5","Blue Cross Blue Shield","HMO",,,"71",,"6.35","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Capsule 100MG","0259","RC","Both",,,"9","4.5","Blue Cross Blue Shield","PPO",,,"71",,"6.35","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Capsule 100MG","0259","RC","Both",,,"9","4.5","Ambetter","Health Exchange",,,"62",,"5.58","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Capsule 100MG","0259","RC","Both",,,"9","4.5","Caresource","Health Exchange",,,"62",,"5.58","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Capsule 100MG","0259","RC","Both",,,"9","4.5","Cigna","Commercial",,,"59",,"5.27","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Capsule 100MG","0259","RC","Both",,,"9","4.5","Humana","Commercial",,,"78",,"6.98","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Capsule 100MG","0259","RC","Both",,,"9","4.5","UHC","Commercial",,,"75",,"6.79","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Capsule 100MG","0259","RC","Both",,,"9","4.5","Medicaid",,,,"37",,"3.29","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Oral Tablet 0.2MG","0259","RC","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Oral Tablet 0.2MG","0259","RC","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Oral Tablet 0.2MG","0259","RC","Both",,,"22","11","Medicare",,,,"54",,"11.92","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Oral Tablet 0.2MG","0259","RC","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Oral Tablet 0.2MG","0259","RC","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Oral Tablet 0.2MG","0259","RC","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Oral Tablet 0.2MG","0259","RC","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Oral Tablet 0.2MG","0259","RC","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Oral Tablet 0.2MG","0259","RC","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Oral Tablet 0.2MG","0259","RC","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Oral Tablet 0.2MG","0259","RC","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Oral Tablet 0.2MG","0259","RC","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Oral Tablet 0.2MG","0259","RC","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Oral Tablet 0.2MG","0259","RC","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Oral Tablet 0.2MG","0259","RC","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Oral Tablet 0.2MG","0259","RC","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Oral Tablet 0.2MG","0259","RC","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Oral Tablet 0.2MG","0259","RC","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Oral Tablet 0.2MG","0259","RC","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Oral Tablet 0.2MG","0259","RC","Both",,,"22","11","Medicaid",,,,"37",,"8.05","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 80MCG-4.5MCG","0259","RC","Both",,,"120","60","Alliant","Health Exchange",,,"62",,"74.4","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 80MCG-4.5MCG","0259","RC","Both",,,"120","60","Pruitt Healthcare","Medicare Advantage",,,"54",,"64.8","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 80MCG-4.5MCG","0259","RC","Both",,,"120","60","Medicare",,,,"54",,"65.04","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 80MCG-4.5MCG","0259","RC","Both",,,"120","60","Humana","Medicare Advantage",,,"54",,"65.04","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 80MCG-4.5MCG","0259","RC","Both",,,"120","60","UHC","Medicare Advantage",,,"54",,"65.04","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 80MCG-4.5MCG","0259","RC","Both",,,"120","60","Clover","Medicare Advantage",,,"54",,"65.04","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 80MCG-4.5MCG","0259","RC","Both",,,"120","60","Wellcare","Medicare Advantage",,,"54",,"65.04","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 80MCG-4.5MCG","0259","RC","Both",,,"120","60","Amerigroup","Medicaid Managed Care",,,"37",,"43.92","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 80MCG-4.5MCG","0259","RC","Both",,,"120","60","Caresource","Medicaid Managed Care",,,"40",,"48","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 80MCG-4.5MCG","0259","RC","Both",,,"120","60","Wellcare","Medicaid Managed Care",,,"40",,"48.6","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 80MCG-4.5MCG","0259","RC","Both",,,"120","60","Aetna","Commercial",,,"64",,"76.56","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 80MCG-4.5MCG","0259","RC","Both",,,"120","60","Blue Cross Blue Shield","Pathways",,,"71",,"84.72","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 80MCG-4.5MCG","0259","RC","Both",,,"120","60","Blue Cross Blue Shield","HMO",,,"71",,"84.72","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 80MCG-4.5MCG","0259","RC","Both",,,"120","60","Blue Cross Blue Shield","PPO",,,"71",,"84.72","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 80MCG-4.5MCG","0259","RC","Both",,,"120","60","Ambetter","Health Exchange",,,"62",,"74.4","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 80MCG-4.5MCG","0259","RC","Both",,,"120","60","Caresource","Health Exchange",,,"62",,"74.4","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 80MCG-4.5MCG","0259","RC","Both",,,"120","60","Cigna","Commercial",,,"59",,"70.32","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 80MCG-4.5MCG","0259","RC","Both",,,"120","60","Humana","Commercial",,,"78",,"93","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 80MCG-4.5MCG","0259","RC","Both",,,"120","60","UHC","Commercial",,,"75",,"90.48","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 80MCG-4.5MCG","0259","RC","Both",,,"120","60","Medicaid",,,,"37",,"43.92","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Oral Tablet 0.2MG","0259","RC","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Oral Tablet 0.2MG","0259","RC","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Oral Tablet 0.2MG","0259","RC","Both",,,"22","11","Medicare",,,,"54",,"11.92","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Oral Tablet 0.2MG","0259","RC","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Oral Tablet 0.2MG","0259","RC","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Oral Tablet 0.2MG","0259","RC","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Oral Tablet 0.2MG","0259","RC","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Oral Tablet 0.2MG","0259","RC","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Oral Tablet 0.2MG","0259","RC","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Oral Tablet 0.2MG","0259","RC","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Oral Tablet 0.2MG","0259","RC","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Oral Tablet 0.2MG","0259","RC","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Oral Tablet 0.2MG","0259","RC","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Oral Tablet 0.2MG","0259","RC","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Oral Tablet 0.2MG","0259","RC","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Oral Tablet 0.2MG","0259","RC","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Oral Tablet 0.2MG","0259","RC","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Oral Tablet 0.2MG","0259","RC","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Oral Tablet 0.2MG","0259","RC","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-Desmopressin Oral Tablet 0.2MG","0259","RC","Both",,,"22","11","Medicaid",,,,"37",,"8.05","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","0259","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0250","RC","Both",,,"37","18.5","Alliant","Health Exchange",,,"62",,"22.94","0.04","569.62","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0250","RC","Both",,,"37","18.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.98","0.04","569.62","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0250","RC","Both",,,"37","18.5","Medicare",,,,"54",,"20.05","0.04","569.62","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0250","RC","Both",,,"37","18.5","Humana","Medicare Advantage",,,"54",,"20.05","0.04","569.62","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0250","RC","Both",,,"37","18.5","UHC","Medicare Advantage",,,"54",,"20.05","0.04","569.62","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0250","RC","Both",,,"37","18.5","Clover","Medicare Advantage",,,"54",,"20.05","0.04","569.62","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0250","RC","Both",,,"37","18.5","Wellcare","Medicare Advantage",,,"54",,"20.05","0.04","569.62","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0250","RC","Both",,,"37","18.5","Amerigroup","Medicaid Managed Care",,,"37",,"13.54","0.04","569.62","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0250","RC","Both",,,"37","18.5","Caresource","Medicaid Managed Care",,,"40",,"14.8","0.04","569.62","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0250","RC","Both",,,"37","18.5","Wellcare","Medicaid Managed Care",,,"40",,"14.99","0.04","569.62","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0250","RC","Both",,,"37","18.5","Aetna","Commercial",,,"64",,"23.61","0.04","569.62","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0250","RC","Both",,,"37","18.5","Blue Cross Blue Shield","Pathways",,,"71",,"26.12","0.04","569.62","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0250","RC","Both",,,"37","18.5","Blue Cross Blue Shield","HMO",,,"71",,"26.12","0.04","569.62","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0250","RC","Both",,,"37","18.5","Blue Cross Blue Shield","PPO",,,"71",,"26.12","0.04","569.62","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0250","RC","Both",,,"37","18.5","Ambetter","Health Exchange",,,"62",,"22.94","0.04","569.62","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0250","RC","Both",,,"37","18.5","Caresource","Health Exchange",,,"62",,"22.94","0.04","569.62","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0250","RC","Both",,,"37","18.5","Cigna","Commercial",,,"59",,"21.68","0.04","569.62","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0250","RC","Both",,,"37","18.5","Humana","Commercial",,,"78",,"28.68","0.04","569.62","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0250","RC","Both",,,"37","18.5","UHC","Commercial",,,"75",,"27.9","0.04","569.62","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0250","RC","Both",,,"37","18.5","Medicaid",,,,"37",,"13.54","0.04","569.62","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0250","RC","Both",,,"12","6","Alliant","Health Exchange",,,"62",,"7.44","0.04","569.62","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0250","RC","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.48","0.04","569.62","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0250","RC","Both",,,"12","6","Medicare",,,,"54",,"6.5","0.04","569.62","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0250","RC","Both",,,"12","6","Humana","Medicare Advantage",,,"54",,"6.5","0.04","569.62","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0250","RC","Both",,,"12","6","UHC","Medicare Advantage",,,"54",,"6.5","0.04","569.62","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0250","RC","Both",,,"12","6","Clover","Medicare Advantage",,,"54",,"6.5","0.04","569.62","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0250","RC","Both",,,"12","6","Wellcare","Medicare Advantage",,,"54",,"6.5","0.04","569.62","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0250","RC","Both",,,"12","6","Amerigroup","Medicaid Managed Care",,,"37",,"4.39","0.04","569.62","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0250","RC","Both",,,"12","6","Caresource","Medicaid Managed Care",,,"40",,"4.8","0.04","569.62","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0250","RC","Both",,,"12","6","Wellcare","Medicaid Managed Care",,,"40",,"4.86","0.04","569.62","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0250","RC","Both",,,"12","6","Aetna","Commercial",,,"64",,"7.66","0.04","569.62","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0250","RC","Both",,,"12","6","Blue Cross Blue Shield","Pathways",,,"71",,"8.47","0.04","569.62","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0250","RC","Both",,,"12","6","Blue Cross Blue Shield","HMO",,,"71",,"8.47","0.04","569.62","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0250","RC","Both",,,"12","6","Blue Cross Blue Shield","PPO",,,"71",,"8.47","0.04","569.62","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0250","RC","Both",,,"12","6","Ambetter","Health Exchange",,,"62",,"7.44","0.04","569.62","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0250","RC","Both",,,"12","6","Caresource","Health Exchange",,,"62",,"7.44","0.04","569.62","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0250","RC","Both",,,"12","6","Cigna","Commercial",,,"59",,"7.03","0.04","569.62","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0250","RC","Both",,,"12","6","Humana","Commercial",,,"78",,"9.3","0.04","569.62","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0250","RC","Both",,,"12","6","UHC","Commercial",,,"75",,"9.05","0.04","569.62","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0250","RC","Both",,,"12","6","Medicaid",,,,"37",,"4.39","0.04","569.62","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.04","2502.48","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","0259","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Alliant","Health Exchange",,,"62",,"44.02","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"38.34","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Medicare",,,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Humana","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","UHC","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Clover","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Wellcare","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Amerigroup","Medicaid Managed Care",,,"37",,"25.99","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Caresource","Medicaid Managed Care",,,"40",,"28.4","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Wellcare","Medicaid Managed Care",,,"40",,"28.76","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Aetna","Commercial",,,"64",,"45.3","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Blue Cross Blue Shield","Pathways",,,"71",,"50.13","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Blue Cross Blue Shield","HMO",,,"71",,"50.13","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Blue Cross Blue Shield","PPO",,,"71",,"50.13","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Ambetter","Health Exchange",,,"62",,"44.02","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Caresource","Health Exchange",,,"62",,"44.02","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Cigna","Commercial",,,"59",,"41.61","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Humana","Commercial",,,"78",,"55.02","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","UHC","Commercial",,,"75",,"53.53","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Medicaid",,,,"37",,"25.99","0.04","2502.48","percent of total billed charges",,
"NF-Kerendia Oral Tablet 10MG","0259","RC","Both",,,"75","37.5","Alliant","Health Exchange",,,"62",,"46.5","0.04","2502.48","percent of total billed charges",,
"NF-Kerendia Oral Tablet 10MG","0259","RC","Both",,,"75","37.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"40.5","0.04","2502.48","percent of total billed charges",,
"NF-Kerendia Oral Tablet 10MG","0259","RC","Both",,,"75","37.5","Medicare",,,,"54",,"40.65","0.04","2502.48","percent of total billed charges",,
"NF-Kerendia Oral Tablet 10MG","0259","RC","Both",,,"75","37.5","Humana","Medicare Advantage",,,"54",,"40.65","0.04","2502.48","percent of total billed charges",,
"NF-Kerendia Oral Tablet 10MG","0259","RC","Both",,,"75","37.5","UHC","Medicare Advantage",,,"54",,"40.65","0.04","2502.48","percent of total billed charges",,
"NF-Kerendia Oral Tablet 10MG","0259","RC","Both",,,"75","37.5","Clover","Medicare Advantage",,,"54",,"40.65","0.04","2502.48","percent of total billed charges",,
"NF-Kerendia Oral Tablet 10MG","0259","RC","Both",,,"75","37.5","Wellcare","Medicare Advantage",,,"54",,"40.65","0.04","2502.48","percent of total billed charges",,
"NF-Kerendia Oral Tablet 10MG","0259","RC","Both",,,"75","37.5","Amerigroup","Medicaid Managed Care",,,"37",,"27.45","0.04","2502.48","percent of total billed charges",,
"NF-Kerendia Oral Tablet 10MG","0259","RC","Both",,,"75","37.5","Caresource","Medicaid Managed Care",,,"40",,"30","0.04","2502.48","percent of total billed charges",,
"NF-Kerendia Oral Tablet 10MG","0259","RC","Both",,,"75","37.5","Wellcare","Medicaid Managed Care",,,"40",,"30.38","0.04","2502.48","percent of total billed charges",,
"NF-Kerendia Oral Tablet 10MG","0259","RC","Both",,,"75","37.5","Aetna","Commercial",,,"64",,"47.85","0.04","2502.48","percent of total billed charges",,
"NF-Kerendia Oral Tablet 10MG","0259","RC","Both",,,"75","37.5","Blue Cross Blue Shield","Pathways",,,"71",,"52.95","0.04","2502.48","percent of total billed charges",,
"NF-Kerendia Oral Tablet 10MG","0259","RC","Both",,,"75","37.5","Blue Cross Blue Shield","HMO",,,"71",,"52.95","0.04","2502.48","percent of total billed charges",,
"NF-Kerendia Oral Tablet 10MG","0259","RC","Both",,,"75","37.5","Blue Cross Blue Shield","PPO",,,"71",,"52.95","0.04","2502.48","percent of total billed charges",,
"NF-Kerendia Oral Tablet 10MG","0259","RC","Both",,,"75","37.5","Ambetter","Health Exchange",,,"62",,"46.5","0.04","2502.48","percent of total billed charges",,
"NF-Kerendia Oral Tablet 10MG","0259","RC","Both",,,"75","37.5","Caresource","Health Exchange",,,"62",,"46.5","0.04","2502.48","percent of total billed charges",,
"NF-Kerendia Oral Tablet 10MG","0259","RC","Both",,,"75","37.5","Cigna","Commercial",,,"59",,"43.95","0.04","2502.48","percent of total billed charges",,
"NF-Kerendia Oral Tablet 10MG","0259","RC","Both",,,"75","37.5","Humana","Commercial",,,"78",,"58.12","0.04","2502.48","percent of total billed charges",,
"NF-Kerendia Oral Tablet 10MG","0259","RC","Both",,,"75","37.5","UHC","Commercial",,,"75",,"56.55","0.04","2502.48","percent of total billed charges",,
"NF-Kerendia Oral Tablet 10MG","0259","RC","Both",,,"75","37.5","Medicaid",,,,"37",,"27.45","0.04","2502.48","percent of total billed charges",,
"NF-MELOXICAM ORAL TAB 15MG","0259","RC","Both",,,"15.18","7.59","Alliant","Health Exchange",,,"62",,"9.41","0.04","2502.48","percent of total billed charges",,
"NF-MELOXICAM ORAL TAB 15MG","0259","RC","Both",,,"15.18","7.59","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.2","0.04","2502.48","percent of total billed charges",,
"NF-MELOXICAM ORAL TAB 15MG","0259","RC","Both",,,"15.18","7.59","Medicare",,,,"54",,"8.23","0.04","2502.48","percent of total billed charges",,
"NF-MELOXICAM ORAL TAB 15MG","0259","RC","Both",,,"15.18","7.59","Humana","Medicare Advantage",,,"54",,"8.23","0.04","2502.48","percent of total billed charges",,
"NF-MELOXICAM ORAL TAB 15MG","0259","RC","Both",,,"15.18","7.59","UHC","Medicare Advantage",,,"54",,"8.23","0.04","2502.48","percent of total billed charges",,
"NF-MELOXICAM ORAL TAB 15MG","0259","RC","Both",,,"15.18","7.59","Clover","Medicare Advantage",,,"54",,"8.23","0.04","2502.48","percent of total billed charges",,
"NF-MELOXICAM ORAL TAB 15MG","0259","RC","Both",,,"15.18","7.59","Wellcare","Medicare Advantage",,,"54",,"8.23","0.04","2502.48","percent of total billed charges",,
"NF-MELOXICAM ORAL TAB 15MG","0259","RC","Both",,,"15.18","7.59","Amerigroup","Medicaid Managed Care",,,"37",,"5.56","0.04","2502.48","percent of total billed charges",,
"NF-MELOXICAM ORAL TAB 15MG","0259","RC","Both",,,"15.18","7.59","Caresource","Medicaid Managed Care",,,"40",,"6.07","0.04","2502.48","percent of total billed charges",,
"NF-MELOXICAM ORAL TAB 15MG","0259","RC","Both",,,"15.18","7.59","Wellcare","Medicaid Managed Care",,,"40",,"6.15","0.04","2502.48","percent of total billed charges",,
"NF-MELOXICAM ORAL TAB 15MG","0259","RC","Both",,,"15.18","7.59","Aetna","Commercial",,,"64",,"9.68","0.04","2502.48","percent of total billed charges",,
"NF-MELOXICAM ORAL TAB 15MG","0259","RC","Both",,,"15.18","7.59","Blue Cross Blue Shield","Pathways",,,"71",,"10.72","0.04","2502.48","percent of total billed charges",,
"NF-MELOXICAM ORAL TAB 15MG","0259","RC","Both",,,"15.18","7.59","Blue Cross Blue Shield","HMO",,,"71",,"10.72","0.04","2502.48","percent of total billed charges",,
"NF-MELOXICAM ORAL TAB 15MG","0259","RC","Both",,,"15.18","7.59","Blue Cross Blue Shield","PPO",,,"71",,"10.72","0.04","2502.48","percent of total billed charges",,
"NF-MELOXICAM ORAL TAB 15MG","0259","RC","Both",,,"15.18","7.59","Ambetter","Health Exchange",,,"62",,"9.41","0.04","2502.48","percent of total billed charges",,
"NF-MELOXICAM ORAL TAB 15MG","0259","RC","Both",,,"15.18","7.59","Caresource","Health Exchange",,,"62",,"9.41","0.04","2502.48","percent of total billed charges",,
"NF-MELOXICAM ORAL TAB 15MG","0259","RC","Both",,,"15.18","7.59","Cigna","Commercial",,,"59",,"8.9","0.04","2502.48","percent of total billed charges",,
"NF-MELOXICAM ORAL TAB 15MG","0259","RC","Both",,,"15.18","7.59","Humana","Commercial",,,"78",,"11.76","0.04","2502.48","percent of total billed charges",,
"NF-MELOXICAM ORAL TAB 15MG","0259","RC","Both",,,"15.18","7.59","UHC","Commercial",,,"75",,"11.45","0.04","2502.48","percent of total billed charges",,
"NF-MELOXICAM ORAL TAB 15MG","0259","RC","Both",,,"15.18","7.59","Medicaid",,,,"37",,"5.56","0.04","2502.48","percent of total billed charges",,
"NF-SENNA PLUS ORAL TABLET 50MG-8.6MG","0259","RC","Both",,,"1.04","0.52","Alliant","Health Exchange",,,"62",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-SENNA PLUS ORAL TABLET 50MG-8.6MG","0259","RC","Both",,,"1.04","0.52","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.56","0.04","2502.48","percent of total billed charges",,
"NF-SENNA PLUS ORAL TABLET 50MG-8.6MG","0259","RC","Both",,,"1.04","0.52","Medicare",,,,"54",,"0.56","0.04","2502.48","percent of total billed charges",,
"NF-SENNA PLUS ORAL TABLET 50MG-8.6MG","0259","RC","Both",,,"1.04","0.52","Humana","Medicare Advantage",,,"54",,"0.56","0.04","2502.48","percent of total billed charges",,
"NF-SENNA PLUS ORAL TABLET 50MG-8.6MG","0259","RC","Both",,,"1.04","0.52","UHC","Medicare Advantage",,,"54",,"0.56","0.04","2502.48","percent of total billed charges",,
"NF-SENNA PLUS ORAL TABLET 50MG-8.6MG","0259","RC","Both",,,"1.04","0.52","Clover","Medicare Advantage",,,"54",,"0.56","0.04","2502.48","percent of total billed charges",,
"NF-SENNA PLUS ORAL TABLET 50MG-8.6MG","0259","RC","Both",,,"1.04","0.52","Wellcare","Medicare Advantage",,,"54",,"0.56","0.04","2502.48","percent of total billed charges",,
"NF-SENNA PLUS ORAL TABLET 50MG-8.6MG","0259","RC","Both",,,"1.04","0.52","Amerigroup","Medicaid Managed Care",,,"37",,"0.38","0.04","2502.48","percent of total billed charges",,
"NF-SENNA PLUS ORAL TABLET 50MG-8.6MG","0259","RC","Both",,,"1.04","0.52","Caresource","Medicaid Managed Care",,,"40",,"0.42","0.04","2502.48","percent of total billed charges",,
"NF-SENNA PLUS ORAL TABLET 50MG-8.6MG","0259","RC","Both",,,"1.04","0.52","Wellcare","Medicaid Managed Care",,,"40",,"0.42","0.04","2502.48","percent of total billed charges",,
"NF-SENNA PLUS ORAL TABLET 50MG-8.6MG","0259","RC","Both",,,"1.04","0.52","Aetna","Commercial",,,"64",,"0.66","0.04","2502.48","percent of total billed charges",,
"NF-SENNA PLUS ORAL TABLET 50MG-8.6MG","0259","RC","Both",,,"1.04","0.52","Blue Cross Blue Shield","Pathways",,,"71",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-SENNA PLUS ORAL TABLET 50MG-8.6MG","0259","RC","Both",,,"1.04","0.52","Blue Cross Blue Shield","HMO",,,"71",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-SENNA PLUS ORAL TABLET 50MG-8.6MG","0259","RC","Both",,,"1.04","0.52","Blue Cross Blue Shield","PPO",,,"71",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-SENNA PLUS ORAL TABLET 50MG-8.6MG","0259","RC","Both",,,"1.04","0.52","Ambetter","Health Exchange",,,"62",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-SENNA PLUS ORAL TABLET 50MG-8.6MG","0259","RC","Both",,,"1.04","0.52","Caresource","Health Exchange",,,"62",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-SENNA PLUS ORAL TABLET 50MG-8.6MG","0259","RC","Both",,,"1.04","0.52","Cigna","Commercial",,,"59",,"0.61","0.04","2502.48","percent of total billed charges",,
"NF-SENNA PLUS ORAL TABLET 50MG-8.6MG","0259","RC","Both",,,"1.04","0.52","Humana","Commercial",,,"78",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-SENNA PLUS ORAL TABLET 50MG-8.6MG","0259","RC","Both",,,"1.04","0.52","UHC","Commercial",,,"75",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-SENNA PLUS ORAL TABLET 50MG-8.6MG","0259","RC","Both",,,"1.04","0.52","Medicaid",,,,"37",,"0.38","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 DIS TAB 125MCG","0259","RC","Both",,,"0.45","0.225","Alliant","Health Exchange",,,"62",,"0.28","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 DIS TAB 125MCG","0259","RC","Both",,,"0.45","0.225","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.24","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 DIS TAB 125MCG","0259","RC","Both",,,"0.45","0.225","Medicare",,,,"54",,"0.24","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 DIS TAB 125MCG","0259","RC","Both",,,"0.45","0.225","Humana","Medicare Advantage",,,"54",,"0.24","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 DIS TAB 125MCG","0259","RC","Both",,,"0.45","0.225","UHC","Medicare Advantage",,,"54",,"0.24","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 DIS TAB 125MCG","0259","RC","Both",,,"0.45","0.225","Clover","Medicare Advantage",,,"54",,"0.24","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 DIS TAB 125MCG","0259","RC","Both",,,"0.45","0.225","Wellcare","Medicare Advantage",,,"54",,"0.24","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 DIS TAB 125MCG","0259","RC","Both",,,"0.45","0.225","Amerigroup","Medicaid Managed Care",,,"37",,"0.16","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 DIS TAB 125MCG","0259","RC","Both",,,"0.45","0.225","Caresource","Medicaid Managed Care",,,"40",,"0.18","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 DIS TAB 125MCG","0259","RC","Both",,,"0.45","0.225","Wellcare","Medicaid Managed Care",,,"40",,"0.18","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 DIS TAB 125MCG","0259","RC","Both",,,"0.45","0.225","Aetna","Commercial",,,"64",,"0.29","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 DIS TAB 125MCG","0259","RC","Both",,,"0.45","0.225","Blue Cross Blue Shield","Pathways",,,"71",,"0.32","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 DIS TAB 125MCG","0259","RC","Both",,,"0.45","0.225","Blue Cross Blue Shield","HMO",,,"71",,"0.32","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 DIS TAB 125MCG","0259","RC","Both",,,"0.45","0.225","Blue Cross Blue Shield","PPO",,,"71",,"0.32","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 DIS TAB 125MCG","0259","RC","Both",,,"0.45","0.225","Ambetter","Health Exchange",,,"62",,"0.28","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 DIS TAB 125MCG","0259","RC","Both",,,"0.45","0.225","Caresource","Health Exchange",,,"62",,"0.28","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 DIS TAB 125MCG","0259","RC","Both",,,"0.45","0.225","Cigna","Commercial",,,"59",,"0.26","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 DIS TAB 125MCG","0259","RC","Both",,,"0.45","0.225","Humana","Commercial",,,"78",,"0.35","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 DIS TAB 125MCG","0259","RC","Both",,,"0.45","0.225","UHC","Commercial",,,"75",,"0.34","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 DIS TAB 125MCG","0259","RC","Both",,,"0.45","0.225","Medicaid",,,,"37",,"0.16","0.04","2502.48","percent of total billed charges",,
"NF-VOLTAREN GEL 1%","0259","RC","Both",,,"2.02","1.01","Alliant","Health Exchange",,,"62",,"1.25","0.04","2502.48","percent of total billed charges",,
"NF-VOLTAREN GEL 1%","0259","RC","Both",,,"2.02","1.01","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.09","0.04","2502.48","percent of total billed charges",,
"NF-VOLTAREN GEL 1%","0259","RC","Both",,,"2.02","1.01","Medicare",,,,"54",,"1.09","0.04","2502.48","percent of total billed charges",,
"NF-VOLTAREN GEL 1%","0259","RC","Both",,,"2.02","1.01","Humana","Medicare Advantage",,,"54",,"1.09","0.04","2502.48","percent of total billed charges",,
"NF-VOLTAREN GEL 1%","0259","RC","Both",,,"2.02","1.01","UHC","Medicare Advantage",,,"54",,"1.09","0.04","2502.48","percent of total billed charges",,
"NF-VOLTAREN GEL 1%","0259","RC","Both",,,"2.02","1.01","Clover","Medicare Advantage",,,"54",,"1.09","0.04","2502.48","percent of total billed charges",,
"NF-VOLTAREN GEL 1%","0259","RC","Both",,,"2.02","1.01","Wellcare","Medicare Advantage",,,"54",,"1.09","0.04","2502.48","percent of total billed charges",,
"NF-VOLTAREN GEL 1%","0259","RC","Both",,,"2.02","1.01","Amerigroup","Medicaid Managed Care",,,"37",,"0.74","0.04","2502.48","percent of total billed charges",,
"NF-VOLTAREN GEL 1%","0259","RC","Both",,,"2.02","1.01","Caresource","Medicaid Managed Care",,,"40",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-VOLTAREN GEL 1%","0259","RC","Both",,,"2.02","1.01","Wellcare","Medicaid Managed Care",,,"40",,"0.82","0.04","2502.48","percent of total billed charges",,
"NF-VOLTAREN GEL 1%","0259","RC","Both",,,"2.02","1.01","Aetna","Commercial",,,"64",,"1.29","0.04","2502.48","percent of total billed charges",,
"NF-VOLTAREN GEL 1%","0259","RC","Both",,,"2.02","1.01","Blue Cross Blue Shield","Pathways",,,"71",,"1.43","0.04","2502.48","percent of total billed charges",,
"NF-VOLTAREN GEL 1%","0259","RC","Both",,,"2.02","1.01","Blue Cross Blue Shield","HMO",,,"71",,"1.43","0.04","2502.48","percent of total billed charges",,
"NF-VOLTAREN GEL 1%","0259","RC","Both",,,"2.02","1.01","Blue Cross Blue Shield","PPO",,,"71",,"1.43","0.04","2502.48","percent of total billed charges",,
"NF-VOLTAREN GEL 1%","0259","RC","Both",,,"2.02","1.01","Ambetter","Health Exchange",,,"62",,"1.25","0.04","2502.48","percent of total billed charges",,
"NF-VOLTAREN GEL 1%","0259","RC","Both",,,"2.02","1.01","Caresource","Health Exchange",,,"62",,"1.25","0.04","2502.48","percent of total billed charges",,
"NF-VOLTAREN GEL 1%","0259","RC","Both",,,"2.02","1.01","Cigna","Commercial",,,"59",,"1.18","0.04","2502.48","percent of total billed charges",,
"NF-VOLTAREN GEL 1%","0259","RC","Both",,,"2.02","1.01","Humana","Commercial",,,"78",,"1.57","0.04","2502.48","percent of total billed charges",,
"NF-VOLTAREN GEL 1%","0259","RC","Both",,,"2.02","1.01","UHC","Commercial",,,"75",,"1.52","0.04","2502.48","percent of total billed charges",,
"NF-VOLTAREN GEL 1%","0259","RC","Both",,,"2.02","1.01","Medicaid",,,,"37",,"0.74","0.04","2502.48","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","0259","RC","Both",,,"54","27","Alliant","Health Exchange",,,"62",,"33.48","0.04","2502.48","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","0259","RC","Both",,,"54","27","Pruitt Healthcare","Medicare Advantage",,,"54",,"29.16","0.04","2502.48","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","0259","RC","Both",,,"54","27","Medicare",,,,"54",,"29.27","0.04","2502.48","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","0259","RC","Both",,,"54","27","Humana","Medicare Advantage",,,"54",,"29.27","0.04","2502.48","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","0259","RC","Both",,,"54","27","UHC","Medicare Advantage",,,"54",,"29.27","0.04","2502.48","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","0259","RC","Both",,,"54","27","Clover","Medicare Advantage",,,"54",,"29.27","0.04","2502.48","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","0259","RC","Both",,,"54","27","Wellcare","Medicare Advantage",,,"54",,"29.27","0.04","2502.48","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","0259","RC","Both",,,"54","27","Amerigroup","Medicaid Managed Care",,,"37",,"19.76","0.04","2502.48","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","0259","RC","Both",,,"54","27","Caresource","Medicaid Managed Care",,,"40",,"21.6","0.04","2502.48","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","0259","RC","Both",,,"54","27","Wellcare","Medicaid Managed Care",,,"40",,"21.87","0.04","2502.48","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","0259","RC","Both",,,"54","27","Aetna","Commercial",,,"64",,"34.45","0.04","2502.48","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","0259","RC","Both",,,"54","27","Blue Cross Blue Shield","Pathways",,,"71",,"38.12","0.04","2502.48","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","0259","RC","Both",,,"54","27","Blue Cross Blue Shield","HMO",,,"71",,"38.12","0.04","2502.48","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","0259","RC","Both",,,"54","27","Blue Cross Blue Shield","PPO",,,"71",,"38.12","0.04","2502.48","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","0259","RC","Both",,,"54","27","Ambetter","Health Exchange",,,"62",,"33.48","0.04","2502.48","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","0259","RC","Both",,,"54","27","Caresource","Health Exchange",,,"62",,"33.48","0.04","2502.48","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","0259","RC","Both",,,"54","27","Cigna","Commercial",,,"59",,"31.64","0.04","2502.48","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","0259","RC","Both",,,"54","27","Humana","Commercial",,,"78",,"41.85","0.04","2502.48","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","0259","RC","Both",,,"54","27","UHC","Commercial",,,"75",,"40.72","0.04","2502.48","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","0259","RC","Both",,,"54","27","Medicaid",,,,"37",,"19.76","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","0259","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","0259","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","0259","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","0259","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","0259","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","0259","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","0259","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","0259","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","0259","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","0259","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","0259","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","0259","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","0259","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","0259","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","0259","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","0259","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","0259","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"53","26.5","Alliant","Health Exchange",,,"62",,"32.86","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"53","26.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.62","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"53","26.5","Medicare",,,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"53","26.5","Humana","Medicare Advantage",,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"53","26.5","UHC","Medicare Advantage",,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"53","26.5","Clover","Medicare Advantage",,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"53","26.5","Wellcare","Medicare Advantage",,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"53","26.5","Amerigroup","Medicaid Managed Care",,,"37",,"19.4","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"53","26.5","Caresource","Medicaid Managed Care",,,"40",,"21.2","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"53","26.5","Wellcare","Medicaid Managed Care",,,"40",,"21.46","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"53","26.5","Aetna","Commercial",,,"64",,"33.81","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"53","26.5","Blue Cross Blue Shield","Pathways",,,"71",,"37.42","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"53","26.5","Blue Cross Blue Shield","HMO",,,"71",,"37.42","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"53","26.5","Blue Cross Blue Shield","PPO",,,"71",,"37.42","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"53","26.5","Ambetter","Health Exchange",,,"62",,"32.86","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"53","26.5","Caresource","Health Exchange",,,"62",,"32.86","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"53","26.5","Cigna","Commercial",,,"59",,"31.06","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"53","26.5","Humana","Commercial",,,"78",,"41.08","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"53","26.5","UHC","Commercial",,,"75",,"39.96","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"53","26.5","Medicaid",,,,"37",,"19.4","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Alliant","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.52","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Medicare",,,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Humana","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","UHC","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Clover","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Wellcare","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Amerigroup","Medicaid Managed Care",,,"37",,"13.91","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Caresource","Medicaid Managed Care",,,"40",,"15.2","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Wellcare","Medicaid Managed Care",,,"40",,"15.39","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Aetna","Commercial",,,"64",,"24.24","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","Pathways",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","HMO",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","PPO",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Ambetter","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Caresource","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Cigna","Commercial",,,"59",,"22.27","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Humana","Commercial",,,"78",,"29.45","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","UHC","Commercial",,,"75",,"28.65","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Medicaid",,,,"37",,"13.91","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Alliant","Health Exchange",,,"62",,"28.52","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Pruitt Healthcare","Medicare Advantage",,,"54",,"24.84","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Medicare",,,,"54",,"24.93","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Humana","Medicare Advantage",,,"54",,"24.93","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","UHC","Medicare Advantage",,,"54",,"24.93","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Clover","Medicare Advantage",,,"54",,"24.93","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Wellcare","Medicare Advantage",,,"54",,"24.93","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Amerigroup","Medicaid Managed Care",,,"37",,"16.84","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Caresource","Medicaid Managed Care",,,"40",,"18.4","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Wellcare","Medicaid Managed Care",,,"40",,"18.63","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Aetna","Commercial",,,"64",,"29.35","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Blue Cross Blue Shield","Pathways",,,"71",,"32.48","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Blue Cross Blue Shield","HMO",,,"71",,"32.48","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Blue Cross Blue Shield","PPO",,,"71",,"32.48","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Ambetter","Health Exchange",,,"62",,"28.52","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Caresource","Health Exchange",,,"62",,"28.52","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Cigna","Commercial",,,"59",,"26.96","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Humana","Commercial",,,"78",,"35.65","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","UHC","Commercial",,,"75",,"34.68","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Medicaid",,,,"37",,"16.84","0.04","2502.48","percent of total billed charges",,
"NF-Fluticasone/Salmeterol Inh 500/50","0259","RC","Both",,,"29","14.5","Alliant","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Fluticasone/Salmeterol Inh 500/50","0259","RC","Both",,,"29","14.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.66","0.04","2502.48","percent of total billed charges",,
"NF-Fluticasone/Salmeterol Inh 500/50","0259","RC","Both",,,"29","14.5","Medicare",,,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Fluticasone/Salmeterol Inh 500/50","0259","RC","Both",,,"29","14.5","Humana","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Fluticasone/Salmeterol Inh 500/50","0259","RC","Both",,,"29","14.5","UHC","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Fluticasone/Salmeterol Inh 500/50","0259","RC","Both",,,"29","14.5","Clover","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Fluticasone/Salmeterol Inh 500/50","0259","RC","Both",,,"29","14.5","Wellcare","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Fluticasone/Salmeterol Inh 500/50","0259","RC","Both",,,"29","14.5","Amerigroup","Medicaid Managed Care",,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Fluticasone/Salmeterol Inh 500/50","0259","RC","Both",,,"29","14.5","Caresource","Medicaid Managed Care",,,"40",,"11.6","0.04","2502.48","percent of total billed charges",,
"NF-Fluticasone/Salmeterol Inh 500/50","0259","RC","Both",,,"29","14.5","Wellcare","Medicaid Managed Care",,,"40",,"11.74","0.04","2502.48","percent of total billed charges",,
"NF-Fluticasone/Salmeterol Inh 500/50","0259","RC","Both",,,"29","14.5","Aetna","Commercial",,,"64",,"18.5","0.04","2502.48","percent of total billed charges",,
"NF-Fluticasone/Salmeterol Inh 500/50","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","Pathways",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Fluticasone/Salmeterol Inh 500/50","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","HMO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Fluticasone/Salmeterol Inh 500/50","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","PPO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Fluticasone/Salmeterol Inh 500/50","0259","RC","Both",,,"29","14.5","Ambetter","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Fluticasone/Salmeterol Inh 500/50","0259","RC","Both",,,"29","14.5","Caresource","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Fluticasone/Salmeterol Inh 500/50","0259","RC","Both",,,"29","14.5","Cigna","Commercial",,,"59",,"16.99","0.04","2502.48","percent of total billed charges",,
"NF-Fluticasone/Salmeterol Inh 500/50","0259","RC","Both",,,"29","14.5","Humana","Commercial",,,"78",,"22.48","0.04","2502.48","percent of total billed charges",,
"NF-Fluticasone/Salmeterol Inh 500/50","0259","RC","Both",,,"29","14.5","UHC","Commercial",,,"75",,"21.87","0.04","2502.48","percent of total billed charges",,
"NF-Fluticasone/Salmeterol Inh 500/50","0259","RC","Both",,,"29","14.5","Medicaid",,,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Wixela Inhub Inhalation Disk 500/50","0259","RC","Both",,,"29","14.5","Alliant","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Wixela Inhub Inhalation Disk 500/50","0259","RC","Both",,,"29","14.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.66","0.04","2502.48","percent of total billed charges",,
"NF-Wixela Inhub Inhalation Disk 500/50","0259","RC","Both",,,"29","14.5","Medicare",,,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Wixela Inhub Inhalation Disk 500/50","0259","RC","Both",,,"29","14.5","Humana","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Wixela Inhub Inhalation Disk 500/50","0259","RC","Both",,,"29","14.5","UHC","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Wixela Inhub Inhalation Disk 500/50","0259","RC","Both",,,"29","14.5","Clover","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Wixela Inhub Inhalation Disk 500/50","0259","RC","Both",,,"29","14.5","Wellcare","Medicare Advantage",,,"54",,"15.72","0.04","2502.48","percent of total billed charges",,
"NF-Wixela Inhub Inhalation Disk 500/50","0259","RC","Both",,,"29","14.5","Amerigroup","Medicaid Managed Care",,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Wixela Inhub Inhalation Disk 500/50","0259","RC","Both",,,"29","14.5","Caresource","Medicaid Managed Care",,,"40",,"11.6","0.04","2502.48","percent of total billed charges",,
"NF-Wixela Inhub Inhalation Disk 500/50","0259","RC","Both",,,"29","14.5","Wellcare","Medicaid Managed Care",,,"40",,"11.74","0.04","2502.48","percent of total billed charges",,
"NF-Wixela Inhub Inhalation Disk 500/50","0259","RC","Both",,,"29","14.5","Aetna","Commercial",,,"64",,"18.5","0.04","2502.48","percent of total billed charges",,
"NF-Wixela Inhub Inhalation Disk 500/50","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","Pathways",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Wixela Inhub Inhalation Disk 500/50","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","HMO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Wixela Inhub Inhalation Disk 500/50","0259","RC","Both",,,"29","14.5","Blue Cross Blue Shield","PPO",,,"71",,"20.47","0.04","2502.48","percent of total billed charges",,
"NF-Wixela Inhub Inhalation Disk 500/50","0259","RC","Both",,,"29","14.5","Ambetter","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Wixela Inhub Inhalation Disk 500/50","0259","RC","Both",,,"29","14.5","Caresource","Health Exchange",,,"62",,"17.98","0.04","2502.48","percent of total billed charges",,
"NF-Wixela Inhub Inhalation Disk 500/50","0259","RC","Both",,,"29","14.5","Cigna","Commercial",,,"59",,"16.99","0.04","2502.48","percent of total billed charges",,
"NF-Wixela Inhub Inhalation Disk 500/50","0259","RC","Both",,,"29","14.5","Humana","Commercial",,,"78",,"22.48","0.04","2502.48","percent of total billed charges",,
"NF-Wixela Inhub Inhalation Disk 500/50","0259","RC","Both",,,"29","14.5","UHC","Commercial",,,"75",,"21.87","0.04","2502.48","percent of total billed charges",,
"NF-Wixela Inhub Inhalation Disk 500/50","0259","RC","Both",,,"29","14.5","Medicaid",,,,"37",,"10.61","0.04","2502.48","percent of total billed charges",,
"NF-Colestid Oral Tablet 1GM","0259","RC","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Colestid Oral Tablet 1GM","0259","RC","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","0.04","2502.48","percent of total billed charges",,
"NF-Colestid Oral Tablet 1GM","0259","RC","Both",,,"8","4","Medicare",,,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Colestid Oral Tablet 1GM","0259","RC","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Colestid Oral Tablet 1GM","0259","RC","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Colestid Oral Tablet 1GM","0259","RC","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Colestid Oral Tablet 1GM","0259","RC","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Colestid Oral Tablet 1GM","0259","RC","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Colestid Oral Tablet 1GM","0259","RC","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","0.04","2502.48","percent of total billed charges",,
"NF-Colestid Oral Tablet 1GM","0259","RC","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-Colestid Oral Tablet 1GM","0259","RC","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","0.04","2502.48","percent of total billed charges",,
"NF-Colestid Oral Tablet 1GM","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Colestid Oral Tablet 1GM","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Colestid Oral Tablet 1GM","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Colestid Oral Tablet 1GM","0259","RC","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Colestid Oral Tablet 1GM","0259","RC","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Colestid Oral Tablet 1GM","0259","RC","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","0.04","2502.48","percent of total billed charges",,
"NF-Colestid Oral Tablet 1GM","0259","RC","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Colestid Oral Tablet 1GM","0259","RC","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","0.04","2502.48","percent of total billed charges",,
"NF-Colestid Oral Tablet 1GM","0259","RC","Both",,,"8","4","Medicaid",,,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","0259","RC","Both",,,"54","27","Alliant","Health Exchange",,,"62",,"33.48","0.04","2502.48","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","0259","RC","Both",,,"54","27","Pruitt Healthcare","Medicare Advantage",,,"54",,"29.16","0.04","2502.48","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","0259","RC","Both",,,"54","27","Medicare",,,,"54",,"29.27","0.04","2502.48","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","0259","RC","Both",,,"54","27","Humana","Medicare Advantage",,,"54",,"29.27","0.04","2502.48","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","0259","RC","Both",,,"54","27","UHC","Medicare Advantage",,,"54",,"29.27","0.04","2502.48","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","0259","RC","Both",,,"54","27","Clover","Medicare Advantage",,,"54",,"29.27","0.04","2502.48","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","0259","RC","Both",,,"54","27","Wellcare","Medicare Advantage",,,"54",,"29.27","0.04","2502.48","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","0259","RC","Both",,,"54","27","Amerigroup","Medicaid Managed Care",,,"37",,"19.76","0.04","2502.48","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","0259","RC","Both",,,"54","27","Caresource","Medicaid Managed Care",,,"40",,"21.6","0.04","2502.48","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","0259","RC","Both",,,"54","27","Wellcare","Medicaid Managed Care",,,"40",,"21.87","0.04","2502.48","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","0259","RC","Both",,,"54","27","Aetna","Commercial",,,"64",,"34.45","0.04","2502.48","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","0259","RC","Both",,,"54","27","Blue Cross Blue Shield","Pathways",,,"71",,"38.12","0.04","2502.48","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","0259","RC","Both",,,"54","27","Blue Cross Blue Shield","HMO",,,"71",,"38.12","0.04","2502.48","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","0259","RC","Both",,,"54","27","Blue Cross Blue Shield","PPO",,,"71",,"38.12","0.04","2502.48","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","0259","RC","Both",,,"54","27","Ambetter","Health Exchange",,,"62",,"33.48","0.04","2502.48","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","0259","RC","Both",,,"54","27","Caresource","Health Exchange",,,"62",,"33.48","0.04","2502.48","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","0259","RC","Both",,,"54","27","Cigna","Commercial",,,"59",,"31.64","0.04","2502.48","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","0259","RC","Both",,,"54","27","Humana","Commercial",,,"78",,"41.85","0.04","2502.48","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","0259","RC","Both",,,"54","27","UHC","Commercial",,,"75",,"40.72","0.04","2502.48","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","0259","RC","Both",,,"54","27","Medicaid",,,,"37",,"19.76","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","0259","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","0259","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","0259","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","0259","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","0259","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","0259","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","0259","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","0259","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","0259","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","0259","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","0259","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","0259","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","0259","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","0259","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","0259","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","0259","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","0259","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"53","26.5","Alliant","Health Exchange",,,"62",,"32.86","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"53","26.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.62","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"53","26.5","Medicare",,,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"53","26.5","Humana","Medicare Advantage",,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"53","26.5","UHC","Medicare Advantage",,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"53","26.5","Clover","Medicare Advantage",,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"53","26.5","Wellcare","Medicare Advantage",,,"54",,"28.73","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"53","26.5","Amerigroup","Medicaid Managed Care",,,"37",,"19.4","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"53","26.5","Caresource","Medicaid Managed Care",,,"40",,"21.2","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"53","26.5","Wellcare","Medicaid Managed Care",,,"40",,"21.46","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"53","26.5","Aetna","Commercial",,,"64",,"33.81","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"53","26.5","Blue Cross Blue Shield","Pathways",,,"71",,"37.42","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"53","26.5","Blue Cross Blue Shield","HMO",,,"71",,"37.42","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"53","26.5","Blue Cross Blue Shield","PPO",,,"71",,"37.42","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"53","26.5","Ambetter","Health Exchange",,,"62",,"32.86","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"53","26.5","Caresource","Health Exchange",,,"62",,"32.86","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"53","26.5","Cigna","Commercial",,,"59",,"31.06","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"53","26.5","Humana","Commercial",,,"78",,"41.08","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"53","26.5","UHC","Commercial",,,"75",,"39.96","0.04","2502.48","percent of total billed charges",,
"NF-Myrbetriq Oral Tablet 50MG","0259","RC","Both",,,"53","26.5","Medicaid",,,,"37",,"19.4","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Alliant","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.52","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Medicare",,,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Humana","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","UHC","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Clover","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Wellcare","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Amerigroup","Medicaid Managed Care",,,"37",,"13.91","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Caresource","Medicaid Managed Care",,,"40",,"15.2","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Wellcare","Medicaid Managed Care",,,"40",,"15.39","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Aetna","Commercial",,,"64",,"24.24","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","Pathways",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","HMO",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","PPO",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Ambetter","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Caresource","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Cigna","Commercial",,,"59",,"22.27","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Humana","Commercial",,,"78",,"29.45","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","UHC","Commercial",,,"75",,"28.65","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Medicaid",,,,"37",,"13.91","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Alliant","Health Exchange",,,"62",,"28.52","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Pruitt Healthcare","Medicare Advantage",,,"54",,"24.84","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Medicare",,,,"54",,"24.93","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Humana","Medicare Advantage",,,"54",,"24.93","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","UHC","Medicare Advantage",,,"54",,"24.93","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Clover","Medicare Advantage",,,"54",,"24.93","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Wellcare","Medicare Advantage",,,"54",,"24.93","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Amerigroup","Medicaid Managed Care",,,"37",,"16.84","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Caresource","Medicaid Managed Care",,,"40",,"18.4","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Wellcare","Medicaid Managed Care",,,"40",,"18.63","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Aetna","Commercial",,,"64",,"29.35","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Blue Cross Blue Shield","Pathways",,,"71",,"32.48","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Blue Cross Blue Shield","HMO",,,"71",,"32.48","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Blue Cross Blue Shield","PPO",,,"71",,"32.48","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Ambetter","Health Exchange",,,"62",,"28.52","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Caresource","Health Exchange",,,"62",,"28.52","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Cigna","Commercial",,,"59",,"26.96","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Humana","Commercial",,,"78",,"35.65","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","UHC","Commercial",,,"75",,"34.68","0.04","2502.48","percent of total billed charges",,
"NF-VESIcare Oral Tablet 10MG","0259","RC","Both",,,"46","23","Medicaid",,,,"37",,"16.84","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0250","RC","Both",,,"40","20","Alliant","Health Exchange",,,"62",,"24.8","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0250","RC","Both",,,"40","20","Pruitt Healthcare","Medicare Advantage",,,"54",,"21.6","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0250","RC","Both",,,"40","20","Medicare",,,,"54",,"21.68","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0250","RC","Both",,,"40","20","Humana","Medicare Advantage",,,"54",,"21.68","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0250","RC","Both",,,"40","20","UHC","Medicare Advantage",,,"54",,"21.68","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0250","RC","Both",,,"40","20","Clover","Medicare Advantage",,,"54",,"21.68","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0250","RC","Both",,,"40","20","Wellcare","Medicare Advantage",,,"54",,"21.68","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0250","RC","Both",,,"40","20","Amerigroup","Medicaid Managed Care",,,"37",,"14.64","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0250","RC","Both",,,"40","20","Caresource","Medicaid Managed Care",,,"40",,"16","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0250","RC","Both",,,"40","20","Wellcare","Medicaid Managed Care",,,"40",,"16.2","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0250","RC","Both",,,"40","20","Aetna","Commercial",,,"64",,"25.52","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0250","RC","Both",,,"40","20","Blue Cross Blue Shield","Pathways",,,"71",,"28.24","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0250","RC","Both",,,"40","20","Blue Cross Blue Shield","HMO",,,"71",,"28.24","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0250","RC","Both",,,"40","20","Blue Cross Blue Shield","PPO",,,"71",,"28.24","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0250","RC","Both",,,"40","20","Ambetter","Health Exchange",,,"62",,"24.8","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0250","RC","Both",,,"40","20","Caresource","Health Exchange",,,"62",,"24.8","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0250","RC","Both",,,"40","20","Cigna","Commercial",,,"59",,"23.44","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0250","RC","Both",,,"40","20","Humana","Commercial",,,"78",,"31","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0250","RC","Both",,,"40","20","UHC","Commercial",,,"75",,"30.16","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0250","RC","Both",,,"40","20","Medicaid",,,,"37",,"14.64","0.04","569.62","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0250","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.04","569.62","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0250","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.04","569.62","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0250","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.04","569.62","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0250","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.04","569.62","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0250","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.04","569.62","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0250","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.04","569.62","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0250","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.04","569.62","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0250","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.04","569.62","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0250","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.04","569.62","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0250","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.04","569.62","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0250","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.04","569.62","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0250","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.04","569.62","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0250","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.04","569.62","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0250","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.04","569.62","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0250","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.04","569.62","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0250","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.04","569.62","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0250","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.04","569.62","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0250","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.04","569.62","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0250","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.04","569.62","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0250","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.04","569.62","percent of total billed charges",,
"NF-Prasugrel Hydrochloride Oral Tablet 1","0259","RC","Both",,,"49","24.5","Alliant","Health Exchange",,,"62",,"30.38","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Hydrochloride Oral Tablet 1","0259","RC","Both",,,"49","24.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"26.46","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Hydrochloride Oral Tablet 1","0259","RC","Both",,,"49","24.5","Medicare",,,,"54",,"26.56","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Hydrochloride Oral Tablet 1","0259","RC","Both",,,"49","24.5","Humana","Medicare Advantage",,,"54",,"26.56","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Hydrochloride Oral Tablet 1","0259","RC","Both",,,"49","24.5","UHC","Medicare Advantage",,,"54",,"26.56","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Hydrochloride Oral Tablet 1","0259","RC","Both",,,"49","24.5","Clover","Medicare Advantage",,,"54",,"26.56","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Hydrochloride Oral Tablet 1","0259","RC","Both",,,"49","24.5","Wellcare","Medicare Advantage",,,"54",,"26.56","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Hydrochloride Oral Tablet 1","0259","RC","Both",,,"49","24.5","Amerigroup","Medicaid Managed Care",,,"37",,"17.93","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Hydrochloride Oral Tablet 1","0259","RC","Both",,,"49","24.5","Caresource","Medicaid Managed Care",,,"40",,"19.6","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Hydrochloride Oral Tablet 1","0259","RC","Both",,,"49","24.5","Wellcare","Medicaid Managed Care",,,"40",,"19.85","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Hydrochloride Oral Tablet 1","0259","RC","Both",,,"49","24.5","Aetna","Commercial",,,"64",,"31.26","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Hydrochloride Oral Tablet 1","0259","RC","Both",,,"49","24.5","Blue Cross Blue Shield","Pathways",,,"71",,"34.59","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Hydrochloride Oral Tablet 1","0259","RC","Both",,,"49","24.5","Blue Cross Blue Shield","HMO",,,"71",,"34.59","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Hydrochloride Oral Tablet 1","0259","RC","Both",,,"49","24.5","Blue Cross Blue Shield","PPO",,,"71",,"34.59","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Hydrochloride Oral Tablet 1","0259","RC","Both",,,"49","24.5","Ambetter","Health Exchange",,,"62",,"30.38","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Hydrochloride Oral Tablet 1","0259","RC","Both",,,"49","24.5","Caresource","Health Exchange",,,"62",,"30.38","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Hydrochloride Oral Tablet 1","0259","RC","Both",,,"49","24.5","Cigna","Commercial",,,"59",,"28.71","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Hydrochloride Oral Tablet 1","0259","RC","Both",,,"49","24.5","Humana","Commercial",,,"78",,"37.98","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Hydrochloride Oral Tablet 1","0259","RC","Both",,,"49","24.5","UHC","Commercial",,,"75",,"36.95","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Hydrochloride Oral Tablet 1","0259","RC","Both",,,"49","24.5","Medicaid",,,,"37",,"17.93","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","0259","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","0259","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","0259","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","0259","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","0259","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","0259","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","0259","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","0259","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","0259","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","0259","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","0259","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","0259","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","0259","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","0259","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","0259","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","0259","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.04","2502.48","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","0259","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Alliant","Health Exchange",,,"62",,"10.54","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.18","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Medicare",,,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Humana","Medicare Advantage",,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","UHC","Medicare Advantage",,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Clover","Medicare Advantage",,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Wellcare","Medicare Advantage",,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.22","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Caresource","Medicaid Managed Care",,,"40",,"6.8","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Wellcare","Medicaid Managed Care",,,"40",,"6.89","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Aetna","Commercial",,,"64",,"10.85","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways",,,"71",,"12","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Blue Cross Blue Shield","HMO",,,"71",,"12","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Blue Cross Blue Shield","PPO",,,"71",,"12","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Ambetter","Health Exchange",,,"62",,"10.54","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Caresource","Health Exchange",,,"62",,"10.54","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Cigna","Commercial",,,"59",,"9.96","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Humana","Commercial",,,"78",,"13.18","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","UHC","Commercial",,,"75",,"12.82","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Medicaid",,,,"37",,"6.22","0.04","2502.48","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 100MG","0250","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.04","569.62","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 100MG","0250","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.04","569.62","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 100MG","0250","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 100MG","0250","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 100MG","0250","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 100MG","0250","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 100MG","0250","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 100MG","0250","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.04","569.62","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 100MG","0250","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.04","569.62","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 100MG","0250","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.04","569.62","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 100MG","0250","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.04","569.62","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 100MG","0250","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.04","569.62","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 100MG","0250","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.04","569.62","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 100MG","0250","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.04","569.62","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 100MG","0250","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.04","569.62","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 100MG","0250","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.04","569.62","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 100MG","0250","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.04","569.62","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 100MG","0250","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.04","569.62","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 100MG","0250","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.04","569.62","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 100MG","0250","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.04","569.62","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 40MG","0250","RC","Both",,,"28","14","Alliant","Health Exchange",,,"62",,"17.36","0.04","569.62","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 40MG","0250","RC","Both",,,"28","14","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.12","0.04","569.62","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 40MG","0250","RC","Both",,,"28","14","Medicare",,,,"54",,"15.18","0.04","569.62","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 40MG","0250","RC","Both",,,"28","14","Humana","Medicare Advantage",,,"54",,"15.18","0.04","569.62","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 40MG","0250","RC","Both",,,"28","14","UHC","Medicare Advantage",,,"54",,"15.18","0.04","569.62","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 40MG","0250","RC","Both",,,"28","14","Clover","Medicare Advantage",,,"54",,"15.18","0.04","569.62","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 40MG","0250","RC","Both",,,"28","14","Wellcare","Medicare Advantage",,,"54",,"15.18","0.04","569.62","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 40MG","0250","RC","Both",,,"28","14","Amerigroup","Medicaid Managed Care",,,"37",,"10.25","0.04","569.62","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 40MG","0250","RC","Both",,,"28","14","Caresource","Medicaid Managed Care",,,"40",,"11.2","0.04","569.62","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 40MG","0250","RC","Both",,,"28","14","Wellcare","Medicaid Managed Care",,,"40",,"11.34","0.04","569.62","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 40MG","0250","RC","Both",,,"28","14","Aetna","Commercial",,,"64",,"17.86","0.04","569.62","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 40MG","0250","RC","Both",,,"28","14","Blue Cross Blue Shield","Pathways",,,"71",,"19.77","0.04","569.62","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 40MG","0250","RC","Both",,,"28","14","Blue Cross Blue Shield","HMO",,,"71",,"19.77","0.04","569.62","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 40MG","0250","RC","Both",,,"28","14","Blue Cross Blue Shield","PPO",,,"71",,"19.77","0.04","569.62","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 40MG","0250","RC","Both",,,"28","14","Ambetter","Health Exchange",,,"62",,"17.36","0.04","569.62","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 40MG","0250","RC","Both",,,"28","14","Caresource","Health Exchange",,,"62",,"17.36","0.04","569.62","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 40MG","0250","RC","Both",,,"28","14","Cigna","Commercial",,,"59",,"16.41","0.04","569.62","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 40MG","0250","RC","Both",,,"28","14","Humana","Commercial",,,"78",,"21.7","0.04","569.62","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 40MG","0250","RC","Both",,,"28","14","UHC","Commercial",,,"75",,"21.11","0.04","569.62","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 40MG","0250","RC","Both",,,"28","14","Medicaid",,,,"37",,"10.25","0.04","569.62","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"8","4","Medicare",,,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","0259","RC","Both",,,"8","4","Medicaid",,,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Solifenacin Succinate Oral Tablet 10M","0259","RC","Both",,,"74","37","Alliant","Health Exchange",,,"62",,"45.88","0.04","2502.48","percent of total billed charges",,
"NF-Solifenacin Succinate Oral Tablet 10M","0259","RC","Both",,,"74","37","Pruitt Healthcare","Medicare Advantage",,,"54",,"39.96","0.04","2502.48","percent of total billed charges",,
"NF-Solifenacin Succinate Oral Tablet 10M","0259","RC","Both",,,"74","37","Medicare",,,,"54",,"40.11","0.04","2502.48","percent of total billed charges",,
"NF-Solifenacin Succinate Oral Tablet 10M","0259","RC","Both",,,"74","37","Humana","Medicare Advantage",,,"54",,"40.11","0.04","2502.48","percent of total billed charges",,
"NF-Solifenacin Succinate Oral Tablet 10M","0259","RC","Both",,,"74","37","UHC","Medicare Advantage",,,"54",,"40.11","0.04","2502.48","percent of total billed charges",,
"NF-Solifenacin Succinate Oral Tablet 10M","0259","RC","Both",,,"74","37","Clover","Medicare Advantage",,,"54",,"40.11","0.04","2502.48","percent of total billed charges",,
"NF-Solifenacin Succinate Oral Tablet 10M","0259","RC","Both",,,"74","37","Wellcare","Medicare Advantage",,,"54",,"40.11","0.04","2502.48","percent of total billed charges",,
"NF-Solifenacin Succinate Oral Tablet 10M","0259","RC","Both",,,"74","37","Amerigroup","Medicaid Managed Care",,,"37",,"27.08","0.04","2502.48","percent of total billed charges",,
"NF-Solifenacin Succinate Oral Tablet 10M","0259","RC","Both",,,"74","37","Caresource","Medicaid Managed Care",,,"40",,"29.6","0.04","2502.48","percent of total billed charges",,
"NF-Solifenacin Succinate Oral Tablet 10M","0259","RC","Both",,,"74","37","Wellcare","Medicaid Managed Care",,,"40",,"29.97","0.04","2502.48","percent of total billed charges",,
"NF-Solifenacin Succinate Oral Tablet 10M","0259","RC","Both",,,"74","37","Aetna","Commercial",,,"64",,"47.21","0.04","2502.48","percent of total billed charges",,
"NF-Solifenacin Succinate Oral Tablet 10M","0259","RC","Both",,,"74","37","Blue Cross Blue Shield","Pathways",,,"71",,"52.24","0.04","2502.48","percent of total billed charges",,
"NF-Solifenacin Succinate Oral Tablet 10M","0259","RC","Both",,,"74","37","Blue Cross Blue Shield","HMO",,,"71",,"52.24","0.04","2502.48","percent of total billed charges",,
"NF-Solifenacin Succinate Oral Tablet 10M","0259","RC","Both",,,"74","37","Blue Cross Blue Shield","PPO",,,"71",,"52.24","0.04","2502.48","percent of total billed charges",,
"NF-Solifenacin Succinate Oral Tablet 10M","0259","RC","Both",,,"74","37","Ambetter","Health Exchange",,,"62",,"45.88","0.04","2502.48","percent of total billed charges",,
"NF-Solifenacin Succinate Oral Tablet 10M","0259","RC","Both",,,"74","37","Caresource","Health Exchange",,,"62",,"45.88","0.04","2502.48","percent of total billed charges",,
"NF-Solifenacin Succinate Oral Tablet 10M","0259","RC","Both",,,"74","37","Cigna","Commercial",,,"59",,"43.36","0.04","2502.48","percent of total billed charges",,
"NF-Solifenacin Succinate Oral Tablet 10M","0259","RC","Both",,,"74","37","Humana","Commercial",,,"78",,"57.35","0.04","2502.48","percent of total billed charges",,
"NF-Solifenacin Succinate Oral Tablet 10M","0259","RC","Both",,,"74","37","UHC","Commercial",,,"75",,"55.8","0.04","2502.48","percent of total billed charges",,
"NF-Solifenacin Succinate Oral Tablet 10M","0259","RC","Both",,,"74","37","Medicaid",,,,"37",,"27.08","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"63","31.5","Alliant","Health Exchange",,,"62",,"39.06","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"63","31.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"34.02","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"63","31.5","Medicare",,,,"54",,"34.15","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"63","31.5","Humana","Medicare Advantage",,,"54",,"34.15","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"63","31.5","UHC","Medicare Advantage",,,"54",,"34.15","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"63","31.5","Clover","Medicare Advantage",,,"54",,"34.15","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"63","31.5","Wellcare","Medicare Advantage",,,"54",,"34.15","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"63","31.5","Amerigroup","Medicaid Managed Care",,,"37",,"23.06","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"63","31.5","Caresource","Medicaid Managed Care",,,"40",,"25.2","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"63","31.5","Wellcare","Medicaid Managed Care",,,"40",,"25.52","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"63","31.5","Aetna","Commercial",,,"64",,"40.19","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"63","31.5","Blue Cross Blue Shield","Pathways",,,"71",,"44.48","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"63","31.5","Blue Cross Blue Shield","HMO",,,"71",,"44.48","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"63","31.5","Blue Cross Blue Shield","PPO",,,"71",,"44.48","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"63","31.5","Ambetter","Health Exchange",,,"62",,"39.06","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"63","31.5","Caresource","Health Exchange",,,"62",,"39.06","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"63","31.5","Cigna","Commercial",,,"59",,"36.92","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"63","31.5","Humana","Commercial",,,"78",,"48.82","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"63","31.5","UHC","Commercial",,,"75",,"47.5","0.04","2502.48","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","0259","RC","Both",,,"63","31.5","Medicaid",,,,"37",,"23.06","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0259","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0259","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0259","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0259","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0259","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0259","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0259","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0259","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0259","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0259","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0259","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0259","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0259","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0259","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0259","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0259","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0259","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Alliant","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.52","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Medicare",,,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Humana","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","UHC","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Clover","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Wellcare","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Amerigroup","Medicaid Managed Care",,,"37",,"13.91","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Caresource","Medicaid Managed Care",,,"40",,"15.2","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Wellcare","Medicaid Managed Care",,,"40",,"15.39","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Aetna","Commercial",,,"64",,"24.24","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","Pathways",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","HMO",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","PPO",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Ambetter","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Caresource","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Cigna","Commercial",,,"59",,"22.27","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Humana","Commercial",,,"78",,"29.45","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","UHC","Commercial",,,"75",,"28.65","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Medicaid",,,,"37",,"13.91","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"13","6.5","Alliant","Health Exchange",,,"62",,"8.06","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"13","6.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.02","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"13","6.5","Medicare",,,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"13","6.5","Humana","Medicare Advantage",,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"13","6.5","UHC","Medicare Advantage",,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"13","6.5","Clover","Medicare Advantage",,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"13","6.5","Wellcare","Medicare Advantage",,,"54",,"7.05","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"13","6.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.76","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"13","6.5","Caresource","Medicaid Managed Care",,,"40",,"5.2","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"13","6.5","Wellcare","Medicaid Managed Care",,,"40",,"5.26","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"13","6.5","Aetna","Commercial",,,"64",,"8.29","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"13","6.5","Blue Cross Blue Shield","Pathways",,,"71",,"9.18","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"13","6.5","Blue Cross Blue Shield","HMO",,,"71",,"9.18","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"13","6.5","Blue Cross Blue Shield","PPO",,,"71",,"9.18","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"13","6.5","Ambetter","Health Exchange",,,"62",,"8.06","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"13","6.5","Caresource","Health Exchange",,,"62",,"8.06","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"13","6.5","Cigna","Commercial",,,"59",,"7.62","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"13","6.5","Humana","Commercial",,,"78",,"10.08","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"13","6.5","UHC","Commercial",,,"75",,"9.8","0.04","2502.48","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","0259","RC","Both",,,"13","6.5","Medicaid",,,,"37",,"4.76","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Soln 1.5MG/0.5ML","0259","RC","Both",,,"1595","797.5","Alliant","Health Exchange",,,"62",,"988.9","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Soln 1.5MG/0.5ML","0259","RC","Both",,,"1595","797.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"861.3","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Soln 1.5MG/0.5ML","0259","RC","Both",,,"1595","797.5","Medicare",,,,"54",,"864.49","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Soln 1.5MG/0.5ML","0259","RC","Both",,,"1595","797.5","Humana","Medicare Advantage",,,"54",,"864.49","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Soln 1.5MG/0.5ML","0259","RC","Both",,,"1595","797.5","UHC","Medicare Advantage",,,"54",,"864.49","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Soln 1.5MG/0.5ML","0259","RC","Both",,,"1595","797.5","Clover","Medicare Advantage",,,"54",,"864.49","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Soln 1.5MG/0.5ML","0259","RC","Both",,,"1595","797.5","Wellcare","Medicare Advantage",,,"54",,"864.49","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Soln 1.5MG/0.5ML","0259","RC","Both",,,"1595","797.5","Amerigroup","Medicaid Managed Care",,,"37",,"583.77","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Soln 1.5MG/0.5ML","0259","RC","Both",,,"1595","797.5","Caresource","Medicaid Managed Care",,,"40",,"638","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Soln 1.5MG/0.5ML","0259","RC","Both",,,"1595","797.5","Wellcare","Medicaid Managed Care",,,"40",,"645.98","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Soln 1.5MG/0.5ML","0259","RC","Both",,,"1595","797.5","Aetna","Commercial",,,"64",,"1017.61","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Soln 1.5MG/0.5ML","0259","RC","Both",,,"1595","797.5","Blue Cross Blue Shield","Pathways",,,"71",,"1126.07","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Soln 1.5MG/0.5ML","0259","RC","Both",,,"1595","797.5","Blue Cross Blue Shield","HMO",,,"71",,"1126.07","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Soln 1.5MG/0.5ML","0259","RC","Both",,,"1595","797.5","Blue Cross Blue Shield","PPO",,,"71",,"1126.07","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Soln 1.5MG/0.5ML","0259","RC","Both",,,"1595","797.5","Ambetter","Health Exchange",,,"62",,"988.9","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Soln 1.5MG/0.5ML","0259","RC","Both",,,"1595","797.5","Caresource","Health Exchange",,,"62",,"988.9","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Soln 1.5MG/0.5ML","0259","RC","Both",,,"1595","797.5","Cigna","Commercial",,,"59",,"934.67","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Soln 1.5MG/0.5ML","0259","RC","Both",,,"1595","797.5","Humana","Commercial",,,"78",,"1236.12","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Soln 1.5MG/0.5ML","0259","RC","Both",,,"1595","797.5","UHC","Commercial",,,"75",,"1202.63","0.04","2502.48","percent of total billed charges",,
"NF-Trulicity SubQ Soln 1.5MG/0.5ML","0259","RC","Both",,,"1595","797.5","Medicaid",,,,"37",,"583.77","0.04","2502.48","percent of total billed charges",,
"NF-Dupixent Subcutaneous Solution 300MG/","0259","RC","Both",,,"3229","1614.5","Alliant","Health Exchange",,,"62",,"2001.98","0.04","2502.48","percent of total billed charges",,
"NF-Dupixent Subcutaneous Solution 300MG/","0259","RC","Both",,,"3229","1614.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1743.66","0.04","2502.48","percent of total billed charges",,
"NF-Dupixent Subcutaneous Solution 300MG/","0259","RC","Both",,,"3229","1614.5","Medicare",,,,"54",,"1750.12","0.04","2502.48","percent of total billed charges",,
"NF-Dupixent Subcutaneous Solution 300MG/","0259","RC","Both",,,"3229","1614.5","Humana","Medicare Advantage",,,"54",,"1750.12","0.04","2502.48","percent of total billed charges",,
"NF-Dupixent Subcutaneous Solution 300MG/","0259","RC","Both",,,"3229","1614.5","UHC","Medicare Advantage",,,"54",,"1750.12","0.04","2502.48","percent of total billed charges",,
"NF-Dupixent Subcutaneous Solution 300MG/","0259","RC","Both",,,"3229","1614.5","Clover","Medicare Advantage",,,"54",,"1750.12","0.04","2502.48","percent of total billed charges",,
"NF-Dupixent Subcutaneous Solution 300MG/","0259","RC","Both",,,"3229","1614.5","Wellcare","Medicare Advantage",,,"54",,"1750.12","0.04","2502.48","percent of total billed charges",,
"NF-Dupixent Subcutaneous Solution 300MG/","0259","RC","Both",,,"3229","1614.5","Amerigroup","Medicaid Managed Care",,,"37",,"1181.81","0.04","2502.48","percent of total billed charges",,
"NF-Dupixent Subcutaneous Solution 300MG/","0259","RC","Both",,,"3229","1614.5","Caresource","Medicaid Managed Care",,,"40",,"1291.6","0.04","2502.48","percent of total billed charges",,
"NF-Dupixent Subcutaneous Solution 300MG/","0259","RC","Both",,,"3229","1614.5","Wellcare","Medicaid Managed Care",,,"40",,"1307.75","0.04","2502.48","percent of total billed charges",,
"NF-Dupixent Subcutaneous Solution 300MG/","0259","RC","Both",,,"3229","1614.5","Aetna","Commercial",,,"64",,"2060.1","0.04","2502.48","percent of total billed charges",,
"NF-Dupixent Subcutaneous Solution 300MG/","0259","RC","Both",,,"3229","1614.5","Blue Cross Blue Shield","Pathways",,,"71",,"2279.67","0.04","2502.48","percent of total billed charges",,
"NF-Dupixent Subcutaneous Solution 300MG/","0259","RC","Both",,,"3229","1614.5","Blue Cross Blue Shield","HMO",,,"71",,"2279.67","0.04","2502.48","percent of total billed charges",,
"NF-Dupixent Subcutaneous Solution 300MG/","0259","RC","Both",,,"3229","1614.5","Blue Cross Blue Shield","PPO",,,"71",,"2279.67","0.04","2502.48","percent of total billed charges",,
"NF-Dupixent Subcutaneous Solution 300MG/","0259","RC","Both",,,"3229","1614.5","Ambetter","Health Exchange",,,"62",,"2001.98","0.04","2502.48","percent of total billed charges",,
"NF-Dupixent Subcutaneous Solution 300MG/","0259","RC","Both",,,"3229","1614.5","Caresource","Health Exchange",,,"62",,"2001.98","0.04","2502.48","percent of total billed charges",,
"NF-Dupixent Subcutaneous Solution 300MG/","0259","RC","Both",,,"3229","1614.5","Cigna","Commercial",,,"59",,"1892.19","0.04","2502.48","percent of total billed charges",,
"NF-Dupixent Subcutaneous Solution 300MG/","0259","RC","Both",,,"3229","1614.5","Humana","Commercial",,,"78",,"2502.48","0.04","2502.48","percent of total billed charges",,
"NF-Dupixent Subcutaneous Solution 300MG/","0259","RC","Both",,,"3229","1614.5","UHC","Commercial",,,"75",,"2434.67","0.04","2502.48","percent of total billed charges",,
"NF-Dupixent Subcutaneous Solution 300MG/","0259","RC","Both",,,"3229","1614.5","Medicaid",,,,"37",,"1181.81","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"38","19","Alliant","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.52","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"38","19","Medicare",,,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"38","19","Humana","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"38","19","UHC","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"38","19","Clover","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"38","19","Wellcare","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"38","19","Amerigroup","Medicaid Managed Care",,,"37",,"13.91","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"38","19","Caresource","Medicaid Managed Care",,,"40",,"15.2","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"38","19","Wellcare","Medicaid Managed Care",,,"40",,"15.39","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"38","19","Aetna","Commercial",,,"64",,"24.24","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","Pathways",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","HMO",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","PPO",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"38","19","Ambetter","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"38","19","Caresource","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"38","19","Cigna","Commercial",,,"59",,"22.27","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"38","19","Humana","Commercial",,,"78",,"29.45","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"38","19","UHC","Commercial",,,"75",,"28.65","0.04","2502.48","percent of total billed charges",,
"NF-Restasis Ophthalmic Emulsion 0.05%","0259","RC","Both",,,"38","19","Medicaid",,,,"37",,"13.91","0.04","2502.48","percent of total billed charges",,
"NF-Tambocor Oral Tablet 50MG","0259","RC","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Tambocor Oral Tablet 50MG","0259","RC","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","0.04","2502.48","percent of total billed charges",,
"NF-Tambocor Oral Tablet 50MG","0259","RC","Both",,,"8","4","Medicare",,,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Tambocor Oral Tablet 50MG","0259","RC","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Tambocor Oral Tablet 50MG","0259","RC","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Tambocor Oral Tablet 50MG","0259","RC","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Tambocor Oral Tablet 50MG","0259","RC","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Tambocor Oral Tablet 50MG","0259","RC","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Tambocor Oral Tablet 50MG","0259","RC","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","0.04","2502.48","percent of total billed charges",,
"NF-Tambocor Oral Tablet 50MG","0259","RC","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-Tambocor Oral Tablet 50MG","0259","RC","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","0.04","2502.48","percent of total billed charges",,
"NF-Tambocor Oral Tablet 50MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Tambocor Oral Tablet 50MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Tambocor Oral Tablet 50MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Tambocor Oral Tablet 50MG","0259","RC","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Tambocor Oral Tablet 50MG","0259","RC","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Tambocor Oral Tablet 50MG","0259","RC","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","0.04","2502.48","percent of total billed charges",,
"NF-Tambocor Oral Tablet 50MG","0259","RC","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Tambocor Oral Tablet 50MG","0259","RC","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","0.04","2502.48","percent of total billed charges",,
"NF-Tambocor Oral Tablet 50MG","0259","RC","Both",,,"8","4","Medicaid",,,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Temovate Topical Cream 0.05%","0259","RC","Both",,,"28","14","Alliant","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Temovate Topical Cream 0.05%","0259","RC","Both",,,"28","14","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.12","0.04","2502.48","percent of total billed charges",,
"NF-Temovate Topical Cream 0.05%","0259","RC","Both",,,"28","14","Medicare",,,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Temovate Topical Cream 0.05%","0259","RC","Both",,,"28","14","Humana","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Temovate Topical Cream 0.05%","0259","RC","Both",,,"28","14","UHC","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Temovate Topical Cream 0.05%","0259","RC","Both",,,"28","14","Clover","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Temovate Topical Cream 0.05%","0259","RC","Both",,,"28","14","Wellcare","Medicare Advantage",,,"54",,"15.18","0.04","2502.48","percent of total billed charges",,
"NF-Temovate Topical Cream 0.05%","0259","RC","Both",,,"28","14","Amerigroup","Medicaid Managed Care",,,"37",,"10.25","0.04","2502.48","percent of total billed charges",,
"NF-Temovate Topical Cream 0.05%","0259","RC","Both",,,"28","14","Caresource","Medicaid Managed Care",,,"40",,"11.2","0.04","2502.48","percent of total billed charges",,
"NF-Temovate Topical Cream 0.05%","0259","RC","Both",,,"28","14","Wellcare","Medicaid Managed Care",,,"40",,"11.34","0.04","2502.48","percent of total billed charges",,
"NF-Temovate Topical Cream 0.05%","0259","RC","Both",,,"28","14","Aetna","Commercial",,,"64",,"17.86","0.04","2502.48","percent of total billed charges",,
"NF-Temovate Topical Cream 0.05%","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","Pathways",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Temovate Topical Cream 0.05%","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","HMO",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Temovate Topical Cream 0.05%","0259","RC","Both",,,"28","14","Blue Cross Blue Shield","PPO",,,"71",,"19.77","0.04","2502.48","percent of total billed charges",,
"NF-Temovate Topical Cream 0.05%","0259","RC","Both",,,"28","14","Ambetter","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Temovate Topical Cream 0.05%","0259","RC","Both",,,"28","14","Caresource","Health Exchange",,,"62",,"17.36","0.04","2502.48","percent of total billed charges",,
"NF-Temovate Topical Cream 0.05%","0259","RC","Both",,,"28","14","Cigna","Commercial",,,"59",,"16.41","0.04","2502.48","percent of total billed charges",,
"NF-Temovate Topical Cream 0.05%","0259","RC","Both",,,"28","14","Humana","Commercial",,,"78",,"21.7","0.04","2502.48","percent of total billed charges",,
"NF-Temovate Topical Cream 0.05%","0259","RC","Both",,,"28","14","UHC","Commercial",,,"75",,"21.11","0.04","2502.48","percent of total billed charges",,
"NF-Temovate Topical Cream 0.05%","0259","RC","Both",,,"28","14","Medicaid",,,,"37",,"10.25","0.04","2502.48","percent of total billed charges",,
"NF-Wakix Oral Tablet 17.8MG","0259","RC","Both",,,"873","436.5","Alliant","Health Exchange",,,"62",,"541.26","0.04","2502.48","percent of total billed charges",,
"NF-Wakix Oral Tablet 17.8MG","0259","RC","Both",,,"873","436.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"471.42","0.04","2502.48","percent of total billed charges",,
"NF-Wakix Oral Tablet 17.8MG","0259","RC","Both",,,"873","436.5","Medicare",,,,"54",,"473.17","0.04","2502.48","percent of total billed charges",,
"NF-Wakix Oral Tablet 17.8MG","0259","RC","Both",,,"873","436.5","Humana","Medicare Advantage",,,"54",,"473.17","0.04","2502.48","percent of total billed charges",,
"NF-Wakix Oral Tablet 17.8MG","0259","RC","Both",,,"873","436.5","UHC","Medicare Advantage",,,"54",,"473.17","0.04","2502.48","percent of total billed charges",,
"NF-Wakix Oral Tablet 17.8MG","0259","RC","Both",,,"873","436.5","Clover","Medicare Advantage",,,"54",,"473.17","0.04","2502.48","percent of total billed charges",,
"NF-Wakix Oral Tablet 17.8MG","0259","RC","Both",,,"873","436.5","Wellcare","Medicare Advantage",,,"54",,"473.17","0.04","2502.48","percent of total billed charges",,
"NF-Wakix Oral Tablet 17.8MG","0259","RC","Both",,,"873","436.5","Amerigroup","Medicaid Managed Care",,,"37",,"319.52","0.04","2502.48","percent of total billed charges",,
"NF-Wakix Oral Tablet 17.8MG","0259","RC","Both",,,"873","436.5","Caresource","Medicaid Managed Care",,,"40",,"349.2","0.04","2502.48","percent of total billed charges",,
"NF-Wakix Oral Tablet 17.8MG","0259","RC","Both",,,"873","436.5","Wellcare","Medicaid Managed Care",,,"40",,"353.56","0.04","2502.48","percent of total billed charges",,
"NF-Wakix Oral Tablet 17.8MG","0259","RC","Both",,,"873","436.5","Aetna","Commercial",,,"64",,"556.97","0.04","2502.48","percent of total billed charges",,
"NF-Wakix Oral Tablet 17.8MG","0259","RC","Both",,,"873","436.5","Blue Cross Blue Shield","Pathways",,,"71",,"616.34","0.04","2502.48","percent of total billed charges",,
"NF-Wakix Oral Tablet 17.8MG","0259","RC","Both",,,"873","436.5","Blue Cross Blue Shield","HMO",,,"71",,"616.34","0.04","2502.48","percent of total billed charges",,
"NF-Wakix Oral Tablet 17.8MG","0259","RC","Both",,,"873","436.5","Blue Cross Blue Shield","PPO",,,"71",,"616.34","0.04","2502.48","percent of total billed charges",,
"NF-Wakix Oral Tablet 17.8MG","0259","RC","Both",,,"873","436.5","Ambetter","Health Exchange",,,"62",,"541.26","0.04","2502.48","percent of total billed charges",,
"NF-Wakix Oral Tablet 17.8MG","0259","RC","Both",,,"873","436.5","Caresource","Health Exchange",,,"62",,"541.26","0.04","2502.48","percent of total billed charges",,
"NF-Wakix Oral Tablet 17.8MG","0259","RC","Both",,,"873","436.5","Cigna","Commercial",,,"59",,"511.58","0.04","2502.48","percent of total billed charges",,
"NF-Wakix Oral Tablet 17.8MG","0259","RC","Both",,,"873","436.5","Humana","Commercial",,,"78",,"676.58","0.04","2502.48","percent of total billed charges",,
"NF-Wakix Oral Tablet 17.8MG","0259","RC","Both",,,"873","436.5","UHC","Commercial",,,"75",,"658.24","0.04","2502.48","percent of total billed charges",,
"NF-Wakix Oral Tablet 17.8MG","0259","RC","Both",,,"873","436.5","Medicaid",,,,"37",,"319.52","0.04","2502.48","percent of total billed charges",,
"NF-Xyrem Oral Solution 500MG/1ML","0259","RC","Both",,,"126","63","Alliant","Health Exchange",,,"62",,"78.12","0.04","2502.48","percent of total billed charges",,
"NF-Xyrem Oral Solution 500MG/1ML","0259","RC","Both",,,"126","63","Pruitt Healthcare","Medicare Advantage",,,"54",,"68.04","0.04","2502.48","percent of total billed charges",,
"NF-Xyrem Oral Solution 500MG/1ML","0259","RC","Both",,,"126","63","Medicare",,,,"54",,"68.29","0.04","2502.48","percent of total billed charges",,
"NF-Xyrem Oral Solution 500MG/1ML","0259","RC","Both",,,"126","63","Humana","Medicare Advantage",,,"54",,"68.29","0.04","2502.48","percent of total billed charges",,
"NF-Xyrem Oral Solution 500MG/1ML","0259","RC","Both",,,"126","63","UHC","Medicare Advantage",,,"54",,"68.29","0.04","2502.48","percent of total billed charges",,
"NF-Xyrem Oral Solution 500MG/1ML","0259","RC","Both",,,"126","63","Clover","Medicare Advantage",,,"54",,"68.29","0.04","2502.48","percent of total billed charges",,
"NF-Xyrem Oral Solution 500MG/1ML","0259","RC","Both",,,"126","63","Wellcare","Medicare Advantage",,,"54",,"68.29","0.04","2502.48","percent of total billed charges",,
"NF-Xyrem Oral Solution 500MG/1ML","0259","RC","Both",,,"126","63","Amerigroup","Medicaid Managed Care",,,"37",,"46.12","0.04","2502.48","percent of total billed charges",,
"NF-Xyrem Oral Solution 500MG/1ML","0259","RC","Both",,,"126","63","Caresource","Medicaid Managed Care",,,"40",,"50.4","0.04","2502.48","percent of total billed charges",,
"NF-Xyrem Oral Solution 500MG/1ML","0259","RC","Both",,,"126","63","Wellcare","Medicaid Managed Care",,,"40",,"51.03","0.04","2502.48","percent of total billed charges",,
"NF-Xyrem Oral Solution 500MG/1ML","0259","RC","Both",,,"126","63","Aetna","Commercial",,,"64",,"80.39","0.04","2502.48","percent of total billed charges",,
"NF-Xyrem Oral Solution 500MG/1ML","0259","RC","Both",,,"126","63","Blue Cross Blue Shield","Pathways",,,"71",,"88.96","0.04","2502.48","percent of total billed charges",,
"NF-Xyrem Oral Solution 500MG/1ML","0259","RC","Both",,,"126","63","Blue Cross Blue Shield","HMO",,,"71",,"88.96","0.04","2502.48","percent of total billed charges",,
"NF-Xyrem Oral Solution 500MG/1ML","0259","RC","Both",,,"126","63","Blue Cross Blue Shield","PPO",,,"71",,"88.96","0.04","2502.48","percent of total billed charges",,
"NF-Xyrem Oral Solution 500MG/1ML","0259","RC","Both",,,"126","63","Ambetter","Health Exchange",,,"62",,"78.12","0.04","2502.48","percent of total billed charges",,
"NF-Xyrem Oral Solution 500MG/1ML","0259","RC","Both",,,"126","63","Caresource","Health Exchange",,,"62",,"78.12","0.04","2502.48","percent of total billed charges",,
"NF-Xyrem Oral Solution 500MG/1ML","0259","RC","Both",,,"126","63","Cigna","Commercial",,,"59",,"73.84","0.04","2502.48","percent of total billed charges",,
"NF-Xyrem Oral Solution 500MG/1ML","0259","RC","Both",,,"126","63","Humana","Commercial",,,"78",,"97.65","0.04","2502.48","percent of total billed charges",,
"NF-Xyrem Oral Solution 500MG/1ML","0259","RC","Both",,,"126","63","UHC","Commercial",,,"75",,"95","0.04","2502.48","percent of total billed charges",,
"NF-Xyrem Oral Solution 500MG/1ML","0259","RC","Both",,,"126","63","Medicaid",,,,"37",,"46.12","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"56","28","Alliant","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"56","28","Pruitt Healthcare","Medicare Advantage",,,"54",,"30.24","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"56","28","Medicare",,,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"56","28","Humana","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"56","28","UHC","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"56","28","Clover","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"56","28","Wellcare","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"56","28","Amerigroup","Medicaid Managed Care",,,"37",,"20.5","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"56","28","Caresource","Medicaid Managed Care",,,"40",,"22.4","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"56","28","Wellcare","Medicaid Managed Care",,,"40",,"22.68","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"56","28","Aetna","Commercial",,,"64",,"35.73","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","Pathways",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","HMO",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","PPO",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"56","28","Ambetter","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"56","28","Caresource","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"56","28","Cigna","Commercial",,,"59",,"32.82","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"56","28","Humana","Commercial",,,"78",,"43.4","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"56","28","UHC","Commercial",,,"75",,"42.22","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"56","28","Medicaid",,,,"37",,"20.5","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Alliant","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.8","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Medicare",,,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Humana","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","UHC","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Clover","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Wellcare","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Amerigroup","Medicaid Managed Care",,,"37",,"7.32","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Caresource","Medicaid Managed Care",,,"40",,"8","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Wellcare","Medicaid Managed Care",,,"40",,"8.1","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Aetna","Commercial",,,"64",,"12.76","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","Pathways",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","HMO",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","PPO",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Ambetter","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Caresource","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Cigna","Commercial",,,"59",,"11.72","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Humana","Commercial",,,"78",,"15.5","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","UHC","Commercial",,,"75",,"15.08","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","0259","RC","Both",,,"20","10","Medicaid",,,,"37",,"7.32","0.04","2502.48","percent of total billed charges",,
"NF-Vistaril Capsule 50MG","0250","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.04","569.62","percent of total billed charges",,
"NF-Vistaril Capsule 50MG","0250","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.04","569.62","percent of total billed charges",,
"NF-Vistaril Capsule 50MG","0250","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.04","569.62","percent of total billed charges",,
"NF-Vistaril Capsule 50MG","0250","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.04","569.62","percent of total billed charges",,
"NF-Vistaril Capsule 50MG","0250","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.04","569.62","percent of total billed charges",,
"NF-Vistaril Capsule 50MG","0250","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.04","569.62","percent of total billed charges",,
"NF-Vistaril Capsule 50MG","0250","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.04","569.62","percent of total billed charges",,
"NF-Vistaril Capsule 50MG","0250","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.04","569.62","percent of total billed charges",,
"NF-Vistaril Capsule 50MG","0250","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.04","569.62","percent of total billed charges",,
"NF-Vistaril Capsule 50MG","0250","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.04","569.62","percent of total billed charges",,
"NF-Vistaril Capsule 50MG","0250","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.04","569.62","percent of total billed charges",,
"NF-Vistaril Capsule 50MG","0250","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.04","569.62","percent of total billed charges",,
"NF-Vistaril Capsule 50MG","0250","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.04","569.62","percent of total billed charges",,
"NF-Vistaril Capsule 50MG","0250","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.04","569.62","percent of total billed charges",,
"NF-Vistaril Capsule 50MG","0250","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.04","569.62","percent of total billed charges",,
"NF-Vistaril Capsule 50MG","0250","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.04","569.62","percent of total billed charges",,
"NF-Vistaril Capsule 50MG","0250","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.04","569.62","percent of total billed charges",,
"NF-Vistaril Capsule 50MG","0250","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.04","569.62","percent of total billed charges",,
"NF-Vistaril Capsule 50MG","0250","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.04","569.62","percent of total billed charges",,
"NF-Vistaril Capsule 50MG","0250","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.04","569.62","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Alliant","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.48","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Medicare",,,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Humana","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","UHC","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Clover","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Wellcare","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Amerigroup","Medicaid Managed Care",,,"37",,"4.39","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Caresource","Medicaid Managed Care",,,"40",,"4.8","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Wellcare","Medicaid Managed Care",,,"40",,"4.86","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Aetna","Commercial",,,"64",,"7.66","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","Pathways",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","HMO",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","PPO",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Ambetter","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Caresource","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Cigna","Commercial",,,"59",,"7.03","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Humana","Commercial",,,"78",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","UHC","Commercial",,,"75",,"9.05","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Medicaid",,,,"37",,"4.39","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","0250","RC","Both",,,"71","35.5","Alliant","Health Exchange",,,"62",,"44.02","0.04","569.62","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","0250","RC","Both",,,"71","35.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"38.34","0.04","569.62","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","0250","RC","Both",,,"71","35.5","Medicare",,,,"54",,"38.48","0.04","569.62","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","0250","RC","Both",,,"71","35.5","Humana","Medicare Advantage",,,"54",,"38.48","0.04","569.62","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","0250","RC","Both",,,"71","35.5","UHC","Medicare Advantage",,,"54",,"38.48","0.04","569.62","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","0250","RC","Both",,,"71","35.5","Clover","Medicare Advantage",,,"54",,"38.48","0.04","569.62","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","0250","RC","Both",,,"71","35.5","Wellcare","Medicare Advantage",,,"54",,"38.48","0.04","569.62","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","0250","RC","Both",,,"71","35.5","Amerigroup","Medicaid Managed Care",,,"37",,"25.99","0.04","569.62","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","0250","RC","Both",,,"71","35.5","Caresource","Medicaid Managed Care",,,"40",,"28.4","0.04","569.62","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","0250","RC","Both",,,"71","35.5","Wellcare","Medicaid Managed Care",,,"40",,"28.76","0.04","569.62","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","0250","RC","Both",,,"71","35.5","Aetna","Commercial",,,"64",,"45.3","0.04","569.62","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","0250","RC","Both",,,"71","35.5","Blue Cross Blue Shield","Pathways",,,"71",,"50.13","0.04","569.62","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","0250","RC","Both",,,"71","35.5","Blue Cross Blue Shield","HMO",,,"71",,"50.13","0.04","569.62","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","0250","RC","Both",,,"71","35.5","Blue Cross Blue Shield","PPO",,,"71",,"50.13","0.04","569.62","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","0250","RC","Both",,,"71","35.5","Ambetter","Health Exchange",,,"62",,"44.02","0.04","569.62","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","0250","RC","Both",,,"71","35.5","Caresource","Health Exchange",,,"62",,"44.02","0.04","569.62","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","0250","RC","Both",,,"71","35.5","Cigna","Commercial",,,"59",,"41.61","0.04","569.62","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","0250","RC","Both",,,"71","35.5","Humana","Commercial",,,"78",,"55.02","0.04","569.62","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","0250","RC","Both",,,"71","35.5","UHC","Commercial",,,"75",,"53.53","0.04","569.62","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","0250","RC","Both",,,"71","35.5","Medicaid",,,,"37",,"25.99","0.04","569.62","percent of total billed charges",,
"NF-Rocklatan Ophth Soln 0.02%-0.005%","0250","RC","Both",,,"475","237.5","Alliant","Health Exchange",,,"62",,"294.5","0.04","569.62","percent of total billed charges",,
"NF-Rocklatan Ophth Soln 0.02%-0.005%","0250","RC","Both",,,"475","237.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"256.5","0.04","569.62","percent of total billed charges",,
"NF-Rocklatan Ophth Soln 0.02%-0.005%","0250","RC","Both",,,"475","237.5","Medicare",,,,"54",,"257.45","0.04","569.62","percent of total billed charges",,
"NF-Rocklatan Ophth Soln 0.02%-0.005%","0250","RC","Both",,,"475","237.5","Humana","Medicare Advantage",,,"54",,"257.45","0.04","569.62","percent of total billed charges",,
"NF-Rocklatan Ophth Soln 0.02%-0.005%","0250","RC","Both",,,"475","237.5","UHC","Medicare Advantage",,,"54",,"257.45","0.04","569.62","percent of total billed charges",,
"NF-Rocklatan Ophth Soln 0.02%-0.005%","0250","RC","Both",,,"475","237.5","Clover","Medicare Advantage",,,"54",,"257.45","0.04","569.62","percent of total billed charges",,
"NF-Rocklatan Ophth Soln 0.02%-0.005%","0250","RC","Both",,,"475","237.5","Wellcare","Medicare Advantage",,,"54",,"257.45","0.04","569.62","percent of total billed charges",,
"NF-Rocklatan Ophth Soln 0.02%-0.005%","0250","RC","Both",,,"475","237.5","Amerigroup","Medicaid Managed Care",,,"37",,"173.85","0.04","569.62","percent of total billed charges",,
"NF-Rocklatan Ophth Soln 0.02%-0.005%","0250","RC","Both",,,"475","237.5","Caresource","Medicaid Managed Care",,,"40",,"190","0.04","569.62","percent of total billed charges",,
"NF-Rocklatan Ophth Soln 0.02%-0.005%","0250","RC","Both",,,"475","237.5","Wellcare","Medicaid Managed Care",,,"40",,"192.38","0.04","569.62","percent of total billed charges",,
"NF-Rocklatan Ophth Soln 0.02%-0.005%","0250","RC","Both",,,"475","237.5","Aetna","Commercial",,,"64",,"303.05","0.04","569.62","percent of total billed charges",,
"NF-Rocklatan Ophth Soln 0.02%-0.005%","0250","RC","Both",,,"475","237.5","Blue Cross Blue Shield","Pathways",,,"71",,"335.35","0.04","569.62","percent of total billed charges",,
"NF-Rocklatan Ophth Soln 0.02%-0.005%","0250","RC","Both",,,"475","237.5","Blue Cross Blue Shield","HMO",,,"71",,"335.35","0.04","569.62","percent of total billed charges",,
"NF-Rocklatan Ophth Soln 0.02%-0.005%","0250","RC","Both",,,"475","237.5","Blue Cross Blue Shield","PPO",,,"71",,"335.35","0.04","569.62","percent of total billed charges",,
"NF-Rocklatan Ophth Soln 0.02%-0.005%","0250","RC","Both",,,"475","237.5","Ambetter","Health Exchange",,,"62",,"294.5","0.04","569.62","percent of total billed charges",,
"NF-Rocklatan Ophth Soln 0.02%-0.005%","0250","RC","Both",,,"475","237.5","Caresource","Health Exchange",,,"62",,"294.5","0.04","569.62","percent of total billed charges",,
"NF-Rocklatan Ophth Soln 0.02%-0.005%","0250","RC","Both",,,"475","237.5","Cigna","Commercial",,,"59",,"278.35","0.04","569.62","percent of total billed charges",,
"NF-Rocklatan Ophth Soln 0.02%-0.005%","0250","RC","Both",,,"475","237.5","Humana","Commercial",,,"78",,"368.12","0.04","569.62","percent of total billed charges",,
"NF-Rocklatan Ophth Soln 0.02%-0.005%","0250","RC","Both",,,"475","237.5","UHC","Commercial",,,"75",,"358.15","0.04","569.62","percent of total billed charges",,
"NF-Rocklatan Ophth Soln 0.02%-0.005%","0250","RC","Both",,,"475","237.5","Medicaid",,,,"37",,"173.85","0.04","569.62","percent of total billed charges",,
"NF-Simbrinza Ophthalmic Suspension 0.2%-","0250","RC","Both",,,"89","44.5","Alliant","Health Exchange",,,"62",,"55.18","0.04","569.62","percent of total billed charges",,
"NF-Simbrinza Ophthalmic Suspension 0.2%-","0250","RC","Both",,,"89","44.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"48.06","0.04","569.62","percent of total billed charges",,
"NF-Simbrinza Ophthalmic Suspension 0.2%-","0250","RC","Both",,,"89","44.5","Medicare",,,,"54",,"48.24","0.04","569.62","percent of total billed charges",,
"NF-Simbrinza Ophthalmic Suspension 0.2%-","0250","RC","Both",,,"89","44.5","Humana","Medicare Advantage",,,"54",,"48.24","0.04","569.62","percent of total billed charges",,
"NF-Simbrinza Ophthalmic Suspension 0.2%-","0250","RC","Both",,,"89","44.5","UHC","Medicare Advantage",,,"54",,"48.24","0.04","569.62","percent of total billed charges",,
"NF-Simbrinza Ophthalmic Suspension 0.2%-","0250","RC","Both",,,"89","44.5","Clover","Medicare Advantage",,,"54",,"48.24","0.04","569.62","percent of total billed charges",,
"NF-Simbrinza Ophthalmic Suspension 0.2%-","0250","RC","Both",,,"89","44.5","Wellcare","Medicare Advantage",,,"54",,"48.24","0.04","569.62","percent of total billed charges",,
"NF-Simbrinza Ophthalmic Suspension 0.2%-","0250","RC","Both",,,"89","44.5","Amerigroup","Medicaid Managed Care",,,"37",,"32.57","0.04","569.62","percent of total billed charges",,
"NF-Simbrinza Ophthalmic Suspension 0.2%-","0250","RC","Both",,,"89","44.5","Caresource","Medicaid Managed Care",,,"40",,"35.6","0.04","569.62","percent of total billed charges",,
"NF-Simbrinza Ophthalmic Suspension 0.2%-","0250","RC","Both",,,"89","44.5","Wellcare","Medicaid Managed Care",,,"40",,"36.04","0.04","569.62","percent of total billed charges",,
"NF-Simbrinza Ophthalmic Suspension 0.2%-","0250","RC","Both",,,"89","44.5","Aetna","Commercial",,,"64",,"56.78","0.04","569.62","percent of total billed charges",,
"NF-Simbrinza Ophthalmic Suspension 0.2%-","0250","RC","Both",,,"89","44.5","Blue Cross Blue Shield","Pathways",,,"71",,"62.83","0.04","569.62","percent of total billed charges",,
"NF-Simbrinza Ophthalmic Suspension 0.2%-","0250","RC","Both",,,"89","44.5","Blue Cross Blue Shield","HMO",,,"71",,"62.83","0.04","569.62","percent of total billed charges",,
"NF-Simbrinza Ophthalmic Suspension 0.2%-","0250","RC","Both",,,"89","44.5","Blue Cross Blue Shield","PPO",,,"71",,"62.83","0.04","569.62","percent of total billed charges",,
"NF-Simbrinza Ophthalmic Suspension 0.2%-","0250","RC","Both",,,"89","44.5","Ambetter","Health Exchange",,,"62",,"55.18","0.04","569.62","percent of total billed charges",,
"NF-Simbrinza Ophthalmic Suspension 0.2%-","0250","RC","Both",,,"89","44.5","Caresource","Health Exchange",,,"62",,"55.18","0.04","569.62","percent of total billed charges",,
"NF-Simbrinza Ophthalmic Suspension 0.2%-","0250","RC","Both",,,"89","44.5","Cigna","Commercial",,,"59",,"52.15","0.04","569.62","percent of total billed charges",,
"NF-Simbrinza Ophthalmic Suspension 0.2%-","0250","RC","Both",,,"89","44.5","Humana","Commercial",,,"78",,"68.98","0.04","569.62","percent of total billed charges",,
"NF-Simbrinza Ophthalmic Suspension 0.2%-","0250","RC","Both",,,"89","44.5","UHC","Commercial",,,"75",,"67.11","0.04","569.62","percent of total billed charges",,
"NF-Simbrinza Ophthalmic Suspension 0.2%-","0250","RC","Both",,,"89","44.5","Medicaid",,,,"37",,"32.57","0.04","569.62","percent of total billed charges",,
"NF-Simbrinza Ophthalmic Suspension 0.2%-","0259","RC","Both",,,"89","44.5","Alliant","Health Exchange",,,"62",,"55.18","0.04","2502.48","percent of total billed charges",,
"NF-Simbrinza Ophthalmic Suspension 0.2%-","0259","RC","Both",,,"89","44.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"48.06","0.04","2502.48","percent of total billed charges",,
"NF-Simbrinza Ophthalmic Suspension 0.2%-","0259","RC","Both",,,"89","44.5","Medicare",,,,"54",,"48.24","0.04","2502.48","percent of total billed charges",,
"NF-Simbrinza Ophthalmic Suspension 0.2%-","0259","RC","Both",,,"89","44.5","Humana","Medicare Advantage",,,"54",,"48.24","0.04","2502.48","percent of total billed charges",,
"NF-Simbrinza Ophthalmic Suspension 0.2%-","0259","RC","Both",,,"89","44.5","UHC","Medicare Advantage",,,"54",,"48.24","0.04","2502.48","percent of total billed charges",,
"NF-Simbrinza Ophthalmic Suspension 0.2%-","0259","RC","Both",,,"89","44.5","Clover","Medicare Advantage",,,"54",,"48.24","0.04","2502.48","percent of total billed charges",,
"NF-Simbrinza Ophthalmic Suspension 0.2%-","0259","RC","Both",,,"89","44.5","Wellcare","Medicare Advantage",,,"54",,"48.24","0.04","2502.48","percent of total billed charges",,
"NF-Simbrinza Ophthalmic Suspension 0.2%-","0259","RC","Both",,,"89","44.5","Amerigroup","Medicaid Managed Care",,,"37",,"32.57","0.04","2502.48","percent of total billed charges",,
"NF-Simbrinza Ophthalmic Suspension 0.2%-","0259","RC","Both",,,"89","44.5","Caresource","Medicaid Managed Care",,,"40",,"35.6","0.04","2502.48","percent of total billed charges",,
"NF-Simbrinza Ophthalmic Suspension 0.2%-","0259","RC","Both",,,"89","44.5","Wellcare","Medicaid Managed Care",,,"40",,"36.04","0.04","2502.48","percent of total billed charges",,
"NF-Simbrinza Ophthalmic Suspension 0.2%-","0259","RC","Both",,,"89","44.5","Aetna","Commercial",,,"64",,"56.78","0.04","2502.48","percent of total billed charges",,
"NF-Simbrinza Ophthalmic Suspension 0.2%-","0259","RC","Both",,,"89","44.5","Blue Cross Blue Shield","Pathways",,,"71",,"62.83","0.04","2502.48","percent of total billed charges",,
"NF-Simbrinza Ophthalmic Suspension 0.2%-","0259","RC","Both",,,"89","44.5","Blue Cross Blue Shield","HMO",,,"71",,"62.83","0.04","2502.48","percent of total billed charges",,
"NF-Simbrinza Ophthalmic Suspension 0.2%-","0259","RC","Both",,,"89","44.5","Blue Cross Blue Shield","PPO",,,"71",,"62.83","0.04","2502.48","percent of total billed charges",,
"NF-Simbrinza Ophthalmic Suspension 0.2%-","0259","RC","Both",,,"89","44.5","Ambetter","Health Exchange",,,"62",,"55.18","0.04","2502.48","percent of total billed charges",,
"NF-Simbrinza Ophthalmic Suspension 0.2%-","0259","RC","Both",,,"89","44.5","Caresource","Health Exchange",,,"62",,"55.18","0.04","2502.48","percent of total billed charges",,
"NF-Simbrinza Ophthalmic Suspension 0.2%-","0259","RC","Both",,,"89","44.5","Cigna","Commercial",,,"59",,"52.15","0.04","2502.48","percent of total billed charges",,
"NF-Simbrinza Ophthalmic Suspension 0.2%-","0259","RC","Both",,,"89","44.5","Humana","Commercial",,,"78",,"68.98","0.04","2502.48","percent of total billed charges",,
"NF-Simbrinza Ophthalmic Suspension 0.2%-","0259","RC","Both",,,"89","44.5","UHC","Commercial",,,"75",,"67.11","0.04","2502.48","percent of total billed charges",,
"NF-Simbrinza Ophthalmic Suspension 0.2%-","0259","RC","Both",,,"89","44.5","Medicaid",,,,"37",,"32.57","0.04","2502.48","percent of total billed charges",,
"NF-Rhopressa Ophthalmic Solution 0.02%","0259","RC","Both",,,"449","224.5","Alliant","Health Exchange",,,"62",,"278.38","0.04","2502.48","percent of total billed charges",,
"NF-Rhopressa Ophthalmic Solution 0.02%","0259","RC","Both",,,"449","224.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"242.46","0.04","2502.48","percent of total billed charges",,
"NF-Rhopressa Ophthalmic Solution 0.02%","0259","RC","Both",,,"449","224.5","Medicare",,,,"54",,"243.36","0.04","2502.48","percent of total billed charges",,
"NF-Rhopressa Ophthalmic Solution 0.02%","0259","RC","Both",,,"449","224.5","Humana","Medicare Advantage",,,"54",,"243.36","0.04","2502.48","percent of total billed charges",,
"NF-Rhopressa Ophthalmic Solution 0.02%","0259","RC","Both",,,"449","224.5","UHC","Medicare Advantage",,,"54",,"243.36","0.04","2502.48","percent of total billed charges",,
"NF-Rhopressa Ophthalmic Solution 0.02%","0259","RC","Both",,,"449","224.5","Clover","Medicare Advantage",,,"54",,"243.36","0.04","2502.48","percent of total billed charges",,
"NF-Rhopressa Ophthalmic Solution 0.02%","0259","RC","Both",,,"449","224.5","Wellcare","Medicare Advantage",,,"54",,"243.36","0.04","2502.48","percent of total billed charges",,
"NF-Rhopressa Ophthalmic Solution 0.02%","0259","RC","Both",,,"449","224.5","Amerigroup","Medicaid Managed Care",,,"37",,"164.33","0.04","2502.48","percent of total billed charges",,
"NF-Rhopressa Ophthalmic Solution 0.02%","0259","RC","Both",,,"449","224.5","Caresource","Medicaid Managed Care",,,"40",,"179.6","0.04","2502.48","percent of total billed charges",,
"NF-Rhopressa Ophthalmic Solution 0.02%","0259","RC","Both",,,"449","224.5","Wellcare","Medicaid Managed Care",,,"40",,"181.84","0.04","2502.48","percent of total billed charges",,
"NF-Rhopressa Ophthalmic Solution 0.02%","0259","RC","Both",,,"449","224.5","Aetna","Commercial",,,"64",,"286.46","0.04","2502.48","percent of total billed charges",,
"NF-Rhopressa Ophthalmic Solution 0.02%","0259","RC","Both",,,"449","224.5","Blue Cross Blue Shield","Pathways",,,"71",,"316.99","0.04","2502.48","percent of total billed charges",,
"NF-Rhopressa Ophthalmic Solution 0.02%","0259","RC","Both",,,"449","224.5","Blue Cross Blue Shield","HMO",,,"71",,"316.99","0.04","2502.48","percent of total billed charges",,
"NF-Rhopressa Ophthalmic Solution 0.02%","0259","RC","Both",,,"449","224.5","Blue Cross Blue Shield","PPO",,,"71",,"316.99","0.04","2502.48","percent of total billed charges",,
"NF-Rhopressa Ophthalmic Solution 0.02%","0259","RC","Both",,,"449","224.5","Ambetter","Health Exchange",,,"62",,"278.38","0.04","2502.48","percent of total billed charges",,
"NF-Rhopressa Ophthalmic Solution 0.02%","0259","RC","Both",,,"449","224.5","Caresource","Health Exchange",,,"62",,"278.38","0.04","2502.48","percent of total billed charges",,
"NF-Rhopressa Ophthalmic Solution 0.02%","0259","RC","Both",,,"449","224.5","Cigna","Commercial",,,"59",,"263.11","0.04","2502.48","percent of total billed charges",,
"NF-Rhopressa Ophthalmic Solution 0.02%","0259","RC","Both",,,"449","224.5","Humana","Commercial",,,"78",,"347.98","0.04","2502.48","percent of total billed charges",,
"NF-Rhopressa Ophthalmic Solution 0.02%","0259","RC","Both",,,"449","224.5","UHC","Commercial",,,"75",,"338.55","0.04","2502.48","percent of total billed charges",,
"NF-Rhopressa Ophthalmic Solution 0.02%","0259","RC","Both",,,"449","224.5","Medicaid",,,,"37",,"164.33","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"344","172","Alliant","Health Exchange",,,"62",,"213.28","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"344","172","Pruitt Healthcare","Medicare Advantage",,,"54",,"185.76","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"344","172","Medicare",,,,"54",,"186.45","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"344","172","Humana","Medicare Advantage",,,"54",,"186.45","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"344","172","UHC","Medicare Advantage",,,"54",,"186.45","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"344","172","Clover","Medicare Advantage",,,"54",,"186.45","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"344","172","Wellcare","Medicare Advantage",,,"54",,"186.45","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"344","172","Amerigroup","Medicaid Managed Care",,,"37",,"125.9","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"344","172","Caresource","Medicaid Managed Care",,,"40",,"137.6","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"344","172","Wellcare","Medicaid Managed Care",,,"40",,"139.32","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"344","172","Aetna","Commercial",,,"64",,"219.47","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"344","172","Blue Cross Blue Shield","Pathways",,,"71",,"242.86","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"344","172","Blue Cross Blue Shield","HMO",,,"71",,"242.86","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"344","172","Blue Cross Blue Shield","PPO",,,"71",,"242.86","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"344","172","Ambetter","Health Exchange",,,"62",,"213.28","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"344","172","Caresource","Health Exchange",,,"62",,"213.28","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"344","172","Cigna","Commercial",,,"59",,"201.58","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"344","172","Humana","Commercial",,,"78",,"266.6","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"344","172","UHC","Commercial",,,"75",,"259.38","0.04","2502.48","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","0259","RC","Both",,,"344","172","Medicaid",,,,"37",,"125.9","0.04","2502.48","percent of total billed charges",,
"NF-Brinzolamide Ophthalmic Susp 1%","0259","RC","Both",,,"117","58.5","Alliant","Health Exchange",,,"62",,"72.54","0.04","2502.48","percent of total billed charges",,
"NF-Brinzolamide Ophthalmic Susp 1%","0259","RC","Both",,,"117","58.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"63.18","0.04","2502.48","percent of total billed charges",,
"NF-Brinzolamide Ophthalmic Susp 1%","0259","RC","Both",,,"117","58.5","Medicare",,,,"54",,"63.41","0.04","2502.48","percent of total billed charges",,
"NF-Brinzolamide Ophthalmic Susp 1%","0259","RC","Both",,,"117","58.5","Humana","Medicare Advantage",,,"54",,"63.41","0.04","2502.48","percent of total billed charges",,
"NF-Brinzolamide Ophthalmic Susp 1%","0259","RC","Both",,,"117","58.5","UHC","Medicare Advantage",,,"54",,"63.41","0.04","2502.48","percent of total billed charges",,
"NF-Brinzolamide Ophthalmic Susp 1%","0259","RC","Both",,,"117","58.5","Clover","Medicare Advantage",,,"54",,"63.41","0.04","2502.48","percent of total billed charges",,
"NF-Brinzolamide Ophthalmic Susp 1%","0259","RC","Both",,,"117","58.5","Wellcare","Medicare Advantage",,,"54",,"63.41","0.04","2502.48","percent of total billed charges",,
"NF-Brinzolamide Ophthalmic Susp 1%","0259","RC","Both",,,"117","58.5","Amerigroup","Medicaid Managed Care",,,"37",,"42.82","0.04","2502.48","percent of total billed charges",,
"NF-Brinzolamide Ophthalmic Susp 1%","0259","RC","Both",,,"117","58.5","Caresource","Medicaid Managed Care",,,"40",,"46.8","0.04","2502.48","percent of total billed charges",,
"NF-Brinzolamide Ophthalmic Susp 1%","0259","RC","Both",,,"117","58.5","Wellcare","Medicaid Managed Care",,,"40",,"47.39","0.04","2502.48","percent of total billed charges",,
"NF-Brinzolamide Ophthalmic Susp 1%","0259","RC","Both",,,"117","58.5","Aetna","Commercial",,,"64",,"74.65","0.04","2502.48","percent of total billed charges",,
"NF-Brinzolamide Ophthalmic Susp 1%","0259","RC","Both",,,"117","58.5","Blue Cross Blue Shield","Pathways",,,"71",,"82.6","0.04","2502.48","percent of total billed charges",,
"NF-Brinzolamide Ophthalmic Susp 1%","0259","RC","Both",,,"117","58.5","Blue Cross Blue Shield","HMO",,,"71",,"82.6","0.04","2502.48","percent of total billed charges",,
"NF-Brinzolamide Ophthalmic Susp 1%","0259","RC","Both",,,"117","58.5","Blue Cross Blue Shield","PPO",,,"71",,"82.6","0.04","2502.48","percent of total billed charges",,
"NF-Brinzolamide Ophthalmic Susp 1%","0259","RC","Both",,,"117","58.5","Ambetter","Health Exchange",,,"62",,"72.54","0.04","2502.48","percent of total billed charges",,
"NF-Brinzolamide Ophthalmic Susp 1%","0259","RC","Both",,,"117","58.5","Caresource","Health Exchange",,,"62",,"72.54","0.04","2502.48","percent of total billed charges",,
"NF-Brinzolamide Ophthalmic Susp 1%","0259","RC","Both",,,"117","58.5","Cigna","Commercial",,,"59",,"68.56","0.04","2502.48","percent of total billed charges",,
"NF-Brinzolamide Ophthalmic Susp 1%","0259","RC","Both",,,"117","58.5","Humana","Commercial",,,"78",,"90.68","0.04","2502.48","percent of total billed charges",,
"NF-Brinzolamide Ophthalmic Susp 1%","0259","RC","Both",,,"117","58.5","UHC","Commercial",,,"75",,"88.22","0.04","2502.48","percent of total billed charges",,
"NF-Brinzolamide Ophthalmic Susp 1%","0259","RC","Both",,,"117","58.5","Medicaid",,,,"37",,"42.82","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"146","73","Alliant","Health Exchange",,,"62",,"90.52","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"146","73","Pruitt Healthcare","Medicare Advantage",,,"54",,"78.84","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"146","73","Medicare",,,,"54",,"79.13","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"146","73","Humana","Medicare Advantage",,,"54",,"79.13","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"146","73","UHC","Medicare Advantage",,,"54",,"79.13","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"146","73","Clover","Medicare Advantage",,,"54",,"79.13","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"146","73","Wellcare","Medicare Advantage",,,"54",,"79.13","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"146","73","Amerigroup","Medicaid Managed Care",,,"37",,"53.44","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"146","73","Caresource","Medicaid Managed Care",,,"40",,"58.4","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"146","73","Wellcare","Medicaid Managed Care",,,"40",,"59.13","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"146","73","Aetna","Commercial",,,"64",,"93.15","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"146","73","Blue Cross Blue Shield","Pathways",,,"71",,"103.08","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"146","73","Blue Cross Blue Shield","HMO",,,"71",,"103.08","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"146","73","Blue Cross Blue Shield","PPO",,,"71",,"103.08","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"146","73","Ambetter","Health Exchange",,,"62",,"90.52","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"146","73","Caresource","Health Exchange",,,"62",,"90.52","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"146","73","Cigna","Commercial",,,"59",,"85.56","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"146","73","Humana","Commercial",,,"78",,"113.15","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"146","73","UHC","Commercial",,,"75",,"110.08","0.04","2502.48","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","0259","RC","Both",,,"146","73","Medicaid",,,,"37",,"53.44","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0250","RC","Both",,,"137","68.5","Alliant","Health Exchange",,,"62",,"84.94","0.04","569.62","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0250","RC","Both",,,"137","68.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"73.98","0.04","569.62","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0250","RC","Both",,,"137","68.5","Medicare",,,,"54",,"74.25","0.04","569.62","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0250","RC","Both",,,"137","68.5","Humana","Medicare Advantage",,,"54",,"74.25","0.04","569.62","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0250","RC","Both",,,"137","68.5","UHC","Medicare Advantage",,,"54",,"74.25","0.04","569.62","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0250","RC","Both",,,"137","68.5","Clover","Medicare Advantage",,,"54",,"74.25","0.04","569.62","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0250","RC","Both",,,"137","68.5","Wellcare","Medicare Advantage",,,"54",,"74.25","0.04","569.62","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0250","RC","Both",,,"137","68.5","Amerigroup","Medicaid Managed Care",,,"37",,"50.14","0.04","569.62","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0250","RC","Both",,,"137","68.5","Caresource","Medicaid Managed Care",,,"40",,"54.8","0.04","569.62","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0250","RC","Both",,,"137","68.5","Wellcare","Medicaid Managed Care",,,"40",,"55.49","0.04","569.62","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0250","RC","Both",,,"137","68.5","Aetna","Commercial",,,"64",,"87.41","0.04","569.62","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0250","RC","Both",,,"137","68.5","Blue Cross Blue Shield","Pathways",,,"71",,"96.72","0.04","569.62","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0250","RC","Both",,,"137","68.5","Blue Cross Blue Shield","HMO",,,"71",,"96.72","0.04","569.62","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0250","RC","Both",,,"137","68.5","Blue Cross Blue Shield","PPO",,,"71",,"96.72","0.04","569.62","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0250","RC","Both",,,"137","68.5","Ambetter","Health Exchange",,,"62",,"84.94","0.04","569.62","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0250","RC","Both",,,"137","68.5","Caresource","Health Exchange",,,"62",,"84.94","0.04","569.62","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0250","RC","Both",,,"137","68.5","Cigna","Commercial",,,"59",,"80.28","0.04","569.62","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0250","RC","Both",,,"137","68.5","Humana","Commercial",,,"78",,"106.18","0.04","569.62","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0250","RC","Both",,,"137","68.5","UHC","Commercial",,,"75",,"103.3","0.04","569.62","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0250","RC","Both",,,"137","68.5","Medicaid",,,,"37",,"50.14","0.04","569.62","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"65","32.5","Alliant","Health Exchange",,,"62",,"40.3","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"65","32.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"35.1","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"65","32.5","Medicare",,,,"54",,"35.23","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"65","32.5","Humana","Medicare Advantage",,,"54",,"35.23","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"65","32.5","UHC","Medicare Advantage",,,"54",,"35.23","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"65","32.5","Clover","Medicare Advantage",,,"54",,"35.23","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"65","32.5","Wellcare","Medicare Advantage",,,"54",,"35.23","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"65","32.5","Amerigroup","Medicaid Managed Care",,,"37",,"23.79","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"65","32.5","Caresource","Medicaid Managed Care",,,"40",,"26","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"65","32.5","Wellcare","Medicaid Managed Care",,,"40",,"26.33","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"65","32.5","Aetna","Commercial",,,"64",,"41.47","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"65","32.5","Blue Cross Blue Shield","Pathways",,,"71",,"45.89","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"65","32.5","Blue Cross Blue Shield","HMO",,,"71",,"45.89","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"65","32.5","Blue Cross Blue Shield","PPO",,,"71",,"45.89","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"65","32.5","Ambetter","Health Exchange",,,"62",,"40.3","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"65","32.5","Caresource","Health Exchange",,,"62",,"40.3","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"65","32.5","Cigna","Commercial",,,"59",,"38.09","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"65","32.5","Humana","Commercial",,,"78",,"50.38","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"65","32.5","UHC","Commercial",,,"75",,"49.01","0.04","2502.48","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","0259","RC","Both",,,"65","32.5","Medicaid",,,,"37",,"23.79","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0259","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0259","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0259","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0259","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0259","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0259","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0259","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0259","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0259","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0259","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0259","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0259","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0259","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0259","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0259","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0259","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0259","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.04","2502.48","percent of total billed charges",,
"NF-Lovaza Oral Liquid Filled Capsule 1GM","0259","RC","Both",,,"24","12","Alliant","Health Exchange",,,"62",,"14.88","0.04","2502.48","percent of total billed charges",,
"NF-Lovaza Oral Liquid Filled Capsule 1GM","0259","RC","Both",,,"24","12","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.96","0.04","2502.48","percent of total billed charges",,
"NF-Lovaza Oral Liquid Filled Capsule 1GM","0259","RC","Both",,,"24","12","Medicare",,,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Lovaza Oral Liquid Filled Capsule 1GM","0259","RC","Both",,,"24","12","Humana","Medicare Advantage",,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Lovaza Oral Liquid Filled Capsule 1GM","0259","RC","Both",,,"24","12","UHC","Medicare Advantage",,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Lovaza Oral Liquid Filled Capsule 1GM","0259","RC","Both",,,"24","12","Clover","Medicare Advantage",,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Lovaza Oral Liquid Filled Capsule 1GM","0259","RC","Both",,,"24","12","Wellcare","Medicare Advantage",,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Lovaza Oral Liquid Filled Capsule 1GM","0259","RC","Both",,,"24","12","Amerigroup","Medicaid Managed Care",,,"37",,"8.78","0.04","2502.48","percent of total billed charges",,
"NF-Lovaza Oral Liquid Filled Capsule 1GM","0259","RC","Both",,,"24","12","Caresource","Medicaid Managed Care",,,"40",,"9.6","0.04","2502.48","percent of total billed charges",,
"NF-Lovaza Oral Liquid Filled Capsule 1GM","0259","RC","Both",,,"24","12","Wellcare","Medicaid Managed Care",,,"40",,"9.72","0.04","2502.48","percent of total billed charges",,
"NF-Lovaza Oral Liquid Filled Capsule 1GM","0259","RC","Both",,,"24","12","Aetna","Commercial",,,"64",,"15.31","0.04","2502.48","percent of total billed charges",,
"NF-Lovaza Oral Liquid Filled Capsule 1GM","0259","RC","Both",,,"24","12","Blue Cross Blue Shield","Pathways",,,"71",,"16.94","0.04","2502.48","percent of total billed charges",,
"NF-Lovaza Oral Liquid Filled Capsule 1GM","0259","RC","Both",,,"24","12","Blue Cross Blue Shield","HMO",,,"71",,"16.94","0.04","2502.48","percent of total billed charges",,
"NF-Lovaza Oral Liquid Filled Capsule 1GM","0259","RC","Both",,,"24","12","Blue Cross Blue Shield","PPO",,,"71",,"16.94","0.04","2502.48","percent of total billed charges",,
"NF-Lovaza Oral Liquid Filled Capsule 1GM","0259","RC","Both",,,"24","12","Ambetter","Health Exchange",,,"62",,"14.88","0.04","2502.48","percent of total billed charges",,
"NF-Lovaza Oral Liquid Filled Capsule 1GM","0259","RC","Both",,,"24","12","Caresource","Health Exchange",,,"62",,"14.88","0.04","2502.48","percent of total billed charges",,
"NF-Lovaza Oral Liquid Filled Capsule 1GM","0259","RC","Both",,,"24","12","Cigna","Commercial",,,"59",,"14.06","0.04","2502.48","percent of total billed charges",,
"NF-Lovaza Oral Liquid Filled Capsule 1GM","0259","RC","Both",,,"24","12","Humana","Commercial",,,"78",,"18.6","0.04","2502.48","percent of total billed charges",,
"NF-Lovaza Oral Liquid Filled Capsule 1GM","0259","RC","Both",,,"24","12","UHC","Commercial",,,"75",,"18.1","0.04","2502.48","percent of total billed charges",,
"NF-Lovaza Oral Liquid Filled Capsule 1GM","0259","RC","Both",,,"24","12","Medicaid",,,,"37",,"8.78","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.9MG","0259","RC","Both",,,"24","12","Alliant","Health Exchange",,,"62",,"14.88","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.9MG","0259","RC","Both",,,"24","12","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.96","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.9MG","0259","RC","Both",,,"24","12","Medicare",,,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.9MG","0259","RC","Both",,,"24","12","Humana","Medicare Advantage",,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.9MG","0259","RC","Both",,,"24","12","UHC","Medicare Advantage",,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.9MG","0259","RC","Both",,,"24","12","Clover","Medicare Advantage",,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.9MG","0259","RC","Both",,,"24","12","Wellcare","Medicare Advantage",,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.9MG","0259","RC","Both",,,"24","12","Amerigroup","Medicaid Managed Care",,,"37",,"8.78","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.9MG","0259","RC","Both",,,"24","12","Caresource","Medicaid Managed Care",,,"40",,"9.6","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.9MG","0259","RC","Both",,,"24","12","Wellcare","Medicaid Managed Care",,,"40",,"9.72","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.9MG","0259","RC","Both",,,"24","12","Aetna","Commercial",,,"64",,"15.31","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.9MG","0259","RC","Both",,,"24","12","Blue Cross Blue Shield","Pathways",,,"71",,"16.94","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.9MG","0259","RC","Both",,,"24","12","Blue Cross Blue Shield","HMO",,,"71",,"16.94","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.9MG","0259","RC","Both",,,"24","12","Blue Cross Blue Shield","PPO",,,"71",,"16.94","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.9MG","0259","RC","Both",,,"24","12","Ambetter","Health Exchange",,,"62",,"14.88","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.9MG","0259","RC","Both",,,"24","12","Caresource","Health Exchange",,,"62",,"14.88","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.9MG","0259","RC","Both",,,"24","12","Cigna","Commercial",,,"59",,"14.06","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.9MG","0259","RC","Both",,,"24","12","Humana","Commercial",,,"78",,"18.6","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.9MG","0259","RC","Both",,,"24","12","UHC","Commercial",,,"75",,"18.1","0.04","2502.48","percent of total billed charges",,
"NF-Premarin Oral Tablet 0.9MG","0259","RC","Both",,,"24","12","Medicaid",,,,"37",,"8.78","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 4MG","0259","RC","Both",,,"138","69","Alliant","Health Exchange",,,"62",,"85.56","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 4MG","0259","RC","Both",,,"138","69","Pruitt Healthcare","Medicare Advantage",,,"54",,"74.52","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 4MG","0259","RC","Both",,,"138","69","Medicare",,,,"54",,"74.8","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 4MG","0259","RC","Both",,,"138","69","Humana","Medicare Advantage",,,"54",,"74.8","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 4MG","0259","RC","Both",,,"138","69","UHC","Medicare Advantage",,,"54",,"74.8","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 4MG","0259","RC","Both",,,"138","69","Clover","Medicare Advantage",,,"54",,"74.8","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 4MG","0259","RC","Both",,,"138","69","Wellcare","Medicare Advantage",,,"54",,"74.8","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 4MG","0259","RC","Both",,,"138","69","Amerigroup","Medicaid Managed Care",,,"37",,"50.51","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 4MG","0259","RC","Both",,,"138","69","Caresource","Medicaid Managed Care",,,"40",,"55.2","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 4MG","0259","RC","Both",,,"138","69","Wellcare","Medicaid Managed Care",,,"40",,"55.89","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 4MG","0259","RC","Both",,,"138","69","Aetna","Commercial",,,"64",,"88.04","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 4MG","0259","RC","Both",,,"138","69","Blue Cross Blue Shield","Pathways",,,"71",,"97.43","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 4MG","0259","RC","Both",,,"138","69","Blue Cross Blue Shield","HMO",,,"71",,"97.43","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 4MG","0259","RC","Both",,,"138","69","Blue Cross Blue Shield","PPO",,,"71",,"97.43","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 4MG","0259","RC","Both",,,"138","69","Ambetter","Health Exchange",,,"62",,"85.56","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 4MG","0259","RC","Both",,,"138","69","Caresource","Health Exchange",,,"62",,"85.56","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 4MG","0259","RC","Both",,,"138","69","Cigna","Commercial",,,"59",,"80.87","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 4MG","0259","RC","Both",,,"138","69","Humana","Commercial",,,"78",,"106.95","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 4MG","0259","RC","Both",,,"138","69","UHC","Commercial",,,"75",,"104.05","0.04","2502.48","percent of total billed charges",,
"NF-Fycompa Oral Tablet 4MG","0259","RC","Both",,,"138","69","Medicaid",,,,"37",,"50.51","0.04","2502.48","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0250","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.04","569.62","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0250","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.04","569.62","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0250","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.04","569.62","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0250","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.04","569.62","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0250","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.04","569.62","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0250","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.04","569.62","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0250","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.04","569.62","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0250","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.04","569.62","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0250","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.04","569.62","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0250","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.04","569.62","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0250","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.04","569.62","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0250","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.04","569.62","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0250","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.04","569.62","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0250","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.04","569.62","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0250","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.04","569.62","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0250","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.04","569.62","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0250","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.04","569.62","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0250","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.04","569.62","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0250","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.04","569.62","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","0250","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.04","569.62","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Alliant","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.52","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Medicare",,,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Humana","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","UHC","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Clover","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Wellcare","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Amerigroup","Medicaid Managed Care",,,"37",,"13.91","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Caresource","Medicaid Managed Care",,,"40",,"15.2","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Wellcare","Medicaid Managed Care",,,"40",,"15.39","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Aetna","Commercial",,,"64",,"24.24","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","Pathways",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","HMO",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","PPO",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Ambetter","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Caresource","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Cigna","Commercial",,,"59",,"22.27","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Humana","Commercial",,,"78",,"29.45","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","UHC","Commercial",,,"75",,"28.65","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Medicaid",,,,"37",,"13.91","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"455","227.5","Alliant","Health Exchange",,,"62",,"282.1","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"455","227.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"245.7","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"455","227.5","Medicare",,,,"54",,"246.61","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"455","227.5","Humana","Medicare Advantage",,,"54",,"246.61","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"455","227.5","UHC","Medicare Advantage",,,"54",,"246.61","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"455","227.5","Clover","Medicare Advantage",,,"54",,"246.61","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"455","227.5","Wellcare","Medicare Advantage",,,"54",,"246.61","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"455","227.5","Amerigroup","Medicaid Managed Care",,,"37",,"166.53","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"455","227.5","Caresource","Medicaid Managed Care",,,"40",,"182","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"455","227.5","Wellcare","Medicaid Managed Care",,,"40",,"184.28","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"455","227.5","Aetna","Commercial",,,"64",,"290.29","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"455","227.5","Blue Cross Blue Shield","Pathways",,,"71",,"321.23","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"455","227.5","Blue Cross Blue Shield","HMO",,,"71",,"321.23","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"455","227.5","Blue Cross Blue Shield","PPO",,,"71",,"321.23","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"455","227.5","Ambetter","Health Exchange",,,"62",,"282.1","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"455","227.5","Caresource","Health Exchange",,,"62",,"282.1","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"455","227.5","Cigna","Commercial",,,"59",,"266.63","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"455","227.5","Humana","Commercial",,,"78",,"352.62","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"455","227.5","UHC","Commercial",,,"75",,"343.07","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"455","227.5","Medicaid",,,,"37",,"166.53","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Top Soln 2%","0259","RC","Both",,,"71","35.5","Alliant","Health Exchange",,,"62",,"44.02","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Top Soln 2%","0259","RC","Both",,,"71","35.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"38.34","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Top Soln 2%","0259","RC","Both",,,"71","35.5","Medicare",,,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Top Soln 2%","0259","RC","Both",,,"71","35.5","Humana","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Top Soln 2%","0259","RC","Both",,,"71","35.5","UHC","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Top Soln 2%","0259","RC","Both",,,"71","35.5","Clover","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Top Soln 2%","0259","RC","Both",,,"71","35.5","Wellcare","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Top Soln 2%","0259","RC","Both",,,"71","35.5","Amerigroup","Medicaid Managed Care",,,"37",,"25.99","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Top Soln 2%","0259","RC","Both",,,"71","35.5","Caresource","Medicaid Managed Care",,,"40",,"28.4","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Top Soln 2%","0259","RC","Both",,,"71","35.5","Wellcare","Medicaid Managed Care",,,"40",,"28.76","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Top Soln 2%","0259","RC","Both",,,"71","35.5","Aetna","Commercial",,,"64",,"45.3","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Top Soln 2%","0259","RC","Both",,,"71","35.5","Blue Cross Blue Shield","Pathways",,,"71",,"50.13","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Top Soln 2%","0259","RC","Both",,,"71","35.5","Blue Cross Blue Shield","HMO",,,"71",,"50.13","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Top Soln 2%","0259","RC","Both",,,"71","35.5","Blue Cross Blue Shield","PPO",,,"71",,"50.13","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Top Soln 2%","0259","RC","Both",,,"71","35.5","Ambetter","Health Exchange",,,"62",,"44.02","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Top Soln 2%","0259","RC","Both",,,"71","35.5","Caresource","Health Exchange",,,"62",,"44.02","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Top Soln 2%","0259","RC","Both",,,"71","35.5","Cigna","Commercial",,,"59",,"41.61","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Top Soln 2%","0259","RC","Both",,,"71","35.5","Humana","Commercial",,,"78",,"55.02","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Top Soln 2%","0259","RC","Both",,,"71","35.5","UHC","Commercial",,,"75",,"53.53","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Top Soln 2%","0259","RC","Both",,,"71","35.5","Medicaid",,,,"37",,"25.99","0.04","2502.48","percent of total billed charges",,
"NF-Desipramine HCl Tablet 100MG","0250","RC","Both",,,"17","8.5","Alliant","Health Exchange",,,"62",,"10.54","0.04","569.62","percent of total billed charges",,
"NF-Desipramine HCl Tablet 100MG","0250","RC","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.18","0.04","569.62","percent of total billed charges",,
"NF-Desipramine HCl Tablet 100MG","0250","RC","Both",,,"17","8.5","Medicare",,,,"54",,"9.21","0.04","569.62","percent of total billed charges",,
"NF-Desipramine HCl Tablet 100MG","0250","RC","Both",,,"17","8.5","Humana","Medicare Advantage",,,"54",,"9.21","0.04","569.62","percent of total billed charges",,
"NF-Desipramine HCl Tablet 100MG","0250","RC","Both",,,"17","8.5","UHC","Medicare Advantage",,,"54",,"9.21","0.04","569.62","percent of total billed charges",,
"NF-Desipramine HCl Tablet 100MG","0250","RC","Both",,,"17","8.5","Clover","Medicare Advantage",,,"54",,"9.21","0.04","569.62","percent of total billed charges",,
"NF-Desipramine HCl Tablet 100MG","0250","RC","Both",,,"17","8.5","Wellcare","Medicare Advantage",,,"54",,"9.21","0.04","569.62","percent of total billed charges",,
"NF-Desipramine HCl Tablet 100MG","0250","RC","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.22","0.04","569.62","percent of total billed charges",,
"NF-Desipramine HCl Tablet 100MG","0250","RC","Both",,,"17","8.5","Caresource","Medicaid Managed Care",,,"40",,"6.8","0.04","569.62","percent of total billed charges",,
"NF-Desipramine HCl Tablet 100MG","0250","RC","Both",,,"17","8.5","Wellcare","Medicaid Managed Care",,,"40",,"6.89","0.04","569.62","percent of total billed charges",,
"NF-Desipramine HCl Tablet 100MG","0250","RC","Both",,,"17","8.5","Aetna","Commercial",,,"64",,"10.85","0.04","569.62","percent of total billed charges",,
"NF-Desipramine HCl Tablet 100MG","0250","RC","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways",,,"71",,"12","0.04","569.62","percent of total billed charges",,
"NF-Desipramine HCl Tablet 100MG","0250","RC","Both",,,"17","8.5","Blue Cross Blue Shield","HMO",,,"71",,"12","0.04","569.62","percent of total billed charges",,
"NF-Desipramine HCl Tablet 100MG","0250","RC","Both",,,"17","8.5","Blue Cross Blue Shield","PPO",,,"71",,"12","0.04","569.62","percent of total billed charges",,
"NF-Desipramine HCl Tablet 100MG","0250","RC","Both",,,"17","8.5","Ambetter","Health Exchange",,,"62",,"10.54","0.04","569.62","percent of total billed charges",,
"NF-Desipramine HCl Tablet 100MG","0250","RC","Both",,,"17","8.5","Caresource","Health Exchange",,,"62",,"10.54","0.04","569.62","percent of total billed charges",,
"NF-Desipramine HCl Tablet 100MG","0250","RC","Both",,,"17","8.5","Cigna","Commercial",,,"59",,"9.96","0.04","569.62","percent of total billed charges",,
"NF-Desipramine HCl Tablet 100MG","0250","RC","Both",,,"17","8.5","Humana","Commercial",,,"78",,"13.18","0.04","569.62","percent of total billed charges",,
"NF-Desipramine HCl Tablet 100MG","0250","RC","Both",,,"17","8.5","UHC","Commercial",,,"75",,"12.82","0.04","569.62","percent of total billed charges",,
"NF-Desipramine HCl Tablet 100MG","0250","RC","Both",,,"17","8.5","Medicaid",,,,"37",,"6.22","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"40","20","Alliant","Health Exchange",,,"62",,"24.8","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"40","20","Pruitt Healthcare","Medicare Advantage",,,"54",,"21.6","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"40","20","Medicare",,,,"54",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"40","20","Humana","Medicare Advantage",,,"54",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"40","20","UHC","Medicare Advantage",,,"54",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"40","20","Clover","Medicare Advantage",,,"54",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"40","20","Wellcare","Medicare Advantage",,,"54",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"40","20","Amerigroup","Medicaid Managed Care",,,"37",,"14.64","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"40","20","Caresource","Medicaid Managed Care",,,"40",,"16","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"40","20","Wellcare","Medicaid Managed Care",,,"40",,"16.2","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"40","20","Aetna","Commercial",,,"64",,"25.52","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"40","20","Blue Cross Blue Shield","Pathways",,,"71",,"28.24","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"40","20","Blue Cross Blue Shield","HMO",,,"71",,"28.24","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"40","20","Blue Cross Blue Shield","PPO",,,"71",,"28.24","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"40","20","Ambetter","Health Exchange",,,"62",,"24.8","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"40","20","Caresource","Health Exchange",,,"62",,"24.8","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"40","20","Cigna","Commercial",,,"59",,"23.44","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"40","20","Humana","Commercial",,,"78",,"31","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"40","20","UHC","Commercial",,,"75",,"30.16","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"40","20","Medicaid",,,,"37",,"14.64","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Alliant","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.52","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Medicare",,,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Humana","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","UHC","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Clover","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Wellcare","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Amerigroup","Medicaid Managed Care",,,"37",,"13.91","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Caresource","Medicaid Managed Care",,,"40",,"15.2","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Wellcare","Medicaid Managed Care",,,"40",,"15.39","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Aetna","Commercial",,,"64",,"24.24","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","Pathways",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","HMO",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","PPO",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Ambetter","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Caresource","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Cigna","Commercial",,,"59",,"22.27","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Humana","Commercial",,,"78",,"29.45","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","UHC","Commercial",,,"75",,"28.65","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Medicaid",,,,"37",,"13.91","0.04","2502.48","percent of total billed charges",,
"NF-Bisoprolol/HCTZ 5MG-6.25MG Tablet","0259","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Bisoprolol/HCTZ 5MG-6.25MG Tablet","0259","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Bisoprolol/HCTZ 5MG-6.25MG Tablet","0259","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Bisoprolol/HCTZ 5MG-6.25MG Tablet","0259","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Bisoprolol/HCTZ 5MG-6.25MG Tablet","0259","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Bisoprolol/HCTZ 5MG-6.25MG Tablet","0259","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Bisoprolol/HCTZ 5MG-6.25MG Tablet","0259","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Bisoprolol/HCTZ 5MG-6.25MG Tablet","0259","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Bisoprolol/HCTZ 5MG-6.25MG Tablet","0259","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","2502.48","percent of total billed charges",,
"NF-Bisoprolol/HCTZ 5MG-6.25MG Tablet","0259","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","2502.48","percent of total billed charges",,
"NF-Bisoprolol/HCTZ 5MG-6.25MG Tablet","0259","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","2502.48","percent of total billed charges",,
"NF-Bisoprolol/HCTZ 5MG-6.25MG Tablet","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Bisoprolol/HCTZ 5MG-6.25MG Tablet","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Bisoprolol/HCTZ 5MG-6.25MG Tablet","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Bisoprolol/HCTZ 5MG-6.25MG Tablet","0259","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Bisoprolol/HCTZ 5MG-6.25MG Tablet","0259","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Bisoprolol/HCTZ 5MG-6.25MG Tablet","0259","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-Bisoprolol/HCTZ 5MG-6.25MG Tablet","0259","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","2502.48","percent of total billed charges",,
"NF-Bisoprolol/HCTZ 5MG-6.25MG Tablet","0259","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","2502.48","percent of total billed charges",,
"NF-Bisoprolol/HCTZ 5MG-6.25MG Tablet","0259","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Alliant","Health Exchange",,,"62",,"37.82","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"32.94","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Medicare",,,,"54",,"33.06","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Humana","Medicare Advantage",,,"54",,"33.06","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","UHC","Medicare Advantage",,,"54",,"33.06","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Clover","Medicare Advantage",,,"54",,"33.06","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Wellcare","Medicare Advantage",,,"54",,"33.06","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Amerigroup","Medicaid Managed Care",,,"37",,"22.33","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Caresource","Medicaid Managed Care",,,"40",,"24.4","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Wellcare","Medicaid Managed Care",,,"40",,"24.7","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Aetna","Commercial",,,"64",,"38.92","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Blue Cross Blue Shield","Pathways",,,"71",,"43.07","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Blue Cross Blue Shield","HMO",,,"71",,"43.07","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Blue Cross Blue Shield","PPO",,,"71",,"43.07","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Ambetter","Health Exchange",,,"62",,"37.82","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Caresource","Health Exchange",,,"62",,"37.82","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Cigna","Commercial",,,"59",,"35.75","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Humana","Commercial",,,"78",,"47.28","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","UHC","Commercial",,,"75",,"45.99","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Medicaid",,,,"37",,"22.33","0.04","2502.48","percent of total billed charges",,
"NF-Nortriptyline Hydrochloride Cap 25MG","0259","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Nortriptyline Hydrochloride Cap 25MG","0259","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.04","2502.48","percent of total billed charges",,
"NF-Nortriptyline Hydrochloride Cap 25MG","0259","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Nortriptyline Hydrochloride Cap 25MG","0259","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Nortriptyline Hydrochloride Cap 25MG","0259","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Nortriptyline Hydrochloride Cap 25MG","0259","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Nortriptyline Hydrochloride Cap 25MG","0259","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.04","2502.48","percent of total billed charges",,
"NF-Nortriptyline Hydrochloride Cap 25MG","0259","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-Nortriptyline Hydrochloride Cap 25MG","0259","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.04","2502.48","percent of total billed charges",,
"NF-Nortriptyline Hydrochloride Cap 25MG","0259","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Nortriptyline Hydrochloride Cap 25MG","0259","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.04","2502.48","percent of total billed charges",,
"NF-Nortriptyline Hydrochloride Cap 25MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Nortriptyline Hydrochloride Cap 25MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Nortriptyline Hydrochloride Cap 25MG","0259","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.04","2502.48","percent of total billed charges",,
"NF-Nortriptyline Hydrochloride Cap 25MG","0259","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Nortriptyline Hydrochloride Cap 25MG","0259","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.04","2502.48","percent of total billed charges",,
"NF-Nortriptyline Hydrochloride Cap 25MG","0259","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.04","2502.48","percent of total billed charges",,
"NF-Nortriptyline Hydrochloride Cap 25MG","0259","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Nortriptyline Hydrochloride Cap 25MG","0259","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.04","2502.48","percent of total billed charges",,
"NF-Nortriptyline Hydrochloride Cap 25MG","0259","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic SubQ Soln 2MG/3ML","0259","RC","Both",,,"1122","561","Alliant","Health Exchange",,,"62",,"695.64","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic SubQ Soln 2MG/3ML","0259","RC","Both",,,"1122","561","Pruitt Healthcare","Medicare Advantage",,,"54",,"605.88","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic SubQ Soln 2MG/3ML","0259","RC","Both",,,"1122","561","Medicare",,,,"54",,"608.12","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic SubQ Soln 2MG/3ML","0259","RC","Both",,,"1122","561","Humana","Medicare Advantage",,,"54",,"608.12","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic SubQ Soln 2MG/3ML","0259","RC","Both",,,"1122","561","UHC","Medicare Advantage",,,"54",,"608.12","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic SubQ Soln 2MG/3ML","0259","RC","Both",,,"1122","561","Clover","Medicare Advantage",,,"54",,"608.12","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic SubQ Soln 2MG/3ML","0259","RC","Both",,,"1122","561","Wellcare","Medicare Advantage",,,"54",,"608.12","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic SubQ Soln 2MG/3ML","0259","RC","Both",,,"1122","561","Amerigroup","Medicaid Managed Care",,,"37",,"410.65","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic SubQ Soln 2MG/3ML","0259","RC","Both",,,"1122","561","Caresource","Medicaid Managed Care",,,"40",,"448.8","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic SubQ Soln 2MG/3ML","0259","RC","Both",,,"1122","561","Wellcare","Medicaid Managed Care",,,"40",,"454.41","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic SubQ Soln 2MG/3ML","0259","RC","Both",,,"1122","561","Aetna","Commercial",,,"64",,"715.84","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic SubQ Soln 2MG/3ML","0259","RC","Both",,,"1122","561","Blue Cross Blue Shield","Pathways",,,"71",,"792.13","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic SubQ Soln 2MG/3ML","0259","RC","Both",,,"1122","561","Blue Cross Blue Shield","HMO",,,"71",,"792.13","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic SubQ Soln 2MG/3ML","0259","RC","Both",,,"1122","561","Blue Cross Blue Shield","PPO",,,"71",,"792.13","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic SubQ Soln 2MG/3ML","0259","RC","Both",,,"1122","561","Ambetter","Health Exchange",,,"62",,"695.64","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic SubQ Soln 2MG/3ML","0259","RC","Both",,,"1122","561","Caresource","Health Exchange",,,"62",,"695.64","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic SubQ Soln 2MG/3ML","0259","RC","Both",,,"1122","561","Cigna","Commercial",,,"59",,"657.49","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic SubQ Soln 2MG/3ML","0259","RC","Both",,,"1122","561","Humana","Commercial",,,"78",,"869.55","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic SubQ Soln 2MG/3ML","0259","RC","Both",,,"1122","561","UHC","Commercial",,,"75",,"845.99","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic SubQ Soln 2MG/3ML","0259","RC","Both",,,"1122","561","Medicaid",,,,"37",,"410.65","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba FlexTouch Pen SubQ Soln 200U/","0259","RC","Both",,,"244","122","Alliant","Health Exchange",,,"62",,"151.28","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba FlexTouch Pen SubQ Soln 200U/","0259","RC","Both",,,"244","122","Pruitt Healthcare","Medicare Advantage",,,"54",,"131.76","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba FlexTouch Pen SubQ Soln 200U/","0259","RC","Both",,,"244","122","Medicare",,,,"54",,"132.25","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba FlexTouch Pen SubQ Soln 200U/","0259","RC","Both",,,"244","122","Humana","Medicare Advantage",,,"54",,"132.25","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba FlexTouch Pen SubQ Soln 200U/","0259","RC","Both",,,"244","122","UHC","Medicare Advantage",,,"54",,"132.25","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba FlexTouch Pen SubQ Soln 200U/","0259","RC","Both",,,"244","122","Clover","Medicare Advantage",,,"54",,"132.25","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba FlexTouch Pen SubQ Soln 200U/","0259","RC","Both",,,"244","122","Wellcare","Medicare Advantage",,,"54",,"132.25","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba FlexTouch Pen SubQ Soln 200U/","0259","RC","Both",,,"244","122","Amerigroup","Medicaid Managed Care",,,"37",,"89.3","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba FlexTouch Pen SubQ Soln 200U/","0259","RC","Both",,,"244","122","Caresource","Medicaid Managed Care",,,"40",,"97.6","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba FlexTouch Pen SubQ Soln 200U/","0259","RC","Both",,,"244","122","Wellcare","Medicaid Managed Care",,,"40",,"98.82","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba FlexTouch Pen SubQ Soln 200U/","0259","RC","Both",,,"244","122","Aetna","Commercial",,,"64",,"155.67","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba FlexTouch Pen SubQ Soln 200U/","0259","RC","Both",,,"244","122","Blue Cross Blue Shield","Pathways",,,"71",,"172.26","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba FlexTouch Pen SubQ Soln 200U/","0259","RC","Both",,,"244","122","Blue Cross Blue Shield","HMO",,,"71",,"172.26","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba FlexTouch Pen SubQ Soln 200U/","0259","RC","Both",,,"244","122","Blue Cross Blue Shield","PPO",,,"71",,"172.26","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba FlexTouch Pen SubQ Soln 200U/","0259","RC","Both",,,"244","122","Ambetter","Health Exchange",,,"62",,"151.28","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba FlexTouch Pen SubQ Soln 200U/","0259","RC","Both",,,"244","122","Caresource","Health Exchange",,,"62",,"151.28","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba FlexTouch Pen SubQ Soln 200U/","0259","RC","Both",,,"244","122","Cigna","Commercial",,,"59",,"142.98","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba FlexTouch Pen SubQ Soln 200U/","0259","RC","Both",,,"244","122","Humana","Commercial",,,"78",,"189.1","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba FlexTouch Pen SubQ Soln 200U/","0259","RC","Both",,,"244","122","UHC","Commercial",,,"75",,"183.98","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba FlexTouch Pen SubQ Soln 200U/","0259","RC","Both",,,"244","122","Medicaid",,,,"37",,"89.3","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"140","70","Alliant","Health Exchange",,,"62",,"86.8","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"140","70","Pruitt Healthcare","Medicare Advantage",,,"54",,"75.6","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"140","70","Medicare",,,,"54",,"75.88","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"140","70","Humana","Medicare Advantage",,,"54",,"75.88","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"140","70","UHC","Medicare Advantage",,,"54",,"75.88","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"140","70","Clover","Medicare Advantage",,,"54",,"75.88","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"140","70","Wellcare","Medicare Advantage",,,"54",,"75.88","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"140","70","Amerigroup","Medicaid Managed Care",,,"37",,"51.24","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"140","70","Caresource","Medicaid Managed Care",,,"40",,"56","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"140","70","Wellcare","Medicaid Managed Care",,,"40",,"56.7","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"140","70","Aetna","Commercial",,,"64",,"89.32","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"140","70","Blue Cross Blue Shield","Pathways",,,"71",,"98.84","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"140","70","Blue Cross Blue Shield","HMO",,,"71",,"98.84","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"140","70","Blue Cross Blue Shield","PPO",,,"71",,"98.84","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"140","70","Ambetter","Health Exchange",,,"62",,"86.8","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"140","70","Caresource","Health Exchange",,,"62",,"86.8","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"140","70","Cigna","Commercial",,,"59",,"82.04","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"140","70","Humana","Commercial",,,"78",,"108.5","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"140","70","UHC","Commercial",,,"75",,"105.56","0.04","2502.48","percent of total billed charges",,
"NF-Alphagan P Opthamalic Solution  0.1%","0259","RC","Both",,,"140","70","Medicaid",,,,"37",,"51.24","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0259","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"522","261","Alliant","Health Exchange",,,"62",,"323.64","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"522","261","Pruitt Healthcare","Medicare Advantage",,,"54",,"281.88","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"522","261","Medicare",,,,"54",,"282.92","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"522","261","Humana","Medicare Advantage",,,"54",,"282.92","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"522","261","UHC","Medicare Advantage",,,"54",,"282.92","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"522","261","Clover","Medicare Advantage",,,"54",,"282.92","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"522","261","Wellcare","Medicare Advantage",,,"54",,"282.92","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"522","261","Amerigroup","Medicaid Managed Care",,,"37",,"191.05","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"522","261","Caresource","Medicaid Managed Care",,,"40",,"208.8","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"522","261","Wellcare","Medicaid Managed Care",,,"40",,"211.41","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"522","261","Aetna","Commercial",,,"64",,"333.04","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"522","261","Blue Cross Blue Shield","Pathways",,,"71",,"368.53","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"522","261","Blue Cross Blue Shield","HMO",,,"71",,"368.53","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"522","261","Blue Cross Blue Shield","PPO",,,"71",,"368.53","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"522","261","Ambetter","Health Exchange",,,"62",,"323.64","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"522","261","Caresource","Health Exchange",,,"62",,"323.64","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"522","261","Cigna","Commercial",,,"59",,"305.89","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"522","261","Humana","Commercial",,,"78",,"404.55","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"522","261","UHC","Commercial",,,"75",,"393.59","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"522","261","Medicaid",,,,"37",,"191.05","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Alliant","Health Exchange",,,"62",,"920.08","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Pruitt Healthcare","Medicare Advantage",,,"54",,"801.36","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Medicare",,,,"54",,"804.33","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Humana","Medicare Advantage",,,"54",,"804.33","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","UHC","Medicare Advantage",,,"54",,"804.33","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Clover","Medicare Advantage",,,"54",,"804.33","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Wellcare","Medicare Advantage",,,"54",,"804.33","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Amerigroup","Medicaid Managed Care",,,"37",,"543.14","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Caresource","Medicaid Managed Care",,,"40",,"593.6","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Wellcare","Medicaid Managed Care",,,"40",,"601.02","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Aetna","Commercial",,,"64",,"946.79","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Blue Cross Blue Shield","Pathways",,,"71",,"1047.7","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Blue Cross Blue Shield","HMO",,,"71",,"1047.7","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Blue Cross Blue Shield","PPO",,,"71",,"1047.7","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Ambetter","Health Exchange",,,"62",,"920.08","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Caresource","Health Exchange",,,"62",,"920.08","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Cigna","Commercial",,,"59",,"869.62","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Humana","Commercial",,,"78",,"1150.1","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","UHC","Commercial",,,"75",,"1118.94","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Medicaid",,,,"37",,"543.14","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"61","30.5","Alliant","Health Exchange",,,"62",,"37.82","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"61","30.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"32.94","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"61","30.5","Medicare",,,,"54",,"33.06","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"61","30.5","Humana","Medicare Advantage",,,"54",,"33.06","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"61","30.5","UHC","Medicare Advantage",,,"54",,"33.06","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"61","30.5","Clover","Medicare Advantage",,,"54",,"33.06","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"61","30.5","Wellcare","Medicare Advantage",,,"54",,"33.06","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"61","30.5","Amerigroup","Medicaid Managed Care",,,"37",,"22.33","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"61","30.5","Caresource","Medicaid Managed Care",,,"40",,"24.4","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"61","30.5","Wellcare","Medicaid Managed Care",,,"40",,"24.7","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"61","30.5","Aetna","Commercial",,,"64",,"38.92","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"61","30.5","Blue Cross Blue Shield","Pathways",,,"71",,"43.07","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"61","30.5","Blue Cross Blue Shield","HMO",,,"71",,"43.07","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"61","30.5","Blue Cross Blue Shield","PPO",,,"71",,"43.07","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"61","30.5","Ambetter","Health Exchange",,,"62",,"37.82","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"61","30.5","Caresource","Health Exchange",,,"62",,"37.82","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"61","30.5","Cigna","Commercial",,,"59",,"35.75","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"61","30.5","Humana","Commercial",,,"78",,"47.28","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"61","30.5","UHC","Commercial",,,"75",,"45.99","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","0259","RC","Both",,,"61","30.5","Medicaid",,,,"37",,"22.33","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","0.04","2502.48","percent of total billed charges",,
"NF-Ramipril Oral Capsule 5MG","0259","RC","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Ramipril Oral Capsule 5MG","0259","RC","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","0.04","2502.48","percent of total billed charges",,
"NF-Ramipril Oral Capsule 5MG","0259","RC","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Ramipril Oral Capsule 5MG","0259","RC","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Ramipril Oral Capsule 5MG","0259","RC","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Ramipril Oral Capsule 5MG","0259","RC","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Ramipril Oral Capsule 5MG","0259","RC","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Ramipril Oral Capsule 5MG","0259","RC","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","0.04","2502.48","percent of total billed charges",,
"NF-Ramipril Oral Capsule 5MG","0259","RC","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","0.04","2502.48","percent of total billed charges",,
"NF-Ramipril Oral Capsule 5MG","0259","RC","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","0.04","2502.48","percent of total billed charges",,
"NF-Ramipril Oral Capsule 5MG","0259","RC","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","0.04","2502.48","percent of total billed charges",,
"NF-Ramipril Oral Capsule 5MG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-Ramipril Oral Capsule 5MG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-Ramipril Oral Capsule 5MG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-Ramipril Oral Capsule 5MG","0259","RC","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Ramipril Oral Capsule 5MG","0259","RC","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Ramipril Oral Capsule 5MG","0259","RC","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Ramipril Oral Capsule 5MG","0259","RC","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","0.04","2502.48","percent of total billed charges",,
"NF-Ramipril Oral Capsule 5MG","0259","RC","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","0.04","2502.48","percent of total billed charges",,
"NF-Ramipril Oral Capsule 5MG","0259","RC","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Alliant","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.98","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Medicare",,,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Humana","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","UHC","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Clover","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Wellcare","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Amerigroup","Medicaid Managed Care",,,"37",,"13.54","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Caresource","Medicaid Managed Care",,,"40",,"14.8","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Wellcare","Medicaid Managed Care",,,"40",,"14.99","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Aetna","Commercial",,,"64",,"23.61","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","Pathways",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","HMO",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","PPO",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Ambetter","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Caresource","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Cigna","Commercial",,,"59",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Humana","Commercial",,,"78",,"28.68","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","UHC","Commercial",,,"75",,"27.9","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Medicaid",,,,"37",,"13.54","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0250","RC","Both",,,"71","35.5","Alliant","Health Exchange",,,"62",,"44.02","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0250","RC","Both",,,"71","35.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"38.34","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0250","RC","Both",,,"71","35.5","Medicare",,,,"54",,"38.48","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0250","RC","Both",,,"71","35.5","Humana","Medicare Advantage",,,"54",,"38.48","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0250","RC","Both",,,"71","35.5","UHC","Medicare Advantage",,,"54",,"38.48","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0250","RC","Both",,,"71","35.5","Clover","Medicare Advantage",,,"54",,"38.48","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0250","RC","Both",,,"71","35.5","Wellcare","Medicare Advantage",,,"54",,"38.48","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0250","RC","Both",,,"71","35.5","Amerigroup","Medicaid Managed Care",,,"37",,"25.99","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0250","RC","Both",,,"71","35.5","Caresource","Medicaid Managed Care",,,"40",,"28.4","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0250","RC","Both",,,"71","35.5","Wellcare","Medicaid Managed Care",,,"40",,"28.76","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0250","RC","Both",,,"71","35.5","Aetna","Commercial",,,"64",,"45.3","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0250","RC","Both",,,"71","35.5","Blue Cross Blue Shield","Pathways",,,"71",,"50.13","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0250","RC","Both",,,"71","35.5","Blue Cross Blue Shield","HMO",,,"71",,"50.13","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0250","RC","Both",,,"71","35.5","Blue Cross Blue Shield","PPO",,,"71",,"50.13","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0250","RC","Both",,,"71","35.5","Ambetter","Health Exchange",,,"62",,"44.02","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0250","RC","Both",,,"71","35.5","Caresource","Health Exchange",,,"62",,"44.02","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0250","RC","Both",,,"71","35.5","Cigna","Commercial",,,"59",,"41.61","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0250","RC","Both",,,"71","35.5","Humana","Commercial",,,"78",,"55.02","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0250","RC","Both",,,"71","35.5","UHC","Commercial",,,"75",,"53.53","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0250","RC","Both",,,"71","35.5","Medicaid",,,,"37",,"25.99","0.04","569.62","percent of total billed charges",,
"NF-Travoprost Ophthalmic Solution 0.004%","0259","RC","Both",,,"248","124","Alliant","Health Exchange",,,"62",,"153.76","0.04","2502.48","percent of total billed charges",,
"NF-Travoprost Ophthalmic Solution 0.004%","0259","RC","Both",,,"248","124","Pruitt Healthcare","Medicare Advantage",,,"54",,"133.92","0.04","2502.48","percent of total billed charges",,
"NF-Travoprost Ophthalmic Solution 0.004%","0259","RC","Both",,,"248","124","Medicare",,,,"54",,"134.42","0.04","2502.48","percent of total billed charges",,
"NF-Travoprost Ophthalmic Solution 0.004%","0259","RC","Both",,,"248","124","Humana","Medicare Advantage",,,"54",,"134.42","0.04","2502.48","percent of total billed charges",,
"NF-Travoprost Ophthalmic Solution 0.004%","0259","RC","Both",,,"248","124","UHC","Medicare Advantage",,,"54",,"134.42","0.04","2502.48","percent of total billed charges",,
"NF-Travoprost Ophthalmic Solution 0.004%","0259","RC","Both",,,"248","124","Clover","Medicare Advantage",,,"54",,"134.42","0.04","2502.48","percent of total billed charges",,
"NF-Travoprost Ophthalmic Solution 0.004%","0259","RC","Both",,,"248","124","Wellcare","Medicare Advantage",,,"54",,"134.42","0.04","2502.48","percent of total billed charges",,
"NF-Travoprost Ophthalmic Solution 0.004%","0259","RC","Both",,,"248","124","Amerigroup","Medicaid Managed Care",,,"37",,"90.77","0.04","2502.48","percent of total billed charges",,
"NF-Travoprost Ophthalmic Solution 0.004%","0259","RC","Both",,,"248","124","Caresource","Medicaid Managed Care",,,"40",,"99.2","0.04","2502.48","percent of total billed charges",,
"NF-Travoprost Ophthalmic Solution 0.004%","0259","RC","Both",,,"248","124","Wellcare","Medicaid Managed Care",,,"40",,"100.44","0.04","2502.48","percent of total billed charges",,
"NF-Travoprost Ophthalmic Solution 0.004%","0259","RC","Both",,,"248","124","Aetna","Commercial",,,"64",,"158.22","0.04","2502.48","percent of total billed charges",,
"NF-Travoprost Ophthalmic Solution 0.004%","0259","RC","Both",,,"248","124","Blue Cross Blue Shield","Pathways",,,"71",,"175.09","0.04","2502.48","percent of total billed charges",,
"NF-Travoprost Ophthalmic Solution 0.004%","0259","RC","Both",,,"248","124","Blue Cross Blue Shield","HMO",,,"71",,"175.09","0.04","2502.48","percent of total billed charges",,
"NF-Travoprost Ophthalmic Solution 0.004%","0259","RC","Both",,,"248","124","Blue Cross Blue Shield","PPO",,,"71",,"175.09","0.04","2502.48","percent of total billed charges",,
"NF-Travoprost Ophthalmic Solution 0.004%","0259","RC","Both",,,"248","124","Ambetter","Health Exchange",,,"62",,"153.76","0.04","2502.48","percent of total billed charges",,
"NF-Travoprost Ophthalmic Solution 0.004%","0259","RC","Both",,,"248","124","Caresource","Health Exchange",,,"62",,"153.76","0.04","2502.48","percent of total billed charges",,
"NF-Travoprost Ophthalmic Solution 0.004%","0259","RC","Both",,,"248","124","Cigna","Commercial",,,"59",,"145.33","0.04","2502.48","percent of total billed charges",,
"NF-Travoprost Ophthalmic Solution 0.004%","0259","RC","Both",,,"248","124","Humana","Commercial",,,"78",,"192.2","0.04","2502.48","percent of total billed charges",,
"NF-Travoprost Ophthalmic Solution 0.004%","0259","RC","Both",,,"248","124","UHC","Commercial",,,"75",,"186.99","0.04","2502.48","percent of total billed charges",,
"NF-Travoprost Ophthalmic Solution 0.004%","0259","RC","Both",,,"248","124","Medicaid",,,,"37",,"90.77","0.04","2502.48","percent of total billed charges",,
"NF-valACYclovir HCl Oral Tablet 500MG","0250","RC","Both",,,"21","10.5","Alliant","Health Exchange",,,"62",,"13.02","0.04","569.62","percent of total billed charges",,
"NF-valACYclovir HCl Oral Tablet 500MG","0250","RC","Both",,,"21","10.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.34","0.04","569.62","percent of total billed charges",,
"NF-valACYclovir HCl Oral Tablet 500MG","0250","RC","Both",,,"21","10.5","Medicare",,,,"54",,"11.38","0.04","569.62","percent of total billed charges",,
"NF-valACYclovir HCl Oral Tablet 500MG","0250","RC","Both",,,"21","10.5","Humana","Medicare Advantage",,,"54",,"11.38","0.04","569.62","percent of total billed charges",,
"NF-valACYclovir HCl Oral Tablet 500MG","0250","RC","Both",,,"21","10.5","UHC","Medicare Advantage",,,"54",,"11.38","0.04","569.62","percent of total billed charges",,
"NF-valACYclovir HCl Oral Tablet 500MG","0250","RC","Both",,,"21","10.5","Clover","Medicare Advantage",,,"54",,"11.38","0.04","569.62","percent of total billed charges",,
"NF-valACYclovir HCl Oral Tablet 500MG","0250","RC","Both",,,"21","10.5","Wellcare","Medicare Advantage",,,"54",,"11.38","0.04","569.62","percent of total billed charges",,
"NF-valACYclovir HCl Oral Tablet 500MG","0250","RC","Both",,,"21","10.5","Amerigroup","Medicaid Managed Care",,,"37",,"7.69","0.04","569.62","percent of total billed charges",,
"NF-valACYclovir HCl Oral Tablet 500MG","0250","RC","Both",,,"21","10.5","Caresource","Medicaid Managed Care",,,"40",,"8.4","0.04","569.62","percent of total billed charges",,
"NF-valACYclovir HCl Oral Tablet 500MG","0250","RC","Both",,,"21","10.5","Wellcare","Medicaid Managed Care",,,"40",,"8.51","0.04","569.62","percent of total billed charges",,
"NF-valACYclovir HCl Oral Tablet 500MG","0250","RC","Both",,,"21","10.5","Aetna","Commercial",,,"64",,"13.4","0.04","569.62","percent of total billed charges",,
"NF-valACYclovir HCl Oral Tablet 500MG","0250","RC","Both",,,"21","10.5","Blue Cross Blue Shield","Pathways",,,"71",,"14.83","0.04","569.62","percent of total billed charges",,
"NF-valACYclovir HCl Oral Tablet 500MG","0250","RC","Both",,,"21","10.5","Blue Cross Blue Shield","HMO",,,"71",,"14.83","0.04","569.62","percent of total billed charges",,
"NF-valACYclovir HCl Oral Tablet 500MG","0250","RC","Both",,,"21","10.5","Blue Cross Blue Shield","PPO",,,"71",,"14.83","0.04","569.62","percent of total billed charges",,
"NF-valACYclovir HCl Oral Tablet 500MG","0250","RC","Both",,,"21","10.5","Ambetter","Health Exchange",,,"62",,"13.02","0.04","569.62","percent of total billed charges",,
"NF-valACYclovir HCl Oral Tablet 500MG","0250","RC","Both",,,"21","10.5","Caresource","Health Exchange",,,"62",,"13.02","0.04","569.62","percent of total billed charges",,
"NF-valACYclovir HCl Oral Tablet 500MG","0250","RC","Both",,,"21","10.5","Cigna","Commercial",,,"59",,"12.31","0.04","569.62","percent of total billed charges",,
"NF-valACYclovir HCl Oral Tablet 500MG","0250","RC","Both",,,"21","10.5","Humana","Commercial",,,"78",,"16.28","0.04","569.62","percent of total billed charges",,
"NF-valACYclovir HCl Oral Tablet 500MG","0250","RC","Both",,,"21","10.5","UHC","Commercial",,,"75",,"15.83","0.04","569.62","percent of total billed charges",,
"NF-valACYclovir HCl Oral Tablet 500MG","0250","RC","Both",,,"21","10.5","Medicaid",,,,"37",,"7.69","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0250","RC","Both",,,"65","32.5","Alliant","Health Exchange",,,"62",,"40.3","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0250","RC","Both",,,"65","32.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"35.1","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0250","RC","Both",,,"65","32.5","Medicare",,,,"54",,"35.23","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0250","RC","Both",,,"65","32.5","Humana","Medicare Advantage",,,"54",,"35.23","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0250","RC","Both",,,"65","32.5","UHC","Medicare Advantage",,,"54",,"35.23","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0250","RC","Both",,,"65","32.5","Clover","Medicare Advantage",,,"54",,"35.23","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0250","RC","Both",,,"65","32.5","Wellcare","Medicare Advantage",,,"54",,"35.23","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0250","RC","Both",,,"65","32.5","Amerigroup","Medicaid Managed Care",,,"37",,"23.79","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0250","RC","Both",,,"65","32.5","Caresource","Medicaid Managed Care",,,"40",,"26","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0250","RC","Both",,,"65","32.5","Wellcare","Medicaid Managed Care",,,"40",,"26.33","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0250","RC","Both",,,"65","32.5","Aetna","Commercial",,,"64",,"41.47","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0250","RC","Both",,,"65","32.5","Blue Cross Blue Shield","Pathways",,,"71",,"45.89","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0250","RC","Both",,,"65","32.5","Blue Cross Blue Shield","HMO",,,"71",,"45.89","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0250","RC","Both",,,"65","32.5","Blue Cross Blue Shield","PPO",,,"71",,"45.89","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0250","RC","Both",,,"65","32.5","Ambetter","Health Exchange",,,"62",,"40.3","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0250","RC","Both",,,"65","32.5","Caresource","Health Exchange",,,"62",,"40.3","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0250","RC","Both",,,"65","32.5","Cigna","Commercial",,,"59",,"38.09","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0250","RC","Both",,,"65","32.5","Humana","Commercial",,,"78",,"50.38","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0250","RC","Both",,,"65","32.5","UHC","Commercial",,,"75",,"49.01","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0250","RC","Both",,,"65","32.5","Medicaid",,,,"37",,"23.79","0.04","569.62","percent of total billed charges",,
"NF-Torsemide Tablet 20MG","0259","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Tablet 20MG","0259","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Tablet 20MG","0259","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Tablet 20MG","0259","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Tablet 20MG","0259","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Tablet 20MG","0259","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Tablet 20MG","0259","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Tablet 20MG","0259","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Tablet 20MG","0259","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Tablet 20MG","0259","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Tablet 20MG","0259","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Tablet 20MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Tablet 20MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Tablet 20MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Tablet 20MG","0259","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Tablet 20MG","0259","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Tablet 20MG","0259","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Tablet 20MG","0259","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Tablet 20MG","0259","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Tablet 20MG","0259","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Cymbalta Capsule, Delayed Release 20M","0259","RC","Both",,,"30","15","Alliant","Health Exchange",,,"62",,"18.6","0.04","2502.48","percent of total billed charges",,
"NF-Cymbalta Capsule, Delayed Release 20M","0259","RC","Both",,,"30","15","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.2","0.04","2502.48","percent of total billed charges",,
"NF-Cymbalta Capsule, Delayed Release 20M","0259","RC","Both",,,"30","15","Medicare",,,,"54",,"16.26","0.04","2502.48","percent of total billed charges",,
"NF-Cymbalta Capsule, Delayed Release 20M","0259","RC","Both",,,"30","15","Humana","Medicare Advantage",,,"54",,"16.26","0.04","2502.48","percent of total billed charges",,
"NF-Cymbalta Capsule, Delayed Release 20M","0259","RC","Both",,,"30","15","UHC","Medicare Advantage",,,"54",,"16.26","0.04","2502.48","percent of total billed charges",,
"NF-Cymbalta Capsule, Delayed Release 20M","0259","RC","Both",,,"30","15","Clover","Medicare Advantage",,,"54",,"16.26","0.04","2502.48","percent of total billed charges",,
"NF-Cymbalta Capsule, Delayed Release 20M","0259","RC","Both",,,"30","15","Wellcare","Medicare Advantage",,,"54",,"16.26","0.04","2502.48","percent of total billed charges",,
"NF-Cymbalta Capsule, Delayed Release 20M","0259","RC","Both",,,"30","15","Amerigroup","Medicaid Managed Care",,,"37",,"10.98","0.04","2502.48","percent of total billed charges",,
"NF-Cymbalta Capsule, Delayed Release 20M","0259","RC","Both",,,"30","15","Caresource","Medicaid Managed Care",,,"40",,"12","0.04","2502.48","percent of total billed charges",,
"NF-Cymbalta Capsule, Delayed Release 20M","0259","RC","Both",,,"30","15","Wellcare","Medicaid Managed Care",,,"40",,"12.15","0.04","2502.48","percent of total billed charges",,
"NF-Cymbalta Capsule, Delayed Release 20M","0259","RC","Both",,,"30","15","Aetna","Commercial",,,"64",,"19.14","0.04","2502.48","percent of total billed charges",,
"NF-Cymbalta Capsule, Delayed Release 20M","0259","RC","Both",,,"30","15","Blue Cross Blue Shield","Pathways",,,"71",,"21.18","0.04","2502.48","percent of total billed charges",,
"NF-Cymbalta Capsule, Delayed Release 20M","0259","RC","Both",,,"30","15","Blue Cross Blue Shield","HMO",,,"71",,"21.18","0.04","2502.48","percent of total billed charges",,
"NF-Cymbalta Capsule, Delayed Release 20M","0259","RC","Both",,,"30","15","Blue Cross Blue Shield","PPO",,,"71",,"21.18","0.04","2502.48","percent of total billed charges",,
"NF-Cymbalta Capsule, Delayed Release 20M","0259","RC","Both",,,"30","15","Ambetter","Health Exchange",,,"62",,"18.6","0.04","2502.48","percent of total billed charges",,
"NF-Cymbalta Capsule, Delayed Release 20M","0259","RC","Both",,,"30","15","Caresource","Health Exchange",,,"62",,"18.6","0.04","2502.48","percent of total billed charges",,
"NF-Cymbalta Capsule, Delayed Release 20M","0259","RC","Both",,,"30","15","Cigna","Commercial",,,"59",,"17.58","0.04","2502.48","percent of total billed charges",,
"NF-Cymbalta Capsule, Delayed Release 20M","0259","RC","Both",,,"30","15","Humana","Commercial",,,"78",,"23.25","0.04","2502.48","percent of total billed charges",,
"NF-Cymbalta Capsule, Delayed Release 20M","0259","RC","Both",,,"30","15","UHC","Commercial",,,"75",,"22.62","0.04","2502.48","percent of total billed charges",,
"NF-Cymbalta Capsule, Delayed Release 20M","0259","RC","Both",,,"30","15","Medicaid",,,,"37",,"10.98","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 160MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 160MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 160MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 160MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 160MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 160MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 160MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 160MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 160MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 160MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 160MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 160MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 160MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 160MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 160MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 160MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 160MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 160MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 160MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 160MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","0259","RC","Both",,,"446","223","Alliant","Health Exchange",,,"62",,"276.52","0.04","2502.48","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","0259","RC","Both",,,"446","223","Pruitt Healthcare","Medicare Advantage",,,"54",,"240.84","0.04","2502.48","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","0259","RC","Both",,,"446","223","Medicare",,,,"54",,"241.73","0.04","2502.48","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","0259","RC","Both",,,"446","223","Humana","Medicare Advantage",,,"54",,"241.73","0.04","2502.48","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","0259","RC","Both",,,"446","223","UHC","Medicare Advantage",,,"54",,"241.73","0.04","2502.48","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","0259","RC","Both",,,"446","223","Clover","Medicare Advantage",,,"54",,"241.73","0.04","2502.48","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","0259","RC","Both",,,"446","223","Wellcare","Medicare Advantage",,,"54",,"241.73","0.04","2502.48","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","0259","RC","Both",,,"446","223","Amerigroup","Medicaid Managed Care",,,"37",,"163.24","0.04","2502.48","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","0259","RC","Both",,,"446","223","Caresource","Medicaid Managed Care",,,"40",,"178.4","0.04","2502.48","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","0259","RC","Both",,,"446","223","Wellcare","Medicaid Managed Care",,,"40",,"180.63","0.04","2502.48","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","0259","RC","Both",,,"446","223","Aetna","Commercial",,,"64",,"284.55","0.04","2502.48","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","0259","RC","Both",,,"446","223","Blue Cross Blue Shield","Pathways",,,"71",,"314.88","0.04","2502.48","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","0259","RC","Both",,,"446","223","Blue Cross Blue Shield","HMO",,,"71",,"314.88","0.04","2502.48","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","0259","RC","Both",,,"446","223","Blue Cross Blue Shield","PPO",,,"71",,"314.88","0.04","2502.48","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","0259","RC","Both",,,"446","223","Ambetter","Health Exchange",,,"62",,"276.52","0.04","2502.48","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","0259","RC","Both",,,"446","223","Caresource","Health Exchange",,,"62",,"276.52","0.04","2502.48","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","0259","RC","Both",,,"446","223","Cigna","Commercial",,,"59",,"261.36","0.04","2502.48","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","0259","RC","Both",,,"446","223","Humana","Commercial",,,"78",,"345.65","0.04","2502.48","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","0259","RC","Both",,,"446","223","UHC","Commercial",,,"75",,"336.28","0.04","2502.48","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","0259","RC","Both",,,"446","223","Medicaid",,,,"37",,"163.24","0.04","2502.48","percent of total billed charges",,
"NF-FLUOXETINE HCL CAP 20MG","0259","RC","Both",,,"19.39","9.695","Alliant","Health Exchange",,,"62",,"12.02","0.04","2502.48","percent of total billed charges",,
"NF-FLUOXETINE HCL CAP 20MG","0259","RC","Both",,,"19.39","9.695","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.47","0.04","2502.48","percent of total billed charges",,
"NF-FLUOXETINE HCL CAP 20MG","0259","RC","Both",,,"19.39","9.695","Medicare",,,,"54",,"10.51","0.04","2502.48","percent of total billed charges",,
"NF-FLUOXETINE HCL CAP 20MG","0259","RC","Both",,,"19.39","9.695","Humana","Medicare Advantage",,,"54",,"10.51","0.04","2502.48","percent of total billed charges",,
"NF-FLUOXETINE HCL CAP 20MG","0259","RC","Both",,,"19.39","9.695","UHC","Medicare Advantage",,,"54",,"10.51","0.04","2502.48","percent of total billed charges",,
"NF-FLUOXETINE HCL CAP 20MG","0259","RC","Both",,,"19.39","9.695","Clover","Medicare Advantage",,,"54",,"10.51","0.04","2502.48","percent of total billed charges",,
"NF-FLUOXETINE HCL CAP 20MG","0259","RC","Both",,,"19.39","9.695","Wellcare","Medicare Advantage",,,"54",,"10.51","0.04","2502.48","percent of total billed charges",,
"NF-FLUOXETINE HCL CAP 20MG","0259","RC","Both",,,"19.39","9.695","Amerigroup","Medicaid Managed Care",,,"37",,"7.1","0.04","2502.48","percent of total billed charges",,
"NF-FLUOXETINE HCL CAP 20MG","0259","RC","Both",,,"19.39","9.695","Caresource","Medicaid Managed Care",,,"40",,"7.76","0.04","2502.48","percent of total billed charges",,
"NF-FLUOXETINE HCL CAP 20MG","0259","RC","Both",,,"19.39","9.695","Wellcare","Medicaid Managed Care",,,"40",,"7.85","0.04","2502.48","percent of total billed charges",,
"NF-FLUOXETINE HCL CAP 20MG","0259","RC","Both",,,"19.39","9.695","Aetna","Commercial",,,"64",,"12.37","0.04","2502.48","percent of total billed charges",,
"NF-FLUOXETINE HCL CAP 20MG","0259","RC","Both",,,"19.39","9.695","Blue Cross Blue Shield","Pathways",,,"71",,"13.69","0.04","2502.48","percent of total billed charges",,
"NF-FLUOXETINE HCL CAP 20MG","0259","RC","Both",,,"19.39","9.695","Blue Cross Blue Shield","HMO",,,"71",,"13.69","0.04","2502.48","percent of total billed charges",,
"NF-FLUOXETINE HCL CAP 20MG","0259","RC","Both",,,"19.39","9.695","Blue Cross Blue Shield","PPO",,,"71",,"13.69","0.04","2502.48","percent of total billed charges",,
"NF-FLUOXETINE HCL CAP 20MG","0259","RC","Both",,,"19.39","9.695","Ambetter","Health Exchange",,,"62",,"12.02","0.04","2502.48","percent of total billed charges",,
"NF-FLUOXETINE HCL CAP 20MG","0259","RC","Both",,,"19.39","9.695","Caresource","Health Exchange",,,"62",,"12.02","0.04","2502.48","percent of total billed charges",,
"NF-FLUOXETINE HCL CAP 20MG","0259","RC","Both",,,"19.39","9.695","Cigna","Commercial",,,"59",,"11.36","0.04","2502.48","percent of total billed charges",,
"NF-FLUOXETINE HCL CAP 20MG","0259","RC","Both",,,"19.39","9.695","Humana","Commercial",,,"78",,"15.03","0.04","2502.48","percent of total billed charges",,
"NF-FLUOXETINE HCL CAP 20MG","0259","RC","Both",,,"19.39","9.695","UHC","Commercial",,,"75",,"14.62","0.04","2502.48","percent of total billed charges",,
"NF-FLUOXETINE HCL CAP 20MG","0259","RC","Both",,,"19.39","9.695","Medicaid",,,,"37",,"7.1","0.04","2502.48","percent of total billed charges",,
"NF-Allopurinol 200MG Tablet","0259","RC","Both",,,"23","11.5","Alliant","Health Exchange",,,"62",,"14.26","0.04","2502.48","percent of total billed charges",,
"NF-Allopurinol 200MG Tablet","0259","RC","Both",,,"23","11.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.42","0.04","2502.48","percent of total billed charges",,
"NF-Allopurinol 200MG Tablet","0259","RC","Both",,,"23","11.5","Medicare",,,,"54",,"12.47","0.04","2502.48","percent of total billed charges",,
"NF-Allopurinol 200MG Tablet","0259","RC","Both",,,"23","11.5","Humana","Medicare Advantage",,,"54",,"12.47","0.04","2502.48","percent of total billed charges",,
"NF-Allopurinol 200MG Tablet","0259","RC","Both",,,"23","11.5","UHC","Medicare Advantage",,,"54",,"12.47","0.04","2502.48","percent of total billed charges",,
"NF-Allopurinol 200MG Tablet","0259","RC","Both",,,"23","11.5","Clover","Medicare Advantage",,,"54",,"12.47","0.04","2502.48","percent of total billed charges",,
"NF-Allopurinol 200MG Tablet","0259","RC","Both",,,"23","11.5","Wellcare","Medicare Advantage",,,"54",,"12.47","0.04","2502.48","percent of total billed charges",,
"NF-Allopurinol 200MG Tablet","0259","RC","Both",,,"23","11.5","Amerigroup","Medicaid Managed Care",,,"37",,"8.42","0.04","2502.48","percent of total billed charges",,
"NF-Allopurinol 200MG Tablet","0259","RC","Both",,,"23","11.5","Caresource","Medicaid Managed Care",,,"40",,"9.2","0.04","2502.48","percent of total billed charges",,
"NF-Allopurinol 200MG Tablet","0259","RC","Both",,,"23","11.5","Wellcare","Medicaid Managed Care",,,"40",,"9.32","0.04","2502.48","percent of total billed charges",,
"NF-Allopurinol 200MG Tablet","0259","RC","Both",,,"23","11.5","Aetna","Commercial",,,"64",,"14.67","0.04","2502.48","percent of total billed charges",,
"NF-Allopurinol 200MG Tablet","0259","RC","Both",,,"23","11.5","Blue Cross Blue Shield","Pathways",,,"71",,"16.24","0.04","2502.48","percent of total billed charges",,
"NF-Allopurinol 200MG Tablet","0259","RC","Both",,,"23","11.5","Blue Cross Blue Shield","HMO",,,"71",,"16.24","0.04","2502.48","percent of total billed charges",,
"NF-Allopurinol 200MG Tablet","0259","RC","Both",,,"23","11.5","Blue Cross Blue Shield","PPO",,,"71",,"16.24","0.04","2502.48","percent of total billed charges",,
"NF-Allopurinol 200MG Tablet","0259","RC","Both",,,"23","11.5","Ambetter","Health Exchange",,,"62",,"14.26","0.04","2502.48","percent of total billed charges",,
"NF-Allopurinol 200MG Tablet","0259","RC","Both",,,"23","11.5","Caresource","Health Exchange",,,"62",,"14.26","0.04","2502.48","percent of total billed charges",,
"NF-Allopurinol 200MG Tablet","0259","RC","Both",,,"23","11.5","Cigna","Commercial",,,"59",,"13.48","0.04","2502.48","percent of total billed charges",,
"NF-Allopurinol 200MG Tablet","0259","RC","Both",,,"23","11.5","Humana","Commercial",,,"78",,"17.82","0.04","2502.48","percent of total billed charges",,
"NF-Allopurinol 200MG Tablet","0259","RC","Both",,,"23","11.5","UHC","Commercial",,,"75",,"17.34","0.04","2502.48","percent of total billed charges",,
"NF-Allopurinol 200MG Tablet","0259","RC","Both",,,"23","11.5","Medicaid",,,,"37",,"8.42","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.04","2502.48","percent of total billed charges",,
"NF-Levocetirizine Dihydrochloride Tab 5M","0259","RC","Both",,,"9","4.5","Alliant","Health Exchange",,,"62",,"5.58","0.04","2502.48","percent of total billed charges",,
"NF-Levocetirizine Dihydrochloride Tab 5M","0259","RC","Both",,,"9","4.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.86","0.04","2502.48","percent of total billed charges",,
"NF-Levocetirizine Dihydrochloride Tab 5M","0259","RC","Both",,,"9","4.5","Medicare",,,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Levocetirizine Dihydrochloride Tab 5M","0259","RC","Both",,,"9","4.5","Humana","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Levocetirizine Dihydrochloride Tab 5M","0259","RC","Both",,,"9","4.5","UHC","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Levocetirizine Dihydrochloride Tab 5M","0259","RC","Both",,,"9","4.5","Clover","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Levocetirizine Dihydrochloride Tab 5M","0259","RC","Both",,,"9","4.5","Wellcare","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Levocetirizine Dihydrochloride Tab 5M","0259","RC","Both",,,"9","4.5","Amerigroup","Medicaid Managed Care",,,"37",,"3.29","0.04","2502.48","percent of total billed charges",,
"NF-Levocetirizine Dihydrochloride Tab 5M","0259","RC","Both",,,"9","4.5","Caresource","Medicaid Managed Care",,,"40",,"3.6","0.04","2502.48","percent of total billed charges",,
"NF-Levocetirizine Dihydrochloride Tab 5M","0259","RC","Both",,,"9","4.5","Wellcare","Medicaid Managed Care",,,"40",,"3.65","0.04","2502.48","percent of total billed charges",,
"NF-Levocetirizine Dihydrochloride Tab 5M","0259","RC","Both",,,"9","4.5","Aetna","Commercial",,,"64",,"5.74","0.04","2502.48","percent of total billed charges",,
"NF-Levocetirizine Dihydrochloride Tab 5M","0259","RC","Both",,,"9","4.5","Blue Cross Blue Shield","Pathways",,,"71",,"6.35","0.04","2502.48","percent of total billed charges",,
"NF-Levocetirizine Dihydrochloride Tab 5M","0259","RC","Both",,,"9","4.5","Blue Cross Blue Shield","HMO",,,"71",,"6.35","0.04","2502.48","percent of total billed charges",,
"NF-Levocetirizine Dihydrochloride Tab 5M","0259","RC","Both",,,"9","4.5","Blue Cross Blue Shield","PPO",,,"71",,"6.35","0.04","2502.48","percent of total billed charges",,
"NF-Levocetirizine Dihydrochloride Tab 5M","0259","RC","Both",,,"9","4.5","Ambetter","Health Exchange",,,"62",,"5.58","0.04","2502.48","percent of total billed charges",,
"NF-Levocetirizine Dihydrochloride Tab 5M","0259","RC","Both",,,"9","4.5","Caresource","Health Exchange",,,"62",,"5.58","0.04","2502.48","percent of total billed charges",,
"NF-Levocetirizine Dihydrochloride Tab 5M","0259","RC","Both",,,"9","4.5","Cigna","Commercial",,,"59",,"5.27","0.04","2502.48","percent of total billed charges",,
"NF-Levocetirizine Dihydrochloride Tab 5M","0259","RC","Both",,,"9","4.5","Humana","Commercial",,,"78",,"6.98","0.04","2502.48","percent of total billed charges",,
"NF-Levocetirizine Dihydrochloride Tab 5M","0259","RC","Both",,,"9","4.5","UHC","Commercial",,,"75",,"6.79","0.04","2502.48","percent of total billed charges",,
"NF-Levocetirizine Dihydrochloride Tab 5M","0259","RC","Both",,,"9","4.5","Medicaid",,,,"37",,"3.29","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Alliant","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.52","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Medicare",,,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Humana","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","UHC","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Clover","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Wellcare","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Amerigroup","Medicaid Managed Care",,,"37",,"13.91","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Caresource","Medicaid Managed Care",,,"40",,"15.2","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Wellcare","Medicaid Managed Care",,,"40",,"15.39","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Aetna","Commercial",,,"64",,"24.24","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","Pathways",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","HMO",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","PPO",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Ambetter","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Caresource","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Cigna","Commercial",,,"59",,"22.27","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Humana","Commercial",,,"78",,"29.45","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","UHC","Commercial",,,"75",,"28.65","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Medicaid",,,,"37",,"13.91","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Alliant","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.52","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Medicare",,,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Humana","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","UHC","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Clover","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Wellcare","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Amerigroup","Medicaid Managed Care",,,"37",,"13.91","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Caresource","Medicaid Managed Care",,,"40",,"15.2","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Wellcare","Medicaid Managed Care",,,"40",,"15.39","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Aetna","Commercial",,,"64",,"24.24","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","Pathways",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","HMO",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","PPO",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Ambetter","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Caresource","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Cigna","Commercial",,,"59",,"22.27","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Humana","Commercial",,,"78",,"29.45","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","UHC","Commercial",,,"75",,"28.65","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Medicaid",,,,"37",,"13.91","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Alliant","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.52","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Medicare",,,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Humana","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","UHC","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Clover","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Wellcare","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Amerigroup","Medicaid Managed Care",,,"37",,"13.91","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Caresource","Medicaid Managed Care",,,"40",,"15.2","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Wellcare","Medicaid Managed Care",,,"40",,"15.39","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Aetna","Commercial",,,"64",,"24.24","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","Pathways",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","HMO",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","PPO",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Ambetter","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Caresource","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Cigna","Commercial",,,"59",,"22.27","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Humana","Commercial",,,"78",,"29.45","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","UHC","Commercial",,,"75",,"28.65","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Medicaid",,,,"37",,"13.91","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Alliant","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.98","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Medicare",,,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Humana","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","UHC","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Clover","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Wellcare","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Amerigroup","Medicaid Managed Care",,,"37",,"13.54","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Caresource","Medicaid Managed Care",,,"40",,"14.8","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Wellcare","Medicaid Managed Care",,,"40",,"14.99","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Aetna","Commercial",,,"64",,"23.61","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","Pathways",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","HMO",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","PPO",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Ambetter","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Caresource","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Cigna","Commercial",,,"59",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Humana","Commercial",,,"78",,"28.68","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","UHC","Commercial",,,"75",,"27.9","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Medicaid",,,,"37",,"13.54","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0259","RC","Both",,,"37","18.5","Alliant","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0259","RC","Both",,,"37","18.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.98","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0259","RC","Both",,,"37","18.5","Medicare",,,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0259","RC","Both",,,"37","18.5","Humana","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0259","RC","Both",,,"37","18.5","UHC","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0259","RC","Both",,,"37","18.5","Clover","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0259","RC","Both",,,"37","18.5","Wellcare","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0259","RC","Both",,,"37","18.5","Amerigroup","Medicaid Managed Care",,,"37",,"13.54","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0259","RC","Both",,,"37","18.5","Caresource","Medicaid Managed Care",,,"40",,"14.8","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0259","RC","Both",,,"37","18.5","Wellcare","Medicaid Managed Care",,,"40",,"14.99","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0259","RC","Both",,,"37","18.5","Aetna","Commercial",,,"64",,"23.61","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","Pathways",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","HMO",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","PPO",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0259","RC","Both",,,"37","18.5","Ambetter","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0259","RC","Both",,,"37","18.5","Caresource","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0259","RC","Both",,,"37","18.5","Cigna","Commercial",,,"59",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0259","RC","Both",,,"37","18.5","Humana","Commercial",,,"78",,"28.68","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0259","RC","Both",,,"37","18.5","UHC","Commercial",,,"75",,"27.9","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0259","RC","Both",,,"37","18.5","Medicaid",,,,"37",,"13.54","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Alliant","Health Exchange",,,"62",,"37.82","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"32.94","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Medicare",,,,"54",,"33.06","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Humana","Medicare Advantage",,,"54",,"33.06","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","UHC","Medicare Advantage",,,"54",,"33.06","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Clover","Medicare Advantage",,,"54",,"33.06","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Wellcare","Medicare Advantage",,,"54",,"33.06","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Amerigroup","Medicaid Managed Care",,,"37",,"22.33","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Caresource","Medicaid Managed Care",,,"40",,"24.4","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Wellcare","Medicaid Managed Care",,,"40",,"24.7","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Aetna","Commercial",,,"64",,"38.92","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Blue Cross Blue Shield","Pathways",,,"71",,"43.07","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Blue Cross Blue Shield","HMO",,,"71",,"43.07","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Blue Cross Blue Shield","PPO",,,"71",,"43.07","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Ambetter","Health Exchange",,,"62",,"37.82","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Caresource","Health Exchange",,,"62",,"37.82","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Cigna","Commercial",,,"59",,"35.75","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Humana","Commercial",,,"78",,"47.28","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","UHC","Commercial",,,"75",,"45.99","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Medicaid",,,,"37",,"22.33","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Alliant","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.52","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Medicare",,,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Humana","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","UHC","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Clover","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Wellcare","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Amerigroup","Medicaid Managed Care",,,"37",,"13.91","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Caresource","Medicaid Managed Care",,,"40",,"15.2","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Wellcare","Medicaid Managed Care",,,"40",,"15.39","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Aetna","Commercial",,,"64",,"24.24","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","Pathways",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","HMO",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","PPO",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Ambetter","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Caresource","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Cigna","Commercial",,,"59",,"22.27","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Humana","Commercial",,,"78",,"29.45","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","UHC","Commercial",,,"75",,"28.65","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Medicaid",,,,"37",,"13.91","0.04","2502.48","percent of total billed charges",,
"NF-Keflex Capsule 500MG","0250","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.04","569.62","percent of total billed charges",,
"NF-Keflex Capsule 500MG","0250","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.04","569.62","percent of total billed charges",,
"NF-Keflex Capsule 500MG","0250","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.04","569.62","percent of total billed charges",,
"NF-Keflex Capsule 500MG","0250","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.04","569.62","percent of total billed charges",,
"NF-Keflex Capsule 500MG","0250","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.04","569.62","percent of total billed charges",,
"NF-Keflex Capsule 500MG","0250","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.04","569.62","percent of total billed charges",,
"NF-Keflex Capsule 500MG","0250","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.04","569.62","percent of total billed charges",,
"NF-Keflex Capsule 500MG","0250","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.04","569.62","percent of total billed charges",,
"NF-Keflex Capsule 500MG","0250","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.04","569.62","percent of total billed charges",,
"NF-Keflex Capsule 500MG","0250","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.04","569.62","percent of total billed charges",,
"NF-Keflex Capsule 500MG","0250","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.04","569.62","percent of total billed charges",,
"NF-Keflex Capsule 500MG","0250","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.04","569.62","percent of total billed charges",,
"NF-Keflex Capsule 500MG","0250","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.04","569.62","percent of total billed charges",,
"NF-Keflex Capsule 500MG","0250","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.04","569.62","percent of total billed charges",,
"NF-Keflex Capsule 500MG","0250","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.04","569.62","percent of total billed charges",,
"NF-Keflex Capsule 500MG","0250","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.04","569.62","percent of total billed charges",,
"NF-Keflex Capsule 500MG","0250","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.04","569.62","percent of total billed charges",,
"NF-Keflex Capsule 500MG","0250","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.04","569.62","percent of total billed charges",,
"NF-Keflex Capsule 500MG","0250","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.04","569.62","percent of total billed charges",,
"NF-Keflex Capsule 500MG","0250","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.04","569.62","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0250","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","569.62","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0250","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","569.62","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0250","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","569.62","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0250","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","569.62","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0250","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","569.62","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0250","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","569.62","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0250","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","569.62","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0250","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","569.62","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0250","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","569.62","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0250","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","569.62","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0250","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","569.62","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0250","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","569.62","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0250","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","569.62","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0250","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","569.62","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0250","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","569.62","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0250","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","569.62","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0250","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","569.62","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0250","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","569.62","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0250","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","569.62","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0250","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0259","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.04","2502.48","percent of total billed charges",,
"NF-Folbic Oral Tablet","0259","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Folbic Oral Tablet","0259","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Folbic Oral Tablet","0259","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Folbic Oral Tablet","0259","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Folbic Oral Tablet","0259","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Folbic Oral Tablet","0259","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Folbic Oral Tablet","0259","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Folbic Oral Tablet","0259","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Folbic Oral Tablet","0259","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","2502.48","percent of total billed charges",,
"NF-Folbic Oral Tablet","0259","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-Folbic Oral Tablet","0259","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-Folbic Oral Tablet","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Folbic Oral Tablet","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Folbic Oral Tablet","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Folbic Oral Tablet","0259","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Folbic Oral Tablet","0259","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Folbic Oral Tablet","0259","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","2502.48","percent of total billed charges",,
"NF-Folbic Oral Tablet","0259","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-Folbic Oral Tablet","0259","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","2502.48","percent of total billed charges",,
"NF-Folbic Oral Tablet","0259","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Effexor-XR Capsule 75MG","0259","RC","Both",,,"50","25","Alliant","Health Exchange",,,"62",,"31","0.04","2502.48","percent of total billed charges",,
"NF-Effexor-XR Capsule 75MG","0259","RC","Both",,,"50","25","Pruitt Healthcare","Medicare Advantage",,,"54",,"27","0.04","2502.48","percent of total billed charges",,
"NF-Effexor-XR Capsule 75MG","0259","RC","Both",,,"50","25","Medicare",,,,"54",,"27.1","0.04","2502.48","percent of total billed charges",,
"NF-Effexor-XR Capsule 75MG","0259","RC","Both",,,"50","25","Humana","Medicare Advantage",,,"54",,"27.1","0.04","2502.48","percent of total billed charges",,
"NF-Effexor-XR Capsule 75MG","0259","RC","Both",,,"50","25","UHC","Medicare Advantage",,,"54",,"27.1","0.04","2502.48","percent of total billed charges",,
"NF-Effexor-XR Capsule 75MG","0259","RC","Both",,,"50","25","Clover","Medicare Advantage",,,"54",,"27.1","0.04","2502.48","percent of total billed charges",,
"NF-Effexor-XR Capsule 75MG","0259","RC","Both",,,"50","25","Wellcare","Medicare Advantage",,,"54",,"27.1","0.04","2502.48","percent of total billed charges",,
"NF-Effexor-XR Capsule 75MG","0259","RC","Both",,,"50","25","Amerigroup","Medicaid Managed Care",,,"37",,"18.3","0.04","2502.48","percent of total billed charges",,
"NF-Effexor-XR Capsule 75MG","0259","RC","Both",,,"50","25","Caresource","Medicaid Managed Care",,,"40",,"20","0.04","2502.48","percent of total billed charges",,
"NF-Effexor-XR Capsule 75MG","0259","RC","Both",,,"50","25","Wellcare","Medicaid Managed Care",,,"40",,"20.25","0.04","2502.48","percent of total billed charges",,
"NF-Effexor-XR Capsule 75MG","0259","RC","Both",,,"50","25","Aetna","Commercial",,,"64",,"31.9","0.04","2502.48","percent of total billed charges",,
"NF-Effexor-XR Capsule 75MG","0259","RC","Both",,,"50","25","Blue Cross Blue Shield","Pathways",,,"71",,"35.3","0.04","2502.48","percent of total billed charges",,
"NF-Effexor-XR Capsule 75MG","0259","RC","Both",,,"50","25","Blue Cross Blue Shield","HMO",,,"71",,"35.3","0.04","2502.48","percent of total billed charges",,
"NF-Effexor-XR Capsule 75MG","0259","RC","Both",,,"50","25","Blue Cross Blue Shield","PPO",,,"71",,"35.3","0.04","2502.48","percent of total billed charges",,
"NF-Effexor-XR Capsule 75MG","0259","RC","Both",,,"50","25","Ambetter","Health Exchange",,,"62",,"31","0.04","2502.48","percent of total billed charges",,
"NF-Effexor-XR Capsule 75MG","0259","RC","Both",,,"50","25","Caresource","Health Exchange",,,"62",,"31","0.04","2502.48","percent of total billed charges",,
"NF-Effexor-XR Capsule 75MG","0259","RC","Both",,,"50","25","Cigna","Commercial",,,"59",,"29.3","0.04","2502.48","percent of total billed charges",,
"NF-Effexor-XR Capsule 75MG","0259","RC","Both",,,"50","25","Humana","Commercial",,,"78",,"38.75","0.04","2502.48","percent of total billed charges",,
"NF-Effexor-XR Capsule 75MG","0259","RC","Both",,,"50","25","UHC","Commercial",,,"75",,"37.7","0.04","2502.48","percent of total billed charges",,
"NF-Effexor-XR Capsule 75MG","0259","RC","Both",,,"50","25","Medicaid",,,,"37",,"18.3","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0250","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0250","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0250","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0250","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0250","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0250","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0250","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0250","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0250","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0250","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0250","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0250","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0250","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0250","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0250","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0250","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0250","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0250","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0250","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0250","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.04","569.62","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Alliant","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.52","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Medicare",,,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Humana","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","UHC","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Clover","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Wellcare","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Amerigroup","Medicaid Managed Care",,,"37",,"13.91","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Caresource","Medicaid Managed Care",,,"40",,"15.2","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Wellcare","Medicaid Managed Care",,,"40",,"15.39","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Aetna","Commercial",,,"64",,"24.24","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","Pathways",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","HMO",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","PPO",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Ambetter","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Caresource","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Cigna","Commercial",,,"59",,"22.27","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Humana","Commercial",,,"78",,"29.45","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","UHC","Commercial",,,"75",,"28.65","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Medicaid",,,,"37",,"13.91","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine HCl Tablet 4MG","0259","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine HCl Tablet 4MG","0259","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine HCl Tablet 4MG","0259","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine HCl Tablet 4MG","0259","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine HCl Tablet 4MG","0259","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine HCl Tablet 4MG","0259","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine HCl Tablet 4MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine HCl Tablet 4MG","0259","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine HCl Tablet 4MG","0259","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine HCl Tablet 4MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine HCl Tablet 4MG","0259","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine HCl Tablet 4MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine HCl Tablet 4MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine HCl Tablet 4MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine HCl Tablet 4MG","0259","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine HCl Tablet 4MG","0259","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine HCl Tablet 4MG","0259","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine HCl Tablet 4MG","0259","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine HCl Tablet 4MG","0259","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine HCl Tablet 4MG","0259","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0259","RC","Both",,,"19","9.5","Alliant","Health Exchange",,,"62",,"11.78","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0259","RC","Both",,,"19","9.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.26","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0259","RC","Both",,,"19","9.5","Medicare",,,,"54",,"10.3","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0259","RC","Both",,,"19","9.5","Humana","Medicare Advantage",,,"54",,"10.3","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0259","RC","Both",,,"19","9.5","UHC","Medicare Advantage",,,"54",,"10.3","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0259","RC","Both",,,"19","9.5","Clover","Medicare Advantage",,,"54",,"10.3","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0259","RC","Both",,,"19","9.5","Wellcare","Medicare Advantage",,,"54",,"10.3","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0259","RC","Both",,,"19","9.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.95","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0259","RC","Both",,,"19","9.5","Caresource","Medicaid Managed Care",,,"40",,"7.6","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0259","RC","Both",,,"19","9.5","Wellcare","Medicaid Managed Care",,,"40",,"7.7","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0259","RC","Both",,,"19","9.5","Aetna","Commercial",,,"64",,"12.12","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0259","RC","Both",,,"19","9.5","Blue Cross Blue Shield","Pathways",,,"71",,"13.41","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0259","RC","Both",,,"19","9.5","Blue Cross Blue Shield","HMO",,,"71",,"13.41","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0259","RC","Both",,,"19","9.5","Blue Cross Blue Shield","PPO",,,"71",,"13.41","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0259","RC","Both",,,"19","9.5","Ambetter","Health Exchange",,,"62",,"11.78","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0259","RC","Both",,,"19","9.5","Caresource","Health Exchange",,,"62",,"11.78","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0259","RC","Both",,,"19","9.5","Cigna","Commercial",,,"59",,"11.13","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0259","RC","Both",,,"19","9.5","Humana","Commercial",,,"78",,"14.72","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0259","RC","Both",,,"19","9.5","UHC","Commercial",,,"75",,"14.33","0.04","2502.48","percent of total billed charges",,
"NF-Breo Ellipta Inh Pwd 100MCG/1Actuatio","0259","RC","Both",,,"19","9.5","Medicaid",,,,"37",,"6.95","0.04","2502.48","percent of total billed charges",,
"KETAMINE 10 MG/ML SYRINGE 5 ML","0250","RC","Both",,,"52","26","Alliant","Health Exchange",,,"62",,"32.24","0.04","569.62","percent of total billed charges",,
"KETAMINE 10 MG/ML SYRINGE 5 ML","0250","RC","Both",,,"52","26","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.08","0.04","569.62","percent of total billed charges",,
"KETAMINE 10 MG/ML SYRINGE 5 ML","0250","RC","Both",,,"52","26","Medicare",,,,"54",,"28.18","0.04","569.62","percent of total billed charges",,
"KETAMINE 10 MG/ML SYRINGE 5 ML","0250","RC","Both",,,"52","26","Humana","Medicare Advantage",,,"54",,"28.18","0.04","569.62","percent of total billed charges",,
"KETAMINE 10 MG/ML SYRINGE 5 ML","0250","RC","Both",,,"52","26","UHC","Medicare Advantage",,,"54",,"28.18","0.04","569.62","percent of total billed charges",,
"KETAMINE 10 MG/ML SYRINGE 5 ML","0250","RC","Both",,,"52","26","Clover","Medicare Advantage",,,"54",,"28.18","0.04","569.62","percent of total billed charges",,
"KETAMINE 10 MG/ML SYRINGE 5 ML","0250","RC","Both",,,"52","26","Wellcare","Medicare Advantage",,,"54",,"28.18","0.04","569.62","percent of total billed charges",,
"KETAMINE 10 MG/ML SYRINGE 5 ML","0250","RC","Both",,,"52","26","Amerigroup","Medicaid Managed Care",,,"37",,"19.03","0.04","569.62","percent of total billed charges",,
"KETAMINE 10 MG/ML SYRINGE 5 ML","0250","RC","Both",,,"52","26","Caresource","Medicaid Managed Care",,,"40",,"20.8","0.04","569.62","percent of total billed charges",,
"KETAMINE 10 MG/ML SYRINGE 5 ML","0250","RC","Both",,,"52","26","Wellcare","Medicaid Managed Care",,,"40",,"21.06","0.04","569.62","percent of total billed charges",,
"KETAMINE 10 MG/ML SYRINGE 5 ML","0250","RC","Both",,,"52","26","Aetna","Commercial",,,"64",,"33.18","0.04","569.62","percent of total billed charges",,
"KETAMINE 10 MG/ML SYRINGE 5 ML","0250","RC","Both",,,"52","26","Blue Cross Blue Shield","Pathways",,,"71",,"36.71","0.04","569.62","percent of total billed charges",,
"KETAMINE 10 MG/ML SYRINGE 5 ML","0250","RC","Both",,,"52","26","Blue Cross Blue Shield","HMO",,,"71",,"36.71","0.04","569.62","percent of total billed charges",,
"KETAMINE 10 MG/ML SYRINGE 5 ML","0250","RC","Both",,,"52","26","Blue Cross Blue Shield","PPO",,,"71",,"36.71","0.04","569.62","percent of total billed charges",,
"KETAMINE 10 MG/ML SYRINGE 5 ML","0250","RC","Both",,,"52","26","Ambetter","Health Exchange",,,"62",,"32.24","0.04","569.62","percent of total billed charges",,
"KETAMINE 10 MG/ML SYRINGE 5 ML","0250","RC","Both",,,"52","26","Caresource","Health Exchange",,,"62",,"32.24","0.04","569.62","percent of total billed charges",,
"KETAMINE 10 MG/ML SYRINGE 5 ML","0250","RC","Both",,,"52","26","Cigna","Commercial",,,"59",,"30.47","0.04","569.62","percent of total billed charges",,
"KETAMINE 10 MG/ML SYRINGE 5 ML","0250","RC","Both",,,"52","26","Humana","Commercial",,,"78",,"40.3","0.04","569.62","percent of total billed charges",,
"KETAMINE 10 MG/ML SYRINGE 5 ML","0250","RC","Both",,,"52","26","UHC","Commercial",,,"75",,"39.21","0.04","569.62","percent of total billed charges",,
"KETAMINE 10 MG/ML SYRINGE 5 ML","0250","RC","Both",,,"52","26","Medicaid",,,,"37",,"19.03","0.04","569.62","percent of total billed charges",,
"NF-Torsemide Tablet 20MG","0250","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","569.62","percent of total billed charges",,
"NF-Torsemide Tablet 20MG","0250","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","569.62","percent of total billed charges",,
"NF-Torsemide Tablet 20MG","0250","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","569.62","percent of total billed charges",,
"NF-Torsemide Tablet 20MG","0250","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","569.62","percent of total billed charges",,
"NF-Torsemide Tablet 20MG","0250","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","569.62","percent of total billed charges",,
"NF-Torsemide Tablet 20MG","0250","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","569.62","percent of total billed charges",,
"NF-Torsemide Tablet 20MG","0250","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","569.62","percent of total billed charges",,
"NF-Torsemide Tablet 20MG","0250","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","569.62","percent of total billed charges",,
"NF-Torsemide Tablet 20MG","0250","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","569.62","percent of total billed charges",,
"NF-Torsemide Tablet 20MG","0250","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","569.62","percent of total billed charges",,
"NF-Torsemide Tablet 20MG","0250","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","569.62","percent of total billed charges",,
"NF-Torsemide Tablet 20MG","0250","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","569.62","percent of total billed charges",,
"NF-Torsemide Tablet 20MG","0250","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","569.62","percent of total billed charges",,
"NF-Torsemide Tablet 20MG","0250","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","569.62","percent of total billed charges",,
"NF-Torsemide Tablet 20MG","0250","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","569.62","percent of total billed charges",,
"NF-Torsemide Tablet 20MG","0250","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","569.62","percent of total billed charges",,
"NF-Torsemide Tablet 20MG","0250","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","569.62","percent of total billed charges",,
"NF-Torsemide Tablet 20MG","0250","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","569.62","percent of total billed charges",,
"NF-Torsemide Tablet 20MG","0250","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","569.62","percent of total billed charges",,
"NF-Torsemide Tablet 20MG","0250","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","569.62","percent of total billed charges",,
"NF-Actos Oral Tablet 15MG","0259","RC","Both",,,"46","23","Alliant","Health Exchange",,,"62",,"28.52","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 15MG","0259","RC","Both",,,"46","23","Pruitt Healthcare","Medicare Advantage",,,"54",,"24.84","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 15MG","0259","RC","Both",,,"46","23","Medicare",,,,"54",,"24.93","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 15MG","0259","RC","Both",,,"46","23","Humana","Medicare Advantage",,,"54",,"24.93","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 15MG","0259","RC","Both",,,"46","23","UHC","Medicare Advantage",,,"54",,"24.93","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 15MG","0259","RC","Both",,,"46","23","Clover","Medicare Advantage",,,"54",,"24.93","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 15MG","0259","RC","Both",,,"46","23","Wellcare","Medicare Advantage",,,"54",,"24.93","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 15MG","0259","RC","Both",,,"46","23","Amerigroup","Medicaid Managed Care",,,"37",,"16.84","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 15MG","0259","RC","Both",,,"46","23","Caresource","Medicaid Managed Care",,,"40",,"18.4","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 15MG","0259","RC","Both",,,"46","23","Wellcare","Medicaid Managed Care",,,"40",,"18.63","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 15MG","0259","RC","Both",,,"46","23","Aetna","Commercial",,,"64",,"29.35","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 15MG","0259","RC","Both",,,"46","23","Blue Cross Blue Shield","Pathways",,,"71",,"32.48","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 15MG","0259","RC","Both",,,"46","23","Blue Cross Blue Shield","HMO",,,"71",,"32.48","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 15MG","0259","RC","Both",,,"46","23","Blue Cross Blue Shield","PPO",,,"71",,"32.48","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 15MG","0259","RC","Both",,,"46","23","Ambetter","Health Exchange",,,"62",,"28.52","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 15MG","0259","RC","Both",,,"46","23","Caresource","Health Exchange",,,"62",,"28.52","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 15MG","0259","RC","Both",,,"46","23","Cigna","Commercial",,,"59",,"26.96","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 15MG","0259","RC","Both",,,"46","23","Humana","Commercial",,,"78",,"35.65","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 15MG","0259","RC","Both",,,"46","23","UHC","Commercial",,,"75",,"34.68","0.04","2502.48","percent of total billed charges",,
"NF-Actos Oral Tablet 15MG","0259","RC","Both",,,"46","23","Medicaid",,,,"37",,"16.84","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"40","20","Alliant","Health Exchange",,,"62",,"24.8","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"40","20","Pruitt Healthcare","Medicare Advantage",,,"54",,"21.6","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"40","20","Medicare",,,,"54",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"40","20","Humana","Medicare Advantage",,,"54",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"40","20","UHC","Medicare Advantage",,,"54",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"40","20","Clover","Medicare Advantage",,,"54",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"40","20","Wellcare","Medicare Advantage",,,"54",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"40","20","Amerigroup","Medicaid Managed Care",,,"37",,"14.64","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"40","20","Caresource","Medicaid Managed Care",,,"40",,"16","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"40","20","Wellcare","Medicaid Managed Care",,,"40",,"16.2","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"40","20","Aetna","Commercial",,,"64",,"25.52","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"40","20","Blue Cross Blue Shield","Pathways",,,"71",,"28.24","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"40","20","Blue Cross Blue Shield","HMO",,,"71",,"28.24","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"40","20","Blue Cross Blue Shield","PPO",,,"71",,"28.24","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"40","20","Ambetter","Health Exchange",,,"62",,"24.8","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"40","20","Caresource","Health Exchange",,,"62",,"24.8","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"40","20","Cigna","Commercial",,,"59",,"23.44","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"40","20","Humana","Commercial",,,"78",,"31","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"40","20","UHC","Commercial",,,"75",,"30.16","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0259","RC","Both",,,"40","20","Medicaid",,,,"37",,"14.64","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Alliant","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.98","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Medicare",,,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Humana","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","UHC","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Clover","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Wellcare","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Amerigroup","Medicaid Managed Care",,,"37",,"13.54","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Caresource","Medicaid Managed Care",,,"40",,"14.8","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Wellcare","Medicaid Managed Care",,,"40",,"14.99","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Aetna","Commercial",,,"64",,"23.61","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","Pathways",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","HMO",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","PPO",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Ambetter","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Caresource","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Cigna","Commercial",,,"59",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Humana","Commercial",,,"78",,"28.68","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","UHC","Commercial",,,"75",,"27.9","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Medicaid",,,,"37",,"13.54","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Alliant","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.52","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Medicare",,,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Humana","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","UHC","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Clover","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Wellcare","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Amerigroup","Medicaid Managed Care",,,"37",,"13.91","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Caresource","Medicaid Managed Care",,,"40",,"15.2","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Wellcare","Medicaid Managed Care",,,"40",,"15.39","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Aetna","Commercial",,,"64",,"24.24","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","Pathways",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","HMO",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","PPO",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Ambetter","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Caresource","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Cigna","Commercial",,,"59",,"22.27","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Humana","Commercial",,,"78",,"29.45","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","UHC","Commercial",,,"75",,"28.65","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Medicaid",,,,"37",,"13.91","0.04","2502.48","percent of total billed charges",,
"NF-Dexlansoprazole Capsule DR 60MG","0259","RC","Both",,,"31","15.5","Alliant","Health Exchange",,,"62",,"19.22","0.04","2502.48","percent of total billed charges",,
"NF-Dexlansoprazole Capsule DR 60MG","0259","RC","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.74","0.04","2502.48","percent of total billed charges",,
"NF-Dexlansoprazole Capsule DR 60MG","0259","RC","Both",,,"31","15.5","Medicare",,,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Dexlansoprazole Capsule DR 60MG","0259","RC","Both",,,"31","15.5","Humana","Medicare Advantage",,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Dexlansoprazole Capsule DR 60MG","0259","RC","Both",,,"31","15.5","UHC","Medicare Advantage",,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Dexlansoprazole Capsule DR 60MG","0259","RC","Both",,,"31","15.5","Clover","Medicare Advantage",,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Dexlansoprazole Capsule DR 60MG","0259","RC","Both",,,"31","15.5","Wellcare","Medicare Advantage",,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Dexlansoprazole Capsule DR 60MG","0259","RC","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care",,,"37",,"11.35","0.04","2502.48","percent of total billed charges",,
"NF-Dexlansoprazole Capsule DR 60MG","0259","RC","Both",,,"31","15.5","Caresource","Medicaid Managed Care",,,"40",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Dexlansoprazole Capsule DR 60MG","0259","RC","Both",,,"31","15.5","Wellcare","Medicaid Managed Care",,,"40",,"12.56","0.04","2502.48","percent of total billed charges",,
"NF-Dexlansoprazole Capsule DR 60MG","0259","RC","Both",,,"31","15.5","Aetna","Commercial",,,"64",,"19.78","0.04","2502.48","percent of total billed charges",,
"NF-Dexlansoprazole Capsule DR 60MG","0259","RC","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways",,,"71",,"21.89","0.04","2502.48","percent of total billed charges",,
"NF-Dexlansoprazole Capsule DR 60MG","0259","RC","Both",,,"31","15.5","Blue Cross Blue Shield","HMO",,,"71",,"21.89","0.04","2502.48","percent of total billed charges",,
"NF-Dexlansoprazole Capsule DR 60MG","0259","RC","Both",,,"31","15.5","Blue Cross Blue Shield","PPO",,,"71",,"21.89","0.04","2502.48","percent of total billed charges",,
"NF-Dexlansoprazole Capsule DR 60MG","0259","RC","Both",,,"31","15.5","Ambetter","Health Exchange",,,"62",,"19.22","0.04","2502.48","percent of total billed charges",,
"NF-Dexlansoprazole Capsule DR 60MG","0259","RC","Both",,,"31","15.5","Caresource","Health Exchange",,,"62",,"19.22","0.04","2502.48","percent of total billed charges",,
"NF-Dexlansoprazole Capsule DR 60MG","0259","RC","Both",,,"31","15.5","Cigna","Commercial",,,"59",,"18.17","0.04","2502.48","percent of total billed charges",,
"NF-Dexlansoprazole Capsule DR 60MG","0259","RC","Both",,,"31","15.5","Humana","Commercial",,,"78",,"24.02","0.04","2502.48","percent of total billed charges",,
"NF-Dexlansoprazole Capsule DR 60MG","0259","RC","Both",,,"31","15.5","UHC","Commercial",,,"75",,"23.37","0.04","2502.48","percent of total billed charges",,
"NF-Dexlansoprazole Capsule DR 60MG","0259","RC","Both",,,"31","15.5","Medicaid",,,,"37",,"11.35","0.04","2502.48","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0250","RC","Both",,,"40","20","Alliant","Health Exchange",,,"62",,"24.8","0.04","569.62","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0250","RC","Both",,,"40","20","Pruitt Healthcare","Medicare Advantage",,,"54",,"21.6","0.04","569.62","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0250","RC","Both",,,"40","20","Medicare",,,,"54",,"21.68","0.04","569.62","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0250","RC","Both",,,"40","20","Humana","Medicare Advantage",,,"54",,"21.68","0.04","569.62","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0250","RC","Both",,,"40","20","UHC","Medicare Advantage",,,"54",,"21.68","0.04","569.62","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0250","RC","Both",,,"40","20","Clover","Medicare Advantage",,,"54",,"21.68","0.04","569.62","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0250","RC","Both",,,"40","20","Wellcare","Medicare Advantage",,,"54",,"21.68","0.04","569.62","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0250","RC","Both",,,"40","20","Amerigroup","Medicaid Managed Care",,,"37",,"14.64","0.04","569.62","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0250","RC","Both",,,"40","20","Caresource","Medicaid Managed Care",,,"40",,"16","0.04","569.62","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0250","RC","Both",,,"40","20","Wellcare","Medicaid Managed Care",,,"40",,"16.2","0.04","569.62","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0250","RC","Both",,,"40","20","Aetna","Commercial",,,"64",,"25.52","0.04","569.62","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0250","RC","Both",,,"40","20","Blue Cross Blue Shield","Pathways",,,"71",,"28.24","0.04","569.62","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0250","RC","Both",,,"40","20","Blue Cross Blue Shield","HMO",,,"71",,"28.24","0.04","569.62","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0250","RC","Both",,,"40","20","Blue Cross Blue Shield","PPO",,,"71",,"28.24","0.04","569.62","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0250","RC","Both",,,"40","20","Ambetter","Health Exchange",,,"62",,"24.8","0.04","569.62","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0250","RC","Both",,,"40","20","Caresource","Health Exchange",,,"62",,"24.8","0.04","569.62","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0250","RC","Both",,,"40","20","Cigna","Commercial",,,"59",,"23.44","0.04","569.62","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0250","RC","Both",,,"40","20","Humana","Commercial",,,"78",,"31","0.04","569.62","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0250","RC","Both",,,"40","20","UHC","Commercial",,,"75",,"30.16","0.04","569.62","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0250","RC","Both",,,"40","20","Medicaid",,,,"37",,"14.64","0.04","569.62","percent of total billed charges",,
"NF-Torsemide Oral Tablet 100mg","0259","RC","Both",,,"9","4.5","Alliant","Health Exchange",,,"62",,"5.58","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 100mg","0259","RC","Both",,,"9","4.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.86","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 100mg","0259","RC","Both",,,"9","4.5","Medicare",,,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 100mg","0259","RC","Both",,,"9","4.5","Humana","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 100mg","0259","RC","Both",,,"9","4.5","UHC","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 100mg","0259","RC","Both",,,"9","4.5","Clover","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 100mg","0259","RC","Both",,,"9","4.5","Wellcare","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 100mg","0259","RC","Both",,,"9","4.5","Amerigroup","Medicaid Managed Care",,,"37",,"3.29","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 100mg","0259","RC","Both",,,"9","4.5","Caresource","Medicaid Managed Care",,,"40",,"3.6","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 100mg","0259","RC","Both",,,"9","4.5","Wellcare","Medicaid Managed Care",,,"40",,"3.65","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 100mg","0259","RC","Both",,,"9","4.5","Aetna","Commercial",,,"64",,"5.74","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 100mg","0259","RC","Both",,,"9","4.5","Blue Cross Blue Shield","Pathways",,,"71",,"6.35","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 100mg","0259","RC","Both",,,"9","4.5","Blue Cross Blue Shield","HMO",,,"71",,"6.35","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 100mg","0259","RC","Both",,,"9","4.5","Blue Cross Blue Shield","PPO",,,"71",,"6.35","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 100mg","0259","RC","Both",,,"9","4.5","Ambetter","Health Exchange",,,"62",,"5.58","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 100mg","0259","RC","Both",,,"9","4.5","Caresource","Health Exchange",,,"62",,"5.58","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 100mg","0259","RC","Both",,,"9","4.5","Cigna","Commercial",,,"59",,"5.27","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 100mg","0259","RC","Both",,,"9","4.5","Humana","Commercial",,,"78",,"6.98","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 100mg","0259","RC","Both",,,"9","4.5","UHC","Commercial",,,"75",,"6.79","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 100mg","0259","RC","Both",,,"9","4.5","Medicaid",,,,"37",,"3.29","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","0259","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","0259","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","0259","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","0259","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","0259","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","0259","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","0259","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","0259","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","0259","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","0259","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","0259","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","0259","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","0259","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","0259","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","0259","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","0259","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","0259","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Dexlansoprazole Capsule DR 60MG","0259","RC","Both",,,"31","15.5","Alliant","Health Exchange",,,"62",,"19.22","0.04","2502.48","percent of total billed charges",,
"NF-Dexlansoprazole Capsule DR 60MG","0259","RC","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.74","0.04","2502.48","percent of total billed charges",,
"NF-Dexlansoprazole Capsule DR 60MG","0259","RC","Both",,,"31","15.5","Medicare",,,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Dexlansoprazole Capsule DR 60MG","0259","RC","Both",,,"31","15.5","Humana","Medicare Advantage",,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Dexlansoprazole Capsule DR 60MG","0259","RC","Both",,,"31","15.5","UHC","Medicare Advantage",,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Dexlansoprazole Capsule DR 60MG","0259","RC","Both",,,"31","15.5","Clover","Medicare Advantage",,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Dexlansoprazole Capsule DR 60MG","0259","RC","Both",,,"31","15.5","Wellcare","Medicare Advantage",,,"54",,"16.8","0.04","2502.48","percent of total billed charges",,
"NF-Dexlansoprazole Capsule DR 60MG","0259","RC","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care",,,"37",,"11.35","0.04","2502.48","percent of total billed charges",,
"NF-Dexlansoprazole Capsule DR 60MG","0259","RC","Both",,,"31","15.5","Caresource","Medicaid Managed Care",,,"40",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Dexlansoprazole Capsule DR 60MG","0259","RC","Both",,,"31","15.5","Wellcare","Medicaid Managed Care",,,"40",,"12.56","0.04","2502.48","percent of total billed charges",,
"NF-Dexlansoprazole Capsule DR 60MG","0259","RC","Both",,,"31","15.5","Aetna","Commercial",,,"64",,"19.78","0.04","2502.48","percent of total billed charges",,
"NF-Dexlansoprazole Capsule DR 60MG","0259","RC","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways",,,"71",,"21.89","0.04","2502.48","percent of total billed charges",,
"NF-Dexlansoprazole Capsule DR 60MG","0259","RC","Both",,,"31","15.5","Blue Cross Blue Shield","HMO",,,"71",,"21.89","0.04","2502.48","percent of total billed charges",,
"NF-Dexlansoprazole Capsule DR 60MG","0259","RC","Both",,,"31","15.5","Blue Cross Blue Shield","PPO",,,"71",,"21.89","0.04","2502.48","percent of total billed charges",,
"NF-Dexlansoprazole Capsule DR 60MG","0259","RC","Both",,,"31","15.5","Ambetter","Health Exchange",,,"62",,"19.22","0.04","2502.48","percent of total billed charges",,
"NF-Dexlansoprazole Capsule DR 60MG","0259","RC","Both",,,"31","15.5","Caresource","Health Exchange",,,"62",,"19.22","0.04","2502.48","percent of total billed charges",,
"NF-Dexlansoprazole Capsule DR 60MG","0259","RC","Both",,,"31","15.5","Cigna","Commercial",,,"59",,"18.17","0.04","2502.48","percent of total billed charges",,
"NF-Dexlansoprazole Capsule DR 60MG","0259","RC","Both",,,"31","15.5","Humana","Commercial",,,"78",,"24.02","0.04","2502.48","percent of total billed charges",,
"NF-Dexlansoprazole Capsule DR 60MG","0259","RC","Both",,,"31","15.5","UHC","Commercial",,,"75",,"23.37","0.04","2502.48","percent of total billed charges",,
"NF-Dexlansoprazole Capsule DR 60MG","0259","RC","Both",,,"31","15.5","Medicaid",,,,"37",,"11.35","0.04","2502.48","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0259","RC","Both",,,"40","20","Alliant","Health Exchange",,,"62",,"24.8","0.04","2502.48","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0259","RC","Both",,,"40","20","Pruitt Healthcare","Medicare Advantage",,,"54",,"21.6","0.04","2502.48","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0259","RC","Both",,,"40","20","Medicare",,,,"54",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0259","RC","Both",,,"40","20","Humana","Medicare Advantage",,,"54",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0259","RC","Both",,,"40","20","UHC","Medicare Advantage",,,"54",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0259","RC","Both",,,"40","20","Clover","Medicare Advantage",,,"54",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0259","RC","Both",,,"40","20","Wellcare","Medicare Advantage",,,"54",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0259","RC","Both",,,"40","20","Amerigroup","Medicaid Managed Care",,,"37",,"14.64","0.04","2502.48","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0259","RC","Both",,,"40","20","Caresource","Medicaid Managed Care",,,"40",,"16","0.04","2502.48","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0259","RC","Both",,,"40","20","Wellcare","Medicaid Managed Care",,,"40",,"16.2","0.04","2502.48","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0259","RC","Both",,,"40","20","Aetna","Commercial",,,"64",,"25.52","0.04","2502.48","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0259","RC","Both",,,"40","20","Blue Cross Blue Shield","Pathways",,,"71",,"28.24","0.04","2502.48","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0259","RC","Both",,,"40","20","Blue Cross Blue Shield","HMO",,,"71",,"28.24","0.04","2502.48","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0259","RC","Both",,,"40","20","Blue Cross Blue Shield","PPO",,,"71",,"28.24","0.04","2502.48","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0259","RC","Both",,,"40","20","Ambetter","Health Exchange",,,"62",,"24.8","0.04","2502.48","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0259","RC","Both",,,"40","20","Caresource","Health Exchange",,,"62",,"24.8","0.04","2502.48","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0259","RC","Both",,,"40","20","Cigna","Commercial",,,"59",,"23.44","0.04","2502.48","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0259","RC","Both",,,"40","20","Humana","Commercial",,,"78",,"31","0.04","2502.48","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0259","RC","Both",,,"40","20","UHC","Commercial",,,"75",,"30.16","0.04","2502.48","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","0259","RC","Both",,,"40","20","Medicaid",,,,"37",,"14.64","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","0259","RC","Both",,,"170","85","Alliant","Health Exchange",,,"62",,"105.4","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","0259","RC","Both",,,"170","85","Pruitt Healthcare","Medicare Advantage",,,"54",,"91.8","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","0259","RC","Both",,,"170","85","Medicare",,,,"54",,"92.14","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","0259","RC","Both",,,"170","85","Humana","Medicare Advantage",,,"54",,"92.14","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","0259","RC","Both",,,"170","85","UHC","Medicare Advantage",,,"54",,"92.14","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","0259","RC","Both",,,"170","85","Clover","Medicare Advantage",,,"54",,"92.14","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","0259","RC","Both",,,"170","85","Wellcare","Medicare Advantage",,,"54",,"92.14","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","0259","RC","Both",,,"170","85","Amerigroup","Medicaid Managed Care",,,"37",,"62.22","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","0259","RC","Both",,,"170","85","Caresource","Medicaid Managed Care",,,"40",,"68","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","0259","RC","Both",,,"170","85","Wellcare","Medicaid Managed Care",,,"40",,"68.85","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","0259","RC","Both",,,"170","85","Aetna","Commercial",,,"64",,"108.46","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","0259","RC","Both",,,"170","85","Blue Cross Blue Shield","Pathways",,,"71",,"120.02","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","0259","RC","Both",,,"170","85","Blue Cross Blue Shield","HMO",,,"71",,"120.02","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","0259","RC","Both",,,"170","85","Blue Cross Blue Shield","PPO",,,"71",,"120.02","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","0259","RC","Both",,,"170","85","Ambetter","Health Exchange",,,"62",,"105.4","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","0259","RC","Both",,,"170","85","Caresource","Health Exchange",,,"62",,"105.4","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","0259","RC","Both",,,"170","85","Cigna","Commercial",,,"59",,"99.62","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","0259","RC","Both",,,"170","85","Humana","Commercial",,,"78",,"131.75","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","0259","RC","Both",,,"170","85","UHC","Commercial",,,"75",,"128.18","0.04","2502.48","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","0259","RC","Both",,,"170","85","Medicaid",,,,"37",,"62.22","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","0259","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","0259","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","0259","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","0259","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","0259","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","0259","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","0259","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","0259","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","0259","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","0259","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","0259","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","0259","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","0259","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","0259","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","0259","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","0259","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","2502.48","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","0259","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 200MG","0259","RC","Both",,,"67","33.5","Alliant","Health Exchange",,,"62",,"41.54","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 200MG","0259","RC","Both",,,"67","33.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"36.18","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 200MG","0259","RC","Both",,,"67","33.5","Medicare",,,,"54",,"36.31","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 200MG","0259","RC","Both",,,"67","33.5","Humana","Medicare Advantage",,,"54",,"36.31","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 200MG","0259","RC","Both",,,"67","33.5","UHC","Medicare Advantage",,,"54",,"36.31","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 200MG","0259","RC","Both",,,"67","33.5","Clover","Medicare Advantage",,,"54",,"36.31","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 200MG","0259","RC","Both",,,"67","33.5","Wellcare","Medicare Advantage",,,"54",,"36.31","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 200MG","0259","RC","Both",,,"67","33.5","Amerigroup","Medicaid Managed Care",,,"37",,"24.52","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 200MG","0259","RC","Both",,,"67","33.5","Caresource","Medicaid Managed Care",,,"40",,"26.8","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 200MG","0259","RC","Both",,,"67","33.5","Wellcare","Medicaid Managed Care",,,"40",,"27.14","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 200MG","0259","RC","Both",,,"67","33.5","Aetna","Commercial",,,"64",,"42.75","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 200MG","0259","RC","Both",,,"67","33.5","Blue Cross Blue Shield","Pathways",,,"71",,"47.3","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 200MG","0259","RC","Both",,,"67","33.5","Blue Cross Blue Shield","HMO",,,"71",,"47.3","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 200MG","0259","RC","Both",,,"67","33.5","Blue Cross Blue Shield","PPO",,,"71",,"47.3","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 200MG","0259","RC","Both",,,"67","33.5","Ambetter","Health Exchange",,,"62",,"41.54","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 200MG","0259","RC","Both",,,"67","33.5","Caresource","Health Exchange",,,"62",,"41.54","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 200MG","0259","RC","Both",,,"67","33.5","Cigna","Commercial",,,"59",,"39.26","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 200MG","0259","RC","Both",,,"67","33.5","Humana","Commercial",,,"78",,"51.92","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 200MG","0259","RC","Both",,,"67","33.5","UHC","Commercial",,,"75",,"50.52","0.04","2502.48","percent of total billed charges",,
"NF-Vimpat Oral Tablet 200MG","0259","RC","Both",,,"67","33.5","Medicaid",,,,"37",,"24.52","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Alliant","Health Exchange",,,"62",,"22.32","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.44","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Medicare",,,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Humana","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","UHC","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Clover","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Wellcare","Medicare Advantage",,,"54",,"19.51","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Amerigroup","Medicaid Managed Care",,,"37",,"13.18","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Caresource","Medicaid Managed Care",,,"40",,"14.4","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Wellcare","Medicaid Managed Care",,,"40",,"14.58","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Aetna","Commercial",,,"64",,"22.97","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Blue Cross Blue Shield","Pathways",,,"71",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Blue Cross Blue Shield","HMO",,,"71",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Blue Cross Blue Shield","PPO",,,"71",,"25.42","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Ambetter","Health Exchange",,,"62",,"22.32","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Caresource","Health Exchange",,,"62",,"22.32","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Cigna","Commercial",,,"59",,"21.1","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Humana","Commercial",,,"78",,"27.9","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","UHC","Commercial",,,"75",,"27.14","0.04","2502.48","percent of total billed charges",,
"NF-Dorzolamide HCl-Timolol 22.3MG-6.8MG/","0259","RC","Both",,,"36","18","Medicaid",,,,"37",,"13.18","0.04","2502.48","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","0259","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","0259","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","0259","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","0259","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","0259","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","0259","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","0259","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","0259","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","0259","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","2502.48","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","0259","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","0259","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","0259","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","0259","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","0259","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","2502.48","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","0259","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","0259","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","2502.48","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","0259","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"40","20","Alliant","Health Exchange",,,"62",,"24.8","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"40","20","Pruitt Healthcare","Medicare Advantage",,,"54",,"21.6","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"40","20","Medicare",,,,"54",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"40","20","Humana","Medicare Advantage",,,"54",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"40","20","UHC","Medicare Advantage",,,"54",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"40","20","Clover","Medicare Advantage",,,"54",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"40","20","Wellcare","Medicare Advantage",,,"54",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"40","20","Amerigroup","Medicaid Managed Care",,,"37",,"14.64","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"40","20","Caresource","Medicaid Managed Care",,,"40",,"16","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"40","20","Wellcare","Medicaid Managed Care",,,"40",,"16.2","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"40","20","Aetna","Commercial",,,"64",,"25.52","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"40","20","Blue Cross Blue Shield","Pathways",,,"71",,"28.24","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"40","20","Blue Cross Blue Shield","HMO",,,"71",,"28.24","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"40","20","Blue Cross Blue Shield","PPO",,,"71",,"28.24","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"40","20","Ambetter","Health Exchange",,,"62",,"24.8","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"40","20","Caresource","Health Exchange",,,"62",,"24.8","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"40","20","Cigna","Commercial",,,"59",,"23.44","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"40","20","Humana","Commercial",,,"78",,"31","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"40","20","UHC","Commercial",,,"75",,"30.16","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","0259","RC","Both",,,"40","20","Medicaid",,,,"37",,"14.64","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Alliant","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.48","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Medicare",,,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Humana","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","UHC","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Clover","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Wellcare","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Amerigroup","Medicaid Managed Care",,,"37",,"4.39","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Caresource","Medicaid Managed Care",,,"40",,"4.8","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Wellcare","Medicaid Managed Care",,,"40",,"4.86","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Aetna","Commercial",,,"64",,"7.66","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","Pathways",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","HMO",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","PPO",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Ambetter","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Caresource","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Cigna","Commercial",,,"59",,"7.03","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Humana","Commercial",,,"78",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","UHC","Commercial",,,"75",,"9.05","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Medicaid",,,,"37",,"4.39","0.04","2502.48","percent of total billed charges",,
"NF-RANOLAZINE ORAL TABLET ER 500MG","0259","RC","Both",,,"5.04","2.52","Alliant","Health Exchange",,,"62",,"3.12","0.04","2502.48","percent of total billed charges",,
"NF-RANOLAZINE ORAL TABLET ER 500MG","0259","RC","Both",,,"5.04","2.52","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.72","0.04","2502.48","percent of total billed charges",,
"NF-RANOLAZINE ORAL TABLET ER 500MG","0259","RC","Both",,,"5.04","2.52","Medicare",,,,"54",,"2.73","0.04","2502.48","percent of total billed charges",,
"NF-RANOLAZINE ORAL TABLET ER 500MG","0259","RC","Both",,,"5.04","2.52","Humana","Medicare Advantage",,,"54",,"2.73","0.04","2502.48","percent of total billed charges",,
"NF-RANOLAZINE ORAL TABLET ER 500MG","0259","RC","Both",,,"5.04","2.52","UHC","Medicare Advantage",,,"54",,"2.73","0.04","2502.48","percent of total billed charges",,
"NF-RANOLAZINE ORAL TABLET ER 500MG","0259","RC","Both",,,"5.04","2.52","Clover","Medicare Advantage",,,"54",,"2.73","0.04","2502.48","percent of total billed charges",,
"NF-RANOLAZINE ORAL TABLET ER 500MG","0259","RC","Both",,,"5.04","2.52","Wellcare","Medicare Advantage",,,"54",,"2.73","0.04","2502.48","percent of total billed charges",,
"NF-RANOLAZINE ORAL TABLET ER 500MG","0259","RC","Both",,,"5.04","2.52","Amerigroup","Medicaid Managed Care",,,"37",,"1.84","0.04","2502.48","percent of total billed charges",,
"NF-RANOLAZINE ORAL TABLET ER 500MG","0259","RC","Both",,,"5.04","2.52","Caresource","Medicaid Managed Care",,,"40",,"2.02","0.04","2502.48","percent of total billed charges",,
"NF-RANOLAZINE ORAL TABLET ER 500MG","0259","RC","Both",,,"5.04","2.52","Wellcare","Medicaid Managed Care",,,"40",,"2.04","0.04","2502.48","percent of total billed charges",,
"NF-RANOLAZINE ORAL TABLET ER 500MG","0259","RC","Both",,,"5.04","2.52","Aetna","Commercial",,,"64",,"3.22","0.04","2502.48","percent of total billed charges",,
"NF-RANOLAZINE ORAL TABLET ER 500MG","0259","RC","Both",,,"5.04","2.52","Blue Cross Blue Shield","Pathways",,,"71",,"3.56","0.04","2502.48","percent of total billed charges",,
"NF-RANOLAZINE ORAL TABLET ER 500MG","0259","RC","Both",,,"5.04","2.52","Blue Cross Blue Shield","HMO",,,"71",,"3.56","0.04","2502.48","percent of total billed charges",,
"NF-RANOLAZINE ORAL TABLET ER 500MG","0259","RC","Both",,,"5.04","2.52","Blue Cross Blue Shield","PPO",,,"71",,"3.56","0.04","2502.48","percent of total billed charges",,
"NF-RANOLAZINE ORAL TABLET ER 500MG","0259","RC","Both",,,"5.04","2.52","Ambetter","Health Exchange",,,"62",,"3.12","0.04","2502.48","percent of total billed charges",,
"NF-RANOLAZINE ORAL TABLET ER 500MG","0259","RC","Both",,,"5.04","2.52","Caresource","Health Exchange",,,"62",,"3.12","0.04","2502.48","percent of total billed charges",,
"NF-RANOLAZINE ORAL TABLET ER 500MG","0259","RC","Both",,,"5.04","2.52","Cigna","Commercial",,,"59",,"2.95","0.04","2502.48","percent of total billed charges",,
"NF-RANOLAZINE ORAL TABLET ER 500MG","0259","RC","Both",,,"5.04","2.52","Humana","Commercial",,,"78",,"3.91","0.04","2502.48","percent of total billed charges",,
"NF-RANOLAZINE ORAL TABLET ER 500MG","0259","RC","Both",,,"5.04","2.52","UHC","Commercial",,,"75",,"3.8","0.04","2502.48","percent of total billed charges",,
"NF-RANOLAZINE ORAL TABLET ER 500MG","0259","RC","Both",,,"5.04","2.52","Medicaid",,,,"37",,"1.84","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Delayed Release Capsule 40","0259","RC","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Delayed Release Capsule 40","0259","RC","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Delayed Release Capsule 40","0259","RC","Both",,,"22","11","Medicare",,,,"54",,"11.92","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Delayed Release Capsule 40","0259","RC","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Delayed Release Capsule 40","0259","RC","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Delayed Release Capsule 40","0259","RC","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Delayed Release Capsule 40","0259","RC","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Delayed Release Capsule 40","0259","RC","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Delayed Release Capsule 40","0259","RC","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Delayed Release Capsule 40","0259","RC","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Delayed Release Capsule 40","0259","RC","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Delayed Release Capsule 40","0259","RC","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Delayed Release Capsule 40","0259","RC","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Delayed Release Capsule 40","0259","RC","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Delayed Release Capsule 40","0259","RC","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Delayed Release Capsule 40","0259","RC","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Delayed Release Capsule 40","0259","RC","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Delayed Release Capsule 40","0259","RC","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Delayed Release Capsule 40","0259","RC","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Delayed Release Capsule 40","0259","RC","Both",,,"22","11","Medicaid",,,,"37",,"8.05","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tab ER 150MG","0259","RC","Both",,,"12","6","Alliant","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tab ER 150MG","0259","RC","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.48","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tab ER 150MG","0259","RC","Both",,,"12","6","Medicare",,,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tab ER 150MG","0259","RC","Both",,,"12","6","Humana","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tab ER 150MG","0259","RC","Both",,,"12","6","UHC","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tab ER 150MG","0259","RC","Both",,,"12","6","Clover","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tab ER 150MG","0259","RC","Both",,,"12","6","Wellcare","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tab ER 150MG","0259","RC","Both",,,"12","6","Amerigroup","Medicaid Managed Care",,,"37",,"4.39","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tab ER 150MG","0259","RC","Both",,,"12","6","Caresource","Medicaid Managed Care",,,"40",,"4.8","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tab ER 150MG","0259","RC","Both",,,"12","6","Wellcare","Medicaid Managed Care",,,"40",,"4.86","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tab ER 150MG","0259","RC","Both",,,"12","6","Aetna","Commercial",,,"64",,"7.66","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tab ER 150MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","Pathways",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tab ER 150MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","HMO",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tab ER 150MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","PPO",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tab ER 150MG","0259","RC","Both",,,"12","6","Ambetter","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tab ER 150MG","0259","RC","Both",,,"12","6","Caresource","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tab ER 150MG","0259","RC","Both",,,"12","6","Cigna","Commercial",,,"59",,"7.03","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tab ER 150MG","0259","RC","Both",,,"12","6","Humana","Commercial",,,"78",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tab ER 150MG","0259","RC","Both",,,"12","6","UHC","Commercial",,,"75",,"9.05","0.04","2502.48","percent of total billed charges",,
"NF-Venlafaxine HCl Oral Tab ER 150MG","0259","RC","Both",,,"12","6","Medicaid",,,,"37",,"4.39","0.04","2502.48","percent of total billed charges",,
"NF-VENLAFAXINE HCL CAP ER 150MG","0259","RC","Both",,,"71.57","35.785","Alliant","Health Exchange",,,"62",,"44.37","0.04","2502.48","percent of total billed charges",,
"NF-VENLAFAXINE HCL CAP ER 150MG","0259","RC","Both",,,"71.57","35.785","Pruitt Healthcare","Medicare Advantage",,,"54",,"38.65","0.04","2502.48","percent of total billed charges",,
"NF-VENLAFAXINE HCL CAP ER 150MG","0259","RC","Both",,,"71.57","35.785","Medicare",,,,"54",,"38.79","0.04","2502.48","percent of total billed charges",,
"NF-VENLAFAXINE HCL CAP ER 150MG","0259","RC","Both",,,"71.57","35.785","Humana","Medicare Advantage",,,"54",,"38.79","0.04","2502.48","percent of total billed charges",,
"NF-VENLAFAXINE HCL CAP ER 150MG","0259","RC","Both",,,"71.57","35.785","UHC","Medicare Advantage",,,"54",,"38.79","0.04","2502.48","percent of total billed charges",,
"NF-VENLAFAXINE HCL CAP ER 150MG","0259","RC","Both",,,"71.57","35.785","Clover","Medicare Advantage",,,"54",,"38.79","0.04","2502.48","percent of total billed charges",,
"NF-VENLAFAXINE HCL CAP ER 150MG","0259","RC","Both",,,"71.57","35.785","Wellcare","Medicare Advantage",,,"54",,"38.79","0.04","2502.48","percent of total billed charges",,
"NF-VENLAFAXINE HCL CAP ER 150MG","0259","RC","Both",,,"71.57","35.785","Amerigroup","Medicaid Managed Care",,,"37",,"26.19","0.04","2502.48","percent of total billed charges",,
"NF-VENLAFAXINE HCL CAP ER 150MG","0259","RC","Both",,,"71.57","35.785","Caresource","Medicaid Managed Care",,,"40",,"28.63","0.04","2502.48","percent of total billed charges",,
"NF-VENLAFAXINE HCL CAP ER 150MG","0259","RC","Both",,,"71.57","35.785","Wellcare","Medicaid Managed Care",,,"40",,"28.99","0.04","2502.48","percent of total billed charges",,
"NF-VENLAFAXINE HCL CAP ER 150MG","0259","RC","Both",,,"71.57","35.785","Aetna","Commercial",,,"64",,"45.66","0.04","2502.48","percent of total billed charges",,
"NF-VENLAFAXINE HCL CAP ER 150MG","0259","RC","Both",,,"71.57","35.785","Blue Cross Blue Shield","Pathways",,,"71",,"50.53","0.04","2502.48","percent of total billed charges",,
"NF-VENLAFAXINE HCL CAP ER 150MG","0259","RC","Both",,,"71.57","35.785","Blue Cross Blue Shield","HMO",,,"71",,"50.53","0.04","2502.48","percent of total billed charges",,
"NF-VENLAFAXINE HCL CAP ER 150MG","0259","RC","Both",,,"71.57","35.785","Blue Cross Blue Shield","PPO",,,"71",,"50.53","0.04","2502.48","percent of total billed charges",,
"NF-VENLAFAXINE HCL CAP ER 150MG","0259","RC","Both",,,"71.57","35.785","Ambetter","Health Exchange",,,"62",,"44.37","0.04","2502.48","percent of total billed charges",,
"NF-VENLAFAXINE HCL CAP ER 150MG","0259","RC","Both",,,"71.57","35.785","Caresource","Health Exchange",,,"62",,"44.37","0.04","2502.48","percent of total billed charges",,
"NF-VENLAFAXINE HCL CAP ER 150MG","0259","RC","Both",,,"71.57","35.785","Cigna","Commercial",,,"59",,"41.94","0.04","2502.48","percent of total billed charges",,
"NF-VENLAFAXINE HCL CAP ER 150MG","0259","RC","Both",,,"71.57","35.785","Humana","Commercial",,,"78",,"55.47","0.04","2502.48","percent of total billed charges",,
"NF-VENLAFAXINE HCL CAP ER 150MG","0259","RC","Both",,,"71.57","35.785","UHC","Commercial",,,"75",,"53.96","0.04","2502.48","percent of total billed charges",,
"NF-VENLAFAXINE HCL CAP ER 150MG","0259","RC","Both",,,"71.57","35.785","Medicaid",,,,"37",,"26.19","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Alliant","Health Exchange",,,"62",,"44.02","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"38.34","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Medicare",,,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Humana","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","UHC","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Clover","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Wellcare","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Amerigroup","Medicaid Managed Care",,,"37",,"25.99","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Caresource","Medicaid Managed Care",,,"40",,"28.4","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Wellcare","Medicaid Managed Care",,,"40",,"28.76","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Aetna","Commercial",,,"64",,"45.3","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Blue Cross Blue Shield","Pathways",,,"71",,"50.13","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Blue Cross Blue Shield","HMO",,,"71",,"50.13","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Blue Cross Blue Shield","PPO",,,"71",,"50.13","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Ambetter","Health Exchange",,,"62",,"44.02","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Caresource","Health Exchange",,,"62",,"44.02","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Cigna","Commercial",,,"59",,"41.61","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Humana","Commercial",,,"78",,"55.02","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","UHC","Commercial",,,"75",,"53.53","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Medicaid",,,,"37",,"25.99","0.04","2502.48","percent of total billed charges",,
"NF-Sevelamer HCl Oral Tablet 800MG","0259","RC","Both",,,"24","12","Alliant","Health Exchange",,,"62",,"14.88","0.04","2502.48","percent of total billed charges",,
"NF-Sevelamer HCl Oral Tablet 800MG","0259","RC","Both",,,"24","12","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.96","0.04","2502.48","percent of total billed charges",,
"NF-Sevelamer HCl Oral Tablet 800MG","0259","RC","Both",,,"24","12","Medicare",,,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Sevelamer HCl Oral Tablet 800MG","0259","RC","Both",,,"24","12","Humana","Medicare Advantage",,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Sevelamer HCl Oral Tablet 800MG","0259","RC","Both",,,"24","12","UHC","Medicare Advantage",,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Sevelamer HCl Oral Tablet 800MG","0259","RC","Both",,,"24","12","Clover","Medicare Advantage",,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Sevelamer HCl Oral Tablet 800MG","0259","RC","Both",,,"24","12","Wellcare","Medicare Advantage",,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Sevelamer HCl Oral Tablet 800MG","0259","RC","Both",,,"24","12","Amerigroup","Medicaid Managed Care",,,"37",,"8.78","0.04","2502.48","percent of total billed charges",,
"NF-Sevelamer HCl Oral Tablet 800MG","0259","RC","Both",,,"24","12","Caresource","Medicaid Managed Care",,,"40",,"9.6","0.04","2502.48","percent of total billed charges",,
"NF-Sevelamer HCl Oral Tablet 800MG","0259","RC","Both",,,"24","12","Wellcare","Medicaid Managed Care",,,"40",,"9.72","0.04","2502.48","percent of total billed charges",,
"NF-Sevelamer HCl Oral Tablet 800MG","0259","RC","Both",,,"24","12","Aetna","Commercial",,,"64",,"15.31","0.04","2502.48","percent of total billed charges",,
"NF-Sevelamer HCl Oral Tablet 800MG","0259","RC","Both",,,"24","12","Blue Cross Blue Shield","Pathways",,,"71",,"16.94","0.04","2502.48","percent of total billed charges",,
"NF-Sevelamer HCl Oral Tablet 800MG","0259","RC","Both",,,"24","12","Blue Cross Blue Shield","HMO",,,"71",,"16.94","0.04","2502.48","percent of total billed charges",,
"NF-Sevelamer HCl Oral Tablet 800MG","0259","RC","Both",,,"24","12","Blue Cross Blue Shield","PPO",,,"71",,"16.94","0.04","2502.48","percent of total billed charges",,
"NF-Sevelamer HCl Oral Tablet 800MG","0259","RC","Both",,,"24","12","Ambetter","Health Exchange",,,"62",,"14.88","0.04","2502.48","percent of total billed charges",,
"NF-Sevelamer HCl Oral Tablet 800MG","0259","RC","Both",,,"24","12","Caresource","Health Exchange",,,"62",,"14.88","0.04","2502.48","percent of total billed charges",,
"NF-Sevelamer HCl Oral Tablet 800MG","0259","RC","Both",,,"24","12","Cigna","Commercial",,,"59",,"14.06","0.04","2502.48","percent of total billed charges",,
"NF-Sevelamer HCl Oral Tablet 800MG","0259","RC","Both",,,"24","12","Humana","Commercial",,,"78",,"18.6","0.04","2502.48","percent of total billed charges",,
"NF-Sevelamer HCl Oral Tablet 800MG","0259","RC","Both",,,"24","12","UHC","Commercial",,,"75",,"18.1","0.04","2502.48","percent of total billed charges",,
"NF-Sevelamer HCl Oral Tablet 800MG","0259","RC","Both",,,"24","12","Medicaid",,,,"37",,"8.78","0.04","2502.48","percent of total billed charges",,
"NF-Atovaquone Oral Suspension 750MG/5ML","0259","RC","Both",,,"19","9.5","Alliant","Health Exchange",,,"62",,"11.78","0.04","2502.48","percent of total billed charges",,
"NF-Atovaquone Oral Suspension 750MG/5ML","0259","RC","Both",,,"19","9.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.26","0.04","2502.48","percent of total billed charges",,
"NF-Atovaquone Oral Suspension 750MG/5ML","0259","RC","Both",,,"19","9.5","Medicare",,,,"54",,"10.3","0.04","2502.48","percent of total billed charges",,
"NF-Atovaquone Oral Suspension 750MG/5ML","0259","RC","Both",,,"19","9.5","Humana","Medicare Advantage",,,"54",,"10.3","0.04","2502.48","percent of total billed charges",,
"NF-Atovaquone Oral Suspension 750MG/5ML","0259","RC","Both",,,"19","9.5","UHC","Medicare Advantage",,,"54",,"10.3","0.04","2502.48","percent of total billed charges",,
"NF-Atovaquone Oral Suspension 750MG/5ML","0259","RC","Both",,,"19","9.5","Clover","Medicare Advantage",,,"54",,"10.3","0.04","2502.48","percent of total billed charges",,
"NF-Atovaquone Oral Suspension 750MG/5ML","0259","RC","Both",,,"19","9.5","Wellcare","Medicare Advantage",,,"54",,"10.3","0.04","2502.48","percent of total billed charges",,
"NF-Atovaquone Oral Suspension 750MG/5ML","0259","RC","Both",,,"19","9.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.95","0.04","2502.48","percent of total billed charges",,
"NF-Atovaquone Oral Suspension 750MG/5ML","0259","RC","Both",,,"19","9.5","Caresource","Medicaid Managed Care",,,"40",,"7.6","0.04","2502.48","percent of total billed charges",,
"NF-Atovaquone Oral Suspension 750MG/5ML","0259","RC","Both",,,"19","9.5","Wellcare","Medicaid Managed Care",,,"40",,"7.7","0.04","2502.48","percent of total billed charges",,
"NF-Atovaquone Oral Suspension 750MG/5ML","0259","RC","Both",,,"19","9.5","Aetna","Commercial",,,"64",,"12.12","0.04","2502.48","percent of total billed charges",,
"NF-Atovaquone Oral Suspension 750MG/5ML","0259","RC","Both",,,"19","9.5","Blue Cross Blue Shield","Pathways",,,"71",,"13.41","0.04","2502.48","percent of total billed charges",,
"NF-Atovaquone Oral Suspension 750MG/5ML","0259","RC","Both",,,"19","9.5","Blue Cross Blue Shield","HMO",,,"71",,"13.41","0.04","2502.48","percent of total billed charges",,
"NF-Atovaquone Oral Suspension 750MG/5ML","0259","RC","Both",,,"19","9.5","Blue Cross Blue Shield","PPO",,,"71",,"13.41","0.04","2502.48","percent of total billed charges",,
"NF-Atovaquone Oral Suspension 750MG/5ML","0259","RC","Both",,,"19","9.5","Ambetter","Health Exchange",,,"62",,"11.78","0.04","2502.48","percent of total billed charges",,
"NF-Atovaquone Oral Suspension 750MG/5ML","0259","RC","Both",,,"19","9.5","Caresource","Health Exchange",,,"62",,"11.78","0.04","2502.48","percent of total billed charges",,
"NF-Atovaquone Oral Suspension 750MG/5ML","0259","RC","Both",,,"19","9.5","Cigna","Commercial",,,"59",,"11.13","0.04","2502.48","percent of total billed charges",,
"NF-Atovaquone Oral Suspension 750MG/5ML","0259","RC","Both",,,"19","9.5","Humana","Commercial",,,"78",,"14.72","0.04","2502.48","percent of total billed charges",,
"NF-Atovaquone Oral Suspension 750MG/5ML","0259","RC","Both",,,"19","9.5","UHC","Commercial",,,"75",,"14.33","0.04","2502.48","percent of total billed charges",,
"NF-Atovaquone Oral Suspension 750MG/5ML","0259","RC","Both",,,"19","9.5","Medicaid",,,,"37",,"6.95","0.04","2502.48","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0250","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.04","569.62","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0250","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.04","569.62","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0250","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.04","569.62","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0250","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.04","569.62","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0250","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.04","569.62","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0250","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.04","569.62","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0250","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.04","569.62","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0250","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.04","569.62","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0250","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.04","569.62","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0250","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.04","569.62","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0250","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.04","569.62","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0250","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.04","569.62","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0250","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.04","569.62","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0250","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.04","569.62","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0250","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.04","569.62","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0250","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.04","569.62","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0250","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.04","569.62","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0250","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.04","569.62","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0250","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.04","569.62","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Soln 0.2%","0250","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.04","569.62","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Alliant","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.52","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Medicare",,,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Humana","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","UHC","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Clover","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Wellcare","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Amerigroup","Medicaid Managed Care",,,"37",,"13.91","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Caresource","Medicaid Managed Care",,,"40",,"15.2","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Wellcare","Medicaid Managed Care",,,"40",,"15.39","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Aetna","Commercial",,,"64",,"24.24","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","Pathways",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","HMO",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","PPO",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Ambetter","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Caresource","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Cigna","Commercial",,,"59",,"22.27","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Humana","Commercial",,,"78",,"29.45","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","UHC","Commercial",,,"75",,"28.65","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Medicaid",,,,"37",,"13.91","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0250","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0250","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0250","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0250","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0250","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0250","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0250","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0250","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0250","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0250","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0250","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0250","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0250","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0250","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0250","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0250","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0250","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0250","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0250","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","0250","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.04","569.62","percent of total billed charges",,
"NF-MELOXICAM ORAL TAB 15MG","0259","RC","Both",,,"15.18","7.59","Alliant","Health Exchange",,,"62",,"9.41","0.04","2502.48","percent of total billed charges",,
"NF-MELOXICAM ORAL TAB 15MG","0259","RC","Both",,,"15.18","7.59","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.2","0.04","2502.48","percent of total billed charges",,
"NF-MELOXICAM ORAL TAB 15MG","0259","RC","Both",,,"15.18","7.59","Medicare",,,,"54",,"8.23","0.04","2502.48","percent of total billed charges",,
"NF-MELOXICAM ORAL TAB 15MG","0259","RC","Both",,,"15.18","7.59","Humana","Medicare Advantage",,,"54",,"8.23","0.04","2502.48","percent of total billed charges",,
"NF-MELOXICAM ORAL TAB 15MG","0259","RC","Both",,,"15.18","7.59","UHC","Medicare Advantage",,,"54",,"8.23","0.04","2502.48","percent of total billed charges",,
"NF-MELOXICAM ORAL TAB 15MG","0259","RC","Both",,,"15.18","7.59","Clover","Medicare Advantage",,,"54",,"8.23","0.04","2502.48","percent of total billed charges",,
"NF-MELOXICAM ORAL TAB 15MG","0259","RC","Both",,,"15.18","7.59","Wellcare","Medicare Advantage",,,"54",,"8.23","0.04","2502.48","percent of total billed charges",,
"NF-MELOXICAM ORAL TAB 15MG","0259","RC","Both",,,"15.18","7.59","Amerigroup","Medicaid Managed Care",,,"37",,"5.56","0.04","2502.48","percent of total billed charges",,
"NF-MELOXICAM ORAL TAB 15MG","0259","RC","Both",,,"15.18","7.59","Caresource","Medicaid Managed Care",,,"40",,"6.07","0.04","2502.48","percent of total billed charges",,
"NF-MELOXICAM ORAL TAB 15MG","0259","RC","Both",,,"15.18","7.59","Wellcare","Medicaid Managed Care",,,"40",,"6.15","0.04","2502.48","percent of total billed charges",,
"NF-MELOXICAM ORAL TAB 15MG","0259","RC","Both",,,"15.18","7.59","Aetna","Commercial",,,"64",,"9.68","0.04","2502.48","percent of total billed charges",,
"NF-MELOXICAM ORAL TAB 15MG","0259","RC","Both",,,"15.18","7.59","Blue Cross Blue Shield","Pathways",,,"71",,"10.72","0.04","2502.48","percent of total billed charges",,
"NF-MELOXICAM ORAL TAB 15MG","0259","RC","Both",,,"15.18","7.59","Blue Cross Blue Shield","HMO",,,"71",,"10.72","0.04","2502.48","percent of total billed charges",,
"NF-MELOXICAM ORAL TAB 15MG","0259","RC","Both",,,"15.18","7.59","Blue Cross Blue Shield","PPO",,,"71",,"10.72","0.04","2502.48","percent of total billed charges",,
"NF-MELOXICAM ORAL TAB 15MG","0259","RC","Both",,,"15.18","7.59","Ambetter","Health Exchange",,,"62",,"9.41","0.04","2502.48","percent of total billed charges",,
"NF-MELOXICAM ORAL TAB 15MG","0259","RC","Both",,,"15.18","7.59","Caresource","Health Exchange",,,"62",,"9.41","0.04","2502.48","percent of total billed charges",,
"NF-MELOXICAM ORAL TAB 15MG","0259","RC","Both",,,"15.18","7.59","Cigna","Commercial",,,"59",,"8.9","0.04","2502.48","percent of total billed charges",,
"NF-MELOXICAM ORAL TAB 15MG","0259","RC","Both",,,"15.18","7.59","Humana","Commercial",,,"78",,"11.76","0.04","2502.48","percent of total billed charges",,
"NF-MELOXICAM ORAL TAB 15MG","0259","RC","Both",,,"15.18","7.59","UHC","Commercial",,,"75",,"11.45","0.04","2502.48","percent of total billed charges",,
"NF-MELOXICAM ORAL TAB 15MG","0259","RC","Both",,,"15.18","7.59","Medicaid",,,,"37",,"5.56","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 ORAL TABLET 5000IU","0259","RC","Both",,,"0.18","0.09","Alliant","Health Exchange",,,"62",,"0.11","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 ORAL TABLET 5000IU","0259","RC","Both",,,"0.18","0.09","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.1","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 ORAL TABLET 5000IU","0259","RC","Both",,,"0.18","0.09","Medicare",,,,"54",,"0.1","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 ORAL TABLET 5000IU","0259","RC","Both",,,"0.18","0.09","Humana","Medicare Advantage",,,"54",,"0.1","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 ORAL TABLET 5000IU","0259","RC","Both",,,"0.18","0.09","UHC","Medicare Advantage",,,"54",,"0.1","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 ORAL TABLET 5000IU","0259","RC","Both",,,"0.18","0.09","Clover","Medicare Advantage",,,"54",,"0.1","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 ORAL TABLET 5000IU","0259","RC","Both",,,"0.18","0.09","Wellcare","Medicare Advantage",,,"54",,"0.1","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 ORAL TABLET 5000IU","0259","RC","Both",,,"0.18","0.09","Amerigroup","Medicaid Managed Care",,,"37",,"0.07","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 ORAL TABLET 5000IU","0259","RC","Both",,,"0.18","0.09","Caresource","Medicaid Managed Care",,,"40",,"0.07","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 ORAL TABLET 5000IU","0259","RC","Both",,,"0.18","0.09","Wellcare","Medicaid Managed Care",,,"40",,"0.07","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 ORAL TABLET 5000IU","0259","RC","Both",,,"0.18","0.09","Aetna","Commercial",,,"64",,"0.11","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 ORAL TABLET 5000IU","0259","RC","Both",,,"0.18","0.09","Blue Cross Blue Shield","Pathways",,,"71",,"0.13","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 ORAL TABLET 5000IU","0259","RC","Both",,,"0.18","0.09","Blue Cross Blue Shield","HMO",,,"71",,"0.13","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 ORAL TABLET 5000IU","0259","RC","Both",,,"0.18","0.09","Blue Cross Blue Shield","PPO",,,"71",,"0.13","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 ORAL TABLET 5000IU","0259","RC","Both",,,"0.18","0.09","Ambetter","Health Exchange",,,"62",,"0.11","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 ORAL TABLET 5000IU","0259","RC","Both",,,"0.18","0.09","Caresource","Health Exchange",,,"62",,"0.11","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 ORAL TABLET 5000IU","0259","RC","Both",,,"0.18","0.09","Cigna","Commercial",,,"59",,"0.11","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 ORAL TABLET 5000IU","0259","RC","Both",,,"0.18","0.09","Humana","Commercial",,,"78",,"0.14","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 ORAL TABLET 5000IU","0259","RC","Both",,,"0.18","0.09","UHC","Commercial",,,"75",,"0.14","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 ORAL TABLET 5000IU","0259","RC","Both",,,"0.18","0.09","Medicaid",,,,"37",,"0.07","0.04","2502.48","percent of total billed charges",,
"NF-Ramipril Oral Capsule 2.5MG","0259","RC","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Ramipril Oral Capsule 2.5MG","0259","RC","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","0.04","2502.48","percent of total billed charges",,
"NF-Ramipril Oral Capsule 2.5MG","0259","RC","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Ramipril Oral Capsule 2.5MG","0259","RC","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Ramipril Oral Capsule 2.5MG","0259","RC","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Ramipril Oral Capsule 2.5MG","0259","RC","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Ramipril Oral Capsule 2.5MG","0259","RC","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Ramipril Oral Capsule 2.5MG","0259","RC","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","0.04","2502.48","percent of total billed charges",,
"NF-Ramipril Oral Capsule 2.5MG","0259","RC","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","0.04","2502.48","percent of total billed charges",,
"NF-Ramipril Oral Capsule 2.5MG","0259","RC","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","0.04","2502.48","percent of total billed charges",,
"NF-Ramipril Oral Capsule 2.5MG","0259","RC","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","0.04","2502.48","percent of total billed charges",,
"NF-Ramipril Oral Capsule 2.5MG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-Ramipril Oral Capsule 2.5MG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-Ramipril Oral Capsule 2.5MG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-Ramipril Oral Capsule 2.5MG","0259","RC","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Ramipril Oral Capsule 2.5MG","0259","RC","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Ramipril Oral Capsule 2.5MG","0259","RC","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Ramipril Oral Capsule 2.5MG","0259","RC","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","0.04","2502.48","percent of total billed charges",,
"NF-Ramipril Oral Capsule 2.5MG","0259","RC","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","0.04","2502.48","percent of total billed charges",,
"NF-Ramipril Oral Capsule 2.5MG","0259","RC","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"210","105","Alliant","Health Exchange",,,"62",,"130.2","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"210","105","Pruitt Healthcare","Medicare Advantage",,,"54",,"113.4","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"210","105","Medicare",,,,"54",,"113.82","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"210","105","Humana","Medicare Advantage",,,"54",,"113.82","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"210","105","UHC","Medicare Advantage",,,"54",,"113.82","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"210","105","Clover","Medicare Advantage",,,"54",,"113.82","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"210","105","Wellcare","Medicare Advantage",,,"54",,"113.82","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"210","105","Amerigroup","Medicaid Managed Care",,,"37",,"76.86","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"210","105","Caresource","Medicaid Managed Care",,,"40",,"84","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"210","105","Wellcare","Medicaid Managed Care",,,"40",,"85.05","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"210","105","Aetna","Commercial",,,"64",,"133.98","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"210","105","Blue Cross Blue Shield","Pathways",,,"71",,"148.26","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"210","105","Blue Cross Blue Shield","HMO",,,"71",,"148.26","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"210","105","Blue Cross Blue Shield","PPO",,,"71",,"148.26","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"210","105","Ambetter","Health Exchange",,,"62",,"130.2","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"210","105","Caresource","Health Exchange",,,"62",,"130.2","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"210","105","Cigna","Commercial",,,"59",,"123.06","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"210","105","Humana","Commercial",,,"78",,"162.75","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"210","105","UHC","Commercial",,,"75",,"158.34","0.04","2502.48","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","0259","RC","Both",,,"210","105","Medicaid",,,,"37",,"76.86","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Alliant","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.98","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Medicare",,,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Humana","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","UHC","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Clover","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Wellcare","Medicare Advantage",,,"54",,"20.05","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Amerigroup","Medicaid Managed Care",,,"37",,"13.54","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Caresource","Medicaid Managed Care",,,"40",,"14.8","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Wellcare","Medicaid Managed Care",,,"40",,"14.99","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Aetna","Commercial",,,"64",,"23.61","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","Pathways",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","HMO",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Blue Cross Blue Shield","PPO",,,"71",,"26.12","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Ambetter","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Caresource","Health Exchange",,,"62",,"22.94","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Cigna","Commercial",,,"59",,"21.68","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Humana","Commercial",,,"78",,"28.68","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","UHC","Commercial",,,"75",,"27.9","0.04","2502.48","percent of total billed charges",,
"NF-Farxiga Oral Tablet 10MG","0259","RC","Both",,,"37","18.5","Medicaid",,,,"37",,"13.54","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Alliant","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.52","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Medicare",,,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Humana","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","UHC","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Clover","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Wellcare","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Amerigroup","Medicaid Managed Care",,,"37",,"13.91","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Caresource","Medicaid Managed Care",,,"40",,"15.2","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Wellcare","Medicaid Managed Care",,,"40",,"15.39","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Aetna","Commercial",,,"64",,"24.24","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","Pathways",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","HMO",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","PPO",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Ambetter","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Caresource","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Cigna","Commercial",,,"59",,"22.27","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Humana","Commercial",,,"78",,"29.45","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","UHC","Commercial",,,"75",,"28.65","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Medicaid",,,,"37",,"13.91","0.04","2502.48","percent of total billed charges",,
"NF-Triamcinolone Acetonide Paste 0.1%","0250","RC","Both",,,"48","24","Alliant","Health Exchange",,,"62",,"29.76","0.04","569.62","percent of total billed charges",,
"NF-Triamcinolone Acetonide Paste 0.1%","0250","RC","Both",,,"48","24","Pruitt Healthcare","Medicare Advantage",,,"54",,"25.92","0.04","569.62","percent of total billed charges",,
"NF-Triamcinolone Acetonide Paste 0.1%","0250","RC","Both",,,"48","24","Medicare",,,,"54",,"26.02","0.04","569.62","percent of total billed charges",,
"NF-Triamcinolone Acetonide Paste 0.1%","0250","RC","Both",,,"48","24","Humana","Medicare Advantage",,,"54",,"26.02","0.04","569.62","percent of total billed charges",,
"NF-Triamcinolone Acetonide Paste 0.1%","0250","RC","Both",,,"48","24","UHC","Medicare Advantage",,,"54",,"26.02","0.04","569.62","percent of total billed charges",,
"NF-Triamcinolone Acetonide Paste 0.1%","0250","RC","Both",,,"48","24","Clover","Medicare Advantage",,,"54",,"26.02","0.04","569.62","percent of total billed charges",,
"NF-Triamcinolone Acetonide Paste 0.1%","0250","RC","Both",,,"48","24","Wellcare","Medicare Advantage",,,"54",,"26.02","0.04","569.62","percent of total billed charges",,
"NF-Triamcinolone Acetonide Paste 0.1%","0250","RC","Both",,,"48","24","Amerigroup","Medicaid Managed Care",,,"37",,"17.57","0.04","569.62","percent of total billed charges",,
"NF-Triamcinolone Acetonide Paste 0.1%","0250","RC","Both",,,"48","24","Caresource","Medicaid Managed Care",,,"40",,"19.2","0.04","569.62","percent of total billed charges",,
"NF-Triamcinolone Acetonide Paste 0.1%","0250","RC","Both",,,"48","24","Wellcare","Medicaid Managed Care",,,"40",,"19.44","0.04","569.62","percent of total billed charges",,
"NF-Triamcinolone Acetonide Paste 0.1%","0250","RC","Both",,,"48","24","Aetna","Commercial",,,"64",,"30.62","0.04","569.62","percent of total billed charges",,
"NF-Triamcinolone Acetonide Paste 0.1%","0250","RC","Both",,,"48","24","Blue Cross Blue Shield","Pathways",,,"71",,"33.89","0.04","569.62","percent of total billed charges",,
"NF-Triamcinolone Acetonide Paste 0.1%","0250","RC","Both",,,"48","24","Blue Cross Blue Shield","HMO",,,"71",,"33.89","0.04","569.62","percent of total billed charges",,
"NF-Triamcinolone Acetonide Paste 0.1%","0250","RC","Both",,,"48","24","Blue Cross Blue Shield","PPO",,,"71",,"33.89","0.04","569.62","percent of total billed charges",,
"NF-Triamcinolone Acetonide Paste 0.1%","0250","RC","Both",,,"48","24","Ambetter","Health Exchange",,,"62",,"29.76","0.04","569.62","percent of total billed charges",,
"NF-Triamcinolone Acetonide Paste 0.1%","0250","RC","Both",,,"48","24","Caresource","Health Exchange",,,"62",,"29.76","0.04","569.62","percent of total billed charges",,
"NF-Triamcinolone Acetonide Paste 0.1%","0250","RC","Both",,,"48","24","Cigna","Commercial",,,"59",,"28.13","0.04","569.62","percent of total billed charges",,
"NF-Triamcinolone Acetonide Paste 0.1%","0250","RC","Both",,,"48","24","Humana","Commercial",,,"78",,"37.2","0.04","569.62","percent of total billed charges",,
"NF-Triamcinolone Acetonide Paste 0.1%","0250","RC","Both",,,"48","24","UHC","Commercial",,,"75",,"36.19","0.04","569.62","percent of total billed charges",,
"NF-Triamcinolone Acetonide Paste 0.1%","0250","RC","Both",,,"48","24","Medicaid",,,,"37",,"17.57","0.04","569.62","percent of total billed charges",,
"NF-Triamterene/HCTZ Capsule 37.5-25MG","0250","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","569.62","percent of total billed charges",,
"NF-Triamterene/HCTZ Capsule 37.5-25MG","0250","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"NF-Triamterene/HCTZ Capsule 37.5-25MG","0250","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"NF-Triamterene/HCTZ Capsule 37.5-25MG","0250","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"NF-Triamterene/HCTZ Capsule 37.5-25MG","0250","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"NF-Triamterene/HCTZ Capsule 37.5-25MG","0250","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"NF-Triamterene/HCTZ Capsule 37.5-25MG","0250","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"NF-Triamterene/HCTZ Capsule 37.5-25MG","0250","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","569.62","percent of total billed charges",,
"NF-Triamterene/HCTZ Capsule 37.5-25MG","0250","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","569.62","percent of total billed charges",,
"NF-Triamterene/HCTZ Capsule 37.5-25MG","0250","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","569.62","percent of total billed charges",,
"NF-Triamterene/HCTZ Capsule 37.5-25MG","0250","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","569.62","percent of total billed charges",,
"NF-Triamterene/HCTZ Capsule 37.5-25MG","0250","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","569.62","percent of total billed charges",,
"NF-Triamterene/HCTZ Capsule 37.5-25MG","0250","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","569.62","percent of total billed charges",,
"NF-Triamterene/HCTZ Capsule 37.5-25MG","0250","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","569.62","percent of total billed charges",,
"NF-Triamterene/HCTZ Capsule 37.5-25MG","0250","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","569.62","percent of total billed charges",,
"NF-Triamterene/HCTZ Capsule 37.5-25MG","0250","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","569.62","percent of total billed charges",,
"NF-Triamterene/HCTZ Capsule 37.5-25MG","0250","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","569.62","percent of total billed charges",,
"NF-Triamterene/HCTZ Capsule 37.5-25MG","0250","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","569.62","percent of total billed charges",,
"NF-Triamterene/HCTZ Capsule 37.5-25MG","0250","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","569.62","percent of total billed charges",,
"NF-Triamterene/HCTZ Capsule 37.5-25MG","0250","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Alliant","Health Exchange",,,"62",,"44.02","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"38.34","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Medicare",,,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Humana","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","UHC","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Clover","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Wellcare","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Amerigroup","Medicaid Managed Care",,,"37",,"25.99","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Caresource","Medicaid Managed Care",,,"40",,"28.4","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Wellcare","Medicaid Managed Care",,,"40",,"28.76","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Aetna","Commercial",,,"64",,"45.3","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Blue Cross Blue Shield","Pathways",,,"71",,"50.13","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Blue Cross Blue Shield","HMO",,,"71",,"50.13","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Blue Cross Blue Shield","PPO",,,"71",,"50.13","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Ambetter","Health Exchange",,,"62",,"44.02","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Caresource","Health Exchange",,,"62",,"44.02","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Cigna","Commercial",,,"59",,"41.61","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Humana","Commercial",,,"78",,"55.02","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","UHC","Commercial",,,"75",,"53.53","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Medicaid",,,,"37",,"25.99","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Alliant","Health Exchange",,,"62",,"40.3","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"35.1","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Medicare",,,,"54",,"35.23","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Humana","Medicare Advantage",,,"54",,"35.23","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","UHC","Medicare Advantage",,,"54",,"35.23","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Clover","Medicare Advantage",,,"54",,"35.23","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Wellcare","Medicare Advantage",,,"54",,"35.23","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Amerigroup","Medicaid Managed Care",,,"37",,"23.79","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Caresource","Medicaid Managed Care",,,"40",,"26","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Wellcare","Medicaid Managed Care",,,"40",,"26.33","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Aetna","Commercial",,,"64",,"41.47","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Blue Cross Blue Shield","Pathways",,,"71",,"45.89","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Blue Cross Blue Shield","HMO",,,"71",,"45.89","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Blue Cross Blue Shield","PPO",,,"71",,"45.89","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Ambetter","Health Exchange",,,"62",,"40.3","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Caresource","Health Exchange",,,"62",,"40.3","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Cigna","Commercial",,,"59",,"38.09","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Humana","Commercial",,,"78",,"50.38","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","UHC","Commercial",,,"75",,"49.01","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Medicaid",,,,"37",,"23.79","0.04","2502.48","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0259","RC","Both",,,"22.18","11.09","Alliant","Health Exchange",,,"62",,"13.75","0.04","2502.48","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0259","RC","Both",,,"22.18","11.09","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.98","0.04","2502.48","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0259","RC","Both",,,"22.18","11.09","Medicare",,,,"54",,"12.02","0.04","2502.48","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0259","RC","Both",,,"22.18","11.09","Humana","Medicare Advantage",,,"54",,"12.02","0.04","2502.48","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0259","RC","Both",,,"22.18","11.09","UHC","Medicare Advantage",,,"54",,"12.02","0.04","2502.48","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0259","RC","Both",,,"22.18","11.09","Clover","Medicare Advantage",,,"54",,"12.02","0.04","2502.48","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0259","RC","Both",,,"22.18","11.09","Wellcare","Medicare Advantage",,,"54",,"12.02","0.04","2502.48","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0259","RC","Both",,,"22.18","11.09","Amerigroup","Medicaid Managed Care",,,"37",,"8.12","0.04","2502.48","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0259","RC","Both",,,"22.18","11.09","Caresource","Medicaid Managed Care",,,"40",,"8.87","0.04","2502.48","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0259","RC","Both",,,"22.18","11.09","Wellcare","Medicaid Managed Care",,,"40",,"8.98","0.04","2502.48","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0259","RC","Both",,,"22.18","11.09","Aetna","Commercial",,,"64",,"14.15","0.04","2502.48","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0259","RC","Both",,,"22.18","11.09","Blue Cross Blue Shield","Pathways",,,"71",,"15.66","0.04","2502.48","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0259","RC","Both",,,"22.18","11.09","Blue Cross Blue Shield","HMO",,,"71",,"15.66","0.04","2502.48","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0259","RC","Both",,,"22.18","11.09","Blue Cross Blue Shield","PPO",,,"71",,"15.66","0.04","2502.48","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0259","RC","Both",,,"22.18","11.09","Ambetter","Health Exchange",,,"62",,"13.75","0.04","2502.48","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0259","RC","Both",,,"22.18","11.09","Caresource","Health Exchange",,,"62",,"13.75","0.04","2502.48","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0259","RC","Both",,,"22.18","11.09","Cigna","Commercial",,,"59",,"13","0.04","2502.48","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0259","RC","Both",,,"22.18","11.09","Humana","Commercial",,,"78",,"17.19","0.04","2502.48","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0259","RC","Both",,,"22.18","11.09","UHC","Commercial",,,"75",,"16.72","0.04","2502.48","percent of total billed charges",,
"NF-OMEPRAZOLE CAP DR 40MG","0259","RC","Both",,,"22.18","11.09","Medicaid",,,,"37",,"8.12","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Alliant","Health Exchange",,,"62",,"0.61","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.53","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Amerigroup","Medicaid Managed Care",,,"37",,"0.36","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Aetna","Commercial",,,"64",,"0.63","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Blue Cross Blue Shield","Pathways",,,"71",,"0.7","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Blue Cross Blue Shield","HMO",,,"71",,"0.7","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Blue Cross Blue Shield","PPO",,,"71",,"0.7","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Ambetter","Health Exchange",,,"62",,"0.61","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Caresource","Health Exchange",,,"62",,"0.61","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Cigna","Commercial",,,"59",,"0.58","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Humana","Commercial",,,"78",,"0.77","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Medicaid",,,,"37",,"0.36","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Alliant","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.52","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Medicare",,,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Humana","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","UHC","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Clover","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Wellcare","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Amerigroup","Medicaid Managed Care",,,"37",,"13.91","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Caresource","Medicaid Managed Care",,,"40",,"15.2","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Wellcare","Medicaid Managed Care",,,"40",,"15.39","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Aetna","Commercial",,,"64",,"24.24","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","Pathways",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","HMO",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","PPO",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Ambetter","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Caresource","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Cigna","Commercial",,,"59",,"22.27","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Humana","Commercial",,,"78",,"29.45","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","UHC","Commercial",,,"75",,"28.65","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Medicaid",,,,"37",,"13.91","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.04","2502.48","percent of total billed charges",,
"NF-Entresto Oral Tablet 97MG-103MG","0259","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Alliant","Health Exchange",,,"62",,"44.02","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"38.34","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Medicare",,,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Humana","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","UHC","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Clover","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Wellcare","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Amerigroup","Medicaid Managed Care",,,"37",,"25.99","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Caresource","Medicaid Managed Care",,,"40",,"28.4","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Wellcare","Medicaid Managed Care",,,"40",,"28.76","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Aetna","Commercial",,,"64",,"45.3","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Blue Cross Blue Shield","Pathways",,,"71",,"50.13","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Blue Cross Blue Shield","HMO",,,"71",,"50.13","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Blue Cross Blue Shield","PPO",,,"71",,"50.13","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Ambetter","Health Exchange",,,"62",,"44.02","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Caresource","Health Exchange",,,"62",,"44.02","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Cigna","Commercial",,,"59",,"41.61","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Humana","Commercial",,,"78",,"55.02","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","UHC","Commercial",,,"75",,"53.53","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Medicaid",,,,"37",,"25.99","0.04","2502.48","percent of total billed charges",,
"NF-Bystolic Oral Tablet 5MG","0250","RC","Both",,,"20","10","Alliant","Health Exchange",,,"62",,"12.4","0.04","569.62","percent of total billed charges",,
"NF-Bystolic Oral Tablet 5MG","0250","RC","Both",,,"20","10","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.8","0.04","569.62","percent of total billed charges",,
"NF-Bystolic Oral Tablet 5MG","0250","RC","Both",,,"20","10","Medicare",,,,"54",,"10.84","0.04","569.62","percent of total billed charges",,
"NF-Bystolic Oral Tablet 5MG","0250","RC","Both",,,"20","10","Humana","Medicare Advantage",,,"54",,"10.84","0.04","569.62","percent of total billed charges",,
"NF-Bystolic Oral Tablet 5MG","0250","RC","Both",,,"20","10","UHC","Medicare Advantage",,,"54",,"10.84","0.04","569.62","percent of total billed charges",,
"NF-Bystolic Oral Tablet 5MG","0250","RC","Both",,,"20","10","Clover","Medicare Advantage",,,"54",,"10.84","0.04","569.62","percent of total billed charges",,
"NF-Bystolic Oral Tablet 5MG","0250","RC","Both",,,"20","10","Wellcare","Medicare Advantage",,,"54",,"10.84","0.04","569.62","percent of total billed charges",,
"NF-Bystolic Oral Tablet 5MG","0250","RC","Both",,,"20","10","Amerigroup","Medicaid Managed Care",,,"37",,"7.32","0.04","569.62","percent of total billed charges",,
"NF-Bystolic Oral Tablet 5MG","0250","RC","Both",,,"20","10","Caresource","Medicaid Managed Care",,,"40",,"8","0.04","569.62","percent of total billed charges",,
"NF-Bystolic Oral Tablet 5MG","0250","RC","Both",,,"20","10","Wellcare","Medicaid Managed Care",,,"40",,"8.1","0.04","569.62","percent of total billed charges",,
"NF-Bystolic Oral Tablet 5MG","0250","RC","Both",,,"20","10","Aetna","Commercial",,,"64",,"12.76","0.04","569.62","percent of total billed charges",,
"NF-Bystolic Oral Tablet 5MG","0250","RC","Both",,,"20","10","Blue Cross Blue Shield","Pathways",,,"71",,"14.12","0.04","569.62","percent of total billed charges",,
"NF-Bystolic Oral Tablet 5MG","0250","RC","Both",,,"20","10","Blue Cross Blue Shield","HMO",,,"71",,"14.12","0.04","569.62","percent of total billed charges",,
"NF-Bystolic Oral Tablet 5MG","0250","RC","Both",,,"20","10","Blue Cross Blue Shield","PPO",,,"71",,"14.12","0.04","569.62","percent of total billed charges",,
"NF-Bystolic Oral Tablet 5MG","0250","RC","Both",,,"20","10","Ambetter","Health Exchange",,,"62",,"12.4","0.04","569.62","percent of total billed charges",,
"NF-Bystolic Oral Tablet 5MG","0250","RC","Both",,,"20","10","Caresource","Health Exchange",,,"62",,"12.4","0.04","569.62","percent of total billed charges",,
"NF-Bystolic Oral Tablet 5MG","0250","RC","Both",,,"20","10","Cigna","Commercial",,,"59",,"11.72","0.04","569.62","percent of total billed charges",,
"NF-Bystolic Oral Tablet 5MG","0250","RC","Both",,,"20","10","Humana","Commercial",,,"78",,"15.5","0.04","569.62","percent of total billed charges",,
"NF-Bystolic Oral Tablet 5MG","0250","RC","Both",,,"20","10","UHC","Commercial",,,"75",,"15.08","0.04","569.62","percent of total billed charges",,
"NF-Bystolic Oral Tablet 5MG","0250","RC","Both",,,"20","10","Medicaid",,,,"37",,"7.32","0.04","569.62","percent of total billed charges",,
"NF-Rinvoq Oral Tab ER 15MG","0250","RC","Both",,,"735","367.5","Alliant","Health Exchange",,,"62",,"455.7","0.04","569.62","percent of total billed charges",,
"NF-Rinvoq Oral Tab ER 15MG","0250","RC","Both",,,"735","367.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"396.9","0.04","569.62","percent of total billed charges",,
"NF-Rinvoq Oral Tab ER 15MG","0250","RC","Both",,,"735","367.5","Medicare",,,,"54",,"398.37","0.04","569.62","percent of total billed charges",,
"NF-Rinvoq Oral Tab ER 15MG","0250","RC","Both",,,"735","367.5","Humana","Medicare Advantage",,,"54",,"398.37","0.04","569.62","percent of total billed charges",,
"NF-Rinvoq Oral Tab ER 15MG","0250","RC","Both",,,"735","367.5","UHC","Medicare Advantage",,,"54",,"398.37","0.04","569.62","percent of total billed charges",,
"NF-Rinvoq Oral Tab ER 15MG","0250","RC","Both",,,"735","367.5","Clover","Medicare Advantage",,,"54",,"398.37","0.04","569.62","percent of total billed charges",,
"NF-Rinvoq Oral Tab ER 15MG","0250","RC","Both",,,"735","367.5","Wellcare","Medicare Advantage",,,"54",,"398.37","0.04","569.62","percent of total billed charges",,
"NF-Rinvoq Oral Tab ER 15MG","0250","RC","Both",,,"735","367.5","Amerigroup","Medicaid Managed Care",,,"37",,"269.01","0.04","569.62","percent of total billed charges",,
"NF-Rinvoq Oral Tab ER 15MG","0250","RC","Both",,,"735","367.5","Caresource","Medicaid Managed Care",,,"40",,"294","0.04","569.62","percent of total billed charges",,
"NF-Rinvoq Oral Tab ER 15MG","0250","RC","Both",,,"735","367.5","Wellcare","Medicaid Managed Care",,,"40",,"297.68","0.04","569.62","percent of total billed charges",,
"NF-Rinvoq Oral Tab ER 15MG","0250","RC","Both",,,"735","367.5","Aetna","Commercial",,,"64",,"468.93","0.04","569.62","percent of total billed charges",,
"NF-Rinvoq Oral Tab ER 15MG","0250","RC","Both",,,"735","367.5","Blue Cross Blue Shield","Pathways",,,"71",,"518.91","0.04","569.62","percent of total billed charges",,
"NF-Rinvoq Oral Tab ER 15MG","0250","RC","Both",,,"735","367.5","Blue Cross Blue Shield","HMO",,,"71",,"518.91","0.04","569.62","percent of total billed charges",,
"NF-Rinvoq Oral Tab ER 15MG","0250","RC","Both",,,"735","367.5","Blue Cross Blue Shield","PPO",,,"71",,"518.91","0.04","569.62","percent of total billed charges",,
"NF-Rinvoq Oral Tab ER 15MG","0250","RC","Both",,,"735","367.5","Ambetter","Health Exchange",,,"62",,"455.7","0.04","569.62","percent of total billed charges",,
"NF-Rinvoq Oral Tab ER 15MG","0250","RC","Both",,,"735","367.5","Caresource","Health Exchange",,,"62",,"455.7","0.04","569.62","percent of total billed charges",,
"NF-Rinvoq Oral Tab ER 15MG","0250","RC","Both",,,"735","367.5","Cigna","Commercial",,,"59",,"430.71","0.04","569.62","percent of total billed charges",,
"NF-Rinvoq Oral Tab ER 15MG","0250","RC","Both",,,"735","367.5","Humana","Commercial",,,"78",,"569.62","0.04","569.62","percent of total billed charges",,
"NF-Rinvoq Oral Tab ER 15MG","0250","RC","Both",,,"735","367.5","UHC","Commercial",,,"75",,"554.19","0.04","569.62","percent of total billed charges",,
"NF-Rinvoq Oral Tab ER 15MG","0250","RC","Both",,,"735","367.5","Medicaid",,,,"37",,"269.01","0.04","569.62","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"30","15","Alliant","Health Exchange",,,"62",,"18.6","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"30","15","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.2","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"30","15","Medicare",,,,"54",,"16.26","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"30","15","Humana","Medicare Advantage",,,"54",,"16.26","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"30","15","UHC","Medicare Advantage",,,"54",,"16.26","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"30","15","Clover","Medicare Advantage",,,"54",,"16.26","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"30","15","Wellcare","Medicare Advantage",,,"54",,"16.26","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"30","15","Amerigroup","Medicaid Managed Care",,,"37",,"10.98","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"30","15","Caresource","Medicaid Managed Care",,,"40",,"12","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"30","15","Wellcare","Medicaid Managed Care",,,"40",,"12.15","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"30","15","Aetna","Commercial",,,"64",,"19.14","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"30","15","Blue Cross Blue Shield","Pathways",,,"71",,"21.18","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"30","15","Blue Cross Blue Shield","HMO",,,"71",,"21.18","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"30","15","Blue Cross Blue Shield","PPO",,,"71",,"21.18","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"30","15","Ambetter","Health Exchange",,,"62",,"18.6","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"30","15","Caresource","Health Exchange",,,"62",,"18.6","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"30","15","Cigna","Commercial",,,"59",,"17.58","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"30","15","Humana","Commercial",,,"78",,"23.25","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"30","15","UHC","Commercial",,,"75",,"22.62","0.04","2502.48","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","0259","RC","Both",,,"30","15","Medicaid",,,,"37",,"10.98","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Alliant","Health Exchange",,,"62",,"10.54","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.18","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Medicare",,,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Humana","Medicare Advantage",,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","UHC","Medicare Advantage",,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Clover","Medicare Advantage",,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Wellcare","Medicare Advantage",,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.22","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Caresource","Medicaid Managed Care",,,"40",,"6.8","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Wellcare","Medicaid Managed Care",,,"40",,"6.89","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Aetna","Commercial",,,"64",,"10.85","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways",,,"71",,"12","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Blue Cross Blue Shield","HMO",,,"71",,"12","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Blue Cross Blue Shield","PPO",,,"71",,"12","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Ambetter","Health Exchange",,,"62",,"10.54","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Caresource","Health Exchange",,,"62",,"10.54","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Cigna","Commercial",,,"59",,"9.96","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Humana","Commercial",,,"78",,"13.18","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","UHC","Commercial",,,"75",,"12.82","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","0259","RC","Both",,,"17","8.5","Medicaid",,,,"37",,"6.22","0.04","2502.48","percent of total billed charges",,
"NF-Glimepiride Oral Tablet 4MG","0259","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Glimepiride Oral Tablet 4MG","0259","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Glimepiride Oral Tablet 4MG","0259","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Glimepiride Oral Tablet 4MG","0259","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Glimepiride Oral Tablet 4MG","0259","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Glimepiride Oral Tablet 4MG","0259","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Glimepiride Oral Tablet 4MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Glimepiride Oral Tablet 4MG","0259","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Glimepiride Oral Tablet 4MG","0259","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","2502.48","percent of total billed charges",,
"NF-Glimepiride Oral Tablet 4MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","2502.48","percent of total billed charges",,
"NF-Glimepiride Oral Tablet 4MG","0259","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","2502.48","percent of total billed charges",,
"NF-Glimepiride Oral Tablet 4MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Glimepiride Oral Tablet 4MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Glimepiride Oral Tablet 4MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Glimepiride Oral Tablet 4MG","0259","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Glimepiride Oral Tablet 4MG","0259","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Glimepiride Oral Tablet 4MG","0259","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-Glimepiride Oral Tablet 4MG","0259","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","2502.48","percent of total billed charges",,
"NF-Glimepiride Oral Tablet 4MG","0259","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","2502.48","percent of total billed charges",,
"NF-Glimepiride Oral Tablet 4MG","0259","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Alliant","Health Exchange",,,"62",,"44.02","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"38.34","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Medicare",,,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Humana","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","UHC","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Clover","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Wellcare","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Amerigroup","Medicaid Managed Care",,,"37",,"25.99","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Caresource","Medicaid Managed Care",,,"40",,"28.4","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Wellcare","Medicaid Managed Care",,,"40",,"28.76","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Aetna","Commercial",,,"64",,"45.3","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Blue Cross Blue Shield","Pathways",,,"71",,"50.13","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Blue Cross Blue Shield","HMO",,,"71",,"50.13","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Blue Cross Blue Shield","PPO",,,"71",,"50.13","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Ambetter","Health Exchange",,,"62",,"44.02","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Caresource","Health Exchange",,,"62",,"44.02","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Cigna","Commercial",,,"59",,"41.61","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Humana","Commercial",,,"78",,"55.02","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","UHC","Commercial",,,"75",,"53.53","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"71","35.5","Medicaid",,,,"37",,"25.99","0.04","2502.48","percent of total billed charges",,
"NF-Trusopt Ocumeter Ophth Solution 2%","0259","RC","Both",,,"20","10","Alliant","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Trusopt Ocumeter Ophth Solution 2%","0259","RC","Both",,,"20","10","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.8","0.04","2502.48","percent of total billed charges",,
"NF-Trusopt Ocumeter Ophth Solution 2%","0259","RC","Both",,,"20","10","Medicare",,,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Trusopt Ocumeter Ophth Solution 2%","0259","RC","Both",,,"20","10","Humana","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Trusopt Ocumeter Ophth Solution 2%","0259","RC","Both",,,"20","10","UHC","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Trusopt Ocumeter Ophth Solution 2%","0259","RC","Both",,,"20","10","Clover","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Trusopt Ocumeter Ophth Solution 2%","0259","RC","Both",,,"20","10","Wellcare","Medicare Advantage",,,"54",,"10.84","0.04","2502.48","percent of total billed charges",,
"NF-Trusopt Ocumeter Ophth Solution 2%","0259","RC","Both",,,"20","10","Amerigroup","Medicaid Managed Care",,,"37",,"7.32","0.04","2502.48","percent of total billed charges",,
"NF-Trusopt Ocumeter Ophth Solution 2%","0259","RC","Both",,,"20","10","Caresource","Medicaid Managed Care",,,"40",,"8","0.04","2502.48","percent of total billed charges",,
"NF-Trusopt Ocumeter Ophth Solution 2%","0259","RC","Both",,,"20","10","Wellcare","Medicaid Managed Care",,,"40",,"8.1","0.04","2502.48","percent of total billed charges",,
"NF-Trusopt Ocumeter Ophth Solution 2%","0259","RC","Both",,,"20","10","Aetna","Commercial",,,"64",,"12.76","0.04","2502.48","percent of total billed charges",,
"NF-Trusopt Ocumeter Ophth Solution 2%","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","Pathways",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Trusopt Ocumeter Ophth Solution 2%","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","HMO",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Trusopt Ocumeter Ophth Solution 2%","0259","RC","Both",,,"20","10","Blue Cross Blue Shield","PPO",,,"71",,"14.12","0.04","2502.48","percent of total billed charges",,
"NF-Trusopt Ocumeter Ophth Solution 2%","0259","RC","Both",,,"20","10","Ambetter","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Trusopt Ocumeter Ophth Solution 2%","0259","RC","Both",,,"20","10","Caresource","Health Exchange",,,"62",,"12.4","0.04","2502.48","percent of total billed charges",,
"NF-Trusopt Ocumeter Ophth Solution 2%","0259","RC","Both",,,"20","10","Cigna","Commercial",,,"59",,"11.72","0.04","2502.48","percent of total billed charges",,
"NF-Trusopt Ocumeter Ophth Solution 2%","0259","RC","Both",,,"20","10","Humana","Commercial",,,"78",,"15.5","0.04","2502.48","percent of total billed charges",,
"NF-Trusopt Ocumeter Ophth Solution 2%","0259","RC","Both",,,"20","10","UHC","Commercial",,,"75",,"15.08","0.04","2502.48","percent of total billed charges",,
"NF-Trusopt Ocumeter Ophth Solution 2%","0259","RC","Both",,,"20","10","Medicaid",,,,"37",,"7.32","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","0259","RC","Both",,,"120","60","Alliant","Health Exchange",,,"62",,"74.4","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","0259","RC","Both",,,"120","60","Pruitt Healthcare","Medicare Advantage",,,"54",,"64.8","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","0259","RC","Both",,,"120","60","Medicare",,,,"54",,"65.04","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","0259","RC","Both",,,"120","60","Humana","Medicare Advantage",,,"54",,"65.04","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","0259","RC","Both",,,"120","60","UHC","Medicare Advantage",,,"54",,"65.04","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","0259","RC","Both",,,"120","60","Clover","Medicare Advantage",,,"54",,"65.04","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","0259","RC","Both",,,"120","60","Wellcare","Medicare Advantage",,,"54",,"65.04","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","0259","RC","Both",,,"120","60","Amerigroup","Medicaid Managed Care",,,"37",,"43.92","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","0259","RC","Both",,,"120","60","Caresource","Medicaid Managed Care",,,"40",,"48","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","0259","RC","Both",,,"120","60","Wellcare","Medicaid Managed Care",,,"40",,"48.6","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","0259","RC","Both",,,"120","60","Aetna","Commercial",,,"64",,"76.56","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","0259","RC","Both",,,"120","60","Blue Cross Blue Shield","Pathways",,,"71",,"84.72","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","0259","RC","Both",,,"120","60","Blue Cross Blue Shield","HMO",,,"71",,"84.72","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","0259","RC","Both",,,"120","60","Blue Cross Blue Shield","PPO",,,"71",,"84.72","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","0259","RC","Both",,,"120","60","Ambetter","Health Exchange",,,"62",,"74.4","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","0259","RC","Both",,,"120","60","Caresource","Health Exchange",,,"62",,"74.4","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","0259","RC","Both",,,"120","60","Cigna","Commercial",,,"59",,"70.32","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","0259","RC","Both",,,"120","60","Humana","Commercial",,,"78",,"93","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","0259","RC","Both",,,"120","60","UHC","Commercial",,,"75",,"90.48","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","0259","RC","Both",,,"120","60","Medicaid",,,,"37",,"43.92","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","0259","RC","Both",,,"120","60","Alliant","Health Exchange",,,"62",,"74.4","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","0259","RC","Both",,,"120","60","Pruitt Healthcare","Medicare Advantage",,,"54",,"64.8","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","0259","RC","Both",,,"120","60","Medicare",,,,"54",,"65.04","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","0259","RC","Both",,,"120","60","Humana","Medicare Advantage",,,"54",,"65.04","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","0259","RC","Both",,,"120","60","UHC","Medicare Advantage",,,"54",,"65.04","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","0259","RC","Both",,,"120","60","Clover","Medicare Advantage",,,"54",,"65.04","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","0259","RC","Both",,,"120","60","Wellcare","Medicare Advantage",,,"54",,"65.04","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","0259","RC","Both",,,"120","60","Amerigroup","Medicaid Managed Care",,,"37",,"43.92","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","0259","RC","Both",,,"120","60","Caresource","Medicaid Managed Care",,,"40",,"48","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","0259","RC","Both",,,"120","60","Wellcare","Medicaid Managed Care",,,"40",,"48.6","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","0259","RC","Both",,,"120","60","Aetna","Commercial",,,"64",,"76.56","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","0259","RC","Both",,,"120","60","Blue Cross Blue Shield","Pathways",,,"71",,"84.72","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","0259","RC","Both",,,"120","60","Blue Cross Blue Shield","HMO",,,"71",,"84.72","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","0259","RC","Both",,,"120","60","Blue Cross Blue Shield","PPO",,,"71",,"84.72","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","0259","RC","Both",,,"120","60","Ambetter","Health Exchange",,,"62",,"74.4","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","0259","RC","Both",,,"120","60","Caresource","Health Exchange",,,"62",,"74.4","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","0259","RC","Both",,,"120","60","Cigna","Commercial",,,"59",,"70.32","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","0259","RC","Both",,,"120","60","Humana","Commercial",,,"78",,"93","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","0259","RC","Both",,,"120","60","UHC","Commercial",,,"75",,"90.48","0.04","2502.48","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","0259","RC","Both",,,"120","60","Medicaid",,,,"37",,"43.92","0.04","2502.48","percent of total billed charges",,
"NF-Dantrolene Sodium Oral Capsule 100MG","0259","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Dantrolene Sodium Oral Capsule 100MG","0259","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-Dantrolene Sodium Oral Capsule 100MG","0259","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Dantrolene Sodium Oral Capsule 100MG","0259","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Dantrolene Sodium Oral Capsule 100MG","0259","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Dantrolene Sodium Oral Capsule 100MG","0259","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Dantrolene Sodium Oral Capsule 100MG","0259","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Dantrolene Sodium Oral Capsule 100MG","0259","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Dantrolene Sodium Oral Capsule 100MG","0259","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","2502.48","percent of total billed charges",,
"NF-Dantrolene Sodium Oral Capsule 100MG","0259","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","2502.48","percent of total billed charges",,
"NF-Dantrolene Sodium Oral Capsule 100MG","0259","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","2502.48","percent of total billed charges",,
"NF-Dantrolene Sodium Oral Capsule 100MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Dantrolene Sodium Oral Capsule 100MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Dantrolene Sodium Oral Capsule 100MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Dantrolene Sodium Oral Capsule 100MG","0259","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Dantrolene Sodium Oral Capsule 100MG","0259","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Dantrolene Sodium Oral Capsule 100MG","0259","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-Dantrolene Sodium Oral Capsule 100MG","0259","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","2502.48","percent of total billed charges",,
"NF-Dantrolene Sodium Oral Capsule 100MG","0259","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","2502.48","percent of total billed charges",,
"NF-Dantrolene Sodium Oral Capsule 100MG","0259","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0250","RC","Both",,,"63","31.5","Alliant","Health Exchange",,,"62",,"39.06","0.04","569.62","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0250","RC","Both",,,"63","31.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"34.02","0.04","569.62","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0250","RC","Both",,,"63","31.5","Medicare",,,,"54",,"34.15","0.04","569.62","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0250","RC","Both",,,"63","31.5","Humana","Medicare Advantage",,,"54",,"34.15","0.04","569.62","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0250","RC","Both",,,"63","31.5","UHC","Medicare Advantage",,,"54",,"34.15","0.04","569.62","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0250","RC","Both",,,"63","31.5","Clover","Medicare Advantage",,,"54",,"34.15","0.04","569.62","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0250","RC","Both",,,"63","31.5","Wellcare","Medicare Advantage",,,"54",,"34.15","0.04","569.62","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0250","RC","Both",,,"63","31.5","Amerigroup","Medicaid Managed Care",,,"37",,"23.06","0.04","569.62","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0250","RC","Both",,,"63","31.5","Caresource","Medicaid Managed Care",,,"40",,"25.2","0.04","569.62","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0250","RC","Both",,,"63","31.5","Wellcare","Medicaid Managed Care",,,"40",,"25.52","0.04","569.62","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0250","RC","Both",,,"63","31.5","Aetna","Commercial",,,"64",,"40.19","0.04","569.62","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0250","RC","Both",,,"63","31.5","Blue Cross Blue Shield","Pathways",,,"71",,"44.48","0.04","569.62","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0250","RC","Both",,,"63","31.5","Blue Cross Blue Shield","HMO",,,"71",,"44.48","0.04","569.62","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0250","RC","Both",,,"63","31.5","Blue Cross Blue Shield","PPO",,,"71",,"44.48","0.04","569.62","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0250","RC","Both",,,"63","31.5","Ambetter","Health Exchange",,,"62",,"39.06","0.04","569.62","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0250","RC","Both",,,"63","31.5","Caresource","Health Exchange",,,"62",,"39.06","0.04","569.62","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0250","RC","Both",,,"63","31.5","Cigna","Commercial",,,"59",,"36.92","0.04","569.62","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0250","RC","Both",,,"63","31.5","Humana","Commercial",,,"78",,"48.82","0.04","569.62","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0250","RC","Both",,,"63","31.5","UHC","Commercial",,,"75",,"47.5","0.04","569.62","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0250","RC","Both",,,"63","31.5","Medicaid",,,,"37",,"23.06","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Alliant","Health Exchange",,,"62",,"44.02","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"38.34","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Medicare",,,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Humana","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","UHC","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Clover","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Wellcare","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Amerigroup","Medicaid Managed Care",,,"37",,"25.99","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Caresource","Medicaid Managed Care",,,"40",,"28.4","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Wellcare","Medicaid Managed Care",,,"40",,"28.76","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Aetna","Commercial",,,"64",,"45.3","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Blue Cross Blue Shield","Pathways",,,"71",,"50.13","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Blue Cross Blue Shield","HMO",,,"71",,"50.13","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Blue Cross Blue Shield","PPO",,,"71",,"50.13","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Ambetter","Health Exchange",,,"62",,"44.02","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Caresource","Health Exchange",,,"62",,"44.02","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Cigna","Commercial",,,"59",,"41.61","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Humana","Commercial",,,"78",,"55.02","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","UHC","Commercial",,,"75",,"53.53","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Medicaid",,,,"37",,"25.99","0.04","2502.48","percent of total billed charges",,
"NF-eszopiclone Oral Tablet 3MG","0250","RC","Both",,,"34","17","Alliant","Health Exchange",,,"62",,"21.08","0.04","569.62","percent of total billed charges",,
"NF-eszopiclone Oral Tablet 3MG","0250","RC","Both",,,"34","17","Pruitt Healthcare","Medicare Advantage",,,"54",,"18.36","0.04","569.62","percent of total billed charges",,
"NF-eszopiclone Oral Tablet 3MG","0250","RC","Both",,,"34","17","Medicare",,,,"54",,"18.43","0.04","569.62","percent of total billed charges",,
"NF-eszopiclone Oral Tablet 3MG","0250","RC","Both",,,"34","17","Humana","Medicare Advantage",,,"54",,"18.43","0.04","569.62","percent of total billed charges",,
"NF-eszopiclone Oral Tablet 3MG","0250","RC","Both",,,"34","17","UHC","Medicare Advantage",,,"54",,"18.43","0.04","569.62","percent of total billed charges",,
"NF-eszopiclone Oral Tablet 3MG","0250","RC","Both",,,"34","17","Clover","Medicare Advantage",,,"54",,"18.43","0.04","569.62","percent of total billed charges",,
"NF-eszopiclone Oral Tablet 3MG","0250","RC","Both",,,"34","17","Wellcare","Medicare Advantage",,,"54",,"18.43","0.04","569.62","percent of total billed charges",,
"NF-eszopiclone Oral Tablet 3MG","0250","RC","Both",,,"34","17","Amerigroup","Medicaid Managed Care",,,"37",,"12.44","0.04","569.62","percent of total billed charges",,
"NF-eszopiclone Oral Tablet 3MG","0250","RC","Both",,,"34","17","Caresource","Medicaid Managed Care",,,"40",,"13.6","0.04","569.62","percent of total billed charges",,
"NF-eszopiclone Oral Tablet 3MG","0250","RC","Both",,,"34","17","Wellcare","Medicaid Managed Care",,,"40",,"13.77","0.04","569.62","percent of total billed charges",,
"NF-eszopiclone Oral Tablet 3MG","0250","RC","Both",,,"34","17","Aetna","Commercial",,,"64",,"21.69","0.04","569.62","percent of total billed charges",,
"NF-eszopiclone Oral Tablet 3MG","0250","RC","Both",,,"34","17","Blue Cross Blue Shield","Pathways",,,"71",,"24","0.04","569.62","percent of total billed charges",,
"NF-eszopiclone Oral Tablet 3MG","0250","RC","Both",,,"34","17","Blue Cross Blue Shield","HMO",,,"71",,"24","0.04","569.62","percent of total billed charges",,
"NF-eszopiclone Oral Tablet 3MG","0250","RC","Both",,,"34","17","Blue Cross Blue Shield","PPO",,,"71",,"24","0.04","569.62","percent of total billed charges",,
"NF-eszopiclone Oral Tablet 3MG","0250","RC","Both",,,"34","17","Ambetter","Health Exchange",,,"62",,"21.08","0.04","569.62","percent of total billed charges",,
"NF-eszopiclone Oral Tablet 3MG","0250","RC","Both",,,"34","17","Caresource","Health Exchange",,,"62",,"21.08","0.04","569.62","percent of total billed charges",,
"NF-eszopiclone Oral Tablet 3MG","0250","RC","Both",,,"34","17","Cigna","Commercial",,,"59",,"19.92","0.04","569.62","percent of total billed charges",,
"NF-eszopiclone Oral Tablet 3MG","0250","RC","Both",,,"34","17","Humana","Commercial",,,"78",,"26.35","0.04","569.62","percent of total billed charges",,
"NF-eszopiclone Oral Tablet 3MG","0250","RC","Both",,,"34","17","UHC","Commercial",,,"75",,"25.64","0.04","569.62","percent of total billed charges",,
"NF-eszopiclone Oral Tablet 3MG","0250","RC","Both",,,"34","17","Medicaid",,,,"37",,"12.44","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0250","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0250","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0250","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0250","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0250","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0250","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0250","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0250","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0250","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0250","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0250","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0250","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0250","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0250","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0250","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0250","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0250","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0250","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0250","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.04","569.62","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","0250","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"71","35.5","Alliant","Health Exchange",,,"62",,"44.02","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"71","35.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"38.34","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"71","35.5","Medicare",,,,"54",,"38.48","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"71","35.5","Humana","Medicare Advantage",,,"54",,"38.48","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"71","35.5","UHC","Medicare Advantage",,,"54",,"38.48","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"71","35.5","Clover","Medicare Advantage",,,"54",,"38.48","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"71","35.5","Wellcare","Medicare Advantage",,,"54",,"38.48","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"71","35.5","Amerigroup","Medicaid Managed Care",,,"37",,"25.99","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"71","35.5","Caresource","Medicaid Managed Care",,,"40",,"28.4","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"71","35.5","Wellcare","Medicaid Managed Care",,,"40",,"28.76","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"71","35.5","Aetna","Commercial",,,"64",,"45.3","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"71","35.5","Blue Cross Blue Shield","Pathways",,,"71",,"50.13","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"71","35.5","Blue Cross Blue Shield","HMO",,,"71",,"50.13","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"71","35.5","Blue Cross Blue Shield","PPO",,,"71",,"50.13","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"71","35.5","Ambetter","Health Exchange",,,"62",,"44.02","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"71","35.5","Caresource","Health Exchange",,,"62",,"44.02","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"71","35.5","Cigna","Commercial",,,"59",,"41.61","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"71","35.5","Humana","Commercial",,,"78",,"55.02","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"71","35.5","UHC","Commercial",,,"75",,"53.53","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"71","35.5","Medicaid",,,,"37",,"25.99","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0250","RC","Both",,,"65","32.5","Alliant","Health Exchange",,,"62",,"40.3","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0250","RC","Both",,,"65","32.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"35.1","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0250","RC","Both",,,"65","32.5","Medicare",,,,"54",,"35.23","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0250","RC","Both",,,"65","32.5","Humana","Medicare Advantage",,,"54",,"35.23","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0250","RC","Both",,,"65","32.5","UHC","Medicare Advantage",,,"54",,"35.23","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0250","RC","Both",,,"65","32.5","Clover","Medicare Advantage",,,"54",,"35.23","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0250","RC","Both",,,"65","32.5","Wellcare","Medicare Advantage",,,"54",,"35.23","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0250","RC","Both",,,"65","32.5","Amerigroup","Medicaid Managed Care",,,"37",,"23.79","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0250","RC","Both",,,"65","32.5","Caresource","Medicaid Managed Care",,,"40",,"26","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0250","RC","Both",,,"65","32.5","Wellcare","Medicaid Managed Care",,,"40",,"26.33","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0250","RC","Both",,,"65","32.5","Aetna","Commercial",,,"64",,"41.47","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0250","RC","Both",,,"65","32.5","Blue Cross Blue Shield","Pathways",,,"71",,"45.89","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0250","RC","Both",,,"65","32.5","Blue Cross Blue Shield","HMO",,,"71",,"45.89","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0250","RC","Both",,,"65","32.5","Blue Cross Blue Shield","PPO",,,"71",,"45.89","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0250","RC","Both",,,"65","32.5","Ambetter","Health Exchange",,,"62",,"40.3","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0250","RC","Both",,,"65","32.5","Caresource","Health Exchange",,,"62",,"40.3","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0250","RC","Both",,,"65","32.5","Cigna","Commercial",,,"59",,"38.09","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0250","RC","Both",,,"65","32.5","Humana","Commercial",,,"78",,"50.38","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0250","RC","Both",,,"65","32.5","UHC","Commercial",,,"75",,"49.01","0.04","569.62","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0250","RC","Both",,,"65","32.5","Medicaid",,,,"37",,"23.79","0.04","569.62","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tablet 50MG-2","0250","RC","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","0.04","569.62","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tablet 50MG-2","0250","RC","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","0.04","569.62","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tablet 50MG-2","0250","RC","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","0.04","569.62","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tablet 50MG-2","0250","RC","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","0.04","569.62","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tablet 50MG-2","0250","RC","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","0.04","569.62","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tablet 50MG-2","0250","RC","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","0.04","569.62","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tablet 50MG-2","0250","RC","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","0.04","569.62","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tablet 50MG-2","0250","RC","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","0.04","569.62","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tablet 50MG-2","0250","RC","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","0.04","569.62","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tablet 50MG-2","0250","RC","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","0.04","569.62","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tablet 50MG-2","0250","RC","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","0.04","569.62","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tablet 50MG-2","0250","RC","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","0.04","569.62","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tablet 50MG-2","0250","RC","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","0.04","569.62","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tablet 50MG-2","0250","RC","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","0.04","569.62","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tablet 50MG-2","0250","RC","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","0.04","569.62","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tablet 50MG-2","0250","RC","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","0.04","569.62","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tablet 50MG-2","0250","RC","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","0.04","569.62","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tablet 50MG-2","0250","RC","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","0.04","569.62","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tablet 50MG-2","0250","RC","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","0.04","569.62","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tablet 50MG-2","0250","RC","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","0.04","569.62","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0250","RC","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","0.04","569.62","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0250","RC","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","0.04","569.62","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0250","RC","Both",,,"8","4","Medicare",,,,"54",,"4.34","0.04","569.62","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0250","RC","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","0.04","569.62","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0250","RC","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","0.04","569.62","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0250","RC","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","0.04","569.62","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0250","RC","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","0.04","569.62","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0250","RC","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","0.04","569.62","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0250","RC","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","0.04","569.62","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0250","RC","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","0.04","569.62","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0250","RC","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","0.04","569.62","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0250","RC","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","0.04","569.62","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0250","RC","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","0.04","569.62","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0250","RC","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","0.04","569.62","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0250","RC","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","0.04","569.62","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0250","RC","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","0.04","569.62","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0250","RC","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","0.04","569.62","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0250","RC","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","0.04","569.62","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0250","RC","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","0.04","569.62","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0250","RC","Both",,,"8","4","Medicaid",,,,"37",,"2.93","0.04","569.62","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0250","RC","Both",,,"49","24.5","Alliant","Health Exchange",,,"62",,"30.38","0.04","569.62","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0250","RC","Both",,,"49","24.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"26.46","0.04","569.62","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0250","RC","Both",,,"49","24.5","Medicare",,,,"54",,"26.56","0.04","569.62","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0250","RC","Both",,,"49","24.5","Humana","Medicare Advantage",,,"54",,"26.56","0.04","569.62","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0250","RC","Both",,,"49","24.5","UHC","Medicare Advantage",,,"54",,"26.56","0.04","569.62","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0250","RC","Both",,,"49","24.5","Clover","Medicare Advantage",,,"54",,"26.56","0.04","569.62","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0250","RC","Both",,,"49","24.5","Wellcare","Medicare Advantage",,,"54",,"26.56","0.04","569.62","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0250","RC","Both",,,"49","24.5","Amerigroup","Medicaid Managed Care",,,"37",,"17.93","0.04","569.62","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0250","RC","Both",,,"49","24.5","Caresource","Medicaid Managed Care",,,"40",,"19.6","0.04","569.62","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0250","RC","Both",,,"49","24.5","Wellcare","Medicaid Managed Care",,,"40",,"19.85","0.04","569.62","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0250","RC","Both",,,"49","24.5","Aetna","Commercial",,,"64",,"31.26","0.04","569.62","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0250","RC","Both",,,"49","24.5","Blue Cross Blue Shield","Pathways",,,"71",,"34.59","0.04","569.62","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0250","RC","Both",,,"49","24.5","Blue Cross Blue Shield","HMO",,,"71",,"34.59","0.04","569.62","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0250","RC","Both",,,"49","24.5","Blue Cross Blue Shield","PPO",,,"71",,"34.59","0.04","569.62","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0250","RC","Both",,,"49","24.5","Ambetter","Health Exchange",,,"62",,"30.38","0.04","569.62","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0250","RC","Both",,,"49","24.5","Caresource","Health Exchange",,,"62",,"30.38","0.04","569.62","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0250","RC","Both",,,"49","24.5","Cigna","Commercial",,,"59",,"28.71","0.04","569.62","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0250","RC","Both",,,"49","24.5","Humana","Commercial",,,"78",,"37.98","0.04","569.62","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0250","RC","Both",,,"49","24.5","UHC","Commercial",,,"75",,"36.95","0.04","569.62","percent of total billed charges",,
"NF-Prasugrel Oral Tablet 10MG","0250","RC","Both",,,"49","24.5","Medicaid",,,,"37",,"17.93","0.04","569.62","percent of total billed charges",,
"NF-Lantus SoloStar SubQ Solution 100U/1M","0259","RC","Both",,,"54","27","Alliant","Health Exchange",,,"62",,"33.48","0.04","2502.48","percent of total billed charges",,
"NF-Lantus SoloStar SubQ Solution 100U/1M","0259","RC","Both",,,"54","27","Pruitt Healthcare","Medicare Advantage",,,"54",,"29.16","0.04","2502.48","percent of total billed charges",,
"NF-Lantus SoloStar SubQ Solution 100U/1M","0259","RC","Both",,,"54","27","Medicare",,,,"54",,"29.27","0.04","2502.48","percent of total billed charges",,
"NF-Lantus SoloStar SubQ Solution 100U/1M","0259","RC","Both",,,"54","27","Humana","Medicare Advantage",,,"54",,"29.27","0.04","2502.48","percent of total billed charges",,
"NF-Lantus SoloStar SubQ Solution 100U/1M","0259","RC","Both",,,"54","27","UHC","Medicare Advantage",,,"54",,"29.27","0.04","2502.48","percent of total billed charges",,
"NF-Lantus SoloStar SubQ Solution 100U/1M","0259","RC","Both",,,"54","27","Clover","Medicare Advantage",,,"54",,"29.27","0.04","2502.48","percent of total billed charges",,
"NF-Lantus SoloStar SubQ Solution 100U/1M","0259","RC","Both",,,"54","27","Wellcare","Medicare Advantage",,,"54",,"29.27","0.04","2502.48","percent of total billed charges",,
"NF-Lantus SoloStar SubQ Solution 100U/1M","0259","RC","Both",,,"54","27","Amerigroup","Medicaid Managed Care",,,"37",,"19.76","0.04","2502.48","percent of total billed charges",,
"NF-Lantus SoloStar SubQ Solution 100U/1M","0259","RC","Both",,,"54","27","Caresource","Medicaid Managed Care",,,"40",,"21.6","0.04","2502.48","percent of total billed charges",,
"NF-Lantus SoloStar SubQ Solution 100U/1M","0259","RC","Both",,,"54","27","Wellcare","Medicaid Managed Care",,,"40",,"21.87","0.04","2502.48","percent of total billed charges",,
"NF-Lantus SoloStar SubQ Solution 100U/1M","0259","RC","Both",,,"54","27","Aetna","Commercial",,,"64",,"34.45","0.04","2502.48","percent of total billed charges",,
"NF-Lantus SoloStar SubQ Solution 100U/1M","0259","RC","Both",,,"54","27","Blue Cross Blue Shield","Pathways",,,"71",,"38.12","0.04","2502.48","percent of total billed charges",,
"NF-Lantus SoloStar SubQ Solution 100U/1M","0259","RC","Both",,,"54","27","Blue Cross Blue Shield","HMO",,,"71",,"38.12","0.04","2502.48","percent of total billed charges",,
"NF-Lantus SoloStar SubQ Solution 100U/1M","0259","RC","Both",,,"54","27","Blue Cross Blue Shield","PPO",,,"71",,"38.12","0.04","2502.48","percent of total billed charges",,
"NF-Lantus SoloStar SubQ Solution 100U/1M","0259","RC","Both",,,"54","27","Ambetter","Health Exchange",,,"62",,"33.48","0.04","2502.48","percent of total billed charges",,
"NF-Lantus SoloStar SubQ Solution 100U/1M","0259","RC","Both",,,"54","27","Caresource","Health Exchange",,,"62",,"33.48","0.04","2502.48","percent of total billed charges",,
"NF-Lantus SoloStar SubQ Solution 100U/1M","0259","RC","Both",,,"54","27","Cigna","Commercial",,,"59",,"31.64","0.04","2502.48","percent of total billed charges",,
"NF-Lantus SoloStar SubQ Solution 100U/1M","0259","RC","Both",,,"54","27","Humana","Commercial",,,"78",,"41.85","0.04","2502.48","percent of total billed charges",,
"NF-Lantus SoloStar SubQ Solution 100U/1M","0259","RC","Both",,,"54","27","UHC","Commercial",,,"75",,"40.72","0.04","2502.48","percent of total billed charges",,
"NF-Lantus SoloStar SubQ Solution 100U/1M","0259","RC","Both",,,"54","27","Medicaid",,,,"37",,"19.76","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0250","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","569.62","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0250","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0250","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0250","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0250","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0250","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0250","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0250","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","569.62","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0250","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","569.62","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0250","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","569.62","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0250","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","569.62","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0250","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","569.62","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0250","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","569.62","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0250","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","569.62","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0250","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","569.62","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0250","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","569.62","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0250","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","569.62","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0250","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","569.62","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0250","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","569.62","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0250","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","569.62","percent of total billed charges",,
"NF-Rexulti Oral Tablet 0.5MG","0259","RC","Both",,,"170","85","Alliant","Health Exchange",,,"62",,"105.4","0.04","2502.48","percent of total billed charges",,
"NF-Rexulti Oral Tablet 0.5MG","0259","RC","Both",,,"170","85","Pruitt Healthcare","Medicare Advantage",,,"54",,"91.8","0.04","2502.48","percent of total billed charges",,
"NF-Rexulti Oral Tablet 0.5MG","0259","RC","Both",,,"170","85","Medicare",,,,"54",,"92.14","0.04","2502.48","percent of total billed charges",,
"NF-Rexulti Oral Tablet 0.5MG","0259","RC","Both",,,"170","85","Humana","Medicare Advantage",,,"54",,"92.14","0.04","2502.48","percent of total billed charges",,
"NF-Rexulti Oral Tablet 0.5MG","0259","RC","Both",,,"170","85","UHC","Medicare Advantage",,,"54",,"92.14","0.04","2502.48","percent of total billed charges",,
"NF-Rexulti Oral Tablet 0.5MG","0259","RC","Both",,,"170","85","Clover","Medicare Advantage",,,"54",,"92.14","0.04","2502.48","percent of total billed charges",,
"NF-Rexulti Oral Tablet 0.5MG","0259","RC","Both",,,"170","85","Wellcare","Medicare Advantage",,,"54",,"92.14","0.04","2502.48","percent of total billed charges",,
"NF-Rexulti Oral Tablet 0.5MG","0259","RC","Both",,,"170","85","Amerigroup","Medicaid Managed Care",,,"37",,"62.22","0.04","2502.48","percent of total billed charges",,
"NF-Rexulti Oral Tablet 0.5MG","0259","RC","Both",,,"170","85","Caresource","Medicaid Managed Care",,,"40",,"68","0.04","2502.48","percent of total billed charges",,
"NF-Rexulti Oral Tablet 0.5MG","0259","RC","Both",,,"170","85","Wellcare","Medicaid Managed Care",,,"40",,"68.85","0.04","2502.48","percent of total billed charges",,
"NF-Rexulti Oral Tablet 0.5MG","0259","RC","Both",,,"170","85","Aetna","Commercial",,,"64",,"108.46","0.04","2502.48","percent of total billed charges",,
"NF-Rexulti Oral Tablet 0.5MG","0259","RC","Both",,,"170","85","Blue Cross Blue Shield","Pathways",,,"71",,"120.02","0.04","2502.48","percent of total billed charges",,
"NF-Rexulti Oral Tablet 0.5MG","0259","RC","Both",,,"170","85","Blue Cross Blue Shield","HMO",,,"71",,"120.02","0.04","2502.48","percent of total billed charges",,
"NF-Rexulti Oral Tablet 0.5MG","0259","RC","Both",,,"170","85","Blue Cross Blue Shield","PPO",,,"71",,"120.02","0.04","2502.48","percent of total billed charges",,
"NF-Rexulti Oral Tablet 0.5MG","0259","RC","Both",,,"170","85","Ambetter","Health Exchange",,,"62",,"105.4","0.04","2502.48","percent of total billed charges",,
"NF-Rexulti Oral Tablet 0.5MG","0259","RC","Both",,,"170","85","Caresource","Health Exchange",,,"62",,"105.4","0.04","2502.48","percent of total billed charges",,
"NF-Rexulti Oral Tablet 0.5MG","0259","RC","Both",,,"170","85","Cigna","Commercial",,,"59",,"99.62","0.04","2502.48","percent of total billed charges",,
"NF-Rexulti Oral Tablet 0.5MG","0259","RC","Both",,,"170","85","Humana","Commercial",,,"78",,"131.75","0.04","2502.48","percent of total billed charges",,
"NF-Rexulti Oral Tablet 0.5MG","0259","RC","Both",,,"170","85","UHC","Commercial",,,"75",,"128.18","0.04","2502.48","percent of total billed charges",,
"NF-Rexulti Oral Tablet 0.5MG","0259","RC","Both",,,"170","85","Medicaid",,,,"37",,"62.22","0.04","2502.48","percent of total billed charges",,
"NF-Spiriva Respimat Inh Spray 1.25MCG/1A","0259","RC","Both",,,"460","230","Alliant","Health Exchange",,,"62",,"285.2","0.04","2502.48","percent of total billed charges",,
"NF-Spiriva Respimat Inh Spray 1.25MCG/1A","0259","RC","Both",,,"460","230","Pruitt Healthcare","Medicare Advantage",,,"54",,"248.4","0.04","2502.48","percent of total billed charges",,
"NF-Spiriva Respimat Inh Spray 1.25MCG/1A","0259","RC","Both",,,"460","230","Medicare",,,,"54",,"249.32","0.04","2502.48","percent of total billed charges",,
"NF-Spiriva Respimat Inh Spray 1.25MCG/1A","0259","RC","Both",,,"460","230","Humana","Medicare Advantage",,,"54",,"249.32","0.04","2502.48","percent of total billed charges",,
"NF-Spiriva Respimat Inh Spray 1.25MCG/1A","0259","RC","Both",,,"460","230","UHC","Medicare Advantage",,,"54",,"249.32","0.04","2502.48","percent of total billed charges",,
"NF-Spiriva Respimat Inh Spray 1.25MCG/1A","0259","RC","Both",,,"460","230","Clover","Medicare Advantage",,,"54",,"249.32","0.04","2502.48","percent of total billed charges",,
"NF-Spiriva Respimat Inh Spray 1.25MCG/1A","0259","RC","Both",,,"460","230","Wellcare","Medicare Advantage",,,"54",,"249.32","0.04","2502.48","percent of total billed charges",,
"NF-Spiriva Respimat Inh Spray 1.25MCG/1A","0259","RC","Both",,,"460","230","Amerigroup","Medicaid Managed Care",,,"37",,"168.36","0.04","2502.48","percent of total billed charges",,
"NF-Spiriva Respimat Inh Spray 1.25MCG/1A","0259","RC","Both",,,"460","230","Caresource","Medicaid Managed Care",,,"40",,"184","0.04","2502.48","percent of total billed charges",,
"NF-Spiriva Respimat Inh Spray 1.25MCG/1A","0259","RC","Both",,,"460","230","Wellcare","Medicaid Managed Care",,,"40",,"186.3","0.04","2502.48","percent of total billed charges",,
"NF-Spiriva Respimat Inh Spray 1.25MCG/1A","0259","RC","Both",,,"460","230","Aetna","Commercial",,,"64",,"293.48","0.04","2502.48","percent of total billed charges",,
"NF-Spiriva Respimat Inh Spray 1.25MCG/1A","0259","RC","Both",,,"460","230","Blue Cross Blue Shield","Pathways",,,"71",,"324.76","0.04","2502.48","percent of total billed charges",,
"NF-Spiriva Respimat Inh Spray 1.25MCG/1A","0259","RC","Both",,,"460","230","Blue Cross Blue Shield","HMO",,,"71",,"324.76","0.04","2502.48","percent of total billed charges",,
"NF-Spiriva Respimat Inh Spray 1.25MCG/1A","0259","RC","Both",,,"460","230","Blue Cross Blue Shield","PPO",,,"71",,"324.76","0.04","2502.48","percent of total billed charges",,
"NF-Spiriva Respimat Inh Spray 1.25MCG/1A","0259","RC","Both",,,"460","230","Ambetter","Health Exchange",,,"62",,"285.2","0.04","2502.48","percent of total billed charges",,
"NF-Spiriva Respimat Inh Spray 1.25MCG/1A","0259","RC","Both",,,"460","230","Caresource","Health Exchange",,,"62",,"285.2","0.04","2502.48","percent of total billed charges",,
"NF-Spiriva Respimat Inh Spray 1.25MCG/1A","0259","RC","Both",,,"460","230","Cigna","Commercial",,,"59",,"269.56","0.04","2502.48","percent of total billed charges",,
"NF-Spiriva Respimat Inh Spray 1.25MCG/1A","0259","RC","Both",,,"460","230","Humana","Commercial",,,"78",,"356.5","0.04","2502.48","percent of total billed charges",,
"NF-Spiriva Respimat Inh Spray 1.25MCG/1A","0259","RC","Both",,,"460","230","UHC","Commercial",,,"75",,"346.84","0.04","2502.48","percent of total billed charges",,
"NF-Spiriva Respimat Inh Spray 1.25MCG/1A","0259","RC","Both",,,"460","230","Medicaid",,,,"37",,"168.36","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 80MCG-4.5MCG","0259","RC","Both",,,"120","60","Alliant","Health Exchange",,,"62",,"74.4","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 80MCG-4.5MCG","0259","RC","Both",,,"120","60","Pruitt Healthcare","Medicare Advantage",,,"54",,"64.8","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 80MCG-4.5MCG","0259","RC","Both",,,"120","60","Medicare",,,,"54",,"65.04","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 80MCG-4.5MCG","0259","RC","Both",,,"120","60","Humana","Medicare Advantage",,,"54",,"65.04","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 80MCG-4.5MCG","0259","RC","Both",,,"120","60","UHC","Medicare Advantage",,,"54",,"65.04","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 80MCG-4.5MCG","0259","RC","Both",,,"120","60","Clover","Medicare Advantage",,,"54",,"65.04","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 80MCG-4.5MCG","0259","RC","Both",,,"120","60","Wellcare","Medicare Advantage",,,"54",,"65.04","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 80MCG-4.5MCG","0259","RC","Both",,,"120","60","Amerigroup","Medicaid Managed Care",,,"37",,"43.92","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 80MCG-4.5MCG","0259","RC","Both",,,"120","60","Caresource","Medicaid Managed Care",,,"40",,"48","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 80MCG-4.5MCG","0259","RC","Both",,,"120","60","Wellcare","Medicaid Managed Care",,,"40",,"48.6","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 80MCG-4.5MCG","0259","RC","Both",,,"120","60","Aetna","Commercial",,,"64",,"76.56","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 80MCG-4.5MCG","0259","RC","Both",,,"120","60","Blue Cross Blue Shield","Pathways",,,"71",,"84.72","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 80MCG-4.5MCG","0259","RC","Both",,,"120","60","Blue Cross Blue Shield","HMO",,,"71",,"84.72","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 80MCG-4.5MCG","0259","RC","Both",,,"120","60","Blue Cross Blue Shield","PPO",,,"71",,"84.72","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 80MCG-4.5MCG","0259","RC","Both",,,"120","60","Ambetter","Health Exchange",,,"62",,"74.4","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 80MCG-4.5MCG","0259","RC","Both",,,"120","60","Caresource","Health Exchange",,,"62",,"74.4","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 80MCG-4.5MCG","0259","RC","Both",,,"120","60","Cigna","Commercial",,,"59",,"70.32","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 80MCG-4.5MCG","0259","RC","Both",,,"120","60","Humana","Commercial",,,"78",,"93","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 80MCG-4.5MCG","0259","RC","Both",,,"120","60","UHC","Commercial",,,"75",,"90.48","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 80MCG-4.5MCG","0259","RC","Both",,,"120","60","Medicaid",,,,"37",,"43.92","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0250","RC","Both",,,"34","17","Alliant","Health Exchange",,,"62",,"21.08","0.04","569.62","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0250","RC","Both",,,"34","17","Pruitt Healthcare","Medicare Advantage",,,"54",,"18.36","0.04","569.62","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0250","RC","Both",,,"34","17","Medicare",,,,"54",,"18.43","0.04","569.62","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0250","RC","Both",,,"34","17","Humana","Medicare Advantage",,,"54",,"18.43","0.04","569.62","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0250","RC","Both",,,"34","17","UHC","Medicare Advantage",,,"54",,"18.43","0.04","569.62","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0250","RC","Both",,,"34","17","Clover","Medicare Advantage",,,"54",,"18.43","0.04","569.62","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0250","RC","Both",,,"34","17","Wellcare","Medicare Advantage",,,"54",,"18.43","0.04","569.62","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0250","RC","Both",,,"34","17","Amerigroup","Medicaid Managed Care",,,"37",,"12.44","0.04","569.62","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0250","RC","Both",,,"34","17","Caresource","Medicaid Managed Care",,,"40",,"13.6","0.04","569.62","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0250","RC","Both",,,"34","17","Wellcare","Medicaid Managed Care",,,"40",,"13.77","0.04","569.62","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0250","RC","Both",,,"34","17","Aetna","Commercial",,,"64",,"21.69","0.04","569.62","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0250","RC","Both",,,"34","17","Blue Cross Blue Shield","Pathways",,,"71",,"24","0.04","569.62","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0250","RC","Both",,,"34","17","Blue Cross Blue Shield","HMO",,,"71",,"24","0.04","569.62","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0250","RC","Both",,,"34","17","Blue Cross Blue Shield","PPO",,,"71",,"24","0.04","569.62","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0250","RC","Both",,,"34","17","Ambetter","Health Exchange",,,"62",,"21.08","0.04","569.62","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0250","RC","Both",,,"34","17","Caresource","Health Exchange",,,"62",,"21.08","0.04","569.62","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0250","RC","Both",,,"34","17","Cigna","Commercial",,,"59",,"19.92","0.04","569.62","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0250","RC","Both",,,"34","17","Humana","Commercial",,,"78",,"26.35","0.04","569.62","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0250","RC","Both",,,"34","17","UHC","Commercial",,,"75",,"25.64","0.04","569.62","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","0250","RC","Both",,,"34","17","Medicaid",,,,"37",,"12.44","0.04","569.62","percent of total billed charges",,
"NF-Envarsus XR Tab Extended Release 0.75","0259","RC","Both",,,"17","8.5","Alliant","Health Exchange",,,"62",,"10.54","0.04","2502.48","percent of total billed charges",,
"NF-Envarsus XR Tab Extended Release 0.75","0259","RC","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.18","0.04","2502.48","percent of total billed charges",,
"NF-Envarsus XR Tab Extended Release 0.75","0259","RC","Both",,,"17","8.5","Medicare",,,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-Envarsus XR Tab Extended Release 0.75","0259","RC","Both",,,"17","8.5","Humana","Medicare Advantage",,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-Envarsus XR Tab Extended Release 0.75","0259","RC","Both",,,"17","8.5","UHC","Medicare Advantage",,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-Envarsus XR Tab Extended Release 0.75","0259","RC","Both",,,"17","8.5","Clover","Medicare Advantage",,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-Envarsus XR Tab Extended Release 0.75","0259","RC","Both",,,"17","8.5","Wellcare","Medicare Advantage",,,"54",,"9.21","0.04","2502.48","percent of total billed charges",,
"NF-Envarsus XR Tab Extended Release 0.75","0259","RC","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.22","0.04","2502.48","percent of total billed charges",,
"NF-Envarsus XR Tab Extended Release 0.75","0259","RC","Both",,,"17","8.5","Caresource","Medicaid Managed Care",,,"40",,"6.8","0.04","2502.48","percent of total billed charges",,
"NF-Envarsus XR Tab Extended Release 0.75","0259","RC","Both",,,"17","8.5","Wellcare","Medicaid Managed Care",,,"40",,"6.89","0.04","2502.48","percent of total billed charges",,
"NF-Envarsus XR Tab Extended Release 0.75","0259","RC","Both",,,"17","8.5","Aetna","Commercial",,,"64",,"10.85","0.04","2502.48","percent of total billed charges",,
"NF-Envarsus XR Tab Extended Release 0.75","0259","RC","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways",,,"71",,"12","0.04","2502.48","percent of total billed charges",,
"NF-Envarsus XR Tab Extended Release 0.75","0259","RC","Both",,,"17","8.5","Blue Cross Blue Shield","HMO",,,"71",,"12","0.04","2502.48","percent of total billed charges",,
"NF-Envarsus XR Tab Extended Release 0.75","0259","RC","Both",,,"17","8.5","Blue Cross Blue Shield","PPO",,,"71",,"12","0.04","2502.48","percent of total billed charges",,
"NF-Envarsus XR Tab Extended Release 0.75","0259","RC","Both",,,"17","8.5","Ambetter","Health Exchange",,,"62",,"10.54","0.04","2502.48","percent of total billed charges",,
"NF-Envarsus XR Tab Extended Release 0.75","0259","RC","Both",,,"17","8.5","Caresource","Health Exchange",,,"62",,"10.54","0.04","2502.48","percent of total billed charges",,
"NF-Envarsus XR Tab Extended Release 0.75","0259","RC","Both",,,"17","8.5","Cigna","Commercial",,,"59",,"9.96","0.04","2502.48","percent of total billed charges",,
"NF-Envarsus XR Tab Extended Release 0.75","0259","RC","Both",,,"17","8.5","Humana","Commercial",,,"78",,"13.18","0.04","2502.48","percent of total billed charges",,
"NF-Envarsus XR Tab Extended Release 0.75","0259","RC","Both",,,"17","8.5","UHC","Commercial",,,"75",,"12.82","0.04","2502.48","percent of total billed charges",,
"NF-Envarsus XR Tab Extended Release 0.75","0259","RC","Both",,,"17","8.5","Medicaid",,,,"37",,"6.22","0.04","2502.48","percent of total billed charges",,
"NF-Envarsus XR Tab Extended Release 4MG","0259","RC","Both",,,"94","47","Alliant","Health Exchange",,,"62",,"58.28","0.04","2502.48","percent of total billed charges",,
"NF-Envarsus XR Tab Extended Release 4MG","0259","RC","Both",,,"94","47","Pruitt Healthcare","Medicare Advantage",,,"54",,"50.76","0.04","2502.48","percent of total billed charges",,
"NF-Envarsus XR Tab Extended Release 4MG","0259","RC","Both",,,"94","47","Medicare",,,,"54",,"50.95","0.04","2502.48","percent of total billed charges",,
"NF-Envarsus XR Tab Extended Release 4MG","0259","RC","Both",,,"94","47","Humana","Medicare Advantage",,,"54",,"50.95","0.04","2502.48","percent of total billed charges",,
"NF-Envarsus XR Tab Extended Release 4MG","0259","RC","Both",,,"94","47","UHC","Medicare Advantage",,,"54",,"50.95","0.04","2502.48","percent of total billed charges",,
"NF-Envarsus XR Tab Extended Release 4MG","0259","RC","Both",,,"94","47","Clover","Medicare Advantage",,,"54",,"50.95","0.04","2502.48","percent of total billed charges",,
"NF-Envarsus XR Tab Extended Release 4MG","0259","RC","Both",,,"94","47","Wellcare","Medicare Advantage",,,"54",,"50.95","0.04","2502.48","percent of total billed charges",,
"NF-Envarsus XR Tab Extended Release 4MG","0259","RC","Both",,,"94","47","Amerigroup","Medicaid Managed Care",,,"37",,"34.4","0.04","2502.48","percent of total billed charges",,
"NF-Envarsus XR Tab Extended Release 4MG","0259","RC","Both",,,"94","47","Caresource","Medicaid Managed Care",,,"40",,"37.6","0.04","2502.48","percent of total billed charges",,
"NF-Envarsus XR Tab Extended Release 4MG","0259","RC","Both",,,"94","47","Wellcare","Medicaid Managed Care",,,"40",,"38.07","0.04","2502.48","percent of total billed charges",,
"NF-Envarsus XR Tab Extended Release 4MG","0259","RC","Both",,,"94","47","Aetna","Commercial",,,"64",,"59.97","0.04","2502.48","percent of total billed charges",,
"NF-Envarsus XR Tab Extended Release 4MG","0259","RC","Both",,,"94","47","Blue Cross Blue Shield","Pathways",,,"71",,"66.36","0.04","2502.48","percent of total billed charges",,
"NF-Envarsus XR Tab Extended Release 4MG","0259","RC","Both",,,"94","47","Blue Cross Blue Shield","HMO",,,"71",,"66.36","0.04","2502.48","percent of total billed charges",,
"NF-Envarsus XR Tab Extended Release 4MG","0259","RC","Both",,,"94","47","Blue Cross Blue Shield","PPO",,,"71",,"66.36","0.04","2502.48","percent of total billed charges",,
"NF-Envarsus XR Tab Extended Release 4MG","0259","RC","Both",,,"94","47","Ambetter","Health Exchange",,,"62",,"58.28","0.04","2502.48","percent of total billed charges",,
"NF-Envarsus XR Tab Extended Release 4MG","0259","RC","Both",,,"94","47","Caresource","Health Exchange",,,"62",,"58.28","0.04","2502.48","percent of total billed charges",,
"NF-Envarsus XR Tab Extended Release 4MG","0259","RC","Both",,,"94","47","Cigna","Commercial",,,"59",,"55.08","0.04","2502.48","percent of total billed charges",,
"NF-Envarsus XR Tab Extended Release 4MG","0259","RC","Both",,,"94","47","Humana","Commercial",,,"78",,"72.85","0.04","2502.48","percent of total billed charges",,
"NF-Envarsus XR Tab Extended Release 4MG","0259","RC","Both",,,"94","47","UHC","Commercial",,,"75",,"70.88","0.04","2502.48","percent of total billed charges",,
"NF-Envarsus XR Tab Extended Release 4MG","0259","RC","Both",,,"94","47","Medicaid",,,,"37",,"34.4","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolic Acid Oral Tab EC 360MG","0259","RC","Both",,,"30","15","Alliant","Health Exchange",,,"62",,"18.6","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolic Acid Oral Tab EC 360MG","0259","RC","Both",,,"30","15","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.2","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolic Acid Oral Tab EC 360MG","0259","RC","Both",,,"30","15","Medicare",,,,"54",,"16.26","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolic Acid Oral Tab EC 360MG","0259","RC","Both",,,"30","15","Humana","Medicare Advantage",,,"54",,"16.26","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolic Acid Oral Tab EC 360MG","0259","RC","Both",,,"30","15","UHC","Medicare Advantage",,,"54",,"16.26","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolic Acid Oral Tab EC 360MG","0259","RC","Both",,,"30","15","Clover","Medicare Advantage",,,"54",,"16.26","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolic Acid Oral Tab EC 360MG","0259","RC","Both",,,"30","15","Wellcare","Medicare Advantage",,,"54",,"16.26","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolic Acid Oral Tab EC 360MG","0259","RC","Both",,,"30","15","Amerigroup","Medicaid Managed Care",,,"37",,"10.98","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolic Acid Oral Tab EC 360MG","0259","RC","Both",,,"30","15","Caresource","Medicaid Managed Care",,,"40",,"12","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolic Acid Oral Tab EC 360MG","0259","RC","Both",,,"30","15","Wellcare","Medicaid Managed Care",,,"40",,"12.15","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolic Acid Oral Tab EC 360MG","0259","RC","Both",,,"30","15","Aetna","Commercial",,,"64",,"19.14","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolic Acid Oral Tab EC 360MG","0259","RC","Both",,,"30","15","Blue Cross Blue Shield","Pathways",,,"71",,"21.18","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolic Acid Oral Tab EC 360MG","0259","RC","Both",,,"30","15","Blue Cross Blue Shield","HMO",,,"71",,"21.18","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolic Acid Oral Tab EC 360MG","0259","RC","Both",,,"30","15","Blue Cross Blue Shield","PPO",,,"71",,"21.18","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolic Acid Oral Tab EC 360MG","0259","RC","Both",,,"30","15","Ambetter","Health Exchange",,,"62",,"18.6","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolic Acid Oral Tab EC 360MG","0259","RC","Both",,,"30","15","Caresource","Health Exchange",,,"62",,"18.6","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolic Acid Oral Tab EC 360MG","0259","RC","Both",,,"30","15","Cigna","Commercial",,,"59",,"17.58","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolic Acid Oral Tab EC 360MG","0259","RC","Both",,,"30","15","Humana","Commercial",,,"78",,"23.25","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolic Acid Oral Tab EC 360MG","0259","RC","Both",,,"30","15","UHC","Commercial",,,"75",,"22.62","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolic Acid Oral Tab EC 360MG","0259","RC","Both",,,"30","15","Medicaid",,,,"37",,"10.98","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolic Acid Oral Tab EC 360MG","0259","RC","Both",,,"30","15","Alliant","Health Exchange",,,"62",,"18.6","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolic Acid Oral Tab EC 360MG","0259","RC","Both",,,"30","15","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.2","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolic Acid Oral Tab EC 360MG","0259","RC","Both",,,"30","15","Medicare",,,,"54",,"16.26","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolic Acid Oral Tab EC 360MG","0259","RC","Both",,,"30","15","Humana","Medicare Advantage",,,"54",,"16.26","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolic Acid Oral Tab EC 360MG","0259","RC","Both",,,"30","15","UHC","Medicare Advantage",,,"54",,"16.26","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolic Acid Oral Tab EC 360MG","0259","RC","Both",,,"30","15","Clover","Medicare Advantage",,,"54",,"16.26","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolic Acid Oral Tab EC 360MG","0259","RC","Both",,,"30","15","Wellcare","Medicare Advantage",,,"54",,"16.26","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolic Acid Oral Tab EC 360MG","0259","RC","Both",,,"30","15","Amerigroup","Medicaid Managed Care",,,"37",,"10.98","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolic Acid Oral Tab EC 360MG","0259","RC","Both",,,"30","15","Caresource","Medicaid Managed Care",,,"40",,"12","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolic Acid Oral Tab EC 360MG","0259","RC","Both",,,"30","15","Wellcare","Medicaid Managed Care",,,"40",,"12.15","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolic Acid Oral Tab EC 360MG","0259","RC","Both",,,"30","15","Aetna","Commercial",,,"64",,"19.14","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolic Acid Oral Tab EC 360MG","0259","RC","Both",,,"30","15","Blue Cross Blue Shield","Pathways",,,"71",,"21.18","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolic Acid Oral Tab EC 360MG","0259","RC","Both",,,"30","15","Blue Cross Blue Shield","HMO",,,"71",,"21.18","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolic Acid Oral Tab EC 360MG","0259","RC","Both",,,"30","15","Blue Cross Blue Shield","PPO",,,"71",,"21.18","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolic Acid Oral Tab EC 360MG","0259","RC","Both",,,"30","15","Ambetter","Health Exchange",,,"62",,"18.6","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolic Acid Oral Tab EC 360MG","0259","RC","Both",,,"30","15","Caresource","Health Exchange",,,"62",,"18.6","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolic Acid Oral Tab EC 360MG","0259","RC","Both",,,"30","15","Cigna","Commercial",,,"59",,"17.58","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolic Acid Oral Tab EC 360MG","0259","RC","Both",,,"30","15","Humana","Commercial",,,"78",,"23.25","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolic Acid Oral Tab EC 360MG","0259","RC","Both",,,"30","15","UHC","Commercial",,,"75",,"22.62","0.04","2502.48","percent of total billed charges",,
"NF-Mycophenolic Acid Oral Tab EC 360MG","0259","RC","Both",,,"30","15","Medicaid",,,,"37",,"10.98","0.04","2502.48","percent of total billed charges",,
"TRIAMCINOLONE (KENALOG) 0.1% CREAM 80GM","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"TRIAMCINOLONE (KENALOG) 0.1% CREAM 80GM","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"TRIAMCINOLONE (KENALOG) 0.1% CREAM 80GM","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"TRIAMCINOLONE (KENALOG) 0.1% CREAM 80GM","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"TRIAMCINOLONE (KENALOG) 0.1% CREAM 80GM","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"TRIAMCINOLONE (KENALOG) 0.1% CREAM 80GM","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"TRIAMCINOLONE (KENALOG) 0.1% CREAM 80GM","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"TRIAMCINOLONE (KENALOG) 0.1% CREAM 80GM","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"TRIAMCINOLONE (KENALOG) 0.1% CREAM 80GM","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"TRIAMCINOLONE (KENALOG) 0.1% CREAM 80GM","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"TRIAMCINOLONE (KENALOG) 0.1% CREAM 80GM","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"TRIAMCINOLONE (KENALOG) 0.1% CREAM 80GM","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"TRIAMCINOLONE (KENALOG) 0.1% CREAM 80GM","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"TRIAMCINOLONE (KENALOG) 0.1% CREAM 80GM","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"TRIAMCINOLONE (KENALOG) 0.1% CREAM 80GM","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"TRIAMCINOLONE (KENALOG) 0.1% CREAM 80GM","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"TRIAMCINOLONE (KENALOG) 0.1% CREAM 80GM","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"TRIAMCINOLONE (KENALOG) 0.1% CREAM 80GM","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"TRIAMCINOLONE (KENALOG) 0.1% CREAM 80GM","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"TRIAMCINOLONE (KENALOG) 0.1% CREAM 80GM","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"NF-OLANZAPINE ORAL TABLET 5MG","0259","RC","Both",,,"39.63","19.815","Alliant","Health Exchange",,,"62",,"24.57","0.04","2502.48","percent of total billed charges",,
"NF-OLANZAPINE ORAL TABLET 5MG","0259","RC","Both",,,"39.63","19.815","Pruitt Healthcare","Medicare Advantage",,,"54",,"21.4","0.04","2502.48","percent of total billed charges",,
"NF-OLANZAPINE ORAL TABLET 5MG","0259","RC","Both",,,"39.63","19.815","Medicare",,,,"54",,"21.48","0.04","2502.48","percent of total billed charges",,
"NF-OLANZAPINE ORAL TABLET 5MG","0259","RC","Both",,,"39.63","19.815","Humana","Medicare Advantage",,,"54",,"21.48","0.04","2502.48","percent of total billed charges",,
"NF-OLANZAPINE ORAL TABLET 5MG","0259","RC","Both",,,"39.63","19.815","UHC","Medicare Advantage",,,"54",,"21.48","0.04","2502.48","percent of total billed charges",,
"NF-OLANZAPINE ORAL TABLET 5MG","0259","RC","Both",,,"39.63","19.815","Clover","Medicare Advantage",,,"54",,"21.48","0.04","2502.48","percent of total billed charges",,
"NF-OLANZAPINE ORAL TABLET 5MG","0259","RC","Both",,,"39.63","19.815","Wellcare","Medicare Advantage",,,"54",,"21.48","0.04","2502.48","percent of total billed charges",,
"NF-OLANZAPINE ORAL TABLET 5MG","0259","RC","Both",,,"39.63","19.815","Amerigroup","Medicaid Managed Care",,,"37",,"14.5","0.04","2502.48","percent of total billed charges",,
"NF-OLANZAPINE ORAL TABLET 5MG","0259","RC","Both",,,"39.63","19.815","Caresource","Medicaid Managed Care",,,"40",,"15.85","0.04","2502.48","percent of total billed charges",,
"NF-OLANZAPINE ORAL TABLET 5MG","0259","RC","Both",,,"39.63","19.815","Wellcare","Medicaid Managed Care",,,"40",,"16.05","0.04","2502.48","percent of total billed charges",,
"NF-OLANZAPINE ORAL TABLET 5MG","0259","RC","Both",,,"39.63","19.815","Aetna","Commercial",,,"64",,"25.28","0.04","2502.48","percent of total billed charges",,
"NF-OLANZAPINE ORAL TABLET 5MG","0259","RC","Both",,,"39.63","19.815","Blue Cross Blue Shield","Pathways",,,"71",,"27.98","0.04","2502.48","percent of total billed charges",,
"NF-OLANZAPINE ORAL TABLET 5MG","0259","RC","Both",,,"39.63","19.815","Blue Cross Blue Shield","HMO",,,"71",,"27.98","0.04","2502.48","percent of total billed charges",,
"NF-OLANZAPINE ORAL TABLET 5MG","0259","RC","Both",,,"39.63","19.815","Blue Cross Blue Shield","PPO",,,"71",,"27.98","0.04","2502.48","percent of total billed charges",,
"NF-OLANZAPINE ORAL TABLET 5MG","0259","RC","Both",,,"39.63","19.815","Ambetter","Health Exchange",,,"62",,"24.57","0.04","2502.48","percent of total billed charges",,
"NF-OLANZAPINE ORAL TABLET 5MG","0259","RC","Both",,,"39.63","19.815","Caresource","Health Exchange",,,"62",,"24.57","0.04","2502.48","percent of total billed charges",,
"NF-OLANZAPINE ORAL TABLET 5MG","0259","RC","Both",,,"39.63","19.815","Cigna","Commercial",,,"59",,"23.22","0.04","2502.48","percent of total billed charges",,
"NF-OLANZAPINE ORAL TABLET 5MG","0259","RC","Both",,,"39.63","19.815","Humana","Commercial",,,"78",,"30.71","0.04","2502.48","percent of total billed charges",,
"NF-OLANZAPINE ORAL TABLET 5MG","0259","RC","Both",,,"39.63","19.815","UHC","Commercial",,,"75",,"29.88","0.04","2502.48","percent of total billed charges",,
"NF-OLANZAPINE ORAL TABLET 5MG","0259","RC","Both",,,"39.63","19.815","Medicaid",,,,"37",,"14.5","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0250","RC","Both",,,"38","19","Alliant","Health Exchange",,,"62",,"23.56","0.04","569.62","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0250","RC","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.52","0.04","569.62","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0250","RC","Both",,,"38","19","Medicare",,,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0250","RC","Both",,,"38","19","Humana","Medicare Advantage",,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0250","RC","Both",,,"38","19","UHC","Medicare Advantage",,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0250","RC","Both",,,"38","19","Clover","Medicare Advantage",,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0250","RC","Both",,,"38","19","Wellcare","Medicare Advantage",,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0250","RC","Both",,,"38","19","Amerigroup","Medicaid Managed Care",,,"37",,"13.91","0.04","569.62","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0250","RC","Both",,,"38","19","Caresource","Medicaid Managed Care",,,"40",,"15.2","0.04","569.62","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0250","RC","Both",,,"38","19","Wellcare","Medicaid Managed Care",,,"40",,"15.39","0.04","569.62","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0250","RC","Both",,,"38","19","Aetna","Commercial",,,"64",,"24.24","0.04","569.62","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0250","RC","Both",,,"38","19","Blue Cross Blue Shield","Pathways",,,"71",,"26.83","0.04","569.62","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0250","RC","Both",,,"38","19","Blue Cross Blue Shield","HMO",,,"71",,"26.83","0.04","569.62","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0250","RC","Both",,,"38","19","Blue Cross Blue Shield","PPO",,,"71",,"26.83","0.04","569.62","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0250","RC","Both",,,"38","19","Ambetter","Health Exchange",,,"62",,"23.56","0.04","569.62","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0250","RC","Both",,,"38","19","Caresource","Health Exchange",,,"62",,"23.56","0.04","569.62","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0250","RC","Both",,,"38","19","Cigna","Commercial",,,"59",,"22.27","0.04","569.62","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0250","RC","Both",,,"38","19","Humana","Commercial",,,"78",,"29.45","0.04","569.62","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0250","RC","Both",,,"38","19","UHC","Commercial",,,"75",,"28.65","0.04","569.62","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0250","RC","Both",,,"38","19","Medicaid",,,,"37",,"13.91","0.04","569.62","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","0250","RC","Both",,,"38","19","Alliant","Health Exchange",,,"62",,"23.56","0.04","569.62","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","0250","RC","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.52","0.04","569.62","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","0250","RC","Both",,,"38","19","Medicare",,,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","0250","RC","Both",,,"38","19","Humana","Medicare Advantage",,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","0250","RC","Both",,,"38","19","UHC","Medicare Advantage",,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","0250","RC","Both",,,"38","19","Clover","Medicare Advantage",,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","0250","RC","Both",,,"38","19","Wellcare","Medicare Advantage",,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","0250","RC","Both",,,"38","19","Amerigroup","Medicaid Managed Care",,,"37",,"13.91","0.04","569.62","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","0250","RC","Both",,,"38","19","Caresource","Medicaid Managed Care",,,"40",,"15.2","0.04","569.62","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","0250","RC","Both",,,"38","19","Wellcare","Medicaid Managed Care",,,"40",,"15.39","0.04","569.62","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","0250","RC","Both",,,"38","19","Aetna","Commercial",,,"64",,"24.24","0.04","569.62","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","0250","RC","Both",,,"38","19","Blue Cross Blue Shield","Pathways",,,"71",,"26.83","0.04","569.62","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","0250","RC","Both",,,"38","19","Blue Cross Blue Shield","HMO",,,"71",,"26.83","0.04","569.62","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","0250","RC","Both",,,"38","19","Blue Cross Blue Shield","PPO",,,"71",,"26.83","0.04","569.62","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","0250","RC","Both",,,"38","19","Ambetter","Health Exchange",,,"62",,"23.56","0.04","569.62","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","0250","RC","Both",,,"38","19","Caresource","Health Exchange",,,"62",,"23.56","0.04","569.62","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","0250","RC","Both",,,"38","19","Cigna","Commercial",,,"59",,"22.27","0.04","569.62","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","0250","RC","Both",,,"38","19","Humana","Commercial",,,"78",,"29.45","0.04","569.62","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","0250","RC","Both",,,"38","19","UHC","Commercial",,,"75",,"28.65","0.04","569.62","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","0250","RC","Both",,,"38","19","Medicaid",,,,"37",,"13.91","0.04","569.62","percent of total billed charges",,
"NF-POVIDONE-IODINE SWAB 10%","0259","RC","Both",,,"0.44","0.22","Alliant","Health Exchange",,,"62",,"0.27","0.04","2502.48","percent of total billed charges",,
"NF-POVIDONE-IODINE SWAB 10%","0259","RC","Both",,,"0.44","0.22","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.24","0.04","2502.48","percent of total billed charges",,
"NF-POVIDONE-IODINE SWAB 10%","0259","RC","Both",,,"0.44","0.22","Medicare",,,,"54",,"0.24","0.04","2502.48","percent of total billed charges",,
"NF-POVIDONE-IODINE SWAB 10%","0259","RC","Both",,,"0.44","0.22","Humana","Medicare Advantage",,,"54",,"0.24","0.04","2502.48","percent of total billed charges",,
"NF-POVIDONE-IODINE SWAB 10%","0259","RC","Both",,,"0.44","0.22","UHC","Medicare Advantage",,,"54",,"0.24","0.04","2502.48","percent of total billed charges",,
"NF-POVIDONE-IODINE SWAB 10%","0259","RC","Both",,,"0.44","0.22","Clover","Medicare Advantage",,,"54",,"0.24","0.04","2502.48","percent of total billed charges",,
"NF-POVIDONE-IODINE SWAB 10%","0259","RC","Both",,,"0.44","0.22","Wellcare","Medicare Advantage",,,"54",,"0.24","0.04","2502.48","percent of total billed charges",,
"NF-POVIDONE-IODINE SWAB 10%","0259","RC","Both",,,"0.44","0.22","Amerigroup","Medicaid Managed Care",,,"37",,"0.16","0.04","2502.48","percent of total billed charges",,
"NF-POVIDONE-IODINE SWAB 10%","0259","RC","Both",,,"0.44","0.22","Caresource","Medicaid Managed Care",,,"40",,"0.18","0.04","2502.48","percent of total billed charges",,
"NF-POVIDONE-IODINE SWAB 10%","0259","RC","Both",,,"0.44","0.22","Wellcare","Medicaid Managed Care",,,"40",,"0.18","0.04","2502.48","percent of total billed charges",,
"NF-POVIDONE-IODINE SWAB 10%","0259","RC","Both",,,"0.44","0.22","Aetna","Commercial",,,"64",,"0.28","0.04","2502.48","percent of total billed charges",,
"NF-POVIDONE-IODINE SWAB 10%","0259","RC","Both",,,"0.44","0.22","Blue Cross Blue Shield","Pathways",,,"71",,"0.31","0.04","2502.48","percent of total billed charges",,
"NF-POVIDONE-IODINE SWAB 10%","0259","RC","Both",,,"0.44","0.22","Blue Cross Blue Shield","HMO",,,"71",,"0.31","0.04","2502.48","percent of total billed charges",,
"NF-POVIDONE-IODINE SWAB 10%","0259","RC","Both",,,"0.44","0.22","Blue Cross Blue Shield","PPO",,,"71",,"0.31","0.04","2502.48","percent of total billed charges",,
"NF-POVIDONE-IODINE SWAB 10%","0259","RC","Both",,,"0.44","0.22","Ambetter","Health Exchange",,,"62",,"0.27","0.04","2502.48","percent of total billed charges",,
"NF-POVIDONE-IODINE SWAB 10%","0259","RC","Both",,,"0.44","0.22","Caresource","Health Exchange",,,"62",,"0.27","0.04","2502.48","percent of total billed charges",,
"NF-POVIDONE-IODINE SWAB 10%","0259","RC","Both",,,"0.44","0.22","Cigna","Commercial",,,"59",,"0.26","0.04","2502.48","percent of total billed charges",,
"NF-POVIDONE-IODINE SWAB 10%","0259","RC","Both",,,"0.44","0.22","Humana","Commercial",,,"78",,"0.34","0.04","2502.48","percent of total billed charges",,
"NF-POVIDONE-IODINE SWAB 10%","0259","RC","Both",,,"0.44","0.22","UHC","Commercial",,,"75",,"0.33","0.04","2502.48","percent of total billed charges",,
"NF-POVIDONE-IODINE SWAB 10%","0259","RC","Both",,,"0.44","0.22","Medicaid",,,,"37",,"0.16","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","2502.48","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","0259","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","0.04","2502.48","percent of total billed charges",,
"NF-Colestipol Oral Tablet 1GM","0259","RC","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","0.04","2502.48","percent of total billed charges",,
"NF-LYRICA CAP 25MG","0259","RC","Both",,,"40.87","20.435","Alliant","Health Exchange",,,"62",,"25.34","0.04","2502.48","percent of total billed charges",,
"NF-LYRICA CAP 25MG","0259","RC","Both",,,"40.87","20.435","Pruitt Healthcare","Medicare Advantage",,,"54",,"22.07","0.04","2502.48","percent of total billed charges",,
"NF-LYRICA CAP 25MG","0259","RC","Both",,,"40.87","20.435","Medicare",,,,"54",,"22.15","0.04","2502.48","percent of total billed charges",,
"NF-LYRICA CAP 25MG","0259","RC","Both",,,"40.87","20.435","Humana","Medicare Advantage",,,"54",,"22.15","0.04","2502.48","percent of total billed charges",,
"NF-LYRICA CAP 25MG","0259","RC","Both",,,"40.87","20.435","UHC","Medicare Advantage",,,"54",,"22.15","0.04","2502.48","percent of total billed charges",,
"NF-LYRICA CAP 25MG","0259","RC","Both",,,"40.87","20.435","Clover","Medicare Advantage",,,"54",,"22.15","0.04","2502.48","percent of total billed charges",,
"NF-LYRICA CAP 25MG","0259","RC","Both",,,"40.87","20.435","Wellcare","Medicare Advantage",,,"54",,"22.15","0.04","2502.48","percent of total billed charges",,
"NF-LYRICA CAP 25MG","0259","RC","Both",,,"40.87","20.435","Amerigroup","Medicaid Managed Care",,,"37",,"14.96","0.04","2502.48","percent of total billed charges",,
"NF-LYRICA CAP 25MG","0259","RC","Both",,,"40.87","20.435","Caresource","Medicaid Managed Care",,,"40",,"16.35","0.04","2502.48","percent of total billed charges",,
"NF-LYRICA CAP 25MG","0259","RC","Both",,,"40.87","20.435","Wellcare","Medicaid Managed Care",,,"40",,"16.55","0.04","2502.48","percent of total billed charges",,
"NF-LYRICA CAP 25MG","0259","RC","Both",,,"40.87","20.435","Aetna","Commercial",,,"64",,"26.08","0.04","2502.48","percent of total billed charges",,
"NF-LYRICA CAP 25MG","0259","RC","Both",,,"40.87","20.435","Blue Cross Blue Shield","Pathways",,,"71",,"28.85","0.04","2502.48","percent of total billed charges",,
"NF-LYRICA CAP 25MG","0259","RC","Both",,,"40.87","20.435","Blue Cross Blue Shield","HMO",,,"71",,"28.85","0.04","2502.48","percent of total billed charges",,
"NF-LYRICA CAP 25MG","0259","RC","Both",,,"40.87","20.435","Blue Cross Blue Shield","PPO",,,"71",,"28.85","0.04","2502.48","percent of total billed charges",,
"NF-LYRICA CAP 25MG","0259","RC","Both",,,"40.87","20.435","Ambetter","Health Exchange",,,"62",,"25.34","0.04","2502.48","percent of total billed charges",,
"NF-LYRICA CAP 25MG","0259","RC","Both",,,"40.87","20.435","Caresource","Health Exchange",,,"62",,"25.34","0.04","2502.48","percent of total billed charges",,
"NF-LYRICA CAP 25MG","0259","RC","Both",,,"40.87","20.435","Cigna","Commercial",,,"59",,"23.95","0.04","2502.48","percent of total billed charges",,
"NF-LYRICA CAP 25MG","0259","RC","Both",,,"40.87","20.435","Humana","Commercial",,,"78",,"31.67","0.04","2502.48","percent of total billed charges",,
"NF-LYRICA CAP 25MG","0259","RC","Both",,,"40.87","20.435","UHC","Commercial",,,"75",,"30.82","0.04","2502.48","percent of total billed charges",,
"NF-LYRICA CAP 25MG","0259","RC","Both",,,"40.87","20.435","Medicaid",,,,"37",,"14.96","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Alliant","Health Exchange",,,"62",,"40.3","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"35.1","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Medicare",,,,"54",,"35.23","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Humana","Medicare Advantage",,,"54",,"35.23","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","UHC","Medicare Advantage",,,"54",,"35.23","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Clover","Medicare Advantage",,,"54",,"35.23","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Wellcare","Medicare Advantage",,,"54",,"35.23","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Amerigroup","Medicaid Managed Care",,,"37",,"23.79","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Caresource","Medicaid Managed Care",,,"40",,"26","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Wellcare","Medicaid Managed Care",,,"40",,"26.33","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Aetna","Commercial",,,"64",,"41.47","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Blue Cross Blue Shield","Pathways",,,"71",,"45.89","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Blue Cross Blue Shield","HMO",,,"71",,"45.89","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Blue Cross Blue Shield","PPO",,,"71",,"45.89","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Ambetter","Health Exchange",,,"62",,"40.3","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Caresource","Health Exchange",,,"62",,"40.3","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Cigna","Commercial",,,"59",,"38.09","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Humana","Commercial",,,"78",,"50.38","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","UHC","Commercial",,,"75",,"49.01","0.04","2502.48","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","0259","RC","Both",,,"65","32.5","Medicaid",,,,"37",,"23.79","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Alliant","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.52","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Medicare",,,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Humana","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","UHC","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Clover","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Wellcare","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Amerigroup","Medicaid Managed Care",,,"37",,"13.91","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Caresource","Medicaid Managed Care",,,"40",,"15.2","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Wellcare","Medicaid Managed Care",,,"40",,"15.39","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Aetna","Commercial",,,"64",,"24.24","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","Pathways",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","HMO",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","PPO",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Ambetter","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Caresource","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Cigna","Commercial",,,"59",,"22.27","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Humana","Commercial",,,"78",,"29.45","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","UHC","Commercial",,,"75",,"28.65","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 200/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Medicaid",,,,"37",,"13.91","0.04","2502.48","percent of total billed charges",,
"NF-Levocetirizine Dihydrochloride Tab 5M","0259","RC","Both",,,"9","4.5","Alliant","Health Exchange",,,"62",,"5.58","0.04","2502.48","percent of total billed charges",,
"NF-Levocetirizine Dihydrochloride Tab 5M","0259","RC","Both",,,"9","4.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.86","0.04","2502.48","percent of total billed charges",,
"NF-Levocetirizine Dihydrochloride Tab 5M","0259","RC","Both",,,"9","4.5","Medicare",,,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Levocetirizine Dihydrochloride Tab 5M","0259","RC","Both",,,"9","4.5","Humana","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Levocetirizine Dihydrochloride Tab 5M","0259","RC","Both",,,"9","4.5","UHC","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Levocetirizine Dihydrochloride Tab 5M","0259","RC","Both",,,"9","4.5","Clover","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Levocetirizine Dihydrochloride Tab 5M","0259","RC","Both",,,"9","4.5","Wellcare","Medicare Advantage",,,"54",,"4.88","0.04","2502.48","percent of total billed charges",,
"NF-Levocetirizine Dihydrochloride Tab 5M","0259","RC","Both",,,"9","4.5","Amerigroup","Medicaid Managed Care",,,"37",,"3.29","0.04","2502.48","percent of total billed charges",,
"NF-Levocetirizine Dihydrochloride Tab 5M","0259","RC","Both",,,"9","4.5","Caresource","Medicaid Managed Care",,,"40",,"3.6","0.04","2502.48","percent of total billed charges",,
"NF-Levocetirizine Dihydrochloride Tab 5M","0259","RC","Both",,,"9","4.5","Wellcare","Medicaid Managed Care",,,"40",,"3.65","0.04","2502.48","percent of total billed charges",,
"NF-Levocetirizine Dihydrochloride Tab 5M","0259","RC","Both",,,"9","4.5","Aetna","Commercial",,,"64",,"5.74","0.04","2502.48","percent of total billed charges",,
"NF-Levocetirizine Dihydrochloride Tab 5M","0259","RC","Both",,,"9","4.5","Blue Cross Blue Shield","Pathways",,,"71",,"6.35","0.04","2502.48","percent of total billed charges",,
"NF-Levocetirizine Dihydrochloride Tab 5M","0259","RC","Both",,,"9","4.5","Blue Cross Blue Shield","HMO",,,"71",,"6.35","0.04","2502.48","percent of total billed charges",,
"NF-Levocetirizine Dihydrochloride Tab 5M","0259","RC","Both",,,"9","4.5","Blue Cross Blue Shield","PPO",,,"71",,"6.35","0.04","2502.48","percent of total billed charges",,
"NF-Levocetirizine Dihydrochloride Tab 5M","0259","RC","Both",,,"9","4.5","Ambetter","Health Exchange",,,"62",,"5.58","0.04","2502.48","percent of total billed charges",,
"NF-Levocetirizine Dihydrochloride Tab 5M","0259","RC","Both",,,"9","4.5","Caresource","Health Exchange",,,"62",,"5.58","0.04","2502.48","percent of total billed charges",,
"NF-Levocetirizine Dihydrochloride Tab 5M","0259","RC","Both",,,"9","4.5","Cigna","Commercial",,,"59",,"5.27","0.04","2502.48","percent of total billed charges",,
"NF-Levocetirizine Dihydrochloride Tab 5M","0259","RC","Both",,,"9","4.5","Humana","Commercial",,,"78",,"6.98","0.04","2502.48","percent of total billed charges",,
"NF-Levocetirizine Dihydrochloride Tab 5M","0259","RC","Both",,,"9","4.5","UHC","Commercial",,,"75",,"6.79","0.04","2502.48","percent of total billed charges",,
"NF-Levocetirizine Dihydrochloride Tab 5M","0259","RC","Both",,,"9","4.5","Medicaid",,,,"37",,"3.29","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Alliant","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.52","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Medicare",,,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Humana","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","UHC","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Clover","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Wellcare","Medicare Advantage",,,"54",,"20.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Amerigroup","Medicaid Managed Care",,,"37",,"13.91","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Caresource","Medicaid Managed Care",,,"40",,"15.2","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Wellcare","Medicaid Managed Care",,,"40",,"15.39","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Aetna","Commercial",,,"64",,"24.24","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","Pathways",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","HMO",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Blue Cross Blue Shield","PPO",,,"71",,"26.83","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Ambetter","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Caresource","Health Exchange",,,"62",,"23.56","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Cigna","Commercial",,,"59",,"22.27","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Humana","Commercial",,,"78",,"29.45","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","UHC","Commercial",,,"75",,"28.65","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"38","19","Medicaid",,,,"37",,"13.91","0.04","2502.48","percent of total billed charges",,
"NF-BYDUREON BCise SubQ Susp ER 2MG/0.85M","0259","RC","Both",,,"850","425","Alliant","Health Exchange",,,"62",,"527","0.04","2502.48","percent of total billed charges",,
"NF-BYDUREON BCise SubQ Susp ER 2MG/0.85M","0259","RC","Both",,,"850","425","Pruitt Healthcare","Medicare Advantage",,,"54",,"459","0.04","2502.48","percent of total billed charges",,
"NF-BYDUREON BCise SubQ Susp ER 2MG/0.85M","0259","RC","Both",,,"850","425","Medicare",,,,"54",,"460.7","0.04","2502.48","percent of total billed charges",,
"NF-BYDUREON BCise SubQ Susp ER 2MG/0.85M","0259","RC","Both",,,"850","425","Humana","Medicare Advantage",,,"54",,"460.7","0.04","2502.48","percent of total billed charges",,
"NF-BYDUREON BCise SubQ Susp ER 2MG/0.85M","0259","RC","Both",,,"850","425","UHC","Medicare Advantage",,,"54",,"460.7","0.04","2502.48","percent of total billed charges",,
"NF-BYDUREON BCise SubQ Susp ER 2MG/0.85M","0259","RC","Both",,,"850","425","Clover","Medicare Advantage",,,"54",,"460.7","0.04","2502.48","percent of total billed charges",,
"NF-BYDUREON BCise SubQ Susp ER 2MG/0.85M","0259","RC","Both",,,"850","425","Wellcare","Medicare Advantage",,,"54",,"460.7","0.04","2502.48","percent of total billed charges",,
"NF-BYDUREON BCise SubQ Susp ER 2MG/0.85M","0259","RC","Both",,,"850","425","Amerigroup","Medicaid Managed Care",,,"37",,"311.1","0.04","2502.48","percent of total billed charges",,
"NF-BYDUREON BCise SubQ Susp ER 2MG/0.85M","0259","RC","Both",,,"850","425","Caresource","Medicaid Managed Care",,,"40",,"340","0.04","2502.48","percent of total billed charges",,
"NF-BYDUREON BCise SubQ Susp ER 2MG/0.85M","0259","RC","Both",,,"850","425","Wellcare","Medicaid Managed Care",,,"40",,"344.25","0.04","2502.48","percent of total billed charges",,
"NF-BYDUREON BCise SubQ Susp ER 2MG/0.85M","0259","RC","Both",,,"850","425","Aetna","Commercial",,,"64",,"542.3","0.04","2502.48","percent of total billed charges",,
"NF-BYDUREON BCise SubQ Susp ER 2MG/0.85M","0259","RC","Both",,,"850","425","Blue Cross Blue Shield","Pathways",,,"71",,"600.1","0.04","2502.48","percent of total billed charges",,
"NF-BYDUREON BCise SubQ Susp ER 2MG/0.85M","0259","RC","Both",,,"850","425","Blue Cross Blue Shield","HMO",,,"71",,"600.1","0.04","2502.48","percent of total billed charges",,
"NF-BYDUREON BCise SubQ Susp ER 2MG/0.85M","0259","RC","Both",,,"850","425","Blue Cross Blue Shield","PPO",,,"71",,"600.1","0.04","2502.48","percent of total billed charges",,
"NF-BYDUREON BCise SubQ Susp ER 2MG/0.85M","0259","RC","Both",,,"850","425","Ambetter","Health Exchange",,,"62",,"527","0.04","2502.48","percent of total billed charges",,
"NF-BYDUREON BCise SubQ Susp ER 2MG/0.85M","0259","RC","Both",,,"850","425","Caresource","Health Exchange",,,"62",,"527","0.04","2502.48","percent of total billed charges",,
"NF-BYDUREON BCise SubQ Susp ER 2MG/0.85M","0259","RC","Both",,,"850","425","Cigna","Commercial",,,"59",,"498.1","0.04","2502.48","percent of total billed charges",,
"NF-BYDUREON BCise SubQ Susp ER 2MG/0.85M","0259","RC","Both",,,"850","425","Humana","Commercial",,,"78",,"658.75","0.04","2502.48","percent of total billed charges",,
"NF-BYDUREON BCise SubQ Susp ER 2MG/0.85M","0259","RC","Both",,,"850","425","UHC","Commercial",,,"75",,"640.9","0.04","2502.48","percent of total billed charges",,
"NF-BYDUREON BCise SubQ Susp ER 2MG/0.85M","0259","RC","Both",,,"850","425","Medicaid",,,,"37",,"311.1","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril Hydrochloride Tablet 20MG","0250","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Hydrochloride Tablet 20MG","0250","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Hydrochloride Tablet 20MG","0250","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Hydrochloride Tablet 20MG","0250","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Hydrochloride Tablet 20MG","0250","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Hydrochloride Tablet 20MG","0250","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Hydrochloride Tablet 20MG","0250","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Hydrochloride Tablet 20MG","0250","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Hydrochloride Tablet 20MG","0250","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Hydrochloride Tablet 20MG","0250","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Hydrochloride Tablet 20MG","0250","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Hydrochloride Tablet 20MG","0250","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Hydrochloride Tablet 20MG","0250","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Hydrochloride Tablet 20MG","0250","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Hydrochloride Tablet 20MG","0250","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Hydrochloride Tablet 20MG","0250","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Hydrochloride Tablet 20MG","0250","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Hydrochloride Tablet 20MG","0250","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Hydrochloride Tablet 20MG","0250","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","569.62","percent of total billed charges",,
"NF-Benazepril Hydrochloride Tablet 20MG","0250","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Alliant","Health Exchange",,,"62",,"44.02","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"38.34","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Medicare",,,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Humana","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","UHC","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Clover","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Wellcare","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Amerigroup","Medicaid Managed Care",,,"37",,"25.99","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Caresource","Medicaid Managed Care",,,"40",,"28.4","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Wellcare","Medicaid Managed Care",,,"40",,"28.76","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Aetna","Commercial",,,"64",,"45.3","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Blue Cross Blue Shield","Pathways",,,"71",,"50.13","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Blue Cross Blue Shield","HMO",,,"71",,"50.13","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Blue Cross Blue Shield","PPO",,,"71",,"50.13","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Ambetter","Health Exchange",,,"62",,"44.02","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Caresource","Health Exchange",,,"62",,"44.02","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Cigna","Commercial",,,"59",,"41.61","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Humana","Commercial",,,"78",,"55.02","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","UHC","Commercial",,,"75",,"53.53","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Medicaid",,,,"37",,"25.99","0.04","2502.48","percent of total billed charges",,
"NF-Mercaptopurine Tablet 50MG","0259","RC","Both",,,"21","10.5","Alliant","Health Exchange",,,"62",,"13.02","0.04","2502.48","percent of total billed charges",,
"NF-Mercaptopurine Tablet 50MG","0259","RC","Both",,,"21","10.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.34","0.04","2502.48","percent of total billed charges",,
"NF-Mercaptopurine Tablet 50MG","0259","RC","Both",,,"21","10.5","Medicare",,,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Mercaptopurine Tablet 50MG","0259","RC","Both",,,"21","10.5","Humana","Medicare Advantage",,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Mercaptopurine Tablet 50MG","0259","RC","Both",,,"21","10.5","UHC","Medicare Advantage",,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Mercaptopurine Tablet 50MG","0259","RC","Both",,,"21","10.5","Clover","Medicare Advantage",,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Mercaptopurine Tablet 50MG","0259","RC","Both",,,"21","10.5","Wellcare","Medicare Advantage",,,"54",,"11.38","0.04","2502.48","percent of total billed charges",,
"NF-Mercaptopurine Tablet 50MG","0259","RC","Both",,,"21","10.5","Amerigroup","Medicaid Managed Care",,,"37",,"7.69","0.04","2502.48","percent of total billed charges",,
"NF-Mercaptopurine Tablet 50MG","0259","RC","Both",,,"21","10.5","Caresource","Medicaid Managed Care",,,"40",,"8.4","0.04","2502.48","percent of total billed charges",,
"NF-Mercaptopurine Tablet 50MG","0259","RC","Both",,,"21","10.5","Wellcare","Medicaid Managed Care",,,"40",,"8.51","0.04","2502.48","percent of total billed charges",,
"NF-Mercaptopurine Tablet 50MG","0259","RC","Both",,,"21","10.5","Aetna","Commercial",,,"64",,"13.4","0.04","2502.48","percent of total billed charges",,
"NF-Mercaptopurine Tablet 50MG","0259","RC","Both",,,"21","10.5","Blue Cross Blue Shield","Pathways",,,"71",,"14.83","0.04","2502.48","percent of total billed charges",,
"NF-Mercaptopurine Tablet 50MG","0259","RC","Both",,,"21","10.5","Blue Cross Blue Shield","HMO",,,"71",,"14.83","0.04","2502.48","percent of total billed charges",,
"NF-Mercaptopurine Tablet 50MG","0259","RC","Both",,,"21","10.5","Blue Cross Blue Shield","PPO",,,"71",,"14.83","0.04","2502.48","percent of total billed charges",,
"NF-Mercaptopurine Tablet 50MG","0259","RC","Both",,,"21","10.5","Ambetter","Health Exchange",,,"62",,"13.02","0.04","2502.48","percent of total billed charges",,
"NF-Mercaptopurine Tablet 50MG","0259","RC","Both",,,"21","10.5","Caresource","Health Exchange",,,"62",,"13.02","0.04","2502.48","percent of total billed charges",,
"NF-Mercaptopurine Tablet 50MG","0259","RC","Both",,,"21","10.5","Cigna","Commercial",,,"59",,"12.31","0.04","2502.48","percent of total billed charges",,
"NF-Mercaptopurine Tablet 50MG","0259","RC","Both",,,"21","10.5","Humana","Commercial",,,"78",,"16.28","0.04","2502.48","percent of total billed charges",,
"NF-Mercaptopurine Tablet 50MG","0259","RC","Both",,,"21","10.5","UHC","Commercial",,,"75",,"15.83","0.04","2502.48","percent of total billed charges",,
"NF-Mercaptopurine Tablet 50MG","0259","RC","Both",,,"21","10.5","Medicaid",,,,"37",,"7.69","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Alliant","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.48","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Medicare",,,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Humana","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","UHC","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Clover","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Wellcare","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Amerigroup","Medicaid Managed Care",,,"37",,"4.39","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Caresource","Medicaid Managed Care",,,"40",,"4.8","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Wellcare","Medicaid Managed Care",,,"40",,"4.86","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Aetna","Commercial",,,"64",,"7.66","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","Pathways",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","HMO",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","PPO",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Ambetter","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Caresource","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Cigna","Commercial",,,"59",,"7.03","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Humana","Commercial",,,"78",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","UHC","Commercial",,,"75",,"9.05","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Medicaid",,,,"37",,"4.39","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Mercaptopurine Tablet 50MG","0259","RC","Both",,,"24","12","Alliant","Health Exchange",,,"62",,"14.88","0.04","2502.48","percent of total billed charges",,
"NF-Mercaptopurine Tablet 50MG","0259","RC","Both",,,"24","12","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.96","0.04","2502.48","percent of total billed charges",,
"NF-Mercaptopurine Tablet 50MG","0259","RC","Both",,,"24","12","Medicare",,,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Mercaptopurine Tablet 50MG","0259","RC","Both",,,"24","12","Humana","Medicare Advantage",,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Mercaptopurine Tablet 50MG","0259","RC","Both",,,"24","12","UHC","Medicare Advantage",,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Mercaptopurine Tablet 50MG","0259","RC","Both",,,"24","12","Clover","Medicare Advantage",,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Mercaptopurine Tablet 50MG","0259","RC","Both",,,"24","12","Wellcare","Medicare Advantage",,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Mercaptopurine Tablet 50MG","0259","RC","Both",,,"24","12","Amerigroup","Medicaid Managed Care",,,"37",,"8.78","0.04","2502.48","percent of total billed charges",,
"NF-Mercaptopurine Tablet 50MG","0259","RC","Both",,,"24","12","Caresource","Medicaid Managed Care",,,"40",,"9.6","0.04","2502.48","percent of total billed charges",,
"NF-Mercaptopurine Tablet 50MG","0259","RC","Both",,,"24","12","Wellcare","Medicaid Managed Care",,,"40",,"9.72","0.04","2502.48","percent of total billed charges",,
"NF-Mercaptopurine Tablet 50MG","0259","RC","Both",,,"24","12","Aetna","Commercial",,,"64",,"15.31","0.04","2502.48","percent of total billed charges",,
"NF-Mercaptopurine Tablet 50MG","0259","RC","Both",,,"24","12","Blue Cross Blue Shield","Pathways",,,"71",,"16.94","0.04","2502.48","percent of total billed charges",,
"NF-Mercaptopurine Tablet 50MG","0259","RC","Both",,,"24","12","Blue Cross Blue Shield","HMO",,,"71",,"16.94","0.04","2502.48","percent of total billed charges",,
"NF-Mercaptopurine Tablet 50MG","0259","RC","Both",,,"24","12","Blue Cross Blue Shield","PPO",,,"71",,"16.94","0.04","2502.48","percent of total billed charges",,
"NF-Mercaptopurine Tablet 50MG","0259","RC","Both",,,"24","12","Ambetter","Health Exchange",,,"62",,"14.88","0.04","2502.48","percent of total billed charges",,
"NF-Mercaptopurine Tablet 50MG","0259","RC","Both",,,"24","12","Caresource","Health Exchange",,,"62",,"14.88","0.04","2502.48","percent of total billed charges",,
"NF-Mercaptopurine Tablet 50MG","0259","RC","Both",,,"24","12","Cigna","Commercial",,,"59",,"14.06","0.04","2502.48","percent of total billed charges",,
"NF-Mercaptopurine Tablet 50MG","0259","RC","Both",,,"24","12","Humana","Commercial",,,"78",,"18.6","0.04","2502.48","percent of total billed charges",,
"NF-Mercaptopurine Tablet 50MG","0259","RC","Both",,,"24","12","UHC","Commercial",,,"75",,"18.1","0.04","2502.48","percent of total billed charges",,
"NF-Mercaptopurine Tablet 50MG","0259","RC","Both",,,"24","12","Medicaid",,,,"37",,"8.78","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Alliant","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.48","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Medicare",,,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Humana","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","UHC","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Clover","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Wellcare","Medicare Advantage",,,"54",,"6.5","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Amerigroup","Medicaid Managed Care",,,"37",,"4.39","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Caresource","Medicaid Managed Care",,,"40",,"4.8","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Wellcare","Medicaid Managed Care",,,"40",,"4.86","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Aetna","Commercial",,,"64",,"7.66","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","Pathways",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","HMO",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Blue Cross Blue Shield","PPO",,,"71",,"8.47","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Ambetter","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Caresource","Health Exchange",,,"62",,"7.44","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Cigna","Commercial",,,"59",,"7.03","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Humana","Commercial",,,"78",,"9.3","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","UHC","Commercial",,,"75",,"9.05","0.04","2502.48","percent of total billed charges",,
"NF-Methotrexate Oral Tablet 2.5MG","0259","RC","Both",,,"12","6","Medicaid",,,,"37",,"4.39","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"522","261","Alliant","Health Exchange",,,"62",,"323.64","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"522","261","Pruitt Healthcare","Medicare Advantage",,,"54",,"281.88","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"522","261","Medicare",,,,"54",,"282.92","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"522","261","Humana","Medicare Advantage",,,"54",,"282.92","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"522","261","UHC","Medicare Advantage",,,"54",,"282.92","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"522","261","Clover","Medicare Advantage",,,"54",,"282.92","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"522","261","Wellcare","Medicare Advantage",,,"54",,"282.92","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"522","261","Amerigroup","Medicaid Managed Care",,,"37",,"191.05","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"522","261","Caresource","Medicaid Managed Care",,,"40",,"208.8","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"522","261","Wellcare","Medicaid Managed Care",,,"40",,"211.41","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"522","261","Aetna","Commercial",,,"64",,"333.04","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"522","261","Blue Cross Blue Shield","Pathways",,,"71",,"368.53","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"522","261","Blue Cross Blue Shield","HMO",,,"71",,"368.53","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"522","261","Blue Cross Blue Shield","PPO",,,"71",,"368.53","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"522","261","Ambetter","Health Exchange",,,"62",,"323.64","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"522","261","Caresource","Health Exchange",,,"62",,"323.64","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"522","261","Cigna","Commercial",,,"59",,"305.89","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"522","261","Humana","Commercial",,,"78",,"404.55","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"522","261","UHC","Commercial",,,"75",,"393.59","0.04","2502.48","percent of total billed charges",,
"NF-Adempas Oral Tablet 2.5MG","0259","RC","Both",,,"522","261","Medicaid",,,,"37",,"191.05","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Alliant","Health Exchange",,,"62",,"44.02","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"38.34","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Medicare",,,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Humana","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","UHC","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Clover","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Wellcare","Medicare Advantage",,,"54",,"38.48","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Amerigroup","Medicaid Managed Care",,,"37",,"25.99","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Caresource","Medicaid Managed Care",,,"40",,"28.4","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Wellcare","Medicaid Managed Care",,,"40",,"28.76","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Aetna","Commercial",,,"64",,"45.3","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Blue Cross Blue Shield","Pathways",,,"71",,"50.13","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Blue Cross Blue Shield","HMO",,,"71",,"50.13","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Blue Cross Blue Shield","PPO",,,"71",,"50.13","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Ambetter","Health Exchange",,,"62",,"44.02","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Caresource","Health Exchange",,,"62",,"44.02","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Cigna","Commercial",,,"59",,"41.61","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Humana","Commercial",,,"78",,"55.02","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","UHC","Commercial",,,"75",,"53.53","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0259","RC","Both",,,"71","35.5","Medicaid",,,,"37",,"25.99","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Alliant","Health Exchange",,,"62",,"920.08","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Pruitt Healthcare","Medicare Advantage",,,"54",,"801.36","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Medicare",,,,"54",,"804.33","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Humana","Medicare Advantage",,,"54",,"804.33","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","UHC","Medicare Advantage",,,"54",,"804.33","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Clover","Medicare Advantage",,,"54",,"804.33","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Wellcare","Medicare Advantage",,,"54",,"804.33","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Amerigroup","Medicaid Managed Care",,,"37",,"543.14","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Caresource","Medicaid Managed Care",,,"40",,"593.6","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Wellcare","Medicaid Managed Care",,,"40",,"601.02","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Aetna","Commercial",,,"64",,"946.79","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Blue Cross Blue Shield","Pathways",,,"71",,"1047.7","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Blue Cross Blue Shield","HMO",,,"71",,"1047.7","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Blue Cross Blue Shield","PPO",,,"71",,"1047.7","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Ambetter","Health Exchange",,,"62",,"920.08","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Caresource","Health Exchange",,,"62",,"920.08","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Cigna","Commercial",,,"59",,"869.62","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Humana","Commercial",,,"78",,"1150.1","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","UHC","Commercial",,,"75",,"1118.94","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Medicaid",,,,"37",,"543.14","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Alliant","Health Exchange",,,"62",,"920.08","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Pruitt Healthcare","Medicare Advantage",,,"54",,"801.36","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Medicare",,,,"54",,"804.33","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Humana","Medicare Advantage",,,"54",,"804.33","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","UHC","Medicare Advantage",,,"54",,"804.33","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Clover","Medicare Advantage",,,"54",,"804.33","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Wellcare","Medicare Advantage",,,"54",,"804.33","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Amerigroup","Medicaid Managed Care",,,"37",,"543.14","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Caresource","Medicaid Managed Care",,,"40",,"593.6","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Wellcare","Medicaid Managed Care",,,"40",,"601.02","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Aetna","Commercial",,,"64",,"946.79","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Blue Cross Blue Shield","Pathways",,,"71",,"1047.7","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Blue Cross Blue Shield","HMO",,,"71",,"1047.7","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Blue Cross Blue Shield","PPO",,,"71",,"1047.7","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Ambetter","Health Exchange",,,"62",,"920.08","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Caresource","Health Exchange",,,"62",,"920.08","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Cigna","Commercial",,,"59",,"869.62","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Humana","Commercial",,,"78",,"1150.1","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","UHC","Commercial",,,"75",,"1118.94","0.04","2502.48","percent of total billed charges",,
"NF-Letairis Oral Tablet 5MG","0259","RC","Both",,,"1484","742","Medicaid",,,,"37",,"543.14","0.04","2502.48","percent of total billed charges",,
"NF-Allegra Oral Tablet 180MG","0259","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Allegra Oral Tablet 180MG","0259","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.04","2502.48","percent of total billed charges",,
"NF-Allegra Oral Tablet 180MG","0259","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Allegra Oral Tablet 180MG","0259","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Allegra Oral Tablet 180MG","0259","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Allegra Oral Tablet 180MG","0259","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Allegra Oral Tablet 180MG","0259","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Allegra Oral Tablet 180MG","0259","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Allegra Oral Tablet 180MG","0259","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.04","2502.48","percent of total billed charges",,
"NF-Allegra Oral Tablet 180MG","0259","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.04","2502.48","percent of total billed charges",,
"NF-Allegra Oral Tablet 180MG","0259","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.04","2502.48","percent of total billed charges",,
"NF-Allegra Oral Tablet 180MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Allegra Oral Tablet 180MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Allegra Oral Tablet 180MG","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"NF-Allegra Oral Tablet 180MG","0259","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Allegra Oral Tablet 180MG","0259","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Allegra Oral Tablet 180MG","0259","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.04","2502.48","percent of total billed charges",,
"NF-Allegra Oral Tablet 180MG","0259","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.04","2502.48","percent of total billed charges",,
"NF-Allegra Oral Tablet 180MG","0259","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.04","2502.48","percent of total billed charges",,
"NF-Allegra Oral Tablet 180MG","0259","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"NF-Perforomist Inhalation Soln 20MCG/2ML","0250","RC","Both",,,"33","16.5","Alliant","Health Exchange",,,"62",,"20.46","0.04","569.62","percent of total billed charges",,
"NF-Perforomist Inhalation Soln 20MCG/2ML","0250","RC","Both",,,"33","16.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.82","0.04","569.62","percent of total billed charges",,
"NF-Perforomist Inhalation Soln 20MCG/2ML","0250","RC","Both",,,"33","16.5","Medicare",,,,"54",,"17.89","0.04","569.62","percent of total billed charges",,
"NF-Perforomist Inhalation Soln 20MCG/2ML","0250","RC","Both",,,"33","16.5","Humana","Medicare Advantage",,,"54",,"17.89","0.04","569.62","percent of total billed charges",,
"NF-Perforomist Inhalation Soln 20MCG/2ML","0250","RC","Both",,,"33","16.5","UHC","Medicare Advantage",,,"54",,"17.89","0.04","569.62","percent of total billed charges",,
"NF-Perforomist Inhalation Soln 20MCG/2ML","0250","RC","Both",,,"33","16.5","Clover","Medicare Advantage",,,"54",,"17.89","0.04","569.62","percent of total billed charges",,
"NF-Perforomist Inhalation Soln 20MCG/2ML","0250","RC","Both",,,"33","16.5","Wellcare","Medicare Advantage",,,"54",,"17.89","0.04","569.62","percent of total billed charges",,
"NF-Perforomist Inhalation Soln 20MCG/2ML","0250","RC","Both",,,"33","16.5","Amerigroup","Medicaid Managed Care",,,"37",,"12.08","0.04","569.62","percent of total billed charges",,
"NF-Perforomist Inhalation Soln 20MCG/2ML","0250","RC","Both",,,"33","16.5","Caresource","Medicaid Managed Care",,,"40",,"13.2","0.04","569.62","percent of total billed charges",,
"NF-Perforomist Inhalation Soln 20MCG/2ML","0250","RC","Both",,,"33","16.5","Wellcare","Medicaid Managed Care",,,"40",,"13.36","0.04","569.62","percent of total billed charges",,
"NF-Perforomist Inhalation Soln 20MCG/2ML","0250","RC","Both",,,"33","16.5","Aetna","Commercial",,,"64",,"21.05","0.04","569.62","percent of total billed charges",,
"NF-Perforomist Inhalation Soln 20MCG/2ML","0250","RC","Both",,,"33","16.5","Blue Cross Blue Shield","Pathways",,,"71",,"23.3","0.04","569.62","percent of total billed charges",,
"NF-Perforomist Inhalation Soln 20MCG/2ML","0250","RC","Both",,,"33","16.5","Blue Cross Blue Shield","HMO",,,"71",,"23.3","0.04","569.62","percent of total billed charges",,
"NF-Perforomist Inhalation Soln 20MCG/2ML","0250","RC","Both",,,"33","16.5","Blue Cross Blue Shield","PPO",,,"71",,"23.3","0.04","569.62","percent of total billed charges",,
"NF-Perforomist Inhalation Soln 20MCG/2ML","0250","RC","Both",,,"33","16.5","Ambetter","Health Exchange",,,"62",,"20.46","0.04","569.62","percent of total billed charges",,
"NF-Perforomist Inhalation Soln 20MCG/2ML","0250","RC","Both",,,"33","16.5","Caresource","Health Exchange",,,"62",,"20.46","0.04","569.62","percent of total billed charges",,
"NF-Perforomist Inhalation Soln 20MCG/2ML","0250","RC","Both",,,"33","16.5","Cigna","Commercial",,,"59",,"19.34","0.04","569.62","percent of total billed charges",,
"NF-Perforomist Inhalation Soln 20MCG/2ML","0250","RC","Both",,,"33","16.5","Humana","Commercial",,,"78",,"25.58","0.04","569.62","percent of total billed charges",,
"NF-Perforomist Inhalation Soln 20MCG/2ML","0250","RC","Both",,,"33","16.5","UHC","Commercial",,,"75",,"24.88","0.04","569.62","percent of total billed charges",,
"NF-Perforomist Inhalation Soln 20MCG/2ML","0250","RC","Both",,,"33","16.5","Medicaid",,,,"37",,"12.08","0.04","569.62","percent of total billed charges",,
"NF-Robaxin Tablet 500mg","0259","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Robaxin Tablet 500mg","0259","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Robaxin Tablet 500mg","0259","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Robaxin Tablet 500mg","0259","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Robaxin Tablet 500mg","0259","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Robaxin Tablet 500mg","0259","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Robaxin Tablet 500mg","0259","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Robaxin Tablet 500mg","0259","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Robaxin Tablet 500mg","0259","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","2502.48","percent of total billed charges",,
"NF-Robaxin Tablet 500mg","0259","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","2502.48","percent of total billed charges",,
"NF-Robaxin Tablet 500mg","0259","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","2502.48","percent of total billed charges",,
"NF-Robaxin Tablet 500mg","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Robaxin Tablet 500mg","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Robaxin Tablet 500mg","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Robaxin Tablet 500mg","0259","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Robaxin Tablet 500mg","0259","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Robaxin Tablet 500mg","0259","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-Robaxin Tablet 500mg","0259","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","2502.48","percent of total billed charges",,
"NF-Robaxin Tablet 500mg","0259","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","2502.48","percent of total billed charges",,
"NF-Robaxin Tablet 500mg","0259","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-NovoLOG FlexPen SQ Soln 100U/ML","0250","RC","Both",,,"134","67","Alliant","Health Exchange",,,"62",,"83.08","0.04","569.62","percent of total billed charges",,
"NF-NovoLOG FlexPen SQ Soln 100U/ML","0250","RC","Both",,,"134","67","Pruitt Healthcare","Medicare Advantage",,,"54",,"72.36","0.04","569.62","percent of total billed charges",,
"NF-NovoLOG FlexPen SQ Soln 100U/ML","0250","RC","Both",,,"134","67","Medicare",,,,"54",,"72.63","0.04","569.62","percent of total billed charges",,
"NF-NovoLOG FlexPen SQ Soln 100U/ML","0250","RC","Both",,,"134","67","Humana","Medicare Advantage",,,"54",,"72.63","0.04","569.62","percent of total billed charges",,
"NF-NovoLOG FlexPen SQ Soln 100U/ML","0250","RC","Both",,,"134","67","UHC","Medicare Advantage",,,"54",,"72.63","0.04","569.62","percent of total billed charges",,
"NF-NovoLOG FlexPen SQ Soln 100U/ML","0250","RC","Both",,,"134","67","Clover","Medicare Advantage",,,"54",,"72.63","0.04","569.62","percent of total billed charges",,
"NF-NovoLOG FlexPen SQ Soln 100U/ML","0250","RC","Both",,,"134","67","Wellcare","Medicare Advantage",,,"54",,"72.63","0.04","569.62","percent of total billed charges",,
"NF-NovoLOG FlexPen SQ Soln 100U/ML","0250","RC","Both",,,"134","67","Amerigroup","Medicaid Managed Care",,,"37",,"49.04","0.04","569.62","percent of total billed charges",,
"NF-NovoLOG FlexPen SQ Soln 100U/ML","0250","RC","Both",,,"134","67","Caresource","Medicaid Managed Care",,,"40",,"53.6","0.04","569.62","percent of total billed charges",,
"NF-NovoLOG FlexPen SQ Soln 100U/ML","0250","RC","Both",,,"134","67","Wellcare","Medicaid Managed Care",,,"40",,"54.27","0.04","569.62","percent of total billed charges",,
"NF-NovoLOG FlexPen SQ Soln 100U/ML","0250","RC","Both",,,"134","67","Aetna","Commercial",,,"64",,"85.49","0.04","569.62","percent of total billed charges",,
"NF-NovoLOG FlexPen SQ Soln 100U/ML","0250","RC","Both",,,"134","67","Blue Cross Blue Shield","Pathways",,,"71",,"94.6","0.04","569.62","percent of total billed charges",,
"NF-NovoLOG FlexPen SQ Soln 100U/ML","0250","RC","Both",,,"134","67","Blue Cross Blue Shield","HMO",,,"71",,"94.6","0.04","569.62","percent of total billed charges",,
"NF-NovoLOG FlexPen SQ Soln 100U/ML","0250","RC","Both",,,"134","67","Blue Cross Blue Shield","PPO",,,"71",,"94.6","0.04","569.62","percent of total billed charges",,
"NF-NovoLOG FlexPen SQ Soln 100U/ML","0250","RC","Both",,,"134","67","Ambetter","Health Exchange",,,"62",,"83.08","0.04","569.62","percent of total billed charges",,
"NF-NovoLOG FlexPen SQ Soln 100U/ML","0250","RC","Both",,,"134","67","Caresource","Health Exchange",,,"62",,"83.08","0.04","569.62","percent of total billed charges",,
"NF-NovoLOG FlexPen SQ Soln 100U/ML","0250","RC","Both",,,"134","67","Cigna","Commercial",,,"59",,"78.52","0.04","569.62","percent of total billed charges",,
"NF-NovoLOG FlexPen SQ Soln 100U/ML","0250","RC","Both",,,"134","67","Humana","Commercial",,,"78",,"103.85","0.04","569.62","percent of total billed charges",,
"NF-NovoLOG FlexPen SQ Soln 100U/ML","0250","RC","Both",,,"134","67","UHC","Commercial",,,"75",,"101.04","0.04","569.62","percent of total billed charges",,
"NF-NovoLOG FlexPen SQ Soln 100U/ML","0250","RC","Both",,,"134","67","Medicaid",,,,"37",,"49.04","0.04","569.62","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0250","RC","Both",,,"137","68.5","Alliant","Health Exchange",,,"62",,"84.94","0.04","569.62","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0250","RC","Both",,,"137","68.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"73.98","0.04","569.62","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0250","RC","Both",,,"137","68.5","Medicare",,,,"54",,"74.25","0.04","569.62","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0250","RC","Both",,,"137","68.5","Humana","Medicare Advantage",,,"54",,"74.25","0.04","569.62","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0250","RC","Both",,,"137","68.5","UHC","Medicare Advantage",,,"54",,"74.25","0.04","569.62","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0250","RC","Both",,,"137","68.5","Clover","Medicare Advantage",,,"54",,"74.25","0.04","569.62","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0250","RC","Both",,,"137","68.5","Wellcare","Medicare Advantage",,,"54",,"74.25","0.04","569.62","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0250","RC","Both",,,"137","68.5","Amerigroup","Medicaid Managed Care",,,"37",,"50.14","0.04","569.62","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0250","RC","Both",,,"137","68.5","Caresource","Medicaid Managed Care",,,"40",,"54.8","0.04","569.62","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0250","RC","Both",,,"137","68.5","Wellcare","Medicaid Managed Care",,,"40",,"55.49","0.04","569.62","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0250","RC","Both",,,"137","68.5","Aetna","Commercial",,,"64",,"87.41","0.04","569.62","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0250","RC","Both",,,"137","68.5","Blue Cross Blue Shield","Pathways",,,"71",,"96.72","0.04","569.62","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0250","RC","Both",,,"137","68.5","Blue Cross Blue Shield","HMO",,,"71",,"96.72","0.04","569.62","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0250","RC","Both",,,"137","68.5","Blue Cross Blue Shield","PPO",,,"71",,"96.72","0.04","569.62","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0250","RC","Both",,,"137","68.5","Ambetter","Health Exchange",,,"62",,"84.94","0.04","569.62","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0250","RC","Both",,,"137","68.5","Caresource","Health Exchange",,,"62",,"84.94","0.04","569.62","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0250","RC","Both",,,"137","68.5","Cigna","Commercial",,,"59",,"80.28","0.04","569.62","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0250","RC","Both",,,"137","68.5","Humana","Commercial",,,"78",,"106.18","0.04","569.62","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0250","RC","Both",,,"137","68.5","UHC","Commercial",,,"75",,"103.3","0.04","569.62","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0250","RC","Both",,,"137","68.5","Medicaid",,,,"37",,"50.14","0.04","569.62","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0250","RC","Both",,,"37","18.5","Alliant","Health Exchange",,,"62",,"22.94","0.04","569.62","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0250","RC","Both",,,"37","18.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.98","0.04","569.62","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0250","RC","Both",,,"37","18.5","Medicare",,,,"54",,"20.05","0.04","569.62","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0250","RC","Both",,,"37","18.5","Humana","Medicare Advantage",,,"54",,"20.05","0.04","569.62","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0250","RC","Both",,,"37","18.5","UHC","Medicare Advantage",,,"54",,"20.05","0.04","569.62","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0250","RC","Both",,,"37","18.5","Clover","Medicare Advantage",,,"54",,"20.05","0.04","569.62","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0250","RC","Both",,,"37","18.5","Wellcare","Medicare Advantage",,,"54",,"20.05","0.04","569.62","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0250","RC","Both",,,"37","18.5","Amerigroup","Medicaid Managed Care",,,"37",,"13.54","0.04","569.62","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0250","RC","Both",,,"37","18.5","Caresource","Medicaid Managed Care",,,"40",,"14.8","0.04","569.62","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0250","RC","Both",,,"37","18.5","Wellcare","Medicaid Managed Care",,,"40",,"14.99","0.04","569.62","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0250","RC","Both",,,"37","18.5","Aetna","Commercial",,,"64",,"23.61","0.04","569.62","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0250","RC","Both",,,"37","18.5","Blue Cross Blue Shield","Pathways",,,"71",,"26.12","0.04","569.62","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0250","RC","Both",,,"37","18.5","Blue Cross Blue Shield","HMO",,,"71",,"26.12","0.04","569.62","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0250","RC","Both",,,"37","18.5","Blue Cross Blue Shield","PPO",,,"71",,"26.12","0.04","569.62","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0250","RC","Both",,,"37","18.5","Ambetter","Health Exchange",,,"62",,"22.94","0.04","569.62","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0250","RC","Both",,,"37","18.5","Caresource","Health Exchange",,,"62",,"22.94","0.04","569.62","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0250","RC","Both",,,"37","18.5","Cigna","Commercial",,,"59",,"21.68","0.04","569.62","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0250","RC","Both",,,"37","18.5","Humana","Commercial",,,"78",,"28.68","0.04","569.62","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0250","RC","Both",,,"37","18.5","UHC","Commercial",,,"75",,"27.9","0.04","569.62","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","0250","RC","Both",,,"37","18.5","Medicaid",,,,"37",,"13.54","0.04","569.62","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Alliant","Health Exchange",,,"62",,"75.64","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Pruitt Healthcare","Medicare Advantage",,,"54",,"65.88","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Medicare",,,,"54",,"66.12","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Humana","Medicare Advantage",,,"54",,"66.12","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","UHC","Medicare Advantage",,,"54",,"66.12","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Clover","Medicare Advantage",,,"54",,"66.12","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Wellcare","Medicare Advantage",,,"54",,"66.12","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Amerigroup","Medicaid Managed Care",,,"37",,"44.65","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Caresource","Medicaid Managed Care",,,"40",,"48.8","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Wellcare","Medicaid Managed Care",,,"40",,"49.41","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Aetna","Commercial",,,"64",,"77.84","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Blue Cross Blue Shield","Pathways",,,"71",,"86.13","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Blue Cross Blue Shield","HMO",,,"71",,"86.13","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Blue Cross Blue Shield","PPO",,,"71",,"86.13","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Ambetter","Health Exchange",,,"62",,"75.64","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Caresource","Health Exchange",,,"62",,"75.64","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Cigna","Commercial",,,"59",,"71.49","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Humana","Commercial",,,"78",,"94.55","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","UHC","Commercial",,,"75",,"91.99","0.04","2502.48","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","0259","RC","Both",,,"122","61","Medicaid",,,,"37",,"44.65","0.04","2502.48","percent of total billed charges",,
"NF-Letrozole Oral Tablet 2.5MG","0259","RC","Both",,,"54","27","Alliant","Health Exchange",,,"62",,"33.48","0.04","2502.48","percent of total billed charges",,
"NF-Letrozole Oral Tablet 2.5MG","0259","RC","Both",,,"54","27","Pruitt Healthcare","Medicare Advantage",,,"54",,"29.16","0.04","2502.48","percent of total billed charges",,
"NF-Letrozole Oral Tablet 2.5MG","0259","RC","Both",,,"54","27","Medicare",,,,"54",,"29.27","0.04","2502.48","percent of total billed charges",,
"NF-Letrozole Oral Tablet 2.5MG","0259","RC","Both",,,"54","27","Humana","Medicare Advantage",,,"54",,"29.27","0.04","2502.48","percent of total billed charges",,
"NF-Letrozole Oral Tablet 2.5MG","0259","RC","Both",,,"54","27","UHC","Medicare Advantage",,,"54",,"29.27","0.04","2502.48","percent of total billed charges",,
"NF-Letrozole Oral Tablet 2.5MG","0259","RC","Both",,,"54","27","Clover","Medicare Advantage",,,"54",,"29.27","0.04","2502.48","percent of total billed charges",,
"NF-Letrozole Oral Tablet 2.5MG","0259","RC","Both",,,"54","27","Wellcare","Medicare Advantage",,,"54",,"29.27","0.04","2502.48","percent of total billed charges",,
"NF-Letrozole Oral Tablet 2.5MG","0259","RC","Both",,,"54","27","Amerigroup","Medicaid Managed Care",,,"37",,"19.76","0.04","2502.48","percent of total billed charges",,
"NF-Letrozole Oral Tablet 2.5MG","0259","RC","Both",,,"54","27","Caresource","Medicaid Managed Care",,,"40",,"21.6","0.04","2502.48","percent of total billed charges",,
"NF-Letrozole Oral Tablet 2.5MG","0259","RC","Both",,,"54","27","Wellcare","Medicaid Managed Care",,,"40",,"21.87","0.04","2502.48","percent of total billed charges",,
"NF-Letrozole Oral Tablet 2.5MG","0259","RC","Both",,,"54","27","Aetna","Commercial",,,"64",,"34.45","0.04","2502.48","percent of total billed charges",,
"NF-Letrozole Oral Tablet 2.5MG","0259","RC","Both",,,"54","27","Blue Cross Blue Shield","Pathways",,,"71",,"38.12","0.04","2502.48","percent of total billed charges",,
"NF-Letrozole Oral Tablet 2.5MG","0259","RC","Both",,,"54","27","Blue Cross Blue Shield","HMO",,,"71",,"38.12","0.04","2502.48","percent of total billed charges",,
"NF-Letrozole Oral Tablet 2.5MG","0259","RC","Both",,,"54","27","Blue Cross Blue Shield","PPO",,,"71",,"38.12","0.04","2502.48","percent of total billed charges",,
"NF-Letrozole Oral Tablet 2.5MG","0259","RC","Both",,,"54","27","Ambetter","Health Exchange",,,"62",,"33.48","0.04","2502.48","percent of total billed charges",,
"NF-Letrozole Oral Tablet 2.5MG","0259","RC","Both",,,"54","27","Caresource","Health Exchange",,,"62",,"33.48","0.04","2502.48","percent of total billed charges",,
"NF-Letrozole Oral Tablet 2.5MG","0259","RC","Both",,,"54","27","Cigna","Commercial",,,"59",,"31.64","0.04","2502.48","percent of total billed charges",,
"NF-Letrozole Oral Tablet 2.5MG","0259","RC","Both",,,"54","27","Humana","Commercial",,,"78",,"41.85","0.04","2502.48","percent of total billed charges",,
"NF-Letrozole Oral Tablet 2.5MG","0259","RC","Both",,,"54","27","UHC","Commercial",,,"75",,"40.72","0.04","2502.48","percent of total billed charges",,
"NF-Letrozole Oral Tablet 2.5MG","0259","RC","Both",,,"54","27","Medicaid",,,,"37",,"19.76","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Oral Tablet DR 20MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Oral Tablet DR 20MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Oral Tablet DR 20MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Oral Tablet DR 20MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Oral Tablet DR 20MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Oral Tablet DR 20MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Oral Tablet DR 20MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Oral Tablet DR 20MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Oral Tablet DR 20MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Oral Tablet DR 20MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Oral Tablet DR 20MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Oral Tablet DR 20MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Oral Tablet DR 20MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Oral Tablet DR 20MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Oral Tablet DR 20MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Oral Tablet DR 20MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Oral Tablet DR 20MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Oral Tablet DR 20MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Oral Tablet DR 20MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Oral Tablet DR 20MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0250","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","569.62","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0250","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","569.62","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0250","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","569.62","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0250","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","569.62","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0250","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","569.62","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0250","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","569.62","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0250","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","569.62","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0250","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","569.62","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0250","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","569.62","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0250","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","569.62","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0250","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","569.62","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0250","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","569.62","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0250","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","569.62","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0250","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","569.62","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0250","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","569.62","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0250","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","569.62","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0250","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","569.62","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0250","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","569.62","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0250","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","569.62","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 3","0250","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","569.62","percent of total billed charges",,
"NF-Dantrolene Sodium Oral Capsule 100MG","0259","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Dantrolene Sodium Oral Capsule 100MG","0259","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-Dantrolene Sodium Oral Capsule 100MG","0259","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Dantrolene Sodium Oral Capsule 100MG","0259","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Dantrolene Sodium Oral Capsule 100MG","0259","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Dantrolene Sodium Oral Capsule 100MG","0259","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Dantrolene Sodium Oral Capsule 100MG","0259","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Dantrolene Sodium Oral Capsule 100MG","0259","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Dantrolene Sodium Oral Capsule 100MG","0259","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","2502.48","percent of total billed charges",,
"NF-Dantrolene Sodium Oral Capsule 100MG","0259","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","2502.48","percent of total billed charges",,
"NF-Dantrolene Sodium Oral Capsule 100MG","0259","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","2502.48","percent of total billed charges",,
"NF-Dantrolene Sodium Oral Capsule 100MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Dantrolene Sodium Oral Capsule 100MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Dantrolene Sodium Oral Capsule 100MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Dantrolene Sodium Oral Capsule 100MG","0259","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Dantrolene Sodium Oral Capsule 100MG","0259","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Dantrolene Sodium Oral Capsule 100MG","0259","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-Dantrolene Sodium Oral Capsule 100MG","0259","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","2502.48","percent of total billed charges",,
"NF-Dantrolene Sodium Oral Capsule 100MG","0259","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","2502.48","percent of total billed charges",,
"NF-Dantrolene Sodium Oral Capsule 100MG","0259","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Alliant","Health Exchange",,,"62",,"45.26","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"39.42","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Medicare",,,,"54",,"39.57","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Humana","Medicare Advantage",,,"54",,"39.57","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","UHC","Medicare Advantage",,,"54",,"39.57","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Clover","Medicare Advantage",,,"54",,"39.57","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Wellcare","Medicare Advantage",,,"54",,"39.57","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Amerigroup","Medicaid Managed Care",,,"37",,"26.72","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Caresource","Medicaid Managed Care",,,"40",,"29.2","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Wellcare","Medicaid Managed Care",,,"40",,"29.56","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Aetna","Commercial",,,"64",,"46.57","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Blue Cross Blue Shield","Pathways",,,"71",,"51.54","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Blue Cross Blue Shield","HMO",,,"71",,"51.54","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Blue Cross Blue Shield","PPO",,,"71",,"51.54","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Ambetter","Health Exchange",,,"62",,"45.26","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Caresource","Health Exchange",,,"62",,"45.26","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Cigna","Commercial",,,"59",,"42.78","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Humana","Commercial",,,"78",,"56.58","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","UHC","Commercial",,,"75",,"55.04","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Medicaid",,,,"37",,"26.72","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Medicare",,,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","0.04","2502.48","percent of total billed charges",,
"NF-Pramipexole Dihydrochloride Tab 1.5MG","0259","RC","Both",,,"8","4","Medicaid",,,,"37",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Ginkgo Extra Strength Capsule 120MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Ginkgo Extra Strength Capsule 120MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Ginkgo Extra Strength Capsule 120MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Ginkgo Extra Strength Capsule 120MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Ginkgo Extra Strength Capsule 120MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Ginkgo Extra Strength Capsule 120MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Ginkgo Extra Strength Capsule 120MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Ginkgo Extra Strength Capsule 120MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Ginkgo Extra Strength Capsule 120MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Ginkgo Extra Strength Capsule 120MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Ginkgo Extra Strength Capsule 120MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Ginkgo Extra Strength Capsule 120MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Ginkgo Extra Strength Capsule 120MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Ginkgo Extra Strength Capsule 120MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Ginkgo Extra Strength Capsule 120MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Ginkgo Extra Strength Capsule 120MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Ginkgo Extra Strength Capsule 120MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Ginkgo Extra Strength Capsule 120MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Ginkgo Extra Strength Capsule 120MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Ginkgo Extra Strength Capsule 120MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Alliant","Health Exchange",,,"62",,"37.82","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"32.94","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Medicare",,,,"54",,"33.06","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Humana","Medicare Advantage",,,"54",,"33.06","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","UHC","Medicare Advantage",,,"54",,"33.06","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Clover","Medicare Advantage",,,"54",,"33.06","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Wellcare","Medicare Advantage",,,"54",,"33.06","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Amerigroup","Medicaid Managed Care",,,"37",,"22.33","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Caresource","Medicaid Managed Care",,,"40",,"24.4","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Wellcare","Medicaid Managed Care",,,"40",,"24.7","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Aetna","Commercial",,,"64",,"38.92","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Blue Cross Blue Shield","Pathways",,,"71",,"43.07","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Blue Cross Blue Shield","HMO",,,"71",,"43.07","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Blue Cross Blue Shield","PPO",,,"71",,"43.07","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Ambetter","Health Exchange",,,"62",,"37.82","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Caresource","Health Exchange",,,"62",,"37.82","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Cigna","Commercial",,,"59",,"35.75","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Humana","Commercial",,,"78",,"47.28","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","UHC","Commercial",,,"75",,"45.99","0.04","2502.48","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","0259","RC","Both",,,"61","30.5","Medicaid",,,,"37",,"22.33","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Alliant","Health Exchange",,,"62",,"45.26","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"39.42","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Medicare",,,,"54",,"39.57","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Humana","Medicare Advantage",,,"54",,"39.57","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","UHC","Medicare Advantage",,,"54",,"39.57","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Clover","Medicare Advantage",,,"54",,"39.57","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Wellcare","Medicare Advantage",,,"54",,"39.57","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Amerigroup","Medicaid Managed Care",,,"37",,"26.72","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Caresource","Medicaid Managed Care",,,"40",,"29.2","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Wellcare","Medicaid Managed Care",,,"40",,"29.56","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Aetna","Commercial",,,"64",,"46.57","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Blue Cross Blue Shield","Pathways",,,"71",,"51.54","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Blue Cross Blue Shield","HMO",,,"71",,"51.54","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Blue Cross Blue Shield","PPO",,,"71",,"51.54","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Ambetter","Health Exchange",,,"62",,"45.26","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Caresource","Health Exchange",,,"62",,"45.26","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Cigna","Commercial",,,"59",,"42.78","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Humana","Commercial",,,"78",,"56.58","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","UHC","Commercial",,,"75",,"55.04","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Medicaid",,,,"37",,"26.72","0.04","2502.48","percent of total billed charges",,
"NF-AMBRISENTAN ORAL TABLET 5MG","0259","RC","Both",,,"1021.77","510.885","Alliant","Health Exchange",,,"62",,"633.5","0.04","2502.48","percent of total billed charges",,
"NF-AMBRISENTAN ORAL TABLET 5MG","0259","RC","Both",,,"1021.77","510.885","Pruitt Healthcare","Medicare Advantage",,,"54",,"551.76","0.04","2502.48","percent of total billed charges",,
"NF-AMBRISENTAN ORAL TABLET 5MG","0259","RC","Both",,,"1021.77","510.885","Medicare",,,,"54",,"553.8","0.04","2502.48","percent of total billed charges",,
"NF-AMBRISENTAN ORAL TABLET 5MG","0259","RC","Both",,,"1021.77","510.885","Humana","Medicare Advantage",,,"54",,"553.8","0.04","2502.48","percent of total billed charges",,
"NF-AMBRISENTAN ORAL TABLET 5MG","0259","RC","Both",,,"1021.77","510.885","UHC","Medicare Advantage",,,"54",,"553.8","0.04","2502.48","percent of total billed charges",,
"NF-AMBRISENTAN ORAL TABLET 5MG","0259","RC","Both",,,"1021.77","510.885","Clover","Medicare Advantage",,,"54",,"553.8","0.04","2502.48","percent of total billed charges",,
"NF-AMBRISENTAN ORAL TABLET 5MG","0259","RC","Both",,,"1021.77","510.885","Wellcare","Medicare Advantage",,,"54",,"553.8","0.04","2502.48","percent of total billed charges",,
"NF-AMBRISENTAN ORAL TABLET 5MG","0259","RC","Both",,,"1021.77","510.885","Amerigroup","Medicaid Managed Care",,,"37",,"373.97","0.04","2502.48","percent of total billed charges",,
"NF-AMBRISENTAN ORAL TABLET 5MG","0259","RC","Both",,,"1021.77","510.885","Caresource","Medicaid Managed Care",,,"40",,"408.71","0.04","2502.48","percent of total billed charges",,
"NF-AMBRISENTAN ORAL TABLET 5MG","0259","RC","Both",,,"1021.77","510.885","Wellcare","Medicaid Managed Care",,,"40",,"413.82","0.04","2502.48","percent of total billed charges",,
"NF-AMBRISENTAN ORAL TABLET 5MG","0259","RC","Both",,,"1021.77","510.885","Aetna","Commercial",,,"64",,"651.89","0.04","2502.48","percent of total billed charges",,
"NF-AMBRISENTAN ORAL TABLET 5MG","0259","RC","Both",,,"1021.77","510.885","Blue Cross Blue Shield","Pathways",,,"71",,"721.37","0.04","2502.48","percent of total billed charges",,
"NF-AMBRISENTAN ORAL TABLET 5MG","0259","RC","Both",,,"1021.77","510.885","Blue Cross Blue Shield","HMO",,,"71",,"721.37","0.04","2502.48","percent of total billed charges",,
"NF-AMBRISENTAN ORAL TABLET 5MG","0259","RC","Both",,,"1021.77","510.885","Blue Cross Blue Shield","PPO",,,"71",,"721.37","0.04","2502.48","percent of total billed charges",,
"NF-AMBRISENTAN ORAL TABLET 5MG","0259","RC","Both",,,"1021.77","510.885","Ambetter","Health Exchange",,,"62",,"633.5","0.04","2502.48","percent of total billed charges",,
"NF-AMBRISENTAN ORAL TABLET 5MG","0259","RC","Both",,,"1021.77","510.885","Caresource","Health Exchange",,,"62",,"633.5","0.04","2502.48","percent of total billed charges",,
"NF-AMBRISENTAN ORAL TABLET 5MG","0259","RC","Both",,,"1021.77","510.885","Cigna","Commercial",,,"59",,"598.76","0.04","2502.48","percent of total billed charges",,
"NF-AMBRISENTAN ORAL TABLET 5MG","0259","RC","Both",,,"1021.77","510.885","Humana","Commercial",,,"78",,"791.87","0.04","2502.48","percent of total billed charges",,
"NF-AMBRISENTAN ORAL TABLET 5MG","0259","RC","Both",,,"1021.77","510.885","UHC","Commercial",,,"75",,"770.41","0.04","2502.48","percent of total billed charges",,
"NF-AMBRISENTAN ORAL TABLET 5MG","0259","RC","Both",,,"1021.77","510.885","Medicaid",,,,"37",,"373.97","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"73","36.5","Alliant","Health Exchange",,,"62",,"45.26","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"73","36.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"39.42","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"73","36.5","Medicare",,,,"54",,"39.57","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"73","36.5","Humana","Medicare Advantage",,,"54",,"39.57","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"73","36.5","UHC","Medicare Advantage",,,"54",,"39.57","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"73","36.5","Clover","Medicare Advantage",,,"54",,"39.57","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"73","36.5","Wellcare","Medicare Advantage",,,"54",,"39.57","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"73","36.5","Amerigroup","Medicaid Managed Care",,,"37",,"26.72","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"73","36.5","Caresource","Medicaid Managed Care",,,"40",,"29.2","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"73","36.5","Wellcare","Medicaid Managed Care",,,"40",,"29.56","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"73","36.5","Aetna","Commercial",,,"64",,"46.57","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"73","36.5","Blue Cross Blue Shield","Pathways",,,"71",,"51.54","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"73","36.5","Blue Cross Blue Shield","HMO",,,"71",,"51.54","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"73","36.5","Blue Cross Blue Shield","PPO",,,"71",,"51.54","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"73","36.5","Ambetter","Health Exchange",,,"62",,"45.26","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"73","36.5","Caresource","Health Exchange",,,"62",,"45.26","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"73","36.5","Cigna","Commercial",,,"59",,"42.78","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"73","36.5","Humana","Commercial",,,"78",,"56.58","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"73","36.5","UHC","Commercial",,,"75",,"55.04","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","0250","RC","Both",,,"73","36.5","Medicaid",,,,"37",,"26.72","0.04","569.62","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"39","19.5","Alliant","Health Exchange",,,"62",,"24.18","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"39","19.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"21.06","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"39","19.5","Medicare",,,,"54",,"21.14","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"39","19.5","Humana","Medicare Advantage",,,"54",,"21.14","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"39","19.5","UHC","Medicare Advantage",,,"54",,"21.14","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"39","19.5","Clover","Medicare Advantage",,,"54",,"21.14","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"39","19.5","Wellcare","Medicare Advantage",,,"54",,"21.14","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"39","19.5","Amerigroup","Medicaid Managed Care",,,"37",,"14.27","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"39","19.5","Caresource","Medicaid Managed Care",,,"40",,"15.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"39","19.5","Wellcare","Medicaid Managed Care",,,"40",,"15.8","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"39","19.5","Aetna","Commercial",,,"64",,"24.88","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"39","19.5","Blue Cross Blue Shield","Pathways",,,"71",,"27.53","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"39","19.5","Blue Cross Blue Shield","HMO",,,"71",,"27.53","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"39","19.5","Blue Cross Blue Shield","PPO",,,"71",,"27.53","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"39","19.5","Ambetter","Health Exchange",,,"62",,"24.18","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"39","19.5","Caresource","Health Exchange",,,"62",,"24.18","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"39","19.5","Cigna","Commercial",,,"59",,"22.85","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"39","19.5","Humana","Commercial",,,"78",,"30.22","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"39","19.5","UHC","Commercial",,,"75",,"29.41","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"39","19.5","Medicaid",,,,"37",,"14.27","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Alliant","Health Exchange",,,"62",,"14.88","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.96","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Medicare",,,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Humana","Medicare Advantage",,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","UHC","Medicare Advantage",,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Clover","Medicare Advantage",,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Wellcare","Medicare Advantage",,,"54",,"13.01","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Amerigroup","Medicaid Managed Care",,,"37",,"8.78","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Caresource","Medicaid Managed Care",,,"40",,"9.6","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Wellcare","Medicaid Managed Care",,,"40",,"9.72","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Aetna","Commercial",,,"64",,"15.31","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Blue Cross Blue Shield","Pathways",,,"71",,"16.94","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Blue Cross Blue Shield","HMO",,,"71",,"16.94","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Blue Cross Blue Shield","PPO",,,"71",,"16.94","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Ambetter","Health Exchange",,,"62",,"14.88","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Caresource","Health Exchange",,,"62",,"14.88","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Cigna","Commercial",,,"59",,"14.06","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Humana","Commercial",,,"78",,"18.6","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","UHC","Commercial",,,"75",,"18.1","0.04","2502.48","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","0259","RC","Both",,,"24","12","Medicaid",,,,"37",,"8.78","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"82","41","Alliant","Health Exchange",,,"62",,"50.84","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"82","41","Pruitt Healthcare","Medicare Advantage",,,"54",,"44.28","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"82","41","Medicare",,,,"54",,"44.44","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"82","41","Humana","Medicare Advantage",,,"54",,"44.44","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"82","41","UHC","Medicare Advantage",,,"54",,"44.44","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"82","41","Clover","Medicare Advantage",,,"54",,"44.44","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"82","41","Wellcare","Medicare Advantage",,,"54",,"44.44","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"82","41","Amerigroup","Medicaid Managed Care",,,"37",,"30.01","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"82","41","Caresource","Medicaid Managed Care",,,"40",,"32.8","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"82","41","Wellcare","Medicaid Managed Care",,,"40",,"33.21","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"82","41","Aetna","Commercial",,,"64",,"52.32","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"82","41","Blue Cross Blue Shield","Pathways",,,"71",,"57.89","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"82","41","Blue Cross Blue Shield","HMO",,,"71",,"57.89","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"82","41","Blue Cross Blue Shield","PPO",,,"71",,"57.89","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"82","41","Ambetter","Health Exchange",,,"62",,"50.84","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"82","41","Caresource","Health Exchange",,,"62",,"50.84","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"82","41","Cigna","Commercial",,,"59",,"48.05","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"82","41","Humana","Commercial",,,"78",,"63.55","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"82","41","UHC","Commercial",,,"75",,"61.83","0.04","2502.48","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","0259","RC","Both",,,"82","41","Medicaid",,,,"37",,"30.01","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","0259","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","0259","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","0259","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","0259","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","0259","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","0259","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","0259","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","0259","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","0259","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","0259","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","0259","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","0259","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","0259","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","0259","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","0259","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","0259","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","0259","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.04","2502.48","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","0259","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Hydrochloride Oral Tablet 1","0259","RC","Both",,,"49","24.5","Alliant","Health Exchange",,,"62",,"30.38","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Hydrochloride Oral Tablet 1","0259","RC","Both",,,"49","24.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"26.46","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Hydrochloride Oral Tablet 1","0259","RC","Both",,,"49","24.5","Medicare",,,,"54",,"26.56","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Hydrochloride Oral Tablet 1","0259","RC","Both",,,"49","24.5","Humana","Medicare Advantage",,,"54",,"26.56","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Hydrochloride Oral Tablet 1","0259","RC","Both",,,"49","24.5","UHC","Medicare Advantage",,,"54",,"26.56","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Hydrochloride Oral Tablet 1","0259","RC","Both",,,"49","24.5","Clover","Medicare Advantage",,,"54",,"26.56","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Hydrochloride Oral Tablet 1","0259","RC","Both",,,"49","24.5","Wellcare","Medicare Advantage",,,"54",,"26.56","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Hydrochloride Oral Tablet 1","0259","RC","Both",,,"49","24.5","Amerigroup","Medicaid Managed Care",,,"37",,"17.93","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Hydrochloride Oral Tablet 1","0259","RC","Both",,,"49","24.5","Caresource","Medicaid Managed Care",,,"40",,"19.6","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Hydrochloride Oral Tablet 1","0259","RC","Both",,,"49","24.5","Wellcare","Medicaid Managed Care",,,"40",,"19.85","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Hydrochloride Oral Tablet 1","0259","RC","Both",,,"49","24.5","Aetna","Commercial",,,"64",,"31.26","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Hydrochloride Oral Tablet 1","0259","RC","Both",,,"49","24.5","Blue Cross Blue Shield","Pathways",,,"71",,"34.59","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Hydrochloride Oral Tablet 1","0259","RC","Both",,,"49","24.5","Blue Cross Blue Shield","HMO",,,"71",,"34.59","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Hydrochloride Oral Tablet 1","0259","RC","Both",,,"49","24.5","Blue Cross Blue Shield","PPO",,,"71",,"34.59","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Hydrochloride Oral Tablet 1","0259","RC","Both",,,"49","24.5","Ambetter","Health Exchange",,,"62",,"30.38","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Hydrochloride Oral Tablet 1","0259","RC","Both",,,"49","24.5","Caresource","Health Exchange",,,"62",,"30.38","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Hydrochloride Oral Tablet 1","0259","RC","Both",,,"49","24.5","Cigna","Commercial",,,"59",,"28.71","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Hydrochloride Oral Tablet 1","0259","RC","Both",,,"49","24.5","Humana","Commercial",,,"78",,"37.98","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Hydrochloride Oral Tablet 1","0259","RC","Both",,,"49","24.5","UHC","Commercial",,,"75",,"36.95","0.04","2502.48","percent of total billed charges",,
"NF-Prasugrel Hydrochloride Oral Tablet 1","0259","RC","Both",,,"49","24.5","Medicaid",,,,"37",,"17.93","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"47","23.5","Alliant","Health Exchange",,,"62",,"29.14","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"47","23.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"25.38","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"47","23.5","Medicare",,,,"54",,"25.47","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"47","23.5","Humana","Medicare Advantage",,,"54",,"25.47","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"47","23.5","UHC","Medicare Advantage",,,"54",,"25.47","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"47","23.5","Clover","Medicare Advantage",,,"54",,"25.47","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"47","23.5","Wellcare","Medicare Advantage",,,"54",,"25.47","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"47","23.5","Amerigroup","Medicaid Managed Care",,,"37",,"17.2","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"47","23.5","Caresource","Medicaid Managed Care",,,"40",,"18.8","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"47","23.5","Wellcare","Medicaid Managed Care",,,"40",,"19.04","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"47","23.5","Aetna","Commercial",,,"64",,"29.99","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"47","23.5","Blue Cross Blue Shield","Pathways",,,"71",,"33.18","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"47","23.5","Blue Cross Blue Shield","HMO",,,"71",,"33.18","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"47","23.5","Blue Cross Blue Shield","PPO",,,"71",,"33.18","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"47","23.5","Ambetter","Health Exchange",,,"62",,"29.14","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"47","23.5","Caresource","Health Exchange",,,"62",,"29.14","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"47","23.5","Cigna","Commercial",,,"59",,"27.54","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"47","23.5","Humana","Commercial",,,"78",,"36.43","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"47","23.5","UHC","Commercial",,,"75",,"35.44","0.04","2502.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","0259","RC","Both",,,"47","23.5","Medicaid",,,,"37",,"17.2","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"477","238.5","Alliant","Health Exchange",,,"62",,"295.74","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"477","238.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"257.58","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"477","238.5","Medicare",,,,"54",,"258.53","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"477","238.5","Humana","Medicare Advantage",,,"54",,"258.53","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"477","238.5","UHC","Medicare Advantage",,,"54",,"258.53","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"477","238.5","Clover","Medicare Advantage",,,"54",,"258.53","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"477","238.5","Wellcare","Medicare Advantage",,,"54",,"258.53","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"477","238.5","Amerigroup","Medicaid Managed Care",,,"37",,"174.58","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"477","238.5","Caresource","Medicaid Managed Care",,,"40",,"190.8","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"477","238.5","Wellcare","Medicaid Managed Care",,,"40",,"193.18","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"477","238.5","Aetna","Commercial",,,"64",,"304.33","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"477","238.5","Blue Cross Blue Shield","Pathways",,,"71",,"336.76","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"477","238.5","Blue Cross Blue Shield","HMO",,,"71",,"336.76","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"477","238.5","Blue Cross Blue Shield","PPO",,,"71",,"336.76","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"477","238.5","Ambetter","Health Exchange",,,"62",,"295.74","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"477","238.5","Caresource","Health Exchange",,,"62",,"295.74","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"477","238.5","Cigna","Commercial",,,"59",,"279.52","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"477","238.5","Humana","Commercial",,,"78",,"369.68","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"477","238.5","UHC","Commercial",,,"75",,"359.66","0.04","2502.48","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0259","RC","Both",,,"477","238.5","Medicaid",,,,"37",,"174.58","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic 2MG Doses SubQ Soln 8MG/3ML","0259","RC","Both",,,"1162","581","Alliant","Health Exchange",,,"62",,"720.44","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic 2MG Doses SubQ Soln 8MG/3ML","0259","RC","Both",,,"1162","581","Pruitt Healthcare","Medicare Advantage",,,"54",,"627.48","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic 2MG Doses SubQ Soln 8MG/3ML","0259","RC","Both",,,"1162","581","Medicare",,,,"54",,"629.8","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic 2MG Doses SubQ Soln 8MG/3ML","0259","RC","Both",,,"1162","581","Humana","Medicare Advantage",,,"54",,"629.8","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic 2MG Doses SubQ Soln 8MG/3ML","0259","RC","Both",,,"1162","581","UHC","Medicare Advantage",,,"54",,"629.8","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic 2MG Doses SubQ Soln 8MG/3ML","0259","RC","Both",,,"1162","581","Clover","Medicare Advantage",,,"54",,"629.8","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic 2MG Doses SubQ Soln 8MG/3ML","0259","RC","Both",,,"1162","581","Wellcare","Medicare Advantage",,,"54",,"629.8","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic 2MG Doses SubQ Soln 8MG/3ML","0259","RC","Both",,,"1162","581","Amerigroup","Medicaid Managed Care",,,"37",,"425.29","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic 2MG Doses SubQ Soln 8MG/3ML","0259","RC","Both",,,"1162","581","Caresource","Medicaid Managed Care",,,"40",,"464.8","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic 2MG Doses SubQ Soln 8MG/3ML","0259","RC","Both",,,"1162","581","Wellcare","Medicaid Managed Care",,,"40",,"470.61","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic 2MG Doses SubQ Soln 8MG/3ML","0259","RC","Both",,,"1162","581","Aetna","Commercial",,,"64",,"741.36","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic 2MG Doses SubQ Soln 8MG/3ML","0259","RC","Both",,,"1162","581","Blue Cross Blue Shield","Pathways",,,"71",,"820.37","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic 2MG Doses SubQ Soln 8MG/3ML","0259","RC","Both",,,"1162","581","Blue Cross Blue Shield","HMO",,,"71",,"820.37","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic 2MG Doses SubQ Soln 8MG/3ML","0259","RC","Both",,,"1162","581","Blue Cross Blue Shield","PPO",,,"71",,"820.37","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic 2MG Doses SubQ Soln 8MG/3ML","0259","RC","Both",,,"1162","581","Ambetter","Health Exchange",,,"62",,"720.44","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic 2MG Doses SubQ Soln 8MG/3ML","0259","RC","Both",,,"1162","581","Caresource","Health Exchange",,,"62",,"720.44","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic 2MG Doses SubQ Soln 8MG/3ML","0259","RC","Both",,,"1162","581","Cigna","Commercial",,,"59",,"680.93","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic 2MG Doses SubQ Soln 8MG/3ML","0259","RC","Both",,,"1162","581","Humana","Commercial",,,"78",,"900.55","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic 2MG Doses SubQ Soln 8MG/3ML","0259","RC","Both",,,"1162","581","UHC","Commercial",,,"75",,"876.15","0.04","2502.48","percent of total billed charges",,
"NF-Ozempic 2MG Doses SubQ Soln 8MG/3ML","0259","RC","Both",,,"1162","581","Medicaid",,,,"37",,"425.29","0.04","2502.48","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0250","RC","Both",,,"21","10.5","Alliant","Health Exchange",,,"62",,"13.02","0.04","569.62","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0250","RC","Both",,,"21","10.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.34","0.04","569.62","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0250","RC","Both",,,"21","10.5","Medicare",,,,"54",,"11.38","0.04","569.62","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0250","RC","Both",,,"21","10.5","Humana","Medicare Advantage",,,"54",,"11.38","0.04","569.62","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0250","RC","Both",,,"21","10.5","UHC","Medicare Advantage",,,"54",,"11.38","0.04","569.62","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0250","RC","Both",,,"21","10.5","Clover","Medicare Advantage",,,"54",,"11.38","0.04","569.62","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0250","RC","Both",,,"21","10.5","Wellcare","Medicare Advantage",,,"54",,"11.38","0.04","569.62","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0250","RC","Both",,,"21","10.5","Amerigroup","Medicaid Managed Care",,,"37",,"7.69","0.04","569.62","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0250","RC","Both",,,"21","10.5","Caresource","Medicaid Managed Care",,,"40",,"8.4","0.04","569.62","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0250","RC","Both",,,"21","10.5","Wellcare","Medicaid Managed Care",,,"40",,"8.51","0.04","569.62","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0250","RC","Both",,,"21","10.5","Aetna","Commercial",,,"64",,"13.4","0.04","569.62","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0250","RC","Both",,,"21","10.5","Blue Cross Blue Shield","Pathways",,,"71",,"14.83","0.04","569.62","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0250","RC","Both",,,"21","10.5","Blue Cross Blue Shield","HMO",,,"71",,"14.83","0.04","569.62","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0250","RC","Both",,,"21","10.5","Blue Cross Blue Shield","PPO",,,"71",,"14.83","0.04","569.62","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0250","RC","Both",,,"21","10.5","Ambetter","Health Exchange",,,"62",,"13.02","0.04","569.62","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0250","RC","Both",,,"21","10.5","Caresource","Health Exchange",,,"62",,"13.02","0.04","569.62","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0250","RC","Both",,,"21","10.5","Cigna","Commercial",,,"59",,"12.31","0.04","569.62","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0250","RC","Both",,,"21","10.5","Humana","Commercial",,,"78",,"16.28","0.04","569.62","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0250","RC","Both",,,"21","10.5","UHC","Commercial",,,"75",,"15.83","0.04","569.62","percent of total billed charges",,
"NF-Renvela Oral Tablet 800MG","0250","RC","Both",,,"21","10.5","Medicaid",,,,"37",,"7.69","0.04","569.62","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Alliant","Health Exchange",,,"62",,"39.68","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Pruitt Healthcare","Medicare Advantage",,,"54",,"34.56","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Medicare",,,,"54",,"34.69","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Humana","Medicare Advantage",,,"54",,"34.69","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","UHC","Medicare Advantage",,,"54",,"34.69","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Clover","Medicare Advantage",,,"54",,"34.69","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Wellcare","Medicare Advantage",,,"54",,"34.69","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Amerigroup","Medicaid Managed Care",,,"37",,"23.42","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Caresource","Medicaid Managed Care",,,"40",,"25.6","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Wellcare","Medicaid Managed Care",,,"40",,"25.92","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Aetna","Commercial",,,"64",,"40.83","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Blue Cross Blue Shield","Pathways",,,"71",,"45.18","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Blue Cross Blue Shield","HMO",,,"71",,"45.18","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Blue Cross Blue Shield","PPO",,,"71",,"45.18","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Ambetter","Health Exchange",,,"62",,"39.68","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Caresource","Health Exchange",,,"62",,"39.68","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Cigna","Commercial",,,"59",,"37.5","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Humana","Commercial",,,"78",,"49.6","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","UHC","Commercial",,,"75",,"48.26","0.04","2502.48","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","0259","RC","Both",,,"64","32","Medicaid",,,,"37",,"23.42","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"39","19.5","Alliant","Health Exchange",,,"62",,"24.18","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"39","19.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"21.06","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"39","19.5","Medicare",,,,"54",,"21.14","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"39","19.5","Humana","Medicare Advantage",,,"54",,"21.14","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"39","19.5","UHC","Medicare Advantage",,,"54",,"21.14","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"39","19.5","Clover","Medicare Advantage",,,"54",,"21.14","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"39","19.5","Wellcare","Medicare Advantage",,,"54",,"21.14","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"39","19.5","Amerigroup","Medicaid Managed Care",,,"37",,"14.27","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"39","19.5","Caresource","Medicaid Managed Care",,,"40",,"15.6","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"39","19.5","Wellcare","Medicaid Managed Care",,,"40",,"15.8","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"39","19.5","Aetna","Commercial",,,"64",,"24.88","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"39","19.5","Blue Cross Blue Shield","Pathways",,,"71",,"27.53","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"39","19.5","Blue Cross Blue Shield","HMO",,,"71",,"27.53","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"39","19.5","Blue Cross Blue Shield","PPO",,,"71",,"27.53","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"39","19.5","Ambetter","Health Exchange",,,"62",,"24.18","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"39","19.5","Caresource","Health Exchange",,,"62",,"24.18","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"39","19.5","Cigna","Commercial",,,"59",,"22.85","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"39","19.5","Humana","Commercial",,,"78",,"30.22","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"39","19.5","UHC","Commercial",,,"75",,"29.41","0.04","2502.48","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","0259","RC","Both",,,"39","19.5","Medicaid",,,,"37",,"14.27","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","2502.48","percent of total billed charges",,
"NF-NIFEdipine Tablet, Extended-Release 6","0259","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","0.04","2502.48","percent of total billed charges",,
"NF-Synthroid Oral Tablet 112MCG","0259","RC","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/12.5MG","0259","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/12.5MG","0259","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/12.5MG","0259","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/12.5MG","0259","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/12.5MG","0259","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/12.5MG","0259","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/12.5MG","0259","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/12.5MG","0259","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/12.5MG","0259","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/12.5MG","0259","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/12.5MG","0259","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/12.5MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/12.5MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/12.5MG","0259","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/12.5MG","0259","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/12.5MG","0259","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/12.5MG","0259","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/12.5MG","0259","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/12.5MG","0259","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.04","2502.48","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/12.5MG","0259","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.04","2502.48","percent of total billed charges",,
"ERTAPENEM (INVANZ) 1 GM INJECTION","0250","RC","Both",,,"49","24.5","Alliant","Health Exchange",,,"62",,"30.38","0.04","569.62","percent of total billed charges",,
"ERTAPENEM (INVANZ) 1 GM INJECTION","0250","RC","Both",,,"49","24.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"26.46","0.04","569.62","percent of total billed charges",,
"ERTAPENEM (INVANZ) 1 GM INJECTION","0250","RC","Both",,,"49","24.5","Medicare",,,,"54",,"26.56","0.04","569.62","percent of total billed charges",,
"ERTAPENEM (INVANZ) 1 GM INJECTION","0250","RC","Both",,,"49","24.5","Humana","Medicare Advantage",,,"54",,"26.56","0.04","569.62","percent of total billed charges",,
"ERTAPENEM (INVANZ) 1 GM INJECTION","0250","RC","Both",,,"49","24.5","UHC","Medicare Advantage",,,"54",,"26.56","0.04","569.62","percent of total billed charges",,
"ERTAPENEM (INVANZ) 1 GM INJECTION","0250","RC","Both",,,"49","24.5","Clover","Medicare Advantage",,,"54",,"26.56","0.04","569.62","percent of total billed charges",,
"ERTAPENEM (INVANZ) 1 GM INJECTION","0250","RC","Both",,,"49","24.5","Wellcare","Medicare Advantage",,,"54",,"26.56","0.04","569.62","percent of total billed charges",,
"ERTAPENEM (INVANZ) 1 GM INJECTION","0250","RC","Both",,,"49","24.5","Amerigroup","Medicaid Managed Care",,,"37",,"17.93","0.04","569.62","percent of total billed charges",,
"ERTAPENEM (INVANZ) 1 GM INJECTION","0250","RC","Both",,,"49","24.5","Caresource","Medicaid Managed Care",,,"40",,"19.6","0.04","569.62","percent of total billed charges",,
"ERTAPENEM (INVANZ) 1 GM INJECTION","0250","RC","Both",,,"49","24.5","Wellcare","Medicaid Managed Care",,,"40",,"19.85","0.04","569.62","percent of total billed charges",,
"ERTAPENEM (INVANZ) 1 GM INJECTION","0250","RC","Both",,,"49","24.5","Aetna","Commercial",,,"64",,"31.26","0.04","569.62","percent of total billed charges",,
"ERTAPENEM (INVANZ) 1 GM INJECTION","0250","RC","Both",,,"49","24.5","Blue Cross Blue Shield","Pathways",,,"71",,"34.59","0.04","569.62","percent of total billed charges",,
"ERTAPENEM (INVANZ) 1 GM INJECTION","0250","RC","Both",,,"49","24.5","Blue Cross Blue Shield","HMO",,,"71",,"34.59","0.04","569.62","percent of total billed charges",,
"ERTAPENEM (INVANZ) 1 GM INJECTION","0250","RC","Both",,,"49","24.5","Blue Cross Blue Shield","PPO",,,"71",,"34.59","0.04","569.62","percent of total billed charges",,
"ERTAPENEM (INVANZ) 1 GM INJECTION","0250","RC","Both",,,"49","24.5","Ambetter","Health Exchange",,,"62",,"30.38","0.04","569.62","percent of total billed charges",,
"ERTAPENEM (INVANZ) 1 GM INJECTION","0250","RC","Both",,,"49","24.5","Caresource","Health Exchange",,,"62",,"30.38","0.04","569.62","percent of total billed charges",,
"ERTAPENEM (INVANZ) 1 GM INJECTION","0250","RC","Both",,,"49","24.5","Cigna","Commercial",,,"59",,"28.71","0.04","569.62","percent of total billed charges",,
"ERTAPENEM (INVANZ) 1 GM INJECTION","0250","RC","Both",,,"49","24.5","Humana","Commercial",,,"78",,"37.98","0.04","569.62","percent of total billed charges",,
"ERTAPENEM (INVANZ) 1 GM INJECTION","0250","RC","Both",,,"49","24.5","UHC","Commercial",,,"75",,"36.95","0.04","569.62","percent of total billed charges",,
"ERTAPENEM (INVANZ) 1 GM INJECTION","0250","RC","Both",,,"49","24.5","Medicaid",,,,"37",,"17.93","0.04","569.62","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0259","RC","Both",,,"60","30","Alliant","Health Exchange",,,"62",,"37.2","0.04","2502.48","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0259","RC","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage",,,"54",,"32.4","0.04","2502.48","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0259","RC","Both",,,"60","30","Medicare",,,,"54",,"32.52","0.04","2502.48","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0259","RC","Both",,,"60","30","Humana","Medicare Advantage",,,"54",,"32.52","0.04","2502.48","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0259","RC","Both",,,"60","30","UHC","Medicare Advantage",,,"54",,"32.52","0.04","2502.48","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0259","RC","Both",,,"60","30","Clover","Medicare Advantage",,,"54",,"32.52","0.04","2502.48","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0259","RC","Both",,,"60","30","Wellcare","Medicare Advantage",,,"54",,"32.52","0.04","2502.48","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0259","RC","Both",,,"60","30","Amerigroup","Medicaid Managed Care",,,"37",,"21.96","0.04","2502.48","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0259","RC","Both",,,"60","30","Caresource","Medicaid Managed Care",,,"40",,"24","0.04","2502.48","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0259","RC","Both",,,"60","30","Wellcare","Medicaid Managed Care",,,"40",,"24.3","0.04","2502.48","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0259","RC","Both",,,"60","30","Aetna","Commercial",,,"64",,"38.28","0.04","2502.48","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0259","RC","Both",,,"60","30","Blue Cross Blue Shield","Pathways",,,"71",,"42.36","0.04","2502.48","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0259","RC","Both",,,"60","30","Blue Cross Blue Shield","HMO",,,"71",,"42.36","0.04","2502.48","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0259","RC","Both",,,"60","30","Blue Cross Blue Shield","PPO",,,"71",,"42.36","0.04","2502.48","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0259","RC","Both",,,"60","30","Ambetter","Health Exchange",,,"62",,"37.2","0.04","2502.48","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0259","RC","Both",,,"60","30","Caresource","Health Exchange",,,"62",,"37.2","0.04","2502.48","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0259","RC","Both",,,"60","30","Cigna","Commercial",,,"59",,"35.16","0.04","2502.48","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0259","RC","Both",,,"60","30","Humana","Commercial",,,"78",,"46.5","0.04","2502.48","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0259","RC","Both",,,"60","30","UHC","Commercial",,,"75",,"45.24","0.04","2502.48","percent of total billed charges",,
"NF-Sildenafil Oral Tablet 20MG","0259","RC","Both",,,"60","30","Medicaid",,,,"37",,"21.96","0.04","2502.48","percent of total billed charges",,
"NF-Estrace Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Estrace Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","2502.48","percent of total billed charges",,
"NF-Estrace Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Estrace Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Estrace Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Estrace Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Estrace Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","2502.48","percent of total billed charges",,
"NF-Estrace Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Estrace Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","2502.48","percent of total billed charges",,
"NF-Estrace Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","2502.48","percent of total billed charges",,
"NF-Estrace Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","2502.48","percent of total billed charges",,
"NF-Estrace Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Estrace Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Estrace Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","2502.48","percent of total billed charges",,
"NF-Estrace Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Estrace Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","2502.48","percent of total billed charges",,
"NF-Estrace Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","2502.48","percent of total billed charges",,
"NF-Estrace Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","2502.48","percent of total billed charges",,
"NF-Estrace Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","2502.48","percent of total billed charges",,
"NF-Estrace Vaginal Cream 0.1MG/1GM","0259","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","2502.48","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.04","569.62","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","0250","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.04","569.62","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 320MG-12.5","0250","RC","Both",,,"16","8","Alliant","Health Exchange",,,"62",,"9.92","0.04","569.62","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 320MG-12.5","0250","RC","Both",,,"16","8","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.64","0.04","569.62","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 320MG-12.5","0250","RC","Both",,,"16","8","Medicare",,,,"54",,"8.67","0.04","569.62","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 320MG-12.5","0250","RC","Both",,,"16","8","Humana","Medicare Advantage",,,"54",,"8.67","0.04","569.62","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 320MG-12.5","0250","RC","Both",,,"16","8","UHC","Medicare Advantage",,,"54",,"8.67","0.04","569.62","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 320MG-12.5","0250","RC","Both",,,"16","8","Clover","Medicare Advantage",,,"54",,"8.67","0.04","569.62","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 320MG-12.5","0250","RC","Both",,,"16","8","Wellcare","Medicare Advantage",,,"54",,"8.67","0.04","569.62","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 320MG-12.5","0250","RC","Both",,,"16","8","Amerigroup","Medicaid Managed Care",,,"37",,"5.86","0.04","569.62","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 320MG-12.5","0250","RC","Both",,,"16","8","Caresource","Medicaid Managed Care",,,"40",,"6.4","0.04","569.62","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 320MG-12.5","0250","RC","Both",,,"16","8","Wellcare","Medicaid Managed Care",,,"40",,"6.48","0.04","569.62","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 320MG-12.5","0250","RC","Both",,,"16","8","Aetna","Commercial",,,"64",,"10.21","0.04","569.62","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 320MG-12.5","0250","RC","Both",,,"16","8","Blue Cross Blue Shield","Pathways",,,"71",,"11.3","0.04","569.62","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 320MG-12.5","0250","RC","Both",,,"16","8","Blue Cross Blue Shield","HMO",,,"71",,"11.3","0.04","569.62","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 320MG-12.5","0250","RC","Both",,,"16","8","Blue Cross Blue Shield","PPO",,,"71",,"11.3","0.04","569.62","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 320MG-12.5","0250","RC","Both",,,"16","8","Ambetter","Health Exchange",,,"62",,"9.92","0.04","569.62","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 320MG-12.5","0250","RC","Both",,,"16","8","Caresource","Health Exchange",,,"62",,"9.92","0.04","569.62","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 320MG-12.5","0250","RC","Both",,,"16","8","Cigna","Commercial",,,"59",,"9.38","0.04","569.62","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 320MG-12.5","0250","RC","Both",,,"16","8","Humana","Commercial",,,"78",,"12.4","0.04","569.62","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 320MG-12.5","0250","RC","Both",,,"16","8","UHC","Commercial",,,"75",,"12.06","0.04","569.62","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 320MG-12.5","0250","RC","Both",,,"16","8","Medicaid",,,,"37",,"5.86","0.04","569.62","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0250","RC","Both",,,"32","16","Alliant","Health Exchange",,,"62",,"19.84","0.04","569.62","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0250","RC","Both",,,"32","16","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.28","0.04","569.62","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0250","RC","Both",,,"32","16","Medicare",,,,"54",,"17.34","0.04","569.62","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0250","RC","Both",,,"32","16","Humana","Medicare Advantage",,,"54",,"17.34","0.04","569.62","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0250","RC","Both",,,"32","16","UHC","Medicare Advantage",,,"54",,"17.34","0.04","569.62","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0250","RC","Both",,,"32","16","Clover","Medicare Advantage",,,"54",,"17.34","0.04","569.62","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0250","RC","Both",,,"32","16","Wellcare","Medicare Advantage",,,"54",,"17.34","0.04","569.62","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0250","RC","Both",,,"32","16","Amerigroup","Medicaid Managed Care",,,"37",,"11.71","0.04","569.62","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0250","RC","Both",,,"32","16","Caresource","Medicaid Managed Care",,,"40",,"12.8","0.04","569.62","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0250","RC","Both",,,"32","16","Wellcare","Medicaid Managed Care",,,"40",,"12.96","0.04","569.62","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0250","RC","Both",,,"32","16","Aetna","Commercial",,,"64",,"20.42","0.04","569.62","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0250","RC","Both",,,"32","16","Blue Cross Blue Shield","Pathways",,,"71",,"22.59","0.04","569.62","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0250","RC","Both",,,"32","16","Blue Cross Blue Shield","HMO",,,"71",,"22.59","0.04","569.62","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0250","RC","Both",,,"32","16","Blue Cross Blue Shield","PPO",,,"71",,"22.59","0.04","569.62","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0250","RC","Both",,,"32","16","Ambetter","Health Exchange",,,"62",,"19.84","0.04","569.62","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0250","RC","Both",,,"32","16","Caresource","Health Exchange",,,"62",,"19.84","0.04","569.62","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0250","RC","Both",,,"32","16","Cigna","Commercial",,,"59",,"18.75","0.04","569.62","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0250","RC","Both",,,"32","16","Humana","Commercial",,,"78",,"24.8","0.04","569.62","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0250","RC","Both",,,"32","16","UHC","Commercial",,,"75",,"24.13","0.04","569.62","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","0250","RC","Both",,,"32","16","Medicaid",,,,"37",,"11.71","0.04","569.62","percent of total billed charges",,
"NF-OXcarbazepine Oral Tablet 300MG","0250","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.04","569.62","percent of total billed charges",,
"NF-OXcarbazepine Oral Tablet 300MG","0250","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.04","569.62","percent of total billed charges",,
"NF-OXcarbazepine Oral Tablet 300MG","0250","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.04","569.62","percent of total billed charges",,
"NF-OXcarbazepine Oral Tablet 300MG","0250","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.04","569.62","percent of total billed charges",,
"NF-OXcarbazepine Oral Tablet 300MG","0250","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.04","569.62","percent of total billed charges",,
"NF-OXcarbazepine Oral Tablet 300MG","0250","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.04","569.62","percent of total billed charges",,
"NF-OXcarbazepine Oral Tablet 300MG","0250","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.04","569.62","percent of total billed charges",,
"NF-OXcarbazepine Oral Tablet 300MG","0250","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.04","569.62","percent of total billed charges",,
"NF-OXcarbazepine Oral Tablet 300MG","0250","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.04","569.62","percent of total billed charges",,
"NF-OXcarbazepine Oral Tablet 300MG","0250","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.04","569.62","percent of total billed charges",,
"NF-OXcarbazepine Oral Tablet 300MG","0250","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.04","569.62","percent of total billed charges",,
"NF-OXcarbazepine Oral Tablet 300MG","0250","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.04","569.62","percent of total billed charges",,
"NF-OXcarbazepine Oral Tablet 300MG","0250","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.04","569.62","percent of total billed charges",,
"NF-OXcarbazepine Oral Tablet 300MG","0250","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.04","569.62","percent of total billed charges",,
"NF-OXcarbazepine Oral Tablet 300MG","0250","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.04","569.62","percent of total billed charges",,
"NF-OXcarbazepine Oral Tablet 300MG","0250","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.04","569.62","percent of total billed charges",,
"NF-OXcarbazepine Oral Tablet 300MG","0250","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.04","569.62","percent of total billed charges",,
"NF-OXcarbazepine Oral Tablet 300MG","0250","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.04","569.62","percent of total billed charges",,
"NF-OXcarbazepine Oral Tablet 300MG","0250","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.04","569.62","percent of total billed charges",,
"NF-OXcarbazepine Oral Tablet 300MG","0250","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.04","569.62","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 100MG","0250","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.04","569.62","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 100MG","0250","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.04","569.62","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 100MG","0250","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.04","569.62","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 100MG","0250","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.04","569.62","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 100MG","0250","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.04","569.62","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 100MG","0250","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.04","569.62","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 100MG","0250","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.04","569.62","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 100MG","0250","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.04","569.62","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 100MG","0250","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.04","569.62","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 100MG","0250","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.04","569.62","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 100MG","0250","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.04","569.62","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 100MG","0250","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.04","569.62","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 100MG","0250","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.04","569.62","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 100MG","0250","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.04","569.62","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 100MG","0250","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.04","569.62","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 100MG","0250","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.04","569.62","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 100MG","0250","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.04","569.62","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 100MG","0250","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.04","569.62","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 100MG","0250","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.04","569.62","percent of total billed charges",,
"NF-TraZODone HCl Oral Tablet 100MG","0250","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.04","569.62","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0250","RC","Both",,,"477","238.5","Alliant","Health Exchange",,,"62",,"295.74","0.04","569.62","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0250","RC","Both",,,"477","238.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"257.58","0.04","569.62","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0250","RC","Both",,,"477","238.5","Medicare",,,,"54",,"258.53","0.04","569.62","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0250","RC","Both",,,"477","238.5","Humana","Medicare Advantage",,,"54",,"258.53","0.04","569.62","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0250","RC","Both",,,"477","238.5","UHC","Medicare Advantage",,,"54",,"258.53","0.04","569.62","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0250","RC","Both",,,"477","238.5","Clover","Medicare Advantage",,,"54",,"258.53","0.04","569.62","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0250","RC","Both",,,"477","238.5","Wellcare","Medicare Advantage",,,"54",,"258.53","0.04","569.62","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0250","RC","Both",,,"477","238.5","Amerigroup","Medicaid Managed Care",,,"37",,"174.58","0.04","569.62","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0250","RC","Both",,,"477","238.5","Caresource","Medicaid Managed Care",,,"40",,"190.8","0.04","569.62","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0250","RC","Both",,,"477","238.5","Wellcare","Medicaid Managed Care",,,"40",,"193.18","0.04","569.62","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0250","RC","Both",,,"477","238.5","Aetna","Commercial",,,"64",,"304.33","0.04","569.62","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0250","RC","Both",,,"477","238.5","Blue Cross Blue Shield","Pathways",,,"71",,"336.76","0.04","569.62","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0250","RC","Both",,,"477","238.5","Blue Cross Blue Shield","HMO",,,"71",,"336.76","0.04","569.62","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0250","RC","Both",,,"477","238.5","Blue Cross Blue Shield","PPO",,,"71",,"336.76","0.04","569.62","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0250","RC","Both",,,"477","238.5","Ambetter","Health Exchange",,,"62",,"295.74","0.04","569.62","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0250","RC","Both",,,"477","238.5","Caresource","Health Exchange",,,"62",,"295.74","0.04","569.62","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0250","RC","Both",,,"477","238.5","Cigna","Commercial",,,"59",,"279.52","0.04","569.62","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0250","RC","Both",,,"477","238.5","Humana","Commercial",,,"78",,"369.68","0.04","569.62","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0250","RC","Both",,,"477","238.5","UHC","Commercial",,,"75",,"359.66","0.04","569.62","percent of total billed charges",,
"NF-Biktarvy Oral Tab 50MG-200MG-25MG","0250","RC","Both",,,"477","238.5","Medicaid",,,,"37",,"174.58","0.04","569.62","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Alliant","Health Exchange",,,"62",,"45.26","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"39.42","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Medicare",,,,"54",,"39.57","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Humana","Medicare Advantage",,,"54",,"39.57","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","UHC","Medicare Advantage",,,"54",,"39.57","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Clover","Medicare Advantage",,,"54",,"39.57","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Wellcare","Medicare Advantage",,,"54",,"39.57","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Amerigroup","Medicaid Managed Care",,,"37",,"26.72","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Caresource","Medicaid Managed Care",,,"40",,"29.2","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Wellcare","Medicaid Managed Care",,,"40",,"29.56","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Aetna","Commercial",,,"64",,"46.57","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Blue Cross Blue Shield","Pathways",,,"71",,"51.54","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Blue Cross Blue Shield","HMO",,,"71",,"51.54","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Blue Cross Blue Shield","PPO",,,"71",,"51.54","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Ambetter","Health Exchange",,,"62",,"45.26","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Caresource","Health Exchange",,,"62",,"45.26","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Cigna","Commercial",,,"59",,"42.78","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Humana","Commercial",,,"78",,"56.58","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","UHC","Commercial",,,"75",,"55.04","0.04","2502.48","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","0259","RC","Both",,,"73","36.5","Medicaid",,,,"37",,"26.72","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.04","2502.48","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","0259","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"56","28","Alliant","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"56","28","Pruitt Healthcare","Medicare Advantage",,,"54",,"30.24","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"56","28","Medicare",,,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"56","28","Humana","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"56","28","UHC","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"56","28","Clover","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"56","28","Wellcare","Medicare Advantage",,,"54",,"30.35","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"56","28","Amerigroup","Medicaid Managed Care",,,"37",,"20.5","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"56","28","Caresource","Medicaid Managed Care",,,"40",,"22.4","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"56","28","Wellcare","Medicaid Managed Care",,,"40",,"22.68","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"56","28","Aetna","Commercial",,,"64",,"35.73","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","Pathways",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","HMO",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"56","28","Blue Cross Blue Shield","PPO",,,"71",,"39.54","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"56","28","Ambetter","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"56","28","Caresource","Health Exchange",,,"62",,"34.72","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"56","28","Cigna","Commercial",,,"59",,"32.82","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"56","28","Humana","Commercial",,,"78",,"43.4","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"56","28","UHC","Commercial",,,"75",,"42.22","0.04","2502.48","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","0259","RC","Both",,,"56","28","Medicaid",,,,"37",,"20.5","0.04","2502.48","percent of total billed charges",,
"NF-Rexulti Oral Tablet 2MG","0250","RC","Both",,,"170","85","Alliant","Health Exchange",,,"62",,"105.4","0.04","569.62","percent of total billed charges",,
"NF-Rexulti Oral Tablet 2MG","0250","RC","Both",,,"170","85","Pruitt Healthcare","Medicare Advantage",,,"54",,"91.8","0.04","569.62","percent of total billed charges",,
"NF-Rexulti Oral Tablet 2MG","0250","RC","Both",,,"170","85","Medicare",,,,"54",,"92.14","0.04","569.62","percent of total billed charges",,
"NF-Rexulti Oral Tablet 2MG","0250","RC","Both",,,"170","85","Humana","Medicare Advantage",,,"54",,"92.14","0.04","569.62","percent of total billed charges",,
"NF-Rexulti Oral Tablet 2MG","0250","RC","Both",,,"170","85","UHC","Medicare Advantage",,,"54",,"92.14","0.04","569.62","percent of total billed charges",,
"NF-Rexulti Oral Tablet 2MG","0250","RC","Both",,,"170","85","Clover","Medicare Advantage",,,"54",,"92.14","0.04","569.62","percent of total billed charges",,
"NF-Rexulti Oral Tablet 2MG","0250","RC","Both",,,"170","85","Wellcare","Medicare Advantage",,,"54",,"92.14","0.04","569.62","percent of total billed charges",,
"NF-Rexulti Oral Tablet 2MG","0250","RC","Both",,,"170","85","Amerigroup","Medicaid Managed Care",,,"37",,"62.22","0.04","569.62","percent of total billed charges",,
"NF-Rexulti Oral Tablet 2MG","0250","RC","Both",,,"170","85","Caresource","Medicaid Managed Care",,,"40",,"68","0.04","569.62","percent of total billed charges",,
"NF-Rexulti Oral Tablet 2MG","0250","RC","Both",,,"170","85","Wellcare","Medicaid Managed Care",,,"40",,"68.85","0.04","569.62","percent of total billed charges",,
"NF-Rexulti Oral Tablet 2MG","0250","RC","Both",,,"170","85","Aetna","Commercial",,,"64",,"108.46","0.04","569.62","percent of total billed charges",,
"NF-Rexulti Oral Tablet 2MG","0250","RC","Both",,,"170","85","Blue Cross Blue Shield","Pathways",,,"71",,"120.02","0.04","569.62","percent of total billed charges",,
"NF-Rexulti Oral Tablet 2MG","0250","RC","Both",,,"170","85","Blue Cross Blue Shield","HMO",,,"71",,"120.02","0.04","569.62","percent of total billed charges",,
"NF-Rexulti Oral Tablet 2MG","0250","RC","Both",,,"170","85","Blue Cross Blue Shield","PPO",,,"71",,"120.02","0.04","569.62","percent of total billed charges",,
"NF-Rexulti Oral Tablet 2MG","0250","RC","Both",,,"170","85","Ambetter","Health Exchange",,,"62",,"105.4","0.04","569.62","percent of total billed charges",,
"NF-Rexulti Oral Tablet 2MG","0250","RC","Both",,,"170","85","Caresource","Health Exchange",,,"62",,"105.4","0.04","569.62","percent of total billed charges",,
"NF-Rexulti Oral Tablet 2MG","0250","RC","Both",,,"170","85","Cigna","Commercial",,,"59",,"99.62","0.04","569.62","percent of total billed charges",,
"NF-Rexulti Oral Tablet 2MG","0250","RC","Both",,,"170","85","Humana","Commercial",,,"78",,"131.75","0.04","569.62","percent of total billed charges",,
"NF-Rexulti Oral Tablet 2MG","0250","RC","Both",,,"170","85","UHC","Commercial",,,"75",,"128.18","0.04","569.62","percent of total billed charges",,
"NF-Rexulti Oral Tablet 2MG","0250","RC","Both",,,"170","85","Medicaid",,,,"37",,"62.22","0.04","569.62","percent of total billed charges",,
"WATER FOR INJECTION 2000ml","0258","RC","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","4.76","93","percent of total billed charges",,
"WATER FOR INJECTION 2000ml","0258","RC","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","4.76","93","percent of total billed charges",,
"WATER FOR INJECTION 2000ml","0258","RC","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","4.76","93","percent of total billed charges",,
"WATER FOR INJECTION 2000ml","0258","RC","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","4.76","93","percent of total billed charges",,
"WATER FOR INJECTION 2000ml","0258","RC","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","4.76","93","percent of total billed charges",,
"WATER FOR INJECTION 2000ml","0258","RC","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","4.76","93","percent of total billed charges",,
"WATER FOR INJECTION 2000ml","0258","RC","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","4.76","93","percent of total billed charges",,
"WATER FOR INJECTION 2000ml","0258","RC","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","4.76","93","percent of total billed charges",,
"WATER FOR INJECTION 2000ml","0258","RC","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","4.76","93","percent of total billed charges",,
"WATER FOR INJECTION 2000ml","0258","RC","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","4.76","93","percent of total billed charges",,
"WATER FOR INJECTION 2000ml","0258","RC","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","4.76","93","percent of total billed charges",,
"WATER FOR INJECTION 2000ml","0258","RC","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","4.76","93","percent of total billed charges",,
"WATER FOR INJECTION 2000ml","0258","RC","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","4.76","93","percent of total billed charges",,
"WATER FOR INJECTION 2000ml","0258","RC","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","4.76","93","percent of total billed charges",,
"WATER FOR INJECTION 2000ml","0258","RC","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","4.76","93","percent of total billed charges",,
"WATER FOR INJECTION 2000ml","0258","RC","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","4.76","93","percent of total billed charges",,
"WATER FOR INJECTION 2000ml","0258","RC","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","4.76","93","percent of total billed charges",,
"WATER FOR INJECTION 2000ml","0258","RC","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","4.76","93","percent of total billed charges",,
"WATER FOR INJECTION 2000ml","0258","RC","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","4.76","93","percent of total billed charges",,
"WATER FOR INJECTION 2000ml","0258","RC","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","4.76","93","percent of total billed charges",,
"AKWA TEAR 3.5gm OINT","0637","RC","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"AKWA TEAR 3.5gm OINT","0637","RC","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","0.15","5264.58","percent of total billed charges",,
"AKWA TEAR 3.5gm OINT","0637","RC","Both",,,"22","11","Medicare",,,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"AKWA TEAR 3.5gm OINT","0637","RC","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"AKWA TEAR 3.5gm OINT","0637","RC","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"AKWA TEAR 3.5gm OINT","0637","RC","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"AKWA TEAR 3.5gm OINT","0637","RC","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"AKWA TEAR 3.5gm OINT","0637","RC","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"AKWA TEAR 3.5gm OINT","0637","RC","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","0.15","5264.58","percent of total billed charges",,
"AKWA TEAR 3.5gm OINT","0637","RC","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","0.15","5264.58","percent of total billed charges",,
"AKWA TEAR 3.5gm OINT","0637","RC","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","0.15","5264.58","percent of total billed charges",,
"AKWA TEAR 3.5gm OINT","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"AKWA TEAR 3.5gm OINT","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"AKWA TEAR 3.5gm OINT","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"AKWA TEAR 3.5gm OINT","0637","RC","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"AKWA TEAR 3.5gm OINT","0637","RC","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"AKWA TEAR 3.5gm OINT","0637","RC","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","0.15","5264.58","percent of total billed charges",,
"AKWA TEAR 3.5gm OINT","0637","RC","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","0.15","5264.58","percent of total billed charges",,
"AKWA TEAR 3.5gm OINT","0637","RC","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","0.15","5264.58","percent of total billed charges",,
"AKWA TEAR 3.5gm OINT","0637","RC","Both",,,"22","11","Medicaid",,,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"LATANOPROST (XALATAN) 0.005% OPTH DROPS","0637","RC","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"LATANOPROST (XALATAN) 0.005% OPTH DROPS","0637","RC","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","0.15","5264.58","percent of total billed charges",,
"LATANOPROST (XALATAN) 0.005% OPTH DROPS","0637","RC","Both",,,"22","11","Medicare",,,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"LATANOPROST (XALATAN) 0.005% OPTH DROPS","0637","RC","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"LATANOPROST (XALATAN) 0.005% OPTH DROPS","0637","RC","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"LATANOPROST (XALATAN) 0.005% OPTH DROPS","0637","RC","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"LATANOPROST (XALATAN) 0.005% OPTH DROPS","0637","RC","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"LATANOPROST (XALATAN) 0.005% OPTH DROPS","0637","RC","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"LATANOPROST (XALATAN) 0.005% OPTH DROPS","0637","RC","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","0.15","5264.58","percent of total billed charges",,
"LATANOPROST (XALATAN) 0.005% OPTH DROPS","0637","RC","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","0.15","5264.58","percent of total billed charges",,
"LATANOPROST (XALATAN) 0.005% OPTH DROPS","0637","RC","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","0.15","5264.58","percent of total billed charges",,
"LATANOPROST (XALATAN) 0.005% OPTH DROPS","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"LATANOPROST (XALATAN) 0.005% OPTH DROPS","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"LATANOPROST (XALATAN) 0.005% OPTH DROPS","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"LATANOPROST (XALATAN) 0.005% OPTH DROPS","0637","RC","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"LATANOPROST (XALATAN) 0.005% OPTH DROPS","0637","RC","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"LATANOPROST (XALATAN) 0.005% OPTH DROPS","0637","RC","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","0.15","5264.58","percent of total billed charges",,
"LATANOPROST (XALATAN) 0.005% OPTH DROPS","0637","RC","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","0.15","5264.58","percent of total billed charges",,
"LATANOPROST (XALATAN) 0.005% OPTH DROPS","0637","RC","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","0.15","5264.58","percent of total billed charges",,
"LATANOPROST (XALATAN) 0.005% OPTH DROPS","0637","RC","Both",,,"22","11","Medicaid",,,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"IV INFUSION, HYDRATION; UP TO 1hr","0260","RC","Both",,,"147","73.5","Alliant","Health Exchange",,,"62",,"91.14","53.8","113.92","percent of total billed charges",,
"IV INFUSION, HYDRATION; UP TO 1hr","0260","RC","Both",,,"147","73.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"79.38","53.8","113.92","percent of total billed charges",,
"IV INFUSION, HYDRATION; UP TO 1hr","0260","RC","Both",,,"147","73.5","Medicare",,,,"54",,"79.67","53.8","113.92","percent of total billed charges",,
"IV INFUSION, HYDRATION; UP TO 1hr","0260","RC","Both",,,"147","73.5","Humana","Medicare Advantage",,,"54",,"79.67","53.8","113.92","percent of total billed charges",,
"IV INFUSION, HYDRATION; UP TO 1hr","0260","RC","Both",,,"147","73.5","UHC","Medicare Advantage",,,"54",,"79.67","53.8","113.92","percent of total billed charges",,
"IV INFUSION, HYDRATION; UP TO 1hr","0260","RC","Both",,,"147","73.5","Clover","Medicare Advantage",,,"54",,"79.67","53.8","113.92","percent of total billed charges",,
"IV INFUSION, HYDRATION; UP TO 1hr","0260","RC","Both",,,"147","73.5","Wellcare","Medicare Advantage",,,"54",,"79.67","53.8","113.92","percent of total billed charges",,
"IV INFUSION, HYDRATION; UP TO 1hr","0260","RC","Both",,,"147","73.5","Amerigroup","Medicaid Managed Care",,,"37",,"53.8","53.8","113.92","percent of total billed charges",,
"IV INFUSION, HYDRATION; UP TO 1hr","0260","RC","Both",,,"147","73.5","Caresource","Medicaid Managed Care",,,"40",,"58.8","53.8","113.92","percent of total billed charges",,
"IV INFUSION, HYDRATION; UP TO 1hr","0260","RC","Both",,,"147","73.5","Wellcare","Medicaid Managed Care",,,"40",,"59.54","53.8","113.92","percent of total billed charges",,
"IV INFUSION, HYDRATION; UP TO 1hr","0260","RC","Both",,,"147","73.5","Aetna","Commercial",,,"64",,"93.79","53.8","113.92","percent of total billed charges",,
"IV INFUSION, HYDRATION; UP TO 1hr","0260","RC","Both",,,"147","73.5","Blue Cross Blue Shield","Pathways",,,"71",,"103.78","53.8","113.92","percent of total billed charges",,
"IV INFUSION, HYDRATION; UP TO 1hr","0260","RC","Both",,,"147","73.5","Blue Cross Blue Shield","HMO",,,"71",,"103.78","53.8","113.92","percent of total billed charges",,
"IV INFUSION, HYDRATION; UP TO 1hr","0260","RC","Both",,,"147","73.5","Blue Cross Blue Shield","PPO",,,"71",,"103.78","53.8","113.92","percent of total billed charges",,
"IV INFUSION, HYDRATION; UP TO 1hr","0260","RC","Both",,,"147","73.5","Ambetter","Health Exchange",,,"62",,"91.14","53.8","113.92","percent of total billed charges",,
"IV INFUSION, HYDRATION; UP TO 1hr","0260","RC","Both",,,"147","73.5","Caresource","Health Exchange",,,"62",,"91.14","53.8","113.92","percent of total billed charges",,
"IV INFUSION, HYDRATION; UP TO 1hr","0260","RC","Both",,,"147","73.5","Cigna","Commercial",,,"59",,"86.14","53.8","113.92","percent of total billed charges",,
"IV INFUSION, HYDRATION; UP TO 1hr","0260","RC","Both",,,"147","73.5","Humana","Commercial",,,"78",,"113.92","53.8","113.92","percent of total billed charges",,
"IV INFUSION, HYDRATION; UP TO 1hr","0260","RC","Both",,,"147","73.5","UHC","Commercial",,,"75",,"110.84","53.8","113.92","percent of total billed charges",,
"IV INFUSION, HYDRATION; UP TO 1hr","0260","RC","Both",,,"147","73.5","Medicaid",,,,"37",,"53.8","53.8","113.92","percent of total billed charges",,
"IV INFUSION, HYDRATION; EA ADD'L HR","0260","RC","Both",,,"147","73.5","Alliant","Health Exchange",,,"62",,"91.14","53.8","113.92","percent of total billed charges",,
"IV INFUSION, HYDRATION; EA ADD'L HR","0260","RC","Both",,,"147","73.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"79.38","53.8","113.92","percent of total billed charges",,
"IV INFUSION, HYDRATION; EA ADD'L HR","0260","RC","Both",,,"147","73.5","Medicare",,,,"54",,"79.67","53.8","113.92","percent of total billed charges",,
"IV INFUSION, HYDRATION; EA ADD'L HR","0260","RC","Both",,,"147","73.5","Humana","Medicare Advantage",,,"54",,"79.67","53.8","113.92","percent of total billed charges",,
"IV INFUSION, HYDRATION; EA ADD'L HR","0260","RC","Both",,,"147","73.5","UHC","Medicare Advantage",,,"54",,"79.67","53.8","113.92","percent of total billed charges",,
"IV INFUSION, HYDRATION; EA ADD'L HR","0260","RC","Both",,,"147","73.5","Clover","Medicare Advantage",,,"54",,"79.67","53.8","113.92","percent of total billed charges",,
"IV INFUSION, HYDRATION; EA ADD'L HR","0260","RC","Both",,,"147","73.5","Wellcare","Medicare Advantage",,,"54",,"79.67","53.8","113.92","percent of total billed charges",,
"IV INFUSION, HYDRATION; EA ADD'L HR","0260","RC","Both",,,"147","73.5","Amerigroup","Medicaid Managed Care",,,"37",,"53.8","53.8","113.92","percent of total billed charges",,
"IV INFUSION, HYDRATION; EA ADD'L HR","0260","RC","Both",,,"147","73.5","Caresource","Medicaid Managed Care",,,"40",,"58.8","53.8","113.92","percent of total billed charges",,
"IV INFUSION, HYDRATION; EA ADD'L HR","0260","RC","Both",,,"147","73.5","Wellcare","Medicaid Managed Care",,,"40",,"59.54","53.8","113.92","percent of total billed charges",,
"IV INFUSION, HYDRATION; EA ADD'L HR","0260","RC","Both",,,"147","73.5","Aetna","Commercial",,,"64",,"93.79","53.8","113.92","percent of total billed charges",,
"IV INFUSION, HYDRATION; EA ADD'L HR","0260","RC","Both",,,"147","73.5","Blue Cross Blue Shield","Pathways",,,"71",,"103.78","53.8","113.92","percent of total billed charges",,
"IV INFUSION, HYDRATION; EA ADD'L HR","0260","RC","Both",,,"147","73.5","Blue Cross Blue Shield","HMO",,,"71",,"103.78","53.8","113.92","percent of total billed charges",,
"IV INFUSION, HYDRATION; EA ADD'L HR","0260","RC","Both",,,"147","73.5","Blue Cross Blue Shield","PPO",,,"71",,"103.78","53.8","113.92","percent of total billed charges",,
"IV INFUSION, HYDRATION; EA ADD'L HR","0260","RC","Both",,,"147","73.5","Ambetter","Health Exchange",,,"62",,"91.14","53.8","113.92","percent of total billed charges",,
"IV INFUSION, HYDRATION; EA ADD'L HR","0260","RC","Both",,,"147","73.5","Caresource","Health Exchange",,,"62",,"91.14","53.8","113.92","percent of total billed charges",,
"IV INFUSION, HYDRATION; EA ADD'L HR","0260","RC","Both",,,"147","73.5","Cigna","Commercial",,,"59",,"86.14","53.8","113.92","percent of total billed charges",,
"IV INFUSION, HYDRATION; EA ADD'L HR","0260","RC","Both",,,"147","73.5","Humana","Commercial",,,"78",,"113.92","53.8","113.92","percent of total billed charges",,
"IV INFUSION, HYDRATION; EA ADD'L HR","0260","RC","Both",,,"147","73.5","UHC","Commercial",,,"75",,"110.84","53.8","113.92","percent of total billed charges",,
"IV INFUSION, HYDRATION; EA ADD'L HR","0260","RC","Both",,,"147","73.5","Medicaid",,,,"37",,"53.8","53.8","113.92","percent of total billed charges",,
"SQ/IM INJECTION","0510","RC","Both",,,"29.5","14.75","Alliant","Health Exchange",,,"62",,"18.29","10.8","46.5","percent of total billed charges",,
"SQ/IM INJECTION","0510","RC","Both",,,"29.5","14.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.93","10.8","46.5","percent of total billed charges",,
"SQ/IM INJECTION","0510","RC","Both",,,"29.5","14.75","Medicare",,,,"54",,"15.99","10.8","46.5","percent of total billed charges",,
"SQ/IM INJECTION","0510","RC","Both",,,"29.5","14.75","Humana","Medicare Advantage",,,"54",,"15.99","10.8","46.5","percent of total billed charges",,
"SQ/IM INJECTION","0510","RC","Both",,,"29.5","14.75","UHC","Medicare Advantage",,,"54",,"15.99","10.8","46.5","percent of total billed charges",,
"SQ/IM INJECTION","0510","RC","Both",,,"29.5","14.75","Clover","Medicare Advantage",,,"54",,"15.99","10.8","46.5","percent of total billed charges",,
"SQ/IM INJECTION","0510","RC","Both",,,"29.5","14.75","Wellcare","Medicare Advantage",,,"54",,"15.99","10.8","46.5","percent of total billed charges",,
"SQ/IM INJECTION","0510","RC","Both",,,"29.5","14.75","Amerigroup","Medicaid Managed Care",,,"37",,"10.8","10.8","46.5","percent of total billed charges",,
"SQ/IM INJECTION","0510","RC","Both",,,"29.5","14.75","Caresource","Medicaid Managed Care",,,"40",,"11.8","10.8","46.5","percent of total billed charges",,
"SQ/IM INJECTION","0510","RC","Both",,,"29.5","14.75","Wellcare","Medicaid Managed Care",,,"40",,"11.95","10.8","46.5","percent of total billed charges",,
"SQ/IM INJECTION","0510","RC","Both",,,"29.5","14.75","Aetna","Commercial",,,"64",,"18.82","10.8","46.5","percent of total billed charges",,
"SQ/IM INJECTION","0510","RC","Both",,,"29.5","14.75","Blue Cross Blue Shield","Pathways",,,"71",,"20.83","10.8","46.5","percent of total billed charges",,
"SQ/IM INJECTION","0510","RC","Both",,,"29.5","14.75","Blue Cross Blue Shield","HMO",,,"71",,"20.83","10.8","46.5","percent of total billed charges",,
"SQ/IM INJECTION","0510","RC","Both",,,"29.5","14.75","Blue Cross Blue Shield","PPO",,,"71",,"20.83","10.8","46.5","percent of total billed charges",,
"SQ/IM INJECTION","0510","RC","Both",,,"29.5","14.75","Ambetter","Health Exchange",,,"62",,"18.29","10.8","46.5","percent of total billed charges",,
"SQ/IM INJECTION","0510","RC","Both",,,"29.5","14.75","Caresource","Health Exchange",,,"62",,"18.29","10.8","46.5","percent of total billed charges",,
"SQ/IM INJECTION","0510","RC","Both",,,"29.5","14.75","Cigna","Commercial",,,"59",,"17.29","10.8","46.5","percent of total billed charges",,
"SQ/IM INJECTION","0510","RC","Both",,,"29.5","14.75","Humana","Commercial",,,"78",,"22.86","10.8","46.5","percent of total billed charges",,
"SQ/IM INJECTION","0510","RC","Both",,,"29.5","14.75","UHC","Commercial",,,"75",,"22.24","10.8","46.5","percent of total billed charges",,
"SQ/IM INJECTION","0510","RC","Both",,,"29.5","14.75","Medicaid",,,,"37",,"10.8","10.8","46.5","percent of total billed charges",,
"IV PUSH EA ADD'L DRUG","0510","RC","Both",,,"60","30","Alliant","Health Exchange",,,"62",,"37.2","10.8","46.5","percent of total billed charges",,
"IV PUSH EA ADD'L DRUG","0510","RC","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage",,,"54",,"32.4","10.8","46.5","percent of total billed charges",,
"IV PUSH EA ADD'L DRUG","0510","RC","Both",,,"60","30","Medicare",,,,"54",,"32.52","10.8","46.5","percent of total billed charges",,
"IV PUSH EA ADD'L DRUG","0510","RC","Both",,,"60","30","Humana","Medicare Advantage",,,"54",,"32.52","10.8","46.5","percent of total billed charges",,
"IV PUSH EA ADD'L DRUG","0510","RC","Both",,,"60","30","UHC","Medicare Advantage",,,"54",,"32.52","10.8","46.5","percent of total billed charges",,
"IV PUSH EA ADD'L DRUG","0510","RC","Both",,,"60","30","Clover","Medicare Advantage",,,"54",,"32.52","10.8","46.5","percent of total billed charges",,
"IV PUSH EA ADD'L DRUG","0510","RC","Both",,,"60","30","Wellcare","Medicare Advantage",,,"54",,"32.52","10.8","46.5","percent of total billed charges",,
"IV PUSH EA ADD'L DRUG","0510","RC","Both",,,"60","30","Amerigroup","Medicaid Managed Care",,,"37",,"21.96","10.8","46.5","percent of total billed charges",,
"IV PUSH EA ADD'L DRUG","0510","RC","Both",,,"60","30","Caresource","Medicaid Managed Care",,,"40",,"24","10.8","46.5","percent of total billed charges",,
"IV PUSH EA ADD'L DRUG","0510","RC","Both",,,"60","30","Wellcare","Medicaid Managed Care",,,"40",,"24.3","10.8","46.5","percent of total billed charges",,
"IV PUSH EA ADD'L DRUG","0510","RC","Both",,,"60","30","Aetna","Commercial",,,"64",,"38.28","10.8","46.5","percent of total billed charges",,
"IV PUSH EA ADD'L DRUG","0510","RC","Both",,,"60","30","Blue Cross Blue Shield","Pathways",,,"71",,"42.36","10.8","46.5","percent of total billed charges",,
"IV PUSH EA ADD'L DRUG","0510","RC","Both",,,"60","30","Blue Cross Blue Shield","HMO",,,"71",,"42.36","10.8","46.5","percent of total billed charges",,
"IV PUSH EA ADD'L DRUG","0510","RC","Both",,,"60","30","Blue Cross Blue Shield","PPO",,,"71",,"42.36","10.8","46.5","percent of total billed charges",,
"IV PUSH EA ADD'L DRUG","0510","RC","Both",,,"60","30","Ambetter","Health Exchange",,,"62",,"37.2","10.8","46.5","percent of total billed charges",,
"IV PUSH EA ADD'L DRUG","0510","RC","Both",,,"60","30","Caresource","Health Exchange",,,"62",,"37.2","10.8","46.5","percent of total billed charges",,
"IV PUSH EA ADD'L DRUG","0510","RC","Both",,,"60","30","Cigna","Commercial",,,"59",,"35.16","10.8","46.5","percent of total billed charges",,
"IV PUSH EA ADD'L DRUG","0510","RC","Both",,,"60","30","Humana","Commercial",,,"78",,"46.5","10.8","46.5","percent of total billed charges",,
"IV PUSH EA ADD'L DRUG","0510","RC","Both",,,"60","30","UHC","Commercial",,,"75",,"45.24","10.8","46.5","percent of total billed charges",,
"IV PUSH EA ADD'L DRUG","0510","RC","Both",,,"60","30","Medicaid",,,,"37",,"21.96","10.8","46.5","percent of total billed charges",,
"PERITONEOCENTESIS/ABD PARACENTESIS","0360","RC","Both",,,"742","371","Alliant","Health Exchange",,,"62",,"460.04","16.1","16596.62","percent of total billed charges",,
"PERITONEOCENTESIS/ABD PARACENTESIS","0360","RC","Both",,,"742","371","Pruitt Healthcare","Medicare Advantage",,,"54",,"400.68","16.1","16596.62","percent of total billed charges",,
"PERITONEOCENTESIS/ABD PARACENTESIS","0360","RC","Both",,,"742","371","Medicare",,,,"54",,"402.16","16.1","16596.62","percent of total billed charges",,
"PERITONEOCENTESIS/ABD PARACENTESIS","0360","RC","Both",,,"742","371","Humana","Medicare Advantage",,,"54",,"402.16","16.1","16596.62","percent of total billed charges",,
"PERITONEOCENTESIS/ABD PARACENTESIS","0360","RC","Both",,,"742","371","UHC","Medicare Advantage",,,"54",,"402.16","16.1","16596.62","percent of total billed charges",,
"PERITONEOCENTESIS/ABD PARACENTESIS","0360","RC","Both",,,"742","371","Clover","Medicare Advantage",,,"54",,"402.16","16.1","16596.62","percent of total billed charges",,
"PERITONEOCENTESIS/ABD PARACENTESIS","0360","RC","Both",,,"742","371","Wellcare","Medicare Advantage",,,"54",,"402.16","16.1","16596.62","percent of total billed charges",,
"PERITONEOCENTESIS/ABD PARACENTESIS","0360","RC","Both",,,"742","371","Amerigroup","Medicaid Managed Care",,,"37",,"271.57","16.1","16596.62","percent of total billed charges",,
"PERITONEOCENTESIS/ABD PARACENTESIS","0360","RC","Both",,,"742","371","Caresource","Medicaid Managed Care",,,"40",,"296.8","16.1","16596.62","percent of total billed charges",,
"PERITONEOCENTESIS/ABD PARACENTESIS","0360","RC","Both",,,"742","371","Wellcare","Medicaid Managed Care",,,"40",,"300.51","16.1","16596.62","percent of total billed charges",,
"PERITONEOCENTESIS/ABD PARACENTESIS","0360","RC","Both",,,"742","371","Aetna","Commercial",,,"64",,"473.4","16.1","16596.62","percent of total billed charges",,
"PERITONEOCENTESIS/ABD PARACENTESIS","0360","RC","Both",,,"742","371","Blue Cross Blue Shield","Pathways",,,"71",,"523.85","16.1","16596.62","percent of total billed charges",,
"PERITONEOCENTESIS/ABD PARACENTESIS","0360","RC","Both",,,"742","371","Blue Cross Blue Shield","HMO",,,"71",,"523.85","16.1","16596.62","percent of total billed charges",,
"PERITONEOCENTESIS/ABD PARACENTESIS","0360","RC","Both",,,"742","371","Blue Cross Blue Shield","PPO",,,"71",,"523.85","16.1","16596.62","percent of total billed charges",,
"PERITONEOCENTESIS/ABD PARACENTESIS","0360","RC","Both",,,"742","371","Ambetter","Health Exchange",,,"62",,"460.04","16.1","16596.62","percent of total billed charges",,
"PERITONEOCENTESIS/ABD PARACENTESIS","0360","RC","Both",,,"742","371","Caresource","Health Exchange",,,"62",,"460.04","16.1","16596.62","percent of total billed charges",,
"PERITONEOCENTESIS/ABD PARACENTESIS","0360","RC","Both",,,"742","371","Cigna","Commercial",,,"59",,"434.81","16.1","16596.62","percent of total billed charges",,
"PERITONEOCENTESIS/ABD PARACENTESIS","0360","RC","Both",,,"742","371","Humana","Commercial",,,"78",,"575.05","16.1","16596.62","percent of total billed charges",,
"PERITONEOCENTESIS/ABD PARACENTESIS","0360","RC","Both",,,"742","371","UHC","Commercial",,,"75",,"559.47","16.1","16596.62","percent of total billed charges",,
"PERITONEOCENTESIS/ABD PARACENTESIS","0360","RC","Both",,,"742","371","Medicaid",,,,"37",,"271.57","16.1","16596.62","percent of total billed charges",,
"COT RENTAL","0990","RC","Both",,,"13","6.5","Alliant","Health Exchange",,,"62",,"8.06","4.76","49.99","percent of total billed charges",,
"COT RENTAL","0990","RC","Both",,,"13","6.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.02","4.76","49.99","percent of total billed charges",,
"COT RENTAL","0990","RC","Both",,,"13","6.5","Medicare",,,,"54",,"7.05","4.76","49.99","percent of total billed charges",,
"COT RENTAL","0990","RC","Both",,,"13","6.5","Humana","Medicare Advantage",,,"54",,"7.05","4.76","49.99","percent of total billed charges",,
"COT RENTAL","0990","RC","Both",,,"13","6.5","UHC","Medicare Advantage",,,"54",,"7.05","4.76","49.99","percent of total billed charges",,
"COT RENTAL","0990","RC","Both",,,"13","6.5","Clover","Medicare Advantage",,,"54",,"7.05","4.76","49.99","percent of total billed charges",,
"COT RENTAL","0990","RC","Both",,,"13","6.5","Wellcare","Medicare Advantage",,,"54",,"7.05","4.76","49.99","percent of total billed charges",,
"COT RENTAL","0990","RC","Both",,,"13","6.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.76","4.76","49.99","percent of total billed charges",,
"COT RENTAL","0990","RC","Both",,,"13","6.5","Caresource","Medicaid Managed Care",,,"40",,"5.2","4.76","49.99","percent of total billed charges",,
"COT RENTAL","0990","RC","Both",,,"13","6.5","Wellcare","Medicaid Managed Care",,,"40",,"5.26","4.76","49.99","percent of total billed charges",,
"COT RENTAL","0990","RC","Both",,,"13","6.5","Aetna","Commercial",,,"64",,"8.29","4.76","49.99","percent of total billed charges",,
"COT RENTAL","0990","RC","Both",,,"13","6.5","Blue Cross Blue Shield","Pathways",,,"71",,"9.18","4.76","49.99","percent of total billed charges",,
"COT RENTAL","0990","RC","Both",,,"13","6.5","Blue Cross Blue Shield","HMO",,,"71",,"9.18","4.76","49.99","percent of total billed charges",,
"COT RENTAL","0990","RC","Both",,,"13","6.5","Blue Cross Blue Shield","PPO",,,"71",,"9.18","4.76","49.99","percent of total billed charges",,
"COT RENTAL","0990","RC","Both",,,"13","6.5","Ambetter","Health Exchange",,,"62",,"8.06","4.76","49.99","percent of total billed charges",,
"COT RENTAL","0990","RC","Both",,,"13","6.5","Caresource","Health Exchange",,,"62",,"8.06","4.76","49.99","percent of total billed charges",,
"COT RENTAL","0990","RC","Both",,,"13","6.5","Cigna","Commercial",,,"59",,"7.62","4.76","49.99","percent of total billed charges",,
"COT RENTAL","0990","RC","Both",,,"13","6.5","Humana","Commercial",,,"78",,"10.08","4.76","49.99","percent of total billed charges",,
"COT RENTAL","0990","RC","Both",,,"13","6.5","UHC","Commercial",,,"75",,"9.8","4.76","49.99","percent of total billed charges",,
"COT RENTAL","0990","RC","Both",,,"13","6.5","Medicaid",,,,"37",,"4.76","4.76","49.99","percent of total billed charges",,
"RECOVERY (MED-SURG)","0710","RC","Both",,,"36.5","18.25","Alliant","Health Exchange",,,"62",,"22.63","10.98","89.51","percent of total billed charges",,
"RECOVERY (MED-SURG)","0710","RC","Both",,,"36.5","18.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.71","10.98","89.51","percent of total billed charges",,
"RECOVERY (MED-SURG)","0710","RC","Both",,,"36.5","18.25","Medicare",,,,"54",,"19.78","10.98","89.51","percent of total billed charges",,
"RECOVERY (MED-SURG)","0710","RC","Both",,,"36.5","18.25","Humana","Medicare Advantage",,,"54",,"19.78","10.98","89.51","percent of total billed charges",,
"RECOVERY (MED-SURG)","0710","RC","Both",,,"36.5","18.25","UHC","Medicare Advantage",,,"54",,"19.78","10.98","89.51","percent of total billed charges",,
"RECOVERY (MED-SURG)","0710","RC","Both",,,"36.5","18.25","Clover","Medicare Advantage",,,"54",,"19.78","10.98","89.51","percent of total billed charges",,
"RECOVERY (MED-SURG)","0710","RC","Both",,,"36.5","18.25","Wellcare","Medicare Advantage",,,"54",,"19.78","10.98","89.51","percent of total billed charges",,
"RECOVERY (MED-SURG)","0710","RC","Both",,,"36.5","18.25","Amerigroup","Medicaid Managed Care",,,"37",,"13.36","10.98","89.51","percent of total billed charges",,
"RECOVERY (MED-SURG)","0710","RC","Both",,,"36.5","18.25","Caresource","Medicaid Managed Care",,,"40",,"14.6","10.98","89.51","percent of total billed charges",,
"RECOVERY (MED-SURG)","0710","RC","Both",,,"36.5","18.25","Wellcare","Medicaid Managed Care",,,"40",,"14.78","10.98","89.51","percent of total billed charges",,
"RECOVERY (MED-SURG)","0710","RC","Both",,,"36.5","18.25","Aetna","Commercial",,,"64",,"23.29","10.98","89.51","percent of total billed charges",,
"RECOVERY (MED-SURG)","0710","RC","Both",,,"36.5","18.25","Blue Cross Blue Shield","Pathways",,,"71",,"25.77","10.98","89.51","percent of total billed charges",,
"RECOVERY (MED-SURG)","0710","RC","Both",,,"36.5","18.25","Blue Cross Blue Shield","HMO",,,"71",,"25.77","10.98","89.51","percent of total billed charges",,
"RECOVERY (MED-SURG)","0710","RC","Both",,,"36.5","18.25","Blue Cross Blue Shield","PPO",,,"71",,"25.77","10.98","89.51","percent of total billed charges",,
"RECOVERY (MED-SURG)","0710","RC","Both",,,"36.5","18.25","Ambetter","Health Exchange",,,"62",,"22.63","10.98","89.51","percent of total billed charges",,
"RECOVERY (MED-SURG)","0710","RC","Both",,,"36.5","18.25","Caresource","Health Exchange",,,"62",,"22.63","10.98","89.51","percent of total billed charges",,
"RECOVERY (MED-SURG)","0710","RC","Both",,,"36.5","18.25","Cigna","Commercial",,,"59",,"21.39","10.98","89.51","percent of total billed charges",,
"RECOVERY (MED-SURG)","0710","RC","Both",,,"36.5","18.25","Humana","Commercial",,,"78",,"28.29","10.98","89.51","percent of total billed charges",,
"RECOVERY (MED-SURG)","0710","RC","Both",,,"36.5","18.25","UHC","Commercial",,,"75",,"27.52","10.98","89.51","percent of total billed charges",,
"RECOVERY (MED-SURG)","0710","RC","Both",,,"36.5","18.25","Medicaid",,,,"37",,"13.36","10.98","89.51","percent of total billed charges",,
"SQ OR IM INJECTION POST-OP","0710","RC","Both",,,"30","15","Alliant","Health Exchange",,,"62",,"18.6","10.98","89.51","percent of total billed charges",,
"SQ OR IM INJECTION POST-OP","0710","RC","Both",,,"30","15","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.2","10.98","89.51","percent of total billed charges",,
"SQ OR IM INJECTION POST-OP","0710","RC","Both",,,"30","15","Medicare",,,,"54",,"16.26","10.98","89.51","percent of total billed charges",,
"SQ OR IM INJECTION POST-OP","0710","RC","Both",,,"30","15","Humana","Medicare Advantage",,,"54",,"16.26","10.98","89.51","percent of total billed charges",,
"SQ OR IM INJECTION POST-OP","0710","RC","Both",,,"30","15","UHC","Medicare Advantage",,,"54",,"16.26","10.98","89.51","percent of total billed charges",,
"SQ OR IM INJECTION POST-OP","0710","RC","Both",,,"30","15","Clover","Medicare Advantage",,,"54",,"16.26","10.98","89.51","percent of total billed charges",,
"SQ OR IM INJECTION POST-OP","0710","RC","Both",,,"30","15","Wellcare","Medicare Advantage",,,"54",,"16.26","10.98","89.51","percent of total billed charges",,
"SQ OR IM INJECTION POST-OP","0710","RC","Both",,,"30","15","Amerigroup","Medicaid Managed Care",,,"37",,"10.98","10.98","89.51","percent of total billed charges",,
"SQ OR IM INJECTION POST-OP","0710","RC","Both",,,"30","15","Caresource","Medicaid Managed Care",,,"40",,"12","10.98","89.51","percent of total billed charges",,
"SQ OR IM INJECTION POST-OP","0710","RC","Both",,,"30","15","Wellcare","Medicaid Managed Care",,,"40",,"12.15","10.98","89.51","percent of total billed charges",,
"SQ OR IM INJECTION POST-OP","0710","RC","Both",,,"30","15","Aetna","Commercial",,,"64",,"19.14","10.98","89.51","percent of total billed charges",,
"SQ OR IM INJECTION POST-OP","0710","RC","Both",,,"30","15","Blue Cross Blue Shield","Pathways",,,"71",,"21.18","10.98","89.51","percent of total billed charges",,
"SQ OR IM INJECTION POST-OP","0710","RC","Both",,,"30","15","Blue Cross Blue Shield","HMO",,,"71",,"21.18","10.98","89.51","percent of total billed charges",,
"SQ OR IM INJECTION POST-OP","0710","RC","Both",,,"30","15","Blue Cross Blue Shield","PPO",,,"71",,"21.18","10.98","89.51","percent of total billed charges",,
"SQ OR IM INJECTION POST-OP","0710","RC","Both",,,"30","15","Ambetter","Health Exchange",,,"62",,"18.6","10.98","89.51","percent of total billed charges",,
"SQ OR IM INJECTION POST-OP","0710","RC","Both",,,"30","15","Caresource","Health Exchange",,,"62",,"18.6","10.98","89.51","percent of total billed charges",,
"SQ OR IM INJECTION POST-OP","0710","RC","Both",,,"30","15","Cigna","Commercial",,,"59",,"17.58","10.98","89.51","percent of total billed charges",,
"SQ OR IM INJECTION POST-OP","0710","RC","Both",,,"30","15","Humana","Commercial",,,"78",,"23.25","10.98","89.51","percent of total billed charges",,
"SQ OR IM INJECTION POST-OP","0710","RC","Both",,,"30","15","UHC","Commercial",,,"75",,"22.62","10.98","89.51","percent of total billed charges",,
"SQ OR IM INJECTION POST-OP","0710","RC","Both",,,"30","15","Medicaid",,,,"37",,"10.98","10.98","89.51","percent of total billed charges",,
"IV INFUSION POST-OP","0710","RC","Both",,,"45","22.5","Alliant","Health Exchange",,,"62",,"27.9","10.98","89.51","percent of total billed charges",,
"IV INFUSION POST-OP","0710","RC","Both",,,"45","22.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"24.3","10.98","89.51","percent of total billed charges",,
"IV INFUSION POST-OP","0710","RC","Both",,,"45","22.5","Medicare",,,,"54",,"24.39","10.98","89.51","percent of total billed charges",,
"IV INFUSION POST-OP","0710","RC","Both",,,"45","22.5","Humana","Medicare Advantage",,,"54",,"24.39","10.98","89.51","percent of total billed charges",,
"IV INFUSION POST-OP","0710","RC","Both",,,"45","22.5","UHC","Medicare Advantage",,,"54",,"24.39","10.98","89.51","percent of total billed charges",,
"IV INFUSION POST-OP","0710","RC","Both",,,"45","22.5","Clover","Medicare Advantage",,,"54",,"24.39","10.98","89.51","percent of total billed charges",,
"IV INFUSION POST-OP","0710","RC","Both",,,"45","22.5","Wellcare","Medicare Advantage",,,"54",,"24.39","10.98","89.51","percent of total billed charges",,
"IV INFUSION POST-OP","0710","RC","Both",,,"45","22.5","Amerigroup","Medicaid Managed Care",,,"37",,"16.47","10.98","89.51","percent of total billed charges",,
"IV INFUSION POST-OP","0710","RC","Both",,,"45","22.5","Caresource","Medicaid Managed Care",,,"40",,"18","10.98","89.51","percent of total billed charges",,
"IV INFUSION POST-OP","0710","RC","Both",,,"45","22.5","Wellcare","Medicaid Managed Care",,,"40",,"18.23","10.98","89.51","percent of total billed charges",,
"IV INFUSION POST-OP","0710","RC","Both",,,"45","22.5","Aetna","Commercial",,,"64",,"28.71","10.98","89.51","percent of total billed charges",,
"IV INFUSION POST-OP","0710","RC","Both",,,"45","22.5","Blue Cross Blue Shield","Pathways",,,"71",,"31.77","10.98","89.51","percent of total billed charges",,
"IV INFUSION POST-OP","0710","RC","Both",,,"45","22.5","Blue Cross Blue Shield","HMO",,,"71",,"31.77","10.98","89.51","percent of total billed charges",,
"IV INFUSION POST-OP","0710","RC","Both",,,"45","22.5","Blue Cross Blue Shield","PPO",,,"71",,"31.77","10.98","89.51","percent of total billed charges",,
"IV INFUSION POST-OP","0710","RC","Both",,,"45","22.5","Ambetter","Health Exchange",,,"62",,"27.9","10.98","89.51","percent of total billed charges",,
"IV INFUSION POST-OP","0710","RC","Both",,,"45","22.5","Caresource","Health Exchange",,,"62",,"27.9","10.98","89.51","percent of total billed charges",,
"IV INFUSION POST-OP","0710","RC","Both",,,"45","22.5","Cigna","Commercial",,,"59",,"26.37","10.98","89.51","percent of total billed charges",,
"IV INFUSION POST-OP","0710","RC","Both",,,"45","22.5","Humana","Commercial",,,"78",,"34.88","10.98","89.51","percent of total billed charges",,
"IV INFUSION POST-OP","0710","RC","Both",,,"45","22.5","UHC","Commercial",,,"75",,"33.93","10.98","89.51","percent of total billed charges",,
"IV INFUSION POST-OP","0710","RC","Both",,,"45","22.5","Medicaid",,,,"37",,"16.47","10.98","89.51","percent of total billed charges",,
"OR CALL BACK","0360","RC","Both",,,"129.5","64.75","Alliant","Health Exchange",,,"62",,"80.29","16.1","16596.62","percent of total billed charges",,
"OR CALL BACK","0360","RC","Both",,,"129.5","64.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"69.93","16.1","16596.62","percent of total billed charges",,
"OR CALL BACK","0360","RC","Both",,,"129.5","64.75","Medicare",,,,"54",,"70.19","16.1","16596.62","percent of total billed charges",,
"OR CALL BACK","0360","RC","Both",,,"129.5","64.75","Humana","Medicare Advantage",,,"54",,"70.19","16.1","16596.62","percent of total billed charges",,
"OR CALL BACK","0360","RC","Both",,,"129.5","64.75","UHC","Medicare Advantage",,,"54",,"70.19","16.1","16596.62","percent of total billed charges",,
"OR CALL BACK","0360","RC","Both",,,"129.5","64.75","Clover","Medicare Advantage",,,"54",,"70.19","16.1","16596.62","percent of total billed charges",,
"OR CALL BACK","0360","RC","Both",,,"129.5","64.75","Wellcare","Medicare Advantage",,,"54",,"70.19","16.1","16596.62","percent of total billed charges",,
"OR CALL BACK","0360","RC","Both",,,"129.5","64.75","Amerigroup","Medicaid Managed Care",,,"37",,"47.4","16.1","16596.62","percent of total billed charges",,
"OR CALL BACK","0360","RC","Both",,,"129.5","64.75","Caresource","Medicaid Managed Care",,,"40",,"51.8","16.1","16596.62","percent of total billed charges",,
"OR CALL BACK","0360","RC","Both",,,"129.5","64.75","Wellcare","Medicaid Managed Care",,,"40",,"52.45","16.1","16596.62","percent of total billed charges",,
"OR CALL BACK","0360","RC","Both",,,"129.5","64.75","Aetna","Commercial",,,"64",,"82.62","16.1","16596.62","percent of total billed charges",,
"OR CALL BACK","0360","RC","Both",,,"129.5","64.75","Blue Cross Blue Shield","Pathways",,,"71",,"91.43","16.1","16596.62","percent of total billed charges",,
"OR CALL BACK","0360","RC","Both",,,"129.5","64.75","Blue Cross Blue Shield","HMO",,,"71",,"91.43","16.1","16596.62","percent of total billed charges",,
"OR CALL BACK","0360","RC","Both",,,"129.5","64.75","Blue Cross Blue Shield","PPO",,,"71",,"91.43","16.1","16596.62","percent of total billed charges",,
"OR CALL BACK","0360","RC","Both",,,"129.5","64.75","Ambetter","Health Exchange",,,"62",,"80.29","16.1","16596.62","percent of total billed charges",,
"OR CALL BACK","0360","RC","Both",,,"129.5","64.75","Caresource","Health Exchange",,,"62",,"80.29","16.1","16596.62","percent of total billed charges",,
"OR CALL BACK","0360","RC","Both",,,"129.5","64.75","Cigna","Commercial",,,"59",,"75.89","16.1","16596.62","percent of total billed charges",,
"OR CALL BACK","0360","RC","Both",,,"129.5","64.75","Humana","Commercial",,,"78",,"100.36","16.1","16596.62","percent of total billed charges",,
"OR CALL BACK","0360","RC","Both",,,"129.5","64.75","UHC","Commercial",,,"75",,"97.64","16.1","16596.62","percent of total billed charges",,
"OR CALL BACK","0360","RC","Both",,,"129.5","64.75","Medicaid",,,,"37",,"47.4","16.1","16596.62","percent of total billed charges",,
"OR OUTPATIENT SURGERY 1-30 MIN","0360","RC","Both",,,"60.5","30.25","Alliant","Health Exchange",,,"62",,"37.51","16.1","16596.62","percent of total billed charges",,
"OR OUTPATIENT SURGERY 1-30 MIN","0360","RC","Both",,,"60.5","30.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"32.67","16.1","16596.62","percent of total billed charges",,
"OR OUTPATIENT SURGERY 1-30 MIN","0360","RC","Both",,,"60.5","30.25","Medicare",,,,"54",,"32.79","16.1","16596.62","percent of total billed charges",,
"OR OUTPATIENT SURGERY 1-30 MIN","0360","RC","Both",,,"60.5","30.25","Humana","Medicare Advantage",,,"54",,"32.79","16.1","16596.62","percent of total billed charges",,
"OR OUTPATIENT SURGERY 1-30 MIN","0360","RC","Both",,,"60.5","30.25","UHC","Medicare Advantage",,,"54",,"32.79","16.1","16596.62","percent of total billed charges",,
"OR OUTPATIENT SURGERY 1-30 MIN","0360","RC","Both",,,"60.5","30.25","Clover","Medicare Advantage",,,"54",,"32.79","16.1","16596.62","percent of total billed charges",,
"OR OUTPATIENT SURGERY 1-30 MIN","0360","RC","Both",,,"60.5","30.25","Wellcare","Medicare Advantage",,,"54",,"32.79","16.1","16596.62","percent of total billed charges",,
"OR OUTPATIENT SURGERY 1-30 MIN","0360","RC","Both",,,"60.5","30.25","Amerigroup","Medicaid Managed Care",,,"37",,"22.14","16.1","16596.62","percent of total billed charges",,
"OR OUTPATIENT SURGERY 1-30 MIN","0360","RC","Both",,,"60.5","30.25","Caresource","Medicaid Managed Care",,,"40",,"24.2","16.1","16596.62","percent of total billed charges",,
"OR OUTPATIENT SURGERY 1-30 MIN","0360","RC","Both",,,"60.5","30.25","Wellcare","Medicaid Managed Care",,,"40",,"24.5","16.1","16596.62","percent of total billed charges",,
"OR OUTPATIENT SURGERY 1-30 MIN","0360","RC","Both",,,"60.5","30.25","Aetna","Commercial",,,"64",,"38.6","16.1","16596.62","percent of total billed charges",,
"OR OUTPATIENT SURGERY 1-30 MIN","0360","RC","Both",,,"60.5","30.25","Blue Cross Blue Shield","Pathways",,,"71",,"42.71","16.1","16596.62","percent of total billed charges",,
"OR OUTPATIENT SURGERY 1-30 MIN","0360","RC","Both",,,"60.5","30.25","Blue Cross Blue Shield","HMO",,,"71",,"42.71","16.1","16596.62","percent of total billed charges",,
"OR OUTPATIENT SURGERY 1-30 MIN","0360","RC","Both",,,"60.5","30.25","Blue Cross Blue Shield","PPO",,,"71",,"42.71","16.1","16596.62","percent of total billed charges",,
"OR OUTPATIENT SURGERY 1-30 MIN","0360","RC","Both",,,"60.5","30.25","Ambetter","Health Exchange",,,"62",,"37.51","16.1","16596.62","percent of total billed charges",,
"OR OUTPATIENT SURGERY 1-30 MIN","0360","RC","Both",,,"60.5","30.25","Caresource","Health Exchange",,,"62",,"37.51","16.1","16596.62","percent of total billed charges",,
"OR OUTPATIENT SURGERY 1-30 MIN","0360","RC","Both",,,"60.5","30.25","Cigna","Commercial",,,"59",,"35.45","16.1","16596.62","percent of total billed charges",,
"OR OUTPATIENT SURGERY 1-30 MIN","0360","RC","Both",,,"60.5","30.25","Humana","Commercial",,,"78",,"46.89","16.1","16596.62","percent of total billed charges",,
"OR OUTPATIENT SURGERY 1-30 MIN","0360","RC","Both",,,"60.5","30.25","UHC","Commercial",,,"75",,"45.62","16.1","16596.62","percent of total billed charges",,
"OR OUTPATIENT SURGERY 1-30 MIN","0360","RC","Both",,,"60.5","30.25","Medicaid",,,,"37",,"22.14","16.1","16596.62","percent of total billed charges",,
"ER OUTPATIENT SURGERY 1-30 MIN","0360","RC","Both",,,"44","22","Alliant","Health Exchange",,,"62",,"27.28","16.1","16596.62","percent of total billed charges",,
"ER OUTPATIENT SURGERY 1-30 MIN","0360","RC","Both",,,"44","22","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.76","16.1","16596.62","percent of total billed charges",,
"ER OUTPATIENT SURGERY 1-30 MIN","0360","RC","Both",,,"44","22","Medicare",,,,"54",,"23.85","16.1","16596.62","percent of total billed charges",,
"ER OUTPATIENT SURGERY 1-30 MIN","0360","RC","Both",,,"44","22","Humana","Medicare Advantage",,,"54",,"23.85","16.1","16596.62","percent of total billed charges",,
"ER OUTPATIENT SURGERY 1-30 MIN","0360","RC","Both",,,"44","22","UHC","Medicare Advantage",,,"54",,"23.85","16.1","16596.62","percent of total billed charges",,
"ER OUTPATIENT SURGERY 1-30 MIN","0360","RC","Both",,,"44","22","Clover","Medicare Advantage",,,"54",,"23.85","16.1","16596.62","percent of total billed charges",,
"ER OUTPATIENT SURGERY 1-30 MIN","0360","RC","Both",,,"44","22","Wellcare","Medicare Advantage",,,"54",,"23.85","16.1","16596.62","percent of total billed charges",,
"ER OUTPATIENT SURGERY 1-30 MIN","0360","RC","Both",,,"44","22","Amerigroup","Medicaid Managed Care",,,"37",,"16.1","16.1","16596.62","percent of total billed charges",,
"ER OUTPATIENT SURGERY 1-30 MIN","0360","RC","Both",,,"44","22","Caresource","Medicaid Managed Care",,,"40",,"17.6","16.1","16596.62","percent of total billed charges",,
"ER OUTPATIENT SURGERY 1-30 MIN","0360","RC","Both",,,"44","22","Wellcare","Medicaid Managed Care",,,"40",,"17.82","16.1","16596.62","percent of total billed charges",,
"ER OUTPATIENT SURGERY 1-30 MIN","0360","RC","Both",,,"44","22","Aetna","Commercial",,,"64",,"28.07","16.1","16596.62","percent of total billed charges",,
"ER OUTPATIENT SURGERY 1-30 MIN","0360","RC","Both",,,"44","22","Blue Cross Blue Shield","Pathways",,,"71",,"31.06","16.1","16596.62","percent of total billed charges",,
"ER OUTPATIENT SURGERY 1-30 MIN","0360","RC","Both",,,"44","22","Blue Cross Blue Shield","HMO",,,"71",,"31.06","16.1","16596.62","percent of total billed charges",,
"ER OUTPATIENT SURGERY 1-30 MIN","0360","RC","Both",,,"44","22","Blue Cross Blue Shield","PPO",,,"71",,"31.06","16.1","16596.62","percent of total billed charges",,
"ER OUTPATIENT SURGERY 1-30 MIN","0360","RC","Both",,,"44","22","Ambetter","Health Exchange",,,"62",,"27.28","16.1","16596.62","percent of total billed charges",,
"ER OUTPATIENT SURGERY 1-30 MIN","0360","RC","Both",,,"44","22","Caresource","Health Exchange",,,"62",,"27.28","16.1","16596.62","percent of total billed charges",,
"ER OUTPATIENT SURGERY 1-30 MIN","0360","RC","Both",,,"44","22","Cigna","Commercial",,,"59",,"25.78","16.1","16596.62","percent of total billed charges",,
"ER OUTPATIENT SURGERY 1-30 MIN","0360","RC","Both",,,"44","22","Humana","Commercial",,,"78",,"34.1","16.1","16596.62","percent of total billed charges",,
"ER OUTPATIENT SURGERY 1-30 MIN","0360","RC","Both",,,"44","22","UHC","Commercial",,,"75",,"33.18","16.1","16596.62","percent of total billed charges",,
"ER OUTPATIENT SURGERY 1-30 MIN","0360","RC","Both",,,"44","22","Medicaid",,,,"37",,"16.1","16.1","16596.62","percent of total billed charges",,
"TRACH INST TRAY","0637","RC","Both",,,"48","24","Alliant","Health Exchange",,,"62",,"29.76","0.15","5264.58","percent of total billed charges",,
"TRACH INST TRAY","0637","RC","Both",,,"48","24","Pruitt Healthcare","Medicare Advantage",,,"54",,"25.92","0.15","5264.58","percent of total billed charges",,
"TRACH INST TRAY","0637","RC","Both",,,"48","24","Medicare",,,,"54",,"26.02","0.15","5264.58","percent of total billed charges",,
"TRACH INST TRAY","0637","RC","Both",,,"48","24","Humana","Medicare Advantage",,,"54",,"26.02","0.15","5264.58","percent of total billed charges",,
"TRACH INST TRAY","0637","RC","Both",,,"48","24","UHC","Medicare Advantage",,,"54",,"26.02","0.15","5264.58","percent of total billed charges",,
"TRACH INST TRAY","0637","RC","Both",,,"48","24","Clover","Medicare Advantage",,,"54",,"26.02","0.15","5264.58","percent of total billed charges",,
"TRACH INST TRAY","0637","RC","Both",,,"48","24","Wellcare","Medicare Advantage",,,"54",,"26.02","0.15","5264.58","percent of total billed charges",,
"TRACH INST TRAY","0637","RC","Both",,,"48","24","Amerigroup","Medicaid Managed Care",,,"37",,"17.57","0.15","5264.58","percent of total billed charges",,
"TRACH INST TRAY","0637","RC","Both",,,"48","24","Caresource","Medicaid Managed Care",,,"40",,"19.2","0.15","5264.58","percent of total billed charges",,
"TRACH INST TRAY","0637","RC","Both",,,"48","24","Wellcare","Medicaid Managed Care",,,"40",,"19.44","0.15","5264.58","percent of total billed charges",,
"TRACH INST TRAY","0637","RC","Both",,,"48","24","Aetna","Commercial",,,"64",,"30.62","0.15","5264.58","percent of total billed charges",,
"TRACH INST TRAY","0637","RC","Both",,,"48","24","Blue Cross Blue Shield","Pathways",,,"71",,"33.89","0.15","5264.58","percent of total billed charges",,
"TRACH INST TRAY","0637","RC","Both",,,"48","24","Blue Cross Blue Shield","HMO",,,"71",,"33.89","0.15","5264.58","percent of total billed charges",,
"TRACH INST TRAY","0637","RC","Both",,,"48","24","Blue Cross Blue Shield","PPO",,,"71",,"33.89","0.15","5264.58","percent of total billed charges",,
"TRACH INST TRAY","0637","RC","Both",,,"48","24","Ambetter","Health Exchange",,,"62",,"29.76","0.15","5264.58","percent of total billed charges",,
"TRACH INST TRAY","0637","RC","Both",,,"48","24","Caresource","Health Exchange",,,"62",,"29.76","0.15","5264.58","percent of total billed charges",,
"TRACH INST TRAY","0637","RC","Both",,,"48","24","Cigna","Commercial",,,"59",,"28.13","0.15","5264.58","percent of total billed charges",,
"TRACH INST TRAY","0637","RC","Both",,,"48","24","Humana","Commercial",,,"78",,"37.2","0.15","5264.58","percent of total billed charges",,
"TRACH INST TRAY","0637","RC","Both",,,"48","24","UHC","Commercial",,,"75",,"36.19","0.15","5264.58","percent of total billed charges",,
"TRACH INST TRAY","0637","RC","Both",,,"48","24","Medicaid",,,,"37",,"17.57","0.15","5264.58","percent of total billed charges",,
"PREP TRAY","0637","RC","Both",,,"64.5","32.25","Alliant","Health Exchange",,,"62",,"39.99","0.15","5264.58","percent of total billed charges",,
"PREP TRAY","0637","RC","Both",,,"64.5","32.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"34.83","0.15","5264.58","percent of total billed charges",,
"PREP TRAY","0637","RC","Both",,,"64.5","32.25","Medicare",,,,"54",,"34.96","0.15","5264.58","percent of total billed charges",,
"PREP TRAY","0637","RC","Both",,,"64.5","32.25","Humana","Medicare Advantage",,,"54",,"34.96","0.15","5264.58","percent of total billed charges",,
"PREP TRAY","0637","RC","Both",,,"64.5","32.25","UHC","Medicare Advantage",,,"54",,"34.96","0.15","5264.58","percent of total billed charges",,
"PREP TRAY","0637","RC","Both",,,"64.5","32.25","Clover","Medicare Advantage",,,"54",,"34.96","0.15","5264.58","percent of total billed charges",,
"PREP TRAY","0637","RC","Both",,,"64.5","32.25","Wellcare","Medicare Advantage",,,"54",,"34.96","0.15","5264.58","percent of total billed charges",,
"PREP TRAY","0637","RC","Both",,,"64.5","32.25","Amerigroup","Medicaid Managed Care",,,"37",,"23.61","0.15","5264.58","percent of total billed charges",,
"PREP TRAY","0637","RC","Both",,,"64.5","32.25","Caresource","Medicaid Managed Care",,,"40",,"25.8","0.15","5264.58","percent of total billed charges",,
"PREP TRAY","0637","RC","Both",,,"64.5","32.25","Wellcare","Medicaid Managed Care",,,"40",,"26.12","0.15","5264.58","percent of total billed charges",,
"PREP TRAY","0637","RC","Both",,,"64.5","32.25","Aetna","Commercial",,,"64",,"41.15","0.15","5264.58","percent of total billed charges",,
"PREP TRAY","0637","RC","Both",,,"64.5","32.25","Blue Cross Blue Shield","Pathways",,,"71",,"45.54","0.15","5264.58","percent of total billed charges",,
"PREP TRAY","0637","RC","Both",,,"64.5","32.25","Blue Cross Blue Shield","HMO",,,"71",,"45.54","0.15","5264.58","percent of total billed charges",,
"PREP TRAY","0637","RC","Both",,,"64.5","32.25","Blue Cross Blue Shield","PPO",,,"71",,"45.54","0.15","5264.58","percent of total billed charges",,
"PREP TRAY","0637","RC","Both",,,"64.5","32.25","Ambetter","Health Exchange",,,"62",,"39.99","0.15","5264.58","percent of total billed charges",,
"PREP TRAY","0637","RC","Both",,,"64.5","32.25","Caresource","Health Exchange",,,"62",,"39.99","0.15","5264.58","percent of total billed charges",,
"PREP TRAY","0637","RC","Both",,,"64.5","32.25","Cigna","Commercial",,,"59",,"37.8","0.15","5264.58","percent of total billed charges",,
"PREP TRAY","0637","RC","Both",,,"64.5","32.25","Humana","Commercial",,,"78",,"49.99","0.15","5264.58","percent of total billed charges",,
"PREP TRAY","0637","RC","Both",,,"64.5","32.25","UHC","Commercial",,,"75",,"48.63","0.15","5264.58","percent of total billed charges",,
"PREP TRAY","0637","RC","Both",,,"64.5","32.25","Medicaid",,,,"37",,"23.61","0.15","5264.58","percent of total billed charges",,
"DENTAL INST TRAY","0637","RC","Both",,,"91","45.5","Alliant","Health Exchange",,,"62",,"56.42","0.15","5264.58","percent of total billed charges",,
"DENTAL INST TRAY","0637","RC","Both",,,"91","45.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"49.14","0.15","5264.58","percent of total billed charges",,
"DENTAL INST TRAY","0637","RC","Both",,,"91","45.5","Medicare",,,,"54",,"49.32","0.15","5264.58","percent of total billed charges",,
"DENTAL INST TRAY","0637","RC","Both",,,"91","45.5","Humana","Medicare Advantage",,,"54",,"49.32","0.15","5264.58","percent of total billed charges",,
"DENTAL INST TRAY","0637","RC","Both",,,"91","45.5","UHC","Medicare Advantage",,,"54",,"49.32","0.15","5264.58","percent of total billed charges",,
"DENTAL INST TRAY","0637","RC","Both",,,"91","45.5","Clover","Medicare Advantage",,,"54",,"49.32","0.15","5264.58","percent of total billed charges",,
"DENTAL INST TRAY","0637","RC","Both",,,"91","45.5","Wellcare","Medicare Advantage",,,"54",,"49.32","0.15","5264.58","percent of total billed charges",,
"DENTAL INST TRAY","0637","RC","Both",,,"91","45.5","Amerigroup","Medicaid Managed Care",,,"37",,"33.31","0.15","5264.58","percent of total billed charges",,
"DENTAL INST TRAY","0637","RC","Both",,,"91","45.5","Caresource","Medicaid Managed Care",,,"40",,"36.4","0.15","5264.58","percent of total billed charges",,
"DENTAL INST TRAY","0637","RC","Both",,,"91","45.5","Wellcare","Medicaid Managed Care",,,"40",,"36.86","0.15","5264.58","percent of total billed charges",,
"DENTAL INST TRAY","0637","RC","Both",,,"91","45.5","Aetna","Commercial",,,"64",,"58.06","0.15","5264.58","percent of total billed charges",,
"DENTAL INST TRAY","0637","RC","Both",,,"91","45.5","Blue Cross Blue Shield","Pathways",,,"71",,"64.25","0.15","5264.58","percent of total billed charges",,
"DENTAL INST TRAY","0637","RC","Both",,,"91","45.5","Blue Cross Blue Shield","HMO",,,"71",,"64.25","0.15","5264.58","percent of total billed charges",,
"DENTAL INST TRAY","0637","RC","Both",,,"91","45.5","Blue Cross Blue Shield","PPO",,,"71",,"64.25","0.15","5264.58","percent of total billed charges",,
"DENTAL INST TRAY","0637","RC","Both",,,"91","45.5","Ambetter","Health Exchange",,,"62",,"56.42","0.15","5264.58","percent of total billed charges",,
"DENTAL INST TRAY","0637","RC","Both",,,"91","45.5","Caresource","Health Exchange",,,"62",,"56.42","0.15","5264.58","percent of total billed charges",,
"DENTAL INST TRAY","0637","RC","Both",,,"91","45.5","Cigna","Commercial",,,"59",,"53.33","0.15","5264.58","percent of total billed charges",,
"DENTAL INST TRAY","0637","RC","Both",,,"91","45.5","Humana","Commercial",,,"78",,"70.53","0.15","5264.58","percent of total billed charges",,
"DENTAL INST TRAY","0637","RC","Both",,,"91","45.5","UHC","Commercial",,,"75",,"68.61","0.15","5264.58","percent of total billed charges",,
"DENTAL INST TRAY","0637","RC","Both",,,"91","45.5","Medicaid",,,,"37",,"33.31","0.15","5264.58","percent of total billed charges",,
"OB INSTRUMENTS","0270","RC","Both",,,"41.5","20.75","Alliant","Health Exchange",,,"62",,"25.73","0.18","1007.5","percent of total billed charges",,
"OB INSTRUMENTS","0270","RC","Both",,,"41.5","20.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"22.41","0.18","1007.5","percent of total billed charges",,
"OB INSTRUMENTS","0270","RC","Both",,,"41.5","20.75","Medicare",,,,"54",,"22.49","0.18","1007.5","percent of total billed charges",,
"OB INSTRUMENTS","0270","RC","Both",,,"41.5","20.75","Humana","Medicare Advantage",,,"54",,"22.49","0.18","1007.5","percent of total billed charges",,
"OB INSTRUMENTS","0270","RC","Both",,,"41.5","20.75","UHC","Medicare Advantage",,,"54",,"22.49","0.18","1007.5","percent of total billed charges",,
"OB INSTRUMENTS","0270","RC","Both",,,"41.5","20.75","Clover","Medicare Advantage",,,"54",,"22.49","0.18","1007.5","percent of total billed charges",,
"OB INSTRUMENTS","0270","RC","Both",,,"41.5","20.75","Wellcare","Medicare Advantage",,,"54",,"22.49","0.18","1007.5","percent of total billed charges",,
"OB INSTRUMENTS","0270","RC","Both",,,"41.5","20.75","Amerigroup","Medicaid Managed Care",,,"37",,"15.19","0.18","1007.5","percent of total billed charges",,
"OB INSTRUMENTS","0270","RC","Both",,,"41.5","20.75","Caresource","Medicaid Managed Care",,,"40",,"16.6","0.18","1007.5","percent of total billed charges",,
"OB INSTRUMENTS","0270","RC","Both",,,"41.5","20.75","Wellcare","Medicaid Managed Care",,,"40",,"16.81","0.18","1007.5","percent of total billed charges",,
"OB INSTRUMENTS","0270","RC","Both",,,"41.5","20.75","Aetna","Commercial",,,"64",,"26.48","0.18","1007.5","percent of total billed charges",,
"OB INSTRUMENTS","0270","RC","Both",,,"41.5","20.75","Blue Cross Blue Shield","Pathways",,,"71",,"29.3","0.18","1007.5","percent of total billed charges",,
"OB INSTRUMENTS","0270","RC","Both",,,"41.5","20.75","Blue Cross Blue Shield","HMO",,,"71",,"29.3","0.18","1007.5","percent of total billed charges",,
"OB INSTRUMENTS","0270","RC","Both",,,"41.5","20.75","Blue Cross Blue Shield","PPO",,,"71",,"29.3","0.18","1007.5","percent of total billed charges",,
"OB INSTRUMENTS","0270","RC","Both",,,"41.5","20.75","Ambetter","Health Exchange",,,"62",,"25.73","0.18","1007.5","percent of total billed charges",,
"OB INSTRUMENTS","0270","RC","Both",,,"41.5","20.75","Caresource","Health Exchange",,,"62",,"25.73","0.18","1007.5","percent of total billed charges",,
"OB INSTRUMENTS","0270","RC","Both",,,"41.5","20.75","Cigna","Commercial",,,"59",,"24.32","0.18","1007.5","percent of total billed charges",,
"OB INSTRUMENTS","0270","RC","Both",,,"41.5","20.75","Humana","Commercial",,,"78",,"32.16","0.18","1007.5","percent of total billed charges",,
"OB INSTRUMENTS","0270","RC","Both",,,"41.5","20.75","UHC","Commercial",,,"75",,"31.29","0.18","1007.5","percent of total billed charges",,
"OB INSTRUMENTS","0270","RC","Both",,,"41.5","20.75","Medicaid",,,,"37",,"15.19","0.18","1007.5","percent of total billed charges",,
"CIRCUMCISION TRAY","0637","RC","Both",,,"48","24","Alliant","Health Exchange",,,"62",,"29.76","0.15","5264.58","percent of total billed charges",,
"CIRCUMCISION TRAY","0637","RC","Both",,,"48","24","Pruitt Healthcare","Medicare Advantage",,,"54",,"25.92","0.15","5264.58","percent of total billed charges",,
"CIRCUMCISION TRAY","0637","RC","Both",,,"48","24","Medicare",,,,"54",,"26.02","0.15","5264.58","percent of total billed charges",,
"CIRCUMCISION TRAY","0637","RC","Both",,,"48","24","Humana","Medicare Advantage",,,"54",,"26.02","0.15","5264.58","percent of total billed charges",,
"CIRCUMCISION TRAY","0637","RC","Both",,,"48","24","UHC","Medicare Advantage",,,"54",,"26.02","0.15","5264.58","percent of total billed charges",,
"CIRCUMCISION TRAY","0637","RC","Both",,,"48","24","Clover","Medicare Advantage",,,"54",,"26.02","0.15","5264.58","percent of total billed charges",,
"CIRCUMCISION TRAY","0637","RC","Both",,,"48","24","Wellcare","Medicare Advantage",,,"54",,"26.02","0.15","5264.58","percent of total billed charges",,
"CIRCUMCISION TRAY","0637","RC","Both",,,"48","24","Amerigroup","Medicaid Managed Care",,,"37",,"17.57","0.15","5264.58","percent of total billed charges",,
"CIRCUMCISION TRAY","0637","RC","Both",,,"48","24","Caresource","Medicaid Managed Care",,,"40",,"19.2","0.15","5264.58","percent of total billed charges",,
"CIRCUMCISION TRAY","0637","RC","Both",,,"48","24","Wellcare","Medicaid Managed Care",,,"40",,"19.44","0.15","5264.58","percent of total billed charges",,
"CIRCUMCISION TRAY","0637","RC","Both",,,"48","24","Aetna","Commercial",,,"64",,"30.62","0.15","5264.58","percent of total billed charges",,
"CIRCUMCISION TRAY","0637","RC","Both",,,"48","24","Blue Cross Blue Shield","Pathways",,,"71",,"33.89","0.15","5264.58","percent of total billed charges",,
"CIRCUMCISION TRAY","0637","RC","Both",,,"48","24","Blue Cross Blue Shield","HMO",,,"71",,"33.89","0.15","5264.58","percent of total billed charges",,
"CIRCUMCISION TRAY","0637","RC","Both",,,"48","24","Blue Cross Blue Shield","PPO",,,"71",,"33.89","0.15","5264.58","percent of total billed charges",,
"CIRCUMCISION TRAY","0637","RC","Both",,,"48","24","Ambetter","Health Exchange",,,"62",,"29.76","0.15","5264.58","percent of total billed charges",,
"CIRCUMCISION TRAY","0637","RC","Both",,,"48","24","Caresource","Health Exchange",,,"62",,"29.76","0.15","5264.58","percent of total billed charges",,
"CIRCUMCISION TRAY","0637","RC","Both",,,"48","24","Cigna","Commercial",,,"59",,"28.13","0.15","5264.58","percent of total billed charges",,
"CIRCUMCISION TRAY","0637","RC","Both",,,"48","24","Humana","Commercial",,,"78",,"37.2","0.15","5264.58","percent of total billed charges",,
"CIRCUMCISION TRAY","0637","RC","Both",,,"48","24","UHC","Commercial",,,"75",,"36.19","0.15","5264.58","percent of total billed charges",,
"CIRCUMCISION TRAY","0637","RC","Both",,,"48","24","Medicaid",,,,"37",,"17.57","0.15","5264.58","percent of total billed charges",,
"ANOSCOPY;WITH BIOPSY, SINGLE OR MULTIPLE","0360","RC","Both",,,"1340.5","670.25","Alliant","Health Exchange",,,"62",,"831.11","16.1","16596.62","percent of total billed charges",,
"ANOSCOPY;WITH BIOPSY, SINGLE OR MULTIPLE","0360","RC","Both",,,"1340.5","670.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"723.87","16.1","16596.62","percent of total billed charges",,
"ANOSCOPY;WITH BIOPSY, SINGLE OR MULTIPLE","0360","RC","Both",,,"1340.5","670.25","Medicare",,,,"54",,"726.55","16.1","16596.62","percent of total billed charges",,
"ANOSCOPY;WITH BIOPSY, SINGLE OR MULTIPLE","0360","RC","Both",,,"1340.5","670.25","Humana","Medicare Advantage",,,"54",,"726.55","16.1","16596.62","percent of total billed charges",,
"ANOSCOPY;WITH BIOPSY, SINGLE OR MULTIPLE","0360","RC","Both",,,"1340.5","670.25","UHC","Medicare Advantage",,,"54",,"726.55","16.1","16596.62","percent of total billed charges",,
"ANOSCOPY;WITH BIOPSY, SINGLE OR MULTIPLE","0360","RC","Both",,,"1340.5","670.25","Clover","Medicare Advantage",,,"54",,"726.55","16.1","16596.62","percent of total billed charges",,
"ANOSCOPY;WITH BIOPSY, SINGLE OR MULTIPLE","0360","RC","Both",,,"1340.5","670.25","Wellcare","Medicare Advantage",,,"54",,"726.55","16.1","16596.62","percent of total billed charges",,
"ANOSCOPY;WITH BIOPSY, SINGLE OR MULTIPLE","0360","RC","Both",,,"1340.5","670.25","Amerigroup","Medicaid Managed Care",,,"37",,"490.62","16.1","16596.62","percent of total billed charges",,
"ANOSCOPY;WITH BIOPSY, SINGLE OR MULTIPLE","0360","RC","Both",,,"1340.5","670.25","Caresource","Medicaid Managed Care",,,"40",,"536.2","16.1","16596.62","percent of total billed charges",,
"ANOSCOPY;WITH BIOPSY, SINGLE OR MULTIPLE","0360","RC","Both",,,"1340.5","670.25","Wellcare","Medicaid Managed Care",,,"40",,"542.9","16.1","16596.62","percent of total billed charges",,
"ANOSCOPY;WITH BIOPSY, SINGLE OR MULTIPLE","0360","RC","Both",,,"1340.5","670.25","Aetna","Commercial",,,"64",,"855.24","16.1","16596.62","percent of total billed charges",,
"ANOSCOPY;WITH BIOPSY, SINGLE OR MULTIPLE","0360","RC","Both",,,"1340.5","670.25","Blue Cross Blue Shield","Pathways",,,"71",,"946.39","16.1","16596.62","percent of total billed charges",,
"ANOSCOPY;WITH BIOPSY, SINGLE OR MULTIPLE","0360","RC","Both",,,"1340.5","670.25","Blue Cross Blue Shield","HMO",,,"71",,"946.39","16.1","16596.62","percent of total billed charges",,
"ANOSCOPY;WITH BIOPSY, SINGLE OR MULTIPLE","0360","RC","Both",,,"1340.5","670.25","Blue Cross Blue Shield","PPO",,,"71",,"946.39","16.1","16596.62","percent of total billed charges",,
"ANOSCOPY;WITH BIOPSY, SINGLE OR MULTIPLE","0360","RC","Both",,,"1340.5","670.25","Ambetter","Health Exchange",,,"62",,"831.11","16.1","16596.62","percent of total billed charges",,
"ANOSCOPY;WITH BIOPSY, SINGLE OR MULTIPLE","0360","RC","Both",,,"1340.5","670.25","Caresource","Health Exchange",,,"62",,"831.11","16.1","16596.62","percent of total billed charges",,
"ANOSCOPY;WITH BIOPSY, SINGLE OR MULTIPLE","0360","RC","Both",,,"1340.5","670.25","Cigna","Commercial",,,"59",,"785.53","16.1","16596.62","percent of total billed charges",,
"ANOSCOPY;WITH BIOPSY, SINGLE OR MULTIPLE","0360","RC","Both",,,"1340.5","670.25","Humana","Commercial",,,"78",,"1038.89","16.1","16596.62","percent of total billed charges",,
"ANOSCOPY;WITH BIOPSY, SINGLE OR MULTIPLE","0360","RC","Both",,,"1340.5","670.25","UHC","Commercial",,,"75",,"1010.74","16.1","16596.62","percent of total billed charges",,
"ANOSCOPY;WITH BIOPSY, SINGLE OR MULTIPLE","0360","RC","Both",,,"1340.5","670.25","Medicaid",,,,"37",,"490.62","16.1","16596.62","percent of total billed charges",,
"CULDECENTESIS TRAY","0637","RC","Both",,,"68","34","Alliant","Health Exchange",,,"62",,"42.16","0.15","5264.58","percent of total billed charges",,
"CULDECENTESIS TRAY","0637","RC","Both",,,"68","34","Pruitt Healthcare","Medicare Advantage",,,"54",,"36.72","0.15","5264.58","percent of total billed charges",,
"CULDECENTESIS TRAY","0637","RC","Both",,,"68","34","Medicare",,,,"54",,"36.86","0.15","5264.58","percent of total billed charges",,
"CULDECENTESIS TRAY","0637","RC","Both",,,"68","34","Humana","Medicare Advantage",,,"54",,"36.86","0.15","5264.58","percent of total billed charges",,
"CULDECENTESIS TRAY","0637","RC","Both",,,"68","34","UHC","Medicare Advantage",,,"54",,"36.86","0.15","5264.58","percent of total billed charges",,
"CULDECENTESIS TRAY","0637","RC","Both",,,"68","34","Clover","Medicare Advantage",,,"54",,"36.86","0.15","5264.58","percent of total billed charges",,
"CULDECENTESIS TRAY","0637","RC","Both",,,"68","34","Wellcare","Medicare Advantage",,,"54",,"36.86","0.15","5264.58","percent of total billed charges",,
"CULDECENTESIS TRAY","0637","RC","Both",,,"68","34","Amerigroup","Medicaid Managed Care",,,"37",,"24.89","0.15","5264.58","percent of total billed charges",,
"CULDECENTESIS TRAY","0637","RC","Both",,,"68","34","Caresource","Medicaid Managed Care",,,"40",,"27.2","0.15","5264.58","percent of total billed charges",,
"CULDECENTESIS TRAY","0637","RC","Both",,,"68","34","Wellcare","Medicaid Managed Care",,,"40",,"27.54","0.15","5264.58","percent of total billed charges",,
"CULDECENTESIS TRAY","0637","RC","Both",,,"68","34","Aetna","Commercial",,,"64",,"43.38","0.15","5264.58","percent of total billed charges",,
"CULDECENTESIS TRAY","0637","RC","Both",,,"68","34","Blue Cross Blue Shield","Pathways",,,"71",,"48.01","0.15","5264.58","percent of total billed charges",,
"CULDECENTESIS TRAY","0637","RC","Both",,,"68","34","Blue Cross Blue Shield","HMO",,,"71",,"48.01","0.15","5264.58","percent of total billed charges",,
"CULDECENTESIS TRAY","0637","RC","Both",,,"68","34","Blue Cross Blue Shield","PPO",,,"71",,"48.01","0.15","5264.58","percent of total billed charges",,
"CULDECENTESIS TRAY","0637","RC","Both",,,"68","34","Ambetter","Health Exchange",,,"62",,"42.16","0.15","5264.58","percent of total billed charges",,
"CULDECENTESIS TRAY","0637","RC","Both",,,"68","34","Caresource","Health Exchange",,,"62",,"42.16","0.15","5264.58","percent of total billed charges",,
"CULDECENTESIS TRAY","0637","RC","Both",,,"68","34","Cigna","Commercial",,,"59",,"39.85","0.15","5264.58","percent of total billed charges",,
"CULDECENTESIS TRAY","0637","RC","Both",,,"68","34","Humana","Commercial",,,"78",,"52.7","0.15","5264.58","percent of total billed charges",,
"CULDECENTESIS TRAY","0637","RC","Both",,,"68","34","UHC","Commercial",,,"75",,"51.27","0.15","5264.58","percent of total billed charges",,
"CULDECENTESIS TRAY","0637","RC","Both",,,"68","34","Medicaid",,,,"37",,"24.89","0.15","5264.58","percent of total billed charges",,
"SIGMOIDOSCOPY W/REMOVAL TUMOR(S)POLYP(S)","0360","RC","Both",,,"788","394","Alliant","Health Exchange",,,"62",,"488.56","16.1","16596.62","percent of total billed charges",,
"SIGMOIDOSCOPY W/REMOVAL TUMOR(S)POLYP(S)","0360","RC","Both",,,"788","394","Pruitt Healthcare","Medicare Advantage",,,"54",,"425.52","16.1","16596.62","percent of total billed charges",,
"SIGMOIDOSCOPY W/REMOVAL TUMOR(S)POLYP(S)","0360","RC","Both",,,"788","394","Medicare",,,,"54",,"427.1","16.1","16596.62","percent of total billed charges",,
"SIGMOIDOSCOPY W/REMOVAL TUMOR(S)POLYP(S)","0360","RC","Both",,,"788","394","Humana","Medicare Advantage",,,"54",,"427.1","16.1","16596.62","percent of total billed charges",,
"SIGMOIDOSCOPY W/REMOVAL TUMOR(S)POLYP(S)","0360","RC","Both",,,"788","394","UHC","Medicare Advantage",,,"54",,"427.1","16.1","16596.62","percent of total billed charges",,
"SIGMOIDOSCOPY W/REMOVAL TUMOR(S)POLYP(S)","0360","RC","Both",,,"788","394","Clover","Medicare Advantage",,,"54",,"427.1","16.1","16596.62","percent of total billed charges",,
"SIGMOIDOSCOPY W/REMOVAL TUMOR(S)POLYP(S)","0360","RC","Both",,,"788","394","Wellcare","Medicare Advantage",,,"54",,"427.1","16.1","16596.62","percent of total billed charges",,
"SIGMOIDOSCOPY W/REMOVAL TUMOR(S)POLYP(S)","0360","RC","Both",,,"788","394","Amerigroup","Medicaid Managed Care",,,"37",,"288.41","16.1","16596.62","percent of total billed charges",,
"SIGMOIDOSCOPY W/REMOVAL TUMOR(S)POLYP(S)","0360","RC","Both",,,"788","394","Caresource","Medicaid Managed Care",,,"40",,"315.2","16.1","16596.62","percent of total billed charges",,
"SIGMOIDOSCOPY W/REMOVAL TUMOR(S)POLYP(S)","0360","RC","Both",,,"788","394","Wellcare","Medicaid Managed Care",,,"40",,"319.14","16.1","16596.62","percent of total billed charges",,
"SIGMOIDOSCOPY W/REMOVAL TUMOR(S)POLYP(S)","0360","RC","Both",,,"788","394","Aetna","Commercial",,,"64",,"502.74","16.1","16596.62","percent of total billed charges",,
"SIGMOIDOSCOPY W/REMOVAL TUMOR(S)POLYP(S)","0360","RC","Both",,,"788","394","Blue Cross Blue Shield","Pathways",,,"71",,"556.33","16.1","16596.62","percent of total billed charges",,
"SIGMOIDOSCOPY W/REMOVAL TUMOR(S)POLYP(S)","0360","RC","Both",,,"788","394","Blue Cross Blue Shield","HMO",,,"71",,"556.33","16.1","16596.62","percent of total billed charges",,
"SIGMOIDOSCOPY W/REMOVAL TUMOR(S)POLYP(S)","0360","RC","Both",,,"788","394","Blue Cross Blue Shield","PPO",,,"71",,"556.33","16.1","16596.62","percent of total billed charges",,
"SIGMOIDOSCOPY W/REMOVAL TUMOR(S)POLYP(S)","0360","RC","Both",,,"788","394","Ambetter","Health Exchange",,,"62",,"488.56","16.1","16596.62","percent of total billed charges",,
"SIGMOIDOSCOPY W/REMOVAL TUMOR(S)POLYP(S)","0360","RC","Both",,,"788","394","Caresource","Health Exchange",,,"62",,"488.56","16.1","16596.62","percent of total billed charges",,
"SIGMOIDOSCOPY W/REMOVAL TUMOR(S)POLYP(S)","0360","RC","Both",,,"788","394","Cigna","Commercial",,,"59",,"461.77","16.1","16596.62","percent of total billed charges",,
"SIGMOIDOSCOPY W/REMOVAL TUMOR(S)POLYP(S)","0360","RC","Both",,,"788","394","Humana","Commercial",,,"78",,"610.7","16.1","16596.62","percent of total billed charges",,
"SIGMOIDOSCOPY W/REMOVAL TUMOR(S)POLYP(S)","0360","RC","Both",,,"788","394","UHC","Commercial",,,"75",,"594.15","16.1","16596.62","percent of total billed charges",,
"SIGMOIDOSCOPY W/REMOVAL TUMOR(S)POLYP(S)","0360","RC","Both",,,"788","394","Medicaid",,,,"37",,"288.41","16.1","16596.62","percent of total billed charges",,
"ERCP","0360","RC","Both",,,"542","271","Alliant","Health Exchange",,,"62",,"336.04","16.1","16596.62","percent of total billed charges",,
"ERCP","0360","RC","Both",,,"542","271","Pruitt Healthcare","Medicare Advantage",,,"54",,"292.68","16.1","16596.62","percent of total billed charges",,
"ERCP","0360","RC","Both",,,"542","271","Medicare",,,,"54",,"293.76","16.1","16596.62","percent of total billed charges",,
"ERCP","0360","RC","Both",,,"542","271","Humana","Medicare Advantage",,,"54",,"293.76","16.1","16596.62","percent of total billed charges",,
"ERCP","0360","RC","Both",,,"542","271","UHC","Medicare Advantage",,,"54",,"293.76","16.1","16596.62","percent of total billed charges",,
"ERCP","0360","RC","Both",,,"542","271","Clover","Medicare Advantage",,,"54",,"293.76","16.1","16596.62","percent of total billed charges",,
"ERCP","0360","RC","Both",,,"542","271","Wellcare","Medicare Advantage",,,"54",,"293.76","16.1","16596.62","percent of total billed charges",,
"ERCP","0360","RC","Both",,,"542","271","Amerigroup","Medicaid Managed Care",,,"37",,"198.37","16.1","16596.62","percent of total billed charges",,
"ERCP","0360","RC","Both",,,"542","271","Caresource","Medicaid Managed Care",,,"40",,"216.8","16.1","16596.62","percent of total billed charges",,
"ERCP","0360","RC","Both",,,"542","271","Wellcare","Medicaid Managed Care",,,"40",,"219.51","16.1","16596.62","percent of total billed charges",,
"ERCP","0360","RC","Both",,,"542","271","Aetna","Commercial",,,"64",,"345.8","16.1","16596.62","percent of total billed charges",,
"ERCP","0360","RC","Both",,,"542","271","Blue Cross Blue Shield","Pathways",,,"71",,"382.65","16.1","16596.62","percent of total billed charges",,
"ERCP","0360","RC","Both",,,"542","271","Blue Cross Blue Shield","HMO",,,"71",,"382.65","16.1","16596.62","percent of total billed charges",,
"ERCP","0360","RC","Both",,,"542","271","Blue Cross Blue Shield","PPO",,,"71",,"382.65","16.1","16596.62","percent of total billed charges",,
"ERCP","0360","RC","Both",,,"542","271","Ambetter","Health Exchange",,,"62",,"336.04","16.1","16596.62","percent of total billed charges",,
"ERCP","0360","RC","Both",,,"542","271","Caresource","Health Exchange",,,"62",,"336.04","16.1","16596.62","percent of total billed charges",,
"ERCP","0360","RC","Both",,,"542","271","Cigna","Commercial",,,"59",,"317.61","16.1","16596.62","percent of total billed charges",,
"ERCP","0360","RC","Both",,,"542","271","Humana","Commercial",,,"78",,"420.05","16.1","16596.62","percent of total billed charges",,
"ERCP","0360","RC","Both",,,"542","271","UHC","Commercial",,,"75",,"408.67","16.1","16596.62","percent of total billed charges",,
"ERCP","0360","RC","Both",,,"542","271","Medicaid",,,,"37",,"198.37","16.1","16596.62","percent of total billed charges",,
"MINOR SURGERY","0360","RC","Both",,,"197","98.5","Alliant","Health Exchange",,,"62",,"122.14","16.1","16596.62","percent of total billed charges",,
"MINOR SURGERY","0360","RC","Both",,,"197","98.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"106.38","16.1","16596.62","percent of total billed charges",,
"MINOR SURGERY","0360","RC","Both",,,"197","98.5","Medicare",,,,"54",,"106.77","16.1","16596.62","percent of total billed charges",,
"MINOR SURGERY","0360","RC","Both",,,"197","98.5","Humana","Medicare Advantage",,,"54",,"106.77","16.1","16596.62","percent of total billed charges",,
"MINOR SURGERY","0360","RC","Both",,,"197","98.5","UHC","Medicare Advantage",,,"54",,"106.77","16.1","16596.62","percent of total billed charges",,
"MINOR SURGERY","0360","RC","Both",,,"197","98.5","Clover","Medicare Advantage",,,"54",,"106.77","16.1","16596.62","percent of total billed charges",,
"MINOR SURGERY","0360","RC","Both",,,"197","98.5","Wellcare","Medicare Advantage",,,"54",,"106.77","16.1","16596.62","percent of total billed charges",,
"MINOR SURGERY","0360","RC","Both",,,"197","98.5","Amerigroup","Medicaid Managed Care",,,"37",,"72.1","16.1","16596.62","percent of total billed charges",,
"MINOR SURGERY","0360","RC","Both",,,"197","98.5","Caresource","Medicaid Managed Care",,,"40",,"78.8","16.1","16596.62","percent of total billed charges",,
"MINOR SURGERY","0360","RC","Both",,,"197","98.5","Wellcare","Medicaid Managed Care",,,"40",,"79.79","16.1","16596.62","percent of total billed charges",,
"MINOR SURGERY","0360","RC","Both",,,"197","98.5","Aetna","Commercial",,,"64",,"125.69","16.1","16596.62","percent of total billed charges",,
"MINOR SURGERY","0360","RC","Both",,,"197","98.5","Blue Cross Blue Shield","Pathways",,,"71",,"139.08","16.1","16596.62","percent of total billed charges",,
"MINOR SURGERY","0360","RC","Both",,,"197","98.5","Blue Cross Blue Shield","HMO",,,"71",,"139.08","16.1","16596.62","percent of total billed charges",,
"MINOR SURGERY","0360","RC","Both",,,"197","98.5","Blue Cross Blue Shield","PPO",,,"71",,"139.08","16.1","16596.62","percent of total billed charges",,
"MINOR SURGERY","0360","RC","Both",,,"197","98.5","Ambetter","Health Exchange",,,"62",,"122.14","16.1","16596.62","percent of total billed charges",,
"MINOR SURGERY","0360","RC","Both",,,"197","98.5","Caresource","Health Exchange",,,"62",,"122.14","16.1","16596.62","percent of total billed charges",,
"MINOR SURGERY","0360","RC","Both",,,"197","98.5","Cigna","Commercial",,,"59",,"115.44","16.1","16596.62","percent of total billed charges",,
"MINOR SURGERY","0360","RC","Both",,,"197","98.5","Humana","Commercial",,,"78",,"152.68","16.1","16596.62","percent of total billed charges",,
"MINOR SURGERY","0360","RC","Both",,,"197","98.5","UHC","Commercial",,,"75",,"148.54","16.1","16596.62","percent of total billed charges",,
"MINOR SURGERY","0360","RC","Both",,,"197","98.5","Medicaid",,,,"37",,"72.1","16.1","16596.62","percent of total billed charges",,
"UPPER GI ENDO BY SNARE TECHNIQUE","0360","RC","Both",,,"1736","868","Alliant","Health Exchange",,,"62",,"1076.32","16.1","16596.62","percent of total billed charges",,
"UPPER GI ENDO BY SNARE TECHNIQUE","0360","RC","Both",,,"1736","868","Pruitt Healthcare","Medicare Advantage",,,"54",,"937.44","16.1","16596.62","percent of total billed charges",,
"UPPER GI ENDO BY SNARE TECHNIQUE","0360","RC","Both",,,"1736","868","Medicare",,,,"54",,"940.91","16.1","16596.62","percent of total billed charges",,
"UPPER GI ENDO BY SNARE TECHNIQUE","0360","RC","Both",,,"1736","868","Humana","Medicare Advantage",,,"54",,"940.91","16.1","16596.62","percent of total billed charges",,
"UPPER GI ENDO BY SNARE TECHNIQUE","0360","RC","Both",,,"1736","868","UHC","Medicare Advantage",,,"54",,"940.91","16.1","16596.62","percent of total billed charges",,
"UPPER GI ENDO BY SNARE TECHNIQUE","0360","RC","Both",,,"1736","868","Clover","Medicare Advantage",,,"54",,"940.91","16.1","16596.62","percent of total billed charges",,
"UPPER GI ENDO BY SNARE TECHNIQUE","0360","RC","Both",,,"1736","868","Wellcare","Medicare Advantage",,,"54",,"940.91","16.1","16596.62","percent of total billed charges",,
"UPPER GI ENDO BY SNARE TECHNIQUE","0360","RC","Both",,,"1736","868","Amerigroup","Medicaid Managed Care",,,"37",,"635.38","16.1","16596.62","percent of total billed charges",,
"UPPER GI ENDO BY SNARE TECHNIQUE","0360","RC","Both",,,"1736","868","Caresource","Medicaid Managed Care",,,"40",,"694.4","16.1","16596.62","percent of total billed charges",,
"UPPER GI ENDO BY SNARE TECHNIQUE","0360","RC","Both",,,"1736","868","Wellcare","Medicaid Managed Care",,,"40",,"703.08","16.1","16596.62","percent of total billed charges",,
"UPPER GI ENDO BY SNARE TECHNIQUE","0360","RC","Both",,,"1736","868","Aetna","Commercial",,,"64",,"1107.57","16.1","16596.62","percent of total billed charges",,
"UPPER GI ENDO BY SNARE TECHNIQUE","0360","RC","Both",,,"1736","868","Blue Cross Blue Shield","Pathways",,,"71",,"1225.62","16.1","16596.62","percent of total billed charges",,
"UPPER GI ENDO BY SNARE TECHNIQUE","0360","RC","Both",,,"1736","868","Blue Cross Blue Shield","HMO",,,"71",,"1225.62","16.1","16596.62","percent of total billed charges",,
"UPPER GI ENDO BY SNARE TECHNIQUE","0360","RC","Both",,,"1736","868","Blue Cross Blue Shield","PPO",,,"71",,"1225.62","16.1","16596.62","percent of total billed charges",,
"UPPER GI ENDO BY SNARE TECHNIQUE","0360","RC","Both",,,"1736","868","Ambetter","Health Exchange",,,"62",,"1076.32","16.1","16596.62","percent of total billed charges",,
"UPPER GI ENDO BY SNARE TECHNIQUE","0360","RC","Both",,,"1736","868","Caresource","Health Exchange",,,"62",,"1076.32","16.1","16596.62","percent of total billed charges",,
"UPPER GI ENDO BY SNARE TECHNIQUE","0360","RC","Both",,,"1736","868","Cigna","Commercial",,,"59",,"1017.3","16.1","16596.62","percent of total billed charges",,
"UPPER GI ENDO BY SNARE TECHNIQUE","0360","RC","Both",,,"1736","868","Humana","Commercial",,,"78",,"1345.4","16.1","16596.62","percent of total billed charges",,
"UPPER GI ENDO BY SNARE TECHNIQUE","0360","RC","Both",,,"1736","868","UHC","Commercial",,,"75",,"1308.94","16.1","16596.62","percent of total billed charges",,
"UPPER GI ENDO BY SNARE TECHNIQUE","0360","RC","Both",,,"1736","868","Medicaid",,,,"37",,"635.38","16.1","16596.62","percent of total billed charges",,
"UPPER GI ENDO W/REMOVAL BY HOT FORCEPS","0360","RC","Both",,,"1736","868","Alliant","Health Exchange",,,"62",,"1076.32","16.1","16596.62","percent of total billed charges",,
"UPPER GI ENDO W/REMOVAL BY HOT FORCEPS","0360","RC","Both",,,"1736","868","Pruitt Healthcare","Medicare Advantage",,,"54",,"937.44","16.1","16596.62","percent of total billed charges",,
"UPPER GI ENDO W/REMOVAL BY HOT FORCEPS","0360","RC","Both",,,"1736","868","Medicare",,,,"54",,"940.91","16.1","16596.62","percent of total billed charges",,
"UPPER GI ENDO W/REMOVAL BY HOT FORCEPS","0360","RC","Both",,,"1736","868","Humana","Medicare Advantage",,,"54",,"940.91","16.1","16596.62","percent of total billed charges",,
"UPPER GI ENDO W/REMOVAL BY HOT FORCEPS","0360","RC","Both",,,"1736","868","UHC","Medicare Advantage",,,"54",,"940.91","16.1","16596.62","percent of total billed charges",,
"UPPER GI ENDO W/REMOVAL BY HOT FORCEPS","0360","RC","Both",,,"1736","868","Clover","Medicare Advantage",,,"54",,"940.91","16.1","16596.62","percent of total billed charges",,
"UPPER GI ENDO W/REMOVAL BY HOT FORCEPS","0360","RC","Both",,,"1736","868","Wellcare","Medicare Advantage",,,"54",,"940.91","16.1","16596.62","percent of total billed charges",,
"UPPER GI ENDO W/REMOVAL BY HOT FORCEPS","0360","RC","Both",,,"1736","868","Amerigroup","Medicaid Managed Care",,,"37",,"635.38","16.1","16596.62","percent of total billed charges",,
"UPPER GI ENDO W/REMOVAL BY HOT FORCEPS","0360","RC","Both",,,"1736","868","Caresource","Medicaid Managed Care",,,"40",,"694.4","16.1","16596.62","percent of total billed charges",,
"UPPER GI ENDO W/REMOVAL BY HOT FORCEPS","0360","RC","Both",,,"1736","868","Wellcare","Medicaid Managed Care",,,"40",,"703.08","16.1","16596.62","percent of total billed charges",,
"UPPER GI ENDO W/REMOVAL BY HOT FORCEPS","0360","RC","Both",,,"1736","868","Aetna","Commercial",,,"64",,"1107.57","16.1","16596.62","percent of total billed charges",,
"UPPER GI ENDO W/REMOVAL BY HOT FORCEPS","0360","RC","Both",,,"1736","868","Blue Cross Blue Shield","Pathways",,,"71",,"1225.62","16.1","16596.62","percent of total billed charges",,
"UPPER GI ENDO W/REMOVAL BY HOT FORCEPS","0360","RC","Both",,,"1736","868","Blue Cross Blue Shield","HMO",,,"71",,"1225.62","16.1","16596.62","percent of total billed charges",,
"UPPER GI ENDO W/REMOVAL BY HOT FORCEPS","0360","RC","Both",,,"1736","868","Blue Cross Blue Shield","PPO",,,"71",,"1225.62","16.1","16596.62","percent of total billed charges",,
"UPPER GI ENDO W/REMOVAL BY HOT FORCEPS","0360","RC","Both",,,"1736","868","Ambetter","Health Exchange",,,"62",,"1076.32","16.1","16596.62","percent of total billed charges",,
"UPPER GI ENDO W/REMOVAL BY HOT FORCEPS","0360","RC","Both",,,"1736","868","Caresource","Health Exchange",,,"62",,"1076.32","16.1","16596.62","percent of total billed charges",,
"UPPER GI ENDO W/REMOVAL BY HOT FORCEPS","0360","RC","Both",,,"1736","868","Cigna","Commercial",,,"59",,"1017.3","16.1","16596.62","percent of total billed charges",,
"UPPER GI ENDO W/REMOVAL BY HOT FORCEPS","0360","RC","Both",,,"1736","868","Humana","Commercial",,,"78",,"1345.4","16.1","16596.62","percent of total billed charges",,
"UPPER GI ENDO W/REMOVAL BY HOT FORCEPS","0360","RC","Both",,,"1736","868","UHC","Commercial",,,"75",,"1308.94","16.1","16596.62","percent of total billed charges",,
"UPPER GI ENDO W/REMOVAL BY HOT FORCEPS","0360","RC","Both",,,"1736","868","Medicaid",,,,"37",,"635.38","16.1","16596.62","percent of total billed charges",,
"CALCITRIOL (ROCALTROL) 0.25 MCG  CAPSULE","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"CALCITRIOL (ROCALTROL) 0.25 MCG  CAPSULE","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"CALCITRIOL (ROCALTROL) 0.25 MCG  CAPSULE","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"CALCITRIOL (ROCALTROL) 0.25 MCG  CAPSULE","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"CALCITRIOL (ROCALTROL) 0.25 MCG  CAPSULE","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"CALCITRIOL (ROCALTROL) 0.25 MCG  CAPSULE","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"CALCITRIOL (ROCALTROL) 0.25 MCG  CAPSULE","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"CALCITRIOL (ROCALTROL) 0.25 MCG  CAPSULE","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"CALCITRIOL (ROCALTROL) 0.25 MCG  CAPSULE","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"CALCITRIOL (ROCALTROL) 0.25 MCG  CAPSULE","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"CALCITRIOL (ROCALTROL) 0.25 MCG  CAPSULE","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"CALCITRIOL (ROCALTROL) 0.25 MCG  CAPSULE","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"CALCITRIOL (ROCALTROL) 0.25 MCG  CAPSULE","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"CALCITRIOL (ROCALTROL) 0.25 MCG  CAPSULE","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"CALCITRIOL (ROCALTROL) 0.25 MCG  CAPSULE","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"CALCITRIOL (ROCALTROL) 0.25 MCG  CAPSULE","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"CALCITRIOL (ROCALTROL) 0.25 MCG  CAPSULE","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"CALCITRIOL (ROCALTROL) 0.25 MCG  CAPSULE","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"CALCITRIOL (ROCALTROL) 0.25 MCG  CAPSULE","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"CALCITRIOL (ROCALTROL) 0.25 MCG  CAPSULE","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"CALCIUM CARB +VIT D (OSCAL D) 500/200 TB","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CALCIUM CARB +VIT D (OSCAL D) 500/200 TB","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"CALCIUM CARB +VIT D (OSCAL D) 500/200 TB","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CALCIUM CARB +VIT D (OSCAL D) 500/200 TB","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CALCIUM CARB +VIT D (OSCAL D) 500/200 TB","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CALCIUM CARB +VIT D (OSCAL D) 500/200 TB","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CALCIUM CARB +VIT D (OSCAL D) 500/200 TB","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CALCIUM CARB +VIT D (OSCAL D) 500/200 TB","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"CALCIUM CARB +VIT D (OSCAL D) 500/200 TB","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"CALCIUM CARB +VIT D (OSCAL D) 500/200 TB","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"CALCIUM CARB +VIT D (OSCAL D) 500/200 TB","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"CALCIUM CARB +VIT D (OSCAL D) 500/200 TB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CALCIUM CARB +VIT D (OSCAL D) 500/200 TB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CALCIUM CARB +VIT D (OSCAL D) 500/200 TB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CALCIUM CARB +VIT D (OSCAL D) 500/200 TB","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CALCIUM CARB +VIT D (OSCAL D) 500/200 TB","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CALCIUM CARB +VIT D (OSCAL D) 500/200 TB","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"CALCIUM CARB +VIT D (OSCAL D) 500/200 TB","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"CALCIUM CARB +VIT D (OSCAL D) 500/200 TB","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"CALCIUM CARB +VIT D (OSCAL D) 500/200 TB","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) TAB: 50MCG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) TAB: 50MCG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) TAB: 50MCG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) TAB: 50MCG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) TAB: 50MCG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) TAB: 50MCG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) TAB: 50MCG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) TAB: 50MCG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) TAB: 50MCG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) TAB: 50MCG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) TAB: 50MCG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) TAB: 50MCG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) TAB: 50MCG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) TAB: 50MCG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) TAB: 50MCG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) TAB: 50MCG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) TAB: 50MCG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) TAB: 50MCG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) TAB: 50MCG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"LEVOTHYROXINE (SYNTHROID) TAB: 50MCG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"OXYCODONE (OXY-IR) 5MG TABLET  *CII*","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"OXYCODONE (OXY-IR) 5MG TABLET  *CII*","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"OXYCODONE (OXY-IR) 5MG TABLET  *CII*","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"OXYCODONE (OXY-IR) 5MG TABLET  *CII*","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"OXYCODONE (OXY-IR) 5MG TABLET  *CII*","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"OXYCODONE (OXY-IR) 5MG TABLET  *CII*","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"OXYCODONE (OXY-IR) 5MG TABLET  *CII*","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"OXYCODONE (OXY-IR) 5MG TABLET  *CII*","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"OXYCODONE (OXY-IR) 5MG TABLET  *CII*","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"OXYCODONE (OXY-IR) 5MG TABLET  *CII*","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"OXYCODONE (OXY-IR) 5MG TABLET  *CII*","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"OXYCODONE (OXY-IR) 5MG TABLET  *CII*","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"OXYCODONE (OXY-IR) 5MG TABLET  *CII*","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"OXYCODONE (OXY-IR) 5MG TABLET  *CII*","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"OXYCODONE (OXY-IR) 5MG TABLET  *CII*","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"OXYCODONE (OXY-IR) 5MG TABLET  *CII*","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"OXYCODONE (OXY-IR) 5MG TABLET  *CII*","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"OXYCODONE (OXY-IR) 5MG TABLET  *CII*","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"OXYCODONE (OXY-IR) 5MG TABLET  *CII*","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"OXYCODONE (OXY-IR) 5MG TABLET  *CII*","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"CARBIDOPA/LEVO (SINEMET) 25/100MG TAB","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CARBIDOPA/LEVO (SINEMET) 25/100MG TAB","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"CARBIDOPA/LEVO (SINEMET) 25/100MG TAB","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CARBIDOPA/LEVO (SINEMET) 25/100MG TAB","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CARBIDOPA/LEVO (SINEMET) 25/100MG TAB","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CARBIDOPA/LEVO (SINEMET) 25/100MG TAB","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CARBIDOPA/LEVO (SINEMET) 25/100MG TAB","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CARBIDOPA/LEVO (SINEMET) 25/100MG TAB","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"CARBIDOPA/LEVO (SINEMET) 25/100MG TAB","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"CARBIDOPA/LEVO (SINEMET) 25/100MG TAB","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"CARBIDOPA/LEVO (SINEMET) 25/100MG TAB","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"CARBIDOPA/LEVO (SINEMET) 25/100MG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CARBIDOPA/LEVO (SINEMET) 25/100MG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CARBIDOPA/LEVO (SINEMET) 25/100MG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CARBIDOPA/LEVO (SINEMET) 25/100MG TAB","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CARBIDOPA/LEVO (SINEMET) 25/100MG TAB","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CARBIDOPA/LEVO (SINEMET) 25/100MG TAB","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"CARBIDOPA/LEVO (SINEMET) 25/100MG TAB","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"CARBIDOPA/LEVO (SINEMET) 25/100MG TAB","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"CARBIDOPA/LEVO (SINEMET) 25/100MG TAB","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"MIRTAZAPINE (REMERON) TABLET: 30MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"MIRTAZAPINE (REMERON) TABLET: 30MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"MIRTAZAPINE (REMERON) TABLET: 30MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"MIRTAZAPINE (REMERON) TABLET: 30MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"MIRTAZAPINE (REMERON) TABLET: 30MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"MIRTAZAPINE (REMERON) TABLET: 30MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"MIRTAZAPINE (REMERON) TABLET: 30MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"MIRTAZAPINE (REMERON) TABLET: 30MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"MIRTAZAPINE (REMERON) TABLET: 30MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"MIRTAZAPINE (REMERON) TABLET: 30MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"MIRTAZAPINE (REMERON) TABLET: 30MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"MIRTAZAPINE (REMERON) TABLET: 30MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"MIRTAZAPINE (REMERON) TABLET: 30MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"MIRTAZAPINE (REMERON) TABLET: 30MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"MIRTAZAPINE (REMERON) TABLET: 30MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"MIRTAZAPINE (REMERON) TABLET: 30MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"MIRTAZAPINE (REMERON) TABLET: 30MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"MIRTAZAPINE (REMERON) TABLET: 30MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"MIRTAZAPINE (REMERON) TABLET: 30MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"MIRTAZAPINE (REMERON) TABLET: 30MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ALLOPURINOL (XYLOPRIM) 300MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ALLOPURINOL (XYLOPRIM) 300MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"ALLOPURINOL (XYLOPRIM) 300MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ALLOPURINOL (XYLOPRIM) 300MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ALLOPURINOL (XYLOPRIM) 300MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ALLOPURINOL (XYLOPRIM) 300MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ALLOPURINOL (XYLOPRIM) 300MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ALLOPURINOL (XYLOPRIM) 300MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ALLOPURINOL (XYLOPRIM) 300MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"ALLOPURINOL (XYLOPRIM) 300MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"ALLOPURINOL (XYLOPRIM) 300MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"ALLOPURINOL (XYLOPRIM) 300MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ALLOPURINOL (XYLOPRIM) 300MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ALLOPURINOL (XYLOPRIM) 300MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ALLOPURINOL (XYLOPRIM) 300MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ALLOPURINOL (XYLOPRIM) 300MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ALLOPURINOL (XYLOPRIM) 300MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"ALLOPURINOL (XYLOPRIM) 300MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"ALLOPURINOL (XYLOPRIM) 300MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"ALLOPURINOL (XYLOPRIM) 300MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ALLOPURINOL (ZYLOPRIM) TABLET: 100 MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ALLOPURINOL (ZYLOPRIM) TABLET: 100 MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"ALLOPURINOL (ZYLOPRIM) TABLET: 100 MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ALLOPURINOL (ZYLOPRIM) TABLET: 100 MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ALLOPURINOL (ZYLOPRIM) TABLET: 100 MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ALLOPURINOL (ZYLOPRIM) TABLET: 100 MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ALLOPURINOL (ZYLOPRIM) TABLET: 100 MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ALLOPURINOL (ZYLOPRIM) TABLET: 100 MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ALLOPURINOL (ZYLOPRIM) TABLET: 100 MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"ALLOPURINOL (ZYLOPRIM) TABLET: 100 MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"ALLOPURINOL (ZYLOPRIM) TABLET: 100 MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"ALLOPURINOL (ZYLOPRIM) TABLET: 100 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ALLOPURINOL (ZYLOPRIM) TABLET: 100 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ALLOPURINOL (ZYLOPRIM) TABLET: 100 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ALLOPURINOL (ZYLOPRIM) TABLET: 100 MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ALLOPURINOL (ZYLOPRIM) TABLET: 100 MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ALLOPURINOL (ZYLOPRIM) TABLET: 100 MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"ALLOPURINOL (ZYLOPRIM) TABLET: 100 MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"ALLOPURINOL (ZYLOPRIM) TABLET: 100 MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"ALLOPURINOL (ZYLOPRIM) TABLET: 100 MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"AMLODIPINE (NORVASC) 5 MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"AMLODIPINE (NORVASC) 5 MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"AMLODIPINE (NORVASC) 5 MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"AMLODIPINE (NORVASC) 5 MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"AMLODIPINE (NORVASC) 5 MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"AMLODIPINE (NORVASC) 5 MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"AMLODIPINE (NORVASC) 5 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"AMLODIPINE (NORVASC) 5 MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"AMLODIPINE (NORVASC) 5 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"AMLODIPINE (NORVASC) 5 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"AMLODIPINE (NORVASC) 5 MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"AMLODIPINE (NORVASC) 5 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"AMLODIPINE (NORVASC) 5 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"AMLODIPINE (NORVASC) 5 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"AMLODIPINE (NORVASC) 5 MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"AMLODIPINE (NORVASC) 5 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"AMLODIPINE (NORVASC) 5 MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"AMLODIPINE (NORVASC) 5 MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"AMLODIPINE (NORVASC) 5 MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"AMLODIPINE (NORVASC) 5 MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"MEGESTROL (MEGACE) 800MG/20ML SUSP","0637","RC","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"MEGESTROL (MEGACE) 800MG/20ML SUSP","0637","RC","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","0.15","5264.58","percent of total billed charges",,
"MEGESTROL (MEGACE) 800MG/20ML SUSP","0637","RC","Both",,,"22","11","Medicare",,,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"MEGESTROL (MEGACE) 800MG/20ML SUSP","0637","RC","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"MEGESTROL (MEGACE) 800MG/20ML SUSP","0637","RC","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"MEGESTROL (MEGACE) 800MG/20ML SUSP","0637","RC","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"MEGESTROL (MEGACE) 800MG/20ML SUSP","0637","RC","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"MEGESTROL (MEGACE) 800MG/20ML SUSP","0637","RC","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"MEGESTROL (MEGACE) 800MG/20ML SUSP","0637","RC","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","0.15","5264.58","percent of total billed charges",,
"MEGESTROL (MEGACE) 800MG/20ML SUSP","0637","RC","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","0.15","5264.58","percent of total billed charges",,
"MEGESTROL (MEGACE) 800MG/20ML SUSP","0637","RC","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","0.15","5264.58","percent of total billed charges",,
"MEGESTROL (MEGACE) 800MG/20ML SUSP","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"MEGESTROL (MEGACE) 800MG/20ML SUSP","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"MEGESTROL (MEGACE) 800MG/20ML SUSP","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"MEGESTROL (MEGACE) 800MG/20ML SUSP","0637","RC","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"MEGESTROL (MEGACE) 800MG/20ML SUSP","0637","RC","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"MEGESTROL (MEGACE) 800MG/20ML SUSP","0637","RC","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","0.15","5264.58","percent of total billed charges",,
"MEGESTROL (MEGACE) 800MG/20ML SUSP","0637","RC","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","0.15","5264.58","percent of total billed charges",,
"MEGESTROL (MEGACE) 800MG/20ML SUSP","0637","RC","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","0.15","5264.58","percent of total billed charges",,
"MEGESTROL (MEGACE) 800MG/20ML SUSP","0637","RC","Both",,,"22","11","Medicaid",,,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"GUAIFENESIN (ROBITUSSIN) SOLN:200MG/10ML","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"GUAIFENESIN (ROBITUSSIN) SOLN:200MG/10ML","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"GUAIFENESIN (ROBITUSSIN) SOLN:200MG/10ML","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"GUAIFENESIN (ROBITUSSIN) SOLN:200MG/10ML","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"GUAIFENESIN (ROBITUSSIN) SOLN:200MG/10ML","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"GUAIFENESIN (ROBITUSSIN) SOLN:200MG/10ML","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"GUAIFENESIN (ROBITUSSIN) SOLN:200MG/10ML","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"GUAIFENESIN (ROBITUSSIN) SOLN:200MG/10ML","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"GUAIFENESIN (ROBITUSSIN) SOLN:200MG/10ML","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"GUAIFENESIN (ROBITUSSIN) SOLN:200MG/10ML","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"GUAIFENESIN (ROBITUSSIN) SOLN:200MG/10ML","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"GUAIFENESIN (ROBITUSSIN) SOLN:200MG/10ML","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"GUAIFENESIN (ROBITUSSIN) SOLN:200MG/10ML","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"GUAIFENESIN (ROBITUSSIN) SOLN:200MG/10ML","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"GUAIFENESIN (ROBITUSSIN) SOLN:200MG/10ML","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"GUAIFENESIN (ROBITUSSIN) SOLN:200MG/10ML","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"GUAIFENESIN (ROBITUSSIN) SOLN:200MG/10ML","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"GUAIFENESIN (ROBITUSSIN) SOLN:200MG/10ML","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"GUAIFENESIN (ROBITUSSIN) SOLN:200MG/10ML","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"GUAIFENESIN (ROBITUSSIN) SOLN:200MG/10ML","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"FLUoxetine (PROZAC) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"FLUoxetine (PROZAC) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"FLUoxetine (PROZAC) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FLUoxetine (PROZAC) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FLUoxetine (PROZAC) CAPSULE: 10MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FLUoxetine (PROZAC) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FLUoxetine (PROZAC) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FLUoxetine (PROZAC) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"FLUoxetine (PROZAC) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"FLUoxetine (PROZAC) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"FLUoxetine (PROZAC) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"FLUoxetine (PROZAC) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"FLUoxetine (PROZAC) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"FLUoxetine (PROZAC) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"FLUoxetine (PROZAC) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"FLUoxetine (PROZAC) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"FLUoxetine (PROZAC) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"FLUoxetine (PROZAC) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"FLUoxetine (PROZAC) CAPSULE: 10MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"FLUoxetine (PROZAC) CAPSULE: 10MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"1/2 NS W/ 20MEQ KCL 1000ML","0258","RC","Both",,,"72","36","Alliant","Health Exchange",,,"62",,"44.64","4.76","93","percent of total billed charges",,
"1/2 NS W/ 20MEQ KCL 1000ML","0258","RC","Both",,,"72","36","Pruitt Healthcare","Medicare Advantage",,,"54",,"38.88","4.76","93","percent of total billed charges",,
"1/2 NS W/ 20MEQ KCL 1000ML","0258","RC","Both",,,"72","36","Medicare",,,,"54",,"39.02","4.76","93","percent of total billed charges",,
"1/2 NS W/ 20MEQ KCL 1000ML","0258","RC","Both",,,"72","36","Humana","Medicare Advantage",,,"54",,"39.02","4.76","93","percent of total billed charges",,
"1/2 NS W/ 20MEQ KCL 1000ML","0258","RC","Both",,,"72","36","UHC","Medicare Advantage",,,"54",,"39.02","4.76","93","percent of total billed charges",,
"1/2 NS W/ 20MEQ KCL 1000ML","0258","RC","Both",,,"72","36","Clover","Medicare Advantage",,,"54",,"39.02","4.76","93","percent of total billed charges",,
"1/2 NS W/ 20MEQ KCL 1000ML","0258","RC","Both",,,"72","36","Wellcare","Medicare Advantage",,,"54",,"39.02","4.76","93","percent of total billed charges",,
"1/2 NS W/ 20MEQ KCL 1000ML","0258","RC","Both",,,"72","36","Amerigroup","Medicaid Managed Care",,,"37",,"26.35","4.76","93","percent of total billed charges",,
"1/2 NS W/ 20MEQ KCL 1000ML","0258","RC","Both",,,"72","36","Caresource","Medicaid Managed Care",,,"40",,"28.8","4.76","93","percent of total billed charges",,
"1/2 NS W/ 20MEQ KCL 1000ML","0258","RC","Both",,,"72","36","Wellcare","Medicaid Managed Care",,,"40",,"29.16","4.76","93","percent of total billed charges",,
"1/2 NS W/ 20MEQ KCL 1000ML","0258","RC","Both",,,"72","36","Aetna","Commercial",,,"64",,"45.94","4.76","93","percent of total billed charges",,
"1/2 NS W/ 20MEQ KCL 1000ML","0258","RC","Both",,,"72","36","Blue Cross Blue Shield","Pathways",,,"71",,"50.83","4.76","93","percent of total billed charges",,
"1/2 NS W/ 20MEQ KCL 1000ML","0258","RC","Both",,,"72","36","Blue Cross Blue Shield","HMO",,,"71",,"50.83","4.76","93","percent of total billed charges",,
"1/2 NS W/ 20MEQ KCL 1000ML","0258","RC","Both",,,"72","36","Blue Cross Blue Shield","PPO",,,"71",,"50.83","4.76","93","percent of total billed charges",,
"1/2 NS W/ 20MEQ KCL 1000ML","0258","RC","Both",,,"72","36","Ambetter","Health Exchange",,,"62",,"44.64","4.76","93","percent of total billed charges",,
"1/2 NS W/ 20MEQ KCL 1000ML","0258","RC","Both",,,"72","36","Caresource","Health Exchange",,,"62",,"44.64","4.76","93","percent of total billed charges",,
"1/2 NS W/ 20MEQ KCL 1000ML","0258","RC","Both",,,"72","36","Cigna","Commercial",,,"59",,"42.19","4.76","93","percent of total billed charges",,
"1/2 NS W/ 20MEQ KCL 1000ML","0258","RC","Both",,,"72","36","Humana","Commercial",,,"78",,"55.8","4.76","93","percent of total billed charges",,
"1/2 NS W/ 20MEQ KCL 1000ML","0258","RC","Both",,,"72","36","UHC","Commercial",,,"75",,"54.29","4.76","93","percent of total billed charges",,
"1/2 NS W/ 20MEQ KCL 1000ML","0258","RC","Both",,,"72","36","Medicaid",,,,"37",,"26.35","4.76","93","percent of total billed charges",,
"glyBURIDE MICRO (GLYNASE) TAB: 3MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"glyBURIDE MICRO (GLYNASE) TAB: 3MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"glyBURIDE MICRO (GLYNASE) TAB: 3MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"glyBURIDE MICRO (GLYNASE) TAB: 3MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"glyBURIDE MICRO (GLYNASE) TAB: 3MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"glyBURIDE MICRO (GLYNASE) TAB: 3MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"glyBURIDE MICRO (GLYNASE) TAB: 3MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"glyBURIDE MICRO (GLYNASE) TAB: 3MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"glyBURIDE MICRO (GLYNASE) TAB: 3MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"glyBURIDE MICRO (GLYNASE) TAB: 3MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"glyBURIDE MICRO (GLYNASE) TAB: 3MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"glyBURIDE MICRO (GLYNASE) TAB: 3MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"glyBURIDE MICRO (GLYNASE) TAB: 3MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"glyBURIDE MICRO (GLYNASE) TAB: 3MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"glyBURIDE MICRO (GLYNASE) TAB: 3MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"glyBURIDE MICRO (GLYNASE) TAB: 3MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"glyBURIDE MICRO (GLYNASE) TAB: 3MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"glyBURIDE MICRO (GLYNASE) TAB: 3MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"glyBURIDE MICRO (GLYNASE) TAB: 3MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"glyBURIDE MICRO (GLYNASE) TAB: 3MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ZIPRASIDONE (GEODON) 20MG CAP","0637","RC","Both",,,"36","18","Alliant","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"ZIPRASIDONE (GEODON) 20MG CAP","0637","RC","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.44","0.15","5264.58","percent of total billed charges",,
"ZIPRASIDONE (GEODON) 20MG CAP","0637","RC","Both",,,"36","18","Medicare",,,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"ZIPRASIDONE (GEODON) 20MG CAP","0637","RC","Both",,,"36","18","Humana","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"ZIPRASIDONE (GEODON) 20MG CAP","0637","RC","Both",,,"36","18","UHC","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"ZIPRASIDONE (GEODON) 20MG CAP","0637","RC","Both",,,"36","18","Clover","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"ZIPRASIDONE (GEODON) 20MG CAP","0637","RC","Both",,,"36","18","Wellcare","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"ZIPRASIDONE (GEODON) 20MG CAP","0637","RC","Both",,,"36","18","Amerigroup","Medicaid Managed Care",,,"37",,"13.18","0.15","5264.58","percent of total billed charges",,
"ZIPRASIDONE (GEODON) 20MG CAP","0637","RC","Both",,,"36","18","Caresource","Medicaid Managed Care",,,"40",,"14.4","0.15","5264.58","percent of total billed charges",,
"ZIPRASIDONE (GEODON) 20MG CAP","0637","RC","Both",,,"36","18","Wellcare","Medicaid Managed Care",,,"40",,"14.58","0.15","5264.58","percent of total billed charges",,
"ZIPRASIDONE (GEODON) 20MG CAP","0637","RC","Both",,,"36","18","Aetna","Commercial",,,"64",,"22.97","0.15","5264.58","percent of total billed charges",,
"ZIPRASIDONE (GEODON) 20MG CAP","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","Pathways",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"ZIPRASIDONE (GEODON) 20MG CAP","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","HMO",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"ZIPRASIDONE (GEODON) 20MG CAP","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","PPO",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"ZIPRASIDONE (GEODON) 20MG CAP","0637","RC","Both",,,"36","18","Ambetter","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"ZIPRASIDONE (GEODON) 20MG CAP","0637","RC","Both",,,"36","18","Caresource","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"ZIPRASIDONE (GEODON) 20MG CAP","0637","RC","Both",,,"36","18","Cigna","Commercial",,,"59",,"21.1","0.15","5264.58","percent of total billed charges",,
"ZIPRASIDONE (GEODON) 20MG CAP","0637","RC","Both",,,"36","18","Humana","Commercial",,,"78",,"27.9","0.15","5264.58","percent of total billed charges",,
"ZIPRASIDONE (GEODON) 20MG CAP","0637","RC","Both",,,"36","18","UHC","Commercial",,,"75",,"27.14","0.15","5264.58","percent of total billed charges",,
"ZIPRASIDONE (GEODON) 20MG CAP","0637","RC","Both",,,"36","18","Medicaid",,,,"37",,"13.18","0.15","5264.58","percent of total billed charges",,
"HYDROXYUREA (HYDREA) CAPSULE: 500 MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"HYDROXYUREA (HYDREA) CAPSULE: 500 MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"HYDROXYUREA (HYDREA) CAPSULE: 500 MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDROXYUREA (HYDREA) CAPSULE: 500 MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDROXYUREA (HYDREA) CAPSULE: 500 MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDROXYUREA (HYDREA) CAPSULE: 500 MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDROXYUREA (HYDREA) CAPSULE: 500 MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"HYDROXYUREA (HYDREA) CAPSULE: 500 MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"HYDROXYUREA (HYDREA) CAPSULE: 500 MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"HYDROXYUREA (HYDREA) CAPSULE: 500 MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"HYDROXYUREA (HYDREA) CAPSULE: 500 MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"HYDROXYUREA (HYDREA) CAPSULE: 500 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"HYDROXYUREA (HYDREA) CAPSULE: 500 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"HYDROXYUREA (HYDREA) CAPSULE: 500 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"HYDROXYUREA (HYDREA) CAPSULE: 500 MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"HYDROXYUREA (HYDREA) CAPSULE: 500 MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"HYDROXYUREA (HYDREA) CAPSULE: 500 MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"HYDROXYUREA (HYDREA) CAPSULE: 500 MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"HYDROXYUREA (HYDREA) CAPSULE: 500 MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"HYDROXYUREA (HYDREA) CAPSULE: 500 MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"GUAIFENESIN ER (MUCINEX) TAB: 600 MG","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"GUAIFENESIN ER (MUCINEX) TAB: 600 MG","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"GUAIFENESIN ER (MUCINEX) TAB: 600 MG","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"GUAIFENESIN ER (MUCINEX) TAB: 600 MG","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"GUAIFENESIN ER (MUCINEX) TAB: 600 MG","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"GUAIFENESIN ER (MUCINEX) TAB: 600 MG","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"GUAIFENESIN ER (MUCINEX) TAB: 600 MG","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"GUAIFENESIN ER (MUCINEX) TAB: 600 MG","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"GUAIFENESIN ER (MUCINEX) TAB: 600 MG","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"GUAIFENESIN ER (MUCINEX) TAB: 600 MG","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"GUAIFENESIN ER (MUCINEX) TAB: 600 MG","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"GUAIFENESIN ER (MUCINEX) TAB: 600 MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"GUAIFENESIN ER (MUCINEX) TAB: 600 MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"GUAIFENESIN ER (MUCINEX) TAB: 600 MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"GUAIFENESIN ER (MUCINEX) TAB: 600 MG","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"GUAIFENESIN ER (MUCINEX) TAB: 600 MG","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"GUAIFENESIN ER (MUCINEX) TAB: 600 MG","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"GUAIFENESIN ER (MUCINEX) TAB: 600 MG","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"GUAIFENESIN ER (MUCINEX) TAB: 600 MG","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"GUAIFENESIN ER (MUCINEX) TAB: 600 MG","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 1 MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 1 MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 1 MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 1 MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 1 MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 1 MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 1 MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 1 MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 1 MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 1 MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 1 MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 1 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 1 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 1 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 1 MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 1 MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 1 MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 1 MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 1 MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"WARFARIN (COUMADIN) TABLET: 1 MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"TOPIRAMATE (TOPAMAX) 25MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"TOPIRAMATE (TOPAMAX) 25MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"TOPIRAMATE (TOPAMAX) 25MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"TOPIRAMATE (TOPAMAX) 25MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"TOPIRAMATE (TOPAMAX) 25MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"TOPIRAMATE (TOPAMAX) 25MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"TOPIRAMATE (TOPAMAX) 25MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"TOPIRAMATE (TOPAMAX) 25MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"TOPIRAMATE (TOPAMAX) 25MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"TOPIRAMATE (TOPAMAX) 25MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"TOPIRAMATE (TOPAMAX) 25MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"TOPIRAMATE (TOPAMAX) 25MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"TOPIRAMATE (TOPAMAX) 25MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"TOPIRAMATE (TOPAMAX) 25MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"TOPIRAMATE (TOPAMAX) 25MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"TOPIRAMATE (TOPAMAX) 25MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"TOPIRAMATE (TOPAMAX) 25MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"TOPIRAMATE (TOPAMAX) 25MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"TOPIRAMATE (TOPAMAX) 25MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"TOPIRAMATE (TOPAMAX) 25MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"LOVASTATIN (MEVACOR) 20MG TABL","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"LOVASTATIN (MEVACOR) 20MG TABL","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"LOVASTATIN (MEVACOR) 20MG TABL","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"LOVASTATIN (MEVACOR) 20MG TABL","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"LOVASTATIN (MEVACOR) 20MG TABL","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"LOVASTATIN (MEVACOR) 20MG TABL","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"LOVASTATIN (MEVACOR) 20MG TABL","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"LOVASTATIN (MEVACOR) 20MG TABL","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"LOVASTATIN (MEVACOR) 20MG TABL","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"LOVASTATIN (MEVACOR) 20MG TABL","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"LOVASTATIN (MEVACOR) 20MG TABL","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"LOVASTATIN (MEVACOR) 20MG TABL","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"LOVASTATIN (MEVACOR) 20MG TABL","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"LOVASTATIN (MEVACOR) 20MG TABL","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"LOVASTATIN (MEVACOR) 20MG TABL","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"LOVASTATIN (MEVACOR) 20MG TABL","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"LOVASTATIN (MEVACOR) 20MG TABL","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"LOVASTATIN (MEVACOR) 20MG TABL","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"LOVASTATIN (MEVACOR) 20MG TABL","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"LOVASTATIN (MEVACOR) 20MG TABL","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"TIMOLOL (TIMOPTIC) 0.5% OPTH. 5ML","0637","RC","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"TIMOLOL (TIMOPTIC) 0.5% OPTH. 5ML","0637","RC","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","0.15","5264.58","percent of total billed charges",,
"TIMOLOL (TIMOPTIC) 0.5% OPTH. 5ML","0637","RC","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"TIMOLOL (TIMOPTIC) 0.5% OPTH. 5ML","0637","RC","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"TIMOLOL (TIMOPTIC) 0.5% OPTH. 5ML","0637","RC","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"TIMOLOL (TIMOPTIC) 0.5% OPTH. 5ML","0637","RC","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"TIMOLOL (TIMOPTIC) 0.5% OPTH. 5ML","0637","RC","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"TIMOLOL (TIMOPTIC) 0.5% OPTH. 5ML","0637","RC","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"TIMOLOL (TIMOPTIC) 0.5% OPTH. 5ML","0637","RC","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","0.15","5264.58","percent of total billed charges",,
"TIMOLOL (TIMOPTIC) 0.5% OPTH. 5ML","0637","RC","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.15","5264.58","percent of total billed charges",,
"TIMOLOL (TIMOPTIC) 0.5% OPTH. 5ML","0637","RC","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","0.15","5264.58","percent of total billed charges",,
"TIMOLOL (TIMOPTIC) 0.5% OPTH. 5ML","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"TIMOLOL (TIMOPTIC) 0.5% OPTH. 5ML","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"TIMOLOL (TIMOPTIC) 0.5% OPTH. 5ML","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"TIMOLOL (TIMOPTIC) 0.5% OPTH. 5ML","0637","RC","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"TIMOLOL (TIMOPTIC) 0.5% OPTH. 5ML","0637","RC","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"TIMOLOL (TIMOPTIC) 0.5% OPTH. 5ML","0637","RC","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","0.15","5264.58","percent of total billed charges",,
"TIMOLOL (TIMOPTIC) 0.5% OPTH. 5ML","0637","RC","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","0.15","5264.58","percent of total billed charges",,
"TIMOLOL (TIMOPTIC) 0.5% OPTH. 5ML","0637","RC","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","0.15","5264.58","percent of total billed charges",,
"TIMOLOL (TIMOPTIC) 0.5% OPTH. 5ML","0637","RC","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"RISPERIDONE (RISPERDAL) 0.25 MG TABLET","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"RISPERIDONE (RISPERDAL) 0.25 MG TABLET","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"RISPERIDONE (RISPERDAL) 0.25 MG TABLET","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"RISPERIDONE (RISPERDAL) 0.25 MG TABLET","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"RISPERIDONE (RISPERDAL) 0.25 MG TABLET","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"RISPERIDONE (RISPERDAL) 0.25 MG TABLET","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"RISPERIDONE (RISPERDAL) 0.25 MG TABLET","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"RISPERIDONE (RISPERDAL) 0.25 MG TABLET","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"RISPERIDONE (RISPERDAL) 0.25 MG TABLET","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"RISPERIDONE (RISPERDAL) 0.25 MG TABLET","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"RISPERIDONE (RISPERDAL) 0.25 MG TABLET","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"RISPERIDONE (RISPERDAL) 0.25 MG TABLET","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"RISPERIDONE (RISPERDAL) 0.25 MG TABLET","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"RISPERIDONE (RISPERDAL) 0.25 MG TABLET","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"RISPERIDONE (RISPERDAL) 0.25 MG TABLET","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"RISPERIDONE (RISPERDAL) 0.25 MG TABLET","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"RISPERIDONE (RISPERDAL) 0.25 MG TABLET","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"RISPERIDONE (RISPERDAL) 0.25 MG TABLET","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"RISPERIDONE (RISPERDAL) 0.25 MG TABLET","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"RISPERIDONE (RISPERDAL) 0.25 MG TABLET","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"AMIKACIN 500MG INJ./ 100ML NORMAL SALINE","0250","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.04","569.62","percent of total billed charges",,
"AMIKACIN 500MG INJ./ 100ML NORMAL SALINE","0250","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.04","569.62","percent of total billed charges",,
"AMIKACIN 500MG INJ./ 100ML NORMAL SALINE","0250","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.04","569.62","percent of total billed charges",,
"AMIKACIN 500MG INJ./ 100ML NORMAL SALINE","0250","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.04","569.62","percent of total billed charges",,
"AMIKACIN 500MG INJ./ 100ML NORMAL SALINE","0250","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.04","569.62","percent of total billed charges",,
"AMIKACIN 500MG INJ./ 100ML NORMAL SALINE","0250","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.04","569.62","percent of total billed charges",,
"AMIKACIN 500MG INJ./ 100ML NORMAL SALINE","0250","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.04","569.62","percent of total billed charges",,
"AMIKACIN 500MG INJ./ 100ML NORMAL SALINE","0250","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.04","569.62","percent of total billed charges",,
"AMIKACIN 500MG INJ./ 100ML NORMAL SALINE","0250","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.04","569.62","percent of total billed charges",,
"AMIKACIN 500MG INJ./ 100ML NORMAL SALINE","0250","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.04","569.62","percent of total billed charges",,
"AMIKACIN 500MG INJ./ 100ML NORMAL SALINE","0250","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.04","569.62","percent of total billed charges",,
"AMIKACIN 500MG INJ./ 100ML NORMAL SALINE","0250","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.04","569.62","percent of total billed charges",,
"AMIKACIN 500MG INJ./ 100ML NORMAL SALINE","0250","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.04","569.62","percent of total billed charges",,
"AMIKACIN 500MG INJ./ 100ML NORMAL SALINE","0250","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.04","569.62","percent of total billed charges",,
"AMIKACIN 500MG INJ./ 100ML NORMAL SALINE","0250","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.04","569.62","percent of total billed charges",,
"AMIKACIN 500MG INJ./ 100ML NORMAL SALINE","0250","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.04","569.62","percent of total billed charges",,
"AMIKACIN 500MG INJ./ 100ML NORMAL SALINE","0250","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.04","569.62","percent of total billed charges",,
"AMIKACIN 500MG INJ./ 100ML NORMAL SALINE","0250","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.04","569.62","percent of total billed charges",,
"AMIKACIN 500MG INJ./ 100ML NORMAL SALINE","0250","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.04","569.62","percent of total billed charges",,
"AMIKACIN 500MG INJ./ 100ML NORMAL SALINE","0250","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.04","569.62","percent of total billed charges",,
"METHYLPREDNISOLONE (MEDROL) 4MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"METHYLPREDNISOLONE (MEDROL) 4MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"METHYLPREDNISOLONE (MEDROL) 4MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METHYLPREDNISOLONE (MEDROL) 4MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METHYLPREDNISOLONE (MEDROL) 4MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METHYLPREDNISOLONE (MEDROL) 4MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METHYLPREDNISOLONE (MEDROL) 4MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METHYLPREDNISOLONE (MEDROL) 4MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"METHYLPREDNISOLONE (MEDROL) 4MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"METHYLPREDNISOLONE (MEDROL) 4MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"METHYLPREDNISOLONE (MEDROL) 4MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"METHYLPREDNISOLONE (MEDROL) 4MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"METHYLPREDNISOLONE (MEDROL) 4MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"METHYLPREDNISOLONE (MEDROL) 4MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"METHYLPREDNISOLONE (MEDROL) 4MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"METHYLPREDNISOLONE (MEDROL) 4MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"METHYLPREDNISOLONE (MEDROL) 4MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"METHYLPREDNISOLONE (MEDROL) 4MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"METHYLPREDNISOLONE (MEDROL) 4MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"METHYLPREDNISOLONE (MEDROL) 4MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"SODIUM BICARBONATE TAB: 650 MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"SODIUM BICARBONATE TAB: 650 MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"SODIUM BICARBONATE TAB: 650 MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SODIUM BICARBONATE TAB: 650 MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SODIUM BICARBONATE TAB: 650 MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SODIUM BICARBONATE TAB: 650 MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SODIUM BICARBONATE TAB: 650 MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SODIUM BICARBONATE TAB: 650 MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"SODIUM BICARBONATE TAB: 650 MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"SODIUM BICARBONATE TAB: 650 MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"SODIUM BICARBONATE TAB: 650 MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"SODIUM BICARBONATE TAB: 650 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"SODIUM BICARBONATE TAB: 650 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"SODIUM BICARBONATE TAB: 650 MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"SODIUM BICARBONATE TAB: 650 MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"SODIUM BICARBONATE TAB: 650 MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"SODIUM BICARBONATE TAB: 650 MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"SODIUM BICARBONATE TAB: 650 MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"SODIUM BICARBONATE TAB: 650 MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"SODIUM BICARBONATE TAB: 650 MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"IRON POLYSAC COMPLEX (NU IRON) 150MG CP","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"IRON POLYSAC COMPLEX (NU IRON) 150MG CP","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"IRON POLYSAC COMPLEX (NU IRON) 150MG CP","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"IRON POLYSAC COMPLEX (NU IRON) 150MG CP","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"IRON POLYSAC COMPLEX (NU IRON) 150MG CP","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"IRON POLYSAC COMPLEX (NU IRON) 150MG CP","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"IRON POLYSAC COMPLEX (NU IRON) 150MG CP","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"IRON POLYSAC COMPLEX (NU IRON) 150MG CP","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"IRON POLYSAC COMPLEX (NU IRON) 150MG CP","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"IRON POLYSAC COMPLEX (NU IRON) 150MG CP","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"IRON POLYSAC COMPLEX (NU IRON) 150MG CP","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"IRON POLYSAC COMPLEX (NU IRON) 150MG CP","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"IRON POLYSAC COMPLEX (NU IRON) 150MG CP","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"IRON POLYSAC COMPLEX (NU IRON) 150MG CP","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"IRON POLYSAC COMPLEX (NU IRON) 150MG CP","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"IRON POLYSAC COMPLEX (NU IRON) 150MG CP","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"IRON POLYSAC COMPLEX (NU IRON) 150MG CP","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"IRON POLYSAC COMPLEX (NU IRON) 150MG CP","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"IRON POLYSAC COMPLEX (NU IRON) 150MG CP","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"IRON POLYSAC COMPLEX (NU IRON) 150MG CP","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"VITAMIN B6 (PYRIDOXINE) 50 MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"VITAMIN B6 (PYRIDOXINE) 50 MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"VITAMIN B6 (PYRIDOXINE) 50 MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"VITAMIN B6 (PYRIDOXINE) 50 MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"VITAMIN B6 (PYRIDOXINE) 50 MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"VITAMIN B6 (PYRIDOXINE) 50 MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"VITAMIN B6 (PYRIDOXINE) 50 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"VITAMIN B6 (PYRIDOXINE) 50 MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"VITAMIN B6 (PYRIDOXINE) 50 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"VITAMIN B6 (PYRIDOXINE) 50 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"VITAMIN B6 (PYRIDOXINE) 50 MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"VITAMIN B6 (PYRIDOXINE) 50 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"VITAMIN B6 (PYRIDOXINE) 50 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"VITAMIN B6 (PYRIDOXINE) 50 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"VITAMIN B6 (PYRIDOXINE) 50 MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"VITAMIN B6 (PYRIDOXINE) 50 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"VITAMIN B6 (PYRIDOXINE) 50 MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"VITAMIN B6 (PYRIDOXINE) 50 MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"VITAMIN B6 (PYRIDOXINE) 50 MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"VITAMIN B6 (PYRIDOXINE) 50 MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NYSTATIN (NYSTOP) POWDER 15 GM","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"NYSTATIN (NYSTOP) POWDER 15 GM","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"NYSTATIN (NYSTOP) POWDER 15 GM","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NYSTATIN (NYSTOP) POWDER 15 GM","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NYSTATIN (NYSTOP) POWDER 15 GM","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NYSTATIN (NYSTOP) POWDER 15 GM","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NYSTATIN (NYSTOP) POWDER 15 GM","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"NYSTATIN (NYSTOP) POWDER 15 GM","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"NYSTATIN (NYSTOP) POWDER 15 GM","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"NYSTATIN (NYSTOP) POWDER 15 GM","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"NYSTATIN (NYSTOP) POWDER 15 GM","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"NYSTATIN (NYSTOP) POWDER 15 GM","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"NYSTATIN (NYSTOP) POWDER 15 GM","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"NYSTATIN (NYSTOP) POWDER 15 GM","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"NYSTATIN (NYSTOP) POWDER 15 GM","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"NYSTATIN (NYSTOP) POWDER 15 GM","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"NYSTATIN (NYSTOP) POWDER 15 GM","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"NYSTATIN (NYSTOP) POWDER 15 GM","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"NYSTATIN (NYSTOP) POWDER 15 GM","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"NYSTATIN (NYSTOP) POWDER 15 GM","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"SENNA (SENOKOT) 8.6 MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"SENNA (SENOKOT) 8.6 MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"SENNA (SENOKOT) 8.6 MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SENNA (SENOKOT) 8.6 MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SENNA (SENOKOT) 8.6 MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SENNA (SENOKOT) 8.6 MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SENNA (SENOKOT) 8.6 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"SENNA (SENOKOT) 8.6 MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"SENNA (SENOKOT) 8.6 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"SENNA (SENOKOT) 8.6 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"SENNA (SENOKOT) 8.6 MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"SENNA (SENOKOT) 8.6 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"SENNA (SENOKOT) 8.6 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"SENNA (SENOKOT) 8.6 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"SENNA (SENOKOT) 8.6 MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"SENNA (SENOKOT) 8.6 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"SENNA (SENOKOT) 8.6 MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"SENNA (SENOKOT) 8.6 MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"SENNA (SENOKOT) 8.6 MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"SENNA (SENOKOT) 8.6 MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"FERROUS SULFATE 220MG/5ML Elixir","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"FERROUS SULFATE 220MG/5ML Elixir","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"FERROUS SULFATE 220MG/5ML Elixir","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FERROUS SULFATE 220MG/5ML Elixir","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FERROUS SULFATE 220MG/5ML Elixir","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FERROUS SULFATE 220MG/5ML Elixir","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FERROUS SULFATE 220MG/5ML Elixir","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"FERROUS SULFATE 220MG/5ML Elixir","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"FERROUS SULFATE 220MG/5ML Elixir","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"FERROUS SULFATE 220MG/5ML Elixir","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"FERROUS SULFATE 220MG/5ML Elixir","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"FERROUS SULFATE 220MG/5ML Elixir","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"FERROUS SULFATE 220MG/5ML Elixir","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"FERROUS SULFATE 220MG/5ML Elixir","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"FERROUS SULFATE 220MG/5ML Elixir","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"FERROUS SULFATE 220MG/5ML Elixir","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"FERROUS SULFATE 220MG/5ML Elixir","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"FERROUS SULFATE 220MG/5ML Elixir","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"FERROUS SULFATE 220MG/5ML Elixir","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"FERROUS SULFATE 220MG/5ML Elixir","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"MULTIVITAMIN ORAL LIQUID 5 ML","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"MULTIVITAMIN ORAL LIQUID 5 ML","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"MULTIVITAMIN ORAL LIQUID 5 ML","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"MULTIVITAMIN ORAL LIQUID 5 ML","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"MULTIVITAMIN ORAL LIQUID 5 ML","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"MULTIVITAMIN ORAL LIQUID 5 ML","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"MULTIVITAMIN ORAL LIQUID 5 ML","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"MULTIVITAMIN ORAL LIQUID 5 ML","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"MULTIVITAMIN ORAL LIQUID 5 ML","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"MULTIVITAMIN ORAL LIQUID 5 ML","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"MULTIVITAMIN ORAL LIQUID 5 ML","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"MULTIVITAMIN ORAL LIQUID 5 ML","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"MULTIVITAMIN ORAL LIQUID 5 ML","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"MULTIVITAMIN ORAL LIQUID 5 ML","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"MULTIVITAMIN ORAL LIQUID 5 ML","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"MULTIVITAMIN ORAL LIQUID 5 ML","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"MULTIVITAMIN ORAL LIQUID 5 ML","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"MULTIVITAMIN ORAL LIQUID 5 ML","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"MULTIVITAMIN ORAL LIQUID 5 ML","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"MULTIVITAMIN ORAL LIQUID 5 ML","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 850MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 850MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 850MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 850MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 850MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 850MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 850MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 850MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 850MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 850MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 850MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 850MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 850MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 850MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 850MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 850MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 850MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 850MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 850MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"METFORMIN (GLUCOPHAGE) 850MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"OMEGA-3 FATTY ACID (FISH OIL)1000MG CAP","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"OMEGA-3 FATTY ACID (FISH OIL)1000MG CAP","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"OMEGA-3 FATTY ACID (FISH OIL)1000MG CAP","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"OMEGA-3 FATTY ACID (FISH OIL)1000MG CAP","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"OMEGA-3 FATTY ACID (FISH OIL)1000MG CAP","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"OMEGA-3 FATTY ACID (FISH OIL)1000MG CAP","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"OMEGA-3 FATTY ACID (FISH OIL)1000MG CAP","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"OMEGA-3 FATTY ACID (FISH OIL)1000MG CAP","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"OMEGA-3 FATTY ACID (FISH OIL)1000MG CAP","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"OMEGA-3 FATTY ACID (FISH OIL)1000MG CAP","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"OMEGA-3 FATTY ACID (FISH OIL)1000MG CAP","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"OMEGA-3 FATTY ACID (FISH OIL)1000MG CAP","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"OMEGA-3 FATTY ACID (FISH OIL)1000MG CAP","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"OMEGA-3 FATTY ACID (FISH OIL)1000MG CAP","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"OMEGA-3 FATTY ACID (FISH OIL)1000MG CAP","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"OMEGA-3 FATTY ACID (FISH OIL)1000MG CAP","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"OMEGA-3 FATTY ACID (FISH OIL)1000MG CAP","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"OMEGA-3 FATTY ACID (FISH OIL)1000MG CAP","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"OMEGA-3 FATTY ACID (FISH OIL)1000MG CAP","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"OMEGA-3 FATTY ACID (FISH OIL)1000MG CAP","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"SUCRALFATE (CARAFATE) SUSP  1GM/10ML","0259","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"SUCRALFATE (CARAFATE) SUSP  1GM/10ML","0259","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.04","2502.48","percent of total billed charges",,
"SUCRALFATE (CARAFATE) SUSP  1GM/10ML","0259","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"SUCRALFATE (CARAFATE) SUSP  1GM/10ML","0259","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"SUCRALFATE (CARAFATE) SUSP  1GM/10ML","0259","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"SUCRALFATE (CARAFATE) SUSP  1GM/10ML","0259","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"SUCRALFATE (CARAFATE) SUSP  1GM/10ML","0259","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.04","2502.48","percent of total billed charges",,
"SUCRALFATE (CARAFATE) SUSP  1GM/10ML","0259","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"SUCRALFATE (CARAFATE) SUSP  1GM/10ML","0259","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.04","2502.48","percent of total billed charges",,
"SUCRALFATE (CARAFATE) SUSP  1GM/10ML","0259","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.04","2502.48","percent of total billed charges",,
"SUCRALFATE (CARAFATE) SUSP  1GM/10ML","0259","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.04","2502.48","percent of total billed charges",,
"SUCRALFATE (CARAFATE) SUSP  1GM/10ML","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"SUCRALFATE (CARAFATE) SUSP  1GM/10ML","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"SUCRALFATE (CARAFATE) SUSP  1GM/10ML","0259","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.04","2502.48","percent of total billed charges",,
"SUCRALFATE (CARAFATE) SUSP  1GM/10ML","0259","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"SUCRALFATE (CARAFATE) SUSP  1GM/10ML","0259","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.04","2502.48","percent of total billed charges",,
"SUCRALFATE (CARAFATE) SUSP  1GM/10ML","0259","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.04","2502.48","percent of total billed charges",,
"SUCRALFATE (CARAFATE) SUSP  1GM/10ML","0259","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.04","2502.48","percent of total billed charges",,
"SUCRALFATE (CARAFATE) SUSP  1GM/10ML","0259","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.04","2502.48","percent of total billed charges",,
"SUCRALFATE (CARAFATE) SUSP  1GM/10ML","0259","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.04","2502.48","percent of total billed charges",,
"FLUCONAZOLE 10MG/ML SUSPENSION","0391","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","9.52","96.49","percent of total billed charges",,
"FLUCONAZOLE 10MG/ML SUSPENSION","0391","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","9.52","96.49","percent of total billed charges",,
"FLUCONAZOLE 10MG/ML SUSPENSION","0391","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","9.52","96.49","percent of total billed charges",,
"FLUCONAZOLE 10MG/ML SUSPENSION","0391","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","9.52","96.49","percent of total billed charges",,
"FLUCONAZOLE 10MG/ML SUSPENSION","0391","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","9.52","96.49","percent of total billed charges",,
"FLUCONAZOLE 10MG/ML SUSPENSION","0391","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","9.52","96.49","percent of total billed charges",,
"FLUCONAZOLE 10MG/ML SUSPENSION","0391","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","9.52","96.49","percent of total billed charges",,
"FLUCONAZOLE 10MG/ML SUSPENSION","0391","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","9.52","96.49","percent of total billed charges",,
"FLUCONAZOLE 10MG/ML SUSPENSION","0391","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","9.52","96.49","percent of total billed charges",,
"FLUCONAZOLE 10MG/ML SUSPENSION","0391","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","9.52","96.49","percent of total billed charges",,
"FLUCONAZOLE 10MG/ML SUSPENSION","0391","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","9.52","96.49","percent of total billed charges",,
"FLUCONAZOLE 10MG/ML SUSPENSION","0391","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","9.52","96.49","percent of total billed charges",,
"FLUCONAZOLE 10MG/ML SUSPENSION","0391","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","9.52","96.49","percent of total billed charges",,
"FLUCONAZOLE 10MG/ML SUSPENSION","0391","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","9.52","96.49","percent of total billed charges",,
"FLUCONAZOLE 10MG/ML SUSPENSION","0391","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","9.52","96.49","percent of total billed charges",,
"FLUCONAZOLE 10MG/ML SUSPENSION","0391","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","9.52","96.49","percent of total billed charges",,
"FLUCONAZOLE 10MG/ML SUSPENSION","0391","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","9.52","96.49","percent of total billed charges",,
"FLUCONAZOLE 10MG/ML SUSPENSION","0391","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","9.52","96.49","percent of total billed charges",,
"FLUCONAZOLE 10MG/ML SUSPENSION","0391","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","9.52","96.49","percent of total billed charges",,
"FLUCONAZOLE 10MG/ML SUSPENSION","0391","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","9.52","96.49","percent of total billed charges",,
"ISONIAZID (INH) 300 MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ISONIAZID (INH) 300 MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"ISONIAZID (INH) 300 MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ISONIAZID (INH) 300 MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ISONIAZID (INH) 300 MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ISONIAZID (INH) 300 MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ISONIAZID (INH) 300 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ISONIAZID (INH) 300 MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ISONIAZID (INH) 300 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"ISONIAZID (INH) 300 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"ISONIAZID (INH) 300 MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"ISONIAZID (INH) 300 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ISONIAZID (INH) 300 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ISONIAZID (INH) 300 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ISONIAZID (INH) 300 MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ISONIAZID (INH) 300 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ISONIAZID (INH) 300 MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"ISONIAZID (INH) 300 MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"ISONIAZID (INH) 300 MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"ISONIAZID (INH) 300 MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"CETIRIZine (ZyrTEC) TABLET: 10MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CETIRIZine (ZyrTEC) TABLET: 10MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"CETIRIZine (ZyrTEC) TABLET: 10MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CETIRIZine (ZyrTEC) TABLET: 10MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CETIRIZine (ZyrTEC) TABLET: 10MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CETIRIZine (ZyrTEC) TABLET: 10MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CETIRIZine (ZyrTEC) TABLET: 10MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CETIRIZine (ZyrTEC) TABLET: 10MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"CETIRIZine (ZyrTEC) TABLET: 10MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"CETIRIZine (ZyrTEC) TABLET: 10MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"CETIRIZine (ZyrTEC) TABLET: 10MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"CETIRIZine (ZyrTEC) TABLET: 10MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CETIRIZine (ZyrTEC) TABLET: 10MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CETIRIZine (ZyrTEC) TABLET: 10MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CETIRIZine (ZyrTEC) TABLET: 10MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CETIRIZine (ZyrTEC) TABLET: 10MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CETIRIZine (ZyrTEC) TABLET: 10MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"CETIRIZine (ZyrTEC) TABLET: 10MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"CETIRIZine (ZyrTEC) TABLET: 10MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"CETIRIZine (ZyrTEC) TABLET: 10MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"TERAZOSIN (HYTRIN) 5MG CAPSULE","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"TERAZOSIN (HYTRIN) 5MG CAPSULE","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"TERAZOSIN (HYTRIN) 5MG CAPSULE","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"TERAZOSIN (HYTRIN) 5MG CAPSULE","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"TERAZOSIN (HYTRIN) 5MG CAPSULE","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"TERAZOSIN (HYTRIN) 5MG CAPSULE","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"TERAZOSIN (HYTRIN) 5MG CAPSULE","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"TERAZOSIN (HYTRIN) 5MG CAPSULE","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"TERAZOSIN (HYTRIN) 5MG CAPSULE","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"TERAZOSIN (HYTRIN) 5MG CAPSULE","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"TERAZOSIN (HYTRIN) 5MG CAPSULE","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"TERAZOSIN (HYTRIN) 5MG CAPSULE","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"TERAZOSIN (HYTRIN) 5MG CAPSULE","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"TERAZOSIN (HYTRIN) 5MG CAPSULE","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"TERAZOSIN (HYTRIN) 5MG CAPSULE","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"TERAZOSIN (HYTRIN) 5MG CAPSULE","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"TERAZOSIN (HYTRIN) 5MG CAPSULE","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"TERAZOSIN (HYTRIN) 5MG CAPSULE","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"TERAZOSIN (HYTRIN) 5MG CAPSULE","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"TERAZOSIN (HYTRIN) 5MG CAPSULE","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"BETAMETH/CLOTRIM (LOTRISONE) CREAM 15GM","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"BETAMETH/CLOTRIM (LOTRISONE) CREAM 15GM","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"BETAMETH/CLOTRIM (LOTRISONE) CREAM 15GM","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"BETAMETH/CLOTRIM (LOTRISONE) CREAM 15GM","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"BETAMETH/CLOTRIM (LOTRISONE) CREAM 15GM","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"BETAMETH/CLOTRIM (LOTRISONE) CREAM 15GM","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"BETAMETH/CLOTRIM (LOTRISONE) CREAM 15GM","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"BETAMETH/CLOTRIM (LOTRISONE) CREAM 15GM","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"BETAMETH/CLOTRIM (LOTRISONE) CREAM 15GM","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"BETAMETH/CLOTRIM (LOTRISONE) CREAM 15GM","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"BETAMETH/CLOTRIM (LOTRISONE) CREAM 15GM","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"BETAMETH/CLOTRIM (LOTRISONE) CREAM 15GM","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"BETAMETH/CLOTRIM (LOTRISONE) CREAM 15GM","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"BETAMETH/CLOTRIM (LOTRISONE) CREAM 15GM","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"BETAMETH/CLOTRIM (LOTRISONE) CREAM 15GM","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"BETAMETH/CLOTRIM (LOTRISONE) CREAM 15GM","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"BETAMETH/CLOTRIM (LOTRISONE) CREAM 15GM","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"BETAMETH/CLOTRIM (LOTRISONE) CREAM 15GM","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"BETAMETH/CLOTRIM (LOTRISONE) CREAM 15GM","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"BETAMETH/CLOTRIM (LOTRISONE) CREAM 15GM","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"OXYBUTYNIN (DITROPAN) TAB: 5MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"OXYBUTYNIN (DITROPAN) TAB: 5MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"OXYBUTYNIN (DITROPAN) TAB: 5MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"OXYBUTYNIN (DITROPAN) TAB: 5MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"OXYBUTYNIN (DITROPAN) TAB: 5MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"OXYBUTYNIN (DITROPAN) TAB: 5MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"OXYBUTYNIN (DITROPAN) TAB: 5MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"OXYBUTYNIN (DITROPAN) TAB: 5MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"OXYBUTYNIN (DITROPAN) TAB: 5MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"OXYBUTYNIN (DITROPAN) TAB: 5MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"OXYBUTYNIN (DITROPAN) TAB: 5MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"OXYBUTYNIN (DITROPAN) TAB: 5MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"OXYBUTYNIN (DITROPAN) TAB: 5MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"OXYBUTYNIN (DITROPAN) TAB: 5MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"OXYBUTYNIN (DITROPAN) TAB: 5MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"OXYBUTYNIN (DITROPAN) TAB: 5MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"OXYBUTYNIN (DITROPAN) TAB: 5MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"OXYBUTYNIN (DITROPAN) TAB: 5MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"OXYBUTYNIN (DITROPAN) TAB: 5MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"OXYBUTYNIN (DITROPAN) TAB: 5MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"OYSTER SHELL CALCIUM (OSCAL) TAB: 500MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"OYSTER SHELL CALCIUM (OSCAL) TAB: 500MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"OYSTER SHELL CALCIUM (OSCAL) TAB: 500MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"OYSTER SHELL CALCIUM (OSCAL) TAB: 500MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"OYSTER SHELL CALCIUM (OSCAL) TAB: 500MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"OYSTER SHELL CALCIUM (OSCAL) TAB: 500MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"OYSTER SHELL CALCIUM (OSCAL) TAB: 500MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"OYSTER SHELL CALCIUM (OSCAL) TAB: 500MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"OYSTER SHELL CALCIUM (OSCAL) TAB: 500MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"OYSTER SHELL CALCIUM (OSCAL) TAB: 500MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"OYSTER SHELL CALCIUM (OSCAL) TAB: 500MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"OYSTER SHELL CALCIUM (OSCAL) TAB: 500MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"OYSTER SHELL CALCIUM (OSCAL) TAB: 500MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"OYSTER SHELL CALCIUM (OSCAL) TAB: 500MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"OYSTER SHELL CALCIUM (OSCAL) TAB: 500MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"OYSTER SHELL CALCIUM (OSCAL) TAB: 500MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"OYSTER SHELL CALCIUM (OSCAL) TAB: 500MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"OYSTER SHELL CALCIUM (OSCAL) TAB: 500MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"OYSTER SHELL CALCIUM (OSCAL) TAB: 500MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"OYSTER SHELL CALCIUM (OSCAL) TAB: 500MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"TRACE MINERAL (MULTITRACE-5 CONC) 1ML IJ","0250","RC","Both",,,"38","19","Alliant","Health Exchange",,,"62",,"23.56","0.04","569.62","percent of total billed charges",,
"TRACE MINERAL (MULTITRACE-5 CONC) 1ML IJ","0250","RC","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.52","0.04","569.62","percent of total billed charges",,
"TRACE MINERAL (MULTITRACE-5 CONC) 1ML IJ","0250","RC","Both",,,"38","19","Medicare",,,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"TRACE MINERAL (MULTITRACE-5 CONC) 1ML IJ","0250","RC","Both",,,"38","19","Humana","Medicare Advantage",,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"TRACE MINERAL (MULTITRACE-5 CONC) 1ML IJ","0250","RC","Both",,,"38","19","UHC","Medicare Advantage",,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"TRACE MINERAL (MULTITRACE-5 CONC) 1ML IJ","0250","RC","Both",,,"38","19","Clover","Medicare Advantage",,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"TRACE MINERAL (MULTITRACE-5 CONC) 1ML IJ","0250","RC","Both",,,"38","19","Wellcare","Medicare Advantage",,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"TRACE MINERAL (MULTITRACE-5 CONC) 1ML IJ","0250","RC","Both",,,"38","19","Amerigroup","Medicaid Managed Care",,,"37",,"13.91","0.04","569.62","percent of total billed charges",,
"TRACE MINERAL (MULTITRACE-5 CONC) 1ML IJ","0250","RC","Both",,,"38","19","Caresource","Medicaid Managed Care",,,"40",,"15.2","0.04","569.62","percent of total billed charges",,
"TRACE MINERAL (MULTITRACE-5 CONC) 1ML IJ","0250","RC","Both",,,"38","19","Wellcare","Medicaid Managed Care",,,"40",,"15.39","0.04","569.62","percent of total billed charges",,
"TRACE MINERAL (MULTITRACE-5 CONC) 1ML IJ","0250","RC","Both",,,"38","19","Aetna","Commercial",,,"64",,"24.24","0.04","569.62","percent of total billed charges",,
"TRACE MINERAL (MULTITRACE-5 CONC) 1ML IJ","0250","RC","Both",,,"38","19","Blue Cross Blue Shield","Pathways",,,"71",,"26.83","0.04","569.62","percent of total billed charges",,
"TRACE MINERAL (MULTITRACE-5 CONC) 1ML IJ","0250","RC","Both",,,"38","19","Blue Cross Blue Shield","HMO",,,"71",,"26.83","0.04","569.62","percent of total billed charges",,
"TRACE MINERAL (MULTITRACE-5 CONC) 1ML IJ","0250","RC","Both",,,"38","19","Blue Cross Blue Shield","PPO",,,"71",,"26.83","0.04","569.62","percent of total billed charges",,
"TRACE MINERAL (MULTITRACE-5 CONC) 1ML IJ","0250","RC","Both",,,"38","19","Ambetter","Health Exchange",,,"62",,"23.56","0.04","569.62","percent of total billed charges",,
"TRACE MINERAL (MULTITRACE-5 CONC) 1ML IJ","0250","RC","Both",,,"38","19","Caresource","Health Exchange",,,"62",,"23.56","0.04","569.62","percent of total billed charges",,
"TRACE MINERAL (MULTITRACE-5 CONC) 1ML IJ","0250","RC","Both",,,"38","19","Cigna","Commercial",,,"59",,"22.27","0.04","569.62","percent of total billed charges",,
"TRACE MINERAL (MULTITRACE-5 CONC) 1ML IJ","0250","RC","Both",,,"38","19","Humana","Commercial",,,"78",,"29.45","0.04","569.62","percent of total billed charges",,
"TRACE MINERAL (MULTITRACE-5 CONC) 1ML IJ","0250","RC","Both",,,"38","19","UHC","Commercial",,,"75",,"28.65","0.04","569.62","percent of total billed charges",,
"TRACE MINERAL (MULTITRACE-5 CONC) 1ML IJ","0250","RC","Both",,,"38","19","Medicaid",,,,"37",,"13.91","0.04","569.62","percent of total billed charges",,
"DIVALPROEX (DEPAKOTE) 125MG SPRINKLE CAP","0637","RC","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"DIVALPROEX (DEPAKOTE) 125MG SPRINKLE CAP","0637","RC","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","0.15","5264.58","percent of total billed charges",,
"DIVALPROEX (DEPAKOTE) 125MG SPRINKLE CAP","0637","RC","Both",,,"10","5","Medicare",,,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"DIVALPROEX (DEPAKOTE) 125MG SPRINKLE CAP","0637","RC","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"DIVALPROEX (DEPAKOTE) 125MG SPRINKLE CAP","0637","RC","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"DIVALPROEX (DEPAKOTE) 125MG SPRINKLE CAP","0637","RC","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"DIVALPROEX (DEPAKOTE) 125MG SPRINKLE CAP","0637","RC","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","0.15","5264.58","percent of total billed charges",,
"DIVALPROEX (DEPAKOTE) 125MG SPRINKLE CAP","0637","RC","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"DIVALPROEX (DEPAKOTE) 125MG SPRINKLE CAP","0637","RC","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","0.15","5264.58","percent of total billed charges",,
"DIVALPROEX (DEPAKOTE) 125MG SPRINKLE CAP","0637","RC","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","0.15","5264.58","percent of total billed charges",,
"DIVALPROEX (DEPAKOTE) 125MG SPRINKLE CAP","0637","RC","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","0.15","5264.58","percent of total billed charges",,
"DIVALPROEX (DEPAKOTE) 125MG SPRINKLE CAP","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"DIVALPROEX (DEPAKOTE) 125MG SPRINKLE CAP","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"DIVALPROEX (DEPAKOTE) 125MG SPRINKLE CAP","0637","RC","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","0.15","5264.58","percent of total billed charges",,
"DIVALPROEX (DEPAKOTE) 125MG SPRINKLE CAP","0637","RC","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"DIVALPROEX (DEPAKOTE) 125MG SPRINKLE CAP","0637","RC","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","0.15","5264.58","percent of total billed charges",,
"DIVALPROEX (DEPAKOTE) 125MG SPRINKLE CAP","0637","RC","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","0.15","5264.58","percent of total billed charges",,
"DIVALPROEX (DEPAKOTE) 125MG SPRINKLE CAP","0637","RC","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","0.15","5264.58","percent of total billed charges",,
"DIVALPROEX (DEPAKOTE) 125MG SPRINKLE CAP","0637","RC","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","0.15","5264.58","percent of total billed charges",,
"DIVALPROEX (DEPAKOTE) 125MG SPRINKLE CAP","0637","RC","Both",,,"10","5","Medicaid",,,,"37",,"3.66","0.15","5264.58","percent of total billed charges",,
"CYANOCOBALAMIN (VIT B12) TABLET: 1000mcg","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CYANOCOBALAMIN (VIT B12) TABLET: 1000mcg","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"CYANOCOBALAMIN (VIT B12) TABLET: 1000mcg","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CYANOCOBALAMIN (VIT B12) TABLET: 1000mcg","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CYANOCOBALAMIN (VIT B12) TABLET: 1000mcg","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CYANOCOBALAMIN (VIT B12) TABLET: 1000mcg","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CYANOCOBALAMIN (VIT B12) TABLET: 1000mcg","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CYANOCOBALAMIN (VIT B12) TABLET: 1000mcg","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"CYANOCOBALAMIN (VIT B12) TABLET: 1000mcg","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"CYANOCOBALAMIN (VIT B12) TABLET: 1000mcg","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"CYANOCOBALAMIN (VIT B12) TABLET: 1000mcg","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"CYANOCOBALAMIN (VIT B12) TABLET: 1000mcg","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CYANOCOBALAMIN (VIT B12) TABLET: 1000mcg","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CYANOCOBALAMIN (VIT B12) TABLET: 1000mcg","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CYANOCOBALAMIN (VIT B12) TABLET: 1000mcg","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CYANOCOBALAMIN (VIT B12) TABLET: 1000mcg","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CYANOCOBALAMIN (VIT B12) TABLET: 1000mcg","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"CYANOCOBALAMIN (VIT B12) TABLET: 1000mcg","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"CYANOCOBALAMIN (VIT B12) TABLET: 1000mcg","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"CYANOCOBALAMIN (VIT B12) TABLET: 1000mcg","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE DINITRATE (ISORDIL) 10MG TB","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE DINITRATE (ISORDIL) 10MG TB","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE DINITRATE (ISORDIL) 10MG TB","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE DINITRATE (ISORDIL) 10MG TB","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE DINITRATE (ISORDIL) 10MG TB","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE DINITRATE (ISORDIL) 10MG TB","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE DINITRATE (ISORDIL) 10MG TB","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE DINITRATE (ISORDIL) 10MG TB","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE DINITRATE (ISORDIL) 10MG TB","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE DINITRATE (ISORDIL) 10MG TB","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE DINITRATE (ISORDIL) 10MG TB","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE DINITRATE (ISORDIL) 10MG TB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE DINITRATE (ISORDIL) 10MG TB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE DINITRATE (ISORDIL) 10MG TB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE DINITRATE (ISORDIL) 10MG TB","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE DINITRATE (ISORDIL) 10MG TB","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE DINITRATE (ISORDIL) 10MG TB","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE DINITRATE (ISORDIL) 10MG TB","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE DINITRATE (ISORDIL) 10MG TB","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"ISOSORBIDE DINITRATE (ISORDIL) 10MG TB","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"HYDROcodon/HOMATROP (HYCODAN) SYRUP: 5ML","0637","RC","Both",,,"36","18","Alliant","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"HYDROcodon/HOMATROP (HYCODAN) SYRUP: 5ML","0637","RC","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.44","0.15","5264.58","percent of total billed charges",,
"HYDROcodon/HOMATROP (HYCODAN) SYRUP: 5ML","0637","RC","Both",,,"36","18","Medicare",,,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"HYDROcodon/HOMATROP (HYCODAN) SYRUP: 5ML","0637","RC","Both",,,"36","18","Humana","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"HYDROcodon/HOMATROP (HYCODAN) SYRUP: 5ML","0637","RC","Both",,,"36","18","UHC","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"HYDROcodon/HOMATROP (HYCODAN) SYRUP: 5ML","0637","RC","Both",,,"36","18","Clover","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"HYDROcodon/HOMATROP (HYCODAN) SYRUP: 5ML","0637","RC","Both",,,"36","18","Wellcare","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"HYDROcodon/HOMATROP (HYCODAN) SYRUP: 5ML","0637","RC","Both",,,"36","18","Amerigroup","Medicaid Managed Care",,,"37",,"13.18","0.15","5264.58","percent of total billed charges",,
"HYDROcodon/HOMATROP (HYCODAN) SYRUP: 5ML","0637","RC","Both",,,"36","18","Caresource","Medicaid Managed Care",,,"40",,"14.4","0.15","5264.58","percent of total billed charges",,
"HYDROcodon/HOMATROP (HYCODAN) SYRUP: 5ML","0637","RC","Both",,,"36","18","Wellcare","Medicaid Managed Care",,,"40",,"14.58","0.15","5264.58","percent of total billed charges",,
"HYDROcodon/HOMATROP (HYCODAN) SYRUP: 5ML","0637","RC","Both",,,"36","18","Aetna","Commercial",,,"64",,"22.97","0.15","5264.58","percent of total billed charges",,
"HYDROcodon/HOMATROP (HYCODAN) SYRUP: 5ML","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","Pathways",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"HYDROcodon/HOMATROP (HYCODAN) SYRUP: 5ML","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","HMO",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"HYDROcodon/HOMATROP (HYCODAN) SYRUP: 5ML","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","PPO",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"HYDROcodon/HOMATROP (HYCODAN) SYRUP: 5ML","0637","RC","Both",,,"36","18","Ambetter","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"HYDROcodon/HOMATROP (HYCODAN) SYRUP: 5ML","0637","RC","Both",,,"36","18","Caresource","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"HYDROcodon/HOMATROP (HYCODAN) SYRUP: 5ML","0637","RC","Both",,,"36","18","Cigna","Commercial",,,"59",,"21.1","0.15","5264.58","percent of total billed charges",,
"HYDROcodon/HOMATROP (HYCODAN) SYRUP: 5ML","0637","RC","Both",,,"36","18","Humana","Commercial",,,"78",,"27.9","0.15","5264.58","percent of total billed charges",,
"HYDROcodon/HOMATROP (HYCODAN) SYRUP: 5ML","0637","RC","Both",,,"36","18","UHC","Commercial",,,"75",,"27.14","0.15","5264.58","percent of total billed charges",,
"HYDROcodon/HOMATROP (HYCODAN) SYRUP: 5ML","0637","RC","Both",,,"36","18","Medicaid",,,,"37",,"13.18","0.15","5264.58","percent of total billed charges",,
"NIACIN ER (NIASPAN) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NIACIN ER (NIASPAN) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"NIACIN ER (NIASPAN) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NIACIN ER (NIASPAN) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NIACIN ER (NIASPAN) 250 MG CAPSULES","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NIACIN ER (NIASPAN) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NIACIN ER (NIASPAN) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"NIACIN ER (NIASPAN) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NIACIN ER (NIASPAN) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"NIACIN ER (NIASPAN) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"NIACIN ER (NIASPAN) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"NIACIN ER (NIASPAN) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NIACIN ER (NIASPAN) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NIACIN ER (NIASPAN) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"NIACIN ER (NIASPAN) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NIACIN ER (NIASPAN) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"NIACIN ER (NIASPAN) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"NIACIN ER (NIASPAN) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"NIACIN ER (NIASPAN) 250 MG CAPSULES","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"NIACIN ER (NIASPAN) 250 MG CAPSULES","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"ALISKIREN (TEKTURNA) 150MG TABLET","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"ALISKIREN (TEKTURNA) 150MG TABLET","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"ALISKIREN (TEKTURNA) 150MG TABLET","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"ALISKIREN (TEKTURNA) 150MG TABLET","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"ALISKIREN (TEKTURNA) 150MG TABLET","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"ALISKIREN (TEKTURNA) 150MG TABLET","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"ALISKIREN (TEKTURNA) 150MG TABLET","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"ALISKIREN (TEKTURNA) 150MG TABLET","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"ALISKIREN (TEKTURNA) 150MG TABLET","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"ALISKIREN (TEKTURNA) 150MG TABLET","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"ALISKIREN (TEKTURNA) 150MG TABLET","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"ALISKIREN (TEKTURNA) 150MG TABLET","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"ALISKIREN (TEKTURNA) 150MG TABLET","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"ALISKIREN (TEKTURNA) 150MG TABLET","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"ALISKIREN (TEKTURNA) 150MG TABLET","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"ALISKIREN (TEKTURNA) 150MG TABLET","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"ALISKIREN (TEKTURNA) 150MG TABLET","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"ALISKIREN (TEKTURNA) 150MG TABLET","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"ALISKIREN (TEKTURNA) 150MG TABLET","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"ALISKIREN (TEKTURNA) 150MG TABLET","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"POTASSIUM CHLORIDE (2mEQ/ML) 10ML SDV","0250","RC","Both",,,"23","11.5","Alliant","Health Exchange",,,"62",,"14.26","0.04","569.62","percent of total billed charges",,
"POTASSIUM CHLORIDE (2mEQ/ML) 10ML SDV","0250","RC","Both",,,"23","11.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.42","0.04","569.62","percent of total billed charges",,
"POTASSIUM CHLORIDE (2mEQ/ML) 10ML SDV","0250","RC","Both",,,"23","11.5","Medicare",,,,"54",,"12.47","0.04","569.62","percent of total billed charges",,
"POTASSIUM CHLORIDE (2mEQ/ML) 10ML SDV","0250","RC","Both",,,"23","11.5","Humana","Medicare Advantage",,,"54",,"12.47","0.04","569.62","percent of total billed charges",,
"POTASSIUM CHLORIDE (2mEQ/ML) 10ML SDV","0250","RC","Both",,,"23","11.5","UHC","Medicare Advantage",,,"54",,"12.47","0.04","569.62","percent of total billed charges",,
"POTASSIUM CHLORIDE (2mEQ/ML) 10ML SDV","0250","RC","Both",,,"23","11.5","Clover","Medicare Advantage",,,"54",,"12.47","0.04","569.62","percent of total billed charges",,
"POTASSIUM CHLORIDE (2mEQ/ML) 10ML SDV","0250","RC","Both",,,"23","11.5","Wellcare","Medicare Advantage",,,"54",,"12.47","0.04","569.62","percent of total billed charges",,
"POTASSIUM CHLORIDE (2mEQ/ML) 10ML SDV","0250","RC","Both",,,"23","11.5","Amerigroup","Medicaid Managed Care",,,"37",,"8.42","0.04","569.62","percent of total billed charges",,
"POTASSIUM CHLORIDE (2mEQ/ML) 10ML SDV","0250","RC","Both",,,"23","11.5","Caresource","Medicaid Managed Care",,,"40",,"9.2","0.04","569.62","percent of total billed charges",,
"POTASSIUM CHLORIDE (2mEQ/ML) 10ML SDV","0250","RC","Both",,,"23","11.5","Wellcare","Medicaid Managed Care",,,"40",,"9.32","0.04","569.62","percent of total billed charges",,
"POTASSIUM CHLORIDE (2mEQ/ML) 10ML SDV","0250","RC","Both",,,"23","11.5","Aetna","Commercial",,,"64",,"14.67","0.04","569.62","percent of total billed charges",,
"POTASSIUM CHLORIDE (2mEQ/ML) 10ML SDV","0250","RC","Both",,,"23","11.5","Blue Cross Blue Shield","Pathways",,,"71",,"16.24","0.04","569.62","percent of total billed charges",,
"POTASSIUM CHLORIDE (2mEQ/ML) 10ML SDV","0250","RC","Both",,,"23","11.5","Blue Cross Blue Shield","HMO",,,"71",,"16.24","0.04","569.62","percent of total billed charges",,
"POTASSIUM CHLORIDE (2mEQ/ML) 10ML SDV","0250","RC","Both",,,"23","11.5","Blue Cross Blue Shield","PPO",,,"71",,"16.24","0.04","569.62","percent of total billed charges",,
"POTASSIUM CHLORIDE (2mEQ/ML) 10ML SDV","0250","RC","Both",,,"23","11.5","Ambetter","Health Exchange",,,"62",,"14.26","0.04","569.62","percent of total billed charges",,
"POTASSIUM CHLORIDE (2mEQ/ML) 10ML SDV","0250","RC","Both",,,"23","11.5","Caresource","Health Exchange",,,"62",,"14.26","0.04","569.62","percent of total billed charges",,
"POTASSIUM CHLORIDE (2mEQ/ML) 10ML SDV","0250","RC","Both",,,"23","11.5","Cigna","Commercial",,,"59",,"13.48","0.04","569.62","percent of total billed charges",,
"POTASSIUM CHLORIDE (2mEQ/ML) 10ML SDV","0250","RC","Both",,,"23","11.5","Humana","Commercial",,,"78",,"17.82","0.04","569.62","percent of total billed charges",,
"POTASSIUM CHLORIDE (2mEQ/ML) 10ML SDV","0250","RC","Both",,,"23","11.5","UHC","Commercial",,,"75",,"17.34","0.04","569.62","percent of total billed charges",,
"POTASSIUM CHLORIDE (2mEQ/ML) 10ML SDV","0250","RC","Both",,,"23","11.5","Medicaid",,,,"37",,"8.42","0.04","569.62","percent of total billed charges",,
"PREDNISONE (DELTASONE) 5 MG TABLET","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 5 MG TABLET","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 5 MG TABLET","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 5 MG TABLET","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 5 MG TABLET","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 5 MG TABLET","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 5 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 5 MG TABLET","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 5 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 5 MG TABLET","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 5 MG TABLET","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 5 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 5 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 5 MG TABLET","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 5 MG TABLET","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 5 MG TABLET","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 5 MG TABLET","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 5 MG TABLET","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 5 MG TABLET","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"PREDNISONE (DELTASONE) 5 MG TABLET","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"SODIUM CHLORIDE 2.5 MEQ/ML INJ *CONC*","0250","RC","Both",,,"36","18","Alliant","Health Exchange",,,"62",,"22.32","0.04","569.62","percent of total billed charges",,
"SODIUM CHLORIDE 2.5 MEQ/ML INJ *CONC*","0250","RC","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.44","0.04","569.62","percent of total billed charges",,
"SODIUM CHLORIDE 2.5 MEQ/ML INJ *CONC*","0250","RC","Both",,,"36","18","Medicare",,,,"54",,"19.51","0.04","569.62","percent of total billed charges",,
"SODIUM CHLORIDE 2.5 MEQ/ML INJ *CONC*","0250","RC","Both",,,"36","18","Humana","Medicare Advantage",,,"54",,"19.51","0.04","569.62","percent of total billed charges",,
"SODIUM CHLORIDE 2.5 MEQ/ML INJ *CONC*","0250","RC","Both",,,"36","18","UHC","Medicare Advantage",,,"54",,"19.51","0.04","569.62","percent of total billed charges",,
"SODIUM CHLORIDE 2.5 MEQ/ML INJ *CONC*","0250","RC","Both",,,"36","18","Clover","Medicare Advantage",,,"54",,"19.51","0.04","569.62","percent of total billed charges",,
"SODIUM CHLORIDE 2.5 MEQ/ML INJ *CONC*","0250","RC","Both",,,"36","18","Wellcare","Medicare Advantage",,,"54",,"19.51","0.04","569.62","percent of total billed charges",,
"SODIUM CHLORIDE 2.5 MEQ/ML INJ *CONC*","0250","RC","Both",,,"36","18","Amerigroup","Medicaid Managed Care",,,"37",,"13.18","0.04","569.62","percent of total billed charges",,
"SODIUM CHLORIDE 2.5 MEQ/ML INJ *CONC*","0250","RC","Both",,,"36","18","Caresource","Medicaid Managed Care",,,"40",,"14.4","0.04","569.62","percent of total billed charges",,
"SODIUM CHLORIDE 2.5 MEQ/ML INJ *CONC*","0250","RC","Both",,,"36","18","Wellcare","Medicaid Managed Care",,,"40",,"14.58","0.04","569.62","percent of total billed charges",,
"SODIUM CHLORIDE 2.5 MEQ/ML INJ *CONC*","0250","RC","Both",,,"36","18","Aetna","Commercial",,,"64",,"22.97","0.04","569.62","percent of total billed charges",,
"SODIUM CHLORIDE 2.5 MEQ/ML INJ *CONC*","0250","RC","Both",,,"36","18","Blue Cross Blue Shield","Pathways",,,"71",,"25.42","0.04","569.62","percent of total billed charges",,
"SODIUM CHLORIDE 2.5 MEQ/ML INJ *CONC*","0250","RC","Both",,,"36","18","Blue Cross Blue Shield","HMO",,,"71",,"25.42","0.04","569.62","percent of total billed charges",,
"SODIUM CHLORIDE 2.5 MEQ/ML INJ *CONC*","0250","RC","Both",,,"36","18","Blue Cross Blue Shield","PPO",,,"71",,"25.42","0.04","569.62","percent of total billed charges",,
"SODIUM CHLORIDE 2.5 MEQ/ML INJ *CONC*","0250","RC","Both",,,"36","18","Ambetter","Health Exchange",,,"62",,"22.32","0.04","569.62","percent of total billed charges",,
"SODIUM CHLORIDE 2.5 MEQ/ML INJ *CONC*","0250","RC","Both",,,"36","18","Caresource","Health Exchange",,,"62",,"22.32","0.04","569.62","percent of total billed charges",,
"SODIUM CHLORIDE 2.5 MEQ/ML INJ *CONC*","0250","RC","Both",,,"36","18","Cigna","Commercial",,,"59",,"21.1","0.04","569.62","percent of total billed charges",,
"SODIUM CHLORIDE 2.5 MEQ/ML INJ *CONC*","0250","RC","Both",,,"36","18","Humana","Commercial",,,"78",,"27.9","0.04","569.62","percent of total billed charges",,
"SODIUM CHLORIDE 2.5 MEQ/ML INJ *CONC*","0250","RC","Both",,,"36","18","UHC","Commercial",,,"75",,"27.14","0.04","569.62","percent of total billed charges",,
"SODIUM CHLORIDE 2.5 MEQ/ML INJ *CONC*","0250","RC","Both",,,"36","18","Medicaid",,,,"37",,"13.18","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE (MARCAINE) 0.5% W/EPI INJ","0250","RC","Both",,,"31","15.5","Alliant","Health Exchange",,,"62",,"19.22","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE (MARCAINE) 0.5% W/EPI INJ","0250","RC","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.74","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE (MARCAINE) 0.5% W/EPI INJ","0250","RC","Both",,,"31","15.5","Medicare",,,,"54",,"16.8","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE (MARCAINE) 0.5% W/EPI INJ","0250","RC","Both",,,"31","15.5","Humana","Medicare Advantage",,,"54",,"16.8","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE (MARCAINE) 0.5% W/EPI INJ","0250","RC","Both",,,"31","15.5","UHC","Medicare Advantage",,,"54",,"16.8","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE (MARCAINE) 0.5% W/EPI INJ","0250","RC","Both",,,"31","15.5","Clover","Medicare Advantage",,,"54",,"16.8","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE (MARCAINE) 0.5% W/EPI INJ","0250","RC","Both",,,"31","15.5","Wellcare","Medicare Advantage",,,"54",,"16.8","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE (MARCAINE) 0.5% W/EPI INJ","0250","RC","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care",,,"37",,"11.35","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE (MARCAINE) 0.5% W/EPI INJ","0250","RC","Both",,,"31","15.5","Caresource","Medicaid Managed Care",,,"40",,"12.4","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE (MARCAINE) 0.5% W/EPI INJ","0250","RC","Both",,,"31","15.5","Wellcare","Medicaid Managed Care",,,"40",,"12.56","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE (MARCAINE) 0.5% W/EPI INJ","0250","RC","Both",,,"31","15.5","Aetna","Commercial",,,"64",,"19.78","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE (MARCAINE) 0.5% W/EPI INJ","0250","RC","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways",,,"71",,"21.89","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE (MARCAINE) 0.5% W/EPI INJ","0250","RC","Both",,,"31","15.5","Blue Cross Blue Shield","HMO",,,"71",,"21.89","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE (MARCAINE) 0.5% W/EPI INJ","0250","RC","Both",,,"31","15.5","Blue Cross Blue Shield","PPO",,,"71",,"21.89","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE (MARCAINE) 0.5% W/EPI INJ","0250","RC","Both",,,"31","15.5","Ambetter","Health Exchange",,,"62",,"19.22","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE (MARCAINE) 0.5% W/EPI INJ","0250","RC","Both",,,"31","15.5","Caresource","Health Exchange",,,"62",,"19.22","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE (MARCAINE) 0.5% W/EPI INJ","0250","RC","Both",,,"31","15.5","Cigna","Commercial",,,"59",,"18.17","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE (MARCAINE) 0.5% W/EPI INJ","0250","RC","Both",,,"31","15.5","Humana","Commercial",,,"78",,"24.02","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE (MARCAINE) 0.5% W/EPI INJ","0250","RC","Both",,,"31","15.5","UHC","Commercial",,,"75",,"23.37","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE (MARCAINE) 0.5% W/EPI INJ","0250","RC","Both",,,"31","15.5","Medicaid",,,,"37",,"11.35","0.04","569.62","percent of total billed charges",,
"HYDROCERIN (EUCERIN) LOTION 8 OZ","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"HYDROCERIN (EUCERIN) LOTION 8 OZ","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"HYDROCERIN (EUCERIN) LOTION 8 OZ","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"HYDROCERIN (EUCERIN) LOTION 8 OZ","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"HYDROCERIN (EUCERIN) LOTION 8 OZ","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"HYDROCERIN (EUCERIN) LOTION 8 OZ","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"HYDROCERIN (EUCERIN) LOTION 8 OZ","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"HYDROCERIN (EUCERIN) LOTION 8 OZ","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"HYDROCERIN (EUCERIN) LOTION 8 OZ","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"HYDROCERIN (EUCERIN) LOTION 8 OZ","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"HYDROCERIN (EUCERIN) LOTION 8 OZ","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"HYDROCERIN (EUCERIN) LOTION 8 OZ","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"HYDROCERIN (EUCERIN) LOTION 8 OZ","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"HYDROCERIN (EUCERIN) LOTION 8 OZ","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"HYDROCERIN (EUCERIN) LOTION 8 OZ","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"HYDROCERIN (EUCERIN) LOTION 8 OZ","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"HYDROCERIN (EUCERIN) LOTION 8 OZ","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"HYDROCERIN (EUCERIN) LOTION 8 OZ","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"HYDROCERIN (EUCERIN) LOTION 8 OZ","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"HYDROCERIN (EUCERIN) LOTION 8 OZ","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"MELOXICAM (MOBIC) 7.5MG TAB","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"MELOXICAM (MOBIC) 7.5MG TAB","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"MELOXICAM (MOBIC) 7.5MG TAB","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"MELOXICAM (MOBIC) 7.5MG TAB","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"MELOXICAM (MOBIC) 7.5MG TAB","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"MELOXICAM (MOBIC) 7.5MG TAB","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"MELOXICAM (MOBIC) 7.5MG TAB","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"MELOXICAM (MOBIC) 7.5MG TAB","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"MELOXICAM (MOBIC) 7.5MG TAB","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"MELOXICAM (MOBIC) 7.5MG TAB","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"MELOXICAM (MOBIC) 7.5MG TAB","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"MELOXICAM (MOBIC) 7.5MG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"MELOXICAM (MOBIC) 7.5MG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"MELOXICAM (MOBIC) 7.5MG TAB","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"MELOXICAM (MOBIC) 7.5MG TAB","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"MELOXICAM (MOBIC) 7.5MG TAB","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"MELOXICAM (MOBIC) 7.5MG TAB","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"MELOXICAM (MOBIC) 7.5MG TAB","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"MELOXICAM (MOBIC) 7.5MG TAB","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"MELOXICAM (MOBIC) 7.5MG TAB","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"CHLORASEPTIC THROAT SPRAY:  6OZ","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"CHLORASEPTIC THROAT SPRAY:  6OZ","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"CHLORASEPTIC THROAT SPRAY:  6OZ","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"CHLORASEPTIC THROAT SPRAY:  6OZ","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"CHLORASEPTIC THROAT SPRAY:  6OZ","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"CHLORASEPTIC THROAT SPRAY:  6OZ","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"CHLORASEPTIC THROAT SPRAY:  6OZ","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"CHLORASEPTIC THROAT SPRAY:  6OZ","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"CHLORASEPTIC THROAT SPRAY:  6OZ","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"CHLORASEPTIC THROAT SPRAY:  6OZ","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"CHLORASEPTIC THROAT SPRAY:  6OZ","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"CHLORASEPTIC THROAT SPRAY:  6OZ","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"CHLORASEPTIC THROAT SPRAY:  6OZ","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"CHLORASEPTIC THROAT SPRAY:  6OZ","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"CHLORASEPTIC THROAT SPRAY:  6OZ","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"CHLORASEPTIC THROAT SPRAY:  6OZ","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"CHLORASEPTIC THROAT SPRAY:  6OZ","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"CHLORASEPTIC THROAT SPRAY:  6OZ","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"CHLORASEPTIC THROAT SPRAY:  6OZ","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"CHLORASEPTIC THROAT SPRAY:  6OZ","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"CARBIDOPA/LEVO (SINEMET) 25/250MG TAB","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"CARBIDOPA/LEVO (SINEMET) 25/250MG TAB","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"CARBIDOPA/LEVO (SINEMET) 25/250MG TAB","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"CARBIDOPA/LEVO (SINEMET) 25/250MG TAB","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"CARBIDOPA/LEVO (SINEMET) 25/250MG TAB","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"CARBIDOPA/LEVO (SINEMET) 25/250MG TAB","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"CARBIDOPA/LEVO (SINEMET) 25/250MG TAB","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"CARBIDOPA/LEVO (SINEMET) 25/250MG TAB","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"CARBIDOPA/LEVO (SINEMET) 25/250MG TAB","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"CARBIDOPA/LEVO (SINEMET) 25/250MG TAB","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"CARBIDOPA/LEVO (SINEMET) 25/250MG TAB","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"CARBIDOPA/LEVO (SINEMET) 25/250MG TAB","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"CARBIDOPA/LEVO (SINEMET) 25/250MG TAB","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"CARBIDOPA/LEVO (SINEMET) 25/250MG TAB","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"CARBIDOPA/LEVO (SINEMET) 25/250MG TAB","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"CARBIDOPA/LEVO (SINEMET) 25/250MG TAB","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"CARBIDOPA/LEVO (SINEMET) 25/250MG TAB","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"CARBIDOPA/LEVO (SINEMET) 25/250MG TAB","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"CARBIDOPA/LEVO (SINEMET) 25/250MG TAB","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"CARBIDOPA/LEVO (SINEMET) 25/250MG TAB","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"DAKINS 0.125% SOLN (1/4 STRENGTH)","0637","RC","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"DAKINS 0.125% SOLN (1/4 STRENGTH)","0637","RC","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","0.15","5264.58","percent of total billed charges",,
"DAKINS 0.125% SOLN (1/4 STRENGTH)","0637","RC","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"DAKINS 0.125% SOLN (1/4 STRENGTH)","0637","RC","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"DAKINS 0.125% SOLN (1/4 STRENGTH)","0637","RC","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"DAKINS 0.125% SOLN (1/4 STRENGTH)","0637","RC","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"DAKINS 0.125% SOLN (1/4 STRENGTH)","0637","RC","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","0.15","5264.58","percent of total billed charges",,
"DAKINS 0.125% SOLN (1/4 STRENGTH)","0637","RC","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"DAKINS 0.125% SOLN (1/4 STRENGTH)","0637","RC","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","0.15","5264.58","percent of total billed charges",,
"DAKINS 0.125% SOLN (1/4 STRENGTH)","0637","RC","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","0.15","5264.58","percent of total billed charges",,
"DAKINS 0.125% SOLN (1/4 STRENGTH)","0637","RC","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","0.15","5264.58","percent of total billed charges",,
"DAKINS 0.125% SOLN (1/4 STRENGTH)","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"DAKINS 0.125% SOLN (1/4 STRENGTH)","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"DAKINS 0.125% SOLN (1/4 STRENGTH)","0637","RC","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","0.15","5264.58","percent of total billed charges",,
"DAKINS 0.125% SOLN (1/4 STRENGTH)","0637","RC","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"DAKINS 0.125% SOLN (1/4 STRENGTH)","0637","RC","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","0.15","5264.58","percent of total billed charges",,
"DAKINS 0.125% SOLN (1/4 STRENGTH)","0637","RC","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","0.15","5264.58","percent of total billed charges",,
"DAKINS 0.125% SOLN (1/4 STRENGTH)","0637","RC","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","0.15","5264.58","percent of total billed charges",,
"DAKINS 0.125% SOLN (1/4 STRENGTH)","0637","RC","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","0.15","5264.58","percent of total billed charges",,
"DAKINS 0.125% SOLN (1/4 STRENGTH)","0637","RC","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","0.15","5264.58","percent of total billed charges",,
"DICLOFENAC (VOLTAREN) ER TABLET: 75MG","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"DICLOFENAC (VOLTAREN) ER TABLET: 75MG","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"DICLOFENAC (VOLTAREN) ER TABLET: 75MG","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"DICLOFENAC (VOLTAREN) ER TABLET: 75MG","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"DICLOFENAC (VOLTAREN) ER TABLET: 75MG","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"DICLOFENAC (VOLTAREN) ER TABLET: 75MG","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"DICLOFENAC (VOLTAREN) ER TABLET: 75MG","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"DICLOFENAC (VOLTAREN) ER TABLET: 75MG","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"DICLOFENAC (VOLTAREN) ER TABLET: 75MG","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"DICLOFENAC (VOLTAREN) ER TABLET: 75MG","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"DICLOFENAC (VOLTAREN) ER TABLET: 75MG","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"DICLOFENAC (VOLTAREN) ER TABLET: 75MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"DICLOFENAC (VOLTAREN) ER TABLET: 75MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"DICLOFENAC (VOLTAREN) ER TABLET: 75MG","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"DICLOFENAC (VOLTAREN) ER TABLET: 75MG","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"DICLOFENAC (VOLTAREN) ER TABLET: 75MG","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"DICLOFENAC (VOLTAREN) ER TABLET: 75MG","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"DICLOFENAC (VOLTAREN) ER TABLET: 75MG","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"DICLOFENAC (VOLTAREN) ER TABLET: 75MG","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"DICLOFENAC (VOLTAREN) ER TABLET: 75MG","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"CITALOPRAM (CELEXA) TABLET: 20MG","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CITALOPRAM (CELEXA) TABLET: 20MG","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"CITALOPRAM (CELEXA) TABLET: 20MG","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CITALOPRAM (CELEXA) TABLET: 20MG","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CITALOPRAM (CELEXA) TABLET: 20MG","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CITALOPRAM (CELEXA) TABLET: 20MG","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CITALOPRAM (CELEXA) TABLET: 20MG","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"CITALOPRAM (CELEXA) TABLET: 20MG","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"CITALOPRAM (CELEXA) TABLET: 20MG","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"CITALOPRAM (CELEXA) TABLET: 20MG","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"CITALOPRAM (CELEXA) TABLET: 20MG","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"CITALOPRAM (CELEXA) TABLET: 20MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CITALOPRAM (CELEXA) TABLET: 20MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CITALOPRAM (CELEXA) TABLET: 20MG","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"CITALOPRAM (CELEXA) TABLET: 20MG","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CITALOPRAM (CELEXA) TABLET: 20MG","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"CITALOPRAM (CELEXA) TABLET: 20MG","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"CITALOPRAM (CELEXA) TABLET: 20MG","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"CITALOPRAM (CELEXA) TABLET: 20MG","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"CITALOPRAM (CELEXA) TABLET: 20MG","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.2MG/HR PATCH","0637","RC","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.2MG/HR PATCH","0637","RC","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.2MG/HR PATCH","0637","RC","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.2MG/HR PATCH","0637","RC","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.2MG/HR PATCH","0637","RC","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.2MG/HR PATCH","0637","RC","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.2MG/HR PATCH","0637","RC","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.2MG/HR PATCH","0637","RC","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.2MG/HR PATCH","0637","RC","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.2MG/HR PATCH","0637","RC","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.2MG/HR PATCH","0637","RC","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.2MG/HR PATCH","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.2MG/HR PATCH","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.2MG/HR PATCH","0637","RC","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.2MG/HR PATCH","0637","RC","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.2MG/HR PATCH","0637","RC","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.2MG/HR PATCH","0637","RC","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.2MG/HR PATCH","0637","RC","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.2MG/HR PATCH","0637","RC","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","0.15","5264.58","percent of total billed charges",,
"NITROGLYCERIN (NITRODUR) 0.2MG/HR PATCH","0637","RC","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE 4% (HIBICLENS) SCRUB: 4OZ","0637","RC","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE 4% (HIBICLENS) SCRUB: 4OZ","0637","RC","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE 4% (HIBICLENS) SCRUB: 4OZ","0637","RC","Both",,,"22","11","Medicare",,,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE 4% (HIBICLENS) SCRUB: 4OZ","0637","RC","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE 4% (HIBICLENS) SCRUB: 4OZ","0637","RC","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE 4% (HIBICLENS) SCRUB: 4OZ","0637","RC","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE 4% (HIBICLENS) SCRUB: 4OZ","0637","RC","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE 4% (HIBICLENS) SCRUB: 4OZ","0637","RC","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE 4% (HIBICLENS) SCRUB: 4OZ","0637","RC","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE 4% (HIBICLENS) SCRUB: 4OZ","0637","RC","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE 4% (HIBICLENS) SCRUB: 4OZ","0637","RC","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE 4% (HIBICLENS) SCRUB: 4OZ","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE 4% (HIBICLENS) SCRUB: 4OZ","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE 4% (HIBICLENS) SCRUB: 4OZ","0637","RC","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE 4% (HIBICLENS) SCRUB: 4OZ","0637","RC","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE 4% (HIBICLENS) SCRUB: 4OZ","0637","RC","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE 4% (HIBICLENS) SCRUB: 4OZ","0637","RC","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE 4% (HIBICLENS) SCRUB: 4OZ","0637","RC","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE 4% (HIBICLENS) SCRUB: 4OZ","0637","RC","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","0.15","5264.58","percent of total billed charges",,
"CHLORHEXIDINE 4% (HIBICLENS) SCRUB: 4OZ","0637","RC","Both",,,"22","11","Medicaid",,,,"37",,"8.05","0.15","5264.58","percent of total billed charges",,
"POVIDONE-IODINE (BETADINE) SOLUTION 4 OZ","0637","RC","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"POVIDONE-IODINE (BETADINE) SOLUTION 4 OZ","0637","RC","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","0.15","5264.58","percent of total billed charges",,
"POVIDONE-IODINE (BETADINE) SOLUTION 4 OZ","0637","RC","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"POVIDONE-IODINE (BETADINE) SOLUTION 4 OZ","0637","RC","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"POVIDONE-IODINE (BETADINE) SOLUTION 4 OZ","0637","RC","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"POVIDONE-IODINE (BETADINE) SOLUTION 4 OZ","0637","RC","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"POVIDONE-IODINE (BETADINE) SOLUTION 4 OZ","0637","RC","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"POVIDONE-IODINE (BETADINE) SOLUTION 4 OZ","0637","RC","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"POVIDONE-IODINE (BETADINE) SOLUTION 4 OZ","0637","RC","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","0.15","5264.58","percent of total billed charges",,
"POVIDONE-IODINE (BETADINE) SOLUTION 4 OZ","0637","RC","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.15","5264.58","percent of total billed charges",,
"POVIDONE-IODINE (BETADINE) SOLUTION 4 OZ","0637","RC","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","0.15","5264.58","percent of total billed charges",,
"POVIDONE-IODINE (BETADINE) SOLUTION 4 OZ","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"POVIDONE-IODINE (BETADINE) SOLUTION 4 OZ","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"POVIDONE-IODINE (BETADINE) SOLUTION 4 OZ","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"POVIDONE-IODINE (BETADINE) SOLUTION 4 OZ","0637","RC","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"POVIDONE-IODINE (BETADINE) SOLUTION 4 OZ","0637","RC","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"POVIDONE-IODINE (BETADINE) SOLUTION 4 OZ","0637","RC","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","0.15","5264.58","percent of total billed charges",,
"POVIDONE-IODINE (BETADINE) SOLUTION 4 OZ","0637","RC","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","0.15","5264.58","percent of total billed charges",,
"POVIDONE-IODINE (BETADINE) SOLUTION 4 OZ","0637","RC","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","0.15","5264.58","percent of total billed charges",,
"POVIDONE-IODINE (BETADINE) SOLUTION 4 OZ","0637","RC","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"SOTALOL (SORINE/BETAPACE) 80MG TABLET","0637","RC","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"SOTALOL (SORINE/BETAPACE) 80MG TABLET","0637","RC","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","0.15","5264.58","percent of total billed charges",,
"SOTALOL (SORINE/BETAPACE) 80MG TABLET","0637","RC","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"SOTALOL (SORINE/BETAPACE) 80MG TABLET","0637","RC","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"SOTALOL (SORINE/BETAPACE) 80MG TABLET","0637","RC","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"SOTALOL (SORINE/BETAPACE) 80MG TABLET","0637","RC","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"SOTALOL (SORINE/BETAPACE) 80MG TABLET","0637","RC","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"SOTALOL (SORINE/BETAPACE) 80MG TABLET","0637","RC","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"SOTALOL (SORINE/BETAPACE) 80MG TABLET","0637","RC","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","0.15","5264.58","percent of total billed charges",,
"SOTALOL (SORINE/BETAPACE) 80MG TABLET","0637","RC","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.15","5264.58","percent of total billed charges",,
"SOTALOL (SORINE/BETAPACE) 80MG TABLET","0637","RC","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","0.15","5264.58","percent of total billed charges",,
"SOTALOL (SORINE/BETAPACE) 80MG TABLET","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"SOTALOL (SORINE/BETAPACE) 80MG TABLET","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"SOTALOL (SORINE/BETAPACE) 80MG TABLET","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"SOTALOL (SORINE/BETAPACE) 80MG TABLET","0637","RC","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"SOTALOL (SORINE/BETAPACE) 80MG TABLET","0637","RC","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"SOTALOL (SORINE/BETAPACE) 80MG TABLET","0637","RC","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","0.15","5264.58","percent of total billed charges",,
"SOTALOL (SORINE/BETAPACE) 80MG TABLET","0637","RC","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","0.15","5264.58","percent of total billed charges",,
"SOTALOL (SORINE/BETAPACE) 80MG TABLET","0637","RC","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","0.15","5264.58","percent of total billed charges",,
"SOTALOL (SORINE/BETAPACE) 80MG TABLET","0637","RC","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"CEFDINIR (OMNICEF) 300MG CAPSULE","0637","RC","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"CEFDINIR (OMNICEF) 300MG CAPSULE","0637","RC","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","0.15","5264.58","percent of total billed charges",,
"CEFDINIR (OMNICEF) 300MG CAPSULE","0637","RC","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"CEFDINIR (OMNICEF) 300MG CAPSULE","0637","RC","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"CEFDINIR (OMNICEF) 300MG CAPSULE","0637","RC","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"CEFDINIR (OMNICEF) 300MG CAPSULE","0637","RC","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"CEFDINIR (OMNICEF) 300MG CAPSULE","0637","RC","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","0.15","5264.58","percent of total billed charges",,
"CEFDINIR (OMNICEF) 300MG CAPSULE","0637","RC","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"CEFDINIR (OMNICEF) 300MG CAPSULE","0637","RC","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","0.15","5264.58","percent of total billed charges",,
"CEFDINIR (OMNICEF) 300MG CAPSULE","0637","RC","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.15","5264.58","percent of total billed charges",,
"CEFDINIR (OMNICEF) 300MG CAPSULE","0637","RC","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","0.15","5264.58","percent of total billed charges",,
"CEFDINIR (OMNICEF) 300MG CAPSULE","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"CEFDINIR (OMNICEF) 300MG CAPSULE","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"CEFDINIR (OMNICEF) 300MG CAPSULE","0637","RC","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","0.15","5264.58","percent of total billed charges",,
"CEFDINIR (OMNICEF) 300MG CAPSULE","0637","RC","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"CEFDINIR (OMNICEF) 300MG CAPSULE","0637","RC","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","0.15","5264.58","percent of total billed charges",,
"CEFDINIR (OMNICEF) 300MG CAPSULE","0637","RC","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","0.15","5264.58","percent of total billed charges",,
"CEFDINIR (OMNICEF) 300MG CAPSULE","0637","RC","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","0.15","5264.58","percent of total billed charges",,
"CEFDINIR (OMNICEF) 300MG CAPSULE","0637","RC","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","0.15","5264.58","percent of total billed charges",,
"CEFDINIR (OMNICEF) 300MG CAPSULE","0637","RC","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","0.15","5264.58","percent of total billed charges",,
"CALMOSEPTINE OINTMENT: 2.5 OZ TUBE","0637","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"CALMOSEPTINE OINTMENT: 2.5 OZ TUBE","0637","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.15","5264.58","percent of total billed charges",,
"CALMOSEPTINE OINTMENT: 2.5 OZ TUBE","0637","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"CALMOSEPTINE OINTMENT: 2.5 OZ TUBE","0637","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"CALMOSEPTINE OINTMENT: 2.5 OZ TUBE","0637","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"CALMOSEPTINE OINTMENT: 2.5 OZ TUBE","0637","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"CALMOSEPTINE OINTMENT: 2.5 OZ TUBE","0637","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.15","5264.58","percent of total billed charges",,
"CALMOSEPTINE OINTMENT: 2.5 OZ TUBE","0637","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"CALMOSEPTINE OINTMENT: 2.5 OZ TUBE","0637","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.15","5264.58","percent of total billed charges",,
"CALMOSEPTINE OINTMENT: 2.5 OZ TUBE","0637","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.15","5264.58","percent of total billed charges",,
"CALMOSEPTINE OINTMENT: 2.5 OZ TUBE","0637","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.15","5264.58","percent of total billed charges",,
"CALMOSEPTINE OINTMENT: 2.5 OZ TUBE","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"CALMOSEPTINE OINTMENT: 2.5 OZ TUBE","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"CALMOSEPTINE OINTMENT: 2.5 OZ TUBE","0637","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.15","5264.58","percent of total billed charges",,
"CALMOSEPTINE OINTMENT: 2.5 OZ TUBE","0637","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"CALMOSEPTINE OINTMENT: 2.5 OZ TUBE","0637","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.15","5264.58","percent of total billed charges",,
"CALMOSEPTINE OINTMENT: 2.5 OZ TUBE","0637","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.15","5264.58","percent of total billed charges",,
"CALMOSEPTINE OINTMENT: 2.5 OZ TUBE","0637","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.15","5264.58","percent of total billed charges",,
"CALMOSEPTINE OINTMENT: 2.5 OZ TUBE","0637","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.15","5264.58","percent of total billed charges",,
"CALMOSEPTINE OINTMENT: 2.5 OZ TUBE","0637","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL HCL (CALAN) 40 MG TABLETS","0637","RC","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL HCL (CALAN) 40 MG TABLETS","0637","RC","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL HCL (CALAN) 40 MG TABLETS","0637","RC","Both",,,"6","3","Medicare",,,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL HCL (CALAN) 40 MG TABLETS","0637","RC","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL HCL (CALAN) 40 MG TABLETS","0637","RC","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL HCL (CALAN) 40 MG TABLETS","0637","RC","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL HCL (CALAN) 40 MG TABLETS","0637","RC","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL HCL (CALAN) 40 MG TABLETS","0637","RC","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL HCL (CALAN) 40 MG TABLETS","0637","RC","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL HCL (CALAN) 40 MG TABLETS","0637","RC","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL HCL (CALAN) 40 MG TABLETS","0637","RC","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL HCL (CALAN) 40 MG TABLETS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL HCL (CALAN) 40 MG TABLETS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL HCL (CALAN) 40 MG TABLETS","0637","RC","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL HCL (CALAN) 40 MG TABLETS","0637","RC","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL HCL (CALAN) 40 MG TABLETS","0637","RC","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL HCL (CALAN) 40 MG TABLETS","0637","RC","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL HCL (CALAN) 40 MG TABLETS","0637","RC","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL HCL (CALAN) 40 MG TABLETS","0637","RC","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","0.15","5264.58","percent of total billed charges",,
"VERAPAMIL HCL (CALAN) 40 MG TABLETS","0637","RC","Both",,,"6","3","Medicaid",,,,"37",,"2.2","0.15","5264.58","percent of total billed charges",,
"HEMORRHOIDECTOMY INTERNAL LIGATION 2 OR","0360","RC","Both",,,"4431","2215.5","Alliant","Health Exchange",,,"62",,"2747.22","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY INTERNAL LIGATION 2 OR","0360","RC","Both",,,"4431","2215.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2392.74","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY INTERNAL LIGATION 2 OR","0360","RC","Both",,,"4431","2215.5","Medicare",,,,"54",,"2401.6","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY INTERNAL LIGATION 2 OR","0360","RC","Both",,,"4431","2215.5","Humana","Medicare Advantage",,,"54",,"2401.6","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY INTERNAL LIGATION 2 OR","0360","RC","Both",,,"4431","2215.5","UHC","Medicare Advantage",,,"54",,"2401.6","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY INTERNAL LIGATION 2 OR","0360","RC","Both",,,"4431","2215.5","Clover","Medicare Advantage",,,"54",,"2401.6","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY INTERNAL LIGATION 2 OR","0360","RC","Both",,,"4431","2215.5","Wellcare","Medicare Advantage",,,"54",,"2401.6","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY INTERNAL LIGATION 2 OR","0360","RC","Both",,,"4431","2215.5","Amerigroup","Medicaid Managed Care",,,"37",,"1621.75","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY INTERNAL LIGATION 2 OR","0360","RC","Both",,,"4431","2215.5","Caresource","Medicaid Managed Care",,,"40",,"1772.4","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY INTERNAL LIGATION 2 OR","0360","RC","Both",,,"4431","2215.5","Wellcare","Medicaid Managed Care",,,"40",,"1794.56","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY INTERNAL LIGATION 2 OR","0360","RC","Both",,,"4431","2215.5","Aetna","Commercial",,,"64",,"2826.98","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY INTERNAL LIGATION 2 OR","0360","RC","Both",,,"4431","2215.5","Blue Cross Blue Shield","Pathways",,,"71",,"3128.29","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY INTERNAL LIGATION 2 OR","0360","RC","Both",,,"4431","2215.5","Blue Cross Blue Shield","HMO",,,"71",,"3128.29","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY INTERNAL LIGATION 2 OR","0360","RC","Both",,,"4431","2215.5","Blue Cross Blue Shield","PPO",,,"71",,"3128.29","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY INTERNAL LIGATION 2 OR","0360","RC","Both",,,"4431","2215.5","Ambetter","Health Exchange",,,"62",,"2747.22","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY INTERNAL LIGATION 2 OR","0360","RC","Both",,,"4431","2215.5","Caresource","Health Exchange",,,"62",,"2747.22","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY INTERNAL LIGATION 2 OR","0360","RC","Both",,,"4431","2215.5","Cigna","Commercial",,,"59",,"2596.57","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY INTERNAL LIGATION 2 OR","0360","RC","Both",,,"4431","2215.5","Humana","Commercial",,,"78",,"3434.02","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY INTERNAL LIGATION 2 OR","0360","RC","Both",,,"4431","2215.5","UHC","Commercial",,,"75",,"3340.97","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY INTERNAL LIGATION 2 OR","0360","RC","Both",,,"4431","2215.5","Medicaid",,,,"37",,"1621.75","16.1","16596.62","percent of total billed charges",,
"OB PRECIPITATION TRAY","0270","RC","Both",,,"24.5","12.25","Alliant","Health Exchange",,,"62",,"15.19","0.18","1007.5","percent of total billed charges",,
"OB PRECIPITATION TRAY","0270","RC","Both",,,"24.5","12.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"13.23","0.18","1007.5","percent of total billed charges",,
"OB PRECIPITATION TRAY","0270","RC","Both",,,"24.5","12.25","Medicare",,,,"54",,"13.28","0.18","1007.5","percent of total billed charges",,
"OB PRECIPITATION TRAY","0270","RC","Both",,,"24.5","12.25","Humana","Medicare Advantage",,,"54",,"13.28","0.18","1007.5","percent of total billed charges",,
"OB PRECIPITATION TRAY","0270","RC","Both",,,"24.5","12.25","UHC","Medicare Advantage",,,"54",,"13.28","0.18","1007.5","percent of total billed charges",,
"OB PRECIPITATION TRAY","0270","RC","Both",,,"24.5","12.25","Clover","Medicare Advantage",,,"54",,"13.28","0.18","1007.5","percent of total billed charges",,
"OB PRECIPITATION TRAY","0270","RC","Both",,,"24.5","12.25","Wellcare","Medicare Advantage",,,"54",,"13.28","0.18","1007.5","percent of total billed charges",,
"OB PRECIPITATION TRAY","0270","RC","Both",,,"24.5","12.25","Amerigroup","Medicaid Managed Care",,,"37",,"8.97","0.18","1007.5","percent of total billed charges",,
"OB PRECIPITATION TRAY","0270","RC","Both",,,"24.5","12.25","Caresource","Medicaid Managed Care",,,"40",,"9.8","0.18","1007.5","percent of total billed charges",,
"OB PRECIPITATION TRAY","0270","RC","Both",,,"24.5","12.25","Wellcare","Medicaid Managed Care",,,"40",,"9.92","0.18","1007.5","percent of total billed charges",,
"OB PRECIPITATION TRAY","0270","RC","Both",,,"24.5","12.25","Aetna","Commercial",,,"64",,"15.63","0.18","1007.5","percent of total billed charges",,
"OB PRECIPITATION TRAY","0270","RC","Both",,,"24.5","12.25","Blue Cross Blue Shield","Pathways",,,"71",,"17.3","0.18","1007.5","percent of total billed charges",,
"OB PRECIPITATION TRAY","0270","RC","Both",,,"24.5","12.25","Blue Cross Blue Shield","HMO",,,"71",,"17.3","0.18","1007.5","percent of total billed charges",,
"OB PRECIPITATION TRAY","0270","RC","Both",,,"24.5","12.25","Blue Cross Blue Shield","PPO",,,"71",,"17.3","0.18","1007.5","percent of total billed charges",,
"OB PRECIPITATION TRAY","0270","RC","Both",,,"24.5","12.25","Ambetter","Health Exchange",,,"62",,"15.19","0.18","1007.5","percent of total billed charges",,
"OB PRECIPITATION TRAY","0270","RC","Both",,,"24.5","12.25","Caresource","Health Exchange",,,"62",,"15.19","0.18","1007.5","percent of total billed charges",,
"OB PRECIPITATION TRAY","0270","RC","Both",,,"24.5","12.25","Cigna","Commercial",,,"59",,"14.36","0.18","1007.5","percent of total billed charges",,
"OB PRECIPITATION TRAY","0270","RC","Both",,,"24.5","12.25","Humana","Commercial",,,"78",,"18.99","0.18","1007.5","percent of total billed charges",,
"OB PRECIPITATION TRAY","0270","RC","Both",,,"24.5","12.25","UHC","Commercial",,,"75",,"18.47","0.18","1007.5","percent of total billed charges",,
"OB PRECIPITATION TRAY","0270","RC","Both",,,"24.5","12.25","Medicaid",,,,"37",,"8.97","0.18","1007.5","percent of total billed charges",,
"DULoxetine (CYMBALTA) CAPSULE DR: 30MG","0637","RC","Both",,,"36","18","Alliant","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"DULoxetine (CYMBALTA) CAPSULE DR: 30MG","0637","RC","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.44","0.15","5264.58","percent of total billed charges",,
"DULoxetine (CYMBALTA) CAPSULE DR: 30MG","0637","RC","Both",,,"36","18","Medicare",,,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"DULoxetine (CYMBALTA) CAPSULE DR: 30MG","0637","RC","Both",,,"36","18","Humana","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"DULoxetine (CYMBALTA) CAPSULE DR: 30MG","0637","RC","Both",,,"36","18","UHC","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"DULoxetine (CYMBALTA) CAPSULE DR: 30MG","0637","RC","Both",,,"36","18","Clover","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"DULoxetine (CYMBALTA) CAPSULE DR: 30MG","0637","RC","Both",,,"36","18","Wellcare","Medicare Advantage",,,"54",,"19.51","0.15","5264.58","percent of total billed charges",,
"DULoxetine (CYMBALTA) CAPSULE DR: 30MG","0637","RC","Both",,,"36","18","Amerigroup","Medicaid Managed Care",,,"37",,"13.18","0.15","5264.58","percent of total billed charges",,
"DULoxetine (CYMBALTA) CAPSULE DR: 30MG","0637","RC","Both",,,"36","18","Caresource","Medicaid Managed Care",,,"40",,"14.4","0.15","5264.58","percent of total billed charges",,
"DULoxetine (CYMBALTA) CAPSULE DR: 30MG","0637","RC","Both",,,"36","18","Wellcare","Medicaid Managed Care",,,"40",,"14.58","0.15","5264.58","percent of total billed charges",,
"DULoxetine (CYMBALTA) CAPSULE DR: 30MG","0637","RC","Both",,,"36","18","Aetna","Commercial",,,"64",,"22.97","0.15","5264.58","percent of total billed charges",,
"DULoxetine (CYMBALTA) CAPSULE DR: 30MG","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","Pathways",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"DULoxetine (CYMBALTA) CAPSULE DR: 30MG","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","HMO",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"DULoxetine (CYMBALTA) CAPSULE DR: 30MG","0637","RC","Both",,,"36","18","Blue Cross Blue Shield","PPO",,,"71",,"25.42","0.15","5264.58","percent of total billed charges",,
"DULoxetine (CYMBALTA) CAPSULE DR: 30MG","0637","RC","Both",,,"36","18","Ambetter","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"DULoxetine (CYMBALTA) CAPSULE DR: 30MG","0637","RC","Both",,,"36","18","Caresource","Health Exchange",,,"62",,"22.32","0.15","5264.58","percent of total billed charges",,
"DULoxetine (CYMBALTA) CAPSULE DR: 30MG","0637","RC","Both",,,"36","18","Cigna","Commercial",,,"59",,"21.1","0.15","5264.58","percent of total billed charges",,
"DULoxetine (CYMBALTA) CAPSULE DR: 30MG","0637","RC","Both",,,"36","18","Humana","Commercial",,,"78",,"27.9","0.15","5264.58","percent of total billed charges",,
"DULoxetine (CYMBALTA) CAPSULE DR: 30MG","0637","RC","Both",,,"36","18","UHC","Commercial",,,"75",,"27.14","0.15","5264.58","percent of total billed charges",,
"DULoxetine (CYMBALTA) CAPSULE DR: 30MG","0637","RC","Both",,,"36","18","Medicaid",,,,"37",,"13.18","0.15","5264.58","percent of total billed charges",,
"BUPIVACAINE 0.75% SPINAL (MARCAINE) INJ","0250","RC","Both",,,"38","19","Alliant","Health Exchange",,,"62",,"23.56","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE 0.75% SPINAL (MARCAINE) INJ","0250","RC","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.52","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE 0.75% SPINAL (MARCAINE) INJ","0250","RC","Both",,,"38","19","Medicare",,,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE 0.75% SPINAL (MARCAINE) INJ","0250","RC","Both",,,"38","19","Humana","Medicare Advantage",,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE 0.75% SPINAL (MARCAINE) INJ","0250","RC","Both",,,"38","19","UHC","Medicare Advantage",,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE 0.75% SPINAL (MARCAINE) INJ","0250","RC","Both",,,"38","19","Clover","Medicare Advantage",,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE 0.75% SPINAL (MARCAINE) INJ","0250","RC","Both",,,"38","19","Wellcare","Medicare Advantage",,,"54",,"20.6","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE 0.75% SPINAL (MARCAINE) INJ","0250","RC","Both",,,"38","19","Amerigroup","Medicaid Managed Care",,,"37",,"13.91","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE 0.75% SPINAL (MARCAINE) INJ","0250","RC","Both",,,"38","19","Caresource","Medicaid Managed Care",,,"40",,"15.2","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE 0.75% SPINAL (MARCAINE) INJ","0250","RC","Both",,,"38","19","Wellcare","Medicaid Managed Care",,,"40",,"15.39","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE 0.75% SPINAL (MARCAINE) INJ","0250","RC","Both",,,"38","19","Aetna","Commercial",,,"64",,"24.24","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE 0.75% SPINAL (MARCAINE) INJ","0250","RC","Both",,,"38","19","Blue Cross Blue Shield","Pathways",,,"71",,"26.83","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE 0.75% SPINAL (MARCAINE) INJ","0250","RC","Both",,,"38","19","Blue Cross Blue Shield","HMO",,,"71",,"26.83","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE 0.75% SPINAL (MARCAINE) INJ","0250","RC","Both",,,"38","19","Blue Cross Blue Shield","PPO",,,"71",,"26.83","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE 0.75% SPINAL (MARCAINE) INJ","0250","RC","Both",,,"38","19","Ambetter","Health Exchange",,,"62",,"23.56","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE 0.75% SPINAL (MARCAINE) INJ","0250","RC","Both",,,"38","19","Caresource","Health Exchange",,,"62",,"23.56","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE 0.75% SPINAL (MARCAINE) INJ","0250","RC","Both",,,"38","19","Cigna","Commercial",,,"59",,"22.27","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE 0.75% SPINAL (MARCAINE) INJ","0250","RC","Both",,,"38","19","Humana","Commercial",,,"78",,"29.45","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE 0.75% SPINAL (MARCAINE) INJ","0250","RC","Both",,,"38","19","UHC","Commercial",,,"75",,"28.65","0.04","569.62","percent of total billed charges",,
"BUPIVACAINE 0.75% SPINAL (MARCAINE) INJ","0250","RC","Both",,,"38","19","Medicaid",,,,"37",,"13.91","0.04","569.62","percent of total billed charges",,
"HAND RESTRAINTS","0270","RC","Both",,,"34","17","Alliant","Health Exchange",,,"62",,"21.08","0.18","1007.5","percent of total billed charges",,
"HAND RESTRAINTS","0270","RC","Both",,,"34","17","Pruitt Healthcare","Medicare Advantage",,,"54",,"18.36","0.18","1007.5","percent of total billed charges",,
"HAND RESTRAINTS","0270","RC","Both",,,"34","17","Medicare",,,,"54",,"18.43","0.18","1007.5","percent of total billed charges",,
"HAND RESTRAINTS","0270","RC","Both",,,"34","17","Humana","Medicare Advantage",,,"54",,"18.43","0.18","1007.5","percent of total billed charges",,
"HAND RESTRAINTS","0270","RC","Both",,,"34","17","UHC","Medicare Advantage",,,"54",,"18.43","0.18","1007.5","percent of total billed charges",,
"HAND RESTRAINTS","0270","RC","Both",,,"34","17","Clover","Medicare Advantage",,,"54",,"18.43","0.18","1007.5","percent of total billed charges",,
"HAND RESTRAINTS","0270","RC","Both",,,"34","17","Wellcare","Medicare Advantage",,,"54",,"18.43","0.18","1007.5","percent of total billed charges",,
"HAND RESTRAINTS","0270","RC","Both",,,"34","17","Amerigroup","Medicaid Managed Care",,,"37",,"12.44","0.18","1007.5","percent of total billed charges",,
"HAND RESTRAINTS","0270","RC","Both",,,"34","17","Caresource","Medicaid Managed Care",,,"40",,"13.6","0.18","1007.5","percent of total billed charges",,
"HAND RESTRAINTS","0270","RC","Both",,,"34","17","Wellcare","Medicaid Managed Care",,,"40",,"13.77","0.18","1007.5","percent of total billed charges",,
"HAND RESTRAINTS","0270","RC","Both",,,"34","17","Aetna","Commercial",,,"64",,"21.69","0.18","1007.5","percent of total billed charges",,
"HAND RESTRAINTS","0270","RC","Both",,,"34","17","Blue Cross Blue Shield","Pathways",,,"71",,"24","0.18","1007.5","percent of total billed charges",,
"HAND RESTRAINTS","0270","RC","Both",,,"34","17","Blue Cross Blue Shield","HMO",,,"71",,"24","0.18","1007.5","percent of total billed charges",,
"HAND RESTRAINTS","0270","RC","Both",,,"34","17","Blue Cross Blue Shield","PPO",,,"71",,"24","0.18","1007.5","percent of total billed charges",,
"HAND RESTRAINTS","0270","RC","Both",,,"34","17","Ambetter","Health Exchange",,,"62",,"21.08","0.18","1007.5","percent of total billed charges",,
"HAND RESTRAINTS","0270","RC","Both",,,"34","17","Caresource","Health Exchange",,,"62",,"21.08","0.18","1007.5","percent of total billed charges",,
"HAND RESTRAINTS","0270","RC","Both",,,"34","17","Cigna","Commercial",,,"59",,"19.92","0.18","1007.5","percent of total billed charges",,
"HAND RESTRAINTS","0270","RC","Both",,,"34","17","Humana","Commercial",,,"78",,"26.35","0.18","1007.5","percent of total billed charges",,
"HAND RESTRAINTS","0270","RC","Both",,,"34","17","UHC","Commercial",,,"75",,"25.64","0.18","1007.5","percent of total billed charges",,
"HAND RESTRAINTS","0270","RC","Both",,,"34","17","Medicaid",,,,"37",,"12.44","0.18","1007.5","percent of total billed charges",,
"LMA #2","0270","RC","Both",,,"28","14","Alliant","Health Exchange",,,"62",,"17.36","0.18","1007.5","percent of total billed charges",,
"LMA #2","0270","RC","Both",,,"28","14","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.12","0.18","1007.5","percent of total billed charges",,
"LMA #2","0270","RC","Both",,,"28","14","Medicare",,,,"54",,"15.18","0.18","1007.5","percent of total billed charges",,
"LMA #2","0270","RC","Both",,,"28","14","Humana","Medicare Advantage",,,"54",,"15.18","0.18","1007.5","percent of total billed charges",,
"LMA #2","0270","RC","Both",,,"28","14","UHC","Medicare Advantage",,,"54",,"15.18","0.18","1007.5","percent of total billed charges",,
"LMA #2","0270","RC","Both",,,"28","14","Clover","Medicare Advantage",,,"54",,"15.18","0.18","1007.5","percent of total billed charges",,
"LMA #2","0270","RC","Both",,,"28","14","Wellcare","Medicare Advantage",,,"54",,"15.18","0.18","1007.5","percent of total billed charges",,
"LMA #2","0270","RC","Both",,,"28","14","Amerigroup","Medicaid Managed Care",,,"37",,"10.25","0.18","1007.5","percent of total billed charges",,
"LMA #2","0270","RC","Both",,,"28","14","Caresource","Medicaid Managed Care",,,"40",,"11.2","0.18","1007.5","percent of total billed charges",,
"LMA #2","0270","RC","Both",,,"28","14","Wellcare","Medicaid Managed Care",,,"40",,"11.34","0.18","1007.5","percent of total billed charges",,
"LMA #2","0270","RC","Both",,,"28","14","Aetna","Commercial",,,"64",,"17.86","0.18","1007.5","percent of total billed charges",,
"LMA #2","0270","RC","Both",,,"28","14","Blue Cross Blue Shield","Pathways",,,"71",,"19.77","0.18","1007.5","percent of total billed charges",,
"LMA #2","0270","RC","Both",,,"28","14","Blue Cross Blue Shield","HMO",,,"71",,"19.77","0.18","1007.5","percent of total billed charges",,
"LMA #2","0270","RC","Both",,,"28","14","Blue Cross Blue Shield","PPO",,,"71",,"19.77","0.18","1007.5","percent of total billed charges",,
"LMA #2","0270","RC","Both",,,"28","14","Ambetter","Health Exchange",,,"62",,"17.36","0.18","1007.5","percent of total billed charges",,
"LMA #2","0270","RC","Both",,,"28","14","Caresource","Health Exchange",,,"62",,"17.36","0.18","1007.5","percent of total billed charges",,
"LMA #2","0270","RC","Both",,,"28","14","Cigna","Commercial",,,"59",,"16.41","0.18","1007.5","percent of total billed charges",,
"LMA #2","0270","RC","Both",,,"28","14","Humana","Commercial",,,"78",,"21.7","0.18","1007.5","percent of total billed charges",,
"LMA #2","0270","RC","Both",,,"28","14","UHC","Commercial",,,"75",,"21.11","0.18","1007.5","percent of total billed charges",,
"LMA #2","0270","RC","Both",,,"28","14","Medicaid",,,,"37",,"10.25","0.18","1007.5","percent of total billed charges",,
"LMA #3","0270","RC","Both",,,"28","14","Alliant","Health Exchange",,,"62",,"17.36","0.18","1007.5","percent of total billed charges",,
"LMA #3","0270","RC","Both",,,"28","14","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.12","0.18","1007.5","percent of total billed charges",,
"LMA #3","0270","RC","Both",,,"28","14","Medicare",,,,"54",,"15.18","0.18","1007.5","percent of total billed charges",,
"LMA #3","0270","RC","Both",,,"28","14","Humana","Medicare Advantage",,,"54",,"15.18","0.18","1007.5","percent of total billed charges",,
"LMA #3","0270","RC","Both",,,"28","14","UHC","Medicare Advantage",,,"54",,"15.18","0.18","1007.5","percent of total billed charges",,
"LMA #3","0270","RC","Both",,,"28","14","Clover","Medicare Advantage",,,"54",,"15.18","0.18","1007.5","percent of total billed charges",,
"LMA #3","0270","RC","Both",,,"28","14","Wellcare","Medicare Advantage",,,"54",,"15.18","0.18","1007.5","percent of total billed charges",,
"LMA #3","0270","RC","Both",,,"28","14","Amerigroup","Medicaid Managed Care",,,"37",,"10.25","0.18","1007.5","percent of total billed charges",,
"LMA #3","0270","RC","Both",,,"28","14","Caresource","Medicaid Managed Care",,,"40",,"11.2","0.18","1007.5","percent of total billed charges",,
"LMA #3","0270","RC","Both",,,"28","14","Wellcare","Medicaid Managed Care",,,"40",,"11.34","0.18","1007.5","percent of total billed charges",,
"LMA #3","0270","RC","Both",,,"28","14","Aetna","Commercial",,,"64",,"17.86","0.18","1007.5","percent of total billed charges",,
"LMA #3","0270","RC","Both",,,"28","14","Blue Cross Blue Shield","Pathways",,,"71",,"19.77","0.18","1007.5","percent of total billed charges",,
"LMA #3","0270","RC","Both",,,"28","14","Blue Cross Blue Shield","HMO",,,"71",,"19.77","0.18","1007.5","percent of total billed charges",,
"LMA #3","0270","RC","Both",,,"28","14","Blue Cross Blue Shield","PPO",,,"71",,"19.77","0.18","1007.5","percent of total billed charges",,
"LMA #3","0270","RC","Both",,,"28","14","Ambetter","Health Exchange",,,"62",,"17.36","0.18","1007.5","percent of total billed charges",,
"LMA #3","0270","RC","Both",,,"28","14","Caresource","Health Exchange",,,"62",,"17.36","0.18","1007.5","percent of total billed charges",,
"LMA #3","0270","RC","Both",,,"28","14","Cigna","Commercial",,,"59",,"16.41","0.18","1007.5","percent of total billed charges",,
"LMA #3","0270","RC","Both",,,"28","14","Humana","Commercial",,,"78",,"21.7","0.18","1007.5","percent of total billed charges",,
"LMA #3","0270","RC","Both",,,"28","14","UHC","Commercial",,,"75",,"21.11","0.18","1007.5","percent of total billed charges",,
"LMA #3","0270","RC","Both",,,"28","14","Medicaid",,,,"37",,"10.25","0.18","1007.5","percent of total billed charges",,
"LMA #4","0270","RC","Both",,,"20.1","10.05","Alliant","Health Exchange",,,"62",,"12.46","0.18","1007.5","percent of total billed charges",,
"LMA #4","0270","RC","Both",,,"20.1","10.05","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.85","0.18","1007.5","percent of total billed charges",,
"LMA #4","0270","RC","Both",,,"20.1","10.05","Medicare",,,,"54",,"10.89","0.18","1007.5","percent of total billed charges",,
"LMA #4","0270","RC","Both",,,"20.1","10.05","Humana","Medicare Advantage",,,"54",,"10.89","0.18","1007.5","percent of total billed charges",,
"LMA #4","0270","RC","Both",,,"20.1","10.05","UHC","Medicare Advantage",,,"54",,"10.89","0.18","1007.5","percent of total billed charges",,
"LMA #4","0270","RC","Both",,,"20.1","10.05","Clover","Medicare Advantage",,,"54",,"10.89","0.18","1007.5","percent of total billed charges",,
"LMA #4","0270","RC","Both",,,"20.1","10.05","Wellcare","Medicare Advantage",,,"54",,"10.89","0.18","1007.5","percent of total billed charges",,
"LMA #4","0270","RC","Both",,,"20.1","10.05","Amerigroup","Medicaid Managed Care",,,"37",,"7.36","0.18","1007.5","percent of total billed charges",,
"LMA #4","0270","RC","Both",,,"20.1","10.05","Caresource","Medicaid Managed Care",,,"40",,"8.04","0.18","1007.5","percent of total billed charges",,
"LMA #4","0270","RC","Both",,,"20.1","10.05","Wellcare","Medicaid Managed Care",,,"40",,"8.14","0.18","1007.5","percent of total billed charges",,
"LMA #4","0270","RC","Both",,,"20.1","10.05","Aetna","Commercial",,,"64",,"12.82","0.18","1007.5","percent of total billed charges",,
"LMA #4","0270","RC","Both",,,"20.1","10.05","Blue Cross Blue Shield","Pathways",,,"71",,"14.19","0.18","1007.5","percent of total billed charges",,
"LMA #4","0270","RC","Both",,,"20.1","10.05","Blue Cross Blue Shield","HMO",,,"71",,"14.19","0.18","1007.5","percent of total billed charges",,
"LMA #4","0270","RC","Both",,,"20.1","10.05","Blue Cross Blue Shield","PPO",,,"71",,"14.19","0.18","1007.5","percent of total billed charges",,
"LMA #4","0270","RC","Both",,,"20.1","10.05","Ambetter","Health Exchange",,,"62",,"12.46","0.18","1007.5","percent of total billed charges",,
"LMA #4","0270","RC","Both",,,"20.1","10.05","Caresource","Health Exchange",,,"62",,"12.46","0.18","1007.5","percent of total billed charges",,
"LMA #4","0270","RC","Both",,,"20.1","10.05","Cigna","Commercial",,,"59",,"11.78","0.18","1007.5","percent of total billed charges",,
"LMA #4","0270","RC","Both",,,"20.1","10.05","Humana","Commercial",,,"78",,"15.58","0.18","1007.5","percent of total billed charges",,
"LMA #4","0270","RC","Both",,,"20.1","10.05","UHC","Commercial",,,"75",,"15.16","0.18","1007.5","percent of total billed charges",,
"LMA #4","0270","RC","Both",,,"20.1","10.05","Medicaid",,,,"37",,"7.36","0.18","1007.5","percent of total billed charges",,
"LMA #5","0270","RC","Both",,,"70.29","35.145","Alliant","Health Exchange",,,"62",,"43.58","0.18","1007.5","percent of total billed charges",,
"LMA #5","0270","RC","Both",,,"70.29","35.145","Pruitt Healthcare","Medicare Advantage",,,"54",,"37.96","0.18","1007.5","percent of total billed charges",,
"LMA #5","0270","RC","Both",,,"70.29","35.145","Medicare",,,,"54",,"38.1","0.18","1007.5","percent of total billed charges",,
"LMA #5","0270","RC","Both",,,"70.29","35.145","Humana","Medicare Advantage",,,"54",,"38.1","0.18","1007.5","percent of total billed charges",,
"LMA #5","0270","RC","Both",,,"70.29","35.145","UHC","Medicare Advantage",,,"54",,"38.1","0.18","1007.5","percent of total billed charges",,
"LMA #5","0270","RC","Both",,,"70.29","35.145","Clover","Medicare Advantage",,,"54",,"38.1","0.18","1007.5","percent of total billed charges",,
"LMA #5","0270","RC","Both",,,"70.29","35.145","Wellcare","Medicare Advantage",,,"54",,"38.1","0.18","1007.5","percent of total billed charges",,
"LMA #5","0270","RC","Both",,,"70.29","35.145","Amerigroup","Medicaid Managed Care",,,"37",,"25.73","0.18","1007.5","percent of total billed charges",,
"LMA #5","0270","RC","Both",,,"70.29","35.145","Caresource","Medicaid Managed Care",,,"40",,"28.12","0.18","1007.5","percent of total billed charges",,
"LMA #5","0270","RC","Both",,,"70.29","35.145","Wellcare","Medicaid Managed Care",,,"40",,"28.47","0.18","1007.5","percent of total billed charges",,
"LMA #5","0270","RC","Both",,,"70.29","35.145","Aetna","Commercial",,,"64",,"44.85","0.18","1007.5","percent of total billed charges",,
"LMA #5","0270","RC","Both",,,"70.29","35.145","Blue Cross Blue Shield","Pathways",,,"71",,"49.62","0.18","1007.5","percent of total billed charges",,
"LMA #5","0270","RC","Both",,,"70.29","35.145","Blue Cross Blue Shield","HMO",,,"71",,"49.62","0.18","1007.5","percent of total billed charges",,
"LMA #5","0270","RC","Both",,,"70.29","35.145","Blue Cross Blue Shield","PPO",,,"71",,"49.62","0.18","1007.5","percent of total billed charges",,
"LMA #5","0270","RC","Both",,,"70.29","35.145","Ambetter","Health Exchange",,,"62",,"43.58","0.18","1007.5","percent of total billed charges",,
"LMA #5","0270","RC","Both",,,"70.29","35.145","Caresource","Health Exchange",,,"62",,"43.58","0.18","1007.5","percent of total billed charges",,
"LMA #5","0270","RC","Both",,,"70.29","35.145","Cigna","Commercial",,,"59",,"41.19","0.18","1007.5","percent of total billed charges",,
"LMA #5","0270","RC","Both",,,"70.29","35.145","Humana","Commercial",,,"78",,"54.47","0.18","1007.5","percent of total billed charges",,
"LMA #5","0270","RC","Both",,,"70.29","35.145","UHC","Commercial",,,"75",,"53","0.18","1007.5","percent of total billed charges",,
"LMA #5","0270","RC","Both",,,"70.29","35.145","Medicaid",,,,"37",,"25.73","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S1","0270","RC","Both",,,"122.31","61.155","Alliant","Health Exchange",,,"62",,"75.83","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S1","0270","RC","Both",,,"122.31","61.155","Pruitt Healthcare","Medicare Advantage",,,"54",,"66.05","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S1","0270","RC","Both",,,"122.31","61.155","Medicare",,,,"54",,"66.29","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S1","0270","RC","Both",,,"122.31","61.155","Humana","Medicare Advantage",,,"54",,"66.29","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S1","0270","RC","Both",,,"122.31","61.155","UHC","Medicare Advantage",,,"54",,"66.29","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S1","0270","RC","Both",,,"122.31","61.155","Clover","Medicare Advantage",,,"54",,"66.29","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S1","0270","RC","Both",,,"122.31","61.155","Wellcare","Medicare Advantage",,,"54",,"66.29","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S1","0270","RC","Both",,,"122.31","61.155","Amerigroup","Medicaid Managed Care",,,"37",,"44.77","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S1","0270","RC","Both",,,"122.31","61.155","Caresource","Medicaid Managed Care",,,"40",,"48.92","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S1","0270","RC","Both",,,"122.31","61.155","Wellcare","Medicaid Managed Care",,,"40",,"49.54","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S1","0270","RC","Both",,,"122.31","61.155","Aetna","Commercial",,,"64",,"78.03","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S1","0270","RC","Both",,,"122.31","61.155","Blue Cross Blue Shield","Pathways",,,"71",,"86.35","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S1","0270","RC","Both",,,"122.31","61.155","Blue Cross Blue Shield","HMO",,,"71",,"86.35","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S1","0270","RC","Both",,,"122.31","61.155","Blue Cross Blue Shield","PPO",,,"71",,"86.35","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S1","0270","RC","Both",,,"122.31","61.155","Ambetter","Health Exchange",,,"62",,"75.83","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S1","0270","RC","Both",,,"122.31","61.155","Caresource","Health Exchange",,,"62",,"75.83","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S1","0270","RC","Both",,,"122.31","61.155","Cigna","Commercial",,,"59",,"71.67","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S1","0270","RC","Both",,,"122.31","61.155","Humana","Commercial",,,"78",,"94.79","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S1","0270","RC","Both",,,"122.31","61.155","UHC","Commercial",,,"75",,"92.22","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S1","0270","RC","Both",,,"122.31","61.155","Medicaid",,,,"37",,"44.77","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S2","0270","RC","Both",,,"122.31","61.155","Alliant","Health Exchange",,,"62",,"75.83","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S2","0270","RC","Both",,,"122.31","61.155","Pruitt Healthcare","Medicare Advantage",,,"54",,"66.05","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S2","0270","RC","Both",,,"122.31","61.155","Medicare",,,,"54",,"66.29","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S2","0270","RC","Both",,,"122.31","61.155","Humana","Medicare Advantage",,,"54",,"66.29","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S2","0270","RC","Both",,,"122.31","61.155","UHC","Medicare Advantage",,,"54",,"66.29","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S2","0270","RC","Both",,,"122.31","61.155","Clover","Medicare Advantage",,,"54",,"66.29","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S2","0270","RC","Both",,,"122.31","61.155","Wellcare","Medicare Advantage",,,"54",,"66.29","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S2","0270","RC","Both",,,"122.31","61.155","Amerigroup","Medicaid Managed Care",,,"37",,"44.77","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S2","0270","RC","Both",,,"122.31","61.155","Caresource","Medicaid Managed Care",,,"40",,"48.92","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S2","0270","RC","Both",,,"122.31","61.155","Wellcare","Medicaid Managed Care",,,"40",,"49.54","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S2","0270","RC","Both",,,"122.31","61.155","Aetna","Commercial",,,"64",,"78.03","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S2","0270","RC","Both",,,"122.31","61.155","Blue Cross Blue Shield","Pathways",,,"71",,"86.35","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S2","0270","RC","Both",,,"122.31","61.155","Blue Cross Blue Shield","HMO",,,"71",,"86.35","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S2","0270","RC","Both",,,"122.31","61.155","Blue Cross Blue Shield","PPO",,,"71",,"86.35","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S2","0270","RC","Both",,,"122.31","61.155","Ambetter","Health Exchange",,,"62",,"75.83","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S2","0270","RC","Both",,,"122.31","61.155","Caresource","Health Exchange",,,"62",,"75.83","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S2","0270","RC","Both",,,"122.31","61.155","Cigna","Commercial",,,"59",,"71.67","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S2","0270","RC","Both",,,"122.31","61.155","Humana","Commercial",,,"78",,"94.79","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S2","0270","RC","Both",,,"122.31","61.155","UHC","Commercial",,,"75",,"92.22","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S2","0270","RC","Both",,,"122.31","61.155","Medicaid",,,,"37",,"44.77","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE S2.5","0270","RC","Both",,,"128.1","64.05","Alliant","Health Exchange",,,"62",,"79.42","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE S2.5","0270","RC","Both",,,"128.1","64.05","Pruitt Healthcare","Medicare Advantage",,,"54",,"69.17","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE S2.5","0270","RC","Both",,,"128.1","64.05","Medicare",,,,"54",,"69.43","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE S2.5","0270","RC","Both",,,"128.1","64.05","Humana","Medicare Advantage",,,"54",,"69.43","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE S2.5","0270","RC","Both",,,"128.1","64.05","UHC","Medicare Advantage",,,"54",,"69.43","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE S2.5","0270","RC","Both",,,"128.1","64.05","Clover","Medicare Advantage",,,"54",,"69.43","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE S2.5","0270","RC","Both",,,"128.1","64.05","Wellcare","Medicare Advantage",,,"54",,"69.43","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE S2.5","0270","RC","Both",,,"128.1","64.05","Amerigroup","Medicaid Managed Care",,,"37",,"46.88","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE S2.5","0270","RC","Both",,,"128.1","64.05","Caresource","Medicaid Managed Care",,,"40",,"51.24","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE S2.5","0270","RC","Both",,,"128.1","64.05","Wellcare","Medicaid Managed Care",,,"40",,"51.88","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE S2.5","0270","RC","Both",,,"128.1","64.05","Aetna","Commercial",,,"64",,"81.73","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE S2.5","0270","RC","Both",,,"128.1","64.05","Blue Cross Blue Shield","Pathways",,,"71",,"90.44","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE S2.5","0270","RC","Both",,,"128.1","64.05","Blue Cross Blue Shield","HMO",,,"71",,"90.44","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE S2.5","0270","RC","Both",,,"128.1","64.05","Blue Cross Blue Shield","PPO",,,"71",,"90.44","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE S2.5","0270","RC","Both",,,"128.1","64.05","Ambetter","Health Exchange",,,"62",,"79.42","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE S2.5","0270","RC","Both",,,"128.1","64.05","Caresource","Health Exchange",,,"62",,"79.42","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE S2.5","0270","RC","Both",,,"128.1","64.05","Cigna","Commercial",,,"59",,"75.07","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE S2.5","0270","RC","Both",,,"128.1","64.05","Humana","Commercial",,,"78",,"99.28","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE S2.5","0270","RC","Both",,,"128.1","64.05","UHC","Commercial",,,"75",,"96.59","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE S2.5","0270","RC","Both",,,"128.1","64.05","Medicaid",,,,"37",,"46.88","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S3","0270","RC","Both",,,"128.1","64.05","Alliant","Health Exchange",,,"62",,"79.42","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S3","0270","RC","Both",,,"128.1","64.05","Pruitt Healthcare","Medicare Advantage",,,"54",,"69.17","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S3","0270","RC","Both",,,"128.1","64.05","Medicare",,,,"54",,"69.43","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S3","0270","RC","Both",,,"128.1","64.05","Humana","Medicare Advantage",,,"54",,"69.43","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S3","0270","RC","Both",,,"128.1","64.05","UHC","Medicare Advantage",,,"54",,"69.43","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S3","0270","RC","Both",,,"128.1","64.05","Clover","Medicare Advantage",,,"54",,"69.43","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S3","0270","RC","Both",,,"128.1","64.05","Wellcare","Medicare Advantage",,,"54",,"69.43","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S3","0270","RC","Both",,,"128.1","64.05","Amerigroup","Medicaid Managed Care",,,"37",,"46.88","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S3","0270","RC","Both",,,"128.1","64.05","Caresource","Medicaid Managed Care",,,"40",,"51.24","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S3","0270","RC","Both",,,"128.1","64.05","Wellcare","Medicaid Managed Care",,,"40",,"51.88","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S3","0270","RC","Both",,,"128.1","64.05","Aetna","Commercial",,,"64",,"81.73","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S3","0270","RC","Both",,,"128.1","64.05","Blue Cross Blue Shield","Pathways",,,"71",,"90.44","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S3","0270","RC","Both",,,"128.1","64.05","Blue Cross Blue Shield","HMO",,,"71",,"90.44","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S3","0270","RC","Both",,,"128.1","64.05","Blue Cross Blue Shield","PPO",,,"71",,"90.44","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S3","0270","RC","Both",,,"128.1","64.05","Ambetter","Health Exchange",,,"62",,"79.42","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S3","0270","RC","Both",,,"128.1","64.05","Caresource","Health Exchange",,,"62",,"79.42","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S3","0270","RC","Both",,,"128.1","64.05","Cigna","Commercial",,,"59",,"75.07","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S3","0270","RC","Both",,,"128.1","64.05","Humana","Commercial",,,"78",,"99.28","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S3","0270","RC","Both",,,"128.1","64.05","UHC","Commercial",,,"75",,"96.59","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE  S3","0270","RC","Both",,,"128.1","64.05","Medicaid",,,,"37",,"46.88","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE BLADE DISPOSABLE LOPRO S4","0270","RC","Both",,,"128.1","64.05","Alliant","Health Exchange",,,"62",,"79.42","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE BLADE DISPOSABLE LOPRO S4","0270","RC","Both",,,"128.1","64.05","Pruitt Healthcare","Medicare Advantage",,,"54",,"69.17","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE BLADE DISPOSABLE LOPRO S4","0270","RC","Both",,,"128.1","64.05","Medicare",,,,"54",,"69.43","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE BLADE DISPOSABLE LOPRO S4","0270","RC","Both",,,"128.1","64.05","Humana","Medicare Advantage",,,"54",,"69.43","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE BLADE DISPOSABLE LOPRO S4","0270","RC","Both",,,"128.1","64.05","UHC","Medicare Advantage",,,"54",,"69.43","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE BLADE DISPOSABLE LOPRO S4","0270","RC","Both",,,"128.1","64.05","Clover","Medicare Advantage",,,"54",,"69.43","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE BLADE DISPOSABLE LOPRO S4","0270","RC","Both",,,"128.1","64.05","Wellcare","Medicare Advantage",,,"54",,"69.43","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE BLADE DISPOSABLE LOPRO S4","0270","RC","Both",,,"128.1","64.05","Amerigroup","Medicaid Managed Care",,,"37",,"46.88","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE BLADE DISPOSABLE LOPRO S4","0270","RC","Both",,,"128.1","64.05","Caresource","Medicaid Managed Care",,,"40",,"51.24","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE BLADE DISPOSABLE LOPRO S4","0270","RC","Both",,,"128.1","64.05","Wellcare","Medicaid Managed Care",,,"40",,"51.88","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE BLADE DISPOSABLE LOPRO S4","0270","RC","Both",,,"128.1","64.05","Aetna","Commercial",,,"64",,"81.73","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE BLADE DISPOSABLE LOPRO S4","0270","RC","Both",,,"128.1","64.05","Blue Cross Blue Shield","Pathways",,,"71",,"90.44","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE BLADE DISPOSABLE LOPRO S4","0270","RC","Both",,,"128.1","64.05","Blue Cross Blue Shield","HMO",,,"71",,"90.44","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE BLADE DISPOSABLE LOPRO S4","0270","RC","Both",,,"128.1","64.05","Blue Cross Blue Shield","PPO",,,"71",,"90.44","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE BLADE DISPOSABLE LOPRO S4","0270","RC","Both",,,"128.1","64.05","Ambetter","Health Exchange",,,"62",,"79.42","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE BLADE DISPOSABLE LOPRO S4","0270","RC","Both",,,"128.1","64.05","Caresource","Health Exchange",,,"62",,"79.42","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE BLADE DISPOSABLE LOPRO S4","0270","RC","Both",,,"128.1","64.05","Cigna","Commercial",,,"59",,"75.07","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE BLADE DISPOSABLE LOPRO S4","0270","RC","Both",,,"128.1","64.05","Humana","Commercial",,,"78",,"99.28","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE BLADE DISPOSABLE LOPRO S4","0270","RC","Both",,,"128.1","64.05","UHC","Commercial",,,"75",,"96.59","0.18","1007.5","percent of total billed charges",,
"GLIDESCOPE BLADE DISPOSABLE LOPRO S4","0270","RC","Both",,,"128.1","64.05","Medicaid",,,,"37",,"46.88","0.18","1007.5","percent of total billed charges",,
"BLADDER CARE TRAY 16 FR","0270","RC","Both",,,"33","16.5","Alliant","Health Exchange",,,"62",,"20.46","0.18","1007.5","percent of total billed charges",,
"BLADDER CARE TRAY 16 FR","0270","RC","Both",,,"33","16.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.82","0.18","1007.5","percent of total billed charges",,
"BLADDER CARE TRAY 16 FR","0270","RC","Both",,,"33","16.5","Medicare",,,,"54",,"17.89","0.18","1007.5","percent of total billed charges",,
"BLADDER CARE TRAY 16 FR","0270","RC","Both",,,"33","16.5","Humana","Medicare Advantage",,,"54",,"17.89","0.18","1007.5","percent of total billed charges",,
"BLADDER CARE TRAY 16 FR","0270","RC","Both",,,"33","16.5","UHC","Medicare Advantage",,,"54",,"17.89","0.18","1007.5","percent of total billed charges",,
"BLADDER CARE TRAY 16 FR","0270","RC","Both",,,"33","16.5","Clover","Medicare Advantage",,,"54",,"17.89","0.18","1007.5","percent of total billed charges",,
"BLADDER CARE TRAY 16 FR","0270","RC","Both",,,"33","16.5","Wellcare","Medicare Advantage",,,"54",,"17.89","0.18","1007.5","percent of total billed charges",,
"BLADDER CARE TRAY 16 FR","0270","RC","Both",,,"33","16.5","Amerigroup","Medicaid Managed Care",,,"37",,"12.08","0.18","1007.5","percent of total billed charges",,
"BLADDER CARE TRAY 16 FR","0270","RC","Both",,,"33","16.5","Caresource","Medicaid Managed Care",,,"40",,"13.2","0.18","1007.5","percent of total billed charges",,
"BLADDER CARE TRAY 16 FR","0270","RC","Both",,,"33","16.5","Wellcare","Medicaid Managed Care",,,"40",,"13.36","0.18","1007.5","percent of total billed charges",,
"BLADDER CARE TRAY 16 FR","0270","RC","Both",,,"33","16.5","Aetna","Commercial",,,"64",,"21.05","0.18","1007.5","percent of total billed charges",,
"BLADDER CARE TRAY 16 FR","0270","RC","Both",,,"33","16.5","Blue Cross Blue Shield","Pathways",,,"71",,"23.3","0.18","1007.5","percent of total billed charges",,
"BLADDER CARE TRAY 16 FR","0270","RC","Both",,,"33","16.5","Blue Cross Blue Shield","HMO",,,"71",,"23.3","0.18","1007.5","percent of total billed charges",,
"BLADDER CARE TRAY 16 FR","0270","RC","Both",,,"33","16.5","Blue Cross Blue Shield","PPO",,,"71",,"23.3","0.18","1007.5","percent of total billed charges",,
"BLADDER CARE TRAY 16 FR","0270","RC","Both",,,"33","16.5","Ambetter","Health Exchange",,,"62",,"20.46","0.18","1007.5","percent of total billed charges",,
"BLADDER CARE TRAY 16 FR","0270","RC","Both",,,"33","16.5","Caresource","Health Exchange",,,"62",,"20.46","0.18","1007.5","percent of total billed charges",,
"BLADDER CARE TRAY 16 FR","0270","RC","Both",,,"33","16.5","Cigna","Commercial",,,"59",,"19.34","0.18","1007.5","percent of total billed charges",,
"BLADDER CARE TRAY 16 FR","0270","RC","Both",,,"33","16.5","Humana","Commercial",,,"78",,"25.58","0.18","1007.5","percent of total billed charges",,
"BLADDER CARE TRAY 16 FR","0270","RC","Both",,,"33","16.5","UHC","Commercial",,,"75",,"24.88","0.18","1007.5","percent of total billed charges",,
"BLADDER CARE TRAY 16 FR","0270","RC","Both",,,"33","16.5","Medicaid",,,,"37",,"12.08","0.18","1007.5","percent of total billed charges",,
"BLADDER CARE TRAY 18 FR","0270","RC","Both",,,"31","15.5","Alliant","Health Exchange",,,"62",,"19.22","0.18","1007.5","percent of total billed charges",,
"BLADDER CARE TRAY 18 FR","0270","RC","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.74","0.18","1007.5","percent of total billed charges",,
"BLADDER CARE TRAY 18 FR","0270","RC","Both",,,"31","15.5","Medicare",,,,"54",,"16.8","0.18","1007.5","percent of total billed charges",,
"BLADDER CARE TRAY 18 FR","0270","RC","Both",,,"31","15.5","Humana","Medicare Advantage",,,"54",,"16.8","0.18","1007.5","percent of total billed charges",,
"BLADDER CARE TRAY 18 FR","0270","RC","Both",,,"31","15.5","UHC","Medicare Advantage",,,"54",,"16.8","0.18","1007.5","percent of total billed charges",,
"BLADDER CARE TRAY 18 FR","0270","RC","Both",,,"31","15.5","Clover","Medicare Advantage",,,"54",,"16.8","0.18","1007.5","percent of total billed charges",,
"BLADDER CARE TRAY 18 FR","0270","RC","Both",,,"31","15.5","Wellcare","Medicare Advantage",,,"54",,"16.8","0.18","1007.5","percent of total billed charges",,
"BLADDER CARE TRAY 18 FR","0270","RC","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care",,,"37",,"11.35","0.18","1007.5","percent of total billed charges",,
"BLADDER CARE TRAY 18 FR","0270","RC","Both",,,"31","15.5","Caresource","Medicaid Managed Care",,,"40",,"12.4","0.18","1007.5","percent of total billed charges",,
"BLADDER CARE TRAY 18 FR","0270","RC","Both",,,"31","15.5","Wellcare","Medicaid Managed Care",,,"40",,"12.56","0.18","1007.5","percent of total billed charges",,
"BLADDER CARE TRAY 18 FR","0270","RC","Both",,,"31","15.5","Aetna","Commercial",,,"64",,"19.78","0.18","1007.5","percent of total billed charges",,
"BLADDER CARE TRAY 18 FR","0270","RC","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways",,,"71",,"21.89","0.18","1007.5","percent of total billed charges",,
"BLADDER CARE TRAY 18 FR","0270","RC","Both",,,"31","15.5","Blue Cross Blue Shield","HMO",,,"71",,"21.89","0.18","1007.5","percent of total billed charges",,
"BLADDER CARE TRAY 18 FR","0270","RC","Both",,,"31","15.5","Blue Cross Blue Shield","PPO",,,"71",,"21.89","0.18","1007.5","percent of total billed charges",,
"BLADDER CARE TRAY 18 FR","0270","RC","Both",,,"31","15.5","Ambetter","Health Exchange",,,"62",,"19.22","0.18","1007.5","percent of total billed charges",,
"BLADDER CARE TRAY 18 FR","0270","RC","Both",,,"31","15.5","Caresource","Health Exchange",,,"62",,"19.22","0.18","1007.5","percent of total billed charges",,
"BLADDER CARE TRAY 18 FR","0270","RC","Both",,,"31","15.5","Cigna","Commercial",,,"59",,"18.17","0.18","1007.5","percent of total billed charges",,
"BLADDER CARE TRAY 18 FR","0270","RC","Both",,,"31","15.5","Humana","Commercial",,,"78",,"24.02","0.18","1007.5","percent of total billed charges",,
"BLADDER CARE TRAY 18 FR","0270","RC","Both",,,"31","15.5","UHC","Commercial",,,"75",,"23.37","0.18","1007.5","percent of total billed charges",,
"BLADDER CARE TRAY 18 FR","0270","RC","Both",,,"31","15.5","Medicaid",,,,"37",,"11.35","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 12 FR 5CC","0270","RC","Both",,,"14","7","Alliant","Health Exchange",,,"62",,"8.68","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 12 FR 5CC","0270","RC","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.56","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 12 FR 5CC","0270","RC","Both",,,"14","7","Medicare",,,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 12 FR 5CC","0270","RC","Both",,,"14","7","Humana","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 12 FR 5CC","0270","RC","Both",,,"14","7","UHC","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 12 FR 5CC","0270","RC","Both",,,"14","7","Clover","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 12 FR 5CC","0270","RC","Both",,,"14","7","Wellcare","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 12 FR 5CC","0270","RC","Both",,,"14","7","Amerigroup","Medicaid Managed Care",,,"37",,"5.12","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 12 FR 5CC","0270","RC","Both",,,"14","7","Caresource","Medicaid Managed Care",,,"40",,"5.6","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 12 FR 5CC","0270","RC","Both",,,"14","7","Wellcare","Medicaid Managed Care",,,"40",,"5.67","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 12 FR 5CC","0270","RC","Both",,,"14","7","Aetna","Commercial",,,"64",,"8.93","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 12 FR 5CC","0270","RC","Both",,,"14","7","Blue Cross Blue Shield","Pathways",,,"71",,"9.88","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 12 FR 5CC","0270","RC","Both",,,"14","7","Blue Cross Blue Shield","HMO",,,"71",,"9.88","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 12 FR 5CC","0270","RC","Both",,,"14","7","Blue Cross Blue Shield","PPO",,,"71",,"9.88","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 12 FR 5CC","0270","RC","Both",,,"14","7","Ambetter","Health Exchange",,,"62",,"8.68","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 12 FR 5CC","0270","RC","Both",,,"14","7","Caresource","Health Exchange",,,"62",,"8.68","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 12 FR 5CC","0270","RC","Both",,,"14","7","Cigna","Commercial",,,"59",,"8.2","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 12 FR 5CC","0270","RC","Both",,,"14","7","Humana","Commercial",,,"78",,"10.85","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 12 FR 5CC","0270","RC","Both",,,"14","7","UHC","Commercial",,,"75",,"10.56","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 12 FR 5CC","0270","RC","Both",,,"14","7","Medicaid",,,,"37",,"5.12","0.18","1007.5","percent of total billed charges",,
"CATHETER 3 WAY","0270","RC","Both",,,"24","12","Alliant","Health Exchange",,,"62",,"14.88","0.18","1007.5","percent of total billed charges",,
"CATHETER 3 WAY","0270","RC","Both",,,"24","12","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.96","0.18","1007.5","percent of total billed charges",,
"CATHETER 3 WAY","0270","RC","Both",,,"24","12","Medicare",,,,"54",,"13.01","0.18","1007.5","percent of total billed charges",,
"CATHETER 3 WAY","0270","RC","Both",,,"24","12","Humana","Medicare Advantage",,,"54",,"13.01","0.18","1007.5","percent of total billed charges",,
"CATHETER 3 WAY","0270","RC","Both",,,"24","12","UHC","Medicare Advantage",,,"54",,"13.01","0.18","1007.5","percent of total billed charges",,
"CATHETER 3 WAY","0270","RC","Both",,,"24","12","Clover","Medicare Advantage",,,"54",,"13.01","0.18","1007.5","percent of total billed charges",,
"CATHETER 3 WAY","0270","RC","Both",,,"24","12","Wellcare","Medicare Advantage",,,"54",,"13.01","0.18","1007.5","percent of total billed charges",,
"CATHETER 3 WAY","0270","RC","Both",,,"24","12","Amerigroup","Medicaid Managed Care",,,"37",,"8.78","0.18","1007.5","percent of total billed charges",,
"CATHETER 3 WAY","0270","RC","Both",,,"24","12","Caresource","Medicaid Managed Care",,,"40",,"9.6","0.18","1007.5","percent of total billed charges",,
"CATHETER 3 WAY","0270","RC","Both",,,"24","12","Wellcare","Medicaid Managed Care",,,"40",,"9.72","0.18","1007.5","percent of total billed charges",,
"CATHETER 3 WAY","0270","RC","Both",,,"24","12","Aetna","Commercial",,,"64",,"15.31","0.18","1007.5","percent of total billed charges",,
"CATHETER 3 WAY","0270","RC","Both",,,"24","12","Blue Cross Blue Shield","Pathways",,,"71",,"16.94","0.18","1007.5","percent of total billed charges",,
"CATHETER 3 WAY","0270","RC","Both",,,"24","12","Blue Cross Blue Shield","HMO",,,"71",,"16.94","0.18","1007.5","percent of total billed charges",,
"CATHETER 3 WAY","0270","RC","Both",,,"24","12","Blue Cross Blue Shield","PPO",,,"71",,"16.94","0.18","1007.5","percent of total billed charges",,
"CATHETER 3 WAY","0270","RC","Both",,,"24","12","Ambetter","Health Exchange",,,"62",,"14.88","0.18","1007.5","percent of total billed charges",,
"CATHETER 3 WAY","0270","RC","Both",,,"24","12","Caresource","Health Exchange",,,"62",,"14.88","0.18","1007.5","percent of total billed charges",,
"CATHETER 3 WAY","0270","RC","Both",,,"24","12","Cigna","Commercial",,,"59",,"14.06","0.18","1007.5","percent of total billed charges",,
"CATHETER 3 WAY","0270","RC","Both",,,"24","12","Humana","Commercial",,,"78",,"18.6","0.18","1007.5","percent of total billed charges",,
"CATHETER 3 WAY","0270","RC","Both",,,"24","12","UHC","Commercial",,,"75",,"18.1","0.18","1007.5","percent of total billed charges",,
"CATHETER 3 WAY","0270","RC","Both",,,"24","12","Medicaid",,,,"37",,"8.78","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 10 FR","0270","RC","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 10 FR","0270","RC","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 10 FR","0270","RC","Both",,,"8","4","Medicare",,,,"54",,"4.34","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 10 FR","0270","RC","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 10 FR","0270","RC","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 10 FR","0270","RC","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 10 FR","0270","RC","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 10 FR","0270","RC","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 10 FR","0270","RC","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 10 FR","0270","RC","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 10 FR","0270","RC","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 10 FR","0270","RC","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 10 FR","0270","RC","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 10 FR","0270","RC","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 10 FR","0270","RC","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 10 FR","0270","RC","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 10 FR","0270","RC","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 10 FR","0270","RC","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 10 FR","0270","RC","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 10 FR","0270","RC","Both",,,"8","4","Medicaid",,,,"37",,"2.93","0.18","1007.5","percent of total billed charges",,
"SILICONE CATHETER FOLEY 16 FR","0270","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.18","1007.5","percent of total billed charges",,
"SILICONE CATHETER FOLEY 16 FR","0270","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.18","1007.5","percent of total billed charges",,
"SILICONE CATHETER FOLEY 16 FR","0270","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.18","1007.5","percent of total billed charges",,
"SILICONE CATHETER FOLEY 16 FR","0270","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.18","1007.5","percent of total billed charges",,
"SILICONE CATHETER FOLEY 16 FR","0270","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.18","1007.5","percent of total billed charges",,
"SILICONE CATHETER FOLEY 16 FR","0270","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.18","1007.5","percent of total billed charges",,
"SILICONE CATHETER FOLEY 16 FR","0270","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.18","1007.5","percent of total billed charges",,
"SILICONE CATHETER FOLEY 16 FR","0270","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.18","1007.5","percent of total billed charges",,
"SILICONE CATHETER FOLEY 16 FR","0270","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.18","1007.5","percent of total billed charges",,
"SILICONE CATHETER FOLEY 16 FR","0270","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.18","1007.5","percent of total billed charges",,
"SILICONE CATHETER FOLEY 16 FR","0270","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.18","1007.5","percent of total billed charges",,
"SILICONE CATHETER FOLEY 16 FR","0270","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.18","1007.5","percent of total billed charges",,
"SILICONE CATHETER FOLEY 16 FR","0270","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.18","1007.5","percent of total billed charges",,
"SILICONE CATHETER FOLEY 16 FR","0270","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.18","1007.5","percent of total billed charges",,
"SILICONE CATHETER FOLEY 16 FR","0270","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.18","1007.5","percent of total billed charges",,
"SILICONE CATHETER FOLEY 16 FR","0270","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.18","1007.5","percent of total billed charges",,
"SILICONE CATHETER FOLEY 16 FR","0270","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.18","1007.5","percent of total billed charges",,
"SILICONE CATHETER FOLEY 16 FR","0270","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.18","1007.5","percent of total billed charges",,
"SILICONE CATHETER FOLEY 16 FR","0270","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.18","1007.5","percent of total billed charges",,
"SILICONE CATHETER FOLEY 16 FR","0270","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 18 FR","0270","RC","Both",,,"24","12","Alliant","Health Exchange",,,"62",,"14.88","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 18 FR","0270","RC","Both",,,"24","12","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.96","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 18 FR","0270","RC","Both",,,"24","12","Medicare",,,,"54",,"13.01","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 18 FR","0270","RC","Both",,,"24","12","Humana","Medicare Advantage",,,"54",,"13.01","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 18 FR","0270","RC","Both",,,"24","12","UHC","Medicare Advantage",,,"54",,"13.01","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 18 FR","0270","RC","Both",,,"24","12","Clover","Medicare Advantage",,,"54",,"13.01","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 18 FR","0270","RC","Both",,,"24","12","Wellcare","Medicare Advantage",,,"54",,"13.01","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 18 FR","0270","RC","Both",,,"24","12","Amerigroup","Medicaid Managed Care",,,"37",,"8.78","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 18 FR","0270","RC","Both",,,"24","12","Caresource","Medicaid Managed Care",,,"40",,"9.6","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 18 FR","0270","RC","Both",,,"24","12","Wellcare","Medicaid Managed Care",,,"40",,"9.72","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 18 FR","0270","RC","Both",,,"24","12","Aetna","Commercial",,,"64",,"15.31","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 18 FR","0270","RC","Both",,,"24","12","Blue Cross Blue Shield","Pathways",,,"71",,"16.94","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 18 FR","0270","RC","Both",,,"24","12","Blue Cross Blue Shield","HMO",,,"71",,"16.94","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 18 FR","0270","RC","Both",,,"24","12","Blue Cross Blue Shield","PPO",,,"71",,"16.94","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 18 FR","0270","RC","Both",,,"24","12","Ambetter","Health Exchange",,,"62",,"14.88","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 18 FR","0270","RC","Both",,,"24","12","Caresource","Health Exchange",,,"62",,"14.88","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 18 FR","0270","RC","Both",,,"24","12","Cigna","Commercial",,,"59",,"14.06","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 18 FR","0270","RC","Both",,,"24","12","Humana","Commercial",,,"78",,"18.6","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 18 FR","0270","RC","Both",,,"24","12","UHC","Commercial",,,"75",,"18.1","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 18 FR","0270","RC","Both",,,"24","12","Medicaid",,,,"37",,"8.78","0.18","1007.5","percent of total billed charges",,
"SILICONE CATHETER FOLEY 22 FR","0270","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.18","1007.5","percent of total billed charges",,
"SILICONE CATHETER FOLEY 22 FR","0270","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.18","1007.5","percent of total billed charges",,
"SILICONE CATHETER FOLEY 22 FR","0270","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.18","1007.5","percent of total billed charges",,
"SILICONE CATHETER FOLEY 22 FR","0270","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.18","1007.5","percent of total billed charges",,
"SILICONE CATHETER FOLEY 22 FR","0270","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.18","1007.5","percent of total billed charges",,
"SILICONE CATHETER FOLEY 22 FR","0270","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.18","1007.5","percent of total billed charges",,
"SILICONE CATHETER FOLEY 22 FR","0270","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.18","1007.5","percent of total billed charges",,
"SILICONE CATHETER FOLEY 22 FR","0270","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.18","1007.5","percent of total billed charges",,
"SILICONE CATHETER FOLEY 22 FR","0270","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.18","1007.5","percent of total billed charges",,
"SILICONE CATHETER FOLEY 22 FR","0270","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.18","1007.5","percent of total billed charges",,
"SILICONE CATHETER FOLEY 22 FR","0270","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.18","1007.5","percent of total billed charges",,
"SILICONE CATHETER FOLEY 22 FR","0270","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.18","1007.5","percent of total billed charges",,
"SILICONE CATHETER FOLEY 22 FR","0270","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.18","1007.5","percent of total billed charges",,
"SILICONE CATHETER FOLEY 22 FR","0270","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.18","1007.5","percent of total billed charges",,
"SILICONE CATHETER FOLEY 22 FR","0270","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.18","1007.5","percent of total billed charges",,
"SILICONE CATHETER FOLEY 22 FR","0270","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.18","1007.5","percent of total billed charges",,
"SILICONE CATHETER FOLEY 22 FR","0270","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.18","1007.5","percent of total billed charges",,
"SILICONE CATHETER FOLEY 22 FR","0270","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.18","1007.5","percent of total billed charges",,
"SILICONE CATHETER FOLEY 22 FR","0270","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.18","1007.5","percent of total billed charges",,
"SILICONE CATHETER FOLEY 22 FR","0270","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 30 FR","0270","RC","Both",,,"57","28.5","Alliant","Health Exchange",,,"62",,"35.34","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 30 FR","0270","RC","Both",,,"57","28.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"30.78","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 30 FR","0270","RC","Both",,,"57","28.5","Medicare",,,,"54",,"30.89","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 30 FR","0270","RC","Both",,,"57","28.5","Humana","Medicare Advantage",,,"54",,"30.89","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 30 FR","0270","RC","Both",,,"57","28.5","UHC","Medicare Advantage",,,"54",,"30.89","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 30 FR","0270","RC","Both",,,"57","28.5","Clover","Medicare Advantage",,,"54",,"30.89","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 30 FR","0270","RC","Both",,,"57","28.5","Wellcare","Medicare Advantage",,,"54",,"30.89","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 30 FR","0270","RC","Both",,,"57","28.5","Amerigroup","Medicaid Managed Care",,,"37",,"20.86","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 30 FR","0270","RC","Both",,,"57","28.5","Caresource","Medicaid Managed Care",,,"40",,"22.8","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 30 FR","0270","RC","Both",,,"57","28.5","Wellcare","Medicaid Managed Care",,,"40",,"23.08","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 30 FR","0270","RC","Both",,,"57","28.5","Aetna","Commercial",,,"64",,"36.37","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 30 FR","0270","RC","Both",,,"57","28.5","Blue Cross Blue Shield","Pathways",,,"71",,"40.24","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 30 FR","0270","RC","Both",,,"57","28.5","Blue Cross Blue Shield","HMO",,,"71",,"40.24","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 30 FR","0270","RC","Both",,,"57","28.5","Blue Cross Blue Shield","PPO",,,"71",,"40.24","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 30 FR","0270","RC","Both",,,"57","28.5","Ambetter","Health Exchange",,,"62",,"35.34","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 30 FR","0270","RC","Both",,,"57","28.5","Caresource","Health Exchange",,,"62",,"35.34","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 30 FR","0270","RC","Both",,,"57","28.5","Cigna","Commercial",,,"59",,"33.4","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 30 FR","0270","RC","Both",,,"57","28.5","Humana","Commercial",,,"78",,"44.18","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 30 FR","0270","RC","Both",,,"57","28.5","UHC","Commercial",,,"75",,"42.98","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 30 FR","0270","RC","Both",,,"57","28.5","Medicaid",,,,"37",,"20.86","0.18","1007.5","percent of total billed charges",,
"CATHETER KIT FOLEY 5CC 16 F","0270","RC","Both",,,"12","6","Alliant","Health Exchange",,,"62",,"7.44","0.18","1007.5","percent of total billed charges",,
"CATHETER KIT FOLEY 5CC 16 F","0270","RC","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.48","0.18","1007.5","percent of total billed charges",,
"CATHETER KIT FOLEY 5CC 16 F","0270","RC","Both",,,"12","6","Medicare",,,,"54",,"6.5","0.18","1007.5","percent of total billed charges",,
"CATHETER KIT FOLEY 5CC 16 F","0270","RC","Both",,,"12","6","Humana","Medicare Advantage",,,"54",,"6.5","0.18","1007.5","percent of total billed charges",,
"CATHETER KIT FOLEY 5CC 16 F","0270","RC","Both",,,"12","6","UHC","Medicare Advantage",,,"54",,"6.5","0.18","1007.5","percent of total billed charges",,
"CATHETER KIT FOLEY 5CC 16 F","0270","RC","Both",,,"12","6","Clover","Medicare Advantage",,,"54",,"6.5","0.18","1007.5","percent of total billed charges",,
"CATHETER KIT FOLEY 5CC 16 F","0270","RC","Both",,,"12","6","Wellcare","Medicare Advantage",,,"54",,"6.5","0.18","1007.5","percent of total billed charges",,
"CATHETER KIT FOLEY 5CC 16 F","0270","RC","Both",,,"12","6","Amerigroup","Medicaid Managed Care",,,"37",,"4.39","0.18","1007.5","percent of total billed charges",,
"CATHETER KIT FOLEY 5CC 16 F","0270","RC","Both",,,"12","6","Caresource","Medicaid Managed Care",,,"40",,"4.8","0.18","1007.5","percent of total billed charges",,
"CATHETER KIT FOLEY 5CC 16 F","0270","RC","Both",,,"12","6","Wellcare","Medicaid Managed Care",,,"40",,"4.86","0.18","1007.5","percent of total billed charges",,
"CATHETER KIT FOLEY 5CC 16 F","0270","RC","Both",,,"12","6","Aetna","Commercial",,,"64",,"7.66","0.18","1007.5","percent of total billed charges",,
"CATHETER KIT FOLEY 5CC 16 F","0270","RC","Both",,,"12","6","Blue Cross Blue Shield","Pathways",,,"71",,"8.47","0.18","1007.5","percent of total billed charges",,
"CATHETER KIT FOLEY 5CC 16 F","0270","RC","Both",,,"12","6","Blue Cross Blue Shield","HMO",,,"71",,"8.47","0.18","1007.5","percent of total billed charges",,
"CATHETER KIT FOLEY 5CC 16 F","0270","RC","Both",,,"12","6","Blue Cross Blue Shield","PPO",,,"71",,"8.47","0.18","1007.5","percent of total billed charges",,
"CATHETER KIT FOLEY 5CC 16 F","0270","RC","Both",,,"12","6","Ambetter","Health Exchange",,,"62",,"7.44","0.18","1007.5","percent of total billed charges",,
"CATHETER KIT FOLEY 5CC 16 F","0270","RC","Both",,,"12","6","Caresource","Health Exchange",,,"62",,"7.44","0.18","1007.5","percent of total billed charges",,
"CATHETER KIT FOLEY 5CC 16 F","0270","RC","Both",,,"12","6","Cigna","Commercial",,,"59",,"7.03","0.18","1007.5","percent of total billed charges",,
"CATHETER KIT FOLEY 5CC 16 F","0270","RC","Both",,,"12","6","Humana","Commercial",,,"78",,"9.3","0.18","1007.5","percent of total billed charges",,
"CATHETER KIT FOLEY 5CC 16 F","0270","RC","Both",,,"12","6","UHC","Commercial",,,"75",,"9.05","0.18","1007.5","percent of total billed charges",,
"CATHETER KIT FOLEY 5CC 16 F","0270","RC","Both",,,"12","6","Medicaid",,,,"37",,"4.39","0.18","1007.5","percent of total billed charges",,
"CATHETER KIT FOLEY 5CC 18 F","0270","RC","Both",,,"36","18","Alliant","Health Exchange",,,"62",,"22.32","0.18","1007.5","percent of total billed charges",,
"CATHETER KIT FOLEY 5CC 18 F","0270","RC","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.44","0.18","1007.5","percent of total billed charges",,
"CATHETER KIT FOLEY 5CC 18 F","0270","RC","Both",,,"36","18","Medicare",,,,"54",,"19.51","0.18","1007.5","percent of total billed charges",,
"CATHETER KIT FOLEY 5CC 18 F","0270","RC","Both",,,"36","18","Humana","Medicare Advantage",,,"54",,"19.51","0.18","1007.5","percent of total billed charges",,
"CATHETER KIT FOLEY 5CC 18 F","0270","RC","Both",,,"36","18","UHC","Medicare Advantage",,,"54",,"19.51","0.18","1007.5","percent of total billed charges",,
"CATHETER KIT FOLEY 5CC 18 F","0270","RC","Both",,,"36","18","Clover","Medicare Advantage",,,"54",,"19.51","0.18","1007.5","percent of total billed charges",,
"CATHETER KIT FOLEY 5CC 18 F","0270","RC","Both",,,"36","18","Wellcare","Medicare Advantage",,,"54",,"19.51","0.18","1007.5","percent of total billed charges",,
"CATHETER KIT FOLEY 5CC 18 F","0270","RC","Both",,,"36","18","Amerigroup","Medicaid Managed Care",,,"37",,"13.18","0.18","1007.5","percent of total billed charges",,
"CATHETER KIT FOLEY 5CC 18 F","0270","RC","Both",,,"36","18","Caresource","Medicaid Managed Care",,,"40",,"14.4","0.18","1007.5","percent of total billed charges",,
"CATHETER KIT FOLEY 5CC 18 F","0270","RC","Both",,,"36","18","Wellcare","Medicaid Managed Care",,,"40",,"14.58","0.18","1007.5","percent of total billed charges",,
"CATHETER KIT FOLEY 5CC 18 F","0270","RC","Both",,,"36","18","Aetna","Commercial",,,"64",,"22.97","0.18","1007.5","percent of total billed charges",,
"CATHETER KIT FOLEY 5CC 18 F","0270","RC","Both",,,"36","18","Blue Cross Blue Shield","Pathways",,,"71",,"25.42","0.18","1007.5","percent of total billed charges",,
"CATHETER KIT FOLEY 5CC 18 F","0270","RC","Both",,,"36","18","Blue Cross Blue Shield","HMO",,,"71",,"25.42","0.18","1007.5","percent of total billed charges",,
"CATHETER KIT FOLEY 5CC 18 F","0270","RC","Both",,,"36","18","Blue Cross Blue Shield","PPO",,,"71",,"25.42","0.18","1007.5","percent of total billed charges",,
"CATHETER KIT FOLEY 5CC 18 F","0270","RC","Both",,,"36","18","Ambetter","Health Exchange",,,"62",,"22.32","0.18","1007.5","percent of total billed charges",,
"CATHETER KIT FOLEY 5CC 18 F","0270","RC","Both",,,"36","18","Caresource","Health Exchange",,,"62",,"22.32","0.18","1007.5","percent of total billed charges",,
"CATHETER KIT FOLEY 5CC 18 F","0270","RC","Both",,,"36","18","Cigna","Commercial",,,"59",,"21.1","0.18","1007.5","percent of total billed charges",,
"CATHETER KIT FOLEY 5CC 18 F","0270","RC","Both",,,"36","18","Humana","Commercial",,,"78",,"27.9","0.18","1007.5","percent of total billed charges",,
"CATHETER KIT FOLEY 5CC 18 F","0270","RC","Both",,,"36","18","UHC","Commercial",,,"75",,"27.14","0.18","1007.5","percent of total billed charges",,
"CATHETER KIT FOLEY 5CC 18 F","0270","RC","Both",,,"36","18","Medicaid",,,,"37",,"13.18","0.18","1007.5","percent of total billed charges",,
"DISPERSIVE DISP. ELECTRODE","0270","RC","Both",,,"13","6.5","Alliant","Health Exchange",,,"62",,"8.06","0.18","1007.5","percent of total billed charges",,
"DISPERSIVE DISP. ELECTRODE","0270","RC","Both",,,"13","6.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.02","0.18","1007.5","percent of total billed charges",,
"DISPERSIVE DISP. ELECTRODE","0270","RC","Both",,,"13","6.5","Medicare",,,,"54",,"7.05","0.18","1007.5","percent of total billed charges",,
"DISPERSIVE DISP. ELECTRODE","0270","RC","Both",,,"13","6.5","Humana","Medicare Advantage",,,"54",,"7.05","0.18","1007.5","percent of total billed charges",,
"DISPERSIVE DISP. ELECTRODE","0270","RC","Both",,,"13","6.5","UHC","Medicare Advantage",,,"54",,"7.05","0.18","1007.5","percent of total billed charges",,
"DISPERSIVE DISP. ELECTRODE","0270","RC","Both",,,"13","6.5","Clover","Medicare Advantage",,,"54",,"7.05","0.18","1007.5","percent of total billed charges",,
"DISPERSIVE DISP. ELECTRODE","0270","RC","Both",,,"13","6.5","Wellcare","Medicare Advantage",,,"54",,"7.05","0.18","1007.5","percent of total billed charges",,
"DISPERSIVE DISP. ELECTRODE","0270","RC","Both",,,"13","6.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.76","0.18","1007.5","percent of total billed charges",,
"DISPERSIVE DISP. ELECTRODE","0270","RC","Both",,,"13","6.5","Caresource","Medicaid Managed Care",,,"40",,"5.2","0.18","1007.5","percent of total billed charges",,
"DISPERSIVE DISP. ELECTRODE","0270","RC","Both",,,"13","6.5","Wellcare","Medicaid Managed Care",,,"40",,"5.26","0.18","1007.5","percent of total billed charges",,
"DISPERSIVE DISP. ELECTRODE","0270","RC","Both",,,"13","6.5","Aetna","Commercial",,,"64",,"8.29","0.18","1007.5","percent of total billed charges",,
"DISPERSIVE DISP. ELECTRODE","0270","RC","Both",,,"13","6.5","Blue Cross Blue Shield","Pathways",,,"71",,"9.18","0.18","1007.5","percent of total billed charges",,
"DISPERSIVE DISP. ELECTRODE","0270","RC","Both",,,"13","6.5","Blue Cross Blue Shield","HMO",,,"71",,"9.18","0.18","1007.5","percent of total billed charges",,
"DISPERSIVE DISP. ELECTRODE","0270","RC","Both",,,"13","6.5","Blue Cross Blue Shield","PPO",,,"71",,"9.18","0.18","1007.5","percent of total billed charges",,
"DISPERSIVE DISP. ELECTRODE","0270","RC","Both",,,"13","6.5","Ambetter","Health Exchange",,,"62",,"8.06","0.18","1007.5","percent of total billed charges",,
"DISPERSIVE DISP. ELECTRODE","0270","RC","Both",,,"13","6.5","Caresource","Health Exchange",,,"62",,"8.06","0.18","1007.5","percent of total billed charges",,
"DISPERSIVE DISP. ELECTRODE","0270","RC","Both",,,"13","6.5","Cigna","Commercial",,,"59",,"7.62","0.18","1007.5","percent of total billed charges",,
"DISPERSIVE DISP. ELECTRODE","0270","RC","Both",,,"13","6.5","Humana","Commercial",,,"78",,"10.08","0.18","1007.5","percent of total billed charges",,
"DISPERSIVE DISP. ELECTRODE","0270","RC","Both",,,"13","6.5","UHC","Commercial",,,"75",,"9.8","0.18","1007.5","percent of total billed charges",,
"DISPERSIVE DISP. ELECTRODE","0270","RC","Both",,,"13","6.5","Medicaid",,,,"37",,"4.76","0.18","1007.5","percent of total billed charges",,
"CIDEX DISENFECIANT","0270","RC","Both",,,"39","19.5","Alliant","Health Exchange",,,"62",,"24.18","0.18","1007.5","percent of total billed charges",,
"CIDEX DISENFECIANT","0270","RC","Both",,,"39","19.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"21.06","0.18","1007.5","percent of total billed charges",,
"CIDEX DISENFECIANT","0270","RC","Both",,,"39","19.5","Medicare",,,,"54",,"21.14","0.18","1007.5","percent of total billed charges",,
"CIDEX DISENFECIANT","0270","RC","Both",,,"39","19.5","Humana","Medicare Advantage",,,"54",,"21.14","0.18","1007.5","percent of total billed charges",,
"CIDEX DISENFECIANT","0270","RC","Both",,,"39","19.5","UHC","Medicare Advantage",,,"54",,"21.14","0.18","1007.5","percent of total billed charges",,
"CIDEX DISENFECIANT","0270","RC","Both",,,"39","19.5","Clover","Medicare Advantage",,,"54",,"21.14","0.18","1007.5","percent of total billed charges",,
"CIDEX DISENFECIANT","0270","RC","Both",,,"39","19.5","Wellcare","Medicare Advantage",,,"54",,"21.14","0.18","1007.5","percent of total billed charges",,
"CIDEX DISENFECIANT","0270","RC","Both",,,"39","19.5","Amerigroup","Medicaid Managed Care",,,"37",,"14.27","0.18","1007.5","percent of total billed charges",,
"CIDEX DISENFECIANT","0270","RC","Both",,,"39","19.5","Caresource","Medicaid Managed Care",,,"40",,"15.6","0.18","1007.5","percent of total billed charges",,
"CIDEX DISENFECIANT","0270","RC","Both",,,"39","19.5","Wellcare","Medicaid Managed Care",,,"40",,"15.8","0.18","1007.5","percent of total billed charges",,
"CIDEX DISENFECIANT","0270","RC","Both",,,"39","19.5","Aetna","Commercial",,,"64",,"24.88","0.18","1007.5","percent of total billed charges",,
"CIDEX DISENFECIANT","0270","RC","Both",,,"39","19.5","Blue Cross Blue Shield","Pathways",,,"71",,"27.53","0.18","1007.5","percent of total billed charges",,
"CIDEX DISENFECIANT","0270","RC","Both",,,"39","19.5","Blue Cross Blue Shield","HMO",,,"71",,"27.53","0.18","1007.5","percent of total billed charges",,
"CIDEX DISENFECIANT","0270","RC","Both",,,"39","19.5","Blue Cross Blue Shield","PPO",,,"71",,"27.53","0.18","1007.5","percent of total billed charges",,
"CIDEX DISENFECIANT","0270","RC","Both",,,"39","19.5","Ambetter","Health Exchange",,,"62",,"24.18","0.18","1007.5","percent of total billed charges",,
"CIDEX DISENFECIANT","0270","RC","Both",,,"39","19.5","Caresource","Health Exchange",,,"62",,"24.18","0.18","1007.5","percent of total billed charges",,
"CIDEX DISENFECIANT","0270","RC","Both",,,"39","19.5","Cigna","Commercial",,,"59",,"22.85","0.18","1007.5","percent of total billed charges",,
"CIDEX DISENFECIANT","0270","RC","Both",,,"39","19.5","Humana","Commercial",,,"78",,"30.22","0.18","1007.5","percent of total billed charges",,
"CIDEX DISENFECIANT","0270","RC","Both",,,"39","19.5","UHC","Commercial",,,"75",,"29.41","0.18","1007.5","percent of total billed charges",,
"CIDEX DISENFECIANT","0270","RC","Both",,,"39","19.5","Medicaid",,,,"37",,"14.27","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY-COUDE 16 FR.","0270","RC","Both",,,"31","15.5","Alliant","Health Exchange",,,"62",,"19.22","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY-COUDE 16 FR.","0270","RC","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.74","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY-COUDE 16 FR.","0270","RC","Both",,,"31","15.5","Medicare",,,,"54",,"16.8","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY-COUDE 16 FR.","0270","RC","Both",,,"31","15.5","Humana","Medicare Advantage",,,"54",,"16.8","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY-COUDE 16 FR.","0270","RC","Both",,,"31","15.5","UHC","Medicare Advantage",,,"54",,"16.8","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY-COUDE 16 FR.","0270","RC","Both",,,"31","15.5","Clover","Medicare Advantage",,,"54",,"16.8","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY-COUDE 16 FR.","0270","RC","Both",,,"31","15.5","Wellcare","Medicare Advantage",,,"54",,"16.8","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY-COUDE 16 FR.","0270","RC","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care",,,"37",,"11.35","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY-COUDE 16 FR.","0270","RC","Both",,,"31","15.5","Caresource","Medicaid Managed Care",,,"40",,"12.4","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY-COUDE 16 FR.","0270","RC","Both",,,"31","15.5","Wellcare","Medicaid Managed Care",,,"40",,"12.56","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY-COUDE 16 FR.","0270","RC","Both",,,"31","15.5","Aetna","Commercial",,,"64",,"19.78","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY-COUDE 16 FR.","0270","RC","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways",,,"71",,"21.89","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY-COUDE 16 FR.","0270","RC","Both",,,"31","15.5","Blue Cross Blue Shield","HMO",,,"71",,"21.89","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY-COUDE 16 FR.","0270","RC","Both",,,"31","15.5","Blue Cross Blue Shield","PPO",,,"71",,"21.89","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY-COUDE 16 FR.","0270","RC","Both",,,"31","15.5","Ambetter","Health Exchange",,,"62",,"19.22","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY-COUDE 16 FR.","0270","RC","Both",,,"31","15.5","Caresource","Health Exchange",,,"62",,"19.22","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY-COUDE 16 FR.","0270","RC","Both",,,"31","15.5","Cigna","Commercial",,,"59",,"18.17","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY-COUDE 16 FR.","0270","RC","Both",,,"31","15.5","Humana","Commercial",,,"78",,"24.02","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY-COUDE 16 FR.","0270","RC","Both",,,"31","15.5","UHC","Commercial",,,"75",,"23.37","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY-COUDE 16 FR.","0270","RC","Both",,,"31","15.5","Medicaid",,,,"37",,"11.35","0.18","1007.5","percent of total billed charges",,
"CAUTERY","0270","RC","Both",,,"51","25.5","Alliant","Health Exchange",,,"62",,"31.62","0.18","1007.5","percent of total billed charges",,
"CAUTERY","0270","RC","Both",,,"51","25.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"27.54","0.18","1007.5","percent of total billed charges",,
"CAUTERY","0270","RC","Both",,,"51","25.5","Medicare",,,,"54",,"27.64","0.18","1007.5","percent of total billed charges",,
"CAUTERY","0270","RC","Both",,,"51","25.5","Humana","Medicare Advantage",,,"54",,"27.64","0.18","1007.5","percent of total billed charges",,
"CAUTERY","0270","RC","Both",,,"51","25.5","UHC","Medicare Advantage",,,"54",,"27.64","0.18","1007.5","percent of total billed charges",,
"CAUTERY","0270","RC","Both",,,"51","25.5","Clover","Medicare Advantage",,,"54",,"27.64","0.18","1007.5","percent of total billed charges",,
"CAUTERY","0270","RC","Both",,,"51","25.5","Wellcare","Medicare Advantage",,,"54",,"27.64","0.18","1007.5","percent of total billed charges",,
"CAUTERY","0270","RC","Both",,,"51","25.5","Amerigroup","Medicaid Managed Care",,,"37",,"18.67","0.18","1007.5","percent of total billed charges",,
"CAUTERY","0270","RC","Both",,,"51","25.5","Caresource","Medicaid Managed Care",,,"40",,"20.4","0.18","1007.5","percent of total billed charges",,
"CAUTERY","0270","RC","Both",,,"51","25.5","Wellcare","Medicaid Managed Care",,,"40",,"20.66","0.18","1007.5","percent of total billed charges",,
"CAUTERY","0270","RC","Both",,,"51","25.5","Aetna","Commercial",,,"64",,"32.54","0.18","1007.5","percent of total billed charges",,
"CAUTERY","0270","RC","Both",,,"51","25.5","Blue Cross Blue Shield","Pathways",,,"71",,"36.01","0.18","1007.5","percent of total billed charges",,
"CAUTERY","0270","RC","Both",,,"51","25.5","Blue Cross Blue Shield","HMO",,,"71",,"36.01","0.18","1007.5","percent of total billed charges",,
"CAUTERY","0270","RC","Both",,,"51","25.5","Blue Cross Blue Shield","PPO",,,"71",,"36.01","0.18","1007.5","percent of total billed charges",,
"CAUTERY","0270","RC","Both",,,"51","25.5","Ambetter","Health Exchange",,,"62",,"31.62","0.18","1007.5","percent of total billed charges",,
"CAUTERY","0270","RC","Both",,,"51","25.5","Caresource","Health Exchange",,,"62",,"31.62","0.18","1007.5","percent of total billed charges",,
"CAUTERY","0270","RC","Both",,,"51","25.5","Cigna","Commercial",,,"59",,"29.89","0.18","1007.5","percent of total billed charges",,
"CAUTERY","0270","RC","Both",,,"51","25.5","Humana","Commercial",,,"78",,"39.52","0.18","1007.5","percent of total billed charges",,
"CAUTERY","0270","RC","Both",,,"51","25.5","UHC","Commercial",,,"75",,"38.45","0.18","1007.5","percent of total billed charges",,
"CAUTERY","0270","RC","Both",,,"51","25.5","Medicaid",,,,"37",,"18.67","0.18","1007.5","percent of total billed charges",,
"DRAPES LAP III","0272","RC","Both",,,"162.66","81.33","Alliant","Health Exchange",,,"62",,"100.85","1.1","126.06","percent of total billed charges",,
"DRAPES LAP III","0272","RC","Both",,,"162.66","81.33","Pruitt Healthcare","Medicare Advantage",,,"54",,"87.84","1.1","126.06","percent of total billed charges",,
"DRAPES LAP III","0272","RC","Both",,,"162.66","81.33","Medicare",,,,"54",,"88.16","1.1","126.06","percent of total billed charges",,
"DRAPES LAP III","0272","RC","Both",,,"162.66","81.33","Humana","Medicare Advantage",,,"54",,"88.16","1.1","126.06","percent of total billed charges",,
"DRAPES LAP III","0272","RC","Both",,,"162.66","81.33","UHC","Medicare Advantage",,,"54",,"88.16","1.1","126.06","percent of total billed charges",,
"DRAPES LAP III","0272","RC","Both",,,"162.66","81.33","Clover","Medicare Advantage",,,"54",,"88.16","1.1","126.06","percent of total billed charges",,
"DRAPES LAP III","0272","RC","Both",,,"162.66","81.33","Wellcare","Medicare Advantage",,,"54",,"88.16","1.1","126.06","percent of total billed charges",,
"DRAPES LAP III","0272","RC","Both",,,"162.66","81.33","Amerigroup","Medicaid Managed Care",,,"37",,"59.53","1.1","126.06","percent of total billed charges",,
"DRAPES LAP III","0272","RC","Both",,,"162.66","81.33","Caresource","Medicaid Managed Care",,,"40",,"65.06","1.1","126.06","percent of total billed charges",,
"DRAPES LAP III","0272","RC","Both",,,"162.66","81.33","Wellcare","Medicaid Managed Care",,,"40",,"65.88","1.1","126.06","percent of total billed charges",,
"DRAPES LAP III","0272","RC","Both",,,"162.66","81.33","Aetna","Commercial",,,"64",,"103.78","1.1","126.06","percent of total billed charges",,
"DRAPES LAP III","0272","RC","Both",,,"162.66","81.33","Blue Cross Blue Shield","Pathways",,,"71",,"114.84","1.1","126.06","percent of total billed charges",,
"DRAPES LAP III","0272","RC","Both",,,"162.66","81.33","Blue Cross Blue Shield","HMO",,,"71",,"114.84","1.1","126.06","percent of total billed charges",,
"DRAPES LAP III","0272","RC","Both",,,"162.66","81.33","Blue Cross Blue Shield","PPO",,,"71",,"114.84","1.1","126.06","percent of total billed charges",,
"DRAPES LAP III","0272","RC","Both",,,"162.66","81.33","Ambetter","Health Exchange",,,"62",,"100.85","1.1","126.06","percent of total billed charges",,
"DRAPES LAP III","0272","RC","Both",,,"162.66","81.33","Caresource","Health Exchange",,,"62",,"100.85","1.1","126.06","percent of total billed charges",,
"DRAPES LAP III","0272","RC","Both",,,"162.66","81.33","Cigna","Commercial",,,"59",,"95.32","1.1","126.06","percent of total billed charges",,
"DRAPES LAP III","0272","RC","Both",,,"162.66","81.33","Humana","Commercial",,,"78",,"126.06","1.1","126.06","percent of total billed charges",,
"DRAPES LAP III","0272","RC","Both",,,"162.66","81.33","UHC","Commercial",,,"75",,"122.65","1.1","126.06","percent of total billed charges",,
"DRAPES LAP III","0272","RC","Both",,,"162.66","81.33","Medicaid",,,,"37",,"59.53","1.1","126.06","percent of total billed charges",,
"ESOPHAGEAL BALLOON DILATOR","0270","RC","Both",,,"863.52","431.76","Alliant","Health Exchange",,,"62",,"535.38","0.18","1007.5","percent of total billed charges",,
"ESOPHAGEAL BALLOON DILATOR","0270","RC","Both",,,"863.52","431.76","Pruitt Healthcare","Medicare Advantage",,,"54",,"466.3","0.18","1007.5","percent of total billed charges",,
"ESOPHAGEAL BALLOON DILATOR","0270","RC","Both",,,"863.52","431.76","Medicare",,,,"54",,"468.03","0.18","1007.5","percent of total billed charges",,
"ESOPHAGEAL BALLOON DILATOR","0270","RC","Both",,,"863.52","431.76","Humana","Medicare Advantage",,,"54",,"468.03","0.18","1007.5","percent of total billed charges",,
"ESOPHAGEAL BALLOON DILATOR","0270","RC","Both",,,"863.52","431.76","UHC","Medicare Advantage",,,"54",,"468.03","0.18","1007.5","percent of total billed charges",,
"ESOPHAGEAL BALLOON DILATOR","0270","RC","Both",,,"863.52","431.76","Clover","Medicare Advantage",,,"54",,"468.03","0.18","1007.5","percent of total billed charges",,
"ESOPHAGEAL BALLOON DILATOR","0270","RC","Both",,,"863.52","431.76","Wellcare","Medicare Advantage",,,"54",,"468.03","0.18","1007.5","percent of total billed charges",,
"ESOPHAGEAL BALLOON DILATOR","0270","RC","Both",,,"863.52","431.76","Amerigroup","Medicaid Managed Care",,,"37",,"316.05","0.18","1007.5","percent of total billed charges",,
"ESOPHAGEAL BALLOON DILATOR","0270","RC","Both",,,"863.52","431.76","Caresource","Medicaid Managed Care",,,"40",,"345.41","0.18","1007.5","percent of total billed charges",,
"ESOPHAGEAL BALLOON DILATOR","0270","RC","Both",,,"863.52","431.76","Wellcare","Medicaid Managed Care",,,"40",,"349.73","0.18","1007.5","percent of total billed charges",,
"ESOPHAGEAL BALLOON DILATOR","0270","RC","Both",,,"863.52","431.76","Aetna","Commercial",,,"64",,"550.93","0.18","1007.5","percent of total billed charges",,
"ESOPHAGEAL BALLOON DILATOR","0270","RC","Both",,,"863.52","431.76","Blue Cross Blue Shield","Pathways",,,"71",,"609.65","0.18","1007.5","percent of total billed charges",,
"ESOPHAGEAL BALLOON DILATOR","0270","RC","Both",,,"863.52","431.76","Blue Cross Blue Shield","HMO",,,"71",,"609.65","0.18","1007.5","percent of total billed charges",,
"ESOPHAGEAL BALLOON DILATOR","0270","RC","Both",,,"863.52","431.76","Blue Cross Blue Shield","PPO",,,"71",,"609.65","0.18","1007.5","percent of total billed charges",,
"ESOPHAGEAL BALLOON DILATOR","0270","RC","Both",,,"863.52","431.76","Ambetter","Health Exchange",,,"62",,"535.38","0.18","1007.5","percent of total billed charges",,
"ESOPHAGEAL BALLOON DILATOR","0270","RC","Both",,,"863.52","431.76","Caresource","Health Exchange",,,"62",,"535.38","0.18","1007.5","percent of total billed charges",,
"ESOPHAGEAL BALLOON DILATOR","0270","RC","Both",,,"863.52","431.76","Cigna","Commercial",,,"59",,"506.02","0.18","1007.5","percent of total billed charges",,
"ESOPHAGEAL BALLOON DILATOR","0270","RC","Both",,,"863.52","431.76","Humana","Commercial",,,"78",,"669.23","0.18","1007.5","percent of total billed charges",,
"ESOPHAGEAL BALLOON DILATOR","0270","RC","Both",,,"863.52","431.76","UHC","Commercial",,,"75",,"651.09","0.18","1007.5","percent of total billed charges",,
"ESOPHAGEAL BALLOON DILATOR","0270","RC","Both",,,"863.52","431.76","Medicaid",,,,"37",,"316.05","0.18","1007.5","percent of total billed charges",,
"DRESSING PLAIN 2 X 2","0270","RC","Both",,,"16","8","Alliant","Health Exchange",,,"62",,"9.92","0.18","1007.5","percent of total billed charges",,
"DRESSING PLAIN 2 X 2","0270","RC","Both",,,"16","8","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.64","0.18","1007.5","percent of total billed charges",,
"DRESSING PLAIN 2 X 2","0270","RC","Both",,,"16","8","Medicare",,,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"DRESSING PLAIN 2 X 2","0270","RC","Both",,,"16","8","Humana","Medicare Advantage",,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"DRESSING PLAIN 2 X 2","0270","RC","Both",,,"16","8","UHC","Medicare Advantage",,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"DRESSING PLAIN 2 X 2","0270","RC","Both",,,"16","8","Clover","Medicare Advantage",,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"DRESSING PLAIN 2 X 2","0270","RC","Both",,,"16","8","Wellcare","Medicare Advantage",,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"DRESSING PLAIN 2 X 2","0270","RC","Both",,,"16","8","Amerigroup","Medicaid Managed Care",,,"37",,"5.86","0.18","1007.5","percent of total billed charges",,
"DRESSING PLAIN 2 X 2","0270","RC","Both",,,"16","8","Caresource","Medicaid Managed Care",,,"40",,"6.4","0.18","1007.5","percent of total billed charges",,
"DRESSING PLAIN 2 X 2","0270","RC","Both",,,"16","8","Wellcare","Medicaid Managed Care",,,"40",,"6.48","0.18","1007.5","percent of total billed charges",,
"DRESSING PLAIN 2 X 2","0270","RC","Both",,,"16","8","Aetna","Commercial",,,"64",,"10.21","0.18","1007.5","percent of total billed charges",,
"DRESSING PLAIN 2 X 2","0270","RC","Both",,,"16","8","Blue Cross Blue Shield","Pathways",,,"71",,"11.3","0.18","1007.5","percent of total billed charges",,
"DRESSING PLAIN 2 X 2","0270","RC","Both",,,"16","8","Blue Cross Blue Shield","HMO",,,"71",,"11.3","0.18","1007.5","percent of total billed charges",,
"DRESSING PLAIN 2 X 2","0270","RC","Both",,,"16","8","Blue Cross Blue Shield","PPO",,,"71",,"11.3","0.18","1007.5","percent of total billed charges",,
"DRESSING PLAIN 2 X 2","0270","RC","Both",,,"16","8","Ambetter","Health Exchange",,,"62",,"9.92","0.18","1007.5","percent of total billed charges",,
"DRESSING PLAIN 2 X 2","0270","RC","Both",,,"16","8","Caresource","Health Exchange",,,"62",,"9.92","0.18","1007.5","percent of total billed charges",,
"DRESSING PLAIN 2 X 2","0270","RC","Both",,,"16","8","Cigna","Commercial",,,"59",,"9.38","0.18","1007.5","percent of total billed charges",,
"DRESSING PLAIN 2 X 2","0270","RC","Both",,,"16","8","Humana","Commercial",,,"78",,"12.4","0.18","1007.5","percent of total billed charges",,
"DRESSING PLAIN 2 X 2","0270","RC","Both",,,"16","8","UHC","Commercial",,,"75",,"12.06","0.18","1007.5","percent of total billed charges",,
"DRESSING PLAIN 2 X 2","0270","RC","Both",,,"16","8","Medicaid",,,,"37",,"5.86","0.18","1007.5","percent of total billed charges",,
"ELECTRODES CARDIAC MONITOR","0270","RC","Both",,,"17","8.5","Alliant","Health Exchange",,,"62",,"10.54","0.18","1007.5","percent of total billed charges",,
"ELECTRODES CARDIAC MONITOR","0270","RC","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.18","0.18","1007.5","percent of total billed charges",,
"ELECTRODES CARDIAC MONITOR","0270","RC","Both",,,"17","8.5","Medicare",,,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"ELECTRODES CARDIAC MONITOR","0270","RC","Both",,,"17","8.5","Humana","Medicare Advantage",,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"ELECTRODES CARDIAC MONITOR","0270","RC","Both",,,"17","8.5","UHC","Medicare Advantage",,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"ELECTRODES CARDIAC MONITOR","0270","RC","Both",,,"17","8.5","Clover","Medicare Advantage",,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"ELECTRODES CARDIAC MONITOR","0270","RC","Both",,,"17","8.5","Wellcare","Medicare Advantage",,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"ELECTRODES CARDIAC MONITOR","0270","RC","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.22","0.18","1007.5","percent of total billed charges",,
"ELECTRODES CARDIAC MONITOR","0270","RC","Both",,,"17","8.5","Caresource","Medicaid Managed Care",,,"40",,"6.8","0.18","1007.5","percent of total billed charges",,
"ELECTRODES CARDIAC MONITOR","0270","RC","Both",,,"17","8.5","Wellcare","Medicaid Managed Care",,,"40",,"6.89","0.18","1007.5","percent of total billed charges",,
"ELECTRODES CARDIAC MONITOR","0270","RC","Both",,,"17","8.5","Aetna","Commercial",,,"64",,"10.85","0.18","1007.5","percent of total billed charges",,
"ELECTRODES CARDIAC MONITOR","0270","RC","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways",,,"71",,"12","0.18","1007.5","percent of total billed charges",,
"ELECTRODES CARDIAC MONITOR","0270","RC","Both",,,"17","8.5","Blue Cross Blue Shield","HMO",,,"71",,"12","0.18","1007.5","percent of total billed charges",,
"ELECTRODES CARDIAC MONITOR","0270","RC","Both",,,"17","8.5","Blue Cross Blue Shield","PPO",,,"71",,"12","0.18","1007.5","percent of total billed charges",,
"ELECTRODES CARDIAC MONITOR","0270","RC","Both",,,"17","8.5","Ambetter","Health Exchange",,,"62",,"10.54","0.18","1007.5","percent of total billed charges",,
"ELECTRODES CARDIAC MONITOR","0270","RC","Both",,,"17","8.5","Caresource","Health Exchange",,,"62",,"10.54","0.18","1007.5","percent of total billed charges",,
"ELECTRODES CARDIAC MONITOR","0270","RC","Both",,,"17","8.5","Cigna","Commercial",,,"59",,"9.96","0.18","1007.5","percent of total billed charges",,
"ELECTRODES CARDIAC MONITOR","0270","RC","Both",,,"17","8.5","Humana","Commercial",,,"78",,"13.18","0.18","1007.5","percent of total billed charges",,
"ELECTRODES CARDIAC MONITOR","0270","RC","Both",,,"17","8.5","UHC","Commercial",,,"75",,"12.82","0.18","1007.5","percent of total billed charges",,
"ELECTRODES CARDIAC MONITOR","0270","RC","Both",,,"17","8.5","Medicaid",,,,"37",,"6.22","0.18","1007.5","percent of total billed charges",,
"ELECTRODES CARDIAC MONITOR","0270","RC","Both",,,"9.75","4.875","Alliant","Health Exchange",,,"62",,"6.04","0.18","1007.5","percent of total billed charges",,
"ELECTRODES CARDIAC MONITOR","0270","RC","Both",,,"9.75","4.875","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.26","0.18","1007.5","percent of total billed charges",,
"ELECTRODES CARDIAC MONITOR","0270","RC","Both",,,"9.75","4.875","Medicare",,,,"54",,"5.28","0.18","1007.5","percent of total billed charges",,
"ELECTRODES CARDIAC MONITOR","0270","RC","Both",,,"9.75","4.875","Humana","Medicare Advantage",,,"54",,"5.28","0.18","1007.5","percent of total billed charges",,
"ELECTRODES CARDIAC MONITOR","0270","RC","Both",,,"9.75","4.875","UHC","Medicare Advantage",,,"54",,"5.28","0.18","1007.5","percent of total billed charges",,
"ELECTRODES CARDIAC MONITOR","0270","RC","Both",,,"9.75","4.875","Clover","Medicare Advantage",,,"54",,"5.28","0.18","1007.5","percent of total billed charges",,
"ELECTRODES CARDIAC MONITOR","0270","RC","Both",,,"9.75","4.875","Wellcare","Medicare Advantage",,,"54",,"5.28","0.18","1007.5","percent of total billed charges",,
"ELECTRODES CARDIAC MONITOR","0270","RC","Both",,,"9.75","4.875","Amerigroup","Medicaid Managed Care",,,"37",,"3.57","0.18","1007.5","percent of total billed charges",,
"ELECTRODES CARDIAC MONITOR","0270","RC","Both",,,"9.75","4.875","Caresource","Medicaid Managed Care",,,"40",,"3.9","0.18","1007.5","percent of total billed charges",,
"ELECTRODES CARDIAC MONITOR","0270","RC","Both",,,"9.75","4.875","Wellcare","Medicaid Managed Care",,,"40",,"3.95","0.18","1007.5","percent of total billed charges",,
"ELECTRODES CARDIAC MONITOR","0270","RC","Both",,,"9.75","4.875","Aetna","Commercial",,,"64",,"6.22","0.18","1007.5","percent of total billed charges",,
"ELECTRODES CARDIAC MONITOR","0270","RC","Both",,,"9.75","4.875","Blue Cross Blue Shield","Pathways",,,"71",,"6.88","0.18","1007.5","percent of total billed charges",,
"ELECTRODES CARDIAC MONITOR","0270","RC","Both",,,"9.75","4.875","Blue Cross Blue Shield","HMO",,,"71",,"6.88","0.18","1007.5","percent of total billed charges",,
"ELECTRODES CARDIAC MONITOR","0270","RC","Both",,,"9.75","4.875","Blue Cross Blue Shield","PPO",,,"71",,"6.88","0.18","1007.5","percent of total billed charges",,
"ELECTRODES CARDIAC MONITOR","0270","RC","Both",,,"9.75","4.875","Ambetter","Health Exchange",,,"62",,"6.04","0.18","1007.5","percent of total billed charges",,
"ELECTRODES CARDIAC MONITOR","0270","RC","Both",,,"9.75","4.875","Caresource","Health Exchange",,,"62",,"6.04","0.18","1007.5","percent of total billed charges",,
"ELECTRODES CARDIAC MONITOR","0270","RC","Both",,,"9.75","4.875","Cigna","Commercial",,,"59",,"5.71","0.18","1007.5","percent of total billed charges",,
"ELECTRODES CARDIAC MONITOR","0270","RC","Both",,,"9.75","4.875","Humana","Commercial",,,"78",,"7.56","0.18","1007.5","percent of total billed charges",,
"ELECTRODES CARDIAC MONITOR","0270","RC","Both",,,"9.75","4.875","UHC","Commercial",,,"75",,"7.35","0.18","1007.5","percent of total billed charges",,
"ELECTRODES CARDIAC MONITOR","0270","RC","Both",,,"9.75","4.875","Medicaid",,,,"37",,"3.57","0.18","1007.5","percent of total billed charges",,
"ENEMA SYRINGE (INFANT)","0270","RC","Both",,,"22.8","11.4","Alliant","Health Exchange",,,"62",,"14.14","0.18","1007.5","percent of total billed charges",,
"ENEMA SYRINGE (INFANT)","0270","RC","Both",,,"22.8","11.4","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.31","0.18","1007.5","percent of total billed charges",,
"ENEMA SYRINGE (INFANT)","0270","RC","Both",,,"22.8","11.4","Medicare",,,,"54",,"12.36","0.18","1007.5","percent of total billed charges",,
"ENEMA SYRINGE (INFANT)","0270","RC","Both",,,"22.8","11.4","Humana","Medicare Advantage",,,"54",,"12.36","0.18","1007.5","percent of total billed charges",,
"ENEMA SYRINGE (INFANT)","0270","RC","Both",,,"22.8","11.4","UHC","Medicare Advantage",,,"54",,"12.36","0.18","1007.5","percent of total billed charges",,
"ENEMA SYRINGE (INFANT)","0270","RC","Both",,,"22.8","11.4","Clover","Medicare Advantage",,,"54",,"12.36","0.18","1007.5","percent of total billed charges",,
"ENEMA SYRINGE (INFANT)","0270","RC","Both",,,"22.8","11.4","Wellcare","Medicare Advantage",,,"54",,"12.36","0.18","1007.5","percent of total billed charges",,
"ENEMA SYRINGE (INFANT)","0270","RC","Both",,,"22.8","11.4","Amerigroup","Medicaid Managed Care",,,"37",,"8.34","0.18","1007.5","percent of total billed charges",,
"ENEMA SYRINGE (INFANT)","0270","RC","Both",,,"22.8","11.4","Caresource","Medicaid Managed Care",,,"40",,"9.12","0.18","1007.5","percent of total billed charges",,
"ENEMA SYRINGE (INFANT)","0270","RC","Both",,,"22.8","11.4","Wellcare","Medicaid Managed Care",,,"40",,"9.23","0.18","1007.5","percent of total billed charges",,
"ENEMA SYRINGE (INFANT)","0270","RC","Both",,,"22.8","11.4","Aetna","Commercial",,,"64",,"14.55","0.18","1007.5","percent of total billed charges",,
"ENEMA SYRINGE (INFANT)","0270","RC","Both",,,"22.8","11.4","Blue Cross Blue Shield","Pathways",,,"71",,"16.1","0.18","1007.5","percent of total billed charges",,
"ENEMA SYRINGE (INFANT)","0270","RC","Both",,,"22.8","11.4","Blue Cross Blue Shield","HMO",,,"71",,"16.1","0.18","1007.5","percent of total billed charges",,
"ENEMA SYRINGE (INFANT)","0270","RC","Both",,,"22.8","11.4","Blue Cross Blue Shield","PPO",,,"71",,"16.1","0.18","1007.5","percent of total billed charges",,
"ENEMA SYRINGE (INFANT)","0270","RC","Both",,,"22.8","11.4","Ambetter","Health Exchange",,,"62",,"14.14","0.18","1007.5","percent of total billed charges",,
"ENEMA SYRINGE (INFANT)","0270","RC","Both",,,"22.8","11.4","Caresource","Health Exchange",,,"62",,"14.14","0.18","1007.5","percent of total billed charges",,
"ENEMA SYRINGE (INFANT)","0270","RC","Both",,,"22.8","11.4","Cigna","Commercial",,,"59",,"13.36","0.18","1007.5","percent of total billed charges",,
"ENEMA SYRINGE (INFANT)","0270","RC","Both",,,"22.8","11.4","Humana","Commercial",,,"78",,"17.67","0.18","1007.5","percent of total billed charges",,
"ENEMA SYRINGE (INFANT)","0270","RC","Both",,,"22.8","11.4","UHC","Commercial",,,"75",,"17.19","0.18","1007.5","percent of total billed charges",,
"ENEMA SYRINGE (INFANT)","0270","RC","Both",,,"22.8","11.4","Medicaid",,,,"37",,"8.34","0.18","1007.5","percent of total billed charges",,
"FEEDING PUMP SET","0270","RC","Both",,,"14","7","Alliant","Health Exchange",,,"62",,"8.68","0.18","1007.5","percent of total billed charges",,
"FEEDING PUMP SET","0270","RC","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.56","0.18","1007.5","percent of total billed charges",,
"FEEDING PUMP SET","0270","RC","Both",,,"14","7","Medicare",,,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"FEEDING PUMP SET","0270","RC","Both",,,"14","7","Humana","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"FEEDING PUMP SET","0270","RC","Both",,,"14","7","UHC","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"FEEDING PUMP SET","0270","RC","Both",,,"14","7","Clover","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"FEEDING PUMP SET","0270","RC","Both",,,"14","7","Wellcare","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"FEEDING PUMP SET","0270","RC","Both",,,"14","7","Amerigroup","Medicaid Managed Care",,,"37",,"5.12","0.18","1007.5","percent of total billed charges",,
"FEEDING PUMP SET","0270","RC","Both",,,"14","7","Caresource","Medicaid Managed Care",,,"40",,"5.6","0.18","1007.5","percent of total billed charges",,
"FEEDING PUMP SET","0270","RC","Both",,,"14","7","Wellcare","Medicaid Managed Care",,,"40",,"5.67","0.18","1007.5","percent of total billed charges",,
"FEEDING PUMP SET","0270","RC","Both",,,"14","7","Aetna","Commercial",,,"64",,"8.93","0.18","1007.5","percent of total billed charges",,
"FEEDING PUMP SET","0270","RC","Both",,,"14","7","Blue Cross Blue Shield","Pathways",,,"71",,"9.88","0.18","1007.5","percent of total billed charges",,
"FEEDING PUMP SET","0270","RC","Both",,,"14","7","Blue Cross Blue Shield","HMO",,,"71",,"9.88","0.18","1007.5","percent of total billed charges",,
"FEEDING PUMP SET","0270","RC","Both",,,"14","7","Blue Cross Blue Shield","PPO",,,"71",,"9.88","0.18","1007.5","percent of total billed charges",,
"FEEDING PUMP SET","0270","RC","Both",,,"14","7","Ambetter","Health Exchange",,,"62",,"8.68","0.18","1007.5","percent of total billed charges",,
"FEEDING PUMP SET","0270","RC","Both",,,"14","7","Caresource","Health Exchange",,,"62",,"8.68","0.18","1007.5","percent of total billed charges",,
"FEEDING PUMP SET","0270","RC","Both",,,"14","7","Cigna","Commercial",,,"59",,"8.2","0.18","1007.5","percent of total billed charges",,
"FEEDING PUMP SET","0270","RC","Both",,,"14","7","Humana","Commercial",,,"78",,"10.85","0.18","1007.5","percent of total billed charges",,
"FEEDING PUMP SET","0270","RC","Both",,,"14","7","UHC","Commercial",,,"75",,"10.56","0.18","1007.5","percent of total billed charges",,
"FEEDING PUMP SET","0270","RC","Both",,,"14","7","Medicaid",,,,"37",,"5.12","0.18","1007.5","percent of total billed charges",,
"FOAMASEPTIC 6 OZ","0270","RC","Both",,,"20.79","10.395","Alliant","Health Exchange",,,"62",,"12.89","0.18","1007.5","percent of total billed charges",,
"FOAMASEPTIC 6 OZ","0270","RC","Both",,,"20.79","10.395","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.23","0.18","1007.5","percent of total billed charges",,
"FOAMASEPTIC 6 OZ","0270","RC","Both",,,"20.79","10.395","Medicare",,,,"54",,"11.27","0.18","1007.5","percent of total billed charges",,
"FOAMASEPTIC 6 OZ","0270","RC","Both",,,"20.79","10.395","Humana","Medicare Advantage",,,"54",,"11.27","0.18","1007.5","percent of total billed charges",,
"FOAMASEPTIC 6 OZ","0270","RC","Both",,,"20.79","10.395","UHC","Medicare Advantage",,,"54",,"11.27","0.18","1007.5","percent of total billed charges",,
"FOAMASEPTIC 6 OZ","0270","RC","Both",,,"20.79","10.395","Clover","Medicare Advantage",,,"54",,"11.27","0.18","1007.5","percent of total billed charges",,
"FOAMASEPTIC 6 OZ","0270","RC","Both",,,"20.79","10.395","Wellcare","Medicare Advantage",,,"54",,"11.27","0.18","1007.5","percent of total billed charges",,
"FOAMASEPTIC 6 OZ","0270","RC","Both",,,"20.79","10.395","Amerigroup","Medicaid Managed Care",,,"37",,"7.61","0.18","1007.5","percent of total billed charges",,
"FOAMASEPTIC 6 OZ","0270","RC","Both",,,"20.79","10.395","Caresource","Medicaid Managed Care",,,"40",,"8.32","0.18","1007.5","percent of total billed charges",,
"FOAMASEPTIC 6 OZ","0270","RC","Both",,,"20.79","10.395","Wellcare","Medicaid Managed Care",,,"40",,"8.42","0.18","1007.5","percent of total billed charges",,
"FOAMASEPTIC 6 OZ","0270","RC","Both",,,"20.79","10.395","Aetna","Commercial",,,"64",,"13.26","0.18","1007.5","percent of total billed charges",,
"FOAMASEPTIC 6 OZ","0270","RC","Both",,,"20.79","10.395","Blue Cross Blue Shield","Pathways",,,"71",,"14.68","0.18","1007.5","percent of total billed charges",,
"FOAMASEPTIC 6 OZ","0270","RC","Both",,,"20.79","10.395","Blue Cross Blue Shield","HMO",,,"71",,"14.68","0.18","1007.5","percent of total billed charges",,
"FOAMASEPTIC 6 OZ","0270","RC","Both",,,"20.79","10.395","Blue Cross Blue Shield","PPO",,,"71",,"14.68","0.18","1007.5","percent of total billed charges",,
"FOAMASEPTIC 6 OZ","0270","RC","Both",,,"20.79","10.395","Ambetter","Health Exchange",,,"62",,"12.89","0.18","1007.5","percent of total billed charges",,
"FOAMASEPTIC 6 OZ","0270","RC","Both",,,"20.79","10.395","Caresource","Health Exchange",,,"62",,"12.89","0.18","1007.5","percent of total billed charges",,
"FOAMASEPTIC 6 OZ","0270","RC","Both",,,"20.79","10.395","Cigna","Commercial",,,"59",,"12.18","0.18","1007.5","percent of total billed charges",,
"FOAMASEPTIC 6 OZ","0270","RC","Both",,,"20.79","10.395","Humana","Commercial",,,"78",,"16.11","0.18","1007.5","percent of total billed charges",,
"FOAMASEPTIC 6 OZ","0270","RC","Both",,,"20.79","10.395","UHC","Commercial",,,"75",,"15.68","0.18","1007.5","percent of total billed charges",,
"FOAMASEPTIC 6 OZ","0270","RC","Both",,,"20.79","10.395","Medicaid",,,,"37",,"7.61","0.18","1007.5","percent of total billed charges",,
"FILTER IV SET","0270","RC","Both",,,"20","10","Alliant","Health Exchange",,,"62",,"12.4","0.18","1007.5","percent of total billed charges",,
"FILTER IV SET","0270","RC","Both",,,"20","10","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.8","0.18","1007.5","percent of total billed charges",,
"FILTER IV SET","0270","RC","Both",,,"20","10","Medicare",,,,"54",,"10.84","0.18","1007.5","percent of total billed charges",,
"FILTER IV SET","0270","RC","Both",,,"20","10","Humana","Medicare Advantage",,,"54",,"10.84","0.18","1007.5","percent of total billed charges",,
"FILTER IV SET","0270","RC","Both",,,"20","10","UHC","Medicare Advantage",,,"54",,"10.84","0.18","1007.5","percent of total billed charges",,
"FILTER IV SET","0270","RC","Both",,,"20","10","Clover","Medicare Advantage",,,"54",,"10.84","0.18","1007.5","percent of total billed charges",,
"FILTER IV SET","0270","RC","Both",,,"20","10","Wellcare","Medicare Advantage",,,"54",,"10.84","0.18","1007.5","percent of total billed charges",,
"FILTER IV SET","0270","RC","Both",,,"20","10","Amerigroup","Medicaid Managed Care",,,"37",,"7.32","0.18","1007.5","percent of total billed charges",,
"FILTER IV SET","0270","RC","Both",,,"20","10","Caresource","Medicaid Managed Care",,,"40",,"8","0.18","1007.5","percent of total billed charges",,
"FILTER IV SET","0270","RC","Both",,,"20","10","Wellcare","Medicaid Managed Care",,,"40",,"8.1","0.18","1007.5","percent of total billed charges",,
"FILTER IV SET","0270","RC","Both",,,"20","10","Aetna","Commercial",,,"64",,"12.76","0.18","1007.5","percent of total billed charges",,
"FILTER IV SET","0270","RC","Both",,,"20","10","Blue Cross Blue Shield","Pathways",,,"71",,"14.12","0.18","1007.5","percent of total billed charges",,
"FILTER IV SET","0270","RC","Both",,,"20","10","Blue Cross Blue Shield","HMO",,,"71",,"14.12","0.18","1007.5","percent of total billed charges",,
"FILTER IV SET","0270","RC","Both",,,"20","10","Blue Cross Blue Shield","PPO",,,"71",,"14.12","0.18","1007.5","percent of total billed charges",,
"FILTER IV SET","0270","RC","Both",,,"20","10","Ambetter","Health Exchange",,,"62",,"12.4","0.18","1007.5","percent of total billed charges",,
"FILTER IV SET","0270","RC","Both",,,"20","10","Caresource","Health Exchange",,,"62",,"12.4","0.18","1007.5","percent of total billed charges",,
"FILTER IV SET","0270","RC","Both",,,"20","10","Cigna","Commercial",,,"59",,"11.72","0.18","1007.5","percent of total billed charges",,
"FILTER IV SET","0270","RC","Both",,,"20","10","Humana","Commercial",,,"78",,"15.5","0.18","1007.5","percent of total billed charges",,
"FILTER IV SET","0270","RC","Both",,,"20","10","UHC","Commercial",,,"75",,"15.08","0.18","1007.5","percent of total billed charges",,
"FILTER IV SET","0270","RC","Both",,,"20","10","Medicaid",,,,"37",,"7.32","0.18","1007.5","percent of total billed charges",,
"HEEL PROTECTOR","0270","RC","Both",,,"52","26","Alliant","Health Exchange",,,"62",,"32.24","0.18","1007.5","percent of total billed charges",,
"HEEL PROTECTOR","0270","RC","Both",,,"52","26","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.08","0.18","1007.5","percent of total billed charges",,
"HEEL PROTECTOR","0270","RC","Both",,,"52","26","Medicare",,,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"HEEL PROTECTOR","0270","RC","Both",,,"52","26","Humana","Medicare Advantage",,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"HEEL PROTECTOR","0270","RC","Both",,,"52","26","UHC","Medicare Advantage",,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"HEEL PROTECTOR","0270","RC","Both",,,"52","26","Clover","Medicare Advantage",,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"HEEL PROTECTOR","0270","RC","Both",,,"52","26","Wellcare","Medicare Advantage",,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"HEEL PROTECTOR","0270","RC","Both",,,"52","26","Amerigroup","Medicaid Managed Care",,,"37",,"19.03","0.18","1007.5","percent of total billed charges",,
"HEEL PROTECTOR","0270","RC","Both",,,"52","26","Caresource","Medicaid Managed Care",,,"40",,"20.8","0.18","1007.5","percent of total billed charges",,
"HEEL PROTECTOR","0270","RC","Both",,,"52","26","Wellcare","Medicaid Managed Care",,,"40",,"21.06","0.18","1007.5","percent of total billed charges",,
"HEEL PROTECTOR","0270","RC","Both",,,"52","26","Aetna","Commercial",,,"64",,"33.18","0.18","1007.5","percent of total billed charges",,
"HEEL PROTECTOR","0270","RC","Both",,,"52","26","Blue Cross Blue Shield","Pathways",,,"71",,"36.71","0.18","1007.5","percent of total billed charges",,
"HEEL PROTECTOR","0270","RC","Both",,,"52","26","Blue Cross Blue Shield","HMO",,,"71",,"36.71","0.18","1007.5","percent of total billed charges",,
"HEEL PROTECTOR","0270","RC","Both",,,"52","26","Blue Cross Blue Shield","PPO",,,"71",,"36.71","0.18","1007.5","percent of total billed charges",,
"HEEL PROTECTOR","0270","RC","Both",,,"52","26","Ambetter","Health Exchange",,,"62",,"32.24","0.18","1007.5","percent of total billed charges",,
"HEEL PROTECTOR","0270","RC","Both",,,"52","26","Caresource","Health Exchange",,,"62",,"32.24","0.18","1007.5","percent of total billed charges",,
"HEEL PROTECTOR","0270","RC","Both",,,"52","26","Cigna","Commercial",,,"59",,"30.47","0.18","1007.5","percent of total billed charges",,
"HEEL PROTECTOR","0270","RC","Both",,,"52","26","Humana","Commercial",,,"78",,"40.3","0.18","1007.5","percent of total billed charges",,
"HEEL PROTECTOR","0270","RC","Both",,,"52","26","UHC","Commercial",,,"75",,"39.21","0.18","1007.5","percent of total billed charges",,
"HEEL PROTECTOR","0270","RC","Both",,,"52","26","Medicaid",,,,"37",,"19.03","0.18","1007.5","percent of total billed charges",,
"INVALID CUSHION","0270","RC","Both",,,"37","18.5","Alliant","Health Exchange",,,"62",,"22.94","0.18","1007.5","percent of total billed charges",,
"INVALID CUSHION","0270","RC","Both",,,"37","18.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.98","0.18","1007.5","percent of total billed charges",,
"INVALID CUSHION","0270","RC","Both",,,"37","18.5","Medicare",,,,"54",,"20.05","0.18","1007.5","percent of total billed charges",,
"INVALID CUSHION","0270","RC","Both",,,"37","18.5","Humana","Medicare Advantage",,,"54",,"20.05","0.18","1007.5","percent of total billed charges",,
"INVALID CUSHION","0270","RC","Both",,,"37","18.5","UHC","Medicare Advantage",,,"54",,"20.05","0.18","1007.5","percent of total billed charges",,
"INVALID CUSHION","0270","RC","Both",,,"37","18.5","Clover","Medicare Advantage",,,"54",,"20.05","0.18","1007.5","percent of total billed charges",,
"INVALID CUSHION","0270","RC","Both",,,"37","18.5","Wellcare","Medicare Advantage",,,"54",,"20.05","0.18","1007.5","percent of total billed charges",,
"INVALID CUSHION","0270","RC","Both",,,"37","18.5","Amerigroup","Medicaid Managed Care",,,"37",,"13.54","0.18","1007.5","percent of total billed charges",,
"INVALID CUSHION","0270","RC","Both",,,"37","18.5","Caresource","Medicaid Managed Care",,,"40",,"14.8","0.18","1007.5","percent of total billed charges",,
"INVALID CUSHION","0270","RC","Both",,,"37","18.5","Wellcare","Medicaid Managed Care",,,"40",,"14.99","0.18","1007.5","percent of total billed charges",,
"INVALID CUSHION","0270","RC","Both",,,"37","18.5","Aetna","Commercial",,,"64",,"23.61","0.18","1007.5","percent of total billed charges",,
"INVALID CUSHION","0270","RC","Both",,,"37","18.5","Blue Cross Blue Shield","Pathways",,,"71",,"26.12","0.18","1007.5","percent of total billed charges",,
"INVALID CUSHION","0270","RC","Both",,,"37","18.5","Blue Cross Blue Shield","HMO",,,"71",,"26.12","0.18","1007.5","percent of total billed charges",,
"INVALID CUSHION","0270","RC","Both",,,"37","18.5","Blue Cross Blue Shield","PPO",,,"71",,"26.12","0.18","1007.5","percent of total billed charges",,
"INVALID CUSHION","0270","RC","Both",,,"37","18.5","Ambetter","Health Exchange",,,"62",,"22.94","0.18","1007.5","percent of total billed charges",,
"INVALID CUSHION","0270","RC","Both",,,"37","18.5","Caresource","Health Exchange",,,"62",,"22.94","0.18","1007.5","percent of total billed charges",,
"INVALID CUSHION","0270","RC","Both",,,"37","18.5","Cigna","Commercial",,,"59",,"21.68","0.18","1007.5","percent of total billed charges",,
"INVALID CUSHION","0270","RC","Both",,,"37","18.5","Humana","Commercial",,,"78",,"28.68","0.18","1007.5","percent of total billed charges",,
"INVALID CUSHION","0270","RC","Both",,,"37","18.5","UHC","Commercial",,,"75",,"27.9","0.18","1007.5","percent of total billed charges",,
"INVALID CUSHION","0270","RC","Both",,,"37","18.5","Medicaid",,,,"37",,"13.54","0.18","1007.5","percent of total billed charges",,
"LACERATION PACK","0270","RC","Both",,,"22.8","11.4","Alliant","Health Exchange",,,"62",,"14.14","0.18","1007.5","percent of total billed charges",,
"LACERATION PACK","0270","RC","Both",,,"22.8","11.4","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.31","0.18","1007.5","percent of total billed charges",,
"LACERATION PACK","0270","RC","Both",,,"22.8","11.4","Medicare",,,,"54",,"12.36","0.18","1007.5","percent of total billed charges",,
"LACERATION PACK","0270","RC","Both",,,"22.8","11.4","Humana","Medicare Advantage",,,"54",,"12.36","0.18","1007.5","percent of total billed charges",,
"LACERATION PACK","0270","RC","Both",,,"22.8","11.4","UHC","Medicare Advantage",,,"54",,"12.36","0.18","1007.5","percent of total billed charges",,
"LACERATION PACK","0270","RC","Both",,,"22.8","11.4","Clover","Medicare Advantage",,,"54",,"12.36","0.18","1007.5","percent of total billed charges",,
"LACERATION PACK","0270","RC","Both",,,"22.8","11.4","Wellcare","Medicare Advantage",,,"54",,"12.36","0.18","1007.5","percent of total billed charges",,
"LACERATION PACK","0270","RC","Both",,,"22.8","11.4","Amerigroup","Medicaid Managed Care",,,"37",,"8.34","0.18","1007.5","percent of total billed charges",,
"LACERATION PACK","0270","RC","Both",,,"22.8","11.4","Caresource","Medicaid Managed Care",,,"40",,"9.12","0.18","1007.5","percent of total billed charges",,
"LACERATION PACK","0270","RC","Both",,,"22.8","11.4","Wellcare","Medicaid Managed Care",,,"40",,"9.23","0.18","1007.5","percent of total billed charges",,
"LACERATION PACK","0270","RC","Both",,,"22.8","11.4","Aetna","Commercial",,,"64",,"14.55","0.18","1007.5","percent of total billed charges",,
"LACERATION PACK","0270","RC","Both",,,"22.8","11.4","Blue Cross Blue Shield","Pathways",,,"71",,"16.1","0.18","1007.5","percent of total billed charges",,
"LACERATION PACK","0270","RC","Both",,,"22.8","11.4","Blue Cross Blue Shield","HMO",,,"71",,"16.1","0.18","1007.5","percent of total billed charges",,
"LACERATION PACK","0270","RC","Both",,,"22.8","11.4","Blue Cross Blue Shield","PPO",,,"71",,"16.1","0.18","1007.5","percent of total billed charges",,
"LACERATION PACK","0270","RC","Both",,,"22.8","11.4","Ambetter","Health Exchange",,,"62",,"14.14","0.18","1007.5","percent of total billed charges",,
"LACERATION PACK","0270","RC","Both",,,"22.8","11.4","Caresource","Health Exchange",,,"62",,"14.14","0.18","1007.5","percent of total billed charges",,
"LACERATION PACK","0270","RC","Both",,,"22.8","11.4","Cigna","Commercial",,,"59",,"13.36","0.18","1007.5","percent of total billed charges",,
"LACERATION PACK","0270","RC","Both",,,"22.8","11.4","Humana","Commercial",,,"78",,"17.67","0.18","1007.5","percent of total billed charges",,
"LACERATION PACK","0270","RC","Both",,,"22.8","11.4","UHC","Commercial",,,"75",,"17.19","0.18","1007.5","percent of total billed charges",,
"LACERATION PACK","0270","RC","Both",,,"22.8","11.4","Medicaid",,,,"37",,"8.34","0.18","1007.5","percent of total billed charges",,
"NASOGASTRIC TUBES","0270","RC","Both",,,"358","179","Alliant","Health Exchange",,,"62",,"221.96","0.18","1007.5","percent of total billed charges",,
"NASOGASTRIC TUBES","0270","RC","Both",,,"358","179","Pruitt Healthcare","Medicare Advantage",,,"54",,"193.32","0.18","1007.5","percent of total billed charges",,
"NASOGASTRIC TUBES","0270","RC","Both",,,"358","179","Medicare",,,,"54",,"194.04","0.18","1007.5","percent of total billed charges",,
"NASOGASTRIC TUBES","0270","RC","Both",,,"358","179","Humana","Medicare Advantage",,,"54",,"194.04","0.18","1007.5","percent of total billed charges",,
"NASOGASTRIC TUBES","0270","RC","Both",,,"358","179","UHC","Medicare Advantage",,,"54",,"194.04","0.18","1007.5","percent of total billed charges",,
"NASOGASTRIC TUBES","0270","RC","Both",,,"358","179","Clover","Medicare Advantage",,,"54",,"194.04","0.18","1007.5","percent of total billed charges",,
"NASOGASTRIC TUBES","0270","RC","Both",,,"358","179","Wellcare","Medicare Advantage",,,"54",,"194.04","0.18","1007.5","percent of total billed charges",,
"NASOGASTRIC TUBES","0270","RC","Both",,,"358","179","Amerigroup","Medicaid Managed Care",,,"37",,"131.03","0.18","1007.5","percent of total billed charges",,
"NASOGASTRIC TUBES","0270","RC","Both",,,"358","179","Caresource","Medicaid Managed Care",,,"40",,"143.2","0.18","1007.5","percent of total billed charges",,
"NASOGASTRIC TUBES","0270","RC","Both",,,"358","179","Wellcare","Medicaid Managed Care",,,"40",,"144.99","0.18","1007.5","percent of total billed charges",,
"NASOGASTRIC TUBES","0270","RC","Both",,,"358","179","Aetna","Commercial",,,"64",,"228.4","0.18","1007.5","percent of total billed charges",,
"NASOGASTRIC TUBES","0270","RC","Both",,,"358","179","Blue Cross Blue Shield","Pathways",,,"71",,"252.75","0.18","1007.5","percent of total billed charges",,
"NASOGASTRIC TUBES","0270","RC","Both",,,"358","179","Blue Cross Blue Shield","HMO",,,"71",,"252.75","0.18","1007.5","percent of total billed charges",,
"NASOGASTRIC TUBES","0270","RC","Both",,,"358","179","Blue Cross Blue Shield","PPO",,,"71",,"252.75","0.18","1007.5","percent of total billed charges",,
"NASOGASTRIC TUBES","0270","RC","Both",,,"358","179","Ambetter","Health Exchange",,,"62",,"221.96","0.18","1007.5","percent of total billed charges",,
"NASOGASTRIC TUBES","0270","RC","Both",,,"358","179","Caresource","Health Exchange",,,"62",,"221.96","0.18","1007.5","percent of total billed charges",,
"NASOGASTRIC TUBES","0270","RC","Both",,,"358","179","Cigna","Commercial",,,"59",,"209.79","0.18","1007.5","percent of total billed charges",,
"NASOGASTRIC TUBES","0270","RC","Both",,,"358","179","Humana","Commercial",,,"78",,"277.45","0.18","1007.5","percent of total billed charges",,
"NASOGASTRIC TUBES","0270","RC","Both",,,"358","179","UHC","Commercial",,,"75",,"269.93","0.18","1007.5","percent of total billed charges",,
"NASOGASTRIC TUBES","0270","RC","Both",,,"358","179","Medicaid",,,,"37",,"131.03","0.18","1007.5","percent of total billed charges",,
"NEBULIZER AEROSOL DISPOSABL","0270","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.18","1007.5","percent of total billed charges",,
"NEBULIZER AEROSOL DISPOSABL","0270","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.18","1007.5","percent of total billed charges",,
"NEBULIZER AEROSOL DISPOSABL","0270","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.18","1007.5","percent of total billed charges",,
"NEBULIZER AEROSOL DISPOSABL","0270","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.18","1007.5","percent of total billed charges",,
"NEBULIZER AEROSOL DISPOSABL","0270","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.18","1007.5","percent of total billed charges",,
"NEBULIZER AEROSOL DISPOSABL","0270","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.18","1007.5","percent of total billed charges",,
"NEBULIZER AEROSOL DISPOSABL","0270","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.18","1007.5","percent of total billed charges",,
"NEBULIZER AEROSOL DISPOSABL","0270","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.18","1007.5","percent of total billed charges",,
"NEBULIZER AEROSOL DISPOSABL","0270","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.18","1007.5","percent of total billed charges",,
"NEBULIZER AEROSOL DISPOSABL","0270","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.18","1007.5","percent of total billed charges",,
"NEBULIZER AEROSOL DISPOSABL","0270","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.18","1007.5","percent of total billed charges",,
"NEBULIZER AEROSOL DISPOSABL","0270","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.18","1007.5","percent of total billed charges",,
"NEBULIZER AEROSOL DISPOSABL","0270","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.18","1007.5","percent of total billed charges",,
"NEBULIZER AEROSOL DISPOSABL","0270","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.18","1007.5","percent of total billed charges",,
"NEBULIZER AEROSOL DISPOSABL","0270","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.18","1007.5","percent of total billed charges",,
"NEBULIZER AEROSOL DISPOSABL","0270","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.18","1007.5","percent of total billed charges",,
"NEBULIZER AEROSOL DISPOSABL","0270","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.18","1007.5","percent of total billed charges",,
"NEBULIZER AEROSOL DISPOSABL","0270","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.18","1007.5","percent of total billed charges",,
"NEBULIZER AEROSOL DISPOSABL","0270","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.18","1007.5","percent of total billed charges",,
"NEBULIZER AEROSOL DISPOSABL","0270","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.18","1007.5","percent of total billed charges",,
"OBSTETRIC PAD SINGLE","0270","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.18","1007.5","percent of total billed charges",,
"OBSTETRIC PAD SINGLE","0270","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.18","1007.5","percent of total billed charges",,
"OBSTETRIC PAD SINGLE","0270","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.18","1007.5","percent of total billed charges",,
"OBSTETRIC PAD SINGLE","0270","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.18","1007.5","percent of total billed charges",,
"OBSTETRIC PAD SINGLE","0270","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.18","1007.5","percent of total billed charges",,
"OBSTETRIC PAD SINGLE","0270","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.18","1007.5","percent of total billed charges",,
"OBSTETRIC PAD SINGLE","0270","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.18","1007.5","percent of total billed charges",,
"OBSTETRIC PAD SINGLE","0270","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.18","1007.5","percent of total billed charges",,
"OBSTETRIC PAD SINGLE","0270","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.18","1007.5","percent of total billed charges",,
"OBSTETRIC PAD SINGLE","0270","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.18","1007.5","percent of total billed charges",,
"OBSTETRIC PAD SINGLE","0270","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.18","1007.5","percent of total billed charges",,
"OBSTETRIC PAD SINGLE","0270","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.18","1007.5","percent of total billed charges",,
"OBSTETRIC PAD SINGLE","0270","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.18","1007.5","percent of total billed charges",,
"OBSTETRIC PAD SINGLE","0270","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.18","1007.5","percent of total billed charges",,
"OBSTETRIC PAD SINGLE","0270","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.18","1007.5","percent of total billed charges",,
"OBSTETRIC PAD SINGLE","0270","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.18","1007.5","percent of total billed charges",,
"OBSTETRIC PAD SINGLE","0270","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.18","1007.5","percent of total billed charges",,
"OBSTETRIC PAD SINGLE","0270","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.18","1007.5","percent of total billed charges",,
"OBSTETRIC PAD SINGLE","0270","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.18","1007.5","percent of total billed charges",,
"OBSTETRIC PAD SINGLE","0270","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.18","1007.5","percent of total billed charges",,
"PENROSE DRAIN","0270","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.18","1007.5","percent of total billed charges",,
"PENROSE DRAIN","0270","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.18","1007.5","percent of total billed charges",,
"PENROSE DRAIN","0270","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.18","1007.5","percent of total billed charges",,
"PENROSE DRAIN","0270","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.18","1007.5","percent of total billed charges",,
"PENROSE DRAIN","0270","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.18","1007.5","percent of total billed charges",,
"PENROSE DRAIN","0270","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.18","1007.5","percent of total billed charges",,
"PENROSE DRAIN","0270","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.18","1007.5","percent of total billed charges",,
"PENROSE DRAIN","0270","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.18","1007.5","percent of total billed charges",,
"PENROSE DRAIN","0270","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.18","1007.5","percent of total billed charges",,
"PENROSE DRAIN","0270","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.18","1007.5","percent of total billed charges",,
"PENROSE DRAIN","0270","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.18","1007.5","percent of total billed charges",,
"PENROSE DRAIN","0270","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.18","1007.5","percent of total billed charges",,
"PENROSE DRAIN","0270","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.18","1007.5","percent of total billed charges",,
"PENROSE DRAIN","0270","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.18","1007.5","percent of total billed charges",,
"PENROSE DRAIN","0270","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.18","1007.5","percent of total billed charges",,
"PENROSE DRAIN","0270","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.18","1007.5","percent of total billed charges",,
"PENROSE DRAIN","0270","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.18","1007.5","percent of total billed charges",,
"PENROSE DRAIN","0270","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.18","1007.5","percent of total billed charges",,
"PENROSE DRAIN","0270","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.18","1007.5","percent of total billed charges",,
"PENROSE DRAIN","0270","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.18","1007.5","percent of total billed charges",,
"PREP TRAY","0270","RC","Both",,,"11.5","5.75","Alliant","Health Exchange",,,"62",,"7.13","0.18","1007.5","percent of total billed charges",,
"PREP TRAY","0270","RC","Both",,,"11.5","5.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.21","0.18","1007.5","percent of total billed charges",,
"PREP TRAY","0270","RC","Both",,,"11.5","5.75","Medicare",,,,"54",,"6.23","0.18","1007.5","percent of total billed charges",,
"PREP TRAY","0270","RC","Both",,,"11.5","5.75","Humana","Medicare Advantage",,,"54",,"6.23","0.18","1007.5","percent of total billed charges",,
"PREP TRAY","0270","RC","Both",,,"11.5","5.75","UHC","Medicare Advantage",,,"54",,"6.23","0.18","1007.5","percent of total billed charges",,
"PREP TRAY","0270","RC","Both",,,"11.5","5.75","Clover","Medicare Advantage",,,"54",,"6.23","0.18","1007.5","percent of total billed charges",,
"PREP TRAY","0270","RC","Both",,,"11.5","5.75","Wellcare","Medicare Advantage",,,"54",,"6.23","0.18","1007.5","percent of total billed charges",,
"PREP TRAY","0270","RC","Both",,,"11.5","5.75","Amerigroup","Medicaid Managed Care",,,"37",,"4.21","0.18","1007.5","percent of total billed charges",,
"PREP TRAY","0270","RC","Both",,,"11.5","5.75","Caresource","Medicaid Managed Care",,,"40",,"4.6","0.18","1007.5","percent of total billed charges",,
"PREP TRAY","0270","RC","Both",,,"11.5","5.75","Wellcare","Medicaid Managed Care",,,"40",,"4.66","0.18","1007.5","percent of total billed charges",,
"PREP TRAY","0270","RC","Both",,,"11.5","5.75","Aetna","Commercial",,,"64",,"7.34","0.18","1007.5","percent of total billed charges",,
"PREP TRAY","0270","RC","Both",,,"11.5","5.75","Blue Cross Blue Shield","Pathways",,,"71",,"8.12","0.18","1007.5","percent of total billed charges",,
"PREP TRAY","0270","RC","Both",,,"11.5","5.75","Blue Cross Blue Shield","HMO",,,"71",,"8.12","0.18","1007.5","percent of total billed charges",,
"PREP TRAY","0270","RC","Both",,,"11.5","5.75","Blue Cross Blue Shield","PPO",,,"71",,"8.12","0.18","1007.5","percent of total billed charges",,
"PREP TRAY","0270","RC","Both",,,"11.5","5.75","Ambetter","Health Exchange",,,"62",,"7.13","0.18","1007.5","percent of total billed charges",,
"PREP TRAY","0270","RC","Both",,,"11.5","5.75","Caresource","Health Exchange",,,"62",,"7.13","0.18","1007.5","percent of total billed charges",,
"PREP TRAY","0270","RC","Both",,,"11.5","5.75","Cigna","Commercial",,,"59",,"6.74","0.18","1007.5","percent of total billed charges",,
"PREP TRAY","0270","RC","Both",,,"11.5","5.75","Humana","Commercial",,,"78",,"8.91","0.18","1007.5","percent of total billed charges",,
"PREP TRAY","0270","RC","Both",,,"11.5","5.75","UHC","Commercial",,,"75",,"8.67","0.18","1007.5","percent of total billed charges",,
"PREP TRAY","0270","RC","Both",,,"11.5","5.75","Medicaid",,,,"37",,"4.21","0.18","1007.5","percent of total billed charges",,
"PLEUR-EVAC","0270","RC","Both",,,"115","57.5","Alliant","Health Exchange",,,"62",,"71.3","0.18","1007.5","percent of total billed charges",,
"PLEUR-EVAC","0270","RC","Both",,,"115","57.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"62.1","0.18","1007.5","percent of total billed charges",,
"PLEUR-EVAC","0270","RC","Both",,,"115","57.5","Medicare",,,,"54",,"62.33","0.18","1007.5","percent of total billed charges",,
"PLEUR-EVAC","0270","RC","Both",,,"115","57.5","Humana","Medicare Advantage",,,"54",,"62.33","0.18","1007.5","percent of total billed charges",,
"PLEUR-EVAC","0270","RC","Both",,,"115","57.5","UHC","Medicare Advantage",,,"54",,"62.33","0.18","1007.5","percent of total billed charges",,
"PLEUR-EVAC","0270","RC","Both",,,"115","57.5","Clover","Medicare Advantage",,,"54",,"62.33","0.18","1007.5","percent of total billed charges",,
"PLEUR-EVAC","0270","RC","Both",,,"115","57.5","Wellcare","Medicare Advantage",,,"54",,"62.33","0.18","1007.5","percent of total billed charges",,
"PLEUR-EVAC","0270","RC","Both",,,"115","57.5","Amerigroup","Medicaid Managed Care",,,"37",,"42.09","0.18","1007.5","percent of total billed charges",,
"PLEUR-EVAC","0270","RC","Both",,,"115","57.5","Caresource","Medicaid Managed Care",,,"40",,"46","0.18","1007.5","percent of total billed charges",,
"PLEUR-EVAC","0270","RC","Both",,,"115","57.5","Wellcare","Medicaid Managed Care",,,"40",,"46.58","0.18","1007.5","percent of total billed charges",,
"PLEUR-EVAC","0270","RC","Both",,,"115","57.5","Aetna","Commercial",,,"64",,"73.37","0.18","1007.5","percent of total billed charges",,
"PLEUR-EVAC","0270","RC","Both",,,"115","57.5","Blue Cross Blue Shield","Pathways",,,"71",,"81.19","0.18","1007.5","percent of total billed charges",,
"PLEUR-EVAC","0270","RC","Both",,,"115","57.5","Blue Cross Blue Shield","HMO",,,"71",,"81.19","0.18","1007.5","percent of total billed charges",,
"PLEUR-EVAC","0270","RC","Both",,,"115","57.5","Blue Cross Blue Shield","PPO",,,"71",,"81.19","0.18","1007.5","percent of total billed charges",,
"PLEUR-EVAC","0270","RC","Both",,,"115","57.5","Ambetter","Health Exchange",,,"62",,"71.3","0.18","1007.5","percent of total billed charges",,
"PLEUR-EVAC","0270","RC","Both",,,"115","57.5","Caresource","Health Exchange",,,"62",,"71.3","0.18","1007.5","percent of total billed charges",,
"PLEUR-EVAC","0270","RC","Both",,,"115","57.5","Cigna","Commercial",,,"59",,"67.39","0.18","1007.5","percent of total billed charges",,
"PLEUR-EVAC","0270","RC","Both",,,"115","57.5","Humana","Commercial",,,"78",,"89.12","0.18","1007.5","percent of total billed charges",,
"PLEUR-EVAC","0270","RC","Both",,,"115","57.5","UHC","Commercial",,,"75",,"86.71","0.18","1007.5","percent of total billed charges",,
"PLEUR-EVAC","0270","RC","Both",,,"115","57.5","Medicaid",,,,"37",,"42.09","0.18","1007.5","percent of total billed charges",,
"SPINAL ANESTHIA TRAY","0637","RC","Both",,,"102.84","51.42","Alliant","Health Exchange",,,"62",,"63.76","0.15","5264.58","percent of total billed charges",,
"SPINAL ANESTHIA TRAY","0637","RC","Both",,,"102.84","51.42","Pruitt Healthcare","Medicare Advantage",,,"54",,"55.53","0.15","5264.58","percent of total billed charges",,
"SPINAL ANESTHIA TRAY","0637","RC","Both",,,"102.84","51.42","Medicare",,,,"54",,"55.74","0.15","5264.58","percent of total billed charges",,
"SPINAL ANESTHIA TRAY","0637","RC","Both",,,"102.84","51.42","Humana","Medicare Advantage",,,"54",,"55.74","0.15","5264.58","percent of total billed charges",,
"SPINAL ANESTHIA TRAY","0637","RC","Both",,,"102.84","51.42","UHC","Medicare Advantage",,,"54",,"55.74","0.15","5264.58","percent of total billed charges",,
"SPINAL ANESTHIA TRAY","0637","RC","Both",,,"102.84","51.42","Clover","Medicare Advantage",,,"54",,"55.74","0.15","5264.58","percent of total billed charges",,
"SPINAL ANESTHIA TRAY","0637","RC","Both",,,"102.84","51.42","Wellcare","Medicare Advantage",,,"54",,"55.74","0.15","5264.58","percent of total billed charges",,
"SPINAL ANESTHIA TRAY","0637","RC","Both",,,"102.84","51.42","Amerigroup","Medicaid Managed Care",,,"37",,"37.64","0.15","5264.58","percent of total billed charges",,
"SPINAL ANESTHIA TRAY","0637","RC","Both",,,"102.84","51.42","Caresource","Medicaid Managed Care",,,"40",,"41.14","0.15","5264.58","percent of total billed charges",,
"SPINAL ANESTHIA TRAY","0637","RC","Both",,,"102.84","51.42","Wellcare","Medicaid Managed Care",,,"40",,"41.65","0.15","5264.58","percent of total billed charges",,
"SPINAL ANESTHIA TRAY","0637","RC","Both",,,"102.84","51.42","Aetna","Commercial",,,"64",,"65.61","0.15","5264.58","percent of total billed charges",,
"SPINAL ANESTHIA TRAY","0637","RC","Both",,,"102.84","51.42","Blue Cross Blue Shield","Pathways",,,"71",,"72.61","0.15","5264.58","percent of total billed charges",,
"SPINAL ANESTHIA TRAY","0637","RC","Both",,,"102.84","51.42","Blue Cross Blue Shield","HMO",,,"71",,"72.61","0.15","5264.58","percent of total billed charges",,
"SPINAL ANESTHIA TRAY","0637","RC","Both",,,"102.84","51.42","Blue Cross Blue Shield","PPO",,,"71",,"72.61","0.15","5264.58","percent of total billed charges",,
"SPINAL ANESTHIA TRAY","0637","RC","Both",,,"102.84","51.42","Ambetter","Health Exchange",,,"62",,"63.76","0.15","5264.58","percent of total billed charges",,
"SPINAL ANESTHIA TRAY","0637","RC","Both",,,"102.84","51.42","Caresource","Health Exchange",,,"62",,"63.76","0.15","5264.58","percent of total billed charges",,
"SPINAL ANESTHIA TRAY","0637","RC","Both",,,"102.84","51.42","Cigna","Commercial",,,"59",,"60.26","0.15","5264.58","percent of total billed charges",,
"SPINAL ANESTHIA TRAY","0637","RC","Both",,,"102.84","51.42","Humana","Commercial",,,"78",,"79.7","0.15","5264.58","percent of total billed charges",,
"SPINAL ANESTHIA TRAY","0637","RC","Both",,,"102.84","51.42","UHC","Commercial",,,"75",,"77.54","0.15","5264.58","percent of total billed charges",,
"SPINAL ANESTHIA TRAY","0637","RC","Both",,,"102.84","51.42","Medicaid",,,,"37",,"37.64","0.15","5264.58","percent of total billed charges",,
"SURGICAL DRESSING 6 X 8","0272","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","1.1","126.06","percent of total billed charges",,
"SURGICAL DRESSING 6 X 8","0272","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","1.1","126.06","percent of total billed charges",,
"SURGICAL DRESSING 6 X 8","0272","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","1.1","126.06","percent of total billed charges",,
"SURGICAL DRESSING 6 X 8","0272","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","1.1","126.06","percent of total billed charges",,
"SURGICAL DRESSING 6 X 8","0272","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","1.1","126.06","percent of total billed charges",,
"SURGICAL DRESSING 6 X 8","0272","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","1.1","126.06","percent of total billed charges",,
"SURGICAL DRESSING 6 X 8","0272","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","1.1","126.06","percent of total billed charges",,
"SURGICAL DRESSING 6 X 8","0272","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","1.1","126.06","percent of total billed charges",,
"SURGICAL DRESSING 6 X 8","0272","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","1.1","126.06","percent of total billed charges",,
"SURGICAL DRESSING 6 X 8","0272","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","1.1","126.06","percent of total billed charges",,
"SURGICAL DRESSING 6 X 8","0272","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","1.1","126.06","percent of total billed charges",,
"SURGICAL DRESSING 6 X 8","0272","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","1.1","126.06","percent of total billed charges",,
"SURGICAL DRESSING 6 X 8","0272","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","1.1","126.06","percent of total billed charges",,
"SURGICAL DRESSING 6 X 8","0272","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","1.1","126.06","percent of total billed charges",,
"SURGICAL DRESSING 6 X 8","0272","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","1.1","126.06","percent of total billed charges",,
"SURGICAL DRESSING 6 X 8","0272","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","1.1","126.06","percent of total billed charges",,
"SURGICAL DRESSING 6 X 8","0272","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","1.1","126.06","percent of total billed charges",,
"SURGICAL DRESSING 6 X 8","0272","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","1.1","126.06","percent of total billed charges",,
"SURGICAL DRESSING 6 X 8","0272","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","1.1","126.06","percent of total billed charges",,
"SURGICAL DRESSING 6 X 8","0272","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","1.1","126.06","percent of total billed charges",,
"SKIN STAPLER DS-15","0270","RC","Both",,,"12","6","Alliant","Health Exchange",,,"62",,"7.44","0.18","1007.5","percent of total billed charges",,
"SKIN STAPLER DS-15","0270","RC","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.48","0.18","1007.5","percent of total billed charges",,
"SKIN STAPLER DS-15","0270","RC","Both",,,"12","6","Medicare",,,,"54",,"6.5","0.18","1007.5","percent of total billed charges",,
"SKIN STAPLER DS-15","0270","RC","Both",,,"12","6","Humana","Medicare Advantage",,,"54",,"6.5","0.18","1007.5","percent of total billed charges",,
"SKIN STAPLER DS-15","0270","RC","Both",,,"12","6","UHC","Medicare Advantage",,,"54",,"6.5","0.18","1007.5","percent of total billed charges",,
"SKIN STAPLER DS-15","0270","RC","Both",,,"12","6","Clover","Medicare Advantage",,,"54",,"6.5","0.18","1007.5","percent of total billed charges",,
"SKIN STAPLER DS-15","0270","RC","Both",,,"12","6","Wellcare","Medicare Advantage",,,"54",,"6.5","0.18","1007.5","percent of total billed charges",,
"SKIN STAPLER DS-15","0270","RC","Both",,,"12","6","Amerigroup","Medicaid Managed Care",,,"37",,"4.39","0.18","1007.5","percent of total billed charges",,
"SKIN STAPLER DS-15","0270","RC","Both",,,"12","6","Caresource","Medicaid Managed Care",,,"40",,"4.8","0.18","1007.5","percent of total billed charges",,
"SKIN STAPLER DS-15","0270","RC","Both",,,"12","6","Wellcare","Medicaid Managed Care",,,"40",,"4.86","0.18","1007.5","percent of total billed charges",,
"SKIN STAPLER DS-15","0270","RC","Both",,,"12","6","Aetna","Commercial",,,"64",,"7.66","0.18","1007.5","percent of total billed charges",,
"SKIN STAPLER DS-15","0270","RC","Both",,,"12","6","Blue Cross Blue Shield","Pathways",,,"71",,"8.47","0.18","1007.5","percent of total billed charges",,
"SKIN STAPLER DS-15","0270","RC","Both",,,"12","6","Blue Cross Blue Shield","HMO",,,"71",,"8.47","0.18","1007.5","percent of total billed charges",,
"SKIN STAPLER DS-15","0270","RC","Both",,,"12","6","Blue Cross Blue Shield","PPO",,,"71",,"8.47","0.18","1007.5","percent of total billed charges",,
"SKIN STAPLER DS-15","0270","RC","Both",,,"12","6","Ambetter","Health Exchange",,,"62",,"7.44","0.18","1007.5","percent of total billed charges",,
"SKIN STAPLER DS-15","0270","RC","Both",,,"12","6","Caresource","Health Exchange",,,"62",,"7.44","0.18","1007.5","percent of total billed charges",,
"SKIN STAPLER DS-15","0270","RC","Both",,,"12","6","Cigna","Commercial",,,"59",,"7.03","0.18","1007.5","percent of total billed charges",,
"SKIN STAPLER DS-15","0270","RC","Both",,,"12","6","Humana","Commercial",,,"78",,"9.3","0.18","1007.5","percent of total billed charges",,
"SKIN STAPLER DS-15","0270","RC","Both",,,"12","6","UHC","Commercial",,,"75",,"9.05","0.18","1007.5","percent of total billed charges",,
"SKIN STAPLER DS-15","0270","RC","Both",,,"12","6","Medicaid",,,,"37",,"4.39","0.18","1007.5","percent of total billed charges",,
"TED STOCKING SM THIGH","0270","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.18","1007.5","percent of total billed charges",,
"TED STOCKING SM THIGH","0270","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.18","1007.5","percent of total billed charges",,
"TED STOCKING SM THIGH","0270","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.18","1007.5","percent of total billed charges",,
"TED STOCKING SM THIGH","0270","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.18","1007.5","percent of total billed charges",,
"TED STOCKING SM THIGH","0270","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.18","1007.5","percent of total billed charges",,
"TED STOCKING SM THIGH","0270","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.18","1007.5","percent of total billed charges",,
"TED STOCKING SM THIGH","0270","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.18","1007.5","percent of total billed charges",,
"TED STOCKING SM THIGH","0270","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.18","1007.5","percent of total billed charges",,
"TED STOCKING SM THIGH","0270","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.18","1007.5","percent of total billed charges",,
"TED STOCKING SM THIGH","0270","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.18","1007.5","percent of total billed charges",,
"TED STOCKING SM THIGH","0270","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.18","1007.5","percent of total billed charges",,
"TED STOCKING SM THIGH","0270","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.18","1007.5","percent of total billed charges",,
"TED STOCKING SM THIGH","0270","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.18","1007.5","percent of total billed charges",,
"TED STOCKING SM THIGH","0270","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.18","1007.5","percent of total billed charges",,
"TED STOCKING SM THIGH","0270","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.18","1007.5","percent of total billed charges",,
"TED STOCKING SM THIGH","0270","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.18","1007.5","percent of total billed charges",,
"TED STOCKING SM THIGH","0270","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.18","1007.5","percent of total billed charges",,
"TED STOCKING SM THIGH","0270","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.18","1007.5","percent of total billed charges",,
"TED STOCKING SM THIGH","0270","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.18","1007.5","percent of total billed charges",,
"TED STOCKING SM THIGH","0270","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.18","1007.5","percent of total billed charges",,
"TED STOCKING MED THIGH","0270","RC","Both",,,"11.28","5.64","Alliant","Health Exchange",,,"62",,"6.99","0.18","1007.5","percent of total billed charges",,
"TED STOCKING MED THIGH","0270","RC","Both",,,"11.28","5.64","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.09","0.18","1007.5","percent of total billed charges",,
"TED STOCKING MED THIGH","0270","RC","Both",,,"11.28","5.64","Medicare",,,,"54",,"6.11","0.18","1007.5","percent of total billed charges",,
"TED STOCKING MED THIGH","0270","RC","Both",,,"11.28","5.64","Humana","Medicare Advantage",,,"54",,"6.11","0.18","1007.5","percent of total billed charges",,
"TED STOCKING MED THIGH","0270","RC","Both",,,"11.28","5.64","UHC","Medicare Advantage",,,"54",,"6.11","0.18","1007.5","percent of total billed charges",,
"TED STOCKING MED THIGH","0270","RC","Both",,,"11.28","5.64","Clover","Medicare Advantage",,,"54",,"6.11","0.18","1007.5","percent of total billed charges",,
"TED STOCKING MED THIGH","0270","RC","Both",,,"11.28","5.64","Wellcare","Medicare Advantage",,,"54",,"6.11","0.18","1007.5","percent of total billed charges",,
"TED STOCKING MED THIGH","0270","RC","Both",,,"11.28","5.64","Amerigroup","Medicaid Managed Care",,,"37",,"4.13","0.18","1007.5","percent of total billed charges",,
"TED STOCKING MED THIGH","0270","RC","Both",,,"11.28","5.64","Caresource","Medicaid Managed Care",,,"40",,"4.51","0.18","1007.5","percent of total billed charges",,
"TED STOCKING MED THIGH","0270","RC","Both",,,"11.28","5.64","Wellcare","Medicaid Managed Care",,,"40",,"4.57","0.18","1007.5","percent of total billed charges",,
"TED STOCKING MED THIGH","0270","RC","Both",,,"11.28","5.64","Aetna","Commercial",,,"64",,"7.2","0.18","1007.5","percent of total billed charges",,
"TED STOCKING MED THIGH","0270","RC","Both",,,"11.28","5.64","Blue Cross Blue Shield","Pathways",,,"71",,"7.96","0.18","1007.5","percent of total billed charges",,
"TED STOCKING MED THIGH","0270","RC","Both",,,"11.28","5.64","Blue Cross Blue Shield","HMO",,,"71",,"7.96","0.18","1007.5","percent of total billed charges",,
"TED STOCKING MED THIGH","0270","RC","Both",,,"11.28","5.64","Blue Cross Blue Shield","PPO",,,"71",,"7.96","0.18","1007.5","percent of total billed charges",,
"TED STOCKING MED THIGH","0270","RC","Both",,,"11.28","5.64","Ambetter","Health Exchange",,,"62",,"6.99","0.18","1007.5","percent of total billed charges",,
"TED STOCKING MED THIGH","0270","RC","Both",,,"11.28","5.64","Caresource","Health Exchange",,,"62",,"6.99","0.18","1007.5","percent of total billed charges",,
"TED STOCKING MED THIGH","0270","RC","Both",,,"11.28","5.64","Cigna","Commercial",,,"59",,"6.61","0.18","1007.5","percent of total billed charges",,
"TED STOCKING MED THIGH","0270","RC","Both",,,"11.28","5.64","Humana","Commercial",,,"78",,"8.74","0.18","1007.5","percent of total billed charges",,
"TED STOCKING MED THIGH","0270","RC","Both",,,"11.28","5.64","UHC","Commercial",,,"75",,"8.51","0.18","1007.5","percent of total billed charges",,
"TED STOCKING MED THIGH","0270","RC","Both",,,"11.28","5.64","Medicaid",,,,"37",,"4.13","0.18","1007.5","percent of total billed charges",,
"TED STOCKING LG THIGH","0270","RC","Both",,,"11","5.5","Alliant","Health Exchange",,,"62",,"6.82","0.18","1007.5","percent of total billed charges",,
"TED STOCKING LG THIGH","0270","RC","Both",,,"11","5.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.94","0.18","1007.5","percent of total billed charges",,
"TED STOCKING LG THIGH","0270","RC","Both",,,"11","5.5","Medicare",,,,"54",,"5.96","0.18","1007.5","percent of total billed charges",,
"TED STOCKING LG THIGH","0270","RC","Both",,,"11","5.5","Humana","Medicare Advantage",,,"54",,"5.96","0.18","1007.5","percent of total billed charges",,
"TED STOCKING LG THIGH","0270","RC","Both",,,"11","5.5","UHC","Medicare Advantage",,,"54",,"5.96","0.18","1007.5","percent of total billed charges",,
"TED STOCKING LG THIGH","0270","RC","Both",,,"11","5.5","Clover","Medicare Advantage",,,"54",,"5.96","0.18","1007.5","percent of total billed charges",,
"TED STOCKING LG THIGH","0270","RC","Both",,,"11","5.5","Wellcare","Medicare Advantage",,,"54",,"5.96","0.18","1007.5","percent of total billed charges",,
"TED STOCKING LG THIGH","0270","RC","Both",,,"11","5.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.03","0.18","1007.5","percent of total billed charges",,
"TED STOCKING LG THIGH","0270","RC","Both",,,"11","5.5","Caresource","Medicaid Managed Care",,,"40",,"4.4","0.18","1007.5","percent of total billed charges",,
"TED STOCKING LG THIGH","0270","RC","Both",,,"11","5.5","Wellcare","Medicaid Managed Care",,,"40",,"4.46","0.18","1007.5","percent of total billed charges",,
"TED STOCKING LG THIGH","0270","RC","Both",,,"11","5.5","Aetna","Commercial",,,"64",,"7.02","0.18","1007.5","percent of total billed charges",,
"TED STOCKING LG THIGH","0270","RC","Both",,,"11","5.5","Blue Cross Blue Shield","Pathways",,,"71",,"7.77","0.18","1007.5","percent of total billed charges",,
"TED STOCKING LG THIGH","0270","RC","Both",,,"11","5.5","Blue Cross Blue Shield","HMO",,,"71",,"7.77","0.18","1007.5","percent of total billed charges",,
"TED STOCKING LG THIGH","0270","RC","Both",,,"11","5.5","Blue Cross Blue Shield","PPO",,,"71",,"7.77","0.18","1007.5","percent of total billed charges",,
"TED STOCKING LG THIGH","0270","RC","Both",,,"11","5.5","Ambetter","Health Exchange",,,"62",,"6.82","0.18","1007.5","percent of total billed charges",,
"TED STOCKING LG THIGH","0270","RC","Both",,,"11","5.5","Caresource","Health Exchange",,,"62",,"6.82","0.18","1007.5","percent of total billed charges",,
"TED STOCKING LG THIGH","0270","RC","Both",,,"11","5.5","Cigna","Commercial",,,"59",,"6.45","0.18","1007.5","percent of total billed charges",,
"TED STOCKING LG THIGH","0270","RC","Both",,,"11","5.5","Humana","Commercial",,,"78",,"8.52","0.18","1007.5","percent of total billed charges",,
"TED STOCKING LG THIGH","0270","RC","Both",,,"11","5.5","UHC","Commercial",,,"75",,"8.29","0.18","1007.5","percent of total billed charges",,
"TED STOCKING LG THIGH","0270","RC","Both",,,"11","5.5","Medicaid",,,,"37",,"4.03","0.18","1007.5","percent of total billed charges",,
"TED STOCKING EX LG THIGH","0270","RC","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","0.18","1007.5","percent of total billed charges",,
"TED STOCKING EX LG THIGH","0270","RC","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","0.18","1007.5","percent of total billed charges",,
"TED STOCKING EX LG THIGH","0270","RC","Both",,,"8","4","Medicare",,,,"54",,"4.34","0.18","1007.5","percent of total billed charges",,
"TED STOCKING EX LG THIGH","0270","RC","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","0.18","1007.5","percent of total billed charges",,
"TED STOCKING EX LG THIGH","0270","RC","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","0.18","1007.5","percent of total billed charges",,
"TED STOCKING EX LG THIGH","0270","RC","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","0.18","1007.5","percent of total billed charges",,
"TED STOCKING EX LG THIGH","0270","RC","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","0.18","1007.5","percent of total billed charges",,
"TED STOCKING EX LG THIGH","0270","RC","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","0.18","1007.5","percent of total billed charges",,
"TED STOCKING EX LG THIGH","0270","RC","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","0.18","1007.5","percent of total billed charges",,
"TED STOCKING EX LG THIGH","0270","RC","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","0.18","1007.5","percent of total billed charges",,
"TED STOCKING EX LG THIGH","0270","RC","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","0.18","1007.5","percent of total billed charges",,
"TED STOCKING EX LG THIGH","0270","RC","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","0.18","1007.5","percent of total billed charges",,
"TED STOCKING EX LG THIGH","0270","RC","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","0.18","1007.5","percent of total billed charges",,
"TED STOCKING EX LG THIGH","0270","RC","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","0.18","1007.5","percent of total billed charges",,
"TED STOCKING EX LG THIGH","0270","RC","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","0.18","1007.5","percent of total billed charges",,
"TED STOCKING EX LG THIGH","0270","RC","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","0.18","1007.5","percent of total billed charges",,
"TED STOCKING EX LG THIGH","0270","RC","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","0.18","1007.5","percent of total billed charges",,
"TED STOCKING EX LG THIGH","0270","RC","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","0.18","1007.5","percent of total billed charges",,
"TED STOCKING EX LG THIGH","0270","RC","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","0.18","1007.5","percent of total billed charges",,
"TED STOCKING EX LG THIGH","0270","RC","Both",,,"8","4","Medicaid",,,,"37",,"2.93","0.18","1007.5","percent of total billed charges",,
"TRACHEOSTOMY MASK","0270","RC","Both",,,"14","7","Alliant","Health Exchange",,,"62",,"8.68","0.18","1007.5","percent of total billed charges",,
"TRACHEOSTOMY MASK","0270","RC","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.56","0.18","1007.5","percent of total billed charges",,
"TRACHEOSTOMY MASK","0270","RC","Both",,,"14","7","Medicare",,,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"TRACHEOSTOMY MASK","0270","RC","Both",,,"14","7","Humana","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"TRACHEOSTOMY MASK","0270","RC","Both",,,"14","7","UHC","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"TRACHEOSTOMY MASK","0270","RC","Both",,,"14","7","Clover","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"TRACHEOSTOMY MASK","0270","RC","Both",,,"14","7","Wellcare","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"TRACHEOSTOMY MASK","0270","RC","Both",,,"14","7","Amerigroup","Medicaid Managed Care",,,"37",,"5.12","0.18","1007.5","percent of total billed charges",,
"TRACHEOSTOMY MASK","0270","RC","Both",,,"14","7","Caresource","Medicaid Managed Care",,,"40",,"5.6","0.18","1007.5","percent of total billed charges",,
"TRACHEOSTOMY MASK","0270","RC","Both",,,"14","7","Wellcare","Medicaid Managed Care",,,"40",,"5.67","0.18","1007.5","percent of total billed charges",,
"TRACHEOSTOMY MASK","0270","RC","Both",,,"14","7","Aetna","Commercial",,,"64",,"8.93","0.18","1007.5","percent of total billed charges",,
"TRACHEOSTOMY MASK","0270","RC","Both",,,"14","7","Blue Cross Blue Shield","Pathways",,,"71",,"9.88","0.18","1007.5","percent of total billed charges",,
"TRACHEOSTOMY MASK","0270","RC","Both",,,"14","7","Blue Cross Blue Shield","HMO",,,"71",,"9.88","0.18","1007.5","percent of total billed charges",,
"TRACHEOSTOMY MASK","0270","RC","Both",,,"14","7","Blue Cross Blue Shield","PPO",,,"71",,"9.88","0.18","1007.5","percent of total billed charges",,
"TRACHEOSTOMY MASK","0270","RC","Both",,,"14","7","Ambetter","Health Exchange",,,"62",,"8.68","0.18","1007.5","percent of total billed charges",,
"TRACHEOSTOMY MASK","0270","RC","Both",,,"14","7","Caresource","Health Exchange",,,"62",,"8.68","0.18","1007.5","percent of total billed charges",,
"TRACHEOSTOMY MASK","0270","RC","Both",,,"14","7","Cigna","Commercial",,,"59",,"8.2","0.18","1007.5","percent of total billed charges",,
"TRACHEOSTOMY MASK","0270","RC","Both",,,"14","7","Humana","Commercial",,,"78",,"10.85","0.18","1007.5","percent of total billed charges",,
"TRACHEOSTOMY MASK","0270","RC","Both",,,"14","7","UHC","Commercial",,,"75",,"10.56","0.18","1007.5","percent of total billed charges",,
"TRACHEOSTOMY MASK","0270","RC","Both",,,"14","7","Medicaid",,,,"37",,"5.12","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER","0270","RC","Both",,,"18","9","Alliant","Health Exchange",,,"62",,"11.16","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER","0270","RC","Both",,,"18","9","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.72","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER","0270","RC","Both",,,"18","9","Medicare",,,,"54",,"9.76","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER","0270","RC","Both",,,"18","9","Humana","Medicare Advantage",,,"54",,"9.76","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER","0270","RC","Both",,,"18","9","UHC","Medicare Advantage",,,"54",,"9.76","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER","0270","RC","Both",,,"18","9","Clover","Medicare Advantage",,,"54",,"9.76","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER","0270","RC","Both",,,"18","9","Wellcare","Medicare Advantage",,,"54",,"9.76","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER","0270","RC","Both",,,"18","9","Amerigroup","Medicaid Managed Care",,,"37",,"6.59","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER","0270","RC","Both",,,"18","9","Caresource","Medicaid Managed Care",,,"40",,"7.2","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER","0270","RC","Both",,,"18","9","Wellcare","Medicaid Managed Care",,,"40",,"7.29","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER","0270","RC","Both",,,"18","9","Aetna","Commercial",,,"64",,"11.48","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER","0270","RC","Both",,,"18","9","Blue Cross Blue Shield","Pathways",,,"71",,"12.71","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER","0270","RC","Both",,,"18","9","Blue Cross Blue Shield","HMO",,,"71",,"12.71","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER","0270","RC","Both",,,"18","9","Blue Cross Blue Shield","PPO",,,"71",,"12.71","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER","0270","RC","Both",,,"18","9","Ambetter","Health Exchange",,,"62",,"11.16","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER","0270","RC","Both",,,"18","9","Caresource","Health Exchange",,,"62",,"11.16","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER","0270","RC","Both",,,"18","9","Cigna","Commercial",,,"59",,"10.55","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER","0270","RC","Both",,,"18","9","Humana","Commercial",,,"78",,"13.95","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER","0270","RC","Both",,,"18","9","UHC","Commercial",,,"75",,"13.57","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER","0270","RC","Both",,,"18","9","Medicaid",,,,"37",,"6.59","0.18","1007.5","percent of total billed charges",,
"URI-METER","0270","RC","Both",,,"31","15.5","Alliant","Health Exchange",,,"62",,"19.22","0.18","1007.5","percent of total billed charges",,
"URI-METER","0270","RC","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.74","0.18","1007.5","percent of total billed charges",,
"URI-METER","0270","RC","Both",,,"31","15.5","Medicare",,,,"54",,"16.8","0.18","1007.5","percent of total billed charges",,
"URI-METER","0270","RC","Both",,,"31","15.5","Humana","Medicare Advantage",,,"54",,"16.8","0.18","1007.5","percent of total billed charges",,
"URI-METER","0270","RC","Both",,,"31","15.5","UHC","Medicare Advantage",,,"54",,"16.8","0.18","1007.5","percent of total billed charges",,
"URI-METER","0270","RC","Both",,,"31","15.5","Clover","Medicare Advantage",,,"54",,"16.8","0.18","1007.5","percent of total billed charges",,
"URI-METER","0270","RC","Both",,,"31","15.5","Wellcare","Medicare Advantage",,,"54",,"16.8","0.18","1007.5","percent of total billed charges",,
"URI-METER","0270","RC","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care",,,"37",,"11.35","0.18","1007.5","percent of total billed charges",,
"URI-METER","0270","RC","Both",,,"31","15.5","Caresource","Medicaid Managed Care",,,"40",,"12.4","0.18","1007.5","percent of total billed charges",,
"URI-METER","0270","RC","Both",,,"31","15.5","Wellcare","Medicaid Managed Care",,,"40",,"12.56","0.18","1007.5","percent of total billed charges",,
"URI-METER","0270","RC","Both",,,"31","15.5","Aetna","Commercial",,,"64",,"19.78","0.18","1007.5","percent of total billed charges",,
"URI-METER","0270","RC","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways",,,"71",,"21.89","0.18","1007.5","percent of total billed charges",,
"URI-METER","0270","RC","Both",,,"31","15.5","Blue Cross Blue Shield","HMO",,,"71",,"21.89","0.18","1007.5","percent of total billed charges",,
"URI-METER","0270","RC","Both",,,"31","15.5","Blue Cross Blue Shield","PPO",,,"71",,"21.89","0.18","1007.5","percent of total billed charges",,
"URI-METER","0270","RC","Both",,,"31","15.5","Ambetter","Health Exchange",,,"62",,"19.22","0.18","1007.5","percent of total billed charges",,
"URI-METER","0270","RC","Both",,,"31","15.5","Caresource","Health Exchange",,,"62",,"19.22","0.18","1007.5","percent of total billed charges",,
"URI-METER","0270","RC","Both",,,"31","15.5","Cigna","Commercial",,,"59",,"18.17","0.18","1007.5","percent of total billed charges",,
"URI-METER","0270","RC","Both",,,"31","15.5","Humana","Commercial",,,"78",,"24.02","0.18","1007.5","percent of total billed charges",,
"URI-METER","0270","RC","Both",,,"31","15.5","UHC","Commercial",,,"75",,"23.37","0.18","1007.5","percent of total billed charges",,
"URI-METER","0270","RC","Both",,,"31","15.5","Medicaid",,,,"37",,"11.35","0.18","1007.5","percent of total billed charges",,
"URINARY LEG BAG EXT TUBE","0270","RC","Both",,,"16","8","Alliant","Health Exchange",,,"62",,"9.92","0.18","1007.5","percent of total billed charges",,
"URINARY LEG BAG EXT TUBE","0270","RC","Both",,,"16","8","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.64","0.18","1007.5","percent of total billed charges",,
"URINARY LEG BAG EXT TUBE","0270","RC","Both",,,"16","8","Medicare",,,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"URINARY LEG BAG EXT TUBE","0270","RC","Both",,,"16","8","Humana","Medicare Advantage",,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"URINARY LEG BAG EXT TUBE","0270","RC","Both",,,"16","8","UHC","Medicare Advantage",,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"URINARY LEG BAG EXT TUBE","0270","RC","Both",,,"16","8","Clover","Medicare Advantage",,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"URINARY LEG BAG EXT TUBE","0270","RC","Both",,,"16","8","Wellcare","Medicare Advantage",,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"URINARY LEG BAG EXT TUBE","0270","RC","Both",,,"16","8","Amerigroup","Medicaid Managed Care",,,"37",,"5.86","0.18","1007.5","percent of total billed charges",,
"URINARY LEG BAG EXT TUBE","0270","RC","Both",,,"16","8","Caresource","Medicaid Managed Care",,,"40",,"6.4","0.18","1007.5","percent of total billed charges",,
"URINARY LEG BAG EXT TUBE","0270","RC","Both",,,"16","8","Wellcare","Medicaid Managed Care",,,"40",,"6.48","0.18","1007.5","percent of total billed charges",,
"URINARY LEG BAG EXT TUBE","0270","RC","Both",,,"16","8","Aetna","Commercial",,,"64",,"10.21","0.18","1007.5","percent of total billed charges",,
"URINARY LEG BAG EXT TUBE","0270","RC","Both",,,"16","8","Blue Cross Blue Shield","Pathways",,,"71",,"11.3","0.18","1007.5","percent of total billed charges",,
"URINARY LEG BAG EXT TUBE","0270","RC","Both",,,"16","8","Blue Cross Blue Shield","HMO",,,"71",,"11.3","0.18","1007.5","percent of total billed charges",,
"URINARY LEG BAG EXT TUBE","0270","RC","Both",,,"16","8","Blue Cross Blue Shield","PPO",,,"71",,"11.3","0.18","1007.5","percent of total billed charges",,
"URINARY LEG BAG EXT TUBE","0270","RC","Both",,,"16","8","Ambetter","Health Exchange",,,"62",,"9.92","0.18","1007.5","percent of total billed charges",,
"URINARY LEG BAG EXT TUBE","0270","RC","Both",,,"16","8","Caresource","Health Exchange",,,"62",,"9.92","0.18","1007.5","percent of total billed charges",,
"URINARY LEG BAG EXT TUBE","0270","RC","Both",,,"16","8","Cigna","Commercial",,,"59",,"9.38","0.18","1007.5","percent of total billed charges",,
"URINARY LEG BAG EXT TUBE","0270","RC","Both",,,"16","8","Humana","Commercial",,,"78",,"12.4","0.18","1007.5","percent of total billed charges",,
"URINARY LEG BAG EXT TUBE","0270","RC","Both",,,"16","8","UHC","Commercial",,,"75",,"12.06","0.18","1007.5","percent of total billed charges",,
"URINARY LEG BAG EXT TUBE","0270","RC","Both",,,"16","8","Medicaid",,,,"37",,"5.86","0.18","1007.5","percent of total billed charges",,
"PUREWICK FEMALE EXTERNAL CATH","0270","RC","Both",,,"21","10.5","Alliant","Health Exchange",,,"62",,"13.02","0.18","1007.5","percent of total billed charges",,
"PUREWICK FEMALE EXTERNAL CATH","0270","RC","Both",,,"21","10.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.34","0.18","1007.5","percent of total billed charges",,
"PUREWICK FEMALE EXTERNAL CATH","0270","RC","Both",,,"21","10.5","Medicare",,,,"54",,"11.38","0.18","1007.5","percent of total billed charges",,
"PUREWICK FEMALE EXTERNAL CATH","0270","RC","Both",,,"21","10.5","Humana","Medicare Advantage",,,"54",,"11.38","0.18","1007.5","percent of total billed charges",,
"PUREWICK FEMALE EXTERNAL CATH","0270","RC","Both",,,"21","10.5","UHC","Medicare Advantage",,,"54",,"11.38","0.18","1007.5","percent of total billed charges",,
"PUREWICK FEMALE EXTERNAL CATH","0270","RC","Both",,,"21","10.5","Clover","Medicare Advantage",,,"54",,"11.38","0.18","1007.5","percent of total billed charges",,
"PUREWICK FEMALE EXTERNAL CATH","0270","RC","Both",,,"21","10.5","Wellcare","Medicare Advantage",,,"54",,"11.38","0.18","1007.5","percent of total billed charges",,
"PUREWICK FEMALE EXTERNAL CATH","0270","RC","Both",,,"21","10.5","Amerigroup","Medicaid Managed Care",,,"37",,"7.69","0.18","1007.5","percent of total billed charges",,
"PUREWICK FEMALE EXTERNAL CATH","0270","RC","Both",,,"21","10.5","Caresource","Medicaid Managed Care",,,"40",,"8.4","0.18","1007.5","percent of total billed charges",,
"PUREWICK FEMALE EXTERNAL CATH","0270","RC","Both",,,"21","10.5","Wellcare","Medicaid Managed Care",,,"40",,"8.51","0.18","1007.5","percent of total billed charges",,
"PUREWICK FEMALE EXTERNAL CATH","0270","RC","Both",,,"21","10.5","Aetna","Commercial",,,"64",,"13.4","0.18","1007.5","percent of total billed charges",,
"PUREWICK FEMALE EXTERNAL CATH","0270","RC","Both",,,"21","10.5","Blue Cross Blue Shield","Pathways",,,"71",,"14.83","0.18","1007.5","percent of total billed charges",,
"PUREWICK FEMALE EXTERNAL CATH","0270","RC","Both",,,"21","10.5","Blue Cross Blue Shield","HMO",,,"71",,"14.83","0.18","1007.5","percent of total billed charges",,
"PUREWICK FEMALE EXTERNAL CATH","0270","RC","Both",,,"21","10.5","Blue Cross Blue Shield","PPO",,,"71",,"14.83","0.18","1007.5","percent of total billed charges",,
"PUREWICK FEMALE EXTERNAL CATH","0270","RC","Both",,,"21","10.5","Ambetter","Health Exchange",,,"62",,"13.02","0.18","1007.5","percent of total billed charges",,
"PUREWICK FEMALE EXTERNAL CATH","0270","RC","Both",,,"21","10.5","Caresource","Health Exchange",,,"62",,"13.02","0.18","1007.5","percent of total billed charges",,
"PUREWICK FEMALE EXTERNAL CATH","0270","RC","Both",,,"21","10.5","Cigna","Commercial",,,"59",,"12.31","0.18","1007.5","percent of total billed charges",,
"PUREWICK FEMALE EXTERNAL CATH","0270","RC","Both",,,"21","10.5","Humana","Commercial",,,"78",,"16.28","0.18","1007.5","percent of total billed charges",,
"PUREWICK FEMALE EXTERNAL CATH","0270","RC","Both",,,"21","10.5","UHC","Commercial",,,"75",,"15.83","0.18","1007.5","percent of total billed charges",,
"PUREWICK FEMALE EXTERNAL CATH","0270","RC","Both",,,"21","10.5","Medicaid",,,,"37",,"7.69","0.18","1007.5","percent of total billed charges",,
"SURE STEP FOLEY TRAY","0270","RC","Both",,,"53","26.5","Alliant","Health Exchange",,,"62",,"32.86","0.18","1007.5","percent of total billed charges",,
"SURE STEP FOLEY TRAY","0270","RC","Both",,,"53","26.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.62","0.18","1007.5","percent of total billed charges",,
"SURE STEP FOLEY TRAY","0270","RC","Both",,,"53","26.5","Medicare",,,,"54",,"28.73","0.18","1007.5","percent of total billed charges",,
"SURE STEP FOLEY TRAY","0270","RC","Both",,,"53","26.5","Humana","Medicare Advantage",,,"54",,"28.73","0.18","1007.5","percent of total billed charges",,
"SURE STEP FOLEY TRAY","0270","RC","Both",,,"53","26.5","UHC","Medicare Advantage",,,"54",,"28.73","0.18","1007.5","percent of total billed charges",,
"SURE STEP FOLEY TRAY","0270","RC","Both",,,"53","26.5","Clover","Medicare Advantage",,,"54",,"28.73","0.18","1007.5","percent of total billed charges",,
"SURE STEP FOLEY TRAY","0270","RC","Both",,,"53","26.5","Wellcare","Medicare Advantage",,,"54",,"28.73","0.18","1007.5","percent of total billed charges",,
"SURE STEP FOLEY TRAY","0270","RC","Both",,,"53","26.5","Amerigroup","Medicaid Managed Care",,,"37",,"19.4","0.18","1007.5","percent of total billed charges",,
"SURE STEP FOLEY TRAY","0270","RC","Both",,,"53","26.5","Caresource","Medicaid Managed Care",,,"40",,"21.2","0.18","1007.5","percent of total billed charges",,
"SURE STEP FOLEY TRAY","0270","RC","Both",,,"53","26.5","Wellcare","Medicaid Managed Care",,,"40",,"21.46","0.18","1007.5","percent of total billed charges",,
"SURE STEP FOLEY TRAY","0270","RC","Both",,,"53","26.5","Aetna","Commercial",,,"64",,"33.81","0.18","1007.5","percent of total billed charges",,
"SURE STEP FOLEY TRAY","0270","RC","Both",,,"53","26.5","Blue Cross Blue Shield","Pathways",,,"71",,"37.42","0.18","1007.5","percent of total billed charges",,
"SURE STEP FOLEY TRAY","0270","RC","Both",,,"53","26.5","Blue Cross Blue Shield","HMO",,,"71",,"37.42","0.18","1007.5","percent of total billed charges",,
"SURE STEP FOLEY TRAY","0270","RC","Both",,,"53","26.5","Blue Cross Blue Shield","PPO",,,"71",,"37.42","0.18","1007.5","percent of total billed charges",,
"SURE STEP FOLEY TRAY","0270","RC","Both",,,"53","26.5","Ambetter","Health Exchange",,,"62",,"32.86","0.18","1007.5","percent of total billed charges",,
"SURE STEP FOLEY TRAY","0270","RC","Both",,,"53","26.5","Caresource","Health Exchange",,,"62",,"32.86","0.18","1007.5","percent of total billed charges",,
"SURE STEP FOLEY TRAY","0270","RC","Both",,,"53","26.5","Cigna","Commercial",,,"59",,"31.06","0.18","1007.5","percent of total billed charges",,
"SURE STEP FOLEY TRAY","0270","RC","Both",,,"53","26.5","Humana","Commercial",,,"78",,"41.08","0.18","1007.5","percent of total billed charges",,
"SURE STEP FOLEY TRAY","0270","RC","Both",,,"53","26.5","UHC","Commercial",,,"75",,"39.96","0.18","1007.5","percent of total billed charges",,
"SURE STEP FOLEY TRAY","0270","RC","Both",,,"53","26.5","Medicaid",,,,"37",,"19.4","0.18","1007.5","percent of total billed charges",,
"VASELINE GAUZE 3 X 9","0270","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.18","1007.5","percent of total billed charges",,
"VASELINE GAUZE 3 X 9","0270","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.18","1007.5","percent of total billed charges",,
"VASELINE GAUZE 3 X 9","0270","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.18","1007.5","percent of total billed charges",,
"VASELINE GAUZE 3 X 9","0270","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.18","1007.5","percent of total billed charges",,
"VASELINE GAUZE 3 X 9","0270","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.18","1007.5","percent of total billed charges",,
"VASELINE GAUZE 3 X 9","0270","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.18","1007.5","percent of total billed charges",,
"VASELINE GAUZE 3 X 9","0270","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.18","1007.5","percent of total billed charges",,
"VASELINE GAUZE 3 X 9","0270","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.18","1007.5","percent of total billed charges",,
"VASELINE GAUZE 3 X 9","0270","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.18","1007.5","percent of total billed charges",,
"VASELINE GAUZE 3 X 9","0270","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.18","1007.5","percent of total billed charges",,
"VASELINE GAUZE 3 X 9","0270","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.18","1007.5","percent of total billed charges",,
"VASELINE GAUZE 3 X 9","0270","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.18","1007.5","percent of total billed charges",,
"VASELINE GAUZE 3 X 9","0270","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.18","1007.5","percent of total billed charges",,
"VASELINE GAUZE 3 X 9","0270","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.18","1007.5","percent of total billed charges",,
"VASELINE GAUZE 3 X 9","0270","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.18","1007.5","percent of total billed charges",,
"VASELINE GAUZE 3 X 9","0270","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.18","1007.5","percent of total billed charges",,
"VASELINE GAUZE 3 X 9","0270","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.18","1007.5","percent of total billed charges",,
"VASELINE GAUZE 3 X 9","0270","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.18","1007.5","percent of total billed charges",,
"VASELINE GAUZE 3 X 9","0270","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.18","1007.5","percent of total billed charges",,
"VASELINE GAUZE 3 X 9","0270","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY SMALL","0270","RC","Both",,,"20","10","Alliant","Health Exchange",,,"62",,"12.4","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY SMALL","0270","RC","Both",,,"20","10","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.8","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY SMALL","0270","RC","Both",,,"20","10","Medicare",,,,"54",,"10.84","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY SMALL","0270","RC","Both",,,"20","10","Humana","Medicare Advantage",,,"54",,"10.84","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY SMALL","0270","RC","Both",,,"20","10","UHC","Medicare Advantage",,,"54",,"10.84","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY SMALL","0270","RC","Both",,,"20","10","Clover","Medicare Advantage",,,"54",,"10.84","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY SMALL","0270","RC","Both",,,"20","10","Wellcare","Medicare Advantage",,,"54",,"10.84","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY SMALL","0270","RC","Both",,,"20","10","Amerigroup","Medicaid Managed Care",,,"37",,"7.32","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY SMALL","0270","RC","Both",,,"20","10","Caresource","Medicaid Managed Care",,,"40",,"8","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY SMALL","0270","RC","Both",,,"20","10","Wellcare","Medicaid Managed Care",,,"40",,"8.1","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY SMALL","0270","RC","Both",,,"20","10","Aetna","Commercial",,,"64",,"12.76","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY SMALL","0270","RC","Both",,,"20","10","Blue Cross Blue Shield","Pathways",,,"71",,"14.12","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY SMALL","0270","RC","Both",,,"20","10","Blue Cross Blue Shield","HMO",,,"71",,"14.12","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY SMALL","0270","RC","Both",,,"20","10","Blue Cross Blue Shield","PPO",,,"71",,"14.12","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY SMALL","0270","RC","Both",,,"20","10","Ambetter","Health Exchange",,,"62",,"12.4","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY SMALL","0270","RC","Both",,,"20","10","Caresource","Health Exchange",,,"62",,"12.4","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY SMALL","0270","RC","Both",,,"20","10","Cigna","Commercial",,,"59",,"11.72","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY SMALL","0270","RC","Both",,,"20","10","Humana","Commercial",,,"78",,"15.5","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY SMALL","0270","RC","Both",,,"20","10","UHC","Commercial",,,"75",,"15.08","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY SMALL","0270","RC","Both",,,"20","10","Medicaid",,,,"37",,"7.32","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY MED","0270","RC","Both",,,"20","10","Alliant","Health Exchange",,,"62",,"12.4","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY MED","0270","RC","Both",,,"20","10","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.8","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY MED","0270","RC","Both",,,"20","10","Medicare",,,,"54",,"10.84","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY MED","0270","RC","Both",,,"20","10","Humana","Medicare Advantage",,,"54",,"10.84","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY MED","0270","RC","Both",,,"20","10","UHC","Medicare Advantage",,,"54",,"10.84","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY MED","0270","RC","Both",,,"20","10","Clover","Medicare Advantage",,,"54",,"10.84","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY MED","0270","RC","Both",,,"20","10","Wellcare","Medicare Advantage",,,"54",,"10.84","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY MED","0270","RC","Both",,,"20","10","Amerigroup","Medicaid Managed Care",,,"37",,"7.32","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY MED","0270","RC","Both",,,"20","10","Caresource","Medicaid Managed Care",,,"40",,"8","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY MED","0270","RC","Both",,,"20","10","Wellcare","Medicaid Managed Care",,,"40",,"8.1","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY MED","0270","RC","Both",,,"20","10","Aetna","Commercial",,,"64",,"12.76","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY MED","0270","RC","Both",,,"20","10","Blue Cross Blue Shield","Pathways",,,"71",,"14.12","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY MED","0270","RC","Both",,,"20","10","Blue Cross Blue Shield","HMO",,,"71",,"14.12","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY MED","0270","RC","Both",,,"20","10","Blue Cross Blue Shield","PPO",,,"71",,"14.12","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY MED","0270","RC","Both",,,"20","10","Ambetter","Health Exchange",,,"62",,"12.4","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY MED","0270","RC","Both",,,"20","10","Caresource","Health Exchange",,,"62",,"12.4","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY MED","0270","RC","Both",,,"20","10","Cigna","Commercial",,,"59",,"11.72","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY MED","0270","RC","Both",,,"20","10","Humana","Commercial",,,"78",,"15.5","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY MED","0270","RC","Both",,,"20","10","UHC","Commercial",,,"75",,"15.08","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY MED","0270","RC","Both",,,"20","10","Medicaid",,,,"37",,"7.32","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY LARGE","0270","RC","Both",,,"20","10","Alliant","Health Exchange",,,"62",,"12.4","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY LARGE","0270","RC","Both",,,"20","10","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.8","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY LARGE","0270","RC","Both",,,"20","10","Medicare",,,,"54",,"10.84","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY LARGE","0270","RC","Both",,,"20","10","Humana","Medicare Advantage",,,"54",,"10.84","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY LARGE","0270","RC","Both",,,"20","10","UHC","Medicare Advantage",,,"54",,"10.84","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY LARGE","0270","RC","Both",,,"20","10","Clover","Medicare Advantage",,,"54",,"10.84","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY LARGE","0270","RC","Both",,,"20","10","Wellcare","Medicare Advantage",,,"54",,"10.84","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY LARGE","0270","RC","Both",,,"20","10","Amerigroup","Medicaid Managed Care",,,"37",,"7.32","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY LARGE","0270","RC","Both",,,"20","10","Caresource","Medicaid Managed Care",,,"40",,"8","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY LARGE","0270","RC","Both",,,"20","10","Wellcare","Medicaid Managed Care",,,"40",,"8.1","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY LARGE","0270","RC","Both",,,"20","10","Aetna","Commercial",,,"64",,"12.76","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY LARGE","0270","RC","Both",,,"20","10","Blue Cross Blue Shield","Pathways",,,"71",,"14.12","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY LARGE","0270","RC","Both",,,"20","10","Blue Cross Blue Shield","HMO",,,"71",,"14.12","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY LARGE","0270","RC","Both",,,"20","10","Blue Cross Blue Shield","PPO",,,"71",,"14.12","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY LARGE","0270","RC","Both",,,"20","10","Ambetter","Health Exchange",,,"62",,"12.4","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY LARGE","0270","RC","Both",,,"20","10","Caresource","Health Exchange",,,"62",,"12.4","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY LARGE","0270","RC","Both",,,"20","10","Cigna","Commercial",,,"59",,"11.72","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY LARGE","0270","RC","Both",,,"20","10","Humana","Commercial",,,"78",,"15.5","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY LARGE","0270","RC","Both",,,"20","10","UHC","Commercial",,,"75",,"15.08","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY LARGE","0270","RC","Both",,,"20","10","Medicaid",,,,"37",,"7.32","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY XL","0270","RC","Both",,,"31","15.5","Alliant","Health Exchange",,,"62",,"19.22","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY XL","0270","RC","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.74","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY XL","0270","RC","Both",,,"31","15.5","Medicare",,,,"54",,"16.8","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY XL","0270","RC","Both",,,"31","15.5","Humana","Medicare Advantage",,,"54",,"16.8","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY XL","0270","RC","Both",,,"31","15.5","UHC","Medicare Advantage",,,"54",,"16.8","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY XL","0270","RC","Both",,,"31","15.5","Clover","Medicare Advantage",,,"54",,"16.8","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY XL","0270","RC","Both",,,"31","15.5","Wellcare","Medicare Advantage",,,"54",,"16.8","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY XL","0270","RC","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care",,,"37",,"11.35","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY XL","0270","RC","Both",,,"31","15.5","Caresource","Medicaid Managed Care",,,"40",,"12.4","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY XL","0270","RC","Both",,,"31","15.5","Wellcare","Medicaid Managed Care",,,"40",,"12.56","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY XL","0270","RC","Both",,,"31","15.5","Aetna","Commercial",,,"64",,"19.78","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY XL","0270","RC","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways",,,"71",,"21.89","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY XL","0270","RC","Both",,,"31","15.5","Blue Cross Blue Shield","HMO",,,"71",,"21.89","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY XL","0270","RC","Both",,,"31","15.5","Blue Cross Blue Shield","PPO",,,"71",,"21.89","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY XL","0270","RC","Both",,,"31","15.5","Ambetter","Health Exchange",,,"62",,"19.22","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY XL","0270","RC","Both",,,"31","15.5","Caresource","Health Exchange",,,"62",,"19.22","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY XL","0270","RC","Both",,,"31","15.5","Cigna","Commercial",,,"59",,"18.17","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY XL","0270","RC","Both",,,"31","15.5","Humana","Commercial",,,"78",,"24.02","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY XL","0270","RC","Both",,,"31","15.5","UHC","Commercial",,,"75",,"23.37","0.18","1007.5","percent of total billed charges",,
"SCROTAL SUPPORT SUSPENSORY XL","0270","RC","Both",,,"31","15.5","Medicaid",,,,"37",,"11.35","0.18","1007.5","percent of total billed charges",,
"ENDO TUBE","0270","RC","Both",,,"19","9.5","Alliant","Health Exchange",,,"62",,"11.78","0.18","1007.5","percent of total billed charges",,
"ENDO TUBE","0270","RC","Both",,,"19","9.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.26","0.18","1007.5","percent of total billed charges",,
"ENDO TUBE","0270","RC","Both",,,"19","9.5","Medicare",,,,"54",,"10.3","0.18","1007.5","percent of total billed charges",,
"ENDO TUBE","0270","RC","Both",,,"19","9.5","Humana","Medicare Advantage",,,"54",,"10.3","0.18","1007.5","percent of total billed charges",,
"ENDO TUBE","0270","RC","Both",,,"19","9.5","UHC","Medicare Advantage",,,"54",,"10.3","0.18","1007.5","percent of total billed charges",,
"ENDO TUBE","0270","RC","Both",,,"19","9.5","Clover","Medicare Advantage",,,"54",,"10.3","0.18","1007.5","percent of total billed charges",,
"ENDO TUBE","0270","RC","Both",,,"19","9.5","Wellcare","Medicare Advantage",,,"54",,"10.3","0.18","1007.5","percent of total billed charges",,
"ENDO TUBE","0270","RC","Both",,,"19","9.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.95","0.18","1007.5","percent of total billed charges",,
"ENDO TUBE","0270","RC","Both",,,"19","9.5","Caresource","Medicaid Managed Care",,,"40",,"7.6","0.18","1007.5","percent of total billed charges",,
"ENDO TUBE","0270","RC","Both",,,"19","9.5","Wellcare","Medicaid Managed Care",,,"40",,"7.7","0.18","1007.5","percent of total billed charges",,
"ENDO TUBE","0270","RC","Both",,,"19","9.5","Aetna","Commercial",,,"64",,"12.12","0.18","1007.5","percent of total billed charges",,
"ENDO TUBE","0270","RC","Both",,,"19","9.5","Blue Cross Blue Shield","Pathways",,,"71",,"13.41","0.18","1007.5","percent of total billed charges",,
"ENDO TUBE","0270","RC","Both",,,"19","9.5","Blue Cross Blue Shield","HMO",,,"71",,"13.41","0.18","1007.5","percent of total billed charges",,
"ENDO TUBE","0270","RC","Both",,,"19","9.5","Blue Cross Blue Shield","PPO",,,"71",,"13.41","0.18","1007.5","percent of total billed charges",,
"ENDO TUBE","0270","RC","Both",,,"19","9.5","Ambetter","Health Exchange",,,"62",,"11.78","0.18","1007.5","percent of total billed charges",,
"ENDO TUBE","0270","RC","Both",,,"19","9.5","Caresource","Health Exchange",,,"62",,"11.78","0.18","1007.5","percent of total billed charges",,
"ENDO TUBE","0270","RC","Both",,,"19","9.5","Cigna","Commercial",,,"59",,"11.13","0.18","1007.5","percent of total billed charges",,
"ENDO TUBE","0270","RC","Both",,,"19","9.5","Humana","Commercial",,,"78",,"14.72","0.18","1007.5","percent of total billed charges",,
"ENDO TUBE","0270","RC","Both",,,"19","9.5","UHC","Commercial",,,"75",,"14.33","0.18","1007.5","percent of total billed charges",,
"ENDO TUBE","0270","RC","Both",,,"19","9.5","Medicaid",,,,"37",,"6.95","0.18","1007.5","percent of total billed charges",,
"VISCOPASTE","0270","RC","Both",,,"28","14","Alliant","Health Exchange",,,"62",,"17.36","0.18","1007.5","percent of total billed charges",,
"VISCOPASTE","0270","RC","Both",,,"28","14","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.12","0.18","1007.5","percent of total billed charges",,
"VISCOPASTE","0270","RC","Both",,,"28","14","Medicare",,,,"54",,"15.18","0.18","1007.5","percent of total billed charges",,
"VISCOPASTE","0270","RC","Both",,,"28","14","Humana","Medicare Advantage",,,"54",,"15.18","0.18","1007.5","percent of total billed charges",,
"VISCOPASTE","0270","RC","Both",,,"28","14","UHC","Medicare Advantage",,,"54",,"15.18","0.18","1007.5","percent of total billed charges",,
"VISCOPASTE","0270","RC","Both",,,"28","14","Clover","Medicare Advantage",,,"54",,"15.18","0.18","1007.5","percent of total billed charges",,
"VISCOPASTE","0270","RC","Both",,,"28","14","Wellcare","Medicare Advantage",,,"54",,"15.18","0.18","1007.5","percent of total billed charges",,
"VISCOPASTE","0270","RC","Both",,,"28","14","Amerigroup","Medicaid Managed Care",,,"37",,"10.25","0.18","1007.5","percent of total billed charges",,
"VISCOPASTE","0270","RC","Both",,,"28","14","Caresource","Medicaid Managed Care",,,"40",,"11.2","0.18","1007.5","percent of total billed charges",,
"VISCOPASTE","0270","RC","Both",,,"28","14","Wellcare","Medicaid Managed Care",,,"40",,"11.34","0.18","1007.5","percent of total billed charges",,
"VISCOPASTE","0270","RC","Both",,,"28","14","Aetna","Commercial",,,"64",,"17.86","0.18","1007.5","percent of total billed charges",,
"VISCOPASTE","0270","RC","Both",,,"28","14","Blue Cross Blue Shield","Pathways",,,"71",,"19.77","0.18","1007.5","percent of total billed charges",,
"VISCOPASTE","0270","RC","Both",,,"28","14","Blue Cross Blue Shield","HMO",,,"71",,"19.77","0.18","1007.5","percent of total billed charges",,
"VISCOPASTE","0270","RC","Both",,,"28","14","Blue Cross Blue Shield","PPO",,,"71",,"19.77","0.18","1007.5","percent of total billed charges",,
"VISCOPASTE","0270","RC","Both",,,"28","14","Ambetter","Health Exchange",,,"62",,"17.36","0.18","1007.5","percent of total billed charges",,
"VISCOPASTE","0270","RC","Both",,,"28","14","Caresource","Health Exchange",,,"62",,"17.36","0.18","1007.5","percent of total billed charges",,
"VISCOPASTE","0270","RC","Both",,,"28","14","Cigna","Commercial",,,"59",,"16.41","0.18","1007.5","percent of total billed charges",,
"VISCOPASTE","0270","RC","Both",,,"28","14","Humana","Commercial",,,"78",,"21.7","0.18","1007.5","percent of total billed charges",,
"VISCOPASTE","0270","RC","Both",,,"28","14","UHC","Commercial",,,"75",,"21.11","0.18","1007.5","percent of total billed charges",,
"VISCOPASTE","0270","RC","Both",,,"28","14","Medicaid",,,,"37",,"10.25","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER 14 FR","0270","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER 14 FR","0270","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER 14 FR","0270","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER 14 FR","0270","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER 14 FR","0270","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER 14 FR","0270","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER 14 FR","0270","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER 14 FR","0270","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER 14 FR","0270","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER 14 FR","0270","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER 14 FR","0270","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER 14 FR","0270","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER 14 FR","0270","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER 14 FR","0270","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER 14 FR","0270","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER 14 FR","0270","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER 14 FR","0270","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER 14 FR","0270","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER 14 FR","0270","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER 14 FR","0270","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT SMALL","0270","RC","Both",,,"18","9","Alliant","Health Exchange",,,"62",,"11.16","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT SMALL","0270","RC","Both",,,"18","9","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.72","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT SMALL","0270","RC","Both",,,"18","9","Medicare",,,,"54",,"9.76","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT SMALL","0270","RC","Both",,,"18","9","Humana","Medicare Advantage",,,"54",,"9.76","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT SMALL","0270","RC","Both",,,"18","9","UHC","Medicare Advantage",,,"54",,"9.76","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT SMALL","0270","RC","Both",,,"18","9","Clover","Medicare Advantage",,,"54",,"9.76","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT SMALL","0270","RC","Both",,,"18","9","Wellcare","Medicare Advantage",,,"54",,"9.76","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT SMALL","0270","RC","Both",,,"18","9","Amerigroup","Medicaid Managed Care",,,"37",,"6.59","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT SMALL","0270","RC","Both",,,"18","9","Caresource","Medicaid Managed Care",,,"40",,"7.2","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT SMALL","0270","RC","Both",,,"18","9","Wellcare","Medicaid Managed Care",,,"40",,"7.29","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT SMALL","0270","RC","Both",,,"18","9","Aetna","Commercial",,,"64",,"11.48","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT SMALL","0270","RC","Both",,,"18","9","Blue Cross Blue Shield","Pathways",,,"71",,"12.71","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT SMALL","0270","RC","Both",,,"18","9","Blue Cross Blue Shield","HMO",,,"71",,"12.71","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT SMALL","0270","RC","Both",,,"18","9","Blue Cross Blue Shield","PPO",,,"71",,"12.71","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT SMALL","0270","RC","Both",,,"18","9","Ambetter","Health Exchange",,,"62",,"11.16","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT SMALL","0270","RC","Both",,,"18","9","Caresource","Health Exchange",,,"62",,"11.16","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT SMALL","0270","RC","Both",,,"18","9","Cigna","Commercial",,,"59",,"10.55","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT SMALL","0270","RC","Both",,,"18","9","Humana","Commercial",,,"78",,"13.95","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT SMALL","0270","RC","Both",,,"18","9","UHC","Commercial",,,"75",,"13.57","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT SMALL","0270","RC","Both",,,"18","9","Medicaid",,,,"37",,"6.59","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT MED","0270","RC","Both",,,"21","10.5","Alliant","Health Exchange",,,"62",,"13.02","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT MED","0270","RC","Both",,,"21","10.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.34","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT MED","0270","RC","Both",,,"21","10.5","Medicare",,,,"54",,"11.38","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT MED","0270","RC","Both",,,"21","10.5","Humana","Medicare Advantage",,,"54",,"11.38","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT MED","0270","RC","Both",,,"21","10.5","UHC","Medicare Advantage",,,"54",,"11.38","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT MED","0270","RC","Both",,,"21","10.5","Clover","Medicare Advantage",,,"54",,"11.38","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT MED","0270","RC","Both",,,"21","10.5","Wellcare","Medicare Advantage",,,"54",,"11.38","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT MED","0270","RC","Both",,,"21","10.5","Amerigroup","Medicaid Managed Care",,,"37",,"7.69","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT MED","0270","RC","Both",,,"21","10.5","Caresource","Medicaid Managed Care",,,"40",,"8.4","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT MED","0270","RC","Both",,,"21","10.5","Wellcare","Medicaid Managed Care",,,"40",,"8.51","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT MED","0270","RC","Both",,,"21","10.5","Aetna","Commercial",,,"64",,"13.4","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT MED","0270","RC","Both",,,"21","10.5","Blue Cross Blue Shield","Pathways",,,"71",,"14.83","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT MED","0270","RC","Both",,,"21","10.5","Blue Cross Blue Shield","HMO",,,"71",,"14.83","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT MED","0270","RC","Both",,,"21","10.5","Blue Cross Blue Shield","PPO",,,"71",,"14.83","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT MED","0270","RC","Both",,,"21","10.5","Ambetter","Health Exchange",,,"62",,"13.02","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT MED","0270","RC","Both",,,"21","10.5","Caresource","Health Exchange",,,"62",,"13.02","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT MED","0270","RC","Both",,,"21","10.5","Cigna","Commercial",,,"59",,"12.31","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT MED","0270","RC","Both",,,"21","10.5","Humana","Commercial",,,"78",,"16.28","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT MED","0270","RC","Both",,,"21","10.5","UHC","Commercial",,,"75",,"15.83","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT MED","0270","RC","Both",,,"21","10.5","Medicaid",,,,"37",,"7.69","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT LG","0270","RC","Both",,,"21","10.5","Alliant","Health Exchange",,,"62",,"13.02","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT LG","0270","RC","Both",,,"21","10.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.34","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT LG","0270","RC","Both",,,"21","10.5","Medicare",,,,"54",,"11.38","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT LG","0270","RC","Both",,,"21","10.5","Humana","Medicare Advantage",,,"54",,"11.38","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT LG","0270","RC","Both",,,"21","10.5","UHC","Medicare Advantage",,,"54",,"11.38","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT LG","0270","RC","Both",,,"21","10.5","Clover","Medicare Advantage",,,"54",,"11.38","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT LG","0270","RC","Both",,,"21","10.5","Wellcare","Medicare Advantage",,,"54",,"11.38","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT LG","0270","RC","Both",,,"21","10.5","Amerigroup","Medicaid Managed Care",,,"37",,"7.69","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT LG","0270","RC","Both",,,"21","10.5","Caresource","Medicaid Managed Care",,,"40",,"8.4","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT LG","0270","RC","Both",,,"21","10.5","Wellcare","Medicaid Managed Care",,,"40",,"8.51","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT LG","0270","RC","Both",,,"21","10.5","Aetna","Commercial",,,"64",,"13.4","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT LG","0270","RC","Both",,,"21","10.5","Blue Cross Blue Shield","Pathways",,,"71",,"14.83","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT LG","0270","RC","Both",,,"21","10.5","Blue Cross Blue Shield","HMO",,,"71",,"14.83","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT LG","0270","RC","Both",,,"21","10.5","Blue Cross Blue Shield","PPO",,,"71",,"14.83","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT LG","0270","RC","Both",,,"21","10.5","Ambetter","Health Exchange",,,"62",,"13.02","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT LG","0270","RC","Both",,,"21","10.5","Caresource","Health Exchange",,,"62",,"13.02","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT LG","0270","RC","Both",,,"21","10.5","Cigna","Commercial",,,"59",,"12.31","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT LG","0270","RC","Both",,,"21","10.5","Humana","Commercial",,,"78",,"16.28","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT LG","0270","RC","Both",,,"21","10.5","UHC","Commercial",,,"75",,"15.83","0.18","1007.5","percent of total billed charges",,
"HEEL LIFT LG","0270","RC","Both",,,"21","10.5","Medicaid",,,,"37",,"7.69","0.18","1007.5","percent of total billed charges",,
"BIOFREEZE SPRAY 3OZ","0270","RC","Both",,,"37","18.5","Alliant","Health Exchange",,,"62",,"22.94","0.18","1007.5","percent of total billed charges",,
"BIOFREEZE SPRAY 3OZ","0270","RC","Both",,,"37","18.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.98","0.18","1007.5","percent of total billed charges",,
"BIOFREEZE SPRAY 3OZ","0270","RC","Both",,,"37","18.5","Medicare",,,,"54",,"20.05","0.18","1007.5","percent of total billed charges",,
"BIOFREEZE SPRAY 3OZ","0270","RC","Both",,,"37","18.5","Humana","Medicare Advantage",,,"54",,"20.05","0.18","1007.5","percent of total billed charges",,
"BIOFREEZE SPRAY 3OZ","0270","RC","Both",,,"37","18.5","UHC","Medicare Advantage",,,"54",,"20.05","0.18","1007.5","percent of total billed charges",,
"BIOFREEZE SPRAY 3OZ","0270","RC","Both",,,"37","18.5","Clover","Medicare Advantage",,,"54",,"20.05","0.18","1007.5","percent of total billed charges",,
"BIOFREEZE SPRAY 3OZ","0270","RC","Both",,,"37","18.5","Wellcare","Medicare Advantage",,,"54",,"20.05","0.18","1007.5","percent of total billed charges",,
"BIOFREEZE SPRAY 3OZ","0270","RC","Both",,,"37","18.5","Amerigroup","Medicaid Managed Care",,,"37",,"13.54","0.18","1007.5","percent of total billed charges",,
"BIOFREEZE SPRAY 3OZ","0270","RC","Both",,,"37","18.5","Caresource","Medicaid Managed Care",,,"40",,"14.8","0.18","1007.5","percent of total billed charges",,
"BIOFREEZE SPRAY 3OZ","0270","RC","Both",,,"37","18.5","Wellcare","Medicaid Managed Care",,,"40",,"14.99","0.18","1007.5","percent of total billed charges",,
"BIOFREEZE SPRAY 3OZ","0270","RC","Both",,,"37","18.5","Aetna","Commercial",,,"64",,"23.61","0.18","1007.5","percent of total billed charges",,
"BIOFREEZE SPRAY 3OZ","0270","RC","Both",,,"37","18.5","Blue Cross Blue Shield","Pathways",,,"71",,"26.12","0.18","1007.5","percent of total billed charges",,
"BIOFREEZE SPRAY 3OZ","0270","RC","Both",,,"37","18.5","Blue Cross Blue Shield","HMO",,,"71",,"26.12","0.18","1007.5","percent of total billed charges",,
"BIOFREEZE SPRAY 3OZ","0270","RC","Both",,,"37","18.5","Blue Cross Blue Shield","PPO",,,"71",,"26.12","0.18","1007.5","percent of total billed charges",,
"BIOFREEZE SPRAY 3OZ","0270","RC","Both",,,"37","18.5","Ambetter","Health Exchange",,,"62",,"22.94","0.18","1007.5","percent of total billed charges",,
"BIOFREEZE SPRAY 3OZ","0270","RC","Both",,,"37","18.5","Caresource","Health Exchange",,,"62",,"22.94","0.18","1007.5","percent of total billed charges",,
"BIOFREEZE SPRAY 3OZ","0270","RC","Both",,,"37","18.5","Cigna","Commercial",,,"59",,"21.68","0.18","1007.5","percent of total billed charges",,
"BIOFREEZE SPRAY 3OZ","0270","RC","Both",,,"37","18.5","Humana","Commercial",,,"78",,"28.68","0.18","1007.5","percent of total billed charges",,
"BIOFREEZE SPRAY 3OZ","0270","RC","Both",,,"37","18.5","UHC","Commercial",,,"75",,"27.9","0.18","1007.5","percent of total billed charges",,
"BIOFREEZE SPRAY 3OZ","0270","RC","Both",,,"37","18.5","Medicaid",,,,"37",,"13.54","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER 18 FR","0270","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER 18 FR","0270","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER 18 FR","0270","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER 18 FR","0270","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER 18 FR","0270","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER 18 FR","0270","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER 18 FR","0270","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER 18 FR","0270","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER 18 FR","0270","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER 18 FR","0270","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER 18 FR","0270","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER 18 FR","0270","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER 18 FR","0270","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER 18 FR","0270","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER 18 FR","0270","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER 18 FR","0270","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER 18 FR","0270","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER 18 FR","0270","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER 18 FR","0270","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER 18 FR","0270","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.18","1007.5","percent of total billed charges",,
"DRESSING 2x2 CALCIUM ALGINATE","0272","RC","Both",,,"144","72","Alliant","Health Exchange",,,"62",,"89.28","1.1","126.06","percent of total billed charges",,
"DRESSING 2x2 CALCIUM ALGINATE","0272","RC","Both",,,"144","72","Pruitt Healthcare","Medicare Advantage",,,"54",,"77.76","1.1","126.06","percent of total billed charges",,
"DRESSING 2x2 CALCIUM ALGINATE","0272","RC","Both",,,"144","72","Medicare",,,,"54",,"78.05","1.1","126.06","percent of total billed charges",,
"DRESSING 2x2 CALCIUM ALGINATE","0272","RC","Both",,,"144","72","Humana","Medicare Advantage",,,"54",,"78.05","1.1","126.06","percent of total billed charges",,
"DRESSING 2x2 CALCIUM ALGINATE","0272","RC","Both",,,"144","72","UHC","Medicare Advantage",,,"54",,"78.05","1.1","126.06","percent of total billed charges",,
"DRESSING 2x2 CALCIUM ALGINATE","0272","RC","Both",,,"144","72","Clover","Medicare Advantage",,,"54",,"78.05","1.1","126.06","percent of total billed charges",,
"DRESSING 2x2 CALCIUM ALGINATE","0272","RC","Both",,,"144","72","Wellcare","Medicare Advantage",,,"54",,"78.05","1.1","126.06","percent of total billed charges",,
"DRESSING 2x2 CALCIUM ALGINATE","0272","RC","Both",,,"144","72","Amerigroup","Medicaid Managed Care",,,"37",,"52.7","1.1","126.06","percent of total billed charges",,
"DRESSING 2x2 CALCIUM ALGINATE","0272","RC","Both",,,"144","72","Caresource","Medicaid Managed Care",,,"40",,"57.6","1.1","126.06","percent of total billed charges",,
"DRESSING 2x2 CALCIUM ALGINATE","0272","RC","Both",,,"144","72","Wellcare","Medicaid Managed Care",,,"40",,"58.32","1.1","126.06","percent of total billed charges",,
"DRESSING 2x2 CALCIUM ALGINATE","0272","RC","Both",,,"144","72","Aetna","Commercial",,,"64",,"91.87","1.1","126.06","percent of total billed charges",,
"DRESSING 2x2 CALCIUM ALGINATE","0272","RC","Both",,,"144","72","Blue Cross Blue Shield","Pathways",,,"71",,"101.66","1.1","126.06","percent of total billed charges",,
"DRESSING 2x2 CALCIUM ALGINATE","0272","RC","Both",,,"144","72","Blue Cross Blue Shield","HMO",,,"71",,"101.66","1.1","126.06","percent of total billed charges",,
"DRESSING 2x2 CALCIUM ALGINATE","0272","RC","Both",,,"144","72","Blue Cross Blue Shield","PPO",,,"71",,"101.66","1.1","126.06","percent of total billed charges",,
"DRESSING 2x2 CALCIUM ALGINATE","0272","RC","Both",,,"144","72","Ambetter","Health Exchange",,,"62",,"89.28","1.1","126.06","percent of total billed charges",,
"DRESSING 2x2 CALCIUM ALGINATE","0272","RC","Both",,,"144","72","Caresource","Health Exchange",,,"62",,"89.28","1.1","126.06","percent of total billed charges",,
"DRESSING 2x2 CALCIUM ALGINATE","0272","RC","Both",,,"144","72","Cigna","Commercial",,,"59",,"84.38","1.1","126.06","percent of total billed charges",,
"DRESSING 2x2 CALCIUM ALGINATE","0272","RC","Both",,,"144","72","Humana","Commercial",,,"78",,"111.6","1.1","126.06","percent of total billed charges",,
"DRESSING 2x2 CALCIUM ALGINATE","0272","RC","Both",,,"144","72","UHC","Commercial",,,"75",,"108.58","1.1","126.06","percent of total billed charges",,
"DRESSING 2x2 CALCIUM ALGINATE","0272","RC","Both",,,"144","72","Medicaid",,,,"37",,"52.7","1.1","126.06","percent of total billed charges",,
"DRESSING 3x3 HYDROCELLULAR FOAM","0272","RC","Both",,,"110","55","Alliant","Health Exchange",,,"62",,"68.2","1.1","126.06","percent of total billed charges",,
"DRESSING 3x3 HYDROCELLULAR FOAM","0272","RC","Both",,,"110","55","Pruitt Healthcare","Medicare Advantage",,,"54",,"59.4","1.1","126.06","percent of total billed charges",,
"DRESSING 3x3 HYDROCELLULAR FOAM","0272","RC","Both",,,"110","55","Medicare",,,,"54",,"59.62","1.1","126.06","percent of total billed charges",,
"DRESSING 3x3 HYDROCELLULAR FOAM","0272","RC","Both",,,"110","55","Humana","Medicare Advantage",,,"54",,"59.62","1.1","126.06","percent of total billed charges",,
"DRESSING 3x3 HYDROCELLULAR FOAM","0272","RC","Both",,,"110","55","UHC","Medicare Advantage",,,"54",,"59.62","1.1","126.06","percent of total billed charges",,
"DRESSING 3x3 HYDROCELLULAR FOAM","0272","RC","Both",,,"110","55","Clover","Medicare Advantage",,,"54",,"59.62","1.1","126.06","percent of total billed charges",,
"DRESSING 3x3 HYDROCELLULAR FOAM","0272","RC","Both",,,"110","55","Wellcare","Medicare Advantage",,,"54",,"59.62","1.1","126.06","percent of total billed charges",,
"DRESSING 3x3 HYDROCELLULAR FOAM","0272","RC","Both",,,"110","55","Amerigroup","Medicaid Managed Care",,,"37",,"40.26","1.1","126.06","percent of total billed charges",,
"DRESSING 3x3 HYDROCELLULAR FOAM","0272","RC","Both",,,"110","55","Caresource","Medicaid Managed Care",,,"40",,"44","1.1","126.06","percent of total billed charges",,
"DRESSING 3x3 HYDROCELLULAR FOAM","0272","RC","Both",,,"110","55","Wellcare","Medicaid Managed Care",,,"40",,"44.55","1.1","126.06","percent of total billed charges",,
"DRESSING 3x3 HYDROCELLULAR FOAM","0272","RC","Both",,,"110","55","Aetna","Commercial",,,"64",,"70.18","1.1","126.06","percent of total billed charges",,
"DRESSING 3x3 HYDROCELLULAR FOAM","0272","RC","Both",,,"110","55","Blue Cross Blue Shield","Pathways",,,"71",,"77.66","1.1","126.06","percent of total billed charges",,
"DRESSING 3x3 HYDROCELLULAR FOAM","0272","RC","Both",,,"110","55","Blue Cross Blue Shield","HMO",,,"71",,"77.66","1.1","126.06","percent of total billed charges",,
"DRESSING 3x3 HYDROCELLULAR FOAM","0272","RC","Both",,,"110","55","Blue Cross Blue Shield","PPO",,,"71",,"77.66","1.1","126.06","percent of total billed charges",,
"DRESSING 3x3 HYDROCELLULAR FOAM","0272","RC","Both",,,"110","55","Ambetter","Health Exchange",,,"62",,"68.2","1.1","126.06","percent of total billed charges",,
"DRESSING 3x3 HYDROCELLULAR FOAM","0272","RC","Both",,,"110","55","Caresource","Health Exchange",,,"62",,"68.2","1.1","126.06","percent of total billed charges",,
"DRESSING 3x3 HYDROCELLULAR FOAM","0272","RC","Both",,,"110","55","Cigna","Commercial",,,"59",,"64.46","1.1","126.06","percent of total billed charges",,
"DRESSING 3x3 HYDROCELLULAR FOAM","0272","RC","Both",,,"110","55","Humana","Commercial",,,"78",,"85.25","1.1","126.06","percent of total billed charges",,
"DRESSING 3x3 HYDROCELLULAR FOAM","0272","RC","Both",,,"110","55","UHC","Commercial",,,"75",,"82.94","1.1","126.06","percent of total billed charges",,
"DRESSING 3x3 HYDROCELLULAR FOAM","0272","RC","Both",,,"110","55","Medicaid",,,,"37",,"40.26","1.1","126.06","percent of total billed charges",,
"HYDROCOLLOID DRESSING 4x4 STERILE","0270","RC","Both",,,"18","9","Alliant","Health Exchange",,,"62",,"11.16","0.18","1007.5","percent of total billed charges",,
"HYDROCOLLOID DRESSING 4x4 STERILE","0270","RC","Both",,,"18","9","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.72","0.18","1007.5","percent of total billed charges",,
"HYDROCOLLOID DRESSING 4x4 STERILE","0270","RC","Both",,,"18","9","Medicare",,,,"54",,"9.76","0.18","1007.5","percent of total billed charges",,
"HYDROCOLLOID DRESSING 4x4 STERILE","0270","RC","Both",,,"18","9","Humana","Medicare Advantage",,,"54",,"9.76","0.18","1007.5","percent of total billed charges",,
"HYDROCOLLOID DRESSING 4x4 STERILE","0270","RC","Both",,,"18","9","UHC","Medicare Advantage",,,"54",,"9.76","0.18","1007.5","percent of total billed charges",,
"HYDROCOLLOID DRESSING 4x4 STERILE","0270","RC","Both",,,"18","9","Clover","Medicare Advantage",,,"54",,"9.76","0.18","1007.5","percent of total billed charges",,
"HYDROCOLLOID DRESSING 4x4 STERILE","0270","RC","Both",,,"18","9","Wellcare","Medicare Advantage",,,"54",,"9.76","0.18","1007.5","percent of total billed charges",,
"HYDROCOLLOID DRESSING 4x4 STERILE","0270","RC","Both",,,"18","9","Amerigroup","Medicaid Managed Care",,,"37",,"6.59","0.18","1007.5","percent of total billed charges",,
"HYDROCOLLOID DRESSING 4x4 STERILE","0270","RC","Both",,,"18","9","Caresource","Medicaid Managed Care",,,"40",,"7.2","0.18","1007.5","percent of total billed charges",,
"HYDROCOLLOID DRESSING 4x4 STERILE","0270","RC","Both",,,"18","9","Wellcare","Medicaid Managed Care",,,"40",,"7.29","0.18","1007.5","percent of total billed charges",,
"HYDROCOLLOID DRESSING 4x4 STERILE","0270","RC","Both",,,"18","9","Aetna","Commercial",,,"64",,"11.48","0.18","1007.5","percent of total billed charges",,
"HYDROCOLLOID DRESSING 4x4 STERILE","0270","RC","Both",,,"18","9","Blue Cross Blue Shield","Pathways",,,"71",,"12.71","0.18","1007.5","percent of total billed charges",,
"HYDROCOLLOID DRESSING 4x4 STERILE","0270","RC","Both",,,"18","9","Blue Cross Blue Shield","HMO",,,"71",,"12.71","0.18","1007.5","percent of total billed charges",,
"HYDROCOLLOID DRESSING 4x4 STERILE","0270","RC","Both",,,"18","9","Blue Cross Blue Shield","PPO",,,"71",,"12.71","0.18","1007.5","percent of total billed charges",,
"HYDROCOLLOID DRESSING 4x4 STERILE","0270","RC","Both",,,"18","9","Ambetter","Health Exchange",,,"62",,"11.16","0.18","1007.5","percent of total billed charges",,
"HYDROCOLLOID DRESSING 4x4 STERILE","0270","RC","Both",,,"18","9","Caresource","Health Exchange",,,"62",,"11.16","0.18","1007.5","percent of total billed charges",,
"HYDROCOLLOID DRESSING 4x4 STERILE","0270","RC","Both",,,"18","9","Cigna","Commercial",,,"59",,"10.55","0.18","1007.5","percent of total billed charges",,
"HYDROCOLLOID DRESSING 4x4 STERILE","0270","RC","Both",,,"18","9","Humana","Commercial",,,"78",,"13.95","0.18","1007.5","percent of total billed charges",,
"HYDROCOLLOID DRESSING 4x4 STERILE","0270","RC","Both",,,"18","9","UHC","Commercial",,,"75",,"13.57","0.18","1007.5","percent of total billed charges",,
"HYDROCOLLOID DRESSING 4x4 STERILE","0270","RC","Both",,,"18","9","Medicaid",,,,"37",,"6.59","0.18","1007.5","percent of total billed charges",,
"FINGER SPLINT 756-01","0270","RC","Both",,,"52","26","Alliant","Health Exchange",,,"62",,"32.24","0.18","1007.5","percent of total billed charges",,
"FINGER SPLINT 756-01","0270","RC","Both",,,"52","26","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.08","0.18","1007.5","percent of total billed charges",,
"FINGER SPLINT 756-01","0270","RC","Both",,,"52","26","Medicare",,,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"FINGER SPLINT 756-01","0270","RC","Both",,,"52","26","Humana","Medicare Advantage",,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"FINGER SPLINT 756-01","0270","RC","Both",,,"52","26","UHC","Medicare Advantage",,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"FINGER SPLINT 756-01","0270","RC","Both",,,"52","26","Clover","Medicare Advantage",,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"FINGER SPLINT 756-01","0270","RC","Both",,,"52","26","Wellcare","Medicare Advantage",,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"FINGER SPLINT 756-01","0270","RC","Both",,,"52","26","Amerigroup","Medicaid Managed Care",,,"37",,"19.03","0.18","1007.5","percent of total billed charges",,
"FINGER SPLINT 756-01","0270","RC","Both",,,"52","26","Caresource","Medicaid Managed Care",,,"40",,"20.8","0.18","1007.5","percent of total billed charges",,
"FINGER SPLINT 756-01","0270","RC","Both",,,"52","26","Wellcare","Medicaid Managed Care",,,"40",,"21.06","0.18","1007.5","percent of total billed charges",,
"FINGER SPLINT 756-01","0270","RC","Both",,,"52","26","Aetna","Commercial",,,"64",,"33.18","0.18","1007.5","percent of total billed charges",,
"FINGER SPLINT 756-01","0270","RC","Both",,,"52","26","Blue Cross Blue Shield","Pathways",,,"71",,"36.71","0.18","1007.5","percent of total billed charges",,
"FINGER SPLINT 756-01","0270","RC","Both",,,"52","26","Blue Cross Blue Shield","HMO",,,"71",,"36.71","0.18","1007.5","percent of total billed charges",,
"FINGER SPLINT 756-01","0270","RC","Both",,,"52","26","Blue Cross Blue Shield","PPO",,,"71",,"36.71","0.18","1007.5","percent of total billed charges",,
"FINGER SPLINT 756-01","0270","RC","Both",,,"52","26","Ambetter","Health Exchange",,,"62",,"32.24","0.18","1007.5","percent of total billed charges",,
"FINGER SPLINT 756-01","0270","RC","Both",,,"52","26","Caresource","Health Exchange",,,"62",,"32.24","0.18","1007.5","percent of total billed charges",,
"FINGER SPLINT 756-01","0270","RC","Both",,,"52","26","Cigna","Commercial",,,"59",,"30.47","0.18","1007.5","percent of total billed charges",,
"FINGER SPLINT 756-01","0270","RC","Both",,,"52","26","Humana","Commercial",,,"78",,"40.3","0.18","1007.5","percent of total billed charges",,
"FINGER SPLINT 756-01","0270","RC","Both",,,"52","26","UHC","Commercial",,,"75",,"39.21","0.18","1007.5","percent of total billed charges",,
"FINGER SPLINT 756-01","0270","RC","Both",,,"52","26","Medicaid",,,,"37",,"19.03","0.18","1007.5","percent of total billed charges",,
"EASY CAP ll CO2 DETECTORS","0270","RC","Both",,,"24.03","12.015","Alliant","Health Exchange",,,"62",,"14.9","0.18","1007.5","percent of total billed charges",,
"EASY CAP ll CO2 DETECTORS","0270","RC","Both",,,"24.03","12.015","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.98","0.18","1007.5","percent of total billed charges",,
"EASY CAP ll CO2 DETECTORS","0270","RC","Both",,,"24.03","12.015","Medicare",,,,"54",,"13.02","0.18","1007.5","percent of total billed charges",,
"EASY CAP ll CO2 DETECTORS","0270","RC","Both",,,"24.03","12.015","Humana","Medicare Advantage",,,"54",,"13.02","0.18","1007.5","percent of total billed charges",,
"EASY CAP ll CO2 DETECTORS","0270","RC","Both",,,"24.03","12.015","UHC","Medicare Advantage",,,"54",,"13.02","0.18","1007.5","percent of total billed charges",,
"EASY CAP ll CO2 DETECTORS","0270","RC","Both",,,"24.03","12.015","Clover","Medicare Advantage",,,"54",,"13.02","0.18","1007.5","percent of total billed charges",,
"EASY CAP ll CO2 DETECTORS","0270","RC","Both",,,"24.03","12.015","Wellcare","Medicare Advantage",,,"54",,"13.02","0.18","1007.5","percent of total billed charges",,
"EASY CAP ll CO2 DETECTORS","0270","RC","Both",,,"24.03","12.015","Amerigroup","Medicaid Managed Care",,,"37",,"8.79","0.18","1007.5","percent of total billed charges",,
"EASY CAP ll CO2 DETECTORS","0270","RC","Both",,,"24.03","12.015","Caresource","Medicaid Managed Care",,,"40",,"9.61","0.18","1007.5","percent of total billed charges",,
"EASY CAP ll CO2 DETECTORS","0270","RC","Both",,,"24.03","12.015","Wellcare","Medicaid Managed Care",,,"40",,"9.73","0.18","1007.5","percent of total billed charges",,
"EASY CAP ll CO2 DETECTORS","0270","RC","Both",,,"24.03","12.015","Aetna","Commercial",,,"64",,"15.33","0.18","1007.5","percent of total billed charges",,
"EASY CAP ll CO2 DETECTORS","0270","RC","Both",,,"24.03","12.015","Blue Cross Blue Shield","Pathways",,,"71",,"16.97","0.18","1007.5","percent of total billed charges",,
"EASY CAP ll CO2 DETECTORS","0270","RC","Both",,,"24.03","12.015","Blue Cross Blue Shield","HMO",,,"71",,"16.97","0.18","1007.5","percent of total billed charges",,
"EASY CAP ll CO2 DETECTORS","0270","RC","Both",,,"24.03","12.015","Blue Cross Blue Shield","PPO",,,"71",,"16.97","0.18","1007.5","percent of total billed charges",,
"EASY CAP ll CO2 DETECTORS","0270","RC","Both",,,"24.03","12.015","Ambetter","Health Exchange",,,"62",,"14.9","0.18","1007.5","percent of total billed charges",,
"EASY CAP ll CO2 DETECTORS","0270","RC","Both",,,"24.03","12.015","Caresource","Health Exchange",,,"62",,"14.9","0.18","1007.5","percent of total billed charges",,
"EASY CAP ll CO2 DETECTORS","0270","RC","Both",,,"24.03","12.015","Cigna","Commercial",,,"59",,"14.08","0.18","1007.5","percent of total billed charges",,
"EASY CAP ll CO2 DETECTORS","0270","RC","Both",,,"24.03","12.015","Humana","Commercial",,,"78",,"18.62","0.18","1007.5","percent of total billed charges",,
"EASY CAP ll CO2 DETECTORS","0270","RC","Both",,,"24.03","12.015","UHC","Commercial",,,"75",,"18.12","0.18","1007.5","percent of total billed charges",,
"EASY CAP ll CO2 DETECTORS","0270","RC","Both",,,"24.03","12.015","Medicaid",,,,"37",,"8.79","0.18","1007.5","percent of total billed charges",,
"TIBIA - FIBULA IMMOBILIZER PE","0270","RC","Both",,,"195","97.5","Alliant","Health Exchange",,,"62",,"120.9","0.18","1007.5","percent of total billed charges",,
"TIBIA - FIBULA IMMOBILIZER PE","0270","RC","Both",,,"195","97.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"105.3","0.18","1007.5","percent of total billed charges",,
"TIBIA - FIBULA IMMOBILIZER PE","0270","RC","Both",,,"195","97.5","Medicare",,,,"54",,"105.69","0.18","1007.5","percent of total billed charges",,
"TIBIA - FIBULA IMMOBILIZER PE","0270","RC","Both",,,"195","97.5","Humana","Medicare Advantage",,,"54",,"105.69","0.18","1007.5","percent of total billed charges",,
"TIBIA - FIBULA IMMOBILIZER PE","0270","RC","Both",,,"195","97.5","UHC","Medicare Advantage",,,"54",,"105.69","0.18","1007.5","percent of total billed charges",,
"TIBIA - FIBULA IMMOBILIZER PE","0270","RC","Both",,,"195","97.5","Clover","Medicare Advantage",,,"54",,"105.69","0.18","1007.5","percent of total billed charges",,
"TIBIA - FIBULA IMMOBILIZER PE","0270","RC","Both",,,"195","97.5","Wellcare","Medicare Advantage",,,"54",,"105.69","0.18","1007.5","percent of total billed charges",,
"TIBIA - FIBULA IMMOBILIZER PE","0270","RC","Both",,,"195","97.5","Amerigroup","Medicaid Managed Care",,,"37",,"71.37","0.18","1007.5","percent of total billed charges",,
"TIBIA - FIBULA IMMOBILIZER PE","0270","RC","Both",,,"195","97.5","Caresource","Medicaid Managed Care",,,"40",,"78","0.18","1007.5","percent of total billed charges",,
"TIBIA - FIBULA IMMOBILIZER PE","0270","RC","Both",,,"195","97.5","Wellcare","Medicaid Managed Care",,,"40",,"78.98","0.18","1007.5","percent of total billed charges",,
"TIBIA - FIBULA IMMOBILIZER PE","0270","RC","Both",,,"195","97.5","Aetna","Commercial",,,"64",,"124.41","0.18","1007.5","percent of total billed charges",,
"TIBIA - FIBULA IMMOBILIZER PE","0270","RC","Both",,,"195","97.5","Blue Cross Blue Shield","Pathways",,,"71",,"137.67","0.18","1007.5","percent of total billed charges",,
"TIBIA - FIBULA IMMOBILIZER PE","0270","RC","Both",,,"195","97.5","Blue Cross Blue Shield","HMO",,,"71",,"137.67","0.18","1007.5","percent of total billed charges",,
"TIBIA - FIBULA IMMOBILIZER PE","0270","RC","Both",,,"195","97.5","Blue Cross Blue Shield","PPO",,,"71",,"137.67","0.18","1007.5","percent of total billed charges",,
"TIBIA - FIBULA IMMOBILIZER PE","0270","RC","Both",,,"195","97.5","Ambetter","Health Exchange",,,"62",,"120.9","0.18","1007.5","percent of total billed charges",,
"TIBIA - FIBULA IMMOBILIZER PE","0270","RC","Both",,,"195","97.5","Caresource","Health Exchange",,,"62",,"120.9","0.18","1007.5","percent of total billed charges",,
"TIBIA - FIBULA IMMOBILIZER PE","0270","RC","Both",,,"195","97.5","Cigna","Commercial",,,"59",,"114.27","0.18","1007.5","percent of total billed charges",,
"TIBIA - FIBULA IMMOBILIZER PE","0270","RC","Both",,,"195","97.5","Humana","Commercial",,,"78",,"151.12","0.18","1007.5","percent of total billed charges",,
"TIBIA - FIBULA IMMOBILIZER PE","0270","RC","Both",,,"195","97.5","UHC","Commercial",,,"75",,"147.03","0.18","1007.5","percent of total billed charges",,
"TIBIA - FIBULA IMMOBILIZER PE","0270","RC","Both",,,"195","97.5","Medicaid",,,,"37",,"71.37","0.18","1007.5","percent of total billed charges",,
"UNIVERSAL RIB BELT 722-01","0270","RC","Both",,,"29.5","14.75","Alliant","Health Exchange",,,"62",,"18.29","0.18","1007.5","percent of total billed charges",,
"UNIVERSAL RIB BELT 722-01","0270","RC","Both",,,"29.5","14.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.93","0.18","1007.5","percent of total billed charges",,
"UNIVERSAL RIB BELT 722-01","0270","RC","Both",,,"29.5","14.75","Medicare",,,,"54",,"15.99","0.18","1007.5","percent of total billed charges",,
"UNIVERSAL RIB BELT 722-01","0270","RC","Both",,,"29.5","14.75","Humana","Medicare Advantage",,,"54",,"15.99","0.18","1007.5","percent of total billed charges",,
"UNIVERSAL RIB BELT 722-01","0270","RC","Both",,,"29.5","14.75","UHC","Medicare Advantage",,,"54",,"15.99","0.18","1007.5","percent of total billed charges",,
"UNIVERSAL RIB BELT 722-01","0270","RC","Both",,,"29.5","14.75","Clover","Medicare Advantage",,,"54",,"15.99","0.18","1007.5","percent of total billed charges",,
"UNIVERSAL RIB BELT 722-01","0270","RC","Both",,,"29.5","14.75","Wellcare","Medicare Advantage",,,"54",,"15.99","0.18","1007.5","percent of total billed charges",,
"UNIVERSAL RIB BELT 722-01","0270","RC","Both",,,"29.5","14.75","Amerigroup","Medicaid Managed Care",,,"37",,"10.8","0.18","1007.5","percent of total billed charges",,
"UNIVERSAL RIB BELT 722-01","0270","RC","Both",,,"29.5","14.75","Caresource","Medicaid Managed Care",,,"40",,"11.8","0.18","1007.5","percent of total billed charges",,
"UNIVERSAL RIB BELT 722-01","0270","RC","Both",,,"29.5","14.75","Wellcare","Medicaid Managed Care",,,"40",,"11.95","0.18","1007.5","percent of total billed charges",,
"UNIVERSAL RIB BELT 722-01","0270","RC","Both",,,"29.5","14.75","Aetna","Commercial",,,"64",,"18.82","0.18","1007.5","percent of total billed charges",,
"UNIVERSAL RIB BELT 722-01","0270","RC","Both",,,"29.5","14.75","Blue Cross Blue Shield","Pathways",,,"71",,"20.83","0.18","1007.5","percent of total billed charges",,
"UNIVERSAL RIB BELT 722-01","0270","RC","Both",,,"29.5","14.75","Blue Cross Blue Shield","HMO",,,"71",,"20.83","0.18","1007.5","percent of total billed charges",,
"UNIVERSAL RIB BELT 722-01","0270","RC","Both",,,"29.5","14.75","Blue Cross Blue Shield","PPO",,,"71",,"20.83","0.18","1007.5","percent of total billed charges",,
"UNIVERSAL RIB BELT 722-01","0270","RC","Both",,,"29.5","14.75","Ambetter","Health Exchange",,,"62",,"18.29","0.18","1007.5","percent of total billed charges",,
"UNIVERSAL RIB BELT 722-01","0270","RC","Both",,,"29.5","14.75","Caresource","Health Exchange",,,"62",,"18.29","0.18","1007.5","percent of total billed charges",,
"UNIVERSAL RIB BELT 722-01","0270","RC","Both",,,"29.5","14.75","Cigna","Commercial",,,"59",,"17.29","0.18","1007.5","percent of total billed charges",,
"UNIVERSAL RIB BELT 722-01","0270","RC","Both",,,"29.5","14.75","Humana","Commercial",,,"78",,"22.86","0.18","1007.5","percent of total billed charges",,
"UNIVERSAL RIB BELT 722-01","0270","RC","Both",,,"29.5","14.75","UHC","Commercial",,,"75",,"22.24","0.18","1007.5","percent of total billed charges",,
"UNIVERSAL RIB BELT 722-01","0270","RC","Both",,,"29.5","14.75","Medicaid",,,,"37",,"10.8","0.18","1007.5","percent of total billed charges",,
"WAIST RESTRAINT 3804-10","0270","RC","Both",,,"77","38.5","Alliant","Health Exchange",,,"62",,"47.74","0.18","1007.5","percent of total billed charges",,
"WAIST RESTRAINT 3804-10","0270","RC","Both",,,"77","38.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"41.58","0.18","1007.5","percent of total billed charges",,
"WAIST RESTRAINT 3804-10","0270","RC","Both",,,"77","38.5","Medicare",,,,"54",,"41.73","0.18","1007.5","percent of total billed charges",,
"WAIST RESTRAINT 3804-10","0270","RC","Both",,,"77","38.5","Humana","Medicare Advantage",,,"54",,"41.73","0.18","1007.5","percent of total billed charges",,
"WAIST RESTRAINT 3804-10","0270","RC","Both",,,"77","38.5","UHC","Medicare Advantage",,,"54",,"41.73","0.18","1007.5","percent of total billed charges",,
"WAIST RESTRAINT 3804-10","0270","RC","Both",,,"77","38.5","Clover","Medicare Advantage",,,"54",,"41.73","0.18","1007.5","percent of total billed charges",,
"WAIST RESTRAINT 3804-10","0270","RC","Both",,,"77","38.5","Wellcare","Medicare Advantage",,,"54",,"41.73","0.18","1007.5","percent of total billed charges",,
"WAIST RESTRAINT 3804-10","0270","RC","Both",,,"77","38.5","Amerigroup","Medicaid Managed Care",,,"37",,"28.18","0.18","1007.5","percent of total billed charges",,
"WAIST RESTRAINT 3804-10","0270","RC","Both",,,"77","38.5","Caresource","Medicaid Managed Care",,,"40",,"30.8","0.18","1007.5","percent of total billed charges",,
"WAIST RESTRAINT 3804-10","0270","RC","Both",,,"77","38.5","Wellcare","Medicaid Managed Care",,,"40",,"31.18","0.18","1007.5","percent of total billed charges",,
"WAIST RESTRAINT 3804-10","0270","RC","Both",,,"77","38.5","Aetna","Commercial",,,"64",,"49.13","0.18","1007.5","percent of total billed charges",,
"WAIST RESTRAINT 3804-10","0270","RC","Both",,,"77","38.5","Blue Cross Blue Shield","Pathways",,,"71",,"54.36","0.18","1007.5","percent of total billed charges",,
"WAIST RESTRAINT 3804-10","0270","RC","Both",,,"77","38.5","Blue Cross Blue Shield","HMO",,,"71",,"54.36","0.18","1007.5","percent of total billed charges",,
"WAIST RESTRAINT 3804-10","0270","RC","Both",,,"77","38.5","Blue Cross Blue Shield","PPO",,,"71",,"54.36","0.18","1007.5","percent of total billed charges",,
"WAIST RESTRAINT 3804-10","0270","RC","Both",,,"77","38.5","Ambetter","Health Exchange",,,"62",,"47.74","0.18","1007.5","percent of total billed charges",,
"WAIST RESTRAINT 3804-10","0270","RC","Both",,,"77","38.5","Caresource","Health Exchange",,,"62",,"47.74","0.18","1007.5","percent of total billed charges",,
"WAIST RESTRAINT 3804-10","0270","RC","Both",,,"77","38.5","Cigna","Commercial",,,"59",,"45.12","0.18","1007.5","percent of total billed charges",,
"WAIST RESTRAINT 3804-10","0270","RC","Both",,,"77","38.5","Humana","Commercial",,,"78",,"59.68","0.18","1007.5","percent of total billed charges",,
"WAIST RESTRAINT 3804-10","0270","RC","Both",,,"77","38.5","UHC","Commercial",,,"75",,"58.06","0.18","1007.5","percent of total billed charges",,
"WAIST RESTRAINT 3804-10","0270","RC","Both",,,"77","38.5","Medicaid",,,,"37",,"28.18","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 992-12","0270","RC","Both",,,"14","7","Alliant","Health Exchange",,,"62",,"8.68","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 992-12","0270","RC","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.56","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 992-12","0270","RC","Both",,,"14","7","Medicare",,,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 992-12","0270","RC","Both",,,"14","7","Humana","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 992-12","0270","RC","Both",,,"14","7","UHC","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 992-12","0270","RC","Both",,,"14","7","Clover","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 992-12","0270","RC","Both",,,"14","7","Wellcare","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 992-12","0270","RC","Both",,,"14","7","Amerigroup","Medicaid Managed Care",,,"37",,"5.12","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 992-12","0270","RC","Both",,,"14","7","Caresource","Medicaid Managed Care",,,"40",,"5.6","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 992-12","0270","RC","Both",,,"14","7","Wellcare","Medicaid Managed Care",,,"40",,"5.67","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 992-12","0270","RC","Both",,,"14","7","Aetna","Commercial",,,"64",,"8.93","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 992-12","0270","RC","Both",,,"14","7","Blue Cross Blue Shield","Pathways",,,"71",,"9.88","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 992-12","0270","RC","Both",,,"14","7","Blue Cross Blue Shield","HMO",,,"71",,"9.88","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 992-12","0270","RC","Both",,,"14","7","Blue Cross Blue Shield","PPO",,,"71",,"9.88","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 992-12","0270","RC","Both",,,"14","7","Ambetter","Health Exchange",,,"62",,"8.68","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 992-12","0270","RC","Both",,,"14","7","Caresource","Health Exchange",,,"62",,"8.68","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 992-12","0270","RC","Both",,,"14","7","Cigna","Commercial",,,"59",,"8.2","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 992-12","0270","RC","Both",,,"14","7","Humana","Commercial",,,"78",,"10.85","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 992-12","0270","RC","Both",,,"14","7","UHC","Commercial",,,"75",,"10.56","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 992-12","0270","RC","Both",,,"14","7","Medicaid",,,,"37",,"5.12","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 993","0270","RC","Both",,,"14","7","Alliant","Health Exchange",,,"62",,"8.68","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 993","0270","RC","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.56","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 993","0270","RC","Both",,,"14","7","Medicare",,,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 993","0270","RC","Both",,,"14","7","Humana","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 993","0270","RC","Both",,,"14","7","UHC","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 993","0270","RC","Both",,,"14","7","Clover","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 993","0270","RC","Both",,,"14","7","Wellcare","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 993","0270","RC","Both",,,"14","7","Amerigroup","Medicaid Managed Care",,,"37",,"5.12","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 993","0270","RC","Both",,,"14","7","Caresource","Medicaid Managed Care",,,"40",,"5.6","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 993","0270","RC","Both",,,"14","7","Wellcare","Medicaid Managed Care",,,"40",,"5.67","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 993","0270","RC","Both",,,"14","7","Aetna","Commercial",,,"64",,"8.93","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 993","0270","RC","Both",,,"14","7","Blue Cross Blue Shield","Pathways",,,"71",,"9.88","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 993","0270","RC","Both",,,"14","7","Blue Cross Blue Shield","HMO",,,"71",,"9.88","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 993","0270","RC","Both",,,"14","7","Blue Cross Blue Shield","PPO",,,"71",,"9.88","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 993","0270","RC","Both",,,"14","7","Ambetter","Health Exchange",,,"62",,"8.68","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 993","0270","RC","Both",,,"14","7","Caresource","Health Exchange",,,"62",,"8.68","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 993","0270","RC","Both",,,"14","7","Cigna","Commercial",,,"59",,"8.2","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 993","0270","RC","Both",,,"14","7","Humana","Commercial",,,"78",,"10.85","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 993","0270","RC","Both",,,"14","7","UHC","Commercial",,,"75",,"10.56","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 993","0270","RC","Both",,,"14","7","Medicaid",,,,"37",,"5.12","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 993-12","0270","RC","Both",,,"14","7","Alliant","Health Exchange",,,"62",,"8.68","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 993-12","0270","RC","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.56","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 993-12","0270","RC","Both",,,"14","7","Medicare",,,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 993-12","0270","RC","Both",,,"14","7","Humana","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 993-12","0270","RC","Both",,,"14","7","UHC","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 993-12","0270","RC","Both",,,"14","7","Clover","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 993-12","0270","RC","Both",,,"14","7","Wellcare","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 993-12","0270","RC","Both",,,"14","7","Amerigroup","Medicaid Managed Care",,,"37",,"5.12","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 993-12","0270","RC","Both",,,"14","7","Caresource","Medicaid Managed Care",,,"40",,"5.6","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 993-12","0270","RC","Both",,,"14","7","Wellcare","Medicaid Managed Care",,,"40",,"5.67","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 993-12","0270","RC","Both",,,"14","7","Aetna","Commercial",,,"64",,"8.93","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 993-12","0270","RC","Both",,,"14","7","Blue Cross Blue Shield","Pathways",,,"71",,"9.88","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 993-12","0270","RC","Both",,,"14","7","Blue Cross Blue Shield","HMO",,,"71",,"9.88","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 993-12","0270","RC","Both",,,"14","7","Blue Cross Blue Shield","PPO",,,"71",,"9.88","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 993-12","0270","RC","Both",,,"14","7","Ambetter","Health Exchange",,,"62",,"8.68","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 993-12","0270","RC","Both",,,"14","7","Caresource","Health Exchange",,,"62",,"8.68","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 993-12","0270","RC","Both",,,"14","7","Cigna","Commercial",,,"59",,"8.2","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 993-12","0270","RC","Both",,,"14","7","Humana","Commercial",,,"78",,"10.85","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 993-12","0270","RC","Both",,,"14","7","UHC","Commercial",,,"75",,"10.56","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 993-12","0270","RC","Both",,,"14","7","Medicaid",,,,"37",,"5.12","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 994-12","0270","RC","Both",,,"14","7","Alliant","Health Exchange",,,"62",,"8.68","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 994-12","0270","RC","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.56","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 994-12","0270","RC","Both",,,"14","7","Medicare",,,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 994-12","0270","RC","Both",,,"14","7","Humana","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 994-12","0270","RC","Both",,,"14","7","UHC","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 994-12","0270","RC","Both",,,"14","7","Clover","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 994-12","0270","RC","Both",,,"14","7","Wellcare","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 994-12","0270","RC","Both",,,"14","7","Amerigroup","Medicaid Managed Care",,,"37",,"5.12","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 994-12","0270","RC","Both",,,"14","7","Caresource","Medicaid Managed Care",,,"40",,"5.6","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 994-12","0270","RC","Both",,,"14","7","Wellcare","Medicaid Managed Care",,,"40",,"5.67","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 994-12","0270","RC","Both",,,"14","7","Aetna","Commercial",,,"64",,"8.93","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 994-12","0270","RC","Both",,,"14","7","Blue Cross Blue Shield","Pathways",,,"71",,"9.88","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 994-12","0270","RC","Both",,,"14","7","Blue Cross Blue Shield","HMO",,,"71",,"9.88","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 994-12","0270","RC","Both",,,"14","7","Blue Cross Blue Shield","PPO",,,"71",,"9.88","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 994-12","0270","RC","Both",,,"14","7","Ambetter","Health Exchange",,,"62",,"8.68","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 994-12","0270","RC","Both",,,"14","7","Caresource","Health Exchange",,,"62",,"8.68","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 994-12","0270","RC","Both",,,"14","7","Cigna","Commercial",,,"59",,"8.2","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 994-12","0270","RC","Both",,,"14","7","Humana","Commercial",,,"78",,"10.85","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 994-12","0270","RC","Both",,,"14","7","UHC","Commercial",,,"75",,"10.56","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL DUVAL 994-12","0270","RC","Both",,,"14","7","Medicaid",,,,"37",,"5.12","0.18","1007.5","percent of total billed charges",,
"ARM SLING XLARGE","0270","RC","Both",,,"11","5.5","Alliant","Health Exchange",,,"62",,"6.82","0.18","1007.5","percent of total billed charges",,
"ARM SLING XLARGE","0270","RC","Both",,,"11","5.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.94","0.18","1007.5","percent of total billed charges",,
"ARM SLING XLARGE","0270","RC","Both",,,"11","5.5","Medicare",,,,"54",,"5.96","0.18","1007.5","percent of total billed charges",,
"ARM SLING XLARGE","0270","RC","Both",,,"11","5.5","Humana","Medicare Advantage",,,"54",,"5.96","0.18","1007.5","percent of total billed charges",,
"ARM SLING XLARGE","0270","RC","Both",,,"11","5.5","UHC","Medicare Advantage",,,"54",,"5.96","0.18","1007.5","percent of total billed charges",,
"ARM SLING XLARGE","0270","RC","Both",,,"11","5.5","Clover","Medicare Advantage",,,"54",,"5.96","0.18","1007.5","percent of total billed charges",,
"ARM SLING XLARGE","0270","RC","Both",,,"11","5.5","Wellcare","Medicare Advantage",,,"54",,"5.96","0.18","1007.5","percent of total billed charges",,
"ARM SLING XLARGE","0270","RC","Both",,,"11","5.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.03","0.18","1007.5","percent of total billed charges",,
"ARM SLING XLARGE","0270","RC","Both",,,"11","5.5","Caresource","Medicaid Managed Care",,,"40",,"4.4","0.18","1007.5","percent of total billed charges",,
"ARM SLING XLARGE","0270","RC","Both",,,"11","5.5","Wellcare","Medicaid Managed Care",,,"40",,"4.46","0.18","1007.5","percent of total billed charges",,
"ARM SLING XLARGE","0270","RC","Both",,,"11","5.5","Aetna","Commercial",,,"64",,"7.02","0.18","1007.5","percent of total billed charges",,
"ARM SLING XLARGE","0270","RC","Both",,,"11","5.5","Blue Cross Blue Shield","Pathways",,,"71",,"7.77","0.18","1007.5","percent of total billed charges",,
"ARM SLING XLARGE","0270","RC","Both",,,"11","5.5","Blue Cross Blue Shield","HMO",,,"71",,"7.77","0.18","1007.5","percent of total billed charges",,
"ARM SLING XLARGE","0270","RC","Both",,,"11","5.5","Blue Cross Blue Shield","PPO",,,"71",,"7.77","0.18","1007.5","percent of total billed charges",,
"ARM SLING XLARGE","0270","RC","Both",,,"11","5.5","Ambetter","Health Exchange",,,"62",,"6.82","0.18","1007.5","percent of total billed charges",,
"ARM SLING XLARGE","0270","RC","Both",,,"11","5.5","Caresource","Health Exchange",,,"62",,"6.82","0.18","1007.5","percent of total billed charges",,
"ARM SLING XLARGE","0270","RC","Both",,,"11","5.5","Cigna","Commercial",,,"59",,"6.45","0.18","1007.5","percent of total billed charges",,
"ARM SLING XLARGE","0270","RC","Both",,,"11","5.5","Humana","Commercial",,,"78",,"8.52","0.18","1007.5","percent of total billed charges",,
"ARM SLING XLARGE","0270","RC","Both",,,"11","5.5","UHC","Commercial",,,"75",,"8.29","0.18","1007.5","percent of total billed charges",,
"ARM SLING XLARGE","0270","RC","Both",,,"11","5.5","Medicaid",,,,"37",,"4.03","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT EXTRA LARGE","0270","RC","Both",,,"21","10.5","Alliant","Health Exchange",,,"62",,"13.02","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT EXTRA LARGE","0270","RC","Both",,,"21","10.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.34","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT EXTRA LARGE","0270","RC","Both",,,"21","10.5","Medicare",,,,"54",,"11.38","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT EXTRA LARGE","0270","RC","Both",,,"21","10.5","Humana","Medicare Advantage",,,"54",,"11.38","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT EXTRA LARGE","0270","RC","Both",,,"21","10.5","UHC","Medicare Advantage",,,"54",,"11.38","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT EXTRA LARGE","0270","RC","Both",,,"21","10.5","Clover","Medicare Advantage",,,"54",,"11.38","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT EXTRA LARGE","0270","RC","Both",,,"21","10.5","Wellcare","Medicare Advantage",,,"54",,"11.38","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT EXTRA LARGE","0270","RC","Both",,,"21","10.5","Amerigroup","Medicaid Managed Care",,,"37",,"7.69","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT EXTRA LARGE","0270","RC","Both",,,"21","10.5","Caresource","Medicaid Managed Care",,,"40",,"8.4","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT EXTRA LARGE","0270","RC","Both",,,"21","10.5","Wellcare","Medicaid Managed Care",,,"40",,"8.51","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT EXTRA LARGE","0270","RC","Both",,,"21","10.5","Aetna","Commercial",,,"64",,"13.4","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT EXTRA LARGE","0270","RC","Both",,,"21","10.5","Blue Cross Blue Shield","Pathways",,,"71",,"14.83","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT EXTRA LARGE","0270","RC","Both",,,"21","10.5","Blue Cross Blue Shield","HMO",,,"71",,"14.83","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT EXTRA LARGE","0270","RC","Both",,,"21","10.5","Blue Cross Blue Shield","PPO",,,"71",,"14.83","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT EXTRA LARGE","0270","RC","Both",,,"21","10.5","Ambetter","Health Exchange",,,"62",,"13.02","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT EXTRA LARGE","0270","RC","Both",,,"21","10.5","Caresource","Health Exchange",,,"62",,"13.02","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT EXTRA LARGE","0270","RC","Both",,,"21","10.5","Cigna","Commercial",,,"59",,"12.31","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT EXTRA LARGE","0270","RC","Both",,,"21","10.5","Humana","Commercial",,,"78",,"16.28","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT EXTRA LARGE","0270","RC","Both",,,"21","10.5","UHC","Commercial",,,"75",,"15.83","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT EXTRA LARGE","0270","RC","Both",,,"21","10.5","Medicaid",,,,"37",,"7.69","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT LARGE","0270","RC","Both",,,"147.5","73.75","Alliant","Health Exchange",,,"62",,"91.45","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT LARGE","0270","RC","Both",,,"147.5","73.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"79.65","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT LARGE","0270","RC","Both",,,"147.5","73.75","Medicare",,,,"54",,"79.95","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT LARGE","0270","RC","Both",,,"147.5","73.75","Humana","Medicare Advantage",,,"54",,"79.95","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT LARGE","0270","RC","Both",,,"147.5","73.75","UHC","Medicare Advantage",,,"54",,"79.95","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT LARGE","0270","RC","Both",,,"147.5","73.75","Clover","Medicare Advantage",,,"54",,"79.95","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT LARGE","0270","RC","Both",,,"147.5","73.75","Wellcare","Medicare Advantage",,,"54",,"79.95","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT LARGE","0270","RC","Both",,,"147.5","73.75","Amerigroup","Medicaid Managed Care",,,"37",,"53.98","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT LARGE","0270","RC","Both",,,"147.5","73.75","Caresource","Medicaid Managed Care",,,"40",,"59","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT LARGE","0270","RC","Both",,,"147.5","73.75","Wellcare","Medicaid Managed Care",,,"40",,"59.74","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT LARGE","0270","RC","Both",,,"147.5","73.75","Aetna","Commercial",,,"64",,"94.1","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT LARGE","0270","RC","Both",,,"147.5","73.75","Blue Cross Blue Shield","Pathways",,,"71",,"104.14","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT LARGE","0270","RC","Both",,,"147.5","73.75","Blue Cross Blue Shield","HMO",,,"71",,"104.14","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT LARGE","0270","RC","Both",,,"147.5","73.75","Blue Cross Blue Shield","PPO",,,"71",,"104.14","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT LARGE","0270","RC","Both",,,"147.5","73.75","Ambetter","Health Exchange",,,"62",,"91.45","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT LARGE","0270","RC","Both",,,"147.5","73.75","Caresource","Health Exchange",,,"62",,"91.45","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT LARGE","0270","RC","Both",,,"147.5","73.75","Cigna","Commercial",,,"59",,"86.43","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT LARGE","0270","RC","Both",,,"147.5","73.75","Humana","Commercial",,,"78",,"114.31","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT LARGE","0270","RC","Both",,,"147.5","73.75","UHC","Commercial",,,"75",,"111.22","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT LARGE","0270","RC","Both",,,"147.5","73.75","Medicaid",,,,"37",,"53.98","0.18","1007.5","percent of total billed charges",,
"ARM CAST INCLUDING ELBOW","0270","RC","Both",,,"87","43.5","Alliant","Health Exchange",,,"62",,"53.94","0.18","1007.5","percent of total billed charges",,
"ARM CAST INCLUDING ELBOW","0270","RC","Both",,,"87","43.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"46.98","0.18","1007.5","percent of total billed charges",,
"ARM CAST INCLUDING ELBOW","0270","RC","Both",,,"87","43.5","Medicare",,,,"54",,"47.15","0.18","1007.5","percent of total billed charges",,
"ARM CAST INCLUDING ELBOW","0270","RC","Both",,,"87","43.5","Humana","Medicare Advantage",,,"54",,"47.15","0.18","1007.5","percent of total billed charges",,
"ARM CAST INCLUDING ELBOW","0270","RC","Both",,,"87","43.5","UHC","Medicare Advantage",,,"54",,"47.15","0.18","1007.5","percent of total billed charges",,
"ARM CAST INCLUDING ELBOW","0270","RC","Both",,,"87","43.5","Clover","Medicare Advantage",,,"54",,"47.15","0.18","1007.5","percent of total billed charges",,
"ARM CAST INCLUDING ELBOW","0270","RC","Both",,,"87","43.5","Wellcare","Medicare Advantage",,,"54",,"47.15","0.18","1007.5","percent of total billed charges",,
"ARM CAST INCLUDING ELBOW","0270","RC","Both",,,"87","43.5","Amerigroup","Medicaid Managed Care",,,"37",,"31.84","0.18","1007.5","percent of total billed charges",,
"ARM CAST INCLUDING ELBOW","0270","RC","Both",,,"87","43.5","Caresource","Medicaid Managed Care",,,"40",,"34.8","0.18","1007.5","percent of total billed charges",,
"ARM CAST INCLUDING ELBOW","0270","RC","Both",,,"87","43.5","Wellcare","Medicaid Managed Care",,,"40",,"35.24","0.18","1007.5","percent of total billed charges",,
"ARM CAST INCLUDING ELBOW","0270","RC","Both",,,"87","43.5","Aetna","Commercial",,,"64",,"55.51","0.18","1007.5","percent of total billed charges",,
"ARM CAST INCLUDING ELBOW","0270","RC","Both",,,"87","43.5","Blue Cross Blue Shield","Pathways",,,"71",,"61.42","0.18","1007.5","percent of total billed charges",,
"ARM CAST INCLUDING ELBOW","0270","RC","Both",,,"87","43.5","Blue Cross Blue Shield","HMO",,,"71",,"61.42","0.18","1007.5","percent of total billed charges",,
"ARM CAST INCLUDING ELBOW","0270","RC","Both",,,"87","43.5","Blue Cross Blue Shield","PPO",,,"71",,"61.42","0.18","1007.5","percent of total billed charges",,
"ARM CAST INCLUDING ELBOW","0270","RC","Both",,,"87","43.5","Ambetter","Health Exchange",,,"62",,"53.94","0.18","1007.5","percent of total billed charges",,
"ARM CAST INCLUDING ELBOW","0270","RC","Both",,,"87","43.5","Caresource","Health Exchange",,,"62",,"53.94","0.18","1007.5","percent of total billed charges",,
"ARM CAST INCLUDING ELBOW","0270","RC","Both",,,"87","43.5","Cigna","Commercial",,,"59",,"50.98","0.18","1007.5","percent of total billed charges",,
"ARM CAST INCLUDING ELBOW","0270","RC","Both",,,"87","43.5","Humana","Commercial",,,"78",,"67.42","0.18","1007.5","percent of total billed charges",,
"ARM CAST INCLUDING ELBOW","0270","RC","Both",,,"87","43.5","UHC","Commercial",,,"75",,"65.6","0.18","1007.5","percent of total billed charges",,
"ARM CAST INCLUDING ELBOW","0270","RC","Both",,,"87","43.5","Medicaid",,,,"37",,"31.84","0.18","1007.5","percent of total billed charges",,
"ARM CAST TO ELBOW","0270","RC","Both",,,"70","35","Alliant","Health Exchange",,,"62",,"43.4","0.18","1007.5","percent of total billed charges",,
"ARM CAST TO ELBOW","0270","RC","Both",,,"70","35","Pruitt Healthcare","Medicare Advantage",,,"54",,"37.8","0.18","1007.5","percent of total billed charges",,
"ARM CAST TO ELBOW","0270","RC","Both",,,"70","35","Medicare",,,,"54",,"37.94","0.18","1007.5","percent of total billed charges",,
"ARM CAST TO ELBOW","0270","RC","Both",,,"70","35","Humana","Medicare Advantage",,,"54",,"37.94","0.18","1007.5","percent of total billed charges",,
"ARM CAST TO ELBOW","0270","RC","Both",,,"70","35","UHC","Medicare Advantage",,,"54",,"37.94","0.18","1007.5","percent of total billed charges",,
"ARM CAST TO ELBOW","0270","RC","Both",,,"70","35","Clover","Medicare Advantage",,,"54",,"37.94","0.18","1007.5","percent of total billed charges",,
"ARM CAST TO ELBOW","0270","RC","Both",,,"70","35","Wellcare","Medicare Advantage",,,"54",,"37.94","0.18","1007.5","percent of total billed charges",,
"ARM CAST TO ELBOW","0270","RC","Both",,,"70","35","Amerigroup","Medicaid Managed Care",,,"37",,"25.62","0.18","1007.5","percent of total billed charges",,
"ARM CAST TO ELBOW","0270","RC","Both",,,"70","35","Caresource","Medicaid Managed Care",,,"40",,"28","0.18","1007.5","percent of total billed charges",,
"ARM CAST TO ELBOW","0270","RC","Both",,,"70","35","Wellcare","Medicaid Managed Care",,,"40",,"28.35","0.18","1007.5","percent of total billed charges",,
"ARM CAST TO ELBOW","0270","RC","Both",,,"70","35","Aetna","Commercial",,,"64",,"44.66","0.18","1007.5","percent of total billed charges",,
"ARM CAST TO ELBOW","0270","RC","Both",,,"70","35","Blue Cross Blue Shield","Pathways",,,"71",,"49.42","0.18","1007.5","percent of total billed charges",,
"ARM CAST TO ELBOW","0270","RC","Both",,,"70","35","Blue Cross Blue Shield","HMO",,,"71",,"49.42","0.18","1007.5","percent of total billed charges",,
"ARM CAST TO ELBOW","0270","RC","Both",,,"70","35","Blue Cross Blue Shield","PPO",,,"71",,"49.42","0.18","1007.5","percent of total billed charges",,
"ARM CAST TO ELBOW","0270","RC","Both",,,"70","35","Ambetter","Health Exchange",,,"62",,"43.4","0.18","1007.5","percent of total billed charges",,
"ARM CAST TO ELBOW","0270","RC","Both",,,"70","35","Caresource","Health Exchange",,,"62",,"43.4","0.18","1007.5","percent of total billed charges",,
"ARM CAST TO ELBOW","0270","RC","Both",,,"70","35","Cigna","Commercial",,,"59",,"41.02","0.18","1007.5","percent of total billed charges",,
"ARM CAST TO ELBOW","0270","RC","Both",,,"70","35","Humana","Commercial",,,"78",,"54.25","0.18","1007.5","percent of total billed charges",,
"ARM CAST TO ELBOW","0270","RC","Both",,,"70","35","UHC","Commercial",,,"75",,"52.78","0.18","1007.5","percent of total billed charges",,
"ARM CAST TO ELBOW","0270","RC","Both",,,"70","35","Medicaid",,,,"37",,"25.62","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT TO ELBOW","0270","RC","Both",,,"77","38.5","Alliant","Health Exchange",,,"62",,"47.74","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT TO ELBOW","0270","RC","Both",,,"77","38.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"41.58","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT TO ELBOW","0270","RC","Both",,,"77","38.5","Medicare",,,,"54",,"41.73","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT TO ELBOW","0270","RC","Both",,,"77","38.5","Humana","Medicare Advantage",,,"54",,"41.73","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT TO ELBOW","0270","RC","Both",,,"77","38.5","UHC","Medicare Advantage",,,"54",,"41.73","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT TO ELBOW","0270","RC","Both",,,"77","38.5","Clover","Medicare Advantage",,,"54",,"41.73","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT TO ELBOW","0270","RC","Both",,,"77","38.5","Wellcare","Medicare Advantage",,,"54",,"41.73","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT TO ELBOW","0270","RC","Both",,,"77","38.5","Amerigroup","Medicaid Managed Care",,,"37",,"28.18","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT TO ELBOW","0270","RC","Both",,,"77","38.5","Caresource","Medicaid Managed Care",,,"40",,"30.8","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT TO ELBOW","0270","RC","Both",,,"77","38.5","Wellcare","Medicaid Managed Care",,,"40",,"31.18","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT TO ELBOW","0270","RC","Both",,,"77","38.5","Aetna","Commercial",,,"64",,"49.13","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT TO ELBOW","0270","RC","Both",,,"77","38.5","Blue Cross Blue Shield","Pathways",,,"71",,"54.36","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT TO ELBOW","0270","RC","Both",,,"77","38.5","Blue Cross Blue Shield","HMO",,,"71",,"54.36","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT TO ELBOW","0270","RC","Both",,,"77","38.5","Blue Cross Blue Shield","PPO",,,"71",,"54.36","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT TO ELBOW","0270","RC","Both",,,"77","38.5","Ambetter","Health Exchange",,,"62",,"47.74","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT TO ELBOW","0270","RC","Both",,,"77","38.5","Caresource","Health Exchange",,,"62",,"47.74","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT TO ELBOW","0270","RC","Both",,,"77","38.5","Cigna","Commercial",,,"59",,"45.12","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT TO ELBOW","0270","RC","Both",,,"77","38.5","Humana","Commercial",,,"78",,"59.68","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT TO ELBOW","0270","RC","Both",,,"77","38.5","UHC","Commercial",,,"75",,"58.06","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT TO ELBOW","0270","RC","Both",,,"77","38.5","Medicaid",,,,"37",,"28.18","0.18","1007.5","percent of total billed charges",,
"HAND CAST","0270","RC","Both",,,"57","28.5","Alliant","Health Exchange",,,"62",,"35.34","0.18","1007.5","percent of total billed charges",,
"HAND CAST","0270","RC","Both",,,"57","28.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"30.78","0.18","1007.5","percent of total billed charges",,
"HAND CAST","0270","RC","Both",,,"57","28.5","Medicare",,,,"54",,"30.89","0.18","1007.5","percent of total billed charges",,
"HAND CAST","0270","RC","Both",,,"57","28.5","Humana","Medicare Advantage",,,"54",,"30.89","0.18","1007.5","percent of total billed charges",,
"HAND CAST","0270","RC","Both",,,"57","28.5","UHC","Medicare Advantage",,,"54",,"30.89","0.18","1007.5","percent of total billed charges",,
"HAND CAST","0270","RC","Both",,,"57","28.5","Clover","Medicare Advantage",,,"54",,"30.89","0.18","1007.5","percent of total billed charges",,
"HAND CAST","0270","RC","Both",,,"57","28.5","Wellcare","Medicare Advantage",,,"54",,"30.89","0.18","1007.5","percent of total billed charges",,
"HAND CAST","0270","RC","Both",,,"57","28.5","Amerigroup","Medicaid Managed Care",,,"37",,"20.86","0.18","1007.5","percent of total billed charges",,
"HAND CAST","0270","RC","Both",,,"57","28.5","Caresource","Medicaid Managed Care",,,"40",,"22.8","0.18","1007.5","percent of total billed charges",,
"HAND CAST","0270","RC","Both",,,"57","28.5","Wellcare","Medicaid Managed Care",,,"40",,"23.08","0.18","1007.5","percent of total billed charges",,
"HAND CAST","0270","RC","Both",,,"57","28.5","Aetna","Commercial",,,"64",,"36.37","0.18","1007.5","percent of total billed charges",,
"HAND CAST","0270","RC","Both",,,"57","28.5","Blue Cross Blue Shield","Pathways",,,"71",,"40.24","0.18","1007.5","percent of total billed charges",,
"HAND CAST","0270","RC","Both",,,"57","28.5","Blue Cross Blue Shield","HMO",,,"71",,"40.24","0.18","1007.5","percent of total billed charges",,
"HAND CAST","0270","RC","Both",,,"57","28.5","Blue Cross Blue Shield","PPO",,,"71",,"40.24","0.18","1007.5","percent of total billed charges",,
"HAND CAST","0270","RC","Both",,,"57","28.5","Ambetter","Health Exchange",,,"62",,"35.34","0.18","1007.5","percent of total billed charges",,
"HAND CAST","0270","RC","Both",,,"57","28.5","Caresource","Health Exchange",,,"62",,"35.34","0.18","1007.5","percent of total billed charges",,
"HAND CAST","0270","RC","Both",,,"57","28.5","Cigna","Commercial",,,"59",,"33.4","0.18","1007.5","percent of total billed charges",,
"HAND CAST","0270","RC","Both",,,"57","28.5","Humana","Commercial",,,"78",,"44.18","0.18","1007.5","percent of total billed charges",,
"HAND CAST","0270","RC","Both",,,"57","28.5","UHC","Commercial",,,"75",,"42.98","0.18","1007.5","percent of total billed charges",,
"HAND CAST","0270","RC","Both",,,"57","28.5","Medicaid",,,,"37",,"20.86","0.18","1007.5","percent of total billed charges",,
"KNEE CAST","0270","RC","Both",,,"87","43.5","Alliant","Health Exchange",,,"62",,"53.94","0.18","1007.5","percent of total billed charges",,
"KNEE CAST","0270","RC","Both",,,"87","43.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"46.98","0.18","1007.5","percent of total billed charges",,
"KNEE CAST","0270","RC","Both",,,"87","43.5","Medicare",,,,"54",,"47.15","0.18","1007.5","percent of total billed charges",,
"KNEE CAST","0270","RC","Both",,,"87","43.5","Humana","Medicare Advantage",,,"54",,"47.15","0.18","1007.5","percent of total billed charges",,
"KNEE CAST","0270","RC","Both",,,"87","43.5","UHC","Medicare Advantage",,,"54",,"47.15","0.18","1007.5","percent of total billed charges",,
"KNEE CAST","0270","RC","Both",,,"87","43.5","Clover","Medicare Advantage",,,"54",,"47.15","0.18","1007.5","percent of total billed charges",,
"KNEE CAST","0270","RC","Both",,,"87","43.5","Wellcare","Medicare Advantage",,,"54",,"47.15","0.18","1007.5","percent of total billed charges",,
"KNEE CAST","0270","RC","Both",,,"87","43.5","Amerigroup","Medicaid Managed Care",,,"37",,"31.84","0.18","1007.5","percent of total billed charges",,
"KNEE CAST","0270","RC","Both",,,"87","43.5","Caresource","Medicaid Managed Care",,,"40",,"34.8","0.18","1007.5","percent of total billed charges",,
"KNEE CAST","0270","RC","Both",,,"87","43.5","Wellcare","Medicaid Managed Care",,,"40",,"35.24","0.18","1007.5","percent of total billed charges",,
"KNEE CAST","0270","RC","Both",,,"87","43.5","Aetna","Commercial",,,"64",,"55.51","0.18","1007.5","percent of total billed charges",,
"KNEE CAST","0270","RC","Both",,,"87","43.5","Blue Cross Blue Shield","Pathways",,,"71",,"61.42","0.18","1007.5","percent of total billed charges",,
"KNEE CAST","0270","RC","Both",,,"87","43.5","Blue Cross Blue Shield","HMO",,,"71",,"61.42","0.18","1007.5","percent of total billed charges",,
"KNEE CAST","0270","RC","Both",,,"87","43.5","Blue Cross Blue Shield","PPO",,,"71",,"61.42","0.18","1007.5","percent of total billed charges",,
"KNEE CAST","0270","RC","Both",,,"87","43.5","Ambetter","Health Exchange",,,"62",,"53.94","0.18","1007.5","percent of total billed charges",,
"KNEE CAST","0270","RC","Both",,,"87","43.5","Caresource","Health Exchange",,,"62",,"53.94","0.18","1007.5","percent of total billed charges",,
"KNEE CAST","0270","RC","Both",,,"87","43.5","Cigna","Commercial",,,"59",,"50.98","0.18","1007.5","percent of total billed charges",,
"KNEE CAST","0270","RC","Both",,,"87","43.5","Humana","Commercial",,,"78",,"67.42","0.18","1007.5","percent of total billed charges",,
"KNEE CAST","0270","RC","Both",,,"87","43.5","UHC","Commercial",,,"75",,"65.6","0.18","1007.5","percent of total billed charges",,
"KNEE CAST","0270","RC","Both",,,"87","43.5","Medicaid",,,,"37",,"31.84","0.18","1007.5","percent of total billed charges",,
"FULL LEG ABOVE KNEE","0270","RC","Both",,,"104","52","Alliant","Health Exchange",,,"62",,"64.48","0.18","1007.5","percent of total billed charges",,
"FULL LEG ABOVE KNEE","0270","RC","Both",,,"104","52","Pruitt Healthcare","Medicare Advantage",,,"54",,"56.16","0.18","1007.5","percent of total billed charges",,
"FULL LEG ABOVE KNEE","0270","RC","Both",,,"104","52","Medicare",,,,"54",,"56.37","0.18","1007.5","percent of total billed charges",,
"FULL LEG ABOVE KNEE","0270","RC","Both",,,"104","52","Humana","Medicare Advantage",,,"54",,"56.37","0.18","1007.5","percent of total billed charges",,
"FULL LEG ABOVE KNEE","0270","RC","Both",,,"104","52","UHC","Medicare Advantage",,,"54",,"56.37","0.18","1007.5","percent of total billed charges",,
"FULL LEG ABOVE KNEE","0270","RC","Both",,,"104","52","Clover","Medicare Advantage",,,"54",,"56.37","0.18","1007.5","percent of total billed charges",,
"FULL LEG ABOVE KNEE","0270","RC","Both",,,"104","52","Wellcare","Medicare Advantage",,,"54",,"56.37","0.18","1007.5","percent of total billed charges",,
"FULL LEG ABOVE KNEE","0270","RC","Both",,,"104","52","Amerigroup","Medicaid Managed Care",,,"37",,"38.06","0.18","1007.5","percent of total billed charges",,
"FULL LEG ABOVE KNEE","0270","RC","Both",,,"104","52","Caresource","Medicaid Managed Care",,,"40",,"41.6","0.18","1007.5","percent of total billed charges",,
"FULL LEG ABOVE KNEE","0270","RC","Both",,,"104","52","Wellcare","Medicaid Managed Care",,,"40",,"42.12","0.18","1007.5","percent of total billed charges",,
"FULL LEG ABOVE KNEE","0270","RC","Both",,,"104","52","Aetna","Commercial",,,"64",,"66.35","0.18","1007.5","percent of total billed charges",,
"FULL LEG ABOVE KNEE","0270","RC","Both",,,"104","52","Blue Cross Blue Shield","Pathways",,,"71",,"73.42","0.18","1007.5","percent of total billed charges",,
"FULL LEG ABOVE KNEE","0270","RC","Both",,,"104","52","Blue Cross Blue Shield","HMO",,,"71",,"73.42","0.18","1007.5","percent of total billed charges",,
"FULL LEG ABOVE KNEE","0270","RC","Both",,,"104","52","Blue Cross Blue Shield","PPO",,,"71",,"73.42","0.18","1007.5","percent of total billed charges",,
"FULL LEG ABOVE KNEE","0270","RC","Both",,,"104","52","Ambetter","Health Exchange",,,"62",,"64.48","0.18","1007.5","percent of total billed charges",,
"FULL LEG ABOVE KNEE","0270","RC","Both",,,"104","52","Caresource","Health Exchange",,,"62",,"64.48","0.18","1007.5","percent of total billed charges",,
"FULL LEG ABOVE KNEE","0270","RC","Both",,,"104","52","Cigna","Commercial",,,"59",,"60.94","0.18","1007.5","percent of total billed charges",,
"FULL LEG ABOVE KNEE","0270","RC","Both",,,"104","52","Humana","Commercial",,,"78",,"80.6","0.18","1007.5","percent of total billed charges",,
"FULL LEG ABOVE KNEE","0270","RC","Both",,,"104","52","UHC","Commercial",,,"75",,"78.42","0.18","1007.5","percent of total billed charges",,
"FULL LEG ABOVE KNEE","0270","RC","Both",,,"104","52","Medicaid",,,,"37",,"38.06","0.18","1007.5","percent of total billed charges",,
"SHORT LEG CAST","0270","RC","Both",,,"70","35","Alliant","Health Exchange",,,"62",,"43.4","0.18","1007.5","percent of total billed charges",,
"SHORT LEG CAST","0270","RC","Both",,,"70","35","Pruitt Healthcare","Medicare Advantage",,,"54",,"37.8","0.18","1007.5","percent of total billed charges",,
"SHORT LEG CAST","0270","RC","Both",,,"70","35","Medicare",,,,"54",,"37.94","0.18","1007.5","percent of total billed charges",,
"SHORT LEG CAST","0270","RC","Both",,,"70","35","Humana","Medicare Advantage",,,"54",,"37.94","0.18","1007.5","percent of total billed charges",,
"SHORT LEG CAST","0270","RC","Both",,,"70","35","UHC","Medicare Advantage",,,"54",,"37.94","0.18","1007.5","percent of total billed charges",,
"SHORT LEG CAST","0270","RC","Both",,,"70","35","Clover","Medicare Advantage",,,"54",,"37.94","0.18","1007.5","percent of total billed charges",,
"SHORT LEG CAST","0270","RC","Both",,,"70","35","Wellcare","Medicare Advantage",,,"54",,"37.94","0.18","1007.5","percent of total billed charges",,
"SHORT LEG CAST","0270","RC","Both",,,"70","35","Amerigroup","Medicaid Managed Care",,,"37",,"25.62","0.18","1007.5","percent of total billed charges",,
"SHORT LEG CAST","0270","RC","Both",,,"70","35","Caresource","Medicaid Managed Care",,,"40",,"28","0.18","1007.5","percent of total billed charges",,
"SHORT LEG CAST","0270","RC","Both",,,"70","35","Wellcare","Medicaid Managed Care",,,"40",,"28.35","0.18","1007.5","percent of total billed charges",,
"SHORT LEG CAST","0270","RC","Both",,,"70","35","Aetna","Commercial",,,"64",,"44.66","0.18","1007.5","percent of total billed charges",,
"SHORT LEG CAST","0270","RC","Both",,,"70","35","Blue Cross Blue Shield","Pathways",,,"71",,"49.42","0.18","1007.5","percent of total billed charges",,
"SHORT LEG CAST","0270","RC","Both",,,"70","35","Blue Cross Blue Shield","HMO",,,"71",,"49.42","0.18","1007.5","percent of total billed charges",,
"SHORT LEG CAST","0270","RC","Both",,,"70","35","Blue Cross Blue Shield","PPO",,,"71",,"49.42","0.18","1007.5","percent of total billed charges",,
"SHORT LEG CAST","0270","RC","Both",,,"70","35","Ambetter","Health Exchange",,,"62",,"43.4","0.18","1007.5","percent of total billed charges",,
"SHORT LEG CAST","0270","RC","Both",,,"70","35","Caresource","Health Exchange",,,"62",,"43.4","0.18","1007.5","percent of total billed charges",,
"SHORT LEG CAST","0270","RC","Both",,,"70","35","Cigna","Commercial",,,"59",,"41.02","0.18","1007.5","percent of total billed charges",,
"SHORT LEG CAST","0270","RC","Both",,,"70","35","Humana","Commercial",,,"78",,"54.25","0.18","1007.5","percent of total billed charges",,
"SHORT LEG CAST","0270","RC","Both",,,"70","35","UHC","Commercial",,,"75",,"52.78","0.18","1007.5","percent of total billed charges",,
"SHORT LEG CAST","0270","RC","Both",,,"70","35","Medicaid",,,,"37",,"25.62","0.18","1007.5","percent of total billed charges",,
"WALKING IRON WITH TREAD","0270","RC","Both",,,"52","26","Alliant","Health Exchange",,,"62",,"32.24","0.18","1007.5","percent of total billed charges",,
"WALKING IRON WITH TREAD","0270","RC","Both",,,"52","26","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.08","0.18","1007.5","percent of total billed charges",,
"WALKING IRON WITH TREAD","0270","RC","Both",,,"52","26","Medicare",,,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"WALKING IRON WITH TREAD","0270","RC","Both",,,"52","26","Humana","Medicare Advantage",,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"WALKING IRON WITH TREAD","0270","RC","Both",,,"52","26","UHC","Medicare Advantage",,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"WALKING IRON WITH TREAD","0270","RC","Both",,,"52","26","Clover","Medicare Advantage",,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"WALKING IRON WITH TREAD","0270","RC","Both",,,"52","26","Wellcare","Medicare Advantage",,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"WALKING IRON WITH TREAD","0270","RC","Both",,,"52","26","Amerigroup","Medicaid Managed Care",,,"37",,"19.03","0.18","1007.5","percent of total billed charges",,
"WALKING IRON WITH TREAD","0270","RC","Both",,,"52","26","Caresource","Medicaid Managed Care",,,"40",,"20.8","0.18","1007.5","percent of total billed charges",,
"WALKING IRON WITH TREAD","0270","RC","Both",,,"52","26","Wellcare","Medicaid Managed Care",,,"40",,"21.06","0.18","1007.5","percent of total billed charges",,
"WALKING IRON WITH TREAD","0270","RC","Both",,,"52","26","Aetna","Commercial",,,"64",,"33.18","0.18","1007.5","percent of total billed charges",,
"WALKING IRON WITH TREAD","0270","RC","Both",,,"52","26","Blue Cross Blue Shield","Pathways",,,"71",,"36.71","0.18","1007.5","percent of total billed charges",,
"WALKING IRON WITH TREAD","0270","RC","Both",,,"52","26","Blue Cross Blue Shield","HMO",,,"71",,"36.71","0.18","1007.5","percent of total billed charges",,
"WALKING IRON WITH TREAD","0270","RC","Both",,,"52","26","Blue Cross Blue Shield","PPO",,,"71",,"36.71","0.18","1007.5","percent of total billed charges",,
"WALKING IRON WITH TREAD","0270","RC","Both",,,"52","26","Ambetter","Health Exchange",,,"62",,"32.24","0.18","1007.5","percent of total billed charges",,
"WALKING IRON WITH TREAD","0270","RC","Both",,,"52","26","Caresource","Health Exchange",,,"62",,"32.24","0.18","1007.5","percent of total billed charges",,
"WALKING IRON WITH TREAD","0270","RC","Both",,,"52","26","Cigna","Commercial",,,"59",,"30.47","0.18","1007.5","percent of total billed charges",,
"WALKING IRON WITH TREAD","0270","RC","Both",,,"52","26","Humana","Commercial",,,"78",,"40.3","0.18","1007.5","percent of total billed charges",,
"WALKING IRON WITH TREAD","0270","RC","Both",,,"52","26","UHC","Commercial",,,"75",,"39.21","0.18","1007.5","percent of total billed charges",,
"WALKING IRON WITH TREAD","0270","RC","Both",,,"52","26","Medicaid",,,,"37",,"19.03","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL","0270","RC","Both",,,"35","17.5","Alliant","Health Exchange",,,"62",,"21.7","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL","0270","RC","Both",,,"35","17.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"18.9","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL","0270","RC","Both",,,"35","17.5","Medicare",,,,"54",,"18.97","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL","0270","RC","Both",,,"35","17.5","Humana","Medicare Advantage",,,"54",,"18.97","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL","0270","RC","Both",,,"35","17.5","UHC","Medicare Advantage",,,"54",,"18.97","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL","0270","RC","Both",,,"35","17.5","Clover","Medicare Advantage",,,"54",,"18.97","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL","0270","RC","Both",,,"35","17.5","Wellcare","Medicare Advantage",,,"54",,"18.97","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL","0270","RC","Both",,,"35","17.5","Amerigroup","Medicaid Managed Care",,,"37",,"12.81","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL","0270","RC","Both",,,"35","17.5","Caresource","Medicaid Managed Care",,,"40",,"14","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL","0270","RC","Both",,,"35","17.5","Wellcare","Medicaid Managed Care",,,"40",,"14.18","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL","0270","RC","Both",,,"35","17.5","Aetna","Commercial",,,"64",,"22.33","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL","0270","RC","Both",,,"35","17.5","Blue Cross Blue Shield","Pathways",,,"71",,"24.71","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL","0270","RC","Both",,,"35","17.5","Blue Cross Blue Shield","HMO",,,"71",,"24.71","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL","0270","RC","Both",,,"35","17.5","Blue Cross Blue Shield","PPO",,,"71",,"24.71","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL","0270","RC","Both",,,"35","17.5","Ambetter","Health Exchange",,,"62",,"21.7","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL","0270","RC","Both",,,"35","17.5","Caresource","Health Exchange",,,"62",,"21.7","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL","0270","RC","Both",,,"35","17.5","Cigna","Commercial",,,"59",,"20.51","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL","0270","RC","Both",,,"35","17.5","Humana","Commercial",,,"78",,"27.12","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL","0270","RC","Both",,,"35","17.5","UHC","Commercial",,,"75",,"26.39","0.18","1007.5","percent of total billed charges",,
"WALKING HEEL","0270","RC","Both",,,"35","17.5","Medicaid",,,,"37",,"12.81","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT W/ELBOW","0270","RC","Both",,,"38","19","Alliant","Health Exchange",,,"62",,"23.56","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT W/ELBOW","0270","RC","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.52","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT W/ELBOW","0270","RC","Both",,,"38","19","Medicare",,,,"54",,"20.6","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT W/ELBOW","0270","RC","Both",,,"38","19","Humana","Medicare Advantage",,,"54",,"20.6","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT W/ELBOW","0270","RC","Both",,,"38","19","UHC","Medicare Advantage",,,"54",,"20.6","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT W/ELBOW","0270","RC","Both",,,"38","19","Clover","Medicare Advantage",,,"54",,"20.6","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT W/ELBOW","0270","RC","Both",,,"38","19","Wellcare","Medicare Advantage",,,"54",,"20.6","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT W/ELBOW","0270","RC","Both",,,"38","19","Amerigroup","Medicaid Managed Care",,,"37",,"13.91","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT W/ELBOW","0270","RC","Both",,,"38","19","Caresource","Medicaid Managed Care",,,"40",,"15.2","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT W/ELBOW","0270","RC","Both",,,"38","19","Wellcare","Medicaid Managed Care",,,"40",,"15.39","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT W/ELBOW","0270","RC","Both",,,"38","19","Aetna","Commercial",,,"64",,"24.24","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT W/ELBOW","0270","RC","Both",,,"38","19","Blue Cross Blue Shield","Pathways",,,"71",,"26.83","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT W/ELBOW","0270","RC","Both",,,"38","19","Blue Cross Blue Shield","HMO",,,"71",,"26.83","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT W/ELBOW","0270","RC","Both",,,"38","19","Blue Cross Blue Shield","PPO",,,"71",,"26.83","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT W/ELBOW","0270","RC","Both",,,"38","19","Ambetter","Health Exchange",,,"62",,"23.56","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT W/ELBOW","0270","RC","Both",,,"38","19","Caresource","Health Exchange",,,"62",,"23.56","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT W/ELBOW","0270","RC","Both",,,"38","19","Cigna","Commercial",,,"59",,"22.27","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT W/ELBOW","0270","RC","Both",,,"38","19","Humana","Commercial",,,"78",,"29.45","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT W/ELBOW","0270","RC","Both",,,"38","19","UHC","Commercial",,,"75",,"28.65","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT W/ELBOW","0270","RC","Both",,,"38","19","Medicaid",,,,"37",,"13.91","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT - LONG","0270","RC","Both",,,"70","35","Alliant","Health Exchange",,,"62",,"43.4","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT - LONG","0270","RC","Both",,,"70","35","Pruitt Healthcare","Medicare Advantage",,,"54",,"37.8","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT - LONG","0270","RC","Both",,,"70","35","Medicare",,,,"54",,"37.94","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT - LONG","0270","RC","Both",,,"70","35","Humana","Medicare Advantage",,,"54",,"37.94","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT - LONG","0270","RC","Both",,,"70","35","UHC","Medicare Advantage",,,"54",,"37.94","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT - LONG","0270","RC","Both",,,"70","35","Clover","Medicare Advantage",,,"54",,"37.94","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT - LONG","0270","RC","Both",,,"70","35","Wellcare","Medicare Advantage",,,"54",,"37.94","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT - LONG","0270","RC","Both",,,"70","35","Amerigroup","Medicaid Managed Care",,,"37",,"25.62","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT - LONG","0270","RC","Both",,,"70","35","Caresource","Medicaid Managed Care",,,"40",,"28","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT - LONG","0270","RC","Both",,,"70","35","Wellcare","Medicaid Managed Care",,,"40",,"28.35","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT - LONG","0270","RC","Both",,,"70","35","Aetna","Commercial",,,"64",,"44.66","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT - LONG","0270","RC","Both",,,"70","35","Blue Cross Blue Shield","Pathways",,,"71",,"49.42","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT - LONG","0270","RC","Both",,,"70","35","Blue Cross Blue Shield","HMO",,,"71",,"49.42","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT - LONG","0270","RC","Both",,,"70","35","Blue Cross Blue Shield","PPO",,,"71",,"49.42","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT - LONG","0270","RC","Both",,,"70","35","Ambetter","Health Exchange",,,"62",,"43.4","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT - LONG","0270","RC","Both",,,"70","35","Caresource","Health Exchange",,,"62",,"43.4","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT - LONG","0270","RC","Both",,,"70","35","Cigna","Commercial",,,"59",,"41.02","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT - LONG","0270","RC","Both",,,"70","35","Humana","Commercial",,,"78",,"54.25","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT - LONG","0270","RC","Both",,,"70","35","UHC","Commercial",,,"75",,"52.78","0.18","1007.5","percent of total billed charges",,
"ARM SPLINT - LONG","0270","RC","Both",,,"70","35","Medicaid",,,,"37",,"25.62","0.18","1007.5","percent of total billed charges",,
"BANJO SPLINT FULL SET","0270","RC","Both",,,"242","121","Alliant","Health Exchange",,,"62",,"150.04","0.18","1007.5","percent of total billed charges",,
"BANJO SPLINT FULL SET","0270","RC","Both",,,"242","121","Pruitt Healthcare","Medicare Advantage",,,"54",,"130.68","0.18","1007.5","percent of total billed charges",,
"BANJO SPLINT FULL SET","0270","RC","Both",,,"242","121","Medicare",,,,"54",,"131.16","0.18","1007.5","percent of total billed charges",,
"BANJO SPLINT FULL SET","0270","RC","Both",,,"242","121","Humana","Medicare Advantage",,,"54",,"131.16","0.18","1007.5","percent of total billed charges",,
"BANJO SPLINT FULL SET","0270","RC","Both",,,"242","121","UHC","Medicare Advantage",,,"54",,"131.16","0.18","1007.5","percent of total billed charges",,
"BANJO SPLINT FULL SET","0270","RC","Both",,,"242","121","Clover","Medicare Advantage",,,"54",,"131.16","0.18","1007.5","percent of total billed charges",,
"BANJO SPLINT FULL SET","0270","RC","Both",,,"242","121","Wellcare","Medicare Advantage",,,"54",,"131.16","0.18","1007.5","percent of total billed charges",,
"BANJO SPLINT FULL SET","0270","RC","Both",,,"242","121","Amerigroup","Medicaid Managed Care",,,"37",,"88.57","0.18","1007.5","percent of total billed charges",,
"BANJO SPLINT FULL SET","0270","RC","Both",,,"242","121","Caresource","Medicaid Managed Care",,,"40",,"96.8","0.18","1007.5","percent of total billed charges",,
"BANJO SPLINT FULL SET","0270","RC","Both",,,"242","121","Wellcare","Medicaid Managed Care",,,"40",,"98.01","0.18","1007.5","percent of total billed charges",,
"BANJO SPLINT FULL SET","0270","RC","Both",,,"242","121","Aetna","Commercial",,,"64",,"154.4","0.18","1007.5","percent of total billed charges",,
"BANJO SPLINT FULL SET","0270","RC","Both",,,"242","121","Blue Cross Blue Shield","Pathways",,,"71",,"170.85","0.18","1007.5","percent of total billed charges",,
"BANJO SPLINT FULL SET","0270","RC","Both",,,"242","121","Blue Cross Blue Shield","HMO",,,"71",,"170.85","0.18","1007.5","percent of total billed charges",,
"BANJO SPLINT FULL SET","0270","RC","Both",,,"242","121","Blue Cross Blue Shield","PPO",,,"71",,"170.85","0.18","1007.5","percent of total billed charges",,
"BANJO SPLINT FULL SET","0270","RC","Both",,,"242","121","Ambetter","Health Exchange",,,"62",,"150.04","0.18","1007.5","percent of total billed charges",,
"BANJO SPLINT FULL SET","0270","RC","Both",,,"242","121","Caresource","Health Exchange",,,"62",,"150.04","0.18","1007.5","percent of total billed charges",,
"BANJO SPLINT FULL SET","0270","RC","Both",,,"242","121","Cigna","Commercial",,,"59",,"141.81","0.18","1007.5","percent of total billed charges",,
"BANJO SPLINT FULL SET","0270","RC","Both",,,"242","121","Humana","Commercial",,,"78",,"187.55","0.18","1007.5","percent of total billed charges",,
"BANJO SPLINT FULL SET","0270","RC","Both",,,"242","121","UHC","Commercial",,,"75",,"182.47","0.18","1007.5","percent of total billed charges",,
"BANJO SPLINT FULL SET","0270","RC","Both",,,"242","121","Medicaid",,,,"37",,"88.57","0.18","1007.5","percent of total billed charges",,
"FINGER SPLINT","0270","RC","Both",,,"52","26","Alliant","Health Exchange",,,"62",,"32.24","0.18","1007.5","percent of total billed charges",,
"FINGER SPLINT","0270","RC","Both",,,"52","26","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.08","0.18","1007.5","percent of total billed charges",,
"FINGER SPLINT","0270","RC","Both",,,"52","26","Medicare",,,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"FINGER SPLINT","0270","RC","Both",,,"52","26","Humana","Medicare Advantage",,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"FINGER SPLINT","0270","RC","Both",,,"52","26","UHC","Medicare Advantage",,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"FINGER SPLINT","0270","RC","Both",,,"52","26","Clover","Medicare Advantage",,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"FINGER SPLINT","0270","RC","Both",,,"52","26","Wellcare","Medicare Advantage",,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"FINGER SPLINT","0270","RC","Both",,,"52","26","Amerigroup","Medicaid Managed Care",,,"37",,"19.03","0.18","1007.5","percent of total billed charges",,
"FINGER SPLINT","0270","RC","Both",,,"52","26","Caresource","Medicaid Managed Care",,,"40",,"20.8","0.18","1007.5","percent of total billed charges",,
"FINGER SPLINT","0270","RC","Both",,,"52","26","Wellcare","Medicaid Managed Care",,,"40",,"21.06","0.18","1007.5","percent of total billed charges",,
"FINGER SPLINT","0270","RC","Both",,,"52","26","Aetna","Commercial",,,"64",,"33.18","0.18","1007.5","percent of total billed charges",,
"FINGER SPLINT","0270","RC","Both",,,"52","26","Blue Cross Blue Shield","Pathways",,,"71",,"36.71","0.18","1007.5","percent of total billed charges",,
"FINGER SPLINT","0270","RC","Both",,,"52","26","Blue Cross Blue Shield","HMO",,,"71",,"36.71","0.18","1007.5","percent of total billed charges",,
"FINGER SPLINT","0270","RC","Both",,,"52","26","Blue Cross Blue Shield","PPO",,,"71",,"36.71","0.18","1007.5","percent of total billed charges",,
"FINGER SPLINT","0270","RC","Both",,,"52","26","Ambetter","Health Exchange",,,"62",,"32.24","0.18","1007.5","percent of total billed charges",,
"FINGER SPLINT","0270","RC","Both",,,"52","26","Caresource","Health Exchange",,,"62",,"32.24","0.18","1007.5","percent of total billed charges",,
"FINGER SPLINT","0270","RC","Both",,,"52","26","Cigna","Commercial",,,"59",,"30.47","0.18","1007.5","percent of total billed charges",,
"FINGER SPLINT","0270","RC","Both",,,"52","26","Humana","Commercial",,,"78",,"40.3","0.18","1007.5","percent of total billed charges",,
"FINGER SPLINT","0270","RC","Both",,,"52","26","UHC","Commercial",,,"75",,"39.21","0.18","1007.5","percent of total billed charges",,
"FINGER SPLINT","0270","RC","Both",,,"52","26","Medicaid",,,,"37",,"19.03","0.18","1007.5","percent of total billed charges",,
"FOREARM SPLINT","0270","RC","Both",,,"52","26","Alliant","Health Exchange",,,"62",,"32.24","0.18","1007.5","percent of total billed charges",,
"FOREARM SPLINT","0270","RC","Both",,,"52","26","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.08","0.18","1007.5","percent of total billed charges",,
"FOREARM SPLINT","0270","RC","Both",,,"52","26","Medicare",,,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"FOREARM SPLINT","0270","RC","Both",,,"52","26","Humana","Medicare Advantage",,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"FOREARM SPLINT","0270","RC","Both",,,"52","26","UHC","Medicare Advantage",,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"FOREARM SPLINT","0270","RC","Both",,,"52","26","Clover","Medicare Advantage",,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"FOREARM SPLINT","0270","RC","Both",,,"52","26","Wellcare","Medicare Advantage",,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"FOREARM SPLINT","0270","RC","Both",,,"52","26","Amerigroup","Medicaid Managed Care",,,"37",,"19.03","0.18","1007.5","percent of total billed charges",,
"FOREARM SPLINT","0270","RC","Both",,,"52","26","Caresource","Medicaid Managed Care",,,"40",,"20.8","0.18","1007.5","percent of total billed charges",,
"FOREARM SPLINT","0270","RC","Both",,,"52","26","Wellcare","Medicaid Managed Care",,,"40",,"21.06","0.18","1007.5","percent of total billed charges",,
"FOREARM SPLINT","0270","RC","Both",,,"52","26","Aetna","Commercial",,,"64",,"33.18","0.18","1007.5","percent of total billed charges",,
"FOREARM SPLINT","0270","RC","Both",,,"52","26","Blue Cross Blue Shield","Pathways",,,"71",,"36.71","0.18","1007.5","percent of total billed charges",,
"FOREARM SPLINT","0270","RC","Both",,,"52","26","Blue Cross Blue Shield","HMO",,,"71",,"36.71","0.18","1007.5","percent of total billed charges",,
"FOREARM SPLINT","0270","RC","Both",,,"52","26","Blue Cross Blue Shield","PPO",,,"71",,"36.71","0.18","1007.5","percent of total billed charges",,
"FOREARM SPLINT","0270","RC","Both",,,"52","26","Ambetter","Health Exchange",,,"62",,"32.24","0.18","1007.5","percent of total billed charges",,
"FOREARM SPLINT","0270","RC","Both",,,"52","26","Caresource","Health Exchange",,,"62",,"32.24","0.18","1007.5","percent of total billed charges",,
"FOREARM SPLINT","0270","RC","Both",,,"52","26","Cigna","Commercial",,,"59",,"30.47","0.18","1007.5","percent of total billed charges",,
"FOREARM SPLINT","0270","RC","Both",,,"52","26","Humana","Commercial",,,"78",,"40.3","0.18","1007.5","percent of total billed charges",,
"FOREARM SPLINT","0270","RC","Both",,,"52","26","UHC","Commercial",,,"75",,"39.21","0.18","1007.5","percent of total billed charges",,
"FOREARM SPLINT","0270","RC","Both",,,"52","26","Medicaid",,,,"37",,"19.03","0.18","1007.5","percent of total billed charges",,
"LATERAL ARM SPLINT","0270","RC","Both",,,"52","26","Alliant","Health Exchange",,,"62",,"32.24","0.18","1007.5","percent of total billed charges",,
"LATERAL ARM SPLINT","0270","RC","Both",,,"52","26","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.08","0.18","1007.5","percent of total billed charges",,
"LATERAL ARM SPLINT","0270","RC","Both",,,"52","26","Medicare",,,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"LATERAL ARM SPLINT","0270","RC","Both",,,"52","26","Humana","Medicare Advantage",,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"LATERAL ARM SPLINT","0270","RC","Both",,,"52","26","UHC","Medicare Advantage",,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"LATERAL ARM SPLINT","0270","RC","Both",,,"52","26","Clover","Medicare Advantage",,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"LATERAL ARM SPLINT","0270","RC","Both",,,"52","26","Wellcare","Medicare Advantage",,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"LATERAL ARM SPLINT","0270","RC","Both",,,"52","26","Amerigroup","Medicaid Managed Care",,,"37",,"19.03","0.18","1007.5","percent of total billed charges",,
"LATERAL ARM SPLINT","0270","RC","Both",,,"52","26","Caresource","Medicaid Managed Care",,,"40",,"20.8","0.18","1007.5","percent of total billed charges",,
"LATERAL ARM SPLINT","0270","RC","Both",,,"52","26","Wellcare","Medicaid Managed Care",,,"40",,"21.06","0.18","1007.5","percent of total billed charges",,
"LATERAL ARM SPLINT","0270","RC","Both",,,"52","26","Aetna","Commercial",,,"64",,"33.18","0.18","1007.5","percent of total billed charges",,
"LATERAL ARM SPLINT","0270","RC","Both",,,"52","26","Blue Cross Blue Shield","Pathways",,,"71",,"36.71","0.18","1007.5","percent of total billed charges",,
"LATERAL ARM SPLINT","0270","RC","Both",,,"52","26","Blue Cross Blue Shield","HMO",,,"71",,"36.71","0.18","1007.5","percent of total billed charges",,
"LATERAL ARM SPLINT","0270","RC","Both",,,"52","26","Blue Cross Blue Shield","PPO",,,"71",,"36.71","0.18","1007.5","percent of total billed charges",,
"LATERAL ARM SPLINT","0270","RC","Both",,,"52","26","Ambetter","Health Exchange",,,"62",,"32.24","0.18","1007.5","percent of total billed charges",,
"LATERAL ARM SPLINT","0270","RC","Both",,,"52","26","Caresource","Health Exchange",,,"62",,"32.24","0.18","1007.5","percent of total billed charges",,
"LATERAL ARM SPLINT","0270","RC","Both",,,"52","26","Cigna","Commercial",,,"59",,"30.47","0.18","1007.5","percent of total billed charges",,
"LATERAL ARM SPLINT","0270","RC","Both",,,"52","26","Humana","Commercial",,,"78",,"40.3","0.18","1007.5","percent of total billed charges",,
"LATERAL ARM SPLINT","0270","RC","Both",,,"52","26","UHC","Commercial",,,"75",,"39.21","0.18","1007.5","percent of total billed charges",,
"LATERAL ARM SPLINT","0270","RC","Both",,,"52","26","Medicaid",,,,"37",,"19.03","0.18","1007.5","percent of total billed charges",,
"METACARPEL SPLINT","0270","RC","Both",,,"52","26","Alliant","Health Exchange",,,"62",,"32.24","0.18","1007.5","percent of total billed charges",,
"METACARPEL SPLINT","0270","RC","Both",,,"52","26","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.08","0.18","1007.5","percent of total billed charges",,
"METACARPEL SPLINT","0270","RC","Both",,,"52","26","Medicare",,,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"METACARPEL SPLINT","0270","RC","Both",,,"52","26","Humana","Medicare Advantage",,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"METACARPEL SPLINT","0270","RC","Both",,,"52","26","UHC","Medicare Advantage",,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"METACARPEL SPLINT","0270","RC","Both",,,"52","26","Clover","Medicare Advantage",,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"METACARPEL SPLINT","0270","RC","Both",,,"52","26","Wellcare","Medicare Advantage",,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"METACARPEL SPLINT","0270","RC","Both",,,"52","26","Amerigroup","Medicaid Managed Care",,,"37",,"19.03","0.18","1007.5","percent of total billed charges",,
"METACARPEL SPLINT","0270","RC","Both",,,"52","26","Caresource","Medicaid Managed Care",,,"40",,"20.8","0.18","1007.5","percent of total billed charges",,
"METACARPEL SPLINT","0270","RC","Both",,,"52","26","Wellcare","Medicaid Managed Care",,,"40",,"21.06","0.18","1007.5","percent of total billed charges",,
"METACARPEL SPLINT","0270","RC","Both",,,"52","26","Aetna","Commercial",,,"64",,"33.18","0.18","1007.5","percent of total billed charges",,
"METACARPEL SPLINT","0270","RC","Both",,,"52","26","Blue Cross Blue Shield","Pathways",,,"71",,"36.71","0.18","1007.5","percent of total billed charges",,
"METACARPEL SPLINT","0270","RC","Both",,,"52","26","Blue Cross Blue Shield","HMO",,,"71",,"36.71","0.18","1007.5","percent of total billed charges",,
"METACARPEL SPLINT","0270","RC","Both",,,"52","26","Blue Cross Blue Shield","PPO",,,"71",,"36.71","0.18","1007.5","percent of total billed charges",,
"METACARPEL SPLINT","0270","RC","Both",,,"52","26","Ambetter","Health Exchange",,,"62",,"32.24","0.18","1007.5","percent of total billed charges",,
"METACARPEL SPLINT","0270","RC","Both",,,"52","26","Caresource","Health Exchange",,,"62",,"32.24","0.18","1007.5","percent of total billed charges",,
"METACARPEL SPLINT","0270","RC","Both",,,"52","26","Cigna","Commercial",,,"59",,"30.47","0.18","1007.5","percent of total billed charges",,
"METACARPEL SPLINT","0270","RC","Both",,,"52","26","Humana","Commercial",,,"78",,"40.3","0.18","1007.5","percent of total billed charges",,
"METACARPEL SPLINT","0270","RC","Both",,,"52","26","UHC","Commercial",,,"75",,"39.21","0.18","1007.5","percent of total billed charges",,
"METACARPEL SPLINT","0270","RC","Both",,,"52","26","Medicaid",,,,"37",,"19.03","0.18","1007.5","percent of total billed charges",,
"POSTERIOR ADJ ELBOW SPLINT","0270","RC","Both",,,"52","26","Alliant","Health Exchange",,,"62",,"32.24","0.18","1007.5","percent of total billed charges",,
"POSTERIOR ADJ ELBOW SPLINT","0270","RC","Both",,,"52","26","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.08","0.18","1007.5","percent of total billed charges",,
"POSTERIOR ADJ ELBOW SPLINT","0270","RC","Both",,,"52","26","Medicare",,,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"POSTERIOR ADJ ELBOW SPLINT","0270","RC","Both",,,"52","26","Humana","Medicare Advantage",,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"POSTERIOR ADJ ELBOW SPLINT","0270","RC","Both",,,"52","26","UHC","Medicare Advantage",,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"POSTERIOR ADJ ELBOW SPLINT","0270","RC","Both",,,"52","26","Clover","Medicare Advantage",,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"POSTERIOR ADJ ELBOW SPLINT","0270","RC","Both",,,"52","26","Wellcare","Medicare Advantage",,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"POSTERIOR ADJ ELBOW SPLINT","0270","RC","Both",,,"52","26","Amerigroup","Medicaid Managed Care",,,"37",,"19.03","0.18","1007.5","percent of total billed charges",,
"POSTERIOR ADJ ELBOW SPLINT","0270","RC","Both",,,"52","26","Caresource","Medicaid Managed Care",,,"40",,"20.8","0.18","1007.5","percent of total billed charges",,
"POSTERIOR ADJ ELBOW SPLINT","0270","RC","Both",,,"52","26","Wellcare","Medicaid Managed Care",,,"40",,"21.06","0.18","1007.5","percent of total billed charges",,
"POSTERIOR ADJ ELBOW SPLINT","0270","RC","Both",,,"52","26","Aetna","Commercial",,,"64",,"33.18","0.18","1007.5","percent of total billed charges",,
"POSTERIOR ADJ ELBOW SPLINT","0270","RC","Both",,,"52","26","Blue Cross Blue Shield","Pathways",,,"71",,"36.71","0.18","1007.5","percent of total billed charges",,
"POSTERIOR ADJ ELBOW SPLINT","0270","RC","Both",,,"52","26","Blue Cross Blue Shield","HMO",,,"71",,"36.71","0.18","1007.5","percent of total billed charges",,
"POSTERIOR ADJ ELBOW SPLINT","0270","RC","Both",,,"52","26","Blue Cross Blue Shield","PPO",,,"71",,"36.71","0.18","1007.5","percent of total billed charges",,
"POSTERIOR ADJ ELBOW SPLINT","0270","RC","Both",,,"52","26","Ambetter","Health Exchange",,,"62",,"32.24","0.18","1007.5","percent of total billed charges",,
"POSTERIOR ADJ ELBOW SPLINT","0270","RC","Both",,,"52","26","Caresource","Health Exchange",,,"62",,"32.24","0.18","1007.5","percent of total billed charges",,
"POSTERIOR ADJ ELBOW SPLINT","0270","RC","Both",,,"52","26","Cigna","Commercial",,,"59",,"30.47","0.18","1007.5","percent of total billed charges",,
"POSTERIOR ADJ ELBOW SPLINT","0270","RC","Both",,,"52","26","Humana","Commercial",,,"78",,"40.3","0.18","1007.5","percent of total billed charges",,
"POSTERIOR ADJ ELBOW SPLINT","0270","RC","Both",,,"52","26","UHC","Commercial",,,"75",,"39.21","0.18","1007.5","percent of total billed charges",,
"POSTERIOR ADJ ELBOW SPLINT","0270","RC","Both",,,"52","26","Medicaid",,,,"37",,"19.03","0.18","1007.5","percent of total billed charges",,
"POSTERIOR NON ADJ ELBOW SPL","0270","RC","Both",,,"52","26","Alliant","Health Exchange",,,"62",,"32.24","0.18","1007.5","percent of total billed charges",,
"POSTERIOR NON ADJ ELBOW SPL","0270","RC","Both",,,"52","26","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.08","0.18","1007.5","percent of total billed charges",,
"POSTERIOR NON ADJ ELBOW SPL","0270","RC","Both",,,"52","26","Medicare",,,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"POSTERIOR NON ADJ ELBOW SPL","0270","RC","Both",,,"52","26","Humana","Medicare Advantage",,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"POSTERIOR NON ADJ ELBOW SPL","0270","RC","Both",,,"52","26","UHC","Medicare Advantage",,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"POSTERIOR NON ADJ ELBOW SPL","0270","RC","Both",,,"52","26","Clover","Medicare Advantage",,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"POSTERIOR NON ADJ ELBOW SPL","0270","RC","Both",,,"52","26","Wellcare","Medicare Advantage",,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"POSTERIOR NON ADJ ELBOW SPL","0270","RC","Both",,,"52","26","Amerigroup","Medicaid Managed Care",,,"37",,"19.03","0.18","1007.5","percent of total billed charges",,
"POSTERIOR NON ADJ ELBOW SPL","0270","RC","Both",,,"52","26","Caresource","Medicaid Managed Care",,,"40",,"20.8","0.18","1007.5","percent of total billed charges",,
"POSTERIOR NON ADJ ELBOW SPL","0270","RC","Both",,,"52","26","Wellcare","Medicaid Managed Care",,,"40",,"21.06","0.18","1007.5","percent of total billed charges",,
"POSTERIOR NON ADJ ELBOW SPL","0270","RC","Both",,,"52","26","Aetna","Commercial",,,"64",,"33.18","0.18","1007.5","percent of total billed charges",,
"POSTERIOR NON ADJ ELBOW SPL","0270","RC","Both",,,"52","26","Blue Cross Blue Shield","Pathways",,,"71",,"36.71","0.18","1007.5","percent of total billed charges",,
"POSTERIOR NON ADJ ELBOW SPL","0270","RC","Both",,,"52","26","Blue Cross Blue Shield","HMO",,,"71",,"36.71","0.18","1007.5","percent of total billed charges",,
"POSTERIOR NON ADJ ELBOW SPL","0270","RC","Both",,,"52","26","Blue Cross Blue Shield","PPO",,,"71",,"36.71","0.18","1007.5","percent of total billed charges",,
"POSTERIOR NON ADJ ELBOW SPL","0270","RC","Both",,,"52","26","Ambetter","Health Exchange",,,"62",,"32.24","0.18","1007.5","percent of total billed charges",,
"POSTERIOR NON ADJ ELBOW SPL","0270","RC","Both",,,"52","26","Caresource","Health Exchange",,,"62",,"32.24","0.18","1007.5","percent of total billed charges",,
"POSTERIOR NON ADJ ELBOW SPL","0270","RC","Both",,,"52","26","Cigna","Commercial",,,"59",,"30.47","0.18","1007.5","percent of total billed charges",,
"POSTERIOR NON ADJ ELBOW SPL","0270","RC","Both",,,"52","26","Humana","Commercial",,,"78",,"40.3","0.18","1007.5","percent of total billed charges",,
"POSTERIOR NON ADJ ELBOW SPL","0270","RC","Both",,,"52","26","UHC","Commercial",,,"75",,"39.21","0.18","1007.5","percent of total billed charges",,
"POSTERIOR NON ADJ ELBOW SPL","0270","RC","Both",,,"52","26","Medicaid",,,,"37",,"19.03","0.18","1007.5","percent of total billed charges",,
"POSTERIOR LONG LEG SPLINT","0270","RC","Both",,,"87","43.5","Alliant","Health Exchange",,,"62",,"53.94","0.18","1007.5","percent of total billed charges",,
"POSTERIOR LONG LEG SPLINT","0270","RC","Both",,,"87","43.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"46.98","0.18","1007.5","percent of total billed charges",,
"POSTERIOR LONG LEG SPLINT","0270","RC","Both",,,"87","43.5","Medicare",,,,"54",,"47.15","0.18","1007.5","percent of total billed charges",,
"POSTERIOR LONG LEG SPLINT","0270","RC","Both",,,"87","43.5","Humana","Medicare Advantage",,,"54",,"47.15","0.18","1007.5","percent of total billed charges",,
"POSTERIOR LONG LEG SPLINT","0270","RC","Both",,,"87","43.5","UHC","Medicare Advantage",,,"54",,"47.15","0.18","1007.5","percent of total billed charges",,
"POSTERIOR LONG LEG SPLINT","0270","RC","Both",,,"87","43.5","Clover","Medicare Advantage",,,"54",,"47.15","0.18","1007.5","percent of total billed charges",,
"POSTERIOR LONG LEG SPLINT","0270","RC","Both",,,"87","43.5","Wellcare","Medicare Advantage",,,"54",,"47.15","0.18","1007.5","percent of total billed charges",,
"POSTERIOR LONG LEG SPLINT","0270","RC","Both",,,"87","43.5","Amerigroup","Medicaid Managed Care",,,"37",,"31.84","0.18","1007.5","percent of total billed charges",,
"POSTERIOR LONG LEG SPLINT","0270","RC","Both",,,"87","43.5","Caresource","Medicaid Managed Care",,,"40",,"34.8","0.18","1007.5","percent of total billed charges",,
"POSTERIOR LONG LEG SPLINT","0270","RC","Both",,,"87","43.5","Wellcare","Medicaid Managed Care",,,"40",,"35.24","0.18","1007.5","percent of total billed charges",,
"POSTERIOR LONG LEG SPLINT","0270","RC","Both",,,"87","43.5","Aetna","Commercial",,,"64",,"55.51","0.18","1007.5","percent of total billed charges",,
"POSTERIOR LONG LEG SPLINT","0270","RC","Both",,,"87","43.5","Blue Cross Blue Shield","Pathways",,,"71",,"61.42","0.18","1007.5","percent of total billed charges",,
"POSTERIOR LONG LEG SPLINT","0270","RC","Both",,,"87","43.5","Blue Cross Blue Shield","HMO",,,"71",,"61.42","0.18","1007.5","percent of total billed charges",,
"POSTERIOR LONG LEG SPLINT","0270","RC","Both",,,"87","43.5","Blue Cross Blue Shield","PPO",,,"71",,"61.42","0.18","1007.5","percent of total billed charges",,
"POSTERIOR LONG LEG SPLINT","0270","RC","Both",,,"87","43.5","Ambetter","Health Exchange",,,"62",,"53.94","0.18","1007.5","percent of total billed charges",,
"POSTERIOR LONG LEG SPLINT","0270","RC","Both",,,"87","43.5","Caresource","Health Exchange",,,"62",,"53.94","0.18","1007.5","percent of total billed charges",,
"POSTERIOR LONG LEG SPLINT","0270","RC","Both",,,"87","43.5","Cigna","Commercial",,,"59",,"50.98","0.18","1007.5","percent of total billed charges",,
"POSTERIOR LONG LEG SPLINT","0270","RC","Both",,,"87","43.5","Humana","Commercial",,,"78",,"67.42","0.18","1007.5","percent of total billed charges",,
"POSTERIOR LONG LEG SPLINT","0270","RC","Both",,,"87","43.5","UHC","Commercial",,,"75",,"65.6","0.18","1007.5","percent of total billed charges",,
"POSTERIOR LONG LEG SPLINT","0270","RC","Both",,,"87","43.5","Medicaid",,,,"37",,"31.84","0.18","1007.5","percent of total billed charges",,
"POSTERIOR KNEE LEG SPLINT","0270","RC","Both",,,"70","35","Alliant","Health Exchange",,,"62",,"43.4","0.18","1007.5","percent of total billed charges",,
"POSTERIOR KNEE LEG SPLINT","0270","RC","Both",,,"70","35","Pruitt Healthcare","Medicare Advantage",,,"54",,"37.8","0.18","1007.5","percent of total billed charges",,
"POSTERIOR KNEE LEG SPLINT","0270","RC","Both",,,"70","35","Medicare",,,,"54",,"37.94","0.18","1007.5","percent of total billed charges",,
"POSTERIOR KNEE LEG SPLINT","0270","RC","Both",,,"70","35","Humana","Medicare Advantage",,,"54",,"37.94","0.18","1007.5","percent of total billed charges",,
"POSTERIOR KNEE LEG SPLINT","0270","RC","Both",,,"70","35","UHC","Medicare Advantage",,,"54",,"37.94","0.18","1007.5","percent of total billed charges",,
"POSTERIOR KNEE LEG SPLINT","0270","RC","Both",,,"70","35","Clover","Medicare Advantage",,,"54",,"37.94","0.18","1007.5","percent of total billed charges",,
"POSTERIOR KNEE LEG SPLINT","0270","RC","Both",,,"70","35","Wellcare","Medicare Advantage",,,"54",,"37.94","0.18","1007.5","percent of total billed charges",,
"POSTERIOR KNEE LEG SPLINT","0270","RC","Both",,,"70","35","Amerigroup","Medicaid Managed Care",,,"37",,"25.62","0.18","1007.5","percent of total billed charges",,
"POSTERIOR KNEE LEG SPLINT","0270","RC","Both",,,"70","35","Caresource","Medicaid Managed Care",,,"40",,"28","0.18","1007.5","percent of total billed charges",,
"POSTERIOR KNEE LEG SPLINT","0270","RC","Both",,,"70","35","Wellcare","Medicaid Managed Care",,,"40",,"28.35","0.18","1007.5","percent of total billed charges",,
"POSTERIOR KNEE LEG SPLINT","0270","RC","Both",,,"70","35","Aetna","Commercial",,,"64",,"44.66","0.18","1007.5","percent of total billed charges",,
"POSTERIOR KNEE LEG SPLINT","0270","RC","Both",,,"70","35","Blue Cross Blue Shield","Pathways",,,"71",,"49.42","0.18","1007.5","percent of total billed charges",,
"POSTERIOR KNEE LEG SPLINT","0270","RC","Both",,,"70","35","Blue Cross Blue Shield","HMO",,,"71",,"49.42","0.18","1007.5","percent of total billed charges",,
"POSTERIOR KNEE LEG SPLINT","0270","RC","Both",,,"70","35","Blue Cross Blue Shield","PPO",,,"71",,"49.42","0.18","1007.5","percent of total billed charges",,
"POSTERIOR KNEE LEG SPLINT","0270","RC","Both",,,"70","35","Ambetter","Health Exchange",,,"62",,"43.4","0.18","1007.5","percent of total billed charges",,
"POSTERIOR KNEE LEG SPLINT","0270","RC","Both",,,"70","35","Caresource","Health Exchange",,,"62",,"43.4","0.18","1007.5","percent of total billed charges",,
"POSTERIOR KNEE LEG SPLINT","0270","RC","Both",,,"70","35","Cigna","Commercial",,,"59",,"41.02","0.18","1007.5","percent of total billed charges",,
"POSTERIOR KNEE LEG SPLINT","0270","RC","Both",,,"70","35","Humana","Commercial",,,"78",,"54.25","0.18","1007.5","percent of total billed charges",,
"POSTERIOR KNEE LEG SPLINT","0270","RC","Both",,,"70","35","UHC","Commercial",,,"75",,"52.78","0.18","1007.5","percent of total billed charges",,
"POSTERIOR KNEE LEG SPLINT","0270","RC","Both",,,"70","35","Medicaid",,,,"37",,"25.62","0.18","1007.5","percent of total billed charges",,
"POSTERIOR SHORT LEG SPLINT","0270","RC","Both",,,"70","35","Alliant","Health Exchange",,,"62",,"43.4","0.18","1007.5","percent of total billed charges",,
"POSTERIOR SHORT LEG SPLINT","0270","RC","Both",,,"70","35","Pruitt Healthcare","Medicare Advantage",,,"54",,"37.8","0.18","1007.5","percent of total billed charges",,
"POSTERIOR SHORT LEG SPLINT","0270","RC","Both",,,"70","35","Medicare",,,,"54",,"37.94","0.18","1007.5","percent of total billed charges",,
"POSTERIOR SHORT LEG SPLINT","0270","RC","Both",,,"70","35","Humana","Medicare Advantage",,,"54",,"37.94","0.18","1007.5","percent of total billed charges",,
"POSTERIOR SHORT LEG SPLINT","0270","RC","Both",,,"70","35","UHC","Medicare Advantage",,,"54",,"37.94","0.18","1007.5","percent of total billed charges",,
"POSTERIOR SHORT LEG SPLINT","0270","RC","Both",,,"70","35","Clover","Medicare Advantage",,,"54",,"37.94","0.18","1007.5","percent of total billed charges",,
"POSTERIOR SHORT LEG SPLINT","0270","RC","Both",,,"70","35","Wellcare","Medicare Advantage",,,"54",,"37.94","0.18","1007.5","percent of total billed charges",,
"POSTERIOR SHORT LEG SPLINT","0270","RC","Both",,,"70","35","Amerigroup","Medicaid Managed Care",,,"37",,"25.62","0.18","1007.5","percent of total billed charges",,
"POSTERIOR SHORT LEG SPLINT","0270","RC","Both",,,"70","35","Caresource","Medicaid Managed Care",,,"40",,"28","0.18","1007.5","percent of total billed charges",,
"POSTERIOR SHORT LEG SPLINT","0270","RC","Both",,,"70","35","Wellcare","Medicaid Managed Care",,,"40",,"28.35","0.18","1007.5","percent of total billed charges",,
"POSTERIOR SHORT LEG SPLINT","0270","RC","Both",,,"70","35","Aetna","Commercial",,,"64",,"44.66","0.18","1007.5","percent of total billed charges",,
"POSTERIOR SHORT LEG SPLINT","0270","RC","Both",,,"70","35","Blue Cross Blue Shield","Pathways",,,"71",,"49.42","0.18","1007.5","percent of total billed charges",,
"POSTERIOR SHORT LEG SPLINT","0270","RC","Both",,,"70","35","Blue Cross Blue Shield","HMO",,,"71",,"49.42","0.18","1007.5","percent of total billed charges",,
"POSTERIOR SHORT LEG SPLINT","0270","RC","Both",,,"70","35","Blue Cross Blue Shield","PPO",,,"71",,"49.42","0.18","1007.5","percent of total billed charges",,
"POSTERIOR SHORT LEG SPLINT","0270","RC","Both",,,"70","35","Ambetter","Health Exchange",,,"62",,"43.4","0.18","1007.5","percent of total billed charges",,
"POSTERIOR SHORT LEG SPLINT","0270","RC","Both",,,"70","35","Caresource","Health Exchange",,,"62",,"43.4","0.18","1007.5","percent of total billed charges",,
"POSTERIOR SHORT LEG SPLINT","0270","RC","Both",,,"70","35","Cigna","Commercial",,,"59",,"41.02","0.18","1007.5","percent of total billed charges",,
"POSTERIOR SHORT LEG SPLINT","0270","RC","Both",,,"70","35","Humana","Commercial",,,"78",,"54.25","0.18","1007.5","percent of total billed charges",,
"POSTERIOR SHORT LEG SPLINT","0270","RC","Both",,,"70","35","UHC","Commercial",,,"75",,"52.78","0.18","1007.5","percent of total billed charges",,
"POSTERIOR SHORT LEG SPLINT","0270","RC","Both",,,"70","35","Medicaid",,,,"37",,"25.62","0.18","1007.5","percent of total billed charges",,
"WRIST STRAP THUMB OR FINGER","0270","RC","Both",,,"31","15.5","Alliant","Health Exchange",,,"62",,"19.22","0.18","1007.5","percent of total billed charges",,
"WRIST STRAP THUMB OR FINGER","0270","RC","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.74","0.18","1007.5","percent of total billed charges",,
"WRIST STRAP THUMB OR FINGER","0270","RC","Both",,,"31","15.5","Medicare",,,,"54",,"16.8","0.18","1007.5","percent of total billed charges",,
"WRIST STRAP THUMB OR FINGER","0270","RC","Both",,,"31","15.5","Humana","Medicare Advantage",,,"54",,"16.8","0.18","1007.5","percent of total billed charges",,
"WRIST STRAP THUMB OR FINGER","0270","RC","Both",,,"31","15.5","UHC","Medicare Advantage",,,"54",,"16.8","0.18","1007.5","percent of total billed charges",,
"WRIST STRAP THUMB OR FINGER","0270","RC","Both",,,"31","15.5","Clover","Medicare Advantage",,,"54",,"16.8","0.18","1007.5","percent of total billed charges",,
"WRIST STRAP THUMB OR FINGER","0270","RC","Both",,,"31","15.5","Wellcare","Medicare Advantage",,,"54",,"16.8","0.18","1007.5","percent of total billed charges",,
"WRIST STRAP THUMB OR FINGER","0270","RC","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care",,,"37",,"11.35","0.18","1007.5","percent of total billed charges",,
"WRIST STRAP THUMB OR FINGER","0270","RC","Both",,,"31","15.5","Caresource","Medicaid Managed Care",,,"40",,"12.4","0.18","1007.5","percent of total billed charges",,
"WRIST STRAP THUMB OR FINGER","0270","RC","Both",,,"31","15.5","Wellcare","Medicaid Managed Care",,,"40",,"12.56","0.18","1007.5","percent of total billed charges",,
"WRIST STRAP THUMB OR FINGER","0270","RC","Both",,,"31","15.5","Aetna","Commercial",,,"64",,"19.78","0.18","1007.5","percent of total billed charges",,
"WRIST STRAP THUMB OR FINGER","0270","RC","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways",,,"71",,"21.89","0.18","1007.5","percent of total billed charges",,
"WRIST STRAP THUMB OR FINGER","0270","RC","Both",,,"31","15.5","Blue Cross Blue Shield","HMO",,,"71",,"21.89","0.18","1007.5","percent of total billed charges",,
"WRIST STRAP THUMB OR FINGER","0270","RC","Both",,,"31","15.5","Blue Cross Blue Shield","PPO",,,"71",,"21.89","0.18","1007.5","percent of total billed charges",,
"WRIST STRAP THUMB OR FINGER","0270","RC","Both",,,"31","15.5","Ambetter","Health Exchange",,,"62",,"19.22","0.18","1007.5","percent of total billed charges",,
"WRIST STRAP THUMB OR FINGER","0270","RC","Both",,,"31","15.5","Caresource","Health Exchange",,,"62",,"19.22","0.18","1007.5","percent of total billed charges",,
"WRIST STRAP THUMB OR FINGER","0270","RC","Both",,,"31","15.5","Cigna","Commercial",,,"59",,"18.17","0.18","1007.5","percent of total billed charges",,
"WRIST STRAP THUMB OR FINGER","0270","RC","Both",,,"31","15.5","Humana","Commercial",,,"78",,"24.02","0.18","1007.5","percent of total billed charges",,
"WRIST STRAP THUMB OR FINGER","0270","RC","Both",,,"31","15.5","UHC","Commercial",,,"75",,"23.37","0.18","1007.5","percent of total billed charges",,
"WRIST STRAP THUMB OR FINGER","0270","RC","Both",,,"31","15.5","Medicaid",,,,"37",,"11.35","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT MED LEFT","0270","RC","Both",,,"17","8.5","Alliant","Health Exchange",,,"62",,"10.54","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT MED LEFT","0270","RC","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.18","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT MED LEFT","0270","RC","Both",,,"17","8.5","Medicare",,,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT MED LEFT","0270","RC","Both",,,"17","8.5","Humana","Medicare Advantage",,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT MED LEFT","0270","RC","Both",,,"17","8.5","UHC","Medicare Advantage",,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT MED LEFT","0270","RC","Both",,,"17","8.5","Clover","Medicare Advantage",,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT MED LEFT","0270","RC","Both",,,"17","8.5","Wellcare","Medicare Advantage",,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT MED LEFT","0270","RC","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.22","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT MED LEFT","0270","RC","Both",,,"17","8.5","Caresource","Medicaid Managed Care",,,"40",,"6.8","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT MED LEFT","0270","RC","Both",,,"17","8.5","Wellcare","Medicaid Managed Care",,,"40",,"6.89","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT MED LEFT","0270","RC","Both",,,"17","8.5","Aetna","Commercial",,,"64",,"10.85","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT MED LEFT","0270","RC","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways",,,"71",,"12","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT MED LEFT","0270","RC","Both",,,"17","8.5","Blue Cross Blue Shield","HMO",,,"71",,"12","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT MED LEFT","0270","RC","Both",,,"17","8.5","Blue Cross Blue Shield","PPO",,,"71",,"12","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT MED LEFT","0270","RC","Both",,,"17","8.5","Ambetter","Health Exchange",,,"62",,"10.54","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT MED LEFT","0270","RC","Both",,,"17","8.5","Caresource","Health Exchange",,,"62",,"10.54","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT MED LEFT","0270","RC","Both",,,"17","8.5","Cigna","Commercial",,,"59",,"9.96","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT MED LEFT","0270","RC","Both",,,"17","8.5","Humana","Commercial",,,"78",,"13.18","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT MED LEFT","0270","RC","Both",,,"17","8.5","UHC","Commercial",,,"75",,"12.82","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT MED LEFT","0270","RC","Both",,,"17","8.5","Medicaid",,,,"37",,"6.22","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT  SM LEFT","0270","RC","Both",,,"17","8.5","Alliant","Health Exchange",,,"62",,"10.54","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT  SM LEFT","0270","RC","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.18","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT  SM LEFT","0270","RC","Both",,,"17","8.5","Medicare",,,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT  SM LEFT","0270","RC","Both",,,"17","8.5","Humana","Medicare Advantage",,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT  SM LEFT","0270","RC","Both",,,"17","8.5","UHC","Medicare Advantage",,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT  SM LEFT","0270","RC","Both",,,"17","8.5","Clover","Medicare Advantage",,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT  SM LEFT","0270","RC","Both",,,"17","8.5","Wellcare","Medicare Advantage",,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT  SM LEFT","0270","RC","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.22","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT  SM LEFT","0270","RC","Both",,,"17","8.5","Caresource","Medicaid Managed Care",,,"40",,"6.8","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT  SM LEFT","0270","RC","Both",,,"17","8.5","Wellcare","Medicaid Managed Care",,,"40",,"6.89","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT  SM LEFT","0270","RC","Both",,,"17","8.5","Aetna","Commercial",,,"64",,"10.85","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT  SM LEFT","0270","RC","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways",,,"71",,"12","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT  SM LEFT","0270","RC","Both",,,"17","8.5","Blue Cross Blue Shield","HMO",,,"71",,"12","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT  SM LEFT","0270","RC","Both",,,"17","8.5","Blue Cross Blue Shield","PPO",,,"71",,"12","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT  SM LEFT","0270","RC","Both",,,"17","8.5","Ambetter","Health Exchange",,,"62",,"10.54","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT  SM LEFT","0270","RC","Both",,,"17","8.5","Caresource","Health Exchange",,,"62",,"10.54","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT  SM LEFT","0270","RC","Both",,,"17","8.5","Cigna","Commercial",,,"59",,"9.96","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT  SM LEFT","0270","RC","Both",,,"17","8.5","Humana","Commercial",,,"78",,"13.18","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT  SM LEFT","0270","RC","Both",,,"17","8.5","UHC","Commercial",,,"75",,"12.82","0.18","1007.5","percent of total billed charges",,
"WRIST SPLINT  SM LEFT","0270","RC","Both",,,"17","8.5","Medicaid",,,,"37",,"6.22","0.18","1007.5","percent of total billed charges",,
"BAIR HUGGER WARMING BLANKET","0270","RC","Both",,,"17","8.5","Alliant","Health Exchange",,,"62",,"10.54","0.18","1007.5","percent of total billed charges",,
"BAIR HUGGER WARMING BLANKET","0270","RC","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.18","0.18","1007.5","percent of total billed charges",,
"BAIR HUGGER WARMING BLANKET","0270","RC","Both",,,"17","8.5","Medicare",,,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"BAIR HUGGER WARMING BLANKET","0270","RC","Both",,,"17","8.5","Humana","Medicare Advantage",,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"BAIR HUGGER WARMING BLANKET","0270","RC","Both",,,"17","8.5","UHC","Medicare Advantage",,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"BAIR HUGGER WARMING BLANKET","0270","RC","Both",,,"17","8.5","Clover","Medicare Advantage",,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"BAIR HUGGER WARMING BLANKET","0270","RC","Both",,,"17","8.5","Wellcare","Medicare Advantage",,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"BAIR HUGGER WARMING BLANKET","0270","RC","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.22","0.18","1007.5","percent of total billed charges",,
"BAIR HUGGER WARMING BLANKET","0270","RC","Both",,,"17","8.5","Caresource","Medicaid Managed Care",,,"40",,"6.8","0.18","1007.5","percent of total billed charges",,
"BAIR HUGGER WARMING BLANKET","0270","RC","Both",,,"17","8.5","Wellcare","Medicaid Managed Care",,,"40",,"6.89","0.18","1007.5","percent of total billed charges",,
"BAIR HUGGER WARMING BLANKET","0270","RC","Both",,,"17","8.5","Aetna","Commercial",,,"64",,"10.85","0.18","1007.5","percent of total billed charges",,
"BAIR HUGGER WARMING BLANKET","0270","RC","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways",,,"71",,"12","0.18","1007.5","percent of total billed charges",,
"BAIR HUGGER WARMING BLANKET","0270","RC","Both",,,"17","8.5","Blue Cross Blue Shield","HMO",,,"71",,"12","0.18","1007.5","percent of total billed charges",,
"BAIR HUGGER WARMING BLANKET","0270","RC","Both",,,"17","8.5","Blue Cross Blue Shield","PPO",,,"71",,"12","0.18","1007.5","percent of total billed charges",,
"BAIR HUGGER WARMING BLANKET","0270","RC","Both",,,"17","8.5","Ambetter","Health Exchange",,,"62",,"10.54","0.18","1007.5","percent of total billed charges",,
"BAIR HUGGER WARMING BLANKET","0270","RC","Both",,,"17","8.5","Caresource","Health Exchange",,,"62",,"10.54","0.18","1007.5","percent of total billed charges",,
"BAIR HUGGER WARMING BLANKET","0270","RC","Both",,,"17","8.5","Cigna","Commercial",,,"59",,"9.96","0.18","1007.5","percent of total billed charges",,
"BAIR HUGGER WARMING BLANKET","0270","RC","Both",,,"17","8.5","Humana","Commercial",,,"78",,"13.18","0.18","1007.5","percent of total billed charges",,
"BAIR HUGGER WARMING BLANKET","0270","RC","Both",,,"17","8.5","UHC","Commercial",,,"75",,"12.82","0.18","1007.5","percent of total billed charges",,
"BAIR HUGGER WARMING BLANKET","0270","RC","Both",,,"17","8.5","Medicaid",,,,"37",,"6.22","0.18","1007.5","percent of total billed charges",,
"BLOOD EXCHANGE TRANSFUSION","0270","RC","Both",,,"34","17","Alliant","Health Exchange",,,"62",,"21.08","0.18","1007.5","percent of total billed charges",,
"BLOOD EXCHANGE TRANSFUSION","0270","RC","Both",,,"34","17","Pruitt Healthcare","Medicare Advantage",,,"54",,"18.36","0.18","1007.5","percent of total billed charges",,
"BLOOD EXCHANGE TRANSFUSION","0270","RC","Both",,,"34","17","Medicare",,,,"54",,"18.43","0.18","1007.5","percent of total billed charges",,
"BLOOD EXCHANGE TRANSFUSION","0270","RC","Both",,,"34","17","Humana","Medicare Advantage",,,"54",,"18.43","0.18","1007.5","percent of total billed charges",,
"BLOOD EXCHANGE TRANSFUSION","0270","RC","Both",,,"34","17","UHC","Medicare Advantage",,,"54",,"18.43","0.18","1007.5","percent of total billed charges",,
"BLOOD EXCHANGE TRANSFUSION","0270","RC","Both",,,"34","17","Clover","Medicare Advantage",,,"54",,"18.43","0.18","1007.5","percent of total billed charges",,
"BLOOD EXCHANGE TRANSFUSION","0270","RC","Both",,,"34","17","Wellcare","Medicare Advantage",,,"54",,"18.43","0.18","1007.5","percent of total billed charges",,
"BLOOD EXCHANGE TRANSFUSION","0270","RC","Both",,,"34","17","Amerigroup","Medicaid Managed Care",,,"37",,"12.44","0.18","1007.5","percent of total billed charges",,
"BLOOD EXCHANGE TRANSFUSION","0270","RC","Both",,,"34","17","Caresource","Medicaid Managed Care",,,"40",,"13.6","0.18","1007.5","percent of total billed charges",,
"BLOOD EXCHANGE TRANSFUSION","0270","RC","Both",,,"34","17","Wellcare","Medicaid Managed Care",,,"40",,"13.77","0.18","1007.5","percent of total billed charges",,
"BLOOD EXCHANGE TRANSFUSION","0270","RC","Both",,,"34","17","Aetna","Commercial",,,"64",,"21.69","0.18","1007.5","percent of total billed charges",,
"BLOOD EXCHANGE TRANSFUSION","0270","RC","Both",,,"34","17","Blue Cross Blue Shield","Pathways",,,"71",,"24","0.18","1007.5","percent of total billed charges",,
"BLOOD EXCHANGE TRANSFUSION","0270","RC","Both",,,"34","17","Blue Cross Blue Shield","HMO",,,"71",,"24","0.18","1007.5","percent of total billed charges",,
"BLOOD EXCHANGE TRANSFUSION","0270","RC","Both",,,"34","17","Blue Cross Blue Shield","PPO",,,"71",,"24","0.18","1007.5","percent of total billed charges",,
"BLOOD EXCHANGE TRANSFUSION","0270","RC","Both",,,"34","17","Ambetter","Health Exchange",,,"62",,"21.08","0.18","1007.5","percent of total billed charges",,
"BLOOD EXCHANGE TRANSFUSION","0270","RC","Both",,,"34","17","Caresource","Health Exchange",,,"62",,"21.08","0.18","1007.5","percent of total billed charges",,
"BLOOD EXCHANGE TRANSFUSION","0270","RC","Both",,,"34","17","Cigna","Commercial",,,"59",,"19.92","0.18","1007.5","percent of total billed charges",,
"BLOOD EXCHANGE TRANSFUSION","0270","RC","Both",,,"34","17","Humana","Commercial",,,"78",,"26.35","0.18","1007.5","percent of total billed charges",,
"BLOOD EXCHANGE TRANSFUSION","0270","RC","Both",,,"34","17","UHC","Commercial",,,"75",,"25.64","0.18","1007.5","percent of total billed charges",,
"BLOOD EXCHANGE TRANSFUSION","0270","RC","Both",,,"34","17","Medicaid",,,,"37",,"12.44","0.18","1007.5","percent of total billed charges",,
"WINGED INFUSION SET 20GA X 0.75","0270","RC","Both",,,"37","18.5","Alliant","Health Exchange",,,"62",,"22.94","0.18","1007.5","percent of total billed charges",,
"WINGED INFUSION SET 20GA X 0.75","0270","RC","Both",,,"37","18.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.98","0.18","1007.5","percent of total billed charges",,
"WINGED INFUSION SET 20GA X 0.75","0270","RC","Both",,,"37","18.5","Medicare",,,,"54",,"20.05","0.18","1007.5","percent of total billed charges",,
"WINGED INFUSION SET 20GA X 0.75","0270","RC","Both",,,"37","18.5","Humana","Medicare Advantage",,,"54",,"20.05","0.18","1007.5","percent of total billed charges",,
"WINGED INFUSION SET 20GA X 0.75","0270","RC","Both",,,"37","18.5","UHC","Medicare Advantage",,,"54",,"20.05","0.18","1007.5","percent of total billed charges",,
"WINGED INFUSION SET 20GA X 0.75","0270","RC","Both",,,"37","18.5","Clover","Medicare Advantage",,,"54",,"20.05","0.18","1007.5","percent of total billed charges",,
"WINGED INFUSION SET 20GA X 0.75","0270","RC","Both",,,"37","18.5","Wellcare","Medicare Advantage",,,"54",,"20.05","0.18","1007.5","percent of total billed charges",,
"WINGED INFUSION SET 20GA X 0.75","0270","RC","Both",,,"37","18.5","Amerigroup","Medicaid Managed Care",,,"37",,"13.54","0.18","1007.5","percent of total billed charges",,
"WINGED INFUSION SET 20GA X 0.75","0270","RC","Both",,,"37","18.5","Caresource","Medicaid Managed Care",,,"40",,"14.8","0.18","1007.5","percent of total billed charges",,
"WINGED INFUSION SET 20GA X 0.75","0270","RC","Both",,,"37","18.5","Wellcare","Medicaid Managed Care",,,"40",,"14.99","0.18","1007.5","percent of total billed charges",,
"WINGED INFUSION SET 20GA X 0.75","0270","RC","Both",,,"37","18.5","Aetna","Commercial",,,"64",,"23.61","0.18","1007.5","percent of total billed charges",,
"WINGED INFUSION SET 20GA X 0.75","0270","RC","Both",,,"37","18.5","Blue Cross Blue Shield","Pathways",,,"71",,"26.12","0.18","1007.5","percent of total billed charges",,
"WINGED INFUSION SET 20GA X 0.75","0270","RC","Both",,,"37","18.5","Blue Cross Blue Shield","HMO",,,"71",,"26.12","0.18","1007.5","percent of total billed charges",,
"WINGED INFUSION SET 20GA X 0.75","0270","RC","Both",,,"37","18.5","Blue Cross Blue Shield","PPO",,,"71",,"26.12","0.18","1007.5","percent of total billed charges",,
"WINGED INFUSION SET 20GA X 0.75","0270","RC","Both",,,"37","18.5","Ambetter","Health Exchange",,,"62",,"22.94","0.18","1007.5","percent of total billed charges",,
"WINGED INFUSION SET 20GA X 0.75","0270","RC","Both",,,"37","18.5","Caresource","Health Exchange",,,"62",,"22.94","0.18","1007.5","percent of total billed charges",,
"WINGED INFUSION SET 20GA X 0.75","0270","RC","Both",,,"37","18.5","Cigna","Commercial",,,"59",,"21.68","0.18","1007.5","percent of total billed charges",,
"WINGED INFUSION SET 20GA X 0.75","0270","RC","Both",,,"37","18.5","Humana","Commercial",,,"78",,"28.68","0.18","1007.5","percent of total billed charges",,
"WINGED INFUSION SET 20GA X 0.75","0270","RC","Both",,,"37","18.5","UHC","Commercial",,,"75",,"27.9","0.18","1007.5","percent of total billed charges",,
"WINGED INFUSION SET 20GA X 0.75","0270","RC","Both",,,"37","18.5","Medicaid",,,,"37",,"13.54","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 21 INT","0270","RC","Both",,,"14","7","Alliant","Health Exchange",,,"62",,"8.68","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 21 INT","0270","RC","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.56","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 21 INT","0270","RC","Both",,,"14","7","Medicare",,,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 21 INT","0270","RC","Both",,,"14","7","Humana","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 21 INT","0270","RC","Both",,,"14","7","UHC","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 21 INT","0270","RC","Both",,,"14","7","Clover","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 21 INT","0270","RC","Both",,,"14","7","Wellcare","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 21 INT","0270","RC","Both",,,"14","7","Amerigroup","Medicaid Managed Care",,,"37",,"5.12","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 21 INT","0270","RC","Both",,,"14","7","Caresource","Medicaid Managed Care",,,"40",,"5.6","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 21 INT","0270","RC","Both",,,"14","7","Wellcare","Medicaid Managed Care",,,"40",,"5.67","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 21 INT","0270","RC","Both",,,"14","7","Aetna","Commercial",,,"64",,"8.93","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 21 INT","0270","RC","Both",,,"14","7","Blue Cross Blue Shield","Pathways",,,"71",,"9.88","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 21 INT","0270","RC","Both",,,"14","7","Blue Cross Blue Shield","HMO",,,"71",,"9.88","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 21 INT","0270","RC","Both",,,"14","7","Blue Cross Blue Shield","PPO",,,"71",,"9.88","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 21 INT","0270","RC","Both",,,"14","7","Ambetter","Health Exchange",,,"62",,"8.68","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 21 INT","0270","RC","Both",,,"14","7","Caresource","Health Exchange",,,"62",,"8.68","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 21 INT","0270","RC","Both",,,"14","7","Cigna","Commercial",,,"59",,"8.2","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 21 INT","0270","RC","Both",,,"14","7","Humana","Commercial",,,"78",,"10.85","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 21 INT","0270","RC","Both",,,"14","7","UHC","Commercial",,,"75",,"10.56","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 21 INT","0270","RC","Both",,,"14","7","Medicaid",,,,"37",,"5.12","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 21 INT","0270","RC","Both",,,"14","7","Alliant","Health Exchange",,,"62",,"8.68","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 21 INT","0270","RC","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.56","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 21 INT","0270","RC","Both",,,"14","7","Medicare",,,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 21 INT","0270","RC","Both",,,"14","7","Humana","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 21 INT","0270","RC","Both",,,"14","7","UHC","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 21 INT","0270","RC","Both",,,"14","7","Clover","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 21 INT","0270","RC","Both",,,"14","7","Wellcare","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 21 INT","0270","RC","Both",,,"14","7","Amerigroup","Medicaid Managed Care",,,"37",,"5.12","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 21 INT","0270","RC","Both",,,"14","7","Caresource","Medicaid Managed Care",,,"40",,"5.6","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 21 INT","0270","RC","Both",,,"14","7","Wellcare","Medicaid Managed Care",,,"40",,"5.67","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 21 INT","0270","RC","Both",,,"14","7","Aetna","Commercial",,,"64",,"8.93","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 21 INT","0270","RC","Both",,,"14","7","Blue Cross Blue Shield","Pathways",,,"71",,"9.88","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 21 INT","0270","RC","Both",,,"14","7","Blue Cross Blue Shield","HMO",,,"71",,"9.88","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 21 INT","0270","RC","Both",,,"14","7","Blue Cross Blue Shield","PPO",,,"71",,"9.88","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 21 INT","0270","RC","Both",,,"14","7","Ambetter","Health Exchange",,,"62",,"8.68","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 21 INT","0270","RC","Both",,,"14","7","Caresource","Health Exchange",,,"62",,"8.68","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 21 INT","0270","RC","Both",,,"14","7","Cigna","Commercial",,,"59",,"8.2","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 21 INT","0270","RC","Both",,,"14","7","Humana","Commercial",,,"78",,"10.85","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 21 INT","0270","RC","Both",,,"14","7","UHC","Commercial",,,"75",,"10.56","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 21 INT","0270","RC","Both",,,"14","7","Medicaid",,,,"37",,"5.12","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 23","0270","RC","Both",,,"14","7","Alliant","Health Exchange",,,"62",,"8.68","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 23","0270","RC","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.56","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 23","0270","RC","Both",,,"14","7","Medicare",,,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 23","0270","RC","Both",,,"14","7","Humana","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 23","0270","RC","Both",,,"14","7","UHC","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 23","0270","RC","Both",,,"14","7","Clover","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 23","0270","RC","Both",,,"14","7","Wellcare","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 23","0270","RC","Both",,,"14","7","Amerigroup","Medicaid Managed Care",,,"37",,"5.12","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 23","0270","RC","Both",,,"14","7","Caresource","Medicaid Managed Care",,,"40",,"5.6","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 23","0270","RC","Both",,,"14","7","Wellcare","Medicaid Managed Care",,,"40",,"5.67","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 23","0270","RC","Both",,,"14","7","Aetna","Commercial",,,"64",,"8.93","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 23","0270","RC","Both",,,"14","7","Blue Cross Blue Shield","Pathways",,,"71",,"9.88","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 23","0270","RC","Both",,,"14","7","Blue Cross Blue Shield","HMO",,,"71",,"9.88","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 23","0270","RC","Both",,,"14","7","Blue Cross Blue Shield","PPO",,,"71",,"9.88","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 23","0270","RC","Both",,,"14","7","Ambetter","Health Exchange",,,"62",,"8.68","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 23","0270","RC","Both",,,"14","7","Caresource","Health Exchange",,,"62",,"8.68","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 23","0270","RC","Both",,,"14","7","Cigna","Commercial",,,"59",,"8.2","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 23","0270","RC","Both",,,"14","7","Humana","Commercial",,,"78",,"10.85","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 23","0270","RC","Both",,,"14","7","UHC","Commercial",,,"75",,"10.56","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 23","0270","RC","Both",,,"14","7","Medicaid",,,,"37",,"5.12","0.18","1007.5","percent of total billed charges",,
"PRIMARY SET","0270","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.18","1007.5","percent of total billed charges",,
"PRIMARY SET","0270","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.18","1007.5","percent of total billed charges",,
"PRIMARY SET","0270","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.18","1007.5","percent of total billed charges",,
"PRIMARY SET","0270","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.18","1007.5","percent of total billed charges",,
"PRIMARY SET","0270","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.18","1007.5","percent of total billed charges",,
"PRIMARY SET","0270","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.18","1007.5","percent of total billed charges",,
"PRIMARY SET","0270","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.18","1007.5","percent of total billed charges",,
"PRIMARY SET","0270","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.18","1007.5","percent of total billed charges",,
"PRIMARY SET","0270","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.18","1007.5","percent of total billed charges",,
"PRIMARY SET","0270","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.18","1007.5","percent of total billed charges",,
"PRIMARY SET","0270","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.18","1007.5","percent of total billed charges",,
"PRIMARY SET","0270","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.18","1007.5","percent of total billed charges",,
"PRIMARY SET","0270","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.18","1007.5","percent of total billed charges",,
"PRIMARY SET","0270","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.18","1007.5","percent of total billed charges",,
"PRIMARY SET","0270","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.18","1007.5","percent of total billed charges",,
"PRIMARY SET","0270","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.18","1007.5","percent of total billed charges",,
"PRIMARY SET","0270","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.18","1007.5","percent of total billed charges",,
"PRIMARY SET","0270","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.18","1007.5","percent of total billed charges",,
"PRIMARY SET","0270","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.18","1007.5","percent of total billed charges",,
"PRIMARY SET","0270","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 25","0270","RC","Both",,,"14","7","Alliant","Health Exchange",,,"62",,"8.68","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 25","0270","RC","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.56","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 25","0270","RC","Both",,,"14","7","Medicare",,,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 25","0270","RC","Both",,,"14","7","Humana","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 25","0270","RC","Both",,,"14","7","UHC","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 25","0270","RC","Both",,,"14","7","Clover","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 25","0270","RC","Both",,,"14","7","Wellcare","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 25","0270","RC","Both",,,"14","7","Amerigroup","Medicaid Managed Care",,,"37",,"5.12","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 25","0270","RC","Both",,,"14","7","Caresource","Medicaid Managed Care",,,"40",,"5.6","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 25","0270","RC","Both",,,"14","7","Wellcare","Medicaid Managed Care",,,"40",,"5.67","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 25","0270","RC","Both",,,"14","7","Aetna","Commercial",,,"64",,"8.93","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 25","0270","RC","Both",,,"14","7","Blue Cross Blue Shield","Pathways",,,"71",,"9.88","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 25","0270","RC","Both",,,"14","7","Blue Cross Blue Shield","HMO",,,"71",,"9.88","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 25","0270","RC","Both",,,"14","7","Blue Cross Blue Shield","PPO",,,"71",,"9.88","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 25","0270","RC","Both",,,"14","7","Ambetter","Health Exchange",,,"62",,"8.68","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 25","0270","RC","Both",,,"14","7","Caresource","Health Exchange",,,"62",,"8.68","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 25","0270","RC","Both",,,"14","7","Cigna","Commercial",,,"59",,"8.2","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 25","0270","RC","Both",,,"14","7","Humana","Commercial",,,"78",,"10.85","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 25","0270","RC","Both",,,"14","7","UHC","Commercial",,,"75",,"10.56","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY 25","0270","RC","Both",,,"14","7","Medicaid",,,,"37",,"5.12","0.18","1007.5","percent of total billed charges",,
"BLOOD INLINE ADAPTER WITH F","0270","RC","Both",,,"19","9.5","Alliant","Health Exchange",,,"62",,"11.78","0.18","1007.5","percent of total billed charges",,
"BLOOD INLINE ADAPTER WITH F","0270","RC","Both",,,"19","9.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.26","0.18","1007.5","percent of total billed charges",,
"BLOOD INLINE ADAPTER WITH F","0270","RC","Both",,,"19","9.5","Medicare",,,,"54",,"10.3","0.18","1007.5","percent of total billed charges",,
"BLOOD INLINE ADAPTER WITH F","0270","RC","Both",,,"19","9.5","Humana","Medicare Advantage",,,"54",,"10.3","0.18","1007.5","percent of total billed charges",,
"BLOOD INLINE ADAPTER WITH F","0270","RC","Both",,,"19","9.5","UHC","Medicare Advantage",,,"54",,"10.3","0.18","1007.5","percent of total billed charges",,
"BLOOD INLINE ADAPTER WITH F","0270","RC","Both",,,"19","9.5","Clover","Medicare Advantage",,,"54",,"10.3","0.18","1007.5","percent of total billed charges",,
"BLOOD INLINE ADAPTER WITH F","0270","RC","Both",,,"19","9.5","Wellcare","Medicare Advantage",,,"54",,"10.3","0.18","1007.5","percent of total billed charges",,
"BLOOD INLINE ADAPTER WITH F","0270","RC","Both",,,"19","9.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.95","0.18","1007.5","percent of total billed charges",,
"BLOOD INLINE ADAPTER WITH F","0270","RC","Both",,,"19","9.5","Caresource","Medicaid Managed Care",,,"40",,"7.6","0.18","1007.5","percent of total billed charges",,
"BLOOD INLINE ADAPTER WITH F","0270","RC","Both",,,"19","9.5","Wellcare","Medicaid Managed Care",,,"40",,"7.7","0.18","1007.5","percent of total billed charges",,
"BLOOD INLINE ADAPTER WITH F","0270","RC","Both",,,"19","9.5","Aetna","Commercial",,,"64",,"12.12","0.18","1007.5","percent of total billed charges",,
"BLOOD INLINE ADAPTER WITH F","0270","RC","Both",,,"19","9.5","Blue Cross Blue Shield","Pathways",,,"71",,"13.41","0.18","1007.5","percent of total billed charges",,
"BLOOD INLINE ADAPTER WITH F","0270","RC","Both",,,"19","9.5","Blue Cross Blue Shield","HMO",,,"71",,"13.41","0.18","1007.5","percent of total billed charges",,
"BLOOD INLINE ADAPTER WITH F","0270","RC","Both",,,"19","9.5","Blue Cross Blue Shield","PPO",,,"71",,"13.41","0.18","1007.5","percent of total billed charges",,
"BLOOD INLINE ADAPTER WITH F","0270","RC","Both",,,"19","9.5","Ambetter","Health Exchange",,,"62",,"11.78","0.18","1007.5","percent of total billed charges",,
"BLOOD INLINE ADAPTER WITH F","0270","RC","Both",,,"19","9.5","Caresource","Health Exchange",,,"62",,"11.78","0.18","1007.5","percent of total billed charges",,
"BLOOD INLINE ADAPTER WITH F","0270","RC","Both",,,"19","9.5","Cigna","Commercial",,,"59",,"11.13","0.18","1007.5","percent of total billed charges",,
"BLOOD INLINE ADAPTER WITH F","0270","RC","Both",,,"19","9.5","Humana","Commercial",,,"78",,"14.72","0.18","1007.5","percent of total billed charges",,
"BLOOD INLINE ADAPTER WITH F","0270","RC","Both",,,"19","9.5","UHC","Commercial",,,"75",,"14.33","0.18","1007.5","percent of total billed charges",,
"BLOOD INLINE ADAPTER WITH F","0270","RC","Both",,,"19","9.5","Medicaid",,,,"37",,"6.95","0.18","1007.5","percent of total billed charges",,
"PVC FREE SET VOLUMAT LINE","0270","RC","Both",,,"16","8","Alliant","Health Exchange",,,"62",,"9.92","0.18","1007.5","percent of total billed charges",,
"PVC FREE SET VOLUMAT LINE","0270","RC","Both",,,"16","8","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.64","0.18","1007.5","percent of total billed charges",,
"PVC FREE SET VOLUMAT LINE","0270","RC","Both",,,"16","8","Medicare",,,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"PVC FREE SET VOLUMAT LINE","0270","RC","Both",,,"16","8","Humana","Medicare Advantage",,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"PVC FREE SET VOLUMAT LINE","0270","RC","Both",,,"16","8","UHC","Medicare Advantage",,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"PVC FREE SET VOLUMAT LINE","0270","RC","Both",,,"16","8","Clover","Medicare Advantage",,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"PVC FREE SET VOLUMAT LINE","0270","RC","Both",,,"16","8","Wellcare","Medicare Advantage",,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"PVC FREE SET VOLUMAT LINE","0270","RC","Both",,,"16","8","Amerigroup","Medicaid Managed Care",,,"37",,"5.86","0.18","1007.5","percent of total billed charges",,
"PVC FREE SET VOLUMAT LINE","0270","RC","Both",,,"16","8","Caresource","Medicaid Managed Care",,,"40",,"6.4","0.18","1007.5","percent of total billed charges",,
"PVC FREE SET VOLUMAT LINE","0270","RC","Both",,,"16","8","Wellcare","Medicaid Managed Care",,,"40",,"6.48","0.18","1007.5","percent of total billed charges",,
"PVC FREE SET VOLUMAT LINE","0270","RC","Both",,,"16","8","Aetna","Commercial",,,"64",,"10.21","0.18","1007.5","percent of total billed charges",,
"PVC FREE SET VOLUMAT LINE","0270","RC","Both",,,"16","8","Blue Cross Blue Shield","Pathways",,,"71",,"11.3","0.18","1007.5","percent of total billed charges",,
"PVC FREE SET VOLUMAT LINE","0270","RC","Both",,,"16","8","Blue Cross Blue Shield","HMO",,,"71",,"11.3","0.18","1007.5","percent of total billed charges",,
"PVC FREE SET VOLUMAT LINE","0270","RC","Both",,,"16","8","Blue Cross Blue Shield","PPO",,,"71",,"11.3","0.18","1007.5","percent of total billed charges",,
"PVC FREE SET VOLUMAT LINE","0270","RC","Both",,,"16","8","Ambetter","Health Exchange",,,"62",,"9.92","0.18","1007.5","percent of total billed charges",,
"PVC FREE SET VOLUMAT LINE","0270","RC","Both",,,"16","8","Caresource","Health Exchange",,,"62",,"9.92","0.18","1007.5","percent of total billed charges",,
"PVC FREE SET VOLUMAT LINE","0270","RC","Both",,,"16","8","Cigna","Commercial",,,"59",,"9.38","0.18","1007.5","percent of total billed charges",,
"PVC FREE SET VOLUMAT LINE","0270","RC","Both",,,"16","8","Humana","Commercial",,,"78",,"12.4","0.18","1007.5","percent of total billed charges",,
"PVC FREE SET VOLUMAT LINE","0270","RC","Both",,,"16","8","UHC","Commercial",,,"75",,"12.06","0.18","1007.5","percent of total billed charges",,
"PVC FREE SET VOLUMAT LINE","0270","RC","Both",,,"16","8","Medicaid",,,,"37",,"5.86","0.18","1007.5","percent of total billed charges",,
"PRIMARY INFUSION SET 0.2 MICRON FILTER","0270","RC","Both",,,"28.5","14.25","Alliant","Health Exchange",,,"62",,"17.67","0.18","1007.5","percent of total billed charges",,
"PRIMARY INFUSION SET 0.2 MICRON FILTER","0270","RC","Both",,,"28.5","14.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.39","0.18","1007.5","percent of total billed charges",,
"PRIMARY INFUSION SET 0.2 MICRON FILTER","0270","RC","Both",,,"28.5","14.25","Medicare",,,,"54",,"15.45","0.18","1007.5","percent of total billed charges",,
"PRIMARY INFUSION SET 0.2 MICRON FILTER","0270","RC","Both",,,"28.5","14.25","Humana","Medicare Advantage",,,"54",,"15.45","0.18","1007.5","percent of total billed charges",,
"PRIMARY INFUSION SET 0.2 MICRON FILTER","0270","RC","Both",,,"28.5","14.25","UHC","Medicare Advantage",,,"54",,"15.45","0.18","1007.5","percent of total billed charges",,
"PRIMARY INFUSION SET 0.2 MICRON FILTER","0270","RC","Both",,,"28.5","14.25","Clover","Medicare Advantage",,,"54",,"15.45","0.18","1007.5","percent of total billed charges",,
"PRIMARY INFUSION SET 0.2 MICRON FILTER","0270","RC","Both",,,"28.5","14.25","Wellcare","Medicare Advantage",,,"54",,"15.45","0.18","1007.5","percent of total billed charges",,
"PRIMARY INFUSION SET 0.2 MICRON FILTER","0270","RC","Both",,,"28.5","14.25","Amerigroup","Medicaid Managed Care",,,"37",,"10.43","0.18","1007.5","percent of total billed charges",,
"PRIMARY INFUSION SET 0.2 MICRON FILTER","0270","RC","Both",,,"28.5","14.25","Caresource","Medicaid Managed Care",,,"40",,"11.4","0.18","1007.5","percent of total billed charges",,
"PRIMARY INFUSION SET 0.2 MICRON FILTER","0270","RC","Both",,,"28.5","14.25","Wellcare","Medicaid Managed Care",,,"40",,"11.54","0.18","1007.5","percent of total billed charges",,
"PRIMARY INFUSION SET 0.2 MICRON FILTER","0270","RC","Both",,,"28.5","14.25","Aetna","Commercial",,,"64",,"18.18","0.18","1007.5","percent of total billed charges",,
"PRIMARY INFUSION SET 0.2 MICRON FILTER","0270","RC","Both",,,"28.5","14.25","Blue Cross Blue Shield","Pathways",,,"71",,"20.12","0.18","1007.5","percent of total billed charges",,
"PRIMARY INFUSION SET 0.2 MICRON FILTER","0270","RC","Both",,,"28.5","14.25","Blue Cross Blue Shield","HMO",,,"71",,"20.12","0.18","1007.5","percent of total billed charges",,
"PRIMARY INFUSION SET 0.2 MICRON FILTER","0270","RC","Both",,,"28.5","14.25","Blue Cross Blue Shield","PPO",,,"71",,"20.12","0.18","1007.5","percent of total billed charges",,
"PRIMARY INFUSION SET 0.2 MICRON FILTER","0270","RC","Both",,,"28.5","14.25","Ambetter","Health Exchange",,,"62",,"17.67","0.18","1007.5","percent of total billed charges",,
"PRIMARY INFUSION SET 0.2 MICRON FILTER","0270","RC","Both",,,"28.5","14.25","Caresource","Health Exchange",,,"62",,"17.67","0.18","1007.5","percent of total billed charges",,
"PRIMARY INFUSION SET 0.2 MICRON FILTER","0270","RC","Both",,,"28.5","14.25","Cigna","Commercial",,,"59",,"16.7","0.18","1007.5","percent of total billed charges",,
"PRIMARY INFUSION SET 0.2 MICRON FILTER","0270","RC","Both",,,"28.5","14.25","Humana","Commercial",,,"78",,"22.09","0.18","1007.5","percent of total billed charges",,
"PRIMARY INFUSION SET 0.2 MICRON FILTER","0270","RC","Both",,,"28.5","14.25","UHC","Commercial",,,"75",,"21.49","0.18","1007.5","percent of total billed charges",,
"PRIMARY INFUSION SET 0.2 MICRON FILTER","0270","RC","Both",,,"28.5","14.25","Medicaid",,,,"37",,"10.43","0.18","1007.5","percent of total billed charges",,
"FILTER BLOOD TRANSFUSION TRA","0270","RC","Both",,,"52","26","Alliant","Health Exchange",,,"62",,"32.24","0.18","1007.5","percent of total billed charges",,
"FILTER BLOOD TRANSFUSION TRA","0270","RC","Both",,,"52","26","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.08","0.18","1007.5","percent of total billed charges",,
"FILTER BLOOD TRANSFUSION TRA","0270","RC","Both",,,"52","26","Medicare",,,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"FILTER BLOOD TRANSFUSION TRA","0270","RC","Both",,,"52","26","Humana","Medicare Advantage",,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"FILTER BLOOD TRANSFUSION TRA","0270","RC","Both",,,"52","26","UHC","Medicare Advantage",,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"FILTER BLOOD TRANSFUSION TRA","0270","RC","Both",,,"52","26","Clover","Medicare Advantage",,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"FILTER BLOOD TRANSFUSION TRA","0270","RC","Both",,,"52","26","Wellcare","Medicare Advantage",,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"FILTER BLOOD TRANSFUSION TRA","0270","RC","Both",,,"52","26","Amerigroup","Medicaid Managed Care",,,"37",,"19.03","0.18","1007.5","percent of total billed charges",,
"FILTER BLOOD TRANSFUSION TRA","0270","RC","Both",,,"52","26","Caresource","Medicaid Managed Care",,,"40",,"20.8","0.18","1007.5","percent of total billed charges",,
"FILTER BLOOD TRANSFUSION TRA","0270","RC","Both",,,"52","26","Wellcare","Medicaid Managed Care",,,"40",,"21.06","0.18","1007.5","percent of total billed charges",,
"FILTER BLOOD TRANSFUSION TRA","0270","RC","Both",,,"52","26","Aetna","Commercial",,,"64",,"33.18","0.18","1007.5","percent of total billed charges",,
"FILTER BLOOD TRANSFUSION TRA","0270","RC","Both",,,"52","26","Blue Cross Blue Shield","Pathways",,,"71",,"36.71","0.18","1007.5","percent of total billed charges",,
"FILTER BLOOD TRANSFUSION TRA","0270","RC","Both",,,"52","26","Blue Cross Blue Shield","HMO",,,"71",,"36.71","0.18","1007.5","percent of total billed charges",,
"FILTER BLOOD TRANSFUSION TRA","0270","RC","Both",,,"52","26","Blue Cross Blue Shield","PPO",,,"71",,"36.71","0.18","1007.5","percent of total billed charges",,
"FILTER BLOOD TRANSFUSION TRA","0270","RC","Both",,,"52","26","Ambetter","Health Exchange",,,"62",,"32.24","0.18","1007.5","percent of total billed charges",,
"FILTER BLOOD TRANSFUSION TRA","0270","RC","Both",,,"52","26","Caresource","Health Exchange",,,"62",,"32.24","0.18","1007.5","percent of total billed charges",,
"FILTER BLOOD TRANSFUSION TRA","0270","RC","Both",,,"52","26","Cigna","Commercial",,,"59",,"30.47","0.18","1007.5","percent of total billed charges",,
"FILTER BLOOD TRANSFUSION TRA","0270","RC","Both",,,"52","26","Humana","Commercial",,,"78",,"40.3","0.18","1007.5","percent of total billed charges",,
"FILTER BLOOD TRANSFUSION TRA","0270","RC","Both",,,"52","26","UHC","Commercial",,,"75",,"39.21","0.18","1007.5","percent of total billed charges",,
"FILTER BLOOD TRANSFUSION TRA","0270","RC","Both",,,"52","26","Medicaid",,,,"37",,"19.03","0.18","1007.5","percent of total billed charges",,
"EXT SET WITH STOP COCK","0270","RC","Both",,,"23","11.5","Alliant","Health Exchange",,,"62",,"14.26","0.18","1007.5","percent of total billed charges",,
"EXT SET WITH STOP COCK","0270","RC","Both",,,"23","11.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.42","0.18","1007.5","percent of total billed charges",,
"EXT SET WITH STOP COCK","0270","RC","Both",,,"23","11.5","Medicare",,,,"54",,"12.47","0.18","1007.5","percent of total billed charges",,
"EXT SET WITH STOP COCK","0270","RC","Both",,,"23","11.5","Humana","Medicare Advantage",,,"54",,"12.47","0.18","1007.5","percent of total billed charges",,
"EXT SET WITH STOP COCK","0270","RC","Both",,,"23","11.5","UHC","Medicare Advantage",,,"54",,"12.47","0.18","1007.5","percent of total billed charges",,
"EXT SET WITH STOP COCK","0270","RC","Both",,,"23","11.5","Clover","Medicare Advantage",,,"54",,"12.47","0.18","1007.5","percent of total billed charges",,
"EXT SET WITH STOP COCK","0270","RC","Both",,,"23","11.5","Wellcare","Medicare Advantage",,,"54",,"12.47","0.18","1007.5","percent of total billed charges",,
"EXT SET WITH STOP COCK","0270","RC","Both",,,"23","11.5","Amerigroup","Medicaid Managed Care",,,"37",,"8.42","0.18","1007.5","percent of total billed charges",,
"EXT SET WITH STOP COCK","0270","RC","Both",,,"23","11.5","Caresource","Medicaid Managed Care",,,"40",,"9.2","0.18","1007.5","percent of total billed charges",,
"EXT SET WITH STOP COCK","0270","RC","Both",,,"23","11.5","Wellcare","Medicaid Managed Care",,,"40",,"9.32","0.18","1007.5","percent of total billed charges",,
"EXT SET WITH STOP COCK","0270","RC","Both",,,"23","11.5","Aetna","Commercial",,,"64",,"14.67","0.18","1007.5","percent of total billed charges",,
"EXT SET WITH STOP COCK","0270","RC","Both",,,"23","11.5","Blue Cross Blue Shield","Pathways",,,"71",,"16.24","0.18","1007.5","percent of total billed charges",,
"EXT SET WITH STOP COCK","0270","RC","Both",,,"23","11.5","Blue Cross Blue Shield","HMO",,,"71",,"16.24","0.18","1007.5","percent of total billed charges",,
"EXT SET WITH STOP COCK","0270","RC","Both",,,"23","11.5","Blue Cross Blue Shield","PPO",,,"71",,"16.24","0.18","1007.5","percent of total billed charges",,
"EXT SET WITH STOP COCK","0270","RC","Both",,,"23","11.5","Ambetter","Health Exchange",,,"62",,"14.26","0.18","1007.5","percent of total billed charges",,
"EXT SET WITH STOP COCK","0270","RC","Both",,,"23","11.5","Caresource","Health Exchange",,,"62",,"14.26","0.18","1007.5","percent of total billed charges",,
"EXT SET WITH STOP COCK","0270","RC","Both",,,"23","11.5","Cigna","Commercial",,,"59",,"13.48","0.18","1007.5","percent of total billed charges",,
"EXT SET WITH STOP COCK","0270","RC","Both",,,"23","11.5","Humana","Commercial",,,"78",,"17.82","0.18","1007.5","percent of total billed charges",,
"EXT SET WITH STOP COCK","0270","RC","Both",,,"23","11.5","UHC","Commercial",,,"75",,"17.34","0.18","1007.5","percent of total billed charges",,
"EXT SET WITH STOP COCK","0270","RC","Both",,,"23","11.5","Medicaid",,,,"37",,"8.42","0.18","1007.5","percent of total billed charges",,
"REMEDY ZGUARD","0270","RC","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","0.18","1007.5","percent of total billed charges",,
"REMEDY ZGUARD","0270","RC","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","0.18","1007.5","percent of total billed charges",,
"REMEDY ZGUARD","0270","RC","Both",,,"8","4","Medicare",,,,"54",,"4.34","0.18","1007.5","percent of total billed charges",,
"REMEDY ZGUARD","0270","RC","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","0.18","1007.5","percent of total billed charges",,
"REMEDY ZGUARD","0270","RC","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","0.18","1007.5","percent of total billed charges",,
"REMEDY ZGUARD","0270","RC","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","0.18","1007.5","percent of total billed charges",,
"REMEDY ZGUARD","0270","RC","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","0.18","1007.5","percent of total billed charges",,
"REMEDY ZGUARD","0270","RC","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","0.18","1007.5","percent of total billed charges",,
"REMEDY ZGUARD","0270","RC","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","0.18","1007.5","percent of total billed charges",,
"REMEDY ZGUARD","0270","RC","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","0.18","1007.5","percent of total billed charges",,
"REMEDY ZGUARD","0270","RC","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","0.18","1007.5","percent of total billed charges",,
"REMEDY ZGUARD","0270","RC","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","0.18","1007.5","percent of total billed charges",,
"REMEDY ZGUARD","0270","RC","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","0.18","1007.5","percent of total billed charges",,
"REMEDY ZGUARD","0270","RC","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","0.18","1007.5","percent of total billed charges",,
"REMEDY ZGUARD","0270","RC","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","0.18","1007.5","percent of total billed charges",,
"REMEDY ZGUARD","0270","RC","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","0.18","1007.5","percent of total billed charges",,
"REMEDY ZGUARD","0270","RC","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","0.18","1007.5","percent of total billed charges",,
"REMEDY ZGUARD","0270","RC","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","0.18","1007.5","percent of total billed charges",,
"REMEDY ZGUARD","0270","RC","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","0.18","1007.5","percent of total billed charges",,
"REMEDY ZGUARD","0270","RC","Both",,,"8","4","Medicaid",,,,"37",,"2.93","0.18","1007.5","percent of total billed charges",,
"PERINEAL WASH KIT","0270","RC","Both",,,"36","18","Alliant","Health Exchange",,,"62",,"22.32","0.18","1007.5","percent of total billed charges",,
"PERINEAL WASH KIT","0270","RC","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.44","0.18","1007.5","percent of total billed charges",,
"PERINEAL WASH KIT","0270","RC","Both",,,"36","18","Medicare",,,,"54",,"19.51","0.18","1007.5","percent of total billed charges",,
"PERINEAL WASH KIT","0270","RC","Both",,,"36","18","Humana","Medicare Advantage",,,"54",,"19.51","0.18","1007.5","percent of total billed charges",,
"PERINEAL WASH KIT","0270","RC","Both",,,"36","18","UHC","Medicare Advantage",,,"54",,"19.51","0.18","1007.5","percent of total billed charges",,
"PERINEAL WASH KIT","0270","RC","Both",,,"36","18","Clover","Medicare Advantage",,,"54",,"19.51","0.18","1007.5","percent of total billed charges",,
"PERINEAL WASH KIT","0270","RC","Both",,,"36","18","Wellcare","Medicare Advantage",,,"54",,"19.51","0.18","1007.5","percent of total billed charges",,
"PERINEAL WASH KIT","0270","RC","Both",,,"36","18","Amerigroup","Medicaid Managed Care",,,"37",,"13.18","0.18","1007.5","percent of total billed charges",,
"PERINEAL WASH KIT","0270","RC","Both",,,"36","18","Caresource","Medicaid Managed Care",,,"40",,"14.4","0.18","1007.5","percent of total billed charges",,
"PERINEAL WASH KIT","0270","RC","Both",,,"36","18","Wellcare","Medicaid Managed Care",,,"40",,"14.58","0.18","1007.5","percent of total billed charges",,
"PERINEAL WASH KIT","0270","RC","Both",,,"36","18","Aetna","Commercial",,,"64",,"22.97","0.18","1007.5","percent of total billed charges",,
"PERINEAL WASH KIT","0270","RC","Both",,,"36","18","Blue Cross Blue Shield","Pathways",,,"71",,"25.42","0.18","1007.5","percent of total billed charges",,
"PERINEAL WASH KIT","0270","RC","Both",,,"36","18","Blue Cross Blue Shield","HMO",,,"71",,"25.42","0.18","1007.5","percent of total billed charges",,
"PERINEAL WASH KIT","0270","RC","Both",,,"36","18","Blue Cross Blue Shield","PPO",,,"71",,"25.42","0.18","1007.5","percent of total billed charges",,
"PERINEAL WASH KIT","0270","RC","Both",,,"36","18","Ambetter","Health Exchange",,,"62",,"22.32","0.18","1007.5","percent of total billed charges",,
"PERINEAL WASH KIT","0270","RC","Both",,,"36","18","Caresource","Health Exchange",,,"62",,"22.32","0.18","1007.5","percent of total billed charges",,
"PERINEAL WASH KIT","0270","RC","Both",,,"36","18","Cigna","Commercial",,,"59",,"21.1","0.18","1007.5","percent of total billed charges",,
"PERINEAL WASH KIT","0270","RC","Both",,,"36","18","Humana","Commercial",,,"78",,"27.9","0.18","1007.5","percent of total billed charges",,
"PERINEAL WASH KIT","0270","RC","Both",,,"36","18","UHC","Commercial",,,"75",,"27.14","0.18","1007.5","percent of total billed charges",,
"PERINEAL WASH KIT","0270","RC","Both",,,"36","18","Medicaid",,,,"37",,"13.18","0.18","1007.5","percent of total billed charges",,
"THERMOMETER KIT","0270","RC","Both",,,"16","8","Alliant","Health Exchange",,,"62",,"9.92","0.18","1007.5","percent of total billed charges",,
"THERMOMETER KIT","0270","RC","Both",,,"16","8","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.64","0.18","1007.5","percent of total billed charges",,
"THERMOMETER KIT","0270","RC","Both",,,"16","8","Medicare",,,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"THERMOMETER KIT","0270","RC","Both",,,"16","8","Humana","Medicare Advantage",,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"THERMOMETER KIT","0270","RC","Both",,,"16","8","UHC","Medicare Advantage",,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"THERMOMETER KIT","0270","RC","Both",,,"16","8","Clover","Medicare Advantage",,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"THERMOMETER KIT","0270","RC","Both",,,"16","8","Wellcare","Medicare Advantage",,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"THERMOMETER KIT","0270","RC","Both",,,"16","8","Amerigroup","Medicaid Managed Care",,,"37",,"5.86","0.18","1007.5","percent of total billed charges",,
"THERMOMETER KIT","0270","RC","Both",,,"16","8","Caresource","Medicaid Managed Care",,,"40",,"6.4","0.18","1007.5","percent of total billed charges",,
"THERMOMETER KIT","0270","RC","Both",,,"16","8","Wellcare","Medicaid Managed Care",,,"40",,"6.48","0.18","1007.5","percent of total billed charges",,
"THERMOMETER KIT","0270","RC","Both",,,"16","8","Aetna","Commercial",,,"64",,"10.21","0.18","1007.5","percent of total billed charges",,
"THERMOMETER KIT","0270","RC","Both",,,"16","8","Blue Cross Blue Shield","Pathways",,,"71",,"11.3","0.18","1007.5","percent of total billed charges",,
"THERMOMETER KIT","0270","RC","Both",,,"16","8","Blue Cross Blue Shield","HMO",,,"71",,"11.3","0.18","1007.5","percent of total billed charges",,
"THERMOMETER KIT","0270","RC","Both",,,"16","8","Blue Cross Blue Shield","PPO",,,"71",,"11.3","0.18","1007.5","percent of total billed charges",,
"THERMOMETER KIT","0270","RC","Both",,,"16","8","Ambetter","Health Exchange",,,"62",,"9.92","0.18","1007.5","percent of total billed charges",,
"THERMOMETER KIT","0270","RC","Both",,,"16","8","Caresource","Health Exchange",,,"62",,"9.92","0.18","1007.5","percent of total billed charges",,
"THERMOMETER KIT","0270","RC","Both",,,"16","8","Cigna","Commercial",,,"59",,"9.38","0.18","1007.5","percent of total billed charges",,
"THERMOMETER KIT","0270","RC","Both",,,"16","8","Humana","Commercial",,,"78",,"12.4","0.18","1007.5","percent of total billed charges",,
"THERMOMETER KIT","0270","RC","Both",,,"16","8","UHC","Commercial",,,"75",,"12.06","0.18","1007.5","percent of total billed charges",,
"THERMOMETER KIT","0270","RC","Both",,,"16","8","Medicaid",,,,"37",,"5.86","0.18","1007.5","percent of total billed charges",,
"DELIVERY ROOM PACK","0270","RC","Both",,,"55","27.5","Alliant","Health Exchange",,,"62",,"34.1","0.18","1007.5","percent of total billed charges",,
"DELIVERY ROOM PACK","0270","RC","Both",,,"55","27.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"29.7","0.18","1007.5","percent of total billed charges",,
"DELIVERY ROOM PACK","0270","RC","Both",,,"55","27.5","Medicare",,,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"DELIVERY ROOM PACK","0270","RC","Both",,,"55","27.5","Humana","Medicare Advantage",,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"DELIVERY ROOM PACK","0270","RC","Both",,,"55","27.5","UHC","Medicare Advantage",,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"DELIVERY ROOM PACK","0270","RC","Both",,,"55","27.5","Clover","Medicare Advantage",,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"DELIVERY ROOM PACK","0270","RC","Both",,,"55","27.5","Wellcare","Medicare Advantage",,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"DELIVERY ROOM PACK","0270","RC","Both",,,"55","27.5","Amerigroup","Medicaid Managed Care",,,"37",,"20.13","0.18","1007.5","percent of total billed charges",,
"DELIVERY ROOM PACK","0270","RC","Both",,,"55","27.5","Caresource","Medicaid Managed Care",,,"40",,"22","0.18","1007.5","percent of total billed charges",,
"DELIVERY ROOM PACK","0270","RC","Both",,,"55","27.5","Wellcare","Medicaid Managed Care",,,"40",,"22.28","0.18","1007.5","percent of total billed charges",,
"DELIVERY ROOM PACK","0270","RC","Both",,,"55","27.5","Aetna","Commercial",,,"64",,"35.09","0.18","1007.5","percent of total billed charges",,
"DELIVERY ROOM PACK","0270","RC","Both",,,"55","27.5","Blue Cross Blue Shield","Pathways",,,"71",,"38.83","0.18","1007.5","percent of total billed charges",,
"DELIVERY ROOM PACK","0270","RC","Both",,,"55","27.5","Blue Cross Blue Shield","HMO",,,"71",,"38.83","0.18","1007.5","percent of total billed charges",,
"DELIVERY ROOM PACK","0270","RC","Both",,,"55","27.5","Blue Cross Blue Shield","PPO",,,"71",,"38.83","0.18","1007.5","percent of total billed charges",,
"DELIVERY ROOM PACK","0270","RC","Both",,,"55","27.5","Ambetter","Health Exchange",,,"62",,"34.1","0.18","1007.5","percent of total billed charges",,
"DELIVERY ROOM PACK","0270","RC","Both",,,"55","27.5","Caresource","Health Exchange",,,"62",,"34.1","0.18","1007.5","percent of total billed charges",,
"DELIVERY ROOM PACK","0270","RC","Both",,,"55","27.5","Cigna","Commercial",,,"59",,"32.23","0.18","1007.5","percent of total billed charges",,
"DELIVERY ROOM PACK","0270","RC","Both",,,"55","27.5","Humana","Commercial",,,"78",,"42.62","0.18","1007.5","percent of total billed charges",,
"DELIVERY ROOM PACK","0270","RC","Both",,,"55","27.5","UHC","Commercial",,,"75",,"41.47","0.18","1007.5","percent of total billed charges",,
"DELIVERY ROOM PACK","0270","RC","Both",,,"55","27.5","Medicaid",,,,"37",,"20.13","0.18","1007.5","percent of total billed charges",,
"E-Z PREP TRAY","0270","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.18","1007.5","percent of total billed charges",,
"E-Z PREP TRAY","0270","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.18","1007.5","percent of total billed charges",,
"E-Z PREP TRAY","0270","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.18","1007.5","percent of total billed charges",,
"E-Z PREP TRAY","0270","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.18","1007.5","percent of total billed charges",,
"E-Z PREP TRAY","0270","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.18","1007.5","percent of total billed charges",,
"E-Z PREP TRAY","0270","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.18","1007.5","percent of total billed charges",,
"E-Z PREP TRAY","0270","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.18","1007.5","percent of total billed charges",,
"E-Z PREP TRAY","0270","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.18","1007.5","percent of total billed charges",,
"E-Z PREP TRAY","0270","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.18","1007.5","percent of total billed charges",,
"E-Z PREP TRAY","0270","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.18","1007.5","percent of total billed charges",,
"E-Z PREP TRAY","0270","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.18","1007.5","percent of total billed charges",,
"E-Z PREP TRAY","0270","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.18","1007.5","percent of total billed charges",,
"E-Z PREP TRAY","0270","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.18","1007.5","percent of total billed charges",,
"E-Z PREP TRAY","0270","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.18","1007.5","percent of total billed charges",,
"E-Z PREP TRAY","0270","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.18","1007.5","percent of total billed charges",,
"E-Z PREP TRAY","0270","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.18","1007.5","percent of total billed charges",,
"E-Z PREP TRAY","0270","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.18","1007.5","percent of total billed charges",,
"E-Z PREP TRAY","0270","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.18","1007.5","percent of total billed charges",,
"E-Z PREP TRAY","0270","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.18","1007.5","percent of total billed charges",,
"E-Z PREP TRAY","0270","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.18","1007.5","percent of total billed charges",,
"THERMOMETER KITS ORAL","0270","RC","Both",,,"23","11.5","Alliant","Health Exchange",,,"62",,"14.26","0.18","1007.5","percent of total billed charges",,
"THERMOMETER KITS ORAL","0270","RC","Both",,,"23","11.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.42","0.18","1007.5","percent of total billed charges",,
"THERMOMETER KITS ORAL","0270","RC","Both",,,"23","11.5","Medicare",,,,"54",,"12.47","0.18","1007.5","percent of total billed charges",,
"THERMOMETER KITS ORAL","0270","RC","Both",,,"23","11.5","Humana","Medicare Advantage",,,"54",,"12.47","0.18","1007.5","percent of total billed charges",,
"THERMOMETER KITS ORAL","0270","RC","Both",,,"23","11.5","UHC","Medicare Advantage",,,"54",,"12.47","0.18","1007.5","percent of total billed charges",,
"THERMOMETER KITS ORAL","0270","RC","Both",,,"23","11.5","Clover","Medicare Advantage",,,"54",,"12.47","0.18","1007.5","percent of total billed charges",,
"THERMOMETER KITS ORAL","0270","RC","Both",,,"23","11.5","Wellcare","Medicare Advantage",,,"54",,"12.47","0.18","1007.5","percent of total billed charges",,
"THERMOMETER KITS ORAL","0270","RC","Both",,,"23","11.5","Amerigroup","Medicaid Managed Care",,,"37",,"8.42","0.18","1007.5","percent of total billed charges",,
"THERMOMETER KITS ORAL","0270","RC","Both",,,"23","11.5","Caresource","Medicaid Managed Care",,,"40",,"9.2","0.18","1007.5","percent of total billed charges",,
"THERMOMETER KITS ORAL","0270","RC","Both",,,"23","11.5","Wellcare","Medicaid Managed Care",,,"40",,"9.32","0.18","1007.5","percent of total billed charges",,
"THERMOMETER KITS ORAL","0270","RC","Both",,,"23","11.5","Aetna","Commercial",,,"64",,"14.67","0.18","1007.5","percent of total billed charges",,
"THERMOMETER KITS ORAL","0270","RC","Both",,,"23","11.5","Blue Cross Blue Shield","Pathways",,,"71",,"16.24","0.18","1007.5","percent of total billed charges",,
"THERMOMETER KITS ORAL","0270","RC","Both",,,"23","11.5","Blue Cross Blue Shield","HMO",,,"71",,"16.24","0.18","1007.5","percent of total billed charges",,
"THERMOMETER KITS ORAL","0270","RC","Both",,,"23","11.5","Blue Cross Blue Shield","PPO",,,"71",,"16.24","0.18","1007.5","percent of total billed charges",,
"THERMOMETER KITS ORAL","0270","RC","Both",,,"23","11.5","Ambetter","Health Exchange",,,"62",,"14.26","0.18","1007.5","percent of total billed charges",,
"THERMOMETER KITS ORAL","0270","RC","Both",,,"23","11.5","Caresource","Health Exchange",,,"62",,"14.26","0.18","1007.5","percent of total billed charges",,
"THERMOMETER KITS ORAL","0270","RC","Both",,,"23","11.5","Cigna","Commercial",,,"59",,"13.48","0.18","1007.5","percent of total billed charges",,
"THERMOMETER KITS ORAL","0270","RC","Both",,,"23","11.5","Humana","Commercial",,,"78",,"17.82","0.18","1007.5","percent of total billed charges",,
"THERMOMETER KITS ORAL","0270","RC","Both",,,"23","11.5","UHC","Commercial",,,"75",,"17.34","0.18","1007.5","percent of total billed charges",,
"THERMOMETER KITS ORAL","0270","RC","Both",,,"23","11.5","Medicaid",,,,"37",,"8.42","0.18","1007.5","percent of total billed charges",,
"BLOOD PUMP SET","0270","RC","Both",,,"50","25","Alliant","Health Exchange",,,"62",,"31","0.18","1007.5","percent of total billed charges",,
"BLOOD PUMP SET","0270","RC","Both",,,"50","25","Pruitt Healthcare","Medicare Advantage",,,"54",,"27","0.18","1007.5","percent of total billed charges",,
"BLOOD PUMP SET","0270","RC","Both",,,"50","25","Medicare",,,,"54",,"27.1","0.18","1007.5","percent of total billed charges",,
"BLOOD PUMP SET","0270","RC","Both",,,"50","25","Humana","Medicare Advantage",,,"54",,"27.1","0.18","1007.5","percent of total billed charges",,
"BLOOD PUMP SET","0270","RC","Both",,,"50","25","UHC","Medicare Advantage",,,"54",,"27.1","0.18","1007.5","percent of total billed charges",,
"BLOOD PUMP SET","0270","RC","Both",,,"50","25","Clover","Medicare Advantage",,,"54",,"27.1","0.18","1007.5","percent of total billed charges",,
"BLOOD PUMP SET","0270","RC","Both",,,"50","25","Wellcare","Medicare Advantage",,,"54",,"27.1","0.18","1007.5","percent of total billed charges",,
"BLOOD PUMP SET","0270","RC","Both",,,"50","25","Amerigroup","Medicaid Managed Care",,,"37",,"18.3","0.18","1007.5","percent of total billed charges",,
"BLOOD PUMP SET","0270","RC","Both",,,"50","25","Caresource","Medicaid Managed Care",,,"40",,"20","0.18","1007.5","percent of total billed charges",,
"BLOOD PUMP SET","0270","RC","Both",,,"50","25","Wellcare","Medicaid Managed Care",,,"40",,"20.25","0.18","1007.5","percent of total billed charges",,
"BLOOD PUMP SET","0270","RC","Both",,,"50","25","Aetna","Commercial",,,"64",,"31.9","0.18","1007.5","percent of total billed charges",,
"BLOOD PUMP SET","0270","RC","Both",,,"50","25","Blue Cross Blue Shield","Pathways",,,"71",,"35.3","0.18","1007.5","percent of total billed charges",,
"BLOOD PUMP SET","0270","RC","Both",,,"50","25","Blue Cross Blue Shield","HMO",,,"71",,"35.3","0.18","1007.5","percent of total billed charges",,
"BLOOD PUMP SET","0270","RC","Both",,,"50","25","Blue Cross Blue Shield","PPO",,,"71",,"35.3","0.18","1007.5","percent of total billed charges",,
"BLOOD PUMP SET","0270","RC","Both",,,"50","25","Ambetter","Health Exchange",,,"62",,"31","0.18","1007.5","percent of total billed charges",,
"BLOOD PUMP SET","0270","RC","Both",,,"50","25","Caresource","Health Exchange",,,"62",,"31","0.18","1007.5","percent of total billed charges",,
"BLOOD PUMP SET","0270","RC","Both",,,"50","25","Cigna","Commercial",,,"59",,"29.3","0.18","1007.5","percent of total billed charges",,
"BLOOD PUMP SET","0270","RC","Both",,,"50","25","Humana","Commercial",,,"78",,"38.75","0.18","1007.5","percent of total billed charges",,
"BLOOD PUMP SET","0270","RC","Both",,,"50","25","UHC","Commercial",,,"75",,"37.7","0.18","1007.5","percent of total billed charges",,
"BLOOD PUMP SET","0270","RC","Both",,,"50","25","Medicaid",,,,"37",,"18.3","0.18","1007.5","percent of total billed charges",,
"FOAM COLLAR 3000-16","0270","RC","Both",,,"41","20.5","Alliant","Health Exchange",,,"62",,"25.42","0.18","1007.5","percent of total billed charges",,
"FOAM COLLAR 3000-16","0270","RC","Both",,,"41","20.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"22.14","0.18","1007.5","percent of total billed charges",,
"FOAM COLLAR 3000-16","0270","RC","Both",,,"41","20.5","Medicare",,,,"54",,"22.22","0.18","1007.5","percent of total billed charges",,
"FOAM COLLAR 3000-16","0270","RC","Both",,,"41","20.5","Humana","Medicare Advantage",,,"54",,"22.22","0.18","1007.5","percent of total billed charges",,
"FOAM COLLAR 3000-16","0270","RC","Both",,,"41","20.5","UHC","Medicare Advantage",,,"54",,"22.22","0.18","1007.5","percent of total billed charges",,
"FOAM COLLAR 3000-16","0270","RC","Both",,,"41","20.5","Clover","Medicare Advantage",,,"54",,"22.22","0.18","1007.5","percent of total billed charges",,
"FOAM COLLAR 3000-16","0270","RC","Both",,,"41","20.5","Wellcare","Medicare Advantage",,,"54",,"22.22","0.18","1007.5","percent of total billed charges",,
"FOAM COLLAR 3000-16","0270","RC","Both",,,"41","20.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.01","0.18","1007.5","percent of total billed charges",,
"FOAM COLLAR 3000-16","0270","RC","Both",,,"41","20.5","Caresource","Medicaid Managed Care",,,"40",,"16.4","0.18","1007.5","percent of total billed charges",,
"FOAM COLLAR 3000-16","0270","RC","Both",,,"41","20.5","Wellcare","Medicaid Managed Care",,,"40",,"16.6","0.18","1007.5","percent of total billed charges",,
"FOAM COLLAR 3000-16","0270","RC","Both",,,"41","20.5","Aetna","Commercial",,,"64",,"26.16","0.18","1007.5","percent of total billed charges",,
"FOAM COLLAR 3000-16","0270","RC","Both",,,"41","20.5","Blue Cross Blue Shield","Pathways",,,"71",,"28.95","0.18","1007.5","percent of total billed charges",,
"FOAM COLLAR 3000-16","0270","RC","Both",,,"41","20.5","Blue Cross Blue Shield","HMO",,,"71",,"28.95","0.18","1007.5","percent of total billed charges",,
"FOAM COLLAR 3000-16","0270","RC","Both",,,"41","20.5","Blue Cross Blue Shield","PPO",,,"71",,"28.95","0.18","1007.5","percent of total billed charges",,
"FOAM COLLAR 3000-16","0270","RC","Both",,,"41","20.5","Ambetter","Health Exchange",,,"62",,"25.42","0.18","1007.5","percent of total billed charges",,
"FOAM COLLAR 3000-16","0270","RC","Both",,,"41","20.5","Caresource","Health Exchange",,,"62",,"25.42","0.18","1007.5","percent of total billed charges",,
"FOAM COLLAR 3000-16","0270","RC","Both",,,"41","20.5","Cigna","Commercial",,,"59",,"24.03","0.18","1007.5","percent of total billed charges",,
"FOAM COLLAR 3000-16","0270","RC","Both",,,"41","20.5","Humana","Commercial",,,"78",,"31.78","0.18","1007.5","percent of total billed charges",,
"FOAM COLLAR 3000-16","0270","RC","Both",,,"41","20.5","UHC","Commercial",,,"75",,"30.91","0.18","1007.5","percent of total billed charges",,
"FOAM COLLAR 3000-16","0270","RC","Both",,,"41","20.5","Medicaid",,,,"37",,"15.01","0.18","1007.5","percent of total billed charges",,
"FOAM COLLAR 3000-20","0270","RC","Both",,,"41","20.5","Alliant","Health Exchange",,,"62",,"25.42","0.18","1007.5","percent of total billed charges",,
"FOAM COLLAR 3000-20","0270","RC","Both",,,"41","20.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"22.14","0.18","1007.5","percent of total billed charges",,
"FOAM COLLAR 3000-20","0270","RC","Both",,,"41","20.5","Medicare",,,,"54",,"22.22","0.18","1007.5","percent of total billed charges",,
"FOAM COLLAR 3000-20","0270","RC","Both",,,"41","20.5","Humana","Medicare Advantage",,,"54",,"22.22","0.18","1007.5","percent of total billed charges",,
"FOAM COLLAR 3000-20","0270","RC","Both",,,"41","20.5","UHC","Medicare Advantage",,,"54",,"22.22","0.18","1007.5","percent of total billed charges",,
"FOAM COLLAR 3000-20","0270","RC","Both",,,"41","20.5","Clover","Medicare Advantage",,,"54",,"22.22","0.18","1007.5","percent of total billed charges",,
"FOAM COLLAR 3000-20","0270","RC","Both",,,"41","20.5","Wellcare","Medicare Advantage",,,"54",,"22.22","0.18","1007.5","percent of total billed charges",,
"FOAM COLLAR 3000-20","0270","RC","Both",,,"41","20.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.01","0.18","1007.5","percent of total billed charges",,
"FOAM COLLAR 3000-20","0270","RC","Both",,,"41","20.5","Caresource","Medicaid Managed Care",,,"40",,"16.4","0.18","1007.5","percent of total billed charges",,
"FOAM COLLAR 3000-20","0270","RC","Both",,,"41","20.5","Wellcare","Medicaid Managed Care",,,"40",,"16.6","0.18","1007.5","percent of total billed charges",,
"FOAM COLLAR 3000-20","0270","RC","Both",,,"41","20.5","Aetna","Commercial",,,"64",,"26.16","0.18","1007.5","percent of total billed charges",,
"FOAM COLLAR 3000-20","0270","RC","Both",,,"41","20.5","Blue Cross Blue Shield","Pathways",,,"71",,"28.95","0.18","1007.5","percent of total billed charges",,
"FOAM COLLAR 3000-20","0270","RC","Both",,,"41","20.5","Blue Cross Blue Shield","HMO",,,"71",,"28.95","0.18","1007.5","percent of total billed charges",,
"FOAM COLLAR 3000-20","0270","RC","Both",,,"41","20.5","Blue Cross Blue Shield","PPO",,,"71",,"28.95","0.18","1007.5","percent of total billed charges",,
"FOAM COLLAR 3000-20","0270","RC","Both",,,"41","20.5","Ambetter","Health Exchange",,,"62",,"25.42","0.18","1007.5","percent of total billed charges",,
"FOAM COLLAR 3000-20","0270","RC","Both",,,"41","20.5","Caresource","Health Exchange",,,"62",,"25.42","0.18","1007.5","percent of total billed charges",,
"FOAM COLLAR 3000-20","0270","RC","Both",,,"41","20.5","Cigna","Commercial",,,"59",,"24.03","0.18","1007.5","percent of total billed charges",,
"FOAM COLLAR 3000-20","0270","RC","Both",,,"41","20.5","Humana","Commercial",,,"78",,"31.78","0.18","1007.5","percent of total billed charges",,
"FOAM COLLAR 3000-20","0270","RC","Both",,,"41","20.5","UHC","Commercial",,,"75",,"30.91","0.18","1007.5","percent of total billed charges",,
"FOAM COLLAR 3000-20","0270","RC","Both",,,"41","20.5","Medicaid",,,,"37",,"15.01","0.18","1007.5","percent of total billed charges",,
"C SECTION PACK","0270","RC","Both",,,"374","187","Alliant","Health Exchange",,,"62",,"231.88","0.18","1007.5","percent of total billed charges",,
"C SECTION PACK","0270","RC","Both",,,"374","187","Pruitt Healthcare","Medicare Advantage",,,"54",,"201.96","0.18","1007.5","percent of total billed charges",,
"C SECTION PACK","0270","RC","Both",,,"374","187","Medicare",,,,"54",,"202.71","0.18","1007.5","percent of total billed charges",,
"C SECTION PACK","0270","RC","Both",,,"374","187","Humana","Medicare Advantage",,,"54",,"202.71","0.18","1007.5","percent of total billed charges",,
"C SECTION PACK","0270","RC","Both",,,"374","187","UHC","Medicare Advantage",,,"54",,"202.71","0.18","1007.5","percent of total billed charges",,
"C SECTION PACK","0270","RC","Both",,,"374","187","Clover","Medicare Advantage",,,"54",,"202.71","0.18","1007.5","percent of total billed charges",,
"C SECTION PACK","0270","RC","Both",,,"374","187","Wellcare","Medicare Advantage",,,"54",,"202.71","0.18","1007.5","percent of total billed charges",,
"C SECTION PACK","0270","RC","Both",,,"374","187","Amerigroup","Medicaid Managed Care",,,"37",,"136.88","0.18","1007.5","percent of total billed charges",,
"C SECTION PACK","0270","RC","Both",,,"374","187","Caresource","Medicaid Managed Care",,,"40",,"149.6","0.18","1007.5","percent of total billed charges",,
"C SECTION PACK","0270","RC","Both",,,"374","187","Wellcare","Medicaid Managed Care",,,"40",,"151.47","0.18","1007.5","percent of total billed charges",,
"C SECTION PACK","0270","RC","Both",,,"374","187","Aetna","Commercial",,,"64",,"238.61","0.18","1007.5","percent of total billed charges",,
"C SECTION PACK","0270","RC","Both",,,"374","187","Blue Cross Blue Shield","Pathways",,,"71",,"264.04","0.18","1007.5","percent of total billed charges",,
"C SECTION PACK","0270","RC","Both",,,"374","187","Blue Cross Blue Shield","HMO",,,"71",,"264.04","0.18","1007.5","percent of total billed charges",,
"C SECTION PACK","0270","RC","Both",,,"374","187","Blue Cross Blue Shield","PPO",,,"71",,"264.04","0.18","1007.5","percent of total billed charges",,
"C SECTION PACK","0270","RC","Both",,,"374","187","Ambetter","Health Exchange",,,"62",,"231.88","0.18","1007.5","percent of total billed charges",,
"C SECTION PACK","0270","RC","Both",,,"374","187","Caresource","Health Exchange",,,"62",,"231.88","0.18","1007.5","percent of total billed charges",,
"C SECTION PACK","0270","RC","Both",,,"374","187","Cigna","Commercial",,,"59",,"219.16","0.18","1007.5","percent of total billed charges",,
"C SECTION PACK","0270","RC","Both",,,"374","187","Humana","Commercial",,,"78",,"289.85","0.18","1007.5","percent of total billed charges",,
"C SECTION PACK","0270","RC","Both",,,"374","187","UHC","Commercial",,,"75",,"282","0.18","1007.5","percent of total billed charges",,
"C SECTION PACK","0270","RC","Both",,,"374","187","Medicaid",,,,"37",,"136.88","0.18","1007.5","percent of total billed charges",,
"LAPARASCOPE PACK","0270","RC","Both",,,"230","115","Alliant","Health Exchange",,,"62",,"142.6","0.18","1007.5","percent of total billed charges",,
"LAPARASCOPE PACK","0270","RC","Both",,,"230","115","Pruitt Healthcare","Medicare Advantage",,,"54",,"124.2","0.18","1007.5","percent of total billed charges",,
"LAPARASCOPE PACK","0270","RC","Both",,,"230","115","Medicare",,,,"54",,"124.66","0.18","1007.5","percent of total billed charges",,
"LAPARASCOPE PACK","0270","RC","Both",,,"230","115","Humana","Medicare Advantage",,,"54",,"124.66","0.18","1007.5","percent of total billed charges",,
"LAPARASCOPE PACK","0270","RC","Both",,,"230","115","UHC","Medicare Advantage",,,"54",,"124.66","0.18","1007.5","percent of total billed charges",,
"LAPARASCOPE PACK","0270","RC","Both",,,"230","115","Clover","Medicare Advantage",,,"54",,"124.66","0.18","1007.5","percent of total billed charges",,
"LAPARASCOPE PACK","0270","RC","Both",,,"230","115","Wellcare","Medicare Advantage",,,"54",,"124.66","0.18","1007.5","percent of total billed charges",,
"LAPARASCOPE PACK","0270","RC","Both",,,"230","115","Amerigroup","Medicaid Managed Care",,,"37",,"84.18","0.18","1007.5","percent of total billed charges",,
"LAPARASCOPE PACK","0270","RC","Both",,,"230","115","Caresource","Medicaid Managed Care",,,"40",,"92","0.18","1007.5","percent of total billed charges",,
"LAPARASCOPE PACK","0270","RC","Both",,,"230","115","Wellcare","Medicaid Managed Care",,,"40",,"93.15","0.18","1007.5","percent of total billed charges",,
"LAPARASCOPE PACK","0270","RC","Both",,,"230","115","Aetna","Commercial",,,"64",,"146.74","0.18","1007.5","percent of total billed charges",,
"LAPARASCOPE PACK","0270","RC","Both",,,"230","115","Blue Cross Blue Shield","Pathways",,,"71",,"162.38","0.18","1007.5","percent of total billed charges",,
"LAPARASCOPE PACK","0270","RC","Both",,,"230","115","Blue Cross Blue Shield","HMO",,,"71",,"162.38","0.18","1007.5","percent of total billed charges",,
"LAPARASCOPE PACK","0270","RC","Both",,,"230","115","Blue Cross Blue Shield","PPO",,,"71",,"162.38","0.18","1007.5","percent of total billed charges",,
"LAPARASCOPE PACK","0270","RC","Both",,,"230","115","Ambetter","Health Exchange",,,"62",,"142.6","0.18","1007.5","percent of total billed charges",,
"LAPARASCOPE PACK","0270","RC","Both",,,"230","115","Caresource","Health Exchange",,,"62",,"142.6","0.18","1007.5","percent of total billed charges",,
"LAPARASCOPE PACK","0270","RC","Both",,,"230","115","Cigna","Commercial",,,"59",,"134.78","0.18","1007.5","percent of total billed charges",,
"LAPARASCOPE PACK","0270","RC","Both",,,"230","115","Humana","Commercial",,,"78",,"178.25","0.18","1007.5","percent of total billed charges",,
"LAPARASCOPE PACK","0270","RC","Both",,,"230","115","UHC","Commercial",,,"75",,"173.42","0.18","1007.5","percent of total billed charges",,
"LAPARASCOPE PACK","0270","RC","Both",,,"230","115","Medicaid",,,,"37",,"84.18","0.18","1007.5","percent of total billed charges",,
"CATHETER IRRIGATION SET","0270","RC","Both",,,"24","12","Alliant","Health Exchange",,,"62",,"14.88","0.18","1007.5","percent of total billed charges",,
"CATHETER IRRIGATION SET","0270","RC","Both",,,"24","12","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.96","0.18","1007.5","percent of total billed charges",,
"CATHETER IRRIGATION SET","0270","RC","Both",,,"24","12","Medicare",,,,"54",,"13.01","0.18","1007.5","percent of total billed charges",,
"CATHETER IRRIGATION SET","0270","RC","Both",,,"24","12","Humana","Medicare Advantage",,,"54",,"13.01","0.18","1007.5","percent of total billed charges",,
"CATHETER IRRIGATION SET","0270","RC","Both",,,"24","12","UHC","Medicare Advantage",,,"54",,"13.01","0.18","1007.5","percent of total billed charges",,
"CATHETER IRRIGATION SET","0270","RC","Both",,,"24","12","Clover","Medicare Advantage",,,"54",,"13.01","0.18","1007.5","percent of total billed charges",,
"CATHETER IRRIGATION SET","0270","RC","Both",,,"24","12","Wellcare","Medicare Advantage",,,"54",,"13.01","0.18","1007.5","percent of total billed charges",,
"CATHETER IRRIGATION SET","0270","RC","Both",,,"24","12","Amerigroup","Medicaid Managed Care",,,"37",,"8.78","0.18","1007.5","percent of total billed charges",,
"CATHETER IRRIGATION SET","0270","RC","Both",,,"24","12","Caresource","Medicaid Managed Care",,,"40",,"9.6","0.18","1007.5","percent of total billed charges",,
"CATHETER IRRIGATION SET","0270","RC","Both",,,"24","12","Wellcare","Medicaid Managed Care",,,"40",,"9.72","0.18","1007.5","percent of total billed charges",,
"CATHETER IRRIGATION SET","0270","RC","Both",,,"24","12","Aetna","Commercial",,,"64",,"15.31","0.18","1007.5","percent of total billed charges",,
"CATHETER IRRIGATION SET","0270","RC","Both",,,"24","12","Blue Cross Blue Shield","Pathways",,,"71",,"16.94","0.18","1007.5","percent of total billed charges",,
"CATHETER IRRIGATION SET","0270","RC","Both",,,"24","12","Blue Cross Blue Shield","HMO",,,"71",,"16.94","0.18","1007.5","percent of total billed charges",,
"CATHETER IRRIGATION SET","0270","RC","Both",,,"24","12","Blue Cross Blue Shield","PPO",,,"71",,"16.94","0.18","1007.5","percent of total billed charges",,
"CATHETER IRRIGATION SET","0270","RC","Both",,,"24","12","Ambetter","Health Exchange",,,"62",,"14.88","0.18","1007.5","percent of total billed charges",,
"CATHETER IRRIGATION SET","0270","RC","Both",,,"24","12","Caresource","Health Exchange",,,"62",,"14.88","0.18","1007.5","percent of total billed charges",,
"CATHETER IRRIGATION SET","0270","RC","Both",,,"24","12","Cigna","Commercial",,,"59",,"14.06","0.18","1007.5","percent of total billed charges",,
"CATHETER IRRIGATION SET","0270","RC","Both",,,"24","12","Humana","Commercial",,,"78",,"18.6","0.18","1007.5","percent of total billed charges",,
"CATHETER IRRIGATION SET","0270","RC","Both",,,"24","12","UHC","Commercial",,,"75",,"18.1","0.18","1007.5","percent of total billed charges",,
"CATHETER IRRIGATION SET","0270","RC","Both",,,"24","12","Medicaid",,,,"37",,"8.78","0.18","1007.5","percent of total billed charges",,
"QUICK SKIN CLEANER","0270","RC","Both",,,"16","8","Alliant","Health Exchange",,,"62",,"9.92","0.18","1007.5","percent of total billed charges",,
"QUICK SKIN CLEANER","0270","RC","Both",,,"16","8","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.64","0.18","1007.5","percent of total billed charges",,
"QUICK SKIN CLEANER","0270","RC","Both",,,"16","8","Medicare",,,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"QUICK SKIN CLEANER","0270","RC","Both",,,"16","8","Humana","Medicare Advantage",,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"QUICK SKIN CLEANER","0270","RC","Both",,,"16","8","UHC","Medicare Advantage",,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"QUICK SKIN CLEANER","0270","RC","Both",,,"16","8","Clover","Medicare Advantage",,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"QUICK SKIN CLEANER","0270","RC","Both",,,"16","8","Wellcare","Medicare Advantage",,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"QUICK SKIN CLEANER","0270","RC","Both",,,"16","8","Amerigroup","Medicaid Managed Care",,,"37",,"5.86","0.18","1007.5","percent of total billed charges",,
"QUICK SKIN CLEANER","0270","RC","Both",,,"16","8","Caresource","Medicaid Managed Care",,,"40",,"6.4","0.18","1007.5","percent of total billed charges",,
"QUICK SKIN CLEANER","0270","RC","Both",,,"16","8","Wellcare","Medicaid Managed Care",,,"40",,"6.48","0.18","1007.5","percent of total billed charges",,
"QUICK SKIN CLEANER","0270","RC","Both",,,"16","8","Aetna","Commercial",,,"64",,"10.21","0.18","1007.5","percent of total billed charges",,
"QUICK SKIN CLEANER","0270","RC","Both",,,"16","8","Blue Cross Blue Shield","Pathways",,,"71",,"11.3","0.18","1007.5","percent of total billed charges",,
"QUICK SKIN CLEANER","0270","RC","Both",,,"16","8","Blue Cross Blue Shield","HMO",,,"71",,"11.3","0.18","1007.5","percent of total billed charges",,
"QUICK SKIN CLEANER","0270","RC","Both",,,"16","8","Blue Cross Blue Shield","PPO",,,"71",,"11.3","0.18","1007.5","percent of total billed charges",,
"QUICK SKIN CLEANER","0270","RC","Both",,,"16","8","Ambetter","Health Exchange",,,"62",,"9.92","0.18","1007.5","percent of total billed charges",,
"QUICK SKIN CLEANER","0270","RC","Both",,,"16","8","Caresource","Health Exchange",,,"62",,"9.92","0.18","1007.5","percent of total billed charges",,
"QUICK SKIN CLEANER","0270","RC","Both",,,"16","8","Cigna","Commercial",,,"59",,"9.38","0.18","1007.5","percent of total billed charges",,
"QUICK SKIN CLEANER","0270","RC","Both",,,"16","8","Humana","Commercial",,,"78",,"12.4","0.18","1007.5","percent of total billed charges",,
"QUICK SKIN CLEANER","0270","RC","Both",,,"16","8","UHC","Commercial",,,"75",,"12.06","0.18","1007.5","percent of total billed charges",,
"QUICK SKIN CLEANER","0270","RC","Both",,,"16","8","Medicaid",,,,"37",,"5.86","0.18","1007.5","percent of total billed charges",,
"ENSURE CAN","0250","RC","Both",,,"125","62.5","Alliant","Health Exchange",,,"62",,"77.5","0.04","569.62","percent of total billed charges",,
"ENSURE CAN","0250","RC","Both",,,"125","62.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"67.5","0.04","569.62","percent of total billed charges",,
"ENSURE CAN","0250","RC","Both",,,"125","62.5","Medicare",,,,"54",,"67.75","0.04","569.62","percent of total billed charges",,
"ENSURE CAN","0250","RC","Both",,,"125","62.5","Humana","Medicare Advantage",,,"54",,"67.75","0.04","569.62","percent of total billed charges",,
"ENSURE CAN","0250","RC","Both",,,"125","62.5","UHC","Medicare Advantage",,,"54",,"67.75","0.04","569.62","percent of total billed charges",,
"ENSURE CAN","0250","RC","Both",,,"125","62.5","Clover","Medicare Advantage",,,"54",,"67.75","0.04","569.62","percent of total billed charges",,
"ENSURE CAN","0250","RC","Both",,,"125","62.5","Wellcare","Medicare Advantage",,,"54",,"67.75","0.04","569.62","percent of total billed charges",,
"ENSURE CAN","0250","RC","Both",,,"125","62.5","Amerigroup","Medicaid Managed Care",,,"37",,"45.75","0.04","569.62","percent of total billed charges",,
"ENSURE CAN","0250","RC","Both",,,"125","62.5","Caresource","Medicaid Managed Care",,,"40",,"50","0.04","569.62","percent of total billed charges",,
"ENSURE CAN","0250","RC","Both",,,"125","62.5","Wellcare","Medicaid Managed Care",,,"40",,"50.62","0.04","569.62","percent of total billed charges",,
"ENSURE CAN","0250","RC","Both",,,"125","62.5","Aetna","Commercial",,,"64",,"79.75","0.04","569.62","percent of total billed charges",,
"ENSURE CAN","0250","RC","Both",,,"125","62.5","Blue Cross Blue Shield","Pathways",,,"71",,"88.25","0.04","569.62","percent of total billed charges",,
"ENSURE CAN","0250","RC","Both",,,"125","62.5","Blue Cross Blue Shield","HMO",,,"71",,"88.25","0.04","569.62","percent of total billed charges",,
"ENSURE CAN","0250","RC","Both",,,"125","62.5","Blue Cross Blue Shield","PPO",,,"71",,"88.25","0.04","569.62","percent of total billed charges",,
"ENSURE CAN","0250","RC","Both",,,"125","62.5","Ambetter","Health Exchange",,,"62",,"77.5","0.04","569.62","percent of total billed charges",,
"ENSURE CAN","0250","RC","Both",,,"125","62.5","Caresource","Health Exchange",,,"62",,"77.5","0.04","569.62","percent of total billed charges",,
"ENSURE CAN","0250","RC","Both",,,"125","62.5","Cigna","Commercial",,,"59",,"73.25","0.04","569.62","percent of total billed charges",,
"ENSURE CAN","0250","RC","Both",,,"125","62.5","Humana","Commercial",,,"78",,"96.88","0.04","569.62","percent of total billed charges",,
"ENSURE CAN","0250","RC","Both",,,"125","62.5","UHC","Commercial",,,"75",,"94.25","0.04","569.62","percent of total billed charges",,
"ENSURE CAN","0250","RC","Both",,,"125","62.5","Medicaid",,,,"37",,"45.75","0.04","569.62","percent of total billed charges",,
"CATHETER FOLEY 5CC 24 FR","0270","RC","Both",,,"24","12","Alliant","Health Exchange",,,"62",,"14.88","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 5CC 24 FR","0270","RC","Both",,,"24","12","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.96","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 5CC 24 FR","0270","RC","Both",,,"24","12","Medicare",,,,"54",,"13.01","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 5CC 24 FR","0270","RC","Both",,,"24","12","Humana","Medicare Advantage",,,"54",,"13.01","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 5CC 24 FR","0270","RC","Both",,,"24","12","UHC","Medicare Advantage",,,"54",,"13.01","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 5CC 24 FR","0270","RC","Both",,,"24","12","Clover","Medicare Advantage",,,"54",,"13.01","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 5CC 24 FR","0270","RC","Both",,,"24","12","Wellcare","Medicare Advantage",,,"54",,"13.01","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 5CC 24 FR","0270","RC","Both",,,"24","12","Amerigroup","Medicaid Managed Care",,,"37",,"8.78","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 5CC 24 FR","0270","RC","Both",,,"24","12","Caresource","Medicaid Managed Care",,,"40",,"9.6","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 5CC 24 FR","0270","RC","Both",,,"24","12","Wellcare","Medicaid Managed Care",,,"40",,"9.72","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 5CC 24 FR","0270","RC","Both",,,"24","12","Aetna","Commercial",,,"64",,"15.31","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 5CC 24 FR","0270","RC","Both",,,"24","12","Blue Cross Blue Shield","Pathways",,,"71",,"16.94","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 5CC 24 FR","0270","RC","Both",,,"24","12","Blue Cross Blue Shield","HMO",,,"71",,"16.94","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 5CC 24 FR","0270","RC","Both",,,"24","12","Blue Cross Blue Shield","PPO",,,"71",,"16.94","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 5CC 24 FR","0270","RC","Both",,,"24","12","Ambetter","Health Exchange",,,"62",,"14.88","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 5CC 24 FR","0270","RC","Both",,,"24","12","Caresource","Health Exchange",,,"62",,"14.88","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 5CC 24 FR","0270","RC","Both",,,"24","12","Cigna","Commercial",,,"59",,"14.06","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 5CC 24 FR","0270","RC","Both",,,"24","12","Humana","Commercial",,,"78",,"18.6","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 5CC 24 FR","0270","RC","Both",,,"24","12","UHC","Commercial",,,"75",,"18.1","0.18","1007.5","percent of total billed charges",,
"CATHETER FOLEY 5CC 24 FR","0270","RC","Both",,,"24","12","Medicaid",,,,"37",,"8.78","0.18","1007.5","percent of total billed charges",,
"CAST COVER HALF LEG. SM.","0270","RC","Both",,,"59","29.5","Alliant","Health Exchange",,,"62",,"36.58","0.18","1007.5","percent of total billed charges",,
"CAST COVER HALF LEG. SM.","0270","RC","Both",,,"59","29.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"31.86","0.18","1007.5","percent of total billed charges",,
"CAST COVER HALF LEG. SM.","0270","RC","Both",,,"59","29.5","Medicare",,,,"54",,"31.98","0.18","1007.5","percent of total billed charges",,
"CAST COVER HALF LEG. SM.","0270","RC","Both",,,"59","29.5","Humana","Medicare Advantage",,,"54",,"31.98","0.18","1007.5","percent of total billed charges",,
"CAST COVER HALF LEG. SM.","0270","RC","Both",,,"59","29.5","UHC","Medicare Advantage",,,"54",,"31.98","0.18","1007.5","percent of total billed charges",,
"CAST COVER HALF LEG. SM.","0270","RC","Both",,,"59","29.5","Clover","Medicare Advantage",,,"54",,"31.98","0.18","1007.5","percent of total billed charges",,
"CAST COVER HALF LEG. SM.","0270","RC","Both",,,"59","29.5","Wellcare","Medicare Advantage",,,"54",,"31.98","0.18","1007.5","percent of total billed charges",,
"CAST COVER HALF LEG. SM.","0270","RC","Both",,,"59","29.5","Amerigroup","Medicaid Managed Care",,,"37",,"21.59","0.18","1007.5","percent of total billed charges",,
"CAST COVER HALF LEG. SM.","0270","RC","Both",,,"59","29.5","Caresource","Medicaid Managed Care",,,"40",,"23.6","0.18","1007.5","percent of total billed charges",,
"CAST COVER HALF LEG. SM.","0270","RC","Both",,,"59","29.5","Wellcare","Medicaid Managed Care",,,"40",,"23.9","0.18","1007.5","percent of total billed charges",,
"CAST COVER HALF LEG. SM.","0270","RC","Both",,,"59","29.5","Aetna","Commercial",,,"64",,"37.64","0.18","1007.5","percent of total billed charges",,
"CAST COVER HALF LEG. SM.","0270","RC","Both",,,"59","29.5","Blue Cross Blue Shield","Pathways",,,"71",,"41.65","0.18","1007.5","percent of total billed charges",,
"CAST COVER HALF LEG. SM.","0270","RC","Both",,,"59","29.5","Blue Cross Blue Shield","HMO",,,"71",,"41.65","0.18","1007.5","percent of total billed charges",,
"CAST COVER HALF LEG. SM.","0270","RC","Both",,,"59","29.5","Blue Cross Blue Shield","PPO",,,"71",,"41.65","0.18","1007.5","percent of total billed charges",,
"CAST COVER HALF LEG. SM.","0270","RC","Both",,,"59","29.5","Ambetter","Health Exchange",,,"62",,"36.58","0.18","1007.5","percent of total billed charges",,
"CAST COVER HALF LEG. SM.","0270","RC","Both",,,"59","29.5","Caresource","Health Exchange",,,"62",,"36.58","0.18","1007.5","percent of total billed charges",,
"CAST COVER HALF LEG. SM.","0270","RC","Both",,,"59","29.5","Cigna","Commercial",,,"59",,"34.57","0.18","1007.5","percent of total billed charges",,
"CAST COVER HALF LEG. SM.","0270","RC","Both",,,"59","29.5","Humana","Commercial",,,"78",,"45.72","0.18","1007.5","percent of total billed charges",,
"CAST COVER HALF LEG. SM.","0270","RC","Both",,,"59","29.5","UHC","Commercial",,,"75",,"44.49","0.18","1007.5","percent of total billed charges",,
"CAST COVER HALF LEG. SM.","0270","RC","Both",,,"59","29.5","Medicaid",,,,"37",,"21.59","0.18","1007.5","percent of total billed charges",,
"CAST COVER HALF LEG REG.","0270","RC","Both",,,"59","29.5","Alliant","Health Exchange",,,"62",,"36.58","0.18","1007.5","percent of total billed charges",,
"CAST COVER HALF LEG REG.","0270","RC","Both",,,"59","29.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"31.86","0.18","1007.5","percent of total billed charges",,
"CAST COVER HALF LEG REG.","0270","RC","Both",,,"59","29.5","Medicare",,,,"54",,"31.98","0.18","1007.5","percent of total billed charges",,
"CAST COVER HALF LEG REG.","0270","RC","Both",,,"59","29.5","Humana","Medicare Advantage",,,"54",,"31.98","0.18","1007.5","percent of total billed charges",,
"CAST COVER HALF LEG REG.","0270","RC","Both",,,"59","29.5","UHC","Medicare Advantage",,,"54",,"31.98","0.18","1007.5","percent of total billed charges",,
"CAST COVER HALF LEG REG.","0270","RC","Both",,,"59","29.5","Clover","Medicare Advantage",,,"54",,"31.98","0.18","1007.5","percent of total billed charges",,
"CAST COVER HALF LEG REG.","0270","RC","Both",,,"59","29.5","Wellcare","Medicare Advantage",,,"54",,"31.98","0.18","1007.5","percent of total billed charges",,
"CAST COVER HALF LEG REG.","0270","RC","Both",,,"59","29.5","Amerigroup","Medicaid Managed Care",,,"37",,"21.59","0.18","1007.5","percent of total billed charges",,
"CAST COVER HALF LEG REG.","0270","RC","Both",,,"59","29.5","Caresource","Medicaid Managed Care",,,"40",,"23.6","0.18","1007.5","percent of total billed charges",,
"CAST COVER HALF LEG REG.","0270","RC","Both",,,"59","29.5","Wellcare","Medicaid Managed Care",,,"40",,"23.9","0.18","1007.5","percent of total billed charges",,
"CAST COVER HALF LEG REG.","0270","RC","Both",,,"59","29.5","Aetna","Commercial",,,"64",,"37.64","0.18","1007.5","percent of total billed charges",,
"CAST COVER HALF LEG REG.","0270","RC","Both",,,"59","29.5","Blue Cross Blue Shield","Pathways",,,"71",,"41.65","0.18","1007.5","percent of total billed charges",,
"CAST COVER HALF LEG REG.","0270","RC","Both",,,"59","29.5","Blue Cross Blue Shield","HMO",,,"71",,"41.65","0.18","1007.5","percent of total billed charges",,
"CAST COVER HALF LEG REG.","0270","RC","Both",,,"59","29.5","Blue Cross Blue Shield","PPO",,,"71",,"41.65","0.18","1007.5","percent of total billed charges",,
"CAST COVER HALF LEG REG.","0270","RC","Both",,,"59","29.5","Ambetter","Health Exchange",,,"62",,"36.58","0.18","1007.5","percent of total billed charges",,
"CAST COVER HALF LEG REG.","0270","RC","Both",,,"59","29.5","Caresource","Health Exchange",,,"62",,"36.58","0.18","1007.5","percent of total billed charges",,
"CAST COVER HALF LEG REG.","0270","RC","Both",,,"59","29.5","Cigna","Commercial",,,"59",,"34.57","0.18","1007.5","percent of total billed charges",,
"CAST COVER HALF LEG REG.","0270","RC","Both",,,"59","29.5","Humana","Commercial",,,"78",,"45.72","0.18","1007.5","percent of total billed charges",,
"CAST COVER HALF LEG REG.","0270","RC","Both",,,"59","29.5","UHC","Commercial",,,"75",,"44.49","0.18","1007.5","percent of total billed charges",,
"CAST COVER HALF LEG REG.","0270","RC","Both",,,"59","29.5","Medicaid",,,,"37",,"21.59","0.18","1007.5","percent of total billed charges",,
"CAST COVER FULL ARM SM.","0270","RC","Both",,,"59","29.5","Alliant","Health Exchange",,,"62",,"36.58","0.18","1007.5","percent of total billed charges",,
"CAST COVER FULL ARM SM.","0270","RC","Both",,,"59","29.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"31.86","0.18","1007.5","percent of total billed charges",,
"CAST COVER FULL ARM SM.","0270","RC","Both",,,"59","29.5","Medicare",,,,"54",,"31.98","0.18","1007.5","percent of total billed charges",,
"CAST COVER FULL ARM SM.","0270","RC","Both",,,"59","29.5","Humana","Medicare Advantage",,,"54",,"31.98","0.18","1007.5","percent of total billed charges",,
"CAST COVER FULL ARM SM.","0270","RC","Both",,,"59","29.5","UHC","Medicare Advantage",,,"54",,"31.98","0.18","1007.5","percent of total billed charges",,
"CAST COVER FULL ARM SM.","0270","RC","Both",,,"59","29.5","Clover","Medicare Advantage",,,"54",,"31.98","0.18","1007.5","percent of total billed charges",,
"CAST COVER FULL ARM SM.","0270","RC","Both",,,"59","29.5","Wellcare","Medicare Advantage",,,"54",,"31.98","0.18","1007.5","percent of total billed charges",,
"CAST COVER FULL ARM SM.","0270","RC","Both",,,"59","29.5","Amerigroup","Medicaid Managed Care",,,"37",,"21.59","0.18","1007.5","percent of total billed charges",,
"CAST COVER FULL ARM SM.","0270","RC","Both",,,"59","29.5","Caresource","Medicaid Managed Care",,,"40",,"23.6","0.18","1007.5","percent of total billed charges",,
"CAST COVER FULL ARM SM.","0270","RC","Both",,,"59","29.5","Wellcare","Medicaid Managed Care",,,"40",,"23.9","0.18","1007.5","percent of total billed charges",,
"CAST COVER FULL ARM SM.","0270","RC","Both",,,"59","29.5","Aetna","Commercial",,,"64",,"37.64","0.18","1007.5","percent of total billed charges",,
"CAST COVER FULL ARM SM.","0270","RC","Both",,,"59","29.5","Blue Cross Blue Shield","Pathways",,,"71",,"41.65","0.18","1007.5","percent of total billed charges",,
"CAST COVER FULL ARM SM.","0270","RC","Both",,,"59","29.5","Blue Cross Blue Shield","HMO",,,"71",,"41.65","0.18","1007.5","percent of total billed charges",,
"CAST COVER FULL ARM SM.","0270","RC","Both",,,"59","29.5","Blue Cross Blue Shield","PPO",,,"71",,"41.65","0.18","1007.5","percent of total billed charges",,
"CAST COVER FULL ARM SM.","0270","RC","Both",,,"59","29.5","Ambetter","Health Exchange",,,"62",,"36.58","0.18","1007.5","percent of total billed charges",,
"CAST COVER FULL ARM SM.","0270","RC","Both",,,"59","29.5","Caresource","Health Exchange",,,"62",,"36.58","0.18","1007.5","percent of total billed charges",,
"CAST COVER FULL ARM SM.","0270","RC","Both",,,"59","29.5","Cigna","Commercial",,,"59",,"34.57","0.18","1007.5","percent of total billed charges",,
"CAST COVER FULL ARM SM.","0270","RC","Both",,,"59","29.5","Humana","Commercial",,,"78",,"45.72","0.18","1007.5","percent of total billed charges",,
"CAST COVER FULL ARM SM.","0270","RC","Both",,,"59","29.5","UHC","Commercial",,,"75",,"44.49","0.18","1007.5","percent of total billed charges",,
"CAST COVER FULL ARM SM.","0270","RC","Both",,,"59","29.5","Medicaid",,,,"37",,"21.59","0.18","1007.5","percent of total billed charges",,
"CAST COVER FULL ARM REG.","0270","RC","Both",,,"59","29.5","Alliant","Health Exchange",,,"62",,"36.58","0.18","1007.5","percent of total billed charges",,
"CAST COVER FULL ARM REG.","0270","RC","Both",,,"59","29.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"31.86","0.18","1007.5","percent of total billed charges",,
"CAST COVER FULL ARM REG.","0270","RC","Both",,,"59","29.5","Medicare",,,,"54",,"31.98","0.18","1007.5","percent of total billed charges",,
"CAST COVER FULL ARM REG.","0270","RC","Both",,,"59","29.5","Humana","Medicare Advantage",,,"54",,"31.98","0.18","1007.5","percent of total billed charges",,
"CAST COVER FULL ARM REG.","0270","RC","Both",,,"59","29.5","UHC","Medicare Advantage",,,"54",,"31.98","0.18","1007.5","percent of total billed charges",,
"CAST COVER FULL ARM REG.","0270","RC","Both",,,"59","29.5","Clover","Medicare Advantage",,,"54",,"31.98","0.18","1007.5","percent of total billed charges",,
"CAST COVER FULL ARM REG.","0270","RC","Both",,,"59","29.5","Wellcare","Medicare Advantage",,,"54",,"31.98","0.18","1007.5","percent of total billed charges",,
"CAST COVER FULL ARM REG.","0270","RC","Both",,,"59","29.5","Amerigroup","Medicaid Managed Care",,,"37",,"21.59","0.18","1007.5","percent of total billed charges",,
"CAST COVER FULL ARM REG.","0270","RC","Both",,,"59","29.5","Caresource","Medicaid Managed Care",,,"40",,"23.6","0.18","1007.5","percent of total billed charges",,
"CAST COVER FULL ARM REG.","0270","RC","Both",,,"59","29.5","Wellcare","Medicaid Managed Care",,,"40",,"23.9","0.18","1007.5","percent of total billed charges",,
"CAST COVER FULL ARM REG.","0270","RC","Both",,,"59","29.5","Aetna","Commercial",,,"64",,"37.64","0.18","1007.5","percent of total billed charges",,
"CAST COVER FULL ARM REG.","0270","RC","Both",,,"59","29.5","Blue Cross Blue Shield","Pathways",,,"71",,"41.65","0.18","1007.5","percent of total billed charges",,
"CAST COVER FULL ARM REG.","0270","RC","Both",,,"59","29.5","Blue Cross Blue Shield","HMO",,,"71",,"41.65","0.18","1007.5","percent of total billed charges",,
"CAST COVER FULL ARM REG.","0270","RC","Both",,,"59","29.5","Blue Cross Blue Shield","PPO",,,"71",,"41.65","0.18","1007.5","percent of total billed charges",,
"CAST COVER FULL ARM REG.","0270","RC","Both",,,"59","29.5","Ambetter","Health Exchange",,,"62",,"36.58","0.18","1007.5","percent of total billed charges",,
"CAST COVER FULL ARM REG.","0270","RC","Both",,,"59","29.5","Caresource","Health Exchange",,,"62",,"36.58","0.18","1007.5","percent of total billed charges",,
"CAST COVER FULL ARM REG.","0270","RC","Both",,,"59","29.5","Cigna","Commercial",,,"59",,"34.57","0.18","1007.5","percent of total billed charges",,
"CAST COVER FULL ARM REG.","0270","RC","Both",,,"59","29.5","Humana","Commercial",,,"78",,"45.72","0.18","1007.5","percent of total billed charges",,
"CAST COVER FULL ARM REG.","0270","RC","Both",,,"59","29.5","UHC","Commercial",,,"75",,"44.49","0.18","1007.5","percent of total billed charges",,
"CAST COVER FULL ARM REG.","0270","RC","Both",,,"59","29.5","Medicaid",,,,"37",,"21.59","0.18","1007.5","percent of total billed charges",,
"ADAPTIC DRESSING 3X8","0270","RC","Both",,,"50","25","Alliant","Health Exchange",,,"62",,"31","0.18","1007.5","percent of total billed charges",,
"ADAPTIC DRESSING 3X8","0270","RC","Both",,,"50","25","Pruitt Healthcare","Medicare Advantage",,,"54",,"27","0.18","1007.5","percent of total billed charges",,
"ADAPTIC DRESSING 3X8","0270","RC","Both",,,"50","25","Medicare",,,,"54",,"27.1","0.18","1007.5","percent of total billed charges",,
"ADAPTIC DRESSING 3X8","0270","RC","Both",,,"50","25","Humana","Medicare Advantage",,,"54",,"27.1","0.18","1007.5","percent of total billed charges",,
"ADAPTIC DRESSING 3X8","0270","RC","Both",,,"50","25","UHC","Medicare Advantage",,,"54",,"27.1","0.18","1007.5","percent of total billed charges",,
"ADAPTIC DRESSING 3X8","0270","RC","Both",,,"50","25","Clover","Medicare Advantage",,,"54",,"27.1","0.18","1007.5","percent of total billed charges",,
"ADAPTIC DRESSING 3X8","0270","RC","Both",,,"50","25","Wellcare","Medicare Advantage",,,"54",,"27.1","0.18","1007.5","percent of total billed charges",,
"ADAPTIC DRESSING 3X8","0270","RC","Both",,,"50","25","Amerigroup","Medicaid Managed Care",,,"37",,"18.3","0.18","1007.5","percent of total billed charges",,
"ADAPTIC DRESSING 3X8","0270","RC","Both",,,"50","25","Caresource","Medicaid Managed Care",,,"40",,"20","0.18","1007.5","percent of total billed charges",,
"ADAPTIC DRESSING 3X8","0270","RC","Both",,,"50","25","Wellcare","Medicaid Managed Care",,,"40",,"20.25","0.18","1007.5","percent of total billed charges",,
"ADAPTIC DRESSING 3X8","0270","RC","Both",,,"50","25","Aetna","Commercial",,,"64",,"31.9","0.18","1007.5","percent of total billed charges",,
"ADAPTIC DRESSING 3X8","0270","RC","Both",,,"50","25","Blue Cross Blue Shield","Pathways",,,"71",,"35.3","0.18","1007.5","percent of total billed charges",,
"ADAPTIC DRESSING 3X8","0270","RC","Both",,,"50","25","Blue Cross Blue Shield","HMO",,,"71",,"35.3","0.18","1007.5","percent of total billed charges",,
"ADAPTIC DRESSING 3X8","0270","RC","Both",,,"50","25","Blue Cross Blue Shield","PPO",,,"71",,"35.3","0.18","1007.5","percent of total billed charges",,
"ADAPTIC DRESSING 3X8","0270","RC","Both",,,"50","25","Ambetter","Health Exchange",,,"62",,"31","0.18","1007.5","percent of total billed charges",,
"ADAPTIC DRESSING 3X8","0270","RC","Both",,,"50","25","Caresource","Health Exchange",,,"62",,"31","0.18","1007.5","percent of total billed charges",,
"ADAPTIC DRESSING 3X8","0270","RC","Both",,,"50","25","Cigna","Commercial",,,"59",,"29.3","0.18","1007.5","percent of total billed charges",,
"ADAPTIC DRESSING 3X8","0270","RC","Both",,,"50","25","Humana","Commercial",,,"78",,"38.75","0.18","1007.5","percent of total billed charges",,
"ADAPTIC DRESSING 3X8","0270","RC","Both",,,"50","25","UHC","Commercial",,,"75",,"37.7","0.18","1007.5","percent of total billed charges",,
"ADAPTIC DRESSING 3X8","0270","RC","Both",,,"50","25","Medicaid",,,,"37",,"18.3","0.18","1007.5","percent of total billed charges",,
"KENITIC BED-RENTAL","0270","RC","Both",,,"488","244","Alliant","Health Exchange",,,"62",,"302.56","0.18","1007.5","percent of total billed charges",,
"KENITIC BED-RENTAL","0270","RC","Both",,,"488","244","Pruitt Healthcare","Medicare Advantage",,,"54",,"263.52","0.18","1007.5","percent of total billed charges",,
"KENITIC BED-RENTAL","0270","RC","Both",,,"488","244","Medicare",,,,"54",,"264.5","0.18","1007.5","percent of total billed charges",,
"KENITIC BED-RENTAL","0270","RC","Both",,,"488","244","Humana","Medicare Advantage",,,"54",,"264.5","0.18","1007.5","percent of total billed charges",,
"KENITIC BED-RENTAL","0270","RC","Both",,,"488","244","UHC","Medicare Advantage",,,"54",,"264.5","0.18","1007.5","percent of total billed charges",,
"KENITIC BED-RENTAL","0270","RC","Both",,,"488","244","Clover","Medicare Advantage",,,"54",,"264.5","0.18","1007.5","percent of total billed charges",,
"KENITIC BED-RENTAL","0270","RC","Both",,,"488","244","Wellcare","Medicare Advantage",,,"54",,"264.5","0.18","1007.5","percent of total billed charges",,
"KENITIC BED-RENTAL","0270","RC","Both",,,"488","244","Amerigroup","Medicaid Managed Care",,,"37",,"178.61","0.18","1007.5","percent of total billed charges",,
"KENITIC BED-RENTAL","0270","RC","Both",,,"488","244","Caresource","Medicaid Managed Care",,,"40",,"195.2","0.18","1007.5","percent of total billed charges",,
"KENITIC BED-RENTAL","0270","RC","Both",,,"488","244","Wellcare","Medicaid Managed Care",,,"40",,"197.64","0.18","1007.5","percent of total billed charges",,
"KENITIC BED-RENTAL","0270","RC","Both",,,"488","244","Aetna","Commercial",,,"64",,"311.34","0.18","1007.5","percent of total billed charges",,
"KENITIC BED-RENTAL","0270","RC","Both",,,"488","244","Blue Cross Blue Shield","Pathways",,,"71",,"344.53","0.18","1007.5","percent of total billed charges",,
"KENITIC BED-RENTAL","0270","RC","Both",,,"488","244","Blue Cross Blue Shield","HMO",,,"71",,"344.53","0.18","1007.5","percent of total billed charges",,
"KENITIC BED-RENTAL","0270","RC","Both",,,"488","244","Blue Cross Blue Shield","PPO",,,"71",,"344.53","0.18","1007.5","percent of total billed charges",,
"KENITIC BED-RENTAL","0270","RC","Both",,,"488","244","Ambetter","Health Exchange",,,"62",,"302.56","0.18","1007.5","percent of total billed charges",,
"KENITIC BED-RENTAL","0270","RC","Both",,,"488","244","Caresource","Health Exchange",,,"62",,"302.56","0.18","1007.5","percent of total billed charges",,
"KENITIC BED-RENTAL","0270","RC","Both",,,"488","244","Cigna","Commercial",,,"59",,"285.97","0.18","1007.5","percent of total billed charges",,
"KENITIC BED-RENTAL","0270","RC","Both",,,"488","244","Humana","Commercial",,,"78",,"378.2","0.18","1007.5","percent of total billed charges",,
"KENITIC BED-RENTAL","0270","RC","Both",,,"488","244","UHC","Commercial",,,"75",,"367.95","0.18","1007.5","percent of total billed charges",,
"KENITIC BED-RENTAL","0270","RC","Both",,,"488","244","Medicaid",,,,"37",,"178.61","0.18","1007.5","percent of total billed charges",,
"STAPLES GIA-50P","0270","RC","Both",,,"241","120.5","Alliant","Health Exchange",,,"62",,"149.42","0.18","1007.5","percent of total billed charges",,
"STAPLES GIA-50P","0270","RC","Both",,,"241","120.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"130.14","0.18","1007.5","percent of total billed charges",,
"STAPLES GIA-50P","0270","RC","Both",,,"241","120.5","Medicare",,,,"54",,"130.62","0.18","1007.5","percent of total billed charges",,
"STAPLES GIA-50P","0270","RC","Both",,,"241","120.5","Humana","Medicare Advantage",,,"54",,"130.62","0.18","1007.5","percent of total billed charges",,
"STAPLES GIA-50P","0270","RC","Both",,,"241","120.5","UHC","Medicare Advantage",,,"54",,"130.62","0.18","1007.5","percent of total billed charges",,
"STAPLES GIA-50P","0270","RC","Both",,,"241","120.5","Clover","Medicare Advantage",,,"54",,"130.62","0.18","1007.5","percent of total billed charges",,
"STAPLES GIA-50P","0270","RC","Both",,,"241","120.5","Wellcare","Medicare Advantage",,,"54",,"130.62","0.18","1007.5","percent of total billed charges",,
"STAPLES GIA-50P","0270","RC","Both",,,"241","120.5","Amerigroup","Medicaid Managed Care",,,"37",,"88.21","0.18","1007.5","percent of total billed charges",,
"STAPLES GIA-50P","0270","RC","Both",,,"241","120.5","Caresource","Medicaid Managed Care",,,"40",,"96.4","0.18","1007.5","percent of total billed charges",,
"STAPLES GIA-50P","0270","RC","Both",,,"241","120.5","Wellcare","Medicaid Managed Care",,,"40",,"97.6","0.18","1007.5","percent of total billed charges",,
"STAPLES GIA-50P","0270","RC","Both",,,"241","120.5","Aetna","Commercial",,,"64",,"153.76","0.18","1007.5","percent of total billed charges",,
"STAPLES GIA-50P","0270","RC","Both",,,"241","120.5","Blue Cross Blue Shield","Pathways",,,"71",,"170.15","0.18","1007.5","percent of total billed charges",,
"STAPLES GIA-50P","0270","RC","Both",,,"241","120.5","Blue Cross Blue Shield","HMO",,,"71",,"170.15","0.18","1007.5","percent of total billed charges",,
"STAPLES GIA-50P","0270","RC","Both",,,"241","120.5","Blue Cross Blue Shield","PPO",,,"71",,"170.15","0.18","1007.5","percent of total billed charges",,
"STAPLES GIA-50P","0270","RC","Both",,,"241","120.5","Ambetter","Health Exchange",,,"62",,"149.42","0.18","1007.5","percent of total billed charges",,
"STAPLES GIA-50P","0270","RC","Both",,,"241","120.5","Caresource","Health Exchange",,,"62",,"149.42","0.18","1007.5","percent of total billed charges",,
"STAPLES GIA-50P","0270","RC","Both",,,"241","120.5","Cigna","Commercial",,,"59",,"141.23","0.18","1007.5","percent of total billed charges",,
"STAPLES GIA-50P","0270","RC","Both",,,"241","120.5","Humana","Commercial",,,"78",,"186.78","0.18","1007.5","percent of total billed charges",,
"STAPLES GIA-50P","0270","RC","Both",,,"241","120.5","UHC","Commercial",,,"75",,"181.71","0.18","1007.5","percent of total billed charges",,
"STAPLES GIA-50P","0270","RC","Both",,,"241","120.5","Medicaid",,,,"37",,"88.21","0.18","1007.5","percent of total billed charges",,
"STAPLES 90P-4.8","0270","RC","Both",,,"228","114","Alliant","Health Exchange",,,"62",,"141.36","0.18","1007.5","percent of total billed charges",,
"STAPLES 90P-4.8","0270","RC","Both",,,"228","114","Pruitt Healthcare","Medicare Advantage",,,"54",,"123.12","0.18","1007.5","percent of total billed charges",,
"STAPLES 90P-4.8","0270","RC","Both",,,"228","114","Medicare",,,,"54",,"123.58","0.18","1007.5","percent of total billed charges",,
"STAPLES 90P-4.8","0270","RC","Both",,,"228","114","Humana","Medicare Advantage",,,"54",,"123.58","0.18","1007.5","percent of total billed charges",,
"STAPLES 90P-4.8","0270","RC","Both",,,"228","114","UHC","Medicare Advantage",,,"54",,"123.58","0.18","1007.5","percent of total billed charges",,
"STAPLES 90P-4.8","0270","RC","Both",,,"228","114","Clover","Medicare Advantage",,,"54",,"123.58","0.18","1007.5","percent of total billed charges",,
"STAPLES 90P-4.8","0270","RC","Both",,,"228","114","Wellcare","Medicare Advantage",,,"54",,"123.58","0.18","1007.5","percent of total billed charges",,
"STAPLES 90P-4.8","0270","RC","Both",,,"228","114","Amerigroup","Medicaid Managed Care",,,"37",,"83.45","0.18","1007.5","percent of total billed charges",,
"STAPLES 90P-4.8","0270","RC","Both",,,"228","114","Caresource","Medicaid Managed Care",,,"40",,"91.2","0.18","1007.5","percent of total billed charges",,
"STAPLES 90P-4.8","0270","RC","Both",,,"228","114","Wellcare","Medicaid Managed Care",,,"40",,"92.34","0.18","1007.5","percent of total billed charges",,
"STAPLES 90P-4.8","0270","RC","Both",,,"228","114","Aetna","Commercial",,,"64",,"145.46","0.18","1007.5","percent of total billed charges",,
"STAPLES 90P-4.8","0270","RC","Both",,,"228","114","Blue Cross Blue Shield","Pathways",,,"71",,"160.97","0.18","1007.5","percent of total billed charges",,
"STAPLES 90P-4.8","0270","RC","Both",,,"228","114","Blue Cross Blue Shield","HMO",,,"71",,"160.97","0.18","1007.5","percent of total billed charges",,
"STAPLES 90P-4.8","0270","RC","Both",,,"228","114","Blue Cross Blue Shield","PPO",,,"71",,"160.97","0.18","1007.5","percent of total billed charges",,
"STAPLES 90P-4.8","0270","RC","Both",,,"228","114","Ambetter","Health Exchange",,,"62",,"141.36","0.18","1007.5","percent of total billed charges",,
"STAPLES 90P-4.8","0270","RC","Both",,,"228","114","Caresource","Health Exchange",,,"62",,"141.36","0.18","1007.5","percent of total billed charges",,
"STAPLES 90P-4.8","0270","RC","Both",,,"228","114","Cigna","Commercial",,,"59",,"133.61","0.18","1007.5","percent of total billed charges",,
"STAPLES 90P-4.8","0270","RC","Both",,,"228","114","Humana","Commercial",,,"78",,"176.7","0.18","1007.5","percent of total billed charges",,
"STAPLES 90P-4.8","0270","RC","Both",,,"228","114","UHC","Commercial",,,"75",,"171.91","0.18","1007.5","percent of total billed charges",,
"STAPLES 90P-4.8","0270","RC","Both",,,"228","114","Medicaid",,,,"37",,"83.45","0.18","1007.5","percent of total billed charges",,
"STAPLES 55P-4.8","0270","RC","Both",,,"228","114","Alliant","Health Exchange",,,"62",,"141.36","0.18","1007.5","percent of total billed charges",,
"STAPLES 55P-4.8","0270","RC","Both",,,"228","114","Pruitt Healthcare","Medicare Advantage",,,"54",,"123.12","0.18","1007.5","percent of total billed charges",,
"STAPLES 55P-4.8","0270","RC","Both",,,"228","114","Medicare",,,,"54",,"123.58","0.18","1007.5","percent of total billed charges",,
"STAPLES 55P-4.8","0270","RC","Both",,,"228","114","Humana","Medicare Advantage",,,"54",,"123.58","0.18","1007.5","percent of total billed charges",,
"STAPLES 55P-4.8","0270","RC","Both",,,"228","114","UHC","Medicare Advantage",,,"54",,"123.58","0.18","1007.5","percent of total billed charges",,
"STAPLES 55P-4.8","0270","RC","Both",,,"228","114","Clover","Medicare Advantage",,,"54",,"123.58","0.18","1007.5","percent of total billed charges",,
"STAPLES 55P-4.8","0270","RC","Both",,,"228","114","Wellcare","Medicare Advantage",,,"54",,"123.58","0.18","1007.5","percent of total billed charges",,
"STAPLES 55P-4.8","0270","RC","Both",,,"228","114","Amerigroup","Medicaid Managed Care",,,"37",,"83.45","0.18","1007.5","percent of total billed charges",,
"STAPLES 55P-4.8","0270","RC","Both",,,"228","114","Caresource","Medicaid Managed Care",,,"40",,"91.2","0.18","1007.5","percent of total billed charges",,
"STAPLES 55P-4.8","0270","RC","Both",,,"228","114","Wellcare","Medicaid Managed Care",,,"40",,"92.34","0.18","1007.5","percent of total billed charges",,
"STAPLES 55P-4.8","0270","RC","Both",,,"228","114","Aetna","Commercial",,,"64",,"145.46","0.18","1007.5","percent of total billed charges",,
"STAPLES 55P-4.8","0270","RC","Both",,,"228","114","Blue Cross Blue Shield","Pathways",,,"71",,"160.97","0.18","1007.5","percent of total billed charges",,
"STAPLES 55P-4.8","0270","RC","Both",,,"228","114","Blue Cross Blue Shield","HMO",,,"71",,"160.97","0.18","1007.5","percent of total billed charges",,
"STAPLES 55P-4.8","0270","RC","Both",,,"228","114","Blue Cross Blue Shield","PPO",,,"71",,"160.97","0.18","1007.5","percent of total billed charges",,
"STAPLES 55P-4.8","0270","RC","Both",,,"228","114","Ambetter","Health Exchange",,,"62",,"141.36","0.18","1007.5","percent of total billed charges",,
"STAPLES 55P-4.8","0270","RC","Both",,,"228","114","Caresource","Health Exchange",,,"62",,"141.36","0.18","1007.5","percent of total billed charges",,
"STAPLES 55P-4.8","0270","RC","Both",,,"228","114","Cigna","Commercial",,,"59",,"133.61","0.18","1007.5","percent of total billed charges",,
"STAPLES 55P-4.8","0270","RC","Both",,,"228","114","Humana","Commercial",,,"78",,"176.7","0.18","1007.5","percent of total billed charges",,
"STAPLES 55P-4.8","0270","RC","Both",,,"228","114","UHC","Commercial",,,"75",,"171.91","0.18","1007.5","percent of total billed charges",,
"STAPLES 55P-4.8","0270","RC","Both",,,"228","114","Medicaid",,,,"37",,"83.45","0.18","1007.5","percent of total billed charges",,
"TEMP. PACING LEADS","0270","RC","Both",,,"293","146.5","Alliant","Health Exchange",,,"62",,"181.66","0.18","1007.5","percent of total billed charges",,
"TEMP. PACING LEADS","0270","RC","Both",,,"293","146.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"158.22","0.18","1007.5","percent of total billed charges",,
"TEMP. PACING LEADS","0270","RC","Both",,,"293","146.5","Medicare",,,,"54",,"158.81","0.18","1007.5","percent of total billed charges",,
"TEMP. PACING LEADS","0270","RC","Both",,,"293","146.5","Humana","Medicare Advantage",,,"54",,"158.81","0.18","1007.5","percent of total billed charges",,
"TEMP. PACING LEADS","0270","RC","Both",,,"293","146.5","UHC","Medicare Advantage",,,"54",,"158.81","0.18","1007.5","percent of total billed charges",,
"TEMP. PACING LEADS","0270","RC","Both",,,"293","146.5","Clover","Medicare Advantage",,,"54",,"158.81","0.18","1007.5","percent of total billed charges",,
"TEMP. PACING LEADS","0270","RC","Both",,,"293","146.5","Wellcare","Medicare Advantage",,,"54",,"158.81","0.18","1007.5","percent of total billed charges",,
"TEMP. PACING LEADS","0270","RC","Both",,,"293","146.5","Amerigroup","Medicaid Managed Care",,,"37",,"107.24","0.18","1007.5","percent of total billed charges",,
"TEMP. PACING LEADS","0270","RC","Both",,,"293","146.5","Caresource","Medicaid Managed Care",,,"40",,"117.2","0.18","1007.5","percent of total billed charges",,
"TEMP. PACING LEADS","0270","RC","Both",,,"293","146.5","Wellcare","Medicaid Managed Care",,,"40",,"118.66","0.18","1007.5","percent of total billed charges",,
"TEMP. PACING LEADS","0270","RC","Both",,,"293","146.5","Aetna","Commercial",,,"64",,"186.93","0.18","1007.5","percent of total billed charges",,
"TEMP. PACING LEADS","0270","RC","Both",,,"293","146.5","Blue Cross Blue Shield","Pathways",,,"71",,"206.86","0.18","1007.5","percent of total billed charges",,
"TEMP. PACING LEADS","0270","RC","Both",,,"293","146.5","Blue Cross Blue Shield","HMO",,,"71",,"206.86","0.18","1007.5","percent of total billed charges",,
"TEMP. PACING LEADS","0270","RC","Both",,,"293","146.5","Blue Cross Blue Shield","PPO",,,"71",,"206.86","0.18","1007.5","percent of total billed charges",,
"TEMP. PACING LEADS","0270","RC","Both",,,"293","146.5","Ambetter","Health Exchange",,,"62",,"181.66","0.18","1007.5","percent of total billed charges",,
"TEMP. PACING LEADS","0270","RC","Both",,,"293","146.5","Caresource","Health Exchange",,,"62",,"181.66","0.18","1007.5","percent of total billed charges",,
"TEMP. PACING LEADS","0270","RC","Both",,,"293","146.5","Cigna","Commercial",,,"59",,"171.7","0.18","1007.5","percent of total billed charges",,
"TEMP. PACING LEADS","0270","RC","Both",,,"293","146.5","Humana","Commercial",,,"78",,"227.08","0.18","1007.5","percent of total billed charges",,
"TEMP. PACING LEADS","0270","RC","Both",,,"293","146.5","UHC","Commercial",,,"75",,"220.92","0.18","1007.5","percent of total billed charges",,
"TEMP. PACING LEADS","0270","RC","Both",,,"293","146.5","Medicaid",,,,"37",,"107.24","0.18","1007.5","percent of total billed charges",,
"TEMP. PACE MAKER","0270","RC","Both",,,"244","122","Alliant","Health Exchange",,,"62",,"151.28","0.18","1007.5","percent of total billed charges",,
"TEMP. PACE MAKER","0270","RC","Both",,,"244","122","Pruitt Healthcare","Medicare Advantage",,,"54",,"131.76","0.18","1007.5","percent of total billed charges",,
"TEMP. PACE MAKER","0270","RC","Both",,,"244","122","Medicare",,,,"54",,"132.25","0.18","1007.5","percent of total billed charges",,
"TEMP. PACE MAKER","0270","RC","Both",,,"244","122","Humana","Medicare Advantage",,,"54",,"132.25","0.18","1007.5","percent of total billed charges",,
"TEMP. PACE MAKER","0270","RC","Both",,,"244","122","UHC","Medicare Advantage",,,"54",,"132.25","0.18","1007.5","percent of total billed charges",,
"TEMP. PACE MAKER","0270","RC","Both",,,"244","122","Clover","Medicare Advantage",,,"54",,"132.25","0.18","1007.5","percent of total billed charges",,
"TEMP. PACE MAKER","0270","RC","Both",,,"244","122","Wellcare","Medicare Advantage",,,"54",,"132.25","0.18","1007.5","percent of total billed charges",,
"TEMP. PACE MAKER","0270","RC","Both",,,"244","122","Amerigroup","Medicaid Managed Care",,,"37",,"89.3","0.18","1007.5","percent of total billed charges",,
"TEMP. PACE MAKER","0270","RC","Both",,,"244","122","Caresource","Medicaid Managed Care",,,"40",,"97.6","0.18","1007.5","percent of total billed charges",,
"TEMP. PACE MAKER","0270","RC","Both",,,"244","122","Wellcare","Medicaid Managed Care",,,"40",,"98.82","0.18","1007.5","percent of total billed charges",,
"TEMP. PACE MAKER","0270","RC","Both",,,"244","122","Aetna","Commercial",,,"64",,"155.67","0.18","1007.5","percent of total billed charges",,
"TEMP. PACE MAKER","0270","RC","Both",,,"244","122","Blue Cross Blue Shield","Pathways",,,"71",,"172.26","0.18","1007.5","percent of total billed charges",,
"TEMP. PACE MAKER","0270","RC","Both",,,"244","122","Blue Cross Blue Shield","HMO",,,"71",,"172.26","0.18","1007.5","percent of total billed charges",,
"TEMP. PACE MAKER","0270","RC","Both",,,"244","122","Blue Cross Blue Shield","PPO",,,"71",,"172.26","0.18","1007.5","percent of total billed charges",,
"TEMP. PACE MAKER","0270","RC","Both",,,"244","122","Ambetter","Health Exchange",,,"62",,"151.28","0.18","1007.5","percent of total billed charges",,
"TEMP. PACE MAKER","0270","RC","Both",,,"244","122","Caresource","Health Exchange",,,"62",,"151.28","0.18","1007.5","percent of total billed charges",,
"TEMP. PACE MAKER","0270","RC","Both",,,"244","122","Cigna","Commercial",,,"59",,"142.98","0.18","1007.5","percent of total billed charges",,
"TEMP. PACE MAKER","0270","RC","Both",,,"244","122","Humana","Commercial",,,"78",,"189.1","0.18","1007.5","percent of total billed charges",,
"TEMP. PACE MAKER","0270","RC","Both",,,"244","122","UHC","Commercial",,,"75",,"183.98","0.18","1007.5","percent of total billed charges",,
"TEMP. PACE MAKER","0270","RC","Both",,,"244","122","Medicaid",,,,"37",,"89.3","0.18","1007.5","percent of total billed charges",,
"DEFIBRILLATOR PADS","0270","RC","Both",,,"134","67","Alliant","Health Exchange",,,"62",,"83.08","0.18","1007.5","percent of total billed charges",,
"DEFIBRILLATOR PADS","0270","RC","Both",,,"134","67","Pruitt Healthcare","Medicare Advantage",,,"54",,"72.36","0.18","1007.5","percent of total billed charges",,
"DEFIBRILLATOR PADS","0270","RC","Both",,,"134","67","Medicare",,,,"54",,"72.63","0.18","1007.5","percent of total billed charges",,
"DEFIBRILLATOR PADS","0270","RC","Both",,,"134","67","Humana","Medicare Advantage",,,"54",,"72.63","0.18","1007.5","percent of total billed charges",,
"DEFIBRILLATOR PADS","0270","RC","Both",,,"134","67","UHC","Medicare Advantage",,,"54",,"72.63","0.18","1007.5","percent of total billed charges",,
"DEFIBRILLATOR PADS","0270","RC","Both",,,"134","67","Clover","Medicare Advantage",,,"54",,"72.63","0.18","1007.5","percent of total billed charges",,
"DEFIBRILLATOR PADS","0270","RC","Both",,,"134","67","Wellcare","Medicare Advantage",,,"54",,"72.63","0.18","1007.5","percent of total billed charges",,
"DEFIBRILLATOR PADS","0270","RC","Both",,,"134","67","Amerigroup","Medicaid Managed Care",,,"37",,"49.04","0.18","1007.5","percent of total billed charges",,
"DEFIBRILLATOR PADS","0270","RC","Both",,,"134","67","Caresource","Medicaid Managed Care",,,"40",,"53.6","0.18","1007.5","percent of total billed charges",,
"DEFIBRILLATOR PADS","0270","RC","Both",,,"134","67","Wellcare","Medicaid Managed Care",,,"40",,"54.27","0.18","1007.5","percent of total billed charges",,
"DEFIBRILLATOR PADS","0270","RC","Both",,,"134","67","Aetna","Commercial",,,"64",,"85.49","0.18","1007.5","percent of total billed charges",,
"DEFIBRILLATOR PADS","0270","RC","Both",,,"134","67","Blue Cross Blue Shield","Pathways",,,"71",,"94.6","0.18","1007.5","percent of total billed charges",,
"DEFIBRILLATOR PADS","0270","RC","Both",,,"134","67","Blue Cross Blue Shield","HMO",,,"71",,"94.6","0.18","1007.5","percent of total billed charges",,
"DEFIBRILLATOR PADS","0270","RC","Both",,,"134","67","Blue Cross Blue Shield","PPO",,,"71",,"94.6","0.18","1007.5","percent of total billed charges",,
"DEFIBRILLATOR PADS","0270","RC","Both",,,"134","67","Ambetter","Health Exchange",,,"62",,"83.08","0.18","1007.5","percent of total billed charges",,
"DEFIBRILLATOR PADS","0270","RC","Both",,,"134","67","Caresource","Health Exchange",,,"62",,"83.08","0.18","1007.5","percent of total billed charges",,
"DEFIBRILLATOR PADS","0270","RC","Both",,,"134","67","Cigna","Commercial",,,"59",,"78.52","0.18","1007.5","percent of total billed charges",,
"DEFIBRILLATOR PADS","0270","RC","Both",,,"134","67","Humana","Commercial",,,"78",,"103.85","0.18","1007.5","percent of total billed charges",,
"DEFIBRILLATOR PADS","0270","RC","Both",,,"134","67","UHC","Commercial",,,"75",,"101.04","0.18","1007.5","percent of total billed charges",,
"DEFIBRILLATOR PADS","0270","RC","Both",,,"134","67","Medicaid",,,,"37",,"49.04","0.18","1007.5","percent of total billed charges",,
"SKIN CLOSURE OP SITE","0270","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.18","1007.5","percent of total billed charges",,
"SKIN CLOSURE OP SITE","0270","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.18","1007.5","percent of total billed charges",,
"SKIN CLOSURE OP SITE","0270","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.18","1007.5","percent of total billed charges",,
"SKIN CLOSURE OP SITE","0270","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.18","1007.5","percent of total billed charges",,
"SKIN CLOSURE OP SITE","0270","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.18","1007.5","percent of total billed charges",,
"SKIN CLOSURE OP SITE","0270","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.18","1007.5","percent of total billed charges",,
"SKIN CLOSURE OP SITE","0270","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.18","1007.5","percent of total billed charges",,
"SKIN CLOSURE OP SITE","0270","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.18","1007.5","percent of total billed charges",,
"SKIN CLOSURE OP SITE","0270","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.18","1007.5","percent of total billed charges",,
"SKIN CLOSURE OP SITE","0270","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.18","1007.5","percent of total billed charges",,
"SKIN CLOSURE OP SITE","0270","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.18","1007.5","percent of total billed charges",,
"SKIN CLOSURE OP SITE","0270","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.18","1007.5","percent of total billed charges",,
"SKIN CLOSURE OP SITE","0270","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.18","1007.5","percent of total billed charges",,
"SKIN CLOSURE OP SITE","0270","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.18","1007.5","percent of total billed charges",,
"SKIN CLOSURE OP SITE","0270","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.18","1007.5","percent of total billed charges",,
"SKIN CLOSURE OP SITE","0270","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.18","1007.5","percent of total billed charges",,
"SKIN CLOSURE OP SITE","0270","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.18","1007.5","percent of total billed charges",,
"SKIN CLOSURE OP SITE","0270","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.18","1007.5","percent of total billed charges",,
"SKIN CLOSURE OP SITE","0270","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.18","1007.5","percent of total billed charges",,
"SKIN CLOSURE OP SITE","0270","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER MEDIUM 22","0270","RC","Both",,,"40","20","Alliant","Health Exchange",,,"62",,"24.8","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER MEDIUM 22","0270","RC","Both",,,"40","20","Pruitt Healthcare","Medicare Advantage",,,"54",,"21.6","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER MEDIUM 22","0270","RC","Both",,,"40","20","Medicare",,,,"54",,"21.68","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER MEDIUM 22","0270","RC","Both",,,"40","20","Humana","Medicare Advantage",,,"54",,"21.68","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER MEDIUM 22","0270","RC","Both",,,"40","20","UHC","Medicare Advantage",,,"54",,"21.68","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER MEDIUM 22","0270","RC","Both",,,"40","20","Clover","Medicare Advantage",,,"54",,"21.68","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER MEDIUM 22","0270","RC","Both",,,"40","20","Wellcare","Medicare Advantage",,,"54",,"21.68","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER MEDIUM 22","0270","RC","Both",,,"40","20","Amerigroup","Medicaid Managed Care",,,"37",,"14.64","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER MEDIUM 22","0270","RC","Both",,,"40","20","Caresource","Medicaid Managed Care",,,"40",,"16","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER MEDIUM 22","0270","RC","Both",,,"40","20","Wellcare","Medicaid Managed Care",,,"40",,"16.2","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER MEDIUM 22","0270","RC","Both",,,"40","20","Aetna","Commercial",,,"64",,"25.52","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER MEDIUM 22","0270","RC","Both",,,"40","20","Blue Cross Blue Shield","Pathways",,,"71",,"28.24","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER MEDIUM 22","0270","RC","Both",,,"40","20","Blue Cross Blue Shield","HMO",,,"71",,"28.24","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER MEDIUM 22","0270","RC","Both",,,"40","20","Blue Cross Blue Shield","PPO",,,"71",,"28.24","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER MEDIUM 22","0270","RC","Both",,,"40","20","Ambetter","Health Exchange",,,"62",,"24.8","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER MEDIUM 22","0270","RC","Both",,,"40","20","Caresource","Health Exchange",,,"62",,"24.8","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER MEDIUM 22","0270","RC","Both",,,"40","20","Cigna","Commercial",,,"59",,"23.44","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER MEDIUM 22","0270","RC","Both",,,"40","20","Humana","Commercial",,,"78",,"31","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER MEDIUM 22","0270","RC","Both",,,"40","20","UHC","Commercial",,,"75",,"30.16","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER MEDIUM 22","0270","RC","Both",,,"40","20","Medicaid",,,,"37",,"14.64","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER LARGE 22","0270","RC","Both",,,"40","20","Alliant","Health Exchange",,,"62",,"24.8","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER LARGE 22","0270","RC","Both",,,"40","20","Pruitt Healthcare","Medicare Advantage",,,"54",,"21.6","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER LARGE 22","0270","RC","Both",,,"40","20","Medicare",,,,"54",,"21.68","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER LARGE 22","0270","RC","Both",,,"40","20","Humana","Medicare Advantage",,,"54",,"21.68","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER LARGE 22","0270","RC","Both",,,"40","20","UHC","Medicare Advantage",,,"54",,"21.68","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER LARGE 22","0270","RC","Both",,,"40","20","Clover","Medicare Advantage",,,"54",,"21.68","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER LARGE 22","0270","RC","Both",,,"40","20","Wellcare","Medicare Advantage",,,"54",,"21.68","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER LARGE 22","0270","RC","Both",,,"40","20","Amerigroup","Medicaid Managed Care",,,"37",,"14.64","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER LARGE 22","0270","RC","Both",,,"40","20","Caresource","Medicaid Managed Care",,,"40",,"16","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER LARGE 22","0270","RC","Both",,,"40","20","Wellcare","Medicaid Managed Care",,,"40",,"16.2","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER LARGE 22","0270","RC","Both",,,"40","20","Aetna","Commercial",,,"64",,"25.52","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER LARGE 22","0270","RC","Both",,,"40","20","Blue Cross Blue Shield","Pathways",,,"71",,"28.24","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER LARGE 22","0270","RC","Both",,,"40","20","Blue Cross Blue Shield","HMO",,,"71",,"28.24","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER LARGE 22","0270","RC","Both",,,"40","20","Blue Cross Blue Shield","PPO",,,"71",,"28.24","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER LARGE 22","0270","RC","Both",,,"40","20","Ambetter","Health Exchange",,,"62",,"24.8","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER LARGE 22","0270","RC","Both",,,"40","20","Caresource","Health Exchange",,,"62",,"24.8","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER LARGE 22","0270","RC","Both",,,"40","20","Cigna","Commercial",,,"59",,"23.44","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER LARGE 22","0270","RC","Both",,,"40","20","Humana","Commercial",,,"78",,"31","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER LARGE 22","0270","RC","Both",,,"40","20","UHC","Commercial",,,"75",,"30.16","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER LARGE 22","0270","RC","Both",,,"40","20","Medicaid",,,,"37",,"14.64","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER EXTRA LARGE 22","0270","RC","Both",,,"40","20","Alliant","Health Exchange",,,"62",,"24.8","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER EXTRA LARGE 22","0270","RC","Both",,,"40","20","Pruitt Healthcare","Medicare Advantage",,,"54",,"21.6","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER EXTRA LARGE 22","0270","RC","Both",,,"40","20","Medicare",,,,"54",,"21.68","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER EXTRA LARGE 22","0270","RC","Both",,,"40","20","Humana","Medicare Advantage",,,"54",,"21.68","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER EXTRA LARGE 22","0270","RC","Both",,,"40","20","UHC","Medicare Advantage",,,"54",,"21.68","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER EXTRA LARGE 22","0270","RC","Both",,,"40","20","Clover","Medicare Advantage",,,"54",,"21.68","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER EXTRA LARGE 22","0270","RC","Both",,,"40","20","Wellcare","Medicare Advantage",,,"54",,"21.68","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER EXTRA LARGE 22","0270","RC","Both",,,"40","20","Amerigroup","Medicaid Managed Care",,,"37",,"14.64","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER EXTRA LARGE 22","0270","RC","Both",,,"40","20","Caresource","Medicaid Managed Care",,,"40",,"16","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER EXTRA LARGE 22","0270","RC","Both",,,"40","20","Wellcare","Medicaid Managed Care",,,"40",,"16.2","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER EXTRA LARGE 22","0270","RC","Both",,,"40","20","Aetna","Commercial",,,"64",,"25.52","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER EXTRA LARGE 22","0270","RC","Both",,,"40","20","Blue Cross Blue Shield","Pathways",,,"71",,"28.24","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER EXTRA LARGE 22","0270","RC","Both",,,"40","20","Blue Cross Blue Shield","HMO",,,"71",,"28.24","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER EXTRA LARGE 22","0270","RC","Both",,,"40","20","Blue Cross Blue Shield","PPO",,,"71",,"28.24","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER EXTRA LARGE 22","0270","RC","Both",,,"40","20","Ambetter","Health Exchange",,,"62",,"24.8","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER EXTRA LARGE 22","0270","RC","Both",,,"40","20","Caresource","Health Exchange",,,"62",,"24.8","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER EXTRA LARGE 22","0270","RC","Both",,,"40","20","Cigna","Commercial",,,"59",,"23.44","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER EXTRA LARGE 22","0270","RC","Both",,,"40","20","Humana","Commercial",,,"78",,"31","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER EXTRA LARGE 22","0270","RC","Both",,,"40","20","UHC","Commercial",,,"75",,"30.16","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOBILIZER EXTRA LARGE 22","0270","RC","Both",,,"40","20","Medicaid",,,,"37",,"14.64","0.18","1007.5","percent of total billed charges",,
"POSTERIOR SPLINT","0270","RC","Both",,,"130","65","Alliant","Health Exchange",,,"62",,"80.6","0.18","1007.5","percent of total billed charges",,
"POSTERIOR SPLINT","0270","RC","Both",,,"130","65","Pruitt Healthcare","Medicare Advantage",,,"54",,"70.2","0.18","1007.5","percent of total billed charges",,
"POSTERIOR SPLINT","0270","RC","Both",,,"130","65","Medicare",,,,"54",,"70.46","0.18","1007.5","percent of total billed charges",,
"POSTERIOR SPLINT","0270","RC","Both",,,"130","65","Humana","Medicare Advantage",,,"54",,"70.46","0.18","1007.5","percent of total billed charges",,
"POSTERIOR SPLINT","0270","RC","Both",,,"130","65","UHC","Medicare Advantage",,,"54",,"70.46","0.18","1007.5","percent of total billed charges",,
"POSTERIOR SPLINT","0270","RC","Both",,,"130","65","Clover","Medicare Advantage",,,"54",,"70.46","0.18","1007.5","percent of total billed charges",,
"POSTERIOR SPLINT","0270","RC","Both",,,"130","65","Wellcare","Medicare Advantage",,,"54",,"70.46","0.18","1007.5","percent of total billed charges",,
"POSTERIOR SPLINT","0270","RC","Both",,,"130","65","Amerigroup","Medicaid Managed Care",,,"37",,"47.58","0.18","1007.5","percent of total billed charges",,
"POSTERIOR SPLINT","0270","RC","Both",,,"130","65","Caresource","Medicaid Managed Care",,,"40",,"52","0.18","1007.5","percent of total billed charges",,
"POSTERIOR SPLINT","0270","RC","Both",,,"130","65","Wellcare","Medicaid Managed Care",,,"40",,"52.65","0.18","1007.5","percent of total billed charges",,
"POSTERIOR SPLINT","0270","RC","Both",,,"130","65","Aetna","Commercial",,,"64",,"82.94","0.18","1007.5","percent of total billed charges",,
"POSTERIOR SPLINT","0270","RC","Both",,,"130","65","Blue Cross Blue Shield","Pathways",,,"71",,"91.78","0.18","1007.5","percent of total billed charges",,
"POSTERIOR SPLINT","0270","RC","Both",,,"130","65","Blue Cross Blue Shield","HMO",,,"71",,"91.78","0.18","1007.5","percent of total billed charges",,
"POSTERIOR SPLINT","0270","RC","Both",,,"130","65","Blue Cross Blue Shield","PPO",,,"71",,"91.78","0.18","1007.5","percent of total billed charges",,
"POSTERIOR SPLINT","0270","RC","Both",,,"130","65","Ambetter","Health Exchange",,,"62",,"80.6","0.18","1007.5","percent of total billed charges",,
"POSTERIOR SPLINT","0270","RC","Both",,,"130","65","Caresource","Health Exchange",,,"62",,"80.6","0.18","1007.5","percent of total billed charges",,
"POSTERIOR SPLINT","0270","RC","Both",,,"130","65","Cigna","Commercial",,,"59",,"76.18","0.18","1007.5","percent of total billed charges",,
"POSTERIOR SPLINT","0270","RC","Both",,,"130","65","Humana","Commercial",,,"78",,"100.75","0.18","1007.5","percent of total billed charges",,
"POSTERIOR SPLINT","0270","RC","Both",,,"130","65","UHC","Commercial",,,"75",,"98.02","0.18","1007.5","percent of total billed charges",,
"POSTERIOR SPLINT","0270","RC","Both",,,"130","65","Medicaid",,,,"37",,"47.58","0.18","1007.5","percent of total billed charges",,
"KNEE IMMORILIZER","0270","RC","Both",,,"41","20.5","Alliant","Health Exchange",,,"62",,"25.42","0.18","1007.5","percent of total billed charges",,
"KNEE IMMORILIZER","0270","RC","Both",,,"41","20.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"22.14","0.18","1007.5","percent of total billed charges",,
"KNEE IMMORILIZER","0270","RC","Both",,,"41","20.5","Medicare",,,,"54",,"22.22","0.18","1007.5","percent of total billed charges",,
"KNEE IMMORILIZER","0270","RC","Both",,,"41","20.5","Humana","Medicare Advantage",,,"54",,"22.22","0.18","1007.5","percent of total billed charges",,
"KNEE IMMORILIZER","0270","RC","Both",,,"41","20.5","UHC","Medicare Advantage",,,"54",,"22.22","0.18","1007.5","percent of total billed charges",,
"KNEE IMMORILIZER","0270","RC","Both",,,"41","20.5","Clover","Medicare Advantage",,,"54",,"22.22","0.18","1007.5","percent of total billed charges",,
"KNEE IMMORILIZER","0270","RC","Both",,,"41","20.5","Wellcare","Medicare Advantage",,,"54",,"22.22","0.18","1007.5","percent of total billed charges",,
"KNEE IMMORILIZER","0270","RC","Both",,,"41","20.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.01","0.18","1007.5","percent of total billed charges",,
"KNEE IMMORILIZER","0270","RC","Both",,,"41","20.5","Caresource","Medicaid Managed Care",,,"40",,"16.4","0.18","1007.5","percent of total billed charges",,
"KNEE IMMORILIZER","0270","RC","Both",,,"41","20.5","Wellcare","Medicaid Managed Care",,,"40",,"16.6","0.18","1007.5","percent of total billed charges",,
"KNEE IMMORILIZER","0270","RC","Both",,,"41","20.5","Aetna","Commercial",,,"64",,"26.16","0.18","1007.5","percent of total billed charges",,
"KNEE IMMORILIZER","0270","RC","Both",,,"41","20.5","Blue Cross Blue Shield","Pathways",,,"71",,"28.95","0.18","1007.5","percent of total billed charges",,
"KNEE IMMORILIZER","0270","RC","Both",,,"41","20.5","Blue Cross Blue Shield","HMO",,,"71",,"28.95","0.18","1007.5","percent of total billed charges",,
"KNEE IMMORILIZER","0270","RC","Both",,,"41","20.5","Blue Cross Blue Shield","PPO",,,"71",,"28.95","0.18","1007.5","percent of total billed charges",,
"KNEE IMMORILIZER","0270","RC","Both",,,"41","20.5","Ambetter","Health Exchange",,,"62",,"25.42","0.18","1007.5","percent of total billed charges",,
"KNEE IMMORILIZER","0270","RC","Both",,,"41","20.5","Caresource","Health Exchange",,,"62",,"25.42","0.18","1007.5","percent of total billed charges",,
"KNEE IMMORILIZER","0270","RC","Both",,,"41","20.5","Cigna","Commercial",,,"59",,"24.03","0.18","1007.5","percent of total billed charges",,
"KNEE IMMORILIZER","0270","RC","Both",,,"41","20.5","Humana","Commercial",,,"78",,"31.78","0.18","1007.5","percent of total billed charges",,
"KNEE IMMORILIZER","0270","RC","Both",,,"41","20.5","UHC","Commercial",,,"75",,"30.91","0.18","1007.5","percent of total billed charges",,
"KNEE IMMORILIZER","0270","RC","Both",,,"41","20.5","Medicaid",,,,"37",,"15.01","0.18","1007.5","percent of total billed charges",,
"KNEE BRACE","0270","RC","Both",,,"61","30.5","Alliant","Health Exchange",,,"62",,"37.82","0.18","1007.5","percent of total billed charges",,
"KNEE BRACE","0270","RC","Both",,,"61","30.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"32.94","0.18","1007.5","percent of total billed charges",,
"KNEE BRACE","0270","RC","Both",,,"61","30.5","Medicare",,,,"54",,"33.06","0.18","1007.5","percent of total billed charges",,
"KNEE BRACE","0270","RC","Both",,,"61","30.5","Humana","Medicare Advantage",,,"54",,"33.06","0.18","1007.5","percent of total billed charges",,
"KNEE BRACE","0270","RC","Both",,,"61","30.5","UHC","Medicare Advantage",,,"54",,"33.06","0.18","1007.5","percent of total billed charges",,
"KNEE BRACE","0270","RC","Both",,,"61","30.5","Clover","Medicare Advantage",,,"54",,"33.06","0.18","1007.5","percent of total billed charges",,
"KNEE BRACE","0270","RC","Both",,,"61","30.5","Wellcare","Medicare Advantage",,,"54",,"33.06","0.18","1007.5","percent of total billed charges",,
"KNEE BRACE","0270","RC","Both",,,"61","30.5","Amerigroup","Medicaid Managed Care",,,"37",,"22.33","0.18","1007.5","percent of total billed charges",,
"KNEE BRACE","0270","RC","Both",,,"61","30.5","Caresource","Medicaid Managed Care",,,"40",,"24.4","0.18","1007.5","percent of total billed charges",,
"KNEE BRACE","0270","RC","Both",,,"61","30.5","Wellcare","Medicaid Managed Care",,,"40",,"24.7","0.18","1007.5","percent of total billed charges",,
"KNEE BRACE","0270","RC","Both",,,"61","30.5","Aetna","Commercial",,,"64",,"38.92","0.18","1007.5","percent of total billed charges",,
"KNEE BRACE","0270","RC","Both",,,"61","30.5","Blue Cross Blue Shield","Pathways",,,"71",,"43.07","0.18","1007.5","percent of total billed charges",,
"KNEE BRACE","0270","RC","Both",,,"61","30.5","Blue Cross Blue Shield","HMO",,,"71",,"43.07","0.18","1007.5","percent of total billed charges",,
"KNEE BRACE","0270","RC","Both",,,"61","30.5","Blue Cross Blue Shield","PPO",,,"71",,"43.07","0.18","1007.5","percent of total billed charges",,
"KNEE BRACE","0270","RC","Both",,,"61","30.5","Ambetter","Health Exchange",,,"62",,"37.82","0.18","1007.5","percent of total billed charges",,
"KNEE BRACE","0270","RC","Both",,,"61","30.5","Caresource","Health Exchange",,,"62",,"37.82","0.18","1007.5","percent of total billed charges",,
"KNEE BRACE","0270","RC","Both",,,"61","30.5","Cigna","Commercial",,,"59",,"35.75","0.18","1007.5","percent of total billed charges",,
"KNEE BRACE","0270","RC","Both",,,"61","30.5","Humana","Commercial",,,"78",,"47.28","0.18","1007.5","percent of total billed charges",,
"KNEE BRACE","0270","RC","Both",,,"61","30.5","UHC","Commercial",,,"75",,"45.99","0.18","1007.5","percent of total billed charges",,
"KNEE BRACE","0270","RC","Both",,,"61","30.5","Medicaid",,,,"37",,"22.33","0.18","1007.5","percent of total billed charges",,
"KNEE BRACE-HINGED","0270","RC","Both",,,"61","30.5","Alliant","Health Exchange",,,"62",,"37.82","0.18","1007.5","percent of total billed charges",,
"KNEE BRACE-HINGED","0270","RC","Both",,,"61","30.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"32.94","0.18","1007.5","percent of total billed charges",,
"KNEE BRACE-HINGED","0270","RC","Both",,,"61","30.5","Medicare",,,,"54",,"33.06","0.18","1007.5","percent of total billed charges",,
"KNEE BRACE-HINGED","0270","RC","Both",,,"61","30.5","Humana","Medicare Advantage",,,"54",,"33.06","0.18","1007.5","percent of total billed charges",,
"KNEE BRACE-HINGED","0270","RC","Both",,,"61","30.5","UHC","Medicare Advantage",,,"54",,"33.06","0.18","1007.5","percent of total billed charges",,
"KNEE BRACE-HINGED","0270","RC","Both",,,"61","30.5","Clover","Medicare Advantage",,,"54",,"33.06","0.18","1007.5","percent of total billed charges",,
"KNEE BRACE-HINGED","0270","RC","Both",,,"61","30.5","Wellcare","Medicare Advantage",,,"54",,"33.06","0.18","1007.5","percent of total billed charges",,
"KNEE BRACE-HINGED","0270","RC","Both",,,"61","30.5","Amerigroup","Medicaid Managed Care",,,"37",,"22.33","0.18","1007.5","percent of total billed charges",,
"KNEE BRACE-HINGED","0270","RC","Both",,,"61","30.5","Caresource","Medicaid Managed Care",,,"40",,"24.4","0.18","1007.5","percent of total billed charges",,
"KNEE BRACE-HINGED","0270","RC","Both",,,"61","30.5","Wellcare","Medicaid Managed Care",,,"40",,"24.7","0.18","1007.5","percent of total billed charges",,
"KNEE BRACE-HINGED","0270","RC","Both",,,"61","30.5","Aetna","Commercial",,,"64",,"38.92","0.18","1007.5","percent of total billed charges",,
"KNEE BRACE-HINGED","0270","RC","Both",,,"61","30.5","Blue Cross Blue Shield","Pathways",,,"71",,"43.07","0.18","1007.5","percent of total billed charges",,
"KNEE BRACE-HINGED","0270","RC","Both",,,"61","30.5","Blue Cross Blue Shield","HMO",,,"71",,"43.07","0.18","1007.5","percent of total billed charges",,
"KNEE BRACE-HINGED","0270","RC","Both",,,"61","30.5","Blue Cross Blue Shield","PPO",,,"71",,"43.07","0.18","1007.5","percent of total billed charges",,
"KNEE BRACE-HINGED","0270","RC","Both",,,"61","30.5","Ambetter","Health Exchange",,,"62",,"37.82","0.18","1007.5","percent of total billed charges",,
"KNEE BRACE-HINGED","0270","RC","Both",,,"61","30.5","Caresource","Health Exchange",,,"62",,"37.82","0.18","1007.5","percent of total billed charges",,
"KNEE BRACE-HINGED","0270","RC","Both",,,"61","30.5","Cigna","Commercial",,,"59",,"35.75","0.18","1007.5","percent of total billed charges",,
"KNEE BRACE-HINGED","0270","RC","Both",,,"61","30.5","Humana","Commercial",,,"78",,"47.28","0.18","1007.5","percent of total billed charges",,
"KNEE BRACE-HINGED","0270","RC","Both",,,"61","30.5","UHC","Commercial",,,"75",,"45.99","0.18","1007.5","percent of total billed charges",,
"KNEE BRACE-HINGED","0270","RC","Both",,,"61","30.5","Medicaid",,,,"37",,"22.33","0.18","1007.5","percent of total billed charges",,
"FOOT LIFT","0270","RC","Both",,,"49","24.5","Alliant","Health Exchange",,,"62",,"30.38","0.18","1007.5","percent of total billed charges",,
"FOOT LIFT","0270","RC","Both",,,"49","24.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"26.46","0.18","1007.5","percent of total billed charges",,
"FOOT LIFT","0270","RC","Both",,,"49","24.5","Medicare",,,,"54",,"26.56","0.18","1007.5","percent of total billed charges",,
"FOOT LIFT","0270","RC","Both",,,"49","24.5","Humana","Medicare Advantage",,,"54",,"26.56","0.18","1007.5","percent of total billed charges",,
"FOOT LIFT","0270","RC","Both",,,"49","24.5","UHC","Medicare Advantage",,,"54",,"26.56","0.18","1007.5","percent of total billed charges",,
"FOOT LIFT","0270","RC","Both",,,"49","24.5","Clover","Medicare Advantage",,,"54",,"26.56","0.18","1007.5","percent of total billed charges",,
"FOOT LIFT","0270","RC","Both",,,"49","24.5","Wellcare","Medicare Advantage",,,"54",,"26.56","0.18","1007.5","percent of total billed charges",,
"FOOT LIFT","0270","RC","Both",,,"49","24.5","Amerigroup","Medicaid Managed Care",,,"37",,"17.93","0.18","1007.5","percent of total billed charges",,
"FOOT LIFT","0270","RC","Both",,,"49","24.5","Caresource","Medicaid Managed Care",,,"40",,"19.6","0.18","1007.5","percent of total billed charges",,
"FOOT LIFT","0270","RC","Both",,,"49","24.5","Wellcare","Medicaid Managed Care",,,"40",,"19.85","0.18","1007.5","percent of total billed charges",,
"FOOT LIFT","0270","RC","Both",,,"49","24.5","Aetna","Commercial",,,"64",,"31.26","0.18","1007.5","percent of total billed charges",,
"FOOT LIFT","0270","RC","Both",,,"49","24.5","Blue Cross Blue Shield","Pathways",,,"71",,"34.59","0.18","1007.5","percent of total billed charges",,
"FOOT LIFT","0270","RC","Both",,,"49","24.5","Blue Cross Blue Shield","HMO",,,"71",,"34.59","0.18","1007.5","percent of total billed charges",,
"FOOT LIFT","0270","RC","Both",,,"49","24.5","Blue Cross Blue Shield","PPO",,,"71",,"34.59","0.18","1007.5","percent of total billed charges",,
"FOOT LIFT","0270","RC","Both",,,"49","24.5","Ambetter","Health Exchange",,,"62",,"30.38","0.18","1007.5","percent of total billed charges",,
"FOOT LIFT","0270","RC","Both",,,"49","24.5","Caresource","Health Exchange",,,"62",,"30.38","0.18","1007.5","percent of total billed charges",,
"FOOT LIFT","0270","RC","Both",,,"49","24.5","Cigna","Commercial",,,"59",,"28.71","0.18","1007.5","percent of total billed charges",,
"FOOT LIFT","0270","RC","Both",,,"49","24.5","Humana","Commercial",,,"78",,"37.98","0.18","1007.5","percent of total billed charges",,
"FOOT LIFT","0270","RC","Both",,,"49","24.5","UHC","Commercial",,,"75",,"36.95","0.18","1007.5","percent of total billed charges",,
"FOOT LIFT","0270","RC","Both",,,"49","24.5","Medicaid",,,,"37",,"17.93","0.18","1007.5","percent of total billed charges",,
"PED STYLET","0270","RC","Both",,,"9","4.5","Alliant","Health Exchange",,,"62",,"5.58","0.18","1007.5","percent of total billed charges",,
"PED STYLET","0270","RC","Both",,,"9","4.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.86","0.18","1007.5","percent of total billed charges",,
"PED STYLET","0270","RC","Both",,,"9","4.5","Medicare",,,,"54",,"4.88","0.18","1007.5","percent of total billed charges",,
"PED STYLET","0270","RC","Both",,,"9","4.5","Humana","Medicare Advantage",,,"54",,"4.88","0.18","1007.5","percent of total billed charges",,
"PED STYLET","0270","RC","Both",,,"9","4.5","UHC","Medicare Advantage",,,"54",,"4.88","0.18","1007.5","percent of total billed charges",,
"PED STYLET","0270","RC","Both",,,"9","4.5","Clover","Medicare Advantage",,,"54",,"4.88","0.18","1007.5","percent of total billed charges",,
"PED STYLET","0270","RC","Both",,,"9","4.5","Wellcare","Medicare Advantage",,,"54",,"4.88","0.18","1007.5","percent of total billed charges",,
"PED STYLET","0270","RC","Both",,,"9","4.5","Amerigroup","Medicaid Managed Care",,,"37",,"3.29","0.18","1007.5","percent of total billed charges",,
"PED STYLET","0270","RC","Both",,,"9","4.5","Caresource","Medicaid Managed Care",,,"40",,"3.6","0.18","1007.5","percent of total billed charges",,
"PED STYLET","0270","RC","Both",,,"9","4.5","Wellcare","Medicaid Managed Care",,,"40",,"3.65","0.18","1007.5","percent of total billed charges",,
"PED STYLET","0270","RC","Both",,,"9","4.5","Aetna","Commercial",,,"64",,"5.74","0.18","1007.5","percent of total billed charges",,
"PED STYLET","0270","RC","Both",,,"9","4.5","Blue Cross Blue Shield","Pathways",,,"71",,"6.35","0.18","1007.5","percent of total billed charges",,
"PED STYLET","0270","RC","Both",,,"9","4.5","Blue Cross Blue Shield","HMO",,,"71",,"6.35","0.18","1007.5","percent of total billed charges",,
"PED STYLET","0270","RC","Both",,,"9","4.5","Blue Cross Blue Shield","PPO",,,"71",,"6.35","0.18","1007.5","percent of total billed charges",,
"PED STYLET","0270","RC","Both",,,"9","4.5","Ambetter","Health Exchange",,,"62",,"5.58","0.18","1007.5","percent of total billed charges",,
"PED STYLET","0270","RC","Both",,,"9","4.5","Caresource","Health Exchange",,,"62",,"5.58","0.18","1007.5","percent of total billed charges",,
"PED STYLET","0270","RC","Both",,,"9","4.5","Cigna","Commercial",,,"59",,"5.27","0.18","1007.5","percent of total billed charges",,
"PED STYLET","0270","RC","Both",,,"9","4.5","Humana","Commercial",,,"78",,"6.98","0.18","1007.5","percent of total billed charges",,
"PED STYLET","0270","RC","Both",,,"9","4.5","UHC","Commercial",,,"75",,"6.79","0.18","1007.5","percent of total billed charges",,
"PED STYLET","0270","RC","Both",,,"9","4.5","Medicaid",,,,"37",,"3.29","0.18","1007.5","percent of total billed charges",,
"SARATOGA SUMP DRAIN","0270","RC","Both",,,"49","24.5","Alliant","Health Exchange",,,"62",,"30.38","0.18","1007.5","percent of total billed charges",,
"SARATOGA SUMP DRAIN","0270","RC","Both",,,"49","24.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"26.46","0.18","1007.5","percent of total billed charges",,
"SARATOGA SUMP DRAIN","0270","RC","Both",,,"49","24.5","Medicare",,,,"54",,"26.56","0.18","1007.5","percent of total billed charges",,
"SARATOGA SUMP DRAIN","0270","RC","Both",,,"49","24.5","Humana","Medicare Advantage",,,"54",,"26.56","0.18","1007.5","percent of total billed charges",,
"SARATOGA SUMP DRAIN","0270","RC","Both",,,"49","24.5","UHC","Medicare Advantage",,,"54",,"26.56","0.18","1007.5","percent of total billed charges",,
"SARATOGA SUMP DRAIN","0270","RC","Both",,,"49","24.5","Clover","Medicare Advantage",,,"54",,"26.56","0.18","1007.5","percent of total billed charges",,
"SARATOGA SUMP DRAIN","0270","RC","Both",,,"49","24.5","Wellcare","Medicare Advantage",,,"54",,"26.56","0.18","1007.5","percent of total billed charges",,
"SARATOGA SUMP DRAIN","0270","RC","Both",,,"49","24.5","Amerigroup","Medicaid Managed Care",,,"37",,"17.93","0.18","1007.5","percent of total billed charges",,
"SARATOGA SUMP DRAIN","0270","RC","Both",,,"49","24.5","Caresource","Medicaid Managed Care",,,"40",,"19.6","0.18","1007.5","percent of total billed charges",,
"SARATOGA SUMP DRAIN","0270","RC","Both",,,"49","24.5","Wellcare","Medicaid Managed Care",,,"40",,"19.85","0.18","1007.5","percent of total billed charges",,
"SARATOGA SUMP DRAIN","0270","RC","Both",,,"49","24.5","Aetna","Commercial",,,"64",,"31.26","0.18","1007.5","percent of total billed charges",,
"SARATOGA SUMP DRAIN","0270","RC","Both",,,"49","24.5","Blue Cross Blue Shield","Pathways",,,"71",,"34.59","0.18","1007.5","percent of total billed charges",,
"SARATOGA SUMP DRAIN","0270","RC","Both",,,"49","24.5","Blue Cross Blue Shield","HMO",,,"71",,"34.59","0.18","1007.5","percent of total billed charges",,
"SARATOGA SUMP DRAIN","0270","RC","Both",,,"49","24.5","Blue Cross Blue Shield","PPO",,,"71",,"34.59","0.18","1007.5","percent of total billed charges",,
"SARATOGA SUMP DRAIN","0270","RC","Both",,,"49","24.5","Ambetter","Health Exchange",,,"62",,"30.38","0.18","1007.5","percent of total billed charges",,
"SARATOGA SUMP DRAIN","0270","RC","Both",,,"49","24.5","Caresource","Health Exchange",,,"62",,"30.38","0.18","1007.5","percent of total billed charges",,
"SARATOGA SUMP DRAIN","0270","RC","Both",,,"49","24.5","Cigna","Commercial",,,"59",,"28.71","0.18","1007.5","percent of total billed charges",,
"SARATOGA SUMP DRAIN","0270","RC","Both",,,"49","24.5","Humana","Commercial",,,"78",,"37.98","0.18","1007.5","percent of total billed charges",,
"SARATOGA SUMP DRAIN","0270","RC","Both",,,"49","24.5","UHC","Commercial",,,"75",,"36.95","0.18","1007.5","percent of total billed charges",,
"SARATOGA SUMP DRAIN","0270","RC","Both",,,"49","24.5","Medicaid",,,,"37",,"17.93","0.18","1007.5","percent of total billed charges",,
"HOT/COLD APCK","0270","RC","Both",,,"14","7","Alliant","Health Exchange",,,"62",,"8.68","0.18","1007.5","percent of total billed charges",,
"HOT/COLD APCK","0270","RC","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.56","0.18","1007.5","percent of total billed charges",,
"HOT/COLD APCK","0270","RC","Both",,,"14","7","Medicare",,,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"HOT/COLD APCK","0270","RC","Both",,,"14","7","Humana","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"HOT/COLD APCK","0270","RC","Both",,,"14","7","UHC","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"HOT/COLD APCK","0270","RC","Both",,,"14","7","Clover","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"HOT/COLD APCK","0270","RC","Both",,,"14","7","Wellcare","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"HOT/COLD APCK","0270","RC","Both",,,"14","7","Amerigroup","Medicaid Managed Care",,,"37",,"5.12","0.18","1007.5","percent of total billed charges",,
"HOT/COLD APCK","0270","RC","Both",,,"14","7","Caresource","Medicaid Managed Care",,,"40",,"5.6","0.18","1007.5","percent of total billed charges",,
"HOT/COLD APCK","0270","RC","Both",,,"14","7","Wellcare","Medicaid Managed Care",,,"40",,"5.67","0.18","1007.5","percent of total billed charges",,
"HOT/COLD APCK","0270","RC","Both",,,"14","7","Aetna","Commercial",,,"64",,"8.93","0.18","1007.5","percent of total billed charges",,
"HOT/COLD APCK","0270","RC","Both",,,"14","7","Blue Cross Blue Shield","Pathways",,,"71",,"9.88","0.18","1007.5","percent of total billed charges",,
"HOT/COLD APCK","0270","RC","Both",,,"14","7","Blue Cross Blue Shield","HMO",,,"71",,"9.88","0.18","1007.5","percent of total billed charges",,
"HOT/COLD APCK","0270","RC","Both",,,"14","7","Blue Cross Blue Shield","PPO",,,"71",,"9.88","0.18","1007.5","percent of total billed charges",,
"HOT/COLD APCK","0270","RC","Both",,,"14","7","Ambetter","Health Exchange",,,"62",,"8.68","0.18","1007.5","percent of total billed charges",,
"HOT/COLD APCK","0270","RC","Both",,,"14","7","Caresource","Health Exchange",,,"62",,"8.68","0.18","1007.5","percent of total billed charges",,
"HOT/COLD APCK","0270","RC","Both",,,"14","7","Cigna","Commercial",,,"59",,"8.2","0.18","1007.5","percent of total billed charges",,
"HOT/COLD APCK","0270","RC","Both",,,"14","7","Humana","Commercial",,,"78",,"10.85","0.18","1007.5","percent of total billed charges",,
"HOT/COLD APCK","0270","RC","Both",,,"14","7","UHC","Commercial",,,"75",,"10.56","0.18","1007.5","percent of total billed charges",,
"HOT/COLD APCK","0270","RC","Both",,,"14","7","Medicaid",,,,"37",,"5.12","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 20FR 5CC-2 WAY","0270","RC","Both",,,"18","9","Alliant","Health Exchange",,,"62",,"11.16","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 20FR 5CC-2 WAY","0270","RC","Both",,,"18","9","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.72","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 20FR 5CC-2 WAY","0270","RC","Both",,,"18","9","Medicare",,,,"54",,"9.76","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 20FR 5CC-2 WAY","0270","RC","Both",,,"18","9","Humana","Medicare Advantage",,,"54",,"9.76","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 20FR 5CC-2 WAY","0270","RC","Both",,,"18","9","UHC","Medicare Advantage",,,"54",,"9.76","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 20FR 5CC-2 WAY","0270","RC","Both",,,"18","9","Clover","Medicare Advantage",,,"54",,"9.76","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 20FR 5CC-2 WAY","0270","RC","Both",,,"18","9","Wellcare","Medicare Advantage",,,"54",,"9.76","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 20FR 5CC-2 WAY","0270","RC","Both",,,"18","9","Amerigroup","Medicaid Managed Care",,,"37",,"6.59","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 20FR 5CC-2 WAY","0270","RC","Both",,,"18","9","Caresource","Medicaid Managed Care",,,"40",,"7.2","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 20FR 5CC-2 WAY","0270","RC","Both",,,"18","9","Wellcare","Medicaid Managed Care",,,"40",,"7.29","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 20FR 5CC-2 WAY","0270","RC","Both",,,"18","9","Aetna","Commercial",,,"64",,"11.48","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 20FR 5CC-2 WAY","0270","RC","Both",,,"18","9","Blue Cross Blue Shield","Pathways",,,"71",,"12.71","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 20FR 5CC-2 WAY","0270","RC","Both",,,"18","9","Blue Cross Blue Shield","HMO",,,"71",,"12.71","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 20FR 5CC-2 WAY","0270","RC","Both",,,"18","9","Blue Cross Blue Shield","PPO",,,"71",,"12.71","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 20FR 5CC-2 WAY","0270","RC","Both",,,"18","9","Ambetter","Health Exchange",,,"62",,"11.16","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 20FR 5CC-2 WAY","0270","RC","Both",,,"18","9","Caresource","Health Exchange",,,"62",,"11.16","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 20FR 5CC-2 WAY","0270","RC","Both",,,"18","9","Cigna","Commercial",,,"59",,"10.55","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 20FR 5CC-2 WAY","0270","RC","Both",,,"18","9","Humana","Commercial",,,"78",,"13.95","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 20FR 5CC-2 WAY","0270","RC","Both",,,"18","9","UHC","Commercial",,,"75",,"13.57","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 20FR 5CC-2 WAY","0270","RC","Both",,,"18","9","Medicaid",,,,"37",,"6.59","0.18","1007.5","percent of total billed charges",,
"IRRIGATION SET PISTON","0270","RC","Both",,,"31","15.5","Alliant","Health Exchange",,,"62",,"19.22","0.18","1007.5","percent of total billed charges",,
"IRRIGATION SET PISTON","0270","RC","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.74","0.18","1007.5","percent of total billed charges",,
"IRRIGATION SET PISTON","0270","RC","Both",,,"31","15.5","Medicare",,,,"54",,"16.8","0.18","1007.5","percent of total billed charges",,
"IRRIGATION SET PISTON","0270","RC","Both",,,"31","15.5","Humana","Medicare Advantage",,,"54",,"16.8","0.18","1007.5","percent of total billed charges",,
"IRRIGATION SET PISTON","0270","RC","Both",,,"31","15.5","UHC","Medicare Advantage",,,"54",,"16.8","0.18","1007.5","percent of total billed charges",,
"IRRIGATION SET PISTON","0270","RC","Both",,,"31","15.5","Clover","Medicare Advantage",,,"54",,"16.8","0.18","1007.5","percent of total billed charges",,
"IRRIGATION SET PISTON","0270","RC","Both",,,"31","15.5","Wellcare","Medicare Advantage",,,"54",,"16.8","0.18","1007.5","percent of total billed charges",,
"IRRIGATION SET PISTON","0270","RC","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care",,,"37",,"11.35","0.18","1007.5","percent of total billed charges",,
"IRRIGATION SET PISTON","0270","RC","Both",,,"31","15.5","Caresource","Medicaid Managed Care",,,"40",,"12.4","0.18","1007.5","percent of total billed charges",,
"IRRIGATION SET PISTON","0270","RC","Both",,,"31","15.5","Wellcare","Medicaid Managed Care",,,"40",,"12.56","0.18","1007.5","percent of total billed charges",,
"IRRIGATION SET PISTON","0270","RC","Both",,,"31","15.5","Aetna","Commercial",,,"64",,"19.78","0.18","1007.5","percent of total billed charges",,
"IRRIGATION SET PISTON","0270","RC","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways",,,"71",,"21.89","0.18","1007.5","percent of total billed charges",,
"IRRIGATION SET PISTON","0270","RC","Both",,,"31","15.5","Blue Cross Blue Shield","HMO",,,"71",,"21.89","0.18","1007.5","percent of total billed charges",,
"IRRIGATION SET PISTON","0270","RC","Both",,,"31","15.5","Blue Cross Blue Shield","PPO",,,"71",,"21.89","0.18","1007.5","percent of total billed charges",,
"IRRIGATION SET PISTON","0270","RC","Both",,,"31","15.5","Ambetter","Health Exchange",,,"62",,"19.22","0.18","1007.5","percent of total billed charges",,
"IRRIGATION SET PISTON","0270","RC","Both",,,"31","15.5","Caresource","Health Exchange",,,"62",,"19.22","0.18","1007.5","percent of total billed charges",,
"IRRIGATION SET PISTON","0270","RC","Both",,,"31","15.5","Cigna","Commercial",,,"59",,"18.17","0.18","1007.5","percent of total billed charges",,
"IRRIGATION SET PISTON","0270","RC","Both",,,"31","15.5","Humana","Commercial",,,"78",,"24.02","0.18","1007.5","percent of total billed charges",,
"IRRIGATION SET PISTON","0270","RC","Both",,,"31","15.5","UHC","Commercial",,,"75",,"23.37","0.18","1007.5","percent of total billed charges",,
"IRRIGATION SET PISTON","0270","RC","Both",,,"31","15.5","Medicaid",,,,"37",,"11.35","0.18","1007.5","percent of total billed charges",,
"NTG PUMP SET","0270","RC","Both",,,"41","20.5","Alliant","Health Exchange",,,"62",,"25.42","0.18","1007.5","percent of total billed charges",,
"NTG PUMP SET","0270","RC","Both",,,"41","20.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"22.14","0.18","1007.5","percent of total billed charges",,
"NTG PUMP SET","0270","RC","Both",,,"41","20.5","Medicare",,,,"54",,"22.22","0.18","1007.5","percent of total billed charges",,
"NTG PUMP SET","0270","RC","Both",,,"41","20.5","Humana","Medicare Advantage",,,"54",,"22.22","0.18","1007.5","percent of total billed charges",,
"NTG PUMP SET","0270","RC","Both",,,"41","20.5","UHC","Medicare Advantage",,,"54",,"22.22","0.18","1007.5","percent of total billed charges",,
"NTG PUMP SET","0270","RC","Both",,,"41","20.5","Clover","Medicare Advantage",,,"54",,"22.22","0.18","1007.5","percent of total billed charges",,
"NTG PUMP SET","0270","RC","Both",,,"41","20.5","Wellcare","Medicare Advantage",,,"54",,"22.22","0.18","1007.5","percent of total billed charges",,
"NTG PUMP SET","0270","RC","Both",,,"41","20.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.01","0.18","1007.5","percent of total billed charges",,
"NTG PUMP SET","0270","RC","Both",,,"41","20.5","Caresource","Medicaid Managed Care",,,"40",,"16.4","0.18","1007.5","percent of total billed charges",,
"NTG PUMP SET","0270","RC","Both",,,"41","20.5","Wellcare","Medicaid Managed Care",,,"40",,"16.6","0.18","1007.5","percent of total billed charges",,
"NTG PUMP SET","0270","RC","Both",,,"41","20.5","Aetna","Commercial",,,"64",,"26.16","0.18","1007.5","percent of total billed charges",,
"NTG PUMP SET","0270","RC","Both",,,"41","20.5","Blue Cross Blue Shield","Pathways",,,"71",,"28.95","0.18","1007.5","percent of total billed charges",,
"NTG PUMP SET","0270","RC","Both",,,"41","20.5","Blue Cross Blue Shield","HMO",,,"71",,"28.95","0.18","1007.5","percent of total billed charges",,
"NTG PUMP SET","0270","RC","Both",,,"41","20.5","Blue Cross Blue Shield","PPO",,,"71",,"28.95","0.18","1007.5","percent of total billed charges",,
"NTG PUMP SET","0270","RC","Both",,,"41","20.5","Ambetter","Health Exchange",,,"62",,"25.42","0.18","1007.5","percent of total billed charges",,
"NTG PUMP SET","0270","RC","Both",,,"41","20.5","Caresource","Health Exchange",,,"62",,"25.42","0.18","1007.5","percent of total billed charges",,
"NTG PUMP SET","0270","RC","Both",,,"41","20.5","Cigna","Commercial",,,"59",,"24.03","0.18","1007.5","percent of total billed charges",,
"NTG PUMP SET","0270","RC","Both",,,"41","20.5","Humana","Commercial",,,"78",,"31.78","0.18","1007.5","percent of total billed charges",,
"NTG PUMP SET","0270","RC","Both",,,"41","20.5","UHC","Commercial",,,"75",,"30.91","0.18","1007.5","percent of total billed charges",,
"NTG PUMP SET","0270","RC","Both",,,"41","20.5","Medicaid",,,,"37",,"15.01","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE XL","0270","RC","Both",,,"16","8","Alliant","Health Exchange",,,"62",,"9.92","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE XL","0270","RC","Both",,,"16","8","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.64","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE XL","0270","RC","Both",,,"16","8","Medicare",,,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE XL","0270","RC","Both",,,"16","8","Humana","Medicare Advantage",,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE XL","0270","RC","Both",,,"16","8","UHC","Medicare Advantage",,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE XL","0270","RC","Both",,,"16","8","Clover","Medicare Advantage",,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE XL","0270","RC","Both",,,"16","8","Wellcare","Medicare Advantage",,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE XL","0270","RC","Both",,,"16","8","Amerigroup","Medicaid Managed Care",,,"37",,"5.86","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE XL","0270","RC","Both",,,"16","8","Caresource","Medicaid Managed Care",,,"40",,"6.4","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE XL","0270","RC","Both",,,"16","8","Wellcare","Medicaid Managed Care",,,"40",,"6.48","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE XL","0270","RC","Both",,,"16","8","Aetna","Commercial",,,"64",,"10.21","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE XL","0270","RC","Both",,,"16","8","Blue Cross Blue Shield","Pathways",,,"71",,"11.3","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE XL","0270","RC","Both",,,"16","8","Blue Cross Blue Shield","HMO",,,"71",,"11.3","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE XL","0270","RC","Both",,,"16","8","Blue Cross Blue Shield","PPO",,,"71",,"11.3","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE XL","0270","RC","Both",,,"16","8","Ambetter","Health Exchange",,,"62",,"9.92","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE XL","0270","RC","Both",,,"16","8","Caresource","Health Exchange",,,"62",,"9.92","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE XL","0270","RC","Both",,,"16","8","Cigna","Commercial",,,"59",,"9.38","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE XL","0270","RC","Both",,,"16","8","Humana","Commercial",,,"78",,"12.4","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE XL","0270","RC","Both",,,"16","8","UHC","Commercial",,,"75",,"12.06","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE XL","0270","RC","Both",,,"16","8","Medicaid",,,,"37",,"5.86","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE XXL","0270","RC","Both",,,"20","10","Alliant","Health Exchange",,,"62",,"12.4","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE XXL","0270","RC","Both",,,"20","10","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.8","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE XXL","0270","RC","Both",,,"20","10","Medicare",,,,"54",,"10.84","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE XXL","0270","RC","Both",,,"20","10","Humana","Medicare Advantage",,,"54",,"10.84","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE XXL","0270","RC","Both",,,"20","10","UHC","Medicare Advantage",,,"54",,"10.84","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE XXL","0270","RC","Both",,,"20","10","Clover","Medicare Advantage",,,"54",,"10.84","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE XXL","0270","RC","Both",,,"20","10","Wellcare","Medicare Advantage",,,"54",,"10.84","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE XXL","0270","RC","Both",,,"20","10","Amerigroup","Medicaid Managed Care",,,"37",,"7.32","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE XXL","0270","RC","Both",,,"20","10","Caresource","Medicaid Managed Care",,,"40",,"8","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE XXL","0270","RC","Both",,,"20","10","Wellcare","Medicaid Managed Care",,,"40",,"8.1","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE XXL","0270","RC","Both",,,"20","10","Aetna","Commercial",,,"64",,"12.76","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE XXL","0270","RC","Both",,,"20","10","Blue Cross Blue Shield","Pathways",,,"71",,"14.12","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE XXL","0270","RC","Both",,,"20","10","Blue Cross Blue Shield","HMO",,,"71",,"14.12","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE XXL","0270","RC","Both",,,"20","10","Blue Cross Blue Shield","PPO",,,"71",,"14.12","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE XXL","0270","RC","Both",,,"20","10","Ambetter","Health Exchange",,,"62",,"12.4","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE XXL","0270","RC","Both",,,"20","10","Caresource","Health Exchange",,,"62",,"12.4","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE XXL","0270","RC","Both",,,"20","10","Cigna","Commercial",,,"59",,"11.72","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE XXL","0270","RC","Both",,,"20","10","Humana","Commercial",,,"78",,"15.5","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE XXL","0270","RC","Both",,,"20","10","UHC","Commercial",,,"75",,"15.08","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE XXL","0270","RC","Both",,,"20","10","Medicaid",,,,"37",,"7.32","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER","0270","RC","Both",,,"54.5","27.25","Alliant","Health Exchange",,,"62",,"33.79","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER","0270","RC","Both",,,"54.5","27.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"29.43","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER","0270","RC","Both",,,"54.5","27.25","Medicare",,,,"54",,"29.54","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER","0270","RC","Both",,,"54.5","27.25","Humana","Medicare Advantage",,,"54",,"29.54","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER","0270","RC","Both",,,"54.5","27.25","UHC","Medicare Advantage",,,"54",,"29.54","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER","0270","RC","Both",,,"54.5","27.25","Clover","Medicare Advantage",,,"54",,"29.54","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER","0270","RC","Both",,,"54.5","27.25","Wellcare","Medicare Advantage",,,"54",,"29.54","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER","0270","RC","Both",,,"54.5","27.25","Amerigroup","Medicaid Managed Care",,,"37",,"19.95","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER","0270","RC","Both",,,"54.5","27.25","Caresource","Medicaid Managed Care",,,"40",,"21.8","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER","0270","RC","Both",,,"54.5","27.25","Wellcare","Medicaid Managed Care",,,"40",,"22.07","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER","0270","RC","Both",,,"54.5","27.25","Aetna","Commercial",,,"64",,"34.77","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER","0270","RC","Both",,,"54.5","27.25","Blue Cross Blue Shield","Pathways",,,"71",,"38.48","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER","0270","RC","Both",,,"54.5","27.25","Blue Cross Blue Shield","HMO",,,"71",,"38.48","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER","0270","RC","Both",,,"54.5","27.25","Blue Cross Blue Shield","PPO",,,"71",,"38.48","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER","0270","RC","Both",,,"54.5","27.25","Ambetter","Health Exchange",,,"62",,"33.79","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER","0270","RC","Both",,,"54.5","27.25","Caresource","Health Exchange",,,"62",,"33.79","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER","0270","RC","Both",,,"54.5","27.25","Cigna","Commercial",,,"59",,"31.94","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER","0270","RC","Both",,,"54.5","27.25","Humana","Commercial",,,"78",,"42.24","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER","0270","RC","Both",,,"54.5","27.25","UHC","Commercial",,,"75",,"41.09","0.18","1007.5","percent of total billed charges",,
"SUCTION CATHETER","0270","RC","Both",,,"54.5","27.25","Medicaid",,,,"37",,"19.95","0.18","1007.5","percent of total billed charges",,
"TRAUMACAL","0270","RC","Both",,,"104","52","Alliant","Health Exchange",,,"62",,"64.48","0.18","1007.5","percent of total billed charges",,
"TRAUMACAL","0270","RC","Both",,,"104","52","Pruitt Healthcare","Medicare Advantage",,,"54",,"56.16","0.18","1007.5","percent of total billed charges",,
"TRAUMACAL","0270","RC","Both",,,"104","52","Medicare",,,,"54",,"56.37","0.18","1007.5","percent of total billed charges",,
"TRAUMACAL","0270","RC","Both",,,"104","52","Humana","Medicare Advantage",,,"54",,"56.37","0.18","1007.5","percent of total billed charges",,
"TRAUMACAL","0270","RC","Both",,,"104","52","UHC","Medicare Advantage",,,"54",,"56.37","0.18","1007.5","percent of total billed charges",,
"TRAUMACAL","0270","RC","Both",,,"104","52","Clover","Medicare Advantage",,,"54",,"56.37","0.18","1007.5","percent of total billed charges",,
"TRAUMACAL","0270","RC","Both",,,"104","52","Wellcare","Medicare Advantage",,,"54",,"56.37","0.18","1007.5","percent of total billed charges",,
"TRAUMACAL","0270","RC","Both",,,"104","52","Amerigroup","Medicaid Managed Care",,,"37",,"38.06","0.18","1007.5","percent of total billed charges",,
"TRAUMACAL","0270","RC","Both",,,"104","52","Caresource","Medicaid Managed Care",,,"40",,"41.6","0.18","1007.5","percent of total billed charges",,
"TRAUMACAL","0270","RC","Both",,,"104","52","Wellcare","Medicaid Managed Care",,,"40",,"42.12","0.18","1007.5","percent of total billed charges",,
"TRAUMACAL","0270","RC","Both",,,"104","52","Aetna","Commercial",,,"64",,"66.35","0.18","1007.5","percent of total billed charges",,
"TRAUMACAL","0270","RC","Both",,,"104","52","Blue Cross Blue Shield","Pathways",,,"71",,"73.42","0.18","1007.5","percent of total billed charges",,
"TRAUMACAL","0270","RC","Both",,,"104","52","Blue Cross Blue Shield","HMO",,,"71",,"73.42","0.18","1007.5","percent of total billed charges",,
"TRAUMACAL","0270","RC","Both",,,"104","52","Blue Cross Blue Shield","PPO",,,"71",,"73.42","0.18","1007.5","percent of total billed charges",,
"TRAUMACAL","0270","RC","Both",,,"104","52","Ambetter","Health Exchange",,,"62",,"64.48","0.18","1007.5","percent of total billed charges",,
"TRAUMACAL","0270","RC","Both",,,"104","52","Caresource","Health Exchange",,,"62",,"64.48","0.18","1007.5","percent of total billed charges",,
"TRAUMACAL","0270","RC","Both",,,"104","52","Cigna","Commercial",,,"59",,"60.94","0.18","1007.5","percent of total billed charges",,
"TRAUMACAL","0270","RC","Both",,,"104","52","Humana","Commercial",,,"78",,"80.6","0.18","1007.5","percent of total billed charges",,
"TRAUMACAL","0270","RC","Both",,,"104","52","UHC","Commercial",,,"75",,"78.42","0.18","1007.5","percent of total billed charges",,
"TRAUMACAL","0270","RC","Both",,,"104","52","Medicaid",,,,"37",,"38.06","0.18","1007.5","percent of total billed charges",,
"ISOCAL","0270","RC","Both",,,"9","4.5","Alliant","Health Exchange",,,"62",,"5.58","0.18","1007.5","percent of total billed charges",,
"ISOCAL","0270","RC","Both",,,"9","4.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.86","0.18","1007.5","percent of total billed charges",,
"ISOCAL","0270","RC","Both",,,"9","4.5","Medicare",,,,"54",,"4.88","0.18","1007.5","percent of total billed charges",,
"ISOCAL","0270","RC","Both",,,"9","4.5","Humana","Medicare Advantage",,,"54",,"4.88","0.18","1007.5","percent of total billed charges",,
"ISOCAL","0270","RC","Both",,,"9","4.5","UHC","Medicare Advantage",,,"54",,"4.88","0.18","1007.5","percent of total billed charges",,
"ISOCAL","0270","RC","Both",,,"9","4.5","Clover","Medicare Advantage",,,"54",,"4.88","0.18","1007.5","percent of total billed charges",,
"ISOCAL","0270","RC","Both",,,"9","4.5","Wellcare","Medicare Advantage",,,"54",,"4.88","0.18","1007.5","percent of total billed charges",,
"ISOCAL","0270","RC","Both",,,"9","4.5","Amerigroup","Medicaid Managed Care",,,"37",,"3.29","0.18","1007.5","percent of total billed charges",,
"ISOCAL","0270","RC","Both",,,"9","4.5","Caresource","Medicaid Managed Care",,,"40",,"3.6","0.18","1007.5","percent of total billed charges",,
"ISOCAL","0270","RC","Both",,,"9","4.5","Wellcare","Medicaid Managed Care",,,"40",,"3.65","0.18","1007.5","percent of total billed charges",,
"ISOCAL","0270","RC","Both",,,"9","4.5","Aetna","Commercial",,,"64",,"5.74","0.18","1007.5","percent of total billed charges",,
"ISOCAL","0270","RC","Both",,,"9","4.5","Blue Cross Blue Shield","Pathways",,,"71",,"6.35","0.18","1007.5","percent of total billed charges",,
"ISOCAL","0270","RC","Both",,,"9","4.5","Blue Cross Blue Shield","HMO",,,"71",,"6.35","0.18","1007.5","percent of total billed charges",,
"ISOCAL","0270","RC","Both",,,"9","4.5","Blue Cross Blue Shield","PPO",,,"71",,"6.35","0.18","1007.5","percent of total billed charges",,
"ISOCAL","0270","RC","Both",,,"9","4.5","Ambetter","Health Exchange",,,"62",,"5.58","0.18","1007.5","percent of total billed charges",,
"ISOCAL","0270","RC","Both",,,"9","4.5","Caresource","Health Exchange",,,"62",,"5.58","0.18","1007.5","percent of total billed charges",,
"ISOCAL","0270","RC","Both",,,"9","4.5","Cigna","Commercial",,,"59",,"5.27","0.18","1007.5","percent of total billed charges",,
"ISOCAL","0270","RC","Both",,,"9","4.5","Humana","Commercial",,,"78",,"6.98","0.18","1007.5","percent of total billed charges",,
"ISOCAL","0270","RC","Both",,,"9","4.5","UHC","Commercial",,,"75",,"6.79","0.18","1007.5","percent of total billed charges",,
"ISOCAL","0270","RC","Both",,,"9","4.5","Medicaid",,,,"37",,"3.29","0.18","1007.5","percent of total billed charges",,
"NASAL AIRWAYS","0270","RC","Both",,,"55","27.5","Alliant","Health Exchange",,,"62",,"34.1","0.18","1007.5","percent of total billed charges",,
"NASAL AIRWAYS","0270","RC","Both",,,"55","27.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"29.7","0.18","1007.5","percent of total billed charges",,
"NASAL AIRWAYS","0270","RC","Both",,,"55","27.5","Medicare",,,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"NASAL AIRWAYS","0270","RC","Both",,,"55","27.5","Humana","Medicare Advantage",,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"NASAL AIRWAYS","0270","RC","Both",,,"55","27.5","UHC","Medicare Advantage",,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"NASAL AIRWAYS","0270","RC","Both",,,"55","27.5","Clover","Medicare Advantage",,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"NASAL AIRWAYS","0270","RC","Both",,,"55","27.5","Wellcare","Medicare Advantage",,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"NASAL AIRWAYS","0270","RC","Both",,,"55","27.5","Amerigroup","Medicaid Managed Care",,,"37",,"20.13","0.18","1007.5","percent of total billed charges",,
"NASAL AIRWAYS","0270","RC","Both",,,"55","27.5","Caresource","Medicaid Managed Care",,,"40",,"22","0.18","1007.5","percent of total billed charges",,
"NASAL AIRWAYS","0270","RC","Both",,,"55","27.5","Wellcare","Medicaid Managed Care",,,"40",,"22.28","0.18","1007.5","percent of total billed charges",,
"NASAL AIRWAYS","0270","RC","Both",,,"55","27.5","Aetna","Commercial",,,"64",,"35.09","0.18","1007.5","percent of total billed charges",,
"NASAL AIRWAYS","0270","RC","Both",,,"55","27.5","Blue Cross Blue Shield","Pathways",,,"71",,"38.83","0.18","1007.5","percent of total billed charges",,
"NASAL AIRWAYS","0270","RC","Both",,,"55","27.5","Blue Cross Blue Shield","HMO",,,"71",,"38.83","0.18","1007.5","percent of total billed charges",,
"NASAL AIRWAYS","0270","RC","Both",,,"55","27.5","Blue Cross Blue Shield","PPO",,,"71",,"38.83","0.18","1007.5","percent of total billed charges",,
"NASAL AIRWAYS","0270","RC","Both",,,"55","27.5","Ambetter","Health Exchange",,,"62",,"34.1","0.18","1007.5","percent of total billed charges",,
"NASAL AIRWAYS","0270","RC","Both",,,"55","27.5","Caresource","Health Exchange",,,"62",,"34.1","0.18","1007.5","percent of total billed charges",,
"NASAL AIRWAYS","0270","RC","Both",,,"55","27.5","Cigna","Commercial",,,"59",,"32.23","0.18","1007.5","percent of total billed charges",,
"NASAL AIRWAYS","0270","RC","Both",,,"55","27.5","Humana","Commercial",,,"78",,"42.62","0.18","1007.5","percent of total billed charges",,
"NASAL AIRWAYS","0270","RC","Both",,,"55","27.5","UHC","Commercial",,,"75",,"41.47","0.18","1007.5","percent of total billed charges",,
"NASAL AIRWAYS","0270","RC","Both",,,"55","27.5","Medicaid",,,,"37",,"20.13","0.18","1007.5","percent of total billed charges",,
"EXAM KIT RAPE","0270","RC","Both",,,"19","9.5","Alliant","Health Exchange",,,"62",,"11.78","0.18","1007.5","percent of total billed charges",,
"EXAM KIT RAPE","0270","RC","Both",,,"19","9.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.26","0.18","1007.5","percent of total billed charges",,
"EXAM KIT RAPE","0270","RC","Both",,,"19","9.5","Medicare",,,,"54",,"10.3","0.18","1007.5","percent of total billed charges",,
"EXAM KIT RAPE","0270","RC","Both",,,"19","9.5","Humana","Medicare Advantage",,,"54",,"10.3","0.18","1007.5","percent of total billed charges",,
"EXAM KIT RAPE","0270","RC","Both",,,"19","9.5","UHC","Medicare Advantage",,,"54",,"10.3","0.18","1007.5","percent of total billed charges",,
"EXAM KIT RAPE","0270","RC","Both",,,"19","9.5","Clover","Medicare Advantage",,,"54",,"10.3","0.18","1007.5","percent of total billed charges",,
"EXAM KIT RAPE","0270","RC","Both",,,"19","9.5","Wellcare","Medicare Advantage",,,"54",,"10.3","0.18","1007.5","percent of total billed charges",,
"EXAM KIT RAPE","0270","RC","Both",,,"19","9.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.95","0.18","1007.5","percent of total billed charges",,
"EXAM KIT RAPE","0270","RC","Both",,,"19","9.5","Caresource","Medicaid Managed Care",,,"40",,"7.6","0.18","1007.5","percent of total billed charges",,
"EXAM KIT RAPE","0270","RC","Both",,,"19","9.5","Wellcare","Medicaid Managed Care",,,"40",,"7.7","0.18","1007.5","percent of total billed charges",,
"EXAM KIT RAPE","0270","RC","Both",,,"19","9.5","Aetna","Commercial",,,"64",,"12.12","0.18","1007.5","percent of total billed charges",,
"EXAM KIT RAPE","0270","RC","Both",,,"19","9.5","Blue Cross Blue Shield","Pathways",,,"71",,"13.41","0.18","1007.5","percent of total billed charges",,
"EXAM KIT RAPE","0270","RC","Both",,,"19","9.5","Blue Cross Blue Shield","HMO",,,"71",,"13.41","0.18","1007.5","percent of total billed charges",,
"EXAM KIT RAPE","0270","RC","Both",,,"19","9.5","Blue Cross Blue Shield","PPO",,,"71",,"13.41","0.18","1007.5","percent of total billed charges",,
"EXAM KIT RAPE","0270","RC","Both",,,"19","9.5","Ambetter","Health Exchange",,,"62",,"11.78","0.18","1007.5","percent of total billed charges",,
"EXAM KIT RAPE","0270","RC","Both",,,"19","9.5","Caresource","Health Exchange",,,"62",,"11.78","0.18","1007.5","percent of total billed charges",,
"EXAM KIT RAPE","0270","RC","Both",,,"19","9.5","Cigna","Commercial",,,"59",,"11.13","0.18","1007.5","percent of total billed charges",,
"EXAM KIT RAPE","0270","RC","Both",,,"19","9.5","Humana","Commercial",,,"78",,"14.72","0.18","1007.5","percent of total billed charges",,
"EXAM KIT RAPE","0270","RC","Both",,,"19","9.5","UHC","Commercial",,,"75",,"14.33","0.18","1007.5","percent of total billed charges",,
"EXAM KIT RAPE","0270","RC","Both",,,"19","9.5","Medicaid",,,,"37",,"6.95","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. SMALL, MED.LAR","0270","RC","Both",,,"51","25.5","Alliant","Health Exchange",,,"62",,"31.62","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. SMALL, MED.LAR","0270","RC","Both",,,"51","25.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"27.54","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. SMALL, MED.LAR","0270","RC","Both",,,"51","25.5","Medicare",,,,"54",,"27.64","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. SMALL, MED.LAR","0270","RC","Both",,,"51","25.5","Humana","Medicare Advantage",,,"54",,"27.64","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. SMALL, MED.LAR","0270","RC","Both",,,"51","25.5","UHC","Medicare Advantage",,,"54",,"27.64","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. SMALL, MED.LAR","0270","RC","Both",,,"51","25.5","Clover","Medicare Advantage",,,"54",,"27.64","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. SMALL, MED.LAR","0270","RC","Both",,,"51","25.5","Wellcare","Medicare Advantage",,,"54",,"27.64","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. SMALL, MED.LAR","0270","RC","Both",,,"51","25.5","Amerigroup","Medicaid Managed Care",,,"37",,"18.67","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. SMALL, MED.LAR","0270","RC","Both",,,"51","25.5","Caresource","Medicaid Managed Care",,,"40",,"20.4","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. SMALL, MED.LAR","0270","RC","Both",,,"51","25.5","Wellcare","Medicaid Managed Care",,,"40",,"20.66","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. SMALL, MED.LAR","0270","RC","Both",,,"51","25.5","Aetna","Commercial",,,"64",,"32.54","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. SMALL, MED.LAR","0270","RC","Both",,,"51","25.5","Blue Cross Blue Shield","Pathways",,,"71",,"36.01","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. SMALL, MED.LAR","0270","RC","Both",,,"51","25.5","Blue Cross Blue Shield","HMO",,,"71",,"36.01","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. SMALL, MED.LAR","0270","RC","Both",,,"51","25.5","Blue Cross Blue Shield","PPO",,,"71",,"36.01","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. SMALL, MED.LAR","0270","RC","Both",,,"51","25.5","Ambetter","Health Exchange",,,"62",,"31.62","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. SMALL, MED.LAR","0270","RC","Both",,,"51","25.5","Caresource","Health Exchange",,,"62",,"31.62","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. SMALL, MED.LAR","0270","RC","Both",,,"51","25.5","Cigna","Commercial",,,"59",,"29.89","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. SMALL, MED.LAR","0270","RC","Both",,,"51","25.5","Humana","Commercial",,,"78",,"39.52","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. SMALL, MED.LAR","0270","RC","Both",,,"51","25.5","UHC","Commercial",,,"75",,"38.45","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. SMALL, MED.LAR","0270","RC","Both",,,"51","25.5","Medicaid",,,,"37",,"18.67","0.18","1007.5","percent of total billed charges",,
"VASELINE","0270","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.18","1007.5","percent of total billed charges",,
"VASELINE","0270","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.18","1007.5","percent of total billed charges",,
"VASELINE","0270","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.18","1007.5","percent of total billed charges",,
"VASELINE","0270","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.18","1007.5","percent of total billed charges",,
"VASELINE","0270","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.18","1007.5","percent of total billed charges",,
"VASELINE","0270","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.18","1007.5","percent of total billed charges",,
"VASELINE","0270","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.18","1007.5","percent of total billed charges",,
"VASELINE","0270","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.18","1007.5","percent of total billed charges",,
"VASELINE","0270","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.18","1007.5","percent of total billed charges",,
"VASELINE","0270","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.18","1007.5","percent of total billed charges",,
"VASELINE","0270","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.18","1007.5","percent of total billed charges",,
"VASELINE","0270","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.18","1007.5","percent of total billed charges",,
"VASELINE","0270","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.18","1007.5","percent of total billed charges",,
"VASELINE","0270","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.18","1007.5","percent of total billed charges",,
"VASELINE","0270","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.18","1007.5","percent of total billed charges",,
"VASELINE","0270","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.18","1007.5","percent of total billed charges",,
"VASELINE","0270","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.18","1007.5","percent of total billed charges",,
"VASELINE","0270","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.18","1007.5","percent of total billed charges",,
"VASELINE","0270","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.18","1007.5","percent of total billed charges",,
"VASELINE","0270","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE SMALL","0270","RC","Both",,,"18","9","Alliant","Health Exchange",,,"62",,"11.16","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE SMALL","0270","RC","Both",,,"18","9","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.72","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE SMALL","0270","RC","Both",,,"18","9","Medicare",,,,"54",,"9.76","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE SMALL","0270","RC","Both",,,"18","9","Humana","Medicare Advantage",,,"54",,"9.76","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE SMALL","0270","RC","Both",,,"18","9","UHC","Medicare Advantage",,,"54",,"9.76","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE SMALL","0270","RC","Both",,,"18","9","Clover","Medicare Advantage",,,"54",,"9.76","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE SMALL","0270","RC","Both",,,"18","9","Wellcare","Medicare Advantage",,,"54",,"9.76","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE SMALL","0270","RC","Both",,,"18","9","Amerigroup","Medicaid Managed Care",,,"37",,"6.59","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE SMALL","0270","RC","Both",,,"18","9","Caresource","Medicaid Managed Care",,,"40",,"7.2","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE SMALL","0270","RC","Both",,,"18","9","Wellcare","Medicaid Managed Care",,,"40",,"7.29","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE SMALL","0270","RC","Both",,,"18","9","Aetna","Commercial",,,"64",,"11.48","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE SMALL","0270","RC","Both",,,"18","9","Blue Cross Blue Shield","Pathways",,,"71",,"12.71","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE SMALL","0270","RC","Both",,,"18","9","Blue Cross Blue Shield","HMO",,,"71",,"12.71","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE SMALL","0270","RC","Both",,,"18","9","Blue Cross Blue Shield","PPO",,,"71",,"12.71","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE SMALL","0270","RC","Both",,,"18","9","Ambetter","Health Exchange",,,"62",,"11.16","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE SMALL","0270","RC","Both",,,"18","9","Caresource","Health Exchange",,,"62",,"11.16","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE SMALL","0270","RC","Both",,,"18","9","Cigna","Commercial",,,"59",,"10.55","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE SMALL","0270","RC","Both",,,"18","9","Humana","Commercial",,,"78",,"13.95","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE SMALL","0270","RC","Both",,,"18","9","UHC","Commercial",,,"75",,"13.57","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE SMALL","0270","RC","Both",,,"18","9","Medicaid",,,,"37",,"6.59","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE MEDIUM","0270","RC","Both",,,"20","10","Alliant","Health Exchange",,,"62",,"12.4","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE MEDIUM","0270","RC","Both",,,"20","10","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.8","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE MEDIUM","0270","RC","Both",,,"20","10","Medicare",,,,"54",,"10.84","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE MEDIUM","0270","RC","Both",,,"20","10","Humana","Medicare Advantage",,,"54",,"10.84","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE MEDIUM","0270","RC","Both",,,"20","10","UHC","Medicare Advantage",,,"54",,"10.84","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE MEDIUM","0270","RC","Both",,,"20","10","Clover","Medicare Advantage",,,"54",,"10.84","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE MEDIUM","0270","RC","Both",,,"20","10","Wellcare","Medicare Advantage",,,"54",,"10.84","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE MEDIUM","0270","RC","Both",,,"20","10","Amerigroup","Medicaid Managed Care",,,"37",,"7.32","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE MEDIUM","0270","RC","Both",,,"20","10","Caresource","Medicaid Managed Care",,,"40",,"8","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE MEDIUM","0270","RC","Both",,,"20","10","Wellcare","Medicaid Managed Care",,,"40",,"8.1","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE MEDIUM","0270","RC","Both",,,"20","10","Aetna","Commercial",,,"64",,"12.76","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE MEDIUM","0270","RC","Both",,,"20","10","Blue Cross Blue Shield","Pathways",,,"71",,"14.12","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE MEDIUM","0270","RC","Both",,,"20","10","Blue Cross Blue Shield","HMO",,,"71",,"14.12","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE MEDIUM","0270","RC","Both",,,"20","10","Blue Cross Blue Shield","PPO",,,"71",,"14.12","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE MEDIUM","0270","RC","Both",,,"20","10","Ambetter","Health Exchange",,,"62",,"12.4","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE MEDIUM","0270","RC","Both",,,"20","10","Caresource","Health Exchange",,,"62",,"12.4","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE MEDIUM","0270","RC","Both",,,"20","10","Cigna","Commercial",,,"59",,"11.72","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE MEDIUM","0270","RC","Both",,,"20","10","Humana","Commercial",,,"78",,"15.5","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE MEDIUM","0270","RC","Both",,,"20","10","UHC","Commercial",,,"75",,"15.08","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE MEDIUM","0270","RC","Both",,,"20","10","Medicaid",,,,"37",,"7.32","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE LARGE","0270","RC","Both",,,"29.5","14.75","Alliant","Health Exchange",,,"62",,"18.29","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE LARGE","0270","RC","Both",,,"29.5","14.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.93","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE LARGE","0270","RC","Both",,,"29.5","14.75","Medicare",,,,"54",,"15.99","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE LARGE","0270","RC","Both",,,"29.5","14.75","Humana","Medicare Advantage",,,"54",,"15.99","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE LARGE","0270","RC","Both",,,"29.5","14.75","UHC","Medicare Advantage",,,"54",,"15.99","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE LARGE","0270","RC","Both",,,"29.5","14.75","Clover","Medicare Advantage",,,"54",,"15.99","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE LARGE","0270","RC","Both",,,"29.5","14.75","Wellcare","Medicare Advantage",,,"54",,"15.99","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE LARGE","0270","RC","Both",,,"29.5","14.75","Amerigroup","Medicaid Managed Care",,,"37",,"10.8","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE LARGE","0270","RC","Both",,,"29.5","14.75","Caresource","Medicaid Managed Care",,,"40",,"11.8","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE LARGE","0270","RC","Both",,,"29.5","14.75","Wellcare","Medicaid Managed Care",,,"40",,"11.95","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE LARGE","0270","RC","Both",,,"29.5","14.75","Aetna","Commercial",,,"64",,"18.82","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE LARGE","0270","RC","Both",,,"29.5","14.75","Blue Cross Blue Shield","Pathways",,,"71",,"20.83","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE LARGE","0270","RC","Both",,,"29.5","14.75","Blue Cross Blue Shield","HMO",,,"71",,"20.83","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE LARGE","0270","RC","Both",,,"29.5","14.75","Blue Cross Blue Shield","PPO",,,"71",,"20.83","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE LARGE","0270","RC","Both",,,"29.5","14.75","Ambetter","Health Exchange",,,"62",,"18.29","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE LARGE","0270","RC","Both",,,"29.5","14.75","Caresource","Health Exchange",,,"62",,"18.29","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE LARGE","0270","RC","Both",,,"29.5","14.75","Cigna","Commercial",,,"59",,"17.29","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE LARGE","0270","RC","Both",,,"29.5","14.75","Humana","Commercial",,,"78",,"22.86","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE LARGE","0270","RC","Both",,,"29.5","14.75","UHC","Commercial",,,"75",,"22.24","0.18","1007.5","percent of total billed charges",,
"TED KNEE HIGH HOSE LARGE","0270","RC","Both",,,"29.5","14.75","Medicaid",,,,"37",,"10.8","0.18","1007.5","percent of total billed charges",,
"LDS 15W SUTURE","0270","RC","Both",,,"348","174","Alliant","Health Exchange",,,"62",,"215.76","0.18","1007.5","percent of total billed charges",,
"LDS 15W SUTURE","0270","RC","Both",,,"348","174","Pruitt Healthcare","Medicare Advantage",,,"54",,"187.92","0.18","1007.5","percent of total billed charges",,
"LDS 15W SUTURE","0270","RC","Both",,,"348","174","Medicare",,,,"54",,"188.62","0.18","1007.5","percent of total billed charges",,
"LDS 15W SUTURE","0270","RC","Both",,,"348","174","Humana","Medicare Advantage",,,"54",,"188.62","0.18","1007.5","percent of total billed charges",,
"LDS 15W SUTURE","0270","RC","Both",,,"348","174","UHC","Medicare Advantage",,,"54",,"188.62","0.18","1007.5","percent of total billed charges",,
"LDS 15W SUTURE","0270","RC","Both",,,"348","174","Clover","Medicare Advantage",,,"54",,"188.62","0.18","1007.5","percent of total billed charges",,
"LDS 15W SUTURE","0270","RC","Both",,,"348","174","Wellcare","Medicare Advantage",,,"54",,"188.62","0.18","1007.5","percent of total billed charges",,
"LDS 15W SUTURE","0270","RC","Both",,,"348","174","Amerigroup","Medicaid Managed Care",,,"37",,"127.37","0.18","1007.5","percent of total billed charges",,
"LDS 15W SUTURE","0270","RC","Both",,,"348","174","Caresource","Medicaid Managed Care",,,"40",,"139.2","0.18","1007.5","percent of total billed charges",,
"LDS 15W SUTURE","0270","RC","Both",,,"348","174","Wellcare","Medicaid Managed Care",,,"40",,"140.94","0.18","1007.5","percent of total billed charges",,
"LDS 15W SUTURE","0270","RC","Both",,,"348","174","Aetna","Commercial",,,"64",,"222.02","0.18","1007.5","percent of total billed charges",,
"LDS 15W SUTURE","0270","RC","Both",,,"348","174","Blue Cross Blue Shield","Pathways",,,"71",,"245.69","0.18","1007.5","percent of total billed charges",,
"LDS 15W SUTURE","0270","RC","Both",,,"348","174","Blue Cross Blue Shield","HMO",,,"71",,"245.69","0.18","1007.5","percent of total billed charges",,
"LDS 15W SUTURE","0270","RC","Both",,,"348","174","Blue Cross Blue Shield","PPO",,,"71",,"245.69","0.18","1007.5","percent of total billed charges",,
"LDS 15W SUTURE","0270","RC","Both",,,"348","174","Ambetter","Health Exchange",,,"62",,"215.76","0.18","1007.5","percent of total billed charges",,
"LDS 15W SUTURE","0270","RC","Both",,,"348","174","Caresource","Health Exchange",,,"62",,"215.76","0.18","1007.5","percent of total billed charges",,
"LDS 15W SUTURE","0270","RC","Both",,,"348","174","Cigna","Commercial",,,"59",,"203.93","0.18","1007.5","percent of total billed charges",,
"LDS 15W SUTURE","0270","RC","Both",,,"348","174","Humana","Commercial",,,"78",,"269.7","0.18","1007.5","percent of total billed charges",,
"LDS 15W SUTURE","0270","RC","Both",,,"348","174","UHC","Commercial",,,"75",,"262.39","0.18","1007.5","percent of total billed charges",,
"LDS 15W SUTURE","0270","RC","Both",,,"348","174","Medicaid",,,,"37",,"127.37","0.18","1007.5","percent of total billed charges",,
"LAPRASCOPE PACK","0270","RC","Both",,,"25.5","12.75","Alliant","Health Exchange",,,"62",,"15.81","0.18","1007.5","percent of total billed charges",,
"LAPRASCOPE PACK","0270","RC","Both",,,"25.5","12.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"13.77","0.18","1007.5","percent of total billed charges",,
"LAPRASCOPE PACK","0270","RC","Both",,,"25.5","12.75","Medicare",,,,"54",,"13.82","0.18","1007.5","percent of total billed charges",,
"LAPRASCOPE PACK","0270","RC","Both",,,"25.5","12.75","Humana","Medicare Advantage",,,"54",,"13.82","0.18","1007.5","percent of total billed charges",,
"LAPRASCOPE PACK","0270","RC","Both",,,"25.5","12.75","UHC","Medicare Advantage",,,"54",,"13.82","0.18","1007.5","percent of total billed charges",,
"LAPRASCOPE PACK","0270","RC","Both",,,"25.5","12.75","Clover","Medicare Advantage",,,"54",,"13.82","0.18","1007.5","percent of total billed charges",,
"LAPRASCOPE PACK","0270","RC","Both",,,"25.5","12.75","Wellcare","Medicare Advantage",,,"54",,"13.82","0.18","1007.5","percent of total billed charges",,
"LAPRASCOPE PACK","0270","RC","Both",,,"25.5","12.75","Amerigroup","Medicaid Managed Care",,,"37",,"9.33","0.18","1007.5","percent of total billed charges",,
"LAPRASCOPE PACK","0270","RC","Both",,,"25.5","12.75","Caresource","Medicaid Managed Care",,,"40",,"10.2","0.18","1007.5","percent of total billed charges",,
"LAPRASCOPE PACK","0270","RC","Both",,,"25.5","12.75","Wellcare","Medicaid Managed Care",,,"40",,"10.33","0.18","1007.5","percent of total billed charges",,
"LAPRASCOPE PACK","0270","RC","Both",,,"25.5","12.75","Aetna","Commercial",,,"64",,"16.27","0.18","1007.5","percent of total billed charges",,
"LAPRASCOPE PACK","0270","RC","Both",,,"25.5","12.75","Blue Cross Blue Shield","Pathways",,,"71",,"18","0.18","1007.5","percent of total billed charges",,
"LAPRASCOPE PACK","0270","RC","Both",,,"25.5","12.75","Blue Cross Blue Shield","HMO",,,"71",,"18","0.18","1007.5","percent of total billed charges",,
"LAPRASCOPE PACK","0270","RC","Both",,,"25.5","12.75","Blue Cross Blue Shield","PPO",,,"71",,"18","0.18","1007.5","percent of total billed charges",,
"LAPRASCOPE PACK","0270","RC","Both",,,"25.5","12.75","Ambetter","Health Exchange",,,"62",,"15.81","0.18","1007.5","percent of total billed charges",,
"LAPRASCOPE PACK","0270","RC","Both",,,"25.5","12.75","Caresource","Health Exchange",,,"62",,"15.81","0.18","1007.5","percent of total billed charges",,
"LAPRASCOPE PACK","0270","RC","Both",,,"25.5","12.75","Cigna","Commercial",,,"59",,"14.94","0.18","1007.5","percent of total billed charges",,
"LAPRASCOPE PACK","0270","RC","Both",,,"25.5","12.75","Humana","Commercial",,,"78",,"19.76","0.18","1007.5","percent of total billed charges",,
"LAPRASCOPE PACK","0270","RC","Both",,,"25.5","12.75","UHC","Commercial",,,"75",,"19.23","0.18","1007.5","percent of total billed charges",,
"LAPRASCOPE PACK","0270","RC","Both",,,"25.5","12.75","Medicaid",,,,"37",,"9.33","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 26 FR 30CC 2 WAY","0270","RC","Both",,,"57","28.5","Alliant","Health Exchange",,,"62",,"35.34","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 26 FR 30CC 2 WAY","0270","RC","Both",,,"57","28.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"30.78","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 26 FR 30CC 2 WAY","0270","RC","Both",,,"57","28.5","Medicare",,,,"54",,"30.89","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 26 FR 30CC 2 WAY","0270","RC","Both",,,"57","28.5","Humana","Medicare Advantage",,,"54",,"30.89","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 26 FR 30CC 2 WAY","0270","RC","Both",,,"57","28.5","UHC","Medicare Advantage",,,"54",,"30.89","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 26 FR 30CC 2 WAY","0270","RC","Both",,,"57","28.5","Clover","Medicare Advantage",,,"54",,"30.89","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 26 FR 30CC 2 WAY","0270","RC","Both",,,"57","28.5","Wellcare","Medicare Advantage",,,"54",,"30.89","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 26 FR 30CC 2 WAY","0270","RC","Both",,,"57","28.5","Amerigroup","Medicaid Managed Care",,,"37",,"20.86","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 26 FR 30CC 2 WAY","0270","RC","Both",,,"57","28.5","Caresource","Medicaid Managed Care",,,"40",,"22.8","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 26 FR 30CC 2 WAY","0270","RC","Both",,,"57","28.5","Wellcare","Medicaid Managed Care",,,"40",,"23.08","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 26 FR 30CC 2 WAY","0270","RC","Both",,,"57","28.5","Aetna","Commercial",,,"64",,"36.37","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 26 FR 30CC 2 WAY","0270","RC","Both",,,"57","28.5","Blue Cross Blue Shield","Pathways",,,"71",,"40.24","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 26 FR 30CC 2 WAY","0270","RC","Both",,,"57","28.5","Blue Cross Blue Shield","HMO",,,"71",,"40.24","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 26 FR 30CC 2 WAY","0270","RC","Both",,,"57","28.5","Blue Cross Blue Shield","PPO",,,"71",,"40.24","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 26 FR 30CC 2 WAY","0270","RC","Both",,,"57","28.5","Ambetter","Health Exchange",,,"62",,"35.34","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 26 FR 30CC 2 WAY","0270","RC","Both",,,"57","28.5","Caresource","Health Exchange",,,"62",,"35.34","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 26 FR 30CC 2 WAY","0270","RC","Both",,,"57","28.5","Cigna","Commercial",,,"59",,"33.4","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 26 FR 30CC 2 WAY","0270","RC","Both",,,"57","28.5","Humana","Commercial",,,"78",,"44.18","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 26 FR 30CC 2 WAY","0270","RC","Both",,,"57","28.5","UHC","Commercial",,,"75",,"42.98","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 26 FR 30CC 2 WAY","0270","RC","Both",,,"57","28.5","Medicaid",,,,"37",,"20.86","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 28 FR","0270","RC","Both",,,"57","28.5","Alliant","Health Exchange",,,"62",,"35.34","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 28 FR","0270","RC","Both",,,"57","28.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"30.78","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 28 FR","0270","RC","Both",,,"57","28.5","Medicare",,,,"54",,"30.89","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 28 FR","0270","RC","Both",,,"57","28.5","Humana","Medicare Advantage",,,"54",,"30.89","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 28 FR","0270","RC","Both",,,"57","28.5","UHC","Medicare Advantage",,,"54",,"30.89","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 28 FR","0270","RC","Both",,,"57","28.5","Clover","Medicare Advantage",,,"54",,"30.89","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 28 FR","0270","RC","Both",,,"57","28.5","Wellcare","Medicare Advantage",,,"54",,"30.89","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 28 FR","0270","RC","Both",,,"57","28.5","Amerigroup","Medicaid Managed Care",,,"37",,"20.86","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 28 FR","0270","RC","Both",,,"57","28.5","Caresource","Medicaid Managed Care",,,"40",,"22.8","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 28 FR","0270","RC","Both",,,"57","28.5","Wellcare","Medicaid Managed Care",,,"40",,"23.08","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 28 FR","0270","RC","Both",,,"57","28.5","Aetna","Commercial",,,"64",,"36.37","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 28 FR","0270","RC","Both",,,"57","28.5","Blue Cross Blue Shield","Pathways",,,"71",,"40.24","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 28 FR","0270","RC","Both",,,"57","28.5","Blue Cross Blue Shield","HMO",,,"71",,"40.24","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 28 FR","0270","RC","Both",,,"57","28.5","Blue Cross Blue Shield","PPO",,,"71",,"40.24","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 28 FR","0270","RC","Both",,,"57","28.5","Ambetter","Health Exchange",,,"62",,"35.34","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 28 FR","0270","RC","Both",,,"57","28.5","Caresource","Health Exchange",,,"62",,"35.34","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 28 FR","0270","RC","Both",,,"57","28.5","Cigna","Commercial",,,"59",,"33.4","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 28 FR","0270","RC","Both",,,"57","28.5","Humana","Commercial",,,"78",,"44.18","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 28 FR","0270","RC","Both",,,"57","28.5","UHC","Commercial",,,"75",,"42.98","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 28 FR","0270","RC","Both",,,"57","28.5","Medicaid",,,,"37",,"20.86","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 30 FR 30 CC 2 WAY","0270","RC","Both",,,"57","28.5","Alliant","Health Exchange",,,"62",,"35.34","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 30 FR 30 CC 2 WAY","0270","RC","Both",,,"57","28.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"30.78","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 30 FR 30 CC 2 WAY","0270","RC","Both",,,"57","28.5","Medicare",,,,"54",,"30.89","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 30 FR 30 CC 2 WAY","0270","RC","Both",,,"57","28.5","Humana","Medicare Advantage",,,"54",,"30.89","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 30 FR 30 CC 2 WAY","0270","RC","Both",,,"57","28.5","UHC","Medicare Advantage",,,"54",,"30.89","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 30 FR 30 CC 2 WAY","0270","RC","Both",,,"57","28.5","Clover","Medicare Advantage",,,"54",,"30.89","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 30 FR 30 CC 2 WAY","0270","RC","Both",,,"57","28.5","Wellcare","Medicare Advantage",,,"54",,"30.89","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 30 FR 30 CC 2 WAY","0270","RC","Both",,,"57","28.5","Amerigroup","Medicaid Managed Care",,,"37",,"20.86","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 30 FR 30 CC 2 WAY","0270","RC","Both",,,"57","28.5","Caresource","Medicaid Managed Care",,,"40",,"22.8","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 30 FR 30 CC 2 WAY","0270","RC","Both",,,"57","28.5","Wellcare","Medicaid Managed Care",,,"40",,"23.08","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 30 FR 30 CC 2 WAY","0270","RC","Both",,,"57","28.5","Aetna","Commercial",,,"64",,"36.37","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 30 FR 30 CC 2 WAY","0270","RC","Both",,,"57","28.5","Blue Cross Blue Shield","Pathways",,,"71",,"40.24","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 30 FR 30 CC 2 WAY","0270","RC","Both",,,"57","28.5","Blue Cross Blue Shield","HMO",,,"71",,"40.24","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 30 FR 30 CC 2 WAY","0270","RC","Both",,,"57","28.5","Blue Cross Blue Shield","PPO",,,"71",,"40.24","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 30 FR 30 CC 2 WAY","0270","RC","Both",,,"57","28.5","Ambetter","Health Exchange",,,"62",,"35.34","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 30 FR 30 CC 2 WAY","0270","RC","Both",,,"57","28.5","Caresource","Health Exchange",,,"62",,"35.34","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 30 FR 30 CC 2 WAY","0270","RC","Both",,,"57","28.5","Cigna","Commercial",,,"59",,"33.4","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 30 FR 30 CC 2 WAY","0270","RC","Both",,,"57","28.5","Humana","Commercial",,,"78",,"44.18","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 30 FR 30 CC 2 WAY","0270","RC","Both",,,"57","28.5","UHC","Commercial",,,"75",,"42.98","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 30 FR 30 CC 2 WAY","0270","RC","Both",,,"57","28.5","Medicaid",,,,"37",,"20.86","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 16 FR 30CC 3 WAY","0270","RC","Both",,,"30","15","Alliant","Health Exchange",,,"62",,"18.6","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 16 FR 30CC 3 WAY","0270","RC","Both",,,"30","15","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.2","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 16 FR 30CC 3 WAY","0270","RC","Both",,,"30","15","Medicare",,,,"54",,"16.26","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 16 FR 30CC 3 WAY","0270","RC","Both",,,"30","15","Humana","Medicare Advantage",,,"54",,"16.26","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 16 FR 30CC 3 WAY","0270","RC","Both",,,"30","15","UHC","Medicare Advantage",,,"54",,"16.26","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 16 FR 30CC 3 WAY","0270","RC","Both",,,"30","15","Clover","Medicare Advantage",,,"54",,"16.26","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 16 FR 30CC 3 WAY","0270","RC","Both",,,"30","15","Wellcare","Medicare Advantage",,,"54",,"16.26","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 16 FR 30CC 3 WAY","0270","RC","Both",,,"30","15","Amerigroup","Medicaid Managed Care",,,"37",,"10.98","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 16 FR 30CC 3 WAY","0270","RC","Both",,,"30","15","Caresource","Medicaid Managed Care",,,"40",,"12","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 16 FR 30CC 3 WAY","0270","RC","Both",,,"30","15","Wellcare","Medicaid Managed Care",,,"40",,"12.15","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 16 FR 30CC 3 WAY","0270","RC","Both",,,"30","15","Aetna","Commercial",,,"64",,"19.14","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 16 FR 30CC 3 WAY","0270","RC","Both",,,"30","15","Blue Cross Blue Shield","Pathways",,,"71",,"21.18","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 16 FR 30CC 3 WAY","0270","RC","Both",,,"30","15","Blue Cross Blue Shield","HMO",,,"71",,"21.18","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 16 FR 30CC 3 WAY","0270","RC","Both",,,"30","15","Blue Cross Blue Shield","PPO",,,"71",,"21.18","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 16 FR 30CC 3 WAY","0270","RC","Both",,,"30","15","Ambetter","Health Exchange",,,"62",,"18.6","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 16 FR 30CC 3 WAY","0270","RC","Both",,,"30","15","Caresource","Health Exchange",,,"62",,"18.6","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 16 FR 30CC 3 WAY","0270","RC","Both",,,"30","15","Cigna","Commercial",,,"59",,"17.58","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 16 FR 30CC 3 WAY","0270","RC","Both",,,"30","15","Humana","Commercial",,,"78",,"23.25","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 16 FR 30CC 3 WAY","0270","RC","Both",,,"30","15","UHC","Commercial",,,"75",,"22.62","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 16 FR 30CC 3 WAY","0270","RC","Both",,,"30","15","Medicaid",,,,"37",,"10.98","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 24 FR 5CC 3 WAY","0270","RC","Both",,,"19","9.5","Alliant","Health Exchange",,,"62",,"11.78","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 24 FR 5CC 3 WAY","0270","RC","Both",,,"19","9.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.26","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 24 FR 5CC 3 WAY","0270","RC","Both",,,"19","9.5","Medicare",,,,"54",,"10.3","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 24 FR 5CC 3 WAY","0270","RC","Both",,,"19","9.5","Humana","Medicare Advantage",,,"54",,"10.3","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 24 FR 5CC 3 WAY","0270","RC","Both",,,"19","9.5","UHC","Medicare Advantage",,,"54",,"10.3","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 24 FR 5CC 3 WAY","0270","RC","Both",,,"19","9.5","Clover","Medicare Advantage",,,"54",,"10.3","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 24 FR 5CC 3 WAY","0270","RC","Both",,,"19","9.5","Wellcare","Medicare Advantage",,,"54",,"10.3","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 24 FR 5CC 3 WAY","0270","RC","Both",,,"19","9.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.95","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 24 FR 5CC 3 WAY","0270","RC","Both",,,"19","9.5","Caresource","Medicaid Managed Care",,,"40",,"7.6","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 24 FR 5CC 3 WAY","0270","RC","Both",,,"19","9.5","Wellcare","Medicaid Managed Care",,,"40",,"7.7","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 24 FR 5CC 3 WAY","0270","RC","Both",,,"19","9.5","Aetna","Commercial",,,"64",,"12.12","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 24 FR 5CC 3 WAY","0270","RC","Both",,,"19","9.5","Blue Cross Blue Shield","Pathways",,,"71",,"13.41","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 24 FR 5CC 3 WAY","0270","RC","Both",,,"19","9.5","Blue Cross Blue Shield","HMO",,,"71",,"13.41","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 24 FR 5CC 3 WAY","0270","RC","Both",,,"19","9.5","Blue Cross Blue Shield","PPO",,,"71",,"13.41","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 24 FR 5CC 3 WAY","0270","RC","Both",,,"19","9.5","Ambetter","Health Exchange",,,"62",,"11.78","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 24 FR 5CC 3 WAY","0270","RC","Both",,,"19","9.5","Caresource","Health Exchange",,,"62",,"11.78","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 24 FR 5CC 3 WAY","0270","RC","Both",,,"19","9.5","Cigna","Commercial",,,"59",,"11.13","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 24 FR 5CC 3 WAY","0270","RC","Both",,,"19","9.5","Humana","Commercial",,,"78",,"14.72","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 24 FR 5CC 3 WAY","0270","RC","Both",,,"19","9.5","UHC","Commercial",,,"75",,"14.33","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 24 FR 5CC 3 WAY","0270","RC","Both",,,"19","9.5","Medicaid",,,,"37",,"6.95","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 26 FR 30CC 3 WAY","0270","RC","Both",,,"57","28.5","Alliant","Health Exchange",,,"62",,"35.34","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 26 FR 30CC 3 WAY","0270","RC","Both",,,"57","28.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"30.78","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 26 FR 30CC 3 WAY","0270","RC","Both",,,"57","28.5","Medicare",,,,"54",,"30.89","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 26 FR 30CC 3 WAY","0270","RC","Both",,,"57","28.5","Humana","Medicare Advantage",,,"54",,"30.89","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 26 FR 30CC 3 WAY","0270","RC","Both",,,"57","28.5","UHC","Medicare Advantage",,,"54",,"30.89","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 26 FR 30CC 3 WAY","0270","RC","Both",,,"57","28.5","Clover","Medicare Advantage",,,"54",,"30.89","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 26 FR 30CC 3 WAY","0270","RC","Both",,,"57","28.5","Wellcare","Medicare Advantage",,,"54",,"30.89","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 26 FR 30CC 3 WAY","0270","RC","Both",,,"57","28.5","Amerigroup","Medicaid Managed Care",,,"37",,"20.86","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 26 FR 30CC 3 WAY","0270","RC","Both",,,"57","28.5","Caresource","Medicaid Managed Care",,,"40",,"22.8","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 26 FR 30CC 3 WAY","0270","RC","Both",,,"57","28.5","Wellcare","Medicaid Managed Care",,,"40",,"23.08","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 26 FR 30CC 3 WAY","0270","RC","Both",,,"57","28.5","Aetna","Commercial",,,"64",,"36.37","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 26 FR 30CC 3 WAY","0270","RC","Both",,,"57","28.5","Blue Cross Blue Shield","Pathways",,,"71",,"40.24","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 26 FR 30CC 3 WAY","0270","RC","Both",,,"57","28.5","Blue Cross Blue Shield","HMO",,,"71",,"40.24","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 26 FR 30CC 3 WAY","0270","RC","Both",,,"57","28.5","Blue Cross Blue Shield","PPO",,,"71",,"40.24","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 26 FR 30CC 3 WAY","0270","RC","Both",,,"57","28.5","Ambetter","Health Exchange",,,"62",,"35.34","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 26 FR 30CC 3 WAY","0270","RC","Both",,,"57","28.5","Caresource","Health Exchange",,,"62",,"35.34","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 26 FR 30CC 3 WAY","0270","RC","Both",,,"57","28.5","Cigna","Commercial",,,"59",,"33.4","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 26 FR 30CC 3 WAY","0270","RC","Both",,,"57","28.5","Humana","Commercial",,,"78",,"44.18","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 26 FR 30CC 3 WAY","0270","RC","Both",,,"57","28.5","UHC","Commercial",,,"75",,"42.98","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 26 FR 30CC 3 WAY","0270","RC","Both",,,"57","28.5","Medicaid",,,,"37",,"20.86","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 18 FR 30CC 3 WAY","0270","RC","Both",,,"30","15","Alliant","Health Exchange",,,"62",,"18.6","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 18 FR 30CC 3 WAY","0270","RC","Both",,,"30","15","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.2","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 18 FR 30CC 3 WAY","0270","RC","Both",,,"30","15","Medicare",,,,"54",,"16.26","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 18 FR 30CC 3 WAY","0270","RC","Both",,,"30","15","Humana","Medicare Advantage",,,"54",,"16.26","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 18 FR 30CC 3 WAY","0270","RC","Both",,,"30","15","UHC","Medicare Advantage",,,"54",,"16.26","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 18 FR 30CC 3 WAY","0270","RC","Both",,,"30","15","Clover","Medicare Advantage",,,"54",,"16.26","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 18 FR 30CC 3 WAY","0270","RC","Both",,,"30","15","Wellcare","Medicare Advantage",,,"54",,"16.26","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 18 FR 30CC 3 WAY","0270","RC","Both",,,"30","15","Amerigroup","Medicaid Managed Care",,,"37",,"10.98","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 18 FR 30CC 3 WAY","0270","RC","Both",,,"30","15","Caresource","Medicaid Managed Care",,,"40",,"12","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 18 FR 30CC 3 WAY","0270","RC","Both",,,"30","15","Wellcare","Medicaid Managed Care",,,"40",,"12.15","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 18 FR 30CC 3 WAY","0270","RC","Both",,,"30","15","Aetna","Commercial",,,"64",,"19.14","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 18 FR 30CC 3 WAY","0270","RC","Both",,,"30","15","Blue Cross Blue Shield","Pathways",,,"71",,"21.18","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 18 FR 30CC 3 WAY","0270","RC","Both",,,"30","15","Blue Cross Blue Shield","HMO",,,"71",,"21.18","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 18 FR 30CC 3 WAY","0270","RC","Both",,,"30","15","Blue Cross Blue Shield","PPO",,,"71",,"21.18","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 18 FR 30CC 3 WAY","0270","RC","Both",,,"30","15","Ambetter","Health Exchange",,,"62",,"18.6","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 18 FR 30CC 3 WAY","0270","RC","Both",,,"30","15","Caresource","Health Exchange",,,"62",,"18.6","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 18 FR 30CC 3 WAY","0270","RC","Both",,,"30","15","Cigna","Commercial",,,"59",,"17.58","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 18 FR 30CC 3 WAY","0270","RC","Both",,,"30","15","Humana","Commercial",,,"78",,"23.25","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 18 FR 30CC 3 WAY","0270","RC","Both",,,"30","15","UHC","Commercial",,,"75",,"22.62","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 18 FR 30CC 3 WAY","0270","RC","Both",,,"30","15","Medicaid",,,,"37",,"10.98","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 18 FR 75CC 3 WAY","0270","RC","Both",,,"30","15","Alliant","Health Exchange",,,"62",,"18.6","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 18 FR 75CC 3 WAY","0270","RC","Both",,,"30","15","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.2","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 18 FR 75CC 3 WAY","0270","RC","Both",,,"30","15","Medicare",,,,"54",,"16.26","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 18 FR 75CC 3 WAY","0270","RC","Both",,,"30","15","Humana","Medicare Advantage",,,"54",,"16.26","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 18 FR 75CC 3 WAY","0270","RC","Both",,,"30","15","UHC","Medicare Advantage",,,"54",,"16.26","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 18 FR 75CC 3 WAY","0270","RC","Both",,,"30","15","Clover","Medicare Advantage",,,"54",,"16.26","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 18 FR 75CC 3 WAY","0270","RC","Both",,,"30","15","Wellcare","Medicare Advantage",,,"54",,"16.26","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 18 FR 75CC 3 WAY","0270","RC","Both",,,"30","15","Amerigroup","Medicaid Managed Care",,,"37",,"10.98","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 18 FR 75CC 3 WAY","0270","RC","Both",,,"30","15","Caresource","Medicaid Managed Care",,,"40",,"12","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 18 FR 75CC 3 WAY","0270","RC","Both",,,"30","15","Wellcare","Medicaid Managed Care",,,"40",,"12.15","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 18 FR 75CC 3 WAY","0270","RC","Both",,,"30","15","Aetna","Commercial",,,"64",,"19.14","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 18 FR 75CC 3 WAY","0270","RC","Both",,,"30","15","Blue Cross Blue Shield","Pathways",,,"71",,"21.18","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 18 FR 75CC 3 WAY","0270","RC","Both",,,"30","15","Blue Cross Blue Shield","HMO",,,"71",,"21.18","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 18 FR 75CC 3 WAY","0270","RC","Both",,,"30","15","Blue Cross Blue Shield","PPO",,,"71",,"21.18","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 18 FR 75CC 3 WAY","0270","RC","Both",,,"30","15","Ambetter","Health Exchange",,,"62",,"18.6","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 18 FR 75CC 3 WAY","0270","RC","Both",,,"30","15","Caresource","Health Exchange",,,"62",,"18.6","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 18 FR 75CC 3 WAY","0270","RC","Both",,,"30","15","Cigna","Commercial",,,"59",,"17.58","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 18 FR 75CC 3 WAY","0270","RC","Both",,,"30","15","Humana","Commercial",,,"78",,"23.25","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 18 FR 75CC 3 WAY","0270","RC","Both",,,"30","15","UHC","Commercial",,,"75",,"22.62","0.18","1007.5","percent of total billed charges",,
"FOLEY CATH 18 FR 75CC 3 WAY","0270","RC","Both",,,"30","15","Medicaid",,,,"37",,"10.98","0.18","1007.5","percent of total billed charges",,
"CV CATHERIZATION SET","0270","RC","Both",,,"60","30","Alliant","Health Exchange",,,"62",,"37.2","0.18","1007.5","percent of total billed charges",,
"CV CATHERIZATION SET","0270","RC","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage",,,"54",,"32.4","0.18","1007.5","percent of total billed charges",,
"CV CATHERIZATION SET","0270","RC","Both",,,"60","30","Medicare",,,,"54",,"32.52","0.18","1007.5","percent of total billed charges",,
"CV CATHERIZATION SET","0270","RC","Both",,,"60","30","Humana","Medicare Advantage",,,"54",,"32.52","0.18","1007.5","percent of total billed charges",,
"CV CATHERIZATION SET","0270","RC","Both",,,"60","30","UHC","Medicare Advantage",,,"54",,"32.52","0.18","1007.5","percent of total billed charges",,
"CV CATHERIZATION SET","0270","RC","Both",,,"60","30","Clover","Medicare Advantage",,,"54",,"32.52","0.18","1007.5","percent of total billed charges",,
"CV CATHERIZATION SET","0270","RC","Both",,,"60","30","Wellcare","Medicare Advantage",,,"54",,"32.52","0.18","1007.5","percent of total billed charges",,
"CV CATHERIZATION SET","0270","RC","Both",,,"60","30","Amerigroup","Medicaid Managed Care",,,"37",,"21.96","0.18","1007.5","percent of total billed charges",,
"CV CATHERIZATION SET","0270","RC","Both",,,"60","30","Caresource","Medicaid Managed Care",,,"40",,"24","0.18","1007.5","percent of total billed charges",,
"CV CATHERIZATION SET","0270","RC","Both",,,"60","30","Wellcare","Medicaid Managed Care",,,"40",,"24.3","0.18","1007.5","percent of total billed charges",,
"CV CATHERIZATION SET","0270","RC","Both",,,"60","30","Aetna","Commercial",,,"64",,"38.28","0.18","1007.5","percent of total billed charges",,
"CV CATHERIZATION SET","0270","RC","Both",,,"60","30","Blue Cross Blue Shield","Pathways",,,"71",,"42.36","0.18","1007.5","percent of total billed charges",,
"CV CATHERIZATION SET","0270","RC","Both",,,"60","30","Blue Cross Blue Shield","HMO",,,"71",,"42.36","0.18","1007.5","percent of total billed charges",,
"CV CATHERIZATION SET","0270","RC","Both",,,"60","30","Blue Cross Blue Shield","PPO",,,"71",,"42.36","0.18","1007.5","percent of total billed charges",,
"CV CATHERIZATION SET","0270","RC","Both",,,"60","30","Ambetter","Health Exchange",,,"62",,"37.2","0.18","1007.5","percent of total billed charges",,
"CV CATHERIZATION SET","0270","RC","Both",,,"60","30","Caresource","Health Exchange",,,"62",,"37.2","0.18","1007.5","percent of total billed charges",,
"CV CATHERIZATION SET","0270","RC","Both",,,"60","30","Cigna","Commercial",,,"59",,"35.16","0.18","1007.5","percent of total billed charges",,
"CV CATHERIZATION SET","0270","RC","Both",,,"60","30","Humana","Commercial",,,"78",,"46.5","0.18","1007.5","percent of total billed charges",,
"CV CATHERIZATION SET","0270","RC","Both",,,"60","30","UHC","Commercial",,,"75",,"45.24","0.18","1007.5","percent of total billed charges",,
"CV CATHERIZATION SET","0270","RC","Both",,,"60","30","Medicaid",,,,"37",,"21.96","0.18","1007.5","percent of total billed charges",,
"QUICK PACE EXT. CASSETTE","0270","RC","Both",,,"65.5","32.75","Alliant","Health Exchange",,,"62",,"40.61","0.18","1007.5","percent of total billed charges",,
"QUICK PACE EXT. CASSETTE","0270","RC","Both",,,"65.5","32.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"35.37","0.18","1007.5","percent of total billed charges",,
"QUICK PACE EXT. CASSETTE","0270","RC","Both",,,"65.5","32.75","Medicare",,,,"54",,"35.5","0.18","1007.5","percent of total billed charges",,
"QUICK PACE EXT. CASSETTE","0270","RC","Both",,,"65.5","32.75","Humana","Medicare Advantage",,,"54",,"35.5","0.18","1007.5","percent of total billed charges",,
"QUICK PACE EXT. CASSETTE","0270","RC","Both",,,"65.5","32.75","UHC","Medicare Advantage",,,"54",,"35.5","0.18","1007.5","percent of total billed charges",,
"QUICK PACE EXT. CASSETTE","0270","RC","Both",,,"65.5","32.75","Clover","Medicare Advantage",,,"54",,"35.5","0.18","1007.5","percent of total billed charges",,
"QUICK PACE EXT. CASSETTE","0270","RC","Both",,,"65.5","32.75","Wellcare","Medicare Advantage",,,"54",,"35.5","0.18","1007.5","percent of total billed charges",,
"QUICK PACE EXT. CASSETTE","0270","RC","Both",,,"65.5","32.75","Amerigroup","Medicaid Managed Care",,,"37",,"23.97","0.18","1007.5","percent of total billed charges",,
"QUICK PACE EXT. CASSETTE","0270","RC","Both",,,"65.5","32.75","Caresource","Medicaid Managed Care",,,"40",,"26.2","0.18","1007.5","percent of total billed charges",,
"QUICK PACE EXT. CASSETTE","0270","RC","Both",,,"65.5","32.75","Wellcare","Medicaid Managed Care",,,"40",,"26.53","0.18","1007.5","percent of total billed charges",,
"QUICK PACE EXT. CASSETTE","0270","RC","Both",,,"65.5","32.75","Aetna","Commercial",,,"64",,"41.79","0.18","1007.5","percent of total billed charges",,
"QUICK PACE EXT. CASSETTE","0270","RC","Both",,,"65.5","32.75","Blue Cross Blue Shield","Pathways",,,"71",,"46.24","0.18","1007.5","percent of total billed charges",,
"QUICK PACE EXT. CASSETTE","0270","RC","Both",,,"65.5","32.75","Blue Cross Blue Shield","HMO",,,"71",,"46.24","0.18","1007.5","percent of total billed charges",,
"QUICK PACE EXT. CASSETTE","0270","RC","Both",,,"65.5","32.75","Blue Cross Blue Shield","PPO",,,"71",,"46.24","0.18","1007.5","percent of total billed charges",,
"QUICK PACE EXT. CASSETTE","0270","RC","Both",,,"65.5","32.75","Ambetter","Health Exchange",,,"62",,"40.61","0.18","1007.5","percent of total billed charges",,
"QUICK PACE EXT. CASSETTE","0270","RC","Both",,,"65.5","32.75","Caresource","Health Exchange",,,"62",,"40.61","0.18","1007.5","percent of total billed charges",,
"QUICK PACE EXT. CASSETTE","0270","RC","Both",,,"65.5","32.75","Cigna","Commercial",,,"59",,"38.38","0.18","1007.5","percent of total billed charges",,
"QUICK PACE EXT. CASSETTE","0270","RC","Both",,,"65.5","32.75","Humana","Commercial",,,"78",,"50.76","0.18","1007.5","percent of total billed charges",,
"QUICK PACE EXT. CASSETTE","0270","RC","Both",,,"65.5","32.75","UHC","Commercial",,,"75",,"49.39","0.18","1007.5","percent of total billed charges",,
"QUICK PACE EXT. CASSETTE","0270","RC","Both",,,"65.5","32.75","Medicaid",,,,"37",,"23.97","0.18","1007.5","percent of total billed charges",,
"RADIAL CATHETER KIT","0270","RC","Both",,,"23.5","11.75","Alliant","Health Exchange",,,"62",,"14.57","0.18","1007.5","percent of total billed charges",,
"RADIAL CATHETER KIT","0270","RC","Both",,,"23.5","11.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.69","0.18","1007.5","percent of total billed charges",,
"RADIAL CATHETER KIT","0270","RC","Both",,,"23.5","11.75","Medicare",,,,"54",,"12.74","0.18","1007.5","percent of total billed charges",,
"RADIAL CATHETER KIT","0270","RC","Both",,,"23.5","11.75","Humana","Medicare Advantage",,,"54",,"12.74","0.18","1007.5","percent of total billed charges",,
"RADIAL CATHETER KIT","0270","RC","Both",,,"23.5","11.75","UHC","Medicare Advantage",,,"54",,"12.74","0.18","1007.5","percent of total billed charges",,
"RADIAL CATHETER KIT","0270","RC","Both",,,"23.5","11.75","Clover","Medicare Advantage",,,"54",,"12.74","0.18","1007.5","percent of total billed charges",,
"RADIAL CATHETER KIT","0270","RC","Both",,,"23.5","11.75","Wellcare","Medicare Advantage",,,"54",,"12.74","0.18","1007.5","percent of total billed charges",,
"RADIAL CATHETER KIT","0270","RC","Both",,,"23.5","11.75","Amerigroup","Medicaid Managed Care",,,"37",,"8.6","0.18","1007.5","percent of total billed charges",,
"RADIAL CATHETER KIT","0270","RC","Both",,,"23.5","11.75","Caresource","Medicaid Managed Care",,,"40",,"9.4","0.18","1007.5","percent of total billed charges",,
"RADIAL CATHETER KIT","0270","RC","Both",,,"23.5","11.75","Wellcare","Medicaid Managed Care",,,"40",,"9.52","0.18","1007.5","percent of total billed charges",,
"RADIAL CATHETER KIT","0270","RC","Both",,,"23.5","11.75","Aetna","Commercial",,,"64",,"14.99","0.18","1007.5","percent of total billed charges",,
"RADIAL CATHETER KIT","0270","RC","Both",,,"23.5","11.75","Blue Cross Blue Shield","Pathways",,,"71",,"16.59","0.18","1007.5","percent of total billed charges",,
"RADIAL CATHETER KIT","0270","RC","Both",,,"23.5","11.75","Blue Cross Blue Shield","HMO",,,"71",,"16.59","0.18","1007.5","percent of total billed charges",,
"RADIAL CATHETER KIT","0270","RC","Both",,,"23.5","11.75","Blue Cross Blue Shield","PPO",,,"71",,"16.59","0.18","1007.5","percent of total billed charges",,
"RADIAL CATHETER KIT","0270","RC","Both",,,"23.5","11.75","Ambetter","Health Exchange",,,"62",,"14.57","0.18","1007.5","percent of total billed charges",,
"RADIAL CATHETER KIT","0270","RC","Both",,,"23.5","11.75","Caresource","Health Exchange",,,"62",,"14.57","0.18","1007.5","percent of total billed charges",,
"RADIAL CATHETER KIT","0270","RC","Both",,,"23.5","11.75","Cigna","Commercial",,,"59",,"13.77","0.18","1007.5","percent of total billed charges",,
"RADIAL CATHETER KIT","0270","RC","Both",,,"23.5","11.75","Humana","Commercial",,,"78",,"18.21","0.18","1007.5","percent of total billed charges",,
"RADIAL CATHETER KIT","0270","RC","Both",,,"23.5","11.75","UHC","Commercial",,,"75",,"17.72","0.18","1007.5","percent of total billed charges",,
"RADIAL CATHETER KIT","0270","RC","Both",,,"23.5","11.75","Medicaid",,,,"37",,"8.6","0.18","1007.5","percent of total billed charges",,
"STERI DRAPE","0270","RC","Both",,,"37","18.5","Alliant","Health Exchange",,,"62",,"22.94","0.18","1007.5","percent of total billed charges",,
"STERI DRAPE","0270","RC","Both",,,"37","18.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.98","0.18","1007.5","percent of total billed charges",,
"STERI DRAPE","0270","RC","Both",,,"37","18.5","Medicare",,,,"54",,"20.05","0.18","1007.5","percent of total billed charges",,
"STERI DRAPE","0270","RC","Both",,,"37","18.5","Humana","Medicare Advantage",,,"54",,"20.05","0.18","1007.5","percent of total billed charges",,
"STERI DRAPE","0270","RC","Both",,,"37","18.5","UHC","Medicare Advantage",,,"54",,"20.05","0.18","1007.5","percent of total billed charges",,
"STERI DRAPE","0270","RC","Both",,,"37","18.5","Clover","Medicare Advantage",,,"54",,"20.05","0.18","1007.5","percent of total billed charges",,
"STERI DRAPE","0270","RC","Both",,,"37","18.5","Wellcare","Medicare Advantage",,,"54",,"20.05","0.18","1007.5","percent of total billed charges",,
"STERI DRAPE","0270","RC","Both",,,"37","18.5","Amerigroup","Medicaid Managed Care",,,"37",,"13.54","0.18","1007.5","percent of total billed charges",,
"STERI DRAPE","0270","RC","Both",,,"37","18.5","Caresource","Medicaid Managed Care",,,"40",,"14.8","0.18","1007.5","percent of total billed charges",,
"STERI DRAPE","0270","RC","Both",,,"37","18.5","Wellcare","Medicaid Managed Care",,,"40",,"14.99","0.18","1007.5","percent of total billed charges",,
"STERI DRAPE","0270","RC","Both",,,"37","18.5","Aetna","Commercial",,,"64",,"23.61","0.18","1007.5","percent of total billed charges",,
"STERI DRAPE","0270","RC","Both",,,"37","18.5","Blue Cross Blue Shield","Pathways",,,"71",,"26.12","0.18","1007.5","percent of total billed charges",,
"STERI DRAPE","0270","RC","Both",,,"37","18.5","Blue Cross Blue Shield","HMO",,,"71",,"26.12","0.18","1007.5","percent of total billed charges",,
"STERI DRAPE","0270","RC","Both",,,"37","18.5","Blue Cross Blue Shield","PPO",,,"71",,"26.12","0.18","1007.5","percent of total billed charges",,
"STERI DRAPE","0270","RC","Both",,,"37","18.5","Ambetter","Health Exchange",,,"62",,"22.94","0.18","1007.5","percent of total billed charges",,
"STERI DRAPE","0270","RC","Both",,,"37","18.5","Caresource","Health Exchange",,,"62",,"22.94","0.18","1007.5","percent of total billed charges",,
"STERI DRAPE","0270","RC","Both",,,"37","18.5","Cigna","Commercial",,,"59",,"21.68","0.18","1007.5","percent of total billed charges",,
"STERI DRAPE","0270","RC","Both",,,"37","18.5","Humana","Commercial",,,"78",,"28.68","0.18","1007.5","percent of total billed charges",,
"STERI DRAPE","0270","RC","Both",,,"37","18.5","UHC","Commercial",,,"75",,"27.9","0.18","1007.5","percent of total billed charges",,
"STERI DRAPE","0270","RC","Both",,,"37","18.5","Medicaid",,,,"37",,"13.54","0.18","1007.5","percent of total billed charges",,
"BELONGING BAGS","0270","RC","Both",,,"11","5.5","Alliant","Health Exchange",,,"62",,"6.82","0.18","1007.5","percent of total billed charges",,
"BELONGING BAGS","0270","RC","Both",,,"11","5.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.94","0.18","1007.5","percent of total billed charges",,
"BELONGING BAGS","0270","RC","Both",,,"11","5.5","Medicare",,,,"54",,"5.96","0.18","1007.5","percent of total billed charges",,
"BELONGING BAGS","0270","RC","Both",,,"11","5.5","Humana","Medicare Advantage",,,"54",,"5.96","0.18","1007.5","percent of total billed charges",,
"BELONGING BAGS","0270","RC","Both",,,"11","5.5","UHC","Medicare Advantage",,,"54",,"5.96","0.18","1007.5","percent of total billed charges",,
"BELONGING BAGS","0270","RC","Both",,,"11","5.5","Clover","Medicare Advantage",,,"54",,"5.96","0.18","1007.5","percent of total billed charges",,
"BELONGING BAGS","0270","RC","Both",,,"11","5.5","Wellcare","Medicare Advantage",,,"54",,"5.96","0.18","1007.5","percent of total billed charges",,
"BELONGING BAGS","0270","RC","Both",,,"11","5.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.03","0.18","1007.5","percent of total billed charges",,
"BELONGING BAGS","0270","RC","Both",,,"11","5.5","Caresource","Medicaid Managed Care",,,"40",,"4.4","0.18","1007.5","percent of total billed charges",,
"BELONGING BAGS","0270","RC","Both",,,"11","5.5","Wellcare","Medicaid Managed Care",,,"40",,"4.46","0.18","1007.5","percent of total billed charges",,
"BELONGING BAGS","0270","RC","Both",,,"11","5.5","Aetna","Commercial",,,"64",,"7.02","0.18","1007.5","percent of total billed charges",,
"BELONGING BAGS","0270","RC","Both",,,"11","5.5","Blue Cross Blue Shield","Pathways",,,"71",,"7.77","0.18","1007.5","percent of total billed charges",,
"BELONGING BAGS","0270","RC","Both",,,"11","5.5","Blue Cross Blue Shield","HMO",,,"71",,"7.77","0.18","1007.5","percent of total billed charges",,
"BELONGING BAGS","0270","RC","Both",,,"11","5.5","Blue Cross Blue Shield","PPO",,,"71",,"7.77","0.18","1007.5","percent of total billed charges",,
"BELONGING BAGS","0270","RC","Both",,,"11","5.5","Ambetter","Health Exchange",,,"62",,"6.82","0.18","1007.5","percent of total billed charges",,
"BELONGING BAGS","0270","RC","Both",,,"11","5.5","Caresource","Health Exchange",,,"62",,"6.82","0.18","1007.5","percent of total billed charges",,
"BELONGING BAGS","0270","RC","Both",,,"11","5.5","Cigna","Commercial",,,"59",,"6.45","0.18","1007.5","percent of total billed charges",,
"BELONGING BAGS","0270","RC","Both",,,"11","5.5","Humana","Commercial",,,"78",,"8.52","0.18","1007.5","percent of total billed charges",,
"BELONGING BAGS","0270","RC","Both",,,"11","5.5","UHC","Commercial",,,"75",,"8.29","0.18","1007.5","percent of total billed charges",,
"BELONGING BAGS","0270","RC","Both",,,"11","5.5","Medicaid",,,,"37",,"4.03","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER 8 FRENCH","0270","RC","Both",,,"9.5","4.75","Alliant","Health Exchange",,,"62",,"5.89","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER 8 FRENCH","0270","RC","Both",,,"9.5","4.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.13","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER 8 FRENCH","0270","RC","Both",,,"9.5","4.75","Medicare",,,,"54",,"5.15","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER 8 FRENCH","0270","RC","Both",,,"9.5","4.75","Humana","Medicare Advantage",,,"54",,"5.15","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER 8 FRENCH","0270","RC","Both",,,"9.5","4.75","UHC","Medicare Advantage",,,"54",,"5.15","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER 8 FRENCH","0270","RC","Both",,,"9.5","4.75","Clover","Medicare Advantage",,,"54",,"5.15","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER 8 FRENCH","0270","RC","Both",,,"9.5","4.75","Wellcare","Medicare Advantage",,,"54",,"5.15","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER 8 FRENCH","0270","RC","Both",,,"9.5","4.75","Amerigroup","Medicaid Managed Care",,,"37",,"3.48","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER 8 FRENCH","0270","RC","Both",,,"9.5","4.75","Caresource","Medicaid Managed Care",,,"40",,"3.8","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER 8 FRENCH","0270","RC","Both",,,"9.5","4.75","Wellcare","Medicaid Managed Care",,,"40",,"3.85","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER 8 FRENCH","0270","RC","Both",,,"9.5","4.75","Aetna","Commercial",,,"64",,"6.06","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER 8 FRENCH","0270","RC","Both",,,"9.5","4.75","Blue Cross Blue Shield","Pathways",,,"71",,"6.71","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER 8 FRENCH","0270","RC","Both",,,"9.5","4.75","Blue Cross Blue Shield","HMO",,,"71",,"6.71","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER 8 FRENCH","0270","RC","Both",,,"9.5","4.75","Blue Cross Blue Shield","PPO",,,"71",,"6.71","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER 8 FRENCH","0270","RC","Both",,,"9.5","4.75","Ambetter","Health Exchange",,,"62",,"5.89","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER 8 FRENCH","0270","RC","Both",,,"9.5","4.75","Caresource","Health Exchange",,,"62",,"5.89","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER 8 FRENCH","0270","RC","Both",,,"9.5","4.75","Cigna","Commercial",,,"59",,"5.57","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER 8 FRENCH","0270","RC","Both",,,"9.5","4.75","Humana","Commercial",,,"78",,"7.36","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER 8 FRENCH","0270","RC","Both",,,"9.5","4.75","UHC","Commercial",,,"75",,"7.16","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER 8 FRENCH","0270","RC","Both",,,"9.5","4.75","Medicaid",,,,"37",,"3.48","0.18","1007.5","percent of total billed charges",,
"SURGICAL CLIPPERS 3M","0270","RC","Both",,,"35.5","17.75","Alliant","Health Exchange",,,"62",,"22.01","0.18","1007.5","percent of total billed charges",,
"SURGICAL CLIPPERS 3M","0270","RC","Both",,,"35.5","17.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.17","0.18","1007.5","percent of total billed charges",,
"SURGICAL CLIPPERS 3M","0270","RC","Both",,,"35.5","17.75","Medicare",,,,"54",,"19.24","0.18","1007.5","percent of total billed charges",,
"SURGICAL CLIPPERS 3M","0270","RC","Both",,,"35.5","17.75","Humana","Medicare Advantage",,,"54",,"19.24","0.18","1007.5","percent of total billed charges",,
"SURGICAL CLIPPERS 3M","0270","RC","Both",,,"35.5","17.75","UHC","Medicare Advantage",,,"54",,"19.24","0.18","1007.5","percent of total billed charges",,
"SURGICAL CLIPPERS 3M","0270","RC","Both",,,"35.5","17.75","Clover","Medicare Advantage",,,"54",,"19.24","0.18","1007.5","percent of total billed charges",,
"SURGICAL CLIPPERS 3M","0270","RC","Both",,,"35.5","17.75","Wellcare","Medicare Advantage",,,"54",,"19.24","0.18","1007.5","percent of total billed charges",,
"SURGICAL CLIPPERS 3M","0270","RC","Both",,,"35.5","17.75","Amerigroup","Medicaid Managed Care",,,"37",,"12.99","0.18","1007.5","percent of total billed charges",,
"SURGICAL CLIPPERS 3M","0270","RC","Both",,,"35.5","17.75","Caresource","Medicaid Managed Care",,,"40",,"14.2","0.18","1007.5","percent of total billed charges",,
"SURGICAL CLIPPERS 3M","0270","RC","Both",,,"35.5","17.75","Wellcare","Medicaid Managed Care",,,"40",,"14.38","0.18","1007.5","percent of total billed charges",,
"SURGICAL CLIPPERS 3M","0270","RC","Both",,,"35.5","17.75","Aetna","Commercial",,,"64",,"22.65","0.18","1007.5","percent of total billed charges",,
"SURGICAL CLIPPERS 3M","0270","RC","Both",,,"35.5","17.75","Blue Cross Blue Shield","Pathways",,,"71",,"25.06","0.18","1007.5","percent of total billed charges",,
"SURGICAL CLIPPERS 3M","0270","RC","Both",,,"35.5","17.75","Blue Cross Blue Shield","HMO",,,"71",,"25.06","0.18","1007.5","percent of total billed charges",,
"SURGICAL CLIPPERS 3M","0270","RC","Both",,,"35.5","17.75","Blue Cross Blue Shield","PPO",,,"71",,"25.06","0.18","1007.5","percent of total billed charges",,
"SURGICAL CLIPPERS 3M","0270","RC","Both",,,"35.5","17.75","Ambetter","Health Exchange",,,"62",,"22.01","0.18","1007.5","percent of total billed charges",,
"SURGICAL CLIPPERS 3M","0270","RC","Both",,,"35.5","17.75","Caresource","Health Exchange",,,"62",,"22.01","0.18","1007.5","percent of total billed charges",,
"SURGICAL CLIPPERS 3M","0270","RC","Both",,,"35.5","17.75","Cigna","Commercial",,,"59",,"20.8","0.18","1007.5","percent of total billed charges",,
"SURGICAL CLIPPERS 3M","0270","RC","Both",,,"35.5","17.75","Humana","Commercial",,,"78",,"27.51","0.18","1007.5","percent of total billed charges",,
"SURGICAL CLIPPERS 3M","0270","RC","Both",,,"35.5","17.75","UHC","Commercial",,,"75",,"26.77","0.18","1007.5","percent of total billed charges",,
"SURGICAL CLIPPERS 3M","0270","RC","Both",,,"35.5","17.75","Medicaid",,,,"37",,"12.99","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 18FR","0270","RC","Both",,,"105","52.5","Alliant","Health Exchange",,,"62",,"65.1","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 18FR","0270","RC","Both",,,"105","52.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"56.7","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 18FR","0270","RC","Both",,,"105","52.5","Medicare",,,,"54",,"56.91","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 18FR","0270","RC","Both",,,"105","52.5","Humana","Medicare Advantage",,,"54",,"56.91","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 18FR","0270","RC","Both",,,"105","52.5","UHC","Medicare Advantage",,,"54",,"56.91","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 18FR","0270","RC","Both",,,"105","52.5","Clover","Medicare Advantage",,,"54",,"56.91","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 18FR","0270","RC","Both",,,"105","52.5","Wellcare","Medicare Advantage",,,"54",,"56.91","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 18FR","0270","RC","Both",,,"105","52.5","Amerigroup","Medicaid Managed Care",,,"37",,"38.43","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 18FR","0270","RC","Both",,,"105","52.5","Caresource","Medicaid Managed Care",,,"40",,"42","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 18FR","0270","RC","Both",,,"105","52.5","Wellcare","Medicaid Managed Care",,,"40",,"42.53","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 18FR","0270","RC","Both",,,"105","52.5","Aetna","Commercial",,,"64",,"66.99","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 18FR","0270","RC","Both",,,"105","52.5","Blue Cross Blue Shield","Pathways",,,"71",,"74.13","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 18FR","0270","RC","Both",,,"105","52.5","Blue Cross Blue Shield","HMO",,,"71",,"74.13","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 18FR","0270","RC","Both",,,"105","52.5","Blue Cross Blue Shield","PPO",,,"71",,"74.13","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 18FR","0270","RC","Both",,,"105","52.5","Ambetter","Health Exchange",,,"62",,"65.1","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 18FR","0270","RC","Both",,,"105","52.5","Caresource","Health Exchange",,,"62",,"65.1","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 18FR","0270","RC","Both",,,"105","52.5","Cigna","Commercial",,,"59",,"61.53","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 18FR","0270","RC","Both",,,"105","52.5","Humana","Commercial",,,"78",,"81.38","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 18FR","0270","RC","Both",,,"105","52.5","UHC","Commercial",,,"75",,"79.17","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 18FR","0270","RC","Both",,,"105","52.5","Medicaid",,,,"37",,"38.43","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 14FR & 16FR","0270","RC","Both",,,"47","23.5","Alliant","Health Exchange",,,"62",,"29.14","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 14FR & 16FR","0270","RC","Both",,,"47","23.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"25.38","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 14FR & 16FR","0270","RC","Both",,,"47","23.5","Medicare",,,,"54",,"25.47","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 14FR & 16FR","0270","RC","Both",,,"47","23.5","Humana","Medicare Advantage",,,"54",,"25.47","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 14FR & 16FR","0270","RC","Both",,,"47","23.5","UHC","Medicare Advantage",,,"54",,"25.47","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 14FR & 16FR","0270","RC","Both",,,"47","23.5","Clover","Medicare Advantage",,,"54",,"25.47","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 14FR & 16FR","0270","RC","Both",,,"47","23.5","Wellcare","Medicare Advantage",,,"54",,"25.47","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 14FR & 16FR","0270","RC","Both",,,"47","23.5","Amerigroup","Medicaid Managed Care",,,"37",,"17.2","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 14FR & 16FR","0270","RC","Both",,,"47","23.5","Caresource","Medicaid Managed Care",,,"40",,"18.8","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 14FR & 16FR","0270","RC","Both",,,"47","23.5","Wellcare","Medicaid Managed Care",,,"40",,"19.04","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 14FR & 16FR","0270","RC","Both",,,"47","23.5","Aetna","Commercial",,,"64",,"29.99","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 14FR & 16FR","0270","RC","Both",,,"47","23.5","Blue Cross Blue Shield","Pathways",,,"71",,"33.18","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 14FR & 16FR","0270","RC","Both",,,"47","23.5","Blue Cross Blue Shield","HMO",,,"71",,"33.18","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 14FR & 16FR","0270","RC","Both",,,"47","23.5","Blue Cross Blue Shield","PPO",,,"71",,"33.18","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 14FR & 16FR","0270","RC","Both",,,"47","23.5","Ambetter","Health Exchange",,,"62",,"29.14","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 14FR & 16FR","0270","RC","Both",,,"47","23.5","Caresource","Health Exchange",,,"62",,"29.14","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 14FR & 16FR","0270","RC","Both",,,"47","23.5","Cigna","Commercial",,,"59",,"27.54","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 14FR & 16FR","0270","RC","Both",,,"47","23.5","Humana","Commercial",,,"78",,"36.43","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 14FR & 16FR","0270","RC","Both",,,"47","23.5","UHC","Commercial",,,"75",,"35.44","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 14FR & 16FR","0270","RC","Both",,,"47","23.5","Medicaid",,,,"37",,"17.2","0.18","1007.5","percent of total billed charges",,
"UNDERPADS REGULAR (single)","0270","RC","Both",,,"2.5","1.25","Alliant","Health Exchange",,,"62",,"1.55","0.18","1007.5","percent of total billed charges",,
"UNDERPADS REGULAR (single)","0270","RC","Both",,,"2.5","1.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.35","0.18","1007.5","percent of total billed charges",,
"UNDERPADS REGULAR (single)","0270","RC","Both",,,"2.5","1.25","Medicare",,,,"54",,"1.36","0.18","1007.5","percent of total billed charges",,
"UNDERPADS REGULAR (single)","0270","RC","Both",,,"2.5","1.25","Humana","Medicare Advantage",,,"54",,"1.36","0.18","1007.5","percent of total billed charges",,
"UNDERPADS REGULAR (single)","0270","RC","Both",,,"2.5","1.25","UHC","Medicare Advantage",,,"54",,"1.36","0.18","1007.5","percent of total billed charges",,
"UNDERPADS REGULAR (single)","0270","RC","Both",,,"2.5","1.25","Clover","Medicare Advantage",,,"54",,"1.36","0.18","1007.5","percent of total billed charges",,
"UNDERPADS REGULAR (single)","0270","RC","Both",,,"2.5","1.25","Wellcare","Medicare Advantage",,,"54",,"1.36","0.18","1007.5","percent of total billed charges",,
"UNDERPADS REGULAR (single)","0270","RC","Both",,,"2.5","1.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.92","0.18","1007.5","percent of total billed charges",,
"UNDERPADS REGULAR (single)","0270","RC","Both",,,"2.5","1.25","Caresource","Medicaid Managed Care",,,"40",,"1","0.18","1007.5","percent of total billed charges",,
"UNDERPADS REGULAR (single)","0270","RC","Both",,,"2.5","1.25","Wellcare","Medicaid Managed Care",,,"40",,"1.01","0.18","1007.5","percent of total billed charges",,
"UNDERPADS REGULAR (single)","0270","RC","Both",,,"2.5","1.25","Aetna","Commercial",,,"64",,"1.6","0.18","1007.5","percent of total billed charges",,
"UNDERPADS REGULAR (single)","0270","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","Pathways",,,"71",,"1.76","0.18","1007.5","percent of total billed charges",,
"UNDERPADS REGULAR (single)","0270","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","HMO",,,"71",,"1.76","0.18","1007.5","percent of total billed charges",,
"UNDERPADS REGULAR (single)","0270","RC","Both",,,"2.5","1.25","Blue Cross Blue Shield","PPO",,,"71",,"1.76","0.18","1007.5","percent of total billed charges",,
"UNDERPADS REGULAR (single)","0270","RC","Both",,,"2.5","1.25","Ambetter","Health Exchange",,,"62",,"1.55","0.18","1007.5","percent of total billed charges",,
"UNDERPADS REGULAR (single)","0270","RC","Both",,,"2.5","1.25","Caresource","Health Exchange",,,"62",,"1.55","0.18","1007.5","percent of total billed charges",,
"UNDERPADS REGULAR (single)","0270","RC","Both",,,"2.5","1.25","Cigna","Commercial",,,"59",,"1.46","0.18","1007.5","percent of total billed charges",,
"UNDERPADS REGULAR (single)","0270","RC","Both",,,"2.5","1.25","Humana","Commercial",,,"78",,"1.94","0.18","1007.5","percent of total billed charges",,
"UNDERPADS REGULAR (single)","0270","RC","Both",,,"2.5","1.25","UHC","Commercial",,,"75",,"1.88","0.18","1007.5","percent of total billed charges",,
"UNDERPADS REGULAR (single)","0270","RC","Both",,,"2.5","1.25","Medicaid",,,,"37",,"0.92","0.18","1007.5","percent of total billed charges",,
"ADULT DIAPERS (SINGLE)","0270","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.18","1007.5","percent of total billed charges",,
"ADULT DIAPERS (SINGLE)","0270","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.18","1007.5","percent of total billed charges",,
"ADULT DIAPERS (SINGLE)","0270","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.18","1007.5","percent of total billed charges",,
"ADULT DIAPERS (SINGLE)","0270","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.18","1007.5","percent of total billed charges",,
"ADULT DIAPERS (SINGLE)","0270","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.18","1007.5","percent of total billed charges",,
"ADULT DIAPERS (SINGLE)","0270","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.18","1007.5","percent of total billed charges",,
"ADULT DIAPERS (SINGLE)","0270","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.18","1007.5","percent of total billed charges",,
"ADULT DIAPERS (SINGLE)","0270","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.18","1007.5","percent of total billed charges",,
"ADULT DIAPERS (SINGLE)","0270","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.18","1007.5","percent of total billed charges",,
"ADULT DIAPERS (SINGLE)","0270","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.18","1007.5","percent of total billed charges",,
"ADULT DIAPERS (SINGLE)","0270","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.18","1007.5","percent of total billed charges",,
"ADULT DIAPERS (SINGLE)","0270","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.18","1007.5","percent of total billed charges",,
"ADULT DIAPERS (SINGLE)","0270","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.18","1007.5","percent of total billed charges",,
"ADULT DIAPERS (SINGLE)","0270","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.18","1007.5","percent of total billed charges",,
"ADULT DIAPERS (SINGLE)","0270","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.18","1007.5","percent of total billed charges",,
"ADULT DIAPERS (SINGLE)","0270","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.18","1007.5","percent of total billed charges",,
"ADULT DIAPERS (SINGLE)","0270","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.18","1007.5","percent of total billed charges",,
"ADULT DIAPERS (SINGLE)","0270","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.18","1007.5","percent of total billed charges",,
"ADULT DIAPERS (SINGLE)","0270","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.18","1007.5","percent of total billed charges",,
"ADULT DIAPERS (SINGLE)","0270","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.18","1007.5","percent of total billed charges",,
"FEEDING PUMP BAG ENTERAL","0270","RC","Both",,,"14","7","Alliant","Health Exchange",,,"62",,"8.68","0.18","1007.5","percent of total billed charges",,
"FEEDING PUMP BAG ENTERAL","0270","RC","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.56","0.18","1007.5","percent of total billed charges",,
"FEEDING PUMP BAG ENTERAL","0270","RC","Both",,,"14","7","Medicare",,,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"FEEDING PUMP BAG ENTERAL","0270","RC","Both",,,"14","7","Humana","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"FEEDING PUMP BAG ENTERAL","0270","RC","Both",,,"14","7","UHC","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"FEEDING PUMP BAG ENTERAL","0270","RC","Both",,,"14","7","Clover","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"FEEDING PUMP BAG ENTERAL","0270","RC","Both",,,"14","7","Wellcare","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"FEEDING PUMP BAG ENTERAL","0270","RC","Both",,,"14","7","Amerigroup","Medicaid Managed Care",,,"37",,"5.12","0.18","1007.5","percent of total billed charges",,
"FEEDING PUMP BAG ENTERAL","0270","RC","Both",,,"14","7","Caresource","Medicaid Managed Care",,,"40",,"5.6","0.18","1007.5","percent of total billed charges",,
"FEEDING PUMP BAG ENTERAL","0270","RC","Both",,,"14","7","Wellcare","Medicaid Managed Care",,,"40",,"5.67","0.18","1007.5","percent of total billed charges",,
"FEEDING PUMP BAG ENTERAL","0270","RC","Both",,,"14","7","Aetna","Commercial",,,"64",,"8.93","0.18","1007.5","percent of total billed charges",,
"FEEDING PUMP BAG ENTERAL","0270","RC","Both",,,"14","7","Blue Cross Blue Shield","Pathways",,,"71",,"9.88","0.18","1007.5","percent of total billed charges",,
"FEEDING PUMP BAG ENTERAL","0270","RC","Both",,,"14","7","Blue Cross Blue Shield","HMO",,,"71",,"9.88","0.18","1007.5","percent of total billed charges",,
"FEEDING PUMP BAG ENTERAL","0270","RC","Both",,,"14","7","Blue Cross Blue Shield","PPO",,,"71",,"9.88","0.18","1007.5","percent of total billed charges",,
"FEEDING PUMP BAG ENTERAL","0270","RC","Both",,,"14","7","Ambetter","Health Exchange",,,"62",,"8.68","0.18","1007.5","percent of total billed charges",,
"FEEDING PUMP BAG ENTERAL","0270","RC","Both",,,"14","7","Caresource","Health Exchange",,,"62",,"8.68","0.18","1007.5","percent of total billed charges",,
"FEEDING PUMP BAG ENTERAL","0270","RC","Both",,,"14","7","Cigna","Commercial",,,"59",,"8.2","0.18","1007.5","percent of total billed charges",,
"FEEDING PUMP BAG ENTERAL","0270","RC","Both",,,"14","7","Humana","Commercial",,,"78",,"10.85","0.18","1007.5","percent of total billed charges",,
"FEEDING PUMP BAG ENTERAL","0270","RC","Both",,,"14","7","UHC","Commercial",,,"75",,"10.56","0.18","1007.5","percent of total billed charges",,
"FEEDING PUMP BAG ENTERAL","0270","RC","Both",,,"14","7","Medicaid",,,,"37",,"5.12","0.18","1007.5","percent of total billed charges",,
"DURA PREP","0270","RC","Both",,,"13","6.5","Alliant","Health Exchange",,,"62",,"8.06","0.18","1007.5","percent of total billed charges",,
"DURA PREP","0270","RC","Both",,,"13","6.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.02","0.18","1007.5","percent of total billed charges",,
"DURA PREP","0270","RC","Both",,,"13","6.5","Medicare",,,,"54",,"7.05","0.18","1007.5","percent of total billed charges",,
"DURA PREP","0270","RC","Both",,,"13","6.5","Humana","Medicare Advantage",,,"54",,"7.05","0.18","1007.5","percent of total billed charges",,
"DURA PREP","0270","RC","Both",,,"13","6.5","UHC","Medicare Advantage",,,"54",,"7.05","0.18","1007.5","percent of total billed charges",,
"DURA PREP","0270","RC","Both",,,"13","6.5","Clover","Medicare Advantage",,,"54",,"7.05","0.18","1007.5","percent of total billed charges",,
"DURA PREP","0270","RC","Both",,,"13","6.5","Wellcare","Medicare Advantage",,,"54",,"7.05","0.18","1007.5","percent of total billed charges",,
"DURA PREP","0270","RC","Both",,,"13","6.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.76","0.18","1007.5","percent of total billed charges",,
"DURA PREP","0270","RC","Both",,,"13","6.5","Caresource","Medicaid Managed Care",,,"40",,"5.2","0.18","1007.5","percent of total billed charges",,
"DURA PREP","0270","RC","Both",,,"13","6.5","Wellcare","Medicaid Managed Care",,,"40",,"5.26","0.18","1007.5","percent of total billed charges",,
"DURA PREP","0270","RC","Both",,,"13","6.5","Aetna","Commercial",,,"64",,"8.29","0.18","1007.5","percent of total billed charges",,
"DURA PREP","0270","RC","Both",,,"13","6.5","Blue Cross Blue Shield","Pathways",,,"71",,"9.18","0.18","1007.5","percent of total billed charges",,
"DURA PREP","0270","RC","Both",,,"13","6.5","Blue Cross Blue Shield","HMO",,,"71",,"9.18","0.18","1007.5","percent of total billed charges",,
"DURA PREP","0270","RC","Both",,,"13","6.5","Blue Cross Blue Shield","PPO",,,"71",,"9.18","0.18","1007.5","percent of total billed charges",,
"DURA PREP","0270","RC","Both",,,"13","6.5","Ambetter","Health Exchange",,,"62",,"8.06","0.18","1007.5","percent of total billed charges",,
"DURA PREP","0270","RC","Both",,,"13","6.5","Caresource","Health Exchange",,,"62",,"8.06","0.18","1007.5","percent of total billed charges",,
"DURA PREP","0270","RC","Both",,,"13","6.5","Cigna","Commercial",,,"59",,"7.62","0.18","1007.5","percent of total billed charges",,
"DURA PREP","0270","RC","Both",,,"13","6.5","Humana","Commercial",,,"78",,"10.08","0.18","1007.5","percent of total billed charges",,
"DURA PREP","0270","RC","Both",,,"13","6.5","UHC","Commercial",,,"75",,"9.8","0.18","1007.5","percent of total billed charges",,
"DURA PREP","0270","RC","Both",,,"13","6.5","Medicaid",,,,"37",,"4.76","0.18","1007.5","percent of total billed charges",,
"TRANSFER GOWN","0270","RC","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.18","1007.5","percent of total billed charges",,
"TRANSFER GOWN","0270","RC","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.18","1007.5","percent of total billed charges",,
"TRANSFER GOWN","0270","RC","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.18","1007.5","percent of total billed charges",,
"TRANSFER GOWN","0270","RC","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.18","1007.5","percent of total billed charges",,
"TRANSFER GOWN","0270","RC","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.18","1007.5","percent of total billed charges",,
"TRANSFER GOWN","0270","RC","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.18","1007.5","percent of total billed charges",,
"TRANSFER GOWN","0270","RC","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.18","1007.5","percent of total billed charges",,
"TRANSFER GOWN","0270","RC","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.18","1007.5","percent of total billed charges",,
"TRANSFER GOWN","0270","RC","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.18","1007.5","percent of total billed charges",,
"TRANSFER GOWN","0270","RC","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.18","1007.5","percent of total billed charges",,
"TRANSFER GOWN","0270","RC","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.18","1007.5","percent of total billed charges",,
"TRANSFER GOWN","0270","RC","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.18","1007.5","percent of total billed charges",,
"TRANSFER GOWN","0270","RC","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.18","1007.5","percent of total billed charges",,
"TRANSFER GOWN","0270","RC","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.18","1007.5","percent of total billed charges",,
"TRANSFER GOWN","0270","RC","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.18","1007.5","percent of total billed charges",,
"TRANSFER GOWN","0270","RC","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.18","1007.5","percent of total billed charges",,
"TRANSFER GOWN","0270","RC","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.18","1007.5","percent of total billed charges",,
"TRANSFER GOWN","0270","RC","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.18","1007.5","percent of total billed charges",,
"TRANSFER GOWN","0270","RC","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.18","1007.5","percent of total billed charges",,
"TRANSFER GOWN","0270","RC","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.18","1007.5","percent of total billed charges",,
"KOPANS LOCALIZER NEEDLE","0270","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.18","1007.5","percent of total billed charges",,
"KOPANS LOCALIZER NEEDLE","0270","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.18","1007.5","percent of total billed charges",,
"KOPANS LOCALIZER NEEDLE","0270","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.18","1007.5","percent of total billed charges",,
"KOPANS LOCALIZER NEEDLE","0270","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.18","1007.5","percent of total billed charges",,
"KOPANS LOCALIZER NEEDLE","0270","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.18","1007.5","percent of total billed charges",,
"KOPANS LOCALIZER NEEDLE","0270","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.18","1007.5","percent of total billed charges",,
"KOPANS LOCALIZER NEEDLE","0270","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.18","1007.5","percent of total billed charges",,
"KOPANS LOCALIZER NEEDLE","0270","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.18","1007.5","percent of total billed charges",,
"KOPANS LOCALIZER NEEDLE","0270","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.18","1007.5","percent of total billed charges",,
"KOPANS LOCALIZER NEEDLE","0270","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.18","1007.5","percent of total billed charges",,
"KOPANS LOCALIZER NEEDLE","0270","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.18","1007.5","percent of total billed charges",,
"KOPANS LOCALIZER NEEDLE","0270","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.18","1007.5","percent of total billed charges",,
"KOPANS LOCALIZER NEEDLE","0270","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.18","1007.5","percent of total billed charges",,
"KOPANS LOCALIZER NEEDLE","0270","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.18","1007.5","percent of total billed charges",,
"KOPANS LOCALIZER NEEDLE","0270","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.18","1007.5","percent of total billed charges",,
"KOPANS LOCALIZER NEEDLE","0270","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.18","1007.5","percent of total billed charges",,
"KOPANS LOCALIZER NEEDLE","0270","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.18","1007.5","percent of total billed charges",,
"KOPANS LOCALIZER NEEDLE","0270","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.18","1007.5","percent of total billed charges",,
"KOPANS LOCALIZER NEEDLE","0270","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.18","1007.5","percent of total billed charges",,
"KOPANS LOCALIZER NEEDLE","0270","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.18","1007.5","percent of total billed charges",,
"NEWBORN URING BAG","0270","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.18","1007.5","percent of total billed charges",,
"NEWBORN URING BAG","0270","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.18","1007.5","percent of total billed charges",,
"NEWBORN URING BAG","0270","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.18","1007.5","percent of total billed charges",,
"NEWBORN URING BAG","0270","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.18","1007.5","percent of total billed charges",,
"NEWBORN URING BAG","0270","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.18","1007.5","percent of total billed charges",,
"NEWBORN URING BAG","0270","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.18","1007.5","percent of total billed charges",,
"NEWBORN URING BAG","0270","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.18","1007.5","percent of total billed charges",,
"NEWBORN URING BAG","0270","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.18","1007.5","percent of total billed charges",,
"NEWBORN URING BAG","0270","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.18","1007.5","percent of total billed charges",,
"NEWBORN URING BAG","0270","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.18","1007.5","percent of total billed charges",,
"NEWBORN URING BAG","0270","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.18","1007.5","percent of total billed charges",,
"NEWBORN URING BAG","0270","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.18","1007.5","percent of total billed charges",,
"NEWBORN URING BAG","0270","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.18","1007.5","percent of total billed charges",,
"NEWBORN URING BAG","0270","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.18","1007.5","percent of total billed charges",,
"NEWBORN URING BAG","0270","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.18","1007.5","percent of total billed charges",,
"NEWBORN URING BAG","0270","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.18","1007.5","percent of total billed charges",,
"NEWBORN URING BAG","0270","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.18","1007.5","percent of total billed charges",,
"NEWBORN URING BAG","0270","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.18","1007.5","percent of total billed charges",,
"NEWBORN URING BAG","0270","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.18","1007.5","percent of total billed charges",,
"NEWBORN URING BAG","0270","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.18","1007.5","percent of total billed charges",,
"MORGAN LENS (EYE IRRIGATION)","0270","RC","Both",,,"110","55","Alliant","Health Exchange",,,"62",,"68.2","0.18","1007.5","percent of total billed charges",,
"MORGAN LENS (EYE IRRIGATION)","0270","RC","Both",,,"110","55","Pruitt Healthcare","Medicare Advantage",,,"54",,"59.4","0.18","1007.5","percent of total billed charges",,
"MORGAN LENS (EYE IRRIGATION)","0270","RC","Both",,,"110","55","Medicare",,,,"54",,"59.62","0.18","1007.5","percent of total billed charges",,
"MORGAN LENS (EYE IRRIGATION)","0270","RC","Both",,,"110","55","Humana","Medicare Advantage",,,"54",,"59.62","0.18","1007.5","percent of total billed charges",,
"MORGAN LENS (EYE IRRIGATION)","0270","RC","Both",,,"110","55","UHC","Medicare Advantage",,,"54",,"59.62","0.18","1007.5","percent of total billed charges",,
"MORGAN LENS (EYE IRRIGATION)","0270","RC","Both",,,"110","55","Clover","Medicare Advantage",,,"54",,"59.62","0.18","1007.5","percent of total billed charges",,
"MORGAN LENS (EYE IRRIGATION)","0270","RC","Both",,,"110","55","Wellcare","Medicare Advantage",,,"54",,"59.62","0.18","1007.5","percent of total billed charges",,
"MORGAN LENS (EYE IRRIGATION)","0270","RC","Both",,,"110","55","Amerigroup","Medicaid Managed Care",,,"37",,"40.26","0.18","1007.5","percent of total billed charges",,
"MORGAN LENS (EYE IRRIGATION)","0270","RC","Both",,,"110","55","Caresource","Medicaid Managed Care",,,"40",,"44","0.18","1007.5","percent of total billed charges",,
"MORGAN LENS (EYE IRRIGATION)","0270","RC","Both",,,"110","55","Wellcare","Medicaid Managed Care",,,"40",,"44.55","0.18","1007.5","percent of total billed charges",,
"MORGAN LENS (EYE IRRIGATION)","0270","RC","Both",,,"110","55","Aetna","Commercial",,,"64",,"70.18","0.18","1007.5","percent of total billed charges",,
"MORGAN LENS (EYE IRRIGATION)","0270","RC","Both",,,"110","55","Blue Cross Blue Shield","Pathways",,,"71",,"77.66","0.18","1007.5","percent of total billed charges",,
"MORGAN LENS (EYE IRRIGATION)","0270","RC","Both",,,"110","55","Blue Cross Blue Shield","HMO",,,"71",,"77.66","0.18","1007.5","percent of total billed charges",,
"MORGAN LENS (EYE IRRIGATION)","0270","RC","Both",,,"110","55","Blue Cross Blue Shield","PPO",,,"71",,"77.66","0.18","1007.5","percent of total billed charges",,
"MORGAN LENS (EYE IRRIGATION)","0270","RC","Both",,,"110","55","Ambetter","Health Exchange",,,"62",,"68.2","0.18","1007.5","percent of total billed charges",,
"MORGAN LENS (EYE IRRIGATION)","0270","RC","Both",,,"110","55","Caresource","Health Exchange",,,"62",,"68.2","0.18","1007.5","percent of total billed charges",,
"MORGAN LENS (EYE IRRIGATION)","0270","RC","Both",,,"110","55","Cigna","Commercial",,,"59",,"64.46","0.18","1007.5","percent of total billed charges",,
"MORGAN LENS (EYE IRRIGATION)","0270","RC","Both",,,"110","55","Humana","Commercial",,,"78",,"85.25","0.18","1007.5","percent of total billed charges",,
"MORGAN LENS (EYE IRRIGATION)","0270","RC","Both",,,"110","55","UHC","Commercial",,,"75",,"82.94","0.18","1007.5","percent of total billed charges",,
"MORGAN LENS (EYE IRRIGATION)","0270","RC","Both",,,"110","55","Medicaid",,,,"37",,"40.26","0.18","1007.5","percent of total billed charges",,
"FOOT PILLOW","0270","RC","Both",,,"46","23","Alliant","Health Exchange",,,"62",,"28.52","0.18","1007.5","percent of total billed charges",,
"FOOT PILLOW","0270","RC","Both",,,"46","23","Pruitt Healthcare","Medicare Advantage",,,"54",,"24.84","0.18","1007.5","percent of total billed charges",,
"FOOT PILLOW","0270","RC","Both",,,"46","23","Medicare",,,,"54",,"24.93","0.18","1007.5","percent of total billed charges",,
"FOOT PILLOW","0270","RC","Both",,,"46","23","Humana","Medicare Advantage",,,"54",,"24.93","0.18","1007.5","percent of total billed charges",,
"FOOT PILLOW","0270","RC","Both",,,"46","23","UHC","Medicare Advantage",,,"54",,"24.93","0.18","1007.5","percent of total billed charges",,
"FOOT PILLOW","0270","RC","Both",,,"46","23","Clover","Medicare Advantage",,,"54",,"24.93","0.18","1007.5","percent of total billed charges",,
"FOOT PILLOW","0270","RC","Both",,,"46","23","Wellcare","Medicare Advantage",,,"54",,"24.93","0.18","1007.5","percent of total billed charges",,
"FOOT PILLOW","0270","RC","Both",,,"46","23","Amerigroup","Medicaid Managed Care",,,"37",,"16.84","0.18","1007.5","percent of total billed charges",,
"FOOT PILLOW","0270","RC","Both",,,"46","23","Caresource","Medicaid Managed Care",,,"40",,"18.4","0.18","1007.5","percent of total billed charges",,
"FOOT PILLOW","0270","RC","Both",,,"46","23","Wellcare","Medicaid Managed Care",,,"40",,"18.63","0.18","1007.5","percent of total billed charges",,
"FOOT PILLOW","0270","RC","Both",,,"46","23","Aetna","Commercial",,,"64",,"29.35","0.18","1007.5","percent of total billed charges",,
"FOOT PILLOW","0270","RC","Both",,,"46","23","Blue Cross Blue Shield","Pathways",,,"71",,"32.48","0.18","1007.5","percent of total billed charges",,
"FOOT PILLOW","0270","RC","Both",,,"46","23","Blue Cross Blue Shield","HMO",,,"71",,"32.48","0.18","1007.5","percent of total billed charges",,
"FOOT PILLOW","0270","RC","Both",,,"46","23","Blue Cross Blue Shield","PPO",,,"71",,"32.48","0.18","1007.5","percent of total billed charges",,
"FOOT PILLOW","0270","RC","Both",,,"46","23","Ambetter","Health Exchange",,,"62",,"28.52","0.18","1007.5","percent of total billed charges",,
"FOOT PILLOW","0270","RC","Both",,,"46","23","Caresource","Health Exchange",,,"62",,"28.52","0.18","1007.5","percent of total billed charges",,
"FOOT PILLOW","0270","RC","Both",,,"46","23","Cigna","Commercial",,,"59",,"26.96","0.18","1007.5","percent of total billed charges",,
"FOOT PILLOW","0270","RC","Both",,,"46","23","Humana","Commercial",,,"78",,"35.65","0.18","1007.5","percent of total billed charges",,
"FOOT PILLOW","0270","RC","Both",,,"46","23","UHC","Commercial",,,"75",,"34.68","0.18","1007.5","percent of total billed charges",,
"FOOT PILLOW","0270","RC","Both",,,"46","23","Medicaid",,,,"37",,"16.84","0.18","1007.5","percent of total billed charges",,
"GLUCERNA","0270","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.18","1007.5","percent of total billed charges",,
"GLUCERNA","0270","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.18","1007.5","percent of total billed charges",,
"GLUCERNA","0270","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.18","1007.5","percent of total billed charges",,
"GLUCERNA","0270","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.18","1007.5","percent of total billed charges",,
"GLUCERNA","0270","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.18","1007.5","percent of total billed charges",,
"GLUCERNA","0270","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.18","1007.5","percent of total billed charges",,
"GLUCERNA","0270","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.18","1007.5","percent of total billed charges",,
"GLUCERNA","0270","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.18","1007.5","percent of total billed charges",,
"GLUCERNA","0270","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.18","1007.5","percent of total billed charges",,
"GLUCERNA","0270","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.18","1007.5","percent of total billed charges",,
"GLUCERNA","0270","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.18","1007.5","percent of total billed charges",,
"GLUCERNA","0270","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.18","1007.5","percent of total billed charges",,
"GLUCERNA","0270","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.18","1007.5","percent of total billed charges",,
"GLUCERNA","0270","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.18","1007.5","percent of total billed charges",,
"GLUCERNA","0270","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.18","1007.5","percent of total billed charges",,
"GLUCERNA","0270","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.18","1007.5","percent of total billed charges",,
"GLUCERNA","0270","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.18","1007.5","percent of total billed charges",,
"GLUCERNA","0270","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.18","1007.5","percent of total billed charges",,
"GLUCERNA","0270","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.18","1007.5","percent of total billed charges",,
"GLUCERNA","0270","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.18","1007.5","percent of total billed charges",,
"TOOTHPASTE","0270","RC","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","0.18","1007.5","percent of total billed charges",,
"TOOTHPASTE","0270","RC","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","0.18","1007.5","percent of total billed charges",,
"TOOTHPASTE","0270","RC","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","0.18","1007.5","percent of total billed charges",,
"TOOTHPASTE","0270","RC","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","0.18","1007.5","percent of total billed charges",,
"TOOTHPASTE","0270","RC","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","0.18","1007.5","percent of total billed charges",,
"TOOTHPASTE","0270","RC","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","0.18","1007.5","percent of total billed charges",,
"TOOTHPASTE","0270","RC","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","0.18","1007.5","percent of total billed charges",,
"TOOTHPASTE","0270","RC","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","0.18","1007.5","percent of total billed charges",,
"TOOTHPASTE","0270","RC","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","0.18","1007.5","percent of total billed charges",,
"TOOTHPASTE","0270","RC","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","0.18","1007.5","percent of total billed charges",,
"TOOTHPASTE","0270","RC","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","0.18","1007.5","percent of total billed charges",,
"TOOTHPASTE","0270","RC","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","0.18","1007.5","percent of total billed charges",,
"TOOTHPASTE","0270","RC","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","0.18","1007.5","percent of total billed charges",,
"TOOTHPASTE","0270","RC","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","0.18","1007.5","percent of total billed charges",,
"TOOTHPASTE","0270","RC","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","0.18","1007.5","percent of total billed charges",,
"TOOTHPASTE","0270","RC","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","0.18","1007.5","percent of total billed charges",,
"TOOTHPASTE","0270","RC","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","0.18","1007.5","percent of total billed charges",,
"TOOTHPASTE","0270","RC","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","0.18","1007.5","percent of total billed charges",,
"TOOTHPASTE","0270","RC","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","0.18","1007.5","percent of total billed charges",,
"TOOTHPASTE","0270","RC","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","0.18","1007.5","percent of total billed charges",,
"COBAN 2","0270","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.18","1007.5","percent of total billed charges",,
"COBAN 2","0270","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.18","1007.5","percent of total billed charges",,
"COBAN 2","0270","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.18","1007.5","percent of total billed charges",,
"COBAN 2","0270","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.18","1007.5","percent of total billed charges",,
"COBAN 2","0270","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.18","1007.5","percent of total billed charges",,
"COBAN 2","0270","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.18","1007.5","percent of total billed charges",,
"COBAN 2","0270","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.18","1007.5","percent of total billed charges",,
"COBAN 2","0270","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.18","1007.5","percent of total billed charges",,
"COBAN 2","0270","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.18","1007.5","percent of total billed charges",,
"COBAN 2","0270","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.18","1007.5","percent of total billed charges",,
"COBAN 2","0270","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.18","1007.5","percent of total billed charges",,
"COBAN 2","0270","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.18","1007.5","percent of total billed charges",,
"COBAN 2","0270","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.18","1007.5","percent of total billed charges",,
"COBAN 2","0270","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.18","1007.5","percent of total billed charges",,
"COBAN 2","0270","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.18","1007.5","percent of total billed charges",,
"COBAN 2","0270","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.18","1007.5","percent of total billed charges",,
"COBAN 2","0270","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.18","1007.5","percent of total billed charges",,
"COBAN 2","0270","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.18","1007.5","percent of total billed charges",,
"COBAN 2","0270","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.18","1007.5","percent of total billed charges",,
"COBAN 2","0270","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.18","1007.5","percent of total billed charges",,
"COFLEX 4","0270","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.18","1007.5","percent of total billed charges",,
"COFLEX 4","0270","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.18","1007.5","percent of total billed charges",,
"COFLEX 4","0270","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.18","1007.5","percent of total billed charges",,
"COFLEX 4","0270","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.18","1007.5","percent of total billed charges",,
"COFLEX 4","0270","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.18","1007.5","percent of total billed charges",,
"COFLEX 4","0270","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.18","1007.5","percent of total billed charges",,
"COFLEX 4","0270","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.18","1007.5","percent of total billed charges",,
"COFLEX 4","0270","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.18","1007.5","percent of total billed charges",,
"COFLEX 4","0270","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.18","1007.5","percent of total billed charges",,
"COFLEX 4","0270","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.18","1007.5","percent of total billed charges",,
"COFLEX 4","0270","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.18","1007.5","percent of total billed charges",,
"COFLEX 4","0270","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.18","1007.5","percent of total billed charges",,
"COFLEX 4","0270","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.18","1007.5","percent of total billed charges",,
"COFLEX 4","0270","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.18","1007.5","percent of total billed charges",,
"COFLEX 4","0270","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.18","1007.5","percent of total billed charges",,
"COFLEX 4","0270","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.18","1007.5","percent of total billed charges",,
"COFLEX 4","0270","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.18","1007.5","percent of total billed charges",,
"COFLEX 4","0270","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.18","1007.5","percent of total billed charges",,
"COFLEX 4","0270","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.18","1007.5","percent of total billed charges",,
"COFLEX 4","0270","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.18","1007.5","percent of total billed charges",,
"ATRIUM MESH HERNIA REPAIR","0270","RC","Both",,,"245","122.5","Alliant","Health Exchange",,,"62",,"151.9","0.18","1007.5","percent of total billed charges",,
"ATRIUM MESH HERNIA REPAIR","0270","RC","Both",,,"245","122.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"132.3","0.18","1007.5","percent of total billed charges",,
"ATRIUM MESH HERNIA REPAIR","0270","RC","Both",,,"245","122.5","Medicare",,,,"54",,"132.79","0.18","1007.5","percent of total billed charges",,
"ATRIUM MESH HERNIA REPAIR","0270","RC","Both",,,"245","122.5","Humana","Medicare Advantage",,,"54",,"132.79","0.18","1007.5","percent of total billed charges",,
"ATRIUM MESH HERNIA REPAIR","0270","RC","Both",,,"245","122.5","UHC","Medicare Advantage",,,"54",,"132.79","0.18","1007.5","percent of total billed charges",,
"ATRIUM MESH HERNIA REPAIR","0270","RC","Both",,,"245","122.5","Clover","Medicare Advantage",,,"54",,"132.79","0.18","1007.5","percent of total billed charges",,
"ATRIUM MESH HERNIA REPAIR","0270","RC","Both",,,"245","122.5","Wellcare","Medicare Advantage",,,"54",,"132.79","0.18","1007.5","percent of total billed charges",,
"ATRIUM MESH HERNIA REPAIR","0270","RC","Both",,,"245","122.5","Amerigroup","Medicaid Managed Care",,,"37",,"89.67","0.18","1007.5","percent of total billed charges",,
"ATRIUM MESH HERNIA REPAIR","0270","RC","Both",,,"245","122.5","Caresource","Medicaid Managed Care",,,"40",,"98","0.18","1007.5","percent of total billed charges",,
"ATRIUM MESH HERNIA REPAIR","0270","RC","Both",,,"245","122.5","Wellcare","Medicaid Managed Care",,,"40",,"99.22","0.18","1007.5","percent of total billed charges",,
"ATRIUM MESH HERNIA REPAIR","0270","RC","Both",,,"245","122.5","Aetna","Commercial",,,"64",,"156.31","0.18","1007.5","percent of total billed charges",,
"ATRIUM MESH HERNIA REPAIR","0270","RC","Both",,,"245","122.5","Blue Cross Blue Shield","Pathways",,,"71",,"172.97","0.18","1007.5","percent of total billed charges",,
"ATRIUM MESH HERNIA REPAIR","0270","RC","Both",,,"245","122.5","Blue Cross Blue Shield","HMO",,,"71",,"172.97","0.18","1007.5","percent of total billed charges",,
"ATRIUM MESH HERNIA REPAIR","0270","RC","Both",,,"245","122.5","Blue Cross Blue Shield","PPO",,,"71",,"172.97","0.18","1007.5","percent of total billed charges",,
"ATRIUM MESH HERNIA REPAIR","0270","RC","Both",,,"245","122.5","Ambetter","Health Exchange",,,"62",,"151.9","0.18","1007.5","percent of total billed charges",,
"ATRIUM MESH HERNIA REPAIR","0270","RC","Both",,,"245","122.5","Caresource","Health Exchange",,,"62",,"151.9","0.18","1007.5","percent of total billed charges",,
"ATRIUM MESH HERNIA REPAIR","0270","RC","Both",,,"245","122.5","Cigna","Commercial",,,"59",,"143.57","0.18","1007.5","percent of total billed charges",,
"ATRIUM MESH HERNIA REPAIR","0270","RC","Both",,,"245","122.5","Humana","Commercial",,,"78",,"189.88","0.18","1007.5","percent of total billed charges",,
"ATRIUM MESH HERNIA REPAIR","0270","RC","Both",,,"245","122.5","UHC","Commercial",,,"75",,"184.73","0.18","1007.5","percent of total billed charges",,
"ATRIUM MESH HERNIA REPAIR","0270","RC","Both",,,"245","122.5","Medicaid",,,,"37",,"89.67","0.18","1007.5","percent of total billed charges",,
"RAULERSON DUO-FLOW CATH","0270","RC","Both",,,"141","70.5","Alliant","Health Exchange",,,"62",,"87.42","0.18","1007.5","percent of total billed charges",,
"RAULERSON DUO-FLOW CATH","0270","RC","Both",,,"141","70.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"76.14","0.18","1007.5","percent of total billed charges",,
"RAULERSON DUO-FLOW CATH","0270","RC","Both",,,"141","70.5","Medicare",,,,"54",,"76.42","0.18","1007.5","percent of total billed charges",,
"RAULERSON DUO-FLOW CATH","0270","RC","Both",,,"141","70.5","Humana","Medicare Advantage",,,"54",,"76.42","0.18","1007.5","percent of total billed charges",,
"RAULERSON DUO-FLOW CATH","0270","RC","Both",,,"141","70.5","UHC","Medicare Advantage",,,"54",,"76.42","0.18","1007.5","percent of total billed charges",,
"RAULERSON DUO-FLOW CATH","0270","RC","Both",,,"141","70.5","Clover","Medicare Advantage",,,"54",,"76.42","0.18","1007.5","percent of total billed charges",,
"RAULERSON DUO-FLOW CATH","0270","RC","Both",,,"141","70.5","Wellcare","Medicare Advantage",,,"54",,"76.42","0.18","1007.5","percent of total billed charges",,
"RAULERSON DUO-FLOW CATH","0270","RC","Both",,,"141","70.5","Amerigroup","Medicaid Managed Care",,,"37",,"51.61","0.18","1007.5","percent of total billed charges",,
"RAULERSON DUO-FLOW CATH","0270","RC","Both",,,"141","70.5","Caresource","Medicaid Managed Care",,,"40",,"56.4","0.18","1007.5","percent of total billed charges",,
"RAULERSON DUO-FLOW CATH","0270","RC","Both",,,"141","70.5","Wellcare","Medicaid Managed Care",,,"40",,"57.1","0.18","1007.5","percent of total billed charges",,
"RAULERSON DUO-FLOW CATH","0270","RC","Both",,,"141","70.5","Aetna","Commercial",,,"64",,"89.96","0.18","1007.5","percent of total billed charges",,
"RAULERSON DUO-FLOW CATH","0270","RC","Both",,,"141","70.5","Blue Cross Blue Shield","Pathways",,,"71",,"99.55","0.18","1007.5","percent of total billed charges",,
"RAULERSON DUO-FLOW CATH","0270","RC","Both",,,"141","70.5","Blue Cross Blue Shield","HMO",,,"71",,"99.55","0.18","1007.5","percent of total billed charges",,
"RAULERSON DUO-FLOW CATH","0270","RC","Both",,,"141","70.5","Blue Cross Blue Shield","PPO",,,"71",,"99.55","0.18","1007.5","percent of total billed charges",,
"RAULERSON DUO-FLOW CATH","0270","RC","Both",,,"141","70.5","Ambetter","Health Exchange",,,"62",,"87.42","0.18","1007.5","percent of total billed charges",,
"RAULERSON DUO-FLOW CATH","0270","RC","Both",,,"141","70.5","Caresource","Health Exchange",,,"62",,"87.42","0.18","1007.5","percent of total billed charges",,
"RAULERSON DUO-FLOW CATH","0270","RC","Both",,,"141","70.5","Cigna","Commercial",,,"59",,"82.63","0.18","1007.5","percent of total billed charges",,
"RAULERSON DUO-FLOW CATH","0270","RC","Both",,,"141","70.5","Humana","Commercial",,,"78",,"109.28","0.18","1007.5","percent of total billed charges",,
"RAULERSON DUO-FLOW CATH","0270","RC","Both",,,"141","70.5","UHC","Commercial",,,"75",,"106.31","0.18","1007.5","percent of total billed charges",,
"RAULERSON DUO-FLOW CATH","0270","RC","Both",,,"141","70.5","Medicaid",,,,"37",,"51.61","0.18","1007.5","percent of total billed charges",,
"RAULERSON INTERNAL JUGULAR CATH TRAY","0270","RC","Both",,,"550","275","Alliant","Health Exchange",,,"62",,"341","0.18","1007.5","percent of total billed charges",,
"RAULERSON INTERNAL JUGULAR CATH TRAY","0270","RC","Both",,,"550","275","Pruitt Healthcare","Medicare Advantage",,,"54",,"297","0.18","1007.5","percent of total billed charges",,
"RAULERSON INTERNAL JUGULAR CATH TRAY","0270","RC","Both",,,"550","275","Medicare",,,,"54",,"298.1","0.18","1007.5","percent of total billed charges",,
"RAULERSON INTERNAL JUGULAR CATH TRAY","0270","RC","Both",,,"550","275","Humana","Medicare Advantage",,,"54",,"298.1","0.18","1007.5","percent of total billed charges",,
"RAULERSON INTERNAL JUGULAR CATH TRAY","0270","RC","Both",,,"550","275","UHC","Medicare Advantage",,,"54",,"298.1","0.18","1007.5","percent of total billed charges",,
"RAULERSON INTERNAL JUGULAR CATH TRAY","0270","RC","Both",,,"550","275","Clover","Medicare Advantage",,,"54",,"298.1","0.18","1007.5","percent of total billed charges",,
"RAULERSON INTERNAL JUGULAR CATH TRAY","0270","RC","Both",,,"550","275","Wellcare","Medicare Advantage",,,"54",,"298.1","0.18","1007.5","percent of total billed charges",,
"RAULERSON INTERNAL JUGULAR CATH TRAY","0270","RC","Both",,,"550","275","Amerigroup","Medicaid Managed Care",,,"37",,"201.3","0.18","1007.5","percent of total billed charges",,
"RAULERSON INTERNAL JUGULAR CATH TRAY","0270","RC","Both",,,"550","275","Caresource","Medicaid Managed Care",,,"40",,"220","0.18","1007.5","percent of total billed charges",,
"RAULERSON INTERNAL JUGULAR CATH TRAY","0270","RC","Both",,,"550","275","Wellcare","Medicaid Managed Care",,,"40",,"222.75","0.18","1007.5","percent of total billed charges",,
"RAULERSON INTERNAL JUGULAR CATH TRAY","0270","RC","Both",,,"550","275","Aetna","Commercial",,,"64",,"350.9","0.18","1007.5","percent of total billed charges",,
"RAULERSON INTERNAL JUGULAR CATH TRAY","0270","RC","Both",,,"550","275","Blue Cross Blue Shield","Pathways",,,"71",,"388.3","0.18","1007.5","percent of total billed charges",,
"RAULERSON INTERNAL JUGULAR CATH TRAY","0270","RC","Both",,,"550","275","Blue Cross Blue Shield","HMO",,,"71",,"388.3","0.18","1007.5","percent of total billed charges",,
"RAULERSON INTERNAL JUGULAR CATH TRAY","0270","RC","Both",,,"550","275","Blue Cross Blue Shield","PPO",,,"71",,"388.3","0.18","1007.5","percent of total billed charges",,
"RAULERSON INTERNAL JUGULAR CATH TRAY","0270","RC","Both",,,"550","275","Ambetter","Health Exchange",,,"62",,"341","0.18","1007.5","percent of total billed charges",,
"RAULERSON INTERNAL JUGULAR CATH TRAY","0270","RC","Both",,,"550","275","Caresource","Health Exchange",,,"62",,"341","0.18","1007.5","percent of total billed charges",,
"RAULERSON INTERNAL JUGULAR CATH TRAY","0270","RC","Both",,,"550","275","Cigna","Commercial",,,"59",,"322.3","0.18","1007.5","percent of total billed charges",,
"RAULERSON INTERNAL JUGULAR CATH TRAY","0270","RC","Both",,,"550","275","Humana","Commercial",,,"78",,"426.25","0.18","1007.5","percent of total billed charges",,
"RAULERSON INTERNAL JUGULAR CATH TRAY","0270","RC","Both",,,"550","275","UHC","Commercial",,,"75",,"414.7","0.18","1007.5","percent of total billed charges",,
"RAULERSON INTERNAL JUGULAR CATH TRAY","0270","RC","Both",,,"550","275","Medicaid",,,,"37",,"201.3","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE","0270","RC","Both",,,"13","6.5","Alliant","Health Exchange",,,"62",,"8.06","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE","0270","RC","Both",,,"13","6.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.02","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE","0270","RC","Both",,,"13","6.5","Medicare",,,,"54",,"7.05","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE","0270","RC","Both",,,"13","6.5","Humana","Medicare Advantage",,,"54",,"7.05","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE","0270","RC","Both",,,"13","6.5","UHC","Medicare Advantage",,,"54",,"7.05","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE","0270","RC","Both",,,"13","6.5","Clover","Medicare Advantage",,,"54",,"7.05","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE","0270","RC","Both",,,"13","6.5","Wellcare","Medicare Advantage",,,"54",,"7.05","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE","0270","RC","Both",,,"13","6.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.76","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE","0270","RC","Both",,,"13","6.5","Caresource","Medicaid Managed Care",,,"40",,"5.2","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE","0270","RC","Both",,,"13","6.5","Wellcare","Medicaid Managed Care",,,"40",,"5.26","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE","0270","RC","Both",,,"13","6.5","Aetna","Commercial",,,"64",,"8.29","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE","0270","RC","Both",,,"13","6.5","Blue Cross Blue Shield","Pathways",,,"71",,"9.18","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE","0270","RC","Both",,,"13","6.5","Blue Cross Blue Shield","HMO",,,"71",,"9.18","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE","0270","RC","Both",,,"13","6.5","Blue Cross Blue Shield","PPO",,,"71",,"9.18","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE","0270","RC","Both",,,"13","6.5","Ambetter","Health Exchange",,,"62",,"8.06","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE","0270","RC","Both",,,"13","6.5","Caresource","Health Exchange",,,"62",,"8.06","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE","0270","RC","Both",,,"13","6.5","Cigna","Commercial",,,"59",,"7.62","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE","0270","RC","Both",,,"13","6.5","Humana","Commercial",,,"78",,"10.08","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE","0270","RC","Both",,,"13","6.5","UHC","Commercial",,,"75",,"9.8","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE","0270","RC","Both",,,"13","6.5","Medicaid",,,,"37",,"4.76","0.18","1007.5","percent of total billed charges",,
"FOGARTY IRRIGATION CATH #6","0270","RC","Both",,,"83","41.5","Alliant","Health Exchange",,,"62",,"51.46","0.18","1007.5","percent of total billed charges",,
"FOGARTY IRRIGATION CATH #6","0270","RC","Both",,,"83","41.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"44.82","0.18","1007.5","percent of total billed charges",,
"FOGARTY IRRIGATION CATH #6","0270","RC","Both",,,"83","41.5","Medicare",,,,"54",,"44.99","0.18","1007.5","percent of total billed charges",,
"FOGARTY IRRIGATION CATH #6","0270","RC","Both",,,"83","41.5","Humana","Medicare Advantage",,,"54",,"44.99","0.18","1007.5","percent of total billed charges",,
"FOGARTY IRRIGATION CATH #6","0270","RC","Both",,,"83","41.5","UHC","Medicare Advantage",,,"54",,"44.99","0.18","1007.5","percent of total billed charges",,
"FOGARTY IRRIGATION CATH #6","0270","RC","Both",,,"83","41.5","Clover","Medicare Advantage",,,"54",,"44.99","0.18","1007.5","percent of total billed charges",,
"FOGARTY IRRIGATION CATH #6","0270","RC","Both",,,"83","41.5","Wellcare","Medicare Advantage",,,"54",,"44.99","0.18","1007.5","percent of total billed charges",,
"FOGARTY IRRIGATION CATH #6","0270","RC","Both",,,"83","41.5","Amerigroup","Medicaid Managed Care",,,"37",,"30.38","0.18","1007.5","percent of total billed charges",,
"FOGARTY IRRIGATION CATH #6","0270","RC","Both",,,"83","41.5","Caresource","Medicaid Managed Care",,,"40",,"33.2","0.18","1007.5","percent of total billed charges",,
"FOGARTY IRRIGATION CATH #6","0270","RC","Both",,,"83","41.5","Wellcare","Medicaid Managed Care",,,"40",,"33.62","0.18","1007.5","percent of total billed charges",,
"FOGARTY IRRIGATION CATH #6","0270","RC","Both",,,"83","41.5","Aetna","Commercial",,,"64",,"52.95","0.18","1007.5","percent of total billed charges",,
"FOGARTY IRRIGATION CATH #6","0270","RC","Both",,,"83","41.5","Blue Cross Blue Shield","Pathways",,,"71",,"58.6","0.18","1007.5","percent of total billed charges",,
"FOGARTY IRRIGATION CATH #6","0270","RC","Both",,,"83","41.5","Blue Cross Blue Shield","HMO",,,"71",,"58.6","0.18","1007.5","percent of total billed charges",,
"FOGARTY IRRIGATION CATH #6","0270","RC","Both",,,"83","41.5","Blue Cross Blue Shield","PPO",,,"71",,"58.6","0.18","1007.5","percent of total billed charges",,
"FOGARTY IRRIGATION CATH #6","0270","RC","Both",,,"83","41.5","Ambetter","Health Exchange",,,"62",,"51.46","0.18","1007.5","percent of total billed charges",,
"FOGARTY IRRIGATION CATH #6","0270","RC","Both",,,"83","41.5","Caresource","Health Exchange",,,"62",,"51.46","0.18","1007.5","percent of total billed charges",,
"FOGARTY IRRIGATION CATH #6","0270","RC","Both",,,"83","41.5","Cigna","Commercial",,,"59",,"48.64","0.18","1007.5","percent of total billed charges",,
"FOGARTY IRRIGATION CATH #6","0270","RC","Both",,,"83","41.5","Humana","Commercial",,,"78",,"64.32","0.18","1007.5","percent of total billed charges",,
"FOGARTY IRRIGATION CATH #6","0270","RC","Both",,,"83","41.5","UHC","Commercial",,,"75",,"62.58","0.18","1007.5","percent of total billed charges",,
"FOGARTY IRRIGATION CATH #6","0270","RC","Both",,,"83","41.5","Medicaid",,,,"37",,"30.38","0.18","1007.5","percent of total billed charges",,
"VICRYL KNITTED MESH","0270","RC","Both",,,"1078","539","Alliant","Health Exchange",,,"62",,"668.36","0.18","1007.5","percent of total billed charges",,
"VICRYL KNITTED MESH","0270","RC","Both",,,"1078","539","Pruitt Healthcare","Medicare Advantage",,,"54",,"582.12","0.18","1007.5","percent of total billed charges",,
"VICRYL KNITTED MESH","0270","RC","Both",,,"1078","539","Medicare",,,,"54",,"584.28","0.18","1007.5","percent of total billed charges",,
"VICRYL KNITTED MESH","0270","RC","Both",,,"1078","539","Humana","Medicare Advantage",,,"54",,"584.28","0.18","1007.5","percent of total billed charges",,
"VICRYL KNITTED MESH","0270","RC","Both",,,"1078","539","UHC","Medicare Advantage",,,"54",,"584.28","0.18","1007.5","percent of total billed charges",,
"VICRYL KNITTED MESH","0270","RC","Both",,,"1078","539","Clover","Medicare Advantage",,,"54",,"584.28","0.18","1007.5","percent of total billed charges",,
"VICRYL KNITTED MESH","0270","RC","Both",,,"1078","539","Wellcare","Medicare Advantage",,,"54",,"584.28","0.18","1007.5","percent of total billed charges",,
"VICRYL KNITTED MESH","0270","RC","Both",,,"1078","539","Amerigroup","Medicaid Managed Care",,,"37",,"394.55","0.18","1007.5","percent of total billed charges",,
"VICRYL KNITTED MESH","0270","RC","Both",,,"1078","539","Caresource","Medicaid Managed Care",,,"40",,"431.2","0.18","1007.5","percent of total billed charges",,
"VICRYL KNITTED MESH","0270","RC","Both",,,"1078","539","Wellcare","Medicaid Managed Care",,,"40",,"436.59","0.18","1007.5","percent of total billed charges",,
"VICRYL KNITTED MESH","0270","RC","Both",,,"1078","539","Aetna","Commercial",,,"64",,"687.76","0.18","1007.5","percent of total billed charges",,
"VICRYL KNITTED MESH","0270","RC","Both",,,"1078","539","Blue Cross Blue Shield","Pathways",,,"71",,"761.07","0.18","1007.5","percent of total billed charges",,
"VICRYL KNITTED MESH","0270","RC","Both",,,"1078","539","Blue Cross Blue Shield","HMO",,,"71",,"761.07","0.18","1007.5","percent of total billed charges",,
"VICRYL KNITTED MESH","0270","RC","Both",,,"1078","539","Blue Cross Blue Shield","PPO",,,"71",,"761.07","0.18","1007.5","percent of total billed charges",,
"VICRYL KNITTED MESH","0270","RC","Both",,,"1078","539","Ambetter","Health Exchange",,,"62",,"668.36","0.18","1007.5","percent of total billed charges",,
"VICRYL KNITTED MESH","0270","RC","Both",,,"1078","539","Caresource","Health Exchange",,,"62",,"668.36","0.18","1007.5","percent of total billed charges",,
"VICRYL KNITTED MESH","0270","RC","Both",,,"1078","539","Cigna","Commercial",,,"59",,"631.71","0.18","1007.5","percent of total billed charges",,
"VICRYL KNITTED MESH","0270","RC","Both",,,"1078","539","Humana","Commercial",,,"78",,"835.45","0.18","1007.5","percent of total billed charges",,
"VICRYL KNITTED MESH","0270","RC","Both",,,"1078","539","UHC","Commercial",,,"75",,"812.81","0.18","1007.5","percent of total billed charges",,
"VICRYL KNITTED MESH","0270","RC","Both",,,"1078","539","Medicaid",,,,"37",,"394.55","0.18","1007.5","percent of total billed charges",,
"HEMO-CATH SHORT TERM 11.5 FR X 20 CM","0270","RC","Both",,,"330","165","Alliant","Health Exchange",,,"62",,"204.6","0.18","1007.5","percent of total billed charges",,
"HEMO-CATH SHORT TERM 11.5 FR X 20 CM","0270","RC","Both",,,"330","165","Pruitt Healthcare","Medicare Advantage",,,"54",,"178.2","0.18","1007.5","percent of total billed charges",,
"HEMO-CATH SHORT TERM 11.5 FR X 20 CM","0270","RC","Both",,,"330","165","Medicare",,,,"54",,"178.86","0.18","1007.5","percent of total billed charges",,
"HEMO-CATH SHORT TERM 11.5 FR X 20 CM","0270","RC","Both",,,"330","165","Humana","Medicare Advantage",,,"54",,"178.86","0.18","1007.5","percent of total billed charges",,
"HEMO-CATH SHORT TERM 11.5 FR X 20 CM","0270","RC","Both",,,"330","165","UHC","Medicare Advantage",,,"54",,"178.86","0.18","1007.5","percent of total billed charges",,
"HEMO-CATH SHORT TERM 11.5 FR X 20 CM","0270","RC","Both",,,"330","165","Clover","Medicare Advantage",,,"54",,"178.86","0.18","1007.5","percent of total billed charges",,
"HEMO-CATH SHORT TERM 11.5 FR X 20 CM","0270","RC","Both",,,"330","165","Wellcare","Medicare Advantage",,,"54",,"178.86","0.18","1007.5","percent of total billed charges",,
"HEMO-CATH SHORT TERM 11.5 FR X 20 CM","0270","RC","Both",,,"330","165","Amerigroup","Medicaid Managed Care",,,"37",,"120.78","0.18","1007.5","percent of total billed charges",,
"HEMO-CATH SHORT TERM 11.5 FR X 20 CM","0270","RC","Both",,,"330","165","Caresource","Medicaid Managed Care",,,"40",,"132","0.18","1007.5","percent of total billed charges",,
"HEMO-CATH SHORT TERM 11.5 FR X 20 CM","0270","RC","Both",,,"330","165","Wellcare","Medicaid Managed Care",,,"40",,"133.65","0.18","1007.5","percent of total billed charges",,
"HEMO-CATH SHORT TERM 11.5 FR X 20 CM","0270","RC","Both",,,"330","165","Aetna","Commercial",,,"64",,"210.54","0.18","1007.5","percent of total billed charges",,
"HEMO-CATH SHORT TERM 11.5 FR X 20 CM","0270","RC","Both",,,"330","165","Blue Cross Blue Shield","Pathways",,,"71",,"232.98","0.18","1007.5","percent of total billed charges",,
"HEMO-CATH SHORT TERM 11.5 FR X 20 CM","0270","RC","Both",,,"330","165","Blue Cross Blue Shield","HMO",,,"71",,"232.98","0.18","1007.5","percent of total billed charges",,
"HEMO-CATH SHORT TERM 11.5 FR X 20 CM","0270","RC","Both",,,"330","165","Blue Cross Blue Shield","PPO",,,"71",,"232.98","0.18","1007.5","percent of total billed charges",,
"HEMO-CATH SHORT TERM 11.5 FR X 20 CM","0270","RC","Both",,,"330","165","Ambetter","Health Exchange",,,"62",,"204.6","0.18","1007.5","percent of total billed charges",,
"HEMO-CATH SHORT TERM 11.5 FR X 20 CM","0270","RC","Both",,,"330","165","Caresource","Health Exchange",,,"62",,"204.6","0.18","1007.5","percent of total billed charges",,
"HEMO-CATH SHORT TERM 11.5 FR X 20 CM","0270","RC","Both",,,"330","165","Cigna","Commercial",,,"59",,"193.38","0.18","1007.5","percent of total billed charges",,
"HEMO-CATH SHORT TERM 11.5 FR X 20 CM","0270","RC","Both",,,"330","165","Humana","Commercial",,,"78",,"255.75","0.18","1007.5","percent of total billed charges",,
"HEMO-CATH SHORT TERM 11.5 FR X 20 CM","0270","RC","Both",,,"330","165","UHC","Commercial",,,"75",,"248.82","0.18","1007.5","percent of total billed charges",,
"HEMO-CATH SHORT TERM 11.5 FR X 20 CM","0270","RC","Both",,,"330","165","Medicaid",,,,"37",,"120.78","0.18","1007.5","percent of total billed charges",,
"4-0 VICRYL J214H","0270","RC","Both",,,"17","8.5","Alliant","Health Exchange",,,"62",,"10.54","0.18","1007.5","percent of total billed charges",,
"4-0 VICRYL J214H","0270","RC","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.18","0.18","1007.5","percent of total billed charges",,
"4-0 VICRYL J214H","0270","RC","Both",,,"17","8.5","Medicare",,,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"4-0 VICRYL J214H","0270","RC","Both",,,"17","8.5","Humana","Medicare Advantage",,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"4-0 VICRYL J214H","0270","RC","Both",,,"17","8.5","UHC","Medicare Advantage",,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"4-0 VICRYL J214H","0270","RC","Both",,,"17","8.5","Clover","Medicare Advantage",,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"4-0 VICRYL J214H","0270","RC","Both",,,"17","8.5","Wellcare","Medicare Advantage",,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"4-0 VICRYL J214H","0270","RC","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.22","0.18","1007.5","percent of total billed charges",,
"4-0 VICRYL J214H","0270","RC","Both",,,"17","8.5","Caresource","Medicaid Managed Care",,,"40",,"6.8","0.18","1007.5","percent of total billed charges",,
"4-0 VICRYL J214H","0270","RC","Both",,,"17","8.5","Wellcare","Medicaid Managed Care",,,"40",,"6.89","0.18","1007.5","percent of total billed charges",,
"4-0 VICRYL J214H","0270","RC","Both",,,"17","8.5","Aetna","Commercial",,,"64",,"10.85","0.18","1007.5","percent of total billed charges",,
"4-0 VICRYL J214H","0270","RC","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways",,,"71",,"12","0.18","1007.5","percent of total billed charges",,
"4-0 VICRYL J214H","0270","RC","Both",,,"17","8.5","Blue Cross Blue Shield","HMO",,,"71",,"12","0.18","1007.5","percent of total billed charges",,
"4-0 VICRYL J214H","0270","RC","Both",,,"17","8.5","Blue Cross Blue Shield","PPO",,,"71",,"12","0.18","1007.5","percent of total billed charges",,
"4-0 VICRYL J214H","0270","RC","Both",,,"17","8.5","Ambetter","Health Exchange",,,"62",,"10.54","0.18","1007.5","percent of total billed charges",,
"4-0 VICRYL J214H","0270","RC","Both",,,"17","8.5","Caresource","Health Exchange",,,"62",,"10.54","0.18","1007.5","percent of total billed charges",,
"4-0 VICRYL J214H","0270","RC","Both",,,"17","8.5","Cigna","Commercial",,,"59",,"9.96","0.18","1007.5","percent of total billed charges",,
"4-0 VICRYL J214H","0270","RC","Both",,,"17","8.5","Humana","Commercial",,,"78",,"13.18","0.18","1007.5","percent of total billed charges",,
"4-0 VICRYL J214H","0270","RC","Both",,,"17","8.5","UHC","Commercial",,,"75",,"12.82","0.18","1007.5","percent of total billed charges",,
"4-0 VICRYL J214H","0270","RC","Both",,,"17","8.5","Medicaid",,,,"37",,"6.22","0.18","1007.5","percent of total billed charges",,
"7-0 PROLENE 8702H","0270","RC","Both",,,"55","27.5","Alliant","Health Exchange",,,"62",,"34.1","0.18","1007.5","percent of total billed charges",,
"7-0 PROLENE 8702H","0270","RC","Both",,,"55","27.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"29.7","0.18","1007.5","percent of total billed charges",,
"7-0 PROLENE 8702H","0270","RC","Both",,,"55","27.5","Medicare",,,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"7-0 PROLENE 8702H","0270","RC","Both",,,"55","27.5","Humana","Medicare Advantage",,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"7-0 PROLENE 8702H","0270","RC","Both",,,"55","27.5","UHC","Medicare Advantage",,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"7-0 PROLENE 8702H","0270","RC","Both",,,"55","27.5","Clover","Medicare Advantage",,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"7-0 PROLENE 8702H","0270","RC","Both",,,"55","27.5","Wellcare","Medicare Advantage",,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"7-0 PROLENE 8702H","0270","RC","Both",,,"55","27.5","Amerigroup","Medicaid Managed Care",,,"37",,"20.13","0.18","1007.5","percent of total billed charges",,
"7-0 PROLENE 8702H","0270","RC","Both",,,"55","27.5","Caresource","Medicaid Managed Care",,,"40",,"22","0.18","1007.5","percent of total billed charges",,
"7-0 PROLENE 8702H","0270","RC","Both",,,"55","27.5","Wellcare","Medicaid Managed Care",,,"40",,"22.28","0.18","1007.5","percent of total billed charges",,
"7-0 PROLENE 8702H","0270","RC","Both",,,"55","27.5","Aetna","Commercial",,,"64",,"35.09","0.18","1007.5","percent of total billed charges",,
"7-0 PROLENE 8702H","0270","RC","Both",,,"55","27.5","Blue Cross Blue Shield","Pathways",,,"71",,"38.83","0.18","1007.5","percent of total billed charges",,
"7-0 PROLENE 8702H","0270","RC","Both",,,"55","27.5","Blue Cross Blue Shield","HMO",,,"71",,"38.83","0.18","1007.5","percent of total billed charges",,
"7-0 PROLENE 8702H","0270","RC","Both",,,"55","27.5","Blue Cross Blue Shield","PPO",,,"71",,"38.83","0.18","1007.5","percent of total billed charges",,
"7-0 PROLENE 8702H","0270","RC","Both",,,"55","27.5","Ambetter","Health Exchange",,,"62",,"34.1","0.18","1007.5","percent of total billed charges",,
"7-0 PROLENE 8702H","0270","RC","Both",,,"55","27.5","Caresource","Health Exchange",,,"62",,"34.1","0.18","1007.5","percent of total billed charges",,
"7-0 PROLENE 8702H","0270","RC","Both",,,"55","27.5","Cigna","Commercial",,,"59",,"32.23","0.18","1007.5","percent of total billed charges",,
"7-0 PROLENE 8702H","0270","RC","Both",,,"55","27.5","Humana","Commercial",,,"78",,"42.62","0.18","1007.5","percent of total billed charges",,
"7-0 PROLENE 8702H","0270","RC","Both",,,"55","27.5","UHC","Commercial",,,"75",,"41.47","0.18","1007.5","percent of total billed charges",,
"7-0 PROLENE 8702H","0270","RC","Both",,,"55","27.5","Medicaid",,,,"37",,"20.13","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE 8805H","0270","RC","Both",,,"55","27.5","Alliant","Health Exchange",,,"62",,"34.1","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE 8805H","0270","RC","Both",,,"55","27.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"29.7","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE 8805H","0270","RC","Both",,,"55","27.5","Medicare",,,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE 8805H","0270","RC","Both",,,"55","27.5","Humana","Medicare Advantage",,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE 8805H","0270","RC","Both",,,"55","27.5","UHC","Medicare Advantage",,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE 8805H","0270","RC","Both",,,"55","27.5","Clover","Medicare Advantage",,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE 8805H","0270","RC","Both",,,"55","27.5","Wellcare","Medicare Advantage",,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE 8805H","0270","RC","Both",,,"55","27.5","Amerigroup","Medicaid Managed Care",,,"37",,"20.13","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE 8805H","0270","RC","Both",,,"55","27.5","Caresource","Medicaid Managed Care",,,"40",,"22","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE 8805H","0270","RC","Both",,,"55","27.5","Wellcare","Medicaid Managed Care",,,"40",,"22.28","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE 8805H","0270","RC","Both",,,"55","27.5","Aetna","Commercial",,,"64",,"35.09","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE 8805H","0270","RC","Both",,,"55","27.5","Blue Cross Blue Shield","Pathways",,,"71",,"38.83","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE 8805H","0270","RC","Both",,,"55","27.5","Blue Cross Blue Shield","HMO",,,"71",,"38.83","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE 8805H","0270","RC","Both",,,"55","27.5","Blue Cross Blue Shield","PPO",,,"71",,"38.83","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE 8805H","0270","RC","Both",,,"55","27.5","Ambetter","Health Exchange",,,"62",,"34.1","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE 8805H","0270","RC","Both",,,"55","27.5","Caresource","Health Exchange",,,"62",,"34.1","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE 8805H","0270","RC","Both",,,"55","27.5","Cigna","Commercial",,,"59",,"32.23","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE 8805H","0270","RC","Both",,,"55","27.5","Humana","Commercial",,,"78",,"42.62","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE 8805H","0270","RC","Both",,,"55","27.5","UHC","Commercial",,,"75",,"41.47","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE 8805H","0270","RC","Both",,,"55","27.5","Medicaid",,,,"37",,"20.13","0.18","1007.5","percent of total billed charges",,
"5-0 PROLENE 8720H","0270","RC","Both",,,"55","27.5","Alliant","Health Exchange",,,"62",,"34.1","0.18","1007.5","percent of total billed charges",,
"5-0 PROLENE 8720H","0270","RC","Both",,,"55","27.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"29.7","0.18","1007.5","percent of total billed charges",,
"5-0 PROLENE 8720H","0270","RC","Both",,,"55","27.5","Medicare",,,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"5-0 PROLENE 8720H","0270","RC","Both",,,"55","27.5","Humana","Medicare Advantage",,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"5-0 PROLENE 8720H","0270","RC","Both",,,"55","27.5","UHC","Medicare Advantage",,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"5-0 PROLENE 8720H","0270","RC","Both",,,"55","27.5","Clover","Medicare Advantage",,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"5-0 PROLENE 8720H","0270","RC","Both",,,"55","27.5","Wellcare","Medicare Advantage",,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"5-0 PROLENE 8720H","0270","RC","Both",,,"55","27.5","Amerigroup","Medicaid Managed Care",,,"37",,"20.13","0.18","1007.5","percent of total billed charges",,
"5-0 PROLENE 8720H","0270","RC","Both",,,"55","27.5","Caresource","Medicaid Managed Care",,,"40",,"22","0.18","1007.5","percent of total billed charges",,
"5-0 PROLENE 8720H","0270","RC","Both",,,"55","27.5","Wellcare","Medicaid Managed Care",,,"40",,"22.28","0.18","1007.5","percent of total billed charges",,
"5-0 PROLENE 8720H","0270","RC","Both",,,"55","27.5","Aetna","Commercial",,,"64",,"35.09","0.18","1007.5","percent of total billed charges",,
"5-0 PROLENE 8720H","0270","RC","Both",,,"55","27.5","Blue Cross Blue Shield","Pathways",,,"71",,"38.83","0.18","1007.5","percent of total billed charges",,
"5-0 PROLENE 8720H","0270","RC","Both",,,"55","27.5","Blue Cross Blue Shield","HMO",,,"71",,"38.83","0.18","1007.5","percent of total billed charges",,
"5-0 PROLENE 8720H","0270","RC","Both",,,"55","27.5","Blue Cross Blue Shield","PPO",,,"71",,"38.83","0.18","1007.5","percent of total billed charges",,
"5-0 PROLENE 8720H","0270","RC","Both",,,"55","27.5","Ambetter","Health Exchange",,,"62",,"34.1","0.18","1007.5","percent of total billed charges",,
"5-0 PROLENE 8720H","0270","RC","Both",,,"55","27.5","Caresource","Health Exchange",,,"62",,"34.1","0.18","1007.5","percent of total billed charges",,
"5-0 PROLENE 8720H","0270","RC","Both",,,"55","27.5","Cigna","Commercial",,,"59",,"32.23","0.18","1007.5","percent of total billed charges",,
"5-0 PROLENE 8720H","0270","RC","Both",,,"55","27.5","Humana","Commercial",,,"78",,"42.62","0.18","1007.5","percent of total billed charges",,
"5-0 PROLENE 8720H","0270","RC","Both",,,"55","27.5","UHC","Commercial",,,"75",,"41.47","0.18","1007.5","percent of total billed charges",,
"5-0 PROLENE 8720H","0270","RC","Both",,,"55","27.5","Medicaid",,,,"37",,"20.13","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE 8706H","0270","RC","Both",,,"55","27.5","Alliant","Health Exchange",,,"62",,"34.1","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE 8706H","0270","RC","Both",,,"55","27.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"29.7","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE 8706H","0270","RC","Both",,,"55","27.5","Medicare",,,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE 8706H","0270","RC","Both",,,"55","27.5","Humana","Medicare Advantage",,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE 8706H","0270","RC","Both",,,"55","27.5","UHC","Medicare Advantage",,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE 8706H","0270","RC","Both",,,"55","27.5","Clover","Medicare Advantage",,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE 8706H","0270","RC","Both",,,"55","27.5","Wellcare","Medicare Advantage",,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE 8706H","0270","RC","Both",,,"55","27.5","Amerigroup","Medicaid Managed Care",,,"37",,"20.13","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE 8706H","0270","RC","Both",,,"55","27.5","Caresource","Medicaid Managed Care",,,"40",,"22","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE 8706H","0270","RC","Both",,,"55","27.5","Wellcare","Medicaid Managed Care",,,"40",,"22.28","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE 8706H","0270","RC","Both",,,"55","27.5","Aetna","Commercial",,,"64",,"35.09","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE 8706H","0270","RC","Both",,,"55","27.5","Blue Cross Blue Shield","Pathways",,,"71",,"38.83","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE 8706H","0270","RC","Both",,,"55","27.5","Blue Cross Blue Shield","HMO",,,"71",,"38.83","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE 8706H","0270","RC","Both",,,"55","27.5","Blue Cross Blue Shield","PPO",,,"71",,"38.83","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE 8706H","0270","RC","Both",,,"55","27.5","Ambetter","Health Exchange",,,"62",,"34.1","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE 8706H","0270","RC","Both",,,"55","27.5","Caresource","Health Exchange",,,"62",,"34.1","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE 8706H","0270","RC","Both",,,"55","27.5","Cigna","Commercial",,,"59",,"32.23","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE 8706H","0270","RC","Both",,,"55","27.5","Humana","Commercial",,,"78",,"42.62","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE 8706H","0270","RC","Both",,,"55","27.5","UHC","Commercial",,,"75",,"41.47","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE 8706H","0270","RC","Both",,,"55","27.5","Medicaid",,,,"37",,"20.13","0.18","1007.5","percent of total billed charges",,
"5-0 PROLENE 9702H","0270","RC","Both",,,"83","41.5","Alliant","Health Exchange",,,"62",,"51.46","0.18","1007.5","percent of total billed charges",,
"5-0 PROLENE 9702H","0270","RC","Both",,,"83","41.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"44.82","0.18","1007.5","percent of total billed charges",,
"5-0 PROLENE 9702H","0270","RC","Both",,,"83","41.5","Medicare",,,,"54",,"44.99","0.18","1007.5","percent of total billed charges",,
"5-0 PROLENE 9702H","0270","RC","Both",,,"83","41.5","Humana","Medicare Advantage",,,"54",,"44.99","0.18","1007.5","percent of total billed charges",,
"5-0 PROLENE 9702H","0270","RC","Both",,,"83","41.5","UHC","Medicare Advantage",,,"54",,"44.99","0.18","1007.5","percent of total billed charges",,
"5-0 PROLENE 9702H","0270","RC","Both",,,"83","41.5","Clover","Medicare Advantage",,,"54",,"44.99","0.18","1007.5","percent of total billed charges",,
"5-0 PROLENE 9702H","0270","RC","Both",,,"83","41.5","Wellcare","Medicare Advantage",,,"54",,"44.99","0.18","1007.5","percent of total billed charges",,
"5-0 PROLENE 9702H","0270","RC","Both",,,"83","41.5","Amerigroup","Medicaid Managed Care",,,"37",,"30.38","0.18","1007.5","percent of total billed charges",,
"5-0 PROLENE 9702H","0270","RC","Both",,,"83","41.5","Caresource","Medicaid Managed Care",,,"40",,"33.2","0.18","1007.5","percent of total billed charges",,
"5-0 PROLENE 9702H","0270","RC","Both",,,"83","41.5","Wellcare","Medicaid Managed Care",,,"40",,"33.62","0.18","1007.5","percent of total billed charges",,
"5-0 PROLENE 9702H","0270","RC","Both",,,"83","41.5","Aetna","Commercial",,,"64",,"52.95","0.18","1007.5","percent of total billed charges",,
"5-0 PROLENE 9702H","0270","RC","Both",,,"83","41.5","Blue Cross Blue Shield","Pathways",,,"71",,"58.6","0.18","1007.5","percent of total billed charges",,
"5-0 PROLENE 9702H","0270","RC","Both",,,"83","41.5","Blue Cross Blue Shield","HMO",,,"71",,"58.6","0.18","1007.5","percent of total billed charges",,
"5-0 PROLENE 9702H","0270","RC","Both",,,"83","41.5","Blue Cross Blue Shield","PPO",,,"71",,"58.6","0.18","1007.5","percent of total billed charges",,
"5-0 PROLENE 9702H","0270","RC","Both",,,"83","41.5","Ambetter","Health Exchange",,,"62",,"51.46","0.18","1007.5","percent of total billed charges",,
"5-0 PROLENE 9702H","0270","RC","Both",,,"83","41.5","Caresource","Health Exchange",,,"62",,"51.46","0.18","1007.5","percent of total billed charges",,
"5-0 PROLENE 9702H","0270","RC","Both",,,"83","41.5","Cigna","Commercial",,,"59",,"48.64","0.18","1007.5","percent of total billed charges",,
"5-0 PROLENE 9702H","0270","RC","Both",,,"83","41.5","Humana","Commercial",,,"78",,"64.32","0.18","1007.5","percent of total billed charges",,
"5-0 PROLENE 9702H","0270","RC","Both",,,"83","41.5","UHC","Commercial",,,"75",,"62.58","0.18","1007.5","percent of total billed charges",,
"5-0 PROLENE 9702H","0270","RC","Both",,,"83","41.5","Medicaid",,,,"37",,"30.38","0.18","1007.5","percent of total billed charges",,
"4-0 PROLENE 8557H","0270","RC","Both",,,"44","22","Alliant","Health Exchange",,,"62",,"27.28","0.18","1007.5","percent of total billed charges",,
"4-0 PROLENE 8557H","0270","RC","Both",,,"44","22","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.76","0.18","1007.5","percent of total billed charges",,
"4-0 PROLENE 8557H","0270","RC","Both",,,"44","22","Medicare",,,,"54",,"23.85","0.18","1007.5","percent of total billed charges",,
"4-0 PROLENE 8557H","0270","RC","Both",,,"44","22","Humana","Medicare Advantage",,,"54",,"23.85","0.18","1007.5","percent of total billed charges",,
"4-0 PROLENE 8557H","0270","RC","Both",,,"44","22","UHC","Medicare Advantage",,,"54",,"23.85","0.18","1007.5","percent of total billed charges",,
"4-0 PROLENE 8557H","0270","RC","Both",,,"44","22","Clover","Medicare Advantage",,,"54",,"23.85","0.18","1007.5","percent of total billed charges",,
"4-0 PROLENE 8557H","0270","RC","Both",,,"44","22","Wellcare","Medicare Advantage",,,"54",,"23.85","0.18","1007.5","percent of total billed charges",,
"4-0 PROLENE 8557H","0270","RC","Both",,,"44","22","Amerigroup","Medicaid Managed Care",,,"37",,"16.1","0.18","1007.5","percent of total billed charges",,
"4-0 PROLENE 8557H","0270","RC","Both",,,"44","22","Caresource","Medicaid Managed Care",,,"40",,"17.6","0.18","1007.5","percent of total billed charges",,
"4-0 PROLENE 8557H","0270","RC","Both",,,"44","22","Wellcare","Medicaid Managed Care",,,"40",,"17.82","0.18","1007.5","percent of total billed charges",,
"4-0 PROLENE 8557H","0270","RC","Both",,,"44","22","Aetna","Commercial",,,"64",,"28.07","0.18","1007.5","percent of total billed charges",,
"4-0 PROLENE 8557H","0270","RC","Both",,,"44","22","Blue Cross Blue Shield","Pathways",,,"71",,"31.06","0.18","1007.5","percent of total billed charges",,
"4-0 PROLENE 8557H","0270","RC","Both",,,"44","22","Blue Cross Blue Shield","HMO",,,"71",,"31.06","0.18","1007.5","percent of total billed charges",,
"4-0 PROLENE 8557H","0270","RC","Both",,,"44","22","Blue Cross Blue Shield","PPO",,,"71",,"31.06","0.18","1007.5","percent of total billed charges",,
"4-0 PROLENE 8557H","0270","RC","Both",,,"44","22","Ambetter","Health Exchange",,,"62",,"27.28","0.18","1007.5","percent of total billed charges",,
"4-0 PROLENE 8557H","0270","RC","Both",,,"44","22","Caresource","Health Exchange",,,"62",,"27.28","0.18","1007.5","percent of total billed charges",,
"4-0 PROLENE 8557H","0270","RC","Both",,,"44","22","Cigna","Commercial",,,"59",,"25.78","0.18","1007.5","percent of total billed charges",,
"4-0 PROLENE 8557H","0270","RC","Both",,,"44","22","Humana","Commercial",,,"78",,"34.1","0.18","1007.5","percent of total billed charges",,
"4-0 PROLENE 8557H","0270","RC","Both",,,"44","22","UHC","Commercial",,,"75",,"33.18","0.18","1007.5","percent of total billed charges",,
"4-0 PROLENE 8557H","0270","RC","Both",,,"44","22","Medicaid",,,,"37",,"16.1","0.18","1007.5","percent of total billed charges",,
"UNIVERSAL PACK II","0270","RC","Both",,,"108","54","Alliant","Health Exchange",,,"62",,"66.96","0.18","1007.5","percent of total billed charges",,
"UNIVERSAL PACK II","0270","RC","Both",,,"108","54","Pruitt Healthcare","Medicare Advantage",,,"54",,"58.32","0.18","1007.5","percent of total billed charges",,
"UNIVERSAL PACK II","0270","RC","Both",,,"108","54","Medicare",,,,"54",,"58.54","0.18","1007.5","percent of total billed charges",,
"UNIVERSAL PACK II","0270","RC","Both",,,"108","54","Humana","Medicare Advantage",,,"54",,"58.54","0.18","1007.5","percent of total billed charges",,
"UNIVERSAL PACK II","0270","RC","Both",,,"108","54","UHC","Medicare Advantage",,,"54",,"58.54","0.18","1007.5","percent of total billed charges",,
"UNIVERSAL PACK II","0270","RC","Both",,,"108","54","Clover","Medicare Advantage",,,"54",,"58.54","0.18","1007.5","percent of total billed charges",,
"UNIVERSAL PACK II","0270","RC","Both",,,"108","54","Wellcare","Medicare Advantage",,,"54",,"58.54","0.18","1007.5","percent of total billed charges",,
"UNIVERSAL PACK II","0270","RC","Both",,,"108","54","Amerigroup","Medicaid Managed Care",,,"37",,"39.53","0.18","1007.5","percent of total billed charges",,
"UNIVERSAL PACK II","0270","RC","Both",,,"108","54","Caresource","Medicaid Managed Care",,,"40",,"43.2","0.18","1007.5","percent of total billed charges",,
"UNIVERSAL PACK II","0270","RC","Both",,,"108","54","Wellcare","Medicaid Managed Care",,,"40",,"43.74","0.18","1007.5","percent of total billed charges",,
"UNIVERSAL PACK II","0270","RC","Both",,,"108","54","Aetna","Commercial",,,"64",,"68.9","0.18","1007.5","percent of total billed charges",,
"UNIVERSAL PACK II","0270","RC","Both",,,"108","54","Blue Cross Blue Shield","Pathways",,,"71",,"76.25","0.18","1007.5","percent of total billed charges",,
"UNIVERSAL PACK II","0270","RC","Both",,,"108","54","Blue Cross Blue Shield","HMO",,,"71",,"76.25","0.18","1007.5","percent of total billed charges",,
"UNIVERSAL PACK II","0270","RC","Both",,,"108","54","Blue Cross Blue Shield","PPO",,,"71",,"76.25","0.18","1007.5","percent of total billed charges",,
"UNIVERSAL PACK II","0270","RC","Both",,,"108","54","Ambetter","Health Exchange",,,"62",,"66.96","0.18","1007.5","percent of total billed charges",,
"UNIVERSAL PACK II","0270","RC","Both",,,"108","54","Caresource","Health Exchange",,,"62",,"66.96","0.18","1007.5","percent of total billed charges",,
"UNIVERSAL PACK II","0270","RC","Both",,,"108","54","Cigna","Commercial",,,"59",,"63.29","0.18","1007.5","percent of total billed charges",,
"UNIVERSAL PACK II","0270","RC","Both",,,"108","54","Humana","Commercial",,,"78",,"83.7","0.18","1007.5","percent of total billed charges",,
"UNIVERSAL PACK II","0270","RC","Both",,,"108","54","UHC","Commercial",,,"75",,"81.43","0.18","1007.5","percent of total billed charges",,
"UNIVERSAL PACK II","0270","RC","Both",,,"108","54","Medicaid",,,,"37",,"39.53","0.18","1007.5","percent of total billed charges",,
"6-0 SILK 1675H","0270","RC","Both",,,"28","14","Alliant","Health Exchange",,,"62",,"17.36","0.18","1007.5","percent of total billed charges",,
"6-0 SILK 1675H","0270","RC","Both",,,"28","14","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.12","0.18","1007.5","percent of total billed charges",,
"6-0 SILK 1675H","0270","RC","Both",,,"28","14","Medicare",,,,"54",,"15.18","0.18","1007.5","percent of total billed charges",,
"6-0 SILK 1675H","0270","RC","Both",,,"28","14","Humana","Medicare Advantage",,,"54",,"15.18","0.18","1007.5","percent of total billed charges",,
"6-0 SILK 1675H","0270","RC","Both",,,"28","14","UHC","Medicare Advantage",,,"54",,"15.18","0.18","1007.5","percent of total billed charges",,
"6-0 SILK 1675H","0270","RC","Both",,,"28","14","Clover","Medicare Advantage",,,"54",,"15.18","0.18","1007.5","percent of total billed charges",,
"6-0 SILK 1675H","0270","RC","Both",,,"28","14","Wellcare","Medicare Advantage",,,"54",,"15.18","0.18","1007.5","percent of total billed charges",,
"6-0 SILK 1675H","0270","RC","Both",,,"28","14","Amerigroup","Medicaid Managed Care",,,"37",,"10.25","0.18","1007.5","percent of total billed charges",,
"6-0 SILK 1675H","0270","RC","Both",,,"28","14","Caresource","Medicaid Managed Care",,,"40",,"11.2","0.18","1007.5","percent of total billed charges",,
"6-0 SILK 1675H","0270","RC","Both",,,"28","14","Wellcare","Medicaid Managed Care",,,"40",,"11.34","0.18","1007.5","percent of total billed charges",,
"6-0 SILK 1675H","0270","RC","Both",,,"28","14","Aetna","Commercial",,,"64",,"17.86","0.18","1007.5","percent of total billed charges",,
"6-0 SILK 1675H","0270","RC","Both",,,"28","14","Blue Cross Blue Shield","Pathways",,,"71",,"19.77","0.18","1007.5","percent of total billed charges",,
"6-0 SILK 1675H","0270","RC","Both",,,"28","14","Blue Cross Blue Shield","HMO",,,"71",,"19.77","0.18","1007.5","percent of total billed charges",,
"6-0 SILK 1675H","0270","RC","Both",,,"28","14","Blue Cross Blue Shield","PPO",,,"71",,"19.77","0.18","1007.5","percent of total billed charges",,
"6-0 SILK 1675H","0270","RC","Both",,,"28","14","Ambetter","Health Exchange",,,"62",,"17.36","0.18","1007.5","percent of total billed charges",,
"6-0 SILK 1675H","0270","RC","Both",,,"28","14","Caresource","Health Exchange",,,"62",,"17.36","0.18","1007.5","percent of total billed charges",,
"6-0 SILK 1675H","0270","RC","Both",,,"28","14","Cigna","Commercial",,,"59",,"16.41","0.18","1007.5","percent of total billed charges",,
"6-0 SILK 1675H","0270","RC","Both",,,"28","14","Humana","Commercial",,,"78",,"21.7","0.18","1007.5","percent of total billed charges",,
"6-0 SILK 1675H","0270","RC","Both",,,"28","14","UHC","Commercial",,,"75",,"21.11","0.18","1007.5","percent of total billed charges",,
"6-0 SILK 1675H","0270","RC","Both",,,"28","14","Medicaid",,,,"37",,"10.25","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE M8726","0270","RC","Both",,,"132","66","Alliant","Health Exchange",,,"62",,"81.84","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE M8726","0270","RC","Both",,,"132","66","Pruitt Healthcare","Medicare Advantage",,,"54",,"71.28","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE M8726","0270","RC","Both",,,"132","66","Medicare",,,,"54",,"71.54","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE M8726","0270","RC","Both",,,"132","66","Humana","Medicare Advantage",,,"54",,"71.54","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE M8726","0270","RC","Both",,,"132","66","UHC","Medicare Advantage",,,"54",,"71.54","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE M8726","0270","RC","Both",,,"132","66","Clover","Medicare Advantage",,,"54",,"71.54","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE M8726","0270","RC","Both",,,"132","66","Wellcare","Medicare Advantage",,,"54",,"71.54","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE M8726","0270","RC","Both",,,"132","66","Amerigroup","Medicaid Managed Care",,,"37",,"48.31","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE M8726","0270","RC","Both",,,"132","66","Caresource","Medicaid Managed Care",,,"40",,"52.8","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE M8726","0270","RC","Both",,,"132","66","Wellcare","Medicaid Managed Care",,,"40",,"53.46","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE M8726","0270","RC","Both",,,"132","66","Aetna","Commercial",,,"64",,"84.22","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE M8726","0270","RC","Both",,,"132","66","Blue Cross Blue Shield","Pathways",,,"71",,"93.19","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE M8726","0270","RC","Both",,,"132","66","Blue Cross Blue Shield","HMO",,,"71",,"93.19","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE M8726","0270","RC","Both",,,"132","66","Blue Cross Blue Shield","PPO",,,"71",,"93.19","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE M8726","0270","RC","Both",,,"132","66","Ambetter","Health Exchange",,,"62",,"81.84","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE M8726","0270","RC","Both",,,"132","66","Caresource","Health Exchange",,,"62",,"81.84","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE M8726","0270","RC","Both",,,"132","66","Cigna","Commercial",,,"59",,"77.35","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE M8726","0270","RC","Both",,,"132","66","Humana","Commercial",,,"78",,"102.3","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE M8726","0270","RC","Both",,,"132","66","UHC","Commercial",,,"75",,"99.53","0.18","1007.5","percent of total billed charges",,
"6-0 PROLENE M8726","0270","RC","Both",,,"132","66","Medicaid",,,,"37",,"48.31","0.18","1007.5","percent of total billed charges",,
"DEV-O-LOOPS (MINI BLUE) 6003","0270","RC","Both",,,"17","8.5","Alliant","Health Exchange",,,"62",,"10.54","0.18","1007.5","percent of total billed charges",,
"DEV-O-LOOPS (MINI BLUE) 6003","0270","RC","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.18","0.18","1007.5","percent of total billed charges",,
"DEV-O-LOOPS (MINI BLUE) 6003","0270","RC","Both",,,"17","8.5","Medicare",,,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"DEV-O-LOOPS (MINI BLUE) 6003","0270","RC","Both",,,"17","8.5","Humana","Medicare Advantage",,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"DEV-O-LOOPS (MINI BLUE) 6003","0270","RC","Both",,,"17","8.5","UHC","Medicare Advantage",,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"DEV-O-LOOPS (MINI BLUE) 6003","0270","RC","Both",,,"17","8.5","Clover","Medicare Advantage",,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"DEV-O-LOOPS (MINI BLUE) 6003","0270","RC","Both",,,"17","8.5","Wellcare","Medicare Advantage",,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"DEV-O-LOOPS (MINI BLUE) 6003","0270","RC","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.22","0.18","1007.5","percent of total billed charges",,
"DEV-O-LOOPS (MINI BLUE) 6003","0270","RC","Both",,,"17","8.5","Caresource","Medicaid Managed Care",,,"40",,"6.8","0.18","1007.5","percent of total billed charges",,
"DEV-O-LOOPS (MINI BLUE) 6003","0270","RC","Both",,,"17","8.5","Wellcare","Medicaid Managed Care",,,"40",,"6.89","0.18","1007.5","percent of total billed charges",,
"DEV-O-LOOPS (MINI BLUE) 6003","0270","RC","Both",,,"17","8.5","Aetna","Commercial",,,"64",,"10.85","0.18","1007.5","percent of total billed charges",,
"DEV-O-LOOPS (MINI BLUE) 6003","0270","RC","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways",,,"71",,"12","0.18","1007.5","percent of total billed charges",,
"DEV-O-LOOPS (MINI BLUE) 6003","0270","RC","Both",,,"17","8.5","Blue Cross Blue Shield","HMO",,,"71",,"12","0.18","1007.5","percent of total billed charges",,
"DEV-O-LOOPS (MINI BLUE) 6003","0270","RC","Both",,,"17","8.5","Blue Cross Blue Shield","PPO",,,"71",,"12","0.18","1007.5","percent of total billed charges",,
"DEV-O-LOOPS (MINI BLUE) 6003","0270","RC","Both",,,"17","8.5","Ambetter","Health Exchange",,,"62",,"10.54","0.18","1007.5","percent of total billed charges",,
"DEV-O-LOOPS (MINI BLUE) 6003","0270","RC","Both",,,"17","8.5","Caresource","Health Exchange",,,"62",,"10.54","0.18","1007.5","percent of total billed charges",,
"DEV-O-LOOPS (MINI BLUE) 6003","0270","RC","Both",,,"17","8.5","Cigna","Commercial",,,"59",,"9.96","0.18","1007.5","percent of total billed charges",,
"DEV-O-LOOPS (MINI BLUE) 6003","0270","RC","Both",,,"17","8.5","Humana","Commercial",,,"78",,"13.18","0.18","1007.5","percent of total billed charges",,
"DEV-O-LOOPS (MINI BLUE) 6003","0270","RC","Both",,,"17","8.5","UHC","Commercial",,,"75",,"12.82","0.18","1007.5","percent of total billed charges",,
"DEV-O-LOOPS (MINI BLUE) 6003","0270","RC","Both",,,"17","8.5","Medicaid",,,,"37",,"6.22","0.18","1007.5","percent of total billed charges",,
"5-0 VICRYL J421H","0270","RC","Both",,,"17","8.5","Alliant","Health Exchange",,,"62",,"10.54","0.18","1007.5","percent of total billed charges",,
"5-0 VICRYL J421H","0270","RC","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.18","0.18","1007.5","percent of total billed charges",,
"5-0 VICRYL J421H","0270","RC","Both",,,"17","8.5","Medicare",,,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"5-0 VICRYL J421H","0270","RC","Both",,,"17","8.5","Humana","Medicare Advantage",,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"5-0 VICRYL J421H","0270","RC","Both",,,"17","8.5","UHC","Medicare Advantage",,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"5-0 VICRYL J421H","0270","RC","Both",,,"17","8.5","Clover","Medicare Advantage",,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"5-0 VICRYL J421H","0270","RC","Both",,,"17","8.5","Wellcare","Medicare Advantage",,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"5-0 VICRYL J421H","0270","RC","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.22","0.18","1007.5","percent of total billed charges",,
"5-0 VICRYL J421H","0270","RC","Both",,,"17","8.5","Caresource","Medicaid Managed Care",,,"40",,"6.8","0.18","1007.5","percent of total billed charges",,
"5-0 VICRYL J421H","0270","RC","Both",,,"17","8.5","Wellcare","Medicaid Managed Care",,,"40",,"6.89","0.18","1007.5","percent of total billed charges",,
"5-0 VICRYL J421H","0270","RC","Both",,,"17","8.5","Aetna","Commercial",,,"64",,"10.85","0.18","1007.5","percent of total billed charges",,
"5-0 VICRYL J421H","0270","RC","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways",,,"71",,"12","0.18","1007.5","percent of total billed charges",,
"5-0 VICRYL J421H","0270","RC","Both",,,"17","8.5","Blue Cross Blue Shield","HMO",,,"71",,"12","0.18","1007.5","percent of total billed charges",,
"5-0 VICRYL J421H","0270","RC","Both",,,"17","8.5","Blue Cross Blue Shield","PPO",,,"71",,"12","0.18","1007.5","percent of total billed charges",,
"5-0 VICRYL J421H","0270","RC","Both",,,"17","8.5","Ambetter","Health Exchange",,,"62",,"10.54","0.18","1007.5","percent of total billed charges",,
"5-0 VICRYL J421H","0270","RC","Both",,,"17","8.5","Caresource","Health Exchange",,,"62",,"10.54","0.18","1007.5","percent of total billed charges",,
"5-0 VICRYL J421H","0270","RC","Both",,,"17","8.5","Cigna","Commercial",,,"59",,"9.96","0.18","1007.5","percent of total billed charges",,
"5-0 VICRYL J421H","0270","RC","Both",,,"17","8.5","Humana","Commercial",,,"78",,"13.18","0.18","1007.5","percent of total billed charges",,
"5-0 VICRYL J421H","0270","RC","Both",,,"17","8.5","UHC","Commercial",,,"75",,"12.82","0.18","1007.5","percent of total billed charges",,
"5-0 VICRYL J421H","0270","RC","Both",,,"17","8.5","Medicaid",,,,"37",,"6.22","0.18","1007.5","percent of total billed charges",,
"5-0 MONOSOT SN1668","0270","RC","Both",,,"31","15.5","Alliant","Health Exchange",,,"62",,"19.22","0.18","1007.5","percent of total billed charges",,
"5-0 MONOSOT SN1668","0270","RC","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.74","0.18","1007.5","percent of total billed charges",,
"5-0 MONOSOT SN1668","0270","RC","Both",,,"31","15.5","Medicare",,,,"54",,"16.8","0.18","1007.5","percent of total billed charges",,
"5-0 MONOSOT SN1668","0270","RC","Both",,,"31","15.5","Humana","Medicare Advantage",,,"54",,"16.8","0.18","1007.5","percent of total billed charges",,
"5-0 MONOSOT SN1668","0270","RC","Both",,,"31","15.5","UHC","Medicare Advantage",,,"54",,"16.8","0.18","1007.5","percent of total billed charges",,
"5-0 MONOSOT SN1668","0270","RC","Both",,,"31","15.5","Clover","Medicare Advantage",,,"54",,"16.8","0.18","1007.5","percent of total billed charges",,
"5-0 MONOSOT SN1668","0270","RC","Both",,,"31","15.5","Wellcare","Medicare Advantage",,,"54",,"16.8","0.18","1007.5","percent of total billed charges",,
"5-0 MONOSOT SN1668","0270","RC","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care",,,"37",,"11.35","0.18","1007.5","percent of total billed charges",,
"5-0 MONOSOT SN1668","0270","RC","Both",,,"31","15.5","Caresource","Medicaid Managed Care",,,"40",,"12.4","0.18","1007.5","percent of total billed charges",,
"5-0 MONOSOT SN1668","0270","RC","Both",,,"31","15.5","Wellcare","Medicaid Managed Care",,,"40",,"12.56","0.18","1007.5","percent of total billed charges",,
"5-0 MONOSOT SN1668","0270","RC","Both",,,"31","15.5","Aetna","Commercial",,,"64",,"19.78","0.18","1007.5","percent of total billed charges",,
"5-0 MONOSOT SN1668","0270","RC","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways",,,"71",,"21.89","0.18","1007.5","percent of total billed charges",,
"5-0 MONOSOT SN1668","0270","RC","Both",,,"31","15.5","Blue Cross Blue Shield","HMO",,,"71",,"21.89","0.18","1007.5","percent of total billed charges",,
"5-0 MONOSOT SN1668","0270","RC","Both",,,"31","15.5","Blue Cross Blue Shield","PPO",,,"71",,"21.89","0.18","1007.5","percent of total billed charges",,
"5-0 MONOSOT SN1668","0270","RC","Both",,,"31","15.5","Ambetter","Health Exchange",,,"62",,"19.22","0.18","1007.5","percent of total billed charges",,
"5-0 MONOSOT SN1668","0270","RC","Both",,,"31","15.5","Caresource","Health Exchange",,,"62",,"19.22","0.18","1007.5","percent of total billed charges",,
"5-0 MONOSOT SN1668","0270","RC","Both",,,"31","15.5","Cigna","Commercial",,,"59",,"18.17","0.18","1007.5","percent of total billed charges",,
"5-0 MONOSOT SN1668","0270","RC","Both",,,"31","15.5","Humana","Commercial",,,"78",,"24.02","0.18","1007.5","percent of total billed charges",,
"5-0 MONOSOT SN1668","0270","RC","Both",,,"31","15.5","UHC","Commercial",,,"75",,"23.37","0.18","1007.5","percent of total billed charges",,
"5-0 MONOSOT SN1668","0270","RC","Both",,,"31","15.5","Medicaid",,,,"37",,"11.35","0.18","1007.5","percent of total billed charges",,
"J109T VICRYL 4-0","0270","RC","Both",,,"55","27.5","Alliant","Health Exchange",,,"62",,"34.1","0.18","1007.5","percent of total billed charges",,
"J109T VICRYL 4-0","0270","RC","Both",,,"55","27.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"29.7","0.18","1007.5","percent of total billed charges",,
"J109T VICRYL 4-0","0270","RC","Both",,,"55","27.5","Medicare",,,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"J109T VICRYL 4-0","0270","RC","Both",,,"55","27.5","Humana","Medicare Advantage",,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"J109T VICRYL 4-0","0270","RC","Both",,,"55","27.5","UHC","Medicare Advantage",,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"J109T VICRYL 4-0","0270","RC","Both",,,"55","27.5","Clover","Medicare Advantage",,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"J109T VICRYL 4-0","0270","RC","Both",,,"55","27.5","Wellcare","Medicare Advantage",,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"J109T VICRYL 4-0","0270","RC","Both",,,"55","27.5","Amerigroup","Medicaid Managed Care",,,"37",,"20.13","0.18","1007.5","percent of total billed charges",,
"J109T VICRYL 4-0","0270","RC","Both",,,"55","27.5","Caresource","Medicaid Managed Care",,,"40",,"22","0.18","1007.5","percent of total billed charges",,
"J109T VICRYL 4-0","0270","RC","Both",,,"55","27.5","Wellcare","Medicaid Managed Care",,,"40",,"22.28","0.18","1007.5","percent of total billed charges",,
"J109T VICRYL 4-0","0270","RC","Both",,,"55","27.5","Aetna","Commercial",,,"64",,"35.09","0.18","1007.5","percent of total billed charges",,
"J109T VICRYL 4-0","0270","RC","Both",,,"55","27.5","Blue Cross Blue Shield","Pathways",,,"71",,"38.83","0.18","1007.5","percent of total billed charges",,
"J109T VICRYL 4-0","0270","RC","Both",,,"55","27.5","Blue Cross Blue Shield","HMO",,,"71",,"38.83","0.18","1007.5","percent of total billed charges",,
"J109T VICRYL 4-0","0270","RC","Both",,,"55","27.5","Blue Cross Blue Shield","PPO",,,"71",,"38.83","0.18","1007.5","percent of total billed charges",,
"J109T VICRYL 4-0","0270","RC","Both",,,"55","27.5","Ambetter","Health Exchange",,,"62",,"34.1","0.18","1007.5","percent of total billed charges",,
"J109T VICRYL 4-0","0270","RC","Both",,,"55","27.5","Caresource","Health Exchange",,,"62",,"34.1","0.18","1007.5","percent of total billed charges",,
"J109T VICRYL 4-0","0270","RC","Both",,,"55","27.5","Cigna","Commercial",,,"59",,"32.23","0.18","1007.5","percent of total billed charges",,
"J109T VICRYL 4-0","0270","RC","Both",,,"55","27.5","Humana","Commercial",,,"78",,"42.62","0.18","1007.5","percent of total billed charges",,
"J109T VICRYL 4-0","0270","RC","Both",,,"55","27.5","UHC","Commercial",,,"75",,"41.47","0.18","1007.5","percent of total billed charges",,
"J109T VICRYL 4-0","0270","RC","Both",,,"55","27.5","Medicaid",,,,"37",,"20.13","0.18","1007.5","percent of total billed charges",,
"J270H O-VICRYL","0270","RC","Both",,,"28","14","Alliant","Health Exchange",,,"62",,"17.36","0.18","1007.5","percent of total billed charges",,
"J270H O-VICRYL","0270","RC","Both",,,"28","14","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.12","0.18","1007.5","percent of total billed charges",,
"J270H O-VICRYL","0270","RC","Both",,,"28","14","Medicare",,,,"54",,"15.18","0.18","1007.5","percent of total billed charges",,
"J270H O-VICRYL","0270","RC","Both",,,"28","14","Humana","Medicare Advantage",,,"54",,"15.18","0.18","1007.5","percent of total billed charges",,
"J270H O-VICRYL","0270","RC","Both",,,"28","14","UHC","Medicare Advantage",,,"54",,"15.18","0.18","1007.5","percent of total billed charges",,
"J270H O-VICRYL","0270","RC","Both",,,"28","14","Clover","Medicare Advantage",,,"54",,"15.18","0.18","1007.5","percent of total billed charges",,
"J270H O-VICRYL","0270","RC","Both",,,"28","14","Wellcare","Medicare Advantage",,,"54",,"15.18","0.18","1007.5","percent of total billed charges",,
"J270H O-VICRYL","0270","RC","Both",,,"28","14","Amerigroup","Medicaid Managed Care",,,"37",,"10.25","0.18","1007.5","percent of total billed charges",,
"J270H O-VICRYL","0270","RC","Both",,,"28","14","Caresource","Medicaid Managed Care",,,"40",,"11.2","0.18","1007.5","percent of total billed charges",,
"J270H O-VICRYL","0270","RC","Both",,,"28","14","Wellcare","Medicaid Managed Care",,,"40",,"11.34","0.18","1007.5","percent of total billed charges",,
"J270H O-VICRYL","0270","RC","Both",,,"28","14","Aetna","Commercial",,,"64",,"17.86","0.18","1007.5","percent of total billed charges",,
"J270H O-VICRYL","0270","RC","Both",,,"28","14","Blue Cross Blue Shield","Pathways",,,"71",,"19.77","0.18","1007.5","percent of total billed charges",,
"J270H O-VICRYL","0270","RC","Both",,,"28","14","Blue Cross Blue Shield","HMO",,,"71",,"19.77","0.18","1007.5","percent of total billed charges",,
"J270H O-VICRYL","0270","RC","Both",,,"28","14","Blue Cross Blue Shield","PPO",,,"71",,"19.77","0.18","1007.5","percent of total billed charges",,
"J270H O-VICRYL","0270","RC","Both",,,"28","14","Ambetter","Health Exchange",,,"62",,"17.36","0.18","1007.5","percent of total billed charges",,
"J270H O-VICRYL","0270","RC","Both",,,"28","14","Caresource","Health Exchange",,,"62",,"17.36","0.18","1007.5","percent of total billed charges",,
"J270H O-VICRYL","0270","RC","Both",,,"28","14","Cigna","Commercial",,,"59",,"16.41","0.18","1007.5","percent of total billed charges",,
"J270H O-VICRYL","0270","RC","Both",,,"28","14","Humana","Commercial",,,"78",,"21.7","0.18","1007.5","percent of total billed charges",,
"J270H O-VICRYL","0270","RC","Both",,,"28","14","UHC","Commercial",,,"75",,"21.11","0.18","1007.5","percent of total billed charges",,
"J270H O-VICRYL","0270","RC","Both",,,"28","14","Medicaid",,,,"37",,"10.25","0.18","1007.5","percent of total billed charges",,
"678H 0-SILK","0270","RC","Both",,,"28","14","Alliant","Health Exchange",,,"62",,"17.36","0.18","1007.5","percent of total billed charges",,
"678H 0-SILK","0270","RC","Both",,,"28","14","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.12","0.18","1007.5","percent of total billed charges",,
"678H 0-SILK","0270","RC","Both",,,"28","14","Medicare",,,,"54",,"15.18","0.18","1007.5","percent of total billed charges",,
"678H 0-SILK","0270","RC","Both",,,"28","14","Humana","Medicare Advantage",,,"54",,"15.18","0.18","1007.5","percent of total billed charges",,
"678H 0-SILK","0270","RC","Both",,,"28","14","UHC","Medicare Advantage",,,"54",,"15.18","0.18","1007.5","percent of total billed charges",,
"678H 0-SILK","0270","RC","Both",,,"28","14","Clover","Medicare Advantage",,,"54",,"15.18","0.18","1007.5","percent of total billed charges",,
"678H 0-SILK","0270","RC","Both",,,"28","14","Wellcare","Medicare Advantage",,,"54",,"15.18","0.18","1007.5","percent of total billed charges",,
"678H 0-SILK","0270","RC","Both",,,"28","14","Amerigroup","Medicaid Managed Care",,,"37",,"10.25","0.18","1007.5","percent of total billed charges",,
"678H 0-SILK","0270","RC","Both",,,"28","14","Caresource","Medicaid Managed Care",,,"40",,"11.2","0.18","1007.5","percent of total billed charges",,
"678H 0-SILK","0270","RC","Both",,,"28","14","Wellcare","Medicaid Managed Care",,,"40",,"11.34","0.18","1007.5","percent of total billed charges",,
"678H 0-SILK","0270","RC","Both",,,"28","14","Aetna","Commercial",,,"64",,"17.86","0.18","1007.5","percent of total billed charges",,
"678H 0-SILK","0270","RC","Both",,,"28","14","Blue Cross Blue Shield","Pathways",,,"71",,"19.77","0.18","1007.5","percent of total billed charges",,
"678H 0-SILK","0270","RC","Both",,,"28","14","Blue Cross Blue Shield","HMO",,,"71",,"19.77","0.18","1007.5","percent of total billed charges",,
"678H 0-SILK","0270","RC","Both",,,"28","14","Blue Cross Blue Shield","PPO",,,"71",,"19.77","0.18","1007.5","percent of total billed charges",,
"678H 0-SILK","0270","RC","Both",,,"28","14","Ambetter","Health Exchange",,,"62",,"17.36","0.18","1007.5","percent of total billed charges",,
"678H 0-SILK","0270","RC","Both",,,"28","14","Caresource","Health Exchange",,,"62",,"17.36","0.18","1007.5","percent of total billed charges",,
"678H 0-SILK","0270","RC","Both",,,"28","14","Cigna","Commercial",,,"59",,"16.41","0.18","1007.5","percent of total billed charges",,
"678H 0-SILK","0270","RC","Both",,,"28","14","Humana","Commercial",,,"78",,"21.7","0.18","1007.5","percent of total billed charges",,
"678H 0-SILK","0270","RC","Both",,,"28","14","UHC","Commercial",,,"75",,"21.11","0.18","1007.5","percent of total billed charges",,
"678H 0-SILK","0270","RC","Both",,,"28","14","Medicaid",,,,"37",,"10.25","0.18","1007.5","percent of total billed charges",,
"8417H 2-0 SILK","0270","RC","Both",,,"33","16.5","Alliant","Health Exchange",,,"62",,"20.46","0.18","1007.5","percent of total billed charges",,
"8417H 2-0 SILK","0270","RC","Both",,,"33","16.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.82","0.18","1007.5","percent of total billed charges",,
"8417H 2-0 SILK","0270","RC","Both",,,"33","16.5","Medicare",,,,"54",,"17.89","0.18","1007.5","percent of total billed charges",,
"8417H 2-0 SILK","0270","RC","Both",,,"33","16.5","Humana","Medicare Advantage",,,"54",,"17.89","0.18","1007.5","percent of total billed charges",,
"8417H 2-0 SILK","0270","RC","Both",,,"33","16.5","UHC","Medicare Advantage",,,"54",,"17.89","0.18","1007.5","percent of total billed charges",,
"8417H 2-0 SILK","0270","RC","Both",,,"33","16.5","Clover","Medicare Advantage",,,"54",,"17.89","0.18","1007.5","percent of total billed charges",,
"8417H 2-0 SILK","0270","RC","Both",,,"33","16.5","Wellcare","Medicare Advantage",,,"54",,"17.89","0.18","1007.5","percent of total billed charges",,
"8417H 2-0 SILK","0270","RC","Both",,,"33","16.5","Amerigroup","Medicaid Managed Care",,,"37",,"12.08","0.18","1007.5","percent of total billed charges",,
"8417H 2-0 SILK","0270","RC","Both",,,"33","16.5","Caresource","Medicaid Managed Care",,,"40",,"13.2","0.18","1007.5","percent of total billed charges",,
"8417H 2-0 SILK","0270","RC","Both",,,"33","16.5","Wellcare","Medicaid Managed Care",,,"40",,"13.36","0.18","1007.5","percent of total billed charges",,
"8417H 2-0 SILK","0270","RC","Both",,,"33","16.5","Aetna","Commercial",,,"64",,"21.05","0.18","1007.5","percent of total billed charges",,
"8417H 2-0 SILK","0270","RC","Both",,,"33","16.5","Blue Cross Blue Shield","Pathways",,,"71",,"23.3","0.18","1007.5","percent of total billed charges",,
"8417H 2-0 SILK","0270","RC","Both",,,"33","16.5","Blue Cross Blue Shield","HMO",,,"71",,"23.3","0.18","1007.5","percent of total billed charges",,
"8417H 2-0 SILK","0270","RC","Both",,,"33","16.5","Blue Cross Blue Shield","PPO",,,"71",,"23.3","0.18","1007.5","percent of total billed charges",,
"8417H 2-0 SILK","0270","RC","Both",,,"33","16.5","Ambetter","Health Exchange",,,"62",,"20.46","0.18","1007.5","percent of total billed charges",,
"8417H 2-0 SILK","0270","RC","Both",,,"33","16.5","Caresource","Health Exchange",,,"62",,"20.46","0.18","1007.5","percent of total billed charges",,
"8417H 2-0 SILK","0270","RC","Both",,,"33","16.5","Cigna","Commercial",,,"59",,"19.34","0.18","1007.5","percent of total billed charges",,
"8417H 2-0 SILK","0270","RC","Both",,,"33","16.5","Humana","Commercial",,,"78",,"25.58","0.18","1007.5","percent of total billed charges",,
"8417H 2-0 SILK","0270","RC","Both",,,"33","16.5","UHC","Commercial",,,"75",,"24.88","0.18","1007.5","percent of total billed charges",,
"8417H 2-0 SILK","0270","RC","Both",,,"33","16.5","Medicaid",,,,"37",,"12.08","0.18","1007.5","percent of total billed charges",,
"VALVE & CAP RV-1000","0270","RC","Both",,,"17","8.5","Alliant","Health Exchange",,,"62",,"10.54","0.18","1007.5","percent of total billed charges",,
"VALVE & CAP RV-1000","0270","RC","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.18","0.18","1007.5","percent of total billed charges",,
"VALVE & CAP RV-1000","0270","RC","Both",,,"17","8.5","Medicare",,,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"VALVE & CAP RV-1000","0270","RC","Both",,,"17","8.5","Humana","Medicare Advantage",,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"VALVE & CAP RV-1000","0270","RC","Both",,,"17","8.5","UHC","Medicare Advantage",,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"VALVE & CAP RV-1000","0270","RC","Both",,,"17","8.5","Clover","Medicare Advantage",,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"VALVE & CAP RV-1000","0270","RC","Both",,,"17","8.5","Wellcare","Medicare Advantage",,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"VALVE & CAP RV-1000","0270","RC","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.22","0.18","1007.5","percent of total billed charges",,
"VALVE & CAP RV-1000","0270","RC","Both",,,"17","8.5","Caresource","Medicaid Managed Care",,,"40",,"6.8","0.18","1007.5","percent of total billed charges",,
"VALVE & CAP RV-1000","0270","RC","Both",,,"17","8.5","Wellcare","Medicaid Managed Care",,,"40",,"6.89","0.18","1007.5","percent of total billed charges",,
"VALVE & CAP RV-1000","0270","RC","Both",,,"17","8.5","Aetna","Commercial",,,"64",,"10.85","0.18","1007.5","percent of total billed charges",,
"VALVE & CAP RV-1000","0270","RC","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways",,,"71",,"12","0.18","1007.5","percent of total billed charges",,
"VALVE & CAP RV-1000","0270","RC","Both",,,"17","8.5","Blue Cross Blue Shield","HMO",,,"71",,"12","0.18","1007.5","percent of total billed charges",,
"VALVE & CAP RV-1000","0270","RC","Both",,,"17","8.5","Blue Cross Blue Shield","PPO",,,"71",,"12","0.18","1007.5","percent of total billed charges",,
"VALVE & CAP RV-1000","0270","RC","Both",,,"17","8.5","Ambetter","Health Exchange",,,"62",,"10.54","0.18","1007.5","percent of total billed charges",,
"VALVE & CAP RV-1000","0270","RC","Both",,,"17","8.5","Caresource","Health Exchange",,,"62",,"10.54","0.18","1007.5","percent of total billed charges",,
"VALVE & CAP RV-1000","0270","RC","Both",,,"17","8.5","Cigna","Commercial",,,"59",,"9.96","0.18","1007.5","percent of total billed charges",,
"VALVE & CAP RV-1000","0270","RC","Both",,,"17","8.5","Humana","Commercial",,,"78",,"13.18","0.18","1007.5","percent of total billed charges",,
"VALVE & CAP RV-1000","0270","RC","Both",,,"17","8.5","UHC","Commercial",,,"75",,"12.82","0.18","1007.5","percent of total billed charges",,
"VALVE & CAP RV-1000","0270","RC","Both",,,"17","8.5","Medicaid",,,,"37",,"6.22","0.18","1007.5","percent of total billed charges",,
"MEDIPORE 1","0270","RC","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","0.18","1007.5","percent of total billed charges",,
"MEDIPORE 1","0270","RC","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","0.18","1007.5","percent of total billed charges",,
"MEDIPORE 1","0270","RC","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","0.18","1007.5","percent of total billed charges",,
"MEDIPORE 1","0270","RC","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","0.18","1007.5","percent of total billed charges",,
"MEDIPORE 1","0270","RC","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","0.18","1007.5","percent of total billed charges",,
"MEDIPORE 1","0270","RC","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","0.18","1007.5","percent of total billed charges",,
"MEDIPORE 1","0270","RC","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","0.18","1007.5","percent of total billed charges",,
"MEDIPORE 1","0270","RC","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","0.18","1007.5","percent of total billed charges",,
"MEDIPORE 1","0270","RC","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","0.18","1007.5","percent of total billed charges",,
"MEDIPORE 1","0270","RC","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.18","1007.5","percent of total billed charges",,
"MEDIPORE 1","0270","RC","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","0.18","1007.5","percent of total billed charges",,
"MEDIPORE 1","0270","RC","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","0.18","1007.5","percent of total billed charges",,
"MEDIPORE 1","0270","RC","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","0.18","1007.5","percent of total billed charges",,
"MEDIPORE 1","0270","RC","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","0.18","1007.5","percent of total billed charges",,
"MEDIPORE 1","0270","RC","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","0.18","1007.5","percent of total billed charges",,
"MEDIPORE 1","0270","RC","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","0.18","1007.5","percent of total billed charges",,
"MEDIPORE 1","0270","RC","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","0.18","1007.5","percent of total billed charges",,
"MEDIPORE 1","0270","RC","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","0.18","1007.5","percent of total billed charges",,
"MEDIPORE 1","0270","RC","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","0.18","1007.5","percent of total billed charges",,
"MEDIPORE 1","0270","RC","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","0.18","1007.5","percent of total billed charges",,
"3-0 SILK SA84H","0270","RC","Both",,,"17","8.5","Alliant","Health Exchange",,,"62",,"10.54","0.18","1007.5","percent of total billed charges",,
"3-0 SILK SA84H","0270","RC","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.18","0.18","1007.5","percent of total billed charges",,
"3-0 SILK SA84H","0270","RC","Both",,,"17","8.5","Medicare",,,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"3-0 SILK SA84H","0270","RC","Both",,,"17","8.5","Humana","Medicare Advantage",,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"3-0 SILK SA84H","0270","RC","Both",,,"17","8.5","UHC","Medicare Advantage",,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"3-0 SILK SA84H","0270","RC","Both",,,"17","8.5","Clover","Medicare Advantage",,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"3-0 SILK SA84H","0270","RC","Both",,,"17","8.5","Wellcare","Medicare Advantage",,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"3-0 SILK SA84H","0270","RC","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.22","0.18","1007.5","percent of total billed charges",,
"3-0 SILK SA84H","0270","RC","Both",,,"17","8.5","Caresource","Medicaid Managed Care",,,"40",,"6.8","0.18","1007.5","percent of total billed charges",,
"3-0 SILK SA84H","0270","RC","Both",,,"17","8.5","Wellcare","Medicaid Managed Care",,,"40",,"6.89","0.18","1007.5","percent of total billed charges",,
"3-0 SILK SA84H","0270","RC","Both",,,"17","8.5","Aetna","Commercial",,,"64",,"10.85","0.18","1007.5","percent of total billed charges",,
"3-0 SILK SA84H","0270","RC","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways",,,"71",,"12","0.18","1007.5","percent of total billed charges",,
"3-0 SILK SA84H","0270","RC","Both",,,"17","8.5","Blue Cross Blue Shield","HMO",,,"71",,"12","0.18","1007.5","percent of total billed charges",,
"3-0 SILK SA84H","0270","RC","Both",,,"17","8.5","Blue Cross Blue Shield","PPO",,,"71",,"12","0.18","1007.5","percent of total billed charges",,
"3-0 SILK SA84H","0270","RC","Both",,,"17","8.5","Ambetter","Health Exchange",,,"62",,"10.54","0.18","1007.5","percent of total billed charges",,
"3-0 SILK SA84H","0270","RC","Both",,,"17","8.5","Caresource","Health Exchange",,,"62",,"10.54","0.18","1007.5","percent of total billed charges",,
"3-0 SILK SA84H","0270","RC","Both",,,"17","8.5","Cigna","Commercial",,,"59",,"9.96","0.18","1007.5","percent of total billed charges",,
"3-0 SILK SA84H","0270","RC","Both",,,"17","8.5","Humana","Commercial",,,"78",,"13.18","0.18","1007.5","percent of total billed charges",,
"3-0 SILK SA84H","0270","RC","Both",,,"17","8.5","UHC","Commercial",,,"75",,"12.82","0.18","1007.5","percent of total billed charges",,
"3-0 SILK SA84H","0270","RC","Both",,,"17","8.5","Medicaid",,,,"37",,"6.22","0.18","1007.5","percent of total billed charges",,
"SKIN STAPLES PXW 35","0270","RC","Both",,,"44","22","Alliant","Health Exchange",,,"62",,"27.28","0.18","1007.5","percent of total billed charges",,
"SKIN STAPLES PXW 35","0270","RC","Both",,,"44","22","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.76","0.18","1007.5","percent of total billed charges",,
"SKIN STAPLES PXW 35","0270","RC","Both",,,"44","22","Medicare",,,,"54",,"23.85","0.18","1007.5","percent of total billed charges",,
"SKIN STAPLES PXW 35","0270","RC","Both",,,"44","22","Humana","Medicare Advantage",,,"54",,"23.85","0.18","1007.5","percent of total billed charges",,
"SKIN STAPLES PXW 35","0270","RC","Both",,,"44","22","UHC","Medicare Advantage",,,"54",,"23.85","0.18","1007.5","percent of total billed charges",,
"SKIN STAPLES PXW 35","0270","RC","Both",,,"44","22","Clover","Medicare Advantage",,,"54",,"23.85","0.18","1007.5","percent of total billed charges",,
"SKIN STAPLES PXW 35","0270","RC","Both",,,"44","22","Wellcare","Medicare Advantage",,,"54",,"23.85","0.18","1007.5","percent of total billed charges",,
"SKIN STAPLES PXW 35","0270","RC","Both",,,"44","22","Amerigroup","Medicaid Managed Care",,,"37",,"16.1","0.18","1007.5","percent of total billed charges",,
"SKIN STAPLES PXW 35","0270","RC","Both",,,"44","22","Caresource","Medicaid Managed Care",,,"40",,"17.6","0.18","1007.5","percent of total billed charges",,
"SKIN STAPLES PXW 35","0270","RC","Both",,,"44","22","Wellcare","Medicaid Managed Care",,,"40",,"17.82","0.18","1007.5","percent of total billed charges",,
"SKIN STAPLES PXW 35","0270","RC","Both",,,"44","22","Aetna","Commercial",,,"64",,"28.07","0.18","1007.5","percent of total billed charges",,
"SKIN STAPLES PXW 35","0270","RC","Both",,,"44","22","Blue Cross Blue Shield","Pathways",,,"71",,"31.06","0.18","1007.5","percent of total billed charges",,
"SKIN STAPLES PXW 35","0270","RC","Both",,,"44","22","Blue Cross Blue Shield","HMO",,,"71",,"31.06","0.18","1007.5","percent of total billed charges",,
"SKIN STAPLES PXW 35","0270","RC","Both",,,"44","22","Blue Cross Blue Shield","PPO",,,"71",,"31.06","0.18","1007.5","percent of total billed charges",,
"SKIN STAPLES PXW 35","0270","RC","Both",,,"44","22","Ambetter","Health Exchange",,,"62",,"27.28","0.18","1007.5","percent of total billed charges",,
"SKIN STAPLES PXW 35","0270","RC","Both",,,"44","22","Caresource","Health Exchange",,,"62",,"27.28","0.18","1007.5","percent of total billed charges",,
"SKIN STAPLES PXW 35","0270","RC","Both",,,"44","22","Cigna","Commercial",,,"59",,"25.78","0.18","1007.5","percent of total billed charges",,
"SKIN STAPLES PXW 35","0270","RC","Both",,,"44","22","Humana","Commercial",,,"78",,"34.1","0.18","1007.5","percent of total billed charges",,
"SKIN STAPLES PXW 35","0270","RC","Both",,,"44","22","UHC","Commercial",,,"75",,"33.18","0.18","1007.5","percent of total billed charges",,
"SKIN STAPLES PXW 35","0270","RC","Both",,,"44","22","Medicaid",,,,"37",,"16.1","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER RED 18FR","0270","RC","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER RED 18FR","0270","RC","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER RED 18FR","0270","RC","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER RED 18FR","0270","RC","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER RED 18FR","0270","RC","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER RED 18FR","0270","RC","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER RED 18FR","0270","RC","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER RED 18FR","0270","RC","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER RED 18FR","0270","RC","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER RED 18FR","0270","RC","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER RED 18FR","0270","RC","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER RED 18FR","0270","RC","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER RED 18FR","0270","RC","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER RED 18FR","0270","RC","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER RED 18FR","0270","RC","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER RED 18FR","0270","RC","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER RED 18FR","0270","RC","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER RED 18FR","0270","RC","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER RED 18FR","0270","RC","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","0.18","1007.5","percent of total billed charges",,
"URETHRAL CATHETER RED 18FR","0270","RC","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","0.18","1007.5","percent of total billed charges",,
"SURGILAN PLUS HANDPIECE","0270","RC","Both",,,"165","82.5","Alliant","Health Exchange",,,"62",,"102.3","0.18","1007.5","percent of total billed charges",,
"SURGILAN PLUS HANDPIECE","0270","RC","Both",,,"165","82.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"89.1","0.18","1007.5","percent of total billed charges",,
"SURGILAN PLUS HANDPIECE","0270","RC","Both",,,"165","82.5","Medicare",,,,"54",,"89.43","0.18","1007.5","percent of total billed charges",,
"SURGILAN PLUS HANDPIECE","0270","RC","Both",,,"165","82.5","Humana","Medicare Advantage",,,"54",,"89.43","0.18","1007.5","percent of total billed charges",,
"SURGILAN PLUS HANDPIECE","0270","RC","Both",,,"165","82.5","UHC","Medicare Advantage",,,"54",,"89.43","0.18","1007.5","percent of total billed charges",,
"SURGILAN PLUS HANDPIECE","0270","RC","Both",,,"165","82.5","Clover","Medicare Advantage",,,"54",,"89.43","0.18","1007.5","percent of total billed charges",,
"SURGILAN PLUS HANDPIECE","0270","RC","Both",,,"165","82.5","Wellcare","Medicare Advantage",,,"54",,"89.43","0.18","1007.5","percent of total billed charges",,
"SURGILAN PLUS HANDPIECE","0270","RC","Both",,,"165","82.5","Amerigroup","Medicaid Managed Care",,,"37",,"60.39","0.18","1007.5","percent of total billed charges",,
"SURGILAN PLUS HANDPIECE","0270","RC","Both",,,"165","82.5","Caresource","Medicaid Managed Care",,,"40",,"66","0.18","1007.5","percent of total billed charges",,
"SURGILAN PLUS HANDPIECE","0270","RC","Both",,,"165","82.5","Wellcare","Medicaid Managed Care",,,"40",,"66.82","0.18","1007.5","percent of total billed charges",,
"SURGILAN PLUS HANDPIECE","0270","RC","Both",,,"165","82.5","Aetna","Commercial",,,"64",,"105.27","0.18","1007.5","percent of total billed charges",,
"SURGILAN PLUS HANDPIECE","0270","RC","Both",,,"165","82.5","Blue Cross Blue Shield","Pathways",,,"71",,"116.49","0.18","1007.5","percent of total billed charges",,
"SURGILAN PLUS HANDPIECE","0270","RC","Both",,,"165","82.5","Blue Cross Blue Shield","HMO",,,"71",,"116.49","0.18","1007.5","percent of total billed charges",,
"SURGILAN PLUS HANDPIECE","0270","RC","Both",,,"165","82.5","Blue Cross Blue Shield","PPO",,,"71",,"116.49","0.18","1007.5","percent of total billed charges",,
"SURGILAN PLUS HANDPIECE","0270","RC","Both",,,"165","82.5","Ambetter","Health Exchange",,,"62",,"102.3","0.18","1007.5","percent of total billed charges",,
"SURGILAN PLUS HANDPIECE","0270","RC","Both",,,"165","82.5","Caresource","Health Exchange",,,"62",,"102.3","0.18","1007.5","percent of total billed charges",,
"SURGILAN PLUS HANDPIECE","0270","RC","Both",,,"165","82.5","Cigna","Commercial",,,"59",,"96.69","0.18","1007.5","percent of total billed charges",,
"SURGILAN PLUS HANDPIECE","0270","RC","Both",,,"165","82.5","Humana","Commercial",,,"78",,"127.88","0.18","1007.5","percent of total billed charges",,
"SURGILAN PLUS HANDPIECE","0270","RC","Both",,,"165","82.5","UHC","Commercial",,,"75",,"124.41","0.18","1007.5","percent of total billed charges",,
"SURGILAN PLUS HANDPIECE","0270","RC","Both",,,"165","82.5","Medicaid",,,,"37",,"60.39","0.18","1007.5","percent of total billed charges",,
"UPPER BODY HUGGER","0270","RC","Both",,,"44","22","Alliant","Health Exchange",,,"62",,"27.28","0.18","1007.5","percent of total billed charges",,
"UPPER BODY HUGGER","0270","RC","Both",,,"44","22","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.76","0.18","1007.5","percent of total billed charges",,
"UPPER BODY HUGGER","0270","RC","Both",,,"44","22","Medicare",,,,"54",,"23.85","0.18","1007.5","percent of total billed charges",,
"UPPER BODY HUGGER","0270","RC","Both",,,"44","22","Humana","Medicare Advantage",,,"54",,"23.85","0.18","1007.5","percent of total billed charges",,
"UPPER BODY HUGGER","0270","RC","Both",,,"44","22","UHC","Medicare Advantage",,,"54",,"23.85","0.18","1007.5","percent of total billed charges",,
"UPPER BODY HUGGER","0270","RC","Both",,,"44","22","Clover","Medicare Advantage",,,"54",,"23.85","0.18","1007.5","percent of total billed charges",,
"UPPER BODY HUGGER","0270","RC","Both",,,"44","22","Wellcare","Medicare Advantage",,,"54",,"23.85","0.18","1007.5","percent of total billed charges",,
"UPPER BODY HUGGER","0270","RC","Both",,,"44","22","Amerigroup","Medicaid Managed Care",,,"37",,"16.1","0.18","1007.5","percent of total billed charges",,
"UPPER BODY HUGGER","0270","RC","Both",,,"44","22","Caresource","Medicaid Managed Care",,,"40",,"17.6","0.18","1007.5","percent of total billed charges",,
"UPPER BODY HUGGER","0270","RC","Both",,,"44","22","Wellcare","Medicaid Managed Care",,,"40",,"17.82","0.18","1007.5","percent of total billed charges",,
"UPPER BODY HUGGER","0270","RC","Both",,,"44","22","Aetna","Commercial",,,"64",,"28.07","0.18","1007.5","percent of total billed charges",,
"UPPER BODY HUGGER","0270","RC","Both",,,"44","22","Blue Cross Blue Shield","Pathways",,,"71",,"31.06","0.18","1007.5","percent of total billed charges",,
"UPPER BODY HUGGER","0270","RC","Both",,,"44","22","Blue Cross Blue Shield","HMO",,,"71",,"31.06","0.18","1007.5","percent of total billed charges",,
"UPPER BODY HUGGER","0270","RC","Both",,,"44","22","Blue Cross Blue Shield","PPO",,,"71",,"31.06","0.18","1007.5","percent of total billed charges",,
"UPPER BODY HUGGER","0270","RC","Both",,,"44","22","Ambetter","Health Exchange",,,"62",,"27.28","0.18","1007.5","percent of total billed charges",,
"UPPER BODY HUGGER","0270","RC","Both",,,"44","22","Caresource","Health Exchange",,,"62",,"27.28","0.18","1007.5","percent of total billed charges",,
"UPPER BODY HUGGER","0270","RC","Both",,,"44","22","Cigna","Commercial",,,"59",,"25.78","0.18","1007.5","percent of total billed charges",,
"UPPER BODY HUGGER","0270","RC","Both",,,"44","22","Humana","Commercial",,,"78",,"34.1","0.18","1007.5","percent of total billed charges",,
"UPPER BODY HUGGER","0270","RC","Both",,,"44","22","UHC","Commercial",,,"75",,"33.18","0.18","1007.5","percent of total billed charges",,
"UPPER BODY HUGGER","0270","RC","Both",,,"44","22","Medicaid",,,,"37",,"16.1","0.18","1007.5","percent of total billed charges",,
"FULL BODY HUGGER","0270","RC","Both",,,"33","16.5","Alliant","Health Exchange",,,"62",,"20.46","0.18","1007.5","percent of total billed charges",,
"FULL BODY HUGGER","0270","RC","Both",,,"33","16.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.82","0.18","1007.5","percent of total billed charges",,
"FULL BODY HUGGER","0270","RC","Both",,,"33","16.5","Medicare",,,,"54",,"17.89","0.18","1007.5","percent of total billed charges",,
"FULL BODY HUGGER","0270","RC","Both",,,"33","16.5","Humana","Medicare Advantage",,,"54",,"17.89","0.18","1007.5","percent of total billed charges",,
"FULL BODY HUGGER","0270","RC","Both",,,"33","16.5","UHC","Medicare Advantage",,,"54",,"17.89","0.18","1007.5","percent of total billed charges",,
"FULL BODY HUGGER","0270","RC","Both",,,"33","16.5","Clover","Medicare Advantage",,,"54",,"17.89","0.18","1007.5","percent of total billed charges",,
"FULL BODY HUGGER","0270","RC","Both",,,"33","16.5","Wellcare","Medicare Advantage",,,"54",,"17.89","0.18","1007.5","percent of total billed charges",,
"FULL BODY HUGGER","0270","RC","Both",,,"33","16.5","Amerigroup","Medicaid Managed Care",,,"37",,"12.08","0.18","1007.5","percent of total billed charges",,
"FULL BODY HUGGER","0270","RC","Both",,,"33","16.5","Caresource","Medicaid Managed Care",,,"40",,"13.2","0.18","1007.5","percent of total billed charges",,
"FULL BODY HUGGER","0270","RC","Both",,,"33","16.5","Wellcare","Medicaid Managed Care",,,"40",,"13.36","0.18","1007.5","percent of total billed charges",,
"FULL BODY HUGGER","0270","RC","Both",,,"33","16.5","Aetna","Commercial",,,"64",,"21.05","0.18","1007.5","percent of total billed charges",,
"FULL BODY HUGGER","0270","RC","Both",,,"33","16.5","Blue Cross Blue Shield","Pathways",,,"71",,"23.3","0.18","1007.5","percent of total billed charges",,
"FULL BODY HUGGER","0270","RC","Both",,,"33","16.5","Blue Cross Blue Shield","HMO",,,"71",,"23.3","0.18","1007.5","percent of total billed charges",,
"FULL BODY HUGGER","0270","RC","Both",,,"33","16.5","Blue Cross Blue Shield","PPO",,,"71",,"23.3","0.18","1007.5","percent of total billed charges",,
"FULL BODY HUGGER","0270","RC","Both",,,"33","16.5","Ambetter","Health Exchange",,,"62",,"20.46","0.18","1007.5","percent of total billed charges",,
"FULL BODY HUGGER","0270","RC","Both",,,"33","16.5","Caresource","Health Exchange",,,"62",,"20.46","0.18","1007.5","percent of total billed charges",,
"FULL BODY HUGGER","0270","RC","Both",,,"33","16.5","Cigna","Commercial",,,"59",,"19.34","0.18","1007.5","percent of total billed charges",,
"FULL BODY HUGGER","0270","RC","Both",,,"33","16.5","Humana","Commercial",,,"78",,"25.58","0.18","1007.5","percent of total billed charges",,
"FULL BODY HUGGER","0270","RC","Both",,,"33","16.5","UHC","Commercial",,,"75",,"24.88","0.18","1007.5","percent of total billed charges",,
"FULL BODY HUGGER","0270","RC","Both",,,"33","16.5","Medicaid",,,,"37",,"12.08","0.18","1007.5","percent of total billed charges",,
"3-0 PROLENE 8762H","0270","RC","Both",,,"113","56.5","Alliant","Health Exchange",,,"62",,"70.06","0.18","1007.5","percent of total billed charges",,
"3-0 PROLENE 8762H","0270","RC","Both",,,"113","56.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"61.02","0.18","1007.5","percent of total billed charges",,
"3-0 PROLENE 8762H","0270","RC","Both",,,"113","56.5","Medicare",,,,"54",,"61.25","0.18","1007.5","percent of total billed charges",,
"3-0 PROLENE 8762H","0270","RC","Both",,,"113","56.5","Humana","Medicare Advantage",,,"54",,"61.25","0.18","1007.5","percent of total billed charges",,
"3-0 PROLENE 8762H","0270","RC","Both",,,"113","56.5","UHC","Medicare Advantage",,,"54",,"61.25","0.18","1007.5","percent of total billed charges",,
"3-0 PROLENE 8762H","0270","RC","Both",,,"113","56.5","Clover","Medicare Advantage",,,"54",,"61.25","0.18","1007.5","percent of total billed charges",,
"3-0 PROLENE 8762H","0270","RC","Both",,,"113","56.5","Wellcare","Medicare Advantage",,,"54",,"61.25","0.18","1007.5","percent of total billed charges",,
"3-0 PROLENE 8762H","0270","RC","Both",,,"113","56.5","Amerigroup","Medicaid Managed Care",,,"37",,"41.36","0.18","1007.5","percent of total billed charges",,
"3-0 PROLENE 8762H","0270","RC","Both",,,"113","56.5","Caresource","Medicaid Managed Care",,,"40",,"45.2","0.18","1007.5","percent of total billed charges",,
"3-0 PROLENE 8762H","0270","RC","Both",,,"113","56.5","Wellcare","Medicaid Managed Care",,,"40",,"45.76","0.18","1007.5","percent of total billed charges",,
"3-0 PROLENE 8762H","0270","RC","Both",,,"113","56.5","Aetna","Commercial",,,"64",,"72.09","0.18","1007.5","percent of total billed charges",,
"3-0 PROLENE 8762H","0270","RC","Both",,,"113","56.5","Blue Cross Blue Shield","Pathways",,,"71",,"79.78","0.18","1007.5","percent of total billed charges",,
"3-0 PROLENE 8762H","0270","RC","Both",,,"113","56.5","Blue Cross Blue Shield","HMO",,,"71",,"79.78","0.18","1007.5","percent of total billed charges",,
"3-0 PROLENE 8762H","0270","RC","Both",,,"113","56.5","Blue Cross Blue Shield","PPO",,,"71",,"79.78","0.18","1007.5","percent of total billed charges",,
"3-0 PROLENE 8762H","0270","RC","Both",,,"113","56.5","Ambetter","Health Exchange",,,"62",,"70.06","0.18","1007.5","percent of total billed charges",,
"3-0 PROLENE 8762H","0270","RC","Both",,,"113","56.5","Caresource","Health Exchange",,,"62",,"70.06","0.18","1007.5","percent of total billed charges",,
"3-0 PROLENE 8762H","0270","RC","Both",,,"113","56.5","Cigna","Commercial",,,"59",,"66.22","0.18","1007.5","percent of total billed charges",,
"3-0 PROLENE 8762H","0270","RC","Both",,,"113","56.5","Humana","Commercial",,,"78",,"87.58","0.18","1007.5","percent of total billed charges",,
"3-0 PROLENE 8762H","0270","RC","Both",,,"113","56.5","UHC","Commercial",,,"75",,"85.2","0.18","1007.5","percent of total billed charges",,
"3-0 PROLENE 8762H","0270","RC","Both",,,"113","56.5","Medicaid",,,,"37",,"41.36","0.18","1007.5","percent of total billed charges",,
"PROBE OXIMETRY SPO2 SENSOR INFANT FINGER","0270","RC","Both",,,"366","183","Alliant","Health Exchange",,,"62",,"226.92","0.18","1007.5","percent of total billed charges",,
"PROBE OXIMETRY SPO2 SENSOR INFANT FINGER","0270","RC","Both",,,"366","183","Pruitt Healthcare","Medicare Advantage",,,"54",,"197.64","0.18","1007.5","percent of total billed charges",,
"PROBE OXIMETRY SPO2 SENSOR INFANT FINGER","0270","RC","Both",,,"366","183","Medicare",,,,"54",,"198.37","0.18","1007.5","percent of total billed charges",,
"PROBE OXIMETRY SPO2 SENSOR INFANT FINGER","0270","RC","Both",,,"366","183","Humana","Medicare Advantage",,,"54",,"198.37","0.18","1007.5","percent of total billed charges",,
"PROBE OXIMETRY SPO2 SENSOR INFANT FINGER","0270","RC","Both",,,"366","183","UHC","Medicare Advantage",,,"54",,"198.37","0.18","1007.5","percent of total billed charges",,
"PROBE OXIMETRY SPO2 SENSOR INFANT FINGER","0270","RC","Both",,,"366","183","Clover","Medicare Advantage",,,"54",,"198.37","0.18","1007.5","percent of total billed charges",,
"PROBE OXIMETRY SPO2 SENSOR INFANT FINGER","0270","RC","Both",,,"366","183","Wellcare","Medicare Advantage",,,"54",,"198.37","0.18","1007.5","percent of total billed charges",,
"PROBE OXIMETRY SPO2 SENSOR INFANT FINGER","0270","RC","Both",,,"366","183","Amerigroup","Medicaid Managed Care",,,"37",,"133.96","0.18","1007.5","percent of total billed charges",,
"PROBE OXIMETRY SPO2 SENSOR INFANT FINGER","0270","RC","Both",,,"366","183","Caresource","Medicaid Managed Care",,,"40",,"146.4","0.18","1007.5","percent of total billed charges",,
"PROBE OXIMETRY SPO2 SENSOR INFANT FINGER","0270","RC","Both",,,"366","183","Wellcare","Medicaid Managed Care",,,"40",,"148.23","0.18","1007.5","percent of total billed charges",,
"PROBE OXIMETRY SPO2 SENSOR INFANT FINGER","0270","RC","Both",,,"366","183","Aetna","Commercial",,,"64",,"233.51","0.18","1007.5","percent of total billed charges",,
"PROBE OXIMETRY SPO2 SENSOR INFANT FINGER","0270","RC","Both",,,"366","183","Blue Cross Blue Shield","Pathways",,,"71",,"258.4","0.18","1007.5","percent of total billed charges",,
"PROBE OXIMETRY SPO2 SENSOR INFANT FINGER","0270","RC","Both",,,"366","183","Blue Cross Blue Shield","HMO",,,"71",,"258.4","0.18","1007.5","percent of total billed charges",,
"PROBE OXIMETRY SPO2 SENSOR INFANT FINGER","0270","RC","Both",,,"366","183","Blue Cross Blue Shield","PPO",,,"71",,"258.4","0.18","1007.5","percent of total billed charges",,
"PROBE OXIMETRY SPO2 SENSOR INFANT FINGER","0270","RC","Both",,,"366","183","Ambetter","Health Exchange",,,"62",,"226.92","0.18","1007.5","percent of total billed charges",,
"PROBE OXIMETRY SPO2 SENSOR INFANT FINGER","0270","RC","Both",,,"366","183","Caresource","Health Exchange",,,"62",,"226.92","0.18","1007.5","percent of total billed charges",,
"PROBE OXIMETRY SPO2 SENSOR INFANT FINGER","0270","RC","Both",,,"366","183","Cigna","Commercial",,,"59",,"214.48","0.18","1007.5","percent of total billed charges",,
"PROBE OXIMETRY SPO2 SENSOR INFANT FINGER","0270","RC","Both",,,"366","183","Humana","Commercial",,,"78",,"283.65","0.18","1007.5","percent of total billed charges",,
"PROBE OXIMETRY SPO2 SENSOR INFANT FINGER","0270","RC","Both",,,"366","183","UHC","Commercial",,,"75",,"275.96","0.18","1007.5","percent of total billed charges",,
"PROBE OXIMETRY SPO2 SENSOR INFANT FINGER","0270","RC","Both",,,"366","183","Medicaid",,,,"37",,"133.96","0.18","1007.5","percent of total billed charges",,
"PROBE OXIMETRY SPO2 SENSOR PEDS FINGER","0270","RC","Both",,,"380","190","Alliant","Health Exchange",,,"62",,"235.6","0.18","1007.5","percent of total billed charges",,
"PROBE OXIMETRY SPO2 SENSOR PEDS FINGER","0270","RC","Both",,,"380","190","Pruitt Healthcare","Medicare Advantage",,,"54",,"205.2","0.18","1007.5","percent of total billed charges",,
"PROBE OXIMETRY SPO2 SENSOR PEDS FINGER","0270","RC","Both",,,"380","190","Medicare",,,,"54",,"205.96","0.18","1007.5","percent of total billed charges",,
"PROBE OXIMETRY SPO2 SENSOR PEDS FINGER","0270","RC","Both",,,"380","190","Humana","Medicare Advantage",,,"54",,"205.96","0.18","1007.5","percent of total billed charges",,
"PROBE OXIMETRY SPO2 SENSOR PEDS FINGER","0270","RC","Both",,,"380","190","UHC","Medicare Advantage",,,"54",,"205.96","0.18","1007.5","percent of total billed charges",,
"PROBE OXIMETRY SPO2 SENSOR PEDS FINGER","0270","RC","Both",,,"380","190","Clover","Medicare Advantage",,,"54",,"205.96","0.18","1007.5","percent of total billed charges",,
"PROBE OXIMETRY SPO2 SENSOR PEDS FINGER","0270","RC","Both",,,"380","190","Wellcare","Medicare Advantage",,,"54",,"205.96","0.18","1007.5","percent of total billed charges",,
"PROBE OXIMETRY SPO2 SENSOR PEDS FINGER","0270","RC","Both",,,"380","190","Amerigroup","Medicaid Managed Care",,,"37",,"139.08","0.18","1007.5","percent of total billed charges",,
"PROBE OXIMETRY SPO2 SENSOR PEDS FINGER","0270","RC","Both",,,"380","190","Caresource","Medicaid Managed Care",,,"40",,"152","0.18","1007.5","percent of total billed charges",,
"PROBE OXIMETRY SPO2 SENSOR PEDS FINGER","0270","RC","Both",,,"380","190","Wellcare","Medicaid Managed Care",,,"40",,"153.9","0.18","1007.5","percent of total billed charges",,
"PROBE OXIMETRY SPO2 SENSOR PEDS FINGER","0270","RC","Both",,,"380","190","Aetna","Commercial",,,"64",,"242.44","0.18","1007.5","percent of total billed charges",,
"PROBE OXIMETRY SPO2 SENSOR PEDS FINGER","0270","RC","Both",,,"380","190","Blue Cross Blue Shield","Pathways",,,"71",,"268.28","0.18","1007.5","percent of total billed charges",,
"PROBE OXIMETRY SPO2 SENSOR PEDS FINGER","0270","RC","Both",,,"380","190","Blue Cross Blue Shield","HMO",,,"71",,"268.28","0.18","1007.5","percent of total billed charges",,
"PROBE OXIMETRY SPO2 SENSOR PEDS FINGER","0270","RC","Both",,,"380","190","Blue Cross Blue Shield","PPO",,,"71",,"268.28","0.18","1007.5","percent of total billed charges",,
"PROBE OXIMETRY SPO2 SENSOR PEDS FINGER","0270","RC","Both",,,"380","190","Ambetter","Health Exchange",,,"62",,"235.6","0.18","1007.5","percent of total billed charges",,
"PROBE OXIMETRY SPO2 SENSOR PEDS FINGER","0270","RC","Both",,,"380","190","Caresource","Health Exchange",,,"62",,"235.6","0.18","1007.5","percent of total billed charges",,
"PROBE OXIMETRY SPO2 SENSOR PEDS FINGER","0270","RC","Both",,,"380","190","Cigna","Commercial",,,"59",,"222.68","0.18","1007.5","percent of total billed charges",,
"PROBE OXIMETRY SPO2 SENSOR PEDS FINGER","0270","RC","Both",,,"380","190","Humana","Commercial",,,"78",,"294.5","0.18","1007.5","percent of total billed charges",,
"PROBE OXIMETRY SPO2 SENSOR PEDS FINGER","0270","RC","Both",,,"380","190","UHC","Commercial",,,"75",,"286.52","0.18","1007.5","percent of total billed charges",,
"PROBE OXIMETRY SPO2 SENSOR PEDS FINGER","0270","RC","Both",,,"380","190","Medicaid",,,,"37",,"139.08","0.18","1007.5","percent of total billed charges",,
"INCISION & DRAINAGE TRAY","0270","RC","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","0.18","1007.5","percent of total billed charges",,
"INCISION & DRAINAGE TRAY","0270","RC","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","0.18","1007.5","percent of total billed charges",,
"INCISION & DRAINAGE TRAY","0270","RC","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","0.18","1007.5","percent of total billed charges",,
"INCISION & DRAINAGE TRAY","0270","RC","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","0.18","1007.5","percent of total billed charges",,
"INCISION & DRAINAGE TRAY","0270","RC","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","0.18","1007.5","percent of total billed charges",,
"INCISION & DRAINAGE TRAY","0270","RC","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","0.18","1007.5","percent of total billed charges",,
"INCISION & DRAINAGE TRAY","0270","RC","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","0.18","1007.5","percent of total billed charges",,
"INCISION & DRAINAGE TRAY","0270","RC","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","0.18","1007.5","percent of total billed charges",,
"INCISION & DRAINAGE TRAY","0270","RC","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","0.18","1007.5","percent of total billed charges",,
"INCISION & DRAINAGE TRAY","0270","RC","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.18","1007.5","percent of total billed charges",,
"INCISION & DRAINAGE TRAY","0270","RC","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","0.18","1007.5","percent of total billed charges",,
"INCISION & DRAINAGE TRAY","0270","RC","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","0.18","1007.5","percent of total billed charges",,
"INCISION & DRAINAGE TRAY","0270","RC","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","0.18","1007.5","percent of total billed charges",,
"INCISION & DRAINAGE TRAY","0270","RC","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","0.18","1007.5","percent of total billed charges",,
"INCISION & DRAINAGE TRAY","0270","RC","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","0.18","1007.5","percent of total billed charges",,
"INCISION & DRAINAGE TRAY","0270","RC","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","0.18","1007.5","percent of total billed charges",,
"INCISION & DRAINAGE TRAY","0270","RC","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","0.18","1007.5","percent of total billed charges",,
"INCISION & DRAINAGE TRAY","0270","RC","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","0.18","1007.5","percent of total billed charges",,
"INCISION & DRAINAGE TRAY","0270","RC","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","0.18","1007.5","percent of total billed charges",,
"INCISION & DRAINAGE TRAY","0270","RC","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","0.18","1007.5","percent of total billed charges",,
"RE-NEW 11 SCISSORS TIPS","0270","RC","Both",,,"133","66.5","Alliant","Health Exchange",,,"62",,"82.46","0.18","1007.5","percent of total billed charges",,
"RE-NEW 11 SCISSORS TIPS","0270","RC","Both",,,"133","66.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"71.82","0.18","1007.5","percent of total billed charges",,
"RE-NEW 11 SCISSORS TIPS","0270","RC","Both",,,"133","66.5","Medicare",,,,"54",,"72.09","0.18","1007.5","percent of total billed charges",,
"RE-NEW 11 SCISSORS TIPS","0270","RC","Both",,,"133","66.5","Humana","Medicare Advantage",,,"54",,"72.09","0.18","1007.5","percent of total billed charges",,
"RE-NEW 11 SCISSORS TIPS","0270","RC","Both",,,"133","66.5","UHC","Medicare Advantage",,,"54",,"72.09","0.18","1007.5","percent of total billed charges",,
"RE-NEW 11 SCISSORS TIPS","0270","RC","Both",,,"133","66.5","Clover","Medicare Advantage",,,"54",,"72.09","0.18","1007.5","percent of total billed charges",,
"RE-NEW 11 SCISSORS TIPS","0270","RC","Both",,,"133","66.5","Wellcare","Medicare Advantage",,,"54",,"72.09","0.18","1007.5","percent of total billed charges",,
"RE-NEW 11 SCISSORS TIPS","0270","RC","Both",,,"133","66.5","Amerigroup","Medicaid Managed Care",,,"37",,"48.68","0.18","1007.5","percent of total billed charges",,
"RE-NEW 11 SCISSORS TIPS","0270","RC","Both",,,"133","66.5","Caresource","Medicaid Managed Care",,,"40",,"53.2","0.18","1007.5","percent of total billed charges",,
"RE-NEW 11 SCISSORS TIPS","0270","RC","Both",,,"133","66.5","Wellcare","Medicaid Managed Care",,,"40",,"53.86","0.18","1007.5","percent of total billed charges",,
"RE-NEW 11 SCISSORS TIPS","0270","RC","Both",,,"133","66.5","Aetna","Commercial",,,"64",,"84.85","0.18","1007.5","percent of total billed charges",,
"RE-NEW 11 SCISSORS TIPS","0270","RC","Both",,,"133","66.5","Blue Cross Blue Shield","Pathways",,,"71",,"93.9","0.18","1007.5","percent of total billed charges",,
"RE-NEW 11 SCISSORS TIPS","0270","RC","Both",,,"133","66.5","Blue Cross Blue Shield","HMO",,,"71",,"93.9","0.18","1007.5","percent of total billed charges",,
"RE-NEW 11 SCISSORS TIPS","0270","RC","Both",,,"133","66.5","Blue Cross Blue Shield","PPO",,,"71",,"93.9","0.18","1007.5","percent of total billed charges",,
"RE-NEW 11 SCISSORS TIPS","0270","RC","Both",,,"133","66.5","Ambetter","Health Exchange",,,"62",,"82.46","0.18","1007.5","percent of total billed charges",,
"RE-NEW 11 SCISSORS TIPS","0270","RC","Both",,,"133","66.5","Caresource","Health Exchange",,,"62",,"82.46","0.18","1007.5","percent of total billed charges",,
"RE-NEW 11 SCISSORS TIPS","0270","RC","Both",,,"133","66.5","Cigna","Commercial",,,"59",,"77.94","0.18","1007.5","percent of total billed charges",,
"RE-NEW 11 SCISSORS TIPS","0270","RC","Both",,,"133","66.5","Humana","Commercial",,,"78",,"103.08","0.18","1007.5","percent of total billed charges",,
"RE-NEW 11 SCISSORS TIPS","0270","RC","Both",,,"133","66.5","UHC","Commercial",,,"75",,"100.28","0.18","1007.5","percent of total billed charges",,
"RE-NEW 11 SCISSORS TIPS","0270","RC","Both",,,"133","66.5","Medicaid",,,,"37",,"48.68","0.18","1007.5","percent of total billed charges",,
"3-0 PLAIN","0270","RC","Both",,,"14","7","Alliant","Health Exchange",,,"62",,"8.68","0.18","1007.5","percent of total billed charges",,
"3-0 PLAIN","0270","RC","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.56","0.18","1007.5","percent of total billed charges",,
"3-0 PLAIN","0270","RC","Both",,,"14","7","Medicare",,,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"3-0 PLAIN","0270","RC","Both",,,"14","7","Humana","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"3-0 PLAIN","0270","RC","Both",,,"14","7","UHC","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"3-0 PLAIN","0270","RC","Both",,,"14","7","Clover","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"3-0 PLAIN","0270","RC","Both",,,"14","7","Wellcare","Medicare Advantage",,,"54",,"7.59","0.18","1007.5","percent of total billed charges",,
"3-0 PLAIN","0270","RC","Both",,,"14","7","Amerigroup","Medicaid Managed Care",,,"37",,"5.12","0.18","1007.5","percent of total billed charges",,
"3-0 PLAIN","0270","RC","Both",,,"14","7","Caresource","Medicaid Managed Care",,,"40",,"5.6","0.18","1007.5","percent of total billed charges",,
"3-0 PLAIN","0270","RC","Both",,,"14","7","Wellcare","Medicaid Managed Care",,,"40",,"5.67","0.18","1007.5","percent of total billed charges",,
"3-0 PLAIN","0270","RC","Both",,,"14","7","Aetna","Commercial",,,"64",,"8.93","0.18","1007.5","percent of total billed charges",,
"3-0 PLAIN","0270","RC","Both",,,"14","7","Blue Cross Blue Shield","Pathways",,,"71",,"9.88","0.18","1007.5","percent of total billed charges",,
"3-0 PLAIN","0270","RC","Both",,,"14","7","Blue Cross Blue Shield","HMO",,,"71",,"9.88","0.18","1007.5","percent of total billed charges",,
"3-0 PLAIN","0270","RC","Both",,,"14","7","Blue Cross Blue Shield","PPO",,,"71",,"9.88","0.18","1007.5","percent of total billed charges",,
"3-0 PLAIN","0270","RC","Both",,,"14","7","Ambetter","Health Exchange",,,"62",,"8.68","0.18","1007.5","percent of total billed charges",,
"3-0 PLAIN","0270","RC","Both",,,"14","7","Caresource","Health Exchange",,,"62",,"8.68","0.18","1007.5","percent of total billed charges",,
"3-0 PLAIN","0270","RC","Both",,,"14","7","Cigna","Commercial",,,"59",,"8.2","0.18","1007.5","percent of total billed charges",,
"3-0 PLAIN","0270","RC","Both",,,"14","7","Humana","Commercial",,,"78",,"10.85","0.18","1007.5","percent of total billed charges",,
"3-0 PLAIN","0270","RC","Both",,,"14","7","UHC","Commercial",,,"75",,"10.56","0.18","1007.5","percent of total billed charges",,
"3-0 PLAIN","0270","RC","Both",,,"14","7","Medicaid",,,,"37",,"5.12","0.18","1007.5","percent of total billed charges",,
"3-0 PDS II","0270","RC","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","0.18","1007.5","percent of total billed charges",,
"3-0 PDS II","0270","RC","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","0.18","1007.5","percent of total billed charges",,
"3-0 PDS II","0270","RC","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","0.18","1007.5","percent of total billed charges",,
"3-0 PDS II","0270","RC","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","0.18","1007.5","percent of total billed charges",,
"3-0 PDS II","0270","RC","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","0.18","1007.5","percent of total billed charges",,
"3-0 PDS II","0270","RC","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","0.18","1007.5","percent of total billed charges",,
"3-0 PDS II","0270","RC","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","0.18","1007.5","percent of total billed charges",,
"3-0 PDS II","0270","RC","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","0.18","1007.5","percent of total billed charges",,
"3-0 PDS II","0270","RC","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","0.18","1007.5","percent of total billed charges",,
"3-0 PDS II","0270","RC","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","0.18","1007.5","percent of total billed charges",,
"3-0 PDS II","0270","RC","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","0.18","1007.5","percent of total billed charges",,
"3-0 PDS II","0270","RC","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","0.18","1007.5","percent of total billed charges",,
"3-0 PDS II","0270","RC","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","0.18","1007.5","percent of total billed charges",,
"3-0 PDS II","0270","RC","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","0.18","1007.5","percent of total billed charges",,
"3-0 PDS II","0270","RC","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","0.18","1007.5","percent of total billed charges",,
"3-0 PDS II","0270","RC","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","0.18","1007.5","percent of total billed charges",,
"3-0 PDS II","0270","RC","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","0.18","1007.5","percent of total billed charges",,
"3-0 PDS II","0270","RC","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","0.18","1007.5","percent of total billed charges",,
"3-0 PDS II","0270","RC","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","0.18","1007.5","percent of total billed charges",,
"3-0 PDS II","0270","RC","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","0.18","1007.5","percent of total billed charges",,
"KERLIX SUPER SPONGES","0270","RC","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","0.18","1007.5","percent of total billed charges",,
"KERLIX SUPER SPONGES","0270","RC","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","0.18","1007.5","percent of total billed charges",,
"KERLIX SUPER SPONGES","0270","RC","Both",,,"4","2","Medicare",,,,"54",,"2.17","0.18","1007.5","percent of total billed charges",,
"KERLIX SUPER SPONGES","0270","RC","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","0.18","1007.5","percent of total billed charges",,
"KERLIX SUPER SPONGES","0270","RC","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","0.18","1007.5","percent of total billed charges",,
"KERLIX SUPER SPONGES","0270","RC","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","0.18","1007.5","percent of total billed charges",,
"KERLIX SUPER SPONGES","0270","RC","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","0.18","1007.5","percent of total billed charges",,
"KERLIX SUPER SPONGES","0270","RC","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","0.18","1007.5","percent of total billed charges",,
"KERLIX SUPER SPONGES","0270","RC","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","0.18","1007.5","percent of total billed charges",,
"KERLIX SUPER SPONGES","0270","RC","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","0.18","1007.5","percent of total billed charges",,
"KERLIX SUPER SPONGES","0270","RC","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","0.18","1007.5","percent of total billed charges",,
"KERLIX SUPER SPONGES","0270","RC","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","0.18","1007.5","percent of total billed charges",,
"KERLIX SUPER SPONGES","0270","RC","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","0.18","1007.5","percent of total billed charges",,
"KERLIX SUPER SPONGES","0270","RC","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","0.18","1007.5","percent of total billed charges",,
"KERLIX SUPER SPONGES","0270","RC","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","0.18","1007.5","percent of total billed charges",,
"KERLIX SUPER SPONGES","0270","RC","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","0.18","1007.5","percent of total billed charges",,
"KERLIX SUPER SPONGES","0270","RC","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","0.18","1007.5","percent of total billed charges",,
"KERLIX SUPER SPONGES","0270","RC","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","0.18","1007.5","percent of total billed charges",,
"KERLIX SUPER SPONGES","0270","RC","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","0.18","1007.5","percent of total billed charges",,
"KERLIX SUPER SPONGES","0270","RC","Both",,,"4","2","Medicaid",,,,"37",,"1.46","0.18","1007.5","percent of total billed charges",,
"STERILE TOWEL","0270","RC","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","0.18","1007.5","percent of total billed charges",,
"STERILE TOWEL","0270","RC","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","0.18","1007.5","percent of total billed charges",,
"STERILE TOWEL","0270","RC","Both",,,"8","4","Medicare",,,,"54",,"4.34","0.18","1007.5","percent of total billed charges",,
"STERILE TOWEL","0270","RC","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","0.18","1007.5","percent of total billed charges",,
"STERILE TOWEL","0270","RC","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","0.18","1007.5","percent of total billed charges",,
"STERILE TOWEL","0270","RC","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","0.18","1007.5","percent of total billed charges",,
"STERILE TOWEL","0270","RC","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","0.18","1007.5","percent of total billed charges",,
"STERILE TOWEL","0270","RC","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","0.18","1007.5","percent of total billed charges",,
"STERILE TOWEL","0270","RC","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","0.18","1007.5","percent of total billed charges",,
"STERILE TOWEL","0270","RC","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","0.18","1007.5","percent of total billed charges",,
"STERILE TOWEL","0270","RC","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","0.18","1007.5","percent of total billed charges",,
"STERILE TOWEL","0270","RC","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","0.18","1007.5","percent of total billed charges",,
"STERILE TOWEL","0270","RC","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","0.18","1007.5","percent of total billed charges",,
"STERILE TOWEL","0270","RC","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","0.18","1007.5","percent of total billed charges",,
"STERILE TOWEL","0270","RC","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","0.18","1007.5","percent of total billed charges",,
"STERILE TOWEL","0270","RC","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","0.18","1007.5","percent of total billed charges",,
"STERILE TOWEL","0270","RC","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","0.18","1007.5","percent of total billed charges",,
"STERILE TOWEL","0270","RC","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","0.18","1007.5","percent of total billed charges",,
"STERILE TOWEL","0270","RC","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","0.18","1007.5","percent of total billed charges",,
"STERILE TOWEL","0270","RC","Both",,,"8","4","Medicaid",,,,"37",,"2.93","0.18","1007.5","percent of total billed charges",,
"WINGED INFUSION SET 22G 1","0270","RC","Both",,,"55","27.5","Alliant","Health Exchange",,,"62",,"34.1","0.18","1007.5","percent of total billed charges",,
"WINGED INFUSION SET 22G 1","0270","RC","Both",,,"55","27.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"29.7","0.18","1007.5","percent of total billed charges",,
"WINGED INFUSION SET 22G 1","0270","RC","Both",,,"55","27.5","Medicare",,,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"WINGED INFUSION SET 22G 1","0270","RC","Both",,,"55","27.5","Humana","Medicare Advantage",,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"WINGED INFUSION SET 22G 1","0270","RC","Both",,,"55","27.5","UHC","Medicare Advantage",,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"WINGED INFUSION SET 22G 1","0270","RC","Both",,,"55","27.5","Clover","Medicare Advantage",,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"WINGED INFUSION SET 22G 1","0270","RC","Both",,,"55","27.5","Wellcare","Medicare Advantage",,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"WINGED INFUSION SET 22G 1","0270","RC","Both",,,"55","27.5","Amerigroup","Medicaid Managed Care",,,"37",,"20.13","0.18","1007.5","percent of total billed charges",,
"WINGED INFUSION SET 22G 1","0270","RC","Both",,,"55","27.5","Caresource","Medicaid Managed Care",,,"40",,"22","0.18","1007.5","percent of total billed charges",,
"WINGED INFUSION SET 22G 1","0270","RC","Both",,,"55","27.5","Wellcare","Medicaid Managed Care",,,"40",,"22.28","0.18","1007.5","percent of total billed charges",,
"WINGED INFUSION SET 22G 1","0270","RC","Both",,,"55","27.5","Aetna","Commercial",,,"64",,"35.09","0.18","1007.5","percent of total billed charges",,
"WINGED INFUSION SET 22G 1","0270","RC","Both",,,"55","27.5","Blue Cross Blue Shield","Pathways",,,"71",,"38.83","0.18","1007.5","percent of total billed charges",,
"WINGED INFUSION SET 22G 1","0270","RC","Both",,,"55","27.5","Blue Cross Blue Shield","HMO",,,"71",,"38.83","0.18","1007.5","percent of total billed charges",,
"WINGED INFUSION SET 22G 1","0270","RC","Both",,,"55","27.5","Blue Cross Blue Shield","PPO",,,"71",,"38.83","0.18","1007.5","percent of total billed charges",,
"WINGED INFUSION SET 22G 1","0270","RC","Both",,,"55","27.5","Ambetter","Health Exchange",,,"62",,"34.1","0.18","1007.5","percent of total billed charges",,
"WINGED INFUSION SET 22G 1","0270","RC","Both",,,"55","27.5","Caresource","Health Exchange",,,"62",,"34.1","0.18","1007.5","percent of total billed charges",,
"WINGED INFUSION SET 22G 1","0270","RC","Both",,,"55","27.5","Cigna","Commercial",,,"59",,"32.23","0.18","1007.5","percent of total billed charges",,
"WINGED INFUSION SET 22G 1","0270","RC","Both",,,"55","27.5","Humana","Commercial",,,"78",,"42.62","0.18","1007.5","percent of total billed charges",,
"WINGED INFUSION SET 22G 1","0270","RC","Both",,,"55","27.5","UHC","Commercial",,,"75",,"41.47","0.18","1007.5","percent of total billed charges",,
"WINGED INFUSION SET 22G 1","0270","RC","Both",,,"55","27.5","Medicaid",,,,"37",,"20.13","0.18","1007.5","percent of total billed charges",,
"IV SELECT","0270","RC","Both",,,"16","8","Alliant","Health Exchange",,,"62",,"9.92","0.18","1007.5","percent of total billed charges",,
"IV SELECT","0270","RC","Both",,,"16","8","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.64","0.18","1007.5","percent of total billed charges",,
"IV SELECT","0270","RC","Both",,,"16","8","Medicare",,,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"IV SELECT","0270","RC","Both",,,"16","8","Humana","Medicare Advantage",,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"IV SELECT","0270","RC","Both",,,"16","8","UHC","Medicare Advantage",,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"IV SELECT","0270","RC","Both",,,"16","8","Clover","Medicare Advantage",,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"IV SELECT","0270","RC","Both",,,"16","8","Wellcare","Medicare Advantage",,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"IV SELECT","0270","RC","Both",,,"16","8","Amerigroup","Medicaid Managed Care",,,"37",,"5.86","0.18","1007.5","percent of total billed charges",,
"IV SELECT","0270","RC","Both",,,"16","8","Caresource","Medicaid Managed Care",,,"40",,"6.4","0.18","1007.5","percent of total billed charges",,
"IV SELECT","0270","RC","Both",,,"16","8","Wellcare","Medicaid Managed Care",,,"40",,"6.48","0.18","1007.5","percent of total billed charges",,
"IV SELECT","0270","RC","Both",,,"16","8","Aetna","Commercial",,,"64",,"10.21","0.18","1007.5","percent of total billed charges",,
"IV SELECT","0270","RC","Both",,,"16","8","Blue Cross Blue Shield","Pathways",,,"71",,"11.3","0.18","1007.5","percent of total billed charges",,
"IV SELECT","0270","RC","Both",,,"16","8","Blue Cross Blue Shield","HMO",,,"71",,"11.3","0.18","1007.5","percent of total billed charges",,
"IV SELECT","0270","RC","Both",,,"16","8","Blue Cross Blue Shield","PPO",,,"71",,"11.3","0.18","1007.5","percent of total billed charges",,
"IV SELECT","0270","RC","Both",,,"16","8","Ambetter","Health Exchange",,,"62",,"9.92","0.18","1007.5","percent of total billed charges",,
"IV SELECT","0270","RC","Both",,,"16","8","Caresource","Health Exchange",,,"62",,"9.92","0.18","1007.5","percent of total billed charges",,
"IV SELECT","0270","RC","Both",,,"16","8","Cigna","Commercial",,,"59",,"9.38","0.18","1007.5","percent of total billed charges",,
"IV SELECT","0270","RC","Both",,,"16","8","Humana","Commercial",,,"78",,"12.4","0.18","1007.5","percent of total billed charges",,
"IV SELECT","0270","RC","Both",,,"16","8","UHC","Commercial",,,"75",,"12.06","0.18","1007.5","percent of total billed charges",,
"IV SELECT","0270","RC","Both",,,"16","8","Medicaid",,,,"37",,"5.86","0.18","1007.5","percent of total billed charges",,
"IV START KIT","0270","RC","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","0.18","1007.5","percent of total billed charges",,
"IV START KIT","0270","RC","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","0.18","1007.5","percent of total billed charges",,
"IV START KIT","0270","RC","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","0.18","1007.5","percent of total billed charges",,
"IV START KIT","0270","RC","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","0.18","1007.5","percent of total billed charges",,
"IV START KIT","0270","RC","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","0.18","1007.5","percent of total billed charges",,
"IV START KIT","0270","RC","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","0.18","1007.5","percent of total billed charges",,
"IV START KIT","0270","RC","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","0.18","1007.5","percent of total billed charges",,
"IV START KIT","0270","RC","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","0.18","1007.5","percent of total billed charges",,
"IV START KIT","0270","RC","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","0.18","1007.5","percent of total billed charges",,
"IV START KIT","0270","RC","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","0.18","1007.5","percent of total billed charges",,
"IV START KIT","0270","RC","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","0.18","1007.5","percent of total billed charges",,
"IV START KIT","0270","RC","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","0.18","1007.5","percent of total billed charges",,
"IV START KIT","0270","RC","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","0.18","1007.5","percent of total billed charges",,
"IV START KIT","0270","RC","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","0.18","1007.5","percent of total billed charges",,
"IV START KIT","0270","RC","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","0.18","1007.5","percent of total billed charges",,
"IV START KIT","0270","RC","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","0.18","1007.5","percent of total billed charges",,
"IV START KIT","0270","RC","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","0.18","1007.5","percent of total billed charges",,
"IV START KIT","0270","RC","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","0.18","1007.5","percent of total billed charges",,
"IV START KIT","0270","RC","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","0.18","1007.5","percent of total billed charges",,
"IV START KIT","0270","RC","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","0.18","1007.5","percent of total billed charges",,
"MULTI VAC WAND W/CABLE","0270","RC","Both",,,"311.5","155.75","Alliant","Health Exchange",,,"62",,"193.13","0.18","1007.5","percent of total billed charges",,
"MULTI VAC WAND W/CABLE","0270","RC","Both",,,"311.5","155.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"168.21","0.18","1007.5","percent of total billed charges",,
"MULTI VAC WAND W/CABLE","0270","RC","Both",,,"311.5","155.75","Medicare",,,,"54",,"168.83","0.18","1007.5","percent of total billed charges",,
"MULTI VAC WAND W/CABLE","0270","RC","Both",,,"311.5","155.75","Humana","Medicare Advantage",,,"54",,"168.83","0.18","1007.5","percent of total billed charges",,
"MULTI VAC WAND W/CABLE","0270","RC","Both",,,"311.5","155.75","UHC","Medicare Advantage",,,"54",,"168.83","0.18","1007.5","percent of total billed charges",,
"MULTI VAC WAND W/CABLE","0270","RC","Both",,,"311.5","155.75","Clover","Medicare Advantage",,,"54",,"168.83","0.18","1007.5","percent of total billed charges",,
"MULTI VAC WAND W/CABLE","0270","RC","Both",,,"311.5","155.75","Wellcare","Medicare Advantage",,,"54",,"168.83","0.18","1007.5","percent of total billed charges",,
"MULTI VAC WAND W/CABLE","0270","RC","Both",,,"311.5","155.75","Amerigroup","Medicaid Managed Care",,,"37",,"114.01","0.18","1007.5","percent of total billed charges",,
"MULTI VAC WAND W/CABLE","0270","RC","Both",,,"311.5","155.75","Caresource","Medicaid Managed Care",,,"40",,"124.6","0.18","1007.5","percent of total billed charges",,
"MULTI VAC WAND W/CABLE","0270","RC","Both",,,"311.5","155.75","Wellcare","Medicaid Managed Care",,,"40",,"126.16","0.18","1007.5","percent of total billed charges",,
"MULTI VAC WAND W/CABLE","0270","RC","Both",,,"311.5","155.75","Aetna","Commercial",,,"64",,"198.74","0.18","1007.5","percent of total billed charges",,
"MULTI VAC WAND W/CABLE","0270","RC","Both",,,"311.5","155.75","Blue Cross Blue Shield","Pathways",,,"71",,"219.92","0.18","1007.5","percent of total billed charges",,
"MULTI VAC WAND W/CABLE","0270","RC","Both",,,"311.5","155.75","Blue Cross Blue Shield","HMO",,,"71",,"219.92","0.18","1007.5","percent of total billed charges",,
"MULTI VAC WAND W/CABLE","0270","RC","Both",,,"311.5","155.75","Blue Cross Blue Shield","PPO",,,"71",,"219.92","0.18","1007.5","percent of total billed charges",,
"MULTI VAC WAND W/CABLE","0270","RC","Both",,,"311.5","155.75","Ambetter","Health Exchange",,,"62",,"193.13","0.18","1007.5","percent of total billed charges",,
"MULTI VAC WAND W/CABLE","0270","RC","Both",,,"311.5","155.75","Caresource","Health Exchange",,,"62",,"193.13","0.18","1007.5","percent of total billed charges",,
"MULTI VAC WAND W/CABLE","0270","RC","Both",,,"311.5","155.75","Cigna","Commercial",,,"59",,"182.54","0.18","1007.5","percent of total billed charges",,
"MULTI VAC WAND W/CABLE","0270","RC","Both",,,"311.5","155.75","Humana","Commercial",,,"78",,"241.41","0.18","1007.5","percent of total billed charges",,
"MULTI VAC WAND W/CABLE","0270","RC","Both",,,"311.5","155.75","UHC","Commercial",,,"75",,"234.87","0.18","1007.5","percent of total billed charges",,
"MULTI VAC WAND W/CABLE","0270","RC","Both",,,"311.5","155.75","Medicaid",,,,"37",,"114.01","0.18","1007.5","percent of total billed charges",,
"MEDICAL DEVICE ORGANIZER","0270","RC","Both",,,"20.5","10.25","Alliant","Health Exchange",,,"62",,"12.71","0.18","1007.5","percent of total billed charges",,
"MEDICAL DEVICE ORGANIZER","0270","RC","Both",,,"20.5","10.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.07","0.18","1007.5","percent of total billed charges",,
"MEDICAL DEVICE ORGANIZER","0270","RC","Both",,,"20.5","10.25","Medicare",,,,"54",,"11.11","0.18","1007.5","percent of total billed charges",,
"MEDICAL DEVICE ORGANIZER","0270","RC","Both",,,"20.5","10.25","Humana","Medicare Advantage",,,"54",,"11.11","0.18","1007.5","percent of total billed charges",,
"MEDICAL DEVICE ORGANIZER","0270","RC","Both",,,"20.5","10.25","UHC","Medicare Advantage",,,"54",,"11.11","0.18","1007.5","percent of total billed charges",,
"MEDICAL DEVICE ORGANIZER","0270","RC","Both",,,"20.5","10.25","Clover","Medicare Advantage",,,"54",,"11.11","0.18","1007.5","percent of total billed charges",,
"MEDICAL DEVICE ORGANIZER","0270","RC","Both",,,"20.5","10.25","Wellcare","Medicare Advantage",,,"54",,"11.11","0.18","1007.5","percent of total billed charges",,
"MEDICAL DEVICE ORGANIZER","0270","RC","Both",,,"20.5","10.25","Amerigroup","Medicaid Managed Care",,,"37",,"7.5","0.18","1007.5","percent of total billed charges",,
"MEDICAL DEVICE ORGANIZER","0270","RC","Both",,,"20.5","10.25","Caresource","Medicaid Managed Care",,,"40",,"8.2","0.18","1007.5","percent of total billed charges",,
"MEDICAL DEVICE ORGANIZER","0270","RC","Both",,,"20.5","10.25","Wellcare","Medicaid Managed Care",,,"40",,"8.3","0.18","1007.5","percent of total billed charges",,
"MEDICAL DEVICE ORGANIZER","0270","RC","Both",,,"20.5","10.25","Aetna","Commercial",,,"64",,"13.08","0.18","1007.5","percent of total billed charges",,
"MEDICAL DEVICE ORGANIZER","0270","RC","Both",,,"20.5","10.25","Blue Cross Blue Shield","Pathways",,,"71",,"14.47","0.18","1007.5","percent of total billed charges",,
"MEDICAL DEVICE ORGANIZER","0270","RC","Both",,,"20.5","10.25","Blue Cross Blue Shield","HMO",,,"71",,"14.47","0.18","1007.5","percent of total billed charges",,
"MEDICAL DEVICE ORGANIZER","0270","RC","Both",,,"20.5","10.25","Blue Cross Blue Shield","PPO",,,"71",,"14.47","0.18","1007.5","percent of total billed charges",,
"MEDICAL DEVICE ORGANIZER","0270","RC","Both",,,"20.5","10.25","Ambetter","Health Exchange",,,"62",,"12.71","0.18","1007.5","percent of total billed charges",,
"MEDICAL DEVICE ORGANIZER","0270","RC","Both",,,"20.5","10.25","Caresource","Health Exchange",,,"62",,"12.71","0.18","1007.5","percent of total billed charges",,
"MEDICAL DEVICE ORGANIZER","0270","RC","Both",,,"20.5","10.25","Cigna","Commercial",,,"59",,"12.01","0.18","1007.5","percent of total billed charges",,
"MEDICAL DEVICE ORGANIZER","0270","RC","Both",,,"20.5","10.25","Humana","Commercial",,,"78",,"15.89","0.18","1007.5","percent of total billed charges",,
"MEDICAL DEVICE ORGANIZER","0270","RC","Both",,,"20.5","10.25","UHC","Commercial",,,"75",,"15.46","0.18","1007.5","percent of total billed charges",,
"MEDICAL DEVICE ORGANIZER","0270","RC","Both",,,"20.5","10.25","Medicaid",,,,"37",,"7.5","0.18","1007.5","percent of total billed charges",,
"POLYTRAP","0270","RC","Both",,,"44.5","22.25","Alliant","Health Exchange",,,"62",,"27.59","0.18","1007.5","percent of total billed charges",,
"POLYTRAP","0270","RC","Both",,,"44.5","22.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"24.03","0.18","1007.5","percent of total billed charges",,
"POLYTRAP","0270","RC","Both",,,"44.5","22.25","Medicare",,,,"54",,"24.12","0.18","1007.5","percent of total billed charges",,
"POLYTRAP","0270","RC","Both",,,"44.5","22.25","Humana","Medicare Advantage",,,"54",,"24.12","0.18","1007.5","percent of total billed charges",,
"POLYTRAP","0270","RC","Both",,,"44.5","22.25","UHC","Medicare Advantage",,,"54",,"24.12","0.18","1007.5","percent of total billed charges",,
"POLYTRAP","0270","RC","Both",,,"44.5","22.25","Clover","Medicare Advantage",,,"54",,"24.12","0.18","1007.5","percent of total billed charges",,
"POLYTRAP","0270","RC","Both",,,"44.5","22.25","Wellcare","Medicare Advantage",,,"54",,"24.12","0.18","1007.5","percent of total billed charges",,
"POLYTRAP","0270","RC","Both",,,"44.5","22.25","Amerigroup","Medicaid Managed Care",,,"37",,"16.29","0.18","1007.5","percent of total billed charges",,
"POLYTRAP","0270","RC","Both",,,"44.5","22.25","Caresource","Medicaid Managed Care",,,"40",,"17.8","0.18","1007.5","percent of total billed charges",,
"POLYTRAP","0270","RC","Both",,,"44.5","22.25","Wellcare","Medicaid Managed Care",,,"40",,"18.02","0.18","1007.5","percent of total billed charges",,
"POLYTRAP","0270","RC","Both",,,"44.5","22.25","Aetna","Commercial",,,"64",,"28.39","0.18","1007.5","percent of total billed charges",,
"POLYTRAP","0270","RC","Both",,,"44.5","22.25","Blue Cross Blue Shield","Pathways",,,"71",,"31.42","0.18","1007.5","percent of total billed charges",,
"POLYTRAP","0270","RC","Both",,,"44.5","22.25","Blue Cross Blue Shield","HMO",,,"71",,"31.42","0.18","1007.5","percent of total billed charges",,
"POLYTRAP","0270","RC","Both",,,"44.5","22.25","Blue Cross Blue Shield","PPO",,,"71",,"31.42","0.18","1007.5","percent of total billed charges",,
"POLYTRAP","0270","RC","Both",,,"44.5","22.25","Ambetter","Health Exchange",,,"62",,"27.59","0.18","1007.5","percent of total billed charges",,
"POLYTRAP","0270","RC","Both",,,"44.5","22.25","Caresource","Health Exchange",,,"62",,"27.59","0.18","1007.5","percent of total billed charges",,
"POLYTRAP","0270","RC","Both",,,"44.5","22.25","Cigna","Commercial",,,"59",,"26.08","0.18","1007.5","percent of total billed charges",,
"POLYTRAP","0270","RC","Both",,,"44.5","22.25","Humana","Commercial",,,"78",,"34.49","0.18","1007.5","percent of total billed charges",,
"POLYTRAP","0270","RC","Both",,,"44.5","22.25","UHC","Commercial",,,"75",,"33.55","0.18","1007.5","percent of total billed charges",,
"POLYTRAP","0270","RC","Both",,,"44.5","22.25","Medicaid",,,,"37",,"16.29","0.18","1007.5","percent of total billed charges",,
"10mm DUAL MESH PLUSH","0270","RC","Both",,,"1300","650","Alliant","Health Exchange",,,"62",,"806","0.18","1007.5","percent of total billed charges",,
"10mm DUAL MESH PLUSH","0270","RC","Both",,,"1300","650","Pruitt Healthcare","Medicare Advantage",,,"54",,"702","0.18","1007.5","percent of total billed charges",,
"10mm DUAL MESH PLUSH","0270","RC","Both",,,"1300","650","Medicare",,,,"54",,"704.6","0.18","1007.5","percent of total billed charges",,
"10mm DUAL MESH PLUSH","0270","RC","Both",,,"1300","650","Humana","Medicare Advantage",,,"54",,"704.6","0.18","1007.5","percent of total billed charges",,
"10mm DUAL MESH PLUSH","0270","RC","Both",,,"1300","650","UHC","Medicare Advantage",,,"54",,"704.6","0.18","1007.5","percent of total billed charges",,
"10mm DUAL MESH PLUSH","0270","RC","Both",,,"1300","650","Clover","Medicare Advantage",,,"54",,"704.6","0.18","1007.5","percent of total billed charges",,
"10mm DUAL MESH PLUSH","0270","RC","Both",,,"1300","650","Wellcare","Medicare Advantage",,,"54",,"704.6","0.18","1007.5","percent of total billed charges",,
"10mm DUAL MESH PLUSH","0270","RC","Both",,,"1300","650","Amerigroup","Medicaid Managed Care",,,"37",,"475.8","0.18","1007.5","percent of total billed charges",,
"10mm DUAL MESH PLUSH","0270","RC","Both",,,"1300","650","Caresource","Medicaid Managed Care",,,"40",,"520","0.18","1007.5","percent of total billed charges",,
"10mm DUAL MESH PLUSH","0270","RC","Both",,,"1300","650","Wellcare","Medicaid Managed Care",,,"40",,"526.5","0.18","1007.5","percent of total billed charges",,
"10mm DUAL MESH PLUSH","0270","RC","Both",,,"1300","650","Aetna","Commercial",,,"64",,"829.4","0.18","1007.5","percent of total billed charges",,
"10mm DUAL MESH PLUSH","0270","RC","Both",,,"1300","650","Blue Cross Blue Shield","Pathways",,,"71",,"917.8","0.18","1007.5","percent of total billed charges",,
"10mm DUAL MESH PLUSH","0270","RC","Both",,,"1300","650","Blue Cross Blue Shield","HMO",,,"71",,"917.8","0.18","1007.5","percent of total billed charges",,
"10mm DUAL MESH PLUSH","0270","RC","Both",,,"1300","650","Blue Cross Blue Shield","PPO",,,"71",,"917.8","0.18","1007.5","percent of total billed charges",,
"10mm DUAL MESH PLUSH","0270","RC","Both",,,"1300","650","Ambetter","Health Exchange",,,"62",,"806","0.18","1007.5","percent of total billed charges",,
"10mm DUAL MESH PLUSH","0270","RC","Both",,,"1300","650","Caresource","Health Exchange",,,"62",,"806","0.18","1007.5","percent of total billed charges",,
"10mm DUAL MESH PLUSH","0270","RC","Both",,,"1300","650","Cigna","Commercial",,,"59",,"761.8","0.18","1007.5","percent of total billed charges",,
"10mm DUAL MESH PLUSH","0270","RC","Both",,,"1300","650","Humana","Commercial",,,"78",,"1007.5","0.18","1007.5","percent of total billed charges",,
"10mm DUAL MESH PLUSH","0270","RC","Both",,,"1300","650","UHC","Commercial",,,"75",,"980.2","0.18","1007.5","percent of total billed charges",,
"10mm DUAL MESH PLUSH","0270","RC","Both",,,"1300","650","Medicaid",,,,"37",,"475.8","0.18","1007.5","percent of total billed charges",,
"SUTURE REMOVAL KIT","0270","RC","Both",,,"13.5","6.75","Alliant","Health Exchange",,,"62",,"8.37","0.18","1007.5","percent of total billed charges",,
"SUTURE REMOVAL KIT","0270","RC","Both",,,"13.5","6.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.29","0.18","1007.5","percent of total billed charges",,
"SUTURE REMOVAL KIT","0270","RC","Both",,,"13.5","6.75","Medicare",,,,"54",,"7.32","0.18","1007.5","percent of total billed charges",,
"SUTURE REMOVAL KIT","0270","RC","Both",,,"13.5","6.75","Humana","Medicare Advantage",,,"54",,"7.32","0.18","1007.5","percent of total billed charges",,
"SUTURE REMOVAL KIT","0270","RC","Both",,,"13.5","6.75","UHC","Medicare Advantage",,,"54",,"7.32","0.18","1007.5","percent of total billed charges",,
"SUTURE REMOVAL KIT","0270","RC","Both",,,"13.5","6.75","Clover","Medicare Advantage",,,"54",,"7.32","0.18","1007.5","percent of total billed charges",,
"SUTURE REMOVAL KIT","0270","RC","Both",,,"13.5","6.75","Wellcare","Medicare Advantage",,,"54",,"7.32","0.18","1007.5","percent of total billed charges",,
"SUTURE REMOVAL KIT","0270","RC","Both",,,"13.5","6.75","Amerigroup","Medicaid Managed Care",,,"37",,"4.94","0.18","1007.5","percent of total billed charges",,
"SUTURE REMOVAL KIT","0270","RC","Both",,,"13.5","6.75","Caresource","Medicaid Managed Care",,,"40",,"5.4","0.18","1007.5","percent of total billed charges",,
"SUTURE REMOVAL KIT","0270","RC","Both",,,"13.5","6.75","Wellcare","Medicaid Managed Care",,,"40",,"5.47","0.18","1007.5","percent of total billed charges",,
"SUTURE REMOVAL KIT","0270","RC","Both",,,"13.5","6.75","Aetna","Commercial",,,"64",,"8.61","0.18","1007.5","percent of total billed charges",,
"SUTURE REMOVAL KIT","0270","RC","Both",,,"13.5","6.75","Blue Cross Blue Shield","Pathways",,,"71",,"9.53","0.18","1007.5","percent of total billed charges",,
"SUTURE REMOVAL KIT","0270","RC","Both",,,"13.5","6.75","Blue Cross Blue Shield","HMO",,,"71",,"9.53","0.18","1007.5","percent of total billed charges",,
"SUTURE REMOVAL KIT","0270","RC","Both",,,"13.5","6.75","Blue Cross Blue Shield","PPO",,,"71",,"9.53","0.18","1007.5","percent of total billed charges",,
"SUTURE REMOVAL KIT","0270","RC","Both",,,"13.5","6.75","Ambetter","Health Exchange",,,"62",,"8.37","0.18","1007.5","percent of total billed charges",,
"SUTURE REMOVAL KIT","0270","RC","Both",,,"13.5","6.75","Caresource","Health Exchange",,,"62",,"8.37","0.18","1007.5","percent of total billed charges",,
"SUTURE REMOVAL KIT","0270","RC","Both",,,"13.5","6.75","Cigna","Commercial",,,"59",,"7.91","0.18","1007.5","percent of total billed charges",,
"SUTURE REMOVAL KIT","0270","RC","Both",,,"13.5","6.75","Humana","Commercial",,,"78",,"10.46","0.18","1007.5","percent of total billed charges",,
"SUTURE REMOVAL KIT","0270","RC","Both",,,"13.5","6.75","UHC","Commercial",,,"75",,"10.18","0.18","1007.5","percent of total billed charges",,
"SUTURE REMOVAL KIT","0270","RC","Both",,,"13.5","6.75","Medicaid",,,,"37",,"4.94","0.18","1007.5","percent of total billed charges",,
"PURACOL PLUS","0270","RC","Both",,,"62","31","Alliant","Health Exchange",,,"62",,"38.44","0.18","1007.5","percent of total billed charges",,
"PURACOL PLUS","0270","RC","Both",,,"62","31","Pruitt Healthcare","Medicare Advantage",,,"54",,"33.48","0.18","1007.5","percent of total billed charges",,
"PURACOL PLUS","0270","RC","Both",,,"62","31","Medicare",,,,"54",,"33.6","0.18","1007.5","percent of total billed charges",,
"PURACOL PLUS","0270","RC","Both",,,"62","31","Humana","Medicare Advantage",,,"54",,"33.6","0.18","1007.5","percent of total billed charges",,
"PURACOL PLUS","0270","RC","Both",,,"62","31","UHC","Medicare Advantage",,,"54",,"33.6","0.18","1007.5","percent of total billed charges",,
"PURACOL PLUS","0270","RC","Both",,,"62","31","Clover","Medicare Advantage",,,"54",,"33.6","0.18","1007.5","percent of total billed charges",,
"PURACOL PLUS","0270","RC","Both",,,"62","31","Wellcare","Medicare Advantage",,,"54",,"33.6","0.18","1007.5","percent of total billed charges",,
"PURACOL PLUS","0270","RC","Both",,,"62","31","Amerigroup","Medicaid Managed Care",,,"37",,"22.69","0.18","1007.5","percent of total billed charges",,
"PURACOL PLUS","0270","RC","Both",,,"62","31","Caresource","Medicaid Managed Care",,,"40",,"24.8","0.18","1007.5","percent of total billed charges",,
"PURACOL PLUS","0270","RC","Both",,,"62","31","Wellcare","Medicaid Managed Care",,,"40",,"25.11","0.18","1007.5","percent of total billed charges",,
"PURACOL PLUS","0270","RC","Both",,,"62","31","Aetna","Commercial",,,"64",,"39.56","0.18","1007.5","percent of total billed charges",,
"PURACOL PLUS","0270","RC","Both",,,"62","31","Blue Cross Blue Shield","Pathways",,,"71",,"43.77","0.18","1007.5","percent of total billed charges",,
"PURACOL PLUS","0270","RC","Both",,,"62","31","Blue Cross Blue Shield","HMO",,,"71",,"43.77","0.18","1007.5","percent of total billed charges",,
"PURACOL PLUS","0270","RC","Both",,,"62","31","Blue Cross Blue Shield","PPO",,,"71",,"43.77","0.18","1007.5","percent of total billed charges",,
"PURACOL PLUS","0270","RC","Both",,,"62","31","Ambetter","Health Exchange",,,"62",,"38.44","0.18","1007.5","percent of total billed charges",,
"PURACOL PLUS","0270","RC","Both",,,"62","31","Caresource","Health Exchange",,,"62",,"38.44","0.18","1007.5","percent of total billed charges",,
"PURACOL PLUS","0270","RC","Both",,,"62","31","Cigna","Commercial",,,"59",,"36.33","0.18","1007.5","percent of total billed charges",,
"PURACOL PLUS","0270","RC","Both",,,"62","31","Humana","Commercial",,,"78",,"48.05","0.18","1007.5","percent of total billed charges",,
"PURACOL PLUS","0270","RC","Both",,,"62","31","UHC","Commercial",,,"75",,"46.75","0.18","1007.5","percent of total billed charges",,
"PURACOL PLUS","0270","RC","Both",,,"62","31","Medicaid",,,,"37",,"22.69","0.18","1007.5","percent of total billed charges",,
"ADM PACKING STRIP 1","0270","RC","Both",,,"25","12.5","Alliant","Health Exchange",,,"62",,"15.5","0.18","1007.5","percent of total billed charges",,
"ADM PACKING STRIP 1","0270","RC","Both",,,"25","12.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"13.5","0.18","1007.5","percent of total billed charges",,
"ADM PACKING STRIP 1","0270","RC","Both",,,"25","12.5","Medicare",,,,"54",,"13.55","0.18","1007.5","percent of total billed charges",,
"ADM PACKING STRIP 1","0270","RC","Both",,,"25","12.5","Humana","Medicare Advantage",,,"54",,"13.55","0.18","1007.5","percent of total billed charges",,
"ADM PACKING STRIP 1","0270","RC","Both",,,"25","12.5","UHC","Medicare Advantage",,,"54",,"13.55","0.18","1007.5","percent of total billed charges",,
"ADM PACKING STRIP 1","0270","RC","Both",,,"25","12.5","Clover","Medicare Advantage",,,"54",,"13.55","0.18","1007.5","percent of total billed charges",,
"ADM PACKING STRIP 1","0270","RC","Both",,,"25","12.5","Wellcare","Medicare Advantage",,,"54",,"13.55","0.18","1007.5","percent of total billed charges",,
"ADM PACKING STRIP 1","0270","RC","Both",,,"25","12.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.15","0.18","1007.5","percent of total billed charges",,
"ADM PACKING STRIP 1","0270","RC","Both",,,"25","12.5","Caresource","Medicaid Managed Care",,,"40",,"10","0.18","1007.5","percent of total billed charges",,
"ADM PACKING STRIP 1","0270","RC","Both",,,"25","12.5","Wellcare","Medicaid Managed Care",,,"40",,"10.12","0.18","1007.5","percent of total billed charges",,
"ADM PACKING STRIP 1","0270","RC","Both",,,"25","12.5","Aetna","Commercial",,,"64",,"15.95","0.18","1007.5","percent of total billed charges",,
"ADM PACKING STRIP 1","0270","RC","Both",,,"25","12.5","Blue Cross Blue Shield","Pathways",,,"71",,"17.65","0.18","1007.5","percent of total billed charges",,
"ADM PACKING STRIP 1","0270","RC","Both",,,"25","12.5","Blue Cross Blue Shield","HMO",,,"71",,"17.65","0.18","1007.5","percent of total billed charges",,
"ADM PACKING STRIP 1","0270","RC","Both",,,"25","12.5","Blue Cross Blue Shield","PPO",,,"71",,"17.65","0.18","1007.5","percent of total billed charges",,
"ADM PACKING STRIP 1","0270","RC","Both",,,"25","12.5","Ambetter","Health Exchange",,,"62",,"15.5","0.18","1007.5","percent of total billed charges",,
"ADM PACKING STRIP 1","0270","RC","Both",,,"25","12.5","Caresource","Health Exchange",,,"62",,"15.5","0.18","1007.5","percent of total billed charges",,
"ADM PACKING STRIP 1","0270","RC","Both",,,"25","12.5","Cigna","Commercial",,,"59",,"14.65","0.18","1007.5","percent of total billed charges",,
"ADM PACKING STRIP 1","0270","RC","Both",,,"25","12.5","Humana","Commercial",,,"78",,"19.38","0.18","1007.5","percent of total billed charges",,
"ADM PACKING STRIP 1","0270","RC","Both",,,"25","12.5","UHC","Commercial",,,"75",,"18.85","0.18","1007.5","percent of total billed charges",,
"ADM PACKING STRIP 1","0270","RC","Both",,,"25","12.5","Medicaid",,,,"37",,"9.15","0.18","1007.5","percent of total billed charges",,
"NON-ADHESIVE FOAM 4x4","0270","RC","Both",,,"13.5","6.75","Alliant","Health Exchange",,,"62",,"8.37","0.18","1007.5","percent of total billed charges",,
"NON-ADHESIVE FOAM 4x4","0270","RC","Both",,,"13.5","6.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.29","0.18","1007.5","percent of total billed charges",,
"NON-ADHESIVE FOAM 4x4","0270","RC","Both",,,"13.5","6.75","Medicare",,,,"54",,"7.32","0.18","1007.5","percent of total billed charges",,
"NON-ADHESIVE FOAM 4x4","0270","RC","Both",,,"13.5","6.75","Humana","Medicare Advantage",,,"54",,"7.32","0.18","1007.5","percent of total billed charges",,
"NON-ADHESIVE FOAM 4x4","0270","RC","Both",,,"13.5","6.75","UHC","Medicare Advantage",,,"54",,"7.32","0.18","1007.5","percent of total billed charges",,
"NON-ADHESIVE FOAM 4x4","0270","RC","Both",,,"13.5","6.75","Clover","Medicare Advantage",,,"54",,"7.32","0.18","1007.5","percent of total billed charges",,
"NON-ADHESIVE FOAM 4x4","0270","RC","Both",,,"13.5","6.75","Wellcare","Medicare Advantage",,,"54",,"7.32","0.18","1007.5","percent of total billed charges",,
"NON-ADHESIVE FOAM 4x4","0270","RC","Both",,,"13.5","6.75","Amerigroup","Medicaid Managed Care",,,"37",,"4.94","0.18","1007.5","percent of total billed charges",,
"NON-ADHESIVE FOAM 4x4","0270","RC","Both",,,"13.5","6.75","Caresource","Medicaid Managed Care",,,"40",,"5.4","0.18","1007.5","percent of total billed charges",,
"NON-ADHESIVE FOAM 4x4","0270","RC","Both",,,"13.5","6.75","Wellcare","Medicaid Managed Care",,,"40",,"5.47","0.18","1007.5","percent of total billed charges",,
"NON-ADHESIVE FOAM 4x4","0270","RC","Both",,,"13.5","6.75","Aetna","Commercial",,,"64",,"8.61","0.18","1007.5","percent of total billed charges",,
"NON-ADHESIVE FOAM 4x4","0270","RC","Both",,,"13.5","6.75","Blue Cross Blue Shield","Pathways",,,"71",,"9.53","0.18","1007.5","percent of total billed charges",,
"NON-ADHESIVE FOAM 4x4","0270","RC","Both",,,"13.5","6.75","Blue Cross Blue Shield","HMO",,,"71",,"9.53","0.18","1007.5","percent of total billed charges",,
"NON-ADHESIVE FOAM 4x4","0270","RC","Both",,,"13.5","6.75","Blue Cross Blue Shield","PPO",,,"71",,"9.53","0.18","1007.5","percent of total billed charges",,
"NON-ADHESIVE FOAM 4x4","0270","RC","Both",,,"13.5","6.75","Ambetter","Health Exchange",,,"62",,"8.37","0.18","1007.5","percent of total billed charges",,
"NON-ADHESIVE FOAM 4x4","0270","RC","Both",,,"13.5","6.75","Caresource","Health Exchange",,,"62",,"8.37","0.18","1007.5","percent of total billed charges",,
"NON-ADHESIVE FOAM 4x4","0270","RC","Both",,,"13.5","6.75","Cigna","Commercial",,,"59",,"7.91","0.18","1007.5","percent of total billed charges",,
"NON-ADHESIVE FOAM 4x4","0270","RC","Both",,,"13.5","6.75","Humana","Commercial",,,"78",,"10.46","0.18","1007.5","percent of total billed charges",,
"NON-ADHESIVE FOAM 4x4","0270","RC","Both",,,"13.5","6.75","UHC","Commercial",,,"75",,"10.18","0.18","1007.5","percent of total billed charges",,
"NON-ADHESIVE FOAM 4x4","0270","RC","Both",,,"13.5","6.75","Medicaid",,,,"37",,"4.94","0.18","1007.5","percent of total billed charges",,
"TEGADERM 5.9","0270","RC","Both",,,"49","24.5","Alliant","Health Exchange",,,"62",,"30.38","0.18","1007.5","percent of total billed charges",,
"TEGADERM 5.9","0270","RC","Both",,,"49","24.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"26.46","0.18","1007.5","percent of total billed charges",,
"TEGADERM 5.9","0270","RC","Both",,,"49","24.5","Medicare",,,,"54",,"26.56","0.18","1007.5","percent of total billed charges",,
"TEGADERM 5.9","0270","RC","Both",,,"49","24.5","Humana","Medicare Advantage",,,"54",,"26.56","0.18","1007.5","percent of total billed charges",,
"TEGADERM 5.9","0270","RC","Both",,,"49","24.5","UHC","Medicare Advantage",,,"54",,"26.56","0.18","1007.5","percent of total billed charges",,
"TEGADERM 5.9","0270","RC","Both",,,"49","24.5","Clover","Medicare Advantage",,,"54",,"26.56","0.18","1007.5","percent of total billed charges",,
"TEGADERM 5.9","0270","RC","Both",,,"49","24.5","Wellcare","Medicare Advantage",,,"54",,"26.56","0.18","1007.5","percent of total billed charges",,
"TEGADERM 5.9","0270","RC","Both",,,"49","24.5","Amerigroup","Medicaid Managed Care",,,"37",,"17.93","0.18","1007.5","percent of total billed charges",,
"TEGADERM 5.9","0270","RC","Both",,,"49","24.5","Caresource","Medicaid Managed Care",,,"40",,"19.6","0.18","1007.5","percent of total billed charges",,
"TEGADERM 5.9","0270","RC","Both",,,"49","24.5","Wellcare","Medicaid Managed Care",,,"40",,"19.85","0.18","1007.5","percent of total billed charges",,
"TEGADERM 5.9","0270","RC","Both",,,"49","24.5","Aetna","Commercial",,,"64",,"31.26","0.18","1007.5","percent of total billed charges",,
"TEGADERM 5.9","0270","RC","Both",,,"49","24.5","Blue Cross Blue Shield","Pathways",,,"71",,"34.59","0.18","1007.5","percent of total billed charges",,
"TEGADERM 5.9","0270","RC","Both",,,"49","24.5","Blue Cross Blue Shield","HMO",,,"71",,"34.59","0.18","1007.5","percent of total billed charges",,
"TEGADERM 5.9","0270","RC","Both",,,"49","24.5","Blue Cross Blue Shield","PPO",,,"71",,"34.59","0.18","1007.5","percent of total billed charges",,
"TEGADERM 5.9","0270","RC","Both",,,"49","24.5","Ambetter","Health Exchange",,,"62",,"30.38","0.18","1007.5","percent of total billed charges",,
"TEGADERM 5.9","0270","RC","Both",,,"49","24.5","Caresource","Health Exchange",,,"62",,"30.38","0.18","1007.5","percent of total billed charges",,
"TEGADERM 5.9","0270","RC","Both",,,"49","24.5","Cigna","Commercial",,,"59",,"28.71","0.18","1007.5","percent of total billed charges",,
"TEGADERM 5.9","0270","RC","Both",,,"49","24.5","Humana","Commercial",,,"78",,"37.98","0.18","1007.5","percent of total billed charges",,
"TEGADERM 5.9","0270","RC","Both",,,"49","24.5","UHC","Commercial",,,"75",,"36.95","0.18","1007.5","percent of total billed charges",,
"TEGADERM 5.9","0270","RC","Both",,,"49","24.5","Medicaid",,,,"37",,"17.93","0.18","1007.5","percent of total billed charges",,
"SOFSORB","0270","RC","Both",,,"13.5","6.75","Alliant","Health Exchange",,,"62",,"8.37","0.18","1007.5","percent of total billed charges",,
"SOFSORB","0270","RC","Both",,,"13.5","6.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.29","0.18","1007.5","percent of total billed charges",,
"SOFSORB","0270","RC","Both",,,"13.5","6.75","Medicare",,,,"54",,"7.32","0.18","1007.5","percent of total billed charges",,
"SOFSORB","0270","RC","Both",,,"13.5","6.75","Humana","Medicare Advantage",,,"54",,"7.32","0.18","1007.5","percent of total billed charges",,
"SOFSORB","0270","RC","Both",,,"13.5","6.75","UHC","Medicare Advantage",,,"54",,"7.32","0.18","1007.5","percent of total billed charges",,
"SOFSORB","0270","RC","Both",,,"13.5","6.75","Clover","Medicare Advantage",,,"54",,"7.32","0.18","1007.5","percent of total billed charges",,
"SOFSORB","0270","RC","Both",,,"13.5","6.75","Wellcare","Medicare Advantage",,,"54",,"7.32","0.18","1007.5","percent of total billed charges",,
"SOFSORB","0270","RC","Both",,,"13.5","6.75","Amerigroup","Medicaid Managed Care",,,"37",,"4.94","0.18","1007.5","percent of total billed charges",,
"SOFSORB","0270","RC","Both",,,"13.5","6.75","Caresource","Medicaid Managed Care",,,"40",,"5.4","0.18","1007.5","percent of total billed charges",,
"SOFSORB","0270","RC","Both",,,"13.5","6.75","Wellcare","Medicaid Managed Care",,,"40",,"5.47","0.18","1007.5","percent of total billed charges",,
"SOFSORB","0270","RC","Both",,,"13.5","6.75","Aetna","Commercial",,,"64",,"8.61","0.18","1007.5","percent of total billed charges",,
"SOFSORB","0270","RC","Both",,,"13.5","6.75","Blue Cross Blue Shield","Pathways",,,"71",,"9.53","0.18","1007.5","percent of total billed charges",,
"SOFSORB","0270","RC","Both",,,"13.5","6.75","Blue Cross Blue Shield","HMO",,,"71",,"9.53","0.18","1007.5","percent of total billed charges",,
"SOFSORB","0270","RC","Both",,,"13.5","6.75","Blue Cross Blue Shield","PPO",,,"71",,"9.53","0.18","1007.5","percent of total billed charges",,
"SOFSORB","0270","RC","Both",,,"13.5","6.75","Ambetter","Health Exchange",,,"62",,"8.37","0.18","1007.5","percent of total billed charges",,
"SOFSORB","0270","RC","Both",,,"13.5","6.75","Caresource","Health Exchange",,,"62",,"8.37","0.18","1007.5","percent of total billed charges",,
"SOFSORB","0270","RC","Both",,,"13.5","6.75","Cigna","Commercial",,,"59",,"7.91","0.18","1007.5","percent of total billed charges",,
"SOFSORB","0270","RC","Both",,,"13.5","6.75","Humana","Commercial",,,"78",,"10.46","0.18","1007.5","percent of total billed charges",,
"SOFSORB","0270","RC","Both",,,"13.5","6.75","UHC","Commercial",,,"75",,"10.18","0.18","1007.5","percent of total billed charges",,
"SOFSORB","0270","RC","Both",,,"13.5","6.75","Medicaid",,,,"37",,"4.94","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 25mm EZ ID","0270","RC","Both",,,"428","214","Alliant","Health Exchange",,,"62",,"265.36","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 25mm EZ ID","0270","RC","Both",,,"428","214","Pruitt Healthcare","Medicare Advantage",,,"54",,"231.12","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 25mm EZ ID","0270","RC","Both",,,"428","214","Medicare",,,,"54",,"231.98","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 25mm EZ ID","0270","RC","Both",,,"428","214","Humana","Medicare Advantage",,,"54",,"231.98","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 25mm EZ ID","0270","RC","Both",,,"428","214","UHC","Medicare Advantage",,,"54",,"231.98","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 25mm EZ ID","0270","RC","Both",,,"428","214","Clover","Medicare Advantage",,,"54",,"231.98","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 25mm EZ ID","0270","RC","Both",,,"428","214","Wellcare","Medicare Advantage",,,"54",,"231.98","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 25mm EZ ID","0270","RC","Both",,,"428","214","Amerigroup","Medicaid Managed Care",,,"37",,"156.65","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 25mm EZ ID","0270","RC","Both",,,"428","214","Caresource","Medicaid Managed Care",,,"40",,"171.2","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 25mm EZ ID","0270","RC","Both",,,"428","214","Wellcare","Medicaid Managed Care",,,"40",,"173.34","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 25mm EZ ID","0270","RC","Both",,,"428","214","Aetna","Commercial",,,"64",,"273.06","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 25mm EZ ID","0270","RC","Both",,,"428","214","Blue Cross Blue Shield","Pathways",,,"71",,"302.17","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 25mm EZ ID","0270","RC","Both",,,"428","214","Blue Cross Blue Shield","HMO",,,"71",,"302.17","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 25mm EZ ID","0270","RC","Both",,,"428","214","Blue Cross Blue Shield","PPO",,,"71",,"302.17","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 25mm EZ ID","0270","RC","Both",,,"428","214","Ambetter","Health Exchange",,,"62",,"265.36","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 25mm EZ ID","0270","RC","Both",,,"428","214","Caresource","Health Exchange",,,"62",,"265.36","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 25mm EZ ID","0270","RC","Both",,,"428","214","Cigna","Commercial",,,"59",,"250.81","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 25mm EZ ID","0270","RC","Both",,,"428","214","Humana","Commercial",,,"78",,"331.7","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 25mm EZ ID","0270","RC","Both",,,"428","214","UHC","Commercial",,,"75",,"322.71","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 25mm EZ ID","0270","RC","Both",,,"428","214","Medicaid",,,,"37",,"156.65","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 15mm EZ IO","0270","RC","Both",,,"428","214","Alliant","Health Exchange",,,"62",,"265.36","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 15mm EZ IO","0270","RC","Both",,,"428","214","Pruitt Healthcare","Medicare Advantage",,,"54",,"231.12","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 15mm EZ IO","0270","RC","Both",,,"428","214","Medicare",,,,"54",,"231.98","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 15mm EZ IO","0270","RC","Both",,,"428","214","Humana","Medicare Advantage",,,"54",,"231.98","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 15mm EZ IO","0270","RC","Both",,,"428","214","UHC","Medicare Advantage",,,"54",,"231.98","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 15mm EZ IO","0270","RC","Both",,,"428","214","Clover","Medicare Advantage",,,"54",,"231.98","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 15mm EZ IO","0270","RC","Both",,,"428","214","Wellcare","Medicare Advantage",,,"54",,"231.98","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 15mm EZ IO","0270","RC","Both",,,"428","214","Amerigroup","Medicaid Managed Care",,,"37",,"156.65","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 15mm EZ IO","0270","RC","Both",,,"428","214","Caresource","Medicaid Managed Care",,,"40",,"171.2","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 15mm EZ IO","0270","RC","Both",,,"428","214","Wellcare","Medicaid Managed Care",,,"40",,"173.34","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 15mm EZ IO","0270","RC","Both",,,"428","214","Aetna","Commercial",,,"64",,"273.06","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 15mm EZ IO","0270","RC","Both",,,"428","214","Blue Cross Blue Shield","Pathways",,,"71",,"302.17","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 15mm EZ IO","0270","RC","Both",,,"428","214","Blue Cross Blue Shield","HMO",,,"71",,"302.17","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 15mm EZ IO","0270","RC","Both",,,"428","214","Blue Cross Blue Shield","PPO",,,"71",,"302.17","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 15mm EZ IO","0270","RC","Both",,,"428","214","Ambetter","Health Exchange",,,"62",,"265.36","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 15mm EZ IO","0270","RC","Both",,,"428","214","Caresource","Health Exchange",,,"62",,"265.36","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 15mm EZ IO","0270","RC","Both",,,"428","214","Cigna","Commercial",,,"59",,"250.81","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 15mm EZ IO","0270","RC","Both",,,"428","214","Humana","Commercial",,,"78",,"331.7","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 15mm EZ IO","0270","RC","Both",,,"428","214","UHC","Commercial",,,"75",,"322.71","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 15mm EZ IO","0270","RC","Both",,,"428","214","Medicaid",,,,"37",,"156.65","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 45mm EZ ID","0270","RC","Both",,,"428","214","Alliant","Health Exchange",,,"62",,"265.36","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 45mm EZ ID","0270","RC","Both",,,"428","214","Pruitt Healthcare","Medicare Advantage",,,"54",,"231.12","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 45mm EZ ID","0270","RC","Both",,,"428","214","Medicare",,,,"54",,"231.98","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 45mm EZ ID","0270","RC","Both",,,"428","214","Humana","Medicare Advantage",,,"54",,"231.98","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 45mm EZ ID","0270","RC","Both",,,"428","214","UHC","Medicare Advantage",,,"54",,"231.98","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 45mm EZ ID","0270","RC","Both",,,"428","214","Clover","Medicare Advantage",,,"54",,"231.98","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 45mm EZ ID","0270","RC","Both",,,"428","214","Wellcare","Medicare Advantage",,,"54",,"231.98","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 45mm EZ ID","0270","RC","Both",,,"428","214","Amerigroup","Medicaid Managed Care",,,"37",,"156.65","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 45mm EZ ID","0270","RC","Both",,,"428","214","Caresource","Medicaid Managed Care",,,"40",,"171.2","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 45mm EZ ID","0270","RC","Both",,,"428","214","Wellcare","Medicaid Managed Care",,,"40",,"173.34","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 45mm EZ ID","0270","RC","Both",,,"428","214","Aetna","Commercial",,,"64",,"273.06","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 45mm EZ ID","0270","RC","Both",,,"428","214","Blue Cross Blue Shield","Pathways",,,"71",,"302.17","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 45mm EZ ID","0270","RC","Both",,,"428","214","Blue Cross Blue Shield","HMO",,,"71",,"302.17","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 45mm EZ ID","0270","RC","Both",,,"428","214","Blue Cross Blue Shield","PPO",,,"71",,"302.17","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 45mm EZ ID","0270","RC","Both",,,"428","214","Ambetter","Health Exchange",,,"62",,"265.36","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 45mm EZ ID","0270","RC","Both",,,"428","214","Caresource","Health Exchange",,,"62",,"265.36","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 45mm EZ ID","0270","RC","Both",,,"428","214","Cigna","Commercial",,,"59",,"250.81","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 45mm EZ ID","0270","RC","Both",,,"428","214","Humana","Commercial",,,"78",,"331.7","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 45mm EZ ID","0270","RC","Both",,,"428","214","UHC","Commercial",,,"75",,"322.71","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 45mm EZ ID","0270","RC","Both",,,"428","214","Medicaid",,,,"37",,"156.65","0.18","1007.5","percent of total billed charges",,
"PROLITE MESH 3 x 6","0272","RC","Both",,,"91","45.5","Alliant","Health Exchange",,,"62",,"56.42","1.1","126.06","percent of total billed charges",,
"PROLITE MESH 3 x 6","0272","RC","Both",,,"91","45.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"49.14","1.1","126.06","percent of total billed charges",,
"PROLITE MESH 3 x 6","0272","RC","Both",,,"91","45.5","Medicare",,,,"54",,"49.32","1.1","126.06","percent of total billed charges",,
"PROLITE MESH 3 x 6","0272","RC","Both",,,"91","45.5","Humana","Medicare Advantage",,,"54",,"49.32","1.1","126.06","percent of total billed charges",,
"PROLITE MESH 3 x 6","0272","RC","Both",,,"91","45.5","UHC","Medicare Advantage",,,"54",,"49.32","1.1","126.06","percent of total billed charges",,
"PROLITE MESH 3 x 6","0272","RC","Both",,,"91","45.5","Clover","Medicare Advantage",,,"54",,"49.32","1.1","126.06","percent of total billed charges",,
"PROLITE MESH 3 x 6","0272","RC","Both",,,"91","45.5","Wellcare","Medicare Advantage",,,"54",,"49.32","1.1","126.06","percent of total billed charges",,
"PROLITE MESH 3 x 6","0272","RC","Both",,,"91","45.5","Amerigroup","Medicaid Managed Care",,,"37",,"33.31","1.1","126.06","percent of total billed charges",,
"PROLITE MESH 3 x 6","0272","RC","Both",,,"91","45.5","Caresource","Medicaid Managed Care",,,"40",,"36.4","1.1","126.06","percent of total billed charges",,
"PROLITE MESH 3 x 6","0272","RC","Both",,,"91","45.5","Wellcare","Medicaid Managed Care",,,"40",,"36.86","1.1","126.06","percent of total billed charges",,
"PROLITE MESH 3 x 6","0272","RC","Both",,,"91","45.5","Aetna","Commercial",,,"64",,"58.06","1.1","126.06","percent of total billed charges",,
"PROLITE MESH 3 x 6","0272","RC","Both",,,"91","45.5","Blue Cross Blue Shield","Pathways",,,"71",,"64.25","1.1","126.06","percent of total billed charges",,
"PROLITE MESH 3 x 6","0272","RC","Both",,,"91","45.5","Blue Cross Blue Shield","HMO",,,"71",,"64.25","1.1","126.06","percent of total billed charges",,
"PROLITE MESH 3 x 6","0272","RC","Both",,,"91","45.5","Blue Cross Blue Shield","PPO",,,"71",,"64.25","1.1","126.06","percent of total billed charges",,
"PROLITE MESH 3 x 6","0272","RC","Both",,,"91","45.5","Ambetter","Health Exchange",,,"62",,"56.42","1.1","126.06","percent of total billed charges",,
"PROLITE MESH 3 x 6","0272","RC","Both",,,"91","45.5","Caresource","Health Exchange",,,"62",,"56.42","1.1","126.06","percent of total billed charges",,
"PROLITE MESH 3 x 6","0272","RC","Both",,,"91","45.5","Cigna","Commercial",,,"59",,"53.33","1.1","126.06","percent of total billed charges",,
"PROLITE MESH 3 x 6","0272","RC","Both",,,"91","45.5","Humana","Commercial",,,"78",,"70.53","1.1","126.06","percent of total billed charges",,
"PROLITE MESH 3 x 6","0272","RC","Both",,,"91","45.5","UHC","Commercial",,,"75",,"68.61","1.1","126.06","percent of total billed charges",,
"PROLITE MESH 3 x 6","0272","RC","Both",,,"91","45.5","Medicaid",,,,"37",,"33.31","1.1","126.06","percent of total billed charges",,
"APPLIED LAP CHOLE KIT","0270","RC","Both",,,"645","322.5","Alliant","Health Exchange",,,"62",,"399.9","0.18","1007.5","percent of total billed charges",,
"APPLIED LAP CHOLE KIT","0270","RC","Both",,,"645","322.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"348.3","0.18","1007.5","percent of total billed charges",,
"APPLIED LAP CHOLE KIT","0270","RC","Both",,,"645","322.5","Medicare",,,,"54",,"349.59","0.18","1007.5","percent of total billed charges",,
"APPLIED LAP CHOLE KIT","0270","RC","Both",,,"645","322.5","Humana","Medicare Advantage",,,"54",,"349.59","0.18","1007.5","percent of total billed charges",,
"APPLIED LAP CHOLE KIT","0270","RC","Both",,,"645","322.5","UHC","Medicare Advantage",,,"54",,"349.59","0.18","1007.5","percent of total billed charges",,
"APPLIED LAP CHOLE KIT","0270","RC","Both",,,"645","322.5","Clover","Medicare Advantage",,,"54",,"349.59","0.18","1007.5","percent of total billed charges",,
"APPLIED LAP CHOLE KIT","0270","RC","Both",,,"645","322.5","Wellcare","Medicare Advantage",,,"54",,"349.59","0.18","1007.5","percent of total billed charges",,
"APPLIED LAP CHOLE KIT","0270","RC","Both",,,"645","322.5","Amerigroup","Medicaid Managed Care",,,"37",,"236.07","0.18","1007.5","percent of total billed charges",,
"APPLIED LAP CHOLE KIT","0270","RC","Both",,,"645","322.5","Caresource","Medicaid Managed Care",,,"40",,"258","0.18","1007.5","percent of total billed charges",,
"APPLIED LAP CHOLE KIT","0270","RC","Both",,,"645","322.5","Wellcare","Medicaid Managed Care",,,"40",,"261.23","0.18","1007.5","percent of total billed charges",,
"APPLIED LAP CHOLE KIT","0270","RC","Both",,,"645","322.5","Aetna","Commercial",,,"64",,"411.51","0.18","1007.5","percent of total billed charges",,
"APPLIED LAP CHOLE KIT","0270","RC","Both",,,"645","322.5","Blue Cross Blue Shield","Pathways",,,"71",,"455.37","0.18","1007.5","percent of total billed charges",,
"APPLIED LAP CHOLE KIT","0270","RC","Both",,,"645","322.5","Blue Cross Blue Shield","HMO",,,"71",,"455.37","0.18","1007.5","percent of total billed charges",,
"APPLIED LAP CHOLE KIT","0270","RC","Both",,,"645","322.5","Blue Cross Blue Shield","PPO",,,"71",,"455.37","0.18","1007.5","percent of total billed charges",,
"APPLIED LAP CHOLE KIT","0270","RC","Both",,,"645","322.5","Ambetter","Health Exchange",,,"62",,"399.9","0.18","1007.5","percent of total billed charges",,
"APPLIED LAP CHOLE KIT","0270","RC","Both",,,"645","322.5","Caresource","Health Exchange",,,"62",,"399.9","0.18","1007.5","percent of total billed charges",,
"APPLIED LAP CHOLE KIT","0270","RC","Both",,,"645","322.5","Cigna","Commercial",,,"59",,"377.97","0.18","1007.5","percent of total billed charges",,
"APPLIED LAP CHOLE KIT","0270","RC","Both",,,"645","322.5","Humana","Commercial",,,"78",,"499.88","0.18","1007.5","percent of total billed charges",,
"APPLIED LAP CHOLE KIT","0270","RC","Both",,,"645","322.5","UHC","Commercial",,,"75",,"486.33","0.18","1007.5","percent of total billed charges",,
"APPLIED LAP CHOLE KIT","0270","RC","Both",,,"645","322.5","Medicaid",,,,"37",,"236.07","0.18","1007.5","percent of total billed charges",,
"APPLIED LAPAROSOPIC SCISSORS","0270","RC","Both",,,"180","90","Alliant","Health Exchange",,,"62",,"111.6","0.18","1007.5","percent of total billed charges",,
"APPLIED LAPAROSOPIC SCISSORS","0270","RC","Both",,,"180","90","Pruitt Healthcare","Medicare Advantage",,,"54",,"97.2","0.18","1007.5","percent of total billed charges",,
"APPLIED LAPAROSOPIC SCISSORS","0270","RC","Both",,,"180","90","Medicare",,,,"54",,"97.56","0.18","1007.5","percent of total billed charges",,
"APPLIED LAPAROSOPIC SCISSORS","0270","RC","Both",,,"180","90","Humana","Medicare Advantage",,,"54",,"97.56","0.18","1007.5","percent of total billed charges",,
"APPLIED LAPAROSOPIC SCISSORS","0270","RC","Both",,,"180","90","UHC","Medicare Advantage",,,"54",,"97.56","0.18","1007.5","percent of total billed charges",,
"APPLIED LAPAROSOPIC SCISSORS","0270","RC","Both",,,"180","90","Clover","Medicare Advantage",,,"54",,"97.56","0.18","1007.5","percent of total billed charges",,
"APPLIED LAPAROSOPIC SCISSORS","0270","RC","Both",,,"180","90","Wellcare","Medicare Advantage",,,"54",,"97.56","0.18","1007.5","percent of total billed charges",,
"APPLIED LAPAROSOPIC SCISSORS","0270","RC","Both",,,"180","90","Amerigroup","Medicaid Managed Care",,,"37",,"65.88","0.18","1007.5","percent of total billed charges",,
"APPLIED LAPAROSOPIC SCISSORS","0270","RC","Both",,,"180","90","Caresource","Medicaid Managed Care",,,"40",,"72","0.18","1007.5","percent of total billed charges",,
"APPLIED LAPAROSOPIC SCISSORS","0270","RC","Both",,,"180","90","Wellcare","Medicaid Managed Care",,,"40",,"72.9","0.18","1007.5","percent of total billed charges",,
"APPLIED LAPAROSOPIC SCISSORS","0270","RC","Both",,,"180","90","Aetna","Commercial",,,"64",,"114.84","0.18","1007.5","percent of total billed charges",,
"APPLIED LAPAROSOPIC SCISSORS","0270","RC","Both",,,"180","90","Blue Cross Blue Shield","Pathways",,,"71",,"127.08","0.18","1007.5","percent of total billed charges",,
"APPLIED LAPAROSOPIC SCISSORS","0270","RC","Both",,,"180","90","Blue Cross Blue Shield","HMO",,,"71",,"127.08","0.18","1007.5","percent of total billed charges",,
"APPLIED LAPAROSOPIC SCISSORS","0270","RC","Both",,,"180","90","Blue Cross Blue Shield","PPO",,,"71",,"127.08","0.18","1007.5","percent of total billed charges",,
"APPLIED LAPAROSOPIC SCISSORS","0270","RC","Both",,,"180","90","Ambetter","Health Exchange",,,"62",,"111.6","0.18","1007.5","percent of total billed charges",,
"APPLIED LAPAROSOPIC SCISSORS","0270","RC","Both",,,"180","90","Caresource","Health Exchange",,,"62",,"111.6","0.18","1007.5","percent of total billed charges",,
"APPLIED LAPAROSOPIC SCISSORS","0270","RC","Both",,,"180","90","Cigna","Commercial",,,"59",,"105.48","0.18","1007.5","percent of total billed charges",,
"APPLIED LAPAROSOPIC SCISSORS","0270","RC","Both",,,"180","90","Humana","Commercial",,,"78",,"139.5","0.18","1007.5","percent of total billed charges",,
"APPLIED LAPAROSOPIC SCISSORS","0270","RC","Both",,,"180","90","UHC","Commercial",,,"75",,"135.72","0.18","1007.5","percent of total billed charges",,
"APPLIED LAPAROSOPIC SCISSORS","0270","RC","Both",,,"180","90","Medicaid",,,,"37",,"65.88","0.18","1007.5","percent of total billed charges",,
"COBAN 2","0270","RC","Both",,,"62","31","Alliant","Health Exchange",,,"62",,"38.44","0.18","1007.5","percent of total billed charges",,
"COBAN 2","0270","RC","Both",,,"62","31","Pruitt Healthcare","Medicare Advantage",,,"54",,"33.48","0.18","1007.5","percent of total billed charges",,
"COBAN 2","0270","RC","Both",,,"62","31","Medicare",,,,"54",,"33.6","0.18","1007.5","percent of total billed charges",,
"COBAN 2","0270","RC","Both",,,"62","31","Humana","Medicare Advantage",,,"54",,"33.6","0.18","1007.5","percent of total billed charges",,
"COBAN 2","0270","RC","Both",,,"62","31","UHC","Medicare Advantage",,,"54",,"33.6","0.18","1007.5","percent of total billed charges",,
"COBAN 2","0270","RC","Both",,,"62","31","Clover","Medicare Advantage",,,"54",,"33.6","0.18","1007.5","percent of total billed charges",,
"COBAN 2","0270","RC","Both",,,"62","31","Wellcare","Medicare Advantage",,,"54",,"33.6","0.18","1007.5","percent of total billed charges",,
"COBAN 2","0270","RC","Both",,,"62","31","Amerigroup","Medicaid Managed Care",,,"37",,"22.69","0.18","1007.5","percent of total billed charges",,
"COBAN 2","0270","RC","Both",,,"62","31","Caresource","Medicaid Managed Care",,,"40",,"24.8","0.18","1007.5","percent of total billed charges",,
"COBAN 2","0270","RC","Both",,,"62","31","Wellcare","Medicaid Managed Care",,,"40",,"25.11","0.18","1007.5","percent of total billed charges",,
"COBAN 2","0270","RC","Both",,,"62","31","Aetna","Commercial",,,"64",,"39.56","0.18","1007.5","percent of total billed charges",,
"COBAN 2","0270","RC","Both",,,"62","31","Blue Cross Blue Shield","Pathways",,,"71",,"43.77","0.18","1007.5","percent of total billed charges",,
"COBAN 2","0270","RC","Both",,,"62","31","Blue Cross Blue Shield","HMO",,,"71",,"43.77","0.18","1007.5","percent of total billed charges",,
"COBAN 2","0270","RC","Both",,,"62","31","Blue Cross Blue Shield","PPO",,,"71",,"43.77","0.18","1007.5","percent of total billed charges",,
"COBAN 2","0270","RC","Both",,,"62","31","Ambetter","Health Exchange",,,"62",,"38.44","0.18","1007.5","percent of total billed charges",,
"COBAN 2","0270","RC","Both",,,"62","31","Caresource","Health Exchange",,,"62",,"38.44","0.18","1007.5","percent of total billed charges",,
"COBAN 2","0270","RC","Both",,,"62","31","Cigna","Commercial",,,"59",,"36.33","0.18","1007.5","percent of total billed charges",,
"COBAN 2","0270","RC","Both",,,"62","31","Humana","Commercial",,,"78",,"48.05","0.18","1007.5","percent of total billed charges",,
"COBAN 2","0270","RC","Both",,,"62","31","UHC","Commercial",,,"75",,"46.75","0.18","1007.5","percent of total billed charges",,
"COBAN 2","0270","RC","Both",,,"62","31","Medicaid",,,,"37",,"22.69","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. MED","0270","RC","Both",,,"55","27.5","Alliant","Health Exchange",,,"62",,"34.1","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. MED","0270","RC","Both",,,"55","27.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"29.7","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. MED","0270","RC","Both",,,"55","27.5","Medicare",,,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. MED","0270","RC","Both",,,"55","27.5","Humana","Medicare Advantage",,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. MED","0270","RC","Both",,,"55","27.5","UHC","Medicare Advantage",,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. MED","0270","RC","Both",,,"55","27.5","Clover","Medicare Advantage",,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. MED","0270","RC","Both",,,"55","27.5","Wellcare","Medicare Advantage",,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. MED","0270","RC","Both",,,"55","27.5","Amerigroup","Medicaid Managed Care",,,"37",,"20.13","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. MED","0270","RC","Both",,,"55","27.5","Caresource","Medicaid Managed Care",,,"40",,"22","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. MED","0270","RC","Both",,,"55","27.5","Wellcare","Medicaid Managed Care",,,"40",,"22.28","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. MED","0270","RC","Both",,,"55","27.5","Aetna","Commercial",,,"64",,"35.09","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. MED","0270","RC","Both",,,"55","27.5","Blue Cross Blue Shield","Pathways",,,"71",,"38.83","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. MED","0270","RC","Both",,,"55","27.5","Blue Cross Blue Shield","HMO",,,"71",,"38.83","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. MED","0270","RC","Both",,,"55","27.5","Blue Cross Blue Shield","PPO",,,"71",,"38.83","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. MED","0270","RC","Both",,,"55","27.5","Ambetter","Health Exchange",,,"62",,"34.1","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. MED","0270","RC","Both",,,"55","27.5","Caresource","Health Exchange",,,"62",,"34.1","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. MED","0270","RC","Both",,,"55","27.5","Cigna","Commercial",,,"59",,"32.23","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. MED","0270","RC","Both",,,"55","27.5","Humana","Commercial",,,"78",,"42.62","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. MED","0270","RC","Both",,,"55","27.5","UHC","Commercial",,,"75",,"41.47","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. MED","0270","RC","Both",,,"55","27.5","Medicaid",,,,"37",,"20.13","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. SMALL","0270","RC","Both",,,"55","27.5","Alliant","Health Exchange",,,"62",,"34.1","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. SMALL","0270","RC","Both",,,"55","27.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"29.7","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. SMALL","0270","RC","Both",,,"55","27.5","Medicare",,,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. SMALL","0270","RC","Both",,,"55","27.5","Humana","Medicare Advantage",,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. SMALL","0270","RC","Both",,,"55","27.5","UHC","Medicare Advantage",,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. SMALL","0270","RC","Both",,,"55","27.5","Clover","Medicare Advantage",,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. SMALL","0270","RC","Both",,,"55","27.5","Wellcare","Medicare Advantage",,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. SMALL","0270","RC","Both",,,"55","27.5","Amerigroup","Medicaid Managed Care",,,"37",,"20.13","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. SMALL","0270","RC","Both",,,"55","27.5","Caresource","Medicaid Managed Care",,,"40",,"22","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. SMALL","0270","RC","Both",,,"55","27.5","Wellcare","Medicaid Managed Care",,,"40",,"22.28","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. SMALL","0270","RC","Both",,,"55","27.5","Aetna","Commercial",,,"64",,"35.09","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. SMALL","0270","RC","Both",,,"55","27.5","Blue Cross Blue Shield","Pathways",,,"71",,"38.83","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. SMALL","0270","RC","Both",,,"55","27.5","Blue Cross Blue Shield","HMO",,,"71",,"38.83","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. SMALL","0270","RC","Both",,,"55","27.5","Blue Cross Blue Shield","PPO",,,"71",,"38.83","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. SMALL","0270","RC","Both",,,"55","27.5","Ambetter","Health Exchange",,,"62",,"34.1","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. SMALL","0270","RC","Both",,,"55","27.5","Caresource","Health Exchange",,,"62",,"34.1","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. SMALL","0270","RC","Both",,,"55","27.5","Cigna","Commercial",,,"59",,"32.23","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. SMALL","0270","RC","Both",,,"55","27.5","Humana","Commercial",,,"78",,"42.62","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. SMALL","0270","RC","Both",,,"55","27.5","UHC","Commercial",,,"75",,"41.47","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. SMALL","0270","RC","Both",,,"55","27.5","Medicaid",,,,"37",,"20.13","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. X-LARGE","0270","RC","Both",,,"55","27.5","Alliant","Health Exchange",,,"62",,"34.1","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. X-LARGE","0270","RC","Both",,,"55","27.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"29.7","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. X-LARGE","0270","RC","Both",,,"55","27.5","Medicare",,,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. X-LARGE","0270","RC","Both",,,"55","27.5","Humana","Medicare Advantage",,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. X-LARGE","0270","RC","Both",,,"55","27.5","UHC","Medicare Advantage",,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. X-LARGE","0270","RC","Both",,,"55","27.5","Clover","Medicare Advantage",,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. X-LARGE","0270","RC","Both",,,"55","27.5","Wellcare","Medicare Advantage",,,"54",,"29.81","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. X-LARGE","0270","RC","Both",,,"55","27.5","Amerigroup","Medicaid Managed Care",,,"37",,"20.13","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. X-LARGE","0270","RC","Both",,,"55","27.5","Caresource","Medicaid Managed Care",,,"40",,"22","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. X-LARGE","0270","RC","Both",,,"55","27.5","Wellcare","Medicaid Managed Care",,,"40",,"22.28","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. X-LARGE","0270","RC","Both",,,"55","27.5","Aetna","Commercial",,,"64",,"35.09","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. X-LARGE","0270","RC","Both",,,"55","27.5","Blue Cross Blue Shield","Pathways",,,"71",,"38.83","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. X-LARGE","0270","RC","Both",,,"55","27.5","Blue Cross Blue Shield","HMO",,,"71",,"38.83","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. X-LARGE","0270","RC","Both",,,"55","27.5","Blue Cross Blue Shield","PPO",,,"71",,"38.83","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. X-LARGE","0270","RC","Both",,,"55","27.5","Ambetter","Health Exchange",,,"62",,"34.1","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. X-LARGE","0270","RC","Both",,,"55","27.5","Caresource","Health Exchange",,,"62",,"34.1","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. X-LARGE","0270","RC","Both",,,"55","27.5","Cigna","Commercial",,,"59",,"32.23","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. X-LARGE","0270","RC","Both",,,"55","27.5","Humana","Commercial",,,"78",,"42.62","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. X-LARGE","0270","RC","Both",,,"55","27.5","UHC","Commercial",,,"75",,"41.47","0.18","1007.5","percent of total billed charges",,
"KNEE IMMOB. X-LARGE","0270","RC","Both",,,"55","27.5","Medicaid",,,,"37",,"20.13","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE LG/RT","0270","RC","Both",,,"80","40","Alliant","Health Exchange",,,"62",,"49.6","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE LG/RT","0270","RC","Both",,,"80","40","Pruitt Healthcare","Medicare Advantage",,,"54",,"43.2","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE LG/RT","0270","RC","Both",,,"80","40","Medicare",,,,"54",,"43.36","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE LG/RT","0270","RC","Both",,,"80","40","Humana","Medicare Advantage",,,"54",,"43.36","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE LG/RT","0270","RC","Both",,,"80","40","UHC","Medicare Advantage",,,"54",,"43.36","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE LG/RT","0270","RC","Both",,,"80","40","Clover","Medicare Advantage",,,"54",,"43.36","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE LG/RT","0270","RC","Both",,,"80","40","Wellcare","Medicare Advantage",,,"54",,"43.36","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE LG/RT","0270","RC","Both",,,"80","40","Amerigroup","Medicaid Managed Care",,,"37",,"29.28","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE LG/RT","0270","RC","Both",,,"80","40","Caresource","Medicaid Managed Care",,,"40",,"32","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE LG/RT","0270","RC","Both",,,"80","40","Wellcare","Medicaid Managed Care",,,"40",,"32.4","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE LG/RT","0270","RC","Both",,,"80","40","Aetna","Commercial",,,"64",,"51.04","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE LG/RT","0270","RC","Both",,,"80","40","Blue Cross Blue Shield","Pathways",,,"71",,"56.48","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE LG/RT","0270","RC","Both",,,"80","40","Blue Cross Blue Shield","HMO",,,"71",,"56.48","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE LG/RT","0270","RC","Both",,,"80","40","Blue Cross Blue Shield","PPO",,,"71",,"56.48","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE LG/RT","0270","RC","Both",,,"80","40","Ambetter","Health Exchange",,,"62",,"49.6","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE LG/RT","0270","RC","Both",,,"80","40","Caresource","Health Exchange",,,"62",,"49.6","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE LG/RT","0270","RC","Both",,,"80","40","Cigna","Commercial",,,"59",,"46.88","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE LG/RT","0270","RC","Both",,,"80","40","Humana","Commercial",,,"78",,"62","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE LG/RT","0270","RC","Both",,,"80","40","UHC","Commercial",,,"75",,"60.32","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE LG/RT","0270","RC","Both",,,"80","40","Medicaid",,,,"37",,"29.28","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE MED/LT","0270","RC","Both",,,"80","40","Alliant","Health Exchange",,,"62",,"49.6","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE MED/LT","0270","RC","Both",,,"80","40","Pruitt Healthcare","Medicare Advantage",,,"54",,"43.2","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE MED/LT","0270","RC","Both",,,"80","40","Medicare",,,,"54",,"43.36","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE MED/LT","0270","RC","Both",,,"80","40","Humana","Medicare Advantage",,,"54",,"43.36","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE MED/LT","0270","RC","Both",,,"80","40","UHC","Medicare Advantage",,,"54",,"43.36","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE MED/LT","0270","RC","Both",,,"80","40","Clover","Medicare Advantage",,,"54",,"43.36","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE MED/LT","0270","RC","Both",,,"80","40","Wellcare","Medicare Advantage",,,"54",,"43.36","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE MED/LT","0270","RC","Both",,,"80","40","Amerigroup","Medicaid Managed Care",,,"37",,"29.28","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE MED/LT","0270","RC","Both",,,"80","40","Caresource","Medicaid Managed Care",,,"40",,"32","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE MED/LT","0270","RC","Both",,,"80","40","Wellcare","Medicaid Managed Care",,,"40",,"32.4","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE MED/LT","0270","RC","Both",,,"80","40","Aetna","Commercial",,,"64",,"51.04","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE MED/LT","0270","RC","Both",,,"80","40","Blue Cross Blue Shield","Pathways",,,"71",,"56.48","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE MED/LT","0270","RC","Both",,,"80","40","Blue Cross Blue Shield","HMO",,,"71",,"56.48","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE MED/LT","0270","RC","Both",,,"80","40","Blue Cross Blue Shield","PPO",,,"71",,"56.48","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE MED/LT","0270","RC","Both",,,"80","40","Ambetter","Health Exchange",,,"62",,"49.6","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE MED/LT","0270","RC","Both",,,"80","40","Caresource","Health Exchange",,,"62",,"49.6","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE MED/LT","0270","RC","Both",,,"80","40","Cigna","Commercial",,,"59",,"46.88","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE MED/LT","0270","RC","Both",,,"80","40","Humana","Commercial",,,"78",,"62","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE MED/LT","0270","RC","Both",,,"80","40","UHC","Commercial",,,"75",,"60.32","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE MED/LT","0270","RC","Both",,,"80","40","Medicaid",,,,"37",,"29.28","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE MED/RT","0270","RC","Both",,,"80","40","Alliant","Health Exchange",,,"62",,"49.6","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE MED/RT","0270","RC","Both",,,"80","40","Pruitt Healthcare","Medicare Advantage",,,"54",,"43.2","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE MED/RT","0270","RC","Both",,,"80","40","Medicare",,,,"54",,"43.36","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE MED/RT","0270","RC","Both",,,"80","40","Humana","Medicare Advantage",,,"54",,"43.36","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE MED/RT","0270","RC","Both",,,"80","40","UHC","Medicare Advantage",,,"54",,"43.36","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE MED/RT","0270","RC","Both",,,"80","40","Clover","Medicare Advantage",,,"54",,"43.36","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE MED/RT","0270","RC","Both",,,"80","40","Wellcare","Medicare Advantage",,,"54",,"43.36","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE MED/RT","0270","RC","Both",,,"80","40","Amerigroup","Medicaid Managed Care",,,"37",,"29.28","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE MED/RT","0270","RC","Both",,,"80","40","Caresource","Medicaid Managed Care",,,"40",,"32","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE MED/RT","0270","RC","Both",,,"80","40","Wellcare","Medicaid Managed Care",,,"40",,"32.4","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE MED/RT","0270","RC","Both",,,"80","40","Aetna","Commercial",,,"64",,"51.04","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE MED/RT","0270","RC","Both",,,"80","40","Blue Cross Blue Shield","Pathways",,,"71",,"56.48","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE MED/RT","0270","RC","Both",,,"80","40","Blue Cross Blue Shield","HMO",,,"71",,"56.48","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE MED/RT","0270","RC","Both",,,"80","40","Blue Cross Blue Shield","PPO",,,"71",,"56.48","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE MED/RT","0270","RC","Both",,,"80","40","Ambetter","Health Exchange",,,"62",,"49.6","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE MED/RT","0270","RC","Both",,,"80","40","Caresource","Health Exchange",,,"62",,"49.6","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE MED/RT","0270","RC","Both",,,"80","40","Cigna","Commercial",,,"59",,"46.88","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE MED/RT","0270","RC","Both",,,"80","40","Humana","Commercial",,,"78",,"62","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE MED/RT","0270","RC","Both",,,"80","40","UHC","Commercial",,,"75",,"60.32","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE MED/RT","0270","RC","Both",,,"80","40","Medicaid",,,,"37",,"29.28","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE SM/LT","0270","RC","Both",,,"80","40","Alliant","Health Exchange",,,"62",,"49.6","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE SM/LT","0270","RC","Both",,,"80","40","Pruitt Healthcare","Medicare Advantage",,,"54",,"43.2","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE SM/LT","0270","RC","Both",,,"80","40","Medicare",,,,"54",,"43.36","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE SM/LT","0270","RC","Both",,,"80","40","Humana","Medicare Advantage",,,"54",,"43.36","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE SM/LT","0270","RC","Both",,,"80","40","UHC","Medicare Advantage",,,"54",,"43.36","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE SM/LT","0270","RC","Both",,,"80","40","Clover","Medicare Advantage",,,"54",,"43.36","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE SM/LT","0270","RC","Both",,,"80","40","Wellcare","Medicare Advantage",,,"54",,"43.36","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE SM/LT","0270","RC","Both",,,"80","40","Amerigroup","Medicaid Managed Care",,,"37",,"29.28","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE SM/LT","0270","RC","Both",,,"80","40","Caresource","Medicaid Managed Care",,,"40",,"32","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE SM/LT","0270","RC","Both",,,"80","40","Wellcare","Medicaid Managed Care",,,"40",,"32.4","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE SM/LT","0270","RC","Both",,,"80","40","Aetna","Commercial",,,"64",,"51.04","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE SM/LT","0270","RC","Both",,,"80","40","Blue Cross Blue Shield","Pathways",,,"71",,"56.48","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE SM/LT","0270","RC","Both",,,"80","40","Blue Cross Blue Shield","HMO",,,"71",,"56.48","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE SM/LT","0270","RC","Both",,,"80","40","Blue Cross Blue Shield","PPO",,,"71",,"56.48","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE SM/LT","0270","RC","Both",,,"80","40","Ambetter","Health Exchange",,,"62",,"49.6","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE SM/LT","0270","RC","Both",,,"80","40","Caresource","Health Exchange",,,"62",,"49.6","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE SM/LT","0270","RC","Both",,,"80","40","Cigna","Commercial",,,"59",,"46.88","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE SM/LT","0270","RC","Both",,,"80","40","Humana","Commercial",,,"78",,"62","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE SM/LT","0270","RC","Both",,,"80","40","UHC","Commercial",,,"75",,"60.32","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE SM/LT","0270","RC","Both",,,"80","40","Medicaid",,,,"37",,"29.28","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE SM/RT","0270","RC","Both",,,"80","40","Alliant","Health Exchange",,,"62",,"49.6","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE SM/RT","0270","RC","Both",,,"80","40","Pruitt Healthcare","Medicare Advantage",,,"54",,"43.2","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE SM/RT","0270","RC","Both",,,"80","40","Medicare",,,,"54",,"43.36","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE SM/RT","0270","RC","Both",,,"80","40","Humana","Medicare Advantage",,,"54",,"43.36","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE SM/RT","0270","RC","Both",,,"80","40","UHC","Medicare Advantage",,,"54",,"43.36","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE SM/RT","0270","RC","Both",,,"80","40","Clover","Medicare Advantage",,,"54",,"43.36","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE SM/RT","0270","RC","Both",,,"80","40","Wellcare","Medicare Advantage",,,"54",,"43.36","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE SM/RT","0270","RC","Both",,,"80","40","Amerigroup","Medicaid Managed Care",,,"37",,"29.28","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE SM/RT","0270","RC","Both",,,"80","40","Caresource","Medicaid Managed Care",,,"40",,"32","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE SM/RT","0270","RC","Both",,,"80","40","Wellcare","Medicaid Managed Care",,,"40",,"32.4","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE SM/RT","0270","RC","Both",,,"80","40","Aetna","Commercial",,,"64",,"51.04","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE SM/RT","0270","RC","Both",,,"80","40","Blue Cross Blue Shield","Pathways",,,"71",,"56.48","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE SM/RT","0270","RC","Both",,,"80","40","Blue Cross Blue Shield","HMO",,,"71",,"56.48","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE SM/RT","0270","RC","Both",,,"80","40","Blue Cross Blue Shield","PPO",,,"71",,"56.48","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE SM/RT","0270","RC","Both",,,"80","40","Ambetter","Health Exchange",,,"62",,"49.6","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE SM/RT","0270","RC","Both",,,"80","40","Caresource","Health Exchange",,,"62",,"49.6","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE SM/RT","0270","RC","Both",,,"80","40","Cigna","Commercial",,,"59",,"46.88","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE SM/RT","0270","RC","Both",,,"80","40","Humana","Commercial",,,"78",,"62","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE SM/RT","0270","RC","Both",,,"80","40","UHC","Commercial",,,"75",,"60.32","0.18","1007.5","percent of total billed charges",,
"AIR SPLINT ANKLE SM/RT","0270","RC","Both",,,"80","40","Medicaid",,,,"37",,"29.28","0.18","1007.5","percent of total billed charges",,
"PROLENE 8680G 6-0","0270","RC","Both",,,"41","20.5","Alliant","Health Exchange",,,"62",,"25.42","0.18","1007.5","percent of total billed charges",,
"PROLENE 8680G 6-0","0270","RC","Both",,,"41","20.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"22.14","0.18","1007.5","percent of total billed charges",,
"PROLENE 8680G 6-0","0270","RC","Both",,,"41","20.5","Medicare",,,,"54",,"22.22","0.18","1007.5","percent of total billed charges",,
"PROLENE 8680G 6-0","0270","RC","Both",,,"41","20.5","Humana","Medicare Advantage",,,"54",,"22.22","0.18","1007.5","percent of total billed charges",,
"PROLENE 8680G 6-0","0270","RC","Both",,,"41","20.5","UHC","Medicare Advantage",,,"54",,"22.22","0.18","1007.5","percent of total billed charges",,
"PROLENE 8680G 6-0","0270","RC","Both",,,"41","20.5","Clover","Medicare Advantage",,,"54",,"22.22","0.18","1007.5","percent of total billed charges",,
"PROLENE 8680G 6-0","0270","RC","Both",,,"41","20.5","Wellcare","Medicare Advantage",,,"54",,"22.22","0.18","1007.5","percent of total billed charges",,
"PROLENE 8680G 6-0","0270","RC","Both",,,"41","20.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.01","0.18","1007.5","percent of total billed charges",,
"PROLENE 8680G 6-0","0270","RC","Both",,,"41","20.5","Caresource","Medicaid Managed Care",,,"40",,"16.4","0.18","1007.5","percent of total billed charges",,
"PROLENE 8680G 6-0","0270","RC","Both",,,"41","20.5","Wellcare","Medicaid Managed Care",,,"40",,"16.6","0.18","1007.5","percent of total billed charges",,
"PROLENE 8680G 6-0","0270","RC","Both",,,"41","20.5","Aetna","Commercial",,,"64",,"26.16","0.18","1007.5","percent of total billed charges",,
"PROLENE 8680G 6-0","0270","RC","Both",,,"41","20.5","Blue Cross Blue Shield","Pathways",,,"71",,"28.95","0.18","1007.5","percent of total billed charges",,
"PROLENE 8680G 6-0","0270","RC","Both",,,"41","20.5","Blue Cross Blue Shield","HMO",,,"71",,"28.95","0.18","1007.5","percent of total billed charges",,
"PROLENE 8680G 6-0","0270","RC","Both",,,"41","20.5","Blue Cross Blue Shield","PPO",,,"71",,"28.95","0.18","1007.5","percent of total billed charges",,
"PROLENE 8680G 6-0","0270","RC","Both",,,"41","20.5","Ambetter","Health Exchange",,,"62",,"25.42","0.18","1007.5","percent of total billed charges",,
"PROLENE 8680G 6-0","0270","RC","Both",,,"41","20.5","Caresource","Health Exchange",,,"62",,"25.42","0.18","1007.5","percent of total billed charges",,
"PROLENE 8680G 6-0","0270","RC","Both",,,"41","20.5","Cigna","Commercial",,,"59",,"24.03","0.18","1007.5","percent of total billed charges",,
"PROLENE 8680G 6-0","0270","RC","Both",,,"41","20.5","Humana","Commercial",,,"78",,"31.78","0.18","1007.5","percent of total billed charges",,
"PROLENE 8680G 6-0","0270","RC","Both",,,"41","20.5","UHC","Commercial",,,"75",,"30.91","0.18","1007.5","percent of total billed charges",,
"PROLENE 8680G 6-0","0270","RC","Both",,,"41","20.5","Medicaid",,,,"37",,"15.01","0.18","1007.5","percent of total billed charges",,
"VICRYL J213H","0270","RC","Both",,,"16","8","Alliant","Health Exchange",,,"62",,"9.92","0.18","1007.5","percent of total billed charges",,
"VICRYL J213H","0270","RC","Both",,,"16","8","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.64","0.18","1007.5","percent of total billed charges",,
"VICRYL J213H","0270","RC","Both",,,"16","8","Medicare",,,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"VICRYL J213H","0270","RC","Both",,,"16","8","Humana","Medicare Advantage",,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"VICRYL J213H","0270","RC","Both",,,"16","8","UHC","Medicare Advantage",,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"VICRYL J213H","0270","RC","Both",,,"16","8","Clover","Medicare Advantage",,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"VICRYL J213H","0270","RC","Both",,,"16","8","Wellcare","Medicare Advantage",,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"VICRYL J213H","0270","RC","Both",,,"16","8","Amerigroup","Medicaid Managed Care",,,"37",,"5.86","0.18","1007.5","percent of total billed charges",,
"VICRYL J213H","0270","RC","Both",,,"16","8","Caresource","Medicaid Managed Care",,,"40",,"6.4","0.18","1007.5","percent of total billed charges",,
"VICRYL J213H","0270","RC","Both",,,"16","8","Wellcare","Medicaid Managed Care",,,"40",,"6.48","0.18","1007.5","percent of total billed charges",,
"VICRYL J213H","0270","RC","Both",,,"16","8","Aetna","Commercial",,,"64",,"10.21","0.18","1007.5","percent of total billed charges",,
"VICRYL J213H","0270","RC","Both",,,"16","8","Blue Cross Blue Shield","Pathways",,,"71",,"11.3","0.18","1007.5","percent of total billed charges",,
"VICRYL J213H","0270","RC","Both",,,"16","8","Blue Cross Blue Shield","HMO",,,"71",,"11.3","0.18","1007.5","percent of total billed charges",,
"VICRYL J213H","0270","RC","Both",,,"16","8","Blue Cross Blue Shield","PPO",,,"71",,"11.3","0.18","1007.5","percent of total billed charges",,
"VICRYL J213H","0270","RC","Both",,,"16","8","Ambetter","Health Exchange",,,"62",,"9.92","0.18","1007.5","percent of total billed charges",,
"VICRYL J213H","0270","RC","Both",,,"16","8","Caresource","Health Exchange",,,"62",,"9.92","0.18","1007.5","percent of total billed charges",,
"VICRYL J213H","0270","RC","Both",,,"16","8","Cigna","Commercial",,,"59",,"9.38","0.18","1007.5","percent of total billed charges",,
"VICRYL J213H","0270","RC","Both",,,"16","8","Humana","Commercial",,,"78",,"12.4","0.18","1007.5","percent of total billed charges",,
"VICRYL J213H","0270","RC","Both",,,"16","8","UHC","Commercial",,,"75",,"12.06","0.18","1007.5","percent of total billed charges",,
"VICRYL J213H","0270","RC","Both",,,"16","8","Medicaid",,,,"37",,"5.86","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE FEMALE MED","0270","RC","Both",,,"13","6.5","Alliant","Health Exchange",,,"62",,"8.06","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE FEMALE MED","0270","RC","Both",,,"13","6.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.02","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE FEMALE MED","0270","RC","Both",,,"13","6.5","Medicare",,,,"54",,"7.05","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE FEMALE MED","0270","RC","Both",,,"13","6.5","Humana","Medicare Advantage",,,"54",,"7.05","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE FEMALE MED","0270","RC","Both",,,"13","6.5","UHC","Medicare Advantage",,,"54",,"7.05","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE FEMALE MED","0270","RC","Both",,,"13","6.5","Clover","Medicare Advantage",,,"54",,"7.05","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE FEMALE MED","0270","RC","Both",,,"13","6.5","Wellcare","Medicare Advantage",,,"54",,"7.05","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE FEMALE MED","0270","RC","Both",,,"13","6.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.76","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE FEMALE MED","0270","RC","Both",,,"13","6.5","Caresource","Medicaid Managed Care",,,"40",,"5.2","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE FEMALE MED","0270","RC","Both",,,"13","6.5","Wellcare","Medicaid Managed Care",,,"40",,"5.26","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE FEMALE MED","0270","RC","Both",,,"13","6.5","Aetna","Commercial",,,"64",,"8.29","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE FEMALE MED","0270","RC","Both",,,"13","6.5","Blue Cross Blue Shield","Pathways",,,"71",,"9.18","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE FEMALE MED","0270","RC","Both",,,"13","6.5","Blue Cross Blue Shield","HMO",,,"71",,"9.18","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE FEMALE MED","0270","RC","Both",,,"13","6.5","Blue Cross Blue Shield","PPO",,,"71",,"9.18","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE FEMALE MED","0270","RC","Both",,,"13","6.5","Ambetter","Health Exchange",,,"62",,"8.06","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE FEMALE MED","0270","RC","Both",,,"13","6.5","Caresource","Health Exchange",,,"62",,"8.06","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE FEMALE MED","0270","RC","Both",,,"13","6.5","Cigna","Commercial",,,"59",,"7.62","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE FEMALE MED","0270","RC","Both",,,"13","6.5","Humana","Commercial",,,"78",,"10.08","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE FEMALE MED","0270","RC","Both",,,"13","6.5","UHC","Commercial",,,"75",,"9.8","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE FEMALE MED","0270","RC","Both",,,"13","6.5","Medicaid",,,,"37",,"4.76","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE FEMALE SMALL","0270","RC","Both",,,"13","6.5","Alliant","Health Exchange",,,"62",,"8.06","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE FEMALE SMALL","0270","RC","Both",,,"13","6.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.02","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE FEMALE SMALL","0270","RC","Both",,,"13","6.5","Medicare",,,,"54",,"7.05","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE FEMALE SMALL","0270","RC","Both",,,"13","6.5","Humana","Medicare Advantage",,,"54",,"7.05","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE FEMALE SMALL","0270","RC","Both",,,"13","6.5","UHC","Medicare Advantage",,,"54",,"7.05","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE FEMALE SMALL","0270","RC","Both",,,"13","6.5","Clover","Medicare Advantage",,,"54",,"7.05","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE FEMALE SMALL","0270","RC","Both",,,"13","6.5","Wellcare","Medicare Advantage",,,"54",,"7.05","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE FEMALE SMALL","0270","RC","Both",,,"13","6.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.76","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE FEMALE SMALL","0270","RC","Both",,,"13","6.5","Caresource","Medicaid Managed Care",,,"40",,"5.2","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE FEMALE SMALL","0270","RC","Both",,,"13","6.5","Wellcare","Medicaid Managed Care",,,"40",,"5.26","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE FEMALE SMALL","0270","RC","Both",,,"13","6.5","Aetna","Commercial",,,"64",,"8.29","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE FEMALE SMALL","0270","RC","Both",,,"13","6.5","Blue Cross Blue Shield","Pathways",,,"71",,"9.18","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE FEMALE SMALL","0270","RC","Both",,,"13","6.5","Blue Cross Blue Shield","HMO",,,"71",,"9.18","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE FEMALE SMALL","0270","RC","Both",,,"13","6.5","Blue Cross Blue Shield","PPO",,,"71",,"9.18","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE FEMALE SMALL","0270","RC","Both",,,"13","6.5","Ambetter","Health Exchange",,,"62",,"8.06","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE FEMALE SMALL","0270","RC","Both",,,"13","6.5","Caresource","Health Exchange",,,"62",,"8.06","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE FEMALE SMALL","0270","RC","Both",,,"13","6.5","Cigna","Commercial",,,"59",,"7.62","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE FEMALE SMALL","0270","RC","Both",,,"13","6.5","Humana","Commercial",,,"78",,"10.08","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE FEMALE SMALL","0270","RC","Both",,,"13","6.5","UHC","Commercial",,,"75",,"9.8","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE FEMALE SMALL","0270","RC","Both",,,"13","6.5","Medicaid",,,,"37",,"4.76","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE LG","0270","RC","Both",,,"13","6.5","Alliant","Health Exchange",,,"62",,"8.06","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE LG","0270","RC","Both",,,"13","6.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.02","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE LG","0270","RC","Both",,,"13","6.5","Medicare",,,,"54",,"7.05","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE LG","0270","RC","Both",,,"13","6.5","Humana","Medicare Advantage",,,"54",,"7.05","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE LG","0270","RC","Both",,,"13","6.5","UHC","Medicare Advantage",,,"54",,"7.05","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE LG","0270","RC","Both",,,"13","6.5","Clover","Medicare Advantage",,,"54",,"7.05","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE LG","0270","RC","Both",,,"13","6.5","Wellcare","Medicare Advantage",,,"54",,"7.05","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE LG","0270","RC","Both",,,"13","6.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.76","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE LG","0270","RC","Both",,,"13","6.5","Caresource","Medicaid Managed Care",,,"40",,"5.2","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE LG","0270","RC","Both",,,"13","6.5","Wellcare","Medicaid Managed Care",,,"40",,"5.26","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE LG","0270","RC","Both",,,"13","6.5","Aetna","Commercial",,,"64",,"8.29","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE LG","0270","RC","Both",,,"13","6.5","Blue Cross Blue Shield","Pathways",,,"71",,"9.18","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE LG","0270","RC","Both",,,"13","6.5","Blue Cross Blue Shield","HMO",,,"71",,"9.18","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE LG","0270","RC","Both",,,"13","6.5","Blue Cross Blue Shield","PPO",,,"71",,"9.18","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE LG","0270","RC","Both",,,"13","6.5","Ambetter","Health Exchange",,,"62",,"8.06","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE LG","0270","RC","Both",,,"13","6.5","Caresource","Health Exchange",,,"62",,"8.06","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE LG","0270","RC","Both",,,"13","6.5","Cigna","Commercial",,,"59",,"7.62","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE LG","0270","RC","Both",,,"13","6.5","Humana","Commercial",,,"78",,"10.08","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE LG","0270","RC","Both",,,"13","6.5","UHC","Commercial",,,"75",,"9.8","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE LG","0270","RC","Both",,,"13","6.5","Medicaid",,,,"37",,"4.76","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE MED","0270","RC","Both",,,"13","6.5","Alliant","Health Exchange",,,"62",,"8.06","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE MED","0270","RC","Both",,,"13","6.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.02","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE MED","0270","RC","Both",,,"13","6.5","Medicare",,,,"54",,"7.05","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE MED","0270","RC","Both",,,"13","6.5","Humana","Medicare Advantage",,,"54",,"7.05","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE MED","0270","RC","Both",,,"13","6.5","UHC","Medicare Advantage",,,"54",,"7.05","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE MED","0270","RC","Both",,,"13","6.5","Clover","Medicare Advantage",,,"54",,"7.05","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE MED","0270","RC","Both",,,"13","6.5","Wellcare","Medicare Advantage",,,"54",,"7.05","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE MED","0270","RC","Both",,,"13","6.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.76","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE MED","0270","RC","Both",,,"13","6.5","Caresource","Medicaid Managed Care",,,"40",,"5.2","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE MED","0270","RC","Both",,,"13","6.5","Wellcare","Medicaid Managed Care",,,"40",,"5.26","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE MED","0270","RC","Both",,,"13","6.5","Aetna","Commercial",,,"64",,"8.29","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE MED","0270","RC","Both",,,"13","6.5","Blue Cross Blue Shield","Pathways",,,"71",,"9.18","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE MED","0270","RC","Both",,,"13","6.5","Blue Cross Blue Shield","HMO",,,"71",,"9.18","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE MED","0270","RC","Both",,,"13","6.5","Blue Cross Blue Shield","PPO",,,"71",,"9.18","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE MED","0270","RC","Both",,,"13","6.5","Ambetter","Health Exchange",,,"62",,"8.06","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE MED","0270","RC","Both",,,"13","6.5","Caresource","Health Exchange",,,"62",,"8.06","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE MED","0270","RC","Both",,,"13","6.5","Cigna","Commercial",,,"59",,"7.62","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE MED","0270","RC","Both",,,"13","6.5","Humana","Commercial",,,"78",,"10.08","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE MED","0270","RC","Both",,,"13","6.5","UHC","Commercial",,,"75",,"9.8","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE MED","0270","RC","Both",,,"13","6.5","Medicaid",,,,"37",,"4.76","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE SMALL","0270","RC","Both",,,"13","6.5","Alliant","Health Exchange",,,"62",,"8.06","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE SMALL","0270","RC","Both",,,"13","6.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.02","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE SMALL","0270","RC","Both",,,"13","6.5","Medicare",,,,"54",,"7.05","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE SMALL","0270","RC","Both",,,"13","6.5","Humana","Medicare Advantage",,,"54",,"7.05","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE SMALL","0270","RC","Both",,,"13","6.5","UHC","Medicare Advantage",,,"54",,"7.05","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE SMALL","0270","RC","Both",,,"13","6.5","Clover","Medicare Advantage",,,"54",,"7.05","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE SMALL","0270","RC","Both",,,"13","6.5","Wellcare","Medicare Advantage",,,"54",,"7.05","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE SMALL","0270","RC","Both",,,"13","6.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.76","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE SMALL","0270","RC","Both",,,"13","6.5","Caresource","Medicaid Managed Care",,,"40",,"5.2","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE SMALL","0270","RC","Both",,,"13","6.5","Wellcare","Medicaid Managed Care",,,"40",,"5.26","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE SMALL","0270","RC","Both",,,"13","6.5","Aetna","Commercial",,,"64",,"8.29","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE SMALL","0270","RC","Both",,,"13","6.5","Blue Cross Blue Shield","Pathways",,,"71",,"9.18","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE SMALL","0270","RC","Both",,,"13","6.5","Blue Cross Blue Shield","HMO",,,"71",,"9.18","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE SMALL","0270","RC","Both",,,"13","6.5","Blue Cross Blue Shield","PPO",,,"71",,"9.18","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE SMALL","0270","RC","Both",,,"13","6.5","Ambetter","Health Exchange",,,"62",,"8.06","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE SMALL","0270","RC","Both",,,"13","6.5","Caresource","Health Exchange",,,"62",,"8.06","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE SMALL","0270","RC","Both",,,"13","6.5","Cigna","Commercial",,,"59",,"7.62","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE SMALL","0270","RC","Both",,,"13","6.5","Humana","Commercial",,,"78",,"10.08","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE SMALL","0270","RC","Both",,,"13","6.5","UHC","Commercial",,,"75",,"9.8","0.18","1007.5","percent of total billed charges",,
"POST-OP SHOE MALE SMALL","0270","RC","Both",,,"13","6.5","Medicaid",,,,"37",,"4.76","0.18","1007.5","percent of total billed charges",,
"BIOPATCH PROTECTIVE DISK W CHG","0270","RC","Both",,,"18","9","Alliant","Health Exchange",,,"62",,"11.16","0.18","1007.5","percent of total billed charges",,
"BIOPATCH PROTECTIVE DISK W CHG","0270","RC","Both",,,"18","9","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.72","0.18","1007.5","percent of total billed charges",,
"BIOPATCH PROTECTIVE DISK W CHG","0270","RC","Both",,,"18","9","Medicare",,,,"54",,"9.76","0.18","1007.5","percent of total billed charges",,
"BIOPATCH PROTECTIVE DISK W CHG","0270","RC","Both",,,"18","9","Humana","Medicare Advantage",,,"54",,"9.76","0.18","1007.5","percent of total billed charges",,
"BIOPATCH PROTECTIVE DISK W CHG","0270","RC","Both",,,"18","9","UHC","Medicare Advantage",,,"54",,"9.76","0.18","1007.5","percent of total billed charges",,
"BIOPATCH PROTECTIVE DISK W CHG","0270","RC","Both",,,"18","9","Clover","Medicare Advantage",,,"54",,"9.76","0.18","1007.5","percent of total billed charges",,
"BIOPATCH PROTECTIVE DISK W CHG","0270","RC","Both",,,"18","9","Wellcare","Medicare Advantage",,,"54",,"9.76","0.18","1007.5","percent of total billed charges",,
"BIOPATCH PROTECTIVE DISK W CHG","0270","RC","Both",,,"18","9","Amerigroup","Medicaid Managed Care",,,"37",,"6.59","0.18","1007.5","percent of total billed charges",,
"BIOPATCH PROTECTIVE DISK W CHG","0270","RC","Both",,,"18","9","Caresource","Medicaid Managed Care",,,"40",,"7.2","0.18","1007.5","percent of total billed charges",,
"BIOPATCH PROTECTIVE DISK W CHG","0270","RC","Both",,,"18","9","Wellcare","Medicaid Managed Care",,,"40",,"7.29","0.18","1007.5","percent of total billed charges",,
"BIOPATCH PROTECTIVE DISK W CHG","0270","RC","Both",,,"18","9","Aetna","Commercial",,,"64",,"11.48","0.18","1007.5","percent of total billed charges",,
"BIOPATCH PROTECTIVE DISK W CHG","0270","RC","Both",,,"18","9","Blue Cross Blue Shield","Pathways",,,"71",,"12.71","0.18","1007.5","percent of total billed charges",,
"BIOPATCH PROTECTIVE DISK W CHG","0270","RC","Both",,,"18","9","Blue Cross Blue Shield","HMO",,,"71",,"12.71","0.18","1007.5","percent of total billed charges",,
"BIOPATCH PROTECTIVE DISK W CHG","0270","RC","Both",,,"18","9","Blue Cross Blue Shield","PPO",,,"71",,"12.71","0.18","1007.5","percent of total billed charges",,
"BIOPATCH PROTECTIVE DISK W CHG","0270","RC","Both",,,"18","9","Ambetter","Health Exchange",,,"62",,"11.16","0.18","1007.5","percent of total billed charges",,
"BIOPATCH PROTECTIVE DISK W CHG","0270","RC","Both",,,"18","9","Caresource","Health Exchange",,,"62",,"11.16","0.18","1007.5","percent of total billed charges",,
"BIOPATCH PROTECTIVE DISK W CHG","0270","RC","Both",,,"18","9","Cigna","Commercial",,,"59",,"10.55","0.18","1007.5","percent of total billed charges",,
"BIOPATCH PROTECTIVE DISK W CHG","0270","RC","Both",,,"18","9","Humana","Commercial",,,"78",,"13.95","0.18","1007.5","percent of total billed charges",,
"BIOPATCH PROTECTIVE DISK W CHG","0270","RC","Both",,,"18","9","UHC","Commercial",,,"75",,"13.57","0.18","1007.5","percent of total billed charges",,
"BIOPATCH PROTECTIVE DISK W CHG","0270","RC","Both",,,"18","9","Medicaid",,,,"37",,"6.59","0.18","1007.5","percent of total billed charges",,
"TENDERWET ACTIVE DRESSING 1.6  ROUND","0272","RC","Both",,,"9","4.5","Alliant","Health Exchange",,,"62",,"5.58","1.1","126.06","percent of total billed charges",,
"TENDERWET ACTIVE DRESSING 1.6  ROUND","0272","RC","Both",,,"9","4.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.86","1.1","126.06","percent of total billed charges",,
"TENDERWET ACTIVE DRESSING 1.6  ROUND","0272","RC","Both",,,"9","4.5","Medicare",,,,"54",,"4.88","1.1","126.06","percent of total billed charges",,
"TENDERWET ACTIVE DRESSING 1.6  ROUND","0272","RC","Both",,,"9","4.5","Humana","Medicare Advantage",,,"54",,"4.88","1.1","126.06","percent of total billed charges",,
"TENDERWET ACTIVE DRESSING 1.6  ROUND","0272","RC","Both",,,"9","4.5","UHC","Medicare Advantage",,,"54",,"4.88","1.1","126.06","percent of total billed charges",,
"TENDERWET ACTIVE DRESSING 1.6  ROUND","0272","RC","Both",,,"9","4.5","Clover","Medicare Advantage",,,"54",,"4.88","1.1","126.06","percent of total billed charges",,
"TENDERWET ACTIVE DRESSING 1.6  ROUND","0272","RC","Both",,,"9","4.5","Wellcare","Medicare Advantage",,,"54",,"4.88","1.1","126.06","percent of total billed charges",,
"TENDERWET ACTIVE DRESSING 1.6  ROUND","0272","RC","Both",,,"9","4.5","Amerigroup","Medicaid Managed Care",,,"37",,"3.29","1.1","126.06","percent of total billed charges",,
"TENDERWET ACTIVE DRESSING 1.6  ROUND","0272","RC","Both",,,"9","4.5","Caresource","Medicaid Managed Care",,,"40",,"3.6","1.1","126.06","percent of total billed charges",,
"TENDERWET ACTIVE DRESSING 1.6  ROUND","0272","RC","Both",,,"9","4.5","Wellcare","Medicaid Managed Care",,,"40",,"3.65","1.1","126.06","percent of total billed charges",,
"TENDERWET ACTIVE DRESSING 1.6  ROUND","0272","RC","Both",,,"9","4.5","Aetna","Commercial",,,"64",,"5.74","1.1","126.06","percent of total billed charges",,
"TENDERWET ACTIVE DRESSING 1.6  ROUND","0272","RC","Both",,,"9","4.5","Blue Cross Blue Shield","Pathways",,,"71",,"6.35","1.1","126.06","percent of total billed charges",,
"TENDERWET ACTIVE DRESSING 1.6  ROUND","0272","RC","Both",,,"9","4.5","Blue Cross Blue Shield","HMO",,,"71",,"6.35","1.1","126.06","percent of total billed charges",,
"TENDERWET ACTIVE DRESSING 1.6  ROUND","0272","RC","Both",,,"9","4.5","Blue Cross Blue Shield","PPO",,,"71",,"6.35","1.1","126.06","percent of total billed charges",,
"TENDERWET ACTIVE DRESSING 1.6  ROUND","0272","RC","Both",,,"9","4.5","Ambetter","Health Exchange",,,"62",,"5.58","1.1","126.06","percent of total billed charges",,
"TENDERWET ACTIVE DRESSING 1.6  ROUND","0272","RC","Both",,,"9","4.5","Caresource","Health Exchange",,,"62",,"5.58","1.1","126.06","percent of total billed charges",,
"TENDERWET ACTIVE DRESSING 1.6  ROUND","0272","RC","Both",,,"9","4.5","Cigna","Commercial",,,"59",,"5.27","1.1","126.06","percent of total billed charges",,
"TENDERWET ACTIVE DRESSING 1.6  ROUND","0272","RC","Both",,,"9","4.5","Humana","Commercial",,,"78",,"6.98","1.1","126.06","percent of total billed charges",,
"TENDERWET ACTIVE DRESSING 1.6  ROUND","0272","RC","Both",,,"9","4.5","UHC","Commercial",,,"75",,"6.79","1.1","126.06","percent of total billed charges",,
"TENDERWET ACTIVE DRESSING 1.6  ROUND","0272","RC","Both",,,"9","4.5","Medicaid",,,,"37",,"3.29","1.1","126.06","percent of total billed charges",,
"TENDERWET ACTIVE DRESSING 4 x 5","0272","RC","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","1.1","126.06","percent of total billed charges",,
"TENDERWET ACTIVE DRESSING 4 x 5","0272","RC","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","1.1","126.06","percent of total billed charges",,
"TENDERWET ACTIVE DRESSING 4 x 5","0272","RC","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","1.1","126.06","percent of total billed charges",,
"TENDERWET ACTIVE DRESSING 4 x 5","0272","RC","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","1.1","126.06","percent of total billed charges",,
"TENDERWET ACTIVE DRESSING 4 x 5","0272","RC","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","1.1","126.06","percent of total billed charges",,
"TENDERWET ACTIVE DRESSING 4 x 5","0272","RC","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","1.1","126.06","percent of total billed charges",,
"TENDERWET ACTIVE DRESSING 4 x 5","0272","RC","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","1.1","126.06","percent of total billed charges",,
"TENDERWET ACTIVE DRESSING 4 x 5","0272","RC","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","1.1","126.06","percent of total billed charges",,
"TENDERWET ACTIVE DRESSING 4 x 5","0272","RC","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","1.1","126.06","percent of total billed charges",,
"TENDERWET ACTIVE DRESSING 4 x 5","0272","RC","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","1.1","126.06","percent of total billed charges",,
"TENDERWET ACTIVE DRESSING 4 x 5","0272","RC","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","1.1","126.06","percent of total billed charges",,
"TENDERWET ACTIVE DRESSING 4 x 5","0272","RC","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","1.1","126.06","percent of total billed charges",,
"TENDERWET ACTIVE DRESSING 4 x 5","0272","RC","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","1.1","126.06","percent of total billed charges",,
"TENDERWET ACTIVE DRESSING 4 x 5","0272","RC","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","1.1","126.06","percent of total billed charges",,
"TENDERWET ACTIVE DRESSING 4 x 5","0272","RC","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","1.1","126.06","percent of total billed charges",,
"TENDERWET ACTIVE DRESSING 4 x 5","0272","RC","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","1.1","126.06","percent of total billed charges",,
"TENDERWET ACTIVE DRESSING 4 x 5","0272","RC","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","1.1","126.06","percent of total billed charges",,
"TENDERWET ACTIVE DRESSING 4 x 5","0272","RC","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","1.1","126.06","percent of total billed charges",,
"TENDERWET ACTIVE DRESSING 4 x 5","0272","RC","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","1.1","126.06","percent of total billed charges",,
"TENDERWET ACTIVE DRESSING 4 x 5","0272","RC","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","1.1","126.06","percent of total billed charges",,
"AMBU BAG","0270","RC","Both",,,"60.83","30.415","Alliant","Health Exchange",,,"62",,"37.71","0.18","1007.5","percent of total billed charges",,
"AMBU BAG","0270","RC","Both",,,"60.83","30.415","Pruitt Healthcare","Medicare Advantage",,,"54",,"32.85","0.18","1007.5","percent of total billed charges",,
"AMBU BAG","0270","RC","Both",,,"60.83","30.415","Medicare",,,,"54",,"32.97","0.18","1007.5","percent of total billed charges",,
"AMBU BAG","0270","RC","Both",,,"60.83","30.415","Humana","Medicare Advantage",,,"54",,"32.97","0.18","1007.5","percent of total billed charges",,
"AMBU BAG","0270","RC","Both",,,"60.83","30.415","UHC","Medicare Advantage",,,"54",,"32.97","0.18","1007.5","percent of total billed charges",,
"AMBU BAG","0270","RC","Both",,,"60.83","30.415","Clover","Medicare Advantage",,,"54",,"32.97","0.18","1007.5","percent of total billed charges",,
"AMBU BAG","0270","RC","Both",,,"60.83","30.415","Wellcare","Medicare Advantage",,,"54",,"32.97","0.18","1007.5","percent of total billed charges",,
"AMBU BAG","0270","RC","Both",,,"60.83","30.415","Amerigroup","Medicaid Managed Care",,,"37",,"22.26","0.18","1007.5","percent of total billed charges",,
"AMBU BAG","0270","RC","Both",,,"60.83","30.415","Caresource","Medicaid Managed Care",,,"40",,"24.33","0.18","1007.5","percent of total billed charges",,
"AMBU BAG","0270","RC","Both",,,"60.83","30.415","Wellcare","Medicaid Managed Care",,,"40",,"24.64","0.18","1007.5","percent of total billed charges",,
"AMBU BAG","0270","RC","Both",,,"60.83","30.415","Aetna","Commercial",,,"64",,"38.81","0.18","1007.5","percent of total billed charges",,
"AMBU BAG","0270","RC","Both",,,"60.83","30.415","Blue Cross Blue Shield","Pathways",,,"71",,"42.95","0.18","1007.5","percent of total billed charges",,
"AMBU BAG","0270","RC","Both",,,"60.83","30.415","Blue Cross Blue Shield","HMO",,,"71",,"42.95","0.18","1007.5","percent of total billed charges",,
"AMBU BAG","0270","RC","Both",,,"60.83","30.415","Blue Cross Blue Shield","PPO",,,"71",,"42.95","0.18","1007.5","percent of total billed charges",,
"AMBU BAG","0270","RC","Both",,,"60.83","30.415","Ambetter","Health Exchange",,,"62",,"37.71","0.18","1007.5","percent of total billed charges",,
"AMBU BAG","0270","RC","Both",,,"60.83","30.415","Caresource","Health Exchange",,,"62",,"37.71","0.18","1007.5","percent of total billed charges",,
"AMBU BAG","0270","RC","Both",,,"60.83","30.415","Cigna","Commercial",,,"59",,"35.65","0.18","1007.5","percent of total billed charges",,
"AMBU BAG","0270","RC","Both",,,"60.83","30.415","Humana","Commercial",,,"78",,"47.14","0.18","1007.5","percent of total billed charges",,
"AMBU BAG","0270","RC","Both",,,"60.83","30.415","UHC","Commercial",,,"75",,"45.87","0.18","1007.5","percent of total billed charges",,
"AMBU BAG","0270","RC","Both",,,"60.83","30.415","Medicaid",,,,"37",,"22.26","0.18","1007.5","percent of total billed charges",,
"VENTILATOR CIRCUIT","0270","RC","Both",,,"41.5","20.75","Alliant","Health Exchange",,,"62",,"25.73","0.18","1007.5","percent of total billed charges",,
"VENTILATOR CIRCUIT","0270","RC","Both",,,"41.5","20.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"22.41","0.18","1007.5","percent of total billed charges",,
"VENTILATOR CIRCUIT","0270","RC","Both",,,"41.5","20.75","Medicare",,,,"54",,"22.49","0.18","1007.5","percent of total billed charges",,
"VENTILATOR CIRCUIT","0270","RC","Both",,,"41.5","20.75","Humana","Medicare Advantage",,,"54",,"22.49","0.18","1007.5","percent of total billed charges",,
"VENTILATOR CIRCUIT","0270","RC","Both",,,"41.5","20.75","UHC","Medicare Advantage",,,"54",,"22.49","0.18","1007.5","percent of total billed charges",,
"VENTILATOR CIRCUIT","0270","RC","Both",,,"41.5","20.75","Clover","Medicare Advantage",,,"54",,"22.49","0.18","1007.5","percent of total billed charges",,
"VENTILATOR CIRCUIT","0270","RC","Both",,,"41.5","20.75","Wellcare","Medicare Advantage",,,"54",,"22.49","0.18","1007.5","percent of total billed charges",,
"VENTILATOR CIRCUIT","0270","RC","Both",,,"41.5","20.75","Amerigroup","Medicaid Managed Care",,,"37",,"15.19","0.18","1007.5","percent of total billed charges",,
"VENTILATOR CIRCUIT","0270","RC","Both",,,"41.5","20.75","Caresource","Medicaid Managed Care",,,"40",,"16.6","0.18","1007.5","percent of total billed charges",,
"VENTILATOR CIRCUIT","0270","RC","Both",,,"41.5","20.75","Wellcare","Medicaid Managed Care",,,"40",,"16.81","0.18","1007.5","percent of total billed charges",,
"VENTILATOR CIRCUIT","0270","RC","Both",,,"41.5","20.75","Aetna","Commercial",,,"64",,"26.48","0.18","1007.5","percent of total billed charges",,
"VENTILATOR CIRCUIT","0270","RC","Both",,,"41.5","20.75","Blue Cross Blue Shield","Pathways",,,"71",,"29.3","0.18","1007.5","percent of total billed charges",,
"VENTILATOR CIRCUIT","0270","RC","Both",,,"41.5","20.75","Blue Cross Blue Shield","HMO",,,"71",,"29.3","0.18","1007.5","percent of total billed charges",,
"VENTILATOR CIRCUIT","0270","RC","Both",,,"41.5","20.75","Blue Cross Blue Shield","PPO",,,"71",,"29.3","0.18","1007.5","percent of total billed charges",,
"VENTILATOR CIRCUIT","0270","RC","Both",,,"41.5","20.75","Ambetter","Health Exchange",,,"62",,"25.73","0.18","1007.5","percent of total billed charges",,
"VENTILATOR CIRCUIT","0270","RC","Both",,,"41.5","20.75","Caresource","Health Exchange",,,"62",,"25.73","0.18","1007.5","percent of total billed charges",,
"VENTILATOR CIRCUIT","0270","RC","Both",,,"41.5","20.75","Cigna","Commercial",,,"59",,"24.32","0.18","1007.5","percent of total billed charges",,
"VENTILATOR CIRCUIT","0270","RC","Both",,,"41.5","20.75","Humana","Commercial",,,"78",,"32.16","0.18","1007.5","percent of total billed charges",,
"VENTILATOR CIRCUIT","0270","RC","Both",,,"41.5","20.75","UHC","Commercial",,,"75",,"31.29","0.18","1007.5","percent of total billed charges",,
"VENTILATOR CIRCUIT","0270","RC","Both",,,"41.5","20.75","Medicaid",,,,"37",,"15.19","0.18","1007.5","percent of total billed charges",,
"ABG KIT","0270","RC","Both",,,"36","18","Alliant","Health Exchange",,,"62",,"22.32","0.18","1007.5","percent of total billed charges",,
"ABG KIT","0270","RC","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.44","0.18","1007.5","percent of total billed charges",,
"ABG KIT","0270","RC","Both",,,"36","18","Medicare",,,,"54",,"19.51","0.18","1007.5","percent of total billed charges",,
"ABG KIT","0270","RC","Both",,,"36","18","Humana","Medicare Advantage",,,"54",,"19.51","0.18","1007.5","percent of total billed charges",,
"ABG KIT","0270","RC","Both",,,"36","18","UHC","Medicare Advantage",,,"54",,"19.51","0.18","1007.5","percent of total billed charges",,
"ABG KIT","0270","RC","Both",,,"36","18","Clover","Medicare Advantage",,,"54",,"19.51","0.18","1007.5","percent of total billed charges",,
"ABG KIT","0270","RC","Both",,,"36","18","Wellcare","Medicare Advantage",,,"54",,"19.51","0.18","1007.5","percent of total billed charges",,
"ABG KIT","0270","RC","Both",,,"36","18","Amerigroup","Medicaid Managed Care",,,"37",,"13.18","0.18","1007.5","percent of total billed charges",,
"ABG KIT","0270","RC","Both",,,"36","18","Caresource","Medicaid Managed Care",,,"40",,"14.4","0.18","1007.5","percent of total billed charges",,
"ABG KIT","0270","RC","Both",,,"36","18","Wellcare","Medicaid Managed Care",,,"40",,"14.58","0.18","1007.5","percent of total billed charges",,
"ABG KIT","0270","RC","Both",,,"36","18","Aetna","Commercial",,,"64",,"22.97","0.18","1007.5","percent of total billed charges",,
"ABG KIT","0270","RC","Both",,,"36","18","Blue Cross Blue Shield","Pathways",,,"71",,"25.42","0.18","1007.5","percent of total billed charges",,
"ABG KIT","0270","RC","Both",,,"36","18","Blue Cross Blue Shield","HMO",,,"71",,"25.42","0.18","1007.5","percent of total billed charges",,
"ABG KIT","0270","RC","Both",,,"36","18","Blue Cross Blue Shield","PPO",,,"71",,"25.42","0.18","1007.5","percent of total billed charges",,
"ABG KIT","0270","RC","Both",,,"36","18","Ambetter","Health Exchange",,,"62",,"22.32","0.18","1007.5","percent of total billed charges",,
"ABG KIT","0270","RC","Both",,,"36","18","Caresource","Health Exchange",,,"62",,"22.32","0.18","1007.5","percent of total billed charges",,
"ABG KIT","0270","RC","Both",,,"36","18","Cigna","Commercial",,,"59",,"21.1","0.18","1007.5","percent of total billed charges",,
"ABG KIT","0270","RC","Both",,,"36","18","Humana","Commercial",,,"78",,"27.9","0.18","1007.5","percent of total billed charges",,
"ABG KIT","0270","RC","Both",,,"36","18","UHC","Commercial",,,"75",,"27.14","0.18","1007.5","percent of total billed charges",,
"ABG KIT","0270","RC","Both",,,"36","18","Medicaid",,,,"37",,"13.18","0.18","1007.5","percent of total billed charges",,
"PEAK FLOW METER","0270","RC","Both",,,"142","71","Alliant","Health Exchange",,,"62",,"88.04","0.18","1007.5","percent of total billed charges",,
"PEAK FLOW METER","0270","RC","Both",,,"142","71","Pruitt Healthcare","Medicare Advantage",,,"54",,"76.68","0.18","1007.5","percent of total billed charges",,
"PEAK FLOW METER","0270","RC","Both",,,"142","71","Medicare",,,,"54",,"76.96","0.18","1007.5","percent of total billed charges",,
"PEAK FLOW METER","0270","RC","Both",,,"142","71","Humana","Medicare Advantage",,,"54",,"76.96","0.18","1007.5","percent of total billed charges",,
"PEAK FLOW METER","0270","RC","Both",,,"142","71","UHC","Medicare Advantage",,,"54",,"76.96","0.18","1007.5","percent of total billed charges",,
"PEAK FLOW METER","0270","RC","Both",,,"142","71","Clover","Medicare Advantage",,,"54",,"76.96","0.18","1007.5","percent of total billed charges",,
"PEAK FLOW METER","0270","RC","Both",,,"142","71","Wellcare","Medicare Advantage",,,"54",,"76.96","0.18","1007.5","percent of total billed charges",,
"PEAK FLOW METER","0270","RC","Both",,,"142","71","Amerigroup","Medicaid Managed Care",,,"37",,"51.97","0.18","1007.5","percent of total billed charges",,
"PEAK FLOW METER","0270","RC","Both",,,"142","71","Caresource","Medicaid Managed Care",,,"40",,"56.8","0.18","1007.5","percent of total billed charges",,
"PEAK FLOW METER","0270","RC","Both",,,"142","71","Wellcare","Medicaid Managed Care",,,"40",,"57.51","0.18","1007.5","percent of total billed charges",,
"PEAK FLOW METER","0270","RC","Both",,,"142","71","Aetna","Commercial",,,"64",,"90.6","0.18","1007.5","percent of total billed charges",,
"PEAK FLOW METER","0270","RC","Both",,,"142","71","Blue Cross Blue Shield","Pathways",,,"71",,"100.25","0.18","1007.5","percent of total billed charges",,
"PEAK FLOW METER","0270","RC","Both",,,"142","71","Blue Cross Blue Shield","HMO",,,"71",,"100.25","0.18","1007.5","percent of total billed charges",,
"PEAK FLOW METER","0270","RC","Both",,,"142","71","Blue Cross Blue Shield","PPO",,,"71",,"100.25","0.18","1007.5","percent of total billed charges",,
"PEAK FLOW METER","0270","RC","Both",,,"142","71","Ambetter","Health Exchange",,,"62",,"88.04","0.18","1007.5","percent of total billed charges",,
"PEAK FLOW METER","0270","RC","Both",,,"142","71","Caresource","Health Exchange",,,"62",,"88.04","0.18","1007.5","percent of total billed charges",,
"PEAK FLOW METER","0270","RC","Both",,,"142","71","Cigna","Commercial",,,"59",,"83.21","0.18","1007.5","percent of total billed charges",,
"PEAK FLOW METER","0270","RC","Both",,,"142","71","Humana","Commercial",,,"78",,"110.05","0.18","1007.5","percent of total billed charges",,
"PEAK FLOW METER","0270","RC","Both",,,"142","71","UHC","Commercial",,,"75",,"107.07","0.18","1007.5","percent of total billed charges",,
"PEAK FLOW METER","0270","RC","Both",,,"142","71","Medicaid",,,,"37",,"51.97","0.18","1007.5","percent of total billed charges",,
"CONTINUOUS NEBULIZER KIT","0270","RC","Both",,,"53","26.5","Alliant","Health Exchange",,,"62",,"32.86","0.18","1007.5","percent of total billed charges",,
"CONTINUOUS NEBULIZER KIT","0270","RC","Both",,,"53","26.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.62","0.18","1007.5","percent of total billed charges",,
"CONTINUOUS NEBULIZER KIT","0270","RC","Both",,,"53","26.5","Medicare",,,,"54",,"28.73","0.18","1007.5","percent of total billed charges",,
"CONTINUOUS NEBULIZER KIT","0270","RC","Both",,,"53","26.5","Humana","Medicare Advantage",,,"54",,"28.73","0.18","1007.5","percent of total billed charges",,
"CONTINUOUS NEBULIZER KIT","0270","RC","Both",,,"53","26.5","UHC","Medicare Advantage",,,"54",,"28.73","0.18","1007.5","percent of total billed charges",,
"CONTINUOUS NEBULIZER KIT","0270","RC","Both",,,"53","26.5","Clover","Medicare Advantage",,,"54",,"28.73","0.18","1007.5","percent of total billed charges",,
"CONTINUOUS NEBULIZER KIT","0270","RC","Both",,,"53","26.5","Wellcare","Medicare Advantage",,,"54",,"28.73","0.18","1007.5","percent of total billed charges",,
"CONTINUOUS NEBULIZER KIT","0270","RC","Both",,,"53","26.5","Amerigroup","Medicaid Managed Care",,,"37",,"19.4","0.18","1007.5","percent of total billed charges",,
"CONTINUOUS NEBULIZER KIT","0270","RC","Both",,,"53","26.5","Caresource","Medicaid Managed Care",,,"40",,"21.2","0.18","1007.5","percent of total billed charges",,
"CONTINUOUS NEBULIZER KIT","0270","RC","Both",,,"53","26.5","Wellcare","Medicaid Managed Care",,,"40",,"21.46","0.18","1007.5","percent of total billed charges",,
"CONTINUOUS NEBULIZER KIT","0270","RC","Both",,,"53","26.5","Aetna","Commercial",,,"64",,"33.81","0.18","1007.5","percent of total billed charges",,
"CONTINUOUS NEBULIZER KIT","0270","RC","Both",,,"53","26.5","Blue Cross Blue Shield","Pathways",,,"71",,"37.42","0.18","1007.5","percent of total billed charges",,
"CONTINUOUS NEBULIZER KIT","0270","RC","Both",,,"53","26.5","Blue Cross Blue Shield","HMO",,,"71",,"37.42","0.18","1007.5","percent of total billed charges",,
"CONTINUOUS NEBULIZER KIT","0270","RC","Both",,,"53","26.5","Blue Cross Blue Shield","PPO",,,"71",,"37.42","0.18","1007.5","percent of total billed charges",,
"CONTINUOUS NEBULIZER KIT","0270","RC","Both",,,"53","26.5","Ambetter","Health Exchange",,,"62",,"32.86","0.18","1007.5","percent of total billed charges",,
"CONTINUOUS NEBULIZER KIT","0270","RC","Both",,,"53","26.5","Caresource","Health Exchange",,,"62",,"32.86","0.18","1007.5","percent of total billed charges",,
"CONTINUOUS NEBULIZER KIT","0270","RC","Both",,,"53","26.5","Cigna","Commercial",,,"59",,"31.06","0.18","1007.5","percent of total billed charges",,
"CONTINUOUS NEBULIZER KIT","0270","RC","Both",,,"53","26.5","Humana","Commercial",,,"78",,"41.08","0.18","1007.5","percent of total billed charges",,
"CONTINUOUS NEBULIZER KIT","0270","RC","Both",,,"53","26.5","UHC","Commercial",,,"75",,"39.96","0.18","1007.5","percent of total billed charges",,
"CONTINUOUS NEBULIZER KIT","0270","RC","Both",,,"53","26.5","Medicaid",,,,"37",,"19.4","0.18","1007.5","percent of total billed charges",,
"HUMIDIFIED WATER 760ML AQUAPAK","0270","RC","Both",,,"52","26","Alliant","Health Exchange",,,"62",,"32.24","0.18","1007.5","percent of total billed charges",,
"HUMIDIFIED WATER 760ML AQUAPAK","0270","RC","Both",,,"52","26","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.08","0.18","1007.5","percent of total billed charges",,
"HUMIDIFIED WATER 760ML AQUAPAK","0270","RC","Both",,,"52","26","Medicare",,,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"HUMIDIFIED WATER 760ML AQUAPAK","0270","RC","Both",,,"52","26","Humana","Medicare Advantage",,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"HUMIDIFIED WATER 760ML AQUAPAK","0270","RC","Both",,,"52","26","UHC","Medicare Advantage",,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"HUMIDIFIED WATER 760ML AQUAPAK","0270","RC","Both",,,"52","26","Clover","Medicare Advantage",,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"HUMIDIFIED WATER 760ML AQUAPAK","0270","RC","Both",,,"52","26","Wellcare","Medicare Advantage",,,"54",,"28.18","0.18","1007.5","percent of total billed charges",,
"HUMIDIFIED WATER 760ML AQUAPAK","0270","RC","Both",,,"52","26","Amerigroup","Medicaid Managed Care",,,"37",,"19.03","0.18","1007.5","percent of total billed charges",,
"HUMIDIFIED WATER 760ML AQUAPAK","0270","RC","Both",,,"52","26","Caresource","Medicaid Managed Care",,,"40",,"20.8","0.18","1007.5","percent of total billed charges",,
"HUMIDIFIED WATER 760ML AQUAPAK","0270","RC","Both",,,"52","26","Wellcare","Medicaid Managed Care",,,"40",,"21.06","0.18","1007.5","percent of total billed charges",,
"HUMIDIFIED WATER 760ML AQUAPAK","0270","RC","Both",,,"52","26","Aetna","Commercial",,,"64",,"33.18","0.18","1007.5","percent of total billed charges",,
"HUMIDIFIED WATER 760ML AQUAPAK","0270","RC","Both",,,"52","26","Blue Cross Blue Shield","Pathways",,,"71",,"36.71","0.18","1007.5","percent of total billed charges",,
"HUMIDIFIED WATER 760ML AQUAPAK","0270","RC","Both",,,"52","26","Blue Cross Blue Shield","HMO",,,"71",,"36.71","0.18","1007.5","percent of total billed charges",,
"HUMIDIFIED WATER 760ML AQUAPAK","0270","RC","Both",,,"52","26","Blue Cross Blue Shield","PPO",,,"71",,"36.71","0.18","1007.5","percent of total billed charges",,
"HUMIDIFIED WATER 760ML AQUAPAK","0270","RC","Both",,,"52","26","Ambetter","Health Exchange",,,"62",,"32.24","0.18","1007.5","percent of total billed charges",,
"HUMIDIFIED WATER 760ML AQUAPAK","0270","RC","Both",,,"52","26","Caresource","Health Exchange",,,"62",,"32.24","0.18","1007.5","percent of total billed charges",,
"HUMIDIFIED WATER 760ML AQUAPAK","0270","RC","Both",,,"52","26","Cigna","Commercial",,,"59",,"30.47","0.18","1007.5","percent of total billed charges",,
"HUMIDIFIED WATER 760ML AQUAPAK","0270","RC","Both",,,"52","26","Humana","Commercial",,,"78",,"40.3","0.18","1007.5","percent of total billed charges",,
"HUMIDIFIED WATER 760ML AQUAPAK","0270","RC","Both",,,"52","26","UHC","Commercial",,,"75",,"39.21","0.18","1007.5","percent of total billed charges",,
"HUMIDIFIED WATER 760ML AQUAPAK","0270","RC","Both",,,"52","26","Medicaid",,,,"37",,"19.03","0.18","1007.5","percent of total billed charges",,
"BREATHING CIRCUIT HEATED RT211","0270","RC","Both",,,"135","67.5","Alliant","Health Exchange",,,"62",,"83.7","0.18","1007.5","percent of total billed charges",,
"BREATHING CIRCUIT HEATED RT211","0270","RC","Both",,,"135","67.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"72.9","0.18","1007.5","percent of total billed charges",,
"BREATHING CIRCUIT HEATED RT211","0270","RC","Both",,,"135","67.5","Medicare",,,,"54",,"73.17","0.18","1007.5","percent of total billed charges",,
"BREATHING CIRCUIT HEATED RT211","0270","RC","Both",,,"135","67.5","Humana","Medicare Advantage",,,"54",,"73.17","0.18","1007.5","percent of total billed charges",,
"BREATHING CIRCUIT HEATED RT211","0270","RC","Both",,,"135","67.5","UHC","Medicare Advantage",,,"54",,"73.17","0.18","1007.5","percent of total billed charges",,
"BREATHING CIRCUIT HEATED RT211","0270","RC","Both",,,"135","67.5","Clover","Medicare Advantage",,,"54",,"73.17","0.18","1007.5","percent of total billed charges",,
"BREATHING CIRCUIT HEATED RT211","0270","RC","Both",,,"135","67.5","Wellcare","Medicare Advantage",,,"54",,"73.17","0.18","1007.5","percent of total billed charges",,
"BREATHING CIRCUIT HEATED RT211","0270","RC","Both",,,"135","67.5","Amerigroup","Medicaid Managed Care",,,"37",,"49.41","0.18","1007.5","percent of total billed charges",,
"BREATHING CIRCUIT HEATED RT211","0270","RC","Both",,,"135","67.5","Caresource","Medicaid Managed Care",,,"40",,"54","0.18","1007.5","percent of total billed charges",,
"BREATHING CIRCUIT HEATED RT211","0270","RC","Both",,,"135","67.5","Wellcare","Medicaid Managed Care",,,"40",,"54.68","0.18","1007.5","percent of total billed charges",,
"BREATHING CIRCUIT HEATED RT211","0270","RC","Both",,,"135","67.5","Aetna","Commercial",,,"64",,"86.13","0.18","1007.5","percent of total billed charges",,
"BREATHING CIRCUIT HEATED RT211","0270","RC","Both",,,"135","67.5","Blue Cross Blue Shield","Pathways",,,"71",,"95.31","0.18","1007.5","percent of total billed charges",,
"BREATHING CIRCUIT HEATED RT211","0270","RC","Both",,,"135","67.5","Blue Cross Blue Shield","HMO",,,"71",,"95.31","0.18","1007.5","percent of total billed charges",,
"BREATHING CIRCUIT HEATED RT211","0270","RC","Both",,,"135","67.5","Blue Cross Blue Shield","PPO",,,"71",,"95.31","0.18","1007.5","percent of total billed charges",,
"BREATHING CIRCUIT HEATED RT211","0270","RC","Both",,,"135","67.5","Ambetter","Health Exchange",,,"62",,"83.7","0.18","1007.5","percent of total billed charges",,
"BREATHING CIRCUIT HEATED RT211","0270","RC","Both",,,"135","67.5","Caresource","Health Exchange",,,"62",,"83.7","0.18","1007.5","percent of total billed charges",,
"BREATHING CIRCUIT HEATED RT211","0270","RC","Both",,,"135","67.5","Cigna","Commercial",,,"59",,"79.11","0.18","1007.5","percent of total billed charges",,
"BREATHING CIRCUIT HEATED RT211","0270","RC","Both",,,"135","67.5","Humana","Commercial",,,"78",,"104.62","0.18","1007.5","percent of total billed charges",,
"BREATHING CIRCUIT HEATED RT211","0270","RC","Both",,,"135","67.5","UHC","Commercial",,,"75",,"101.79","0.18","1007.5","percent of total billed charges",,
"BREATHING CIRCUIT HEATED RT211","0270","RC","Both",,,"135","67.5","Medicaid",,,,"37",,"49.41","0.18","1007.5","percent of total billed charges",,
"LIGACLIP LS200","0270","RC","Both",,,"38","19","Alliant","Health Exchange",,,"62",,"23.56","0.18","1007.5","percent of total billed charges",,
"LIGACLIP LS200","0270","RC","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.52","0.18","1007.5","percent of total billed charges",,
"LIGACLIP LS200","0270","RC","Both",,,"38","19","Medicare",,,,"54",,"20.6","0.18","1007.5","percent of total billed charges",,
"LIGACLIP LS200","0270","RC","Both",,,"38","19","Humana","Medicare Advantage",,,"54",,"20.6","0.18","1007.5","percent of total billed charges",,
"LIGACLIP LS200","0270","RC","Both",,,"38","19","UHC","Medicare Advantage",,,"54",,"20.6","0.18","1007.5","percent of total billed charges",,
"LIGACLIP LS200","0270","RC","Both",,,"38","19","Clover","Medicare Advantage",,,"54",,"20.6","0.18","1007.5","percent of total billed charges",,
"LIGACLIP LS200","0270","RC","Both",,,"38","19","Wellcare","Medicare Advantage",,,"54",,"20.6","0.18","1007.5","percent of total billed charges",,
"LIGACLIP LS200","0270","RC","Both",,,"38","19","Amerigroup","Medicaid Managed Care",,,"37",,"13.91","0.18","1007.5","percent of total billed charges",,
"LIGACLIP LS200","0270","RC","Both",,,"38","19","Caresource","Medicaid Managed Care",,,"40",,"15.2","0.18","1007.5","percent of total billed charges",,
"LIGACLIP LS200","0270","RC","Both",,,"38","19","Wellcare","Medicaid Managed Care",,,"40",,"15.39","0.18","1007.5","percent of total billed charges",,
"LIGACLIP LS200","0270","RC","Both",,,"38","19","Aetna","Commercial",,,"64",,"24.24","0.18","1007.5","percent of total billed charges",,
"LIGACLIP LS200","0270","RC","Both",,,"38","19","Blue Cross Blue Shield","Pathways",,,"71",,"26.83","0.18","1007.5","percent of total billed charges",,
"LIGACLIP LS200","0270","RC","Both",,,"38","19","Blue Cross Blue Shield","HMO",,,"71",,"26.83","0.18","1007.5","percent of total billed charges",,
"LIGACLIP LS200","0270","RC","Both",,,"38","19","Blue Cross Blue Shield","PPO",,,"71",,"26.83","0.18","1007.5","percent of total billed charges",,
"LIGACLIP LS200","0270","RC","Both",,,"38","19","Ambetter","Health Exchange",,,"62",,"23.56","0.18","1007.5","percent of total billed charges",,
"LIGACLIP LS200","0270","RC","Both",,,"38","19","Caresource","Health Exchange",,,"62",,"23.56","0.18","1007.5","percent of total billed charges",,
"LIGACLIP LS200","0270","RC","Both",,,"38","19","Cigna","Commercial",,,"59",,"22.27","0.18","1007.5","percent of total billed charges",,
"LIGACLIP LS200","0270","RC","Both",,,"38","19","Humana","Commercial",,,"78",,"29.45","0.18","1007.5","percent of total billed charges",,
"LIGACLIP LS200","0270","RC","Both",,,"38","19","UHC","Commercial",,,"75",,"28.65","0.18","1007.5","percent of total billed charges",,
"LIGACLIP LS200","0270","RC","Both",,,"38","19","Medicaid",,,,"37",,"13.91","0.18","1007.5","percent of total billed charges",,
"6-0 ETHILON 697H","0270","RC","Both",,,"28","14","Alliant","Health Exchange",,,"62",,"17.36","0.18","1007.5","percent of total billed charges",,
"6-0 ETHILON 697H","0270","RC","Both",,,"28","14","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.12","0.18","1007.5","percent of total billed charges",,
"6-0 ETHILON 697H","0270","RC","Both",,,"28","14","Medicare",,,,"54",,"15.18","0.18","1007.5","percent of total billed charges",,
"6-0 ETHILON 697H","0270","RC","Both",,,"28","14","Humana","Medicare Advantage",,,"54",,"15.18","0.18","1007.5","percent of total billed charges",,
"6-0 ETHILON 697H","0270","RC","Both",,,"28","14","UHC","Medicare Advantage",,,"54",,"15.18","0.18","1007.5","percent of total billed charges",,
"6-0 ETHILON 697H","0270","RC","Both",,,"28","14","Clover","Medicare Advantage",,,"54",,"15.18","0.18","1007.5","percent of total billed charges",,
"6-0 ETHILON 697H","0270","RC","Both",,,"28","14","Wellcare","Medicare Advantage",,,"54",,"15.18","0.18","1007.5","percent of total billed charges",,
"6-0 ETHILON 697H","0270","RC","Both",,,"28","14","Amerigroup","Medicaid Managed Care",,,"37",,"10.25","0.18","1007.5","percent of total billed charges",,
"6-0 ETHILON 697H","0270","RC","Both",,,"28","14","Caresource","Medicaid Managed Care",,,"40",,"11.2","0.18","1007.5","percent of total billed charges",,
"6-0 ETHILON 697H","0270","RC","Both",,,"28","14","Wellcare","Medicaid Managed Care",,,"40",,"11.34","0.18","1007.5","percent of total billed charges",,
"6-0 ETHILON 697H","0270","RC","Both",,,"28","14","Aetna","Commercial",,,"64",,"17.86","0.18","1007.5","percent of total billed charges",,
"6-0 ETHILON 697H","0270","RC","Both",,,"28","14","Blue Cross Blue Shield","Pathways",,,"71",,"19.77","0.18","1007.5","percent of total billed charges",,
"6-0 ETHILON 697H","0270","RC","Both",,,"28","14","Blue Cross Blue Shield","HMO",,,"71",,"19.77","0.18","1007.5","percent of total billed charges",,
"6-0 ETHILON 697H","0270","RC","Both",,,"28","14","Blue Cross Blue Shield","PPO",,,"71",,"19.77","0.18","1007.5","percent of total billed charges",,
"6-0 ETHILON 697H","0270","RC","Both",,,"28","14","Ambetter","Health Exchange",,,"62",,"17.36","0.18","1007.5","percent of total billed charges",,
"6-0 ETHILON 697H","0270","RC","Both",,,"28","14","Caresource","Health Exchange",,,"62",,"17.36","0.18","1007.5","percent of total billed charges",,
"6-0 ETHILON 697H","0270","RC","Both",,,"28","14","Cigna","Commercial",,,"59",,"16.41","0.18","1007.5","percent of total billed charges",,
"6-0 ETHILON 697H","0270","RC","Both",,,"28","14","Humana","Commercial",,,"78",,"21.7","0.18","1007.5","percent of total billed charges",,
"6-0 ETHILON 697H","0270","RC","Both",,,"28","14","UHC","Commercial",,,"75",,"21.11","0.18","1007.5","percent of total billed charges",,
"6-0 ETHILON 697H","0270","RC","Both",,,"28","14","Medicaid",,,,"37",,"10.25","0.18","1007.5","percent of total billed charges",,
"SKIN-STAPLE DS-5","0270","RC","Both",,,"37","18.5","Alliant","Health Exchange",,,"62",,"22.94","0.18","1007.5","percent of total billed charges",,
"SKIN-STAPLE DS-5","0270","RC","Both",,,"37","18.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.98","0.18","1007.5","percent of total billed charges",,
"SKIN-STAPLE DS-5","0270","RC","Both",,,"37","18.5","Medicare",,,,"54",,"20.05","0.18","1007.5","percent of total billed charges",,
"SKIN-STAPLE DS-5","0270","RC","Both",,,"37","18.5","Humana","Medicare Advantage",,,"54",,"20.05","0.18","1007.5","percent of total billed charges",,
"SKIN-STAPLE DS-5","0270","RC","Both",,,"37","18.5","UHC","Medicare Advantage",,,"54",,"20.05","0.18","1007.5","percent of total billed charges",,
"SKIN-STAPLE DS-5","0270","RC","Both",,,"37","18.5","Clover","Medicare Advantage",,,"54",,"20.05","0.18","1007.5","percent of total billed charges",,
"SKIN-STAPLE DS-5","0270","RC","Both",,,"37","18.5","Wellcare","Medicare Advantage",,,"54",,"20.05","0.18","1007.5","percent of total billed charges",,
"SKIN-STAPLE DS-5","0270","RC","Both",,,"37","18.5","Amerigroup","Medicaid Managed Care",,,"37",,"13.54","0.18","1007.5","percent of total billed charges",,
"SKIN-STAPLE DS-5","0270","RC","Both",,,"37","18.5","Caresource","Medicaid Managed Care",,,"40",,"14.8","0.18","1007.5","percent of total billed charges",,
"SKIN-STAPLE DS-5","0270","RC","Both",,,"37","18.5","Wellcare","Medicaid Managed Care",,,"40",,"14.99","0.18","1007.5","percent of total billed charges",,
"SKIN-STAPLE DS-5","0270","RC","Both",,,"37","18.5","Aetna","Commercial",,,"64",,"23.61","0.18","1007.5","percent of total billed charges",,
"SKIN-STAPLE DS-5","0270","RC","Both",,,"37","18.5","Blue Cross Blue Shield","Pathways",,,"71",,"26.12","0.18","1007.5","percent of total billed charges",,
"SKIN-STAPLE DS-5","0270","RC","Both",,,"37","18.5","Blue Cross Blue Shield","HMO",,,"71",,"26.12","0.18","1007.5","percent of total billed charges",,
"SKIN-STAPLE DS-5","0270","RC","Both",,,"37","18.5","Blue Cross Blue Shield","PPO",,,"71",,"26.12","0.18","1007.5","percent of total billed charges",,
"SKIN-STAPLE DS-5","0270","RC","Both",,,"37","18.5","Ambetter","Health Exchange",,,"62",,"22.94","0.18","1007.5","percent of total billed charges",,
"SKIN-STAPLE DS-5","0270","RC","Both",,,"37","18.5","Caresource","Health Exchange",,,"62",,"22.94","0.18","1007.5","percent of total billed charges",,
"SKIN-STAPLE DS-5","0270","RC","Both",,,"37","18.5","Cigna","Commercial",,,"59",,"21.68","0.18","1007.5","percent of total billed charges",,
"SKIN-STAPLE DS-5","0270","RC","Both",,,"37","18.5","Humana","Commercial",,,"78",,"28.68","0.18","1007.5","percent of total billed charges",,
"SKIN-STAPLE DS-5","0270","RC","Both",,,"37","18.5","UHC","Commercial",,,"75",,"27.9","0.18","1007.5","percent of total billed charges",,
"SKIN-STAPLE DS-5","0270","RC","Both",,,"37","18.5","Medicaid",,,,"37",,"13.54","0.18","1007.5","percent of total billed charges",,
"G-TUBE 18 FR","0270","RC","Both",,,"59","29.5","Alliant","Health Exchange",,,"62",,"36.58","0.18","1007.5","percent of total billed charges",,
"G-TUBE 18 FR","0270","RC","Both",,,"59","29.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"31.86","0.18","1007.5","percent of total billed charges",,
"G-TUBE 18 FR","0270","RC","Both",,,"59","29.5","Medicare",,,,"54",,"31.98","0.18","1007.5","percent of total billed charges",,
"G-TUBE 18 FR","0270","RC","Both",,,"59","29.5","Humana","Medicare Advantage",,,"54",,"31.98","0.18","1007.5","percent of total billed charges",,
"G-TUBE 18 FR","0270","RC","Both",,,"59","29.5","UHC","Medicare Advantage",,,"54",,"31.98","0.18","1007.5","percent of total billed charges",,
"G-TUBE 18 FR","0270","RC","Both",,,"59","29.5","Clover","Medicare Advantage",,,"54",,"31.98","0.18","1007.5","percent of total billed charges",,
"G-TUBE 18 FR","0270","RC","Both",,,"59","29.5","Wellcare","Medicare Advantage",,,"54",,"31.98","0.18","1007.5","percent of total billed charges",,
"G-TUBE 18 FR","0270","RC","Both",,,"59","29.5","Amerigroup","Medicaid Managed Care",,,"37",,"21.59","0.18","1007.5","percent of total billed charges",,
"G-TUBE 18 FR","0270","RC","Both",,,"59","29.5","Caresource","Medicaid Managed Care",,,"40",,"23.6","0.18","1007.5","percent of total billed charges",,
"G-TUBE 18 FR","0270","RC","Both",,,"59","29.5","Wellcare","Medicaid Managed Care",,,"40",,"23.9","0.18","1007.5","percent of total billed charges",,
"G-TUBE 18 FR","0270","RC","Both",,,"59","29.5","Aetna","Commercial",,,"64",,"37.64","0.18","1007.5","percent of total billed charges",,
"G-TUBE 18 FR","0270","RC","Both",,,"59","29.5","Blue Cross Blue Shield","Pathways",,,"71",,"41.65","0.18","1007.5","percent of total billed charges",,
"G-TUBE 18 FR","0270","RC","Both",,,"59","29.5","Blue Cross Blue Shield","HMO",,,"71",,"41.65","0.18","1007.5","percent of total billed charges",,
"G-TUBE 18 FR","0270","RC","Both",,,"59","29.5","Blue Cross Blue Shield","PPO",,,"71",,"41.65","0.18","1007.5","percent of total billed charges",,
"G-TUBE 18 FR","0270","RC","Both",,,"59","29.5","Ambetter","Health Exchange",,,"62",,"36.58","0.18","1007.5","percent of total billed charges",,
"G-TUBE 18 FR","0270","RC","Both",,,"59","29.5","Caresource","Health Exchange",,,"62",,"36.58","0.18","1007.5","percent of total billed charges",,
"G-TUBE 18 FR","0270","RC","Both",,,"59","29.5","Cigna","Commercial",,,"59",,"34.57","0.18","1007.5","percent of total billed charges",,
"G-TUBE 18 FR","0270","RC","Both",,,"59","29.5","Humana","Commercial",,,"78",,"45.72","0.18","1007.5","percent of total billed charges",,
"G-TUBE 18 FR","0270","RC","Both",,,"59","29.5","UHC","Commercial",,,"75",,"44.49","0.18","1007.5","percent of total billed charges",,
"G-TUBE 18 FR","0270","RC","Both",,,"59","29.5","Medicaid",,,,"37",,"21.59","0.18","1007.5","percent of total billed charges",,
"G-TUBE 12/28FR","0270","RC","Both",,,"381","190.5","Alliant","Health Exchange",,,"62",,"236.22","0.18","1007.5","percent of total billed charges",,
"G-TUBE 12/28FR","0270","RC","Both",,,"381","190.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"205.74","0.18","1007.5","percent of total billed charges",,
"G-TUBE 12/28FR","0270","RC","Both",,,"381","190.5","Medicare",,,,"54",,"206.5","0.18","1007.5","percent of total billed charges",,
"G-TUBE 12/28FR","0270","RC","Both",,,"381","190.5","Humana","Medicare Advantage",,,"54",,"206.5","0.18","1007.5","percent of total billed charges",,
"G-TUBE 12/28FR","0270","RC","Both",,,"381","190.5","UHC","Medicare Advantage",,,"54",,"206.5","0.18","1007.5","percent of total billed charges",,
"G-TUBE 12/28FR","0270","RC","Both",,,"381","190.5","Clover","Medicare Advantage",,,"54",,"206.5","0.18","1007.5","percent of total billed charges",,
"G-TUBE 12/28FR","0270","RC","Both",,,"381","190.5","Wellcare","Medicare Advantage",,,"54",,"206.5","0.18","1007.5","percent of total billed charges",,
"G-TUBE 12/28FR","0270","RC","Both",,,"381","190.5","Amerigroup","Medicaid Managed Care",,,"37",,"139.45","0.18","1007.5","percent of total billed charges",,
"G-TUBE 12/28FR","0270","RC","Both",,,"381","190.5","Caresource","Medicaid Managed Care",,,"40",,"152.4","0.18","1007.5","percent of total billed charges",,
"G-TUBE 12/28FR","0270","RC","Both",,,"381","190.5","Wellcare","Medicaid Managed Care",,,"40",,"154.3","0.18","1007.5","percent of total billed charges",,
"G-TUBE 12/28FR","0270","RC","Both",,,"381","190.5","Aetna","Commercial",,,"64",,"243.08","0.18","1007.5","percent of total billed charges",,
"G-TUBE 12/28FR","0270","RC","Both",,,"381","190.5","Blue Cross Blue Shield","Pathways",,,"71",,"268.99","0.18","1007.5","percent of total billed charges",,
"G-TUBE 12/28FR","0270","RC","Both",,,"381","190.5","Blue Cross Blue Shield","HMO",,,"71",,"268.99","0.18","1007.5","percent of total billed charges",,
"G-TUBE 12/28FR","0270","RC","Both",,,"381","190.5","Blue Cross Blue Shield","PPO",,,"71",,"268.99","0.18","1007.5","percent of total billed charges",,
"G-TUBE 12/28FR","0270","RC","Both",,,"381","190.5","Ambetter","Health Exchange",,,"62",,"236.22","0.18","1007.5","percent of total billed charges",,
"G-TUBE 12/28FR","0270","RC","Both",,,"381","190.5","Caresource","Health Exchange",,,"62",,"236.22","0.18","1007.5","percent of total billed charges",,
"G-TUBE 12/28FR","0270","RC","Both",,,"381","190.5","Cigna","Commercial",,,"59",,"223.27","0.18","1007.5","percent of total billed charges",,
"G-TUBE 12/28FR","0270","RC","Both",,,"381","190.5","Humana","Commercial",,,"78",,"295.28","0.18","1007.5","percent of total billed charges",,
"G-TUBE 12/28FR","0270","RC","Both",,,"381","190.5","UHC","Commercial",,,"75",,"287.27","0.18","1007.5","percent of total billed charges",,
"G-TUBE 12/28FR","0270","RC","Both",,,"381","190.5","Medicaid",,,,"37",,"139.45","0.18","1007.5","percent of total billed charges",,
"1 PROLENE 8824G","0270","RC","Both",,,"17","8.5","Alliant","Health Exchange",,,"62",,"10.54","0.18","1007.5","percent of total billed charges",,
"1 PROLENE 8824G","0270","RC","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.18","0.18","1007.5","percent of total billed charges",,
"1 PROLENE 8824G","0270","RC","Both",,,"17","8.5","Medicare",,,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"1 PROLENE 8824G","0270","RC","Both",,,"17","8.5","Humana","Medicare Advantage",,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"1 PROLENE 8824G","0270","RC","Both",,,"17","8.5","UHC","Medicare Advantage",,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"1 PROLENE 8824G","0270","RC","Both",,,"17","8.5","Clover","Medicare Advantage",,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"1 PROLENE 8824G","0270","RC","Both",,,"17","8.5","Wellcare","Medicare Advantage",,,"54",,"9.21","0.18","1007.5","percent of total billed charges",,
"1 PROLENE 8824G","0270","RC","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.22","0.18","1007.5","percent of total billed charges",,
"1 PROLENE 8824G","0270","RC","Both",,,"17","8.5","Caresource","Medicaid Managed Care",,,"40",,"6.8","0.18","1007.5","percent of total billed charges",,
"1 PROLENE 8824G","0270","RC","Both",,,"17","8.5","Wellcare","Medicaid Managed Care",,,"40",,"6.89","0.18","1007.5","percent of total billed charges",,
"1 PROLENE 8824G","0270","RC","Both",,,"17","8.5","Aetna","Commercial",,,"64",,"10.85","0.18","1007.5","percent of total billed charges",,
"1 PROLENE 8824G","0270","RC","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways",,,"71",,"12","0.18","1007.5","percent of total billed charges",,
"1 PROLENE 8824G","0270","RC","Both",,,"17","8.5","Blue Cross Blue Shield","HMO",,,"71",,"12","0.18","1007.5","percent of total billed charges",,
"1 PROLENE 8824G","0270","RC","Both",,,"17","8.5","Blue Cross Blue Shield","PPO",,,"71",,"12","0.18","1007.5","percent of total billed charges",,
"1 PROLENE 8824G","0270","RC","Both",,,"17","8.5","Ambetter","Health Exchange",,,"62",,"10.54","0.18","1007.5","percent of total billed charges",,
"1 PROLENE 8824G","0270","RC","Both",,,"17","8.5","Caresource","Health Exchange",,,"62",,"10.54","0.18","1007.5","percent of total billed charges",,
"1 PROLENE 8824G","0270","RC","Both",,,"17","8.5","Cigna","Commercial",,,"59",,"9.96","0.18","1007.5","percent of total billed charges",,
"1 PROLENE 8824G","0270","RC","Both",,,"17","8.5","Humana","Commercial",,,"78",,"13.18","0.18","1007.5","percent of total billed charges",,
"1 PROLENE 8824G","0270","RC","Both",,,"17","8.5","UHC","Commercial",,,"75",,"12.82","0.18","1007.5","percent of total billed charges",,
"1 PROLENE 8824G","0270","RC","Both",,,"17","8.5","Medicaid",,,,"37",,"6.22","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 20FR","0270","RC","Both",,,"53","26.5","Alliant","Health Exchange",,,"62",,"32.86","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 20FR","0270","RC","Both",,,"53","26.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.62","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 20FR","0270","RC","Both",,,"53","26.5","Medicare",,,,"54",,"28.73","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 20FR","0270","RC","Both",,,"53","26.5","Humana","Medicare Advantage",,,"54",,"28.73","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 20FR","0270","RC","Both",,,"53","26.5","UHC","Medicare Advantage",,,"54",,"28.73","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 20FR","0270","RC","Both",,,"53","26.5","Clover","Medicare Advantage",,,"54",,"28.73","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 20FR","0270","RC","Both",,,"53","26.5","Wellcare","Medicare Advantage",,,"54",,"28.73","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 20FR","0270","RC","Both",,,"53","26.5","Amerigroup","Medicaid Managed Care",,,"37",,"19.4","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 20FR","0270","RC","Both",,,"53","26.5","Caresource","Medicaid Managed Care",,,"40",,"21.2","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 20FR","0270","RC","Both",,,"53","26.5","Wellcare","Medicaid Managed Care",,,"40",,"21.46","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 20FR","0270","RC","Both",,,"53","26.5","Aetna","Commercial",,,"64",,"33.81","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 20FR","0270","RC","Both",,,"53","26.5","Blue Cross Blue Shield","Pathways",,,"71",,"37.42","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 20FR","0270","RC","Both",,,"53","26.5","Blue Cross Blue Shield","HMO",,,"71",,"37.42","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 20FR","0270","RC","Both",,,"53","26.5","Blue Cross Blue Shield","PPO",,,"71",,"37.42","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 20FR","0270","RC","Both",,,"53","26.5","Ambetter","Health Exchange",,,"62",,"32.86","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 20FR","0270","RC","Both",,,"53","26.5","Caresource","Health Exchange",,,"62",,"32.86","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 20FR","0270","RC","Both",,,"53","26.5","Cigna","Commercial",,,"59",,"31.06","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 20FR","0270","RC","Both",,,"53","26.5","Humana","Commercial",,,"78",,"41.08","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 20FR","0270","RC","Both",,,"53","26.5","UHC","Commercial",,,"75",,"39.96","0.18","1007.5","percent of total billed charges",,
"GASTROSTOMY TUBE 20FR","0270","RC","Both",,,"53","26.5","Medicaid",,,,"37",,"19.4","0.18","1007.5","percent of total billed charges",,
"1/2 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Alliant","Health Exchange",,,"62",,"37.2","4.76","93","percent of total billed charges",,
"1/2 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage",,,"54",,"32.4","4.76","93","percent of total billed charges",,
"1/2 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Medicare",,,,"54",,"32.52","4.76","93","percent of total billed charges",,
"1/2 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Humana","Medicare Advantage",,,"54",,"32.52","4.76","93","percent of total billed charges",,
"1/2 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","UHC","Medicare Advantage",,,"54",,"32.52","4.76","93","percent of total billed charges",,
"1/2 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Clover","Medicare Advantage",,,"54",,"32.52","4.76","93","percent of total billed charges",,
"1/2 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Wellcare","Medicare Advantage",,,"54",,"32.52","4.76","93","percent of total billed charges",,
"1/2 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Amerigroup","Medicaid Managed Care",,,"37",,"21.96","4.76","93","percent of total billed charges",,
"1/2 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Caresource","Medicaid Managed Care",,,"40",,"24","4.76","93","percent of total billed charges",,
"1/2 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Wellcare","Medicaid Managed Care",,,"40",,"24.3","4.76","93","percent of total billed charges",,
"1/2 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Aetna","Commercial",,,"64",,"38.28","4.76","93","percent of total billed charges",,
"1/2 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Blue Cross Blue Shield","Pathways",,,"71",,"42.36","4.76","93","percent of total billed charges",,
"1/2 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Blue Cross Blue Shield","HMO",,,"71",,"42.36","4.76","93","percent of total billed charges",,
"1/2 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Blue Cross Blue Shield","PPO",,,"71",,"42.36","4.76","93","percent of total billed charges",,
"1/2 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Ambetter","Health Exchange",,,"62",,"37.2","4.76","93","percent of total billed charges",,
"1/2 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Caresource","Health Exchange",,,"62",,"37.2","4.76","93","percent of total billed charges",,
"1/2 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Cigna","Commercial",,,"59",,"35.16","4.76","93","percent of total billed charges",,
"1/2 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Humana","Commercial",,,"78",,"46.5","4.76","93","percent of total billed charges",,
"1/2 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","UHC","Commercial",,,"75",,"45.24","4.76","93","percent of total billed charges",,
"1/2 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Medicaid",,,,"37",,"21.96","4.76","93","percent of total billed charges",,
"1/2 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Alliant","Health Exchange",,,"62",,"18.6","4.76","93","percent of total billed charges",,
"1/2 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.2","4.76","93","percent of total billed charges",,
"1/2 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Medicare",,,,"54",,"16.26","4.76","93","percent of total billed charges",,
"1/2 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Humana","Medicare Advantage",,,"54",,"16.26","4.76","93","percent of total billed charges",,
"1/2 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","UHC","Medicare Advantage",,,"54",,"16.26","4.76","93","percent of total billed charges",,
"1/2 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Clover","Medicare Advantage",,,"54",,"16.26","4.76","93","percent of total billed charges",,
"1/2 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Wellcare","Medicare Advantage",,,"54",,"16.26","4.76","93","percent of total billed charges",,
"1/2 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Amerigroup","Medicaid Managed Care",,,"37",,"10.98","4.76","93","percent of total billed charges",,
"1/2 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Caresource","Medicaid Managed Care",,,"40",,"12","4.76","93","percent of total billed charges",,
"1/2 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Wellcare","Medicaid Managed Care",,,"40",,"12.15","4.76","93","percent of total billed charges",,
"1/2 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Aetna","Commercial",,,"64",,"19.14","4.76","93","percent of total billed charges",,
"1/2 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Blue Cross Blue Shield","Pathways",,,"71",,"21.18","4.76","93","percent of total billed charges",,
"1/2 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Blue Cross Blue Shield","HMO",,,"71",,"21.18","4.76","93","percent of total billed charges",,
"1/2 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Blue Cross Blue Shield","PPO",,,"71",,"21.18","4.76","93","percent of total billed charges",,
"1/2 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Ambetter","Health Exchange",,,"62",,"18.6","4.76","93","percent of total billed charges",,
"1/2 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Caresource","Health Exchange",,,"62",,"18.6","4.76","93","percent of total billed charges",,
"1/2 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Cigna","Commercial",,,"59",,"17.58","4.76","93","percent of total billed charges",,
"1/2 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Humana","Commercial",,,"78",,"23.25","4.76","93","percent of total billed charges",,
"1/2 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","UHC","Commercial",,,"75",,"22.62","4.76","93","percent of total billed charges",,
"1/2 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Medicaid",,,,"37",,"10.98","4.76","93","percent of total billed charges",,
"D10W 1000ML","0258","RC","Both",,,"60","30","Alliant","Health Exchange",,,"62",,"37.2","4.76","93","percent of total billed charges",,
"D10W 1000ML","0258","RC","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage",,,"54",,"32.4","4.76","93","percent of total billed charges",,
"D10W 1000ML","0258","RC","Both",,,"60","30","Medicare",,,,"54",,"32.52","4.76","93","percent of total billed charges",,
"D10W 1000ML","0258","RC","Both",,,"60","30","Humana","Medicare Advantage",,,"54",,"32.52","4.76","93","percent of total billed charges",,
"D10W 1000ML","0258","RC","Both",,,"60","30","UHC","Medicare Advantage",,,"54",,"32.52","4.76","93","percent of total billed charges",,
"D10W 1000ML","0258","RC","Both",,,"60","30","Clover","Medicare Advantage",,,"54",,"32.52","4.76","93","percent of total billed charges",,
"D10W 1000ML","0258","RC","Both",,,"60","30","Wellcare","Medicare Advantage",,,"54",,"32.52","4.76","93","percent of total billed charges",,
"D10W 1000ML","0258","RC","Both",,,"60","30","Amerigroup","Medicaid Managed Care",,,"37",,"21.96","4.76","93","percent of total billed charges",,
"D10W 1000ML","0258","RC","Both",,,"60","30","Caresource","Medicaid Managed Care",,,"40",,"24","4.76","93","percent of total billed charges",,
"D10W 1000ML","0258","RC","Both",,,"60","30","Wellcare","Medicaid Managed Care",,,"40",,"24.3","4.76","93","percent of total billed charges",,
"D10W 1000ML","0258","RC","Both",,,"60","30","Aetna","Commercial",,,"64",,"38.28","4.76","93","percent of total billed charges",,
"D10W 1000ML","0258","RC","Both",,,"60","30","Blue Cross Blue Shield","Pathways",,,"71",,"42.36","4.76","93","percent of total billed charges",,
"D10W 1000ML","0258","RC","Both",,,"60","30","Blue Cross Blue Shield","HMO",,,"71",,"42.36","4.76","93","percent of total billed charges",,
"D10W 1000ML","0258","RC","Both",,,"60","30","Blue Cross Blue Shield","PPO",,,"71",,"42.36","4.76","93","percent of total billed charges",,
"D10W 1000ML","0258","RC","Both",,,"60","30","Ambetter","Health Exchange",,,"62",,"37.2","4.76","93","percent of total billed charges",,
"D10W 1000ML","0258","RC","Both",,,"60","30","Caresource","Health Exchange",,,"62",,"37.2","4.76","93","percent of total billed charges",,
"D10W 1000ML","0258","RC","Both",,,"60","30","Cigna","Commercial",,,"59",,"35.16","4.76","93","percent of total billed charges",,
"D10W 1000ML","0258","RC","Both",,,"60","30","Humana","Commercial",,,"78",,"46.5","4.76","93","percent of total billed charges",,
"D10W 1000ML","0258","RC","Both",,,"60","30","UHC","Commercial",,,"75",,"45.24","4.76","93","percent of total billed charges",,
"D10W 1000ML","0258","RC","Both",,,"60","30","Medicaid",,,,"37",,"21.96","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 20mEq/LITER 1000ML","0258","RC","Both",,,"72","36","Alliant","Health Exchange",,,"62",,"44.64","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 20mEq/LITER 1000ML","0258","RC","Both",,,"72","36","Pruitt Healthcare","Medicare Advantage",,,"54",,"38.88","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 20mEq/LITER 1000ML","0258","RC","Both",,,"72","36","Medicare",,,,"54",,"39.02","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 20mEq/LITER 1000ML","0258","RC","Both",,,"72","36","Humana","Medicare Advantage",,,"54",,"39.02","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 20mEq/LITER 1000ML","0258","RC","Both",,,"72","36","UHC","Medicare Advantage",,,"54",,"39.02","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 20mEq/LITER 1000ML","0258","RC","Both",,,"72","36","Clover","Medicare Advantage",,,"54",,"39.02","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 20mEq/LITER 1000ML","0258","RC","Both",,,"72","36","Wellcare","Medicare Advantage",,,"54",,"39.02","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 20mEq/LITER 1000ML","0258","RC","Both",,,"72","36","Amerigroup","Medicaid Managed Care",,,"37",,"26.35","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 20mEq/LITER 1000ML","0258","RC","Both",,,"72","36","Caresource","Medicaid Managed Care",,,"40",,"28.8","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 20mEq/LITER 1000ML","0258","RC","Both",,,"72","36","Wellcare","Medicaid Managed Care",,,"40",,"29.16","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 20mEq/LITER 1000ML","0258","RC","Both",,,"72","36","Aetna","Commercial",,,"64",,"45.94","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 20mEq/LITER 1000ML","0258","RC","Both",,,"72","36","Blue Cross Blue Shield","Pathways",,,"71",,"50.83","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 20mEq/LITER 1000ML","0258","RC","Both",,,"72","36","Blue Cross Blue Shield","HMO",,,"71",,"50.83","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 20mEq/LITER 1000ML","0258","RC","Both",,,"72","36","Blue Cross Blue Shield","PPO",,,"71",,"50.83","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 20mEq/LITER 1000ML","0258","RC","Both",,,"72","36","Ambetter","Health Exchange",,,"62",,"44.64","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 20mEq/LITER 1000ML","0258","RC","Both",,,"72","36","Caresource","Health Exchange",,,"62",,"44.64","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 20mEq/LITER 1000ML","0258","RC","Both",,,"72","36","Cigna","Commercial",,,"59",,"42.19","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 20mEq/LITER 1000ML","0258","RC","Both",,,"72","36","Humana","Commercial",,,"78",,"55.8","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 20mEq/LITER 1000ML","0258","RC","Both",,,"72","36","UHC","Commercial",,,"75",,"54.29","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 20mEq/LITER 1000ML","0258","RC","Both",,,"72","36","Medicaid",,,,"37",,"26.35","4.76","93","percent of total billed charges",,
"D5 1/2 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Alliant","Health Exchange",,,"62",,"37.2","4.76","93","percent of total billed charges",,
"D5 1/2 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage",,,"54",,"32.4","4.76","93","percent of total billed charges",,
"D5 1/2 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Medicare",,,,"54",,"32.52","4.76","93","percent of total billed charges",,
"D5 1/2 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Humana","Medicare Advantage",,,"54",,"32.52","4.76","93","percent of total billed charges",,
"D5 1/2 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","UHC","Medicare Advantage",,,"54",,"32.52","4.76","93","percent of total billed charges",,
"D5 1/2 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Clover","Medicare Advantage",,,"54",,"32.52","4.76","93","percent of total billed charges",,
"D5 1/2 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Wellcare","Medicare Advantage",,,"54",,"32.52","4.76","93","percent of total billed charges",,
"D5 1/2 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Amerigroup","Medicaid Managed Care",,,"37",,"21.96","4.76","93","percent of total billed charges",,
"D5 1/2 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Caresource","Medicaid Managed Care",,,"40",,"24","4.76","93","percent of total billed charges",,
"D5 1/2 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Wellcare","Medicaid Managed Care",,,"40",,"24.3","4.76","93","percent of total billed charges",,
"D5 1/2 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Aetna","Commercial",,,"64",,"38.28","4.76","93","percent of total billed charges",,
"D5 1/2 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Blue Cross Blue Shield","Pathways",,,"71",,"42.36","4.76","93","percent of total billed charges",,
"D5 1/2 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Blue Cross Blue Shield","HMO",,,"71",,"42.36","4.76","93","percent of total billed charges",,
"D5 1/2 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Blue Cross Blue Shield","PPO",,,"71",,"42.36","4.76","93","percent of total billed charges",,
"D5 1/2 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Ambetter","Health Exchange",,,"62",,"37.2","4.76","93","percent of total billed charges",,
"D5 1/2 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Caresource","Health Exchange",,,"62",,"37.2","4.76","93","percent of total billed charges",,
"D5 1/2 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Cigna","Commercial",,,"59",,"35.16","4.76","93","percent of total billed charges",,
"D5 1/2 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Humana","Commercial",,,"78",,"46.5","4.76","93","percent of total billed charges",,
"D5 1/2 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","UHC","Commercial",,,"75",,"45.24","4.76","93","percent of total billed charges",,
"D5 1/2 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Medicaid",,,,"37",,"21.96","4.76","93","percent of total billed charges",,
"D5 1/2 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Alliant","Health Exchange",,,"62",,"18.6","4.76","93","percent of total billed charges",,
"D5 1/2 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.2","4.76","93","percent of total billed charges",,
"D5 1/2 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Medicare",,,,"54",,"16.26","4.76","93","percent of total billed charges",,
"D5 1/2 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Humana","Medicare Advantage",,,"54",,"16.26","4.76","93","percent of total billed charges",,
"D5 1/2 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","UHC","Medicare Advantage",,,"54",,"16.26","4.76","93","percent of total billed charges",,
"D5 1/2 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Clover","Medicare Advantage",,,"54",,"16.26","4.76","93","percent of total billed charges",,
"D5 1/2 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Wellcare","Medicare Advantage",,,"54",,"16.26","4.76","93","percent of total billed charges",,
"D5 1/2 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Amerigroup","Medicaid Managed Care",,,"37",,"10.98","4.76","93","percent of total billed charges",,
"D5 1/2 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Caresource","Medicaid Managed Care",,,"40",,"12","4.76","93","percent of total billed charges",,
"D5 1/2 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Wellcare","Medicaid Managed Care",,,"40",,"12.15","4.76","93","percent of total billed charges",,
"D5 1/2 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Aetna","Commercial",,,"64",,"19.14","4.76","93","percent of total billed charges",,
"D5 1/2 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Blue Cross Blue Shield","Pathways",,,"71",,"21.18","4.76","93","percent of total billed charges",,
"D5 1/2 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Blue Cross Blue Shield","HMO",,,"71",,"21.18","4.76","93","percent of total billed charges",,
"D5 1/2 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Blue Cross Blue Shield","PPO",,,"71",,"21.18","4.76","93","percent of total billed charges",,
"D5 1/2 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Ambetter","Health Exchange",,,"62",,"18.6","4.76","93","percent of total billed charges",,
"D5 1/2 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Caresource","Health Exchange",,,"62",,"18.6","4.76","93","percent of total billed charges",,
"D5 1/2 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Cigna","Commercial",,,"59",,"17.58","4.76","93","percent of total billed charges",,
"D5 1/2 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Humana","Commercial",,,"78",,"23.25","4.76","93","percent of total billed charges",,
"D5 1/2 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","UHC","Commercial",,,"75",,"22.62","4.76","93","percent of total billed charges",,
"D5 1/2 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Medicaid",,,,"37",,"10.98","4.76","93","percent of total billed charges",,
"D5 1/4 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Alliant","Health Exchange",,,"62",,"37.2","4.76","93","percent of total billed charges",,
"D5 1/4 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage",,,"54",,"32.4","4.76","93","percent of total billed charges",,
"D5 1/4 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Medicare",,,,"54",,"32.52","4.76","93","percent of total billed charges",,
"D5 1/4 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Humana","Medicare Advantage",,,"54",,"32.52","4.76","93","percent of total billed charges",,
"D5 1/4 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","UHC","Medicare Advantage",,,"54",,"32.52","4.76","93","percent of total billed charges",,
"D5 1/4 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Clover","Medicare Advantage",,,"54",,"32.52","4.76","93","percent of total billed charges",,
"D5 1/4 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Wellcare","Medicare Advantage",,,"54",,"32.52","4.76","93","percent of total billed charges",,
"D5 1/4 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Amerigroup","Medicaid Managed Care",,,"37",,"21.96","4.76","93","percent of total billed charges",,
"D5 1/4 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Caresource","Medicaid Managed Care",,,"40",,"24","4.76","93","percent of total billed charges",,
"D5 1/4 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Wellcare","Medicaid Managed Care",,,"40",,"24.3","4.76","93","percent of total billed charges",,
"D5 1/4 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Aetna","Commercial",,,"64",,"38.28","4.76","93","percent of total billed charges",,
"D5 1/4 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Blue Cross Blue Shield","Pathways",,,"71",,"42.36","4.76","93","percent of total billed charges",,
"D5 1/4 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Blue Cross Blue Shield","HMO",,,"71",,"42.36","4.76","93","percent of total billed charges",,
"D5 1/4 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Blue Cross Blue Shield","PPO",,,"71",,"42.36","4.76","93","percent of total billed charges",,
"D5 1/4 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Ambetter","Health Exchange",,,"62",,"37.2","4.76","93","percent of total billed charges",,
"D5 1/4 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Caresource","Health Exchange",,,"62",,"37.2","4.76","93","percent of total billed charges",,
"D5 1/4 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Cigna","Commercial",,,"59",,"35.16","4.76","93","percent of total billed charges",,
"D5 1/4 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Humana","Commercial",,,"78",,"46.5","4.76","93","percent of total billed charges",,
"D5 1/4 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","UHC","Commercial",,,"75",,"45.24","4.76","93","percent of total billed charges",,
"D5 1/4 NORMAL SALINE 1000ML","0258","RC","Both",,,"60","30","Medicaid",,,,"37",,"21.96","4.76","93","percent of total billed charges",,
"D5 1/4 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Alliant","Health Exchange",,,"62",,"18.6","4.76","93","percent of total billed charges",,
"D5 1/4 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.2","4.76","93","percent of total billed charges",,
"D5 1/4 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Medicare",,,,"54",,"16.26","4.76","93","percent of total billed charges",,
"D5 1/4 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Humana","Medicare Advantage",,,"54",,"16.26","4.76","93","percent of total billed charges",,
"D5 1/4 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","UHC","Medicare Advantage",,,"54",,"16.26","4.76","93","percent of total billed charges",,
"D5 1/4 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Clover","Medicare Advantage",,,"54",,"16.26","4.76","93","percent of total billed charges",,
"D5 1/4 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Wellcare","Medicare Advantage",,,"54",,"16.26","4.76","93","percent of total billed charges",,
"D5 1/4 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Amerigroup","Medicaid Managed Care",,,"37",,"10.98","4.76","93","percent of total billed charges",,
"D5 1/4 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Caresource","Medicaid Managed Care",,,"40",,"12","4.76","93","percent of total billed charges",,
"D5 1/4 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Wellcare","Medicaid Managed Care",,,"40",,"12.15","4.76","93","percent of total billed charges",,
"D5 1/4 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Aetna","Commercial",,,"64",,"19.14","4.76","93","percent of total billed charges",,
"D5 1/4 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Blue Cross Blue Shield","Pathways",,,"71",,"21.18","4.76","93","percent of total billed charges",,
"D5 1/4 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Blue Cross Blue Shield","HMO",,,"71",,"21.18","4.76","93","percent of total billed charges",,
"D5 1/4 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Blue Cross Blue Shield","PPO",,,"71",,"21.18","4.76","93","percent of total billed charges",,
"D5 1/4 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Ambetter","Health Exchange",,,"62",,"18.6","4.76","93","percent of total billed charges",,
"D5 1/4 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Caresource","Health Exchange",,,"62",,"18.6","4.76","93","percent of total billed charges",,
"D5 1/4 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Cigna","Commercial",,,"59",,"17.58","4.76","93","percent of total billed charges",,
"D5 1/4 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Humana","Commercial",,,"78",,"23.25","4.76","93","percent of total billed charges",,
"D5 1/4 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","UHC","Commercial",,,"75",,"22.62","4.76","93","percent of total billed charges",,
"D5 1/4 NORMAL SALINE 500ML","0258","RC","Both",,,"30","15","Medicaid",,,,"37",,"10.98","4.76","93","percent of total billed charges",,
"D5NS 1000ML","0258","RC","Both",,,"60","30","Alliant","Health Exchange",,,"62",,"37.2","4.76","93","percent of total billed charges",,
"D5NS 1000ML","0258","RC","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage",,,"54",,"32.4","4.76","93","percent of total billed charges",,
"D5NS 1000ML","0258","RC","Both",,,"60","30","Medicare",,,,"54",,"32.52","4.76","93","percent of total billed charges",,
"D5NS 1000ML","0258","RC","Both",,,"60","30","Humana","Medicare Advantage",,,"54",,"32.52","4.76","93","percent of total billed charges",,
"D5NS 1000ML","0258","RC","Both",,,"60","30","UHC","Medicare Advantage",,,"54",,"32.52","4.76","93","percent of total billed charges",,
"D5NS 1000ML","0258","RC","Both",,,"60","30","Clover","Medicare Advantage",,,"54",,"32.52","4.76","93","percent of total billed charges",,
"D5NS 1000ML","0258","RC","Both",,,"60","30","Wellcare","Medicare Advantage",,,"54",,"32.52","4.76","93","percent of total billed charges",,
"D5NS 1000ML","0258","RC","Both",,,"60","30","Amerigroup","Medicaid Managed Care",,,"37",,"21.96","4.76","93","percent of total billed charges",,
"D5NS 1000ML","0258","RC","Both",,,"60","30","Caresource","Medicaid Managed Care",,,"40",,"24","4.76","93","percent of total billed charges",,
"D5NS 1000ML","0258","RC","Both",,,"60","30","Wellcare","Medicaid Managed Care",,,"40",,"24.3","4.76","93","percent of total billed charges",,
"D5NS 1000ML","0258","RC","Both",,,"60","30","Aetna","Commercial",,,"64",,"38.28","4.76","93","percent of total billed charges",,
"D5NS 1000ML","0258","RC","Both",,,"60","30","Blue Cross Blue Shield","Pathways",,,"71",,"42.36","4.76","93","percent of total billed charges",,
"D5NS 1000ML","0258","RC","Both",,,"60","30","Blue Cross Blue Shield","HMO",,,"71",,"42.36","4.76","93","percent of total billed charges",,
"D5NS 1000ML","0258","RC","Both",,,"60","30","Blue Cross Blue Shield","PPO",,,"71",,"42.36","4.76","93","percent of total billed charges",,
"D5NS 1000ML","0258","RC","Both",,,"60","30","Ambetter","Health Exchange",,,"62",,"37.2","4.76","93","percent of total billed charges",,
"D5NS 1000ML","0258","RC","Both",,,"60","30","Caresource","Health Exchange",,,"62",,"37.2","4.76","93","percent of total billed charges",,
"D5NS 1000ML","0258","RC","Both",,,"60","30","Cigna","Commercial",,,"59",,"35.16","4.76","93","percent of total billed charges",,
"D5NS 1000ML","0258","RC","Both",,,"60","30","Humana","Commercial",,,"78",,"46.5","4.76","93","percent of total billed charges",,
"D5NS 1000ML","0258","RC","Both",,,"60","30","UHC","Commercial",,,"75",,"45.24","4.76","93","percent of total billed charges",,
"D5NS 1000ML","0258","RC","Both",,,"60","30","Medicaid",,,,"37",,"21.96","4.76","93","percent of total billed charges",,
"NORMAL SALINE W/20mEq KCL 1000ml","0258","RC","Both",,,"72","36","Alliant","Health Exchange",,,"62",,"44.64","4.76","93","percent of total billed charges",,
"NORMAL SALINE W/20mEq KCL 1000ml","0258","RC","Both",,,"72","36","Pruitt Healthcare","Medicare Advantage",,,"54",,"38.88","4.76","93","percent of total billed charges",,
"NORMAL SALINE W/20mEq KCL 1000ml","0258","RC","Both",,,"72","36","Medicare",,,,"54",,"39.02","4.76","93","percent of total billed charges",,
"NORMAL SALINE W/20mEq KCL 1000ml","0258","RC","Both",,,"72","36","Humana","Medicare Advantage",,,"54",,"39.02","4.76","93","percent of total billed charges",,
"NORMAL SALINE W/20mEq KCL 1000ml","0258","RC","Both",,,"72","36","UHC","Medicare Advantage",,,"54",,"39.02","4.76","93","percent of total billed charges",,
"NORMAL SALINE W/20mEq KCL 1000ml","0258","RC","Both",,,"72","36","Clover","Medicare Advantage",,,"54",,"39.02","4.76","93","percent of total billed charges",,
"NORMAL SALINE W/20mEq KCL 1000ml","0258","RC","Both",,,"72","36","Wellcare","Medicare Advantage",,,"54",,"39.02","4.76","93","percent of total billed charges",,
"NORMAL SALINE W/20mEq KCL 1000ml","0258","RC","Both",,,"72","36","Amerigroup","Medicaid Managed Care",,,"37",,"26.35","4.76","93","percent of total billed charges",,
"NORMAL SALINE W/20mEq KCL 1000ml","0258","RC","Both",,,"72","36","Caresource","Medicaid Managed Care",,,"40",,"28.8","4.76","93","percent of total billed charges",,
"NORMAL SALINE W/20mEq KCL 1000ml","0258","RC","Both",,,"72","36","Wellcare","Medicaid Managed Care",,,"40",,"29.16","4.76","93","percent of total billed charges",,
"NORMAL SALINE W/20mEq KCL 1000ml","0258","RC","Both",,,"72","36","Aetna","Commercial",,,"64",,"45.94","4.76","93","percent of total billed charges",,
"NORMAL SALINE W/20mEq KCL 1000ml","0258","RC","Both",,,"72","36","Blue Cross Blue Shield","Pathways",,,"71",,"50.83","4.76","93","percent of total billed charges",,
"NORMAL SALINE W/20mEq KCL 1000ml","0258","RC","Both",,,"72","36","Blue Cross Blue Shield","HMO",,,"71",,"50.83","4.76","93","percent of total billed charges",,
"NORMAL SALINE W/20mEq KCL 1000ml","0258","RC","Both",,,"72","36","Blue Cross Blue Shield","PPO",,,"71",,"50.83","4.76","93","percent of total billed charges",,
"NORMAL SALINE W/20mEq KCL 1000ml","0258","RC","Both",,,"72","36","Ambetter","Health Exchange",,,"62",,"44.64","4.76","93","percent of total billed charges",,
"NORMAL SALINE W/20mEq KCL 1000ml","0258","RC","Both",,,"72","36","Caresource","Health Exchange",,,"62",,"44.64","4.76","93","percent of total billed charges",,
"NORMAL SALINE W/20mEq KCL 1000ml","0258","RC","Both",,,"72","36","Cigna","Commercial",,,"59",,"42.19","4.76","93","percent of total billed charges",,
"NORMAL SALINE W/20mEq KCL 1000ml","0258","RC","Both",,,"72","36","Humana","Commercial",,,"78",,"55.8","4.76","93","percent of total billed charges",,
"NORMAL SALINE W/20mEq KCL 1000ml","0258","RC","Both",,,"72","36","UHC","Commercial",,,"75",,"54.29","4.76","93","percent of total billed charges",,
"NORMAL SALINE W/20mEq KCL 1000ml","0258","RC","Both",,,"72","36","Medicaid",,,,"37",,"26.35","4.76","93","percent of total billed charges",,
"NORMAL SALINE W/40mEq KCL 1000ML","0258","RC","Both",,,"72","36","Alliant","Health Exchange",,,"62",,"44.64","4.76","93","percent of total billed charges",,
"NORMAL SALINE W/40mEq KCL 1000ML","0258","RC","Both",,,"72","36","Pruitt Healthcare","Medicare Advantage",,,"54",,"38.88","4.76","93","percent of total billed charges",,
"NORMAL SALINE W/40mEq KCL 1000ML","0258","RC","Both",,,"72","36","Medicare",,,,"54",,"39.02","4.76","93","percent of total billed charges",,
"NORMAL SALINE W/40mEq KCL 1000ML","0258","RC","Both",,,"72","36","Humana","Medicare Advantage",,,"54",,"39.02","4.76","93","percent of total billed charges",,
"NORMAL SALINE W/40mEq KCL 1000ML","0258","RC","Both",,,"72","36","UHC","Medicare Advantage",,,"54",,"39.02","4.76","93","percent of total billed charges",,
"NORMAL SALINE W/40mEq KCL 1000ML","0258","RC","Both",,,"72","36","Clover","Medicare Advantage",,,"54",,"39.02","4.76","93","percent of total billed charges",,
"NORMAL SALINE W/40mEq KCL 1000ML","0258","RC","Both",,,"72","36","Wellcare","Medicare Advantage",,,"54",,"39.02","4.76","93","percent of total billed charges",,
"NORMAL SALINE W/40mEq KCL 1000ML","0258","RC","Both",,,"72","36","Amerigroup","Medicaid Managed Care",,,"37",,"26.35","4.76","93","percent of total billed charges",,
"NORMAL SALINE W/40mEq KCL 1000ML","0258","RC","Both",,,"72","36","Caresource","Medicaid Managed Care",,,"40",,"28.8","4.76","93","percent of total billed charges",,
"NORMAL SALINE W/40mEq KCL 1000ML","0258","RC","Both",,,"72","36","Wellcare","Medicaid Managed Care",,,"40",,"29.16","4.76","93","percent of total billed charges",,
"NORMAL SALINE W/40mEq KCL 1000ML","0258","RC","Both",,,"72","36","Aetna","Commercial",,,"64",,"45.94","4.76","93","percent of total billed charges",,
"NORMAL SALINE W/40mEq KCL 1000ML","0258","RC","Both",,,"72","36","Blue Cross Blue Shield","Pathways",,,"71",,"50.83","4.76","93","percent of total billed charges",,
"NORMAL SALINE W/40mEq KCL 1000ML","0258","RC","Both",,,"72","36","Blue Cross Blue Shield","HMO",,,"71",,"50.83","4.76","93","percent of total billed charges",,
"NORMAL SALINE W/40mEq KCL 1000ML","0258","RC","Both",,,"72","36","Blue Cross Blue Shield","PPO",,,"71",,"50.83","4.76","93","percent of total billed charges",,
"NORMAL SALINE W/40mEq KCL 1000ML","0258","RC","Both",,,"72","36","Ambetter","Health Exchange",,,"62",,"44.64","4.76","93","percent of total billed charges",,
"NORMAL SALINE W/40mEq KCL 1000ML","0258","RC","Both",,,"72","36","Caresource","Health Exchange",,,"62",,"44.64","4.76","93","percent of total billed charges",,
"NORMAL SALINE W/40mEq KCL 1000ML","0258","RC","Both",,,"72","36","Cigna","Commercial",,,"59",,"42.19","4.76","93","percent of total billed charges",,
"NORMAL SALINE W/40mEq KCL 1000ML","0258","RC","Both",,,"72","36","Humana","Commercial",,,"78",,"55.8","4.76","93","percent of total billed charges",,
"NORMAL SALINE W/40mEq KCL 1000ML","0258","RC","Both",,,"72","36","UHC","Commercial",,,"75",,"54.29","4.76","93","percent of total billed charges",,
"NORMAL SALINE W/40mEq KCL 1000ML","0258","RC","Both",,,"72","36","Medicaid",,,,"37",,"26.35","4.76","93","percent of total billed charges",,
"D5NS W/KCL 20mEq/LITER 1000 ML","0258","RC","Both",,,"72","36","Alliant","Health Exchange",,,"62",,"44.64","4.76","93","percent of total billed charges",,
"D5NS W/KCL 20mEq/LITER 1000 ML","0258","RC","Both",,,"72","36","Pruitt Healthcare","Medicare Advantage",,,"54",,"38.88","4.76","93","percent of total billed charges",,
"D5NS W/KCL 20mEq/LITER 1000 ML","0258","RC","Both",,,"72","36","Medicare",,,,"54",,"39.02","4.76","93","percent of total billed charges",,
"D5NS W/KCL 20mEq/LITER 1000 ML","0258","RC","Both",,,"72","36","Humana","Medicare Advantage",,,"54",,"39.02","4.76","93","percent of total billed charges",,
"D5NS W/KCL 20mEq/LITER 1000 ML","0258","RC","Both",,,"72","36","UHC","Medicare Advantage",,,"54",,"39.02","4.76","93","percent of total billed charges",,
"D5NS W/KCL 20mEq/LITER 1000 ML","0258","RC","Both",,,"72","36","Clover","Medicare Advantage",,,"54",,"39.02","4.76","93","percent of total billed charges",,
"D5NS W/KCL 20mEq/LITER 1000 ML","0258","RC","Both",,,"72","36","Wellcare","Medicare Advantage",,,"54",,"39.02","4.76","93","percent of total billed charges",,
"D5NS W/KCL 20mEq/LITER 1000 ML","0258","RC","Both",,,"72","36","Amerigroup","Medicaid Managed Care",,,"37",,"26.35","4.76","93","percent of total billed charges",,
"D5NS W/KCL 20mEq/LITER 1000 ML","0258","RC","Both",,,"72","36","Caresource","Medicaid Managed Care",,,"40",,"28.8","4.76","93","percent of total billed charges",,
"D5NS W/KCL 20mEq/LITER 1000 ML","0258","RC","Both",,,"72","36","Wellcare","Medicaid Managed Care",,,"40",,"29.16","4.76","93","percent of total billed charges",,
"D5NS W/KCL 20mEq/LITER 1000 ML","0258","RC","Both",,,"72","36","Aetna","Commercial",,,"64",,"45.94","4.76","93","percent of total billed charges",,
"D5NS W/KCL 20mEq/LITER 1000 ML","0258","RC","Both",,,"72","36","Blue Cross Blue Shield","Pathways",,,"71",,"50.83","4.76","93","percent of total billed charges",,
"D5NS W/KCL 20mEq/LITER 1000 ML","0258","RC","Both",,,"72","36","Blue Cross Blue Shield","HMO",,,"71",,"50.83","4.76","93","percent of total billed charges",,
"D5NS W/KCL 20mEq/LITER 1000 ML","0258","RC","Both",,,"72","36","Blue Cross Blue Shield","PPO",,,"71",,"50.83","4.76","93","percent of total billed charges",,
"D5NS W/KCL 20mEq/LITER 1000 ML","0258","RC","Both",,,"72","36","Ambetter","Health Exchange",,,"62",,"44.64","4.76","93","percent of total billed charges",,
"D5NS W/KCL 20mEq/LITER 1000 ML","0258","RC","Both",,,"72","36","Caresource","Health Exchange",,,"62",,"44.64","4.76","93","percent of total billed charges",,
"D5NS W/KCL 20mEq/LITER 1000 ML","0258","RC","Both",,,"72","36","Cigna","Commercial",,,"59",,"42.19","4.76","93","percent of total billed charges",,
"D5NS W/KCL 20mEq/LITER 1000 ML","0258","RC","Both",,,"72","36","Humana","Commercial",,,"78",,"55.8","4.76","93","percent of total billed charges",,
"D5NS W/KCL 20mEq/LITER 1000 ML","0258","RC","Both",,,"72","36","UHC","Commercial",,,"75",,"54.29","4.76","93","percent of total billed charges",,
"D5NS W/KCL 20mEq/LITER 1000 ML","0258","RC","Both",,,"72","36","Medicaid",,,,"37",,"26.35","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 10mEq/LITER 1000ML","0258","RC","Both",,,"72","36","Alliant","Health Exchange",,,"62",,"44.64","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 10mEq/LITER 1000ML","0258","RC","Both",,,"72","36","Pruitt Healthcare","Medicare Advantage",,,"54",,"38.88","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 10mEq/LITER 1000ML","0258","RC","Both",,,"72","36","Medicare",,,,"54",,"39.02","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 10mEq/LITER 1000ML","0258","RC","Both",,,"72","36","Humana","Medicare Advantage",,,"54",,"39.02","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 10mEq/LITER 1000ML","0258","RC","Both",,,"72","36","UHC","Medicare Advantage",,,"54",,"39.02","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 10mEq/LITER 1000ML","0258","RC","Both",,,"72","36","Clover","Medicare Advantage",,,"54",,"39.02","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 10mEq/LITER 1000ML","0258","RC","Both",,,"72","36","Wellcare","Medicare Advantage",,,"54",,"39.02","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 10mEq/LITER 1000ML","0258","RC","Both",,,"72","36","Amerigroup","Medicaid Managed Care",,,"37",,"26.35","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 10mEq/LITER 1000ML","0258","RC","Both",,,"72","36","Caresource","Medicaid Managed Care",,,"40",,"28.8","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 10mEq/LITER 1000ML","0258","RC","Both",,,"72","36","Wellcare","Medicaid Managed Care",,,"40",,"29.16","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 10mEq/LITER 1000ML","0258","RC","Both",,,"72","36","Aetna","Commercial",,,"64",,"45.94","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 10mEq/LITER 1000ML","0258","RC","Both",,,"72","36","Blue Cross Blue Shield","Pathways",,,"71",,"50.83","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 10mEq/LITER 1000ML","0258","RC","Both",,,"72","36","Blue Cross Blue Shield","HMO",,,"71",,"50.83","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 10mEq/LITER 1000ML","0258","RC","Both",,,"72","36","Blue Cross Blue Shield","PPO",,,"71",,"50.83","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 10mEq/LITER 1000ML","0258","RC","Both",,,"72","36","Ambetter","Health Exchange",,,"62",,"44.64","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 10mEq/LITER 1000ML","0258","RC","Both",,,"72","36","Caresource","Health Exchange",,,"62",,"44.64","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 10mEq/LITER 1000ML","0258","RC","Both",,,"72","36","Cigna","Commercial",,,"59",,"42.19","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 10mEq/LITER 1000ML","0258","RC","Both",,,"72","36","Humana","Commercial",,,"78",,"55.8","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 10mEq/LITER 1000ML","0258","RC","Both",,,"72","36","UHC","Commercial",,,"75",,"54.29","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 10mEq/LITER 1000ML","0258","RC","Both",,,"72","36","Medicaid",,,,"37",,"26.35","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 40mEq/LITER 1000 ML","0258","RC","Both",,,"72","36","Alliant","Health Exchange",,,"62",,"44.64","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 40mEq/LITER 1000 ML","0258","RC","Both",,,"72","36","Pruitt Healthcare","Medicare Advantage",,,"54",,"38.88","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 40mEq/LITER 1000 ML","0258","RC","Both",,,"72","36","Medicare",,,,"54",,"39.02","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 40mEq/LITER 1000 ML","0258","RC","Both",,,"72","36","Humana","Medicare Advantage",,,"54",,"39.02","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 40mEq/LITER 1000 ML","0258","RC","Both",,,"72","36","UHC","Medicare Advantage",,,"54",,"39.02","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 40mEq/LITER 1000 ML","0258","RC","Both",,,"72","36","Clover","Medicare Advantage",,,"54",,"39.02","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 40mEq/LITER 1000 ML","0258","RC","Both",,,"72","36","Wellcare","Medicare Advantage",,,"54",,"39.02","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 40mEq/LITER 1000 ML","0258","RC","Both",,,"72","36","Amerigroup","Medicaid Managed Care",,,"37",,"26.35","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 40mEq/LITER 1000 ML","0258","RC","Both",,,"72","36","Caresource","Medicaid Managed Care",,,"40",,"28.8","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 40mEq/LITER 1000 ML","0258","RC","Both",,,"72","36","Wellcare","Medicaid Managed Care",,,"40",,"29.16","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 40mEq/LITER 1000 ML","0258","RC","Both",,,"72","36","Aetna","Commercial",,,"64",,"45.94","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 40mEq/LITER 1000 ML","0258","RC","Both",,,"72","36","Blue Cross Blue Shield","Pathways",,,"71",,"50.83","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 40mEq/LITER 1000 ML","0258","RC","Both",,,"72","36","Blue Cross Blue Shield","HMO",,,"71",,"50.83","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 40mEq/LITER 1000 ML","0258","RC","Both",,,"72","36","Blue Cross Blue Shield","PPO",,,"71",,"50.83","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 40mEq/LITER 1000 ML","0258","RC","Both",,,"72","36","Ambetter","Health Exchange",,,"62",,"44.64","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 40mEq/LITER 1000 ML","0258","RC","Both",,,"72","36","Caresource","Health Exchange",,,"62",,"44.64","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 40mEq/LITER 1000 ML","0258","RC","Both",,,"72","36","Cigna","Commercial",,,"59",,"42.19","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 40mEq/LITER 1000 ML","0258","RC","Both",,,"72","36","Humana","Commercial",,,"78",,"55.8","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 40mEq/LITER 1000 ML","0258","RC","Both",,,"72","36","UHC","Commercial",,,"75",,"54.29","4.76","93","percent of total billed charges",,
"D5 1/2 NS W/KCL 40mEq/LITER 1000 ML","0258","RC","Both",,,"72","36","Medicaid",,,,"37",,"26.35","4.76","93","percent of total billed charges",,
"ANESTHESIA TIME @ ADD/L 15 MINUTES","0370","RC","Both",,,"137","68.5","Alliant","Health Exchange",,,"62",,"84.94","23.61","344.1","percent of total billed charges",,
"ANESTHESIA TIME @ ADD/L 15 MINUTES","0370","RC","Both",,,"137","68.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"73.98","23.61","344.1","percent of total billed charges",,
"ANESTHESIA TIME @ ADD/L 15 MINUTES","0370","RC","Both",,,"137","68.5","Medicare",,,,"54",,"74.25","23.61","344.1","percent of total billed charges",,
"ANESTHESIA TIME @ ADD/L 15 MINUTES","0370","RC","Both",,,"137","68.5","Humana","Medicare Advantage",,,"54",,"74.25","23.61","344.1","percent of total billed charges",,
"ANESTHESIA TIME @ ADD/L 15 MINUTES","0370","RC","Both",,,"137","68.5","UHC","Medicare Advantage",,,"54",,"74.25","23.61","344.1","percent of total billed charges",,
"ANESTHESIA TIME @ ADD/L 15 MINUTES","0370","RC","Both",,,"137","68.5","Clover","Medicare Advantage",,,"54",,"74.25","23.61","344.1","percent of total billed charges",,
"ANESTHESIA TIME @ ADD/L 15 MINUTES","0370","RC","Both",,,"137","68.5","Wellcare","Medicare Advantage",,,"54",,"74.25","23.61","344.1","percent of total billed charges",,
"ANESTHESIA TIME @ ADD/L 15 MINUTES","0370","RC","Both",,,"137","68.5","Amerigroup","Medicaid Managed Care",,,"37",,"50.14","23.61","344.1","percent of total billed charges",,
"ANESTHESIA TIME @ ADD/L 15 MINUTES","0370","RC","Both",,,"137","68.5","Caresource","Medicaid Managed Care",,,"40",,"54.8","23.61","344.1","percent of total billed charges",,
"ANESTHESIA TIME @ ADD/L 15 MINUTES","0370","RC","Both",,,"137","68.5","Wellcare","Medicaid Managed Care",,,"40",,"55.49","23.61","344.1","percent of total billed charges",,
"ANESTHESIA TIME @ ADD/L 15 MINUTES","0370","RC","Both",,,"137","68.5","Aetna","Commercial",,,"64",,"87.41","23.61","344.1","percent of total billed charges",,
"ANESTHESIA TIME @ ADD/L 15 MINUTES","0370","RC","Both",,,"137","68.5","Blue Cross Blue Shield","Pathways",,,"71",,"96.72","23.61","344.1","percent of total billed charges",,
"ANESTHESIA TIME @ ADD/L 15 MINUTES","0370","RC","Both",,,"137","68.5","Blue Cross Blue Shield","HMO",,,"71",,"96.72","23.61","344.1","percent of total billed charges",,
"ANESTHESIA TIME @ ADD/L 15 MINUTES","0370","RC","Both",,,"137","68.5","Blue Cross Blue Shield","PPO",,,"71",,"96.72","23.61","344.1","percent of total billed charges",,
"ANESTHESIA TIME @ ADD/L 15 MINUTES","0370","RC","Both",,,"137","68.5","Ambetter","Health Exchange",,,"62",,"84.94","23.61","344.1","percent of total billed charges",,
"ANESTHESIA TIME @ ADD/L 15 MINUTES","0370","RC","Both",,,"137","68.5","Caresource","Health Exchange",,,"62",,"84.94","23.61","344.1","percent of total billed charges",,
"ANESTHESIA TIME @ ADD/L 15 MINUTES","0370","RC","Both",,,"137","68.5","Cigna","Commercial",,,"59",,"80.28","23.61","344.1","percent of total billed charges",,
"ANESTHESIA TIME @ ADD/L 15 MINUTES","0370","RC","Both",,,"137","68.5","Humana","Commercial",,,"78",,"106.18","23.61","344.1","percent of total billed charges",,
"ANESTHESIA TIME @ ADD/L 15 MINUTES","0370","RC","Both",,,"137","68.5","UHC","Commercial",,,"75",,"103.3","23.61","344.1","percent of total billed charges",,
"ANESTHESIA TIME @ ADD/L 15 MINUTES","0370","RC","Both",,,"137","68.5","Medicaid",,,,"37",,"50.14","23.61","344.1","percent of total billed charges",,
"ANESTHESIA SERVICE 1-60 MIN","0370","RC","Both",,,"178.5","89.25","Alliant","Health Exchange",,,"62",,"110.67","23.61","344.1","percent of total billed charges",,
"ANESTHESIA SERVICE 1-60 MIN","0370","RC","Both",,,"178.5","89.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"96.39","23.61","344.1","percent of total billed charges",,
"ANESTHESIA SERVICE 1-60 MIN","0370","RC","Both",,,"178.5","89.25","Medicare",,,,"54",,"96.75","23.61","344.1","percent of total billed charges",,
"ANESTHESIA SERVICE 1-60 MIN","0370","RC","Both",,,"178.5","89.25","Humana","Medicare Advantage",,,"54",,"96.75","23.61","344.1","percent of total billed charges",,
"ANESTHESIA SERVICE 1-60 MIN","0370","RC","Both",,,"178.5","89.25","UHC","Medicare Advantage",,,"54",,"96.75","23.61","344.1","percent of total billed charges",,
"ANESTHESIA SERVICE 1-60 MIN","0370","RC","Both",,,"178.5","89.25","Clover","Medicare Advantage",,,"54",,"96.75","23.61","344.1","percent of total billed charges",,
"ANESTHESIA SERVICE 1-60 MIN","0370","RC","Both",,,"178.5","89.25","Wellcare","Medicare Advantage",,,"54",,"96.75","23.61","344.1","percent of total billed charges",,
"ANESTHESIA SERVICE 1-60 MIN","0370","RC","Both",,,"178.5","89.25","Amerigroup","Medicaid Managed Care",,,"37",,"65.33","23.61","344.1","percent of total billed charges",,
"ANESTHESIA SERVICE 1-60 MIN","0370","RC","Both",,,"178.5","89.25","Caresource","Medicaid Managed Care",,,"40",,"71.4","23.61","344.1","percent of total billed charges",,
"ANESTHESIA SERVICE 1-60 MIN","0370","RC","Both",,,"178.5","89.25","Wellcare","Medicaid Managed Care",,,"40",,"72.29","23.61","344.1","percent of total billed charges",,
"ANESTHESIA SERVICE 1-60 MIN","0370","RC","Both",,,"178.5","89.25","Aetna","Commercial",,,"64",,"113.88","23.61","344.1","percent of total billed charges",,
"ANESTHESIA SERVICE 1-60 MIN","0370","RC","Both",,,"178.5","89.25","Blue Cross Blue Shield","Pathways",,,"71",,"126.02","23.61","344.1","percent of total billed charges",,
"ANESTHESIA SERVICE 1-60 MIN","0370","RC","Both",,,"178.5","89.25","Blue Cross Blue Shield","HMO",,,"71",,"126.02","23.61","344.1","percent of total billed charges",,
"ANESTHESIA SERVICE 1-60 MIN","0370","RC","Both",,,"178.5","89.25","Blue Cross Blue Shield","PPO",,,"71",,"126.02","23.61","344.1","percent of total billed charges",,
"ANESTHESIA SERVICE 1-60 MIN","0370","RC","Both",,,"178.5","89.25","Ambetter","Health Exchange",,,"62",,"110.67","23.61","344.1","percent of total billed charges",,
"ANESTHESIA SERVICE 1-60 MIN","0370","RC","Both",,,"178.5","89.25","Caresource","Health Exchange",,,"62",,"110.67","23.61","344.1","percent of total billed charges",,
"ANESTHESIA SERVICE 1-60 MIN","0370","RC","Both",,,"178.5","89.25","Cigna","Commercial",,,"59",,"104.6","23.61","344.1","percent of total billed charges",,
"ANESTHESIA SERVICE 1-60 MIN","0370","RC","Both",,,"178.5","89.25","Humana","Commercial",,,"78",,"138.34","23.61","344.1","percent of total billed charges",,
"ANESTHESIA SERVICE 1-60 MIN","0370","RC","Both",,,"178.5","89.25","UHC","Commercial",,,"75",,"134.59","23.61","344.1","percent of total billed charges",,
"ANESTHESIA SERVICE 1-60 MIN","0370","RC","Both",,,"178.5","89.25","Medicaid",,,,"37",,"65.33","23.61","344.1","percent of total billed charges",,
"RISK FACTOR III","0370","RC","Both",,,"212.5","106.25","Alliant","Health Exchange",,,"62",,"131.75","23.61","344.1","percent of total billed charges",,
"RISK FACTOR III","0370","RC","Both",,,"212.5","106.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"114.75","23.61","344.1","percent of total billed charges",,
"RISK FACTOR III","0370","RC","Both",,,"212.5","106.25","Medicare",,,,"54",,"115.18","23.61","344.1","percent of total billed charges",,
"RISK FACTOR III","0370","RC","Both",,,"212.5","106.25","Humana","Medicare Advantage",,,"54",,"115.18","23.61","344.1","percent of total billed charges",,
"RISK FACTOR III","0370","RC","Both",,,"212.5","106.25","UHC","Medicare Advantage",,,"54",,"115.18","23.61","344.1","percent of total billed charges",,
"RISK FACTOR III","0370","RC","Both",,,"212.5","106.25","Clover","Medicare Advantage",,,"54",,"115.18","23.61","344.1","percent of total billed charges",,
"RISK FACTOR III","0370","RC","Both",,,"212.5","106.25","Wellcare","Medicare Advantage",,,"54",,"115.18","23.61","344.1","percent of total billed charges",,
"RISK FACTOR III","0370","RC","Both",,,"212.5","106.25","Amerigroup","Medicaid Managed Care",,,"37",,"77.77","23.61","344.1","percent of total billed charges",,
"RISK FACTOR III","0370","RC","Both",,,"212.5","106.25","Caresource","Medicaid Managed Care",,,"40",,"85","23.61","344.1","percent of total billed charges",,
"RISK FACTOR III","0370","RC","Both",,,"212.5","106.25","Wellcare","Medicaid Managed Care",,,"40",,"86.06","23.61","344.1","percent of total billed charges",,
"RISK FACTOR III","0370","RC","Both",,,"212.5","106.25","Aetna","Commercial",,,"64",,"135.57","23.61","344.1","percent of total billed charges",,
"RISK FACTOR III","0370","RC","Both",,,"212.5","106.25","Blue Cross Blue Shield","Pathways",,,"71",,"150.02","23.61","344.1","percent of total billed charges",,
"RISK FACTOR III","0370","RC","Both",,,"212.5","106.25","Blue Cross Blue Shield","HMO",,,"71",,"150.02","23.61","344.1","percent of total billed charges",,
"RISK FACTOR III","0370","RC","Both",,,"212.5","106.25","Blue Cross Blue Shield","PPO",,,"71",,"150.02","23.61","344.1","percent of total billed charges",,
"RISK FACTOR III","0370","RC","Both",,,"212.5","106.25","Ambetter","Health Exchange",,,"62",,"131.75","23.61","344.1","percent of total billed charges",,
"RISK FACTOR III","0370","RC","Both",,,"212.5","106.25","Caresource","Health Exchange",,,"62",,"131.75","23.61","344.1","percent of total billed charges",,
"RISK FACTOR III","0370","RC","Both",,,"212.5","106.25","Cigna","Commercial",,,"59",,"124.52","23.61","344.1","percent of total billed charges",,
"RISK FACTOR III","0370","RC","Both",,,"212.5","106.25","Humana","Commercial",,,"78",,"164.69","23.61","344.1","percent of total billed charges",,
"RISK FACTOR III","0370","RC","Both",,,"212.5","106.25","UHC","Commercial",,,"75",,"160.22","23.61","344.1","percent of total billed charges",,
"RISK FACTOR III","0370","RC","Both",,,"212.5","106.25","Medicaid",,,,"37",,"77.77","23.61","344.1","percent of total billed charges",,
"EMERGENCY ANES.","0370","RC","Both",,,"351","175.5","Alliant","Health Exchange",,,"62",,"217.62","23.61","344.1","percent of total billed charges",,
"EMERGENCY ANES.","0370","RC","Both",,,"351","175.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"189.54","23.61","344.1","percent of total billed charges",,
"EMERGENCY ANES.","0370","RC","Both",,,"351","175.5","Medicare",,,,"54",,"190.24","23.61","344.1","percent of total billed charges",,
"EMERGENCY ANES.","0370","RC","Both",,,"351","175.5","Humana","Medicare Advantage",,,"54",,"190.24","23.61","344.1","percent of total billed charges",,
"EMERGENCY ANES.","0370","RC","Both",,,"351","175.5","UHC","Medicare Advantage",,,"54",,"190.24","23.61","344.1","percent of total billed charges",,
"EMERGENCY ANES.","0370","RC","Both",,,"351","175.5","Clover","Medicare Advantage",,,"54",,"190.24","23.61","344.1","percent of total billed charges",,
"EMERGENCY ANES.","0370","RC","Both",,,"351","175.5","Wellcare","Medicare Advantage",,,"54",,"190.24","23.61","344.1","percent of total billed charges",,
"EMERGENCY ANES.","0370","RC","Both",,,"351","175.5","Amerigroup","Medicaid Managed Care",,,"37",,"128.47","23.61","344.1","percent of total billed charges",,
"EMERGENCY ANES.","0370","RC","Both",,,"351","175.5","Caresource","Medicaid Managed Care",,,"40",,"140.4","23.61","344.1","percent of total billed charges",,
"EMERGENCY ANES.","0370","RC","Both",,,"351","175.5","Wellcare","Medicaid Managed Care",,,"40",,"142.16","23.61","344.1","percent of total billed charges",,
"EMERGENCY ANES.","0370","RC","Both",,,"351","175.5","Aetna","Commercial",,,"64",,"223.94","23.61","344.1","percent of total billed charges",,
"EMERGENCY ANES.","0370","RC","Both",,,"351","175.5","Blue Cross Blue Shield","Pathways",,,"71",,"247.81","23.61","344.1","percent of total billed charges",,
"EMERGENCY ANES.","0370","RC","Both",,,"351","175.5","Blue Cross Blue Shield","HMO",,,"71",,"247.81","23.61","344.1","percent of total billed charges",,
"EMERGENCY ANES.","0370","RC","Both",,,"351","175.5","Blue Cross Blue Shield","PPO",,,"71",,"247.81","23.61","344.1","percent of total billed charges",,
"EMERGENCY ANES.","0370","RC","Both",,,"351","175.5","Ambetter","Health Exchange",,,"62",,"217.62","23.61","344.1","percent of total billed charges",,
"EMERGENCY ANES.","0370","RC","Both",,,"351","175.5","Caresource","Health Exchange",,,"62",,"217.62","23.61","344.1","percent of total billed charges",,
"EMERGENCY ANES.","0370","RC","Both",,,"351","175.5","Cigna","Commercial",,,"59",,"205.69","23.61","344.1","percent of total billed charges",,
"EMERGENCY ANES.","0370","RC","Both",,,"351","175.5","Humana","Commercial",,,"78",,"272.03","23.61","344.1","percent of total billed charges",,
"EMERGENCY ANES.","0370","RC","Both",,,"351","175.5","UHC","Commercial",,,"75",,"264.65","23.61","344.1","percent of total billed charges",,
"EMERGENCY ANES.","0370","RC","Both",,,"351","175.5","Medicaid",,,,"37",,"128.47","23.61","344.1","percent of total billed charges",,
"FLUOTHANE (ANESTHESIA DRUG)","0250","RC","Both",,,"75.5","37.75","Alliant","Health Exchange",,,"62",,"46.81","0.04","569.62","percent of total billed charges",,
"FLUOTHANE (ANESTHESIA DRUG)","0250","RC","Both",,,"75.5","37.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"40.77","0.04","569.62","percent of total billed charges",,
"FLUOTHANE (ANESTHESIA DRUG)","0250","RC","Both",,,"75.5","37.75","Medicare",,,,"54",,"40.92","0.04","569.62","percent of total billed charges",,
"FLUOTHANE (ANESTHESIA DRUG)","0250","RC","Both",,,"75.5","37.75","Humana","Medicare Advantage",,,"54",,"40.92","0.04","569.62","percent of total billed charges",,
"FLUOTHANE (ANESTHESIA DRUG)","0250","RC","Both",,,"75.5","37.75","UHC","Medicare Advantage",,,"54",,"40.92","0.04","569.62","percent of total billed charges",,
"FLUOTHANE (ANESTHESIA DRUG)","0250","RC","Both",,,"75.5","37.75","Clover","Medicare Advantage",,,"54",,"40.92","0.04","569.62","percent of total billed charges",,
"FLUOTHANE (ANESTHESIA DRUG)","0250","RC","Both",,,"75.5","37.75","Wellcare","Medicare Advantage",,,"54",,"40.92","0.04","569.62","percent of total billed charges",,
"FLUOTHANE (ANESTHESIA DRUG)","0250","RC","Both",,,"75.5","37.75","Amerigroup","Medicaid Managed Care",,,"37",,"27.63","0.04","569.62","percent of total billed charges",,
"FLUOTHANE (ANESTHESIA DRUG)","0250","RC","Both",,,"75.5","37.75","Caresource","Medicaid Managed Care",,,"40",,"30.2","0.04","569.62","percent of total billed charges",,
"FLUOTHANE (ANESTHESIA DRUG)","0250","RC","Both",,,"75.5","37.75","Wellcare","Medicaid Managed Care",,,"40",,"30.58","0.04","569.62","percent of total billed charges",,
"FLUOTHANE (ANESTHESIA DRUG)","0250","RC","Both",,,"75.5","37.75","Aetna","Commercial",,,"64",,"48.17","0.04","569.62","percent of total billed charges",,
"FLUOTHANE (ANESTHESIA DRUG)","0250","RC","Both",,,"75.5","37.75","Blue Cross Blue Shield","Pathways",,,"71",,"53.3","0.04","569.62","percent of total billed charges",,
"FLUOTHANE (ANESTHESIA DRUG)","0250","RC","Both",,,"75.5","37.75","Blue Cross Blue Shield","HMO",,,"71",,"53.3","0.04","569.62","percent of total billed charges",,
"FLUOTHANE (ANESTHESIA DRUG)","0250","RC","Both",,,"75.5","37.75","Blue Cross Blue Shield","PPO",,,"71",,"53.3","0.04","569.62","percent of total billed charges",,
"FLUOTHANE (ANESTHESIA DRUG)","0250","RC","Both",,,"75.5","37.75","Ambetter","Health Exchange",,,"62",,"46.81","0.04","569.62","percent of total billed charges",,
"FLUOTHANE (ANESTHESIA DRUG)","0250","RC","Both",,,"75.5","37.75","Caresource","Health Exchange",,,"62",,"46.81","0.04","569.62","percent of total billed charges",,
"FLUOTHANE (ANESTHESIA DRUG)","0250","RC","Both",,,"75.5","37.75","Cigna","Commercial",,,"59",,"44.24","0.04","569.62","percent of total billed charges",,
"FLUOTHANE (ANESTHESIA DRUG)","0250","RC","Both",,,"75.5","37.75","Humana","Commercial",,,"78",,"58.51","0.04","569.62","percent of total billed charges",,
"FLUOTHANE (ANESTHESIA DRUG)","0250","RC","Both",,,"75.5","37.75","UHC","Commercial",,,"75",,"56.93","0.04","569.62","percent of total billed charges",,
"FLUOTHANE (ANESTHESIA DRUG)","0250","RC","Both",,,"75.5","37.75","Medicaid",,,,"37",,"27.63","0.04","569.62","percent of total billed charges",,
"ETHRANE (ANESTHESIA DRUG)","0250","RC","Both",,,"107.5","53.75","Alliant","Health Exchange",,,"62",,"66.65","0.04","569.62","percent of total billed charges",,
"ETHRANE (ANESTHESIA DRUG)","0250","RC","Both",,,"107.5","53.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"58.05","0.04","569.62","percent of total billed charges",,
"ETHRANE (ANESTHESIA DRUG)","0250","RC","Both",,,"107.5","53.75","Medicare",,,,"54",,"58.26","0.04","569.62","percent of total billed charges",,
"ETHRANE (ANESTHESIA DRUG)","0250","RC","Both",,,"107.5","53.75","Humana","Medicare Advantage",,,"54",,"58.26","0.04","569.62","percent of total billed charges",,
"ETHRANE (ANESTHESIA DRUG)","0250","RC","Both",,,"107.5","53.75","UHC","Medicare Advantage",,,"54",,"58.26","0.04","569.62","percent of total billed charges",,
"ETHRANE (ANESTHESIA DRUG)","0250","RC","Both",,,"107.5","53.75","Clover","Medicare Advantage",,,"54",,"58.26","0.04","569.62","percent of total billed charges",,
"ETHRANE (ANESTHESIA DRUG)","0250","RC","Both",,,"107.5","53.75","Wellcare","Medicare Advantage",,,"54",,"58.26","0.04","569.62","percent of total billed charges",,
"ETHRANE (ANESTHESIA DRUG)","0250","RC","Both",,,"107.5","53.75","Amerigroup","Medicaid Managed Care",,,"37",,"39.34","0.04","569.62","percent of total billed charges",,
"ETHRANE (ANESTHESIA DRUG)","0250","RC","Both",,,"107.5","53.75","Caresource","Medicaid Managed Care",,,"40",,"43","0.04","569.62","percent of total billed charges",,
"ETHRANE (ANESTHESIA DRUG)","0250","RC","Both",,,"107.5","53.75","Wellcare","Medicaid Managed Care",,,"40",,"43.54","0.04","569.62","percent of total billed charges",,
"ETHRANE (ANESTHESIA DRUG)","0250","RC","Both",,,"107.5","53.75","Aetna","Commercial",,,"64",,"68.59","0.04","569.62","percent of total billed charges",,
"ETHRANE (ANESTHESIA DRUG)","0250","RC","Both",,,"107.5","53.75","Blue Cross Blue Shield","Pathways",,,"71",,"75.9","0.04","569.62","percent of total billed charges",,
"ETHRANE (ANESTHESIA DRUG)","0250","RC","Both",,,"107.5","53.75","Blue Cross Blue Shield","HMO",,,"71",,"75.9","0.04","569.62","percent of total billed charges",,
"ETHRANE (ANESTHESIA DRUG)","0250","RC","Both",,,"107.5","53.75","Blue Cross Blue Shield","PPO",,,"71",,"75.9","0.04","569.62","percent of total billed charges",,
"ETHRANE (ANESTHESIA DRUG)","0250","RC","Both",,,"107.5","53.75","Ambetter","Health Exchange",,,"62",,"66.65","0.04","569.62","percent of total billed charges",,
"ETHRANE (ANESTHESIA DRUG)","0250","RC","Both",,,"107.5","53.75","Caresource","Health Exchange",,,"62",,"66.65","0.04","569.62","percent of total billed charges",,
"ETHRANE (ANESTHESIA DRUG)","0250","RC","Both",,,"107.5","53.75","Cigna","Commercial",,,"59",,"63","0.04","569.62","percent of total billed charges",,
"ETHRANE (ANESTHESIA DRUG)","0250","RC","Both",,,"107.5","53.75","Humana","Commercial",,,"78",,"83.31","0.04","569.62","percent of total billed charges",,
"ETHRANE (ANESTHESIA DRUG)","0250","RC","Both",,,"107.5","53.75","UHC","Commercial",,,"75",,"81.06","0.04","569.62","percent of total billed charges",,
"ETHRANE (ANESTHESIA DRUG)","0250","RC","Both",,,"107.5","53.75","Medicaid",,,,"37",,"39.34","0.04","569.62","percent of total billed charges",,
"PENTOTHAL (ANESTHESIA DRUG)","0250","RC","Both",,,"69.5","34.75","Alliant","Health Exchange",,,"62",,"43.09","0.04","569.62","percent of total billed charges",,
"PENTOTHAL (ANESTHESIA DRUG)","0250","RC","Both",,,"69.5","34.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"37.53","0.04","569.62","percent of total billed charges",,
"PENTOTHAL (ANESTHESIA DRUG)","0250","RC","Both",,,"69.5","34.75","Medicare",,,,"54",,"37.67","0.04","569.62","percent of total billed charges",,
"PENTOTHAL (ANESTHESIA DRUG)","0250","RC","Both",,,"69.5","34.75","Humana","Medicare Advantage",,,"54",,"37.67","0.04","569.62","percent of total billed charges",,
"PENTOTHAL (ANESTHESIA DRUG)","0250","RC","Both",,,"69.5","34.75","UHC","Medicare Advantage",,,"54",,"37.67","0.04","569.62","percent of total billed charges",,
"PENTOTHAL (ANESTHESIA DRUG)","0250","RC","Both",,,"69.5","34.75","Clover","Medicare Advantage",,,"54",,"37.67","0.04","569.62","percent of total billed charges",,
"PENTOTHAL (ANESTHESIA DRUG)","0250","RC","Both",,,"69.5","34.75","Wellcare","Medicare Advantage",,,"54",,"37.67","0.04","569.62","percent of total billed charges",,
"PENTOTHAL (ANESTHESIA DRUG)","0250","RC","Both",,,"69.5","34.75","Amerigroup","Medicaid Managed Care",,,"37",,"25.44","0.04","569.62","percent of total billed charges",,
"PENTOTHAL (ANESTHESIA DRUG)","0250","RC","Both",,,"69.5","34.75","Caresource","Medicaid Managed Care",,,"40",,"27.8","0.04","569.62","percent of total billed charges",,
"PENTOTHAL (ANESTHESIA DRUG)","0250","RC","Both",,,"69.5","34.75","Wellcare","Medicaid Managed Care",,,"40",,"28.15","0.04","569.62","percent of total billed charges",,
"PENTOTHAL (ANESTHESIA DRUG)","0250","RC","Both",,,"69.5","34.75","Aetna","Commercial",,,"64",,"44.34","0.04","569.62","percent of total billed charges",,
"PENTOTHAL (ANESTHESIA DRUG)","0250","RC","Both",,,"69.5","34.75","Blue Cross Blue Shield","Pathways",,,"71",,"49.07","0.04","569.62","percent of total billed charges",,
"PENTOTHAL (ANESTHESIA DRUG)","0250","RC","Both",,,"69.5","34.75","Blue Cross Blue Shield","HMO",,,"71",,"49.07","0.04","569.62","percent of total billed charges",,
"PENTOTHAL (ANESTHESIA DRUG)","0250","RC","Both",,,"69.5","34.75","Blue Cross Blue Shield","PPO",,,"71",,"49.07","0.04","569.62","percent of total billed charges",,
"PENTOTHAL (ANESTHESIA DRUG)","0250","RC","Both",,,"69.5","34.75","Ambetter","Health Exchange",,,"62",,"43.09","0.04","569.62","percent of total billed charges",,
"PENTOTHAL (ANESTHESIA DRUG)","0250","RC","Both",,,"69.5","34.75","Caresource","Health Exchange",,,"62",,"43.09","0.04","569.62","percent of total billed charges",,
"PENTOTHAL (ANESTHESIA DRUG)","0250","RC","Both",,,"69.5","34.75","Cigna","Commercial",,,"59",,"40.73","0.04","569.62","percent of total billed charges",,
"PENTOTHAL (ANESTHESIA DRUG)","0250","RC","Both",,,"69.5","34.75","Humana","Commercial",,,"78",,"53.86","0.04","569.62","percent of total billed charges",,
"PENTOTHAL (ANESTHESIA DRUG)","0250","RC","Both",,,"69.5","34.75","UHC","Commercial",,,"75",,"52.4","0.04","569.62","percent of total billed charges",,
"PENTOTHAL (ANESTHESIA DRUG)","0250","RC","Both",,,"69.5","34.75","Medicaid",,,,"37",,"25.44","0.04","569.62","percent of total billed charges",,
"ANECTINE (ANESTHESIA DRUG)","0250","RC","Both",,,"51","25.5","Alliant","Health Exchange",,,"62",,"31.62","0.04","569.62","percent of total billed charges",,
"ANECTINE (ANESTHESIA DRUG)","0250","RC","Both",,,"51","25.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"27.54","0.04","569.62","percent of total billed charges",,
"ANECTINE (ANESTHESIA DRUG)","0250","RC","Both",,,"51","25.5","Medicare",,,,"54",,"27.64","0.04","569.62","percent of total billed charges",,
"ANECTINE (ANESTHESIA DRUG)","0250","RC","Both",,,"51","25.5","Humana","Medicare Advantage",,,"54",,"27.64","0.04","569.62","percent of total billed charges",,
"ANECTINE (ANESTHESIA DRUG)","0250","RC","Both",,,"51","25.5","UHC","Medicare Advantage",,,"54",,"27.64","0.04","569.62","percent of total billed charges",,
"ANECTINE (ANESTHESIA DRUG)","0250","RC","Both",,,"51","25.5","Clover","Medicare Advantage",,,"54",,"27.64","0.04","569.62","percent of total billed charges",,
"ANECTINE (ANESTHESIA DRUG)","0250","RC","Both",,,"51","25.5","Wellcare","Medicare Advantage",,,"54",,"27.64","0.04","569.62","percent of total billed charges",,
"ANECTINE (ANESTHESIA DRUG)","0250","RC","Both",,,"51","25.5","Amerigroup","Medicaid Managed Care",,,"37",,"18.67","0.04","569.62","percent of total billed charges",,
"ANECTINE (ANESTHESIA DRUG)","0250","RC","Both",,,"51","25.5","Caresource","Medicaid Managed Care",,,"40",,"20.4","0.04","569.62","percent of total billed charges",,
"ANECTINE (ANESTHESIA DRUG)","0250","RC","Both",,,"51","25.5","Wellcare","Medicaid Managed Care",,,"40",,"20.66","0.04","569.62","percent of total billed charges",,
"ANECTINE (ANESTHESIA DRUG)","0250","RC","Both",,,"51","25.5","Aetna","Commercial",,,"64",,"32.54","0.04","569.62","percent of total billed charges",,
"ANECTINE (ANESTHESIA DRUG)","0250","RC","Both",,,"51","25.5","Blue Cross Blue Shield","Pathways",,,"71",,"36.01","0.04","569.62","percent of total billed charges",,
"ANECTINE (ANESTHESIA DRUG)","0250","RC","Both",,,"51","25.5","Blue Cross Blue Shield","HMO",,,"71",,"36.01","0.04","569.62","percent of total billed charges",,
"ANECTINE (ANESTHESIA DRUG)","0250","RC","Both",,,"51","25.5","Blue Cross Blue Shield","PPO",,,"71",,"36.01","0.04","569.62","percent of total billed charges",,
"ANECTINE (ANESTHESIA DRUG)","0250","RC","Both",,,"51","25.5","Ambetter","Health Exchange",,,"62",,"31.62","0.04","569.62","percent of total billed charges",,
"ANECTINE (ANESTHESIA DRUG)","0250","RC","Both",,,"51","25.5","Caresource","Health Exchange",,,"62",,"31.62","0.04","569.62","percent of total billed charges",,
"ANECTINE (ANESTHESIA DRUG)","0250","RC","Both",,,"51","25.5","Cigna","Commercial",,,"59",,"29.89","0.04","569.62","percent of total billed charges",,
"ANECTINE (ANESTHESIA DRUG)","0250","RC","Both",,,"51","25.5","Humana","Commercial",,,"78",,"39.52","0.04","569.62","percent of total billed charges",,
"ANECTINE (ANESTHESIA DRUG)","0250","RC","Both",,,"51","25.5","UHC","Commercial",,,"75",,"38.45","0.04","569.62","percent of total billed charges",,
"ANECTINE (ANESTHESIA DRUG)","0250","RC","Both",,,"51","25.5","Medicaid",,,,"37",,"18.67","0.04","569.62","percent of total billed charges",,
"CURARE (ANESTHESIA DRUG)","0250","RC","Both",,,"32","16","Alliant","Health Exchange",,,"62",,"19.84","0.04","569.62","percent of total billed charges",,
"CURARE (ANESTHESIA DRUG)","0250","RC","Both",,,"32","16","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.28","0.04","569.62","percent of total billed charges",,
"CURARE (ANESTHESIA DRUG)","0250","RC","Both",,,"32","16","Medicare",,,,"54",,"17.34","0.04","569.62","percent of total billed charges",,
"CURARE (ANESTHESIA DRUG)","0250","RC","Both",,,"32","16","Humana","Medicare Advantage",,,"54",,"17.34","0.04","569.62","percent of total billed charges",,
"CURARE (ANESTHESIA DRUG)","0250","RC","Both",,,"32","16","UHC","Medicare Advantage",,,"54",,"17.34","0.04","569.62","percent of total billed charges",,
"CURARE (ANESTHESIA DRUG)","0250","RC","Both",,,"32","16","Clover","Medicare Advantage",,,"54",,"17.34","0.04","569.62","percent of total billed charges",,
"CURARE (ANESTHESIA DRUG)","0250","RC","Both",,,"32","16","Wellcare","Medicare Advantage",,,"54",,"17.34","0.04","569.62","percent of total billed charges",,
"CURARE (ANESTHESIA DRUG)","0250","RC","Both",,,"32","16","Amerigroup","Medicaid Managed Care",,,"37",,"11.71","0.04","569.62","percent of total billed charges",,
"CURARE (ANESTHESIA DRUG)","0250","RC","Both",,,"32","16","Caresource","Medicaid Managed Care",,,"40",,"12.8","0.04","569.62","percent of total billed charges",,
"CURARE (ANESTHESIA DRUG)","0250","RC","Both",,,"32","16","Wellcare","Medicaid Managed Care",,,"40",,"12.96","0.04","569.62","percent of total billed charges",,
"CURARE (ANESTHESIA DRUG)","0250","RC","Both",,,"32","16","Aetna","Commercial",,,"64",,"20.42","0.04","569.62","percent of total billed charges",,
"CURARE (ANESTHESIA DRUG)","0250","RC","Both",,,"32","16","Blue Cross Blue Shield","Pathways",,,"71",,"22.59","0.04","569.62","percent of total billed charges",,
"CURARE (ANESTHESIA DRUG)","0250","RC","Both",,,"32","16","Blue Cross Blue Shield","HMO",,,"71",,"22.59","0.04","569.62","percent of total billed charges",,
"CURARE (ANESTHESIA DRUG)","0250","RC","Both",,,"32","16","Blue Cross Blue Shield","PPO",,,"71",,"22.59","0.04","569.62","percent of total billed charges",,
"CURARE (ANESTHESIA DRUG)","0250","RC","Both",,,"32","16","Ambetter","Health Exchange",,,"62",,"19.84","0.04","569.62","percent of total billed charges",,
"CURARE (ANESTHESIA DRUG)","0250","RC","Both",,,"32","16","Caresource","Health Exchange",,,"62",,"19.84","0.04","569.62","percent of total billed charges",,
"CURARE (ANESTHESIA DRUG)","0250","RC","Both",,,"32","16","Cigna","Commercial",,,"59",,"18.75","0.04","569.62","percent of total billed charges",,
"CURARE (ANESTHESIA DRUG)","0250","RC","Both",,,"32","16","Humana","Commercial",,,"78",,"24.8","0.04","569.62","percent of total billed charges",,
"CURARE (ANESTHESIA DRUG)","0250","RC","Both",,,"32","16","UHC","Commercial",,,"75",,"24.13","0.04","569.62","percent of total billed charges",,
"CURARE (ANESTHESIA DRUG)","0250","RC","Both",,,"32","16","Medicaid",,,,"37",,"11.71","0.04","569.62","percent of total billed charges",,
"KETALAR (ANESTHESIA DRUG)","0250","RC","Both",,,"51","25.5","Alliant","Health Exchange",,,"62",,"31.62","0.04","569.62","percent of total billed charges",,
"KETALAR (ANESTHESIA DRUG)","0250","RC","Both",,,"51","25.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"27.54","0.04","569.62","percent of total billed charges",,
"KETALAR (ANESTHESIA DRUG)","0250","RC","Both",,,"51","25.5","Medicare",,,,"54",,"27.64","0.04","569.62","percent of total billed charges",,
"KETALAR (ANESTHESIA DRUG)","0250","RC","Both",,,"51","25.5","Humana","Medicare Advantage",,,"54",,"27.64","0.04","569.62","percent of total billed charges",,
"KETALAR (ANESTHESIA DRUG)","0250","RC","Both",,,"51","25.5","UHC","Medicare Advantage",,,"54",,"27.64","0.04","569.62","percent of total billed charges",,
"KETALAR (ANESTHESIA DRUG)","0250","RC","Both",,,"51","25.5","Clover","Medicare Advantage",,,"54",,"27.64","0.04","569.62","percent of total billed charges",,
"KETALAR (ANESTHESIA DRUG)","0250","RC","Both",,,"51","25.5","Wellcare","Medicare Advantage",,,"54",,"27.64","0.04","569.62","percent of total billed charges",,
"KETALAR (ANESTHESIA DRUG)","0250","RC","Both",,,"51","25.5","Amerigroup","Medicaid Managed Care",,,"37",,"18.67","0.04","569.62","percent of total billed charges",,
"KETALAR (ANESTHESIA DRUG)","0250","RC","Both",,,"51","25.5","Caresource","Medicaid Managed Care",,,"40",,"20.4","0.04","569.62","percent of total billed charges",,
"KETALAR (ANESTHESIA DRUG)","0250","RC","Both",,,"51","25.5","Wellcare","Medicaid Managed Care",,,"40",,"20.66","0.04","569.62","percent of total billed charges",,
"KETALAR (ANESTHESIA DRUG)","0250","RC","Both",,,"51","25.5","Aetna","Commercial",,,"64",,"32.54","0.04","569.62","percent of total billed charges",,
"KETALAR (ANESTHESIA DRUG)","0250","RC","Both",,,"51","25.5","Blue Cross Blue Shield","Pathways",,,"71",,"36.01","0.04","569.62","percent of total billed charges",,
"KETALAR (ANESTHESIA DRUG)","0250","RC","Both",,,"51","25.5","Blue Cross Blue Shield","HMO",,,"71",,"36.01","0.04","569.62","percent of total billed charges",,
"KETALAR (ANESTHESIA DRUG)","0250","RC","Both",,,"51","25.5","Blue Cross Blue Shield","PPO",,,"71",,"36.01","0.04","569.62","percent of total billed charges",,
"KETALAR (ANESTHESIA DRUG)","0250","RC","Both",,,"51","25.5","Ambetter","Health Exchange",,,"62",,"31.62","0.04","569.62","percent of total billed charges",,
"KETALAR (ANESTHESIA DRUG)","0250","RC","Both",,,"51","25.5","Caresource","Health Exchange",,,"62",,"31.62","0.04","569.62","percent of total billed charges",,
"KETALAR (ANESTHESIA DRUG)","0250","RC","Both",,,"51","25.5","Cigna","Commercial",,,"59",,"29.89","0.04","569.62","percent of total billed charges",,
"KETALAR (ANESTHESIA DRUG)","0250","RC","Both",,,"51","25.5","Humana","Commercial",,,"78",,"39.52","0.04","569.62","percent of total billed charges",,
"KETALAR (ANESTHESIA DRUG)","0250","RC","Both",,,"51","25.5","UHC","Commercial",,,"75",,"38.45","0.04","569.62","percent of total billed charges",,
"KETALAR (ANESTHESIA DRUG)","0250","RC","Both",,,"51","25.5","Medicaid",,,,"37",,"18.67","0.04","569.62","percent of total billed charges",,
"SPINAL ANESTHESIA TRAY","0637","RC","Both",,,"125.5","62.75","Alliant","Health Exchange",,,"62",,"77.81","0.15","5264.58","percent of total billed charges",,
"SPINAL ANESTHESIA TRAY","0637","RC","Both",,,"125.5","62.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"67.77","0.15","5264.58","percent of total billed charges",,
"SPINAL ANESTHESIA TRAY","0637","RC","Both",,,"125.5","62.75","Medicare",,,,"54",,"68.02","0.15","5264.58","percent of total billed charges",,
"SPINAL ANESTHESIA TRAY","0637","RC","Both",,,"125.5","62.75","Humana","Medicare Advantage",,,"54",,"68.02","0.15","5264.58","percent of total billed charges",,
"SPINAL ANESTHESIA TRAY","0637","RC","Both",,,"125.5","62.75","UHC","Medicare Advantage",,,"54",,"68.02","0.15","5264.58","percent of total billed charges",,
"SPINAL ANESTHESIA TRAY","0637","RC","Both",,,"125.5","62.75","Clover","Medicare Advantage",,,"54",,"68.02","0.15","5264.58","percent of total billed charges",,
"SPINAL ANESTHESIA TRAY","0637","RC","Both",,,"125.5","62.75","Wellcare","Medicare Advantage",,,"54",,"68.02","0.15","5264.58","percent of total billed charges",,
"SPINAL ANESTHESIA TRAY","0637","RC","Both",,,"125.5","62.75","Amerigroup","Medicaid Managed Care",,,"37",,"45.93","0.15","5264.58","percent of total billed charges",,
"SPINAL ANESTHESIA TRAY","0637","RC","Both",,,"125.5","62.75","Caresource","Medicaid Managed Care",,,"40",,"50.2","0.15","5264.58","percent of total billed charges",,
"SPINAL ANESTHESIA TRAY","0637","RC","Both",,,"125.5","62.75","Wellcare","Medicaid Managed Care",,,"40",,"50.83","0.15","5264.58","percent of total billed charges",,
"SPINAL ANESTHESIA TRAY","0637","RC","Both",,,"125.5","62.75","Aetna","Commercial",,,"64",,"80.07","0.15","5264.58","percent of total billed charges",,
"SPINAL ANESTHESIA TRAY","0637","RC","Both",,,"125.5","62.75","Blue Cross Blue Shield","Pathways",,,"71",,"88.6","0.15","5264.58","percent of total billed charges",,
"SPINAL ANESTHESIA TRAY","0637","RC","Both",,,"125.5","62.75","Blue Cross Blue Shield","HMO",,,"71",,"88.6","0.15","5264.58","percent of total billed charges",,
"SPINAL ANESTHESIA TRAY","0637","RC","Both",,,"125.5","62.75","Blue Cross Blue Shield","PPO",,,"71",,"88.6","0.15","5264.58","percent of total billed charges",,
"SPINAL ANESTHESIA TRAY","0637","RC","Both",,,"125.5","62.75","Ambetter","Health Exchange",,,"62",,"77.81","0.15","5264.58","percent of total billed charges",,
"SPINAL ANESTHESIA TRAY","0637","RC","Both",,,"125.5","62.75","Caresource","Health Exchange",,,"62",,"77.81","0.15","5264.58","percent of total billed charges",,
"SPINAL ANESTHESIA TRAY","0637","RC","Both",,,"125.5","62.75","Cigna","Commercial",,,"59",,"73.54","0.15","5264.58","percent of total billed charges",,
"SPINAL ANESTHESIA TRAY","0637","RC","Both",,,"125.5","62.75","Humana","Commercial",,,"78",,"97.26","0.15","5264.58","percent of total billed charges",,
"SPINAL ANESTHESIA TRAY","0637","RC","Both",,,"125.5","62.75","UHC","Commercial",,,"75",,"94.63","0.15","5264.58","percent of total billed charges",,
"SPINAL ANESTHESIA TRAY","0637","RC","Both",,,"125.5","62.75","Medicaid",,,,"37",,"45.93","0.15","5264.58","percent of total billed charges",,
"LTA KIT","0637","RC","Both",,,"37","18.5","Alliant","Health Exchange",,,"62",,"22.94","0.15","5264.58","percent of total billed charges",,
"LTA KIT","0637","RC","Both",,,"37","18.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.98","0.15","5264.58","percent of total billed charges",,
"LTA KIT","0637","RC","Both",,,"37","18.5","Medicare",,,,"54",,"20.05","0.15","5264.58","percent of total billed charges",,
"LTA KIT","0637","RC","Both",,,"37","18.5","Humana","Medicare Advantage",,,"54",,"20.05","0.15","5264.58","percent of total billed charges",,
"LTA KIT","0637","RC","Both",,,"37","18.5","UHC","Medicare Advantage",,,"54",,"20.05","0.15","5264.58","percent of total billed charges",,
"LTA KIT","0637","RC","Both",,,"37","18.5","Clover","Medicare Advantage",,,"54",,"20.05","0.15","5264.58","percent of total billed charges",,
"LTA KIT","0637","RC","Both",,,"37","18.5","Wellcare","Medicare Advantage",,,"54",,"20.05","0.15","5264.58","percent of total billed charges",,
"LTA KIT","0637","RC","Both",,,"37","18.5","Amerigroup","Medicaid Managed Care",,,"37",,"13.54","0.15","5264.58","percent of total billed charges",,
"LTA KIT","0637","RC","Both",,,"37","18.5","Caresource","Medicaid Managed Care",,,"40",,"14.8","0.15","5264.58","percent of total billed charges",,
"LTA KIT","0637","RC","Both",,,"37","18.5","Wellcare","Medicaid Managed Care",,,"40",,"14.99","0.15","5264.58","percent of total billed charges",,
"LTA KIT","0637","RC","Both",,,"37","18.5","Aetna","Commercial",,,"64",,"23.61","0.15","5264.58","percent of total billed charges",,
"LTA KIT","0637","RC","Both",,,"37","18.5","Blue Cross Blue Shield","Pathways",,,"71",,"26.12","0.15","5264.58","percent of total billed charges",,
"LTA KIT","0637","RC","Both",,,"37","18.5","Blue Cross Blue Shield","HMO",,,"71",,"26.12","0.15","5264.58","percent of total billed charges",,
"LTA KIT","0637","RC","Both",,,"37","18.5","Blue Cross Blue Shield","PPO",,,"71",,"26.12","0.15","5264.58","percent of total billed charges",,
"LTA KIT","0637","RC","Both",,,"37","18.5","Ambetter","Health Exchange",,,"62",,"22.94","0.15","5264.58","percent of total billed charges",,
"LTA KIT","0637","RC","Both",,,"37","18.5","Caresource","Health Exchange",,,"62",,"22.94","0.15","5264.58","percent of total billed charges",,
"LTA KIT","0637","RC","Both",,,"37","18.5","Cigna","Commercial",,,"59",,"21.68","0.15","5264.58","percent of total billed charges",,
"LTA KIT","0637","RC","Both",,,"37","18.5","Humana","Commercial",,,"78",,"28.68","0.15","5264.58","percent of total billed charges",,
"LTA KIT","0637","RC","Both",,,"37","18.5","UHC","Commercial",,,"75",,"27.9","0.15","5264.58","percent of total billed charges",,
"LTA KIT","0637","RC","Both",,,"37","18.5","Medicaid",,,,"37",,"13.54","0.15","5264.58","percent of total billed charges",,
"TRACURIAM (ANESTHESIA DRUG)","0250","RC","Both",,,"118.5","59.25","Alliant","Health Exchange",,,"62",,"73.47","0.04","569.62","percent of total billed charges",,
"TRACURIAM (ANESTHESIA DRUG)","0250","RC","Both",,,"118.5","59.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"63.99","0.04","569.62","percent of total billed charges",,
"TRACURIAM (ANESTHESIA DRUG)","0250","RC","Both",,,"118.5","59.25","Medicare",,,,"54",,"64.23","0.04","569.62","percent of total billed charges",,
"TRACURIAM (ANESTHESIA DRUG)","0250","RC","Both",,,"118.5","59.25","Humana","Medicare Advantage",,,"54",,"64.23","0.04","569.62","percent of total billed charges",,
"TRACURIAM (ANESTHESIA DRUG)","0250","RC","Both",,,"118.5","59.25","UHC","Medicare Advantage",,,"54",,"64.23","0.04","569.62","percent of total billed charges",,
"TRACURIAM (ANESTHESIA DRUG)","0250","RC","Both",,,"118.5","59.25","Clover","Medicare Advantage",,,"54",,"64.23","0.04","569.62","percent of total billed charges",,
"TRACURIAM (ANESTHESIA DRUG)","0250","RC","Both",,,"118.5","59.25","Wellcare","Medicare Advantage",,,"54",,"64.23","0.04","569.62","percent of total billed charges",,
"TRACURIAM (ANESTHESIA DRUG)","0250","RC","Both",,,"118.5","59.25","Amerigroup","Medicaid Managed Care",,,"37",,"43.37","0.04","569.62","percent of total billed charges",,
"TRACURIAM (ANESTHESIA DRUG)","0250","RC","Both",,,"118.5","59.25","Caresource","Medicaid Managed Care",,,"40",,"47.4","0.04","569.62","percent of total billed charges",,
"TRACURIAM (ANESTHESIA DRUG)","0250","RC","Both",,,"118.5","59.25","Wellcare","Medicaid Managed Care",,,"40",,"47.99","0.04","569.62","percent of total billed charges",,
"TRACURIAM (ANESTHESIA DRUG)","0250","RC","Both",,,"118.5","59.25","Aetna","Commercial",,,"64",,"75.6","0.04","569.62","percent of total billed charges",,
"TRACURIAM (ANESTHESIA DRUG)","0250","RC","Both",,,"118.5","59.25","Blue Cross Blue Shield","Pathways",,,"71",,"83.66","0.04","569.62","percent of total billed charges",,
"TRACURIAM (ANESTHESIA DRUG)","0250","RC","Both",,,"118.5","59.25","Blue Cross Blue Shield","HMO",,,"71",,"83.66","0.04","569.62","percent of total billed charges",,
"TRACURIAM (ANESTHESIA DRUG)","0250","RC","Both",,,"118.5","59.25","Blue Cross Blue Shield","PPO",,,"71",,"83.66","0.04","569.62","percent of total billed charges",,
"TRACURIAM (ANESTHESIA DRUG)","0250","RC","Both",,,"118.5","59.25","Ambetter","Health Exchange",,,"62",,"73.47","0.04","569.62","percent of total billed charges",,
"TRACURIAM (ANESTHESIA DRUG)","0250","RC","Both",,,"118.5","59.25","Caresource","Health Exchange",,,"62",,"73.47","0.04","569.62","percent of total billed charges",,
"TRACURIAM (ANESTHESIA DRUG)","0250","RC","Both",,,"118.5","59.25","Cigna","Commercial",,,"59",,"69.44","0.04","569.62","percent of total billed charges",,
"TRACURIAM (ANESTHESIA DRUG)","0250","RC","Both",,,"118.5","59.25","Humana","Commercial",,,"78",,"91.84","0.04","569.62","percent of total billed charges",,
"TRACURIAM (ANESTHESIA DRUG)","0250","RC","Both",,,"118.5","59.25","UHC","Commercial",,,"75",,"89.35","0.04","569.62","percent of total billed charges",,
"TRACURIAM (ANESTHESIA DRUG)","0250","RC","Both",,,"118.5","59.25","Medicaid",,,,"37",,"43.37","0.04","569.62","percent of total billed charges",,
"OB ANES. 1ST HOUR","0370","RC","Both",,,"444","222","Alliant","Health Exchange",,,"62",,"275.28","23.61","344.1","percent of total billed charges",,
"OB ANES. 1ST HOUR","0370","RC","Both",,,"444","222","Pruitt Healthcare","Medicare Advantage",,,"54",,"239.76","23.61","344.1","percent of total billed charges",,
"OB ANES. 1ST HOUR","0370","RC","Both",,,"444","222","Medicare",,,,"54",,"240.65","23.61","344.1","percent of total billed charges",,
"OB ANES. 1ST HOUR","0370","RC","Both",,,"444","222","Humana","Medicare Advantage",,,"54",,"240.65","23.61","344.1","percent of total billed charges",,
"OB ANES. 1ST HOUR","0370","RC","Both",,,"444","222","UHC","Medicare Advantage",,,"54",,"240.65","23.61","344.1","percent of total billed charges",,
"OB ANES. 1ST HOUR","0370","RC","Both",,,"444","222","Clover","Medicare Advantage",,,"54",,"240.65","23.61","344.1","percent of total billed charges",,
"OB ANES. 1ST HOUR","0370","RC","Both",,,"444","222","Wellcare","Medicare Advantage",,,"54",,"240.65","23.61","344.1","percent of total billed charges",,
"OB ANES. 1ST HOUR","0370","RC","Both",,,"444","222","Amerigroup","Medicaid Managed Care",,,"37",,"162.5","23.61","344.1","percent of total billed charges",,
"OB ANES. 1ST HOUR","0370","RC","Both",,,"444","222","Caresource","Medicaid Managed Care",,,"40",,"177.6","23.61","344.1","percent of total billed charges",,
"OB ANES. 1ST HOUR","0370","RC","Both",,,"444","222","Wellcare","Medicaid Managed Care",,,"40",,"179.82","23.61","344.1","percent of total billed charges",,
"OB ANES. 1ST HOUR","0370","RC","Both",,,"444","222","Aetna","Commercial",,,"64",,"283.27","23.61","344.1","percent of total billed charges",,
"OB ANES. 1ST HOUR","0370","RC","Both",,,"444","222","Blue Cross Blue Shield","Pathways",,,"71",,"313.46","23.61","344.1","percent of total billed charges",,
"OB ANES. 1ST HOUR","0370","RC","Both",,,"444","222","Blue Cross Blue Shield","HMO",,,"71",,"313.46","23.61","344.1","percent of total billed charges",,
"OB ANES. 1ST HOUR","0370","RC","Both",,,"444","222","Blue Cross Blue Shield","PPO",,,"71",,"313.46","23.61","344.1","percent of total billed charges",,
"OB ANES. 1ST HOUR","0370","RC","Both",,,"444","222","Ambetter","Health Exchange",,,"62",,"275.28","23.61","344.1","percent of total billed charges",,
"OB ANES. 1ST HOUR","0370","RC","Both",,,"444","222","Caresource","Health Exchange",,,"62",,"275.28","23.61","344.1","percent of total billed charges",,
"OB ANES. 1ST HOUR","0370","RC","Both",,,"444","222","Cigna","Commercial",,,"59",,"260.18","23.61","344.1","percent of total billed charges",,
"OB ANES. 1ST HOUR","0370","RC","Both",,,"444","222","Humana","Commercial",,,"78",,"344.1","23.61","344.1","percent of total billed charges",,
"OB ANES. 1ST HOUR","0370","RC","Both",,,"444","222","UHC","Commercial",,,"75",,"334.78","23.61","344.1","percent of total billed charges",,
"OB ANES. 1ST HOUR","0370","RC","Both",,,"444","222","Medicaid",,,,"37",,"162.5","23.61","344.1","percent of total billed charges",,
"OB EACH ADDITIONAL 15 MIN.","0370","RC","Both",,,"64.5","32.25","Alliant","Health Exchange",,,"62",,"39.99","23.61","344.1","percent of total billed charges",,
"OB EACH ADDITIONAL 15 MIN.","0370","RC","Both",,,"64.5","32.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"34.83","23.61","344.1","percent of total billed charges",,
"OB EACH ADDITIONAL 15 MIN.","0370","RC","Both",,,"64.5","32.25","Medicare",,,,"54",,"34.96","23.61","344.1","percent of total billed charges",,
"OB EACH ADDITIONAL 15 MIN.","0370","RC","Both",,,"64.5","32.25","Humana","Medicare Advantage",,,"54",,"34.96","23.61","344.1","percent of total billed charges",,
"OB EACH ADDITIONAL 15 MIN.","0370","RC","Both",,,"64.5","32.25","UHC","Medicare Advantage",,,"54",,"34.96","23.61","344.1","percent of total billed charges",,
"OB EACH ADDITIONAL 15 MIN.","0370","RC","Both",,,"64.5","32.25","Clover","Medicare Advantage",,,"54",,"34.96","23.61","344.1","percent of total billed charges",,
"OB EACH ADDITIONAL 15 MIN.","0370","RC","Both",,,"64.5","32.25","Wellcare","Medicare Advantage",,,"54",,"34.96","23.61","344.1","percent of total billed charges",,
"OB EACH ADDITIONAL 15 MIN.","0370","RC","Both",,,"64.5","32.25","Amerigroup","Medicaid Managed Care",,,"37",,"23.61","23.61","344.1","percent of total billed charges",,
"OB EACH ADDITIONAL 15 MIN.","0370","RC","Both",,,"64.5","32.25","Caresource","Medicaid Managed Care",,,"40",,"25.8","23.61","344.1","percent of total billed charges",,
"OB EACH ADDITIONAL 15 MIN.","0370","RC","Both",,,"64.5","32.25","Wellcare","Medicaid Managed Care",,,"40",,"26.12","23.61","344.1","percent of total billed charges",,
"OB EACH ADDITIONAL 15 MIN.","0370","RC","Both",,,"64.5","32.25","Aetna","Commercial",,,"64",,"41.15","23.61","344.1","percent of total billed charges",,
"OB EACH ADDITIONAL 15 MIN.","0370","RC","Both",,,"64.5","32.25","Blue Cross Blue Shield","Pathways",,,"71",,"45.54","23.61","344.1","percent of total billed charges",,
"OB EACH ADDITIONAL 15 MIN.","0370","RC","Both",,,"64.5","32.25","Blue Cross Blue Shield","HMO",,,"71",,"45.54","23.61","344.1","percent of total billed charges",,
"OB EACH ADDITIONAL 15 MIN.","0370","RC","Both",,,"64.5","32.25","Blue Cross Blue Shield","PPO",,,"71",,"45.54","23.61","344.1","percent of total billed charges",,
"OB EACH ADDITIONAL 15 MIN.","0370","RC","Both",,,"64.5","32.25","Ambetter","Health Exchange",,,"62",,"39.99","23.61","344.1","percent of total billed charges",,
"OB EACH ADDITIONAL 15 MIN.","0370","RC","Both",,,"64.5","32.25","Caresource","Health Exchange",,,"62",,"39.99","23.61","344.1","percent of total billed charges",,
"OB EACH ADDITIONAL 15 MIN.","0370","RC","Both",,,"64.5","32.25","Cigna","Commercial",,,"59",,"37.8","23.61","344.1","percent of total billed charges",,
"OB EACH ADDITIONAL 15 MIN.","0370","RC","Both",,,"64.5","32.25","Humana","Commercial",,,"78",,"49.99","23.61","344.1","percent of total billed charges",,
"OB EACH ADDITIONAL 15 MIN.","0370","RC","Both",,,"64.5","32.25","UHC","Commercial",,,"75",,"48.63","23.61","344.1","percent of total billed charges",,
"OB EACH ADDITIONAL 15 MIN.","0370","RC","Both",,,"64.5","32.25","Medicaid",,,,"37",,"23.61","23.61","344.1","percent of total billed charges",,
"OB EMERG. CALL BACK ANES.","0370","RC","Both",,,"153","76.5","Alliant","Health Exchange",,,"62",,"94.86","23.61","344.1","percent of total billed charges",,
"OB EMERG. CALL BACK ANES.","0370","RC","Both",,,"153","76.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"82.62","23.61","344.1","percent of total billed charges",,
"OB EMERG. CALL BACK ANES.","0370","RC","Both",,,"153","76.5","Medicare",,,,"54",,"82.93","23.61","344.1","percent of total billed charges",,
"OB EMERG. CALL BACK ANES.","0370","RC","Both",,,"153","76.5","Humana","Medicare Advantage",,,"54",,"82.93","23.61","344.1","percent of total billed charges",,
"OB EMERG. CALL BACK ANES.","0370","RC","Both",,,"153","76.5","UHC","Medicare Advantage",,,"54",,"82.93","23.61","344.1","percent of total billed charges",,
"OB EMERG. CALL BACK ANES.","0370","RC","Both",,,"153","76.5","Clover","Medicare Advantage",,,"54",,"82.93","23.61","344.1","percent of total billed charges",,
"OB EMERG. CALL BACK ANES.","0370","RC","Both",,,"153","76.5","Wellcare","Medicare Advantage",,,"54",,"82.93","23.61","344.1","percent of total billed charges",,
"OB EMERG. CALL BACK ANES.","0370","RC","Both",,,"153","76.5","Amerigroup","Medicaid Managed Care",,,"37",,"56","23.61","344.1","percent of total billed charges",,
"OB EMERG. CALL BACK ANES.","0370","RC","Both",,,"153","76.5","Caresource","Medicaid Managed Care",,,"40",,"61.2","23.61","344.1","percent of total billed charges",,
"OB EMERG. CALL BACK ANES.","0370","RC","Both",,,"153","76.5","Wellcare","Medicaid Managed Care",,,"40",,"61.96","23.61","344.1","percent of total billed charges",,
"OB EMERG. CALL BACK ANES.","0370","RC","Both",,,"153","76.5","Aetna","Commercial",,,"64",,"97.61","23.61","344.1","percent of total billed charges",,
"OB EMERG. CALL BACK ANES.","0370","RC","Both",,,"153","76.5","Blue Cross Blue Shield","Pathways",,,"71",,"108.02","23.61","344.1","percent of total billed charges",,
"OB EMERG. CALL BACK ANES.","0370","RC","Both",,,"153","76.5","Blue Cross Blue Shield","HMO",,,"71",,"108.02","23.61","344.1","percent of total billed charges",,
"OB EMERG. CALL BACK ANES.","0370","RC","Both",,,"153","76.5","Blue Cross Blue Shield","PPO",,,"71",,"108.02","23.61","344.1","percent of total billed charges",,
"OB EMERG. CALL BACK ANES.","0370","RC","Both",,,"153","76.5","Ambetter","Health Exchange",,,"62",,"94.86","23.61","344.1","percent of total billed charges",,
"OB EMERG. CALL BACK ANES.","0370","RC","Both",,,"153","76.5","Caresource","Health Exchange",,,"62",,"94.86","23.61","344.1","percent of total billed charges",,
"OB EMERG. CALL BACK ANES.","0370","RC","Both",,,"153","76.5","Cigna","Commercial",,,"59",,"89.66","23.61","344.1","percent of total billed charges",,
"OB EMERG. CALL BACK ANES.","0370","RC","Both",,,"153","76.5","Humana","Commercial",,,"78",,"118.58","23.61","344.1","percent of total billed charges",,
"OB EMERG. CALL BACK ANES.","0370","RC","Both",,,"153","76.5","UHC","Commercial",,,"75",,"115.36","23.61","344.1","percent of total billed charges",,
"OB EMERG. CALL BACK ANES.","0370","RC","Both",,,"153","76.5","Medicaid",,,,"37",,"56","23.61","344.1","percent of total billed charges",,
"FORANE","0370","RC","Both",,,"154.5","77.25","Alliant","Health Exchange",,,"62",,"95.79","23.61","344.1","percent of total billed charges",,
"FORANE","0370","RC","Both",,,"154.5","77.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"83.43","23.61","344.1","percent of total billed charges",,
"FORANE","0370","RC","Both",,,"154.5","77.25","Medicare",,,,"54",,"83.74","23.61","344.1","percent of total billed charges",,
"FORANE","0370","RC","Both",,,"154.5","77.25","Humana","Medicare Advantage",,,"54",,"83.74","23.61","344.1","percent of total billed charges",,
"FORANE","0370","RC","Both",,,"154.5","77.25","UHC","Medicare Advantage",,,"54",,"83.74","23.61","344.1","percent of total billed charges",,
"FORANE","0370","RC","Both",,,"154.5","77.25","Clover","Medicare Advantage",,,"54",,"83.74","23.61","344.1","percent of total billed charges",,
"FORANE","0370","RC","Both",,,"154.5","77.25","Wellcare","Medicare Advantage",,,"54",,"83.74","23.61","344.1","percent of total billed charges",,
"FORANE","0370","RC","Both",,,"154.5","77.25","Amerigroup","Medicaid Managed Care",,,"37",,"56.55","23.61","344.1","percent of total billed charges",,
"FORANE","0370","RC","Both",,,"154.5","77.25","Caresource","Medicaid Managed Care",,,"40",,"61.8","23.61","344.1","percent of total billed charges",,
"FORANE","0370","RC","Both",,,"154.5","77.25","Wellcare","Medicaid Managed Care",,,"40",,"62.57","23.61","344.1","percent of total billed charges",,
"FORANE","0370","RC","Both",,,"154.5","77.25","Aetna","Commercial",,,"64",,"98.57","23.61","344.1","percent of total billed charges",,
"FORANE","0370","RC","Both",,,"154.5","77.25","Blue Cross Blue Shield","Pathways",,,"71",,"109.08","23.61","344.1","percent of total billed charges",,
"FORANE","0370","RC","Both",,,"154.5","77.25","Blue Cross Blue Shield","HMO",,,"71",,"109.08","23.61","344.1","percent of total billed charges",,
"FORANE","0370","RC","Both",,,"154.5","77.25","Blue Cross Blue Shield","PPO",,,"71",,"109.08","23.61","344.1","percent of total billed charges",,
"FORANE","0370","RC","Both",,,"154.5","77.25","Ambetter","Health Exchange",,,"62",,"95.79","23.61","344.1","percent of total billed charges",,
"FORANE","0370","RC","Both",,,"154.5","77.25","Caresource","Health Exchange",,,"62",,"95.79","23.61","344.1","percent of total billed charges",,
"FORANE","0370","RC","Both",,,"154.5","77.25","Cigna","Commercial",,,"59",,"90.54","23.61","344.1","percent of total billed charges",,
"FORANE","0370","RC","Both",,,"154.5","77.25","Humana","Commercial",,,"78",,"119.74","23.61","344.1","percent of total billed charges",,
"FORANE","0370","RC","Both",,,"154.5","77.25","UHC","Commercial",,,"75",,"116.49","23.61","344.1","percent of total billed charges",,
"FORANE","0370","RC","Both",,,"154.5","77.25","Medicaid",,,,"37",,"56.55","23.61","344.1","percent of total billed charges",,
"ULTANE (sevoflurane) A/D","0250","RC","Both",,,"338","169","Alliant","Health Exchange",,,"62",,"209.56","0.04","569.62","percent of total billed charges",,
"ULTANE (sevoflurane) A/D","0250","RC","Both",,,"338","169","Pruitt Healthcare","Medicare Advantage",,,"54",,"182.52","0.04","569.62","percent of total billed charges",,
"ULTANE (sevoflurane) A/D","0250","RC","Both",,,"338","169","Medicare",,,,"54",,"183.2","0.04","569.62","percent of total billed charges",,
"ULTANE (sevoflurane) A/D","0250","RC","Both",,,"338","169","Humana","Medicare Advantage",,,"54",,"183.2","0.04","569.62","percent of total billed charges",,
"ULTANE (sevoflurane) A/D","0250","RC","Both",,,"338","169","UHC","Medicare Advantage",,,"54",,"183.2","0.04","569.62","percent of total billed charges",,
"ULTANE (sevoflurane) A/D","0250","RC","Both",,,"338","169","Clover","Medicare Advantage",,,"54",,"183.2","0.04","569.62","percent of total billed charges",,
"ULTANE (sevoflurane) A/D","0250","RC","Both",,,"338","169","Wellcare","Medicare Advantage",,,"54",,"183.2","0.04","569.62","percent of total billed charges",,
"ULTANE (sevoflurane) A/D","0250","RC","Both",,,"338","169","Amerigroup","Medicaid Managed Care",,,"37",,"123.71","0.04","569.62","percent of total billed charges",,
"ULTANE (sevoflurane) A/D","0250","RC","Both",,,"338","169","Caresource","Medicaid Managed Care",,,"40",,"135.2","0.04","569.62","percent of total billed charges",,
"ULTANE (sevoflurane) A/D","0250","RC","Both",,,"338","169","Wellcare","Medicaid Managed Care",,,"40",,"136.89","0.04","569.62","percent of total billed charges",,
"ULTANE (sevoflurane) A/D","0250","RC","Both",,,"338","169","Aetna","Commercial",,,"64",,"215.64","0.04","569.62","percent of total billed charges",,
"ULTANE (sevoflurane) A/D","0250","RC","Both",,,"338","169","Blue Cross Blue Shield","Pathways",,,"71",,"238.63","0.04","569.62","percent of total billed charges",,
"ULTANE (sevoflurane) A/D","0250","RC","Both",,,"338","169","Blue Cross Blue Shield","HMO",,,"71",,"238.63","0.04","569.62","percent of total billed charges",,
"ULTANE (sevoflurane) A/D","0250","RC","Both",,,"338","169","Blue Cross Blue Shield","PPO",,,"71",,"238.63","0.04","569.62","percent of total billed charges",,
"ULTANE (sevoflurane) A/D","0250","RC","Both",,,"338","169","Ambetter","Health Exchange",,,"62",,"209.56","0.04","569.62","percent of total billed charges",,
"ULTANE (sevoflurane) A/D","0250","RC","Both",,,"338","169","Caresource","Health Exchange",,,"62",,"209.56","0.04","569.62","percent of total billed charges",,
"ULTANE (sevoflurane) A/D","0250","RC","Both",,,"338","169","Cigna","Commercial",,,"59",,"198.07","0.04","569.62","percent of total billed charges",,
"ULTANE (sevoflurane) A/D","0250","RC","Both",,,"338","169","Humana","Commercial",,,"78",,"261.95","0.04","569.62","percent of total billed charges",,
"ULTANE (sevoflurane) A/D","0250","RC","Both",,,"338","169","UHC","Commercial",,,"75",,"254.85","0.04","569.62","percent of total billed charges",,
"ULTANE (sevoflurane) A/D","0250","RC","Both",,,"338","169","Medicaid",,,,"37",,"123.71","0.04","569.62","percent of total billed charges",,
"PATIENT W/SEVERE SYST DIS LIFE THREAT","0370","RC","Both",,,"273.5","136.75","Alliant","Health Exchange",,,"62",,"169.57","23.61","344.1","percent of total billed charges",,
"PATIENT W/SEVERE SYST DIS LIFE THREAT","0370","RC","Both",,,"273.5","136.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"147.69","23.61","344.1","percent of total billed charges",,
"PATIENT W/SEVERE SYST DIS LIFE THREAT","0370","RC","Both",,,"273.5","136.75","Medicare",,,,"54",,"148.24","23.61","344.1","percent of total billed charges",,
"PATIENT W/SEVERE SYST DIS LIFE THREAT","0370","RC","Both",,,"273.5","136.75","Humana","Medicare Advantage",,,"54",,"148.24","23.61","344.1","percent of total billed charges",,
"PATIENT W/SEVERE SYST DIS LIFE THREAT","0370","RC","Both",,,"273.5","136.75","UHC","Medicare Advantage",,,"54",,"148.24","23.61","344.1","percent of total billed charges",,
"PATIENT W/SEVERE SYST DIS LIFE THREAT","0370","RC","Both",,,"273.5","136.75","Clover","Medicare Advantage",,,"54",,"148.24","23.61","344.1","percent of total billed charges",,
"PATIENT W/SEVERE SYST DIS LIFE THREAT","0370","RC","Both",,,"273.5","136.75","Wellcare","Medicare Advantage",,,"54",,"148.24","23.61","344.1","percent of total billed charges",,
"PATIENT W/SEVERE SYST DIS LIFE THREAT","0370","RC","Both",,,"273.5","136.75","Amerigroup","Medicaid Managed Care",,,"37",,"100.1","23.61","344.1","percent of total billed charges",,
"PATIENT W/SEVERE SYST DIS LIFE THREAT","0370","RC","Both",,,"273.5","136.75","Caresource","Medicaid Managed Care",,,"40",,"109.4","23.61","344.1","percent of total billed charges",,
"PATIENT W/SEVERE SYST DIS LIFE THREAT","0370","RC","Both",,,"273.5","136.75","Wellcare","Medicaid Managed Care",,,"40",,"110.77","23.61","344.1","percent of total billed charges",,
"PATIENT W/SEVERE SYST DIS LIFE THREAT","0370","RC","Both",,,"273.5","136.75","Aetna","Commercial",,,"64",,"174.49","23.61","344.1","percent of total billed charges",,
"PATIENT W/SEVERE SYST DIS LIFE THREAT","0370","RC","Both",,,"273.5","136.75","Blue Cross Blue Shield","Pathways",,,"71",,"193.09","23.61","344.1","percent of total billed charges",,
"PATIENT W/SEVERE SYST DIS LIFE THREAT","0370","RC","Both",,,"273.5","136.75","Blue Cross Blue Shield","HMO",,,"71",,"193.09","23.61","344.1","percent of total billed charges",,
"PATIENT W/SEVERE SYST DIS LIFE THREAT","0370","RC","Both",,,"273.5","136.75","Blue Cross Blue Shield","PPO",,,"71",,"193.09","23.61","344.1","percent of total billed charges",,
"PATIENT W/SEVERE SYST DIS LIFE THREAT","0370","RC","Both",,,"273.5","136.75","Ambetter","Health Exchange",,,"62",,"169.57","23.61","344.1","percent of total billed charges",,
"PATIENT W/SEVERE SYST DIS LIFE THREAT","0370","RC","Both",,,"273.5","136.75","Caresource","Health Exchange",,,"62",,"169.57","23.61","344.1","percent of total billed charges",,
"PATIENT W/SEVERE SYST DIS LIFE THREAT","0370","RC","Both",,,"273.5","136.75","Cigna","Commercial",,,"59",,"160.27","23.61","344.1","percent of total billed charges",,
"PATIENT W/SEVERE SYST DIS LIFE THREAT","0370","RC","Both",,,"273.5","136.75","Humana","Commercial",,,"78",,"211.96","23.61","344.1","percent of total billed charges",,
"PATIENT W/SEVERE SYST DIS LIFE THREAT","0370","RC","Both",,,"273.5","136.75","UHC","Commercial",,,"75",,"206.22","23.61","344.1","percent of total billed charges",,
"PATIENT W/SEVERE SYST DIS LIFE THREAT","0370","RC","Both",,,"273.5","136.75","Medicaid",,,,"37",,"100.1","23.61","344.1","percent of total billed charges",,
"MORIBUND PT NOT EXPT TO SURVIVE W/O SURG","0370","RC","Both",,,"408","204","Alliant","Health Exchange",,,"62",,"252.96","23.61","344.1","percent of total billed charges",,
"MORIBUND PT NOT EXPT TO SURVIVE W/O SURG","0370","RC","Both",,,"408","204","Pruitt Healthcare","Medicare Advantage",,,"54",,"220.32","23.61","344.1","percent of total billed charges",,
"MORIBUND PT NOT EXPT TO SURVIVE W/O SURG","0370","RC","Both",,,"408","204","Medicare",,,,"54",,"221.14","23.61","344.1","percent of total billed charges",,
"MORIBUND PT NOT EXPT TO SURVIVE W/O SURG","0370","RC","Both",,,"408","204","Humana","Medicare Advantage",,,"54",,"221.14","23.61","344.1","percent of total billed charges",,
"MORIBUND PT NOT EXPT TO SURVIVE W/O SURG","0370","RC","Both",,,"408","204","UHC","Medicare Advantage",,,"54",,"221.14","23.61","344.1","percent of total billed charges",,
"MORIBUND PT NOT EXPT TO SURVIVE W/O SURG","0370","RC","Both",,,"408","204","Clover","Medicare Advantage",,,"54",,"221.14","23.61","344.1","percent of total billed charges",,
"MORIBUND PT NOT EXPT TO SURVIVE W/O SURG","0370","RC","Both",,,"408","204","Wellcare","Medicare Advantage",,,"54",,"221.14","23.61","344.1","percent of total billed charges",,
"MORIBUND PT NOT EXPT TO SURVIVE W/O SURG","0370","RC","Both",,,"408","204","Amerigroup","Medicaid Managed Care",,,"37",,"149.33","23.61","344.1","percent of total billed charges",,
"MORIBUND PT NOT EXPT TO SURVIVE W/O SURG","0370","RC","Both",,,"408","204","Caresource","Medicaid Managed Care",,,"40",,"163.2","23.61","344.1","percent of total billed charges",,
"MORIBUND PT NOT EXPT TO SURVIVE W/O SURG","0370","RC","Both",,,"408","204","Wellcare","Medicaid Managed Care",,,"40",,"165.24","23.61","344.1","percent of total billed charges",,
"MORIBUND PT NOT EXPT TO SURVIVE W/O SURG","0370","RC","Both",,,"408","204","Aetna","Commercial",,,"64",,"260.3","23.61","344.1","percent of total billed charges",,
"MORIBUND PT NOT EXPT TO SURVIVE W/O SURG","0370","RC","Both",,,"408","204","Blue Cross Blue Shield","Pathways",,,"71",,"288.05","23.61","344.1","percent of total billed charges",,
"MORIBUND PT NOT EXPT TO SURVIVE W/O SURG","0370","RC","Both",,,"408","204","Blue Cross Blue Shield","HMO",,,"71",,"288.05","23.61","344.1","percent of total billed charges",,
"MORIBUND PT NOT EXPT TO SURVIVE W/O SURG","0370","RC","Both",,,"408","204","Blue Cross Blue Shield","PPO",,,"71",,"288.05","23.61","344.1","percent of total billed charges",,
"MORIBUND PT NOT EXPT TO SURVIVE W/O SURG","0370","RC","Both",,,"408","204","Ambetter","Health Exchange",,,"62",,"252.96","23.61","344.1","percent of total billed charges",,
"MORIBUND PT NOT EXPT TO SURVIVE W/O SURG","0370","RC","Both",,,"408","204","Caresource","Health Exchange",,,"62",,"252.96","23.61","344.1","percent of total billed charges",,
"MORIBUND PT NOT EXPT TO SURVIVE W/O SURG","0370","RC","Both",,,"408","204","Cigna","Commercial",,,"59",,"239.09","23.61","344.1","percent of total billed charges",,
"MORIBUND PT NOT EXPT TO SURVIVE W/O SURG","0370","RC","Both",,,"408","204","Humana","Commercial",,,"78",,"316.2","23.61","344.1","percent of total billed charges",,
"MORIBUND PT NOT EXPT TO SURVIVE W/O SURG","0370","RC","Both",,,"408","204","UHC","Commercial",,,"75",,"307.63","23.61","344.1","percent of total billed charges",,
"MORIBUND PT NOT EXPT TO SURVIVE W/O SURG","0370","RC","Both",,,"408","204","Medicaid",,,,"37",,"149.33","23.61","344.1","percent of total billed charges",,
"CT PROCEDURE UNLISTED","0359","RC","Both",,,"936.5","468.25","Alliant","Health Exchange",,,"62",,"580.63","189.22","725.79","percent of total billed charges",,
"CT PROCEDURE UNLISTED","0359","RC","Both",,,"936.5","468.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"505.71","189.22","725.79","percent of total billed charges",,
"CT PROCEDURE UNLISTED","0359","RC","Both",,,"936.5","468.25","Medicare",,,,"54",,"507.58","189.22","725.79","percent of total billed charges",,
"CT PROCEDURE UNLISTED","0359","RC","Both",,,"936.5","468.25","Humana","Medicare Advantage",,,"54",,"507.58","189.22","725.79","percent of total billed charges",,
"CT PROCEDURE UNLISTED","0359","RC","Both",,,"936.5","468.25","UHC","Medicare Advantage",,,"54",,"507.58","189.22","725.79","percent of total billed charges",,
"CT PROCEDURE UNLISTED","0359","RC","Both",,,"936.5","468.25","Clover","Medicare Advantage",,,"54",,"507.58","189.22","725.79","percent of total billed charges",,
"CT PROCEDURE UNLISTED","0359","RC","Both",,,"936.5","468.25","Wellcare","Medicare Advantage",,,"54",,"507.58","189.22","725.79","percent of total billed charges",,
"CT PROCEDURE UNLISTED","0359","RC","Both",,,"936.5","468.25","Amerigroup","Medicaid Managed Care",,,"37",,"342.76","189.22","725.79","percent of total billed charges",,
"CT PROCEDURE UNLISTED","0359","RC","Both",,,"936.5","468.25","Caresource","Medicaid Managed Care",,,"40",,"374.6","189.22","725.79","percent of total billed charges",,
"CT PROCEDURE UNLISTED","0359","RC","Both",,,"936.5","468.25","Wellcare","Medicaid Managed Care",,,"40",,"379.28","189.22","725.79","percent of total billed charges",,
"CT PROCEDURE UNLISTED","0359","RC","Both",,,"936.5","468.25","Aetna","Commercial",,,"64",,"597.49","189.22","725.79","percent of total billed charges",,
"CT PROCEDURE UNLISTED","0359","RC","Both",,,"936.5","468.25","Blue Cross Blue Shield","Pathways",,,"71",,"661.17","189.22","725.79","percent of total billed charges",,
"CT PROCEDURE UNLISTED","0359","RC","Both",,,"936.5","468.25","Blue Cross Blue Shield","HMO",,,"71",,"661.17","189.22","725.79","percent of total billed charges",,
"CT PROCEDURE UNLISTED","0359","RC","Both",,,"936.5","468.25","Blue Cross Blue Shield","PPO",,,"71",,"661.17","189.22","725.79","percent of total billed charges",,
"CT PROCEDURE UNLISTED","0359","RC","Both",,,"936.5","468.25","Ambetter","Health Exchange",,,"62",,"580.63","189.22","725.79","percent of total billed charges",,
"CT PROCEDURE UNLISTED","0359","RC","Both",,,"936.5","468.25","Caresource","Health Exchange",,,"62",,"580.63","189.22","725.79","percent of total billed charges",,
"CT PROCEDURE UNLISTED","0359","RC","Both",,,"936.5","468.25","Cigna","Commercial",,,"59",,"548.79","189.22","725.79","percent of total billed charges",,
"CT PROCEDURE UNLISTED","0359","RC","Both",,,"936.5","468.25","Humana","Commercial",,,"78",,"725.79","189.22","725.79","percent of total billed charges",,
"CT PROCEDURE UNLISTED","0359","RC","Both",,,"936.5","468.25","UHC","Commercial",,,"75",,"706.12","189.22","725.79","percent of total billed charges",,
"CT PROCEDURE UNLISTED","0359","RC","Both",,,"936.5","468.25","Medicaid",,,,"37",,"342.76","189.22","725.79","percent of total billed charges",,
"BED PAN","0270","RC","Both",,,"16","8","Alliant","Health Exchange",,,"62",,"9.92","0.18","1007.5","percent of total billed charges",,
"BED PAN","0270","RC","Both",,,"16","8","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.64","0.18","1007.5","percent of total billed charges",,
"BED PAN","0270","RC","Both",,,"16","8","Medicare",,,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"BED PAN","0270","RC","Both",,,"16","8","Humana","Medicare Advantage",,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"BED PAN","0270","RC","Both",,,"16","8","UHC","Medicare Advantage",,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"BED PAN","0270","RC","Both",,,"16","8","Clover","Medicare Advantage",,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"BED PAN","0270","RC","Both",,,"16","8","Wellcare","Medicare Advantage",,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"BED PAN","0270","RC","Both",,,"16","8","Amerigroup","Medicaid Managed Care",,,"37",,"5.86","0.18","1007.5","percent of total billed charges",,
"BED PAN","0270","RC","Both",,,"16","8","Caresource","Medicaid Managed Care",,,"40",,"6.4","0.18","1007.5","percent of total billed charges",,
"BED PAN","0270","RC","Both",,,"16","8","Wellcare","Medicaid Managed Care",,,"40",,"6.48","0.18","1007.5","percent of total billed charges",,
"BED PAN","0270","RC","Both",,,"16","8","Aetna","Commercial",,,"64",,"10.21","0.18","1007.5","percent of total billed charges",,
"BED PAN","0270","RC","Both",,,"16","8","Blue Cross Blue Shield","Pathways",,,"71",,"11.3","0.18","1007.5","percent of total billed charges",,
"BED PAN","0270","RC","Both",,,"16","8","Blue Cross Blue Shield","HMO",,,"71",,"11.3","0.18","1007.5","percent of total billed charges",,
"BED PAN","0270","RC","Both",,,"16","8","Blue Cross Blue Shield","PPO",,,"71",,"11.3","0.18","1007.5","percent of total billed charges",,
"BED PAN","0270","RC","Both",,,"16","8","Ambetter","Health Exchange",,,"62",,"9.92","0.18","1007.5","percent of total billed charges",,
"BED PAN","0270","RC","Both",,,"16","8","Caresource","Health Exchange",,,"62",,"9.92","0.18","1007.5","percent of total billed charges",,
"BED PAN","0270","RC","Both",,,"16","8","Cigna","Commercial",,,"59",,"9.38","0.18","1007.5","percent of total billed charges",,
"BED PAN","0270","RC","Both",,,"16","8","Humana","Commercial",,,"78",,"12.4","0.18","1007.5","percent of total billed charges",,
"BED PAN","0270","RC","Both",,,"16","8","UHC","Commercial",,,"75",,"12.06","0.18","1007.5","percent of total billed charges",,
"BED PAN","0270","RC","Both",,,"16","8","Medicaid",,,,"37",,"5.86","0.18","1007.5","percent of total billed charges",,
"19ADDER CARE KIT","0270","RC","Both",,,"44","22","Alliant","Health Exchange",,,"62",,"27.28","0.18","1007.5","percent of total billed charges",,
"19ADDER CARE KIT","0270","RC","Both",,,"44","22","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.76","0.18","1007.5","percent of total billed charges",,
"19ADDER CARE KIT","0270","RC","Both",,,"44","22","Medicare",,,,"54",,"23.85","0.18","1007.5","percent of total billed charges",,
"19ADDER CARE KIT","0270","RC","Both",,,"44","22","Humana","Medicare Advantage",,,"54",,"23.85","0.18","1007.5","percent of total billed charges",,
"19ADDER CARE KIT","0270","RC","Both",,,"44","22","UHC","Medicare Advantage",,,"54",,"23.85","0.18","1007.5","percent of total billed charges",,
"19ADDER CARE KIT","0270","RC","Both",,,"44","22","Clover","Medicare Advantage",,,"54",,"23.85","0.18","1007.5","percent of total billed charges",,
"19ADDER CARE KIT","0270","RC","Both",,,"44","22","Wellcare","Medicare Advantage",,,"54",,"23.85","0.18","1007.5","percent of total billed charges",,
"19ADDER CARE KIT","0270","RC","Both",,,"44","22","Amerigroup","Medicaid Managed Care",,,"37",,"16.1","0.18","1007.5","percent of total billed charges",,
"19ADDER CARE KIT","0270","RC","Both",,,"44","22","Caresource","Medicaid Managed Care",,,"40",,"17.6","0.18","1007.5","percent of total billed charges",,
"19ADDER CARE KIT","0270","RC","Both",,,"44","22","Wellcare","Medicaid Managed Care",,,"40",,"17.82","0.18","1007.5","percent of total billed charges",,
"19ADDER CARE KIT","0270","RC","Both",,,"44","22","Aetna","Commercial",,,"64",,"28.07","0.18","1007.5","percent of total billed charges",,
"19ADDER CARE KIT","0270","RC","Both",,,"44","22","Blue Cross Blue Shield","Pathways",,,"71",,"31.06","0.18","1007.5","percent of total billed charges",,
"19ADDER CARE KIT","0270","RC","Both",,,"44","22","Blue Cross Blue Shield","HMO",,,"71",,"31.06","0.18","1007.5","percent of total billed charges",,
"19ADDER CARE KIT","0270","RC","Both",,,"44","22","Blue Cross Blue Shield","PPO",,,"71",,"31.06","0.18","1007.5","percent of total billed charges",,
"19ADDER CARE KIT","0270","RC","Both",,,"44","22","Ambetter","Health Exchange",,,"62",,"27.28","0.18","1007.5","percent of total billed charges",,
"19ADDER CARE KIT","0270","RC","Both",,,"44","22","Caresource","Health Exchange",,,"62",,"27.28","0.18","1007.5","percent of total billed charges",,
"19ADDER CARE KIT","0270","RC","Both",,,"44","22","Cigna","Commercial",,,"59",,"25.78","0.18","1007.5","percent of total billed charges",,
"19ADDER CARE KIT","0270","RC","Both",,,"44","22","Humana","Commercial",,,"78",,"34.1","0.18","1007.5","percent of total billed charges",,
"19ADDER CARE KIT","0270","RC","Both",,,"44","22","UHC","Commercial",,,"75",,"33.18","0.18","1007.5","percent of total billed charges",,
"19ADDER CARE KIT","0270","RC","Both",,,"44","22","Medicaid",,,,"37",,"16.1","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY NEEDLE","0270","RC","Both",,,"16.5","8.25","Alliant","Health Exchange",,,"62",,"10.23","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY NEEDLE","0270","RC","Both",,,"16.5","8.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.91","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY NEEDLE","0270","RC","Both",,,"16.5","8.25","Medicare",,,,"54",,"8.94","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY NEEDLE","0270","RC","Both",,,"16.5","8.25","Humana","Medicare Advantage",,,"54",,"8.94","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY NEEDLE","0270","RC","Both",,,"16.5","8.25","UHC","Medicare Advantage",,,"54",,"8.94","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY NEEDLE","0270","RC","Both",,,"16.5","8.25","Clover","Medicare Advantage",,,"54",,"8.94","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY NEEDLE","0270","RC","Both",,,"16.5","8.25","Wellcare","Medicare Advantage",,,"54",,"8.94","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY NEEDLE","0270","RC","Both",,,"16.5","8.25","Amerigroup","Medicaid Managed Care",,,"37",,"6.04","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY NEEDLE","0270","RC","Both",,,"16.5","8.25","Caresource","Medicaid Managed Care",,,"40",,"6.6","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY NEEDLE","0270","RC","Both",,,"16.5","8.25","Wellcare","Medicaid Managed Care",,,"40",,"6.68","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY NEEDLE","0270","RC","Both",,,"16.5","8.25","Aetna","Commercial",,,"64",,"10.53","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY NEEDLE","0270","RC","Both",,,"16.5","8.25","Blue Cross Blue Shield","Pathways",,,"71",,"11.65","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY NEEDLE","0270","RC","Both",,,"16.5","8.25","Blue Cross Blue Shield","HMO",,,"71",,"11.65","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY NEEDLE","0270","RC","Both",,,"16.5","8.25","Blue Cross Blue Shield","PPO",,,"71",,"11.65","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY NEEDLE","0270","RC","Both",,,"16.5","8.25","Ambetter","Health Exchange",,,"62",,"10.23","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY NEEDLE","0270","RC","Both",,,"16.5","8.25","Caresource","Health Exchange",,,"62",,"10.23","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY NEEDLE","0270","RC","Both",,,"16.5","8.25","Cigna","Commercial",,,"59",,"9.67","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY NEEDLE","0270","RC","Both",,,"16.5","8.25","Humana","Commercial",,,"78",,"12.79","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY NEEDLE","0270","RC","Both",,,"16.5","8.25","UHC","Commercial",,,"75",,"12.44","0.18","1007.5","percent of total billed charges",,
"BUTTERFLY NEEDLE","0270","RC","Both",,,"16.5","8.25","Medicaid",,,,"37",,"6.04","0.18","1007.5","percent of total billed charges",,
"CATHERIZATION TRAY","0270","RC","Both",,,"16","8","Alliant","Health Exchange",,,"62",,"9.92","0.18","1007.5","percent of total billed charges",,
"CATHERIZATION TRAY","0270","RC","Both",,,"16","8","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.64","0.18","1007.5","percent of total billed charges",,
"CATHERIZATION TRAY","0270","RC","Both",,,"16","8","Medicare",,,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"CATHERIZATION TRAY","0270","RC","Both",,,"16","8","Humana","Medicare Advantage",,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"CATHERIZATION TRAY","0270","RC","Both",,,"16","8","UHC","Medicare Advantage",,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"CATHERIZATION TRAY","0270","RC","Both",,,"16","8","Clover","Medicare Advantage",,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"CATHERIZATION TRAY","0270","RC","Both",,,"16","8","Wellcare","Medicare Advantage",,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"CATHERIZATION TRAY","0270","RC","Both",,,"16","8","Amerigroup","Medicaid Managed Care",,,"37",,"5.86","0.18","1007.5","percent of total billed charges",,
"CATHERIZATION TRAY","0270","RC","Both",,,"16","8","Caresource","Medicaid Managed Care",,,"40",,"6.4","0.18","1007.5","percent of total billed charges",,
"CATHERIZATION TRAY","0270","RC","Both",,,"16","8","Wellcare","Medicaid Managed Care",,,"40",,"6.48","0.18","1007.5","percent of total billed charges",,
"CATHERIZATION TRAY","0270","RC","Both",,,"16","8","Aetna","Commercial",,,"64",,"10.21","0.18","1007.5","percent of total billed charges",,
"CATHERIZATION TRAY","0270","RC","Both",,,"16","8","Blue Cross Blue Shield","Pathways",,,"71",,"11.3","0.18","1007.5","percent of total billed charges",,
"CATHERIZATION TRAY","0270","RC","Both",,,"16","8","Blue Cross Blue Shield","HMO",,,"71",,"11.3","0.18","1007.5","percent of total billed charges",,
"CATHERIZATION TRAY","0270","RC","Both",,,"16","8","Blue Cross Blue Shield","PPO",,,"71",,"11.3","0.18","1007.5","percent of total billed charges",,
"CATHERIZATION TRAY","0270","RC","Both",,,"16","8","Ambetter","Health Exchange",,,"62",,"9.92","0.18","1007.5","percent of total billed charges",,
"CATHERIZATION TRAY","0270","RC","Both",,,"16","8","Caresource","Health Exchange",,,"62",,"9.92","0.18","1007.5","percent of total billed charges",,
"CATHERIZATION TRAY","0270","RC","Both",,,"16","8","Cigna","Commercial",,,"59",,"9.38","0.18","1007.5","percent of total billed charges",,
"CATHERIZATION TRAY","0270","RC","Both",,,"16","8","Humana","Commercial",,,"78",,"12.4","0.18","1007.5","percent of total billed charges",,
"CATHERIZATION TRAY","0270","RC","Both",,,"16","8","UHC","Commercial",,,"75",,"12.06","0.18","1007.5","percent of total billed charges",,
"CATHERIZATION TRAY","0270","RC","Both",,,"16","8","Medicaid",,,,"37",,"5.86","0.18","1007.5","percent of total billed charges",,
"CONRAY 30 ML","0255","RC","Both",,,"31","15.5","Alliant","Health Exchange",,,"62",,"19.22","5.86","196.08","percent of total billed charges",,
"CONRAY 30 ML","0255","RC","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.74","5.86","196.08","percent of total billed charges",,
"CONRAY 30 ML","0255","RC","Both",,,"31","15.5","Medicare",,,,"54",,"16.8","5.86","196.08","percent of total billed charges",,
"CONRAY 30 ML","0255","RC","Both",,,"31","15.5","Humana","Medicare Advantage",,,"54",,"16.8","5.86","196.08","percent of total billed charges",,
"CONRAY 30 ML","0255","RC","Both",,,"31","15.5","UHC","Medicare Advantage",,,"54",,"16.8","5.86","196.08","percent of total billed charges",,
"CONRAY 30 ML","0255","RC","Both",,,"31","15.5","Clover","Medicare Advantage",,,"54",,"16.8","5.86","196.08","percent of total billed charges",,
"CONRAY 30 ML","0255","RC","Both",,,"31","15.5","Wellcare","Medicare Advantage",,,"54",,"16.8","5.86","196.08","percent of total billed charges",,
"CONRAY 30 ML","0255","RC","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care",,,"37",,"11.35","5.86","196.08","percent of total billed charges",,
"CONRAY 30 ML","0255","RC","Both",,,"31","15.5","Caresource","Medicaid Managed Care",,,"40",,"12.4","5.86","196.08","percent of total billed charges",,
"CONRAY 30 ML","0255","RC","Both",,,"31","15.5","Wellcare","Medicaid Managed Care",,,"40",,"12.56","5.86","196.08","percent of total billed charges",,
"CONRAY 30 ML","0255","RC","Both",,,"31","15.5","Aetna","Commercial",,,"64",,"19.78","5.86","196.08","percent of total billed charges",,
"CONRAY 30 ML","0255","RC","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways",,,"71",,"21.89","5.86","196.08","percent of total billed charges",,
"CONRAY 30 ML","0255","RC","Both",,,"31","15.5","Blue Cross Blue Shield","HMO",,,"71",,"21.89","5.86","196.08","percent of total billed charges",,
"CONRAY 30 ML","0255","RC","Both",,,"31","15.5","Blue Cross Blue Shield","PPO",,,"71",,"21.89","5.86","196.08","percent of total billed charges",,
"CONRAY 30 ML","0255","RC","Both",,,"31","15.5","Ambetter","Health Exchange",,,"62",,"19.22","5.86","196.08","percent of total billed charges",,
"CONRAY 30 ML","0255","RC","Both",,,"31","15.5","Caresource","Health Exchange",,,"62",,"19.22","5.86","196.08","percent of total billed charges",,
"CONRAY 30 ML","0255","RC","Both",,,"31","15.5","Cigna","Commercial",,,"59",,"18.17","5.86","196.08","percent of total billed charges",,
"CONRAY 30 ML","0255","RC","Both",,,"31","15.5","Humana","Commercial",,,"78",,"24.02","5.86","196.08","percent of total billed charges",,
"CONRAY 30 ML","0255","RC","Both",,,"31","15.5","UHC","Commercial",,,"75",,"23.37","5.86","196.08","percent of total billed charges",,
"CONRAY 30 ML","0255","RC","Both",,,"31","15.5","Medicaid",,,,"37",,"11.35","5.86","196.08","percent of total billed charges",,
"CONRAY 50ML","0255","RC","Both",,,"39","19.5","Alliant","Health Exchange",,,"62",,"24.18","5.86","196.08","percent of total billed charges",,
"CONRAY 50ML","0255","RC","Both",,,"39","19.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"21.06","5.86","196.08","percent of total billed charges",,
"CONRAY 50ML","0255","RC","Both",,,"39","19.5","Medicare",,,,"54",,"21.14","5.86","196.08","percent of total billed charges",,
"CONRAY 50ML","0255","RC","Both",,,"39","19.5","Humana","Medicare Advantage",,,"54",,"21.14","5.86","196.08","percent of total billed charges",,
"CONRAY 50ML","0255","RC","Both",,,"39","19.5","UHC","Medicare Advantage",,,"54",,"21.14","5.86","196.08","percent of total billed charges",,
"CONRAY 50ML","0255","RC","Both",,,"39","19.5","Clover","Medicare Advantage",,,"54",,"21.14","5.86","196.08","percent of total billed charges",,
"CONRAY 50ML","0255","RC","Both",,,"39","19.5","Wellcare","Medicare Advantage",,,"54",,"21.14","5.86","196.08","percent of total billed charges",,
"CONRAY 50ML","0255","RC","Both",,,"39","19.5","Amerigroup","Medicaid Managed Care",,,"37",,"14.27","5.86","196.08","percent of total billed charges",,
"CONRAY 50ML","0255","RC","Both",,,"39","19.5","Caresource","Medicaid Managed Care",,,"40",,"15.6","5.86","196.08","percent of total billed charges",,
"CONRAY 50ML","0255","RC","Both",,,"39","19.5","Wellcare","Medicaid Managed Care",,,"40",,"15.8","5.86","196.08","percent of total billed charges",,
"CONRAY 50ML","0255","RC","Both",,,"39","19.5","Aetna","Commercial",,,"64",,"24.88","5.86","196.08","percent of total billed charges",,
"CONRAY 50ML","0255","RC","Both",,,"39","19.5","Blue Cross Blue Shield","Pathways",,,"71",,"27.53","5.86","196.08","percent of total billed charges",,
"CONRAY 50ML","0255","RC","Both",,,"39","19.5","Blue Cross Blue Shield","HMO",,,"71",,"27.53","5.86","196.08","percent of total billed charges",,
"CONRAY 50ML","0255","RC","Both",,,"39","19.5","Blue Cross Blue Shield","PPO",,,"71",,"27.53","5.86","196.08","percent of total billed charges",,
"CONRAY 50ML","0255","RC","Both",,,"39","19.5","Ambetter","Health Exchange",,,"62",,"24.18","5.86","196.08","percent of total billed charges",,
"CONRAY 50ML","0255","RC","Both",,,"39","19.5","Caresource","Health Exchange",,,"62",,"24.18","5.86","196.08","percent of total billed charges",,
"CONRAY 50ML","0255","RC","Both",,,"39","19.5","Cigna","Commercial",,,"59",,"22.85","5.86","196.08","percent of total billed charges",,
"CONRAY 50ML","0255","RC","Both",,,"39","19.5","Humana","Commercial",,,"78",,"30.22","5.86","196.08","percent of total billed charges",,
"CONRAY 50ML","0255","RC","Both",,,"39","19.5","UHC","Commercial",,,"75",,"29.41","5.86","196.08","percent of total billed charges",,
"CONRAY 50ML","0255","RC","Both",,,"39","19.5","Medicaid",,,,"37",,"14.27","5.86","196.08","percent of total billed charges",,
"CYSTO CONRAY","0255","RC","Both",,,"70.5","35.25","Alliant","Health Exchange",,,"62",,"43.71","5.86","196.08","percent of total billed charges",,
"CYSTO CONRAY","0255","RC","Both",,,"70.5","35.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"38.07","5.86","196.08","percent of total billed charges",,
"CYSTO CONRAY","0255","RC","Both",,,"70.5","35.25","Medicare",,,,"54",,"38.21","5.86","196.08","percent of total billed charges",,
"CYSTO CONRAY","0255","RC","Both",,,"70.5","35.25","Humana","Medicare Advantage",,,"54",,"38.21","5.86","196.08","percent of total billed charges",,
"CYSTO CONRAY","0255","RC","Both",,,"70.5","35.25","UHC","Medicare Advantage",,,"54",,"38.21","5.86","196.08","percent of total billed charges",,
"CYSTO CONRAY","0255","RC","Both",,,"70.5","35.25","Clover","Medicare Advantage",,,"54",,"38.21","5.86","196.08","percent of total billed charges",,
"CYSTO CONRAY","0255","RC","Both",,,"70.5","35.25","Wellcare","Medicare Advantage",,,"54",,"38.21","5.86","196.08","percent of total billed charges",,
"CYSTO CONRAY","0255","RC","Both",,,"70.5","35.25","Amerigroup","Medicaid Managed Care",,,"37",,"25.8","5.86","196.08","percent of total billed charges",,
"CYSTO CONRAY","0255","RC","Both",,,"70.5","35.25","Caresource","Medicaid Managed Care",,,"40",,"28.2","5.86","196.08","percent of total billed charges",,
"CYSTO CONRAY","0255","RC","Both",,,"70.5","35.25","Wellcare","Medicaid Managed Care",,,"40",,"28.55","5.86","196.08","percent of total billed charges",,
"CYSTO CONRAY","0255","RC","Both",,,"70.5","35.25","Aetna","Commercial",,,"64",,"44.98","5.86","196.08","percent of total billed charges",,
"CYSTO CONRAY","0255","RC","Both",,,"70.5","35.25","Blue Cross Blue Shield","Pathways",,,"71",,"49.77","5.86","196.08","percent of total billed charges",,
"CYSTO CONRAY","0255","RC","Both",,,"70.5","35.25","Blue Cross Blue Shield","HMO",,,"71",,"49.77","5.86","196.08","percent of total billed charges",,
"CYSTO CONRAY","0255","RC","Both",,,"70.5","35.25","Blue Cross Blue Shield","PPO",,,"71",,"49.77","5.86","196.08","percent of total billed charges",,
"CYSTO CONRAY","0255","RC","Both",,,"70.5","35.25","Ambetter","Health Exchange",,,"62",,"43.71","5.86","196.08","percent of total billed charges",,
"CYSTO CONRAY","0255","RC","Both",,,"70.5","35.25","Caresource","Health Exchange",,,"62",,"43.71","5.86","196.08","percent of total billed charges",,
"CYSTO CONRAY","0255","RC","Both",,,"70.5","35.25","Cigna","Commercial",,,"59",,"41.31","5.86","196.08","percent of total billed charges",,
"CYSTO CONRAY","0255","RC","Both",,,"70.5","35.25","Humana","Commercial",,,"78",,"54.64","5.86","196.08","percent of total billed charges",,
"CYSTO CONRAY","0255","RC","Both",,,"70.5","35.25","UHC","Commercial",,,"75",,"53.16","5.86","196.08","percent of total billed charges",,
"CYSTO CONRAY","0255","RC","Both",,,"70.5","35.25","Medicaid",,,,"37",,"25.8","5.86","196.08","percent of total billed charges",,
"EMESIS BASIS","0270","RC","Both",,,"16.5","8.25","Alliant","Health Exchange",,,"62",,"10.23","0.18","1007.5","percent of total billed charges",,
"EMESIS BASIS","0270","RC","Both",,,"16.5","8.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.91","0.18","1007.5","percent of total billed charges",,
"EMESIS BASIS","0270","RC","Both",,,"16.5","8.25","Medicare",,,,"54",,"8.94","0.18","1007.5","percent of total billed charges",,
"EMESIS BASIS","0270","RC","Both",,,"16.5","8.25","Humana","Medicare Advantage",,,"54",,"8.94","0.18","1007.5","percent of total billed charges",,
"EMESIS BASIS","0270","RC","Both",,,"16.5","8.25","UHC","Medicare Advantage",,,"54",,"8.94","0.18","1007.5","percent of total billed charges",,
"EMESIS BASIS","0270","RC","Both",,,"16.5","8.25","Clover","Medicare Advantage",,,"54",,"8.94","0.18","1007.5","percent of total billed charges",,
"EMESIS BASIS","0270","RC","Both",,,"16.5","8.25","Wellcare","Medicare Advantage",,,"54",,"8.94","0.18","1007.5","percent of total billed charges",,
"EMESIS BASIS","0270","RC","Both",,,"16.5","8.25","Amerigroup","Medicaid Managed Care",,,"37",,"6.04","0.18","1007.5","percent of total billed charges",,
"EMESIS BASIS","0270","RC","Both",,,"16.5","8.25","Caresource","Medicaid Managed Care",,,"40",,"6.6","0.18","1007.5","percent of total billed charges",,
"EMESIS BASIS","0270","RC","Both",,,"16.5","8.25","Wellcare","Medicaid Managed Care",,,"40",,"6.68","0.18","1007.5","percent of total billed charges",,
"EMESIS BASIS","0270","RC","Both",,,"16.5","8.25","Aetna","Commercial",,,"64",,"10.53","0.18","1007.5","percent of total billed charges",,
"EMESIS BASIS","0270","RC","Both",,,"16.5","8.25","Blue Cross Blue Shield","Pathways",,,"71",,"11.65","0.18","1007.5","percent of total billed charges",,
"EMESIS BASIS","0270","RC","Both",,,"16.5","8.25","Blue Cross Blue Shield","HMO",,,"71",,"11.65","0.18","1007.5","percent of total billed charges",,
"EMESIS BASIS","0270","RC","Both",,,"16.5","8.25","Blue Cross Blue Shield","PPO",,,"71",,"11.65","0.18","1007.5","percent of total billed charges",,
"EMESIS BASIS","0270","RC","Both",,,"16.5","8.25","Ambetter","Health Exchange",,,"62",,"10.23","0.18","1007.5","percent of total billed charges",,
"EMESIS BASIS","0270","RC","Both",,,"16.5","8.25","Caresource","Health Exchange",,,"62",,"10.23","0.18","1007.5","percent of total billed charges",,
"EMESIS BASIS","0270","RC","Both",,,"16.5","8.25","Cigna","Commercial",,,"59",,"9.67","0.18","1007.5","percent of total billed charges",,
"EMESIS BASIS","0270","RC","Both",,,"16.5","8.25","Humana","Commercial",,,"78",,"12.79","0.18","1007.5","percent of total billed charges",,
"EMESIS BASIS","0270","RC","Both",,,"16.5","8.25","UHC","Commercial",,,"75",,"12.44","0.18","1007.5","percent of total billed charges",,
"EMESIS BASIS","0270","RC","Both",,,"16.5","8.25","Medicaid",,,,"37",,"6.04","0.18","1007.5","percent of total billed charges",,
"FLEET KIT ADULT","0270","RC","Both",,,"24.5","12.25","Alliant","Health Exchange",,,"62",,"15.19","0.18","1007.5","percent of total billed charges",,
"FLEET KIT ADULT","0270","RC","Both",,,"24.5","12.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"13.23","0.18","1007.5","percent of total billed charges",,
"FLEET KIT ADULT","0270","RC","Both",,,"24.5","12.25","Medicare",,,,"54",,"13.28","0.18","1007.5","percent of total billed charges",,
"FLEET KIT ADULT","0270","RC","Both",,,"24.5","12.25","Humana","Medicare Advantage",,,"54",,"13.28","0.18","1007.5","percent of total billed charges",,
"FLEET KIT ADULT","0270","RC","Both",,,"24.5","12.25","UHC","Medicare Advantage",,,"54",,"13.28","0.18","1007.5","percent of total billed charges",,
"FLEET KIT ADULT","0270","RC","Both",,,"24.5","12.25","Clover","Medicare Advantage",,,"54",,"13.28","0.18","1007.5","percent of total billed charges",,
"FLEET KIT ADULT","0270","RC","Both",,,"24.5","12.25","Wellcare","Medicare Advantage",,,"54",,"13.28","0.18","1007.5","percent of total billed charges",,
"FLEET KIT ADULT","0270","RC","Both",,,"24.5","12.25","Amerigroup","Medicaid Managed Care",,,"37",,"8.97","0.18","1007.5","percent of total billed charges",,
"FLEET KIT ADULT","0270","RC","Both",,,"24.5","12.25","Caresource","Medicaid Managed Care",,,"40",,"9.8","0.18","1007.5","percent of total billed charges",,
"FLEET KIT ADULT","0270","RC","Both",,,"24.5","12.25","Wellcare","Medicaid Managed Care",,,"40",,"9.92","0.18","1007.5","percent of total billed charges",,
"FLEET KIT ADULT","0270","RC","Both",,,"24.5","12.25","Aetna","Commercial",,,"64",,"15.63","0.18","1007.5","percent of total billed charges",,
"FLEET KIT ADULT","0270","RC","Both",,,"24.5","12.25","Blue Cross Blue Shield","Pathways",,,"71",,"17.3","0.18","1007.5","percent of total billed charges",,
"FLEET KIT ADULT","0270","RC","Both",,,"24.5","12.25","Blue Cross Blue Shield","HMO",,,"71",,"17.3","0.18","1007.5","percent of total billed charges",,
"FLEET KIT ADULT","0270","RC","Both",,,"24.5","12.25","Blue Cross Blue Shield","PPO",,,"71",,"17.3","0.18","1007.5","percent of total billed charges",,
"FLEET KIT ADULT","0270","RC","Both",,,"24.5","12.25","Ambetter","Health Exchange",,,"62",,"15.19","0.18","1007.5","percent of total billed charges",,
"FLEET KIT ADULT","0270","RC","Both",,,"24.5","12.25","Caresource","Health Exchange",,,"62",,"15.19","0.18","1007.5","percent of total billed charges",,
"FLEET KIT ADULT","0270","RC","Both",,,"24.5","12.25","Cigna","Commercial",,,"59",,"14.36","0.18","1007.5","percent of total billed charges",,
"FLEET KIT ADULT","0270","RC","Both",,,"24.5","12.25","Humana","Commercial",,,"78",,"18.99","0.18","1007.5","percent of total billed charges",,
"FLEET KIT ADULT","0270","RC","Both",,,"24.5","12.25","UHC","Commercial",,,"75",,"18.47","0.18","1007.5","percent of total billed charges",,
"FLEET KIT ADULT","0270","RC","Both",,,"24.5","12.25","Medicaid",,,,"37",,"8.97","0.18","1007.5","percent of total billed charges",,
"FLEET KIT PEDIATRIC","0270","RC","Both",,,"14.5","7.25","Alliant","Health Exchange",,,"62",,"8.99","0.18","1007.5","percent of total billed charges",,
"FLEET KIT PEDIATRIC","0270","RC","Both",,,"14.5","7.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.83","0.18","1007.5","percent of total billed charges",,
"FLEET KIT PEDIATRIC","0270","RC","Both",,,"14.5","7.25","Medicare",,,,"54",,"7.86","0.18","1007.5","percent of total billed charges",,
"FLEET KIT PEDIATRIC","0270","RC","Both",,,"14.5","7.25","Humana","Medicare Advantage",,,"54",,"7.86","0.18","1007.5","percent of total billed charges",,
"FLEET KIT PEDIATRIC","0270","RC","Both",,,"14.5","7.25","UHC","Medicare Advantage",,,"54",,"7.86","0.18","1007.5","percent of total billed charges",,
"FLEET KIT PEDIATRIC","0270","RC","Both",,,"14.5","7.25","Clover","Medicare Advantage",,,"54",,"7.86","0.18","1007.5","percent of total billed charges",,
"FLEET KIT PEDIATRIC","0270","RC","Both",,,"14.5","7.25","Wellcare","Medicare Advantage",,,"54",,"7.86","0.18","1007.5","percent of total billed charges",,
"FLEET KIT PEDIATRIC","0270","RC","Both",,,"14.5","7.25","Amerigroup","Medicaid Managed Care",,,"37",,"5.31","0.18","1007.5","percent of total billed charges",,
"FLEET KIT PEDIATRIC","0270","RC","Both",,,"14.5","7.25","Caresource","Medicaid Managed Care",,,"40",,"5.8","0.18","1007.5","percent of total billed charges",,
"FLEET KIT PEDIATRIC","0270","RC","Both",,,"14.5","7.25","Wellcare","Medicaid Managed Care",,,"40",,"5.87","0.18","1007.5","percent of total billed charges",,
"FLEET KIT PEDIATRIC","0270","RC","Both",,,"14.5","7.25","Aetna","Commercial",,,"64",,"9.25","0.18","1007.5","percent of total billed charges",,
"FLEET KIT PEDIATRIC","0270","RC","Both",,,"14.5","7.25","Blue Cross Blue Shield","Pathways",,,"71",,"10.24","0.18","1007.5","percent of total billed charges",,
"FLEET KIT PEDIATRIC","0270","RC","Both",,,"14.5","7.25","Blue Cross Blue Shield","HMO",,,"71",,"10.24","0.18","1007.5","percent of total billed charges",,
"FLEET KIT PEDIATRIC","0270","RC","Both",,,"14.5","7.25","Blue Cross Blue Shield","PPO",,,"71",,"10.24","0.18","1007.5","percent of total billed charges",,
"FLEET KIT PEDIATRIC","0270","RC","Both",,,"14.5","7.25","Ambetter","Health Exchange",,,"62",,"8.99","0.18","1007.5","percent of total billed charges",,
"FLEET KIT PEDIATRIC","0270","RC","Both",,,"14.5","7.25","Caresource","Health Exchange",,,"62",,"8.99","0.18","1007.5","percent of total billed charges",,
"FLEET KIT PEDIATRIC","0270","RC","Both",,,"14.5","7.25","Cigna","Commercial",,,"59",,"8.5","0.18","1007.5","percent of total billed charges",,
"FLEET KIT PEDIATRIC","0270","RC","Both",,,"14.5","7.25","Humana","Commercial",,,"78",,"11.24","0.18","1007.5","percent of total billed charges",,
"FLEET KIT PEDIATRIC","0270","RC","Both",,,"14.5","7.25","UHC","Commercial",,,"75",,"10.93","0.18","1007.5","percent of total billed charges",,
"FLEET KIT PEDIATRIC","0270","RC","Both",,,"14.5","7.25","Medicaid",,,,"37",,"5.31","0.18","1007.5","percent of total billed charges",,
"GASTROGRAPHIN 120ML","0255","RC","Both",,,"78","39","Alliant","Health Exchange",,,"62",,"48.36","5.86","196.08","percent of total billed charges",,
"GASTROGRAPHIN 120ML","0255","RC","Both",,,"78","39","Pruitt Healthcare","Medicare Advantage",,,"54",,"42.12","5.86","196.08","percent of total billed charges",,
"GASTROGRAPHIN 120ML","0255","RC","Both",,,"78","39","Medicare",,,,"54",,"42.28","5.86","196.08","percent of total billed charges",,
"GASTROGRAPHIN 120ML","0255","RC","Both",,,"78","39","Humana","Medicare Advantage",,,"54",,"42.28","5.86","196.08","percent of total billed charges",,
"GASTROGRAPHIN 120ML","0255","RC","Both",,,"78","39","UHC","Medicare Advantage",,,"54",,"42.28","5.86","196.08","percent of total billed charges",,
"GASTROGRAPHIN 120ML","0255","RC","Both",,,"78","39","Clover","Medicare Advantage",,,"54",,"42.28","5.86","196.08","percent of total billed charges",,
"GASTROGRAPHIN 120ML","0255","RC","Both",,,"78","39","Wellcare","Medicare Advantage",,,"54",,"42.28","5.86","196.08","percent of total billed charges",,
"GASTROGRAPHIN 120ML","0255","RC","Both",,,"78","39","Amerigroup","Medicaid Managed Care",,,"37",,"28.55","5.86","196.08","percent of total billed charges",,
"GASTROGRAPHIN 120ML","0255","RC","Both",,,"78","39","Caresource","Medicaid Managed Care",,,"40",,"31.2","5.86","196.08","percent of total billed charges",,
"GASTROGRAPHIN 120ML","0255","RC","Both",,,"78","39","Wellcare","Medicaid Managed Care",,,"40",,"31.59","5.86","196.08","percent of total billed charges",,
"GASTROGRAPHIN 120ML","0255","RC","Both",,,"78","39","Aetna","Commercial",,,"64",,"49.76","5.86","196.08","percent of total billed charges",,
"GASTROGRAPHIN 120ML","0255","RC","Both",,,"78","39","Blue Cross Blue Shield","Pathways",,,"71",,"55.07","5.86","196.08","percent of total billed charges",,
"GASTROGRAPHIN 120ML","0255","RC","Both",,,"78","39","Blue Cross Blue Shield","HMO",,,"71",,"55.07","5.86","196.08","percent of total billed charges",,
"GASTROGRAPHIN 120ML","0255","RC","Both",,,"78","39","Blue Cross Blue Shield","PPO",,,"71",,"55.07","5.86","196.08","percent of total billed charges",,
"GASTROGRAPHIN 120ML","0255","RC","Both",,,"78","39","Ambetter","Health Exchange",,,"62",,"48.36","5.86","196.08","percent of total billed charges",,
"GASTROGRAPHIN 120ML","0255","RC","Both",,,"78","39","Caresource","Health Exchange",,,"62",,"48.36","5.86","196.08","percent of total billed charges",,
"GASTROGRAPHIN 120ML","0255","RC","Both",,,"78","39","Cigna","Commercial",,,"59",,"45.71","5.86","196.08","percent of total billed charges",,
"GASTROGRAPHIN 120ML","0255","RC","Both",,,"78","39","Humana","Commercial",,,"78",,"60.45","5.86","196.08","percent of total billed charges",,
"GASTROGRAPHIN 120ML","0255","RC","Both",,,"78","39","UHC","Commercial",,,"75",,"58.81","5.86","196.08","percent of total billed charges",,
"GASTROGRAPHIN 120ML","0255","RC","Both",,,"78","39","Medicaid",,,,"37",,"28.55","5.86","196.08","percent of total billed charges",,
"GASTRGRAPHIN 240 ML","0255","RC","Both",,,"126.5","63.25","Alliant","Health Exchange",,,"62",,"78.43","5.86","196.08","percent of total billed charges",,
"GASTRGRAPHIN 240 ML","0255","RC","Both",,,"126.5","63.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"68.31","5.86","196.08","percent of total billed charges",,
"GASTRGRAPHIN 240 ML","0255","RC","Both",,,"126.5","63.25","Medicare",,,,"54",,"68.56","5.86","196.08","percent of total billed charges",,
"GASTRGRAPHIN 240 ML","0255","RC","Both",,,"126.5","63.25","Humana","Medicare Advantage",,,"54",,"68.56","5.86","196.08","percent of total billed charges",,
"GASTRGRAPHIN 240 ML","0255","RC","Both",,,"126.5","63.25","UHC","Medicare Advantage",,,"54",,"68.56","5.86","196.08","percent of total billed charges",,
"GASTRGRAPHIN 240 ML","0255","RC","Both",,,"126.5","63.25","Clover","Medicare Advantage",,,"54",,"68.56","5.86","196.08","percent of total billed charges",,
"GASTRGRAPHIN 240 ML","0255","RC","Both",,,"126.5","63.25","Wellcare","Medicare Advantage",,,"54",,"68.56","5.86","196.08","percent of total billed charges",,
"GASTRGRAPHIN 240 ML","0255","RC","Both",,,"126.5","63.25","Amerigroup","Medicaid Managed Care",,,"37",,"46.3","5.86","196.08","percent of total billed charges",,
"GASTRGRAPHIN 240 ML","0255","RC","Both",,,"126.5","63.25","Caresource","Medicaid Managed Care",,,"40",,"50.6","5.86","196.08","percent of total billed charges",,
"GASTRGRAPHIN 240 ML","0255","RC","Both",,,"126.5","63.25","Wellcare","Medicaid Managed Care",,,"40",,"51.23","5.86","196.08","percent of total billed charges",,
"GASTRGRAPHIN 240 ML","0255","RC","Both",,,"126.5","63.25","Aetna","Commercial",,,"64",,"80.71","5.86","196.08","percent of total billed charges",,
"GASTRGRAPHIN 240 ML","0255","RC","Both",,,"126.5","63.25","Blue Cross Blue Shield","Pathways",,,"71",,"89.31","5.86","196.08","percent of total billed charges",,
"GASTRGRAPHIN 240 ML","0255","RC","Both",,,"126.5","63.25","Blue Cross Blue Shield","HMO",,,"71",,"89.31","5.86","196.08","percent of total billed charges",,
"GASTRGRAPHIN 240 ML","0255","RC","Both",,,"126.5","63.25","Blue Cross Blue Shield","PPO",,,"71",,"89.31","5.86","196.08","percent of total billed charges",,
"GASTRGRAPHIN 240 ML","0255","RC","Both",,,"126.5","63.25","Ambetter","Health Exchange",,,"62",,"78.43","5.86","196.08","percent of total billed charges",,
"GASTRGRAPHIN 240 ML","0255","RC","Both",,,"126.5","63.25","Caresource","Health Exchange",,,"62",,"78.43","5.86","196.08","percent of total billed charges",,
"GASTRGRAPHIN 240 ML","0255","RC","Both",,,"126.5","63.25","Cigna","Commercial",,,"59",,"74.13","5.86","196.08","percent of total billed charges",,
"GASTRGRAPHIN 240 ML","0255","RC","Both",,,"126.5","63.25","Humana","Commercial",,,"78",,"98.04","5.86","196.08","percent of total billed charges",,
"GASTRGRAPHIN 240 ML","0255","RC","Both",,,"126.5","63.25","UHC","Commercial",,,"75",,"95.38","5.86","196.08","percent of total billed charges",,
"GASTRGRAPHIN 240 ML","0255","RC","Both",,,"126.5","63.25","Medicaid",,,,"37",,"46.3","5.86","196.08","percent of total billed charges",,
"GASTROGRAPHIN COMBO 360 ML","0255","RC","Both",,,"184","92","Alliant","Health Exchange",,,"62",,"114.08","5.86","196.08","percent of total billed charges",,
"GASTROGRAPHIN COMBO 360 ML","0255","RC","Both",,,"184","92","Pruitt Healthcare","Medicare Advantage",,,"54",,"99.36","5.86","196.08","percent of total billed charges",,
"GASTROGRAPHIN COMBO 360 ML","0255","RC","Both",,,"184","92","Medicare",,,,"54",,"99.73","5.86","196.08","percent of total billed charges",,
"GASTROGRAPHIN COMBO 360 ML","0255","RC","Both",,,"184","92","Humana","Medicare Advantage",,,"54",,"99.73","5.86","196.08","percent of total billed charges",,
"GASTROGRAPHIN COMBO 360 ML","0255","RC","Both",,,"184","92","UHC","Medicare Advantage",,,"54",,"99.73","5.86","196.08","percent of total billed charges",,
"GASTROGRAPHIN COMBO 360 ML","0255","RC","Both",,,"184","92","Clover","Medicare Advantage",,,"54",,"99.73","5.86","196.08","percent of total billed charges",,
"GASTROGRAPHIN COMBO 360 ML","0255","RC","Both",,,"184","92","Wellcare","Medicare Advantage",,,"54",,"99.73","5.86","196.08","percent of total billed charges",,
"GASTROGRAPHIN COMBO 360 ML","0255","RC","Both",,,"184","92","Amerigroup","Medicaid Managed Care",,,"37",,"67.34","5.86","196.08","percent of total billed charges",,
"GASTROGRAPHIN COMBO 360 ML","0255","RC","Both",,,"184","92","Caresource","Medicaid Managed Care",,,"40",,"73.6","5.86","196.08","percent of total billed charges",,
"GASTROGRAPHIN COMBO 360 ML","0255","RC","Both",,,"184","92","Wellcare","Medicaid Managed Care",,,"40",,"74.52","5.86","196.08","percent of total billed charges",,
"GASTROGRAPHIN COMBO 360 ML","0255","RC","Both",,,"184","92","Aetna","Commercial",,,"64",,"117.39","5.86","196.08","percent of total billed charges",,
"GASTROGRAPHIN COMBO 360 ML","0255","RC","Both",,,"184","92","Blue Cross Blue Shield","Pathways",,,"71",,"129.9","5.86","196.08","percent of total billed charges",,
"GASTROGRAPHIN COMBO 360 ML","0255","RC","Both",,,"184","92","Blue Cross Blue Shield","HMO",,,"71",,"129.9","5.86","196.08","percent of total billed charges",,
"GASTROGRAPHIN COMBO 360 ML","0255","RC","Both",,,"184","92","Blue Cross Blue Shield","PPO",,,"71",,"129.9","5.86","196.08","percent of total billed charges",,
"GASTROGRAPHIN COMBO 360 ML","0255","RC","Both",,,"184","92","Ambetter","Health Exchange",,,"62",,"114.08","5.86","196.08","percent of total billed charges",,
"GASTROGRAPHIN COMBO 360 ML","0255","RC","Both",,,"184","92","Caresource","Health Exchange",,,"62",,"114.08","5.86","196.08","percent of total billed charges",,
"GASTROGRAPHIN COMBO 360 ML","0255","RC","Both",,,"184","92","Cigna","Commercial",,,"59",,"107.82","5.86","196.08","percent of total billed charges",,
"GASTROGRAPHIN COMBO 360 ML","0255","RC","Both",,,"184","92","Humana","Commercial",,,"78",,"142.6","5.86","196.08","percent of total billed charges",,
"GASTROGRAPHIN COMBO 360 ML","0255","RC","Both",,,"184","92","UHC","Commercial",,,"75",,"138.74","5.86","196.08","percent of total billed charges",,
"GASTROGRAPHIN COMBO 360 ML","0255","RC","Both",,,"184","92","Medicaid",,,,"37",,"67.34","5.86","196.08","percent of total billed charges",,
"OMNIPAQUE","0255","RC","Both",,,"222.5","111.25","Alliant","Health Exchange",,,"62",,"137.95","5.86","196.08","percent of total billed charges",,
"OMNIPAQUE","0255","RC","Both",,,"222.5","111.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"120.15","5.86","196.08","percent of total billed charges",,
"OMNIPAQUE","0255","RC","Both",,,"222.5","111.25","Medicare",,,,"54",,"120.6","5.86","196.08","percent of total billed charges",,
"OMNIPAQUE","0255","RC","Both",,,"222.5","111.25","Humana","Medicare Advantage",,,"54",,"120.6","5.86","196.08","percent of total billed charges",,
"OMNIPAQUE","0255","RC","Both",,,"222.5","111.25","UHC","Medicare Advantage",,,"54",,"120.6","5.86","196.08","percent of total billed charges",,
"OMNIPAQUE","0255","RC","Both",,,"222.5","111.25","Clover","Medicare Advantage",,,"54",,"120.6","5.86","196.08","percent of total billed charges",,
"OMNIPAQUE","0255","RC","Both",,,"222.5","111.25","Wellcare","Medicare Advantage",,,"54",,"120.6","5.86","196.08","percent of total billed charges",,
"OMNIPAQUE","0255","RC","Both",,,"222.5","111.25","Amerigroup","Medicaid Managed Care",,,"37",,"81.44","5.86","196.08","percent of total billed charges",,
"OMNIPAQUE","0255","RC","Both",,,"222.5","111.25","Caresource","Medicaid Managed Care",,,"40",,"89","5.86","196.08","percent of total billed charges",,
"OMNIPAQUE","0255","RC","Both",,,"222.5","111.25","Wellcare","Medicaid Managed Care",,,"40",,"90.11","5.86","196.08","percent of total billed charges",,
"OMNIPAQUE","0255","RC","Both",,,"222.5","111.25","Aetna","Commercial",,,"64",,"141.96","5.86","196.08","percent of total billed charges",,
"OMNIPAQUE","0255","RC","Both",,,"222.5","111.25","Blue Cross Blue Shield","Pathways",,,"71",,"157.08","5.86","196.08","percent of total billed charges",,
"OMNIPAQUE","0255","RC","Both",,,"222.5","111.25","Blue Cross Blue Shield","HMO",,,"71",,"157.08","5.86","196.08","percent of total billed charges",,
"OMNIPAQUE","0255","RC","Both",,,"222.5","111.25","Blue Cross Blue Shield","PPO",,,"71",,"157.08","5.86","196.08","percent of total billed charges",,
"OMNIPAQUE","0255","RC","Both",,,"222.5","111.25","Ambetter","Health Exchange",,,"62",,"137.95","5.86","196.08","percent of total billed charges",,
"OMNIPAQUE","0255","RC","Both",,,"222.5","111.25","Caresource","Health Exchange",,,"62",,"137.95","5.86","196.08","percent of total billed charges",,
"OMNIPAQUE","0255","RC","Both",,,"222.5","111.25","Cigna","Commercial",,,"59",,"130.38","5.86","196.08","percent of total billed charges",,
"OMNIPAQUE","0255","RC","Both",,,"222.5","111.25","Humana","Commercial",,,"78",,"172.44","5.86","196.08","percent of total billed charges",,
"OMNIPAQUE","0255","RC","Both",,,"222.5","111.25","UHC","Commercial",,,"75",,"167.76","5.86","196.08","percent of total billed charges",,
"OMNIPAQUE","0255","RC","Both",,,"222.5","111.25","Medicaid",,,,"37",,"81.44","5.86","196.08","percent of total billed charges",,
"PISTON SYRINGE","0255","RC","Both",,,"16","8","Alliant","Health Exchange",,,"62",,"9.92","5.86","196.08","percent of total billed charges",,
"PISTON SYRINGE","0255","RC","Both",,,"16","8","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.64","5.86","196.08","percent of total billed charges",,
"PISTON SYRINGE","0255","RC","Both",,,"16","8","Medicare",,,,"54",,"8.67","5.86","196.08","percent of total billed charges",,
"PISTON SYRINGE","0255","RC","Both",,,"16","8","Humana","Medicare Advantage",,,"54",,"8.67","5.86","196.08","percent of total billed charges",,
"PISTON SYRINGE","0255","RC","Both",,,"16","8","UHC","Medicare Advantage",,,"54",,"8.67","5.86","196.08","percent of total billed charges",,
"PISTON SYRINGE","0255","RC","Both",,,"16","8","Clover","Medicare Advantage",,,"54",,"8.67","5.86","196.08","percent of total billed charges",,
"PISTON SYRINGE","0255","RC","Both",,,"16","8","Wellcare","Medicare Advantage",,,"54",,"8.67","5.86","196.08","percent of total billed charges",,
"PISTON SYRINGE","0255","RC","Both",,,"16","8","Amerigroup","Medicaid Managed Care",,,"37",,"5.86","5.86","196.08","percent of total billed charges",,
"PISTON SYRINGE","0255","RC","Both",,,"16","8","Caresource","Medicaid Managed Care",,,"40",,"6.4","5.86","196.08","percent of total billed charges",,
"PISTON SYRINGE","0255","RC","Both",,,"16","8","Wellcare","Medicaid Managed Care",,,"40",,"6.48","5.86","196.08","percent of total billed charges",,
"PISTON SYRINGE","0255","RC","Both",,,"16","8","Aetna","Commercial",,,"64",,"10.21","5.86","196.08","percent of total billed charges",,
"PISTON SYRINGE","0255","RC","Both",,,"16","8","Blue Cross Blue Shield","Pathways",,,"71",,"11.3","5.86","196.08","percent of total billed charges",,
"PISTON SYRINGE","0255","RC","Both",,,"16","8","Blue Cross Blue Shield","HMO",,,"71",,"11.3","5.86","196.08","percent of total billed charges",,
"PISTON SYRINGE","0255","RC","Both",,,"16","8","Blue Cross Blue Shield","PPO",,,"71",,"11.3","5.86","196.08","percent of total billed charges",,
"PISTON SYRINGE","0255","RC","Both",,,"16","8","Ambetter","Health Exchange",,,"62",,"9.92","5.86","196.08","percent of total billed charges",,
"PISTON SYRINGE","0255","RC","Both",,,"16","8","Caresource","Health Exchange",,,"62",,"9.92","5.86","196.08","percent of total billed charges",,
"PISTON SYRINGE","0255","RC","Both",,,"16","8","Cigna","Commercial",,,"59",,"9.38","5.86","196.08","percent of total billed charges",,
"PISTON SYRINGE","0255","RC","Both",,,"16","8","Humana","Commercial",,,"78",,"12.4","5.86","196.08","percent of total billed charges",,
"PISTON SYRINGE","0255","RC","Both",,,"16","8","UHC","Commercial",,,"75",,"12.06","5.86","196.08","percent of total billed charges",,
"PISTON SYRINGE","0255","RC","Both",,,"16","8","Medicaid",,,,"37",,"5.86","5.86","196.08","percent of total billed charges",,
"Q-TIPS","0270","RC","Both",,,"16","8","Alliant","Health Exchange",,,"62",,"9.92","0.18","1007.5","percent of total billed charges",,
"Q-TIPS","0270","RC","Both",,,"16","8","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.64","0.18","1007.5","percent of total billed charges",,
"Q-TIPS","0270","RC","Both",,,"16","8","Medicare",,,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"Q-TIPS","0270","RC","Both",,,"16","8","Humana","Medicare Advantage",,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"Q-TIPS","0270","RC","Both",,,"16","8","UHC","Medicare Advantage",,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"Q-TIPS","0270","RC","Both",,,"16","8","Clover","Medicare Advantage",,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"Q-TIPS","0270","RC","Both",,,"16","8","Wellcare","Medicare Advantage",,,"54",,"8.67","0.18","1007.5","percent of total billed charges",,
"Q-TIPS","0270","RC","Both",,,"16","8","Amerigroup","Medicaid Managed Care",,,"37",,"5.86","0.18","1007.5","percent of total billed charges",,
"Q-TIPS","0270","RC","Both",,,"16","8","Caresource","Medicaid Managed Care",,,"40",,"6.4","0.18","1007.5","percent of total billed charges",,
"Q-TIPS","0270","RC","Both",,,"16","8","Wellcare","Medicaid Managed Care",,,"40",,"6.48","0.18","1007.5","percent of total billed charges",,
"Q-TIPS","0270","RC","Both",,,"16","8","Aetna","Commercial",,,"64",,"10.21","0.18","1007.5","percent of total billed charges",,
"Q-TIPS","0270","RC","Both",,,"16","8","Blue Cross Blue Shield","Pathways",,,"71",,"11.3","0.18","1007.5","percent of total billed charges",,
"Q-TIPS","0270","RC","Both",,,"16","8","Blue Cross Blue Shield","HMO",,,"71",,"11.3","0.18","1007.5","percent of total billed charges",,
"Q-TIPS","0270","RC","Both",,,"16","8","Blue Cross Blue Shield","PPO",,,"71",,"11.3","0.18","1007.5","percent of total billed charges",,
"Q-TIPS","0270","RC","Both",,,"16","8","Ambetter","Health Exchange",,,"62",,"9.92","0.18","1007.5","percent of total billed charges",,
"Q-TIPS","0270","RC","Both",,,"16","8","Caresource","Health Exchange",,,"62",,"9.92","0.18","1007.5","percent of total billed charges",,
"Q-TIPS","0270","RC","Both",,,"16","8","Cigna","Commercial",,,"59",,"9.38","0.18","1007.5","percent of total billed charges",,
"Q-TIPS","0270","RC","Both",,,"16","8","Humana","Commercial",,,"78",,"12.4","0.18","1007.5","percent of total billed charges",,
"Q-TIPS","0270","RC","Both",,,"16","8","UHC","Commercial",,,"75",,"12.06","0.18","1007.5","percent of total billed charges",,
"Q-TIPS","0270","RC","Both",,,"16","8","Medicaid",,,,"37",,"5.86","0.18","1007.5","percent of total billed charges",,
"RENO M-DIP","0270","RC","Both",,,"87","43.5","Alliant","Health Exchange",,,"62",,"53.94","0.18","1007.5","percent of total billed charges",,
"RENO M-DIP","0270","RC","Both",,,"87","43.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"46.98","0.18","1007.5","percent of total billed charges",,
"RENO M-DIP","0270","RC","Both",,,"87","43.5","Medicare",,,,"54",,"47.15","0.18","1007.5","percent of total billed charges",,
"RENO M-DIP","0270","RC","Both",,,"87","43.5","Humana","Medicare Advantage",,,"54",,"47.15","0.18","1007.5","percent of total billed charges",,
"RENO M-DIP","0270","RC","Both",,,"87","43.5","UHC","Medicare Advantage",,,"54",,"47.15","0.18","1007.5","percent of total billed charges",,
"RENO M-DIP","0270","RC","Both",,,"87","43.5","Clover","Medicare Advantage",,,"54",,"47.15","0.18","1007.5","percent of total billed charges",,
"RENO M-DIP","0270","RC","Both",,,"87","43.5","Wellcare","Medicare Advantage",,,"54",,"47.15","0.18","1007.5","percent of total billed charges",,
"RENO M-DIP","0270","RC","Both",,,"87","43.5","Amerigroup","Medicaid Managed Care",,,"37",,"31.84","0.18","1007.5","percent of total billed charges",,
"RENO M-DIP","0270","RC","Both",,,"87","43.5","Caresource","Medicaid Managed Care",,,"40",,"34.8","0.18","1007.5","percent of total billed charges",,
"RENO M-DIP","0270","RC","Both",,,"87","43.5","Wellcare","Medicaid Managed Care",,,"40",,"35.24","0.18","1007.5","percent of total billed charges",,
"RENO M-DIP","0270","RC","Both",,,"87","43.5","Aetna","Commercial",,,"64",,"55.51","0.18","1007.5","percent of total billed charges",,
"RENO M-DIP","0270","RC","Both",,,"87","43.5","Blue Cross Blue Shield","Pathways",,,"71",,"61.42","0.18","1007.5","percent of total billed charges",,
"RENO M-DIP","0270","RC","Both",,,"87","43.5","Blue Cross Blue Shield","HMO",,,"71",,"61.42","0.18","1007.5","percent of total billed charges",,
"RENO M-DIP","0270","RC","Both",,,"87","43.5","Blue Cross Blue Shield","PPO",,,"71",,"61.42","0.18","1007.5","percent of total billed charges",,
"RENO M-DIP","0270","RC","Both",,,"87","43.5","Ambetter","Health Exchange",,,"62",,"53.94","0.18","1007.5","percent of total billed charges",,
"RENO M-DIP","0270","RC","Both",,,"87","43.5","Caresource","Health Exchange",,,"62",,"53.94","0.18","1007.5","percent of total billed charges",,
"RENO M-DIP","0270","RC","Both",,,"87","43.5","Cigna","Commercial",,,"59",,"50.98","0.18","1007.5","percent of total billed charges",,
"RENO M-DIP","0270","RC","Both",,,"87","43.5","Humana","Commercial",,,"78",,"67.42","0.18","1007.5","percent of total billed charges",,
"RENO M-DIP","0270","RC","Both",,,"87","43.5","UHC","Commercial",,,"75",,"65.6","0.18","1007.5","percent of total billed charges",,
"RENO M-DIP","0270","RC","Both",,,"87","43.5","Medicaid",,,,"37",,"31.84","0.18","1007.5","percent of total billed charges",,
"STERILE GLOVES","0637","RC","Both",,,"16.5","8.25","Alliant","Health Exchange",,,"62",,"10.23","0.15","5264.58","percent of total billed charges",,
"STERILE GLOVES","0637","RC","Both",,,"16.5","8.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.91","0.15","5264.58","percent of total billed charges",,
"STERILE GLOVES","0637","RC","Both",,,"16.5","8.25","Medicare",,,,"54",,"8.94","0.15","5264.58","percent of total billed charges",,
"STERILE GLOVES","0637","RC","Both",,,"16.5","8.25","Humana","Medicare Advantage",,,"54",,"8.94","0.15","5264.58","percent of total billed charges",,
"STERILE GLOVES","0637","RC","Both",,,"16.5","8.25","UHC","Medicare Advantage",,,"54",,"8.94","0.15","5264.58","percent of total billed charges",,
"STERILE GLOVES","0637","RC","Both",,,"16.5","8.25","Clover","Medicare Advantage",,,"54",,"8.94","0.15","5264.58","percent of total billed charges",,
"STERILE GLOVES","0637","RC","Both",,,"16.5","8.25","Wellcare","Medicare Advantage",,,"54",,"8.94","0.15","5264.58","percent of total billed charges",,
"STERILE GLOVES","0637","RC","Both",,,"16.5","8.25","Amerigroup","Medicaid Managed Care",,,"37",,"6.04","0.15","5264.58","percent of total billed charges",,
"STERILE GLOVES","0637","RC","Both",,,"16.5","8.25","Caresource","Medicaid Managed Care",,,"40",,"6.6","0.15","5264.58","percent of total billed charges",,
"STERILE GLOVES","0637","RC","Both",,,"16.5","8.25","Wellcare","Medicaid Managed Care",,,"40",,"6.68","0.15","5264.58","percent of total billed charges",,
"STERILE GLOVES","0637","RC","Both",,,"16.5","8.25","Aetna","Commercial",,,"64",,"10.53","0.15","5264.58","percent of total billed charges",,
"STERILE GLOVES","0637","RC","Both",,,"16.5","8.25","Blue Cross Blue Shield","Pathways",,,"71",,"11.65","0.15","5264.58","percent of total billed charges",,
"STERILE GLOVES","0637","RC","Both",,,"16.5","8.25","Blue Cross Blue Shield","HMO",,,"71",,"11.65","0.15","5264.58","percent of total billed charges",,
"STERILE GLOVES","0637","RC","Both",,,"16.5","8.25","Blue Cross Blue Shield","PPO",,,"71",,"11.65","0.15","5264.58","percent of total billed charges",,
"STERILE GLOVES","0637","RC","Both",,,"16.5","8.25","Ambetter","Health Exchange",,,"62",,"10.23","0.15","5264.58","percent of total billed charges",,
"STERILE GLOVES","0637","RC","Both",,,"16.5","8.25","Caresource","Health Exchange",,,"62",,"10.23","0.15","5264.58","percent of total billed charges",,
"STERILE GLOVES","0637","RC","Both",,,"16.5","8.25","Cigna","Commercial",,,"59",,"9.67","0.15","5264.58","percent of total billed charges",,
"STERILE GLOVES","0637","RC","Both",,,"16.5","8.25","Humana","Commercial",,,"78",,"12.79","0.15","5264.58","percent of total billed charges",,
"STERILE GLOVES","0637","RC","Both",,,"16.5","8.25","UHC","Commercial",,,"75",,"12.44","0.15","5264.58","percent of total billed charges",,
"STERILE GLOVES","0637","RC","Both",,,"16.5","8.25","Medicaid",,,,"37",,"6.04","0.15","5264.58","percent of total billed charges",,
"SYRINGES 60CC","0270","RC","Both",,,"16.5","8.25","Alliant","Health Exchange",,,"62",,"10.23","0.18","1007.5","percent of total billed charges",,
"SYRINGES 60CC","0270","RC","Both",,,"16.5","8.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.91","0.18","1007.5","percent of total billed charges",,
"SYRINGES 60CC","0270","RC","Both",,,"16.5","8.25","Medicare",,,,"54",,"8.94","0.18","1007.5","percent of total billed charges",,
"SYRINGES 60CC","0270","RC","Both",,,"16.5","8.25","Humana","Medicare Advantage",,,"54",,"8.94","0.18","1007.5","percent of total billed charges",,
"SYRINGES 60CC","0270","RC","Both",,,"16.5","8.25","UHC","Medicare Advantage",,,"54",,"8.94","0.18","1007.5","percent of total billed charges",,
"SYRINGES 60CC","0270","RC","Both",,,"16.5","8.25","Clover","Medicare Advantage",,,"54",,"8.94","0.18","1007.5","percent of total billed charges",,
"SYRINGES 60CC","0270","RC","Both",,,"16.5","8.25","Wellcare","Medicare Advantage",,,"54",,"8.94","0.18","1007.5","percent of total billed charges",,
"SYRINGES 60CC","0270","RC","Both",,,"16.5","8.25","Amerigroup","Medicaid Managed Care",,,"37",,"6.04","0.18","1007.5","percent of total billed charges",,
"SYRINGES 60CC","0270","RC","Both",,,"16.5","8.25","Caresource","Medicaid Managed Care",,,"40",,"6.6","0.18","1007.5","percent of total billed charges",,
"SYRINGES 60CC","0270","RC","Both",,,"16.5","8.25","Wellcare","Medicaid Managed Care",,,"40",,"6.68","0.18","1007.5","percent of total billed charges",,
"SYRINGES 60CC","0270","RC","Both",,,"16.5","8.25","Aetna","Commercial",,,"64",,"10.53","0.18","1007.5","percent of total billed charges",,
"SYRINGES 60CC","0270","RC","Both",,,"16.5","8.25","Blue Cross Blue Shield","Pathways",,,"71",,"11.65","0.18","1007.5","percent of total billed charges",,
"SYRINGES 60CC","0270","RC","Both",,,"16.5","8.25","Blue Cross Blue Shield","HMO",,,"71",,"11.65","0.18","1007.5","percent of total billed charges",,
"SYRINGES 60CC","0270","RC","Both",,,"16.5","8.25","Blue Cross Blue Shield","PPO",,,"71",,"11.65","0.18","1007.5","percent of total billed charges",,
"SYRINGES 60CC","0270","RC","Both",,,"16.5","8.25","Ambetter","Health Exchange",,,"62",,"10.23","0.18","1007.5","percent of total billed charges",,
"SYRINGES 60CC","0270","RC","Both",,,"16.5","8.25","Caresource","Health Exchange",,,"62",,"10.23","0.18","1007.5","percent of total billed charges",,
"SYRINGES 60CC","0270","RC","Both",,,"16.5","8.25","Cigna","Commercial",,,"59",,"9.67","0.18","1007.5","percent of total billed charges",,
"SYRINGES 60CC","0270","RC","Both",,,"16.5","8.25","Humana","Commercial",,,"78",,"12.79","0.18","1007.5","percent of total billed charges",,
"SYRINGES 60CC","0270","RC","Both",,,"16.5","8.25","UHC","Commercial",,,"75",,"12.44","0.18","1007.5","percent of total billed charges",,
"SYRINGES 60CC","0270","RC","Both",,,"16.5","8.25","Medicaid",,,,"37",,"6.04","0.18","1007.5","percent of total billed charges",,
"TELEPAQUE (SINGLE DOSE)","0255","RC","Both",,,"30","15","Alliant","Health Exchange",,,"62",,"18.6","5.86","196.08","percent of total billed charges",,
"TELEPAQUE (SINGLE DOSE)","0255","RC","Both",,,"30","15","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.2","5.86","196.08","percent of total billed charges",,
"TELEPAQUE (SINGLE DOSE)","0255","RC","Both",,,"30","15","Medicare",,,,"54",,"16.26","5.86","196.08","percent of total billed charges",,
"TELEPAQUE (SINGLE DOSE)","0255","RC","Both",,,"30","15","Humana","Medicare Advantage",,,"54",,"16.26","5.86","196.08","percent of total billed charges",,
"TELEPAQUE (SINGLE DOSE)","0255","RC","Both",,,"30","15","UHC","Medicare Advantage",,,"54",,"16.26","5.86","196.08","percent of total billed charges",,
"TELEPAQUE (SINGLE DOSE)","0255","RC","Both",,,"30","15","Clover","Medicare Advantage",,,"54",,"16.26","5.86","196.08","percent of total billed charges",,
"TELEPAQUE (SINGLE DOSE)","0255","RC","Both",,,"30","15","Wellcare","Medicare Advantage",,,"54",,"16.26","5.86","196.08","percent of total billed charges",,
"TELEPAQUE (SINGLE DOSE)","0255","RC","Both",,,"30","15","Amerigroup","Medicaid Managed Care",,,"37",,"10.98","5.86","196.08","percent of total billed charges",,
"TELEPAQUE (SINGLE DOSE)","0255","RC","Both",,,"30","15","Caresource","Medicaid Managed Care",,,"40",,"12","5.86","196.08","percent of total billed charges",,
"TELEPAQUE (SINGLE DOSE)","0255","RC","Both",,,"30","15","Wellcare","Medicaid Managed Care",,,"40",,"12.15","5.86","196.08","percent of total billed charges",,
"TELEPAQUE (SINGLE DOSE)","0255","RC","Both",,,"30","15","Aetna","Commercial",,,"64",,"19.14","5.86","196.08","percent of total billed charges",,
"TELEPAQUE (SINGLE DOSE)","0255","RC","Both",,,"30","15","Blue Cross Blue Shield","Pathways",,,"71",,"21.18","5.86","196.08","percent of total billed charges",,
"TELEPAQUE (SINGLE DOSE)","0255","RC","Both",,,"30","15","Blue Cross Blue Shield","HMO",,,"71",,"21.18","5.86","196.08","percent of total billed charges",,
"TELEPAQUE (SINGLE DOSE)","0255","RC","Both",,,"30","15","Blue Cross Blue Shield","PPO",,,"71",,"21.18","5.86","196.08","percent of total billed charges",,
"TELEPAQUE (SINGLE DOSE)","0255","RC","Both",,,"30","15","Ambetter","Health Exchange",,,"62",,"18.6","5.86","196.08","percent of total billed charges",,
"TELEPAQUE (SINGLE DOSE)","0255","RC","Both",,,"30","15","Caresource","Health Exchange",,,"62",,"18.6","5.86","196.08","percent of total billed charges",,
"TELEPAQUE (SINGLE DOSE)","0255","RC","Both",,,"30","15","Cigna","Commercial",,,"59",,"17.58","5.86","196.08","percent of total billed charges",,
"TELEPAQUE (SINGLE DOSE)","0255","RC","Both",,,"30","15","Humana","Commercial",,,"78",,"23.25","5.86","196.08","percent of total billed charges",,
"TELEPAQUE (SINGLE DOSE)","0255","RC","Both",,,"30","15","UHC","Commercial",,,"75",,"22.62","5.86","196.08","percent of total billed charges",,
"TELEPAQUE (SINGLE DOSE)","0255","RC","Both",,,"30","15","Medicaid",,,,"37",,"10.98","5.86","196.08","percent of total billed charges",,
"TELEPAQUE (DOUBLE DOSE)","0255","RC","Both",,,"38","19","Alliant","Health Exchange",,,"62",,"23.56","5.86","196.08","percent of total billed charges",,
"TELEPAQUE (DOUBLE DOSE)","0255","RC","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.52","5.86","196.08","percent of total billed charges",,
"TELEPAQUE (DOUBLE DOSE)","0255","RC","Both",,,"38","19","Medicare",,,,"54",,"20.6","5.86","196.08","percent of total billed charges",,
"TELEPAQUE (DOUBLE DOSE)","0255","RC","Both",,,"38","19","Humana","Medicare Advantage",,,"54",,"20.6","5.86","196.08","percent of total billed charges",,
"TELEPAQUE (DOUBLE DOSE)","0255","RC","Both",,,"38","19","UHC","Medicare Advantage",,,"54",,"20.6","5.86","196.08","percent of total billed charges",,
"TELEPAQUE (DOUBLE DOSE)","0255","RC","Both",,,"38","19","Clover","Medicare Advantage",,,"54",,"20.6","5.86","196.08","percent of total billed charges",,
"TELEPAQUE (DOUBLE DOSE)","0255","RC","Both",,,"38","19","Wellcare","Medicare Advantage",,,"54",,"20.6","5.86","196.08","percent of total billed charges",,
"TELEPAQUE (DOUBLE DOSE)","0255","RC","Both",,,"38","19","Amerigroup","Medicaid Managed Care",,,"37",,"13.91","5.86","196.08","percent of total billed charges",,
"TELEPAQUE (DOUBLE DOSE)","0255","RC","Both",,,"38","19","Caresource","Medicaid Managed Care",,,"40",,"15.2","5.86","196.08","percent of total billed charges",,
"TELEPAQUE (DOUBLE DOSE)","0255","RC","Both",,,"38","19","Wellcare","Medicaid Managed Care",,,"40",,"15.39","5.86","196.08","percent of total billed charges",,
"TELEPAQUE (DOUBLE DOSE)","0255","RC","Both",,,"38","19","Aetna","Commercial",,,"64",,"24.24","5.86","196.08","percent of total billed charges",,
"TELEPAQUE (DOUBLE DOSE)","0255","RC","Both",,,"38","19","Blue Cross Blue Shield","Pathways",,,"71",,"26.83","5.86","196.08","percent of total billed charges",,
"TELEPAQUE (DOUBLE DOSE)","0255","RC","Both",,,"38","19","Blue Cross Blue Shield","HMO",,,"71",,"26.83","5.86","196.08","percent of total billed charges",,
"TELEPAQUE (DOUBLE DOSE)","0255","RC","Both",,,"38","19","Blue Cross Blue Shield","PPO",,,"71",,"26.83","5.86","196.08","percent of total billed charges",,
"TELEPAQUE (DOUBLE DOSE)","0255","RC","Both",,,"38","19","Ambetter","Health Exchange",,,"62",,"23.56","5.86","196.08","percent of total billed charges",,
"TELEPAQUE (DOUBLE DOSE)","0255","RC","Both",,,"38","19","Caresource","Health Exchange",,,"62",,"23.56","5.86","196.08","percent of total billed charges",,
"TELEPAQUE (DOUBLE DOSE)","0255","RC","Both",,,"38","19","Cigna","Commercial",,,"59",,"22.27","5.86","196.08","percent of total billed charges",,
"TELEPAQUE (DOUBLE DOSE)","0255","RC","Both",,,"38","19","Humana","Commercial",,,"78",,"29.45","5.86","196.08","percent of total billed charges",,
"TELEPAQUE (DOUBLE DOSE)","0255","RC","Both",,,"38","19","UHC","Commercial",,,"75",,"28.65","5.86","196.08","percent of total billed charges",,
"TELEPAQUE (DOUBLE DOSE)","0255","RC","Both",,,"38","19","Medicaid",,,,"37",,"13.91","5.86","196.08","percent of total billed charges",,
"YANKEUR SUCTION","0270","RC","Both",,,"18.5","9.25","Alliant","Health Exchange",,,"62",,"11.47","0.18","1007.5","percent of total billed charges",,
"YANKEUR SUCTION","0270","RC","Both",,,"18.5","9.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.99","0.18","1007.5","percent of total billed charges",,
"YANKEUR SUCTION","0270","RC","Both",,,"18.5","9.25","Medicare",,,,"54",,"10.03","0.18","1007.5","percent of total billed charges",,
"YANKEUR SUCTION","0270","RC","Both",,,"18.5","9.25","Humana","Medicare Advantage",,,"54",,"10.03","0.18","1007.5","percent of total billed charges",,
"YANKEUR SUCTION","0270","RC","Both",,,"18.5","9.25","UHC","Medicare Advantage",,,"54",,"10.03","0.18","1007.5","percent of total billed charges",,
"YANKEUR SUCTION","0270","RC","Both",,,"18.5","9.25","Clover","Medicare Advantage",,,"54",,"10.03","0.18","1007.5","percent of total billed charges",,
"YANKEUR SUCTION","0270","RC","Both",,,"18.5","9.25","Wellcare","Medicare Advantage",,,"54",,"10.03","0.18","1007.5","percent of total billed charges",,
"YANKEUR SUCTION","0270","RC","Both",,,"18.5","9.25","Amerigroup","Medicaid Managed Care",,,"37",,"6.77","0.18","1007.5","percent of total billed charges",,
"YANKEUR SUCTION","0270","RC","Both",,,"18.5","9.25","Caresource","Medicaid Managed Care",,,"40",,"7.4","0.18","1007.5","percent of total billed charges",,
"YANKEUR SUCTION","0270","RC","Both",,,"18.5","9.25","Wellcare","Medicaid Managed Care",,,"40",,"7.49","0.18","1007.5","percent of total billed charges",,
"YANKEUR SUCTION","0270","RC","Both",,,"18.5","9.25","Aetna","Commercial",,,"64",,"11.8","0.18","1007.5","percent of total billed charges",,
"YANKEUR SUCTION","0270","RC","Both",,,"18.5","9.25","Blue Cross Blue Shield","Pathways",,,"71",,"13.06","0.18","1007.5","percent of total billed charges",,
"YANKEUR SUCTION","0270","RC","Both",,,"18.5","9.25","Blue Cross Blue Shield","HMO",,,"71",,"13.06","0.18","1007.5","percent of total billed charges",,
"YANKEUR SUCTION","0270","RC","Both",,,"18.5","9.25","Blue Cross Blue Shield","PPO",,,"71",,"13.06","0.18","1007.5","percent of total billed charges",,
"YANKEUR SUCTION","0270","RC","Both",,,"18.5","9.25","Ambetter","Health Exchange",,,"62",,"11.47","0.18","1007.5","percent of total billed charges",,
"YANKEUR SUCTION","0270","RC","Both",,,"18.5","9.25","Caresource","Health Exchange",,,"62",,"11.47","0.18","1007.5","percent of total billed charges",,
"YANKEUR SUCTION","0270","RC","Both",,,"18.5","9.25","Cigna","Commercial",,,"59",,"10.84","0.18","1007.5","percent of total billed charges",,
"YANKEUR SUCTION","0270","RC","Both",,,"18.5","9.25","Humana","Commercial",,,"78",,"14.34","0.18","1007.5","percent of total billed charges",,
"YANKEUR SUCTION","0270","RC","Both",,,"18.5","9.25","UHC","Commercial",,,"75",,"13.95","0.18","1007.5","percent of total billed charges",,
"YANKEUR SUCTION","0270","RC","Both",,,"18.5","9.25","Medicaid",,,,"37",,"6.77","0.18","1007.5","percent of total billed charges",,
"DOSE FEE","0320","RC","Both",,,"65","32.5","Alliant","Health Exchange",,,"62",,"40.3","11.35","135.24","percent of total billed charges",,
"DOSE FEE","0320","RC","Both",,,"65","32.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"35.1","11.35","135.24","percent of total billed charges",,
"DOSE FEE","0320","RC","Both",,,"65","32.5","Medicare",,,,"54",,"35.23","11.35","135.24","percent of total billed charges",,
"DOSE FEE","0320","RC","Both",,,"65","32.5","Humana","Medicare Advantage",,,"54",,"35.23","11.35","135.24","percent of total billed charges",,
"DOSE FEE","0320","RC","Both",,,"65","32.5","UHC","Medicare Advantage",,,"54",,"35.23","11.35","135.24","percent of total billed charges",,
"DOSE FEE","0320","RC","Both",,,"65","32.5","Clover","Medicare Advantage",,,"54",,"35.23","11.35","135.24","percent of total billed charges",,
"DOSE FEE","0320","RC","Both",,,"65","32.5","Wellcare","Medicare Advantage",,,"54",,"35.23","11.35","135.24","percent of total billed charges",,
"DOSE FEE","0320","RC","Both",,,"65","32.5","Amerigroup","Medicaid Managed Care",,,"37",,"23.79","11.35","135.24","percent of total billed charges",,
"DOSE FEE","0320","RC","Both",,,"65","32.5","Caresource","Medicaid Managed Care",,,"40",,"26","11.35","135.24","percent of total billed charges",,
"DOSE FEE","0320","RC","Both",,,"65","32.5","Wellcare","Medicaid Managed Care",,,"40",,"26.33","11.35","135.24","percent of total billed charges",,
"DOSE FEE","0320","RC","Both",,,"65","32.5","Aetna","Commercial",,,"64",,"41.47","11.35","135.24","percent of total billed charges",,
"DOSE FEE","0320","RC","Both",,,"65","32.5","Blue Cross Blue Shield","Pathways",,,"71",,"45.89","11.35","135.24","percent of total billed charges",,
"DOSE FEE","0320","RC","Both",,,"65","32.5","Blue Cross Blue Shield","HMO",,,"71",,"45.89","11.35","135.24","percent of total billed charges",,
"DOSE FEE","0320","RC","Both",,,"65","32.5","Blue Cross Blue Shield","PPO",,,"71",,"45.89","11.35","135.24","percent of total billed charges",,
"DOSE FEE","0320","RC","Both",,,"65","32.5","Ambetter","Health Exchange",,,"62",,"40.3","11.35","135.24","percent of total billed charges",,
"DOSE FEE","0320","RC","Both",,,"65","32.5","Caresource","Health Exchange",,,"62",,"40.3","11.35","135.24","percent of total billed charges",,
"DOSE FEE","0320","RC","Both",,,"65","32.5","Cigna","Commercial",,,"59",,"38.09","11.35","135.24","percent of total billed charges",,
"DOSE FEE","0320","RC","Both",,,"65","32.5","Humana","Commercial",,,"78",,"50.38","11.35","135.24","percent of total billed charges",,
"DOSE FEE","0320","RC","Both",,,"65","32.5","UHC","Commercial",,,"75",,"49.01","11.35","135.24","percent of total billed charges",,
"DOSE FEE","0320","RC","Both",,,"65","32.5","Medicaid",,,,"37",,"23.79","11.35","135.24","percent of total billed charges",,
"XR OSSEOUS SURVEY INFANT","0320","RC","Both",,,"174.5","87.25","Alliant","Health Exchange",,,"62",,"108.19","11.35","135.24","percent of total billed charges",,
"XR OSSEOUS SURVEY INFANT","0320","RC","Both",,,"174.5","87.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"94.23","11.35","135.24","percent of total billed charges",,
"XR OSSEOUS SURVEY INFANT","0320","RC","Both",,,"174.5","87.25","Medicare",,,,"54",,"94.58","11.35","135.24","percent of total billed charges",,
"XR OSSEOUS SURVEY INFANT","0320","RC","Both",,,"174.5","87.25","Humana","Medicare Advantage",,,"54",,"94.58","11.35","135.24","percent of total billed charges",,
"XR OSSEOUS SURVEY INFANT","0320","RC","Both",,,"174.5","87.25","UHC","Medicare Advantage",,,"54",,"94.58","11.35","135.24","percent of total billed charges",,
"XR OSSEOUS SURVEY INFANT","0320","RC","Both",,,"174.5","87.25","Clover","Medicare Advantage",,,"54",,"94.58","11.35","135.24","percent of total billed charges",,
"XR OSSEOUS SURVEY INFANT","0320","RC","Both",,,"174.5","87.25","Wellcare","Medicare Advantage",,,"54",,"94.58","11.35","135.24","percent of total billed charges",,
"XR OSSEOUS SURVEY INFANT","0320","RC","Both",,,"174.5","87.25","Amerigroup","Medicaid Managed Care",,,"37",,"63.87","11.35","135.24","percent of total billed charges",,
"XR OSSEOUS SURVEY INFANT","0320","RC","Both",,,"174.5","87.25","Caresource","Medicaid Managed Care",,,"40",,"69.8","11.35","135.24","percent of total billed charges",,
"XR OSSEOUS SURVEY INFANT","0320","RC","Both",,,"174.5","87.25","Wellcare","Medicaid Managed Care",,,"40",,"70.67","11.35","135.24","percent of total billed charges",,
"XR OSSEOUS SURVEY INFANT","0320","RC","Both",,,"174.5","87.25","Aetna","Commercial",,,"64",,"111.33","11.35","135.24","percent of total billed charges",,
"XR OSSEOUS SURVEY INFANT","0320","RC","Both",,,"174.5","87.25","Blue Cross Blue Shield","Pathways",,,"71",,"123.2","11.35","135.24","percent of total billed charges",,
"XR OSSEOUS SURVEY INFANT","0320","RC","Both",,,"174.5","87.25","Blue Cross Blue Shield","HMO",,,"71",,"123.2","11.35","135.24","percent of total billed charges",,
"XR OSSEOUS SURVEY INFANT","0320","RC","Both",,,"174.5","87.25","Blue Cross Blue Shield","PPO",,,"71",,"123.2","11.35","135.24","percent of total billed charges",,
"XR OSSEOUS SURVEY INFANT","0320","RC","Both",,,"174.5","87.25","Ambetter","Health Exchange",,,"62",,"108.19","11.35","135.24","percent of total billed charges",,
"XR OSSEOUS SURVEY INFANT","0320","RC","Both",,,"174.5","87.25","Caresource","Health Exchange",,,"62",,"108.19","11.35","135.24","percent of total billed charges",,
"XR OSSEOUS SURVEY INFANT","0320","RC","Both",,,"174.5","87.25","Cigna","Commercial",,,"59",,"102.26","11.35","135.24","percent of total billed charges",,
"XR OSSEOUS SURVEY INFANT","0320","RC","Both",,,"174.5","87.25","Humana","Commercial",,,"78",,"135.24","11.35","135.24","percent of total billed charges",,
"XR OSSEOUS SURVEY INFANT","0320","RC","Both",,,"174.5","87.25","UHC","Commercial",,,"75",,"131.57","11.35","135.24","percent of total billed charges",,
"XR OSSEOUS SURVEY INFANT","0320","RC","Both",,,"174.5","87.25","Medicaid",,,,"37",,"63.87","11.35","135.24","percent of total billed charges",,
"IONIC CONTRACT 50 ML","0250","RC","Both",,,"48","24","Alliant","Health Exchange",,,"62",,"29.76","0.04","569.62","percent of total billed charges",,
"IONIC CONTRACT 50 ML","0250","RC","Both",,,"48","24","Pruitt Healthcare","Medicare Advantage",,,"54",,"25.92","0.04","569.62","percent of total billed charges",,
"IONIC CONTRACT 50 ML","0250","RC","Both",,,"48","24","Medicare",,,,"54",,"26.02","0.04","569.62","percent of total billed charges",,
"IONIC CONTRACT 50 ML","0250","RC","Both",,,"48","24","Humana","Medicare Advantage",,,"54",,"26.02","0.04","569.62","percent of total billed charges",,
"IONIC CONTRACT 50 ML","0250","RC","Both",,,"48","24","UHC","Medicare Advantage",,,"54",,"26.02","0.04","569.62","percent of total billed charges",,
"IONIC CONTRACT 50 ML","0250","RC","Both",,,"48","24","Clover","Medicare Advantage",,,"54",,"26.02","0.04","569.62","percent of total billed charges",,
"IONIC CONTRACT 50 ML","0250","RC","Both",,,"48","24","Wellcare","Medicare Advantage",,,"54",,"26.02","0.04","569.62","percent of total billed charges",,
"IONIC CONTRACT 50 ML","0250","RC","Both",,,"48","24","Amerigroup","Medicaid Managed Care",,,"37",,"17.57","0.04","569.62","percent of total billed charges",,
"IONIC CONTRACT 50 ML","0250","RC","Both",,,"48","24","Caresource","Medicaid Managed Care",,,"40",,"19.2","0.04","569.62","percent of total billed charges",,
"IONIC CONTRACT 50 ML","0250","RC","Both",,,"48","24","Wellcare","Medicaid Managed Care",,,"40",,"19.44","0.04","569.62","percent of total billed charges",,
"IONIC CONTRACT 50 ML","0250","RC","Both",,,"48","24","Aetna","Commercial",,,"64",,"30.62","0.04","569.62","percent of total billed charges",,
"IONIC CONTRACT 50 ML","0250","RC","Both",,,"48","24","Blue Cross Blue Shield","Pathways",,,"71",,"33.89","0.04","569.62","percent of total billed charges",,
"IONIC CONTRACT 50 ML","0250","RC","Both",,,"48","24","Blue Cross Blue Shield","HMO",,,"71",,"33.89","0.04","569.62","percent of total billed charges",,
"IONIC CONTRACT 50 ML","0250","RC","Both",,,"48","24","Blue Cross Blue Shield","PPO",,,"71",,"33.89","0.04","569.62","percent of total billed charges",,
"IONIC CONTRACT 50 ML","0250","RC","Both",,,"48","24","Ambetter","Health Exchange",,,"62",,"29.76","0.04","569.62","percent of total billed charges",,
"IONIC CONTRACT 50 ML","0250","RC","Both",,,"48","24","Caresource","Health Exchange",,,"62",,"29.76","0.04","569.62","percent of total billed charges",,
"IONIC CONTRACT 50 ML","0250","RC","Both",,,"48","24","Cigna","Commercial",,,"59",,"28.13","0.04","569.62","percent of total billed charges",,
"IONIC CONTRACT 50 ML","0250","RC","Both",,,"48","24","Humana","Commercial",,,"78",,"37.2","0.04","569.62","percent of total billed charges",,
"IONIC CONTRACT 50 ML","0250","RC","Both",,,"48","24","UHC","Commercial",,,"75",,"36.19","0.04","569.62","percent of total billed charges",,
"IONIC CONTRACT 50 ML","0250","RC","Both",,,"48","24","Medicaid",,,,"37",,"17.57","0.04","569.62","percent of total billed charges",,
"IONIC CONTRACT 50 ML","0250","RC","Both",,,"58.5","29.25","Alliant","Health Exchange",,,"62",,"36.27","0.04","569.62","percent of total billed charges",,
"IONIC CONTRACT 50 ML","0250","RC","Both",,,"58.5","29.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"31.59","0.04","569.62","percent of total billed charges",,
"IONIC CONTRACT 50 ML","0250","RC","Both",,,"58.5","29.25","Medicare",,,,"54",,"31.71","0.04","569.62","percent of total billed charges",,
"IONIC CONTRACT 50 ML","0250","RC","Both",,,"58.5","29.25","Humana","Medicare Advantage",,,"54",,"31.71","0.04","569.62","percent of total billed charges",,
"IONIC CONTRACT 50 ML","0250","RC","Both",,,"58.5","29.25","UHC","Medicare Advantage",,,"54",,"31.71","0.04","569.62","percent of total billed charges",,
"IONIC CONTRACT 50 ML","0250","RC","Both",,,"58.5","29.25","Clover","Medicare Advantage",,,"54",,"31.71","0.04","569.62","percent of total billed charges",,
"IONIC CONTRACT 50 ML","0250","RC","Both",,,"58.5","29.25","Wellcare","Medicare Advantage",,,"54",,"31.71","0.04","569.62","percent of total billed charges",,
"IONIC CONTRACT 50 ML","0250","RC","Both",,,"58.5","29.25","Amerigroup","Medicaid Managed Care",,,"37",,"21.41","0.04","569.62","percent of total billed charges",,
"IONIC CONTRACT 50 ML","0250","RC","Both",,,"58.5","29.25","Caresource","Medicaid Managed Care",,,"40",,"23.4","0.04","569.62","percent of total billed charges",,
"IONIC CONTRACT 50 ML","0250","RC","Both",,,"58.5","29.25","Wellcare","Medicaid Managed Care",,,"40",,"23.69","0.04","569.62","percent of total billed charges",,
"IONIC CONTRACT 50 ML","0250","RC","Both",,,"58.5","29.25","Aetna","Commercial",,,"64",,"37.32","0.04","569.62","percent of total billed charges",,
"IONIC CONTRACT 50 ML","0250","RC","Both",,,"58.5","29.25","Blue Cross Blue Shield","Pathways",,,"71",,"41.3","0.04","569.62","percent of total billed charges",,
"IONIC CONTRACT 50 ML","0250","RC","Both",,,"58.5","29.25","Blue Cross Blue Shield","HMO",,,"71",,"41.3","0.04","569.62","percent of total billed charges",,
"IONIC CONTRACT 50 ML","0250","RC","Both",,,"58.5","29.25","Blue Cross Blue Shield","PPO",,,"71",,"41.3","0.04","569.62","percent of total billed charges",,
"IONIC CONTRACT 50 ML","0250","RC","Both",,,"58.5","29.25","Ambetter","Health Exchange",,,"62",,"36.27","0.04","569.62","percent of total billed charges",,
"IONIC CONTRACT 50 ML","0250","RC","Both",,,"58.5","29.25","Caresource","Health Exchange",,,"62",,"36.27","0.04","569.62","percent of total billed charges",,
"IONIC CONTRACT 50 ML","0250","RC","Both",,,"58.5","29.25","Cigna","Commercial",,,"59",,"34.28","0.04","569.62","percent of total billed charges",,
"IONIC CONTRACT 50 ML","0250","RC","Both",,,"58.5","29.25","Humana","Commercial",,,"78",,"45.34","0.04","569.62","percent of total billed charges",,
"IONIC CONTRACT 50 ML","0250","RC","Both",,,"58.5","29.25","UHC","Commercial",,,"75",,"44.11","0.04","569.62","percent of total billed charges",,
"IONIC CONTRACT 50 ML","0250","RC","Both",,,"58.5","29.25","Medicaid",,,,"37",,"21.41","0.04","569.62","percent of total billed charges",,
"NONIONIC CONTRAST 50 ML SYRINGE","0636","RC","Both",,,"185","92.5","Alliant","Health Exchange",,,"62",,"114.7","21.96","143.38","percent of total billed charges",,
"NONIONIC CONTRAST 50 ML SYRINGE","0636","RC","Both",,,"185","92.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"99.9","21.96","143.38","percent of total billed charges",,
"NONIONIC CONTRAST 50 ML SYRINGE","0636","RC","Both",,,"185","92.5","Medicare",,,,"54",,"100.27","21.96","143.38","percent of total billed charges",,
"NONIONIC CONTRAST 50 ML SYRINGE","0636","RC","Both",,,"185","92.5","Humana","Medicare Advantage",,,"54",,"100.27","21.96","143.38","percent of total billed charges",,
"NONIONIC CONTRAST 50 ML SYRINGE","0636","RC","Both",,,"185","92.5","UHC","Medicare Advantage",,,"54",,"100.27","21.96","143.38","percent of total billed charges",,
"NONIONIC CONTRAST 50 ML SYRINGE","0636","RC","Both",,,"185","92.5","Clover","Medicare Advantage",,,"54",,"100.27","21.96","143.38","percent of total billed charges",,
"NONIONIC CONTRAST 50 ML SYRINGE","0636","RC","Both",,,"185","92.5","Wellcare","Medicare Advantage",,,"54",,"100.27","21.96","143.38","percent of total billed charges",,
"NONIONIC CONTRAST 50 ML SYRINGE","0636","RC","Both",,,"185","92.5","Amerigroup","Medicaid Managed Care",,,"37",,"67.71","21.96","143.38","percent of total billed charges",,
"NONIONIC CONTRAST 50 ML SYRINGE","0636","RC","Both",,,"185","92.5","Caresource","Medicaid Managed Care",,,"40",,"74","21.96","143.38","percent of total billed charges",,
"NONIONIC CONTRAST 50 ML SYRINGE","0636","RC","Both",,,"185","92.5","Wellcare","Medicaid Managed Care",,,"40",,"74.93","21.96","143.38","percent of total billed charges",,
"NONIONIC CONTRAST 50 ML SYRINGE","0636","RC","Both",,,"185","92.5","Aetna","Commercial",,,"64",,"118.03","21.96","143.38","percent of total billed charges",,
"NONIONIC CONTRAST 50 ML SYRINGE","0636","RC","Both",,,"185","92.5","Blue Cross Blue Shield","Pathways",,,"71",,"130.61","21.96","143.38","percent of total billed charges",,
"NONIONIC CONTRAST 50 ML SYRINGE","0636","RC","Both",,,"185","92.5","Blue Cross Blue Shield","HMO",,,"71",,"130.61","21.96","143.38","percent of total billed charges",,
"NONIONIC CONTRAST 50 ML SYRINGE","0636","RC","Both",,,"185","92.5","Blue Cross Blue Shield","PPO",,,"71",,"130.61","21.96","143.38","percent of total billed charges",,
"NONIONIC CONTRAST 50 ML SYRINGE","0636","RC","Both",,,"185","92.5","Ambetter","Health Exchange",,,"62",,"114.7","21.96","143.38","percent of total billed charges",,
"NONIONIC CONTRAST 50 ML SYRINGE","0636","RC","Both",,,"185","92.5","Caresource","Health Exchange",,,"62",,"114.7","21.96","143.38","percent of total billed charges",,
"NONIONIC CONTRAST 50 ML SYRINGE","0636","RC","Both",,,"185","92.5","Cigna","Commercial",,,"59",,"108.41","21.96","143.38","percent of total billed charges",,
"NONIONIC CONTRAST 50 ML SYRINGE","0636","RC","Both",,,"185","92.5","Humana","Commercial",,,"78",,"143.38","21.96","143.38","percent of total billed charges",,
"NONIONIC CONTRAST 50 ML SYRINGE","0636","RC","Both",,,"185","92.5","UHC","Commercial",,,"75",,"139.49","21.96","143.38","percent of total billed charges",,
"NONIONIC CONTRAST 50 ML SYRINGE","0636","RC","Both",,,"185","92.5","Medicaid",,,,"37",,"67.71","21.96","143.38","percent of total billed charges",,
"GASTROGRAFIN 120 ML","0250","RC","Both",,,"58.5","29.25","Alliant","Health Exchange",,,"62",,"36.27","0.04","569.62","percent of total billed charges",,
"GASTROGRAFIN 120 ML","0250","RC","Both",,,"58.5","29.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"31.59","0.04","569.62","percent of total billed charges",,
"GASTROGRAFIN 120 ML","0250","RC","Both",,,"58.5","29.25","Medicare",,,,"54",,"31.71","0.04","569.62","percent of total billed charges",,
"GASTROGRAFIN 120 ML","0250","RC","Both",,,"58.5","29.25","Humana","Medicare Advantage",,,"54",,"31.71","0.04","569.62","percent of total billed charges",,
"GASTROGRAFIN 120 ML","0250","RC","Both",,,"58.5","29.25","UHC","Medicare Advantage",,,"54",,"31.71","0.04","569.62","percent of total billed charges",,
"GASTROGRAFIN 120 ML","0250","RC","Both",,,"58.5","29.25","Clover","Medicare Advantage",,,"54",,"31.71","0.04","569.62","percent of total billed charges",,
"GASTROGRAFIN 120 ML","0250","RC","Both",,,"58.5","29.25","Wellcare","Medicare Advantage",,,"54",,"31.71","0.04","569.62","percent of total billed charges",,
"GASTROGRAFIN 120 ML","0250","RC","Both",,,"58.5","29.25","Amerigroup","Medicaid Managed Care",,,"37",,"21.41","0.04","569.62","percent of total billed charges",,
"GASTROGRAFIN 120 ML","0250","RC","Both",,,"58.5","29.25","Caresource","Medicaid Managed Care",,,"40",,"23.4","0.04","569.62","percent of total billed charges",,
"GASTROGRAFIN 120 ML","0250","RC","Both",,,"58.5","29.25","Wellcare","Medicaid Managed Care",,,"40",,"23.69","0.04","569.62","percent of total billed charges",,
"GASTROGRAFIN 120 ML","0250","RC","Both",,,"58.5","29.25","Aetna","Commercial",,,"64",,"37.32","0.04","569.62","percent of total billed charges",,
"GASTROGRAFIN 120 ML","0250","RC","Both",,,"58.5","29.25","Blue Cross Blue Shield","Pathways",,,"71",,"41.3","0.04","569.62","percent of total billed charges",,
"GASTROGRAFIN 120 ML","0250","RC","Both",,,"58.5","29.25","Blue Cross Blue Shield","HMO",,,"71",,"41.3","0.04","569.62","percent of total billed charges",,
"GASTROGRAFIN 120 ML","0250","RC","Both",,,"58.5","29.25","Blue Cross Blue Shield","PPO",,,"71",,"41.3","0.04","569.62","percent of total billed charges",,
"GASTROGRAFIN 120 ML","0250","RC","Both",,,"58.5","29.25","Ambetter","Health Exchange",,,"62",,"36.27","0.04","569.62","percent of total billed charges",,
"GASTROGRAFIN 120 ML","0250","RC","Both",,,"58.5","29.25","Caresource","Health Exchange",,,"62",,"36.27","0.04","569.62","percent of total billed charges",,
"GASTROGRAFIN 120 ML","0250","RC","Both",,,"58.5","29.25","Cigna","Commercial",,,"59",,"34.28","0.04","569.62","percent of total billed charges",,
"GASTROGRAFIN 120 ML","0250","RC","Both",,,"58.5","29.25","Humana","Commercial",,,"78",,"45.34","0.04","569.62","percent of total billed charges",,
"GASTROGRAFIN 120 ML","0250","RC","Both",,,"58.5","29.25","UHC","Commercial",,,"75",,"44.11","0.04","569.62","percent of total billed charges",,
"GASTROGRAFIN 120 ML","0250","RC","Both",,,"58.5","29.25","Medicaid",,,,"37",,"21.41","0.04","569.62","percent of total billed charges",,
"GASTROGRAPHIN 240 ML","0250","RC","Both",,,"73.5","36.75","Alliant","Health Exchange",,,"62",,"45.57","0.04","569.62","percent of total billed charges",,
"GASTROGRAPHIN 240 ML","0250","RC","Both",,,"73.5","36.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"39.69","0.04","569.62","percent of total billed charges",,
"GASTROGRAPHIN 240 ML","0250","RC","Both",,,"73.5","36.75","Medicare",,,,"54",,"39.84","0.04","569.62","percent of total billed charges",,
"GASTROGRAPHIN 240 ML","0250","RC","Both",,,"73.5","36.75","Humana","Medicare Advantage",,,"54",,"39.84","0.04","569.62","percent of total billed charges",,
"GASTROGRAPHIN 240 ML","0250","RC","Both",,,"73.5","36.75","UHC","Medicare Advantage",,,"54",,"39.84","0.04","569.62","percent of total billed charges",,
"GASTROGRAPHIN 240 ML","0250","RC","Both",,,"73.5","36.75","Clover","Medicare Advantage",,,"54",,"39.84","0.04","569.62","percent of total billed charges",,
"GASTROGRAPHIN 240 ML","0250","RC","Both",,,"73.5","36.75","Wellcare","Medicare Advantage",,,"54",,"39.84","0.04","569.62","percent of total billed charges",,
"GASTROGRAPHIN 240 ML","0250","RC","Both",,,"73.5","36.75","Amerigroup","Medicaid Managed Care",,,"37",,"26.9","0.04","569.62","percent of total billed charges",,
"GASTROGRAPHIN 240 ML","0250","RC","Both",,,"73.5","36.75","Caresource","Medicaid Managed Care",,,"40",,"29.4","0.04","569.62","percent of total billed charges",,
"GASTROGRAPHIN 240 ML","0250","RC","Both",,,"73.5","36.75","Wellcare","Medicaid Managed Care",,,"40",,"29.77","0.04","569.62","percent of total billed charges",,
"GASTROGRAPHIN 240 ML","0250","RC","Both",,,"73.5","36.75","Aetna","Commercial",,,"64",,"46.89","0.04","569.62","percent of total billed charges",,
"GASTROGRAPHIN 240 ML","0250","RC","Both",,,"73.5","36.75","Blue Cross Blue Shield","Pathways",,,"71",,"51.89","0.04","569.62","percent of total billed charges",,
"GASTROGRAPHIN 240 ML","0250","RC","Both",,,"73.5","36.75","Blue Cross Blue Shield","HMO",,,"71",,"51.89","0.04","569.62","percent of total billed charges",,
"GASTROGRAPHIN 240 ML","0250","RC","Both",,,"73.5","36.75","Blue Cross Blue Shield","PPO",,,"71",,"51.89","0.04","569.62","percent of total billed charges",,
"GASTROGRAPHIN 240 ML","0250","RC","Both",,,"73.5","36.75","Ambetter","Health Exchange",,,"62",,"45.57","0.04","569.62","percent of total billed charges",,
"GASTROGRAPHIN 240 ML","0250","RC","Both",,,"73.5","36.75","Caresource","Health Exchange",,,"62",,"45.57","0.04","569.62","percent of total billed charges",,
"GASTROGRAPHIN 240 ML","0250","RC","Both",,,"73.5","36.75","Cigna","Commercial",,,"59",,"43.07","0.04","569.62","percent of total billed charges",,
"GASTROGRAPHIN 240 ML","0250","RC","Both",,,"73.5","36.75","Humana","Commercial",,,"78",,"56.96","0.04","569.62","percent of total billed charges",,
"GASTROGRAPHIN 240 ML","0250","RC","Both",,,"73.5","36.75","UHC","Commercial",,,"75",,"55.42","0.04","569.62","percent of total billed charges",,
"GASTROGRAPHIN 240 ML","0250","RC","Both",,,"73.5","36.75","Medicaid",,,,"37",,"26.9","0.04","569.62","percent of total billed charges",,
"GASTROGRAPHIN 360 ML","0250","RC","Both",,,"105.5","52.75","Alliant","Health Exchange",,,"62",,"65.41","0.04","569.62","percent of total billed charges",,
"GASTROGRAPHIN 360 ML","0250","RC","Both",,,"105.5","52.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"56.97","0.04","569.62","percent of total billed charges",,
"GASTROGRAPHIN 360 ML","0250","RC","Both",,,"105.5","52.75","Medicare",,,,"54",,"57.18","0.04","569.62","percent of total billed charges",,
"GASTROGRAPHIN 360 ML","0250","RC","Both",,,"105.5","52.75","Humana","Medicare Advantage",,,"54",,"57.18","0.04","569.62","percent of total billed charges",,
"GASTROGRAPHIN 360 ML","0250","RC","Both",,,"105.5","52.75","UHC","Medicare Advantage",,,"54",,"57.18","0.04","569.62","percent of total billed charges",,
"GASTROGRAPHIN 360 ML","0250","RC","Both",,,"105.5","52.75","Clover","Medicare Advantage",,,"54",,"57.18","0.04","569.62","percent of total billed charges",,
"GASTROGRAPHIN 360 ML","0250","RC","Both",,,"105.5","52.75","Wellcare","Medicare Advantage",,,"54",,"57.18","0.04","569.62","percent of total billed charges",,
"GASTROGRAPHIN 360 ML","0250","RC","Both",,,"105.5","52.75","Amerigroup","Medicaid Managed Care",,,"37",,"38.61","0.04","569.62","percent of total billed charges",,
"GASTROGRAPHIN 360 ML","0250","RC","Both",,,"105.5","52.75","Caresource","Medicaid Managed Care",,,"40",,"42.2","0.04","569.62","percent of total billed charges",,
"GASTROGRAPHIN 360 ML","0250","RC","Both",,,"105.5","52.75","Wellcare","Medicaid Managed Care",,,"40",,"42.73","0.04","569.62","percent of total billed charges",,
"GASTROGRAPHIN 360 ML","0250","RC","Both",,,"105.5","52.75","Aetna","Commercial",,,"64",,"67.31","0.04","569.62","percent of total billed charges",,
"GASTROGRAPHIN 360 ML","0250","RC","Both",,,"105.5","52.75","Blue Cross Blue Shield","Pathways",,,"71",,"74.48","0.04","569.62","percent of total billed charges",,
"GASTROGRAPHIN 360 ML","0250","RC","Both",,,"105.5","52.75","Blue Cross Blue Shield","HMO",,,"71",,"74.48","0.04","569.62","percent of total billed charges",,
"GASTROGRAPHIN 360 ML","0250","RC","Both",,,"105.5","52.75","Blue Cross Blue Shield","PPO",,,"71",,"74.48","0.04","569.62","percent of total billed charges",,
"GASTROGRAPHIN 360 ML","0250","RC","Both",,,"105.5","52.75","Ambetter","Health Exchange",,,"62",,"65.41","0.04","569.62","percent of total billed charges",,
"GASTROGRAPHIN 360 ML","0250","RC","Both",,,"105.5","52.75","Caresource","Health Exchange",,,"62",,"65.41","0.04","569.62","percent of total billed charges",,
"GASTROGRAPHIN 360 ML","0250","RC","Both",,,"105.5","52.75","Cigna","Commercial",,,"59",,"61.82","0.04","569.62","percent of total billed charges",,
"GASTROGRAPHIN 360 ML","0250","RC","Both",,,"105.5","52.75","Humana","Commercial",,,"78",,"81.76","0.04","569.62","percent of total billed charges",,
"GASTROGRAPHIN 360 ML","0250","RC","Both",,,"105.5","52.75","UHC","Commercial",,,"75",,"79.55","0.04","569.62","percent of total billed charges",,
"GASTROGRAPHIN 360 ML","0250","RC","Both",,,"105.5","52.75","Medicaid",,,,"37",,"38.61","0.04","569.62","percent of total billed charges",,
"TELEPAQUE ONE DOSE","0250","RC","Both",,,"30","15","Alliant","Health Exchange",,,"62",,"18.6","0.04","569.62","percent of total billed charges",,
"TELEPAQUE ONE DOSE","0250","RC","Both",,,"30","15","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.2","0.04","569.62","percent of total billed charges",,
"TELEPAQUE ONE DOSE","0250","RC","Both",,,"30","15","Medicare",,,,"54",,"16.26","0.04","569.62","percent of total billed charges",,
"TELEPAQUE ONE DOSE","0250","RC","Both",,,"30","15","Humana","Medicare Advantage",,,"54",,"16.26","0.04","569.62","percent of total billed charges",,
"TELEPAQUE ONE DOSE","0250","RC","Both",,,"30","15","UHC","Medicare Advantage",,,"54",,"16.26","0.04","569.62","percent of total billed charges",,
"TELEPAQUE ONE DOSE","0250","RC","Both",,,"30","15","Clover","Medicare Advantage",,,"54",,"16.26","0.04","569.62","percent of total billed charges",,
"TELEPAQUE ONE DOSE","0250","RC","Both",,,"30","15","Wellcare","Medicare Advantage",,,"54",,"16.26","0.04","569.62","percent of total billed charges",,
"TELEPAQUE ONE DOSE","0250","RC","Both",,,"30","15","Amerigroup","Medicaid Managed Care",,,"37",,"10.98","0.04","569.62","percent of total billed charges",,
"TELEPAQUE ONE DOSE","0250","RC","Both",,,"30","15","Caresource","Medicaid Managed Care",,,"40",,"12","0.04","569.62","percent of total billed charges",,
"TELEPAQUE ONE DOSE","0250","RC","Both",,,"30","15","Wellcare","Medicaid Managed Care",,,"40",,"12.15","0.04","569.62","percent of total billed charges",,
"TELEPAQUE ONE DOSE","0250","RC","Both",,,"30","15","Aetna","Commercial",,,"64",,"19.14","0.04","569.62","percent of total billed charges",,
"TELEPAQUE ONE DOSE","0250","RC","Both",,,"30","15","Blue Cross Blue Shield","Pathways",,,"71",,"21.18","0.04","569.62","percent of total billed charges",,
"TELEPAQUE ONE DOSE","0250","RC","Both",,,"30","15","Blue Cross Blue Shield","HMO",,,"71",,"21.18","0.04","569.62","percent of total billed charges",,
"TELEPAQUE ONE DOSE","0250","RC","Both",,,"30","15","Blue Cross Blue Shield","PPO",,,"71",,"21.18","0.04","569.62","percent of total billed charges",,
"TELEPAQUE ONE DOSE","0250","RC","Both",,,"30","15","Ambetter","Health Exchange",,,"62",,"18.6","0.04","569.62","percent of total billed charges",,
"TELEPAQUE ONE DOSE","0250","RC","Both",,,"30","15","Caresource","Health Exchange",,,"62",,"18.6","0.04","569.62","percent of total billed charges",,
"TELEPAQUE ONE DOSE","0250","RC","Both",,,"30","15","Cigna","Commercial",,,"59",,"17.58","0.04","569.62","percent of total billed charges",,
"TELEPAQUE ONE DOSE","0250","RC","Both",,,"30","15","Humana","Commercial",,,"78",,"23.25","0.04","569.62","percent of total billed charges",,
"TELEPAQUE ONE DOSE","0250","RC","Both",,,"30","15","UHC","Commercial",,,"75",,"22.62","0.04","569.62","percent of total billed charges",,
"TELEPAQUE ONE DOSE","0250","RC","Both",,,"30","15","Medicaid",,,,"37",,"10.98","0.04","569.62","percent of total billed charges",,
"TELEPAQUE DBL DOSE","0250","RC","Both",,,"39","19.5","Alliant","Health Exchange",,,"62",,"24.18","0.04","569.62","percent of total billed charges",,
"TELEPAQUE DBL DOSE","0250","RC","Both",,,"39","19.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"21.06","0.04","569.62","percent of total billed charges",,
"TELEPAQUE DBL DOSE","0250","RC","Both",,,"39","19.5","Medicare",,,,"54",,"21.14","0.04","569.62","percent of total billed charges",,
"TELEPAQUE DBL DOSE","0250","RC","Both",,,"39","19.5","Humana","Medicare Advantage",,,"54",,"21.14","0.04","569.62","percent of total billed charges",,
"TELEPAQUE DBL DOSE","0250","RC","Both",,,"39","19.5","UHC","Medicare Advantage",,,"54",,"21.14","0.04","569.62","percent of total billed charges",,
"TELEPAQUE DBL DOSE","0250","RC","Both",,,"39","19.5","Clover","Medicare Advantage",,,"54",,"21.14","0.04","569.62","percent of total billed charges",,
"TELEPAQUE DBL DOSE","0250","RC","Both",,,"39","19.5","Wellcare","Medicare Advantage",,,"54",,"21.14","0.04","569.62","percent of total billed charges",,
"TELEPAQUE DBL DOSE","0250","RC","Both",,,"39","19.5","Amerigroup","Medicaid Managed Care",,,"37",,"14.27","0.04","569.62","percent of total billed charges",,
"TELEPAQUE DBL DOSE","0250","RC","Both",,,"39","19.5","Caresource","Medicaid Managed Care",,,"40",,"15.6","0.04","569.62","percent of total billed charges",,
"TELEPAQUE DBL DOSE","0250","RC","Both",,,"39","19.5","Wellcare","Medicaid Managed Care",,,"40",,"15.8","0.04","569.62","percent of total billed charges",,
"TELEPAQUE DBL DOSE","0250","RC","Both",,,"39","19.5","Aetna","Commercial",,,"64",,"24.88","0.04","569.62","percent of total billed charges",,
"TELEPAQUE DBL DOSE","0250","RC","Both",,,"39","19.5","Blue Cross Blue Shield","Pathways",,,"71",,"27.53","0.04","569.62","percent of total billed charges",,
"TELEPAQUE DBL DOSE","0250","RC","Both",,,"39","19.5","Blue Cross Blue Shield","HMO",,,"71",,"27.53","0.04","569.62","percent of total billed charges",,
"TELEPAQUE DBL DOSE","0250","RC","Both",,,"39","19.5","Blue Cross Blue Shield","PPO",,,"71",,"27.53","0.04","569.62","percent of total billed charges",,
"TELEPAQUE DBL DOSE","0250","RC","Both",,,"39","19.5","Ambetter","Health Exchange",,,"62",,"24.18","0.04","569.62","percent of total billed charges",,
"TELEPAQUE DBL DOSE","0250","RC","Both",,,"39","19.5","Caresource","Health Exchange",,,"62",,"24.18","0.04","569.62","percent of total billed charges",,
"TELEPAQUE DBL DOSE","0250","RC","Both",,,"39","19.5","Cigna","Commercial",,,"59",,"22.85","0.04","569.62","percent of total billed charges",,
"TELEPAQUE DBL DOSE","0250","RC","Both",,,"39","19.5","Humana","Commercial",,,"78",,"30.22","0.04","569.62","percent of total billed charges",,
"TELEPAQUE DBL DOSE","0250","RC","Both",,,"39","19.5","UHC","Commercial",,,"75",,"29.41","0.04","569.62","percent of total billed charges",,
"TELEPAQUE DBL DOSE","0250","RC","Both",,,"39","19.5","Medicaid",,,,"37",,"14.27","0.04","569.62","percent of total billed charges",,
"FLEET KIT (AD)","0250","RC","Both",,,"24.5","12.25","Alliant","Health Exchange",,,"62",,"15.19","0.04","569.62","percent of total billed charges",,
"FLEET KIT (AD)","0250","RC","Both",,,"24.5","12.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"13.23","0.04","569.62","percent of total billed charges",,
"FLEET KIT (AD)","0250","RC","Both",,,"24.5","12.25","Medicare",,,,"54",,"13.28","0.04","569.62","percent of total billed charges",,
"FLEET KIT (AD)","0250","RC","Both",,,"24.5","12.25","Humana","Medicare Advantage",,,"54",,"13.28","0.04","569.62","percent of total billed charges",,
"FLEET KIT (AD)","0250","RC","Both",,,"24.5","12.25","UHC","Medicare Advantage",,,"54",,"13.28","0.04","569.62","percent of total billed charges",,
"FLEET KIT (AD)","0250","RC","Both",,,"24.5","12.25","Clover","Medicare Advantage",,,"54",,"13.28","0.04","569.62","percent of total billed charges",,
"FLEET KIT (AD)","0250","RC","Both",,,"24.5","12.25","Wellcare","Medicare Advantage",,,"54",,"13.28","0.04","569.62","percent of total billed charges",,
"FLEET KIT (AD)","0250","RC","Both",,,"24.5","12.25","Amerigroup","Medicaid Managed Care",,,"37",,"8.97","0.04","569.62","percent of total billed charges",,
"FLEET KIT (AD)","0250","RC","Both",,,"24.5","12.25","Caresource","Medicaid Managed Care",,,"40",,"9.8","0.04","569.62","percent of total billed charges",,
"FLEET KIT (AD)","0250","RC","Both",,,"24.5","12.25","Wellcare","Medicaid Managed Care",,,"40",,"9.92","0.04","569.62","percent of total billed charges",,
"FLEET KIT (AD)","0250","RC","Both",,,"24.5","12.25","Aetna","Commercial",,,"64",,"15.63","0.04","569.62","percent of total billed charges",,
"FLEET KIT (AD)","0250","RC","Both",,,"24.5","12.25","Blue Cross Blue Shield","Pathways",,,"71",,"17.3","0.04","569.62","percent of total billed charges",,
"FLEET KIT (AD)","0250","RC","Both",,,"24.5","12.25","Blue Cross Blue Shield","HMO",,,"71",,"17.3","0.04","569.62","percent of total billed charges",,
"FLEET KIT (AD)","0250","RC","Both",,,"24.5","12.25","Blue Cross Blue Shield","PPO",,,"71",,"17.3","0.04","569.62","percent of total billed charges",,
"FLEET KIT (AD)","0250","RC","Both",,,"24.5","12.25","Ambetter","Health Exchange",,,"62",,"15.19","0.04","569.62","percent of total billed charges",,
"FLEET KIT (AD)","0250","RC","Both",,,"24.5","12.25","Caresource","Health Exchange",,,"62",,"15.19","0.04","569.62","percent of total billed charges",,
"FLEET KIT (AD)","0250","RC","Both",,,"24.5","12.25","Cigna","Commercial",,,"59",,"14.36","0.04","569.62","percent of total billed charges",,
"FLEET KIT (AD)","0250","RC","Both",,,"24.5","12.25","Humana","Commercial",,,"78",,"18.99","0.04","569.62","percent of total billed charges",,
"FLEET KIT (AD)","0250","RC","Both",,,"24.5","12.25","UHC","Commercial",,,"75",,"18.47","0.04","569.62","percent of total billed charges",,
"FLEET KIT (AD)","0250","RC","Both",,,"24.5","12.25","Medicaid",,,,"37",,"8.97","0.04","569.62","percent of total billed charges",,
"FLEET KIT (PED)","0250","RC","Both",,,"14.5","7.25","Alliant","Health Exchange",,,"62",,"8.99","0.04","569.62","percent of total billed charges",,
"FLEET KIT (PED)","0250","RC","Both",,,"14.5","7.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.83","0.04","569.62","percent of total billed charges",,
"FLEET KIT (PED)","0250","RC","Both",,,"14.5","7.25","Medicare",,,,"54",,"7.86","0.04","569.62","percent of total billed charges",,
"FLEET KIT (PED)","0250","RC","Both",,,"14.5","7.25","Humana","Medicare Advantage",,,"54",,"7.86","0.04","569.62","percent of total billed charges",,
"FLEET KIT (PED)","0250","RC","Both",,,"14.5","7.25","UHC","Medicare Advantage",,,"54",,"7.86","0.04","569.62","percent of total billed charges",,
"FLEET KIT (PED)","0250","RC","Both",,,"14.5","7.25","Clover","Medicare Advantage",,,"54",,"7.86","0.04","569.62","percent of total billed charges",,
"FLEET KIT (PED)","0250","RC","Both",,,"14.5","7.25","Wellcare","Medicare Advantage",,,"54",,"7.86","0.04","569.62","percent of total billed charges",,
"FLEET KIT (PED)","0250","RC","Both",,,"14.5","7.25","Amerigroup","Medicaid Managed Care",,,"37",,"5.31","0.04","569.62","percent of total billed charges",,
"FLEET KIT (PED)","0250","RC","Both",,,"14.5","7.25","Caresource","Medicaid Managed Care",,,"40",,"5.8","0.04","569.62","percent of total billed charges",,
"FLEET KIT (PED)","0250","RC","Both",,,"14.5","7.25","Wellcare","Medicaid Managed Care",,,"40",,"5.87","0.04","569.62","percent of total billed charges",,
"FLEET KIT (PED)","0250","RC","Both",,,"14.5","7.25","Aetna","Commercial",,,"64",,"9.25","0.04","569.62","percent of total billed charges",,
"FLEET KIT (PED)","0250","RC","Both",,,"14.5","7.25","Blue Cross Blue Shield","Pathways",,,"71",,"10.24","0.04","569.62","percent of total billed charges",,
"FLEET KIT (PED)","0250","RC","Both",,,"14.5","7.25","Blue Cross Blue Shield","HMO",,,"71",,"10.24","0.04","569.62","percent of total billed charges",,
"FLEET KIT (PED)","0250","RC","Both",,,"14.5","7.25","Blue Cross Blue Shield","PPO",,,"71",,"10.24","0.04","569.62","percent of total billed charges",,
"FLEET KIT (PED)","0250","RC","Both",,,"14.5","7.25","Ambetter","Health Exchange",,,"62",,"8.99","0.04","569.62","percent of total billed charges",,
"FLEET KIT (PED)","0250","RC","Both",,,"14.5","7.25","Caresource","Health Exchange",,,"62",,"8.99","0.04","569.62","percent of total billed charges",,
"FLEET KIT (PED)","0250","RC","Both",,,"14.5","7.25","Cigna","Commercial",,,"59",,"8.5","0.04","569.62","percent of total billed charges",,
"FLEET KIT (PED)","0250","RC","Both",,,"14.5","7.25","Humana","Commercial",,,"78",,"11.24","0.04","569.62","percent of total billed charges",,
"FLEET KIT (PED)","0250","RC","Both",,,"14.5","7.25","UHC","Commercial",,,"75",,"10.93","0.04","569.62","percent of total billed charges",,
"FLEET KIT (PED)","0250","RC","Both",,,"14.5","7.25","Medicaid",,,,"37",,"5.31","0.04","569.62","percent of total billed charges",,
"FLEET ENEMA (AD)","0250","RC","Both",,,"14.5","7.25","Alliant","Health Exchange",,,"62",,"8.99","0.04","569.62","percent of total billed charges",,
"FLEET ENEMA (AD)","0250","RC","Both",,,"14.5","7.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.83","0.04","569.62","percent of total billed charges",,
"FLEET ENEMA (AD)","0250","RC","Both",,,"14.5","7.25","Medicare",,,,"54",,"7.86","0.04","569.62","percent of total billed charges",,
"FLEET ENEMA (AD)","0250","RC","Both",,,"14.5","7.25","Humana","Medicare Advantage",,,"54",,"7.86","0.04","569.62","percent of total billed charges",,
"FLEET ENEMA (AD)","0250","RC","Both",,,"14.5","7.25","UHC","Medicare Advantage",,,"54",,"7.86","0.04","569.62","percent of total billed charges",,
"FLEET ENEMA (AD)","0250","RC","Both",,,"14.5","7.25","Clover","Medicare Advantage",,,"54",,"7.86","0.04","569.62","percent of total billed charges",,
"FLEET ENEMA (AD)","0250","RC","Both",,,"14.5","7.25","Wellcare","Medicare Advantage",,,"54",,"7.86","0.04","569.62","percent of total billed charges",,
"FLEET ENEMA (AD)","0250","RC","Both",,,"14.5","7.25","Amerigroup","Medicaid Managed Care",,,"37",,"5.31","0.04","569.62","percent of total billed charges",,
"FLEET ENEMA (AD)","0250","RC","Both",,,"14.5","7.25","Caresource","Medicaid Managed Care",,,"40",,"5.8","0.04","569.62","percent of total billed charges",,
"FLEET ENEMA (AD)","0250","RC","Both",,,"14.5","7.25","Wellcare","Medicaid Managed Care",,,"40",,"5.87","0.04","569.62","percent of total billed charges",,
"FLEET ENEMA (AD)","0250","RC","Both",,,"14.5","7.25","Aetna","Commercial",,,"64",,"9.25","0.04","569.62","percent of total billed charges",,
"FLEET ENEMA (AD)","0250","RC","Both",,,"14.5","7.25","Blue Cross Blue Shield","Pathways",,,"71",,"10.24","0.04","569.62","percent of total billed charges",,
"FLEET ENEMA (AD)","0250","RC","Both",,,"14.5","7.25","Blue Cross Blue Shield","HMO",,,"71",,"10.24","0.04","569.62","percent of total billed charges",,
"FLEET ENEMA (AD)","0250","RC","Both",,,"14.5","7.25","Blue Cross Blue Shield","PPO",,,"71",,"10.24","0.04","569.62","percent of total billed charges",,
"FLEET ENEMA (AD)","0250","RC","Both",,,"14.5","7.25","Ambetter","Health Exchange",,,"62",,"8.99","0.04","569.62","percent of total billed charges",,
"FLEET ENEMA (AD)","0250","RC","Both",,,"14.5","7.25","Caresource","Health Exchange",,,"62",,"8.99","0.04","569.62","percent of total billed charges",,
"FLEET ENEMA (AD)","0250","RC","Both",,,"14.5","7.25","Cigna","Commercial",,,"59",,"8.5","0.04","569.62","percent of total billed charges",,
"FLEET ENEMA (AD)","0250","RC","Both",,,"14.5","7.25","Humana","Commercial",,,"78",,"11.24","0.04","569.62","percent of total billed charges",,
"FLEET ENEMA (AD)","0250","RC","Both",,,"14.5","7.25","UHC","Commercial",,,"75",,"10.93","0.04","569.62","percent of total billed charges",,
"FLEET ENEMA (AD)","0250","RC","Both",,,"14.5","7.25","Medicaid",,,,"37",,"5.31","0.04","569.62","percent of total billed charges",,
"FLEET ENEMA (PED)","0250","RC","Both",,,"14.5","7.25","Alliant","Health Exchange",,,"62",,"8.99","0.04","569.62","percent of total billed charges",,
"FLEET ENEMA (PED)","0250","RC","Both",,,"14.5","7.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.83","0.04","569.62","percent of total billed charges",,
"FLEET ENEMA (PED)","0250","RC","Both",,,"14.5","7.25","Medicare",,,,"54",,"7.86","0.04","569.62","percent of total billed charges",,
"FLEET ENEMA (PED)","0250","RC","Both",,,"14.5","7.25","Humana","Medicare Advantage",,,"54",,"7.86","0.04","569.62","percent of total billed charges",,
"FLEET ENEMA (PED)","0250","RC","Both",,,"14.5","7.25","UHC","Medicare Advantage",,,"54",,"7.86","0.04","569.62","percent of total billed charges",,
"FLEET ENEMA (PED)","0250","RC","Both",,,"14.5","7.25","Clover","Medicare Advantage",,,"54",,"7.86","0.04","569.62","percent of total billed charges",,
"FLEET ENEMA (PED)","0250","RC","Both",,,"14.5","7.25","Wellcare","Medicare Advantage",,,"54",,"7.86","0.04","569.62","percent of total billed charges",,
"FLEET ENEMA (PED)","0250","RC","Both",,,"14.5","7.25","Amerigroup","Medicaid Managed Care",,,"37",,"5.31","0.04","569.62","percent of total billed charges",,
"FLEET ENEMA (PED)","0250","RC","Both",,,"14.5","7.25","Caresource","Medicaid Managed Care",,,"40",,"5.8","0.04","569.62","percent of total billed charges",,
"FLEET ENEMA (PED)","0250","RC","Both",,,"14.5","7.25","Wellcare","Medicaid Managed Care",,,"40",,"5.87","0.04","569.62","percent of total billed charges",,
"FLEET ENEMA (PED)","0250","RC","Both",,,"14.5","7.25","Aetna","Commercial",,,"64",,"9.25","0.04","569.62","percent of total billed charges",,
"FLEET ENEMA (PED)","0250","RC","Both",,,"14.5","7.25","Blue Cross Blue Shield","Pathways",,,"71",,"10.24","0.04","569.62","percent of total billed charges",,
"FLEET ENEMA (PED)","0250","RC","Both",,,"14.5","7.25","Blue Cross Blue Shield","HMO",,,"71",,"10.24","0.04","569.62","percent of total billed charges",,
"FLEET ENEMA (PED)","0250","RC","Both",,,"14.5","7.25","Blue Cross Blue Shield","PPO",,,"71",,"10.24","0.04","569.62","percent of total billed charges",,
"FLEET ENEMA (PED)","0250","RC","Both",,,"14.5","7.25","Ambetter","Health Exchange",,,"62",,"8.99","0.04","569.62","percent of total billed charges",,
"FLEET ENEMA (PED)","0250","RC","Both",,,"14.5","7.25","Caresource","Health Exchange",,,"62",,"8.99","0.04","569.62","percent of total billed charges",,
"FLEET ENEMA (PED)","0250","RC","Both",,,"14.5","7.25","Cigna","Commercial",,,"59",,"8.5","0.04","569.62","percent of total billed charges",,
"FLEET ENEMA (PED)","0250","RC","Both",,,"14.5","7.25","Humana","Commercial",,,"78",,"11.24","0.04","569.62","percent of total billed charges",,
"FLEET ENEMA (PED)","0250","RC","Both",,,"14.5","7.25","UHC","Commercial",,,"75",,"10.93","0.04","569.62","percent of total billed charges",,
"FLEET ENEMA (PED)","0250","RC","Both",,,"14.5","7.25","Medicaid",,,,"37",,"5.31","0.04","569.62","percent of total billed charges",,
"CYSTO CONTRAST","0250","RC","Both",,,"60.5","30.25","Alliant","Health Exchange",,,"62",,"37.51","0.04","569.62","percent of total billed charges",,
"CYSTO CONTRAST","0250","RC","Both",,,"60.5","30.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"32.67","0.04","569.62","percent of total billed charges",,
"CYSTO CONTRAST","0250","RC","Both",,,"60.5","30.25","Medicare",,,,"54",,"32.79","0.04","569.62","percent of total billed charges",,
"CYSTO CONTRAST","0250","RC","Both",,,"60.5","30.25","Humana","Medicare Advantage",,,"54",,"32.79","0.04","569.62","percent of total billed charges",,
"CYSTO CONTRAST","0250","RC","Both",,,"60.5","30.25","UHC","Medicare Advantage",,,"54",,"32.79","0.04","569.62","percent of total billed charges",,
"CYSTO CONTRAST","0250","RC","Both",,,"60.5","30.25","Clover","Medicare Advantage",,,"54",,"32.79","0.04","569.62","percent of total billed charges",,
"CYSTO CONTRAST","0250","RC","Both",,,"60.5","30.25","Wellcare","Medicare Advantage",,,"54",,"32.79","0.04","569.62","percent of total billed charges",,
"CYSTO CONTRAST","0250","RC","Both",,,"60.5","30.25","Amerigroup","Medicaid Managed Care",,,"37",,"22.14","0.04","569.62","percent of total billed charges",,
"CYSTO CONTRAST","0250","RC","Both",,,"60.5","30.25","Caresource","Medicaid Managed Care",,,"40",,"24.2","0.04","569.62","percent of total billed charges",,
"CYSTO CONTRAST","0250","RC","Both",,,"60.5","30.25","Wellcare","Medicaid Managed Care",,,"40",,"24.5","0.04","569.62","percent of total billed charges",,
"CYSTO CONTRAST","0250","RC","Both",,,"60.5","30.25","Aetna","Commercial",,,"64",,"38.6","0.04","569.62","percent of total billed charges",,
"CYSTO CONTRAST","0250","RC","Both",,,"60.5","30.25","Blue Cross Blue Shield","Pathways",,,"71",,"42.71","0.04","569.62","percent of total billed charges",,
"CYSTO CONTRAST","0250","RC","Both",,,"60.5","30.25","Blue Cross Blue Shield","HMO",,,"71",,"42.71","0.04","569.62","percent of total billed charges",,
"CYSTO CONTRAST","0250","RC","Both",,,"60.5","30.25","Blue Cross Blue Shield","PPO",,,"71",,"42.71","0.04","569.62","percent of total billed charges",,
"CYSTO CONTRAST","0250","RC","Both",,,"60.5","30.25","Ambetter","Health Exchange",,,"62",,"37.51","0.04","569.62","percent of total billed charges",,
"CYSTO CONTRAST","0250","RC","Both",,,"60.5","30.25","Caresource","Health Exchange",,,"62",,"37.51","0.04","569.62","percent of total billed charges",,
"CYSTO CONTRAST","0250","RC","Both",,,"60.5","30.25","Cigna","Commercial",,,"59",,"35.45","0.04","569.62","percent of total billed charges",,
"CYSTO CONTRAST","0250","RC","Both",,,"60.5","30.25","Humana","Commercial",,,"78",,"46.89","0.04","569.62","percent of total billed charges",,
"CYSTO CONTRAST","0250","RC","Both",,,"60.5","30.25","UHC","Commercial",,,"75",,"45.62","0.04","569.62","percent of total billed charges",,
"CYSTO CONTRAST","0250","RC","Both",,,"60.5","30.25","Medicaid",,,,"37",,"22.14","0.04","569.62","percent of total billed charges",,
"XR PRE-EMPLOYMENT PHYSICAL X-RAY","0320","RC","Both",,,"40","20","Alliant","Health Exchange",,,"62",,"24.8","11.35","135.24","percent of total billed charges",,
"XR PRE-EMPLOYMENT PHYSICAL X-RAY","0320","RC","Both",,,"40","20","Pruitt Healthcare","Medicare Advantage",,,"54",,"21.6","11.35","135.24","percent of total billed charges",,
"XR PRE-EMPLOYMENT PHYSICAL X-RAY","0320","RC","Both",,,"40","20","Medicare",,,,"54",,"21.68","11.35","135.24","percent of total billed charges",,
"XR PRE-EMPLOYMENT PHYSICAL X-RAY","0320","RC","Both",,,"40","20","Humana","Medicare Advantage",,,"54",,"21.68","11.35","135.24","percent of total billed charges",,
"XR PRE-EMPLOYMENT PHYSICAL X-RAY","0320","RC","Both",,,"40","20","UHC","Medicare Advantage",,,"54",,"21.68","11.35","135.24","percent of total billed charges",,
"XR PRE-EMPLOYMENT PHYSICAL X-RAY","0320","RC","Both",,,"40","20","Clover","Medicare Advantage",,,"54",,"21.68","11.35","135.24","percent of total billed charges",,
"XR PRE-EMPLOYMENT PHYSICAL X-RAY","0320","RC","Both",,,"40","20","Wellcare","Medicare Advantage",,,"54",,"21.68","11.35","135.24","percent of total billed charges",,
"XR PRE-EMPLOYMENT PHYSICAL X-RAY","0320","RC","Both",,,"40","20","Amerigroup","Medicaid Managed Care",,,"37",,"14.64","11.35","135.24","percent of total billed charges",,
"XR PRE-EMPLOYMENT PHYSICAL X-RAY","0320","RC","Both",,,"40","20","Caresource","Medicaid Managed Care",,,"40",,"16","11.35","135.24","percent of total billed charges",,
"XR PRE-EMPLOYMENT PHYSICAL X-RAY","0320","RC","Both",,,"40","20","Wellcare","Medicaid Managed Care",,,"40",,"16.2","11.35","135.24","percent of total billed charges",,
"XR PRE-EMPLOYMENT PHYSICAL X-RAY","0320","RC","Both",,,"40","20","Aetna","Commercial",,,"64",,"25.52","11.35","135.24","percent of total billed charges",,
"XR PRE-EMPLOYMENT PHYSICAL X-RAY","0320","RC","Both",,,"40","20","Blue Cross Blue Shield","Pathways",,,"71",,"28.24","11.35","135.24","percent of total billed charges",,
"XR PRE-EMPLOYMENT PHYSICAL X-RAY","0320","RC","Both",,,"40","20","Blue Cross Blue Shield","HMO",,,"71",,"28.24","11.35","135.24","percent of total billed charges",,
"XR PRE-EMPLOYMENT PHYSICAL X-RAY","0320","RC","Both",,,"40","20","Blue Cross Blue Shield","PPO",,,"71",,"28.24","11.35","135.24","percent of total billed charges",,
"XR PRE-EMPLOYMENT PHYSICAL X-RAY","0320","RC","Both",,,"40","20","Ambetter","Health Exchange",,,"62",,"24.8","11.35","135.24","percent of total billed charges",,
"XR PRE-EMPLOYMENT PHYSICAL X-RAY","0320","RC","Both",,,"40","20","Caresource","Health Exchange",,,"62",,"24.8","11.35","135.24","percent of total billed charges",,
"XR PRE-EMPLOYMENT PHYSICAL X-RAY","0320","RC","Both",,,"40","20","Cigna","Commercial",,,"59",,"23.44","11.35","135.24","percent of total billed charges",,
"XR PRE-EMPLOYMENT PHYSICAL X-RAY","0320","RC","Both",,,"40","20","Humana","Commercial",,,"78",,"31","11.35","135.24","percent of total billed charges",,
"XR PRE-EMPLOYMENT PHYSICAL X-RAY","0320","RC","Both",,,"40","20","UHC","Commercial",,,"75",,"30.16","11.35","135.24","percent of total billed charges",,
"XR PRE-EMPLOYMENT PHYSICAL X-RAY","0320","RC","Both",,,"40","20","Medicaid",,,,"37",,"14.64","11.35","135.24","percent of total billed charges",,
"XR PRE-EMPLOYMENT PHYSICAL READING FEE","0320","RC","Both",,,"31","15.5","Alliant","Health Exchange",,,"62",,"19.22","11.35","135.24","percent of total billed charges",,
"XR PRE-EMPLOYMENT PHYSICAL READING FEE","0320","RC","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.74","11.35","135.24","percent of total billed charges",,
"XR PRE-EMPLOYMENT PHYSICAL READING FEE","0320","RC","Both",,,"31","15.5","Medicare",,,,"54",,"16.8","11.35","135.24","percent of total billed charges",,
"XR PRE-EMPLOYMENT PHYSICAL READING FEE","0320","RC","Both",,,"31","15.5","Humana","Medicare Advantage",,,"54",,"16.8","11.35","135.24","percent of total billed charges",,
"XR PRE-EMPLOYMENT PHYSICAL READING FEE","0320","RC","Both",,,"31","15.5","UHC","Medicare Advantage",,,"54",,"16.8","11.35","135.24","percent of total billed charges",,
"XR PRE-EMPLOYMENT PHYSICAL READING FEE","0320","RC","Both",,,"31","15.5","Clover","Medicare Advantage",,,"54",,"16.8","11.35","135.24","percent of total billed charges",,
"XR PRE-EMPLOYMENT PHYSICAL READING FEE","0320","RC","Both",,,"31","15.5","Wellcare","Medicare Advantage",,,"54",,"16.8","11.35","135.24","percent of total billed charges",,
"XR PRE-EMPLOYMENT PHYSICAL READING FEE","0320","RC","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care",,,"37",,"11.35","11.35","135.24","percent of total billed charges",,
"XR PRE-EMPLOYMENT PHYSICAL READING FEE","0320","RC","Both",,,"31","15.5","Caresource","Medicaid Managed Care",,,"40",,"12.4","11.35","135.24","percent of total billed charges",,
"XR PRE-EMPLOYMENT PHYSICAL READING FEE","0320","RC","Both",,,"31","15.5","Wellcare","Medicaid Managed Care",,,"40",,"12.56","11.35","135.24","percent of total billed charges",,
"XR PRE-EMPLOYMENT PHYSICAL READING FEE","0320","RC","Both",,,"31","15.5","Aetna","Commercial",,,"64",,"19.78","11.35","135.24","percent of total billed charges",,
"XR PRE-EMPLOYMENT PHYSICAL READING FEE","0320","RC","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways",,,"71",,"21.89","11.35","135.24","percent of total billed charges",,
"XR PRE-EMPLOYMENT PHYSICAL READING FEE","0320","RC","Both",,,"31","15.5","Blue Cross Blue Shield","HMO",,,"71",,"21.89","11.35","135.24","percent of total billed charges",,
"XR PRE-EMPLOYMENT PHYSICAL READING FEE","0320","RC","Both",,,"31","15.5","Blue Cross Blue Shield","PPO",,,"71",,"21.89","11.35","135.24","percent of total billed charges",,
"XR PRE-EMPLOYMENT PHYSICAL READING FEE","0320","RC","Both",,,"31","15.5","Ambetter","Health Exchange",,,"62",,"19.22","11.35","135.24","percent of total billed charges",,
"XR PRE-EMPLOYMENT PHYSICAL READING FEE","0320","RC","Both",,,"31","15.5","Caresource","Health Exchange",,,"62",,"19.22","11.35","135.24","percent of total billed charges",,
"XR PRE-EMPLOYMENT PHYSICAL READING FEE","0320","RC","Both",,,"31","15.5","Cigna","Commercial",,,"59",,"18.17","11.35","135.24","percent of total billed charges",,
"XR PRE-EMPLOYMENT PHYSICAL READING FEE","0320","RC","Both",,,"31","15.5","Humana","Commercial",,,"78",,"24.02","11.35","135.24","percent of total billed charges",,
"XR PRE-EMPLOYMENT PHYSICAL READING FEE","0320","RC","Both",,,"31","15.5","UHC","Commercial",,,"75",,"23.37","11.35","135.24","percent of total billed charges",,
"XR PRE-EMPLOYMENT PHYSICAL READING FEE","0320","RC","Both",,,"31","15.5","Medicaid",,,,"37",,"11.35","11.35","135.24","percent of total billed charges",,
"XR HEALTH DEPARTMENT DIAGNOSTIC","0320","RC","Both",,,"126.5","63.25","Alliant","Health Exchange",,,"62",,"78.43","11.35","135.24","percent of total billed charges",,
"XR HEALTH DEPARTMENT DIAGNOSTIC","0320","RC","Both",,,"126.5","63.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"68.31","11.35","135.24","percent of total billed charges",,
"XR HEALTH DEPARTMENT DIAGNOSTIC","0320","RC","Both",,,"126.5","63.25","Medicare",,,,"54",,"68.56","11.35","135.24","percent of total billed charges",,
"XR HEALTH DEPARTMENT DIAGNOSTIC","0320","RC","Both",,,"126.5","63.25","Humana","Medicare Advantage",,,"54",,"68.56","11.35","135.24","percent of total billed charges",,
"XR HEALTH DEPARTMENT DIAGNOSTIC","0320","RC","Both",,,"126.5","63.25","UHC","Medicare Advantage",,,"54",,"68.56","11.35","135.24","percent of total billed charges",,
"XR HEALTH DEPARTMENT DIAGNOSTIC","0320","RC","Both",,,"126.5","63.25","Clover","Medicare Advantage",,,"54",,"68.56","11.35","135.24","percent of total billed charges",,
"XR HEALTH DEPARTMENT DIAGNOSTIC","0320","RC","Both",,,"126.5","63.25","Wellcare","Medicare Advantage",,,"54",,"68.56","11.35","135.24","percent of total billed charges",,
"XR HEALTH DEPARTMENT DIAGNOSTIC","0320","RC","Both",,,"126.5","63.25","Amerigroup","Medicaid Managed Care",,,"37",,"46.3","11.35","135.24","percent of total billed charges",,
"XR HEALTH DEPARTMENT DIAGNOSTIC","0320","RC","Both",,,"126.5","63.25","Caresource","Medicaid Managed Care",,,"40",,"50.6","11.35","135.24","percent of total billed charges",,
"XR HEALTH DEPARTMENT DIAGNOSTIC","0320","RC","Both",,,"126.5","63.25","Wellcare","Medicaid Managed Care",,,"40",,"51.23","11.35","135.24","percent of total billed charges",,
"XR HEALTH DEPARTMENT DIAGNOSTIC","0320","RC","Both",,,"126.5","63.25","Aetna","Commercial",,,"64",,"80.71","11.35","135.24","percent of total billed charges",,
"XR HEALTH DEPARTMENT DIAGNOSTIC","0320","RC","Both",,,"126.5","63.25","Blue Cross Blue Shield","Pathways",,,"71",,"89.31","11.35","135.24","percent of total billed charges",,
"XR HEALTH DEPARTMENT DIAGNOSTIC","0320","RC","Both",,,"126.5","63.25","Blue Cross Blue Shield","HMO",,,"71",,"89.31","11.35","135.24","percent of total billed charges",,
"XR HEALTH DEPARTMENT DIAGNOSTIC","0320","RC","Both",,,"126.5","63.25","Blue Cross Blue Shield","PPO",,,"71",,"89.31","11.35","135.24","percent of total billed charges",,
"XR HEALTH DEPARTMENT DIAGNOSTIC","0320","RC","Both",,,"126.5","63.25","Ambetter","Health Exchange",,,"62",,"78.43","11.35","135.24","percent of total billed charges",,
"XR HEALTH DEPARTMENT DIAGNOSTIC","0320","RC","Both",,,"126.5","63.25","Caresource","Health Exchange",,,"62",,"78.43","11.35","135.24","percent of total billed charges",,
"XR HEALTH DEPARTMENT DIAGNOSTIC","0320","RC","Both",,,"126.5","63.25","Cigna","Commercial",,,"59",,"74.13","11.35","135.24","percent of total billed charges",,
"XR HEALTH DEPARTMENT DIAGNOSTIC","0320","RC","Both",,,"126.5","63.25","Humana","Commercial",,,"78",,"98.04","11.35","135.24","percent of total billed charges",,
"XR HEALTH DEPARTMENT DIAGNOSTIC","0320","RC","Both",,,"126.5","63.25","UHC","Commercial",,,"75",,"95.38","11.35","135.24","percent of total billed charges",,
"XR HEALTH DEPARTMENT DIAGNOSTIC","0320","RC","Both",,,"126.5","63.25","Medicaid",,,,"37",,"46.3","11.35","135.24","percent of total billed charges",,
"HEALTH DEPARTMENT SONO","0320","RC","Both",,,"118","59","Alliant","Health Exchange",,,"62",,"73.16","11.35","135.24","percent of total billed charges",,
"HEALTH DEPARTMENT SONO","0320","RC","Both",,,"118","59","Pruitt Healthcare","Medicare Advantage",,,"54",,"63.72","11.35","135.24","percent of total billed charges",,
"HEALTH DEPARTMENT SONO","0320","RC","Both",,,"118","59","Medicare",,,,"54",,"63.96","11.35","135.24","percent of total billed charges",,
"HEALTH DEPARTMENT SONO","0320","RC","Both",,,"118","59","Humana","Medicare Advantage",,,"54",,"63.96","11.35","135.24","percent of total billed charges",,
"HEALTH DEPARTMENT SONO","0320","RC","Both",,,"118","59","UHC","Medicare Advantage",,,"54",,"63.96","11.35","135.24","percent of total billed charges",,
"HEALTH DEPARTMENT SONO","0320","RC","Both",,,"118","59","Clover","Medicare Advantage",,,"54",,"63.96","11.35","135.24","percent of total billed charges",,
"HEALTH DEPARTMENT SONO","0320","RC","Both",,,"118","59","Wellcare","Medicare Advantage",,,"54",,"63.96","11.35","135.24","percent of total billed charges",,
"HEALTH DEPARTMENT SONO","0320","RC","Both",,,"118","59","Amerigroup","Medicaid Managed Care",,,"37",,"43.19","11.35","135.24","percent of total billed charges",,
"HEALTH DEPARTMENT SONO","0320","RC","Both",,,"118","59","Caresource","Medicaid Managed Care",,,"40",,"47.2","11.35","135.24","percent of total billed charges",,
"HEALTH DEPARTMENT SONO","0320","RC","Both",,,"118","59","Wellcare","Medicaid Managed Care",,,"40",,"47.79","11.35","135.24","percent of total billed charges",,
"HEALTH DEPARTMENT SONO","0320","RC","Both",,,"118","59","Aetna","Commercial",,,"64",,"75.28","11.35","135.24","percent of total billed charges",,
"HEALTH DEPARTMENT SONO","0320","RC","Both",,,"118","59","Blue Cross Blue Shield","Pathways",,,"71",,"83.31","11.35","135.24","percent of total billed charges",,
"HEALTH DEPARTMENT SONO","0320","RC","Both",,,"118","59","Blue Cross Blue Shield","HMO",,,"71",,"83.31","11.35","135.24","percent of total billed charges",,
"HEALTH DEPARTMENT SONO","0320","RC","Both",,,"118","59","Blue Cross Blue Shield","PPO",,,"71",,"83.31","11.35","135.24","percent of total billed charges",,
"HEALTH DEPARTMENT SONO","0320","RC","Both",,,"118","59","Ambetter","Health Exchange",,,"62",,"73.16","11.35","135.24","percent of total billed charges",,
"HEALTH DEPARTMENT SONO","0320","RC","Both",,,"118","59","Caresource","Health Exchange",,,"62",,"73.16","11.35","135.24","percent of total billed charges",,
"HEALTH DEPARTMENT SONO","0320","RC","Both",,,"118","59","Cigna","Commercial",,,"59",,"69.15","11.35","135.24","percent of total billed charges",,
"HEALTH DEPARTMENT SONO","0320","RC","Both",,,"118","59","Humana","Commercial",,,"78",,"91.45","11.35","135.24","percent of total billed charges",,
"HEALTH DEPARTMENT SONO","0320","RC","Both",,,"118","59","UHC","Commercial",,,"75",,"88.97","11.35","135.24","percent of total billed charges",,
"HEALTH DEPARTMENT SONO","0320","RC","Both",,,"118","59","Medicaid",,,,"37",,"43.19","11.35","135.24","percent of total billed charges",,
"XRAY CONTRAST 350-399mg IODINE","0255","RC","Both",,,"253","126.5","Alliant","Health Exchange",,,"62",,"156.86","5.86","196.08","percent of total billed charges",,
"XRAY CONTRAST 350-399mg IODINE","0255","RC","Both",,,"253","126.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"136.62","5.86","196.08","percent of total billed charges",,
"XRAY CONTRAST 350-399mg IODINE","0255","RC","Both",,,"253","126.5","Medicare",,,,"54",,"137.13","5.86","196.08","percent of total billed charges",,
"XRAY CONTRAST 350-399mg IODINE","0255","RC","Both",,,"253","126.5","Humana","Medicare Advantage",,,"54",,"137.13","5.86","196.08","percent of total billed charges",,
"XRAY CONTRAST 350-399mg IODINE","0255","RC","Both",,,"253","126.5","UHC","Medicare Advantage",,,"54",,"137.13","5.86","196.08","percent of total billed charges",,
"XRAY CONTRAST 350-399mg IODINE","0255","RC","Both",,,"253","126.5","Clover","Medicare Advantage",,,"54",,"137.13","5.86","196.08","percent of total billed charges",,
"XRAY CONTRAST 350-399mg IODINE","0255","RC","Both",,,"253","126.5","Wellcare","Medicare Advantage",,,"54",,"137.13","5.86","196.08","percent of total billed charges",,
"XRAY CONTRAST 350-399mg IODINE","0255","RC","Both",,,"253","126.5","Amerigroup","Medicaid Managed Care",,,"37",,"92.6","5.86","196.08","percent of total billed charges",,
"XRAY CONTRAST 350-399mg IODINE","0255","RC","Both",,,"253","126.5","Caresource","Medicaid Managed Care",,,"40",,"101.2","5.86","196.08","percent of total billed charges",,
"XRAY CONTRAST 350-399mg IODINE","0255","RC","Both",,,"253","126.5","Wellcare","Medicaid Managed Care",,,"40",,"102.46","5.86","196.08","percent of total billed charges",,
"XRAY CONTRAST 350-399mg IODINE","0255","RC","Both",,,"253","126.5","Aetna","Commercial",,,"64",,"161.41","5.86","196.08","percent of total billed charges",,
"XRAY CONTRAST 350-399mg IODINE","0255","RC","Both",,,"253","126.5","Blue Cross Blue Shield","Pathways",,,"71",,"178.62","5.86","196.08","percent of total billed charges",,
"XRAY CONTRAST 350-399mg IODINE","0255","RC","Both",,,"253","126.5","Blue Cross Blue Shield","HMO",,,"71",,"178.62","5.86","196.08","percent of total billed charges",,
"XRAY CONTRAST 350-399mg IODINE","0255","RC","Both",,,"253","126.5","Blue Cross Blue Shield","PPO",,,"71",,"178.62","5.86","196.08","percent of total billed charges",,
"XRAY CONTRAST 350-399mg IODINE","0255","RC","Both",,,"253","126.5","Ambetter","Health Exchange",,,"62",,"156.86","5.86","196.08","percent of total billed charges",,
"XRAY CONTRAST 350-399mg IODINE","0255","RC","Both",,,"253","126.5","Caresource","Health Exchange",,,"62",,"156.86","5.86","196.08","percent of total billed charges",,
"XRAY CONTRAST 350-399mg IODINE","0255","RC","Both",,,"253","126.5","Cigna","Commercial",,,"59",,"148.26","5.86","196.08","percent of total billed charges",,
"XRAY CONTRAST 350-399mg IODINE","0255","RC","Both",,,"253","126.5","Humana","Commercial",,,"78",,"196.08","5.86","196.08","percent of total billed charges",,
"XRAY CONTRAST 350-399mg IODINE","0255","RC","Both",,,"253","126.5","UHC","Commercial",,,"75",,"190.76","5.86","196.08","percent of total billed charges",,
"XRAY CONTRAST 350-399mg IODINE","0255","RC","Both",,,"253","126.5","Medicaid",,,,"37",,"92.6","5.86","196.08","percent of total billed charges",,
"REPAIR OF INGUNIAL HERINA","0612","RC","Both",,,"1356","678","Alliant","Health Exchange",,,"62",,"840.72","76.13","1050.9","percent of total billed charges",,
"REPAIR OF INGUNIAL HERINA","0612","RC","Both",,,"1356","678","Pruitt Healthcare","Medicare Advantage",,,"54",,"732.24","76.13","1050.9","percent of total billed charges",,
"REPAIR OF INGUNIAL HERINA","0612","RC","Both",,,"1356","678","Medicare",,,,"54",,"734.95","76.13","1050.9","percent of total billed charges",,
"REPAIR OF INGUNIAL HERINA","0612","RC","Both",,,"1356","678","Humana","Medicare Advantage",,,"54",,"734.95","76.13","1050.9","percent of total billed charges",,
"REPAIR OF INGUNIAL HERINA","0612","RC","Both",,,"1356","678","UHC","Medicare Advantage",,,"54",,"734.95","76.13","1050.9","percent of total billed charges",,
"REPAIR OF INGUNIAL HERINA","0612","RC","Both",,,"1356","678","Clover","Medicare Advantage",,,"54",,"734.95","76.13","1050.9","percent of total billed charges",,
"REPAIR OF INGUNIAL HERINA","0612","RC","Both",,,"1356","678","Wellcare","Medicare Advantage",,,"54",,"734.95","76.13","1050.9","percent of total billed charges",,
"REPAIR OF INGUNIAL HERINA","0612","RC","Both",,,"1356","678","Amerigroup","Medicaid Managed Care",,,"37",,"496.3","76.13","1050.9","percent of total billed charges",,
"REPAIR OF INGUNIAL HERINA","0612","RC","Both",,,"1356","678","Caresource","Medicaid Managed Care",,,"40",,"542.4","76.13","1050.9","percent of total billed charges",,
"REPAIR OF INGUNIAL HERINA","0612","RC","Both",,,"1356","678","Wellcare","Medicaid Managed Care",,,"40",,"549.18","76.13","1050.9","percent of total billed charges",,
"REPAIR OF INGUNIAL HERINA","0612","RC","Both",,,"1356","678","Aetna","Commercial",,,"64",,"865.13","76.13","1050.9","percent of total billed charges",,
"REPAIR OF INGUNIAL HERINA","0612","RC","Both",,,"1356","678","Blue Cross Blue Shield","Pathways",,,"71",,"957.34","76.13","1050.9","percent of total billed charges",,
"REPAIR OF INGUNIAL HERINA","0612","RC","Both",,,"1356","678","Blue Cross Blue Shield","HMO",,,"71",,"957.34","76.13","1050.9","percent of total billed charges",,
"REPAIR OF INGUNIAL HERINA","0612","RC","Both",,,"1356","678","Blue Cross Blue Shield","PPO",,,"71",,"957.34","76.13","1050.9","percent of total billed charges",,
"REPAIR OF INGUNIAL HERINA","0612","RC","Both",,,"1356","678","Ambetter","Health Exchange",,,"62",,"840.72","76.13","1050.9","percent of total billed charges",,
"REPAIR OF INGUNIAL HERINA","0612","RC","Both",,,"1356","678","Caresource","Health Exchange",,,"62",,"840.72","76.13","1050.9","percent of total billed charges",,
"REPAIR OF INGUNIAL HERINA","0612","RC","Both",,,"1356","678","Cigna","Commercial",,,"59",,"794.62","76.13","1050.9","percent of total billed charges",,
"REPAIR OF INGUNIAL HERINA","0612","RC","Both",,,"1356","678","Humana","Commercial",,,"78",,"1050.9","76.13","1050.9","percent of total billed charges",,
"REPAIR OF INGUNIAL HERINA","0612","RC","Both",,,"1356","678","UHC","Commercial",,,"75",,"1022.42","76.13","1050.9","percent of total billed charges",,
"REPAIR OF INGUNIAL HERINA","0612","RC","Both",,,"1356","678","Medicaid",,,,"37",,"496.3","76.13","1050.9","percent of total billed charges",,
"REMOVAL INGROWN TOENAIL","0611","RC","Both",,,"267","133.5","Alliant","Health Exchange",,,"62",,"165.54","97.72","206.92","percent of total billed charges",,
"REMOVAL INGROWN TOENAIL","0611","RC","Both",,,"267","133.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"144.18","97.72","206.92","percent of total billed charges",,
"REMOVAL INGROWN TOENAIL","0611","RC","Both",,,"267","133.5","Medicare",,,,"54",,"144.71","97.72","206.92","percent of total billed charges",,
"REMOVAL INGROWN TOENAIL","0611","RC","Both",,,"267","133.5","Humana","Medicare Advantage",,,"54",,"144.71","97.72","206.92","percent of total billed charges",,
"REMOVAL INGROWN TOENAIL","0611","RC","Both",,,"267","133.5","UHC","Medicare Advantage",,,"54",,"144.71","97.72","206.92","percent of total billed charges",,
"REMOVAL INGROWN TOENAIL","0611","RC","Both",,,"267","133.5","Clover","Medicare Advantage",,,"54",,"144.71","97.72","206.92","percent of total billed charges",,
"REMOVAL INGROWN TOENAIL","0611","RC","Both",,,"267","133.5","Wellcare","Medicare Advantage",,,"54",,"144.71","97.72","206.92","percent of total billed charges",,
"REMOVAL INGROWN TOENAIL","0611","RC","Both",,,"267","133.5","Amerigroup","Medicaid Managed Care",,,"37",,"97.72","97.72","206.92","percent of total billed charges",,
"REMOVAL INGROWN TOENAIL","0611","RC","Both",,,"267","133.5","Caresource","Medicaid Managed Care",,,"40",,"106.8","97.72","206.92","percent of total billed charges",,
"REMOVAL INGROWN TOENAIL","0611","RC","Both",,,"267","133.5","Wellcare","Medicaid Managed Care",,,"40",,"108.14","97.72","206.92","percent of total billed charges",,
"REMOVAL INGROWN TOENAIL","0611","RC","Both",,,"267","133.5","Aetna","Commercial",,,"64",,"170.35","97.72","206.92","percent of total billed charges",,
"REMOVAL INGROWN TOENAIL","0611","RC","Both",,,"267","133.5","Blue Cross Blue Shield","Pathways",,,"71",,"188.5","97.72","206.92","percent of total billed charges",,
"REMOVAL INGROWN TOENAIL","0611","RC","Both",,,"267","133.5","Blue Cross Blue Shield","HMO",,,"71",,"188.5","97.72","206.92","percent of total billed charges",,
"REMOVAL INGROWN TOENAIL","0611","RC","Both",,,"267","133.5","Blue Cross Blue Shield","PPO",,,"71",,"188.5","97.72","206.92","percent of total billed charges",,
"REMOVAL INGROWN TOENAIL","0611","RC","Both",,,"267","133.5","Ambetter","Health Exchange",,,"62",,"165.54","97.72","206.92","percent of total billed charges",,
"REMOVAL INGROWN TOENAIL","0611","RC","Both",,,"267","133.5","Caresource","Health Exchange",,,"62",,"165.54","97.72","206.92","percent of total billed charges",,
"REMOVAL INGROWN TOENAIL","0611","RC","Both",,,"267","133.5","Cigna","Commercial",,,"59",,"156.46","97.72","206.92","percent of total billed charges",,
"REMOVAL INGROWN TOENAIL","0611","RC","Both",,,"267","133.5","Humana","Commercial",,,"78",,"206.92","97.72","206.92","percent of total billed charges",,
"REMOVAL INGROWN TOENAIL","0611","RC","Both",,,"267","133.5","UHC","Commercial",,,"75",,"201.32","97.72","206.92","percent of total billed charges",,
"REMOVAL INGROWN TOENAIL","0611","RC","Both",,,"267","133.5","Medicaid",,,,"37",,"97.72","97.72","206.92","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","0612","RC","Both",,,"1196","598","Alliant","Health Exchange",,,"62",,"741.52","76.13","1050.9","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","0612","RC","Both",,,"1196","598","Pruitt Healthcare","Medicare Advantage",,,"54",,"645.84","76.13","1050.9","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","0612","RC","Both",,,"1196","598","Medicare",,,,"54",,"648.23","76.13","1050.9","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","0612","RC","Both",,,"1196","598","Humana","Medicare Advantage",,,"54",,"648.23","76.13","1050.9","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","0612","RC","Both",,,"1196","598","UHC","Medicare Advantage",,,"54",,"648.23","76.13","1050.9","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","0612","RC","Both",,,"1196","598","Clover","Medicare Advantage",,,"54",,"648.23","76.13","1050.9","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","0612","RC","Both",,,"1196","598","Wellcare","Medicare Advantage",,,"54",,"648.23","76.13","1050.9","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","0612","RC","Both",,,"1196","598","Amerigroup","Medicaid Managed Care",,,"37",,"437.74","76.13","1050.9","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","0612","RC","Both",,,"1196","598","Caresource","Medicaid Managed Care",,,"40",,"478.4","76.13","1050.9","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","0612","RC","Both",,,"1196","598","Wellcare","Medicaid Managed Care",,,"40",,"484.38","76.13","1050.9","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","0612","RC","Both",,,"1196","598","Aetna","Commercial",,,"64",,"763.05","76.13","1050.9","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","0612","RC","Both",,,"1196","598","Blue Cross Blue Shield","Pathways",,,"71",,"844.38","76.13","1050.9","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","0612","RC","Both",,,"1196","598","Blue Cross Blue Shield","HMO",,,"71",,"844.38","76.13","1050.9","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","0612","RC","Both",,,"1196","598","Blue Cross Blue Shield","PPO",,,"71",,"844.38","76.13","1050.9","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","0612","RC","Both",,,"1196","598","Ambetter","Health Exchange",,,"62",,"741.52","76.13","1050.9","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","0612","RC","Both",,,"1196","598","Caresource","Health Exchange",,,"62",,"741.52","76.13","1050.9","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","0612","RC","Both",,,"1196","598","Cigna","Commercial",,,"59",,"700.86","76.13","1050.9","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","0612","RC","Both",,,"1196","598","Humana","Commercial",,,"78",,"926.9","76.13","1050.9","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","0612","RC","Both",,,"1196","598","UHC","Commercial",,,"75",,"901.78","76.13","1050.9","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","0612","RC","Both",,,"1196","598","Medicaid",,,,"37",,"437.74","76.13","1050.9","percent of total billed charges",,
"SIGMOIDOSCOPY","0612","RC","Both",,,"208","104","Alliant","Health Exchange",,,"62",,"128.96","76.13","1050.9","percent of total billed charges",,
"SIGMOIDOSCOPY","0612","RC","Both",,,"208","104","Pruitt Healthcare","Medicare Advantage",,,"54",,"112.32","76.13","1050.9","percent of total billed charges",,
"SIGMOIDOSCOPY","0612","RC","Both",,,"208","104","Medicare",,,,"54",,"112.74","76.13","1050.9","percent of total billed charges",,
"SIGMOIDOSCOPY","0612","RC","Both",,,"208","104","Humana","Medicare Advantage",,,"54",,"112.74","76.13","1050.9","percent of total billed charges",,
"SIGMOIDOSCOPY","0612","RC","Both",,,"208","104","UHC","Medicare Advantage",,,"54",,"112.74","76.13","1050.9","percent of total billed charges",,
"SIGMOIDOSCOPY","0612","RC","Both",,,"208","104","Clover","Medicare Advantage",,,"54",,"112.74","76.13","1050.9","percent of total billed charges",,
"SIGMOIDOSCOPY","0612","RC","Both",,,"208","104","Wellcare","Medicare Advantage",,,"54",,"112.74","76.13","1050.9","percent of total billed charges",,
"SIGMOIDOSCOPY","0612","RC","Both",,,"208","104","Amerigroup","Medicaid Managed Care",,,"37",,"76.13","76.13","1050.9","percent of total billed charges",,
"SIGMOIDOSCOPY","0612","RC","Both",,,"208","104","Caresource","Medicaid Managed Care",,,"40",,"83.2","76.13","1050.9","percent of total billed charges",,
"SIGMOIDOSCOPY","0612","RC","Both",,,"208","104","Wellcare","Medicaid Managed Care",,,"40",,"84.24","76.13","1050.9","percent of total billed charges",,
"SIGMOIDOSCOPY","0612","RC","Both",,,"208","104","Aetna","Commercial",,,"64",,"132.7","76.13","1050.9","percent of total billed charges",,
"SIGMOIDOSCOPY","0612","RC","Both",,,"208","104","Blue Cross Blue Shield","Pathways",,,"71",,"146.85","76.13","1050.9","percent of total billed charges",,
"SIGMOIDOSCOPY","0612","RC","Both",,,"208","104","Blue Cross Blue Shield","HMO",,,"71",,"146.85","76.13","1050.9","percent of total billed charges",,
"SIGMOIDOSCOPY","0612","RC","Both",,,"208","104","Blue Cross Blue Shield","PPO",,,"71",,"146.85","76.13","1050.9","percent of total billed charges",,
"SIGMOIDOSCOPY","0612","RC","Both",,,"208","104","Ambetter","Health Exchange",,,"62",,"128.96","76.13","1050.9","percent of total billed charges",,
"SIGMOIDOSCOPY","0612","RC","Both",,,"208","104","Caresource","Health Exchange",,,"62",,"128.96","76.13","1050.9","percent of total billed charges",,
"SIGMOIDOSCOPY","0612","RC","Both",,,"208","104","Cigna","Commercial",,,"59",,"121.89","76.13","1050.9","percent of total billed charges",,
"SIGMOIDOSCOPY","0612","RC","Both",,,"208","104","Humana","Commercial",,,"78",,"161.2","76.13","1050.9","percent of total billed charges",,
"SIGMOIDOSCOPY","0612","RC","Both",,,"208","104","UHC","Commercial",,,"75",,"156.83","76.13","1050.9","percent of total billed charges",,
"SIGMOIDOSCOPY","0612","RC","Both",,,"208","104","Medicaid",,,,"37",,"76.13","76.13","1050.9","percent of total billed charges",,
"CT MISC","0359","RC","Both",,,"517","258.5","Alliant","Health Exchange",,,"62",,"320.54","189.22","725.79","percent of total billed charges",,
"CT MISC","0359","RC","Both",,,"517","258.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"279.18","189.22","725.79","percent of total billed charges",,
"CT MISC","0359","RC","Both",,,"517","258.5","Medicare",,,,"54",,"280.21","189.22","725.79","percent of total billed charges",,
"CT MISC","0359","RC","Both",,,"517","258.5","Humana","Medicare Advantage",,,"54",,"280.21","189.22","725.79","percent of total billed charges",,
"CT MISC","0359","RC","Both",,,"517","258.5","UHC","Medicare Advantage",,,"54",,"280.21","189.22","725.79","percent of total billed charges",,
"CT MISC","0359","RC","Both",,,"517","258.5","Clover","Medicare Advantage",,,"54",,"280.21","189.22","725.79","percent of total billed charges",,
"CT MISC","0359","RC","Both",,,"517","258.5","Wellcare","Medicare Advantage",,,"54",,"280.21","189.22","725.79","percent of total billed charges",,
"CT MISC","0359","RC","Both",,,"517","258.5","Amerigroup","Medicaid Managed Care",,,"37",,"189.22","189.22","725.79","percent of total billed charges",,
"CT MISC","0359","RC","Both",,,"517","258.5","Caresource","Medicaid Managed Care",,,"40",,"206.8","189.22","725.79","percent of total billed charges",,
"CT MISC","0359","RC","Both",,,"517","258.5","Wellcare","Medicaid Managed Care",,,"40",,"209.39","189.22","725.79","percent of total billed charges",,
"CT MISC","0359","RC","Both",,,"517","258.5","Aetna","Commercial",,,"64",,"329.85","189.22","725.79","percent of total billed charges",,
"CT MISC","0359","RC","Both",,,"517","258.5","Blue Cross Blue Shield","Pathways",,,"71",,"365","189.22","725.79","percent of total billed charges",,
"CT MISC","0359","RC","Both",,,"517","258.5","Blue Cross Blue Shield","HMO",,,"71",,"365","189.22","725.79","percent of total billed charges",,
"CT MISC","0359","RC","Both",,,"517","258.5","Blue Cross Blue Shield","PPO",,,"71",,"365","189.22","725.79","percent of total billed charges",,
"CT MISC","0359","RC","Both",,,"517","258.5","Ambetter","Health Exchange",,,"62",,"320.54","189.22","725.79","percent of total billed charges",,
"CT MISC","0359","RC","Both",,,"517","258.5","Caresource","Health Exchange",,,"62",,"320.54","189.22","725.79","percent of total billed charges",,
"CT MISC","0359","RC","Both",,,"517","258.5","Cigna","Commercial",,,"59",,"302.96","189.22","725.79","percent of total billed charges",,
"CT MISC","0359","RC","Both",,,"517","258.5","Humana","Commercial",,,"78",,"400.68","189.22","725.79","percent of total billed charges",,
"CT MISC","0359","RC","Both",,,"517","258.5","UHC","Commercial",,,"75",,"389.82","189.22","725.79","percent of total billed charges",,
"CT MISC","0359","RC","Both",,,"517","258.5","Medicaid",,,,"37",,"189.22","189.22","725.79","percent of total billed charges",,
"UDS COLLECTION FEE","0300","RC","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","1.83","109.28","percent of total billed charges",,
"UDS COLLECTION FEE","0300","RC","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","1.83","109.28","percent of total billed charges",,
"UDS COLLECTION FEE","0300","RC","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","1.83","109.28","percent of total billed charges",,
"UDS COLLECTION FEE","0300","RC","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","1.83","109.28","percent of total billed charges",,
"UDS COLLECTION FEE","0300","RC","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","1.83","109.28","percent of total billed charges",,
"UDS COLLECTION FEE","0300","RC","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","1.83","109.28","percent of total billed charges",,
"UDS COLLECTION FEE","0300","RC","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","1.83","109.28","percent of total billed charges",,
"UDS COLLECTION FEE","0300","RC","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","1.83","109.28","percent of total billed charges",,
"UDS COLLECTION FEE","0300","RC","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","1.83","109.28","percent of total billed charges",,
"UDS COLLECTION FEE","0300","RC","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","1.83","109.28","percent of total billed charges",,
"UDS COLLECTION FEE","0300","RC","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","1.83","109.28","percent of total billed charges",,
"UDS COLLECTION FEE","0300","RC","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","1.83","109.28","percent of total billed charges",,
"UDS COLLECTION FEE","0300","RC","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","1.83","109.28","percent of total billed charges",,
"UDS COLLECTION FEE","0300","RC","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","1.83","109.28","percent of total billed charges",,
"UDS COLLECTION FEE","0300","RC","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","1.83","109.28","percent of total billed charges",,
"UDS COLLECTION FEE","0300","RC","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","1.83","109.28","percent of total billed charges",,
"UDS COLLECTION FEE","0300","RC","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","1.83","109.28","percent of total billed charges",,
"UDS COLLECTION FEE","0300","RC","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","1.83","109.28","percent of total billed charges",,
"UDS COLLECTION FEE","0300","RC","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","1.83","109.28","percent of total billed charges",,
"UDS COLLECTION FEE","0300","RC","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","1.83","109.28","percent of total billed charges",,
"NASH FIBROSURE-LABCORP TEST","0300","RC","Both",,,"141","70.5","Alliant","Health Exchange",,,"62",,"87.42","1.83","109.28","percent of total billed charges",,
"NASH FIBROSURE-LABCORP TEST","0300","RC","Both",,,"141","70.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"76.14","1.83","109.28","percent of total billed charges",,
"NASH FIBROSURE-LABCORP TEST","0300","RC","Both",,,"141","70.5","Medicare",,,,"54",,"76.42","1.83","109.28","percent of total billed charges",,
"NASH FIBROSURE-LABCORP TEST","0300","RC","Both",,,"141","70.5","Humana","Medicare Advantage",,,"54",,"76.42","1.83","109.28","percent of total billed charges",,
"NASH FIBROSURE-LABCORP TEST","0300","RC","Both",,,"141","70.5","UHC","Medicare Advantage",,,"54",,"76.42","1.83","109.28","percent of total billed charges",,
"NASH FIBROSURE-LABCORP TEST","0300","RC","Both",,,"141","70.5","Clover","Medicare Advantage",,,"54",,"76.42","1.83","109.28","percent of total billed charges",,
"NASH FIBROSURE-LABCORP TEST","0300","RC","Both",,,"141","70.5","Wellcare","Medicare Advantage",,,"54",,"76.42","1.83","109.28","percent of total billed charges",,
"NASH FIBROSURE-LABCORP TEST","0300","RC","Both",,,"141","70.5","Amerigroup","Medicaid Managed Care",,,"37",,"51.61","1.83","109.28","percent of total billed charges",,
"NASH FIBROSURE-LABCORP TEST","0300","RC","Both",,,"141","70.5","Caresource","Medicaid Managed Care",,,"40",,"56.4","1.83","109.28","percent of total billed charges",,
"NASH FIBROSURE-LABCORP TEST","0300","RC","Both",,,"141","70.5","Wellcare","Medicaid Managed Care",,,"40",,"57.1","1.83","109.28","percent of total billed charges",,
"NASH FIBROSURE-LABCORP TEST","0300","RC","Both",,,"141","70.5","Aetna","Commercial",,,"64",,"89.96","1.83","109.28","percent of total billed charges",,
"NASH FIBROSURE-LABCORP TEST","0300","RC","Both",,,"141","70.5","Blue Cross Blue Shield","Pathways",,,"71",,"99.55","1.83","109.28","percent of total billed charges",,
"NASH FIBROSURE-LABCORP TEST","0300","RC","Both",,,"141","70.5","Blue Cross Blue Shield","HMO",,,"71",,"99.55","1.83","109.28","percent of total billed charges",,
"NASH FIBROSURE-LABCORP TEST","0300","RC","Both",,,"141","70.5","Blue Cross Blue Shield","PPO",,,"71",,"99.55","1.83","109.28","percent of total billed charges",,
"NASH FIBROSURE-LABCORP TEST","0300","RC","Both",,,"141","70.5","Ambetter","Health Exchange",,,"62",,"87.42","1.83","109.28","percent of total billed charges",,
"NASH FIBROSURE-LABCORP TEST","0300","RC","Both",,,"141","70.5","Caresource","Health Exchange",,,"62",,"87.42","1.83","109.28","percent of total billed charges",,
"NASH FIBROSURE-LABCORP TEST","0300","RC","Both",,,"141","70.5","Cigna","Commercial",,,"59",,"82.63","1.83","109.28","percent of total billed charges",,
"NASH FIBROSURE-LABCORP TEST","0300","RC","Both",,,"141","70.5","Humana","Commercial",,,"78",,"109.28","1.83","109.28","percent of total billed charges",,
"NASH FIBROSURE-LABCORP TEST","0300","RC","Both",,,"141","70.5","UHC","Commercial",,,"75",,"106.31","1.83","109.28","percent of total billed charges",,
"NASH FIBROSURE-LABCORP TEST","0300","RC","Both",,,"141","70.5","Medicaid",,,,"37",,"51.61","1.83","109.28","percent of total billed charges",,
"EKG CALL BACK","0730","RC","Both",,,"37","18.5","Alliant","Health Exchange",,,"62",,"22.94","13.54","28.68","percent of total billed charges",,
"EKG CALL BACK","0730","RC","Both",,,"37","18.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.98","13.54","28.68","percent of total billed charges",,
"EKG CALL BACK","0730","RC","Both",,,"37","18.5","Medicare",,,,"54",,"20.05","13.54","28.68","percent of total billed charges",,
"EKG CALL BACK","0730","RC","Both",,,"37","18.5","Humana","Medicare Advantage",,,"54",,"20.05","13.54","28.68","percent of total billed charges",,
"EKG CALL BACK","0730","RC","Both",,,"37","18.5","UHC","Medicare Advantage",,,"54",,"20.05","13.54","28.68","percent of total billed charges",,
"EKG CALL BACK","0730","RC","Both",,,"37","18.5","Clover","Medicare Advantage",,,"54",,"20.05","13.54","28.68","percent of total billed charges",,
"EKG CALL BACK","0730","RC","Both",,,"37","18.5","Wellcare","Medicare Advantage",,,"54",,"20.05","13.54","28.68","percent of total billed charges",,
"EKG CALL BACK","0730","RC","Both",,,"37","18.5","Amerigroup","Medicaid Managed Care",,,"37",,"13.54","13.54","28.68","percent of total billed charges",,
"EKG CALL BACK","0730","RC","Both",,,"37","18.5","Caresource","Medicaid Managed Care",,,"40",,"14.8","13.54","28.68","percent of total billed charges",,
"EKG CALL BACK","0730","RC","Both",,,"37","18.5","Wellcare","Medicaid Managed Care",,,"40",,"14.99","13.54","28.68","percent of total billed charges",,
"EKG CALL BACK","0730","RC","Both",,,"37","18.5","Aetna","Commercial",,,"64",,"23.61","13.54","28.68","percent of total billed charges",,
"EKG CALL BACK","0730","RC","Both",,,"37","18.5","Blue Cross Blue Shield","Pathways",,,"71",,"26.12","13.54","28.68","percent of total billed charges",,
"EKG CALL BACK","0730","RC","Both",,,"37","18.5","Blue Cross Blue Shield","HMO",,,"71",,"26.12","13.54","28.68","percent of total billed charges",,
"EKG CALL BACK","0730","RC","Both",,,"37","18.5","Blue Cross Blue Shield","PPO",,,"71",,"26.12","13.54","28.68","percent of total billed charges",,
"EKG CALL BACK","0730","RC","Both",,,"37","18.5","Ambetter","Health Exchange",,,"62",,"22.94","13.54","28.68","percent of total billed charges",,
"EKG CALL BACK","0730","RC","Both",,,"37","18.5","Caresource","Health Exchange",,,"62",,"22.94","13.54","28.68","percent of total billed charges",,
"EKG CALL BACK","0730","RC","Both",,,"37","18.5","Cigna","Commercial",,,"59",,"21.68","13.54","28.68","percent of total billed charges",,
"EKG CALL BACK","0730","RC","Both",,,"37","18.5","Humana","Commercial",,,"78",,"28.68","13.54","28.68","percent of total billed charges",,
"EKG CALL BACK","0730","RC","Both",,,"37","18.5","UHC","Commercial",,,"75",,"27.9","13.54","28.68","percent of total billed charges",,
"EKG CALL BACK","0730","RC","Both",,,"37","18.5","Medicaid",,,,"37",,"13.54","13.54","28.68","percent of total billed charges",,
"EEG ROUTINE","0635","RC","Both",,,"292","146","Alliant","Health Exchange",,,"62",,"181.04","106.87","226.3","percent of total billed charges",,
"EEG ROUTINE","0635","RC","Both",,,"292","146","Pruitt Healthcare","Medicare Advantage",,,"54",,"157.68","106.87","226.3","percent of total billed charges",,
"EEG ROUTINE","0635","RC","Both",,,"292","146","Medicare",,,,"54",,"158.26","106.87","226.3","percent of total billed charges",,
"EEG ROUTINE","0635","RC","Both",,,"292","146","Humana","Medicare Advantage",,,"54",,"158.26","106.87","226.3","percent of total billed charges",,
"EEG ROUTINE","0635","RC","Both",,,"292","146","UHC","Medicare Advantage",,,"54",,"158.26","106.87","226.3","percent of total billed charges",,
"EEG ROUTINE","0635","RC","Both",,,"292","146","Clover","Medicare Advantage",,,"54",,"158.26","106.87","226.3","percent of total billed charges",,
"EEG ROUTINE","0635","RC","Both",,,"292","146","Wellcare","Medicare Advantage",,,"54",,"158.26","106.87","226.3","percent of total billed charges",,
"EEG ROUTINE","0635","RC","Both",,,"292","146","Amerigroup","Medicaid Managed Care",,,"37",,"106.87","106.87","226.3","percent of total billed charges",,
"EEG ROUTINE","0635","RC","Both",,,"292","146","Caresource","Medicaid Managed Care",,,"40",,"116.8","106.87","226.3","percent of total billed charges",,
"EEG ROUTINE","0635","RC","Both",,,"292","146","Wellcare","Medicaid Managed Care",,,"40",,"118.26","106.87","226.3","percent of total billed charges",,
"EEG ROUTINE","0635","RC","Both",,,"292","146","Aetna","Commercial",,,"64",,"186.3","106.87","226.3","percent of total billed charges",,
"EEG ROUTINE","0635","RC","Both",,,"292","146","Blue Cross Blue Shield","Pathways",,,"71",,"206.15","106.87","226.3","percent of total billed charges",,
"EEG ROUTINE","0635","RC","Both",,,"292","146","Blue Cross Blue Shield","HMO",,,"71",,"206.15","106.87","226.3","percent of total billed charges",,
"EEG ROUTINE","0635","RC","Both",,,"292","146","Blue Cross Blue Shield","PPO",,,"71",,"206.15","106.87","226.3","percent of total billed charges",,
"EEG ROUTINE","0635","RC","Both",,,"292","146","Ambetter","Health Exchange",,,"62",,"181.04","106.87","226.3","percent of total billed charges",,
"EEG ROUTINE","0635","RC","Both",,,"292","146","Caresource","Health Exchange",,,"62",,"181.04","106.87","226.3","percent of total billed charges",,
"EEG ROUTINE","0635","RC","Both",,,"292","146","Cigna","Commercial",,,"59",,"171.11","106.87","226.3","percent of total billed charges",,
"EEG ROUTINE","0635","RC","Both",,,"292","146","Humana","Commercial",,,"78",,"226.3","106.87","226.3","percent of total billed charges",,
"EEG ROUTINE","0635","RC","Both",,,"292","146","UHC","Commercial",,,"75",,"220.17","106.87","226.3","percent of total billed charges",,
"EEG ROUTINE","0635","RC","Both",,,"292","146","Medicaid",,,,"37",,"106.87","106.87","226.3","percent of total billed charges",,
"OXYGEN INITIAL SETUP","0271","RC","Both",,,"105.5","52.75","Alliant","Health Exchange",,,"62",,"65.41","3.48","98.81","percent of total billed charges",,
"OXYGEN INITIAL SETUP","0271","RC","Both",,,"105.5","52.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"56.97","3.48","98.81","percent of total billed charges",,
"OXYGEN INITIAL SETUP","0271","RC","Both",,,"105.5","52.75","Medicare",,,,"54",,"57.18","3.48","98.81","percent of total billed charges",,
"OXYGEN INITIAL SETUP","0271","RC","Both",,,"105.5","52.75","Humana","Medicare Advantage",,,"54",,"57.18","3.48","98.81","percent of total billed charges",,
"OXYGEN INITIAL SETUP","0271","RC","Both",,,"105.5","52.75","UHC","Medicare Advantage",,,"54",,"57.18","3.48","98.81","percent of total billed charges",,
"OXYGEN INITIAL SETUP","0271","RC","Both",,,"105.5","52.75","Clover","Medicare Advantage",,,"54",,"57.18","3.48","98.81","percent of total billed charges",,
"OXYGEN INITIAL SETUP","0271","RC","Both",,,"105.5","52.75","Wellcare","Medicare Advantage",,,"54",,"57.18","3.48","98.81","percent of total billed charges",,
"OXYGEN INITIAL SETUP","0271","RC","Both",,,"105.5","52.75","Amerigroup","Medicaid Managed Care",,,"37",,"38.61","3.48","98.81","percent of total billed charges",,
"OXYGEN INITIAL SETUP","0271","RC","Both",,,"105.5","52.75","Caresource","Medicaid Managed Care",,,"40",,"42.2","3.48","98.81","percent of total billed charges",,
"OXYGEN INITIAL SETUP","0271","RC","Both",,,"105.5","52.75","Wellcare","Medicaid Managed Care",,,"40",,"42.73","3.48","98.81","percent of total billed charges",,
"OXYGEN INITIAL SETUP","0271","RC","Both",,,"105.5","52.75","Aetna","Commercial",,,"64",,"67.31","3.48","98.81","percent of total billed charges",,
"OXYGEN INITIAL SETUP","0271","RC","Both",,,"105.5","52.75","Blue Cross Blue Shield","Pathways",,,"71",,"74.48","3.48","98.81","percent of total billed charges",,
"OXYGEN INITIAL SETUP","0271","RC","Both",,,"105.5","52.75","Blue Cross Blue Shield","HMO",,,"71",,"74.48","3.48","98.81","percent of total billed charges",,
"OXYGEN INITIAL SETUP","0271","RC","Both",,,"105.5","52.75","Blue Cross Blue Shield","PPO",,,"71",,"74.48","3.48","98.81","percent of total billed charges",,
"OXYGEN INITIAL SETUP","0271","RC","Both",,,"105.5","52.75","Ambetter","Health Exchange",,,"62",,"65.41","3.48","98.81","percent of total billed charges",,
"OXYGEN INITIAL SETUP","0271","RC","Both",,,"105.5","52.75","Caresource","Health Exchange",,,"62",,"65.41","3.48","98.81","percent of total billed charges",,
"OXYGEN INITIAL SETUP","0271","RC","Both",,,"105.5","52.75","Cigna","Commercial",,,"59",,"61.82","3.48","98.81","percent of total billed charges",,
"OXYGEN INITIAL SETUP","0271","RC","Both",,,"105.5","52.75","Humana","Commercial",,,"78",,"81.76","3.48","98.81","percent of total billed charges",,
"OXYGEN INITIAL SETUP","0271","RC","Both",,,"105.5","52.75","UHC","Commercial",,,"75",,"79.55","3.48","98.81","percent of total billed charges",,
"OXYGEN INITIAL SETUP","0271","RC","Both",,,"105.5","52.75","Medicaid",,,,"37",,"38.61","3.48","98.81","percent of total billed charges",,
"CROUPE TENT 1ST HOUR","0270","RC","Both",,,"201","100.5","Alliant","Health Exchange",,,"62",,"124.62","0.18","1007.5","percent of total billed charges",,
"CROUPE TENT 1ST HOUR","0270","RC","Both",,,"201","100.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"108.54","0.18","1007.5","percent of total billed charges",,
"CROUPE TENT 1ST HOUR","0270","RC","Both",,,"201","100.5","Medicare",,,,"54",,"108.94","0.18","1007.5","percent of total billed charges",,
"CROUPE TENT 1ST HOUR","0270","RC","Both",,,"201","100.5","Humana","Medicare Advantage",,,"54",,"108.94","0.18","1007.5","percent of total billed charges",,
"CROUPE TENT 1ST HOUR","0270","RC","Both",,,"201","100.5","UHC","Medicare Advantage",,,"54",,"108.94","0.18","1007.5","percent of total billed charges",,
"CROUPE TENT 1ST HOUR","0270","RC","Both",,,"201","100.5","Clover","Medicare Advantage",,,"54",,"108.94","0.18","1007.5","percent of total billed charges",,
"CROUPE TENT 1ST HOUR","0270","RC","Both",,,"201","100.5","Wellcare","Medicare Advantage",,,"54",,"108.94","0.18","1007.5","percent of total billed charges",,
"CROUPE TENT 1ST HOUR","0270","RC","Both",,,"201","100.5","Amerigroup","Medicaid Managed Care",,,"37",,"73.57","0.18","1007.5","percent of total billed charges",,
"CROUPE TENT 1ST HOUR","0270","RC","Both",,,"201","100.5","Caresource","Medicaid Managed Care",,,"40",,"80.4","0.18","1007.5","percent of total billed charges",,
"CROUPE TENT 1ST HOUR","0270","RC","Both",,,"201","100.5","Wellcare","Medicaid Managed Care",,,"40",,"81.4","0.18","1007.5","percent of total billed charges",,
"CROUPE TENT 1ST HOUR","0270","RC","Both",,,"201","100.5","Aetna","Commercial",,,"64",,"128.24","0.18","1007.5","percent of total billed charges",,
"CROUPE TENT 1ST HOUR","0270","RC","Both",,,"201","100.5","Blue Cross Blue Shield","Pathways",,,"71",,"141.91","0.18","1007.5","percent of total billed charges",,
"CROUPE TENT 1ST HOUR","0270","RC","Both",,,"201","100.5","Blue Cross Blue Shield","HMO",,,"71",,"141.91","0.18","1007.5","percent of total billed charges",,
"CROUPE TENT 1ST HOUR","0270","RC","Both",,,"201","100.5","Blue Cross Blue Shield","PPO",,,"71",,"141.91","0.18","1007.5","percent of total billed charges",,
"CROUPE TENT 1ST HOUR","0270","RC","Both",,,"201","100.5","Ambetter","Health Exchange",,,"62",,"124.62","0.18","1007.5","percent of total billed charges",,
"CROUPE TENT 1ST HOUR","0270","RC","Both",,,"201","100.5","Caresource","Health Exchange",,,"62",,"124.62","0.18","1007.5","percent of total billed charges",,
"CROUPE TENT 1ST HOUR","0270","RC","Both",,,"201","100.5","Cigna","Commercial",,,"59",,"117.79","0.18","1007.5","percent of total billed charges",,
"CROUPE TENT 1ST HOUR","0270","RC","Both",,,"201","100.5","Humana","Commercial",,,"78",,"155.78","0.18","1007.5","percent of total billed charges",,
"CROUPE TENT 1ST HOUR","0270","RC","Both",,,"201","100.5","UHC","Commercial",,,"75",,"151.55","0.18","1007.5","percent of total billed charges",,
"CROUPE TENT 1ST HOUR","0270","RC","Both",,,"201","100.5","Medicaid",,,,"37",,"73.57","0.18","1007.5","percent of total billed charges",,
"CROUPE TENT SUBSQ HOUR","0270","RC","Both",,,"87","43.5","Alliant","Health Exchange",,,"62",,"53.94","0.18","1007.5","percent of total billed charges",,
"CROUPE TENT SUBSQ HOUR","0270","RC","Both",,,"87","43.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"46.98","0.18","1007.5","percent of total billed charges",,
"CROUPE TENT SUBSQ HOUR","0270","RC","Both",,,"87","43.5","Medicare",,,,"54",,"47.15","0.18","1007.5","percent of total billed charges",,
"CROUPE TENT SUBSQ HOUR","0270","RC","Both",,,"87","43.5","Humana","Medicare Advantage",,,"54",,"47.15","0.18","1007.5","percent of total billed charges",,
"CROUPE TENT SUBSQ HOUR","0270","RC","Both",,,"87","43.5","UHC","Medicare Advantage",,,"54",,"47.15","0.18","1007.5","percent of total billed charges",,
"CROUPE TENT SUBSQ HOUR","0270","RC","Both",,,"87","43.5","Clover","Medicare Advantage",,,"54",,"47.15","0.18","1007.5","percent of total billed charges",,
"CROUPE TENT SUBSQ HOUR","0270","RC","Both",,,"87","43.5","Wellcare","Medicare Advantage",,,"54",,"47.15","0.18","1007.5","percent of total billed charges",,
"CROUPE TENT SUBSQ HOUR","0270","RC","Both",,,"87","43.5","Amerigroup","Medicaid Managed Care",,,"37",,"31.84","0.18","1007.5","percent of total billed charges",,
"CROUPE TENT SUBSQ HOUR","0270","RC","Both",,,"87","43.5","Caresource","Medicaid Managed Care",,,"40",,"34.8","0.18","1007.5","percent of total billed charges",,
"CROUPE TENT SUBSQ HOUR","0270","RC","Both",,,"87","43.5","Wellcare","Medicaid Managed Care",,,"40",,"35.24","0.18","1007.5","percent of total billed charges",,
"CROUPE TENT SUBSQ HOUR","0270","RC","Both",,,"87","43.5","Aetna","Commercial",,,"64",,"55.51","0.18","1007.5","percent of total billed charges",,
"CROUPE TENT SUBSQ HOUR","0270","RC","Both",,,"87","43.5","Blue Cross Blue Shield","Pathways",,,"71",,"61.42","0.18","1007.5","percent of total billed charges",,
"CROUPE TENT SUBSQ HOUR","0270","RC","Both",,,"87","43.5","Blue Cross Blue Shield","HMO",,,"71",,"61.42","0.18","1007.5","percent of total billed charges",,
"CROUPE TENT SUBSQ HOUR","0270","RC","Both",,,"87","43.5","Blue Cross Blue Shield","PPO",,,"71",,"61.42","0.18","1007.5","percent of total billed charges",,
"CROUPE TENT SUBSQ HOUR","0270","RC","Both",,,"87","43.5","Ambetter","Health Exchange",,,"62",,"53.94","0.18","1007.5","percent of total billed charges",,
"CROUPE TENT SUBSQ HOUR","0270","RC","Both",,,"87","43.5","Caresource","Health Exchange",,,"62",,"53.94","0.18","1007.5","percent of total billed charges",,
"CROUPE TENT SUBSQ HOUR","0270","RC","Both",,,"87","43.5","Cigna","Commercial",,,"59",,"50.98","0.18","1007.5","percent of total billed charges",,
"CROUPE TENT SUBSQ HOUR","0270","RC","Both",,,"87","43.5","Humana","Commercial",,,"78",,"67.42","0.18","1007.5","percent of total billed charges",,
"CROUPE TENT SUBSQ HOUR","0270","RC","Both",,,"87","43.5","UHC","Commercial",,,"75",,"65.6","0.18","1007.5","percent of total billed charges",,
"CROUPE TENT SUBSQ HOUR","0270","RC","Both",,,"87","43.5","Medicaid",,,,"37",,"31.84","0.18","1007.5","percent of total billed charges",,
"HIGH FLOW NASAL CANNULA","0270","RC","Both",,,"25","12.5","Alliant","Health Exchange",,,"62",,"15.5","0.18","1007.5","percent of total billed charges",,
"HIGH FLOW NASAL CANNULA","0270","RC","Both",,,"25","12.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"13.5","0.18","1007.5","percent of total billed charges",,
"HIGH FLOW NASAL CANNULA","0270","RC","Both",,,"25","12.5","Medicare",,,,"54",,"13.55","0.18","1007.5","percent of total billed charges",,
"HIGH FLOW NASAL CANNULA","0270","RC","Both",,,"25","12.5","Humana","Medicare Advantage",,,"54",,"13.55","0.18","1007.5","percent of total billed charges",,
"HIGH FLOW NASAL CANNULA","0270","RC","Both",,,"25","12.5","UHC","Medicare Advantage",,,"54",,"13.55","0.18","1007.5","percent of total billed charges",,
"HIGH FLOW NASAL CANNULA","0270","RC","Both",,,"25","12.5","Clover","Medicare Advantage",,,"54",,"13.55","0.18","1007.5","percent of total billed charges",,
"HIGH FLOW NASAL CANNULA","0270","RC","Both",,,"25","12.5","Wellcare","Medicare Advantage",,,"54",,"13.55","0.18","1007.5","percent of total billed charges",,
"HIGH FLOW NASAL CANNULA","0270","RC","Both",,,"25","12.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.15","0.18","1007.5","percent of total billed charges",,
"HIGH FLOW NASAL CANNULA","0270","RC","Both",,,"25","12.5","Caresource","Medicaid Managed Care",,,"40",,"10","0.18","1007.5","percent of total billed charges",,
"HIGH FLOW NASAL CANNULA","0270","RC","Both",,,"25","12.5","Wellcare","Medicaid Managed Care",,,"40",,"10.12","0.18","1007.5","percent of total billed charges",,
"HIGH FLOW NASAL CANNULA","0270","RC","Both",,,"25","12.5","Aetna","Commercial",,,"64",,"15.95","0.18","1007.5","percent of total billed charges",,
"HIGH FLOW NASAL CANNULA","0270","RC","Both",,,"25","12.5","Blue Cross Blue Shield","Pathways",,,"71",,"17.65","0.18","1007.5","percent of total billed charges",,
"HIGH FLOW NASAL CANNULA","0270","RC","Both",,,"25","12.5","Blue Cross Blue Shield","HMO",,,"71",,"17.65","0.18","1007.5","percent of total billed charges",,
"HIGH FLOW NASAL CANNULA","0270","RC","Both",,,"25","12.5","Blue Cross Blue Shield","PPO",,,"71",,"17.65","0.18","1007.5","percent of total billed charges",,
"HIGH FLOW NASAL CANNULA","0270","RC","Both",,,"25","12.5","Ambetter","Health Exchange",,,"62",,"15.5","0.18","1007.5","percent of total billed charges",,
"HIGH FLOW NASAL CANNULA","0270","RC","Both",,,"25","12.5","Caresource","Health Exchange",,,"62",,"15.5","0.18","1007.5","percent of total billed charges",,
"HIGH FLOW NASAL CANNULA","0270","RC","Both",,,"25","12.5","Cigna","Commercial",,,"59",,"14.65","0.18","1007.5","percent of total billed charges",,
"HIGH FLOW NASAL CANNULA","0270","RC","Both",,,"25","12.5","Humana","Commercial",,,"78",,"19.38","0.18","1007.5","percent of total billed charges",,
"HIGH FLOW NASAL CANNULA","0270","RC","Both",,,"25","12.5","UHC","Commercial",,,"75",,"18.85","0.18","1007.5","percent of total billed charges",,
"HIGH FLOW NASAL CANNULA","0270","RC","Both",,,"25","12.5","Medicaid",,,,"37",,"9.15","0.18","1007.5","percent of total billed charges",,
"HIGH FLOW OXYGEN SETUP","0271","RC","Both",,,"127.5","63.75","Alliant","Health Exchange",,,"62",,"79.05","3.48","98.81","percent of total billed charges",,
"HIGH FLOW OXYGEN SETUP","0271","RC","Both",,,"127.5","63.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"68.85","3.48","98.81","percent of total billed charges",,
"HIGH FLOW OXYGEN SETUP","0271","RC","Both",,,"127.5","63.75","Medicare",,,,"54",,"69.1","3.48","98.81","percent of total billed charges",,
"HIGH FLOW OXYGEN SETUP","0271","RC","Both",,,"127.5","63.75","Humana","Medicare Advantage",,,"54",,"69.1","3.48","98.81","percent of total billed charges",,
"HIGH FLOW OXYGEN SETUP","0271","RC","Both",,,"127.5","63.75","UHC","Medicare Advantage",,,"54",,"69.1","3.48","98.81","percent of total billed charges",,
"HIGH FLOW OXYGEN SETUP","0271","RC","Both",,,"127.5","63.75","Clover","Medicare Advantage",,,"54",,"69.1","3.48","98.81","percent of total billed charges",,
"HIGH FLOW OXYGEN SETUP","0271","RC","Both",,,"127.5","63.75","Wellcare","Medicare Advantage",,,"54",,"69.1","3.48","98.81","percent of total billed charges",,
"HIGH FLOW OXYGEN SETUP","0271","RC","Both",,,"127.5","63.75","Amerigroup","Medicaid Managed Care",,,"37",,"46.66","3.48","98.81","percent of total billed charges",,
"HIGH FLOW OXYGEN SETUP","0271","RC","Both",,,"127.5","63.75","Caresource","Medicaid Managed Care",,,"40",,"51","3.48","98.81","percent of total billed charges",,
"HIGH FLOW OXYGEN SETUP","0271","RC","Both",,,"127.5","63.75","Wellcare","Medicaid Managed Care",,,"40",,"51.64","3.48","98.81","percent of total billed charges",,
"HIGH FLOW OXYGEN SETUP","0271","RC","Both",,,"127.5","63.75","Aetna","Commercial",,,"64",,"81.34","3.48","98.81","percent of total billed charges",,
"HIGH FLOW OXYGEN SETUP","0271","RC","Both",,,"127.5","63.75","Blue Cross Blue Shield","Pathways",,,"71",,"90.02","3.48","98.81","percent of total billed charges",,
"HIGH FLOW OXYGEN SETUP","0271","RC","Both",,,"127.5","63.75","Blue Cross Blue Shield","HMO",,,"71",,"90.02","3.48","98.81","percent of total billed charges",,
"HIGH FLOW OXYGEN SETUP","0271","RC","Both",,,"127.5","63.75","Blue Cross Blue Shield","PPO",,,"71",,"90.02","3.48","98.81","percent of total billed charges",,
"HIGH FLOW OXYGEN SETUP","0271","RC","Both",,,"127.5","63.75","Ambetter","Health Exchange",,,"62",,"79.05","3.48","98.81","percent of total billed charges",,
"HIGH FLOW OXYGEN SETUP","0271","RC","Both",,,"127.5","63.75","Caresource","Health Exchange",,,"62",,"79.05","3.48","98.81","percent of total billed charges",,
"HIGH FLOW OXYGEN SETUP","0271","RC","Both",,,"127.5","63.75","Cigna","Commercial",,,"59",,"74.71","3.48","98.81","percent of total billed charges",,
"HIGH FLOW OXYGEN SETUP","0271","RC","Both",,,"127.5","63.75","Humana","Commercial",,,"78",,"98.81","3.48","98.81","percent of total billed charges",,
"HIGH FLOW OXYGEN SETUP","0271","RC","Both",,,"127.5","63.75","UHC","Commercial",,,"75",,"96.14","3.48","98.81","percent of total billed charges",,
"HIGH FLOW OXYGEN SETUP","0271","RC","Both",,,"127.5","63.75","Medicaid",,,,"37",,"46.66","3.48","98.81","percent of total billed charges",,
"HIGH FLOW WATER BAG (2L)","0270","RC","Both",,,"6.5","3.25","Alliant","Health Exchange",,,"62",,"4.03","0.18","1007.5","percent of total billed charges",,
"HIGH FLOW WATER BAG (2L)","0270","RC","Both",,,"6.5","3.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.51","0.18","1007.5","percent of total billed charges",,
"HIGH FLOW WATER BAG (2L)","0270","RC","Both",,,"6.5","3.25","Medicare",,,,"54",,"3.52","0.18","1007.5","percent of total billed charges",,
"HIGH FLOW WATER BAG (2L)","0270","RC","Both",,,"6.5","3.25","Humana","Medicare Advantage",,,"54",,"3.52","0.18","1007.5","percent of total billed charges",,
"HIGH FLOW WATER BAG (2L)","0270","RC","Both",,,"6.5","3.25","UHC","Medicare Advantage",,,"54",,"3.52","0.18","1007.5","percent of total billed charges",,
"HIGH FLOW WATER BAG (2L)","0270","RC","Both",,,"6.5","3.25","Clover","Medicare Advantage",,,"54",,"3.52","0.18","1007.5","percent of total billed charges",,
"HIGH FLOW WATER BAG (2L)","0270","RC","Both",,,"6.5","3.25","Wellcare","Medicare Advantage",,,"54",,"3.52","0.18","1007.5","percent of total billed charges",,
"HIGH FLOW WATER BAG (2L)","0270","RC","Both",,,"6.5","3.25","Amerigroup","Medicaid Managed Care",,,"37",,"2.38","0.18","1007.5","percent of total billed charges",,
"HIGH FLOW WATER BAG (2L)","0270","RC","Both",,,"6.5","3.25","Caresource","Medicaid Managed Care",,,"40",,"2.6","0.18","1007.5","percent of total billed charges",,
"HIGH FLOW WATER BAG (2L)","0270","RC","Both",,,"6.5","3.25","Wellcare","Medicaid Managed Care",,,"40",,"2.63","0.18","1007.5","percent of total billed charges",,
"HIGH FLOW WATER BAG (2L)","0270","RC","Both",,,"6.5","3.25","Aetna","Commercial",,,"64",,"4.15","0.18","1007.5","percent of total billed charges",,
"HIGH FLOW WATER BAG (2L)","0270","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","Pathways",,,"71",,"4.59","0.18","1007.5","percent of total billed charges",,
"HIGH FLOW WATER BAG (2L)","0270","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","HMO",,,"71",,"4.59","0.18","1007.5","percent of total billed charges",,
"HIGH FLOW WATER BAG (2L)","0270","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","PPO",,,"71",,"4.59","0.18","1007.5","percent of total billed charges",,
"HIGH FLOW WATER BAG (2L)","0270","RC","Both",,,"6.5","3.25","Ambetter","Health Exchange",,,"62",,"4.03","0.18","1007.5","percent of total billed charges",,
"HIGH FLOW WATER BAG (2L)","0270","RC","Both",,,"6.5","3.25","Caresource","Health Exchange",,,"62",,"4.03","0.18","1007.5","percent of total billed charges",,
"HIGH FLOW WATER BAG (2L)","0270","RC","Both",,,"6.5","3.25","Cigna","Commercial",,,"59",,"3.81","0.18","1007.5","percent of total billed charges",,
"HIGH FLOW WATER BAG (2L)","0270","RC","Both",,,"6.5","3.25","Humana","Commercial",,,"78",,"5.04","0.18","1007.5","percent of total billed charges",,
"HIGH FLOW WATER BAG (2L)","0270","RC","Both",,,"6.5","3.25","UHC","Commercial",,,"75",,"4.9","0.18","1007.5","percent of total billed charges",,
"HIGH FLOW WATER BAG (2L)","0270","RC","Both",,,"6.5","3.25","Medicaid",,,,"37",,"2.38","0.18","1007.5","percent of total billed charges",,
"OXYGEN (SPECIAL AREA O.R., E.R.)","0271","RC","Both",,,"72","36","Alliant","Health Exchange",,,"62",,"44.64","3.48","98.81","percent of total billed charges",,
"OXYGEN (SPECIAL AREA O.R., E.R.)","0271","RC","Both",,,"72","36","Pruitt Healthcare","Medicare Advantage",,,"54",,"38.88","3.48","98.81","percent of total billed charges",,
"OXYGEN (SPECIAL AREA O.R., E.R.)","0271","RC","Both",,,"72","36","Medicare",,,,"54",,"39.02","3.48","98.81","percent of total billed charges",,
"OXYGEN (SPECIAL AREA O.R., E.R.)","0271","RC","Both",,,"72","36","Humana","Medicare Advantage",,,"54",,"39.02","3.48","98.81","percent of total billed charges",,
"OXYGEN (SPECIAL AREA O.R., E.R.)","0271","RC","Both",,,"72","36","UHC","Medicare Advantage",,,"54",,"39.02","3.48","98.81","percent of total billed charges",,
"OXYGEN (SPECIAL AREA O.R., E.R.)","0271","RC","Both",,,"72","36","Clover","Medicare Advantage",,,"54",,"39.02","3.48","98.81","percent of total billed charges",,
"OXYGEN (SPECIAL AREA O.R., E.R.)","0271","RC","Both",,,"72","36","Wellcare","Medicare Advantage",,,"54",,"39.02","3.48","98.81","percent of total billed charges",,
"OXYGEN (SPECIAL AREA O.R., E.R.)","0271","RC","Both",,,"72","36","Amerigroup","Medicaid Managed Care",,,"37",,"26.35","3.48","98.81","percent of total billed charges",,
"OXYGEN (SPECIAL AREA O.R., E.R.)","0271","RC","Both",,,"72","36","Caresource","Medicaid Managed Care",,,"40",,"28.8","3.48","98.81","percent of total billed charges",,
"OXYGEN (SPECIAL AREA O.R., E.R.)","0271","RC","Both",,,"72","36","Wellcare","Medicaid Managed Care",,,"40",,"29.16","3.48","98.81","percent of total billed charges",,
"OXYGEN (SPECIAL AREA O.R., E.R.)","0271","RC","Both",,,"72","36","Aetna","Commercial",,,"64",,"45.94","3.48","98.81","percent of total billed charges",,
"OXYGEN (SPECIAL AREA O.R., E.R.)","0271","RC","Both",,,"72","36","Blue Cross Blue Shield","Pathways",,,"71",,"50.83","3.48","98.81","percent of total billed charges",,
"OXYGEN (SPECIAL AREA O.R., E.R.)","0271","RC","Both",,,"72","36","Blue Cross Blue Shield","HMO",,,"71",,"50.83","3.48","98.81","percent of total billed charges",,
"OXYGEN (SPECIAL AREA O.R., E.R.)","0271","RC","Both",,,"72","36","Blue Cross Blue Shield","PPO",,,"71",,"50.83","3.48","98.81","percent of total billed charges",,
"OXYGEN (SPECIAL AREA O.R., E.R.)","0271","RC","Both",,,"72","36","Ambetter","Health Exchange",,,"62",,"44.64","3.48","98.81","percent of total billed charges",,
"OXYGEN (SPECIAL AREA O.R., E.R.)","0271","RC","Both",,,"72","36","Caresource","Health Exchange",,,"62",,"44.64","3.48","98.81","percent of total billed charges",,
"OXYGEN (SPECIAL AREA O.R., E.R.)","0271","RC","Both",,,"72","36","Cigna","Commercial",,,"59",,"42.19","3.48","98.81","percent of total billed charges",,
"OXYGEN (SPECIAL AREA O.R., E.R.)","0271","RC","Both",,,"72","36","Humana","Commercial",,,"78",,"55.8","3.48","98.81","percent of total billed charges",,
"OXYGEN (SPECIAL AREA O.R., E.R.)","0271","RC","Both",,,"72","36","UHC","Commercial",,,"75",,"54.29","3.48","98.81","percent of total billed charges",,
"OXYGEN (SPECIAL AREA O.R., E.R.)","0271","RC","Both",,,"72","36","Medicaid",,,,"37",,"26.35","3.48","98.81","percent of total billed charges",,
"AERO CHAMBER","0270","RC","Both",,,"58.5","29.25","Alliant","Health Exchange",,,"62",,"36.27","0.18","1007.5","percent of total billed charges",,
"AERO CHAMBER","0270","RC","Both",,,"58.5","29.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"31.59","0.18","1007.5","percent of total billed charges",,
"AERO CHAMBER","0270","RC","Both",,,"58.5","29.25","Medicare",,,,"54",,"31.71","0.18","1007.5","percent of total billed charges",,
"AERO CHAMBER","0270","RC","Both",,,"58.5","29.25","Humana","Medicare Advantage",,,"54",,"31.71","0.18","1007.5","percent of total billed charges",,
"AERO CHAMBER","0270","RC","Both",,,"58.5","29.25","UHC","Medicare Advantage",,,"54",,"31.71","0.18","1007.5","percent of total billed charges",,
"AERO CHAMBER","0270","RC","Both",,,"58.5","29.25","Clover","Medicare Advantage",,,"54",,"31.71","0.18","1007.5","percent of total billed charges",,
"AERO CHAMBER","0270","RC","Both",,,"58.5","29.25","Wellcare","Medicare Advantage",,,"54",,"31.71","0.18","1007.5","percent of total billed charges",,
"AERO CHAMBER","0270","RC","Both",,,"58.5","29.25","Amerigroup","Medicaid Managed Care",,,"37",,"21.41","0.18","1007.5","percent of total billed charges",,
"AERO CHAMBER","0270","RC","Both",,,"58.5","29.25","Caresource","Medicaid Managed Care",,,"40",,"23.4","0.18","1007.5","percent of total billed charges",,
"AERO CHAMBER","0270","RC","Both",,,"58.5","29.25","Wellcare","Medicaid Managed Care",,,"40",,"23.69","0.18","1007.5","percent of total billed charges",,
"AERO CHAMBER","0270","RC","Both",,,"58.5","29.25","Aetna","Commercial",,,"64",,"37.32","0.18","1007.5","percent of total billed charges",,
"AERO CHAMBER","0270","RC","Both",,,"58.5","29.25","Blue Cross Blue Shield","Pathways",,,"71",,"41.3","0.18","1007.5","percent of total billed charges",,
"AERO CHAMBER","0270","RC","Both",,,"58.5","29.25","Blue Cross Blue Shield","HMO",,,"71",,"41.3","0.18","1007.5","percent of total billed charges",,
"AERO CHAMBER","0270","RC","Both",,,"58.5","29.25","Blue Cross Blue Shield","PPO",,,"71",,"41.3","0.18","1007.5","percent of total billed charges",,
"AERO CHAMBER","0270","RC","Both",,,"58.5","29.25","Ambetter","Health Exchange",,,"62",,"36.27","0.18","1007.5","percent of total billed charges",,
"AERO CHAMBER","0270","RC","Both",,,"58.5","29.25","Caresource","Health Exchange",,,"62",,"36.27","0.18","1007.5","percent of total billed charges",,
"AERO CHAMBER","0270","RC","Both",,,"58.5","29.25","Cigna","Commercial",,,"59",,"34.28","0.18","1007.5","percent of total billed charges",,
"AERO CHAMBER","0270","RC","Both",,,"58.5","29.25","Humana","Commercial",,,"78",,"45.34","0.18","1007.5","percent of total billed charges",,
"AERO CHAMBER","0270","RC","Both",,,"58.5","29.25","UHC","Commercial",,,"75",,"44.11","0.18","1007.5","percent of total billed charges",,
"AERO CHAMBER","0270","RC","Both",,,"58.5","29.25","Medicaid",,,,"37",,"21.41","0.18","1007.5","percent of total billed charges",,
"TRACH TIES","0410","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","7.69","20.15","percent of total billed charges",,
"TRACH TIES","0410","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","7.69","20.15","percent of total billed charges",,
"TRACH TIES","0410","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","7.69","20.15","percent of total billed charges",,
"TRACH TIES","0410","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","7.69","20.15","percent of total billed charges",,
"TRACH TIES","0410","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","7.69","20.15","percent of total billed charges",,
"TRACH TIES","0410","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","7.69","20.15","percent of total billed charges",,
"TRACH TIES","0410","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","7.69","20.15","percent of total billed charges",,
"TRACH TIES","0410","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","7.69","20.15","percent of total billed charges",,
"TRACH TIES","0410","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","7.69","20.15","percent of total billed charges",,
"TRACH TIES","0410","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","7.69","20.15","percent of total billed charges",,
"TRACH TIES","0410","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","7.69","20.15","percent of total billed charges",,
"TRACH TIES","0410","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","7.69","20.15","percent of total billed charges",,
"TRACH TIES","0410","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","7.69","20.15","percent of total billed charges",,
"TRACH TIES","0410","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","7.69","20.15","percent of total billed charges",,
"TRACH TIES","0410","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","7.69","20.15","percent of total billed charges",,
"TRACH TIES","0410","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","7.69","20.15","percent of total billed charges",,
"TRACH TIES","0410","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","7.69","20.15","percent of total billed charges",,
"TRACH TIES","0410","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","7.69","20.15","percent of total billed charges",,
"TRACH TIES","0410","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","7.69","20.15","percent of total billed charges",,
"TRACH TIES","0410","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","7.69","20.15","percent of total billed charges",,
"TRACH CANNULA","0410","RC","Both",,,"21","10.5","Alliant","Health Exchange",,,"62",,"13.02","7.69","20.15","percent of total billed charges",,
"TRACH CANNULA","0410","RC","Both",,,"21","10.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.34","7.69","20.15","percent of total billed charges",,
"TRACH CANNULA","0410","RC","Both",,,"21","10.5","Medicare",,,,"54",,"11.38","7.69","20.15","percent of total billed charges",,
"TRACH CANNULA","0410","RC","Both",,,"21","10.5","Humana","Medicare Advantage",,,"54",,"11.38","7.69","20.15","percent of total billed charges",,
"TRACH CANNULA","0410","RC","Both",,,"21","10.5","UHC","Medicare Advantage",,,"54",,"11.38","7.69","20.15","percent of total billed charges",,
"TRACH CANNULA","0410","RC","Both",,,"21","10.5","Clover","Medicare Advantage",,,"54",,"11.38","7.69","20.15","percent of total billed charges",,
"TRACH CANNULA","0410","RC","Both",,,"21","10.5","Wellcare","Medicare Advantage",,,"54",,"11.38","7.69","20.15","percent of total billed charges",,
"TRACH CANNULA","0410","RC","Both",,,"21","10.5","Amerigroup","Medicaid Managed Care",,,"37",,"7.69","7.69","20.15","percent of total billed charges",,
"TRACH CANNULA","0410","RC","Both",,,"21","10.5","Caresource","Medicaid Managed Care",,,"40",,"8.4","7.69","20.15","percent of total billed charges",,
"TRACH CANNULA","0410","RC","Both",,,"21","10.5","Wellcare","Medicaid Managed Care",,,"40",,"8.51","7.69","20.15","percent of total billed charges",,
"TRACH CANNULA","0410","RC","Both",,,"21","10.5","Aetna","Commercial",,,"64",,"13.4","7.69","20.15","percent of total billed charges",,
"TRACH CANNULA","0410","RC","Both",,,"21","10.5","Blue Cross Blue Shield","Pathways",,,"71",,"14.83","7.69","20.15","percent of total billed charges",,
"TRACH CANNULA","0410","RC","Both",,,"21","10.5","Blue Cross Blue Shield","HMO",,,"71",,"14.83","7.69","20.15","percent of total billed charges",,
"TRACH CANNULA","0410","RC","Both",,,"21","10.5","Blue Cross Blue Shield","PPO",,,"71",,"14.83","7.69","20.15","percent of total billed charges",,
"TRACH CANNULA","0410","RC","Both",,,"21","10.5","Ambetter","Health Exchange",,,"62",,"13.02","7.69","20.15","percent of total billed charges",,
"TRACH CANNULA","0410","RC","Both",,,"21","10.5","Caresource","Health Exchange",,,"62",,"13.02","7.69","20.15","percent of total billed charges",,
"TRACH CANNULA","0410","RC","Both",,,"21","10.5","Cigna","Commercial",,,"59",,"12.31","7.69","20.15","percent of total billed charges",,
"TRACH CANNULA","0410","RC","Both",,,"21","10.5","Humana","Commercial",,,"78",,"16.28","7.69","20.15","percent of total billed charges",,
"TRACH CANNULA","0410","RC","Both",,,"21","10.5","UHC","Commercial",,,"75",,"15.83","7.69","20.15","percent of total billed charges",,
"TRACH CANNULA","0410","RC","Both",,,"21","10.5","Medicaid",,,,"37",,"7.69","7.69","20.15","percent of total billed charges",,
"BALLARD 14-LINE SUCTION KIT  #220870","0270","RC","Both",,,"105","52.5","Alliant","Health Exchange",,,"62",,"65.1","0.18","1007.5","percent of total billed charges",,
"BALLARD 14-LINE SUCTION KIT  #220870","0270","RC","Both",,,"105","52.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"56.7","0.18","1007.5","percent of total billed charges",,
"BALLARD 14-LINE SUCTION KIT  #220870","0270","RC","Both",,,"105","52.5","Medicare",,,,"54",,"56.91","0.18","1007.5","percent of total billed charges",,
"BALLARD 14-LINE SUCTION KIT  #220870","0270","RC","Both",,,"105","52.5","Humana","Medicare Advantage",,,"54",,"56.91","0.18","1007.5","percent of total billed charges",,
"BALLARD 14-LINE SUCTION KIT  #220870","0270","RC","Both",,,"105","52.5","UHC","Medicare Advantage",,,"54",,"56.91","0.18","1007.5","percent of total billed charges",,
"BALLARD 14-LINE SUCTION KIT  #220870","0270","RC","Both",,,"105","52.5","Clover","Medicare Advantage",,,"54",,"56.91","0.18","1007.5","percent of total billed charges",,
"BALLARD 14-LINE SUCTION KIT  #220870","0270","RC","Both",,,"105","52.5","Wellcare","Medicare Advantage",,,"54",,"56.91","0.18","1007.5","percent of total billed charges",,
"BALLARD 14-LINE SUCTION KIT  #220870","0270","RC","Both",,,"105","52.5","Amerigroup","Medicaid Managed Care",,,"37",,"38.43","0.18","1007.5","percent of total billed charges",,
"BALLARD 14-LINE SUCTION KIT  #220870","0270","RC","Both",,,"105","52.5","Caresource","Medicaid Managed Care",,,"40",,"42","0.18","1007.5","percent of total billed charges",,
"BALLARD 14-LINE SUCTION KIT  #220870","0270","RC","Both",,,"105","52.5","Wellcare","Medicaid Managed Care",,,"40",,"42.53","0.18","1007.5","percent of total billed charges",,
"BALLARD 14-LINE SUCTION KIT  #220870","0270","RC","Both",,,"105","52.5","Aetna","Commercial",,,"64",,"66.99","0.18","1007.5","percent of total billed charges",,
"BALLARD 14-LINE SUCTION KIT  #220870","0270","RC","Both",,,"105","52.5","Blue Cross Blue Shield","Pathways",,,"71",,"74.13","0.18","1007.5","percent of total billed charges",,
"BALLARD 14-LINE SUCTION KIT  #220870","0270","RC","Both",,,"105","52.5","Blue Cross Blue Shield","HMO",,,"71",,"74.13","0.18","1007.5","percent of total billed charges",,
"BALLARD 14-LINE SUCTION KIT  #220870","0270","RC","Both",,,"105","52.5","Blue Cross Blue Shield","PPO",,,"71",,"74.13","0.18","1007.5","percent of total billed charges",,
"BALLARD 14-LINE SUCTION KIT  #220870","0270","RC","Both",,,"105","52.5","Ambetter","Health Exchange",,,"62",,"65.1","0.18","1007.5","percent of total billed charges",,
"BALLARD 14-LINE SUCTION KIT  #220870","0270","RC","Both",,,"105","52.5","Caresource","Health Exchange",,,"62",,"65.1","0.18","1007.5","percent of total billed charges",,
"BALLARD 14-LINE SUCTION KIT  #220870","0270","RC","Both",,,"105","52.5","Cigna","Commercial",,,"59",,"61.53","0.18","1007.5","percent of total billed charges",,
"BALLARD 14-LINE SUCTION KIT  #220870","0270","RC","Both",,,"105","52.5","Humana","Commercial",,,"78",,"81.38","0.18","1007.5","percent of total billed charges",,
"BALLARD 14-LINE SUCTION KIT  #220870","0270","RC","Both",,,"105","52.5","UHC","Commercial",,,"75",,"79.17","0.18","1007.5","percent of total billed charges",,
"BALLARD 14-LINE SUCTION KIT  #220870","0270","RC","Both",,,"105","52.5","Medicaid",,,,"37",,"38.43","0.18","1007.5","percent of total billed charges",,
"OXYGEN SUBSEQUENT (PER HOUR)","0270","RC","Both",,,"24.5","12.25","Alliant","Health Exchange",,,"62",,"15.19","0.18","1007.5","percent of total billed charges",,
"OXYGEN SUBSEQUENT (PER HOUR)","0270","RC","Both",,,"24.5","12.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"13.23","0.18","1007.5","percent of total billed charges",,
"OXYGEN SUBSEQUENT (PER HOUR)","0270","RC","Both",,,"24.5","12.25","Medicare",,,,"54",,"13.28","0.18","1007.5","percent of total billed charges",,
"OXYGEN SUBSEQUENT (PER HOUR)","0270","RC","Both",,,"24.5","12.25","Humana","Medicare Advantage",,,"54",,"13.28","0.18","1007.5","percent of total billed charges",,
"OXYGEN SUBSEQUENT (PER HOUR)","0270","RC","Both",,,"24.5","12.25","UHC","Medicare Advantage",,,"54",,"13.28","0.18","1007.5","percent of total billed charges",,
"OXYGEN SUBSEQUENT (PER HOUR)","0270","RC","Both",,,"24.5","12.25","Clover","Medicare Advantage",,,"54",,"13.28","0.18","1007.5","percent of total billed charges",,
"OXYGEN SUBSEQUENT (PER HOUR)","0270","RC","Both",,,"24.5","12.25","Wellcare","Medicare Advantage",,,"54",,"13.28","0.18","1007.5","percent of total billed charges",,
"OXYGEN SUBSEQUENT (PER HOUR)","0270","RC","Both",,,"24.5","12.25","Amerigroup","Medicaid Managed Care",,,"37",,"8.97","0.18","1007.5","percent of total billed charges",,
"OXYGEN SUBSEQUENT (PER HOUR)","0270","RC","Both",,,"24.5","12.25","Caresource","Medicaid Managed Care",,,"40",,"9.8","0.18","1007.5","percent of total billed charges",,
"OXYGEN SUBSEQUENT (PER HOUR)","0270","RC","Both",,,"24.5","12.25","Wellcare","Medicaid Managed Care",,,"40",,"9.92","0.18","1007.5","percent of total billed charges",,
"OXYGEN SUBSEQUENT (PER HOUR)","0270","RC","Both",,,"24.5","12.25","Aetna","Commercial",,,"64",,"15.63","0.18","1007.5","percent of total billed charges",,
"OXYGEN SUBSEQUENT (PER HOUR)","0270","RC","Both",,,"24.5","12.25","Blue Cross Blue Shield","Pathways",,,"71",,"17.3","0.18","1007.5","percent of total billed charges",,
"OXYGEN SUBSEQUENT (PER HOUR)","0270","RC","Both",,,"24.5","12.25","Blue Cross Blue Shield","HMO",,,"71",,"17.3","0.18","1007.5","percent of total billed charges",,
"OXYGEN SUBSEQUENT (PER HOUR)","0270","RC","Both",,,"24.5","12.25","Blue Cross Blue Shield","PPO",,,"71",,"17.3","0.18","1007.5","percent of total billed charges",,
"OXYGEN SUBSEQUENT (PER HOUR)","0270","RC","Both",,,"24.5","12.25","Ambetter","Health Exchange",,,"62",,"15.19","0.18","1007.5","percent of total billed charges",,
"OXYGEN SUBSEQUENT (PER HOUR)","0270","RC","Both",,,"24.5","12.25","Caresource","Health Exchange",,,"62",,"15.19","0.18","1007.5","percent of total billed charges",,
"OXYGEN SUBSEQUENT (PER HOUR)","0270","RC","Both",,,"24.5","12.25","Cigna","Commercial",,,"59",,"14.36","0.18","1007.5","percent of total billed charges",,
"OXYGEN SUBSEQUENT (PER HOUR)","0270","RC","Both",,,"24.5","12.25","Humana","Commercial",,,"78",,"18.99","0.18","1007.5","percent of total billed charges",,
"OXYGEN SUBSEQUENT (PER HOUR)","0270","RC","Both",,,"24.5","12.25","UHC","Commercial",,,"75",,"18.47","0.18","1007.5","percent of total billed charges",,
"OXYGEN SUBSEQUENT (PER HOUR)","0270","RC","Both",,,"24.5","12.25","Medicaid",,,,"37",,"8.97","0.18","1007.5","percent of total billed charges",,
"CPAP MASK","0270","RC","Both",,,"174","87","Alliant","Health Exchange",,,"62",,"107.88","0.18","1007.5","percent of total billed charges",,
"CPAP MASK","0270","RC","Both",,,"174","87","Pruitt Healthcare","Medicare Advantage",,,"54",,"93.96","0.18","1007.5","percent of total billed charges",,
"CPAP MASK","0270","RC","Both",,,"174","87","Medicare",,,,"54",,"94.31","0.18","1007.5","percent of total billed charges",,
"CPAP MASK","0270","RC","Both",,,"174","87","Humana","Medicare Advantage",,,"54",,"94.31","0.18","1007.5","percent of total billed charges",,
"CPAP MASK","0270","RC","Both",,,"174","87","UHC","Medicare Advantage",,,"54",,"94.31","0.18","1007.5","percent of total billed charges",,
"CPAP MASK","0270","RC","Both",,,"174","87","Clover","Medicare Advantage",,,"54",,"94.31","0.18","1007.5","percent of total billed charges",,
"CPAP MASK","0270","RC","Both",,,"174","87","Wellcare","Medicare Advantage",,,"54",,"94.31","0.18","1007.5","percent of total billed charges",,
"CPAP MASK","0270","RC","Both",,,"174","87","Amerigroup","Medicaid Managed Care",,,"37",,"63.68","0.18","1007.5","percent of total billed charges",,
"CPAP MASK","0270","RC","Both",,,"174","87","Caresource","Medicaid Managed Care",,,"40",,"69.6","0.18","1007.5","percent of total billed charges",,
"CPAP MASK","0270","RC","Both",,,"174","87","Wellcare","Medicaid Managed Care",,,"40",,"70.47","0.18","1007.5","percent of total billed charges",,
"CPAP MASK","0270","RC","Both",,,"174","87","Aetna","Commercial",,,"64",,"111.01","0.18","1007.5","percent of total billed charges",,
"CPAP MASK","0270","RC","Both",,,"174","87","Blue Cross Blue Shield","Pathways",,,"71",,"122.84","0.18","1007.5","percent of total billed charges",,
"CPAP MASK","0270","RC","Both",,,"174","87","Blue Cross Blue Shield","HMO",,,"71",,"122.84","0.18","1007.5","percent of total billed charges",,
"CPAP MASK","0270","RC","Both",,,"174","87","Blue Cross Blue Shield","PPO",,,"71",,"122.84","0.18","1007.5","percent of total billed charges",,
"CPAP MASK","0270","RC","Both",,,"174","87","Ambetter","Health Exchange",,,"62",,"107.88","0.18","1007.5","percent of total billed charges",,
"CPAP MASK","0270","RC","Both",,,"174","87","Caresource","Health Exchange",,,"62",,"107.88","0.18","1007.5","percent of total billed charges",,
"CPAP MASK","0270","RC","Both",,,"174","87","Cigna","Commercial",,,"59",,"101.96","0.18","1007.5","percent of total billed charges",,
"CPAP MASK","0270","RC","Both",,,"174","87","Humana","Commercial",,,"78",,"134.85","0.18","1007.5","percent of total billed charges",,
"CPAP MASK","0270","RC","Both",,,"174","87","UHC","Commercial",,,"75",,"131.2","0.18","1007.5","percent of total billed charges",,
"CPAP MASK","0270","RC","Both",,,"174","87","Medicaid",,,,"37",,"63.68","0.18","1007.5","percent of total billed charges",,
"AIRWAYS (NASAL OR ORAL)","0270","RC","Both",,,"17.5","8.75","Alliant","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"AIRWAYS (NASAL OR ORAL)","0270","RC","Both",,,"17.5","8.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.45","0.18","1007.5","percent of total billed charges",,
"AIRWAYS (NASAL OR ORAL)","0270","RC","Both",,,"17.5","8.75","Medicare",,,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"AIRWAYS (NASAL OR ORAL)","0270","RC","Both",,,"17.5","8.75","Humana","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"AIRWAYS (NASAL OR ORAL)","0270","RC","Both",,,"17.5","8.75","UHC","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"AIRWAYS (NASAL OR ORAL)","0270","RC","Both",,,"17.5","8.75","Clover","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"AIRWAYS (NASAL OR ORAL)","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"AIRWAYS (NASAL OR ORAL)","0270","RC","Both",,,"17.5","8.75","Amerigroup","Medicaid Managed Care",,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"AIRWAYS (NASAL OR ORAL)","0270","RC","Both",,,"17.5","8.75","Caresource","Medicaid Managed Care",,,"40",,"7","0.18","1007.5","percent of total billed charges",,
"AIRWAYS (NASAL OR ORAL)","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicaid Managed Care",,,"40",,"7.09","0.18","1007.5","percent of total billed charges",,
"AIRWAYS (NASAL OR ORAL)","0270","RC","Both",,,"17.5","8.75","Aetna","Commercial",,,"64",,"11.16","0.18","1007.5","percent of total billed charges",,
"AIRWAYS (NASAL OR ORAL)","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","Pathways",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"AIRWAYS (NASAL OR ORAL)","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","HMO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"AIRWAYS (NASAL OR ORAL)","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","PPO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"AIRWAYS (NASAL OR ORAL)","0270","RC","Both",,,"17.5","8.75","Ambetter","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"AIRWAYS (NASAL OR ORAL)","0270","RC","Both",,,"17.5","8.75","Caresource","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"AIRWAYS (NASAL OR ORAL)","0270","RC","Both",,,"17.5","8.75","Cigna","Commercial",,,"59",,"10.26","0.18","1007.5","percent of total billed charges",,
"AIRWAYS (NASAL OR ORAL)","0270","RC","Both",,,"17.5","8.75","Humana","Commercial",,,"78",,"13.56","0.18","1007.5","percent of total billed charges",,
"AIRWAYS (NASAL OR ORAL)","0270","RC","Both",,,"17.5","8.75","UHC","Commercial",,,"75",,"13.2","0.18","1007.5","percent of total billed charges",,
"AIRWAYS (NASAL OR ORAL)","0270","RC","Both",,,"17.5","8.75","Medicaid",,,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"ALUMINUM FOIL (STERILE)","0270","RC","Both",,,"32","16","Alliant","Health Exchange",,,"62",,"19.84","0.18","1007.5","percent of total billed charges",,
"ALUMINUM FOIL (STERILE)","0270","RC","Both",,,"32","16","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.28","0.18","1007.5","percent of total billed charges",,
"ALUMINUM FOIL (STERILE)","0270","RC","Both",,,"32","16","Medicare",,,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"ALUMINUM FOIL (STERILE)","0270","RC","Both",,,"32","16","Humana","Medicare Advantage",,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"ALUMINUM FOIL (STERILE)","0270","RC","Both",,,"32","16","UHC","Medicare Advantage",,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"ALUMINUM FOIL (STERILE)","0270","RC","Both",,,"32","16","Clover","Medicare Advantage",,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"ALUMINUM FOIL (STERILE)","0270","RC","Both",,,"32","16","Wellcare","Medicare Advantage",,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"ALUMINUM FOIL (STERILE)","0270","RC","Both",,,"32","16","Amerigroup","Medicaid Managed Care",,,"37",,"11.71","0.18","1007.5","percent of total billed charges",,
"ALUMINUM FOIL (STERILE)","0270","RC","Both",,,"32","16","Caresource","Medicaid Managed Care",,,"40",,"12.8","0.18","1007.5","percent of total billed charges",,
"ALUMINUM FOIL (STERILE)","0270","RC","Both",,,"32","16","Wellcare","Medicaid Managed Care",,,"40",,"12.96","0.18","1007.5","percent of total billed charges",,
"ALUMINUM FOIL (STERILE)","0270","RC","Both",,,"32","16","Aetna","Commercial",,,"64",,"20.42","0.18","1007.5","percent of total billed charges",,
"ALUMINUM FOIL (STERILE)","0270","RC","Both",,,"32","16","Blue Cross Blue Shield","Pathways",,,"71",,"22.59","0.18","1007.5","percent of total billed charges",,
"ALUMINUM FOIL (STERILE)","0270","RC","Both",,,"32","16","Blue Cross Blue Shield","HMO",,,"71",,"22.59","0.18","1007.5","percent of total billed charges",,
"ALUMINUM FOIL (STERILE)","0270","RC","Both",,,"32","16","Blue Cross Blue Shield","PPO",,,"71",,"22.59","0.18","1007.5","percent of total billed charges",,
"ALUMINUM FOIL (STERILE)","0270","RC","Both",,,"32","16","Ambetter","Health Exchange",,,"62",,"19.84","0.18","1007.5","percent of total billed charges",,
"ALUMINUM FOIL (STERILE)","0270","RC","Both",,,"32","16","Caresource","Health Exchange",,,"62",,"19.84","0.18","1007.5","percent of total billed charges",,
"ALUMINUM FOIL (STERILE)","0270","RC","Both",,,"32","16","Cigna","Commercial",,,"59",,"18.75","0.18","1007.5","percent of total billed charges",,
"ALUMINUM FOIL (STERILE)","0270","RC","Both",,,"32","16","Humana","Commercial",,,"78",,"24.8","0.18","1007.5","percent of total billed charges",,
"ALUMINUM FOIL (STERILE)","0270","RC","Both",,,"32","16","UHC","Commercial",,,"75",,"24.13","0.18","1007.5","percent of total billed charges",,
"ALUMINUM FOIL (STERILE)","0270","RC","Both",,,"32","16","Medicaid",,,,"37",,"11.71","0.18","1007.5","percent of total billed charges",,
"AMMONIA INHALENT","0270","RC","Both",,,"17.5","8.75","Alliant","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"AMMONIA INHALENT","0270","RC","Both",,,"17.5","8.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.45","0.18","1007.5","percent of total billed charges",,
"AMMONIA INHALENT","0270","RC","Both",,,"17.5","8.75","Medicare",,,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"AMMONIA INHALENT","0270","RC","Both",,,"17.5","8.75","Humana","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"AMMONIA INHALENT","0270","RC","Both",,,"17.5","8.75","UHC","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"AMMONIA INHALENT","0270","RC","Both",,,"17.5","8.75","Clover","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"AMMONIA INHALENT","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"AMMONIA INHALENT","0270","RC","Both",,,"17.5","8.75","Amerigroup","Medicaid Managed Care",,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"AMMONIA INHALENT","0270","RC","Both",,,"17.5","8.75","Caresource","Medicaid Managed Care",,,"40",,"7","0.18","1007.5","percent of total billed charges",,
"AMMONIA INHALENT","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicaid Managed Care",,,"40",,"7.09","0.18","1007.5","percent of total billed charges",,
"AMMONIA INHALENT","0270","RC","Both",,,"17.5","8.75","Aetna","Commercial",,,"64",,"11.16","0.18","1007.5","percent of total billed charges",,
"AMMONIA INHALENT","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","Pathways",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"AMMONIA INHALENT","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","HMO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"AMMONIA INHALENT","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","PPO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"AMMONIA INHALENT","0270","RC","Both",,,"17.5","8.75","Ambetter","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"AMMONIA INHALENT","0270","RC","Both",,,"17.5","8.75","Caresource","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"AMMONIA INHALENT","0270","RC","Both",,,"17.5","8.75","Cigna","Commercial",,,"59",,"10.26","0.18","1007.5","percent of total billed charges",,
"AMMONIA INHALENT","0270","RC","Both",,,"17.5","8.75","Humana","Commercial",,,"78",,"13.56","0.18","1007.5","percent of total billed charges",,
"AMMONIA INHALENT","0270","RC","Both",,,"17.5","8.75","UHC","Commercial",,,"75",,"13.2","0.18","1007.5","percent of total billed charges",,
"AMMONIA INHALENT","0270","RC","Both",,,"17.5","8.75","Medicaid",,,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"ACE BANDAGE 2  & 3","0270","RC","Both",,,"17.5","8.75","Alliant","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"ACE BANDAGE 2  & 3","0270","RC","Both",,,"17.5","8.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.45","0.18","1007.5","percent of total billed charges",,
"ACE BANDAGE 2  & 3","0270","RC","Both",,,"17.5","8.75","Medicare",,,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"ACE BANDAGE 2  & 3","0270","RC","Both",,,"17.5","8.75","Humana","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"ACE BANDAGE 2  & 3","0270","RC","Both",,,"17.5","8.75","UHC","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"ACE BANDAGE 2  & 3","0270","RC","Both",,,"17.5","8.75","Clover","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"ACE BANDAGE 2  & 3","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"ACE BANDAGE 2  & 3","0270","RC","Both",,,"17.5","8.75","Amerigroup","Medicaid Managed Care",,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"ACE BANDAGE 2  & 3","0270","RC","Both",,,"17.5","8.75","Caresource","Medicaid Managed Care",,,"40",,"7","0.18","1007.5","percent of total billed charges",,
"ACE BANDAGE 2  & 3","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicaid Managed Care",,,"40",,"7.09","0.18","1007.5","percent of total billed charges",,
"ACE BANDAGE 2  & 3","0270","RC","Both",,,"17.5","8.75","Aetna","Commercial",,,"64",,"11.16","0.18","1007.5","percent of total billed charges",,
"ACE BANDAGE 2  & 3","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","Pathways",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"ACE BANDAGE 2  & 3","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","HMO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"ACE BANDAGE 2  & 3","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","PPO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"ACE BANDAGE 2  & 3","0270","RC","Both",,,"17.5","8.75","Ambetter","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"ACE BANDAGE 2  & 3","0270","RC","Both",,,"17.5","8.75","Caresource","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"ACE BANDAGE 2  & 3","0270","RC","Both",,,"17.5","8.75","Cigna","Commercial",,,"59",,"10.26","0.18","1007.5","percent of total billed charges",,
"ACE BANDAGE 2  & 3","0270","RC","Both",,,"17.5","8.75","Humana","Commercial",,,"78",,"13.56","0.18","1007.5","percent of total billed charges",,
"ACE BANDAGE 2  & 3","0270","RC","Both",,,"17.5","8.75","UHC","Commercial",,,"75",,"13.2","0.18","1007.5","percent of total billed charges",,
"ACE BANDAGE 2  & 3","0270","RC","Both",,,"17.5","8.75","Medicaid",,,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"ACE BANDAGE 4  & 6","0270","RC","Both",,,"17.5","8.75","Alliant","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"ACE BANDAGE 4  & 6","0270","RC","Both",,,"17.5","8.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.45","0.18","1007.5","percent of total billed charges",,
"ACE BANDAGE 4  & 6","0270","RC","Both",,,"17.5","8.75","Medicare",,,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"ACE BANDAGE 4  & 6","0270","RC","Both",,,"17.5","8.75","Humana","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"ACE BANDAGE 4  & 6","0270","RC","Both",,,"17.5","8.75","UHC","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"ACE BANDAGE 4  & 6","0270","RC","Both",,,"17.5","8.75","Clover","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"ACE BANDAGE 4  & 6","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"ACE BANDAGE 4  & 6","0270","RC","Both",,,"17.5","8.75","Amerigroup","Medicaid Managed Care",,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"ACE BANDAGE 4  & 6","0270","RC","Both",,,"17.5","8.75","Caresource","Medicaid Managed Care",,,"40",,"7","0.18","1007.5","percent of total billed charges",,
"ACE BANDAGE 4  & 6","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicaid Managed Care",,,"40",,"7.09","0.18","1007.5","percent of total billed charges",,
"ACE BANDAGE 4  & 6","0270","RC","Both",,,"17.5","8.75","Aetna","Commercial",,,"64",,"11.16","0.18","1007.5","percent of total billed charges",,
"ACE BANDAGE 4  & 6","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","Pathways",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"ACE BANDAGE 4  & 6","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","HMO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"ACE BANDAGE 4  & 6","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","PPO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"ACE BANDAGE 4  & 6","0270","RC","Both",,,"17.5","8.75","Ambetter","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"ACE BANDAGE 4  & 6","0270","RC","Both",,,"17.5","8.75","Caresource","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"ACE BANDAGE 4  & 6","0270","RC","Both",,,"17.5","8.75","Cigna","Commercial",,,"59",,"10.26","0.18","1007.5","percent of total billed charges",,
"ACE BANDAGE 4  & 6","0270","RC","Both",,,"17.5","8.75","Humana","Commercial",,,"78",,"13.56","0.18","1007.5","percent of total billed charges",,
"ACE BANDAGE 4  & 6","0270","RC","Both",,,"17.5","8.75","UHC","Commercial",,,"75",,"13.2","0.18","1007.5","percent of total billed charges",,
"ACE BANDAGE 4  & 6","0270","RC","Both",,,"17.5","8.75","Medicaid",,,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"ARM BOARDS","0270","RC","Both",,,"17.5","8.75","Alliant","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"ARM BOARDS","0270","RC","Both",,,"17.5","8.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.45","0.18","1007.5","percent of total billed charges",,
"ARM BOARDS","0270","RC","Both",,,"17.5","8.75","Medicare",,,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"ARM BOARDS","0270","RC","Both",,,"17.5","8.75","Humana","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"ARM BOARDS","0270","RC","Both",,,"17.5","8.75","UHC","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"ARM BOARDS","0270","RC","Both",,,"17.5","8.75","Clover","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"ARM BOARDS","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"ARM BOARDS","0270","RC","Both",,,"17.5","8.75","Amerigroup","Medicaid Managed Care",,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"ARM BOARDS","0270","RC","Both",,,"17.5","8.75","Caresource","Medicaid Managed Care",,,"40",,"7","0.18","1007.5","percent of total billed charges",,
"ARM BOARDS","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicaid Managed Care",,,"40",,"7.09","0.18","1007.5","percent of total billed charges",,
"ARM BOARDS","0270","RC","Both",,,"17.5","8.75","Aetna","Commercial",,,"64",,"11.16","0.18","1007.5","percent of total billed charges",,
"ARM BOARDS","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","Pathways",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"ARM BOARDS","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","HMO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"ARM BOARDS","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","PPO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"ARM BOARDS","0270","RC","Both",,,"17.5","8.75","Ambetter","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"ARM BOARDS","0270","RC","Both",,,"17.5","8.75","Caresource","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"ARM BOARDS","0270","RC","Both",,,"17.5","8.75","Cigna","Commercial",,,"59",,"10.26","0.18","1007.5","percent of total billed charges",,
"ARM BOARDS","0270","RC","Both",,,"17.5","8.75","Humana","Commercial",,,"78",,"13.56","0.18","1007.5","percent of total billed charges",,
"ARM BOARDS","0270","RC","Both",,,"17.5","8.75","UHC","Commercial",,,"75",,"13.2","0.18","1007.5","percent of total billed charges",,
"ARM BOARDS","0270","RC","Both",,,"17.5","8.75","Medicaid",,,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"BITE STICK","0270","RC","Both",,,"17.5","8.75","Alliant","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"BITE STICK","0270","RC","Both",,,"17.5","8.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.45","0.18","1007.5","percent of total billed charges",,
"BITE STICK","0270","RC","Both",,,"17.5","8.75","Medicare",,,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"BITE STICK","0270","RC","Both",,,"17.5","8.75","Humana","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"BITE STICK","0270","RC","Both",,,"17.5","8.75","UHC","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"BITE STICK","0270","RC","Both",,,"17.5","8.75","Clover","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"BITE STICK","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"BITE STICK","0270","RC","Both",,,"17.5","8.75","Amerigroup","Medicaid Managed Care",,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"BITE STICK","0270","RC","Both",,,"17.5","8.75","Caresource","Medicaid Managed Care",,,"40",,"7","0.18","1007.5","percent of total billed charges",,
"BITE STICK","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicaid Managed Care",,,"40",,"7.09","0.18","1007.5","percent of total billed charges",,
"BITE STICK","0270","RC","Both",,,"17.5","8.75","Aetna","Commercial",,,"64",,"11.16","0.18","1007.5","percent of total billed charges",,
"BITE STICK","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","Pathways",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"BITE STICK","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","HMO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"BITE STICK","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","PPO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"BITE STICK","0270","RC","Both",,,"17.5","8.75","Ambetter","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"BITE STICK","0270","RC","Both",,,"17.5","8.75","Caresource","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"BITE STICK","0270","RC","Both",,,"17.5","8.75","Cigna","Commercial",,,"59",,"10.26","0.18","1007.5","percent of total billed charges",,
"BITE STICK","0270","RC","Both",,,"17.5","8.75","Humana","Commercial",,,"78",,"13.56","0.18","1007.5","percent of total billed charges",,
"BITE STICK","0270","RC","Both",,,"17.5","8.75","UHC","Commercial",,,"75",,"13.2","0.18","1007.5","percent of total billed charges",,
"BITE STICK","0270","RC","Both",,,"17.5","8.75","Medicaid",,,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"BODY BAG","0270","RC","Both",,,"182","91","Alliant","Health Exchange",,,"62",,"112.84","0.18","1007.5","percent of total billed charges",,
"BODY BAG","0270","RC","Both",,,"182","91","Pruitt Healthcare","Medicare Advantage",,,"54",,"98.28","0.18","1007.5","percent of total billed charges",,
"BODY BAG","0270","RC","Both",,,"182","91","Medicare",,,,"54",,"98.64","0.18","1007.5","percent of total billed charges",,
"BODY BAG","0270","RC","Both",,,"182","91","Humana","Medicare Advantage",,,"54",,"98.64","0.18","1007.5","percent of total billed charges",,
"BODY BAG","0270","RC","Both",,,"182","91","UHC","Medicare Advantage",,,"54",,"98.64","0.18","1007.5","percent of total billed charges",,
"BODY BAG","0270","RC","Both",,,"182","91","Clover","Medicare Advantage",,,"54",,"98.64","0.18","1007.5","percent of total billed charges",,
"BODY BAG","0270","RC","Both",,,"182","91","Wellcare","Medicare Advantage",,,"54",,"98.64","0.18","1007.5","percent of total billed charges",,
"BODY BAG","0270","RC","Both",,,"182","91","Amerigroup","Medicaid Managed Care",,,"37",,"66.61","0.18","1007.5","percent of total billed charges",,
"BODY BAG","0270","RC","Both",,,"182","91","Caresource","Medicaid Managed Care",,,"40",,"72.8","0.18","1007.5","percent of total billed charges",,
"BODY BAG","0270","RC","Both",,,"182","91","Wellcare","Medicaid Managed Care",,,"40",,"73.71","0.18","1007.5","percent of total billed charges",,
"BODY BAG","0270","RC","Both",,,"182","91","Aetna","Commercial",,,"64",,"116.12","0.18","1007.5","percent of total billed charges",,
"BODY BAG","0270","RC","Both",,,"182","91","Blue Cross Blue Shield","Pathways",,,"71",,"128.49","0.18","1007.5","percent of total billed charges",,
"BODY BAG","0270","RC","Both",,,"182","91","Blue Cross Blue Shield","HMO",,,"71",,"128.49","0.18","1007.5","percent of total billed charges",,
"BODY BAG","0270","RC","Both",,,"182","91","Blue Cross Blue Shield","PPO",,,"71",,"128.49","0.18","1007.5","percent of total billed charges",,
"BODY BAG","0270","RC","Both",,,"182","91","Ambetter","Health Exchange",,,"62",,"112.84","0.18","1007.5","percent of total billed charges",,
"BODY BAG","0270","RC","Both",,,"182","91","Caresource","Health Exchange",,,"62",,"112.84","0.18","1007.5","percent of total billed charges",,
"BODY BAG","0270","RC","Both",,,"182","91","Cigna","Commercial",,,"59",,"106.65","0.18","1007.5","percent of total billed charges",,
"BODY BAG","0270","RC","Both",,,"182","91","Humana","Commercial",,,"78",,"141.05","0.18","1007.5","percent of total billed charges",,
"BODY BAG","0270","RC","Both",,,"182","91","UHC","Commercial",,,"75",,"137.23","0.18","1007.5","percent of total billed charges",,
"BODY BAG","0270","RC","Both",,,"182","91","Medicaid",,,,"37",,"66.61","0.18","1007.5","percent of total billed charges",,
"BURN SHEET","0270","RC","Both",,,"54.5","27.25","Alliant","Health Exchange",,,"62",,"33.79","0.18","1007.5","percent of total billed charges",,
"BURN SHEET","0270","RC","Both",,,"54.5","27.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"29.43","0.18","1007.5","percent of total billed charges",,
"BURN SHEET","0270","RC","Both",,,"54.5","27.25","Medicare",,,,"54",,"29.54","0.18","1007.5","percent of total billed charges",,
"BURN SHEET","0270","RC","Both",,,"54.5","27.25","Humana","Medicare Advantage",,,"54",,"29.54","0.18","1007.5","percent of total billed charges",,
"BURN SHEET","0270","RC","Both",,,"54.5","27.25","UHC","Medicare Advantage",,,"54",,"29.54","0.18","1007.5","percent of total billed charges",,
"BURN SHEET","0270","RC","Both",,,"54.5","27.25","Clover","Medicare Advantage",,,"54",,"29.54","0.18","1007.5","percent of total billed charges",,
"BURN SHEET","0270","RC","Both",,,"54.5","27.25","Wellcare","Medicare Advantage",,,"54",,"29.54","0.18","1007.5","percent of total billed charges",,
"BURN SHEET","0270","RC","Both",,,"54.5","27.25","Amerigroup","Medicaid Managed Care",,,"37",,"19.95","0.18","1007.5","percent of total billed charges",,
"BURN SHEET","0270","RC","Both",,,"54.5","27.25","Caresource","Medicaid Managed Care",,,"40",,"21.8","0.18","1007.5","percent of total billed charges",,
"BURN SHEET","0270","RC","Both",,,"54.5","27.25","Wellcare","Medicaid Managed Care",,,"40",,"22.07","0.18","1007.5","percent of total billed charges",,
"BURN SHEET","0270","RC","Both",,,"54.5","27.25","Aetna","Commercial",,,"64",,"34.77","0.18","1007.5","percent of total billed charges",,
"BURN SHEET","0270","RC","Both",,,"54.5","27.25","Blue Cross Blue Shield","Pathways",,,"71",,"38.48","0.18","1007.5","percent of total billed charges",,
"BURN SHEET","0270","RC","Both",,,"54.5","27.25","Blue Cross Blue Shield","HMO",,,"71",,"38.48","0.18","1007.5","percent of total billed charges",,
"BURN SHEET","0270","RC","Both",,,"54.5","27.25","Blue Cross Blue Shield","PPO",,,"71",,"38.48","0.18","1007.5","percent of total billed charges",,
"BURN SHEET","0270","RC","Both",,,"54.5","27.25","Ambetter","Health Exchange",,,"62",,"33.79","0.18","1007.5","percent of total billed charges",,
"BURN SHEET","0270","RC","Both",,,"54.5","27.25","Caresource","Health Exchange",,,"62",,"33.79","0.18","1007.5","percent of total billed charges",,
"BURN SHEET","0270","RC","Both",,,"54.5","27.25","Cigna","Commercial",,,"59",,"31.94","0.18","1007.5","percent of total billed charges",,
"BURN SHEET","0270","RC","Both",,,"54.5","27.25","Humana","Commercial",,,"78",,"42.24","0.18","1007.5","percent of total billed charges",,
"BURN SHEET","0270","RC","Both",,,"54.5","27.25","UHC","Commercial",,,"75",,"41.09","0.18","1007.5","percent of total billed charges",,
"BURN SHEET","0270","RC","Both",,,"54.5","27.25","Medicaid",,,,"37",,"19.95","0.18","1007.5","percent of total billed charges",,
"CARDIAC MONITOR QUICK LOOK","0391","RC","Both",,,"32","16","Alliant","Health Exchange",,,"62",,"19.84","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR QUICK LOOK","0391","RC","Both",,,"32","16","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.28","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR QUICK LOOK","0391","RC","Both",,,"32","16","Medicare",,,,"54",,"17.34","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR QUICK LOOK","0391","RC","Both",,,"32","16","Humana","Medicare Advantage",,,"54",,"17.34","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR QUICK LOOK","0391","RC","Both",,,"32","16","UHC","Medicare Advantage",,,"54",,"17.34","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR QUICK LOOK","0391","RC","Both",,,"32","16","Clover","Medicare Advantage",,,"54",,"17.34","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR QUICK LOOK","0391","RC","Both",,,"32","16","Wellcare","Medicare Advantage",,,"54",,"17.34","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR QUICK LOOK","0391","RC","Both",,,"32","16","Amerigroup","Medicaid Managed Care",,,"37",,"11.71","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR QUICK LOOK","0391","RC","Both",,,"32","16","Caresource","Medicaid Managed Care",,,"40",,"12.8","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR QUICK LOOK","0391","RC","Both",,,"32","16","Wellcare","Medicaid Managed Care",,,"40",,"12.96","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR QUICK LOOK","0391","RC","Both",,,"32","16","Aetna","Commercial",,,"64",,"20.42","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR QUICK LOOK","0391","RC","Both",,,"32","16","Blue Cross Blue Shield","Pathways",,,"71",,"22.59","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR QUICK LOOK","0391","RC","Both",,,"32","16","Blue Cross Blue Shield","HMO",,,"71",,"22.59","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR QUICK LOOK","0391","RC","Both",,,"32","16","Blue Cross Blue Shield","PPO",,,"71",,"22.59","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR QUICK LOOK","0391","RC","Both",,,"32","16","Ambetter","Health Exchange",,,"62",,"19.84","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR QUICK LOOK","0391","RC","Both",,,"32","16","Caresource","Health Exchange",,,"62",,"19.84","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR QUICK LOOK","0391","RC","Both",,,"32","16","Cigna","Commercial",,,"59",,"18.75","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR QUICK LOOK","0391","RC","Both",,,"32","16","Humana","Commercial",,,"78",,"24.8","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR QUICK LOOK","0391","RC","Both",,,"32","16","UHC","Commercial",,,"75",,"24.13","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR QUICK LOOK","0391","RC","Both",,,"32","16","Medicaid",,,,"37",,"11.71","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR CALL","0391","RC","Both",,,"87","43.5","Alliant","Health Exchange",,,"62",,"53.94","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR CALL","0391","RC","Both",,,"87","43.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"46.98","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR CALL","0391","RC","Both",,,"87","43.5","Medicare",,,,"54",,"47.15","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR CALL","0391","RC","Both",,,"87","43.5","Humana","Medicare Advantage",,,"54",,"47.15","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR CALL","0391","RC","Both",,,"87","43.5","UHC","Medicare Advantage",,,"54",,"47.15","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR CALL","0391","RC","Both",,,"87","43.5","Clover","Medicare Advantage",,,"54",,"47.15","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR CALL","0391","RC","Both",,,"87","43.5","Wellcare","Medicare Advantage",,,"54",,"47.15","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR CALL","0391","RC","Both",,,"87","43.5","Amerigroup","Medicaid Managed Care",,,"37",,"31.84","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR CALL","0391","RC","Both",,,"87","43.5","Caresource","Medicaid Managed Care",,,"40",,"34.8","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR CALL","0391","RC","Both",,,"87","43.5","Wellcare","Medicaid Managed Care",,,"40",,"35.24","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR CALL","0391","RC","Both",,,"87","43.5","Aetna","Commercial",,,"64",,"55.51","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR CALL","0391","RC","Both",,,"87","43.5","Blue Cross Blue Shield","Pathways",,,"71",,"61.42","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR CALL","0391","RC","Both",,,"87","43.5","Blue Cross Blue Shield","HMO",,,"71",,"61.42","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR CALL","0391","RC","Both",,,"87","43.5","Blue Cross Blue Shield","PPO",,,"71",,"61.42","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR CALL","0391","RC","Both",,,"87","43.5","Ambetter","Health Exchange",,,"62",,"53.94","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR CALL","0391","RC","Both",,,"87","43.5","Caresource","Health Exchange",,,"62",,"53.94","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR CALL","0391","RC","Both",,,"87","43.5","Cigna","Commercial",,,"59",,"50.98","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR CALL","0391","RC","Both",,,"87","43.5","Humana","Commercial",,,"78",,"67.42","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR CALL","0391","RC","Both",,,"87","43.5","UHC","Commercial",,,"75",,"65.6","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR CALL","0391","RC","Both",,,"87","43.5","Medicaid",,,,"37",,"31.84","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR TRANSFER","0391","RC","Both",,,"124.5","62.25","Alliant","Health Exchange",,,"62",,"77.19","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR TRANSFER","0391","RC","Both",,,"124.5","62.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"67.23","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR TRANSFER","0391","RC","Both",,,"124.5","62.25","Medicare",,,,"54",,"67.48","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR TRANSFER","0391","RC","Both",,,"124.5","62.25","Humana","Medicare Advantage",,,"54",,"67.48","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR TRANSFER","0391","RC","Both",,,"124.5","62.25","UHC","Medicare Advantage",,,"54",,"67.48","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR TRANSFER","0391","RC","Both",,,"124.5","62.25","Clover","Medicare Advantage",,,"54",,"67.48","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR TRANSFER","0391","RC","Both",,,"124.5","62.25","Wellcare","Medicare Advantage",,,"54",,"67.48","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR TRANSFER","0391","RC","Both",,,"124.5","62.25","Amerigroup","Medicaid Managed Care",,,"37",,"45.57","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR TRANSFER","0391","RC","Both",,,"124.5","62.25","Caresource","Medicaid Managed Care",,,"40",,"49.8","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR TRANSFER","0391","RC","Both",,,"124.5","62.25","Wellcare","Medicaid Managed Care",,,"40",,"50.42","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR TRANSFER","0391","RC","Both",,,"124.5","62.25","Aetna","Commercial",,,"64",,"79.43","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR TRANSFER","0391","RC","Both",,,"124.5","62.25","Blue Cross Blue Shield","Pathways",,,"71",,"87.9","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR TRANSFER","0391","RC","Both",,,"124.5","62.25","Blue Cross Blue Shield","HMO",,,"71",,"87.9","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR TRANSFER","0391","RC","Both",,,"124.5","62.25","Blue Cross Blue Shield","PPO",,,"71",,"87.9","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR TRANSFER","0391","RC","Both",,,"124.5","62.25","Ambetter","Health Exchange",,,"62",,"77.19","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR TRANSFER","0391","RC","Both",,,"124.5","62.25","Caresource","Health Exchange",,,"62",,"77.19","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR TRANSFER","0391","RC","Both",,,"124.5","62.25","Cigna","Commercial",,,"59",,"72.96","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR TRANSFER","0391","RC","Both",,,"124.5","62.25","Humana","Commercial",,,"78",,"96.49","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR TRANSFER","0391","RC","Both",,,"124.5","62.25","UHC","Commercial",,,"75",,"93.87","9.52","96.49","percent of total billed charges",,
"CARDIAC MONITOR TRANSFER","0391","RC","Both",,,"124.5","62.25","Medicaid",,,,"37",,"45.57","9.52","96.49","percent of total billed charges",,
"CARDIAC DEF/CARDIOVERSION","0391","RC","Both",,,"124.5","62.25","Alliant","Health Exchange",,,"62",,"77.19","9.52","96.49","percent of total billed charges",,
"CARDIAC DEF/CARDIOVERSION","0391","RC","Both",,,"124.5","62.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"67.23","9.52","96.49","percent of total billed charges",,
"CARDIAC DEF/CARDIOVERSION","0391","RC","Both",,,"124.5","62.25","Medicare",,,,"54",,"67.48","9.52","96.49","percent of total billed charges",,
"CARDIAC DEF/CARDIOVERSION","0391","RC","Both",,,"124.5","62.25","Humana","Medicare Advantage",,,"54",,"67.48","9.52","96.49","percent of total billed charges",,
"CARDIAC DEF/CARDIOVERSION","0391","RC","Both",,,"124.5","62.25","UHC","Medicare Advantage",,,"54",,"67.48","9.52","96.49","percent of total billed charges",,
"CARDIAC DEF/CARDIOVERSION","0391","RC","Both",,,"124.5","62.25","Clover","Medicare Advantage",,,"54",,"67.48","9.52","96.49","percent of total billed charges",,
"CARDIAC DEF/CARDIOVERSION","0391","RC","Both",,,"124.5","62.25","Wellcare","Medicare Advantage",,,"54",,"67.48","9.52","96.49","percent of total billed charges",,
"CARDIAC DEF/CARDIOVERSION","0391","RC","Both",,,"124.5","62.25","Amerigroup","Medicaid Managed Care",,,"37",,"45.57","9.52","96.49","percent of total billed charges",,
"CARDIAC DEF/CARDIOVERSION","0391","RC","Both",,,"124.5","62.25","Caresource","Medicaid Managed Care",,,"40",,"49.8","9.52","96.49","percent of total billed charges",,
"CARDIAC DEF/CARDIOVERSION","0391","RC","Both",,,"124.5","62.25","Wellcare","Medicaid Managed Care",,,"40",,"50.42","9.52","96.49","percent of total billed charges",,
"CARDIAC DEF/CARDIOVERSION","0391","RC","Both",,,"124.5","62.25","Aetna","Commercial",,,"64",,"79.43","9.52","96.49","percent of total billed charges",,
"CARDIAC DEF/CARDIOVERSION","0391","RC","Both",,,"124.5","62.25","Blue Cross Blue Shield","Pathways",,,"71",,"87.9","9.52","96.49","percent of total billed charges",,
"CARDIAC DEF/CARDIOVERSION","0391","RC","Both",,,"124.5","62.25","Blue Cross Blue Shield","HMO",,,"71",,"87.9","9.52","96.49","percent of total billed charges",,
"CARDIAC DEF/CARDIOVERSION","0391","RC","Both",,,"124.5","62.25","Blue Cross Blue Shield","PPO",,,"71",,"87.9","9.52","96.49","percent of total billed charges",,
"CARDIAC DEF/CARDIOVERSION","0391","RC","Both",,,"124.5","62.25","Ambetter","Health Exchange",,,"62",,"77.19","9.52","96.49","percent of total billed charges",,
"CARDIAC DEF/CARDIOVERSION","0391","RC","Both",,,"124.5","62.25","Caresource","Health Exchange",,,"62",,"77.19","9.52","96.49","percent of total billed charges",,
"CARDIAC DEF/CARDIOVERSION","0391","RC","Both",,,"124.5","62.25","Cigna","Commercial",,,"59",,"72.96","9.52","96.49","percent of total billed charges",,
"CARDIAC DEF/CARDIOVERSION","0391","RC","Both",,,"124.5","62.25","Humana","Commercial",,,"78",,"96.49","9.52","96.49","percent of total billed charges",,
"CARDIAC DEF/CARDIOVERSION","0391","RC","Both",,,"124.5","62.25","UHC","Commercial",,,"75",,"93.87","9.52","96.49","percent of total billed charges",,
"CARDIAC DEF/CARDIOVERSION","0391","RC","Both",,,"124.5","62.25","Medicaid",,,,"37",,"45.57","9.52","96.49","percent of total billed charges",,
"CERVICAL COLLAR FOAM","0270","RC","Both",,,"33","16.5","Alliant","Health Exchange",,,"62",,"20.46","0.18","1007.5","percent of total billed charges",,
"CERVICAL COLLAR FOAM","0270","RC","Both",,,"33","16.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.82","0.18","1007.5","percent of total billed charges",,
"CERVICAL COLLAR FOAM","0270","RC","Both",,,"33","16.5","Medicare",,,,"54",,"17.89","0.18","1007.5","percent of total billed charges",,
"CERVICAL COLLAR FOAM","0270","RC","Both",,,"33","16.5","Humana","Medicare Advantage",,,"54",,"17.89","0.18","1007.5","percent of total billed charges",,
"CERVICAL COLLAR FOAM","0270","RC","Both",,,"33","16.5","UHC","Medicare Advantage",,,"54",,"17.89","0.18","1007.5","percent of total billed charges",,
"CERVICAL COLLAR FOAM","0270","RC","Both",,,"33","16.5","Clover","Medicare Advantage",,,"54",,"17.89","0.18","1007.5","percent of total billed charges",,
"CERVICAL COLLAR FOAM","0270","RC","Both",,,"33","16.5","Wellcare","Medicare Advantage",,,"54",,"17.89","0.18","1007.5","percent of total billed charges",,
"CERVICAL COLLAR FOAM","0270","RC","Both",,,"33","16.5","Amerigroup","Medicaid Managed Care",,,"37",,"12.08","0.18","1007.5","percent of total billed charges",,
"CERVICAL COLLAR FOAM","0270","RC","Both",,,"33","16.5","Caresource","Medicaid Managed Care",,,"40",,"13.2","0.18","1007.5","percent of total billed charges",,
"CERVICAL COLLAR FOAM","0270","RC","Both",,,"33","16.5","Wellcare","Medicaid Managed Care",,,"40",,"13.36","0.18","1007.5","percent of total billed charges",,
"CERVICAL COLLAR FOAM","0270","RC","Both",,,"33","16.5","Aetna","Commercial",,,"64",,"21.05","0.18","1007.5","percent of total billed charges",,
"CERVICAL COLLAR FOAM","0270","RC","Both",,,"33","16.5","Blue Cross Blue Shield","Pathways",,,"71",,"23.3","0.18","1007.5","percent of total billed charges",,
"CERVICAL COLLAR FOAM","0270","RC","Both",,,"33","16.5","Blue Cross Blue Shield","HMO",,,"71",,"23.3","0.18","1007.5","percent of total billed charges",,
"CERVICAL COLLAR FOAM","0270","RC","Both",,,"33","16.5","Blue Cross Blue Shield","PPO",,,"71",,"23.3","0.18","1007.5","percent of total billed charges",,
"CERVICAL COLLAR FOAM","0270","RC","Both",,,"33","16.5","Ambetter","Health Exchange",,,"62",,"20.46","0.18","1007.5","percent of total billed charges",,
"CERVICAL COLLAR FOAM","0270","RC","Both",,,"33","16.5","Caresource","Health Exchange",,,"62",,"20.46","0.18","1007.5","percent of total billed charges",,
"CERVICAL COLLAR FOAM","0270","RC","Both",,,"33","16.5","Cigna","Commercial",,,"59",,"19.34","0.18","1007.5","percent of total billed charges",,
"CERVICAL COLLAR FOAM","0270","RC","Both",,,"33","16.5","Humana","Commercial",,,"78",,"25.58","0.18","1007.5","percent of total billed charges",,
"CERVICAL COLLAR FOAM","0270","RC","Both",,,"33","16.5","UHC","Commercial",,,"75",,"24.88","0.18","1007.5","percent of total billed charges",,
"CERVICAL COLLAR FOAM","0270","RC","Both",,,"33","16.5","Medicaid",,,,"37",,"12.08","0.18","1007.5","percent of total billed charges",,
"COLD PACK / HOT PACK","0270","RC","Both",,,"25.5","12.75","Alliant","Health Exchange",,,"62",,"15.81","0.18","1007.5","percent of total billed charges",,
"COLD PACK / HOT PACK","0270","RC","Both",,,"25.5","12.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"13.77","0.18","1007.5","percent of total billed charges",,
"COLD PACK / HOT PACK","0270","RC","Both",,,"25.5","12.75","Medicare",,,,"54",,"13.82","0.18","1007.5","percent of total billed charges",,
"COLD PACK / HOT PACK","0270","RC","Both",,,"25.5","12.75","Humana","Medicare Advantage",,,"54",,"13.82","0.18","1007.5","percent of total billed charges",,
"COLD PACK / HOT PACK","0270","RC","Both",,,"25.5","12.75","UHC","Medicare Advantage",,,"54",,"13.82","0.18","1007.5","percent of total billed charges",,
"COLD PACK / HOT PACK","0270","RC","Both",,,"25.5","12.75","Clover","Medicare Advantage",,,"54",,"13.82","0.18","1007.5","percent of total billed charges",,
"COLD PACK / HOT PACK","0270","RC","Both",,,"25.5","12.75","Wellcare","Medicare Advantage",,,"54",,"13.82","0.18","1007.5","percent of total billed charges",,
"COLD PACK / HOT PACK","0270","RC","Both",,,"25.5","12.75","Amerigroup","Medicaid Managed Care",,,"37",,"9.33","0.18","1007.5","percent of total billed charges",,
"COLD PACK / HOT PACK","0270","RC","Both",,,"25.5","12.75","Caresource","Medicaid Managed Care",,,"40",,"10.2","0.18","1007.5","percent of total billed charges",,
"COLD PACK / HOT PACK","0270","RC","Both",,,"25.5","12.75","Wellcare","Medicaid Managed Care",,,"40",,"10.33","0.18","1007.5","percent of total billed charges",,
"COLD PACK / HOT PACK","0270","RC","Both",,,"25.5","12.75","Aetna","Commercial",,,"64",,"16.27","0.18","1007.5","percent of total billed charges",,
"COLD PACK / HOT PACK","0270","RC","Both",,,"25.5","12.75","Blue Cross Blue Shield","Pathways",,,"71",,"18","0.18","1007.5","percent of total billed charges",,
"COLD PACK / HOT PACK","0270","RC","Both",,,"25.5","12.75","Blue Cross Blue Shield","HMO",,,"71",,"18","0.18","1007.5","percent of total billed charges",,
"COLD PACK / HOT PACK","0270","RC","Both",,,"25.5","12.75","Blue Cross Blue Shield","PPO",,,"71",,"18","0.18","1007.5","percent of total billed charges",,
"COLD PACK / HOT PACK","0270","RC","Both",,,"25.5","12.75","Ambetter","Health Exchange",,,"62",,"15.81","0.18","1007.5","percent of total billed charges",,
"COLD PACK / HOT PACK","0270","RC","Both",,,"25.5","12.75","Caresource","Health Exchange",,,"62",,"15.81","0.18","1007.5","percent of total billed charges",,
"COLD PACK / HOT PACK","0270","RC","Both",,,"25.5","12.75","Cigna","Commercial",,,"59",,"14.94","0.18","1007.5","percent of total billed charges",,
"COLD PACK / HOT PACK","0270","RC","Both",,,"25.5","12.75","Humana","Commercial",,,"78",,"19.76","0.18","1007.5","percent of total billed charges",,
"COLD PACK / HOT PACK","0270","RC","Both",,,"25.5","12.75","UHC","Commercial",,,"75",,"19.23","0.18","1007.5","percent of total billed charges",,
"COLD PACK / HOT PACK","0270","RC","Both",,,"25.5","12.75","Medicaid",,,,"37",,"9.33","0.18","1007.5","percent of total billed charges",,
"DEELEE SUCTION CATHETER","0270","RC","Both",,,"17.5","8.75","Alliant","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"DEELEE SUCTION CATHETER","0270","RC","Both",,,"17.5","8.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.45","0.18","1007.5","percent of total billed charges",,
"DEELEE SUCTION CATHETER","0270","RC","Both",,,"17.5","8.75","Medicare",,,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"DEELEE SUCTION CATHETER","0270","RC","Both",,,"17.5","8.75","Humana","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"DEELEE SUCTION CATHETER","0270","RC","Both",,,"17.5","8.75","UHC","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"DEELEE SUCTION CATHETER","0270","RC","Both",,,"17.5","8.75","Clover","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"DEELEE SUCTION CATHETER","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"DEELEE SUCTION CATHETER","0270","RC","Both",,,"17.5","8.75","Amerigroup","Medicaid Managed Care",,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"DEELEE SUCTION CATHETER","0270","RC","Both",,,"17.5","8.75","Caresource","Medicaid Managed Care",,,"40",,"7","0.18","1007.5","percent of total billed charges",,
"DEELEE SUCTION CATHETER","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicaid Managed Care",,,"40",,"7.09","0.18","1007.5","percent of total billed charges",,
"DEELEE SUCTION CATHETER","0270","RC","Both",,,"17.5","8.75","Aetna","Commercial",,,"64",,"11.16","0.18","1007.5","percent of total billed charges",,
"DEELEE SUCTION CATHETER","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","Pathways",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"DEELEE SUCTION CATHETER","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","HMO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"DEELEE SUCTION CATHETER","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","PPO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"DEELEE SUCTION CATHETER","0270","RC","Both",,,"17.5","8.75","Ambetter","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"DEELEE SUCTION CATHETER","0270","RC","Both",,,"17.5","8.75","Caresource","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"DEELEE SUCTION CATHETER","0270","RC","Both",,,"17.5","8.75","Cigna","Commercial",,,"59",,"10.26","0.18","1007.5","percent of total billed charges",,
"DEELEE SUCTION CATHETER","0270","RC","Both",,,"17.5","8.75","Humana","Commercial",,,"78",,"13.56","0.18","1007.5","percent of total billed charges",,
"DEELEE SUCTION CATHETER","0270","RC","Both",,,"17.5","8.75","UHC","Commercial",,,"75",,"13.2","0.18","1007.5","percent of total billed charges",,
"DEELEE SUCTION CATHETER","0270","RC","Both",,,"17.5","8.75","Medicaid",,,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"DEXTRO STIX","0270","RC","Both",,,"37","18.5","Alliant","Health Exchange",,,"62",,"22.94","0.18","1007.5","percent of total billed charges",,
"DEXTRO STIX","0270","RC","Both",,,"37","18.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.98","0.18","1007.5","percent of total billed charges",,
"DEXTRO STIX","0270","RC","Both",,,"37","18.5","Medicare",,,,"54",,"20.05","0.18","1007.5","percent of total billed charges",,
"DEXTRO STIX","0270","RC","Both",,,"37","18.5","Humana","Medicare Advantage",,,"54",,"20.05","0.18","1007.5","percent of total billed charges",,
"DEXTRO STIX","0270","RC","Both",,,"37","18.5","UHC","Medicare Advantage",,,"54",,"20.05","0.18","1007.5","percent of total billed charges",,
"DEXTRO STIX","0270","RC","Both",,,"37","18.5","Clover","Medicare Advantage",,,"54",,"20.05","0.18","1007.5","percent of total billed charges",,
"DEXTRO STIX","0270","RC","Both",,,"37","18.5","Wellcare","Medicare Advantage",,,"54",,"20.05","0.18","1007.5","percent of total billed charges",,
"DEXTRO STIX","0270","RC","Both",,,"37","18.5","Amerigroup","Medicaid Managed Care",,,"37",,"13.54","0.18","1007.5","percent of total billed charges",,
"DEXTRO STIX","0270","RC","Both",,,"37","18.5","Caresource","Medicaid Managed Care",,,"40",,"14.8","0.18","1007.5","percent of total billed charges",,
"DEXTRO STIX","0270","RC","Both",,,"37","18.5","Wellcare","Medicaid Managed Care",,,"40",,"14.99","0.18","1007.5","percent of total billed charges",,
"DEXTRO STIX","0270","RC","Both",,,"37","18.5","Aetna","Commercial",,,"64",,"23.61","0.18","1007.5","percent of total billed charges",,
"DEXTRO STIX","0270","RC","Both",,,"37","18.5","Blue Cross Blue Shield","Pathways",,,"71",,"26.12","0.18","1007.5","percent of total billed charges",,
"DEXTRO STIX","0270","RC","Both",,,"37","18.5","Blue Cross Blue Shield","HMO",,,"71",,"26.12","0.18","1007.5","percent of total billed charges",,
"DEXTRO STIX","0270","RC","Both",,,"37","18.5","Blue Cross Blue Shield","PPO",,,"71",,"26.12","0.18","1007.5","percent of total billed charges",,
"DEXTRO STIX","0270","RC","Both",,,"37","18.5","Ambetter","Health Exchange",,,"62",,"22.94","0.18","1007.5","percent of total billed charges",,
"DEXTRO STIX","0270","RC","Both",,,"37","18.5","Caresource","Health Exchange",,,"62",,"22.94","0.18","1007.5","percent of total billed charges",,
"DEXTRO STIX","0270","RC","Both",,,"37","18.5","Cigna","Commercial",,,"59",,"21.68","0.18","1007.5","percent of total billed charges",,
"DEXTRO STIX","0270","RC","Both",,,"37","18.5","Humana","Commercial",,,"78",,"28.68","0.18","1007.5","percent of total billed charges",,
"DEXTRO STIX","0270","RC","Both",,,"37","18.5","UHC","Commercial",,,"75",,"27.9","0.18","1007.5","percent of total billed charges",,
"DEXTRO STIX","0270","RC","Both",,,"37","18.5","Medicaid",,,,"37",,"13.54","0.18","1007.5","percent of total billed charges",,
"EAR SYRINGE","0270","RC","Both",,,"17.5","8.75","Alliant","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"EAR SYRINGE","0270","RC","Both",,,"17.5","8.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.45","0.18","1007.5","percent of total billed charges",,
"EAR SYRINGE","0270","RC","Both",,,"17.5","8.75","Medicare",,,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"EAR SYRINGE","0270","RC","Both",,,"17.5","8.75","Humana","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"EAR SYRINGE","0270","RC","Both",,,"17.5","8.75","UHC","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"EAR SYRINGE","0270","RC","Both",,,"17.5","8.75","Clover","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"EAR SYRINGE","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"EAR SYRINGE","0270","RC","Both",,,"17.5","8.75","Amerigroup","Medicaid Managed Care",,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"EAR SYRINGE","0270","RC","Both",,,"17.5","8.75","Caresource","Medicaid Managed Care",,,"40",,"7","0.18","1007.5","percent of total billed charges",,
"EAR SYRINGE","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicaid Managed Care",,,"40",,"7.09","0.18","1007.5","percent of total billed charges",,
"EAR SYRINGE","0270","RC","Both",,,"17.5","8.75","Aetna","Commercial",,,"64",,"11.16","0.18","1007.5","percent of total billed charges",,
"EAR SYRINGE","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","Pathways",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"EAR SYRINGE","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","HMO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"EAR SYRINGE","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","PPO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"EAR SYRINGE","0270","RC","Both",,,"17.5","8.75","Ambetter","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"EAR SYRINGE","0270","RC","Both",,,"17.5","8.75","Caresource","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"EAR SYRINGE","0270","RC","Both",,,"17.5","8.75","Cigna","Commercial",,,"59",,"10.26","0.18","1007.5","percent of total billed charges",,
"EAR SYRINGE","0270","RC","Both",,,"17.5","8.75","Humana","Commercial",,,"78",,"13.56","0.18","1007.5","percent of total billed charges",,
"EAR SYRINGE","0270","RC","Both",,,"17.5","8.75","UHC","Commercial",,,"75",,"13.2","0.18","1007.5","percent of total billed charges",,
"EAR SYRINGE","0270","RC","Both",,,"17.5","8.75","Medicaid",,,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"EMESIS BASIN","0270","RC","Both",,,"17.5","8.75","Alliant","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"EMESIS BASIN","0270","RC","Both",,,"17.5","8.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.45","0.18","1007.5","percent of total billed charges",,
"EMESIS BASIN","0270","RC","Both",,,"17.5","8.75","Medicare",,,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"EMESIS BASIN","0270","RC","Both",,,"17.5","8.75","Humana","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"EMESIS BASIN","0270","RC","Both",,,"17.5","8.75","UHC","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"EMESIS BASIN","0270","RC","Both",,,"17.5","8.75","Clover","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"EMESIS BASIN","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"EMESIS BASIN","0270","RC","Both",,,"17.5","8.75","Amerigroup","Medicaid Managed Care",,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"EMESIS BASIN","0270","RC","Both",,,"17.5","8.75","Caresource","Medicaid Managed Care",,,"40",,"7","0.18","1007.5","percent of total billed charges",,
"EMESIS BASIN","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicaid Managed Care",,,"40",,"7.09","0.18","1007.5","percent of total billed charges",,
"EMESIS BASIN","0270","RC","Both",,,"17.5","8.75","Aetna","Commercial",,,"64",,"11.16","0.18","1007.5","percent of total billed charges",,
"EMESIS BASIN","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","Pathways",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"EMESIS BASIN","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","HMO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"EMESIS BASIN","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","PPO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"EMESIS BASIN","0270","RC","Both",,,"17.5","8.75","Ambetter","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"EMESIS BASIN","0270","RC","Both",,,"17.5","8.75","Caresource","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"EMESIS BASIN","0270","RC","Both",,,"17.5","8.75","Cigna","Commercial",,,"59",,"10.26","0.18","1007.5","percent of total billed charges",,
"EMESIS BASIN","0270","RC","Both",,,"17.5","8.75","Humana","Commercial",,,"78",,"13.56","0.18","1007.5","percent of total billed charges",,
"EMESIS BASIN","0270","RC","Both",,,"17.5","8.75","UHC","Commercial",,,"75",,"13.2","0.18","1007.5","percent of total billed charges",,
"EMESIS BASIN","0270","RC","Both",,,"17.5","8.75","Medicaid",,,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"EOA (EGTA)","0270","RC","Both",,,"108.5","54.25","Alliant","Health Exchange",,,"62",,"67.27","0.18","1007.5","percent of total billed charges",,
"EOA (EGTA)","0270","RC","Both",,,"108.5","54.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"58.59","0.18","1007.5","percent of total billed charges",,
"EOA (EGTA)","0270","RC","Both",,,"108.5","54.25","Medicare",,,,"54",,"58.81","0.18","1007.5","percent of total billed charges",,
"EOA (EGTA)","0270","RC","Both",,,"108.5","54.25","Humana","Medicare Advantage",,,"54",,"58.81","0.18","1007.5","percent of total billed charges",,
"EOA (EGTA)","0270","RC","Both",,,"108.5","54.25","UHC","Medicare Advantage",,,"54",,"58.81","0.18","1007.5","percent of total billed charges",,
"EOA (EGTA)","0270","RC","Both",,,"108.5","54.25","Clover","Medicare Advantage",,,"54",,"58.81","0.18","1007.5","percent of total billed charges",,
"EOA (EGTA)","0270","RC","Both",,,"108.5","54.25","Wellcare","Medicare Advantage",,,"54",,"58.81","0.18","1007.5","percent of total billed charges",,
"EOA (EGTA)","0270","RC","Both",,,"108.5","54.25","Amerigroup","Medicaid Managed Care",,,"37",,"39.71","0.18","1007.5","percent of total billed charges",,
"EOA (EGTA)","0270","RC","Both",,,"108.5","54.25","Caresource","Medicaid Managed Care",,,"40",,"43.4","0.18","1007.5","percent of total billed charges",,
"EOA (EGTA)","0270","RC","Both",,,"108.5","54.25","Wellcare","Medicaid Managed Care",,,"40",,"43.94","0.18","1007.5","percent of total billed charges",,
"EOA (EGTA)","0270","RC","Both",,,"108.5","54.25","Aetna","Commercial",,,"64",,"69.22","0.18","1007.5","percent of total billed charges",,
"EOA (EGTA)","0270","RC","Both",,,"108.5","54.25","Blue Cross Blue Shield","Pathways",,,"71",,"76.6","0.18","1007.5","percent of total billed charges",,
"EOA (EGTA)","0270","RC","Both",,,"108.5","54.25","Blue Cross Blue Shield","HMO",,,"71",,"76.6","0.18","1007.5","percent of total billed charges",,
"EOA (EGTA)","0270","RC","Both",,,"108.5","54.25","Blue Cross Blue Shield","PPO",,,"71",,"76.6","0.18","1007.5","percent of total billed charges",,
"EOA (EGTA)","0270","RC","Both",,,"108.5","54.25","Ambetter","Health Exchange",,,"62",,"67.27","0.18","1007.5","percent of total billed charges",,
"EOA (EGTA)","0270","RC","Both",,,"108.5","54.25","Caresource","Health Exchange",,,"62",,"67.27","0.18","1007.5","percent of total billed charges",,
"EOA (EGTA)","0270","RC","Both",,,"108.5","54.25","Cigna","Commercial",,,"59",,"63.58","0.18","1007.5","percent of total billed charges",,
"EOA (EGTA)","0270","RC","Both",,,"108.5","54.25","Humana","Commercial",,,"78",,"84.09","0.18","1007.5","percent of total billed charges",,
"EOA (EGTA)","0270","RC","Both",,,"108.5","54.25","UHC","Commercial",,,"75",,"81.81","0.18","1007.5","percent of total billed charges",,
"EOA (EGTA)","0270","RC","Both",,,"108.5","54.25","Medicaid",,,,"37",,"39.71","0.18","1007.5","percent of total billed charges",,
"ET TUBES","0270","RC","Both",,,"52.5","26.25","Alliant","Health Exchange",,,"62",,"32.55","0.18","1007.5","percent of total billed charges",,
"ET TUBES","0270","RC","Both",,,"52.5","26.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.35","0.18","1007.5","percent of total billed charges",,
"ET TUBES","0270","RC","Both",,,"52.5","26.25","Medicare",,,,"54",,"28.46","0.18","1007.5","percent of total billed charges",,
"ET TUBES","0270","RC","Both",,,"52.5","26.25","Humana","Medicare Advantage",,,"54",,"28.46","0.18","1007.5","percent of total billed charges",,
"ET TUBES","0270","RC","Both",,,"52.5","26.25","UHC","Medicare Advantage",,,"54",,"28.46","0.18","1007.5","percent of total billed charges",,
"ET TUBES","0270","RC","Both",,,"52.5","26.25","Clover","Medicare Advantage",,,"54",,"28.46","0.18","1007.5","percent of total billed charges",,
"ET TUBES","0270","RC","Both",,,"52.5","26.25","Wellcare","Medicare Advantage",,,"54",,"28.46","0.18","1007.5","percent of total billed charges",,
"ET TUBES","0270","RC","Both",,,"52.5","26.25","Amerigroup","Medicaid Managed Care",,,"37",,"19.22","0.18","1007.5","percent of total billed charges",,
"ET TUBES","0270","RC","Both",,,"52.5","26.25","Caresource","Medicaid Managed Care",,,"40",,"21","0.18","1007.5","percent of total billed charges",,
"ET TUBES","0270","RC","Both",,,"52.5","26.25","Wellcare","Medicaid Managed Care",,,"40",,"21.26","0.18","1007.5","percent of total billed charges",,
"ET TUBES","0270","RC","Both",,,"52.5","26.25","Aetna","Commercial",,,"64",,"33.49","0.18","1007.5","percent of total billed charges",,
"ET TUBES","0270","RC","Both",,,"52.5","26.25","Blue Cross Blue Shield","Pathways",,,"71",,"37.06","0.18","1007.5","percent of total billed charges",,
"ET TUBES","0270","RC","Both",,,"52.5","26.25","Blue Cross Blue Shield","HMO",,,"71",,"37.06","0.18","1007.5","percent of total billed charges",,
"ET TUBES","0270","RC","Both",,,"52.5","26.25","Blue Cross Blue Shield","PPO",,,"71",,"37.06","0.18","1007.5","percent of total billed charges",,
"ET TUBES","0270","RC","Both",,,"52.5","26.25","Ambetter","Health Exchange",,,"62",,"32.55","0.18","1007.5","percent of total billed charges",,
"ET TUBES","0270","RC","Both",,,"52.5","26.25","Caresource","Health Exchange",,,"62",,"32.55","0.18","1007.5","percent of total billed charges",,
"ET TUBES","0270","RC","Both",,,"52.5","26.25","Cigna","Commercial",,,"59",,"30.76","0.18","1007.5","percent of total billed charges",,
"ET TUBES","0270","RC","Both",,,"52.5","26.25","Humana","Commercial",,,"78",,"40.69","0.18","1007.5","percent of total billed charges",,
"ET TUBES","0270","RC","Both",,,"52.5","26.25","UHC","Commercial",,,"75",,"39.58","0.18","1007.5","percent of total billed charges",,
"ET TUBES","0270","RC","Both",,,"52.5","26.25","Medicaid",,,,"37",,"19.22","0.18","1007.5","percent of total billed charges",,
"FIRE EXTINGUISHER","0990","RC","Both",,,"64.5","32.25","Alliant","Health Exchange",,,"62",,"39.99","4.76","49.99","percent of total billed charges",,
"FIRE EXTINGUISHER","0990","RC","Both",,,"64.5","32.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"34.83","4.76","49.99","percent of total billed charges",,
"FIRE EXTINGUISHER","0990","RC","Both",,,"64.5","32.25","Medicare",,,,"54",,"34.96","4.76","49.99","percent of total billed charges",,
"FIRE EXTINGUISHER","0990","RC","Both",,,"64.5","32.25","Humana","Medicare Advantage",,,"54",,"34.96","4.76","49.99","percent of total billed charges",,
"FIRE EXTINGUISHER","0990","RC","Both",,,"64.5","32.25","UHC","Medicare Advantage",,,"54",,"34.96","4.76","49.99","percent of total billed charges",,
"FIRE EXTINGUISHER","0990","RC","Both",,,"64.5","32.25","Clover","Medicare Advantage",,,"54",,"34.96","4.76","49.99","percent of total billed charges",,
"FIRE EXTINGUISHER","0990","RC","Both",,,"64.5","32.25","Wellcare","Medicare Advantage",,,"54",,"34.96","4.76","49.99","percent of total billed charges",,
"FIRE EXTINGUISHER","0990","RC","Both",,,"64.5","32.25","Amerigroup","Medicaid Managed Care",,,"37",,"23.61","4.76","49.99","percent of total billed charges",,
"FIRE EXTINGUISHER","0990","RC","Both",,,"64.5","32.25","Caresource","Medicaid Managed Care",,,"40",,"25.8","4.76","49.99","percent of total billed charges",,
"FIRE EXTINGUISHER","0990","RC","Both",,,"64.5","32.25","Wellcare","Medicaid Managed Care",,,"40",,"26.12","4.76","49.99","percent of total billed charges",,
"FIRE EXTINGUISHER","0990","RC","Both",,,"64.5","32.25","Aetna","Commercial",,,"64",,"41.15","4.76","49.99","percent of total billed charges",,
"FIRE EXTINGUISHER","0990","RC","Both",,,"64.5","32.25","Blue Cross Blue Shield","Pathways",,,"71",,"45.54","4.76","49.99","percent of total billed charges",,
"FIRE EXTINGUISHER","0990","RC","Both",,,"64.5","32.25","Blue Cross Blue Shield","HMO",,,"71",,"45.54","4.76","49.99","percent of total billed charges",,
"FIRE EXTINGUISHER","0990","RC","Both",,,"64.5","32.25","Blue Cross Blue Shield","PPO",,,"71",,"45.54","4.76","49.99","percent of total billed charges",,
"FIRE EXTINGUISHER","0990","RC","Both",,,"64.5","32.25","Ambetter","Health Exchange",,,"62",,"39.99","4.76","49.99","percent of total billed charges",,
"FIRE EXTINGUISHER","0990","RC","Both",,,"64.5","32.25","Caresource","Health Exchange",,,"62",,"39.99","4.76","49.99","percent of total billed charges",,
"FIRE EXTINGUISHER","0990","RC","Both",,,"64.5","32.25","Cigna","Commercial",,,"59",,"37.8","4.76","49.99","percent of total billed charges",,
"FIRE EXTINGUISHER","0990","RC","Both",,,"64.5","32.25","Humana","Commercial",,,"78",,"49.99","4.76","49.99","percent of total billed charges",,
"FIRE EXTINGUISHER","0990","RC","Both",,,"64.5","32.25","UHC","Commercial",,,"75",,"48.63","4.76","49.99","percent of total billed charges",,
"FIRE EXTINGUISHER","0990","RC","Both",,,"64.5","32.25","Medicaid",,,,"37",,"23.61","4.76","49.99","percent of total billed charges",,
"FOLEY CATHETER","0270","RC","Both",,,"57.5","28.75","Alliant","Health Exchange",,,"62",,"35.65","0.18","1007.5","percent of total billed charges",,
"FOLEY CATHETER","0270","RC","Both",,,"57.5","28.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"31.05","0.18","1007.5","percent of total billed charges",,
"FOLEY CATHETER","0270","RC","Both",,,"57.5","28.75","Medicare",,,,"54",,"31.17","0.18","1007.5","percent of total billed charges",,
"FOLEY CATHETER","0270","RC","Both",,,"57.5","28.75","Humana","Medicare Advantage",,,"54",,"31.17","0.18","1007.5","percent of total billed charges",,
"FOLEY CATHETER","0270","RC","Both",,,"57.5","28.75","UHC","Medicare Advantage",,,"54",,"31.17","0.18","1007.5","percent of total billed charges",,
"FOLEY CATHETER","0270","RC","Both",,,"57.5","28.75","Clover","Medicare Advantage",,,"54",,"31.17","0.18","1007.5","percent of total billed charges",,
"FOLEY CATHETER","0270","RC","Both",,,"57.5","28.75","Wellcare","Medicare Advantage",,,"54",,"31.17","0.18","1007.5","percent of total billed charges",,
"FOLEY CATHETER","0270","RC","Both",,,"57.5","28.75","Amerigroup","Medicaid Managed Care",,,"37",,"21.04","0.18","1007.5","percent of total billed charges",,
"FOLEY CATHETER","0270","RC","Both",,,"57.5","28.75","Caresource","Medicaid Managed Care",,,"40",,"23","0.18","1007.5","percent of total billed charges",,
"FOLEY CATHETER","0270","RC","Both",,,"57.5","28.75","Wellcare","Medicaid Managed Care",,,"40",,"23.29","0.18","1007.5","percent of total billed charges",,
"FOLEY CATHETER","0270","RC","Both",,,"57.5","28.75","Aetna","Commercial",,,"64",,"36.68","0.18","1007.5","percent of total billed charges",,
"FOLEY CATHETER","0270","RC","Both",,,"57.5","28.75","Blue Cross Blue Shield","Pathways",,,"71",,"40.6","0.18","1007.5","percent of total billed charges",,
"FOLEY CATHETER","0270","RC","Both",,,"57.5","28.75","Blue Cross Blue Shield","HMO",,,"71",,"40.6","0.18","1007.5","percent of total billed charges",,
"FOLEY CATHETER","0270","RC","Both",,,"57.5","28.75","Blue Cross Blue Shield","PPO",,,"71",,"40.6","0.18","1007.5","percent of total billed charges",,
"FOLEY CATHETER","0270","RC","Both",,,"57.5","28.75","Ambetter","Health Exchange",,,"62",,"35.65","0.18","1007.5","percent of total billed charges",,
"FOLEY CATHETER","0270","RC","Both",,,"57.5","28.75","Caresource","Health Exchange",,,"62",,"35.65","0.18","1007.5","percent of total billed charges",,
"FOLEY CATHETER","0270","RC","Both",,,"57.5","28.75","Cigna","Commercial",,,"59",,"33.7","0.18","1007.5","percent of total billed charges",,
"FOLEY CATHETER","0270","RC","Both",,,"57.5","28.75","Humana","Commercial",,,"78",,"44.56","0.18","1007.5","percent of total billed charges",,
"FOLEY CATHETER","0270","RC","Both",,,"57.5","28.75","UHC","Commercial",,,"75",,"43.36","0.18","1007.5","percent of total billed charges",,
"FOLEY CATHETER","0270","RC","Both",,,"57.5","28.75","Medicaid",,,,"37",,"21.04","0.18","1007.5","percent of total billed charges",,
"GLOVES (STERILE & NONSTERILE)","0270","RC","Both",,,"17.5","8.75","Alliant","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"GLOVES (STERILE & NONSTERILE)","0270","RC","Both",,,"17.5","8.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.45","0.18","1007.5","percent of total billed charges",,
"GLOVES (STERILE & NONSTERILE)","0270","RC","Both",,,"17.5","8.75","Medicare",,,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"GLOVES (STERILE & NONSTERILE)","0270","RC","Both",,,"17.5","8.75","Humana","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"GLOVES (STERILE & NONSTERILE)","0270","RC","Both",,,"17.5","8.75","UHC","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"GLOVES (STERILE & NONSTERILE)","0270","RC","Both",,,"17.5","8.75","Clover","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"GLOVES (STERILE & NONSTERILE)","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"GLOVES (STERILE & NONSTERILE)","0270","RC","Both",,,"17.5","8.75","Amerigroup","Medicaid Managed Care",,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"GLOVES (STERILE & NONSTERILE)","0270","RC","Both",,,"17.5","8.75","Caresource","Medicaid Managed Care",,,"40",,"7","0.18","1007.5","percent of total billed charges",,
"GLOVES (STERILE & NONSTERILE)","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicaid Managed Care",,,"40",,"7.09","0.18","1007.5","percent of total billed charges",,
"GLOVES (STERILE & NONSTERILE)","0270","RC","Both",,,"17.5","8.75","Aetna","Commercial",,,"64",,"11.16","0.18","1007.5","percent of total billed charges",,
"GLOVES (STERILE & NONSTERILE)","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","Pathways",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"GLOVES (STERILE & NONSTERILE)","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","HMO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"GLOVES (STERILE & NONSTERILE)","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","PPO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"GLOVES (STERILE & NONSTERILE)","0270","RC","Both",,,"17.5","8.75","Ambetter","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"GLOVES (STERILE & NONSTERILE)","0270","RC","Both",,,"17.5","8.75","Caresource","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"GLOVES (STERILE & NONSTERILE)","0270","RC","Both",,,"17.5","8.75","Cigna","Commercial",,,"59",,"10.26","0.18","1007.5","percent of total billed charges",,
"GLOVES (STERILE & NONSTERILE)","0270","RC","Both",,,"17.5","8.75","Humana","Commercial",,,"78",,"13.56","0.18","1007.5","percent of total billed charges",,
"GLOVES (STERILE & NONSTERILE)","0270","RC","Both",,,"17.5","8.75","UHC","Commercial",,,"75",,"13.2","0.18","1007.5","percent of total billed charges",,
"GLOVES (STERILE & NONSTERILE)","0270","RC","Both",,,"17.5","8.75","Medicaid",,,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"IRRIGATION TRAY W/ BULB SYRINGE","0270","RC","Both",,,"17.5","8.75","Alliant","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"IRRIGATION TRAY W/ BULB SYRINGE","0270","RC","Both",,,"17.5","8.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.45","0.18","1007.5","percent of total billed charges",,
"IRRIGATION TRAY W/ BULB SYRINGE","0270","RC","Both",,,"17.5","8.75","Medicare",,,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"IRRIGATION TRAY W/ BULB SYRINGE","0270","RC","Both",,,"17.5","8.75","Humana","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"IRRIGATION TRAY W/ BULB SYRINGE","0270","RC","Both",,,"17.5","8.75","UHC","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"IRRIGATION TRAY W/ BULB SYRINGE","0270","RC","Both",,,"17.5","8.75","Clover","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"IRRIGATION TRAY W/ BULB SYRINGE","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"IRRIGATION TRAY W/ BULB SYRINGE","0270","RC","Both",,,"17.5","8.75","Amerigroup","Medicaid Managed Care",,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"IRRIGATION TRAY W/ BULB SYRINGE","0270","RC","Both",,,"17.5","8.75","Caresource","Medicaid Managed Care",,,"40",,"7","0.18","1007.5","percent of total billed charges",,
"IRRIGATION TRAY W/ BULB SYRINGE","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicaid Managed Care",,,"40",,"7.09","0.18","1007.5","percent of total billed charges",,
"IRRIGATION TRAY W/ BULB SYRINGE","0270","RC","Both",,,"17.5","8.75","Aetna","Commercial",,,"64",,"11.16","0.18","1007.5","percent of total billed charges",,
"IRRIGATION TRAY W/ BULB SYRINGE","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","Pathways",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"IRRIGATION TRAY W/ BULB SYRINGE","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","HMO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"IRRIGATION TRAY W/ BULB SYRINGE","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","PPO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"IRRIGATION TRAY W/ BULB SYRINGE","0270","RC","Both",,,"17.5","8.75","Ambetter","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"IRRIGATION TRAY W/ BULB SYRINGE","0270","RC","Both",,,"17.5","8.75","Caresource","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"IRRIGATION TRAY W/ BULB SYRINGE","0270","RC","Both",,,"17.5","8.75","Cigna","Commercial",,,"59",,"10.26","0.18","1007.5","percent of total billed charges",,
"IRRIGATION TRAY W/ BULB SYRINGE","0270","RC","Both",,,"17.5","8.75","Humana","Commercial",,,"78",,"13.56","0.18","1007.5","percent of total billed charges",,
"IRRIGATION TRAY W/ BULB SYRINGE","0270","RC","Both",,,"17.5","8.75","UHC","Commercial",,,"75",,"13.2","0.18","1007.5","percent of total billed charges",,
"IRRIGATION TRAY W/ BULB SYRINGE","0270","RC","Both",,,"17.5","8.75","Medicaid",,,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"IRRIGATION OVERHEAD SET","0270","RC","Both",,,"30","15","Alliant","Health Exchange",,,"62",,"18.6","0.18","1007.5","percent of total billed charges",,
"IRRIGATION OVERHEAD SET","0270","RC","Both",,,"30","15","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.2","0.18","1007.5","percent of total billed charges",,
"IRRIGATION OVERHEAD SET","0270","RC","Both",,,"30","15","Medicare",,,,"54",,"16.26","0.18","1007.5","percent of total billed charges",,
"IRRIGATION OVERHEAD SET","0270","RC","Both",,,"30","15","Humana","Medicare Advantage",,,"54",,"16.26","0.18","1007.5","percent of total billed charges",,
"IRRIGATION OVERHEAD SET","0270","RC","Both",,,"30","15","UHC","Medicare Advantage",,,"54",,"16.26","0.18","1007.5","percent of total billed charges",,
"IRRIGATION OVERHEAD SET","0270","RC","Both",,,"30","15","Clover","Medicare Advantage",,,"54",,"16.26","0.18","1007.5","percent of total billed charges",,
"IRRIGATION OVERHEAD SET","0270","RC","Both",,,"30","15","Wellcare","Medicare Advantage",,,"54",,"16.26","0.18","1007.5","percent of total billed charges",,
"IRRIGATION OVERHEAD SET","0270","RC","Both",,,"30","15","Amerigroup","Medicaid Managed Care",,,"37",,"10.98","0.18","1007.5","percent of total billed charges",,
"IRRIGATION OVERHEAD SET","0270","RC","Both",,,"30","15","Caresource","Medicaid Managed Care",,,"40",,"12","0.18","1007.5","percent of total billed charges",,
"IRRIGATION OVERHEAD SET","0270","RC","Both",,,"30","15","Wellcare","Medicaid Managed Care",,,"40",,"12.15","0.18","1007.5","percent of total billed charges",,
"IRRIGATION OVERHEAD SET","0270","RC","Both",,,"30","15","Aetna","Commercial",,,"64",,"19.14","0.18","1007.5","percent of total billed charges",,
"IRRIGATION OVERHEAD SET","0270","RC","Both",,,"30","15","Blue Cross Blue Shield","Pathways",,,"71",,"21.18","0.18","1007.5","percent of total billed charges",,
"IRRIGATION OVERHEAD SET","0270","RC","Both",,,"30","15","Blue Cross Blue Shield","HMO",,,"71",,"21.18","0.18","1007.5","percent of total billed charges",,
"IRRIGATION OVERHEAD SET","0270","RC","Both",,,"30","15","Blue Cross Blue Shield","PPO",,,"71",,"21.18","0.18","1007.5","percent of total billed charges",,
"IRRIGATION OVERHEAD SET","0270","RC","Both",,,"30","15","Ambetter","Health Exchange",,,"62",,"18.6","0.18","1007.5","percent of total billed charges",,
"IRRIGATION OVERHEAD SET","0270","RC","Both",,,"30","15","Caresource","Health Exchange",,,"62",,"18.6","0.18","1007.5","percent of total billed charges",,
"IRRIGATION OVERHEAD SET","0270","RC","Both",,,"30","15","Cigna","Commercial",,,"59",,"17.58","0.18","1007.5","percent of total billed charges",,
"IRRIGATION OVERHEAD SET","0270","RC","Both",,,"30","15","Humana","Commercial",,,"78",,"23.25","0.18","1007.5","percent of total billed charges",,
"IRRIGATION OVERHEAD SET","0270","RC","Both",,,"30","15","UHC","Commercial",,,"75",,"22.62","0.18","1007.5","percent of total billed charges",,
"IRRIGATION OVERHEAD SET","0270","RC","Both",,,"30","15","Medicaid",,,,"37",,"10.98","0.18","1007.5","percent of total billed charges",,
"IRRIGATION-STERILE WATER","0270","RC","Both",,,"34","17","Alliant","Health Exchange",,,"62",,"21.08","0.18","1007.5","percent of total billed charges",,
"IRRIGATION-STERILE WATER","0270","RC","Both",,,"34","17","Pruitt Healthcare","Medicare Advantage",,,"54",,"18.36","0.18","1007.5","percent of total billed charges",,
"IRRIGATION-STERILE WATER","0270","RC","Both",,,"34","17","Medicare",,,,"54",,"18.43","0.18","1007.5","percent of total billed charges",,
"IRRIGATION-STERILE WATER","0270","RC","Both",,,"34","17","Humana","Medicare Advantage",,,"54",,"18.43","0.18","1007.5","percent of total billed charges",,
"IRRIGATION-STERILE WATER","0270","RC","Both",,,"34","17","UHC","Medicare Advantage",,,"54",,"18.43","0.18","1007.5","percent of total billed charges",,
"IRRIGATION-STERILE WATER","0270","RC","Both",,,"34","17","Clover","Medicare Advantage",,,"54",,"18.43","0.18","1007.5","percent of total billed charges",,
"IRRIGATION-STERILE WATER","0270","RC","Both",,,"34","17","Wellcare","Medicare Advantage",,,"54",,"18.43","0.18","1007.5","percent of total billed charges",,
"IRRIGATION-STERILE WATER","0270","RC","Both",,,"34","17","Amerigroup","Medicaid Managed Care",,,"37",,"12.44","0.18","1007.5","percent of total billed charges",,
"IRRIGATION-STERILE WATER","0270","RC","Both",,,"34","17","Caresource","Medicaid Managed Care",,,"40",,"13.6","0.18","1007.5","percent of total billed charges",,
"IRRIGATION-STERILE WATER","0270","RC","Both",,,"34","17","Wellcare","Medicaid Managed Care",,,"40",,"13.77","0.18","1007.5","percent of total billed charges",,
"IRRIGATION-STERILE WATER","0270","RC","Both",,,"34","17","Aetna","Commercial",,,"64",,"21.69","0.18","1007.5","percent of total billed charges",,
"IRRIGATION-STERILE WATER","0270","RC","Both",,,"34","17","Blue Cross Blue Shield","Pathways",,,"71",,"24","0.18","1007.5","percent of total billed charges",,
"IRRIGATION-STERILE WATER","0270","RC","Both",,,"34","17","Blue Cross Blue Shield","HMO",,,"71",,"24","0.18","1007.5","percent of total billed charges",,
"IRRIGATION-STERILE WATER","0270","RC","Both",,,"34","17","Blue Cross Blue Shield","PPO",,,"71",,"24","0.18","1007.5","percent of total billed charges",,
"IRRIGATION-STERILE WATER","0270","RC","Both",,,"34","17","Ambetter","Health Exchange",,,"62",,"21.08","0.18","1007.5","percent of total billed charges",,
"IRRIGATION-STERILE WATER","0270","RC","Both",,,"34","17","Caresource","Health Exchange",,,"62",,"21.08","0.18","1007.5","percent of total billed charges",,
"IRRIGATION-STERILE WATER","0270","RC","Both",,,"34","17","Cigna","Commercial",,,"59",,"19.92","0.18","1007.5","percent of total billed charges",,
"IRRIGATION-STERILE WATER","0270","RC","Both",,,"34","17","Humana","Commercial",,,"78",,"26.35","0.18","1007.5","percent of total billed charges",,
"IRRIGATION-STERILE WATER","0270","RC","Both",,,"34","17","UHC","Commercial",,,"75",,"25.64","0.18","1007.5","percent of total billed charges",,
"IRRIGATION-STERILE WATER","0270","RC","Both",,,"34","17","Medicaid",,,,"37",,"12.44","0.18","1007.5","percent of total billed charges",,
"IV SOLUSETS","0270","RC","Both",,,"32","16","Alliant","Health Exchange",,,"62",,"19.84","0.18","1007.5","percent of total billed charges",,
"IV SOLUSETS","0270","RC","Both",,,"32","16","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.28","0.18","1007.5","percent of total billed charges",,
"IV SOLUSETS","0270","RC","Both",,,"32","16","Medicare",,,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"IV SOLUSETS","0270","RC","Both",,,"32","16","Humana","Medicare Advantage",,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"IV SOLUSETS","0270","RC","Both",,,"32","16","UHC","Medicare Advantage",,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"IV SOLUSETS","0270","RC","Both",,,"32","16","Clover","Medicare Advantage",,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"IV SOLUSETS","0270","RC","Both",,,"32","16","Wellcare","Medicare Advantage",,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"IV SOLUSETS","0270","RC","Both",,,"32","16","Amerigroup","Medicaid Managed Care",,,"37",,"11.71","0.18","1007.5","percent of total billed charges",,
"IV SOLUSETS","0270","RC","Both",,,"32","16","Caresource","Medicaid Managed Care",,,"40",,"12.8","0.18","1007.5","percent of total billed charges",,
"IV SOLUSETS","0270","RC","Both",,,"32","16","Wellcare","Medicaid Managed Care",,,"40",,"12.96","0.18","1007.5","percent of total billed charges",,
"IV SOLUSETS","0270","RC","Both",,,"32","16","Aetna","Commercial",,,"64",,"20.42","0.18","1007.5","percent of total billed charges",,
"IV SOLUSETS","0270","RC","Both",,,"32","16","Blue Cross Blue Shield","Pathways",,,"71",,"22.59","0.18","1007.5","percent of total billed charges",,
"IV SOLUSETS","0270","RC","Both",,,"32","16","Blue Cross Blue Shield","HMO",,,"71",,"22.59","0.18","1007.5","percent of total billed charges",,
"IV SOLUSETS","0270","RC","Both",,,"32","16","Blue Cross Blue Shield","PPO",,,"71",,"22.59","0.18","1007.5","percent of total billed charges",,
"IV SOLUSETS","0270","RC","Both",,,"32","16","Ambetter","Health Exchange",,,"62",,"19.84","0.18","1007.5","percent of total billed charges",,
"IV SOLUSETS","0270","RC","Both",,,"32","16","Caresource","Health Exchange",,,"62",,"19.84","0.18","1007.5","percent of total billed charges",,
"IV SOLUSETS","0270","RC","Both",,,"32","16","Cigna","Commercial",,,"59",,"18.75","0.18","1007.5","percent of total billed charges",,
"IV SOLUSETS","0270","RC","Both",,,"32","16","Humana","Commercial",,,"78",,"24.8","0.18","1007.5","percent of total billed charges",,
"IV SOLUSETS","0270","RC","Both",,,"32","16","UHC","Commercial",,,"75",,"24.13","0.18","1007.5","percent of total billed charges",,
"IV SOLUSETS","0270","RC","Both",,,"32","16","Medicaid",,,,"37",,"11.71","0.18","1007.5","percent of total billed charges",,
"SUBCLAVIAN CATHETER","0270","RC","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","0.18","1007.5","percent of total billed charges",,
"SUBCLAVIAN CATHETER","0270","RC","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","0.18","1007.5","percent of total billed charges",,
"SUBCLAVIAN CATHETER","0270","RC","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","0.18","1007.5","percent of total billed charges",,
"SUBCLAVIAN CATHETER","0270","RC","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","0.18","1007.5","percent of total billed charges",,
"SUBCLAVIAN CATHETER","0270","RC","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","0.18","1007.5","percent of total billed charges",,
"SUBCLAVIAN CATHETER","0270","RC","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","0.18","1007.5","percent of total billed charges",,
"SUBCLAVIAN CATHETER","0270","RC","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","0.18","1007.5","percent of total billed charges",,
"SUBCLAVIAN CATHETER","0270","RC","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","0.18","1007.5","percent of total billed charges",,
"SUBCLAVIAN CATHETER","0270","RC","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","0.18","1007.5","percent of total billed charges",,
"SUBCLAVIAN CATHETER","0270","RC","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","0.18","1007.5","percent of total billed charges",,
"SUBCLAVIAN CATHETER","0270","RC","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","0.18","1007.5","percent of total billed charges",,
"SUBCLAVIAN CATHETER","0270","RC","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","0.18","1007.5","percent of total billed charges",,
"SUBCLAVIAN CATHETER","0270","RC","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","0.18","1007.5","percent of total billed charges",,
"SUBCLAVIAN CATHETER","0270","RC","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","0.18","1007.5","percent of total billed charges",,
"SUBCLAVIAN CATHETER","0270","RC","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","0.18","1007.5","percent of total billed charges",,
"SUBCLAVIAN CATHETER","0270","RC","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","0.18","1007.5","percent of total billed charges",,
"SUBCLAVIAN CATHETER","0270","RC","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","0.18","1007.5","percent of total billed charges",,
"SUBCLAVIAN CATHETER","0270","RC","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","0.18","1007.5","percent of total billed charges",,
"SUBCLAVIAN CATHETER","0270","RC","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","0.18","1007.5","percent of total billed charges",,
"SUBCLAVIAN CATHETER","0270","RC","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","0.18","1007.5","percent of total billed charges",,
"KLING 2","0270","RC","Both",,,"17.5","8.75","Alliant","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"KLING 2","0270","RC","Both",,,"17.5","8.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.45","0.18","1007.5","percent of total billed charges",,
"KLING 2","0270","RC","Both",,,"17.5","8.75","Medicare",,,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"KLING 2","0270","RC","Both",,,"17.5","8.75","Humana","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"KLING 2","0270","RC","Both",,,"17.5","8.75","UHC","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"KLING 2","0270","RC","Both",,,"17.5","8.75","Clover","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"KLING 2","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"KLING 2","0270","RC","Both",,,"17.5","8.75","Amerigroup","Medicaid Managed Care",,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"KLING 2","0270","RC","Both",,,"17.5","8.75","Caresource","Medicaid Managed Care",,,"40",,"7","0.18","1007.5","percent of total billed charges",,
"KLING 2","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicaid Managed Care",,,"40",,"7.09","0.18","1007.5","percent of total billed charges",,
"KLING 2","0270","RC","Both",,,"17.5","8.75","Aetna","Commercial",,,"64",,"11.16","0.18","1007.5","percent of total billed charges",,
"KLING 2","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","Pathways",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"KLING 2","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","HMO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"KLING 2","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","PPO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"KLING 2","0270","RC","Both",,,"17.5","8.75","Ambetter","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"KLING 2","0270","RC","Both",,,"17.5","8.75","Caresource","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"KLING 2","0270","RC","Both",,,"17.5","8.75","Cigna","Commercial",,,"59",,"10.26","0.18","1007.5","percent of total billed charges",,
"KLING 2","0270","RC","Both",,,"17.5","8.75","Humana","Commercial",,,"78",,"13.56","0.18","1007.5","percent of total billed charges",,
"KLING 2","0270","RC","Both",,,"17.5","8.75","UHC","Commercial",,,"75",,"13.2","0.18","1007.5","percent of total billed charges",,
"KLING 2","0270","RC","Both",,,"17.5","8.75","Medicaid",,,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"KLING 3","0270","RC","Both",,,"17.5","8.75","Alliant","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"KLING 3","0270","RC","Both",,,"17.5","8.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.45","0.18","1007.5","percent of total billed charges",,
"KLING 3","0270","RC","Both",,,"17.5","8.75","Medicare",,,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"KLING 3","0270","RC","Both",,,"17.5","8.75","Humana","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"KLING 3","0270","RC","Both",,,"17.5","8.75","UHC","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"KLING 3","0270","RC","Both",,,"17.5","8.75","Clover","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"KLING 3","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"KLING 3","0270","RC","Both",,,"17.5","8.75","Amerigroup","Medicaid Managed Care",,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"KLING 3","0270","RC","Both",,,"17.5","8.75","Caresource","Medicaid Managed Care",,,"40",,"7","0.18","1007.5","percent of total billed charges",,
"KLING 3","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicaid Managed Care",,,"40",,"7.09","0.18","1007.5","percent of total billed charges",,
"KLING 3","0270","RC","Both",,,"17.5","8.75","Aetna","Commercial",,,"64",,"11.16","0.18","1007.5","percent of total billed charges",,
"KLING 3","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","Pathways",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"KLING 3","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","HMO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"KLING 3","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","PPO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"KLING 3","0270","RC","Both",,,"17.5","8.75","Ambetter","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"KLING 3","0270","RC","Both",,,"17.5","8.75","Caresource","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"KLING 3","0270","RC","Both",,,"17.5","8.75","Cigna","Commercial",,,"59",,"10.26","0.18","1007.5","percent of total billed charges",,
"KLING 3","0270","RC","Both",,,"17.5","8.75","Humana","Commercial",,,"78",,"13.56","0.18","1007.5","percent of total billed charges",,
"KLING 3","0270","RC","Both",,,"17.5","8.75","UHC","Commercial",,,"75",,"13.2","0.18","1007.5","percent of total billed charges",,
"KLING 3","0270","RC","Both",,,"17.5","8.75","Medicaid",,,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"KLING 4","0270","RC","Both",,,"17.5","8.75","Alliant","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"KLING 4","0270","RC","Both",,,"17.5","8.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.45","0.18","1007.5","percent of total billed charges",,
"KLING 4","0270","RC","Both",,,"17.5","8.75","Medicare",,,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"KLING 4","0270","RC","Both",,,"17.5","8.75","Humana","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"KLING 4","0270","RC","Both",,,"17.5","8.75","UHC","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"KLING 4","0270","RC","Both",,,"17.5","8.75","Clover","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"KLING 4","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"KLING 4","0270","RC","Both",,,"17.5","8.75","Amerigroup","Medicaid Managed Care",,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"KLING 4","0270","RC","Both",,,"17.5","8.75","Caresource","Medicaid Managed Care",,,"40",,"7","0.18","1007.5","percent of total billed charges",,
"KLING 4","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicaid Managed Care",,,"40",,"7.09","0.18","1007.5","percent of total billed charges",,
"KLING 4","0270","RC","Both",,,"17.5","8.75","Aetna","Commercial",,,"64",,"11.16","0.18","1007.5","percent of total billed charges",,
"KLING 4","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","Pathways",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"KLING 4","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","HMO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"KLING 4","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","PPO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"KLING 4","0270","RC","Both",,,"17.5","8.75","Ambetter","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"KLING 4","0270","RC","Both",,,"17.5","8.75","Caresource","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"KLING 4","0270","RC","Both",,,"17.5","8.75","Cigna","Commercial",,,"59",,"10.26","0.18","1007.5","percent of total billed charges",,
"KLING 4","0270","RC","Both",,,"17.5","8.75","Humana","Commercial",,,"78",,"13.56","0.18","1007.5","percent of total billed charges",,
"KLING 4","0270","RC","Both",,,"17.5","8.75","UHC","Commercial",,,"75",,"13.2","0.18","1007.5","percent of total billed charges",,
"KLING 4","0270","RC","Both",,,"17.5","8.75","Medicaid",,,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"KLING 6","0270","RC","Both",,,"17.5","8.75","Alliant","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"KLING 6","0270","RC","Both",,,"17.5","8.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.45","0.18","1007.5","percent of total billed charges",,
"KLING 6","0270","RC","Both",,,"17.5","8.75","Medicare",,,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"KLING 6","0270","RC","Both",,,"17.5","8.75","Humana","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"KLING 6","0270","RC","Both",,,"17.5","8.75","UHC","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"KLING 6","0270","RC","Both",,,"17.5","8.75","Clover","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"KLING 6","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"KLING 6","0270","RC","Both",,,"17.5","8.75","Amerigroup","Medicaid Managed Care",,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"KLING 6","0270","RC","Both",,,"17.5","8.75","Caresource","Medicaid Managed Care",,,"40",,"7","0.18","1007.5","percent of total billed charges",,
"KLING 6","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicaid Managed Care",,,"40",,"7.09","0.18","1007.5","percent of total billed charges",,
"KLING 6","0270","RC","Both",,,"17.5","8.75","Aetna","Commercial",,,"64",,"11.16","0.18","1007.5","percent of total billed charges",,
"KLING 6","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","Pathways",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"KLING 6","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","HMO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"KLING 6","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","PPO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"KLING 6","0270","RC","Both",,,"17.5","8.75","Ambetter","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"KLING 6","0270","RC","Both",,,"17.5","8.75","Caresource","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"KLING 6","0270","RC","Both",,,"17.5","8.75","Cigna","Commercial",,,"59",,"10.26","0.18","1007.5","percent of total billed charges",,
"KLING 6","0270","RC","Both",,,"17.5","8.75","Humana","Commercial",,,"78",,"13.56","0.18","1007.5","percent of total billed charges",,
"KLING 6","0270","RC","Both",,,"17.5","8.75","UHC","Commercial",,,"75",,"13.2","0.18","1007.5","percent of total billed charges",,
"KLING 6","0270","RC","Both",,,"17.5","8.75","Medicaid",,,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"*DO NOT USE","0270","RC","Both",,,"17.5","8.75","Alliant","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"*DO NOT USE","0270","RC","Both",,,"17.5","8.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.45","0.18","1007.5","percent of total billed charges",,
"*DO NOT USE","0270","RC","Both",,,"17.5","8.75","Medicare",,,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"*DO NOT USE","0270","RC","Both",,,"17.5","8.75","Humana","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"*DO NOT USE","0270","RC","Both",,,"17.5","8.75","UHC","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"*DO NOT USE","0270","RC","Both",,,"17.5","8.75","Clover","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"*DO NOT USE","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"*DO NOT USE","0270","RC","Both",,,"17.5","8.75","Amerigroup","Medicaid Managed Care",,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"*DO NOT USE","0270","RC","Both",,,"17.5","8.75","Caresource","Medicaid Managed Care",,,"40",,"7","0.18","1007.5","percent of total billed charges",,
"*DO NOT USE","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicaid Managed Care",,,"40",,"7.09","0.18","1007.5","percent of total billed charges",,
"*DO NOT USE","0270","RC","Both",,,"17.5","8.75","Aetna","Commercial",,,"64",,"11.16","0.18","1007.5","percent of total billed charges",,
"*DO NOT USE","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","Pathways",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"*DO NOT USE","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","HMO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"*DO NOT USE","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","PPO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"*DO NOT USE","0270","RC","Both",,,"17.5","8.75","Ambetter","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"*DO NOT USE","0270","RC","Both",,,"17.5","8.75","Caresource","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"*DO NOT USE","0270","RC","Both",,,"17.5","8.75","Cigna","Commercial",,,"59",,"10.26","0.18","1007.5","percent of total billed charges",,
"*DO NOT USE","0270","RC","Both",,,"17.5","8.75","Humana","Commercial",,,"78",,"13.56","0.18","1007.5","percent of total billed charges",,
"*DO NOT USE","0270","RC","Both",,,"17.5","8.75","UHC","Commercial",,,"75",,"13.2","0.18","1007.5","percent of total billed charges",,
"*DO NOT USE","0270","RC","Both",,,"17.5","8.75","Medicaid",,,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"*DO NOT USE","0270","RC","Both",,,"17.5","8.75","Alliant","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"*DO NOT USE","0270","RC","Both",,,"17.5","8.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.45","0.18","1007.5","percent of total billed charges",,
"*DO NOT USE","0270","RC","Both",,,"17.5","8.75","Medicare",,,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"*DO NOT USE","0270","RC","Both",,,"17.5","8.75","Humana","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"*DO NOT USE","0270","RC","Both",,,"17.5","8.75","UHC","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"*DO NOT USE","0270","RC","Both",,,"17.5","8.75","Clover","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"*DO NOT USE","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"*DO NOT USE","0270","RC","Both",,,"17.5","8.75","Amerigroup","Medicaid Managed Care",,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"*DO NOT USE","0270","RC","Both",,,"17.5","8.75","Caresource","Medicaid Managed Care",,,"40",,"7","0.18","1007.5","percent of total billed charges",,
"*DO NOT USE","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicaid Managed Care",,,"40",,"7.09","0.18","1007.5","percent of total billed charges",,
"*DO NOT USE","0270","RC","Both",,,"17.5","8.75","Aetna","Commercial",,,"64",,"11.16","0.18","1007.5","percent of total billed charges",,
"*DO NOT USE","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","Pathways",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"*DO NOT USE","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","HMO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"*DO NOT USE","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","PPO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"*DO NOT USE","0270","RC","Both",,,"17.5","8.75","Ambetter","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"*DO NOT USE","0270","RC","Both",,,"17.5","8.75","Caresource","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"*DO NOT USE","0270","RC","Both",,,"17.5","8.75","Cigna","Commercial",,,"59",,"10.26","0.18","1007.5","percent of total billed charges",,
"*DO NOT USE","0270","RC","Both",,,"17.5","8.75","Humana","Commercial",,,"78",,"13.56","0.18","1007.5","percent of total billed charges",,
"*DO NOT USE","0270","RC","Both",,,"17.5","8.75","UHC","Commercial",,,"75",,"13.2","0.18","1007.5","percent of total billed charges",,
"*DO NOT USE","0270","RC","Both",,,"17.5","8.75","Medicaid",,,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"MCSWAIN DART","0270","RC","Both",,,"124.5","62.25","Alliant","Health Exchange",,,"62",,"77.19","0.18","1007.5","percent of total billed charges",,
"MCSWAIN DART","0270","RC","Both",,,"124.5","62.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"67.23","0.18","1007.5","percent of total billed charges",,
"MCSWAIN DART","0270","RC","Both",,,"124.5","62.25","Medicare",,,,"54",,"67.48","0.18","1007.5","percent of total billed charges",,
"MCSWAIN DART","0270","RC","Both",,,"124.5","62.25","Humana","Medicare Advantage",,,"54",,"67.48","0.18","1007.5","percent of total billed charges",,
"MCSWAIN DART","0270","RC","Both",,,"124.5","62.25","UHC","Medicare Advantage",,,"54",,"67.48","0.18","1007.5","percent of total billed charges",,
"MCSWAIN DART","0270","RC","Both",,,"124.5","62.25","Clover","Medicare Advantage",,,"54",,"67.48","0.18","1007.5","percent of total billed charges",,
"MCSWAIN DART","0270","RC","Both",,,"124.5","62.25","Wellcare","Medicare Advantage",,,"54",,"67.48","0.18","1007.5","percent of total billed charges",,
"MCSWAIN DART","0270","RC","Both",,,"124.5","62.25","Amerigroup","Medicaid Managed Care",,,"37",,"45.57","0.18","1007.5","percent of total billed charges",,
"MCSWAIN DART","0270","RC","Both",,,"124.5","62.25","Caresource","Medicaid Managed Care",,,"40",,"49.8","0.18","1007.5","percent of total billed charges",,
"MCSWAIN DART","0270","RC","Both",,,"124.5","62.25","Wellcare","Medicaid Managed Care",,,"40",,"50.42","0.18","1007.5","percent of total billed charges",,
"MCSWAIN DART","0270","RC","Both",,,"124.5","62.25","Aetna","Commercial",,,"64",,"79.43","0.18","1007.5","percent of total billed charges",,
"MCSWAIN DART","0270","RC","Both",,,"124.5","62.25","Blue Cross Blue Shield","Pathways",,,"71",,"87.9","0.18","1007.5","percent of total billed charges",,
"MCSWAIN DART","0270","RC","Both",,,"124.5","62.25","Blue Cross Blue Shield","HMO",,,"71",,"87.9","0.18","1007.5","percent of total billed charges",,
"MCSWAIN DART","0270","RC","Both",,,"124.5","62.25","Blue Cross Blue Shield","PPO",,,"71",,"87.9","0.18","1007.5","percent of total billed charges",,
"MCSWAIN DART","0270","RC","Both",,,"124.5","62.25","Ambetter","Health Exchange",,,"62",,"77.19","0.18","1007.5","percent of total billed charges",,
"MCSWAIN DART","0270","RC","Both",,,"124.5","62.25","Caresource","Health Exchange",,,"62",,"77.19","0.18","1007.5","percent of total billed charges",,
"MCSWAIN DART","0270","RC","Both",,,"124.5","62.25","Cigna","Commercial",,,"59",,"72.96","0.18","1007.5","percent of total billed charges",,
"MCSWAIN DART","0270","RC","Both",,,"124.5","62.25","Humana","Commercial",,,"78",,"96.49","0.18","1007.5","percent of total billed charges",,
"MCSWAIN DART","0270","RC","Both",,,"124.5","62.25","UHC","Commercial",,,"75",,"93.87","0.18","1007.5","percent of total billed charges",,
"MCSWAIN DART","0270","RC","Both",,,"124.5","62.25","Medicaid",,,,"37",,"45.57","0.18","1007.5","percent of total billed charges",,
"MAST TROUSERS (USE OF)","0270","RC","Both",,,"124.5","62.25","Alliant","Health Exchange",,,"62",,"77.19","0.18","1007.5","percent of total billed charges",,
"MAST TROUSERS (USE OF)","0270","RC","Both",,,"124.5","62.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"67.23","0.18","1007.5","percent of total billed charges",,
"MAST TROUSERS (USE OF)","0270","RC","Both",,,"124.5","62.25","Medicare",,,,"54",,"67.48","0.18","1007.5","percent of total billed charges",,
"MAST TROUSERS (USE OF)","0270","RC","Both",,,"124.5","62.25","Humana","Medicare Advantage",,,"54",,"67.48","0.18","1007.5","percent of total billed charges",,
"MAST TROUSERS (USE OF)","0270","RC","Both",,,"124.5","62.25","UHC","Medicare Advantage",,,"54",,"67.48","0.18","1007.5","percent of total billed charges",,
"MAST TROUSERS (USE OF)","0270","RC","Both",,,"124.5","62.25","Clover","Medicare Advantage",,,"54",,"67.48","0.18","1007.5","percent of total billed charges",,
"MAST TROUSERS (USE OF)","0270","RC","Both",,,"124.5","62.25","Wellcare","Medicare Advantage",,,"54",,"67.48","0.18","1007.5","percent of total billed charges",,
"MAST TROUSERS (USE OF)","0270","RC","Both",,,"124.5","62.25","Amerigroup","Medicaid Managed Care",,,"37",,"45.57","0.18","1007.5","percent of total billed charges",,
"MAST TROUSERS (USE OF)","0270","RC","Both",,,"124.5","62.25","Caresource","Medicaid Managed Care",,,"40",,"49.8","0.18","1007.5","percent of total billed charges",,
"MAST TROUSERS (USE OF)","0270","RC","Both",,,"124.5","62.25","Wellcare","Medicaid Managed Care",,,"40",,"50.42","0.18","1007.5","percent of total billed charges",,
"MAST TROUSERS (USE OF)","0270","RC","Both",,,"124.5","62.25","Aetna","Commercial",,,"64",,"79.43","0.18","1007.5","percent of total billed charges",,
"MAST TROUSERS (USE OF)","0270","RC","Both",,,"124.5","62.25","Blue Cross Blue Shield","Pathways",,,"71",,"87.9","0.18","1007.5","percent of total billed charges",,
"MAST TROUSERS (USE OF)","0270","RC","Both",,,"124.5","62.25","Blue Cross Blue Shield","HMO",,,"71",,"87.9","0.18","1007.5","percent of total billed charges",,
"MAST TROUSERS (USE OF)","0270","RC","Both",,,"124.5","62.25","Blue Cross Blue Shield","PPO",,,"71",,"87.9","0.18","1007.5","percent of total billed charges",,
"MAST TROUSERS (USE OF)","0270","RC","Both",,,"124.5","62.25","Ambetter","Health Exchange",,,"62",,"77.19","0.18","1007.5","percent of total billed charges",,
"MAST TROUSERS (USE OF)","0270","RC","Both",,,"124.5","62.25","Caresource","Health Exchange",,,"62",,"77.19","0.18","1007.5","percent of total billed charges",,
"MAST TROUSERS (USE OF)","0270","RC","Both",,,"124.5","62.25","Cigna","Commercial",,,"59",,"72.96","0.18","1007.5","percent of total billed charges",,
"MAST TROUSERS (USE OF)","0270","RC","Both",,,"124.5","62.25","Humana","Commercial",,,"78",,"96.49","0.18","1007.5","percent of total billed charges",,
"MAST TROUSERS (USE OF)","0270","RC","Both",,,"124.5","62.25","UHC","Commercial",,,"75",,"93.87","0.18","1007.5","percent of total billed charges",,
"MAST TROUSERS (USE OF)","0270","RC","Both",,,"124.5","62.25","Medicaid",,,,"37",,"45.57","0.18","1007.5","percent of total billed charges",,
"MULTI-TRAUMA/UNIVERSAL DRESSING","0270","RC","Both",,,"18.5","9.25","Alliant","Health Exchange",,,"62",,"11.47","0.18","1007.5","percent of total billed charges",,
"MULTI-TRAUMA/UNIVERSAL DRESSING","0270","RC","Both",,,"18.5","9.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.99","0.18","1007.5","percent of total billed charges",,
"MULTI-TRAUMA/UNIVERSAL DRESSING","0270","RC","Both",,,"18.5","9.25","Medicare",,,,"54",,"10.03","0.18","1007.5","percent of total billed charges",,
"MULTI-TRAUMA/UNIVERSAL DRESSING","0270","RC","Both",,,"18.5","9.25","Humana","Medicare Advantage",,,"54",,"10.03","0.18","1007.5","percent of total billed charges",,
"MULTI-TRAUMA/UNIVERSAL DRESSING","0270","RC","Both",,,"18.5","9.25","UHC","Medicare Advantage",,,"54",,"10.03","0.18","1007.5","percent of total billed charges",,
"MULTI-TRAUMA/UNIVERSAL DRESSING","0270","RC","Both",,,"18.5","9.25","Clover","Medicare Advantage",,,"54",,"10.03","0.18","1007.5","percent of total billed charges",,
"MULTI-TRAUMA/UNIVERSAL DRESSING","0270","RC","Both",,,"18.5","9.25","Wellcare","Medicare Advantage",,,"54",,"10.03","0.18","1007.5","percent of total billed charges",,
"MULTI-TRAUMA/UNIVERSAL DRESSING","0270","RC","Both",,,"18.5","9.25","Amerigroup","Medicaid Managed Care",,,"37",,"6.77","0.18","1007.5","percent of total billed charges",,
"MULTI-TRAUMA/UNIVERSAL DRESSING","0270","RC","Both",,,"18.5","9.25","Caresource","Medicaid Managed Care",,,"40",,"7.4","0.18","1007.5","percent of total billed charges",,
"MULTI-TRAUMA/UNIVERSAL DRESSING","0270","RC","Both",,,"18.5","9.25","Wellcare","Medicaid Managed Care",,,"40",,"7.49","0.18","1007.5","percent of total billed charges",,
"MULTI-TRAUMA/UNIVERSAL DRESSING","0270","RC","Both",,,"18.5","9.25","Aetna","Commercial",,,"64",,"11.8","0.18","1007.5","percent of total billed charges",,
"MULTI-TRAUMA/UNIVERSAL DRESSING","0270","RC","Both",,,"18.5","9.25","Blue Cross Blue Shield","Pathways",,,"71",,"13.06","0.18","1007.5","percent of total billed charges",,
"MULTI-TRAUMA/UNIVERSAL DRESSING","0270","RC","Both",,,"18.5","9.25","Blue Cross Blue Shield","HMO",,,"71",,"13.06","0.18","1007.5","percent of total billed charges",,
"MULTI-TRAUMA/UNIVERSAL DRESSING","0270","RC","Both",,,"18.5","9.25","Blue Cross Blue Shield","PPO",,,"71",,"13.06","0.18","1007.5","percent of total billed charges",,
"MULTI-TRAUMA/UNIVERSAL DRESSING","0270","RC","Both",,,"18.5","9.25","Ambetter","Health Exchange",,,"62",,"11.47","0.18","1007.5","percent of total billed charges",,
"MULTI-TRAUMA/UNIVERSAL DRESSING","0270","RC","Both",,,"18.5","9.25","Caresource","Health Exchange",,,"62",,"11.47","0.18","1007.5","percent of total billed charges",,
"MULTI-TRAUMA/UNIVERSAL DRESSING","0270","RC","Both",,,"18.5","9.25","Cigna","Commercial",,,"59",,"10.84","0.18","1007.5","percent of total billed charges",,
"MULTI-TRAUMA/UNIVERSAL DRESSING","0270","RC","Both",,,"18.5","9.25","Humana","Commercial",,,"78",,"14.34","0.18","1007.5","percent of total billed charges",,
"MULTI-TRAUMA/UNIVERSAL DRESSING","0270","RC","Both",,,"18.5","9.25","UHC","Commercial",,,"75",,"13.95","0.18","1007.5","percent of total billed charges",,
"MULTI-TRAUMA/UNIVERSAL DRESSING","0270","RC","Both",,,"18.5","9.25","Medicaid",,,,"37",,"6.77","0.18","1007.5","percent of total billed charges",,
"N G TUBE","0270","RC","Both",,,"19.5","9.75","Alliant","Health Exchange",,,"62",,"12.09","0.18","1007.5","percent of total billed charges",,
"N G TUBE","0270","RC","Both",,,"19.5","9.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.53","0.18","1007.5","percent of total billed charges",,
"N G TUBE","0270","RC","Both",,,"19.5","9.75","Medicare",,,,"54",,"10.57","0.18","1007.5","percent of total billed charges",,
"N G TUBE","0270","RC","Both",,,"19.5","9.75","Humana","Medicare Advantage",,,"54",,"10.57","0.18","1007.5","percent of total billed charges",,
"N G TUBE","0270","RC","Both",,,"19.5","9.75","UHC","Medicare Advantage",,,"54",,"10.57","0.18","1007.5","percent of total billed charges",,
"N G TUBE","0270","RC","Both",,,"19.5","9.75","Clover","Medicare Advantage",,,"54",,"10.57","0.18","1007.5","percent of total billed charges",,
"N G TUBE","0270","RC","Both",,,"19.5","9.75","Wellcare","Medicare Advantage",,,"54",,"10.57","0.18","1007.5","percent of total billed charges",,
"N G TUBE","0270","RC","Both",,,"19.5","9.75","Amerigroup","Medicaid Managed Care",,,"37",,"7.14","0.18","1007.5","percent of total billed charges",,
"N G TUBE","0270","RC","Both",,,"19.5","9.75","Caresource","Medicaid Managed Care",,,"40",,"7.8","0.18","1007.5","percent of total billed charges",,
"N G TUBE","0270","RC","Both",,,"19.5","9.75","Wellcare","Medicaid Managed Care",,,"40",,"7.9","0.18","1007.5","percent of total billed charges",,
"N G TUBE","0270","RC","Both",,,"19.5","9.75","Aetna","Commercial",,,"64",,"12.44","0.18","1007.5","percent of total billed charges",,
"N G TUBE","0270","RC","Both",,,"19.5","9.75","Blue Cross Blue Shield","Pathways",,,"71",,"13.77","0.18","1007.5","percent of total billed charges",,
"N G TUBE","0270","RC","Both",,,"19.5","9.75","Blue Cross Blue Shield","HMO",,,"71",,"13.77","0.18","1007.5","percent of total billed charges",,
"N G TUBE","0270","RC","Both",,,"19.5","9.75","Blue Cross Blue Shield","PPO",,,"71",,"13.77","0.18","1007.5","percent of total billed charges",,
"N G TUBE","0270","RC","Both",,,"19.5","9.75","Ambetter","Health Exchange",,,"62",,"12.09","0.18","1007.5","percent of total billed charges",,
"N G TUBE","0270","RC","Both",,,"19.5","9.75","Caresource","Health Exchange",,,"62",,"12.09","0.18","1007.5","percent of total billed charges",,
"N G TUBE","0270","RC","Both",,,"19.5","9.75","Cigna","Commercial",,,"59",,"11.43","0.18","1007.5","percent of total billed charges",,
"N G TUBE","0270","RC","Both",,,"19.5","9.75","Humana","Commercial",,,"78",,"15.11","0.18","1007.5","percent of total billed charges",,
"N G TUBE","0270","RC","Both",,,"19.5","9.75","UHC","Commercial",,,"75",,"14.7","0.18","1007.5","percent of total billed charges",,
"N G TUBE","0270","RC","Both",,,"19.5","9.75","Medicaid",,,,"37",,"7.14","0.18","1007.5","percent of total billed charges",,
"OB KIT","0270","RC","Both",,,"64.5","32.25","Alliant","Health Exchange",,,"62",,"39.99","0.18","1007.5","percent of total billed charges",,
"OB KIT","0270","RC","Both",,,"64.5","32.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"34.83","0.18","1007.5","percent of total billed charges",,
"OB KIT","0270","RC","Both",,,"64.5","32.25","Medicare",,,,"54",,"34.96","0.18","1007.5","percent of total billed charges",,
"OB KIT","0270","RC","Both",,,"64.5","32.25","Humana","Medicare Advantage",,,"54",,"34.96","0.18","1007.5","percent of total billed charges",,
"OB KIT","0270","RC","Both",,,"64.5","32.25","UHC","Medicare Advantage",,,"54",,"34.96","0.18","1007.5","percent of total billed charges",,
"OB KIT","0270","RC","Both",,,"64.5","32.25","Clover","Medicare Advantage",,,"54",,"34.96","0.18","1007.5","percent of total billed charges",,
"OB KIT","0270","RC","Both",,,"64.5","32.25","Wellcare","Medicare Advantage",,,"54",,"34.96","0.18","1007.5","percent of total billed charges",,
"OB KIT","0270","RC","Both",,,"64.5","32.25","Amerigroup","Medicaid Managed Care",,,"37",,"23.61","0.18","1007.5","percent of total billed charges",,
"OB KIT","0270","RC","Both",,,"64.5","32.25","Caresource","Medicaid Managed Care",,,"40",,"25.8","0.18","1007.5","percent of total billed charges",,
"OB KIT","0270","RC","Both",,,"64.5","32.25","Wellcare","Medicaid Managed Care",,,"40",,"26.12","0.18","1007.5","percent of total billed charges",,
"OB KIT","0270","RC","Both",,,"64.5","32.25","Aetna","Commercial",,,"64",,"41.15","0.18","1007.5","percent of total billed charges",,
"OB KIT","0270","RC","Both",,,"64.5","32.25","Blue Cross Blue Shield","Pathways",,,"71",,"45.54","0.18","1007.5","percent of total billed charges",,
"OB KIT","0270","RC","Both",,,"64.5","32.25","Blue Cross Blue Shield","HMO",,,"71",,"45.54","0.18","1007.5","percent of total billed charges",,
"OB KIT","0270","RC","Both",,,"64.5","32.25","Blue Cross Blue Shield","PPO",,,"71",,"45.54","0.18","1007.5","percent of total billed charges",,
"OB KIT","0270","RC","Both",,,"64.5","32.25","Ambetter","Health Exchange",,,"62",,"39.99","0.18","1007.5","percent of total billed charges",,
"OB KIT","0270","RC","Both",,,"64.5","32.25","Caresource","Health Exchange",,,"62",,"39.99","0.18","1007.5","percent of total billed charges",,
"OB KIT","0270","RC","Both",,,"64.5","32.25","Cigna","Commercial",,,"59",,"37.8","0.18","1007.5","percent of total billed charges",,
"OB KIT","0270","RC","Both",,,"64.5","32.25","Humana","Commercial",,,"78",,"49.99","0.18","1007.5","percent of total billed charges",,
"OB KIT","0270","RC","Both",,,"64.5","32.25","UHC","Commercial",,,"75",,"48.63","0.18","1007.5","percent of total billed charges",,
"OB KIT","0270","RC","Both",,,"64.5","32.25","Medicaid",,,,"37",,"23.61","0.18","1007.5","percent of total billed charges",,
"OB-SILVER SWADDLER","0270","RC","Both",,,"34","17","Alliant","Health Exchange",,,"62",,"21.08","0.18","1007.5","percent of total billed charges",,
"OB-SILVER SWADDLER","0270","RC","Both",,,"34","17","Pruitt Healthcare","Medicare Advantage",,,"54",,"18.36","0.18","1007.5","percent of total billed charges",,
"OB-SILVER SWADDLER","0270","RC","Both",,,"34","17","Medicare",,,,"54",,"18.43","0.18","1007.5","percent of total billed charges",,
"OB-SILVER SWADDLER","0270","RC","Both",,,"34","17","Humana","Medicare Advantage",,,"54",,"18.43","0.18","1007.5","percent of total billed charges",,
"OB-SILVER SWADDLER","0270","RC","Both",,,"34","17","UHC","Medicare Advantage",,,"54",,"18.43","0.18","1007.5","percent of total billed charges",,
"OB-SILVER SWADDLER","0270","RC","Both",,,"34","17","Clover","Medicare Advantage",,,"54",,"18.43","0.18","1007.5","percent of total billed charges",,
"OB-SILVER SWADDLER","0270","RC","Both",,,"34","17","Wellcare","Medicare Advantage",,,"54",,"18.43","0.18","1007.5","percent of total billed charges",,
"OB-SILVER SWADDLER","0270","RC","Both",,,"34","17","Amerigroup","Medicaid Managed Care",,,"37",,"12.44","0.18","1007.5","percent of total billed charges",,
"OB-SILVER SWADDLER","0270","RC","Both",,,"34","17","Caresource","Medicaid Managed Care",,,"40",,"13.6","0.18","1007.5","percent of total billed charges",,
"OB-SILVER SWADDLER","0270","RC","Both",,,"34","17","Wellcare","Medicaid Managed Care",,,"40",,"13.77","0.18","1007.5","percent of total billed charges",,
"OB-SILVER SWADDLER","0270","RC","Both",,,"34","17","Aetna","Commercial",,,"64",,"21.69","0.18","1007.5","percent of total billed charges",,
"OB-SILVER SWADDLER","0270","RC","Both",,,"34","17","Blue Cross Blue Shield","Pathways",,,"71",,"24","0.18","1007.5","percent of total billed charges",,
"OB-SILVER SWADDLER","0270","RC","Both",,,"34","17","Blue Cross Blue Shield","HMO",,,"71",,"24","0.18","1007.5","percent of total billed charges",,
"OB-SILVER SWADDLER","0270","RC","Both",,,"34","17","Blue Cross Blue Shield","PPO",,,"71",,"24","0.18","1007.5","percent of total billed charges",,
"OB-SILVER SWADDLER","0270","RC","Both",,,"34","17","Ambetter","Health Exchange",,,"62",,"21.08","0.18","1007.5","percent of total billed charges",,
"OB-SILVER SWADDLER","0270","RC","Both",,,"34","17","Caresource","Health Exchange",,,"62",,"21.08","0.18","1007.5","percent of total billed charges",,
"OB-SILVER SWADDLER","0270","RC","Both",,,"34","17","Cigna","Commercial",,,"59",,"19.92","0.18","1007.5","percent of total billed charges",,
"OB-SILVER SWADDLER","0270","RC","Both",,,"34","17","Humana","Commercial",,,"78",,"26.35","0.18","1007.5","percent of total billed charges",,
"OB-SILVER SWADDLER","0270","RC","Both",,,"34","17","UHC","Commercial",,,"75",,"25.64","0.18","1007.5","percent of total billed charges",,
"OB-SILVER SWADDLER","0270","RC","Both",,,"34","17","Medicaid",,,,"37",,"12.44","0.18","1007.5","percent of total billed charges",,
"OB PADS","0270","RC","Both",,,"17.5","8.75","Alliant","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"OB PADS","0270","RC","Both",,,"17.5","8.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.45","0.18","1007.5","percent of total billed charges",,
"OB PADS","0270","RC","Both",,,"17.5","8.75","Medicare",,,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"OB PADS","0270","RC","Both",,,"17.5","8.75","Humana","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"OB PADS","0270","RC","Both",,,"17.5","8.75","UHC","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"OB PADS","0270","RC","Both",,,"17.5","8.75","Clover","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"OB PADS","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"OB PADS","0270","RC","Both",,,"17.5","8.75","Amerigroup","Medicaid Managed Care",,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"OB PADS","0270","RC","Both",,,"17.5","8.75","Caresource","Medicaid Managed Care",,,"40",,"7","0.18","1007.5","percent of total billed charges",,
"OB PADS","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicaid Managed Care",,,"40",,"7.09","0.18","1007.5","percent of total billed charges",,
"OB PADS","0270","RC","Both",,,"17.5","8.75","Aetna","Commercial",,,"64",,"11.16","0.18","1007.5","percent of total billed charges",,
"OB PADS","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","Pathways",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"OB PADS","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","HMO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"OB PADS","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","PPO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"OB PADS","0270","RC","Both",,,"17.5","8.75","Ambetter","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"OB PADS","0270","RC","Both",,,"17.5","8.75","Caresource","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"OB PADS","0270","RC","Both",,,"17.5","8.75","Cigna","Commercial",,,"59",,"10.26","0.18","1007.5","percent of total billed charges",,
"OB PADS","0270","RC","Both",,,"17.5","8.75","Humana","Commercial",,,"78",,"13.56","0.18","1007.5","percent of total billed charges",,
"OB PADS","0270","RC","Both",,,"17.5","8.75","UHC","Commercial",,,"75",,"13.2","0.18","1007.5","percent of total billed charges",,
"OB PADS","0270","RC","Both",,,"17.5","8.75","Medicaid",,,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"OB-CORD CLAMPS","0270","RC","Both",,,"17.5","8.75","Alliant","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"OB-CORD CLAMPS","0270","RC","Both",,,"17.5","8.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.45","0.18","1007.5","percent of total billed charges",,
"OB-CORD CLAMPS","0270","RC","Both",,,"17.5","8.75","Medicare",,,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"OB-CORD CLAMPS","0270","RC","Both",,,"17.5","8.75","Humana","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"OB-CORD CLAMPS","0270","RC","Both",,,"17.5","8.75","UHC","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"OB-CORD CLAMPS","0270","RC","Both",,,"17.5","8.75","Clover","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"OB-CORD CLAMPS","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"OB-CORD CLAMPS","0270","RC","Both",,,"17.5","8.75","Amerigroup","Medicaid Managed Care",,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"OB-CORD CLAMPS","0270","RC","Both",,,"17.5","8.75","Caresource","Medicaid Managed Care",,,"40",,"7","0.18","1007.5","percent of total billed charges",,
"OB-CORD CLAMPS","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicaid Managed Care",,,"40",,"7.09","0.18","1007.5","percent of total billed charges",,
"OB-CORD CLAMPS","0270","RC","Both",,,"17.5","8.75","Aetna","Commercial",,,"64",,"11.16","0.18","1007.5","percent of total billed charges",,
"OB-CORD CLAMPS","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","Pathways",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"OB-CORD CLAMPS","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","HMO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"OB-CORD CLAMPS","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","PPO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"OB-CORD CLAMPS","0270","RC","Both",,,"17.5","8.75","Ambetter","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"OB-CORD CLAMPS","0270","RC","Both",,,"17.5","8.75","Caresource","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"OB-CORD CLAMPS","0270","RC","Both",,,"17.5","8.75","Cigna","Commercial",,,"59",,"10.26","0.18","1007.5","percent of total billed charges",,
"OB-CORD CLAMPS","0270","RC","Both",,,"17.5","8.75","Humana","Commercial",,,"78",,"13.56","0.18","1007.5","percent of total billed charges",,
"OB-CORD CLAMPS","0270","RC","Both",,,"17.5","8.75","UHC","Commercial",,,"75",,"13.2","0.18","1007.5","percent of total billed charges",,
"OB-CORD CLAMPS","0270","RC","Both",,,"17.5","8.75","Medicaid",,,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"POISON ANTIDOTE KIT","0270","RC","Both",,,"34","17","Alliant","Health Exchange",,,"62",,"21.08","0.18","1007.5","percent of total billed charges",,
"POISON ANTIDOTE KIT","0270","RC","Both",,,"34","17","Pruitt Healthcare","Medicare Advantage",,,"54",,"18.36","0.18","1007.5","percent of total billed charges",,
"POISON ANTIDOTE KIT","0270","RC","Both",,,"34","17","Medicare",,,,"54",,"18.43","0.18","1007.5","percent of total billed charges",,
"POISON ANTIDOTE KIT","0270","RC","Both",,,"34","17","Humana","Medicare Advantage",,,"54",,"18.43","0.18","1007.5","percent of total billed charges",,
"POISON ANTIDOTE KIT","0270","RC","Both",,,"34","17","UHC","Medicare Advantage",,,"54",,"18.43","0.18","1007.5","percent of total billed charges",,
"POISON ANTIDOTE KIT","0270","RC","Both",,,"34","17","Clover","Medicare Advantage",,,"54",,"18.43","0.18","1007.5","percent of total billed charges",,
"POISON ANTIDOTE KIT","0270","RC","Both",,,"34","17","Wellcare","Medicare Advantage",,,"54",,"18.43","0.18","1007.5","percent of total billed charges",,
"POISON ANTIDOTE KIT","0270","RC","Both",,,"34","17","Amerigroup","Medicaid Managed Care",,,"37",,"12.44","0.18","1007.5","percent of total billed charges",,
"POISON ANTIDOTE KIT","0270","RC","Both",,,"34","17","Caresource","Medicaid Managed Care",,,"40",,"13.6","0.18","1007.5","percent of total billed charges",,
"POISON ANTIDOTE KIT","0270","RC","Both",,,"34","17","Wellcare","Medicaid Managed Care",,,"40",,"13.77","0.18","1007.5","percent of total billed charges",,
"POISON ANTIDOTE KIT","0270","RC","Both",,,"34","17","Aetna","Commercial",,,"64",,"21.69","0.18","1007.5","percent of total billed charges",,
"POISON ANTIDOTE KIT","0270","RC","Both",,,"34","17","Blue Cross Blue Shield","Pathways",,,"71",,"24","0.18","1007.5","percent of total billed charges",,
"POISON ANTIDOTE KIT","0270","RC","Both",,,"34","17","Blue Cross Blue Shield","HMO",,,"71",,"24","0.18","1007.5","percent of total billed charges",,
"POISON ANTIDOTE KIT","0270","RC","Both",,,"34","17","Blue Cross Blue Shield","PPO",,,"71",,"24","0.18","1007.5","percent of total billed charges",,
"POISON ANTIDOTE KIT","0270","RC","Both",,,"34","17","Ambetter","Health Exchange",,,"62",,"21.08","0.18","1007.5","percent of total billed charges",,
"POISON ANTIDOTE KIT","0270","RC","Both",,,"34","17","Caresource","Health Exchange",,,"62",,"21.08","0.18","1007.5","percent of total billed charges",,
"POISON ANTIDOTE KIT","0270","RC","Both",,,"34","17","Cigna","Commercial",,,"59",,"19.92","0.18","1007.5","percent of total billed charges",,
"POISON ANTIDOTE KIT","0270","RC","Both",,,"34","17","Humana","Commercial",,,"78",,"26.35","0.18","1007.5","percent of total billed charges",,
"POISON ANTIDOTE KIT","0270","RC","Both",,,"34","17","UHC","Commercial",,,"75",,"25.64","0.18","1007.5","percent of total billed charges",,
"POISON ANTIDOTE KIT","0270","RC","Both",,,"34","17","Medicaid",,,,"37",,"12.44","0.18","1007.5","percent of total billed charges",,
"RESTRAINTS (LEATHER USE OF)","0270","RC","Both",,,"32","16","Alliant","Health Exchange",,,"62",,"19.84","0.18","1007.5","percent of total billed charges",,
"RESTRAINTS (LEATHER USE OF)","0270","RC","Both",,,"32","16","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.28","0.18","1007.5","percent of total billed charges",,
"RESTRAINTS (LEATHER USE OF)","0270","RC","Both",,,"32","16","Medicare",,,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"RESTRAINTS (LEATHER USE OF)","0270","RC","Both",,,"32","16","Humana","Medicare Advantage",,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"RESTRAINTS (LEATHER USE OF)","0270","RC","Both",,,"32","16","UHC","Medicare Advantage",,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"RESTRAINTS (LEATHER USE OF)","0270","RC","Both",,,"32","16","Clover","Medicare Advantage",,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"RESTRAINTS (LEATHER USE OF)","0270","RC","Both",,,"32","16","Wellcare","Medicare Advantage",,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"RESTRAINTS (LEATHER USE OF)","0270","RC","Both",,,"32","16","Amerigroup","Medicaid Managed Care",,,"37",,"11.71","0.18","1007.5","percent of total billed charges",,
"RESTRAINTS (LEATHER USE OF)","0270","RC","Both",,,"32","16","Caresource","Medicaid Managed Care",,,"40",,"12.8","0.18","1007.5","percent of total billed charges",,
"RESTRAINTS (LEATHER USE OF)","0270","RC","Both",,,"32","16","Wellcare","Medicaid Managed Care",,,"40",,"12.96","0.18","1007.5","percent of total billed charges",,
"RESTRAINTS (LEATHER USE OF)","0270","RC","Both",,,"32","16","Aetna","Commercial",,,"64",,"20.42","0.18","1007.5","percent of total billed charges",,
"RESTRAINTS (LEATHER USE OF)","0270","RC","Both",,,"32","16","Blue Cross Blue Shield","Pathways",,,"71",,"22.59","0.18","1007.5","percent of total billed charges",,
"RESTRAINTS (LEATHER USE OF)","0270","RC","Both",,,"32","16","Blue Cross Blue Shield","HMO",,,"71",,"22.59","0.18","1007.5","percent of total billed charges",,
"RESTRAINTS (LEATHER USE OF)","0270","RC","Both",,,"32","16","Blue Cross Blue Shield","PPO",,,"71",,"22.59","0.18","1007.5","percent of total billed charges",,
"RESTRAINTS (LEATHER USE OF)","0270","RC","Both",,,"32","16","Ambetter","Health Exchange",,,"62",,"19.84","0.18","1007.5","percent of total billed charges",,
"RESTRAINTS (LEATHER USE OF)","0270","RC","Both",,,"32","16","Caresource","Health Exchange",,,"62",,"19.84","0.18","1007.5","percent of total billed charges",,
"RESTRAINTS (LEATHER USE OF)","0270","RC","Both",,,"32","16","Cigna","Commercial",,,"59",,"18.75","0.18","1007.5","percent of total billed charges",,
"RESTRAINTS (LEATHER USE OF)","0270","RC","Both",,,"32","16","Humana","Commercial",,,"78",,"24.8","0.18","1007.5","percent of total billed charges",,
"RESTRAINTS (LEATHER USE OF)","0270","RC","Both",,,"32","16","UHC","Commercial",,,"75",,"24.13","0.18","1007.5","percent of total billed charges",,
"RESTRAINTS (LEATHER USE OF)","0270","RC","Both",,,"32","16","Medicaid",,,,"37",,"11.71","0.18","1007.5","percent of total billed charges",,
"RESTRAINTS (CLOTH)","0270","RC","Both",,,"33","16.5","Alliant","Health Exchange",,,"62",,"20.46","0.18","1007.5","percent of total billed charges",,
"RESTRAINTS (CLOTH)","0270","RC","Both",,,"33","16.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.82","0.18","1007.5","percent of total billed charges",,
"RESTRAINTS (CLOTH)","0270","RC","Both",,,"33","16.5","Medicare",,,,"54",,"17.89","0.18","1007.5","percent of total billed charges",,
"RESTRAINTS (CLOTH)","0270","RC","Both",,,"33","16.5","Humana","Medicare Advantage",,,"54",,"17.89","0.18","1007.5","percent of total billed charges",,
"RESTRAINTS (CLOTH)","0270","RC","Both",,,"33","16.5","UHC","Medicare Advantage",,,"54",,"17.89","0.18","1007.5","percent of total billed charges",,
"RESTRAINTS (CLOTH)","0270","RC","Both",,,"33","16.5","Clover","Medicare Advantage",,,"54",,"17.89","0.18","1007.5","percent of total billed charges",,
"RESTRAINTS (CLOTH)","0270","RC","Both",,,"33","16.5","Wellcare","Medicare Advantage",,,"54",,"17.89","0.18","1007.5","percent of total billed charges",,
"RESTRAINTS (CLOTH)","0270","RC","Both",,,"33","16.5","Amerigroup","Medicaid Managed Care",,,"37",,"12.08","0.18","1007.5","percent of total billed charges",,
"RESTRAINTS (CLOTH)","0270","RC","Both",,,"33","16.5","Caresource","Medicaid Managed Care",,,"40",,"13.2","0.18","1007.5","percent of total billed charges",,
"RESTRAINTS (CLOTH)","0270","RC","Both",,,"33","16.5","Wellcare","Medicaid Managed Care",,,"40",,"13.36","0.18","1007.5","percent of total billed charges",,
"RESTRAINTS (CLOTH)","0270","RC","Both",,,"33","16.5","Aetna","Commercial",,,"64",,"21.05","0.18","1007.5","percent of total billed charges",,
"RESTRAINTS (CLOTH)","0270","RC","Both",,,"33","16.5","Blue Cross Blue Shield","Pathways",,,"71",,"23.3","0.18","1007.5","percent of total billed charges",,
"RESTRAINTS (CLOTH)","0270","RC","Both",,,"33","16.5","Blue Cross Blue Shield","HMO",,,"71",,"23.3","0.18","1007.5","percent of total billed charges",,
"RESTRAINTS (CLOTH)","0270","RC","Both",,,"33","16.5","Blue Cross Blue Shield","PPO",,,"71",,"23.3","0.18","1007.5","percent of total billed charges",,
"RESTRAINTS (CLOTH)","0270","RC","Both",,,"33","16.5","Ambetter","Health Exchange",,,"62",,"20.46","0.18","1007.5","percent of total billed charges",,
"RESTRAINTS (CLOTH)","0270","RC","Both",,,"33","16.5","Caresource","Health Exchange",,,"62",,"20.46","0.18","1007.5","percent of total billed charges",,
"RESTRAINTS (CLOTH)","0270","RC","Both",,,"33","16.5","Cigna","Commercial",,,"59",,"19.34","0.18","1007.5","percent of total billed charges",,
"RESTRAINTS (CLOTH)","0270","RC","Both",,,"33","16.5","Humana","Commercial",,,"78",,"25.58","0.18","1007.5","percent of total billed charges",,
"RESTRAINTS (CLOTH)","0270","RC","Both",,,"33","16.5","UHC","Commercial",,,"75",,"24.88","0.18","1007.5","percent of total billed charges",,
"RESTRAINTS (CLOTH)","0270","RC","Both",,,"33","16.5","Medicaid",,,,"37",,"12.08","0.18","1007.5","percent of total billed charges",,
"SAND BAGS (USE OF 2)","0270","RC","Both",,,"17.5","8.75","Alliant","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"SAND BAGS (USE OF 2)","0270","RC","Both",,,"17.5","8.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.45","0.18","1007.5","percent of total billed charges",,
"SAND BAGS (USE OF 2)","0270","RC","Both",,,"17.5","8.75","Medicare",,,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"SAND BAGS (USE OF 2)","0270","RC","Both",,,"17.5","8.75","Humana","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"SAND BAGS (USE OF 2)","0270","RC","Both",,,"17.5","8.75","UHC","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"SAND BAGS (USE OF 2)","0270","RC","Both",,,"17.5","8.75","Clover","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"SAND BAGS (USE OF 2)","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"SAND BAGS (USE OF 2)","0270","RC","Both",,,"17.5","8.75","Amerigroup","Medicaid Managed Care",,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"SAND BAGS (USE OF 2)","0270","RC","Both",,,"17.5","8.75","Caresource","Medicaid Managed Care",,,"40",,"7","0.18","1007.5","percent of total billed charges",,
"SAND BAGS (USE OF 2)","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicaid Managed Care",,,"40",,"7.09","0.18","1007.5","percent of total billed charges",,
"SAND BAGS (USE OF 2)","0270","RC","Both",,,"17.5","8.75","Aetna","Commercial",,,"64",,"11.16","0.18","1007.5","percent of total billed charges",,
"SAND BAGS (USE OF 2)","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","Pathways",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"SAND BAGS (USE OF 2)","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","HMO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"SAND BAGS (USE OF 2)","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","PPO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"SAND BAGS (USE OF 2)","0270","RC","Both",,,"17.5","8.75","Ambetter","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"SAND BAGS (USE OF 2)","0270","RC","Both",,,"17.5","8.75","Caresource","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"SAND BAGS (USE OF 2)","0270","RC","Both",,,"17.5","8.75","Cigna","Commercial",,,"59",,"10.26","0.18","1007.5","percent of total billed charges",,
"SAND BAGS (USE OF 2)","0270","RC","Both",,,"17.5","8.75","Humana","Commercial",,,"78",,"13.56","0.18","1007.5","percent of total billed charges",,
"SAND BAGS (USE OF 2)","0270","RC","Both",,,"17.5","8.75","UHC","Commercial",,,"75",,"13.2","0.18","1007.5","percent of total billed charges",,
"SAND BAGS (USE OF 2)","0270","RC","Both",,,"17.5","8.75","Medicaid",,,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"SNAKE BITE KIT","0270","RC","Both",,,"34","17","Alliant","Health Exchange",,,"62",,"21.08","0.18","1007.5","percent of total billed charges",,
"SNAKE BITE KIT","0270","RC","Both",,,"34","17","Pruitt Healthcare","Medicare Advantage",,,"54",,"18.36","0.18","1007.5","percent of total billed charges",,
"SNAKE BITE KIT","0270","RC","Both",,,"34","17","Medicare",,,,"54",,"18.43","0.18","1007.5","percent of total billed charges",,
"SNAKE BITE KIT","0270","RC","Both",,,"34","17","Humana","Medicare Advantage",,,"54",,"18.43","0.18","1007.5","percent of total billed charges",,
"SNAKE BITE KIT","0270","RC","Both",,,"34","17","UHC","Medicare Advantage",,,"54",,"18.43","0.18","1007.5","percent of total billed charges",,
"SNAKE BITE KIT","0270","RC","Both",,,"34","17","Clover","Medicare Advantage",,,"54",,"18.43","0.18","1007.5","percent of total billed charges",,
"SNAKE BITE KIT","0270","RC","Both",,,"34","17","Wellcare","Medicare Advantage",,,"54",,"18.43","0.18","1007.5","percent of total billed charges",,
"SNAKE BITE KIT","0270","RC","Both",,,"34","17","Amerigroup","Medicaid Managed Care",,,"37",,"12.44","0.18","1007.5","percent of total billed charges",,
"SNAKE BITE KIT","0270","RC","Both",,,"34","17","Caresource","Medicaid Managed Care",,,"40",,"13.6","0.18","1007.5","percent of total billed charges",,
"SNAKE BITE KIT","0270","RC","Both",,,"34","17","Wellcare","Medicaid Managed Care",,,"40",,"13.77","0.18","1007.5","percent of total billed charges",,
"SNAKE BITE KIT","0270","RC","Both",,,"34","17","Aetna","Commercial",,,"64",,"21.69","0.18","1007.5","percent of total billed charges",,
"SNAKE BITE KIT","0270","RC","Both",,,"34","17","Blue Cross Blue Shield","Pathways",,,"71",,"24","0.18","1007.5","percent of total billed charges",,
"SNAKE BITE KIT","0270","RC","Both",,,"34","17","Blue Cross Blue Shield","HMO",,,"71",,"24","0.18","1007.5","percent of total billed charges",,
"SNAKE BITE KIT","0270","RC","Both",,,"34","17","Blue Cross Blue Shield","PPO",,,"71",,"24","0.18","1007.5","percent of total billed charges",,
"SNAKE BITE KIT","0270","RC","Both",,,"34","17","Ambetter","Health Exchange",,,"62",,"21.08","0.18","1007.5","percent of total billed charges",,
"SNAKE BITE KIT","0270","RC","Both",,,"34","17","Caresource","Health Exchange",,,"62",,"21.08","0.18","1007.5","percent of total billed charges",,
"SNAKE BITE KIT","0270","RC","Both",,,"34","17","Cigna","Commercial",,,"59",,"19.92","0.18","1007.5","percent of total billed charges",,
"SNAKE BITE KIT","0270","RC","Both",,,"34","17","Humana","Commercial",,,"78",,"26.35","0.18","1007.5","percent of total billed charges",,
"SNAKE BITE KIT","0270","RC","Both",,,"34","17","UHC","Commercial",,,"75",,"25.64","0.18","1007.5","percent of total billed charges",,
"SNAKE BITE KIT","0270","RC","Both",,,"34","17","Medicaid",,,,"37",,"12.44","0.18","1007.5","percent of total billed charges",,
"SUCTIONING PORT OR WALL","0270","RC","Both",,,"32","16","Alliant","Health Exchange",,,"62",,"19.84","0.18","1007.5","percent of total billed charges",,
"SUCTIONING PORT OR WALL","0270","RC","Both",,,"32","16","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.28","0.18","1007.5","percent of total billed charges",,
"SUCTIONING PORT OR WALL","0270","RC","Both",,,"32","16","Medicare",,,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"SUCTIONING PORT OR WALL","0270","RC","Both",,,"32","16","Humana","Medicare Advantage",,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"SUCTIONING PORT OR WALL","0270","RC","Both",,,"32","16","UHC","Medicare Advantage",,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"SUCTIONING PORT OR WALL","0270","RC","Both",,,"32","16","Clover","Medicare Advantage",,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"SUCTIONING PORT OR WALL","0270","RC","Both",,,"32","16","Wellcare","Medicare Advantage",,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"SUCTIONING PORT OR WALL","0270","RC","Both",,,"32","16","Amerigroup","Medicaid Managed Care",,,"37",,"11.71","0.18","1007.5","percent of total billed charges",,
"SUCTIONING PORT OR WALL","0270","RC","Both",,,"32","16","Caresource","Medicaid Managed Care",,,"40",,"12.8","0.18","1007.5","percent of total billed charges",,
"SUCTIONING PORT OR WALL","0270","RC","Both",,,"32","16","Wellcare","Medicaid Managed Care",,,"40",,"12.96","0.18","1007.5","percent of total billed charges",,
"SUCTIONING PORT OR WALL","0270","RC","Both",,,"32","16","Aetna","Commercial",,,"64",,"20.42","0.18","1007.5","percent of total billed charges",,
"SUCTIONING PORT OR WALL","0270","RC","Both",,,"32","16","Blue Cross Blue Shield","Pathways",,,"71",,"22.59","0.18","1007.5","percent of total billed charges",,
"SUCTIONING PORT OR WALL","0270","RC","Both",,,"32","16","Blue Cross Blue Shield","HMO",,,"71",,"22.59","0.18","1007.5","percent of total billed charges",,
"SUCTIONING PORT OR WALL","0270","RC","Both",,,"32","16","Blue Cross Blue Shield","PPO",,,"71",,"22.59","0.18","1007.5","percent of total billed charges",,
"SUCTIONING PORT OR WALL","0270","RC","Both",,,"32","16","Ambetter","Health Exchange",,,"62",,"19.84","0.18","1007.5","percent of total billed charges",,
"SUCTIONING PORT OR WALL","0270","RC","Both",,,"32","16","Caresource","Health Exchange",,,"62",,"19.84","0.18","1007.5","percent of total billed charges",,
"SUCTIONING PORT OR WALL","0270","RC","Both",,,"32","16","Cigna","Commercial",,,"59",,"18.75","0.18","1007.5","percent of total billed charges",,
"SUCTIONING PORT OR WALL","0270","RC","Both",,,"32","16","Humana","Commercial",,,"78",,"24.8","0.18","1007.5","percent of total billed charges",,
"SUCTIONING PORT OR WALL","0270","RC","Both",,,"32","16","UHC","Commercial",,,"75",,"24.13","0.18","1007.5","percent of total billed charges",,
"SUCTIONING PORT OR WALL","0270","RC","Both",,,"32","16","Medicaid",,,,"37",,"11.71","0.18","1007.5","percent of total billed charges",,
"SUCTION CATH (SOFT OR YANK)","0270","RC","Both",,,"17.5","8.75","Alliant","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"SUCTION CATH (SOFT OR YANK)","0270","RC","Both",,,"17.5","8.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.45","0.18","1007.5","percent of total billed charges",,
"SUCTION CATH (SOFT OR YANK)","0270","RC","Both",,,"17.5","8.75","Medicare",,,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"SUCTION CATH (SOFT OR YANK)","0270","RC","Both",,,"17.5","8.75","Humana","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"SUCTION CATH (SOFT OR YANK)","0270","RC","Both",,,"17.5","8.75","UHC","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"SUCTION CATH (SOFT OR YANK)","0270","RC","Both",,,"17.5","8.75","Clover","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"SUCTION CATH (SOFT OR YANK)","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"SUCTION CATH (SOFT OR YANK)","0270","RC","Both",,,"17.5","8.75","Amerigroup","Medicaid Managed Care",,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"SUCTION CATH (SOFT OR YANK)","0270","RC","Both",,,"17.5","8.75","Caresource","Medicaid Managed Care",,,"40",,"7","0.18","1007.5","percent of total billed charges",,
"SUCTION CATH (SOFT OR YANK)","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicaid Managed Care",,,"40",,"7.09","0.18","1007.5","percent of total billed charges",,
"SUCTION CATH (SOFT OR YANK)","0270","RC","Both",,,"17.5","8.75","Aetna","Commercial",,,"64",,"11.16","0.18","1007.5","percent of total billed charges",,
"SUCTION CATH (SOFT OR YANK)","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","Pathways",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"SUCTION CATH (SOFT OR YANK)","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","HMO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"SUCTION CATH (SOFT OR YANK)","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","PPO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"SUCTION CATH (SOFT OR YANK)","0270","RC","Both",,,"17.5","8.75","Ambetter","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"SUCTION CATH (SOFT OR YANK)","0270","RC","Both",,,"17.5","8.75","Caresource","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"SUCTION CATH (SOFT OR YANK)","0270","RC","Both",,,"17.5","8.75","Cigna","Commercial",,,"59",,"10.26","0.18","1007.5","percent of total billed charges",,
"SUCTION CATH (SOFT OR YANK)","0270","RC","Both",,,"17.5","8.75","Humana","Commercial",,,"78",,"13.56","0.18","1007.5","percent of total billed charges",,
"SUCTION CATH (SOFT OR YANK)","0270","RC","Both",,,"17.5","8.75","UHC","Commercial",,,"75",,"13.2","0.18","1007.5","percent of total billed charges",,
"SUCTION CATH (SOFT OR YANK)","0270","RC","Both",,,"17.5","8.75","Medicaid",,,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"SURGIPADS","0270","RC","Both",,,"17.5","8.75","Alliant","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"SURGIPADS","0270","RC","Both",,,"17.5","8.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.45","0.18","1007.5","percent of total billed charges",,
"SURGIPADS","0270","RC","Both",,,"17.5","8.75","Medicare",,,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"SURGIPADS","0270","RC","Both",,,"17.5","8.75","Humana","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"SURGIPADS","0270","RC","Both",,,"17.5","8.75","UHC","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"SURGIPADS","0270","RC","Both",,,"17.5","8.75","Clover","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"SURGIPADS","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"SURGIPADS","0270","RC","Both",,,"17.5","8.75","Amerigroup","Medicaid Managed Care",,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"SURGIPADS","0270","RC","Both",,,"17.5","8.75","Caresource","Medicaid Managed Care",,,"40",,"7","0.18","1007.5","percent of total billed charges",,
"SURGIPADS","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicaid Managed Care",,,"40",,"7.09","0.18","1007.5","percent of total billed charges",,
"SURGIPADS","0270","RC","Both",,,"17.5","8.75","Aetna","Commercial",,,"64",,"11.16","0.18","1007.5","percent of total billed charges",,
"SURGIPADS","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","Pathways",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"SURGIPADS","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","HMO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"SURGIPADS","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","PPO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"SURGIPADS","0270","RC","Both",,,"17.5","8.75","Ambetter","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"SURGIPADS","0270","RC","Both",,,"17.5","8.75","Caresource","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"SURGIPADS","0270","RC","Both",,,"17.5","8.75","Cigna","Commercial",,,"59",,"10.26","0.18","1007.5","percent of total billed charges",,
"SURGIPADS","0270","RC","Both",,,"17.5","8.75","Humana","Commercial",,,"78",,"13.56","0.18","1007.5","percent of total billed charges",,
"SURGIPADS","0270","RC","Both",,,"17.5","8.75","UHC","Commercial",,,"75",,"13.2","0.18","1007.5","percent of total billed charges",,
"SURGIPADS","0270","RC","Both",,,"17.5","8.75","Medicaid",,,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"SPLINTS-AIR","0270","RC","Both",,,"17.5","8.75","Alliant","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"SPLINTS-AIR","0270","RC","Both",,,"17.5","8.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.45","0.18","1007.5","percent of total billed charges",,
"SPLINTS-AIR","0270","RC","Both",,,"17.5","8.75","Medicare",,,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"SPLINTS-AIR","0270","RC","Both",,,"17.5","8.75","Humana","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"SPLINTS-AIR","0270","RC","Both",,,"17.5","8.75","UHC","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"SPLINTS-AIR","0270","RC","Both",,,"17.5","8.75","Clover","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"SPLINTS-AIR","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"SPLINTS-AIR","0270","RC","Both",,,"17.5","8.75","Amerigroup","Medicaid Managed Care",,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"SPLINTS-AIR","0270","RC","Both",,,"17.5","8.75","Caresource","Medicaid Managed Care",,,"40",,"7","0.18","1007.5","percent of total billed charges",,
"SPLINTS-AIR","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicaid Managed Care",,,"40",,"7.09","0.18","1007.5","percent of total billed charges",,
"SPLINTS-AIR","0270","RC","Both",,,"17.5","8.75","Aetna","Commercial",,,"64",,"11.16","0.18","1007.5","percent of total billed charges",,
"SPLINTS-AIR","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","Pathways",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"SPLINTS-AIR","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","HMO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"SPLINTS-AIR","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","PPO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"SPLINTS-AIR","0270","RC","Both",,,"17.5","8.75","Ambetter","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"SPLINTS-AIR","0270","RC","Both",,,"17.5","8.75","Caresource","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"SPLINTS-AIR","0270","RC","Both",,,"17.5","8.75","Cigna","Commercial",,,"59",,"10.26","0.18","1007.5","percent of total billed charges",,
"SPLINTS-AIR","0270","RC","Both",,,"17.5","8.75","Humana","Commercial",,,"78",,"13.56","0.18","1007.5","percent of total billed charges",,
"SPLINTS-AIR","0270","RC","Both",,,"17.5","8.75","UHC","Commercial",,,"75",,"13.2","0.18","1007.5","percent of total billed charges",,
"SPLINTS-AIR","0270","RC","Both",,,"17.5","8.75","Medicaid",,,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"SPLINTS-WOOD (PADDED BOARD)","0270","RC","Both",,,"17.5","8.75","Alliant","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"SPLINTS-WOOD (PADDED BOARD)","0270","RC","Both",,,"17.5","8.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.45","0.18","1007.5","percent of total billed charges",,
"SPLINTS-WOOD (PADDED BOARD)","0270","RC","Both",,,"17.5","8.75","Medicare",,,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"SPLINTS-WOOD (PADDED BOARD)","0270","RC","Both",,,"17.5","8.75","Humana","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"SPLINTS-WOOD (PADDED BOARD)","0270","RC","Both",,,"17.5","8.75","UHC","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"SPLINTS-WOOD (PADDED BOARD)","0270","RC","Both",,,"17.5","8.75","Clover","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"SPLINTS-WOOD (PADDED BOARD)","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"SPLINTS-WOOD (PADDED BOARD)","0270","RC","Both",,,"17.5","8.75","Amerigroup","Medicaid Managed Care",,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"SPLINTS-WOOD (PADDED BOARD)","0270","RC","Both",,,"17.5","8.75","Caresource","Medicaid Managed Care",,,"40",,"7","0.18","1007.5","percent of total billed charges",,
"SPLINTS-WOOD (PADDED BOARD)","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicaid Managed Care",,,"40",,"7.09","0.18","1007.5","percent of total billed charges",,
"SPLINTS-WOOD (PADDED BOARD)","0270","RC","Both",,,"17.5","8.75","Aetna","Commercial",,,"64",,"11.16","0.18","1007.5","percent of total billed charges",,
"SPLINTS-WOOD (PADDED BOARD)","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","Pathways",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"SPLINTS-WOOD (PADDED BOARD)","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","HMO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"SPLINTS-WOOD (PADDED BOARD)","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","PPO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"SPLINTS-WOOD (PADDED BOARD)","0270","RC","Both",,,"17.5","8.75","Ambetter","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"SPLINTS-WOOD (PADDED BOARD)","0270","RC","Both",,,"17.5","8.75","Caresource","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"SPLINTS-WOOD (PADDED BOARD)","0270","RC","Both",,,"17.5","8.75","Cigna","Commercial",,,"59",,"10.26","0.18","1007.5","percent of total billed charges",,
"SPLINTS-WOOD (PADDED BOARD)","0270","RC","Both",,,"17.5","8.75","Humana","Commercial",,,"78",,"13.56","0.18","1007.5","percent of total billed charges",,
"SPLINTS-WOOD (PADDED BOARD)","0270","RC","Both",,,"17.5","8.75","UHC","Commercial",,,"75",,"13.2","0.18","1007.5","percent of total billed charges",,
"SPLINTS-WOOD (PADDED BOARD)","0270","RC","Both",,,"17.5","8.75","Medicaid",,,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"SPLINTS-TRACTION","0270","RC","Both",,,"40","20","Alliant","Health Exchange",,,"62",,"24.8","0.18","1007.5","percent of total billed charges",,
"SPLINTS-TRACTION","0270","RC","Both",,,"40","20","Pruitt Healthcare","Medicare Advantage",,,"54",,"21.6","0.18","1007.5","percent of total billed charges",,
"SPLINTS-TRACTION","0270","RC","Both",,,"40","20","Medicare",,,,"54",,"21.68","0.18","1007.5","percent of total billed charges",,
"SPLINTS-TRACTION","0270","RC","Both",,,"40","20","Humana","Medicare Advantage",,,"54",,"21.68","0.18","1007.5","percent of total billed charges",,
"SPLINTS-TRACTION","0270","RC","Both",,,"40","20","UHC","Medicare Advantage",,,"54",,"21.68","0.18","1007.5","percent of total billed charges",,
"SPLINTS-TRACTION","0270","RC","Both",,,"40","20","Clover","Medicare Advantage",,,"54",,"21.68","0.18","1007.5","percent of total billed charges",,
"SPLINTS-TRACTION","0270","RC","Both",,,"40","20","Wellcare","Medicare Advantage",,,"54",,"21.68","0.18","1007.5","percent of total billed charges",,
"SPLINTS-TRACTION","0270","RC","Both",,,"40","20","Amerigroup","Medicaid Managed Care",,,"37",,"14.64","0.18","1007.5","percent of total billed charges",,
"SPLINTS-TRACTION","0270","RC","Both",,,"40","20","Caresource","Medicaid Managed Care",,,"40",,"16","0.18","1007.5","percent of total billed charges",,
"SPLINTS-TRACTION","0270","RC","Both",,,"40","20","Wellcare","Medicaid Managed Care",,,"40",,"16.2","0.18","1007.5","percent of total billed charges",,
"SPLINTS-TRACTION","0270","RC","Both",,,"40","20","Aetna","Commercial",,,"64",,"25.52","0.18","1007.5","percent of total billed charges",,
"SPLINTS-TRACTION","0270","RC","Both",,,"40","20","Blue Cross Blue Shield","Pathways",,,"71",,"28.24","0.18","1007.5","percent of total billed charges",,
"SPLINTS-TRACTION","0270","RC","Both",,,"40","20","Blue Cross Blue Shield","HMO",,,"71",,"28.24","0.18","1007.5","percent of total billed charges",,
"SPLINTS-TRACTION","0270","RC","Both",,,"40","20","Blue Cross Blue Shield","PPO",,,"71",,"28.24","0.18","1007.5","percent of total billed charges",,
"SPLINTS-TRACTION","0270","RC","Both",,,"40","20","Ambetter","Health Exchange",,,"62",,"24.8","0.18","1007.5","percent of total billed charges",,
"SPLINTS-TRACTION","0270","RC","Both",,,"40","20","Caresource","Health Exchange",,,"62",,"24.8","0.18","1007.5","percent of total billed charges",,
"SPLINTS-TRACTION","0270","RC","Both",,,"40","20","Cigna","Commercial",,,"59",,"23.44","0.18","1007.5","percent of total billed charges",,
"SPLINTS-TRACTION","0270","RC","Both",,,"40","20","Humana","Commercial",,,"78",,"31","0.18","1007.5","percent of total billed charges",,
"SPLINTS-TRACTION","0270","RC","Both",,,"40","20","UHC","Commercial",,,"75",,"30.16","0.18","1007.5","percent of total billed charges",,
"SPLINTS-TRACTION","0270","RC","Both",,,"40","20","Medicaid",,,,"37",,"14.64","0.18","1007.5","percent of total billed charges",,
"SPLINTS-LADDER","0270","RC","Both",,,"17.5","8.75","Alliant","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"SPLINTS-LADDER","0270","RC","Both",,,"17.5","8.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.45","0.18","1007.5","percent of total billed charges",,
"SPLINTS-LADDER","0270","RC","Both",,,"17.5","8.75","Medicare",,,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"SPLINTS-LADDER","0270","RC","Both",,,"17.5","8.75","Humana","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"SPLINTS-LADDER","0270","RC","Both",,,"17.5","8.75","UHC","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"SPLINTS-LADDER","0270","RC","Both",,,"17.5","8.75","Clover","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"SPLINTS-LADDER","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"SPLINTS-LADDER","0270","RC","Both",,,"17.5","8.75","Amerigroup","Medicaid Managed Care",,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"SPLINTS-LADDER","0270","RC","Both",,,"17.5","8.75","Caresource","Medicaid Managed Care",,,"40",,"7","0.18","1007.5","percent of total billed charges",,
"SPLINTS-LADDER","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicaid Managed Care",,,"40",,"7.09","0.18","1007.5","percent of total billed charges",,
"SPLINTS-LADDER","0270","RC","Both",,,"17.5","8.75","Aetna","Commercial",,,"64",,"11.16","0.18","1007.5","percent of total billed charges",,
"SPLINTS-LADDER","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","Pathways",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"SPLINTS-LADDER","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","HMO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"SPLINTS-LADDER","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","PPO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"SPLINTS-LADDER","0270","RC","Both",,,"17.5","8.75","Ambetter","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"SPLINTS-LADDER","0270","RC","Both",,,"17.5","8.75","Caresource","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"SPLINTS-LADDER","0270","RC","Both",,,"17.5","8.75","Cigna","Commercial",,,"59",,"10.26","0.18","1007.5","percent of total billed charges",,
"SPLINTS-LADDER","0270","RC","Both",,,"17.5","8.75","Humana","Commercial",,,"78",,"13.56","0.18","1007.5","percent of total billed charges",,
"SPLINTS-LADDER","0270","RC","Both",,,"17.5","8.75","UHC","Commercial",,,"75",,"13.2","0.18","1007.5","percent of total billed charges",,
"SPLINTS-LADDER","0270","RC","Both",,,"17.5","8.75","Medicaid",,,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"SPLINTS-CARDBOARD","0270","RC","Both",,,"17.5","8.75","Alliant","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"SPLINTS-CARDBOARD","0270","RC","Both",,,"17.5","8.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.45","0.18","1007.5","percent of total billed charges",,
"SPLINTS-CARDBOARD","0270","RC","Both",,,"17.5","8.75","Medicare",,,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"SPLINTS-CARDBOARD","0270","RC","Both",,,"17.5","8.75","Humana","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"SPLINTS-CARDBOARD","0270","RC","Both",,,"17.5","8.75","UHC","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"SPLINTS-CARDBOARD","0270","RC","Both",,,"17.5","8.75","Clover","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"SPLINTS-CARDBOARD","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"SPLINTS-CARDBOARD","0270","RC","Both",,,"17.5","8.75","Amerigroup","Medicaid Managed Care",,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"SPLINTS-CARDBOARD","0270","RC","Both",,,"17.5","8.75","Caresource","Medicaid Managed Care",,,"40",,"7","0.18","1007.5","percent of total billed charges",,
"SPLINTS-CARDBOARD","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicaid Managed Care",,,"40",,"7.09","0.18","1007.5","percent of total billed charges",,
"SPLINTS-CARDBOARD","0270","RC","Both",,,"17.5","8.75","Aetna","Commercial",,,"64",,"11.16","0.18","1007.5","percent of total billed charges",,
"SPLINTS-CARDBOARD","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","Pathways",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"SPLINTS-CARDBOARD","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","HMO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"SPLINTS-CARDBOARD","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","PPO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"SPLINTS-CARDBOARD","0270","RC","Both",,,"17.5","8.75","Ambetter","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"SPLINTS-CARDBOARD","0270","RC","Both",,,"17.5","8.75","Caresource","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"SPLINTS-CARDBOARD","0270","RC","Both",,,"17.5","8.75","Cigna","Commercial",,,"59",,"10.26","0.18","1007.5","percent of total billed charges",,
"SPLINTS-CARDBOARD","0270","RC","Both",,,"17.5","8.75","Humana","Commercial",,,"78",,"13.56","0.18","1007.5","percent of total billed charges",,
"SPLINTS-CARDBOARD","0270","RC","Both",,,"17.5","8.75","UHC","Commercial",,,"75",,"13.2","0.18","1007.5","percent of total billed charges",,
"SPLINTS-CARDBOARD","0270","RC","Both",,,"17.5","8.75","Medicaid",,,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"SPLINTS-AOA","0270","RC","Both",,,"32","16","Alliant","Health Exchange",,,"62",,"19.84","0.18","1007.5","percent of total billed charges",,
"SPLINTS-AOA","0270","RC","Both",,,"32","16","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.28","0.18","1007.5","percent of total billed charges",,
"SPLINTS-AOA","0270","RC","Both",,,"32","16","Medicare",,,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"SPLINTS-AOA","0270","RC","Both",,,"32","16","Humana","Medicare Advantage",,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"SPLINTS-AOA","0270","RC","Both",,,"32","16","UHC","Medicare Advantage",,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"SPLINTS-AOA","0270","RC","Both",,,"32","16","Clover","Medicare Advantage",,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"SPLINTS-AOA","0270","RC","Both",,,"32","16","Wellcare","Medicare Advantage",,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"SPLINTS-AOA","0270","RC","Both",,,"32","16","Amerigroup","Medicaid Managed Care",,,"37",,"11.71","0.18","1007.5","percent of total billed charges",,
"SPLINTS-AOA","0270","RC","Both",,,"32","16","Caresource","Medicaid Managed Care",,,"40",,"12.8","0.18","1007.5","percent of total billed charges",,
"SPLINTS-AOA","0270","RC","Both",,,"32","16","Wellcare","Medicaid Managed Care",,,"40",,"12.96","0.18","1007.5","percent of total billed charges",,
"SPLINTS-AOA","0270","RC","Both",,,"32","16","Aetna","Commercial",,,"64",,"20.42","0.18","1007.5","percent of total billed charges",,
"SPLINTS-AOA","0270","RC","Both",,,"32","16","Blue Cross Blue Shield","Pathways",,,"71",,"22.59","0.18","1007.5","percent of total billed charges",,
"SPLINTS-AOA","0270","RC","Both",,,"32","16","Blue Cross Blue Shield","HMO",,,"71",,"22.59","0.18","1007.5","percent of total billed charges",,
"SPLINTS-AOA","0270","RC","Both",,,"32","16","Blue Cross Blue Shield","PPO",,,"71",,"22.59","0.18","1007.5","percent of total billed charges",,
"SPLINTS-AOA","0270","RC","Both",,,"32","16","Ambetter","Health Exchange",,,"62",,"19.84","0.18","1007.5","percent of total billed charges",,
"SPLINTS-AOA","0270","RC","Both",,,"32","16","Caresource","Health Exchange",,,"62",,"19.84","0.18","1007.5","percent of total billed charges",,
"SPLINTS-AOA","0270","RC","Both",,,"32","16","Cigna","Commercial",,,"59",,"18.75","0.18","1007.5","percent of total billed charges",,
"SPLINTS-AOA","0270","RC","Both",,,"32","16","Humana","Commercial",,,"78",,"24.8","0.18","1007.5","percent of total billed charges",,
"SPLINTS-AOA","0270","RC","Both",,,"32","16","UHC","Commercial",,,"75",,"24.13","0.18","1007.5","percent of total billed charges",,
"SPLINTS-AOA","0270","RC","Both",,,"32","16","Medicaid",,,,"37",,"11.71","0.18","1007.5","percent of total billed charges",,
"SPINE BOARD-SHIRT W/STRAPS","0270","RC","Both",,,"32","16","Alliant","Health Exchange",,,"62",,"19.84","0.18","1007.5","percent of total billed charges",,
"SPINE BOARD-SHIRT W/STRAPS","0270","RC","Both",,,"32","16","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.28","0.18","1007.5","percent of total billed charges",,
"SPINE BOARD-SHIRT W/STRAPS","0270","RC","Both",,,"32","16","Medicare",,,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"SPINE BOARD-SHIRT W/STRAPS","0270","RC","Both",,,"32","16","Humana","Medicare Advantage",,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"SPINE BOARD-SHIRT W/STRAPS","0270","RC","Both",,,"32","16","UHC","Medicare Advantage",,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"SPINE BOARD-SHIRT W/STRAPS","0270","RC","Both",,,"32","16","Clover","Medicare Advantage",,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"SPINE BOARD-SHIRT W/STRAPS","0270","RC","Both",,,"32","16","Wellcare","Medicare Advantage",,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"SPINE BOARD-SHIRT W/STRAPS","0270","RC","Both",,,"32","16","Amerigroup","Medicaid Managed Care",,,"37",,"11.71","0.18","1007.5","percent of total billed charges",,
"SPINE BOARD-SHIRT W/STRAPS","0270","RC","Both",,,"32","16","Caresource","Medicaid Managed Care",,,"40",,"12.8","0.18","1007.5","percent of total billed charges",,
"SPINE BOARD-SHIRT W/STRAPS","0270","RC","Both",,,"32","16","Wellcare","Medicaid Managed Care",,,"40",,"12.96","0.18","1007.5","percent of total billed charges",,
"SPINE BOARD-SHIRT W/STRAPS","0270","RC","Both",,,"32","16","Aetna","Commercial",,,"64",,"20.42","0.18","1007.5","percent of total billed charges",,
"SPINE BOARD-SHIRT W/STRAPS","0270","RC","Both",,,"32","16","Blue Cross Blue Shield","Pathways",,,"71",,"22.59","0.18","1007.5","percent of total billed charges",,
"SPINE BOARD-SHIRT W/STRAPS","0270","RC","Both",,,"32","16","Blue Cross Blue Shield","HMO",,,"71",,"22.59","0.18","1007.5","percent of total billed charges",,
"SPINE BOARD-SHIRT W/STRAPS","0270","RC","Both",,,"32","16","Blue Cross Blue Shield","PPO",,,"71",,"22.59","0.18","1007.5","percent of total billed charges",,
"SPINE BOARD-SHIRT W/STRAPS","0270","RC","Both",,,"32","16","Ambetter","Health Exchange",,,"62",,"19.84","0.18","1007.5","percent of total billed charges",,
"SPINE BOARD-SHIRT W/STRAPS","0270","RC","Both",,,"32","16","Caresource","Health Exchange",,,"62",,"19.84","0.18","1007.5","percent of total billed charges",,
"SPINE BOARD-SHIRT W/STRAPS","0270","RC","Both",,,"32","16","Cigna","Commercial",,,"59",,"18.75","0.18","1007.5","percent of total billed charges",,
"SPINE BOARD-SHIRT W/STRAPS","0270","RC","Both",,,"32","16","Humana","Commercial",,,"78",,"24.8","0.18","1007.5","percent of total billed charges",,
"SPINE BOARD-SHIRT W/STRAPS","0270","RC","Both",,,"32","16","UHC","Commercial",,,"75",,"24.13","0.18","1007.5","percent of total billed charges",,
"SPINE BOARD-SHIRT W/STRAPS","0270","RC","Both",,,"32","16","Medicaid",,,,"37",,"11.71","0.18","1007.5","percent of total billed charges",,
"SPINE BOARD-LONG W/STRAPS","0270","RC","Both",,,"32","16","Alliant","Health Exchange",,,"62",,"19.84","0.18","1007.5","percent of total billed charges",,
"SPINE BOARD-LONG W/STRAPS","0270","RC","Both",,,"32","16","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.28","0.18","1007.5","percent of total billed charges",,
"SPINE BOARD-LONG W/STRAPS","0270","RC","Both",,,"32","16","Medicare",,,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"SPINE BOARD-LONG W/STRAPS","0270","RC","Both",,,"32","16","Humana","Medicare Advantage",,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"SPINE BOARD-LONG W/STRAPS","0270","RC","Both",,,"32","16","UHC","Medicare Advantage",,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"SPINE BOARD-LONG W/STRAPS","0270","RC","Both",,,"32","16","Clover","Medicare Advantage",,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"SPINE BOARD-LONG W/STRAPS","0270","RC","Both",,,"32","16","Wellcare","Medicare Advantage",,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"SPINE BOARD-LONG W/STRAPS","0270","RC","Both",,,"32","16","Amerigroup","Medicaid Managed Care",,,"37",,"11.71","0.18","1007.5","percent of total billed charges",,
"SPINE BOARD-LONG W/STRAPS","0270","RC","Both",,,"32","16","Caresource","Medicaid Managed Care",,,"40",,"12.8","0.18","1007.5","percent of total billed charges",,
"SPINE BOARD-LONG W/STRAPS","0270","RC","Both",,,"32","16","Wellcare","Medicaid Managed Care",,,"40",,"12.96","0.18","1007.5","percent of total billed charges",,
"SPINE BOARD-LONG W/STRAPS","0270","RC","Both",,,"32","16","Aetna","Commercial",,,"64",,"20.42","0.18","1007.5","percent of total billed charges",,
"SPINE BOARD-LONG W/STRAPS","0270","RC","Both",,,"32","16","Blue Cross Blue Shield","Pathways",,,"71",,"22.59","0.18","1007.5","percent of total billed charges",,
"SPINE BOARD-LONG W/STRAPS","0270","RC","Both",,,"32","16","Blue Cross Blue Shield","HMO",,,"71",,"22.59","0.18","1007.5","percent of total billed charges",,
"SPINE BOARD-LONG W/STRAPS","0270","RC","Both",,,"32","16","Blue Cross Blue Shield","PPO",,,"71",,"22.59","0.18","1007.5","percent of total billed charges",,
"SPINE BOARD-LONG W/STRAPS","0270","RC","Both",,,"32","16","Ambetter","Health Exchange",,,"62",,"19.84","0.18","1007.5","percent of total billed charges",,
"SPINE BOARD-LONG W/STRAPS","0270","RC","Both",,,"32","16","Caresource","Health Exchange",,,"62",,"19.84","0.18","1007.5","percent of total billed charges",,
"SPINE BOARD-LONG W/STRAPS","0270","RC","Both",,,"32","16","Cigna","Commercial",,,"59",,"18.75","0.18","1007.5","percent of total billed charges",,
"SPINE BOARD-LONG W/STRAPS","0270","RC","Both",,,"32","16","Humana","Commercial",,,"78",,"24.8","0.18","1007.5","percent of total billed charges",,
"SPINE BOARD-LONG W/STRAPS","0270","RC","Both",,,"32","16","UHC","Commercial",,,"75",,"24.13","0.18","1007.5","percent of total billed charges",,
"SPINE BOARD-LONG W/STRAPS","0270","RC","Both",,,"32","16","Medicaid",,,,"37",,"11.71","0.18","1007.5","percent of total billed charges",,
"KED","0270","RC","Both",,,"64.5","32.25","Alliant","Health Exchange",,,"62",,"39.99","0.18","1007.5","percent of total billed charges",,
"KED","0270","RC","Both",,,"64.5","32.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"34.83","0.18","1007.5","percent of total billed charges",,
"KED","0270","RC","Both",,,"64.5","32.25","Medicare",,,,"54",,"34.96","0.18","1007.5","percent of total billed charges",,
"KED","0270","RC","Both",,,"64.5","32.25","Humana","Medicare Advantage",,,"54",,"34.96","0.18","1007.5","percent of total billed charges",,
"KED","0270","RC","Both",,,"64.5","32.25","UHC","Medicare Advantage",,,"54",,"34.96","0.18","1007.5","percent of total billed charges",,
"KED","0270","RC","Both",,,"64.5","32.25","Clover","Medicare Advantage",,,"54",,"34.96","0.18","1007.5","percent of total billed charges",,
"KED","0270","RC","Both",,,"64.5","32.25","Wellcare","Medicare Advantage",,,"54",,"34.96","0.18","1007.5","percent of total billed charges",,
"KED","0270","RC","Both",,,"64.5","32.25","Amerigroup","Medicaid Managed Care",,,"37",,"23.61","0.18","1007.5","percent of total billed charges",,
"KED","0270","RC","Both",,,"64.5","32.25","Caresource","Medicaid Managed Care",,,"40",,"25.8","0.18","1007.5","percent of total billed charges",,
"KED","0270","RC","Both",,,"64.5","32.25","Wellcare","Medicaid Managed Care",,,"40",,"26.12","0.18","1007.5","percent of total billed charges",,
"KED","0270","RC","Both",,,"64.5","32.25","Aetna","Commercial",,,"64",,"41.15","0.18","1007.5","percent of total billed charges",,
"KED","0270","RC","Both",,,"64.5","32.25","Blue Cross Blue Shield","Pathways",,,"71",,"45.54","0.18","1007.5","percent of total billed charges",,
"KED","0270","RC","Both",,,"64.5","32.25","Blue Cross Blue Shield","HMO",,,"71",,"45.54","0.18","1007.5","percent of total billed charges",,
"KED","0270","RC","Both",,,"64.5","32.25","Blue Cross Blue Shield","PPO",,,"71",,"45.54","0.18","1007.5","percent of total billed charges",,
"KED","0270","RC","Both",,,"64.5","32.25","Ambetter","Health Exchange",,,"62",,"39.99","0.18","1007.5","percent of total billed charges",,
"KED","0270","RC","Both",,,"64.5","32.25","Caresource","Health Exchange",,,"62",,"39.99","0.18","1007.5","percent of total billed charges",,
"KED","0270","RC","Both",,,"64.5","32.25","Cigna","Commercial",,,"59",,"37.8","0.18","1007.5","percent of total billed charges",,
"KED","0270","RC","Both",,,"64.5","32.25","Humana","Commercial",,,"78",,"49.99","0.18","1007.5","percent of total billed charges",,
"KED","0270","RC","Both",,,"64.5","32.25","UHC","Commercial",,,"75",,"48.63","0.18","1007.5","percent of total billed charges",,
"KED","0270","RC","Both",,,"64.5","32.25","Medicaid",,,,"37",,"23.61","0.18","1007.5","percent of total billed charges",,
"STRETCHER-SCOOP","0270","RC","Both",,,"17.5","8.75","Alliant","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"STRETCHER-SCOOP","0270","RC","Both",,,"17.5","8.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.45","0.18","1007.5","percent of total billed charges",,
"STRETCHER-SCOOP","0270","RC","Both",,,"17.5","8.75","Medicare",,,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"STRETCHER-SCOOP","0270","RC","Both",,,"17.5","8.75","Humana","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"STRETCHER-SCOOP","0270","RC","Both",,,"17.5","8.75","UHC","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"STRETCHER-SCOOP","0270","RC","Both",,,"17.5","8.75","Clover","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"STRETCHER-SCOOP","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"STRETCHER-SCOOP","0270","RC","Both",,,"17.5","8.75","Amerigroup","Medicaid Managed Care",,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"STRETCHER-SCOOP","0270","RC","Both",,,"17.5","8.75","Caresource","Medicaid Managed Care",,,"40",,"7","0.18","1007.5","percent of total billed charges",,
"STRETCHER-SCOOP","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicaid Managed Care",,,"40",,"7.09","0.18","1007.5","percent of total billed charges",,
"STRETCHER-SCOOP","0270","RC","Both",,,"17.5","8.75","Aetna","Commercial",,,"64",,"11.16","0.18","1007.5","percent of total billed charges",,
"STRETCHER-SCOOP","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","Pathways",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"STRETCHER-SCOOP","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","HMO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"STRETCHER-SCOOP","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","PPO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"STRETCHER-SCOOP","0270","RC","Both",,,"17.5","8.75","Ambetter","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"STRETCHER-SCOOP","0270","RC","Both",,,"17.5","8.75","Caresource","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"STRETCHER-SCOOP","0270","RC","Both",,,"17.5","8.75","Cigna","Commercial",,,"59",,"10.26","0.18","1007.5","percent of total billed charges",,
"STRETCHER-SCOOP","0270","RC","Both",,,"17.5","8.75","Humana","Commercial",,,"78",,"13.56","0.18","1007.5","percent of total billed charges",,
"STRETCHER-SCOOP","0270","RC","Both",,,"17.5","8.75","UHC","Commercial",,,"75",,"13.2","0.18","1007.5","percent of total billed charges",,
"STRETCHER-SCOOP","0270","RC","Both",,,"17.5","8.75","Medicaid",,,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"STRETCHER-FOLDING","0270","RC","Both",,,"17.5","8.75","Alliant","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"STRETCHER-FOLDING","0270","RC","Both",,,"17.5","8.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.45","0.18","1007.5","percent of total billed charges",,
"STRETCHER-FOLDING","0270","RC","Both",,,"17.5","8.75","Medicare",,,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"STRETCHER-FOLDING","0270","RC","Both",,,"17.5","8.75","Humana","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"STRETCHER-FOLDING","0270","RC","Both",,,"17.5","8.75","UHC","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"STRETCHER-FOLDING","0270","RC","Both",,,"17.5","8.75","Clover","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"STRETCHER-FOLDING","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"STRETCHER-FOLDING","0270","RC","Both",,,"17.5","8.75","Amerigroup","Medicaid Managed Care",,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"STRETCHER-FOLDING","0270","RC","Both",,,"17.5","8.75","Caresource","Medicaid Managed Care",,,"40",,"7","0.18","1007.5","percent of total billed charges",,
"STRETCHER-FOLDING","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicaid Managed Care",,,"40",,"7.09","0.18","1007.5","percent of total billed charges",,
"STRETCHER-FOLDING","0270","RC","Both",,,"17.5","8.75","Aetna","Commercial",,,"64",,"11.16","0.18","1007.5","percent of total billed charges",,
"STRETCHER-FOLDING","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","Pathways",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"STRETCHER-FOLDING","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","HMO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"STRETCHER-FOLDING","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","PPO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"STRETCHER-FOLDING","0270","RC","Both",,,"17.5","8.75","Ambetter","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"STRETCHER-FOLDING","0270","RC","Both",,,"17.5","8.75","Caresource","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"STRETCHER-FOLDING","0270","RC","Both",,,"17.5","8.75","Cigna","Commercial",,,"59",,"10.26","0.18","1007.5","percent of total billed charges",,
"STRETCHER-FOLDING","0270","RC","Both",,,"17.5","8.75","Humana","Commercial",,,"78",,"13.56","0.18","1007.5","percent of total billed charges",,
"STRETCHER-FOLDING","0270","RC","Both",,,"17.5","8.75","UHC","Commercial",,,"75",,"13.2","0.18","1007.5","percent of total billed charges",,
"STRETCHER-FOLDING","0270","RC","Both",,,"17.5","8.75","Medicaid",,,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"THERMOMETER","0270","RC","Both",,,"17.5","8.75","Alliant","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"THERMOMETER","0270","RC","Both",,,"17.5","8.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.45","0.18","1007.5","percent of total billed charges",,
"THERMOMETER","0270","RC","Both",,,"17.5","8.75","Medicare",,,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"THERMOMETER","0270","RC","Both",,,"17.5","8.75","Humana","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"THERMOMETER","0270","RC","Both",,,"17.5","8.75","UHC","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"THERMOMETER","0270","RC","Both",,,"17.5","8.75","Clover","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"THERMOMETER","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"THERMOMETER","0270","RC","Both",,,"17.5","8.75","Amerigroup","Medicaid Managed Care",,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"THERMOMETER","0270","RC","Both",,,"17.5","8.75","Caresource","Medicaid Managed Care",,,"40",,"7","0.18","1007.5","percent of total billed charges",,
"THERMOMETER","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicaid Managed Care",,,"40",,"7.09","0.18","1007.5","percent of total billed charges",,
"THERMOMETER","0270","RC","Both",,,"17.5","8.75","Aetna","Commercial",,,"64",,"11.16","0.18","1007.5","percent of total billed charges",,
"THERMOMETER","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","Pathways",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"THERMOMETER","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","HMO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"THERMOMETER","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","PPO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"THERMOMETER","0270","RC","Both",,,"17.5","8.75","Ambetter","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"THERMOMETER","0270","RC","Both",,,"17.5","8.75","Caresource","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"THERMOMETER","0270","RC","Both",,,"17.5","8.75","Cigna","Commercial",,,"59",,"10.26","0.18","1007.5","percent of total billed charges",,
"THERMOMETER","0270","RC","Both",,,"17.5","8.75","Humana","Commercial",,,"78",,"13.56","0.18","1007.5","percent of total billed charges",,
"THERMOMETER","0270","RC","Both",,,"17.5","8.75","UHC","Commercial",,,"75",,"13.2","0.18","1007.5","percent of total billed charges",,
"THERMOMETER","0270","RC","Both",,,"17.5","8.75","Medicaid",,,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"TRAINGULAR BANDAGE OR ARM SLING","0270","RC","Both",,,"18.5","9.25","Alliant","Health Exchange",,,"62",,"11.47","0.18","1007.5","percent of total billed charges",,
"TRAINGULAR BANDAGE OR ARM SLING","0270","RC","Both",,,"18.5","9.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.99","0.18","1007.5","percent of total billed charges",,
"TRAINGULAR BANDAGE OR ARM SLING","0270","RC","Both",,,"18.5","9.25","Medicare",,,,"54",,"10.03","0.18","1007.5","percent of total billed charges",,
"TRAINGULAR BANDAGE OR ARM SLING","0270","RC","Both",,,"18.5","9.25","Humana","Medicare Advantage",,,"54",,"10.03","0.18","1007.5","percent of total billed charges",,
"TRAINGULAR BANDAGE OR ARM SLING","0270","RC","Both",,,"18.5","9.25","UHC","Medicare Advantage",,,"54",,"10.03","0.18","1007.5","percent of total billed charges",,
"TRAINGULAR BANDAGE OR ARM SLING","0270","RC","Both",,,"18.5","9.25","Clover","Medicare Advantage",,,"54",,"10.03","0.18","1007.5","percent of total billed charges",,
"TRAINGULAR BANDAGE OR ARM SLING","0270","RC","Both",,,"18.5","9.25","Wellcare","Medicare Advantage",,,"54",,"10.03","0.18","1007.5","percent of total billed charges",,
"TRAINGULAR BANDAGE OR ARM SLING","0270","RC","Both",,,"18.5","9.25","Amerigroup","Medicaid Managed Care",,,"37",,"6.77","0.18","1007.5","percent of total billed charges",,
"TRAINGULAR BANDAGE OR ARM SLING","0270","RC","Both",,,"18.5","9.25","Caresource","Medicaid Managed Care",,,"40",,"7.4","0.18","1007.5","percent of total billed charges",,
"TRAINGULAR BANDAGE OR ARM SLING","0270","RC","Both",,,"18.5","9.25","Wellcare","Medicaid Managed Care",,,"40",,"7.49","0.18","1007.5","percent of total billed charges",,
"TRAINGULAR BANDAGE OR ARM SLING","0270","RC","Both",,,"18.5","9.25","Aetna","Commercial",,,"64",,"11.8","0.18","1007.5","percent of total billed charges",,
"TRAINGULAR BANDAGE OR ARM SLING","0270","RC","Both",,,"18.5","9.25","Blue Cross Blue Shield","Pathways",,,"71",,"13.06","0.18","1007.5","percent of total billed charges",,
"TRAINGULAR BANDAGE OR ARM SLING","0270","RC","Both",,,"18.5","9.25","Blue Cross Blue Shield","HMO",,,"71",,"13.06","0.18","1007.5","percent of total billed charges",,
"TRAINGULAR BANDAGE OR ARM SLING","0270","RC","Both",,,"18.5","9.25","Blue Cross Blue Shield","PPO",,,"71",,"13.06","0.18","1007.5","percent of total billed charges",,
"TRAINGULAR BANDAGE OR ARM SLING","0270","RC","Both",,,"18.5","9.25","Ambetter","Health Exchange",,,"62",,"11.47","0.18","1007.5","percent of total billed charges",,
"TRAINGULAR BANDAGE OR ARM SLING","0270","RC","Both",,,"18.5","9.25","Caresource","Health Exchange",,,"62",,"11.47","0.18","1007.5","percent of total billed charges",,
"TRAINGULAR BANDAGE OR ARM SLING","0270","RC","Both",,,"18.5","9.25","Cigna","Commercial",,,"59",,"10.84","0.18","1007.5","percent of total billed charges",,
"TRAINGULAR BANDAGE OR ARM SLING","0270","RC","Both",,,"18.5","9.25","Humana","Commercial",,,"78",,"14.34","0.18","1007.5","percent of total billed charges",,
"TRAINGULAR BANDAGE OR ARM SLING","0270","RC","Both",,,"18.5","9.25","UHC","Commercial",,,"75",,"13.95","0.18","1007.5","percent of total billed charges",,
"TRAINGULAR BANDAGE OR ARM SLING","0270","RC","Both",,,"18.5","9.25","Medicaid",,,,"37",,"6.77","0.18","1007.5","percent of total billed charges",,
"URINAL","0270","RC","Both",,,"17.5","8.75","Alliant","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"URINAL","0270","RC","Both",,,"17.5","8.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.45","0.18","1007.5","percent of total billed charges",,
"URINAL","0270","RC","Both",,,"17.5","8.75","Medicare",,,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"URINAL","0270","RC","Both",,,"17.5","8.75","Humana","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"URINAL","0270","RC","Both",,,"17.5","8.75","UHC","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"URINAL","0270","RC","Both",,,"17.5","8.75","Clover","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"URINAL","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"URINAL","0270","RC","Both",,,"17.5","8.75","Amerigroup","Medicaid Managed Care",,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"URINAL","0270","RC","Both",,,"17.5","8.75","Caresource","Medicaid Managed Care",,,"40",,"7","0.18","1007.5","percent of total billed charges",,
"URINAL","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicaid Managed Care",,,"40",,"7.09","0.18","1007.5","percent of total billed charges",,
"URINAL","0270","RC","Both",,,"17.5","8.75","Aetna","Commercial",,,"64",,"11.16","0.18","1007.5","percent of total billed charges",,
"URINAL","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","Pathways",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"URINAL","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","HMO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"URINAL","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","PPO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"URINAL","0270","RC","Both",,,"17.5","8.75","Ambetter","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"URINAL","0270","RC","Both",,,"17.5","8.75","Caresource","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"URINAL","0270","RC","Both",,,"17.5","8.75","Cigna","Commercial",,,"59",,"10.26","0.18","1007.5","percent of total billed charges",,
"URINAL","0270","RC","Both",,,"17.5","8.75","Humana","Commercial",,,"78",,"13.56","0.18","1007.5","percent of total billed charges",,
"URINAL","0270","RC","Both",,,"17.5","8.75","UHC","Commercial",,,"75",,"13.2","0.18","1007.5","percent of total billed charges",,
"URINAL","0270","RC","Both",,,"17.5","8.75","Medicaid",,,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"BEDPAN","0270","RC","Both",,,"17.5","8.75","Alliant","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"BEDPAN","0270","RC","Both",,,"17.5","8.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.45","0.18","1007.5","percent of total billed charges",,
"BEDPAN","0270","RC","Both",,,"17.5","8.75","Medicare",,,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"BEDPAN","0270","RC","Both",,,"17.5","8.75","Humana","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"BEDPAN","0270","RC","Both",,,"17.5","8.75","UHC","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"BEDPAN","0270","RC","Both",,,"17.5","8.75","Clover","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"BEDPAN","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"BEDPAN","0270","RC","Both",,,"17.5","8.75","Amerigroup","Medicaid Managed Care",,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"BEDPAN","0270","RC","Both",,,"17.5","8.75","Caresource","Medicaid Managed Care",,,"40",,"7","0.18","1007.5","percent of total billed charges",,
"BEDPAN","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicaid Managed Care",,,"40",,"7.09","0.18","1007.5","percent of total billed charges",,
"BEDPAN","0270","RC","Both",,,"17.5","8.75","Aetna","Commercial",,,"64",,"11.16","0.18","1007.5","percent of total billed charges",,
"BEDPAN","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","Pathways",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"BEDPAN","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","HMO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"BEDPAN","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","PPO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"BEDPAN","0270","RC","Both",,,"17.5","8.75","Ambetter","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"BEDPAN","0270","RC","Both",,,"17.5","8.75","Caresource","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"BEDPAN","0270","RC","Both",,,"17.5","8.75","Cigna","Commercial",,,"59",,"10.26","0.18","1007.5","percent of total billed charges",,
"BEDPAN","0270","RC","Both",,,"17.5","8.75","Humana","Commercial",,,"78",,"13.56","0.18","1007.5","percent of total billed charges",,
"BEDPAN","0270","RC","Both",,,"17.5","8.75","UHC","Commercial",,,"75",,"13.2","0.18","1007.5","percent of total billed charges",,
"BEDPAN","0270","RC","Both",,,"17.5","8.75","Medicaid",,,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"VASELINE GAUZE","0270","RC","Both",,,"17.5","8.75","Alliant","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"VASELINE GAUZE","0270","RC","Both",,,"17.5","8.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.45","0.18","1007.5","percent of total billed charges",,
"VASELINE GAUZE","0270","RC","Both",,,"17.5","8.75","Medicare",,,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"VASELINE GAUZE","0270","RC","Both",,,"17.5","8.75","Humana","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"VASELINE GAUZE","0270","RC","Both",,,"17.5","8.75","UHC","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"VASELINE GAUZE","0270","RC","Both",,,"17.5","8.75","Clover","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"VASELINE GAUZE","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicare Advantage",,,"54",,"9.49","0.18","1007.5","percent of total billed charges",,
"VASELINE GAUZE","0270","RC","Both",,,"17.5","8.75","Amerigroup","Medicaid Managed Care",,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"VASELINE GAUZE","0270","RC","Both",,,"17.5","8.75","Caresource","Medicaid Managed Care",,,"40",,"7","0.18","1007.5","percent of total billed charges",,
"VASELINE GAUZE","0270","RC","Both",,,"17.5","8.75","Wellcare","Medicaid Managed Care",,,"40",,"7.09","0.18","1007.5","percent of total billed charges",,
"VASELINE GAUZE","0270","RC","Both",,,"17.5","8.75","Aetna","Commercial",,,"64",,"11.16","0.18","1007.5","percent of total billed charges",,
"VASELINE GAUZE","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","Pathways",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"VASELINE GAUZE","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","HMO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"VASELINE GAUZE","0270","RC","Both",,,"17.5","8.75","Blue Cross Blue Shield","PPO",,,"71",,"12.35","0.18","1007.5","percent of total billed charges",,
"VASELINE GAUZE","0270","RC","Both",,,"17.5","8.75","Ambetter","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"VASELINE GAUZE","0270","RC","Both",,,"17.5","8.75","Caresource","Health Exchange",,,"62",,"10.85","0.18","1007.5","percent of total billed charges",,
"VASELINE GAUZE","0270","RC","Both",,,"17.5","8.75","Cigna","Commercial",,,"59",,"10.26","0.18","1007.5","percent of total billed charges",,
"VASELINE GAUZE","0270","RC","Both",,,"17.5","8.75","Humana","Commercial",,,"78",,"13.56","0.18","1007.5","percent of total billed charges",,
"VASELINE GAUZE","0270","RC","Both",,,"17.5","8.75","UHC","Commercial",,,"75",,"13.2","0.18","1007.5","percent of total billed charges",,
"VASELINE GAUZE","0270","RC","Both",,,"17.5","8.75","Medicaid",,,,"37",,"6.4","0.18","1007.5","percent of total billed charges",,
"BAG-MASK-VALVE UNIT","0270","RC","Both",,,"54.5","27.25","Alliant","Health Exchange",,,"62",,"33.79","0.18","1007.5","percent of total billed charges",,
"BAG-MASK-VALVE UNIT","0270","RC","Both",,,"54.5","27.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"29.43","0.18","1007.5","percent of total billed charges",,
"BAG-MASK-VALVE UNIT","0270","RC","Both",,,"54.5","27.25","Medicare",,,,"54",,"29.54","0.18","1007.5","percent of total billed charges",,
"BAG-MASK-VALVE UNIT","0270","RC","Both",,,"54.5","27.25","Humana","Medicare Advantage",,,"54",,"29.54","0.18","1007.5","percent of total billed charges",,
"BAG-MASK-VALVE UNIT","0270","RC","Both",,,"54.5","27.25","UHC","Medicare Advantage",,,"54",,"29.54","0.18","1007.5","percent of total billed charges",,
"BAG-MASK-VALVE UNIT","0270","RC","Both",,,"54.5","27.25","Clover","Medicare Advantage",,,"54",,"29.54","0.18","1007.5","percent of total billed charges",,
"BAG-MASK-VALVE UNIT","0270","RC","Both",,,"54.5","27.25","Wellcare","Medicare Advantage",,,"54",,"29.54","0.18","1007.5","percent of total billed charges",,
"BAG-MASK-VALVE UNIT","0270","RC","Both",,,"54.5","27.25","Amerigroup","Medicaid Managed Care",,,"37",,"19.95","0.18","1007.5","percent of total billed charges",,
"BAG-MASK-VALVE UNIT","0270","RC","Both",,,"54.5","27.25","Caresource","Medicaid Managed Care",,,"40",,"21.8","0.18","1007.5","percent of total billed charges",,
"BAG-MASK-VALVE UNIT","0270","RC","Both",,,"54.5","27.25","Wellcare","Medicaid Managed Care",,,"40",,"22.07","0.18","1007.5","percent of total billed charges",,
"BAG-MASK-VALVE UNIT","0270","RC","Both",,,"54.5","27.25","Aetna","Commercial",,,"64",,"34.77","0.18","1007.5","percent of total billed charges",,
"BAG-MASK-VALVE UNIT","0270","RC","Both",,,"54.5","27.25","Blue Cross Blue Shield","Pathways",,,"71",,"38.48","0.18","1007.5","percent of total billed charges",,
"BAG-MASK-VALVE UNIT","0270","RC","Both",,,"54.5","27.25","Blue Cross Blue Shield","HMO",,,"71",,"38.48","0.18","1007.5","percent of total billed charges",,
"BAG-MASK-VALVE UNIT","0270","RC","Both",,,"54.5","27.25","Blue Cross Blue Shield","PPO",,,"71",,"38.48","0.18","1007.5","percent of total billed charges",,
"BAG-MASK-VALVE UNIT","0270","RC","Both",,,"54.5","27.25","Ambetter","Health Exchange",,,"62",,"33.79","0.18","1007.5","percent of total billed charges",,
"BAG-MASK-VALVE UNIT","0270","RC","Both",,,"54.5","27.25","Caresource","Health Exchange",,,"62",,"33.79","0.18","1007.5","percent of total billed charges",,
"BAG-MASK-VALVE UNIT","0270","RC","Both",,,"54.5","27.25","Cigna","Commercial",,,"59",,"31.94","0.18","1007.5","percent of total billed charges",,
"BAG-MASK-VALVE UNIT","0270","RC","Both",,,"54.5","27.25","Humana","Commercial",,,"78",,"42.24","0.18","1007.5","percent of total billed charges",,
"BAG-MASK-VALVE UNIT","0270","RC","Both",,,"54.5","27.25","UHC","Commercial",,,"75",,"41.09","0.18","1007.5","percent of total billed charges",,
"BAG-MASK-VALVE UNIT","0270","RC","Both",,,"54.5","27.25","Medicaid",,,,"37",,"19.95","0.18","1007.5","percent of total billed charges",,
"INCISION & DRAINAGE SUBMUCOSAL ABSCESS","0450","RC","Both",,,"4433","2216.5","Alliant","Health Exchange",,,"62",,"2748.46","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUBMUCOSAL ABSCESS","0450","RC","Both",,,"4433","2216.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2393.82","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUBMUCOSAL ABSCESS","0450","RC","Both",,,"4433","2216.5","Medicare",,,,"54",,"2402.69","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUBMUCOSAL ABSCESS","0450","RC","Both",,,"4433","2216.5","Humana","Medicare Advantage",,,"54",,"2402.69","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUBMUCOSAL ABSCESS","0450","RC","Both",,,"4433","2216.5","UHC","Medicare Advantage",,,"54",,"2402.69","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUBMUCOSAL ABSCESS","0450","RC","Both",,,"4433","2216.5","Clover","Medicare Advantage",,,"54",,"2402.69","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUBMUCOSAL ABSCESS","0450","RC","Both",,,"4433","2216.5","Wellcare","Medicare Advantage",,,"54",,"2402.69","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUBMUCOSAL ABSCESS","0450","RC","Both",,,"4433","2216.5","Amerigroup","Medicaid Managed Care",,,"37",,"1622.48","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUBMUCOSAL ABSCESS","0450","RC","Both",,,"4433","2216.5","Caresource","Medicaid Managed Care",,,"40",,"1773.2","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUBMUCOSAL ABSCESS","0450","RC","Both",,,"4433","2216.5","Wellcare","Medicaid Managed Care",,,"40",,"1795.36","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUBMUCOSAL ABSCESS","0450","RC","Both",,,"4433","2216.5","Aetna","Commercial",,,"64",,"2828.25","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUBMUCOSAL ABSCESS","0450","RC","Both",,,"4433","2216.5","Blue Cross Blue Shield","Pathways",,,"71",,"3129.7","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUBMUCOSAL ABSCESS","0450","RC","Both",,,"4433","2216.5","Blue Cross Blue Shield","HMO",,,"71",,"3129.7","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUBMUCOSAL ABSCESS","0450","RC","Both",,,"4433","2216.5","Blue Cross Blue Shield","PPO",,,"71",,"3129.7","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUBMUCOSAL ABSCESS","0450","RC","Both",,,"4433","2216.5","Ambetter","Health Exchange",,,"62",,"2748.46","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUBMUCOSAL ABSCESS","0450","RC","Both",,,"4433","2216.5","Caresource","Health Exchange",,,"62",,"2748.46","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUBMUCOSAL ABSCESS","0450","RC","Both",,,"4433","2216.5","Cigna","Commercial",,,"59",,"2597.74","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUBMUCOSAL ABSCESS","0450","RC","Both",,,"4433","2216.5","Humana","Commercial",,,"78",,"3435.58","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUBMUCOSAL ABSCESS","0450","RC","Both",,,"4433","2216.5","UHC","Commercial",,,"75",,"3342.48","1622.48","3435.58","percent of total billed charges",,
"INCISION & DRAINAGE SUBMUCOSAL ABSCESS","0450","RC","Both",,,"4433","2216.5","Medicaid",,,,"37",,"1622.48","1622.48","3435.58","percent of total billed charges",,
"NEWBORN ATTENDANCE AT DELIVERY","0981","RC","Both",,,"258.5","129.25","Alliant","Health Exchange",,,"62",,"160.27","84","287.91","percent of total billed charges",,
"NEWBORN ATTENDANCE AT DELIVERY","0981","RC","Both",,,"258.5","129.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"139.59","84","287.91","percent of total billed charges",,
"NEWBORN ATTENDANCE AT DELIVERY","0981","RC","Both",,,"258.5","129.25","Medicare",,,,"54",,"140.11","84","287.91","percent of total billed charges",,
"NEWBORN ATTENDANCE AT DELIVERY","0981","RC","Both",,,"258.5","129.25","Humana","Medicare Advantage",,,"54",,"140.11","84","287.91","percent of total billed charges",,
"NEWBORN ATTENDANCE AT DELIVERY","0981","RC","Both",,,"258.5","129.25","UHC","Medicare Advantage",,,"54",,"140.11","84","287.91","percent of total billed charges",,
"NEWBORN ATTENDANCE AT DELIVERY","0981","RC","Both",,,"258.5","129.25","Clover","Medicare Advantage",,,"54",,"140.11","84","287.91","percent of total billed charges",,
"NEWBORN ATTENDANCE AT DELIVERY","0981","RC","Both",,,"258.5","129.25","Wellcare","Medicare Advantage",,,"54",,"140.11","84","287.91","percent of total billed charges",,
"NEWBORN ATTENDANCE AT DELIVERY","0981","RC","Both",,,"258.5","129.25","Amerigroup","Medicaid Managed Care",,,"37",,"94.61","84","287.91","percent of total billed charges",,
"NEWBORN ATTENDANCE AT DELIVERY","0981","RC","Both",,,"258.5","129.25","Caresource","Medicaid Managed Care",,,"40",,"103.4","84","287.91","percent of total billed charges",,
"NEWBORN ATTENDANCE AT DELIVERY","0981","RC","Both",,,"258.5","129.25","Wellcare","Medicaid Managed Care",,,"40",,"104.69","84","287.91","percent of total billed charges",,
"NEWBORN ATTENDANCE AT DELIVERY","0981","RC","Both",,,"258.5","129.25","Aetna","Commercial",,,"64",,"164.92","84","287.91","percent of total billed charges",,
"NEWBORN ATTENDANCE AT DELIVERY","0981","RC","Both",,,"258.5","129.25","Blue Cross Blue Shield","Pathways",,,"71",,"182.5","84","287.91","percent of total billed charges",,
"NEWBORN ATTENDANCE AT DELIVERY","0981","RC","Both",,,"258.5","129.25","Blue Cross Blue Shield","HMO",,,"71",,"182.5","84","287.91","percent of total billed charges",,
"NEWBORN ATTENDANCE AT DELIVERY","0981","RC","Both",,,"258.5","129.25","Blue Cross Blue Shield","PPO",,,"71",,"182.5","84","287.91","percent of total billed charges",,
"NEWBORN ATTENDANCE AT DELIVERY","0981","RC","Both",,,"258.5","129.25","Ambetter","Health Exchange",,,"62",,"160.27","84","287.91","percent of total billed charges",,
"NEWBORN ATTENDANCE AT DELIVERY","0981","RC","Both",,,"258.5","129.25","Caresource","Health Exchange",,,"62",,"160.27","84","287.91","percent of total billed charges",,
"NEWBORN ATTENDANCE AT DELIVERY","0981","RC","Both",,,"258.5","129.25","Cigna","Commercial",,,"59",,"151.48","84","287.91","percent of total billed charges",,
"NEWBORN ATTENDANCE AT DELIVERY","0981","RC","Both",,,"258.5","129.25","Humana","Commercial",,,"78",,"200.34","84","287.91","percent of total billed charges",,
"NEWBORN ATTENDANCE AT DELIVERY","0981","RC","Both",,,"258.5","129.25","UHC","Commercial",,,"75",,"194.91","84","287.91","percent of total billed charges",,
"NEWBORN ATTENDANCE AT DELIVERY","0981","RC","Both",,,"258.5","129.25","Medicaid",,,,"37",,"94.61","84","287.91","percent of total billed charges",,
"NEWBORN HISTORY AND EXAMINATION NORMAL","0981","RC","Both",,,"262.5","131.25","Alliant","Health Exchange",,,"62",,"162.75","84","287.91","percent of total billed charges",,
"NEWBORN HISTORY AND EXAMINATION NORMAL","0981","RC","Both",,,"262.5","131.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"141.75","84","287.91","percent of total billed charges",,
"NEWBORN HISTORY AND EXAMINATION NORMAL","0981","RC","Both",,,"262.5","131.25","Medicare",,,,"54",,"142.28","84","287.91","percent of total billed charges",,
"NEWBORN HISTORY AND EXAMINATION NORMAL","0981","RC","Both",,,"262.5","131.25","Humana","Medicare Advantage",,,"54",,"142.28","84","287.91","percent of total billed charges",,
"NEWBORN HISTORY AND EXAMINATION NORMAL","0981","RC","Both",,,"262.5","131.25","UHC","Medicare Advantage",,,"54",,"142.28","84","287.91","percent of total billed charges",,
"NEWBORN HISTORY AND EXAMINATION NORMAL","0981","RC","Both",,,"262.5","131.25","Clover","Medicare Advantage",,,"54",,"142.28","84","287.91","percent of total billed charges",,
"NEWBORN HISTORY AND EXAMINATION NORMAL","0981","RC","Both",,,"262.5","131.25","Wellcare","Medicare Advantage",,,"54",,"142.28","84","287.91","percent of total billed charges",,
"NEWBORN HISTORY AND EXAMINATION NORMAL","0981","RC","Both",,,"262.5","131.25","Amerigroup","Medicaid Managed Care",,,"37",,"96.08","84","287.91","percent of total billed charges",,
"NEWBORN HISTORY AND EXAMINATION NORMAL","0981","RC","Both",,,"262.5","131.25","Caresource","Medicaid Managed Care",,,"40",,"105","84","287.91","percent of total billed charges",,
"NEWBORN HISTORY AND EXAMINATION NORMAL","0981","RC","Both",,,"262.5","131.25","Wellcare","Medicaid Managed Care",,,"40",,"106.31","84","287.91","percent of total billed charges",,
"NEWBORN HISTORY AND EXAMINATION NORMAL","0981","RC","Both",,,"262.5","131.25","Aetna","Commercial",,,"64",,"167.48","84","287.91","percent of total billed charges",,
"NEWBORN HISTORY AND EXAMINATION NORMAL","0981","RC","Both",,,"262.5","131.25","Blue Cross Blue Shield","Pathways",,,"71",,"185.32","84","287.91","percent of total billed charges",,
"NEWBORN HISTORY AND EXAMINATION NORMAL","0981","RC","Both",,,"262.5","131.25","Blue Cross Blue Shield","HMO",,,"71",,"185.32","84","287.91","percent of total billed charges",,
"NEWBORN HISTORY AND EXAMINATION NORMAL","0981","RC","Both",,,"262.5","131.25","Blue Cross Blue Shield","PPO",,,"71",,"185.32","84","287.91","percent of total billed charges",,
"NEWBORN HISTORY AND EXAMINATION NORMAL","0981","RC","Both",,,"262.5","131.25","Ambetter","Health Exchange",,,"62",,"162.75","84","287.91","percent of total billed charges",,
"NEWBORN HISTORY AND EXAMINATION NORMAL","0981","RC","Both",,,"262.5","131.25","Caresource","Health Exchange",,,"62",,"162.75","84","287.91","percent of total billed charges",,
"NEWBORN HISTORY AND EXAMINATION NORMAL","0981","RC","Both",,,"262.5","131.25","Cigna","Commercial",,,"59",,"153.82","84","287.91","percent of total billed charges",,
"NEWBORN HISTORY AND EXAMINATION NORMAL","0981","RC","Both",,,"262.5","131.25","Humana","Commercial",,,"78",,"203.44","84","287.91","percent of total billed charges",,
"NEWBORN HISTORY AND EXAMINATION NORMAL","0981","RC","Both",,,"262.5","131.25","UHC","Commercial",,,"75",,"197.92","84","287.91","percent of total billed charges",,
"NEWBORN HISTORY AND EXAMINATION NORMAL","0981","RC","Both",,,"262.5","131.25","Medicaid",,,,"37",,"96.08","84","287.91","percent of total billed charges",,
"THORACOSTOMY (CHEST TUBE)","0981","RC","Both",,,"229.5","114.75","Alliant","Health Exchange",,,"62",,"142.29","84","287.91","percent of total billed charges",,
"THORACOSTOMY (CHEST TUBE)","0981","RC","Both",,,"229.5","114.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"123.93","84","287.91","percent of total billed charges",,
"THORACOSTOMY (CHEST TUBE)","0981","RC","Both",,,"229.5","114.75","Medicare",,,,"54",,"124.39","84","287.91","percent of total billed charges",,
"THORACOSTOMY (CHEST TUBE)","0981","RC","Both",,,"229.5","114.75","Humana","Medicare Advantage",,,"54",,"124.39","84","287.91","percent of total billed charges",,
"THORACOSTOMY (CHEST TUBE)","0981","RC","Both",,,"229.5","114.75","UHC","Medicare Advantage",,,"54",,"124.39","84","287.91","percent of total billed charges",,
"THORACOSTOMY (CHEST TUBE)","0981","RC","Both",,,"229.5","114.75","Clover","Medicare Advantage",,,"54",,"124.39","84","287.91","percent of total billed charges",,
"THORACOSTOMY (CHEST TUBE)","0981","RC","Both",,,"229.5","114.75","Wellcare","Medicare Advantage",,,"54",,"124.39","84","287.91","percent of total billed charges",,
"THORACOSTOMY (CHEST TUBE)","0981","RC","Both",,,"229.5","114.75","Amerigroup","Medicaid Managed Care",,,"37",,"84","84","287.91","percent of total billed charges",,
"THORACOSTOMY (CHEST TUBE)","0981","RC","Both",,,"229.5","114.75","Caresource","Medicaid Managed Care",,,"40",,"91.8","84","287.91","percent of total billed charges",,
"THORACOSTOMY (CHEST TUBE)","0981","RC","Both",,,"229.5","114.75","Wellcare","Medicaid Managed Care",,,"40",,"92.95","84","287.91","percent of total billed charges",,
"THORACOSTOMY (CHEST TUBE)","0981","RC","Both",,,"229.5","114.75","Aetna","Commercial",,,"64",,"146.42","84","287.91","percent of total billed charges",,
"THORACOSTOMY (CHEST TUBE)","0981","RC","Both",,,"229.5","114.75","Blue Cross Blue Shield","Pathways",,,"71",,"162.03","84","287.91","percent of total billed charges",,
"THORACOSTOMY (CHEST TUBE)","0981","RC","Both",,,"229.5","114.75","Blue Cross Blue Shield","HMO",,,"71",,"162.03","84","287.91","percent of total billed charges",,
"THORACOSTOMY (CHEST TUBE)","0981","RC","Both",,,"229.5","114.75","Blue Cross Blue Shield","PPO",,,"71",,"162.03","84","287.91","percent of total billed charges",,
"THORACOSTOMY (CHEST TUBE)","0981","RC","Both",,,"229.5","114.75","Ambetter","Health Exchange",,,"62",,"142.29","84","287.91","percent of total billed charges",,
"THORACOSTOMY (CHEST TUBE)","0981","RC","Both",,,"229.5","114.75","Caresource","Health Exchange",,,"62",,"142.29","84","287.91","percent of total billed charges",,
"THORACOSTOMY (CHEST TUBE)","0981","RC","Both",,,"229.5","114.75","Cigna","Commercial",,,"59",,"134.49","84","287.91","percent of total billed charges",,
"THORACOSTOMY (CHEST TUBE)","0981","RC","Both",,,"229.5","114.75","Humana","Commercial",,,"78",,"177.86","84","287.91","percent of total billed charges",,
"THORACOSTOMY (CHEST TUBE)","0981","RC","Both",,,"229.5","114.75","UHC","Commercial",,,"75",,"173.04","84","287.91","percent of total billed charges",,
"THORACOSTOMY (CHEST TUBE)","0981","RC","Both",,,"229.5","114.75","Medicaid",,,,"37",,"84","84","287.91","percent of total billed charges",,
"ABDOMINAL PARACENTESIS DX/THER W/O IMAGI","0981","RC","Both",,,"371.5","185.75","Alliant","Health Exchange",,,"62",,"230.33","84","287.91","percent of total billed charges",,
"ABDOMINAL PARACENTESIS DX/THER W/O IMAGI","0981","RC","Both",,,"371.5","185.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"200.61","84","287.91","percent of total billed charges",,
"ABDOMINAL PARACENTESIS DX/THER W/O IMAGI","0981","RC","Both",,,"371.5","185.75","Medicare",,,,"54",,"201.35","84","287.91","percent of total billed charges",,
"ABDOMINAL PARACENTESIS DX/THER W/O IMAGI","0981","RC","Both",,,"371.5","185.75","Humana","Medicare Advantage",,,"54",,"201.35","84","287.91","percent of total billed charges",,
"ABDOMINAL PARACENTESIS DX/THER W/O IMAGI","0981","RC","Both",,,"371.5","185.75","UHC","Medicare Advantage",,,"54",,"201.35","84","287.91","percent of total billed charges",,
"ABDOMINAL PARACENTESIS DX/THER W/O IMAGI","0981","RC","Both",,,"371.5","185.75","Clover","Medicare Advantage",,,"54",,"201.35","84","287.91","percent of total billed charges",,
"ABDOMINAL PARACENTESIS DX/THER W/O IMAGI","0981","RC","Both",,,"371.5","185.75","Wellcare","Medicare Advantage",,,"54",,"201.35","84","287.91","percent of total billed charges",,
"ABDOMINAL PARACENTESIS DX/THER W/O IMAGI","0981","RC","Both",,,"371.5","185.75","Amerigroup","Medicaid Managed Care",,,"37",,"135.97","84","287.91","percent of total billed charges",,
"ABDOMINAL PARACENTESIS DX/THER W/O IMAGI","0981","RC","Both",,,"371.5","185.75","Caresource","Medicaid Managed Care",,,"40",,"148.6","84","287.91","percent of total billed charges",,
"ABDOMINAL PARACENTESIS DX/THER W/O IMAGI","0981","RC","Both",,,"371.5","185.75","Wellcare","Medicaid Managed Care",,,"40",,"150.46","84","287.91","percent of total billed charges",,
"ABDOMINAL PARACENTESIS DX/THER W/O IMAGI","0981","RC","Both",,,"371.5","185.75","Aetna","Commercial",,,"64",,"237.02","84","287.91","percent of total billed charges",,
"ABDOMINAL PARACENTESIS DX/THER W/O IMAGI","0981","RC","Both",,,"371.5","185.75","Blue Cross Blue Shield","Pathways",,,"71",,"262.28","84","287.91","percent of total billed charges",,
"ABDOMINAL PARACENTESIS DX/THER W/O IMAGI","0981","RC","Both",,,"371.5","185.75","Blue Cross Blue Shield","HMO",,,"71",,"262.28","84","287.91","percent of total billed charges",,
"ABDOMINAL PARACENTESIS DX/THER W/O IMAGI","0981","RC","Both",,,"371.5","185.75","Blue Cross Blue Shield","PPO",,,"71",,"262.28","84","287.91","percent of total billed charges",,
"ABDOMINAL PARACENTESIS DX/THER W/O IMAGI","0981","RC","Both",,,"371.5","185.75","Ambetter","Health Exchange",,,"62",,"230.33","84","287.91","percent of total billed charges",,
"ABDOMINAL PARACENTESIS DX/THER W/O IMAGI","0981","RC","Both",,,"371.5","185.75","Caresource","Health Exchange",,,"62",,"230.33","84","287.91","percent of total billed charges",,
"ABDOMINAL PARACENTESIS DX/THER W/O IMAGI","0981","RC","Both",,,"371.5","185.75","Cigna","Commercial",,,"59",,"217.7","84","287.91","percent of total billed charges",,
"ABDOMINAL PARACENTESIS DX/THER W/O IMAGI","0981","RC","Both",,,"371.5","185.75","Humana","Commercial",,,"78",,"287.91","84","287.91","percent of total billed charges",,
"ABDOMINAL PARACENTESIS DX/THER W/O IMAGI","0981","RC","Both",,,"371.5","185.75","UHC","Commercial",,,"75",,"280.11","84","287.91","percent of total billed charges",,
"ABDOMINAL PARACENTESIS DX/THER W/O IMAGI","0981","RC","Both",,,"371.5","185.75","Medicaid",,,,"37",,"135.97","84","287.91","percent of total billed charges",,
"MAMMOGRAPHY; BILATERAL","0972","RC","Both",,,"90","45","Alliant","Health Exchange",,,"62",,"55.8","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHY; BILATERAL","0972","RC","Both",,,"90","45","Pruitt Healthcare","Medicare Advantage",,,"54",,"48.6","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHY; BILATERAL","0972","RC","Both",,,"90","45","Medicare",,,,"54",,"48.78","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHY; BILATERAL","0972","RC","Both",,,"90","45","Humana","Medicare Advantage",,,"54",,"48.78","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHY; BILATERAL","0972","RC","Both",,,"90","45","UHC","Medicare Advantage",,,"54",,"48.78","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHY; BILATERAL","0972","RC","Both",,,"90","45","Clover","Medicare Advantage",,,"54",,"48.78","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHY; BILATERAL","0972","RC","Both",,,"90","45","Wellcare","Medicare Advantage",,,"54",,"48.78","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHY; BILATERAL","0972","RC","Both",,,"90","45","Amerigroup","Medicaid Managed Care",,,"37",,"32.94","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHY; BILATERAL","0972","RC","Both",,,"90","45","Caresource","Medicaid Managed Care",,,"40",,"36","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHY; BILATERAL","0972","RC","Both",,,"90","45","Wellcare","Medicaid Managed Care",,,"40",,"36.45","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHY; BILATERAL","0972","RC","Both",,,"90","45","Aetna","Commercial",,,"64",,"57.42","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHY; BILATERAL","0972","RC","Both",,,"90","45","Blue Cross Blue Shield","Pathways",,,"71",,"63.54","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHY; BILATERAL","0972","RC","Both",,,"90","45","Blue Cross Blue Shield","HMO",,,"71",,"63.54","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHY; BILATERAL","0972","RC","Both",,,"90","45","Blue Cross Blue Shield","PPO",,,"71",,"63.54","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHY; BILATERAL","0972","RC","Both",,,"90","45","Ambetter","Health Exchange",,,"62",,"55.8","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHY; BILATERAL","0972","RC","Both",,,"90","45","Caresource","Health Exchange",,,"62",,"55.8","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHY; BILATERAL","0972","RC","Both",,,"90","45","Cigna","Commercial",,,"59",,"52.74","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHY; BILATERAL","0972","RC","Both",,,"90","45","Humana","Commercial",,,"78",,"69.75","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHY; BILATERAL","0972","RC","Both",,,"90","45","UHC","Commercial",,,"75",,"67.86","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHY; BILATERAL","0972","RC","Both",,,"90","45","Medicaid",,,,"37",,"32.94","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHIC GUIDANCE FOR NEEDLE PLACE","0972","RC","Both",,,"67.5","33.75","Alliant","Health Exchange",,,"62",,"41.85","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHIC GUIDANCE FOR NEEDLE PLACE","0972","RC","Both",,,"67.5","33.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"36.45","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHIC GUIDANCE FOR NEEDLE PLACE","0972","RC","Both",,,"67.5","33.75","Medicare",,,,"54",,"36.58","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHIC GUIDANCE FOR NEEDLE PLACE","0972","RC","Both",,,"67.5","33.75","Humana","Medicare Advantage",,,"54",,"36.58","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHIC GUIDANCE FOR NEEDLE PLACE","0972","RC","Both",,,"67.5","33.75","UHC","Medicare Advantage",,,"54",,"36.58","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHIC GUIDANCE FOR NEEDLE PLACE","0972","RC","Both",,,"67.5","33.75","Clover","Medicare Advantage",,,"54",,"36.58","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHIC GUIDANCE FOR NEEDLE PLACE","0972","RC","Both",,,"67.5","33.75","Wellcare","Medicare Advantage",,,"54",,"36.58","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHIC GUIDANCE FOR NEEDLE PLACE","0972","RC","Both",,,"67.5","33.75","Amerigroup","Medicaid Managed Care",,,"37",,"24.7","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHIC GUIDANCE FOR NEEDLE PLACE","0972","RC","Both",,,"67.5","33.75","Caresource","Medicaid Managed Care",,,"40",,"27","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHIC GUIDANCE FOR NEEDLE PLACE","0972","RC","Both",,,"67.5","33.75","Wellcare","Medicaid Managed Care",,,"40",,"27.34","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHIC GUIDANCE FOR NEEDLE PLACE","0972","RC","Both",,,"67.5","33.75","Aetna","Commercial",,,"64",,"43.06","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHIC GUIDANCE FOR NEEDLE PLACE","0972","RC","Both",,,"67.5","33.75","Blue Cross Blue Shield","Pathways",,,"71",,"47.65","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHIC GUIDANCE FOR NEEDLE PLACE","0972","RC","Both",,,"67.5","33.75","Blue Cross Blue Shield","HMO",,,"71",,"47.65","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHIC GUIDANCE FOR NEEDLE PLACE","0972","RC","Both",,,"67.5","33.75","Blue Cross Blue Shield","PPO",,,"71",,"47.65","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHIC GUIDANCE FOR NEEDLE PLACE","0972","RC","Both",,,"67.5","33.75","Ambetter","Health Exchange",,,"62",,"41.85","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHIC GUIDANCE FOR NEEDLE PLACE","0972","RC","Both",,,"67.5","33.75","Caresource","Health Exchange",,,"62",,"41.85","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHIC GUIDANCE FOR NEEDLE PLACE","0972","RC","Both",,,"67.5","33.75","Cigna","Commercial",,,"59",,"39.56","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHIC GUIDANCE FOR NEEDLE PLACE","0972","RC","Both",,,"67.5","33.75","Humana","Commercial",,,"78",,"52.31","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHIC GUIDANCE FOR NEEDLE PLACE","0972","RC","Both",,,"67.5","33.75","UHC","Commercial",,,"75",,"50.9","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHIC GUIDANCE FOR NEEDLE PLACE","0972","RC","Both",,,"67.5","33.75","Medicaid",,,,"37",,"24.7","10.25","69.75","percent of total billed charges",,
"OSSEOUS SURVEY,COMPLETE (AXIAL& APPENDI","0972","RC","Both",,,"66","33","Alliant","Health Exchange",,,"62",,"40.92","10.25","69.75","percent of total billed charges",,
"OSSEOUS SURVEY,COMPLETE (AXIAL& APPENDI","0972","RC","Both",,,"66","33","Pruitt Healthcare","Medicare Advantage",,,"54",,"35.64","10.25","69.75","percent of total billed charges",,
"OSSEOUS SURVEY,COMPLETE (AXIAL& APPENDI","0972","RC","Both",,,"66","33","Medicare",,,,"54",,"35.77","10.25","69.75","percent of total billed charges",,
"OSSEOUS SURVEY,COMPLETE (AXIAL& APPENDI","0972","RC","Both",,,"66","33","Humana","Medicare Advantage",,,"54",,"35.77","10.25","69.75","percent of total billed charges",,
"OSSEOUS SURVEY,COMPLETE (AXIAL& APPENDI","0972","RC","Both",,,"66","33","UHC","Medicare Advantage",,,"54",,"35.77","10.25","69.75","percent of total billed charges",,
"OSSEOUS SURVEY,COMPLETE (AXIAL& APPENDI","0972","RC","Both",,,"66","33","Clover","Medicare Advantage",,,"54",,"35.77","10.25","69.75","percent of total billed charges",,
"OSSEOUS SURVEY,COMPLETE (AXIAL& APPENDI","0972","RC","Both",,,"66","33","Wellcare","Medicare Advantage",,,"54",,"35.77","10.25","69.75","percent of total billed charges",,
"OSSEOUS SURVEY,COMPLETE (AXIAL& APPENDI","0972","RC","Both",,,"66","33","Amerigroup","Medicaid Managed Care",,,"37",,"24.16","10.25","69.75","percent of total billed charges",,
"OSSEOUS SURVEY,COMPLETE (AXIAL& APPENDI","0972","RC","Both",,,"66","33","Caresource","Medicaid Managed Care",,,"40",,"26.4","10.25","69.75","percent of total billed charges",,
"OSSEOUS SURVEY,COMPLETE (AXIAL& APPENDI","0972","RC","Both",,,"66","33","Wellcare","Medicaid Managed Care",,,"40",,"26.73","10.25","69.75","percent of total billed charges",,
"OSSEOUS SURVEY,COMPLETE (AXIAL& APPENDI","0972","RC","Both",,,"66","33","Aetna","Commercial",,,"64",,"42.11","10.25","69.75","percent of total billed charges",,
"OSSEOUS SURVEY,COMPLETE (AXIAL& APPENDI","0972","RC","Both",,,"66","33","Blue Cross Blue Shield","Pathways",,,"71",,"46.6","10.25","69.75","percent of total billed charges",,
"OSSEOUS SURVEY,COMPLETE (AXIAL& APPENDI","0972","RC","Both",,,"66","33","Blue Cross Blue Shield","HMO",,,"71",,"46.6","10.25","69.75","percent of total billed charges",,
"OSSEOUS SURVEY,COMPLETE (AXIAL& APPENDI","0972","RC","Both",,,"66","33","Blue Cross Blue Shield","PPO",,,"71",,"46.6","10.25","69.75","percent of total billed charges",,
"OSSEOUS SURVEY,COMPLETE (AXIAL& APPENDI","0972","RC","Both",,,"66","33","Ambetter","Health Exchange",,,"62",,"40.92","10.25","69.75","percent of total billed charges",,
"OSSEOUS SURVEY,COMPLETE (AXIAL& APPENDI","0972","RC","Both",,,"66","33","Caresource","Health Exchange",,,"62",,"40.92","10.25","69.75","percent of total billed charges",,
"OSSEOUS SURVEY,COMPLETE (AXIAL& APPENDI","0972","RC","Both",,,"66","33","Cigna","Commercial",,,"59",,"38.68","10.25","69.75","percent of total billed charges",,
"OSSEOUS SURVEY,COMPLETE (AXIAL& APPENDI","0972","RC","Both",,,"66","33","Humana","Commercial",,,"78",,"51.15","10.25","69.75","percent of total billed charges",,
"OSSEOUS SURVEY,COMPLETE (AXIAL& APPENDI","0972","RC","Both",,,"66","33","UHC","Commercial",,,"75",,"49.76","10.25","69.75","percent of total billed charges",,
"OSSEOUS SURVEY,COMPLETE (AXIAL& APPENDI","0972","RC","Both",,,"66","33","Medicaid",,,,"37",,"24.16","10.25","69.75","percent of total billed charges",,
"OSSEOUS SURVEY, INFANT","0972","RC","Both",,,"77","38.5","Alliant","Health Exchange",,,"62",,"47.74","10.25","69.75","percent of total billed charges",,
"OSSEOUS SURVEY, INFANT","0972","RC","Both",,,"77","38.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"41.58","10.25","69.75","percent of total billed charges",,
"OSSEOUS SURVEY, INFANT","0972","RC","Both",,,"77","38.5","Medicare",,,,"54",,"41.73","10.25","69.75","percent of total billed charges",,
"OSSEOUS SURVEY, INFANT","0972","RC","Both",,,"77","38.5","Humana","Medicare Advantage",,,"54",,"41.73","10.25","69.75","percent of total billed charges",,
"OSSEOUS SURVEY, INFANT","0972","RC","Both",,,"77","38.5","UHC","Medicare Advantage",,,"54",,"41.73","10.25","69.75","percent of total billed charges",,
"OSSEOUS SURVEY, INFANT","0972","RC","Both",,,"77","38.5","Clover","Medicare Advantage",,,"54",,"41.73","10.25","69.75","percent of total billed charges",,
"OSSEOUS SURVEY, INFANT","0972","RC","Both",,,"77","38.5","Wellcare","Medicare Advantage",,,"54",,"41.73","10.25","69.75","percent of total billed charges",,
"OSSEOUS SURVEY, INFANT","0972","RC","Both",,,"77","38.5","Amerigroup","Medicaid Managed Care",,,"37",,"28.18","10.25","69.75","percent of total billed charges",,
"OSSEOUS SURVEY, INFANT","0972","RC","Both",,,"77","38.5","Caresource","Medicaid Managed Care",,,"40",,"30.8","10.25","69.75","percent of total billed charges",,
"OSSEOUS SURVEY, INFANT","0972","RC","Both",,,"77","38.5","Wellcare","Medicaid Managed Care",,,"40",,"31.18","10.25","69.75","percent of total billed charges",,
"OSSEOUS SURVEY, INFANT","0972","RC","Both",,,"77","38.5","Aetna","Commercial",,,"64",,"49.13","10.25","69.75","percent of total billed charges",,
"OSSEOUS SURVEY, INFANT","0972","RC","Both",,,"77","38.5","Blue Cross Blue Shield","Pathways",,,"71",,"54.36","10.25","69.75","percent of total billed charges",,
"OSSEOUS SURVEY, INFANT","0972","RC","Both",,,"77","38.5","Blue Cross Blue Shield","HMO",,,"71",,"54.36","10.25","69.75","percent of total billed charges",,
"OSSEOUS SURVEY, INFANT","0972","RC","Both",,,"77","38.5","Blue Cross Blue Shield","PPO",,,"71",,"54.36","10.25","69.75","percent of total billed charges",,
"OSSEOUS SURVEY, INFANT","0972","RC","Both",,,"77","38.5","Ambetter","Health Exchange",,,"62",,"47.74","10.25","69.75","percent of total billed charges",,
"OSSEOUS SURVEY, INFANT","0972","RC","Both",,,"77","38.5","Caresource","Health Exchange",,,"62",,"47.74","10.25","69.75","percent of total billed charges",,
"OSSEOUS SURVEY, INFANT","0972","RC","Both",,,"77","38.5","Cigna","Commercial",,,"59",,"45.12","10.25","69.75","percent of total billed charges",,
"OSSEOUS SURVEY, INFANT","0972","RC","Both",,,"77","38.5","Humana","Commercial",,,"78",,"59.68","10.25","69.75","percent of total billed charges",,
"OSSEOUS SURVEY, INFANT","0972","RC","Both",,,"77","38.5","UHC","Commercial",,,"75",,"58.06","10.25","69.75","percent of total billed charges",,
"OSSEOUS SURVEY, INFANT","0972","RC","Both",,,"77","38.5","Medicaid",,,,"37",,"28.18","10.25","69.75","percent of total billed charges",,
"SCREENING MAMMOGRAPHY; BILATERAL","0972","RC","Both",,,"79","39.5","Alliant","Health Exchange",,,"62",,"48.98","10.25","69.75","percent of total billed charges",,
"SCREENING MAMMOGRAPHY; BILATERAL","0972","RC","Both",,,"79","39.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"42.66","10.25","69.75","percent of total billed charges",,
"SCREENING MAMMOGRAPHY; BILATERAL","0972","RC","Both",,,"79","39.5","Medicare",,,,"54",,"42.82","10.25","69.75","percent of total billed charges",,
"SCREENING MAMMOGRAPHY; BILATERAL","0972","RC","Both",,,"79","39.5","Humana","Medicare Advantage",,,"54",,"42.82","10.25","69.75","percent of total billed charges",,
"SCREENING MAMMOGRAPHY; BILATERAL","0972","RC","Both",,,"79","39.5","UHC","Medicare Advantage",,,"54",,"42.82","10.25","69.75","percent of total billed charges",,
"SCREENING MAMMOGRAPHY; BILATERAL","0972","RC","Both",,,"79","39.5","Clover","Medicare Advantage",,,"54",,"42.82","10.25","69.75","percent of total billed charges",,
"SCREENING MAMMOGRAPHY; BILATERAL","0972","RC","Both",,,"79","39.5","Wellcare","Medicare Advantage",,,"54",,"42.82","10.25","69.75","percent of total billed charges",,
"SCREENING MAMMOGRAPHY; BILATERAL","0972","RC","Both",,,"79","39.5","Amerigroup","Medicaid Managed Care",,,"37",,"28.91","10.25","69.75","percent of total billed charges",,
"SCREENING MAMMOGRAPHY; BILATERAL","0972","RC","Both",,,"79","39.5","Caresource","Medicaid Managed Care",,,"40",,"31.6","10.25","69.75","percent of total billed charges",,
"SCREENING MAMMOGRAPHY; BILATERAL","0972","RC","Both",,,"79","39.5","Wellcare","Medicaid Managed Care",,,"40",,"32","10.25","69.75","percent of total billed charges",,
"SCREENING MAMMOGRAPHY; BILATERAL","0972","RC","Both",,,"79","39.5","Aetna","Commercial",,,"64",,"50.4","10.25","69.75","percent of total billed charges",,
"SCREENING MAMMOGRAPHY; BILATERAL","0972","RC","Both",,,"79","39.5","Blue Cross Blue Shield","Pathways",,,"71",,"55.77","10.25","69.75","percent of total billed charges",,
"SCREENING MAMMOGRAPHY; BILATERAL","0972","RC","Both",,,"79","39.5","Blue Cross Blue Shield","HMO",,,"71",,"55.77","10.25","69.75","percent of total billed charges",,
"SCREENING MAMMOGRAPHY; BILATERAL","0972","RC","Both",,,"79","39.5","Blue Cross Blue Shield","PPO",,,"71",,"55.77","10.25","69.75","percent of total billed charges",,
"SCREENING MAMMOGRAPHY; BILATERAL","0972","RC","Both",,,"79","39.5","Ambetter","Health Exchange",,,"62",,"48.98","10.25","69.75","percent of total billed charges",,
"SCREENING MAMMOGRAPHY; BILATERAL","0972","RC","Both",,,"79","39.5","Caresource","Health Exchange",,,"62",,"48.98","10.25","69.75","percent of total billed charges",,
"SCREENING MAMMOGRAPHY; BILATERAL","0972","RC","Both",,,"79","39.5","Cigna","Commercial",,,"59",,"46.29","10.25","69.75","percent of total billed charges",,
"SCREENING MAMMOGRAPHY; BILATERAL","0972","RC","Both",,,"79","39.5","Humana","Commercial",,,"78",,"61.22","10.25","69.75","percent of total billed charges",,
"SCREENING MAMMOGRAPHY; BILATERAL","0972","RC","Both",,,"79","39.5","UHC","Commercial",,,"75",,"59.57","10.25","69.75","percent of total billed charges",,
"SCREENING MAMMOGRAPHY; BILATERAL","0972","RC","Both",,,"79","39.5","Medicaid",,,,"37",,"28.91","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHY; UNILATERAL","0972","RC","Both",,,"79","39.5","Alliant","Health Exchange",,,"62",,"48.98","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHY; UNILATERAL","0972","RC","Both",,,"79","39.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"42.66","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHY; UNILATERAL","0972","RC","Both",,,"79","39.5","Medicare",,,,"54",,"42.82","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHY; UNILATERAL","0972","RC","Both",,,"79","39.5","Humana","Medicare Advantage",,,"54",,"42.82","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHY; UNILATERAL","0972","RC","Both",,,"79","39.5","UHC","Medicare Advantage",,,"54",,"42.82","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHY; UNILATERAL","0972","RC","Both",,,"79","39.5","Clover","Medicare Advantage",,,"54",,"42.82","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHY; UNILATERAL","0972","RC","Both",,,"79","39.5","Wellcare","Medicare Advantage",,,"54",,"42.82","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHY; UNILATERAL","0972","RC","Both",,,"79","39.5","Amerigroup","Medicaid Managed Care",,,"37",,"28.91","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHY; UNILATERAL","0972","RC","Both",,,"79","39.5","Caresource","Medicaid Managed Care",,,"40",,"31.6","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHY; UNILATERAL","0972","RC","Both",,,"79","39.5","Wellcare","Medicaid Managed Care",,,"40",,"32","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHY; UNILATERAL","0972","RC","Both",,,"79","39.5","Aetna","Commercial",,,"64",,"50.4","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHY; UNILATERAL","0972","RC","Both",,,"79","39.5","Blue Cross Blue Shield","Pathways",,,"71",,"55.77","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHY; UNILATERAL","0972","RC","Both",,,"79","39.5","Blue Cross Blue Shield","HMO",,,"71",,"55.77","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHY; UNILATERAL","0972","RC","Both",,,"79","39.5","Blue Cross Blue Shield","PPO",,,"71",,"55.77","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHY; UNILATERAL","0972","RC","Both",,,"79","39.5","Ambetter","Health Exchange",,,"62",,"48.98","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHY; UNILATERAL","0972","RC","Both",,,"79","39.5","Caresource","Health Exchange",,,"62",,"48.98","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHY; UNILATERAL","0972","RC","Both",,,"79","39.5","Cigna","Commercial",,,"59",,"46.29","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHY; UNILATERAL","0972","RC","Both",,,"79","39.5","Humana","Commercial",,,"78",,"61.22","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHY; UNILATERAL","0972","RC","Both",,,"79","39.5","UHC","Commercial",,,"75",,"59.57","10.25","69.75","percent of total billed charges",,
"MAMMOGRAPHY; UNILATERAL","0972","RC","Both",,,"79","39.5","Medicaid",,,,"37",,"28.91","10.25","69.75","percent of total billed charges",,
"BONE AGE STUDIES","0972","RC","Both",,,"28","14","Alliant","Health Exchange",,,"62",,"17.36","10.25","69.75","percent of total billed charges",,
"BONE AGE STUDIES","0972","RC","Both",,,"28","14","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.12","10.25","69.75","percent of total billed charges",,
"BONE AGE STUDIES","0972","RC","Both",,,"28","14","Medicare",,,,"54",,"15.18","10.25","69.75","percent of total billed charges",,
"BONE AGE STUDIES","0972","RC","Both",,,"28","14","Humana","Medicare Advantage",,,"54",,"15.18","10.25","69.75","percent of total billed charges",,
"BONE AGE STUDIES","0972","RC","Both",,,"28","14","UHC","Medicare Advantage",,,"54",,"15.18","10.25","69.75","percent of total billed charges",,
"BONE AGE STUDIES","0972","RC","Both",,,"28","14","Clover","Medicare Advantage",,,"54",,"15.18","10.25","69.75","percent of total billed charges",,
"BONE AGE STUDIES","0972","RC","Both",,,"28","14","Wellcare","Medicare Advantage",,,"54",,"15.18","10.25","69.75","percent of total billed charges",,
"BONE AGE STUDIES","0972","RC","Both",,,"28","14","Amerigroup","Medicaid Managed Care",,,"37",,"10.25","10.25","69.75","percent of total billed charges",,
"BONE AGE STUDIES","0972","RC","Both",,,"28","14","Caresource","Medicaid Managed Care",,,"40",,"11.2","10.25","69.75","percent of total billed charges",,
"BONE AGE STUDIES","0972","RC","Both",,,"28","14","Wellcare","Medicaid Managed Care",,,"40",,"11.34","10.25","69.75","percent of total billed charges",,
"BONE AGE STUDIES","0972","RC","Both",,,"28","14","Aetna","Commercial",,,"64",,"17.86","10.25","69.75","percent of total billed charges",,
"BONE AGE STUDIES","0972","RC","Both",,,"28","14","Blue Cross Blue Shield","Pathways",,,"71",,"19.77","10.25","69.75","percent of total billed charges",,
"BONE AGE STUDIES","0972","RC","Both",,,"28","14","Blue Cross Blue Shield","HMO",,,"71",,"19.77","10.25","69.75","percent of total billed charges",,
"BONE AGE STUDIES","0972","RC","Both",,,"28","14","Blue Cross Blue Shield","PPO",,,"71",,"19.77","10.25","69.75","percent of total billed charges",,
"BONE AGE STUDIES","0972","RC","Both",,,"28","14","Ambetter","Health Exchange",,,"62",,"17.36","10.25","69.75","percent of total billed charges",,
"BONE AGE STUDIES","0972","RC","Both",,,"28","14","Caresource","Health Exchange",,,"62",,"17.36","10.25","69.75","percent of total billed charges",,
"BONE AGE STUDIES","0972","RC","Both",,,"28","14","Cigna","Commercial",,,"59",,"16.41","10.25","69.75","percent of total billed charges",,
"BONE AGE STUDIES","0972","RC","Both",,,"28","14","Humana","Commercial",,,"78",,"21.7","10.25","69.75","percent of total billed charges",,
"BONE AGE STUDIES","0972","RC","Both",,,"28","14","UHC","Commercial",,,"75",,"21.11","10.25","69.75","percent of total billed charges",,
"BONE AGE STUDIES","0972","RC","Both",,,"28","14","Medicaid",,,,"37",,"10.25","10.25","69.75","percent of total billed charges",,
"DEXA STUDY ONE OR MORE SITES","0972","RC","Both",,,"41","20.5","Alliant","Health Exchange",,,"62",,"25.42","10.25","69.75","percent of total billed charges",,
"DEXA STUDY ONE OR MORE SITES","0972","RC","Both",,,"41","20.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"22.14","10.25","69.75","percent of total billed charges",,
"DEXA STUDY ONE OR MORE SITES","0972","RC","Both",,,"41","20.5","Medicare",,,,"54",,"22.22","10.25","69.75","percent of total billed charges",,
"DEXA STUDY ONE OR MORE SITES","0972","RC","Both",,,"41","20.5","Humana","Medicare Advantage",,,"54",,"22.22","10.25","69.75","percent of total billed charges",,
"DEXA STUDY ONE OR MORE SITES","0972","RC","Both",,,"41","20.5","UHC","Medicare Advantage",,,"54",,"22.22","10.25","69.75","percent of total billed charges",,
"DEXA STUDY ONE OR MORE SITES","0972","RC","Both",,,"41","20.5","Clover","Medicare Advantage",,,"54",,"22.22","10.25","69.75","percent of total billed charges",,
"DEXA STUDY ONE OR MORE SITES","0972","RC","Both",,,"41","20.5","Wellcare","Medicare Advantage",,,"54",,"22.22","10.25","69.75","percent of total billed charges",,
"DEXA STUDY ONE OR MORE SITES","0972","RC","Both",,,"41","20.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.01","10.25","69.75","percent of total billed charges",,
"DEXA STUDY ONE OR MORE SITES","0972","RC","Both",,,"41","20.5","Caresource","Medicaid Managed Care",,,"40",,"16.4","10.25","69.75","percent of total billed charges",,
"DEXA STUDY ONE OR MORE SITES","0972","RC","Both",,,"41","20.5","Wellcare","Medicaid Managed Care",,,"40",,"16.6","10.25","69.75","percent of total billed charges",,
"DEXA STUDY ONE OR MORE SITES","0972","RC","Both",,,"41","20.5","Aetna","Commercial",,,"64",,"26.16","10.25","69.75","percent of total billed charges",,
"DEXA STUDY ONE OR MORE SITES","0972","RC","Both",,,"41","20.5","Blue Cross Blue Shield","Pathways",,,"71",,"28.95","10.25","69.75","percent of total billed charges",,
"DEXA STUDY ONE OR MORE SITES","0972","RC","Both",,,"41","20.5","Blue Cross Blue Shield","HMO",,,"71",,"28.95","10.25","69.75","percent of total billed charges",,
"DEXA STUDY ONE OR MORE SITES","0972","RC","Both",,,"41","20.5","Blue Cross Blue Shield","PPO",,,"71",,"28.95","10.25","69.75","percent of total billed charges",,
"DEXA STUDY ONE OR MORE SITES","0972","RC","Both",,,"41","20.5","Ambetter","Health Exchange",,,"62",,"25.42","10.25","69.75","percent of total billed charges",,
"DEXA STUDY ONE OR MORE SITES","0972","RC","Both",,,"41","20.5","Caresource","Health Exchange",,,"62",,"25.42","10.25","69.75","percent of total billed charges",,
"DEXA STUDY ONE OR MORE SITES","0972","RC","Both",,,"41","20.5","Cigna","Commercial",,,"59",,"24.03","10.25","69.75","percent of total billed charges",,
"DEXA STUDY ONE OR MORE SITES","0972","RC","Both",,,"41","20.5","Humana","Commercial",,,"78",,"31.78","10.25","69.75","percent of total billed charges",,
"DEXA STUDY ONE OR MORE SITES","0972","RC","Both",,,"41","20.5","UHC","Commercial",,,"75",,"30.91","10.25","69.75","percent of total billed charges",,
"DEXA STUDY ONE OR MORE SITES","0972","RC","Both",,,"41","20.5","Medicaid",,,,"37",,"15.01","10.25","69.75","percent of total billed charges",,
"SUB Q/IM INJECTION","0710","RC","Both",,,"52.5","26.25","Alliant","Health Exchange",,,"62",,"32.55","10.98","89.51","percent of total billed charges",,
"SUB Q/IM INJECTION","0710","RC","Both",,,"52.5","26.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.35","10.98","89.51","percent of total billed charges",,
"SUB Q/IM INJECTION","0710","RC","Both",,,"52.5","26.25","Medicare",,,,"54",,"28.46","10.98","89.51","percent of total billed charges",,
"SUB Q/IM INJECTION","0710","RC","Both",,,"52.5","26.25","Humana","Medicare Advantage",,,"54",,"28.46","10.98","89.51","percent of total billed charges",,
"SUB Q/IM INJECTION","0710","RC","Both",,,"52.5","26.25","UHC","Medicare Advantage",,,"54",,"28.46","10.98","89.51","percent of total billed charges",,
"SUB Q/IM INJECTION","0710","RC","Both",,,"52.5","26.25","Clover","Medicare Advantage",,,"54",,"28.46","10.98","89.51","percent of total billed charges",,
"SUB Q/IM INJECTION","0710","RC","Both",,,"52.5","26.25","Wellcare","Medicare Advantage",,,"54",,"28.46","10.98","89.51","percent of total billed charges",,
"SUB Q/IM INJECTION","0710","RC","Both",,,"52.5","26.25","Amerigroup","Medicaid Managed Care",,,"37",,"19.22","10.98","89.51","percent of total billed charges",,
"SUB Q/IM INJECTION","0710","RC","Both",,,"52.5","26.25","Caresource","Medicaid Managed Care",,,"40",,"21","10.98","89.51","percent of total billed charges",,
"SUB Q/IM INJECTION","0710","RC","Both",,,"52.5","26.25","Wellcare","Medicaid Managed Care",,,"40",,"21.26","10.98","89.51","percent of total billed charges",,
"SUB Q/IM INJECTION","0710","RC","Both",,,"52.5","26.25","Aetna","Commercial",,,"64",,"33.49","10.98","89.51","percent of total billed charges",,
"SUB Q/IM INJECTION","0710","RC","Both",,,"52.5","26.25","Blue Cross Blue Shield","Pathways",,,"71",,"37.06","10.98","89.51","percent of total billed charges",,
"SUB Q/IM INJECTION","0710","RC","Both",,,"52.5","26.25","Blue Cross Blue Shield","HMO",,,"71",,"37.06","10.98","89.51","percent of total billed charges",,
"SUB Q/IM INJECTION","0710","RC","Both",,,"52.5","26.25","Blue Cross Blue Shield","PPO",,,"71",,"37.06","10.98","89.51","percent of total billed charges",,
"SUB Q/IM INJECTION","0710","RC","Both",,,"52.5","26.25","Ambetter","Health Exchange",,,"62",,"32.55","10.98","89.51","percent of total billed charges",,
"SUB Q/IM INJECTION","0710","RC","Both",,,"52.5","26.25","Caresource","Health Exchange",,,"62",,"32.55","10.98","89.51","percent of total billed charges",,
"SUB Q/IM INJECTION","0710","RC","Both",,,"52.5","26.25","Cigna","Commercial",,,"59",,"30.76","10.98","89.51","percent of total billed charges",,
"SUB Q/IM INJECTION","0710","RC","Both",,,"52.5","26.25","Humana","Commercial",,,"78",,"40.69","10.98","89.51","percent of total billed charges",,
"SUB Q/IM INJECTION","0710","RC","Both",,,"52.5","26.25","UHC","Commercial",,,"75",,"39.58","10.98","89.51","percent of total billed charges",,
"SUB Q/IM INJECTION","0710","RC","Both",,,"52.5","26.25","Medicaid",,,,"37",,"19.22","10.98","89.51","percent of total billed charges",,
"IV PUSH ADD'L DRUG","0710","RC","Both",,,"115.5","57.75","Alliant","Health Exchange",,,"62",,"71.61","10.98","89.51","percent of total billed charges",,
"IV PUSH ADD'L DRUG","0710","RC","Both",,,"115.5","57.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"62.37","10.98","89.51","percent of total billed charges",,
"IV PUSH ADD'L DRUG","0710","RC","Both",,,"115.5","57.75","Medicare",,,,"54",,"62.6","10.98","89.51","percent of total billed charges",,
"IV PUSH ADD'L DRUG","0710","RC","Both",,,"115.5","57.75","Humana","Medicare Advantage",,,"54",,"62.6","10.98","89.51","percent of total billed charges",,
"IV PUSH ADD'L DRUG","0710","RC","Both",,,"115.5","57.75","UHC","Medicare Advantage",,,"54",,"62.6","10.98","89.51","percent of total billed charges",,
"IV PUSH ADD'L DRUG","0710","RC","Both",,,"115.5","57.75","Clover","Medicare Advantage",,,"54",,"62.6","10.98","89.51","percent of total billed charges",,
"IV PUSH ADD'L DRUG","0710","RC","Both",,,"115.5","57.75","Wellcare","Medicare Advantage",,,"54",,"62.6","10.98","89.51","percent of total billed charges",,
"IV PUSH ADD'L DRUG","0710","RC","Both",,,"115.5","57.75","Amerigroup","Medicaid Managed Care",,,"37",,"42.27","10.98","89.51","percent of total billed charges",,
"IV PUSH ADD'L DRUG","0710","RC","Both",,,"115.5","57.75","Caresource","Medicaid Managed Care",,,"40",,"46.2","10.98","89.51","percent of total billed charges",,
"IV PUSH ADD'L DRUG","0710","RC","Both",,,"115.5","57.75","Wellcare","Medicaid Managed Care",,,"40",,"46.78","10.98","89.51","percent of total billed charges",,
"IV PUSH ADD'L DRUG","0710","RC","Both",,,"115.5","57.75","Aetna","Commercial",,,"64",,"73.69","10.98","89.51","percent of total billed charges",,
"IV PUSH ADD'L DRUG","0710","RC","Both",,,"115.5","57.75","Blue Cross Blue Shield","Pathways",,,"71",,"81.54","10.98","89.51","percent of total billed charges",,
"IV PUSH ADD'L DRUG","0710","RC","Both",,,"115.5","57.75","Blue Cross Blue Shield","HMO",,,"71",,"81.54","10.98","89.51","percent of total billed charges",,
"IV PUSH ADD'L DRUG","0710","RC","Both",,,"115.5","57.75","Blue Cross Blue Shield","PPO",,,"71",,"81.54","10.98","89.51","percent of total billed charges",,
"IV PUSH ADD'L DRUG","0710","RC","Both",,,"115.5","57.75","Ambetter","Health Exchange",,,"62",,"71.61","10.98","89.51","percent of total billed charges",,
"IV PUSH ADD'L DRUG","0710","RC","Both",,,"115.5","57.75","Caresource","Health Exchange",,,"62",,"71.61","10.98","89.51","percent of total billed charges",,
"IV PUSH ADD'L DRUG","0710","RC","Both",,,"115.5","57.75","Cigna","Commercial",,,"59",,"67.68","10.98","89.51","percent of total billed charges",,
"IV PUSH ADD'L DRUG","0710","RC","Both",,,"115.5","57.75","Humana","Commercial",,,"78",,"89.51","10.98","89.51","percent of total billed charges",,
"IV PUSH ADD'L DRUG","0710","RC","Both",,,"115.5","57.75","UHC","Commercial",,,"75",,"87.09","10.98","89.51","percent of total billed charges",,
"IV PUSH ADD'L DRUG","0710","RC","Both",,,"115.5","57.75","Medicaid",,,,"37",,"42.27","10.98","89.51","percent of total billed charges",,
"THERAPEUTIC INJECTION SQ OR IM","0960","RC","Both",,,"29","14.5","Alliant","Health Exchange",,,"62",,"17.98","10.61","22.48","percent of total billed charges",,
"THERAPEUTIC INJECTION SQ OR IM","0960","RC","Both",,,"29","14.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.66","10.61","22.48","percent of total billed charges",,
"THERAPEUTIC INJECTION SQ OR IM","0960","RC","Both",,,"29","14.5","Medicare",,,,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"THERAPEUTIC INJECTION SQ OR IM","0960","RC","Both",,,"29","14.5","Humana","Medicare Advantage",,,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"THERAPEUTIC INJECTION SQ OR IM","0960","RC","Both",,,"29","14.5","UHC","Medicare Advantage",,,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"THERAPEUTIC INJECTION SQ OR IM","0960","RC","Both",,,"29","14.5","Clover","Medicare Advantage",,,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"THERAPEUTIC INJECTION SQ OR IM","0960","RC","Both",,,"29","14.5","Wellcare","Medicare Advantage",,,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"THERAPEUTIC INJECTION SQ OR IM","0960","RC","Both",,,"29","14.5","Amerigroup","Medicaid Managed Care",,,"37",,"10.61","10.61","22.48","percent of total billed charges",,
"THERAPEUTIC INJECTION SQ OR IM","0960","RC","Both",,,"29","14.5","Caresource","Medicaid Managed Care",,,"40",,"11.6","10.61","22.48","percent of total billed charges",,
"THERAPEUTIC INJECTION SQ OR IM","0960","RC","Both",,,"29","14.5","Wellcare","Medicaid Managed Care",,,"40",,"11.74","10.61","22.48","percent of total billed charges",,
"THERAPEUTIC INJECTION SQ OR IM","0960","RC","Both",,,"29","14.5","Aetna","Commercial",,,"64",,"18.5","10.61","22.48","percent of total billed charges",,
"THERAPEUTIC INJECTION SQ OR IM","0960","RC","Both",,,"29","14.5","Blue Cross Blue Shield","Pathways",,,"71",,"20.47","10.61","22.48","percent of total billed charges",,
"THERAPEUTIC INJECTION SQ OR IM","0960","RC","Both",,,"29","14.5","Blue Cross Blue Shield","HMO",,,"71",,"20.47","10.61","22.48","percent of total billed charges",,
"THERAPEUTIC INJECTION SQ OR IM","0960","RC","Both",,,"29","14.5","Blue Cross Blue Shield","PPO",,,"71",,"20.47","10.61","22.48","percent of total billed charges",,
"THERAPEUTIC INJECTION SQ OR IM","0960","RC","Both",,,"29","14.5","Ambetter","Health Exchange",,,"62",,"17.98","10.61","22.48","percent of total billed charges",,
"THERAPEUTIC INJECTION SQ OR IM","0960","RC","Both",,,"29","14.5","Caresource","Health Exchange",,,"62",,"17.98","10.61","22.48","percent of total billed charges",,
"THERAPEUTIC INJECTION SQ OR IM","0960","RC","Both",,,"29","14.5","Cigna","Commercial",,,"59",,"16.99","10.61","22.48","percent of total billed charges",,
"THERAPEUTIC INJECTION SQ OR IM","0960","RC","Both",,,"29","14.5","Humana","Commercial",,,"78",,"22.48","10.61","22.48","percent of total billed charges",,
"THERAPEUTIC INJECTION SQ OR IM","0960","RC","Both",,,"29","14.5","UHC","Commercial",,,"75",,"21.87","10.61","22.48","percent of total billed charges",,
"THERAPEUTIC INJECTION SQ OR IM","0960","RC","Both",,,"29","14.5","Medicaid",,,,"37",,"10.61","10.61","22.48","percent of total billed charges",,
"ARTHROSCOPY,KNEE,SURGICAL,REMOVAL FB","0360","RC","Both",,,"6591.5","3295.75","Alliant","Health Exchange",,,"62",,"4086.73","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY,KNEE,SURGICAL,REMOVAL FB","0360","RC","Both",,,"6591.5","3295.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"3559.41","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY,KNEE,SURGICAL,REMOVAL FB","0360","RC","Both",,,"6591.5","3295.75","Medicare",,,,"54",,"3572.59","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY,KNEE,SURGICAL,REMOVAL FB","0360","RC","Both",,,"6591.5","3295.75","Humana","Medicare Advantage",,,"54",,"3572.59","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY,KNEE,SURGICAL,REMOVAL FB","0360","RC","Both",,,"6591.5","3295.75","UHC","Medicare Advantage",,,"54",,"3572.59","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY,KNEE,SURGICAL,REMOVAL FB","0360","RC","Both",,,"6591.5","3295.75","Clover","Medicare Advantage",,,"54",,"3572.59","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY,KNEE,SURGICAL,REMOVAL FB","0360","RC","Both",,,"6591.5","3295.75","Wellcare","Medicare Advantage",,,"54",,"3572.59","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY,KNEE,SURGICAL,REMOVAL FB","0360","RC","Both",,,"6591.5","3295.75","Amerigroup","Medicaid Managed Care",,,"37",,"2412.49","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY,KNEE,SURGICAL,REMOVAL FB","0360","RC","Both",,,"6591.5","3295.75","Caresource","Medicaid Managed Care",,,"40",,"2636.6","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY,KNEE,SURGICAL,REMOVAL FB","0360","RC","Both",,,"6591.5","3295.75","Wellcare","Medicaid Managed Care",,,"40",,"2669.56","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY,KNEE,SURGICAL,REMOVAL FB","0360","RC","Both",,,"6591.5","3295.75","Aetna","Commercial",,,"64",,"4205.38","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY,KNEE,SURGICAL,REMOVAL FB","0360","RC","Both",,,"6591.5","3295.75","Blue Cross Blue Shield","Pathways",,,"71",,"4653.6","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY,KNEE,SURGICAL,REMOVAL FB","0360","RC","Both",,,"6591.5","3295.75","Blue Cross Blue Shield","HMO",,,"71",,"4653.6","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY,KNEE,SURGICAL,REMOVAL FB","0360","RC","Both",,,"6591.5","3295.75","Blue Cross Blue Shield","PPO",,,"71",,"4653.6","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY,KNEE,SURGICAL,REMOVAL FB","0360","RC","Both",,,"6591.5","3295.75","Ambetter","Health Exchange",,,"62",,"4086.73","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY,KNEE,SURGICAL,REMOVAL FB","0360","RC","Both",,,"6591.5","3295.75","Caresource","Health Exchange",,,"62",,"4086.73","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY,KNEE,SURGICAL,REMOVAL FB","0360","RC","Both",,,"6591.5","3295.75","Cigna","Commercial",,,"59",,"3862.62","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY,KNEE,SURGICAL,REMOVAL FB","0360","RC","Both",,,"6591.5","3295.75","Humana","Commercial",,,"78",,"5108.41","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY,KNEE,SURGICAL,REMOVAL FB","0360","RC","Both",,,"6591.5","3295.75","UHC","Commercial",,,"75",,"4969.99","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY,KNEE,SURGICAL,REMOVAL FB","0360","RC","Both",,,"6591.5","3295.75","Medicaid",,,,"37",,"2412.49","16.1","16596.62","percent of total billed charges",,
"HYLAN G-F 20 INJECTION","0360","RC","Both",,,"467.5","233.75","Alliant","Health Exchange",,,"62",,"289.85","16.1","16596.62","percent of total billed charges",,
"HYLAN G-F 20 INJECTION","0360","RC","Both",,,"467.5","233.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"252.45","16.1","16596.62","percent of total billed charges",,
"HYLAN G-F 20 INJECTION","0360","RC","Both",,,"467.5","233.75","Medicare",,,,"54",,"253.39","16.1","16596.62","percent of total billed charges",,
"HYLAN G-F 20 INJECTION","0360","RC","Both",,,"467.5","233.75","Humana","Medicare Advantage",,,"54",,"253.39","16.1","16596.62","percent of total billed charges",,
"HYLAN G-F 20 INJECTION","0360","RC","Both",,,"467.5","233.75","UHC","Medicare Advantage",,,"54",,"253.39","16.1","16596.62","percent of total billed charges",,
"HYLAN G-F 20 INJECTION","0360","RC","Both",,,"467.5","233.75","Clover","Medicare Advantage",,,"54",,"253.39","16.1","16596.62","percent of total billed charges",,
"HYLAN G-F 20 INJECTION","0360","RC","Both",,,"467.5","233.75","Wellcare","Medicare Advantage",,,"54",,"253.39","16.1","16596.62","percent of total billed charges",,
"HYLAN G-F 20 INJECTION","0360","RC","Both",,,"467.5","233.75","Amerigroup","Medicaid Managed Care",,,"37",,"171.1","16.1","16596.62","percent of total billed charges",,
"HYLAN G-F 20 INJECTION","0360","RC","Both",,,"467.5","233.75","Caresource","Medicaid Managed Care",,,"40",,"187","16.1","16596.62","percent of total billed charges",,
"HYLAN G-F 20 INJECTION","0360","RC","Both",,,"467.5","233.75","Wellcare","Medicaid Managed Care",,,"40",,"189.34","16.1","16596.62","percent of total billed charges",,
"HYLAN G-F 20 INJECTION","0360","RC","Both",,,"467.5","233.75","Aetna","Commercial",,,"64",,"298.26","16.1","16596.62","percent of total billed charges",,
"HYLAN G-F 20 INJECTION","0360","RC","Both",,,"467.5","233.75","Blue Cross Blue Shield","Pathways",,,"71",,"330.06","16.1","16596.62","percent of total billed charges",,
"HYLAN G-F 20 INJECTION","0360","RC","Both",,,"467.5","233.75","Blue Cross Blue Shield","HMO",,,"71",,"330.06","16.1","16596.62","percent of total billed charges",,
"HYLAN G-F 20 INJECTION","0360","RC","Both",,,"467.5","233.75","Blue Cross Blue Shield","PPO",,,"71",,"330.06","16.1","16596.62","percent of total billed charges",,
"HYLAN G-F 20 INJECTION","0360","RC","Both",,,"467.5","233.75","Ambetter","Health Exchange",,,"62",,"289.85","16.1","16596.62","percent of total billed charges",,
"HYLAN G-F 20 INJECTION","0360","RC","Both",,,"467.5","233.75","Caresource","Health Exchange",,,"62",,"289.85","16.1","16596.62","percent of total billed charges",,
"HYLAN G-F 20 INJECTION","0360","RC","Both",,,"467.5","233.75","Cigna","Commercial",,,"59",,"273.96","16.1","16596.62","percent of total billed charges",,
"HYLAN G-F 20 INJECTION","0360","RC","Both",,,"467.5","233.75","Humana","Commercial",,,"78",,"362.31","16.1","16596.62","percent of total billed charges",,
"HYLAN G-F 20 INJECTION","0360","RC","Both",,,"467.5","233.75","UHC","Commercial",,,"75",,"352.5","16.1","16596.62","percent of total billed charges",,
"HYLAN G-F 20 INJECTION","0360","RC","Both",,,"467.5","233.75","Medicaid",,,,"37",,"171.1","16.1","16596.62","percent of total billed charges",,
"MASTECTOMY, MODIFIED RADICAL","0360","RC","Both",,,"10101.5","5050.75","Alliant","Health Exchange",,,"62",,"6262.93","16.1","16596.62","percent of total billed charges",,
"MASTECTOMY, MODIFIED RADICAL","0360","RC","Both",,,"10101.5","5050.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"5454.81","16.1","16596.62","percent of total billed charges",,
"MASTECTOMY, MODIFIED RADICAL","0360","RC","Both",,,"10101.5","5050.75","Medicare",,,,"54",,"5475.01","16.1","16596.62","percent of total billed charges",,
"MASTECTOMY, MODIFIED RADICAL","0360","RC","Both",,,"10101.5","5050.75","Humana","Medicare Advantage",,,"54",,"5475.01","16.1","16596.62","percent of total billed charges",,
"MASTECTOMY, MODIFIED RADICAL","0360","RC","Both",,,"10101.5","5050.75","UHC","Medicare Advantage",,,"54",,"5475.01","16.1","16596.62","percent of total billed charges",,
"MASTECTOMY, MODIFIED RADICAL","0360","RC","Both",,,"10101.5","5050.75","Clover","Medicare Advantage",,,"54",,"5475.01","16.1","16596.62","percent of total billed charges",,
"MASTECTOMY, MODIFIED RADICAL","0360","RC","Both",,,"10101.5","5050.75","Wellcare","Medicare Advantage",,,"54",,"5475.01","16.1","16596.62","percent of total billed charges",,
"MASTECTOMY, MODIFIED RADICAL","0360","RC","Both",,,"10101.5","5050.75","Amerigroup","Medicaid Managed Care",,,"37",,"3697.15","16.1","16596.62","percent of total billed charges",,
"MASTECTOMY, MODIFIED RADICAL","0360","RC","Both",,,"10101.5","5050.75","Caresource","Medicaid Managed Care",,,"40",,"4040.6","16.1","16596.62","percent of total billed charges",,
"MASTECTOMY, MODIFIED RADICAL","0360","RC","Both",,,"10101.5","5050.75","Wellcare","Medicaid Managed Care",,,"40",,"4091.11","16.1","16596.62","percent of total billed charges",,
"MASTECTOMY, MODIFIED RADICAL","0360","RC","Both",,,"10101.5","5050.75","Aetna","Commercial",,,"64",,"6444.76","16.1","16596.62","percent of total billed charges",,
"MASTECTOMY, MODIFIED RADICAL","0360","RC","Both",,,"10101.5","5050.75","Blue Cross Blue Shield","Pathways",,,"71",,"7131.66","16.1","16596.62","percent of total billed charges",,
"MASTECTOMY, MODIFIED RADICAL","0360","RC","Both",,,"10101.5","5050.75","Blue Cross Blue Shield","HMO",,,"71",,"7131.66","16.1","16596.62","percent of total billed charges",,
"MASTECTOMY, MODIFIED RADICAL","0360","RC","Both",,,"10101.5","5050.75","Blue Cross Blue Shield","PPO",,,"71",,"7131.66","16.1","16596.62","percent of total billed charges",,
"MASTECTOMY, MODIFIED RADICAL","0360","RC","Both",,,"10101.5","5050.75","Ambetter","Health Exchange",,,"62",,"6262.93","16.1","16596.62","percent of total billed charges",,
"MASTECTOMY, MODIFIED RADICAL","0360","RC","Both",,,"10101.5","5050.75","Caresource","Health Exchange",,,"62",,"6262.93","16.1","16596.62","percent of total billed charges",,
"MASTECTOMY, MODIFIED RADICAL","0360","RC","Both",,,"10101.5","5050.75","Cigna","Commercial",,,"59",,"5919.48","16.1","16596.62","percent of total billed charges",,
"MASTECTOMY, MODIFIED RADICAL","0360","RC","Both",,,"10101.5","5050.75","Humana","Commercial",,,"78",,"7828.66","16.1","16596.62","percent of total billed charges",,
"MASTECTOMY, MODIFIED RADICAL","0360","RC","Both",,,"10101.5","5050.75","UHC","Commercial",,,"75",,"7616.53","16.1","16596.62","percent of total billed charges",,
"MASTECTOMY, MODIFIED RADICAL","0360","RC","Both",,,"10101.5","5050.75","Medicaid",,,,"37",,"3697.15","16.1","16596.62","percent of total billed charges",,
"PREOPERATIVE PLACEMENT OF NEEDLE LOCALIZ","0360","RC","Both",,,"322","161","Alliant","Health Exchange",,,"62",,"199.64","16.1","16596.62","percent of total billed charges",,
"PREOPERATIVE PLACEMENT OF NEEDLE LOCALIZ","0360","RC","Both",,,"322","161","Pruitt Healthcare","Medicare Advantage",,,"54",,"173.88","16.1","16596.62","percent of total billed charges",,
"PREOPERATIVE PLACEMENT OF NEEDLE LOCALIZ","0360","RC","Both",,,"322","161","Medicare",,,,"54",,"174.52","16.1","16596.62","percent of total billed charges",,
"PREOPERATIVE PLACEMENT OF NEEDLE LOCALIZ","0360","RC","Both",,,"322","161","Humana","Medicare Advantage",,,"54",,"174.52","16.1","16596.62","percent of total billed charges",,
"PREOPERATIVE PLACEMENT OF NEEDLE LOCALIZ","0360","RC","Both",,,"322","161","UHC","Medicare Advantage",,,"54",,"174.52","16.1","16596.62","percent of total billed charges",,
"PREOPERATIVE PLACEMENT OF NEEDLE LOCALIZ","0360","RC","Both",,,"322","161","Clover","Medicare Advantage",,,"54",,"174.52","16.1","16596.62","percent of total billed charges",,
"PREOPERATIVE PLACEMENT OF NEEDLE LOCALIZ","0360","RC","Both",,,"322","161","Wellcare","Medicare Advantage",,,"54",,"174.52","16.1","16596.62","percent of total billed charges",,
"PREOPERATIVE PLACEMENT OF NEEDLE LOCALIZ","0360","RC","Both",,,"322","161","Amerigroup","Medicaid Managed Care",,,"37",,"117.85","16.1","16596.62","percent of total billed charges",,
"PREOPERATIVE PLACEMENT OF NEEDLE LOCALIZ","0360","RC","Both",,,"322","161","Caresource","Medicaid Managed Care",,,"40",,"128.8","16.1","16596.62","percent of total billed charges",,
"PREOPERATIVE PLACEMENT OF NEEDLE LOCALIZ","0360","RC","Both",,,"322","161","Wellcare","Medicaid Managed Care",,,"40",,"130.41","16.1","16596.62","percent of total billed charges",,
"PREOPERATIVE PLACEMENT OF NEEDLE LOCALIZ","0360","RC","Both",,,"322","161","Aetna","Commercial",,,"64",,"205.44","16.1","16596.62","percent of total billed charges",,
"PREOPERATIVE PLACEMENT OF NEEDLE LOCALIZ","0360","RC","Both",,,"322","161","Blue Cross Blue Shield","Pathways",,,"71",,"227.33","16.1","16596.62","percent of total billed charges",,
"PREOPERATIVE PLACEMENT OF NEEDLE LOCALIZ","0360","RC","Both",,,"322","161","Blue Cross Blue Shield","HMO",,,"71",,"227.33","16.1","16596.62","percent of total billed charges",,
"PREOPERATIVE PLACEMENT OF NEEDLE LOCALIZ","0360","RC","Both",,,"322","161","Blue Cross Blue Shield","PPO",,,"71",,"227.33","16.1","16596.62","percent of total billed charges",,
"PREOPERATIVE PLACEMENT OF NEEDLE LOCALIZ","0360","RC","Both",,,"322","161","Ambetter","Health Exchange",,,"62",,"199.64","16.1","16596.62","percent of total billed charges",,
"PREOPERATIVE PLACEMENT OF NEEDLE LOCALIZ","0360","RC","Both",,,"322","161","Caresource","Health Exchange",,,"62",,"199.64","16.1","16596.62","percent of total billed charges",,
"PREOPERATIVE PLACEMENT OF NEEDLE LOCALIZ","0360","RC","Both",,,"322","161","Cigna","Commercial",,,"59",,"188.69","16.1","16596.62","percent of total billed charges",,
"PREOPERATIVE PLACEMENT OF NEEDLE LOCALIZ","0360","RC","Both",,,"322","161","Humana","Commercial",,,"78",,"249.55","16.1","16596.62","percent of total billed charges",,
"PREOPERATIVE PLACEMENT OF NEEDLE LOCALIZ","0360","RC","Both",,,"322","161","UHC","Commercial",,,"75",,"242.79","16.1","16596.62","percent of total billed charges",,
"PREOPERATIVE PLACEMENT OF NEEDLE LOCALIZ","0360","RC","Both",,,"322","161","Medicaid",,,,"37",,"117.85","16.1","16596.62","percent of total billed charges",,
"TENOTOMY,FLEXOR,FINGER,OPEN,EA TENDON","0360","RC","Both",,,"3701","1850.5","Alliant","Health Exchange",,,"62",,"2294.62","16.1","16596.62","percent of total billed charges",,
"TENOTOMY,FLEXOR,FINGER,OPEN,EA TENDON","0360","RC","Both",,,"3701","1850.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1998.54","16.1","16596.62","percent of total billed charges",,
"TENOTOMY,FLEXOR,FINGER,OPEN,EA TENDON","0360","RC","Both",,,"3701","1850.5","Medicare",,,,"54",,"2005.94","16.1","16596.62","percent of total billed charges",,
"TENOTOMY,FLEXOR,FINGER,OPEN,EA TENDON","0360","RC","Both",,,"3701","1850.5","Humana","Medicare Advantage",,,"54",,"2005.94","16.1","16596.62","percent of total billed charges",,
"TENOTOMY,FLEXOR,FINGER,OPEN,EA TENDON","0360","RC","Both",,,"3701","1850.5","UHC","Medicare Advantage",,,"54",,"2005.94","16.1","16596.62","percent of total billed charges",,
"TENOTOMY,FLEXOR,FINGER,OPEN,EA TENDON","0360","RC","Both",,,"3701","1850.5","Clover","Medicare Advantage",,,"54",,"2005.94","16.1","16596.62","percent of total billed charges",,
"TENOTOMY,FLEXOR,FINGER,OPEN,EA TENDON","0360","RC","Both",,,"3701","1850.5","Wellcare","Medicare Advantage",,,"54",,"2005.94","16.1","16596.62","percent of total billed charges",,
"TENOTOMY,FLEXOR,FINGER,OPEN,EA TENDON","0360","RC","Both",,,"3701","1850.5","Amerigroup","Medicaid Managed Care",,,"37",,"1354.57","16.1","16596.62","percent of total billed charges",,
"TENOTOMY,FLEXOR,FINGER,OPEN,EA TENDON","0360","RC","Both",,,"3701","1850.5","Caresource","Medicaid Managed Care",,,"40",,"1480.4","16.1","16596.62","percent of total billed charges",,
"TENOTOMY,FLEXOR,FINGER,OPEN,EA TENDON","0360","RC","Both",,,"3701","1850.5","Wellcare","Medicaid Managed Care",,,"40",,"1498.91","16.1","16596.62","percent of total billed charges",,
"TENOTOMY,FLEXOR,FINGER,OPEN,EA TENDON","0360","RC","Both",,,"3701","1850.5","Aetna","Commercial",,,"64",,"2361.24","16.1","16596.62","percent of total billed charges",,
"TENOTOMY,FLEXOR,FINGER,OPEN,EA TENDON","0360","RC","Both",,,"3701","1850.5","Blue Cross Blue Shield","Pathways",,,"71",,"2612.91","16.1","16596.62","percent of total billed charges",,
"TENOTOMY,FLEXOR,FINGER,OPEN,EA TENDON","0360","RC","Both",,,"3701","1850.5","Blue Cross Blue Shield","HMO",,,"71",,"2612.91","16.1","16596.62","percent of total billed charges",,
"TENOTOMY,FLEXOR,FINGER,OPEN,EA TENDON","0360","RC","Both",,,"3701","1850.5","Blue Cross Blue Shield","PPO",,,"71",,"2612.91","16.1","16596.62","percent of total billed charges",,
"TENOTOMY,FLEXOR,FINGER,OPEN,EA TENDON","0360","RC","Both",,,"3701","1850.5","Ambetter","Health Exchange",,,"62",,"2294.62","16.1","16596.62","percent of total billed charges",,
"TENOTOMY,FLEXOR,FINGER,OPEN,EA TENDON","0360","RC","Both",,,"3701","1850.5","Caresource","Health Exchange",,,"62",,"2294.62","16.1","16596.62","percent of total billed charges",,
"TENOTOMY,FLEXOR,FINGER,OPEN,EA TENDON","0360","RC","Both",,,"3701","1850.5","Cigna","Commercial",,,"59",,"2168.79","16.1","16596.62","percent of total billed charges",,
"TENOTOMY,FLEXOR,FINGER,OPEN,EA TENDON","0360","RC","Both",,,"3701","1850.5","Humana","Commercial",,,"78",,"2868.28","16.1","16596.62","percent of total billed charges",,
"TENOTOMY,FLEXOR,FINGER,OPEN,EA TENDON","0360","RC","Both",,,"3701","1850.5","UHC","Commercial",,,"75",,"2790.55","16.1","16596.62","percent of total billed charges",,
"TENOTOMY,FLEXOR,FINGER,OPEN,EA TENDON","0360","RC","Both",,,"3701","1850.5","Medicaid",,,,"37",,"1354.57","16.1","16596.62","percent of total billed charges",,
"CLOSED TX METACARPAL FX, SINGLE; W/MANIP","0360","RC","Both",,,"418.5","209.25","Alliant","Health Exchange",,,"62",,"259.47","16.1","16596.62","percent of total billed charges",,
"CLOSED TX METACARPAL FX, SINGLE; W/MANIP","0360","RC","Both",,,"418.5","209.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"225.99","16.1","16596.62","percent of total billed charges",,
"CLOSED TX METACARPAL FX, SINGLE; W/MANIP","0360","RC","Both",,,"418.5","209.25","Medicare",,,,"54",,"226.83","16.1","16596.62","percent of total billed charges",,
"CLOSED TX METACARPAL FX, SINGLE; W/MANIP","0360","RC","Both",,,"418.5","209.25","Humana","Medicare Advantage",,,"54",,"226.83","16.1","16596.62","percent of total billed charges",,
"CLOSED TX METACARPAL FX, SINGLE; W/MANIP","0360","RC","Both",,,"418.5","209.25","UHC","Medicare Advantage",,,"54",,"226.83","16.1","16596.62","percent of total billed charges",,
"CLOSED TX METACARPAL FX, SINGLE; W/MANIP","0360","RC","Both",,,"418.5","209.25","Clover","Medicare Advantage",,,"54",,"226.83","16.1","16596.62","percent of total billed charges",,
"CLOSED TX METACARPAL FX, SINGLE; W/MANIP","0360","RC","Both",,,"418.5","209.25","Wellcare","Medicare Advantage",,,"54",,"226.83","16.1","16596.62","percent of total billed charges",,
"CLOSED TX METACARPAL FX, SINGLE; W/MANIP","0360","RC","Both",,,"418.5","209.25","Amerigroup","Medicaid Managed Care",,,"37",,"153.17","16.1","16596.62","percent of total billed charges",,
"CLOSED TX METACARPAL FX, SINGLE; W/MANIP","0360","RC","Both",,,"418.5","209.25","Caresource","Medicaid Managed Care",,,"40",,"167.4","16.1","16596.62","percent of total billed charges",,
"CLOSED TX METACARPAL FX, SINGLE; W/MANIP","0360","RC","Both",,,"418.5","209.25","Wellcare","Medicaid Managed Care",,,"40",,"169.49","16.1","16596.62","percent of total billed charges",,
"CLOSED TX METACARPAL FX, SINGLE; W/MANIP","0360","RC","Both",,,"418.5","209.25","Aetna","Commercial",,,"64",,"267","16.1","16596.62","percent of total billed charges",,
"CLOSED TX METACARPAL FX, SINGLE; W/MANIP","0360","RC","Both",,,"418.5","209.25","Blue Cross Blue Shield","Pathways",,,"71",,"295.46","16.1","16596.62","percent of total billed charges",,
"CLOSED TX METACARPAL FX, SINGLE; W/MANIP","0360","RC","Both",,,"418.5","209.25","Blue Cross Blue Shield","HMO",,,"71",,"295.46","16.1","16596.62","percent of total billed charges",,
"CLOSED TX METACARPAL FX, SINGLE; W/MANIP","0360","RC","Both",,,"418.5","209.25","Blue Cross Blue Shield","PPO",,,"71",,"295.46","16.1","16596.62","percent of total billed charges",,
"CLOSED TX METACARPAL FX, SINGLE; W/MANIP","0360","RC","Both",,,"418.5","209.25","Ambetter","Health Exchange",,,"62",,"259.47","16.1","16596.62","percent of total billed charges",,
"CLOSED TX METACARPAL FX, SINGLE; W/MANIP","0360","RC","Both",,,"418.5","209.25","Caresource","Health Exchange",,,"62",,"259.47","16.1","16596.62","percent of total billed charges",,
"CLOSED TX METACARPAL FX, SINGLE; W/MANIP","0360","RC","Both",,,"418.5","209.25","Cigna","Commercial",,,"59",,"245.24","16.1","16596.62","percent of total billed charges",,
"CLOSED TX METACARPAL FX, SINGLE; W/MANIP","0360","RC","Both",,,"418.5","209.25","Humana","Commercial",,,"78",,"324.34","16.1","16596.62","percent of total billed charges",,
"CLOSED TX METACARPAL FX, SINGLE; W/MANIP","0360","RC","Both",,,"418.5","209.25","UHC","Commercial",,,"75",,"315.55","16.1","16596.62","percent of total billed charges",,
"CLOSED TX METACARPAL FX, SINGLE; W/MANIP","0360","RC","Both",,,"418.5","209.25","Medicaid",,,,"37",,"153.17","16.1","16596.62","percent of total billed charges",,
"OPEN TX METACARPAL FX, SINGLE, W W/O FIX","0360","RC","Both",,,"11748.5","5874.25","Alliant","Health Exchange",,,"62",,"7284.07","16.1","16596.62","percent of total billed charges",,
"OPEN TX METACARPAL FX, SINGLE, W W/O FIX","0360","RC","Both",,,"11748.5","5874.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"6344.19","16.1","16596.62","percent of total billed charges",,
"OPEN TX METACARPAL FX, SINGLE, W W/O FIX","0360","RC","Both",,,"11748.5","5874.25","Medicare",,,,"54",,"6367.69","16.1","16596.62","percent of total billed charges",,
"OPEN TX METACARPAL FX, SINGLE, W W/O FIX","0360","RC","Both",,,"11748.5","5874.25","Humana","Medicare Advantage",,,"54",,"6367.69","16.1","16596.62","percent of total billed charges",,
"OPEN TX METACARPAL FX, SINGLE, W W/O FIX","0360","RC","Both",,,"11748.5","5874.25","UHC","Medicare Advantage",,,"54",,"6367.69","16.1","16596.62","percent of total billed charges",,
"OPEN TX METACARPAL FX, SINGLE, W W/O FIX","0360","RC","Both",,,"11748.5","5874.25","Clover","Medicare Advantage",,,"54",,"6367.69","16.1","16596.62","percent of total billed charges",,
"OPEN TX METACARPAL FX, SINGLE, W W/O FIX","0360","RC","Both",,,"11748.5","5874.25","Wellcare","Medicare Advantage",,,"54",,"6367.69","16.1","16596.62","percent of total billed charges",,
"OPEN TX METACARPAL FX, SINGLE, W W/O FIX","0360","RC","Both",,,"11748.5","5874.25","Amerigroup","Medicaid Managed Care",,,"37",,"4299.95","16.1","16596.62","percent of total billed charges",,
"OPEN TX METACARPAL FX, SINGLE, W W/O FIX","0360","RC","Both",,,"11748.5","5874.25","Caresource","Medicaid Managed Care",,,"40",,"4699.4","16.1","16596.62","percent of total billed charges",,
"OPEN TX METACARPAL FX, SINGLE, W W/O FIX","0360","RC","Both",,,"11748.5","5874.25","Wellcare","Medicaid Managed Care",,,"40",,"4758.14","16.1","16596.62","percent of total billed charges",,
"OPEN TX METACARPAL FX, SINGLE, W W/O FIX","0360","RC","Both",,,"11748.5","5874.25","Aetna","Commercial",,,"64",,"7495.54","16.1","16596.62","percent of total billed charges",,
"OPEN TX METACARPAL FX, SINGLE, W W/O FIX","0360","RC","Both",,,"11748.5","5874.25","Blue Cross Blue Shield","Pathways",,,"71",,"8294.44","16.1","16596.62","percent of total billed charges",,
"OPEN TX METACARPAL FX, SINGLE, W W/O FIX","0360","RC","Both",,,"11748.5","5874.25","Blue Cross Blue Shield","HMO",,,"71",,"8294.44","16.1","16596.62","percent of total billed charges",,
"OPEN TX METACARPAL FX, SINGLE, W W/O FIX","0360","RC","Both",,,"11748.5","5874.25","Blue Cross Blue Shield","PPO",,,"71",,"8294.44","16.1","16596.62","percent of total billed charges",,
"OPEN TX METACARPAL FX, SINGLE, W W/O FIX","0360","RC","Both",,,"11748.5","5874.25","Ambetter","Health Exchange",,,"62",,"7284.07","16.1","16596.62","percent of total billed charges",,
"OPEN TX METACARPAL FX, SINGLE, W W/O FIX","0360","RC","Both",,,"11748.5","5874.25","Caresource","Health Exchange",,,"62",,"7284.07","16.1","16596.62","percent of total billed charges",,
"OPEN TX METACARPAL FX, SINGLE, W W/O FIX","0360","RC","Both",,,"11748.5","5874.25","Cigna","Commercial",,,"59",,"6884.62","16.1","16596.62","percent of total billed charges",,
"OPEN TX METACARPAL FX, SINGLE, W W/O FIX","0360","RC","Both",,,"11748.5","5874.25","Humana","Commercial",,,"78",,"9105.09","16.1","16596.62","percent of total billed charges",,
"OPEN TX METACARPAL FX, SINGLE, W W/O FIX","0360","RC","Both",,,"11748.5","5874.25","UHC","Commercial",,,"75",,"8858.37","16.1","16596.62","percent of total billed charges",,
"OPEN TX METACARPAL FX, SINGLE, W W/O FIX","0360","RC","Both",,,"11748.5","5874.25","Medicaid",,,,"37",,"4299.95","16.1","16596.62","percent of total billed charges",,
"OPEN TX DIXTAL PHALANGEAL FX, EACH","0360","RC","Both",,,"5959","2979.5","Alliant","Health Exchange",,,"62",,"3694.58","16.1","16596.62","percent of total billed charges",,
"OPEN TX DIXTAL PHALANGEAL FX, EACH","0360","RC","Both",,,"5959","2979.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3217.86","16.1","16596.62","percent of total billed charges",,
"OPEN TX DIXTAL PHALANGEAL FX, EACH","0360","RC","Both",,,"5959","2979.5","Medicare",,,,"54",,"3229.78","16.1","16596.62","percent of total billed charges",,
"OPEN TX DIXTAL PHALANGEAL FX, EACH","0360","RC","Both",,,"5959","2979.5","Humana","Medicare Advantage",,,"54",,"3229.78","16.1","16596.62","percent of total billed charges",,
"OPEN TX DIXTAL PHALANGEAL FX, EACH","0360","RC","Both",,,"5959","2979.5","UHC","Medicare Advantage",,,"54",,"3229.78","16.1","16596.62","percent of total billed charges",,
"OPEN TX DIXTAL PHALANGEAL FX, EACH","0360","RC","Both",,,"5959","2979.5","Clover","Medicare Advantage",,,"54",,"3229.78","16.1","16596.62","percent of total billed charges",,
"OPEN TX DIXTAL PHALANGEAL FX, EACH","0360","RC","Both",,,"5959","2979.5","Wellcare","Medicare Advantage",,,"54",,"3229.78","16.1","16596.62","percent of total billed charges",,
"OPEN TX DIXTAL PHALANGEAL FX, EACH","0360","RC","Both",,,"5959","2979.5","Amerigroup","Medicaid Managed Care",,,"37",,"2180.99","16.1","16596.62","percent of total billed charges",,
"OPEN TX DIXTAL PHALANGEAL FX, EACH","0360","RC","Both",,,"5959","2979.5","Caresource","Medicaid Managed Care",,,"40",,"2383.6","16.1","16596.62","percent of total billed charges",,
"OPEN TX DIXTAL PHALANGEAL FX, EACH","0360","RC","Both",,,"5959","2979.5","Wellcare","Medicaid Managed Care",,,"40",,"2413.4","16.1","16596.62","percent of total billed charges",,
"OPEN TX DIXTAL PHALANGEAL FX, EACH","0360","RC","Both",,,"5959","2979.5","Aetna","Commercial",,,"64",,"3801.84","16.1","16596.62","percent of total billed charges",,
"OPEN TX DIXTAL PHALANGEAL FX, EACH","0360","RC","Both",,,"5959","2979.5","Blue Cross Blue Shield","Pathways",,,"71",,"4207.05","16.1","16596.62","percent of total billed charges",,
"OPEN TX DIXTAL PHALANGEAL FX, EACH","0360","RC","Both",,,"5959","2979.5","Blue Cross Blue Shield","HMO",,,"71",,"4207.05","16.1","16596.62","percent of total billed charges",,
"OPEN TX DIXTAL PHALANGEAL FX, EACH","0360","RC","Both",,,"5959","2979.5","Blue Cross Blue Shield","PPO",,,"71",,"4207.05","16.1","16596.62","percent of total billed charges",,
"OPEN TX DIXTAL PHALANGEAL FX, EACH","0360","RC","Both",,,"5959","2979.5","Ambetter","Health Exchange",,,"62",,"3694.58","16.1","16596.62","percent of total billed charges",,
"OPEN TX DIXTAL PHALANGEAL FX, EACH","0360","RC","Both",,,"5959","2979.5","Caresource","Health Exchange",,,"62",,"3694.58","16.1","16596.62","percent of total billed charges",,
"OPEN TX DIXTAL PHALANGEAL FX, EACH","0360","RC","Both",,,"5959","2979.5","Cigna","Commercial",,,"59",,"3491.97","16.1","16596.62","percent of total billed charges",,
"OPEN TX DIXTAL PHALANGEAL FX, EACH","0360","RC","Both",,,"5959","2979.5","Humana","Commercial",,,"78",,"4618.23","16.1","16596.62","percent of total billed charges",,
"OPEN TX DIXTAL PHALANGEAL FX, EACH","0360","RC","Both",,,"5959","2979.5","UHC","Commercial",,,"75",,"4493.09","16.1","16596.62","percent of total billed charges",,
"OPEN TX DIXTAL PHALANGEAL FX, EACH","0360","RC","Both",,,"5959","2979.5","Medicaid",,,,"37",,"2180.99","16.1","16596.62","percent of total billed charges",,
"I & D, DEEP ABSCESS,BURSA,HEMATOMA;THIGH","0360","RC","Both",,,"4118","2059","Alliant","Health Exchange",,,"62",,"2553.16","16.1","16596.62","percent of total billed charges",,
"I & D, DEEP ABSCESS,BURSA,HEMATOMA;THIGH","0360","RC","Both",,,"4118","2059","Pruitt Healthcare","Medicare Advantage",,,"54",,"2223.72","16.1","16596.62","percent of total billed charges",,
"I & D, DEEP ABSCESS,BURSA,HEMATOMA;THIGH","0360","RC","Both",,,"4118","2059","Medicare",,,,"54",,"2231.96","16.1","16596.62","percent of total billed charges",,
"I & D, DEEP ABSCESS,BURSA,HEMATOMA;THIGH","0360","RC","Both",,,"4118","2059","Humana","Medicare Advantage",,,"54",,"2231.96","16.1","16596.62","percent of total billed charges",,
"I & D, DEEP ABSCESS,BURSA,HEMATOMA;THIGH","0360","RC","Both",,,"4118","2059","UHC","Medicare Advantage",,,"54",,"2231.96","16.1","16596.62","percent of total billed charges",,
"I & D, DEEP ABSCESS,BURSA,HEMATOMA;THIGH","0360","RC","Both",,,"4118","2059","Clover","Medicare Advantage",,,"54",,"2231.96","16.1","16596.62","percent of total billed charges",,
"I & D, DEEP ABSCESS,BURSA,HEMATOMA;THIGH","0360","RC","Both",,,"4118","2059","Wellcare","Medicare Advantage",,,"54",,"2231.96","16.1","16596.62","percent of total billed charges",,
"I & D, DEEP ABSCESS,BURSA,HEMATOMA;THIGH","0360","RC","Both",,,"4118","2059","Amerigroup","Medicaid Managed Care",,,"37",,"1507.19","16.1","16596.62","percent of total billed charges",,
"I & D, DEEP ABSCESS,BURSA,HEMATOMA;THIGH","0360","RC","Both",,,"4118","2059","Caresource","Medicaid Managed Care",,,"40",,"1647.2","16.1","16596.62","percent of total billed charges",,
"I & D, DEEP ABSCESS,BURSA,HEMATOMA;THIGH","0360","RC","Both",,,"4118","2059","Wellcare","Medicaid Managed Care",,,"40",,"1667.79","16.1","16596.62","percent of total billed charges",,
"I & D, DEEP ABSCESS,BURSA,HEMATOMA;THIGH","0360","RC","Both",,,"4118","2059","Aetna","Commercial",,,"64",,"2627.28","16.1","16596.62","percent of total billed charges",,
"I & D, DEEP ABSCESS,BURSA,HEMATOMA;THIGH","0360","RC","Both",,,"4118","2059","Blue Cross Blue Shield","Pathways",,,"71",,"2907.31","16.1","16596.62","percent of total billed charges",,
"I & D, DEEP ABSCESS,BURSA,HEMATOMA;THIGH","0360","RC","Both",,,"4118","2059","Blue Cross Blue Shield","HMO",,,"71",,"2907.31","16.1","16596.62","percent of total billed charges",,
"I & D, DEEP ABSCESS,BURSA,HEMATOMA;THIGH","0360","RC","Both",,,"4118","2059","Blue Cross Blue Shield","PPO",,,"71",,"2907.31","16.1","16596.62","percent of total billed charges",,
"I & D, DEEP ABSCESS,BURSA,HEMATOMA;THIGH","0360","RC","Both",,,"4118","2059","Ambetter","Health Exchange",,,"62",,"2553.16","16.1","16596.62","percent of total billed charges",,
"I & D, DEEP ABSCESS,BURSA,HEMATOMA;THIGH","0360","RC","Both",,,"4118","2059","Caresource","Health Exchange",,,"62",,"2553.16","16.1","16596.62","percent of total billed charges",,
"I & D, DEEP ABSCESS,BURSA,HEMATOMA;THIGH","0360","RC","Both",,,"4118","2059","Cigna","Commercial",,,"59",,"2413.15","16.1","16596.62","percent of total billed charges",,
"I & D, DEEP ABSCESS,BURSA,HEMATOMA;THIGH","0360","RC","Both",,,"4118","2059","Humana","Commercial",,,"78",,"3191.45","16.1","16596.62","percent of total billed charges",,
"I & D, DEEP ABSCESS,BURSA,HEMATOMA;THIGH","0360","RC","Both",,,"4118","2059","UHC","Commercial",,,"75",,"3104.97","16.1","16596.62","percent of total billed charges",,
"I & D, DEEP ABSCESS,BURSA,HEMATOMA;THIGH","0360","RC","Both",,,"4118","2059","Medicaid",,,,"37",,"1507.19","16.1","16596.62","percent of total billed charges",,
"BIOPSY SOFT TISSUE THIGH/KNEE","0360","RC","Both",,,"1823","911.5","Alliant","Health Exchange",,,"62",,"1130.26","16.1","16596.62","percent of total billed charges",,
"BIOPSY SOFT TISSUE THIGH/KNEE","0360","RC","Both",,,"1823","911.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"984.42","16.1","16596.62","percent of total billed charges",,
"BIOPSY SOFT TISSUE THIGH/KNEE","0360","RC","Both",,,"1823","911.5","Medicare",,,,"54",,"988.07","16.1","16596.62","percent of total billed charges",,
"BIOPSY SOFT TISSUE THIGH/KNEE","0360","RC","Both",,,"1823","911.5","Humana","Medicare Advantage",,,"54",,"988.07","16.1","16596.62","percent of total billed charges",,
"BIOPSY SOFT TISSUE THIGH/KNEE","0360","RC","Both",,,"1823","911.5","UHC","Medicare Advantage",,,"54",,"988.07","16.1","16596.62","percent of total billed charges",,
"BIOPSY SOFT TISSUE THIGH/KNEE","0360","RC","Both",,,"1823","911.5","Clover","Medicare Advantage",,,"54",,"988.07","16.1","16596.62","percent of total billed charges",,
"BIOPSY SOFT TISSUE THIGH/KNEE","0360","RC","Both",,,"1823","911.5","Wellcare","Medicare Advantage",,,"54",,"988.07","16.1","16596.62","percent of total billed charges",,
"BIOPSY SOFT TISSUE THIGH/KNEE","0360","RC","Both",,,"1823","911.5","Amerigroup","Medicaid Managed Care",,,"37",,"667.22","16.1","16596.62","percent of total billed charges",,
"BIOPSY SOFT TISSUE THIGH/KNEE","0360","RC","Both",,,"1823","911.5","Caresource","Medicaid Managed Care",,,"40",,"729.2","16.1","16596.62","percent of total billed charges",,
"BIOPSY SOFT TISSUE THIGH/KNEE","0360","RC","Both",,,"1823","911.5","Wellcare","Medicaid Managed Care",,,"40",,"738.32","16.1","16596.62","percent of total billed charges",,
"BIOPSY SOFT TISSUE THIGH/KNEE","0360","RC","Both",,,"1823","911.5","Aetna","Commercial",,,"64",,"1163.07","16.1","16596.62","percent of total billed charges",,
"BIOPSY SOFT TISSUE THIGH/KNEE","0360","RC","Both",,,"1823","911.5","Blue Cross Blue Shield","Pathways",,,"71",,"1287.04","16.1","16596.62","percent of total billed charges",,
"BIOPSY SOFT TISSUE THIGH/KNEE","0360","RC","Both",,,"1823","911.5","Blue Cross Blue Shield","HMO",,,"71",,"1287.04","16.1","16596.62","percent of total billed charges",,
"BIOPSY SOFT TISSUE THIGH/KNEE","0360","RC","Both",,,"1823","911.5","Blue Cross Blue Shield","PPO",,,"71",,"1287.04","16.1","16596.62","percent of total billed charges",,
"BIOPSY SOFT TISSUE THIGH/KNEE","0360","RC","Both",,,"1823","911.5","Ambetter","Health Exchange",,,"62",,"1130.26","16.1","16596.62","percent of total billed charges",,
"BIOPSY SOFT TISSUE THIGH/KNEE","0360","RC","Both",,,"1823","911.5","Caresource","Health Exchange",,,"62",,"1130.26","16.1","16596.62","percent of total billed charges",,
"BIOPSY SOFT TISSUE THIGH/KNEE","0360","RC","Both",,,"1823","911.5","Cigna","Commercial",,,"59",,"1068.28","16.1","16596.62","percent of total billed charges",,
"BIOPSY SOFT TISSUE THIGH/KNEE","0360","RC","Both",,,"1823","911.5","Humana","Commercial",,,"78",,"1412.82","16.1","16596.62","percent of total billed charges",,
"BIOPSY SOFT TISSUE THIGH/KNEE","0360","RC","Both",,,"1823","911.5","UHC","Commercial",,,"75",,"1374.54","16.1","16596.62","percent of total billed charges",,
"BIOPSY SOFT TISSUE THIGH/KNEE","0360","RC","Both",,,"1823","911.5","Medicaid",,,,"37",,"667.22","16.1","16596.62","percent of total billed charges",,
"EXCISION SYNOVIAL CYST POPLITEAL SPACE","0360","RC","Both",,,"4855.5","2427.75","Alliant","Health Exchange",,,"62",,"3010.41","16.1","16596.62","percent of total billed charges",,
"EXCISION SYNOVIAL CYST POPLITEAL SPACE","0360","RC","Both",,,"4855.5","2427.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"2621.97","16.1","16596.62","percent of total billed charges",,
"EXCISION SYNOVIAL CYST POPLITEAL SPACE","0360","RC","Both",,,"4855.5","2427.75","Medicare",,,,"54",,"2631.68","16.1","16596.62","percent of total billed charges",,
"EXCISION SYNOVIAL CYST POPLITEAL SPACE","0360","RC","Both",,,"4855.5","2427.75","Humana","Medicare Advantage",,,"54",,"2631.68","16.1","16596.62","percent of total billed charges",,
"EXCISION SYNOVIAL CYST POPLITEAL SPACE","0360","RC","Both",,,"4855.5","2427.75","UHC","Medicare Advantage",,,"54",,"2631.68","16.1","16596.62","percent of total billed charges",,
"EXCISION SYNOVIAL CYST POPLITEAL SPACE","0360","RC","Both",,,"4855.5","2427.75","Clover","Medicare Advantage",,,"54",,"2631.68","16.1","16596.62","percent of total billed charges",,
"EXCISION SYNOVIAL CYST POPLITEAL SPACE","0360","RC","Both",,,"4855.5","2427.75","Wellcare","Medicare Advantage",,,"54",,"2631.68","16.1","16596.62","percent of total billed charges",,
"EXCISION SYNOVIAL CYST POPLITEAL SPACE","0360","RC","Both",,,"4855.5","2427.75","Amerigroup","Medicaid Managed Care",,,"37",,"1777.11","16.1","16596.62","percent of total billed charges",,
"EXCISION SYNOVIAL CYST POPLITEAL SPACE","0360","RC","Both",,,"4855.5","2427.75","Caresource","Medicaid Managed Care",,,"40",,"1942.2","16.1","16596.62","percent of total billed charges",,
"EXCISION SYNOVIAL CYST POPLITEAL SPACE","0360","RC","Both",,,"4855.5","2427.75","Wellcare","Medicaid Managed Care",,,"40",,"1966.48","16.1","16596.62","percent of total billed charges",,
"EXCISION SYNOVIAL CYST POPLITEAL SPACE","0360","RC","Both",,,"4855.5","2427.75","Aetna","Commercial",,,"64",,"3097.81","16.1","16596.62","percent of total billed charges",,
"EXCISION SYNOVIAL CYST POPLITEAL SPACE","0360","RC","Both",,,"4855.5","2427.75","Blue Cross Blue Shield","Pathways",,,"71",,"3427.98","16.1","16596.62","percent of total billed charges",,
"EXCISION SYNOVIAL CYST POPLITEAL SPACE","0360","RC","Both",,,"4855.5","2427.75","Blue Cross Blue Shield","HMO",,,"71",,"3427.98","16.1","16596.62","percent of total billed charges",,
"EXCISION SYNOVIAL CYST POPLITEAL SPACE","0360","RC","Both",,,"4855.5","2427.75","Blue Cross Blue Shield","PPO",,,"71",,"3427.98","16.1","16596.62","percent of total billed charges",,
"EXCISION SYNOVIAL CYST POPLITEAL SPACE","0360","RC","Both",,,"4855.5","2427.75","Ambetter","Health Exchange",,,"62",,"3010.41","16.1","16596.62","percent of total billed charges",,
"EXCISION SYNOVIAL CYST POPLITEAL SPACE","0360","RC","Both",,,"4855.5","2427.75","Caresource","Health Exchange",,,"62",,"3010.41","16.1","16596.62","percent of total billed charges",,
"EXCISION SYNOVIAL CYST POPLITEAL SPACE","0360","RC","Both",,,"4855.5","2427.75","Cigna","Commercial",,,"59",,"2845.32","16.1","16596.62","percent of total billed charges",,
"EXCISION SYNOVIAL CYST POPLITEAL SPACE","0360","RC","Both",,,"4855.5","2427.75","Humana","Commercial",,,"78",,"3763.01","16.1","16596.62","percent of total billed charges",,
"EXCISION SYNOVIAL CYST POPLITEAL SPACE","0360","RC","Both",,,"4855.5","2427.75","UHC","Commercial",,,"75",,"3661.05","16.1","16596.62","percent of total billed charges",,
"EXCISION SYNOVIAL CYST POPLITEAL SPACE","0360","RC","Both",,,"4855.5","2427.75","Medicaid",,,,"37",,"1777.11","16.1","16596.62","percent of total billed charges",,
"CLOSED TX FEMORAL FX","0360","RC","Both",,,"418.5","209.25","Alliant","Health Exchange",,,"62",,"259.47","16.1","16596.62","percent of total billed charges",,
"CLOSED TX FEMORAL FX","0360","RC","Both",,,"418.5","209.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"225.99","16.1","16596.62","percent of total billed charges",,
"CLOSED TX FEMORAL FX","0360","RC","Both",,,"418.5","209.25","Medicare",,,,"54",,"226.83","16.1","16596.62","percent of total billed charges",,
"CLOSED TX FEMORAL FX","0360","RC","Both",,,"418.5","209.25","Humana","Medicare Advantage",,,"54",,"226.83","16.1","16596.62","percent of total billed charges",,
"CLOSED TX FEMORAL FX","0360","RC","Both",,,"418.5","209.25","UHC","Medicare Advantage",,,"54",,"226.83","16.1","16596.62","percent of total billed charges",,
"CLOSED TX FEMORAL FX","0360","RC","Both",,,"418.5","209.25","Clover","Medicare Advantage",,,"54",,"226.83","16.1","16596.62","percent of total billed charges",,
"CLOSED TX FEMORAL FX","0360","RC","Both",,,"418.5","209.25","Wellcare","Medicare Advantage",,,"54",,"226.83","16.1","16596.62","percent of total billed charges",,
"CLOSED TX FEMORAL FX","0360","RC","Both",,,"418.5","209.25","Amerigroup","Medicaid Managed Care",,,"37",,"153.17","16.1","16596.62","percent of total billed charges",,
"CLOSED TX FEMORAL FX","0360","RC","Both",,,"418.5","209.25","Caresource","Medicaid Managed Care",,,"40",,"167.4","16.1","16596.62","percent of total billed charges",,
"CLOSED TX FEMORAL FX","0360","RC","Both",,,"418.5","209.25","Wellcare","Medicaid Managed Care",,,"40",,"169.49","16.1","16596.62","percent of total billed charges",,
"CLOSED TX FEMORAL FX","0360","RC","Both",,,"418.5","209.25","Aetna","Commercial",,,"64",,"267","16.1","16596.62","percent of total billed charges",,
"CLOSED TX FEMORAL FX","0360","RC","Both",,,"418.5","209.25","Blue Cross Blue Shield","Pathways",,,"71",,"295.46","16.1","16596.62","percent of total billed charges",,
"CLOSED TX FEMORAL FX","0360","RC","Both",,,"418.5","209.25","Blue Cross Blue Shield","HMO",,,"71",,"295.46","16.1","16596.62","percent of total billed charges",,
"CLOSED TX FEMORAL FX","0360","RC","Both",,,"418.5","209.25","Blue Cross Blue Shield","PPO",,,"71",,"295.46","16.1","16596.62","percent of total billed charges",,
"CLOSED TX FEMORAL FX","0360","RC","Both",,,"418.5","209.25","Ambetter","Health Exchange",,,"62",,"259.47","16.1","16596.62","percent of total billed charges",,
"CLOSED TX FEMORAL FX","0360","RC","Both",,,"418.5","209.25","Caresource","Health Exchange",,,"62",,"259.47","16.1","16596.62","percent of total billed charges",,
"CLOSED TX FEMORAL FX","0360","RC","Both",,,"418.5","209.25","Cigna","Commercial",,,"59",,"245.24","16.1","16596.62","percent of total billed charges",,
"CLOSED TX FEMORAL FX","0360","RC","Both",,,"418.5","209.25","Humana","Commercial",,,"78",,"324.34","16.1","16596.62","percent of total billed charges",,
"CLOSED TX FEMORAL FX","0360","RC","Both",,,"418.5","209.25","UHC","Commercial",,,"75",,"315.55","16.1","16596.62","percent of total billed charges",,
"CLOSED TX FEMORAL FX","0360","RC","Both",,,"418.5","209.25","Medicaid",,,,"37",,"153.17","16.1","16596.62","percent of total billed charges",,
"AMPUTATION THIGH THROUGH FEMUR (IP ONLY)","0360","RC","Both",,,"2473.5","1236.75","Alliant","Health Exchange",,,"62",,"1533.57","16.1","16596.62","percent of total billed charges",,
"AMPUTATION THIGH THROUGH FEMUR (IP ONLY)","0360","RC","Both",,,"2473.5","1236.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"1335.69","16.1","16596.62","percent of total billed charges",,
"AMPUTATION THIGH THROUGH FEMUR (IP ONLY)","0360","RC","Both",,,"2473.5","1236.75","Medicare",,,,"54",,"1340.64","16.1","16596.62","percent of total billed charges",,
"AMPUTATION THIGH THROUGH FEMUR (IP ONLY)","0360","RC","Both",,,"2473.5","1236.75","Humana","Medicare Advantage",,,"54",,"1340.64","16.1","16596.62","percent of total billed charges",,
"AMPUTATION THIGH THROUGH FEMUR (IP ONLY)","0360","RC","Both",,,"2473.5","1236.75","UHC","Medicare Advantage",,,"54",,"1340.64","16.1","16596.62","percent of total billed charges",,
"AMPUTATION THIGH THROUGH FEMUR (IP ONLY)","0360","RC","Both",,,"2473.5","1236.75","Clover","Medicare Advantage",,,"54",,"1340.64","16.1","16596.62","percent of total billed charges",,
"AMPUTATION THIGH THROUGH FEMUR (IP ONLY)","0360","RC","Both",,,"2473.5","1236.75","Wellcare","Medicare Advantage",,,"54",,"1340.64","16.1","16596.62","percent of total billed charges",,
"AMPUTATION THIGH THROUGH FEMUR (IP ONLY)","0360","RC","Both",,,"2473.5","1236.75","Amerigroup","Medicaid Managed Care",,,"37",,"905.3","16.1","16596.62","percent of total billed charges",,
"AMPUTATION THIGH THROUGH FEMUR (IP ONLY)","0360","RC","Both",,,"2473.5","1236.75","Caresource","Medicaid Managed Care",,,"40",,"989.4","16.1","16596.62","percent of total billed charges",,
"AMPUTATION THIGH THROUGH FEMUR (IP ONLY)","0360","RC","Both",,,"2473.5","1236.75","Wellcare","Medicaid Managed Care",,,"40",,"1001.77","16.1","16596.62","percent of total billed charges",,
"AMPUTATION THIGH THROUGH FEMUR (IP ONLY)","0360","RC","Both",,,"2473.5","1236.75","Aetna","Commercial",,,"64",,"1578.09","16.1","16596.62","percent of total billed charges",,
"AMPUTATION THIGH THROUGH FEMUR (IP ONLY)","0360","RC","Both",,,"2473.5","1236.75","Blue Cross Blue Shield","Pathways",,,"71",,"1746.29","16.1","16596.62","percent of total billed charges",,
"AMPUTATION THIGH THROUGH FEMUR (IP ONLY)","0360","RC","Both",,,"2473.5","1236.75","Blue Cross Blue Shield","HMO",,,"71",,"1746.29","16.1","16596.62","percent of total billed charges",,
"AMPUTATION THIGH THROUGH FEMUR (IP ONLY)","0360","RC","Both",,,"2473.5","1236.75","Blue Cross Blue Shield","PPO",,,"71",,"1746.29","16.1","16596.62","percent of total billed charges",,
"AMPUTATION THIGH THROUGH FEMUR (IP ONLY)","0360","RC","Both",,,"2473.5","1236.75","Ambetter","Health Exchange",,,"62",,"1533.57","16.1","16596.62","percent of total billed charges",,
"AMPUTATION THIGH THROUGH FEMUR (IP ONLY)","0360","RC","Both",,,"2473.5","1236.75","Caresource","Health Exchange",,,"62",,"1533.57","16.1","16596.62","percent of total billed charges",,
"AMPUTATION THIGH THROUGH FEMUR (IP ONLY)","0360","RC","Both",,,"2473.5","1236.75","Cigna","Commercial",,,"59",,"1449.47","16.1","16596.62","percent of total billed charges",,
"AMPUTATION THIGH THROUGH FEMUR (IP ONLY)","0360","RC","Both",,,"2473.5","1236.75","Humana","Commercial",,,"78",,"1916.96","16.1","16596.62","percent of total billed charges",,
"AMPUTATION THIGH THROUGH FEMUR (IP ONLY)","0360","RC","Both",,,"2473.5","1236.75","UHC","Commercial",,,"75",,"1865.02","16.1","16596.62","percent of total billed charges",,
"AMPUTATION THIGH THROUGH FEMUR (IP ONLY)","0360","RC","Both",,,"2473.5","1236.75","Medicaid",,,,"37",,"905.3","16.1","16596.62","percent of total billed charges",,
"RE-AMPUTATION OF LEG","0360","RC","Both",,,"2041.5","1020.75","Alliant","Health Exchange",,,"62",,"1265.73","16.1","16596.62","percent of total billed charges",,
"RE-AMPUTATION OF LEG","0360","RC","Both",,,"2041.5","1020.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"1102.41","16.1","16596.62","percent of total billed charges",,
"RE-AMPUTATION OF LEG","0360","RC","Both",,,"2041.5","1020.75","Medicare",,,,"54",,"1106.49","16.1","16596.62","percent of total billed charges",,
"RE-AMPUTATION OF LEG","0360","RC","Both",,,"2041.5","1020.75","Humana","Medicare Advantage",,,"54",,"1106.49","16.1","16596.62","percent of total billed charges",,
"RE-AMPUTATION OF LEG","0360","RC","Both",,,"2041.5","1020.75","UHC","Medicare Advantage",,,"54",,"1106.49","16.1","16596.62","percent of total billed charges",,
"RE-AMPUTATION OF LEG","0360","RC","Both",,,"2041.5","1020.75","Clover","Medicare Advantage",,,"54",,"1106.49","16.1","16596.62","percent of total billed charges",,
"RE-AMPUTATION OF LEG","0360","RC","Both",,,"2041.5","1020.75","Wellcare","Medicare Advantage",,,"54",,"1106.49","16.1","16596.62","percent of total billed charges",,
"RE-AMPUTATION OF LEG","0360","RC","Both",,,"2041.5","1020.75","Amerigroup","Medicaid Managed Care",,,"37",,"747.19","16.1","16596.62","percent of total billed charges",,
"RE-AMPUTATION OF LEG","0360","RC","Both",,,"2041.5","1020.75","Caresource","Medicaid Managed Care",,,"40",,"816.6","16.1","16596.62","percent of total billed charges",,
"RE-AMPUTATION OF LEG","0360","RC","Both",,,"2041.5","1020.75","Wellcare","Medicaid Managed Care",,,"40",,"826.81","16.1","16596.62","percent of total billed charges",,
"RE-AMPUTATION OF LEG","0360","RC","Both",,,"2041.5","1020.75","Aetna","Commercial",,,"64",,"1302.48","16.1","16596.62","percent of total billed charges",,
"RE-AMPUTATION OF LEG","0360","RC","Both",,,"2041.5","1020.75","Blue Cross Blue Shield","Pathways",,,"71",,"1441.3","16.1","16596.62","percent of total billed charges",,
"RE-AMPUTATION OF LEG","0360","RC","Both",,,"2041.5","1020.75","Blue Cross Blue Shield","HMO",,,"71",,"1441.3","16.1","16596.62","percent of total billed charges",,
"RE-AMPUTATION OF LEG","0360","RC","Both",,,"2041.5","1020.75","Blue Cross Blue Shield","PPO",,,"71",,"1441.3","16.1","16596.62","percent of total billed charges",,
"RE-AMPUTATION OF LEG","0360","RC","Both",,,"2041.5","1020.75","Ambetter","Health Exchange",,,"62",,"1265.73","16.1","16596.62","percent of total billed charges",,
"RE-AMPUTATION OF LEG","0360","RC","Both",,,"2041.5","1020.75","Caresource","Health Exchange",,,"62",,"1265.73","16.1","16596.62","percent of total billed charges",,
"RE-AMPUTATION OF LEG","0360","RC","Both",,,"2041.5","1020.75","Cigna","Commercial",,,"59",,"1196.32","16.1","16596.62","percent of total billed charges",,
"RE-AMPUTATION OF LEG","0360","RC","Both",,,"2041.5","1020.75","Humana","Commercial",,,"78",,"1582.16","16.1","16596.62","percent of total billed charges",,
"RE-AMPUTATION OF LEG","0360","RC","Both",,,"2041.5","1020.75","UHC","Commercial",,,"75",,"1539.29","16.1","16596.62","percent of total billed charges",,
"RE-AMPUTATION OF LEG","0360","RC","Both",,,"2041.5","1020.75","Medicaid",,,,"37",,"747.19","16.1","16596.62","percent of total billed charges",,
"FASCIOTOMY, FOOT AND/OR TOE","0360","RC","Both",,,"4945","2472.5","Alliant","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"FASCIOTOMY, FOOT AND/OR TOE","0360","RC","Both",,,"4945","2472.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2670.3","16.1","16596.62","percent of total billed charges",,
"FASCIOTOMY, FOOT AND/OR TOE","0360","RC","Both",,,"4945","2472.5","Medicare",,,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"FASCIOTOMY, FOOT AND/OR TOE","0360","RC","Both",,,"4945","2472.5","Humana","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"FASCIOTOMY, FOOT AND/OR TOE","0360","RC","Both",,,"4945","2472.5","UHC","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"FASCIOTOMY, FOOT AND/OR TOE","0360","RC","Both",,,"4945","2472.5","Clover","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"FASCIOTOMY, FOOT AND/OR TOE","0360","RC","Both",,,"4945","2472.5","Wellcare","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"FASCIOTOMY, FOOT AND/OR TOE","0360","RC","Both",,,"4945","2472.5","Amerigroup","Medicaid Managed Care",,,"37",,"1809.87","16.1","16596.62","percent of total billed charges",,
"FASCIOTOMY, FOOT AND/OR TOE","0360","RC","Both",,,"4945","2472.5","Caresource","Medicaid Managed Care",,,"40",,"1978","16.1","16596.62","percent of total billed charges",,
"FASCIOTOMY, FOOT AND/OR TOE","0360","RC","Both",,,"4945","2472.5","Wellcare","Medicaid Managed Care",,,"40",,"2002.72","16.1","16596.62","percent of total billed charges",,
"FASCIOTOMY, FOOT AND/OR TOE","0360","RC","Both",,,"4945","2472.5","Aetna","Commercial",,,"64",,"3154.91","16.1","16596.62","percent of total billed charges",,
"FASCIOTOMY, FOOT AND/OR TOE","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","Pathways",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"FASCIOTOMY, FOOT AND/OR TOE","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","HMO",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"FASCIOTOMY, FOOT AND/OR TOE","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","PPO",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"FASCIOTOMY, FOOT AND/OR TOE","0360","RC","Both",,,"4945","2472.5","Ambetter","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"FASCIOTOMY, FOOT AND/OR TOE","0360","RC","Both",,,"4945","2472.5","Caresource","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"FASCIOTOMY, FOOT AND/OR TOE","0360","RC","Both",,,"4945","2472.5","Cigna","Commercial",,,"59",,"2897.77","16.1","16596.62","percent of total billed charges",,
"FASCIOTOMY, FOOT AND/OR TOE","0360","RC","Both",,,"4945","2472.5","Humana","Commercial",,,"78",,"3832.38","16.1","16596.62","percent of total billed charges",,
"FASCIOTOMY, FOOT AND/OR TOE","0360","RC","Both",,,"4945","2472.5","UHC","Commercial",,,"75",,"3728.53","16.1","16596.62","percent of total billed charges",,
"FASCIOTOMY, FOOT AND/OR TOE","0360","RC","Both",,,"4945","2472.5","Medicaid",,,,"37",,"1809.87","16.1","16596.62","percent of total billed charges",,
"ARTHROTOMY,INCLUD EXPLOR DRAIN REM FB","0360","RC","Both",,,"4945","2472.5","Alliant","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"ARTHROTOMY,INCLUD EXPLOR DRAIN REM FB","0360","RC","Both",,,"4945","2472.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2670.3","16.1","16596.62","percent of total billed charges",,
"ARTHROTOMY,INCLUD EXPLOR DRAIN REM FB","0360","RC","Both",,,"4945","2472.5","Medicare",,,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"ARTHROTOMY,INCLUD EXPLOR DRAIN REM FB","0360","RC","Both",,,"4945","2472.5","Humana","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"ARTHROTOMY,INCLUD EXPLOR DRAIN REM FB","0360","RC","Both",,,"4945","2472.5","UHC","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"ARTHROTOMY,INCLUD EXPLOR DRAIN REM FB","0360","RC","Both",,,"4945","2472.5","Clover","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"ARTHROTOMY,INCLUD EXPLOR DRAIN REM FB","0360","RC","Both",,,"4945","2472.5","Wellcare","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"ARTHROTOMY,INCLUD EXPLOR DRAIN REM FB","0360","RC","Both",,,"4945","2472.5","Amerigroup","Medicaid Managed Care",,,"37",,"1809.87","16.1","16596.62","percent of total billed charges",,
"ARTHROTOMY,INCLUD EXPLOR DRAIN REM FB","0360","RC","Both",,,"4945","2472.5","Caresource","Medicaid Managed Care",,,"40",,"1978","16.1","16596.62","percent of total billed charges",,
"ARTHROTOMY,INCLUD EXPLOR DRAIN REM FB","0360","RC","Both",,,"4945","2472.5","Wellcare","Medicaid Managed Care",,,"40",,"2002.72","16.1","16596.62","percent of total billed charges",,
"ARTHROTOMY,INCLUD EXPLOR DRAIN REM FB","0360","RC","Both",,,"4945","2472.5","Aetna","Commercial",,,"64",,"3154.91","16.1","16596.62","percent of total billed charges",,
"ARTHROTOMY,INCLUD EXPLOR DRAIN REM FB","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","Pathways",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"ARTHROTOMY,INCLUD EXPLOR DRAIN REM FB","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","HMO",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"ARTHROTOMY,INCLUD EXPLOR DRAIN REM FB","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","PPO",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"ARTHROTOMY,INCLUD EXPLOR DRAIN REM FB","0360","RC","Both",,,"4945","2472.5","Ambetter","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"ARTHROTOMY,INCLUD EXPLOR DRAIN REM FB","0360","RC","Both",,,"4945","2472.5","Caresource","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"ARTHROTOMY,INCLUD EXPLOR DRAIN REM FB","0360","RC","Both",,,"4945","2472.5","Cigna","Commercial",,,"59",,"2897.77","16.1","16596.62","percent of total billed charges",,
"ARTHROTOMY,INCLUD EXPLOR DRAIN REM FB","0360","RC","Both",,,"4945","2472.5","Humana","Commercial",,,"78",,"3832.38","16.1","16596.62","percent of total billed charges",,
"ARTHROTOMY,INCLUD EXPLOR DRAIN REM FB","0360","RC","Both",,,"4945","2472.5","UHC","Commercial",,,"75",,"3728.53","16.1","16596.62","percent of total billed charges",,
"ARTHROTOMY,INCLUD EXPLOR DRAIN REM FB","0360","RC","Both",,,"4945","2472.5","Medicaid",,,,"37",,"1809.87","16.1","16596.62","percent of total billed charges",,
"EXCISION TUMOR FOOT/TOE SUBQ 1.5+cm","0360","RC","Both",,,"5185","2592.5","Alliant","Health Exchange",,,"62",,"3214.7","16.1","16596.62","percent of total billed charges",,
"EXCISION TUMOR FOOT/TOE SUBQ 1.5+cm","0360","RC","Both",,,"5185","2592.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2799.9","16.1","16596.62","percent of total billed charges",,
"EXCISION TUMOR FOOT/TOE SUBQ 1.5+cm","0360","RC","Both",,,"5185","2592.5","Medicare",,,,"54",,"2810.27","16.1","16596.62","percent of total billed charges",,
"EXCISION TUMOR FOOT/TOE SUBQ 1.5+cm","0360","RC","Both",,,"5185","2592.5","Humana","Medicare Advantage",,,"54",,"2810.27","16.1","16596.62","percent of total billed charges",,
"EXCISION TUMOR FOOT/TOE SUBQ 1.5+cm","0360","RC","Both",,,"5185","2592.5","UHC","Medicare Advantage",,,"54",,"2810.27","16.1","16596.62","percent of total billed charges",,
"EXCISION TUMOR FOOT/TOE SUBQ 1.5+cm","0360","RC","Both",,,"5185","2592.5","Clover","Medicare Advantage",,,"54",,"2810.27","16.1","16596.62","percent of total billed charges",,
"EXCISION TUMOR FOOT/TOE SUBQ 1.5+cm","0360","RC","Both",,,"5185","2592.5","Wellcare","Medicare Advantage",,,"54",,"2810.27","16.1","16596.62","percent of total billed charges",,
"EXCISION TUMOR FOOT/TOE SUBQ 1.5+cm","0360","RC","Both",,,"5185","2592.5","Amerigroup","Medicaid Managed Care",,,"37",,"1897.71","16.1","16596.62","percent of total billed charges",,
"EXCISION TUMOR FOOT/TOE SUBQ 1.5+cm","0360","RC","Both",,,"5185","2592.5","Caresource","Medicaid Managed Care",,,"40",,"2074","16.1","16596.62","percent of total billed charges",,
"EXCISION TUMOR FOOT/TOE SUBQ 1.5+cm","0360","RC","Both",,,"5185","2592.5","Wellcare","Medicaid Managed Care",,,"40",,"2099.93","16.1","16596.62","percent of total billed charges",,
"EXCISION TUMOR FOOT/TOE SUBQ 1.5+cm","0360","RC","Both",,,"5185","2592.5","Aetna","Commercial",,,"64",,"3308.03","16.1","16596.62","percent of total billed charges",,
"EXCISION TUMOR FOOT/TOE SUBQ 1.5+cm","0360","RC","Both",,,"5185","2592.5","Blue Cross Blue Shield","Pathways",,,"71",,"3660.61","16.1","16596.62","percent of total billed charges",,
"EXCISION TUMOR FOOT/TOE SUBQ 1.5+cm","0360","RC","Both",,,"5185","2592.5","Blue Cross Blue Shield","HMO",,,"71",,"3660.61","16.1","16596.62","percent of total billed charges",,
"EXCISION TUMOR FOOT/TOE SUBQ 1.5+cm","0360","RC","Both",,,"5185","2592.5","Blue Cross Blue Shield","PPO",,,"71",,"3660.61","16.1","16596.62","percent of total billed charges",,
"EXCISION TUMOR FOOT/TOE SUBQ 1.5+cm","0360","RC","Both",,,"5185","2592.5","Ambetter","Health Exchange",,,"62",,"3214.7","16.1","16596.62","percent of total billed charges",,
"EXCISION TUMOR FOOT/TOE SUBQ 1.5+cm","0360","RC","Both",,,"5185","2592.5","Caresource","Health Exchange",,,"62",,"3214.7","16.1","16596.62","percent of total billed charges",,
"EXCISION TUMOR FOOT/TOE SUBQ 1.5+cm","0360","RC","Both",,,"5185","2592.5","Cigna","Commercial",,,"59",,"3038.41","16.1","16596.62","percent of total billed charges",,
"EXCISION TUMOR FOOT/TOE SUBQ 1.5+cm","0360","RC","Both",,,"5185","2592.5","Humana","Commercial",,,"78",,"4018.38","16.1","16596.62","percent of total billed charges",,
"EXCISION TUMOR FOOT/TOE SUBQ 1.5+cm","0360","RC","Both",,,"5185","2592.5","UHC","Commercial",,,"75",,"3909.49","16.1","16596.62","percent of total billed charges",,
"EXCISION TUMOR FOOT/TOE SUBQ 1.5+cm","0360","RC","Both",,,"5185","2592.5","Medicaid",,,,"37",,"1897.71","16.1","16596.62","percent of total billed charges",,
"EXCISION, TUMOR, FOOT; SUBCU TISSUE","0360","RC","Both",,,"3502","1751","Alliant","Health Exchange",,,"62",,"2171.24","16.1","16596.62","percent of total billed charges",,
"EXCISION, TUMOR, FOOT; SUBCU TISSUE","0360","RC","Both",,,"3502","1751","Pruitt Healthcare","Medicare Advantage",,,"54",,"1891.08","16.1","16596.62","percent of total billed charges",,
"EXCISION, TUMOR, FOOT; SUBCU TISSUE","0360","RC","Both",,,"3502","1751","Medicare",,,,"54",,"1898.08","16.1","16596.62","percent of total billed charges",,
"EXCISION, TUMOR, FOOT; SUBCU TISSUE","0360","RC","Both",,,"3502","1751","Humana","Medicare Advantage",,,"54",,"1898.08","16.1","16596.62","percent of total billed charges",,
"EXCISION, TUMOR, FOOT; SUBCU TISSUE","0360","RC","Both",,,"3502","1751","UHC","Medicare Advantage",,,"54",,"1898.08","16.1","16596.62","percent of total billed charges",,
"EXCISION, TUMOR, FOOT; SUBCU TISSUE","0360","RC","Both",,,"3502","1751","Clover","Medicare Advantage",,,"54",,"1898.08","16.1","16596.62","percent of total billed charges",,
"EXCISION, TUMOR, FOOT; SUBCU TISSUE","0360","RC","Both",,,"3502","1751","Wellcare","Medicare Advantage",,,"54",,"1898.08","16.1","16596.62","percent of total billed charges",,
"EXCISION, TUMOR, FOOT; SUBCU TISSUE","0360","RC","Both",,,"3502","1751","Amerigroup","Medicaid Managed Care",,,"37",,"1281.73","16.1","16596.62","percent of total billed charges",,
"EXCISION, TUMOR, FOOT; SUBCU TISSUE","0360","RC","Both",,,"3502","1751","Caresource","Medicaid Managed Care",,,"40",,"1400.8","16.1","16596.62","percent of total billed charges",,
"EXCISION, TUMOR, FOOT; SUBCU TISSUE","0360","RC","Both",,,"3502","1751","Wellcare","Medicaid Managed Care",,,"40",,"1418.31","16.1","16596.62","percent of total billed charges",,
"EXCISION, TUMOR, FOOT; SUBCU TISSUE","0360","RC","Both",,,"3502","1751","Aetna","Commercial",,,"64",,"2234.28","16.1","16596.62","percent of total billed charges",,
"EXCISION, TUMOR, FOOT; SUBCU TISSUE","0360","RC","Both",,,"3502","1751","Blue Cross Blue Shield","Pathways",,,"71",,"2472.41","16.1","16596.62","percent of total billed charges",,
"EXCISION, TUMOR, FOOT; SUBCU TISSUE","0360","RC","Both",,,"3502","1751","Blue Cross Blue Shield","HMO",,,"71",,"2472.41","16.1","16596.62","percent of total billed charges",,
"EXCISION, TUMOR, FOOT; SUBCU TISSUE","0360","RC","Both",,,"3502","1751","Blue Cross Blue Shield","PPO",,,"71",,"2472.41","16.1","16596.62","percent of total billed charges",,
"EXCISION, TUMOR, FOOT; SUBCU TISSUE","0360","RC","Both",,,"3502","1751","Ambetter","Health Exchange",,,"62",,"2171.24","16.1","16596.62","percent of total billed charges",,
"EXCISION, TUMOR, FOOT; SUBCU TISSUE","0360","RC","Both",,,"3502","1751","Caresource","Health Exchange",,,"62",,"2171.24","16.1","16596.62","percent of total billed charges",,
"EXCISION, TUMOR, FOOT; SUBCU TISSUE","0360","RC","Both",,,"3502","1751","Cigna","Commercial",,,"59",,"2052.17","16.1","16596.62","percent of total billed charges",,
"EXCISION, TUMOR, FOOT; SUBCU TISSUE","0360","RC","Both",,,"3502","1751","Humana","Commercial",,,"78",,"2714.05","16.1","16596.62","percent of total billed charges",,
"EXCISION, TUMOR, FOOT; SUBCU TISSUE","0360","RC","Both",,,"3502","1751","UHC","Commercial",,,"75",,"2640.51","16.1","16596.62","percent of total billed charges",,
"EXCISION, TUMOR, FOOT; SUBCU TISSUE","0360","RC","Both",,,"3502","1751","Medicaid",,,,"37",,"1281.73","16.1","16596.62","percent of total billed charges",,
"FASCIECTOMY PLANTR PART","0360","RC","Both",,,"4945","2472.5","Alliant","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"FASCIECTOMY PLANTR PART","0360","RC","Both",,,"4945","2472.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2670.3","16.1","16596.62","percent of total billed charges",,
"FASCIECTOMY PLANTR PART","0360","RC","Both",,,"4945","2472.5","Medicare",,,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"FASCIECTOMY PLANTR PART","0360","RC","Both",,,"4945","2472.5","Humana","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"FASCIECTOMY PLANTR PART","0360","RC","Both",,,"4945","2472.5","UHC","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"FASCIECTOMY PLANTR PART","0360","RC","Both",,,"4945","2472.5","Clover","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"FASCIECTOMY PLANTR PART","0360","RC","Both",,,"4945","2472.5","Wellcare","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"FASCIECTOMY PLANTR PART","0360","RC","Both",,,"4945","2472.5","Amerigroup","Medicaid Managed Care",,,"37",,"1809.87","16.1","16596.62","percent of total billed charges",,
"FASCIECTOMY PLANTR PART","0360","RC","Both",,,"4945","2472.5","Caresource","Medicaid Managed Care",,,"40",,"1978","16.1","16596.62","percent of total billed charges",,
"FASCIECTOMY PLANTR PART","0360","RC","Both",,,"4945","2472.5","Wellcare","Medicaid Managed Care",,,"40",,"2002.72","16.1","16596.62","percent of total billed charges",,
"FASCIECTOMY PLANTR PART","0360","RC","Both",,,"4945","2472.5","Aetna","Commercial",,,"64",,"3154.91","16.1","16596.62","percent of total billed charges",,
"FASCIECTOMY PLANTR PART","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","Pathways",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"FASCIECTOMY PLANTR PART","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","HMO",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"FASCIECTOMY PLANTR PART","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","PPO",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"FASCIECTOMY PLANTR PART","0360","RC","Both",,,"4945","2472.5","Ambetter","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"FASCIECTOMY PLANTR PART","0360","RC","Both",,,"4945","2472.5","Caresource","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"FASCIECTOMY PLANTR PART","0360","RC","Both",,,"4945","2472.5","Cigna","Commercial",,,"59",,"2897.77","16.1","16596.62","percent of total billed charges",,
"FASCIECTOMY PLANTR PART","0360","RC","Both",,,"4945","2472.5","Humana","Commercial",,,"78",,"3832.38","16.1","16596.62","percent of total billed charges",,
"FASCIECTOMY PLANTR PART","0360","RC","Both",,,"4945","2472.5","UHC","Commercial",,,"75",,"3728.53","16.1","16596.62","percent of total billed charges",,
"FASCIECTOMY PLANTR PART","0360","RC","Both",,,"4945","2472.5","Medicaid",,,,"37",,"1809.87","16.1","16596.62","percent of total billed charges",,
"EXCISION INTERDIGITAL NEUROMA, SINGLE EA","0360","RC","Both",,,"4945","2472.5","Alliant","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"EXCISION INTERDIGITAL NEUROMA, SINGLE EA","0360","RC","Both",,,"4945","2472.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2670.3","16.1","16596.62","percent of total billed charges",,
"EXCISION INTERDIGITAL NEUROMA, SINGLE EA","0360","RC","Both",,,"4945","2472.5","Medicare",,,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"EXCISION INTERDIGITAL NEUROMA, SINGLE EA","0360","RC","Both",,,"4945","2472.5","Humana","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"EXCISION INTERDIGITAL NEUROMA, SINGLE EA","0360","RC","Both",,,"4945","2472.5","UHC","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"EXCISION INTERDIGITAL NEUROMA, SINGLE EA","0360","RC","Both",,,"4945","2472.5","Clover","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"EXCISION INTERDIGITAL NEUROMA, SINGLE EA","0360","RC","Both",,,"4945","2472.5","Wellcare","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"EXCISION INTERDIGITAL NEUROMA, SINGLE EA","0360","RC","Both",,,"4945","2472.5","Amerigroup","Medicaid Managed Care",,,"37",,"1809.87","16.1","16596.62","percent of total billed charges",,
"EXCISION INTERDIGITAL NEUROMA, SINGLE EA","0360","RC","Both",,,"4945","2472.5","Caresource","Medicaid Managed Care",,,"40",,"1978","16.1","16596.62","percent of total billed charges",,
"EXCISION INTERDIGITAL NEUROMA, SINGLE EA","0360","RC","Both",,,"4945","2472.5","Wellcare","Medicaid Managed Care",,,"40",,"2002.72","16.1","16596.62","percent of total billed charges",,
"EXCISION INTERDIGITAL NEUROMA, SINGLE EA","0360","RC","Both",,,"4945","2472.5","Aetna","Commercial",,,"64",,"3154.91","16.1","16596.62","percent of total billed charges",,
"EXCISION INTERDIGITAL NEUROMA, SINGLE EA","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","Pathways",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"EXCISION INTERDIGITAL NEUROMA, SINGLE EA","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","HMO",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"EXCISION INTERDIGITAL NEUROMA, SINGLE EA","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","PPO",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"EXCISION INTERDIGITAL NEUROMA, SINGLE EA","0360","RC","Both",,,"4945","2472.5","Ambetter","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"EXCISION INTERDIGITAL NEUROMA, SINGLE EA","0360","RC","Both",,,"4945","2472.5","Caresource","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"EXCISION INTERDIGITAL NEUROMA, SINGLE EA","0360","RC","Both",,,"4945","2472.5","Cigna","Commercial",,,"59",,"2897.77","16.1","16596.62","percent of total billed charges",,
"EXCISION INTERDIGITAL NEUROMA, SINGLE EA","0360","RC","Both",,,"4945","2472.5","Humana","Commercial",,,"78",,"3832.38","16.1","16596.62","percent of total billed charges",,
"EXCISION INTERDIGITAL NEUROMA, SINGLE EA","0360","RC","Both",,,"4945","2472.5","UHC","Commercial",,,"75",,"3728.53","16.1","16596.62","percent of total billed charges",,
"EXCISION INTERDIGITAL NEUROMA, SINGLE EA","0360","RC","Both",,,"4945","2472.5","Medicaid",,,,"37",,"1809.87","16.1","16596.62","percent of total billed charges",,
"EXCISION CYST/GANGLION FOOT","0360","RC","Both",,,"4945","2472.5","Alliant","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"EXCISION CYST/GANGLION FOOT","0360","RC","Both",,,"4945","2472.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2670.3","16.1","16596.62","percent of total billed charges",,
"EXCISION CYST/GANGLION FOOT","0360","RC","Both",,,"4945","2472.5","Medicare",,,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"EXCISION CYST/GANGLION FOOT","0360","RC","Both",,,"4945","2472.5","Humana","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"EXCISION CYST/GANGLION FOOT","0360","RC","Both",,,"4945","2472.5","UHC","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"EXCISION CYST/GANGLION FOOT","0360","RC","Both",,,"4945","2472.5","Clover","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"EXCISION CYST/GANGLION FOOT","0360","RC","Both",,,"4945","2472.5","Wellcare","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"EXCISION CYST/GANGLION FOOT","0360","RC","Both",,,"4945","2472.5","Amerigroup","Medicaid Managed Care",,,"37",,"1809.87","16.1","16596.62","percent of total billed charges",,
"EXCISION CYST/GANGLION FOOT","0360","RC","Both",,,"4945","2472.5","Caresource","Medicaid Managed Care",,,"40",,"1978","16.1","16596.62","percent of total billed charges",,
"EXCISION CYST/GANGLION FOOT","0360","RC","Both",,,"4945","2472.5","Wellcare","Medicaid Managed Care",,,"40",,"2002.72","16.1","16596.62","percent of total billed charges",,
"EXCISION CYST/GANGLION FOOT","0360","RC","Both",,,"4945","2472.5","Aetna","Commercial",,,"64",,"3154.91","16.1","16596.62","percent of total billed charges",,
"EXCISION CYST/GANGLION FOOT","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","Pathways",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"EXCISION CYST/GANGLION FOOT","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","HMO",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"EXCISION CYST/GANGLION FOOT","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","PPO",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"EXCISION CYST/GANGLION FOOT","0360","RC","Both",,,"4945","2472.5","Ambetter","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"EXCISION CYST/GANGLION FOOT","0360","RC","Both",,,"4945","2472.5","Caresource","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"EXCISION CYST/GANGLION FOOT","0360","RC","Both",,,"4945","2472.5","Cigna","Commercial",,,"59",,"2897.77","16.1","16596.62","percent of total billed charges",,
"EXCISION CYST/GANGLION FOOT","0360","RC","Both",,,"4945","2472.5","Humana","Commercial",,,"78",,"3832.38","16.1","16596.62","percent of total billed charges",,
"EXCISION CYST/GANGLION FOOT","0360","RC","Both",,,"4945","2472.5","UHC","Commercial",,,"75",,"3728.53","16.1","16596.62","percent of total billed charges",,
"EXCISION CYST/GANGLION FOOT","0360","RC","Both",,,"4945","2472.5","Medicaid",,,,"37",,"1809.87","16.1","16596.62","percent of total billed charges",,
"EXCISION BONE CYST OR BENIGN TUMOR","0360","RC","Both",,,"4945","2472.5","Alliant","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"EXCISION BONE CYST OR BENIGN TUMOR","0360","RC","Both",,,"4945","2472.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2670.3","16.1","16596.62","percent of total billed charges",,
"EXCISION BONE CYST OR BENIGN TUMOR","0360","RC","Both",,,"4945","2472.5","Medicare",,,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"EXCISION BONE CYST OR BENIGN TUMOR","0360","RC","Both",,,"4945","2472.5","Humana","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"EXCISION BONE CYST OR BENIGN TUMOR","0360","RC","Both",,,"4945","2472.5","UHC","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"EXCISION BONE CYST OR BENIGN TUMOR","0360","RC","Both",,,"4945","2472.5","Clover","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"EXCISION BONE CYST OR BENIGN TUMOR","0360","RC","Both",,,"4945","2472.5","Wellcare","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"EXCISION BONE CYST OR BENIGN TUMOR","0360","RC","Both",,,"4945","2472.5","Amerigroup","Medicaid Managed Care",,,"37",,"1809.87","16.1","16596.62","percent of total billed charges",,
"EXCISION BONE CYST OR BENIGN TUMOR","0360","RC","Both",,,"4945","2472.5","Caresource","Medicaid Managed Care",,,"40",,"1978","16.1","16596.62","percent of total billed charges",,
"EXCISION BONE CYST OR BENIGN TUMOR","0360","RC","Both",,,"4945","2472.5","Wellcare","Medicaid Managed Care",,,"40",,"2002.72","16.1","16596.62","percent of total billed charges",,
"EXCISION BONE CYST OR BENIGN TUMOR","0360","RC","Both",,,"4945","2472.5","Aetna","Commercial",,,"64",,"3154.91","16.1","16596.62","percent of total billed charges",,
"EXCISION BONE CYST OR BENIGN TUMOR","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","Pathways",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"EXCISION BONE CYST OR BENIGN TUMOR","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","HMO",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"EXCISION BONE CYST OR BENIGN TUMOR","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","PPO",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"EXCISION BONE CYST OR BENIGN TUMOR","0360","RC","Both",,,"4945","2472.5","Ambetter","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"EXCISION BONE CYST OR BENIGN TUMOR","0360","RC","Both",,,"4945","2472.5","Caresource","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"EXCISION BONE CYST OR BENIGN TUMOR","0360","RC","Both",,,"4945","2472.5","Cigna","Commercial",,,"59",,"2897.77","16.1","16596.62","percent of total billed charges",,
"EXCISION BONE CYST OR BENIGN TUMOR","0360","RC","Both",,,"4945","2472.5","Humana","Commercial",,,"78",,"3832.38","16.1","16596.62","percent of total billed charges",,
"EXCISION BONE CYST OR BENIGN TUMOR","0360","RC","Both",,,"4945","2472.5","UHC","Commercial",,,"75",,"3728.53","16.1","16596.62","percent of total billed charges",,
"EXCISION BONE CYST OR BENIGN TUMOR","0360","RC","Both",,,"4945","2472.5","Medicaid",,,,"37",,"1809.87","16.1","16596.62","percent of total billed charges",,
"PARTIAL EXCISION BONE; PHALANX OF TOE","0360","RC","Both",,,"4945","2472.5","Alliant","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"PARTIAL EXCISION BONE; PHALANX OF TOE","0360","RC","Both",,,"4945","2472.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2670.3","16.1","16596.62","percent of total billed charges",,
"PARTIAL EXCISION BONE; PHALANX OF TOE","0360","RC","Both",,,"4945","2472.5","Medicare",,,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"PARTIAL EXCISION BONE; PHALANX OF TOE","0360","RC","Both",,,"4945","2472.5","Humana","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"PARTIAL EXCISION BONE; PHALANX OF TOE","0360","RC","Both",,,"4945","2472.5","UHC","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"PARTIAL EXCISION BONE; PHALANX OF TOE","0360","RC","Both",,,"4945","2472.5","Clover","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"PARTIAL EXCISION BONE; PHALANX OF TOE","0360","RC","Both",,,"4945","2472.5","Wellcare","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"PARTIAL EXCISION BONE; PHALANX OF TOE","0360","RC","Both",,,"4945","2472.5","Amerigroup","Medicaid Managed Care",,,"37",,"1809.87","16.1","16596.62","percent of total billed charges",,
"PARTIAL EXCISION BONE; PHALANX OF TOE","0360","RC","Both",,,"4945","2472.5","Caresource","Medicaid Managed Care",,,"40",,"1978","16.1","16596.62","percent of total billed charges",,
"PARTIAL EXCISION BONE; PHALANX OF TOE","0360","RC","Both",,,"4945","2472.5","Wellcare","Medicaid Managed Care",,,"40",,"2002.72","16.1","16596.62","percent of total billed charges",,
"PARTIAL EXCISION BONE; PHALANX OF TOE","0360","RC","Both",,,"4945","2472.5","Aetna","Commercial",,,"64",,"3154.91","16.1","16596.62","percent of total billed charges",,
"PARTIAL EXCISION BONE; PHALANX OF TOE","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","Pathways",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"PARTIAL EXCISION BONE; PHALANX OF TOE","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","HMO",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"PARTIAL EXCISION BONE; PHALANX OF TOE","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","PPO",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"PARTIAL EXCISION BONE; PHALANX OF TOE","0360","RC","Both",,,"4945","2472.5","Ambetter","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"PARTIAL EXCISION BONE; PHALANX OF TOE","0360","RC","Both",,,"4945","2472.5","Caresource","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"PARTIAL EXCISION BONE; PHALANX OF TOE","0360","RC","Both",,,"4945","2472.5","Cigna","Commercial",,,"59",,"2897.77","16.1","16596.62","percent of total billed charges",,
"PARTIAL EXCISION BONE; PHALANX OF TOE","0360","RC","Both",,,"4945","2472.5","Humana","Commercial",,,"78",,"3832.38","16.1","16596.62","percent of total billed charges",,
"PARTIAL EXCISION BONE; PHALANX OF TOE","0360","RC","Both",,,"4945","2472.5","UHC","Commercial",,,"75",,"3728.53","16.1","16596.62","percent of total billed charges",,
"PARTIAL EXCISION BONE; PHALANX OF TOE","0360","RC","Both",,,"4945","2472.5","Medicaid",,,,"37",,"1809.87","16.1","16596.62","percent of total billed charges",,
"RESECTION PART OR COMPL PHALANGEAL BASE","0360","RC","Both",,,"4945","2472.5","Alliant","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"RESECTION PART OR COMPL PHALANGEAL BASE","0360","RC","Both",,,"4945","2472.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2670.3","16.1","16596.62","percent of total billed charges",,
"RESECTION PART OR COMPL PHALANGEAL BASE","0360","RC","Both",,,"4945","2472.5","Medicare",,,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"RESECTION PART OR COMPL PHALANGEAL BASE","0360","RC","Both",,,"4945","2472.5","Humana","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"RESECTION PART OR COMPL PHALANGEAL BASE","0360","RC","Both",,,"4945","2472.5","UHC","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"RESECTION PART OR COMPL PHALANGEAL BASE","0360","RC","Both",,,"4945","2472.5","Clover","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"RESECTION PART OR COMPL PHALANGEAL BASE","0360","RC","Both",,,"4945","2472.5","Wellcare","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"RESECTION PART OR COMPL PHALANGEAL BASE","0360","RC","Both",,,"4945","2472.5","Amerigroup","Medicaid Managed Care",,,"37",,"1809.87","16.1","16596.62","percent of total billed charges",,
"RESECTION PART OR COMPL PHALANGEAL BASE","0360","RC","Both",,,"4945","2472.5","Caresource","Medicaid Managed Care",,,"40",,"1978","16.1","16596.62","percent of total billed charges",,
"RESECTION PART OR COMPL PHALANGEAL BASE","0360","RC","Both",,,"4945","2472.5","Wellcare","Medicaid Managed Care",,,"40",,"2002.72","16.1","16596.62","percent of total billed charges",,
"RESECTION PART OR COMPL PHALANGEAL BASE","0360","RC","Both",,,"4945","2472.5","Aetna","Commercial",,,"64",,"3154.91","16.1","16596.62","percent of total billed charges",,
"RESECTION PART OR COMPL PHALANGEAL BASE","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","Pathways",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"RESECTION PART OR COMPL PHALANGEAL BASE","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","HMO",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"RESECTION PART OR COMPL PHALANGEAL BASE","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","PPO",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"RESECTION PART OR COMPL PHALANGEAL BASE","0360","RC","Both",,,"4945","2472.5","Ambetter","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"RESECTION PART OR COMPL PHALANGEAL BASE","0360","RC","Both",,,"4945","2472.5","Caresource","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"RESECTION PART OR COMPL PHALANGEAL BASE","0360","RC","Both",,,"4945","2472.5","Cigna","Commercial",,,"59",,"2897.77","16.1","16596.62","percent of total billed charges",,
"RESECTION PART OR COMPL PHALANGEAL BASE","0360","RC","Both",,,"4945","2472.5","Humana","Commercial",,,"78",,"3832.38","16.1","16596.62","percent of total billed charges",,
"RESECTION PART OR COMPL PHALANGEAL BASE","0360","RC","Both",,,"4945","2472.5","UHC","Commercial",,,"75",,"3728.53","16.1","16596.62","percent of total billed charges",,
"RESECTION PART OR COMPL PHALANGEAL BASE","0360","RC","Both",,,"4945","2472.5","Medicaid",,,,"37",,"1809.87","16.1","16596.62","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT; SUBCUTANEOUS","0360","RC","Both",,,"1823","911.5","Alliant","Health Exchange",,,"62",,"1130.26","16.1","16596.62","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT; SUBCUTANEOUS","0360","RC","Both",,,"1823","911.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"984.42","16.1","16596.62","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT; SUBCUTANEOUS","0360","RC","Both",,,"1823","911.5","Medicare",,,,"54",,"988.07","16.1","16596.62","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT; SUBCUTANEOUS","0360","RC","Both",,,"1823","911.5","Humana","Medicare Advantage",,,"54",,"988.07","16.1","16596.62","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT; SUBCUTANEOUS","0360","RC","Both",,,"1823","911.5","UHC","Medicare Advantage",,,"54",,"988.07","16.1","16596.62","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT; SUBCUTANEOUS","0360","RC","Both",,,"1823","911.5","Clover","Medicare Advantage",,,"54",,"988.07","16.1","16596.62","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT; SUBCUTANEOUS","0360","RC","Both",,,"1823","911.5","Wellcare","Medicare Advantage",,,"54",,"988.07","16.1","16596.62","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT; SUBCUTANEOUS","0360","RC","Both",,,"1823","911.5","Amerigroup","Medicaid Managed Care",,,"37",,"667.22","16.1","16596.62","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT; SUBCUTANEOUS","0360","RC","Both",,,"1823","911.5","Caresource","Medicaid Managed Care",,,"40",,"729.2","16.1","16596.62","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT; SUBCUTANEOUS","0360","RC","Both",,,"1823","911.5","Wellcare","Medicaid Managed Care",,,"40",,"738.32","16.1","16596.62","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT; SUBCUTANEOUS","0360","RC","Both",,,"1823","911.5","Aetna","Commercial",,,"64",,"1163.07","16.1","16596.62","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT; SUBCUTANEOUS","0360","RC","Both",,,"1823","911.5","Blue Cross Blue Shield","Pathways",,,"71",,"1287.04","16.1","16596.62","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT; SUBCUTANEOUS","0360","RC","Both",,,"1823","911.5","Blue Cross Blue Shield","HMO",,,"71",,"1287.04","16.1","16596.62","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT; SUBCUTANEOUS","0360","RC","Both",,,"1823","911.5","Blue Cross Blue Shield","PPO",,,"71",,"1287.04","16.1","16596.62","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT; SUBCUTANEOUS","0360","RC","Both",,,"1823","911.5","Ambetter","Health Exchange",,,"62",,"1130.26","16.1","16596.62","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT; SUBCUTANEOUS","0360","RC","Both",,,"1823","911.5","Caresource","Health Exchange",,,"62",,"1130.26","16.1","16596.62","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT; SUBCUTANEOUS","0360","RC","Both",,,"1823","911.5","Cigna","Commercial",,,"59",,"1068.28","16.1","16596.62","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT; SUBCUTANEOUS","0360","RC","Both",,,"1823","911.5","Humana","Commercial",,,"78",,"1412.82","16.1","16596.62","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT; SUBCUTANEOUS","0360","RC","Both",,,"1823","911.5","UHC","Commercial",,,"75",,"1374.54","16.1","16596.62","percent of total billed charges",,
"REMOVAL FOREIGN BODY, FOOT; SUBCUTANEOUS","0360","RC","Both",,,"1823","911.5","Medicaid",,,,"37",,"667.22","16.1","16596.62","percent of total billed charges",,
"REPAIR FLXR TNDN SECND W/GRF","0360","RC","Both",,,"4945","2472.5","Alliant","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"REPAIR FLXR TNDN SECND W/GRF","0360","RC","Both",,,"4945","2472.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2670.3","16.1","16596.62","percent of total billed charges",,
"REPAIR FLXR TNDN SECND W/GRF","0360","RC","Both",,,"4945","2472.5","Medicare",,,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"REPAIR FLXR TNDN SECND W/GRF","0360","RC","Both",,,"4945","2472.5","Humana","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"REPAIR FLXR TNDN SECND W/GRF","0360","RC","Both",,,"4945","2472.5","UHC","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"REPAIR FLXR TNDN SECND W/GRF","0360","RC","Both",,,"4945","2472.5","Clover","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"REPAIR FLXR TNDN SECND W/GRF","0360","RC","Both",,,"4945","2472.5","Wellcare","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"REPAIR FLXR TNDN SECND W/GRF","0360","RC","Both",,,"4945","2472.5","Amerigroup","Medicaid Managed Care",,,"37",,"1809.87","16.1","16596.62","percent of total billed charges",,
"REPAIR FLXR TNDN SECND W/GRF","0360","RC","Both",,,"4945","2472.5","Caresource","Medicaid Managed Care",,,"40",,"1978","16.1","16596.62","percent of total billed charges",,
"REPAIR FLXR TNDN SECND W/GRF","0360","RC","Both",,,"4945","2472.5","Wellcare","Medicaid Managed Care",,,"40",,"2002.72","16.1","16596.62","percent of total billed charges",,
"REPAIR FLXR TNDN SECND W/GRF","0360","RC","Both",,,"4945","2472.5","Aetna","Commercial",,,"64",,"3154.91","16.1","16596.62","percent of total billed charges",,
"REPAIR FLXR TNDN SECND W/GRF","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","Pathways",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"REPAIR FLXR TNDN SECND W/GRF","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","HMO",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"REPAIR FLXR TNDN SECND W/GRF","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","PPO",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"REPAIR FLXR TNDN SECND W/GRF","0360","RC","Both",,,"4945","2472.5","Ambetter","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"REPAIR FLXR TNDN SECND W/GRF","0360","RC","Both",,,"4945","2472.5","Caresource","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"REPAIR FLXR TNDN SECND W/GRF","0360","RC","Both",,,"4945","2472.5","Cigna","Commercial",,,"59",,"2897.77","16.1","16596.62","percent of total billed charges",,
"REPAIR FLXR TNDN SECND W/GRF","0360","RC","Both",,,"4945","2472.5","Humana","Commercial",,,"78",,"3832.38","16.1","16596.62","percent of total billed charges",,
"REPAIR FLXR TNDN SECND W/GRF","0360","RC","Both",,,"4945","2472.5","UHC","Commercial",,,"75",,"3728.53","16.1","16596.62","percent of total billed charges",,
"REPAIR FLXR TNDN SECND W/GRF","0360","RC","Both",,,"4945","2472.5","Medicaid",,,,"37",,"1809.87","16.1","16596.62","percent of total billed charges",,
"REPAIR TENDON,EXTENSOR,FOOT;PRIM/SEC @ T","0360","RC","Both",,,"4945","2472.5","Alliant","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"REPAIR TENDON,EXTENSOR,FOOT;PRIM/SEC @ T","0360","RC","Both",,,"4945","2472.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2670.3","16.1","16596.62","percent of total billed charges",,
"REPAIR TENDON,EXTENSOR,FOOT;PRIM/SEC @ T","0360","RC","Both",,,"4945","2472.5","Medicare",,,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"REPAIR TENDON,EXTENSOR,FOOT;PRIM/SEC @ T","0360","RC","Both",,,"4945","2472.5","Humana","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"REPAIR TENDON,EXTENSOR,FOOT;PRIM/SEC @ T","0360","RC","Both",,,"4945","2472.5","UHC","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"REPAIR TENDON,EXTENSOR,FOOT;PRIM/SEC @ T","0360","RC","Both",,,"4945","2472.5","Clover","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"REPAIR TENDON,EXTENSOR,FOOT;PRIM/SEC @ T","0360","RC","Both",,,"4945","2472.5","Wellcare","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"REPAIR TENDON,EXTENSOR,FOOT;PRIM/SEC @ T","0360","RC","Both",,,"4945","2472.5","Amerigroup","Medicaid Managed Care",,,"37",,"1809.87","16.1","16596.62","percent of total billed charges",,
"REPAIR TENDON,EXTENSOR,FOOT;PRIM/SEC @ T","0360","RC","Both",,,"4945","2472.5","Caresource","Medicaid Managed Care",,,"40",,"1978","16.1","16596.62","percent of total billed charges",,
"REPAIR TENDON,EXTENSOR,FOOT;PRIM/SEC @ T","0360","RC","Both",,,"4945","2472.5","Wellcare","Medicaid Managed Care",,,"40",,"2002.72","16.1","16596.62","percent of total billed charges",,
"REPAIR TENDON,EXTENSOR,FOOT;PRIM/SEC @ T","0360","RC","Both",,,"4945","2472.5","Aetna","Commercial",,,"64",,"3154.91","16.1","16596.62","percent of total billed charges",,
"REPAIR TENDON,EXTENSOR,FOOT;PRIM/SEC @ T","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","Pathways",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"REPAIR TENDON,EXTENSOR,FOOT;PRIM/SEC @ T","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","HMO",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"REPAIR TENDON,EXTENSOR,FOOT;PRIM/SEC @ T","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","PPO",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"REPAIR TENDON,EXTENSOR,FOOT;PRIM/SEC @ T","0360","RC","Both",,,"4945","2472.5","Ambetter","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"REPAIR TENDON,EXTENSOR,FOOT;PRIM/SEC @ T","0360","RC","Both",,,"4945","2472.5","Caresource","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"REPAIR TENDON,EXTENSOR,FOOT;PRIM/SEC @ T","0360","RC","Both",,,"4945","2472.5","Cigna","Commercial",,,"59",,"2897.77","16.1","16596.62","percent of total billed charges",,
"REPAIR TENDON,EXTENSOR,FOOT;PRIM/SEC @ T","0360","RC","Both",,,"4945","2472.5","Humana","Commercial",,,"78",,"3832.38","16.1","16596.62","percent of total billed charges",,
"REPAIR TENDON,EXTENSOR,FOOT;PRIM/SEC @ T","0360","RC","Both",,,"4945","2472.5","UHC","Commercial",,,"75",,"3728.53","16.1","16596.62","percent of total billed charges",,
"REPAIR TENDON,EXTENSOR,FOOT;PRIM/SEC @ T","0360","RC","Both",,,"4945","2472.5","Medicaid",,,,"37",,"1809.87","16.1","16596.62","percent of total billed charges",,
"TENOLYSIS EXTENSOR FOOT SINGLE","0360","RC","Both",,,"4945","2472.5","Alliant","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"TENOLYSIS EXTENSOR FOOT SINGLE","0360","RC","Both",,,"4945","2472.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2670.3","16.1","16596.62","percent of total billed charges",,
"TENOLYSIS EXTENSOR FOOT SINGLE","0360","RC","Both",,,"4945","2472.5","Medicare",,,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"TENOLYSIS EXTENSOR FOOT SINGLE","0360","RC","Both",,,"4945","2472.5","Humana","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"TENOLYSIS EXTENSOR FOOT SINGLE","0360","RC","Both",,,"4945","2472.5","UHC","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"TENOLYSIS EXTENSOR FOOT SINGLE","0360","RC","Both",,,"4945","2472.5","Clover","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"TENOLYSIS EXTENSOR FOOT SINGLE","0360","RC","Both",,,"4945","2472.5","Wellcare","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"TENOLYSIS EXTENSOR FOOT SINGLE","0360","RC","Both",,,"4945","2472.5","Amerigroup","Medicaid Managed Care",,,"37",,"1809.87","16.1","16596.62","percent of total billed charges",,
"TENOLYSIS EXTENSOR FOOT SINGLE","0360","RC","Both",,,"4945","2472.5","Caresource","Medicaid Managed Care",,,"40",,"1978","16.1","16596.62","percent of total billed charges",,
"TENOLYSIS EXTENSOR FOOT SINGLE","0360","RC","Both",,,"4945","2472.5","Wellcare","Medicaid Managed Care",,,"40",,"2002.72","16.1","16596.62","percent of total billed charges",,
"TENOLYSIS EXTENSOR FOOT SINGLE","0360","RC","Both",,,"4945","2472.5","Aetna","Commercial",,,"64",,"3154.91","16.1","16596.62","percent of total billed charges",,
"TENOLYSIS EXTENSOR FOOT SINGLE","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","Pathways",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"TENOLYSIS EXTENSOR FOOT SINGLE","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","HMO",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"TENOLYSIS EXTENSOR FOOT SINGLE","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","PPO",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"TENOLYSIS EXTENSOR FOOT SINGLE","0360","RC","Both",,,"4945","2472.5","Ambetter","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"TENOLYSIS EXTENSOR FOOT SINGLE","0360","RC","Both",,,"4945","2472.5","Caresource","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"TENOLYSIS EXTENSOR FOOT SINGLE","0360","RC","Both",,,"4945","2472.5","Cigna","Commercial",,,"59",,"2897.77","16.1","16596.62","percent of total billed charges",,
"TENOLYSIS EXTENSOR FOOT SINGLE","0360","RC","Both",,,"4945","2472.5","Humana","Commercial",,,"78",,"3832.38","16.1","16596.62","percent of total billed charges",,
"TENOLYSIS EXTENSOR FOOT SINGLE","0360","RC","Both",,,"4945","2472.5","UHC","Commercial",,,"75",,"3728.53","16.1","16596.62","percent of total billed charges",,
"TENOLYSIS EXTENSOR FOOT SINGLE","0360","RC","Both",,,"4945","2472.5","Medicaid",,,,"37",,"1809.87","16.1","16596.62","percent of total billed charges",,
"CORRECTION, HAMMERTOE","0360","RC","Both",,,"4945","2472.5","Alliant","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"CORRECTION, HAMMERTOE","0360","RC","Both",,,"4945","2472.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2670.3","16.1","16596.62","percent of total billed charges",,
"CORRECTION, HAMMERTOE","0360","RC","Both",,,"4945","2472.5","Medicare",,,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"CORRECTION, HAMMERTOE","0360","RC","Both",,,"4945","2472.5","Humana","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"CORRECTION, HAMMERTOE","0360","RC","Both",,,"4945","2472.5","UHC","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"CORRECTION, HAMMERTOE","0360","RC","Both",,,"4945","2472.5","Clover","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"CORRECTION, HAMMERTOE","0360","RC","Both",,,"4945","2472.5","Wellcare","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"CORRECTION, HAMMERTOE","0360","RC","Both",,,"4945","2472.5","Amerigroup","Medicaid Managed Care",,,"37",,"1809.87","16.1","16596.62","percent of total billed charges",,
"CORRECTION, HAMMERTOE","0360","RC","Both",,,"4945","2472.5","Caresource","Medicaid Managed Care",,,"40",,"1978","16.1","16596.62","percent of total billed charges",,
"CORRECTION, HAMMERTOE","0360","RC","Both",,,"4945","2472.5","Wellcare","Medicaid Managed Care",,,"40",,"2002.72","16.1","16596.62","percent of total billed charges",,
"CORRECTION, HAMMERTOE","0360","RC","Both",,,"4945","2472.5","Aetna","Commercial",,,"64",,"3154.91","16.1","16596.62","percent of total billed charges",,
"CORRECTION, HAMMERTOE","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","Pathways",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"CORRECTION, HAMMERTOE","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","HMO",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"CORRECTION, HAMMERTOE","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","PPO",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"CORRECTION, HAMMERTOE","0360","RC","Both",,,"4945","2472.5","Ambetter","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"CORRECTION, HAMMERTOE","0360","RC","Both",,,"4945","2472.5","Caresource","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"CORRECTION, HAMMERTOE","0360","RC","Both",,,"4945","2472.5","Cigna","Commercial",,,"59",,"2897.77","16.1","16596.62","percent of total billed charges",,
"CORRECTION, HAMMERTOE","0360","RC","Both",,,"4945","2472.5","Humana","Commercial",,,"78",,"3832.38","16.1","16596.62","percent of total billed charges",,
"CORRECTION, HAMMERTOE","0360","RC","Both",,,"4945","2472.5","UHC","Commercial",,,"75",,"3728.53","16.1","16596.62","percent of total billed charges",,
"CORRECTION, HAMMERTOE","0360","RC","Both",,,"4945","2472.5","Medicaid",,,,"37",,"1809.87","16.1","16596.62","percent of total billed charges",,
"OSTECTOMY,PARTIAL,EXOSTECTOMY @ META HEA","0360","RC","Both",,,"4945","2472.5","Alliant","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"OSTECTOMY,PARTIAL,EXOSTECTOMY @ META HEA","0360","RC","Both",,,"4945","2472.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2670.3","16.1","16596.62","percent of total billed charges",,
"OSTECTOMY,PARTIAL,EXOSTECTOMY @ META HEA","0360","RC","Both",,,"4945","2472.5","Medicare",,,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"OSTECTOMY,PARTIAL,EXOSTECTOMY @ META HEA","0360","RC","Both",,,"4945","2472.5","Humana","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"OSTECTOMY,PARTIAL,EXOSTECTOMY @ META HEA","0360","RC","Both",,,"4945","2472.5","UHC","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"OSTECTOMY,PARTIAL,EXOSTECTOMY @ META HEA","0360","RC","Both",,,"4945","2472.5","Clover","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"OSTECTOMY,PARTIAL,EXOSTECTOMY @ META HEA","0360","RC","Both",,,"4945","2472.5","Wellcare","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"OSTECTOMY,PARTIAL,EXOSTECTOMY @ META HEA","0360","RC","Both",,,"4945","2472.5","Amerigroup","Medicaid Managed Care",,,"37",,"1809.87","16.1","16596.62","percent of total billed charges",,
"OSTECTOMY,PARTIAL,EXOSTECTOMY @ META HEA","0360","RC","Both",,,"4945","2472.5","Caresource","Medicaid Managed Care",,,"40",,"1978","16.1","16596.62","percent of total billed charges",,
"OSTECTOMY,PARTIAL,EXOSTECTOMY @ META HEA","0360","RC","Both",,,"4945","2472.5","Wellcare","Medicaid Managed Care",,,"40",,"2002.72","16.1","16596.62","percent of total billed charges",,
"OSTECTOMY,PARTIAL,EXOSTECTOMY @ META HEA","0360","RC","Both",,,"4945","2472.5","Aetna","Commercial",,,"64",,"3154.91","16.1","16596.62","percent of total billed charges",,
"OSTECTOMY,PARTIAL,EXOSTECTOMY @ META HEA","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","Pathways",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"OSTECTOMY,PARTIAL,EXOSTECTOMY @ META HEA","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","HMO",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"OSTECTOMY,PARTIAL,EXOSTECTOMY @ META HEA","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","PPO",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"OSTECTOMY,PARTIAL,EXOSTECTOMY @ META HEA","0360","RC","Both",,,"4945","2472.5","Ambetter","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"OSTECTOMY,PARTIAL,EXOSTECTOMY @ META HEA","0360","RC","Both",,,"4945","2472.5","Caresource","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"OSTECTOMY,PARTIAL,EXOSTECTOMY @ META HEA","0360","RC","Both",,,"4945","2472.5","Cigna","Commercial",,,"59",,"2897.77","16.1","16596.62","percent of total billed charges",,
"OSTECTOMY,PARTIAL,EXOSTECTOMY @ META HEA","0360","RC","Both",,,"4945","2472.5","Humana","Commercial",,,"78",,"3832.38","16.1","16596.62","percent of total billed charges",,
"OSTECTOMY,PARTIAL,EXOSTECTOMY @ META HEA","0360","RC","Both",,,"4945","2472.5","UHC","Commercial",,,"75",,"3728.53","16.1","16596.62","percent of total billed charges",,
"OSTECTOMY,PARTIAL,EXOSTECTOMY @ META HEA","0360","RC","Both",,,"4945","2472.5","Medicaid",,,,"37",,"1809.87","16.1","16596.62","percent of total billed charges",,
"HALLUX VALGUS CORRECT SIMPLE","0360","RC","Both",,,"7664.5","3832.25","Alliant","Health Exchange",,,"62",,"4751.99","16.1","16596.62","percent of total billed charges",,
"HALLUX VALGUS CORRECT SIMPLE","0360","RC","Both",,,"7664.5","3832.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"4138.83","16.1","16596.62","percent of total billed charges",,
"HALLUX VALGUS CORRECT SIMPLE","0360","RC","Both",,,"7664.5","3832.25","Medicare",,,,"54",,"4154.16","16.1","16596.62","percent of total billed charges",,
"HALLUX VALGUS CORRECT SIMPLE","0360","RC","Both",,,"7664.5","3832.25","Humana","Medicare Advantage",,,"54",,"4154.16","16.1","16596.62","percent of total billed charges",,
"HALLUX VALGUS CORRECT SIMPLE","0360","RC","Both",,,"7664.5","3832.25","UHC","Medicare Advantage",,,"54",,"4154.16","16.1","16596.62","percent of total billed charges",,
"HALLUX VALGUS CORRECT SIMPLE","0360","RC","Both",,,"7664.5","3832.25","Clover","Medicare Advantage",,,"54",,"4154.16","16.1","16596.62","percent of total billed charges",,
"HALLUX VALGUS CORRECT SIMPLE","0360","RC","Both",,,"7664.5","3832.25","Wellcare","Medicare Advantage",,,"54",,"4154.16","16.1","16596.62","percent of total billed charges",,
"HALLUX VALGUS CORRECT SIMPLE","0360","RC","Both",,,"7664.5","3832.25","Amerigroup","Medicaid Managed Care",,,"37",,"2805.21","16.1","16596.62","percent of total billed charges",,
"HALLUX VALGUS CORRECT SIMPLE","0360","RC","Both",,,"7664.5","3832.25","Caresource","Medicaid Managed Care",,,"40",,"3065.8","16.1","16596.62","percent of total billed charges",,
"HALLUX VALGUS CORRECT SIMPLE","0360","RC","Both",,,"7664.5","3832.25","Wellcare","Medicaid Managed Care",,,"40",,"3104.12","16.1","16596.62","percent of total billed charges",,
"HALLUX VALGUS CORRECT SIMPLE","0360","RC","Both",,,"7664.5","3832.25","Aetna","Commercial",,,"64",,"4889.95","16.1","16596.62","percent of total billed charges",,
"HALLUX VALGUS CORRECT SIMPLE","0360","RC","Both",,,"7664.5","3832.25","Blue Cross Blue Shield","Pathways",,,"71",,"5411.14","16.1","16596.62","percent of total billed charges",,
"HALLUX VALGUS CORRECT SIMPLE","0360","RC","Both",,,"7664.5","3832.25","Blue Cross Blue Shield","HMO",,,"71",,"5411.14","16.1","16596.62","percent of total billed charges",,
"HALLUX VALGUS CORRECT SIMPLE","0360","RC","Both",,,"7664.5","3832.25","Blue Cross Blue Shield","PPO",,,"71",,"5411.14","16.1","16596.62","percent of total billed charges",,
"HALLUX VALGUS CORRECT SIMPLE","0360","RC","Both",,,"7664.5","3832.25","Ambetter","Health Exchange",,,"62",,"4751.99","16.1","16596.62","percent of total billed charges",,
"HALLUX VALGUS CORRECT SIMPLE","0360","RC","Both",,,"7664.5","3832.25","Caresource","Health Exchange",,,"62",,"4751.99","16.1","16596.62","percent of total billed charges",,
"HALLUX VALGUS CORRECT SIMPLE","0360","RC","Both",,,"7664.5","3832.25","Cigna","Commercial",,,"59",,"4491.4","16.1","16596.62","percent of total billed charges",,
"HALLUX VALGUS CORRECT SIMPLE","0360","RC","Both",,,"7664.5","3832.25","Humana","Commercial",,,"78",,"5939.99","16.1","16596.62","percent of total billed charges",,
"HALLUX VALGUS CORRECT SIMPLE","0360","RC","Both",,,"7664.5","3832.25","UHC","Commercial",,,"75",,"5779.03","16.1","16596.62","percent of total billed charges",,
"HALLUX VALGUS CORRECT SIMPLE","0360","RC","Both",,,"7664.5","3832.25","Medicaid",,,,"37",,"2805.21","16.1","16596.62","percent of total billed charges",,
"OSTEOTOMY, W W/O LENTH/SHORT METATARSAL","0360","RC","Both",,,"4945","2472.5","Alliant","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"OSTEOTOMY, W W/O LENTH/SHORT METATARSAL","0360","RC","Both",,,"4945","2472.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2670.3","16.1","16596.62","percent of total billed charges",,
"OSTEOTOMY, W W/O LENTH/SHORT METATARSAL","0360","RC","Both",,,"4945","2472.5","Medicare",,,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"OSTEOTOMY, W W/O LENTH/SHORT METATARSAL","0360","RC","Both",,,"4945","2472.5","Humana","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"OSTEOTOMY, W W/O LENTH/SHORT METATARSAL","0360","RC","Both",,,"4945","2472.5","UHC","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"OSTEOTOMY, W W/O LENTH/SHORT METATARSAL","0360","RC","Both",,,"4945","2472.5","Clover","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"OSTEOTOMY, W W/O LENTH/SHORT METATARSAL","0360","RC","Both",,,"4945","2472.5","Wellcare","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"OSTEOTOMY, W W/O LENTH/SHORT METATARSAL","0360","RC","Both",,,"4945","2472.5","Amerigroup","Medicaid Managed Care",,,"37",,"1809.87","16.1","16596.62","percent of total billed charges",,
"OSTEOTOMY, W W/O LENTH/SHORT METATARSAL","0360","RC","Both",,,"4945","2472.5","Caresource","Medicaid Managed Care",,,"40",,"1978","16.1","16596.62","percent of total billed charges",,
"OSTEOTOMY, W W/O LENTH/SHORT METATARSAL","0360","RC","Both",,,"4945","2472.5","Wellcare","Medicaid Managed Care",,,"40",,"2002.72","16.1","16596.62","percent of total billed charges",,
"OSTEOTOMY, W W/O LENTH/SHORT METATARSAL","0360","RC","Both",,,"4945","2472.5","Aetna","Commercial",,,"64",,"3154.91","16.1","16596.62","percent of total billed charges",,
"OSTEOTOMY, W W/O LENTH/SHORT METATARSAL","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","Pathways",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"OSTEOTOMY, W W/O LENTH/SHORT METATARSAL","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","HMO",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"OSTEOTOMY, W W/O LENTH/SHORT METATARSAL","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","PPO",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"OSTEOTOMY, W W/O LENTH/SHORT METATARSAL","0360","RC","Both",,,"4945","2472.5","Ambetter","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"OSTEOTOMY, W W/O LENTH/SHORT METATARSAL","0360","RC","Both",,,"4945","2472.5","Caresource","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"OSTEOTOMY, W W/O LENTH/SHORT METATARSAL","0360","RC","Both",,,"4945","2472.5","Cigna","Commercial",,,"59",,"2897.77","16.1","16596.62","percent of total billed charges",,
"OSTEOTOMY, W W/O LENTH/SHORT METATARSAL","0360","RC","Both",,,"4945","2472.5","Humana","Commercial",,,"78",,"3832.38","16.1","16596.62","percent of total billed charges",,
"OSTEOTOMY, W W/O LENTH/SHORT METATARSAL","0360","RC","Both",,,"4945","2472.5","UHC","Commercial",,,"75",,"3728.53","16.1","16596.62","percent of total billed charges",,
"OSTEOTOMY, W W/O LENTH/SHORT METATARSAL","0360","RC","Both",,,"4945","2472.5","Medicaid",,,,"37",,"1809.87","16.1","16596.62","percent of total billed charges",,
"OPEN TX CALCANEAL FX W OR W/O FIXATION","0360","RC","Both",,,"15732.5","7866.25","Alliant","Health Exchange",,,"62",,"9754.15","16.1","16596.62","percent of total billed charges",,
"OPEN TX CALCANEAL FX W OR W/O FIXATION","0360","RC","Both",,,"15732.5","7866.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"8495.55","16.1","16596.62","percent of total billed charges",,
"OPEN TX CALCANEAL FX W OR W/O FIXATION","0360","RC","Both",,,"15732.5","7866.25","Medicare",,,,"54",,"8527.02","16.1","16596.62","percent of total billed charges",,
"OPEN TX CALCANEAL FX W OR W/O FIXATION","0360","RC","Both",,,"15732.5","7866.25","Humana","Medicare Advantage",,,"54",,"8527.02","16.1","16596.62","percent of total billed charges",,
"OPEN TX CALCANEAL FX W OR W/O FIXATION","0360","RC","Both",,,"15732.5","7866.25","UHC","Medicare Advantage",,,"54",,"8527.02","16.1","16596.62","percent of total billed charges",,
"OPEN TX CALCANEAL FX W OR W/O FIXATION","0360","RC","Both",,,"15732.5","7866.25","Clover","Medicare Advantage",,,"54",,"8527.02","16.1","16596.62","percent of total billed charges",,
"OPEN TX CALCANEAL FX W OR W/O FIXATION","0360","RC","Both",,,"15732.5","7866.25","Wellcare","Medicare Advantage",,,"54",,"8527.02","16.1","16596.62","percent of total billed charges",,
"OPEN TX CALCANEAL FX W OR W/O FIXATION","0360","RC","Both",,,"15732.5","7866.25","Amerigroup","Medicaid Managed Care",,,"37",,"5758.1","16.1","16596.62","percent of total billed charges",,
"OPEN TX CALCANEAL FX W OR W/O FIXATION","0360","RC","Both",,,"15732.5","7866.25","Caresource","Medicaid Managed Care",,,"40",,"6293","16.1","16596.62","percent of total billed charges",,
"OPEN TX CALCANEAL FX W OR W/O FIXATION","0360","RC","Both",,,"15732.5","7866.25","Wellcare","Medicaid Managed Care",,,"40",,"6371.66","16.1","16596.62","percent of total billed charges",,
"OPEN TX CALCANEAL FX W OR W/O FIXATION","0360","RC","Both",,,"15732.5","7866.25","Aetna","Commercial",,,"64",,"10037.34","16.1","16596.62","percent of total billed charges",,
"OPEN TX CALCANEAL FX W OR W/O FIXATION","0360","RC","Both",,,"15732.5","7866.25","Blue Cross Blue Shield","Pathways",,,"71",,"11107.14","16.1","16596.62","percent of total billed charges",,
"OPEN TX CALCANEAL FX W OR W/O FIXATION","0360","RC","Both",,,"15732.5","7866.25","Blue Cross Blue Shield","HMO",,,"71",,"11107.14","16.1","16596.62","percent of total billed charges",,
"OPEN TX CALCANEAL FX W OR W/O FIXATION","0360","RC","Both",,,"15732.5","7866.25","Blue Cross Blue Shield","PPO",,,"71",,"11107.14","16.1","16596.62","percent of total billed charges",,
"OPEN TX CALCANEAL FX W OR W/O FIXATION","0360","RC","Both",,,"15732.5","7866.25","Ambetter","Health Exchange",,,"62",,"9754.15","16.1","16596.62","percent of total billed charges",,
"OPEN TX CALCANEAL FX W OR W/O FIXATION","0360","RC","Both",,,"15732.5","7866.25","Caresource","Health Exchange",,,"62",,"9754.15","16.1","16596.62","percent of total billed charges",,
"OPEN TX CALCANEAL FX W OR W/O FIXATION","0360","RC","Both",,,"15732.5","7866.25","Cigna","Commercial",,,"59",,"9219.24","16.1","16596.62","percent of total billed charges",,
"OPEN TX CALCANEAL FX W OR W/O FIXATION","0360","RC","Both",,,"15732.5","7866.25","Humana","Commercial",,,"78",,"12192.69","16.1","16596.62","percent of total billed charges",,
"OPEN TX CALCANEAL FX W OR W/O FIXATION","0360","RC","Both",,,"15732.5","7866.25","UHC","Commercial",,,"75",,"11862.3","16.1","16596.62","percent of total billed charges",,
"OPEN TX CALCANEAL FX W OR W/O FIXATION","0360","RC","Both",,,"15732.5","7866.25","Medicaid",,,,"37",,"5758.1","16.1","16596.62","percent of total billed charges",,
"AMPUTATION,FOOT;TRANSMETATARSAL","0360","RC","Both",,,"4945","2472.5","Alliant","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"AMPUTATION,FOOT;TRANSMETATARSAL","0360","RC","Both",,,"4945","2472.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2670.3","16.1","16596.62","percent of total billed charges",,
"AMPUTATION,FOOT;TRANSMETATARSAL","0360","RC","Both",,,"4945","2472.5","Medicare",,,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"AMPUTATION,FOOT;TRANSMETATARSAL","0360","RC","Both",,,"4945","2472.5","Humana","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"AMPUTATION,FOOT;TRANSMETATARSAL","0360","RC","Both",,,"4945","2472.5","UHC","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"AMPUTATION,FOOT;TRANSMETATARSAL","0360","RC","Both",,,"4945","2472.5","Clover","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"AMPUTATION,FOOT;TRANSMETATARSAL","0360","RC","Both",,,"4945","2472.5","Wellcare","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"AMPUTATION,FOOT;TRANSMETATARSAL","0360","RC","Both",,,"4945","2472.5","Amerigroup","Medicaid Managed Care",,,"37",,"1809.87","16.1","16596.62","percent of total billed charges",,
"AMPUTATION,FOOT;TRANSMETATARSAL","0360","RC","Both",,,"4945","2472.5","Caresource","Medicaid Managed Care",,,"40",,"1978","16.1","16596.62","percent of total billed charges",,
"AMPUTATION,FOOT;TRANSMETATARSAL","0360","RC","Both",,,"4945","2472.5","Wellcare","Medicaid Managed Care",,,"40",,"2002.72","16.1","16596.62","percent of total billed charges",,
"AMPUTATION,FOOT;TRANSMETATARSAL","0360","RC","Both",,,"4945","2472.5","Aetna","Commercial",,,"64",,"3154.91","16.1","16596.62","percent of total billed charges",,
"AMPUTATION,FOOT;TRANSMETATARSAL","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","Pathways",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"AMPUTATION,FOOT;TRANSMETATARSAL","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","HMO",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"AMPUTATION,FOOT;TRANSMETATARSAL","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","PPO",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"AMPUTATION,FOOT;TRANSMETATARSAL","0360","RC","Both",,,"4945","2472.5","Ambetter","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"AMPUTATION,FOOT;TRANSMETATARSAL","0360","RC","Both",,,"4945","2472.5","Caresource","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"AMPUTATION,FOOT;TRANSMETATARSAL","0360","RC","Both",,,"4945","2472.5","Cigna","Commercial",,,"59",,"2897.77","16.1","16596.62","percent of total billed charges",,
"AMPUTATION,FOOT;TRANSMETATARSAL","0360","RC","Both",,,"4945","2472.5","Humana","Commercial",,,"78",,"3832.38","16.1","16596.62","percent of total billed charges",,
"AMPUTATION,FOOT;TRANSMETATARSAL","0360","RC","Both",,,"4945","2472.5","UHC","Commercial",,,"75",,"3728.53","16.1","16596.62","percent of total billed charges",,
"AMPUTATION,FOOT;TRANSMETATARSAL","0360","RC","Both",,,"4945","2472.5","Medicaid",,,,"37",,"1809.87","16.1","16596.62","percent of total billed charges",,
"AMPUTATION METATARSAL W/TOE, SINGLE","0360","RC","Both",,,"4945","2472.5","Alliant","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"AMPUTATION METATARSAL W/TOE, SINGLE","0360","RC","Both",,,"4945","2472.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2670.3","16.1","16596.62","percent of total billed charges",,
"AMPUTATION METATARSAL W/TOE, SINGLE","0360","RC","Both",,,"4945","2472.5","Medicare",,,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"AMPUTATION METATARSAL W/TOE, SINGLE","0360","RC","Both",,,"4945","2472.5","Humana","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"AMPUTATION METATARSAL W/TOE, SINGLE","0360","RC","Both",,,"4945","2472.5","UHC","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"AMPUTATION METATARSAL W/TOE, SINGLE","0360","RC","Both",,,"4945","2472.5","Clover","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"AMPUTATION METATARSAL W/TOE, SINGLE","0360","RC","Both",,,"4945","2472.5","Wellcare","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"AMPUTATION METATARSAL W/TOE, SINGLE","0360","RC","Both",,,"4945","2472.5","Amerigroup","Medicaid Managed Care",,,"37",,"1809.87","16.1","16596.62","percent of total billed charges",,
"AMPUTATION METATARSAL W/TOE, SINGLE","0360","RC","Both",,,"4945","2472.5","Caresource","Medicaid Managed Care",,,"40",,"1978","16.1","16596.62","percent of total billed charges",,
"AMPUTATION METATARSAL W/TOE, SINGLE","0360","RC","Both",,,"4945","2472.5","Wellcare","Medicaid Managed Care",,,"40",,"2002.72","16.1","16596.62","percent of total billed charges",,
"AMPUTATION METATARSAL W/TOE, SINGLE","0360","RC","Both",,,"4945","2472.5","Aetna","Commercial",,,"64",,"3154.91","16.1","16596.62","percent of total billed charges",,
"AMPUTATION METATARSAL W/TOE, SINGLE","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","Pathways",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"AMPUTATION METATARSAL W/TOE, SINGLE","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","HMO",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"AMPUTATION METATARSAL W/TOE, SINGLE","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","PPO",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"AMPUTATION METATARSAL W/TOE, SINGLE","0360","RC","Both",,,"4945","2472.5","Ambetter","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"AMPUTATION METATARSAL W/TOE, SINGLE","0360","RC","Both",,,"4945","2472.5","Caresource","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"AMPUTATION METATARSAL W/TOE, SINGLE","0360","RC","Both",,,"4945","2472.5","Cigna","Commercial",,,"59",,"2897.77","16.1","16596.62","percent of total billed charges",,
"AMPUTATION METATARSAL W/TOE, SINGLE","0360","RC","Both",,,"4945","2472.5","Humana","Commercial",,,"78",,"3832.38","16.1","16596.62","percent of total billed charges",,
"AMPUTATION METATARSAL W/TOE, SINGLE","0360","RC","Both",,,"4945","2472.5","UHC","Commercial",,,"75",,"3728.53","16.1","16596.62","percent of total billed charges",,
"AMPUTATION METATARSAL W/TOE, SINGLE","0360","RC","Both",,,"4945","2472.5","Medicaid",,,,"37",,"1809.87","16.1","16596.62","percent of total billed charges",,
"AMPUTATION TOE METATARSOPHALANGEAL JOINT","0360","RC","Both",,,"4945","2472.5","Alliant","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"AMPUTATION TOE METATARSOPHALANGEAL JOINT","0360","RC","Both",,,"4945","2472.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2670.3","16.1","16596.62","percent of total billed charges",,
"AMPUTATION TOE METATARSOPHALANGEAL JOINT","0360","RC","Both",,,"4945","2472.5","Medicare",,,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"AMPUTATION TOE METATARSOPHALANGEAL JOINT","0360","RC","Both",,,"4945","2472.5","Humana","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"AMPUTATION TOE METATARSOPHALANGEAL JOINT","0360","RC","Both",,,"4945","2472.5","UHC","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"AMPUTATION TOE METATARSOPHALANGEAL JOINT","0360","RC","Both",,,"4945","2472.5","Clover","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"AMPUTATION TOE METATARSOPHALANGEAL JOINT","0360","RC","Both",,,"4945","2472.5","Wellcare","Medicare Advantage",,,"54",,"2680.19","16.1","16596.62","percent of total billed charges",,
"AMPUTATION TOE METATARSOPHALANGEAL JOINT","0360","RC","Both",,,"4945","2472.5","Amerigroup","Medicaid Managed Care",,,"37",,"1809.87","16.1","16596.62","percent of total billed charges",,
"AMPUTATION TOE METATARSOPHALANGEAL JOINT","0360","RC","Both",,,"4945","2472.5","Caresource","Medicaid Managed Care",,,"40",,"1978","16.1","16596.62","percent of total billed charges",,
"AMPUTATION TOE METATARSOPHALANGEAL JOINT","0360","RC","Both",,,"4945","2472.5","Wellcare","Medicaid Managed Care",,,"40",,"2002.72","16.1","16596.62","percent of total billed charges",,
"AMPUTATION TOE METATARSOPHALANGEAL JOINT","0360","RC","Both",,,"4945","2472.5","Aetna","Commercial",,,"64",,"3154.91","16.1","16596.62","percent of total billed charges",,
"AMPUTATION TOE METATARSOPHALANGEAL JOINT","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","Pathways",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"AMPUTATION TOE METATARSOPHALANGEAL JOINT","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","HMO",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"AMPUTATION TOE METATARSOPHALANGEAL JOINT","0360","RC","Both",,,"4945","2472.5","Blue Cross Blue Shield","PPO",,,"71",,"3491.17","16.1","16596.62","percent of total billed charges",,
"AMPUTATION TOE METATARSOPHALANGEAL JOINT","0360","RC","Both",,,"4945","2472.5","Ambetter","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"AMPUTATION TOE METATARSOPHALANGEAL JOINT","0360","RC","Both",,,"4945","2472.5","Caresource","Health Exchange",,,"62",,"3065.9","16.1","16596.62","percent of total billed charges",,
"AMPUTATION TOE METATARSOPHALANGEAL JOINT","0360","RC","Both",,,"4945","2472.5","Cigna","Commercial",,,"59",,"2897.77","16.1","16596.62","percent of total billed charges",,
"AMPUTATION TOE METATARSOPHALANGEAL JOINT","0360","RC","Both",,,"4945","2472.5","Humana","Commercial",,,"78",,"3832.38","16.1","16596.62","percent of total billed charges",,
"AMPUTATION TOE METATARSOPHALANGEAL JOINT","0360","RC","Both",,,"4945","2472.5","UHC","Commercial",,,"75",,"3728.53","16.1","16596.62","percent of total billed charges",,
"AMPUTATION TOE METATARSOPHALANGEAL JOINT","0360","RC","Both",,,"4945","2472.5","Medicaid",,,,"37",,"1809.87","16.1","16596.62","percent of total billed charges",,
"APPLICATION LONG LEG CAST","0360","RC","Both",,,"591","295.5","Alliant","Health Exchange",,,"62",,"366.42","16.1","16596.62","percent of total billed charges",,
"APPLICATION LONG LEG CAST","0360","RC","Both",,,"591","295.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"319.14","16.1","16596.62","percent of total billed charges",,
"APPLICATION LONG LEG CAST","0360","RC","Both",,,"591","295.5","Medicare",,,,"54",,"320.32","16.1","16596.62","percent of total billed charges",,
"APPLICATION LONG LEG CAST","0360","RC","Both",,,"591","295.5","Humana","Medicare Advantage",,,"54",,"320.32","16.1","16596.62","percent of total billed charges",,
"APPLICATION LONG LEG CAST","0360","RC","Both",,,"591","295.5","UHC","Medicare Advantage",,,"54",,"320.32","16.1","16596.62","percent of total billed charges",,
"APPLICATION LONG LEG CAST","0360","RC","Both",,,"591","295.5","Clover","Medicare Advantage",,,"54",,"320.32","16.1","16596.62","percent of total billed charges",,
"APPLICATION LONG LEG CAST","0360","RC","Both",,,"591","295.5","Wellcare","Medicare Advantage",,,"54",,"320.32","16.1","16596.62","percent of total billed charges",,
"APPLICATION LONG LEG CAST","0360","RC","Both",,,"591","295.5","Amerigroup","Medicaid Managed Care",,,"37",,"216.31","16.1","16596.62","percent of total billed charges",,
"APPLICATION LONG LEG CAST","0360","RC","Both",,,"591","295.5","Caresource","Medicaid Managed Care",,,"40",,"236.4","16.1","16596.62","percent of total billed charges",,
"APPLICATION LONG LEG CAST","0360","RC","Both",,,"591","295.5","Wellcare","Medicaid Managed Care",,,"40",,"239.36","16.1","16596.62","percent of total billed charges",,
"APPLICATION LONG LEG CAST","0360","RC","Both",,,"591","295.5","Aetna","Commercial",,,"64",,"377.06","16.1","16596.62","percent of total billed charges",,
"APPLICATION LONG LEG CAST","0360","RC","Both",,,"591","295.5","Blue Cross Blue Shield","Pathways",,,"71",,"417.25","16.1","16596.62","percent of total billed charges",,
"APPLICATION LONG LEG CAST","0360","RC","Both",,,"591","295.5","Blue Cross Blue Shield","HMO",,,"71",,"417.25","16.1","16596.62","percent of total billed charges",,
"APPLICATION LONG LEG CAST","0360","RC","Both",,,"591","295.5","Blue Cross Blue Shield","PPO",,,"71",,"417.25","16.1","16596.62","percent of total billed charges",,
"APPLICATION LONG LEG CAST","0360","RC","Both",,,"591","295.5","Ambetter","Health Exchange",,,"62",,"366.42","16.1","16596.62","percent of total billed charges",,
"APPLICATION LONG LEG CAST","0360","RC","Both",,,"591","295.5","Caresource","Health Exchange",,,"62",,"366.42","16.1","16596.62","percent of total billed charges",,
"APPLICATION LONG LEG CAST","0360","RC","Both",,,"591","295.5","Cigna","Commercial",,,"59",,"346.33","16.1","16596.62","percent of total billed charges",,
"APPLICATION LONG LEG CAST","0360","RC","Both",,,"591","295.5","Humana","Commercial",,,"78",,"458.02","16.1","16596.62","percent of total billed charges",,
"APPLICATION LONG LEG CAST","0360","RC","Both",,,"591","295.5","UHC","Commercial",,,"75",,"445.61","16.1","16596.62","percent of total billed charges",,
"APPLICATION LONG LEG CAST","0360","RC","Both",,,"591","295.5","Medicaid",,,,"37",,"216.31","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY KNEE, DIAGNOSTIC WorW/O SYN","0360","RC","Both",,,"6591.5","3295.75","Alliant","Health Exchange",,,"62",,"4086.73","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY KNEE, DIAGNOSTIC WorW/O SYN","0360","RC","Both",,,"6591.5","3295.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"3559.41","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY KNEE, DIAGNOSTIC WorW/O SYN","0360","RC","Both",,,"6591.5","3295.75","Medicare",,,,"54",,"3572.59","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY KNEE, DIAGNOSTIC WorW/O SYN","0360","RC","Both",,,"6591.5","3295.75","Humana","Medicare Advantage",,,"54",,"3572.59","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY KNEE, DIAGNOSTIC WorW/O SYN","0360","RC","Both",,,"6591.5","3295.75","UHC","Medicare Advantage",,,"54",,"3572.59","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY KNEE, DIAGNOSTIC WorW/O SYN","0360","RC","Both",,,"6591.5","3295.75","Clover","Medicare Advantage",,,"54",,"3572.59","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY KNEE, DIAGNOSTIC WorW/O SYN","0360","RC","Both",,,"6591.5","3295.75","Wellcare","Medicare Advantage",,,"54",,"3572.59","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY KNEE, DIAGNOSTIC WorW/O SYN","0360","RC","Both",,,"6591.5","3295.75","Amerigroup","Medicaid Managed Care",,,"37",,"2412.49","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY KNEE, DIAGNOSTIC WorW/O SYN","0360","RC","Both",,,"6591.5","3295.75","Caresource","Medicaid Managed Care",,,"40",,"2636.6","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY KNEE, DIAGNOSTIC WorW/O SYN","0360","RC","Both",,,"6591.5","3295.75","Wellcare","Medicaid Managed Care",,,"40",,"2669.56","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY KNEE, DIAGNOSTIC WorW/O SYN","0360","RC","Both",,,"6591.5","3295.75","Aetna","Commercial",,,"64",,"4205.38","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY KNEE, DIAGNOSTIC WorW/O SYN","0360","RC","Both",,,"6591.5","3295.75","Blue Cross Blue Shield","Pathways",,,"71",,"4653.6","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY KNEE, DIAGNOSTIC WorW/O SYN","0360","RC","Both",,,"6591.5","3295.75","Blue Cross Blue Shield","HMO",,,"71",,"4653.6","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY KNEE, DIAGNOSTIC WorW/O SYN","0360","RC","Both",,,"6591.5","3295.75","Blue Cross Blue Shield","PPO",,,"71",,"4653.6","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY KNEE, DIAGNOSTIC WorW/O SYN","0360","RC","Both",,,"6591.5","3295.75","Ambetter","Health Exchange",,,"62",,"4086.73","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY KNEE, DIAGNOSTIC WorW/O SYN","0360","RC","Both",,,"6591.5","3295.75","Caresource","Health Exchange",,,"62",,"4086.73","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY KNEE, DIAGNOSTIC WorW/O SYN","0360","RC","Both",,,"6591.5","3295.75","Cigna","Commercial",,,"59",,"3862.62","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY KNEE, DIAGNOSTIC WorW/O SYN","0360","RC","Both",,,"6591.5","3295.75","Humana","Commercial",,,"78",,"5108.41","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY KNEE, DIAGNOSTIC WorW/O SYN","0360","RC","Both",,,"6591.5","3295.75","UHC","Commercial",,,"75",,"4969.99","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY KNEE, DIAGNOSTIC WorW/O SYN","0360","RC","Both",,,"6591.5","3295.75","Medicaid",,,,"37",,"2412.49","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, REMOVAL LOOSE/FB","0360","RC","Both",,,"6591.5","3295.75","Alliant","Health Exchange",,,"62",,"4086.73","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, REMOVAL LOOSE/FB","0360","RC","Both",,,"6591.5","3295.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"3559.41","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, REMOVAL LOOSE/FB","0360","RC","Both",,,"6591.5","3295.75","Medicare",,,,"54",,"3572.59","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, REMOVAL LOOSE/FB","0360","RC","Both",,,"6591.5","3295.75","Humana","Medicare Advantage",,,"54",,"3572.59","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, REMOVAL LOOSE/FB","0360","RC","Both",,,"6591.5","3295.75","UHC","Medicare Advantage",,,"54",,"3572.59","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, REMOVAL LOOSE/FB","0360","RC","Both",,,"6591.5","3295.75","Clover","Medicare Advantage",,,"54",,"3572.59","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, REMOVAL LOOSE/FB","0360","RC","Both",,,"6591.5","3295.75","Wellcare","Medicare Advantage",,,"54",,"3572.59","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, REMOVAL LOOSE/FB","0360","RC","Both",,,"6591.5","3295.75","Amerigroup","Medicaid Managed Care",,,"37",,"2412.49","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, REMOVAL LOOSE/FB","0360","RC","Both",,,"6591.5","3295.75","Caresource","Medicaid Managed Care",,,"40",,"2636.6","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, REMOVAL LOOSE/FB","0360","RC","Both",,,"6591.5","3295.75","Wellcare","Medicaid Managed Care",,,"40",,"2669.56","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, REMOVAL LOOSE/FB","0360","RC","Both",,,"6591.5","3295.75","Aetna","Commercial",,,"64",,"4205.38","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, REMOVAL LOOSE/FB","0360","RC","Both",,,"6591.5","3295.75","Blue Cross Blue Shield","Pathways",,,"71",,"4653.6","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, REMOVAL LOOSE/FB","0360","RC","Both",,,"6591.5","3295.75","Blue Cross Blue Shield","HMO",,,"71",,"4653.6","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, REMOVAL LOOSE/FB","0360","RC","Both",,,"6591.5","3295.75","Blue Cross Blue Shield","PPO",,,"71",,"4653.6","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, REMOVAL LOOSE/FB","0360","RC","Both",,,"6591.5","3295.75","Ambetter","Health Exchange",,,"62",,"4086.73","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, REMOVAL LOOSE/FB","0360","RC","Both",,,"6591.5","3295.75","Caresource","Health Exchange",,,"62",,"4086.73","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, REMOVAL LOOSE/FB","0360","RC","Both",,,"6591.5","3295.75","Cigna","Commercial",,,"59",,"3862.62","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, REMOVAL LOOSE/FB","0360","RC","Both",,,"6591.5","3295.75","Humana","Commercial",,,"78",,"5108.41","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, REMOVAL LOOSE/FB","0360","RC","Both",,,"6591.5","3295.75","UHC","Commercial",,,"75",,"4969.99","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, REMOVAL LOOSE/FB","0360","RC","Both",,,"6591.5","3295.75","Medicaid",,,,"37",,"2412.49","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, SYNOVECTOMY, LIMITED","0360","RC","Both",,,"6591.5","3295.75","Alliant","Health Exchange",,,"62",,"4086.73","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, SYNOVECTOMY, LIMITED","0360","RC","Both",,,"6591.5","3295.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"3559.41","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, SYNOVECTOMY, LIMITED","0360","RC","Both",,,"6591.5","3295.75","Medicare",,,,"54",,"3572.59","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, SYNOVECTOMY, LIMITED","0360","RC","Both",,,"6591.5","3295.75","Humana","Medicare Advantage",,,"54",,"3572.59","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, SYNOVECTOMY, LIMITED","0360","RC","Both",,,"6591.5","3295.75","UHC","Medicare Advantage",,,"54",,"3572.59","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, SYNOVECTOMY, LIMITED","0360","RC","Both",,,"6591.5","3295.75","Clover","Medicare Advantage",,,"54",,"3572.59","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, SYNOVECTOMY, LIMITED","0360","RC","Both",,,"6591.5","3295.75","Wellcare","Medicare Advantage",,,"54",,"3572.59","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, SYNOVECTOMY, LIMITED","0360","RC","Both",,,"6591.5","3295.75","Amerigroup","Medicaid Managed Care",,,"37",,"2412.49","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, SYNOVECTOMY, LIMITED","0360","RC","Both",,,"6591.5","3295.75","Caresource","Medicaid Managed Care",,,"40",,"2636.6","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, SYNOVECTOMY, LIMITED","0360","RC","Both",,,"6591.5","3295.75","Wellcare","Medicaid Managed Care",,,"40",,"2669.56","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, SYNOVECTOMY, LIMITED","0360","RC","Both",,,"6591.5","3295.75","Aetna","Commercial",,,"64",,"4205.38","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, SYNOVECTOMY, LIMITED","0360","RC","Both",,,"6591.5","3295.75","Blue Cross Blue Shield","Pathways",,,"71",,"4653.6","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, SYNOVECTOMY, LIMITED","0360","RC","Both",,,"6591.5","3295.75","Blue Cross Blue Shield","HMO",,,"71",,"4653.6","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, SYNOVECTOMY, LIMITED","0360","RC","Both",,,"6591.5","3295.75","Blue Cross Blue Shield","PPO",,,"71",,"4653.6","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, SYNOVECTOMY, LIMITED","0360","RC","Both",,,"6591.5","3295.75","Ambetter","Health Exchange",,,"62",,"4086.73","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, SYNOVECTOMY, LIMITED","0360","RC","Both",,,"6591.5","3295.75","Caresource","Health Exchange",,,"62",,"4086.73","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, SYNOVECTOMY, LIMITED","0360","RC","Both",,,"6591.5","3295.75","Cigna","Commercial",,,"59",,"3862.62","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, SYNOVECTOMY, LIMITED","0360","RC","Both",,,"6591.5","3295.75","Humana","Commercial",,,"78",,"5108.41","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, SYNOVECTOMY, LIMITED","0360","RC","Both",,,"6591.5","3295.75","UHC","Commercial",,,"75",,"4969.99","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, SYNOVECTOMY, LIMITED","0360","RC","Both",,,"6591.5","3295.75","Medicaid",,,,"37",,"2412.49","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, SYNOVECTOMY, MAJOR","0360","RC","Both",,,"6591.5","3295.75","Alliant","Health Exchange",,,"62",,"4086.73","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, SYNOVECTOMY, MAJOR","0360","RC","Both",,,"6591.5","3295.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"3559.41","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, SYNOVECTOMY, MAJOR","0360","RC","Both",,,"6591.5","3295.75","Medicare",,,,"54",,"3572.59","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, SYNOVECTOMY, MAJOR","0360","RC","Both",,,"6591.5","3295.75","Humana","Medicare Advantage",,,"54",,"3572.59","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, SYNOVECTOMY, MAJOR","0360","RC","Both",,,"6591.5","3295.75","UHC","Medicare Advantage",,,"54",,"3572.59","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, SYNOVECTOMY, MAJOR","0360","RC","Both",,,"6591.5","3295.75","Clover","Medicare Advantage",,,"54",,"3572.59","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, SYNOVECTOMY, MAJOR","0360","RC","Both",,,"6591.5","3295.75","Wellcare","Medicare Advantage",,,"54",,"3572.59","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, SYNOVECTOMY, MAJOR","0360","RC","Both",,,"6591.5","3295.75","Amerigroup","Medicaid Managed Care",,,"37",,"2412.49","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, SYNOVECTOMY, MAJOR","0360","RC","Both",,,"6591.5","3295.75","Caresource","Medicaid Managed Care",,,"40",,"2636.6","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, SYNOVECTOMY, MAJOR","0360","RC","Both",,,"6591.5","3295.75","Wellcare","Medicaid Managed Care",,,"40",,"2669.56","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, SYNOVECTOMY, MAJOR","0360","RC","Both",,,"6591.5","3295.75","Aetna","Commercial",,,"64",,"4205.38","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, SYNOVECTOMY, MAJOR","0360","RC","Both",,,"6591.5","3295.75","Blue Cross Blue Shield","Pathways",,,"71",,"4653.6","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, SYNOVECTOMY, MAJOR","0360","RC","Both",,,"6591.5","3295.75","Blue Cross Blue Shield","HMO",,,"71",,"4653.6","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, SYNOVECTOMY, MAJOR","0360","RC","Both",,,"6591.5","3295.75","Blue Cross Blue Shield","PPO",,,"71",,"4653.6","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, SYNOVECTOMY, MAJOR","0360","RC","Both",,,"6591.5","3295.75","Ambetter","Health Exchange",,,"62",,"4086.73","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, SYNOVECTOMY, MAJOR","0360","RC","Both",,,"6591.5","3295.75","Caresource","Health Exchange",,,"62",,"4086.73","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, SYNOVECTOMY, MAJOR","0360","RC","Both",,,"6591.5","3295.75","Cigna","Commercial",,,"59",,"3862.62","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, SYNOVECTOMY, MAJOR","0360","RC","Both",,,"6591.5","3295.75","Humana","Commercial",,,"78",,"5108.41","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, SYNOVECTOMY, MAJOR","0360","RC","Both",,,"6591.5","3295.75","UHC","Commercial",,,"75",,"4969.99","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, SYNOVECTOMY, MAJOR","0360","RC","Both",,,"6591.5","3295.75","Medicaid",,,,"37",,"2412.49","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, DEBRIDEMENT/SHAVING","0360","RC","Both",,,"6591.5","3295.75","Alliant","Health Exchange",,,"62",,"4086.73","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, DEBRIDEMENT/SHAVING","0360","RC","Both",,,"6591.5","3295.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"3559.41","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, DEBRIDEMENT/SHAVING","0360","RC","Both",,,"6591.5","3295.75","Medicare",,,,"54",,"3572.59","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, DEBRIDEMENT/SHAVING","0360","RC","Both",,,"6591.5","3295.75","Humana","Medicare Advantage",,,"54",,"3572.59","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, DEBRIDEMENT/SHAVING","0360","RC","Both",,,"6591.5","3295.75","UHC","Medicare Advantage",,,"54",,"3572.59","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, DEBRIDEMENT/SHAVING","0360","RC","Both",,,"6591.5","3295.75","Clover","Medicare Advantage",,,"54",,"3572.59","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, DEBRIDEMENT/SHAVING","0360","RC","Both",,,"6591.5","3295.75","Wellcare","Medicare Advantage",,,"54",,"3572.59","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, DEBRIDEMENT/SHAVING","0360","RC","Both",,,"6591.5","3295.75","Amerigroup","Medicaid Managed Care",,,"37",,"2412.49","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, DEBRIDEMENT/SHAVING","0360","RC","Both",,,"6591.5","3295.75","Caresource","Medicaid Managed Care",,,"40",,"2636.6","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, DEBRIDEMENT/SHAVING","0360","RC","Both",,,"6591.5","3295.75","Wellcare","Medicaid Managed Care",,,"40",,"2669.56","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, DEBRIDEMENT/SHAVING","0360","RC","Both",,,"6591.5","3295.75","Aetna","Commercial",,,"64",,"4205.38","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, DEBRIDEMENT/SHAVING","0360","RC","Both",,,"6591.5","3295.75","Blue Cross Blue Shield","Pathways",,,"71",,"4653.6","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, DEBRIDEMENT/SHAVING","0360","RC","Both",,,"6591.5","3295.75","Blue Cross Blue Shield","HMO",,,"71",,"4653.6","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, DEBRIDEMENT/SHAVING","0360","RC","Both",,,"6591.5","3295.75","Blue Cross Blue Shield","PPO",,,"71",,"4653.6","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, DEBRIDEMENT/SHAVING","0360","RC","Both",,,"6591.5","3295.75","Ambetter","Health Exchange",,,"62",,"4086.73","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, DEBRIDEMENT/SHAVING","0360","RC","Both",,,"6591.5","3295.75","Caresource","Health Exchange",,,"62",,"4086.73","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, DEBRIDEMENT/SHAVING","0360","RC","Both",,,"6591.5","3295.75","Cigna","Commercial",,,"59",,"3862.62","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, DEBRIDEMENT/SHAVING","0360","RC","Both",,,"6591.5","3295.75","Humana","Commercial",,,"78",,"5108.41","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, DEBRIDEMENT/SHAVING","0360","RC","Both",,,"6591.5","3295.75","UHC","Commercial",,,"75",,"4969.99","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, DEBRIDEMENT/SHAVING","0360","RC","Both",,,"6591.5","3295.75","Medicaid",,,,"37",,"2412.49","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY KNEE;ABRASION ARTHROPLASTY","0360","RC","Both",,,"6591.5","3295.75","Alliant","Health Exchange",,,"62",,"4086.73","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY KNEE;ABRASION ARTHROPLASTY","0360","RC","Both",,,"6591.5","3295.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"3559.41","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY KNEE;ABRASION ARTHROPLASTY","0360","RC","Both",,,"6591.5","3295.75","Medicare",,,,"54",,"3572.59","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY KNEE;ABRASION ARTHROPLASTY","0360","RC","Both",,,"6591.5","3295.75","Humana","Medicare Advantage",,,"54",,"3572.59","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY KNEE;ABRASION ARTHROPLASTY","0360","RC","Both",,,"6591.5","3295.75","UHC","Medicare Advantage",,,"54",,"3572.59","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY KNEE;ABRASION ARTHROPLASTY","0360","RC","Both",,,"6591.5","3295.75","Clover","Medicare Advantage",,,"54",,"3572.59","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY KNEE;ABRASION ARTHROPLASTY","0360","RC","Both",,,"6591.5","3295.75","Wellcare","Medicare Advantage",,,"54",,"3572.59","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY KNEE;ABRASION ARTHROPLASTY","0360","RC","Both",,,"6591.5","3295.75","Amerigroup","Medicaid Managed Care",,,"37",,"2412.49","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY KNEE;ABRASION ARTHROPLASTY","0360","RC","Both",,,"6591.5","3295.75","Caresource","Medicaid Managed Care",,,"40",,"2636.6","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY KNEE;ABRASION ARTHROPLASTY","0360","RC","Both",,,"6591.5","3295.75","Wellcare","Medicaid Managed Care",,,"40",,"2669.56","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY KNEE;ABRASION ARTHROPLASTY","0360","RC","Both",,,"6591.5","3295.75","Aetna","Commercial",,,"64",,"4205.38","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY KNEE;ABRASION ARTHROPLASTY","0360","RC","Both",,,"6591.5","3295.75","Blue Cross Blue Shield","Pathways",,,"71",,"4653.6","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY KNEE;ABRASION ARTHROPLASTY","0360","RC","Both",,,"6591.5","3295.75","Blue Cross Blue Shield","HMO",,,"71",,"4653.6","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY KNEE;ABRASION ARTHROPLASTY","0360","RC","Both",,,"6591.5","3295.75","Blue Cross Blue Shield","PPO",,,"71",,"4653.6","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY KNEE;ABRASION ARTHROPLASTY","0360","RC","Both",,,"6591.5","3295.75","Ambetter","Health Exchange",,,"62",,"4086.73","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY KNEE;ABRASION ARTHROPLASTY","0360","RC","Both",,,"6591.5","3295.75","Caresource","Health Exchange",,,"62",,"4086.73","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY KNEE;ABRASION ARTHROPLASTY","0360","RC","Both",,,"6591.5","3295.75","Cigna","Commercial",,,"59",,"3862.62","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY KNEE;ABRASION ARTHROPLASTY","0360","RC","Both",,,"6591.5","3295.75","Humana","Commercial",,,"78",,"5108.41","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY KNEE;ABRASION ARTHROPLASTY","0360","RC","Both",,,"6591.5","3295.75","UHC","Commercial",,,"75",,"4969.99","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY KNEE;ABRASION ARTHROPLASTY","0360","RC","Both",,,"6591.5","3295.75","Medicaid",,,,"37",,"2412.49","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, W/MENISC MED & LAT","0360","RC","Both",,,"6591.5","3295.75","Alliant","Health Exchange",,,"62",,"4086.73","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, W/MENISC MED & LAT","0360","RC","Both",,,"6591.5","3295.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"3559.41","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, W/MENISC MED & LAT","0360","RC","Both",,,"6591.5","3295.75","Medicare",,,,"54",,"3572.59","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, W/MENISC MED & LAT","0360","RC","Both",,,"6591.5","3295.75","Humana","Medicare Advantage",,,"54",,"3572.59","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, W/MENISC MED & LAT","0360","RC","Both",,,"6591.5","3295.75","UHC","Medicare Advantage",,,"54",,"3572.59","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, W/MENISC MED & LAT","0360","RC","Both",,,"6591.5","3295.75","Clover","Medicare Advantage",,,"54",,"3572.59","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, W/MENISC MED & LAT","0360","RC","Both",,,"6591.5","3295.75","Wellcare","Medicare Advantage",,,"54",,"3572.59","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, W/MENISC MED & LAT","0360","RC","Both",,,"6591.5","3295.75","Amerigroup","Medicaid Managed Care",,,"37",,"2412.49","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, W/MENISC MED & LAT","0360","RC","Both",,,"6591.5","3295.75","Caresource","Medicaid Managed Care",,,"40",,"2636.6","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, W/MENISC MED & LAT","0360","RC","Both",,,"6591.5","3295.75","Wellcare","Medicaid Managed Care",,,"40",,"2669.56","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, W/MENISC MED & LAT","0360","RC","Both",,,"6591.5","3295.75","Aetna","Commercial",,,"64",,"4205.38","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, W/MENISC MED & LAT","0360","RC","Both",,,"6591.5","3295.75","Blue Cross Blue Shield","Pathways",,,"71",,"4653.6","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, W/MENISC MED & LAT","0360","RC","Both",,,"6591.5","3295.75","Blue Cross Blue Shield","HMO",,,"71",,"4653.6","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, W/MENISC MED & LAT","0360","RC","Both",,,"6591.5","3295.75","Blue Cross Blue Shield","PPO",,,"71",,"4653.6","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, W/MENISC MED & LAT","0360","RC","Both",,,"6591.5","3295.75","Ambetter","Health Exchange",,,"62",,"4086.73","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, W/MENISC MED & LAT","0360","RC","Both",,,"6591.5","3295.75","Caresource","Health Exchange",,,"62",,"4086.73","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, W/MENISC MED & LAT","0360","RC","Both",,,"6591.5","3295.75","Cigna","Commercial",,,"59",,"3862.62","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, W/MENISC MED & LAT","0360","RC","Both",,,"6591.5","3295.75","Humana","Commercial",,,"78",,"5108.41","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, W/MENISC MED & LAT","0360","RC","Both",,,"6591.5","3295.75","UHC","Commercial",,,"75",,"4969.99","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, W/MENISC MED & LAT","0360","RC","Both",,,"6591.5","3295.75","Medicaid",,,,"37",,"2412.49","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, WITH MENISCECTOMY","0360","RC","Both",,,"6591.5","3295.75","Alliant","Health Exchange",,,"62",,"4086.73","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, WITH MENISCECTOMY","0360","RC","Both",,,"6591.5","3295.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"3559.41","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, WITH MENISCECTOMY","0360","RC","Both",,,"6591.5","3295.75","Medicare",,,,"54",,"3572.59","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, WITH MENISCECTOMY","0360","RC","Both",,,"6591.5","3295.75","Humana","Medicare Advantage",,,"54",,"3572.59","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, WITH MENISCECTOMY","0360","RC","Both",,,"6591.5","3295.75","UHC","Medicare Advantage",,,"54",,"3572.59","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, WITH MENISCECTOMY","0360","RC","Both",,,"6591.5","3295.75","Clover","Medicare Advantage",,,"54",,"3572.59","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, WITH MENISCECTOMY","0360","RC","Both",,,"6591.5","3295.75","Wellcare","Medicare Advantage",,,"54",,"3572.59","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, WITH MENISCECTOMY","0360","RC","Both",,,"6591.5","3295.75","Amerigroup","Medicaid Managed Care",,,"37",,"2412.49","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, WITH MENISCECTOMY","0360","RC","Both",,,"6591.5","3295.75","Caresource","Medicaid Managed Care",,,"40",,"2636.6","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, WITH MENISCECTOMY","0360","RC","Both",,,"6591.5","3295.75","Wellcare","Medicaid Managed Care",,,"40",,"2669.56","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, WITH MENISCECTOMY","0360","RC","Both",,,"6591.5","3295.75","Aetna","Commercial",,,"64",,"4205.38","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, WITH MENISCECTOMY","0360","RC","Both",,,"6591.5","3295.75","Blue Cross Blue Shield","Pathways",,,"71",,"4653.6","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, WITH MENISCECTOMY","0360","RC","Both",,,"6591.5","3295.75","Blue Cross Blue Shield","HMO",,,"71",,"4653.6","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, WITH MENISCECTOMY","0360","RC","Both",,,"6591.5","3295.75","Blue Cross Blue Shield","PPO",,,"71",,"4653.6","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, WITH MENISCECTOMY","0360","RC","Both",,,"6591.5","3295.75","Ambetter","Health Exchange",,,"62",,"4086.73","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, WITH MENISCECTOMY","0360","RC","Both",,,"6591.5","3295.75","Caresource","Health Exchange",,,"62",,"4086.73","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, WITH MENISCECTOMY","0360","RC","Both",,,"6591.5","3295.75","Cigna","Commercial",,,"59",,"3862.62","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, WITH MENISCECTOMY","0360","RC","Both",,,"6591.5","3295.75","Humana","Commercial",,,"78",,"5108.41","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, WITH MENISCECTOMY","0360","RC","Both",,,"6591.5","3295.75","UHC","Commercial",,,"75",,"4969.99","16.1","16596.62","percent of total billed charges",,
"ARTHROSCOPY, KNEE, WITH MENISCECTOMY","0360","RC","Both",,,"6591.5","3295.75","Medicaid",,,,"37",,"2412.49","16.1","16596.62","percent of total billed charges",,
"SINUSOTOMY, SPHENOID, WorW/O BIOP;W/MUC","0360","RC","Both",,,"10235","5117.5","Alliant","Health Exchange",,,"62",,"6345.7","16.1","16596.62","percent of total billed charges",,
"SINUSOTOMY, SPHENOID, WorW/O BIOP;W/MUC","0360","RC","Both",,,"10235","5117.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5526.9","16.1","16596.62","percent of total billed charges",,
"SINUSOTOMY, SPHENOID, WorW/O BIOP;W/MUC","0360","RC","Both",,,"10235","5117.5","Medicare",,,,"54",,"5547.37","16.1","16596.62","percent of total billed charges",,
"SINUSOTOMY, SPHENOID, WorW/O BIOP;W/MUC","0360","RC","Both",,,"10235","5117.5","Humana","Medicare Advantage",,,"54",,"5547.37","16.1","16596.62","percent of total billed charges",,
"SINUSOTOMY, SPHENOID, WorW/O BIOP;W/MUC","0360","RC","Both",,,"10235","5117.5","UHC","Medicare Advantage",,,"54",,"5547.37","16.1","16596.62","percent of total billed charges",,
"SINUSOTOMY, SPHENOID, WorW/O BIOP;W/MUC","0360","RC","Both",,,"10235","5117.5","Clover","Medicare Advantage",,,"54",,"5547.37","16.1","16596.62","percent of total billed charges",,
"SINUSOTOMY, SPHENOID, WorW/O BIOP;W/MUC","0360","RC","Both",,,"10235","5117.5","Wellcare","Medicare Advantage",,,"54",,"5547.37","16.1","16596.62","percent of total billed charges",,
"SINUSOTOMY, SPHENOID, WorW/O BIOP;W/MUC","0360","RC","Both",,,"10235","5117.5","Amerigroup","Medicaid Managed Care",,,"37",,"3746.01","16.1","16596.62","percent of total billed charges",,
"SINUSOTOMY, SPHENOID, WorW/O BIOP;W/MUC","0360","RC","Both",,,"10235","5117.5","Caresource","Medicaid Managed Care",,,"40",,"4094","16.1","16596.62","percent of total billed charges",,
"SINUSOTOMY, SPHENOID, WorW/O BIOP;W/MUC","0360","RC","Both",,,"10235","5117.5","Wellcare","Medicaid Managed Care",,,"40",,"4145.18","16.1","16596.62","percent of total billed charges",,
"SINUSOTOMY, SPHENOID, WorW/O BIOP;W/MUC","0360","RC","Both",,,"10235","5117.5","Aetna","Commercial",,,"64",,"6529.93","16.1","16596.62","percent of total billed charges",,
"SINUSOTOMY, SPHENOID, WorW/O BIOP;W/MUC","0360","RC","Both",,,"10235","5117.5","Blue Cross Blue Shield","Pathways",,,"71",,"7225.91","16.1","16596.62","percent of total billed charges",,
"SINUSOTOMY, SPHENOID, WorW/O BIOP;W/MUC","0360","RC","Both",,,"10235","5117.5","Blue Cross Blue Shield","HMO",,,"71",,"7225.91","16.1","16596.62","percent of total billed charges",,
"SINUSOTOMY, SPHENOID, WorW/O BIOP;W/MUC","0360","RC","Both",,,"10235","5117.5","Blue Cross Blue Shield","PPO",,,"71",,"7225.91","16.1","16596.62","percent of total billed charges",,
"SINUSOTOMY, SPHENOID, WorW/O BIOP;W/MUC","0360","RC","Both",,,"10235","5117.5","Ambetter","Health Exchange",,,"62",,"6345.7","16.1","16596.62","percent of total billed charges",,
"SINUSOTOMY, SPHENOID, WorW/O BIOP;W/MUC","0360","RC","Both",,,"10235","5117.5","Caresource","Health Exchange",,,"62",,"6345.7","16.1","16596.62","percent of total billed charges",,
"SINUSOTOMY, SPHENOID, WorW/O BIOP;W/MUC","0360","RC","Both",,,"10235","5117.5","Cigna","Commercial",,,"59",,"5997.71","16.1","16596.62","percent of total billed charges",,
"SINUSOTOMY, SPHENOID, WorW/O BIOP;W/MUC","0360","RC","Both",,,"10235","5117.5","Humana","Commercial",,,"78",,"7932.12","16.1","16596.62","percent of total billed charges",,
"SINUSOTOMY, SPHENOID, WorW/O BIOP;W/MUC","0360","RC","Both",,,"10235","5117.5","UHC","Commercial",,,"75",,"7717.19","16.1","16596.62","percent of total billed charges",,
"SINUSOTOMY, SPHENOID, WorW/O BIOP;W/MUC","0360","RC","Both",,,"10235","5117.5","Medicaid",,,,"37",,"3746.01","16.1","16596.62","percent of total billed charges",,
"REPAIR BLOOD VESSEL UPPER EXTREMITY","0360","RC","Both",,,"6709","3354.5","Alliant","Health Exchange",,,"62",,"4159.58","16.1","16596.62","percent of total billed charges",,
"REPAIR BLOOD VESSEL UPPER EXTREMITY","0360","RC","Both",,,"6709","3354.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3622.86","16.1","16596.62","percent of total billed charges",,
"REPAIR BLOOD VESSEL UPPER EXTREMITY","0360","RC","Both",,,"6709","3354.5","Medicare",,,,"54",,"3636.28","16.1","16596.62","percent of total billed charges",,
"REPAIR BLOOD VESSEL UPPER EXTREMITY","0360","RC","Both",,,"6709","3354.5","Humana","Medicare Advantage",,,"54",,"3636.28","16.1","16596.62","percent of total billed charges",,
"REPAIR BLOOD VESSEL UPPER EXTREMITY","0360","RC","Both",,,"6709","3354.5","UHC","Medicare Advantage",,,"54",,"3636.28","16.1","16596.62","percent of total billed charges",,
"REPAIR BLOOD VESSEL UPPER EXTREMITY","0360","RC","Both",,,"6709","3354.5","Clover","Medicare Advantage",,,"54",,"3636.28","16.1","16596.62","percent of total billed charges",,
"REPAIR BLOOD VESSEL UPPER EXTREMITY","0360","RC","Both",,,"6709","3354.5","Wellcare","Medicare Advantage",,,"54",,"3636.28","16.1","16596.62","percent of total billed charges",,
"REPAIR BLOOD VESSEL UPPER EXTREMITY","0360","RC","Both",,,"6709","3354.5","Amerigroup","Medicaid Managed Care",,,"37",,"2455.49","16.1","16596.62","percent of total billed charges",,
"REPAIR BLOOD VESSEL UPPER EXTREMITY","0360","RC","Both",,,"6709","3354.5","Caresource","Medicaid Managed Care",,,"40",,"2683.6","16.1","16596.62","percent of total billed charges",,
"REPAIR BLOOD VESSEL UPPER EXTREMITY","0360","RC","Both",,,"6709","3354.5","Wellcare","Medicaid Managed Care",,,"40",,"2717.14","16.1","16596.62","percent of total billed charges",,
"REPAIR BLOOD VESSEL UPPER EXTREMITY","0360","RC","Both",,,"6709","3354.5","Aetna","Commercial",,,"64",,"4280.34","16.1","16596.62","percent of total billed charges",,
"REPAIR BLOOD VESSEL UPPER EXTREMITY","0360","RC","Both",,,"6709","3354.5","Blue Cross Blue Shield","Pathways",,,"71",,"4736.55","16.1","16596.62","percent of total billed charges",,
"REPAIR BLOOD VESSEL UPPER EXTREMITY","0360","RC","Both",,,"6709","3354.5","Blue Cross Blue Shield","HMO",,,"71",,"4736.55","16.1","16596.62","percent of total billed charges",,
"REPAIR BLOOD VESSEL UPPER EXTREMITY","0360","RC","Both",,,"6709","3354.5","Blue Cross Blue Shield","PPO",,,"71",,"4736.55","16.1","16596.62","percent of total billed charges",,
"REPAIR BLOOD VESSEL UPPER EXTREMITY","0360","RC","Both",,,"6709","3354.5","Ambetter","Health Exchange",,,"62",,"4159.58","16.1","16596.62","percent of total billed charges",,
"REPAIR BLOOD VESSEL UPPER EXTREMITY","0360","RC","Both",,,"6709","3354.5","Caresource","Health Exchange",,,"62",,"4159.58","16.1","16596.62","percent of total billed charges",,
"REPAIR BLOOD VESSEL UPPER EXTREMITY","0360","RC","Both",,,"6709","3354.5","Cigna","Commercial",,,"59",,"3931.47","16.1","16596.62","percent of total billed charges",,
"REPAIR BLOOD VESSEL UPPER EXTREMITY","0360","RC","Both",,,"6709","3354.5","Humana","Commercial",,,"78",,"5199.48","16.1","16596.62","percent of total billed charges",,
"REPAIR BLOOD VESSEL UPPER EXTREMITY","0360","RC","Both",,,"6709","3354.5","UHC","Commercial",,,"75",,"5058.59","16.1","16596.62","percent of total billed charges",,
"REPAIR BLOOD VESSEL UPPER EXTREMITY","0360","RC","Both",,,"6709","3354.5","Medicaid",,,,"37",,"2455.49","16.1","16596.62","percent of total billed charges",,
"EXPLORE POSTOP HEMORRHAGE; EXTREMITY","0360","RC","Both",,,"6709","3354.5","Alliant","Health Exchange",,,"62",,"4159.58","16.1","16596.62","percent of total billed charges",,
"EXPLORE POSTOP HEMORRHAGE; EXTREMITY","0360","RC","Both",,,"6709","3354.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3622.86","16.1","16596.62","percent of total billed charges",,
"EXPLORE POSTOP HEMORRHAGE; EXTREMITY","0360","RC","Both",,,"6709","3354.5","Medicare",,,,"54",,"3636.28","16.1","16596.62","percent of total billed charges",,
"EXPLORE POSTOP HEMORRHAGE; EXTREMITY","0360","RC","Both",,,"6709","3354.5","Humana","Medicare Advantage",,,"54",,"3636.28","16.1","16596.62","percent of total billed charges",,
"EXPLORE POSTOP HEMORRHAGE; EXTREMITY","0360","RC","Both",,,"6709","3354.5","UHC","Medicare Advantage",,,"54",,"3636.28","16.1","16596.62","percent of total billed charges",,
"EXPLORE POSTOP HEMORRHAGE; EXTREMITY","0360","RC","Both",,,"6709","3354.5","Clover","Medicare Advantage",,,"54",,"3636.28","16.1","16596.62","percent of total billed charges",,
"EXPLORE POSTOP HEMORRHAGE; EXTREMITY","0360","RC","Both",,,"6709","3354.5","Wellcare","Medicare Advantage",,,"54",,"3636.28","16.1","16596.62","percent of total billed charges",,
"EXPLORE POSTOP HEMORRHAGE; EXTREMITY","0360","RC","Both",,,"6709","3354.5","Amerigroup","Medicaid Managed Care",,,"37",,"2455.49","16.1","16596.62","percent of total billed charges",,
"EXPLORE POSTOP HEMORRHAGE; EXTREMITY","0360","RC","Both",,,"6709","3354.5","Caresource","Medicaid Managed Care",,,"40",,"2683.6","16.1","16596.62","percent of total billed charges",,
"EXPLORE POSTOP HEMORRHAGE; EXTREMITY","0360","RC","Both",,,"6709","3354.5","Wellcare","Medicaid Managed Care",,,"40",,"2717.14","16.1","16596.62","percent of total billed charges",,
"EXPLORE POSTOP HEMORRHAGE; EXTREMITY","0360","RC","Both",,,"6709","3354.5","Aetna","Commercial",,,"64",,"4280.34","16.1","16596.62","percent of total billed charges",,
"EXPLORE POSTOP HEMORRHAGE; EXTREMITY","0360","RC","Both",,,"6709","3354.5","Blue Cross Blue Shield","Pathways",,,"71",,"4736.55","16.1","16596.62","percent of total billed charges",,
"EXPLORE POSTOP HEMORRHAGE; EXTREMITY","0360","RC","Both",,,"6709","3354.5","Blue Cross Blue Shield","HMO",,,"71",,"4736.55","16.1","16596.62","percent of total billed charges",,
"EXPLORE POSTOP HEMORRHAGE; EXTREMITY","0360","RC","Both",,,"6709","3354.5","Blue Cross Blue Shield","PPO",,,"71",,"4736.55","16.1","16596.62","percent of total billed charges",,
"EXPLORE POSTOP HEMORRHAGE; EXTREMITY","0360","RC","Both",,,"6709","3354.5","Ambetter","Health Exchange",,,"62",,"4159.58","16.1","16596.62","percent of total billed charges",,
"EXPLORE POSTOP HEMORRHAGE; EXTREMITY","0360","RC","Both",,,"6709","3354.5","Caresource","Health Exchange",,,"62",,"4159.58","16.1","16596.62","percent of total billed charges",,
"EXPLORE POSTOP HEMORRHAGE; EXTREMITY","0360","RC","Both",,,"6709","3354.5","Cigna","Commercial",,,"59",,"3931.47","16.1","16596.62","percent of total billed charges",,
"EXPLORE POSTOP HEMORRHAGE; EXTREMITY","0360","RC","Both",,,"6709","3354.5","Humana","Commercial",,,"78",,"5199.48","16.1","16596.62","percent of total billed charges",,
"EXPLORE POSTOP HEMORRHAGE; EXTREMITY","0360","RC","Both",,,"6709","3354.5","UHC","Commercial",,,"75",,"5058.59","16.1","16596.62","percent of total billed charges",,
"EXPLORE POSTOP HEMORRHAGE; EXTREMITY","0360","RC","Both",,,"6709","3354.5","Medicaid",,,,"37",,"2455.49","16.1","16596.62","percent of total billed charges",,
"INSERTION TUNNELED CV ACCESS W/O PORT","0360","RC","Both",,,"5475.5","2737.75","Alliant","Health Exchange",,,"62",,"3394.81","16.1","16596.62","percent of total billed charges",,
"INSERTION TUNNELED CV ACCESS W/O PORT","0360","RC","Both",,,"5475.5","2737.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"2956.77","16.1","16596.62","percent of total billed charges",,
"INSERTION TUNNELED CV ACCESS W/O PORT","0360","RC","Both",,,"5475.5","2737.75","Medicare",,,,"54",,"2967.72","16.1","16596.62","percent of total billed charges",,
"INSERTION TUNNELED CV ACCESS W/O PORT","0360","RC","Both",,,"5475.5","2737.75","Humana","Medicare Advantage",,,"54",,"2967.72","16.1","16596.62","percent of total billed charges",,
"INSERTION TUNNELED CV ACCESS W/O PORT","0360","RC","Both",,,"5475.5","2737.75","UHC","Medicare Advantage",,,"54",,"2967.72","16.1","16596.62","percent of total billed charges",,
"INSERTION TUNNELED CV ACCESS W/O PORT","0360","RC","Both",,,"5475.5","2737.75","Clover","Medicare Advantage",,,"54",,"2967.72","16.1","16596.62","percent of total billed charges",,
"INSERTION TUNNELED CV ACCESS W/O PORT","0360","RC","Both",,,"5475.5","2737.75","Wellcare","Medicare Advantage",,,"54",,"2967.72","16.1","16596.62","percent of total billed charges",,
"INSERTION TUNNELED CV ACCESS W/O PORT","0360","RC","Both",,,"5475.5","2737.75","Amerigroup","Medicaid Managed Care",,,"37",,"2004.03","16.1","16596.62","percent of total billed charges",,
"INSERTION TUNNELED CV ACCESS W/O PORT","0360","RC","Both",,,"5475.5","2737.75","Caresource","Medicaid Managed Care",,,"40",,"2190.2","16.1","16596.62","percent of total billed charges",,
"INSERTION TUNNELED CV ACCESS W/O PORT","0360","RC","Both",,,"5475.5","2737.75","Wellcare","Medicaid Managed Care",,,"40",,"2217.58","16.1","16596.62","percent of total billed charges",,
"INSERTION TUNNELED CV ACCESS W/O PORT","0360","RC","Both",,,"5475.5","2737.75","Aetna","Commercial",,,"64",,"3493.37","16.1","16596.62","percent of total billed charges",,
"INSERTION TUNNELED CV ACCESS W/O PORT","0360","RC","Both",,,"5475.5","2737.75","Blue Cross Blue Shield","Pathways",,,"71",,"3865.7","16.1","16596.62","percent of total billed charges",,
"INSERTION TUNNELED CV ACCESS W/O PORT","0360","RC","Both",,,"5475.5","2737.75","Blue Cross Blue Shield","HMO",,,"71",,"3865.7","16.1","16596.62","percent of total billed charges",,
"INSERTION TUNNELED CV ACCESS W/O PORT","0360","RC","Both",,,"5475.5","2737.75","Blue Cross Blue Shield","PPO",,,"71",,"3865.7","16.1","16596.62","percent of total billed charges",,
"INSERTION TUNNELED CV ACCESS W/O PORT","0360","RC","Both",,,"5475.5","2737.75","Ambetter","Health Exchange",,,"62",,"3394.81","16.1","16596.62","percent of total billed charges",,
"INSERTION TUNNELED CV ACCESS W/O PORT","0360","RC","Both",,,"5475.5","2737.75","Caresource","Health Exchange",,,"62",,"3394.81","16.1","16596.62","percent of total billed charges",,
"INSERTION TUNNELED CV ACCESS W/O PORT","0360","RC","Both",,,"5475.5","2737.75","Cigna","Commercial",,,"59",,"3208.64","16.1","16596.62","percent of total billed charges",,
"INSERTION TUNNELED CV ACCESS W/O PORT","0360","RC","Both",,,"5475.5","2737.75","Humana","Commercial",,,"78",,"4243.51","16.1","16596.62","percent of total billed charges",,
"INSERTION TUNNELED CV ACCESS W/O PORT","0360","RC","Both",,,"5475.5","2737.75","UHC","Commercial",,,"75",,"4128.53","16.1","16596.62","percent of total billed charges",,
"INSERTION TUNNELED CV ACCESS W/O PORT","0360","RC","Both",,,"5475.5","2737.75","Medicaid",,,,"37",,"2004.03","16.1","16596.62","percent of total billed charges",,
"INSERTION PERIPHERAL CVCw/PORT AGE 5>","0360","RC","Both",,,"5475.5","2737.75","Alliant","Health Exchange",,,"62",,"3394.81","16.1","16596.62","percent of total billed charges",,
"INSERTION PERIPHERAL CVCw/PORT AGE 5>","0360","RC","Both",,,"5475.5","2737.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"2956.77","16.1","16596.62","percent of total billed charges",,
"INSERTION PERIPHERAL CVCw/PORT AGE 5>","0360","RC","Both",,,"5475.5","2737.75","Medicare",,,,"54",,"2967.72","16.1","16596.62","percent of total billed charges",,
"INSERTION PERIPHERAL CVCw/PORT AGE 5>","0360","RC","Both",,,"5475.5","2737.75","Humana","Medicare Advantage",,,"54",,"2967.72","16.1","16596.62","percent of total billed charges",,
"INSERTION PERIPHERAL CVCw/PORT AGE 5>","0360","RC","Both",,,"5475.5","2737.75","UHC","Medicare Advantage",,,"54",,"2967.72","16.1","16596.62","percent of total billed charges",,
"INSERTION PERIPHERAL CVCw/PORT AGE 5>","0360","RC","Both",,,"5475.5","2737.75","Clover","Medicare Advantage",,,"54",,"2967.72","16.1","16596.62","percent of total billed charges",,
"INSERTION PERIPHERAL CVCw/PORT AGE 5>","0360","RC","Both",,,"5475.5","2737.75","Wellcare","Medicare Advantage",,,"54",,"2967.72","16.1","16596.62","percent of total billed charges",,
"INSERTION PERIPHERAL CVCw/PORT AGE 5>","0360","RC","Both",,,"5475.5","2737.75","Amerigroup","Medicaid Managed Care",,,"37",,"2004.03","16.1","16596.62","percent of total billed charges",,
"INSERTION PERIPHERAL CVCw/PORT AGE 5>","0360","RC","Both",,,"5475.5","2737.75","Caresource","Medicaid Managed Care",,,"40",,"2190.2","16.1","16596.62","percent of total billed charges",,
"INSERTION PERIPHERAL CVCw/PORT AGE 5>","0360","RC","Both",,,"5475.5","2737.75","Wellcare","Medicaid Managed Care",,,"40",,"2217.58","16.1","16596.62","percent of total billed charges",,
"INSERTION PERIPHERAL CVCw/PORT AGE 5>","0360","RC","Both",,,"5475.5","2737.75","Aetna","Commercial",,,"64",,"3493.37","16.1","16596.62","percent of total billed charges",,
"INSERTION PERIPHERAL CVCw/PORT AGE 5>","0360","RC","Both",,,"5475.5","2737.75","Blue Cross Blue Shield","Pathways",,,"71",,"3865.7","16.1","16596.62","percent of total billed charges",,
"INSERTION PERIPHERAL CVCw/PORT AGE 5>","0360","RC","Both",,,"5475.5","2737.75","Blue Cross Blue Shield","HMO",,,"71",,"3865.7","16.1","16596.62","percent of total billed charges",,
"INSERTION PERIPHERAL CVCw/PORT AGE 5>","0360","RC","Both",,,"5475.5","2737.75","Blue Cross Blue Shield","PPO",,,"71",,"3865.7","16.1","16596.62","percent of total billed charges",,
"INSERTION PERIPHERAL CVCw/PORT AGE 5>","0360","RC","Both",,,"5475.5","2737.75","Ambetter","Health Exchange",,,"62",,"3394.81","16.1","16596.62","percent of total billed charges",,
"INSERTION PERIPHERAL CVCw/PORT AGE 5>","0360","RC","Both",,,"5475.5","2737.75","Caresource","Health Exchange",,,"62",,"3394.81","16.1","16596.62","percent of total billed charges",,
"INSERTION PERIPHERAL CVCw/PORT AGE 5>","0360","RC","Both",,,"5475.5","2737.75","Cigna","Commercial",,,"59",,"3208.64","16.1","16596.62","percent of total billed charges",,
"INSERTION PERIPHERAL CVCw/PORT AGE 5>","0360","RC","Both",,,"5475.5","2737.75","Humana","Commercial",,,"78",,"4243.51","16.1","16596.62","percent of total billed charges",,
"INSERTION PERIPHERAL CVCw/PORT AGE 5>","0360","RC","Both",,,"5475.5","2737.75","UHC","Commercial",,,"75",,"4128.53","16.1","16596.62","percent of total billed charges",,
"INSERTION PERIPHERAL CVCw/PORT AGE 5>","0360","RC","Both",,,"5475.5","2737.75","Medicaid",,,,"37",,"2004.03","16.1","16596.62","percent of total billed charges",,
"REPLACEMENT, COMPLETE, CVC W/SQ PORT","0360","RC","Both",,,"6954.5","3477.25","Alliant","Health Exchange",,,"62",,"4311.79","16.1","16596.62","percent of total billed charges",,
"REPLACEMENT, COMPLETE, CVC W/SQ PORT","0360","RC","Both",,,"6954.5","3477.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"3755.43","16.1","16596.62","percent of total billed charges",,
"REPLACEMENT, COMPLETE, CVC W/SQ PORT","0360","RC","Both",,,"6954.5","3477.25","Medicare",,,,"54",,"3769.34","16.1","16596.62","percent of total billed charges",,
"REPLACEMENT, COMPLETE, CVC W/SQ PORT","0360","RC","Both",,,"6954.5","3477.25","Humana","Medicare Advantage",,,"54",,"3769.34","16.1","16596.62","percent of total billed charges",,
"REPLACEMENT, COMPLETE, CVC W/SQ PORT","0360","RC","Both",,,"6954.5","3477.25","UHC","Medicare Advantage",,,"54",,"3769.34","16.1","16596.62","percent of total billed charges",,
"REPLACEMENT, COMPLETE, CVC W/SQ PORT","0360","RC","Both",,,"6954.5","3477.25","Clover","Medicare Advantage",,,"54",,"3769.34","16.1","16596.62","percent of total billed charges",,
"REPLACEMENT, COMPLETE, CVC W/SQ PORT","0360","RC","Both",,,"6954.5","3477.25","Wellcare","Medicare Advantage",,,"54",,"3769.34","16.1","16596.62","percent of total billed charges",,
"REPLACEMENT, COMPLETE, CVC W/SQ PORT","0360","RC","Both",,,"6954.5","3477.25","Amerigroup","Medicaid Managed Care",,,"37",,"2545.35","16.1","16596.62","percent of total billed charges",,
"REPLACEMENT, COMPLETE, CVC W/SQ PORT","0360","RC","Both",,,"6954.5","3477.25","Caresource","Medicaid Managed Care",,,"40",,"2781.8","16.1","16596.62","percent of total billed charges",,
"REPLACEMENT, COMPLETE, CVC W/SQ PORT","0360","RC","Both",,,"6954.5","3477.25","Wellcare","Medicaid Managed Care",,,"40",,"2816.57","16.1","16596.62","percent of total billed charges",,
"REPLACEMENT, COMPLETE, CVC W/SQ PORT","0360","RC","Both",,,"6954.5","3477.25","Aetna","Commercial",,,"64",,"4436.97","16.1","16596.62","percent of total billed charges",,
"REPLACEMENT, COMPLETE, CVC W/SQ PORT","0360","RC","Both",,,"6954.5","3477.25","Blue Cross Blue Shield","Pathways",,,"71",,"4909.88","16.1","16596.62","percent of total billed charges",,
"REPLACEMENT, COMPLETE, CVC W/SQ PORT","0360","RC","Both",,,"6954.5","3477.25","Blue Cross Blue Shield","HMO",,,"71",,"4909.88","16.1","16596.62","percent of total billed charges",,
"REPLACEMENT, COMPLETE, CVC W/SQ PORT","0360","RC","Both",,,"6954.5","3477.25","Blue Cross Blue Shield","PPO",,,"71",,"4909.88","16.1","16596.62","percent of total billed charges",,
"REPLACEMENT, COMPLETE, CVC W/SQ PORT","0360","RC","Both",,,"6954.5","3477.25","Ambetter","Health Exchange",,,"62",,"4311.79","16.1","16596.62","percent of total billed charges",,
"REPLACEMENT, COMPLETE, CVC W/SQ PORT","0360","RC","Both",,,"6954.5","3477.25","Caresource","Health Exchange",,,"62",,"4311.79","16.1","16596.62","percent of total billed charges",,
"REPLACEMENT, COMPLETE, CVC W/SQ PORT","0360","RC","Both",,,"6954.5","3477.25","Cigna","Commercial",,,"59",,"4075.34","16.1","16596.62","percent of total billed charges",,
"REPLACEMENT, COMPLETE, CVC W/SQ PORT","0360","RC","Both",,,"6954.5","3477.25","Humana","Commercial",,,"78",,"5389.74","16.1","16596.62","percent of total billed charges",,
"REPLACEMENT, COMPLETE, CVC W/SQ PORT","0360","RC","Both",,,"6954.5","3477.25","UHC","Commercial",,,"75",,"5243.69","16.1","16596.62","percent of total billed charges",,
"REPLACEMENT, COMPLETE, CVC W/SQ PORT","0360","RC","Both",,,"6954.5","3477.25","Medicaid",,,,"37",,"2545.35","16.1","16596.62","percent of total billed charges",,
"LIGATION OR BIOPSY TEMPORAL ARTERY","0360","RC","Both",,,"3502","1751","Alliant","Health Exchange",,,"62",,"2171.24","16.1","16596.62","percent of total billed charges",,
"LIGATION OR BIOPSY TEMPORAL ARTERY","0360","RC","Both",,,"3502","1751","Pruitt Healthcare","Medicare Advantage",,,"54",,"1891.08","16.1","16596.62","percent of total billed charges",,
"LIGATION OR BIOPSY TEMPORAL ARTERY","0360","RC","Both",,,"3502","1751","Medicare",,,,"54",,"1898.08","16.1","16596.62","percent of total billed charges",,
"LIGATION OR BIOPSY TEMPORAL ARTERY","0360","RC","Both",,,"3502","1751","Humana","Medicare Advantage",,,"54",,"1898.08","16.1","16596.62","percent of total billed charges",,
"LIGATION OR BIOPSY TEMPORAL ARTERY","0360","RC","Both",,,"3502","1751","UHC","Medicare Advantage",,,"54",,"1898.08","16.1","16596.62","percent of total billed charges",,
"LIGATION OR BIOPSY TEMPORAL ARTERY","0360","RC","Both",,,"3502","1751","Clover","Medicare Advantage",,,"54",,"1898.08","16.1","16596.62","percent of total billed charges",,
"LIGATION OR BIOPSY TEMPORAL ARTERY","0360","RC","Both",,,"3502","1751","Wellcare","Medicare Advantage",,,"54",,"1898.08","16.1","16596.62","percent of total billed charges",,
"LIGATION OR BIOPSY TEMPORAL ARTERY","0360","RC","Both",,,"3502","1751","Amerigroup","Medicaid Managed Care",,,"37",,"1281.73","16.1","16596.62","percent of total billed charges",,
"LIGATION OR BIOPSY TEMPORAL ARTERY","0360","RC","Both",,,"3502","1751","Caresource","Medicaid Managed Care",,,"40",,"1400.8","16.1","16596.62","percent of total billed charges",,
"LIGATION OR BIOPSY TEMPORAL ARTERY","0360","RC","Both",,,"3502","1751","Wellcare","Medicaid Managed Care",,,"40",,"1418.31","16.1","16596.62","percent of total billed charges",,
"LIGATION OR BIOPSY TEMPORAL ARTERY","0360","RC","Both",,,"3502","1751","Aetna","Commercial",,,"64",,"2234.28","16.1","16596.62","percent of total billed charges",,
"LIGATION OR BIOPSY TEMPORAL ARTERY","0360","RC","Both",,,"3502","1751","Blue Cross Blue Shield","Pathways",,,"71",,"2472.41","16.1","16596.62","percent of total billed charges",,
"LIGATION OR BIOPSY TEMPORAL ARTERY","0360","RC","Both",,,"3502","1751","Blue Cross Blue Shield","HMO",,,"71",,"2472.41","16.1","16596.62","percent of total billed charges",,
"LIGATION OR BIOPSY TEMPORAL ARTERY","0360","RC","Both",,,"3502","1751","Blue Cross Blue Shield","PPO",,,"71",,"2472.41","16.1","16596.62","percent of total billed charges",,
"LIGATION OR BIOPSY TEMPORAL ARTERY","0360","RC","Both",,,"3502","1751","Ambetter","Health Exchange",,,"62",,"2171.24","16.1","16596.62","percent of total billed charges",,
"LIGATION OR BIOPSY TEMPORAL ARTERY","0360","RC","Both",,,"3502","1751","Caresource","Health Exchange",,,"62",,"2171.24","16.1","16596.62","percent of total billed charges",,
"LIGATION OR BIOPSY TEMPORAL ARTERY","0360","RC","Both",,,"3502","1751","Cigna","Commercial",,,"59",,"2052.17","16.1","16596.62","percent of total billed charges",,
"LIGATION OR BIOPSY TEMPORAL ARTERY","0360","RC","Both",,,"3502","1751","Humana","Commercial",,,"78",,"2714.05","16.1","16596.62","percent of total billed charges",,
"LIGATION OR BIOPSY TEMPORAL ARTERY","0360","RC","Both",,,"3502","1751","UHC","Commercial",,,"75",,"2640.51","16.1","16596.62","percent of total billed charges",,
"LIGATION OR BIOPSY TEMPORAL ARTERY","0360","RC","Both",,,"3502","1751","Medicaid",,,,"37",,"1281.73","16.1","16596.62","percent of total billed charges",,
"BIOPSY OR EXCISION OF LYMPH NODE(S); OPE","0360","RC","Both",,,"5681.5","2840.75","Alliant","Health Exchange",,,"62",,"3522.53","16.1","16596.62","percent of total billed charges",,
"BIOPSY OR EXCISION OF LYMPH NODE(S); OPE","0360","RC","Both",,,"5681.5","2840.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"3068.01","16.1","16596.62","percent of total billed charges",,
"BIOPSY OR EXCISION OF LYMPH NODE(S); OPE","0360","RC","Both",,,"5681.5","2840.75","Medicare",,,,"54",,"3079.37","16.1","16596.62","percent of total billed charges",,
"BIOPSY OR EXCISION OF LYMPH NODE(S); OPE","0360","RC","Both",,,"5681.5","2840.75","Humana","Medicare Advantage",,,"54",,"3079.37","16.1","16596.62","percent of total billed charges",,
"BIOPSY OR EXCISION OF LYMPH NODE(S); OPE","0360","RC","Both",,,"5681.5","2840.75","UHC","Medicare Advantage",,,"54",,"3079.37","16.1","16596.62","percent of total billed charges",,
"BIOPSY OR EXCISION OF LYMPH NODE(S); OPE","0360","RC","Both",,,"5681.5","2840.75","Clover","Medicare Advantage",,,"54",,"3079.37","16.1","16596.62","percent of total billed charges",,
"BIOPSY OR EXCISION OF LYMPH NODE(S); OPE","0360","RC","Both",,,"5681.5","2840.75","Wellcare","Medicare Advantage",,,"54",,"3079.37","16.1","16596.62","percent of total billed charges",,
"BIOPSY OR EXCISION OF LYMPH NODE(S); OPE","0360","RC","Both",,,"5681.5","2840.75","Amerigroup","Medicaid Managed Care",,,"37",,"2079.43","16.1","16596.62","percent of total billed charges",,
"BIOPSY OR EXCISION OF LYMPH NODE(S); OPE","0360","RC","Both",,,"5681.5","2840.75","Caresource","Medicaid Managed Care",,,"40",,"2272.6","16.1","16596.62","percent of total billed charges",,
"BIOPSY OR EXCISION OF LYMPH NODE(S); OPE","0360","RC","Both",,,"5681.5","2840.75","Wellcare","Medicaid Managed Care",,,"40",,"2301.01","16.1","16596.62","percent of total billed charges",,
"BIOPSY OR EXCISION OF LYMPH NODE(S); OPE","0360","RC","Both",,,"5681.5","2840.75","Aetna","Commercial",,,"64",,"3624.8","16.1","16596.62","percent of total billed charges",,
"BIOPSY OR EXCISION OF LYMPH NODE(S); OPE","0360","RC","Both",,,"5681.5","2840.75","Blue Cross Blue Shield","Pathways",,,"71",,"4011.14","16.1","16596.62","percent of total billed charges",,
"BIOPSY OR EXCISION OF LYMPH NODE(S); OPE","0360","RC","Both",,,"5681.5","2840.75","Blue Cross Blue Shield","HMO",,,"71",,"4011.14","16.1","16596.62","percent of total billed charges",,
"BIOPSY OR EXCISION OF LYMPH NODE(S); OPE","0360","RC","Both",,,"5681.5","2840.75","Blue Cross Blue Shield","PPO",,,"71",,"4011.14","16.1","16596.62","percent of total billed charges",,
"BIOPSY OR EXCISION OF LYMPH NODE(S); OPE","0360","RC","Both",,,"5681.5","2840.75","Ambetter","Health Exchange",,,"62",,"3522.53","16.1","16596.62","percent of total billed charges",,
"BIOPSY OR EXCISION OF LYMPH NODE(S); OPE","0360","RC","Both",,,"5681.5","2840.75","Caresource","Health Exchange",,,"62",,"3522.53","16.1","16596.62","percent of total billed charges",,
"BIOPSY OR EXCISION OF LYMPH NODE(S); OPE","0360","RC","Both",,,"5681.5","2840.75","Cigna","Commercial",,,"59",,"3329.36","16.1","16596.62","percent of total billed charges",,
"BIOPSY OR EXCISION OF LYMPH NODE(S); OPE","0360","RC","Both",,,"5681.5","2840.75","Humana","Commercial",,,"78",,"4403.16","16.1","16596.62","percent of total billed charges",,
"BIOPSY OR EXCISION OF LYMPH NODE(S); OPE","0360","RC","Both",,,"5681.5","2840.75","UHC","Commercial",,,"75",,"4283.85","16.1","16596.62","percent of total billed charges",,
"BIOPSY OR EXCISION OF LYMPH NODE(S); OPE","0360","RC","Both",,,"5681.5","2840.75","Medicaid",,,,"37",,"2079.43","16.1","16596.62","percent of total billed charges",,
"BIOPSY OR EXCISION LYMPH NODE(S); OPEN D","0360","RC","Both",,,"5681.5","2840.75","Alliant","Health Exchange",,,"62",,"3522.53","16.1","16596.62","percent of total billed charges",,
"BIOPSY OR EXCISION LYMPH NODE(S); OPEN D","0360","RC","Both",,,"5681.5","2840.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"3068.01","16.1","16596.62","percent of total billed charges",,
"BIOPSY OR EXCISION LYMPH NODE(S); OPEN D","0360","RC","Both",,,"5681.5","2840.75","Medicare",,,,"54",,"3079.37","16.1","16596.62","percent of total billed charges",,
"BIOPSY OR EXCISION LYMPH NODE(S); OPEN D","0360","RC","Both",,,"5681.5","2840.75","Humana","Medicare Advantage",,,"54",,"3079.37","16.1","16596.62","percent of total billed charges",,
"BIOPSY OR EXCISION LYMPH NODE(S); OPEN D","0360","RC","Both",,,"5681.5","2840.75","UHC","Medicare Advantage",,,"54",,"3079.37","16.1","16596.62","percent of total billed charges",,
"BIOPSY OR EXCISION LYMPH NODE(S); OPEN D","0360","RC","Both",,,"5681.5","2840.75","Clover","Medicare Advantage",,,"54",,"3079.37","16.1","16596.62","percent of total billed charges",,
"BIOPSY OR EXCISION LYMPH NODE(S); OPEN D","0360","RC","Both",,,"5681.5","2840.75","Wellcare","Medicare Advantage",,,"54",,"3079.37","16.1","16596.62","percent of total billed charges",,
"BIOPSY OR EXCISION LYMPH NODE(S); OPEN D","0360","RC","Both",,,"5681.5","2840.75","Amerigroup","Medicaid Managed Care",,,"37",,"2079.43","16.1","16596.62","percent of total billed charges",,
"BIOPSY OR EXCISION LYMPH NODE(S); OPEN D","0360","RC","Both",,,"5681.5","2840.75","Caresource","Medicaid Managed Care",,,"40",,"2272.6","16.1","16596.62","percent of total billed charges",,
"BIOPSY OR EXCISION LYMPH NODE(S); OPEN D","0360","RC","Both",,,"5681.5","2840.75","Wellcare","Medicaid Managed Care",,,"40",,"2301.01","16.1","16596.62","percent of total billed charges",,
"BIOPSY OR EXCISION LYMPH NODE(S); OPEN D","0360","RC","Both",,,"5681.5","2840.75","Aetna","Commercial",,,"64",,"3624.8","16.1","16596.62","percent of total billed charges",,
"BIOPSY OR EXCISION LYMPH NODE(S); OPEN D","0360","RC","Both",,,"5681.5","2840.75","Blue Cross Blue Shield","Pathways",,,"71",,"4011.14","16.1","16596.62","percent of total billed charges",,
"BIOPSY OR EXCISION LYMPH NODE(S); OPEN D","0360","RC","Both",,,"5681.5","2840.75","Blue Cross Blue Shield","HMO",,,"71",,"4011.14","16.1","16596.62","percent of total billed charges",,
"BIOPSY OR EXCISION LYMPH NODE(S); OPEN D","0360","RC","Both",,,"5681.5","2840.75","Blue Cross Blue Shield","PPO",,,"71",,"4011.14","16.1","16596.62","percent of total billed charges",,
"BIOPSY OR EXCISION LYMPH NODE(S); OPEN D","0360","RC","Both",,,"5681.5","2840.75","Ambetter","Health Exchange",,,"62",,"3522.53","16.1","16596.62","percent of total billed charges",,
"BIOPSY OR EXCISION LYMPH NODE(S); OPEN D","0360","RC","Both",,,"5681.5","2840.75","Caresource","Health Exchange",,,"62",,"3522.53","16.1","16596.62","percent of total billed charges",,
"BIOPSY OR EXCISION LYMPH NODE(S); OPEN D","0360","RC","Both",,,"5681.5","2840.75","Cigna","Commercial",,,"59",,"3329.36","16.1","16596.62","percent of total billed charges",,
"BIOPSY OR EXCISION LYMPH NODE(S); OPEN D","0360","RC","Both",,,"5681.5","2840.75","Humana","Commercial",,,"78",,"4403.16","16.1","16596.62","percent of total billed charges",,
"BIOPSY OR EXCISION LYMPH NODE(S); OPEN D","0360","RC","Both",,,"5681.5","2840.75","UHC","Commercial",,,"75",,"4283.85","16.1","16596.62","percent of total billed charges",,
"BIOPSY OR EXCISION LYMPH NODE(S); OPEN D","0360","RC","Both",,,"5681.5","2840.75","Medicaid",,,,"37",,"2079.43","16.1","16596.62","percent of total billed charges",,
"BIOPSY/EXCISION LYMPH NODE AXILLARY","0360","RC","Both",,,"5681.5","2840.75","Alliant","Health Exchange",,,"62",,"3522.53","16.1","16596.62","percent of total billed charges",,
"BIOPSY/EXCISION LYMPH NODE AXILLARY","0360","RC","Both",,,"5681.5","2840.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"3068.01","16.1","16596.62","percent of total billed charges",,
"BIOPSY/EXCISION LYMPH NODE AXILLARY","0360","RC","Both",,,"5681.5","2840.75","Medicare",,,,"54",,"3079.37","16.1","16596.62","percent of total billed charges",,
"BIOPSY/EXCISION LYMPH NODE AXILLARY","0360","RC","Both",,,"5681.5","2840.75","Humana","Medicare Advantage",,,"54",,"3079.37","16.1","16596.62","percent of total billed charges",,
"BIOPSY/EXCISION LYMPH NODE AXILLARY","0360","RC","Both",,,"5681.5","2840.75","UHC","Medicare Advantage",,,"54",,"3079.37","16.1","16596.62","percent of total billed charges",,
"BIOPSY/EXCISION LYMPH NODE AXILLARY","0360","RC","Both",,,"5681.5","2840.75","Clover","Medicare Advantage",,,"54",,"3079.37","16.1","16596.62","percent of total billed charges",,
"BIOPSY/EXCISION LYMPH NODE AXILLARY","0360","RC","Both",,,"5681.5","2840.75","Wellcare","Medicare Advantage",,,"54",,"3079.37","16.1","16596.62","percent of total billed charges",,
"BIOPSY/EXCISION LYMPH NODE AXILLARY","0360","RC","Both",,,"5681.5","2840.75","Amerigroup","Medicaid Managed Care",,,"37",,"2079.43","16.1","16596.62","percent of total billed charges",,
"BIOPSY/EXCISION LYMPH NODE AXILLARY","0360","RC","Both",,,"5681.5","2840.75","Caresource","Medicaid Managed Care",,,"40",,"2272.6","16.1","16596.62","percent of total billed charges",,
"BIOPSY/EXCISION LYMPH NODE AXILLARY","0360","RC","Both",,,"5681.5","2840.75","Wellcare","Medicaid Managed Care",,,"40",,"2301.01","16.1","16596.62","percent of total billed charges",,
"BIOPSY/EXCISION LYMPH NODE AXILLARY","0360","RC","Both",,,"5681.5","2840.75","Aetna","Commercial",,,"64",,"3624.8","16.1","16596.62","percent of total billed charges",,
"BIOPSY/EXCISION LYMPH NODE AXILLARY","0360","RC","Both",,,"5681.5","2840.75","Blue Cross Blue Shield","Pathways",,,"71",,"4011.14","16.1","16596.62","percent of total billed charges",,
"BIOPSY/EXCISION LYMPH NODE AXILLARY","0360","RC","Both",,,"5681.5","2840.75","Blue Cross Blue Shield","HMO",,,"71",,"4011.14","16.1","16596.62","percent of total billed charges",,
"BIOPSY/EXCISION LYMPH NODE AXILLARY","0360","RC","Both",,,"5681.5","2840.75","Blue Cross Blue Shield","PPO",,,"71",,"4011.14","16.1","16596.62","percent of total billed charges",,
"BIOPSY/EXCISION LYMPH NODE AXILLARY","0360","RC","Both",,,"5681.5","2840.75","Ambetter","Health Exchange",,,"62",,"3522.53","16.1","16596.62","percent of total billed charges",,
"BIOPSY/EXCISION LYMPH NODE AXILLARY","0360","RC","Both",,,"5681.5","2840.75","Caresource","Health Exchange",,,"62",,"3522.53","16.1","16596.62","percent of total billed charges",,
"BIOPSY/EXCISION LYMPH NODE AXILLARY","0360","RC","Both",,,"5681.5","2840.75","Cigna","Commercial",,,"59",,"3329.36","16.1","16596.62","percent of total billed charges",,
"BIOPSY/EXCISION LYMPH NODE AXILLARY","0360","RC","Both",,,"5681.5","2840.75","Humana","Commercial",,,"78",,"4403.16","16.1","16596.62","percent of total billed charges",,
"BIOPSY/EXCISION LYMPH NODE AXILLARY","0360","RC","Both",,,"5681.5","2840.75","UHC","Commercial",,,"75",,"4283.85","16.1","16596.62","percent of total billed charges",,
"BIOPSY/EXCISION LYMPH NODE AXILLARY","0360","RC","Both",,,"5681.5","2840.75","Medicaid",,,,"37",,"2079.43","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE ABSCESS PERITONEAL","0360","RC","Both",,,"815","407.5","Alliant","Health Exchange",,,"62",,"505.3","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE ABSCESS PERITONEAL","0360","RC","Both",,,"815","407.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"440.1","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE ABSCESS PERITONEAL","0360","RC","Both",,,"815","407.5","Medicare",,,,"54",,"441.73","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE ABSCESS PERITONEAL","0360","RC","Both",,,"815","407.5","Humana","Medicare Advantage",,,"54",,"441.73","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE ABSCESS PERITONEAL","0360","RC","Both",,,"815","407.5","UHC","Medicare Advantage",,,"54",,"441.73","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE ABSCESS PERITONEAL","0360","RC","Both",,,"815","407.5","Clover","Medicare Advantage",,,"54",,"441.73","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE ABSCESS PERITONEAL","0360","RC","Both",,,"815","407.5","Wellcare","Medicare Advantage",,,"54",,"441.73","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE ABSCESS PERITONEAL","0360","RC","Both",,,"815","407.5","Amerigroup","Medicaid Managed Care",,,"37",,"298.29","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE ABSCESS PERITONEAL","0360","RC","Both",,,"815","407.5","Caresource","Medicaid Managed Care",,,"40",,"326","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE ABSCESS PERITONEAL","0360","RC","Both",,,"815","407.5","Wellcare","Medicaid Managed Care",,,"40",,"330.08","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE ABSCESS PERITONEAL","0360","RC","Both",,,"815","407.5","Aetna","Commercial",,,"64",,"519.97","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE ABSCESS PERITONEAL","0360","RC","Both",,,"815","407.5","Blue Cross Blue Shield","Pathways",,,"71",,"575.39","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE ABSCESS PERITONEAL","0360","RC","Both",,,"815","407.5","Blue Cross Blue Shield","HMO",,,"71",,"575.39","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE ABSCESS PERITONEAL","0360","RC","Both",,,"815","407.5","Blue Cross Blue Shield","PPO",,,"71",,"575.39","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE ABSCESS PERITONEAL","0360","RC","Both",,,"815","407.5","Ambetter","Health Exchange",,,"62",,"505.3","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE ABSCESS PERITONEAL","0360","RC","Both",,,"815","407.5","Caresource","Health Exchange",,,"62",,"505.3","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE ABSCESS PERITONEAL","0360","RC","Both",,,"815","407.5","Cigna","Commercial",,,"59",,"477.59","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE ABSCESS PERITONEAL","0360","RC","Both",,,"815","407.5","Humana","Commercial",,,"78",,"631.62","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE ABSCESS PERITONEAL","0360","RC","Both",,,"815","407.5","UHC","Commercial",,,"75",,"614.51","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE ABSCESS PERITONEAL","0360","RC","Both",,,"815","407.5","Medicaid",,,,"37",,"298.29","16.1","16596.62","percent of total billed charges",,
"TONSILLECTOMY & ADENOIDECTOMY; < AGE 12","0360","RC","Both",,,"5617.5","2808.75","Alliant","Health Exchange",,,"62",,"3482.85","16.1","16596.62","percent of total billed charges",,
"TONSILLECTOMY & ADENOIDECTOMY; < AGE 12","0360","RC","Both",,,"5617.5","2808.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"3033.45","16.1","16596.62","percent of total billed charges",,
"TONSILLECTOMY & ADENOIDECTOMY; < AGE 12","0360","RC","Both",,,"5617.5","2808.75","Medicare",,,,"54",,"3044.69","16.1","16596.62","percent of total billed charges",,
"TONSILLECTOMY & ADENOIDECTOMY; < AGE 12","0360","RC","Both",,,"5617.5","2808.75","Humana","Medicare Advantage",,,"54",,"3044.69","16.1","16596.62","percent of total billed charges",,
"TONSILLECTOMY & ADENOIDECTOMY; < AGE 12","0360","RC","Both",,,"5617.5","2808.75","UHC","Medicare Advantage",,,"54",,"3044.69","16.1","16596.62","percent of total billed charges",,
"TONSILLECTOMY & ADENOIDECTOMY; < AGE 12","0360","RC","Both",,,"5617.5","2808.75","Clover","Medicare Advantage",,,"54",,"3044.69","16.1","16596.62","percent of total billed charges",,
"TONSILLECTOMY & ADENOIDECTOMY; < AGE 12","0360","RC","Both",,,"5617.5","2808.75","Wellcare","Medicare Advantage",,,"54",,"3044.69","16.1","16596.62","percent of total billed charges",,
"TONSILLECTOMY & ADENOIDECTOMY; < AGE 12","0360","RC","Both",,,"5617.5","2808.75","Amerigroup","Medicaid Managed Care",,,"37",,"2056","16.1","16596.62","percent of total billed charges",,
"TONSILLECTOMY & ADENOIDECTOMY; < AGE 12","0360","RC","Both",,,"5617.5","2808.75","Caresource","Medicaid Managed Care",,,"40",,"2247","16.1","16596.62","percent of total billed charges",,
"TONSILLECTOMY & ADENOIDECTOMY; < AGE 12","0360","RC","Both",,,"5617.5","2808.75","Wellcare","Medicaid Managed Care",,,"40",,"2275.09","16.1","16596.62","percent of total billed charges",,
"TONSILLECTOMY & ADENOIDECTOMY; < AGE 12","0360","RC","Both",,,"5617.5","2808.75","Aetna","Commercial",,,"64",,"3583.96","16.1","16596.62","percent of total billed charges",,
"TONSILLECTOMY & ADENOIDECTOMY; < AGE 12","0360","RC","Both",,,"5617.5","2808.75","Blue Cross Blue Shield","Pathways",,,"71",,"3965.96","16.1","16596.62","percent of total billed charges",,
"TONSILLECTOMY & ADENOIDECTOMY; < AGE 12","0360","RC","Both",,,"5617.5","2808.75","Blue Cross Blue Shield","HMO",,,"71",,"3965.96","16.1","16596.62","percent of total billed charges",,
"TONSILLECTOMY & ADENOIDECTOMY; < AGE 12","0360","RC","Both",,,"5617.5","2808.75","Blue Cross Blue Shield","PPO",,,"71",,"3965.96","16.1","16596.62","percent of total billed charges",,
"TONSILLECTOMY & ADENOIDECTOMY; < AGE 12","0360","RC","Both",,,"5617.5","2808.75","Ambetter","Health Exchange",,,"62",,"3482.85","16.1","16596.62","percent of total billed charges",,
"TONSILLECTOMY & ADENOIDECTOMY; < AGE 12","0360","RC","Both",,,"5617.5","2808.75","Caresource","Health Exchange",,,"62",,"3482.85","16.1","16596.62","percent of total billed charges",,
"TONSILLECTOMY & ADENOIDECTOMY; < AGE 12","0360","RC","Both",,,"5617.5","2808.75","Cigna","Commercial",,,"59",,"3291.86","16.1","16596.62","percent of total billed charges",,
"TONSILLECTOMY & ADENOIDECTOMY; < AGE 12","0360","RC","Both",,,"5617.5","2808.75","Humana","Commercial",,,"78",,"4353.56","16.1","16596.62","percent of total billed charges",,
"TONSILLECTOMY & ADENOIDECTOMY; < AGE 12","0360","RC","Both",,,"5617.5","2808.75","UHC","Commercial",,,"75",,"4235.6","16.1","16596.62","percent of total billed charges",,
"TONSILLECTOMY & ADENOIDECTOMY; < AGE 12","0360","RC","Both",,,"5617.5","2808.75","Medicaid",,,,"37",,"2056","16.1","16596.62","percent of total billed charges",,
"TONSILLECTOMY & ADENOIDECTOMY; > AGE 12","0360","RC","Both",,,"5617.5","2808.75","Alliant","Health Exchange",,,"62",,"3482.85","16.1","16596.62","percent of total billed charges",,
"TONSILLECTOMY & ADENOIDECTOMY; > AGE 12","0360","RC","Both",,,"5617.5","2808.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"3033.45","16.1","16596.62","percent of total billed charges",,
"TONSILLECTOMY & ADENOIDECTOMY; > AGE 12","0360","RC","Both",,,"5617.5","2808.75","Medicare",,,,"54",,"3044.69","16.1","16596.62","percent of total billed charges",,
"TONSILLECTOMY & ADENOIDECTOMY; > AGE 12","0360","RC","Both",,,"5617.5","2808.75","Humana","Medicare Advantage",,,"54",,"3044.69","16.1","16596.62","percent of total billed charges",,
"TONSILLECTOMY & ADENOIDECTOMY; > AGE 12","0360","RC","Both",,,"5617.5","2808.75","UHC","Medicare Advantage",,,"54",,"3044.69","16.1","16596.62","percent of total billed charges",,
"TONSILLECTOMY & ADENOIDECTOMY; > AGE 12","0360","RC","Both",,,"5617.5","2808.75","Clover","Medicare Advantage",,,"54",,"3044.69","16.1","16596.62","percent of total billed charges",,
"TONSILLECTOMY & ADENOIDECTOMY; > AGE 12","0360","RC","Both",,,"5617.5","2808.75","Wellcare","Medicare Advantage",,,"54",,"3044.69","16.1","16596.62","percent of total billed charges",,
"TONSILLECTOMY & ADENOIDECTOMY; > AGE 12","0360","RC","Both",,,"5617.5","2808.75","Amerigroup","Medicaid Managed Care",,,"37",,"2056","16.1","16596.62","percent of total billed charges",,
"TONSILLECTOMY & ADENOIDECTOMY; > AGE 12","0360","RC","Both",,,"5617.5","2808.75","Caresource","Medicaid Managed Care",,,"40",,"2247","16.1","16596.62","percent of total billed charges",,
"TONSILLECTOMY & ADENOIDECTOMY; > AGE 12","0360","RC","Both",,,"5617.5","2808.75","Wellcare","Medicaid Managed Care",,,"40",,"2275.09","16.1","16596.62","percent of total billed charges",,
"TONSILLECTOMY & ADENOIDECTOMY; > AGE 12","0360","RC","Both",,,"5617.5","2808.75","Aetna","Commercial",,,"64",,"3583.96","16.1","16596.62","percent of total billed charges",,
"TONSILLECTOMY & ADENOIDECTOMY; > AGE 12","0360","RC","Both",,,"5617.5","2808.75","Blue Cross Blue Shield","Pathways",,,"71",,"3965.96","16.1","16596.62","percent of total billed charges",,
"TONSILLECTOMY & ADENOIDECTOMY; > AGE 12","0360","RC","Both",,,"5617.5","2808.75","Blue Cross Blue Shield","HMO",,,"71",,"3965.96","16.1","16596.62","percent of total billed charges",,
"TONSILLECTOMY & ADENOIDECTOMY; > AGE 12","0360","RC","Both",,,"5617.5","2808.75","Blue Cross Blue Shield","PPO",,,"71",,"3965.96","16.1","16596.62","percent of total billed charges",,
"TONSILLECTOMY & ADENOIDECTOMY; > AGE 12","0360","RC","Both",,,"5617.5","2808.75","Ambetter","Health Exchange",,,"62",,"3482.85","16.1","16596.62","percent of total billed charges",,
"TONSILLECTOMY & ADENOIDECTOMY; > AGE 12","0360","RC","Both",,,"5617.5","2808.75","Caresource","Health Exchange",,,"62",,"3482.85","16.1","16596.62","percent of total billed charges",,
"TONSILLECTOMY & ADENOIDECTOMY; > AGE 12","0360","RC","Both",,,"5617.5","2808.75","Cigna","Commercial",,,"59",,"3291.86","16.1","16596.62","percent of total billed charges",,
"TONSILLECTOMY & ADENOIDECTOMY; > AGE 12","0360","RC","Both",,,"5617.5","2808.75","Humana","Commercial",,,"78",,"4353.56","16.1","16596.62","percent of total billed charges",,
"TONSILLECTOMY & ADENOIDECTOMY; > AGE 12","0360","RC","Both",,,"5617.5","2808.75","UHC","Commercial",,,"75",,"4235.6","16.1","16596.62","percent of total billed charges",,
"TONSILLECTOMY & ADENOIDECTOMY; > AGE 12","0360","RC","Both",,,"5617.5","2808.75","Medicaid",,,,"37",,"2056","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY RIGID W BALLOON","0360","RC","Both",,,"3324.5","1662.25","Alliant","Health Exchange",,,"62",,"2061.19","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY RIGID W BALLOON","0360","RC","Both",,,"3324.5","1662.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"1795.23","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY RIGID W BALLOON","0360","RC","Both",,,"3324.5","1662.25","Medicare",,,,"54",,"1801.88","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY RIGID W BALLOON","0360","RC","Both",,,"3324.5","1662.25","Humana","Medicare Advantage",,,"54",,"1801.88","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY RIGID W BALLOON","0360","RC","Both",,,"3324.5","1662.25","UHC","Medicare Advantage",,,"54",,"1801.88","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY RIGID W BALLOON","0360","RC","Both",,,"3324.5","1662.25","Clover","Medicare Advantage",,,"54",,"1801.88","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY RIGID W BALLOON","0360","RC","Both",,,"3324.5","1662.25","Wellcare","Medicare Advantage",,,"54",,"1801.88","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY RIGID W BALLOON","0360","RC","Both",,,"3324.5","1662.25","Amerigroup","Medicaid Managed Care",,,"37",,"1216.77","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY RIGID W BALLOON","0360","RC","Both",,,"3324.5","1662.25","Caresource","Medicaid Managed Care",,,"40",,"1329.8","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY RIGID W BALLOON","0360","RC","Both",,,"3324.5","1662.25","Wellcare","Medicaid Managed Care",,,"40",,"1346.42","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY RIGID W BALLOON","0360","RC","Both",,,"3324.5","1662.25","Aetna","Commercial",,,"64",,"2121.03","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY RIGID W BALLOON","0360","RC","Both",,,"3324.5","1662.25","Blue Cross Blue Shield","Pathways",,,"71",,"2347.1","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY RIGID W BALLOON","0360","RC","Both",,,"3324.5","1662.25","Blue Cross Blue Shield","HMO",,,"71",,"2347.1","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY RIGID W BALLOON","0360","RC","Both",,,"3324.5","1662.25","Blue Cross Blue Shield","PPO",,,"71",,"2347.1","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY RIGID W BALLOON","0360","RC","Both",,,"3324.5","1662.25","Ambetter","Health Exchange",,,"62",,"2061.19","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY RIGID W BALLOON","0360","RC","Both",,,"3324.5","1662.25","Caresource","Health Exchange",,,"62",,"2061.19","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY RIGID W BALLOON","0360","RC","Both",,,"3324.5","1662.25","Cigna","Commercial",,,"59",,"1948.16","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY RIGID W BALLOON","0360","RC","Both",,,"3324.5","1662.25","Humana","Commercial",,,"78",,"2576.49","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY RIGID W BALLOON","0360","RC","Both",,,"3324.5","1662.25","UHC","Commercial",,,"75",,"2506.67","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY RIGID W BALLOON","0360","RC","Both",,,"3324.5","1662.25","Medicaid",,,,"37",,"1216.77","16.1","16596.62","percent of total billed charges",,
"UGI W/BALLOON DILATION OF ESOPHAGUS","0360","RC","Both",,,"1736","868","Alliant","Health Exchange",,,"62",,"1076.32","16.1","16596.62","percent of total billed charges",,
"UGI W/BALLOON DILATION OF ESOPHAGUS","0360","RC","Both",,,"1736","868","Pruitt Healthcare","Medicare Advantage",,,"54",,"937.44","16.1","16596.62","percent of total billed charges",,
"UGI W/BALLOON DILATION OF ESOPHAGUS","0360","RC","Both",,,"1736","868","Medicare",,,,"54",,"940.91","16.1","16596.62","percent of total billed charges",,
"UGI W/BALLOON DILATION OF ESOPHAGUS","0360","RC","Both",,,"1736","868","Humana","Medicare Advantage",,,"54",,"940.91","16.1","16596.62","percent of total billed charges",,
"UGI W/BALLOON DILATION OF ESOPHAGUS","0360","RC","Both",,,"1736","868","UHC","Medicare Advantage",,,"54",,"940.91","16.1","16596.62","percent of total billed charges",,
"UGI W/BALLOON DILATION OF ESOPHAGUS","0360","RC","Both",,,"1736","868","Clover","Medicare Advantage",,,"54",,"940.91","16.1","16596.62","percent of total billed charges",,
"UGI W/BALLOON DILATION OF ESOPHAGUS","0360","RC","Both",,,"1736","868","Wellcare","Medicare Advantage",,,"54",,"940.91","16.1","16596.62","percent of total billed charges",,
"UGI W/BALLOON DILATION OF ESOPHAGUS","0360","RC","Both",,,"1736","868","Amerigroup","Medicaid Managed Care",,,"37",,"635.38","16.1","16596.62","percent of total billed charges",,
"UGI W/BALLOON DILATION OF ESOPHAGUS","0360","RC","Both",,,"1736","868","Caresource","Medicaid Managed Care",,,"40",,"694.4","16.1","16596.62","percent of total billed charges",,
"UGI W/BALLOON DILATION OF ESOPHAGUS","0360","RC","Both",,,"1736","868","Wellcare","Medicaid Managed Care",,,"40",,"703.08","16.1","16596.62","percent of total billed charges",,
"UGI W/BALLOON DILATION OF ESOPHAGUS","0360","RC","Both",,,"1736","868","Aetna","Commercial",,,"64",,"1107.57","16.1","16596.62","percent of total billed charges",,
"UGI W/BALLOON DILATION OF ESOPHAGUS","0360","RC","Both",,,"1736","868","Blue Cross Blue Shield","Pathways",,,"71",,"1225.62","16.1","16596.62","percent of total billed charges",,
"UGI W/BALLOON DILATION OF ESOPHAGUS","0360","RC","Both",,,"1736","868","Blue Cross Blue Shield","HMO",,,"71",,"1225.62","16.1","16596.62","percent of total billed charges",,
"UGI W/BALLOON DILATION OF ESOPHAGUS","0360","RC","Both",,,"1736","868","Blue Cross Blue Shield","PPO",,,"71",,"1225.62","16.1","16596.62","percent of total billed charges",,
"UGI W/BALLOON DILATION OF ESOPHAGUS","0360","RC","Both",,,"1736","868","Ambetter","Health Exchange",,,"62",,"1076.32","16.1","16596.62","percent of total billed charges",,
"UGI W/BALLOON DILATION OF ESOPHAGUS","0360","RC","Both",,,"1736","868","Caresource","Health Exchange",,,"62",,"1076.32","16.1","16596.62","percent of total billed charges",,
"UGI W/BALLOON DILATION OF ESOPHAGUS","0360","RC","Both",,,"1736","868","Cigna","Commercial",,,"59",,"1017.3","16.1","16596.62","percent of total billed charges",,
"UGI W/BALLOON DILATION OF ESOPHAGUS","0360","RC","Both",,,"1736","868","Humana","Commercial",,,"78",,"1345.4","16.1","16596.62","percent of total billed charges",,
"UGI W/BALLOON DILATION OF ESOPHAGUS","0360","RC","Both",,,"1736","868","UHC","Commercial",,,"75",,"1308.94","16.1","16596.62","percent of total billed charges",,
"UGI W/BALLOON DILATION OF ESOPHAGUS","0360","RC","Both",,,"1736","868","Medicaid",,,,"37",,"635.38","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY W/ABALATION","0360","RC","Both",,,"2893","1446.5","Alliant","Health Exchange",,,"62",,"1793.66","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY W/ABALATION","0360","RC","Both",,,"2893","1446.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1562.22","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY W/ABALATION","0360","RC","Both",,,"2893","1446.5","Medicare",,,,"54",,"1568.01","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY W/ABALATION","0360","RC","Both",,,"2893","1446.5","Humana","Medicare Advantage",,,"54",,"1568.01","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY W/ABALATION","0360","RC","Both",,,"2893","1446.5","UHC","Medicare Advantage",,,"54",,"1568.01","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY W/ABALATION","0360","RC","Both",,,"2893","1446.5","Clover","Medicare Advantage",,,"54",,"1568.01","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY W/ABALATION","0360","RC","Both",,,"2893","1446.5","Wellcare","Medicare Advantage",,,"54",,"1568.01","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY W/ABALATION","0360","RC","Both",,,"2893","1446.5","Amerigroup","Medicaid Managed Care",,,"37",,"1058.84","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY W/ABALATION","0360","RC","Both",,,"2893","1446.5","Caresource","Medicaid Managed Care",,,"40",,"1157.2","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY W/ABALATION","0360","RC","Both",,,"2893","1446.5","Wellcare","Medicaid Managed Care",,,"40",,"1171.66","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY W/ABALATION","0360","RC","Both",,,"2893","1446.5","Aetna","Commercial",,,"64",,"1845.73","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY W/ABALATION","0360","RC","Both",,,"2893","1446.5","Blue Cross Blue Shield","Pathways",,,"71",,"2042.46","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY W/ABALATION","0360","RC","Both",,,"2893","1446.5","Blue Cross Blue Shield","HMO",,,"71",,"2042.46","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY W/ABALATION","0360","RC","Both",,,"2893","1446.5","Blue Cross Blue Shield","PPO",,,"71",,"2042.46","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY W/ABALATION","0360","RC","Both",,,"2893","1446.5","Ambetter","Health Exchange",,,"62",,"1793.66","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY W/ABALATION","0360","RC","Both",,,"2893","1446.5","Caresource","Health Exchange",,,"62",,"1793.66","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY W/ABALATION","0360","RC","Both",,,"2893","1446.5","Cigna","Commercial",,,"59",,"1695.3","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY W/ABALATION","0360","RC","Both",,,"2893","1446.5","Humana","Commercial",,,"78",,"2242.08","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY W/ABALATION","0360","RC","Both",,,"2893","1446.5","UHC","Commercial",,,"75",,"2181.32","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY W/ABALATION","0360","RC","Both",,,"2893","1446.5","Medicaid",,,,"37",,"1058.84","16.1","16596.62","percent of total billed charges",,
"DILATION OF ESOPHAGUS BALLOON  30mm DIAM","0360","RC","Both",,,"2893","1446.5","Alliant","Health Exchange",,,"62",,"1793.66","16.1","16596.62","percent of total billed charges",,
"DILATION OF ESOPHAGUS BALLOON  30mm DIAM","0360","RC","Both",,,"2893","1446.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1562.22","16.1","16596.62","percent of total billed charges",,
"DILATION OF ESOPHAGUS BALLOON  30mm DIAM","0360","RC","Both",,,"2893","1446.5","Medicare",,,,"54",,"1568.01","16.1","16596.62","percent of total billed charges",,
"DILATION OF ESOPHAGUS BALLOON  30mm DIAM","0360","RC","Both",,,"2893","1446.5","Humana","Medicare Advantage",,,"54",,"1568.01","16.1","16596.62","percent of total billed charges",,
"DILATION OF ESOPHAGUS BALLOON  30mm DIAM","0360","RC","Both",,,"2893","1446.5","UHC","Medicare Advantage",,,"54",,"1568.01","16.1","16596.62","percent of total billed charges",,
"DILATION OF ESOPHAGUS BALLOON  30mm DIAM","0360","RC","Both",,,"2893","1446.5","Clover","Medicare Advantage",,,"54",,"1568.01","16.1","16596.62","percent of total billed charges",,
"DILATION OF ESOPHAGUS BALLOON  30mm DIAM","0360","RC","Both",,,"2893","1446.5","Wellcare","Medicare Advantage",,,"54",,"1568.01","16.1","16596.62","percent of total billed charges",,
"DILATION OF ESOPHAGUS BALLOON  30mm DIAM","0360","RC","Both",,,"2893","1446.5","Amerigroup","Medicaid Managed Care",,,"37",,"1058.84","16.1","16596.62","percent of total billed charges",,
"DILATION OF ESOPHAGUS BALLOON  30mm DIAM","0360","RC","Both",,,"2893","1446.5","Caresource","Medicaid Managed Care",,,"40",,"1157.2","16.1","16596.62","percent of total billed charges",,
"DILATION OF ESOPHAGUS BALLOON  30mm DIAM","0360","RC","Both",,,"2893","1446.5","Wellcare","Medicaid Managed Care",,,"40",,"1171.66","16.1","16596.62","percent of total billed charges",,
"DILATION OF ESOPHAGUS BALLOON  30mm DIAM","0360","RC","Both",,,"2893","1446.5","Aetna","Commercial",,,"64",,"1845.73","16.1","16596.62","percent of total billed charges",,
"DILATION OF ESOPHAGUS BALLOON  30mm DIAM","0360","RC","Both",,,"2893","1446.5","Blue Cross Blue Shield","Pathways",,,"71",,"2042.46","16.1","16596.62","percent of total billed charges",,
"DILATION OF ESOPHAGUS BALLOON  30mm DIAM","0360","RC","Both",,,"2893","1446.5","Blue Cross Blue Shield","HMO",,,"71",,"2042.46","16.1","16596.62","percent of total billed charges",,
"DILATION OF ESOPHAGUS BALLOON  30mm DIAM","0360","RC","Both",,,"2893","1446.5","Blue Cross Blue Shield","PPO",,,"71",,"2042.46","16.1","16596.62","percent of total billed charges",,
"DILATION OF ESOPHAGUS BALLOON  30mm DIAM","0360","RC","Both",,,"2893","1446.5","Ambetter","Health Exchange",,,"62",,"1793.66","16.1","16596.62","percent of total billed charges",,
"DILATION OF ESOPHAGUS BALLOON  30mm DIAM","0360","RC","Both",,,"2893","1446.5","Caresource","Health Exchange",,,"62",,"1793.66","16.1","16596.62","percent of total billed charges",,
"DILATION OF ESOPHAGUS BALLOON  30mm DIAM","0360","RC","Both",,,"2893","1446.5","Cigna","Commercial",,,"59",,"1695.3","16.1","16596.62","percent of total billed charges",,
"DILATION OF ESOPHAGUS BALLOON  30mm DIAM","0360","RC","Both",,,"2893","1446.5","Humana","Commercial",,,"78",,"2242.08","16.1","16596.62","percent of total billed charges",,
"DILATION OF ESOPHAGUS BALLOON  30mm DIAM","0360","RC","Both",,,"2893","1446.5","UHC","Commercial",,,"75",,"2181.32","16.1","16596.62","percent of total billed charges",,
"DILATION OF ESOPHAGUS BALLOON  30mm DIAM","0360","RC","Both",,,"2893","1446.5","Medicaid",,,,"37",,"1058.84","16.1","16596.62","percent of total billed charges",,
"VAGOTOMY INCL PYLOROPLASTY (IP ONLY)","0360","RC","Both",,,"3549","1774.5","Alliant","Health Exchange",,,"62",,"2200.38","16.1","16596.62","percent of total billed charges",,
"VAGOTOMY INCL PYLOROPLASTY (IP ONLY)","0360","RC","Both",,,"3549","1774.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1916.46","16.1","16596.62","percent of total billed charges",,
"VAGOTOMY INCL PYLOROPLASTY (IP ONLY)","0360","RC","Both",,,"3549","1774.5","Medicare",,,,"54",,"1923.56","16.1","16596.62","percent of total billed charges",,
"VAGOTOMY INCL PYLOROPLASTY (IP ONLY)","0360","RC","Both",,,"3549","1774.5","Humana","Medicare Advantage",,,"54",,"1923.56","16.1","16596.62","percent of total billed charges",,
"VAGOTOMY INCL PYLOROPLASTY (IP ONLY)","0360","RC","Both",,,"3549","1774.5","UHC","Medicare Advantage",,,"54",,"1923.56","16.1","16596.62","percent of total billed charges",,
"VAGOTOMY INCL PYLOROPLASTY (IP ONLY)","0360","RC","Both",,,"3549","1774.5","Clover","Medicare Advantage",,,"54",,"1923.56","16.1","16596.62","percent of total billed charges",,
"VAGOTOMY INCL PYLOROPLASTY (IP ONLY)","0360","RC","Both",,,"3549","1774.5","Wellcare","Medicare Advantage",,,"54",,"1923.56","16.1","16596.62","percent of total billed charges",,
"VAGOTOMY INCL PYLOROPLASTY (IP ONLY)","0360","RC","Both",,,"3549","1774.5","Amerigroup","Medicaid Managed Care",,,"37",,"1298.93","16.1","16596.62","percent of total billed charges",,
"VAGOTOMY INCL PYLOROPLASTY (IP ONLY)","0360","RC","Both",,,"3549","1774.5","Caresource","Medicaid Managed Care",,,"40",,"1419.6","16.1","16596.62","percent of total billed charges",,
"VAGOTOMY INCL PYLOROPLASTY (IP ONLY)","0360","RC","Both",,,"3549","1774.5","Wellcare","Medicaid Managed Care",,,"40",,"1437.34","16.1","16596.62","percent of total billed charges",,
"VAGOTOMY INCL PYLOROPLASTY (IP ONLY)","0360","RC","Both",,,"3549","1774.5","Aetna","Commercial",,,"64",,"2264.26","16.1","16596.62","percent of total billed charges",,
"VAGOTOMY INCL PYLOROPLASTY (IP ONLY)","0360","RC","Both",,,"3549","1774.5","Blue Cross Blue Shield","Pathways",,,"71",,"2505.59","16.1","16596.62","percent of total billed charges",,
"VAGOTOMY INCL PYLOROPLASTY (IP ONLY)","0360","RC","Both",,,"3549","1774.5","Blue Cross Blue Shield","HMO",,,"71",,"2505.59","16.1","16596.62","percent of total billed charges",,
"VAGOTOMY INCL PYLOROPLASTY (IP ONLY)","0360","RC","Both",,,"3549","1774.5","Blue Cross Blue Shield","PPO",,,"71",,"2505.59","16.1","16596.62","percent of total billed charges",,
"VAGOTOMY INCL PYLOROPLASTY (IP ONLY)","0360","RC","Both",,,"3549","1774.5","Ambetter","Health Exchange",,,"62",,"2200.38","16.1","16596.62","percent of total billed charges",,
"VAGOTOMY INCL PYLOROPLASTY (IP ONLY)","0360","RC","Both",,,"3549","1774.5","Caresource","Health Exchange",,,"62",,"2200.38","16.1","16596.62","percent of total billed charges",,
"VAGOTOMY INCL PYLOROPLASTY (IP ONLY)","0360","RC","Both",,,"3549","1774.5","Cigna","Commercial",,,"59",,"2079.71","16.1","16596.62","percent of total billed charges",,
"VAGOTOMY INCL PYLOROPLASTY (IP ONLY)","0360","RC","Both",,,"3549","1774.5","Humana","Commercial",,,"78",,"2750.48","16.1","16596.62","percent of total billed charges",,
"VAGOTOMY INCL PYLOROPLASTY (IP ONLY)","0360","RC","Both",,,"3549","1774.5","UHC","Commercial",,,"75",,"2675.95","16.1","16596.62","percent of total billed charges",,
"VAGOTOMY INCL PYLOROPLASTY (IP ONLY)","0360","RC","Both",,,"3549","1774.5","Medicaid",,,,"37",,"1298.93","16.1","16596.62","percent of total billed charges",,
"CHANGE OF GASTROSTOMY TUBE","0360","RC","Both",,,"540","270","Alliant","Health Exchange",,,"62",,"334.8","16.1","16596.62","percent of total billed charges",,
"CHANGE OF GASTROSTOMY TUBE","0360","RC","Both",,,"540","270","Pruitt Healthcare","Medicare Advantage",,,"54",,"291.6","16.1","16596.62","percent of total billed charges",,
"CHANGE OF GASTROSTOMY TUBE","0360","RC","Both",,,"540","270","Medicare",,,,"54",,"292.68","16.1","16596.62","percent of total billed charges",,
"CHANGE OF GASTROSTOMY TUBE","0360","RC","Both",,,"540","270","Humana","Medicare Advantage",,,"54",,"292.68","16.1","16596.62","percent of total billed charges",,
"CHANGE OF GASTROSTOMY TUBE","0360","RC","Both",,,"540","270","UHC","Medicare Advantage",,,"54",,"292.68","16.1","16596.62","percent of total billed charges",,
"CHANGE OF GASTROSTOMY TUBE","0360","RC","Both",,,"540","270","Clover","Medicare Advantage",,,"54",,"292.68","16.1","16596.62","percent of total billed charges",,
"CHANGE OF GASTROSTOMY TUBE","0360","RC","Both",,,"540","270","Wellcare","Medicare Advantage",,,"54",,"292.68","16.1","16596.62","percent of total billed charges",,
"CHANGE OF GASTROSTOMY TUBE","0360","RC","Both",,,"540","270","Amerigroup","Medicaid Managed Care",,,"37",,"197.64","16.1","16596.62","percent of total billed charges",,
"CHANGE OF GASTROSTOMY TUBE","0360","RC","Both",,,"540","270","Caresource","Medicaid Managed Care",,,"40",,"216","16.1","16596.62","percent of total billed charges",,
"CHANGE OF GASTROSTOMY TUBE","0360","RC","Both",,,"540","270","Wellcare","Medicaid Managed Care",,,"40",,"218.7","16.1","16596.62","percent of total billed charges",,
"CHANGE OF GASTROSTOMY TUBE","0360","RC","Both",,,"540","270","Aetna","Commercial",,,"64",,"344.52","16.1","16596.62","percent of total billed charges",,
"CHANGE OF GASTROSTOMY TUBE","0360","RC","Both",,,"540","270","Blue Cross Blue Shield","Pathways",,,"71",,"381.24","16.1","16596.62","percent of total billed charges",,
"CHANGE OF GASTROSTOMY TUBE","0360","RC","Both",,,"540","270","Blue Cross Blue Shield","HMO",,,"71",,"381.24","16.1","16596.62","percent of total billed charges",,
"CHANGE OF GASTROSTOMY TUBE","0360","RC","Both",,,"540","270","Blue Cross Blue Shield","PPO",,,"71",,"381.24","16.1","16596.62","percent of total billed charges",,
"CHANGE OF GASTROSTOMY TUBE","0360","RC","Both",,,"540","270","Ambetter","Health Exchange",,,"62",,"334.8","16.1","16596.62","percent of total billed charges",,
"CHANGE OF GASTROSTOMY TUBE","0360","RC","Both",,,"540","270","Caresource","Health Exchange",,,"62",,"334.8","16.1","16596.62","percent of total billed charges",,
"CHANGE OF GASTROSTOMY TUBE","0360","RC","Both",,,"540","270","Cigna","Commercial",,,"59",,"316.44","16.1","16596.62","percent of total billed charges",,
"CHANGE OF GASTROSTOMY TUBE","0360","RC","Both",,,"540","270","Humana","Commercial",,,"78",,"418.5","16.1","16596.62","percent of total billed charges",,
"CHANGE OF GASTROSTOMY TUBE","0360","RC","Both",,,"540","270","UHC","Commercial",,,"75",,"407.16","16.1","16596.62","percent of total billed charges",,
"CHANGE OF GASTROSTOMY TUBE","0360","RC","Both",,,"540","270","Medicaid",,,,"37",,"197.64","16.1","16596.62","percent of total billed charges",,
"GASTROSTOMY, OPEN; W/O CONSTRUCT G TUBE","0360","RC","Both",,,"5829.5","2914.75","Alliant","Health Exchange",,,"62",,"3614.29","16.1","16596.62","percent of total billed charges",,
"GASTROSTOMY, OPEN; W/O CONSTRUCT G TUBE","0360","RC","Both",,,"5829.5","2914.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"3147.93","16.1","16596.62","percent of total billed charges",,
"GASTROSTOMY, OPEN; W/O CONSTRUCT G TUBE","0360","RC","Both",,,"5829.5","2914.75","Medicare",,,,"54",,"3159.59","16.1","16596.62","percent of total billed charges",,
"GASTROSTOMY, OPEN; W/O CONSTRUCT G TUBE","0360","RC","Both",,,"5829.5","2914.75","Humana","Medicare Advantage",,,"54",,"3159.59","16.1","16596.62","percent of total billed charges",,
"GASTROSTOMY, OPEN; W/O CONSTRUCT G TUBE","0360","RC","Both",,,"5829.5","2914.75","UHC","Medicare Advantage",,,"54",,"3159.59","16.1","16596.62","percent of total billed charges",,
"GASTROSTOMY, OPEN; W/O CONSTRUCT G TUBE","0360","RC","Both",,,"5829.5","2914.75","Clover","Medicare Advantage",,,"54",,"3159.59","16.1","16596.62","percent of total billed charges",,
"GASTROSTOMY, OPEN; W/O CONSTRUCT G TUBE","0360","RC","Both",,,"5829.5","2914.75","Wellcare","Medicare Advantage",,,"54",,"3159.59","16.1","16596.62","percent of total billed charges",,
"GASTROSTOMY, OPEN; W/O CONSTRUCT G TUBE","0360","RC","Both",,,"5829.5","2914.75","Amerigroup","Medicaid Managed Care",,,"37",,"2133.6","16.1","16596.62","percent of total billed charges",,
"GASTROSTOMY, OPEN; W/O CONSTRUCT G TUBE","0360","RC","Both",,,"5829.5","2914.75","Caresource","Medicaid Managed Care",,,"40",,"2331.8","16.1","16596.62","percent of total billed charges",,
"GASTROSTOMY, OPEN; W/O CONSTRUCT G TUBE","0360","RC","Both",,,"5829.5","2914.75","Wellcare","Medicaid Managed Care",,,"40",,"2360.95","16.1","16596.62","percent of total billed charges",,
"GASTROSTOMY, OPEN; W/O CONSTRUCT G TUBE","0360","RC","Both",,,"5829.5","2914.75","Aetna","Commercial",,,"64",,"3719.22","16.1","16596.62","percent of total billed charges",,
"GASTROSTOMY, OPEN; W/O CONSTRUCT G TUBE","0360","RC","Both",,,"5829.5","2914.75","Blue Cross Blue Shield","Pathways",,,"71",,"4115.63","16.1","16596.62","percent of total billed charges",,
"GASTROSTOMY, OPEN; W/O CONSTRUCT G TUBE","0360","RC","Both",,,"5829.5","2914.75","Blue Cross Blue Shield","HMO",,,"71",,"4115.63","16.1","16596.62","percent of total billed charges",,
"GASTROSTOMY, OPEN; W/O CONSTRUCT G TUBE","0360","RC","Both",,,"5829.5","2914.75","Blue Cross Blue Shield","PPO",,,"71",,"4115.63","16.1","16596.62","percent of total billed charges",,
"GASTROSTOMY, OPEN; W/O CONSTRUCT G TUBE","0360","RC","Both",,,"5829.5","2914.75","Ambetter","Health Exchange",,,"62",,"3614.29","16.1","16596.62","percent of total billed charges",,
"GASTROSTOMY, OPEN; W/O CONSTRUCT G TUBE","0360","RC","Both",,,"5829.5","2914.75","Caresource","Health Exchange",,,"62",,"3614.29","16.1","16596.62","percent of total billed charges",,
"GASTROSTOMY, OPEN; W/O CONSTRUCT G TUBE","0360","RC","Both",,,"5829.5","2914.75","Cigna","Commercial",,,"59",,"3416.09","16.1","16596.62","percent of total billed charges",,
"GASTROSTOMY, OPEN; W/O CONSTRUCT G TUBE","0360","RC","Both",,,"5829.5","2914.75","Humana","Commercial",,,"78",,"4517.86","16.1","16596.62","percent of total billed charges",,
"GASTROSTOMY, OPEN; W/O CONSTRUCT G TUBE","0360","RC","Both",,,"5829.5","2914.75","UHC","Commercial",,,"75",,"4395.44","16.1","16596.62","percent of total billed charges",,
"GASTROSTOMY, OPEN; W/O CONSTRUCT G TUBE","0360","RC","Both",,,"5829.5","2914.75","Medicaid",,,,"37",,"2133.6","16.1","16596.62","percent of total billed charges",,
"ENTEROLYSIS (I/P PROCEDURE ONLY)","0360","RC","Both",,,"2013","1006.5","Alliant","Health Exchange",,,"62",,"1248.06","16.1","16596.62","percent of total billed charges",,
"ENTEROLYSIS (I/P PROCEDURE ONLY)","0360","RC","Both",,,"2013","1006.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1087.02","16.1","16596.62","percent of total billed charges",,
"ENTEROLYSIS (I/P PROCEDURE ONLY)","0360","RC","Both",,,"2013","1006.5","Medicare",,,,"54",,"1091.05","16.1","16596.62","percent of total billed charges",,
"ENTEROLYSIS (I/P PROCEDURE ONLY)","0360","RC","Both",,,"2013","1006.5","Humana","Medicare Advantage",,,"54",,"1091.05","16.1","16596.62","percent of total billed charges",,
"ENTEROLYSIS (I/P PROCEDURE ONLY)","0360","RC","Both",,,"2013","1006.5","UHC","Medicare Advantage",,,"54",,"1091.05","16.1","16596.62","percent of total billed charges",,
"ENTEROLYSIS (I/P PROCEDURE ONLY)","0360","RC","Both",,,"2013","1006.5","Clover","Medicare Advantage",,,"54",,"1091.05","16.1","16596.62","percent of total billed charges",,
"ENTEROLYSIS (I/P PROCEDURE ONLY)","0360","RC","Both",,,"2013","1006.5","Wellcare","Medicare Advantage",,,"54",,"1091.05","16.1","16596.62","percent of total billed charges",,
"ENTEROLYSIS (I/P PROCEDURE ONLY)","0360","RC","Both",,,"2013","1006.5","Amerigroup","Medicaid Managed Care",,,"37",,"736.76","16.1","16596.62","percent of total billed charges",,
"ENTEROLYSIS (I/P PROCEDURE ONLY)","0360","RC","Both",,,"2013","1006.5","Caresource","Medicaid Managed Care",,,"40",,"805.2","16.1","16596.62","percent of total billed charges",,
"ENTEROLYSIS (I/P PROCEDURE ONLY)","0360","RC","Both",,,"2013","1006.5","Wellcare","Medicaid Managed Care",,,"40",,"815.27","16.1","16596.62","percent of total billed charges",,
"ENTEROLYSIS (I/P PROCEDURE ONLY)","0360","RC","Both",,,"2013","1006.5","Aetna","Commercial",,,"64",,"1284.29","16.1","16596.62","percent of total billed charges",,
"ENTEROLYSIS (I/P PROCEDURE ONLY)","0360","RC","Both",,,"2013","1006.5","Blue Cross Blue Shield","Pathways",,,"71",,"1421.18","16.1","16596.62","percent of total billed charges",,
"ENTEROLYSIS (I/P PROCEDURE ONLY)","0360","RC","Both",,,"2013","1006.5","Blue Cross Blue Shield","HMO",,,"71",,"1421.18","16.1","16596.62","percent of total billed charges",,
"ENTEROLYSIS (I/P PROCEDURE ONLY)","0360","RC","Both",,,"2013","1006.5","Blue Cross Blue Shield","PPO",,,"71",,"1421.18","16.1","16596.62","percent of total billed charges",,
"ENTEROLYSIS (I/P PROCEDURE ONLY)","0360","RC","Both",,,"2013","1006.5","Ambetter","Health Exchange",,,"62",,"1248.06","16.1","16596.62","percent of total billed charges",,
"ENTEROLYSIS (I/P PROCEDURE ONLY)","0360","RC","Both",,,"2013","1006.5","Caresource","Health Exchange",,,"62",,"1248.06","16.1","16596.62","percent of total billed charges",,
"ENTEROLYSIS (I/P PROCEDURE ONLY)","0360","RC","Both",,,"2013","1006.5","Cigna","Commercial",,,"59",,"1179.62","16.1","16596.62","percent of total billed charges",,
"ENTEROLYSIS (I/P PROCEDURE ONLY)","0360","RC","Both",,,"2013","1006.5","Humana","Commercial",,,"78",,"1560.08","16.1","16596.62","percent of total billed charges",,
"ENTEROLYSIS (I/P PROCEDURE ONLY)","0360","RC","Both",,,"2013","1006.5","UHC","Commercial",,,"75",,"1517.8","16.1","16596.62","percent of total billed charges",,
"ENTEROLYSIS (I/P PROCEDURE ONLY)","0360","RC","Both",,,"2013","1006.5","Medicaid",,,,"37",,"736.76","16.1","16596.62","percent of total billed charges",,
"ENTERECTOMY RESECT SM INTEST (IP ONLY)","0360","RC","Both",,,"3683.5","1841.75","Alliant","Health Exchange",,,"62",,"2283.77","16.1","16596.62","percent of total billed charges",,
"ENTERECTOMY RESECT SM INTEST (IP ONLY)","0360","RC","Both",,,"3683.5","1841.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"1989.09","16.1","16596.62","percent of total billed charges",,
"ENTERECTOMY RESECT SM INTEST (IP ONLY)","0360","RC","Both",,,"3683.5","1841.75","Medicare",,,,"54",,"1996.46","16.1","16596.62","percent of total billed charges",,
"ENTERECTOMY RESECT SM INTEST (IP ONLY)","0360","RC","Both",,,"3683.5","1841.75","Humana","Medicare Advantage",,,"54",,"1996.46","16.1","16596.62","percent of total billed charges",,
"ENTERECTOMY RESECT SM INTEST (IP ONLY)","0360","RC","Both",,,"3683.5","1841.75","UHC","Medicare Advantage",,,"54",,"1996.46","16.1","16596.62","percent of total billed charges",,
"ENTERECTOMY RESECT SM INTEST (IP ONLY)","0360","RC","Both",,,"3683.5","1841.75","Clover","Medicare Advantage",,,"54",,"1996.46","16.1","16596.62","percent of total billed charges",,
"ENTERECTOMY RESECT SM INTEST (IP ONLY)","0360","RC","Both",,,"3683.5","1841.75","Wellcare","Medicare Advantage",,,"54",,"1996.46","16.1","16596.62","percent of total billed charges",,
"ENTERECTOMY RESECT SM INTEST (IP ONLY)","0360","RC","Both",,,"3683.5","1841.75","Amerigroup","Medicaid Managed Care",,,"37",,"1348.16","16.1","16596.62","percent of total billed charges",,
"ENTERECTOMY RESECT SM INTEST (IP ONLY)","0360","RC","Both",,,"3683.5","1841.75","Caresource","Medicaid Managed Care",,,"40",,"1473.4","16.1","16596.62","percent of total billed charges",,
"ENTERECTOMY RESECT SM INTEST (IP ONLY)","0360","RC","Both",,,"3683.5","1841.75","Wellcare","Medicaid Managed Care",,,"40",,"1491.82","16.1","16596.62","percent of total billed charges",,
"ENTERECTOMY RESECT SM INTEST (IP ONLY)","0360","RC","Both",,,"3683.5","1841.75","Aetna","Commercial",,,"64",,"2350.07","16.1","16596.62","percent of total billed charges",,
"ENTERECTOMY RESECT SM INTEST (IP ONLY)","0360","RC","Both",,,"3683.5","1841.75","Blue Cross Blue Shield","Pathways",,,"71",,"2600.55","16.1","16596.62","percent of total billed charges",,
"ENTERECTOMY RESECT SM INTEST (IP ONLY)","0360","RC","Both",,,"3683.5","1841.75","Blue Cross Blue Shield","HMO",,,"71",,"2600.55","16.1","16596.62","percent of total billed charges",,
"ENTERECTOMY RESECT SM INTEST (IP ONLY)","0360","RC","Both",,,"3683.5","1841.75","Blue Cross Blue Shield","PPO",,,"71",,"2600.55","16.1","16596.62","percent of total billed charges",,
"ENTERECTOMY RESECT SM INTEST (IP ONLY)","0360","RC","Both",,,"3683.5","1841.75","Ambetter","Health Exchange",,,"62",,"2283.77","16.1","16596.62","percent of total billed charges",,
"ENTERECTOMY RESECT SM INTEST (IP ONLY)","0360","RC","Both",,,"3683.5","1841.75","Caresource","Health Exchange",,,"62",,"2283.77","16.1","16596.62","percent of total billed charges",,
"ENTERECTOMY RESECT SM INTEST (IP ONLY)","0360","RC","Both",,,"3683.5","1841.75","Cigna","Commercial",,,"59",,"2158.53","16.1","16596.62","percent of total billed charges",,
"ENTERECTOMY RESECT SM INTEST (IP ONLY)","0360","RC","Both",,,"3683.5","1841.75","Humana","Commercial",,,"78",,"2854.71","16.1","16596.62","percent of total billed charges",,
"ENTERECTOMY RESECT SM INTEST (IP ONLY)","0360","RC","Both",,,"3683.5","1841.75","UHC","Commercial",,,"75",,"2777.36","16.1","16596.62","percent of total billed charges",,
"ENTERECTOMY RESECT SM INTEST (IP ONLY)","0360","RC","Both",,,"3683.5","1841.75","Medicaid",,,,"37",,"1348.16","16.1","16596.62","percent of total billed charges",,
"SMALL BOWEL ENDOSCOPY","0360","RC","Both",,,"1092","546","Alliant","Health Exchange",,,"62",,"677.04","16.1","16596.62","percent of total billed charges",,
"SMALL BOWEL ENDOSCOPY","0360","RC","Both",,,"1092","546","Pruitt Healthcare","Medicare Advantage",,,"54",,"589.68","16.1","16596.62","percent of total billed charges",,
"SMALL BOWEL ENDOSCOPY","0360","RC","Both",,,"1092","546","Medicare",,,,"54",,"591.86","16.1","16596.62","percent of total billed charges",,
"SMALL BOWEL ENDOSCOPY","0360","RC","Both",,,"1092","546","Humana","Medicare Advantage",,,"54",,"591.86","16.1","16596.62","percent of total billed charges",,
"SMALL BOWEL ENDOSCOPY","0360","RC","Both",,,"1092","546","UHC","Medicare Advantage",,,"54",,"591.86","16.1","16596.62","percent of total billed charges",,
"SMALL BOWEL ENDOSCOPY","0360","RC","Both",,,"1092","546","Clover","Medicare Advantage",,,"54",,"591.86","16.1","16596.62","percent of total billed charges",,
"SMALL BOWEL ENDOSCOPY","0360","RC","Both",,,"1092","546","Wellcare","Medicare Advantage",,,"54",,"591.86","16.1","16596.62","percent of total billed charges",,
"SMALL BOWEL ENDOSCOPY","0360","RC","Both",,,"1092","546","Amerigroup","Medicaid Managed Care",,,"37",,"399.67","16.1","16596.62","percent of total billed charges",,
"SMALL BOWEL ENDOSCOPY","0360","RC","Both",,,"1092","546","Caresource","Medicaid Managed Care",,,"40",,"436.8","16.1","16596.62","percent of total billed charges",,
"SMALL BOWEL ENDOSCOPY","0360","RC","Both",,,"1092","546","Wellcare","Medicaid Managed Care",,,"40",,"442.26","16.1","16596.62","percent of total billed charges",,
"SMALL BOWEL ENDOSCOPY","0360","RC","Both",,,"1092","546","Aetna","Commercial",,,"64",,"696.7","16.1","16596.62","percent of total billed charges",,
"SMALL BOWEL ENDOSCOPY","0360","RC","Both",,,"1092","546","Blue Cross Blue Shield","Pathways",,,"71",,"770.95","16.1","16596.62","percent of total billed charges",,
"SMALL BOWEL ENDOSCOPY","0360","RC","Both",,,"1092","546","Blue Cross Blue Shield","HMO",,,"71",,"770.95","16.1","16596.62","percent of total billed charges",,
"SMALL BOWEL ENDOSCOPY","0360","RC","Both",,,"1092","546","Blue Cross Blue Shield","PPO",,,"71",,"770.95","16.1","16596.62","percent of total billed charges",,
"SMALL BOWEL ENDOSCOPY","0360","RC","Both",,,"1092","546","Ambetter","Health Exchange",,,"62",,"677.04","16.1","16596.62","percent of total billed charges",,
"SMALL BOWEL ENDOSCOPY","0360","RC","Both",,,"1092","546","Caresource","Health Exchange",,,"62",,"677.04","16.1","16596.62","percent of total billed charges",,
"SMALL BOWEL ENDOSCOPY","0360","RC","Both",,,"1092","546","Cigna","Commercial",,,"59",,"639.91","16.1","16596.62","percent of total billed charges",,
"SMALL BOWEL ENDOSCOPY","0360","RC","Both",,,"1092","546","Humana","Commercial",,,"78",,"846.3","16.1","16596.62","percent of total billed charges",,
"SMALL BOWEL ENDOSCOPY","0360","RC","Both",,,"1092","546","UHC","Commercial",,,"75",,"823.37","16.1","16596.62","percent of total billed charges",,
"SMALL BOWEL ENDOSCOPY","0360","RC","Both",,,"1092","546","Medicaid",,,,"37",,"399.67","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY","0360","RC","Both",,,"5783.5","2891.75","Alliant","Health Exchange",,,"62",,"3585.77","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY","0360","RC","Both",,,"5783.5","2891.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"3123.09","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY","0360","RC","Both",,,"5783.5","2891.75","Medicare",,,,"54",,"3134.66","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY","0360","RC","Both",,,"5783.5","2891.75","Humana","Medicare Advantage",,,"54",,"3134.66","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY","0360","RC","Both",,,"5783.5","2891.75","UHC","Medicare Advantage",,,"54",,"3134.66","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY","0360","RC","Both",,,"5783.5","2891.75","Clover","Medicare Advantage",,,"54",,"3134.66","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY","0360","RC","Both",,,"5783.5","2891.75","Wellcare","Medicare Advantage",,,"54",,"3134.66","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY","0360","RC","Both",,,"5783.5","2891.75","Amerigroup","Medicaid Managed Care",,,"37",,"2116.76","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY","0360","RC","Both",,,"5783.5","2891.75","Caresource","Medicaid Managed Care",,,"40",,"2313.4","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY","0360","RC","Both",,,"5783.5","2891.75","Wellcare","Medicaid Managed Care",,,"40",,"2342.32","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY","0360","RC","Both",,,"5783.5","2891.75","Aetna","Commercial",,,"64",,"3689.87","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY","0360","RC","Both",,,"5783.5","2891.75","Blue Cross Blue Shield","Pathways",,,"71",,"4083.15","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY","0360","RC","Both",,,"5783.5","2891.75","Blue Cross Blue Shield","HMO",,,"71",,"4083.15","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY","0360","RC","Both",,,"5783.5","2891.75","Blue Cross Blue Shield","PPO",,,"71",,"4083.15","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY","0360","RC","Both",,,"5783.5","2891.75","Ambetter","Health Exchange",,,"62",,"3585.77","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY","0360","RC","Both",,,"5783.5","2891.75","Caresource","Health Exchange",,,"62",,"3585.77","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY","0360","RC","Both",,,"5783.5","2891.75","Cigna","Commercial",,,"59",,"3389.13","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY","0360","RC","Both",,,"5783.5","2891.75","Humana","Commercial",,,"78",,"4482.21","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY","0360","RC","Both",,,"5783.5","2891.75","UHC","Commercial",,,"75",,"4360.76","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY","0360","RC","Both",,,"5783.5","2891.75","Medicaid",,,,"37",,"2116.76","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY RUPT W/ABSC (IP ONLY)","0360","RC","Both",,,"2630","1315","Alliant","Health Exchange",,,"62",,"1630.6","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY RUPT W/ABSC (IP ONLY)","0360","RC","Both",,,"2630","1315","Pruitt Healthcare","Medicare Advantage",,,"54",,"1420.2","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY RUPT W/ABSC (IP ONLY)","0360","RC","Both",,,"2630","1315","Medicare",,,,"54",,"1425.46","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY RUPT W/ABSC (IP ONLY)","0360","RC","Both",,,"2630","1315","Humana","Medicare Advantage",,,"54",,"1425.46","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY RUPT W/ABSC (IP ONLY)","0360","RC","Both",,,"2630","1315","UHC","Medicare Advantage",,,"54",,"1425.46","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY RUPT W/ABSC (IP ONLY)","0360","RC","Both",,,"2630","1315","Clover","Medicare Advantage",,,"54",,"1425.46","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY RUPT W/ABSC (IP ONLY)","0360","RC","Both",,,"2630","1315","Wellcare","Medicare Advantage",,,"54",,"1425.46","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY RUPT W/ABSC (IP ONLY)","0360","RC","Both",,,"2630","1315","Amerigroup","Medicaid Managed Care",,,"37",,"962.58","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY RUPT W/ABSC (IP ONLY)","0360","RC","Both",,,"2630","1315","Caresource","Medicaid Managed Care",,,"40",,"1052","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY RUPT W/ABSC (IP ONLY)","0360","RC","Both",,,"2630","1315","Wellcare","Medicaid Managed Care",,,"40",,"1065.15","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY RUPT W/ABSC (IP ONLY)","0360","RC","Both",,,"2630","1315","Aetna","Commercial",,,"64",,"1677.94","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY RUPT W/ABSC (IP ONLY)","0360","RC","Both",,,"2630","1315","Blue Cross Blue Shield","Pathways",,,"71",,"1856.78","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY RUPT W/ABSC (IP ONLY)","0360","RC","Both",,,"2630","1315","Blue Cross Blue Shield","HMO",,,"71",,"1856.78","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY RUPT W/ABSC (IP ONLY)","0360","RC","Both",,,"2630","1315","Blue Cross Blue Shield","PPO",,,"71",,"1856.78","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY RUPT W/ABSC (IP ONLY)","0360","RC","Both",,,"2630","1315","Ambetter","Health Exchange",,,"62",,"1630.6","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY RUPT W/ABSC (IP ONLY)","0360","RC","Both",,,"2630","1315","Caresource","Health Exchange",,,"62",,"1630.6","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY RUPT W/ABSC (IP ONLY)","0360","RC","Both",,,"2630","1315","Cigna","Commercial",,,"59",,"1541.18","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY RUPT W/ABSC (IP ONLY)","0360","RC","Both",,,"2630","1315","Humana","Commercial",,,"78",,"2038.25","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY RUPT W/ABSC (IP ONLY)","0360","RC","Both",,,"2630","1315","UHC","Commercial",,,"75",,"1983.02","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY RUPT W/ABSC (IP ONLY)","0360","RC","Both",,,"2630","1315","Medicaid",,,,"37",,"962.58","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY; LAPAROSCOPY","0360","RC","Both",,,"10884.5","5442.25","Alliant","Health Exchange",,,"62",,"6748.39","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY; LAPAROSCOPY","0360","RC","Both",,,"10884.5","5442.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"5877.63","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY; LAPAROSCOPY","0360","RC","Both",,,"10884.5","5442.25","Medicare",,,,"54",,"5899.4","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY; LAPAROSCOPY","0360","RC","Both",,,"10884.5","5442.25","Humana","Medicare Advantage",,,"54",,"5899.4","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY; LAPAROSCOPY","0360","RC","Both",,,"10884.5","5442.25","UHC","Medicare Advantage",,,"54",,"5899.4","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY; LAPAROSCOPY","0360","RC","Both",,,"10884.5","5442.25","Clover","Medicare Advantage",,,"54",,"5899.4","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY; LAPAROSCOPY","0360","RC","Both",,,"10884.5","5442.25","Wellcare","Medicare Advantage",,,"54",,"5899.4","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY; LAPAROSCOPY","0360","RC","Both",,,"10884.5","5442.25","Amerigroup","Medicaid Managed Care",,,"37",,"3983.73","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY; LAPAROSCOPY","0360","RC","Both",,,"10884.5","5442.25","Caresource","Medicaid Managed Care",,,"40",,"4353.8","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY; LAPAROSCOPY","0360","RC","Both",,,"10884.5","5442.25","Wellcare","Medicaid Managed Care",,,"40",,"4408.22","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY; LAPAROSCOPY","0360","RC","Both",,,"10884.5","5442.25","Aetna","Commercial",,,"64",,"6944.31","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY; LAPAROSCOPY","0360","RC","Both",,,"10884.5","5442.25","Blue Cross Blue Shield","Pathways",,,"71",,"7684.46","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY; LAPAROSCOPY","0360","RC","Both",,,"10884.5","5442.25","Blue Cross Blue Shield","HMO",,,"71",,"7684.46","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY; LAPAROSCOPY","0360","RC","Both",,,"10884.5","5442.25","Blue Cross Blue Shield","PPO",,,"71",,"7684.46","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY; LAPAROSCOPY","0360","RC","Both",,,"10884.5","5442.25","Ambetter","Health Exchange",,,"62",,"6748.39","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY; LAPAROSCOPY","0360","RC","Both",,,"10884.5","5442.25","Caresource","Health Exchange",,,"62",,"6748.39","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY; LAPAROSCOPY","0360","RC","Both",,,"10884.5","5442.25","Cigna","Commercial",,,"59",,"6378.32","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY; LAPAROSCOPY","0360","RC","Both",,,"10884.5","5442.25","Humana","Commercial",,,"78",,"8435.49","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY; LAPAROSCOPY","0360","RC","Both",,,"10884.5","5442.25","UHC","Commercial",,,"75",,"8206.91","16.1","16596.62","percent of total billed charges",,
"APPENDECTOMY; LAPAROSCOPY","0360","RC","Both",,,"10884.5","5442.25","Medicaid",,,,"37",,"3983.73","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","0360","RC","Both",,,"1372","686","Alliant","Health Exchange",,,"62",,"850.64","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","0360","RC","Both",,,"1372","686","Pruitt Healthcare","Medicare Advantage",,,"54",,"740.88","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","0360","RC","Both",,,"1372","686","Medicare",,,,"54",,"743.62","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","0360","RC","Both",,,"1372","686","Humana","Medicare Advantage",,,"54",,"743.62","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","0360","RC","Both",,,"1372","686","UHC","Medicare Advantage",,,"54",,"743.62","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","0360","RC","Both",,,"1372","686","Clover","Medicare Advantage",,,"54",,"743.62","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","0360","RC","Both",,,"1372","686","Wellcare","Medicare Advantage",,,"54",,"743.62","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","0360","RC","Both",,,"1372","686","Amerigroup","Medicaid Managed Care",,,"37",,"502.15","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","0360","RC","Both",,,"1372","686","Caresource","Medicaid Managed Care",,,"40",,"548.8","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","0360","RC","Both",,,"1372","686","Wellcare","Medicaid Managed Care",,,"40",,"555.66","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","0360","RC","Both",,,"1372","686","Aetna","Commercial",,,"64",,"875.34","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","0360","RC","Both",,,"1372","686","Blue Cross Blue Shield","Pathways",,,"71",,"968.63","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","0360","RC","Both",,,"1372","686","Blue Cross Blue Shield","HMO",,,"71",,"968.63","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","0360","RC","Both",,,"1372","686","Blue Cross Blue Shield","PPO",,,"71",,"968.63","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","0360","RC","Both",,,"1372","686","Ambetter","Health Exchange",,,"62",,"850.64","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","0360","RC","Both",,,"1372","686","Caresource","Health Exchange",,,"62",,"850.64","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","0360","RC","Both",,,"1372","686","Cigna","Commercial",,,"59",,"803.99","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","0360","RC","Both",,,"1372","686","Humana","Commercial",,,"78",,"1063.3","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","0360","RC","Both",,,"1372","686","UHC","Commercial",,,"75",,"1034.49","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE PERIANAL ABSCESS","0360","RC","Both",,,"1372","686","Medicaid",,,,"37",,"502.15","16.1","16596.62","percent of total billed charges",,
"SPHINCTEROTOMY, ANAL","0360","RC","Both",,,"3992.5","1996.25","Alliant","Health Exchange",,,"62",,"2475.35","16.1","16596.62","percent of total billed charges",,
"SPHINCTEROTOMY, ANAL","0360","RC","Both",,,"3992.5","1996.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"2155.95","16.1","16596.62","percent of total billed charges",,
"SPHINCTEROTOMY, ANAL","0360","RC","Both",,,"3992.5","1996.25","Medicare",,,,"54",,"2163.94","16.1","16596.62","percent of total billed charges",,
"SPHINCTEROTOMY, ANAL","0360","RC","Both",,,"3992.5","1996.25","Humana","Medicare Advantage",,,"54",,"2163.94","16.1","16596.62","percent of total billed charges",,
"SPHINCTEROTOMY, ANAL","0360","RC","Both",,,"3992.5","1996.25","UHC","Medicare Advantage",,,"54",,"2163.94","16.1","16596.62","percent of total billed charges",,
"SPHINCTEROTOMY, ANAL","0360","RC","Both",,,"3992.5","1996.25","Clover","Medicare Advantage",,,"54",,"2163.94","16.1","16596.62","percent of total billed charges",,
"SPHINCTEROTOMY, ANAL","0360","RC","Both",,,"3992.5","1996.25","Wellcare","Medicare Advantage",,,"54",,"2163.94","16.1","16596.62","percent of total billed charges",,
"SPHINCTEROTOMY, ANAL","0360","RC","Both",,,"3992.5","1996.25","Amerigroup","Medicaid Managed Care",,,"37",,"1461.26","16.1","16596.62","percent of total billed charges",,
"SPHINCTEROTOMY, ANAL","0360","RC","Both",,,"3992.5","1996.25","Caresource","Medicaid Managed Care",,,"40",,"1597","16.1","16596.62","percent of total billed charges",,
"SPHINCTEROTOMY, ANAL","0360","RC","Both",,,"3992.5","1996.25","Wellcare","Medicaid Managed Care",,,"40",,"1616.96","16.1","16596.62","percent of total billed charges",,
"SPHINCTEROTOMY, ANAL","0360","RC","Both",,,"3992.5","1996.25","Aetna","Commercial",,,"64",,"2547.22","16.1","16596.62","percent of total billed charges",,
"SPHINCTEROTOMY, ANAL","0360","RC","Both",,,"3992.5","1996.25","Blue Cross Blue Shield","Pathways",,,"71",,"2818.7","16.1","16596.62","percent of total billed charges",,
"SPHINCTEROTOMY, ANAL","0360","RC","Both",,,"3992.5","1996.25","Blue Cross Blue Shield","HMO",,,"71",,"2818.7","16.1","16596.62","percent of total billed charges",,
"SPHINCTEROTOMY, ANAL","0360","RC","Both",,,"3992.5","1996.25","Blue Cross Blue Shield","PPO",,,"71",,"2818.7","16.1","16596.62","percent of total billed charges",,
"SPHINCTEROTOMY, ANAL","0360","RC","Both",,,"3992.5","1996.25","Ambetter","Health Exchange",,,"62",,"2475.35","16.1","16596.62","percent of total billed charges",,
"SPHINCTEROTOMY, ANAL","0360","RC","Both",,,"3992.5","1996.25","Caresource","Health Exchange",,,"62",,"2475.35","16.1","16596.62","percent of total billed charges",,
"SPHINCTEROTOMY, ANAL","0360","RC","Both",,,"3992.5","1996.25","Cigna","Commercial",,,"59",,"2339.6","16.1","16596.62","percent of total billed charges",,
"SPHINCTEROTOMY, ANAL","0360","RC","Both",,,"3992.5","1996.25","Humana","Commercial",,,"78",,"3094.19","16.1","16596.62","percent of total billed charges",,
"SPHINCTEROTOMY, ANAL","0360","RC","Both",,,"3992.5","1996.25","UHC","Commercial",,,"75",,"3010.34","16.1","16596.62","percent of total billed charges",,
"SPHINCTEROTOMY, ANAL","0360","RC","Both",,,"3992.5","1996.25","Medicaid",,,,"37",,"1461.26","16.1","16596.62","percent of total billed charges",,
"PAPILLECTOMY OR EXCISION SINGLE TAG ANUS","0360","RC","Both",,,"3992.5","1996.25","Alliant","Health Exchange",,,"62",,"2475.35","16.1","16596.62","percent of total billed charges",,
"PAPILLECTOMY OR EXCISION SINGLE TAG ANUS","0360","RC","Both",,,"3992.5","1996.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"2155.95","16.1","16596.62","percent of total billed charges",,
"PAPILLECTOMY OR EXCISION SINGLE TAG ANUS","0360","RC","Both",,,"3992.5","1996.25","Medicare",,,,"54",,"2163.94","16.1","16596.62","percent of total billed charges",,
"PAPILLECTOMY OR EXCISION SINGLE TAG ANUS","0360","RC","Both",,,"3992.5","1996.25","Humana","Medicare Advantage",,,"54",,"2163.94","16.1","16596.62","percent of total billed charges",,
"PAPILLECTOMY OR EXCISION SINGLE TAG ANUS","0360","RC","Both",,,"3992.5","1996.25","UHC","Medicare Advantage",,,"54",,"2163.94","16.1","16596.62","percent of total billed charges",,
"PAPILLECTOMY OR EXCISION SINGLE TAG ANUS","0360","RC","Both",,,"3992.5","1996.25","Clover","Medicare Advantage",,,"54",,"2163.94","16.1","16596.62","percent of total billed charges",,
"PAPILLECTOMY OR EXCISION SINGLE TAG ANUS","0360","RC","Both",,,"3992.5","1996.25","Wellcare","Medicare Advantage",,,"54",,"2163.94","16.1","16596.62","percent of total billed charges",,
"PAPILLECTOMY OR EXCISION SINGLE TAG ANUS","0360","RC","Both",,,"3992.5","1996.25","Amerigroup","Medicaid Managed Care",,,"37",,"1461.26","16.1","16596.62","percent of total billed charges",,
"PAPILLECTOMY OR EXCISION SINGLE TAG ANUS","0360","RC","Both",,,"3992.5","1996.25","Caresource","Medicaid Managed Care",,,"40",,"1597","16.1","16596.62","percent of total billed charges",,
"PAPILLECTOMY OR EXCISION SINGLE TAG ANUS","0360","RC","Both",,,"3992.5","1996.25","Wellcare","Medicaid Managed Care",,,"40",,"1616.96","16.1","16596.62","percent of total billed charges",,
"PAPILLECTOMY OR EXCISION SINGLE TAG ANUS","0360","RC","Both",,,"3992.5","1996.25","Aetna","Commercial",,,"64",,"2547.22","16.1","16596.62","percent of total billed charges",,
"PAPILLECTOMY OR EXCISION SINGLE TAG ANUS","0360","RC","Both",,,"3992.5","1996.25","Blue Cross Blue Shield","Pathways",,,"71",,"2818.7","16.1","16596.62","percent of total billed charges",,
"PAPILLECTOMY OR EXCISION SINGLE TAG ANUS","0360","RC","Both",,,"3992.5","1996.25","Blue Cross Blue Shield","HMO",,,"71",,"2818.7","16.1","16596.62","percent of total billed charges",,
"PAPILLECTOMY OR EXCISION SINGLE TAG ANUS","0360","RC","Both",,,"3992.5","1996.25","Blue Cross Blue Shield","PPO",,,"71",,"2818.7","16.1","16596.62","percent of total billed charges",,
"PAPILLECTOMY OR EXCISION SINGLE TAG ANUS","0360","RC","Both",,,"3992.5","1996.25","Ambetter","Health Exchange",,,"62",,"2475.35","16.1","16596.62","percent of total billed charges",,
"PAPILLECTOMY OR EXCISION SINGLE TAG ANUS","0360","RC","Both",,,"3992.5","1996.25","Caresource","Health Exchange",,,"62",,"2475.35","16.1","16596.62","percent of total billed charges",,
"PAPILLECTOMY OR EXCISION SINGLE TAG ANUS","0360","RC","Both",,,"3992.5","1996.25","Cigna","Commercial",,,"59",,"2339.6","16.1","16596.62","percent of total billed charges",,
"PAPILLECTOMY OR EXCISION SINGLE TAG ANUS","0360","RC","Both",,,"3992.5","1996.25","Humana","Commercial",,,"78",,"3094.19","16.1","16596.62","percent of total billed charges",,
"PAPILLECTOMY OR EXCISION SINGLE TAG ANUS","0360","RC","Both",,,"3992.5","1996.25","UHC","Commercial",,,"75",,"3010.34","16.1","16596.62","percent of total billed charges",,
"PAPILLECTOMY OR EXCISION SINGLE TAG ANUS","0360","RC","Both",,,"3992.5","1996.25","Medicaid",,,,"37",,"1461.26","16.1","16596.62","percent of total billed charges",,
"EXCISION EXT HEMORRHOID TAGS/MULT PAPIL","0360","RC","Both",,,"3992.5","1996.25","Alliant","Health Exchange",,,"62",,"2475.35","16.1","16596.62","percent of total billed charges",,
"EXCISION EXT HEMORRHOID TAGS/MULT PAPIL","0360","RC","Both",,,"3992.5","1996.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"2155.95","16.1","16596.62","percent of total billed charges",,
"EXCISION EXT HEMORRHOID TAGS/MULT PAPIL","0360","RC","Both",,,"3992.5","1996.25","Medicare",,,,"54",,"2163.94","16.1","16596.62","percent of total billed charges",,
"EXCISION EXT HEMORRHOID TAGS/MULT PAPIL","0360","RC","Both",,,"3992.5","1996.25","Humana","Medicare Advantage",,,"54",,"2163.94","16.1","16596.62","percent of total billed charges",,
"EXCISION EXT HEMORRHOID TAGS/MULT PAPIL","0360","RC","Both",,,"3992.5","1996.25","UHC","Medicare Advantage",,,"54",,"2163.94","16.1","16596.62","percent of total billed charges",,
"EXCISION EXT HEMORRHOID TAGS/MULT PAPIL","0360","RC","Both",,,"3992.5","1996.25","Clover","Medicare Advantage",,,"54",,"2163.94","16.1","16596.62","percent of total billed charges",,
"EXCISION EXT HEMORRHOID TAGS/MULT PAPIL","0360","RC","Both",,,"3992.5","1996.25","Wellcare","Medicare Advantage",,,"54",,"2163.94","16.1","16596.62","percent of total billed charges",,
"EXCISION EXT HEMORRHOID TAGS/MULT PAPIL","0360","RC","Both",,,"3992.5","1996.25","Amerigroup","Medicaid Managed Care",,,"37",,"1461.26","16.1","16596.62","percent of total billed charges",,
"EXCISION EXT HEMORRHOID TAGS/MULT PAPIL","0360","RC","Both",,,"3992.5","1996.25","Caresource","Medicaid Managed Care",,,"40",,"1597","16.1","16596.62","percent of total billed charges",,
"EXCISION EXT HEMORRHOID TAGS/MULT PAPIL","0360","RC","Both",,,"3992.5","1996.25","Wellcare","Medicaid Managed Care",,,"40",,"1616.96","16.1","16596.62","percent of total billed charges",,
"EXCISION EXT HEMORRHOID TAGS/MULT PAPIL","0360","RC","Both",,,"3992.5","1996.25","Aetna","Commercial",,,"64",,"2547.22","16.1","16596.62","percent of total billed charges",,
"EXCISION EXT HEMORRHOID TAGS/MULT PAPIL","0360","RC","Both",,,"3992.5","1996.25","Blue Cross Blue Shield","Pathways",,,"71",,"2818.7","16.1","16596.62","percent of total billed charges",,
"EXCISION EXT HEMORRHOID TAGS/MULT PAPIL","0360","RC","Both",,,"3992.5","1996.25","Blue Cross Blue Shield","HMO",,,"71",,"2818.7","16.1","16596.62","percent of total billed charges",,
"EXCISION EXT HEMORRHOID TAGS/MULT PAPIL","0360","RC","Both",,,"3992.5","1996.25","Blue Cross Blue Shield","PPO",,,"71",,"2818.7","16.1","16596.62","percent of total billed charges",,
"EXCISION EXT HEMORRHOID TAGS/MULT PAPIL","0360","RC","Both",,,"3992.5","1996.25","Ambetter","Health Exchange",,,"62",,"2475.35","16.1","16596.62","percent of total billed charges",,
"EXCISION EXT HEMORRHOID TAGS/MULT PAPIL","0360","RC","Both",,,"3992.5","1996.25","Caresource","Health Exchange",,,"62",,"2475.35","16.1","16596.62","percent of total billed charges",,
"EXCISION EXT HEMORRHOID TAGS/MULT PAPIL","0360","RC","Both",,,"3992.5","1996.25","Cigna","Commercial",,,"59",,"2339.6","16.1","16596.62","percent of total billed charges",,
"EXCISION EXT HEMORRHOID TAGS/MULT PAPIL","0360","RC","Both",,,"3992.5","1996.25","Humana","Commercial",,,"78",,"3094.19","16.1","16596.62","percent of total billed charges",,
"EXCISION EXT HEMORRHOID TAGS/MULT PAPIL","0360","RC","Both",,,"3992.5","1996.25","UHC","Commercial",,,"75",,"3010.34","16.1","16596.62","percent of total billed charges",,
"EXCISION EXT HEMORRHOID TAGS/MULT PAPIL","0360","RC","Both",,,"3992.5","1996.25","Medicaid",,,,"37",,"1461.26","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY,INT/EXT, COMPLEX/EXTENS","0360","RC","Both",,,"5710","2855","Alliant","Health Exchange",,,"62",,"3540.2","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY,INT/EXT, COMPLEX/EXTENS","0360","RC","Both",,,"5710","2855","Pruitt Healthcare","Medicare Advantage",,,"54",,"3083.4","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY,INT/EXT, COMPLEX/EXTENS","0360","RC","Both",,,"5710","2855","Medicare",,,,"54",,"3094.82","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY,INT/EXT, COMPLEX/EXTENS","0360","RC","Both",,,"5710","2855","Humana","Medicare Advantage",,,"54",,"3094.82","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY,INT/EXT, COMPLEX/EXTENS","0360","RC","Both",,,"5710","2855","UHC","Medicare Advantage",,,"54",,"3094.82","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY,INT/EXT, COMPLEX/EXTENS","0360","RC","Both",,,"5710","2855","Clover","Medicare Advantage",,,"54",,"3094.82","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY,INT/EXT, COMPLEX/EXTENS","0360","RC","Both",,,"5710","2855","Wellcare","Medicare Advantage",,,"54",,"3094.82","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY,INT/EXT, COMPLEX/EXTENS","0360","RC","Both",,,"5710","2855","Amerigroup","Medicaid Managed Care",,,"37",,"2089.86","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY,INT/EXT, COMPLEX/EXTENS","0360","RC","Both",,,"5710","2855","Caresource","Medicaid Managed Care",,,"40",,"2284","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY,INT/EXT, COMPLEX/EXTENS","0360","RC","Both",,,"5710","2855","Wellcare","Medicaid Managed Care",,,"40",,"2312.55","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY,INT/EXT, COMPLEX/EXTENS","0360","RC","Both",,,"5710","2855","Aetna","Commercial",,,"64",,"3642.98","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY,INT/EXT, COMPLEX/EXTENS","0360","RC","Both",,,"5710","2855","Blue Cross Blue Shield","Pathways",,,"71",,"4031.26","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY,INT/EXT, COMPLEX/EXTENS","0360","RC","Both",,,"5710","2855","Blue Cross Blue Shield","HMO",,,"71",,"4031.26","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY,INT/EXT, COMPLEX/EXTENS","0360","RC","Both",,,"5710","2855","Blue Cross Blue Shield","PPO",,,"71",,"4031.26","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY,INT/EXT, COMPLEX/EXTENS","0360","RC","Both",,,"5710","2855","Ambetter","Health Exchange",,,"62",,"3540.2","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY,INT/EXT, COMPLEX/EXTENS","0360","RC","Both",,,"5710","2855","Caresource","Health Exchange",,,"62",,"3540.2","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY,INT/EXT, COMPLEX/EXTENS","0360","RC","Both",,,"5710","2855","Cigna","Commercial",,,"59",,"3346.06","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY,INT/EXT, COMPLEX/EXTENS","0360","RC","Both",,,"5710","2855","Humana","Commercial",,,"78",,"4425.25","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY,INT/EXT, COMPLEX/EXTENS","0360","RC","Both",,,"5710","2855","UHC","Commercial",,,"75",,"4305.34","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY,INT/EXT, COMPLEX/EXTENS","0360","RC","Both",,,"5710","2855","Medicaid",,,,"37",,"2089.86","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY, COMPLEX W/FISSURE","0360","RC","Both",,,"5710","2855","Alliant","Health Exchange",,,"62",,"3540.2","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY, COMPLEX W/FISSURE","0360","RC","Both",,,"5710","2855","Pruitt Healthcare","Medicare Advantage",,,"54",,"3083.4","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY, COMPLEX W/FISSURE","0360","RC","Both",,,"5710","2855","Medicare",,,,"54",,"3094.82","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY, COMPLEX W/FISSURE","0360","RC","Both",,,"5710","2855","Humana","Medicare Advantage",,,"54",,"3094.82","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY, COMPLEX W/FISSURE","0360","RC","Both",,,"5710","2855","UHC","Medicare Advantage",,,"54",,"3094.82","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY, COMPLEX W/FISSURE","0360","RC","Both",,,"5710","2855","Clover","Medicare Advantage",,,"54",,"3094.82","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY, COMPLEX W/FISSURE","0360","RC","Both",,,"5710","2855","Wellcare","Medicare Advantage",,,"54",,"3094.82","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY, COMPLEX W/FISSURE","0360","RC","Both",,,"5710","2855","Amerigroup","Medicaid Managed Care",,,"37",,"2089.86","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY, COMPLEX W/FISSURE","0360","RC","Both",,,"5710","2855","Caresource","Medicaid Managed Care",,,"40",,"2284","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY, COMPLEX W/FISSURE","0360","RC","Both",,,"5710","2855","Wellcare","Medicaid Managed Care",,,"40",,"2312.55","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY, COMPLEX W/FISSURE","0360","RC","Both",,,"5710","2855","Aetna","Commercial",,,"64",,"3642.98","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY, COMPLEX W/FISSURE","0360","RC","Both",,,"5710","2855","Blue Cross Blue Shield","Pathways",,,"71",,"4031.26","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY, COMPLEX W/FISSURE","0360","RC","Both",,,"5710","2855","Blue Cross Blue Shield","HMO",,,"71",,"4031.26","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY, COMPLEX W/FISSURE","0360","RC","Both",,,"5710","2855","Blue Cross Blue Shield","PPO",,,"71",,"4031.26","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY, COMPLEX W/FISSURE","0360","RC","Both",,,"5710","2855","Ambetter","Health Exchange",,,"62",,"3540.2","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY, COMPLEX W/FISSURE","0360","RC","Both",,,"5710","2855","Caresource","Health Exchange",,,"62",,"3540.2","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY, COMPLEX W/FISSURE","0360","RC","Both",,,"5710","2855","Cigna","Commercial",,,"59",,"3346.06","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY, COMPLEX W/FISSURE","0360","RC","Both",,,"5710","2855","Humana","Commercial",,,"78",,"4425.25","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY, COMPLEX W/FISSURE","0360","RC","Both",,,"5710","2855","UHC","Commercial",,,"75",,"4305.34","16.1","16596.62","percent of total billed charges",,
"HEMORRHOIDECTOMY, COMPLEX W/FISSURE","0360","RC","Both",,,"5710","2855","Medicaid",,,,"37",,"2089.86","16.1","16596.62","percent of total billed charges",,
"SURGICAL TX ANAL FISTULA","0360","RC","Both",,,"5710","2855","Alliant","Health Exchange",,,"62",,"3540.2","16.1","16596.62","percent of total billed charges",,
"SURGICAL TX ANAL FISTULA","0360","RC","Both",,,"5710","2855","Pruitt Healthcare","Medicare Advantage",,,"54",,"3083.4","16.1","16596.62","percent of total billed charges",,
"SURGICAL TX ANAL FISTULA","0360","RC","Both",,,"5710","2855","Medicare",,,,"54",,"3094.82","16.1","16596.62","percent of total billed charges",,
"SURGICAL TX ANAL FISTULA","0360","RC","Both",,,"5710","2855","Humana","Medicare Advantage",,,"54",,"3094.82","16.1","16596.62","percent of total billed charges",,
"SURGICAL TX ANAL FISTULA","0360","RC","Both",,,"5710","2855","UHC","Medicare Advantage",,,"54",,"3094.82","16.1","16596.62","percent of total billed charges",,
"SURGICAL TX ANAL FISTULA","0360","RC","Both",,,"5710","2855","Clover","Medicare Advantage",,,"54",,"3094.82","16.1","16596.62","percent of total billed charges",,
"SURGICAL TX ANAL FISTULA","0360","RC","Both",,,"5710","2855","Wellcare","Medicare Advantage",,,"54",,"3094.82","16.1","16596.62","percent of total billed charges",,
"SURGICAL TX ANAL FISTULA","0360","RC","Both",,,"5710","2855","Amerigroup","Medicaid Managed Care",,,"37",,"2089.86","16.1","16596.62","percent of total billed charges",,
"SURGICAL TX ANAL FISTULA","0360","RC","Both",,,"5710","2855","Caresource","Medicaid Managed Care",,,"40",,"2284","16.1","16596.62","percent of total billed charges",,
"SURGICAL TX ANAL FISTULA","0360","RC","Both",,,"5710","2855","Wellcare","Medicaid Managed Care",,,"40",,"2312.55","16.1","16596.62","percent of total billed charges",,
"SURGICAL TX ANAL FISTULA","0360","RC","Both",,,"5710","2855","Aetna","Commercial",,,"64",,"3642.98","16.1","16596.62","percent of total billed charges",,
"SURGICAL TX ANAL FISTULA","0360","RC","Both",,,"5710","2855","Blue Cross Blue Shield","Pathways",,,"71",,"4031.26","16.1","16596.62","percent of total billed charges",,
"SURGICAL TX ANAL FISTULA","0360","RC","Both",,,"5710","2855","Blue Cross Blue Shield","HMO",,,"71",,"4031.26","16.1","16596.62","percent of total billed charges",,
"SURGICAL TX ANAL FISTULA","0360","RC","Both",,,"5710","2855","Blue Cross Blue Shield","PPO",,,"71",,"4031.26","16.1","16596.62","percent of total billed charges",,
"SURGICAL TX ANAL FISTULA","0360","RC","Both",,,"5710","2855","Ambetter","Health Exchange",,,"62",,"3540.2","16.1","16596.62","percent of total billed charges",,
"SURGICAL TX ANAL FISTULA","0360","RC","Both",,,"5710","2855","Caresource","Health Exchange",,,"62",,"3540.2","16.1","16596.62","percent of total billed charges",,
"SURGICAL TX ANAL FISTULA","0360","RC","Both",,,"5710","2855","Cigna","Commercial",,,"59",,"3346.06","16.1","16596.62","percent of total billed charges",,
"SURGICAL TX ANAL FISTULA","0360","RC","Both",,,"5710","2855","Humana","Commercial",,,"78",,"4425.25","16.1","16596.62","percent of total billed charges",,
"SURGICAL TX ANAL FISTULA","0360","RC","Both",,,"5710","2855","UHC","Commercial",,,"75",,"4305.34","16.1","16596.62","percent of total billed charges",,
"SURGICAL TX ANAL FISTULA","0360","RC","Both",,,"5710","2855","Medicaid",,,,"37",,"2089.86","16.1","16596.62","percent of total billed charges",,
"EXCISION THROMBOSED HEMORRHOID, EXT","0360","RC","Both",,,"3992.5","1996.25","Alliant","Health Exchange",,,"62",,"2475.35","16.1","16596.62","percent of total billed charges",,
"EXCISION THROMBOSED HEMORRHOID, EXT","0360","RC","Both",,,"3992.5","1996.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"2155.95","16.1","16596.62","percent of total billed charges",,
"EXCISION THROMBOSED HEMORRHOID, EXT","0360","RC","Both",,,"3992.5","1996.25","Medicare",,,,"54",,"2163.94","16.1","16596.62","percent of total billed charges",,
"EXCISION THROMBOSED HEMORRHOID, EXT","0360","RC","Both",,,"3992.5","1996.25","Humana","Medicare Advantage",,,"54",,"2163.94","16.1","16596.62","percent of total billed charges",,
"EXCISION THROMBOSED HEMORRHOID, EXT","0360","RC","Both",,,"3992.5","1996.25","UHC","Medicare Advantage",,,"54",,"2163.94","16.1","16596.62","percent of total billed charges",,
"EXCISION THROMBOSED HEMORRHOID, EXT","0360","RC","Both",,,"3992.5","1996.25","Clover","Medicare Advantage",,,"54",,"2163.94","16.1","16596.62","percent of total billed charges",,
"EXCISION THROMBOSED HEMORRHOID, EXT","0360","RC","Both",,,"3992.5","1996.25","Wellcare","Medicare Advantage",,,"54",,"2163.94","16.1","16596.62","percent of total billed charges",,
"EXCISION THROMBOSED HEMORRHOID, EXT","0360","RC","Both",,,"3992.5","1996.25","Amerigroup","Medicaid Managed Care",,,"37",,"1461.26","16.1","16596.62","percent of total billed charges",,
"EXCISION THROMBOSED HEMORRHOID, EXT","0360","RC","Both",,,"3992.5","1996.25","Caresource","Medicaid Managed Care",,,"40",,"1597","16.1","16596.62","percent of total billed charges",,
"EXCISION THROMBOSED HEMORRHOID, EXT","0360","RC","Both",,,"3992.5","1996.25","Wellcare","Medicaid Managed Care",,,"40",,"1616.96","16.1","16596.62","percent of total billed charges",,
"EXCISION THROMBOSED HEMORRHOID, EXT","0360","RC","Both",,,"3992.5","1996.25","Aetna","Commercial",,,"64",,"2547.22","16.1","16596.62","percent of total billed charges",,
"EXCISION THROMBOSED HEMORRHOID, EXT","0360","RC","Both",,,"3992.5","1996.25","Blue Cross Blue Shield","Pathways",,,"71",,"2818.7","16.1","16596.62","percent of total billed charges",,
"EXCISION THROMBOSED HEMORRHOID, EXT","0360","RC","Both",,,"3992.5","1996.25","Blue Cross Blue Shield","HMO",,,"71",,"2818.7","16.1","16596.62","percent of total billed charges",,
"EXCISION THROMBOSED HEMORRHOID, EXT","0360","RC","Both",,,"3992.5","1996.25","Blue Cross Blue Shield","PPO",,,"71",,"2818.7","16.1","16596.62","percent of total billed charges",,
"EXCISION THROMBOSED HEMORRHOID, EXT","0360","RC","Both",,,"3992.5","1996.25","Ambetter","Health Exchange",,,"62",,"2475.35","16.1","16596.62","percent of total billed charges",,
"EXCISION THROMBOSED HEMORRHOID, EXT","0360","RC","Both",,,"3992.5","1996.25","Caresource","Health Exchange",,,"62",,"2475.35","16.1","16596.62","percent of total billed charges",,
"EXCISION THROMBOSED HEMORRHOID, EXT","0360","RC","Both",,,"3992.5","1996.25","Cigna","Commercial",,,"59",,"2339.6","16.1","16596.62","percent of total billed charges",,
"EXCISION THROMBOSED HEMORRHOID, EXT","0360","RC","Both",,,"3992.5","1996.25","Humana","Commercial",,,"78",,"3094.19","16.1","16596.62","percent of total billed charges",,
"EXCISION THROMBOSED HEMORRHOID, EXT","0360","RC","Both",,,"3992.5","1996.25","UHC","Commercial",,,"75",,"3010.34","16.1","16596.62","percent of total billed charges",,
"EXCISION THROMBOSED HEMORRHOID, EXT","0360","RC","Both",,,"3992.5","1996.25","Medicaid",,,,"37",,"1461.26","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION OF LESION ANUS; SIMPLE","0360","RC","Both",,,"4426","2213","Alliant","Health Exchange",,,"62",,"2744.12","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION OF LESION ANUS; SIMPLE","0360","RC","Both",,,"4426","2213","Pruitt Healthcare","Medicare Advantage",,,"54",,"2390.04","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION OF LESION ANUS; SIMPLE","0360","RC","Both",,,"4426","2213","Medicare",,,,"54",,"2398.89","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION OF LESION ANUS; SIMPLE","0360","RC","Both",,,"4426","2213","Humana","Medicare Advantage",,,"54",,"2398.89","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION OF LESION ANUS; SIMPLE","0360","RC","Both",,,"4426","2213","UHC","Medicare Advantage",,,"54",,"2398.89","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION OF LESION ANUS; SIMPLE","0360","RC","Both",,,"4426","2213","Clover","Medicare Advantage",,,"54",,"2398.89","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION OF LESION ANUS; SIMPLE","0360","RC","Both",,,"4426","2213","Wellcare","Medicare Advantage",,,"54",,"2398.89","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION OF LESION ANUS; SIMPLE","0360","RC","Both",,,"4426","2213","Amerigroup","Medicaid Managed Care",,,"37",,"1619.92","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION OF LESION ANUS; SIMPLE","0360","RC","Both",,,"4426","2213","Caresource","Medicaid Managed Care",,,"40",,"1770.4","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION OF LESION ANUS; SIMPLE","0360","RC","Both",,,"4426","2213","Wellcare","Medicaid Managed Care",,,"40",,"1792.53","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION OF LESION ANUS; SIMPLE","0360","RC","Both",,,"4426","2213","Aetna","Commercial",,,"64",,"2823.79","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION OF LESION ANUS; SIMPLE","0360","RC","Both",,,"4426","2213","Blue Cross Blue Shield","Pathways",,,"71",,"3124.76","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION OF LESION ANUS; SIMPLE","0360","RC","Both",,,"4426","2213","Blue Cross Blue Shield","HMO",,,"71",,"3124.76","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION OF LESION ANUS; SIMPLE","0360","RC","Both",,,"4426","2213","Blue Cross Blue Shield","PPO",,,"71",,"3124.76","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION OF LESION ANUS; SIMPLE","0360","RC","Both",,,"4426","2213","Ambetter","Health Exchange",,,"62",,"2744.12","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION OF LESION ANUS; SIMPLE","0360","RC","Both",,,"4426","2213","Caresource","Health Exchange",,,"62",,"2744.12","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION OF LESION ANUS; SIMPLE","0360","RC","Both",,,"4426","2213","Cigna","Commercial",,,"59",,"2593.64","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION OF LESION ANUS; SIMPLE","0360","RC","Both",,,"4426","2213","Humana","Commercial",,,"78",,"3430.15","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION OF LESION ANUS; SIMPLE","0360","RC","Both",,,"4426","2213","UHC","Commercial",,,"75",,"3337.2","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION OF LESION ANUS; SIMPLE","0360","RC","Both",,,"4426","2213","Medicaid",,,,"37",,"1619.92","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION, ANUS, EXTENSIVE","0360","RC","Both",,,"4426","2213","Alliant","Health Exchange",,,"62",,"2744.12","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION, ANUS, EXTENSIVE","0360","RC","Both",,,"4426","2213","Pruitt Healthcare","Medicare Advantage",,,"54",,"2390.04","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION, ANUS, EXTENSIVE","0360","RC","Both",,,"4426","2213","Medicare",,,,"54",,"2398.89","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION, ANUS, EXTENSIVE","0360","RC","Both",,,"4426","2213","Humana","Medicare Advantage",,,"54",,"2398.89","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION, ANUS, EXTENSIVE","0360","RC","Both",,,"4426","2213","UHC","Medicare Advantage",,,"54",,"2398.89","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION, ANUS, EXTENSIVE","0360","RC","Both",,,"4426","2213","Clover","Medicare Advantage",,,"54",,"2398.89","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION, ANUS, EXTENSIVE","0360","RC","Both",,,"4426","2213","Wellcare","Medicare Advantage",,,"54",,"2398.89","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION, ANUS, EXTENSIVE","0360","RC","Both",,,"4426","2213","Amerigroup","Medicaid Managed Care",,,"37",,"1619.92","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION, ANUS, EXTENSIVE","0360","RC","Both",,,"4426","2213","Caresource","Medicaid Managed Care",,,"40",,"1770.4","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION, ANUS, EXTENSIVE","0360","RC","Both",,,"4426","2213","Wellcare","Medicaid Managed Care",,,"40",,"1792.53","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION, ANUS, EXTENSIVE","0360","RC","Both",,,"4426","2213","Aetna","Commercial",,,"64",,"2823.79","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION, ANUS, EXTENSIVE","0360","RC","Both",,,"4426","2213","Blue Cross Blue Shield","Pathways",,,"71",,"3124.76","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION, ANUS, EXTENSIVE","0360","RC","Both",,,"4426","2213","Blue Cross Blue Shield","HMO",,,"71",,"3124.76","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION, ANUS, EXTENSIVE","0360","RC","Both",,,"4426","2213","Blue Cross Blue Shield","PPO",,,"71",,"3124.76","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION, ANUS, EXTENSIVE","0360","RC","Both",,,"4426","2213","Ambetter","Health Exchange",,,"62",,"2744.12","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION, ANUS, EXTENSIVE","0360","RC","Both",,,"4426","2213","Caresource","Health Exchange",,,"62",,"2744.12","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION, ANUS, EXTENSIVE","0360","RC","Both",,,"4426","2213","Cigna","Commercial",,,"59",,"2593.64","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION, ANUS, EXTENSIVE","0360","RC","Both",,,"4426","2213","Humana","Commercial",,,"78",,"3430.15","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION, ANUS, EXTENSIVE","0360","RC","Both",,,"4426","2213","UHC","Commercial",,,"75",,"3337.2","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION, ANUS, EXTENSIVE","0360","RC","Both",,,"4426","2213","Medicaid",,,,"37",,"1619.92","16.1","16596.62","percent of total billed charges",,
"UNLISTED PROCEDURE, ANUS","0360","RC","Both",,,"1374","687","Alliant","Health Exchange",,,"62",,"851.88","16.1","16596.62","percent of total billed charges",,
"UNLISTED PROCEDURE, ANUS","0360","RC","Both",,,"1374","687","Pruitt Healthcare","Medicare Advantage",,,"54",,"741.96","16.1","16596.62","percent of total billed charges",,
"UNLISTED PROCEDURE, ANUS","0360","RC","Both",,,"1374","687","Medicare",,,,"54",,"744.71","16.1","16596.62","percent of total billed charges",,
"UNLISTED PROCEDURE, ANUS","0360","RC","Both",,,"1374","687","Humana","Medicare Advantage",,,"54",,"744.71","16.1","16596.62","percent of total billed charges",,
"UNLISTED PROCEDURE, ANUS","0360","RC","Both",,,"1374","687","UHC","Medicare Advantage",,,"54",,"744.71","16.1","16596.62","percent of total billed charges",,
"UNLISTED PROCEDURE, ANUS","0360","RC","Both",,,"1374","687","Clover","Medicare Advantage",,,"54",,"744.71","16.1","16596.62","percent of total billed charges",,
"UNLISTED PROCEDURE, ANUS","0360","RC","Both",,,"1374","687","Wellcare","Medicare Advantage",,,"54",,"744.71","16.1","16596.62","percent of total billed charges",,
"UNLISTED PROCEDURE, ANUS","0360","RC","Both",,,"1374","687","Amerigroup","Medicaid Managed Care",,,"37",,"502.88","16.1","16596.62","percent of total billed charges",,
"UNLISTED PROCEDURE, ANUS","0360","RC","Both",,,"1374","687","Caresource","Medicaid Managed Care",,,"40",,"549.6","16.1","16596.62","percent of total billed charges",,
"UNLISTED PROCEDURE, ANUS","0360","RC","Both",,,"1374","687","Wellcare","Medicaid Managed Care",,,"40",,"556.47","16.1","16596.62","percent of total billed charges",,
"UNLISTED PROCEDURE, ANUS","0360","RC","Both",,,"1374","687","Aetna","Commercial",,,"64",,"876.61","16.1","16596.62","percent of total billed charges",,
"UNLISTED PROCEDURE, ANUS","0360","RC","Both",,,"1374","687","Blue Cross Blue Shield","Pathways",,,"71",,"970.04","16.1","16596.62","percent of total billed charges",,
"UNLISTED PROCEDURE, ANUS","0360","RC","Both",,,"1374","687","Blue Cross Blue Shield","HMO",,,"71",,"970.04","16.1","16596.62","percent of total billed charges",,
"UNLISTED PROCEDURE, ANUS","0360","RC","Both",,,"1374","687","Blue Cross Blue Shield","PPO",,,"71",,"970.04","16.1","16596.62","percent of total billed charges",,
"UNLISTED PROCEDURE, ANUS","0360","RC","Both",,,"1374","687","Ambetter","Health Exchange",,,"62",,"851.88","16.1","16596.62","percent of total billed charges",,
"UNLISTED PROCEDURE, ANUS","0360","RC","Both",,,"1374","687","Caresource","Health Exchange",,,"62",,"851.88","16.1","16596.62","percent of total billed charges",,
"UNLISTED PROCEDURE, ANUS","0360","RC","Both",,,"1374","687","Cigna","Commercial",,,"59",,"805.16","16.1","16596.62","percent of total billed charges",,
"UNLISTED PROCEDURE, ANUS","0360","RC","Both",,,"1374","687","Humana","Commercial",,,"78",,"1064.85","16.1","16596.62","percent of total billed charges",,
"UNLISTED PROCEDURE, ANUS","0360","RC","Both",,,"1374","687","UHC","Commercial",,,"75",,"1036","16.1","16596.62","percent of total billed charges",,
"UNLISTED PROCEDURE, ANUS","0360","RC","Both",,,"1374","687","Medicaid",,,,"37",,"502.88","16.1","16596.62","percent of total billed charges",,
"CHOLECYSTECTOMY; W/CHOLANGIOGRAM (IP)","0360","RC","Both",,,"3384.5","1692.25","Alliant","Health Exchange",,,"62",,"2098.39","16.1","16596.62","percent of total billed charges",,
"CHOLECYSTECTOMY; W/CHOLANGIOGRAM (IP)","0360","RC","Both",,,"3384.5","1692.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"1827.63","16.1","16596.62","percent of total billed charges",,
"CHOLECYSTECTOMY; W/CHOLANGIOGRAM (IP)","0360","RC","Both",,,"3384.5","1692.25","Medicare",,,,"54",,"1834.4","16.1","16596.62","percent of total billed charges",,
"CHOLECYSTECTOMY; W/CHOLANGIOGRAM (IP)","0360","RC","Both",,,"3384.5","1692.25","Humana","Medicare Advantage",,,"54",,"1834.4","16.1","16596.62","percent of total billed charges",,
"CHOLECYSTECTOMY; W/CHOLANGIOGRAM (IP)","0360","RC","Both",,,"3384.5","1692.25","UHC","Medicare Advantage",,,"54",,"1834.4","16.1","16596.62","percent of total billed charges",,
"CHOLECYSTECTOMY; W/CHOLANGIOGRAM (IP)","0360","RC","Both",,,"3384.5","1692.25","Clover","Medicare Advantage",,,"54",,"1834.4","16.1","16596.62","percent of total billed charges",,
"CHOLECYSTECTOMY; W/CHOLANGIOGRAM (IP)","0360","RC","Both",,,"3384.5","1692.25","Wellcare","Medicare Advantage",,,"54",,"1834.4","16.1","16596.62","percent of total billed charges",,
"CHOLECYSTECTOMY; W/CHOLANGIOGRAM (IP)","0360","RC","Both",,,"3384.5","1692.25","Amerigroup","Medicaid Managed Care",,,"37",,"1238.73","16.1","16596.62","percent of total billed charges",,
"CHOLECYSTECTOMY; W/CHOLANGIOGRAM (IP)","0360","RC","Both",,,"3384.5","1692.25","Caresource","Medicaid Managed Care",,,"40",,"1353.8","16.1","16596.62","percent of total billed charges",,
"CHOLECYSTECTOMY; W/CHOLANGIOGRAM (IP)","0360","RC","Both",,,"3384.5","1692.25","Wellcare","Medicaid Managed Care",,,"40",,"1370.72","16.1","16596.62","percent of total billed charges",,
"CHOLECYSTECTOMY; W/CHOLANGIOGRAM (IP)","0360","RC","Both",,,"3384.5","1692.25","Aetna","Commercial",,,"64",,"2159.31","16.1","16596.62","percent of total billed charges",,
"CHOLECYSTECTOMY; W/CHOLANGIOGRAM (IP)","0360","RC","Both",,,"3384.5","1692.25","Blue Cross Blue Shield","Pathways",,,"71",,"2389.46","16.1","16596.62","percent of total billed charges",,
"CHOLECYSTECTOMY; W/CHOLANGIOGRAM (IP)","0360","RC","Both",,,"3384.5","1692.25","Blue Cross Blue Shield","HMO",,,"71",,"2389.46","16.1","16596.62","percent of total billed charges",,
"CHOLECYSTECTOMY; W/CHOLANGIOGRAM (IP)","0360","RC","Both",,,"3384.5","1692.25","Blue Cross Blue Shield","PPO",,,"71",,"2389.46","16.1","16596.62","percent of total billed charges",,
"CHOLECYSTECTOMY; W/CHOLANGIOGRAM (IP)","0360","RC","Both",,,"3384.5","1692.25","Ambetter","Health Exchange",,,"62",,"2098.39","16.1","16596.62","percent of total billed charges",,
"CHOLECYSTECTOMY; W/CHOLANGIOGRAM (IP)","0360","RC","Both",,,"3384.5","1692.25","Caresource","Health Exchange",,,"62",,"2098.39","16.1","16596.62","percent of total billed charges",,
"CHOLECYSTECTOMY; W/CHOLANGIOGRAM (IP)","0360","RC","Both",,,"3384.5","1692.25","Cigna","Commercial",,,"59",,"1983.32","16.1","16596.62","percent of total billed charges",,
"CHOLECYSTECTOMY; W/CHOLANGIOGRAM (IP)","0360","RC","Both",,,"3384.5","1692.25","Humana","Commercial",,,"78",,"2622.99","16.1","16596.62","percent of total billed charges",,
"CHOLECYSTECTOMY; W/CHOLANGIOGRAM (IP)","0360","RC","Both",,,"3384.5","1692.25","UHC","Commercial",,,"75",,"2551.91","16.1","16596.62","percent of total billed charges",,
"CHOLECYSTECTOMY; W/CHOLANGIOGRAM (IP)","0360","RC","Both",,,"3384.5","1692.25","Medicaid",,,,"37",,"1238.73","16.1","16596.62","percent of total billed charges",,
"EXPLORATION RETROPER W W/O BIOPSY (IP)","0360","RC","Both",,,"2820.5","1410.25","Alliant","Health Exchange",,,"62",,"1748.71","16.1","16596.62","percent of total billed charges",,
"EXPLORATION RETROPER W W/O BIOPSY (IP)","0360","RC","Both",,,"2820.5","1410.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"1523.07","16.1","16596.62","percent of total billed charges",,
"EXPLORATION RETROPER W W/O BIOPSY (IP)","0360","RC","Both",,,"2820.5","1410.25","Medicare",,,,"54",,"1528.71","16.1","16596.62","percent of total billed charges",,
"EXPLORATION RETROPER W W/O BIOPSY (IP)","0360","RC","Both",,,"2820.5","1410.25","Humana","Medicare Advantage",,,"54",,"1528.71","16.1","16596.62","percent of total billed charges",,
"EXPLORATION RETROPER W W/O BIOPSY (IP)","0360","RC","Both",,,"2820.5","1410.25","UHC","Medicare Advantage",,,"54",,"1528.71","16.1","16596.62","percent of total billed charges",,
"EXPLORATION RETROPER W W/O BIOPSY (IP)","0360","RC","Both",,,"2820.5","1410.25","Clover","Medicare Advantage",,,"54",,"1528.71","16.1","16596.62","percent of total billed charges",,
"EXPLORATION RETROPER W W/O BIOPSY (IP)","0360","RC","Both",,,"2820.5","1410.25","Wellcare","Medicare Advantage",,,"54",,"1528.71","16.1","16596.62","percent of total billed charges",,
"EXPLORATION RETROPER W W/O BIOPSY (IP)","0360","RC","Both",,,"2820.5","1410.25","Amerigroup","Medicaid Managed Care",,,"37",,"1032.3","16.1","16596.62","percent of total billed charges",,
"EXPLORATION RETROPER W W/O BIOPSY (IP)","0360","RC","Both",,,"2820.5","1410.25","Caresource","Medicaid Managed Care",,,"40",,"1128.2","16.1","16596.62","percent of total billed charges",,
"EXPLORATION RETROPER W W/O BIOPSY (IP)","0360","RC","Both",,,"2820.5","1410.25","Wellcare","Medicaid Managed Care",,,"40",,"1142.3","16.1","16596.62","percent of total billed charges",,
"EXPLORATION RETROPER W W/O BIOPSY (IP)","0360","RC","Both",,,"2820.5","1410.25","Aetna","Commercial",,,"64",,"1799.48","16.1","16596.62","percent of total billed charges",,
"EXPLORATION RETROPER W W/O BIOPSY (IP)","0360","RC","Both",,,"2820.5","1410.25","Blue Cross Blue Shield","Pathways",,,"71",,"1991.27","16.1","16596.62","percent of total billed charges",,
"EXPLORATION RETROPER W W/O BIOPSY (IP)","0360","RC","Both",,,"2820.5","1410.25","Blue Cross Blue Shield","HMO",,,"71",,"1991.27","16.1","16596.62","percent of total billed charges",,
"EXPLORATION RETROPER W W/O BIOPSY (IP)","0360","RC","Both",,,"2820.5","1410.25","Blue Cross Blue Shield","PPO",,,"71",,"1991.27","16.1","16596.62","percent of total billed charges",,
"EXPLORATION RETROPER W W/O BIOPSY (IP)","0360","RC","Both",,,"2820.5","1410.25","Ambetter","Health Exchange",,,"62",,"1748.71","16.1","16596.62","percent of total billed charges",,
"EXPLORATION RETROPER W W/O BIOPSY (IP)","0360","RC","Both",,,"2820.5","1410.25","Caresource","Health Exchange",,,"62",,"1748.71","16.1","16596.62","percent of total billed charges",,
"EXPLORATION RETROPER W W/O BIOPSY (IP)","0360","RC","Both",,,"2820.5","1410.25","Cigna","Commercial",,,"59",,"1652.81","16.1","16596.62","percent of total billed charges",,
"EXPLORATION RETROPER W W/O BIOPSY (IP)","0360","RC","Both",,,"2820.5","1410.25","Humana","Commercial",,,"78",,"2185.89","16.1","16596.62","percent of total billed charges",,
"EXPLORATION RETROPER W W/O BIOPSY (IP)","0360","RC","Both",,,"2820.5","1410.25","UHC","Commercial",,,"75",,"2126.66","16.1","16596.62","percent of total billed charges",,
"EXPLORATION RETROPER W W/O BIOPSY (IP)","0360","RC","Both",,,"2820.5","1410.25","Medicaid",,,,"37",,"1032.3","16.1","16596.62","percent of total billed charges",,
"EXCIS/DESTRUCTOPEN INTRAB TUM/CY (IP)","0360","RC","Both",,,"1819","909.5","Alliant","Health Exchange",,,"62",,"1127.78","16.1","16596.62","percent of total billed charges",,
"EXCIS/DESTRUCTOPEN INTRAB TUM/CY (IP)","0360","RC","Both",,,"1819","909.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"982.26","16.1","16596.62","percent of total billed charges",,
"EXCIS/DESTRUCTOPEN INTRAB TUM/CY (IP)","0360","RC","Both",,,"1819","909.5","Medicare",,,,"54",,"985.9","16.1","16596.62","percent of total billed charges",,
"EXCIS/DESTRUCTOPEN INTRAB TUM/CY (IP)","0360","RC","Both",,,"1819","909.5","Humana","Medicare Advantage",,,"54",,"985.9","16.1","16596.62","percent of total billed charges",,
"EXCIS/DESTRUCTOPEN INTRAB TUM/CY (IP)","0360","RC","Both",,,"1819","909.5","UHC","Medicare Advantage",,,"54",,"985.9","16.1","16596.62","percent of total billed charges",,
"EXCIS/DESTRUCTOPEN INTRAB TUM/CY (IP)","0360","RC","Both",,,"1819","909.5","Clover","Medicare Advantage",,,"54",,"985.9","16.1","16596.62","percent of total billed charges",,
"EXCIS/DESTRUCTOPEN INTRAB TUM/CY (IP)","0360","RC","Both",,,"1819","909.5","Wellcare","Medicare Advantage",,,"54",,"985.9","16.1","16596.62","percent of total billed charges",,
"EXCIS/DESTRUCTOPEN INTRAB TUM/CY (IP)","0360","RC","Both",,,"1819","909.5","Amerigroup","Medicaid Managed Care",,,"37",,"665.75","16.1","16596.62","percent of total billed charges",,
"EXCIS/DESTRUCTOPEN INTRAB TUM/CY (IP)","0360","RC","Both",,,"1819","909.5","Caresource","Medicaid Managed Care",,,"40",,"727.6","16.1","16596.62","percent of total billed charges",,
"EXCIS/DESTRUCTOPEN INTRAB TUM/CY (IP)","0360","RC","Both",,,"1819","909.5","Wellcare","Medicaid Managed Care",,,"40",,"736.7","16.1","16596.62","percent of total billed charges",,
"EXCIS/DESTRUCTOPEN INTRAB TUM/CY (IP)","0360","RC","Both",,,"1819","909.5","Aetna","Commercial",,,"64",,"1160.52","16.1","16596.62","percent of total billed charges",,
"EXCIS/DESTRUCTOPEN INTRAB TUM/CY (IP)","0360","RC","Both",,,"1819","909.5","Blue Cross Blue Shield","Pathways",,,"71",,"1284.21","16.1","16596.62","percent of total billed charges",,
"EXCIS/DESTRUCTOPEN INTRAB TUM/CY (IP)","0360","RC","Both",,,"1819","909.5","Blue Cross Blue Shield","HMO",,,"71",,"1284.21","16.1","16596.62","percent of total billed charges",,
"EXCIS/DESTRUCTOPEN INTRAB TUM/CY (IP)","0360","RC","Both",,,"1819","909.5","Blue Cross Blue Shield","PPO",,,"71",,"1284.21","16.1","16596.62","percent of total billed charges",,
"EXCIS/DESTRUCTOPEN INTRAB TUM/CY (IP)","0360","RC","Both",,,"1819","909.5","Ambetter","Health Exchange",,,"62",,"1127.78","16.1","16596.62","percent of total billed charges",,
"EXCIS/DESTRUCTOPEN INTRAB TUM/CY (IP)","0360","RC","Both",,,"1819","909.5","Caresource","Health Exchange",,,"62",,"1127.78","16.1","16596.62","percent of total billed charges",,
"EXCIS/DESTRUCTOPEN INTRAB TUM/CY (IP)","0360","RC","Both",,,"1819","909.5","Cigna","Commercial",,,"59",,"1065.93","16.1","16596.62","percent of total billed charges",,
"EXCIS/DESTRUCTOPEN INTRAB TUM/CY (IP)","0360","RC","Both",,,"1819","909.5","Humana","Commercial",,,"78",,"1409.72","16.1","16596.62","percent of total billed charges",,
"EXCIS/DESTRUCTOPEN INTRAB TUM/CY (IP)","0360","RC","Both",,,"1819","909.5","UHC","Commercial",,,"75",,"1371.53","16.1","16596.62","percent of total billed charges",,
"EXCIS/DESTRUCTOPEN INTRAB TUM/CY (IP)","0360","RC","Both",,,"1819","909.5","Medicaid",,,,"37",,"665.75","16.1","16596.62","percent of total billed charges",,
"UMBILECTOMY OMPHALECTOMY EXC UMBILICUS","0360","RC","Both",,,"5783.5","2891.75","Alliant","Health Exchange",,,"62",,"3585.77","16.1","16596.62","percent of total billed charges",,
"UMBILECTOMY OMPHALECTOMY EXC UMBILICUS","0360","RC","Both",,,"5783.5","2891.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"3123.09","16.1","16596.62","percent of total billed charges",,
"UMBILECTOMY OMPHALECTOMY EXC UMBILICUS","0360","RC","Both",,,"5783.5","2891.75","Medicare",,,,"54",,"3134.66","16.1","16596.62","percent of total billed charges",,
"UMBILECTOMY OMPHALECTOMY EXC UMBILICUS","0360","RC","Both",,,"5783.5","2891.75","Humana","Medicare Advantage",,,"54",,"3134.66","16.1","16596.62","percent of total billed charges",,
"UMBILECTOMY OMPHALECTOMY EXC UMBILICUS","0360","RC","Both",,,"5783.5","2891.75","UHC","Medicare Advantage",,,"54",,"3134.66","16.1","16596.62","percent of total billed charges",,
"UMBILECTOMY OMPHALECTOMY EXC UMBILICUS","0360","RC","Both",,,"5783.5","2891.75","Clover","Medicare Advantage",,,"54",,"3134.66","16.1","16596.62","percent of total billed charges",,
"UMBILECTOMY OMPHALECTOMY EXC UMBILICUS","0360","RC","Both",,,"5783.5","2891.75","Wellcare","Medicare Advantage",,,"54",,"3134.66","16.1","16596.62","percent of total billed charges",,
"UMBILECTOMY OMPHALECTOMY EXC UMBILICUS","0360","RC","Both",,,"5783.5","2891.75","Amerigroup","Medicaid Managed Care",,,"37",,"2116.76","16.1","16596.62","percent of total billed charges",,
"UMBILECTOMY OMPHALECTOMY EXC UMBILICUS","0360","RC","Both",,,"5783.5","2891.75","Caresource","Medicaid Managed Care",,,"40",,"2313.4","16.1","16596.62","percent of total billed charges",,
"UMBILECTOMY OMPHALECTOMY EXC UMBILICUS","0360","RC","Both",,,"5783.5","2891.75","Wellcare","Medicaid Managed Care",,,"40",,"2342.32","16.1","16596.62","percent of total billed charges",,
"UMBILECTOMY OMPHALECTOMY EXC UMBILICUS","0360","RC","Both",,,"5783.5","2891.75","Aetna","Commercial",,,"64",,"3689.87","16.1","16596.62","percent of total billed charges",,
"UMBILECTOMY OMPHALECTOMY EXC UMBILICUS","0360","RC","Both",,,"5783.5","2891.75","Blue Cross Blue Shield","Pathways",,,"71",,"4083.15","16.1","16596.62","percent of total billed charges",,
"UMBILECTOMY OMPHALECTOMY EXC UMBILICUS","0360","RC","Both",,,"5783.5","2891.75","Blue Cross Blue Shield","HMO",,,"71",,"4083.15","16.1","16596.62","percent of total billed charges",,
"UMBILECTOMY OMPHALECTOMY EXC UMBILICUS","0360","RC","Both",,,"5783.5","2891.75","Blue Cross Blue Shield","PPO",,,"71",,"4083.15","16.1","16596.62","percent of total billed charges",,
"UMBILECTOMY OMPHALECTOMY EXC UMBILICUS","0360","RC","Both",,,"5783.5","2891.75","Ambetter","Health Exchange",,,"62",,"3585.77","16.1","16596.62","percent of total billed charges",,
"UMBILECTOMY OMPHALECTOMY EXC UMBILICUS","0360","RC","Both",,,"5783.5","2891.75","Caresource","Health Exchange",,,"62",,"3585.77","16.1","16596.62","percent of total billed charges",,
"UMBILECTOMY OMPHALECTOMY EXC UMBILICUS","0360","RC","Both",,,"5783.5","2891.75","Cigna","Commercial",,,"59",,"3389.13","16.1","16596.62","percent of total billed charges",,
"UMBILECTOMY OMPHALECTOMY EXC UMBILICUS","0360","RC","Both",,,"5783.5","2891.75","Humana","Commercial",,,"78",,"4482.21","16.1","16596.62","percent of total billed charges",,
"UMBILECTOMY OMPHALECTOMY EXC UMBILICUS","0360","RC","Both",,,"5783.5","2891.75","UHC","Commercial",,,"75",,"4360.76","16.1","16596.62","percent of total billed charges",,
"UMBILECTOMY OMPHALECTOMY EXC UMBILICUS","0360","RC","Both",,,"5783.5","2891.75","Medicaid",,,,"37",,"2116.76","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, ASPIRATION","0360","RC","Both",,,"8521.5","4260.75","Alliant","Health Exchange",,,"62",,"5283.33","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, ASPIRATION","0360","RC","Both",,,"8521.5","4260.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"4601.61","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, ASPIRATION","0360","RC","Both",,,"8521.5","4260.75","Medicare",,,,"54",,"4618.65","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, ASPIRATION","0360","RC","Both",,,"8521.5","4260.75","Humana","Medicare Advantage",,,"54",,"4618.65","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, ASPIRATION","0360","RC","Both",,,"8521.5","4260.75","UHC","Medicare Advantage",,,"54",,"4618.65","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, ASPIRATION","0360","RC","Both",,,"8521.5","4260.75","Clover","Medicare Advantage",,,"54",,"4618.65","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, ASPIRATION","0360","RC","Both",,,"8521.5","4260.75","Wellcare","Medicare Advantage",,,"54",,"4618.65","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, ASPIRATION","0360","RC","Both",,,"8521.5","4260.75","Amerigroup","Medicaid Managed Care",,,"37",,"3118.87","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, ASPIRATION","0360","RC","Both",,,"8521.5","4260.75","Caresource","Medicaid Managed Care",,,"40",,"3408.6","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, ASPIRATION","0360","RC","Both",,,"8521.5","4260.75","Wellcare","Medicaid Managed Care",,,"40",,"3451.21","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, ASPIRATION","0360","RC","Both",,,"8521.5","4260.75","Aetna","Commercial",,,"64",,"5436.72","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, ASPIRATION","0360","RC","Both",,,"8521.5","4260.75","Blue Cross Blue Shield","Pathways",,,"71",,"6016.18","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, ASPIRATION","0360","RC","Both",,,"8521.5","4260.75","Blue Cross Blue Shield","HMO",,,"71",,"6016.18","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, ASPIRATION","0360","RC","Both",,,"8521.5","4260.75","Blue Cross Blue Shield","PPO",,,"71",,"6016.18","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, ASPIRATION","0360","RC","Both",,,"8521.5","4260.75","Ambetter","Health Exchange",,,"62",,"5283.33","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, ASPIRATION","0360","RC","Both",,,"8521.5","4260.75","Caresource","Health Exchange",,,"62",,"5283.33","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, ASPIRATION","0360","RC","Both",,,"8521.5","4260.75","Cigna","Commercial",,,"59",,"4993.6","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, ASPIRATION","0360","RC","Both",,,"8521.5","4260.75","Humana","Commercial",,,"78",,"6604.16","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, ASPIRATION","0360","RC","Both",,,"8521.5","4260.75","UHC","Commercial",,,"75",,"6425.21","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, ASPIRATION","0360","RC","Both",,,"8521.5","4260.75","Medicaid",,,,"37",,"3118.87","16.1","16596.62","percent of total billed charges",,
"INSERTION GASTROSTOMY TUBE, PERCUTA","0360","RC","Both",,,"2893","1446.5","Alliant","Health Exchange",,,"62",,"1793.66","16.1","16596.62","percent of total billed charges",,
"INSERTION GASTROSTOMY TUBE, PERCUTA","0360","RC","Both",,,"2893","1446.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1562.22","16.1","16596.62","percent of total billed charges",,
"INSERTION GASTROSTOMY TUBE, PERCUTA","0360","RC","Both",,,"2893","1446.5","Medicare",,,,"54",,"1568.01","16.1","16596.62","percent of total billed charges",,
"INSERTION GASTROSTOMY TUBE, PERCUTA","0360","RC","Both",,,"2893","1446.5","Humana","Medicare Advantage",,,"54",,"1568.01","16.1","16596.62","percent of total billed charges",,
"INSERTION GASTROSTOMY TUBE, PERCUTA","0360","RC","Both",,,"2893","1446.5","UHC","Medicare Advantage",,,"54",,"1568.01","16.1","16596.62","percent of total billed charges",,
"INSERTION GASTROSTOMY TUBE, PERCUTA","0360","RC","Both",,,"2893","1446.5","Clover","Medicare Advantage",,,"54",,"1568.01","16.1","16596.62","percent of total billed charges",,
"INSERTION GASTROSTOMY TUBE, PERCUTA","0360","RC","Both",,,"2893","1446.5","Wellcare","Medicare Advantage",,,"54",,"1568.01","16.1","16596.62","percent of total billed charges",,
"INSERTION GASTROSTOMY TUBE, PERCUTA","0360","RC","Both",,,"2893","1446.5","Amerigroup","Medicaid Managed Care",,,"37",,"1058.84","16.1","16596.62","percent of total billed charges",,
"INSERTION GASTROSTOMY TUBE, PERCUTA","0360","RC","Both",,,"2893","1446.5","Caresource","Medicaid Managed Care",,,"40",,"1157.2","16.1","16596.62","percent of total billed charges",,
"INSERTION GASTROSTOMY TUBE, PERCUTA","0360","RC","Both",,,"2893","1446.5","Wellcare","Medicaid Managed Care",,,"40",,"1171.66","16.1","16596.62","percent of total billed charges",,
"INSERTION GASTROSTOMY TUBE, PERCUTA","0360","RC","Both",,,"2893","1446.5","Aetna","Commercial",,,"64",,"1845.73","16.1","16596.62","percent of total billed charges",,
"INSERTION GASTROSTOMY TUBE, PERCUTA","0360","RC","Both",,,"2893","1446.5","Blue Cross Blue Shield","Pathways",,,"71",,"2042.46","16.1","16596.62","percent of total billed charges",,
"INSERTION GASTROSTOMY TUBE, PERCUTA","0360","RC","Both",,,"2893","1446.5","Blue Cross Blue Shield","HMO",,,"71",,"2042.46","16.1","16596.62","percent of total billed charges",,
"INSERTION GASTROSTOMY TUBE, PERCUTA","0360","RC","Both",,,"2893","1446.5","Blue Cross Blue Shield","PPO",,,"71",,"2042.46","16.1","16596.62","percent of total billed charges",,
"INSERTION GASTROSTOMY TUBE, PERCUTA","0360","RC","Both",,,"2893","1446.5","Ambetter","Health Exchange",,,"62",,"1793.66","16.1","16596.62","percent of total billed charges",,
"INSERTION GASTROSTOMY TUBE, PERCUTA","0360","RC","Both",,,"2893","1446.5","Caresource","Health Exchange",,,"62",,"1793.66","16.1","16596.62","percent of total billed charges",,
"INSERTION GASTROSTOMY TUBE, PERCUTA","0360","RC","Both",,,"2893","1446.5","Cigna","Commercial",,,"59",,"1695.3","16.1","16596.62","percent of total billed charges",,
"INSERTION GASTROSTOMY TUBE, PERCUTA","0360","RC","Both",,,"2893","1446.5","Humana","Commercial",,,"78",,"2242.08","16.1","16596.62","percent of total billed charges",,
"INSERTION GASTROSTOMY TUBE, PERCUTA","0360","RC","Both",,,"2893","1446.5","UHC","Commercial",,,"75",,"2181.32","16.1","16596.62","percent of total billed charges",,
"INSERTION GASTROSTOMY TUBE, PERCUTA","0360","RC","Both",,,"2893","1446.5","Medicaid",,,,"37",,"1058.84","16.1","16596.62","percent of total billed charges",,
"REPAIR INITIAL FEMORAL HERNIA, INCAR/STR","0360","RC","Both",,,"3520","1760","Alliant","Health Exchange",,,"62",,"2182.4","16.1","16596.62","percent of total billed charges",,
"REPAIR INITIAL FEMORAL HERNIA, INCAR/STR","0360","RC","Both",,,"3520","1760","Pruitt Healthcare","Medicare Advantage",,,"54",,"1900.8","16.1","16596.62","percent of total billed charges",,
"REPAIR INITIAL FEMORAL HERNIA, INCAR/STR","0360","RC","Both",,,"3520","1760","Medicare",,,,"54",,"1907.84","16.1","16596.62","percent of total billed charges",,
"REPAIR INITIAL FEMORAL HERNIA, INCAR/STR","0360","RC","Both",,,"3520","1760","Humana","Medicare Advantage",,,"54",,"1907.84","16.1","16596.62","percent of total billed charges",,
"REPAIR INITIAL FEMORAL HERNIA, INCAR/STR","0360","RC","Both",,,"3520","1760","UHC","Medicare Advantage",,,"54",,"1907.84","16.1","16596.62","percent of total billed charges",,
"REPAIR INITIAL FEMORAL HERNIA, INCAR/STR","0360","RC","Both",,,"3520","1760","Clover","Medicare Advantage",,,"54",,"1907.84","16.1","16596.62","percent of total billed charges",,
"REPAIR INITIAL FEMORAL HERNIA, INCAR/STR","0360","RC","Both",,,"3520","1760","Wellcare","Medicare Advantage",,,"54",,"1907.84","16.1","16596.62","percent of total billed charges",,
"REPAIR INITIAL FEMORAL HERNIA, INCAR/STR","0360","RC","Both",,,"3520","1760","Amerigroup","Medicaid Managed Care",,,"37",,"1288.32","16.1","16596.62","percent of total billed charges",,
"REPAIR INITIAL FEMORAL HERNIA, INCAR/STR","0360","RC","Both",,,"3520","1760","Caresource","Medicaid Managed Care",,,"40",,"1408","16.1","16596.62","percent of total billed charges",,
"REPAIR INITIAL FEMORAL HERNIA, INCAR/STR","0360","RC","Both",,,"3520","1760","Wellcare","Medicaid Managed Care",,,"40",,"1425.6","16.1","16596.62","percent of total billed charges",,
"REPAIR INITIAL FEMORAL HERNIA, INCAR/STR","0360","RC","Both",,,"3520","1760","Aetna","Commercial",,,"64",,"2245.76","16.1","16596.62","percent of total billed charges",,
"REPAIR INITIAL FEMORAL HERNIA, INCAR/STR","0360","RC","Both",,,"3520","1760","Blue Cross Blue Shield","Pathways",,,"71",,"2485.12","16.1","16596.62","percent of total billed charges",,
"REPAIR INITIAL FEMORAL HERNIA, INCAR/STR","0360","RC","Both",,,"3520","1760","Blue Cross Blue Shield","HMO",,,"71",,"2485.12","16.1","16596.62","percent of total billed charges",,
"REPAIR INITIAL FEMORAL HERNIA, INCAR/STR","0360","RC","Both",,,"3520","1760","Blue Cross Blue Shield","PPO",,,"71",,"2485.12","16.1","16596.62","percent of total billed charges",,
"REPAIR INITIAL FEMORAL HERNIA, INCAR/STR","0360","RC","Both",,,"3520","1760","Ambetter","Health Exchange",,,"62",,"2182.4","16.1","16596.62","percent of total billed charges",,
"REPAIR INITIAL FEMORAL HERNIA, INCAR/STR","0360","RC","Both",,,"3520","1760","Caresource","Health Exchange",,,"62",,"2182.4","16.1","16596.62","percent of total billed charges",,
"REPAIR INITIAL FEMORAL HERNIA, INCAR/STR","0360","RC","Both",,,"3520","1760","Cigna","Commercial",,,"59",,"2062.72","16.1","16596.62","percent of total billed charges",,
"REPAIR INITIAL FEMORAL HERNIA, INCAR/STR","0360","RC","Both",,,"3520","1760","Humana","Commercial",,,"78",,"2728","16.1","16596.62","percent of total billed charges",,
"REPAIR INITIAL FEMORAL HERNIA, INCAR/STR","0360","RC","Both",,,"3520","1760","UHC","Commercial",,,"75",,"2654.08","16.1","16596.62","percent of total billed charges",,
"REPAIR INITIAL FEMORAL HERNIA, INCAR/STR","0360","RC","Both",,,"3520","1760","Medicaid",,,,"37",,"1288.32","16.1","16596.62","percent of total billed charges",,
"REPAIR RECUR INCISIONAL/VENTRAL HERNIA","0360","RC","Both",,,"7582","3791","Alliant","Health Exchange",,,"62",,"4700.84","16.1","16596.62","percent of total billed charges",,
"REPAIR RECUR INCISIONAL/VENTRAL HERNIA","0360","RC","Both",,,"7582","3791","Pruitt Healthcare","Medicare Advantage",,,"54",,"4094.28","16.1","16596.62","percent of total billed charges",,
"REPAIR RECUR INCISIONAL/VENTRAL HERNIA","0360","RC","Both",,,"7582","3791","Medicare",,,,"54",,"4109.44","16.1","16596.62","percent of total billed charges",,
"REPAIR RECUR INCISIONAL/VENTRAL HERNIA","0360","RC","Both",,,"7582","3791","Humana","Medicare Advantage",,,"54",,"4109.44","16.1","16596.62","percent of total billed charges",,
"REPAIR RECUR INCISIONAL/VENTRAL HERNIA","0360","RC","Both",,,"7582","3791","UHC","Medicare Advantage",,,"54",,"4109.44","16.1","16596.62","percent of total billed charges",,
"REPAIR RECUR INCISIONAL/VENTRAL HERNIA","0360","RC","Both",,,"7582","3791","Clover","Medicare Advantage",,,"54",,"4109.44","16.1","16596.62","percent of total billed charges",,
"REPAIR RECUR INCISIONAL/VENTRAL HERNIA","0360","RC","Both",,,"7582","3791","Wellcare","Medicare Advantage",,,"54",,"4109.44","16.1","16596.62","percent of total billed charges",,
"REPAIR RECUR INCISIONAL/VENTRAL HERNIA","0360","RC","Both",,,"7582","3791","Amerigroup","Medicaid Managed Care",,,"37",,"2775.01","16.1","16596.62","percent of total billed charges",,
"REPAIR RECUR INCISIONAL/VENTRAL HERNIA","0360","RC","Both",,,"7582","3791","Caresource","Medicaid Managed Care",,,"40",,"3032.8","16.1","16596.62","percent of total billed charges",,
"REPAIR RECUR INCISIONAL/VENTRAL HERNIA","0360","RC","Both",,,"7582","3791","Wellcare","Medicaid Managed Care",,,"40",,"3070.71","16.1","16596.62","percent of total billed charges",,
"REPAIR RECUR INCISIONAL/VENTRAL HERNIA","0360","RC","Both",,,"7582","3791","Aetna","Commercial",,,"64",,"4837.32","16.1","16596.62","percent of total billed charges",,
"REPAIR RECUR INCISIONAL/VENTRAL HERNIA","0360","RC","Both",,,"7582","3791","Blue Cross Blue Shield","Pathways",,,"71",,"5352.89","16.1","16596.62","percent of total billed charges",,
"REPAIR RECUR INCISIONAL/VENTRAL HERNIA","0360","RC","Both",,,"7582","3791","Blue Cross Blue Shield","HMO",,,"71",,"5352.89","16.1","16596.62","percent of total billed charges",,
"REPAIR RECUR INCISIONAL/VENTRAL HERNIA","0360","RC","Both",,,"7582","3791","Blue Cross Blue Shield","PPO",,,"71",,"5352.89","16.1","16596.62","percent of total billed charges",,
"REPAIR RECUR INCISIONAL/VENTRAL HERNIA","0360","RC","Both",,,"7582","3791","Ambetter","Health Exchange",,,"62",,"4700.84","16.1","16596.62","percent of total billed charges",,
"REPAIR RECUR INCISIONAL/VENTRAL HERNIA","0360","RC","Both",,,"7582","3791","Caresource","Health Exchange",,,"62",,"4700.84","16.1","16596.62","percent of total billed charges",,
"REPAIR RECUR INCISIONAL/VENTRAL HERNIA","0360","RC","Both",,,"7582","3791","Cigna","Commercial",,,"59",,"4443.05","16.1","16596.62","percent of total billed charges",,
"REPAIR RECUR INCISIONAL/VENTRAL HERNIA","0360","RC","Both",,,"7582","3791","Humana","Commercial",,,"78",,"5876.05","16.1","16596.62","percent of total billed charges",,
"REPAIR RECUR INCISIONAL/VENTRAL HERNIA","0360","RC","Both",,,"7582","3791","UHC","Commercial",,,"75",,"5716.83","16.1","16596.62","percent of total billed charges",,
"REPAIR RECUR INCISIONAL/VENTRAL HERNIA","0360","RC","Both",,,"7582","3791","Medicaid",,,,"37",,"2775.01","16.1","16596.62","percent of total billed charges",,
"REPAIR RECURR INCISIONAL OR VENTRAL HERN","0360","RC","Both",,,"7582","3791","Alliant","Health Exchange",,,"62",,"4700.84","16.1","16596.62","percent of total billed charges",,
"REPAIR RECURR INCISIONAL OR VENTRAL HERN","0360","RC","Both",,,"7582","3791","Pruitt Healthcare","Medicare Advantage",,,"54",,"4094.28","16.1","16596.62","percent of total billed charges",,
"REPAIR RECURR INCISIONAL OR VENTRAL HERN","0360","RC","Both",,,"7582","3791","Medicare",,,,"54",,"4109.44","16.1","16596.62","percent of total billed charges",,
"REPAIR RECURR INCISIONAL OR VENTRAL HERN","0360","RC","Both",,,"7582","3791","Humana","Medicare Advantage",,,"54",,"4109.44","16.1","16596.62","percent of total billed charges",,
"REPAIR RECURR INCISIONAL OR VENTRAL HERN","0360","RC","Both",,,"7582","3791","UHC","Medicare Advantage",,,"54",,"4109.44","16.1","16596.62","percent of total billed charges",,
"REPAIR RECURR INCISIONAL OR VENTRAL HERN","0360","RC","Both",,,"7582","3791","Clover","Medicare Advantage",,,"54",,"4109.44","16.1","16596.62","percent of total billed charges",,
"REPAIR RECURR INCISIONAL OR VENTRAL HERN","0360","RC","Both",,,"7582","3791","Wellcare","Medicare Advantage",,,"54",,"4109.44","16.1","16596.62","percent of total billed charges",,
"REPAIR RECURR INCISIONAL OR VENTRAL HERN","0360","RC","Both",,,"7582","3791","Amerigroup","Medicaid Managed Care",,,"37",,"2775.01","16.1","16596.62","percent of total billed charges",,
"REPAIR RECURR INCISIONAL OR VENTRAL HERN","0360","RC","Both",,,"7582","3791","Caresource","Medicaid Managed Care",,,"40",,"3032.8","16.1","16596.62","percent of total billed charges",,
"REPAIR RECURR INCISIONAL OR VENTRAL HERN","0360","RC","Both",,,"7582","3791","Wellcare","Medicaid Managed Care",,,"40",,"3070.71","16.1","16596.62","percent of total billed charges",,
"REPAIR RECURR INCISIONAL OR VENTRAL HERN","0360","RC","Both",,,"7582","3791","Aetna","Commercial",,,"64",,"4837.32","16.1","16596.62","percent of total billed charges",,
"REPAIR RECURR INCISIONAL OR VENTRAL HERN","0360","RC","Both",,,"7582","3791","Blue Cross Blue Shield","Pathways",,,"71",,"5352.89","16.1","16596.62","percent of total billed charges",,
"REPAIR RECURR INCISIONAL OR VENTRAL HERN","0360","RC","Both",,,"7582","3791","Blue Cross Blue Shield","HMO",,,"71",,"5352.89","16.1","16596.62","percent of total billed charges",,
"REPAIR RECURR INCISIONAL OR VENTRAL HERN","0360","RC","Both",,,"7582","3791","Blue Cross Blue Shield","PPO",,,"71",,"5352.89","16.1","16596.62","percent of total billed charges",,
"REPAIR RECURR INCISIONAL OR VENTRAL HERN","0360","RC","Both",,,"7582","3791","Ambetter","Health Exchange",,,"62",,"4700.84","16.1","16596.62","percent of total billed charges",,
"REPAIR RECURR INCISIONAL OR VENTRAL HERN","0360","RC","Both",,,"7582","3791","Caresource","Health Exchange",,,"62",,"4700.84","16.1","16596.62","percent of total billed charges",,
"REPAIR RECURR INCISIONAL OR VENTRAL HERN","0360","RC","Both",,,"7582","3791","Cigna","Commercial",,,"59",,"4443.05","16.1","16596.62","percent of total billed charges",,
"REPAIR RECURR INCISIONAL OR VENTRAL HERN","0360","RC","Both",,,"7582","3791","Humana","Commercial",,,"78",,"5876.05","16.1","16596.62","percent of total billed charges",,
"REPAIR RECURR INCISIONAL OR VENTRAL HERN","0360","RC","Both",,,"7582","3791","UHC","Commercial",,,"75",,"5716.83","16.1","16596.62","percent of total billed charges",,
"REPAIR RECURR INCISIONAL OR VENTRAL HERN","0360","RC","Both",,,"7582","3791","Medicaid",,,,"37",,"2775.01","16.1","16596.62","percent of total billed charges",,
"REPAIR EPIGASTRIC HERNIA, REDUCIBLE","0360","RC","Both",,,"7582","3791","Alliant","Health Exchange",,,"62",,"4700.84","16.1","16596.62","percent of total billed charges",,
"REPAIR EPIGASTRIC HERNIA, REDUCIBLE","0360","RC","Both",,,"7582","3791","Pruitt Healthcare","Medicare Advantage",,,"54",,"4094.28","16.1","16596.62","percent of total billed charges",,
"REPAIR EPIGASTRIC HERNIA, REDUCIBLE","0360","RC","Both",,,"7582","3791","Medicare",,,,"54",,"4109.44","16.1","16596.62","percent of total billed charges",,
"REPAIR EPIGASTRIC HERNIA, REDUCIBLE","0360","RC","Both",,,"7582","3791","Humana","Medicare Advantage",,,"54",,"4109.44","16.1","16596.62","percent of total billed charges",,
"REPAIR EPIGASTRIC HERNIA, REDUCIBLE","0360","RC","Both",,,"7582","3791","UHC","Medicare Advantage",,,"54",,"4109.44","16.1","16596.62","percent of total billed charges",,
"REPAIR EPIGASTRIC HERNIA, REDUCIBLE","0360","RC","Both",,,"7582","3791","Clover","Medicare Advantage",,,"54",,"4109.44","16.1","16596.62","percent of total billed charges",,
"REPAIR EPIGASTRIC HERNIA, REDUCIBLE","0360","RC","Both",,,"7582","3791","Wellcare","Medicare Advantage",,,"54",,"4109.44","16.1","16596.62","percent of total billed charges",,
"REPAIR EPIGASTRIC HERNIA, REDUCIBLE","0360","RC","Both",,,"7582","3791","Amerigroup","Medicaid Managed Care",,,"37",,"2775.01","16.1","16596.62","percent of total billed charges",,
"REPAIR EPIGASTRIC HERNIA, REDUCIBLE","0360","RC","Both",,,"7582","3791","Caresource","Medicaid Managed Care",,,"40",,"3032.8","16.1","16596.62","percent of total billed charges",,
"REPAIR EPIGASTRIC HERNIA, REDUCIBLE","0360","RC","Both",,,"7582","3791","Wellcare","Medicaid Managed Care",,,"40",,"3070.71","16.1","16596.62","percent of total billed charges",,
"REPAIR EPIGASTRIC HERNIA, REDUCIBLE","0360","RC","Both",,,"7582","3791","Aetna","Commercial",,,"64",,"4837.32","16.1","16596.62","percent of total billed charges",,
"REPAIR EPIGASTRIC HERNIA, REDUCIBLE","0360","RC","Both",,,"7582","3791","Blue Cross Blue Shield","Pathways",,,"71",,"5352.89","16.1","16596.62","percent of total billed charges",,
"REPAIR EPIGASTRIC HERNIA, REDUCIBLE","0360","RC","Both",,,"7582","3791","Blue Cross Blue Shield","HMO",,,"71",,"5352.89","16.1","16596.62","percent of total billed charges",,
"REPAIR EPIGASTRIC HERNIA, REDUCIBLE","0360","RC","Both",,,"7582","3791","Blue Cross Blue Shield","PPO",,,"71",,"5352.89","16.1","16596.62","percent of total billed charges",,
"REPAIR EPIGASTRIC HERNIA, REDUCIBLE","0360","RC","Both",,,"7582","3791","Ambetter","Health Exchange",,,"62",,"4700.84","16.1","16596.62","percent of total billed charges",,
"REPAIR EPIGASTRIC HERNIA, REDUCIBLE","0360","RC","Both",,,"7582","3791","Caresource","Health Exchange",,,"62",,"4700.84","16.1","16596.62","percent of total billed charges",,
"REPAIR EPIGASTRIC HERNIA, REDUCIBLE","0360","RC","Both",,,"7582","3791","Cigna","Commercial",,,"59",,"4443.05","16.1","16596.62","percent of total billed charges",,
"REPAIR EPIGASTRIC HERNIA, REDUCIBLE","0360","RC","Both",,,"7582","3791","Humana","Commercial",,,"78",,"5876.05","16.1","16596.62","percent of total billed charges",,
"REPAIR EPIGASTRIC HERNIA, REDUCIBLE","0360","RC","Both",,,"7582","3791","UHC","Commercial",,,"75",,"5716.83","16.1","16596.62","percent of total billed charges",,
"REPAIR EPIGASTRIC HERNIA, REDUCIBLE","0360","RC","Both",,,"7582","3791","Medicaid",,,,"37",,"2775.01","16.1","16596.62","percent of total billed charges",,
"REPAIR EPIGASTRIC HERNIA;INCARC OR STRAN","0360","RC","Both",,,"7582","3791","Alliant","Health Exchange",,,"62",,"4700.84","16.1","16596.62","percent of total billed charges",,
"REPAIR EPIGASTRIC HERNIA;INCARC OR STRAN","0360","RC","Both",,,"7582","3791","Pruitt Healthcare","Medicare Advantage",,,"54",,"4094.28","16.1","16596.62","percent of total billed charges",,
"REPAIR EPIGASTRIC HERNIA;INCARC OR STRAN","0360","RC","Both",,,"7582","3791","Medicare",,,,"54",,"4109.44","16.1","16596.62","percent of total billed charges",,
"REPAIR EPIGASTRIC HERNIA;INCARC OR STRAN","0360","RC","Both",,,"7582","3791","Humana","Medicare Advantage",,,"54",,"4109.44","16.1","16596.62","percent of total billed charges",,
"REPAIR EPIGASTRIC HERNIA;INCARC OR STRAN","0360","RC","Both",,,"7582","3791","UHC","Medicare Advantage",,,"54",,"4109.44","16.1","16596.62","percent of total billed charges",,
"REPAIR EPIGASTRIC HERNIA;INCARC OR STRAN","0360","RC","Both",,,"7582","3791","Clover","Medicare Advantage",,,"54",,"4109.44","16.1","16596.62","percent of total billed charges",,
"REPAIR EPIGASTRIC HERNIA;INCARC OR STRAN","0360","RC","Both",,,"7582","3791","Wellcare","Medicare Advantage",,,"54",,"4109.44","16.1","16596.62","percent of total billed charges",,
"REPAIR EPIGASTRIC HERNIA;INCARC OR STRAN","0360","RC","Both",,,"7582","3791","Amerigroup","Medicaid Managed Care",,,"37",,"2775.01","16.1","16596.62","percent of total billed charges",,
"REPAIR EPIGASTRIC HERNIA;INCARC OR STRAN","0360","RC","Both",,,"7582","3791","Caresource","Medicaid Managed Care",,,"40",,"3032.8","16.1","16596.62","percent of total billed charges",,
"REPAIR EPIGASTRIC HERNIA;INCARC OR STRAN","0360","RC","Both",,,"7582","3791","Wellcare","Medicaid Managed Care",,,"40",,"3070.71","16.1","16596.62","percent of total billed charges",,
"REPAIR EPIGASTRIC HERNIA;INCARC OR STRAN","0360","RC","Both",,,"7582","3791","Aetna","Commercial",,,"64",,"4837.32","16.1","16596.62","percent of total billed charges",,
"REPAIR EPIGASTRIC HERNIA;INCARC OR STRAN","0360","RC","Both",,,"7582","3791","Blue Cross Blue Shield","Pathways",,,"71",,"5352.89","16.1","16596.62","percent of total billed charges",,
"REPAIR EPIGASTRIC HERNIA;INCARC OR STRAN","0360","RC","Both",,,"7582","3791","Blue Cross Blue Shield","HMO",,,"71",,"5352.89","16.1","16596.62","percent of total billed charges",,
"REPAIR EPIGASTRIC HERNIA;INCARC OR STRAN","0360","RC","Both",,,"7582","3791","Blue Cross Blue Shield","PPO",,,"71",,"5352.89","16.1","16596.62","percent of total billed charges",,
"REPAIR EPIGASTRIC HERNIA;INCARC OR STRAN","0360","RC","Both",,,"7582","3791","Ambetter","Health Exchange",,,"62",,"4700.84","16.1","16596.62","percent of total billed charges",,
"REPAIR EPIGASTRIC HERNIA;INCARC OR STRAN","0360","RC","Both",,,"7582","3791","Caresource","Health Exchange",,,"62",,"4700.84","16.1","16596.62","percent of total billed charges",,
"REPAIR EPIGASTRIC HERNIA;INCARC OR STRAN","0360","RC","Both",,,"7582","3791","Cigna","Commercial",,,"59",,"4443.05","16.1","16596.62","percent of total billed charges",,
"REPAIR EPIGASTRIC HERNIA;INCARC OR STRAN","0360","RC","Both",,,"7582","3791","Humana","Commercial",,,"78",,"5876.05","16.1","16596.62","percent of total billed charges",,
"REPAIR EPIGASTRIC HERNIA;INCARC OR STRAN","0360","RC","Both",,,"7582","3791","UHC","Commercial",,,"75",,"5716.83","16.1","16596.62","percent of total billed charges",,
"REPAIR EPIGASTRIC HERNIA;INCARC OR STRAN","0360","RC","Both",,,"7582","3791","Medicaid",,,,"37",,"2775.01","16.1","16596.62","percent of total billed charges",,
"REPAIR UMBLICIAL HERNIA, <5yrs, INCARCER","0360","RC","Both",,,"7582","3791","Alliant","Health Exchange",,,"62",,"4700.84","16.1","16596.62","percent of total billed charges",,
"REPAIR UMBLICIAL HERNIA, <5yrs, INCARCER","0360","RC","Both",,,"7582","3791","Pruitt Healthcare","Medicare Advantage",,,"54",,"4094.28","16.1","16596.62","percent of total billed charges",,
"REPAIR UMBLICIAL HERNIA, <5yrs, INCARCER","0360","RC","Both",,,"7582","3791","Medicare",,,,"54",,"4109.44","16.1","16596.62","percent of total billed charges",,
"REPAIR UMBLICIAL HERNIA, <5yrs, INCARCER","0360","RC","Both",,,"7582","3791","Humana","Medicare Advantage",,,"54",,"4109.44","16.1","16596.62","percent of total billed charges",,
"REPAIR UMBLICIAL HERNIA, <5yrs, INCARCER","0360","RC","Both",,,"7582","3791","UHC","Medicare Advantage",,,"54",,"4109.44","16.1","16596.62","percent of total billed charges",,
"REPAIR UMBLICIAL HERNIA, <5yrs, INCARCER","0360","RC","Both",,,"7582","3791","Clover","Medicare Advantage",,,"54",,"4109.44","16.1","16596.62","percent of total billed charges",,
"REPAIR UMBLICIAL HERNIA, <5yrs, INCARCER","0360","RC","Both",,,"7582","3791","Wellcare","Medicare Advantage",,,"54",,"4109.44","16.1","16596.62","percent of total billed charges",,
"REPAIR UMBLICIAL HERNIA, <5yrs, INCARCER","0360","RC","Both",,,"7582","3791","Amerigroup","Medicaid Managed Care",,,"37",,"2775.01","16.1","16596.62","percent of total billed charges",,
"REPAIR UMBLICIAL HERNIA, <5yrs, INCARCER","0360","RC","Both",,,"7582","3791","Caresource","Medicaid Managed Care",,,"40",,"3032.8","16.1","16596.62","percent of total billed charges",,
"REPAIR UMBLICIAL HERNIA, <5yrs, INCARCER","0360","RC","Both",,,"7582","3791","Wellcare","Medicaid Managed Care",,,"40",,"3070.71","16.1","16596.62","percent of total billed charges",,
"REPAIR UMBLICIAL HERNIA, <5yrs, INCARCER","0360","RC","Both",,,"7582","3791","Aetna","Commercial",,,"64",,"4837.32","16.1","16596.62","percent of total billed charges",,
"REPAIR UMBLICIAL HERNIA, <5yrs, INCARCER","0360","RC","Both",,,"7582","3791","Blue Cross Blue Shield","Pathways",,,"71",,"5352.89","16.1","16596.62","percent of total billed charges",,
"REPAIR UMBLICIAL HERNIA, <5yrs, INCARCER","0360","RC","Both",,,"7582","3791","Blue Cross Blue Shield","HMO",,,"71",,"5352.89","16.1","16596.62","percent of total billed charges",,
"REPAIR UMBLICIAL HERNIA, <5yrs, INCARCER","0360","RC","Both",,,"7582","3791","Blue Cross Blue Shield","PPO",,,"71",,"5352.89","16.1","16596.62","percent of total billed charges",,
"REPAIR UMBLICIAL HERNIA, <5yrs, INCARCER","0360","RC","Both",,,"7582","3791","Ambetter","Health Exchange",,,"62",,"4700.84","16.1","16596.62","percent of total billed charges",,
"REPAIR UMBLICIAL HERNIA, <5yrs, INCARCER","0360","RC","Both",,,"7582","3791","Caresource","Health Exchange",,,"62",,"4700.84","16.1","16596.62","percent of total billed charges",,
"REPAIR UMBLICIAL HERNIA, <5yrs, INCARCER","0360","RC","Both",,,"7582","3791","Cigna","Commercial",,,"59",,"4443.05","16.1","16596.62","percent of total billed charges",,
"REPAIR UMBLICIAL HERNIA, <5yrs, INCARCER","0360","RC","Both",,,"7582","3791","Humana","Commercial",,,"78",,"5876.05","16.1","16596.62","percent of total billed charges",,
"REPAIR UMBLICIAL HERNIA, <5yrs, INCARCER","0360","RC","Both",,,"7582","3791","UHC","Commercial",,,"75",,"5716.83","16.1","16596.62","percent of total billed charges",,
"REPAIR UMBLICIAL HERNIA, <5yrs, INCARCER","0360","RC","Both",,,"7582","3791","Medicaid",,,,"37",,"2775.01","16.1","16596.62","percent of total billed charges",,
"LAP SURG REPAIR INCISIONAL HERNIA REDUC","0360","RC","Both",,,"21415","10707.5","Alliant","Health Exchange",,,"62",,"13277.3","16.1","16596.62","percent of total billed charges",,
"LAP SURG REPAIR INCISIONAL HERNIA REDUC","0360","RC","Both",,,"21415","10707.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"11564.1","16.1","16596.62","percent of total billed charges",,
"LAP SURG REPAIR INCISIONAL HERNIA REDUC","0360","RC","Both",,,"21415","10707.5","Medicare",,,,"54",,"11606.93","16.1","16596.62","percent of total billed charges",,
"LAP SURG REPAIR INCISIONAL HERNIA REDUC","0360","RC","Both",,,"21415","10707.5","Humana","Medicare Advantage",,,"54",,"11606.93","16.1","16596.62","percent of total billed charges",,
"LAP SURG REPAIR INCISIONAL HERNIA REDUC","0360","RC","Both",,,"21415","10707.5","UHC","Medicare Advantage",,,"54",,"11606.93","16.1","16596.62","percent of total billed charges",,
"LAP SURG REPAIR INCISIONAL HERNIA REDUC","0360","RC","Both",,,"21415","10707.5","Clover","Medicare Advantage",,,"54",,"11606.93","16.1","16596.62","percent of total billed charges",,
"LAP SURG REPAIR INCISIONAL HERNIA REDUC","0360","RC","Both",,,"21415","10707.5","Wellcare","Medicare Advantage",,,"54",,"11606.93","16.1","16596.62","percent of total billed charges",,
"LAP SURG REPAIR INCISIONAL HERNIA REDUC","0360","RC","Both",,,"21415","10707.5","Amerigroup","Medicaid Managed Care",,,"37",,"7837.89","16.1","16596.62","percent of total billed charges",,
"LAP SURG REPAIR INCISIONAL HERNIA REDUC","0360","RC","Both",,,"21415","10707.5","Caresource","Medicaid Managed Care",,,"40",,"8566","16.1","16596.62","percent of total billed charges",,
"LAP SURG REPAIR INCISIONAL HERNIA REDUC","0360","RC","Both",,,"21415","10707.5","Wellcare","Medicaid Managed Care",,,"40",,"8673.08","16.1","16596.62","percent of total billed charges",,
"LAP SURG REPAIR INCISIONAL HERNIA REDUC","0360","RC","Both",,,"21415","10707.5","Aetna","Commercial",,,"64",,"13662.77","16.1","16596.62","percent of total billed charges",,
"LAP SURG REPAIR INCISIONAL HERNIA REDUC","0360","RC","Both",,,"21415","10707.5","Blue Cross Blue Shield","Pathways",,,"71",,"15118.99","16.1","16596.62","percent of total billed charges",,
"LAP SURG REPAIR INCISIONAL HERNIA REDUC","0360","RC","Both",,,"21415","10707.5","Blue Cross Blue Shield","HMO",,,"71",,"15118.99","16.1","16596.62","percent of total billed charges",,
"LAP SURG REPAIR INCISIONAL HERNIA REDUC","0360","RC","Both",,,"21415","10707.5","Blue Cross Blue Shield","PPO",,,"71",,"15118.99","16.1","16596.62","percent of total billed charges",,
"LAP SURG REPAIR INCISIONAL HERNIA REDUC","0360","RC","Both",,,"21415","10707.5","Ambetter","Health Exchange",,,"62",,"13277.3","16.1","16596.62","percent of total billed charges",,
"LAP SURG REPAIR INCISIONAL HERNIA REDUC","0360","RC","Both",,,"21415","10707.5","Caresource","Health Exchange",,,"62",,"13277.3","16.1","16596.62","percent of total billed charges",,
"LAP SURG REPAIR INCISIONAL HERNIA REDUC","0360","RC","Both",,,"21415","10707.5","Cigna","Commercial",,,"59",,"12549.19","16.1","16596.62","percent of total billed charges",,
"LAP SURG REPAIR INCISIONAL HERNIA REDUC","0360","RC","Both",,,"21415","10707.5","Humana","Commercial",,,"78",,"16596.62","16.1","16596.62","percent of total billed charges",,
"LAP SURG REPAIR INCISIONAL HERNIA REDUC","0360","RC","Both",,,"21415","10707.5","UHC","Commercial",,,"75",,"16146.91","16.1","16596.62","percent of total billed charges",,
"LAP SURG REPAIR INCISIONAL HERNIA REDUC","0360","RC","Both",,,"21415","10707.5","Medicaid",,,,"37",,"7837.89","16.1","16596.62","percent of total billed charges",,
"UNLISTED LAPAROSCOPY PROCEDURE","0360","RC","Both",,,"8521.5","4260.75","Alliant","Health Exchange",,,"62",,"5283.33","16.1","16596.62","percent of total billed charges",,
"UNLISTED LAPAROSCOPY PROCEDURE","0360","RC","Both",,,"8521.5","4260.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"4601.61","16.1","16596.62","percent of total billed charges",,
"UNLISTED LAPAROSCOPY PROCEDURE","0360","RC","Both",,,"8521.5","4260.75","Medicare",,,,"54",,"4618.65","16.1","16596.62","percent of total billed charges",,
"UNLISTED LAPAROSCOPY PROCEDURE","0360","RC","Both",,,"8521.5","4260.75","Humana","Medicare Advantage",,,"54",,"4618.65","16.1","16596.62","percent of total billed charges",,
"UNLISTED LAPAROSCOPY PROCEDURE","0360","RC","Both",,,"8521.5","4260.75","UHC","Medicare Advantage",,,"54",,"4618.65","16.1","16596.62","percent of total billed charges",,
"UNLISTED LAPAROSCOPY PROCEDURE","0360","RC","Both",,,"8521.5","4260.75","Clover","Medicare Advantage",,,"54",,"4618.65","16.1","16596.62","percent of total billed charges",,
"UNLISTED LAPAROSCOPY PROCEDURE","0360","RC","Both",,,"8521.5","4260.75","Wellcare","Medicare Advantage",,,"54",,"4618.65","16.1","16596.62","percent of total billed charges",,
"UNLISTED LAPAROSCOPY PROCEDURE","0360","RC","Both",,,"8521.5","4260.75","Amerigroup","Medicaid Managed Care",,,"37",,"3118.87","16.1","16596.62","percent of total billed charges",,
"UNLISTED LAPAROSCOPY PROCEDURE","0360","RC","Both",,,"8521.5","4260.75","Caresource","Medicaid Managed Care",,,"40",,"3408.6","16.1","16596.62","percent of total billed charges",,
"UNLISTED LAPAROSCOPY PROCEDURE","0360","RC","Both",,,"8521.5","4260.75","Wellcare","Medicaid Managed Care",,,"40",,"3451.21","16.1","16596.62","percent of total billed charges",,
"UNLISTED LAPAROSCOPY PROCEDURE","0360","RC","Both",,,"8521.5","4260.75","Aetna","Commercial",,,"64",,"5436.72","16.1","16596.62","percent of total billed charges",,
"UNLISTED LAPAROSCOPY PROCEDURE","0360","RC","Both",,,"8521.5","4260.75","Blue Cross Blue Shield","Pathways",,,"71",,"6016.18","16.1","16596.62","percent of total billed charges",,
"UNLISTED LAPAROSCOPY PROCEDURE","0360","RC","Both",,,"8521.5","4260.75","Blue Cross Blue Shield","HMO",,,"71",,"6016.18","16.1","16596.62","percent of total billed charges",,
"UNLISTED LAPAROSCOPY PROCEDURE","0360","RC","Both",,,"8521.5","4260.75","Blue Cross Blue Shield","PPO",,,"71",,"6016.18","16.1","16596.62","percent of total billed charges",,
"UNLISTED LAPAROSCOPY PROCEDURE","0360","RC","Both",,,"8521.5","4260.75","Ambetter","Health Exchange",,,"62",,"5283.33","16.1","16596.62","percent of total billed charges",,
"UNLISTED LAPAROSCOPY PROCEDURE","0360","RC","Both",,,"8521.5","4260.75","Caresource","Health Exchange",,,"62",,"5283.33","16.1","16596.62","percent of total billed charges",,
"UNLISTED LAPAROSCOPY PROCEDURE","0360","RC","Both",,,"8521.5","4260.75","Cigna","Commercial",,,"59",,"4993.6","16.1","16596.62","percent of total billed charges",,
"UNLISTED LAPAROSCOPY PROCEDURE","0360","RC","Both",,,"8521.5","4260.75","Humana","Commercial",,,"78",,"6604.16","16.1","16596.62","percent of total billed charges",,
"UNLISTED LAPAROSCOPY PROCEDURE","0360","RC","Both",,,"8521.5","4260.75","UHC","Commercial",,,"75",,"6425.21","16.1","16596.62","percent of total billed charges",,
"UNLISTED LAPAROSCOPY PROCEDURE","0360","RC","Both",,,"8521.5","4260.75","Medicaid",,,,"37",,"3118.87","16.1","16596.62","percent of total billed charges",,
"UNLISTED PROCEDURE, ABD,PERITON, OMENT","0360","RC","Both",,,"5783.5","2891.75","Alliant","Health Exchange",,,"62",,"3585.77","16.1","16596.62","percent of total billed charges",,
"UNLISTED PROCEDURE, ABD,PERITON, OMENT","0360","RC","Both",,,"5783.5","2891.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"3123.09","16.1","16596.62","percent of total billed charges",,
"UNLISTED PROCEDURE, ABD,PERITON, OMENT","0360","RC","Both",,,"5783.5","2891.75","Medicare",,,,"54",,"3134.66","16.1","16596.62","percent of total billed charges",,
"UNLISTED PROCEDURE, ABD,PERITON, OMENT","0360","RC","Both",,,"5783.5","2891.75","Humana","Medicare Advantage",,,"54",,"3134.66","16.1","16596.62","percent of total billed charges",,
"UNLISTED PROCEDURE, ABD,PERITON, OMENT","0360","RC","Both",,,"5783.5","2891.75","UHC","Medicare Advantage",,,"54",,"3134.66","16.1","16596.62","percent of total billed charges",,
"UNLISTED PROCEDURE, ABD,PERITON, OMENT","0360","RC","Both",,,"5783.5","2891.75","Clover","Medicare Advantage",,,"54",,"3134.66","16.1","16596.62","percent of total billed charges",,
"UNLISTED PROCEDURE, ABD,PERITON, OMENT","0360","RC","Both",,,"5783.5","2891.75","Wellcare","Medicare Advantage",,,"54",,"3134.66","16.1","16596.62","percent of total billed charges",,
"UNLISTED PROCEDURE, ABD,PERITON, OMENT","0360","RC","Both",,,"5783.5","2891.75","Amerigroup","Medicaid Managed Care",,,"37",,"2116.76","16.1","16596.62","percent of total billed charges",,
"UNLISTED PROCEDURE, ABD,PERITON, OMENT","0360","RC","Both",,,"5783.5","2891.75","Caresource","Medicaid Managed Care",,,"40",,"2313.4","16.1","16596.62","percent of total billed charges",,
"UNLISTED PROCEDURE, ABD,PERITON, OMENT","0360","RC","Both",,,"5783.5","2891.75","Wellcare","Medicaid Managed Care",,,"40",,"2342.32","16.1","16596.62","percent of total billed charges",,
"UNLISTED PROCEDURE, ABD,PERITON, OMENT","0360","RC","Both",,,"5783.5","2891.75","Aetna","Commercial",,,"64",,"3689.87","16.1","16596.62","percent of total billed charges",,
"UNLISTED PROCEDURE, ABD,PERITON, OMENT","0360","RC","Both",,,"5783.5","2891.75","Blue Cross Blue Shield","Pathways",,,"71",,"4083.15","16.1","16596.62","percent of total billed charges",,
"UNLISTED PROCEDURE, ABD,PERITON, OMENT","0360","RC","Both",,,"5783.5","2891.75","Blue Cross Blue Shield","HMO",,,"71",,"4083.15","16.1","16596.62","percent of total billed charges",,
"UNLISTED PROCEDURE, ABD,PERITON, OMENT","0360","RC","Both",,,"5783.5","2891.75","Blue Cross Blue Shield","PPO",,,"71",,"4083.15","16.1","16596.62","percent of total billed charges",,
"UNLISTED PROCEDURE, ABD,PERITON, OMENT","0360","RC","Both",,,"5783.5","2891.75","Ambetter","Health Exchange",,,"62",,"3585.77","16.1","16596.62","percent of total billed charges",,
"UNLISTED PROCEDURE, ABD,PERITON, OMENT","0360","RC","Both",,,"5783.5","2891.75","Caresource","Health Exchange",,,"62",,"3585.77","16.1","16596.62","percent of total billed charges",,
"UNLISTED PROCEDURE, ABD,PERITON, OMENT","0360","RC","Both",,,"5783.5","2891.75","Cigna","Commercial",,,"59",,"3389.13","16.1","16596.62","percent of total billed charges",,
"UNLISTED PROCEDURE, ABD,PERITON, OMENT","0360","RC","Both",,,"5783.5","2891.75","Humana","Commercial",,,"78",,"4482.21","16.1","16596.62","percent of total billed charges",,
"UNLISTED PROCEDURE, ABD,PERITON, OMENT","0360","RC","Both",,,"5783.5","2891.75","UHC","Commercial",,,"75",,"4360.76","16.1","16596.62","percent of total billed charges",,
"UNLISTED PROCEDURE, ABD,PERITON, OMENT","0360","RC","Both",,,"5783.5","2891.75","Medicaid",,,,"37",,"2116.76","16.1","16596.62","percent of total billed charges",,
"DRAINAGE PERIRENAL OR RENAL ABCESS; OPEN","0360","RC","Both",,,"5959","2979.5","Alliant","Health Exchange",,,"62",,"3694.58","16.1","16596.62","percent of total billed charges",,
"DRAINAGE PERIRENAL OR RENAL ABCESS; OPEN","0360","RC","Both",,,"5959","2979.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3217.86","16.1","16596.62","percent of total billed charges",,
"DRAINAGE PERIRENAL OR RENAL ABCESS; OPEN","0360","RC","Both",,,"5959","2979.5","Medicare",,,,"54",,"3229.78","16.1","16596.62","percent of total billed charges",,
"DRAINAGE PERIRENAL OR RENAL ABCESS; OPEN","0360","RC","Both",,,"5959","2979.5","Humana","Medicare Advantage",,,"54",,"3229.78","16.1","16596.62","percent of total billed charges",,
"DRAINAGE PERIRENAL OR RENAL ABCESS; OPEN","0360","RC","Both",,,"5959","2979.5","UHC","Medicare Advantage",,,"54",,"3229.78","16.1","16596.62","percent of total billed charges",,
"DRAINAGE PERIRENAL OR RENAL ABCESS; OPEN","0360","RC","Both",,,"5959","2979.5","Clover","Medicare Advantage",,,"54",,"3229.78","16.1","16596.62","percent of total billed charges",,
"DRAINAGE PERIRENAL OR RENAL ABCESS; OPEN","0360","RC","Both",,,"5959","2979.5","Wellcare","Medicare Advantage",,,"54",,"3229.78","16.1","16596.62","percent of total billed charges",,
"DRAINAGE PERIRENAL OR RENAL ABCESS; OPEN","0360","RC","Both",,,"5959","2979.5","Amerigroup","Medicaid Managed Care",,,"37",,"2180.99","16.1","16596.62","percent of total billed charges",,
"DRAINAGE PERIRENAL OR RENAL ABCESS; OPEN","0360","RC","Both",,,"5959","2979.5","Caresource","Medicaid Managed Care",,,"40",,"2383.6","16.1","16596.62","percent of total billed charges",,
"DRAINAGE PERIRENAL OR RENAL ABCESS; OPEN","0360","RC","Both",,,"5959","2979.5","Wellcare","Medicaid Managed Care",,,"40",,"2413.4","16.1","16596.62","percent of total billed charges",,
"DRAINAGE PERIRENAL OR RENAL ABCESS; OPEN","0360","RC","Both",,,"5959","2979.5","Aetna","Commercial",,,"64",,"3801.84","16.1","16596.62","percent of total billed charges",,
"DRAINAGE PERIRENAL OR RENAL ABCESS; OPEN","0360","RC","Both",,,"5959","2979.5","Blue Cross Blue Shield","Pathways",,,"71",,"4207.05","16.1","16596.62","percent of total billed charges",,
"DRAINAGE PERIRENAL OR RENAL ABCESS; OPEN","0360","RC","Both",,,"5959","2979.5","Blue Cross Blue Shield","HMO",,,"71",,"4207.05","16.1","16596.62","percent of total billed charges",,
"DRAINAGE PERIRENAL OR RENAL ABCESS; OPEN","0360","RC","Both",,,"5959","2979.5","Blue Cross Blue Shield","PPO",,,"71",,"4207.05","16.1","16596.62","percent of total billed charges",,
"DRAINAGE PERIRENAL OR RENAL ABCESS; OPEN","0360","RC","Both",,,"5959","2979.5","Ambetter","Health Exchange",,,"62",,"3694.58","16.1","16596.62","percent of total billed charges",,
"DRAINAGE PERIRENAL OR RENAL ABCESS; OPEN","0360","RC","Both",,,"5959","2979.5","Caresource","Health Exchange",,,"62",,"3694.58","16.1","16596.62","percent of total billed charges",,
"DRAINAGE PERIRENAL OR RENAL ABCESS; OPEN","0360","RC","Both",,,"5959","2979.5","Cigna","Commercial",,,"59",,"3491.97","16.1","16596.62","percent of total billed charges",,
"DRAINAGE PERIRENAL OR RENAL ABCESS; OPEN","0360","RC","Both",,,"5959","2979.5","Humana","Commercial",,,"78",,"4618.23","16.1","16596.62","percent of total billed charges",,
"DRAINAGE PERIRENAL OR RENAL ABCESS; OPEN","0360","RC","Both",,,"5959","2979.5","UHC","Commercial",,,"75",,"4493.09","16.1","16596.62","percent of total billed charges",,
"DRAINAGE PERIRENAL OR RENAL ABCESS; OPEN","0360","RC","Both",,,"5959","2979.5","Medicaid",,,,"37",,"2180.99","16.1","16596.62","percent of total billed charges",,
"BLADDER IRRIGATION; SIMPLE,LAVAGE INSTIL","0360","RC","Both",,,"477.5","238.75","Alliant","Health Exchange",,,"62",,"296.05","16.1","16596.62","percent of total billed charges",,
"BLADDER IRRIGATION; SIMPLE,LAVAGE INSTIL","0360","RC","Both",,,"477.5","238.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"257.85","16.1","16596.62","percent of total billed charges",,
"BLADDER IRRIGATION; SIMPLE,LAVAGE INSTIL","0360","RC","Both",,,"477.5","238.75","Medicare",,,,"54",,"258.8","16.1","16596.62","percent of total billed charges",,
"BLADDER IRRIGATION; SIMPLE,LAVAGE INSTIL","0360","RC","Both",,,"477.5","238.75","Humana","Medicare Advantage",,,"54",,"258.8","16.1","16596.62","percent of total billed charges",,
"BLADDER IRRIGATION; SIMPLE,LAVAGE INSTIL","0360","RC","Both",,,"477.5","238.75","UHC","Medicare Advantage",,,"54",,"258.8","16.1","16596.62","percent of total billed charges",,
"BLADDER IRRIGATION; SIMPLE,LAVAGE INSTIL","0360","RC","Both",,,"477.5","238.75","Clover","Medicare Advantage",,,"54",,"258.8","16.1","16596.62","percent of total billed charges",,
"BLADDER IRRIGATION; SIMPLE,LAVAGE INSTIL","0360","RC","Both",,,"477.5","238.75","Wellcare","Medicare Advantage",,,"54",,"258.8","16.1","16596.62","percent of total billed charges",,
"BLADDER IRRIGATION; SIMPLE,LAVAGE INSTIL","0360","RC","Both",,,"477.5","238.75","Amerigroup","Medicaid Managed Care",,,"37",,"174.76","16.1","16596.62","percent of total billed charges",,
"BLADDER IRRIGATION; SIMPLE,LAVAGE INSTIL","0360","RC","Both",,,"477.5","238.75","Caresource","Medicaid Managed Care",,,"40",,"191","16.1","16596.62","percent of total billed charges",,
"BLADDER IRRIGATION; SIMPLE,LAVAGE INSTIL","0360","RC","Both",,,"477.5","238.75","Wellcare","Medicaid Managed Care",,,"40",,"193.39","16.1","16596.62","percent of total billed charges",,
"BLADDER IRRIGATION; SIMPLE,LAVAGE INSTIL","0360","RC","Both",,,"477.5","238.75","Aetna","Commercial",,,"64",,"304.64","16.1","16596.62","percent of total billed charges",,
"BLADDER IRRIGATION; SIMPLE,LAVAGE INSTIL","0360","RC","Both",,,"477.5","238.75","Blue Cross Blue Shield","Pathways",,,"71",,"337.12","16.1","16596.62","percent of total billed charges",,
"BLADDER IRRIGATION; SIMPLE,LAVAGE INSTIL","0360","RC","Both",,,"477.5","238.75","Blue Cross Blue Shield","HMO",,,"71",,"337.12","16.1","16596.62","percent of total billed charges",,
"BLADDER IRRIGATION; SIMPLE,LAVAGE INSTIL","0360","RC","Both",,,"477.5","238.75","Blue Cross Blue Shield","PPO",,,"71",,"337.12","16.1","16596.62","percent of total billed charges",,
"BLADDER IRRIGATION; SIMPLE,LAVAGE INSTIL","0360","RC","Both",,,"477.5","238.75","Ambetter","Health Exchange",,,"62",,"296.05","16.1","16596.62","percent of total billed charges",,
"BLADDER IRRIGATION; SIMPLE,LAVAGE INSTIL","0360","RC","Both",,,"477.5","238.75","Caresource","Health Exchange",,,"62",,"296.05","16.1","16596.62","percent of total billed charges",,
"BLADDER IRRIGATION; SIMPLE,LAVAGE INSTIL","0360","RC","Both",,,"477.5","238.75","Cigna","Commercial",,,"59",,"279.82","16.1","16596.62","percent of total billed charges",,
"BLADDER IRRIGATION; SIMPLE,LAVAGE INSTIL","0360","RC","Both",,,"477.5","238.75","Humana","Commercial",,,"78",,"370.06","16.1","16596.62","percent of total billed charges",,
"BLADDER IRRIGATION; SIMPLE,LAVAGE INSTIL","0360","RC","Both",,,"477.5","238.75","UHC","Commercial",,,"75",,"360.04","16.1","16596.62","percent of total billed charges",,
"BLADDER IRRIGATION; SIMPLE,LAVAGE INSTIL","0360","RC","Both",,,"477.5","238.75","Medicaid",,,,"37",,"174.76","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY","0360","RC","Both",,,"1591.5","795.75","Alliant","Health Exchange",,,"62",,"986.73","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY","0360","RC","Both",,,"1591.5","795.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"859.41","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY","0360","RC","Both",,,"1591.5","795.75","Medicare",,,,"54",,"862.59","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY","0360","RC","Both",,,"1591.5","795.75","Humana","Medicare Advantage",,,"54",,"862.59","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY","0360","RC","Both",,,"1591.5","795.75","UHC","Medicare Advantage",,,"54",,"862.59","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY","0360","RC","Both",,,"1591.5","795.75","Clover","Medicare Advantage",,,"54",,"862.59","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY","0360","RC","Both",,,"1591.5","795.75","Wellcare","Medicare Advantage",,,"54",,"862.59","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY","0360","RC","Both",,,"1591.5","795.75","Amerigroup","Medicaid Managed Care",,,"37",,"582.49","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY","0360","RC","Both",,,"1591.5","795.75","Caresource","Medicaid Managed Care",,,"40",,"636.6","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY","0360","RC","Both",,,"1591.5","795.75","Wellcare","Medicaid Managed Care",,,"40",,"644.56","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY","0360","RC","Both",,,"1591.5","795.75","Aetna","Commercial",,,"64",,"1015.38","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY","0360","RC","Both",,,"1591.5","795.75","Blue Cross Blue Shield","Pathways",,,"71",,"1123.6","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY","0360","RC","Both",,,"1591.5","795.75","Blue Cross Blue Shield","HMO",,,"71",,"1123.6","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY","0360","RC","Both",,,"1591.5","795.75","Blue Cross Blue Shield","PPO",,,"71",,"1123.6","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY","0360","RC","Both",,,"1591.5","795.75","Ambetter","Health Exchange",,,"62",,"986.73","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY","0360","RC","Both",,,"1591.5","795.75","Caresource","Health Exchange",,,"62",,"986.73","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY","0360","RC","Both",,,"1591.5","795.75","Cigna","Commercial",,,"59",,"932.62","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY","0360","RC","Both",,,"1591.5","795.75","Humana","Commercial",,,"78",,"1233.41","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY","0360","RC","Both",,,"1591.5","795.75","UHC","Commercial",,,"75",,"1199.99","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY","0360","RC","Both",,,"1591.5","795.75","Medicaid",,,,"37",,"582.49","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/BIOPSY","0360","RC","Both",,,"5959","2979.5","Alliant","Health Exchange",,,"62",,"3694.58","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/BIOPSY","0360","RC","Both",,,"5959","2979.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3217.86","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/BIOPSY","0360","RC","Both",,,"5959","2979.5","Medicare",,,,"54",,"3229.78","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/BIOPSY","0360","RC","Both",,,"5959","2979.5","Humana","Medicare Advantage",,,"54",,"3229.78","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/BIOPSY","0360","RC","Both",,,"5959","2979.5","UHC","Medicare Advantage",,,"54",,"3229.78","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/BIOPSY","0360","RC","Both",,,"5959","2979.5","Clover","Medicare Advantage",,,"54",,"3229.78","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/BIOPSY","0360","RC","Both",,,"5959","2979.5","Wellcare","Medicare Advantage",,,"54",,"3229.78","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/BIOPSY","0360","RC","Both",,,"5959","2979.5","Amerigroup","Medicaid Managed Care",,,"37",,"2180.99","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/BIOPSY","0360","RC","Both",,,"5959","2979.5","Caresource","Medicaid Managed Care",,,"40",,"2383.6","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/BIOPSY","0360","RC","Both",,,"5959","2979.5","Wellcare","Medicaid Managed Care",,,"40",,"2413.4","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/BIOPSY","0360","RC","Both",,,"5959","2979.5","Aetna","Commercial",,,"64",,"3801.84","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/BIOPSY","0360","RC","Both",,,"5959","2979.5","Blue Cross Blue Shield","Pathways",,,"71",,"4207.05","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/BIOPSY","0360","RC","Both",,,"5959","2979.5","Blue Cross Blue Shield","HMO",,,"71",,"4207.05","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/BIOPSY","0360","RC","Both",,,"5959","2979.5","Blue Cross Blue Shield","PPO",,,"71",,"4207.05","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/BIOPSY","0360","RC","Both",,,"5959","2979.5","Ambetter","Health Exchange",,,"62",,"3694.58","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/BIOPSY","0360","RC","Both",,,"5959","2979.5","Caresource","Health Exchange",,,"62",,"3694.58","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/BIOPSY","0360","RC","Both",,,"5959","2979.5","Cigna","Commercial",,,"59",,"3491.97","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/BIOPSY","0360","RC","Both",,,"5959","2979.5","Humana","Commercial",,,"78",,"4618.23","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/BIOPSY","0360","RC","Both",,,"5959","2979.5","UHC","Commercial",,,"75",,"4493.09","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/BIOPSY","0360","RC","Both",,,"5959","2979.5","Medicaid",,,,"37",,"2180.99","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/FULGURATION TRIGON","0360","RC","Both",,,"5959","2979.5","Alliant","Health Exchange",,,"62",,"3694.58","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/FULGURATION TRIGON","0360","RC","Both",,,"5959","2979.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3217.86","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/FULGURATION TRIGON","0360","RC","Both",,,"5959","2979.5","Medicare",,,,"54",,"3229.78","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/FULGURATION TRIGON","0360","RC","Both",,,"5959","2979.5","Humana","Medicare Advantage",,,"54",,"3229.78","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/FULGURATION TRIGON","0360","RC","Both",,,"5959","2979.5","UHC","Medicare Advantage",,,"54",,"3229.78","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/FULGURATION TRIGON","0360","RC","Both",,,"5959","2979.5","Clover","Medicare Advantage",,,"54",,"3229.78","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/FULGURATION TRIGON","0360","RC","Both",,,"5959","2979.5","Wellcare","Medicare Advantage",,,"54",,"3229.78","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/FULGURATION TRIGON","0360","RC","Both",,,"5959","2979.5","Amerigroup","Medicaid Managed Care",,,"37",,"2180.99","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/FULGURATION TRIGON","0360","RC","Both",,,"5959","2979.5","Caresource","Medicaid Managed Care",,,"40",,"2383.6","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/FULGURATION TRIGON","0360","RC","Both",,,"5959","2979.5","Wellcare","Medicaid Managed Care",,,"40",,"2413.4","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/FULGURATION TRIGON","0360","RC","Both",,,"5959","2979.5","Aetna","Commercial",,,"64",,"3801.84","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/FULGURATION TRIGON","0360","RC","Both",,,"5959","2979.5","Blue Cross Blue Shield","Pathways",,,"71",,"4207.05","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/FULGURATION TRIGON","0360","RC","Both",,,"5959","2979.5","Blue Cross Blue Shield","HMO",,,"71",,"4207.05","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/FULGURATION TRIGON","0360","RC","Both",,,"5959","2979.5","Blue Cross Blue Shield","PPO",,,"71",,"4207.05","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/FULGURATION TRIGON","0360","RC","Both",,,"5959","2979.5","Ambetter","Health Exchange",,,"62",,"3694.58","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/FULGURATION TRIGON","0360","RC","Both",,,"5959","2979.5","Caresource","Health Exchange",,,"62",,"3694.58","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/FULGURATION TRIGON","0360","RC","Both",,,"5959","2979.5","Cigna","Commercial",,,"59",,"3491.97","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/FULGURATION TRIGON","0360","RC","Both",,,"5959","2979.5","Humana","Commercial",,,"78",,"4618.23","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/FULGURATION TRIGON","0360","RC","Both",,,"5959","2979.5","UHC","Commercial",,,"75",,"4493.09","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/FULGURATION TRIGON","0360","RC","Both",,,"5959","2979.5","Medicaid",,,,"37",,"2180.99","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/FULGURATION/TX","0360","RC","Both",,,"5959","2979.5","Alliant","Health Exchange",,,"62",,"3694.58","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/FULGURATION/TX","0360","RC","Both",,,"5959","2979.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3217.86","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/FULGURATION/TX","0360","RC","Both",,,"5959","2979.5","Medicare",,,,"54",,"3229.78","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/FULGURATION/TX","0360","RC","Both",,,"5959","2979.5","Humana","Medicare Advantage",,,"54",,"3229.78","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/FULGURATION/TX","0360","RC","Both",,,"5959","2979.5","UHC","Medicare Advantage",,,"54",,"3229.78","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/FULGURATION/TX","0360","RC","Both",,,"5959","2979.5","Clover","Medicare Advantage",,,"54",,"3229.78","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/FULGURATION/TX","0360","RC","Both",,,"5959","2979.5","Wellcare","Medicare Advantage",,,"54",,"3229.78","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/FULGURATION/TX","0360","RC","Both",,,"5959","2979.5","Amerigroup","Medicaid Managed Care",,,"37",,"2180.99","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/FULGURATION/TX","0360","RC","Both",,,"5959","2979.5","Caresource","Medicaid Managed Care",,,"40",,"2383.6","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/FULGURATION/TX","0360","RC","Both",,,"5959","2979.5","Wellcare","Medicaid Managed Care",,,"40",,"2413.4","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/FULGURATION/TX","0360","RC","Both",,,"5959","2979.5","Aetna","Commercial",,,"64",,"3801.84","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/FULGURATION/TX","0360","RC","Both",,,"5959","2979.5","Blue Cross Blue Shield","Pathways",,,"71",,"4207.05","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/FULGURATION/TX","0360","RC","Both",,,"5959","2979.5","Blue Cross Blue Shield","HMO",,,"71",,"4207.05","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/FULGURATION/TX","0360","RC","Both",,,"5959","2979.5","Blue Cross Blue Shield","PPO",,,"71",,"4207.05","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/FULGURATION/TX","0360","RC","Both",,,"5959","2979.5","Ambetter","Health Exchange",,,"62",,"3694.58","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/FULGURATION/TX","0360","RC","Both",,,"5959","2979.5","Caresource","Health Exchange",,,"62",,"3694.58","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/FULGURATION/TX","0360","RC","Both",,,"5959","2979.5","Cigna","Commercial",,,"59",,"3491.97","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/FULGURATION/TX","0360","RC","Both",,,"5959","2979.5","Humana","Commercial",,,"78",,"4618.23","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/FULGURATION/TX","0360","RC","Both",,,"5959","2979.5","UHC","Commercial",,,"75",,"4493.09","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/FULGURATION/TX","0360","RC","Both",,,"5959","2979.5","Medicaid",,,,"37",,"2180.99","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY,W/FULGRATION/RESECT","0360","RC","Both",,,"5959","2979.5","Alliant","Health Exchange",,,"62",,"3694.58","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY,W/FULGRATION/RESECT","0360","RC","Both",,,"5959","2979.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3217.86","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY,W/FULGRATION/RESECT","0360","RC","Both",,,"5959","2979.5","Medicare",,,,"54",,"3229.78","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY,W/FULGRATION/RESECT","0360","RC","Both",,,"5959","2979.5","Humana","Medicare Advantage",,,"54",,"3229.78","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY,W/FULGRATION/RESECT","0360","RC","Both",,,"5959","2979.5","UHC","Medicare Advantage",,,"54",,"3229.78","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY,W/FULGRATION/RESECT","0360","RC","Both",,,"5959","2979.5","Clover","Medicare Advantage",,,"54",,"3229.78","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY,W/FULGRATION/RESECT","0360","RC","Both",,,"5959","2979.5","Wellcare","Medicare Advantage",,,"54",,"3229.78","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY,W/FULGRATION/RESECT","0360","RC","Both",,,"5959","2979.5","Amerigroup","Medicaid Managed Care",,,"37",,"2180.99","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY,W/FULGRATION/RESECT","0360","RC","Both",,,"5959","2979.5","Caresource","Medicaid Managed Care",,,"40",,"2383.6","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY,W/FULGRATION/RESECT","0360","RC","Both",,,"5959","2979.5","Wellcare","Medicaid Managed Care",,,"40",,"2413.4","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY,W/FULGRATION/RESECT","0360","RC","Both",,,"5959","2979.5","Aetna","Commercial",,,"64",,"3801.84","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY,W/FULGRATION/RESECT","0360","RC","Both",,,"5959","2979.5","Blue Cross Blue Shield","Pathways",,,"71",,"4207.05","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY,W/FULGRATION/RESECT","0360","RC","Both",,,"5959","2979.5","Blue Cross Blue Shield","HMO",,,"71",,"4207.05","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY,W/FULGRATION/RESECT","0360","RC","Both",,,"5959","2979.5","Blue Cross Blue Shield","PPO",,,"71",,"4207.05","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY,W/FULGRATION/RESECT","0360","RC","Both",,,"5959","2979.5","Ambetter","Health Exchange",,,"62",,"3694.58","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY,W/FULGRATION/RESECT","0360","RC","Both",,,"5959","2979.5","Caresource","Health Exchange",,,"62",,"3694.58","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY,W/FULGRATION/RESECT","0360","RC","Both",,,"5959","2979.5","Cigna","Commercial",,,"59",,"3491.97","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY,W/FULGRATION/RESECT","0360","RC","Both",,,"5959","2979.5","Humana","Commercial",,,"78",,"4618.23","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY,W/FULGRATION/RESECT","0360","RC","Both",,,"5959","2979.5","UHC","Commercial",,,"75",,"4493.09","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY,W/FULGRATION/RESECT","0360","RC","Both",,,"5959","2979.5","Medicaid",,,,"37",,"2180.99","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY,MED BLADDER TUMOR(S)","0360","RC","Both",,,"5959","2979.5","Alliant","Health Exchange",,,"62",,"3694.58","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY,MED BLADDER TUMOR(S)","0360","RC","Both",,,"5959","2979.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3217.86","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY,MED BLADDER TUMOR(S)","0360","RC","Both",,,"5959","2979.5","Medicare",,,,"54",,"3229.78","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY,MED BLADDER TUMOR(S)","0360","RC","Both",,,"5959","2979.5","Humana","Medicare Advantage",,,"54",,"3229.78","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY,MED BLADDER TUMOR(S)","0360","RC","Both",,,"5959","2979.5","UHC","Medicare Advantage",,,"54",,"3229.78","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY,MED BLADDER TUMOR(S)","0360","RC","Both",,,"5959","2979.5","Clover","Medicare Advantage",,,"54",,"3229.78","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY,MED BLADDER TUMOR(S)","0360","RC","Both",,,"5959","2979.5","Wellcare","Medicare Advantage",,,"54",,"3229.78","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY,MED BLADDER TUMOR(S)","0360","RC","Both",,,"5959","2979.5","Amerigroup","Medicaid Managed Care",,,"37",,"2180.99","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY,MED BLADDER TUMOR(S)","0360","RC","Both",,,"5959","2979.5","Caresource","Medicaid Managed Care",,,"40",,"2383.6","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY,MED BLADDER TUMOR(S)","0360","RC","Both",,,"5959","2979.5","Wellcare","Medicaid Managed Care",,,"40",,"2413.4","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY,MED BLADDER TUMOR(S)","0360","RC","Both",,,"5959","2979.5","Aetna","Commercial",,,"64",,"3801.84","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY,MED BLADDER TUMOR(S)","0360","RC","Both",,,"5959","2979.5","Blue Cross Blue Shield","Pathways",,,"71",,"4207.05","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY,MED BLADDER TUMOR(S)","0360","RC","Both",,,"5959","2979.5","Blue Cross Blue Shield","HMO",,,"71",,"4207.05","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY,MED BLADDER TUMOR(S)","0360","RC","Both",,,"5959","2979.5","Blue Cross Blue Shield","PPO",,,"71",,"4207.05","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY,MED BLADDER TUMOR(S)","0360","RC","Both",,,"5959","2979.5","Ambetter","Health Exchange",,,"62",,"3694.58","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY,MED BLADDER TUMOR(S)","0360","RC","Both",,,"5959","2979.5","Caresource","Health Exchange",,,"62",,"3694.58","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY,MED BLADDER TUMOR(S)","0360","RC","Both",,,"5959","2979.5","Cigna","Commercial",,,"59",,"3491.97","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY,MED BLADDER TUMOR(S)","0360","RC","Both",,,"5959","2979.5","Humana","Commercial",,,"78",,"4618.23","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY,MED BLADDER TUMOR(S)","0360","RC","Both",,,"5959","2979.5","UHC","Commercial",,,"75",,"4493.09","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY,MED BLADDER TUMOR(S)","0360","RC","Both",,,"5959","2979.5","Medicaid",,,,"37",,"2180.99","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/DILATION BLADDER","0360","RC","Both",,,"3531.5","1765.75","Alliant","Health Exchange",,,"62",,"2189.53","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/DILATION BLADDER","0360","RC","Both",,,"3531.5","1765.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"1907.01","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/DILATION BLADDER","0360","RC","Both",,,"3531.5","1765.75","Medicare",,,,"54",,"1914.07","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/DILATION BLADDER","0360","RC","Both",,,"3531.5","1765.75","Humana","Medicare Advantage",,,"54",,"1914.07","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/DILATION BLADDER","0360","RC","Both",,,"3531.5","1765.75","UHC","Medicare Advantage",,,"54",,"1914.07","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/DILATION BLADDER","0360","RC","Both",,,"3531.5","1765.75","Clover","Medicare Advantage",,,"54",,"1914.07","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/DILATION BLADDER","0360","RC","Both",,,"3531.5","1765.75","Wellcare","Medicare Advantage",,,"54",,"1914.07","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/DILATION BLADDER","0360","RC","Both",,,"3531.5","1765.75","Amerigroup","Medicaid Managed Care",,,"37",,"1292.53","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/DILATION BLADDER","0360","RC","Both",,,"3531.5","1765.75","Caresource","Medicaid Managed Care",,,"40",,"1412.6","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/DILATION BLADDER","0360","RC","Both",,,"3531.5","1765.75","Wellcare","Medicaid Managed Care",,,"40",,"1430.26","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/DILATION BLADDER","0360","RC","Both",,,"3531.5","1765.75","Aetna","Commercial",,,"64",,"2253.1","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/DILATION BLADDER","0360","RC","Both",,,"3531.5","1765.75","Blue Cross Blue Shield","Pathways",,,"71",,"2493.24","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/DILATION BLADDER","0360","RC","Both",,,"3531.5","1765.75","Blue Cross Blue Shield","HMO",,,"71",,"2493.24","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/DILATION BLADDER","0360","RC","Both",,,"3531.5","1765.75","Blue Cross Blue Shield","PPO",,,"71",,"2493.24","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/DILATION BLADDER","0360","RC","Both",,,"3531.5","1765.75","Ambetter","Health Exchange",,,"62",,"2189.53","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/DILATION BLADDER","0360","RC","Both",,,"3531.5","1765.75","Caresource","Health Exchange",,,"62",,"2189.53","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/DILATION BLADDER","0360","RC","Both",,,"3531.5","1765.75","Cigna","Commercial",,,"59",,"2069.46","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/DILATION BLADDER","0360","RC","Both",,,"3531.5","1765.75","Humana","Commercial",,,"78",,"2736.91","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/DILATION BLADDER","0360","RC","Both",,,"3531.5","1765.75","UHC","Commercial",,,"75",,"2662.75","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/DILATION BLADDER","0360","RC","Both",,,"3531.5","1765.75","Medicaid",,,,"37",,"1292.53","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/CAL OR DILA OF URET","0360","RC","Both",,,"3531.5","1765.75","Alliant","Health Exchange",,,"62",,"2189.53","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/CAL OR DILA OF URET","0360","RC","Both",,,"3531.5","1765.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"1907.01","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/CAL OR DILA OF URET","0360","RC","Both",,,"3531.5","1765.75","Medicare",,,,"54",,"1914.07","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/CAL OR DILA OF URET","0360","RC","Both",,,"3531.5","1765.75","Humana","Medicare Advantage",,,"54",,"1914.07","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/CAL OR DILA OF URET","0360","RC","Both",,,"3531.5","1765.75","UHC","Medicare Advantage",,,"54",,"1914.07","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/CAL OR DILA OF URET","0360","RC","Both",,,"3531.5","1765.75","Clover","Medicare Advantage",,,"54",,"1914.07","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/CAL OR DILA OF URET","0360","RC","Both",,,"3531.5","1765.75","Wellcare","Medicare Advantage",,,"54",,"1914.07","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/CAL OR DILA OF URET","0360","RC","Both",,,"3531.5","1765.75","Amerigroup","Medicaid Managed Care",,,"37",,"1292.53","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/CAL OR DILA OF URET","0360","RC","Both",,,"3531.5","1765.75","Caresource","Medicaid Managed Care",,,"40",,"1412.6","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/CAL OR DILA OF URET","0360","RC","Both",,,"3531.5","1765.75","Wellcare","Medicaid Managed Care",,,"40",,"1430.26","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/CAL OR DILA OF URET","0360","RC","Both",,,"3531.5","1765.75","Aetna","Commercial",,,"64",,"2253.1","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/CAL OR DILA OF URET","0360","RC","Both",,,"3531.5","1765.75","Blue Cross Blue Shield","Pathways",,,"71",,"2493.24","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/CAL OR DILA OF URET","0360","RC","Both",,,"3531.5","1765.75","Blue Cross Blue Shield","HMO",,,"71",,"2493.24","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/CAL OR DILA OF URET","0360","RC","Both",,,"3531.5","1765.75","Blue Cross Blue Shield","PPO",,,"71",,"2493.24","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/CAL OR DILA OF URET","0360","RC","Both",,,"3531.5","1765.75","Ambetter","Health Exchange",,,"62",,"2189.53","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/CAL OR DILA OF URET","0360","RC","Both",,,"3531.5","1765.75","Caresource","Health Exchange",,,"62",,"2189.53","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/CAL OR DILA OF URET","0360","RC","Both",,,"3531.5","1765.75","Cigna","Commercial",,,"59",,"2069.46","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/CAL OR DILA OF URET","0360","RC","Both",,,"3531.5","1765.75","Humana","Commercial",,,"78",,"2736.91","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/CAL OR DILA OF URET","0360","RC","Both",,,"3531.5","1765.75","UHC","Commercial",,,"75",,"2662.75","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSCOPY W/CAL OR DILA OF URET","0360","RC","Both",,,"3531.5","1765.75","Medicaid",,,,"37",,"1292.53","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSOCPY;W/TX URETERAL STRICT","0360","RC","Both",,,"5959","2979.5","Alliant","Health Exchange",,,"62",,"3694.58","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSOCPY;W/TX URETERAL STRICT","0360","RC","Both",,,"5959","2979.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3217.86","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSOCPY;W/TX URETERAL STRICT","0360","RC","Both",,,"5959","2979.5","Medicare",,,,"54",,"3229.78","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSOCPY;W/TX URETERAL STRICT","0360","RC","Both",,,"5959","2979.5","Humana","Medicare Advantage",,,"54",,"3229.78","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSOCPY;W/TX URETERAL STRICT","0360","RC","Both",,,"5959","2979.5","UHC","Medicare Advantage",,,"54",,"3229.78","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSOCPY;W/TX URETERAL STRICT","0360","RC","Both",,,"5959","2979.5","Clover","Medicare Advantage",,,"54",,"3229.78","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSOCPY;W/TX URETERAL STRICT","0360","RC","Both",,,"5959","2979.5","Wellcare","Medicare Advantage",,,"54",,"3229.78","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSOCPY;W/TX URETERAL STRICT","0360","RC","Both",,,"5959","2979.5","Amerigroup","Medicaid Managed Care",,,"37",,"2180.99","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSOCPY;W/TX URETERAL STRICT","0360","RC","Both",,,"5959","2979.5","Caresource","Medicaid Managed Care",,,"40",,"2383.6","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSOCPY;W/TX URETERAL STRICT","0360","RC","Both",,,"5959","2979.5","Wellcare","Medicaid Managed Care",,,"40",,"2413.4","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSOCPY;W/TX URETERAL STRICT","0360","RC","Both",,,"5959","2979.5","Aetna","Commercial",,,"64",,"3801.84","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSOCPY;W/TX URETERAL STRICT","0360","RC","Both",,,"5959","2979.5","Blue Cross Blue Shield","Pathways",,,"71",,"4207.05","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSOCPY;W/TX URETERAL STRICT","0360","RC","Both",,,"5959","2979.5","Blue Cross Blue Shield","HMO",,,"71",,"4207.05","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSOCPY;W/TX URETERAL STRICT","0360","RC","Both",,,"5959","2979.5","Blue Cross Blue Shield","PPO",,,"71",,"4207.05","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSOCPY;W/TX URETERAL STRICT","0360","RC","Both",,,"5959","2979.5","Ambetter","Health Exchange",,,"62",,"3694.58","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSOCPY;W/TX URETERAL STRICT","0360","RC","Both",,,"5959","2979.5","Caresource","Health Exchange",,,"62",,"3694.58","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSOCPY;W/TX URETERAL STRICT","0360","RC","Both",,,"5959","2979.5","Cigna","Commercial",,,"59",,"3491.97","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSOCPY;W/TX URETERAL STRICT","0360","RC","Both",,,"5959","2979.5","Humana","Commercial",,,"78",,"4618.23","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSOCPY;W/TX URETERAL STRICT","0360","RC","Both",,,"5959","2979.5","UHC","Commercial",,,"75",,"4493.09","16.1","16596.62","percent of total billed charges",,
"CYSTOURETHROSOCPY;W/TX URETERAL STRICT","0360","RC","Both",,,"5959","2979.5","Medicaid",,,,"37",,"2180.99","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF URETHRA","0360","RC","Both",,,"4807.5","2403.75","Alliant","Health Exchange",,,"62",,"2980.65","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF URETHRA","0360","RC","Both",,,"4807.5","2403.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"2596.05","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF URETHRA","0360","RC","Both",,,"4807.5","2403.75","Medicare",,,,"54",,"2605.66","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF URETHRA","0360","RC","Both",,,"4807.5","2403.75","Humana","Medicare Advantage",,,"54",,"2605.66","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF URETHRA","0360","RC","Both",,,"4807.5","2403.75","UHC","Medicare Advantage",,,"54",,"2605.66","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF URETHRA","0360","RC","Both",,,"4807.5","2403.75","Clover","Medicare Advantage",,,"54",,"2605.66","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF URETHRA","0360","RC","Both",,,"4807.5","2403.75","Wellcare","Medicare Advantage",,,"54",,"2605.66","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF URETHRA","0360","RC","Both",,,"4807.5","2403.75","Amerigroup","Medicaid Managed Care",,,"37",,"1759.54","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF URETHRA","0360","RC","Both",,,"4807.5","2403.75","Caresource","Medicaid Managed Care",,,"40",,"1923","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF URETHRA","0360","RC","Both",,,"4807.5","2403.75","Wellcare","Medicaid Managed Care",,,"40",,"1947.04","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF URETHRA","0360","RC","Both",,,"4807.5","2403.75","Aetna","Commercial",,,"64",,"3067.18","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF URETHRA","0360","RC","Both",,,"4807.5","2403.75","Blue Cross Blue Shield","Pathways",,,"71",,"3394.1","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF URETHRA","0360","RC","Both",,,"4807.5","2403.75","Blue Cross Blue Shield","HMO",,,"71",,"3394.1","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF URETHRA","0360","RC","Both",,,"4807.5","2403.75","Blue Cross Blue Shield","PPO",,,"71",,"3394.1","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF URETHRA","0360","RC","Both",,,"4807.5","2403.75","Ambetter","Health Exchange",,,"62",,"2980.65","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF URETHRA","0360","RC","Both",,,"4807.5","2403.75","Caresource","Health Exchange",,,"62",,"2980.65","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF URETHRA","0360","RC","Both",,,"4807.5","2403.75","Cigna","Commercial",,,"59",,"2817.2","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF URETHRA","0360","RC","Both",,,"4807.5","2403.75","Humana","Commercial",,,"78",,"3725.81","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF URETHRA","0360","RC","Both",,,"4807.5","2403.75","UHC","Commercial",,,"75",,"3624.86","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF URETHRA","0360","RC","Both",,,"4807.5","2403.75","Medicaid",,,,"37",,"1759.54","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION, PENIS, EXTENSIVE","0360","RC","Both",,,"4426","2213","Alliant","Health Exchange",,,"62",,"2744.12","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION, PENIS, EXTENSIVE","0360","RC","Both",,,"4426","2213","Pruitt Healthcare","Medicare Advantage",,,"54",,"2390.04","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION, PENIS, EXTENSIVE","0360","RC","Both",,,"4426","2213","Medicare",,,,"54",,"2398.89","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION, PENIS, EXTENSIVE","0360","RC","Both",,,"4426","2213","Humana","Medicare Advantage",,,"54",,"2398.89","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION, PENIS, EXTENSIVE","0360","RC","Both",,,"4426","2213","UHC","Medicare Advantage",,,"54",,"2398.89","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION, PENIS, EXTENSIVE","0360","RC","Both",,,"4426","2213","Clover","Medicare Advantage",,,"54",,"2398.89","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION, PENIS, EXTENSIVE","0360","RC","Both",,,"4426","2213","Wellcare","Medicare Advantage",,,"54",,"2398.89","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION, PENIS, EXTENSIVE","0360","RC","Both",,,"4426","2213","Amerigroup","Medicaid Managed Care",,,"37",,"1619.92","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION, PENIS, EXTENSIVE","0360","RC","Both",,,"4426","2213","Caresource","Medicaid Managed Care",,,"40",,"1770.4","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION, PENIS, EXTENSIVE","0360","RC","Both",,,"4426","2213","Wellcare","Medicaid Managed Care",,,"40",,"1792.53","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION, PENIS, EXTENSIVE","0360","RC","Both",,,"4426","2213","Aetna","Commercial",,,"64",,"2823.79","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION, PENIS, EXTENSIVE","0360","RC","Both",,,"4426","2213","Blue Cross Blue Shield","Pathways",,,"71",,"3124.76","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION, PENIS, EXTENSIVE","0360","RC","Both",,,"4426","2213","Blue Cross Blue Shield","HMO",,,"71",,"3124.76","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION, PENIS, EXTENSIVE","0360","RC","Both",,,"4426","2213","Blue Cross Blue Shield","PPO",,,"71",,"3124.76","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION, PENIS, EXTENSIVE","0360","RC","Both",,,"4426","2213","Ambetter","Health Exchange",,,"62",,"2744.12","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION, PENIS, EXTENSIVE","0360","RC","Both",,,"4426","2213","Caresource","Health Exchange",,,"62",,"2744.12","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION, PENIS, EXTENSIVE","0360","RC","Both",,,"4426","2213","Cigna","Commercial",,,"59",,"2593.64","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION, PENIS, EXTENSIVE","0360","RC","Both",,,"4426","2213","Humana","Commercial",,,"78",,"3430.15","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION, PENIS, EXTENSIVE","0360","RC","Both",,,"4426","2213","UHC","Commercial",,,"75",,"3337.2","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION, PENIS, EXTENSIVE","0360","RC","Both",,,"4426","2213","Medicaid",,,,"37",,"1619.92","16.1","16596.62","percent of total billed charges",,
"CIRCUMCISION  W/REGIONAL BLOCK","0360","RC","Both",,,"5297","2648.5","Alliant","Health Exchange",,,"62",,"3284.14","16.1","16596.62","percent of total billed charges",,
"CIRCUMCISION  W/REGIONAL BLOCK","0360","RC","Both",,,"5297","2648.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2860.38","16.1","16596.62","percent of total billed charges",,
"CIRCUMCISION  W/REGIONAL BLOCK","0360","RC","Both",,,"5297","2648.5","Medicare",,,,"54",,"2870.97","16.1","16596.62","percent of total billed charges",,
"CIRCUMCISION  W/REGIONAL BLOCK","0360","RC","Both",,,"5297","2648.5","Humana","Medicare Advantage",,,"54",,"2870.97","16.1","16596.62","percent of total billed charges",,
"CIRCUMCISION  W/REGIONAL BLOCK","0360","RC","Both",,,"5297","2648.5","UHC","Medicare Advantage",,,"54",,"2870.97","16.1","16596.62","percent of total billed charges",,
"CIRCUMCISION  W/REGIONAL BLOCK","0360","RC","Both",,,"5297","2648.5","Clover","Medicare Advantage",,,"54",,"2870.97","16.1","16596.62","percent of total billed charges",,
"CIRCUMCISION  W/REGIONAL BLOCK","0360","RC","Both",,,"5297","2648.5","Wellcare","Medicare Advantage",,,"54",,"2870.97","16.1","16596.62","percent of total billed charges",,
"CIRCUMCISION  W/REGIONAL BLOCK","0360","RC","Both",,,"5297","2648.5","Amerigroup","Medicaid Managed Care",,,"37",,"1938.7","16.1","16596.62","percent of total billed charges",,
"CIRCUMCISION  W/REGIONAL BLOCK","0360","RC","Both",,,"5297","2648.5","Caresource","Medicaid Managed Care",,,"40",,"2118.8","16.1","16596.62","percent of total billed charges",,
"CIRCUMCISION  W/REGIONAL BLOCK","0360","RC","Both",,,"5297","2648.5","Wellcare","Medicaid Managed Care",,,"40",,"2145.29","16.1","16596.62","percent of total billed charges",,
"CIRCUMCISION  W/REGIONAL BLOCK","0360","RC","Both",,,"5297","2648.5","Aetna","Commercial",,,"64",,"3379.49","16.1","16596.62","percent of total billed charges",,
"CIRCUMCISION  W/REGIONAL BLOCK","0360","RC","Both",,,"5297","2648.5","Blue Cross Blue Shield","Pathways",,,"71",,"3739.68","16.1","16596.62","percent of total billed charges",,
"CIRCUMCISION  W/REGIONAL BLOCK","0360","RC","Both",,,"5297","2648.5","Blue Cross Blue Shield","HMO",,,"71",,"3739.68","16.1","16596.62","percent of total billed charges",,
"CIRCUMCISION  W/REGIONAL BLOCK","0360","RC","Both",,,"5297","2648.5","Blue Cross Blue Shield","PPO",,,"71",,"3739.68","16.1","16596.62","percent of total billed charges",,
"CIRCUMCISION  W/REGIONAL BLOCK","0360","RC","Both",,,"5297","2648.5","Ambetter","Health Exchange",,,"62",,"3284.14","16.1","16596.62","percent of total billed charges",,
"CIRCUMCISION  W/REGIONAL BLOCK","0360","RC","Both",,,"5297","2648.5","Caresource","Health Exchange",,,"62",,"3284.14","16.1","16596.62","percent of total billed charges",,
"CIRCUMCISION  W/REGIONAL BLOCK","0360","RC","Both",,,"5297","2648.5","Cigna","Commercial",,,"59",,"3104.04","16.1","16596.62","percent of total billed charges",,
"CIRCUMCISION  W/REGIONAL BLOCK","0360","RC","Both",,,"5297","2648.5","Humana","Commercial",,,"78",,"4105.18","16.1","16596.62","percent of total billed charges",,
"CIRCUMCISION  W/REGIONAL BLOCK","0360","RC","Both",,,"5297","2648.5","UHC","Commercial",,,"75",,"3993.94","16.1","16596.62","percent of total billed charges",,
"CIRCUMCISION  W/REGIONAL BLOCK","0360","RC","Both",,,"5297","2648.5","Medicaid",,,,"37",,"1938.7","16.1","16596.62","percent of total billed charges",,
"REPAIR INCOMPLETE CIRCUMCISION","0360","RC","Both",,,"5297","2648.5","Alliant","Health Exchange",,,"62",,"3284.14","16.1","16596.62","percent of total billed charges",,
"REPAIR INCOMPLETE CIRCUMCISION","0360","RC","Both",,,"5297","2648.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2860.38","16.1","16596.62","percent of total billed charges",,
"REPAIR INCOMPLETE CIRCUMCISION","0360","RC","Both",,,"5297","2648.5","Medicare",,,,"54",,"2870.97","16.1","16596.62","percent of total billed charges",,
"REPAIR INCOMPLETE CIRCUMCISION","0360","RC","Both",,,"5297","2648.5","Humana","Medicare Advantage",,,"54",,"2870.97","16.1","16596.62","percent of total billed charges",,
"REPAIR INCOMPLETE CIRCUMCISION","0360","RC","Both",,,"5297","2648.5","UHC","Medicare Advantage",,,"54",,"2870.97","16.1","16596.62","percent of total billed charges",,
"REPAIR INCOMPLETE CIRCUMCISION","0360","RC","Both",,,"5297","2648.5","Clover","Medicare Advantage",,,"54",,"2870.97","16.1","16596.62","percent of total billed charges",,
"REPAIR INCOMPLETE CIRCUMCISION","0360","RC","Both",,,"5297","2648.5","Wellcare","Medicare Advantage",,,"54",,"2870.97","16.1","16596.62","percent of total billed charges",,
"REPAIR INCOMPLETE CIRCUMCISION","0360","RC","Both",,,"5297","2648.5","Amerigroup","Medicaid Managed Care",,,"37",,"1938.7","16.1","16596.62","percent of total billed charges",,
"REPAIR INCOMPLETE CIRCUMCISION","0360","RC","Both",,,"5297","2648.5","Caresource","Medicaid Managed Care",,,"40",,"2118.8","16.1","16596.62","percent of total billed charges",,
"REPAIR INCOMPLETE CIRCUMCISION","0360","RC","Both",,,"5297","2648.5","Wellcare","Medicaid Managed Care",,,"40",,"2145.29","16.1","16596.62","percent of total billed charges",,
"REPAIR INCOMPLETE CIRCUMCISION","0360","RC","Both",,,"5297","2648.5","Aetna","Commercial",,,"64",,"3379.49","16.1","16596.62","percent of total billed charges",,
"REPAIR INCOMPLETE CIRCUMCISION","0360","RC","Both",,,"5297","2648.5","Blue Cross Blue Shield","Pathways",,,"71",,"3739.68","16.1","16596.62","percent of total billed charges",,
"REPAIR INCOMPLETE CIRCUMCISION","0360","RC","Both",,,"5297","2648.5","Blue Cross Blue Shield","HMO",,,"71",,"3739.68","16.1","16596.62","percent of total billed charges",,
"REPAIR INCOMPLETE CIRCUMCISION","0360","RC","Both",,,"5297","2648.5","Blue Cross Blue Shield","PPO",,,"71",,"3739.68","16.1","16596.62","percent of total billed charges",,
"REPAIR INCOMPLETE CIRCUMCISION","0360","RC","Both",,,"5297","2648.5","Ambetter","Health Exchange",,,"62",,"3284.14","16.1","16596.62","percent of total billed charges",,
"REPAIR INCOMPLETE CIRCUMCISION","0360","RC","Both",,,"5297","2648.5","Caresource","Health Exchange",,,"62",,"3284.14","16.1","16596.62","percent of total billed charges",,
"REPAIR INCOMPLETE CIRCUMCISION","0360","RC","Both",,,"5297","2648.5","Cigna","Commercial",,,"59",,"3104.04","16.1","16596.62","percent of total billed charges",,
"REPAIR INCOMPLETE CIRCUMCISION","0360","RC","Both",,,"5297","2648.5","Humana","Commercial",,,"78",,"4105.18","16.1","16596.62","percent of total billed charges",,
"REPAIR INCOMPLETE CIRCUMCISION","0360","RC","Both",,,"5297","2648.5","UHC","Commercial",,,"75",,"3993.94","16.1","16596.62","percent of total billed charges",,
"REPAIR INCOMPLETE CIRCUMCISION","0360","RC","Both",,,"5297","2648.5","Medicaid",,,,"37",,"1938.7","16.1","16596.62","percent of total billed charges",,
"ORCHIECTOMY,SIMPLE","0360","RC","Both",,,"5297","2648.5","Alliant","Health Exchange",,,"62",,"3284.14","16.1","16596.62","percent of total billed charges",,
"ORCHIECTOMY,SIMPLE","0360","RC","Both",,,"5297","2648.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2860.38","16.1","16596.62","percent of total billed charges",,
"ORCHIECTOMY,SIMPLE","0360","RC","Both",,,"5297","2648.5","Medicare",,,,"54",,"2870.97","16.1","16596.62","percent of total billed charges",,
"ORCHIECTOMY,SIMPLE","0360","RC","Both",,,"5297","2648.5","Humana","Medicare Advantage",,,"54",,"2870.97","16.1","16596.62","percent of total billed charges",,
"ORCHIECTOMY,SIMPLE","0360","RC","Both",,,"5297","2648.5","UHC","Medicare Advantage",,,"54",,"2870.97","16.1","16596.62","percent of total billed charges",,
"ORCHIECTOMY,SIMPLE","0360","RC","Both",,,"5297","2648.5","Clover","Medicare Advantage",,,"54",,"2870.97","16.1","16596.62","percent of total billed charges",,
"ORCHIECTOMY,SIMPLE","0360","RC","Both",,,"5297","2648.5","Wellcare","Medicare Advantage",,,"54",,"2870.97","16.1","16596.62","percent of total billed charges",,
"ORCHIECTOMY,SIMPLE","0360","RC","Both",,,"5297","2648.5","Amerigroup","Medicaid Managed Care",,,"37",,"1938.7","16.1","16596.62","percent of total billed charges",,
"ORCHIECTOMY,SIMPLE","0360","RC","Both",,,"5297","2648.5","Caresource","Medicaid Managed Care",,,"40",,"2118.8","16.1","16596.62","percent of total billed charges",,
"ORCHIECTOMY,SIMPLE","0360","RC","Both",,,"5297","2648.5","Wellcare","Medicaid Managed Care",,,"40",,"2145.29","16.1","16596.62","percent of total billed charges",,
"ORCHIECTOMY,SIMPLE","0360","RC","Both",,,"5297","2648.5","Aetna","Commercial",,,"64",,"3379.49","16.1","16596.62","percent of total billed charges",,
"ORCHIECTOMY,SIMPLE","0360","RC","Both",,,"5297","2648.5","Blue Cross Blue Shield","Pathways",,,"71",,"3739.68","16.1","16596.62","percent of total billed charges",,
"ORCHIECTOMY,SIMPLE","0360","RC","Both",,,"5297","2648.5","Blue Cross Blue Shield","HMO",,,"71",,"3739.68","16.1","16596.62","percent of total billed charges",,
"ORCHIECTOMY,SIMPLE","0360","RC","Both",,,"5297","2648.5","Blue Cross Blue Shield","PPO",,,"71",,"3739.68","16.1","16596.62","percent of total billed charges",,
"ORCHIECTOMY,SIMPLE","0360","RC","Both",,,"5297","2648.5","Ambetter","Health Exchange",,,"62",,"3284.14","16.1","16596.62","percent of total billed charges",,
"ORCHIECTOMY,SIMPLE","0360","RC","Both",,,"5297","2648.5","Caresource","Health Exchange",,,"62",,"3284.14","16.1","16596.62","percent of total billed charges",,
"ORCHIECTOMY,SIMPLE","0360","RC","Both",,,"5297","2648.5","Cigna","Commercial",,,"59",,"3104.04","16.1","16596.62","percent of total billed charges",,
"ORCHIECTOMY,SIMPLE","0360","RC","Both",,,"5297","2648.5","Humana","Commercial",,,"78",,"4105.18","16.1","16596.62","percent of total billed charges",,
"ORCHIECTOMY,SIMPLE","0360","RC","Both",,,"5297","2648.5","UHC","Commercial",,,"75",,"3993.94","16.1","16596.62","percent of total billed charges",,
"ORCHIECTOMY,SIMPLE","0360","RC","Both",,,"5297","2648.5","Medicaid",,,,"37",,"1938.7","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE OF EPIDIDYMIS TESTIC","0360","RC","Both",,,"5417.5","2708.75","Alliant","Health Exchange",,,"62",,"3358.85","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE OF EPIDIDYMIS TESTIC","0360","RC","Both",,,"5417.5","2708.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"2925.45","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE OF EPIDIDYMIS TESTIC","0360","RC","Both",,,"5417.5","2708.75","Medicare",,,,"54",,"2936.29","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE OF EPIDIDYMIS TESTIC","0360","RC","Both",,,"5417.5","2708.75","Humana","Medicare Advantage",,,"54",,"2936.29","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE OF EPIDIDYMIS TESTIC","0360","RC","Both",,,"5417.5","2708.75","UHC","Medicare Advantage",,,"54",,"2936.29","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE OF EPIDIDYMIS TESTIC","0360","RC","Both",,,"5417.5","2708.75","Clover","Medicare Advantage",,,"54",,"2936.29","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE OF EPIDIDYMIS TESTIC","0360","RC","Both",,,"5417.5","2708.75","Wellcare","Medicare Advantage",,,"54",,"2936.29","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE OF EPIDIDYMIS TESTIC","0360","RC","Both",,,"5417.5","2708.75","Amerigroup","Medicaid Managed Care",,,"37",,"1982.8","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE OF EPIDIDYMIS TESTIC","0360","RC","Both",,,"5417.5","2708.75","Caresource","Medicaid Managed Care",,,"40",,"2167","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE OF EPIDIDYMIS TESTIC","0360","RC","Both",,,"5417.5","2708.75","Wellcare","Medicaid Managed Care",,,"40",,"2194.09","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE OF EPIDIDYMIS TESTIC","0360","RC","Both",,,"5417.5","2708.75","Aetna","Commercial",,,"64",,"3456.36","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE OF EPIDIDYMIS TESTIC","0360","RC","Both",,,"5417.5","2708.75","Blue Cross Blue Shield","Pathways",,,"71",,"3824.75","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE OF EPIDIDYMIS TESTIC","0360","RC","Both",,,"5417.5","2708.75","Blue Cross Blue Shield","HMO",,,"71",,"3824.75","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE OF EPIDIDYMIS TESTIC","0360","RC","Both",,,"5417.5","2708.75","Blue Cross Blue Shield","PPO",,,"71",,"3824.75","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE OF EPIDIDYMIS TESTIC","0360","RC","Both",,,"5417.5","2708.75","Ambetter","Health Exchange",,,"62",,"3358.85","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE OF EPIDIDYMIS TESTIC","0360","RC","Both",,,"5417.5","2708.75","Caresource","Health Exchange",,,"62",,"3358.85","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE OF EPIDIDYMIS TESTIC","0360","RC","Both",,,"5417.5","2708.75","Cigna","Commercial",,,"59",,"3174.66","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE OF EPIDIDYMIS TESTIC","0360","RC","Both",,,"5417.5","2708.75","Humana","Commercial",,,"78",,"4198.56","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE OF EPIDIDYMIS TESTIC","0360","RC","Both",,,"5417.5","2708.75","UHC","Commercial",,,"75",,"4084.8","16.1","16596.62","percent of total billed charges",,
"INCISION & DRAINAGE OF EPIDIDYMIS TESTIC","0360","RC","Both",,,"5417.5","2708.75","Medicaid",,,,"37",,"1982.8","16.1","16596.62","percent of total billed charges",,
"EXCISION SPERMATOCELE W/ W/O EPIDIDYMECT","0360","RC","Both",,,"5297","2648.5","Alliant","Health Exchange",,,"62",,"3284.14","16.1","16596.62","percent of total billed charges",,
"EXCISION SPERMATOCELE W/ W/O EPIDIDYMECT","0360","RC","Both",,,"5297","2648.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2860.38","16.1","16596.62","percent of total billed charges",,
"EXCISION SPERMATOCELE W/ W/O EPIDIDYMECT","0360","RC","Both",,,"5297","2648.5","Medicare",,,,"54",,"2870.97","16.1","16596.62","percent of total billed charges",,
"EXCISION SPERMATOCELE W/ W/O EPIDIDYMECT","0360","RC","Both",,,"5297","2648.5","Humana","Medicare Advantage",,,"54",,"2870.97","16.1","16596.62","percent of total billed charges",,
"EXCISION SPERMATOCELE W/ W/O EPIDIDYMECT","0360","RC","Both",,,"5297","2648.5","UHC","Medicare Advantage",,,"54",,"2870.97","16.1","16596.62","percent of total billed charges",,
"EXCISION SPERMATOCELE W/ W/O EPIDIDYMECT","0360","RC","Both",,,"5297","2648.5","Clover","Medicare Advantage",,,"54",,"2870.97","16.1","16596.62","percent of total billed charges",,
"EXCISION SPERMATOCELE W/ W/O EPIDIDYMECT","0360","RC","Both",,,"5297","2648.5","Wellcare","Medicare Advantage",,,"54",,"2870.97","16.1","16596.62","percent of total billed charges",,
"EXCISION SPERMATOCELE W/ W/O EPIDIDYMECT","0360","RC","Both",,,"5297","2648.5","Amerigroup","Medicaid Managed Care",,,"37",,"1938.7","16.1","16596.62","percent of total billed charges",,
"EXCISION SPERMATOCELE W/ W/O EPIDIDYMECT","0360","RC","Both",,,"5297","2648.5","Caresource","Medicaid Managed Care",,,"40",,"2118.8","16.1","16596.62","percent of total billed charges",,
"EXCISION SPERMATOCELE W/ W/O EPIDIDYMECT","0360","RC","Both",,,"5297","2648.5","Wellcare","Medicaid Managed Care",,,"40",,"2145.29","16.1","16596.62","percent of total billed charges",,
"EXCISION SPERMATOCELE W/ W/O EPIDIDYMECT","0360","RC","Both",,,"5297","2648.5","Aetna","Commercial",,,"64",,"3379.49","16.1","16596.62","percent of total billed charges",,
"EXCISION SPERMATOCELE W/ W/O EPIDIDYMECT","0360","RC","Both",,,"5297","2648.5","Blue Cross Blue Shield","Pathways",,,"71",,"3739.68","16.1","16596.62","percent of total billed charges",,
"EXCISION SPERMATOCELE W/ W/O EPIDIDYMECT","0360","RC","Both",,,"5297","2648.5","Blue Cross Blue Shield","HMO",,,"71",,"3739.68","16.1","16596.62","percent of total billed charges",,
"EXCISION SPERMATOCELE W/ W/O EPIDIDYMECT","0360","RC","Both",,,"5297","2648.5","Blue Cross Blue Shield","PPO",,,"71",,"3739.68","16.1","16596.62","percent of total billed charges",,
"EXCISION SPERMATOCELE W/ W/O EPIDIDYMECT","0360","RC","Both",,,"5297","2648.5","Ambetter","Health Exchange",,,"62",,"3284.14","16.1","16596.62","percent of total billed charges",,
"EXCISION SPERMATOCELE W/ W/O EPIDIDYMECT","0360","RC","Both",,,"5297","2648.5","Caresource","Health Exchange",,,"62",,"3284.14","16.1","16596.62","percent of total billed charges",,
"EXCISION SPERMATOCELE W/ W/O EPIDIDYMECT","0360","RC","Both",,,"5297","2648.5","Cigna","Commercial",,,"59",,"3104.04","16.1","16596.62","percent of total billed charges",,
"EXCISION SPERMATOCELE W/ W/O EPIDIDYMECT","0360","RC","Both",,,"5297","2648.5","Humana","Commercial",,,"78",,"4105.18","16.1","16596.62","percent of total billed charges",,
"EXCISION SPERMATOCELE W/ W/O EPIDIDYMECT","0360","RC","Both",,,"5297","2648.5","UHC","Commercial",,,"75",,"3993.94","16.1","16596.62","percent of total billed charges",,
"EXCISION SPERMATOCELE W/ W/O EPIDIDYMECT","0360","RC","Both",,,"5297","2648.5","Medicaid",,,,"37",,"1938.7","16.1","16596.62","percent of total billed charges",,
"EPIDIDYMECTOMY; UNILATERAL","0360","RC","Both",,,"5297","2648.5","Alliant","Health Exchange",,,"62",,"3284.14","16.1","16596.62","percent of total billed charges",,
"EPIDIDYMECTOMY; UNILATERAL","0360","RC","Both",,,"5297","2648.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2860.38","16.1","16596.62","percent of total billed charges",,
"EPIDIDYMECTOMY; UNILATERAL","0360","RC","Both",,,"5297","2648.5","Medicare",,,,"54",,"2870.97","16.1","16596.62","percent of total billed charges",,
"EPIDIDYMECTOMY; UNILATERAL","0360","RC","Both",,,"5297","2648.5","Humana","Medicare Advantage",,,"54",,"2870.97","16.1","16596.62","percent of total billed charges",,
"EPIDIDYMECTOMY; UNILATERAL","0360","RC","Both",,,"5297","2648.5","UHC","Medicare Advantage",,,"54",,"2870.97","16.1","16596.62","percent of total billed charges",,
"EPIDIDYMECTOMY; UNILATERAL","0360","RC","Both",,,"5297","2648.5","Clover","Medicare Advantage",,,"54",,"2870.97","16.1","16596.62","percent of total billed charges",,
"EPIDIDYMECTOMY; UNILATERAL","0360","RC","Both",,,"5297","2648.5","Wellcare","Medicare Advantage",,,"54",,"2870.97","16.1","16596.62","percent of total billed charges",,
"EPIDIDYMECTOMY; UNILATERAL","0360","RC","Both",,,"5297","2648.5","Amerigroup","Medicaid Managed Care",,,"37",,"1938.7","16.1","16596.62","percent of total billed charges",,
"EPIDIDYMECTOMY; UNILATERAL","0360","RC","Both",,,"5297","2648.5","Caresource","Medicaid Managed Care",,,"40",,"2118.8","16.1","16596.62","percent of total billed charges",,
"EPIDIDYMECTOMY; UNILATERAL","0360","RC","Both",,,"5297","2648.5","Wellcare","Medicaid Managed Care",,,"40",,"2145.29","16.1","16596.62","percent of total billed charges",,
"EPIDIDYMECTOMY; UNILATERAL","0360","RC","Both",,,"5297","2648.5","Aetna","Commercial",,,"64",,"3379.49","16.1","16596.62","percent of total billed charges",,
"EPIDIDYMECTOMY; UNILATERAL","0360","RC","Both",,,"5297","2648.5","Blue Cross Blue Shield","Pathways",,,"71",,"3739.68","16.1","16596.62","percent of total billed charges",,
"EPIDIDYMECTOMY; UNILATERAL","0360","RC","Both",,,"5297","2648.5","Blue Cross Blue Shield","HMO",,,"71",,"3739.68","16.1","16596.62","percent of total billed charges",,
"EPIDIDYMECTOMY; UNILATERAL","0360","RC","Both",,,"5297","2648.5","Blue Cross Blue Shield","PPO",,,"71",,"3739.68","16.1","16596.62","percent of total billed charges",,
"EPIDIDYMECTOMY; UNILATERAL","0360","RC","Both",,,"5297","2648.5","Ambetter","Health Exchange",,,"62",,"3284.14","16.1","16596.62","percent of total billed charges",,
"EPIDIDYMECTOMY; UNILATERAL","0360","RC","Both",,,"5297","2648.5","Caresource","Health Exchange",,,"62",,"3284.14","16.1","16596.62","percent of total billed charges",,
"EPIDIDYMECTOMY; UNILATERAL","0360","RC","Both",,,"5297","2648.5","Cigna","Commercial",,,"59",,"3104.04","16.1","16596.62","percent of total billed charges",,
"EPIDIDYMECTOMY; UNILATERAL","0360","RC","Both",,,"5297","2648.5","Humana","Commercial",,,"78",,"4105.18","16.1","16596.62","percent of total billed charges",,
"EPIDIDYMECTOMY; UNILATERAL","0360","RC","Both",,,"5297","2648.5","UHC","Commercial",,,"75",,"3993.94","16.1","16596.62","percent of total billed charges",,
"EPIDIDYMECTOMY; UNILATERAL","0360","RC","Both",,,"5297","2648.5","Medicaid",,,,"37",,"1938.7","16.1","16596.62","percent of total billed charges",,
"PUNCTURE ASPIRATION OF HYDROCELE","0360","RC","Both",,,"1079.5","539.75","Alliant","Health Exchange",,,"62",,"669.29","16.1","16596.62","percent of total billed charges",,
"PUNCTURE ASPIRATION OF HYDROCELE","0360","RC","Both",,,"1079.5","539.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"582.93","16.1","16596.62","percent of total billed charges",,
"PUNCTURE ASPIRATION OF HYDROCELE","0360","RC","Both",,,"1079.5","539.75","Medicare",,,,"54",,"585.09","16.1","16596.62","percent of total billed charges",,
"PUNCTURE ASPIRATION OF HYDROCELE","0360","RC","Both",,,"1079.5","539.75","Humana","Medicare Advantage",,,"54",,"585.09","16.1","16596.62","percent of total billed charges",,
"PUNCTURE ASPIRATION OF HYDROCELE","0360","RC","Both",,,"1079.5","539.75","UHC","Medicare Advantage",,,"54",,"585.09","16.1","16596.62","percent of total billed charges",,
"PUNCTURE ASPIRATION OF HYDROCELE","0360","RC","Both",,,"1079.5","539.75","Clover","Medicare Advantage",,,"54",,"585.09","16.1","16596.62","percent of total billed charges",,
"PUNCTURE ASPIRATION OF HYDROCELE","0360","RC","Both",,,"1079.5","539.75","Wellcare","Medicare Advantage",,,"54",,"585.09","16.1","16596.62","percent of total billed charges",,
"PUNCTURE ASPIRATION OF HYDROCELE","0360","RC","Both",,,"1079.5","539.75","Amerigroup","Medicaid Managed Care",,,"37",,"395.1","16.1","16596.62","percent of total billed charges",,
"PUNCTURE ASPIRATION OF HYDROCELE","0360","RC","Both",,,"1079.5","539.75","Caresource","Medicaid Managed Care",,,"40",,"431.8","16.1","16596.62","percent of total billed charges",,
"PUNCTURE ASPIRATION OF HYDROCELE","0360","RC","Both",,,"1079.5","539.75","Wellcare","Medicaid Managed Care",,,"40",,"437.2","16.1","16596.62","percent of total billed charges",,
"PUNCTURE ASPIRATION OF HYDROCELE","0360","RC","Both",,,"1079.5","539.75","Aetna","Commercial",,,"64",,"688.72","16.1","16596.62","percent of total billed charges",,
"PUNCTURE ASPIRATION OF HYDROCELE","0360","RC","Both",,,"1079.5","539.75","Blue Cross Blue Shield","Pathways",,,"71",,"762.13","16.1","16596.62","percent of total billed charges",,
"PUNCTURE ASPIRATION OF HYDROCELE","0360","RC","Both",,,"1079.5","539.75","Blue Cross Blue Shield","HMO",,,"71",,"762.13","16.1","16596.62","percent of total billed charges",,
"PUNCTURE ASPIRATION OF HYDROCELE","0360","RC","Both",,,"1079.5","539.75","Blue Cross Blue Shield","PPO",,,"71",,"762.13","16.1","16596.62","percent of total billed charges",,
"PUNCTURE ASPIRATION OF HYDROCELE","0360","RC","Both",,,"1079.5","539.75","Ambetter","Health Exchange",,,"62",,"669.29","16.1","16596.62","percent of total billed charges",,
"PUNCTURE ASPIRATION OF HYDROCELE","0360","RC","Both",,,"1079.5","539.75","Caresource","Health Exchange",,,"62",,"669.29","16.1","16596.62","percent of total billed charges",,
"PUNCTURE ASPIRATION OF HYDROCELE","0360","RC","Both",,,"1079.5","539.75","Cigna","Commercial",,,"59",,"632.59","16.1","16596.62","percent of total billed charges",,
"PUNCTURE ASPIRATION OF HYDROCELE","0360","RC","Both",,,"1079.5","539.75","Humana","Commercial",,,"78",,"836.61","16.1","16596.62","percent of total billed charges",,
"PUNCTURE ASPIRATION OF HYDROCELE","0360","RC","Both",,,"1079.5","539.75","UHC","Commercial",,,"75",,"813.94","16.1","16596.62","percent of total billed charges",,
"PUNCTURE ASPIRATION OF HYDROCELE","0360","RC","Both",,,"1079.5","539.75","Medicaid",,,,"37",,"395.1","16.1","16596.62","percent of total billed charges",,
"REPAIR TUNICA VAGINALIS HYDROCELE","0360","RC","Both",,,"5297","2648.5","Alliant","Health Exchange",,,"62",,"3284.14","16.1","16596.62","percent of total billed charges",,
"REPAIR TUNICA VAGINALIS HYDROCELE","0360","RC","Both",,,"5297","2648.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2860.38","16.1","16596.62","percent of total billed charges",,
"REPAIR TUNICA VAGINALIS HYDROCELE","0360","RC","Both",,,"5297","2648.5","Medicare",,,,"54",,"2870.97","16.1","16596.62","percent of total billed charges",,
"REPAIR TUNICA VAGINALIS HYDROCELE","0360","RC","Both",,,"5297","2648.5","Humana","Medicare Advantage",,,"54",,"2870.97","16.1","16596.62","percent of total billed charges",,
"REPAIR TUNICA VAGINALIS HYDROCELE","0360","RC","Both",,,"5297","2648.5","UHC","Medicare Advantage",,,"54",,"2870.97","16.1","16596.62","percent of total billed charges",,
"REPAIR TUNICA VAGINALIS HYDROCELE","0360","RC","Both",,,"5297","2648.5","Clover","Medicare Advantage",,,"54",,"2870.97","16.1","16596.62","percent of total billed charges",,
"REPAIR TUNICA VAGINALIS HYDROCELE","0360","RC","Both",,,"5297","2648.5","Wellcare","Medicare Advantage",,,"54",,"2870.97","16.1","16596.62","percent of total billed charges",,
"REPAIR TUNICA VAGINALIS HYDROCELE","0360","RC","Both",,,"5297","2648.5","Amerigroup","Medicaid Managed Care",,,"37",,"1938.7","16.1","16596.62","percent of total billed charges",,
"REPAIR TUNICA VAGINALIS HYDROCELE","0360","RC","Both",,,"5297","2648.5","Caresource","Medicaid Managed Care",,,"40",,"2118.8","16.1","16596.62","percent of total billed charges",,
"REPAIR TUNICA VAGINALIS HYDROCELE","0360","RC","Both",,,"5297","2648.5","Wellcare","Medicaid Managed Care",,,"40",,"2145.29","16.1","16596.62","percent of total billed charges",,
"REPAIR TUNICA VAGINALIS HYDROCELE","0360","RC","Both",,,"5297","2648.5","Aetna","Commercial",,,"64",,"3379.49","16.1","16596.62","percent of total billed charges",,
"REPAIR TUNICA VAGINALIS HYDROCELE","0360","RC","Both",,,"5297","2648.5","Blue Cross Blue Shield","Pathways",,,"71",,"3739.68","16.1","16596.62","percent of total billed charges",,
"REPAIR TUNICA VAGINALIS HYDROCELE","0360","RC","Both",,,"5297","2648.5","Blue Cross Blue Shield","HMO",,,"71",,"3739.68","16.1","16596.62","percent of total billed charges",,
"REPAIR TUNICA VAGINALIS HYDROCELE","0360","RC","Both",,,"5297","2648.5","Blue Cross Blue Shield","PPO",,,"71",,"3739.68","16.1","16596.62","percent of total billed charges",,
"REPAIR TUNICA VAGINALIS HYDROCELE","0360","RC","Both",,,"5297","2648.5","Ambetter","Health Exchange",,,"62",,"3284.14","16.1","16596.62","percent of total billed charges",,
"REPAIR TUNICA VAGINALIS HYDROCELE","0360","RC","Both",,,"5297","2648.5","Caresource","Health Exchange",,,"62",,"3284.14","16.1","16596.62","percent of total billed charges",,
"REPAIR TUNICA VAGINALIS HYDROCELE","0360","RC","Both",,,"5297","2648.5","Cigna","Commercial",,,"59",,"3104.04","16.1","16596.62","percent of total billed charges",,
"REPAIR TUNICA VAGINALIS HYDROCELE","0360","RC","Both",,,"5297","2648.5","Humana","Commercial",,,"78",,"4105.18","16.1","16596.62","percent of total billed charges",,
"REPAIR TUNICA VAGINALIS HYDROCELE","0360","RC","Both",,,"5297","2648.5","UHC","Commercial",,,"75",,"3993.94","16.1","16596.62","percent of total billed charges",,
"REPAIR TUNICA VAGINALIS HYDROCELE","0360","RC","Both",,,"5297","2648.5","Medicaid",,,,"37",,"1938.7","16.1","16596.62","percent of total billed charges",,
"DRAINAGE OF SCROTAL WALL ABSCESS","0360","RC","Both",,,"2265.5","1132.75","Alliant","Health Exchange",,,"62",,"1404.61","16.1","16596.62","percent of total billed charges",,
"DRAINAGE OF SCROTAL WALL ABSCESS","0360","RC","Both",,,"2265.5","1132.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"1223.37","16.1","16596.62","percent of total billed charges",,
"DRAINAGE OF SCROTAL WALL ABSCESS","0360","RC","Both",,,"2265.5","1132.75","Medicare",,,,"54",,"1227.9","16.1","16596.62","percent of total billed charges",,
"DRAINAGE OF SCROTAL WALL ABSCESS","0360","RC","Both",,,"2265.5","1132.75","Humana","Medicare Advantage",,,"54",,"1227.9","16.1","16596.62","percent of total billed charges",,
"DRAINAGE OF SCROTAL WALL ABSCESS","0360","RC","Both",,,"2265.5","1132.75","UHC","Medicare Advantage",,,"54",,"1227.9","16.1","16596.62","percent of total billed charges",,
"DRAINAGE OF SCROTAL WALL ABSCESS","0360","RC","Both",,,"2265.5","1132.75","Clover","Medicare Advantage",,,"54",,"1227.9","16.1","16596.62","percent of total billed charges",,
"DRAINAGE OF SCROTAL WALL ABSCESS","0360","RC","Both",,,"2265.5","1132.75","Wellcare","Medicare Advantage",,,"54",,"1227.9","16.1","16596.62","percent of total billed charges",,
"DRAINAGE OF SCROTAL WALL ABSCESS","0360","RC","Both",,,"2265.5","1132.75","Amerigroup","Medicaid Managed Care",,,"37",,"829.17","16.1","16596.62","percent of total billed charges",,
"DRAINAGE OF SCROTAL WALL ABSCESS","0360","RC","Both",,,"2265.5","1132.75","Caresource","Medicaid Managed Care",,,"40",,"906.2","16.1","16596.62","percent of total billed charges",,
"DRAINAGE OF SCROTAL WALL ABSCESS","0360","RC","Both",,,"2265.5","1132.75","Wellcare","Medicaid Managed Care",,,"40",,"917.53","16.1","16596.62","percent of total billed charges",,
"DRAINAGE OF SCROTAL WALL ABSCESS","0360","RC","Both",,,"2265.5","1132.75","Aetna","Commercial",,,"64",,"1445.39","16.1","16596.62","percent of total billed charges",,
"DRAINAGE OF SCROTAL WALL ABSCESS","0360","RC","Both",,,"2265.5","1132.75","Blue Cross Blue Shield","Pathways",,,"71",,"1599.44","16.1","16596.62","percent of total billed charges",,
"DRAINAGE OF SCROTAL WALL ABSCESS","0360","RC","Both",,,"2265.5","1132.75","Blue Cross Blue Shield","HMO",,,"71",,"1599.44","16.1","16596.62","percent of total billed charges",,
"DRAINAGE OF SCROTAL WALL ABSCESS","0360","RC","Both",,,"2265.5","1132.75","Blue Cross Blue Shield","PPO",,,"71",,"1599.44","16.1","16596.62","percent of total billed charges",,
"DRAINAGE OF SCROTAL WALL ABSCESS","0360","RC","Both",,,"2265.5","1132.75","Ambetter","Health Exchange",,,"62",,"1404.61","16.1","16596.62","percent of total billed charges",,
"DRAINAGE OF SCROTAL WALL ABSCESS","0360","RC","Both",,,"2265.5","1132.75","Caresource","Health Exchange",,,"62",,"1404.61","16.1","16596.62","percent of total billed charges",,
"DRAINAGE OF SCROTAL WALL ABSCESS","0360","RC","Both",,,"2265.5","1132.75","Cigna","Commercial",,,"59",,"1327.58","16.1","16596.62","percent of total billed charges",,
"DRAINAGE OF SCROTAL WALL ABSCESS","0360","RC","Both",,,"2265.5","1132.75","Humana","Commercial",,,"78",,"1755.76","16.1","16596.62","percent of total billed charges",,
"DRAINAGE OF SCROTAL WALL ABSCESS","0360","RC","Both",,,"2265.5","1132.75","UHC","Commercial",,,"75",,"1708.19","16.1","16596.62","percent of total billed charges",,
"DRAINAGE OF SCROTAL WALL ABSCESS","0360","RC","Both",,,"2265.5","1132.75","Medicaid",,,,"37",,"829.17","16.1","16596.62","percent of total billed charges",,
"SCROTAL EXPLORATION","0360","RC","Both",,,"5297","2648.5","Alliant","Health Exchange",,,"62",,"3284.14","16.1","16596.62","percent of total billed charges",,
"SCROTAL EXPLORATION","0360","RC","Both",,,"5297","2648.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2860.38","16.1","16596.62","percent of total billed charges",,
"SCROTAL EXPLORATION","0360","RC","Both",,,"5297","2648.5","Medicare",,,,"54",,"2870.97","16.1","16596.62","percent of total billed charges",,
"SCROTAL EXPLORATION","0360","RC","Both",,,"5297","2648.5","Humana","Medicare Advantage",,,"54",,"2870.97","16.1","16596.62","percent of total billed charges",,
"SCROTAL EXPLORATION","0360","RC","Both",,,"5297","2648.5","UHC","Medicare Advantage",,,"54",,"2870.97","16.1","16596.62","percent of total billed charges",,
"SCROTAL EXPLORATION","0360","RC","Both",,,"5297","2648.5","Clover","Medicare Advantage",,,"54",,"2870.97","16.1","16596.62","percent of total billed charges",,
"SCROTAL EXPLORATION","0360","RC","Both",,,"5297","2648.5","Wellcare","Medicare Advantage",,,"54",,"2870.97","16.1","16596.62","percent of total billed charges",,
"SCROTAL EXPLORATION","0360","RC","Both",,,"5297","2648.5","Amerigroup","Medicaid Managed Care",,,"37",,"1938.7","16.1","16596.62","percent of total billed charges",,
"SCROTAL EXPLORATION","0360","RC","Both",,,"5297","2648.5","Caresource","Medicaid Managed Care",,,"40",,"2118.8","16.1","16596.62","percent of total billed charges",,
"SCROTAL EXPLORATION","0360","RC","Both",,,"5297","2648.5","Wellcare","Medicaid Managed Care",,,"40",,"2145.29","16.1","16596.62","percent of total billed charges",,
"SCROTAL EXPLORATION","0360","RC","Both",,,"5297","2648.5","Aetna","Commercial",,,"64",,"3379.49","16.1","16596.62","percent of total billed charges",,
"SCROTAL EXPLORATION","0360","RC","Both",,,"5297","2648.5","Blue Cross Blue Shield","Pathways",,,"71",,"3739.68","16.1","16596.62","percent of total billed charges",,
"SCROTAL EXPLORATION","0360","RC","Both",,,"5297","2648.5","Blue Cross Blue Shield","HMO",,,"71",,"3739.68","16.1","16596.62","percent of total billed charges",,
"SCROTAL EXPLORATION","0360","RC","Both",,,"5297","2648.5","Blue Cross Blue Shield","PPO",,,"71",,"3739.68","16.1","16596.62","percent of total billed charges",,
"SCROTAL EXPLORATION","0360","RC","Both",,,"5297","2648.5","Ambetter","Health Exchange",,,"62",,"3284.14","16.1","16596.62","percent of total billed charges",,
"SCROTAL EXPLORATION","0360","RC","Both",,,"5297","2648.5","Caresource","Health Exchange",,,"62",,"3284.14","16.1","16596.62","percent of total billed charges",,
"SCROTAL EXPLORATION","0360","RC","Both",,,"5297","2648.5","Cigna","Commercial",,,"59",,"3104.04","16.1","16596.62","percent of total billed charges",,
"SCROTAL EXPLORATION","0360","RC","Both",,,"5297","2648.5","Humana","Commercial",,,"78",,"4105.18","16.1","16596.62","percent of total billed charges",,
"SCROTAL EXPLORATION","0360","RC","Both",,,"5297","2648.5","UHC","Commercial",,,"75",,"3993.94","16.1","16596.62","percent of total billed charges",,
"SCROTAL EXPLORATION","0360","RC","Both",,,"5297","2648.5","Medicaid",,,,"37",,"1938.7","16.1","16596.62","percent of total billed charges",,
"EXCISION LESION SPERMATIC CORD","0360","RC","Both",,,"5297","2648.5","Alliant","Health Exchange",,,"62",,"3284.14","16.1","16596.62","percent of total billed charges",,
"EXCISION LESION SPERMATIC CORD","0360","RC","Both",,,"5297","2648.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2860.38","16.1","16596.62","percent of total billed charges",,
"EXCISION LESION SPERMATIC CORD","0360","RC","Both",,,"5297","2648.5","Medicare",,,,"54",,"2870.97","16.1","16596.62","percent of total billed charges",,
"EXCISION LESION SPERMATIC CORD","0360","RC","Both",,,"5297","2648.5","Humana","Medicare Advantage",,,"54",,"2870.97","16.1","16596.62","percent of total billed charges",,
"EXCISION LESION SPERMATIC CORD","0360","RC","Both",,,"5297","2648.5","UHC","Medicare Advantage",,,"54",,"2870.97","16.1","16596.62","percent of total billed charges",,
"EXCISION LESION SPERMATIC CORD","0360","RC","Both",,,"5297","2648.5","Clover","Medicare Advantage",,,"54",,"2870.97","16.1","16596.62","percent of total billed charges",,
"EXCISION LESION SPERMATIC CORD","0360","RC","Both",,,"5297","2648.5","Wellcare","Medicare Advantage",,,"54",,"2870.97","16.1","16596.62","percent of total billed charges",,
"EXCISION LESION SPERMATIC CORD","0360","RC","Both",,,"5297","2648.5","Amerigroup","Medicaid Managed Care",,,"37",,"1938.7","16.1","16596.62","percent of total billed charges",,
"EXCISION LESION SPERMATIC CORD","0360","RC","Both",,,"5297","2648.5","Caresource","Medicaid Managed Care",,,"40",,"2118.8","16.1","16596.62","percent of total billed charges",,
"EXCISION LESION SPERMATIC CORD","0360","RC","Both",,,"5297","2648.5","Wellcare","Medicaid Managed Care",,,"40",,"2145.29","16.1","16596.62","percent of total billed charges",,
"EXCISION LESION SPERMATIC CORD","0360","RC","Both",,,"5297","2648.5","Aetna","Commercial",,,"64",,"3379.49","16.1","16596.62","percent of total billed charges",,
"EXCISION LESION SPERMATIC CORD","0360","RC","Both",,,"5297","2648.5","Blue Cross Blue Shield","Pathways",,,"71",,"3739.68","16.1","16596.62","percent of total billed charges",,
"EXCISION LESION SPERMATIC CORD","0360","RC","Both",,,"5297","2648.5","Blue Cross Blue Shield","HMO",,,"71",,"3739.68","16.1","16596.62","percent of total billed charges",,
"EXCISION LESION SPERMATIC CORD","0360","RC","Both",,,"5297","2648.5","Blue Cross Blue Shield","PPO",,,"71",,"3739.68","16.1","16596.62","percent of total billed charges",,
"EXCISION LESION SPERMATIC CORD","0360","RC","Both",,,"5297","2648.5","Ambetter","Health Exchange",,,"62",,"3284.14","16.1","16596.62","percent of total billed charges",,
"EXCISION LESION SPERMATIC CORD","0360","RC","Both",,,"5297","2648.5","Caresource","Health Exchange",,,"62",,"3284.14","16.1","16596.62","percent of total billed charges",,
"EXCISION LESION SPERMATIC CORD","0360","RC","Both",,,"5297","2648.5","Cigna","Commercial",,,"59",,"3104.04","16.1","16596.62","percent of total billed charges",,
"EXCISION LESION SPERMATIC CORD","0360","RC","Both",,,"5297","2648.5","Humana","Commercial",,,"78",,"4105.18","16.1","16596.62","percent of total billed charges",,
"EXCISION LESION SPERMATIC CORD","0360","RC","Both",,,"5297","2648.5","UHC","Commercial",,,"75",,"3993.94","16.1","16596.62","percent of total billed charges",,
"EXCISION LESION SPERMATIC CORD","0360","RC","Both",,,"5297","2648.5","Medicaid",,,,"37",,"1938.7","16.1","16596.62","percent of total billed charges",,
"EXCISION VARICOCELE W/HERNIA REPAIR","0360","RC","Both",,,"7582","3791","Alliant","Health Exchange",,,"62",,"4700.84","16.1","16596.62","percent of total billed charges",,
"EXCISION VARICOCELE W/HERNIA REPAIR","0360","RC","Both",,,"7582","3791","Pruitt Healthcare","Medicare Advantage",,,"54",,"4094.28","16.1","16596.62","percent of total billed charges",,
"EXCISION VARICOCELE W/HERNIA REPAIR","0360","RC","Both",,,"7582","3791","Medicare",,,,"54",,"4109.44","16.1","16596.62","percent of total billed charges",,
"EXCISION VARICOCELE W/HERNIA REPAIR","0360","RC","Both",,,"7582","3791","Humana","Medicare Advantage",,,"54",,"4109.44","16.1","16596.62","percent of total billed charges",,
"EXCISION VARICOCELE W/HERNIA REPAIR","0360","RC","Both",,,"7582","3791","UHC","Medicare Advantage",,,"54",,"4109.44","16.1","16596.62","percent of total billed charges",,
"EXCISION VARICOCELE W/HERNIA REPAIR","0360","RC","Both",,,"7582","3791","Clover","Medicare Advantage",,,"54",,"4109.44","16.1","16596.62","percent of total billed charges",,
"EXCISION VARICOCELE W/HERNIA REPAIR","0360","RC","Both",,,"7582","3791","Wellcare","Medicare Advantage",,,"54",,"4109.44","16.1","16596.62","percent of total billed charges",,
"EXCISION VARICOCELE W/HERNIA REPAIR","0360","RC","Both",,,"7582","3791","Amerigroup","Medicaid Managed Care",,,"37",,"2775.01","16.1","16596.62","percent of total billed charges",,
"EXCISION VARICOCELE W/HERNIA REPAIR","0360","RC","Both",,,"7582","3791","Caresource","Medicaid Managed Care",,,"40",,"3032.8","16.1","16596.62","percent of total billed charges",,
"EXCISION VARICOCELE W/HERNIA REPAIR","0360","RC","Both",,,"7582","3791","Wellcare","Medicaid Managed Care",,,"40",,"3070.71","16.1","16596.62","percent of total billed charges",,
"EXCISION VARICOCELE W/HERNIA REPAIR","0360","RC","Both",,,"7582","3791","Aetna","Commercial",,,"64",,"4837.32","16.1","16596.62","percent of total billed charges",,
"EXCISION VARICOCELE W/HERNIA REPAIR","0360","RC","Both",,,"7582","3791","Blue Cross Blue Shield","Pathways",,,"71",,"5352.89","16.1","16596.62","percent of total billed charges",,
"EXCISION VARICOCELE W/HERNIA REPAIR","0360","RC","Both",,,"7582","3791","Blue Cross Blue Shield","HMO",,,"71",,"5352.89","16.1","16596.62","percent of total billed charges",,
"EXCISION VARICOCELE W/HERNIA REPAIR","0360","RC","Both",,,"7582","3791","Blue Cross Blue Shield","PPO",,,"71",,"5352.89","16.1","16596.62","percent of total billed charges",,
"EXCISION VARICOCELE W/HERNIA REPAIR","0360","RC","Both",,,"7582","3791","Ambetter","Health Exchange",,,"62",,"4700.84","16.1","16596.62","percent of total billed charges",,
"EXCISION VARICOCELE W/HERNIA REPAIR","0360","RC","Both",,,"7582","3791","Caresource","Health Exchange",,,"62",,"4700.84","16.1","16596.62","percent of total billed charges",,
"EXCISION VARICOCELE W/HERNIA REPAIR","0360","RC","Both",,,"7582","3791","Cigna","Commercial",,,"59",,"4443.05","16.1","16596.62","percent of total billed charges",,
"EXCISION VARICOCELE W/HERNIA REPAIR","0360","RC","Both",,,"7582","3791","Humana","Commercial",,,"78",,"5876.05","16.1","16596.62","percent of total billed charges",,
"EXCISION VARICOCELE W/HERNIA REPAIR","0360","RC","Both",,,"7582","3791","UHC","Commercial",,,"75",,"5716.83","16.1","16596.62","percent of total billed charges",,
"EXCISION VARICOCELE W/HERNIA REPAIR","0360","RC","Both",,,"7582","3791","Medicaid",,,,"37",,"2775.01","16.1","16596.62","percent of total billed charges",,
"BIOPSY,PROSTATE;NEEDLE/PUNCH,SING/MULT","0360","RC","Both",,,"3020.5","1510.25","Alliant","Health Exchange",,,"62",,"1872.71","16.1","16596.62","percent of total billed charges",,
"BIOPSY,PROSTATE;NEEDLE/PUNCH,SING/MULT","0360","RC","Both",,,"3020.5","1510.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"1631.07","16.1","16596.62","percent of total billed charges",,
"BIOPSY,PROSTATE;NEEDLE/PUNCH,SING/MULT","0360","RC","Both",,,"3020.5","1510.25","Medicare",,,,"54",,"1637.11","16.1","16596.62","percent of total billed charges",,
"BIOPSY,PROSTATE;NEEDLE/PUNCH,SING/MULT","0360","RC","Both",,,"3020.5","1510.25","Humana","Medicare Advantage",,,"54",,"1637.11","16.1","16596.62","percent of total billed charges",,
"BIOPSY,PROSTATE;NEEDLE/PUNCH,SING/MULT","0360","RC","Both",,,"3020.5","1510.25","UHC","Medicare Advantage",,,"54",,"1637.11","16.1","16596.62","percent of total billed charges",,
"BIOPSY,PROSTATE;NEEDLE/PUNCH,SING/MULT","0360","RC","Both",,,"3020.5","1510.25","Clover","Medicare Advantage",,,"54",,"1637.11","16.1","16596.62","percent of total billed charges",,
"BIOPSY,PROSTATE;NEEDLE/PUNCH,SING/MULT","0360","RC","Both",,,"3020.5","1510.25","Wellcare","Medicare Advantage",,,"54",,"1637.11","16.1","16596.62","percent of total billed charges",,
"BIOPSY,PROSTATE;NEEDLE/PUNCH,SING/MULT","0360","RC","Both",,,"3020.5","1510.25","Amerigroup","Medicaid Managed Care",,,"37",,"1105.5","16.1","16596.62","percent of total billed charges",,
"BIOPSY,PROSTATE;NEEDLE/PUNCH,SING/MULT","0360","RC","Both",,,"3020.5","1510.25","Caresource","Medicaid Managed Care",,,"40",,"1208.2","16.1","16596.62","percent of total billed charges",,
"BIOPSY,PROSTATE;NEEDLE/PUNCH,SING/MULT","0360","RC","Both",,,"3020.5","1510.25","Wellcare","Medicaid Managed Care",,,"40",,"1223.3","16.1","16596.62","percent of total billed charges",,
"BIOPSY,PROSTATE;NEEDLE/PUNCH,SING/MULT","0360","RC","Both",,,"3020.5","1510.25","Aetna","Commercial",,,"64",,"1927.08","16.1","16596.62","percent of total billed charges",,
"BIOPSY,PROSTATE;NEEDLE/PUNCH,SING/MULT","0360","RC","Both",,,"3020.5","1510.25","Blue Cross Blue Shield","Pathways",,,"71",,"2132.47","16.1","16596.62","percent of total billed charges",,
"BIOPSY,PROSTATE;NEEDLE/PUNCH,SING/MULT","0360","RC","Both",,,"3020.5","1510.25","Blue Cross Blue Shield","HMO",,,"71",,"2132.47","16.1","16596.62","percent of total billed charges",,
"BIOPSY,PROSTATE;NEEDLE/PUNCH,SING/MULT","0360","RC","Both",,,"3020.5","1510.25","Blue Cross Blue Shield","PPO",,,"71",,"2132.47","16.1","16596.62","percent of total billed charges",,
"BIOPSY,PROSTATE;NEEDLE/PUNCH,SING/MULT","0360","RC","Both",,,"3020.5","1510.25","Ambetter","Health Exchange",,,"62",,"1872.71","16.1","16596.62","percent of total billed charges",,
"BIOPSY,PROSTATE;NEEDLE/PUNCH,SING/MULT","0360","RC","Both",,,"3020.5","1510.25","Caresource","Health Exchange",,,"62",,"1872.71","16.1","16596.62","percent of total billed charges",,
"BIOPSY,PROSTATE;NEEDLE/PUNCH,SING/MULT","0360","RC","Both",,,"3020.5","1510.25","Cigna","Commercial",,,"59",,"1770.01","16.1","16596.62","percent of total billed charges",,
"BIOPSY,PROSTATE;NEEDLE/PUNCH,SING/MULT","0360","RC","Both",,,"3020.5","1510.25","Humana","Commercial",,,"78",,"2340.89","16.1","16596.62","percent of total billed charges",,
"BIOPSY,PROSTATE;NEEDLE/PUNCH,SING/MULT","0360","RC","Both",,,"3020.5","1510.25","UHC","Commercial",,,"75",,"2277.46","16.1","16596.62","percent of total billed charges",,
"BIOPSY,PROSTATE;NEEDLE/PUNCH,SING/MULT","0360","RC","Both",,,"3020.5","1510.25","Medicaid",,,,"37",,"1105.5","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION VULVA, SIMPLE","0360","RC","Both",,,"4426","2213","Alliant","Health Exchange",,,"62",,"2744.12","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION VULVA, SIMPLE","0360","RC","Both",,,"4426","2213","Pruitt Healthcare","Medicare Advantage",,,"54",,"2390.04","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION VULVA, SIMPLE","0360","RC","Both",,,"4426","2213","Medicare",,,,"54",,"2398.89","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION VULVA, SIMPLE","0360","RC","Both",,,"4426","2213","Humana","Medicare Advantage",,,"54",,"2398.89","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION VULVA, SIMPLE","0360","RC","Both",,,"4426","2213","UHC","Medicare Advantage",,,"54",,"2398.89","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION VULVA, SIMPLE","0360","RC","Both",,,"4426","2213","Clover","Medicare Advantage",,,"54",,"2398.89","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION VULVA, SIMPLE","0360","RC","Both",,,"4426","2213","Wellcare","Medicare Advantage",,,"54",,"2398.89","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION VULVA, SIMPLE","0360","RC","Both",,,"4426","2213","Amerigroup","Medicaid Managed Care",,,"37",,"1619.92","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION VULVA, SIMPLE","0360","RC","Both",,,"4426","2213","Caresource","Medicaid Managed Care",,,"40",,"1770.4","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION VULVA, SIMPLE","0360","RC","Both",,,"4426","2213","Wellcare","Medicaid Managed Care",,,"40",,"1792.53","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION VULVA, SIMPLE","0360","RC","Both",,,"4426","2213","Aetna","Commercial",,,"64",,"2823.79","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION VULVA, SIMPLE","0360","RC","Both",,,"4426","2213","Blue Cross Blue Shield","Pathways",,,"71",,"3124.76","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION VULVA, SIMPLE","0360","RC","Both",,,"4426","2213","Blue Cross Blue Shield","HMO",,,"71",,"3124.76","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION VULVA, SIMPLE","0360","RC","Both",,,"4426","2213","Blue Cross Blue Shield","PPO",,,"71",,"3124.76","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION VULVA, SIMPLE","0360","RC","Both",,,"4426","2213","Ambetter","Health Exchange",,,"62",,"2744.12","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION VULVA, SIMPLE","0360","RC","Both",,,"4426","2213","Caresource","Health Exchange",,,"62",,"2744.12","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION VULVA, SIMPLE","0360","RC","Both",,,"4426","2213","Cigna","Commercial",,,"59",,"2593.64","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION VULVA, SIMPLE","0360","RC","Both",,,"4426","2213","Humana","Commercial",,,"78",,"3430.15","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION VULVA, SIMPLE","0360","RC","Both",,,"4426","2213","UHC","Commercial",,,"75",,"3337.2","16.1","16596.62","percent of total billed charges",,
"DESTRUCTION LESION VULVA, SIMPLE","0360","RC","Both",,,"4426","2213","Medicaid",,,,"37",,"1619.92","16.1","16596.62","percent of total billed charges",,
"PRINEOPLASTRY REPAIR","0360","RC","Both",,,"4541.5","2270.75","Alliant","Health Exchange",,,"62",,"2815.73","16.1","16596.62","percent of total billed charges",,
"PRINEOPLASTRY REPAIR","0360","RC","Both",,,"4541.5","2270.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"2452.41","16.1","16596.62","percent of total billed charges",,
"PRINEOPLASTRY REPAIR","0360","RC","Both",,,"4541.5","2270.75","Medicare",,,,"54",,"2461.49","16.1","16596.62","percent of total billed charges",,
"PRINEOPLASTRY REPAIR","0360","RC","Both",,,"4541.5","2270.75","Humana","Medicare Advantage",,,"54",,"2461.49","16.1","16596.62","percent of total billed charges",,
"PRINEOPLASTRY REPAIR","0360","RC","Both",,,"4541.5","2270.75","UHC","Medicare Advantage",,,"54",,"2461.49","16.1","16596.62","percent of total billed charges",,
"PRINEOPLASTRY REPAIR","0360","RC","Both",,,"4541.5","2270.75","Clover","Medicare Advantage",,,"54",,"2461.49","16.1","16596.62","percent of total billed charges",,
"PRINEOPLASTRY REPAIR","0360","RC","Both",,,"4541.5","2270.75","Wellcare","Medicare Advantage",,,"54",,"2461.49","16.1","16596.62","percent of total billed charges",,
"PRINEOPLASTRY REPAIR","0360","RC","Both",,,"4541.5","2270.75","Amerigroup","Medicaid Managed Care",,,"37",,"1662.19","16.1","16596.62","percent of total billed charges",,
"PRINEOPLASTRY REPAIR","0360","RC","Both",,,"4541.5","2270.75","Caresource","Medicaid Managed Care",,,"40",,"1816.6","16.1","16596.62","percent of total billed charges",,
"PRINEOPLASTRY REPAIR","0360","RC","Both",,,"4541.5","2270.75","Wellcare","Medicaid Managed Care",,,"40",,"1839.31","16.1","16596.62","percent of total billed charges",,
"PRINEOPLASTRY REPAIR","0360","RC","Both",,,"4541.5","2270.75","Aetna","Commercial",,,"64",,"2897.48","16.1","16596.62","percent of total billed charges",,
"PRINEOPLASTRY REPAIR","0360","RC","Both",,,"4541.5","2270.75","Blue Cross Blue Shield","Pathways",,,"71",,"3206.3","16.1","16596.62","percent of total billed charges",,
"PRINEOPLASTRY REPAIR","0360","RC","Both",,,"4541.5","2270.75","Blue Cross Blue Shield","HMO",,,"71",,"3206.3","16.1","16596.62","percent of total billed charges",,
"PRINEOPLASTRY REPAIR","0360","RC","Both",,,"4541.5","2270.75","Blue Cross Blue Shield","PPO",,,"71",,"3206.3","16.1","16596.62","percent of total billed charges",,
"PRINEOPLASTRY REPAIR","0360","RC","Both",,,"4541.5","2270.75","Ambetter","Health Exchange",,,"62",,"2815.73","16.1","16596.62","percent of total billed charges",,
"PRINEOPLASTRY REPAIR","0360","RC","Both",,,"4541.5","2270.75","Caresource","Health Exchange",,,"62",,"2815.73","16.1","16596.62","percent of total billed charges",,
"PRINEOPLASTRY REPAIR","0360","RC","Both",,,"4541.5","2270.75","Cigna","Commercial",,,"59",,"2661.32","16.1","16596.62","percent of total billed charges",,
"PRINEOPLASTRY REPAIR","0360","RC","Both",,,"4541.5","2270.75","Humana","Commercial",,,"78",,"3519.66","16.1","16596.62","percent of total billed charges",,
"PRINEOPLASTRY REPAIR","0360","RC","Both",,,"4541.5","2270.75","UHC","Commercial",,,"75",,"3424.29","16.1","16596.62","percent of total billed charges",,
"PRINEOPLASTRY REPAIR","0360","RC","Both",,,"4541.5","2270.75","Medicaid",,,,"37",,"1662.19","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF VAGINAL MUCOSA; SIMPLE","0360","RC","Both",,,"1554.5","777.25","Alliant","Health Exchange",,,"62",,"963.79","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF VAGINAL MUCOSA; SIMPLE","0360","RC","Both",,,"1554.5","777.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"839.43","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF VAGINAL MUCOSA; SIMPLE","0360","RC","Both",,,"1554.5","777.25","Medicare",,,,"54",,"842.54","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF VAGINAL MUCOSA; SIMPLE","0360","RC","Both",,,"1554.5","777.25","Humana","Medicare Advantage",,,"54",,"842.54","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF VAGINAL MUCOSA; SIMPLE","0360","RC","Both",,,"1554.5","777.25","UHC","Medicare Advantage",,,"54",,"842.54","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF VAGINAL MUCOSA; SIMPLE","0360","RC","Both",,,"1554.5","777.25","Clover","Medicare Advantage",,,"54",,"842.54","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF VAGINAL MUCOSA; SIMPLE","0360","RC","Both",,,"1554.5","777.25","Wellcare","Medicare Advantage",,,"54",,"842.54","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF VAGINAL MUCOSA; SIMPLE","0360","RC","Both",,,"1554.5","777.25","Amerigroup","Medicaid Managed Care",,,"37",,"568.95","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF VAGINAL MUCOSA; SIMPLE","0360","RC","Both",,,"1554.5","777.25","Caresource","Medicaid Managed Care",,,"40",,"621.8","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF VAGINAL MUCOSA; SIMPLE","0360","RC","Both",,,"1554.5","777.25","Wellcare","Medicaid Managed Care",,,"40",,"629.57","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF VAGINAL MUCOSA; SIMPLE","0360","RC","Both",,,"1554.5","777.25","Aetna","Commercial",,,"64",,"991.77","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF VAGINAL MUCOSA; SIMPLE","0360","RC","Both",,,"1554.5","777.25","Blue Cross Blue Shield","Pathways",,,"71",,"1097.48","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF VAGINAL MUCOSA; SIMPLE","0360","RC","Both",,,"1554.5","777.25","Blue Cross Blue Shield","HMO",,,"71",,"1097.48","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF VAGINAL MUCOSA; SIMPLE","0360","RC","Both",,,"1554.5","777.25","Blue Cross Blue Shield","PPO",,,"71",,"1097.48","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF VAGINAL MUCOSA; SIMPLE","0360","RC","Both",,,"1554.5","777.25","Ambetter","Health Exchange",,,"62",,"963.79","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF VAGINAL MUCOSA; SIMPLE","0360","RC","Both",,,"1554.5","777.25","Caresource","Health Exchange",,,"62",,"963.79","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF VAGINAL MUCOSA; SIMPLE","0360","RC","Both",,,"1554.5","777.25","Cigna","Commercial",,,"59",,"910.94","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF VAGINAL MUCOSA; SIMPLE","0360","RC","Both",,,"1554.5","777.25","Humana","Commercial",,,"78",,"1204.74","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF VAGINAL MUCOSA; SIMPLE","0360","RC","Both",,,"1554.5","777.25","UHC","Commercial",,,"75",,"1172.09","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF VAGINAL MUCOSA; SIMPLE","0360","RC","Both",,,"1554.5","777.25","Medicaid",,,,"37",,"568.95","16.1","16596.62","percent of total billed charges",,
"PELVIC EXAM UNDER ANESTHESIA","0360","RC","Both",,,"4541.5","2270.75","Alliant","Health Exchange",,,"62",,"2815.73","16.1","16596.62","percent of total billed charges",,
"PELVIC EXAM UNDER ANESTHESIA","0360","RC","Both",,,"4541.5","2270.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"2452.41","16.1","16596.62","percent of total billed charges",,
"PELVIC EXAM UNDER ANESTHESIA","0360","RC","Both",,,"4541.5","2270.75","Medicare",,,,"54",,"2461.49","16.1","16596.62","percent of total billed charges",,
"PELVIC EXAM UNDER ANESTHESIA","0360","RC","Both",,,"4541.5","2270.75","Humana","Medicare Advantage",,,"54",,"2461.49","16.1","16596.62","percent of total billed charges",,
"PELVIC EXAM UNDER ANESTHESIA","0360","RC","Both",,,"4541.5","2270.75","UHC","Medicare Advantage",,,"54",,"2461.49","16.1","16596.62","percent of total billed charges",,
"PELVIC EXAM UNDER ANESTHESIA","0360","RC","Both",,,"4541.5","2270.75","Clover","Medicare Advantage",,,"54",,"2461.49","16.1","16596.62","percent of total billed charges",,
"PELVIC EXAM UNDER ANESTHESIA","0360","RC","Both",,,"4541.5","2270.75","Wellcare","Medicare Advantage",,,"54",,"2461.49","16.1","16596.62","percent of total billed charges",,
"PELVIC EXAM UNDER ANESTHESIA","0360","RC","Both",,,"4541.5","2270.75","Amerigroup","Medicaid Managed Care",,,"37",,"1662.19","16.1","16596.62","percent of total billed charges",,
"PELVIC EXAM UNDER ANESTHESIA","0360","RC","Both",,,"4541.5","2270.75","Caresource","Medicaid Managed Care",,,"40",,"1816.6","16.1","16596.62","percent of total billed charges",,
"PELVIC EXAM UNDER ANESTHESIA","0360","RC","Both",,,"4541.5","2270.75","Wellcare","Medicaid Managed Care",,,"40",,"1839.31","16.1","16596.62","percent of total billed charges",,
"PELVIC EXAM UNDER ANESTHESIA","0360","RC","Both",,,"4541.5","2270.75","Aetna","Commercial",,,"64",,"2897.48","16.1","16596.62","percent of total billed charges",,
"PELVIC EXAM UNDER ANESTHESIA","0360","RC","Both",,,"4541.5","2270.75","Blue Cross Blue Shield","Pathways",,,"71",,"3206.3","16.1","16596.62","percent of total billed charges",,
"PELVIC EXAM UNDER ANESTHESIA","0360","RC","Both",,,"4541.5","2270.75","Blue Cross Blue Shield","HMO",,,"71",,"3206.3","16.1","16596.62","percent of total billed charges",,
"PELVIC EXAM UNDER ANESTHESIA","0360","RC","Both",,,"4541.5","2270.75","Blue Cross Blue Shield","PPO",,,"71",,"3206.3","16.1","16596.62","percent of total billed charges",,
"PELVIC EXAM UNDER ANESTHESIA","0360","RC","Both",,,"4541.5","2270.75","Ambetter","Health Exchange",,,"62",,"2815.73","16.1","16596.62","percent of total billed charges",,
"PELVIC EXAM UNDER ANESTHESIA","0360","RC","Both",,,"4541.5","2270.75","Caresource","Health Exchange",,,"62",,"2815.73","16.1","16596.62","percent of total billed charges",,
"PELVIC EXAM UNDER ANESTHESIA","0360","RC","Both",,,"4541.5","2270.75","Cigna","Commercial",,,"59",,"2661.32","16.1","16596.62","percent of total billed charges",,
"PELVIC EXAM UNDER ANESTHESIA","0360","RC","Both",,,"4541.5","2270.75","Humana","Commercial",,,"78",,"3519.66","16.1","16596.62","percent of total billed charges",,
"PELVIC EXAM UNDER ANESTHESIA","0360","RC","Both",,,"4541.5","2270.75","UHC","Commercial",,,"75",,"3424.29","16.1","16596.62","percent of total billed charges",,
"PELVIC EXAM UNDER ANESTHESIA","0360","RC","Both",,,"4541.5","2270.75","Medicaid",,,,"37",,"1662.19","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF CERVIX, SINGLE/MULTI","0360","RC","Both",,,"1554.5","777.25","Alliant","Health Exchange",,,"62",,"963.79","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF CERVIX, SINGLE/MULTI","0360","RC","Both",,,"1554.5","777.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"839.43","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF CERVIX, SINGLE/MULTI","0360","RC","Both",,,"1554.5","777.25","Medicare",,,,"54",,"842.54","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF CERVIX, SINGLE/MULTI","0360","RC","Both",,,"1554.5","777.25","Humana","Medicare Advantage",,,"54",,"842.54","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF CERVIX, SINGLE/MULTI","0360","RC","Both",,,"1554.5","777.25","UHC","Medicare Advantage",,,"54",,"842.54","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF CERVIX, SINGLE/MULTI","0360","RC","Both",,,"1554.5","777.25","Clover","Medicare Advantage",,,"54",,"842.54","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF CERVIX, SINGLE/MULTI","0360","RC","Both",,,"1554.5","777.25","Wellcare","Medicare Advantage",,,"54",,"842.54","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF CERVIX, SINGLE/MULTI","0360","RC","Both",,,"1554.5","777.25","Amerigroup","Medicaid Managed Care",,,"37",,"568.95","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF CERVIX, SINGLE/MULTI","0360","RC","Both",,,"1554.5","777.25","Caresource","Medicaid Managed Care",,,"40",,"621.8","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF CERVIX, SINGLE/MULTI","0360","RC","Both",,,"1554.5","777.25","Wellcare","Medicaid Managed Care",,,"40",,"629.57","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF CERVIX, SINGLE/MULTI","0360","RC","Both",,,"1554.5","777.25","Aetna","Commercial",,,"64",,"991.77","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF CERVIX, SINGLE/MULTI","0360","RC","Both",,,"1554.5","777.25","Blue Cross Blue Shield","Pathways",,,"71",,"1097.48","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF CERVIX, SINGLE/MULTI","0360","RC","Both",,,"1554.5","777.25","Blue Cross Blue Shield","HMO",,,"71",,"1097.48","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF CERVIX, SINGLE/MULTI","0360","RC","Both",,,"1554.5","777.25","Blue Cross Blue Shield","PPO",,,"71",,"1097.48","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF CERVIX, SINGLE/MULTI","0360","RC","Both",,,"1554.5","777.25","Ambetter","Health Exchange",,,"62",,"963.79","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF CERVIX, SINGLE/MULTI","0360","RC","Both",,,"1554.5","777.25","Caresource","Health Exchange",,,"62",,"963.79","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF CERVIX, SINGLE/MULTI","0360","RC","Both",,,"1554.5","777.25","Cigna","Commercial",,,"59",,"910.94","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF CERVIX, SINGLE/MULTI","0360","RC","Both",,,"1554.5","777.25","Humana","Commercial",,,"78",,"1204.74","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF CERVIX, SINGLE/MULTI","0360","RC","Both",,,"1554.5","777.25","UHC","Commercial",,,"75",,"1172.09","16.1","16596.62","percent of total billed charges",,
"BIOPSY OF CERVIX, SINGLE/MULTI","0360","RC","Both",,,"1554.5","777.25","Medicaid",,,,"37",,"568.95","16.1","16596.62","percent of total billed charges",,
"ENDOCERVICAL CURRETTAGE","0360","RC","Both",,,"1554.5","777.25","Alliant","Health Exchange",,,"62",,"963.79","16.1","16596.62","percent of total billed charges",,
"ENDOCERVICAL CURRETTAGE","0360","RC","Both",,,"1554.5","777.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"839.43","16.1","16596.62","percent of total billed charges",,
"ENDOCERVICAL CURRETTAGE","0360","RC","Both",,,"1554.5","777.25","Medicare",,,,"54",,"842.54","16.1","16596.62","percent of total billed charges",,
"ENDOCERVICAL CURRETTAGE","0360","RC","Both",,,"1554.5","777.25","Humana","Medicare Advantage",,,"54",,"842.54","16.1","16596.62","percent of total billed charges",,
"ENDOCERVICAL CURRETTAGE","0360","RC","Both",,,"1554.5","777.25","UHC","Medicare Advantage",,,"54",,"842.54","16.1","16596.62","percent of total billed charges",,
"ENDOCERVICAL CURRETTAGE","0360","RC","Both",,,"1554.5","777.25","Clover","Medicare Advantage",,,"54",,"842.54","16.1","16596.62","percent of total billed charges",,
"ENDOCERVICAL CURRETTAGE","0360","RC","Both",,,"1554.5","777.25","Wellcare","Medicare Advantage",,,"54",,"842.54","16.1","16596.62","percent of total billed charges",,
"ENDOCERVICAL CURRETTAGE","0360","RC","Both",,,"1554.5","777.25","Amerigroup","Medicaid Managed Care",,,"37",,"568.95","16.1","16596.62","percent of total billed charges",,
"ENDOCERVICAL CURRETTAGE","0360","RC","Both",,,"1554.5","777.25","Caresource","Medicaid Managed Care",,,"40",,"621.8","16.1","16596.62","percent of total billed charges",,
"ENDOCERVICAL CURRETTAGE","0360","RC","Both",,,"1554.5","777.25","Wellcare","Medicaid Managed Care",,,"40",,"629.57","16.1","16596.62","percent of total billed charges",,
"ENDOCERVICAL CURRETTAGE","0360","RC","Both",,,"1554.5","777.25","Aetna","Commercial",,,"64",,"991.77","16.1","16596.62","percent of total billed charges",,
"ENDOCERVICAL CURRETTAGE","0360","RC","Both",,,"1554.5","777.25","Blue Cross Blue Shield","Pathways",,,"71",,"1097.48","16.1","16596.62","percent of total billed charges",,
"ENDOCERVICAL CURRETTAGE","0360","RC","Both",,,"1554.5","777.25","Blue Cross Blue Shield","HMO",,,"71",,"1097.48","16.1","16596.62","percent of total billed charges",,
"ENDOCERVICAL CURRETTAGE","0360","RC","Both",,,"1554.5","777.25","Blue Cross Blue Shield","PPO",,,"71",,"1097.48","16.1","16596.62","percent of total billed charges",,
"ENDOCERVICAL CURRETTAGE","0360","RC","Both",,,"1554.5","777.25","Ambetter","Health Exchange",,,"62",,"963.79","16.1","16596.62","percent of total billed charges",,
"ENDOCERVICAL CURRETTAGE","0360","RC","Both",,,"1554.5","777.25","Caresource","Health Exchange",,,"62",,"963.79","16.1","16596.62","percent of total billed charges",,
"ENDOCERVICAL CURRETTAGE","0360","RC","Both",,,"1554.5","777.25","Cigna","Commercial",,,"59",,"910.94","16.1","16596.62","percent of total billed charges",,
"ENDOCERVICAL CURRETTAGE","0360","RC","Both",,,"1554.5","777.25","Humana","Commercial",,,"78",,"1204.74","16.1","16596.62","percent of total billed charges",,
"ENDOCERVICAL CURRETTAGE","0360","RC","Both",,,"1554.5","777.25","UHC","Commercial",,,"75",,"1172.09","16.1","16596.62","percent of total billed charges",,
"ENDOCERVICAL CURRETTAGE","0360","RC","Both",,,"1554.5","777.25","Medicaid",,,,"37",,"568.95","16.1","16596.62","percent of total billed charges",,
"CONIZATION OF CERVIX, W W/O FULGRATION","0360","RC","Both",,,"4541.5","2270.75","Alliant","Health Exchange",,,"62",,"2815.73","16.1","16596.62","percent of total billed charges",,
"CONIZATION OF CERVIX, W W/O FULGRATION","0360","RC","Both",,,"4541.5","2270.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"2452.41","16.1","16596.62","percent of total billed charges",,
"CONIZATION OF CERVIX, W W/O FULGRATION","0360","RC","Both",,,"4541.5","2270.75","Medicare",,,,"54",,"2461.49","16.1","16596.62","percent of total billed charges",,
"CONIZATION OF CERVIX, W W/O FULGRATION","0360","RC","Both",,,"4541.5","2270.75","Humana","Medicare Advantage",,,"54",,"2461.49","16.1","16596.62","percent of total billed charges",,
"CONIZATION OF CERVIX, W W/O FULGRATION","0360","RC","Both",,,"4541.5","2270.75","UHC","Medicare Advantage",,,"54",,"2461.49","16.1","16596.62","percent of total billed charges",,
"CONIZATION OF CERVIX, W W/O FULGRATION","0360","RC","Both",,,"4541.5","2270.75","Clover","Medicare Advantage",,,"54",,"2461.49","16.1","16596.62","percent of total billed charges",,
"CONIZATION OF CERVIX, W W/O FULGRATION","0360","RC","Both",,,"4541.5","2270.75","Wellcare","Medicare Advantage",,,"54",,"2461.49","16.1","16596.62","percent of total billed charges",,
"CONIZATION OF CERVIX, W W/O FULGRATION","0360","RC","Both",,,"4541.5","2270.75","Amerigroup","Medicaid Managed Care",,,"37",,"1662.19","16.1","16596.62","percent of total billed charges",,
"CONIZATION OF CERVIX, W W/O FULGRATION","0360","RC","Both",,,"4541.5","2270.75","Caresource","Medicaid Managed Care",,,"40",,"1816.6","16.1","16596.62","percent of total billed charges",,
"CONIZATION OF CERVIX, W W/O FULGRATION","0360","RC","Both",,,"4541.5","2270.75","Wellcare","Medicaid Managed Care",,,"40",,"1839.31","16.1","16596.62","percent of total billed charges",,
"CONIZATION OF CERVIX, W W/O FULGRATION","0360","RC","Both",,,"4541.5","2270.75","Aetna","Commercial",,,"64",,"2897.48","16.1","16596.62","percent of total billed charges",,
"CONIZATION OF CERVIX, W W/O FULGRATION","0360","RC","Both",,,"4541.5","2270.75","Blue Cross Blue Shield","Pathways",,,"71",,"3206.3","16.1","16596.62","percent of total billed charges",,
"CONIZATION OF CERVIX, W W/O FULGRATION","0360","RC","Both",,,"4541.5","2270.75","Blue Cross Blue Shield","HMO",,,"71",,"3206.3","16.1","16596.62","percent of total billed charges",,
"CONIZATION OF CERVIX, W W/O FULGRATION","0360","RC","Both",,,"4541.5","2270.75","Blue Cross Blue Shield","PPO",,,"71",,"3206.3","16.1","16596.62","percent of total billed charges",,
"CONIZATION OF CERVIX, W W/O FULGRATION","0360","RC","Both",,,"4541.5","2270.75","Ambetter","Health Exchange",,,"62",,"2815.73","16.1","16596.62","percent of total billed charges",,
"CONIZATION OF CERVIX, W W/O FULGRATION","0360","RC","Both",,,"4541.5","2270.75","Caresource","Health Exchange",,,"62",,"2815.73","16.1","16596.62","percent of total billed charges",,
"CONIZATION OF CERVIX, W W/O FULGRATION","0360","RC","Both",,,"4541.5","2270.75","Cigna","Commercial",,,"59",,"2661.32","16.1","16596.62","percent of total billed charges",,
"CONIZATION OF CERVIX, W W/O FULGRATION","0360","RC","Both",,,"4541.5","2270.75","Humana","Commercial",,,"78",,"3519.66","16.1","16596.62","percent of total billed charges",,
"CONIZATION OF CERVIX, W W/O FULGRATION","0360","RC","Both",,,"4541.5","2270.75","UHC","Commercial",,,"75",,"3424.29","16.1","16596.62","percent of total billed charges",,
"CONIZATION OF CERVIX, W W/O FULGRATION","0360","RC","Both",,,"4541.5","2270.75","Medicaid",,,,"37",,"1662.19","16.1","16596.62","percent of total billed charges",,
"D&C, DIAG/THERAPEUTIC, NON OB","0360","RC","Both",,,"4541.5","2270.75","Alliant","Health Exchange",,,"62",,"2815.73","16.1","16596.62","percent of total billed charges",,
"D&C, DIAG/THERAPEUTIC, NON OB","0360","RC","Both",,,"4541.5","2270.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"2452.41","16.1","16596.62","percent of total billed charges",,
"D&C, DIAG/THERAPEUTIC, NON OB","0360","RC","Both",,,"4541.5","2270.75","Medicare",,,,"54",,"2461.49","16.1","16596.62","percent of total billed charges",,
"D&C, DIAG/THERAPEUTIC, NON OB","0360","RC","Both",,,"4541.5","2270.75","Humana","Medicare Advantage",,,"54",,"2461.49","16.1","16596.62","percent of total billed charges",,
"D&C, DIAG/THERAPEUTIC, NON OB","0360","RC","Both",,,"4541.5","2270.75","UHC","Medicare Advantage",,,"54",,"2461.49","16.1","16596.62","percent of total billed charges",,
"D&C, DIAG/THERAPEUTIC, NON OB","0360","RC","Both",,,"4541.5","2270.75","Clover","Medicare Advantage",,,"54",,"2461.49","16.1","16596.62","percent of total billed charges",,
"D&C, DIAG/THERAPEUTIC, NON OB","0360","RC","Both",,,"4541.5","2270.75","Wellcare","Medicare Advantage",,,"54",,"2461.49","16.1","16596.62","percent of total billed charges",,
"D&C, DIAG/THERAPEUTIC, NON OB","0360","RC","Both",,,"4541.5","2270.75","Amerigroup","Medicaid Managed Care",,,"37",,"1662.19","16.1","16596.62","percent of total billed charges",,
"D&C, DIAG/THERAPEUTIC, NON OB","0360","RC","Both",,,"4541.5","2270.75","Caresource","Medicaid Managed Care",,,"40",,"1816.6","16.1","16596.62","percent of total billed charges",,
"D&C, DIAG/THERAPEUTIC, NON OB","0360","RC","Both",,,"4541.5","2270.75","Wellcare","Medicaid Managed Care",,,"40",,"1839.31","16.1","16596.62","percent of total billed charges",,
"D&C, DIAG/THERAPEUTIC, NON OB","0360","RC","Both",,,"4541.5","2270.75","Aetna","Commercial",,,"64",,"2897.48","16.1","16596.62","percent of total billed charges",,
"D&C, DIAG/THERAPEUTIC, NON OB","0360","RC","Both",,,"4541.5","2270.75","Blue Cross Blue Shield","Pathways",,,"71",,"3206.3","16.1","16596.62","percent of total billed charges",,
"D&C, DIAG/THERAPEUTIC, NON OB","0360","RC","Both",,,"4541.5","2270.75","Blue Cross Blue Shield","HMO",,,"71",,"3206.3","16.1","16596.62","percent of total billed charges",,
"D&C, DIAG/THERAPEUTIC, NON OB","0360","RC","Both",,,"4541.5","2270.75","Blue Cross Blue Shield","PPO",,,"71",,"3206.3","16.1","16596.62","percent of total billed charges",,
"D&C, DIAG/THERAPEUTIC, NON OB","0360","RC","Both",,,"4541.5","2270.75","Ambetter","Health Exchange",,,"62",,"2815.73","16.1","16596.62","percent of total billed charges",,
"D&C, DIAG/THERAPEUTIC, NON OB","0360","RC","Both",,,"4541.5","2270.75","Caresource","Health Exchange",,,"62",,"2815.73","16.1","16596.62","percent of total billed charges",,
"D&C, DIAG/THERAPEUTIC, NON OB","0360","RC","Both",,,"4541.5","2270.75","Cigna","Commercial",,,"59",,"2661.32","16.1","16596.62","percent of total billed charges",,
"D&C, DIAG/THERAPEUTIC, NON OB","0360","RC","Both",,,"4541.5","2270.75","Humana","Commercial",,,"78",,"3519.66","16.1","16596.62","percent of total billed charges",,
"D&C, DIAG/THERAPEUTIC, NON OB","0360","RC","Both",,,"4541.5","2270.75","UHC","Commercial",,,"75",,"3424.29","16.1","16596.62","percent of total billed charges",,
"D&C, DIAG/THERAPEUTIC, NON OB","0360","RC","Both",,,"4541.5","2270.75","Medicaid",,,,"37",,"1662.19","16.1","16596.62","percent of total billed charges",,
"REMOVAL IUD","0360","RC","Both",,,"371.5","185.75","Alliant","Health Exchange",,,"62",,"230.33","16.1","16596.62","percent of total billed charges",,
"REMOVAL IUD","0360","RC","Both",,,"371.5","185.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"200.61","16.1","16596.62","percent of total billed charges",,
"REMOVAL IUD","0360","RC","Both",,,"371.5","185.75","Medicare",,,,"54",,"201.35","16.1","16596.62","percent of total billed charges",,
"REMOVAL IUD","0360","RC","Both",,,"371.5","185.75","Humana","Medicare Advantage",,,"54",,"201.35","16.1","16596.62","percent of total billed charges",,
"REMOVAL IUD","0360","RC","Both",,,"371.5","185.75","UHC","Medicare Advantage",,,"54",,"201.35","16.1","16596.62","percent of total billed charges",,
"REMOVAL IUD","0360","RC","Both",,,"371.5","185.75","Clover","Medicare Advantage",,,"54",,"201.35","16.1","16596.62","percent of total billed charges",,
"REMOVAL IUD","0360","RC","Both",,,"371.5","185.75","Wellcare","Medicare Advantage",,,"54",,"201.35","16.1","16596.62","percent of total billed charges",,
"REMOVAL IUD","0360","RC","Both",,,"371.5","185.75","Amerigroup","Medicaid Managed Care",,,"37",,"135.97","16.1","16596.62","percent of total billed charges",,
"REMOVAL IUD","0360","RC","Both",,,"371.5","185.75","Caresource","Medicaid Managed Care",,,"40",,"148.6","16.1","16596.62","percent of total billed charges",,
"REMOVAL IUD","0360","RC","Both",,,"371.5","185.75","Wellcare","Medicaid Managed Care",,,"40",,"150.46","16.1","16596.62","percent of total billed charges",,
"REMOVAL IUD","0360","RC","Both",,,"371.5","185.75","Aetna","Commercial",,,"64",,"237.02","16.1","16596.62","percent of total billed charges",,
"REMOVAL IUD","0360","RC","Both",,,"371.5","185.75","Blue Cross Blue Shield","Pathways",,,"71",,"262.28","16.1","16596.62","percent of total billed charges",,
"REMOVAL IUD","0360","RC","Both",,,"371.5","185.75","Blue Cross Blue Shield","HMO",,,"71",,"262.28","16.1","16596.62","percent of total billed charges",,
"REMOVAL IUD","0360","RC","Both",,,"371.5","185.75","Blue Cross Blue Shield","PPO",,,"71",,"262.28","16.1","16596.62","percent of total billed charges",,
"REMOVAL IUD","0360","RC","Both",,,"371.5","185.75","Ambetter","Health Exchange",,,"62",,"230.33","16.1","16596.62","percent of total billed charges",,
"REMOVAL IUD","0360","RC","Both",,,"371.5","185.75","Caresource","Health Exchange",,,"62",,"230.33","16.1","16596.62","percent of total billed charges",,
"REMOVAL IUD","0360","RC","Both",,,"371.5","185.75","Cigna","Commercial",,,"59",,"217.7","16.1","16596.62","percent of total billed charges",,
"REMOVAL IUD","0360","RC","Both",,,"371.5","185.75","Humana","Commercial",,,"78",,"287.91","16.1","16596.62","percent of total billed charges",,
"REMOVAL IUD","0360","RC","Both",,,"371.5","185.75","UHC","Commercial",,,"75",,"280.11","16.1","16596.62","percent of total billed charges",,
"REMOVAL IUD","0360","RC","Both",,,"371.5","185.75","Medicaid",,,,"37",,"135.97","16.1","16596.62","percent of total billed charges",,
"HYSTEROSCOPY DIAGNOSTIC","0360","RC","Both",,,"5250","2625","Alliant","Health Exchange",,,"62",,"3255","16.1","16596.62","percent of total billed charges",,
"HYSTEROSCOPY DIAGNOSTIC","0360","RC","Both",,,"5250","2625","Pruitt Healthcare","Medicare Advantage",,,"54",,"2835","16.1","16596.62","percent of total billed charges",,
"HYSTEROSCOPY DIAGNOSTIC","0360","RC","Both",,,"5250","2625","Medicare",,,,"54",,"2845.5","16.1","16596.62","percent of total billed charges",,
"HYSTEROSCOPY DIAGNOSTIC","0360","RC","Both",,,"5250","2625","Humana","Medicare Advantage",,,"54",,"2845.5","16.1","16596.62","percent of total billed charges",,
"HYSTEROSCOPY DIAGNOSTIC","0360","RC","Both",,,"5250","2625","UHC","Medicare Advantage",,,"54",,"2845.5","16.1","16596.62","percent of total billed charges",,
"HYSTEROSCOPY DIAGNOSTIC","0360","RC","Both",,,"5250","2625","Clover","Medicare Advantage",,,"54",,"2845.5","16.1","16596.62","percent of total billed charges",,
"HYSTEROSCOPY DIAGNOSTIC","0360","RC","Both",,,"5250","2625","Wellcare","Medicare Advantage",,,"54",,"2845.5","16.1","16596.62","percent of total billed charges",,
"HYSTEROSCOPY DIAGNOSTIC","0360","RC","Both",,,"5250","2625","Amerigroup","Medicaid Managed Care",,,"37",,"1921.5","16.1","16596.62","percent of total billed charges",,
"HYSTEROSCOPY DIAGNOSTIC","0360","RC","Both",,,"5250","2625","Caresource","Medicaid Managed Care",,,"40",,"2100","16.1","16596.62","percent of total billed charges",,
"HYSTEROSCOPY DIAGNOSTIC","0360","RC","Both",,,"5250","2625","Wellcare","Medicaid Managed Care",,,"40",,"2126.25","16.1","16596.62","percent of total billed charges",,
"HYSTEROSCOPY DIAGNOSTIC","0360","RC","Both",,,"5250","2625","Aetna","Commercial",,,"64",,"3349.5","16.1","16596.62","percent of total billed charges",,
"HYSTEROSCOPY DIAGNOSTIC","0360","RC","Both",,,"5250","2625","Blue Cross Blue Shield","Pathways",,,"71",,"3706.5","16.1","16596.62","percent of total billed charges",,
"HYSTEROSCOPY DIAGNOSTIC","0360","RC","Both",,,"5250","2625","Blue Cross Blue Shield","HMO",,,"71",,"3706.5","16.1","16596.62","percent of total billed charges",,
"HYSTEROSCOPY DIAGNOSTIC","0360","RC","Both",,,"5250","2625","Blue Cross Blue Shield","PPO",,,"71",,"3706.5","16.1","16596.62","percent of total billed charges",,
"HYSTEROSCOPY DIAGNOSTIC","0360","RC","Both",,,"5250","2625","Ambetter","Health Exchange",,,"62",,"3255","16.1","16596.62","percent of total billed charges",,
"HYSTEROSCOPY DIAGNOSTIC","0360","RC","Both",,,"5250","2625","Caresource","Health Exchange",,,"62",,"3255","16.1","16596.62","percent of total billed charges",,
"HYSTEROSCOPY DIAGNOSTIC","0360","RC","Both",,,"5250","2625","Cigna","Commercial",,,"59",,"3076.5","16.1","16596.62","percent of total billed charges",,
"HYSTEROSCOPY DIAGNOSTIC","0360","RC","Both",,,"5250","2625","Humana","Commercial",,,"78",,"4068.75","16.1","16596.62","percent of total billed charges",,
"HYSTEROSCOPY DIAGNOSTIC","0360","RC","Both",,,"5250","2625","UHC","Commercial",,,"75",,"3958.5","16.1","16596.62","percent of total billed charges",,
"HYSTEROSCOPY DIAGNOSTIC","0360","RC","Both",,,"5250","2625","Medicaid",,,,"37",,"1921.5","16.1","16596.62","percent of total billed charges",,
"HYSTEROSCOPY, BIOPSY","0360","RC","Both",,,"5250","2625","Alliant","Health Exchange",,,"62",,"3255","16.1","16596.62","percent of total billed charges",,
"HYSTEROSCOPY, BIOPSY","0360","RC","Both",,,"5250","2625","Pruitt Healthcare","Medicare Advantage",,,"54",,"2835","16.1","16596.62","percent of total billed charges",,
"HYSTEROSCOPY, BIOPSY","0360","RC","Both",,,"5250","2625","Medicare",,,,"54",,"2845.5","16.1","16596.62","percent of total billed charges",,
"HYSTEROSCOPY, BIOPSY","0360","RC","Both",,,"5250","2625","Humana","Medicare Advantage",,,"54",,"2845.5","16.1","16596.62","percent of total billed charges",,
"HYSTEROSCOPY, BIOPSY","0360","RC","Both",,,"5250","2625","UHC","Medicare Advantage",,,"54",,"2845.5","16.1","16596.62","percent of total billed charges",,
"HYSTEROSCOPY, BIOPSY","0360","RC","Both",,,"5250","2625","Clover","Medicare Advantage",,,"54",,"2845.5","16.1","16596.62","percent of total billed charges",,
"HYSTEROSCOPY, BIOPSY","0360","RC","Both",,,"5250","2625","Wellcare","Medicare Advantage",,,"54",,"2845.5","16.1","16596.62","percent of total billed charges",,
"HYSTEROSCOPY, BIOPSY","0360","RC","Both",,,"5250","2625","Amerigroup","Medicaid Managed Care",,,"37",,"1921.5","16.1","16596.62","percent of total billed charges",,
"HYSTEROSCOPY, BIOPSY","0360","RC","Both",,,"5250","2625","Caresource","Medicaid Managed Care",,,"40",,"2100","16.1","16596.62","percent of total billed charges",,
"HYSTEROSCOPY, BIOPSY","0360","RC","Both",,,"5250","2625","Wellcare","Medicaid Managed Care",,,"40",,"2126.25","16.1","16596.62","percent of total billed charges",,
"HYSTEROSCOPY, BIOPSY","0360","RC","Both",,,"5250","2625","Aetna","Commercial",,,"64",,"3349.5","16.1","16596.62","percent of total billed charges",,
"HYSTEROSCOPY, BIOPSY","0360","RC","Both",,,"5250","2625","Blue Cross Blue Shield","Pathways",,,"71",,"3706.5","16.1","16596.62","percent of total billed charges",,
"HYSTEROSCOPY, BIOPSY","0360","RC","Both",,,"5250","2625","Blue Cross Blue Shield","HMO",,,"71",,"3706.5","16.1","16596.62","percent of total billed charges",,
"HYSTEROSCOPY, BIOPSY","0360","RC","Both",,,"5250","2625","Blue Cross Blue Shield","PPO",,,"71",,"3706.5","16.1","16596.62","percent of total billed charges",,
"HYSTEROSCOPY, BIOPSY","0360","RC","Both",,,"5250","2625","Ambetter","Health Exchange",,,"62",,"3255","16.1","16596.62","percent of total billed charges",,
"HYSTEROSCOPY, BIOPSY","0360","RC","Both",,,"5250","2625","Caresource","Health Exchange",,,"62",,"3255","16.1","16596.62","percent of total billed charges",,
"HYSTEROSCOPY, BIOPSY","0360","RC","Both",,,"5250","2625","Cigna","Commercial",,,"59",,"3076.5","16.1","16596.62","percent of total billed charges",,
"HYSTEROSCOPY, BIOPSY","0360","RC","Both",,,"5250","2625","Humana","Commercial",,,"78",,"4068.75","16.1","16596.62","percent of total billed charges",,
"HYSTEROSCOPY, BIOPSY","0360","RC","Both",,,"5250","2625","UHC","Commercial",,,"75",,"3958.5","16.1","16596.62","percent of total billed charges",,
"HYSTEROSCOPY, BIOPSY","0360","RC","Both",,,"5250","2625","Medicaid",,,,"37",,"1921.5","16.1","16596.62","percent of total billed charges",,
"HYSTERSCOPY, SURGICAL; REMOV LEIOMYOMATA","0360","RC","Both",,,"8353","4176.5","Alliant","Health Exchange",,,"62",,"5178.86","16.1","16596.62","percent of total billed charges",,
"HYSTERSCOPY, SURGICAL; REMOV LEIOMYOMATA","0360","RC","Both",,,"8353","4176.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"4510.62","16.1","16596.62","percent of total billed charges",,
"HYSTERSCOPY, SURGICAL; REMOV LEIOMYOMATA","0360","RC","Both",,,"8353","4176.5","Medicare",,,,"54",,"4527.33","16.1","16596.62","percent of total billed charges",,
"HYSTERSCOPY, SURGICAL; REMOV LEIOMYOMATA","0360","RC","Both",,,"8353","4176.5","Humana","Medicare Advantage",,,"54",,"4527.33","16.1","16596.62","percent of total billed charges",,
"HYSTERSCOPY, SURGICAL; REMOV LEIOMYOMATA","0360","RC","Both",,,"8353","4176.5","UHC","Medicare Advantage",,,"54",,"4527.33","16.1","16596.62","percent of total billed charges",,
"HYSTERSCOPY, SURGICAL; REMOV LEIOMYOMATA","0360","RC","Both",,,"8353","4176.5","Clover","Medicare Advantage",,,"54",,"4527.33","16.1","16596.62","percent of total billed charges",,
"HYSTERSCOPY, SURGICAL; REMOV LEIOMYOMATA","0360","RC","Both",,,"8353","4176.5","Wellcare","Medicare Advantage",,,"54",,"4527.33","16.1","16596.62","percent of total billed charges",,
"HYSTERSCOPY, SURGICAL; REMOV LEIOMYOMATA","0360","RC","Both",,,"8353","4176.5","Amerigroup","Medicaid Managed Care",,,"37",,"3057.2","16.1","16596.62","percent of total billed charges",,
"HYSTERSCOPY, SURGICAL; REMOV LEIOMYOMATA","0360","RC","Both",,,"8353","4176.5","Caresource","Medicaid Managed Care",,,"40",,"3341.2","16.1","16596.62","percent of total billed charges",,
"HYSTERSCOPY, SURGICAL; REMOV LEIOMYOMATA","0360","RC","Both",,,"8353","4176.5","Wellcare","Medicaid Managed Care",,,"40",,"3382.96","16.1","16596.62","percent of total billed charges",,
"HYSTERSCOPY, SURGICAL; REMOV LEIOMYOMATA","0360","RC","Both",,,"8353","4176.5","Aetna","Commercial",,,"64",,"5329.21","16.1","16596.62","percent of total billed charges",,
"HYSTERSCOPY, SURGICAL; REMOV LEIOMYOMATA","0360","RC","Both",,,"8353","4176.5","Blue Cross Blue Shield","Pathways",,,"71",,"5897.22","16.1","16596.62","percent of total billed charges",,
"HYSTERSCOPY, SURGICAL; REMOV LEIOMYOMATA","0360","RC","Both",,,"8353","4176.5","Blue Cross Blue Shield","HMO",,,"71",,"5897.22","16.1","16596.62","percent of total billed charges",,
"HYSTERSCOPY, SURGICAL; REMOV LEIOMYOMATA","0360","RC","Both",,,"8353","4176.5","Blue Cross Blue Shield","PPO",,,"71",,"5897.22","16.1","16596.62","percent of total billed charges",,
"HYSTERSCOPY, SURGICAL; REMOV LEIOMYOMATA","0360","RC","Both",,,"8353","4176.5","Ambetter","Health Exchange",,,"62",,"5178.86","16.1","16596.62","percent of total billed charges",,
"HYSTERSCOPY, SURGICAL; REMOV LEIOMYOMATA","0360","RC","Both",,,"8353","4176.5","Caresource","Health Exchange",,,"62",,"5178.86","16.1","16596.62","percent of total billed charges",,
"HYSTERSCOPY, SURGICAL; REMOV LEIOMYOMATA","0360","RC","Both",,,"8353","4176.5","Cigna","Commercial",,,"59",,"4894.86","16.1","16596.62","percent of total billed charges",,
"HYSTERSCOPY, SURGICAL; REMOV LEIOMYOMATA","0360","RC","Both",,,"8353","4176.5","Humana","Commercial",,,"78",,"6473.58","16.1","16596.62","percent of total billed charges",,
"HYSTERSCOPY, SURGICAL; REMOV LEIOMYOMATA","0360","RC","Both",,,"8353","4176.5","UHC","Commercial",,,"75",,"6298.16","16.1","16596.62","percent of total billed charges",,
"HYSTERSCOPY, SURGICAL; REMOV LEIOMYOMATA","0360","RC","Both",,,"8353","4176.5","Medicaid",,,,"37",,"3057.2","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, SURGICAL;W/LYSIS","0360","RC","Both",,,"10884.5","5442.25","Alliant","Health Exchange",,,"62",,"6748.39","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, SURGICAL;W/LYSIS","0360","RC","Both",,,"10884.5","5442.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"5877.63","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, SURGICAL;W/LYSIS","0360","RC","Both",,,"10884.5","5442.25","Medicare",,,,"54",,"5899.4","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, SURGICAL;W/LYSIS","0360","RC","Both",,,"10884.5","5442.25","Humana","Medicare Advantage",,,"54",,"5899.4","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, SURGICAL;W/LYSIS","0360","RC","Both",,,"10884.5","5442.25","UHC","Medicare Advantage",,,"54",,"5899.4","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, SURGICAL;W/LYSIS","0360","RC","Both",,,"10884.5","5442.25","Clover","Medicare Advantage",,,"54",,"5899.4","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, SURGICAL;W/LYSIS","0360","RC","Both",,,"10884.5","5442.25","Wellcare","Medicare Advantage",,,"54",,"5899.4","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, SURGICAL;W/LYSIS","0360","RC","Both",,,"10884.5","5442.25","Amerigroup","Medicaid Managed Care",,,"37",,"3983.73","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, SURGICAL;W/LYSIS","0360","RC","Both",,,"10884.5","5442.25","Caresource","Medicaid Managed Care",,,"40",,"4353.8","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, SURGICAL;W/LYSIS","0360","RC","Both",,,"10884.5","5442.25","Wellcare","Medicaid Managed Care",,,"40",,"4408.22","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, SURGICAL;W/LYSIS","0360","RC","Both",,,"10884.5","5442.25","Aetna","Commercial",,,"64",,"6944.31","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, SURGICAL;W/LYSIS","0360","RC","Both",,,"10884.5","5442.25","Blue Cross Blue Shield","Pathways",,,"71",,"7684.46","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, SURGICAL;W/LYSIS","0360","RC","Both",,,"10884.5","5442.25","Blue Cross Blue Shield","HMO",,,"71",,"7684.46","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, SURGICAL;W/LYSIS","0360","RC","Both",,,"10884.5","5442.25","Blue Cross Blue Shield","PPO",,,"71",,"7684.46","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, SURGICAL;W/LYSIS","0360","RC","Both",,,"10884.5","5442.25","Ambetter","Health Exchange",,,"62",,"6748.39","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, SURGICAL;W/LYSIS","0360","RC","Both",,,"10884.5","5442.25","Caresource","Health Exchange",,,"62",,"6748.39","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, SURGICAL;W/LYSIS","0360","RC","Both",,,"10884.5","5442.25","Cigna","Commercial",,,"59",,"6378.32","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, SURGICAL;W/LYSIS","0360","RC","Both",,,"10884.5","5442.25","Humana","Commercial",,,"78",,"8435.49","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, SURGICAL;W/LYSIS","0360","RC","Both",,,"10884.5","5442.25","UHC","Commercial",,,"75",,"8206.91","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, SURGICAL;W/LYSIS","0360","RC","Both",,,"10884.5","5442.25","Medicaid",,,,"37",,"3983.73","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, SURG; W/OCCLUSION OVIDUCTS","0360","RC","Both",,,"11071.5","5535.75","Alliant","Health Exchange",,,"62",,"6864.33","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, SURG; W/OCCLUSION OVIDUCTS","0360","RC","Both",,,"11071.5","5535.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"5978.61","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, SURG; W/OCCLUSION OVIDUCTS","0360","RC","Both",,,"11071.5","5535.75","Medicare",,,,"54",,"6000.75","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, SURG; W/OCCLUSION OVIDUCTS","0360","RC","Both",,,"11071.5","5535.75","Humana","Medicare Advantage",,,"54",,"6000.75","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, SURG; W/OCCLUSION OVIDUCTS","0360","RC","Both",,,"11071.5","5535.75","UHC","Medicare Advantage",,,"54",,"6000.75","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, SURG; W/OCCLUSION OVIDUCTS","0360","RC","Both",,,"11071.5","5535.75","Clover","Medicare Advantage",,,"54",,"6000.75","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, SURG; W/OCCLUSION OVIDUCTS","0360","RC","Both",,,"11071.5","5535.75","Wellcare","Medicare Advantage",,,"54",,"6000.75","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, SURG; W/OCCLUSION OVIDUCTS","0360","RC","Both",,,"11071.5","5535.75","Amerigroup","Medicaid Managed Care",,,"37",,"4052.17","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, SURG; W/OCCLUSION OVIDUCTS","0360","RC","Both",,,"11071.5","5535.75","Caresource","Medicaid Managed Care",,,"40",,"4428.6","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, SURG; W/OCCLUSION OVIDUCTS","0360","RC","Both",,,"11071.5","5535.75","Wellcare","Medicaid Managed Care",,,"40",,"4483.96","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, SURG; W/OCCLUSION OVIDUCTS","0360","RC","Both",,,"11071.5","5535.75","Aetna","Commercial",,,"64",,"7063.62","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, SURG; W/OCCLUSION OVIDUCTS","0360","RC","Both",,,"11071.5","5535.75","Blue Cross Blue Shield","Pathways",,,"71",,"7816.48","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, SURG; W/OCCLUSION OVIDUCTS","0360","RC","Both",,,"11071.5","5535.75","Blue Cross Blue Shield","HMO",,,"71",,"7816.48","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, SURG; W/OCCLUSION OVIDUCTS","0360","RC","Both",,,"11071.5","5535.75","Blue Cross Blue Shield","PPO",,,"71",,"7816.48","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, SURG; W/OCCLUSION OVIDUCTS","0360","RC","Both",,,"11071.5","5535.75","Ambetter","Health Exchange",,,"62",,"6864.33","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, SURG; W/OCCLUSION OVIDUCTS","0360","RC","Both",,,"11071.5","5535.75","Caresource","Health Exchange",,,"62",,"6864.33","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, SURG; W/OCCLUSION OVIDUCTS","0360","RC","Both",,,"11071.5","5535.75","Cigna","Commercial",,,"59",,"6487.9","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, SURG; W/OCCLUSION OVIDUCTS","0360","RC","Both",,,"11071.5","5535.75","Humana","Commercial",,,"78",,"8580.41","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, SURG; W/OCCLUSION OVIDUCTS","0360","RC","Both",,,"11071.5","5535.75","UHC","Commercial",,,"75",,"8347.91","16.1","16596.62","percent of total billed charges",,
"LAPAROSCOPY, SURG; W/OCCLUSION OVIDUCTS","0360","RC","Both",,,"11071.5","5535.75","Medicaid",,,,"37",,"4052.17","16.1","16596.62","percent of total billed charges",,
"EXCISION LESION EYELID W/O CLOSURE","0360","RC","Both",,,"2009.5","1004.75","Alliant","Health Exchange",,,"62",,"1245.89","16.1","16596.62","percent of total billed charges",,
"EXCISION LESION EYELID W/O CLOSURE","0360","RC","Both",,,"2009.5","1004.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"1085.13","16.1","16596.62","percent of total billed charges",,
"EXCISION LESION EYELID W/O CLOSURE","0360","RC","Both",,,"2009.5","1004.75","Medicare",,,,"54",,"1089.15","16.1","16596.62","percent of total billed charges",,
"EXCISION LESION EYELID W/O CLOSURE","0360","RC","Both",,,"2009.5","1004.75","Humana","Medicare Advantage",,,"54",,"1089.15","16.1","16596.62","percent of total billed charges",,
"EXCISION LESION EYELID W/O CLOSURE","0360","RC","Both",,,"2009.5","1004.75","UHC","Medicare Advantage",,,"54",,"1089.15","16.1","16596.62","percent of total billed charges",,
"EXCISION LESION EYELID W/O CLOSURE","0360","RC","Both",,,"2009.5","1004.75","Clover","Medicare Advantage",,,"54",,"1089.15","16.1","16596.62","percent of total billed charges",,
"EXCISION LESION EYELID W/O CLOSURE","0360","RC","Both",,,"2009.5","1004.75","Wellcare","Medicare Advantage",,,"54",,"1089.15","16.1","16596.62","percent of total billed charges",,
"EXCISION LESION EYELID W/O CLOSURE","0360","RC","Both",,,"2009.5","1004.75","Amerigroup","Medicaid Managed Care",,,"37",,"735.48","16.1","16596.62","percent of total billed charges",,
"EXCISION LESION EYELID W/O CLOSURE","0360","RC","Both",,,"2009.5","1004.75","Caresource","Medicaid Managed Care",,,"40",,"803.8","16.1","16596.62","percent of total billed charges",,
"EXCISION LESION EYELID W/O CLOSURE","0360","RC","Both",,,"2009.5","1004.75","Wellcare","Medicaid Managed Care",,,"40",,"813.85","16.1","16596.62","percent of total billed charges",,
"EXCISION LESION EYELID W/O CLOSURE","0360","RC","Both",,,"2009.5","1004.75","Aetna","Commercial",,,"64",,"1282.06","16.1","16596.62","percent of total billed charges",,
"EXCISION LESION EYELID W/O CLOSURE","0360","RC","Both",,,"2009.5","1004.75","Blue Cross Blue Shield","Pathways",,,"71",,"1418.71","16.1","16596.62","percent of total billed charges",,
"EXCISION LESION EYELID W/O CLOSURE","0360","RC","Both",,,"2009.5","1004.75","Blue Cross Blue Shield","HMO",,,"71",,"1418.71","16.1","16596.62","percent of total billed charges",,
"EXCISION LESION EYELID W/O CLOSURE","0360","RC","Both",,,"2009.5","1004.75","Blue Cross Blue Shield","PPO",,,"71",,"1418.71","16.1","16596.62","percent of total billed charges",,
"EXCISION LESION EYELID W/O CLOSURE","0360","RC","Both",,,"2009.5","1004.75","Ambetter","Health Exchange",,,"62",,"1245.89","16.1","16596.62","percent of total billed charges",,
"EXCISION LESION EYELID W/O CLOSURE","0360","RC","Both",,,"2009.5","1004.75","Caresource","Health Exchange",,,"62",,"1245.89","16.1","16596.62","percent of total billed charges",,
"EXCISION LESION EYELID W/O CLOSURE","0360","RC","Both",,,"2009.5","1004.75","Cigna","Commercial",,,"59",,"1177.57","16.1","16596.62","percent of total billed charges",,
"EXCISION LESION EYELID W/O CLOSURE","0360","RC","Both",,,"2009.5","1004.75","Humana","Commercial",,,"78",,"1557.36","16.1","16596.62","percent of total billed charges",,
"EXCISION LESION EYELID W/O CLOSURE","0360","RC","Both",,,"2009.5","1004.75","UHC","Commercial",,,"75",,"1515.16","16.1","16596.62","percent of total billed charges",,
"EXCISION LESION EYELID W/O CLOSURE","0360","RC","Both",,,"2009.5","1004.75","Medicaid",,,,"37",,"735.48","16.1","16596.62","percent of total billed charges",,
"REMOVAL DEVITALIZED TISSUE FROM WOUND(S)","0360","RC","Both",,,"201","100.5","Alliant","Health Exchange",,,"62",,"124.62","16.1","16596.62","percent of total billed charges",,
"REMOVAL DEVITALIZED TISSUE FROM WOUND(S)","0360","RC","Both",,,"201","100.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"108.54","16.1","16596.62","percent of total billed charges",,
"REMOVAL DEVITALIZED TISSUE FROM WOUND(S)","0360","RC","Both",,,"201","100.5","Medicare",,,,"54",,"108.94","16.1","16596.62","percent of total billed charges",,
"REMOVAL DEVITALIZED TISSUE FROM WOUND(S)","0360","RC","Both",,,"201","100.5","Humana","Medicare Advantage",,,"54",,"108.94","16.1","16596.62","percent of total billed charges",,
"REMOVAL DEVITALIZED TISSUE FROM WOUND(S)","0360","RC","Both",,,"201","100.5","UHC","Medicare Advantage",,,"54",,"108.94","16.1","16596.62","percent of total billed charges",,
"REMOVAL DEVITALIZED TISSUE FROM WOUND(S)","0360","RC","Both",,,"201","100.5","Clover","Medicare Advantage",,,"54",,"108.94","16.1","16596.62","percent of total billed charges",,
"REMOVAL DEVITALIZED TISSUE FROM WOUND(S)","0360","RC","Both",,,"201","100.5","Wellcare","Medicare Advantage",,,"54",,"108.94","16.1","16596.62","percent of total billed charges",,
"REMOVAL DEVITALIZED TISSUE FROM WOUND(S)","0360","RC","Both",,,"201","100.5","Amerigroup","Medicaid Managed Care",,,"37",,"73.57","16.1","16596.62","percent of total billed charges",,
"REMOVAL DEVITALIZED TISSUE FROM WOUND(S)","0360","RC","Both",,,"201","100.5","Caresource","Medicaid Managed Care",,,"40",,"80.4","16.1","16596.62","percent of total billed charges",,
"REMOVAL DEVITALIZED TISSUE FROM WOUND(S)","0360","RC","Both",,,"201","100.5","Wellcare","Medicaid Managed Care",,,"40",,"81.4","16.1","16596.62","percent of total billed charges",,
"REMOVAL DEVITALIZED TISSUE FROM WOUND(S)","0360","RC","Both",,,"201","100.5","Aetna","Commercial",,,"64",,"128.24","16.1","16596.62","percent of total billed charges",,
"REMOVAL DEVITALIZED TISSUE FROM WOUND(S)","0360","RC","Both",,,"201","100.5","Blue Cross Blue Shield","Pathways",,,"71",,"141.91","16.1","16596.62","percent of total billed charges",,
"REMOVAL DEVITALIZED TISSUE FROM WOUND(S)","0360","RC","Both",,,"201","100.5","Blue Cross Blue Shield","HMO",,,"71",,"141.91","16.1","16596.62","percent of total billed charges",,
"REMOVAL DEVITALIZED TISSUE FROM WOUND(S)","0360","RC","Both",,,"201","100.5","Blue Cross Blue Shield","PPO",,,"71",,"141.91","16.1","16596.62","percent of total billed charges",,
"REMOVAL DEVITALIZED TISSUE FROM WOUND(S)","0360","RC","Both",,,"201","100.5","Ambetter","Health Exchange",,,"62",,"124.62","16.1","16596.62","percent of total billed charges",,
"REMOVAL DEVITALIZED TISSUE FROM WOUND(S)","0360","RC","Both",,,"201","100.5","Caresource","Health Exchange",,,"62",,"124.62","16.1","16596.62","percent of total billed charges",,
"REMOVAL DEVITALIZED TISSUE FROM WOUND(S)","0360","RC","Both",,,"201","100.5","Cigna","Commercial",,,"59",,"117.79","16.1","16596.62","percent of total billed charges",,
"REMOVAL DEVITALIZED TISSUE FROM WOUND(S)","0360","RC","Both",,,"201","100.5","Humana","Commercial",,,"78",,"155.78","16.1","16596.62","percent of total billed charges",,
"REMOVAL DEVITALIZED TISSUE FROM WOUND(S)","0360","RC","Both",,,"201","100.5","UHC","Commercial",,,"75",,"151.55","16.1","16596.62","percent of total billed charges",,
"REMOVAL DEVITALIZED TISSUE FROM WOUND(S)","0360","RC","Both",,,"201","100.5","Medicaid",,,,"37",,"73.57","16.1","16596.62","percent of total billed charges",,
"DEBRIDEMENT OPEN WOUND @ ADD'L 20sq cm","0360","RC","Both",,,"335","167.5","Alliant","Health Exchange",,,"62",,"207.7","16.1","16596.62","percent of total billed charges",,
"DEBRIDEMENT OPEN WOUND @ ADD'L 20sq cm","0360","RC","Both",,,"335","167.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"180.9","16.1","16596.62","percent of total billed charges",,
"DEBRIDEMENT OPEN WOUND @ ADD'L 20sq cm","0360","RC","Both",,,"335","167.5","Medicare",,,,"54",,"181.57","16.1","16596.62","percent of total billed charges",,
"DEBRIDEMENT OPEN WOUND @ ADD'L 20sq cm","0360","RC","Both",,,"335","167.5","Humana","Medicare Advantage",,,"54",,"181.57","16.1","16596.62","percent of total billed charges",,
"DEBRIDEMENT OPEN WOUND @ ADD'L 20sq cm","0360","RC","Both",,,"335","167.5","UHC","Medicare Advantage",,,"54",,"181.57","16.1","16596.62","percent of total billed charges",,
"DEBRIDEMENT OPEN WOUND @ ADD'L 20sq cm","0360","RC","Both",,,"335","167.5","Clover","Medicare Advantage",,,"54",,"181.57","16.1","16596.62","percent of total billed charges",,
"DEBRIDEMENT OPEN WOUND @ ADD'L 20sq cm","0360","RC","Both",,,"335","167.5","Wellcare","Medicare Advantage",,,"54",,"181.57","16.1","16596.62","percent of total billed charges",,
"DEBRIDEMENT OPEN WOUND @ ADD'L 20sq cm","0360","RC","Both",,,"335","167.5","Amerigroup","Medicaid Managed Care",,,"37",,"122.61","16.1","16596.62","percent of total billed charges",,
"DEBRIDEMENT OPEN WOUND @ ADD'L 20sq cm","0360","RC","Both",,,"335","167.5","Caresource","Medicaid Managed Care",,,"40",,"134","16.1","16596.62","percent of total billed charges",,
"DEBRIDEMENT OPEN WOUND @ ADD'L 20sq cm","0360","RC","Both",,,"335","167.5","Wellcare","Medicaid Managed Care",,,"40",,"135.68","16.1","16596.62","percent of total billed charges",,
"DEBRIDEMENT OPEN WOUND @ ADD'L 20sq cm","0360","RC","Both",,,"335","167.5","Aetna","Commercial",,,"64",,"213.73","16.1","16596.62","percent of total billed charges",,
"DEBRIDEMENT OPEN WOUND @ ADD'L 20sq cm","0360","RC","Both",,,"335","167.5","Blue Cross Blue Shield","Pathways",,,"71",,"236.51","16.1","16596.62","percent of total billed charges",,
"DEBRIDEMENT OPEN WOUND @ ADD'L 20sq cm","0360","RC","Both",,,"335","167.5","Blue Cross Blue Shield","HMO",,,"71",,"236.51","16.1","16596.62","percent of total billed charges",,
"DEBRIDEMENT OPEN WOUND @ ADD'L 20sq cm","0360","RC","Both",,,"335","167.5","Blue Cross Blue Shield","PPO",,,"71",,"236.51","16.1","16596.62","percent of total billed charges",,
"DEBRIDEMENT OPEN WOUND @ ADD'L 20sq cm","0360","RC","Both",,,"335","167.5","Ambetter","Health Exchange",,,"62",,"207.7","16.1","16596.62","percent of total billed charges",,
"DEBRIDEMENT OPEN WOUND @ ADD'L 20sq cm","0360","RC","Both",,,"335","167.5","Caresource","Health Exchange",,,"62",,"207.7","16.1","16596.62","percent of total billed charges",,
"DEBRIDEMENT OPEN WOUND @ ADD'L 20sq cm","0360","RC","Both",,,"335","167.5","Cigna","Commercial",,,"59",,"196.31","16.1","16596.62","percent of total billed charges",,
"DEBRIDEMENT OPEN WOUND @ ADD'L 20sq cm","0360","RC","Both",,,"335","167.5","Humana","Commercial",,,"78",,"259.62","16.1","16596.62","percent of total billed charges",,
"DEBRIDEMENT OPEN WOUND @ ADD'L 20sq cm","0360","RC","Both",,,"335","167.5","UHC","Commercial",,,"75",,"252.59","16.1","16596.62","percent of total billed charges",,
"DEBRIDEMENT OPEN WOUND @ ADD'L 20sq cm","0360","RC","Both",,,"335","167.5","Medicaid",,,,"37",,"122.61","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY W/PUNCH BIOPSY","0360","RC","Both",,,"1946.5","973.25","Alliant","Health Exchange",,,"62",,"1206.83","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY W/PUNCH BIOPSY","0360","RC","Both",,,"1946.5","973.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"1051.11","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY W/PUNCH BIOPSY","0360","RC","Both",,,"1946.5","973.25","Medicare",,,,"54",,"1055","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY W/PUNCH BIOPSY","0360","RC","Both",,,"1946.5","973.25","Humana","Medicare Advantage",,,"54",,"1055","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY W/PUNCH BIOPSY","0360","RC","Both",,,"1946.5","973.25","UHC","Medicare Advantage",,,"54",,"1055","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY W/PUNCH BIOPSY","0360","RC","Both",,,"1946.5","973.25","Clover","Medicare Advantage",,,"54",,"1055","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY W/PUNCH BIOPSY","0360","RC","Both",,,"1946.5","973.25","Wellcare","Medicare Advantage",,,"54",,"1055","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY W/PUNCH BIOPSY","0360","RC","Both",,,"1946.5","973.25","Amerigroup","Medicaid Managed Care",,,"37",,"712.42","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY W/PUNCH BIOPSY","0360","RC","Both",,,"1946.5","973.25","Caresource","Medicaid Managed Care",,,"40",,"778.6","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY W/PUNCH BIOPSY","0360","RC","Both",,,"1946.5","973.25","Wellcare","Medicaid Managed Care",,,"40",,"788.33","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY W/PUNCH BIOPSY","0360","RC","Both",,,"1946.5","973.25","Aetna","Commercial",,,"64",,"1241.87","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY W/PUNCH BIOPSY","0360","RC","Both",,,"1946.5","973.25","Blue Cross Blue Shield","Pathways",,,"71",,"1374.23","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY W/PUNCH BIOPSY","0360","RC","Both",,,"1946.5","973.25","Blue Cross Blue Shield","HMO",,,"71",,"1374.23","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY W/PUNCH BIOPSY","0360","RC","Both",,,"1946.5","973.25","Blue Cross Blue Shield","PPO",,,"71",,"1374.23","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY W/PUNCH BIOPSY","0360","RC","Both",,,"1946.5","973.25","Ambetter","Health Exchange",,,"62",,"1206.83","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY W/PUNCH BIOPSY","0360","RC","Both",,,"1946.5","973.25","Caresource","Health Exchange",,,"62",,"1206.83","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY W/PUNCH BIOPSY","0360","RC","Both",,,"1946.5","973.25","Cigna","Commercial",,,"59",,"1140.65","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY W/PUNCH BIOPSY","0360","RC","Both",,,"1946.5","973.25","Humana","Commercial",,,"78",,"1508.54","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY W/PUNCH BIOPSY","0360","RC","Both",,,"1946.5","973.25","UHC","Commercial",,,"75",,"1467.66","16.1","16596.62","percent of total billed charges",,
"ESOPHAGOSCOPY W/PUNCH BIOPSY","0360","RC","Both",,,"1946.5","973.25","Medicaid",,,,"37",,"712.42","16.1","16596.62","percent of total billed charges",,
"HAND RESTRAINTS","0270","RC","Both",,,"33","16.5","Alliant","Health Exchange",,,"62",,"20.46","0.18","1007.5","percent of total billed charges",,
"HAND RESTRAINTS","0270","RC","Both",,,"33","16.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.82","0.18","1007.5","percent of total billed charges",,
"HAND RESTRAINTS","0270","RC","Both",,,"33","16.5","Medicare",,,,"54",,"17.89","0.18","1007.5","percent of total billed charges",,
"HAND RESTRAINTS","0270","RC","Both",,,"33","16.5","Humana","Medicare Advantage",,,"54",,"17.89","0.18","1007.5","percent of total billed charges",,
"HAND RESTRAINTS","0270","RC","Both",,,"33","16.5","UHC","Medicare Advantage",,,"54",,"17.89","0.18","1007.5","percent of total billed charges",,
"HAND RESTRAINTS","0270","RC","Both",,,"33","16.5","Clover","Medicare Advantage",,,"54",,"17.89","0.18","1007.5","percent of total billed charges",,
"HAND RESTRAINTS","0270","RC","Both",,,"33","16.5","Wellcare","Medicare Advantage",,,"54",,"17.89","0.18","1007.5","percent of total billed charges",,
"HAND RESTRAINTS","0270","RC","Both",,,"33","16.5","Amerigroup","Medicaid Managed Care",,,"37",,"12.08","0.18","1007.5","percent of total billed charges",,
"HAND RESTRAINTS","0270","RC","Both",,,"33","16.5","Caresource","Medicaid Managed Care",,,"40",,"13.2","0.18","1007.5","percent of total billed charges",,
"HAND RESTRAINTS","0270","RC","Both",,,"33","16.5","Wellcare","Medicaid Managed Care",,,"40",,"13.36","0.18","1007.5","percent of total billed charges",,
"HAND RESTRAINTS","0270","RC","Both",,,"33","16.5","Aetna","Commercial",,,"64",,"21.05","0.18","1007.5","percent of total billed charges",,
"HAND RESTRAINTS","0270","RC","Both",,,"33","16.5","Blue Cross Blue Shield","Pathways",,,"71",,"23.3","0.18","1007.5","percent of total billed charges",,
"HAND RESTRAINTS","0270","RC","Both",,,"33","16.5","Blue Cross Blue Shield","HMO",,,"71",,"23.3","0.18","1007.5","percent of total billed charges",,
"HAND RESTRAINTS","0270","RC","Both",,,"33","16.5","Blue Cross Blue Shield","PPO",,,"71",,"23.3","0.18","1007.5","percent of total billed charges",,
"HAND RESTRAINTS","0270","RC","Both",,,"33","16.5","Ambetter","Health Exchange",,,"62",,"20.46","0.18","1007.5","percent of total billed charges",,
"HAND RESTRAINTS","0270","RC","Both",,,"33","16.5","Caresource","Health Exchange",,,"62",,"20.46","0.18","1007.5","percent of total billed charges",,
"HAND RESTRAINTS","0270","RC","Both",,,"33","16.5","Cigna","Commercial",,,"59",,"19.34","0.18","1007.5","percent of total billed charges",,
"HAND RESTRAINTS","0270","RC","Both",,,"33","16.5","Humana","Commercial",,,"78",,"25.58","0.18","1007.5","percent of total billed charges",,
"HAND RESTRAINTS","0270","RC","Both",,,"33","16.5","UHC","Commercial",,,"75",,"24.88","0.18","1007.5","percent of total billed charges",,
"HAND RESTRAINTS","0270","RC","Both",,,"33","16.5","Medicaid",,,,"37",,"12.08","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH SM","0270","RC","Both",,,"96.5","48.25","Alliant","Health Exchange",,,"62",,"59.83","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH SM","0270","RC","Both",,,"96.5","48.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"52.11","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH SM","0270","RC","Both",,,"96.5","48.25","Medicare",,,,"54",,"52.3","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH SM","0270","RC","Both",,,"96.5","48.25","Humana","Medicare Advantage",,,"54",,"52.3","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH SM","0270","RC","Both",,,"96.5","48.25","UHC","Medicare Advantage",,,"54",,"52.3","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH SM","0270","RC","Both",,,"96.5","48.25","Clover","Medicare Advantage",,,"54",,"52.3","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH SM","0270","RC","Both",,,"96.5","48.25","Wellcare","Medicare Advantage",,,"54",,"52.3","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH SM","0270","RC","Both",,,"96.5","48.25","Amerigroup","Medicaid Managed Care",,,"37",,"35.32","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH SM","0270","RC","Both",,,"96.5","48.25","Caresource","Medicaid Managed Care",,,"40",,"38.6","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH SM","0270","RC","Both",,,"96.5","48.25","Wellcare","Medicaid Managed Care",,,"40",,"39.08","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH SM","0270","RC","Both",,,"96.5","48.25","Aetna","Commercial",,,"64",,"61.57","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH SM","0270","RC","Both",,,"96.5","48.25","Blue Cross Blue Shield","Pathways",,,"71",,"68.13","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH SM","0270","RC","Both",,,"96.5","48.25","Blue Cross Blue Shield","HMO",,,"71",,"68.13","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH SM","0270","RC","Both",,,"96.5","48.25","Blue Cross Blue Shield","PPO",,,"71",,"68.13","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH SM","0270","RC","Both",,,"96.5","48.25","Ambetter","Health Exchange",,,"62",,"59.83","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH SM","0270","RC","Both",,,"96.5","48.25","Caresource","Health Exchange",,,"62",,"59.83","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH SM","0270","RC","Both",,,"96.5","48.25","Cigna","Commercial",,,"59",,"56.55","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH SM","0270","RC","Both",,,"96.5","48.25","Humana","Commercial",,,"78",,"74.79","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH SM","0270","RC","Both",,,"96.5","48.25","UHC","Commercial",,,"75",,"72.76","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH SM","0270","RC","Both",,,"96.5","48.25","Medicaid",,,,"37",,"35.32","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH MED","0270","RC","Both",,,"32","16","Alliant","Health Exchange",,,"62",,"19.84","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH MED","0270","RC","Both",,,"32","16","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.28","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH MED","0270","RC","Both",,,"32","16","Medicare",,,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH MED","0270","RC","Both",,,"32","16","Humana","Medicare Advantage",,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH MED","0270","RC","Both",,,"32","16","UHC","Medicare Advantage",,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH MED","0270","RC","Both",,,"32","16","Clover","Medicare Advantage",,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH MED","0270","RC","Both",,,"32","16","Wellcare","Medicare Advantage",,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH MED","0270","RC","Both",,,"32","16","Amerigroup","Medicaid Managed Care",,,"37",,"11.71","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH MED","0270","RC","Both",,,"32","16","Caresource","Medicaid Managed Care",,,"40",,"12.8","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH MED","0270","RC","Both",,,"32","16","Wellcare","Medicaid Managed Care",,,"40",,"12.96","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH MED","0270","RC","Both",,,"32","16","Aetna","Commercial",,,"64",,"20.42","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH MED","0270","RC","Both",,,"32","16","Blue Cross Blue Shield","Pathways",,,"71",,"22.59","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH MED","0270","RC","Both",,,"32","16","Blue Cross Blue Shield","HMO",,,"71",,"22.59","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH MED","0270","RC","Both",,,"32","16","Blue Cross Blue Shield","PPO",,,"71",,"22.59","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH MED","0270","RC","Both",,,"32","16","Ambetter","Health Exchange",,,"62",,"19.84","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH MED","0270","RC","Both",,,"32","16","Caresource","Health Exchange",,,"62",,"19.84","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH MED","0270","RC","Both",,,"32","16","Cigna","Commercial",,,"59",,"18.75","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH MED","0270","RC","Both",,,"32","16","Humana","Commercial",,,"78",,"24.8","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH MED","0270","RC","Both",,,"32","16","UHC","Commercial",,,"75",,"24.13","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH MED","0270","RC","Both",,,"32","16","Medicaid",,,,"37",,"11.71","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH LG","0270","RC","Both",,,"32","16","Alliant","Health Exchange",,,"62",,"19.84","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH LG","0270","RC","Both",,,"32","16","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.28","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH LG","0270","RC","Both",,,"32","16","Medicare",,,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH LG","0270","RC","Both",,,"32","16","Humana","Medicare Advantage",,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH LG","0270","RC","Both",,,"32","16","UHC","Medicare Advantage",,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH LG","0270","RC","Both",,,"32","16","Clover","Medicare Advantage",,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH LG","0270","RC","Both",,,"32","16","Wellcare","Medicare Advantage",,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH LG","0270","RC","Both",,,"32","16","Amerigroup","Medicaid Managed Care",,,"37",,"11.71","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH LG","0270","RC","Both",,,"32","16","Caresource","Medicaid Managed Care",,,"40",,"12.8","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH LG","0270","RC","Both",,,"32","16","Wellcare","Medicaid Managed Care",,,"40",,"12.96","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH LG","0270","RC","Both",,,"32","16","Aetna","Commercial",,,"64",,"20.42","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH LG","0270","RC","Both",,,"32","16","Blue Cross Blue Shield","Pathways",,,"71",,"22.59","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH LG","0270","RC","Both",,,"32","16","Blue Cross Blue Shield","HMO",,,"71",,"22.59","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH LG","0270","RC","Both",,,"32","16","Blue Cross Blue Shield","PPO",,,"71",,"22.59","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH LG","0270","RC","Both",,,"32","16","Ambetter","Health Exchange",,,"62",,"19.84","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH LG","0270","RC","Both",,,"32","16","Caresource","Health Exchange",,,"62",,"19.84","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH LG","0270","RC","Both",,,"32","16","Cigna","Commercial",,,"59",,"18.75","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH LG","0270","RC","Both",,,"32","16","Humana","Commercial",,,"78",,"24.8","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH LG","0270","RC","Both",,,"32","16","UHC","Commercial",,,"75",,"24.13","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH LG","0270","RC","Both",,,"32","16","Medicaid",,,,"37",,"11.71","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH XL/XXL","0270","RC","Both",,,"32","16","Alliant","Health Exchange",,,"62",,"19.84","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH XL/XXL","0270","RC","Both",,,"32","16","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.28","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH XL/XXL","0270","RC","Both",,,"32","16","Medicare",,,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH XL/XXL","0270","RC","Both",,,"32","16","Humana","Medicare Advantage",,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH XL/XXL","0270","RC","Both",,,"32","16","UHC","Medicare Advantage",,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH XL/XXL","0270","RC","Both",,,"32","16","Clover","Medicare Advantage",,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH XL/XXL","0270","RC","Both",,,"32","16","Wellcare","Medicare Advantage",,,"54",,"17.34","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH XL/XXL","0270","RC","Both",,,"32","16","Amerigroup","Medicaid Managed Care",,,"37",,"11.71","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH XL/XXL","0270","RC","Both",,,"32","16","Caresource","Medicaid Managed Care",,,"40",,"12.8","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH XL/XXL","0270","RC","Both",,,"32","16","Wellcare","Medicaid Managed Care",,,"40",,"12.96","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH XL/XXL","0270","RC","Both",,,"32","16","Aetna","Commercial",,,"64",,"20.42","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH XL/XXL","0270","RC","Both",,,"32","16","Blue Cross Blue Shield","Pathways",,,"71",,"22.59","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH XL/XXL","0270","RC","Both",,,"32","16","Blue Cross Blue Shield","HMO",,,"71",,"22.59","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH XL/XXL","0270","RC","Both",,,"32","16","Blue Cross Blue Shield","PPO",,,"71",,"22.59","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH XL/XXL","0270","RC","Both",,,"32","16","Ambetter","Health Exchange",,,"62",,"19.84","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH XL/XXL","0270","RC","Both",,,"32","16","Caresource","Health Exchange",,,"62",,"19.84","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH XL/XXL","0270","RC","Both",,,"32","16","Cigna","Commercial",,,"59",,"18.75","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH XL/XXL","0270","RC","Both",,,"32","16","Humana","Commercial",,,"78",,"24.8","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH XL/XXL","0270","RC","Both",,,"32","16","UHC","Commercial",,,"75",,"24.13","0.18","1007.5","percent of total billed charges",,
"STOCKING THIGH XL/XXL","0270","RC","Both",,,"32","16","Medicaid",,,,"37",,"11.71","0.18","1007.5","percent of total billed charges",,
"URINE COLLECTOR PEDIATRIC","0270","RC","Both",,,"38","19","Alliant","Health Exchange",,,"62",,"23.56","0.18","1007.5","percent of total billed charges",,
"URINE COLLECTOR PEDIATRIC","0270","RC","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.52","0.18","1007.5","percent of total billed charges",,
"URINE COLLECTOR PEDIATRIC","0270","RC","Both",,,"38","19","Medicare",,,,"54",,"20.6","0.18","1007.5","percent of total billed charges",,
"URINE COLLECTOR PEDIATRIC","0270","RC","Both",,,"38","19","Humana","Medicare Advantage",,,"54",,"20.6","0.18","1007.5","percent of total billed charges",,
"URINE COLLECTOR PEDIATRIC","0270","RC","Both",,,"38","19","UHC","Medicare Advantage",,,"54",,"20.6","0.18","1007.5","percent of total billed charges",,
"URINE COLLECTOR PEDIATRIC","0270","RC","Both",,,"38","19","Clover","Medicare Advantage",,,"54",,"20.6","0.18","1007.5","percent of total billed charges",,
"URINE COLLECTOR PEDIATRIC","0270","RC","Both",,,"38","19","Wellcare","Medicare Advantage",,,"54",,"20.6","0.18","1007.5","percent of total billed charges",,
"URINE COLLECTOR PEDIATRIC","0270","RC","Both",,,"38","19","Amerigroup","Medicaid Managed Care",,,"37",,"13.91","0.18","1007.5","percent of total billed charges",,
"URINE COLLECTOR PEDIATRIC","0270","RC","Both",,,"38","19","Caresource","Medicaid Managed Care",,,"40",,"15.2","0.18","1007.5","percent of total billed charges",,
"URINE COLLECTOR PEDIATRIC","0270","RC","Both",,,"38","19","Wellcare","Medicaid Managed Care",,,"40",,"15.39","0.18","1007.5","percent of total billed charges",,
"URINE COLLECTOR PEDIATRIC","0270","RC","Both",,,"38","19","Aetna","Commercial",,,"64",,"24.24","0.18","1007.5","percent of total billed charges",,
"URINE COLLECTOR PEDIATRIC","0270","RC","Both",,,"38","19","Blue Cross Blue Shield","Pathways",,,"71",,"26.83","0.18","1007.5","percent of total billed charges",,
"URINE COLLECTOR PEDIATRIC","0270","RC","Both",,,"38","19","Blue Cross Blue Shield","HMO",,,"71",,"26.83","0.18","1007.5","percent of total billed charges",,
"URINE COLLECTOR PEDIATRIC","0270","RC","Both",,,"38","19","Blue Cross Blue Shield","PPO",,,"71",,"26.83","0.18","1007.5","percent of total billed charges",,
"URINE COLLECTOR PEDIATRIC","0270","RC","Both",,,"38","19","Ambetter","Health Exchange",,,"62",,"23.56","0.18","1007.5","percent of total billed charges",,
"URINE COLLECTOR PEDIATRIC","0270","RC","Both",,,"38","19","Caresource","Health Exchange",,,"62",,"23.56","0.18","1007.5","percent of total billed charges",,
"URINE COLLECTOR PEDIATRIC","0270","RC","Both",,,"38","19","Cigna","Commercial",,,"59",,"22.27","0.18","1007.5","percent of total billed charges",,
"URINE COLLECTOR PEDIATRIC","0270","RC","Both",,,"38","19","Humana","Commercial",,,"78",,"29.45","0.18","1007.5","percent of total billed charges",,
"URINE COLLECTOR PEDIATRIC","0270","RC","Both",,,"38","19","UHC","Commercial",,,"75",,"28.65","0.18","1007.5","percent of total billed charges",,
"URINE COLLECTOR PEDIATRIC","0270","RC","Both",,,"38","19","Medicaid",,,,"37",,"13.91","0.18","1007.5","percent of total billed charges",,
"ENSURE CAN","0250","RC","Both",,,"125","62.5","Alliant","Health Exchange",,,"62",,"77.5","0.04","569.62","percent of total billed charges",,
"ENSURE CAN","0250","RC","Both",,,"125","62.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"67.5","0.04","569.62","percent of total billed charges",,
"ENSURE CAN","0250","RC","Both",,,"125","62.5","Medicare",,,,"54",,"67.75","0.04","569.62","percent of total billed charges",,
"ENSURE CAN","0250","RC","Both",,,"125","62.5","Humana","Medicare Advantage",,,"54",,"67.75","0.04","569.62","percent of total billed charges",,
"ENSURE CAN","0250","RC","Both",,,"125","62.5","UHC","Medicare Advantage",,,"54",,"67.75","0.04","569.62","percent of total billed charges",,
"ENSURE CAN","0250","RC","Both",,,"125","62.5","Clover","Medicare Advantage",,,"54",,"67.75","0.04","569.62","percent of total billed charges",,
"ENSURE CAN","0250","RC","Both",,,"125","62.5","Wellcare","Medicare Advantage",,,"54",,"67.75","0.04","569.62","percent of total billed charges",,
"ENSURE CAN","0250","RC","Both",,,"125","62.5","Amerigroup","Medicaid Managed Care",,,"37",,"45.75","0.04","569.62","percent of total billed charges",,
"ENSURE CAN","0250","RC","Both",,,"125","62.5","Caresource","Medicaid Managed Care",,,"40",,"50","0.04","569.62","percent of total billed charges",,
"ENSURE CAN","0250","RC","Both",,,"125","62.5","Wellcare","Medicaid Managed Care",,,"40",,"50.62","0.04","569.62","percent of total billed charges",,
"ENSURE CAN","0250","RC","Both",,,"125","62.5","Aetna","Commercial",,,"64",,"79.75","0.04","569.62","percent of total billed charges",,
"ENSURE CAN","0250","RC","Both",,,"125","62.5","Blue Cross Blue Shield","Pathways",,,"71",,"88.25","0.04","569.62","percent of total billed charges",,
"ENSURE CAN","0250","RC","Both",,,"125","62.5","Blue Cross Blue Shield","HMO",,,"71",,"88.25","0.04","569.62","percent of total billed charges",,
"ENSURE CAN","0250","RC","Both",,,"125","62.5","Blue Cross Blue Shield","PPO",,,"71",,"88.25","0.04","569.62","percent of total billed charges",,
"ENSURE CAN","0250","RC","Both",,,"125","62.5","Ambetter","Health Exchange",,,"62",,"77.5","0.04","569.62","percent of total billed charges",,
"ENSURE CAN","0250","RC","Both",,,"125","62.5","Caresource","Health Exchange",,,"62",,"77.5","0.04","569.62","percent of total billed charges",,
"ENSURE CAN","0250","RC","Both",,,"125","62.5","Cigna","Commercial",,,"59",,"73.25","0.04","569.62","percent of total billed charges",,
"ENSURE CAN","0250","RC","Both",,,"125","62.5","Humana","Commercial",,,"78",,"96.88","0.04","569.62","percent of total billed charges",,
"ENSURE CAN","0250","RC","Both",,,"125","62.5","UHC","Commercial",,,"75",,"94.25","0.04","569.62","percent of total billed charges",,
"ENSURE CAN","0250","RC","Both",,,"125","62.5","Medicaid",,,,"37",,"45.75","0.04","569.62","percent of total billed charges",,
"SURGICAL CLIPPERS 3M","0270","RC","Both",,,"35.5","17.75","Alliant","Health Exchange",,,"62",,"22.01","0.18","1007.5","percent of total billed charges",,
"SURGICAL CLIPPERS 3M","0270","RC","Both",,,"35.5","17.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.17","0.18","1007.5","percent of total billed charges",,
"SURGICAL CLIPPERS 3M","0270","RC","Both",,,"35.5","17.75","Medicare",,,,"54",,"19.24","0.18","1007.5","percent of total billed charges",,
"SURGICAL CLIPPERS 3M","0270","RC","Both",,,"35.5","17.75","Humana","Medicare Advantage",,,"54",,"19.24","0.18","1007.5","percent of total billed charges",,
"SURGICAL CLIPPERS 3M","0270","RC","Both",,,"35.5","17.75","UHC","Medicare Advantage",,,"54",,"19.24","0.18","1007.5","percent of total billed charges",,
"SURGICAL CLIPPERS 3M","0270","RC","Both",,,"35.5","17.75","Clover","Medicare Advantage",,,"54",,"19.24","0.18","1007.5","percent of total billed charges",,
"SURGICAL CLIPPERS 3M","0270","RC","Both",,,"35.5","17.75","Wellcare","Medicare Advantage",,,"54",,"19.24","0.18","1007.5","percent of total billed charges",,
"SURGICAL CLIPPERS 3M","0270","RC","Both",,,"35.5","17.75","Amerigroup","Medicaid Managed Care",,,"37",,"12.99","0.18","1007.5","percent of total billed charges",,
"SURGICAL CLIPPERS 3M","0270","RC","Both",,,"35.5","17.75","Caresource","Medicaid Managed Care",,,"40",,"14.2","0.18","1007.5","percent of total billed charges",,
"SURGICAL CLIPPERS 3M","0270","RC","Both",,,"35.5","17.75","Wellcare","Medicaid Managed Care",,,"40",,"14.38","0.18","1007.5","percent of total billed charges",,
"SURGICAL CLIPPERS 3M","0270","RC","Both",,,"35.5","17.75","Aetna","Commercial",,,"64",,"22.65","0.18","1007.5","percent of total billed charges",,
"SURGICAL CLIPPERS 3M","0270","RC","Both",,,"35.5","17.75","Blue Cross Blue Shield","Pathways",,,"71",,"25.06","0.18","1007.5","percent of total billed charges",,
"SURGICAL CLIPPERS 3M","0270","RC","Both",,,"35.5","17.75","Blue Cross Blue Shield","HMO",,,"71",,"25.06","0.18","1007.5","percent of total billed charges",,
"SURGICAL CLIPPERS 3M","0270","RC","Both",,,"35.5","17.75","Blue Cross Blue Shield","PPO",,,"71",,"25.06","0.18","1007.5","percent of total billed charges",,
"SURGICAL CLIPPERS 3M","0270","RC","Both",,,"35.5","17.75","Ambetter","Health Exchange",,,"62",,"22.01","0.18","1007.5","percent of total billed charges",,
"SURGICAL CLIPPERS 3M","0270","RC","Both",,,"35.5","17.75","Caresource","Health Exchange",,,"62",,"22.01","0.18","1007.5","percent of total billed charges",,
"SURGICAL CLIPPERS 3M","0270","RC","Both",,,"35.5","17.75","Cigna","Commercial",,,"59",,"20.8","0.18","1007.5","percent of total billed charges",,
"SURGICAL CLIPPERS 3M","0270","RC","Both",,,"35.5","17.75","Humana","Commercial",,,"78",,"27.51","0.18","1007.5","percent of total billed charges",,
"SURGICAL CLIPPERS 3M","0270","RC","Both",,,"35.5","17.75","UHC","Commercial",,,"75",,"26.77","0.18","1007.5","percent of total billed charges",,
"SURGICAL CLIPPERS 3M","0270","RC","Both",,,"35.5","17.75","Medicaid",,,,"37",,"12.99","0.18","1007.5","percent of total billed charges",,
"BARRIER CREAM","0270","RC","Both",,,"6.5","3.25","Alliant","Health Exchange",,,"62",,"4.03","0.18","1007.5","percent of total billed charges",,
"BARRIER CREAM","0270","RC","Both",,,"6.5","3.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.51","0.18","1007.5","percent of total billed charges",,
"BARRIER CREAM","0270","RC","Both",,,"6.5","3.25","Medicare",,,,"54",,"3.52","0.18","1007.5","percent of total billed charges",,
"BARRIER CREAM","0270","RC","Both",,,"6.5","3.25","Humana","Medicare Advantage",,,"54",,"3.52","0.18","1007.5","percent of total billed charges",,
"BARRIER CREAM","0270","RC","Both",,,"6.5","3.25","UHC","Medicare Advantage",,,"54",,"3.52","0.18","1007.5","percent of total billed charges",,
"BARRIER CREAM","0270","RC","Both",,,"6.5","3.25","Clover","Medicare Advantage",,,"54",,"3.52","0.18","1007.5","percent of total billed charges",,
"BARRIER CREAM","0270","RC","Both",,,"6.5","3.25","Wellcare","Medicare Advantage",,,"54",,"3.52","0.18","1007.5","percent of total billed charges",,
"BARRIER CREAM","0270","RC","Both",,,"6.5","3.25","Amerigroup","Medicaid Managed Care",,,"37",,"2.38","0.18","1007.5","percent of total billed charges",,
"BARRIER CREAM","0270","RC","Both",,,"6.5","3.25","Caresource","Medicaid Managed Care",,,"40",,"2.6","0.18","1007.5","percent of total billed charges",,
"BARRIER CREAM","0270","RC","Both",,,"6.5","3.25","Wellcare","Medicaid Managed Care",,,"40",,"2.63","0.18","1007.5","percent of total billed charges",,
"BARRIER CREAM","0270","RC","Both",,,"6.5","3.25","Aetna","Commercial",,,"64",,"4.15","0.18","1007.5","percent of total billed charges",,
"BARRIER CREAM","0270","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","Pathways",,,"71",,"4.59","0.18","1007.5","percent of total billed charges",,
"BARRIER CREAM","0270","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","HMO",,,"71",,"4.59","0.18","1007.5","percent of total billed charges",,
"BARRIER CREAM","0270","RC","Both",,,"6.5","3.25","Blue Cross Blue Shield","PPO",,,"71",,"4.59","0.18","1007.5","percent of total billed charges",,
"BARRIER CREAM","0270","RC","Both",,,"6.5","3.25","Ambetter","Health Exchange",,,"62",,"4.03","0.18","1007.5","percent of total billed charges",,
"BARRIER CREAM","0270","RC","Both",,,"6.5","3.25","Caresource","Health Exchange",,,"62",,"4.03","0.18","1007.5","percent of total billed charges",,
"BARRIER CREAM","0270","RC","Both",,,"6.5","3.25","Cigna","Commercial",,,"59",,"3.81","0.18","1007.5","percent of total billed charges",,
"BARRIER CREAM","0270","RC","Both",,,"6.5","3.25","Humana","Commercial",,,"78",,"5.04","0.18","1007.5","percent of total billed charges",,
"BARRIER CREAM","0270","RC","Both",,,"6.5","3.25","UHC","Commercial",,,"75",,"4.9","0.18","1007.5","percent of total billed charges",,
"BARRIER CREAM","0270","RC","Both",,,"6.5","3.25","Medicaid",,,,"37",,"2.38","0.18","1007.5","percent of total billed charges",,
"CENTRAL LINE TRAY","0270","RC","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","0.18","1007.5","percent of total billed charges",,
"CENTRAL LINE TRAY","0270","RC","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","0.18","1007.5","percent of total billed charges",,
"CENTRAL LINE TRAY","0270","RC","Both",,,"26","13","Medicare",,,,"54",,"14.09","0.18","1007.5","percent of total billed charges",,
"CENTRAL LINE TRAY","0270","RC","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","0.18","1007.5","percent of total billed charges",,
"CENTRAL LINE TRAY","0270","RC","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","0.18","1007.5","percent of total billed charges",,
"CENTRAL LINE TRAY","0270","RC","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","0.18","1007.5","percent of total billed charges",,
"CENTRAL LINE TRAY","0270","RC","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","0.18","1007.5","percent of total billed charges",,
"CENTRAL LINE TRAY","0270","RC","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","0.18","1007.5","percent of total billed charges",,
"CENTRAL LINE TRAY","0270","RC","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","0.18","1007.5","percent of total billed charges",,
"CENTRAL LINE TRAY","0270","RC","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","0.18","1007.5","percent of total billed charges",,
"CENTRAL LINE TRAY","0270","RC","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","0.18","1007.5","percent of total billed charges",,
"CENTRAL LINE TRAY","0270","RC","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","0.18","1007.5","percent of total billed charges",,
"CENTRAL LINE TRAY","0270","RC","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","0.18","1007.5","percent of total billed charges",,
"CENTRAL LINE TRAY","0270","RC","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","0.18","1007.5","percent of total billed charges",,
"CENTRAL LINE TRAY","0270","RC","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","0.18","1007.5","percent of total billed charges",,
"CENTRAL LINE TRAY","0270","RC","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","0.18","1007.5","percent of total billed charges",,
"CENTRAL LINE TRAY","0270","RC","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","0.18","1007.5","percent of total billed charges",,
"CENTRAL LINE TRAY","0270","RC","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","0.18","1007.5","percent of total billed charges",,
"CENTRAL LINE TRAY","0270","RC","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","0.18","1007.5","percent of total billed charges",,
"CENTRAL LINE TRAY","0270","RC","Both",,,"26","13","Medicaid",,,,"37",,"9.52","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 25mm EZ ID","0270","RC","Both",,,"428","214","Alliant","Health Exchange",,,"62",,"265.36","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 25mm EZ ID","0270","RC","Both",,,"428","214","Pruitt Healthcare","Medicare Advantage",,,"54",,"231.12","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 25mm EZ ID","0270","RC","Both",,,"428","214","Medicare",,,,"54",,"231.98","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 25mm EZ ID","0270","RC","Both",,,"428","214","Humana","Medicare Advantage",,,"54",,"231.98","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 25mm EZ ID","0270","RC","Both",,,"428","214","UHC","Medicare Advantage",,,"54",,"231.98","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 25mm EZ ID","0270","RC","Both",,,"428","214","Clover","Medicare Advantage",,,"54",,"231.98","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 25mm EZ ID","0270","RC","Both",,,"428","214","Wellcare","Medicare Advantage",,,"54",,"231.98","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 25mm EZ ID","0270","RC","Both",,,"428","214","Amerigroup","Medicaid Managed Care",,,"37",,"156.65","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 25mm EZ ID","0270","RC","Both",,,"428","214","Caresource","Medicaid Managed Care",,,"40",,"171.2","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 25mm EZ ID","0270","RC","Both",,,"428","214","Wellcare","Medicaid Managed Care",,,"40",,"173.34","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 25mm EZ ID","0270","RC","Both",,,"428","214","Aetna","Commercial",,,"64",,"273.06","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 25mm EZ ID","0270","RC","Both",,,"428","214","Blue Cross Blue Shield","Pathways",,,"71",,"302.17","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 25mm EZ ID","0270","RC","Both",,,"428","214","Blue Cross Blue Shield","HMO",,,"71",,"302.17","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 25mm EZ ID","0270","RC","Both",,,"428","214","Blue Cross Blue Shield","PPO",,,"71",,"302.17","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 25mm EZ ID","0270","RC","Both",,,"428","214","Ambetter","Health Exchange",,,"62",,"265.36","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 25mm EZ ID","0270","RC","Both",,,"428","214","Caresource","Health Exchange",,,"62",,"265.36","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 25mm EZ ID","0270","RC","Both",,,"428","214","Cigna","Commercial",,,"59",,"250.81","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 25mm EZ ID","0270","RC","Both",,,"428","214","Humana","Commercial",,,"78",,"331.7","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 25mm EZ ID","0270","RC","Both",,,"428","214","UHC","Commercial",,,"75",,"322.71","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 25mm EZ ID","0270","RC","Both",,,"428","214","Medicaid",,,,"37",,"156.65","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 15mm EZ ID","0270","RC","Both",,,"428","214","Alliant","Health Exchange",,,"62",,"265.36","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 15mm EZ ID","0270","RC","Both",,,"428","214","Pruitt Healthcare","Medicare Advantage",,,"54",,"231.12","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 15mm EZ ID","0270","RC","Both",,,"428","214","Medicare",,,,"54",,"231.98","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 15mm EZ ID","0270","RC","Both",,,"428","214","Humana","Medicare Advantage",,,"54",,"231.98","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 15mm EZ ID","0270","RC","Both",,,"428","214","UHC","Medicare Advantage",,,"54",,"231.98","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 15mm EZ ID","0270","RC","Both",,,"428","214","Clover","Medicare Advantage",,,"54",,"231.98","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 15mm EZ ID","0270","RC","Both",,,"428","214","Wellcare","Medicare Advantage",,,"54",,"231.98","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 15mm EZ ID","0270","RC","Both",,,"428","214","Amerigroup","Medicaid Managed Care",,,"37",,"156.65","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 15mm EZ ID","0270","RC","Both",,,"428","214","Caresource","Medicaid Managed Care",,,"40",,"171.2","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 15mm EZ ID","0270","RC","Both",,,"428","214","Wellcare","Medicaid Managed Care",,,"40",,"173.34","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 15mm EZ ID","0270","RC","Both",,,"428","214","Aetna","Commercial",,,"64",,"273.06","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 15mm EZ ID","0270","RC","Both",,,"428","214","Blue Cross Blue Shield","Pathways",,,"71",,"302.17","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 15mm EZ ID","0270","RC","Both",,,"428","214","Blue Cross Blue Shield","HMO",,,"71",,"302.17","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 15mm EZ ID","0270","RC","Both",,,"428","214","Blue Cross Blue Shield","PPO",,,"71",,"302.17","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 15mm EZ ID","0270","RC","Both",,,"428","214","Ambetter","Health Exchange",,,"62",,"265.36","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 15mm EZ ID","0270","RC","Both",,,"428","214","Caresource","Health Exchange",,,"62",,"265.36","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 15mm EZ ID","0270","RC","Both",,,"428","214","Cigna","Commercial",,,"59",,"250.81","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 15mm EZ ID","0270","RC","Both",,,"428","214","Humana","Commercial",,,"78",,"331.7","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 15mm EZ ID","0270","RC","Both",,,"428","214","UHC","Commercial",,,"75",,"322.71","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 15mm EZ ID","0270","RC","Both",,,"428","214","Medicaid",,,,"37",,"156.65","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 45mm EZ ID","0270","RC","Both",,,"428","214","Alliant","Health Exchange",,,"62",,"265.36","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 45mm EZ ID","0270","RC","Both",,,"428","214","Pruitt Healthcare","Medicare Advantage",,,"54",,"231.12","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 45mm EZ ID","0270","RC","Both",,,"428","214","Medicare",,,,"54",,"231.98","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 45mm EZ ID","0270","RC","Both",,,"428","214","Humana","Medicare Advantage",,,"54",,"231.98","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 45mm EZ ID","0270","RC","Both",,,"428","214","UHC","Medicare Advantage",,,"54",,"231.98","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 45mm EZ ID","0270","RC","Both",,,"428","214","Clover","Medicare Advantage",,,"54",,"231.98","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 45mm EZ ID","0270","RC","Both",,,"428","214","Wellcare","Medicare Advantage",,,"54",,"231.98","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 45mm EZ ID","0270","RC","Both",,,"428","214","Amerigroup","Medicaid Managed Care",,,"37",,"156.65","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 45mm EZ ID","0270","RC","Both",,,"428","214","Caresource","Medicaid Managed Care",,,"40",,"171.2","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 45mm EZ ID","0270","RC","Both",,,"428","214","Wellcare","Medicaid Managed Care",,,"40",,"173.34","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 45mm EZ ID","0270","RC","Both",,,"428","214","Aetna","Commercial",,,"64",,"273.06","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 45mm EZ ID","0270","RC","Both",,,"428","214","Blue Cross Blue Shield","Pathways",,,"71",,"302.17","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 45mm EZ ID","0270","RC","Both",,,"428","214","Blue Cross Blue Shield","HMO",,,"71",,"302.17","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 45mm EZ ID","0270","RC","Both",,,"428","214","Blue Cross Blue Shield","PPO",,,"71",,"302.17","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 45mm EZ ID","0270","RC","Both",,,"428","214","Ambetter","Health Exchange",,,"62",,"265.36","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 45mm EZ ID","0270","RC","Both",,,"428","214","Caresource","Health Exchange",,,"62",,"265.36","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 45mm EZ ID","0270","RC","Both",,,"428","214","Cigna","Commercial",,,"59",,"250.81","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 45mm EZ ID","0270","RC","Both",,,"428","214","Humana","Commercial",,,"78",,"331.7","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 45mm EZ ID","0270","RC","Both",,,"428","214","UHC","Commercial",,,"75",,"322.71","0.18","1007.5","percent of total billed charges",,
"BONE NEEDLE 45mm EZ ID","0270","RC","Both",,,"428","214","Medicaid",,,,"37",,"156.65","0.18","1007.5","percent of total billed charges",,
"D5W 100ml","1292","CDM","Both",,,"8.5","4.25","Alliant","Health Exchange",,,"62",,"5.27","3.11","6.59","percent of total billed charges",,
"D5W 100ml","1292","CDM","Both",,,"8.5","4.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.59","3.11","6.59","percent of total billed charges",,
"D5W 100ml","1292","CDM","Both",,,"8.5","4.25","Medicare",,,,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"D5W 100ml","1292","CDM","Both",,,"8.5","4.25","Humana","Medicare Advantage",,,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"D5W 100ml","1292","CDM","Both",,,"8.5","4.25","UHC","Medicare Advantage",,,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"D5W 100ml","1292","CDM","Both",,,"8.5","4.25","Clover","Medicare Advantage",,,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"D5W 100ml","1292","CDM","Both",,,"8.5","4.25","Wellcare","Medicare Advantage",,,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"D5W 100ml","1292","CDM","Both",,,"8.5","4.25","Amerigroup","Medicaid Managed Care",,,"37",,"3.11","3.11","6.59","percent of total billed charges",,
"D5W 100ml","1292","CDM","Both",,,"8.5","4.25","Caresource","Medicaid Managed Care",,,"40",,"3.4","3.11","6.59","percent of total billed charges",,
"D5W 100ml","1292","CDM","Both",,,"8.5","4.25","Wellcare","Medicaid Managed Care",,,"40",,"3.44","3.11","6.59","percent of total billed charges",,
"D5W 100ml","1292","CDM","Both",,,"8.5","4.25","Aetna","Commercial",,,"64",,"5.42","3.11","6.59","percent of total billed charges",,
"D5W 100ml","1292","CDM","Both",,,"8.5","4.25","Blue Cross Blue Shield","Pathways",,,"71",,"6","3.11","6.59","percent of total billed charges",,
"D5W 100ml","1292","CDM","Both",,,"8.5","4.25","Blue Cross Blue Shield","HMO",,,"71",,"6","3.11","6.59","percent of total billed charges",,
"D5W 100ml","1292","CDM","Both",,,"8.5","4.25","Blue Cross Blue Shield","PPO",,,"71",,"6","3.11","6.59","percent of total billed charges",,
"D5W 100ml","1292","CDM","Both",,,"8.5","4.25","Ambetter","Health Exchange",,,"62",,"5.27","3.11","6.59","percent of total billed charges",,
"D5W 100ml","1292","CDM","Both",,,"8.5","4.25","Caresource","Health Exchange",,,"62",,"5.27","3.11","6.59","percent of total billed charges",,
"D5W 100ml","1292","CDM","Both",,,"8.5","4.25","Cigna","Commercial",,,"59",,"4.98","3.11","6.59","percent of total billed charges",,
"D5W 100ml","1292","CDM","Both",,,"8.5","4.25","Humana","Commercial",,,"78",,"6.59","3.11","6.59","percent of total billed charges",,
"D5W 100ml","1292","CDM","Both",,,"8.5","4.25","UHC","Commercial",,,"75",,"6.41","3.11","6.59","percent of total billed charges",,
"D5W 100ml","1292","CDM","Both",,,"8.5","4.25","Medicaid",,,,"37",,"3.11","3.11","6.59","percent of total billed charges",,
"D5W 100ml","1293","CDM","Both",,,"8.5","4.25","Alliant","Health Exchange",,,"62",,"5.27","3.11","6.59","percent of total billed charges",,
"D5W 100ml","1293","CDM","Both",,,"8.5","4.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.59","3.11","6.59","percent of total billed charges",,
"D5W 100ml","1293","CDM","Both",,,"8.5","4.25","Medicare",,,,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"D5W 100ml","1293","CDM","Both",,,"8.5","4.25","Humana","Medicare Advantage",,,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"D5W 100ml","1293","CDM","Both",,,"8.5","4.25","UHC","Medicare Advantage",,,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"D5W 100ml","1293","CDM","Both",,,"8.5","4.25","Clover","Medicare Advantage",,,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"D5W 100ml","1293","CDM","Both",,,"8.5","4.25","Wellcare","Medicare Advantage",,,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"D5W 100ml","1293","CDM","Both",,,"8.5","4.25","Amerigroup","Medicaid Managed Care",,,"37",,"3.11","3.11","6.59","percent of total billed charges",,
"D5W 100ml","1293","CDM","Both",,,"8.5","4.25","Caresource","Medicaid Managed Care",,,"40",,"3.4","3.11","6.59","percent of total billed charges",,
"D5W 100ml","1293","CDM","Both",,,"8.5","4.25","Wellcare","Medicaid Managed Care",,,"40",,"3.44","3.11","6.59","percent of total billed charges",,
"D5W 100ml","1293","CDM","Both",,,"8.5","4.25","Aetna","Commercial",,,"64",,"5.42","3.11","6.59","percent of total billed charges",,
"D5W 100ml","1293","CDM","Both",,,"8.5","4.25","Blue Cross Blue Shield","Pathways",,,"71",,"6","3.11","6.59","percent of total billed charges",,
"D5W 100ml","1293","CDM","Both",,,"8.5","4.25","Blue Cross Blue Shield","HMO",,,"71",,"6","3.11","6.59","percent of total billed charges",,
"D5W 100ml","1293","CDM","Both",,,"8.5","4.25","Blue Cross Blue Shield","PPO",,,"71",,"6","3.11","6.59","percent of total billed charges",,
"D5W 100ml","1293","CDM","Both",,,"8.5","4.25","Ambetter","Health Exchange",,,"62",,"5.27","3.11","6.59","percent of total billed charges",,
"D5W 100ml","1293","CDM","Both",,,"8.5","4.25","Caresource","Health Exchange",,,"62",,"5.27","3.11","6.59","percent of total billed charges",,
"D5W 100ml","1293","CDM","Both",,,"8.5","4.25","Cigna","Commercial",,,"59",,"4.98","3.11","6.59","percent of total billed charges",,
"D5W 100ml","1293","CDM","Both",,,"8.5","4.25","Humana","Commercial",,,"78",,"6.59","3.11","6.59","percent of total billed charges",,
"D5W 100ml","1293","CDM","Both",,,"8.5","4.25","UHC","Commercial",,,"75",,"6.41","3.11","6.59","percent of total billed charges",,
"D5W 100ml","1293","CDM","Both",,,"8.5","4.25","Medicaid",,,,"37",,"3.11","3.11","6.59","percent of total billed charges",,
"NF-ACCUPRIL TAB 5MG","401424","CDM","Both",,,"4.38","2.19","Alliant","Health Exchange",,,"62",,"2.72","1.6","3.39","percent of total billed charges",,
"NF-ACCUPRIL TAB 5MG","401424","CDM","Both",,,"4.38","2.19","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.37","1.6","3.39","percent of total billed charges",,
"NF-ACCUPRIL TAB 5MG","401424","CDM","Both",,,"4.38","2.19","Medicare",,,,"54",,"2.37","1.6","3.39","percent of total billed charges",,
"NF-ACCUPRIL TAB 5MG","401424","CDM","Both",,,"4.38","2.19","Humana","Medicare Advantage",,,"54",,"2.37","1.6","3.39","percent of total billed charges",,
"NF-ACCUPRIL TAB 5MG","401424","CDM","Both",,,"4.38","2.19","UHC","Medicare Advantage",,,"54",,"2.37","1.6","3.39","percent of total billed charges",,
"NF-ACCUPRIL TAB 5MG","401424","CDM","Both",,,"4.38","2.19","Clover","Medicare Advantage",,,"54",,"2.37","1.6","3.39","percent of total billed charges",,
"NF-ACCUPRIL TAB 5MG","401424","CDM","Both",,,"4.38","2.19","Wellcare","Medicare Advantage",,,"54",,"2.37","1.6","3.39","percent of total billed charges",,
"NF-ACCUPRIL TAB 5MG","401424","CDM","Both",,,"4.38","2.19","Amerigroup","Medicaid Managed Care",,,"37",,"1.6","1.6","3.39","percent of total billed charges",,
"NF-ACCUPRIL TAB 5MG","401424","CDM","Both",,,"4.38","2.19","Caresource","Medicaid Managed Care",,,"40",,"1.75","1.6","3.39","percent of total billed charges",,
"NF-ACCUPRIL TAB 5MG","401424","CDM","Both",,,"4.38","2.19","Wellcare","Medicaid Managed Care",,,"40",,"1.77","1.6","3.39","percent of total billed charges",,
"NF-ACCUPRIL TAB 5MG","401424","CDM","Both",,,"4.38","2.19","Aetna","Commercial",,,"64",,"2.79","1.6","3.39","percent of total billed charges",,
"NF-ACCUPRIL TAB 5MG","401424","CDM","Both",,,"4.38","2.19","Blue Cross Blue Shield","Pathways",,,"71",,"3.09","1.6","3.39","percent of total billed charges",,
"NF-ACCUPRIL TAB 5MG","401424","CDM","Both",,,"4.38","2.19","Blue Cross Blue Shield","HMO",,,"71",,"3.09","1.6","3.39","percent of total billed charges",,
"NF-ACCUPRIL TAB 5MG","401424","CDM","Both",,,"4.38","2.19","Blue Cross Blue Shield","PPO",,,"71",,"3.09","1.6","3.39","percent of total billed charges",,
"NF-ACCUPRIL TAB 5MG","401424","CDM","Both",,,"4.38","2.19","Ambetter","Health Exchange",,,"62",,"2.72","1.6","3.39","percent of total billed charges",,
"NF-ACCUPRIL TAB 5MG","401424","CDM","Both",,,"4.38","2.19","Caresource","Health Exchange",,,"62",,"2.72","1.6","3.39","percent of total billed charges",,
"NF-ACCUPRIL TAB 5MG","401424","CDM","Both",,,"4.38","2.19","Cigna","Commercial",,,"59",,"2.57","1.6","3.39","percent of total billed charges",,
"NF-ACCUPRIL TAB 5MG","401424","CDM","Both",,,"4.38","2.19","Humana","Commercial",,,"78",,"3.39","1.6","3.39","percent of total billed charges",,
"NF-ACCUPRIL TAB 5MG","401424","CDM","Both",,,"4.38","2.19","UHC","Commercial",,,"75",,"3.3","1.6","3.39","percent of total billed charges",,
"NF-ACCUPRIL TAB 5MG","401424","CDM","Both",,,"4.38","2.19","Medicaid",,,,"37",,"1.6","1.6","3.39","percent of total billed charges",,
"NF-NORCO TAB 325MG-5MG","401426","CDM","Both",,,"6.6","3.3","Alliant","Health Exchange",,,"62",,"4.09","2.42","5.12","percent of total billed charges",,
"NF-NORCO TAB 325MG-5MG","401426","CDM","Both",,,"6.6","3.3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.56","2.42","5.12","percent of total billed charges",,
"NF-NORCO TAB 325MG-5MG","401426","CDM","Both",,,"6.6","3.3","Medicare",,,,"54",,"3.58","2.42","5.12","percent of total billed charges",,
"NF-NORCO TAB 325MG-5MG","401426","CDM","Both",,,"6.6","3.3","Humana","Medicare Advantage",,,"54",,"3.58","2.42","5.12","percent of total billed charges",,
"NF-NORCO TAB 325MG-5MG","401426","CDM","Both",,,"6.6","3.3","UHC","Medicare Advantage",,,"54",,"3.58","2.42","5.12","percent of total billed charges",,
"NF-NORCO TAB 325MG-5MG","401426","CDM","Both",,,"6.6","3.3","Clover","Medicare Advantage",,,"54",,"3.58","2.42","5.12","percent of total billed charges",,
"NF-NORCO TAB 325MG-5MG","401426","CDM","Both",,,"6.6","3.3","Wellcare","Medicare Advantage",,,"54",,"3.58","2.42","5.12","percent of total billed charges",,
"NF-NORCO TAB 325MG-5MG","401426","CDM","Both",,,"6.6","3.3","Amerigroup","Medicaid Managed Care",,,"37",,"2.42","2.42","5.12","percent of total billed charges",,
"NF-NORCO TAB 325MG-5MG","401426","CDM","Both",,,"6.6","3.3","Caresource","Medicaid Managed Care",,,"40",,"2.64","2.42","5.12","percent of total billed charges",,
"NF-NORCO TAB 325MG-5MG","401426","CDM","Both",,,"6.6","3.3","Wellcare","Medicaid Managed Care",,,"40",,"2.67","2.42","5.12","percent of total billed charges",,
"NF-NORCO TAB 325MG-5MG","401426","CDM","Both",,,"6.6","3.3","Aetna","Commercial",,,"64",,"4.21","2.42","5.12","percent of total billed charges",,
"NF-NORCO TAB 325MG-5MG","401426","CDM","Both",,,"6.6","3.3","Blue Cross Blue Shield","Pathways",,,"71",,"4.66","2.42","5.12","percent of total billed charges",,
"NF-NORCO TAB 325MG-5MG","401426","CDM","Both",,,"6.6","3.3","Blue Cross Blue Shield","HMO",,,"71",,"4.66","2.42","5.12","percent of total billed charges",,
"NF-NORCO TAB 325MG-5MG","401426","CDM","Both",,,"6.6","3.3","Blue Cross Blue Shield","PPO",,,"71",,"4.66","2.42","5.12","percent of total billed charges",,
"NF-NORCO TAB 325MG-5MG","401426","CDM","Both",,,"6.6","3.3","Ambetter","Health Exchange",,,"62",,"4.09","2.42","5.12","percent of total billed charges",,
"NF-NORCO TAB 325MG-5MG","401426","CDM","Both",,,"6.6","3.3","Caresource","Health Exchange",,,"62",,"4.09","2.42","5.12","percent of total billed charges",,
"NF-NORCO TAB 325MG-5MG","401426","CDM","Both",,,"6.6","3.3","Cigna","Commercial",,,"59",,"3.87","2.42","5.12","percent of total billed charges",,
"NF-NORCO TAB 325MG-5MG","401426","CDM","Both",,,"6.6","3.3","Humana","Commercial",,,"78",,"5.12","2.42","5.12","percent of total billed charges",,
"NF-NORCO TAB 325MG-5MG","401426","CDM","Both",,,"6.6","3.3","UHC","Commercial",,,"75",,"4.98","2.42","5.12","percent of total billed charges",,
"NF-NORCO TAB 325MG-5MG","401426","CDM","Both",,,"6.6","3.3","Medicaid",,,,"37",,"2.42","2.42","5.12","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL TAB ER 200MG","401430","CDM","Both",,,"2.81","1.405","Alliant","Health Exchange",,,"62",,"1.74","1.03","2.18","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL TAB ER 200MG","401430","CDM","Both",,,"2.81","1.405","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.52","1.03","2.18","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL TAB ER 200MG","401430","CDM","Both",,,"2.81","1.405","Medicare",,,,"54",,"1.52","1.03","2.18","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL TAB ER 200MG","401430","CDM","Both",,,"2.81","1.405","Humana","Medicare Advantage",,,"54",,"1.52","1.03","2.18","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL TAB ER 200MG","401430","CDM","Both",,,"2.81","1.405","UHC","Medicare Advantage",,,"54",,"1.52","1.03","2.18","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL TAB ER 200MG","401430","CDM","Both",,,"2.81","1.405","Clover","Medicare Advantage",,,"54",,"1.52","1.03","2.18","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL TAB ER 200MG","401430","CDM","Both",,,"2.81","1.405","Wellcare","Medicare Advantage",,,"54",,"1.52","1.03","2.18","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL TAB ER 200MG","401430","CDM","Both",,,"2.81","1.405","Amerigroup","Medicaid Managed Care",,,"37",,"1.03","1.03","2.18","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL TAB ER 200MG","401430","CDM","Both",,,"2.81","1.405","Caresource","Medicaid Managed Care",,,"40",,"1.12","1.03","2.18","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL TAB ER 200MG","401430","CDM","Both",,,"2.81","1.405","Wellcare","Medicaid Managed Care",,,"40",,"1.14","1.03","2.18","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL TAB ER 200MG","401430","CDM","Both",,,"2.81","1.405","Aetna","Commercial",,,"64",,"1.79","1.03","2.18","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL TAB ER 200MG","401430","CDM","Both",,,"2.81","1.405","Blue Cross Blue Shield","Pathways",,,"71",,"1.98","1.03","2.18","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL TAB ER 200MG","401430","CDM","Both",,,"2.81","1.405","Blue Cross Blue Shield","HMO",,,"71",,"1.98","1.03","2.18","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL TAB ER 200MG","401430","CDM","Both",,,"2.81","1.405","Blue Cross Blue Shield","PPO",,,"71",,"1.98","1.03","2.18","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL TAB ER 200MG","401430","CDM","Both",,,"2.81","1.405","Ambetter","Health Exchange",,,"62",,"1.74","1.03","2.18","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL TAB ER 200MG","401430","CDM","Both",,,"2.81","1.405","Caresource","Health Exchange",,,"62",,"1.74","1.03","2.18","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL TAB ER 200MG","401430","CDM","Both",,,"2.81","1.405","Cigna","Commercial",,,"59",,"1.65","1.03","2.18","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL TAB ER 200MG","401430","CDM","Both",,,"2.81","1.405","Humana","Commercial",,,"78",,"2.18","1.03","2.18","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL TAB ER 200MG","401430","CDM","Both",,,"2.81","1.405","UHC","Commercial",,,"75",,"2.12","1.03","2.18","percent of total billed charges",,
"NF-CARBAMAZEPINE ORAL TAB ER 200MG","401430","CDM","Both",,,"2.81","1.405","Medicaid",,,,"37",,"1.03","1.03","2.18","percent of total billed charges",,
"NF-NAMENDA TAB 10MG","401438","CDM","Both",,,"10.7","5.35","Alliant","Health Exchange",,,"62",,"6.63","3.92","8.29","percent of total billed charges",,
"NF-NAMENDA TAB 10MG","401438","CDM","Both",,,"10.7","5.35","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.78","3.92","8.29","percent of total billed charges",,
"NF-NAMENDA TAB 10MG","401438","CDM","Both",,,"10.7","5.35","Medicare",,,,"54",,"5.8","3.92","8.29","percent of total billed charges",,
"NF-NAMENDA TAB 10MG","401438","CDM","Both",,,"10.7","5.35","Humana","Medicare Advantage",,,"54",,"5.8","3.92","8.29","percent of total billed charges",,
"NF-NAMENDA TAB 10MG","401438","CDM","Both",,,"10.7","5.35","UHC","Medicare Advantage",,,"54",,"5.8","3.92","8.29","percent of total billed charges",,
"NF-NAMENDA TAB 10MG","401438","CDM","Both",,,"10.7","5.35","Clover","Medicare Advantage",,,"54",,"5.8","3.92","8.29","percent of total billed charges",,
"NF-NAMENDA TAB 10MG","401438","CDM","Both",,,"10.7","5.35","Wellcare","Medicare Advantage",,,"54",,"5.8","3.92","8.29","percent of total billed charges",,
"NF-NAMENDA TAB 10MG","401438","CDM","Both",,,"10.7","5.35","Amerigroup","Medicaid Managed Care",,,"37",,"3.92","3.92","8.29","percent of total billed charges",,
"NF-NAMENDA TAB 10MG","401438","CDM","Both",,,"10.7","5.35","Caresource","Medicaid Managed Care",,,"40",,"4.28","3.92","8.29","percent of total billed charges",,
"NF-NAMENDA TAB 10MG","401438","CDM","Both",,,"10.7","5.35","Wellcare","Medicaid Managed Care",,,"40",,"4.33","3.92","8.29","percent of total billed charges",,
"NF-NAMENDA TAB 10MG","401438","CDM","Both",,,"10.7","5.35","Aetna","Commercial",,,"64",,"6.83","3.92","8.29","percent of total billed charges",,
"NF-NAMENDA TAB 10MG","401438","CDM","Both",,,"10.7","5.35","Blue Cross Blue Shield","Pathways",,,"71",,"7.55","3.92","8.29","percent of total billed charges",,
"NF-NAMENDA TAB 10MG","401438","CDM","Both",,,"10.7","5.35","Blue Cross Blue Shield","HMO",,,"71",,"7.55","3.92","8.29","percent of total billed charges",,
"NF-NAMENDA TAB 10MG","401438","CDM","Both",,,"10.7","5.35","Blue Cross Blue Shield","PPO",,,"71",,"7.55","3.92","8.29","percent of total billed charges",,
"NF-NAMENDA TAB 10MG","401438","CDM","Both",,,"10.7","5.35","Ambetter","Health Exchange",,,"62",,"6.63","3.92","8.29","percent of total billed charges",,
"NF-NAMENDA TAB 10MG","401438","CDM","Both",,,"10.7","5.35","Caresource","Health Exchange",,,"62",,"6.63","3.92","8.29","percent of total billed charges",,
"NF-NAMENDA TAB 10MG","401438","CDM","Both",,,"10.7","5.35","Cigna","Commercial",,,"59",,"6.27","3.92","8.29","percent of total billed charges",,
"NF-NAMENDA TAB 10MG","401438","CDM","Both",,,"10.7","5.35","Humana","Commercial",,,"78",,"8.29","3.92","8.29","percent of total billed charges",,
"NF-NAMENDA TAB 10MG","401438","CDM","Both",,,"10.7","5.35","UHC","Commercial",,,"75",,"8.07","3.92","8.29","percent of total billed charges",,
"NF-NAMENDA TAB 10MG","401438","CDM","Both",,,"10.7","5.35","Medicaid",,,,"37",,"3.92","3.92","8.29","percent of total billed charges",,
"NF-TERBINAFINE HCL ORAL TABLET 250MG","401441","CDM","Both",,,"39.23","19.615","Alliant","Health Exchange",,,"62",,"24.32","14.36","30.4","percent of total billed charges",,
"NF-TERBINAFINE HCL ORAL TABLET 250MG","401441","CDM","Both",,,"39.23","19.615","Pruitt Healthcare","Medicare Advantage",,,"54",,"21.18","14.36","30.4","percent of total billed charges",,
"NF-TERBINAFINE HCL ORAL TABLET 250MG","401441","CDM","Both",,,"39.23","19.615","Medicare",,,,"54",,"21.26","14.36","30.4","percent of total billed charges",,
"NF-TERBINAFINE HCL ORAL TABLET 250MG","401441","CDM","Both",,,"39.23","19.615","Humana","Medicare Advantage",,,"54",,"21.26","14.36","30.4","percent of total billed charges",,
"NF-TERBINAFINE HCL ORAL TABLET 250MG","401441","CDM","Both",,,"39.23","19.615","UHC","Medicare Advantage",,,"54",,"21.26","14.36","30.4","percent of total billed charges",,
"NF-TERBINAFINE HCL ORAL TABLET 250MG","401441","CDM","Both",,,"39.23","19.615","Clover","Medicare Advantage",,,"54",,"21.26","14.36","30.4","percent of total billed charges",,
"NF-TERBINAFINE HCL ORAL TABLET 250MG","401441","CDM","Both",,,"39.23","19.615","Wellcare","Medicare Advantage",,,"54",,"21.26","14.36","30.4","percent of total billed charges",,
"NF-TERBINAFINE HCL ORAL TABLET 250MG","401441","CDM","Both",,,"39.23","19.615","Amerigroup","Medicaid Managed Care",,,"37",,"14.36","14.36","30.4","percent of total billed charges",,
"NF-TERBINAFINE HCL ORAL TABLET 250MG","401441","CDM","Both",,,"39.23","19.615","Caresource","Medicaid Managed Care",,,"40",,"15.69","14.36","30.4","percent of total billed charges",,
"NF-TERBINAFINE HCL ORAL TABLET 250MG","401441","CDM","Both",,,"39.23","19.615","Wellcare","Medicaid Managed Care",,,"40",,"15.89","14.36","30.4","percent of total billed charges",,
"NF-TERBINAFINE HCL ORAL TABLET 250MG","401441","CDM","Both",,,"39.23","19.615","Aetna","Commercial",,,"64",,"25.03","14.36","30.4","percent of total billed charges",,
"NF-TERBINAFINE HCL ORAL TABLET 250MG","401441","CDM","Both",,,"39.23","19.615","Blue Cross Blue Shield","Pathways",,,"71",,"27.7","14.36","30.4","percent of total billed charges",,
"NF-TERBINAFINE HCL ORAL TABLET 250MG","401441","CDM","Both",,,"39.23","19.615","Blue Cross Blue Shield","HMO",,,"71",,"27.7","14.36","30.4","percent of total billed charges",,
"NF-TERBINAFINE HCL ORAL TABLET 250MG","401441","CDM","Both",,,"39.23","19.615","Blue Cross Blue Shield","PPO",,,"71",,"27.7","14.36","30.4","percent of total billed charges",,
"NF-TERBINAFINE HCL ORAL TABLET 250MG","401441","CDM","Both",,,"39.23","19.615","Ambetter","Health Exchange",,,"62",,"24.32","14.36","30.4","percent of total billed charges",,
"NF-TERBINAFINE HCL ORAL TABLET 250MG","401441","CDM","Both",,,"39.23","19.615","Caresource","Health Exchange",,,"62",,"24.32","14.36","30.4","percent of total billed charges",,
"NF-TERBINAFINE HCL ORAL TABLET 250MG","401441","CDM","Both",,,"39.23","19.615","Cigna","Commercial",,,"59",,"22.99","14.36","30.4","percent of total billed charges",,
"NF-TERBINAFINE HCL ORAL TABLET 250MG","401441","CDM","Both",,,"39.23","19.615","Humana","Commercial",,,"78",,"30.4","14.36","30.4","percent of total billed charges",,
"NF-TERBINAFINE HCL ORAL TABLET 250MG","401441","CDM","Both",,,"39.23","19.615","UHC","Commercial",,,"75",,"29.58","14.36","30.4","percent of total billed charges",,
"NF-TERBINAFINE HCL ORAL TABLET 250MG","401441","CDM","Both",,,"39.23","19.615","Medicaid",,,,"37",,"14.36","14.36","30.4","percent of total billed charges",,
"NF-ZANAFLEX ORAL CAPSULE 6MG","401820","CDM","Both",,,"21.79","10.895","Alliant","Health Exchange",,,"62",,"13.51","7.98","16.89","percent of total billed charges",,
"NF-ZANAFLEX ORAL CAPSULE 6MG","401820","CDM","Both",,,"21.79","10.895","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.77","7.98","16.89","percent of total billed charges",,
"NF-ZANAFLEX ORAL CAPSULE 6MG","401820","CDM","Both",,,"21.79","10.895","Medicare",,,,"54",,"11.81","7.98","16.89","percent of total billed charges",,
"NF-ZANAFLEX ORAL CAPSULE 6MG","401820","CDM","Both",,,"21.79","10.895","Humana","Medicare Advantage",,,"54",,"11.81","7.98","16.89","percent of total billed charges",,
"NF-ZANAFLEX ORAL CAPSULE 6MG","401820","CDM","Both",,,"21.79","10.895","UHC","Medicare Advantage",,,"54",,"11.81","7.98","16.89","percent of total billed charges",,
"NF-ZANAFLEX ORAL CAPSULE 6MG","401820","CDM","Both",,,"21.79","10.895","Clover","Medicare Advantage",,,"54",,"11.81","7.98","16.89","percent of total billed charges",,
"NF-ZANAFLEX ORAL CAPSULE 6MG","401820","CDM","Both",,,"21.79","10.895","Wellcare","Medicare Advantage",,,"54",,"11.81","7.98","16.89","percent of total billed charges",,
"NF-ZANAFLEX ORAL CAPSULE 6MG","401820","CDM","Both",,,"21.79","10.895","Amerigroup","Medicaid Managed Care",,,"37",,"7.98","7.98","16.89","percent of total billed charges",,
"NF-ZANAFLEX ORAL CAPSULE 6MG","401820","CDM","Both",,,"21.79","10.895","Caresource","Medicaid Managed Care",,,"40",,"8.72","7.98","16.89","percent of total billed charges",,
"NF-ZANAFLEX ORAL CAPSULE 6MG","401820","CDM","Both",,,"21.79","10.895","Wellcare","Medicaid Managed Care",,,"40",,"8.82","7.98","16.89","percent of total billed charges",,
"NF-ZANAFLEX ORAL CAPSULE 6MG","401820","CDM","Both",,,"21.79","10.895","Aetna","Commercial",,,"64",,"13.9","7.98","16.89","percent of total billed charges",,
"NF-ZANAFLEX ORAL CAPSULE 6MG","401820","CDM","Both",,,"21.79","10.895","Blue Cross Blue Shield","Pathways",,,"71",,"15.38","7.98","16.89","percent of total billed charges",,
"NF-ZANAFLEX ORAL CAPSULE 6MG","401820","CDM","Both",,,"21.79","10.895","Blue Cross Blue Shield","HMO",,,"71",,"15.38","7.98","16.89","percent of total billed charges",,
"NF-ZANAFLEX ORAL CAPSULE 6MG","401820","CDM","Both",,,"21.79","10.895","Blue Cross Blue Shield","PPO",,,"71",,"15.38","7.98","16.89","percent of total billed charges",,
"NF-ZANAFLEX ORAL CAPSULE 6MG","401820","CDM","Both",,,"21.79","10.895","Ambetter","Health Exchange",,,"62",,"13.51","7.98","16.89","percent of total billed charges",,
"NF-ZANAFLEX ORAL CAPSULE 6MG","401820","CDM","Both",,,"21.79","10.895","Caresource","Health Exchange",,,"62",,"13.51","7.98","16.89","percent of total billed charges",,
"NF-ZANAFLEX ORAL CAPSULE 6MG","401820","CDM","Both",,,"21.79","10.895","Cigna","Commercial",,,"59",,"12.77","7.98","16.89","percent of total billed charges",,
"NF-ZANAFLEX ORAL CAPSULE 6MG","401820","CDM","Both",,,"21.79","10.895","Humana","Commercial",,,"78",,"16.89","7.98","16.89","percent of total billed charges",,
"NF-ZANAFLEX ORAL CAPSULE 6MG","401820","CDM","Both",,,"21.79","10.895","UHC","Commercial",,,"75",,"16.43","7.98","16.89","percent of total billed charges",,
"NF-ZANAFLEX ORAL CAPSULE 6MG","401820","CDM","Both",,,"21.79","10.895","Medicaid",,,,"37",,"7.98","7.98","16.89","percent of total billed charges",,
"NF-IRON TABLET 65MG","401829","CDM","Both",,,"0.03","0.015","Alliant","Health Exchange",,,"62",,"0.02","0.01","0.02","percent of total billed charges",,
"NF-IRON TABLET 65MG","401829","CDM","Both",,,"0.03","0.015","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.02","0.01","0.02","percent of total billed charges",,
"NF-IRON TABLET 65MG","401829","CDM","Both",,,"0.03","0.015","Medicare",,,,"54",,"0.02","0.01","0.02","percent of total billed charges",,
"NF-IRON TABLET 65MG","401829","CDM","Both",,,"0.03","0.015","Humana","Medicare Advantage",,,"54",,"0.02","0.01","0.02","percent of total billed charges",,
"NF-IRON TABLET 65MG","401829","CDM","Both",,,"0.03","0.015","UHC","Medicare Advantage",,,"54",,"0.02","0.01","0.02","percent of total billed charges",,
"NF-IRON TABLET 65MG","401829","CDM","Both",,,"0.03","0.015","Clover","Medicare Advantage",,,"54",,"0.02","0.01","0.02","percent of total billed charges",,
"NF-IRON TABLET 65MG","401829","CDM","Both",,,"0.03","0.015","Wellcare","Medicare Advantage",,,"54",,"0.02","0.01","0.02","percent of total billed charges",,
"NF-IRON TABLET 65MG","401829","CDM","Both",,,"0.03","0.015","Amerigroup","Medicaid Managed Care",,,"37",,"0.01","0.01","0.02","percent of total billed charges",,
"NF-IRON TABLET 65MG","401829","CDM","Both",,,"0.03","0.015","Caresource","Medicaid Managed Care",,,"40",,"0.01","0.01","0.02","percent of total billed charges",,
"NF-IRON TABLET 65MG","401829","CDM","Both",,,"0.03","0.015","Wellcare","Medicaid Managed Care",,,"40",,"0.01","0.01","0.02","percent of total billed charges",,
"NF-IRON TABLET 65MG","401829","CDM","Both",,,"0.03","0.015","Aetna","Commercial",,,"64",,"0.02","0.01","0.02","percent of total billed charges",,
"NF-IRON TABLET 65MG","401829","CDM","Both",,,"0.03","0.015","Blue Cross Blue Shield","Pathways",,,"71",,"0.02","0.01","0.02","percent of total billed charges",,
"NF-IRON TABLET 65MG","401829","CDM","Both",,,"0.03","0.015","Blue Cross Blue Shield","HMO",,,"71",,"0.02","0.01","0.02","percent of total billed charges",,
"NF-IRON TABLET 65MG","401829","CDM","Both",,,"0.03","0.015","Blue Cross Blue Shield","PPO",,,"71",,"0.02","0.01","0.02","percent of total billed charges",,
"NF-IRON TABLET 65MG","401829","CDM","Both",,,"0.03","0.015","Ambetter","Health Exchange",,,"62",,"0.02","0.01","0.02","percent of total billed charges",,
"NF-IRON TABLET 65MG","401829","CDM","Both",,,"0.03","0.015","Caresource","Health Exchange",,,"62",,"0.02","0.01","0.02","percent of total billed charges",,
"NF-IRON TABLET 65MG","401829","CDM","Both",,,"0.03","0.015","Cigna","Commercial",,,"59",,"0.02","0.01","0.02","percent of total billed charges",,
"NF-IRON TABLET 65MG","401829","CDM","Both",,,"0.03","0.015","Humana","Commercial",,,"78",,"0.02","0.01","0.02","percent of total billed charges",,
"NF-IRON TABLET 65MG","401829","CDM","Both",,,"0.03","0.015","UHC","Commercial",,,"75",,"0.02","0.01","0.02","percent of total billed charges",,
"NF-IRON TABLET 65MG","401829","CDM","Both",,,"0.03","0.015","Medicaid",,,,"37",,"0.01","0.01","0.02","percent of total billed charges",,
"NF-BYETTA SUBCUTANEOUS SOLUTION 250MCG/1","401838","CDM","Both",,,"516.03","258.015","Alliant","Health Exchange",,,"62",,"319.94","188.87","399.92","percent of total billed charges",,
"NF-BYETTA SUBCUTANEOUS SOLUTION 250MCG/1","401838","CDM","Both",,,"516.03","258.015","Pruitt Healthcare","Medicare Advantage",,,"54",,"278.66","188.87","399.92","percent of total billed charges",,
"NF-BYETTA SUBCUTANEOUS SOLUTION 250MCG/1","401838","CDM","Both",,,"516.03","258.015","Medicare",,,,"54",,"279.69","188.87","399.92","percent of total billed charges",,
"NF-BYETTA SUBCUTANEOUS SOLUTION 250MCG/1","401838","CDM","Both",,,"516.03","258.015","Humana","Medicare Advantage",,,"54",,"279.69","188.87","399.92","percent of total billed charges",,
"NF-BYETTA SUBCUTANEOUS SOLUTION 250MCG/1","401838","CDM","Both",,,"516.03","258.015","UHC","Medicare Advantage",,,"54",,"279.69","188.87","399.92","percent of total billed charges",,
"NF-BYETTA SUBCUTANEOUS SOLUTION 250MCG/1","401838","CDM","Both",,,"516.03","258.015","Clover","Medicare Advantage",,,"54",,"279.69","188.87","399.92","percent of total billed charges",,
"NF-BYETTA SUBCUTANEOUS SOLUTION 250MCG/1","401838","CDM","Both",,,"516.03","258.015","Wellcare","Medicare Advantage",,,"54",,"279.69","188.87","399.92","percent of total billed charges",,
"NF-BYETTA SUBCUTANEOUS SOLUTION 250MCG/1","401838","CDM","Both",,,"516.03","258.015","Amerigroup","Medicaid Managed Care",,,"37",,"188.87","188.87","399.92","percent of total billed charges",,
"NF-BYETTA SUBCUTANEOUS SOLUTION 250MCG/1","401838","CDM","Both",,,"516.03","258.015","Caresource","Medicaid Managed Care",,,"40",,"206.41","188.87","399.92","percent of total billed charges",,
"NF-BYETTA SUBCUTANEOUS SOLUTION 250MCG/1","401838","CDM","Both",,,"516.03","258.015","Wellcare","Medicaid Managed Care",,,"40",,"208.99","188.87","399.92","percent of total billed charges",,
"NF-BYETTA SUBCUTANEOUS SOLUTION 250MCG/1","401838","CDM","Both",,,"516.03","258.015","Aetna","Commercial",,,"64",,"329.23","188.87","399.92","percent of total billed charges",,
"NF-BYETTA SUBCUTANEOUS SOLUTION 250MCG/1","401838","CDM","Both",,,"516.03","258.015","Blue Cross Blue Shield","Pathways",,,"71",,"364.32","188.87","399.92","percent of total billed charges",,
"NF-BYETTA SUBCUTANEOUS SOLUTION 250MCG/1","401838","CDM","Both",,,"516.03","258.015","Blue Cross Blue Shield","HMO",,,"71",,"364.32","188.87","399.92","percent of total billed charges",,
"NF-BYETTA SUBCUTANEOUS SOLUTION 250MCG/1","401838","CDM","Both",,,"516.03","258.015","Blue Cross Blue Shield","PPO",,,"71",,"364.32","188.87","399.92","percent of total billed charges",,
"NF-BYETTA SUBCUTANEOUS SOLUTION 250MCG/1","401838","CDM","Both",,,"516.03","258.015","Ambetter","Health Exchange",,,"62",,"319.94","188.87","399.92","percent of total billed charges",,
"NF-BYETTA SUBCUTANEOUS SOLUTION 250MCG/1","401838","CDM","Both",,,"516.03","258.015","Caresource","Health Exchange",,,"62",,"319.94","188.87","399.92","percent of total billed charges",,
"NF-BYETTA SUBCUTANEOUS SOLUTION 250MCG/1","401838","CDM","Both",,,"516.03","258.015","Cigna","Commercial",,,"59",,"302.39","188.87","399.92","percent of total billed charges",,
"NF-BYETTA SUBCUTANEOUS SOLUTION 250MCG/1","401838","CDM","Both",,,"516.03","258.015","Humana","Commercial",,,"78",,"399.92","188.87","399.92","percent of total billed charges",,
"NF-BYETTA SUBCUTANEOUS SOLUTION 250MCG/1","401838","CDM","Both",,,"516.03","258.015","UHC","Commercial",,,"75",,"389.09","188.87","399.92","percent of total billed charges",,
"NF-BYETTA SUBCUTANEOUS SOLUTION 250MCG/1","401838","CDM","Both",,,"516.03","258.015","Medicaid",,,,"37",,"188.87","188.87","399.92","percent of total billed charges",,
"NF-ACCUPRIL ORAL TABLET 20MG","402078","CDM","Both",,,"5.94","2.97","Alliant","Health Exchange",,,"62",,"3.68","2.17","4.6","percent of total billed charges",,
"NF-ACCUPRIL ORAL TABLET 20MG","402078","CDM","Both",,,"5.94","2.97","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.21","2.17","4.6","percent of total billed charges",,
"NF-ACCUPRIL ORAL TABLET 20MG","402078","CDM","Both",,,"5.94","2.97","Medicare",,,,"54",,"3.22","2.17","4.6","percent of total billed charges",,
"NF-ACCUPRIL ORAL TABLET 20MG","402078","CDM","Both",,,"5.94","2.97","Humana","Medicare Advantage",,,"54",,"3.22","2.17","4.6","percent of total billed charges",,
"NF-ACCUPRIL ORAL TABLET 20MG","402078","CDM","Both",,,"5.94","2.97","UHC","Medicare Advantage",,,"54",,"3.22","2.17","4.6","percent of total billed charges",,
"NF-ACCUPRIL ORAL TABLET 20MG","402078","CDM","Both",,,"5.94","2.97","Clover","Medicare Advantage",,,"54",,"3.22","2.17","4.6","percent of total billed charges",,
"NF-ACCUPRIL ORAL TABLET 20MG","402078","CDM","Both",,,"5.94","2.97","Wellcare","Medicare Advantage",,,"54",,"3.22","2.17","4.6","percent of total billed charges",,
"NF-ACCUPRIL ORAL TABLET 20MG","402078","CDM","Both",,,"5.94","2.97","Amerigroup","Medicaid Managed Care",,,"37",,"2.17","2.17","4.6","percent of total billed charges",,
"NF-ACCUPRIL ORAL TABLET 20MG","402078","CDM","Both",,,"5.94","2.97","Caresource","Medicaid Managed Care",,,"40",,"2.38","2.17","4.6","percent of total billed charges",,
"NF-ACCUPRIL ORAL TABLET 20MG","402078","CDM","Both",,,"5.94","2.97","Wellcare","Medicaid Managed Care",,,"40",,"2.41","2.17","4.6","percent of total billed charges",,
"NF-ACCUPRIL ORAL TABLET 20MG","402078","CDM","Both",,,"5.94","2.97","Aetna","Commercial",,,"64",,"3.79","2.17","4.6","percent of total billed charges",,
"NF-ACCUPRIL ORAL TABLET 20MG","402078","CDM","Both",,,"5.94","2.97","Blue Cross Blue Shield","Pathways",,,"71",,"4.19","2.17","4.6","percent of total billed charges",,
"NF-ACCUPRIL ORAL TABLET 20MG","402078","CDM","Both",,,"5.94","2.97","Blue Cross Blue Shield","HMO",,,"71",,"4.19","2.17","4.6","percent of total billed charges",,
"NF-ACCUPRIL ORAL TABLET 20MG","402078","CDM","Both",,,"5.94","2.97","Blue Cross Blue Shield","PPO",,,"71",,"4.19","2.17","4.6","percent of total billed charges",,
"NF-ACCUPRIL ORAL TABLET 20MG","402078","CDM","Both",,,"5.94","2.97","Ambetter","Health Exchange",,,"62",,"3.68","2.17","4.6","percent of total billed charges",,
"NF-ACCUPRIL ORAL TABLET 20MG","402078","CDM","Both",,,"5.94","2.97","Caresource","Health Exchange",,,"62",,"3.68","2.17","4.6","percent of total billed charges",,
"NF-ACCUPRIL ORAL TABLET 20MG","402078","CDM","Both",,,"5.94","2.97","Cigna","Commercial",,,"59",,"3.48","2.17","4.6","percent of total billed charges",,
"NF-ACCUPRIL ORAL TABLET 20MG","402078","CDM","Both",,,"5.94","2.97","Humana","Commercial",,,"78",,"4.6","2.17","4.6","percent of total billed charges",,
"NF-ACCUPRIL ORAL TABLET 20MG","402078","CDM","Both",,,"5.94","2.97","UHC","Commercial",,,"75",,"4.48","2.17","4.6","percent of total billed charges",,
"NF-ACCUPRIL ORAL TABLET 20MG","402078","CDM","Both",,,"5.94","2.97","Medicaid",,,,"37",,"2.17","2.17","4.6","percent of total billed charges",,
"NF-HYDROCODONE BITARTRATE-ACETAMINOPHEN","402083","CDM","Both",,,"5.03","2.515","Alliant","Health Exchange",,,"62",,"3.12","1.84","3.9","percent of total billed charges",,
"NF-HYDROCODONE BITARTRATE-ACETAMINOPHEN","402083","CDM","Both",,,"5.03","2.515","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.72","1.84","3.9","percent of total billed charges",,
"NF-HYDROCODONE BITARTRATE-ACETAMINOPHEN","402083","CDM","Both",,,"5.03","2.515","Medicare",,,,"54",,"2.73","1.84","3.9","percent of total billed charges",,
"NF-HYDROCODONE BITARTRATE-ACETAMINOPHEN","402083","CDM","Both",,,"5.03","2.515","Humana","Medicare Advantage",,,"54",,"2.73","1.84","3.9","percent of total billed charges",,
"NF-HYDROCODONE BITARTRATE-ACETAMINOPHEN","402083","CDM","Both",,,"5.03","2.515","UHC","Medicare Advantage",,,"54",,"2.73","1.84","3.9","percent of total billed charges",,
"NF-HYDROCODONE BITARTRATE-ACETAMINOPHEN","402083","CDM","Both",,,"5.03","2.515","Clover","Medicare Advantage",,,"54",,"2.73","1.84","3.9","percent of total billed charges",,
"NF-HYDROCODONE BITARTRATE-ACETAMINOPHEN","402083","CDM","Both",,,"5.03","2.515","Wellcare","Medicare Advantage",,,"54",,"2.73","1.84","3.9","percent of total billed charges",,
"NF-HYDROCODONE BITARTRATE-ACETAMINOPHEN","402083","CDM","Both",,,"5.03","2.515","Amerigroup","Medicaid Managed Care",,,"37",,"1.84","1.84","3.9","percent of total billed charges",,
"NF-HYDROCODONE BITARTRATE-ACETAMINOPHEN","402083","CDM","Both",,,"5.03","2.515","Caresource","Medicaid Managed Care",,,"40",,"2.01","1.84","3.9","percent of total billed charges",,
"NF-HYDROCODONE BITARTRATE-ACETAMINOPHEN","402083","CDM","Both",,,"5.03","2.515","Wellcare","Medicaid Managed Care",,,"40",,"2.04","1.84","3.9","percent of total billed charges",,
"NF-HYDROCODONE BITARTRATE-ACETAMINOPHEN","402083","CDM","Both",,,"5.03","2.515","Aetna","Commercial",,,"64",,"3.21","1.84","3.9","percent of total billed charges",,
"NF-HYDROCODONE BITARTRATE-ACETAMINOPHEN","402083","CDM","Both",,,"5.03","2.515","Blue Cross Blue Shield","Pathways",,,"71",,"3.55","1.84","3.9","percent of total billed charges",,
"NF-HYDROCODONE BITARTRATE-ACETAMINOPHEN","402083","CDM","Both",,,"5.03","2.515","Blue Cross Blue Shield","HMO",,,"71",,"3.55","1.84","3.9","percent of total billed charges",,
"NF-HYDROCODONE BITARTRATE-ACETAMINOPHEN","402083","CDM","Both",,,"5.03","2.515","Blue Cross Blue Shield","PPO",,,"71",,"3.55","1.84","3.9","percent of total billed charges",,
"NF-HYDROCODONE BITARTRATE-ACETAMINOPHEN","402083","CDM","Both",,,"5.03","2.515","Ambetter","Health Exchange",,,"62",,"3.12","1.84","3.9","percent of total billed charges",,
"NF-HYDROCODONE BITARTRATE-ACETAMINOPHEN","402083","CDM","Both",,,"5.03","2.515","Caresource","Health Exchange",,,"62",,"3.12","1.84","3.9","percent of total billed charges",,
"NF-HYDROCODONE BITARTRATE-ACETAMINOPHEN","402083","CDM","Both",,,"5.03","2.515","Cigna","Commercial",,,"59",,"2.95","1.84","3.9","percent of total billed charges",,
"NF-HYDROCODONE BITARTRATE-ACETAMINOPHEN","402083","CDM","Both",,,"5.03","2.515","Humana","Commercial",,,"78",,"3.9","1.84","3.9","percent of total billed charges",,
"NF-HYDROCODONE BITARTRATE-ACETAMINOPHEN","402083","CDM","Both",,,"5.03","2.515","UHC","Commercial",,,"75",,"3.79","1.84","3.9","percent of total billed charges",,
"NF-HYDROCODONE BITARTRATE-ACETAMINOPHEN","402083","CDM","Both",,,"5.03","2.515","Medicaid",,,,"37",,"1.84","1.84","3.9","percent of total billed charges",,
"NF-ADALAT CC 90MG ORAL TABLET, EXTENDED","402104","CDM","Both",,,"10.11","5.055","Alliant","Health Exchange",,,"62",,"6.27","3.7","7.84","percent of total billed charges",,
"NF-ADALAT CC 90MG ORAL TABLET, EXTENDED","402104","CDM","Both",,,"10.11","5.055","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.46","3.7","7.84","percent of total billed charges",,
"NF-ADALAT CC 90MG ORAL TABLET, EXTENDED","402104","CDM","Both",,,"10.11","5.055","Medicare",,,,"54",,"5.48","3.7","7.84","percent of total billed charges",,
"NF-ADALAT CC 90MG ORAL TABLET, EXTENDED","402104","CDM","Both",,,"10.11","5.055","Humana","Medicare Advantage",,,"54",,"5.48","3.7","7.84","percent of total billed charges",,
"NF-ADALAT CC 90MG ORAL TABLET, EXTENDED","402104","CDM","Both",,,"10.11","5.055","UHC","Medicare Advantage",,,"54",,"5.48","3.7","7.84","percent of total billed charges",,
"NF-ADALAT CC 90MG ORAL TABLET, EXTENDED","402104","CDM","Both",,,"10.11","5.055","Clover","Medicare Advantage",,,"54",,"5.48","3.7","7.84","percent of total billed charges",,
"NF-ADALAT CC 90MG ORAL TABLET, EXTENDED","402104","CDM","Both",,,"10.11","5.055","Wellcare","Medicare Advantage",,,"54",,"5.48","3.7","7.84","percent of total billed charges",,
"NF-ADALAT CC 90MG ORAL TABLET, EXTENDED","402104","CDM","Both",,,"10.11","5.055","Amerigroup","Medicaid Managed Care",,,"37",,"3.7","3.7","7.84","percent of total billed charges",,
"NF-ADALAT CC 90MG ORAL TABLET, EXTENDED","402104","CDM","Both",,,"10.11","5.055","Caresource","Medicaid Managed Care",,,"40",,"4.04","3.7","7.84","percent of total billed charges",,
"NF-ADALAT CC 90MG ORAL TABLET, EXTENDED","402104","CDM","Both",,,"10.11","5.055","Wellcare","Medicaid Managed Care",,,"40",,"4.09","3.7","7.84","percent of total billed charges",,
"NF-ADALAT CC 90MG ORAL TABLET, EXTENDED","402104","CDM","Both",,,"10.11","5.055","Aetna","Commercial",,,"64",,"6.45","3.7","7.84","percent of total billed charges",,
"NF-ADALAT CC 90MG ORAL TABLET, EXTENDED","402104","CDM","Both",,,"10.11","5.055","Blue Cross Blue Shield","Pathways",,,"71",,"7.14","3.7","7.84","percent of total billed charges",,
"NF-ADALAT CC 90MG ORAL TABLET, EXTENDED","402104","CDM","Both",,,"10.11","5.055","Blue Cross Blue Shield","HMO",,,"71",,"7.14","3.7","7.84","percent of total billed charges",,
"NF-ADALAT CC 90MG ORAL TABLET, EXTENDED","402104","CDM","Both",,,"10.11","5.055","Blue Cross Blue Shield","PPO",,,"71",,"7.14","3.7","7.84","percent of total billed charges",,
"NF-ADALAT CC 90MG ORAL TABLET, EXTENDED","402104","CDM","Both",,,"10.11","5.055","Ambetter","Health Exchange",,,"62",,"6.27","3.7","7.84","percent of total billed charges",,
"NF-ADALAT CC 90MG ORAL TABLET, EXTENDED","402104","CDM","Both",,,"10.11","5.055","Caresource","Health Exchange",,,"62",,"6.27","3.7","7.84","percent of total billed charges",,
"NF-ADALAT CC 90MG ORAL TABLET, EXTENDED","402104","CDM","Both",,,"10.11","5.055","Cigna","Commercial",,,"59",,"5.92","3.7","7.84","percent of total billed charges",,
"NF-ADALAT CC 90MG ORAL TABLET, EXTENDED","402104","CDM","Both",,,"10.11","5.055","Humana","Commercial",,,"78",,"7.84","3.7","7.84","percent of total billed charges",,
"NF-ADALAT CC 90MG ORAL TABLET, EXTENDED","402104","CDM","Both",,,"10.11","5.055","UHC","Commercial",,,"75",,"7.62","3.7","7.84","percent of total billed charges",,
"NF-ADALAT CC 90MG ORAL TABLET, EXTENDED","402104","CDM","Both",,,"10.11","5.055","Medicaid",,,,"37",,"3.7","3.7","7.84","percent of total billed charges",,
"NF-WELLBUTRIN SR 200MG ORAL TABLET, EXTE","402119","CDM","Both",,,"36.59","18.295","Alliant","Health Exchange",,,"62",,"22.69","13.39","28.36","percent of total billed charges",,
"NF-WELLBUTRIN SR 200MG ORAL TABLET, EXTE","402119","CDM","Both",,,"36.59","18.295","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.76","13.39","28.36","percent of total billed charges",,
"NF-WELLBUTRIN SR 200MG ORAL TABLET, EXTE","402119","CDM","Both",,,"36.59","18.295","Medicare",,,,"54",,"19.83","13.39","28.36","percent of total billed charges",,
"NF-WELLBUTRIN SR 200MG ORAL TABLET, EXTE","402119","CDM","Both",,,"36.59","18.295","Humana","Medicare Advantage",,,"54",,"19.83","13.39","28.36","percent of total billed charges",,
"NF-WELLBUTRIN SR 200MG ORAL TABLET, EXTE","402119","CDM","Both",,,"36.59","18.295","UHC","Medicare Advantage",,,"54",,"19.83","13.39","28.36","percent of total billed charges",,
"NF-WELLBUTRIN SR 200MG ORAL TABLET, EXTE","402119","CDM","Both",,,"36.59","18.295","Clover","Medicare Advantage",,,"54",,"19.83","13.39","28.36","percent of total billed charges",,
"NF-WELLBUTRIN SR 200MG ORAL TABLET, EXTE","402119","CDM","Both",,,"36.59","18.295","Wellcare","Medicare Advantage",,,"54",,"19.83","13.39","28.36","percent of total billed charges",,
"NF-WELLBUTRIN SR 200MG ORAL TABLET, EXTE","402119","CDM","Both",,,"36.59","18.295","Amerigroup","Medicaid Managed Care",,,"37",,"13.39","13.39","28.36","percent of total billed charges",,
"NF-WELLBUTRIN SR 200MG ORAL TABLET, EXTE","402119","CDM","Both",,,"36.59","18.295","Caresource","Medicaid Managed Care",,,"40",,"14.64","13.39","28.36","percent of total billed charges",,
"NF-WELLBUTRIN SR 200MG ORAL TABLET, EXTE","402119","CDM","Both",,,"36.59","18.295","Wellcare","Medicaid Managed Care",,,"40",,"14.82","13.39","28.36","percent of total billed charges",,
"NF-WELLBUTRIN SR 200MG ORAL TABLET, EXTE","402119","CDM","Both",,,"36.59","18.295","Aetna","Commercial",,,"64",,"23.34","13.39","28.36","percent of total billed charges",,
"NF-WELLBUTRIN SR 200MG ORAL TABLET, EXTE","402119","CDM","Both",,,"36.59","18.295","Blue Cross Blue Shield","Pathways",,,"71",,"25.83","13.39","28.36","percent of total billed charges",,
"NF-WELLBUTRIN SR 200MG ORAL TABLET, EXTE","402119","CDM","Both",,,"36.59","18.295","Blue Cross Blue Shield","HMO",,,"71",,"25.83","13.39","28.36","percent of total billed charges",,
"NF-WELLBUTRIN SR 200MG ORAL TABLET, EXTE","402119","CDM","Both",,,"36.59","18.295","Blue Cross Blue Shield","PPO",,,"71",,"25.83","13.39","28.36","percent of total billed charges",,
"NF-WELLBUTRIN SR 200MG ORAL TABLET, EXTE","402119","CDM","Both",,,"36.59","18.295","Ambetter","Health Exchange",,,"62",,"22.69","13.39","28.36","percent of total billed charges",,
"NF-WELLBUTRIN SR 200MG ORAL TABLET, EXTE","402119","CDM","Both",,,"36.59","18.295","Caresource","Health Exchange",,,"62",,"22.69","13.39","28.36","percent of total billed charges",,
"NF-WELLBUTRIN SR 200MG ORAL TABLET, EXTE","402119","CDM","Both",,,"36.59","18.295","Cigna","Commercial",,,"59",,"21.44","13.39","28.36","percent of total billed charges",,
"NF-WELLBUTRIN SR 200MG ORAL TABLET, EXTE","402119","CDM","Both",,,"36.59","18.295","Humana","Commercial",,,"78",,"28.36","13.39","28.36","percent of total billed charges",,
"NF-WELLBUTRIN SR 200MG ORAL TABLET, EXTE","402119","CDM","Both",,,"36.59","18.295","UHC","Commercial",,,"75",,"27.59","13.39","28.36","percent of total billed charges",,
"NF-WELLBUTRIN SR 200MG ORAL TABLET, EXTE","402119","CDM","Both",,,"36.59","18.295","Medicaid",,,,"37",,"13.39","13.39","28.36","percent of total billed charges",,
"NF-ROXICET TAB 5MG-325MG","402132","CDM","Both",,,"3.11","1.555","Alliant","Health Exchange",,,"62",,"1.93","1.14","2.41","percent of total billed charges",,
"NF-ROXICET TAB 5MG-325MG","402132","CDM","Both",,,"3.11","1.555","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.68","1.14","2.41","percent of total billed charges",,
"NF-ROXICET TAB 5MG-325MG","402132","CDM","Both",,,"3.11","1.555","Medicare",,,,"54",,"1.69","1.14","2.41","percent of total billed charges",,
"NF-ROXICET TAB 5MG-325MG","402132","CDM","Both",,,"3.11","1.555","Humana","Medicare Advantage",,,"54",,"1.69","1.14","2.41","percent of total billed charges",,
"NF-ROXICET TAB 5MG-325MG","402132","CDM","Both",,,"3.11","1.555","UHC","Medicare Advantage",,,"54",,"1.69","1.14","2.41","percent of total billed charges",,
"NF-ROXICET TAB 5MG-325MG","402132","CDM","Both",,,"3.11","1.555","Clover","Medicare Advantage",,,"54",,"1.69","1.14","2.41","percent of total billed charges",,
"NF-ROXICET TAB 5MG-325MG","402132","CDM","Both",,,"3.11","1.555","Wellcare","Medicare Advantage",,,"54",,"1.69","1.14","2.41","percent of total billed charges",,
"NF-ROXICET TAB 5MG-325MG","402132","CDM","Both",,,"3.11","1.555","Amerigroup","Medicaid Managed Care",,,"37",,"1.14","1.14","2.41","percent of total billed charges",,
"NF-ROXICET TAB 5MG-325MG","402132","CDM","Both",,,"3.11","1.555","Caresource","Medicaid Managed Care",,,"40",,"1.24","1.14","2.41","percent of total billed charges",,
"NF-ROXICET TAB 5MG-325MG","402132","CDM","Both",,,"3.11","1.555","Wellcare","Medicaid Managed Care",,,"40",,"1.26","1.14","2.41","percent of total billed charges",,
"NF-ROXICET TAB 5MG-325MG","402132","CDM","Both",,,"3.11","1.555","Aetna","Commercial",,,"64",,"1.98","1.14","2.41","percent of total billed charges",,
"NF-ROXICET TAB 5MG-325MG","402132","CDM","Both",,,"3.11","1.555","Blue Cross Blue Shield","Pathways",,,"71",,"2.2","1.14","2.41","percent of total billed charges",,
"NF-ROXICET TAB 5MG-325MG","402132","CDM","Both",,,"3.11","1.555","Blue Cross Blue Shield","HMO",,,"71",,"2.2","1.14","2.41","percent of total billed charges",,
"NF-ROXICET TAB 5MG-325MG","402132","CDM","Both",,,"3.11","1.555","Blue Cross Blue Shield","PPO",,,"71",,"2.2","1.14","2.41","percent of total billed charges",,
"NF-ROXICET TAB 5MG-325MG","402132","CDM","Both",,,"3.11","1.555","Ambetter","Health Exchange",,,"62",,"1.93","1.14","2.41","percent of total billed charges",,
"NF-ROXICET TAB 5MG-325MG","402132","CDM","Both",,,"3.11","1.555","Caresource","Health Exchange",,,"62",,"1.93","1.14","2.41","percent of total billed charges",,
"NF-ROXICET TAB 5MG-325MG","402132","CDM","Both",,,"3.11","1.555","Cigna","Commercial",,,"59",,"1.82","1.14","2.41","percent of total billed charges",,
"NF-ROXICET TAB 5MG-325MG","402132","CDM","Both",,,"3.11","1.555","Humana","Commercial",,,"78",,"2.41","1.14","2.41","percent of total billed charges",,
"NF-ROXICET TAB 5MG-325MG","402132","CDM","Both",,,"3.11","1.555","UHC","Commercial",,,"75",,"2.34","1.14","2.41","percent of total billed charges",,
"NF-ROXICET TAB 5MG-325MG","402132","CDM","Both",,,"3.11","1.555","Medicaid",,,,"37",,"1.14","1.14","2.41","percent of total billed charges",,
"NF-AZITHROMYCIN IV PWD FOR SOLN 500MG","402136","CDM","Both",,,"21.6","10.8","Alliant","Health Exchange",,,"62",,"13.39","7.91","16.74","percent of total billed charges",,
"NF-AZITHROMYCIN IV PWD FOR SOLN 500MG","402136","CDM","Both",,,"21.6","10.8","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.66","7.91","16.74","percent of total billed charges",,
"NF-AZITHROMYCIN IV PWD FOR SOLN 500MG","402136","CDM","Both",,,"21.6","10.8","Medicare",,,,"54",,"11.71","7.91","16.74","percent of total billed charges",,
"NF-AZITHROMYCIN IV PWD FOR SOLN 500MG","402136","CDM","Both",,,"21.6","10.8","Humana","Medicare Advantage",,,"54",,"11.71","7.91","16.74","percent of total billed charges",,
"NF-AZITHROMYCIN IV PWD FOR SOLN 500MG","402136","CDM","Both",,,"21.6","10.8","UHC","Medicare Advantage",,,"54",,"11.71","7.91","16.74","percent of total billed charges",,
"NF-AZITHROMYCIN IV PWD FOR SOLN 500MG","402136","CDM","Both",,,"21.6","10.8","Clover","Medicare Advantage",,,"54",,"11.71","7.91","16.74","percent of total billed charges",,
"NF-AZITHROMYCIN IV PWD FOR SOLN 500MG","402136","CDM","Both",,,"21.6","10.8","Wellcare","Medicare Advantage",,,"54",,"11.71","7.91","16.74","percent of total billed charges",,
"NF-AZITHROMYCIN IV PWD FOR SOLN 500MG","402136","CDM","Both",,,"21.6","10.8","Amerigroup","Medicaid Managed Care",,,"37",,"7.91","7.91","16.74","percent of total billed charges",,
"NF-AZITHROMYCIN IV PWD FOR SOLN 500MG","402136","CDM","Both",,,"21.6","10.8","Caresource","Medicaid Managed Care",,,"40",,"8.64","7.91","16.74","percent of total billed charges",,
"NF-AZITHROMYCIN IV PWD FOR SOLN 500MG","402136","CDM","Both",,,"21.6","10.8","Wellcare","Medicaid Managed Care",,,"40",,"8.75","7.91","16.74","percent of total billed charges",,
"NF-AZITHROMYCIN IV PWD FOR SOLN 500MG","402136","CDM","Both",,,"21.6","10.8","Aetna","Commercial",,,"64",,"13.78","7.91","16.74","percent of total billed charges",,
"NF-AZITHROMYCIN IV PWD FOR SOLN 500MG","402136","CDM","Both",,,"21.6","10.8","Blue Cross Blue Shield","Pathways",,,"71",,"15.25","7.91","16.74","percent of total billed charges",,
"NF-AZITHROMYCIN IV PWD FOR SOLN 500MG","402136","CDM","Both",,,"21.6","10.8","Blue Cross Blue Shield","HMO",,,"71",,"15.25","7.91","16.74","percent of total billed charges",,
"NF-AZITHROMYCIN IV PWD FOR SOLN 500MG","402136","CDM","Both",,,"21.6","10.8","Blue Cross Blue Shield","PPO",,,"71",,"15.25","7.91","16.74","percent of total billed charges",,
"NF-AZITHROMYCIN IV PWD FOR SOLN 500MG","402136","CDM","Both",,,"21.6","10.8","Ambetter","Health Exchange",,,"62",,"13.39","7.91","16.74","percent of total billed charges",,
"NF-AZITHROMYCIN IV PWD FOR SOLN 500MG","402136","CDM","Both",,,"21.6","10.8","Caresource","Health Exchange",,,"62",,"13.39","7.91","16.74","percent of total billed charges",,
"NF-AZITHROMYCIN IV PWD FOR SOLN 500MG","402136","CDM","Both",,,"21.6","10.8","Cigna","Commercial",,,"59",,"12.66","7.91","16.74","percent of total billed charges",,
"NF-AZITHROMYCIN IV PWD FOR SOLN 500MG","402136","CDM","Both",,,"21.6","10.8","Humana","Commercial",,,"78",,"16.74","7.91","16.74","percent of total billed charges",,
"NF-AZITHROMYCIN IV PWD FOR SOLN 500MG","402136","CDM","Both",,,"21.6","10.8","UHC","Commercial",,,"75",,"16.29","7.91","16.74","percent of total billed charges",,
"NF-AZITHROMYCIN IV PWD FOR SOLN 500MG","402136","CDM","Both",,,"21.6","10.8","Medicaid",,,,"37",,"7.91","7.91","16.74","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 14MG","402148","CDM","Both",,,"38.65","19.325","Alliant","Health Exchange",,,"62",,"23.96","14.15","29.95","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 14MG","402148","CDM","Both",,,"38.65","19.325","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.87","14.15","29.95","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 14MG","402148","CDM","Both",,,"38.65","19.325","Medicare",,,,"54",,"20.95","14.15","29.95","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 14MG","402148","CDM","Both",,,"38.65","19.325","Humana","Medicare Advantage",,,"54",,"20.95","14.15","29.95","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 14MG","402148","CDM","Both",,,"38.65","19.325","UHC","Medicare Advantage",,,"54",,"20.95","14.15","29.95","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 14MG","402148","CDM","Both",,,"38.65","19.325","Clover","Medicare Advantage",,,"54",,"20.95","14.15","29.95","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 14MG","402148","CDM","Both",,,"38.65","19.325","Wellcare","Medicare Advantage",,,"54",,"20.95","14.15","29.95","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 14MG","402148","CDM","Both",,,"38.65","19.325","Amerigroup","Medicaid Managed Care",,,"37",,"14.15","14.15","29.95","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 14MG","402148","CDM","Both",,,"38.65","19.325","Caresource","Medicaid Managed Care",,,"40",,"15.46","14.15","29.95","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 14MG","402148","CDM","Both",,,"38.65","19.325","Wellcare","Medicaid Managed Care",,,"40",,"15.65","14.15","29.95","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 14MG","402148","CDM","Both",,,"38.65","19.325","Aetna","Commercial",,,"64",,"24.66","14.15","29.95","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 14MG","402148","CDM","Both",,,"38.65","19.325","Blue Cross Blue Shield","Pathways",,,"71",,"27.29","14.15","29.95","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 14MG","402148","CDM","Both",,,"38.65","19.325","Blue Cross Blue Shield","HMO",,,"71",,"27.29","14.15","29.95","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 14MG","402148","CDM","Both",,,"38.65","19.325","Blue Cross Blue Shield","PPO",,,"71",,"27.29","14.15","29.95","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 14MG","402148","CDM","Both",,,"38.65","19.325","Ambetter","Health Exchange",,,"62",,"23.96","14.15","29.95","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 14MG","402148","CDM","Both",,,"38.65","19.325","Caresource","Health Exchange",,,"62",,"23.96","14.15","29.95","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 14MG","402148","CDM","Both",,,"38.65","19.325","Cigna","Commercial",,,"59",,"22.65","14.15","29.95","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 14MG","402148","CDM","Both",,,"38.65","19.325","Humana","Commercial",,,"78",,"29.95","14.15","29.95","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 14MG","402148","CDM","Both",,,"38.65","19.325","UHC","Commercial",,,"75",,"29.14","14.15","29.95","percent of total billed charges",,
"NF-NAMENDA XR CAP ER 14MG","402148","CDM","Both",,,"38.65","19.325","Medicaid",,,,"37",,"14.15","14.15","29.95","percent of total billed charges",,
"NF-LISINOPRIL 40MG ORAL TABLET","402151","CDM","Both",,,"4.67","2.335","Alliant","Health Exchange",,,"62",,"2.9","1.71","3.62","percent of total billed charges",,
"NF-LISINOPRIL 40MG ORAL TABLET","402151","CDM","Both",,,"4.67","2.335","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.52","1.71","3.62","percent of total billed charges",,
"NF-LISINOPRIL 40MG ORAL TABLET","402151","CDM","Both",,,"4.67","2.335","Medicare",,,,"54",,"2.53","1.71","3.62","percent of total billed charges",,
"NF-LISINOPRIL 40MG ORAL TABLET","402151","CDM","Both",,,"4.67","2.335","Humana","Medicare Advantage",,,"54",,"2.53","1.71","3.62","percent of total billed charges",,
"NF-LISINOPRIL 40MG ORAL TABLET","402151","CDM","Both",,,"4.67","2.335","UHC","Medicare Advantage",,,"54",,"2.53","1.71","3.62","percent of total billed charges",,
"NF-LISINOPRIL 40MG ORAL TABLET","402151","CDM","Both",,,"4.67","2.335","Clover","Medicare Advantage",,,"54",,"2.53","1.71","3.62","percent of total billed charges",,
"NF-LISINOPRIL 40MG ORAL TABLET","402151","CDM","Both",,,"4.67","2.335","Wellcare","Medicare Advantage",,,"54",,"2.53","1.71","3.62","percent of total billed charges",,
"NF-LISINOPRIL 40MG ORAL TABLET","402151","CDM","Both",,,"4.67","2.335","Amerigroup","Medicaid Managed Care",,,"37",,"1.71","1.71","3.62","percent of total billed charges",,
"NF-LISINOPRIL 40MG ORAL TABLET","402151","CDM","Both",,,"4.67","2.335","Caresource","Medicaid Managed Care",,,"40",,"1.87","1.71","3.62","percent of total billed charges",,
"NF-LISINOPRIL 40MG ORAL TABLET","402151","CDM","Both",,,"4.67","2.335","Wellcare","Medicaid Managed Care",,,"40",,"1.89","1.71","3.62","percent of total billed charges",,
"NF-LISINOPRIL 40MG ORAL TABLET","402151","CDM","Both",,,"4.67","2.335","Aetna","Commercial",,,"64",,"2.98","1.71","3.62","percent of total billed charges",,
"NF-LISINOPRIL 40MG ORAL TABLET","402151","CDM","Both",,,"4.67","2.335","Blue Cross Blue Shield","Pathways",,,"71",,"3.3","1.71","3.62","percent of total billed charges",,
"NF-LISINOPRIL 40MG ORAL TABLET","402151","CDM","Both",,,"4.67","2.335","Blue Cross Blue Shield","HMO",,,"71",,"3.3","1.71","3.62","percent of total billed charges",,
"NF-LISINOPRIL 40MG ORAL TABLET","402151","CDM","Both",,,"4.67","2.335","Blue Cross Blue Shield","PPO",,,"71",,"3.3","1.71","3.62","percent of total billed charges",,
"NF-LISINOPRIL 40MG ORAL TABLET","402151","CDM","Both",,,"4.67","2.335","Ambetter","Health Exchange",,,"62",,"2.9","1.71","3.62","percent of total billed charges",,
"NF-LISINOPRIL 40MG ORAL TABLET","402151","CDM","Both",,,"4.67","2.335","Caresource","Health Exchange",,,"62",,"2.9","1.71","3.62","percent of total billed charges",,
"NF-LISINOPRIL 40MG ORAL TABLET","402151","CDM","Both",,,"4.67","2.335","Cigna","Commercial",,,"59",,"2.74","1.71","3.62","percent of total billed charges",,
"NF-LISINOPRIL 40MG ORAL TABLET","402151","CDM","Both",,,"4.67","2.335","Humana","Commercial",,,"78",,"3.62","1.71","3.62","percent of total billed charges",,
"NF-LISINOPRIL 40MG ORAL TABLET","402151","CDM","Both",,,"4.67","2.335","UHC","Commercial",,,"75",,"3.52","1.71","3.62","percent of total billed charges",,
"NF-LISINOPRIL 40MG ORAL TABLET","402151","CDM","Both",,,"4.67","2.335","Medicaid",,,,"37",,"1.71","1.71","3.62","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 80MG-12.5MG","402199","CDM","Both",,,"22.95","11.475","Alliant","Health Exchange",,,"62",,"14.23","8.4","17.79","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 80MG-12.5MG","402199","CDM","Both",,,"22.95","11.475","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.39","8.4","17.79","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 80MG-12.5MG","402199","CDM","Both",,,"22.95","11.475","Medicare",,,,"54",,"12.44","8.4","17.79","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 80MG-12.5MG","402199","CDM","Both",,,"22.95","11.475","Humana","Medicare Advantage",,,"54",,"12.44","8.4","17.79","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 80MG-12.5MG","402199","CDM","Both",,,"22.95","11.475","UHC","Medicare Advantage",,,"54",,"12.44","8.4","17.79","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 80MG-12.5MG","402199","CDM","Both",,,"22.95","11.475","Clover","Medicare Advantage",,,"54",,"12.44","8.4","17.79","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 80MG-12.5MG","402199","CDM","Both",,,"22.95","11.475","Wellcare","Medicare Advantage",,,"54",,"12.44","8.4","17.79","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 80MG-12.5MG","402199","CDM","Both",,,"22.95","11.475","Amerigroup","Medicaid Managed Care",,,"37",,"8.4","8.4","17.79","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 80MG-12.5MG","402199","CDM","Both",,,"22.95","11.475","Caresource","Medicaid Managed Care",,,"40",,"9.18","8.4","17.79","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 80MG-12.5MG","402199","CDM","Both",,,"22.95","11.475","Wellcare","Medicaid Managed Care",,,"40",,"9.29","8.4","17.79","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 80MG-12.5MG","402199","CDM","Both",,,"22.95","11.475","Aetna","Commercial",,,"64",,"14.64","8.4","17.79","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 80MG-12.5MG","402199","CDM","Both",,,"22.95","11.475","Blue Cross Blue Shield","Pathways",,,"71",,"16.2","8.4","17.79","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 80MG-12.5MG","402199","CDM","Both",,,"22.95","11.475","Blue Cross Blue Shield","HMO",,,"71",,"16.2","8.4","17.79","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 80MG-12.5MG","402199","CDM","Both",,,"22.95","11.475","Blue Cross Blue Shield","PPO",,,"71",,"16.2","8.4","17.79","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 80MG-12.5MG","402199","CDM","Both",,,"22.95","11.475","Ambetter","Health Exchange",,,"62",,"14.23","8.4","17.79","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 80MG-12.5MG","402199","CDM","Both",,,"22.95","11.475","Caresource","Health Exchange",,,"62",,"14.23","8.4","17.79","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 80MG-12.5MG","402199","CDM","Both",,,"22.95","11.475","Cigna","Commercial",,,"59",,"13.45","8.4","17.79","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 80MG-12.5MG","402199","CDM","Both",,,"22.95","11.475","Humana","Commercial",,,"78",,"17.79","8.4","17.79","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 80MG-12.5MG","402199","CDM","Both",,,"22.95","11.475","UHC","Commercial",,,"75",,"17.3","8.4","17.79","percent of total billed charges",,
"NF-DIOVAN HCT ORAL TABLET 80MG-12.5MG","402199","CDM","Both",,,"22.95","11.475","Medicaid",,,,"37",,"8.4","8.4","17.79","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 0.63MG/3ML","402214","CDM","Both",,,"7.45","3.725","Alliant","Health Exchange",,,"62",,"4.62","2.73","5.77","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 0.63MG/3ML","402214","CDM","Both",,,"7.45","3.725","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.02","2.73","5.77","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 0.63MG/3ML","402214","CDM","Both",,,"7.45","3.725","Medicare",,,,"54",,"4.04","2.73","5.77","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 0.63MG/3ML","402214","CDM","Both",,,"7.45","3.725","Humana","Medicare Advantage",,,"54",,"4.04","2.73","5.77","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 0.63MG/3ML","402214","CDM","Both",,,"7.45","3.725","UHC","Medicare Advantage",,,"54",,"4.04","2.73","5.77","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 0.63MG/3ML","402214","CDM","Both",,,"7.45","3.725","Clover","Medicare Advantage",,,"54",,"4.04","2.73","5.77","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 0.63MG/3ML","402214","CDM","Both",,,"7.45","3.725","Wellcare","Medicare Advantage",,,"54",,"4.04","2.73","5.77","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 0.63MG/3ML","402214","CDM","Both",,,"7.45","3.725","Amerigroup","Medicaid Managed Care",,,"37",,"2.73","2.73","5.77","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 0.63MG/3ML","402214","CDM","Both",,,"7.45","3.725","Caresource","Medicaid Managed Care",,,"40",,"2.98","2.73","5.77","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 0.63MG/3ML","402214","CDM","Both",,,"7.45","3.725","Wellcare","Medicaid Managed Care",,,"40",,"3.02","2.73","5.77","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 0.63MG/3ML","402214","CDM","Both",,,"7.45","3.725","Aetna","Commercial",,,"64",,"4.75","2.73","5.77","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 0.63MG/3ML","402214","CDM","Both",,,"7.45","3.725","Blue Cross Blue Shield","Pathways",,,"71",,"5.26","2.73","5.77","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 0.63MG/3ML","402214","CDM","Both",,,"7.45","3.725","Blue Cross Blue Shield","HMO",,,"71",,"5.26","2.73","5.77","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 0.63MG/3ML","402214","CDM","Both",,,"7.45","3.725","Blue Cross Blue Shield","PPO",,,"71",,"5.26","2.73","5.77","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 0.63MG/3ML","402214","CDM","Both",,,"7.45","3.725","Ambetter","Health Exchange",,,"62",,"4.62","2.73","5.77","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 0.63MG/3ML","402214","CDM","Both",,,"7.45","3.725","Caresource","Health Exchange",,,"62",,"4.62","2.73","5.77","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 0.63MG/3ML","402214","CDM","Both",,,"7.45","3.725","Cigna","Commercial",,,"59",,"4.37","2.73","5.77","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 0.63MG/3ML","402214","CDM","Both",,,"7.45","3.725","Humana","Commercial",,,"78",,"5.77","2.73","5.77","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 0.63MG/3ML","402214","CDM","Both",,,"7.45","3.725","UHC","Commercial",,,"75",,"5.62","2.73","5.77","percent of total billed charges",,
"NF-XOPENEX INH/NEB SOLN 0.63MG/3ML","402214","CDM","Both",,,"7.45","3.725","Medicaid",,,,"37",,"2.73","2.73","5.77","percent of total billed charges",,
"NF-ALEVE TABLET 220MG","402222","CDM","Both",,,"0.3","0.15","Alliant","Health Exchange",,,"62",,"0.19","0.11","0.23","percent of total billed charges",,
"NF-ALEVE TABLET 220MG","402222","CDM","Both",,,"0.3","0.15","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.16","0.11","0.23","percent of total billed charges",,
"NF-ALEVE TABLET 220MG","402222","CDM","Both",,,"0.3","0.15","Medicare",,,,"54",,"0.16","0.11","0.23","percent of total billed charges",,
"NF-ALEVE TABLET 220MG","402222","CDM","Both",,,"0.3","0.15","Humana","Medicare Advantage",,,"54",,"0.16","0.11","0.23","percent of total billed charges",,
"NF-ALEVE TABLET 220MG","402222","CDM","Both",,,"0.3","0.15","UHC","Medicare Advantage",,,"54",,"0.16","0.11","0.23","percent of total billed charges",,
"NF-ALEVE TABLET 220MG","402222","CDM","Both",,,"0.3","0.15","Clover","Medicare Advantage",,,"54",,"0.16","0.11","0.23","percent of total billed charges",,
"NF-ALEVE TABLET 220MG","402222","CDM","Both",,,"0.3","0.15","Wellcare","Medicare Advantage",,,"54",,"0.16","0.11","0.23","percent of total billed charges",,
"NF-ALEVE TABLET 220MG","402222","CDM","Both",,,"0.3","0.15","Amerigroup","Medicaid Managed Care",,,"37",,"0.11","0.11","0.23","percent of total billed charges",,
"NF-ALEVE TABLET 220MG","402222","CDM","Both",,,"0.3","0.15","Caresource","Medicaid Managed Care",,,"40",,"0.12","0.11","0.23","percent of total billed charges",,
"NF-ALEVE TABLET 220MG","402222","CDM","Both",,,"0.3","0.15","Wellcare","Medicaid Managed Care",,,"40",,"0.12","0.11","0.23","percent of total billed charges",,
"NF-ALEVE TABLET 220MG","402222","CDM","Both",,,"0.3","0.15","Aetna","Commercial",,,"64",,"0.19","0.11","0.23","percent of total billed charges",,
"NF-ALEVE TABLET 220MG","402222","CDM","Both",,,"0.3","0.15","Blue Cross Blue Shield","Pathways",,,"71",,"0.21","0.11","0.23","percent of total billed charges",,
"NF-ALEVE TABLET 220MG","402222","CDM","Both",,,"0.3","0.15","Blue Cross Blue Shield","HMO",,,"71",,"0.21","0.11","0.23","percent of total billed charges",,
"NF-ALEVE TABLET 220MG","402222","CDM","Both",,,"0.3","0.15","Blue Cross Blue Shield","PPO",,,"71",,"0.21","0.11","0.23","percent of total billed charges",,
"NF-ALEVE TABLET 220MG","402222","CDM","Both",,,"0.3","0.15","Ambetter","Health Exchange",,,"62",,"0.19","0.11","0.23","percent of total billed charges",,
"NF-ALEVE TABLET 220MG","402222","CDM","Both",,,"0.3","0.15","Caresource","Health Exchange",,,"62",,"0.19","0.11","0.23","percent of total billed charges",,
"NF-ALEVE TABLET 220MG","402222","CDM","Both",,,"0.3","0.15","Cigna","Commercial",,,"59",,"0.18","0.11","0.23","percent of total billed charges",,
"NF-ALEVE TABLET 220MG","402222","CDM","Both",,,"0.3","0.15","Humana","Commercial",,,"78",,"0.23","0.11","0.23","percent of total billed charges",,
"NF-ALEVE TABLET 220MG","402222","CDM","Both",,,"0.3","0.15","UHC","Commercial",,,"75",,"0.23","0.11","0.23","percent of total billed charges",,
"NF-ALEVE TABLET 220MG","402222","CDM","Both",,,"0.3","0.15","Medicaid",,,,"37",,"0.11","0.11","0.23","percent of total billed charges",,
"NF-LISINOPRIL/HYDROCHLOROTHIAZIDE 20MG-1","402227","CDM","Both",,,"3.6","1.8","Alliant","Health Exchange",,,"62",,"2.23","1.32","2.79","percent of total billed charges",,
"NF-LISINOPRIL/HYDROCHLOROTHIAZIDE 20MG-1","402227","CDM","Both",,,"3.6","1.8","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.94","1.32","2.79","percent of total billed charges",,
"NF-LISINOPRIL/HYDROCHLOROTHIAZIDE 20MG-1","402227","CDM","Both",,,"3.6","1.8","Medicare",,,,"54",,"1.95","1.32","2.79","percent of total billed charges",,
"NF-LISINOPRIL/HYDROCHLOROTHIAZIDE 20MG-1","402227","CDM","Both",,,"3.6","1.8","Humana","Medicare Advantage",,,"54",,"1.95","1.32","2.79","percent of total billed charges",,
"NF-LISINOPRIL/HYDROCHLOROTHIAZIDE 20MG-1","402227","CDM","Both",,,"3.6","1.8","UHC","Medicare Advantage",,,"54",,"1.95","1.32","2.79","percent of total billed charges",,
"NF-LISINOPRIL/HYDROCHLOROTHIAZIDE 20MG-1","402227","CDM","Both",,,"3.6","1.8","Clover","Medicare Advantage",,,"54",,"1.95","1.32","2.79","percent of total billed charges",,
"NF-LISINOPRIL/HYDROCHLOROTHIAZIDE 20MG-1","402227","CDM","Both",,,"3.6","1.8","Wellcare","Medicare Advantage",,,"54",,"1.95","1.32","2.79","percent of total billed charges",,
"NF-LISINOPRIL/HYDROCHLOROTHIAZIDE 20MG-1","402227","CDM","Both",,,"3.6","1.8","Amerigroup","Medicaid Managed Care",,,"37",,"1.32","1.32","2.79","percent of total billed charges",,
"NF-LISINOPRIL/HYDROCHLOROTHIAZIDE 20MG-1","402227","CDM","Both",,,"3.6","1.8","Caresource","Medicaid Managed Care",,,"40",,"1.44","1.32","2.79","percent of total billed charges",,
"NF-LISINOPRIL/HYDROCHLOROTHIAZIDE 20MG-1","402227","CDM","Both",,,"3.6","1.8","Wellcare","Medicaid Managed Care",,,"40",,"1.46","1.32","2.79","percent of total billed charges",,
"NF-LISINOPRIL/HYDROCHLOROTHIAZIDE 20MG-1","402227","CDM","Both",,,"3.6","1.8","Aetna","Commercial",,,"64",,"2.3","1.32","2.79","percent of total billed charges",,
"NF-LISINOPRIL/HYDROCHLOROTHIAZIDE 20MG-1","402227","CDM","Both",,,"3.6","1.8","Blue Cross Blue Shield","Pathways",,,"71",,"2.54","1.32","2.79","percent of total billed charges",,
"NF-LISINOPRIL/HYDROCHLOROTHIAZIDE 20MG-1","402227","CDM","Both",,,"3.6","1.8","Blue Cross Blue Shield","HMO",,,"71",,"2.54","1.32","2.79","percent of total billed charges",,
"NF-LISINOPRIL/HYDROCHLOROTHIAZIDE 20MG-1","402227","CDM","Both",,,"3.6","1.8","Blue Cross Blue Shield","PPO",,,"71",,"2.54","1.32","2.79","percent of total billed charges",,
"NF-LISINOPRIL/HYDROCHLOROTHIAZIDE 20MG-1","402227","CDM","Both",,,"3.6","1.8","Ambetter","Health Exchange",,,"62",,"2.23","1.32","2.79","percent of total billed charges",,
"NF-LISINOPRIL/HYDROCHLOROTHIAZIDE 20MG-1","402227","CDM","Both",,,"3.6","1.8","Caresource","Health Exchange",,,"62",,"2.23","1.32","2.79","percent of total billed charges",,
"NF-LISINOPRIL/HYDROCHLOROTHIAZIDE 20MG-1","402227","CDM","Both",,,"3.6","1.8","Cigna","Commercial",,,"59",,"2.11","1.32","2.79","percent of total billed charges",,
"NF-LISINOPRIL/HYDROCHLOROTHIAZIDE 20MG-1","402227","CDM","Both",,,"3.6","1.8","Humana","Commercial",,,"78",,"2.79","1.32","2.79","percent of total billed charges",,
"NF-LISINOPRIL/HYDROCHLOROTHIAZIDE 20MG-1","402227","CDM","Both",,,"3.6","1.8","UHC","Commercial",,,"75",,"2.71","1.32","2.79","percent of total billed charges",,
"NF-LISINOPRIL/HYDROCHLOROTHIAZIDE 20MG-1","402227","CDM","Both",,,"3.6","1.8","Medicaid",,,,"37",,"1.32","1.32","2.79","percent of total billed charges",,
"NF-ENTRESTO 24MG-26MG ORAL TABLET","402234","CDM","Both",,,"22.5","11.25","Alliant","Health Exchange",,,"62",,"13.95","8.24","17.44","percent of total billed charges",,
"NF-ENTRESTO 24MG-26MG ORAL TABLET","402234","CDM","Both",,,"22.5","11.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.15","8.24","17.44","percent of total billed charges",,
"NF-ENTRESTO 24MG-26MG ORAL TABLET","402234","CDM","Both",,,"22.5","11.25","Medicare",,,,"54",,"12.2","8.24","17.44","percent of total billed charges",,
"NF-ENTRESTO 24MG-26MG ORAL TABLET","402234","CDM","Both",,,"22.5","11.25","Humana","Medicare Advantage",,,"54",,"12.2","8.24","17.44","percent of total billed charges",,
"NF-ENTRESTO 24MG-26MG ORAL TABLET","402234","CDM","Both",,,"22.5","11.25","UHC","Medicare Advantage",,,"54",,"12.2","8.24","17.44","percent of total billed charges",,
"NF-ENTRESTO 24MG-26MG ORAL TABLET","402234","CDM","Both",,,"22.5","11.25","Clover","Medicare Advantage",,,"54",,"12.2","8.24","17.44","percent of total billed charges",,
"NF-ENTRESTO 24MG-26MG ORAL TABLET","402234","CDM","Both",,,"22.5","11.25","Wellcare","Medicare Advantage",,,"54",,"12.2","8.24","17.44","percent of total billed charges",,
"NF-ENTRESTO 24MG-26MG ORAL TABLET","402234","CDM","Both",,,"22.5","11.25","Amerigroup","Medicaid Managed Care",,,"37",,"8.24","8.24","17.44","percent of total billed charges",,
"NF-ENTRESTO 24MG-26MG ORAL TABLET","402234","CDM","Both",,,"22.5","11.25","Caresource","Medicaid Managed Care",,,"40",,"9","8.24","17.44","percent of total billed charges",,
"NF-ENTRESTO 24MG-26MG ORAL TABLET","402234","CDM","Both",,,"22.5","11.25","Wellcare","Medicaid Managed Care",,,"40",,"9.11","8.24","17.44","percent of total billed charges",,
"NF-ENTRESTO 24MG-26MG ORAL TABLET","402234","CDM","Both",,,"22.5","11.25","Aetna","Commercial",,,"64",,"14.36","8.24","17.44","percent of total billed charges",,
"NF-ENTRESTO 24MG-26MG ORAL TABLET","402234","CDM","Both",,,"22.5","11.25","Blue Cross Blue Shield","Pathways",,,"71",,"15.88","8.24","17.44","percent of total billed charges",,
"NF-ENTRESTO 24MG-26MG ORAL TABLET","402234","CDM","Both",,,"22.5","11.25","Blue Cross Blue Shield","HMO",,,"71",,"15.88","8.24","17.44","percent of total billed charges",,
"NF-ENTRESTO 24MG-26MG ORAL TABLET","402234","CDM","Both",,,"22.5","11.25","Blue Cross Blue Shield","PPO",,,"71",,"15.88","8.24","17.44","percent of total billed charges",,
"NF-ENTRESTO 24MG-26MG ORAL TABLET","402234","CDM","Both",,,"22.5","11.25","Ambetter","Health Exchange",,,"62",,"13.95","8.24","17.44","percent of total billed charges",,
"NF-ENTRESTO 24MG-26MG ORAL TABLET","402234","CDM","Both",,,"22.5","11.25","Caresource","Health Exchange",,,"62",,"13.95","8.24","17.44","percent of total billed charges",,
"NF-ENTRESTO 24MG-26MG ORAL TABLET","402234","CDM","Both",,,"22.5","11.25","Cigna","Commercial",,,"59",,"13.18","8.24","17.44","percent of total billed charges",,
"NF-ENTRESTO 24MG-26MG ORAL TABLET","402234","CDM","Both",,,"22.5","11.25","Humana","Commercial",,,"78",,"17.44","8.24","17.44","percent of total billed charges",,
"NF-ENTRESTO 24MG-26MG ORAL TABLET","402234","CDM","Both",,,"22.5","11.25","UHC","Commercial",,,"75",,"16.96","8.24","17.44","percent of total billed charges",,
"NF-ENTRESTO 24MG-26MG ORAL TABLET","402234","CDM","Both",,,"22.5","11.25","Medicaid",,,,"37",,"8.24","8.24","17.44","percent of total billed charges",,
"NF-DEXTROSE","402249","CDM","Both",,,"0.01","0.005","Alliant","Health Exchange",,,"62",,"0.01","0.01","0.01","percent of total billed charges",,
"NF-DEXTROSE","402249","CDM","Both",,,"0.01","0.005","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.01","0.01","0.01","percent of total billed charges",,
"NF-DEXTROSE","402249","CDM","Both",,,"0.01","0.005","Medicare",,,,"54",,"0.01","0.01","0.01","percent of total billed charges",,
"NF-DEXTROSE","402249","CDM","Both",,,"0.01","0.005","Humana","Medicare Advantage",,,"54",,"0.01","0.01","0.01","percent of total billed charges",,
"NF-DEXTROSE","402249","CDM","Both",,,"0.01","0.005","UHC","Medicare Advantage",,,"54",,"0.01","0.01","0.01","percent of total billed charges",,
"NF-DEXTROSE","402249","CDM","Both",,,"0.01","0.005","Clover","Medicare Advantage",,,"54",,"0.01","0.01","0.01","percent of total billed charges",,
"NF-DEXTROSE","402249","CDM","Both",,,"0.01","0.005","Wellcare","Medicare Advantage",,,"54",,"0.01","0.01","0.01","percent of total billed charges",,
"NF-DEXTROSE","402249","CDM","Both",,,"0.01","0.005","Amerigroup","Medicaid Managed Care",,,"37",,"0","0.01","0.01","percent of total billed charges",,
"NF-DEXTROSE","402249","CDM","Both",,,"0.01","0.005","Caresource","Medicaid Managed Care",,,"40",,"0","0.01","0.01","percent of total billed charges",,
"NF-DEXTROSE","402249","CDM","Both",,,"0.01","0.005","Wellcare","Medicaid Managed Care",,,"40",,"0","0.01","0.01","percent of total billed charges",,
"NF-DEXTROSE","402249","CDM","Both",,,"0.01","0.005","Aetna","Commercial",,,"64",,"0.01","0.01","0.01","percent of total billed charges",,
"NF-DEXTROSE","402249","CDM","Both",,,"0.01","0.005","Blue Cross Blue Shield","Pathways",,,"71",,"0.01","0.01","0.01","percent of total billed charges",,
"NF-DEXTROSE","402249","CDM","Both",,,"0.01","0.005","Blue Cross Blue Shield","HMO",,,"71",,"0.01","0.01","0.01","percent of total billed charges",,
"NF-DEXTROSE","402249","CDM","Both",,,"0.01","0.005","Blue Cross Blue Shield","PPO",,,"71",,"0.01","0.01","0.01","percent of total billed charges",,
"NF-DEXTROSE","402249","CDM","Both",,,"0.01","0.005","Ambetter","Health Exchange",,,"62",,"0.01","0.01","0.01","percent of total billed charges",,
"NF-DEXTROSE","402249","CDM","Both",,,"0.01","0.005","Caresource","Health Exchange",,,"62",,"0.01","0.01","0.01","percent of total billed charges",,
"NF-DEXTROSE","402249","CDM","Both",,,"0.01","0.005","Cigna","Commercial",,,"59",,"0.01","0.01","0.01","percent of total billed charges",,
"NF-DEXTROSE","402249","CDM","Both",,,"0.01","0.005","Humana","Commercial",,,"78",,"0.01","0.01","0.01","percent of total billed charges",,
"NF-DEXTROSE","402249","CDM","Both",,,"0.01","0.005","UHC","Commercial",,,"75",,"0.01","0.01","0.01","percent of total billed charges",,
"NF-DEXTROSE","402249","CDM","Both",,,"0.01","0.005","Medicaid",,,,"37",,"0","0.01","0.01","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 20MG","402295","CDM","Both",,,"43.15","21.575","Alliant","Health Exchange",,,"62",,"26.75","15.79","33.44","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 20MG","402295","CDM","Both",,,"43.15","21.575","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.3","15.79","33.44","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 20MG","402295","CDM","Both",,,"43.15","21.575","Medicare",,,,"54",,"23.39","15.79","33.44","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 20MG","402295","CDM","Both",,,"43.15","21.575","Humana","Medicare Advantage",,,"54",,"23.39","15.79","33.44","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 20MG","402295","CDM","Both",,,"43.15","21.575","UHC","Medicare Advantage",,,"54",,"23.39","15.79","33.44","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 20MG","402295","CDM","Both",,,"43.15","21.575","Clover","Medicare Advantage",,,"54",,"23.39","15.79","33.44","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 20MG","402295","CDM","Both",,,"43.15","21.575","Wellcare","Medicare Advantage",,,"54",,"23.39","15.79","33.44","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 20MG","402295","CDM","Both",,,"43.15","21.575","Amerigroup","Medicaid Managed Care",,,"37",,"15.79","15.79","33.44","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 20MG","402295","CDM","Both",,,"43.15","21.575","Caresource","Medicaid Managed Care",,,"40",,"17.26","15.79","33.44","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 20MG","402295","CDM","Both",,,"43.15","21.575","Wellcare","Medicaid Managed Care",,,"40",,"17.48","15.79","33.44","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 20MG","402295","CDM","Both",,,"43.15","21.575","Aetna","Commercial",,,"64",,"27.53","15.79","33.44","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 20MG","402295","CDM","Both",,,"43.15","21.575","Blue Cross Blue Shield","Pathways",,,"71",,"30.46","15.79","33.44","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 20MG","402295","CDM","Both",,,"43.15","21.575","Blue Cross Blue Shield","HMO",,,"71",,"30.46","15.79","33.44","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 20MG","402295","CDM","Both",,,"43.15","21.575","Blue Cross Blue Shield","PPO",,,"71",,"30.46","15.79","33.44","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 20MG","402295","CDM","Both",,,"43.15","21.575","Ambetter","Health Exchange",,,"62",,"26.75","15.79","33.44","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 20MG","402295","CDM","Both",,,"43.15","21.575","Caresource","Health Exchange",,,"62",,"26.75","15.79","33.44","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 20MG","402295","CDM","Both",,,"43.15","21.575","Cigna","Commercial",,,"59",,"25.29","15.79","33.44","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 20MG","402295","CDM","Both",,,"43.15","21.575","Humana","Commercial",,,"78",,"33.44","15.79","33.44","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 20MG","402295","CDM","Both",,,"43.15","21.575","UHC","Commercial",,,"75",,"32.54","15.79","33.44","percent of total billed charges",,
"NF-XARELTO ORAL TABLET 20MG","402295","CDM","Both",,,"43.15","21.575","Medicaid",,,,"37",,"15.79","15.79","33.44","percent of total billed charges",,
"NF-VITAMIN K1 INJ SOLN 10MG/1ML","402308","CDM","Both",,,"135.97","67.985","Alliant","Health Exchange",,,"62",,"84.3","49.77","105.38","percent of total billed charges",,
"NF-VITAMIN K1 INJ SOLN 10MG/1ML","402308","CDM","Both",,,"135.97","67.985","Pruitt Healthcare","Medicare Advantage",,,"54",,"73.42","49.77","105.38","percent of total billed charges",,
"NF-VITAMIN K1 INJ SOLN 10MG/1ML","402308","CDM","Both",,,"135.97","67.985","Medicare",,,,"54",,"73.7","49.77","105.38","percent of total billed charges",,
"NF-VITAMIN K1 INJ SOLN 10MG/1ML","402308","CDM","Both",,,"135.97","67.985","Humana","Medicare Advantage",,,"54",,"73.7","49.77","105.38","percent of total billed charges",,
"NF-VITAMIN K1 INJ SOLN 10MG/1ML","402308","CDM","Both",,,"135.97","67.985","UHC","Medicare Advantage",,,"54",,"73.7","49.77","105.38","percent of total billed charges",,
"NF-VITAMIN K1 INJ SOLN 10MG/1ML","402308","CDM","Both",,,"135.97","67.985","Clover","Medicare Advantage",,,"54",,"73.7","49.77","105.38","percent of total billed charges",,
"NF-VITAMIN K1 INJ SOLN 10MG/1ML","402308","CDM","Both",,,"135.97","67.985","Wellcare","Medicare Advantage",,,"54",,"73.7","49.77","105.38","percent of total billed charges",,
"NF-VITAMIN K1 INJ SOLN 10MG/1ML","402308","CDM","Both",,,"135.97","67.985","Amerigroup","Medicaid Managed Care",,,"37",,"49.77","49.77","105.38","percent of total billed charges",,
"NF-VITAMIN K1 INJ SOLN 10MG/1ML","402308","CDM","Both",,,"135.97","67.985","Caresource","Medicaid Managed Care",,,"40",,"54.39","49.77","105.38","percent of total billed charges",,
"NF-VITAMIN K1 INJ SOLN 10MG/1ML","402308","CDM","Both",,,"135.97","67.985","Wellcare","Medicaid Managed Care",,,"40",,"55.07","49.77","105.38","percent of total billed charges",,
"NF-VITAMIN K1 INJ SOLN 10MG/1ML","402308","CDM","Both",,,"135.97","67.985","Aetna","Commercial",,,"64",,"86.75","49.77","105.38","percent of total billed charges",,
"NF-VITAMIN K1 INJ SOLN 10MG/1ML","402308","CDM","Both",,,"135.97","67.985","Blue Cross Blue Shield","Pathways",,,"71",,"95.99","49.77","105.38","percent of total billed charges",,
"NF-VITAMIN K1 INJ SOLN 10MG/1ML","402308","CDM","Both",,,"135.97","67.985","Blue Cross Blue Shield","HMO",,,"71",,"95.99","49.77","105.38","percent of total billed charges",,
"NF-VITAMIN K1 INJ SOLN 10MG/1ML","402308","CDM","Both",,,"135.97","67.985","Blue Cross Blue Shield","PPO",,,"71",,"95.99","49.77","105.38","percent of total billed charges",,
"NF-VITAMIN K1 INJ SOLN 10MG/1ML","402308","CDM","Both",,,"135.97","67.985","Ambetter","Health Exchange",,,"62",,"84.3","49.77","105.38","percent of total billed charges",,
"NF-VITAMIN K1 INJ SOLN 10MG/1ML","402308","CDM","Both",,,"135.97","67.985","Caresource","Health Exchange",,,"62",,"84.3","49.77","105.38","percent of total billed charges",,
"NF-VITAMIN K1 INJ SOLN 10MG/1ML","402308","CDM","Both",,,"135.97","67.985","Cigna","Commercial",,,"59",,"79.68","49.77","105.38","percent of total billed charges",,
"NF-VITAMIN K1 INJ SOLN 10MG/1ML","402308","CDM","Both",,,"135.97","67.985","Humana","Commercial",,,"78",,"105.38","49.77","105.38","percent of total billed charges",,
"NF-VITAMIN K1 INJ SOLN 10MG/1ML","402308","CDM","Both",,,"135.97","67.985","UHC","Commercial",,,"75",,"102.52","49.77","105.38","percent of total billed charges",,
"NF-VITAMIN K1 INJ SOLN 10MG/1ML","402308","CDM","Both",,,"135.97","67.985","Medicaid",,,,"37",,"49.77","49.77","105.38","percent of total billed charges",,
"NF-LISINOPRIL 10MG ORAL TABLET","402340","CDM","Both",,,"2.98","1.49","Alliant","Health Exchange",,,"62",,"1.85","1.09","2.31","percent of total billed charges",,
"NF-LISINOPRIL 10MG ORAL TABLET","402340","CDM","Both",,,"2.98","1.49","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.61","1.09","2.31","percent of total billed charges",,
"NF-LISINOPRIL 10MG ORAL TABLET","402340","CDM","Both",,,"2.98","1.49","Medicare",,,,"54",,"1.62","1.09","2.31","percent of total billed charges",,
"NF-LISINOPRIL 10MG ORAL TABLET","402340","CDM","Both",,,"2.98","1.49","Humana","Medicare Advantage",,,"54",,"1.62","1.09","2.31","percent of total billed charges",,
"NF-LISINOPRIL 10MG ORAL TABLET","402340","CDM","Both",,,"2.98","1.49","UHC","Medicare Advantage",,,"54",,"1.62","1.09","2.31","percent of total billed charges",,
"NF-LISINOPRIL 10MG ORAL TABLET","402340","CDM","Both",,,"2.98","1.49","Clover","Medicare Advantage",,,"54",,"1.62","1.09","2.31","percent of total billed charges",,
"NF-LISINOPRIL 10MG ORAL TABLET","402340","CDM","Both",,,"2.98","1.49","Wellcare","Medicare Advantage",,,"54",,"1.62","1.09","2.31","percent of total billed charges",,
"NF-LISINOPRIL 10MG ORAL TABLET","402340","CDM","Both",,,"2.98","1.49","Amerigroup","Medicaid Managed Care",,,"37",,"1.09","1.09","2.31","percent of total billed charges",,
"NF-LISINOPRIL 10MG ORAL TABLET","402340","CDM","Both",,,"2.98","1.49","Caresource","Medicaid Managed Care",,,"40",,"1.19","1.09","2.31","percent of total billed charges",,
"NF-LISINOPRIL 10MG ORAL TABLET","402340","CDM","Both",,,"2.98","1.49","Wellcare","Medicaid Managed Care",,,"40",,"1.21","1.09","2.31","percent of total billed charges",,
"NF-LISINOPRIL 10MG ORAL TABLET","402340","CDM","Both",,,"2.98","1.49","Aetna","Commercial",,,"64",,"1.9","1.09","2.31","percent of total billed charges",,
"NF-LISINOPRIL 10MG ORAL TABLET","402340","CDM","Both",,,"2.98","1.49","Blue Cross Blue Shield","Pathways",,,"71",,"2.1","1.09","2.31","percent of total billed charges",,
"NF-LISINOPRIL 10MG ORAL TABLET","402340","CDM","Both",,,"2.98","1.49","Blue Cross Blue Shield","HMO",,,"71",,"2.1","1.09","2.31","percent of total billed charges",,
"NF-LISINOPRIL 10MG ORAL TABLET","402340","CDM","Both",,,"2.98","1.49","Blue Cross Blue Shield","PPO",,,"71",,"2.1","1.09","2.31","percent of total billed charges",,
"NF-LISINOPRIL 10MG ORAL TABLET","402340","CDM","Both",,,"2.98","1.49","Ambetter","Health Exchange",,,"62",,"1.85","1.09","2.31","percent of total billed charges",,
"NF-LISINOPRIL 10MG ORAL TABLET","402340","CDM","Both",,,"2.98","1.49","Caresource","Health Exchange",,,"62",,"1.85","1.09","2.31","percent of total billed charges",,
"NF-LISINOPRIL 10MG ORAL TABLET","402340","CDM","Both",,,"2.98","1.49","Cigna","Commercial",,,"59",,"1.75","1.09","2.31","percent of total billed charges",,
"NF-LISINOPRIL 10MG ORAL TABLET","402340","CDM","Both",,,"2.98","1.49","Humana","Commercial",,,"78",,"2.31","1.09","2.31","percent of total billed charges",,
"NF-LISINOPRIL 10MG ORAL TABLET","402340","CDM","Both",,,"2.98","1.49","UHC","Commercial",,,"75",,"2.25","1.09","2.31","percent of total billed charges",,
"NF-LISINOPRIL 10MG ORAL TABLET","402340","CDM","Both",,,"2.98","1.49","Medicaid",,,,"37",,"1.09","1.09","2.31","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402362","CDM","Both",,,"79.79","39.895","Alliant","Health Exchange",,,"62",,"49.47","29.2","61.84","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402362","CDM","Both",,,"79.79","39.895","Pruitt Healthcare","Medicare Advantage",,,"54",,"43.09","29.2","61.84","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402362","CDM","Both",,,"79.79","39.895","Medicare",,,,"54",,"43.25","29.2","61.84","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402362","CDM","Both",,,"79.79","39.895","Humana","Medicare Advantage",,,"54",,"43.25","29.2","61.84","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402362","CDM","Both",,,"79.79","39.895","UHC","Medicare Advantage",,,"54",,"43.25","29.2","61.84","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402362","CDM","Both",,,"79.79","39.895","Clover","Medicare Advantage",,,"54",,"43.25","29.2","61.84","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402362","CDM","Both",,,"79.79","39.895","Wellcare","Medicare Advantage",,,"54",,"43.25","29.2","61.84","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402362","CDM","Both",,,"79.79","39.895","Amerigroup","Medicaid Managed Care",,,"37",,"29.2","29.2","61.84","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402362","CDM","Both",,,"79.79","39.895","Caresource","Medicaid Managed Care",,,"40",,"31.92","29.2","61.84","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402362","CDM","Both",,,"79.79","39.895","Wellcare","Medicaid Managed Care",,,"40",,"32.31","29.2","61.84","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402362","CDM","Both",,,"79.79","39.895","Aetna","Commercial",,,"64",,"50.91","29.2","61.84","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402362","CDM","Both",,,"79.79","39.895","Blue Cross Blue Shield","Pathways",,,"71",,"56.33","29.2","61.84","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402362","CDM","Both",,,"79.79","39.895","Blue Cross Blue Shield","HMO",,,"71",,"56.33","29.2","61.84","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402362","CDM","Both",,,"79.79","39.895","Blue Cross Blue Shield","PPO",,,"71",,"56.33","29.2","61.84","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402362","CDM","Both",,,"79.79","39.895","Ambetter","Health Exchange",,,"62",,"49.47","29.2","61.84","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402362","CDM","Both",,,"79.79","39.895","Caresource","Health Exchange",,,"62",,"49.47","29.2","61.84","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402362","CDM","Both",,,"79.79","39.895","Cigna","Commercial",,,"59",,"46.76","29.2","61.84","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402362","CDM","Both",,,"79.79","39.895","Humana","Commercial",,,"78",,"61.84","29.2","61.84","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402362","CDM","Both",,,"79.79","39.895","UHC","Commercial",,,"75",,"60.16","29.2","61.84","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402362","CDM","Both",,,"79.79","39.895","Medicaid",,,,"37",,"29.2","29.2","61.84","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402363","CDM","Both",,,"79.79","39.895","Alliant","Health Exchange",,,"62",,"49.47","29.2","61.84","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402363","CDM","Both",,,"79.79","39.895","Pruitt Healthcare","Medicare Advantage",,,"54",,"43.09","29.2","61.84","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402363","CDM","Both",,,"79.79","39.895","Medicare",,,,"54",,"43.25","29.2","61.84","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402363","CDM","Both",,,"79.79","39.895","Humana","Medicare Advantage",,,"54",,"43.25","29.2","61.84","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402363","CDM","Both",,,"79.79","39.895","UHC","Medicare Advantage",,,"54",,"43.25","29.2","61.84","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402363","CDM","Both",,,"79.79","39.895","Clover","Medicare Advantage",,,"54",,"43.25","29.2","61.84","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402363","CDM","Both",,,"79.79","39.895","Wellcare","Medicare Advantage",,,"54",,"43.25","29.2","61.84","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402363","CDM","Both",,,"79.79","39.895","Amerigroup","Medicaid Managed Care",,,"37",,"29.2","29.2","61.84","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402363","CDM","Both",,,"79.79","39.895","Caresource","Medicaid Managed Care",,,"40",,"31.92","29.2","61.84","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402363","CDM","Both",,,"79.79","39.895","Wellcare","Medicaid Managed Care",,,"40",,"32.31","29.2","61.84","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402363","CDM","Both",,,"79.79","39.895","Aetna","Commercial",,,"64",,"50.91","29.2","61.84","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402363","CDM","Both",,,"79.79","39.895","Blue Cross Blue Shield","Pathways",,,"71",,"56.33","29.2","61.84","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402363","CDM","Both",,,"79.79","39.895","Blue Cross Blue Shield","HMO",,,"71",,"56.33","29.2","61.84","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402363","CDM","Both",,,"79.79","39.895","Blue Cross Blue Shield","PPO",,,"71",,"56.33","29.2","61.84","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402363","CDM","Both",,,"79.79","39.895","Ambetter","Health Exchange",,,"62",,"49.47","29.2","61.84","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402363","CDM","Both",,,"79.79","39.895","Caresource","Health Exchange",,,"62",,"49.47","29.2","61.84","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402363","CDM","Both",,,"79.79","39.895","Cigna","Commercial",,,"59",,"46.76","29.2","61.84","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402363","CDM","Both",,,"79.79","39.895","Humana","Commercial",,,"78",,"61.84","29.2","61.84","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402363","CDM","Both",,,"79.79","39.895","UHC","Commercial",,,"75",,"60.16","29.2","61.84","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402363","CDM","Both",,,"79.79","39.895","Medicaid",,,,"37",,"29.2","29.2","61.84","percent of total billed charges",,
"NF-Synthroid Tab 25MCG","402378","CDM","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-Synthroid Tab 25MCG","402378","CDM","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","1.46","3.1","percent of total billed charges",,
"NF-Synthroid Tab 25MCG","402378","CDM","Both",,,"4","2","Medicare",,,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Synthroid Tab 25MCG","402378","CDM","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Synthroid Tab 25MCG","402378","CDM","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Synthroid Tab 25MCG","402378","CDM","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Synthroid Tab 25MCG","402378","CDM","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Synthroid Tab 25MCG","402378","CDM","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","1.46","3.1","percent of total billed charges",,
"NF-Synthroid Tab 25MCG","402378","CDM","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","1.46","3.1","percent of total billed charges",,
"NF-Synthroid Tab 25MCG","402378","CDM","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","1.46","3.1","percent of total billed charges",,
"NF-Synthroid Tab 25MCG","402378","CDM","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","1.46","3.1","percent of total billed charges",,
"NF-Synthroid Tab 25MCG","402378","CDM","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-Synthroid Tab 25MCG","402378","CDM","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-Synthroid Tab 25MCG","402378","CDM","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-Synthroid Tab 25MCG","402378","CDM","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-Synthroid Tab 25MCG","402378","CDM","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-Synthroid Tab 25MCG","402378","CDM","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","1.46","3.1","percent of total billed charges",,
"NF-Synthroid Tab 25MCG","402378","CDM","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","1.46","3.1","percent of total billed charges",,
"NF-Synthroid Tab 25MCG","402378","CDM","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","1.46","3.1","percent of total billed charges",,
"NF-Synthroid Tab 25MCG","402378","CDM","Both",,,"4","2","Medicaid",,,,"37",,"1.46","1.46","3.1","percent of total billed charges",,
"NF-Elavil Oral Tablet 25MG","402396","CDM","Both",,,"71","35.5","Alliant","Health Exchange",,,"62",,"44.02","25.99","55.02","percent of total billed charges",,
"NF-Elavil Oral Tablet 25MG","402396","CDM","Both",,,"71","35.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"38.34","25.99","55.02","percent of total billed charges",,
"NF-Elavil Oral Tablet 25MG","402396","CDM","Both",,,"71","35.5","Medicare",,,,"54",,"38.48","25.99","55.02","percent of total billed charges",,
"NF-Elavil Oral Tablet 25MG","402396","CDM","Both",,,"71","35.5","Humana","Medicare Advantage",,,"54",,"38.48","25.99","55.02","percent of total billed charges",,
"NF-Elavil Oral Tablet 25MG","402396","CDM","Both",,,"71","35.5","UHC","Medicare Advantage",,,"54",,"38.48","25.99","55.02","percent of total billed charges",,
"NF-Elavil Oral Tablet 25MG","402396","CDM","Both",,,"71","35.5","Clover","Medicare Advantage",,,"54",,"38.48","25.99","55.02","percent of total billed charges",,
"NF-Elavil Oral Tablet 25MG","402396","CDM","Both",,,"71","35.5","Wellcare","Medicare Advantage",,,"54",,"38.48","25.99","55.02","percent of total billed charges",,
"NF-Elavil Oral Tablet 25MG","402396","CDM","Both",,,"71","35.5","Amerigroup","Medicaid Managed Care",,,"37",,"25.99","25.99","55.02","percent of total billed charges",,
"NF-Elavil Oral Tablet 25MG","402396","CDM","Both",,,"71","35.5","Caresource","Medicaid Managed Care",,,"40",,"28.4","25.99","55.02","percent of total billed charges",,
"NF-Elavil Oral Tablet 25MG","402396","CDM","Both",,,"71","35.5","Wellcare","Medicaid Managed Care",,,"40",,"28.76","25.99","55.02","percent of total billed charges",,
"NF-Elavil Oral Tablet 25MG","402396","CDM","Both",,,"71","35.5","Aetna","Commercial",,,"64",,"45.3","25.99","55.02","percent of total billed charges",,
"NF-Elavil Oral Tablet 25MG","402396","CDM","Both",,,"71","35.5","Blue Cross Blue Shield","Pathways",,,"71",,"50.13","25.99","55.02","percent of total billed charges",,
"NF-Elavil Oral Tablet 25MG","402396","CDM","Both",,,"71","35.5","Blue Cross Blue Shield","HMO",,,"71",,"50.13","25.99","55.02","percent of total billed charges",,
"NF-Elavil Oral Tablet 25MG","402396","CDM","Both",,,"71","35.5","Blue Cross Blue Shield","PPO",,,"71",,"50.13","25.99","55.02","percent of total billed charges",,
"NF-Elavil Oral Tablet 25MG","402396","CDM","Both",,,"71","35.5","Ambetter","Health Exchange",,,"62",,"44.02","25.99","55.02","percent of total billed charges",,
"NF-Elavil Oral Tablet 25MG","402396","CDM","Both",,,"71","35.5","Caresource","Health Exchange",,,"62",,"44.02","25.99","55.02","percent of total billed charges",,
"NF-Elavil Oral Tablet 25MG","402396","CDM","Both",,,"71","35.5","Cigna","Commercial",,,"59",,"41.61","25.99","55.02","percent of total billed charges",,
"NF-Elavil Oral Tablet 25MG","402396","CDM","Both",,,"71","35.5","Humana","Commercial",,,"78",,"55.02","25.99","55.02","percent of total billed charges",,
"NF-Elavil Oral Tablet 25MG","402396","CDM","Both",,,"71","35.5","UHC","Commercial",,,"75",,"53.53","25.99","55.02","percent of total billed charges",,
"NF-Elavil Oral Tablet 25MG","402396","CDM","Both",,,"71","35.5","Medicaid",,,,"37",,"25.99","25.99","55.02","percent of total billed charges",,
"NF-Methadone Hydrochloride Oral Tablet 5","402397","CDM","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Methadone Hydrochloride Oral Tablet 5","402397","CDM","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Methadone Hydrochloride Oral Tablet 5","402397","CDM","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Methadone Hydrochloride Oral Tablet 5","402397","CDM","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Methadone Hydrochloride Oral Tablet 5","402397","CDM","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Methadone Hydrochloride Oral Tablet 5","402397","CDM","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Methadone Hydrochloride Oral Tablet 5","402397","CDM","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Methadone Hydrochloride Oral Tablet 5","402397","CDM","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Methadone Hydrochloride Oral Tablet 5","402397","CDM","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Methadone Hydrochloride Oral Tablet 5","402397","CDM","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Methadone Hydrochloride Oral Tablet 5","402397","CDM","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"NF-Methadone Hydrochloride Oral Tablet 5","402397","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Methadone Hydrochloride Oral Tablet 5","402397","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Methadone Hydrochloride Oral Tablet 5","402397","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Methadone Hydrochloride Oral Tablet 5","402397","CDM","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Methadone Hydrochloride Oral Tablet 5","402397","CDM","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Methadone Hydrochloride Oral Tablet 5","402397","CDM","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"NF-Methadone Hydrochloride Oral Tablet 5","402397","CDM","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"NF-Methadone Hydrochloride Oral Tablet 5","402397","CDM","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"NF-Methadone Hydrochloride Oral Tablet 5","402397","CDM","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","402470","CDM","Both",,,"3.3","1.65","Alliant","Health Exchange",,,"62",,"2.05","1.21","2.56","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","402470","CDM","Both",,,"3.3","1.65","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.78","1.21","2.56","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","402470","CDM","Both",,,"3.3","1.65","Medicare",,,,"54",,"1.79","1.21","2.56","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","402470","CDM","Both",,,"3.3","1.65","Humana","Medicare Advantage",,,"54",,"1.79","1.21","2.56","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","402470","CDM","Both",,,"3.3","1.65","UHC","Medicare Advantage",,,"54",,"1.79","1.21","2.56","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","402470","CDM","Both",,,"3.3","1.65","Clover","Medicare Advantage",,,"54",,"1.79","1.21","2.56","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","402470","CDM","Both",,,"3.3","1.65","Wellcare","Medicare Advantage",,,"54",,"1.79","1.21","2.56","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","402470","CDM","Both",,,"3.3","1.65","Amerigroup","Medicaid Managed Care",,,"37",,"1.21","1.21","2.56","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","402470","CDM","Both",,,"3.3","1.65","Caresource","Medicaid Managed Care",,,"40",,"1.32","1.21","2.56","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","402470","CDM","Both",,,"3.3","1.65","Wellcare","Medicaid Managed Care",,,"40",,"1.34","1.21","2.56","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","402470","CDM","Both",,,"3.3","1.65","Aetna","Commercial",,,"64",,"2.11","1.21","2.56","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","402470","CDM","Both",,,"3.3","1.65","Blue Cross Blue Shield","Pathways",,,"71",,"2.33","1.21","2.56","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","402470","CDM","Both",,,"3.3","1.65","Blue Cross Blue Shield","HMO",,,"71",,"2.33","1.21","2.56","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","402470","CDM","Both",,,"3.3","1.65","Blue Cross Blue Shield","PPO",,,"71",,"2.33","1.21","2.56","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","402470","CDM","Both",,,"3.3","1.65","Ambetter","Health Exchange",,,"62",,"2.05","1.21","2.56","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","402470","CDM","Both",,,"3.3","1.65","Caresource","Health Exchange",,,"62",,"2.05","1.21","2.56","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","402470","CDM","Both",,,"3.3","1.65","Cigna","Commercial",,,"59",,"1.93","1.21","2.56","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","402470","CDM","Both",,,"3.3","1.65","Humana","Commercial",,,"78",,"2.56","1.21","2.56","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","402470","CDM","Both",,,"3.3","1.65","UHC","Commercial",,,"75",,"2.49","1.21","2.56","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","402470","CDM","Both",,,"3.3","1.65","Medicaid",,,,"37",,"1.21","1.21","2.56","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","402490","CDM","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","402490","CDM","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","1.46","3.1","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","402490","CDM","Both",,,"4","2","Medicare",,,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","402490","CDM","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","402490","CDM","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","402490","CDM","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","402490","CDM","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","402490","CDM","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","1.46","3.1","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","402490","CDM","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","1.46","3.1","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","402490","CDM","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","1.46","3.1","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","402490","CDM","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","1.46","3.1","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","402490","CDM","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","402490","CDM","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","402490","CDM","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","402490","CDM","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","402490","CDM","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","402490","CDM","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","1.46","3.1","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","402490","CDM","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","1.46","3.1","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","402490","CDM","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","1.46","3.1","percent of total billed charges",,
"NF-busPIRone Oral Tablet 10MG","402490","CDM","Both",,,"4","2","Medicaid",,,,"37",,"1.46","1.46","3.1","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","402503","CDM","Both",,,"3.93","1.965","Alliant","Health Exchange",,,"62",,"2.44","1.44","3.05","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","402503","CDM","Both",,,"3.93","1.965","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.12","1.44","3.05","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","402503","CDM","Both",,,"3.93","1.965","Medicare",,,,"54",,"2.13","1.44","3.05","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","402503","CDM","Both",,,"3.93","1.965","Humana","Medicare Advantage",,,"54",,"2.13","1.44","3.05","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","402503","CDM","Both",,,"3.93","1.965","UHC","Medicare Advantage",,,"54",,"2.13","1.44","3.05","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","402503","CDM","Both",,,"3.93","1.965","Clover","Medicare Advantage",,,"54",,"2.13","1.44","3.05","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","402503","CDM","Both",,,"3.93","1.965","Wellcare","Medicare Advantage",,,"54",,"2.13","1.44","3.05","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","402503","CDM","Both",,,"3.93","1.965","Amerigroup","Medicaid Managed Care",,,"37",,"1.44","1.44","3.05","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","402503","CDM","Both",,,"3.93","1.965","Caresource","Medicaid Managed Care",,,"40",,"1.57","1.44","3.05","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","402503","CDM","Both",,,"3.93","1.965","Wellcare","Medicaid Managed Care",,,"40",,"1.59","1.44","3.05","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","402503","CDM","Both",,,"3.93","1.965","Aetna","Commercial",,,"64",,"2.51","1.44","3.05","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","402503","CDM","Both",,,"3.93","1.965","Blue Cross Blue Shield","Pathways",,,"71",,"2.77","1.44","3.05","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","402503","CDM","Both",,,"3.93","1.965","Blue Cross Blue Shield","HMO",,,"71",,"2.77","1.44","3.05","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","402503","CDM","Both",,,"3.93","1.965","Blue Cross Blue Shield","PPO",,,"71",,"2.77","1.44","3.05","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","402503","CDM","Both",,,"3.93","1.965","Ambetter","Health Exchange",,,"62",,"2.44","1.44","3.05","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","402503","CDM","Both",,,"3.93","1.965","Caresource","Health Exchange",,,"62",,"2.44","1.44","3.05","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","402503","CDM","Both",,,"3.93","1.965","Cigna","Commercial",,,"59",,"2.3","1.44","3.05","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","402503","CDM","Both",,,"3.93","1.965","Humana","Commercial",,,"78",,"3.05","1.44","3.05","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","402503","CDM","Both",,,"3.93","1.965","UHC","Commercial",,,"75",,"2.96","1.44","3.05","percent of total billed charges",,
"NF-OXAZEPAM CAP 15MG","402503","CDM","Both",,,"3.93","1.965","Medicaid",,,,"37",,"1.44","1.44","3.05","percent of total billed charges",,
"NF-Maxzide Oral Tablet 75MG-50MG","402536","CDM","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.73","1.55","percent of total billed charges",,
"NF-Maxzide Oral Tablet 75MG-50MG","402536","CDM","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Maxzide Oral Tablet 75MG-50MG","402536","CDM","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Maxzide Oral Tablet 75MG-50MG","402536","CDM","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Maxzide Oral Tablet 75MG-50MG","402536","CDM","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Maxzide Oral Tablet 75MG-50MG","402536","CDM","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Maxzide Oral Tablet 75MG-50MG","402536","CDM","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Maxzide Oral Tablet 75MG-50MG","402536","CDM","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.73","1.55","percent of total billed charges",,
"NF-Maxzide Oral Tablet 75MG-50MG","402536","CDM","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.73","1.55","percent of total billed charges",,
"NF-Maxzide Oral Tablet 75MG-50MG","402536","CDM","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.73","1.55","percent of total billed charges",,
"NF-Maxzide Oral Tablet 75MG-50MG","402536","CDM","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.73","1.55","percent of total billed charges",,
"NF-Maxzide Oral Tablet 75MG-50MG","402536","CDM","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.73","1.55","percent of total billed charges",,
"NF-Maxzide Oral Tablet 75MG-50MG","402536","CDM","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.73","1.55","percent of total billed charges",,
"NF-Maxzide Oral Tablet 75MG-50MG","402536","CDM","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.73","1.55","percent of total billed charges",,
"NF-Maxzide Oral Tablet 75MG-50MG","402536","CDM","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.73","1.55","percent of total billed charges",,
"NF-Maxzide Oral Tablet 75MG-50MG","402536","CDM","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.73","1.55","percent of total billed charges",,
"NF-Maxzide Oral Tablet 75MG-50MG","402536","CDM","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.73","1.55","percent of total billed charges",,
"NF-Maxzide Oral Tablet 75MG-50MG","402536","CDM","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.73","1.55","percent of total billed charges",,
"NF-Maxzide Oral Tablet 75MG-50MG","402536","CDM","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.73","1.55","percent of total billed charges",,
"NF-Maxzide Oral Tablet 75MG-50MG","402536","CDM","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.73","1.55","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","402537","CDM","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","402537","CDM","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","402537","CDM","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","402537","CDM","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","402537","CDM","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","402537","CDM","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","402537","CDM","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","402537","CDM","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","402537","CDM","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","402537","CDM","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","402537","CDM","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","402537","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","402537","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","402537","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","402537","CDM","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","402537","CDM","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","402537","CDM","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","402537","CDM","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","402537","CDM","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","402537","CDM","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Maxzide Oral Tablet 75MG-50MG","402538","CDM","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.73","1.55","percent of total billed charges",,
"NF-Maxzide Oral Tablet 75MG-50MG","402538","CDM","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Maxzide Oral Tablet 75MG-50MG","402538","CDM","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Maxzide Oral Tablet 75MG-50MG","402538","CDM","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Maxzide Oral Tablet 75MG-50MG","402538","CDM","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Maxzide Oral Tablet 75MG-50MG","402538","CDM","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Maxzide Oral Tablet 75MG-50MG","402538","CDM","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Maxzide Oral Tablet 75MG-50MG","402538","CDM","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.73","1.55","percent of total billed charges",,
"NF-Maxzide Oral Tablet 75MG-50MG","402538","CDM","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.73","1.55","percent of total billed charges",,
"NF-Maxzide Oral Tablet 75MG-50MG","402538","CDM","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.73","1.55","percent of total billed charges",,
"NF-Maxzide Oral Tablet 75MG-50MG","402538","CDM","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.73","1.55","percent of total billed charges",,
"NF-Maxzide Oral Tablet 75MG-50MG","402538","CDM","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.73","1.55","percent of total billed charges",,
"NF-Maxzide Oral Tablet 75MG-50MG","402538","CDM","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.73","1.55","percent of total billed charges",,
"NF-Maxzide Oral Tablet 75MG-50MG","402538","CDM","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.73","1.55","percent of total billed charges",,
"NF-Maxzide Oral Tablet 75MG-50MG","402538","CDM","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.73","1.55","percent of total billed charges",,
"NF-Maxzide Oral Tablet 75MG-50MG","402538","CDM","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.73","1.55","percent of total billed charges",,
"NF-Maxzide Oral Tablet 75MG-50MG","402538","CDM","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.73","1.55","percent of total billed charges",,
"NF-Maxzide Oral Tablet 75MG-50MG","402538","CDM","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.73","1.55","percent of total billed charges",,
"NF-Maxzide Oral Tablet 75MG-50MG","402538","CDM","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.73","1.55","percent of total billed charges",,
"NF-Maxzide Oral Tablet 75MG-50MG","402538","CDM","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.73","1.55","percent of total billed charges",,
"NF-Potassium Chloride Oral Cap ER 10MEQ","402539","CDM","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.73","1.55","percent of total billed charges",,
"NF-Potassium Chloride Oral Cap ER 10MEQ","402539","CDM","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Potassium Chloride Oral Cap ER 10MEQ","402539","CDM","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Potassium Chloride Oral Cap ER 10MEQ","402539","CDM","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Potassium Chloride Oral Cap ER 10MEQ","402539","CDM","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Potassium Chloride Oral Cap ER 10MEQ","402539","CDM","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Potassium Chloride Oral Cap ER 10MEQ","402539","CDM","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Potassium Chloride Oral Cap ER 10MEQ","402539","CDM","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.73","1.55","percent of total billed charges",,
"NF-Potassium Chloride Oral Cap ER 10MEQ","402539","CDM","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.73","1.55","percent of total billed charges",,
"NF-Potassium Chloride Oral Cap ER 10MEQ","402539","CDM","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.73","1.55","percent of total billed charges",,
"NF-Potassium Chloride Oral Cap ER 10MEQ","402539","CDM","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.73","1.55","percent of total billed charges",,
"NF-Potassium Chloride Oral Cap ER 10MEQ","402539","CDM","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.73","1.55","percent of total billed charges",,
"NF-Potassium Chloride Oral Cap ER 10MEQ","402539","CDM","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.73","1.55","percent of total billed charges",,
"NF-Potassium Chloride Oral Cap ER 10MEQ","402539","CDM","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.73","1.55","percent of total billed charges",,
"NF-Potassium Chloride Oral Cap ER 10MEQ","402539","CDM","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.73","1.55","percent of total billed charges",,
"NF-Potassium Chloride Oral Cap ER 10MEQ","402539","CDM","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.73","1.55","percent of total billed charges",,
"NF-Potassium Chloride Oral Cap ER 10MEQ","402539","CDM","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.73","1.55","percent of total billed charges",,
"NF-Potassium Chloride Oral Cap ER 10MEQ","402539","CDM","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.73","1.55","percent of total billed charges",,
"NF-Potassium Chloride Oral Cap ER 10MEQ","402539","CDM","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.73","1.55","percent of total billed charges",,
"NF-Potassium Chloride Oral Cap ER 10MEQ","402539","CDM","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.73","1.55","percent of total billed charges",,
"NF-MAGNESIUM CARBONATE ORAL CAPSULE 125M","402547","CDM","Both",,,"0.21","0.105","Alliant","Health Exchange",,,"62",,"0.13","0.08","0.16","percent of total billed charges",,
"NF-MAGNESIUM CARBONATE ORAL CAPSULE 125M","402547","CDM","Both",,,"0.21","0.105","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.11","0.08","0.16","percent of total billed charges",,
"NF-MAGNESIUM CARBONATE ORAL CAPSULE 125M","402547","CDM","Both",,,"0.21","0.105","Medicare",,,,"54",,"0.11","0.08","0.16","percent of total billed charges",,
"NF-MAGNESIUM CARBONATE ORAL CAPSULE 125M","402547","CDM","Both",,,"0.21","0.105","Humana","Medicare Advantage",,,"54",,"0.11","0.08","0.16","percent of total billed charges",,
"NF-MAGNESIUM CARBONATE ORAL CAPSULE 125M","402547","CDM","Both",,,"0.21","0.105","UHC","Medicare Advantage",,,"54",,"0.11","0.08","0.16","percent of total billed charges",,
"NF-MAGNESIUM CARBONATE ORAL CAPSULE 125M","402547","CDM","Both",,,"0.21","0.105","Clover","Medicare Advantage",,,"54",,"0.11","0.08","0.16","percent of total billed charges",,
"NF-MAGNESIUM CARBONATE ORAL CAPSULE 125M","402547","CDM","Both",,,"0.21","0.105","Wellcare","Medicare Advantage",,,"54",,"0.11","0.08","0.16","percent of total billed charges",,
"NF-MAGNESIUM CARBONATE ORAL CAPSULE 125M","402547","CDM","Both",,,"0.21","0.105","Amerigroup","Medicaid Managed Care",,,"37",,"0.08","0.08","0.16","percent of total billed charges",,
"NF-MAGNESIUM CARBONATE ORAL CAPSULE 125M","402547","CDM","Both",,,"0.21","0.105","Caresource","Medicaid Managed Care",,,"40",,"0.08","0.08","0.16","percent of total billed charges",,
"NF-MAGNESIUM CARBONATE ORAL CAPSULE 125M","402547","CDM","Both",,,"0.21","0.105","Wellcare","Medicaid Managed Care",,,"40",,"0.09","0.08","0.16","percent of total billed charges",,
"NF-MAGNESIUM CARBONATE ORAL CAPSULE 125M","402547","CDM","Both",,,"0.21","0.105","Aetna","Commercial",,,"64",,"0.13","0.08","0.16","percent of total billed charges",,
"NF-MAGNESIUM CARBONATE ORAL CAPSULE 125M","402547","CDM","Both",,,"0.21","0.105","Blue Cross Blue Shield","Pathways",,,"71",,"0.15","0.08","0.16","percent of total billed charges",,
"NF-MAGNESIUM CARBONATE ORAL CAPSULE 125M","402547","CDM","Both",,,"0.21","0.105","Blue Cross Blue Shield","HMO",,,"71",,"0.15","0.08","0.16","percent of total billed charges",,
"NF-MAGNESIUM CARBONATE ORAL CAPSULE 125M","402547","CDM","Both",,,"0.21","0.105","Blue Cross Blue Shield","PPO",,,"71",,"0.15","0.08","0.16","percent of total billed charges",,
"NF-MAGNESIUM CARBONATE ORAL CAPSULE 125M","402547","CDM","Both",,,"0.21","0.105","Ambetter","Health Exchange",,,"62",,"0.13","0.08","0.16","percent of total billed charges",,
"NF-MAGNESIUM CARBONATE ORAL CAPSULE 125M","402547","CDM","Both",,,"0.21","0.105","Caresource","Health Exchange",,,"62",,"0.13","0.08","0.16","percent of total billed charges",,
"NF-MAGNESIUM CARBONATE ORAL CAPSULE 125M","402547","CDM","Both",,,"0.21","0.105","Cigna","Commercial",,,"59",,"0.12","0.08","0.16","percent of total billed charges",,
"NF-MAGNESIUM CARBONATE ORAL CAPSULE 125M","402547","CDM","Both",,,"0.21","0.105","Humana","Commercial",,,"78",,"0.16","0.08","0.16","percent of total billed charges",,
"NF-MAGNESIUM CARBONATE ORAL CAPSULE 125M","402547","CDM","Both",,,"0.21","0.105","UHC","Commercial",,,"75",,"0.16","0.08","0.16","percent of total billed charges",,
"NF-MAGNESIUM CARBONATE ORAL CAPSULE 125M","402547","CDM","Both",,,"0.21","0.105","Medicaid",,,,"37",,"0.08","0.08","0.16","percent of total billed charges",,
"NF-MAGNESIUM & B6 ORAL TABLET 250MG-125M","402548","CDM","Both",,,"0.17","0.085","Alliant","Health Exchange",,,"62",,"0.11","0.06","0.13","percent of total billed charges",,
"NF-MAGNESIUM & B6 ORAL TABLET 250MG-125M","402548","CDM","Both",,,"0.17","0.085","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.09","0.06","0.13","percent of total billed charges",,
"NF-MAGNESIUM & B6 ORAL TABLET 250MG-125M","402548","CDM","Both",,,"0.17","0.085","Medicare",,,,"54",,"0.09","0.06","0.13","percent of total billed charges",,
"NF-MAGNESIUM & B6 ORAL TABLET 250MG-125M","402548","CDM","Both",,,"0.17","0.085","Humana","Medicare Advantage",,,"54",,"0.09","0.06","0.13","percent of total billed charges",,
"NF-MAGNESIUM & B6 ORAL TABLET 250MG-125M","402548","CDM","Both",,,"0.17","0.085","UHC","Medicare Advantage",,,"54",,"0.09","0.06","0.13","percent of total billed charges",,
"NF-MAGNESIUM & B6 ORAL TABLET 250MG-125M","402548","CDM","Both",,,"0.17","0.085","Clover","Medicare Advantage",,,"54",,"0.09","0.06","0.13","percent of total billed charges",,
"NF-MAGNESIUM & B6 ORAL TABLET 250MG-125M","402548","CDM","Both",,,"0.17","0.085","Wellcare","Medicare Advantage",,,"54",,"0.09","0.06","0.13","percent of total billed charges",,
"NF-MAGNESIUM & B6 ORAL TABLET 250MG-125M","402548","CDM","Both",,,"0.17","0.085","Amerigroup","Medicaid Managed Care",,,"37",,"0.06","0.06","0.13","percent of total billed charges",,
"NF-MAGNESIUM & B6 ORAL TABLET 250MG-125M","402548","CDM","Both",,,"0.17","0.085","Caresource","Medicaid Managed Care",,,"40",,"0.07","0.06","0.13","percent of total billed charges",,
"NF-MAGNESIUM & B6 ORAL TABLET 250MG-125M","402548","CDM","Both",,,"0.17","0.085","Wellcare","Medicaid Managed Care",,,"40",,"0.07","0.06","0.13","percent of total billed charges",,
"NF-MAGNESIUM & B6 ORAL TABLET 250MG-125M","402548","CDM","Both",,,"0.17","0.085","Aetna","Commercial",,,"64",,"0.11","0.06","0.13","percent of total billed charges",,
"NF-MAGNESIUM & B6 ORAL TABLET 250MG-125M","402548","CDM","Both",,,"0.17","0.085","Blue Cross Blue Shield","Pathways",,,"71",,"0.12","0.06","0.13","percent of total billed charges",,
"NF-MAGNESIUM & B6 ORAL TABLET 250MG-125M","402548","CDM","Both",,,"0.17","0.085","Blue Cross Blue Shield","HMO",,,"71",,"0.12","0.06","0.13","percent of total billed charges",,
"NF-MAGNESIUM & B6 ORAL TABLET 250MG-125M","402548","CDM","Both",,,"0.17","0.085","Blue Cross Blue Shield","PPO",,,"71",,"0.12","0.06","0.13","percent of total billed charges",,
"NF-MAGNESIUM & B6 ORAL TABLET 250MG-125M","402548","CDM","Both",,,"0.17","0.085","Ambetter","Health Exchange",,,"62",,"0.11","0.06","0.13","percent of total billed charges",,
"NF-MAGNESIUM & B6 ORAL TABLET 250MG-125M","402548","CDM","Both",,,"0.17","0.085","Caresource","Health Exchange",,,"62",,"0.11","0.06","0.13","percent of total billed charges",,
"NF-MAGNESIUM & B6 ORAL TABLET 250MG-125M","402548","CDM","Both",,,"0.17","0.085","Cigna","Commercial",,,"59",,"0.1","0.06","0.13","percent of total billed charges",,
"NF-MAGNESIUM & B6 ORAL TABLET 250MG-125M","402548","CDM","Both",,,"0.17","0.085","Humana","Commercial",,,"78",,"0.13","0.06","0.13","percent of total billed charges",,
"NF-MAGNESIUM & B6 ORAL TABLET 250MG-125M","402548","CDM","Both",,,"0.17","0.085","UHC","Commercial",,,"75",,"0.13","0.06","0.13","percent of total billed charges",,
"NF-MAGNESIUM & B6 ORAL TABLET 250MG-125M","402548","CDM","Both",,,"0.17","0.085","Medicaid",,,,"37",,"0.06","0.06","0.13","percent of total billed charges",,
"NF-ASPIRIN         TAB  81MG","402549","CDM","Both",,,"0.04","0.02","Alliant","Health Exchange",,,"62",,"0.02","0.01","0.03","percent of total billed charges",,
"NF-ASPIRIN         TAB  81MG","402549","CDM","Both",,,"0.04","0.02","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.02","0.01","0.03","percent of total billed charges",,
"NF-ASPIRIN         TAB  81MG","402549","CDM","Both",,,"0.04","0.02","Medicare",,,,"54",,"0.02","0.01","0.03","percent of total billed charges",,
"NF-ASPIRIN         TAB  81MG","402549","CDM","Both",,,"0.04","0.02","Humana","Medicare Advantage",,,"54",,"0.02","0.01","0.03","percent of total billed charges",,
"NF-ASPIRIN         TAB  81MG","402549","CDM","Both",,,"0.04","0.02","UHC","Medicare Advantage",,,"54",,"0.02","0.01","0.03","percent of total billed charges",,
"NF-ASPIRIN         TAB  81MG","402549","CDM","Both",,,"0.04","0.02","Clover","Medicare Advantage",,,"54",,"0.02","0.01","0.03","percent of total billed charges",,
"NF-ASPIRIN         TAB  81MG","402549","CDM","Both",,,"0.04","0.02","Wellcare","Medicare Advantage",,,"54",,"0.02","0.01","0.03","percent of total billed charges",,
"NF-ASPIRIN         TAB  81MG","402549","CDM","Both",,,"0.04","0.02","Amerigroup","Medicaid Managed Care",,,"37",,"0.01","0.01","0.03","percent of total billed charges",,
"NF-ASPIRIN         TAB  81MG","402549","CDM","Both",,,"0.04","0.02","Caresource","Medicaid Managed Care",,,"40",,"0.02","0.01","0.03","percent of total billed charges",,
"NF-ASPIRIN         TAB  81MG","402549","CDM","Both",,,"0.04","0.02","Wellcare","Medicaid Managed Care",,,"40",,"0.02","0.01","0.03","percent of total billed charges",,
"NF-ASPIRIN         TAB  81MG","402549","CDM","Both",,,"0.04","0.02","Aetna","Commercial",,,"64",,"0.03","0.01","0.03","percent of total billed charges",,
"NF-ASPIRIN         TAB  81MG","402549","CDM","Both",,,"0.04","0.02","Blue Cross Blue Shield","Pathways",,,"71",,"0.03","0.01","0.03","percent of total billed charges",,
"NF-ASPIRIN         TAB  81MG","402549","CDM","Both",,,"0.04","0.02","Blue Cross Blue Shield","HMO",,,"71",,"0.03","0.01","0.03","percent of total billed charges",,
"NF-ASPIRIN         TAB  81MG","402549","CDM","Both",,,"0.04","0.02","Blue Cross Blue Shield","PPO",,,"71",,"0.03","0.01","0.03","percent of total billed charges",,
"NF-ASPIRIN         TAB  81MG","402549","CDM","Both",,,"0.04","0.02","Ambetter","Health Exchange",,,"62",,"0.02","0.01","0.03","percent of total billed charges",,
"NF-ASPIRIN         TAB  81MG","402549","CDM","Both",,,"0.04","0.02","Caresource","Health Exchange",,,"62",,"0.02","0.01","0.03","percent of total billed charges",,
"NF-ASPIRIN         TAB  81MG","402549","CDM","Both",,,"0.04","0.02","Cigna","Commercial",,,"59",,"0.02","0.01","0.03","percent of total billed charges",,
"NF-ASPIRIN         TAB  81MG","402549","CDM","Both",,,"0.04","0.02","Humana","Commercial",,,"78",,"0.03","0.01","0.03","percent of total billed charges",,
"NF-ASPIRIN         TAB  81MG","402549","CDM","Both",,,"0.04","0.02","UHC","Commercial",,,"75",,"0.03","0.01","0.03","percent of total billed charges",,
"NF-ASPIRIN         TAB  81MG","402549","CDM","Both",,,"0.04","0.02","Medicaid",,,,"37",,"0.01","0.01","0.03","percent of total billed charges",,
"NF-ASPIRIN ADULT LOW STRENGTH CHEW TAB 8","402550","CDM","Both",,,"0.13","0.065","Alliant","Health Exchange",,,"62",,"0.08","0.05","0.1","percent of total billed charges",,
"NF-ASPIRIN ADULT LOW STRENGTH CHEW TAB 8","402550","CDM","Both",,,"0.13","0.065","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.07","0.05","0.1","percent of total billed charges",,
"NF-ASPIRIN ADULT LOW STRENGTH CHEW TAB 8","402550","CDM","Both",,,"0.13","0.065","Medicare",,,,"54",,"0.07","0.05","0.1","percent of total billed charges",,
"NF-ASPIRIN ADULT LOW STRENGTH CHEW TAB 8","402550","CDM","Both",,,"0.13","0.065","Humana","Medicare Advantage",,,"54",,"0.07","0.05","0.1","percent of total billed charges",,
"NF-ASPIRIN ADULT LOW STRENGTH CHEW TAB 8","402550","CDM","Both",,,"0.13","0.065","UHC","Medicare Advantage",,,"54",,"0.07","0.05","0.1","percent of total billed charges",,
"NF-ASPIRIN ADULT LOW STRENGTH CHEW TAB 8","402550","CDM","Both",,,"0.13","0.065","Clover","Medicare Advantage",,,"54",,"0.07","0.05","0.1","percent of total billed charges",,
"NF-ASPIRIN ADULT LOW STRENGTH CHEW TAB 8","402550","CDM","Both",,,"0.13","0.065","Wellcare","Medicare Advantage",,,"54",,"0.07","0.05","0.1","percent of total billed charges",,
"NF-ASPIRIN ADULT LOW STRENGTH CHEW TAB 8","402550","CDM","Both",,,"0.13","0.065","Amerigroup","Medicaid Managed Care",,,"37",,"0.05","0.05","0.1","percent of total billed charges",,
"NF-ASPIRIN ADULT LOW STRENGTH CHEW TAB 8","402550","CDM","Both",,,"0.13","0.065","Caresource","Medicaid Managed Care",,,"40",,"0.05","0.05","0.1","percent of total billed charges",,
"NF-ASPIRIN ADULT LOW STRENGTH CHEW TAB 8","402550","CDM","Both",,,"0.13","0.065","Wellcare","Medicaid Managed Care",,,"40",,"0.05","0.05","0.1","percent of total billed charges",,
"NF-ASPIRIN ADULT LOW STRENGTH CHEW TAB 8","402550","CDM","Both",,,"0.13","0.065","Aetna","Commercial",,,"64",,"0.08","0.05","0.1","percent of total billed charges",,
"NF-ASPIRIN ADULT LOW STRENGTH CHEW TAB 8","402550","CDM","Both",,,"0.13","0.065","Blue Cross Blue Shield","Pathways",,,"71",,"0.09","0.05","0.1","percent of total billed charges",,
"NF-ASPIRIN ADULT LOW STRENGTH CHEW TAB 8","402550","CDM","Both",,,"0.13","0.065","Blue Cross Blue Shield","HMO",,,"71",,"0.09","0.05","0.1","percent of total billed charges",,
"NF-ASPIRIN ADULT LOW STRENGTH CHEW TAB 8","402550","CDM","Both",,,"0.13","0.065","Blue Cross Blue Shield","PPO",,,"71",,"0.09","0.05","0.1","percent of total billed charges",,
"NF-ASPIRIN ADULT LOW STRENGTH CHEW TAB 8","402550","CDM","Both",,,"0.13","0.065","Ambetter","Health Exchange",,,"62",,"0.08","0.05","0.1","percent of total billed charges",,
"NF-ASPIRIN ADULT LOW STRENGTH CHEW TAB 8","402550","CDM","Both",,,"0.13","0.065","Caresource","Health Exchange",,,"62",,"0.08","0.05","0.1","percent of total billed charges",,
"NF-ASPIRIN ADULT LOW STRENGTH CHEW TAB 8","402550","CDM","Both",,,"0.13","0.065","Cigna","Commercial",,,"59",,"0.08","0.05","0.1","percent of total billed charges",,
"NF-ASPIRIN ADULT LOW STRENGTH CHEW TAB 8","402550","CDM","Both",,,"0.13","0.065","Humana","Commercial",,,"78",,"0.1","0.05","0.1","percent of total billed charges",,
"NF-ASPIRIN ADULT LOW STRENGTH CHEW TAB 8","402550","CDM","Both",,,"0.13","0.065","UHC","Commercial",,,"75",,"0.1","0.05","0.1","percent of total billed charges",,
"NF-ASPIRIN ADULT LOW STRENGTH CHEW TAB 8","402550","CDM","Both",,,"0.13","0.065","Medicaid",,,,"37",,"0.05","0.05","0.1","percent of total billed charges",,
"NF-MINOCYCLINE HCL CAP 100MG","402566","CDM","Both",,,"10.19","5.095","Alliant","Health Exchange",,,"62",,"6.32","3.73","7.9","percent of total billed charges",,
"NF-MINOCYCLINE HCL CAP 100MG","402566","CDM","Both",,,"10.19","5.095","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.5","3.73","7.9","percent of total billed charges",,
"NF-MINOCYCLINE HCL CAP 100MG","402566","CDM","Both",,,"10.19","5.095","Medicare",,,,"54",,"5.52","3.73","7.9","percent of total billed charges",,
"NF-MINOCYCLINE HCL CAP 100MG","402566","CDM","Both",,,"10.19","5.095","Humana","Medicare Advantage",,,"54",,"5.52","3.73","7.9","percent of total billed charges",,
"NF-MINOCYCLINE HCL CAP 100MG","402566","CDM","Both",,,"10.19","5.095","UHC","Medicare Advantage",,,"54",,"5.52","3.73","7.9","percent of total billed charges",,
"NF-MINOCYCLINE HCL CAP 100MG","402566","CDM","Both",,,"10.19","5.095","Clover","Medicare Advantage",,,"54",,"5.52","3.73","7.9","percent of total billed charges",,
"NF-MINOCYCLINE HCL CAP 100MG","402566","CDM","Both",,,"10.19","5.095","Wellcare","Medicare Advantage",,,"54",,"5.52","3.73","7.9","percent of total billed charges",,
"NF-MINOCYCLINE HCL CAP 100MG","402566","CDM","Both",,,"10.19","5.095","Amerigroup","Medicaid Managed Care",,,"37",,"3.73","3.73","7.9","percent of total billed charges",,
"NF-MINOCYCLINE HCL CAP 100MG","402566","CDM","Both",,,"10.19","5.095","Caresource","Medicaid Managed Care",,,"40",,"4.08","3.73","7.9","percent of total billed charges",,
"NF-MINOCYCLINE HCL CAP 100MG","402566","CDM","Both",,,"10.19","5.095","Wellcare","Medicaid Managed Care",,,"40",,"4.13","3.73","7.9","percent of total billed charges",,
"NF-MINOCYCLINE HCL CAP 100MG","402566","CDM","Both",,,"10.19","5.095","Aetna","Commercial",,,"64",,"6.5","3.73","7.9","percent of total billed charges",,
"NF-MINOCYCLINE HCL CAP 100MG","402566","CDM","Both",,,"10.19","5.095","Blue Cross Blue Shield","Pathways",,,"71",,"7.19","3.73","7.9","percent of total billed charges",,
"NF-MINOCYCLINE HCL CAP 100MG","402566","CDM","Both",,,"10.19","5.095","Blue Cross Blue Shield","HMO",,,"71",,"7.19","3.73","7.9","percent of total billed charges",,
"NF-MINOCYCLINE HCL CAP 100MG","402566","CDM","Both",,,"10.19","5.095","Blue Cross Blue Shield","PPO",,,"71",,"7.19","3.73","7.9","percent of total billed charges",,
"NF-MINOCYCLINE HCL CAP 100MG","402566","CDM","Both",,,"10.19","5.095","Ambetter","Health Exchange",,,"62",,"6.32","3.73","7.9","percent of total billed charges",,
"NF-MINOCYCLINE HCL CAP 100MG","402566","CDM","Both",,,"10.19","5.095","Caresource","Health Exchange",,,"62",,"6.32","3.73","7.9","percent of total billed charges",,
"NF-MINOCYCLINE HCL CAP 100MG","402566","CDM","Both",,,"10.19","5.095","Cigna","Commercial",,,"59",,"5.97","3.73","7.9","percent of total billed charges",,
"NF-MINOCYCLINE HCL CAP 100MG","402566","CDM","Both",,,"10.19","5.095","Humana","Commercial",,,"78",,"7.9","3.73","7.9","percent of total billed charges",,
"NF-MINOCYCLINE HCL CAP 100MG","402566","CDM","Both",,,"10.19","5.095","UHC","Commercial",,,"75",,"7.68","3.73","7.9","percent of total billed charges",,
"NF-MINOCYCLINE HCL CAP 100MG","402566","CDM","Both",,,"10.19","5.095","Medicaid",,,,"37",,"3.73","3.73","7.9","percent of total billed charges",,
"NF-Triamterene/HCTZ Oral Cap 37.5MG-25MG","402568","CDM","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Triamterene/HCTZ Oral Cap 37.5MG-25MG","402568","CDM","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Triamterene/HCTZ Oral Cap 37.5MG-25MG","402568","CDM","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Triamterene/HCTZ Oral Cap 37.5MG-25MG","402568","CDM","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Triamterene/HCTZ Oral Cap 37.5MG-25MG","402568","CDM","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Triamterene/HCTZ Oral Cap 37.5MG-25MG","402568","CDM","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Triamterene/HCTZ Oral Cap 37.5MG-25MG","402568","CDM","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Triamterene/HCTZ Oral Cap 37.5MG-25MG","402568","CDM","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Triamterene/HCTZ Oral Cap 37.5MG-25MG","402568","CDM","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Triamterene/HCTZ Oral Cap 37.5MG-25MG","402568","CDM","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Triamterene/HCTZ Oral Cap 37.5MG-25MG","402568","CDM","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"NF-Triamterene/HCTZ Oral Cap 37.5MG-25MG","402568","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Triamterene/HCTZ Oral Cap 37.5MG-25MG","402568","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Triamterene/HCTZ Oral Cap 37.5MG-25MG","402568","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Triamterene/HCTZ Oral Cap 37.5MG-25MG","402568","CDM","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Triamterene/HCTZ Oral Cap 37.5MG-25MG","402568","CDM","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Triamterene/HCTZ Oral Cap 37.5MG-25MG","402568","CDM","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"NF-Triamterene/HCTZ Oral Cap 37.5MG-25MG","402568","CDM","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"NF-Triamterene/HCTZ Oral Cap 37.5MG-25MG","402568","CDM","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"NF-Triamterene/HCTZ Oral Cap 37.5MG-25MG","402568","CDM","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","402569","CDM","Both",,,"51","25.5","Alliant","Health Exchange",,,"62",,"31.62","18.67","39.52","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","402569","CDM","Both",,,"51","25.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"27.54","18.67","39.52","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","402569","CDM","Both",,,"51","25.5","Medicare",,,,"54",,"27.64","18.67","39.52","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","402569","CDM","Both",,,"51","25.5","Humana","Medicare Advantage",,,"54",,"27.64","18.67","39.52","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","402569","CDM","Both",,,"51","25.5","UHC","Medicare Advantage",,,"54",,"27.64","18.67","39.52","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","402569","CDM","Both",,,"51","25.5","Clover","Medicare Advantage",,,"54",,"27.64","18.67","39.52","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","402569","CDM","Both",,,"51","25.5","Wellcare","Medicare Advantage",,,"54",,"27.64","18.67","39.52","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","402569","CDM","Both",,,"51","25.5","Amerigroup","Medicaid Managed Care",,,"37",,"18.67","18.67","39.52","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","402569","CDM","Both",,,"51","25.5","Caresource","Medicaid Managed Care",,,"40",,"20.4","18.67","39.52","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","402569","CDM","Both",,,"51","25.5","Wellcare","Medicaid Managed Care",,,"40",,"20.66","18.67","39.52","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","402569","CDM","Both",,,"51","25.5","Aetna","Commercial",,,"64",,"32.54","18.67","39.52","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","402569","CDM","Both",,,"51","25.5","Blue Cross Blue Shield","Pathways",,,"71",,"36.01","18.67","39.52","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","402569","CDM","Both",,,"51","25.5","Blue Cross Blue Shield","HMO",,,"71",,"36.01","18.67","39.52","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","402569","CDM","Both",,,"51","25.5","Blue Cross Blue Shield","PPO",,,"71",,"36.01","18.67","39.52","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","402569","CDM","Both",,,"51","25.5","Ambetter","Health Exchange",,,"62",,"31.62","18.67","39.52","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","402569","CDM","Both",,,"51","25.5","Caresource","Health Exchange",,,"62",,"31.62","18.67","39.52","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","402569","CDM","Both",,,"51","25.5","Cigna","Commercial",,,"59",,"29.89","18.67","39.52","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","402569","CDM","Both",,,"51","25.5","Humana","Commercial",,,"78",,"39.52","18.67","39.52","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","402569","CDM","Both",,,"51","25.5","UHC","Commercial",,,"75",,"38.45","18.67","39.52","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","402569","CDM","Both",,,"51","25.5","Medicaid",,,,"37",,"18.67","18.67","39.52","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402575","CDM","Both",,,"115.48","57.74","Alliant","Health Exchange",,,"62",,"71.6","42.27","89.5","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402575","CDM","Both",,,"115.48","57.74","Pruitt Healthcare","Medicare Advantage",,,"54",,"62.36","42.27","89.5","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402575","CDM","Both",,,"115.48","57.74","Medicare",,,,"54",,"62.59","42.27","89.5","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402575","CDM","Both",,,"115.48","57.74","Humana","Medicare Advantage",,,"54",,"62.59","42.27","89.5","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402575","CDM","Both",,,"115.48","57.74","UHC","Medicare Advantage",,,"54",,"62.59","42.27","89.5","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402575","CDM","Both",,,"115.48","57.74","Clover","Medicare Advantage",,,"54",,"62.59","42.27","89.5","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402575","CDM","Both",,,"115.48","57.74","Wellcare","Medicare Advantage",,,"54",,"62.59","42.27","89.5","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402575","CDM","Both",,,"115.48","57.74","Amerigroup","Medicaid Managed Care",,,"37",,"42.27","42.27","89.5","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402575","CDM","Both",,,"115.48","57.74","Caresource","Medicaid Managed Care",,,"40",,"46.19","42.27","89.5","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402575","CDM","Both",,,"115.48","57.74","Wellcare","Medicaid Managed Care",,,"40",,"46.77","42.27","89.5","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402575","CDM","Both",,,"115.48","57.74","Aetna","Commercial",,,"64",,"73.68","42.27","89.5","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402575","CDM","Both",,,"115.48","57.74","Blue Cross Blue Shield","Pathways",,,"71",,"81.53","42.27","89.5","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402575","CDM","Both",,,"115.48","57.74","Blue Cross Blue Shield","HMO",,,"71",,"81.53","42.27","89.5","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402575","CDM","Both",,,"115.48","57.74","Blue Cross Blue Shield","PPO",,,"71",,"81.53","42.27","89.5","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402575","CDM","Both",,,"115.48","57.74","Ambetter","Health Exchange",,,"62",,"71.6","42.27","89.5","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402575","CDM","Both",,,"115.48","57.74","Caresource","Health Exchange",,,"62",,"71.6","42.27","89.5","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402575","CDM","Both",,,"115.48","57.74","Cigna","Commercial",,,"59",,"67.67","42.27","89.5","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402575","CDM","Both",,,"115.48","57.74","Humana","Commercial",,,"78",,"89.5","42.27","89.5","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402575","CDM","Both",,,"115.48","57.74","UHC","Commercial",,,"75",,"87.07","42.27","89.5","percent of total billed charges",,
"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG","402575","CDM","Both",,,"115.48","57.74","Medicaid",,,,"37",,"42.27","42.27","89.5","percent of total billed charges",,
"NF-VENLAFAXINE HCL AVPAK TAB 25MG","402612","CDM","Both",,,"6.19","3.095","Alliant","Health Exchange",,,"62",,"3.84","2.27","4.8","percent of total billed charges",,
"NF-VENLAFAXINE HCL AVPAK TAB 25MG","402612","CDM","Both",,,"6.19","3.095","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.34","2.27","4.8","percent of total billed charges",,
"NF-VENLAFAXINE HCL AVPAK TAB 25MG","402612","CDM","Both",,,"6.19","3.095","Medicare",,,,"54",,"3.35","2.27","4.8","percent of total billed charges",,
"NF-VENLAFAXINE HCL AVPAK TAB 25MG","402612","CDM","Both",,,"6.19","3.095","Humana","Medicare Advantage",,,"54",,"3.35","2.27","4.8","percent of total billed charges",,
"NF-VENLAFAXINE HCL AVPAK TAB 25MG","402612","CDM","Both",,,"6.19","3.095","UHC","Medicare Advantage",,,"54",,"3.35","2.27","4.8","percent of total billed charges",,
"NF-VENLAFAXINE HCL AVPAK TAB 25MG","402612","CDM","Both",,,"6.19","3.095","Clover","Medicare Advantage",,,"54",,"3.35","2.27","4.8","percent of total billed charges",,
"NF-VENLAFAXINE HCL AVPAK TAB 25MG","402612","CDM","Both",,,"6.19","3.095","Wellcare","Medicare Advantage",,,"54",,"3.35","2.27","4.8","percent of total billed charges",,
"NF-VENLAFAXINE HCL AVPAK TAB 25MG","402612","CDM","Both",,,"6.19","3.095","Amerigroup","Medicaid Managed Care",,,"37",,"2.27","2.27","4.8","percent of total billed charges",,
"NF-VENLAFAXINE HCL AVPAK TAB 25MG","402612","CDM","Both",,,"6.19","3.095","Caresource","Medicaid Managed Care",,,"40",,"2.48","2.27","4.8","percent of total billed charges",,
"NF-VENLAFAXINE HCL AVPAK TAB 25MG","402612","CDM","Both",,,"6.19","3.095","Wellcare","Medicaid Managed Care",,,"40",,"2.51","2.27","4.8","percent of total billed charges",,
"NF-VENLAFAXINE HCL AVPAK TAB 25MG","402612","CDM","Both",,,"6.19","3.095","Aetna","Commercial",,,"64",,"3.95","2.27","4.8","percent of total billed charges",,
"NF-VENLAFAXINE HCL AVPAK TAB 25MG","402612","CDM","Both",,,"6.19","3.095","Blue Cross Blue Shield","Pathways",,,"71",,"4.37","2.27","4.8","percent of total billed charges",,
"NF-VENLAFAXINE HCL AVPAK TAB 25MG","402612","CDM","Both",,,"6.19","3.095","Blue Cross Blue Shield","HMO",,,"71",,"4.37","2.27","4.8","percent of total billed charges",,
"NF-VENLAFAXINE HCL AVPAK TAB 25MG","402612","CDM","Both",,,"6.19","3.095","Blue Cross Blue Shield","PPO",,,"71",,"4.37","2.27","4.8","percent of total billed charges",,
"NF-VENLAFAXINE HCL AVPAK TAB 25MG","402612","CDM","Both",,,"6.19","3.095","Ambetter","Health Exchange",,,"62",,"3.84","2.27","4.8","percent of total billed charges",,
"NF-VENLAFAXINE HCL AVPAK TAB 25MG","402612","CDM","Both",,,"6.19","3.095","Caresource","Health Exchange",,,"62",,"3.84","2.27","4.8","percent of total billed charges",,
"NF-VENLAFAXINE HCL AVPAK TAB 25MG","402612","CDM","Both",,,"6.19","3.095","Cigna","Commercial",,,"59",,"3.63","2.27","4.8","percent of total billed charges",,
"NF-VENLAFAXINE HCL AVPAK TAB 25MG","402612","CDM","Both",,,"6.19","3.095","Humana","Commercial",,,"78",,"4.8","2.27","4.8","percent of total billed charges",,
"NF-VENLAFAXINE HCL AVPAK TAB 25MG","402612","CDM","Both",,,"6.19","3.095","UHC","Commercial",,,"75",,"4.67","2.27","4.8","percent of total billed charges",,
"NF-VENLAFAXINE HCL AVPAK TAB 25MG","402612","CDM","Both",,,"6.19","3.095","Medicaid",,,,"37",,"2.27","2.27","4.8","percent of total billed charges",,
"NF-CARDIZEM TAB 30MG","402614","CDM","Both",,,"23.04","11.52","Alliant","Health Exchange",,,"62",,"14.28","8.43","17.86","percent of total billed charges",,
"NF-CARDIZEM TAB 30MG","402614","CDM","Both",,,"23.04","11.52","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.44","8.43","17.86","percent of total billed charges",,
"NF-CARDIZEM TAB 30MG","402614","CDM","Both",,,"23.04","11.52","Medicare",,,,"54",,"12.49","8.43","17.86","percent of total billed charges",,
"NF-CARDIZEM TAB 30MG","402614","CDM","Both",,,"23.04","11.52","Humana","Medicare Advantage",,,"54",,"12.49","8.43","17.86","percent of total billed charges",,
"NF-CARDIZEM TAB 30MG","402614","CDM","Both",,,"23.04","11.52","UHC","Medicare Advantage",,,"54",,"12.49","8.43","17.86","percent of total billed charges",,
"NF-CARDIZEM TAB 30MG","402614","CDM","Both",,,"23.04","11.52","Clover","Medicare Advantage",,,"54",,"12.49","8.43","17.86","percent of total billed charges",,
"NF-CARDIZEM TAB 30MG","402614","CDM","Both",,,"23.04","11.52","Wellcare","Medicare Advantage",,,"54",,"12.49","8.43","17.86","percent of total billed charges",,
"NF-CARDIZEM TAB 30MG","402614","CDM","Both",,,"23.04","11.52","Amerigroup","Medicaid Managed Care",,,"37",,"8.43","8.43","17.86","percent of total billed charges",,
"NF-CARDIZEM TAB 30MG","402614","CDM","Both",,,"23.04","11.52","Caresource","Medicaid Managed Care",,,"40",,"9.22","8.43","17.86","percent of total billed charges",,
"NF-CARDIZEM TAB 30MG","402614","CDM","Both",,,"23.04","11.52","Wellcare","Medicaid Managed Care",,,"40",,"9.33","8.43","17.86","percent of total billed charges",,
"NF-CARDIZEM TAB 30MG","402614","CDM","Both",,,"23.04","11.52","Aetna","Commercial",,,"64",,"14.7","8.43","17.86","percent of total billed charges",,
"NF-CARDIZEM TAB 30MG","402614","CDM","Both",,,"23.04","11.52","Blue Cross Blue Shield","Pathways",,,"71",,"16.27","8.43","17.86","percent of total billed charges",,
"NF-CARDIZEM TAB 30MG","402614","CDM","Both",,,"23.04","11.52","Blue Cross Blue Shield","HMO",,,"71",,"16.27","8.43","17.86","percent of total billed charges",,
"NF-CARDIZEM TAB 30MG","402614","CDM","Both",,,"23.04","11.52","Blue Cross Blue Shield","PPO",,,"71",,"16.27","8.43","17.86","percent of total billed charges",,
"NF-CARDIZEM TAB 30MG","402614","CDM","Both",,,"23.04","11.52","Ambetter","Health Exchange",,,"62",,"14.28","8.43","17.86","percent of total billed charges",,
"NF-CARDIZEM TAB 30MG","402614","CDM","Both",,,"23.04","11.52","Caresource","Health Exchange",,,"62",,"14.28","8.43","17.86","percent of total billed charges",,
"NF-CARDIZEM TAB 30MG","402614","CDM","Both",,,"23.04","11.52","Cigna","Commercial",,,"59",,"13.5","8.43","17.86","percent of total billed charges",,
"NF-CARDIZEM TAB 30MG","402614","CDM","Both",,,"23.04","11.52","Humana","Commercial",,,"78",,"17.86","8.43","17.86","percent of total billed charges",,
"NF-CARDIZEM TAB 30MG","402614","CDM","Both",,,"23.04","11.52","UHC","Commercial",,,"75",,"17.37","8.43","17.86","percent of total billed charges",,
"NF-CARDIZEM TAB 30MG","402614","CDM","Both",,,"23.04","11.52","Medicaid",,,,"37",,"8.43","8.43","17.86","percent of total billed charges",,
"NF-Trintellix Oral Tablet 20MG","402637","CDM","Both",,,"38","19","Alliant","Health Exchange",,,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"NF-Trintellix Oral Tablet 20MG","402637","CDM","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.52","13.91","29.45","percent of total billed charges",,
"NF-Trintellix Oral Tablet 20MG","402637","CDM","Both",,,"38","19","Medicare",,,,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"NF-Trintellix Oral Tablet 20MG","402637","CDM","Both",,,"38","19","Humana","Medicare Advantage",,,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"NF-Trintellix Oral Tablet 20MG","402637","CDM","Both",,,"38","19","UHC","Medicare Advantage",,,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"NF-Trintellix Oral Tablet 20MG","402637","CDM","Both",,,"38","19","Clover","Medicare Advantage",,,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"NF-Trintellix Oral Tablet 20MG","402637","CDM","Both",,,"38","19","Wellcare","Medicare Advantage",,,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"NF-Trintellix Oral Tablet 20MG","402637","CDM","Both",,,"38","19","Amerigroup","Medicaid Managed Care",,,"37",,"13.91","13.91","29.45","percent of total billed charges",,
"NF-Trintellix Oral Tablet 20MG","402637","CDM","Both",,,"38","19","Caresource","Medicaid Managed Care",,,"40",,"15.2","13.91","29.45","percent of total billed charges",,
"NF-Trintellix Oral Tablet 20MG","402637","CDM","Both",,,"38","19","Wellcare","Medicaid Managed Care",,,"40",,"15.39","13.91","29.45","percent of total billed charges",,
"NF-Trintellix Oral Tablet 20MG","402637","CDM","Both",,,"38","19","Aetna","Commercial",,,"64",,"24.24","13.91","29.45","percent of total billed charges",,
"NF-Trintellix Oral Tablet 20MG","402637","CDM","Both",,,"38","19","Blue Cross Blue Shield","Pathways",,,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"NF-Trintellix Oral Tablet 20MG","402637","CDM","Both",,,"38","19","Blue Cross Blue Shield","HMO",,,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"NF-Trintellix Oral Tablet 20MG","402637","CDM","Both",,,"38","19","Blue Cross Blue Shield","PPO",,,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"NF-Trintellix Oral Tablet 20MG","402637","CDM","Both",,,"38","19","Ambetter","Health Exchange",,,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"NF-Trintellix Oral Tablet 20MG","402637","CDM","Both",,,"38","19","Caresource","Health Exchange",,,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"NF-Trintellix Oral Tablet 20MG","402637","CDM","Both",,,"38","19","Cigna","Commercial",,,"59",,"22.27","13.91","29.45","percent of total billed charges",,
"NF-Trintellix Oral Tablet 20MG","402637","CDM","Both",,,"38","19","Humana","Commercial",,,"78",,"29.45","13.91","29.45","percent of total billed charges",,
"NF-Trintellix Oral Tablet 20MG","402637","CDM","Both",,,"38","19","UHC","Commercial",,,"75",,"28.65","13.91","29.45","percent of total billed charges",,
"NF-Trintellix Oral Tablet 20MG","402637","CDM","Both",,,"38","19","Medicaid",,,,"37",,"13.91","13.91","29.45","percent of total billed charges",,
"NF-Requip Tablet 5MG","402639","CDM","Both",,,"20","10","Alliant","Health Exchange",,,"62",,"12.4","7.32","15.5","percent of total billed charges",,
"NF-Requip Tablet 5MG","402639","CDM","Both",,,"20","10","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.8","7.32","15.5","percent of total billed charges",,
"NF-Requip Tablet 5MG","402639","CDM","Both",,,"20","10","Medicare",,,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-Requip Tablet 5MG","402639","CDM","Both",,,"20","10","Humana","Medicare Advantage",,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-Requip Tablet 5MG","402639","CDM","Both",,,"20","10","UHC","Medicare Advantage",,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-Requip Tablet 5MG","402639","CDM","Both",,,"20","10","Clover","Medicare Advantage",,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-Requip Tablet 5MG","402639","CDM","Both",,,"20","10","Wellcare","Medicare Advantage",,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-Requip Tablet 5MG","402639","CDM","Both",,,"20","10","Amerigroup","Medicaid Managed Care",,,"37",,"7.32","7.32","15.5","percent of total billed charges",,
"NF-Requip Tablet 5MG","402639","CDM","Both",,,"20","10","Caresource","Medicaid Managed Care",,,"40",,"8","7.32","15.5","percent of total billed charges",,
"NF-Requip Tablet 5MG","402639","CDM","Both",,,"20","10","Wellcare","Medicaid Managed Care",,,"40",,"8.1","7.32","15.5","percent of total billed charges",,
"NF-Requip Tablet 5MG","402639","CDM","Both",,,"20","10","Aetna","Commercial",,,"64",,"12.76","7.32","15.5","percent of total billed charges",,
"NF-Requip Tablet 5MG","402639","CDM","Both",,,"20","10","Blue Cross Blue Shield","Pathways",,,"71",,"14.12","7.32","15.5","percent of total billed charges",,
"NF-Requip Tablet 5MG","402639","CDM","Both",,,"20","10","Blue Cross Blue Shield","HMO",,,"71",,"14.12","7.32","15.5","percent of total billed charges",,
"NF-Requip Tablet 5MG","402639","CDM","Both",,,"20","10","Blue Cross Blue Shield","PPO",,,"71",,"14.12","7.32","15.5","percent of total billed charges",,
"NF-Requip Tablet 5MG","402639","CDM","Both",,,"20","10","Ambetter","Health Exchange",,,"62",,"12.4","7.32","15.5","percent of total billed charges",,
"NF-Requip Tablet 5MG","402639","CDM","Both",,,"20","10","Caresource","Health Exchange",,,"62",,"12.4","7.32","15.5","percent of total billed charges",,
"NF-Requip Tablet 5MG","402639","CDM","Both",,,"20","10","Cigna","Commercial",,,"59",,"11.72","7.32","15.5","percent of total billed charges",,
"NF-Requip Tablet 5MG","402639","CDM","Both",,,"20","10","Humana","Commercial",,,"78",,"15.5","7.32","15.5","percent of total billed charges",,
"NF-Requip Tablet 5MG","402639","CDM","Both",,,"20","10","UHC","Commercial",,,"75",,"15.08","7.32","15.5","percent of total billed charges",,
"NF-Requip Tablet 5MG","402639","CDM","Both",,,"20","10","Medicaid",,,,"37",,"7.32","7.32","15.5","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","402643","CDM","Both",,,"53","26.5","Alliant","Health Exchange",,,"62",,"32.86","19.4","41.08","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","402643","CDM","Both",,,"53","26.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.62","19.4","41.08","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","402643","CDM","Both",,,"53","26.5","Medicare",,,,"54",,"28.73","19.4","41.08","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","402643","CDM","Both",,,"53","26.5","Humana","Medicare Advantage",,,"54",,"28.73","19.4","41.08","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","402643","CDM","Both",,,"53","26.5","UHC","Medicare Advantage",,,"54",,"28.73","19.4","41.08","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","402643","CDM","Both",,,"53","26.5","Clover","Medicare Advantage",,,"54",,"28.73","19.4","41.08","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","402643","CDM","Both",,,"53","26.5","Wellcare","Medicare Advantage",,,"54",,"28.73","19.4","41.08","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","402643","CDM","Both",,,"53","26.5","Amerigroup","Medicaid Managed Care",,,"37",,"19.4","19.4","41.08","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","402643","CDM","Both",,,"53","26.5","Caresource","Medicaid Managed Care",,,"40",,"21.2","19.4","41.08","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","402643","CDM","Both",,,"53","26.5","Wellcare","Medicaid Managed Care",,,"40",,"21.46","19.4","41.08","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","402643","CDM","Both",,,"53","26.5","Aetna","Commercial",,,"64",,"33.81","19.4","41.08","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","402643","CDM","Both",,,"53","26.5","Blue Cross Blue Shield","Pathways",,,"71",,"37.42","19.4","41.08","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","402643","CDM","Both",,,"53","26.5","Blue Cross Blue Shield","HMO",,,"71",,"37.42","19.4","41.08","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","402643","CDM","Both",,,"53","26.5","Blue Cross Blue Shield","PPO",,,"71",,"37.42","19.4","41.08","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","402643","CDM","Both",,,"53","26.5","Ambetter","Health Exchange",,,"62",,"32.86","19.4","41.08","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","402643","CDM","Both",,,"53","26.5","Caresource","Health Exchange",,,"62",,"32.86","19.4","41.08","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","402643","CDM","Both",,,"53","26.5","Cigna","Commercial",,,"59",,"31.06","19.4","41.08","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","402643","CDM","Both",,,"53","26.5","Humana","Commercial",,,"78",,"41.08","19.4","41.08","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","402643","CDM","Both",,,"53","26.5","UHC","Commercial",,,"75",,"39.96","19.4","41.08","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","402643","CDM","Both",,,"53","26.5","Medicaid",,,,"37",,"19.4","19.4","41.08","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","402644","CDM","Both",,,"53","26.5","Alliant","Health Exchange",,,"62",,"32.86","19.4","41.08","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","402644","CDM","Both",,,"53","26.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.62","19.4","41.08","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","402644","CDM","Both",,,"53","26.5","Medicare",,,,"54",,"28.73","19.4","41.08","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","402644","CDM","Both",,,"53","26.5","Humana","Medicare Advantage",,,"54",,"28.73","19.4","41.08","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","402644","CDM","Both",,,"53","26.5","UHC","Medicare Advantage",,,"54",,"28.73","19.4","41.08","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","402644","CDM","Both",,,"53","26.5","Clover","Medicare Advantage",,,"54",,"28.73","19.4","41.08","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","402644","CDM","Both",,,"53","26.5","Wellcare","Medicare Advantage",,,"54",,"28.73","19.4","41.08","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","402644","CDM","Both",,,"53","26.5","Amerigroup","Medicaid Managed Care",,,"37",,"19.4","19.4","41.08","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","402644","CDM","Both",,,"53","26.5","Caresource","Medicaid Managed Care",,,"40",,"21.2","19.4","41.08","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","402644","CDM","Both",,,"53","26.5","Wellcare","Medicaid Managed Care",,,"40",,"21.46","19.4","41.08","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","402644","CDM","Both",,,"53","26.5","Aetna","Commercial",,,"64",,"33.81","19.4","41.08","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","402644","CDM","Both",,,"53","26.5","Blue Cross Blue Shield","Pathways",,,"71",,"37.42","19.4","41.08","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","402644","CDM","Both",,,"53","26.5","Blue Cross Blue Shield","HMO",,,"71",,"37.42","19.4","41.08","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","402644","CDM","Both",,,"53","26.5","Blue Cross Blue Shield","PPO",,,"71",,"37.42","19.4","41.08","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","402644","CDM","Both",,,"53","26.5","Ambetter","Health Exchange",,,"62",,"32.86","19.4","41.08","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","402644","CDM","Both",,,"53","26.5","Caresource","Health Exchange",,,"62",,"32.86","19.4","41.08","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","402644","CDM","Both",,,"53","26.5","Cigna","Commercial",,,"59",,"31.06","19.4","41.08","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","402644","CDM","Both",,,"53","26.5","Humana","Commercial",,,"78",,"41.08","19.4","41.08","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","402644","CDM","Both",,,"53","26.5","UHC","Commercial",,,"75",,"39.96","19.4","41.08","percent of total billed charges",,
"NF-Xarelto Oral Tablet 15MG","402644","CDM","Both",,,"53","26.5","Medicaid",,,,"37",,"19.4","19.4","41.08","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","402647","CDM","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","402647","CDM","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","9.88","20.92","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","402647","CDM","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","402647","CDM","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","402647","CDM","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","402647","CDM","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","402647","CDM","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","402647","CDM","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","402647","CDM","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","9.88","20.92","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","402647","CDM","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","9.88","20.92","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","402647","CDM","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","9.88","20.92","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","402647","CDM","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","402647","CDM","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","402647","CDM","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","402647","CDM","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","402647","CDM","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","402647","CDM","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","9.88","20.92","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","402647","CDM","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","9.88","20.92","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","402647","CDM","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","9.88","20.92","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","402647","CDM","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"NF-Atenolol Oral Tablet 100MG","402653","CDM","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Atenolol Oral Tablet 100MG","402653","CDM","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","1.1","2.33","percent of total billed charges",,
"NF-Atenolol Oral Tablet 100MG","402653","CDM","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Atenolol Oral Tablet 100MG","402653","CDM","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Atenolol Oral Tablet 100MG","402653","CDM","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Atenolol Oral Tablet 100MG","402653","CDM","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Atenolol Oral Tablet 100MG","402653","CDM","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Atenolol Oral Tablet 100MG","402653","CDM","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","1.1","2.33","percent of total billed charges",,
"NF-Atenolol Oral Tablet 100MG","402653","CDM","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","1.1","2.33","percent of total billed charges",,
"NF-Atenolol Oral Tablet 100MG","402653","CDM","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","1.1","2.33","percent of total billed charges",,
"NF-Atenolol Oral Tablet 100MG","402653","CDM","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","1.1","2.33","percent of total billed charges",,
"NF-Atenolol Oral Tablet 100MG","402653","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Atenolol Oral Tablet 100MG","402653","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Atenolol Oral Tablet 100MG","402653","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Atenolol Oral Tablet 100MG","402653","CDM","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Atenolol Oral Tablet 100MG","402653","CDM","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Atenolol Oral Tablet 100MG","402653","CDM","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","1.1","2.33","percent of total billed charges",,
"NF-Atenolol Oral Tablet 100MG","402653","CDM","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","1.1","2.33","percent of total billed charges",,
"NF-Atenolol Oral Tablet 100MG","402653","CDM","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","1.1","2.33","percent of total billed charges",,
"NF-Atenolol Oral Tablet 100MG","402653","CDM","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","1.1","2.33","percent of total billed charges",,
"NF-Drisdol Oral LiquidFilledCapsule 5000","402661","CDM","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","3.66","7.75","percent of total billed charges",,
"NF-Drisdol Oral LiquidFilledCapsule 5000","402661","CDM","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","3.66","7.75","percent of total billed charges",,
"NF-Drisdol Oral LiquidFilledCapsule 5000","402661","CDM","Both",,,"10","5","Medicare",,,,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"NF-Drisdol Oral LiquidFilledCapsule 5000","402661","CDM","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"NF-Drisdol Oral LiquidFilledCapsule 5000","402661","CDM","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"NF-Drisdol Oral LiquidFilledCapsule 5000","402661","CDM","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"NF-Drisdol Oral LiquidFilledCapsule 5000","402661","CDM","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"NF-Drisdol Oral LiquidFilledCapsule 5000","402661","CDM","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","3.66","7.75","percent of total billed charges",,
"NF-Drisdol Oral LiquidFilledCapsule 5000","402661","CDM","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","3.66","7.75","percent of total billed charges",,
"NF-Drisdol Oral LiquidFilledCapsule 5000","402661","CDM","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","3.66","7.75","percent of total billed charges",,
"NF-Drisdol Oral LiquidFilledCapsule 5000","402661","CDM","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","3.66","7.75","percent of total billed charges",,
"NF-Drisdol Oral LiquidFilledCapsule 5000","402661","CDM","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","3.66","7.75","percent of total billed charges",,
"NF-Drisdol Oral LiquidFilledCapsule 5000","402661","CDM","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","3.66","7.75","percent of total billed charges",,
"NF-Drisdol Oral LiquidFilledCapsule 5000","402661","CDM","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","3.66","7.75","percent of total billed charges",,
"NF-Drisdol Oral LiquidFilledCapsule 5000","402661","CDM","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","3.66","7.75","percent of total billed charges",,
"NF-Drisdol Oral LiquidFilledCapsule 5000","402661","CDM","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","3.66","7.75","percent of total billed charges",,
"NF-Drisdol Oral LiquidFilledCapsule 5000","402661","CDM","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","3.66","7.75","percent of total billed charges",,
"NF-Drisdol Oral LiquidFilledCapsule 5000","402661","CDM","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","3.66","7.75","percent of total billed charges",,
"NF-Drisdol Oral LiquidFilledCapsule 5000","402661","CDM","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","3.66","7.75","percent of total billed charges",,
"NF-Drisdol Oral LiquidFilledCapsule 5000","402661","CDM","Both",,,"10","5","Medicaid",,,,"37",,"3.66","3.66","7.75","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","402662","CDM","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","9.52","20.15","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","402662","CDM","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","9.52","20.15","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","402662","CDM","Both",,,"26","13","Medicare",,,,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","402662","CDM","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","402662","CDM","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","402662","CDM","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","402662","CDM","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","402662","CDM","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","9.52","20.15","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","402662","CDM","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","9.52","20.15","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","402662","CDM","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","9.52","20.15","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","402662","CDM","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","9.52","20.15","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","402662","CDM","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","9.52","20.15","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","402662","CDM","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","9.52","20.15","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","402662","CDM","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","9.52","20.15","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","402662","CDM","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","9.52","20.15","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","402662","CDM","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","9.52","20.15","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","402662","CDM","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","9.52","20.15","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","402662","CDM","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","9.52","20.15","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","402662","CDM","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","9.52","20.15","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","402662","CDM","Both",,,"26","13","Medicaid",,,,"37",,"9.52","9.52","20.15","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","402680","CDM","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","9.52","20.15","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","402680","CDM","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","9.52","20.15","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","402680","CDM","Both",,,"26","13","Medicare",,,,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","402680","CDM","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","402680","CDM","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","402680","CDM","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","402680","CDM","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","402680","CDM","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","9.52","20.15","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","402680","CDM","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","9.52","20.15","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","402680","CDM","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","9.52","20.15","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","402680","CDM","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","9.52","20.15","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","402680","CDM","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","9.52","20.15","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","402680","CDM","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","9.52","20.15","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","402680","CDM","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","9.52","20.15","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","402680","CDM","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","9.52","20.15","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","402680","CDM","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","9.52","20.15","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","402680","CDM","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","9.52","20.15","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","402680","CDM","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","9.52","20.15","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","402680","CDM","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","9.52","20.15","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","402680","CDM","Both",,,"26","13","Medicaid",,,,"37",,"9.52","9.52","20.15","percent of total billed charges",,
"NF-Indapamide Oral Tablet 2.5MG","402681","CDM","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-Indapamide Oral Tablet 2.5MG","402681","CDM","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","1.46","3.1","percent of total billed charges",,
"NF-Indapamide Oral Tablet 2.5MG","402681","CDM","Both",,,"4","2","Medicare",,,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Indapamide Oral Tablet 2.5MG","402681","CDM","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Indapamide Oral Tablet 2.5MG","402681","CDM","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Indapamide Oral Tablet 2.5MG","402681","CDM","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Indapamide Oral Tablet 2.5MG","402681","CDM","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Indapamide Oral Tablet 2.5MG","402681","CDM","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","1.46","3.1","percent of total billed charges",,
"NF-Indapamide Oral Tablet 2.5MG","402681","CDM","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","1.46","3.1","percent of total billed charges",,
"NF-Indapamide Oral Tablet 2.5MG","402681","CDM","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","1.46","3.1","percent of total billed charges",,
"NF-Indapamide Oral Tablet 2.5MG","402681","CDM","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","1.46","3.1","percent of total billed charges",,
"NF-Indapamide Oral Tablet 2.5MG","402681","CDM","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-Indapamide Oral Tablet 2.5MG","402681","CDM","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-Indapamide Oral Tablet 2.5MG","402681","CDM","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-Indapamide Oral Tablet 2.5MG","402681","CDM","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-Indapamide Oral Tablet 2.5MG","402681","CDM","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-Indapamide Oral Tablet 2.5MG","402681","CDM","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","1.46","3.1","percent of total billed charges",,
"NF-Indapamide Oral Tablet 2.5MG","402681","CDM","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","1.46","3.1","percent of total billed charges",,
"NF-Indapamide Oral Tablet 2.5MG","402681","CDM","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","1.46","3.1","percent of total billed charges",,
"NF-Indapamide Oral Tablet 2.5MG","402681","CDM","Both",,,"4","2","Medicaid",,,,"37",,"1.46","1.46","3.1","percent of total billed charges",,
"NF-Pravastatin Sodium Oral Tablet 20MG","402683","CDM","Both",,,"12","6","Alliant","Health Exchange",,,"62",,"7.44","4.39","9.3","percent of total billed charges",,
"NF-Pravastatin Sodium Oral Tablet 20MG","402683","CDM","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.48","4.39","9.3","percent of total billed charges",,
"NF-Pravastatin Sodium Oral Tablet 20MG","402683","CDM","Both",,,"12","6","Medicare",,,,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"NF-Pravastatin Sodium Oral Tablet 20MG","402683","CDM","Both",,,"12","6","Humana","Medicare Advantage",,,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"NF-Pravastatin Sodium Oral Tablet 20MG","402683","CDM","Both",,,"12","6","UHC","Medicare Advantage",,,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"NF-Pravastatin Sodium Oral Tablet 20MG","402683","CDM","Both",,,"12","6","Clover","Medicare Advantage",,,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"NF-Pravastatin Sodium Oral Tablet 20MG","402683","CDM","Both",,,"12","6","Wellcare","Medicare Advantage",,,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"NF-Pravastatin Sodium Oral Tablet 20MG","402683","CDM","Both",,,"12","6","Amerigroup","Medicaid Managed Care",,,"37",,"4.39","4.39","9.3","percent of total billed charges",,
"NF-Pravastatin Sodium Oral Tablet 20MG","402683","CDM","Both",,,"12","6","Caresource","Medicaid Managed Care",,,"40",,"4.8","4.39","9.3","percent of total billed charges",,
"NF-Pravastatin Sodium Oral Tablet 20MG","402683","CDM","Both",,,"12","6","Wellcare","Medicaid Managed Care",,,"40",,"4.86","4.39","9.3","percent of total billed charges",,
"NF-Pravastatin Sodium Oral Tablet 20MG","402683","CDM","Both",,,"12","6","Aetna","Commercial",,,"64",,"7.66","4.39","9.3","percent of total billed charges",,
"NF-Pravastatin Sodium Oral Tablet 20MG","402683","CDM","Both",,,"12","6","Blue Cross Blue Shield","Pathways",,,"71",,"8.47","4.39","9.3","percent of total billed charges",,
"NF-Pravastatin Sodium Oral Tablet 20MG","402683","CDM","Both",,,"12","6","Blue Cross Blue Shield","HMO",,,"71",,"8.47","4.39","9.3","percent of total billed charges",,
"NF-Pravastatin Sodium Oral Tablet 20MG","402683","CDM","Both",,,"12","6","Blue Cross Blue Shield","PPO",,,"71",,"8.47","4.39","9.3","percent of total billed charges",,
"NF-Pravastatin Sodium Oral Tablet 20MG","402683","CDM","Both",,,"12","6","Ambetter","Health Exchange",,,"62",,"7.44","4.39","9.3","percent of total billed charges",,
"NF-Pravastatin Sodium Oral Tablet 20MG","402683","CDM","Both",,,"12","6","Caresource","Health Exchange",,,"62",,"7.44","4.39","9.3","percent of total billed charges",,
"NF-Pravastatin Sodium Oral Tablet 20MG","402683","CDM","Both",,,"12","6","Cigna","Commercial",,,"59",,"7.03","4.39","9.3","percent of total billed charges",,
"NF-Pravastatin Sodium Oral Tablet 20MG","402683","CDM","Both",,,"12","6","Humana","Commercial",,,"78",,"9.3","4.39","9.3","percent of total billed charges",,
"NF-Pravastatin Sodium Oral Tablet 20MG","402683","CDM","Both",,,"12","6","UHC","Commercial",,,"75",,"9.05","4.39","9.3","percent of total billed charges",,
"NF-Pravastatin Sodium Oral Tablet 20MG","402683","CDM","Both",,,"12","6","Medicaid",,,,"37",,"4.39","4.39","9.3","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","402688","CDM","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","402688","CDM","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","9.88","20.92","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","402688","CDM","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","402688","CDM","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","402688","CDM","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","402688","CDM","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","402688","CDM","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","402688","CDM","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","402688","CDM","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","9.88","20.92","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","402688","CDM","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","9.88","20.92","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","402688","CDM","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","9.88","20.92","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","402688","CDM","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","402688","CDM","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","402688","CDM","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","402688","CDM","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","402688","CDM","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","402688","CDM","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","9.88","20.92","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","402688","CDM","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","9.88","20.92","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","402688","CDM","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","9.88","20.92","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","402688","CDM","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","402689","CDM","Both",,,"50","25","Alliant","Health Exchange",,,"62",,"31","18.3","38.75","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","402689","CDM","Both",,,"50","25","Pruitt Healthcare","Medicare Advantage",,,"54",,"27","18.3","38.75","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","402689","CDM","Both",,,"50","25","Medicare",,,,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","402689","CDM","Both",,,"50","25","Humana","Medicare Advantage",,,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","402689","CDM","Both",,,"50","25","UHC","Medicare Advantage",,,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","402689","CDM","Both",,,"50","25","Clover","Medicare Advantage",,,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","402689","CDM","Both",,,"50","25","Wellcare","Medicare Advantage",,,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","402689","CDM","Both",,,"50","25","Amerigroup","Medicaid Managed Care",,,"37",,"18.3","18.3","38.75","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","402689","CDM","Both",,,"50","25","Caresource","Medicaid Managed Care",,,"40",,"20","18.3","38.75","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","402689","CDM","Both",,,"50","25","Wellcare","Medicaid Managed Care",,,"40",,"20.25","18.3","38.75","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","402689","CDM","Both",,,"50","25","Aetna","Commercial",,,"64",,"31.9","18.3","38.75","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","402689","CDM","Both",,,"50","25","Blue Cross Blue Shield","Pathways",,,"71",,"35.3","18.3","38.75","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","402689","CDM","Both",,,"50","25","Blue Cross Blue Shield","HMO",,,"71",,"35.3","18.3","38.75","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","402689","CDM","Both",,,"50","25","Blue Cross Blue Shield","PPO",,,"71",,"35.3","18.3","38.75","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","402689","CDM","Both",,,"50","25","Ambetter","Health Exchange",,,"62",,"31","18.3","38.75","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","402689","CDM","Both",,,"50","25","Caresource","Health Exchange",,,"62",,"31","18.3","38.75","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","402689","CDM","Both",,,"50","25","Cigna","Commercial",,,"59",,"29.3","18.3","38.75","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","402689","CDM","Both",,,"50","25","Humana","Commercial",,,"78",,"38.75","18.3","38.75","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","402689","CDM","Both",,,"50","25","UHC","Commercial",,,"75",,"37.7","18.3","38.75","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","402689","CDM","Both",,,"50","25","Medicaid",,,,"37",,"18.3","18.3","38.75","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","402690","CDM","Both",,,"50","25","Alliant","Health Exchange",,,"62",,"31","18.3","38.75","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","402690","CDM","Both",,,"50","25","Pruitt Healthcare","Medicare Advantage",,,"54",,"27","18.3","38.75","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","402690","CDM","Both",,,"50","25","Medicare",,,,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","402690","CDM","Both",,,"50","25","Humana","Medicare Advantage",,,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","402690","CDM","Both",,,"50","25","UHC","Medicare Advantage",,,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","402690","CDM","Both",,,"50","25","Clover","Medicare Advantage",,,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","402690","CDM","Both",,,"50","25","Wellcare","Medicare Advantage",,,"54",,"27.1","18.3","38.75","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","402690","CDM","Both",,,"50","25","Amerigroup","Medicaid Managed Care",,,"37",,"18.3","18.3","38.75","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","402690","CDM","Both",,,"50","25","Caresource","Medicaid Managed Care",,,"40",,"20","18.3","38.75","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","402690","CDM","Both",,,"50","25","Wellcare","Medicaid Managed Care",,,"40",,"20.25","18.3","38.75","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","402690","CDM","Both",,,"50","25","Aetna","Commercial",,,"64",,"31.9","18.3","38.75","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","402690","CDM","Both",,,"50","25","Blue Cross Blue Shield","Pathways",,,"71",,"35.3","18.3","38.75","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","402690","CDM","Both",,,"50","25","Blue Cross Blue Shield","HMO",,,"71",,"35.3","18.3","38.75","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","402690","CDM","Both",,,"50","25","Blue Cross Blue Shield","PPO",,,"71",,"35.3","18.3","38.75","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","402690","CDM","Both",,,"50","25","Ambetter","Health Exchange",,,"62",,"31","18.3","38.75","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","402690","CDM","Both",,,"50","25","Caresource","Health Exchange",,,"62",,"31","18.3","38.75","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","402690","CDM","Both",,,"50","25","Cigna","Commercial",,,"59",,"29.3","18.3","38.75","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","402690","CDM","Both",,,"50","25","Humana","Commercial",,,"78",,"38.75","18.3","38.75","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","402690","CDM","Both",,,"50","25","UHC","Commercial",,,"75",,"37.7","18.3","38.75","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","402690","CDM","Both",,,"50","25","Medicaid",,,,"37",,"18.3","18.3","38.75","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","402694","CDM","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","402694","CDM","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","402694","CDM","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","402694","CDM","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","402694","CDM","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","402694","CDM","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","402694","CDM","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","402694","CDM","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","402694","CDM","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","402694","CDM","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","402694","CDM","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","402694","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","402694","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","402694","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","402694","CDM","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","402694","CDM","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","402694","CDM","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","402694","CDM","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","402694","CDM","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","402694","CDM","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-HYDROcodone-acetaminophen 7.5MG-300MG","402695","CDM","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"NF-HYDROcodone-acetaminophen 7.5MG-300MG","402695","CDM","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","2.2","4.65","percent of total billed charges",,
"NF-HYDROcodone-acetaminophen 7.5MG-300MG","402695","CDM","Both",,,"6","3","Medicare",,,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-HYDROcodone-acetaminophen 7.5MG-300MG","402695","CDM","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-HYDROcodone-acetaminophen 7.5MG-300MG","402695","CDM","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-HYDROcodone-acetaminophen 7.5MG-300MG","402695","CDM","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-HYDROcodone-acetaminophen 7.5MG-300MG","402695","CDM","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-HYDROcodone-acetaminophen 7.5MG-300MG","402695","CDM","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","2.2","4.65","percent of total billed charges",,
"NF-HYDROcodone-acetaminophen 7.5MG-300MG","402695","CDM","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","2.2","4.65","percent of total billed charges",,
"NF-HYDROcodone-acetaminophen 7.5MG-300MG","402695","CDM","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","2.2","4.65","percent of total billed charges",,
"NF-HYDROcodone-acetaminophen 7.5MG-300MG","402695","CDM","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","2.2","4.65","percent of total billed charges",,
"NF-HYDROcodone-acetaminophen 7.5MG-300MG","402695","CDM","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"NF-HYDROcodone-acetaminophen 7.5MG-300MG","402695","CDM","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"NF-HYDROcodone-acetaminophen 7.5MG-300MG","402695","CDM","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"NF-HYDROcodone-acetaminophen 7.5MG-300MG","402695","CDM","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"NF-HYDROcodone-acetaminophen 7.5MG-300MG","402695","CDM","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"NF-HYDROcodone-acetaminophen 7.5MG-300MG","402695","CDM","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","2.2","4.65","percent of total billed charges",,
"NF-HYDROcodone-acetaminophen 7.5MG-300MG","402695","CDM","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","2.2","4.65","percent of total billed charges",,
"NF-HYDROcodone-acetaminophen 7.5MG-300MG","402695","CDM","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","2.2","4.65","percent of total billed charges",,
"NF-HYDROcodone-acetaminophen 7.5MG-300MG","402695","CDM","Both",,,"6","3","Medicaid",,,,"37",,"2.2","2.2","4.65","percent of total billed charges",,
"NF-Digox Oral Tablet 0.125MG","402727","CDM","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Digox Oral Tablet 0.125MG","402727","CDM","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","1.1","2.33","percent of total billed charges",,
"NF-Digox Oral Tablet 0.125MG","402727","CDM","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Digox Oral Tablet 0.125MG","402727","CDM","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Digox Oral Tablet 0.125MG","402727","CDM","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Digox Oral Tablet 0.125MG","402727","CDM","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Digox Oral Tablet 0.125MG","402727","CDM","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Digox Oral Tablet 0.125MG","402727","CDM","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","1.1","2.33","percent of total billed charges",,
"NF-Digox Oral Tablet 0.125MG","402727","CDM","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","1.1","2.33","percent of total billed charges",,
"NF-Digox Oral Tablet 0.125MG","402727","CDM","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","1.1","2.33","percent of total billed charges",,
"NF-Digox Oral Tablet 0.125MG","402727","CDM","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","1.1","2.33","percent of total billed charges",,
"NF-Digox Oral Tablet 0.125MG","402727","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Digox Oral Tablet 0.125MG","402727","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Digox Oral Tablet 0.125MG","402727","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Digox Oral Tablet 0.125MG","402727","CDM","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Digox Oral Tablet 0.125MG","402727","CDM","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Digox Oral Tablet 0.125MG","402727","CDM","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","1.1","2.33","percent of total billed charges",,
"NF-Digox Oral Tablet 0.125MG","402727","CDM","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","1.1","2.33","percent of total billed charges",,
"NF-Digox Oral Tablet 0.125MG","402727","CDM","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","1.1","2.33","percent of total billed charges",,
"NF-Digox Oral Tablet 0.125MG","402727","CDM","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","1.1","2.33","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","402751","CDM","Both",,,"11","5.5","Alliant","Health Exchange",,,"62",,"6.82","4.03","8.52","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","402751","CDM","Both",,,"11","5.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.94","4.03","8.52","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","402751","CDM","Both",,,"11","5.5","Medicare",,,,"54",,"5.96","4.03","8.52","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","402751","CDM","Both",,,"11","5.5","Humana","Medicare Advantage",,,"54",,"5.96","4.03","8.52","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","402751","CDM","Both",,,"11","5.5","UHC","Medicare Advantage",,,"54",,"5.96","4.03","8.52","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","402751","CDM","Both",,,"11","5.5","Clover","Medicare Advantage",,,"54",,"5.96","4.03","8.52","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","402751","CDM","Both",,,"11","5.5","Wellcare","Medicare Advantage",,,"54",,"5.96","4.03","8.52","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","402751","CDM","Both",,,"11","5.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.03","4.03","8.52","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","402751","CDM","Both",,,"11","5.5","Caresource","Medicaid Managed Care",,,"40",,"4.4","4.03","8.52","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","402751","CDM","Both",,,"11","5.5","Wellcare","Medicaid Managed Care",,,"40",,"4.46","4.03","8.52","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","402751","CDM","Both",,,"11","5.5","Aetna","Commercial",,,"64",,"7.02","4.03","8.52","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","402751","CDM","Both",,,"11","5.5","Blue Cross Blue Shield","Pathways",,,"71",,"7.77","4.03","8.52","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","402751","CDM","Both",,,"11","5.5","Blue Cross Blue Shield","HMO",,,"71",,"7.77","4.03","8.52","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","402751","CDM","Both",,,"11","5.5","Blue Cross Blue Shield","PPO",,,"71",,"7.77","4.03","8.52","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","402751","CDM","Both",,,"11","5.5","Ambetter","Health Exchange",,,"62",,"6.82","4.03","8.52","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","402751","CDM","Both",,,"11","5.5","Caresource","Health Exchange",,,"62",,"6.82","4.03","8.52","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","402751","CDM","Both",,,"11","5.5","Cigna","Commercial",,,"59",,"6.45","4.03","8.52","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","402751","CDM","Both",,,"11","5.5","Humana","Commercial",,,"78",,"8.52","4.03","8.52","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","402751","CDM","Both",,,"11","5.5","UHC","Commercial",,,"75",,"8.29","4.03","8.52","percent of total billed charges",,
"NF-Nadolol Tablet 40MG","402751","CDM","Both",,,"11","5.5","Medicaid",,,,"37",,"4.03","4.03","8.52","percent of total billed charges",,
"NF-LaMICtal ODT Disintegrating Tablet 20","402774","CDM","Both",,,"52","26","Alliant","Health Exchange",,,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"NF-LaMICtal ODT Disintegrating Tablet 20","402774","CDM","Both",,,"52","26","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.08","19.03","40.3","percent of total billed charges",,
"NF-LaMICtal ODT Disintegrating Tablet 20","402774","CDM","Both",,,"52","26","Medicare",,,,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"NF-LaMICtal ODT Disintegrating Tablet 20","402774","CDM","Both",,,"52","26","Humana","Medicare Advantage",,,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"NF-LaMICtal ODT Disintegrating Tablet 20","402774","CDM","Both",,,"52","26","UHC","Medicare Advantage",,,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"NF-LaMICtal ODT Disintegrating Tablet 20","402774","CDM","Both",,,"52","26","Clover","Medicare Advantage",,,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"NF-LaMICtal ODT Disintegrating Tablet 20","402774","CDM","Both",,,"52","26","Wellcare","Medicare Advantage",,,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"NF-LaMICtal ODT Disintegrating Tablet 20","402774","CDM","Both",,,"52","26","Amerigroup","Medicaid Managed Care",,,"37",,"19.03","19.03","40.3","percent of total billed charges",,
"NF-LaMICtal ODT Disintegrating Tablet 20","402774","CDM","Both",,,"52","26","Caresource","Medicaid Managed Care",,,"40",,"20.8","19.03","40.3","percent of total billed charges",,
"NF-LaMICtal ODT Disintegrating Tablet 20","402774","CDM","Both",,,"52","26","Wellcare","Medicaid Managed Care",,,"40",,"21.06","19.03","40.3","percent of total billed charges",,
"NF-LaMICtal ODT Disintegrating Tablet 20","402774","CDM","Both",,,"52","26","Aetna","Commercial",,,"64",,"33.18","19.03","40.3","percent of total billed charges",,
"NF-LaMICtal ODT Disintegrating Tablet 20","402774","CDM","Both",,,"52","26","Blue Cross Blue Shield","Pathways",,,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"NF-LaMICtal ODT Disintegrating Tablet 20","402774","CDM","Both",,,"52","26","Blue Cross Blue Shield","HMO",,,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"NF-LaMICtal ODT Disintegrating Tablet 20","402774","CDM","Both",,,"52","26","Blue Cross Blue Shield","PPO",,,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"NF-LaMICtal ODT Disintegrating Tablet 20","402774","CDM","Both",,,"52","26","Ambetter","Health Exchange",,,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"NF-LaMICtal ODT Disintegrating Tablet 20","402774","CDM","Both",,,"52","26","Caresource","Health Exchange",,,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"NF-LaMICtal ODT Disintegrating Tablet 20","402774","CDM","Both",,,"52","26","Cigna","Commercial",,,"59",,"30.47","19.03","40.3","percent of total billed charges",,
"NF-LaMICtal ODT Disintegrating Tablet 20","402774","CDM","Both",,,"52","26","Humana","Commercial",,,"78",,"40.3","19.03","40.3","percent of total billed charges",,
"NF-LaMICtal ODT Disintegrating Tablet 20","402774","CDM","Both",,,"52","26","UHC","Commercial",,,"75",,"39.21","19.03","40.3","percent of total billed charges",,
"NF-LaMICtal ODT Disintegrating Tablet 20","402774","CDM","Both",,,"52","26","Medicaid",,,,"37",,"19.03","19.03","40.3","percent of total billed charges",,
"NF-Coreg Tablet 12.5MG","402784","CDM","Both",,,"17","8.5","Alliant","Health Exchange",,,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"NF-Coreg Tablet 12.5MG","402784","CDM","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.18","6.22","13.18","percent of total billed charges",,
"NF-Coreg Tablet 12.5MG","402784","CDM","Both",,,"17","8.5","Medicare",,,,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"NF-Coreg Tablet 12.5MG","402784","CDM","Both",,,"17","8.5","Humana","Medicare Advantage",,,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"NF-Coreg Tablet 12.5MG","402784","CDM","Both",,,"17","8.5","UHC","Medicare Advantage",,,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"NF-Coreg Tablet 12.5MG","402784","CDM","Both",,,"17","8.5","Clover","Medicare Advantage",,,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"NF-Coreg Tablet 12.5MG","402784","CDM","Both",,,"17","8.5","Wellcare","Medicare Advantage",,,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"NF-Coreg Tablet 12.5MG","402784","CDM","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.22","6.22","13.18","percent of total billed charges",,
"NF-Coreg Tablet 12.5MG","402784","CDM","Both",,,"17","8.5","Caresource","Medicaid Managed Care",,,"40",,"6.8","6.22","13.18","percent of total billed charges",,
"NF-Coreg Tablet 12.5MG","402784","CDM","Both",,,"17","8.5","Wellcare","Medicaid Managed Care",,,"40",,"6.89","6.22","13.18","percent of total billed charges",,
"NF-Coreg Tablet 12.5MG","402784","CDM","Both",,,"17","8.5","Aetna","Commercial",,,"64",,"10.85","6.22","13.18","percent of total billed charges",,
"NF-Coreg Tablet 12.5MG","402784","CDM","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways",,,"71",,"12","6.22","13.18","percent of total billed charges",,
"NF-Coreg Tablet 12.5MG","402784","CDM","Both",,,"17","8.5","Blue Cross Blue Shield","HMO",,,"71",,"12","6.22","13.18","percent of total billed charges",,
"NF-Coreg Tablet 12.5MG","402784","CDM","Both",,,"17","8.5","Blue Cross Blue Shield","PPO",,,"71",,"12","6.22","13.18","percent of total billed charges",,
"NF-Coreg Tablet 12.5MG","402784","CDM","Both",,,"17","8.5","Ambetter","Health Exchange",,,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"NF-Coreg Tablet 12.5MG","402784","CDM","Both",,,"17","8.5","Caresource","Health Exchange",,,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"NF-Coreg Tablet 12.5MG","402784","CDM","Both",,,"17","8.5","Cigna","Commercial",,,"59",,"9.96","6.22","13.18","percent of total billed charges",,
"NF-Coreg Tablet 12.5MG","402784","CDM","Both",,,"17","8.5","Humana","Commercial",,,"78",,"13.18","6.22","13.18","percent of total billed charges",,
"NF-Coreg Tablet 12.5MG","402784","CDM","Both",,,"17","8.5","UHC","Commercial",,,"75",,"12.82","6.22","13.18","percent of total billed charges",,
"NF-Coreg Tablet 12.5MG","402784","CDM","Both",,,"17","8.5","Medicaid",,,,"37",,"6.22","6.22","13.18","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 5MG","402809","CDM","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 5MG","402809","CDM","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 5MG","402809","CDM","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 5MG","402809","CDM","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 5MG","402809","CDM","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 5MG","402809","CDM","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 5MG","402809","CDM","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 5MG","402809","CDM","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 5MG","402809","CDM","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 5MG","402809","CDM","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 5MG","402809","CDM","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 5MG","402809","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 5MG","402809","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 5MG","402809","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 5MG","402809","CDM","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 5MG","402809","CDM","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 5MG","402809","CDM","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 5MG","402809","CDM","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 5MG","402809","CDM","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 5MG","402809","CDM","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Lasix Tablet 40MG","402813","CDM","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Lasix Tablet 40MG","402813","CDM","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","1.1","2.33","percent of total billed charges",,
"NF-Lasix Tablet 40MG","402813","CDM","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Lasix Tablet 40MG","402813","CDM","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Lasix Tablet 40MG","402813","CDM","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Lasix Tablet 40MG","402813","CDM","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Lasix Tablet 40MG","402813","CDM","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Lasix Tablet 40MG","402813","CDM","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","1.1","2.33","percent of total billed charges",,
"NF-Lasix Tablet 40MG","402813","CDM","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","1.1","2.33","percent of total billed charges",,
"NF-Lasix Tablet 40MG","402813","CDM","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","1.1","2.33","percent of total billed charges",,
"NF-Lasix Tablet 40MG","402813","CDM","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","1.1","2.33","percent of total billed charges",,
"NF-Lasix Tablet 40MG","402813","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Lasix Tablet 40MG","402813","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Lasix Tablet 40MG","402813","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Lasix Tablet 40MG","402813","CDM","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Lasix Tablet 40MG","402813","CDM","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Lasix Tablet 40MG","402813","CDM","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","1.1","2.33","percent of total billed charges",,
"NF-Lasix Tablet 40MG","402813","CDM","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","1.1","2.33","percent of total billed charges",,
"NF-Lasix Tablet 40MG","402813","CDM","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","1.1","2.33","percent of total billed charges",,
"NF-Lasix Tablet 40MG","402813","CDM","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","1.1","2.33","percent of total billed charges",,
"NF-Betimol Ophth Solution 0.25%","402817","CDM","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","3.66","7.75","percent of total billed charges",,
"NF-Betimol Ophth Solution 0.25%","402817","CDM","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","3.66","7.75","percent of total billed charges",,
"NF-Betimol Ophth Solution 0.25%","402817","CDM","Both",,,"10","5","Medicare",,,,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"NF-Betimol Ophth Solution 0.25%","402817","CDM","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"NF-Betimol Ophth Solution 0.25%","402817","CDM","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"NF-Betimol Ophth Solution 0.25%","402817","CDM","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"NF-Betimol Ophth Solution 0.25%","402817","CDM","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"NF-Betimol Ophth Solution 0.25%","402817","CDM","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","3.66","7.75","percent of total billed charges",,
"NF-Betimol Ophth Solution 0.25%","402817","CDM","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","3.66","7.75","percent of total billed charges",,
"NF-Betimol Ophth Solution 0.25%","402817","CDM","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","3.66","7.75","percent of total billed charges",,
"NF-Betimol Ophth Solution 0.25%","402817","CDM","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","3.66","7.75","percent of total billed charges",,
"NF-Betimol Ophth Solution 0.25%","402817","CDM","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","3.66","7.75","percent of total billed charges",,
"NF-Betimol Ophth Solution 0.25%","402817","CDM","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","3.66","7.75","percent of total billed charges",,
"NF-Betimol Ophth Solution 0.25%","402817","CDM","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","3.66","7.75","percent of total billed charges",,
"NF-Betimol Ophth Solution 0.25%","402817","CDM","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","3.66","7.75","percent of total billed charges",,
"NF-Betimol Ophth Solution 0.25%","402817","CDM","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","3.66","7.75","percent of total billed charges",,
"NF-Betimol Ophth Solution 0.25%","402817","CDM","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","3.66","7.75","percent of total billed charges",,
"NF-Betimol Ophth Solution 0.25%","402817","CDM","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","3.66","7.75","percent of total billed charges",,
"NF-Betimol Ophth Solution 0.25%","402817","CDM","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","3.66","7.75","percent of total billed charges",,
"NF-Betimol Ophth Solution 0.25%","402817","CDM","Both",,,"10","5","Medicaid",,,,"37",,"3.66","3.66","7.75","percent of total billed charges",,
"NF-Tadalafil Oral Tablet 20MG","402820","CDM","Both",,,"228","114","Alliant","Health Exchange",,,"62",,"141.36","83.45","176.7","percent of total billed charges",,
"NF-Tadalafil Oral Tablet 20MG","402820","CDM","Both",,,"228","114","Pruitt Healthcare","Medicare Advantage",,,"54",,"123.12","83.45","176.7","percent of total billed charges",,
"NF-Tadalafil Oral Tablet 20MG","402820","CDM","Both",,,"228","114","Medicare",,,,"54",,"123.58","83.45","176.7","percent of total billed charges",,
"NF-Tadalafil Oral Tablet 20MG","402820","CDM","Both",,,"228","114","Humana","Medicare Advantage",,,"54",,"123.58","83.45","176.7","percent of total billed charges",,
"NF-Tadalafil Oral Tablet 20MG","402820","CDM","Both",,,"228","114","UHC","Medicare Advantage",,,"54",,"123.58","83.45","176.7","percent of total billed charges",,
"NF-Tadalafil Oral Tablet 20MG","402820","CDM","Both",,,"228","114","Clover","Medicare Advantage",,,"54",,"123.58","83.45","176.7","percent of total billed charges",,
"NF-Tadalafil Oral Tablet 20MG","402820","CDM","Both",,,"228","114","Wellcare","Medicare Advantage",,,"54",,"123.58","83.45","176.7","percent of total billed charges",,
"NF-Tadalafil Oral Tablet 20MG","402820","CDM","Both",,,"228","114","Amerigroup","Medicaid Managed Care",,,"37",,"83.45","83.45","176.7","percent of total billed charges",,
"NF-Tadalafil Oral Tablet 20MG","402820","CDM","Both",,,"228","114","Caresource","Medicaid Managed Care",,,"40",,"91.2","83.45","176.7","percent of total billed charges",,
"NF-Tadalafil Oral Tablet 20MG","402820","CDM","Both",,,"228","114","Wellcare","Medicaid Managed Care",,,"40",,"92.34","83.45","176.7","percent of total billed charges",,
"NF-Tadalafil Oral Tablet 20MG","402820","CDM","Both",,,"228","114","Aetna","Commercial",,,"64",,"145.46","83.45","176.7","percent of total billed charges",,
"NF-Tadalafil Oral Tablet 20MG","402820","CDM","Both",,,"228","114","Blue Cross Blue Shield","Pathways",,,"71",,"160.97","83.45","176.7","percent of total billed charges",,
"NF-Tadalafil Oral Tablet 20MG","402820","CDM","Both",,,"228","114","Blue Cross Blue Shield","HMO",,,"71",,"160.97","83.45","176.7","percent of total billed charges",,
"NF-Tadalafil Oral Tablet 20MG","402820","CDM","Both",,,"228","114","Blue Cross Blue Shield","PPO",,,"71",,"160.97","83.45","176.7","percent of total billed charges",,
"NF-Tadalafil Oral Tablet 20MG","402820","CDM","Both",,,"228","114","Ambetter","Health Exchange",,,"62",,"141.36","83.45","176.7","percent of total billed charges",,
"NF-Tadalafil Oral Tablet 20MG","402820","CDM","Both",,,"228","114","Caresource","Health Exchange",,,"62",,"141.36","83.45","176.7","percent of total billed charges",,
"NF-Tadalafil Oral Tablet 20MG","402820","CDM","Both",,,"228","114","Cigna","Commercial",,,"59",,"133.61","83.45","176.7","percent of total billed charges",,
"NF-Tadalafil Oral Tablet 20MG","402820","CDM","Both",,,"228","114","Humana","Commercial",,,"78",,"176.7","83.45","176.7","percent of total billed charges",,
"NF-Tadalafil Oral Tablet 20MG","402820","CDM","Both",,,"228","114","UHC","Commercial",,,"75",,"171.91","83.45","176.7","percent of total billed charges",,
"NF-Tadalafil Oral Tablet 20MG","402820","CDM","Both",,,"228","114","Medicaid",,,,"37",,"83.45","83.45","176.7","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 90","402828","CDM","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 90","402828","CDM","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","2.93","6.2","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 90","402828","CDM","Both",,,"8","4","Medicare",,,,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 90","402828","CDM","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 90","402828","CDM","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 90","402828","CDM","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 90","402828","CDM","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 90","402828","CDM","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","2.93","6.2","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 90","402828","CDM","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","2.93","6.2","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 90","402828","CDM","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","2.93","6.2","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 90","402828","CDM","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","2.93","6.2","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 90","402828","CDM","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 90","402828","CDM","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 90","402828","CDM","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 90","402828","CDM","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 90","402828","CDM","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 90","402828","CDM","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","2.93","6.2","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 90","402828","CDM","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","2.93","6.2","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 90","402828","CDM","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","2.93","6.2","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 90","402828","CDM","Both",,,"8","4","Medicaid",,,,"37",,"2.93","2.93","6.2","percent of total billed charges",,
"NF-Lasix Tablet 20MG","402833","CDM","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.73","1.55","percent of total billed charges",,
"NF-Lasix Tablet 20MG","402833","CDM","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Lasix Tablet 20MG","402833","CDM","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Lasix Tablet 20MG","402833","CDM","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Lasix Tablet 20MG","402833","CDM","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Lasix Tablet 20MG","402833","CDM","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Lasix Tablet 20MG","402833","CDM","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Lasix Tablet 20MG","402833","CDM","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.73","1.55","percent of total billed charges",,
"NF-Lasix Tablet 20MG","402833","CDM","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.73","1.55","percent of total billed charges",,
"NF-Lasix Tablet 20MG","402833","CDM","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.73","1.55","percent of total billed charges",,
"NF-Lasix Tablet 20MG","402833","CDM","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.73","1.55","percent of total billed charges",,
"NF-Lasix Tablet 20MG","402833","CDM","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.73","1.55","percent of total billed charges",,
"NF-Lasix Tablet 20MG","402833","CDM","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.73","1.55","percent of total billed charges",,
"NF-Lasix Tablet 20MG","402833","CDM","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.73","1.55","percent of total billed charges",,
"NF-Lasix Tablet 20MG","402833","CDM","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.73","1.55","percent of total billed charges",,
"NF-Lasix Tablet 20MG","402833","CDM","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.73","1.55","percent of total billed charges",,
"NF-Lasix Tablet 20MG","402833","CDM","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.73","1.55","percent of total billed charges",,
"NF-Lasix Tablet 20MG","402833","CDM","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.73","1.55","percent of total billed charges",,
"NF-Lasix Tablet 20MG","402833","CDM","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.73","1.55","percent of total billed charges",,
"NF-Lasix Tablet 20MG","402833","CDM","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.73","1.55","percent of total billed charges",,
"NF-ALPRAZolam Oral Tablet 0.5MG","402836","CDM","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.73","1.55","percent of total billed charges",,
"NF-ALPRAZolam Oral Tablet 0.5MG","402836","CDM","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-ALPRAZolam Oral Tablet 0.5MG","402836","CDM","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-ALPRAZolam Oral Tablet 0.5MG","402836","CDM","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-ALPRAZolam Oral Tablet 0.5MG","402836","CDM","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-ALPRAZolam Oral Tablet 0.5MG","402836","CDM","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-ALPRAZolam Oral Tablet 0.5MG","402836","CDM","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-ALPRAZolam Oral Tablet 0.5MG","402836","CDM","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.73","1.55","percent of total billed charges",,
"NF-ALPRAZolam Oral Tablet 0.5MG","402836","CDM","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.73","1.55","percent of total billed charges",,
"NF-ALPRAZolam Oral Tablet 0.5MG","402836","CDM","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.73","1.55","percent of total billed charges",,
"NF-ALPRAZolam Oral Tablet 0.5MG","402836","CDM","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.73","1.55","percent of total billed charges",,
"NF-ALPRAZolam Oral Tablet 0.5MG","402836","CDM","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.73","1.55","percent of total billed charges",,
"NF-ALPRAZolam Oral Tablet 0.5MG","402836","CDM","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.73","1.55","percent of total billed charges",,
"NF-ALPRAZolam Oral Tablet 0.5MG","402836","CDM","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.73","1.55","percent of total billed charges",,
"NF-ALPRAZolam Oral Tablet 0.5MG","402836","CDM","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.73","1.55","percent of total billed charges",,
"NF-ALPRAZolam Oral Tablet 0.5MG","402836","CDM","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.73","1.55","percent of total billed charges",,
"NF-ALPRAZolam Oral Tablet 0.5MG","402836","CDM","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.73","1.55","percent of total billed charges",,
"NF-ALPRAZolam Oral Tablet 0.5MG","402836","CDM","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.73","1.55","percent of total billed charges",,
"NF-ALPRAZolam Oral Tablet 0.5MG","402836","CDM","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.73","1.55","percent of total billed charges",,
"NF-ALPRAZolam Oral Tablet 0.5MG","402836","CDM","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.73","1.55","percent of total billed charges",,
"NF-Diclofenac Sodium Tablet 75MG","402837","CDM","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","1.83","3.88","percent of total billed charges",,
"NF-Diclofenac Sodium Tablet 75MG","402837","CDM","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","1.83","3.88","percent of total billed charges",,
"NF-Diclofenac Sodium Tablet 75MG","402837","CDM","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","1.83","3.88","percent of total billed charges",,
"NF-Diclofenac Sodium Tablet 75MG","402837","CDM","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","1.83","3.88","percent of total billed charges",,
"NF-Diclofenac Sodium Tablet 75MG","402837","CDM","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","1.83","3.88","percent of total billed charges",,
"NF-Diclofenac Sodium Tablet 75MG","402837","CDM","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","1.83","3.88","percent of total billed charges",,
"NF-Diclofenac Sodium Tablet 75MG","402837","CDM","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","1.83","3.88","percent of total billed charges",,
"NF-Diclofenac Sodium Tablet 75MG","402837","CDM","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","1.83","3.88","percent of total billed charges",,
"NF-Diclofenac Sodium Tablet 75MG","402837","CDM","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","1.83","3.88","percent of total billed charges",,
"NF-Diclofenac Sodium Tablet 75MG","402837","CDM","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","1.83","3.88","percent of total billed charges",,
"NF-Diclofenac Sodium Tablet 75MG","402837","CDM","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","1.83","3.88","percent of total billed charges",,
"NF-Diclofenac Sodium Tablet 75MG","402837","CDM","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","1.83","3.88","percent of total billed charges",,
"NF-Diclofenac Sodium Tablet 75MG","402837","CDM","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","1.83","3.88","percent of total billed charges",,
"NF-Diclofenac Sodium Tablet 75MG","402837","CDM","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","1.83","3.88","percent of total billed charges",,
"NF-Diclofenac Sodium Tablet 75MG","402837","CDM","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","1.83","3.88","percent of total billed charges",,
"NF-Diclofenac Sodium Tablet 75MG","402837","CDM","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","1.83","3.88","percent of total billed charges",,
"NF-Diclofenac Sodium Tablet 75MG","402837","CDM","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","1.83","3.88","percent of total billed charges",,
"NF-Diclofenac Sodium Tablet 75MG","402837","CDM","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","1.83","3.88","percent of total billed charges",,
"NF-Diclofenac Sodium Tablet 75MG","402837","CDM","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","1.83","3.88","percent of total billed charges",,
"NF-Diclofenac Sodium Tablet 75MG","402837","CDM","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","1.83","3.88","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","402838","CDM","Both",,,"9","4.5","Alliant","Health Exchange",,,"62",,"5.58","3.29","6.98","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","402838","CDM","Both",,,"9","4.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.86","3.29","6.98","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","402838","CDM","Both",,,"9","4.5","Medicare",,,,"54",,"4.88","3.29","6.98","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","402838","CDM","Both",,,"9","4.5","Humana","Medicare Advantage",,,"54",,"4.88","3.29","6.98","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","402838","CDM","Both",,,"9","4.5","UHC","Medicare Advantage",,,"54",,"4.88","3.29","6.98","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","402838","CDM","Both",,,"9","4.5","Clover","Medicare Advantage",,,"54",,"4.88","3.29","6.98","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","402838","CDM","Both",,,"9","4.5","Wellcare","Medicare Advantage",,,"54",,"4.88","3.29","6.98","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","402838","CDM","Both",,,"9","4.5","Amerigroup","Medicaid Managed Care",,,"37",,"3.29","3.29","6.98","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","402838","CDM","Both",,,"9","4.5","Caresource","Medicaid Managed Care",,,"40",,"3.6","3.29","6.98","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","402838","CDM","Both",,,"9","4.5","Wellcare","Medicaid Managed Care",,,"40",,"3.65","3.29","6.98","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","402838","CDM","Both",,,"9","4.5","Aetna","Commercial",,,"64",,"5.74","3.29","6.98","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","402838","CDM","Both",,,"9","4.5","Blue Cross Blue Shield","Pathways",,,"71",,"6.35","3.29","6.98","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","402838","CDM","Both",,,"9","4.5","Blue Cross Blue Shield","HMO",,,"71",,"6.35","3.29","6.98","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","402838","CDM","Both",,,"9","4.5","Blue Cross Blue Shield","PPO",,,"71",,"6.35","3.29","6.98","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","402838","CDM","Both",,,"9","4.5","Ambetter","Health Exchange",,,"62",,"5.58","3.29","6.98","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","402838","CDM","Both",,,"9","4.5","Caresource","Health Exchange",,,"62",,"5.58","3.29","6.98","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","402838","CDM","Both",,,"9","4.5","Cigna","Commercial",,,"59",,"5.27","3.29","6.98","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","402838","CDM","Both",,,"9","4.5","Humana","Commercial",,,"78",,"6.98","3.29","6.98","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","402838","CDM","Both",,,"9","4.5","UHC","Commercial",,,"75",,"6.79","3.29","6.98","percent of total billed charges",,
"NF-Timolol Maleate Ophth Solution 0.5%","402838","CDM","Both",,,"9","4.5","Medicaid",,,,"37",,"3.29","3.29","6.98","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","402857","CDM","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","402857","CDM","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","402857","CDM","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","402857","CDM","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","402857","CDM","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","402857","CDM","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","402857","CDM","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","402857","CDM","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","402857","CDM","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","402857","CDM","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","402857","CDM","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","402857","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","402857","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","402857","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","402857","CDM","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","402857","CDM","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","402857","CDM","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","402857","CDM","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","402857","CDM","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","402857","CDM","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Bumex Tablet 1MG","402886","CDM","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.73","1.55","percent of total billed charges",,
"NF-Bumex Tablet 1MG","402886","CDM","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Bumex Tablet 1MG","402886","CDM","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Bumex Tablet 1MG","402886","CDM","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Bumex Tablet 1MG","402886","CDM","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Bumex Tablet 1MG","402886","CDM","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Bumex Tablet 1MG","402886","CDM","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Bumex Tablet 1MG","402886","CDM","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.73","1.55","percent of total billed charges",,
"NF-Bumex Tablet 1MG","402886","CDM","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.73","1.55","percent of total billed charges",,
"NF-Bumex Tablet 1MG","402886","CDM","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.73","1.55","percent of total billed charges",,
"NF-Bumex Tablet 1MG","402886","CDM","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.73","1.55","percent of total billed charges",,
"NF-Bumex Tablet 1MG","402886","CDM","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.73","1.55","percent of total billed charges",,
"NF-Bumex Tablet 1MG","402886","CDM","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.73","1.55","percent of total billed charges",,
"NF-Bumex Tablet 1MG","402886","CDM","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.73","1.55","percent of total billed charges",,
"NF-Bumex Tablet 1MG","402886","CDM","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.73","1.55","percent of total billed charges",,
"NF-Bumex Tablet 1MG","402886","CDM","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.73","1.55","percent of total billed charges",,
"NF-Bumex Tablet 1MG","402886","CDM","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.73","1.55","percent of total billed charges",,
"NF-Bumex Tablet 1MG","402886","CDM","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.73","1.55","percent of total billed charges",,
"NF-Bumex Tablet 1MG","402886","CDM","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.73","1.55","percent of total billed charges",,
"NF-Bumex Tablet 1MG","402886","CDM","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.73","1.55","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tab 4MG","402902","CDM","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","2.56","5.42","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tab 4MG","402902","CDM","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","2.56","5.42","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tab 4MG","402902","CDM","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","2.56","5.42","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tab 4MG","402902","CDM","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","2.56","5.42","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tab 4MG","402902","CDM","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","2.56","5.42","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tab 4MG","402902","CDM","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","2.56","5.42","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tab 4MG","402902","CDM","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","2.56","5.42","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tab 4MG","402902","CDM","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","2.56","5.42","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tab 4MG","402902","CDM","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","2.56","5.42","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tab 4MG","402902","CDM","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","2.56","5.42","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tab 4MG","402902","CDM","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","2.56","5.42","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tab 4MG","402902","CDM","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","2.56","5.42","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tab 4MG","402902","CDM","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","2.56","5.42","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tab 4MG","402902","CDM","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","2.56","5.42","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tab 4MG","402902","CDM","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","2.56","5.42","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tab 4MG","402902","CDM","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","2.56","5.42","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tab 4MG","402902","CDM","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","2.56","5.42","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tab 4MG","402902","CDM","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","2.56","5.42","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tab 4MG","402902","CDM","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","2.56","5.42","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tab 4MG","402902","CDM","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","2.56","5.42","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","402907","CDM","Both",,,"28","14","Alliant","Health Exchange",,,"62",,"17.36","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","402907","CDM","Both",,,"28","14","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.12","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","402907","CDM","Both",,,"28","14","Medicare",,,,"54",,"15.18","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","402907","CDM","Both",,,"28","14","Humana","Medicare Advantage",,,"54",,"15.18","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","402907","CDM","Both",,,"28","14","UHC","Medicare Advantage",,,"54",,"15.18","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","402907","CDM","Both",,,"28","14","Clover","Medicare Advantage",,,"54",,"15.18","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","402907","CDM","Both",,,"28","14","Wellcare","Medicare Advantage",,,"54",,"15.18","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","402907","CDM","Both",,,"28","14","Amerigroup","Medicaid Managed Care",,,"37",,"10.25","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","402907","CDM","Both",,,"28","14","Caresource","Medicaid Managed Care",,,"40",,"11.2","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","402907","CDM","Both",,,"28","14","Wellcare","Medicaid Managed Care",,,"40",,"11.34","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","402907","CDM","Both",,,"28","14","Aetna","Commercial",,,"64",,"17.86","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","402907","CDM","Both",,,"28","14","Blue Cross Blue Shield","Pathways",,,"71",,"19.77","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","402907","CDM","Both",,,"28","14","Blue Cross Blue Shield","HMO",,,"71",,"19.77","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","402907","CDM","Both",,,"28","14","Blue Cross Blue Shield","PPO",,,"71",,"19.77","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","402907","CDM","Both",,,"28","14","Ambetter","Health Exchange",,,"62",,"17.36","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","402907","CDM","Both",,,"28","14","Caresource","Health Exchange",,,"62",,"17.36","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","402907","CDM","Both",,,"28","14","Cigna","Commercial",,,"59",,"16.41","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","402907","CDM","Both",,,"28","14","Humana","Commercial",,,"78",,"21.7","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","402907","CDM","Both",,,"28","14","UHC","Commercial",,,"75",,"21.11","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","402907","CDM","Both",,,"28","14","Medicaid",,,,"37",,"10.25","10.25","21.7","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","402943","CDM","Both",,,"496","248","Alliant","Health Exchange",,,"62",,"307.52","181.54","384.4","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","402943","CDM","Both",,,"496","248","Pruitt Healthcare","Medicare Advantage",,,"54",,"267.84","181.54","384.4","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","402943","CDM","Both",,,"496","248","Medicare",,,,"54",,"268.83","181.54","384.4","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","402943","CDM","Both",,,"496","248","Humana","Medicare Advantage",,,"54",,"268.83","181.54","384.4","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","402943","CDM","Both",,,"496","248","UHC","Medicare Advantage",,,"54",,"268.83","181.54","384.4","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","402943","CDM","Both",,,"496","248","Clover","Medicare Advantage",,,"54",,"268.83","181.54","384.4","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","402943","CDM","Both",,,"496","248","Wellcare","Medicare Advantage",,,"54",,"268.83","181.54","384.4","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","402943","CDM","Both",,,"496","248","Amerigroup","Medicaid Managed Care",,,"37",,"181.54","181.54","384.4","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","402943","CDM","Both",,,"496","248","Caresource","Medicaid Managed Care",,,"40",,"198.4","181.54","384.4","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","402943","CDM","Both",,,"496","248","Wellcare","Medicaid Managed Care",,,"40",,"200.88","181.54","384.4","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","402943","CDM","Both",,,"496","248","Aetna","Commercial",,,"64",,"316.45","181.54","384.4","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","402943","CDM","Both",,,"496","248","Blue Cross Blue Shield","Pathways",,,"71",,"350.18","181.54","384.4","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","402943","CDM","Both",,,"496","248","Blue Cross Blue Shield","HMO",,,"71",,"350.18","181.54","384.4","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","402943","CDM","Both",,,"496","248","Blue Cross Blue Shield","PPO",,,"71",,"350.18","181.54","384.4","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","402943","CDM","Both",,,"496","248","Ambetter","Health Exchange",,,"62",,"307.52","181.54","384.4","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","402943","CDM","Both",,,"496","248","Caresource","Health Exchange",,,"62",,"307.52","181.54","384.4","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","402943","CDM","Both",,,"496","248","Cigna","Commercial",,,"59",,"290.66","181.54","384.4","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","402943","CDM","Both",,,"496","248","Humana","Commercial",,,"78",,"384.4","181.54","384.4","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","402943","CDM","Both",,,"496","248","UHC","Commercial",,,"75",,"373.98","181.54","384.4","percent of total billed charges",,
"NF-Tecfidera Oral Cap DR 240MG","402943","CDM","Both",,,"496","248","Medicaid",,,,"37",,"181.54","181.54","384.4","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","402947","CDM","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","8.05","17.05","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","402947","CDM","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","8.05","17.05","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","402947","CDM","Both",,,"22","11","Medicare",,,,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","402947","CDM","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","402947","CDM","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","402947","CDM","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","402947","CDM","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","402947","CDM","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","8.05","17.05","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","402947","CDM","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","8.05","17.05","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","402947","CDM","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","8.05","17.05","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","402947","CDM","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","8.05","17.05","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","402947","CDM","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","8.05","17.05","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","402947","CDM","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","8.05","17.05","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","402947","CDM","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","8.05","17.05","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","402947","CDM","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","8.05","17.05","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","402947","CDM","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","8.05","17.05","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","402947","CDM","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","8.05","17.05","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","402947","CDM","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","8.05","17.05","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","402947","CDM","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","8.05","17.05","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","402947","CDM","Both",,,"22","11","Medicaid",,,,"37",,"8.05","8.05","17.05","percent of total billed charges",,
"NF-cloNIDine HCl Oral Tablet 0.2MG","402948","CDM","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"NF-cloNIDine HCl Oral Tablet 0.2MG","402948","CDM","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","2.2","4.65","percent of total billed charges",,
"NF-cloNIDine HCl Oral Tablet 0.2MG","402948","CDM","Both",,,"6","3","Medicare",,,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-cloNIDine HCl Oral Tablet 0.2MG","402948","CDM","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-cloNIDine HCl Oral Tablet 0.2MG","402948","CDM","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-cloNIDine HCl Oral Tablet 0.2MG","402948","CDM","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-cloNIDine HCl Oral Tablet 0.2MG","402948","CDM","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-cloNIDine HCl Oral Tablet 0.2MG","402948","CDM","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","2.2","4.65","percent of total billed charges",,
"NF-cloNIDine HCl Oral Tablet 0.2MG","402948","CDM","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","2.2","4.65","percent of total billed charges",,
"NF-cloNIDine HCl Oral Tablet 0.2MG","402948","CDM","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","2.2","4.65","percent of total billed charges",,
"NF-cloNIDine HCl Oral Tablet 0.2MG","402948","CDM","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","2.2","4.65","percent of total billed charges",,
"NF-cloNIDine HCl Oral Tablet 0.2MG","402948","CDM","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"NF-cloNIDine HCl Oral Tablet 0.2MG","402948","CDM","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"NF-cloNIDine HCl Oral Tablet 0.2MG","402948","CDM","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"NF-cloNIDine HCl Oral Tablet 0.2MG","402948","CDM","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"NF-cloNIDine HCl Oral Tablet 0.2MG","402948","CDM","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"NF-cloNIDine HCl Oral Tablet 0.2MG","402948","CDM","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","2.2","4.65","percent of total billed charges",,
"NF-cloNIDine HCl Oral Tablet 0.2MG","402948","CDM","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","2.2","4.65","percent of total billed charges",,
"NF-cloNIDine HCl Oral Tablet 0.2MG","402948","CDM","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","2.2","4.65","percent of total billed charges",,
"NF-cloNIDine HCl Oral Tablet 0.2MG","402948","CDM","Both",,,"6","3","Medicaid",,,,"37",,"2.2","2.2","4.65","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","402949","CDM","Both",,,"11","5.5","Alliant","Health Exchange",,,"62",,"6.82","4.03","8.52","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","402949","CDM","Both",,,"11","5.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.94","4.03","8.52","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","402949","CDM","Both",,,"11","5.5","Medicare",,,,"54",,"5.96","4.03","8.52","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","402949","CDM","Both",,,"11","5.5","Humana","Medicare Advantage",,,"54",,"5.96","4.03","8.52","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","402949","CDM","Both",,,"11","5.5","UHC","Medicare Advantage",,,"54",,"5.96","4.03","8.52","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","402949","CDM","Both",,,"11","5.5","Clover","Medicare Advantage",,,"54",,"5.96","4.03","8.52","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","402949","CDM","Both",,,"11","5.5","Wellcare","Medicare Advantage",,,"54",,"5.96","4.03","8.52","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","402949","CDM","Both",,,"11","5.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.03","4.03","8.52","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","402949","CDM","Both",,,"11","5.5","Caresource","Medicaid Managed Care",,,"40",,"4.4","4.03","8.52","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","402949","CDM","Both",,,"11","5.5","Wellcare","Medicaid Managed Care",,,"40",,"4.46","4.03","8.52","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","402949","CDM","Both",,,"11","5.5","Aetna","Commercial",,,"64",,"7.02","4.03","8.52","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","402949","CDM","Both",,,"11","5.5","Blue Cross Blue Shield","Pathways",,,"71",,"7.77","4.03","8.52","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","402949","CDM","Both",,,"11","5.5","Blue Cross Blue Shield","HMO",,,"71",,"7.77","4.03","8.52","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","402949","CDM","Both",,,"11","5.5","Blue Cross Blue Shield","PPO",,,"71",,"7.77","4.03","8.52","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","402949","CDM","Both",,,"11","5.5","Ambetter","Health Exchange",,,"62",,"6.82","4.03","8.52","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","402949","CDM","Both",,,"11","5.5","Caresource","Health Exchange",,,"62",,"6.82","4.03","8.52","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","402949","CDM","Both",,,"11","5.5","Cigna","Commercial",,,"59",,"6.45","4.03","8.52","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","402949","CDM","Both",,,"11","5.5","Humana","Commercial",,,"78",,"8.52","4.03","8.52","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","402949","CDM","Both",,,"11","5.5","UHC","Commercial",,,"75",,"8.29","4.03","8.52","percent of total billed charges",,
"NF-Valsartan/HCTZ Oral Tablet 80MG-12.5M","402949","CDM","Both",,,"11","5.5","Medicaid",,,,"37",,"4.03","4.03","8.52","percent of total billed charges",,
"NF-Lovenox Injection 40MG/0.4ML","402950","CDM","Both",,,"281","140.5","Alliant","Health Exchange",,,"62",,"174.22","102.85","217.78","percent of total billed charges",,
"NF-Lovenox Injection 40MG/0.4ML","402950","CDM","Both",,,"281","140.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"151.74","102.85","217.78","percent of total billed charges",,
"NF-Lovenox Injection 40MG/0.4ML","402950","CDM","Both",,,"281","140.5","Medicare",,,,"54",,"152.3","102.85","217.78","percent of total billed charges",,
"NF-Lovenox Injection 40MG/0.4ML","402950","CDM","Both",,,"281","140.5","Humana","Medicare Advantage",,,"54",,"152.3","102.85","217.78","percent of total billed charges",,
"NF-Lovenox Injection 40MG/0.4ML","402950","CDM","Both",,,"281","140.5","UHC","Medicare Advantage",,,"54",,"152.3","102.85","217.78","percent of total billed charges",,
"NF-Lovenox Injection 40MG/0.4ML","402950","CDM","Both",,,"281","140.5","Clover","Medicare Advantage",,,"54",,"152.3","102.85","217.78","percent of total billed charges",,
"NF-Lovenox Injection 40MG/0.4ML","402950","CDM","Both",,,"281","140.5","Wellcare","Medicare Advantage",,,"54",,"152.3","102.85","217.78","percent of total billed charges",,
"NF-Lovenox Injection 40MG/0.4ML","402950","CDM","Both",,,"281","140.5","Amerigroup","Medicaid Managed Care",,,"37",,"102.85","102.85","217.78","percent of total billed charges",,
"NF-Lovenox Injection 40MG/0.4ML","402950","CDM","Both",,,"281","140.5","Caresource","Medicaid Managed Care",,,"40",,"112.4","102.85","217.78","percent of total billed charges",,
"NF-Lovenox Injection 40MG/0.4ML","402950","CDM","Both",,,"281","140.5","Wellcare","Medicaid Managed Care",,,"40",,"113.8","102.85","217.78","percent of total billed charges",,
"NF-Lovenox Injection 40MG/0.4ML","402950","CDM","Both",,,"281","140.5","Aetna","Commercial",,,"64",,"179.28","102.85","217.78","percent of total billed charges",,
"NF-Lovenox Injection 40MG/0.4ML","402950","CDM","Both",,,"281","140.5","Blue Cross Blue Shield","Pathways",,,"71",,"198.39","102.85","217.78","percent of total billed charges",,
"NF-Lovenox Injection 40MG/0.4ML","402950","CDM","Both",,,"281","140.5","Blue Cross Blue Shield","HMO",,,"71",,"198.39","102.85","217.78","percent of total billed charges",,
"NF-Lovenox Injection 40MG/0.4ML","402950","CDM","Both",,,"281","140.5","Blue Cross Blue Shield","PPO",,,"71",,"198.39","102.85","217.78","percent of total billed charges",,
"NF-Lovenox Injection 40MG/0.4ML","402950","CDM","Both",,,"281","140.5","Ambetter","Health Exchange",,,"62",,"174.22","102.85","217.78","percent of total billed charges",,
"NF-Lovenox Injection 40MG/0.4ML","402950","CDM","Both",,,"281","140.5","Caresource","Health Exchange",,,"62",,"174.22","102.85","217.78","percent of total billed charges",,
"NF-Lovenox Injection 40MG/0.4ML","402950","CDM","Both",,,"281","140.5","Cigna","Commercial",,,"59",,"164.67","102.85","217.78","percent of total billed charges",,
"NF-Lovenox Injection 40MG/0.4ML","402950","CDM","Both",,,"281","140.5","Humana","Commercial",,,"78",,"217.78","102.85","217.78","percent of total billed charges",,
"NF-Lovenox Injection 40MG/0.4ML","402950","CDM","Both",,,"281","140.5","UHC","Commercial",,,"75",,"211.87","102.85","217.78","percent of total billed charges",,
"NF-Lovenox Injection 40MG/0.4ML","402950","CDM","Both",,,"281","140.5","Medicaid",,,,"37",,"102.85","102.85","217.78","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","402958","CDM","Both",,,"128","64","Alliant","Health Exchange",,,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","402958","CDM","Both",,,"128","64","Pruitt Healthcare","Medicare Advantage",,,"54",,"69.12","46.85","99.2","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","402958","CDM","Both",,,"128","64","Medicare",,,,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","402958","CDM","Both",,,"128","64","Humana","Medicare Advantage",,,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","402958","CDM","Both",,,"128","64","UHC","Medicare Advantage",,,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","402958","CDM","Both",,,"128","64","Clover","Medicare Advantage",,,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","402958","CDM","Both",,,"128","64","Wellcare","Medicare Advantage",,,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","402958","CDM","Both",,,"128","64","Amerigroup","Medicaid Managed Care",,,"37",,"46.85","46.85","99.2","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","402958","CDM","Both",,,"128","64","Caresource","Medicaid Managed Care",,,"40",,"51.2","46.85","99.2","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","402958","CDM","Both",,,"128","64","Wellcare","Medicaid Managed Care",,,"40",,"51.84","46.85","99.2","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","402958","CDM","Both",,,"128","64","Aetna","Commercial",,,"64",,"81.66","46.85","99.2","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","402958","CDM","Both",,,"128","64","Blue Cross Blue Shield","Pathways",,,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","402958","CDM","Both",,,"128","64","Blue Cross Blue Shield","HMO",,,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","402958","CDM","Both",,,"128","64","Blue Cross Blue Shield","PPO",,,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","402958","CDM","Both",,,"128","64","Ambetter","Health Exchange",,,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","402958","CDM","Both",,,"128","64","Caresource","Health Exchange",,,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","402958","CDM","Both",,,"128","64","Cigna","Commercial",,,"59",,"75.01","46.85","99.2","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","402958","CDM","Both",,,"128","64","Humana","Commercial",,,"78",,"99.2","46.85","99.2","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","402958","CDM","Both",,,"128","64","UHC","Commercial",,,"75",,"96.51","46.85","99.2","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","402958","CDM","Both",,,"128","64","Medicaid",,,,"37",,"46.85","46.85","99.2","percent of total billed charges",,
"NF-Combivent Respimat Inhalation Spray","402969","CDM","Both",,,"383","191.5","Alliant","Health Exchange",,,"62",,"237.46","140.18","296.82","percent of total billed charges",,
"NF-Combivent Respimat Inhalation Spray","402969","CDM","Both",,,"383","191.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"206.82","140.18","296.82","percent of total billed charges",,
"NF-Combivent Respimat Inhalation Spray","402969","CDM","Both",,,"383","191.5","Medicare",,,,"54",,"207.59","140.18","296.82","percent of total billed charges",,
"NF-Combivent Respimat Inhalation Spray","402969","CDM","Both",,,"383","191.5","Humana","Medicare Advantage",,,"54",,"207.59","140.18","296.82","percent of total billed charges",,
"NF-Combivent Respimat Inhalation Spray","402969","CDM","Both",,,"383","191.5","UHC","Medicare Advantage",,,"54",,"207.59","140.18","296.82","percent of total billed charges",,
"NF-Combivent Respimat Inhalation Spray","402969","CDM","Both",,,"383","191.5","Clover","Medicare Advantage",,,"54",,"207.59","140.18","296.82","percent of total billed charges",,
"NF-Combivent Respimat Inhalation Spray","402969","CDM","Both",,,"383","191.5","Wellcare","Medicare Advantage",,,"54",,"207.59","140.18","296.82","percent of total billed charges",,
"NF-Combivent Respimat Inhalation Spray","402969","CDM","Both",,,"383","191.5","Amerigroup","Medicaid Managed Care",,,"37",,"140.18","140.18","296.82","percent of total billed charges",,
"NF-Combivent Respimat Inhalation Spray","402969","CDM","Both",,,"383","191.5","Caresource","Medicaid Managed Care",,,"40",,"153.2","140.18","296.82","percent of total billed charges",,
"NF-Combivent Respimat Inhalation Spray","402969","CDM","Both",,,"383","191.5","Wellcare","Medicaid Managed Care",,,"40",,"155.12","140.18","296.82","percent of total billed charges",,
"NF-Combivent Respimat Inhalation Spray","402969","CDM","Both",,,"383","191.5","Aetna","Commercial",,,"64",,"244.35","140.18","296.82","percent of total billed charges",,
"NF-Combivent Respimat Inhalation Spray","402969","CDM","Both",,,"383","191.5","Blue Cross Blue Shield","Pathways",,,"71",,"270.4","140.18","296.82","percent of total billed charges",,
"NF-Combivent Respimat Inhalation Spray","402969","CDM","Both",,,"383","191.5","Blue Cross Blue Shield","HMO",,,"71",,"270.4","140.18","296.82","percent of total billed charges",,
"NF-Combivent Respimat Inhalation Spray","402969","CDM","Both",,,"383","191.5","Blue Cross Blue Shield","PPO",,,"71",,"270.4","140.18","296.82","percent of total billed charges",,
"NF-Combivent Respimat Inhalation Spray","402969","CDM","Both",,,"383","191.5","Ambetter","Health Exchange",,,"62",,"237.46","140.18","296.82","percent of total billed charges",,
"NF-Combivent Respimat Inhalation Spray","402969","CDM","Both",,,"383","191.5","Caresource","Health Exchange",,,"62",,"237.46","140.18","296.82","percent of total billed charges",,
"NF-Combivent Respimat Inhalation Spray","402969","CDM","Both",,,"383","191.5","Cigna","Commercial",,,"59",,"224.44","140.18","296.82","percent of total billed charges",,
"NF-Combivent Respimat Inhalation Spray","402969","CDM","Both",,,"383","191.5","Humana","Commercial",,,"78",,"296.82","140.18","296.82","percent of total billed charges",,
"NF-Combivent Respimat Inhalation Spray","402969","CDM","Both",,,"383","191.5","UHC","Commercial",,,"75",,"288.78","140.18","296.82","percent of total billed charges",,
"NF-Combivent Respimat Inhalation Spray","402969","CDM","Both",,,"383","191.5","Medicaid",,,,"37",,"140.18","140.18","296.82","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","402973","CDM","Both",,,"13","6.5","Alliant","Health Exchange",,,"62",,"8.06","4.76","10.08","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","402973","CDM","Both",,,"13","6.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.02","4.76","10.08","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","402973","CDM","Both",,,"13","6.5","Medicare",,,,"54",,"7.05","4.76","10.08","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","402973","CDM","Both",,,"13","6.5","Humana","Medicare Advantage",,,"54",,"7.05","4.76","10.08","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","402973","CDM","Both",,,"13","6.5","UHC","Medicare Advantage",,,"54",,"7.05","4.76","10.08","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","402973","CDM","Both",,,"13","6.5","Clover","Medicare Advantage",,,"54",,"7.05","4.76","10.08","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","402973","CDM","Both",,,"13","6.5","Wellcare","Medicare Advantage",,,"54",,"7.05","4.76","10.08","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","402973","CDM","Both",,,"13","6.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.76","4.76","10.08","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","402973","CDM","Both",,,"13","6.5","Caresource","Medicaid Managed Care",,,"40",,"5.2","4.76","10.08","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","402973","CDM","Both",,,"13","6.5","Wellcare","Medicaid Managed Care",,,"40",,"5.26","4.76","10.08","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","402973","CDM","Both",,,"13","6.5","Aetna","Commercial",,,"64",,"8.29","4.76","10.08","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","402973","CDM","Both",,,"13","6.5","Blue Cross Blue Shield","Pathways",,,"71",,"9.18","4.76","10.08","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","402973","CDM","Both",,,"13","6.5","Blue Cross Blue Shield","HMO",,,"71",,"9.18","4.76","10.08","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","402973","CDM","Both",,,"13","6.5","Blue Cross Blue Shield","PPO",,,"71",,"9.18","4.76","10.08","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","402973","CDM","Both",,,"13","6.5","Ambetter","Health Exchange",,,"62",,"8.06","4.76","10.08","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","402973","CDM","Both",,,"13","6.5","Caresource","Health Exchange",,,"62",,"8.06","4.76","10.08","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","402973","CDM","Both",,,"13","6.5","Cigna","Commercial",,,"59",,"7.62","4.76","10.08","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","402973","CDM","Both",,,"13","6.5","Humana","Commercial",,,"78",,"10.08","4.76","10.08","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","402973","CDM","Both",,,"13","6.5","UHC","Commercial",,,"75",,"9.8","4.76","10.08","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","402973","CDM","Both",,,"13","6.5","Medicaid",,,,"37",,"4.76","4.76","10.08","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride/Timolol Sol","402974","CDM","Both",,,"20","10","Alliant","Health Exchange",,,"62",,"12.4","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride/Timolol Sol","402974","CDM","Both",,,"20","10","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.8","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride/Timolol Sol","402974","CDM","Both",,,"20","10","Medicare",,,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride/Timolol Sol","402974","CDM","Both",,,"20","10","Humana","Medicare Advantage",,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride/Timolol Sol","402974","CDM","Both",,,"20","10","UHC","Medicare Advantage",,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride/Timolol Sol","402974","CDM","Both",,,"20","10","Clover","Medicare Advantage",,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride/Timolol Sol","402974","CDM","Both",,,"20","10","Wellcare","Medicare Advantage",,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride/Timolol Sol","402974","CDM","Both",,,"20","10","Amerigroup","Medicaid Managed Care",,,"37",,"7.32","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride/Timolol Sol","402974","CDM","Both",,,"20","10","Caresource","Medicaid Managed Care",,,"40",,"8","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride/Timolol Sol","402974","CDM","Both",,,"20","10","Wellcare","Medicaid Managed Care",,,"40",,"8.1","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride/Timolol Sol","402974","CDM","Both",,,"20","10","Aetna","Commercial",,,"64",,"12.76","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride/Timolol Sol","402974","CDM","Both",,,"20","10","Blue Cross Blue Shield","Pathways",,,"71",,"14.12","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride/Timolol Sol","402974","CDM","Both",,,"20","10","Blue Cross Blue Shield","HMO",,,"71",,"14.12","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride/Timolol Sol","402974","CDM","Both",,,"20","10","Blue Cross Blue Shield","PPO",,,"71",,"14.12","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride/Timolol Sol","402974","CDM","Both",,,"20","10","Ambetter","Health Exchange",,,"62",,"12.4","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride/Timolol Sol","402974","CDM","Both",,,"20","10","Caresource","Health Exchange",,,"62",,"12.4","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride/Timolol Sol","402974","CDM","Both",,,"20","10","Cigna","Commercial",,,"59",,"11.72","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride/Timolol Sol","402974","CDM","Both",,,"20","10","Humana","Commercial",,,"78",,"15.5","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride/Timolol Sol","402974","CDM","Both",,,"20","10","UHC","Commercial",,,"75",,"15.08","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride/Timolol Sol","402974","CDM","Both",,,"20","10","Medicaid",,,,"37",,"7.32","7.32","15.5","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","402991","CDM","Both",,,"56","28","Alliant","Health Exchange",,,"62",,"34.72","20.5","43.4","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","402991","CDM","Both",,,"56","28","Pruitt Healthcare","Medicare Advantage",,,"54",,"30.24","20.5","43.4","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","402991","CDM","Both",,,"56","28","Medicare",,,,"54",,"30.35","20.5","43.4","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","402991","CDM","Both",,,"56","28","Humana","Medicare Advantage",,,"54",,"30.35","20.5","43.4","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","402991","CDM","Both",,,"56","28","UHC","Medicare Advantage",,,"54",,"30.35","20.5","43.4","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","402991","CDM","Both",,,"56","28","Clover","Medicare Advantage",,,"54",,"30.35","20.5","43.4","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","402991","CDM","Both",,,"56","28","Wellcare","Medicare Advantage",,,"54",,"30.35","20.5","43.4","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","402991","CDM","Both",,,"56","28","Amerigroup","Medicaid Managed Care",,,"37",,"20.5","20.5","43.4","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","402991","CDM","Both",,,"56","28","Caresource","Medicaid Managed Care",,,"40",,"22.4","20.5","43.4","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","402991","CDM","Both",,,"56","28","Wellcare","Medicaid Managed Care",,,"40",,"22.68","20.5","43.4","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","402991","CDM","Both",,,"56","28","Aetna","Commercial",,,"64",,"35.73","20.5","43.4","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","402991","CDM","Both",,,"56","28","Blue Cross Blue Shield","Pathways",,,"71",,"39.54","20.5","43.4","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","402991","CDM","Both",,,"56","28","Blue Cross Blue Shield","HMO",,,"71",,"39.54","20.5","43.4","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","402991","CDM","Both",,,"56","28","Blue Cross Blue Shield","PPO",,,"71",,"39.54","20.5","43.4","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","402991","CDM","Both",,,"56","28","Ambetter","Health Exchange",,,"62",,"34.72","20.5","43.4","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","402991","CDM","Both",,,"56","28","Caresource","Health Exchange",,,"62",,"34.72","20.5","43.4","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","402991","CDM","Both",,,"56","28","Cigna","Commercial",,,"59",,"32.82","20.5","43.4","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","402991","CDM","Both",,,"56","28","Humana","Commercial",,,"78",,"43.4","20.5","43.4","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","402991","CDM","Both",,,"56","28","UHC","Commercial",,,"75",,"42.22","20.5","43.4","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","402991","CDM","Both",,,"56","28","Medicaid",,,,"37",,"20.5","20.5","43.4","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","402992","CDM","Both",,,"56","28","Alliant","Health Exchange",,,"62",,"34.72","20.5","43.4","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","402992","CDM","Both",,,"56","28","Pruitt Healthcare","Medicare Advantage",,,"54",,"30.24","20.5","43.4","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","402992","CDM","Both",,,"56","28","Medicare",,,,"54",,"30.35","20.5","43.4","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","402992","CDM","Both",,,"56","28","Humana","Medicare Advantage",,,"54",,"30.35","20.5","43.4","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","402992","CDM","Both",,,"56","28","UHC","Medicare Advantage",,,"54",,"30.35","20.5","43.4","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","402992","CDM","Both",,,"56","28","Clover","Medicare Advantage",,,"54",,"30.35","20.5","43.4","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","402992","CDM","Both",,,"56","28","Wellcare","Medicare Advantage",,,"54",,"30.35","20.5","43.4","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","402992","CDM","Both",,,"56","28","Amerigroup","Medicaid Managed Care",,,"37",,"20.5","20.5","43.4","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","402992","CDM","Both",,,"56","28","Caresource","Medicaid Managed Care",,,"40",,"22.4","20.5","43.4","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","402992","CDM","Both",,,"56","28","Wellcare","Medicaid Managed Care",,,"40",,"22.68","20.5","43.4","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","402992","CDM","Both",,,"56","28","Aetna","Commercial",,,"64",,"35.73","20.5","43.4","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","402992","CDM","Both",,,"56","28","Blue Cross Blue Shield","Pathways",,,"71",,"39.54","20.5","43.4","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","402992","CDM","Both",,,"56","28","Blue Cross Blue Shield","HMO",,,"71",,"39.54","20.5","43.4","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","402992","CDM","Both",,,"56","28","Blue Cross Blue Shield","PPO",,,"71",,"39.54","20.5","43.4","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","402992","CDM","Both",,,"56","28","Ambetter","Health Exchange",,,"62",,"34.72","20.5","43.4","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","402992","CDM","Both",,,"56","28","Caresource","Health Exchange",,,"62",,"34.72","20.5","43.4","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","402992","CDM","Both",,,"56","28","Cigna","Commercial",,,"59",,"32.82","20.5","43.4","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","402992","CDM","Both",,,"56","28","Humana","Commercial",,,"78",,"43.4","20.5","43.4","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","402992","CDM","Both",,,"56","28","UHC","Commercial",,,"75",,"42.22","20.5","43.4","percent of total billed charges",,
"NF-Xarelto Oral Tablet 20MG","402992","CDM","Both",,,"56","28","Medicaid",,,,"37",,"20.5","20.5","43.4","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","402993","CDM","Both",,,"122","61","Alliant","Health Exchange",,,"62",,"75.64","44.65","94.55","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","402993","CDM","Both",,,"122","61","Pruitt Healthcare","Medicare Advantage",,,"54",,"65.88","44.65","94.55","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","402993","CDM","Both",,,"122","61","Medicare",,,,"54",,"66.12","44.65","94.55","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","402993","CDM","Both",,,"122","61","Humana","Medicare Advantage",,,"54",,"66.12","44.65","94.55","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","402993","CDM","Both",,,"122","61","UHC","Medicare Advantage",,,"54",,"66.12","44.65","94.55","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","402993","CDM","Both",,,"122","61","Clover","Medicare Advantage",,,"54",,"66.12","44.65","94.55","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","402993","CDM","Both",,,"122","61","Wellcare","Medicare Advantage",,,"54",,"66.12","44.65","94.55","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","402993","CDM","Both",,,"122","61","Amerigroup","Medicaid Managed Care",,,"37",,"44.65","44.65","94.55","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","402993","CDM","Both",,,"122","61","Caresource","Medicaid Managed Care",,,"40",,"48.8","44.65","94.55","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","402993","CDM","Both",,,"122","61","Wellcare","Medicaid Managed Care",,,"40",,"49.41","44.65","94.55","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","402993","CDM","Both",,,"122","61","Aetna","Commercial",,,"64",,"77.84","44.65","94.55","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","402993","CDM","Both",,,"122","61","Blue Cross Blue Shield","Pathways",,,"71",,"86.13","44.65","94.55","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","402993","CDM","Both",,,"122","61","Blue Cross Blue Shield","HMO",,,"71",,"86.13","44.65","94.55","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","402993","CDM","Both",,,"122","61","Blue Cross Blue Shield","PPO",,,"71",,"86.13","44.65","94.55","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","402993","CDM","Both",,,"122","61","Ambetter","Health Exchange",,,"62",,"75.64","44.65","94.55","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","402993","CDM","Both",,,"122","61","Caresource","Health Exchange",,,"62",,"75.64","44.65","94.55","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","402993","CDM","Both",,,"122","61","Cigna","Commercial",,,"59",,"71.49","44.65","94.55","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","402993","CDM","Both",,,"122","61","Humana","Commercial",,,"78",,"94.55","44.65","94.55","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","402993","CDM","Both",,,"122","61","UHC","Commercial",,,"75",,"91.99","44.65","94.55","percent of total billed charges",,
"NF-Tresiba Subcutaneous Solution 100U/1M","402993","CDM","Both",,,"122","61","Medicaid",,,,"37",,"44.65","44.65","94.55","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 15MG","402997","CDM","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 15MG","402997","CDM","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","2.2","4.65","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 15MG","402997","CDM","Both",,,"6","3","Medicare",,,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 15MG","402997","CDM","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 15MG","402997","CDM","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 15MG","402997","CDM","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 15MG","402997","CDM","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 15MG","402997","CDM","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","2.2","4.65","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 15MG","402997","CDM","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","2.2","4.65","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 15MG","402997","CDM","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","2.2","4.65","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 15MG","402997","CDM","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","2.2","4.65","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 15MG","402997","CDM","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 15MG","402997","CDM","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 15MG","402997","CDM","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 15MG","402997","CDM","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 15MG","402997","CDM","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 15MG","402997","CDM","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","2.2","4.65","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 15MG","402997","CDM","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","2.2","4.65","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 15MG","402997","CDM","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","2.2","4.65","percent of total billed charges",,
"NF-busPIRone HCl Oral Tablet 15MG","402997","CDM","Both",,,"6","3","Medicaid",,,,"37",,"2.2","2.2","4.65","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","403000","CDM","Both",,,"12","6","Alliant","Health Exchange",,,"62",,"7.44","4.39","9.3","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","403000","CDM","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.48","4.39","9.3","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","403000","CDM","Both",,,"12","6","Medicare",,,,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","403000","CDM","Both",,,"12","6","Humana","Medicare Advantage",,,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","403000","CDM","Both",,,"12","6","UHC","Medicare Advantage",,,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","403000","CDM","Both",,,"12","6","Clover","Medicare Advantage",,,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","403000","CDM","Both",,,"12","6","Wellcare","Medicare Advantage",,,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","403000","CDM","Both",,,"12","6","Amerigroup","Medicaid Managed Care",,,"37",,"4.39","4.39","9.3","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","403000","CDM","Both",,,"12","6","Caresource","Medicaid Managed Care",,,"40",,"4.8","4.39","9.3","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","403000","CDM","Both",,,"12","6","Wellcare","Medicaid Managed Care",,,"40",,"4.86","4.39","9.3","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","403000","CDM","Both",,,"12","6","Aetna","Commercial",,,"64",,"7.66","4.39","9.3","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","403000","CDM","Both",,,"12","6","Blue Cross Blue Shield","Pathways",,,"71",,"8.47","4.39","9.3","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","403000","CDM","Both",,,"12","6","Blue Cross Blue Shield","HMO",,,"71",,"8.47","4.39","9.3","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","403000","CDM","Both",,,"12","6","Blue Cross Blue Shield","PPO",,,"71",,"8.47","4.39","9.3","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","403000","CDM","Both",,,"12","6","Ambetter","Health Exchange",,,"62",,"7.44","4.39","9.3","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","403000","CDM","Both",,,"12","6","Caresource","Health Exchange",,,"62",,"7.44","4.39","9.3","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","403000","CDM","Both",,,"12","6","Cigna","Commercial",,,"59",,"7.03","4.39","9.3","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","403000","CDM","Both",,,"12","6","Humana","Commercial",,,"78",,"9.3","4.39","9.3","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","403000","CDM","Both",,,"12","6","UHC","Commercial",,,"75",,"9.05","4.39","9.3","percent of total billed charges",,
"NF-Flecainide Acetate Oral Tablet 100MG","403000","CDM","Both",,,"12","6","Medicaid",,,,"37",,"4.39","4.39","9.3","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 30MG","403011","CDM","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 30MG","403011","CDM","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","2.93","6.2","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 30MG","403011","CDM","Both",,,"8","4","Medicare",,,,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 30MG","403011","CDM","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 30MG","403011","CDM","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 30MG","403011","CDM","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 30MG","403011","CDM","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 30MG","403011","CDM","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","2.93","6.2","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 30MG","403011","CDM","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","2.93","6.2","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 30MG","403011","CDM","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","2.93","6.2","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 30MG","403011","CDM","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","2.93","6.2","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 30MG","403011","CDM","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 30MG","403011","CDM","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 30MG","403011","CDM","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 30MG","403011","CDM","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 30MG","403011","CDM","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 30MG","403011","CDM","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","2.93","6.2","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 30MG","403011","CDM","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","2.93","6.2","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 30MG","403011","CDM","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","2.93","6.2","percent of total billed charges",,
"NF-NIFEdipine ER Tablet 30MG","403011","CDM","Both",,,"8","4","Medicaid",,,,"37",,"2.93","2.93","6.2","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403013","CDM","Both",,,"28","14","Alliant","Health Exchange",,,"62",,"17.36","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403013","CDM","Both",,,"28","14","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.12","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403013","CDM","Both",,,"28","14","Medicare",,,,"54",,"15.18","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403013","CDM","Both",,,"28","14","Humana","Medicare Advantage",,,"54",,"15.18","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403013","CDM","Both",,,"28","14","UHC","Medicare Advantage",,,"54",,"15.18","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403013","CDM","Both",,,"28","14","Clover","Medicare Advantage",,,"54",,"15.18","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403013","CDM","Both",,,"28","14","Wellcare","Medicare Advantage",,,"54",,"15.18","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403013","CDM","Both",,,"28","14","Amerigroup","Medicaid Managed Care",,,"37",,"10.25","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403013","CDM","Both",,,"28","14","Caresource","Medicaid Managed Care",,,"40",,"11.2","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403013","CDM","Both",,,"28","14","Wellcare","Medicaid Managed Care",,,"40",,"11.34","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403013","CDM","Both",,,"28","14","Aetna","Commercial",,,"64",,"17.86","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403013","CDM","Both",,,"28","14","Blue Cross Blue Shield","Pathways",,,"71",,"19.77","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403013","CDM","Both",,,"28","14","Blue Cross Blue Shield","HMO",,,"71",,"19.77","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403013","CDM","Both",,,"28","14","Blue Cross Blue Shield","PPO",,,"71",,"19.77","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403013","CDM","Both",,,"28","14","Ambetter","Health Exchange",,,"62",,"17.36","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403013","CDM","Both",,,"28","14","Caresource","Health Exchange",,,"62",,"17.36","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403013","CDM","Both",,,"28","14","Cigna","Commercial",,,"59",,"16.41","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403013","CDM","Both",,,"28","14","Humana","Commercial",,,"78",,"21.7","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403013","CDM","Both",,,"28","14","UHC","Commercial",,,"75",,"21.11","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403013","CDM","Both",,,"28","14","Medicaid",,,,"37",,"10.25","10.25","21.7","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","403014","CDM","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.73","1.55","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","403014","CDM","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","403014","CDM","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","403014","CDM","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","403014","CDM","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","403014","CDM","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","403014","CDM","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","403014","CDM","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.73","1.55","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","403014","CDM","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.73","1.55","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","403014","CDM","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.73","1.55","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","403014","CDM","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.73","1.55","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","403014","CDM","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.73","1.55","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","403014","CDM","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.73","1.55","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","403014","CDM","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.73","1.55","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","403014","CDM","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.73","1.55","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","403014","CDM","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.73","1.55","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","403014","CDM","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.73","1.55","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","403014","CDM","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.73","1.55","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","403014","CDM","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.73","1.55","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","403014","CDM","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.73","1.55","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","403017","CDM","Both",,,"28","14","Alliant","Health Exchange",,,"62",,"17.36","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","403017","CDM","Both",,,"28","14","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.12","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","403017","CDM","Both",,,"28","14","Medicare",,,,"54",,"15.18","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","403017","CDM","Both",,,"28","14","Humana","Medicare Advantage",,,"54",,"15.18","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","403017","CDM","Both",,,"28","14","UHC","Medicare Advantage",,,"54",,"15.18","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","403017","CDM","Both",,,"28","14","Clover","Medicare Advantage",,,"54",,"15.18","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","403017","CDM","Both",,,"28","14","Wellcare","Medicare Advantage",,,"54",,"15.18","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","403017","CDM","Both",,,"28","14","Amerigroup","Medicaid Managed Care",,,"37",,"10.25","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","403017","CDM","Both",,,"28","14","Caresource","Medicaid Managed Care",,,"40",,"11.2","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","403017","CDM","Both",,,"28","14","Wellcare","Medicaid Managed Care",,,"40",,"11.34","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","403017","CDM","Both",,,"28","14","Aetna","Commercial",,,"64",,"17.86","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","403017","CDM","Both",,,"28","14","Blue Cross Blue Shield","Pathways",,,"71",,"19.77","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","403017","CDM","Both",,,"28","14","Blue Cross Blue Shield","HMO",,,"71",,"19.77","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","403017","CDM","Both",,,"28","14","Blue Cross Blue Shield","PPO",,,"71",,"19.77","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","403017","CDM","Both",,,"28","14","Ambetter","Health Exchange",,,"62",,"17.36","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","403017","CDM","Both",,,"28","14","Caresource","Health Exchange",,,"62",,"17.36","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","403017","CDM","Both",,,"28","14","Cigna","Commercial",,,"59",,"16.41","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","403017","CDM","Both",,,"28","14","Humana","Commercial",,,"78",,"21.7","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","403017","CDM","Both",,,"28","14","UHC","Commercial",,,"75",,"21.11","10.25","21.7","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","403017","CDM","Both",,,"28","14","Medicaid",,,,"37",,"10.25","10.25","21.7","percent of total billed charges",,
"NF-Repatha Subcutaneous Solution 140MG/1","403022","CDM","Both",,,"810","405","Alliant","Health Exchange",,,"62",,"502.2","296.46","627.75","percent of total billed charges",,
"NF-Repatha Subcutaneous Solution 140MG/1","403022","CDM","Both",,,"810","405","Pruitt Healthcare","Medicare Advantage",,,"54",,"437.4","296.46","627.75","percent of total billed charges",,
"NF-Repatha Subcutaneous Solution 140MG/1","403022","CDM","Both",,,"810","405","Medicare",,,,"54",,"439.02","296.46","627.75","percent of total billed charges",,
"NF-Repatha Subcutaneous Solution 140MG/1","403022","CDM","Both",,,"810","405","Humana","Medicare Advantage",,,"54",,"439.02","296.46","627.75","percent of total billed charges",,
"NF-Repatha Subcutaneous Solution 140MG/1","403022","CDM","Both",,,"810","405","UHC","Medicare Advantage",,,"54",,"439.02","296.46","627.75","percent of total billed charges",,
"NF-Repatha Subcutaneous Solution 140MG/1","403022","CDM","Both",,,"810","405","Clover","Medicare Advantage",,,"54",,"439.02","296.46","627.75","percent of total billed charges",,
"NF-Repatha Subcutaneous Solution 140MG/1","403022","CDM","Both",,,"810","405","Wellcare","Medicare Advantage",,,"54",,"439.02","296.46","627.75","percent of total billed charges",,
"NF-Repatha Subcutaneous Solution 140MG/1","403022","CDM","Both",,,"810","405","Amerigroup","Medicaid Managed Care",,,"37",,"296.46","296.46","627.75","percent of total billed charges",,
"NF-Repatha Subcutaneous Solution 140MG/1","403022","CDM","Both",,,"810","405","Caresource","Medicaid Managed Care",,,"40",,"324","296.46","627.75","percent of total billed charges",,
"NF-Repatha Subcutaneous Solution 140MG/1","403022","CDM","Both",,,"810","405","Wellcare","Medicaid Managed Care",,,"40",,"328.05","296.46","627.75","percent of total billed charges",,
"NF-Repatha Subcutaneous Solution 140MG/1","403022","CDM","Both",,,"810","405","Aetna","Commercial",,,"64",,"516.78","296.46","627.75","percent of total billed charges",,
"NF-Repatha Subcutaneous Solution 140MG/1","403022","CDM","Both",,,"810","405","Blue Cross Blue Shield","Pathways",,,"71",,"571.86","296.46","627.75","percent of total billed charges",,
"NF-Repatha Subcutaneous Solution 140MG/1","403022","CDM","Both",,,"810","405","Blue Cross Blue Shield","HMO",,,"71",,"571.86","296.46","627.75","percent of total billed charges",,
"NF-Repatha Subcutaneous Solution 140MG/1","403022","CDM","Both",,,"810","405","Blue Cross Blue Shield","PPO",,,"71",,"571.86","296.46","627.75","percent of total billed charges",,
"NF-Repatha Subcutaneous Solution 140MG/1","403022","CDM","Both",,,"810","405","Ambetter","Health Exchange",,,"62",,"502.2","296.46","627.75","percent of total billed charges",,
"NF-Repatha Subcutaneous Solution 140MG/1","403022","CDM","Both",,,"810","405","Caresource","Health Exchange",,,"62",,"502.2","296.46","627.75","percent of total billed charges",,
"NF-Repatha Subcutaneous Solution 140MG/1","403022","CDM","Both",,,"810","405","Cigna","Commercial",,,"59",,"474.66","296.46","627.75","percent of total billed charges",,
"NF-Repatha Subcutaneous Solution 140MG/1","403022","CDM","Both",,,"810","405","Humana","Commercial",,,"78",,"627.75","296.46","627.75","percent of total billed charges",,
"NF-Repatha Subcutaneous Solution 140MG/1","403022","CDM","Both",,,"810","405","UHC","Commercial",,,"75",,"610.74","296.46","627.75","percent of total billed charges",,
"NF-Repatha Subcutaneous Solution 140MG/1","403022","CDM","Both",,,"810","405","Medicaid",,,,"37",,"296.46","296.46","627.75","percent of total billed charges",,
"NF-Repatha Subcutaneous Solution 140MG/1","403024","CDM","Both",,,"810","405","Alliant","Health Exchange",,,"62",,"502.2","296.46","627.75","percent of total billed charges",,
"NF-Repatha Subcutaneous Solution 140MG/1","403024","CDM","Both",,,"810","405","Pruitt Healthcare","Medicare Advantage",,,"54",,"437.4","296.46","627.75","percent of total billed charges",,
"NF-Repatha Subcutaneous Solution 140MG/1","403024","CDM","Both",,,"810","405","Medicare",,,,"54",,"439.02","296.46","627.75","percent of total billed charges",,
"NF-Repatha Subcutaneous Solution 140MG/1","403024","CDM","Both",,,"810","405","Humana","Medicare Advantage",,,"54",,"439.02","296.46","627.75","percent of total billed charges",,
"NF-Repatha Subcutaneous Solution 140MG/1","403024","CDM","Both",,,"810","405","UHC","Medicare Advantage",,,"54",,"439.02","296.46","627.75","percent of total billed charges",,
"NF-Repatha Subcutaneous Solution 140MG/1","403024","CDM","Both",,,"810","405","Clover","Medicare Advantage",,,"54",,"439.02","296.46","627.75","percent of total billed charges",,
"NF-Repatha Subcutaneous Solution 140MG/1","403024","CDM","Both",,,"810","405","Wellcare","Medicare Advantage",,,"54",,"439.02","296.46","627.75","percent of total billed charges",,
"NF-Repatha Subcutaneous Solution 140MG/1","403024","CDM","Both",,,"810","405","Amerigroup","Medicaid Managed Care",,,"37",,"296.46","296.46","627.75","percent of total billed charges",,
"NF-Repatha Subcutaneous Solution 140MG/1","403024","CDM","Both",,,"810","405","Caresource","Medicaid Managed Care",,,"40",,"324","296.46","627.75","percent of total billed charges",,
"NF-Repatha Subcutaneous Solution 140MG/1","403024","CDM","Both",,,"810","405","Wellcare","Medicaid Managed Care",,,"40",,"328.05","296.46","627.75","percent of total billed charges",,
"NF-Repatha Subcutaneous Solution 140MG/1","403024","CDM","Both",,,"810","405","Aetna","Commercial",,,"64",,"516.78","296.46","627.75","percent of total billed charges",,
"NF-Repatha Subcutaneous Solution 140MG/1","403024","CDM","Both",,,"810","405","Blue Cross Blue Shield","Pathways",,,"71",,"571.86","296.46","627.75","percent of total billed charges",,
"NF-Repatha Subcutaneous Solution 140MG/1","403024","CDM","Both",,,"810","405","Blue Cross Blue Shield","HMO",,,"71",,"571.86","296.46","627.75","percent of total billed charges",,
"NF-Repatha Subcutaneous Solution 140MG/1","403024","CDM","Both",,,"810","405","Blue Cross Blue Shield","PPO",,,"71",,"571.86","296.46","627.75","percent of total billed charges",,
"NF-Repatha Subcutaneous Solution 140MG/1","403024","CDM","Both",,,"810","405","Ambetter","Health Exchange",,,"62",,"502.2","296.46","627.75","percent of total billed charges",,
"NF-Repatha Subcutaneous Solution 140MG/1","403024","CDM","Both",,,"810","405","Caresource","Health Exchange",,,"62",,"502.2","296.46","627.75","percent of total billed charges",,
"NF-Repatha Subcutaneous Solution 140MG/1","403024","CDM","Both",,,"810","405","Cigna","Commercial",,,"59",,"474.66","296.46","627.75","percent of total billed charges",,
"NF-Repatha Subcutaneous Solution 140MG/1","403024","CDM","Both",,,"810","405","Humana","Commercial",,,"78",,"627.75","296.46","627.75","percent of total billed charges",,
"NF-Repatha Subcutaneous Solution 140MG/1","403024","CDM","Both",,,"810","405","UHC","Commercial",,,"75",,"610.74","296.46","627.75","percent of total billed charges",,
"NF-Repatha Subcutaneous Solution 140MG/1","403024","CDM","Both",,,"810","405","Medicaid",,,,"37",,"296.46","296.46","627.75","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","403025","CDM","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.73","1.55","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","403025","CDM","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","403025","CDM","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","403025","CDM","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","403025","CDM","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","403025","CDM","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","403025","CDM","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","403025","CDM","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.73","1.55","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","403025","CDM","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.73","1.55","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","403025","CDM","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.73","1.55","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","403025","CDM","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.73","1.55","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","403025","CDM","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.73","1.55","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","403025","CDM","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.73","1.55","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","403025","CDM","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.73","1.55","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","403025","CDM","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.73","1.55","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","403025","CDM","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.73","1.55","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","403025","CDM","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.73","1.55","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","403025","CDM","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.73","1.55","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","403025","CDM","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.73","1.55","percent of total billed charges",,
"NF-Morphine Sulfate Oral Solution 20MG/1","403025","CDM","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.73","1.55","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","403032","CDM","Both",,,"64","32","Alliant","Health Exchange",,,"62",,"39.68","23.42","49.6","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","403032","CDM","Both",,,"64","32","Pruitt Healthcare","Medicare Advantage",,,"54",,"34.56","23.42","49.6","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","403032","CDM","Both",,,"64","32","Medicare",,,,"54",,"34.69","23.42","49.6","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","403032","CDM","Both",,,"64","32","Humana","Medicare Advantage",,,"54",,"34.69","23.42","49.6","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","403032","CDM","Both",,,"64","32","UHC","Medicare Advantage",,,"54",,"34.69","23.42","49.6","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","403032","CDM","Both",,,"64","32","Clover","Medicare Advantage",,,"54",,"34.69","23.42","49.6","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","403032","CDM","Both",,,"64","32","Wellcare","Medicare Advantage",,,"54",,"34.69","23.42","49.6","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","403032","CDM","Both",,,"64","32","Amerigroup","Medicaid Managed Care",,,"37",,"23.42","23.42","49.6","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","403032","CDM","Both",,,"64","32","Caresource","Medicaid Managed Care",,,"40",,"25.6","23.42","49.6","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","403032","CDM","Both",,,"64","32","Wellcare","Medicaid Managed Care",,,"40",,"25.92","23.42","49.6","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","403032","CDM","Both",,,"64","32","Aetna","Commercial",,,"64",,"40.83","23.42","49.6","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","403032","CDM","Both",,,"64","32","Blue Cross Blue Shield","Pathways",,,"71",,"45.18","23.42","49.6","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","403032","CDM","Both",,,"64","32","Blue Cross Blue Shield","HMO",,,"71",,"45.18","23.42","49.6","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","403032","CDM","Both",,,"64","32","Blue Cross Blue Shield","PPO",,,"71",,"45.18","23.42","49.6","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","403032","CDM","Both",,,"64","32","Ambetter","Health Exchange",,,"62",,"39.68","23.42","49.6","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","403032","CDM","Both",,,"64","32","Caresource","Health Exchange",,,"62",,"39.68","23.42","49.6","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","403032","CDM","Both",,,"64","32","Cigna","Commercial",,,"59",,"37.5","23.42","49.6","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","403032","CDM","Both",,,"64","32","Humana","Commercial",,,"78",,"49.6","23.42","49.6","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","403032","CDM","Both",,,"64","32","UHC","Commercial",,,"75",,"48.26","23.42","49.6","percent of total billed charges",,
"NF-Ketorolac Tromethamine Ophth Soln 0.5","403032","CDM","Both",,,"64","32","Medicaid",,,,"37",,"23.42","23.42","49.6","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403050","CDM","Both",,,"59","29.5","Alliant","Health Exchange",,,"62",,"36.58","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403050","CDM","Both",,,"59","29.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"31.86","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403050","CDM","Both",,,"59","29.5","Medicare",,,,"54",,"31.98","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403050","CDM","Both",,,"59","29.5","Humana","Medicare Advantage",,,"54",,"31.98","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403050","CDM","Both",,,"59","29.5","UHC","Medicare Advantage",,,"54",,"31.98","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403050","CDM","Both",,,"59","29.5","Clover","Medicare Advantage",,,"54",,"31.98","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403050","CDM","Both",,,"59","29.5","Wellcare","Medicare Advantage",,,"54",,"31.98","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403050","CDM","Both",,,"59","29.5","Amerigroup","Medicaid Managed Care",,,"37",,"21.59","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403050","CDM","Both",,,"59","29.5","Caresource","Medicaid Managed Care",,,"40",,"23.6","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403050","CDM","Both",,,"59","29.5","Wellcare","Medicaid Managed Care",,,"40",,"23.9","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403050","CDM","Both",,,"59","29.5","Aetna","Commercial",,,"64",,"37.64","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403050","CDM","Both",,,"59","29.5","Blue Cross Blue Shield","Pathways",,,"71",,"41.65","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403050","CDM","Both",,,"59","29.5","Blue Cross Blue Shield","HMO",,,"71",,"41.65","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403050","CDM","Both",,,"59","29.5","Blue Cross Blue Shield","PPO",,,"71",,"41.65","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403050","CDM","Both",,,"59","29.5","Ambetter","Health Exchange",,,"62",,"36.58","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403050","CDM","Both",,,"59","29.5","Caresource","Health Exchange",,,"62",,"36.58","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403050","CDM","Both",,,"59","29.5","Cigna","Commercial",,,"59",,"34.57","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403050","CDM","Both",,,"59","29.5","Humana","Commercial",,,"78",,"45.72","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403050","CDM","Both",,,"59","29.5","UHC","Commercial",,,"75",,"44.49","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403050","CDM","Both",,,"59","29.5","Medicaid",,,,"37",,"21.59","21.59","45.72","percent of total billed charges",,
"NF-Metaxall Oral Tablet 800MG","403051","CDM","Both",,,"45","22.5","Alliant","Health Exchange",,,"62",,"27.9","16.47","34.88","percent of total billed charges",,
"NF-Metaxall Oral Tablet 800MG","403051","CDM","Both",,,"45","22.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"24.3","16.47","34.88","percent of total billed charges",,
"NF-Metaxall Oral Tablet 800MG","403051","CDM","Both",,,"45","22.5","Medicare",,,,"54",,"24.39","16.47","34.88","percent of total billed charges",,
"NF-Metaxall Oral Tablet 800MG","403051","CDM","Both",,,"45","22.5","Humana","Medicare Advantage",,,"54",,"24.39","16.47","34.88","percent of total billed charges",,
"NF-Metaxall Oral Tablet 800MG","403051","CDM","Both",,,"45","22.5","UHC","Medicare Advantage",,,"54",,"24.39","16.47","34.88","percent of total billed charges",,
"NF-Metaxall Oral Tablet 800MG","403051","CDM","Both",,,"45","22.5","Clover","Medicare Advantage",,,"54",,"24.39","16.47","34.88","percent of total billed charges",,
"NF-Metaxall Oral Tablet 800MG","403051","CDM","Both",,,"45","22.5","Wellcare","Medicare Advantage",,,"54",,"24.39","16.47","34.88","percent of total billed charges",,
"NF-Metaxall Oral Tablet 800MG","403051","CDM","Both",,,"45","22.5","Amerigroup","Medicaid Managed Care",,,"37",,"16.47","16.47","34.88","percent of total billed charges",,
"NF-Metaxall Oral Tablet 800MG","403051","CDM","Both",,,"45","22.5","Caresource","Medicaid Managed Care",,,"40",,"18","16.47","34.88","percent of total billed charges",,
"NF-Metaxall Oral Tablet 800MG","403051","CDM","Both",,,"45","22.5","Wellcare","Medicaid Managed Care",,,"40",,"18.23","16.47","34.88","percent of total billed charges",,
"NF-Metaxall Oral Tablet 800MG","403051","CDM","Both",,,"45","22.5","Aetna","Commercial",,,"64",,"28.71","16.47","34.88","percent of total billed charges",,
"NF-Metaxall Oral Tablet 800MG","403051","CDM","Both",,,"45","22.5","Blue Cross Blue Shield","Pathways",,,"71",,"31.77","16.47","34.88","percent of total billed charges",,
"NF-Metaxall Oral Tablet 800MG","403051","CDM","Both",,,"45","22.5","Blue Cross Blue Shield","HMO",,,"71",,"31.77","16.47","34.88","percent of total billed charges",,
"NF-Metaxall Oral Tablet 800MG","403051","CDM","Both",,,"45","22.5","Blue Cross Blue Shield","PPO",,,"71",,"31.77","16.47","34.88","percent of total billed charges",,
"NF-Metaxall Oral Tablet 800MG","403051","CDM","Both",,,"45","22.5","Ambetter","Health Exchange",,,"62",,"27.9","16.47","34.88","percent of total billed charges",,
"NF-Metaxall Oral Tablet 800MG","403051","CDM","Both",,,"45","22.5","Caresource","Health Exchange",,,"62",,"27.9","16.47","34.88","percent of total billed charges",,
"NF-Metaxall Oral Tablet 800MG","403051","CDM","Both",,,"45","22.5","Cigna","Commercial",,,"59",,"26.37","16.47","34.88","percent of total billed charges",,
"NF-Metaxall Oral Tablet 800MG","403051","CDM","Both",,,"45","22.5","Humana","Commercial",,,"78",,"34.88","16.47","34.88","percent of total billed charges",,
"NF-Metaxall Oral Tablet 800MG","403051","CDM","Both",,,"45","22.5","UHC","Commercial",,,"75",,"33.93","16.47","34.88","percent of total billed charges",,
"NF-Metaxall Oral Tablet 800MG","403051","CDM","Both",,,"45","22.5","Medicaid",,,,"37",,"16.47","16.47","34.88","percent of total billed charges",,
"NF-Pravastatin Oral Tablet 20MG","403065","CDM","Both",,,"9","4.5","Alliant","Health Exchange",,,"62",,"5.58","3.29","6.98","percent of total billed charges",,
"NF-Pravastatin Oral Tablet 20MG","403065","CDM","Both",,,"9","4.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.86","3.29","6.98","percent of total billed charges",,
"NF-Pravastatin Oral Tablet 20MG","403065","CDM","Both",,,"9","4.5","Medicare",,,,"54",,"4.88","3.29","6.98","percent of total billed charges",,
"NF-Pravastatin Oral Tablet 20MG","403065","CDM","Both",,,"9","4.5","Humana","Medicare Advantage",,,"54",,"4.88","3.29","6.98","percent of total billed charges",,
"NF-Pravastatin Oral Tablet 20MG","403065","CDM","Both",,,"9","4.5","UHC","Medicare Advantage",,,"54",,"4.88","3.29","6.98","percent of total billed charges",,
"NF-Pravastatin Oral Tablet 20MG","403065","CDM","Both",,,"9","4.5","Clover","Medicare Advantage",,,"54",,"4.88","3.29","6.98","percent of total billed charges",,
"NF-Pravastatin Oral Tablet 20MG","403065","CDM","Both",,,"9","4.5","Wellcare","Medicare Advantage",,,"54",,"4.88","3.29","6.98","percent of total billed charges",,
"NF-Pravastatin Oral Tablet 20MG","403065","CDM","Both",,,"9","4.5","Amerigroup","Medicaid Managed Care",,,"37",,"3.29","3.29","6.98","percent of total billed charges",,
"NF-Pravastatin Oral Tablet 20MG","403065","CDM","Both",,,"9","4.5","Caresource","Medicaid Managed Care",,,"40",,"3.6","3.29","6.98","percent of total billed charges",,
"NF-Pravastatin Oral Tablet 20MG","403065","CDM","Both",,,"9","4.5","Wellcare","Medicaid Managed Care",,,"40",,"3.65","3.29","6.98","percent of total billed charges",,
"NF-Pravastatin Oral Tablet 20MG","403065","CDM","Both",,,"9","4.5","Aetna","Commercial",,,"64",,"5.74","3.29","6.98","percent of total billed charges",,
"NF-Pravastatin Oral Tablet 20MG","403065","CDM","Both",,,"9","4.5","Blue Cross Blue Shield","Pathways",,,"71",,"6.35","3.29","6.98","percent of total billed charges",,
"NF-Pravastatin Oral Tablet 20MG","403065","CDM","Both",,,"9","4.5","Blue Cross Blue Shield","HMO",,,"71",,"6.35","3.29","6.98","percent of total billed charges",,
"NF-Pravastatin Oral Tablet 20MG","403065","CDM","Both",,,"9","4.5","Blue Cross Blue Shield","PPO",,,"71",,"6.35","3.29","6.98","percent of total billed charges",,
"NF-Pravastatin Oral Tablet 20MG","403065","CDM","Both",,,"9","4.5","Ambetter","Health Exchange",,,"62",,"5.58","3.29","6.98","percent of total billed charges",,
"NF-Pravastatin Oral Tablet 20MG","403065","CDM","Both",,,"9","4.5","Caresource","Health Exchange",,,"62",,"5.58","3.29","6.98","percent of total billed charges",,
"NF-Pravastatin Oral Tablet 20MG","403065","CDM","Both",,,"9","4.5","Cigna","Commercial",,,"59",,"5.27","3.29","6.98","percent of total billed charges",,
"NF-Pravastatin Oral Tablet 20MG","403065","CDM","Both",,,"9","4.5","Humana","Commercial",,,"78",,"6.98","3.29","6.98","percent of total billed charges",,
"NF-Pravastatin Oral Tablet 20MG","403065","CDM","Both",,,"9","4.5","UHC","Commercial",,,"75",,"6.79","3.29","6.98","percent of total billed charges",,
"NF-Pravastatin Oral Tablet 20MG","403065","CDM","Both",,,"9","4.5","Medicaid",,,,"37",,"3.29","3.29","6.98","percent of total billed charges",,
"NF-Pilocarpine HCl Oral Tablet 5MG","403085","CDM","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-Pilocarpine HCl Oral Tablet 5MG","403085","CDM","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","1.46","3.1","percent of total billed charges",,
"NF-Pilocarpine HCl Oral Tablet 5MG","403085","CDM","Both",,,"4","2","Medicare",,,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Pilocarpine HCl Oral Tablet 5MG","403085","CDM","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Pilocarpine HCl Oral Tablet 5MG","403085","CDM","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Pilocarpine HCl Oral Tablet 5MG","403085","CDM","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Pilocarpine HCl Oral Tablet 5MG","403085","CDM","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Pilocarpine HCl Oral Tablet 5MG","403085","CDM","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","1.46","3.1","percent of total billed charges",,
"NF-Pilocarpine HCl Oral Tablet 5MG","403085","CDM","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","1.46","3.1","percent of total billed charges",,
"NF-Pilocarpine HCl Oral Tablet 5MG","403085","CDM","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","1.46","3.1","percent of total billed charges",,
"NF-Pilocarpine HCl Oral Tablet 5MG","403085","CDM","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","1.46","3.1","percent of total billed charges",,
"NF-Pilocarpine HCl Oral Tablet 5MG","403085","CDM","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-Pilocarpine HCl Oral Tablet 5MG","403085","CDM","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-Pilocarpine HCl Oral Tablet 5MG","403085","CDM","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-Pilocarpine HCl Oral Tablet 5MG","403085","CDM","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-Pilocarpine HCl Oral Tablet 5MG","403085","CDM","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-Pilocarpine HCl Oral Tablet 5MG","403085","CDM","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","1.46","3.1","percent of total billed charges",,
"NF-Pilocarpine HCl Oral Tablet 5MG","403085","CDM","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","1.46","3.1","percent of total billed charges",,
"NF-Pilocarpine HCl Oral Tablet 5MG","403085","CDM","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","1.46","3.1","percent of total billed charges",,
"NF-Pilocarpine HCl Oral Tablet 5MG","403085","CDM","Both",,,"4","2","Medicaid",,,,"37",,"1.46","1.46","3.1","percent of total billed charges",,
"NF-Albuterol Inh/Neb Solution 0.042%","403086","CDM","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-Albuterol Inh/Neb Solution 0.042%","403086","CDM","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","1.46","3.1","percent of total billed charges",,
"NF-Albuterol Inh/Neb Solution 0.042%","403086","CDM","Both",,,"4","2","Medicare",,,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Albuterol Inh/Neb Solution 0.042%","403086","CDM","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Albuterol Inh/Neb Solution 0.042%","403086","CDM","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Albuterol Inh/Neb Solution 0.042%","403086","CDM","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Albuterol Inh/Neb Solution 0.042%","403086","CDM","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Albuterol Inh/Neb Solution 0.042%","403086","CDM","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","1.46","3.1","percent of total billed charges",,
"NF-Albuterol Inh/Neb Solution 0.042%","403086","CDM","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","1.46","3.1","percent of total billed charges",,
"NF-Albuterol Inh/Neb Solution 0.042%","403086","CDM","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","1.46","3.1","percent of total billed charges",,
"NF-Albuterol Inh/Neb Solution 0.042%","403086","CDM","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","1.46","3.1","percent of total billed charges",,
"NF-Albuterol Inh/Neb Solution 0.042%","403086","CDM","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-Albuterol Inh/Neb Solution 0.042%","403086","CDM","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-Albuterol Inh/Neb Solution 0.042%","403086","CDM","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-Albuterol Inh/Neb Solution 0.042%","403086","CDM","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-Albuterol Inh/Neb Solution 0.042%","403086","CDM","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-Albuterol Inh/Neb Solution 0.042%","403086","CDM","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","1.46","3.1","percent of total billed charges",,
"NF-Albuterol Inh/Neb Solution 0.042%","403086","CDM","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","1.46","3.1","percent of total billed charges",,
"NF-Albuterol Inh/Neb Solution 0.042%","403086","CDM","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","1.46","3.1","percent of total billed charges",,
"NF-Albuterol Inh/Neb Solution 0.042%","403086","CDM","Both",,,"4","2","Medicaid",,,,"37",,"1.46","1.46","3.1","percent of total billed charges",,
"NF-Albuterol Inh/Neb Solution 0.042%","403087","CDM","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-Albuterol Inh/Neb Solution 0.042%","403087","CDM","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","1.46","3.1","percent of total billed charges",,
"NF-Albuterol Inh/Neb Solution 0.042%","403087","CDM","Both",,,"4","2","Medicare",,,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Albuterol Inh/Neb Solution 0.042%","403087","CDM","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Albuterol Inh/Neb Solution 0.042%","403087","CDM","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Albuterol Inh/Neb Solution 0.042%","403087","CDM","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Albuterol Inh/Neb Solution 0.042%","403087","CDM","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Albuterol Inh/Neb Solution 0.042%","403087","CDM","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","1.46","3.1","percent of total billed charges",,
"NF-Albuterol Inh/Neb Solution 0.042%","403087","CDM","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","1.46","3.1","percent of total billed charges",,
"NF-Albuterol Inh/Neb Solution 0.042%","403087","CDM","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","1.46","3.1","percent of total billed charges",,
"NF-Albuterol Inh/Neb Solution 0.042%","403087","CDM","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","1.46","3.1","percent of total billed charges",,
"NF-Albuterol Inh/Neb Solution 0.042%","403087","CDM","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-Albuterol Inh/Neb Solution 0.042%","403087","CDM","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-Albuterol Inh/Neb Solution 0.042%","403087","CDM","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-Albuterol Inh/Neb Solution 0.042%","403087","CDM","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-Albuterol Inh/Neb Solution 0.042%","403087","CDM","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-Albuterol Inh/Neb Solution 0.042%","403087","CDM","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","1.46","3.1","percent of total billed charges",,
"NF-Albuterol Inh/Neb Solution 0.042%","403087","CDM","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","1.46","3.1","percent of total billed charges",,
"NF-Albuterol Inh/Neb Solution 0.042%","403087","CDM","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","1.46","3.1","percent of total billed charges",,
"NF-Albuterol Inh/Neb Solution 0.042%","403087","CDM","Both",,,"4","2","Medicaid",,,,"37",,"1.46","1.46","3.1","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","403105","CDM","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","403105","CDM","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","1.1","2.33","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","403105","CDM","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","403105","CDM","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","403105","CDM","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","403105","CDM","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","403105","CDM","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","403105","CDM","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","1.1","2.33","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","403105","CDM","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","1.1","2.33","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","403105","CDM","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","1.1","2.33","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","403105","CDM","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","1.1","2.33","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","403105","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","403105","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","403105","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","403105","CDM","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","403105","CDM","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","403105","CDM","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","1.1","2.33","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","403105","CDM","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","1.1","2.33","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","403105","CDM","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","1.1","2.33","percent of total billed charges",,
"NF-Zonisamide Oral Capsule 50MG","403105","CDM","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","1.1","2.33","percent of total billed charges",,
"NF-Bystolic Oral Tablet 10MG","403106","CDM","Both",,,"18","9","Alliant","Health Exchange",,,"62",,"11.16","6.59","13.95","percent of total billed charges",,
"NF-Bystolic Oral Tablet 10MG","403106","CDM","Both",,,"18","9","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.72","6.59","13.95","percent of total billed charges",,
"NF-Bystolic Oral Tablet 10MG","403106","CDM","Both",,,"18","9","Medicare",,,,"54",,"9.76","6.59","13.95","percent of total billed charges",,
"NF-Bystolic Oral Tablet 10MG","403106","CDM","Both",,,"18","9","Humana","Medicare Advantage",,,"54",,"9.76","6.59","13.95","percent of total billed charges",,
"NF-Bystolic Oral Tablet 10MG","403106","CDM","Both",,,"18","9","UHC","Medicare Advantage",,,"54",,"9.76","6.59","13.95","percent of total billed charges",,
"NF-Bystolic Oral Tablet 10MG","403106","CDM","Both",,,"18","9","Clover","Medicare Advantage",,,"54",,"9.76","6.59","13.95","percent of total billed charges",,
"NF-Bystolic Oral Tablet 10MG","403106","CDM","Both",,,"18","9","Wellcare","Medicare Advantage",,,"54",,"9.76","6.59","13.95","percent of total billed charges",,
"NF-Bystolic Oral Tablet 10MG","403106","CDM","Both",,,"18","9","Amerigroup","Medicaid Managed Care",,,"37",,"6.59","6.59","13.95","percent of total billed charges",,
"NF-Bystolic Oral Tablet 10MG","403106","CDM","Both",,,"18","9","Caresource","Medicaid Managed Care",,,"40",,"7.2","6.59","13.95","percent of total billed charges",,
"NF-Bystolic Oral Tablet 10MG","403106","CDM","Both",,,"18","9","Wellcare","Medicaid Managed Care",,,"40",,"7.29","6.59","13.95","percent of total billed charges",,
"NF-Bystolic Oral Tablet 10MG","403106","CDM","Both",,,"18","9","Aetna","Commercial",,,"64",,"11.48","6.59","13.95","percent of total billed charges",,
"NF-Bystolic Oral Tablet 10MG","403106","CDM","Both",,,"18","9","Blue Cross Blue Shield","Pathways",,,"71",,"12.71","6.59","13.95","percent of total billed charges",,
"NF-Bystolic Oral Tablet 10MG","403106","CDM","Both",,,"18","9","Blue Cross Blue Shield","HMO",,,"71",,"12.71","6.59","13.95","percent of total billed charges",,
"NF-Bystolic Oral Tablet 10MG","403106","CDM","Both",,,"18","9","Blue Cross Blue Shield","PPO",,,"71",,"12.71","6.59","13.95","percent of total billed charges",,
"NF-Bystolic Oral Tablet 10MG","403106","CDM","Both",,,"18","9","Ambetter","Health Exchange",,,"62",,"11.16","6.59","13.95","percent of total billed charges",,
"NF-Bystolic Oral Tablet 10MG","403106","CDM","Both",,,"18","9","Caresource","Health Exchange",,,"62",,"11.16","6.59","13.95","percent of total billed charges",,
"NF-Bystolic Oral Tablet 10MG","403106","CDM","Both",,,"18","9","Cigna","Commercial",,,"59",,"10.55","6.59","13.95","percent of total billed charges",,
"NF-Bystolic Oral Tablet 10MG","403106","CDM","Both",,,"18","9","Humana","Commercial",,,"78",,"13.95","6.59","13.95","percent of total billed charges",,
"NF-Bystolic Oral Tablet 10MG","403106","CDM","Both",,,"18","9","UHC","Commercial",,,"75",,"13.57","6.59","13.95","percent of total billed charges",,
"NF-Bystolic Oral Tablet 10MG","403106","CDM","Both",,,"18","9","Medicaid",,,,"37",,"6.59","6.59","13.95","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","403108","CDM","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","403108","CDM","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","1.46","3.1","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","403108","CDM","Both",,,"4","2","Medicare",,,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","403108","CDM","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","403108","CDM","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","403108","CDM","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","403108","CDM","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","403108","CDM","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","1.46","3.1","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","403108","CDM","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","1.46","3.1","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","403108","CDM","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","1.46","3.1","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","403108","CDM","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","1.46","3.1","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","403108","CDM","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","403108","CDM","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","403108","CDM","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","403108","CDM","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","403108","CDM","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","403108","CDM","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","1.46","3.1","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","403108","CDM","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","1.46","3.1","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","403108","CDM","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","1.46","3.1","percent of total billed charges",,
"NF-LORazepam Intensol Concentrate 2MG/ML","403108","CDM","Both",,,"4","2","Medicaid",,,,"37",,"1.46","1.46","3.1","percent of total billed charges",,
"NF-Simvastatin Oral Tablet 20MG","403113","CDM","Both",,,"14","7","Alliant","Health Exchange",,,"62",,"8.68","5.12","10.85","percent of total billed charges",,
"NF-Simvastatin Oral Tablet 20MG","403113","CDM","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.56","5.12","10.85","percent of total billed charges",,
"NF-Simvastatin Oral Tablet 20MG","403113","CDM","Both",,,"14","7","Medicare",,,,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"NF-Simvastatin Oral Tablet 20MG","403113","CDM","Both",,,"14","7","Humana","Medicare Advantage",,,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"NF-Simvastatin Oral Tablet 20MG","403113","CDM","Both",,,"14","7","UHC","Medicare Advantage",,,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"NF-Simvastatin Oral Tablet 20MG","403113","CDM","Both",,,"14","7","Clover","Medicare Advantage",,,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"NF-Simvastatin Oral Tablet 20MG","403113","CDM","Both",,,"14","7","Wellcare","Medicare Advantage",,,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"NF-Simvastatin Oral Tablet 20MG","403113","CDM","Both",,,"14","7","Amerigroup","Medicaid Managed Care",,,"37",,"5.12","5.12","10.85","percent of total billed charges",,
"NF-Simvastatin Oral Tablet 20MG","403113","CDM","Both",,,"14","7","Caresource","Medicaid Managed Care",,,"40",,"5.6","5.12","10.85","percent of total billed charges",,
"NF-Simvastatin Oral Tablet 20MG","403113","CDM","Both",,,"14","7","Wellcare","Medicaid Managed Care",,,"40",,"5.67","5.12","10.85","percent of total billed charges",,
"NF-Simvastatin Oral Tablet 20MG","403113","CDM","Both",,,"14","7","Aetna","Commercial",,,"64",,"8.93","5.12","10.85","percent of total billed charges",,
"NF-Simvastatin Oral Tablet 20MG","403113","CDM","Both",,,"14","7","Blue Cross Blue Shield","Pathways",,,"71",,"9.88","5.12","10.85","percent of total billed charges",,
"NF-Simvastatin Oral Tablet 20MG","403113","CDM","Both",,,"14","7","Blue Cross Blue Shield","HMO",,,"71",,"9.88","5.12","10.85","percent of total billed charges",,
"NF-Simvastatin Oral Tablet 20MG","403113","CDM","Both",,,"14","7","Blue Cross Blue Shield","PPO",,,"71",,"9.88","5.12","10.85","percent of total billed charges",,
"NF-Simvastatin Oral Tablet 20MG","403113","CDM","Both",,,"14","7","Ambetter","Health Exchange",,,"62",,"8.68","5.12","10.85","percent of total billed charges",,
"NF-Simvastatin Oral Tablet 20MG","403113","CDM","Both",,,"14","7","Caresource","Health Exchange",,,"62",,"8.68","5.12","10.85","percent of total billed charges",,
"NF-Simvastatin Oral Tablet 20MG","403113","CDM","Both",,,"14","7","Cigna","Commercial",,,"59",,"8.2","5.12","10.85","percent of total billed charges",,
"NF-Simvastatin Oral Tablet 20MG","403113","CDM","Both",,,"14","7","Humana","Commercial",,,"78",,"10.85","5.12","10.85","percent of total billed charges",,
"NF-Simvastatin Oral Tablet 20MG","403113","CDM","Both",,,"14","7","UHC","Commercial",,,"75",,"10.56","5.12","10.85","percent of total billed charges",,
"NF-Simvastatin Oral Tablet 20MG","403113","CDM","Both",,,"14","7","Medicaid",,,,"37",,"5.12","5.12","10.85","percent of total billed charges",,
"NF-Ziac Oral Tablet 10MG-6.25MG","403124","CDM","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.73","1.55","percent of total billed charges",,
"NF-Ziac Oral Tablet 10MG-6.25MG","403124","CDM","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Ziac Oral Tablet 10MG-6.25MG","403124","CDM","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Ziac Oral Tablet 10MG-6.25MG","403124","CDM","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Ziac Oral Tablet 10MG-6.25MG","403124","CDM","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Ziac Oral Tablet 10MG-6.25MG","403124","CDM","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Ziac Oral Tablet 10MG-6.25MG","403124","CDM","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Ziac Oral Tablet 10MG-6.25MG","403124","CDM","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.73","1.55","percent of total billed charges",,
"NF-Ziac Oral Tablet 10MG-6.25MG","403124","CDM","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.73","1.55","percent of total billed charges",,
"NF-Ziac Oral Tablet 10MG-6.25MG","403124","CDM","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.73","1.55","percent of total billed charges",,
"NF-Ziac Oral Tablet 10MG-6.25MG","403124","CDM","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.73","1.55","percent of total billed charges",,
"NF-Ziac Oral Tablet 10MG-6.25MG","403124","CDM","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.73","1.55","percent of total billed charges",,
"NF-Ziac Oral Tablet 10MG-6.25MG","403124","CDM","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.73","1.55","percent of total billed charges",,
"NF-Ziac Oral Tablet 10MG-6.25MG","403124","CDM","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.73","1.55","percent of total billed charges",,
"NF-Ziac Oral Tablet 10MG-6.25MG","403124","CDM","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.73","1.55","percent of total billed charges",,
"NF-Ziac Oral Tablet 10MG-6.25MG","403124","CDM","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.73","1.55","percent of total billed charges",,
"NF-Ziac Oral Tablet 10MG-6.25MG","403124","CDM","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.73","1.55","percent of total billed charges",,
"NF-Ziac Oral Tablet 10MG-6.25MG","403124","CDM","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.73","1.55","percent of total billed charges",,
"NF-Ziac Oral Tablet 10MG-6.25MG","403124","CDM","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.73","1.55","percent of total billed charges",,
"NF-Ziac Oral Tablet 10MG-6.25MG","403124","CDM","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.73","1.55","percent of total billed charges",,
"NF-Aminocaproic Acid Oral Tablet 500MG","403133","CDM","Both",,,"67","33.5","Alliant","Health Exchange",,,"62",,"41.54","24.52","51.92","percent of total billed charges",,
"NF-Aminocaproic Acid Oral Tablet 500MG","403133","CDM","Both",,,"67","33.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"36.18","24.52","51.92","percent of total billed charges",,
"NF-Aminocaproic Acid Oral Tablet 500MG","403133","CDM","Both",,,"67","33.5","Medicare",,,,"54",,"36.31","24.52","51.92","percent of total billed charges",,
"NF-Aminocaproic Acid Oral Tablet 500MG","403133","CDM","Both",,,"67","33.5","Humana","Medicare Advantage",,,"54",,"36.31","24.52","51.92","percent of total billed charges",,
"NF-Aminocaproic Acid Oral Tablet 500MG","403133","CDM","Both",,,"67","33.5","UHC","Medicare Advantage",,,"54",,"36.31","24.52","51.92","percent of total billed charges",,
"NF-Aminocaproic Acid Oral Tablet 500MG","403133","CDM","Both",,,"67","33.5","Clover","Medicare Advantage",,,"54",,"36.31","24.52","51.92","percent of total billed charges",,
"NF-Aminocaproic Acid Oral Tablet 500MG","403133","CDM","Both",,,"67","33.5","Wellcare","Medicare Advantage",,,"54",,"36.31","24.52","51.92","percent of total billed charges",,
"NF-Aminocaproic Acid Oral Tablet 500MG","403133","CDM","Both",,,"67","33.5","Amerigroup","Medicaid Managed Care",,,"37",,"24.52","24.52","51.92","percent of total billed charges",,
"NF-Aminocaproic Acid Oral Tablet 500MG","403133","CDM","Both",,,"67","33.5","Caresource","Medicaid Managed Care",,,"40",,"26.8","24.52","51.92","percent of total billed charges",,
"NF-Aminocaproic Acid Oral Tablet 500MG","403133","CDM","Both",,,"67","33.5","Wellcare","Medicaid Managed Care",,,"40",,"27.14","24.52","51.92","percent of total billed charges",,
"NF-Aminocaproic Acid Oral Tablet 500MG","403133","CDM","Both",,,"67","33.5","Aetna","Commercial",,,"64",,"42.75","24.52","51.92","percent of total billed charges",,
"NF-Aminocaproic Acid Oral Tablet 500MG","403133","CDM","Both",,,"67","33.5","Blue Cross Blue Shield","Pathways",,,"71",,"47.3","24.52","51.92","percent of total billed charges",,
"NF-Aminocaproic Acid Oral Tablet 500MG","403133","CDM","Both",,,"67","33.5","Blue Cross Blue Shield","HMO",,,"71",,"47.3","24.52","51.92","percent of total billed charges",,
"NF-Aminocaproic Acid Oral Tablet 500MG","403133","CDM","Both",,,"67","33.5","Blue Cross Blue Shield","PPO",,,"71",,"47.3","24.52","51.92","percent of total billed charges",,
"NF-Aminocaproic Acid Oral Tablet 500MG","403133","CDM","Both",,,"67","33.5","Ambetter","Health Exchange",,,"62",,"41.54","24.52","51.92","percent of total billed charges",,
"NF-Aminocaproic Acid Oral Tablet 500MG","403133","CDM","Both",,,"67","33.5","Caresource","Health Exchange",,,"62",,"41.54","24.52","51.92","percent of total billed charges",,
"NF-Aminocaproic Acid Oral Tablet 500MG","403133","CDM","Both",,,"67","33.5","Cigna","Commercial",,,"59",,"39.26","24.52","51.92","percent of total billed charges",,
"NF-Aminocaproic Acid Oral Tablet 500MG","403133","CDM","Both",,,"67","33.5","Humana","Commercial",,,"78",,"51.92","24.52","51.92","percent of total billed charges",,
"NF-Aminocaproic Acid Oral Tablet 500MG","403133","CDM","Both",,,"67","33.5","UHC","Commercial",,,"75",,"50.52","24.52","51.92","percent of total billed charges",,
"NF-Aminocaproic Acid Oral Tablet 500MG","403133","CDM","Both",,,"67","33.5","Medicaid",,,,"37",,"24.52","24.52","51.92","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403136","CDM","Both",,,"29","14.5","Alliant","Health Exchange",,,"62",,"17.98","10.61","22.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403136","CDM","Both",,,"29","14.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.66","10.61","22.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403136","CDM","Both",,,"29","14.5","Medicare",,,,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403136","CDM","Both",,,"29","14.5","Humana","Medicare Advantage",,,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403136","CDM","Both",,,"29","14.5","UHC","Medicare Advantage",,,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403136","CDM","Both",,,"29","14.5","Clover","Medicare Advantage",,,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403136","CDM","Both",,,"29","14.5","Wellcare","Medicare Advantage",,,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403136","CDM","Both",,,"29","14.5","Amerigroup","Medicaid Managed Care",,,"37",,"10.61","10.61","22.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403136","CDM","Both",,,"29","14.5","Caresource","Medicaid Managed Care",,,"40",,"11.6","10.61","22.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403136","CDM","Both",,,"29","14.5","Wellcare","Medicaid Managed Care",,,"40",,"11.74","10.61","22.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403136","CDM","Both",,,"29","14.5","Aetna","Commercial",,,"64",,"18.5","10.61","22.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403136","CDM","Both",,,"29","14.5","Blue Cross Blue Shield","Pathways",,,"71",,"20.47","10.61","22.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403136","CDM","Both",,,"29","14.5","Blue Cross Blue Shield","HMO",,,"71",,"20.47","10.61","22.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403136","CDM","Both",,,"29","14.5","Blue Cross Blue Shield","PPO",,,"71",,"20.47","10.61","22.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403136","CDM","Both",,,"29","14.5","Ambetter","Health Exchange",,,"62",,"17.98","10.61","22.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403136","CDM","Both",,,"29","14.5","Caresource","Health Exchange",,,"62",,"17.98","10.61","22.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403136","CDM","Both",,,"29","14.5","Cigna","Commercial",,,"59",,"16.99","10.61","22.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403136","CDM","Both",,,"29","14.5","Humana","Commercial",,,"78",,"22.48","10.61","22.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403136","CDM","Both",,,"29","14.5","UHC","Commercial",,,"75",,"21.87","10.61","22.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403136","CDM","Both",,,"29","14.5","Medicaid",,,,"37",,"10.61","10.61","22.48","percent of total billed charges",,
"NF-DULoxetine HCl Cap DR 60MG","403256","CDM","Both",,,"20","10","Alliant","Health Exchange",,,"62",,"12.4","7.32","15.5","percent of total billed charges",,
"NF-DULoxetine HCl Cap DR 60MG","403256","CDM","Both",,,"20","10","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.8","7.32","15.5","percent of total billed charges",,
"NF-DULoxetine HCl Cap DR 60MG","403256","CDM","Both",,,"20","10","Medicare",,,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-DULoxetine HCl Cap DR 60MG","403256","CDM","Both",,,"20","10","Humana","Medicare Advantage",,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-DULoxetine HCl Cap DR 60MG","403256","CDM","Both",,,"20","10","UHC","Medicare Advantage",,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-DULoxetine HCl Cap DR 60MG","403256","CDM","Both",,,"20","10","Clover","Medicare Advantage",,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-DULoxetine HCl Cap DR 60MG","403256","CDM","Both",,,"20","10","Wellcare","Medicare Advantage",,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-DULoxetine HCl Cap DR 60MG","403256","CDM","Both",,,"20","10","Amerigroup","Medicaid Managed Care",,,"37",,"7.32","7.32","15.5","percent of total billed charges",,
"NF-DULoxetine HCl Cap DR 60MG","403256","CDM","Both",,,"20","10","Caresource","Medicaid Managed Care",,,"40",,"8","7.32","15.5","percent of total billed charges",,
"NF-DULoxetine HCl Cap DR 60MG","403256","CDM","Both",,,"20","10","Wellcare","Medicaid Managed Care",,,"40",,"8.1","7.32","15.5","percent of total billed charges",,
"NF-DULoxetine HCl Cap DR 60MG","403256","CDM","Both",,,"20","10","Aetna","Commercial",,,"64",,"12.76","7.32","15.5","percent of total billed charges",,
"NF-DULoxetine HCl Cap DR 60MG","403256","CDM","Both",,,"20","10","Blue Cross Blue Shield","Pathways",,,"71",,"14.12","7.32","15.5","percent of total billed charges",,
"NF-DULoxetine HCl Cap DR 60MG","403256","CDM","Both",,,"20","10","Blue Cross Blue Shield","HMO",,,"71",,"14.12","7.32","15.5","percent of total billed charges",,
"NF-DULoxetine HCl Cap DR 60MG","403256","CDM","Both",,,"20","10","Blue Cross Blue Shield","PPO",,,"71",,"14.12","7.32","15.5","percent of total billed charges",,
"NF-DULoxetine HCl Cap DR 60MG","403256","CDM","Both",,,"20","10","Ambetter","Health Exchange",,,"62",,"12.4","7.32","15.5","percent of total billed charges",,
"NF-DULoxetine HCl Cap DR 60MG","403256","CDM","Both",,,"20","10","Caresource","Health Exchange",,,"62",,"12.4","7.32","15.5","percent of total billed charges",,
"NF-DULoxetine HCl Cap DR 60MG","403256","CDM","Both",,,"20","10","Cigna","Commercial",,,"59",,"11.72","7.32","15.5","percent of total billed charges",,
"NF-DULoxetine HCl Cap DR 60MG","403256","CDM","Both",,,"20","10","Humana","Commercial",,,"78",,"15.5","7.32","15.5","percent of total billed charges",,
"NF-DULoxetine HCl Cap DR 60MG","403256","CDM","Both",,,"20","10","UHC","Commercial",,,"75",,"15.08","7.32","15.5","percent of total billed charges",,
"NF-DULoxetine HCl Cap DR 60MG","403256","CDM","Both",,,"20","10","Medicaid",,,,"37",,"7.32","7.32","15.5","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403267","CDM","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403267","CDM","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","2.2","4.65","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403267","CDM","Both",,,"6","3","Medicare",,,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403267","CDM","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403267","CDM","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403267","CDM","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403267","CDM","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403267","CDM","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","2.2","4.65","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403267","CDM","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","2.2","4.65","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403267","CDM","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","2.2","4.65","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403267","CDM","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","2.2","4.65","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403267","CDM","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403267","CDM","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403267","CDM","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403267","CDM","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403267","CDM","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403267","CDM","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","2.2","4.65","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403267","CDM","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","2.2","4.65","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403267","CDM","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","2.2","4.65","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403267","CDM","Both",,,"6","3","Medicaid",,,,"37",,"2.2","2.2","4.65","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","403268","CDM","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","403268","CDM","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","1.1","2.33","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","403268","CDM","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","403268","CDM","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","403268","CDM","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","403268","CDM","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","403268","CDM","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","403268","CDM","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","1.1","2.33","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","403268","CDM","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","1.1","2.33","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","403268","CDM","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","1.1","2.33","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","403268","CDM","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","1.1","2.33","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","403268","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","403268","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","403268","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","403268","CDM","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","403268","CDM","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","403268","CDM","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","1.1","2.33","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","403268","CDM","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","1.1","2.33","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","403268","CDM","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","1.1","2.33","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","403268","CDM","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","1.1","2.33","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","403269","CDM","Both",,,"59","29.5","Alliant","Health Exchange",,,"62",,"36.58","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","403269","CDM","Both",,,"59","29.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"31.86","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","403269","CDM","Both",,,"59","29.5","Medicare",,,,"54",,"31.98","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","403269","CDM","Both",,,"59","29.5","Humana","Medicare Advantage",,,"54",,"31.98","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","403269","CDM","Both",,,"59","29.5","UHC","Medicare Advantage",,,"54",,"31.98","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","403269","CDM","Both",,,"59","29.5","Clover","Medicare Advantage",,,"54",,"31.98","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","403269","CDM","Both",,,"59","29.5","Wellcare","Medicare Advantage",,,"54",,"31.98","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","403269","CDM","Both",,,"59","29.5","Amerigroup","Medicaid Managed Care",,,"37",,"21.59","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","403269","CDM","Both",,,"59","29.5","Caresource","Medicaid Managed Care",,,"40",,"23.6","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","403269","CDM","Both",,,"59","29.5","Wellcare","Medicaid Managed Care",,,"40",,"23.9","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","403269","CDM","Both",,,"59","29.5","Aetna","Commercial",,,"64",,"37.64","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","403269","CDM","Both",,,"59","29.5","Blue Cross Blue Shield","Pathways",,,"71",,"41.65","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","403269","CDM","Both",,,"59","29.5","Blue Cross Blue Shield","HMO",,,"71",,"41.65","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","403269","CDM","Both",,,"59","29.5","Blue Cross Blue Shield","PPO",,,"71",,"41.65","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","403269","CDM","Both",,,"59","29.5","Ambetter","Health Exchange",,,"62",,"36.58","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","403269","CDM","Both",,,"59","29.5","Caresource","Health Exchange",,,"62",,"36.58","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","403269","CDM","Both",,,"59","29.5","Cigna","Commercial",,,"59",,"34.57","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","403269","CDM","Both",,,"59","29.5","Humana","Commercial",,,"78",,"45.72","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","403269","CDM","Both",,,"59","29.5","UHC","Commercial",,,"75",,"44.49","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 25MG","403269","CDM","Both",,,"59","29.5","Medicaid",,,,"37",,"21.59","21.59","45.72","percent of total billed charges",,
"NF-Isosorbide Dinitrate Oral Tablet 30MG","403270","CDM","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Isosorbide Dinitrate Oral Tablet 30MG","403270","CDM","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","1.1","2.33","percent of total billed charges",,
"NF-Isosorbide Dinitrate Oral Tablet 30MG","403270","CDM","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Isosorbide Dinitrate Oral Tablet 30MG","403270","CDM","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Isosorbide Dinitrate Oral Tablet 30MG","403270","CDM","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Isosorbide Dinitrate Oral Tablet 30MG","403270","CDM","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Isosorbide Dinitrate Oral Tablet 30MG","403270","CDM","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Isosorbide Dinitrate Oral Tablet 30MG","403270","CDM","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","1.1","2.33","percent of total billed charges",,
"NF-Isosorbide Dinitrate Oral Tablet 30MG","403270","CDM","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","1.1","2.33","percent of total billed charges",,
"NF-Isosorbide Dinitrate Oral Tablet 30MG","403270","CDM","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","1.1","2.33","percent of total billed charges",,
"NF-Isosorbide Dinitrate Oral Tablet 30MG","403270","CDM","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","1.1","2.33","percent of total billed charges",,
"NF-Isosorbide Dinitrate Oral Tablet 30MG","403270","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Isosorbide Dinitrate Oral Tablet 30MG","403270","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Isosorbide Dinitrate Oral Tablet 30MG","403270","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Isosorbide Dinitrate Oral Tablet 30MG","403270","CDM","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Isosorbide Dinitrate Oral Tablet 30MG","403270","CDM","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Isosorbide Dinitrate Oral Tablet 30MG","403270","CDM","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","1.1","2.33","percent of total billed charges",,
"NF-Isosorbide Dinitrate Oral Tablet 30MG","403270","CDM","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","1.1","2.33","percent of total billed charges",,
"NF-Isosorbide Dinitrate Oral Tablet 30MG","403270","CDM","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","1.1","2.33","percent of total billed charges",,
"NF-Isosorbide Dinitrate Oral Tablet 30MG","403270","CDM","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403271","CDM","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403271","CDM","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403271","CDM","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403271","CDM","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403271","CDM","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403271","CDM","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403271","CDM","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403271","CDM","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403271","CDM","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403271","CDM","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403271","CDM","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403271","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403271","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403271","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403271","CDM","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403271","CDM","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403271","CDM","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403271","CDM","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403271","CDM","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403271","CDM","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","1.1","2.33","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403272","CDM","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403272","CDM","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","2.2","4.65","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403272","CDM","Both",,,"6","3","Medicare",,,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403272","CDM","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403272","CDM","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403272","CDM","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403272","CDM","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403272","CDM","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","2.2","4.65","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403272","CDM","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","2.2","4.65","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403272","CDM","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","2.2","4.65","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403272","CDM","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","2.2","4.65","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403272","CDM","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403272","CDM","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403272","CDM","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403272","CDM","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403272","CDM","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403272","CDM","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","2.2","4.65","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403272","CDM","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","2.2","4.65","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403272","CDM","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","2.2","4.65","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403272","CDM","Both",,,"6","3","Medicaid",,,,"37",,"2.2","2.2","4.65","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","403273","CDM","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","403273","CDM","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","1.1","2.33","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","403273","CDM","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","403273","CDM","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","403273","CDM","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","403273","CDM","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","403273","CDM","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","403273","CDM","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","1.1","2.33","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","403273","CDM","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","1.1","2.33","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","403273","CDM","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","1.1","2.33","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","403273","CDM","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","1.1","2.33","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","403273","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","403273","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","403273","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","403273","CDM","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","403273","CDM","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","403273","CDM","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","1.1","2.33","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","403273","CDM","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","1.1","2.33","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","403273","CDM","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","1.1","2.33","percent of total billed charges",,
"NF-Metoprolol Succinate Oral Tab ER 25MG","403273","CDM","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","1.1","2.33","percent of total billed charges",,
"NF-Isosorbide Dinitrate Oral Tablet 30MG","403275","CDM","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Isosorbide Dinitrate Oral Tablet 30MG","403275","CDM","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","1.1","2.33","percent of total billed charges",,
"NF-Isosorbide Dinitrate Oral Tablet 30MG","403275","CDM","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Isosorbide Dinitrate Oral Tablet 30MG","403275","CDM","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Isosorbide Dinitrate Oral Tablet 30MG","403275","CDM","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Isosorbide Dinitrate Oral Tablet 30MG","403275","CDM","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Isosorbide Dinitrate Oral Tablet 30MG","403275","CDM","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Isosorbide Dinitrate Oral Tablet 30MG","403275","CDM","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","1.1","2.33","percent of total billed charges",,
"NF-Isosorbide Dinitrate Oral Tablet 30MG","403275","CDM","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","1.1","2.33","percent of total billed charges",,
"NF-Isosorbide Dinitrate Oral Tablet 30MG","403275","CDM","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","1.1","2.33","percent of total billed charges",,
"NF-Isosorbide Dinitrate Oral Tablet 30MG","403275","CDM","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","1.1","2.33","percent of total billed charges",,
"NF-Isosorbide Dinitrate Oral Tablet 30MG","403275","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Isosorbide Dinitrate Oral Tablet 30MG","403275","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Isosorbide Dinitrate Oral Tablet 30MG","403275","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Isosorbide Dinitrate Oral Tablet 30MG","403275","CDM","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Isosorbide Dinitrate Oral Tablet 30MG","403275","CDM","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Isosorbide Dinitrate Oral Tablet 30MG","403275","CDM","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","1.1","2.33","percent of total billed charges",,
"NF-Isosorbide Dinitrate Oral Tablet 30MG","403275","CDM","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","1.1","2.33","percent of total billed charges",,
"NF-Isosorbide Dinitrate Oral Tablet 30MG","403275","CDM","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","1.1","2.33","percent of total billed charges",,
"NF-Isosorbide Dinitrate Oral Tablet 30MG","403275","CDM","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403276","CDM","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403276","CDM","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403276","CDM","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403276","CDM","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403276","CDM","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403276","CDM","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403276","CDM","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403276","CDM","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403276","CDM","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403276","CDM","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403276","CDM","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403276","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403276","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403276","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403276","CDM","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403276","CDM","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403276","CDM","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403276","CDM","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403276","CDM","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403276","CDM","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","1.1","2.33","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403277","CDM","Both",,,"19","9.5","Alliant","Health Exchange",,,"62",,"11.78","6.95","14.72","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403277","CDM","Both",,,"19","9.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.26","6.95","14.72","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403277","CDM","Both",,,"19","9.5","Medicare",,,,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403277","CDM","Both",,,"19","9.5","Humana","Medicare Advantage",,,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403277","CDM","Both",,,"19","9.5","UHC","Medicare Advantage",,,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403277","CDM","Both",,,"19","9.5","Clover","Medicare Advantage",,,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403277","CDM","Both",,,"19","9.5","Wellcare","Medicare Advantage",,,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403277","CDM","Both",,,"19","9.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.95","6.95","14.72","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403277","CDM","Both",,,"19","9.5","Caresource","Medicaid Managed Care",,,"40",,"7.6","6.95","14.72","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403277","CDM","Both",,,"19","9.5","Wellcare","Medicaid Managed Care",,,"40",,"7.7","6.95","14.72","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403277","CDM","Both",,,"19","9.5","Aetna","Commercial",,,"64",,"12.12","6.95","14.72","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403277","CDM","Both",,,"19","9.5","Blue Cross Blue Shield","Pathways",,,"71",,"13.41","6.95","14.72","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403277","CDM","Both",,,"19","9.5","Blue Cross Blue Shield","HMO",,,"71",,"13.41","6.95","14.72","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403277","CDM","Both",,,"19","9.5","Blue Cross Blue Shield","PPO",,,"71",,"13.41","6.95","14.72","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403277","CDM","Both",,,"19","9.5","Ambetter","Health Exchange",,,"62",,"11.78","6.95","14.72","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403277","CDM","Both",,,"19","9.5","Caresource","Health Exchange",,,"62",,"11.78","6.95","14.72","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403277","CDM","Both",,,"19","9.5","Cigna","Commercial",,,"59",,"11.13","6.95","14.72","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403277","CDM","Both",,,"19","9.5","Humana","Commercial",,,"78",,"14.72","6.95","14.72","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403277","CDM","Both",,,"19","9.5","UHC","Commercial",,,"75",,"14.33","6.95","14.72","percent of total billed charges",,
"NF-Sevelamer Carbonate Oral Tablet 800MG","403277","CDM","Both",,,"19","9.5","Medicaid",,,,"37",,"6.95","6.95","14.72","percent of total billed charges",,
"NF-DULoxetine HCl Cap DR 60MG","403298","CDM","Both",,,"20","10","Alliant","Health Exchange",,,"62",,"12.4","7.32","15.5","percent of total billed charges",,
"NF-DULoxetine HCl Cap DR 60MG","403298","CDM","Both",,,"20","10","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.8","7.32","15.5","percent of total billed charges",,
"NF-DULoxetine HCl Cap DR 60MG","403298","CDM","Both",,,"20","10","Medicare",,,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-DULoxetine HCl Cap DR 60MG","403298","CDM","Both",,,"20","10","Humana","Medicare Advantage",,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-DULoxetine HCl Cap DR 60MG","403298","CDM","Both",,,"20","10","UHC","Medicare Advantage",,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-DULoxetine HCl Cap DR 60MG","403298","CDM","Both",,,"20","10","Clover","Medicare Advantage",,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-DULoxetine HCl Cap DR 60MG","403298","CDM","Both",,,"20","10","Wellcare","Medicare Advantage",,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-DULoxetine HCl Cap DR 60MG","403298","CDM","Both",,,"20","10","Amerigroup","Medicaid Managed Care",,,"37",,"7.32","7.32","15.5","percent of total billed charges",,
"NF-DULoxetine HCl Cap DR 60MG","403298","CDM","Both",,,"20","10","Caresource","Medicaid Managed Care",,,"40",,"8","7.32","15.5","percent of total billed charges",,
"NF-DULoxetine HCl Cap DR 60MG","403298","CDM","Both",,,"20","10","Wellcare","Medicaid Managed Care",,,"40",,"8.1","7.32","15.5","percent of total billed charges",,
"NF-DULoxetine HCl Cap DR 60MG","403298","CDM","Both",,,"20","10","Aetna","Commercial",,,"64",,"12.76","7.32","15.5","percent of total billed charges",,
"NF-DULoxetine HCl Cap DR 60MG","403298","CDM","Both",,,"20","10","Blue Cross Blue Shield","Pathways",,,"71",,"14.12","7.32","15.5","percent of total billed charges",,
"NF-DULoxetine HCl Cap DR 60MG","403298","CDM","Both",,,"20","10","Blue Cross Blue Shield","HMO",,,"71",,"14.12","7.32","15.5","percent of total billed charges",,
"NF-DULoxetine HCl Cap DR 60MG","403298","CDM","Both",,,"20","10","Blue Cross Blue Shield","PPO",,,"71",,"14.12","7.32","15.5","percent of total billed charges",,
"NF-DULoxetine HCl Cap DR 60MG","403298","CDM","Both",,,"20","10","Ambetter","Health Exchange",,,"62",,"12.4","7.32","15.5","percent of total billed charges",,
"NF-DULoxetine HCl Cap DR 60MG","403298","CDM","Both",,,"20","10","Caresource","Health Exchange",,,"62",,"12.4","7.32","15.5","percent of total billed charges",,
"NF-DULoxetine HCl Cap DR 60MG","403298","CDM","Both",,,"20","10","Cigna","Commercial",,,"59",,"11.72","7.32","15.5","percent of total billed charges",,
"NF-DULoxetine HCl Cap DR 60MG","403298","CDM","Both",,,"20","10","Humana","Commercial",,,"78",,"15.5","7.32","15.5","percent of total billed charges",,
"NF-DULoxetine HCl Cap DR 60MG","403298","CDM","Both",,,"20","10","UHC","Commercial",,,"75",,"15.08","7.32","15.5","percent of total billed charges",,
"NF-DULoxetine HCl Cap DR 60MG","403298","CDM","Both",,,"20","10","Medicaid",,,,"37",,"7.32","7.32","15.5","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","403302","CDM","Both",,,"56","28","Alliant","Health Exchange",,,"62",,"34.72","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","403302","CDM","Both",,,"56","28","Pruitt Healthcare","Medicare Advantage",,,"54",,"30.24","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","403302","CDM","Both",,,"56","28","Medicare",,,,"54",,"30.35","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","403302","CDM","Both",,,"56","28","Humana","Medicare Advantage",,,"54",,"30.35","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","403302","CDM","Both",,,"56","28","UHC","Medicare Advantage",,,"54",,"30.35","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","403302","CDM","Both",,,"56","28","Clover","Medicare Advantage",,,"54",,"30.35","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","403302","CDM","Both",,,"56","28","Wellcare","Medicare Advantage",,,"54",,"30.35","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","403302","CDM","Both",,,"56","28","Amerigroup","Medicaid Managed Care",,,"37",,"20.5","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","403302","CDM","Both",,,"56","28","Caresource","Medicaid Managed Care",,,"40",,"22.4","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","403302","CDM","Both",,,"56","28","Wellcare","Medicaid Managed Care",,,"40",,"22.68","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","403302","CDM","Both",,,"56","28","Aetna","Commercial",,,"64",,"35.73","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","403302","CDM","Both",,,"56","28","Blue Cross Blue Shield","Pathways",,,"71",,"39.54","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","403302","CDM","Both",,,"56","28","Blue Cross Blue Shield","HMO",,,"71",,"39.54","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","403302","CDM","Both",,,"56","28","Blue Cross Blue Shield","PPO",,,"71",,"39.54","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","403302","CDM","Both",,,"56","28","Ambetter","Health Exchange",,,"62",,"34.72","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","403302","CDM","Both",,,"56","28","Caresource","Health Exchange",,,"62",,"34.72","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","403302","CDM","Both",,,"56","28","Cigna","Commercial",,,"59",,"32.82","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","403302","CDM","Both",,,"56","28","Humana","Commercial",,,"78",,"43.4","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","403302","CDM","Both",,,"56","28","UHC","Commercial",,,"75",,"42.22","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 72MCG","403302","CDM","Both",,,"56","28","Medicaid",,,,"37",,"20.5","20.5","43.4","percent of total billed charges",,
"NF-Digoxin Oral Tablet 0.25MG","403315","CDM","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"NF-Digoxin Oral Tablet 0.25MG","403315","CDM","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","2.2","4.65","percent of total billed charges",,
"NF-Digoxin Oral Tablet 0.25MG","403315","CDM","Both",,,"6","3","Medicare",,,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Digoxin Oral Tablet 0.25MG","403315","CDM","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Digoxin Oral Tablet 0.25MG","403315","CDM","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Digoxin Oral Tablet 0.25MG","403315","CDM","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Digoxin Oral Tablet 0.25MG","403315","CDM","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Digoxin Oral Tablet 0.25MG","403315","CDM","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","2.2","4.65","percent of total billed charges",,
"NF-Digoxin Oral Tablet 0.25MG","403315","CDM","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","2.2","4.65","percent of total billed charges",,
"NF-Digoxin Oral Tablet 0.25MG","403315","CDM","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","2.2","4.65","percent of total billed charges",,
"NF-Digoxin Oral Tablet 0.25MG","403315","CDM","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","2.2","4.65","percent of total billed charges",,
"NF-Digoxin Oral Tablet 0.25MG","403315","CDM","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"NF-Digoxin Oral Tablet 0.25MG","403315","CDM","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"NF-Digoxin Oral Tablet 0.25MG","403315","CDM","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"NF-Digoxin Oral Tablet 0.25MG","403315","CDM","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"NF-Digoxin Oral Tablet 0.25MG","403315","CDM","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"NF-Digoxin Oral Tablet 0.25MG","403315","CDM","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","2.2","4.65","percent of total billed charges",,
"NF-Digoxin Oral Tablet 0.25MG","403315","CDM","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","2.2","4.65","percent of total billed charges",,
"NF-Digoxin Oral Tablet 0.25MG","403315","CDM","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","2.2","4.65","percent of total billed charges",,
"NF-Digoxin Oral Tablet 0.25MG","403315","CDM","Both",,,"6","3","Medicaid",,,,"37",,"2.2","2.2","4.65","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403322","CDM","Both",,,"59","29.5","Alliant","Health Exchange",,,"62",,"36.58","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403322","CDM","Both",,,"59","29.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"31.86","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403322","CDM","Both",,,"59","29.5","Medicare",,,,"54",,"31.98","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403322","CDM","Both",,,"59","29.5","Humana","Medicare Advantage",,,"54",,"31.98","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403322","CDM","Both",,,"59","29.5","UHC","Medicare Advantage",,,"54",,"31.98","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403322","CDM","Both",,,"59","29.5","Clover","Medicare Advantage",,,"54",,"31.98","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403322","CDM","Both",,,"59","29.5","Wellcare","Medicare Advantage",,,"54",,"31.98","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403322","CDM","Both",,,"59","29.5","Amerigroup","Medicaid Managed Care",,,"37",,"21.59","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403322","CDM","Both",,,"59","29.5","Caresource","Medicaid Managed Care",,,"40",,"23.6","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403322","CDM","Both",,,"59","29.5","Wellcare","Medicaid Managed Care",,,"40",,"23.9","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403322","CDM","Both",,,"59","29.5","Aetna","Commercial",,,"64",,"37.64","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403322","CDM","Both",,,"59","29.5","Blue Cross Blue Shield","Pathways",,,"71",,"41.65","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403322","CDM","Both",,,"59","29.5","Blue Cross Blue Shield","HMO",,,"71",,"41.65","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403322","CDM","Both",,,"59","29.5","Blue Cross Blue Shield","PPO",,,"71",,"41.65","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403322","CDM","Both",,,"59","29.5","Ambetter","Health Exchange",,,"62",,"36.58","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403322","CDM","Both",,,"59","29.5","Caresource","Health Exchange",,,"62",,"36.58","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403322","CDM","Both",,,"59","29.5","Cigna","Commercial",,,"59",,"34.57","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403322","CDM","Both",,,"59","29.5","Humana","Commercial",,,"78",,"45.72","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403322","CDM","Both",,,"59","29.5","UHC","Commercial",,,"75",,"44.49","21.59","45.72","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403322","CDM","Both",,,"59","29.5","Medicaid",,,,"37",,"21.59","21.59","45.72","percent of total billed charges",,
"NF-Mometasone Furoate Ointment 0.1%","403328","CDM","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.73","1.55","percent of total billed charges",,
"NF-Mometasone Furoate Ointment 0.1%","403328","CDM","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Mometasone Furoate Ointment 0.1%","403328","CDM","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Mometasone Furoate Ointment 0.1%","403328","CDM","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Mometasone Furoate Ointment 0.1%","403328","CDM","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Mometasone Furoate Ointment 0.1%","403328","CDM","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Mometasone Furoate Ointment 0.1%","403328","CDM","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Mometasone Furoate Ointment 0.1%","403328","CDM","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.73","1.55","percent of total billed charges",,
"NF-Mometasone Furoate Ointment 0.1%","403328","CDM","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.73","1.55","percent of total billed charges",,
"NF-Mometasone Furoate Ointment 0.1%","403328","CDM","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.73","1.55","percent of total billed charges",,
"NF-Mometasone Furoate Ointment 0.1%","403328","CDM","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.73","1.55","percent of total billed charges",,
"NF-Mometasone Furoate Ointment 0.1%","403328","CDM","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.73","1.55","percent of total billed charges",,
"NF-Mometasone Furoate Ointment 0.1%","403328","CDM","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.73","1.55","percent of total billed charges",,
"NF-Mometasone Furoate Ointment 0.1%","403328","CDM","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.73","1.55","percent of total billed charges",,
"NF-Mometasone Furoate Ointment 0.1%","403328","CDM","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.73","1.55","percent of total billed charges",,
"NF-Mometasone Furoate Ointment 0.1%","403328","CDM","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.73","1.55","percent of total billed charges",,
"NF-Mometasone Furoate Ointment 0.1%","403328","CDM","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.73","1.55","percent of total billed charges",,
"NF-Mometasone Furoate Ointment 0.1%","403328","CDM","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.73","1.55","percent of total billed charges",,
"NF-Mometasone Furoate Ointment 0.1%","403328","CDM","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.73","1.55","percent of total billed charges",,
"NF-Mometasone Furoate Ointment 0.1%","403328","CDM","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.73","1.55","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","403334","CDM","Both",,,"34","17","Alliant","Health Exchange",,,"62",,"21.08","12.44","26.35","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","403334","CDM","Both",,,"34","17","Pruitt Healthcare","Medicare Advantage",,,"54",,"18.36","12.44","26.35","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","403334","CDM","Both",,,"34","17","Medicare",,,,"54",,"18.43","12.44","26.35","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","403334","CDM","Both",,,"34","17","Humana","Medicare Advantage",,,"54",,"18.43","12.44","26.35","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","403334","CDM","Both",,,"34","17","UHC","Medicare Advantage",,,"54",,"18.43","12.44","26.35","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","403334","CDM","Both",,,"34","17","Clover","Medicare Advantage",,,"54",,"18.43","12.44","26.35","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","403334","CDM","Both",,,"34","17","Wellcare","Medicare Advantage",,,"54",,"18.43","12.44","26.35","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","403334","CDM","Both",,,"34","17","Amerigroup","Medicaid Managed Care",,,"37",,"12.44","12.44","26.35","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","403334","CDM","Both",,,"34","17","Caresource","Medicaid Managed Care",,,"40",,"13.6","12.44","26.35","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","403334","CDM","Both",,,"34","17","Wellcare","Medicaid Managed Care",,,"40",,"13.77","12.44","26.35","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","403334","CDM","Both",,,"34","17","Aetna","Commercial",,,"64",,"21.69","12.44","26.35","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","403334","CDM","Both",,,"34","17","Blue Cross Blue Shield","Pathways",,,"71",,"24","12.44","26.35","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","403334","CDM","Both",,,"34","17","Blue Cross Blue Shield","HMO",,,"71",,"24","12.44","26.35","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","403334","CDM","Both",,,"34","17","Blue Cross Blue Shield","PPO",,,"71",,"24","12.44","26.35","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","403334","CDM","Both",,,"34","17","Ambetter","Health Exchange",,,"62",,"21.08","12.44","26.35","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","403334","CDM","Both",,,"34","17","Caresource","Health Exchange",,,"62",,"21.08","12.44","26.35","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","403334","CDM","Both",,,"34","17","Cigna","Commercial",,,"59",,"19.92","12.44","26.35","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","403334","CDM","Both",,,"34","17","Humana","Commercial",,,"78",,"26.35","12.44","26.35","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","403334","CDM","Both",,,"34","17","UHC","Commercial",,,"75",,"25.64","12.44","26.35","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","403334","CDM","Both",,,"34","17","Medicaid",,,,"37",,"12.44","12.44","26.35","percent of total billed charges",,
"NF-Soliqua SC Solution 100U-33MCG/1ML","403337","CDM","Both",,,"185","92.5","Alliant","Health Exchange",,,"62",,"114.7","67.71","143.38","percent of total billed charges",,
"NF-Soliqua SC Solution 100U-33MCG/1ML","403337","CDM","Both",,,"185","92.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"99.9","67.71","143.38","percent of total billed charges",,
"NF-Soliqua SC Solution 100U-33MCG/1ML","403337","CDM","Both",,,"185","92.5","Medicare",,,,"54",,"100.27","67.71","143.38","percent of total billed charges",,
"NF-Soliqua SC Solution 100U-33MCG/1ML","403337","CDM","Both",,,"185","92.5","Humana","Medicare Advantage",,,"54",,"100.27","67.71","143.38","percent of total billed charges",,
"NF-Soliqua SC Solution 100U-33MCG/1ML","403337","CDM","Both",,,"185","92.5","UHC","Medicare Advantage",,,"54",,"100.27","67.71","143.38","percent of total billed charges",,
"NF-Soliqua SC Solution 100U-33MCG/1ML","403337","CDM","Both",,,"185","92.5","Clover","Medicare Advantage",,,"54",,"100.27","67.71","143.38","percent of total billed charges",,
"NF-Soliqua SC Solution 100U-33MCG/1ML","403337","CDM","Both",,,"185","92.5","Wellcare","Medicare Advantage",,,"54",,"100.27","67.71","143.38","percent of total billed charges",,
"NF-Soliqua SC Solution 100U-33MCG/1ML","403337","CDM","Both",,,"185","92.5","Amerigroup","Medicaid Managed Care",,,"37",,"67.71","67.71","143.38","percent of total billed charges",,
"NF-Soliqua SC Solution 100U-33MCG/1ML","403337","CDM","Both",,,"185","92.5","Caresource","Medicaid Managed Care",,,"40",,"74","67.71","143.38","percent of total billed charges",,
"NF-Soliqua SC Solution 100U-33MCG/1ML","403337","CDM","Both",,,"185","92.5","Wellcare","Medicaid Managed Care",,,"40",,"74.93","67.71","143.38","percent of total billed charges",,
"NF-Soliqua SC Solution 100U-33MCG/1ML","403337","CDM","Both",,,"185","92.5","Aetna","Commercial",,,"64",,"118.03","67.71","143.38","percent of total billed charges",,
"NF-Soliqua SC Solution 100U-33MCG/1ML","403337","CDM","Both",,,"185","92.5","Blue Cross Blue Shield","Pathways",,,"71",,"130.61","67.71","143.38","percent of total billed charges",,
"NF-Soliqua SC Solution 100U-33MCG/1ML","403337","CDM","Both",,,"185","92.5","Blue Cross Blue Shield","HMO",,,"71",,"130.61","67.71","143.38","percent of total billed charges",,
"NF-Soliqua SC Solution 100U-33MCG/1ML","403337","CDM","Both",,,"185","92.5","Blue Cross Blue Shield","PPO",,,"71",,"130.61","67.71","143.38","percent of total billed charges",,
"NF-Soliqua SC Solution 100U-33MCG/1ML","403337","CDM","Both",,,"185","92.5","Ambetter","Health Exchange",,,"62",,"114.7","67.71","143.38","percent of total billed charges",,
"NF-Soliqua SC Solution 100U-33MCG/1ML","403337","CDM","Both",,,"185","92.5","Caresource","Health Exchange",,,"62",,"114.7","67.71","143.38","percent of total billed charges",,
"NF-Soliqua SC Solution 100U-33MCG/1ML","403337","CDM","Both",,,"185","92.5","Cigna","Commercial",,,"59",,"108.41","67.71","143.38","percent of total billed charges",,
"NF-Soliqua SC Solution 100U-33MCG/1ML","403337","CDM","Both",,,"185","92.5","Humana","Commercial",,,"78",,"143.38","67.71","143.38","percent of total billed charges",,
"NF-Soliqua SC Solution 100U-33MCG/1ML","403337","CDM","Both",,,"185","92.5","UHC","Commercial",,,"75",,"139.49","67.71","143.38","percent of total billed charges",,
"NF-Soliqua SC Solution 100U-33MCG/1ML","403337","CDM","Both",,,"185","92.5","Medicaid",,,,"37",,"67.71","67.71","143.38","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 100MG","403338","CDM","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","1.83","3.88","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 100MG","403338","CDM","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","1.83","3.88","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 100MG","403338","CDM","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","1.83","3.88","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 100MG","403338","CDM","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","1.83","3.88","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 100MG","403338","CDM","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","1.83","3.88","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 100MG","403338","CDM","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","1.83","3.88","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 100MG","403338","CDM","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","1.83","3.88","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 100MG","403338","CDM","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","1.83","3.88","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 100MG","403338","CDM","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","1.83","3.88","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 100MG","403338","CDM","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","1.83","3.88","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 100MG","403338","CDM","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","1.83","3.88","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 100MG","403338","CDM","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","1.83","3.88","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 100MG","403338","CDM","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","1.83","3.88","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 100MG","403338","CDM","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","1.83","3.88","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 100MG","403338","CDM","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","1.83","3.88","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 100MG","403338","CDM","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","1.83","3.88","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 100MG","403338","CDM","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","1.83","3.88","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 100MG","403338","CDM","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","1.83","3.88","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 100MG","403338","CDM","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","1.83","3.88","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 100MG","403338","CDM","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","1.83","3.88","percent of total billed charges",,
"NF-Vitamin D AvPak Liq Cap 1.25MG(50,000","403340","CDM","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","1.83","3.88","percent of total billed charges",,
"NF-Vitamin D AvPak Liq Cap 1.25MG(50,000","403340","CDM","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","1.83","3.88","percent of total billed charges",,
"NF-Vitamin D AvPak Liq Cap 1.25MG(50,000","403340","CDM","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","1.83","3.88","percent of total billed charges",,
"NF-Vitamin D AvPak Liq Cap 1.25MG(50,000","403340","CDM","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","1.83","3.88","percent of total billed charges",,
"NF-Vitamin D AvPak Liq Cap 1.25MG(50,000","403340","CDM","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","1.83","3.88","percent of total billed charges",,
"NF-Vitamin D AvPak Liq Cap 1.25MG(50,000","403340","CDM","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","1.83","3.88","percent of total billed charges",,
"NF-Vitamin D AvPak Liq Cap 1.25MG(50,000","403340","CDM","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","1.83","3.88","percent of total billed charges",,
"NF-Vitamin D AvPak Liq Cap 1.25MG(50,000","403340","CDM","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","1.83","3.88","percent of total billed charges",,
"NF-Vitamin D AvPak Liq Cap 1.25MG(50,000","403340","CDM","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","1.83","3.88","percent of total billed charges",,
"NF-Vitamin D AvPak Liq Cap 1.25MG(50,000","403340","CDM","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","1.83","3.88","percent of total billed charges",,
"NF-Vitamin D AvPak Liq Cap 1.25MG(50,000","403340","CDM","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","1.83","3.88","percent of total billed charges",,
"NF-Vitamin D AvPak Liq Cap 1.25MG(50,000","403340","CDM","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","1.83","3.88","percent of total billed charges",,
"NF-Vitamin D AvPak Liq Cap 1.25MG(50,000","403340","CDM","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","1.83","3.88","percent of total billed charges",,
"NF-Vitamin D AvPak Liq Cap 1.25MG(50,000","403340","CDM","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","1.83","3.88","percent of total billed charges",,
"NF-Vitamin D AvPak Liq Cap 1.25MG(50,000","403340","CDM","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","1.83","3.88","percent of total billed charges",,
"NF-Vitamin D AvPak Liq Cap 1.25MG(50,000","403340","CDM","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","1.83","3.88","percent of total billed charges",,
"NF-Vitamin D AvPak Liq Cap 1.25MG(50,000","403340","CDM","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","1.83","3.88","percent of total billed charges",,
"NF-Vitamin D AvPak Liq Cap 1.25MG(50,000","403340","CDM","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","1.83","3.88","percent of total billed charges",,
"NF-Vitamin D AvPak Liq Cap 1.25MG(50,000","403340","CDM","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","1.83","3.88","percent of total billed charges",,
"NF-Vitamin D AvPak Liq Cap 1.25MG(50,000","403340","CDM","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","1.83","3.88","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","403349","CDM","Both",,,"40","20","Alliant","Health Exchange",,,"62",,"24.8","14.64","31","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","403349","CDM","Both",,,"40","20","Pruitt Healthcare","Medicare Advantage",,,"54",,"21.6","14.64","31","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","403349","CDM","Both",,,"40","20","Medicare",,,,"54",,"21.68","14.64","31","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","403349","CDM","Both",,,"40","20","Humana","Medicare Advantage",,,"54",,"21.68","14.64","31","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","403349","CDM","Both",,,"40","20","UHC","Medicare Advantage",,,"54",,"21.68","14.64","31","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","403349","CDM","Both",,,"40","20","Clover","Medicare Advantage",,,"54",,"21.68","14.64","31","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","403349","CDM","Both",,,"40","20","Wellcare","Medicare Advantage",,,"54",,"21.68","14.64","31","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","403349","CDM","Both",,,"40","20","Amerigroup","Medicaid Managed Care",,,"37",,"14.64","14.64","31","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","403349","CDM","Both",,,"40","20","Caresource","Medicaid Managed Care",,,"40",,"16","14.64","31","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","403349","CDM","Both",,,"40","20","Wellcare","Medicaid Managed Care",,,"40",,"16.2","14.64","31","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","403349","CDM","Both",,,"40","20","Aetna","Commercial",,,"64",,"25.52","14.64","31","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","403349","CDM","Both",,,"40","20","Blue Cross Blue Shield","Pathways",,,"71",,"28.24","14.64","31","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","403349","CDM","Both",,,"40","20","Blue Cross Blue Shield","HMO",,,"71",,"28.24","14.64","31","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","403349","CDM","Both",,,"40","20","Blue Cross Blue Shield","PPO",,,"71",,"28.24","14.64","31","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","403349","CDM","Both",,,"40","20","Ambetter","Health Exchange",,,"62",,"24.8","14.64","31","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","403349","CDM","Both",,,"40","20","Caresource","Health Exchange",,,"62",,"24.8","14.64","31","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","403349","CDM","Both",,,"40","20","Cigna","Commercial",,,"59",,"23.44","14.64","31","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","403349","CDM","Both",,,"40","20","Humana","Commercial",,,"78",,"31","14.64","31","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","403349","CDM","Both",,,"40","20","UHC","Commercial",,,"75",,"30.16","14.64","31","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","403349","CDM","Both",,,"40","20","Medicaid",,,,"37",,"14.64","14.64","31","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403350","CDM","Both",,,"12","6","Alliant","Health Exchange",,,"62",,"7.44","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403350","CDM","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.48","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403350","CDM","Both",,,"12","6","Medicare",,,,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403350","CDM","Both",,,"12","6","Humana","Medicare Advantage",,,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403350","CDM","Both",,,"12","6","UHC","Medicare Advantage",,,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403350","CDM","Both",,,"12","6","Clover","Medicare Advantage",,,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403350","CDM","Both",,,"12","6","Wellcare","Medicare Advantage",,,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403350","CDM","Both",,,"12","6","Amerigroup","Medicaid Managed Care",,,"37",,"4.39","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403350","CDM","Both",,,"12","6","Caresource","Medicaid Managed Care",,,"40",,"4.8","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403350","CDM","Both",,,"12","6","Wellcare","Medicaid Managed Care",,,"40",,"4.86","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403350","CDM","Both",,,"12","6","Aetna","Commercial",,,"64",,"7.66","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403350","CDM","Both",,,"12","6","Blue Cross Blue Shield","Pathways",,,"71",,"8.47","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403350","CDM","Both",,,"12","6","Blue Cross Blue Shield","HMO",,,"71",,"8.47","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403350","CDM","Both",,,"12","6","Blue Cross Blue Shield","PPO",,,"71",,"8.47","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403350","CDM","Both",,,"12","6","Ambetter","Health Exchange",,,"62",,"7.44","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403350","CDM","Both",,,"12","6","Caresource","Health Exchange",,,"62",,"7.44","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403350","CDM","Both",,,"12","6","Cigna","Commercial",,,"59",,"7.03","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403350","CDM","Both",,,"12","6","Humana","Commercial",,,"78",,"9.3","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403350","CDM","Both",,,"12","6","UHC","Commercial",,,"75",,"9.05","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403350","CDM","Both",,,"12","6","Medicaid",,,,"37",,"4.39","4.39","9.3","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 100MG","403353","CDM","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","1.83","3.88","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 100MG","403353","CDM","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","1.83","3.88","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 100MG","403353","CDM","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","1.83","3.88","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 100MG","403353","CDM","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","1.83","3.88","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 100MG","403353","CDM","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","1.83","3.88","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 100MG","403353","CDM","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","1.83","3.88","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 100MG","403353","CDM","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","1.83","3.88","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 100MG","403353","CDM","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","1.83","3.88","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 100MG","403353","CDM","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","1.83","3.88","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 100MG","403353","CDM","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","1.83","3.88","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 100MG","403353","CDM","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","1.83","3.88","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 100MG","403353","CDM","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","1.83","3.88","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 100MG","403353","CDM","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","1.83","3.88","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 100MG","403353","CDM","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","1.83","3.88","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 100MG","403353","CDM","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","1.83","3.88","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 100MG","403353","CDM","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","1.83","3.88","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 100MG","403353","CDM","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","1.83","3.88","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 100MG","403353","CDM","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","1.83","3.88","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 100MG","403353","CDM","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","1.83","3.88","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 100MG","403353","CDM","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","1.83","3.88","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403359","CDM","Both",,,"12","6","Alliant","Health Exchange",,,"62",,"7.44","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403359","CDM","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.48","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403359","CDM","Both",,,"12","6","Medicare",,,,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403359","CDM","Both",,,"12","6","Humana","Medicare Advantage",,,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403359","CDM","Both",,,"12","6","UHC","Medicare Advantage",,,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403359","CDM","Both",,,"12","6","Clover","Medicare Advantage",,,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403359","CDM","Both",,,"12","6","Wellcare","Medicare Advantage",,,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403359","CDM","Both",,,"12","6","Amerigroup","Medicaid Managed Care",,,"37",,"4.39","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403359","CDM","Both",,,"12","6","Caresource","Medicaid Managed Care",,,"40",,"4.8","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403359","CDM","Both",,,"12","6","Wellcare","Medicaid Managed Care",,,"40",,"4.86","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403359","CDM","Both",,,"12","6","Aetna","Commercial",,,"64",,"7.66","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403359","CDM","Both",,,"12","6","Blue Cross Blue Shield","Pathways",,,"71",,"8.47","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403359","CDM","Both",,,"12","6","Blue Cross Blue Shield","HMO",,,"71",,"8.47","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403359","CDM","Both",,,"12","6","Blue Cross Blue Shield","PPO",,,"71",,"8.47","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403359","CDM","Both",,,"12","6","Ambetter","Health Exchange",,,"62",,"7.44","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403359","CDM","Both",,,"12","6","Caresource","Health Exchange",,,"62",,"7.44","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403359","CDM","Both",,,"12","6","Cigna","Commercial",,,"59",,"7.03","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403359","CDM","Both",,,"12","6","Humana","Commercial",,,"78",,"9.3","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403359","CDM","Both",,,"12","6","UHC","Commercial",,,"75",,"9.05","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403359","CDM","Both",,,"12","6","Medicaid",,,,"37",,"4.39","4.39","9.3","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403364","CDM","Both",,,"56","28","Alliant","Health Exchange",,,"62",,"34.72","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403364","CDM","Both",,,"56","28","Pruitt Healthcare","Medicare Advantage",,,"54",,"30.24","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403364","CDM","Both",,,"56","28","Medicare",,,,"54",,"30.35","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403364","CDM","Both",,,"56","28","Humana","Medicare Advantage",,,"54",,"30.35","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403364","CDM","Both",,,"56","28","UHC","Medicare Advantage",,,"54",,"30.35","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403364","CDM","Both",,,"56","28","Clover","Medicare Advantage",,,"54",,"30.35","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403364","CDM","Both",,,"56","28","Wellcare","Medicare Advantage",,,"54",,"30.35","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403364","CDM","Both",,,"56","28","Amerigroup","Medicaid Managed Care",,,"37",,"20.5","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403364","CDM","Both",,,"56","28","Caresource","Medicaid Managed Care",,,"40",,"22.4","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403364","CDM","Both",,,"56","28","Wellcare","Medicaid Managed Care",,,"40",,"22.68","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403364","CDM","Both",,,"56","28","Aetna","Commercial",,,"64",,"35.73","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403364","CDM","Both",,,"56","28","Blue Cross Blue Shield","Pathways",,,"71",,"39.54","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403364","CDM","Both",,,"56","28","Blue Cross Blue Shield","HMO",,,"71",,"39.54","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403364","CDM","Both",,,"56","28","Blue Cross Blue Shield","PPO",,,"71",,"39.54","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403364","CDM","Both",,,"56","28","Ambetter","Health Exchange",,,"62",,"34.72","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403364","CDM","Both",,,"56","28","Caresource","Health Exchange",,,"62",,"34.72","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403364","CDM","Both",,,"56","28","Cigna","Commercial",,,"59",,"32.82","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403364","CDM","Both",,,"56","28","Humana","Commercial",,,"78",,"43.4","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403364","CDM","Both",,,"56","28","UHC","Commercial",,,"75",,"42.22","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403364","CDM","Both",,,"56","28","Medicaid",,,,"37",,"20.5","20.5","43.4","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","403373","CDM","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","5.49","11.62","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","403373","CDM","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","5.49","11.62","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","403373","CDM","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","403373","CDM","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","403373","CDM","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","403373","CDM","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","403373","CDM","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","403373","CDM","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","5.49","11.62","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","403373","CDM","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","5.49","11.62","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","403373","CDM","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","5.49","11.62","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","403373","CDM","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","5.49","11.62","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","403373","CDM","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","5.49","11.62","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","403373","CDM","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","5.49","11.62","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","403373","CDM","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","5.49","11.62","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","403373","CDM","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","5.49","11.62","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","403373","CDM","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","5.49","11.62","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","403373","CDM","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","5.49","11.62","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","403373","CDM","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","5.49","11.62","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","403373","CDM","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","5.49","11.62","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","403373","CDM","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","5.49","11.62","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","403377","CDM","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","5.49","11.62","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","403377","CDM","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","5.49","11.62","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","403377","CDM","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","403377","CDM","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","403377","CDM","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","403377","CDM","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","403377","CDM","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","403377","CDM","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","5.49","11.62","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","403377","CDM","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","5.49","11.62","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","403377","CDM","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","5.49","11.62","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","403377","CDM","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","5.49","11.62","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","403377","CDM","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","5.49","11.62","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","403377","CDM","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","5.49","11.62","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","403377","CDM","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","5.49","11.62","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","403377","CDM","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","5.49","11.62","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","403377","CDM","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","5.49","11.62","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","403377","CDM","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","5.49","11.62","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","403377","CDM","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","5.49","11.62","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","403377","CDM","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","5.49","11.62","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.1M","403377","CDM","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","5.49","11.62","percent of total billed charges",,
"NF-DULoxetine HCl Oral Capsule DR 60MG","403388","CDM","Both",,,"23","11.5","Alliant","Health Exchange",,,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"NF-DULoxetine HCl Oral Capsule DR 60MG","403388","CDM","Both",,,"23","11.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.42","8.42","17.82","percent of total billed charges",,
"NF-DULoxetine HCl Oral Capsule DR 60MG","403388","CDM","Both",,,"23","11.5","Medicare",,,,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"NF-DULoxetine HCl Oral Capsule DR 60MG","403388","CDM","Both",,,"23","11.5","Humana","Medicare Advantage",,,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"NF-DULoxetine HCl Oral Capsule DR 60MG","403388","CDM","Both",,,"23","11.5","UHC","Medicare Advantage",,,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"NF-DULoxetine HCl Oral Capsule DR 60MG","403388","CDM","Both",,,"23","11.5","Clover","Medicare Advantage",,,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"NF-DULoxetine HCl Oral Capsule DR 60MG","403388","CDM","Both",,,"23","11.5","Wellcare","Medicare Advantage",,,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"NF-DULoxetine HCl Oral Capsule DR 60MG","403388","CDM","Both",,,"23","11.5","Amerigroup","Medicaid Managed Care",,,"37",,"8.42","8.42","17.82","percent of total billed charges",,
"NF-DULoxetine HCl Oral Capsule DR 60MG","403388","CDM","Both",,,"23","11.5","Caresource","Medicaid Managed Care",,,"40",,"9.2","8.42","17.82","percent of total billed charges",,
"NF-DULoxetine HCl Oral Capsule DR 60MG","403388","CDM","Both",,,"23","11.5","Wellcare","Medicaid Managed Care",,,"40",,"9.32","8.42","17.82","percent of total billed charges",,
"NF-DULoxetine HCl Oral Capsule DR 60MG","403388","CDM","Both",,,"23","11.5","Aetna","Commercial",,,"64",,"14.67","8.42","17.82","percent of total billed charges",,
"NF-DULoxetine HCl Oral Capsule DR 60MG","403388","CDM","Both",,,"23","11.5","Blue Cross Blue Shield","Pathways",,,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"NF-DULoxetine HCl Oral Capsule DR 60MG","403388","CDM","Both",,,"23","11.5","Blue Cross Blue Shield","HMO",,,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"NF-DULoxetine HCl Oral Capsule DR 60MG","403388","CDM","Both",,,"23","11.5","Blue Cross Blue Shield","PPO",,,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"NF-DULoxetine HCl Oral Capsule DR 60MG","403388","CDM","Both",,,"23","11.5","Ambetter","Health Exchange",,,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"NF-DULoxetine HCl Oral Capsule DR 60MG","403388","CDM","Both",,,"23","11.5","Caresource","Health Exchange",,,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"NF-DULoxetine HCl Oral Capsule DR 60MG","403388","CDM","Both",,,"23","11.5","Cigna","Commercial",,,"59",,"13.48","8.42","17.82","percent of total billed charges",,
"NF-DULoxetine HCl Oral Capsule DR 60MG","403388","CDM","Both",,,"23","11.5","Humana","Commercial",,,"78",,"17.82","8.42","17.82","percent of total billed charges",,
"NF-DULoxetine HCl Oral Capsule DR 60MG","403388","CDM","Both",,,"23","11.5","UHC","Commercial",,,"75",,"17.34","8.42","17.82","percent of total billed charges",,
"NF-DULoxetine HCl Oral Capsule DR 60MG","403388","CDM","Both",,,"23","11.5","Medicaid",,,,"37",,"8.42","8.42","17.82","percent of total billed charges",,
"NF-Tricor Oral Tablet 145MG","403399","CDM","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Tricor Oral Tablet 145MG","403399","CDM","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","1.1","2.33","percent of total billed charges",,
"NF-Tricor Oral Tablet 145MG","403399","CDM","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Tricor Oral Tablet 145MG","403399","CDM","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Tricor Oral Tablet 145MG","403399","CDM","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Tricor Oral Tablet 145MG","403399","CDM","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Tricor Oral Tablet 145MG","403399","CDM","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Tricor Oral Tablet 145MG","403399","CDM","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","1.1","2.33","percent of total billed charges",,
"NF-Tricor Oral Tablet 145MG","403399","CDM","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","1.1","2.33","percent of total billed charges",,
"NF-Tricor Oral Tablet 145MG","403399","CDM","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","1.1","2.33","percent of total billed charges",,
"NF-Tricor Oral Tablet 145MG","403399","CDM","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","1.1","2.33","percent of total billed charges",,
"NF-Tricor Oral Tablet 145MG","403399","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Tricor Oral Tablet 145MG","403399","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Tricor Oral Tablet 145MG","403399","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Tricor Oral Tablet 145MG","403399","CDM","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Tricor Oral Tablet 145MG","403399","CDM","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Tricor Oral Tablet 145MG","403399","CDM","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","1.1","2.33","percent of total billed charges",,
"NF-Tricor Oral Tablet 145MG","403399","CDM","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","1.1","2.33","percent of total billed charges",,
"NF-Tricor Oral Tablet 145MG","403399","CDM","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","1.1","2.33","percent of total billed charges",,
"NF-Tricor Oral Tablet 145MG","403399","CDM","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","1.1","2.33","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","403400","CDM","Both",,,"29","14.5","Alliant","Health Exchange",,,"62",,"17.98","10.61","22.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","403400","CDM","Both",,,"29","14.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.66","10.61","22.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","403400","CDM","Both",,,"29","14.5","Medicare",,,,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","403400","CDM","Both",,,"29","14.5","Humana","Medicare Advantage",,,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","403400","CDM","Both",,,"29","14.5","UHC","Medicare Advantage",,,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","403400","CDM","Both",,,"29","14.5","Clover","Medicare Advantage",,,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","403400","CDM","Both",,,"29","14.5","Wellcare","Medicare Advantage",,,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","403400","CDM","Both",,,"29","14.5","Amerigroup","Medicaid Managed Care",,,"37",,"10.61","10.61","22.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","403400","CDM","Both",,,"29","14.5","Caresource","Medicaid Managed Care",,,"40",,"11.6","10.61","22.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","403400","CDM","Both",,,"29","14.5","Wellcare","Medicaid Managed Care",,,"40",,"11.74","10.61","22.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","403400","CDM","Both",,,"29","14.5","Aetna","Commercial",,,"64",,"18.5","10.61","22.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","403400","CDM","Both",,,"29","14.5","Blue Cross Blue Shield","Pathways",,,"71",,"20.47","10.61","22.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","403400","CDM","Both",,,"29","14.5","Blue Cross Blue Shield","HMO",,,"71",,"20.47","10.61","22.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","403400","CDM","Both",,,"29","14.5","Blue Cross Blue Shield","PPO",,,"71",,"20.47","10.61","22.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","403400","CDM","Both",,,"29","14.5","Ambetter","Health Exchange",,,"62",,"17.98","10.61","22.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","403400","CDM","Both",,,"29","14.5","Caresource","Health Exchange",,,"62",,"17.98","10.61","22.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","403400","CDM","Both",,,"29","14.5","Cigna","Commercial",,,"59",,"16.99","10.61","22.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","403400","CDM","Both",,,"29","14.5","Humana","Commercial",,,"78",,"22.48","10.61","22.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","403400","CDM","Both",,,"29","14.5","UHC","Commercial",,,"75",,"21.87","10.61","22.48","percent of total billed charges",,
"NF-Eliquis Oral Tablet 5MG","403400","CDM","Both",,,"29","14.5","Medicaid",,,,"37",,"10.61","10.61","22.48","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","403406","CDM","Both",,,"32","16","Alliant","Health Exchange",,,"62",,"19.84","11.71","24.8","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","403406","CDM","Both",,,"32","16","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.28","11.71","24.8","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","403406","CDM","Both",,,"32","16","Medicare",,,,"54",,"17.34","11.71","24.8","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","403406","CDM","Both",,,"32","16","Humana","Medicare Advantage",,,"54",,"17.34","11.71","24.8","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","403406","CDM","Both",,,"32","16","UHC","Medicare Advantage",,,"54",,"17.34","11.71","24.8","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","403406","CDM","Both",,,"32","16","Clover","Medicare Advantage",,,"54",,"17.34","11.71","24.8","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","403406","CDM","Both",,,"32","16","Wellcare","Medicare Advantage",,,"54",,"17.34","11.71","24.8","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","403406","CDM","Both",,,"32","16","Amerigroup","Medicaid Managed Care",,,"37",,"11.71","11.71","24.8","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","403406","CDM","Both",,,"32","16","Caresource","Medicaid Managed Care",,,"40",,"12.8","11.71","24.8","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","403406","CDM","Both",,,"32","16","Wellcare","Medicaid Managed Care",,,"40",,"12.96","11.71","24.8","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","403406","CDM","Both",,,"32","16","Aetna","Commercial",,,"64",,"20.42","11.71","24.8","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","403406","CDM","Both",,,"32","16","Blue Cross Blue Shield","Pathways",,,"71",,"22.59","11.71","24.8","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","403406","CDM","Both",,,"32","16","Blue Cross Blue Shield","HMO",,,"71",,"22.59","11.71","24.8","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","403406","CDM","Both",,,"32","16","Blue Cross Blue Shield","PPO",,,"71",,"22.59","11.71","24.8","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","403406","CDM","Both",,,"32","16","Ambetter","Health Exchange",,,"62",,"19.84","11.71","24.8","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","403406","CDM","Both",,,"32","16","Caresource","Health Exchange",,,"62",,"19.84","11.71","24.8","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","403406","CDM","Both",,,"32","16","Cigna","Commercial",,,"59",,"18.75","11.71","24.8","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","403406","CDM","Both",,,"32","16","Humana","Commercial",,,"78",,"24.8","11.71","24.8","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","403406","CDM","Both",,,"32","16","UHC","Commercial",,,"75",,"24.13","11.71","24.8","percent of total billed charges",,
"NF-Pioglitazone Oral Tablet 30MG","403406","CDM","Both",,,"32","16","Medicaid",,,,"37",,"11.71","11.71","24.8","percent of total billed charges",,
"NF-Omega-3-Acid Ethyl Esters Liq Cap 1GM","403408","CDM","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"NF-Omega-3-Acid Ethyl Esters Liq Cap 1GM","403408","CDM","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","2.2","4.65","percent of total billed charges",,
"NF-Omega-3-Acid Ethyl Esters Liq Cap 1GM","403408","CDM","Both",,,"6","3","Medicare",,,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Omega-3-Acid Ethyl Esters Liq Cap 1GM","403408","CDM","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Omega-3-Acid Ethyl Esters Liq Cap 1GM","403408","CDM","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Omega-3-Acid Ethyl Esters Liq Cap 1GM","403408","CDM","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Omega-3-Acid Ethyl Esters Liq Cap 1GM","403408","CDM","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Omega-3-Acid Ethyl Esters Liq Cap 1GM","403408","CDM","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","2.2","4.65","percent of total billed charges",,
"NF-Omega-3-Acid Ethyl Esters Liq Cap 1GM","403408","CDM","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","2.2","4.65","percent of total billed charges",,
"NF-Omega-3-Acid Ethyl Esters Liq Cap 1GM","403408","CDM","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","2.2","4.65","percent of total billed charges",,
"NF-Omega-3-Acid Ethyl Esters Liq Cap 1GM","403408","CDM","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","2.2","4.65","percent of total billed charges",,
"NF-Omega-3-Acid Ethyl Esters Liq Cap 1GM","403408","CDM","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"NF-Omega-3-Acid Ethyl Esters Liq Cap 1GM","403408","CDM","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"NF-Omega-3-Acid Ethyl Esters Liq Cap 1GM","403408","CDM","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"NF-Omega-3-Acid Ethyl Esters Liq Cap 1GM","403408","CDM","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"NF-Omega-3-Acid Ethyl Esters Liq Cap 1GM","403408","CDM","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"NF-Omega-3-Acid Ethyl Esters Liq Cap 1GM","403408","CDM","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","2.2","4.65","percent of total billed charges",,
"NF-Omega-3-Acid Ethyl Esters Liq Cap 1GM","403408","CDM","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","2.2","4.65","percent of total billed charges",,
"NF-Omega-3-Acid Ethyl Esters Liq Cap 1GM","403408","CDM","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","2.2","4.65","percent of total billed charges",,
"NF-Omega-3-Acid Ethyl Esters Liq Cap 1GM","403408","CDM","Both",,,"6","3","Medicaid",,,,"37",,"2.2","2.2","4.65","percent of total billed charges",,
"NF-Dextromethorphan Powder","403418","CDM","Both",,,"23","11.5","Alliant","Health Exchange",,,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"NF-Dextromethorphan Powder","403418","CDM","Both",,,"23","11.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.42","8.42","17.82","percent of total billed charges",,
"NF-Dextromethorphan Powder","403418","CDM","Both",,,"23","11.5","Medicare",,,,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"NF-Dextromethorphan Powder","403418","CDM","Both",,,"23","11.5","Humana","Medicare Advantage",,,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"NF-Dextromethorphan Powder","403418","CDM","Both",,,"23","11.5","UHC","Medicare Advantage",,,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"NF-Dextromethorphan Powder","403418","CDM","Both",,,"23","11.5","Clover","Medicare Advantage",,,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"NF-Dextromethorphan Powder","403418","CDM","Both",,,"23","11.5","Wellcare","Medicare Advantage",,,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"NF-Dextromethorphan Powder","403418","CDM","Both",,,"23","11.5","Amerigroup","Medicaid Managed Care",,,"37",,"8.42","8.42","17.82","percent of total billed charges",,
"NF-Dextromethorphan Powder","403418","CDM","Both",,,"23","11.5","Caresource","Medicaid Managed Care",,,"40",,"9.2","8.42","17.82","percent of total billed charges",,
"NF-Dextromethorphan Powder","403418","CDM","Both",,,"23","11.5","Wellcare","Medicaid Managed Care",,,"40",,"9.32","8.42","17.82","percent of total billed charges",,
"NF-Dextromethorphan Powder","403418","CDM","Both",,,"23","11.5","Aetna","Commercial",,,"64",,"14.67","8.42","17.82","percent of total billed charges",,
"NF-Dextromethorphan Powder","403418","CDM","Both",,,"23","11.5","Blue Cross Blue Shield","Pathways",,,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"NF-Dextromethorphan Powder","403418","CDM","Both",,,"23","11.5","Blue Cross Blue Shield","HMO",,,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"NF-Dextromethorphan Powder","403418","CDM","Both",,,"23","11.5","Blue Cross Blue Shield","PPO",,,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"NF-Dextromethorphan Powder","403418","CDM","Both",,,"23","11.5","Ambetter","Health Exchange",,,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"NF-Dextromethorphan Powder","403418","CDM","Both",,,"23","11.5","Caresource","Health Exchange",,,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"NF-Dextromethorphan Powder","403418","CDM","Both",,,"23","11.5","Cigna","Commercial",,,"59",,"13.48","8.42","17.82","percent of total billed charges",,
"NF-Dextromethorphan Powder","403418","CDM","Both",,,"23","11.5","Humana","Commercial",,,"78",,"17.82","8.42","17.82","percent of total billed charges",,
"NF-Dextromethorphan Powder","403418","CDM","Both",,,"23","11.5","UHC","Commercial",,,"75",,"17.34","8.42","17.82","percent of total billed charges",,
"NF-Dextromethorphan Powder","403418","CDM","Both",,,"23","11.5","Medicaid",,,,"37",,"8.42","8.42","17.82","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","403424","CDM","Both",,,"52","26","Alliant","Health Exchange",,,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","403424","CDM","Both",,,"52","26","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.08","19.03","40.3","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","403424","CDM","Both",,,"52","26","Medicare",,,,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","403424","CDM","Both",,,"52","26","Humana","Medicare Advantage",,,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","403424","CDM","Both",,,"52","26","UHC","Medicare Advantage",,,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","403424","CDM","Both",,,"52","26","Clover","Medicare Advantage",,,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","403424","CDM","Both",,,"52","26","Wellcare","Medicare Advantage",,,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","403424","CDM","Both",,,"52","26","Amerigroup","Medicaid Managed Care",,,"37",,"19.03","19.03","40.3","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","403424","CDM","Both",,,"52","26","Caresource","Medicaid Managed Care",,,"40",,"20.8","19.03","40.3","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","403424","CDM","Both",,,"52","26","Wellcare","Medicaid Managed Care",,,"40",,"21.06","19.03","40.3","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","403424","CDM","Both",,,"52","26","Aetna","Commercial",,,"64",,"33.18","19.03","40.3","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","403424","CDM","Both",,,"52","26","Blue Cross Blue Shield","Pathways",,,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","403424","CDM","Both",,,"52","26","Blue Cross Blue Shield","HMO",,,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","403424","CDM","Both",,,"52","26","Blue Cross Blue Shield","PPO",,,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","403424","CDM","Both",,,"52","26","Ambetter","Health Exchange",,,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","403424","CDM","Both",,,"52","26","Caresource","Health Exchange",,,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","403424","CDM","Both",,,"52","26","Cigna","Commercial",,,"59",,"30.47","19.03","40.3","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","403424","CDM","Both",,,"52","26","Humana","Commercial",,,"78",,"40.3","19.03","40.3","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","403424","CDM","Both",,,"52","26","UHC","Commercial",,,"75",,"39.21","19.03","40.3","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","403424","CDM","Both",,,"52","26","Medicaid",,,,"37",,"19.03","19.03","40.3","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","403425","CDM","Both",,,"52","26","Alliant","Health Exchange",,,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","403425","CDM","Both",,,"52","26","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.08","19.03","40.3","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","403425","CDM","Both",,,"52","26","Medicare",,,,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","403425","CDM","Both",,,"52","26","Humana","Medicare Advantage",,,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","403425","CDM","Both",,,"52","26","UHC","Medicare Advantage",,,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","403425","CDM","Both",,,"52","26","Clover","Medicare Advantage",,,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","403425","CDM","Both",,,"52","26","Wellcare","Medicare Advantage",,,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","403425","CDM","Both",,,"52","26","Amerigroup","Medicaid Managed Care",,,"37",,"19.03","19.03","40.3","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","403425","CDM","Both",,,"52","26","Caresource","Medicaid Managed Care",,,"40",,"20.8","19.03","40.3","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","403425","CDM","Both",,,"52","26","Wellcare","Medicaid Managed Care",,,"40",,"21.06","19.03","40.3","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","403425","CDM","Both",,,"52","26","Aetna","Commercial",,,"64",,"33.18","19.03","40.3","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","403425","CDM","Both",,,"52","26","Blue Cross Blue Shield","Pathways",,,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","403425","CDM","Both",,,"52","26","Blue Cross Blue Shield","HMO",,,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","403425","CDM","Both",,,"52","26","Blue Cross Blue Shield","PPO",,,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","403425","CDM","Both",,,"52","26","Ambetter","Health Exchange",,,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","403425","CDM","Both",,,"52","26","Caresource","Health Exchange",,,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","403425","CDM","Both",,,"52","26","Cigna","Commercial",,,"59",,"30.47","19.03","40.3","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","403425","CDM","Both",,,"52","26","Humana","Commercial",,,"78",,"40.3","19.03","40.3","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","403425","CDM","Both",,,"52","26","UHC","Commercial",,,"75",,"39.21","19.03","40.3","percent of total billed charges",,
"NF-Clozaril Tablet 100MG","403425","CDM","Both",,,"52","26","Medicaid",,,,"37",,"19.03","19.03","40.3","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403428","CDM","Both",,,"62","31","Alliant","Health Exchange",,,"62",,"38.44","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403428","CDM","Both",,,"62","31","Pruitt Healthcare","Medicare Advantage",,,"54",,"33.48","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403428","CDM","Both",,,"62","31","Medicare",,,,"54",,"33.6","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403428","CDM","Both",,,"62","31","Humana","Medicare Advantage",,,"54",,"33.6","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403428","CDM","Both",,,"62","31","UHC","Medicare Advantage",,,"54",,"33.6","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403428","CDM","Both",,,"62","31","Clover","Medicare Advantage",,,"54",,"33.6","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403428","CDM","Both",,,"62","31","Wellcare","Medicare Advantage",,,"54",,"33.6","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403428","CDM","Both",,,"62","31","Amerigroup","Medicaid Managed Care",,,"37",,"22.69","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403428","CDM","Both",,,"62","31","Caresource","Medicaid Managed Care",,,"40",,"24.8","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403428","CDM","Both",,,"62","31","Wellcare","Medicaid Managed Care",,,"40",,"25.11","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403428","CDM","Both",,,"62","31","Aetna","Commercial",,,"64",,"39.56","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403428","CDM","Both",,,"62","31","Blue Cross Blue Shield","Pathways",,,"71",,"43.77","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403428","CDM","Both",,,"62","31","Blue Cross Blue Shield","HMO",,,"71",,"43.77","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403428","CDM","Both",,,"62","31","Blue Cross Blue Shield","PPO",,,"71",,"43.77","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403428","CDM","Both",,,"62","31","Ambetter","Health Exchange",,,"62",,"38.44","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403428","CDM","Both",,,"62","31","Caresource","Health Exchange",,,"62",,"38.44","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403428","CDM","Both",,,"62","31","Cigna","Commercial",,,"59",,"36.33","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403428","CDM","Both",,,"62","31","Humana","Commercial",,,"78",,"48.05","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403428","CDM","Both",,,"62","31","UHC","Commercial",,,"75",,"46.75","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403428","CDM","Both",,,"62","31","Medicaid",,,,"37",,"22.69","22.69","48.05","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403443","CDM","Both",,,"31","15.5","Alliant","Health Exchange",,,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403443","CDM","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.74","11.35","24.02","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403443","CDM","Both",,,"31","15.5","Medicare",,,,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403443","CDM","Both",,,"31","15.5","Humana","Medicare Advantage",,,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403443","CDM","Both",,,"31","15.5","UHC","Medicare Advantage",,,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403443","CDM","Both",,,"31","15.5","Clover","Medicare Advantage",,,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403443","CDM","Both",,,"31","15.5","Wellcare","Medicare Advantage",,,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403443","CDM","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care",,,"37",,"11.35","11.35","24.02","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403443","CDM","Both",,,"31","15.5","Caresource","Medicaid Managed Care",,,"40",,"12.4","11.35","24.02","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403443","CDM","Both",,,"31","15.5","Wellcare","Medicaid Managed Care",,,"40",,"12.56","11.35","24.02","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403443","CDM","Both",,,"31","15.5","Aetna","Commercial",,,"64",,"19.78","11.35","24.02","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403443","CDM","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways",,,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403443","CDM","Both",,,"31","15.5","Blue Cross Blue Shield","HMO",,,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403443","CDM","Both",,,"31","15.5","Blue Cross Blue Shield","PPO",,,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403443","CDM","Both",,,"31","15.5","Ambetter","Health Exchange",,,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403443","CDM","Both",,,"31","15.5","Caresource","Health Exchange",,,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403443","CDM","Both",,,"31","15.5","Cigna","Commercial",,,"59",,"18.17","11.35","24.02","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403443","CDM","Both",,,"31","15.5","Humana","Commercial",,,"78",,"24.02","11.35","24.02","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403443","CDM","Both",,,"31","15.5","UHC","Commercial",,,"75",,"23.37","11.35","24.02","percent of total billed charges",,
"NF-Eliquis Oral Tablet 2.5MG","403443","CDM","Both",,,"31","15.5","Medicaid",,,,"37",,"11.35","11.35","24.02","percent of total billed charges",,
"NF-Sertraline Oral Tablet 25MG","403444","CDM","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"NF-Sertraline Oral Tablet 25MG","403444","CDM","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","2.93","6.2","percent of total billed charges",,
"NF-Sertraline Oral Tablet 25MG","403444","CDM","Both",,,"8","4","Medicare",,,,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"NF-Sertraline Oral Tablet 25MG","403444","CDM","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"NF-Sertraline Oral Tablet 25MG","403444","CDM","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"NF-Sertraline Oral Tablet 25MG","403444","CDM","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"NF-Sertraline Oral Tablet 25MG","403444","CDM","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"NF-Sertraline Oral Tablet 25MG","403444","CDM","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","2.93","6.2","percent of total billed charges",,
"NF-Sertraline Oral Tablet 25MG","403444","CDM","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","2.93","6.2","percent of total billed charges",,
"NF-Sertraline Oral Tablet 25MG","403444","CDM","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","2.93","6.2","percent of total billed charges",,
"NF-Sertraline Oral Tablet 25MG","403444","CDM","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","2.93","6.2","percent of total billed charges",,
"NF-Sertraline Oral Tablet 25MG","403444","CDM","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"NF-Sertraline Oral Tablet 25MG","403444","CDM","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"NF-Sertraline Oral Tablet 25MG","403444","CDM","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"NF-Sertraline Oral Tablet 25MG","403444","CDM","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"NF-Sertraline Oral Tablet 25MG","403444","CDM","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"NF-Sertraline Oral Tablet 25MG","403444","CDM","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","2.93","6.2","percent of total billed charges",,
"NF-Sertraline Oral Tablet 25MG","403444","CDM","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","2.93","6.2","percent of total billed charges",,
"NF-Sertraline Oral Tablet 25MG","403444","CDM","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","2.93","6.2","percent of total billed charges",,
"NF-Sertraline Oral Tablet 25MG","403444","CDM","Both",,,"8","4","Medicaid",,,,"37",,"2.93","2.93","6.2","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403450","CDM","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403450","CDM","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","2.2","4.65","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403450","CDM","Both",,,"6","3","Medicare",,,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403450","CDM","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403450","CDM","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403450","CDM","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403450","CDM","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403450","CDM","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","2.2","4.65","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403450","CDM","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","2.2","4.65","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403450","CDM","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","2.2","4.65","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403450","CDM","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","2.2","4.65","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403450","CDM","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403450","CDM","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403450","CDM","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403450","CDM","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403450","CDM","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403450","CDM","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","2.2","4.65","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403450","CDM","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","2.2","4.65","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403450","CDM","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","2.2","4.65","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403450","CDM","Both",,,"6","3","Medicaid",,,,"37",,"2.2","2.2","4.65","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","403460","CDM","Both",,,"14","7","Alliant","Health Exchange",,,"62",,"8.68","5.12","10.85","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","403460","CDM","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.56","5.12","10.85","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","403460","CDM","Both",,,"14","7","Medicare",,,,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","403460","CDM","Both",,,"14","7","Humana","Medicare Advantage",,,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","403460","CDM","Both",,,"14","7","UHC","Medicare Advantage",,,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","403460","CDM","Both",,,"14","7","Clover","Medicare Advantage",,,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","403460","CDM","Both",,,"14","7","Wellcare","Medicare Advantage",,,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","403460","CDM","Both",,,"14","7","Amerigroup","Medicaid Managed Care",,,"37",,"5.12","5.12","10.85","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","403460","CDM","Both",,,"14","7","Caresource","Medicaid Managed Care",,,"40",,"5.6","5.12","10.85","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","403460","CDM","Both",,,"14","7","Wellcare","Medicaid Managed Care",,,"40",,"5.67","5.12","10.85","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","403460","CDM","Both",,,"14","7","Aetna","Commercial",,,"64",,"8.93","5.12","10.85","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","403460","CDM","Both",,,"14","7","Blue Cross Blue Shield","Pathways",,,"71",,"9.88","5.12","10.85","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","403460","CDM","Both",,,"14","7","Blue Cross Blue Shield","HMO",,,"71",,"9.88","5.12","10.85","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","403460","CDM","Both",,,"14","7","Blue Cross Blue Shield","PPO",,,"71",,"9.88","5.12","10.85","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","403460","CDM","Both",,,"14","7","Ambetter","Health Exchange",,,"62",,"8.68","5.12","10.85","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","403460","CDM","Both",,,"14","7","Caresource","Health Exchange",,,"62",,"8.68","5.12","10.85","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","403460","CDM","Both",,,"14","7","Cigna","Commercial",,,"59",,"8.2","5.12","10.85","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","403460","CDM","Both",,,"14","7","Humana","Commercial",,,"78",,"10.85","5.12","10.85","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","403460","CDM","Both",,,"14","7","UHC","Commercial",,,"75",,"10.56","5.12","10.85","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","403460","CDM","Both",,,"14","7","Medicaid",,,,"37",,"5.12","5.12","10.85","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 30","403461","CDM","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 30","403461","CDM","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 30","403461","CDM","Both",,,"4","2","Medicare",,,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 30","403461","CDM","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 30","403461","CDM","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 30","403461","CDM","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 30","403461","CDM","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 30","403461","CDM","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 30","403461","CDM","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 30","403461","CDM","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 30","403461","CDM","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 30","403461","CDM","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 30","403461","CDM","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 30","403461","CDM","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 30","403461","CDM","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 30","403461","CDM","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 30","403461","CDM","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 30","403461","CDM","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 30","403461","CDM","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Extended-Release Tablet 30","403461","CDM","Both",,,"4","2","Medicaid",,,,"37",,"1.46","1.46","3.1","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403463","CDM","Both",,,"14","7","Alliant","Health Exchange",,,"62",,"8.68","5.12","10.85","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403463","CDM","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.56","5.12","10.85","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403463","CDM","Both",,,"14","7","Medicare",,,,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403463","CDM","Both",,,"14","7","Humana","Medicare Advantage",,,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403463","CDM","Both",,,"14","7","UHC","Medicare Advantage",,,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403463","CDM","Both",,,"14","7","Clover","Medicare Advantage",,,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403463","CDM","Both",,,"14","7","Wellcare","Medicare Advantage",,,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403463","CDM","Both",,,"14","7","Amerigroup","Medicaid Managed Care",,,"37",,"5.12","5.12","10.85","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403463","CDM","Both",,,"14","7","Caresource","Medicaid Managed Care",,,"40",,"5.6","5.12","10.85","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403463","CDM","Both",,,"14","7","Wellcare","Medicaid Managed Care",,,"40",,"5.67","5.12","10.85","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403463","CDM","Both",,,"14","7","Aetna","Commercial",,,"64",,"8.93","5.12","10.85","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403463","CDM","Both",,,"14","7","Blue Cross Blue Shield","Pathways",,,"71",,"9.88","5.12","10.85","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403463","CDM","Both",,,"14","7","Blue Cross Blue Shield","HMO",,,"71",,"9.88","5.12","10.85","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403463","CDM","Both",,,"14","7","Blue Cross Blue Shield","PPO",,,"71",,"9.88","5.12","10.85","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403463","CDM","Both",,,"14","7","Ambetter","Health Exchange",,,"62",,"8.68","5.12","10.85","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403463","CDM","Both",,,"14","7","Caresource","Health Exchange",,,"62",,"8.68","5.12","10.85","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403463","CDM","Both",,,"14","7","Cigna","Commercial",,,"59",,"8.2","5.12","10.85","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403463","CDM","Both",,,"14","7","Humana","Commercial",,,"78",,"10.85","5.12","10.85","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403463","CDM","Both",,,"14","7","UHC","Commercial",,,"75",,"10.56","5.12","10.85","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403463","CDM","Both",,,"14","7","Medicaid",,,,"37",,"5.12","5.12","10.85","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403466","CDM","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403466","CDM","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","2.93","6.2","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403466","CDM","Both",,,"8","4","Medicare",,,,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403466","CDM","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403466","CDM","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403466","CDM","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403466","CDM","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403466","CDM","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","2.93","6.2","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403466","CDM","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","2.93","6.2","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403466","CDM","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","2.93","6.2","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403466","CDM","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","2.93","6.2","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403466","CDM","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403466","CDM","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403466","CDM","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403466","CDM","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403466","CDM","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403466","CDM","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","2.93","6.2","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403466","CDM","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","2.93","6.2","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403466","CDM","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","2.93","6.2","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 2MG","403466","CDM","Both",,,"8","4","Medicaid",,,,"37",,"2.93","2.93","6.2","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403469","CDM","Both",,,"56","28","Alliant","Health Exchange",,,"62",,"34.72","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403469","CDM","Both",,,"56","28","Pruitt Healthcare","Medicare Advantage",,,"54",,"30.24","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403469","CDM","Both",,,"56","28","Medicare",,,,"54",,"30.35","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403469","CDM","Both",,,"56","28","Humana","Medicare Advantage",,,"54",,"30.35","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403469","CDM","Both",,,"56","28","UHC","Medicare Advantage",,,"54",,"30.35","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403469","CDM","Both",,,"56","28","Clover","Medicare Advantage",,,"54",,"30.35","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403469","CDM","Both",,,"56","28","Wellcare","Medicare Advantage",,,"54",,"30.35","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403469","CDM","Both",,,"56","28","Amerigroup","Medicaid Managed Care",,,"37",,"20.5","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403469","CDM","Both",,,"56","28","Caresource","Medicaid Managed Care",,,"40",,"22.4","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403469","CDM","Both",,,"56","28","Wellcare","Medicaid Managed Care",,,"40",,"22.68","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403469","CDM","Both",,,"56","28","Aetna","Commercial",,,"64",,"35.73","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403469","CDM","Both",,,"56","28","Blue Cross Blue Shield","Pathways",,,"71",,"39.54","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403469","CDM","Both",,,"56","28","Blue Cross Blue Shield","HMO",,,"71",,"39.54","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403469","CDM","Both",,,"56","28","Blue Cross Blue Shield","PPO",,,"71",,"39.54","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403469","CDM","Both",,,"56","28","Ambetter","Health Exchange",,,"62",,"34.72","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403469","CDM","Both",,,"56","28","Caresource","Health Exchange",,,"62",,"34.72","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403469","CDM","Both",,,"56","28","Cigna","Commercial",,,"59",,"32.82","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403469","CDM","Both",,,"56","28","Humana","Commercial",,,"78",,"43.4","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403469","CDM","Both",,,"56","28","UHC","Commercial",,,"75",,"42.22","20.5","43.4","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403469","CDM","Both",,,"56","28","Medicaid",,,,"37",,"20.5","20.5","43.4","percent of total billed charges",,
"NF-Azor Oral Tablet 10MG-40MG","403470","CDM","Both",,,"45","22.5","Alliant","Health Exchange",,,"62",,"27.9","16.47","34.88","percent of total billed charges",,
"NF-Azor Oral Tablet 10MG-40MG","403470","CDM","Both",,,"45","22.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"24.3","16.47","34.88","percent of total billed charges",,
"NF-Azor Oral Tablet 10MG-40MG","403470","CDM","Both",,,"45","22.5","Medicare",,,,"54",,"24.39","16.47","34.88","percent of total billed charges",,
"NF-Azor Oral Tablet 10MG-40MG","403470","CDM","Both",,,"45","22.5","Humana","Medicare Advantage",,,"54",,"24.39","16.47","34.88","percent of total billed charges",,
"NF-Azor Oral Tablet 10MG-40MG","403470","CDM","Both",,,"45","22.5","UHC","Medicare Advantage",,,"54",,"24.39","16.47","34.88","percent of total billed charges",,
"NF-Azor Oral Tablet 10MG-40MG","403470","CDM","Both",,,"45","22.5","Clover","Medicare Advantage",,,"54",,"24.39","16.47","34.88","percent of total billed charges",,
"NF-Azor Oral Tablet 10MG-40MG","403470","CDM","Both",,,"45","22.5","Wellcare","Medicare Advantage",,,"54",,"24.39","16.47","34.88","percent of total billed charges",,
"NF-Azor Oral Tablet 10MG-40MG","403470","CDM","Both",,,"45","22.5","Amerigroup","Medicaid Managed Care",,,"37",,"16.47","16.47","34.88","percent of total billed charges",,
"NF-Azor Oral Tablet 10MG-40MG","403470","CDM","Both",,,"45","22.5","Caresource","Medicaid Managed Care",,,"40",,"18","16.47","34.88","percent of total billed charges",,
"NF-Azor Oral Tablet 10MG-40MG","403470","CDM","Both",,,"45","22.5","Wellcare","Medicaid Managed Care",,,"40",,"18.23","16.47","34.88","percent of total billed charges",,
"NF-Azor Oral Tablet 10MG-40MG","403470","CDM","Both",,,"45","22.5","Aetna","Commercial",,,"64",,"28.71","16.47","34.88","percent of total billed charges",,
"NF-Azor Oral Tablet 10MG-40MG","403470","CDM","Both",,,"45","22.5","Blue Cross Blue Shield","Pathways",,,"71",,"31.77","16.47","34.88","percent of total billed charges",,
"NF-Azor Oral Tablet 10MG-40MG","403470","CDM","Both",,,"45","22.5","Blue Cross Blue Shield","HMO",,,"71",,"31.77","16.47","34.88","percent of total billed charges",,
"NF-Azor Oral Tablet 10MG-40MG","403470","CDM","Both",,,"45","22.5","Blue Cross Blue Shield","PPO",,,"71",,"31.77","16.47","34.88","percent of total billed charges",,
"NF-Azor Oral Tablet 10MG-40MG","403470","CDM","Both",,,"45","22.5","Ambetter","Health Exchange",,,"62",,"27.9","16.47","34.88","percent of total billed charges",,
"NF-Azor Oral Tablet 10MG-40MG","403470","CDM","Both",,,"45","22.5","Caresource","Health Exchange",,,"62",,"27.9","16.47","34.88","percent of total billed charges",,
"NF-Azor Oral Tablet 10MG-40MG","403470","CDM","Both",,,"45","22.5","Cigna","Commercial",,,"59",,"26.37","16.47","34.88","percent of total billed charges",,
"NF-Azor Oral Tablet 10MG-40MG","403470","CDM","Both",,,"45","22.5","Humana","Commercial",,,"78",,"34.88","16.47","34.88","percent of total billed charges",,
"NF-Azor Oral Tablet 10MG-40MG","403470","CDM","Both",,,"45","22.5","UHC","Commercial",,,"75",,"33.93","16.47","34.88","percent of total billed charges",,
"NF-Azor Oral Tablet 10MG-40MG","403470","CDM","Both",,,"45","22.5","Medicaid",,,,"37",,"16.47","16.47","34.88","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403471","CDM","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403471","CDM","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403471","CDM","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403471","CDM","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403471","CDM","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403471","CDM","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403471","CDM","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403471","CDM","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403471","CDM","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403471","CDM","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403471","CDM","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403471","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403471","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403471","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403471","CDM","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403471","CDM","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403471","CDM","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403471","CDM","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403471","CDM","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403471","CDM","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","403476","CDM","Both",,,"204","102","Alliant","Health Exchange",,,"62",,"126.48","74.66","158.1","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","403476","CDM","Both",,,"204","102","Pruitt Healthcare","Medicare Advantage",,,"54",,"110.16","74.66","158.1","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","403476","CDM","Both",,,"204","102","Medicare",,,,"54",,"110.57","74.66","158.1","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","403476","CDM","Both",,,"204","102","Humana","Medicare Advantage",,,"54",,"110.57","74.66","158.1","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","403476","CDM","Both",,,"204","102","UHC","Medicare Advantage",,,"54",,"110.57","74.66","158.1","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","403476","CDM","Both",,,"204","102","Clover","Medicare Advantage",,,"54",,"110.57","74.66","158.1","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","403476","CDM","Both",,,"204","102","Wellcare","Medicare Advantage",,,"54",,"110.57","74.66","158.1","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","403476","CDM","Both",,,"204","102","Amerigroup","Medicaid Managed Care",,,"37",,"74.66","74.66","158.1","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","403476","CDM","Both",,,"204","102","Caresource","Medicaid Managed Care",,,"40",,"81.6","74.66","158.1","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","403476","CDM","Both",,,"204","102","Wellcare","Medicaid Managed Care",,,"40",,"82.62","74.66","158.1","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","403476","CDM","Both",,,"204","102","Aetna","Commercial",,,"64",,"130.15","74.66","158.1","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","403476","CDM","Both",,,"204","102","Blue Cross Blue Shield","Pathways",,,"71",,"144.02","74.66","158.1","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","403476","CDM","Both",,,"204","102","Blue Cross Blue Shield","HMO",,,"71",,"144.02","74.66","158.1","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","403476","CDM","Both",,,"204","102","Blue Cross Blue Shield","PPO",,,"71",,"144.02","74.66","158.1","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","403476","CDM","Both",,,"204","102","Ambetter","Health Exchange",,,"62",,"126.48","74.66","158.1","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","403476","CDM","Both",,,"204","102","Caresource","Health Exchange",,,"62",,"126.48","74.66","158.1","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","403476","CDM","Both",,,"204","102","Cigna","Commercial",,,"59",,"119.54","74.66","158.1","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","403476","CDM","Both",,,"204","102","Humana","Commercial",,,"78",,"158.1","74.66","158.1","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","403476","CDM","Both",,,"204","102","UHC","Commercial",,,"75",,"153.82","74.66","158.1","percent of total billed charges",,
"NF-Breztri Aerosphere Inh Aer Liq","403476","CDM","Both",,,"204","102","Medicaid",,,,"37",,"74.66","74.66","158.1","percent of total billed charges",,
"NF-busPIRone Oral Tablet 15MG","403487","CDM","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"NF-busPIRone Oral Tablet 15MG","403487","CDM","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","2.93","6.2","percent of total billed charges",,
"NF-busPIRone Oral Tablet 15MG","403487","CDM","Both",,,"8","4","Medicare",,,,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"NF-busPIRone Oral Tablet 15MG","403487","CDM","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"NF-busPIRone Oral Tablet 15MG","403487","CDM","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"NF-busPIRone Oral Tablet 15MG","403487","CDM","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"NF-busPIRone Oral Tablet 15MG","403487","CDM","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"NF-busPIRone Oral Tablet 15MG","403487","CDM","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","2.93","6.2","percent of total billed charges",,
"NF-busPIRone Oral Tablet 15MG","403487","CDM","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","2.93","6.2","percent of total billed charges",,
"NF-busPIRone Oral Tablet 15MG","403487","CDM","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","2.93","6.2","percent of total billed charges",,
"NF-busPIRone Oral Tablet 15MG","403487","CDM","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","2.93","6.2","percent of total billed charges",,
"NF-busPIRone Oral Tablet 15MG","403487","CDM","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"NF-busPIRone Oral Tablet 15MG","403487","CDM","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"NF-busPIRone Oral Tablet 15MG","403487","CDM","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"NF-busPIRone Oral Tablet 15MG","403487","CDM","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"NF-busPIRone Oral Tablet 15MG","403487","CDM","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"NF-busPIRone Oral Tablet 15MG","403487","CDM","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","2.93","6.2","percent of total billed charges",,
"NF-busPIRone Oral Tablet 15MG","403487","CDM","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","2.93","6.2","percent of total billed charges",,
"NF-busPIRone Oral Tablet 15MG","403487","CDM","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","2.93","6.2","percent of total billed charges",,
"NF-busPIRone Oral Tablet 15MG","403487","CDM","Both",,,"8","4","Medicaid",,,,"37",,"2.93","2.93","6.2","percent of total billed charges",,
"NF-Fenofibrate Capsule 67MG","403493","CDM","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Fenofibrate Capsule 67MG","403493","CDM","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","1.1","2.33","percent of total billed charges",,
"NF-Fenofibrate Capsule 67MG","403493","CDM","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Fenofibrate Capsule 67MG","403493","CDM","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Fenofibrate Capsule 67MG","403493","CDM","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Fenofibrate Capsule 67MG","403493","CDM","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Fenofibrate Capsule 67MG","403493","CDM","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Fenofibrate Capsule 67MG","403493","CDM","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","1.1","2.33","percent of total billed charges",,
"NF-Fenofibrate Capsule 67MG","403493","CDM","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","1.1","2.33","percent of total billed charges",,
"NF-Fenofibrate Capsule 67MG","403493","CDM","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","1.1","2.33","percent of total billed charges",,
"NF-Fenofibrate Capsule 67MG","403493","CDM","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","1.1","2.33","percent of total billed charges",,
"NF-Fenofibrate Capsule 67MG","403493","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Fenofibrate Capsule 67MG","403493","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Fenofibrate Capsule 67MG","403493","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Fenofibrate Capsule 67MG","403493","CDM","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Fenofibrate Capsule 67MG","403493","CDM","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Fenofibrate Capsule 67MG","403493","CDM","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","1.1","2.33","percent of total billed charges",,
"NF-Fenofibrate Capsule 67MG","403493","CDM","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","1.1","2.33","percent of total billed charges",,
"NF-Fenofibrate Capsule 67MG","403493","CDM","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","1.1","2.33","percent of total billed charges",,
"NF-Fenofibrate Capsule 67MG","403493","CDM","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","1.1","2.33","percent of total billed charges",,
"NF-doxazosin Oral Tablet 4MG","403505","CDM","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-doxazosin Oral Tablet 4MG","403505","CDM","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","1.46","3.1","percent of total billed charges",,
"NF-doxazosin Oral Tablet 4MG","403505","CDM","Both",,,"4","2","Medicare",,,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-doxazosin Oral Tablet 4MG","403505","CDM","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-doxazosin Oral Tablet 4MG","403505","CDM","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-doxazosin Oral Tablet 4MG","403505","CDM","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-doxazosin Oral Tablet 4MG","403505","CDM","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-doxazosin Oral Tablet 4MG","403505","CDM","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","1.46","3.1","percent of total billed charges",,
"NF-doxazosin Oral Tablet 4MG","403505","CDM","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","1.46","3.1","percent of total billed charges",,
"NF-doxazosin Oral Tablet 4MG","403505","CDM","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","1.46","3.1","percent of total billed charges",,
"NF-doxazosin Oral Tablet 4MG","403505","CDM","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","1.46","3.1","percent of total billed charges",,
"NF-doxazosin Oral Tablet 4MG","403505","CDM","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-doxazosin Oral Tablet 4MG","403505","CDM","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-doxazosin Oral Tablet 4MG","403505","CDM","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-doxazosin Oral Tablet 4MG","403505","CDM","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-doxazosin Oral Tablet 4MG","403505","CDM","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-doxazosin Oral Tablet 4MG","403505","CDM","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","1.46","3.1","percent of total billed charges",,
"NF-doxazosin Oral Tablet 4MG","403505","CDM","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","1.46","3.1","percent of total billed charges",,
"NF-doxazosin Oral Tablet 4MG","403505","CDM","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","1.46","3.1","percent of total billed charges",,
"NF-doxazosin Oral Tablet 4MG","403505","CDM","Both",,,"4","2","Medicaid",,,,"37",,"1.46","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","403507","CDM","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","403507","CDM","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","403507","CDM","Both",,,"4","2","Medicare",,,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","403507","CDM","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","403507","CDM","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","403507","CDM","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","403507","CDM","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","403507","CDM","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","403507","CDM","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","403507","CDM","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","403507","CDM","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","403507","CDM","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","403507","CDM","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","403507","CDM","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","403507","CDM","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","403507","CDM","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","403507","CDM","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","403507","CDM","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","403507","CDM","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","403507","CDM","Both",,,"4","2","Medicaid",,,,"37",,"1.46","1.46","3.1","percent of total billed charges",,
"NF-Valsartan Oral Tablet 40MG","403508","CDM","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-Valsartan Oral Tablet 40MG","403508","CDM","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","1.46","3.1","percent of total billed charges",,
"NF-Valsartan Oral Tablet 40MG","403508","CDM","Both",,,"4","2","Medicare",,,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Valsartan Oral Tablet 40MG","403508","CDM","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Valsartan Oral Tablet 40MG","403508","CDM","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Valsartan Oral Tablet 40MG","403508","CDM","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Valsartan Oral Tablet 40MG","403508","CDM","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Valsartan Oral Tablet 40MG","403508","CDM","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","1.46","3.1","percent of total billed charges",,
"NF-Valsartan Oral Tablet 40MG","403508","CDM","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","1.46","3.1","percent of total billed charges",,
"NF-Valsartan Oral Tablet 40MG","403508","CDM","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","1.46","3.1","percent of total billed charges",,
"NF-Valsartan Oral Tablet 40MG","403508","CDM","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","1.46","3.1","percent of total billed charges",,
"NF-Valsartan Oral Tablet 40MG","403508","CDM","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-Valsartan Oral Tablet 40MG","403508","CDM","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-Valsartan Oral Tablet 40MG","403508","CDM","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-Valsartan Oral Tablet 40MG","403508","CDM","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-Valsartan Oral Tablet 40MG","403508","CDM","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-Valsartan Oral Tablet 40MG","403508","CDM","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","1.46","3.1","percent of total billed charges",,
"NF-Valsartan Oral Tablet 40MG","403508","CDM","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","1.46","3.1","percent of total billed charges",,
"NF-Valsartan Oral Tablet 40MG","403508","CDM","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","1.46","3.1","percent of total billed charges",,
"NF-Valsartan Oral Tablet 40MG","403508","CDM","Both",,,"4","2","Medicaid",,,,"37",,"1.46","1.46","3.1","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 25MG","403509","CDM","Both",,,"5","2.5","Alliant","Health Exchange",,,"62",,"3.1","1.83","3.88","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 25MG","403509","CDM","Both",,,"5","2.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.7","1.83","3.88","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 25MG","403509","CDM","Both",,,"5","2.5","Medicare",,,,"54",,"2.71","1.83","3.88","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 25MG","403509","CDM","Both",,,"5","2.5","Humana","Medicare Advantage",,,"54",,"2.71","1.83","3.88","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 25MG","403509","CDM","Both",,,"5","2.5","UHC","Medicare Advantage",,,"54",,"2.71","1.83","3.88","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 25MG","403509","CDM","Both",,,"5","2.5","Clover","Medicare Advantage",,,"54",,"2.71","1.83","3.88","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 25MG","403509","CDM","Both",,,"5","2.5","Wellcare","Medicare Advantage",,,"54",,"2.71","1.83","3.88","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 25MG","403509","CDM","Both",,,"5","2.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.83","1.83","3.88","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 25MG","403509","CDM","Both",,,"5","2.5","Caresource","Medicaid Managed Care",,,"40",,"2","1.83","3.88","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 25MG","403509","CDM","Both",,,"5","2.5","Wellcare","Medicaid Managed Care",,,"40",,"2.03","1.83","3.88","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 25MG","403509","CDM","Both",,,"5","2.5","Aetna","Commercial",,,"64",,"3.19","1.83","3.88","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 25MG","403509","CDM","Both",,,"5","2.5","Blue Cross Blue Shield","Pathways",,,"71",,"3.53","1.83","3.88","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 25MG","403509","CDM","Both",,,"5","2.5","Blue Cross Blue Shield","HMO",,,"71",,"3.53","1.83","3.88","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 25MG","403509","CDM","Both",,,"5","2.5","Blue Cross Blue Shield","PPO",,,"71",,"3.53","1.83","3.88","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 25MG","403509","CDM","Both",,,"5","2.5","Ambetter","Health Exchange",,,"62",,"3.1","1.83","3.88","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 25MG","403509","CDM","Both",,,"5","2.5","Caresource","Health Exchange",,,"62",,"3.1","1.83","3.88","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 25MG","403509","CDM","Both",,,"5","2.5","Cigna","Commercial",,,"59",,"2.93","1.83","3.88","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 25MG","403509","CDM","Both",,,"5","2.5","Humana","Commercial",,,"78",,"3.88","1.83","3.88","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 25MG","403509","CDM","Both",,,"5","2.5","UHC","Commercial",,,"75",,"3.77","1.83","3.88","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 25MG","403509","CDM","Both",,,"5","2.5","Medicaid",,,,"37",,"1.83","1.83","3.88","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 25MG","403511","CDM","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 25MG","403511","CDM","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","1.46","3.1","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 25MG","403511","CDM","Both",,,"4","2","Medicare",,,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 25MG","403511","CDM","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 25MG","403511","CDM","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 25MG","403511","CDM","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 25MG","403511","CDM","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 25MG","403511","CDM","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","1.46","3.1","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 25MG","403511","CDM","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","1.46","3.1","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 25MG","403511","CDM","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","1.46","3.1","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 25MG","403511","CDM","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","1.46","3.1","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 25MG","403511","CDM","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 25MG","403511","CDM","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 25MG","403511","CDM","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 25MG","403511","CDM","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 25MG","403511","CDM","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 25MG","403511","CDM","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","1.46","3.1","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 25MG","403511","CDM","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","1.46","3.1","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 25MG","403511","CDM","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","1.46","3.1","percent of total billed charges",,
"NF-cycloSPORINE Oral Liq Cap 25MG","403511","CDM","Both",,,"4","2","Medicaid",,,,"37",,"1.46","1.46","3.1","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403525","CDM","Both",,,"58","29","Alliant","Health Exchange",,,"62",,"35.96","21.23","44.95","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403525","CDM","Both",,,"58","29","Pruitt Healthcare","Medicare Advantage",,,"54",,"31.32","21.23","44.95","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403525","CDM","Both",,,"58","29","Medicare",,,,"54",,"31.44","21.23","44.95","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403525","CDM","Both",,,"58","29","Humana","Medicare Advantage",,,"54",,"31.44","21.23","44.95","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403525","CDM","Both",,,"58","29","UHC","Medicare Advantage",,,"54",,"31.44","21.23","44.95","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403525","CDM","Both",,,"58","29","Clover","Medicare Advantage",,,"54",,"31.44","21.23","44.95","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403525","CDM","Both",,,"58","29","Wellcare","Medicare Advantage",,,"54",,"31.44","21.23","44.95","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403525","CDM","Both",,,"58","29","Amerigroup","Medicaid Managed Care",,,"37",,"21.23","21.23","44.95","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403525","CDM","Both",,,"58","29","Caresource","Medicaid Managed Care",,,"40",,"23.2","21.23","44.95","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403525","CDM","Both",,,"58","29","Wellcare","Medicaid Managed Care",,,"40",,"23.49","21.23","44.95","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403525","CDM","Both",,,"58","29","Aetna","Commercial",,,"64",,"37","21.23","44.95","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403525","CDM","Both",,,"58","29","Blue Cross Blue Shield","Pathways",,,"71",,"40.95","21.23","44.95","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403525","CDM","Both",,,"58","29","Blue Cross Blue Shield","HMO",,,"71",,"40.95","21.23","44.95","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403525","CDM","Both",,,"58","29","Blue Cross Blue Shield","PPO",,,"71",,"40.95","21.23","44.95","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403525","CDM","Both",,,"58","29","Ambetter","Health Exchange",,,"62",,"35.96","21.23","44.95","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403525","CDM","Both",,,"58","29","Caresource","Health Exchange",,,"62",,"35.96","21.23","44.95","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403525","CDM","Both",,,"58","29","Cigna","Commercial",,,"59",,"33.99","21.23","44.95","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403525","CDM","Both",,,"58","29","Humana","Commercial",,,"78",,"44.95","21.23","44.95","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403525","CDM","Both",,,"58","29","UHC","Commercial",,,"75",,"43.73","21.23","44.95","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","403525","CDM","Both",,,"58","29","Medicaid",,,,"37",,"21.23","21.23","44.95","percent of total billed charges",,
"NF-Augmentin Tablet 875MG","403535","CDM","Both",,,"20","10","Alliant","Health Exchange",,,"62",,"12.4","7.32","15.5","percent of total billed charges",,
"NF-Augmentin Tablet 875MG","403535","CDM","Both",,,"20","10","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.8","7.32","15.5","percent of total billed charges",,
"NF-Augmentin Tablet 875MG","403535","CDM","Both",,,"20","10","Medicare",,,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-Augmentin Tablet 875MG","403535","CDM","Both",,,"20","10","Humana","Medicare Advantage",,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-Augmentin Tablet 875MG","403535","CDM","Both",,,"20","10","UHC","Medicare Advantage",,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-Augmentin Tablet 875MG","403535","CDM","Both",,,"20","10","Clover","Medicare Advantage",,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-Augmentin Tablet 875MG","403535","CDM","Both",,,"20","10","Wellcare","Medicare Advantage",,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-Augmentin Tablet 875MG","403535","CDM","Both",,,"20","10","Amerigroup","Medicaid Managed Care",,,"37",,"7.32","7.32","15.5","percent of total billed charges",,
"NF-Augmentin Tablet 875MG","403535","CDM","Both",,,"20","10","Caresource","Medicaid Managed Care",,,"40",,"8","7.32","15.5","percent of total billed charges",,
"NF-Augmentin Tablet 875MG","403535","CDM","Both",,,"20","10","Wellcare","Medicaid Managed Care",,,"40",,"8.1","7.32","15.5","percent of total billed charges",,
"NF-Augmentin Tablet 875MG","403535","CDM","Both",,,"20","10","Aetna","Commercial",,,"64",,"12.76","7.32","15.5","percent of total billed charges",,
"NF-Augmentin Tablet 875MG","403535","CDM","Both",,,"20","10","Blue Cross Blue Shield","Pathways",,,"71",,"14.12","7.32","15.5","percent of total billed charges",,
"NF-Augmentin Tablet 875MG","403535","CDM","Both",,,"20","10","Blue Cross Blue Shield","HMO",,,"71",,"14.12","7.32","15.5","percent of total billed charges",,
"NF-Augmentin Tablet 875MG","403535","CDM","Both",,,"20","10","Blue Cross Blue Shield","PPO",,,"71",,"14.12","7.32","15.5","percent of total billed charges",,
"NF-Augmentin Tablet 875MG","403535","CDM","Both",,,"20","10","Ambetter","Health Exchange",,,"62",,"12.4","7.32","15.5","percent of total billed charges",,
"NF-Augmentin Tablet 875MG","403535","CDM","Both",,,"20","10","Caresource","Health Exchange",,,"62",,"12.4","7.32","15.5","percent of total billed charges",,
"NF-Augmentin Tablet 875MG","403535","CDM","Both",,,"20","10","Cigna","Commercial",,,"59",,"11.72","7.32","15.5","percent of total billed charges",,
"NF-Augmentin Tablet 875MG","403535","CDM","Both",,,"20","10","Humana","Commercial",,,"78",,"15.5","7.32","15.5","percent of total billed charges",,
"NF-Augmentin Tablet 875MG","403535","CDM","Both",,,"20","10","UHC","Commercial",,,"75",,"15.08","7.32","15.5","percent of total billed charges",,
"NF-Augmentin Tablet 875MG","403535","CDM","Both",,,"20","10","Medicaid",,,,"37",,"7.32","7.32","15.5","percent of total billed charges",,
"NF-Lansoprazole Oral Cap DR 30MG","403546","CDM","Both",,,"17","8.5","Alliant","Health Exchange",,,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"NF-Lansoprazole Oral Cap DR 30MG","403546","CDM","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.18","6.22","13.18","percent of total billed charges",,
"NF-Lansoprazole Oral Cap DR 30MG","403546","CDM","Both",,,"17","8.5","Medicare",,,,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"NF-Lansoprazole Oral Cap DR 30MG","403546","CDM","Both",,,"17","8.5","Humana","Medicare Advantage",,,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"NF-Lansoprazole Oral Cap DR 30MG","403546","CDM","Both",,,"17","8.5","UHC","Medicare Advantage",,,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"NF-Lansoprazole Oral Cap DR 30MG","403546","CDM","Both",,,"17","8.5","Clover","Medicare Advantage",,,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"NF-Lansoprazole Oral Cap DR 30MG","403546","CDM","Both",,,"17","8.5","Wellcare","Medicare Advantage",,,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"NF-Lansoprazole Oral Cap DR 30MG","403546","CDM","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.22","6.22","13.18","percent of total billed charges",,
"NF-Lansoprazole Oral Cap DR 30MG","403546","CDM","Both",,,"17","8.5","Caresource","Medicaid Managed Care",,,"40",,"6.8","6.22","13.18","percent of total billed charges",,
"NF-Lansoprazole Oral Cap DR 30MG","403546","CDM","Both",,,"17","8.5","Wellcare","Medicaid Managed Care",,,"40",,"6.89","6.22","13.18","percent of total billed charges",,
"NF-Lansoprazole Oral Cap DR 30MG","403546","CDM","Both",,,"17","8.5","Aetna","Commercial",,,"64",,"10.85","6.22","13.18","percent of total billed charges",,
"NF-Lansoprazole Oral Cap DR 30MG","403546","CDM","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways",,,"71",,"12","6.22","13.18","percent of total billed charges",,
"NF-Lansoprazole Oral Cap DR 30MG","403546","CDM","Both",,,"17","8.5","Blue Cross Blue Shield","HMO",,,"71",,"12","6.22","13.18","percent of total billed charges",,
"NF-Lansoprazole Oral Cap DR 30MG","403546","CDM","Both",,,"17","8.5","Blue Cross Blue Shield","PPO",,,"71",,"12","6.22","13.18","percent of total billed charges",,
"NF-Lansoprazole Oral Cap DR 30MG","403546","CDM","Both",,,"17","8.5","Ambetter","Health Exchange",,,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"NF-Lansoprazole Oral Cap DR 30MG","403546","CDM","Both",,,"17","8.5","Caresource","Health Exchange",,,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"NF-Lansoprazole Oral Cap DR 30MG","403546","CDM","Both",,,"17","8.5","Cigna","Commercial",,,"59",,"9.96","6.22","13.18","percent of total billed charges",,
"NF-Lansoprazole Oral Cap DR 30MG","403546","CDM","Both",,,"17","8.5","Humana","Commercial",,,"78",,"13.18","6.22","13.18","percent of total billed charges",,
"NF-Lansoprazole Oral Cap DR 30MG","403546","CDM","Both",,,"17","8.5","UHC","Commercial",,,"75",,"12.82","6.22","13.18","percent of total billed charges",,
"NF-Lansoprazole Oral Cap DR 30MG","403546","CDM","Both",,,"17","8.5","Medicaid",,,,"37",,"6.22","6.22","13.18","percent of total billed charges",,
"NF-EpiPen Auto-Injector Kit 0.3MG/0.3ML","403573","CDM","Both",,,"1095","547.5","Alliant","Health Exchange",,,"62",,"678.9","400.77","848.62","percent of total billed charges",,
"NF-EpiPen Auto-Injector Kit 0.3MG/0.3ML","403573","CDM","Both",,,"1095","547.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"591.3","400.77","848.62","percent of total billed charges",,
"NF-EpiPen Auto-Injector Kit 0.3MG/0.3ML","403573","CDM","Both",,,"1095","547.5","Medicare",,,,"54",,"593.49","400.77","848.62","percent of total billed charges",,
"NF-EpiPen Auto-Injector Kit 0.3MG/0.3ML","403573","CDM","Both",,,"1095","547.5","Humana","Medicare Advantage",,,"54",,"593.49","400.77","848.62","percent of total billed charges",,
"NF-EpiPen Auto-Injector Kit 0.3MG/0.3ML","403573","CDM","Both",,,"1095","547.5","UHC","Medicare Advantage",,,"54",,"593.49","400.77","848.62","percent of total billed charges",,
"NF-EpiPen Auto-Injector Kit 0.3MG/0.3ML","403573","CDM","Both",,,"1095","547.5","Clover","Medicare Advantage",,,"54",,"593.49","400.77","848.62","percent of total billed charges",,
"NF-EpiPen Auto-Injector Kit 0.3MG/0.3ML","403573","CDM","Both",,,"1095","547.5","Wellcare","Medicare Advantage",,,"54",,"593.49","400.77","848.62","percent of total billed charges",,
"NF-EpiPen Auto-Injector Kit 0.3MG/0.3ML","403573","CDM","Both",,,"1095","547.5","Amerigroup","Medicaid Managed Care",,,"37",,"400.77","400.77","848.62","percent of total billed charges",,
"NF-EpiPen Auto-Injector Kit 0.3MG/0.3ML","403573","CDM","Both",,,"1095","547.5","Caresource","Medicaid Managed Care",,,"40",,"438","400.77","848.62","percent of total billed charges",,
"NF-EpiPen Auto-Injector Kit 0.3MG/0.3ML","403573","CDM","Both",,,"1095","547.5","Wellcare","Medicaid Managed Care",,,"40",,"443.48","400.77","848.62","percent of total billed charges",,
"NF-EpiPen Auto-Injector Kit 0.3MG/0.3ML","403573","CDM","Both",,,"1095","547.5","Aetna","Commercial",,,"64",,"698.61","400.77","848.62","percent of total billed charges",,
"NF-EpiPen Auto-Injector Kit 0.3MG/0.3ML","403573","CDM","Both",,,"1095","547.5","Blue Cross Blue Shield","Pathways",,,"71",,"773.07","400.77","848.62","percent of total billed charges",,
"NF-EpiPen Auto-Injector Kit 0.3MG/0.3ML","403573","CDM","Both",,,"1095","547.5","Blue Cross Blue Shield","HMO",,,"71",,"773.07","400.77","848.62","percent of total billed charges",,
"NF-EpiPen Auto-Injector Kit 0.3MG/0.3ML","403573","CDM","Both",,,"1095","547.5","Blue Cross Blue Shield","PPO",,,"71",,"773.07","400.77","848.62","percent of total billed charges",,
"NF-EpiPen Auto-Injector Kit 0.3MG/0.3ML","403573","CDM","Both",,,"1095","547.5","Ambetter","Health Exchange",,,"62",,"678.9","400.77","848.62","percent of total billed charges",,
"NF-EpiPen Auto-Injector Kit 0.3MG/0.3ML","403573","CDM","Both",,,"1095","547.5","Caresource","Health Exchange",,,"62",,"678.9","400.77","848.62","percent of total billed charges",,
"NF-EpiPen Auto-Injector Kit 0.3MG/0.3ML","403573","CDM","Both",,,"1095","547.5","Cigna","Commercial",,,"59",,"641.67","400.77","848.62","percent of total billed charges",,
"NF-EpiPen Auto-Injector Kit 0.3MG/0.3ML","403573","CDM","Both",,,"1095","547.5","Humana","Commercial",,,"78",,"848.62","400.77","848.62","percent of total billed charges",,
"NF-EpiPen Auto-Injector Kit 0.3MG/0.3ML","403573","CDM","Both",,,"1095","547.5","UHC","Commercial",,,"75",,"825.63","400.77","848.62","percent of total billed charges",,
"NF-EpiPen Auto-Injector Kit 0.3MG/0.3ML","403573","CDM","Both",,,"1095","547.5","Medicaid",,,,"37",,"400.77","400.77","848.62","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","403577","CDM","Both",,,"17","8.5","Alliant","Health Exchange",,,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","403577","CDM","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.18","6.22","13.18","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","403577","CDM","Both",,,"17","8.5","Medicare",,,,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","403577","CDM","Both",,,"17","8.5","Humana","Medicare Advantage",,,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","403577","CDM","Both",,,"17","8.5","UHC","Medicare Advantage",,,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","403577","CDM","Both",,,"17","8.5","Clover","Medicare Advantage",,,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","403577","CDM","Both",,,"17","8.5","Wellcare","Medicare Advantage",,,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","403577","CDM","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.22","6.22","13.18","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","403577","CDM","Both",,,"17","8.5","Caresource","Medicaid Managed Care",,,"40",,"6.8","6.22","13.18","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","403577","CDM","Both",,,"17","8.5","Wellcare","Medicaid Managed Care",,,"40",,"6.89","6.22","13.18","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","403577","CDM","Both",,,"17","8.5","Aetna","Commercial",,,"64",,"10.85","6.22","13.18","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","403577","CDM","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways",,,"71",,"12","6.22","13.18","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","403577","CDM","Both",,,"17","8.5","Blue Cross Blue Shield","HMO",,,"71",,"12","6.22","13.18","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","403577","CDM","Both",,,"17","8.5","Blue Cross Blue Shield","PPO",,,"71",,"12","6.22","13.18","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","403577","CDM","Both",,,"17","8.5","Ambetter","Health Exchange",,,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","403577","CDM","Both",,,"17","8.5","Caresource","Health Exchange",,,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","403577","CDM","Both",,,"17","8.5","Cigna","Commercial",,,"59",,"9.96","6.22","13.18","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","403577","CDM","Both",,,"17","8.5","Humana","Commercial",,,"78",,"13.18","6.22","13.18","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","403577","CDM","Both",,,"17","8.5","UHC","Commercial",,,"75",,"12.82","6.22","13.18","percent of total billed charges",,
"NF-azaTHIOprine Oral Tablet 50MG","403577","CDM","Both",,,"17","8.5","Medicaid",,,,"37",,"6.22","6.22","13.18","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","403579","CDM","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","2.56","5.42","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","403579","CDM","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","2.56","5.42","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","403579","CDM","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","2.56","5.42","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","403579","CDM","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","2.56","5.42","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","403579","CDM","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","2.56","5.42","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","403579","CDM","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","2.56","5.42","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","403579","CDM","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","2.56","5.42","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","403579","CDM","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","2.56","5.42","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","403579","CDM","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","2.56","5.42","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","403579","CDM","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","2.56","5.42","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","403579","CDM","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","2.56","5.42","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","403579","CDM","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","2.56","5.42","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","403579","CDM","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","2.56","5.42","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","403579","CDM","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","2.56","5.42","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","403579","CDM","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","2.56","5.42","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","403579","CDM","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","2.56","5.42","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","403579","CDM","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","2.56","5.42","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","403579","CDM","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","2.56","5.42","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","403579","CDM","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","2.56","5.42","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 5MG","403579","CDM","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","2.56","5.42","percent of total billed charges",,
"NF-Vitamin B12 Injection 1000mcg/ML","403587","CDM","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Vitamin B12 Injection 1000mcg/ML","403587","CDM","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Vitamin B12 Injection 1000mcg/ML","403587","CDM","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Vitamin B12 Injection 1000mcg/ML","403587","CDM","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Vitamin B12 Injection 1000mcg/ML","403587","CDM","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Vitamin B12 Injection 1000mcg/ML","403587","CDM","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Vitamin B12 Injection 1000mcg/ML","403587","CDM","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Vitamin B12 Injection 1000mcg/ML","403587","CDM","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Vitamin B12 Injection 1000mcg/ML","403587","CDM","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Vitamin B12 Injection 1000mcg/ML","403587","CDM","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Vitamin B12 Injection 1000mcg/ML","403587","CDM","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"NF-Vitamin B12 Injection 1000mcg/ML","403587","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Vitamin B12 Injection 1000mcg/ML","403587","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Vitamin B12 Injection 1000mcg/ML","403587","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Vitamin B12 Injection 1000mcg/ML","403587","CDM","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Vitamin B12 Injection 1000mcg/ML","403587","CDM","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Vitamin B12 Injection 1000mcg/ML","403587","CDM","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"NF-Vitamin B12 Injection 1000mcg/ML","403587","CDM","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"NF-Vitamin B12 Injection 1000mcg/ML","403587","CDM","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"NF-Vitamin B12 Injection 1000mcg/ML","403587","CDM","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","403602","CDM","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","403602","CDM","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","403602","CDM","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","403602","CDM","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","403602","CDM","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","403602","CDM","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","403602","CDM","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","403602","CDM","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","403602","CDM","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","403602","CDM","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","403602","CDM","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","403602","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","403602","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","403602","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","403602","CDM","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","403602","CDM","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","403602","CDM","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","403602","CDM","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","403602","CDM","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","403602","CDM","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Lovenox SubQ Solution 100MG/1ML","403604","CDM","Both",,,"310","155","Alliant","Health Exchange",,,"62",,"192.2","113.46","240.25","percent of total billed charges",,
"NF-Lovenox SubQ Solution 100MG/1ML","403604","CDM","Both",,,"310","155","Pruitt Healthcare","Medicare Advantage",,,"54",,"167.4","113.46","240.25","percent of total billed charges",,
"NF-Lovenox SubQ Solution 100MG/1ML","403604","CDM","Both",,,"310","155","Medicare",,,,"54",,"168.02","113.46","240.25","percent of total billed charges",,
"NF-Lovenox SubQ Solution 100MG/1ML","403604","CDM","Both",,,"310","155","Humana","Medicare Advantage",,,"54",,"168.02","113.46","240.25","percent of total billed charges",,
"NF-Lovenox SubQ Solution 100MG/1ML","403604","CDM","Both",,,"310","155","UHC","Medicare Advantage",,,"54",,"168.02","113.46","240.25","percent of total billed charges",,
"NF-Lovenox SubQ Solution 100MG/1ML","403604","CDM","Both",,,"310","155","Clover","Medicare Advantage",,,"54",,"168.02","113.46","240.25","percent of total billed charges",,
"NF-Lovenox SubQ Solution 100MG/1ML","403604","CDM","Both",,,"310","155","Wellcare","Medicare Advantage",,,"54",,"168.02","113.46","240.25","percent of total billed charges",,
"NF-Lovenox SubQ Solution 100MG/1ML","403604","CDM","Both",,,"310","155","Amerigroup","Medicaid Managed Care",,,"37",,"113.46","113.46","240.25","percent of total billed charges",,
"NF-Lovenox SubQ Solution 100MG/1ML","403604","CDM","Both",,,"310","155","Caresource","Medicaid Managed Care",,,"40",,"124","113.46","240.25","percent of total billed charges",,
"NF-Lovenox SubQ Solution 100MG/1ML","403604","CDM","Both",,,"310","155","Wellcare","Medicaid Managed Care",,,"40",,"125.55","113.46","240.25","percent of total billed charges",,
"NF-Lovenox SubQ Solution 100MG/1ML","403604","CDM","Both",,,"310","155","Aetna","Commercial",,,"64",,"197.78","113.46","240.25","percent of total billed charges",,
"NF-Lovenox SubQ Solution 100MG/1ML","403604","CDM","Both",,,"310","155","Blue Cross Blue Shield","Pathways",,,"71",,"218.86","113.46","240.25","percent of total billed charges",,
"NF-Lovenox SubQ Solution 100MG/1ML","403604","CDM","Both",,,"310","155","Blue Cross Blue Shield","HMO",,,"71",,"218.86","113.46","240.25","percent of total billed charges",,
"NF-Lovenox SubQ Solution 100MG/1ML","403604","CDM","Both",,,"310","155","Blue Cross Blue Shield","PPO",,,"71",,"218.86","113.46","240.25","percent of total billed charges",,
"NF-Lovenox SubQ Solution 100MG/1ML","403604","CDM","Both",,,"310","155","Ambetter","Health Exchange",,,"62",,"192.2","113.46","240.25","percent of total billed charges",,
"NF-Lovenox SubQ Solution 100MG/1ML","403604","CDM","Both",,,"310","155","Caresource","Health Exchange",,,"62",,"192.2","113.46","240.25","percent of total billed charges",,
"NF-Lovenox SubQ Solution 100MG/1ML","403604","CDM","Both",,,"310","155","Cigna","Commercial",,,"59",,"181.66","113.46","240.25","percent of total billed charges",,
"NF-Lovenox SubQ Solution 100MG/1ML","403604","CDM","Both",,,"310","155","Humana","Commercial",,,"78",,"240.25","113.46","240.25","percent of total billed charges",,
"NF-Lovenox SubQ Solution 100MG/1ML","403604","CDM","Both",,,"310","155","UHC","Commercial",,,"75",,"233.74","113.46","240.25","percent of total billed charges",,
"NF-Lovenox SubQ Solution 100MG/1ML","403604","CDM","Both",,,"310","155","Medicaid",,,,"37",,"113.46","113.46","240.25","percent of total billed charges",,
"NF-Amaryl Tablet 4MG","403606","CDM","Both",,,"14","7","Alliant","Health Exchange",,,"62",,"8.68","5.12","10.85","percent of total billed charges",,
"NF-Amaryl Tablet 4MG","403606","CDM","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.56","5.12","10.85","percent of total billed charges",,
"NF-Amaryl Tablet 4MG","403606","CDM","Both",,,"14","7","Medicare",,,,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"NF-Amaryl Tablet 4MG","403606","CDM","Both",,,"14","7","Humana","Medicare Advantage",,,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"NF-Amaryl Tablet 4MG","403606","CDM","Both",,,"14","7","UHC","Medicare Advantage",,,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"NF-Amaryl Tablet 4MG","403606","CDM","Both",,,"14","7","Clover","Medicare Advantage",,,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"NF-Amaryl Tablet 4MG","403606","CDM","Both",,,"14","7","Wellcare","Medicare Advantage",,,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"NF-Amaryl Tablet 4MG","403606","CDM","Both",,,"14","7","Amerigroup","Medicaid Managed Care",,,"37",,"5.12","5.12","10.85","percent of total billed charges",,
"NF-Amaryl Tablet 4MG","403606","CDM","Both",,,"14","7","Caresource","Medicaid Managed Care",,,"40",,"5.6","5.12","10.85","percent of total billed charges",,
"NF-Amaryl Tablet 4MG","403606","CDM","Both",,,"14","7","Wellcare","Medicaid Managed Care",,,"40",,"5.67","5.12","10.85","percent of total billed charges",,
"NF-Amaryl Tablet 4MG","403606","CDM","Both",,,"14","7","Aetna","Commercial",,,"64",,"8.93","5.12","10.85","percent of total billed charges",,
"NF-Amaryl Tablet 4MG","403606","CDM","Both",,,"14","7","Blue Cross Blue Shield","Pathways",,,"71",,"9.88","5.12","10.85","percent of total billed charges",,
"NF-Amaryl Tablet 4MG","403606","CDM","Both",,,"14","7","Blue Cross Blue Shield","HMO",,,"71",,"9.88","5.12","10.85","percent of total billed charges",,
"NF-Amaryl Tablet 4MG","403606","CDM","Both",,,"14","7","Blue Cross Blue Shield","PPO",,,"71",,"9.88","5.12","10.85","percent of total billed charges",,
"NF-Amaryl Tablet 4MG","403606","CDM","Both",,,"14","7","Ambetter","Health Exchange",,,"62",,"8.68","5.12","10.85","percent of total billed charges",,
"NF-Amaryl Tablet 4MG","403606","CDM","Both",,,"14","7","Caresource","Health Exchange",,,"62",,"8.68","5.12","10.85","percent of total billed charges",,
"NF-Amaryl Tablet 4MG","403606","CDM","Both",,,"14","7","Cigna","Commercial",,,"59",,"8.2","5.12","10.85","percent of total billed charges",,
"NF-Amaryl Tablet 4MG","403606","CDM","Both",,,"14","7","Humana","Commercial",,,"78",,"10.85","5.12","10.85","percent of total billed charges",,
"NF-Amaryl Tablet 4MG","403606","CDM","Both",,,"14","7","UHC","Commercial",,,"75",,"10.56","5.12","10.85","percent of total billed charges",,
"NF-Amaryl Tablet 4MG","403606","CDM","Both",,,"14","7","Medicaid",,,,"37",,"5.12","5.12","10.85","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","403611","CDM","Both",,,"68","34","Alliant","Health Exchange",,,"62",,"42.16","24.89","52.7","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","403611","CDM","Both",,,"68","34","Pruitt Healthcare","Medicare Advantage",,,"54",,"36.72","24.89","52.7","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","403611","CDM","Both",,,"68","34","Medicare",,,,"54",,"36.86","24.89","52.7","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","403611","CDM","Both",,,"68","34","Humana","Medicare Advantage",,,"54",,"36.86","24.89","52.7","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","403611","CDM","Both",,,"68","34","UHC","Medicare Advantage",,,"54",,"36.86","24.89","52.7","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","403611","CDM","Both",,,"68","34","Clover","Medicare Advantage",,,"54",,"36.86","24.89","52.7","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","403611","CDM","Both",,,"68","34","Wellcare","Medicare Advantage",,,"54",,"36.86","24.89","52.7","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","403611","CDM","Both",,,"68","34","Amerigroup","Medicaid Managed Care",,,"37",,"24.89","24.89","52.7","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","403611","CDM","Both",,,"68","34","Caresource","Medicaid Managed Care",,,"40",,"27.2","24.89","52.7","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","403611","CDM","Both",,,"68","34","Wellcare","Medicaid Managed Care",,,"40",,"27.54","24.89","52.7","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","403611","CDM","Both",,,"68","34","Aetna","Commercial",,,"64",,"43.38","24.89","52.7","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","403611","CDM","Both",,,"68","34","Blue Cross Blue Shield","Pathways",,,"71",,"48.01","24.89","52.7","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","403611","CDM","Both",,,"68","34","Blue Cross Blue Shield","HMO",,,"71",,"48.01","24.89","52.7","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","403611","CDM","Both",,,"68","34","Blue Cross Blue Shield","PPO",,,"71",,"48.01","24.89","52.7","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","403611","CDM","Both",,,"68","34","Ambetter","Health Exchange",,,"62",,"42.16","24.89","52.7","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","403611","CDM","Both",,,"68","34","Caresource","Health Exchange",,,"62",,"42.16","24.89","52.7","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","403611","CDM","Both",,,"68","34","Cigna","Commercial",,,"59",,"39.85","24.89","52.7","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","403611","CDM","Both",,,"68","34","Humana","Commercial",,,"78",,"52.7","24.89","52.7","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","403611","CDM","Both",,,"68","34","UHC","Commercial",,,"75",,"51.27","24.89","52.7","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","403611","CDM","Both",,,"68","34","Medicaid",,,,"37",,"24.89","24.89","52.7","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","403612","CDM","Both",,,"57","28.5","Alliant","Health Exchange",,,"62",,"35.34","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","403612","CDM","Both",,,"57","28.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"30.78","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","403612","CDM","Both",,,"57","28.5","Medicare",,,,"54",,"30.89","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","403612","CDM","Both",,,"57","28.5","Humana","Medicare Advantage",,,"54",,"30.89","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","403612","CDM","Both",,,"57","28.5","UHC","Medicare Advantage",,,"54",,"30.89","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","403612","CDM","Both",,,"57","28.5","Clover","Medicare Advantage",,,"54",,"30.89","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","403612","CDM","Both",,,"57","28.5","Wellcare","Medicare Advantage",,,"54",,"30.89","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","403612","CDM","Both",,,"57","28.5","Amerigroup","Medicaid Managed Care",,,"37",,"20.86","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","403612","CDM","Both",,,"57","28.5","Caresource","Medicaid Managed Care",,,"40",,"22.8","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","403612","CDM","Both",,,"57","28.5","Wellcare","Medicaid Managed Care",,,"40",,"23.08","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","403612","CDM","Both",,,"57","28.5","Aetna","Commercial",,,"64",,"36.37","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","403612","CDM","Both",,,"57","28.5","Blue Cross Blue Shield","Pathways",,,"71",,"40.24","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","403612","CDM","Both",,,"57","28.5","Blue Cross Blue Shield","HMO",,,"71",,"40.24","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","403612","CDM","Both",,,"57","28.5","Blue Cross Blue Shield","PPO",,,"71",,"40.24","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","403612","CDM","Both",,,"57","28.5","Ambetter","Health Exchange",,,"62",,"35.34","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","403612","CDM","Both",,,"57","28.5","Caresource","Health Exchange",,,"62",,"35.34","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","403612","CDM","Both",,,"57","28.5","Cigna","Commercial",,,"59",,"33.4","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","403612","CDM","Both",,,"57","28.5","Humana","Commercial",,,"78",,"44.18","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","403612","CDM","Both",,,"57","28.5","UHC","Commercial",,,"75",,"42.98","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","403612","CDM","Both",,,"57","28.5","Medicaid",,,,"37",,"20.86","20.86","44.18","percent of total billed charges",,
"NF-NexIUM Capsule 40MG","403619","CDM","Both",,,"33","16.5","Alliant","Health Exchange",,,"62",,"20.46","12.08","25.58","percent of total billed charges",,
"NF-NexIUM Capsule 40MG","403619","CDM","Both",,,"33","16.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.82","12.08","25.58","percent of total billed charges",,
"NF-NexIUM Capsule 40MG","403619","CDM","Both",,,"33","16.5","Medicare",,,,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"NF-NexIUM Capsule 40MG","403619","CDM","Both",,,"33","16.5","Humana","Medicare Advantage",,,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"NF-NexIUM Capsule 40MG","403619","CDM","Both",,,"33","16.5","UHC","Medicare Advantage",,,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"NF-NexIUM Capsule 40MG","403619","CDM","Both",,,"33","16.5","Clover","Medicare Advantage",,,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"NF-NexIUM Capsule 40MG","403619","CDM","Both",,,"33","16.5","Wellcare","Medicare Advantage",,,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"NF-NexIUM Capsule 40MG","403619","CDM","Both",,,"33","16.5","Amerigroup","Medicaid Managed Care",,,"37",,"12.08","12.08","25.58","percent of total billed charges",,
"NF-NexIUM Capsule 40MG","403619","CDM","Both",,,"33","16.5","Caresource","Medicaid Managed Care",,,"40",,"13.2","12.08","25.58","percent of total billed charges",,
"NF-NexIUM Capsule 40MG","403619","CDM","Both",,,"33","16.5","Wellcare","Medicaid Managed Care",,,"40",,"13.36","12.08","25.58","percent of total billed charges",,
"NF-NexIUM Capsule 40MG","403619","CDM","Both",,,"33","16.5","Aetna","Commercial",,,"64",,"21.05","12.08","25.58","percent of total billed charges",,
"NF-NexIUM Capsule 40MG","403619","CDM","Both",,,"33","16.5","Blue Cross Blue Shield","Pathways",,,"71",,"23.3","12.08","25.58","percent of total billed charges",,
"NF-NexIUM Capsule 40MG","403619","CDM","Both",,,"33","16.5","Blue Cross Blue Shield","HMO",,,"71",,"23.3","12.08","25.58","percent of total billed charges",,
"NF-NexIUM Capsule 40MG","403619","CDM","Both",,,"33","16.5","Blue Cross Blue Shield","PPO",,,"71",,"23.3","12.08","25.58","percent of total billed charges",,
"NF-NexIUM Capsule 40MG","403619","CDM","Both",,,"33","16.5","Ambetter","Health Exchange",,,"62",,"20.46","12.08","25.58","percent of total billed charges",,
"NF-NexIUM Capsule 40MG","403619","CDM","Both",,,"33","16.5","Caresource","Health Exchange",,,"62",,"20.46","12.08","25.58","percent of total billed charges",,
"NF-NexIUM Capsule 40MG","403619","CDM","Both",,,"33","16.5","Cigna","Commercial",,,"59",,"19.34","12.08","25.58","percent of total billed charges",,
"NF-NexIUM Capsule 40MG","403619","CDM","Both",,,"33","16.5","Humana","Commercial",,,"78",,"25.58","12.08","25.58","percent of total billed charges",,
"NF-NexIUM Capsule 40MG","403619","CDM","Both",,,"33","16.5","UHC","Commercial",,,"75",,"24.88","12.08","25.58","percent of total billed charges",,
"NF-NexIUM Capsule 40MG","403619","CDM","Both",,,"33","16.5","Medicaid",,,,"37",,"12.08","12.08","25.58","percent of total billed charges",,
"NF-Lisinopril Tablet 20mg","403625","CDM","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril Tablet 20mg","403625","CDM","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril Tablet 20mg","403625","CDM","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril Tablet 20mg","403625","CDM","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril Tablet 20mg","403625","CDM","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril Tablet 20mg","403625","CDM","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril Tablet 20mg","403625","CDM","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril Tablet 20mg","403625","CDM","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril Tablet 20mg","403625","CDM","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril Tablet 20mg","403625","CDM","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril Tablet 20mg","403625","CDM","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril Tablet 20mg","403625","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril Tablet 20mg","403625","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril Tablet 20mg","403625","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril Tablet 20mg","403625","CDM","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril Tablet 20mg","403625","CDM","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril Tablet 20mg","403625","CDM","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril Tablet 20mg","403625","CDM","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril Tablet 20mg","403625","CDM","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril Tablet 20mg","403625","CDM","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","1.1","2.33","percent of total billed charges",,
"NF-diphenhydrAMINE HCl Inj Soln 50MG/1ML","403626","CDM","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-diphenhydrAMINE HCl Inj Soln 50MG/1ML","403626","CDM","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","1.1","2.33","percent of total billed charges",,
"NF-diphenhydrAMINE HCl Inj Soln 50MG/1ML","403626","CDM","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-diphenhydrAMINE HCl Inj Soln 50MG/1ML","403626","CDM","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-diphenhydrAMINE HCl Inj Soln 50MG/1ML","403626","CDM","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-diphenhydrAMINE HCl Inj Soln 50MG/1ML","403626","CDM","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-diphenhydrAMINE HCl Inj Soln 50MG/1ML","403626","CDM","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-diphenhydrAMINE HCl Inj Soln 50MG/1ML","403626","CDM","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","1.1","2.33","percent of total billed charges",,
"NF-diphenhydrAMINE HCl Inj Soln 50MG/1ML","403626","CDM","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","1.1","2.33","percent of total billed charges",,
"NF-diphenhydrAMINE HCl Inj Soln 50MG/1ML","403626","CDM","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","1.1","2.33","percent of total billed charges",,
"NF-diphenhydrAMINE HCl Inj Soln 50MG/1ML","403626","CDM","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","1.1","2.33","percent of total billed charges",,
"NF-diphenhydrAMINE HCl Inj Soln 50MG/1ML","403626","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-diphenhydrAMINE HCl Inj Soln 50MG/1ML","403626","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-diphenhydrAMINE HCl Inj Soln 50MG/1ML","403626","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-diphenhydrAMINE HCl Inj Soln 50MG/1ML","403626","CDM","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-diphenhydrAMINE HCl Inj Soln 50MG/1ML","403626","CDM","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-diphenhydrAMINE HCl Inj Soln 50MG/1ML","403626","CDM","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","1.1","2.33","percent of total billed charges",,
"NF-diphenhydrAMINE HCl Inj Soln 50MG/1ML","403626","CDM","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","1.1","2.33","percent of total billed charges",,
"NF-diphenhydrAMINE HCl Inj Soln 50MG/1ML","403626","CDM","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","1.1","2.33","percent of total billed charges",,
"NF-diphenhydrAMINE HCl Inj Soln 50MG/1ML","403626","CDM","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","1.1","2.33","percent of total billed charges",,
"NF-Zetia Tablet 10MG","403627","CDM","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"NF-Zetia Tablet 10MG","403627","CDM","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","15.74","33.33","percent of total billed charges",,
"NF-Zetia Tablet 10MG","403627","CDM","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"NF-Zetia Tablet 10MG","403627","CDM","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"NF-Zetia Tablet 10MG","403627","CDM","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"NF-Zetia Tablet 10MG","403627","CDM","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"NF-Zetia Tablet 10MG","403627","CDM","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"NF-Zetia Tablet 10MG","403627","CDM","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","15.74","33.33","percent of total billed charges",,
"NF-Zetia Tablet 10MG","403627","CDM","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","15.74","33.33","percent of total billed charges",,
"NF-Zetia Tablet 10MG","403627","CDM","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","15.74","33.33","percent of total billed charges",,
"NF-Zetia Tablet 10MG","403627","CDM","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","15.74","33.33","percent of total billed charges",,
"NF-Zetia Tablet 10MG","403627","CDM","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"NF-Zetia Tablet 10MG","403627","CDM","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"NF-Zetia Tablet 10MG","403627","CDM","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"NF-Zetia Tablet 10MG","403627","CDM","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"NF-Zetia Tablet 10MG","403627","CDM","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"NF-Zetia Tablet 10MG","403627","CDM","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","15.74","33.33","percent of total billed charges",,
"NF-Zetia Tablet 10MG","403627","CDM","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","15.74","33.33","percent of total billed charges",,
"NF-Zetia Tablet 10MG","403627","CDM","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","15.74","33.33","percent of total billed charges",,
"NF-Zetia Tablet 10MG","403627","CDM","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","15.74","33.33","percent of total billed charges",,
"NF-Pepcid Oral Tablet 40MG","403628","CDM","Both",,,"67","33.5","Alliant","Health Exchange",,,"62",,"41.54","24.52","51.92","percent of total billed charges",,
"NF-Pepcid Oral Tablet 40MG","403628","CDM","Both",,,"67","33.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"36.18","24.52","51.92","percent of total billed charges",,
"NF-Pepcid Oral Tablet 40MG","403628","CDM","Both",,,"67","33.5","Medicare",,,,"54",,"36.31","24.52","51.92","percent of total billed charges",,
"NF-Pepcid Oral Tablet 40MG","403628","CDM","Both",,,"67","33.5","Humana","Medicare Advantage",,,"54",,"36.31","24.52","51.92","percent of total billed charges",,
"NF-Pepcid Oral Tablet 40MG","403628","CDM","Both",,,"67","33.5","UHC","Medicare Advantage",,,"54",,"36.31","24.52","51.92","percent of total billed charges",,
"NF-Pepcid Oral Tablet 40MG","403628","CDM","Both",,,"67","33.5","Clover","Medicare Advantage",,,"54",,"36.31","24.52","51.92","percent of total billed charges",,
"NF-Pepcid Oral Tablet 40MG","403628","CDM","Both",,,"67","33.5","Wellcare","Medicare Advantage",,,"54",,"36.31","24.52","51.92","percent of total billed charges",,
"NF-Pepcid Oral Tablet 40MG","403628","CDM","Both",,,"67","33.5","Amerigroup","Medicaid Managed Care",,,"37",,"24.52","24.52","51.92","percent of total billed charges",,
"NF-Pepcid Oral Tablet 40MG","403628","CDM","Both",,,"67","33.5","Caresource","Medicaid Managed Care",,,"40",,"26.8","24.52","51.92","percent of total billed charges",,
"NF-Pepcid Oral Tablet 40MG","403628","CDM","Both",,,"67","33.5","Wellcare","Medicaid Managed Care",,,"40",,"27.14","24.52","51.92","percent of total billed charges",,
"NF-Pepcid Oral Tablet 40MG","403628","CDM","Both",,,"67","33.5","Aetna","Commercial",,,"64",,"42.75","24.52","51.92","percent of total billed charges",,
"NF-Pepcid Oral Tablet 40MG","403628","CDM","Both",,,"67","33.5","Blue Cross Blue Shield","Pathways",,,"71",,"47.3","24.52","51.92","percent of total billed charges",,
"NF-Pepcid Oral Tablet 40MG","403628","CDM","Both",,,"67","33.5","Blue Cross Blue Shield","HMO",,,"71",,"47.3","24.52","51.92","percent of total billed charges",,
"NF-Pepcid Oral Tablet 40MG","403628","CDM","Both",,,"67","33.5","Blue Cross Blue Shield","PPO",,,"71",,"47.3","24.52","51.92","percent of total billed charges",,
"NF-Pepcid Oral Tablet 40MG","403628","CDM","Both",,,"67","33.5","Ambetter","Health Exchange",,,"62",,"41.54","24.52","51.92","percent of total billed charges",,
"NF-Pepcid Oral Tablet 40MG","403628","CDM","Both",,,"67","33.5","Caresource","Health Exchange",,,"62",,"41.54","24.52","51.92","percent of total billed charges",,
"NF-Pepcid Oral Tablet 40MG","403628","CDM","Both",,,"67","33.5","Cigna","Commercial",,,"59",,"39.26","24.52","51.92","percent of total billed charges",,
"NF-Pepcid Oral Tablet 40MG","403628","CDM","Both",,,"67","33.5","Humana","Commercial",,,"78",,"51.92","24.52","51.92","percent of total billed charges",,
"NF-Pepcid Oral Tablet 40MG","403628","CDM","Both",,,"67","33.5","UHC","Commercial",,,"75",,"50.52","24.52","51.92","percent of total billed charges",,
"NF-Pepcid Oral Tablet 40MG","403628","CDM","Both",,,"67","33.5","Medicaid",,,,"37",,"24.52","24.52","51.92","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 25MG","403629","CDM","Both",,,"66","33","Alliant","Health Exchange",,,"62",,"40.92","24.16","51.15","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 25MG","403629","CDM","Both",,,"66","33","Pruitt Healthcare","Medicare Advantage",,,"54",,"35.64","24.16","51.15","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 25MG","403629","CDM","Both",,,"66","33","Medicare",,,,"54",,"35.77","24.16","51.15","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 25MG","403629","CDM","Both",,,"66","33","Humana","Medicare Advantage",,,"54",,"35.77","24.16","51.15","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 25MG","403629","CDM","Both",,,"66","33","UHC","Medicare Advantage",,,"54",,"35.77","24.16","51.15","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 25MG","403629","CDM","Both",,,"66","33","Clover","Medicare Advantage",,,"54",,"35.77","24.16","51.15","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 25MG","403629","CDM","Both",,,"66","33","Wellcare","Medicare Advantage",,,"54",,"35.77","24.16","51.15","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 25MG","403629","CDM","Both",,,"66","33","Amerigroup","Medicaid Managed Care",,,"37",,"24.16","24.16","51.15","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 25MG","403629","CDM","Both",,,"66","33","Caresource","Medicaid Managed Care",,,"40",,"26.4","24.16","51.15","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 25MG","403629","CDM","Both",,,"66","33","Wellcare","Medicaid Managed Care",,,"40",,"26.73","24.16","51.15","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 25MG","403629","CDM","Both",,,"66","33","Aetna","Commercial",,,"64",,"42.11","24.16","51.15","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 25MG","403629","CDM","Both",,,"66","33","Blue Cross Blue Shield","Pathways",,,"71",,"46.6","24.16","51.15","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 25MG","403629","CDM","Both",,,"66","33","Blue Cross Blue Shield","HMO",,,"71",,"46.6","24.16","51.15","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 25MG","403629","CDM","Both",,,"66","33","Blue Cross Blue Shield","PPO",,,"71",,"46.6","24.16","51.15","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 25MG","403629","CDM","Both",,,"66","33","Ambetter","Health Exchange",,,"62",,"40.92","24.16","51.15","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 25MG","403629","CDM","Both",,,"66","33","Caresource","Health Exchange",,,"62",,"40.92","24.16","51.15","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 25MG","403629","CDM","Both",,,"66","33","Cigna","Commercial",,,"59",,"38.68","24.16","51.15","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 25MG","403629","CDM","Both",,,"66","33","Humana","Commercial",,,"78",,"51.15","24.16","51.15","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 25MG","403629","CDM","Both",,,"66","33","UHC","Commercial",,,"75",,"49.76","24.16","51.15","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 25MG","403629","CDM","Both",,,"66","33","Medicaid",,,,"37",,"24.16","24.16","51.15","percent of total billed charges",,
"NF-Niva-Fol Oral Tablet 2MG-2.5MG-25MG","403649","CDM","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Niva-Fol Oral Tablet 2MG-2.5MG-25MG","403649","CDM","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Niva-Fol Oral Tablet 2MG-2.5MG-25MG","403649","CDM","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Niva-Fol Oral Tablet 2MG-2.5MG-25MG","403649","CDM","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Niva-Fol Oral Tablet 2MG-2.5MG-25MG","403649","CDM","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Niva-Fol Oral Tablet 2MG-2.5MG-25MG","403649","CDM","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Niva-Fol Oral Tablet 2MG-2.5MG-25MG","403649","CDM","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Niva-Fol Oral Tablet 2MG-2.5MG-25MG","403649","CDM","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Niva-Fol Oral Tablet 2MG-2.5MG-25MG","403649","CDM","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Niva-Fol Oral Tablet 2MG-2.5MG-25MG","403649","CDM","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Niva-Fol Oral Tablet 2MG-2.5MG-25MG","403649","CDM","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"NF-Niva-Fol Oral Tablet 2MG-2.5MG-25MG","403649","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Niva-Fol Oral Tablet 2MG-2.5MG-25MG","403649","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Niva-Fol Oral Tablet 2MG-2.5MG-25MG","403649","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Niva-Fol Oral Tablet 2MG-2.5MG-25MG","403649","CDM","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Niva-Fol Oral Tablet 2MG-2.5MG-25MG","403649","CDM","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Niva-Fol Oral Tablet 2MG-2.5MG-25MG","403649","CDM","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"NF-Niva-Fol Oral Tablet 2MG-2.5MG-25MG","403649","CDM","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"NF-Niva-Fol Oral Tablet 2MG-2.5MG-25MG","403649","CDM","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"NF-Niva-Fol Oral Tablet 2MG-2.5MG-25MG","403649","CDM","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-hydrALAZINE HCl Inj Soln 20MG/1ML","403652","CDM","Both",,,"54","27","Alliant","Health Exchange",,,"62",,"33.48","19.76","41.85","percent of total billed charges",,
"NF-hydrALAZINE HCl Inj Soln 20MG/1ML","403652","CDM","Both",,,"54","27","Pruitt Healthcare","Medicare Advantage",,,"54",,"29.16","19.76","41.85","percent of total billed charges",,
"NF-hydrALAZINE HCl Inj Soln 20MG/1ML","403652","CDM","Both",,,"54","27","Medicare",,,,"54",,"29.27","19.76","41.85","percent of total billed charges",,
"NF-hydrALAZINE HCl Inj Soln 20MG/1ML","403652","CDM","Both",,,"54","27","Humana","Medicare Advantage",,,"54",,"29.27","19.76","41.85","percent of total billed charges",,
"NF-hydrALAZINE HCl Inj Soln 20MG/1ML","403652","CDM","Both",,,"54","27","UHC","Medicare Advantage",,,"54",,"29.27","19.76","41.85","percent of total billed charges",,
"NF-hydrALAZINE HCl Inj Soln 20MG/1ML","403652","CDM","Both",,,"54","27","Clover","Medicare Advantage",,,"54",,"29.27","19.76","41.85","percent of total billed charges",,
"NF-hydrALAZINE HCl Inj Soln 20MG/1ML","403652","CDM","Both",,,"54","27","Wellcare","Medicare Advantage",,,"54",,"29.27","19.76","41.85","percent of total billed charges",,
"NF-hydrALAZINE HCl Inj Soln 20MG/1ML","403652","CDM","Both",,,"54","27","Amerigroup","Medicaid Managed Care",,,"37",,"19.76","19.76","41.85","percent of total billed charges",,
"NF-hydrALAZINE HCl Inj Soln 20MG/1ML","403652","CDM","Both",,,"54","27","Caresource","Medicaid Managed Care",,,"40",,"21.6","19.76","41.85","percent of total billed charges",,
"NF-hydrALAZINE HCl Inj Soln 20MG/1ML","403652","CDM","Both",,,"54","27","Wellcare","Medicaid Managed Care",,,"40",,"21.87","19.76","41.85","percent of total billed charges",,
"NF-hydrALAZINE HCl Inj Soln 20MG/1ML","403652","CDM","Both",,,"54","27","Aetna","Commercial",,,"64",,"34.45","19.76","41.85","percent of total billed charges",,
"NF-hydrALAZINE HCl Inj Soln 20MG/1ML","403652","CDM","Both",,,"54","27","Blue Cross Blue Shield","Pathways",,,"71",,"38.12","19.76","41.85","percent of total billed charges",,
"NF-hydrALAZINE HCl Inj Soln 20MG/1ML","403652","CDM","Both",,,"54","27","Blue Cross Blue Shield","HMO",,,"71",,"38.12","19.76","41.85","percent of total billed charges",,
"NF-hydrALAZINE HCl Inj Soln 20MG/1ML","403652","CDM","Both",,,"54","27","Blue Cross Blue Shield","PPO",,,"71",,"38.12","19.76","41.85","percent of total billed charges",,
"NF-hydrALAZINE HCl Inj Soln 20MG/1ML","403652","CDM","Both",,,"54","27","Ambetter","Health Exchange",,,"62",,"33.48","19.76","41.85","percent of total billed charges",,
"NF-hydrALAZINE HCl Inj Soln 20MG/1ML","403652","CDM","Both",,,"54","27","Caresource","Health Exchange",,,"62",,"33.48","19.76","41.85","percent of total billed charges",,
"NF-hydrALAZINE HCl Inj Soln 20MG/1ML","403652","CDM","Both",,,"54","27","Cigna","Commercial",,,"59",,"31.64","19.76","41.85","percent of total billed charges",,
"NF-hydrALAZINE HCl Inj Soln 20MG/1ML","403652","CDM","Both",,,"54","27","Humana","Commercial",,,"78",,"41.85","19.76","41.85","percent of total billed charges",,
"NF-hydrALAZINE HCl Inj Soln 20MG/1ML","403652","CDM","Both",,,"54","27","UHC","Commercial",,,"75",,"40.72","19.76","41.85","percent of total billed charges",,
"NF-hydrALAZINE HCl Inj Soln 20MG/1ML","403652","CDM","Both",,,"54","27","Medicaid",,,,"37",,"19.76","19.76","41.85","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","403654","CDM","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","403654","CDM","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","2.93","6.2","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","403654","CDM","Both",,,"8","4","Medicare",,,,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","403654","CDM","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","403654","CDM","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","403654","CDM","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","403654","CDM","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","403654","CDM","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","2.93","6.2","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","403654","CDM","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","2.93","6.2","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","403654","CDM","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","2.93","6.2","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","403654","CDM","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","2.93","6.2","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","403654","CDM","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","403654","CDM","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","403654","CDM","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","403654","CDM","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","403654","CDM","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","403654","CDM","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","2.93","6.2","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","403654","CDM","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","2.93","6.2","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","403654","CDM","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","2.93","6.2","percent of total billed charges",,
"NF-Sulindac Tablet 200MG","403654","CDM","Both",,,"8","4","Medicaid",,,,"37",,"2.93","2.93","6.2","percent of total billed charges",,
"NF-Voriconazole Oral Tablet 200MG","403655","CDM","Both",,,"150","75","Alliant","Health Exchange",,,"62",,"93","54.9","116.25","percent of total billed charges",,
"NF-Voriconazole Oral Tablet 200MG","403655","CDM","Both",,,"150","75","Pruitt Healthcare","Medicare Advantage",,,"54",,"81","54.9","116.25","percent of total billed charges",,
"NF-Voriconazole Oral Tablet 200MG","403655","CDM","Both",,,"150","75","Medicare",,,,"54",,"81.3","54.9","116.25","percent of total billed charges",,
"NF-Voriconazole Oral Tablet 200MG","403655","CDM","Both",,,"150","75","Humana","Medicare Advantage",,,"54",,"81.3","54.9","116.25","percent of total billed charges",,
"NF-Voriconazole Oral Tablet 200MG","403655","CDM","Both",,,"150","75","UHC","Medicare Advantage",,,"54",,"81.3","54.9","116.25","percent of total billed charges",,
"NF-Voriconazole Oral Tablet 200MG","403655","CDM","Both",,,"150","75","Clover","Medicare Advantage",,,"54",,"81.3","54.9","116.25","percent of total billed charges",,
"NF-Voriconazole Oral Tablet 200MG","403655","CDM","Both",,,"150","75","Wellcare","Medicare Advantage",,,"54",,"81.3","54.9","116.25","percent of total billed charges",,
"NF-Voriconazole Oral Tablet 200MG","403655","CDM","Both",,,"150","75","Amerigroup","Medicaid Managed Care",,,"37",,"54.9","54.9","116.25","percent of total billed charges",,
"NF-Voriconazole Oral Tablet 200MG","403655","CDM","Both",,,"150","75","Caresource","Medicaid Managed Care",,,"40",,"60","54.9","116.25","percent of total billed charges",,
"NF-Voriconazole Oral Tablet 200MG","403655","CDM","Both",,,"150","75","Wellcare","Medicaid Managed Care",,,"40",,"60.75","54.9","116.25","percent of total billed charges",,
"NF-Voriconazole Oral Tablet 200MG","403655","CDM","Both",,,"150","75","Aetna","Commercial",,,"64",,"95.7","54.9","116.25","percent of total billed charges",,
"NF-Voriconazole Oral Tablet 200MG","403655","CDM","Both",,,"150","75","Blue Cross Blue Shield","Pathways",,,"71",,"105.9","54.9","116.25","percent of total billed charges",,
"NF-Voriconazole Oral Tablet 200MG","403655","CDM","Both",,,"150","75","Blue Cross Blue Shield","HMO",,,"71",,"105.9","54.9","116.25","percent of total billed charges",,
"NF-Voriconazole Oral Tablet 200MG","403655","CDM","Both",,,"150","75","Blue Cross Blue Shield","PPO",,,"71",,"105.9","54.9","116.25","percent of total billed charges",,
"NF-Voriconazole Oral Tablet 200MG","403655","CDM","Both",,,"150","75","Ambetter","Health Exchange",,,"62",,"93","54.9","116.25","percent of total billed charges",,
"NF-Voriconazole Oral Tablet 200MG","403655","CDM","Both",,,"150","75","Caresource","Health Exchange",,,"62",,"93","54.9","116.25","percent of total billed charges",,
"NF-Voriconazole Oral Tablet 200MG","403655","CDM","Both",,,"150","75","Cigna","Commercial",,,"59",,"87.9","54.9","116.25","percent of total billed charges",,
"NF-Voriconazole Oral Tablet 200MG","403655","CDM","Both",,,"150","75","Humana","Commercial",,,"78",,"116.25","54.9","116.25","percent of total billed charges",,
"NF-Voriconazole Oral Tablet 200MG","403655","CDM","Both",,,"150","75","UHC","Commercial",,,"75",,"113.1","54.9","116.25","percent of total billed charges",,
"NF-Voriconazole Oral Tablet 200MG","403655","CDM","Both",,,"150","75","Medicaid",,,,"37",,"54.9","54.9","116.25","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","403656","CDM","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","403656","CDM","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","9.88","20.92","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","403656","CDM","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","403656","CDM","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","403656","CDM","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","403656","CDM","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","403656","CDM","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","403656","CDM","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","403656","CDM","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","9.88","20.92","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","403656","CDM","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","9.88","20.92","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","403656","CDM","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","9.88","20.92","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","403656","CDM","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","403656","CDM","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","403656","CDM","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","403656","CDM","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","403656","CDM","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","403656","CDM","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","9.88","20.92","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","403656","CDM","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","9.88","20.92","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","403656","CDM","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","9.88","20.92","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","403656","CDM","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","403663","CDM","Both",,,"37","18.5","Alliant","Health Exchange",,,"62",,"22.94","13.54","28.68","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","403663","CDM","Both",,,"37","18.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.98","13.54","28.68","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","403663","CDM","Both",,,"37","18.5","Medicare",,,,"54",,"20.05","13.54","28.68","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","403663","CDM","Both",,,"37","18.5","Humana","Medicare Advantage",,,"54",,"20.05","13.54","28.68","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","403663","CDM","Both",,,"37","18.5","UHC","Medicare Advantage",,,"54",,"20.05","13.54","28.68","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","403663","CDM","Both",,,"37","18.5","Clover","Medicare Advantage",,,"54",,"20.05","13.54","28.68","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","403663","CDM","Both",,,"37","18.5","Wellcare","Medicare Advantage",,,"54",,"20.05","13.54","28.68","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","403663","CDM","Both",,,"37","18.5","Amerigroup","Medicaid Managed Care",,,"37",,"13.54","13.54","28.68","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","403663","CDM","Both",,,"37","18.5","Caresource","Medicaid Managed Care",,,"40",,"14.8","13.54","28.68","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","403663","CDM","Both",,,"37","18.5","Wellcare","Medicaid Managed Care",,,"40",,"14.99","13.54","28.68","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","403663","CDM","Both",,,"37","18.5","Aetna","Commercial",,,"64",,"23.61","13.54","28.68","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","403663","CDM","Both",,,"37","18.5","Blue Cross Blue Shield","Pathways",,,"71",,"26.12","13.54","28.68","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","403663","CDM","Both",,,"37","18.5","Blue Cross Blue Shield","HMO",,,"71",,"26.12","13.54","28.68","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","403663","CDM","Both",,,"37","18.5","Blue Cross Blue Shield","PPO",,,"71",,"26.12","13.54","28.68","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","403663","CDM","Both",,,"37","18.5","Ambetter","Health Exchange",,,"62",,"22.94","13.54","28.68","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","403663","CDM","Both",,,"37","18.5","Caresource","Health Exchange",,,"62",,"22.94","13.54","28.68","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","403663","CDM","Both",,,"37","18.5","Cigna","Commercial",,,"59",,"21.68","13.54","28.68","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","403663","CDM","Both",,,"37","18.5","Humana","Commercial",,,"78",,"28.68","13.54","28.68","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","403663","CDM","Both",,,"37","18.5","UHC","Commercial",,,"75",,"27.9","13.54","28.68","percent of total billed charges",,
"NF-Trelegy Ellipta 100/62.5/25MCG/INH","403663","CDM","Both",,,"37","18.5","Medicaid",,,,"37",,"13.54","13.54","28.68","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","403669","CDM","Both",,,"13","6.5","Alliant","Health Exchange",,,"62",,"8.06","4.76","10.08","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","403669","CDM","Both",,,"13","6.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.02","4.76","10.08","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","403669","CDM","Both",,,"13","6.5","Medicare",,,,"54",,"7.05","4.76","10.08","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","403669","CDM","Both",,,"13","6.5","Humana","Medicare Advantage",,,"54",,"7.05","4.76","10.08","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","403669","CDM","Both",,,"13","6.5","UHC","Medicare Advantage",,,"54",,"7.05","4.76","10.08","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","403669","CDM","Both",,,"13","6.5","Clover","Medicare Advantage",,,"54",,"7.05","4.76","10.08","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","403669","CDM","Both",,,"13","6.5","Wellcare","Medicare Advantage",,,"54",,"7.05","4.76","10.08","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","403669","CDM","Both",,,"13","6.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.76","4.76","10.08","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","403669","CDM","Both",,,"13","6.5","Caresource","Medicaid Managed Care",,,"40",,"5.2","4.76","10.08","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","403669","CDM","Both",,,"13","6.5","Wellcare","Medicaid Managed Care",,,"40",,"5.26","4.76","10.08","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","403669","CDM","Both",,,"13","6.5","Aetna","Commercial",,,"64",,"8.29","4.76","10.08","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","403669","CDM","Both",,,"13","6.5","Blue Cross Blue Shield","Pathways",,,"71",,"9.18","4.76","10.08","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","403669","CDM","Both",,,"13","6.5","Blue Cross Blue Shield","HMO",,,"71",,"9.18","4.76","10.08","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","403669","CDM","Both",,,"13","6.5","Blue Cross Blue Shield","PPO",,,"71",,"9.18","4.76","10.08","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","403669","CDM","Both",,,"13","6.5","Ambetter","Health Exchange",,,"62",,"8.06","4.76","10.08","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","403669","CDM","Both",,,"13","6.5","Caresource","Health Exchange",,,"62",,"8.06","4.76","10.08","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","403669","CDM","Both",,,"13","6.5","Cigna","Commercial",,,"59",,"7.62","4.76","10.08","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","403669","CDM","Both",,,"13","6.5","Humana","Commercial",,,"78",,"10.08","4.76","10.08","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","403669","CDM","Both",,,"13","6.5","UHC","Commercial",,,"75",,"9.8","4.76","10.08","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","403669","CDM","Both",,,"13","6.5","Medicaid",,,,"37",,"4.76","4.76","10.08","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","403670","CDM","Both",,,"13","6.5","Alliant","Health Exchange",,,"62",,"8.06","4.76","10.08","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","403670","CDM","Both",,,"13","6.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.02","4.76","10.08","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","403670","CDM","Both",,,"13","6.5","Medicare",,,,"54",,"7.05","4.76","10.08","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","403670","CDM","Both",,,"13","6.5","Humana","Medicare Advantage",,,"54",,"7.05","4.76","10.08","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","403670","CDM","Both",,,"13","6.5","UHC","Medicare Advantage",,,"54",,"7.05","4.76","10.08","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","403670","CDM","Both",,,"13","6.5","Clover","Medicare Advantage",,,"54",,"7.05","4.76","10.08","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","403670","CDM","Both",,,"13","6.5","Wellcare","Medicare Advantage",,,"54",,"7.05","4.76","10.08","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","403670","CDM","Both",,,"13","6.5","Amerigroup","Medicaid Managed Care",,,"37",,"4.76","4.76","10.08","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","403670","CDM","Both",,,"13","6.5","Caresource","Medicaid Managed Care",,,"40",,"5.2","4.76","10.08","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","403670","CDM","Both",,,"13","6.5","Wellcare","Medicaid Managed Care",,,"40",,"5.26","4.76","10.08","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","403670","CDM","Both",,,"13","6.5","Aetna","Commercial",,,"64",,"8.29","4.76","10.08","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","403670","CDM","Both",,,"13","6.5","Blue Cross Blue Shield","Pathways",,,"71",,"9.18","4.76","10.08","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","403670","CDM","Both",,,"13","6.5","Blue Cross Blue Shield","HMO",,,"71",,"9.18","4.76","10.08","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","403670","CDM","Both",,,"13","6.5","Blue Cross Blue Shield","PPO",,,"71",,"9.18","4.76","10.08","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","403670","CDM","Both",,,"13","6.5","Ambetter","Health Exchange",,,"62",,"8.06","4.76","10.08","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","403670","CDM","Both",,,"13","6.5","Caresource","Health Exchange",,,"62",,"8.06","4.76","10.08","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","403670","CDM","Both",,,"13","6.5","Cigna","Commercial",,,"59",,"7.62","4.76","10.08","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","403670","CDM","Both",,,"13","6.5","Humana","Commercial",,,"78",,"10.08","4.76","10.08","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","403670","CDM","Both",,,"13","6.5","UHC","Commercial",,,"75",,"9.8","4.76","10.08","percent of total billed charges",,
"NF-Eplerenone Oral Tablet 25MG","403670","CDM","Both",,,"13","6.5","Medicaid",,,,"37",,"4.76","4.76","10.08","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","403684","CDM","Both",,,"115","57.5","Alliant","Health Exchange",,,"62",,"71.3","42.09","89.12","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","403684","CDM","Both",,,"115","57.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"62.1","42.09","89.12","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","403684","CDM","Both",,,"115","57.5","Medicare",,,,"54",,"62.33","42.09","89.12","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","403684","CDM","Both",,,"115","57.5","Humana","Medicare Advantage",,,"54",,"62.33","42.09","89.12","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","403684","CDM","Both",,,"115","57.5","UHC","Medicare Advantage",,,"54",,"62.33","42.09","89.12","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","403684","CDM","Both",,,"115","57.5","Clover","Medicare Advantage",,,"54",,"62.33","42.09","89.12","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","403684","CDM","Both",,,"115","57.5","Wellcare","Medicare Advantage",,,"54",,"62.33","42.09","89.12","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","403684","CDM","Both",,,"115","57.5","Amerigroup","Medicaid Managed Care",,,"37",,"42.09","42.09","89.12","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","403684","CDM","Both",,,"115","57.5","Caresource","Medicaid Managed Care",,,"40",,"46","42.09","89.12","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","403684","CDM","Both",,,"115","57.5","Wellcare","Medicaid Managed Care",,,"40",,"46.58","42.09","89.12","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","403684","CDM","Both",,,"115","57.5","Aetna","Commercial",,,"64",,"73.37","42.09","89.12","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","403684","CDM","Both",,,"115","57.5","Blue Cross Blue Shield","Pathways",,,"71",,"81.19","42.09","89.12","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","403684","CDM","Both",,,"115","57.5","Blue Cross Blue Shield","HMO",,,"71",,"81.19","42.09","89.12","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","403684","CDM","Both",,,"115","57.5","Blue Cross Blue Shield","PPO",,,"71",,"81.19","42.09","89.12","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","403684","CDM","Both",,,"115","57.5","Ambetter","Health Exchange",,,"62",,"71.3","42.09","89.12","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","403684","CDM","Both",,,"115","57.5","Caresource","Health Exchange",,,"62",,"71.3","42.09","89.12","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","403684","CDM","Both",,,"115","57.5","Cigna","Commercial",,,"59",,"67.39","42.09","89.12","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","403684","CDM","Both",,,"115","57.5","Humana","Commercial",,,"78",,"89.12","42.09","89.12","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","403684","CDM","Both",,,"115","57.5","UHC","Commercial",,,"75",,"86.71","42.09","89.12","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","403684","CDM","Both",,,"115","57.5","Medicaid",,,,"37",,"42.09","42.09","89.12","percent of total billed charges",,
"NF-Cymbalta Delayed-Release Capsule 60MG","403692","CDM","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","5.49","11.62","percent of total billed charges",,
"NF-Cymbalta Delayed-Release Capsule 60MG","403692","CDM","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","5.49","11.62","percent of total billed charges",,
"NF-Cymbalta Delayed-Release Capsule 60MG","403692","CDM","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"NF-Cymbalta Delayed-Release Capsule 60MG","403692","CDM","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"NF-Cymbalta Delayed-Release Capsule 60MG","403692","CDM","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"NF-Cymbalta Delayed-Release Capsule 60MG","403692","CDM","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"NF-Cymbalta Delayed-Release Capsule 60MG","403692","CDM","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"NF-Cymbalta Delayed-Release Capsule 60MG","403692","CDM","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","5.49","11.62","percent of total billed charges",,
"NF-Cymbalta Delayed-Release Capsule 60MG","403692","CDM","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","5.49","11.62","percent of total billed charges",,
"NF-Cymbalta Delayed-Release Capsule 60MG","403692","CDM","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","5.49","11.62","percent of total billed charges",,
"NF-Cymbalta Delayed-Release Capsule 60MG","403692","CDM","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","5.49","11.62","percent of total billed charges",,
"NF-Cymbalta Delayed-Release Capsule 60MG","403692","CDM","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","5.49","11.62","percent of total billed charges",,
"NF-Cymbalta Delayed-Release Capsule 60MG","403692","CDM","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","5.49","11.62","percent of total billed charges",,
"NF-Cymbalta Delayed-Release Capsule 60MG","403692","CDM","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","5.49","11.62","percent of total billed charges",,
"NF-Cymbalta Delayed-Release Capsule 60MG","403692","CDM","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","5.49","11.62","percent of total billed charges",,
"NF-Cymbalta Delayed-Release Capsule 60MG","403692","CDM","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","5.49","11.62","percent of total billed charges",,
"NF-Cymbalta Delayed-Release Capsule 60MG","403692","CDM","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","5.49","11.62","percent of total billed charges",,
"NF-Cymbalta Delayed-Release Capsule 60MG","403692","CDM","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","5.49","11.62","percent of total billed charges",,
"NF-Cymbalta Delayed-Release Capsule 60MG","403692","CDM","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","5.49","11.62","percent of total billed charges",,
"NF-Cymbalta Delayed-Release Capsule 60MG","403692","CDM","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","5.49","11.62","percent of total billed charges",,
"NF-Crestor Oral Tablet 5MG","403698","CDM","Both",,,"33","16.5","Alliant","Health Exchange",,,"62",,"20.46","12.08","25.58","percent of total billed charges",,
"NF-Crestor Oral Tablet 5MG","403698","CDM","Both",,,"33","16.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.82","12.08","25.58","percent of total billed charges",,
"NF-Crestor Oral Tablet 5MG","403698","CDM","Both",,,"33","16.5","Medicare",,,,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"NF-Crestor Oral Tablet 5MG","403698","CDM","Both",,,"33","16.5","Humana","Medicare Advantage",,,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"NF-Crestor Oral Tablet 5MG","403698","CDM","Both",,,"33","16.5","UHC","Medicare Advantage",,,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"NF-Crestor Oral Tablet 5MG","403698","CDM","Both",,,"33","16.5","Clover","Medicare Advantage",,,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"NF-Crestor Oral Tablet 5MG","403698","CDM","Both",,,"33","16.5","Wellcare","Medicare Advantage",,,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"NF-Crestor Oral Tablet 5MG","403698","CDM","Both",,,"33","16.5","Amerigroup","Medicaid Managed Care",,,"37",,"12.08","12.08","25.58","percent of total billed charges",,
"NF-Crestor Oral Tablet 5MG","403698","CDM","Both",,,"33","16.5","Caresource","Medicaid Managed Care",,,"40",,"13.2","12.08","25.58","percent of total billed charges",,
"NF-Crestor Oral Tablet 5MG","403698","CDM","Both",,,"33","16.5","Wellcare","Medicaid Managed Care",,,"40",,"13.36","12.08","25.58","percent of total billed charges",,
"NF-Crestor Oral Tablet 5MG","403698","CDM","Both",,,"33","16.5","Aetna","Commercial",,,"64",,"21.05","12.08","25.58","percent of total billed charges",,
"NF-Crestor Oral Tablet 5MG","403698","CDM","Both",,,"33","16.5","Blue Cross Blue Shield","Pathways",,,"71",,"23.3","12.08","25.58","percent of total billed charges",,
"NF-Crestor Oral Tablet 5MG","403698","CDM","Both",,,"33","16.5","Blue Cross Blue Shield","HMO",,,"71",,"23.3","12.08","25.58","percent of total billed charges",,
"NF-Crestor Oral Tablet 5MG","403698","CDM","Both",,,"33","16.5","Blue Cross Blue Shield","PPO",,,"71",,"23.3","12.08","25.58","percent of total billed charges",,
"NF-Crestor Oral Tablet 5MG","403698","CDM","Both",,,"33","16.5","Ambetter","Health Exchange",,,"62",,"20.46","12.08","25.58","percent of total billed charges",,
"NF-Crestor Oral Tablet 5MG","403698","CDM","Both",,,"33","16.5","Caresource","Health Exchange",,,"62",,"20.46","12.08","25.58","percent of total billed charges",,
"NF-Crestor Oral Tablet 5MG","403698","CDM","Both",,,"33","16.5","Cigna","Commercial",,,"59",,"19.34","12.08","25.58","percent of total billed charges",,
"NF-Crestor Oral Tablet 5MG","403698","CDM","Both",,,"33","16.5","Humana","Commercial",,,"78",,"25.58","12.08","25.58","percent of total billed charges",,
"NF-Crestor Oral Tablet 5MG","403698","CDM","Both",,,"33","16.5","UHC","Commercial",,,"75",,"24.88","12.08","25.58","percent of total billed charges",,
"NF-Crestor Oral Tablet 5MG","403698","CDM","Both",,,"33","16.5","Medicaid",,,,"37",,"12.08","12.08","25.58","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","403700","CDM","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","403700","CDM","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","403700","CDM","Both",,,"4","2","Medicare",,,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","403700","CDM","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","403700","CDM","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","403700","CDM","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","403700","CDM","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","403700","CDM","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","403700","CDM","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","403700","CDM","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","403700","CDM","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","403700","CDM","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","403700","CDM","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","403700","CDM","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","403700","CDM","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","403700","CDM","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","403700","CDM","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","403700","CDM","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","403700","CDM","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","1.46","3.1","percent of total billed charges",,
"NF-NIFEdipine Oral Tab ER 30MG","403700","CDM","Both",,,"4","2","Medicaid",,,,"37",,"1.46","1.46","3.1","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","403708","CDM","Both",,,"29","14.5","Alliant","Health Exchange",,,"62",,"17.98","10.61","22.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","403708","CDM","Both",,,"29","14.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.66","10.61","22.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","403708","CDM","Both",,,"29","14.5","Medicare",,,,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","403708","CDM","Both",,,"29","14.5","Humana","Medicare Advantage",,,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","403708","CDM","Both",,,"29","14.5","UHC","Medicare Advantage",,,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","403708","CDM","Both",,,"29","14.5","Clover","Medicare Advantage",,,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","403708","CDM","Both",,,"29","14.5","Wellcare","Medicare Advantage",,,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","403708","CDM","Both",,,"29","14.5","Amerigroup","Medicaid Managed Care",,,"37",,"10.61","10.61","22.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","403708","CDM","Both",,,"29","14.5","Caresource","Medicaid Managed Care",,,"40",,"11.6","10.61","22.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","403708","CDM","Both",,,"29","14.5","Wellcare","Medicaid Managed Care",,,"40",,"11.74","10.61","22.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","403708","CDM","Both",,,"29","14.5","Aetna","Commercial",,,"64",,"18.5","10.61","22.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","403708","CDM","Both",,,"29","14.5","Blue Cross Blue Shield","Pathways",,,"71",,"20.47","10.61","22.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","403708","CDM","Both",,,"29","14.5","Blue Cross Blue Shield","HMO",,,"71",,"20.47","10.61","22.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","403708","CDM","Both",,,"29","14.5","Blue Cross Blue Shield","PPO",,,"71",,"20.47","10.61","22.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","403708","CDM","Both",,,"29","14.5","Ambetter","Health Exchange",,,"62",,"17.98","10.61","22.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","403708","CDM","Both",,,"29","14.5","Caresource","Health Exchange",,,"62",,"17.98","10.61","22.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","403708","CDM","Both",,,"29","14.5","Cigna","Commercial",,,"59",,"16.99","10.61","22.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","403708","CDM","Both",,,"29","14.5","Humana","Commercial",,,"78",,"22.48","10.61","22.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","403708","CDM","Both",,,"29","14.5","UHC","Commercial",,,"75",,"21.87","10.61","22.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-25MG","403708","CDM","Both",,,"29","14.5","Medicaid",,,,"37",,"10.61","10.61","22.48","percent of total billed charges",,
"NF-Zetia Tablet 10MG","403712","CDM","Both",,,"43","21.5","Alliant","Health Exchange",,,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"NF-Zetia Tablet 10MG","403712","CDM","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.22","15.74","33.33","percent of total billed charges",,
"NF-Zetia Tablet 10MG","403712","CDM","Both",,,"43","21.5","Medicare",,,,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"NF-Zetia Tablet 10MG","403712","CDM","Both",,,"43","21.5","Humana","Medicare Advantage",,,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"NF-Zetia Tablet 10MG","403712","CDM","Both",,,"43","21.5","UHC","Medicare Advantage",,,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"NF-Zetia Tablet 10MG","403712","CDM","Both",,,"43","21.5","Clover","Medicare Advantage",,,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"NF-Zetia Tablet 10MG","403712","CDM","Both",,,"43","21.5","Wellcare","Medicare Advantage",,,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"NF-Zetia Tablet 10MG","403712","CDM","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care",,,"37",,"15.74","15.74","33.33","percent of total billed charges",,
"NF-Zetia Tablet 10MG","403712","CDM","Both",,,"43","21.5","Caresource","Medicaid Managed Care",,,"40",,"17.2","15.74","33.33","percent of total billed charges",,
"NF-Zetia Tablet 10MG","403712","CDM","Both",,,"43","21.5","Wellcare","Medicaid Managed Care",,,"40",,"17.42","15.74","33.33","percent of total billed charges",,
"NF-Zetia Tablet 10MG","403712","CDM","Both",,,"43","21.5","Aetna","Commercial",,,"64",,"27.43","15.74","33.33","percent of total billed charges",,
"NF-Zetia Tablet 10MG","403712","CDM","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways",,,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"NF-Zetia Tablet 10MG","403712","CDM","Both",,,"43","21.5","Blue Cross Blue Shield","HMO",,,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"NF-Zetia Tablet 10MG","403712","CDM","Both",,,"43","21.5","Blue Cross Blue Shield","PPO",,,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"NF-Zetia Tablet 10MG","403712","CDM","Both",,,"43","21.5","Ambetter","Health Exchange",,,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"NF-Zetia Tablet 10MG","403712","CDM","Both",,,"43","21.5","Caresource","Health Exchange",,,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"NF-Zetia Tablet 10MG","403712","CDM","Both",,,"43","21.5","Cigna","Commercial",,,"59",,"25.2","15.74","33.33","percent of total billed charges",,
"NF-Zetia Tablet 10MG","403712","CDM","Both",,,"43","21.5","Humana","Commercial",,,"78",,"33.33","15.74","33.33","percent of total billed charges",,
"NF-Zetia Tablet 10MG","403712","CDM","Both",,,"43","21.5","UHC","Commercial",,,"75",,"32.42","15.74","33.33","percent of total billed charges",,
"NF-Zetia Tablet 10MG","403712","CDM","Both",,,"43","21.5","Medicaid",,,,"37",,"15.74","15.74","33.33","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","403715","CDM","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","2.56","5.42","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","403715","CDM","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","2.56","5.42","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","403715","CDM","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","2.56","5.42","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","403715","CDM","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","2.56","5.42","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","403715","CDM","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","2.56","5.42","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","403715","CDM","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","2.56","5.42","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","403715","CDM","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","2.56","5.42","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","403715","CDM","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","2.56","5.42","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","403715","CDM","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","2.56","5.42","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","403715","CDM","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","2.56","5.42","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","403715","CDM","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","2.56","5.42","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","403715","CDM","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","2.56","5.42","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","403715","CDM","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","2.56","5.42","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","403715","CDM","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","2.56","5.42","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","403715","CDM","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","2.56","5.42","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","403715","CDM","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","2.56","5.42","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","403715","CDM","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","2.56","5.42","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","403715","CDM","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","2.56","5.42","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","403715","CDM","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","2.56","5.42","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 160MG","403715","CDM","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","2.56","5.42","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403716","CDM","Both",,,"62","31","Alliant","Health Exchange",,,"62",,"38.44","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403716","CDM","Both",,,"62","31","Pruitt Healthcare","Medicare Advantage",,,"54",,"33.48","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403716","CDM","Both",,,"62","31","Medicare",,,,"54",,"33.6","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403716","CDM","Both",,,"62","31","Humana","Medicare Advantage",,,"54",,"33.6","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403716","CDM","Both",,,"62","31","UHC","Medicare Advantage",,,"54",,"33.6","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403716","CDM","Both",,,"62","31","Clover","Medicare Advantage",,,"54",,"33.6","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403716","CDM","Both",,,"62","31","Wellcare","Medicare Advantage",,,"54",,"33.6","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403716","CDM","Both",,,"62","31","Amerigroup","Medicaid Managed Care",,,"37",,"22.69","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403716","CDM","Both",,,"62","31","Caresource","Medicaid Managed Care",,,"40",,"24.8","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403716","CDM","Both",,,"62","31","Wellcare","Medicaid Managed Care",,,"40",,"25.11","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403716","CDM","Both",,,"62","31","Aetna","Commercial",,,"64",,"39.56","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403716","CDM","Both",,,"62","31","Blue Cross Blue Shield","Pathways",,,"71",,"43.77","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403716","CDM","Both",,,"62","31","Blue Cross Blue Shield","HMO",,,"71",,"43.77","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403716","CDM","Both",,,"62","31","Blue Cross Blue Shield","PPO",,,"71",,"43.77","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403716","CDM","Both",,,"62","31","Ambetter","Health Exchange",,,"62",,"38.44","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403716","CDM","Both",,,"62","31","Caresource","Health Exchange",,,"62",,"38.44","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403716","CDM","Both",,,"62","31","Cigna","Commercial",,,"59",,"36.33","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403716","CDM","Both",,,"62","31","Humana","Commercial",,,"78",,"48.05","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403716","CDM","Both",,,"62","31","UHC","Commercial",,,"75",,"46.75","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403716","CDM","Both",,,"62","31","Medicaid",,,,"37",,"22.69","22.69","48.05","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","403717","CDM","Both",,,"14","7","Alliant","Health Exchange",,,"62",,"8.68","5.12","10.85","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","403717","CDM","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.56","5.12","10.85","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","403717","CDM","Both",,,"14","7","Medicare",,,,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","403717","CDM","Both",,,"14","7","Humana","Medicare Advantage",,,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","403717","CDM","Both",,,"14","7","UHC","Medicare Advantage",,,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","403717","CDM","Both",,,"14","7","Clover","Medicare Advantage",,,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","403717","CDM","Both",,,"14","7","Wellcare","Medicare Advantage",,,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","403717","CDM","Both",,,"14","7","Amerigroup","Medicaid Managed Care",,,"37",,"5.12","5.12","10.85","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","403717","CDM","Both",,,"14","7","Caresource","Medicaid Managed Care",,,"40",,"5.6","5.12","10.85","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","403717","CDM","Both",,,"14","7","Wellcare","Medicaid Managed Care",,,"40",,"5.67","5.12","10.85","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","403717","CDM","Both",,,"14","7","Aetna","Commercial",,,"64",,"8.93","5.12","10.85","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","403717","CDM","Both",,,"14","7","Blue Cross Blue Shield","Pathways",,,"71",,"9.88","5.12","10.85","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","403717","CDM","Both",,,"14","7","Blue Cross Blue Shield","HMO",,,"71",,"9.88","5.12","10.85","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","403717","CDM","Both",,,"14","7","Blue Cross Blue Shield","PPO",,,"71",,"9.88","5.12","10.85","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","403717","CDM","Both",,,"14","7","Ambetter","Health Exchange",,,"62",,"8.68","5.12","10.85","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","403717","CDM","Both",,,"14","7","Caresource","Health Exchange",,,"62",,"8.68","5.12","10.85","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","403717","CDM","Both",,,"14","7","Cigna","Commercial",,,"59",,"8.2","5.12","10.85","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","403717","CDM","Both",,,"14","7","Humana","Commercial",,,"78",,"10.85","5.12","10.85","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","403717","CDM","Both",,,"14","7","UHC","Commercial",,,"75",,"10.56","5.12","10.85","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","403717","CDM","Both",,,"14","7","Medicaid",,,,"37",,"5.12","5.12","10.85","percent of total billed charges",,
"NF-Pepcid Oral Tablet 40MG","403720","CDM","Both",,,"67","33.5","Alliant","Health Exchange",,,"62",,"41.54","24.52","51.92","percent of total billed charges",,
"NF-Pepcid Oral Tablet 40MG","403720","CDM","Both",,,"67","33.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"36.18","24.52","51.92","percent of total billed charges",,
"NF-Pepcid Oral Tablet 40MG","403720","CDM","Both",,,"67","33.5","Medicare",,,,"54",,"36.31","24.52","51.92","percent of total billed charges",,
"NF-Pepcid Oral Tablet 40MG","403720","CDM","Both",,,"67","33.5","Humana","Medicare Advantage",,,"54",,"36.31","24.52","51.92","percent of total billed charges",,
"NF-Pepcid Oral Tablet 40MG","403720","CDM","Both",,,"67","33.5","UHC","Medicare Advantage",,,"54",,"36.31","24.52","51.92","percent of total billed charges",,
"NF-Pepcid Oral Tablet 40MG","403720","CDM","Both",,,"67","33.5","Clover","Medicare Advantage",,,"54",,"36.31","24.52","51.92","percent of total billed charges",,
"NF-Pepcid Oral Tablet 40MG","403720","CDM","Both",,,"67","33.5","Wellcare","Medicare Advantage",,,"54",,"36.31","24.52","51.92","percent of total billed charges",,
"NF-Pepcid Oral Tablet 40MG","403720","CDM","Both",,,"67","33.5","Amerigroup","Medicaid Managed Care",,,"37",,"24.52","24.52","51.92","percent of total billed charges",,
"NF-Pepcid Oral Tablet 40MG","403720","CDM","Both",,,"67","33.5","Caresource","Medicaid Managed Care",,,"40",,"26.8","24.52","51.92","percent of total billed charges",,
"NF-Pepcid Oral Tablet 40MG","403720","CDM","Both",,,"67","33.5","Wellcare","Medicaid Managed Care",,,"40",,"27.14","24.52","51.92","percent of total billed charges",,
"NF-Pepcid Oral Tablet 40MG","403720","CDM","Both",,,"67","33.5","Aetna","Commercial",,,"64",,"42.75","24.52","51.92","percent of total billed charges",,
"NF-Pepcid Oral Tablet 40MG","403720","CDM","Both",,,"67","33.5","Blue Cross Blue Shield","Pathways",,,"71",,"47.3","24.52","51.92","percent of total billed charges",,
"NF-Pepcid Oral Tablet 40MG","403720","CDM","Both",,,"67","33.5","Blue Cross Blue Shield","HMO",,,"71",,"47.3","24.52","51.92","percent of total billed charges",,
"NF-Pepcid Oral Tablet 40MG","403720","CDM","Both",,,"67","33.5","Blue Cross Blue Shield","PPO",,,"71",,"47.3","24.52","51.92","percent of total billed charges",,
"NF-Pepcid Oral Tablet 40MG","403720","CDM","Both",,,"67","33.5","Ambetter","Health Exchange",,,"62",,"41.54","24.52","51.92","percent of total billed charges",,
"NF-Pepcid Oral Tablet 40MG","403720","CDM","Both",,,"67","33.5","Caresource","Health Exchange",,,"62",,"41.54","24.52","51.92","percent of total billed charges",,
"NF-Pepcid Oral Tablet 40MG","403720","CDM","Both",,,"67","33.5","Cigna","Commercial",,,"59",,"39.26","24.52","51.92","percent of total billed charges",,
"NF-Pepcid Oral Tablet 40MG","403720","CDM","Both",,,"67","33.5","Humana","Commercial",,,"78",,"51.92","24.52","51.92","percent of total billed charges",,
"NF-Pepcid Oral Tablet 40MG","403720","CDM","Both",,,"67","33.5","UHC","Commercial",,,"75",,"50.52","24.52","51.92","percent of total billed charges",,
"NF-Pepcid Oral Tablet 40MG","403720","CDM","Both",,,"67","33.5","Medicaid",,,,"37",,"24.52","24.52","51.92","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","403723","CDM","Both",,,"17","8.5","Alliant","Health Exchange",,,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","403723","CDM","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.18","6.22","13.18","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","403723","CDM","Both",,,"17","8.5","Medicare",,,,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","403723","CDM","Both",,,"17","8.5","Humana","Medicare Advantage",,,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","403723","CDM","Both",,,"17","8.5","UHC","Medicare Advantage",,,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","403723","CDM","Both",,,"17","8.5","Clover","Medicare Advantage",,,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","403723","CDM","Both",,,"17","8.5","Wellcare","Medicare Advantage",,,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","403723","CDM","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.22","6.22","13.18","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","403723","CDM","Both",,,"17","8.5","Caresource","Medicaid Managed Care",,,"40",,"6.8","6.22","13.18","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","403723","CDM","Both",,,"17","8.5","Wellcare","Medicaid Managed Care",,,"40",,"6.89","6.22","13.18","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","403723","CDM","Both",,,"17","8.5","Aetna","Commercial",,,"64",,"10.85","6.22","13.18","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","403723","CDM","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways",,,"71",,"12","6.22","13.18","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","403723","CDM","Both",,,"17","8.5","Blue Cross Blue Shield","HMO",,,"71",,"12","6.22","13.18","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","403723","CDM","Both",,,"17","8.5","Blue Cross Blue Shield","PPO",,,"71",,"12","6.22","13.18","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","403723","CDM","Both",,,"17","8.5","Ambetter","Health Exchange",,,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","403723","CDM","Both",,,"17","8.5","Caresource","Health Exchange",,,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","403723","CDM","Both",,,"17","8.5","Cigna","Commercial",,,"59",,"9.96","6.22","13.18","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","403723","CDM","Both",,,"17","8.5","Humana","Commercial",,,"78",,"13.18","6.22","13.18","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","403723","CDM","Both",,,"17","8.5","UHC","Commercial",,,"75",,"12.82","6.22","13.18","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","403723","CDM","Both",,,"17","8.5","Medicaid",,,,"37",,"6.22","6.22","13.18","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 10/12.5MG","403729","CDM","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 10/12.5MG","403729","CDM","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 10/12.5MG","403729","CDM","Both",,,"6","3","Medicare",,,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 10/12.5MG","403729","CDM","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 10/12.5MG","403729","CDM","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 10/12.5MG","403729","CDM","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 10/12.5MG","403729","CDM","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 10/12.5MG","403729","CDM","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 10/12.5MG","403729","CDM","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 10/12.5MG","403729","CDM","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 10/12.5MG","403729","CDM","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 10/12.5MG","403729","CDM","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 10/12.5MG","403729","CDM","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 10/12.5MG","403729","CDM","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 10/12.5MG","403729","CDM","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 10/12.5MG","403729","CDM","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 10/12.5MG","403729","CDM","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 10/12.5MG","403729","CDM","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 10/12.5MG","403729","CDM","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 10/12.5MG","403729","CDM","Both",,,"6","3","Medicaid",,,,"37",,"2.2","2.2","4.65","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","403731","CDM","Both",,,"20","10","Alliant","Health Exchange",,,"62",,"12.4","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","403731","CDM","Both",,,"20","10","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.8","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","403731","CDM","Both",,,"20","10","Medicare",,,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","403731","CDM","Both",,,"20","10","Humana","Medicare Advantage",,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","403731","CDM","Both",,,"20","10","UHC","Medicare Advantage",,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","403731","CDM","Both",,,"20","10","Clover","Medicare Advantage",,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","403731","CDM","Both",,,"20","10","Wellcare","Medicare Advantage",,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","403731","CDM","Both",,,"20","10","Amerigroup","Medicaid Managed Care",,,"37",,"7.32","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","403731","CDM","Both",,,"20","10","Caresource","Medicaid Managed Care",,,"40",,"8","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","403731","CDM","Both",,,"20","10","Wellcare","Medicaid Managed Care",,,"40",,"8.1","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","403731","CDM","Both",,,"20","10","Aetna","Commercial",,,"64",,"12.76","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","403731","CDM","Both",,,"20","10","Blue Cross Blue Shield","Pathways",,,"71",,"14.12","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","403731","CDM","Both",,,"20","10","Blue Cross Blue Shield","HMO",,,"71",,"14.12","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","403731","CDM","Both",,,"20","10","Blue Cross Blue Shield","PPO",,,"71",,"14.12","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","403731","CDM","Both",,,"20","10","Ambetter","Health Exchange",,,"62",,"12.4","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","403731","CDM","Both",,,"20","10","Caresource","Health Exchange",,,"62",,"12.4","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","403731","CDM","Both",,,"20","10","Cigna","Commercial",,,"59",,"11.72","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","403731","CDM","Both",,,"20","10","Humana","Commercial",,,"78",,"15.5","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","403731","CDM","Both",,,"20","10","UHC","Commercial",,,"75",,"15.08","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide HCl Ophthalmic Solution 2","403731","CDM","Both",,,"20","10","Medicaid",,,,"37",,"7.32","7.32","15.5","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403738","CDM","Both",,,"12","6","Alliant","Health Exchange",,,"62",,"7.44","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403738","CDM","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.48","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403738","CDM","Both",,,"12","6","Medicare",,,,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403738","CDM","Both",,,"12","6","Humana","Medicare Advantage",,,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403738","CDM","Both",,,"12","6","UHC","Medicare Advantage",,,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403738","CDM","Both",,,"12","6","Clover","Medicare Advantage",,,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403738","CDM","Both",,,"12","6","Wellcare","Medicare Advantage",,,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403738","CDM","Both",,,"12","6","Amerigroup","Medicaid Managed Care",,,"37",,"4.39","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403738","CDM","Both",,,"12","6","Caresource","Medicaid Managed Care",,,"40",,"4.8","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403738","CDM","Both",,,"12","6","Wellcare","Medicaid Managed Care",,,"40",,"4.86","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403738","CDM","Both",,,"12","6","Aetna","Commercial",,,"64",,"7.66","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403738","CDM","Both",,,"12","6","Blue Cross Blue Shield","Pathways",,,"71",,"8.47","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403738","CDM","Both",,,"12","6","Blue Cross Blue Shield","HMO",,,"71",,"8.47","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403738","CDM","Both",,,"12","6","Blue Cross Blue Shield","PPO",,,"71",,"8.47","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403738","CDM","Both",,,"12","6","Ambetter","Health Exchange",,,"62",,"7.44","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403738","CDM","Both",,,"12","6","Caresource","Health Exchange",,,"62",,"7.44","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403738","CDM","Both",,,"12","6","Cigna","Commercial",,,"59",,"7.03","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403738","CDM","Both",,,"12","6","Humana","Commercial",,,"78",,"9.3","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403738","CDM","Both",,,"12","6","UHC","Commercial",,,"75",,"9.05","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403738","CDM","Both",,,"12","6","Medicaid",,,,"37",,"4.39","4.39","9.3","percent of total billed charges",,
"NF-Esomeprazole Mg Capsule DR 40MG","403763","CDM","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Esomeprazole Mg Capsule DR 40MG","403763","CDM","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","1.1","2.33","percent of total billed charges",,
"NF-Esomeprazole Mg Capsule DR 40MG","403763","CDM","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Esomeprazole Mg Capsule DR 40MG","403763","CDM","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Esomeprazole Mg Capsule DR 40MG","403763","CDM","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Esomeprazole Mg Capsule DR 40MG","403763","CDM","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Esomeprazole Mg Capsule DR 40MG","403763","CDM","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Esomeprazole Mg Capsule DR 40MG","403763","CDM","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","1.1","2.33","percent of total billed charges",,
"NF-Esomeprazole Mg Capsule DR 40MG","403763","CDM","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","1.1","2.33","percent of total billed charges",,
"NF-Esomeprazole Mg Capsule DR 40MG","403763","CDM","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","1.1","2.33","percent of total billed charges",,
"NF-Esomeprazole Mg Capsule DR 40MG","403763","CDM","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","1.1","2.33","percent of total billed charges",,
"NF-Esomeprazole Mg Capsule DR 40MG","403763","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Esomeprazole Mg Capsule DR 40MG","403763","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Esomeprazole Mg Capsule DR 40MG","403763","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Esomeprazole Mg Capsule DR 40MG","403763","CDM","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Esomeprazole Mg Capsule DR 40MG","403763","CDM","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Esomeprazole Mg Capsule DR 40MG","403763","CDM","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","1.1","2.33","percent of total billed charges",,
"NF-Esomeprazole Mg Capsule DR 40MG","403763","CDM","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","1.1","2.33","percent of total billed charges",,
"NF-Esomeprazole Mg Capsule DR 40MG","403763","CDM","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","1.1","2.33","percent of total billed charges",,
"NF-Esomeprazole Mg Capsule DR 40MG","403763","CDM","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","1.1","2.33","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","403765","CDM","Both",,,"60","30","Alliant","Health Exchange",,,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","403765","CDM","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage",,,"54",,"32.4","21.96","46.5","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","403765","CDM","Both",,,"60","30","Medicare",,,,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","403765","CDM","Both",,,"60","30","Humana","Medicare Advantage",,,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","403765","CDM","Both",,,"60","30","UHC","Medicare Advantage",,,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","403765","CDM","Both",,,"60","30","Clover","Medicare Advantage",,,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","403765","CDM","Both",,,"60","30","Wellcare","Medicare Advantage",,,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","403765","CDM","Both",,,"60","30","Amerigroup","Medicaid Managed Care",,,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","403765","CDM","Both",,,"60","30","Caresource","Medicaid Managed Care",,,"40",,"24","21.96","46.5","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","403765","CDM","Both",,,"60","30","Wellcare","Medicaid Managed Care",,,"40",,"24.3","21.96","46.5","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","403765","CDM","Both",,,"60","30","Aetna","Commercial",,,"64",,"38.28","21.96","46.5","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","403765","CDM","Both",,,"60","30","Blue Cross Blue Shield","Pathways",,,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","403765","CDM","Both",,,"60","30","Blue Cross Blue Shield","HMO",,,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","403765","CDM","Both",,,"60","30","Blue Cross Blue Shield","PPO",,,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","403765","CDM","Both",,,"60","30","Ambetter","Health Exchange",,,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","403765","CDM","Both",,,"60","30","Caresource","Health Exchange",,,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","403765","CDM","Both",,,"60","30","Cigna","Commercial",,,"59",,"35.16","21.96","46.5","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","403765","CDM","Both",,,"60","30","Humana","Commercial",,,"78",,"46.5","21.96","46.5","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","403765","CDM","Both",,,"60","30","UHC","Commercial",,,"75",,"45.24","21.96","46.5","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","403765","CDM","Both",,,"60","30","Medicaid",,,,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403767","CDM","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403767","CDM","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403767","CDM","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403767","CDM","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403767","CDM","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403767","CDM","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403767","CDM","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403767","CDM","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403767","CDM","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403767","CDM","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403767","CDM","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403767","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403767","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403767","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403767","CDM","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403767","CDM","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403767","CDM","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403767","CDM","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403767","CDM","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403767","CDM","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403768","CDM","Both",,,"12","6","Alliant","Health Exchange",,,"62",,"7.44","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403768","CDM","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.48","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403768","CDM","Both",,,"12","6","Medicare",,,,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403768","CDM","Both",,,"12","6","Humana","Medicare Advantage",,,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403768","CDM","Both",,,"12","6","UHC","Medicare Advantage",,,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403768","CDM","Both",,,"12","6","Clover","Medicare Advantage",,,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403768","CDM","Both",,,"12","6","Wellcare","Medicare Advantage",,,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403768","CDM","Both",,,"12","6","Amerigroup","Medicaid Managed Care",,,"37",,"4.39","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403768","CDM","Both",,,"12","6","Caresource","Medicaid Managed Care",,,"40",,"4.8","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403768","CDM","Both",,,"12","6","Wellcare","Medicaid Managed Care",,,"40",,"4.86","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403768","CDM","Both",,,"12","6","Aetna","Commercial",,,"64",,"7.66","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403768","CDM","Both",,,"12","6","Blue Cross Blue Shield","Pathways",,,"71",,"8.47","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403768","CDM","Both",,,"12","6","Blue Cross Blue Shield","HMO",,,"71",,"8.47","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403768","CDM","Both",,,"12","6","Blue Cross Blue Shield","PPO",,,"71",,"8.47","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403768","CDM","Both",,,"12","6","Ambetter","Health Exchange",,,"62",,"7.44","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403768","CDM","Both",,,"12","6","Caresource","Health Exchange",,,"62",,"7.44","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403768","CDM","Both",,,"12","6","Cigna","Commercial",,,"59",,"7.03","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403768","CDM","Both",,,"12","6","Humana","Commercial",,,"78",,"9.3","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403768","CDM","Both",,,"12","6","UHC","Commercial",,,"75",,"9.05","4.39","9.3","percent of total billed charges",,
"NF-Famotidine Oral Tablet 40MG","403768","CDM","Both",,,"12","6","Medicaid",,,,"37",,"4.39","4.39","9.3","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403769","CDM","Both",,,"62","31","Alliant","Health Exchange",,,"62",,"38.44","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403769","CDM","Both",,,"62","31","Pruitt Healthcare","Medicare Advantage",,,"54",,"33.48","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403769","CDM","Both",,,"62","31","Medicare",,,,"54",,"33.6","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403769","CDM","Both",,,"62","31","Humana","Medicare Advantage",,,"54",,"33.6","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403769","CDM","Both",,,"62","31","UHC","Medicare Advantage",,,"54",,"33.6","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403769","CDM","Both",,,"62","31","Clover","Medicare Advantage",,,"54",,"33.6","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403769","CDM","Both",,,"62","31","Wellcare","Medicare Advantage",,,"54",,"33.6","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403769","CDM","Both",,,"62","31","Amerigroup","Medicaid Managed Care",,,"37",,"22.69","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403769","CDM","Both",,,"62","31","Caresource","Medicaid Managed Care",,,"40",,"24.8","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403769","CDM","Both",,,"62","31","Wellcare","Medicaid Managed Care",,,"40",,"25.11","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403769","CDM","Both",,,"62","31","Aetna","Commercial",,,"64",,"39.56","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403769","CDM","Both",,,"62","31","Blue Cross Blue Shield","Pathways",,,"71",,"43.77","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403769","CDM","Both",,,"62","31","Blue Cross Blue Shield","HMO",,,"71",,"43.77","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403769","CDM","Both",,,"62","31","Blue Cross Blue Shield","PPO",,,"71",,"43.77","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403769","CDM","Both",,,"62","31","Ambetter","Health Exchange",,,"62",,"38.44","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403769","CDM","Both",,,"62","31","Caresource","Health Exchange",,,"62",,"38.44","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403769","CDM","Both",,,"62","31","Cigna","Commercial",,,"59",,"36.33","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403769","CDM","Both",,,"62","31","Humana","Commercial",,,"78",,"48.05","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403769","CDM","Both",,,"62","31","UHC","Commercial",,,"75",,"46.75","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 50MG","403769","CDM","Both",,,"62","31","Medicaid",,,,"37",,"22.69","22.69","48.05","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403773","CDM","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403773","CDM","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403773","CDM","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403773","CDM","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403773","CDM","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403773","CDM","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403773","CDM","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403773","CDM","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403773","CDM","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403773","CDM","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403773","CDM","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403773","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403773","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403773","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403773","CDM","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403773","CDM","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403773","CDM","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403773","CDM","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403773","CDM","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403773","CDM","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Cellcept Tablet 500MG","403780","CDM","Both",,,"64","32","Alliant","Health Exchange",,,"62",,"39.68","23.42","49.6","percent of total billed charges",,
"NF-Cellcept Tablet 500MG","403780","CDM","Both",,,"64","32","Pruitt Healthcare","Medicare Advantage",,,"54",,"34.56","23.42","49.6","percent of total billed charges",,
"NF-Cellcept Tablet 500MG","403780","CDM","Both",,,"64","32","Medicare",,,,"54",,"34.69","23.42","49.6","percent of total billed charges",,
"NF-Cellcept Tablet 500MG","403780","CDM","Both",,,"64","32","Humana","Medicare Advantage",,,"54",,"34.69","23.42","49.6","percent of total billed charges",,
"NF-Cellcept Tablet 500MG","403780","CDM","Both",,,"64","32","UHC","Medicare Advantage",,,"54",,"34.69","23.42","49.6","percent of total billed charges",,
"NF-Cellcept Tablet 500MG","403780","CDM","Both",,,"64","32","Clover","Medicare Advantage",,,"54",,"34.69","23.42","49.6","percent of total billed charges",,
"NF-Cellcept Tablet 500MG","403780","CDM","Both",,,"64","32","Wellcare","Medicare Advantage",,,"54",,"34.69","23.42","49.6","percent of total billed charges",,
"NF-Cellcept Tablet 500MG","403780","CDM","Both",,,"64","32","Amerigroup","Medicaid Managed Care",,,"37",,"23.42","23.42","49.6","percent of total billed charges",,
"NF-Cellcept Tablet 500MG","403780","CDM","Both",,,"64","32","Caresource","Medicaid Managed Care",,,"40",,"25.6","23.42","49.6","percent of total billed charges",,
"NF-Cellcept Tablet 500MG","403780","CDM","Both",,,"64","32","Wellcare","Medicaid Managed Care",,,"40",,"25.92","23.42","49.6","percent of total billed charges",,
"NF-Cellcept Tablet 500MG","403780","CDM","Both",,,"64","32","Aetna","Commercial",,,"64",,"40.83","23.42","49.6","percent of total billed charges",,
"NF-Cellcept Tablet 500MG","403780","CDM","Both",,,"64","32","Blue Cross Blue Shield","Pathways",,,"71",,"45.18","23.42","49.6","percent of total billed charges",,
"NF-Cellcept Tablet 500MG","403780","CDM","Both",,,"64","32","Blue Cross Blue Shield","HMO",,,"71",,"45.18","23.42","49.6","percent of total billed charges",,
"NF-Cellcept Tablet 500MG","403780","CDM","Both",,,"64","32","Blue Cross Blue Shield","PPO",,,"71",,"45.18","23.42","49.6","percent of total billed charges",,
"NF-Cellcept Tablet 500MG","403780","CDM","Both",,,"64","32","Ambetter","Health Exchange",,,"62",,"39.68","23.42","49.6","percent of total billed charges",,
"NF-Cellcept Tablet 500MG","403780","CDM","Both",,,"64","32","Caresource","Health Exchange",,,"62",,"39.68","23.42","49.6","percent of total billed charges",,
"NF-Cellcept Tablet 500MG","403780","CDM","Both",,,"64","32","Cigna","Commercial",,,"59",,"37.5","23.42","49.6","percent of total billed charges",,
"NF-Cellcept Tablet 500MG","403780","CDM","Both",,,"64","32","Humana","Commercial",,,"78",,"49.6","23.42","49.6","percent of total billed charges",,
"NF-Cellcept Tablet 500MG","403780","CDM","Both",,,"64","32","UHC","Commercial",,,"75",,"48.26","23.42","49.6","percent of total billed charges",,
"NF-Cellcept Tablet 500MG","403780","CDM","Both",,,"64","32","Medicaid",,,,"37",,"23.42","23.42","49.6","percent of total billed charges",,
"NF-Prograf Capsule 1MG","403782","CDM","Both",,,"9","4.5","Alliant","Health Exchange",,,"62",,"5.58","3.29","6.98","percent of total billed charges",,
"NF-Prograf Capsule 1MG","403782","CDM","Both",,,"9","4.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.86","3.29","6.98","percent of total billed charges",,
"NF-Prograf Capsule 1MG","403782","CDM","Both",,,"9","4.5","Medicare",,,,"54",,"4.88","3.29","6.98","percent of total billed charges",,
"NF-Prograf Capsule 1MG","403782","CDM","Both",,,"9","4.5","Humana","Medicare Advantage",,,"54",,"4.88","3.29","6.98","percent of total billed charges",,
"NF-Prograf Capsule 1MG","403782","CDM","Both",,,"9","4.5","UHC","Medicare Advantage",,,"54",,"4.88","3.29","6.98","percent of total billed charges",,
"NF-Prograf Capsule 1MG","403782","CDM","Both",,,"9","4.5","Clover","Medicare Advantage",,,"54",,"4.88","3.29","6.98","percent of total billed charges",,
"NF-Prograf Capsule 1MG","403782","CDM","Both",,,"9","4.5","Wellcare","Medicare Advantage",,,"54",,"4.88","3.29","6.98","percent of total billed charges",,
"NF-Prograf Capsule 1MG","403782","CDM","Both",,,"9","4.5","Amerigroup","Medicaid Managed Care",,,"37",,"3.29","3.29","6.98","percent of total billed charges",,
"NF-Prograf Capsule 1MG","403782","CDM","Both",,,"9","4.5","Caresource","Medicaid Managed Care",,,"40",,"3.6","3.29","6.98","percent of total billed charges",,
"NF-Prograf Capsule 1MG","403782","CDM","Both",,,"9","4.5","Wellcare","Medicaid Managed Care",,,"40",,"3.65","3.29","6.98","percent of total billed charges",,
"NF-Prograf Capsule 1MG","403782","CDM","Both",,,"9","4.5","Aetna","Commercial",,,"64",,"5.74","3.29","6.98","percent of total billed charges",,
"NF-Prograf Capsule 1MG","403782","CDM","Both",,,"9","4.5","Blue Cross Blue Shield","Pathways",,,"71",,"6.35","3.29","6.98","percent of total billed charges",,
"NF-Prograf Capsule 1MG","403782","CDM","Both",,,"9","4.5","Blue Cross Blue Shield","HMO",,,"71",,"6.35","3.29","6.98","percent of total billed charges",,
"NF-Prograf Capsule 1MG","403782","CDM","Both",,,"9","4.5","Blue Cross Blue Shield","PPO",,,"71",,"6.35","3.29","6.98","percent of total billed charges",,
"NF-Prograf Capsule 1MG","403782","CDM","Both",,,"9","4.5","Ambetter","Health Exchange",,,"62",,"5.58","3.29","6.98","percent of total billed charges",,
"NF-Prograf Capsule 1MG","403782","CDM","Both",,,"9","4.5","Caresource","Health Exchange",,,"62",,"5.58","3.29","6.98","percent of total billed charges",,
"NF-Prograf Capsule 1MG","403782","CDM","Both",,,"9","4.5","Cigna","Commercial",,,"59",,"5.27","3.29","6.98","percent of total billed charges",,
"NF-Prograf Capsule 1MG","403782","CDM","Both",,,"9","4.5","Humana","Commercial",,,"78",,"6.98","3.29","6.98","percent of total billed charges",,
"NF-Prograf Capsule 1MG","403782","CDM","Both",,,"9","4.5","UHC","Commercial",,,"75",,"6.79","3.29","6.98","percent of total billed charges",,
"NF-Prograf Capsule 1MG","403782","CDM","Both",,,"9","4.5","Medicaid",,,,"37",,"3.29","3.29","6.98","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","403787","CDM","Both",,,"33","16.5","Alliant","Health Exchange",,,"62",,"20.46","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","403787","CDM","Both",,,"33","16.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.82","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","403787","CDM","Both",,,"33","16.5","Medicare",,,,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","403787","CDM","Both",,,"33","16.5","Humana","Medicare Advantage",,,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","403787","CDM","Both",,,"33","16.5","UHC","Medicare Advantage",,,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","403787","CDM","Both",,,"33","16.5","Clover","Medicare Advantage",,,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","403787","CDM","Both",,,"33","16.5","Wellcare","Medicare Advantage",,,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","403787","CDM","Both",,,"33","16.5","Amerigroup","Medicaid Managed Care",,,"37",,"12.08","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","403787","CDM","Both",,,"33","16.5","Caresource","Medicaid Managed Care",,,"40",,"13.2","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","403787","CDM","Both",,,"33","16.5","Wellcare","Medicaid Managed Care",,,"40",,"13.36","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","403787","CDM","Both",,,"33","16.5","Aetna","Commercial",,,"64",,"21.05","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","403787","CDM","Both",,,"33","16.5","Blue Cross Blue Shield","Pathways",,,"71",,"23.3","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","403787","CDM","Both",,,"33","16.5","Blue Cross Blue Shield","HMO",,,"71",,"23.3","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","403787","CDM","Both",,,"33","16.5","Blue Cross Blue Shield","PPO",,,"71",,"23.3","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","403787","CDM","Both",,,"33","16.5","Ambetter","Health Exchange",,,"62",,"20.46","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","403787","CDM","Both",,,"33","16.5","Caresource","Health Exchange",,,"62",,"20.46","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","403787","CDM","Both",,,"33","16.5","Cigna","Commercial",,,"59",,"19.34","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","403787","CDM","Both",,,"33","16.5","Humana","Commercial",,,"78",,"25.58","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","403787","CDM","Both",,,"33","16.5","UHC","Commercial",,,"75",,"24.88","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","403787","CDM","Both",,,"33","16.5","Medicaid",,,,"37",,"12.08","12.08","25.58","percent of total billed charges",,
"NF-Lisinopril-HCTZ Oral Tablet 20MG-25MG","403791","CDM","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Oral Tablet 20MG-25MG","403791","CDM","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Oral Tablet 20MG-25MG","403791","CDM","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Oral Tablet 20MG-25MG","403791","CDM","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Oral Tablet 20MG-25MG","403791","CDM","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Oral Tablet 20MG-25MG","403791","CDM","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Oral Tablet 20MG-25MG","403791","CDM","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Oral Tablet 20MG-25MG","403791","CDM","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Oral Tablet 20MG-25MG","403791","CDM","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Oral Tablet 20MG-25MG","403791","CDM","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Oral Tablet 20MG-25MG","403791","CDM","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Oral Tablet 20MG-25MG","403791","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Oral Tablet 20MG-25MG","403791","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Oral Tablet 20MG-25MG","403791","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Oral Tablet 20MG-25MG","403791","CDM","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Oral Tablet 20MG-25MG","403791","CDM","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Oral Tablet 20MG-25MG","403791","CDM","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Oral Tablet 20MG-25MG","403791","CDM","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Oral Tablet 20MG-25MG","403791","CDM","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Oral Tablet 20MG-25MG","403791","CDM","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril Tablet 40mg","403792","CDM","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-Lisinopril Tablet 40mg","403792","CDM","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","1.46","3.1","percent of total billed charges",,
"NF-Lisinopril Tablet 40mg","403792","CDM","Both",,,"4","2","Medicare",,,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Lisinopril Tablet 40mg","403792","CDM","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Lisinopril Tablet 40mg","403792","CDM","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Lisinopril Tablet 40mg","403792","CDM","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Lisinopril Tablet 40mg","403792","CDM","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Lisinopril Tablet 40mg","403792","CDM","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","1.46","3.1","percent of total billed charges",,
"NF-Lisinopril Tablet 40mg","403792","CDM","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","1.46","3.1","percent of total billed charges",,
"NF-Lisinopril Tablet 40mg","403792","CDM","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","1.46","3.1","percent of total billed charges",,
"NF-Lisinopril Tablet 40mg","403792","CDM","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","1.46","3.1","percent of total billed charges",,
"NF-Lisinopril Tablet 40mg","403792","CDM","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-Lisinopril Tablet 40mg","403792","CDM","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-Lisinopril Tablet 40mg","403792","CDM","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-Lisinopril Tablet 40mg","403792","CDM","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-Lisinopril Tablet 40mg","403792","CDM","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-Lisinopril Tablet 40mg","403792","CDM","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","1.46","3.1","percent of total billed charges",,
"NF-Lisinopril Tablet 40mg","403792","CDM","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","1.46","3.1","percent of total billed charges",,
"NF-Lisinopril Tablet 40mg","403792","CDM","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","1.46","3.1","percent of total billed charges",,
"NF-Lisinopril Tablet 40mg","403792","CDM","Both",,,"4","2","Medicaid",,,,"37",,"1.46","1.46","3.1","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","403793","CDM","Both",,,"52","26","Alliant","Health Exchange",,,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","403793","CDM","Both",,,"52","26","Pruitt Healthcare","Medicare Advantage",,,"54",,"28.08","19.03","40.3","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","403793","CDM","Both",,,"52","26","Medicare",,,,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","403793","CDM","Both",,,"52","26","Humana","Medicare Advantage",,,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","403793","CDM","Both",,,"52","26","UHC","Medicare Advantage",,,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","403793","CDM","Both",,,"52","26","Clover","Medicare Advantage",,,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","403793","CDM","Both",,,"52","26","Wellcare","Medicare Advantage",,,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","403793","CDM","Both",,,"52","26","Amerigroup","Medicaid Managed Care",,,"37",,"19.03","19.03","40.3","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","403793","CDM","Both",,,"52","26","Caresource","Medicaid Managed Care",,,"40",,"20.8","19.03","40.3","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","403793","CDM","Both",,,"52","26","Wellcare","Medicaid Managed Care",,,"40",,"21.06","19.03","40.3","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","403793","CDM","Both",,,"52","26","Aetna","Commercial",,,"64",,"33.18","19.03","40.3","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","403793","CDM","Both",,,"52","26","Blue Cross Blue Shield","Pathways",,,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","403793","CDM","Both",,,"52","26","Blue Cross Blue Shield","HMO",,,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","403793","CDM","Both",,,"52","26","Blue Cross Blue Shield","PPO",,,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","403793","CDM","Both",,,"52","26","Ambetter","Health Exchange",,,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","403793","CDM","Both",,,"52","26","Caresource","Health Exchange",,,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","403793","CDM","Both",,,"52","26","Cigna","Commercial",,,"59",,"30.47","19.03","40.3","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","403793","CDM","Both",,,"52","26","Humana","Commercial",,,"78",,"40.3","19.03","40.3","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","403793","CDM","Both",,,"52","26","UHC","Commercial",,,"75",,"39.21","19.03","40.3","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","403793","CDM","Both",,,"52","26","Medicaid",,,,"37",,"19.03","19.03","40.3","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","403796","CDM","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","403796","CDM","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","403796","CDM","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","403796","CDM","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","403796","CDM","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","403796","CDM","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","403796","CDM","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","403796","CDM","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","403796","CDM","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","403796","CDM","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","403796","CDM","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","403796","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","403796","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","403796","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","403796","CDM","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","403796","CDM","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","403796","CDM","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","403796","CDM","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","403796","CDM","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","403796","CDM","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403801","CDM","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403801","CDM","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403801","CDM","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403801","CDM","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403801","CDM","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403801","CDM","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403801","CDM","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403801","CDM","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403801","CDM","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403801","CDM","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403801","CDM","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403801","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403801","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403801","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403801","CDM","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403801","CDM","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403801","CDM","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403801","CDM","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403801","CDM","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403801","CDM","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","403805","CDM","Both",,,"15","7.5","Alliant","Health Exchange",,,"62",,"9.3","5.49","11.62","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","403805","CDM","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.1","5.49","11.62","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","403805","CDM","Both",,,"15","7.5","Medicare",,,,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","403805","CDM","Both",,,"15","7.5","Humana","Medicare Advantage",,,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","403805","CDM","Both",,,"15","7.5","UHC","Medicare Advantage",,,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","403805","CDM","Both",,,"15","7.5","Clover","Medicare Advantage",,,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","403805","CDM","Both",,,"15","7.5","Wellcare","Medicare Advantage",,,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","403805","CDM","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care",,,"37",,"5.49","5.49","11.62","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","403805","CDM","Both",,,"15","7.5","Caresource","Medicaid Managed Care",,,"40",,"6","5.49","11.62","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","403805","CDM","Both",,,"15","7.5","Wellcare","Medicaid Managed Care",,,"40",,"6.08","5.49","11.62","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","403805","CDM","Both",,,"15","7.5","Aetna","Commercial",,,"64",,"9.57","5.49","11.62","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","403805","CDM","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways",,,"71",,"10.59","5.49","11.62","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","403805","CDM","Both",,,"15","7.5","Blue Cross Blue Shield","HMO",,,"71",,"10.59","5.49","11.62","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","403805","CDM","Both",,,"15","7.5","Blue Cross Blue Shield","PPO",,,"71",,"10.59","5.49","11.62","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","403805","CDM","Both",,,"15","7.5","Ambetter","Health Exchange",,,"62",,"9.3","5.49","11.62","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","403805","CDM","Both",,,"15","7.5","Caresource","Health Exchange",,,"62",,"9.3","5.49","11.62","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","403805","CDM","Both",,,"15","7.5","Cigna","Commercial",,,"59",,"8.79","5.49","11.62","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","403805","CDM","Both",,,"15","7.5","Humana","Commercial",,,"78",,"11.62","5.49","11.62","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","403805","CDM","Both",,,"15","7.5","UHC","Commercial",,,"75",,"11.31","5.49","11.62","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tablet 5MG","403805","CDM","Both",,,"15","7.5","Medicaid",,,,"37",,"5.49","5.49","11.62","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tab 20MG","403806","CDM","Both",,,"20","10","Alliant","Health Exchange",,,"62",,"12.4","7.32","15.5","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tab 20MG","403806","CDM","Both",,,"20","10","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.8","7.32","15.5","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tab 20MG","403806","CDM","Both",,,"20","10","Medicare",,,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tab 20MG","403806","CDM","Both",,,"20","10","Humana","Medicare Advantage",,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tab 20MG","403806","CDM","Both",,,"20","10","UHC","Medicare Advantage",,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tab 20MG","403806","CDM","Both",,,"20","10","Clover","Medicare Advantage",,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tab 20MG","403806","CDM","Both",,,"20","10","Wellcare","Medicare Advantage",,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tab 20MG","403806","CDM","Both",,,"20","10","Amerigroup","Medicaid Managed Care",,,"37",,"7.32","7.32","15.5","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tab 20MG","403806","CDM","Both",,,"20","10","Caresource","Medicaid Managed Care",,,"40",,"8","7.32","15.5","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tab 20MG","403806","CDM","Both",,,"20","10","Wellcare","Medicaid Managed Care",,,"40",,"8.1","7.32","15.5","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tab 20MG","403806","CDM","Both",,,"20","10","Aetna","Commercial",,,"64",,"12.76","7.32","15.5","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tab 20MG","403806","CDM","Both",,,"20","10","Blue Cross Blue Shield","Pathways",,,"71",,"14.12","7.32","15.5","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tab 20MG","403806","CDM","Both",,,"20","10","Blue Cross Blue Shield","HMO",,,"71",,"14.12","7.32","15.5","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tab 20MG","403806","CDM","Both",,,"20","10","Blue Cross Blue Shield","PPO",,,"71",,"14.12","7.32","15.5","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tab 20MG","403806","CDM","Both",,,"20","10","Ambetter","Health Exchange",,,"62",,"12.4","7.32","15.5","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tab 20MG","403806","CDM","Both",,,"20","10","Caresource","Health Exchange",,,"62",,"12.4","7.32","15.5","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tab 20MG","403806","CDM","Both",,,"20","10","Cigna","Commercial",,,"59",,"11.72","7.32","15.5","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tab 20MG","403806","CDM","Both",,,"20","10","Humana","Commercial",,,"78",,"15.5","7.32","15.5","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tab 20MG","403806","CDM","Both",,,"20","10","UHC","Commercial",,,"75",,"15.08","7.32","15.5","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tab 20MG","403806","CDM","Both",,,"20","10","Medicaid",,,,"37",,"7.32","7.32","15.5","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tab 20MG","403807","CDM","Both",,,"20","10","Alliant","Health Exchange",,,"62",,"12.4","7.32","15.5","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tab 20MG","403807","CDM","Both",,,"20","10","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.8","7.32","15.5","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tab 20MG","403807","CDM","Both",,,"20","10","Medicare",,,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tab 20MG","403807","CDM","Both",,,"20","10","Humana","Medicare Advantage",,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tab 20MG","403807","CDM","Both",,,"20","10","UHC","Medicare Advantage",,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tab 20MG","403807","CDM","Both",,,"20","10","Clover","Medicare Advantage",,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tab 20MG","403807","CDM","Both",,,"20","10","Wellcare","Medicare Advantage",,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tab 20MG","403807","CDM","Both",,,"20","10","Amerigroup","Medicaid Managed Care",,,"37",,"7.32","7.32","15.5","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tab 20MG","403807","CDM","Both",,,"20","10","Caresource","Medicaid Managed Care",,,"40",,"8","7.32","15.5","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tab 20MG","403807","CDM","Both",,,"20","10","Wellcare","Medicaid Managed Care",,,"40",,"8.1","7.32","15.5","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tab 20MG","403807","CDM","Both",,,"20","10","Aetna","Commercial",,,"64",,"12.76","7.32","15.5","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tab 20MG","403807","CDM","Both",,,"20","10","Blue Cross Blue Shield","Pathways",,,"71",,"14.12","7.32","15.5","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tab 20MG","403807","CDM","Both",,,"20","10","Blue Cross Blue Shield","HMO",,,"71",,"14.12","7.32","15.5","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tab 20MG","403807","CDM","Both",,,"20","10","Blue Cross Blue Shield","PPO",,,"71",,"14.12","7.32","15.5","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tab 20MG","403807","CDM","Both",,,"20","10","Ambetter","Health Exchange",,,"62",,"12.4","7.32","15.5","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tab 20MG","403807","CDM","Both",,,"20","10","Caresource","Health Exchange",,,"62",,"12.4","7.32","15.5","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tab 20MG","403807","CDM","Both",,,"20","10","Cigna","Commercial",,,"59",,"11.72","7.32","15.5","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tab 20MG","403807","CDM","Both",,,"20","10","Humana","Commercial",,,"78",,"15.5","7.32","15.5","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tab 20MG","403807","CDM","Both",,,"20","10","UHC","Commercial",,,"75",,"15.08","7.32","15.5","percent of total billed charges",,
"NF-Olmesartan Medoxomil Oral Tab 20MG","403807","CDM","Both",,,"20","10","Medicaid",,,,"37",,"7.32","7.32","15.5","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","403809","CDM","Both",,,"60","30","Alliant","Health Exchange",,,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","403809","CDM","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage",,,"54",,"32.4","21.96","46.5","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","403809","CDM","Both",,,"60","30","Medicare",,,,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","403809","CDM","Both",,,"60","30","Humana","Medicare Advantage",,,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","403809","CDM","Both",,,"60","30","UHC","Medicare Advantage",,,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","403809","CDM","Both",,,"60","30","Clover","Medicare Advantage",,,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","403809","CDM","Both",,,"60","30","Wellcare","Medicare Advantage",,,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","403809","CDM","Both",,,"60","30","Amerigroup","Medicaid Managed Care",,,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","403809","CDM","Both",,,"60","30","Caresource","Medicaid Managed Care",,,"40",,"24","21.96","46.5","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","403809","CDM","Both",,,"60","30","Wellcare","Medicaid Managed Care",,,"40",,"24.3","21.96","46.5","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","403809","CDM","Both",,,"60","30","Aetna","Commercial",,,"64",,"38.28","21.96","46.5","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","403809","CDM","Both",,,"60","30","Blue Cross Blue Shield","Pathways",,,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","403809","CDM","Both",,,"60","30","Blue Cross Blue Shield","HMO",,,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","403809","CDM","Both",,,"60","30","Blue Cross Blue Shield","PPO",,,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","403809","CDM","Both",,,"60","30","Ambetter","Health Exchange",,,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","403809","CDM","Both",,,"60","30","Caresource","Health Exchange",,,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","403809","CDM","Both",,,"60","30","Cigna","Commercial",,,"59",,"35.16","21.96","46.5","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","403809","CDM","Both",,,"60","30","Humana","Commercial",,,"78",,"46.5","21.96","46.5","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","403809","CDM","Both",,,"60","30","UHC","Commercial",,,"75",,"45.24","21.96","46.5","percent of total billed charges",,
"NF-Tradjenta Oral Tablet 5MG","403809","CDM","Both",,,"60","30","Medicaid",,,,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","403810","CDM","Both",,,"133","66.5","Alliant","Health Exchange",,,"62",,"82.46","48.68","103.08","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","403810","CDM","Both",,,"133","66.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"71.82","48.68","103.08","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","403810","CDM","Both",,,"133","66.5","Medicare",,,,"54",,"72.09","48.68","103.08","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","403810","CDM","Both",,,"133","66.5","Humana","Medicare Advantage",,,"54",,"72.09","48.68","103.08","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","403810","CDM","Both",,,"133","66.5","UHC","Medicare Advantage",,,"54",,"72.09","48.68","103.08","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","403810","CDM","Both",,,"133","66.5","Clover","Medicare Advantage",,,"54",,"72.09","48.68","103.08","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","403810","CDM","Both",,,"133","66.5","Wellcare","Medicare Advantage",,,"54",,"72.09","48.68","103.08","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","403810","CDM","Both",,,"133","66.5","Amerigroup","Medicaid Managed Care",,,"37",,"48.68","48.68","103.08","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","403810","CDM","Both",,,"133","66.5","Caresource","Medicaid Managed Care",,,"40",,"53.2","48.68","103.08","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","403810","CDM","Both",,,"133","66.5","Wellcare","Medicaid Managed Care",,,"40",,"53.86","48.68","103.08","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","403810","CDM","Both",,,"133","66.5","Aetna","Commercial",,,"64",,"84.85","48.68","103.08","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","403810","CDM","Both",,,"133","66.5","Blue Cross Blue Shield","Pathways",,,"71",,"93.9","48.68","103.08","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","403810","CDM","Both",,,"133","66.5","Blue Cross Blue Shield","HMO",,,"71",,"93.9","48.68","103.08","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","403810","CDM","Both",,,"133","66.5","Blue Cross Blue Shield","PPO",,,"71",,"93.9","48.68","103.08","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","403810","CDM","Both",,,"133","66.5","Ambetter","Health Exchange",,,"62",,"82.46","48.68","103.08","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","403810","CDM","Both",,,"133","66.5","Caresource","Health Exchange",,,"62",,"82.46","48.68","103.08","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","403810","CDM","Both",,,"133","66.5","Cigna","Commercial",,,"59",,"77.94","48.68","103.08","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","403810","CDM","Both",,,"133","66.5","Humana","Commercial",,,"78",,"103.08","48.68","103.08","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","403810","CDM","Both",,,"133","66.5","UHC","Commercial",,,"75",,"100.28","48.68","103.08","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","403810","CDM","Both",,,"133","66.5","Medicaid",,,,"37",,"48.68","48.68","103.08","percent of total billed charges",,
"NF-losartan potassium-HCTZ Tab 100MG-25M","403813","CDM","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","3.66","7.75","percent of total billed charges",,
"NF-losartan potassium-HCTZ Tab 100MG-25M","403813","CDM","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","3.66","7.75","percent of total billed charges",,
"NF-losartan potassium-HCTZ Tab 100MG-25M","403813","CDM","Both",,,"10","5","Medicare",,,,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"NF-losartan potassium-HCTZ Tab 100MG-25M","403813","CDM","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"NF-losartan potassium-HCTZ Tab 100MG-25M","403813","CDM","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"NF-losartan potassium-HCTZ Tab 100MG-25M","403813","CDM","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"NF-losartan potassium-HCTZ Tab 100MG-25M","403813","CDM","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"NF-losartan potassium-HCTZ Tab 100MG-25M","403813","CDM","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","3.66","7.75","percent of total billed charges",,
"NF-losartan potassium-HCTZ Tab 100MG-25M","403813","CDM","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","3.66","7.75","percent of total billed charges",,
"NF-losartan potassium-HCTZ Tab 100MG-25M","403813","CDM","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","3.66","7.75","percent of total billed charges",,
"NF-losartan potassium-HCTZ Tab 100MG-25M","403813","CDM","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","3.66","7.75","percent of total billed charges",,
"NF-losartan potassium-HCTZ Tab 100MG-25M","403813","CDM","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","3.66","7.75","percent of total billed charges",,
"NF-losartan potassium-HCTZ Tab 100MG-25M","403813","CDM","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","3.66","7.75","percent of total billed charges",,
"NF-losartan potassium-HCTZ Tab 100MG-25M","403813","CDM","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","3.66","7.75","percent of total billed charges",,
"NF-losartan potassium-HCTZ Tab 100MG-25M","403813","CDM","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","3.66","7.75","percent of total billed charges",,
"NF-losartan potassium-HCTZ Tab 100MG-25M","403813","CDM","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","3.66","7.75","percent of total billed charges",,
"NF-losartan potassium-HCTZ Tab 100MG-25M","403813","CDM","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","3.66","7.75","percent of total billed charges",,
"NF-losartan potassium-HCTZ Tab 100MG-25M","403813","CDM","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","3.66","7.75","percent of total billed charges",,
"NF-losartan potassium-HCTZ Tab 100MG-25M","403813","CDM","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","3.66","7.75","percent of total billed charges",,
"NF-losartan potassium-HCTZ Tab 100MG-25M","403813","CDM","Both",,,"10","5","Medicaid",,,,"37",,"3.66","3.66","7.75","percent of total billed charges",,
"NF-ZyPREXA Tablet 5MG","403814","CDM","Both",,,"55","27.5","Alliant","Health Exchange",,,"62",,"34.1","20.13","42.62","percent of total billed charges",,
"NF-ZyPREXA Tablet 5MG","403814","CDM","Both",,,"55","27.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"29.7","20.13","42.62","percent of total billed charges",,
"NF-ZyPREXA Tablet 5MG","403814","CDM","Both",,,"55","27.5","Medicare",,,,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"NF-ZyPREXA Tablet 5MG","403814","CDM","Both",,,"55","27.5","Humana","Medicare Advantage",,,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"NF-ZyPREXA Tablet 5MG","403814","CDM","Both",,,"55","27.5","UHC","Medicare Advantage",,,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"NF-ZyPREXA Tablet 5MG","403814","CDM","Both",,,"55","27.5","Clover","Medicare Advantage",,,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"NF-ZyPREXA Tablet 5MG","403814","CDM","Both",,,"55","27.5","Wellcare","Medicare Advantage",,,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"NF-ZyPREXA Tablet 5MG","403814","CDM","Both",,,"55","27.5","Amerigroup","Medicaid Managed Care",,,"37",,"20.13","20.13","42.62","percent of total billed charges",,
"NF-ZyPREXA Tablet 5MG","403814","CDM","Both",,,"55","27.5","Caresource","Medicaid Managed Care",,,"40",,"22","20.13","42.62","percent of total billed charges",,
"NF-ZyPREXA Tablet 5MG","403814","CDM","Both",,,"55","27.5","Wellcare","Medicaid Managed Care",,,"40",,"22.28","20.13","42.62","percent of total billed charges",,
"NF-ZyPREXA Tablet 5MG","403814","CDM","Both",,,"55","27.5","Aetna","Commercial",,,"64",,"35.09","20.13","42.62","percent of total billed charges",,
"NF-ZyPREXA Tablet 5MG","403814","CDM","Both",,,"55","27.5","Blue Cross Blue Shield","Pathways",,,"71",,"38.83","20.13","42.62","percent of total billed charges",,
"NF-ZyPREXA Tablet 5MG","403814","CDM","Both",,,"55","27.5","Blue Cross Blue Shield","HMO",,,"71",,"38.83","20.13","42.62","percent of total billed charges",,
"NF-ZyPREXA Tablet 5MG","403814","CDM","Both",,,"55","27.5","Blue Cross Blue Shield","PPO",,,"71",,"38.83","20.13","42.62","percent of total billed charges",,
"NF-ZyPREXA Tablet 5MG","403814","CDM","Both",,,"55","27.5","Ambetter","Health Exchange",,,"62",,"34.1","20.13","42.62","percent of total billed charges",,
"NF-ZyPREXA Tablet 5MG","403814","CDM","Both",,,"55","27.5","Caresource","Health Exchange",,,"62",,"34.1","20.13","42.62","percent of total billed charges",,
"NF-ZyPREXA Tablet 5MG","403814","CDM","Both",,,"55","27.5","Cigna","Commercial",,,"59",,"32.23","20.13","42.62","percent of total billed charges",,
"NF-ZyPREXA Tablet 5MG","403814","CDM","Both",,,"55","27.5","Humana","Commercial",,,"78",,"42.62","20.13","42.62","percent of total billed charges",,
"NF-ZyPREXA Tablet 5MG","403814","CDM","Both",,,"55","27.5","UHC","Commercial",,,"75",,"41.47","20.13","42.62","percent of total billed charges",,
"NF-ZyPREXA Tablet 5MG","403814","CDM","Both",,,"55","27.5","Medicaid",,,,"37",,"20.13","20.13","42.62","percent of total billed charges",,
"NF-Zocor Oral Tablet 20MG","403817","CDM","Both",,,"30","15","Alliant","Health Exchange",,,"62",,"18.6","10.98","23.25","percent of total billed charges",,
"NF-Zocor Oral Tablet 20MG","403817","CDM","Both",,,"30","15","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.2","10.98","23.25","percent of total billed charges",,
"NF-Zocor Oral Tablet 20MG","403817","CDM","Both",,,"30","15","Medicare",,,,"54",,"16.26","10.98","23.25","percent of total billed charges",,
"NF-Zocor Oral Tablet 20MG","403817","CDM","Both",,,"30","15","Humana","Medicare Advantage",,,"54",,"16.26","10.98","23.25","percent of total billed charges",,
"NF-Zocor Oral Tablet 20MG","403817","CDM","Both",,,"30","15","UHC","Medicare Advantage",,,"54",,"16.26","10.98","23.25","percent of total billed charges",,
"NF-Zocor Oral Tablet 20MG","403817","CDM","Both",,,"30","15","Clover","Medicare Advantage",,,"54",,"16.26","10.98","23.25","percent of total billed charges",,
"NF-Zocor Oral Tablet 20MG","403817","CDM","Both",,,"30","15","Wellcare","Medicare Advantage",,,"54",,"16.26","10.98","23.25","percent of total billed charges",,
"NF-Zocor Oral Tablet 20MG","403817","CDM","Both",,,"30","15","Amerigroup","Medicaid Managed Care",,,"37",,"10.98","10.98","23.25","percent of total billed charges",,
"NF-Zocor Oral Tablet 20MG","403817","CDM","Both",,,"30","15","Caresource","Medicaid Managed Care",,,"40",,"12","10.98","23.25","percent of total billed charges",,
"NF-Zocor Oral Tablet 20MG","403817","CDM","Both",,,"30","15","Wellcare","Medicaid Managed Care",,,"40",,"12.15","10.98","23.25","percent of total billed charges",,
"NF-Zocor Oral Tablet 20MG","403817","CDM","Both",,,"30","15","Aetna","Commercial",,,"64",,"19.14","10.98","23.25","percent of total billed charges",,
"NF-Zocor Oral Tablet 20MG","403817","CDM","Both",,,"30","15","Blue Cross Blue Shield","Pathways",,,"71",,"21.18","10.98","23.25","percent of total billed charges",,
"NF-Zocor Oral Tablet 20MG","403817","CDM","Both",,,"30","15","Blue Cross Blue Shield","HMO",,,"71",,"21.18","10.98","23.25","percent of total billed charges",,
"NF-Zocor Oral Tablet 20MG","403817","CDM","Both",,,"30","15","Blue Cross Blue Shield","PPO",,,"71",,"21.18","10.98","23.25","percent of total billed charges",,
"NF-Zocor Oral Tablet 20MG","403817","CDM","Both",,,"30","15","Ambetter","Health Exchange",,,"62",,"18.6","10.98","23.25","percent of total billed charges",,
"NF-Zocor Oral Tablet 20MG","403817","CDM","Both",,,"30","15","Caresource","Health Exchange",,,"62",,"18.6","10.98","23.25","percent of total billed charges",,
"NF-Zocor Oral Tablet 20MG","403817","CDM","Both",,,"30","15","Cigna","Commercial",,,"59",,"17.58","10.98","23.25","percent of total billed charges",,
"NF-Zocor Oral Tablet 20MG","403817","CDM","Both",,,"30","15","Humana","Commercial",,,"78",,"23.25","10.98","23.25","percent of total billed charges",,
"NF-Zocor Oral Tablet 20MG","403817","CDM","Both",,,"30","15","UHC","Commercial",,,"75",,"22.62","10.98","23.25","percent of total billed charges",,
"NF-Zocor Oral Tablet 20MG","403817","CDM","Both",,,"30","15","Medicaid",,,,"37",,"10.98","10.98","23.25","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","403820","CDM","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","3.66","7.75","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","403820","CDM","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","3.66","7.75","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","403820","CDM","Both",,,"10","5","Medicare",,,,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","403820","CDM","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","403820","CDM","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","403820","CDM","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","403820","CDM","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","403820","CDM","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","3.66","7.75","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","403820","CDM","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","3.66","7.75","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","403820","CDM","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","3.66","7.75","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","403820","CDM","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","3.66","7.75","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","403820","CDM","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","3.66","7.75","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","403820","CDM","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","3.66","7.75","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","403820","CDM","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","3.66","7.75","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","403820","CDM","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","3.66","7.75","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","403820","CDM","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","3.66","7.75","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","403820","CDM","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","3.66","7.75","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","403820","CDM","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","3.66","7.75","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","403820","CDM","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","3.66","7.75","percent of total billed charges",,
"NF-Azelastine HCl Nasal Spray 137MCG/1IN","403820","CDM","Both",,,"10","5","Medicaid",,,,"37",,"3.66","3.66","7.75","percent of total billed charges",,
"NF-Drisdol Oral LiquidFilledCapsule 5000","403823","CDM","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","3.66","7.75","percent of total billed charges",,
"NF-Drisdol Oral LiquidFilledCapsule 5000","403823","CDM","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","3.66","7.75","percent of total billed charges",,
"NF-Drisdol Oral LiquidFilledCapsule 5000","403823","CDM","Both",,,"10","5","Medicare",,,,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"NF-Drisdol Oral LiquidFilledCapsule 5000","403823","CDM","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"NF-Drisdol Oral LiquidFilledCapsule 5000","403823","CDM","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"NF-Drisdol Oral LiquidFilledCapsule 5000","403823","CDM","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"NF-Drisdol Oral LiquidFilledCapsule 5000","403823","CDM","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"NF-Drisdol Oral LiquidFilledCapsule 5000","403823","CDM","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","3.66","7.75","percent of total billed charges",,
"NF-Drisdol Oral LiquidFilledCapsule 5000","403823","CDM","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","3.66","7.75","percent of total billed charges",,
"NF-Drisdol Oral LiquidFilledCapsule 5000","403823","CDM","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","3.66","7.75","percent of total billed charges",,
"NF-Drisdol Oral LiquidFilledCapsule 5000","403823","CDM","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","3.66","7.75","percent of total billed charges",,
"NF-Drisdol Oral LiquidFilledCapsule 5000","403823","CDM","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","3.66","7.75","percent of total billed charges",,
"NF-Drisdol Oral LiquidFilledCapsule 5000","403823","CDM","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","3.66","7.75","percent of total billed charges",,
"NF-Drisdol Oral LiquidFilledCapsule 5000","403823","CDM","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","3.66","7.75","percent of total billed charges",,
"NF-Drisdol Oral LiquidFilledCapsule 5000","403823","CDM","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","3.66","7.75","percent of total billed charges",,
"NF-Drisdol Oral LiquidFilledCapsule 5000","403823","CDM","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","3.66","7.75","percent of total billed charges",,
"NF-Drisdol Oral LiquidFilledCapsule 5000","403823","CDM","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","3.66","7.75","percent of total billed charges",,
"NF-Drisdol Oral LiquidFilledCapsule 5000","403823","CDM","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","3.66","7.75","percent of total billed charges",,
"NF-Drisdol Oral LiquidFilledCapsule 5000","403823","CDM","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","3.66","7.75","percent of total billed charges",,
"NF-Drisdol Oral LiquidFilledCapsule 5000","403823","CDM","Both",,,"10","5","Medicaid",,,,"37",,"3.66","3.66","7.75","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","403832","CDM","Both",,,"68","34","Alliant","Health Exchange",,,"62",,"42.16","24.89","52.7","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","403832","CDM","Both",,,"68","34","Pruitt Healthcare","Medicare Advantage",,,"54",,"36.72","24.89","52.7","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","403832","CDM","Both",,,"68","34","Medicare",,,,"54",,"36.86","24.89","52.7","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","403832","CDM","Both",,,"68","34","Humana","Medicare Advantage",,,"54",,"36.86","24.89","52.7","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","403832","CDM","Both",,,"68","34","UHC","Medicare Advantage",,,"54",,"36.86","24.89","52.7","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","403832","CDM","Both",,,"68","34","Clover","Medicare Advantage",,,"54",,"36.86","24.89","52.7","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","403832","CDM","Both",,,"68","34","Wellcare","Medicare Advantage",,,"54",,"36.86","24.89","52.7","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","403832","CDM","Both",,,"68","34","Amerigroup","Medicaid Managed Care",,,"37",,"24.89","24.89","52.7","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","403832","CDM","Both",,,"68","34","Caresource","Medicaid Managed Care",,,"40",,"27.2","24.89","52.7","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","403832","CDM","Both",,,"68","34","Wellcare","Medicaid Managed Care",,,"40",,"27.54","24.89","52.7","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","403832","CDM","Both",,,"68","34","Aetna","Commercial",,,"64",,"43.38","24.89","52.7","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","403832","CDM","Both",,,"68","34","Blue Cross Blue Shield","Pathways",,,"71",,"48.01","24.89","52.7","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","403832","CDM","Both",,,"68","34","Blue Cross Blue Shield","HMO",,,"71",,"48.01","24.89","52.7","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","403832","CDM","Both",,,"68","34","Blue Cross Blue Shield","PPO",,,"71",,"48.01","24.89","52.7","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","403832","CDM","Both",,,"68","34","Ambetter","Health Exchange",,,"62",,"42.16","24.89","52.7","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","403832","CDM","Both",,,"68","34","Caresource","Health Exchange",,,"62",,"42.16","24.89","52.7","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","403832","CDM","Both",,,"68","34","Cigna","Commercial",,,"59",,"39.85","24.89","52.7","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","403832","CDM","Both",,,"68","34","Humana","Commercial",,,"78",,"52.7","24.89","52.7","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","403832","CDM","Both",,,"68","34","UHC","Commercial",,,"75",,"51.27","24.89","52.7","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","403832","CDM","Both",,,"68","34","Medicaid",,,,"37",,"24.89","24.89","52.7","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","403838","CDM","Both",,,"33","16.5","Alliant","Health Exchange",,,"62",,"20.46","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","403838","CDM","Both",,,"33","16.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.82","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","403838","CDM","Both",,,"33","16.5","Medicare",,,,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","403838","CDM","Both",,,"33","16.5","Humana","Medicare Advantage",,,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","403838","CDM","Both",,,"33","16.5","UHC","Medicare Advantage",,,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","403838","CDM","Both",,,"33","16.5","Clover","Medicare Advantage",,,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","403838","CDM","Both",,,"33","16.5","Wellcare","Medicare Advantage",,,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","403838","CDM","Both",,,"33","16.5","Amerigroup","Medicaid Managed Care",,,"37",,"12.08","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","403838","CDM","Both",,,"33","16.5","Caresource","Medicaid Managed Care",,,"40",,"13.2","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","403838","CDM","Both",,,"33","16.5","Wellcare","Medicaid Managed Care",,,"40",,"13.36","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","403838","CDM","Both",,,"33","16.5","Aetna","Commercial",,,"64",,"21.05","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","403838","CDM","Both",,,"33","16.5","Blue Cross Blue Shield","Pathways",,,"71",,"23.3","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","403838","CDM","Both",,,"33","16.5","Blue Cross Blue Shield","HMO",,,"71",,"23.3","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","403838","CDM","Both",,,"33","16.5","Blue Cross Blue Shield","PPO",,,"71",,"23.3","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","403838","CDM","Both",,,"33","16.5","Ambetter","Health Exchange",,,"62",,"20.46","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","403838","CDM","Both",,,"33","16.5","Caresource","Health Exchange",,,"62",,"20.46","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","403838","CDM","Both",,,"33","16.5","Cigna","Commercial",,,"59",,"19.34","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","403838","CDM","Both",,,"33","16.5","Humana","Commercial",,,"78",,"25.58","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","403838","CDM","Both",,,"33","16.5","UHC","Commercial",,,"75",,"24.88","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","403838","CDM","Both",,,"33","16.5","Medicaid",,,,"37",,"12.08","12.08","25.58","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","403839","CDM","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","403839","CDM","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","403839","CDM","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","403839","CDM","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","403839","CDM","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","403839","CDM","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","403839","CDM","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","403839","CDM","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","403839","CDM","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","403839","CDM","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","403839","CDM","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","403839","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","403839","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","403839","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","403839","CDM","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","403839","CDM","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","403839","CDM","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","403839","CDM","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","403839","CDM","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","403839","CDM","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403843","CDM","Both",,,"62","31","Alliant","Health Exchange",,,"62",,"38.44","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403843","CDM","Both",,,"62","31","Pruitt Healthcare","Medicare Advantage",,,"54",,"33.48","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403843","CDM","Both",,,"62","31","Medicare",,,,"54",,"33.6","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403843","CDM","Both",,,"62","31","Humana","Medicare Advantage",,,"54",,"33.6","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403843","CDM","Both",,,"62","31","UHC","Medicare Advantage",,,"54",,"33.6","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403843","CDM","Both",,,"62","31","Clover","Medicare Advantage",,,"54",,"33.6","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403843","CDM","Both",,,"62","31","Wellcare","Medicare Advantage",,,"54",,"33.6","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403843","CDM","Both",,,"62","31","Amerigroup","Medicaid Managed Care",,,"37",,"22.69","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403843","CDM","Both",,,"62","31","Caresource","Medicaid Managed Care",,,"40",,"24.8","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403843","CDM","Both",,,"62","31","Wellcare","Medicaid Managed Care",,,"40",,"25.11","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403843","CDM","Both",,,"62","31","Aetna","Commercial",,,"64",,"39.56","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403843","CDM","Both",,,"62","31","Blue Cross Blue Shield","Pathways",,,"71",,"43.77","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403843","CDM","Both",,,"62","31","Blue Cross Blue Shield","HMO",,,"71",,"43.77","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403843","CDM","Both",,,"62","31","Blue Cross Blue Shield","PPO",,,"71",,"43.77","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403843","CDM","Both",,,"62","31","Ambetter","Health Exchange",,,"62",,"38.44","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403843","CDM","Both",,,"62","31","Caresource","Health Exchange",,,"62",,"38.44","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403843","CDM","Both",,,"62","31","Cigna","Commercial",,,"59",,"36.33","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403843","CDM","Both",,,"62","31","Humana","Commercial",,,"78",,"48.05","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403843","CDM","Both",,,"62","31","UHC","Commercial",,,"75",,"46.75","22.69","48.05","percent of total billed charges",,
"NF-Januvia Oral Tablet 100MG","403843","CDM","Both",,,"62","31","Medicaid",,,,"37",,"22.69","22.69","48.05","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","403865","CDM","Both",,,"40","20","Alliant","Health Exchange",,,"62",,"24.8","14.64","31","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","403865","CDM","Both",,,"40","20","Pruitt Healthcare","Medicare Advantage",,,"54",,"21.6","14.64","31","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","403865","CDM","Both",,,"40","20","Medicare",,,,"54",,"21.68","14.64","31","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","403865","CDM","Both",,,"40","20","Humana","Medicare Advantage",,,"54",,"21.68","14.64","31","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","403865","CDM","Both",,,"40","20","UHC","Medicare Advantage",,,"54",,"21.68","14.64","31","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","403865","CDM","Both",,,"40","20","Clover","Medicare Advantage",,,"54",,"21.68","14.64","31","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","403865","CDM","Both",,,"40","20","Wellcare","Medicare Advantage",,,"54",,"21.68","14.64","31","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","403865","CDM","Both",,,"40","20","Amerigroup","Medicaid Managed Care",,,"37",,"14.64","14.64","31","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","403865","CDM","Both",,,"40","20","Caresource","Medicaid Managed Care",,,"40",,"16","14.64","31","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","403865","CDM","Both",,,"40","20","Wellcare","Medicaid Managed Care",,,"40",,"16.2","14.64","31","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","403865","CDM","Both",,,"40","20","Aetna","Commercial",,,"64",,"25.52","14.64","31","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","403865","CDM","Both",,,"40","20","Blue Cross Blue Shield","Pathways",,,"71",,"28.24","14.64","31","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","403865","CDM","Both",,,"40","20","Blue Cross Blue Shield","HMO",,,"71",,"28.24","14.64","31","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","403865","CDM","Both",,,"40","20","Blue Cross Blue Shield","PPO",,,"71",,"28.24","14.64","31","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","403865","CDM","Both",,,"40","20","Ambetter","Health Exchange",,,"62",,"24.8","14.64","31","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","403865","CDM","Both",,,"40","20","Caresource","Health Exchange",,,"62",,"24.8","14.64","31","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","403865","CDM","Both",,,"40","20","Cigna","Commercial",,,"59",,"23.44","14.64","31","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","403865","CDM","Both",,,"40","20","Humana","Commercial",,,"78",,"31","14.64","31","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","403865","CDM","Both",,,"40","20","UHC","Commercial",,,"75",,"30.16","14.64","31","percent of total billed charges",,
"NF-Anastrozole Oral Tablet 1MG","403865","CDM","Both",,,"40","20","Medicaid",,,,"37",,"14.64","14.64","31","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","403870","CDM","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","403870","CDM","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","403870","CDM","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","403870","CDM","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","403870","CDM","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","403870","CDM","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","403870","CDM","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","403870","CDM","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","403870","CDM","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","403870","CDM","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","403870","CDM","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","403870","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","403870","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","403870","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","403870","CDM","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","403870","CDM","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","403870","CDM","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","403870","CDM","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","403870","CDM","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","1.1","2.33","percent of total billed charges",,
"NF-Bumetanide Oral Tablet 1MG","403870","CDM","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","1.1","2.33","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","403878","CDM","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","403878","CDM","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","1.46","3.1","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","403878","CDM","Both",,,"4","2","Medicare",,,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","403878","CDM","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","403878","CDM","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","403878","CDM","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","403878","CDM","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","403878","CDM","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","1.46","3.1","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","403878","CDM","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","1.46","3.1","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","403878","CDM","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","1.46","3.1","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","403878","CDM","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","1.46","3.1","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","403878","CDM","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","403878","CDM","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","403878","CDM","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","403878","CDM","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","403878","CDM","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","403878","CDM","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","1.46","3.1","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","403878","CDM","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","1.46","3.1","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","403878","CDM","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","1.46","3.1","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","403878","CDM","Both",,,"4","2","Medicaid",,,,"37",,"1.46","1.46","3.1","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403888","CDM","Both",,,"157","78.5","Alliant","Health Exchange",,,"62",,"97.34","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403888","CDM","Both",,,"157","78.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"84.78","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403888","CDM","Both",,,"157","78.5","Medicare",,,,"54",,"85.09","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403888","CDM","Both",,,"157","78.5","Humana","Medicare Advantage",,,"54",,"85.09","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403888","CDM","Both",,,"157","78.5","UHC","Medicare Advantage",,,"54",,"85.09","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403888","CDM","Both",,,"157","78.5","Clover","Medicare Advantage",,,"54",,"85.09","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403888","CDM","Both",,,"157","78.5","Wellcare","Medicare Advantage",,,"54",,"85.09","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403888","CDM","Both",,,"157","78.5","Amerigroup","Medicaid Managed Care",,,"37",,"57.46","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403888","CDM","Both",,,"157","78.5","Caresource","Medicaid Managed Care",,,"40",,"62.8","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403888","CDM","Both",,,"157","78.5","Wellcare","Medicaid Managed Care",,,"40",,"63.58","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403888","CDM","Both",,,"157","78.5","Aetna","Commercial",,,"64",,"100.17","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403888","CDM","Both",,,"157","78.5","Blue Cross Blue Shield","Pathways",,,"71",,"110.84","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403888","CDM","Both",,,"157","78.5","Blue Cross Blue Shield","HMO",,,"71",,"110.84","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403888","CDM","Both",,,"157","78.5","Blue Cross Blue Shield","PPO",,,"71",,"110.84","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403888","CDM","Both",,,"157","78.5","Ambetter","Health Exchange",,,"62",,"97.34","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403888","CDM","Both",,,"157","78.5","Caresource","Health Exchange",,,"62",,"97.34","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403888","CDM","Both",,,"157","78.5","Cigna","Commercial",,,"59",,"92","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403888","CDM","Both",,,"157","78.5","Humana","Commercial",,,"78",,"121.68","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403888","CDM","Both",,,"157","78.5","UHC","Commercial",,,"75",,"118.38","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403888","CDM","Both",,,"157","78.5","Medicaid",,,,"37",,"57.46","57.46","121.68","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Solution 0","403899","CDM","Both",,,"19","9.5","Alliant","Health Exchange",,,"62",,"11.78","6.95","14.72","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Solution 0","403899","CDM","Both",,,"19","9.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.26","6.95","14.72","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Solution 0","403899","CDM","Both",,,"19","9.5","Medicare",,,,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Solution 0","403899","CDM","Both",,,"19","9.5","Humana","Medicare Advantage",,,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Solution 0","403899","CDM","Both",,,"19","9.5","UHC","Medicare Advantage",,,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Solution 0","403899","CDM","Both",,,"19","9.5","Clover","Medicare Advantage",,,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Solution 0","403899","CDM","Both",,,"19","9.5","Wellcare","Medicare Advantage",,,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Solution 0","403899","CDM","Both",,,"19","9.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.95","6.95","14.72","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Solution 0","403899","CDM","Both",,,"19","9.5","Caresource","Medicaid Managed Care",,,"40",,"7.6","6.95","14.72","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Solution 0","403899","CDM","Both",,,"19","9.5","Wellcare","Medicaid Managed Care",,,"40",,"7.7","6.95","14.72","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Solution 0","403899","CDM","Both",,,"19","9.5","Aetna","Commercial",,,"64",,"12.12","6.95","14.72","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Solution 0","403899","CDM","Both",,,"19","9.5","Blue Cross Blue Shield","Pathways",,,"71",,"13.41","6.95","14.72","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Solution 0","403899","CDM","Both",,,"19","9.5","Blue Cross Blue Shield","HMO",,,"71",,"13.41","6.95","14.72","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Solution 0","403899","CDM","Both",,,"19","9.5","Blue Cross Blue Shield","PPO",,,"71",,"13.41","6.95","14.72","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Solution 0","403899","CDM","Both",,,"19","9.5","Ambetter","Health Exchange",,,"62",,"11.78","6.95","14.72","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Solution 0","403899","CDM","Both",,,"19","9.5","Caresource","Health Exchange",,,"62",,"11.78","6.95","14.72","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Solution 0","403899","CDM","Both",,,"19","9.5","Cigna","Commercial",,,"59",,"11.13","6.95","14.72","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Solution 0","403899","CDM","Both",,,"19","9.5","Humana","Commercial",,,"78",,"14.72","6.95","14.72","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Solution 0","403899","CDM","Both",,,"19","9.5","UHC","Commercial",,,"75",,"14.33","6.95","14.72","percent of total billed charges",,
"NF-Brimonidine Tartrate Ophth Solution 0","403899","CDM","Both",,,"19","9.5","Medicaid",,,,"37",,"6.95","6.95","14.72","percent of total billed charges",,
"NF-Pindolol Oral Tablet 10MG","403921","CDM","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"NF-Pindolol Oral Tablet 10MG","403921","CDM","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","2.93","6.2","percent of total billed charges",,
"NF-Pindolol Oral Tablet 10MG","403921","CDM","Both",,,"8","4","Medicare",,,,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"NF-Pindolol Oral Tablet 10MG","403921","CDM","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"NF-Pindolol Oral Tablet 10MG","403921","CDM","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"NF-Pindolol Oral Tablet 10MG","403921","CDM","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"NF-Pindolol Oral Tablet 10MG","403921","CDM","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"NF-Pindolol Oral Tablet 10MG","403921","CDM","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","2.93","6.2","percent of total billed charges",,
"NF-Pindolol Oral Tablet 10MG","403921","CDM","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","2.93","6.2","percent of total billed charges",,
"NF-Pindolol Oral Tablet 10MG","403921","CDM","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","2.93","6.2","percent of total billed charges",,
"NF-Pindolol Oral Tablet 10MG","403921","CDM","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","2.93","6.2","percent of total billed charges",,
"NF-Pindolol Oral Tablet 10MG","403921","CDM","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"NF-Pindolol Oral Tablet 10MG","403921","CDM","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"NF-Pindolol Oral Tablet 10MG","403921","CDM","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"NF-Pindolol Oral Tablet 10MG","403921","CDM","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"NF-Pindolol Oral Tablet 10MG","403921","CDM","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"NF-Pindolol Oral Tablet 10MG","403921","CDM","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","2.93","6.2","percent of total billed charges",,
"NF-Pindolol Oral Tablet 10MG","403921","CDM","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","2.93","6.2","percent of total billed charges",,
"NF-Pindolol Oral Tablet 10MG","403921","CDM","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","2.93","6.2","percent of total billed charges",,
"NF-Pindolol Oral Tablet 10MG","403921","CDM","Both",,,"8","4","Medicaid",,,,"37",,"2.93","2.93","6.2","percent of total billed charges",,
"NF-Pindolol Oral Tablet 10MG","403922","CDM","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"NF-Pindolol Oral Tablet 10MG","403922","CDM","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","2.93","6.2","percent of total billed charges",,
"NF-Pindolol Oral Tablet 10MG","403922","CDM","Both",,,"8","4","Medicare",,,,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"NF-Pindolol Oral Tablet 10MG","403922","CDM","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"NF-Pindolol Oral Tablet 10MG","403922","CDM","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"NF-Pindolol Oral Tablet 10MG","403922","CDM","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"NF-Pindolol Oral Tablet 10MG","403922","CDM","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"NF-Pindolol Oral Tablet 10MG","403922","CDM","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","2.93","6.2","percent of total billed charges",,
"NF-Pindolol Oral Tablet 10MG","403922","CDM","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","2.93","6.2","percent of total billed charges",,
"NF-Pindolol Oral Tablet 10MG","403922","CDM","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","2.93","6.2","percent of total billed charges",,
"NF-Pindolol Oral Tablet 10MG","403922","CDM","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","2.93","6.2","percent of total billed charges",,
"NF-Pindolol Oral Tablet 10MG","403922","CDM","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"NF-Pindolol Oral Tablet 10MG","403922","CDM","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"NF-Pindolol Oral Tablet 10MG","403922","CDM","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"NF-Pindolol Oral Tablet 10MG","403922","CDM","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"NF-Pindolol Oral Tablet 10MG","403922","CDM","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"NF-Pindolol Oral Tablet 10MG","403922","CDM","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","2.93","6.2","percent of total billed charges",,
"NF-Pindolol Oral Tablet 10MG","403922","CDM","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","2.93","6.2","percent of total billed charges",,
"NF-Pindolol Oral Tablet 10MG","403922","CDM","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","2.93","6.2","percent of total billed charges",,
"NF-Pindolol Oral Tablet 10MG","403922","CDM","Both",,,"8","4","Medicaid",,,,"37",,"2.93","2.93","6.2","percent of total billed charges",,
"NF-Potassium Chloride Oral Soln 20MEQ/15","403930","CDM","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.73","1.55","percent of total billed charges",,
"NF-Potassium Chloride Oral Soln 20MEQ/15","403930","CDM","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Potassium Chloride Oral Soln 20MEQ/15","403930","CDM","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Potassium Chloride Oral Soln 20MEQ/15","403930","CDM","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Potassium Chloride Oral Soln 20MEQ/15","403930","CDM","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Potassium Chloride Oral Soln 20MEQ/15","403930","CDM","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Potassium Chloride Oral Soln 20MEQ/15","403930","CDM","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Potassium Chloride Oral Soln 20MEQ/15","403930","CDM","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.73","1.55","percent of total billed charges",,
"NF-Potassium Chloride Oral Soln 20MEQ/15","403930","CDM","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.73","1.55","percent of total billed charges",,
"NF-Potassium Chloride Oral Soln 20MEQ/15","403930","CDM","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.73","1.55","percent of total billed charges",,
"NF-Potassium Chloride Oral Soln 20MEQ/15","403930","CDM","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.73","1.55","percent of total billed charges",,
"NF-Potassium Chloride Oral Soln 20MEQ/15","403930","CDM","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.73","1.55","percent of total billed charges",,
"NF-Potassium Chloride Oral Soln 20MEQ/15","403930","CDM","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.73","1.55","percent of total billed charges",,
"NF-Potassium Chloride Oral Soln 20MEQ/15","403930","CDM","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.73","1.55","percent of total billed charges",,
"NF-Potassium Chloride Oral Soln 20MEQ/15","403930","CDM","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.73","1.55","percent of total billed charges",,
"NF-Potassium Chloride Oral Soln 20MEQ/15","403930","CDM","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.73","1.55","percent of total billed charges",,
"NF-Potassium Chloride Oral Soln 20MEQ/15","403930","CDM","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.73","1.55","percent of total billed charges",,
"NF-Potassium Chloride Oral Soln 20MEQ/15","403930","CDM","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.73","1.55","percent of total billed charges",,
"NF-Potassium Chloride Oral Soln 20MEQ/15","403930","CDM","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.73","1.55","percent of total billed charges",,
"NF-Potassium Chloride Oral Soln 20MEQ/15","403930","CDM","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.73","1.55","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 80MG","403934","CDM","Both",,,"17","8.5","Alliant","Health Exchange",,,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 80MG","403934","CDM","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.18","6.22","13.18","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 80MG","403934","CDM","Both",,,"17","8.5","Medicare",,,,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 80MG","403934","CDM","Both",,,"17","8.5","Humana","Medicare Advantage",,,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 80MG","403934","CDM","Both",,,"17","8.5","UHC","Medicare Advantage",,,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 80MG","403934","CDM","Both",,,"17","8.5","Clover","Medicare Advantage",,,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 80MG","403934","CDM","Both",,,"17","8.5","Wellcare","Medicare Advantage",,,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 80MG","403934","CDM","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.22","6.22","13.18","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 80MG","403934","CDM","Both",,,"17","8.5","Caresource","Medicaid Managed Care",,,"40",,"6.8","6.22","13.18","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 80MG","403934","CDM","Both",,,"17","8.5","Wellcare","Medicaid Managed Care",,,"40",,"6.89","6.22","13.18","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 80MG","403934","CDM","Both",,,"17","8.5","Aetna","Commercial",,,"64",,"10.85","6.22","13.18","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 80MG","403934","CDM","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways",,,"71",,"12","6.22","13.18","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 80MG","403934","CDM","Both",,,"17","8.5","Blue Cross Blue Shield","HMO",,,"71",,"12","6.22","13.18","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 80MG","403934","CDM","Both",,,"17","8.5","Blue Cross Blue Shield","PPO",,,"71",,"12","6.22","13.18","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 80MG","403934","CDM","Both",,,"17","8.5","Ambetter","Health Exchange",,,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 80MG","403934","CDM","Both",,,"17","8.5","Caresource","Health Exchange",,,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 80MG","403934","CDM","Both",,,"17","8.5","Cigna","Commercial",,,"59",,"9.96","6.22","13.18","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 80MG","403934","CDM","Both",,,"17","8.5","Humana","Commercial",,,"78",,"13.18","6.22","13.18","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 80MG","403934","CDM","Both",,,"17","8.5","UHC","Commercial",,,"75",,"12.82","6.22","13.18","percent of total billed charges",,
"NF-Telmisartan Oral Tablet 80MG","403934","CDM","Both",,,"17","8.5","Medicaid",,,,"37",,"6.22","6.22","13.18","percent of total billed charges",,
"NF-Mirapex Oral Tablet 1MG","403936","CDM","Both",,,"25","12.5","Alliant","Health Exchange",,,"62",,"15.5","9.15","19.38","percent of total billed charges",,
"NF-Mirapex Oral Tablet 1MG","403936","CDM","Both",,,"25","12.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"13.5","9.15","19.38","percent of total billed charges",,
"NF-Mirapex Oral Tablet 1MG","403936","CDM","Both",,,"25","12.5","Medicare",,,,"54",,"13.55","9.15","19.38","percent of total billed charges",,
"NF-Mirapex Oral Tablet 1MG","403936","CDM","Both",,,"25","12.5","Humana","Medicare Advantage",,,"54",,"13.55","9.15","19.38","percent of total billed charges",,
"NF-Mirapex Oral Tablet 1MG","403936","CDM","Both",,,"25","12.5","UHC","Medicare Advantage",,,"54",,"13.55","9.15","19.38","percent of total billed charges",,
"NF-Mirapex Oral Tablet 1MG","403936","CDM","Both",,,"25","12.5","Clover","Medicare Advantage",,,"54",,"13.55","9.15","19.38","percent of total billed charges",,
"NF-Mirapex Oral Tablet 1MG","403936","CDM","Both",,,"25","12.5","Wellcare","Medicare Advantage",,,"54",,"13.55","9.15","19.38","percent of total billed charges",,
"NF-Mirapex Oral Tablet 1MG","403936","CDM","Both",,,"25","12.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.15","9.15","19.38","percent of total billed charges",,
"NF-Mirapex Oral Tablet 1MG","403936","CDM","Both",,,"25","12.5","Caresource","Medicaid Managed Care",,,"40",,"10","9.15","19.38","percent of total billed charges",,
"NF-Mirapex Oral Tablet 1MG","403936","CDM","Both",,,"25","12.5","Wellcare","Medicaid Managed Care",,,"40",,"10.12","9.15","19.38","percent of total billed charges",,
"NF-Mirapex Oral Tablet 1MG","403936","CDM","Both",,,"25","12.5","Aetna","Commercial",,,"64",,"15.95","9.15","19.38","percent of total billed charges",,
"NF-Mirapex Oral Tablet 1MG","403936","CDM","Both",,,"25","12.5","Blue Cross Blue Shield","Pathways",,,"71",,"17.65","9.15","19.38","percent of total billed charges",,
"NF-Mirapex Oral Tablet 1MG","403936","CDM","Both",,,"25","12.5","Blue Cross Blue Shield","HMO",,,"71",,"17.65","9.15","19.38","percent of total billed charges",,
"NF-Mirapex Oral Tablet 1MG","403936","CDM","Both",,,"25","12.5","Blue Cross Blue Shield","PPO",,,"71",,"17.65","9.15","19.38","percent of total billed charges",,
"NF-Mirapex Oral Tablet 1MG","403936","CDM","Both",,,"25","12.5","Ambetter","Health Exchange",,,"62",,"15.5","9.15","19.38","percent of total billed charges",,
"NF-Mirapex Oral Tablet 1MG","403936","CDM","Both",,,"25","12.5","Caresource","Health Exchange",,,"62",,"15.5","9.15","19.38","percent of total billed charges",,
"NF-Mirapex Oral Tablet 1MG","403936","CDM","Both",,,"25","12.5","Cigna","Commercial",,,"59",,"14.65","9.15","19.38","percent of total billed charges",,
"NF-Mirapex Oral Tablet 1MG","403936","CDM","Both",,,"25","12.5","Humana","Commercial",,,"78",,"19.38","9.15","19.38","percent of total billed charges",,
"NF-Mirapex Oral Tablet 1MG","403936","CDM","Both",,,"25","12.5","UHC","Commercial",,,"75",,"18.85","9.15","19.38","percent of total billed charges",,
"NF-Mirapex Oral Tablet 1MG","403936","CDM","Both",,,"25","12.5","Medicaid",,,,"37",,"9.15","9.15","19.38","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","403938","CDM","Both",,,"157","78.5","Alliant","Health Exchange",,,"62",,"97.34","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","403938","CDM","Both",,,"157","78.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"84.78","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","403938","CDM","Both",,,"157","78.5","Medicare",,,,"54",,"85.09","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","403938","CDM","Both",,,"157","78.5","Humana","Medicare Advantage",,,"54",,"85.09","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","403938","CDM","Both",,,"157","78.5","UHC","Medicare Advantage",,,"54",,"85.09","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","403938","CDM","Both",,,"157","78.5","Clover","Medicare Advantage",,,"54",,"85.09","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","403938","CDM","Both",,,"157","78.5","Wellcare","Medicare Advantage",,,"54",,"85.09","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","403938","CDM","Both",,,"157","78.5","Amerigroup","Medicaid Managed Care",,,"37",,"57.46","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","403938","CDM","Both",,,"157","78.5","Caresource","Medicaid Managed Care",,,"40",,"62.8","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","403938","CDM","Both",,,"157","78.5","Wellcare","Medicaid Managed Care",,,"40",,"63.58","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","403938","CDM","Both",,,"157","78.5","Aetna","Commercial",,,"64",,"100.17","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","403938","CDM","Both",,,"157","78.5","Blue Cross Blue Shield","Pathways",,,"71",,"110.84","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","403938","CDM","Both",,,"157","78.5","Blue Cross Blue Shield","HMO",,,"71",,"110.84","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","403938","CDM","Both",,,"157","78.5","Blue Cross Blue Shield","PPO",,,"71",,"110.84","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","403938","CDM","Both",,,"157","78.5","Ambetter","Health Exchange",,,"62",,"97.34","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","403938","CDM","Both",,,"157","78.5","Caresource","Health Exchange",,,"62",,"97.34","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","403938","CDM","Both",,,"157","78.5","Cigna","Commercial",,,"59",,"92","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","403938","CDM","Both",,,"157","78.5","Humana","Commercial",,,"78",,"121.68","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","403938","CDM","Both",,,"157","78.5","UHC","Commercial",,,"75",,"118.38","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","403938","CDM","Both",,,"157","78.5","Medicaid",,,,"37",,"57.46","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403940","CDM","Both",,,"157","78.5","Alliant","Health Exchange",,,"62",,"97.34","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403940","CDM","Both",,,"157","78.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"84.78","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403940","CDM","Both",,,"157","78.5","Medicare",,,,"54",,"85.09","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403940","CDM","Both",,,"157","78.5","Humana","Medicare Advantage",,,"54",,"85.09","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403940","CDM","Both",,,"157","78.5","UHC","Medicare Advantage",,,"54",,"85.09","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403940","CDM","Both",,,"157","78.5","Clover","Medicare Advantage",,,"54",,"85.09","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403940","CDM","Both",,,"157","78.5","Wellcare","Medicare Advantage",,,"54",,"85.09","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403940","CDM","Both",,,"157","78.5","Amerigroup","Medicaid Managed Care",,,"37",,"57.46","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403940","CDM","Both",,,"157","78.5","Caresource","Medicaid Managed Care",,,"40",,"62.8","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403940","CDM","Both",,,"157","78.5","Wellcare","Medicaid Managed Care",,,"40",,"63.58","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403940","CDM","Both",,,"157","78.5","Aetna","Commercial",,,"64",,"100.17","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403940","CDM","Both",,,"157","78.5","Blue Cross Blue Shield","Pathways",,,"71",,"110.84","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403940","CDM","Both",,,"157","78.5","Blue Cross Blue Shield","HMO",,,"71",,"110.84","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403940","CDM","Both",,,"157","78.5","Blue Cross Blue Shield","PPO",,,"71",,"110.84","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403940","CDM","Both",,,"157","78.5","Ambetter","Health Exchange",,,"62",,"97.34","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403940","CDM","Both",,,"157","78.5","Caresource","Health Exchange",,,"62",,"97.34","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403940","CDM","Both",,,"157","78.5","Cigna","Commercial",,,"59",,"92","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403940","CDM","Both",,,"157","78.5","Humana","Commercial",,,"78",,"121.68","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403940","CDM","Both",,,"157","78.5","UHC","Commercial",,,"75",,"118.38","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403940","CDM","Both",,,"157","78.5","Medicaid",,,,"37",,"57.46","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","403956","CDM","Both",,,"157","78.5","Alliant","Health Exchange",,,"62",,"97.34","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","403956","CDM","Both",,,"157","78.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"84.78","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","403956","CDM","Both",,,"157","78.5","Medicare",,,,"54",,"85.09","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","403956","CDM","Both",,,"157","78.5","Humana","Medicare Advantage",,,"54",,"85.09","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","403956","CDM","Both",,,"157","78.5","UHC","Medicare Advantage",,,"54",,"85.09","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","403956","CDM","Both",,,"157","78.5","Clover","Medicare Advantage",,,"54",,"85.09","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","403956","CDM","Both",,,"157","78.5","Wellcare","Medicare Advantage",,,"54",,"85.09","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","403956","CDM","Both",,,"157","78.5","Amerigroup","Medicaid Managed Care",,,"37",,"57.46","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","403956","CDM","Both",,,"157","78.5","Caresource","Medicaid Managed Care",,,"40",,"62.8","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","403956","CDM","Both",,,"157","78.5","Wellcare","Medicaid Managed Care",,,"40",,"63.58","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","403956","CDM","Both",,,"157","78.5","Aetna","Commercial",,,"64",,"100.17","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","403956","CDM","Both",,,"157","78.5","Blue Cross Blue Shield","Pathways",,,"71",,"110.84","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","403956","CDM","Both",,,"157","78.5","Blue Cross Blue Shield","HMO",,,"71",,"110.84","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","403956","CDM","Both",,,"157","78.5","Blue Cross Blue Shield","PPO",,,"71",,"110.84","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","403956","CDM","Both",,,"157","78.5","Ambetter","Health Exchange",,,"62",,"97.34","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","403956","CDM","Both",,,"157","78.5","Caresource","Health Exchange",,,"62",,"97.34","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","403956","CDM","Both",,,"157","78.5","Cigna","Commercial",,,"59",,"92","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","403956","CDM","Both",,,"157","78.5","Humana","Commercial",,,"78",,"121.68","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","403956","CDM","Both",,,"157","78.5","UHC","Commercial",,,"75",,"118.38","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 3MG","403956","CDM","Both",,,"157","78.5","Medicaid",,,,"37",,"57.46","57.46","121.68","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","403967","CDM","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","403967","CDM","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","2.2","4.65","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","403967","CDM","Both",,,"6","3","Medicare",,,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","403967","CDM","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","403967","CDM","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","403967","CDM","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","403967","CDM","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","403967","CDM","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","2.2","4.65","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","403967","CDM","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","2.2","4.65","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","403967","CDM","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","2.2","4.65","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","403967","CDM","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","2.2","4.65","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","403967","CDM","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","403967","CDM","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","403967","CDM","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","403967","CDM","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","403967","CDM","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","403967","CDM","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","2.2","4.65","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","403967","CDM","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","2.2","4.65","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","403967","CDM","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","2.2","4.65","percent of total billed charges",,
"NF-Valsartan Oral Tablet 160MG","403967","CDM","Both",,,"6","3","Medicaid",,,,"37",,"2.2","2.2","4.65","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403969","CDM","Both",,,"157","78.5","Alliant","Health Exchange",,,"62",,"97.34","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403969","CDM","Both",,,"157","78.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"84.78","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403969","CDM","Both",,,"157","78.5","Medicare",,,,"54",,"85.09","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403969","CDM","Both",,,"157","78.5","Humana","Medicare Advantage",,,"54",,"85.09","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403969","CDM","Both",,,"157","78.5","UHC","Medicare Advantage",,,"54",,"85.09","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403969","CDM","Both",,,"157","78.5","Clover","Medicare Advantage",,,"54",,"85.09","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403969","CDM","Both",,,"157","78.5","Wellcare","Medicare Advantage",,,"54",,"85.09","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403969","CDM","Both",,,"157","78.5","Amerigroup","Medicaid Managed Care",,,"37",,"57.46","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403969","CDM","Both",,,"157","78.5","Caresource","Medicaid Managed Care",,,"40",,"62.8","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403969","CDM","Both",,,"157","78.5","Wellcare","Medicaid Managed Care",,,"40",,"63.58","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403969","CDM","Both",,,"157","78.5","Aetna","Commercial",,,"64",,"100.17","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403969","CDM","Both",,,"157","78.5","Blue Cross Blue Shield","Pathways",,,"71",,"110.84","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403969","CDM","Both",,,"157","78.5","Blue Cross Blue Shield","HMO",,,"71",,"110.84","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403969","CDM","Both",,,"157","78.5","Blue Cross Blue Shield","PPO",,,"71",,"110.84","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403969","CDM","Both",,,"157","78.5","Ambetter","Health Exchange",,,"62",,"97.34","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403969","CDM","Both",,,"157","78.5","Caresource","Health Exchange",,,"62",,"97.34","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403969","CDM","Both",,,"157","78.5","Cigna","Commercial",,,"59",,"92","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403969","CDM","Both",,,"157","78.5","Humana","Commercial",,,"78",,"121.68","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403969","CDM","Both",,,"157","78.5","UHC","Commercial",,,"75",,"118.38","57.46","121.68","percent of total billed charges",,
"NF-Vraylar Oral Capsule 1.5MG","403969","CDM","Both",,,"157","78.5","Medicaid",,,,"37",,"57.46","57.46","121.68","percent of total billed charges",,
"NF-hydroCHLOROthiazide Capsule 12.5MG","403979","CDM","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-hydroCHLOROthiazide Capsule 12.5MG","403979","CDM","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-hydroCHLOROthiazide Capsule 12.5MG","403979","CDM","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-hydroCHLOROthiazide Capsule 12.5MG","403979","CDM","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-hydroCHLOROthiazide Capsule 12.5MG","403979","CDM","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-hydroCHLOROthiazide Capsule 12.5MG","403979","CDM","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-hydroCHLOROthiazide Capsule 12.5MG","403979","CDM","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-hydroCHLOROthiazide Capsule 12.5MG","403979","CDM","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-hydroCHLOROthiazide Capsule 12.5MG","403979","CDM","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-hydroCHLOROthiazide Capsule 12.5MG","403979","CDM","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-hydroCHLOROthiazide Capsule 12.5MG","403979","CDM","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"NF-hydroCHLOROthiazide Capsule 12.5MG","403979","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-hydroCHLOROthiazide Capsule 12.5MG","403979","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-hydroCHLOROthiazide Capsule 12.5MG","403979","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-hydroCHLOROthiazide Capsule 12.5MG","403979","CDM","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-hydroCHLOROthiazide Capsule 12.5MG","403979","CDM","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-hydroCHLOROthiazide Capsule 12.5MG","403979","CDM","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"NF-hydroCHLOROthiazide Capsule 12.5MG","403979","CDM","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"NF-hydroCHLOROthiazide Capsule 12.5MG","403979","CDM","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"NF-hydroCHLOROthiazide Capsule 12.5MG","403979","CDM","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-traMADol HCl Tablet 50mg","403981","CDM","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.73","1.55","percent of total billed charges",,
"NF-traMADol HCl Tablet 50mg","403981","CDM","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-traMADol HCl Tablet 50mg","403981","CDM","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-traMADol HCl Tablet 50mg","403981","CDM","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-traMADol HCl Tablet 50mg","403981","CDM","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-traMADol HCl Tablet 50mg","403981","CDM","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-traMADol HCl Tablet 50mg","403981","CDM","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-traMADol HCl Tablet 50mg","403981","CDM","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.73","1.55","percent of total billed charges",,
"NF-traMADol HCl Tablet 50mg","403981","CDM","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.73","1.55","percent of total billed charges",,
"NF-traMADol HCl Tablet 50mg","403981","CDM","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.73","1.55","percent of total billed charges",,
"NF-traMADol HCl Tablet 50mg","403981","CDM","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.73","1.55","percent of total billed charges",,
"NF-traMADol HCl Tablet 50mg","403981","CDM","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.73","1.55","percent of total billed charges",,
"NF-traMADol HCl Tablet 50mg","403981","CDM","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.73","1.55","percent of total billed charges",,
"NF-traMADol HCl Tablet 50mg","403981","CDM","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.73","1.55","percent of total billed charges",,
"NF-traMADol HCl Tablet 50mg","403981","CDM","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.73","1.55","percent of total billed charges",,
"NF-traMADol HCl Tablet 50mg","403981","CDM","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.73","1.55","percent of total billed charges",,
"NF-traMADol HCl Tablet 50mg","403981","CDM","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.73","1.55","percent of total billed charges",,
"NF-traMADol HCl Tablet 50mg","403981","CDM","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.73","1.55","percent of total billed charges",,
"NF-traMADol HCl Tablet 50mg","403981","CDM","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.73","1.55","percent of total billed charges",,
"NF-traMADol HCl Tablet 50mg","403981","CDM","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.73","1.55","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/25MG","403988","CDM","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/25MG","403988","CDM","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/25MG","403988","CDM","Both",,,"6","3","Medicare",,,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/25MG","403988","CDM","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/25MG","403988","CDM","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/25MG","403988","CDM","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/25MG","403988","CDM","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/25MG","403988","CDM","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/25MG","403988","CDM","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/25MG","403988","CDM","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/25MG","403988","CDM","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/25MG","403988","CDM","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/25MG","403988","CDM","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/25MG","403988","CDM","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/25MG","403988","CDM","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/25MG","403988","CDM","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/25MG","403988","CDM","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/25MG","403988","CDM","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/25MG","403988","CDM","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 20/25MG","403988","CDM","Both",,,"6","3","Medicaid",,,,"37",,"2.2","2.2","4.65","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","403999","CDM","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","3.66","7.75","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","403999","CDM","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","3.66","7.75","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","403999","CDM","Both",,,"10","5","Medicare",,,,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","403999","CDM","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","403999","CDM","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","403999","CDM","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","403999","CDM","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","403999","CDM","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","3.66","7.75","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","403999","CDM","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","3.66","7.75","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","403999","CDM","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","3.66","7.75","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","403999","CDM","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","3.66","7.75","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","403999","CDM","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","3.66","7.75","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","403999","CDM","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","3.66","7.75","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","403999","CDM","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","3.66","7.75","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","403999","CDM","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","3.66","7.75","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","403999","CDM","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","3.66","7.75","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","403999","CDM","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","3.66","7.75","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","403999","CDM","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","3.66","7.75","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","403999","CDM","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","3.66","7.75","percent of total billed charges",,
"NF-Nadolol         Tab  20MG","403999","CDM","Both",,,"10","5","Medicaid",,,,"37",,"3.66","3.66","7.75","percent of total billed charges",,
"NF-Losartan/Hctz Oral Tablet 100MG-12.5M","404002","CDM","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","3.66","7.75","percent of total billed charges",,
"NF-Losartan/Hctz Oral Tablet 100MG-12.5M","404002","CDM","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","3.66","7.75","percent of total billed charges",,
"NF-Losartan/Hctz Oral Tablet 100MG-12.5M","404002","CDM","Both",,,"10","5","Medicare",,,,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"NF-Losartan/Hctz Oral Tablet 100MG-12.5M","404002","CDM","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"NF-Losartan/Hctz Oral Tablet 100MG-12.5M","404002","CDM","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"NF-Losartan/Hctz Oral Tablet 100MG-12.5M","404002","CDM","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"NF-Losartan/Hctz Oral Tablet 100MG-12.5M","404002","CDM","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"NF-Losartan/Hctz Oral Tablet 100MG-12.5M","404002","CDM","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","3.66","7.75","percent of total billed charges",,
"NF-Losartan/Hctz Oral Tablet 100MG-12.5M","404002","CDM","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","3.66","7.75","percent of total billed charges",,
"NF-Losartan/Hctz Oral Tablet 100MG-12.5M","404002","CDM","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","3.66","7.75","percent of total billed charges",,
"NF-Losartan/Hctz Oral Tablet 100MG-12.5M","404002","CDM","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","3.66","7.75","percent of total billed charges",,
"NF-Losartan/Hctz Oral Tablet 100MG-12.5M","404002","CDM","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","3.66","7.75","percent of total billed charges",,
"NF-Losartan/Hctz Oral Tablet 100MG-12.5M","404002","CDM","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","3.66","7.75","percent of total billed charges",,
"NF-Losartan/Hctz Oral Tablet 100MG-12.5M","404002","CDM","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","3.66","7.75","percent of total billed charges",,
"NF-Losartan/Hctz Oral Tablet 100MG-12.5M","404002","CDM","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","3.66","7.75","percent of total billed charges",,
"NF-Losartan/Hctz Oral Tablet 100MG-12.5M","404002","CDM","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","3.66","7.75","percent of total billed charges",,
"NF-Losartan/Hctz Oral Tablet 100MG-12.5M","404002","CDM","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","3.66","7.75","percent of total billed charges",,
"NF-Losartan/Hctz Oral Tablet 100MG-12.5M","404002","CDM","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","3.66","7.75","percent of total billed charges",,
"NF-Losartan/Hctz Oral Tablet 100MG-12.5M","404002","CDM","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","3.66","7.75","percent of total billed charges",,
"NF-Losartan/Hctz Oral Tablet 100MG-12.5M","404002","CDM","Both",,,"10","5","Medicaid",,,,"37",,"3.66","3.66","7.75","percent of total billed charges",,
"NF-Zofran Tablet 4MG","404003","CDM","Both",,,"83","41.5","Alliant","Health Exchange",,,"62",,"51.46","30.38","64.32","percent of total billed charges",,
"NF-Zofran Tablet 4MG","404003","CDM","Both",,,"83","41.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"44.82","30.38","64.32","percent of total billed charges",,
"NF-Zofran Tablet 4MG","404003","CDM","Both",,,"83","41.5","Medicare",,,,"54",,"44.99","30.38","64.32","percent of total billed charges",,
"NF-Zofran Tablet 4MG","404003","CDM","Both",,,"83","41.5","Humana","Medicare Advantage",,,"54",,"44.99","30.38","64.32","percent of total billed charges",,
"NF-Zofran Tablet 4MG","404003","CDM","Both",,,"83","41.5","UHC","Medicare Advantage",,,"54",,"44.99","30.38","64.32","percent of total billed charges",,
"NF-Zofran Tablet 4MG","404003","CDM","Both",,,"83","41.5","Clover","Medicare Advantage",,,"54",,"44.99","30.38","64.32","percent of total billed charges",,
"NF-Zofran Tablet 4MG","404003","CDM","Both",,,"83","41.5","Wellcare","Medicare Advantage",,,"54",,"44.99","30.38","64.32","percent of total billed charges",,
"NF-Zofran Tablet 4MG","404003","CDM","Both",,,"83","41.5","Amerigroup","Medicaid Managed Care",,,"37",,"30.38","30.38","64.32","percent of total billed charges",,
"NF-Zofran Tablet 4MG","404003","CDM","Both",,,"83","41.5","Caresource","Medicaid Managed Care",,,"40",,"33.2","30.38","64.32","percent of total billed charges",,
"NF-Zofran Tablet 4MG","404003","CDM","Both",,,"83","41.5","Wellcare","Medicaid Managed Care",,,"40",,"33.62","30.38","64.32","percent of total billed charges",,
"NF-Zofran Tablet 4MG","404003","CDM","Both",,,"83","41.5","Aetna","Commercial",,,"64",,"52.95","30.38","64.32","percent of total billed charges",,
"NF-Zofran Tablet 4MG","404003","CDM","Both",,,"83","41.5","Blue Cross Blue Shield","Pathways",,,"71",,"58.6","30.38","64.32","percent of total billed charges",,
"NF-Zofran Tablet 4MG","404003","CDM","Both",,,"83","41.5","Blue Cross Blue Shield","HMO",,,"71",,"58.6","30.38","64.32","percent of total billed charges",,
"NF-Zofran Tablet 4MG","404003","CDM","Both",,,"83","41.5","Blue Cross Blue Shield","PPO",,,"71",,"58.6","30.38","64.32","percent of total billed charges",,
"NF-Zofran Tablet 4MG","404003","CDM","Both",,,"83","41.5","Ambetter","Health Exchange",,,"62",,"51.46","30.38","64.32","percent of total billed charges",,
"NF-Zofran Tablet 4MG","404003","CDM","Both",,,"83","41.5","Caresource","Health Exchange",,,"62",,"51.46","30.38","64.32","percent of total billed charges",,
"NF-Zofran Tablet 4MG","404003","CDM","Both",,,"83","41.5","Cigna","Commercial",,,"59",,"48.64","30.38","64.32","percent of total billed charges",,
"NF-Zofran Tablet 4MG","404003","CDM","Both",,,"83","41.5","Humana","Commercial",,,"78",,"64.32","30.38","64.32","percent of total billed charges",,
"NF-Zofran Tablet 4MG","404003","CDM","Both",,,"83","41.5","UHC","Commercial",,,"75",,"62.58","30.38","64.32","percent of total billed charges",,
"NF-Zofran Tablet 4MG","404003","CDM","Both",,,"83","41.5","Medicaid",,,,"37",,"30.38","30.38","64.32","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","404005","CDM","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","404005","CDM","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","2.2","4.65","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","404005","CDM","Both",,,"6","3","Medicare",,,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","404005","CDM","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","404005","CDM","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","404005","CDM","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","404005","CDM","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","404005","CDM","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","2.2","4.65","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","404005","CDM","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","2.2","4.65","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","404005","CDM","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","2.2","4.65","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","404005","CDM","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","2.2","4.65","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","404005","CDM","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","404005","CDM","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","404005","CDM","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","404005","CDM","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","404005","CDM","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","404005","CDM","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","2.2","4.65","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","404005","CDM","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","2.2","4.65","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","404005","CDM","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","2.2","4.65","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","404005","CDM","Both",,,"6","3","Medicaid",,,,"37",,"2.2","2.2","4.65","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","404008","CDM","Both",,,"9","4.5","Alliant","Health Exchange",,,"62",,"5.58","3.29","6.98","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","404008","CDM","Both",,,"9","4.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.86","3.29","6.98","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","404008","CDM","Both",,,"9","4.5","Medicare",,,,"54",,"4.88","3.29","6.98","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","404008","CDM","Both",,,"9","4.5","Humana","Medicare Advantage",,,"54",,"4.88","3.29","6.98","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","404008","CDM","Both",,,"9","4.5","UHC","Medicare Advantage",,,"54",,"4.88","3.29","6.98","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","404008","CDM","Both",,,"9","4.5","Clover","Medicare Advantage",,,"54",,"4.88","3.29","6.98","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","404008","CDM","Both",,,"9","4.5","Wellcare","Medicare Advantage",,,"54",,"4.88","3.29","6.98","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","404008","CDM","Both",,,"9","4.5","Amerigroup","Medicaid Managed Care",,,"37",,"3.29","3.29","6.98","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","404008","CDM","Both",,,"9","4.5","Caresource","Medicaid Managed Care",,,"40",,"3.6","3.29","6.98","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","404008","CDM","Both",,,"9","4.5","Wellcare","Medicaid Managed Care",,,"40",,"3.65","3.29","6.98","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","404008","CDM","Both",,,"9","4.5","Aetna","Commercial",,,"64",,"5.74","3.29","6.98","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","404008","CDM","Both",,,"9","4.5","Blue Cross Blue Shield","Pathways",,,"71",,"6.35","3.29","6.98","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","404008","CDM","Both",,,"9","4.5","Blue Cross Blue Shield","HMO",,,"71",,"6.35","3.29","6.98","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","404008","CDM","Both",,,"9","4.5","Blue Cross Blue Shield","PPO",,,"71",,"6.35","3.29","6.98","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","404008","CDM","Both",,,"9","4.5","Ambetter","Health Exchange",,,"62",,"5.58","3.29","6.98","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","404008","CDM","Both",,,"9","4.5","Caresource","Health Exchange",,,"62",,"5.58","3.29","6.98","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","404008","CDM","Both",,,"9","4.5","Cigna","Commercial",,,"59",,"5.27","3.29","6.98","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","404008","CDM","Both",,,"9","4.5","Humana","Commercial",,,"78",,"6.98","3.29","6.98","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","404008","CDM","Both",,,"9","4.5","UHC","Commercial",,,"75",,"6.79","3.29","6.98","percent of total billed charges",,
"NF-Losartan Potassium Oral Tablet 100MG","404008","CDM","Both",,,"9","4.5","Medicaid",,,,"37",,"3.29","3.29","6.98","percent of total billed charges",,
"NF-levETIRAcetam Oral Tablet 1000MG","404009","CDM","Both",,,"21","10.5","Alliant","Health Exchange",,,"62",,"13.02","7.69","16.28","percent of total billed charges",,
"NF-levETIRAcetam Oral Tablet 1000MG","404009","CDM","Both",,,"21","10.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.34","7.69","16.28","percent of total billed charges",,
"NF-levETIRAcetam Oral Tablet 1000MG","404009","CDM","Both",,,"21","10.5","Medicare",,,,"54",,"11.38","7.69","16.28","percent of total billed charges",,
"NF-levETIRAcetam Oral Tablet 1000MG","404009","CDM","Both",,,"21","10.5","Humana","Medicare Advantage",,,"54",,"11.38","7.69","16.28","percent of total billed charges",,
"NF-levETIRAcetam Oral Tablet 1000MG","404009","CDM","Both",,,"21","10.5","UHC","Medicare Advantage",,,"54",,"11.38","7.69","16.28","percent of total billed charges",,
"NF-levETIRAcetam Oral Tablet 1000MG","404009","CDM","Both",,,"21","10.5","Clover","Medicare Advantage",,,"54",,"11.38","7.69","16.28","percent of total billed charges",,
"NF-levETIRAcetam Oral Tablet 1000MG","404009","CDM","Both",,,"21","10.5","Wellcare","Medicare Advantage",,,"54",,"11.38","7.69","16.28","percent of total billed charges",,
"NF-levETIRAcetam Oral Tablet 1000MG","404009","CDM","Both",,,"21","10.5","Amerigroup","Medicaid Managed Care",,,"37",,"7.69","7.69","16.28","percent of total billed charges",,
"NF-levETIRAcetam Oral Tablet 1000MG","404009","CDM","Both",,,"21","10.5","Caresource","Medicaid Managed Care",,,"40",,"8.4","7.69","16.28","percent of total billed charges",,
"NF-levETIRAcetam Oral Tablet 1000MG","404009","CDM","Both",,,"21","10.5","Wellcare","Medicaid Managed Care",,,"40",,"8.51","7.69","16.28","percent of total billed charges",,
"NF-levETIRAcetam Oral Tablet 1000MG","404009","CDM","Both",,,"21","10.5","Aetna","Commercial",,,"64",,"13.4","7.69","16.28","percent of total billed charges",,
"NF-levETIRAcetam Oral Tablet 1000MG","404009","CDM","Both",,,"21","10.5","Blue Cross Blue Shield","Pathways",,,"71",,"14.83","7.69","16.28","percent of total billed charges",,
"NF-levETIRAcetam Oral Tablet 1000MG","404009","CDM","Both",,,"21","10.5","Blue Cross Blue Shield","HMO",,,"71",,"14.83","7.69","16.28","percent of total billed charges",,
"NF-levETIRAcetam Oral Tablet 1000MG","404009","CDM","Both",,,"21","10.5","Blue Cross Blue Shield","PPO",,,"71",,"14.83","7.69","16.28","percent of total billed charges",,
"NF-levETIRAcetam Oral Tablet 1000MG","404009","CDM","Both",,,"21","10.5","Ambetter","Health Exchange",,,"62",,"13.02","7.69","16.28","percent of total billed charges",,
"NF-levETIRAcetam Oral Tablet 1000MG","404009","CDM","Both",,,"21","10.5","Caresource","Health Exchange",,,"62",,"13.02","7.69","16.28","percent of total billed charges",,
"NF-levETIRAcetam Oral Tablet 1000MG","404009","CDM","Both",,,"21","10.5","Cigna","Commercial",,,"59",,"12.31","7.69","16.28","percent of total billed charges",,
"NF-levETIRAcetam Oral Tablet 1000MG","404009","CDM","Both",,,"21","10.5","Humana","Commercial",,,"78",,"16.28","7.69","16.28","percent of total billed charges",,
"NF-levETIRAcetam Oral Tablet 1000MG","404009","CDM","Both",,,"21","10.5","UHC","Commercial",,,"75",,"15.83","7.69","16.28","percent of total billed charges",,
"NF-levETIRAcetam Oral Tablet 1000MG","404009","CDM","Both",,,"21","10.5","Medicaid",,,,"37",,"7.69","7.69","16.28","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","404010","CDM","Both",,,"33","16.5","Alliant","Health Exchange",,,"62",,"20.46","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","404010","CDM","Both",,,"33","16.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.82","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","404010","CDM","Both",,,"33","16.5","Medicare",,,,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","404010","CDM","Both",,,"33","16.5","Humana","Medicare Advantage",,,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","404010","CDM","Both",,,"33","16.5","UHC","Medicare Advantage",,,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","404010","CDM","Both",,,"33","16.5","Clover","Medicare Advantage",,,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","404010","CDM","Both",,,"33","16.5","Wellcare","Medicare Advantage",,,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","404010","CDM","Both",,,"33","16.5","Amerigroup","Medicaid Managed Care",,,"37",,"12.08","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","404010","CDM","Both",,,"33","16.5","Caresource","Medicaid Managed Care",,,"40",,"13.2","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","404010","CDM","Both",,,"33","16.5","Wellcare","Medicaid Managed Care",,,"40",,"13.36","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","404010","CDM","Both",,,"33","16.5","Aetna","Commercial",,,"64",,"21.05","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","404010","CDM","Both",,,"33","16.5","Blue Cross Blue Shield","Pathways",,,"71",,"23.3","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","404010","CDM","Both",,,"33","16.5","Blue Cross Blue Shield","HMO",,,"71",,"23.3","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","404010","CDM","Both",,,"33","16.5","Blue Cross Blue Shield","PPO",,,"71",,"23.3","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","404010","CDM","Both",,,"33","16.5","Ambetter","Health Exchange",,,"62",,"20.46","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","404010","CDM","Both",,,"33","16.5","Caresource","Health Exchange",,,"62",,"20.46","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","404010","CDM","Both",,,"33","16.5","Cigna","Commercial",,,"59",,"19.34","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","404010","CDM","Both",,,"33","16.5","Humana","Commercial",,,"78",,"25.58","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","404010","CDM","Both",,,"33","16.5","UHC","Commercial",,,"75",,"24.88","12.08","25.58","percent of total billed charges",,
"NF-Ezetimibe Oral Tablet 10MG","404010","CDM","Both",,,"33","16.5","Medicaid",,,,"37",,"12.08","12.08","25.58","percent of total billed charges",,
"NF-Risedronate Sodium Oral Tablet 35MG","404011","CDM","Both",,,"185","92.5","Alliant","Health Exchange",,,"62",,"114.7","67.71","143.38","percent of total billed charges",,
"NF-Risedronate Sodium Oral Tablet 35MG","404011","CDM","Both",,,"185","92.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"99.9","67.71","143.38","percent of total billed charges",,
"NF-Risedronate Sodium Oral Tablet 35MG","404011","CDM","Both",,,"185","92.5","Medicare",,,,"54",,"100.27","67.71","143.38","percent of total billed charges",,
"NF-Risedronate Sodium Oral Tablet 35MG","404011","CDM","Both",,,"185","92.5","Humana","Medicare Advantage",,,"54",,"100.27","67.71","143.38","percent of total billed charges",,
"NF-Risedronate Sodium Oral Tablet 35MG","404011","CDM","Both",,,"185","92.5","UHC","Medicare Advantage",,,"54",,"100.27","67.71","143.38","percent of total billed charges",,
"NF-Risedronate Sodium Oral Tablet 35MG","404011","CDM","Both",,,"185","92.5","Clover","Medicare Advantage",,,"54",,"100.27","67.71","143.38","percent of total billed charges",,
"NF-Risedronate Sodium Oral Tablet 35MG","404011","CDM","Both",,,"185","92.5","Wellcare","Medicare Advantage",,,"54",,"100.27","67.71","143.38","percent of total billed charges",,
"NF-Risedronate Sodium Oral Tablet 35MG","404011","CDM","Both",,,"185","92.5","Amerigroup","Medicaid Managed Care",,,"37",,"67.71","67.71","143.38","percent of total billed charges",,
"NF-Risedronate Sodium Oral Tablet 35MG","404011","CDM","Both",,,"185","92.5","Caresource","Medicaid Managed Care",,,"40",,"74","67.71","143.38","percent of total billed charges",,
"NF-Risedronate Sodium Oral Tablet 35MG","404011","CDM","Both",,,"185","92.5","Wellcare","Medicaid Managed Care",,,"40",,"74.93","67.71","143.38","percent of total billed charges",,
"NF-Risedronate Sodium Oral Tablet 35MG","404011","CDM","Both",,,"185","92.5","Aetna","Commercial",,,"64",,"118.03","67.71","143.38","percent of total billed charges",,
"NF-Risedronate Sodium Oral Tablet 35MG","404011","CDM","Both",,,"185","92.5","Blue Cross Blue Shield","Pathways",,,"71",,"130.61","67.71","143.38","percent of total billed charges",,
"NF-Risedronate Sodium Oral Tablet 35MG","404011","CDM","Both",,,"185","92.5","Blue Cross Blue Shield","HMO",,,"71",,"130.61","67.71","143.38","percent of total billed charges",,
"NF-Risedronate Sodium Oral Tablet 35MG","404011","CDM","Both",,,"185","92.5","Blue Cross Blue Shield","PPO",,,"71",,"130.61","67.71","143.38","percent of total billed charges",,
"NF-Risedronate Sodium Oral Tablet 35MG","404011","CDM","Both",,,"185","92.5","Ambetter","Health Exchange",,,"62",,"114.7","67.71","143.38","percent of total billed charges",,
"NF-Risedronate Sodium Oral Tablet 35MG","404011","CDM","Both",,,"185","92.5","Caresource","Health Exchange",,,"62",,"114.7","67.71","143.38","percent of total billed charges",,
"NF-Risedronate Sodium Oral Tablet 35MG","404011","CDM","Both",,,"185","92.5","Cigna","Commercial",,,"59",,"108.41","67.71","143.38","percent of total billed charges",,
"NF-Risedronate Sodium Oral Tablet 35MG","404011","CDM","Both",,,"185","92.5","Humana","Commercial",,,"78",,"143.38","67.71","143.38","percent of total billed charges",,
"NF-Risedronate Sodium Oral Tablet 35MG","404011","CDM","Both",,,"185","92.5","UHC","Commercial",,,"75",,"139.49","67.71","143.38","percent of total billed charges",,
"NF-Risedronate Sodium Oral Tablet 35MG","404011","CDM","Both",,,"185","92.5","Medicaid",,,,"37",,"67.71","67.71","143.38","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","404043","CDM","Both",,,"14","7","Alliant","Health Exchange",,,"62",,"8.68","5.12","10.85","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","404043","CDM","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.56","5.12","10.85","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","404043","CDM","Both",,,"14","7","Medicare",,,,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","404043","CDM","Both",,,"14","7","Humana","Medicare Advantage",,,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","404043","CDM","Both",,,"14","7","UHC","Medicare Advantage",,,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","404043","CDM","Both",,,"14","7","Clover","Medicare Advantage",,,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","404043","CDM","Both",,,"14","7","Wellcare","Medicare Advantage",,,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","404043","CDM","Both",,,"14","7","Amerigroup","Medicaid Managed Care",,,"37",,"5.12","5.12","10.85","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","404043","CDM","Both",,,"14","7","Caresource","Medicaid Managed Care",,,"40",,"5.6","5.12","10.85","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","404043","CDM","Both",,,"14","7","Wellcare","Medicaid Managed Care",,,"40",,"5.67","5.12","10.85","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","404043","CDM","Both",,,"14","7","Aetna","Commercial",,,"64",,"8.93","5.12","10.85","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","404043","CDM","Both",,,"14","7","Blue Cross Blue Shield","Pathways",,,"71",,"9.88","5.12","10.85","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","404043","CDM","Both",,,"14","7","Blue Cross Blue Shield","HMO",,,"71",,"9.88","5.12","10.85","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","404043","CDM","Both",,,"14","7","Blue Cross Blue Shield","PPO",,,"71",,"9.88","5.12","10.85","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","404043","CDM","Both",,,"14","7","Ambetter","Health Exchange",,,"62",,"8.68","5.12","10.85","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","404043","CDM","Both",,,"14","7","Caresource","Health Exchange",,,"62",,"8.68","5.12","10.85","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","404043","CDM","Both",,,"14","7","Cigna","Commercial",,,"59",,"8.2","5.12","10.85","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","404043","CDM","Both",,,"14","7","Humana","Commercial",,,"78",,"10.85","5.12","10.85","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","404043","CDM","Both",,,"14","7","UHC","Commercial",,,"75",,"10.56","5.12","10.85","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 50MG-12.5MG","404043","CDM","Both",,,"14","7","Medicaid",,,,"37",,"5.12","5.12","10.85","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","404046","CDM","Both",,,"38","19","Alliant","Health Exchange",,,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","404046","CDM","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.52","13.91","29.45","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","404046","CDM","Both",,,"38","19","Medicare",,,,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","404046","CDM","Both",,,"38","19","Humana","Medicare Advantage",,,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","404046","CDM","Both",,,"38","19","UHC","Medicare Advantage",,,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","404046","CDM","Both",,,"38","19","Clover","Medicare Advantage",,,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","404046","CDM","Both",,,"38","19","Wellcare","Medicare Advantage",,,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","404046","CDM","Both",,,"38","19","Amerigroup","Medicaid Managed Care",,,"37",,"13.91","13.91","29.45","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","404046","CDM","Both",,,"38","19","Caresource","Medicaid Managed Care",,,"40",,"15.2","13.91","29.45","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","404046","CDM","Both",,,"38","19","Wellcare","Medicaid Managed Care",,,"40",,"15.39","13.91","29.45","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","404046","CDM","Both",,,"38","19","Aetna","Commercial",,,"64",,"24.24","13.91","29.45","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","404046","CDM","Both",,,"38","19","Blue Cross Blue Shield","Pathways",,,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","404046","CDM","Both",,,"38","19","Blue Cross Blue Shield","HMO",,,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","404046","CDM","Both",,,"38","19","Blue Cross Blue Shield","PPO",,,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","404046","CDM","Both",,,"38","19","Ambetter","Health Exchange",,,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","404046","CDM","Both",,,"38","19","Caresource","Health Exchange",,,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","404046","CDM","Both",,,"38","19","Cigna","Commercial",,,"59",,"22.27","13.91","29.45","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","404046","CDM","Both",,,"38","19","Humana","Commercial",,,"78",,"29.45","13.91","29.45","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","404046","CDM","Both",,,"38","19","UHC","Commercial",,,"75",,"28.65","13.91","29.45","percent of total billed charges",,
"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT","404046","CDM","Both",,,"38","19","Medicaid",,,,"37",,"13.91","13.91","29.45","percent of total billed charges",,
"NF-Glycopyrrolate Oral Tablet 1MG","404093","CDM","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Glycopyrrolate Oral Tablet 1MG","404093","CDM","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","1.1","2.33","percent of total billed charges",,
"NF-Glycopyrrolate Oral Tablet 1MG","404093","CDM","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Glycopyrrolate Oral Tablet 1MG","404093","CDM","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Glycopyrrolate Oral Tablet 1MG","404093","CDM","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Glycopyrrolate Oral Tablet 1MG","404093","CDM","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Glycopyrrolate Oral Tablet 1MG","404093","CDM","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Glycopyrrolate Oral Tablet 1MG","404093","CDM","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","1.1","2.33","percent of total billed charges",,
"NF-Glycopyrrolate Oral Tablet 1MG","404093","CDM","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","1.1","2.33","percent of total billed charges",,
"NF-Glycopyrrolate Oral Tablet 1MG","404093","CDM","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","1.1","2.33","percent of total billed charges",,
"NF-Glycopyrrolate Oral Tablet 1MG","404093","CDM","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","1.1","2.33","percent of total billed charges",,
"NF-Glycopyrrolate Oral Tablet 1MG","404093","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Glycopyrrolate Oral Tablet 1MG","404093","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Glycopyrrolate Oral Tablet 1MG","404093","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Glycopyrrolate Oral Tablet 1MG","404093","CDM","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Glycopyrrolate Oral Tablet 1MG","404093","CDM","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Glycopyrrolate Oral Tablet 1MG","404093","CDM","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","1.1","2.33","percent of total billed charges",,
"NF-Glycopyrrolate Oral Tablet 1MG","404093","CDM","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","1.1","2.33","percent of total billed charges",,
"NF-Glycopyrrolate Oral Tablet 1MG","404093","CDM","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","1.1","2.33","percent of total billed charges",,
"NF-Glycopyrrolate Oral Tablet 1MG","404093","CDM","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","1.1","2.33","percent of total billed charges",,
"NF-Rythmol SR Oral Cap ER 225MG","404095","CDM","Both",,,"19","9.5","Alliant","Health Exchange",,,"62",,"11.78","6.95","14.72","percent of total billed charges",,
"NF-Rythmol SR Oral Cap ER 225MG","404095","CDM","Both",,,"19","9.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.26","6.95","14.72","percent of total billed charges",,
"NF-Rythmol SR Oral Cap ER 225MG","404095","CDM","Both",,,"19","9.5","Medicare",,,,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"NF-Rythmol SR Oral Cap ER 225MG","404095","CDM","Both",,,"19","9.5","Humana","Medicare Advantage",,,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"NF-Rythmol SR Oral Cap ER 225MG","404095","CDM","Both",,,"19","9.5","UHC","Medicare Advantage",,,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"NF-Rythmol SR Oral Cap ER 225MG","404095","CDM","Both",,,"19","9.5","Clover","Medicare Advantage",,,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"NF-Rythmol SR Oral Cap ER 225MG","404095","CDM","Both",,,"19","9.5","Wellcare","Medicare Advantage",,,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"NF-Rythmol SR Oral Cap ER 225MG","404095","CDM","Both",,,"19","9.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.95","6.95","14.72","percent of total billed charges",,
"NF-Rythmol SR Oral Cap ER 225MG","404095","CDM","Both",,,"19","9.5","Caresource","Medicaid Managed Care",,,"40",,"7.6","6.95","14.72","percent of total billed charges",,
"NF-Rythmol SR Oral Cap ER 225MG","404095","CDM","Both",,,"19","9.5","Wellcare","Medicaid Managed Care",,,"40",,"7.7","6.95","14.72","percent of total billed charges",,
"NF-Rythmol SR Oral Cap ER 225MG","404095","CDM","Both",,,"19","9.5","Aetna","Commercial",,,"64",,"12.12","6.95","14.72","percent of total billed charges",,
"NF-Rythmol SR Oral Cap ER 225MG","404095","CDM","Both",,,"19","9.5","Blue Cross Blue Shield","Pathways",,,"71",,"13.41","6.95","14.72","percent of total billed charges",,
"NF-Rythmol SR Oral Cap ER 225MG","404095","CDM","Both",,,"19","9.5","Blue Cross Blue Shield","HMO",,,"71",,"13.41","6.95","14.72","percent of total billed charges",,
"NF-Rythmol SR Oral Cap ER 225MG","404095","CDM","Both",,,"19","9.5","Blue Cross Blue Shield","PPO",,,"71",,"13.41","6.95","14.72","percent of total billed charges",,
"NF-Rythmol SR Oral Cap ER 225MG","404095","CDM","Both",,,"19","9.5","Ambetter","Health Exchange",,,"62",,"11.78","6.95","14.72","percent of total billed charges",,
"NF-Rythmol SR Oral Cap ER 225MG","404095","CDM","Both",,,"19","9.5","Caresource","Health Exchange",,,"62",,"11.78","6.95","14.72","percent of total billed charges",,
"NF-Rythmol SR Oral Cap ER 225MG","404095","CDM","Both",,,"19","9.5","Cigna","Commercial",,,"59",,"11.13","6.95","14.72","percent of total billed charges",,
"NF-Rythmol SR Oral Cap ER 225MG","404095","CDM","Both",,,"19","9.5","Humana","Commercial",,,"78",,"14.72","6.95","14.72","percent of total billed charges",,
"NF-Rythmol SR Oral Cap ER 225MG","404095","CDM","Both",,,"19","9.5","UHC","Commercial",,,"75",,"14.33","6.95","14.72","percent of total billed charges",,
"NF-Rythmol SR Oral Cap ER 225MG","404095","CDM","Both",,,"19","9.5","Medicaid",,,,"37",,"6.95","6.95","14.72","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","404099","CDM","Both",,,"146","73","Alliant","Health Exchange",,,"62",,"90.52","53.44","113.15","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","404099","CDM","Both",,,"146","73","Pruitt Healthcare","Medicare Advantage",,,"54",,"78.84","53.44","113.15","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","404099","CDM","Both",,,"146","73","Medicare",,,,"54",,"79.13","53.44","113.15","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","404099","CDM","Both",,,"146","73","Humana","Medicare Advantage",,,"54",,"79.13","53.44","113.15","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","404099","CDM","Both",,,"146","73","UHC","Medicare Advantage",,,"54",,"79.13","53.44","113.15","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","404099","CDM","Both",,,"146","73","Clover","Medicare Advantage",,,"54",,"79.13","53.44","113.15","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","404099","CDM","Both",,,"146","73","Wellcare","Medicare Advantage",,,"54",,"79.13","53.44","113.15","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","404099","CDM","Both",,,"146","73","Amerigroup","Medicaid Managed Care",,,"37",,"53.44","53.44","113.15","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","404099","CDM","Both",,,"146","73","Caresource","Medicaid Managed Care",,,"40",,"58.4","53.44","113.15","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","404099","CDM","Both",,,"146","73","Wellcare","Medicaid Managed Care",,,"40",,"59.13","53.44","113.15","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","404099","CDM","Both",,,"146","73","Aetna","Commercial",,,"64",,"93.15","53.44","113.15","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","404099","CDM","Both",,,"146","73","Blue Cross Blue Shield","Pathways",,,"71",,"103.08","53.44","113.15","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","404099","CDM","Both",,,"146","73","Blue Cross Blue Shield","HMO",,,"71",,"103.08","53.44","113.15","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","404099","CDM","Both",,,"146","73","Blue Cross Blue Shield","PPO",,,"71",,"103.08","53.44","113.15","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","404099","CDM","Both",,,"146","73","Ambetter","Health Exchange",,,"62",,"90.52","53.44","113.15","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","404099","CDM","Both",,,"146","73","Caresource","Health Exchange",,,"62",,"90.52","53.44","113.15","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","404099","CDM","Both",,,"146","73","Cigna","Commercial",,,"59",,"85.56","53.44","113.15","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","404099","CDM","Both",,,"146","73","Humana","Commercial",,,"78",,"113.15","53.44","113.15","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","404099","CDM","Both",,,"146","73","UHC","Commercial",,,"75",,"110.08","53.44","113.15","percent of total billed charges",,
"NF-Combigan Ophth Soln 0.2%-0.5%","404099","CDM","Both",,,"146","73","Medicaid",,,,"37",,"53.44","53.44","113.15","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","404100","CDM","Both",,,"20","10","Alliant","Health Exchange",,,"62",,"12.4","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","404100","CDM","Both",,,"20","10","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.8","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","404100","CDM","Both",,,"20","10","Medicare",,,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","404100","CDM","Both",,,"20","10","Humana","Medicare Advantage",,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","404100","CDM","Both",,,"20","10","UHC","Medicare Advantage",,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","404100","CDM","Both",,,"20","10","Clover","Medicare Advantage",,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","404100","CDM","Both",,,"20","10","Wellcare","Medicare Advantage",,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","404100","CDM","Both",,,"20","10","Amerigroup","Medicaid Managed Care",,,"37",,"7.32","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","404100","CDM","Both",,,"20","10","Caresource","Medicaid Managed Care",,,"40",,"8","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","404100","CDM","Both",,,"20","10","Wellcare","Medicaid Managed Care",,,"40",,"8.1","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","404100","CDM","Both",,,"20","10","Aetna","Commercial",,,"64",,"12.76","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","404100","CDM","Both",,,"20","10","Blue Cross Blue Shield","Pathways",,,"71",,"14.12","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","404100","CDM","Both",,,"20","10","Blue Cross Blue Shield","HMO",,,"71",,"14.12","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","404100","CDM","Both",,,"20","10","Blue Cross Blue Shield","PPO",,,"71",,"14.12","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","404100","CDM","Both",,,"20","10","Ambetter","Health Exchange",,,"62",,"12.4","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","404100","CDM","Both",,,"20","10","Caresource","Health Exchange",,,"62",,"12.4","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","404100","CDM","Both",,,"20","10","Cigna","Commercial",,,"59",,"11.72","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","404100","CDM","Both",,,"20","10","Humana","Commercial",,,"78",,"15.5","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","404100","CDM","Both",,,"20","10","UHC","Commercial",,,"75",,"15.08","7.32","15.5","percent of total billed charges",,
"NF-Dorzolamide Hydrochloride Ophth Soln","404100","CDM","Both",,,"20","10","Medicaid",,,,"37",,"7.32","7.32","15.5","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404101","CDM","Both",,,"344","172","Alliant","Health Exchange",,,"62",,"213.28","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404101","CDM","Both",,,"344","172","Pruitt Healthcare","Medicare Advantage",,,"54",,"185.76","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404101","CDM","Both",,,"344","172","Medicare",,,,"54",,"186.45","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404101","CDM","Both",,,"344","172","Humana","Medicare Advantage",,,"54",,"186.45","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404101","CDM","Both",,,"344","172","UHC","Medicare Advantage",,,"54",,"186.45","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404101","CDM","Both",,,"344","172","Clover","Medicare Advantage",,,"54",,"186.45","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404101","CDM","Both",,,"344","172","Wellcare","Medicare Advantage",,,"54",,"186.45","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404101","CDM","Both",,,"344","172","Amerigroup","Medicaid Managed Care",,,"37",,"125.9","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404101","CDM","Both",,,"344","172","Caresource","Medicaid Managed Care",,,"40",,"137.6","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404101","CDM","Both",,,"344","172","Wellcare","Medicaid Managed Care",,,"40",,"139.32","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404101","CDM","Both",,,"344","172","Aetna","Commercial",,,"64",,"219.47","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404101","CDM","Both",,,"344","172","Blue Cross Blue Shield","Pathways",,,"71",,"242.86","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404101","CDM","Both",,,"344","172","Blue Cross Blue Shield","HMO",,,"71",,"242.86","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404101","CDM","Both",,,"344","172","Blue Cross Blue Shield","PPO",,,"71",,"242.86","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404101","CDM","Both",,,"344","172","Ambetter","Health Exchange",,,"62",,"213.28","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404101","CDM","Both",,,"344","172","Caresource","Health Exchange",,,"62",,"213.28","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404101","CDM","Both",,,"344","172","Cigna","Commercial",,,"59",,"201.58","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404101","CDM","Both",,,"344","172","Humana","Commercial",,,"78",,"266.6","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404101","CDM","Both",,,"344","172","UHC","Commercial",,,"75",,"259.38","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404101","CDM","Both",,,"344","172","Medicaid",,,,"37",,"125.9","125.9","266.6","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","404105","CDM","Both",,,"56","28","Alliant","Health Exchange",,,"62",,"34.72","20.5","43.4","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","404105","CDM","Both",,,"56","28","Pruitt Healthcare","Medicare Advantage",,,"54",,"30.24","20.5","43.4","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","404105","CDM","Both",,,"56","28","Medicare",,,,"54",,"30.35","20.5","43.4","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","404105","CDM","Both",,,"56","28","Humana","Medicare Advantage",,,"54",,"30.35","20.5","43.4","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","404105","CDM","Both",,,"56","28","UHC","Medicare Advantage",,,"54",,"30.35","20.5","43.4","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","404105","CDM","Both",,,"56","28","Clover","Medicare Advantage",,,"54",,"30.35","20.5","43.4","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","404105","CDM","Both",,,"56","28","Wellcare","Medicare Advantage",,,"54",,"30.35","20.5","43.4","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","404105","CDM","Both",,,"56","28","Amerigroup","Medicaid Managed Care",,,"37",,"20.5","20.5","43.4","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","404105","CDM","Both",,,"56","28","Caresource","Medicaid Managed Care",,,"40",,"22.4","20.5","43.4","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","404105","CDM","Both",,,"56","28","Wellcare","Medicaid Managed Care",,,"40",,"22.68","20.5","43.4","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","404105","CDM","Both",,,"56","28","Aetna","Commercial",,,"64",,"35.73","20.5","43.4","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","404105","CDM","Both",,,"56","28","Blue Cross Blue Shield","Pathways",,,"71",,"39.54","20.5","43.4","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","404105","CDM","Both",,,"56","28","Blue Cross Blue Shield","HMO",,,"71",,"39.54","20.5","43.4","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","404105","CDM","Both",,,"56","28","Blue Cross Blue Shield","PPO",,,"71",,"39.54","20.5","43.4","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","404105","CDM","Both",,,"56","28","Ambetter","Health Exchange",,,"62",,"34.72","20.5","43.4","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","404105","CDM","Both",,,"56","28","Caresource","Health Exchange",,,"62",,"34.72","20.5","43.4","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","404105","CDM","Both",,,"56","28","Cigna","Commercial",,,"59",,"32.82","20.5","43.4","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","404105","CDM","Both",,,"56","28","Humana","Commercial",,,"78",,"43.4","20.5","43.4","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","404105","CDM","Both",,,"56","28","UHC","Commercial",,,"75",,"42.22","20.5","43.4","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 200MG","404105","CDM","Both",,,"56","28","Medicaid",,,,"37",,"20.5","20.5","43.4","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","404107","CDM","Both",,,"26","13","Alliant","Health Exchange",,,"62",,"16.12","9.52","20.15","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","404107","CDM","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.04","9.52","20.15","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","404107","CDM","Both",,,"26","13","Medicare",,,,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","404107","CDM","Both",,,"26","13","Humana","Medicare Advantage",,,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","404107","CDM","Both",,,"26","13","UHC","Medicare Advantage",,,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","404107","CDM","Both",,,"26","13","Clover","Medicare Advantage",,,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","404107","CDM","Both",,,"26","13","Wellcare","Medicare Advantage",,,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","404107","CDM","Both",,,"26","13","Amerigroup","Medicaid Managed Care",,,"37",,"9.52","9.52","20.15","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","404107","CDM","Both",,,"26","13","Caresource","Medicaid Managed Care",,,"40",,"10.4","9.52","20.15","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","404107","CDM","Both",,,"26","13","Wellcare","Medicaid Managed Care",,,"40",,"10.53","9.52","20.15","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","404107","CDM","Both",,,"26","13","Aetna","Commercial",,,"64",,"16.59","9.52","20.15","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","404107","CDM","Both",,,"26","13","Blue Cross Blue Shield","Pathways",,,"71",,"18.36","9.52","20.15","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","404107","CDM","Both",,,"26","13","Blue Cross Blue Shield","HMO",,,"71",,"18.36","9.52","20.15","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","404107","CDM","Both",,,"26","13","Blue Cross Blue Shield","PPO",,,"71",,"18.36","9.52","20.15","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","404107","CDM","Both",,,"26","13","Ambetter","Health Exchange",,,"62",,"16.12","9.52","20.15","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","404107","CDM","Both",,,"26","13","Caresource","Health Exchange",,,"62",,"16.12","9.52","20.15","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","404107","CDM","Both",,,"26","13","Cigna","Commercial",,,"59",,"15.24","9.52","20.15","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","404107","CDM","Both",,,"26","13","Humana","Commercial",,,"78",,"20.15","9.52","20.15","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","404107","CDM","Both",,,"26","13","UHC","Commercial",,,"75",,"19.6","9.52","20.15","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 10MG","404107","CDM","Both",,,"26","13","Medicaid",,,,"37",,"9.52","9.52","20.15","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 2.5MG","404108","CDM","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 2.5MG","404108","CDM","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","1.46","3.1","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 2.5MG","404108","CDM","Both",,,"4","2","Medicare",,,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 2.5MG","404108","CDM","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 2.5MG","404108","CDM","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 2.5MG","404108","CDM","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 2.5MG","404108","CDM","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 2.5MG","404108","CDM","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","1.46","3.1","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 2.5MG","404108","CDM","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","1.46","3.1","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 2.5MG","404108","CDM","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","1.46","3.1","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 2.5MG","404108","CDM","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","1.46","3.1","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 2.5MG","404108","CDM","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 2.5MG","404108","CDM","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 2.5MG","404108","CDM","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 2.5MG","404108","CDM","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 2.5MG","404108","CDM","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 2.5MG","404108","CDM","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","1.46","3.1","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 2.5MG","404108","CDM","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","1.46","3.1","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 2.5MG","404108","CDM","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","1.46","3.1","percent of total billed charges",,
"NF-Midodrine HCl Oral Tablet 2.5MG","404108","CDM","Both",,,"4","2","Medicaid",,,,"37",,"1.46","1.46","3.1","percent of total billed charges",,
"NF-Enalapril Maleate Oral Tablet 5MG","404109","CDM","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-Enalapril Maleate Oral Tablet 5MG","404109","CDM","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","1.46","3.1","percent of total billed charges",,
"NF-Enalapril Maleate Oral Tablet 5MG","404109","CDM","Both",,,"4","2","Medicare",,,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Enalapril Maleate Oral Tablet 5MG","404109","CDM","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Enalapril Maleate Oral Tablet 5MG","404109","CDM","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Enalapril Maleate Oral Tablet 5MG","404109","CDM","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Enalapril Maleate Oral Tablet 5MG","404109","CDM","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Enalapril Maleate Oral Tablet 5MG","404109","CDM","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","1.46","3.1","percent of total billed charges",,
"NF-Enalapril Maleate Oral Tablet 5MG","404109","CDM","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","1.46","3.1","percent of total billed charges",,
"NF-Enalapril Maleate Oral Tablet 5MG","404109","CDM","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","1.46","3.1","percent of total billed charges",,
"NF-Enalapril Maleate Oral Tablet 5MG","404109","CDM","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","1.46","3.1","percent of total billed charges",,
"NF-Enalapril Maleate Oral Tablet 5MG","404109","CDM","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-Enalapril Maleate Oral Tablet 5MG","404109","CDM","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-Enalapril Maleate Oral Tablet 5MG","404109","CDM","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-Enalapril Maleate Oral Tablet 5MG","404109","CDM","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-Enalapril Maleate Oral Tablet 5MG","404109","CDM","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-Enalapril Maleate Oral Tablet 5MG","404109","CDM","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","1.46","3.1","percent of total billed charges",,
"NF-Enalapril Maleate Oral Tablet 5MG","404109","CDM","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","1.46","3.1","percent of total billed charges",,
"NF-Enalapril Maleate Oral Tablet 5MG","404109","CDM","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","1.46","3.1","percent of total billed charges",,
"NF-Enalapril Maleate Oral Tablet 5MG","404109","CDM","Both",,,"4","2","Medicaid",,,,"37",,"1.46","1.46","3.1","percent of total billed charges",,
"NF-Enalapril Maleate Oral Tablet 5MG","404110","CDM","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-Enalapril Maleate Oral Tablet 5MG","404110","CDM","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","1.46","3.1","percent of total billed charges",,
"NF-Enalapril Maleate Oral Tablet 5MG","404110","CDM","Both",,,"4","2","Medicare",,,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Enalapril Maleate Oral Tablet 5MG","404110","CDM","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Enalapril Maleate Oral Tablet 5MG","404110","CDM","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Enalapril Maleate Oral Tablet 5MG","404110","CDM","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Enalapril Maleate Oral Tablet 5MG","404110","CDM","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Enalapril Maleate Oral Tablet 5MG","404110","CDM","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","1.46","3.1","percent of total billed charges",,
"NF-Enalapril Maleate Oral Tablet 5MG","404110","CDM","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","1.46","3.1","percent of total billed charges",,
"NF-Enalapril Maleate Oral Tablet 5MG","404110","CDM","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","1.46","3.1","percent of total billed charges",,
"NF-Enalapril Maleate Oral Tablet 5MG","404110","CDM","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","1.46","3.1","percent of total billed charges",,
"NF-Enalapril Maleate Oral Tablet 5MG","404110","CDM","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-Enalapril Maleate Oral Tablet 5MG","404110","CDM","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-Enalapril Maleate Oral Tablet 5MG","404110","CDM","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-Enalapril Maleate Oral Tablet 5MG","404110","CDM","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-Enalapril Maleate Oral Tablet 5MG","404110","CDM","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-Enalapril Maleate Oral Tablet 5MG","404110","CDM","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","1.46","3.1","percent of total billed charges",,
"NF-Enalapril Maleate Oral Tablet 5MG","404110","CDM","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","1.46","3.1","percent of total billed charges",,
"NF-Enalapril Maleate Oral Tablet 5MG","404110","CDM","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","1.46","3.1","percent of total billed charges",,
"NF-Enalapril Maleate Oral Tablet 5MG","404110","CDM","Both",,,"4","2","Medicaid",,,,"37",,"1.46","1.46","3.1","percent of total billed charges",,
"NF-RisperDAL     Sol  1MG/ML","404113","CDM","Both",,,"19","9.5","Alliant","Health Exchange",,,"62",,"11.78","6.95","14.72","percent of total billed charges",,
"NF-RisperDAL     Sol  1MG/ML","404113","CDM","Both",,,"19","9.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.26","6.95","14.72","percent of total billed charges",,
"NF-RisperDAL     Sol  1MG/ML","404113","CDM","Both",,,"19","9.5","Medicare",,,,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"NF-RisperDAL     Sol  1MG/ML","404113","CDM","Both",,,"19","9.5","Humana","Medicare Advantage",,,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"NF-RisperDAL     Sol  1MG/ML","404113","CDM","Both",,,"19","9.5","UHC","Medicare Advantage",,,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"NF-RisperDAL     Sol  1MG/ML","404113","CDM","Both",,,"19","9.5","Clover","Medicare Advantage",,,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"NF-RisperDAL     Sol  1MG/ML","404113","CDM","Both",,,"19","9.5","Wellcare","Medicare Advantage",,,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"NF-RisperDAL     Sol  1MG/ML","404113","CDM","Both",,,"19","9.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.95","6.95","14.72","percent of total billed charges",,
"NF-RisperDAL     Sol  1MG/ML","404113","CDM","Both",,,"19","9.5","Caresource","Medicaid Managed Care",,,"40",,"7.6","6.95","14.72","percent of total billed charges",,
"NF-RisperDAL     Sol  1MG/ML","404113","CDM","Both",,,"19","9.5","Wellcare","Medicaid Managed Care",,,"40",,"7.7","6.95","14.72","percent of total billed charges",,
"NF-RisperDAL     Sol  1MG/ML","404113","CDM","Both",,,"19","9.5","Aetna","Commercial",,,"64",,"12.12","6.95","14.72","percent of total billed charges",,
"NF-RisperDAL     Sol  1MG/ML","404113","CDM","Both",,,"19","9.5","Blue Cross Blue Shield","Pathways",,,"71",,"13.41","6.95","14.72","percent of total billed charges",,
"NF-RisperDAL     Sol  1MG/ML","404113","CDM","Both",,,"19","9.5","Blue Cross Blue Shield","HMO",,,"71",,"13.41","6.95","14.72","percent of total billed charges",,
"NF-RisperDAL     Sol  1MG/ML","404113","CDM","Both",,,"19","9.5","Blue Cross Blue Shield","PPO",,,"71",,"13.41","6.95","14.72","percent of total billed charges",,
"NF-RisperDAL     Sol  1MG/ML","404113","CDM","Both",,,"19","9.5","Ambetter","Health Exchange",,,"62",,"11.78","6.95","14.72","percent of total billed charges",,
"NF-RisperDAL     Sol  1MG/ML","404113","CDM","Both",,,"19","9.5","Caresource","Health Exchange",,,"62",,"11.78","6.95","14.72","percent of total billed charges",,
"NF-RisperDAL     Sol  1MG/ML","404113","CDM","Both",,,"19","9.5","Cigna","Commercial",,,"59",,"11.13","6.95","14.72","percent of total billed charges",,
"NF-RisperDAL     Sol  1MG/ML","404113","CDM","Both",,,"19","9.5","Humana","Commercial",,,"78",,"14.72","6.95","14.72","percent of total billed charges",,
"NF-RisperDAL     Sol  1MG/ML","404113","CDM","Both",,,"19","9.5","UHC","Commercial",,,"75",,"14.33","6.95","14.72","percent of total billed charges",,
"NF-RisperDAL     Sol  1MG/ML","404113","CDM","Both",,,"19","9.5","Medicaid",,,,"37",,"6.95","6.95","14.72","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","404124","CDM","Both",,,"57","28.5","Alliant","Health Exchange",,,"62",,"35.34","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","404124","CDM","Both",,,"57","28.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"30.78","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","404124","CDM","Both",,,"57","28.5","Medicare",,,,"54",,"30.89","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","404124","CDM","Both",,,"57","28.5","Humana","Medicare Advantage",,,"54",,"30.89","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","404124","CDM","Both",,,"57","28.5","UHC","Medicare Advantage",,,"54",,"30.89","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","404124","CDM","Both",,,"57","28.5","Clover","Medicare Advantage",,,"54",,"30.89","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","404124","CDM","Both",,,"57","28.5","Wellcare","Medicare Advantage",,,"54",,"30.89","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","404124","CDM","Both",,,"57","28.5","Amerigroup","Medicaid Managed Care",,,"37",,"20.86","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","404124","CDM","Both",,,"57","28.5","Caresource","Medicaid Managed Care",,,"40",,"22.8","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","404124","CDM","Both",,,"57","28.5","Wellcare","Medicaid Managed Care",,,"40",,"23.08","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","404124","CDM","Both",,,"57","28.5","Aetna","Commercial",,,"64",,"36.37","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","404124","CDM","Both",,,"57","28.5","Blue Cross Blue Shield","Pathways",,,"71",,"40.24","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","404124","CDM","Both",,,"57","28.5","Blue Cross Blue Shield","HMO",,,"71",,"40.24","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","404124","CDM","Both",,,"57","28.5","Blue Cross Blue Shield","PPO",,,"71",,"40.24","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","404124","CDM","Both",,,"57","28.5","Ambetter","Health Exchange",,,"62",,"35.34","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","404124","CDM","Both",,,"57","28.5","Caresource","Health Exchange",,,"62",,"35.34","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","404124","CDM","Both",,,"57","28.5","Cigna","Commercial",,,"59",,"33.4","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","404124","CDM","Both",,,"57","28.5","Humana","Commercial",,,"78",,"44.18","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","404124","CDM","Both",,,"57","28.5","UHC","Commercial",,,"75",,"42.98","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","404124","CDM","Both",,,"57","28.5","Medicaid",,,,"37",,"20.86","20.86","44.18","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","404126","CDM","Both",,,"137","68.5","Alliant","Health Exchange",,,"62",,"84.94","50.14","106.18","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","404126","CDM","Both",,,"137","68.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"73.98","50.14","106.18","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","404126","CDM","Both",,,"137","68.5","Medicare",,,,"54",,"74.25","50.14","106.18","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","404126","CDM","Both",,,"137","68.5","Humana","Medicare Advantage",,,"54",,"74.25","50.14","106.18","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","404126","CDM","Both",,,"137","68.5","UHC","Medicare Advantage",,,"54",,"74.25","50.14","106.18","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","404126","CDM","Both",,,"137","68.5","Clover","Medicare Advantage",,,"54",,"74.25","50.14","106.18","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","404126","CDM","Both",,,"137","68.5","Wellcare","Medicare Advantage",,,"54",,"74.25","50.14","106.18","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","404126","CDM","Both",,,"137","68.5","Amerigroup","Medicaid Managed Care",,,"37",,"50.14","50.14","106.18","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","404126","CDM","Both",,,"137","68.5","Caresource","Medicaid Managed Care",,,"40",,"54.8","50.14","106.18","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","404126","CDM","Both",,,"137","68.5","Wellcare","Medicaid Managed Care",,,"40",,"55.49","50.14","106.18","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","404126","CDM","Both",,,"137","68.5","Aetna","Commercial",,,"64",,"87.41","50.14","106.18","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","404126","CDM","Both",,,"137","68.5","Blue Cross Blue Shield","Pathways",,,"71",,"96.72","50.14","106.18","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","404126","CDM","Both",,,"137","68.5","Blue Cross Blue Shield","HMO",,,"71",,"96.72","50.14","106.18","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","404126","CDM","Both",,,"137","68.5","Blue Cross Blue Shield","PPO",,,"71",,"96.72","50.14","106.18","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","404126","CDM","Both",,,"137","68.5","Ambetter","Health Exchange",,,"62",,"84.94","50.14","106.18","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","404126","CDM","Both",,,"137","68.5","Caresource","Health Exchange",,,"62",,"84.94","50.14","106.18","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","404126","CDM","Both",,,"137","68.5","Cigna","Commercial",,,"59",,"80.28","50.14","106.18","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","404126","CDM","Both",,,"137","68.5","Humana","Commercial",,,"78",,"106.18","50.14","106.18","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","404126","CDM","Both",,,"137","68.5","UHC","Commercial",,,"75",,"103.3","50.14","106.18","percent of total billed charges",,
"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG","404126","CDM","Both",,,"137","68.5","Medicaid",,,,"37",,"50.14","50.14","106.18","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","404127","CDM","Both",,,"71","35.5","Alliant","Health Exchange",,,"62",,"44.02","25.99","55.02","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","404127","CDM","Both",,,"71","35.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"38.34","25.99","55.02","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","404127","CDM","Both",,,"71","35.5","Medicare",,,,"54",,"38.48","25.99","55.02","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","404127","CDM","Both",,,"71","35.5","Humana","Medicare Advantage",,,"54",,"38.48","25.99","55.02","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","404127","CDM","Both",,,"71","35.5","UHC","Medicare Advantage",,,"54",,"38.48","25.99","55.02","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","404127","CDM","Both",,,"71","35.5","Clover","Medicare Advantage",,,"54",,"38.48","25.99","55.02","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","404127","CDM","Both",,,"71","35.5","Wellcare","Medicare Advantage",,,"54",,"38.48","25.99","55.02","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","404127","CDM","Both",,,"71","35.5","Amerigroup","Medicaid Managed Care",,,"37",,"25.99","25.99","55.02","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","404127","CDM","Both",,,"71","35.5","Caresource","Medicaid Managed Care",,,"40",,"28.4","25.99","55.02","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","404127","CDM","Both",,,"71","35.5","Wellcare","Medicaid Managed Care",,,"40",,"28.76","25.99","55.02","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","404127","CDM","Both",,,"71","35.5","Aetna","Commercial",,,"64",,"45.3","25.99","55.02","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","404127","CDM","Both",,,"71","35.5","Blue Cross Blue Shield","Pathways",,,"71",,"50.13","25.99","55.02","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","404127","CDM","Both",,,"71","35.5","Blue Cross Blue Shield","HMO",,,"71",,"50.13","25.99","55.02","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","404127","CDM","Both",,,"71","35.5","Blue Cross Blue Shield","PPO",,,"71",,"50.13","25.99","55.02","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","404127","CDM","Both",,,"71","35.5","Ambetter","Health Exchange",,,"62",,"44.02","25.99","55.02","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","404127","CDM","Both",,,"71","35.5","Caresource","Health Exchange",,,"62",,"44.02","25.99","55.02","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","404127","CDM","Both",,,"71","35.5","Cigna","Commercial",,,"59",,"41.61","25.99","55.02","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","404127","CDM","Both",,,"71","35.5","Humana","Commercial",,,"78",,"55.02","25.99","55.02","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","404127","CDM","Both",,,"71","35.5","UHC","Commercial",,,"75",,"53.53","25.99","55.02","percent of total billed charges",,
"NF-Actos Oral Tablet 30MG","404127","CDM","Both",,,"71","35.5","Medicaid",,,,"37",,"25.99","25.99","55.02","percent of total billed charges",,
"NF-NexIUM Capsule 20MG","404129","CDM","Both",,,"33","16.5","Alliant","Health Exchange",,,"62",,"20.46","12.08","25.58","percent of total billed charges",,
"NF-NexIUM Capsule 20MG","404129","CDM","Both",,,"33","16.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.82","12.08","25.58","percent of total billed charges",,
"NF-NexIUM Capsule 20MG","404129","CDM","Both",,,"33","16.5","Medicare",,,,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"NF-NexIUM Capsule 20MG","404129","CDM","Both",,,"33","16.5","Humana","Medicare Advantage",,,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"NF-NexIUM Capsule 20MG","404129","CDM","Both",,,"33","16.5","UHC","Medicare Advantage",,,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"NF-NexIUM Capsule 20MG","404129","CDM","Both",,,"33","16.5","Clover","Medicare Advantage",,,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"NF-NexIUM Capsule 20MG","404129","CDM","Both",,,"33","16.5","Wellcare","Medicare Advantage",,,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"NF-NexIUM Capsule 20MG","404129","CDM","Both",,,"33","16.5","Amerigroup","Medicaid Managed Care",,,"37",,"12.08","12.08","25.58","percent of total billed charges",,
"NF-NexIUM Capsule 20MG","404129","CDM","Both",,,"33","16.5","Caresource","Medicaid Managed Care",,,"40",,"13.2","12.08","25.58","percent of total billed charges",,
"NF-NexIUM Capsule 20MG","404129","CDM","Both",,,"33","16.5","Wellcare","Medicaid Managed Care",,,"40",,"13.36","12.08","25.58","percent of total billed charges",,
"NF-NexIUM Capsule 20MG","404129","CDM","Both",,,"33","16.5","Aetna","Commercial",,,"64",,"21.05","12.08","25.58","percent of total billed charges",,
"NF-NexIUM Capsule 20MG","404129","CDM","Both",,,"33","16.5","Blue Cross Blue Shield","Pathways",,,"71",,"23.3","12.08","25.58","percent of total billed charges",,
"NF-NexIUM Capsule 20MG","404129","CDM","Both",,,"33","16.5","Blue Cross Blue Shield","HMO",,,"71",,"23.3","12.08","25.58","percent of total billed charges",,
"NF-NexIUM Capsule 20MG","404129","CDM","Both",,,"33","16.5","Blue Cross Blue Shield","PPO",,,"71",,"23.3","12.08","25.58","percent of total billed charges",,
"NF-NexIUM Capsule 20MG","404129","CDM","Both",,,"33","16.5","Ambetter","Health Exchange",,,"62",,"20.46","12.08","25.58","percent of total billed charges",,
"NF-NexIUM Capsule 20MG","404129","CDM","Both",,,"33","16.5","Caresource","Health Exchange",,,"62",,"20.46","12.08","25.58","percent of total billed charges",,
"NF-NexIUM Capsule 20MG","404129","CDM","Both",,,"33","16.5","Cigna","Commercial",,,"59",,"19.34","12.08","25.58","percent of total billed charges",,
"NF-NexIUM Capsule 20MG","404129","CDM","Both",,,"33","16.5","Humana","Commercial",,,"78",,"25.58","12.08","25.58","percent of total billed charges",,
"NF-NexIUM Capsule 20MG","404129","CDM","Both",,,"33","16.5","UHC","Commercial",,,"75",,"24.88","12.08","25.58","percent of total billed charges",,
"NF-NexIUM Capsule 20MG","404129","CDM","Both",,,"33","16.5","Medicaid",,,,"37",,"12.08","12.08","25.58","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","404131","CDM","Both",,,"40","20","Alliant","Health Exchange",,,"62",,"24.8","14.64","31","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","404131","CDM","Both",,,"40","20","Pruitt Healthcare","Medicare Advantage",,,"54",,"21.6","14.64","31","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","404131","CDM","Both",,,"40","20","Medicare",,,,"54",,"21.68","14.64","31","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","404131","CDM","Both",,,"40","20","Humana","Medicare Advantage",,,"54",,"21.68","14.64","31","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","404131","CDM","Both",,,"40","20","UHC","Medicare Advantage",,,"54",,"21.68","14.64","31","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","404131","CDM","Both",,,"40","20","Clover","Medicare Advantage",,,"54",,"21.68","14.64","31","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","404131","CDM","Both",,,"40","20","Wellcare","Medicare Advantage",,,"54",,"21.68","14.64","31","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","404131","CDM","Both",,,"40","20","Amerigroup","Medicaid Managed Care",,,"37",,"14.64","14.64","31","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","404131","CDM","Both",,,"40","20","Caresource","Medicaid Managed Care",,,"40",,"16","14.64","31","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","404131","CDM","Both",,,"40","20","Wellcare","Medicaid Managed Care",,,"40",,"16.2","14.64","31","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","404131","CDM","Both",,,"40","20","Aetna","Commercial",,,"64",,"25.52","14.64","31","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","404131","CDM","Both",,,"40","20","Blue Cross Blue Shield","Pathways",,,"71",,"28.24","14.64","31","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","404131","CDM","Both",,,"40","20","Blue Cross Blue Shield","HMO",,,"71",,"28.24","14.64","31","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","404131","CDM","Both",,,"40","20","Blue Cross Blue Shield","PPO",,,"71",,"28.24","14.64","31","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","404131","CDM","Both",,,"40","20","Ambetter","Health Exchange",,,"62",,"24.8","14.64","31","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","404131","CDM","Both",,,"40","20","Caresource","Health Exchange",,,"62",,"24.8","14.64","31","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","404131","CDM","Both",,,"40","20","Cigna","Commercial",,,"59",,"23.44","14.64","31","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","404131","CDM","Both",,,"40","20","Humana","Commercial",,,"78",,"31","14.64","31","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","404131","CDM","Both",,,"40","20","UHC","Commercial",,,"75",,"30.16","14.64","31","percent of total billed charges",,
"NF-Entresto Oral Tablet 49MG-51MG","404131","CDM","Both",,,"40","20","Medicaid",,,,"37",,"14.64","14.64","31","percent of total billed charges",,
"NF-Rasagiline Oral Tablet 1MG","404134","CDM","Both",,,"74","37","Alliant","Health Exchange",,,"62",,"45.88","27.08","57.35","percent of total billed charges",,
"NF-Rasagiline Oral Tablet 1MG","404134","CDM","Both",,,"74","37","Pruitt Healthcare","Medicare Advantage",,,"54",,"39.96","27.08","57.35","percent of total billed charges",,
"NF-Rasagiline Oral Tablet 1MG","404134","CDM","Both",,,"74","37","Medicare",,,,"54",,"40.11","27.08","57.35","percent of total billed charges",,
"NF-Rasagiline Oral Tablet 1MG","404134","CDM","Both",,,"74","37","Humana","Medicare Advantage",,,"54",,"40.11","27.08","57.35","percent of total billed charges",,
"NF-Rasagiline Oral Tablet 1MG","404134","CDM","Both",,,"74","37","UHC","Medicare Advantage",,,"54",,"40.11","27.08","57.35","percent of total billed charges",,
"NF-Rasagiline Oral Tablet 1MG","404134","CDM","Both",,,"74","37","Clover","Medicare Advantage",,,"54",,"40.11","27.08","57.35","percent of total billed charges",,
"NF-Rasagiline Oral Tablet 1MG","404134","CDM","Both",,,"74","37","Wellcare","Medicare Advantage",,,"54",,"40.11","27.08","57.35","percent of total billed charges",,
"NF-Rasagiline Oral Tablet 1MG","404134","CDM","Both",,,"74","37","Amerigroup","Medicaid Managed Care",,,"37",,"27.08","27.08","57.35","percent of total billed charges",,
"NF-Rasagiline Oral Tablet 1MG","404134","CDM","Both",,,"74","37","Caresource","Medicaid Managed Care",,,"40",,"29.6","27.08","57.35","percent of total billed charges",,
"NF-Rasagiline Oral Tablet 1MG","404134","CDM","Both",,,"74","37","Wellcare","Medicaid Managed Care",,,"40",,"29.97","27.08","57.35","percent of total billed charges",,
"NF-Rasagiline Oral Tablet 1MG","404134","CDM","Both",,,"74","37","Aetna","Commercial",,,"64",,"47.21","27.08","57.35","percent of total billed charges",,
"NF-Rasagiline Oral Tablet 1MG","404134","CDM","Both",,,"74","37","Blue Cross Blue Shield","Pathways",,,"71",,"52.24","27.08","57.35","percent of total billed charges",,
"NF-Rasagiline Oral Tablet 1MG","404134","CDM","Both",,,"74","37","Blue Cross Blue Shield","HMO",,,"71",,"52.24","27.08","57.35","percent of total billed charges",,
"NF-Rasagiline Oral Tablet 1MG","404134","CDM","Both",,,"74","37","Blue Cross Blue Shield","PPO",,,"71",,"52.24","27.08","57.35","percent of total billed charges",,
"NF-Rasagiline Oral Tablet 1MG","404134","CDM","Both",,,"74","37","Ambetter","Health Exchange",,,"62",,"45.88","27.08","57.35","percent of total billed charges",,
"NF-Rasagiline Oral Tablet 1MG","404134","CDM","Both",,,"74","37","Caresource","Health Exchange",,,"62",,"45.88","27.08","57.35","percent of total billed charges",,
"NF-Rasagiline Oral Tablet 1MG","404134","CDM","Both",,,"74","37","Cigna","Commercial",,,"59",,"43.36","27.08","57.35","percent of total billed charges",,
"NF-Rasagiline Oral Tablet 1MG","404134","CDM","Both",,,"74","37","Humana","Commercial",,,"78",,"57.35","27.08","57.35","percent of total billed charges",,
"NF-Rasagiline Oral Tablet 1MG","404134","CDM","Both",,,"74","37","UHC","Commercial",,,"75",,"55.8","27.08","57.35","percent of total billed charges",,
"NF-Rasagiline Oral Tablet 1MG","404134","CDM","Both",,,"74","37","Medicaid",,,,"37",,"27.08","27.08","57.35","percent of total billed charges",,
"NF-Austedo Oral Tablet 12MG","404140","CDM","Both",,,"424","212","Alliant","Health Exchange",,,"62",,"262.88","155.18","328.6","percent of total billed charges",,
"NF-Austedo Oral Tablet 12MG","404140","CDM","Both",,,"424","212","Pruitt Healthcare","Medicare Advantage",,,"54",,"228.96","155.18","328.6","percent of total billed charges",,
"NF-Austedo Oral Tablet 12MG","404140","CDM","Both",,,"424","212","Medicare",,,,"54",,"229.81","155.18","328.6","percent of total billed charges",,
"NF-Austedo Oral Tablet 12MG","404140","CDM","Both",,,"424","212","Humana","Medicare Advantage",,,"54",,"229.81","155.18","328.6","percent of total billed charges",,
"NF-Austedo Oral Tablet 12MG","404140","CDM","Both",,,"424","212","UHC","Medicare Advantage",,,"54",,"229.81","155.18","328.6","percent of total billed charges",,
"NF-Austedo Oral Tablet 12MG","404140","CDM","Both",,,"424","212","Clover","Medicare Advantage",,,"54",,"229.81","155.18","328.6","percent of total billed charges",,
"NF-Austedo Oral Tablet 12MG","404140","CDM","Both",,,"424","212","Wellcare","Medicare Advantage",,,"54",,"229.81","155.18","328.6","percent of total billed charges",,
"NF-Austedo Oral Tablet 12MG","404140","CDM","Both",,,"424","212","Amerigroup","Medicaid Managed Care",,,"37",,"155.18","155.18","328.6","percent of total billed charges",,
"NF-Austedo Oral Tablet 12MG","404140","CDM","Both",,,"424","212","Caresource","Medicaid Managed Care",,,"40",,"169.6","155.18","328.6","percent of total billed charges",,
"NF-Austedo Oral Tablet 12MG","404140","CDM","Both",,,"424","212","Wellcare","Medicaid Managed Care",,,"40",,"171.72","155.18","328.6","percent of total billed charges",,
"NF-Austedo Oral Tablet 12MG","404140","CDM","Both",,,"424","212","Aetna","Commercial",,,"64",,"270.51","155.18","328.6","percent of total billed charges",,
"NF-Austedo Oral Tablet 12MG","404140","CDM","Both",,,"424","212","Blue Cross Blue Shield","Pathways",,,"71",,"299.34","155.18","328.6","percent of total billed charges",,
"NF-Austedo Oral Tablet 12MG","404140","CDM","Both",,,"424","212","Blue Cross Blue Shield","HMO",,,"71",,"299.34","155.18","328.6","percent of total billed charges",,
"NF-Austedo Oral Tablet 12MG","404140","CDM","Both",,,"424","212","Blue Cross Blue Shield","PPO",,,"71",,"299.34","155.18","328.6","percent of total billed charges",,
"NF-Austedo Oral Tablet 12MG","404140","CDM","Both",,,"424","212","Ambetter","Health Exchange",,,"62",,"262.88","155.18","328.6","percent of total billed charges",,
"NF-Austedo Oral Tablet 12MG","404140","CDM","Both",,,"424","212","Caresource","Health Exchange",,,"62",,"262.88","155.18","328.6","percent of total billed charges",,
"NF-Austedo Oral Tablet 12MG","404140","CDM","Both",,,"424","212","Cigna","Commercial",,,"59",,"248.46","155.18","328.6","percent of total billed charges",,
"NF-Austedo Oral Tablet 12MG","404140","CDM","Both",,,"424","212","Humana","Commercial",,,"78",,"328.6","155.18","328.6","percent of total billed charges",,
"NF-Austedo Oral Tablet 12MG","404140","CDM","Both",,,"424","212","UHC","Commercial",,,"75",,"319.7","155.18","328.6","percent of total billed charges",,
"NF-Austedo Oral Tablet 12MG","404140","CDM","Both",,,"424","212","Medicaid",,,,"37",,"155.18","155.18","328.6","percent of total billed charges",,
"NF-RisperDAL Oral Tablet 1MG","404141","CDM","Both",,,"18","9","Alliant","Health Exchange",,,"62",,"11.16","6.59","13.95","percent of total billed charges",,
"NF-RisperDAL Oral Tablet 1MG","404141","CDM","Both",,,"18","9","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.72","6.59","13.95","percent of total billed charges",,
"NF-RisperDAL Oral Tablet 1MG","404141","CDM","Both",,,"18","9","Medicare",,,,"54",,"9.76","6.59","13.95","percent of total billed charges",,
"NF-RisperDAL Oral Tablet 1MG","404141","CDM","Both",,,"18","9","Humana","Medicare Advantage",,,"54",,"9.76","6.59","13.95","percent of total billed charges",,
"NF-RisperDAL Oral Tablet 1MG","404141","CDM","Both",,,"18","9","UHC","Medicare Advantage",,,"54",,"9.76","6.59","13.95","percent of total billed charges",,
"NF-RisperDAL Oral Tablet 1MG","404141","CDM","Both",,,"18","9","Clover","Medicare Advantage",,,"54",,"9.76","6.59","13.95","percent of total billed charges",,
"NF-RisperDAL Oral Tablet 1MG","404141","CDM","Both",,,"18","9","Wellcare","Medicare Advantage",,,"54",,"9.76","6.59","13.95","percent of total billed charges",,
"NF-RisperDAL Oral Tablet 1MG","404141","CDM","Both",,,"18","9","Amerigroup","Medicaid Managed Care",,,"37",,"6.59","6.59","13.95","percent of total billed charges",,
"NF-RisperDAL Oral Tablet 1MG","404141","CDM","Both",,,"18","9","Caresource","Medicaid Managed Care",,,"40",,"7.2","6.59","13.95","percent of total billed charges",,
"NF-RisperDAL Oral Tablet 1MG","404141","CDM","Both",,,"18","9","Wellcare","Medicaid Managed Care",,,"40",,"7.29","6.59","13.95","percent of total billed charges",,
"NF-RisperDAL Oral Tablet 1MG","404141","CDM","Both",,,"18","9","Aetna","Commercial",,,"64",,"11.48","6.59","13.95","percent of total billed charges",,
"NF-RisperDAL Oral Tablet 1MG","404141","CDM","Both",,,"18","9","Blue Cross Blue Shield","Pathways",,,"71",,"12.71","6.59","13.95","percent of total billed charges",,
"NF-RisperDAL Oral Tablet 1MG","404141","CDM","Both",,,"18","9","Blue Cross Blue Shield","HMO",,,"71",,"12.71","6.59","13.95","percent of total billed charges",,
"NF-RisperDAL Oral Tablet 1MG","404141","CDM","Both",,,"18","9","Blue Cross Blue Shield","PPO",,,"71",,"12.71","6.59","13.95","percent of total billed charges",,
"NF-RisperDAL Oral Tablet 1MG","404141","CDM","Both",,,"18","9","Ambetter","Health Exchange",,,"62",,"11.16","6.59","13.95","percent of total billed charges",,
"NF-RisperDAL Oral Tablet 1MG","404141","CDM","Both",,,"18","9","Caresource","Health Exchange",,,"62",,"11.16","6.59","13.95","percent of total billed charges",,
"NF-RisperDAL Oral Tablet 1MG","404141","CDM","Both",,,"18","9","Cigna","Commercial",,,"59",,"10.55","6.59","13.95","percent of total billed charges",,
"NF-RisperDAL Oral Tablet 1MG","404141","CDM","Both",,,"18","9","Humana","Commercial",,,"78",,"13.95","6.59","13.95","percent of total billed charges",,
"NF-RisperDAL Oral Tablet 1MG","404141","CDM","Both",,,"18","9","UHC","Commercial",,,"75",,"13.57","6.59","13.95","percent of total billed charges",,
"NF-RisperDAL Oral Tablet 1MG","404141","CDM","Both",,,"18","9","Medicaid",,,,"37",,"6.59","6.59","13.95","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","404157","CDM","Both",,,"74","37","Alliant","Health Exchange",,,"62",,"45.88","27.08","57.35","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","404157","CDM","Both",,,"74","37","Pruitt Healthcare","Medicare Advantage",,,"54",,"39.96","27.08","57.35","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","404157","CDM","Both",,,"74","37","Medicare",,,,"54",,"40.11","27.08","57.35","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","404157","CDM","Both",,,"74","37","Humana","Medicare Advantage",,,"54",,"40.11","27.08","57.35","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","404157","CDM","Both",,,"74","37","UHC","Medicare Advantage",,,"54",,"40.11","27.08","57.35","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","404157","CDM","Both",,,"74","37","Clover","Medicare Advantage",,,"54",,"40.11","27.08","57.35","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","404157","CDM","Both",,,"74","37","Wellcare","Medicare Advantage",,,"54",,"40.11","27.08","57.35","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","404157","CDM","Both",,,"74","37","Amerigroup","Medicaid Managed Care",,,"37",,"27.08","27.08","57.35","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","404157","CDM","Both",,,"74","37","Caresource","Medicaid Managed Care",,,"40",,"29.6","27.08","57.35","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","404157","CDM","Both",,,"74","37","Wellcare","Medicaid Managed Care",,,"40",,"29.97","27.08","57.35","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","404157","CDM","Both",,,"74","37","Aetna","Commercial",,,"64",,"47.21","27.08","57.35","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","404157","CDM","Both",,,"74","37","Blue Cross Blue Shield","Pathways",,,"71",,"52.24","27.08","57.35","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","404157","CDM","Both",,,"74","37","Blue Cross Blue Shield","HMO",,,"71",,"52.24","27.08","57.35","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","404157","CDM","Both",,,"74","37","Blue Cross Blue Shield","PPO",,,"71",,"52.24","27.08","57.35","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","404157","CDM","Both",,,"74","37","Ambetter","Health Exchange",,,"62",,"45.88","27.08","57.35","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","404157","CDM","Both",,,"74","37","Caresource","Health Exchange",,,"62",,"45.88","27.08","57.35","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","404157","CDM","Both",,,"74","37","Cigna","Commercial",,,"59",,"43.36","27.08","57.35","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","404157","CDM","Both",,,"74","37","Humana","Commercial",,,"78",,"57.35","27.08","57.35","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","404157","CDM","Both",,,"74","37","UHC","Commercial",,,"75",,"55.8","27.08","57.35","percent of total billed charges",,
"NF-Budesonide Oral Cap DR 3MG","404157","CDM","Both",,,"74","37","Medicaid",,,,"37",,"27.08","27.08","57.35","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","404159","CDM","Both",,,"31","15.5","Alliant","Health Exchange",,,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","404159","CDM","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.74","11.35","24.02","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","404159","CDM","Both",,,"31","15.5","Medicare",,,,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","404159","CDM","Both",,,"31","15.5","Humana","Medicare Advantage",,,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","404159","CDM","Both",,,"31","15.5","UHC","Medicare Advantage",,,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","404159","CDM","Both",,,"31","15.5","Clover","Medicare Advantage",,,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","404159","CDM","Both",,,"31","15.5","Wellcare","Medicare Advantage",,,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","404159","CDM","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care",,,"37",,"11.35","11.35","24.02","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","404159","CDM","Both",,,"31","15.5","Caresource","Medicaid Managed Care",,,"40",,"12.4","11.35","24.02","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","404159","CDM","Both",,,"31","15.5","Wellcare","Medicaid Managed Care",,,"40",,"12.56","11.35","24.02","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","404159","CDM","Both",,,"31","15.5","Aetna","Commercial",,,"64",,"19.78","11.35","24.02","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","404159","CDM","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways",,,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","404159","CDM","Both",,,"31","15.5","Blue Cross Blue Shield","HMO",,,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","404159","CDM","Both",,,"31","15.5","Blue Cross Blue Shield","PPO",,,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","404159","CDM","Both",,,"31","15.5","Ambetter","Health Exchange",,,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","404159","CDM","Both",,,"31","15.5","Caresource","Health Exchange",,,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","404159","CDM","Both",,,"31","15.5","Cigna","Commercial",,,"59",,"18.17","11.35","24.02","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","404159","CDM","Both",,,"31","15.5","Humana","Commercial",,,"78",,"24.02","11.35","24.02","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","404159","CDM","Both",,,"31","15.5","UHC","Commercial",,,"75",,"23.37","11.35","24.02","percent of total billed charges",,
"NF-Santyl Topical Ointment 250U/1GM","404159","CDM","Both",,,"31","15.5","Medicaid",,,,"37",,"11.35","11.35","24.02","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","404167","CDM","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","404167","CDM","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","404167","CDM","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","404167","CDM","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","404167","CDM","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","404167","CDM","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","404167","CDM","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","404167","CDM","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","404167","CDM","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","404167","CDM","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","404167","CDM","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","404167","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","404167","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","404167","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","404167","CDM","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","404167","CDM","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","404167","CDM","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","404167","CDM","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","404167","CDM","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","404167","CDM","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","404172","CDM","Both",,,"59","29.5","Alliant","Health Exchange",,,"62",,"36.58","21.59","45.72","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","404172","CDM","Both",,,"59","29.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"31.86","21.59","45.72","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","404172","CDM","Both",,,"59","29.5","Medicare",,,,"54",,"31.98","21.59","45.72","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","404172","CDM","Both",,,"59","29.5","Humana","Medicare Advantage",,,"54",,"31.98","21.59","45.72","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","404172","CDM","Both",,,"59","29.5","UHC","Medicare Advantage",,,"54",,"31.98","21.59","45.72","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","404172","CDM","Both",,,"59","29.5","Clover","Medicare Advantage",,,"54",,"31.98","21.59","45.72","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","404172","CDM","Both",,,"59","29.5","Wellcare","Medicare Advantage",,,"54",,"31.98","21.59","45.72","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","404172","CDM","Both",,,"59","29.5","Amerigroup","Medicaid Managed Care",,,"37",,"21.59","21.59","45.72","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","404172","CDM","Both",,,"59","29.5","Caresource","Medicaid Managed Care",,,"40",,"23.6","21.59","45.72","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","404172","CDM","Both",,,"59","29.5","Wellcare","Medicaid Managed Care",,,"40",,"23.9","21.59","45.72","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","404172","CDM","Both",,,"59","29.5","Aetna","Commercial",,,"64",,"37.64","21.59","45.72","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","404172","CDM","Both",,,"59","29.5","Blue Cross Blue Shield","Pathways",,,"71",,"41.65","21.59","45.72","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","404172","CDM","Both",,,"59","29.5","Blue Cross Blue Shield","HMO",,,"71",,"41.65","21.59","45.72","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","404172","CDM","Both",,,"59","29.5","Blue Cross Blue Shield","PPO",,,"71",,"41.65","21.59","45.72","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","404172","CDM","Both",,,"59","29.5","Ambetter","Health Exchange",,,"62",,"36.58","21.59","45.72","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","404172","CDM","Both",,,"59","29.5","Caresource","Health Exchange",,,"62",,"36.58","21.59","45.72","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","404172","CDM","Both",,,"59","29.5","Cigna","Commercial",,,"59",,"34.57","21.59","45.72","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","404172","CDM","Both",,,"59","29.5","Humana","Commercial",,,"78",,"45.72","21.59","45.72","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","404172","CDM","Both",,,"59","29.5","UHC","Commercial",,,"75",,"44.49","21.59","45.72","percent of total billed charges",,
"NF-Lacosamide Oral Tablet 200MG","404172","CDM","Both",,,"59","29.5","Medicaid",,,,"37",,"21.59","21.59","45.72","percent of total billed charges",,
"NF-Alendronate Sodium Oral Tablet 70MG","404174","CDM","Both",,,"61","30.5","Alliant","Health Exchange",,,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"NF-Alendronate Sodium Oral Tablet 70MG","404174","CDM","Both",,,"61","30.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"32.94","22.33","47.28","percent of total billed charges",,
"NF-Alendronate Sodium Oral Tablet 70MG","404174","CDM","Both",,,"61","30.5","Medicare",,,,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"NF-Alendronate Sodium Oral Tablet 70MG","404174","CDM","Both",,,"61","30.5","Humana","Medicare Advantage",,,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"NF-Alendronate Sodium Oral Tablet 70MG","404174","CDM","Both",,,"61","30.5","UHC","Medicare Advantage",,,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"NF-Alendronate Sodium Oral Tablet 70MG","404174","CDM","Both",,,"61","30.5","Clover","Medicare Advantage",,,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"NF-Alendronate Sodium Oral Tablet 70MG","404174","CDM","Both",,,"61","30.5","Wellcare","Medicare Advantage",,,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"NF-Alendronate Sodium Oral Tablet 70MG","404174","CDM","Both",,,"61","30.5","Amerigroup","Medicaid Managed Care",,,"37",,"22.33","22.33","47.28","percent of total billed charges",,
"NF-Alendronate Sodium Oral Tablet 70MG","404174","CDM","Both",,,"61","30.5","Caresource","Medicaid Managed Care",,,"40",,"24.4","22.33","47.28","percent of total billed charges",,
"NF-Alendronate Sodium Oral Tablet 70MG","404174","CDM","Both",,,"61","30.5","Wellcare","Medicaid Managed Care",,,"40",,"24.7","22.33","47.28","percent of total billed charges",,
"NF-Alendronate Sodium Oral Tablet 70MG","404174","CDM","Both",,,"61","30.5","Aetna","Commercial",,,"64",,"38.92","22.33","47.28","percent of total billed charges",,
"NF-Alendronate Sodium Oral Tablet 70MG","404174","CDM","Both",,,"61","30.5","Blue Cross Blue Shield","Pathways",,,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"NF-Alendronate Sodium Oral Tablet 70MG","404174","CDM","Both",,,"61","30.5","Blue Cross Blue Shield","HMO",,,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"NF-Alendronate Sodium Oral Tablet 70MG","404174","CDM","Both",,,"61","30.5","Blue Cross Blue Shield","PPO",,,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"NF-Alendronate Sodium Oral Tablet 70MG","404174","CDM","Both",,,"61","30.5","Ambetter","Health Exchange",,,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"NF-Alendronate Sodium Oral Tablet 70MG","404174","CDM","Both",,,"61","30.5","Caresource","Health Exchange",,,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"NF-Alendronate Sodium Oral Tablet 70MG","404174","CDM","Both",,,"61","30.5","Cigna","Commercial",,,"59",,"35.75","22.33","47.28","percent of total billed charges",,
"NF-Alendronate Sodium Oral Tablet 70MG","404174","CDM","Both",,,"61","30.5","Humana","Commercial",,,"78",,"47.28","22.33","47.28","percent of total billed charges",,
"NF-Alendronate Sodium Oral Tablet 70MG","404174","CDM","Both",,,"61","30.5","UHC","Commercial",,,"75",,"45.99","22.33","47.28","percent of total billed charges",,
"NF-Alendronate Sodium Oral Tablet 70MG","404174","CDM","Both",,,"61","30.5","Medicaid",,,,"37",,"22.33","22.33","47.28","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","404179","CDM","Both",,,"57","28.5","Alliant","Health Exchange",,,"62",,"35.34","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","404179","CDM","Both",,,"57","28.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"30.78","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","404179","CDM","Both",,,"57","28.5","Medicare",,,,"54",,"30.89","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","404179","CDM","Both",,,"57","28.5","Humana","Medicare Advantage",,,"54",,"30.89","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","404179","CDM","Both",,,"57","28.5","UHC","Medicare Advantage",,,"54",,"30.89","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","404179","CDM","Both",,,"57","28.5","Clover","Medicare Advantage",,,"54",,"30.89","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","404179","CDM","Both",,,"57","28.5","Wellcare","Medicare Advantage",,,"54",,"30.89","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","404179","CDM","Both",,,"57","28.5","Amerigroup","Medicaid Managed Care",,,"37",,"20.86","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","404179","CDM","Both",,,"57","28.5","Caresource","Medicaid Managed Care",,,"40",,"22.8","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","404179","CDM","Both",,,"57","28.5","Wellcare","Medicaid Managed Care",,,"40",,"23.08","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","404179","CDM","Both",,,"57","28.5","Aetna","Commercial",,,"64",,"36.37","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","404179","CDM","Both",,,"57","28.5","Blue Cross Blue Shield","Pathways",,,"71",,"40.24","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","404179","CDM","Both",,,"57","28.5","Blue Cross Blue Shield","HMO",,,"71",,"40.24","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","404179","CDM","Both",,,"57","28.5","Blue Cross Blue Shield","PPO",,,"71",,"40.24","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","404179","CDM","Both",,,"57","28.5","Ambetter","Health Exchange",,,"62",,"35.34","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","404179","CDM","Both",,,"57","28.5","Caresource","Health Exchange",,,"62",,"35.34","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","404179","CDM","Both",,,"57","28.5","Cigna","Commercial",,,"59",,"33.4","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","404179","CDM","Both",,,"57","28.5","Humana","Commercial",,,"78",,"44.18","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","404179","CDM","Both",,,"57","28.5","UHC","Commercial",,,"75",,"42.98","20.86","44.18","percent of total billed charges",,
"NF-Alendronate Sod Oral Tablet 70MG","404179","CDM","Both",,,"57","28.5","Medicaid",,,,"37",,"20.86","20.86","44.18","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","404195","CDM","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.73","1.55","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","404195","CDM","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","404195","CDM","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","404195","CDM","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","404195","CDM","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","404195","CDM","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","404195","CDM","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","404195","CDM","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.73","1.55","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","404195","CDM","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.73","1.55","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","404195","CDM","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.73","1.55","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","404195","CDM","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.73","1.55","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","404195","CDM","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.73","1.55","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","404195","CDM","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.73","1.55","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","404195","CDM","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.73","1.55","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","404195","CDM","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.73","1.55","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","404195","CDM","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.73","1.55","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","404195","CDM","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.73","1.55","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","404195","CDM","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.73","1.55","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","404195","CDM","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.73","1.55","percent of total billed charges",,
"NF-Ranolazine Oral Tablet ER 500MG","404195","CDM","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.73","1.55","percent of total billed charges",,
"NF-Benicar HCT Oral Tablet 40MG-25MG","404197","CDM","Both",,,"36","18","Alliant","Health Exchange",,,"62",,"22.32","13.18","27.9","percent of total billed charges",,
"NF-Benicar HCT Oral Tablet 40MG-25MG","404197","CDM","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.44","13.18","27.9","percent of total billed charges",,
"NF-Benicar HCT Oral Tablet 40MG-25MG","404197","CDM","Both",,,"36","18","Medicare",,,,"54",,"19.51","13.18","27.9","percent of total billed charges",,
"NF-Benicar HCT Oral Tablet 40MG-25MG","404197","CDM","Both",,,"36","18","Humana","Medicare Advantage",,,"54",,"19.51","13.18","27.9","percent of total billed charges",,
"NF-Benicar HCT Oral Tablet 40MG-25MG","404197","CDM","Both",,,"36","18","UHC","Medicare Advantage",,,"54",,"19.51","13.18","27.9","percent of total billed charges",,
"NF-Benicar HCT Oral Tablet 40MG-25MG","404197","CDM","Both",,,"36","18","Clover","Medicare Advantage",,,"54",,"19.51","13.18","27.9","percent of total billed charges",,
"NF-Benicar HCT Oral Tablet 40MG-25MG","404197","CDM","Both",,,"36","18","Wellcare","Medicare Advantage",,,"54",,"19.51","13.18","27.9","percent of total billed charges",,
"NF-Benicar HCT Oral Tablet 40MG-25MG","404197","CDM","Both",,,"36","18","Amerigroup","Medicaid Managed Care",,,"37",,"13.18","13.18","27.9","percent of total billed charges",,
"NF-Benicar HCT Oral Tablet 40MG-25MG","404197","CDM","Both",,,"36","18","Caresource","Medicaid Managed Care",,,"40",,"14.4","13.18","27.9","percent of total billed charges",,
"NF-Benicar HCT Oral Tablet 40MG-25MG","404197","CDM","Both",,,"36","18","Wellcare","Medicaid Managed Care",,,"40",,"14.58","13.18","27.9","percent of total billed charges",,
"NF-Benicar HCT Oral Tablet 40MG-25MG","404197","CDM","Both",,,"36","18","Aetna","Commercial",,,"64",,"22.97","13.18","27.9","percent of total billed charges",,
"NF-Benicar HCT Oral Tablet 40MG-25MG","404197","CDM","Both",,,"36","18","Blue Cross Blue Shield","Pathways",,,"71",,"25.42","13.18","27.9","percent of total billed charges",,
"NF-Benicar HCT Oral Tablet 40MG-25MG","404197","CDM","Both",,,"36","18","Blue Cross Blue Shield","HMO",,,"71",,"25.42","13.18","27.9","percent of total billed charges",,
"NF-Benicar HCT Oral Tablet 40MG-25MG","404197","CDM","Both",,,"36","18","Blue Cross Blue Shield","PPO",,,"71",,"25.42","13.18","27.9","percent of total billed charges",,
"NF-Benicar HCT Oral Tablet 40MG-25MG","404197","CDM","Both",,,"36","18","Ambetter","Health Exchange",,,"62",,"22.32","13.18","27.9","percent of total billed charges",,
"NF-Benicar HCT Oral Tablet 40MG-25MG","404197","CDM","Both",,,"36","18","Caresource","Health Exchange",,,"62",,"22.32","13.18","27.9","percent of total billed charges",,
"NF-Benicar HCT Oral Tablet 40MG-25MG","404197","CDM","Both",,,"36","18","Cigna","Commercial",,,"59",,"21.1","13.18","27.9","percent of total billed charges",,
"NF-Benicar HCT Oral Tablet 40MG-25MG","404197","CDM","Both",,,"36","18","Humana","Commercial",,,"78",,"27.9","13.18","27.9","percent of total billed charges",,
"NF-Benicar HCT Oral Tablet 40MG-25MG","404197","CDM","Both",,,"36","18","UHC","Commercial",,,"75",,"27.14","13.18","27.9","percent of total billed charges",,
"NF-Benicar HCT Oral Tablet 40MG-25MG","404197","CDM","Both",,,"36","18","Medicaid",,,,"37",,"13.18","13.18","27.9","percent of total billed charges",,
"NF-Omeprazole Delayed Release Capsule 40","404198","CDM","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","8.05","17.05","percent of total billed charges",,
"NF-Omeprazole Delayed Release Capsule 40","404198","CDM","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","8.05","17.05","percent of total billed charges",,
"NF-Omeprazole Delayed Release Capsule 40","404198","CDM","Both",,,"22","11","Medicare",,,,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"NF-Omeprazole Delayed Release Capsule 40","404198","CDM","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"NF-Omeprazole Delayed Release Capsule 40","404198","CDM","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"NF-Omeprazole Delayed Release Capsule 40","404198","CDM","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"NF-Omeprazole Delayed Release Capsule 40","404198","CDM","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"NF-Omeprazole Delayed Release Capsule 40","404198","CDM","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","8.05","17.05","percent of total billed charges",,
"NF-Omeprazole Delayed Release Capsule 40","404198","CDM","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","8.05","17.05","percent of total billed charges",,
"NF-Omeprazole Delayed Release Capsule 40","404198","CDM","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","8.05","17.05","percent of total billed charges",,
"NF-Omeprazole Delayed Release Capsule 40","404198","CDM","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","8.05","17.05","percent of total billed charges",,
"NF-Omeprazole Delayed Release Capsule 40","404198","CDM","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","8.05","17.05","percent of total billed charges",,
"NF-Omeprazole Delayed Release Capsule 40","404198","CDM","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","8.05","17.05","percent of total billed charges",,
"NF-Omeprazole Delayed Release Capsule 40","404198","CDM","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","8.05","17.05","percent of total billed charges",,
"NF-Omeprazole Delayed Release Capsule 40","404198","CDM","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","8.05","17.05","percent of total billed charges",,
"NF-Omeprazole Delayed Release Capsule 40","404198","CDM","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","8.05","17.05","percent of total billed charges",,
"NF-Omeprazole Delayed Release Capsule 40","404198","CDM","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","8.05","17.05","percent of total billed charges",,
"NF-Omeprazole Delayed Release Capsule 40","404198","CDM","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","8.05","17.05","percent of total billed charges",,
"NF-Omeprazole Delayed Release Capsule 40","404198","CDM","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","8.05","17.05","percent of total billed charges",,
"NF-Omeprazole Delayed Release Capsule 40","404198","CDM","Both",,,"22","11","Medicaid",,,,"37",,"8.05","8.05","17.05","percent of total billed charges",,
"NF-Benicar HCT Oral Tablet 40MG-12.5MG","404201","CDM","Both",,,"44","22","Alliant","Health Exchange",,,"62",,"27.28","16.1","34.1","percent of total billed charges",,
"NF-Benicar HCT Oral Tablet 40MG-12.5MG","404201","CDM","Both",,,"44","22","Pruitt Healthcare","Medicare Advantage",,,"54",,"23.76","16.1","34.1","percent of total billed charges",,
"NF-Benicar HCT Oral Tablet 40MG-12.5MG","404201","CDM","Both",,,"44","22","Medicare",,,,"54",,"23.85","16.1","34.1","percent of total billed charges",,
"NF-Benicar HCT Oral Tablet 40MG-12.5MG","404201","CDM","Both",,,"44","22","Humana","Medicare Advantage",,,"54",,"23.85","16.1","34.1","percent of total billed charges",,
"NF-Benicar HCT Oral Tablet 40MG-12.5MG","404201","CDM","Both",,,"44","22","UHC","Medicare Advantage",,,"54",,"23.85","16.1","34.1","percent of total billed charges",,
"NF-Benicar HCT Oral Tablet 40MG-12.5MG","404201","CDM","Both",,,"44","22","Clover","Medicare Advantage",,,"54",,"23.85","16.1","34.1","percent of total billed charges",,
"NF-Benicar HCT Oral Tablet 40MG-12.5MG","404201","CDM","Both",,,"44","22","Wellcare","Medicare Advantage",,,"54",,"23.85","16.1","34.1","percent of total billed charges",,
"NF-Benicar HCT Oral Tablet 40MG-12.5MG","404201","CDM","Both",,,"44","22","Amerigroup","Medicaid Managed Care",,,"37",,"16.1","16.1","34.1","percent of total billed charges",,
"NF-Benicar HCT Oral Tablet 40MG-12.5MG","404201","CDM","Both",,,"44","22","Caresource","Medicaid Managed Care",,,"40",,"17.6","16.1","34.1","percent of total billed charges",,
"NF-Benicar HCT Oral Tablet 40MG-12.5MG","404201","CDM","Both",,,"44","22","Wellcare","Medicaid Managed Care",,,"40",,"17.82","16.1","34.1","percent of total billed charges",,
"NF-Benicar HCT Oral Tablet 40MG-12.5MG","404201","CDM","Both",,,"44","22","Aetna","Commercial",,,"64",,"28.07","16.1","34.1","percent of total billed charges",,
"NF-Benicar HCT Oral Tablet 40MG-12.5MG","404201","CDM","Both",,,"44","22","Blue Cross Blue Shield","Pathways",,,"71",,"31.06","16.1","34.1","percent of total billed charges",,
"NF-Benicar HCT Oral Tablet 40MG-12.5MG","404201","CDM","Both",,,"44","22","Blue Cross Blue Shield","HMO",,,"71",,"31.06","16.1","34.1","percent of total billed charges",,
"NF-Benicar HCT Oral Tablet 40MG-12.5MG","404201","CDM","Both",,,"44","22","Blue Cross Blue Shield","PPO",,,"71",,"31.06","16.1","34.1","percent of total billed charges",,
"NF-Benicar HCT Oral Tablet 40MG-12.5MG","404201","CDM","Both",,,"44","22","Ambetter","Health Exchange",,,"62",,"27.28","16.1","34.1","percent of total billed charges",,
"NF-Benicar HCT Oral Tablet 40MG-12.5MG","404201","CDM","Both",,,"44","22","Caresource","Health Exchange",,,"62",,"27.28","16.1","34.1","percent of total billed charges",,
"NF-Benicar HCT Oral Tablet 40MG-12.5MG","404201","CDM","Both",,,"44","22","Cigna","Commercial",,,"59",,"25.78","16.1","34.1","percent of total billed charges",,
"NF-Benicar HCT Oral Tablet 40MG-12.5MG","404201","CDM","Both",,,"44","22","Humana","Commercial",,,"78",,"34.1","16.1","34.1","percent of total billed charges",,
"NF-Benicar HCT Oral Tablet 40MG-12.5MG","404201","CDM","Both",,,"44","22","UHC","Commercial",,,"75",,"33.18","16.1","34.1","percent of total billed charges",,
"NF-Benicar HCT Oral Tablet 40MG-12.5MG","404201","CDM","Both",,,"44","22","Medicaid",,,,"37",,"16.1","16.1","34.1","percent of total billed charges",,
"NF-Methotrexate Sodium Tablet 2.5MG","404203","CDM","Both",,,"12","6","Alliant","Health Exchange",,,"62",,"7.44","4.39","9.3","percent of total billed charges",,
"NF-Methotrexate Sodium Tablet 2.5MG","404203","CDM","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage",,,"54",,"6.48","4.39","9.3","percent of total billed charges",,
"NF-Methotrexate Sodium Tablet 2.5MG","404203","CDM","Both",,,"12","6","Medicare",,,,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"NF-Methotrexate Sodium Tablet 2.5MG","404203","CDM","Both",,,"12","6","Humana","Medicare Advantage",,,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"NF-Methotrexate Sodium Tablet 2.5MG","404203","CDM","Both",,,"12","6","UHC","Medicare Advantage",,,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"NF-Methotrexate Sodium Tablet 2.5MG","404203","CDM","Both",,,"12","6","Clover","Medicare Advantage",,,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"NF-Methotrexate Sodium Tablet 2.5MG","404203","CDM","Both",,,"12","6","Wellcare","Medicare Advantage",,,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"NF-Methotrexate Sodium Tablet 2.5MG","404203","CDM","Both",,,"12","6","Amerigroup","Medicaid Managed Care",,,"37",,"4.39","4.39","9.3","percent of total billed charges",,
"NF-Methotrexate Sodium Tablet 2.5MG","404203","CDM","Both",,,"12","6","Caresource","Medicaid Managed Care",,,"40",,"4.8","4.39","9.3","percent of total billed charges",,
"NF-Methotrexate Sodium Tablet 2.5MG","404203","CDM","Both",,,"12","6","Wellcare","Medicaid Managed Care",,,"40",,"4.86","4.39","9.3","percent of total billed charges",,
"NF-Methotrexate Sodium Tablet 2.5MG","404203","CDM","Both",,,"12","6","Aetna","Commercial",,,"64",,"7.66","4.39","9.3","percent of total billed charges",,
"NF-Methotrexate Sodium Tablet 2.5MG","404203","CDM","Both",,,"12","6","Blue Cross Blue Shield","Pathways",,,"71",,"8.47","4.39","9.3","percent of total billed charges",,
"NF-Methotrexate Sodium Tablet 2.5MG","404203","CDM","Both",,,"12","6","Blue Cross Blue Shield","HMO",,,"71",,"8.47","4.39","9.3","percent of total billed charges",,
"NF-Methotrexate Sodium Tablet 2.5MG","404203","CDM","Both",,,"12","6","Blue Cross Blue Shield","PPO",,,"71",,"8.47","4.39","9.3","percent of total billed charges",,
"NF-Methotrexate Sodium Tablet 2.5MG","404203","CDM","Both",,,"12","6","Ambetter","Health Exchange",,,"62",,"7.44","4.39","9.3","percent of total billed charges",,
"NF-Methotrexate Sodium Tablet 2.5MG","404203","CDM","Both",,,"12","6","Caresource","Health Exchange",,,"62",,"7.44","4.39","9.3","percent of total billed charges",,
"NF-Methotrexate Sodium Tablet 2.5MG","404203","CDM","Both",,,"12","6","Cigna","Commercial",,,"59",,"7.03","4.39","9.3","percent of total billed charges",,
"NF-Methotrexate Sodium Tablet 2.5MG","404203","CDM","Both",,,"12","6","Humana","Commercial",,,"78",,"9.3","4.39","9.3","percent of total billed charges",,
"NF-Methotrexate Sodium Tablet 2.5MG","404203","CDM","Both",,,"12","6","UHC","Commercial",,,"75",,"9.05","4.39","9.3","percent of total billed charges",,
"NF-Methotrexate Sodium Tablet 2.5MG","404203","CDM","Both",,,"12","6","Medicaid",,,,"37",,"4.39","4.39","9.3","percent of total billed charges",,
"NF-Omeprazole Delayed-Release Capsule 40","404204","CDM","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","8.05","17.05","percent of total billed charges",,
"NF-Omeprazole Delayed-Release Capsule 40","404204","CDM","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","8.05","17.05","percent of total billed charges",,
"NF-Omeprazole Delayed-Release Capsule 40","404204","CDM","Both",,,"22","11","Medicare",,,,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"NF-Omeprazole Delayed-Release Capsule 40","404204","CDM","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"NF-Omeprazole Delayed-Release Capsule 40","404204","CDM","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"NF-Omeprazole Delayed-Release Capsule 40","404204","CDM","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"NF-Omeprazole Delayed-Release Capsule 40","404204","CDM","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"NF-Omeprazole Delayed-Release Capsule 40","404204","CDM","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","8.05","17.05","percent of total billed charges",,
"NF-Omeprazole Delayed-Release Capsule 40","404204","CDM","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","8.05","17.05","percent of total billed charges",,
"NF-Omeprazole Delayed-Release Capsule 40","404204","CDM","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","8.05","17.05","percent of total billed charges",,
"NF-Omeprazole Delayed-Release Capsule 40","404204","CDM","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","8.05","17.05","percent of total billed charges",,
"NF-Omeprazole Delayed-Release Capsule 40","404204","CDM","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","8.05","17.05","percent of total billed charges",,
"NF-Omeprazole Delayed-Release Capsule 40","404204","CDM","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","8.05","17.05","percent of total billed charges",,
"NF-Omeprazole Delayed-Release Capsule 40","404204","CDM","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","8.05","17.05","percent of total billed charges",,
"NF-Omeprazole Delayed-Release Capsule 40","404204","CDM","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","8.05","17.05","percent of total billed charges",,
"NF-Omeprazole Delayed-Release Capsule 40","404204","CDM","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","8.05","17.05","percent of total billed charges",,
"NF-Omeprazole Delayed-Release Capsule 40","404204","CDM","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","8.05","17.05","percent of total billed charges",,
"NF-Omeprazole Delayed-Release Capsule 40","404204","CDM","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","8.05","17.05","percent of total billed charges",,
"NF-Omeprazole Delayed-Release Capsule 40","404204","CDM","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","8.05","17.05","percent of total billed charges",,
"NF-Omeprazole Delayed-Release Capsule 40","404204","CDM","Both",,,"22","11","Medicaid",,,,"37",,"8.05","8.05","17.05","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","404216","CDM","Both",,,"34","17","Alliant","Health Exchange",,,"62",,"21.08","12.44","26.35","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","404216","CDM","Both",,,"34","17","Pruitt Healthcare","Medicare Advantage",,,"54",,"18.36","12.44","26.35","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","404216","CDM","Both",,,"34","17","Medicare",,,,"54",,"18.43","12.44","26.35","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","404216","CDM","Both",,,"34","17","Humana","Medicare Advantage",,,"54",,"18.43","12.44","26.35","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","404216","CDM","Both",,,"34","17","UHC","Medicare Advantage",,,"54",,"18.43","12.44","26.35","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","404216","CDM","Both",,,"34","17","Clover","Medicare Advantage",,,"54",,"18.43","12.44","26.35","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","404216","CDM","Both",,,"34","17","Wellcare","Medicare Advantage",,,"54",,"18.43","12.44","26.35","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","404216","CDM","Both",,,"34","17","Amerigroup","Medicaid Managed Care",,,"37",,"12.44","12.44","26.35","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","404216","CDM","Both",,,"34","17","Caresource","Medicaid Managed Care",,,"40",,"13.6","12.44","26.35","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","404216","CDM","Both",,,"34","17","Wellcare","Medicaid Managed Care",,,"40",,"13.77","12.44","26.35","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","404216","CDM","Both",,,"34","17","Aetna","Commercial",,,"64",,"21.69","12.44","26.35","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","404216","CDM","Both",,,"34","17","Blue Cross Blue Shield","Pathways",,,"71",,"24","12.44","26.35","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","404216","CDM","Both",,,"34","17","Blue Cross Blue Shield","HMO",,,"71",,"24","12.44","26.35","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","404216","CDM","Both",,,"34","17","Blue Cross Blue Shield","PPO",,,"71",,"24","12.44","26.35","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","404216","CDM","Both",,,"34","17","Ambetter","Health Exchange",,,"62",,"21.08","12.44","26.35","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","404216","CDM","Both",,,"34","17","Caresource","Health Exchange",,,"62",,"21.08","12.44","26.35","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","404216","CDM","Both",,,"34","17","Cigna","Commercial",,,"59",,"19.92","12.44","26.35","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","404216","CDM","Both",,,"34","17","Humana","Commercial",,,"78",,"26.35","12.44","26.35","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","404216","CDM","Both",,,"34","17","UHC","Commercial",,,"75",,"25.64","12.44","26.35","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","404216","CDM","Both",,,"34","17","Medicaid",,,,"37",,"12.44","12.44","26.35","percent of total billed charges",,
"NF-Gemfibrozil AvPak Oral Tablet 600MG","404217","CDM","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Gemfibrozil AvPak Oral Tablet 600MG","404217","CDM","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","1.1","2.33","percent of total billed charges",,
"NF-Gemfibrozil AvPak Oral Tablet 600MG","404217","CDM","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Gemfibrozil AvPak Oral Tablet 600MG","404217","CDM","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Gemfibrozil AvPak Oral Tablet 600MG","404217","CDM","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Gemfibrozil AvPak Oral Tablet 600MG","404217","CDM","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Gemfibrozil AvPak Oral Tablet 600MG","404217","CDM","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Gemfibrozil AvPak Oral Tablet 600MG","404217","CDM","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","1.1","2.33","percent of total billed charges",,
"NF-Gemfibrozil AvPak Oral Tablet 600MG","404217","CDM","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","1.1","2.33","percent of total billed charges",,
"NF-Gemfibrozil AvPak Oral Tablet 600MG","404217","CDM","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","1.1","2.33","percent of total billed charges",,
"NF-Gemfibrozil AvPak Oral Tablet 600MG","404217","CDM","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","1.1","2.33","percent of total billed charges",,
"NF-Gemfibrozil AvPak Oral Tablet 600MG","404217","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Gemfibrozil AvPak Oral Tablet 600MG","404217","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Gemfibrozil AvPak Oral Tablet 600MG","404217","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Gemfibrozil AvPak Oral Tablet 600MG","404217","CDM","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Gemfibrozil AvPak Oral Tablet 600MG","404217","CDM","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Gemfibrozil AvPak Oral Tablet 600MG","404217","CDM","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","1.1","2.33","percent of total billed charges",,
"NF-Gemfibrozil AvPak Oral Tablet 600MG","404217","CDM","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","1.1","2.33","percent of total billed charges",,
"NF-Gemfibrozil AvPak Oral Tablet 600MG","404217","CDM","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","1.1","2.33","percent of total billed charges",,
"NF-Gemfibrozil AvPak Oral Tablet 600MG","404217","CDM","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","1.1","2.33","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","404218","CDM","Both",,,"34","17","Alliant","Health Exchange",,,"62",,"21.08","12.44","26.35","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","404218","CDM","Both",,,"34","17","Pruitt Healthcare","Medicare Advantage",,,"54",,"18.36","12.44","26.35","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","404218","CDM","Both",,,"34","17","Medicare",,,,"54",,"18.43","12.44","26.35","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","404218","CDM","Both",,,"34","17","Humana","Medicare Advantage",,,"54",,"18.43","12.44","26.35","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","404218","CDM","Both",,,"34","17","UHC","Medicare Advantage",,,"54",,"18.43","12.44","26.35","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","404218","CDM","Both",,,"34","17","Clover","Medicare Advantage",,,"54",,"18.43","12.44","26.35","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","404218","CDM","Both",,,"34","17","Wellcare","Medicare Advantage",,,"54",,"18.43","12.44","26.35","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","404218","CDM","Both",,,"34","17","Amerigroup","Medicaid Managed Care",,,"37",,"12.44","12.44","26.35","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","404218","CDM","Both",,,"34","17","Caresource","Medicaid Managed Care",,,"40",,"13.6","12.44","26.35","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","404218","CDM","Both",,,"34","17","Wellcare","Medicaid Managed Care",,,"40",,"13.77","12.44","26.35","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","404218","CDM","Both",,,"34","17","Aetna","Commercial",,,"64",,"21.69","12.44","26.35","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","404218","CDM","Both",,,"34","17","Blue Cross Blue Shield","Pathways",,,"71",,"24","12.44","26.35","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","404218","CDM","Both",,,"34","17","Blue Cross Blue Shield","HMO",,,"71",,"24","12.44","26.35","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","404218","CDM","Both",,,"34","17","Blue Cross Blue Shield","PPO",,,"71",,"24","12.44","26.35","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","404218","CDM","Both",,,"34","17","Ambetter","Health Exchange",,,"62",,"21.08","12.44","26.35","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","404218","CDM","Both",,,"34","17","Caresource","Health Exchange",,,"62",,"21.08","12.44","26.35","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","404218","CDM","Both",,,"34","17","Cigna","Commercial",,,"59",,"19.92","12.44","26.35","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","404218","CDM","Both",,,"34","17","Humana","Commercial",,,"78",,"26.35","12.44","26.35","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","404218","CDM","Both",,,"34","17","UHC","Commercial",,,"75",,"25.64","12.44","26.35","percent of total billed charges",,
"NF-CeleBREX Oral Capsule 100MG","404218","CDM","Both",,,"34","17","Medicaid",,,,"37",,"12.44","12.44","26.35","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.2M","404220","CDM","Both",,,"14","7","Alliant","Health Exchange",,,"62",,"8.68","5.12","10.85","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.2M","404220","CDM","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage",,,"54",,"7.56","5.12","10.85","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.2M","404220","CDM","Both",,,"14","7","Medicare",,,,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.2M","404220","CDM","Both",,,"14","7","Humana","Medicare Advantage",,,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.2M","404220","CDM","Both",,,"14","7","UHC","Medicare Advantage",,,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.2M","404220","CDM","Both",,,"14","7","Clover","Medicare Advantage",,,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.2M","404220","CDM","Both",,,"14","7","Wellcare","Medicare Advantage",,,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.2M","404220","CDM","Both",,,"14","7","Amerigroup","Medicaid Managed Care",,,"37",,"5.12","5.12","10.85","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.2M","404220","CDM","Both",,,"14","7","Caresource","Medicaid Managed Care",,,"40",,"5.6","5.12","10.85","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.2M","404220","CDM","Both",,,"14","7","Wellcare","Medicaid Managed Care",,,"40",,"5.67","5.12","10.85","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.2M","404220","CDM","Both",,,"14","7","Aetna","Commercial",,,"64",,"8.93","5.12","10.85","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.2M","404220","CDM","Both",,,"14","7","Blue Cross Blue Shield","Pathways",,,"71",,"9.88","5.12","10.85","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.2M","404220","CDM","Both",,,"14","7","Blue Cross Blue Shield","HMO",,,"71",,"9.88","5.12","10.85","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.2M","404220","CDM","Both",,,"14","7","Blue Cross Blue Shield","PPO",,,"71",,"9.88","5.12","10.85","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.2M","404220","CDM","Both",,,"14","7","Ambetter","Health Exchange",,,"62",,"8.68","5.12","10.85","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.2M","404220","CDM","Both",,,"14","7","Caresource","Health Exchange",,,"62",,"8.68","5.12","10.85","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.2M","404220","CDM","Both",,,"14","7","Cigna","Commercial",,,"59",,"8.2","5.12","10.85","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.2M","404220","CDM","Both",,,"14","7","Humana","Commercial",,,"78",,"10.85","5.12","10.85","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.2M","404220","CDM","Both",,,"14","7","UHC","Commercial",,,"75",,"10.56","5.12","10.85","percent of total billed charges",,
"NF-Desmopressin Acetate Oral Tablet 0.2M","404220","CDM","Both",,,"14","7","Medicaid",,,,"37",,"5.12","5.12","10.85","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","404230","CDM","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","404230","CDM","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","2.2","4.65","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","404230","CDM","Both",,,"6","3","Medicare",,,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","404230","CDM","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","404230","CDM","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","404230","CDM","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","404230","CDM","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","404230","CDM","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","2.2","4.65","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","404230","CDM","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","2.2","4.65","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","404230","CDM","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","2.2","4.65","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","404230","CDM","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","2.2","4.65","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","404230","CDM","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","404230","CDM","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","404230","CDM","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","404230","CDM","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","404230","CDM","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","404230","CDM","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","2.2","4.65","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","404230","CDM","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","2.2","4.65","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","404230","CDM","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","2.2","4.65","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 50MG","404230","CDM","Both",,,"6","3","Medicaid",,,,"37",,"2.2","2.2","4.65","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","404243","CDM","Both",,,"54","27","Alliant","Health Exchange",,,"62",,"33.48","19.76","41.85","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","404243","CDM","Both",,,"54","27","Pruitt Healthcare","Medicare Advantage",,,"54",,"29.16","19.76","41.85","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","404243","CDM","Both",,,"54","27","Medicare",,,,"54",,"29.27","19.76","41.85","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","404243","CDM","Both",,,"54","27","Humana","Medicare Advantage",,,"54",,"29.27","19.76","41.85","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","404243","CDM","Both",,,"54","27","UHC","Medicare Advantage",,,"54",,"29.27","19.76","41.85","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","404243","CDM","Both",,,"54","27","Clover","Medicare Advantage",,,"54",,"29.27","19.76","41.85","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","404243","CDM","Both",,,"54","27","Wellcare","Medicare Advantage",,,"54",,"29.27","19.76","41.85","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","404243","CDM","Both",,,"54","27","Amerigroup","Medicaid Managed Care",,,"37",,"19.76","19.76","41.85","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","404243","CDM","Both",,,"54","27","Caresource","Medicaid Managed Care",,,"40",,"21.6","19.76","41.85","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","404243","CDM","Both",,,"54","27","Wellcare","Medicaid Managed Care",,,"40",,"21.87","19.76","41.85","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","404243","CDM","Both",,,"54","27","Aetna","Commercial",,,"64",,"34.45","19.76","41.85","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","404243","CDM","Both",,,"54","27","Blue Cross Blue Shield","Pathways",,,"71",,"38.12","19.76","41.85","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","404243","CDM","Both",,,"54","27","Blue Cross Blue Shield","HMO",,,"71",,"38.12","19.76","41.85","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","404243","CDM","Both",,,"54","27","Blue Cross Blue Shield","PPO",,,"71",,"38.12","19.76","41.85","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","404243","CDM","Both",,,"54","27","Ambetter","Health Exchange",,,"62",,"33.48","19.76","41.85","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","404243","CDM","Both",,,"54","27","Caresource","Health Exchange",,,"62",,"33.48","19.76","41.85","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","404243","CDM","Both",,,"54","27","Cigna","Commercial",,,"59",,"31.64","19.76","41.85","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","404243","CDM","Both",,,"54","27","Humana","Commercial",,,"78",,"41.85","19.76","41.85","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","404243","CDM","Both",,,"54","27","UHC","Commercial",,,"75",,"40.72","19.76","41.85","percent of total billed charges",,
"NF-Arava Oral Tablet 10MG","404243","CDM","Both",,,"54","27","Medicaid",,,,"37",,"19.76","19.76","41.85","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","404245","CDM","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","404245","CDM","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","1.1","2.33","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","404245","CDM","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","404245","CDM","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","404245","CDM","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","404245","CDM","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","404245","CDM","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","404245","CDM","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","1.1","2.33","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","404245","CDM","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","1.1","2.33","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","404245","CDM","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","1.1","2.33","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","404245","CDM","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","1.1","2.33","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","404245","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","404245","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","404245","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","404245","CDM","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","404245","CDM","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","404245","CDM","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","1.1","2.33","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","404245","CDM","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","1.1","2.33","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","404245","CDM","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","1.1","2.33","percent of total billed charges",,
"NF-Colestipol Hydrochloride Oral Tablet","404245","CDM","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","1.1","2.33","percent of total billed charges",,
"NF-Coreg Tablet 12.5MG","404246","CDM","Both",,,"8","4","Alliant","Health Exchange",,,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"NF-Coreg Tablet 12.5MG","404246","CDM","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage",,,"54",,"4.32","2.93","6.2","percent of total billed charges",,
"NF-Coreg Tablet 12.5MG","404246","CDM","Both",,,"8","4","Medicare",,,,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"NF-Coreg Tablet 12.5MG","404246","CDM","Both",,,"8","4","Humana","Medicare Advantage",,,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"NF-Coreg Tablet 12.5MG","404246","CDM","Both",,,"8","4","UHC","Medicare Advantage",,,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"NF-Coreg Tablet 12.5MG","404246","CDM","Both",,,"8","4","Clover","Medicare Advantage",,,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"NF-Coreg Tablet 12.5MG","404246","CDM","Both",,,"8","4","Wellcare","Medicare Advantage",,,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"NF-Coreg Tablet 12.5MG","404246","CDM","Both",,,"8","4","Amerigroup","Medicaid Managed Care",,,"37",,"2.93","2.93","6.2","percent of total billed charges",,
"NF-Coreg Tablet 12.5MG","404246","CDM","Both",,,"8","4","Caresource","Medicaid Managed Care",,,"40",,"3.2","2.93","6.2","percent of total billed charges",,
"NF-Coreg Tablet 12.5MG","404246","CDM","Both",,,"8","4","Wellcare","Medicaid Managed Care",,,"40",,"3.24","2.93","6.2","percent of total billed charges",,
"NF-Coreg Tablet 12.5MG","404246","CDM","Both",,,"8","4","Aetna","Commercial",,,"64",,"5.1","2.93","6.2","percent of total billed charges",,
"NF-Coreg Tablet 12.5MG","404246","CDM","Both",,,"8","4","Blue Cross Blue Shield","Pathways",,,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"NF-Coreg Tablet 12.5MG","404246","CDM","Both",,,"8","4","Blue Cross Blue Shield","HMO",,,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"NF-Coreg Tablet 12.5MG","404246","CDM","Both",,,"8","4","Blue Cross Blue Shield","PPO",,,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"NF-Coreg Tablet 12.5MG","404246","CDM","Both",,,"8","4","Ambetter","Health Exchange",,,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"NF-Coreg Tablet 12.5MG","404246","CDM","Both",,,"8","4","Caresource","Health Exchange",,,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"NF-Coreg Tablet 12.5MG","404246","CDM","Both",,,"8","4","Cigna","Commercial",,,"59",,"4.69","2.93","6.2","percent of total billed charges",,
"NF-Coreg Tablet 12.5MG","404246","CDM","Both",,,"8","4","Humana","Commercial",,,"78",,"6.2","2.93","6.2","percent of total billed charges",,
"NF-Coreg Tablet 12.5MG","404246","CDM","Both",,,"8","4","UHC","Commercial",,,"75",,"6.03","2.93","6.2","percent of total billed charges",,
"NF-Coreg Tablet 12.5MG","404246","CDM","Both",,,"8","4","Medicaid",,,,"37",,"2.93","2.93","6.2","percent of total billed charges",,
"NF-Fluticasone/Salmeterol Inh 500/50","404251","CDM","Both",,,"29","14.5","Alliant","Health Exchange",,,"62",,"17.98","10.61","22.48","percent of total billed charges",,
"NF-Fluticasone/Salmeterol Inh 500/50","404251","CDM","Both",,,"29","14.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.66","10.61","22.48","percent of total billed charges",,
"NF-Fluticasone/Salmeterol Inh 500/50","404251","CDM","Both",,,"29","14.5","Medicare",,,,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"NF-Fluticasone/Salmeterol Inh 500/50","404251","CDM","Both",,,"29","14.5","Humana","Medicare Advantage",,,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"NF-Fluticasone/Salmeterol Inh 500/50","404251","CDM","Both",,,"29","14.5","UHC","Medicare Advantage",,,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"NF-Fluticasone/Salmeterol Inh 500/50","404251","CDM","Both",,,"29","14.5","Clover","Medicare Advantage",,,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"NF-Fluticasone/Salmeterol Inh 500/50","404251","CDM","Both",,,"29","14.5","Wellcare","Medicare Advantage",,,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"NF-Fluticasone/Salmeterol Inh 500/50","404251","CDM","Both",,,"29","14.5","Amerigroup","Medicaid Managed Care",,,"37",,"10.61","10.61","22.48","percent of total billed charges",,
"NF-Fluticasone/Salmeterol Inh 500/50","404251","CDM","Both",,,"29","14.5","Caresource","Medicaid Managed Care",,,"40",,"11.6","10.61","22.48","percent of total billed charges",,
"NF-Fluticasone/Salmeterol Inh 500/50","404251","CDM","Both",,,"29","14.5","Wellcare","Medicaid Managed Care",,,"40",,"11.74","10.61","22.48","percent of total billed charges",,
"NF-Fluticasone/Salmeterol Inh 500/50","404251","CDM","Both",,,"29","14.5","Aetna","Commercial",,,"64",,"18.5","10.61","22.48","percent of total billed charges",,
"NF-Fluticasone/Salmeterol Inh 500/50","404251","CDM","Both",,,"29","14.5","Blue Cross Blue Shield","Pathways",,,"71",,"20.47","10.61","22.48","percent of total billed charges",,
"NF-Fluticasone/Salmeterol Inh 500/50","404251","CDM","Both",,,"29","14.5","Blue Cross Blue Shield","HMO",,,"71",,"20.47","10.61","22.48","percent of total billed charges",,
"NF-Fluticasone/Salmeterol Inh 500/50","404251","CDM","Both",,,"29","14.5","Blue Cross Blue Shield","PPO",,,"71",,"20.47","10.61","22.48","percent of total billed charges",,
"NF-Fluticasone/Salmeterol Inh 500/50","404251","CDM","Both",,,"29","14.5","Ambetter","Health Exchange",,,"62",,"17.98","10.61","22.48","percent of total billed charges",,
"NF-Fluticasone/Salmeterol Inh 500/50","404251","CDM","Both",,,"29","14.5","Caresource","Health Exchange",,,"62",,"17.98","10.61","22.48","percent of total billed charges",,
"NF-Fluticasone/Salmeterol Inh 500/50","404251","CDM","Both",,,"29","14.5","Cigna","Commercial",,,"59",,"16.99","10.61","22.48","percent of total billed charges",,
"NF-Fluticasone/Salmeterol Inh 500/50","404251","CDM","Both",,,"29","14.5","Humana","Commercial",,,"78",,"22.48","10.61","22.48","percent of total billed charges",,
"NF-Fluticasone/Salmeterol Inh 500/50","404251","CDM","Both",,,"29","14.5","UHC","Commercial",,,"75",,"21.87","10.61","22.48","percent of total billed charges",,
"NF-Fluticasone/Salmeterol Inh 500/50","404251","CDM","Both",,,"29","14.5","Medicaid",,,,"37",,"10.61","10.61","22.48","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404252","CDM","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","8.05","17.05","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404252","CDM","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","8.05","17.05","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404252","CDM","Both",,,"22","11","Medicare",,,,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404252","CDM","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404252","CDM","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404252","CDM","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404252","CDM","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404252","CDM","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","8.05","17.05","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404252","CDM","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","8.05","17.05","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404252","CDM","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","8.05","17.05","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404252","CDM","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","8.05","17.05","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404252","CDM","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","8.05","17.05","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404252","CDM","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","8.05","17.05","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404252","CDM","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","8.05","17.05","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404252","CDM","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","8.05","17.05","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404252","CDM","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","8.05","17.05","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404252","CDM","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","8.05","17.05","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404252","CDM","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","8.05","17.05","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404252","CDM","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","8.05","17.05","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404252","CDM","Both",,,"22","11","Medicaid",,,,"37",,"8.05","8.05","17.05","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404253","CDM","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","8.05","17.05","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404253","CDM","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","8.05","17.05","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404253","CDM","Both",,,"22","11","Medicare",,,,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404253","CDM","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404253","CDM","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404253","CDM","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404253","CDM","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404253","CDM","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","8.05","17.05","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404253","CDM","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","8.05","17.05","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404253","CDM","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","8.05","17.05","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404253","CDM","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","8.05","17.05","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404253","CDM","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","8.05","17.05","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404253","CDM","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","8.05","17.05","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404253","CDM","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","8.05","17.05","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404253","CDM","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","8.05","17.05","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404253","CDM","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","8.05","17.05","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404253","CDM","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","8.05","17.05","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404253","CDM","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","8.05","17.05","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404253","CDM","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","8.05","17.05","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404253","CDM","Both",,,"22","11","Medicaid",,,,"37",,"8.05","8.05","17.05","percent of total billed charges",,
"NF-Fluticasone Propionate 0.05MG/1Act","404254","CDM","Both",,,"19","9.5","Alliant","Health Exchange",,,"62",,"11.78","6.95","14.72","percent of total billed charges",,
"NF-Fluticasone Propionate 0.05MG/1Act","404254","CDM","Both",,,"19","9.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.26","6.95","14.72","percent of total billed charges",,
"NF-Fluticasone Propionate 0.05MG/1Act","404254","CDM","Both",,,"19","9.5","Medicare",,,,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"NF-Fluticasone Propionate 0.05MG/1Act","404254","CDM","Both",,,"19","9.5","Humana","Medicare Advantage",,,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"NF-Fluticasone Propionate 0.05MG/1Act","404254","CDM","Both",,,"19","9.5","UHC","Medicare Advantage",,,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"NF-Fluticasone Propionate 0.05MG/1Act","404254","CDM","Both",,,"19","9.5","Clover","Medicare Advantage",,,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"NF-Fluticasone Propionate 0.05MG/1Act","404254","CDM","Both",,,"19","9.5","Wellcare","Medicare Advantage",,,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"NF-Fluticasone Propionate 0.05MG/1Act","404254","CDM","Both",,,"19","9.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.95","6.95","14.72","percent of total billed charges",,
"NF-Fluticasone Propionate 0.05MG/1Act","404254","CDM","Both",,,"19","9.5","Caresource","Medicaid Managed Care",,,"40",,"7.6","6.95","14.72","percent of total billed charges",,
"NF-Fluticasone Propionate 0.05MG/1Act","404254","CDM","Both",,,"19","9.5","Wellcare","Medicaid Managed Care",,,"40",,"7.7","6.95","14.72","percent of total billed charges",,
"NF-Fluticasone Propionate 0.05MG/1Act","404254","CDM","Both",,,"19","9.5","Aetna","Commercial",,,"64",,"12.12","6.95","14.72","percent of total billed charges",,
"NF-Fluticasone Propionate 0.05MG/1Act","404254","CDM","Both",,,"19","9.5","Blue Cross Blue Shield","Pathways",,,"71",,"13.41","6.95","14.72","percent of total billed charges",,
"NF-Fluticasone Propionate 0.05MG/1Act","404254","CDM","Both",,,"19","9.5","Blue Cross Blue Shield","HMO",,,"71",,"13.41","6.95","14.72","percent of total billed charges",,
"NF-Fluticasone Propionate 0.05MG/1Act","404254","CDM","Both",,,"19","9.5","Blue Cross Blue Shield","PPO",,,"71",,"13.41","6.95","14.72","percent of total billed charges",,
"NF-Fluticasone Propionate 0.05MG/1Act","404254","CDM","Both",,,"19","9.5","Ambetter","Health Exchange",,,"62",,"11.78","6.95","14.72","percent of total billed charges",,
"NF-Fluticasone Propionate 0.05MG/1Act","404254","CDM","Both",,,"19","9.5","Caresource","Health Exchange",,,"62",,"11.78","6.95","14.72","percent of total billed charges",,
"NF-Fluticasone Propionate 0.05MG/1Act","404254","CDM","Both",,,"19","9.5","Cigna","Commercial",,,"59",,"11.13","6.95","14.72","percent of total billed charges",,
"NF-Fluticasone Propionate 0.05MG/1Act","404254","CDM","Both",,,"19","9.5","Humana","Commercial",,,"78",,"14.72","6.95","14.72","percent of total billed charges",,
"NF-Fluticasone Propionate 0.05MG/1Act","404254","CDM","Both",,,"19","9.5","UHC","Commercial",,,"75",,"14.33","6.95","14.72","percent of total billed charges",,
"NF-Fluticasone Propionate 0.05MG/1Act","404254","CDM","Both",,,"19","9.5","Medicaid",,,,"37",,"6.95","6.95","14.72","percent of total billed charges",,
"NF-Fluticasone Propionate 0.05MG/1Act","404255","CDM","Both",,,"19","9.5","Alliant","Health Exchange",,,"62",,"11.78","6.95","14.72","percent of total billed charges",,
"NF-Fluticasone Propionate 0.05MG/1Act","404255","CDM","Both",,,"19","9.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.26","6.95","14.72","percent of total billed charges",,
"NF-Fluticasone Propionate 0.05MG/1Act","404255","CDM","Both",,,"19","9.5","Medicare",,,,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"NF-Fluticasone Propionate 0.05MG/1Act","404255","CDM","Both",,,"19","9.5","Humana","Medicare Advantage",,,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"NF-Fluticasone Propionate 0.05MG/1Act","404255","CDM","Both",,,"19","9.5","UHC","Medicare Advantage",,,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"NF-Fluticasone Propionate 0.05MG/1Act","404255","CDM","Both",,,"19","9.5","Clover","Medicare Advantage",,,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"NF-Fluticasone Propionate 0.05MG/1Act","404255","CDM","Both",,,"19","9.5","Wellcare","Medicare Advantage",,,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"NF-Fluticasone Propionate 0.05MG/1Act","404255","CDM","Both",,,"19","9.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.95","6.95","14.72","percent of total billed charges",,
"NF-Fluticasone Propionate 0.05MG/1Act","404255","CDM","Both",,,"19","9.5","Caresource","Medicaid Managed Care",,,"40",,"7.6","6.95","14.72","percent of total billed charges",,
"NF-Fluticasone Propionate 0.05MG/1Act","404255","CDM","Both",,,"19","9.5","Wellcare","Medicaid Managed Care",,,"40",,"7.7","6.95","14.72","percent of total billed charges",,
"NF-Fluticasone Propionate 0.05MG/1Act","404255","CDM","Both",,,"19","9.5","Aetna","Commercial",,,"64",,"12.12","6.95","14.72","percent of total billed charges",,
"NF-Fluticasone Propionate 0.05MG/1Act","404255","CDM","Both",,,"19","9.5","Blue Cross Blue Shield","Pathways",,,"71",,"13.41","6.95","14.72","percent of total billed charges",,
"NF-Fluticasone Propionate 0.05MG/1Act","404255","CDM","Both",,,"19","9.5","Blue Cross Blue Shield","HMO",,,"71",,"13.41","6.95","14.72","percent of total billed charges",,
"NF-Fluticasone Propionate 0.05MG/1Act","404255","CDM","Both",,,"19","9.5","Blue Cross Blue Shield","PPO",,,"71",,"13.41","6.95","14.72","percent of total billed charges",,
"NF-Fluticasone Propionate 0.05MG/1Act","404255","CDM","Both",,,"19","9.5","Ambetter","Health Exchange",,,"62",,"11.78","6.95","14.72","percent of total billed charges",,
"NF-Fluticasone Propionate 0.05MG/1Act","404255","CDM","Both",,,"19","9.5","Caresource","Health Exchange",,,"62",,"11.78","6.95","14.72","percent of total billed charges",,
"NF-Fluticasone Propionate 0.05MG/1Act","404255","CDM","Both",,,"19","9.5","Cigna","Commercial",,,"59",,"11.13","6.95","14.72","percent of total billed charges",,
"NF-Fluticasone Propionate 0.05MG/1Act","404255","CDM","Both",,,"19","9.5","Humana","Commercial",,,"78",,"14.72","6.95","14.72","percent of total billed charges",,
"NF-Fluticasone Propionate 0.05MG/1Act","404255","CDM","Both",,,"19","9.5","UHC","Commercial",,,"75",,"14.33","6.95","14.72","percent of total billed charges",,
"NF-Fluticasone Propionate 0.05MG/1Act","404255","CDM","Both",,,"19","9.5","Medicaid",,,,"37",,"6.95","6.95","14.72","percent of total billed charges",,
"NF-Advair Diskus 500/50 Disk","404256","CDM","Both",,,"31","15.5","Alliant","Health Exchange",,,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"NF-Advair Diskus 500/50 Disk","404256","CDM","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.74","11.35","24.02","percent of total billed charges",,
"NF-Advair Diskus 500/50 Disk","404256","CDM","Both",,,"31","15.5","Medicare",,,,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"NF-Advair Diskus 500/50 Disk","404256","CDM","Both",,,"31","15.5","Humana","Medicare Advantage",,,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"NF-Advair Diskus 500/50 Disk","404256","CDM","Both",,,"31","15.5","UHC","Medicare Advantage",,,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"NF-Advair Diskus 500/50 Disk","404256","CDM","Both",,,"31","15.5","Clover","Medicare Advantage",,,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"NF-Advair Diskus 500/50 Disk","404256","CDM","Both",,,"31","15.5","Wellcare","Medicare Advantage",,,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"NF-Advair Diskus 500/50 Disk","404256","CDM","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care",,,"37",,"11.35","11.35","24.02","percent of total billed charges",,
"NF-Advair Diskus 500/50 Disk","404256","CDM","Both",,,"31","15.5","Caresource","Medicaid Managed Care",,,"40",,"12.4","11.35","24.02","percent of total billed charges",,
"NF-Advair Diskus 500/50 Disk","404256","CDM","Both",,,"31","15.5","Wellcare","Medicaid Managed Care",,,"40",,"12.56","11.35","24.02","percent of total billed charges",,
"NF-Advair Diskus 500/50 Disk","404256","CDM","Both",,,"31","15.5","Aetna","Commercial",,,"64",,"19.78","11.35","24.02","percent of total billed charges",,
"NF-Advair Diskus 500/50 Disk","404256","CDM","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways",,,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"NF-Advair Diskus 500/50 Disk","404256","CDM","Both",,,"31","15.5","Blue Cross Blue Shield","HMO",,,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"NF-Advair Diskus 500/50 Disk","404256","CDM","Both",,,"31","15.5","Blue Cross Blue Shield","PPO",,,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"NF-Advair Diskus 500/50 Disk","404256","CDM","Both",,,"31","15.5","Ambetter","Health Exchange",,,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"NF-Advair Diskus 500/50 Disk","404256","CDM","Both",,,"31","15.5","Caresource","Health Exchange",,,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"NF-Advair Diskus 500/50 Disk","404256","CDM","Both",,,"31","15.5","Cigna","Commercial",,,"59",,"18.17","11.35","24.02","percent of total billed charges",,
"NF-Advair Diskus 500/50 Disk","404256","CDM","Both",,,"31","15.5","Humana","Commercial",,,"78",,"24.02","11.35","24.02","percent of total billed charges",,
"NF-Advair Diskus 500/50 Disk","404256","CDM","Both",,,"31","15.5","UHC","Commercial",,,"75",,"23.37","11.35","24.02","percent of total billed charges",,
"NF-Advair Diskus 500/50 Disk","404256","CDM","Both",,,"31","15.5","Medicaid",,,,"37",,"11.35","11.35","24.02","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","404264","CDM","Both",,,"40","20","Alliant","Health Exchange",,,"62",,"24.8","14.64","31","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","404264","CDM","Both",,,"40","20","Pruitt Healthcare","Medicare Advantage",,,"54",,"21.6","14.64","31","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","404264","CDM","Both",,,"40","20","Medicare",,,,"54",,"21.68","14.64","31","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","404264","CDM","Both",,,"40","20","Humana","Medicare Advantage",,,"54",,"21.68","14.64","31","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","404264","CDM","Both",,,"40","20","UHC","Medicare Advantage",,,"54",,"21.68","14.64","31","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","404264","CDM","Both",,,"40","20","Clover","Medicare Advantage",,,"54",,"21.68","14.64","31","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","404264","CDM","Both",,,"40","20","Wellcare","Medicare Advantage",,,"54",,"21.68","14.64","31","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","404264","CDM","Both",,,"40","20","Amerigroup","Medicaid Managed Care",,,"37",,"14.64","14.64","31","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","404264","CDM","Both",,,"40","20","Caresource","Medicaid Managed Care",,,"40",,"16","14.64","31","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","404264","CDM","Both",,,"40","20","Wellcare","Medicaid Managed Care",,,"40",,"16.2","14.64","31","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","404264","CDM","Both",,,"40","20","Aetna","Commercial",,,"64",,"25.52","14.64","31","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","404264","CDM","Both",,,"40","20","Blue Cross Blue Shield","Pathways",,,"71",,"28.24","14.64","31","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","404264","CDM","Both",,,"40","20","Blue Cross Blue Shield","HMO",,,"71",,"28.24","14.64","31","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","404264","CDM","Both",,,"40","20","Blue Cross Blue Shield","PPO",,,"71",,"28.24","14.64","31","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","404264","CDM","Both",,,"40","20","Ambetter","Health Exchange",,,"62",,"24.8","14.64","31","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","404264","CDM","Both",,,"40","20","Caresource","Health Exchange",,,"62",,"24.8","14.64","31","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","404264","CDM","Both",,,"40","20","Cigna","Commercial",,,"59",,"23.44","14.64","31","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","404264","CDM","Both",,,"40","20","Humana","Commercial",,,"78",,"31","14.64","31","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","404264","CDM","Both",,,"40","20","UHC","Commercial",,,"75",,"30.16","14.64","31","percent of total billed charges",,
"NF-Entresto Oral Tablet 24MG-26MG","404264","CDM","Both",,,"40","20","Medicaid",,,,"37",,"14.64","14.64","31","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","404265","CDM","Both",,,"10","5","Alliant","Health Exchange",,,"62",,"6.2","3.66","7.75","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","404265","CDM","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage",,,"54",,"5.4","3.66","7.75","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","404265","CDM","Both",,,"10","5","Medicare",,,,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","404265","CDM","Both",,,"10","5","Humana","Medicare Advantage",,,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","404265","CDM","Both",,,"10","5","UHC","Medicare Advantage",,,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","404265","CDM","Both",,,"10","5","Clover","Medicare Advantage",,,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","404265","CDM","Both",,,"10","5","Wellcare","Medicare Advantage",,,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","404265","CDM","Both",,,"10","5","Amerigroup","Medicaid Managed Care",,,"37",,"3.66","3.66","7.75","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","404265","CDM","Both",,,"10","5","Caresource","Medicaid Managed Care",,,"40",,"4","3.66","7.75","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","404265","CDM","Both",,,"10","5","Wellcare","Medicaid Managed Care",,,"40",,"4.05","3.66","7.75","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","404265","CDM","Both",,,"10","5","Aetna","Commercial",,,"64",,"6.38","3.66","7.75","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","404265","CDM","Both",,,"10","5","Blue Cross Blue Shield","Pathways",,,"71",,"7.06","3.66","7.75","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","404265","CDM","Both",,,"10","5","Blue Cross Blue Shield","HMO",,,"71",,"7.06","3.66","7.75","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","404265","CDM","Both",,,"10","5","Blue Cross Blue Shield","PPO",,,"71",,"7.06","3.66","7.75","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","404265","CDM","Both",,,"10","5","Ambetter","Health Exchange",,,"62",,"6.2","3.66","7.75","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","404265","CDM","Both",,,"10","5","Caresource","Health Exchange",,,"62",,"6.2","3.66","7.75","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","404265","CDM","Both",,,"10","5","Cigna","Commercial",,,"59",,"5.86","3.66","7.75","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","404265","CDM","Both",,,"10","5","Humana","Commercial",,,"78",,"7.75","3.66","7.75","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","404265","CDM","Both",,,"10","5","UHC","Commercial",,,"75",,"7.54","3.66","7.75","percent of total billed charges",,
"NF-Flecainide Acetate Tablet 100MG","404265","CDM","Both",,,"10","5","Medicaid",,,,"37",,"3.66","3.66","7.75","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","404275","CDM","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","404275","CDM","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","404275","CDM","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","404275","CDM","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","404275","CDM","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","404275","CDM","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","404275","CDM","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","404275","CDM","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","404275","CDM","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","404275","CDM","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","404275","CDM","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","404275","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","404275","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","404275","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","404275","CDM","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","404275","CDM","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","404275","CDM","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","404275","CDM","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","404275","CDM","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","404275","CDM","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","404278","CDM","Both",,,"17","8.5","Alliant","Health Exchange",,,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","404278","CDM","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.18","6.22","13.18","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","404278","CDM","Both",,,"17","8.5","Medicare",,,,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","404278","CDM","Both",,,"17","8.5","Humana","Medicare Advantage",,,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","404278","CDM","Both",,,"17","8.5","UHC","Medicare Advantage",,,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","404278","CDM","Both",,,"17","8.5","Clover","Medicare Advantage",,,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","404278","CDM","Both",,,"17","8.5","Wellcare","Medicare Advantage",,,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","404278","CDM","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.22","6.22","13.18","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","404278","CDM","Both",,,"17","8.5","Caresource","Medicaid Managed Care",,,"40",,"6.8","6.22","13.18","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","404278","CDM","Both",,,"17","8.5","Wellcare","Medicaid Managed Care",,,"40",,"6.89","6.22","13.18","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","404278","CDM","Both",,,"17","8.5","Aetna","Commercial",,,"64",,"10.85","6.22","13.18","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","404278","CDM","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways",,,"71",,"12","6.22","13.18","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","404278","CDM","Both",,,"17","8.5","Blue Cross Blue Shield","HMO",,,"71",,"12","6.22","13.18","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","404278","CDM","Both",,,"17","8.5","Blue Cross Blue Shield","PPO",,,"71",,"12","6.22","13.18","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","404278","CDM","Both",,,"17","8.5","Ambetter","Health Exchange",,,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","404278","CDM","Both",,,"17","8.5","Caresource","Health Exchange",,,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","404278","CDM","Both",,,"17","8.5","Cigna","Commercial",,,"59",,"9.96","6.22","13.18","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","404278","CDM","Both",,,"17","8.5","Humana","Commercial",,,"78",,"13.18","6.22","13.18","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","404278","CDM","Both",,,"17","8.5","UHC","Commercial",,,"75",,"12.82","6.22","13.18","percent of total billed charges",,
"NF-Fenofibrate Oral Tablet 145MG","404278","CDM","Both",,,"17","8.5","Medicaid",,,,"37",,"6.22","6.22","13.18","percent of total billed charges",,
"NF-Triamcinolone  Oin  0.1%","404287","CDM","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Triamcinolone  Oin  0.1%","404287","CDM","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Triamcinolone  Oin  0.1%","404287","CDM","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Triamcinolone  Oin  0.1%","404287","CDM","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Triamcinolone  Oin  0.1%","404287","CDM","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Triamcinolone  Oin  0.1%","404287","CDM","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Triamcinolone  Oin  0.1%","404287","CDM","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Triamcinolone  Oin  0.1%","404287","CDM","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Triamcinolone  Oin  0.1%","404287","CDM","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Triamcinolone  Oin  0.1%","404287","CDM","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Triamcinolone  Oin  0.1%","404287","CDM","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"NF-Triamcinolone  Oin  0.1%","404287","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Triamcinolone  Oin  0.1%","404287","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Triamcinolone  Oin  0.1%","404287","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Triamcinolone  Oin  0.1%","404287","CDM","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Triamcinolone  Oin  0.1%","404287","CDM","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Triamcinolone  Oin  0.1%","404287","CDM","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"NF-Triamcinolone  Oin  0.1%","404287","CDM","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"NF-Triamcinolone  Oin  0.1%","404287","CDM","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"NF-Triamcinolone  Oin  0.1%","404287","CDM","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Fexofenadine Hydrochloride Tablet 180","404288","CDM","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","2.56","5.42","percent of total billed charges",,
"NF-Fexofenadine Hydrochloride Tablet 180","404288","CDM","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","2.56","5.42","percent of total billed charges",,
"NF-Fexofenadine Hydrochloride Tablet 180","404288","CDM","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","2.56","5.42","percent of total billed charges",,
"NF-Fexofenadine Hydrochloride Tablet 180","404288","CDM","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","2.56","5.42","percent of total billed charges",,
"NF-Fexofenadine Hydrochloride Tablet 180","404288","CDM","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","2.56","5.42","percent of total billed charges",,
"NF-Fexofenadine Hydrochloride Tablet 180","404288","CDM","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","2.56","5.42","percent of total billed charges",,
"NF-Fexofenadine Hydrochloride Tablet 180","404288","CDM","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","2.56","5.42","percent of total billed charges",,
"NF-Fexofenadine Hydrochloride Tablet 180","404288","CDM","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","2.56","5.42","percent of total billed charges",,
"NF-Fexofenadine Hydrochloride Tablet 180","404288","CDM","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","2.56","5.42","percent of total billed charges",,
"NF-Fexofenadine Hydrochloride Tablet 180","404288","CDM","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","2.56","5.42","percent of total billed charges",,
"NF-Fexofenadine Hydrochloride Tablet 180","404288","CDM","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","2.56","5.42","percent of total billed charges",,
"NF-Fexofenadine Hydrochloride Tablet 180","404288","CDM","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","2.56","5.42","percent of total billed charges",,
"NF-Fexofenadine Hydrochloride Tablet 180","404288","CDM","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","2.56","5.42","percent of total billed charges",,
"NF-Fexofenadine Hydrochloride Tablet 180","404288","CDM","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","2.56","5.42","percent of total billed charges",,
"NF-Fexofenadine Hydrochloride Tablet 180","404288","CDM","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","2.56","5.42","percent of total billed charges",,
"NF-Fexofenadine Hydrochloride Tablet 180","404288","CDM","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","2.56","5.42","percent of total billed charges",,
"NF-Fexofenadine Hydrochloride Tablet 180","404288","CDM","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","2.56","5.42","percent of total billed charges",,
"NF-Fexofenadine Hydrochloride Tablet 180","404288","CDM","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","2.56","5.42","percent of total billed charges",,
"NF-Fexofenadine Hydrochloride Tablet 180","404288","CDM","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","2.56","5.42","percent of total billed charges",,
"NF-Fexofenadine Hydrochloride Tablet 180","404288","CDM","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","2.56","5.42","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","404290","CDM","Both",,,"4","2","Alliant","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","404290","CDM","Both",,,"4","2","Pruitt Healthcare","Medicare Advantage",,,"54",,"2.16","1.46","3.1","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","404290","CDM","Both",,,"4","2","Medicare",,,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","404290","CDM","Both",,,"4","2","Humana","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","404290","CDM","Both",,,"4","2","UHC","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","404290","CDM","Both",,,"4","2","Clover","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","404290","CDM","Both",,,"4","2","Wellcare","Medicare Advantage",,,"54",,"2.17","1.46","3.1","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","404290","CDM","Both",,,"4","2","Amerigroup","Medicaid Managed Care",,,"37",,"1.46","1.46","3.1","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","404290","CDM","Both",,,"4","2","Caresource","Medicaid Managed Care",,,"40",,"1.6","1.46","3.1","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","404290","CDM","Both",,,"4","2","Wellcare","Medicaid Managed Care",,,"40",,"1.62","1.46","3.1","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","404290","CDM","Both",,,"4","2","Aetna","Commercial",,,"64",,"2.55","1.46","3.1","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","404290","CDM","Both",,,"4","2","Blue Cross Blue Shield","Pathways",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","404290","CDM","Both",,,"4","2","Blue Cross Blue Shield","HMO",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","404290","CDM","Both",,,"4","2","Blue Cross Blue Shield","PPO",,,"71",,"2.82","1.46","3.1","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","404290","CDM","Both",,,"4","2","Ambetter","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","404290","CDM","Both",,,"4","2","Caresource","Health Exchange",,,"62",,"2.48","1.46","3.1","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","404290","CDM","Both",,,"4","2","Cigna","Commercial",,,"59",,"2.34","1.46","3.1","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","404290","CDM","Both",,,"4","2","Humana","Commercial",,,"78",,"3.1","1.46","3.1","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","404290","CDM","Both",,,"4","2","UHC","Commercial",,,"75",,"3.02","1.46","3.1","percent of total billed charges",,
"NF-Benazepril Oral Tablet 40MG","404290","CDM","Both",,,"4","2","Medicaid",,,,"37",,"1.46","1.46","3.1","percent of total billed charges",,
"NF-Aspercreme Topical Patch ER 4%","404344","CDM","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","2.56","5.42","percent of total billed charges",,
"NF-Aspercreme Topical Patch ER 4%","404344","CDM","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","2.56","5.42","percent of total billed charges",,
"NF-Aspercreme Topical Patch ER 4%","404344","CDM","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","2.56","5.42","percent of total billed charges",,
"NF-Aspercreme Topical Patch ER 4%","404344","CDM","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","2.56","5.42","percent of total billed charges",,
"NF-Aspercreme Topical Patch ER 4%","404344","CDM","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","2.56","5.42","percent of total billed charges",,
"NF-Aspercreme Topical Patch ER 4%","404344","CDM","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","2.56","5.42","percent of total billed charges",,
"NF-Aspercreme Topical Patch ER 4%","404344","CDM","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","2.56","5.42","percent of total billed charges",,
"NF-Aspercreme Topical Patch ER 4%","404344","CDM","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","2.56","5.42","percent of total billed charges",,
"NF-Aspercreme Topical Patch ER 4%","404344","CDM","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","2.56","5.42","percent of total billed charges",,
"NF-Aspercreme Topical Patch ER 4%","404344","CDM","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","2.56","5.42","percent of total billed charges",,
"NF-Aspercreme Topical Patch ER 4%","404344","CDM","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","2.56","5.42","percent of total billed charges",,
"NF-Aspercreme Topical Patch ER 4%","404344","CDM","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","2.56","5.42","percent of total billed charges",,
"NF-Aspercreme Topical Patch ER 4%","404344","CDM","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","2.56","5.42","percent of total billed charges",,
"NF-Aspercreme Topical Patch ER 4%","404344","CDM","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","2.56","5.42","percent of total billed charges",,
"NF-Aspercreme Topical Patch ER 4%","404344","CDM","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","2.56","5.42","percent of total billed charges",,
"NF-Aspercreme Topical Patch ER 4%","404344","CDM","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","2.56","5.42","percent of total billed charges",,
"NF-Aspercreme Topical Patch ER 4%","404344","CDM","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","2.56","5.42","percent of total billed charges",,
"NF-Aspercreme Topical Patch ER 4%","404344","CDM","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","2.56","5.42","percent of total billed charges",,
"NF-Aspercreme Topical Patch ER 4%","404344","CDM","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","2.56","5.42","percent of total billed charges",,
"NF-Aspercreme Topical Patch ER 4%","404344","CDM","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","2.56","5.42","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tab 100MG-25M","404371","CDM","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","2.56","5.42","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tab 100MG-25M","404371","CDM","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","2.56","5.42","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tab 100MG-25M","404371","CDM","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","2.56","5.42","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tab 100MG-25M","404371","CDM","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","2.56","5.42","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tab 100MG-25M","404371","CDM","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","2.56","5.42","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tab 100MG-25M","404371","CDM","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","2.56","5.42","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tab 100MG-25M","404371","CDM","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","2.56","5.42","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tab 100MG-25M","404371","CDM","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","2.56","5.42","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tab 100MG-25M","404371","CDM","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","2.56","5.42","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tab 100MG-25M","404371","CDM","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","2.56","5.42","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tab 100MG-25M","404371","CDM","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","2.56","5.42","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tab 100MG-25M","404371","CDM","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","2.56","5.42","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tab 100MG-25M","404371","CDM","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","2.56","5.42","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tab 100MG-25M","404371","CDM","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","2.56","5.42","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tab 100MG-25M","404371","CDM","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","2.56","5.42","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tab 100MG-25M","404371","CDM","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","2.56","5.42","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tab 100MG-25M","404371","CDM","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","2.56","5.42","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tab 100MG-25M","404371","CDM","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","2.56","5.42","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tab 100MG-25M","404371","CDM","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","2.56","5.42","percent of total billed charges",,
"NF-Atenolol/Chlorthalidone Tab 100MG-25M","404371","CDM","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","2.56","5.42","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","404379","CDM","Both",,,"20","10","Alliant","Health Exchange",,,"62",,"12.4","7.32","15.5","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","404379","CDM","Both",,,"20","10","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.8","7.32","15.5","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","404379","CDM","Both",,,"20","10","Medicare",,,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","404379","CDM","Both",,,"20","10","Humana","Medicare Advantage",,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","404379","CDM","Both",,,"20","10","UHC","Medicare Advantage",,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","404379","CDM","Both",,,"20","10","Clover","Medicare Advantage",,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","404379","CDM","Both",,,"20","10","Wellcare","Medicare Advantage",,,"54",,"10.84","7.32","15.5","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","404379","CDM","Both",,,"20","10","Amerigroup","Medicaid Managed Care",,,"37",,"7.32","7.32","15.5","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","404379","CDM","Both",,,"20","10","Caresource","Medicaid Managed Care",,,"40",,"8","7.32","15.5","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","404379","CDM","Both",,,"20","10","Wellcare","Medicaid Managed Care",,,"40",,"8.1","7.32","15.5","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","404379","CDM","Both",,,"20","10","Aetna","Commercial",,,"64",,"12.76","7.32","15.5","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","404379","CDM","Both",,,"20","10","Blue Cross Blue Shield","Pathways",,,"71",,"14.12","7.32","15.5","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","404379","CDM","Both",,,"20","10","Blue Cross Blue Shield","HMO",,,"71",,"14.12","7.32","15.5","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","404379","CDM","Both",,,"20","10","Blue Cross Blue Shield","PPO",,,"71",,"14.12","7.32","15.5","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","404379","CDM","Both",,,"20","10","Ambetter","Health Exchange",,,"62",,"12.4","7.32","15.5","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","404379","CDM","Both",,,"20","10","Caresource","Health Exchange",,,"62",,"12.4","7.32","15.5","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","404379","CDM","Both",,,"20","10","Cigna","Commercial",,,"59",,"11.72","7.32","15.5","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","404379","CDM","Both",,,"20","10","Humana","Commercial",,,"78",,"15.5","7.32","15.5","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","404379","CDM","Both",,,"20","10","UHC","Commercial",,,"75",,"15.08","7.32","15.5","percent of total billed charges",,
"NF-Pradaxa Oral Capsule 150MG","404379","CDM","Both",,,"20","10","Medicaid",,,,"37",,"7.32","7.32","15.5","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","404387","CDM","Both",,,"446","223","Alliant","Health Exchange",,,"62",,"276.52","163.24","345.65","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","404387","CDM","Both",,,"446","223","Pruitt Healthcare","Medicare Advantage",,,"54",,"240.84","163.24","345.65","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","404387","CDM","Both",,,"446","223","Medicare",,,,"54",,"241.73","163.24","345.65","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","404387","CDM","Both",,,"446","223","Humana","Medicare Advantage",,,"54",,"241.73","163.24","345.65","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","404387","CDM","Both",,,"446","223","UHC","Medicare Advantage",,,"54",,"241.73","163.24","345.65","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","404387","CDM","Both",,,"446","223","Clover","Medicare Advantage",,,"54",,"241.73","163.24","345.65","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","404387","CDM","Both",,,"446","223","Wellcare","Medicare Advantage",,,"54",,"241.73","163.24","345.65","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","404387","CDM","Both",,,"446","223","Amerigroup","Medicaid Managed Care",,,"37",,"163.24","163.24","345.65","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","404387","CDM","Both",,,"446","223","Caresource","Medicaid Managed Care",,,"40",,"178.4","163.24","345.65","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","404387","CDM","Both",,,"446","223","Wellcare","Medicaid Managed Care",,,"40",,"180.63","163.24","345.65","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","404387","CDM","Both",,,"446","223","Aetna","Commercial",,,"64",,"284.55","163.24","345.65","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","404387","CDM","Both",,,"446","223","Blue Cross Blue Shield","Pathways",,,"71",,"314.88","163.24","345.65","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","404387","CDM","Both",,,"446","223","Blue Cross Blue Shield","HMO",,,"71",,"314.88","163.24","345.65","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","404387","CDM","Both",,,"446","223","Blue Cross Blue Shield","PPO",,,"71",,"314.88","163.24","345.65","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","404387","CDM","Both",,,"446","223","Ambetter","Health Exchange",,,"62",,"276.52","163.24","345.65","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","404387","CDM","Both",,,"446","223","Caresource","Health Exchange",,,"62",,"276.52","163.24","345.65","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","404387","CDM","Both",,,"446","223","Cigna","Commercial",,,"59",,"261.36","163.24","345.65","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","404387","CDM","Both",,,"446","223","Humana","Commercial",,,"78",,"345.65","163.24","345.65","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","404387","CDM","Both",,,"446","223","UHC","Commercial",,,"75",,"336.28","163.24","345.65","percent of total billed charges",,
"NF-Victoza Subcutaneous Solution 6MG/1ML","404387","CDM","Both",,,"446","223","Medicaid",,,,"37",,"163.24","163.24","345.65","percent of total billed charges",,
"NF-Abacavir Oral Tablet 300MG","404398","CDM","Both",,,"30","15","Alliant","Health Exchange",,,"62",,"18.6","10.98","23.25","percent of total billed charges",,
"NF-Abacavir Oral Tablet 300MG","404398","CDM","Both",,,"30","15","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.2","10.98","23.25","percent of total billed charges",,
"NF-Abacavir Oral Tablet 300MG","404398","CDM","Both",,,"30","15","Medicare",,,,"54",,"16.26","10.98","23.25","percent of total billed charges",,
"NF-Abacavir Oral Tablet 300MG","404398","CDM","Both",,,"30","15","Humana","Medicare Advantage",,,"54",,"16.26","10.98","23.25","percent of total billed charges",,
"NF-Abacavir Oral Tablet 300MG","404398","CDM","Both",,,"30","15","UHC","Medicare Advantage",,,"54",,"16.26","10.98","23.25","percent of total billed charges",,
"NF-Abacavir Oral Tablet 300MG","404398","CDM","Both",,,"30","15","Clover","Medicare Advantage",,,"54",,"16.26","10.98","23.25","percent of total billed charges",,
"NF-Abacavir Oral Tablet 300MG","404398","CDM","Both",,,"30","15","Wellcare","Medicare Advantage",,,"54",,"16.26","10.98","23.25","percent of total billed charges",,
"NF-Abacavir Oral Tablet 300MG","404398","CDM","Both",,,"30","15","Amerigroup","Medicaid Managed Care",,,"37",,"10.98","10.98","23.25","percent of total billed charges",,
"NF-Abacavir Oral Tablet 300MG","404398","CDM","Both",,,"30","15","Caresource","Medicaid Managed Care",,,"40",,"12","10.98","23.25","percent of total billed charges",,
"NF-Abacavir Oral Tablet 300MG","404398","CDM","Both",,,"30","15","Wellcare","Medicaid Managed Care",,,"40",,"12.15","10.98","23.25","percent of total billed charges",,
"NF-Abacavir Oral Tablet 300MG","404398","CDM","Both",,,"30","15","Aetna","Commercial",,,"64",,"19.14","10.98","23.25","percent of total billed charges",,
"NF-Abacavir Oral Tablet 300MG","404398","CDM","Both",,,"30","15","Blue Cross Blue Shield","Pathways",,,"71",,"21.18","10.98","23.25","percent of total billed charges",,
"NF-Abacavir Oral Tablet 300MG","404398","CDM","Both",,,"30","15","Blue Cross Blue Shield","HMO",,,"71",,"21.18","10.98","23.25","percent of total billed charges",,
"NF-Abacavir Oral Tablet 300MG","404398","CDM","Both",,,"30","15","Blue Cross Blue Shield","PPO",,,"71",,"21.18","10.98","23.25","percent of total billed charges",,
"NF-Abacavir Oral Tablet 300MG","404398","CDM","Both",,,"30","15","Ambetter","Health Exchange",,,"62",,"18.6","10.98","23.25","percent of total billed charges",,
"NF-Abacavir Oral Tablet 300MG","404398","CDM","Both",,,"30","15","Caresource","Health Exchange",,,"62",,"18.6","10.98","23.25","percent of total billed charges",,
"NF-Abacavir Oral Tablet 300MG","404398","CDM","Both",,,"30","15","Cigna","Commercial",,,"59",,"17.58","10.98","23.25","percent of total billed charges",,
"NF-Abacavir Oral Tablet 300MG","404398","CDM","Both",,,"30","15","Humana","Commercial",,,"78",,"23.25","10.98","23.25","percent of total billed charges",,
"NF-Abacavir Oral Tablet 300MG","404398","CDM","Both",,,"30","15","UHC","Commercial",,,"75",,"22.62","10.98","23.25","percent of total billed charges",,
"NF-Abacavir Oral Tablet 300MG","404398","CDM","Both",,,"30","15","Medicaid",,,,"37",,"10.98","10.98","23.25","percent of total billed charges",,
"NF-Abacavir Oral Tablet 300MG","404399","CDM","Both",,,"30","15","Alliant","Health Exchange",,,"62",,"18.6","10.98","23.25","percent of total billed charges",,
"NF-Abacavir Oral Tablet 300MG","404399","CDM","Both",,,"30","15","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.2","10.98","23.25","percent of total billed charges",,
"NF-Abacavir Oral Tablet 300MG","404399","CDM","Both",,,"30","15","Medicare",,,,"54",,"16.26","10.98","23.25","percent of total billed charges",,
"NF-Abacavir Oral Tablet 300MG","404399","CDM","Both",,,"30","15","Humana","Medicare Advantage",,,"54",,"16.26","10.98","23.25","percent of total billed charges",,
"NF-Abacavir Oral Tablet 300MG","404399","CDM","Both",,,"30","15","UHC","Medicare Advantage",,,"54",,"16.26","10.98","23.25","percent of total billed charges",,
"NF-Abacavir Oral Tablet 300MG","404399","CDM","Both",,,"30","15","Clover","Medicare Advantage",,,"54",,"16.26","10.98","23.25","percent of total billed charges",,
"NF-Abacavir Oral Tablet 300MG","404399","CDM","Both",,,"30","15","Wellcare","Medicare Advantage",,,"54",,"16.26","10.98","23.25","percent of total billed charges",,
"NF-Abacavir Oral Tablet 300MG","404399","CDM","Both",,,"30","15","Amerigroup","Medicaid Managed Care",,,"37",,"10.98","10.98","23.25","percent of total billed charges",,
"NF-Abacavir Oral Tablet 300MG","404399","CDM","Both",,,"30","15","Caresource","Medicaid Managed Care",,,"40",,"12","10.98","23.25","percent of total billed charges",,
"NF-Abacavir Oral Tablet 300MG","404399","CDM","Both",,,"30","15","Wellcare","Medicaid Managed Care",,,"40",,"12.15","10.98","23.25","percent of total billed charges",,
"NF-Abacavir Oral Tablet 300MG","404399","CDM","Both",,,"30","15","Aetna","Commercial",,,"64",,"19.14","10.98","23.25","percent of total billed charges",,
"NF-Abacavir Oral Tablet 300MG","404399","CDM","Both",,,"30","15","Blue Cross Blue Shield","Pathways",,,"71",,"21.18","10.98","23.25","percent of total billed charges",,
"NF-Abacavir Oral Tablet 300MG","404399","CDM","Both",,,"30","15","Blue Cross Blue Shield","HMO",,,"71",,"21.18","10.98","23.25","percent of total billed charges",,
"NF-Abacavir Oral Tablet 300MG","404399","CDM","Both",,,"30","15","Blue Cross Blue Shield","PPO",,,"71",,"21.18","10.98","23.25","percent of total billed charges",,
"NF-Abacavir Oral Tablet 300MG","404399","CDM","Both",,,"30","15","Ambetter","Health Exchange",,,"62",,"18.6","10.98","23.25","percent of total billed charges",,
"NF-Abacavir Oral Tablet 300MG","404399","CDM","Both",,,"30","15","Caresource","Health Exchange",,,"62",,"18.6","10.98","23.25","percent of total billed charges",,
"NF-Abacavir Oral Tablet 300MG","404399","CDM","Both",,,"30","15","Cigna","Commercial",,,"59",,"17.58","10.98","23.25","percent of total billed charges",,
"NF-Abacavir Oral Tablet 300MG","404399","CDM","Both",,,"30","15","Humana","Commercial",,,"78",,"23.25","10.98","23.25","percent of total billed charges",,
"NF-Abacavir Oral Tablet 300MG","404399","CDM","Both",,,"30","15","UHC","Commercial",,,"75",,"22.62","10.98","23.25","percent of total billed charges",,
"NF-Abacavir Oral Tablet 300MG","404399","CDM","Both",,,"30","15","Medicaid",,,,"37",,"10.98","10.98","23.25","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","404401","CDM","Both",,,"37","18.5","Alliant","Health Exchange",,,"62",,"22.94","13.54","28.68","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","404401","CDM","Both",,,"37","18.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.98","13.54","28.68","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","404401","CDM","Both",,,"37","18.5","Medicare",,,,"54",,"20.05","13.54","28.68","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","404401","CDM","Both",,,"37","18.5","Humana","Medicare Advantage",,,"54",,"20.05","13.54","28.68","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","404401","CDM","Both",,,"37","18.5","UHC","Medicare Advantage",,,"54",,"20.05","13.54","28.68","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","404401","CDM","Both",,,"37","18.5","Clover","Medicare Advantage",,,"54",,"20.05","13.54","28.68","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","404401","CDM","Both",,,"37","18.5","Wellcare","Medicare Advantage",,,"54",,"20.05","13.54","28.68","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","404401","CDM","Both",,,"37","18.5","Amerigroup","Medicaid Managed Care",,,"37",,"13.54","13.54","28.68","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","404401","CDM","Both",,,"37","18.5","Caresource","Medicaid Managed Care",,,"40",,"14.8","13.54","28.68","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","404401","CDM","Both",,,"37","18.5","Wellcare","Medicaid Managed Care",,,"40",,"14.99","13.54","28.68","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","404401","CDM","Both",,,"37","18.5","Aetna","Commercial",,,"64",,"23.61","13.54","28.68","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","404401","CDM","Both",,,"37","18.5","Blue Cross Blue Shield","Pathways",,,"71",,"26.12","13.54","28.68","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","404401","CDM","Both",,,"37","18.5","Blue Cross Blue Shield","HMO",,,"71",,"26.12","13.54","28.68","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","404401","CDM","Both",,,"37","18.5","Blue Cross Blue Shield","PPO",,,"71",,"26.12","13.54","28.68","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","404401","CDM","Both",,,"37","18.5","Ambetter","Health Exchange",,,"62",,"22.94","13.54","28.68","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","404401","CDM","Both",,,"37","18.5","Caresource","Health Exchange",,,"62",,"22.94","13.54","28.68","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","404401","CDM","Both",,,"37","18.5","Cigna","Commercial",,,"59",,"21.68","13.54","28.68","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","404401","CDM","Both",,,"37","18.5","Humana","Commercial",,,"78",,"28.68","13.54","28.68","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","404401","CDM","Both",,,"37","18.5","UHC","Commercial",,,"75",,"27.9","13.54","28.68","percent of total billed charges",,
"NF-Farxiga Oral Tablet 5MG","404401","CDM","Both",,,"37","18.5","Medicaid",,,,"37",,"13.54","13.54","28.68","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","404406","CDM","Both",,,"71","35.5","Alliant","Health Exchange",,,"62",,"44.02","25.99","55.02","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","404406","CDM","Both",,,"71","35.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"38.34","25.99","55.02","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","404406","CDM","Both",,,"71","35.5","Medicare",,,,"54",,"38.48","25.99","55.02","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","404406","CDM","Both",,,"71","35.5","Humana","Medicare Advantage",,,"54",,"38.48","25.99","55.02","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","404406","CDM","Both",,,"71","35.5","UHC","Medicare Advantage",,,"54",,"38.48","25.99","55.02","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","404406","CDM","Both",,,"71","35.5","Clover","Medicare Advantage",,,"54",,"38.48","25.99","55.02","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","404406","CDM","Both",,,"71","35.5","Wellcare","Medicare Advantage",,,"54",,"38.48","25.99","55.02","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","404406","CDM","Both",,,"71","35.5","Amerigroup","Medicaid Managed Care",,,"37",,"25.99","25.99","55.02","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","404406","CDM","Both",,,"71","35.5","Caresource","Medicaid Managed Care",,,"40",,"28.4","25.99","55.02","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","404406","CDM","Both",,,"71","35.5","Wellcare","Medicaid Managed Care",,,"40",,"28.76","25.99","55.02","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","404406","CDM","Both",,,"71","35.5","Aetna","Commercial",,,"64",,"45.3","25.99","55.02","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","404406","CDM","Both",,,"71","35.5","Blue Cross Blue Shield","Pathways",,,"71",,"50.13","25.99","55.02","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","404406","CDM","Both",,,"71","35.5","Blue Cross Blue Shield","HMO",,,"71",,"50.13","25.99","55.02","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","404406","CDM","Both",,,"71","35.5","Blue Cross Blue Shield","PPO",,,"71",,"50.13","25.99","55.02","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","404406","CDM","Both",,,"71","35.5","Ambetter","Health Exchange",,,"62",,"44.02","25.99","55.02","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","404406","CDM","Both",,,"71","35.5","Caresource","Health Exchange",,,"62",,"44.02","25.99","55.02","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","404406","CDM","Both",,,"71","35.5","Cigna","Commercial",,,"59",,"41.61","25.99","55.02","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","404406","CDM","Both",,,"71","35.5","Humana","Commercial",,,"78",,"55.02","25.99","55.02","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","404406","CDM","Both",,,"71","35.5","UHC","Commercial",,,"75",,"53.53","25.99","55.02","percent of total billed charges",,
"NF-Jardiance Oral Tablet 25MG","404406","CDM","Both",,,"71","35.5","Medicaid",,,,"37",,"25.99","25.99","55.02","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","404407","CDM","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","404407","CDM","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","404407","CDM","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","404407","CDM","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","404407","CDM","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","404407","CDM","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","404407","CDM","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","404407","CDM","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","404407","CDM","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","404407","CDM","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","404407","CDM","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","404407","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","404407","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","404407","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","404407","CDM","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","404407","CDM","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","404407","CDM","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","404407","CDM","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","404407","CDM","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","404407","CDM","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","1.1","2.33","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404410","CDM","Both",,,"23","11.5","Alliant","Health Exchange",,,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404410","CDM","Both",,,"23","11.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"12.42","8.42","17.82","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404410","CDM","Both",,,"23","11.5","Medicare",,,,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404410","CDM","Both",,,"23","11.5","Humana","Medicare Advantage",,,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404410","CDM","Both",,,"23","11.5","UHC","Medicare Advantage",,,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404410","CDM","Both",,,"23","11.5","Clover","Medicare Advantage",,,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404410","CDM","Both",,,"23","11.5","Wellcare","Medicare Advantage",,,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404410","CDM","Both",,,"23","11.5","Amerigroup","Medicaid Managed Care",,,"37",,"8.42","8.42","17.82","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404410","CDM","Both",,,"23","11.5","Caresource","Medicaid Managed Care",,,"40",,"9.2","8.42","17.82","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404410","CDM","Both",,,"23","11.5","Wellcare","Medicaid Managed Care",,,"40",,"9.32","8.42","17.82","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404410","CDM","Both",,,"23","11.5","Aetna","Commercial",,,"64",,"14.67","8.42","17.82","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404410","CDM","Both",,,"23","11.5","Blue Cross Blue Shield","Pathways",,,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404410","CDM","Both",,,"23","11.5","Blue Cross Blue Shield","HMO",,,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404410","CDM","Both",,,"23","11.5","Blue Cross Blue Shield","PPO",,,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404410","CDM","Both",,,"23","11.5","Ambetter","Health Exchange",,,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404410","CDM","Both",,,"23","11.5","Caresource","Health Exchange",,,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404410","CDM","Both",,,"23","11.5","Cigna","Commercial",,,"59",,"13.48","8.42","17.82","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404410","CDM","Both",,,"23","11.5","Humana","Commercial",,,"78",,"17.82","8.42","17.82","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404410","CDM","Both",,,"23","11.5","UHC","Commercial",,,"75",,"17.34","8.42","17.82","percent of total billed charges",,
"NF-Hyzaar Oral Tablet 100MG-12.5MG","404410","CDM","Both",,,"23","11.5","Medicaid",,,,"37",,"8.42","8.42","17.82","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","404417","CDM","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.73","1.55","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","404417","CDM","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","404417","CDM","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","404417","CDM","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","404417","CDM","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","404417","CDM","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","404417","CDM","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","404417","CDM","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.73","1.55","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","404417","CDM","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.73","1.55","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","404417","CDM","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.73","1.55","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","404417","CDM","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.73","1.55","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","404417","CDM","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.73","1.55","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","404417","CDM","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.73","1.55","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","404417","CDM","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.73","1.55","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","404417","CDM","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.73","1.55","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","404417","CDM","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.73","1.55","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","404417","CDM","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.73","1.55","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","404417","CDM","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.73","1.55","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","404417","CDM","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.73","1.55","percent of total billed charges",,
"NF-Levothyroxine Oral Tablet 112MCG","404417","CDM","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.73","1.55","percent of total billed charges",,
"NF-ARIPiprazole Oral Tablet 15MG","404418","CDM","Both",,,"96","48","Alliant","Health Exchange",,,"62",,"59.52","35.14","74.4","percent of total billed charges",,
"NF-ARIPiprazole Oral Tablet 15MG","404418","CDM","Both",,,"96","48","Pruitt Healthcare","Medicare Advantage",,,"54",,"51.84","35.14","74.4","percent of total billed charges",,
"NF-ARIPiprazole Oral Tablet 15MG","404418","CDM","Both",,,"96","48","Medicare",,,,"54",,"52.03","35.14","74.4","percent of total billed charges",,
"NF-ARIPiprazole Oral Tablet 15MG","404418","CDM","Both",,,"96","48","Humana","Medicare Advantage",,,"54",,"52.03","35.14","74.4","percent of total billed charges",,
"NF-ARIPiprazole Oral Tablet 15MG","404418","CDM","Both",,,"96","48","UHC","Medicare Advantage",,,"54",,"52.03","35.14","74.4","percent of total billed charges",,
"NF-ARIPiprazole Oral Tablet 15MG","404418","CDM","Both",,,"96","48","Clover","Medicare Advantage",,,"54",,"52.03","35.14","74.4","percent of total billed charges",,
"NF-ARIPiprazole Oral Tablet 15MG","404418","CDM","Both",,,"96","48","Wellcare","Medicare Advantage",,,"54",,"52.03","35.14","74.4","percent of total billed charges",,
"NF-ARIPiprazole Oral Tablet 15MG","404418","CDM","Both",,,"96","48","Amerigroup","Medicaid Managed Care",,,"37",,"35.14","35.14","74.4","percent of total billed charges",,
"NF-ARIPiprazole Oral Tablet 15MG","404418","CDM","Both",,,"96","48","Caresource","Medicaid Managed Care",,,"40",,"38.4","35.14","74.4","percent of total billed charges",,
"NF-ARIPiprazole Oral Tablet 15MG","404418","CDM","Both",,,"96","48","Wellcare","Medicaid Managed Care",,,"40",,"38.88","35.14","74.4","percent of total billed charges",,
"NF-ARIPiprazole Oral Tablet 15MG","404418","CDM","Both",,,"96","48","Aetna","Commercial",,,"64",,"61.25","35.14","74.4","percent of total billed charges",,
"NF-ARIPiprazole Oral Tablet 15MG","404418","CDM","Both",,,"96","48","Blue Cross Blue Shield","Pathways",,,"71",,"67.78","35.14","74.4","percent of total billed charges",,
"NF-ARIPiprazole Oral Tablet 15MG","404418","CDM","Both",,,"96","48","Blue Cross Blue Shield","HMO",,,"71",,"67.78","35.14","74.4","percent of total billed charges",,
"NF-ARIPiprazole Oral Tablet 15MG","404418","CDM","Both",,,"96","48","Blue Cross Blue Shield","PPO",,,"71",,"67.78","35.14","74.4","percent of total billed charges",,
"NF-ARIPiprazole Oral Tablet 15MG","404418","CDM","Both",,,"96","48","Ambetter","Health Exchange",,,"62",,"59.52","35.14","74.4","percent of total billed charges",,
"NF-ARIPiprazole Oral Tablet 15MG","404418","CDM","Both",,,"96","48","Caresource","Health Exchange",,,"62",,"59.52","35.14","74.4","percent of total billed charges",,
"NF-ARIPiprazole Oral Tablet 15MG","404418","CDM","Both",,,"96","48","Cigna","Commercial",,,"59",,"56.26","35.14","74.4","percent of total billed charges",,
"NF-ARIPiprazole Oral Tablet 15MG","404418","CDM","Both",,,"96","48","Humana","Commercial",,,"78",,"74.4","35.14","74.4","percent of total billed charges",,
"NF-ARIPiprazole Oral Tablet 15MG","404418","CDM","Both",,,"96","48","UHC","Commercial",,,"75",,"72.38","35.14","74.4","percent of total billed charges",,
"NF-ARIPiprazole Oral Tablet 15MG","404418","CDM","Both",,,"96","48","Medicaid",,,,"37",,"35.14","35.14","74.4","percent of total billed charges",,
"NF-Abilify Tablet 15MG","404419","CDM","Both",,,"70","35","Alliant","Health Exchange",,,"62",,"43.4","25.62","54.25","percent of total billed charges",,
"NF-Abilify Tablet 15MG","404419","CDM","Both",,,"70","35","Pruitt Healthcare","Medicare Advantage",,,"54",,"37.8","25.62","54.25","percent of total billed charges",,
"NF-Abilify Tablet 15MG","404419","CDM","Both",,,"70","35","Medicare",,,,"54",,"37.94","25.62","54.25","percent of total billed charges",,
"NF-Abilify Tablet 15MG","404419","CDM","Both",,,"70","35","Humana","Medicare Advantage",,,"54",,"37.94","25.62","54.25","percent of total billed charges",,
"NF-Abilify Tablet 15MG","404419","CDM","Both",,,"70","35","UHC","Medicare Advantage",,,"54",,"37.94","25.62","54.25","percent of total billed charges",,
"NF-Abilify Tablet 15MG","404419","CDM","Both",,,"70","35","Clover","Medicare Advantage",,,"54",,"37.94","25.62","54.25","percent of total billed charges",,
"NF-Abilify Tablet 15MG","404419","CDM","Both",,,"70","35","Wellcare","Medicare Advantage",,,"54",,"37.94","25.62","54.25","percent of total billed charges",,
"NF-Abilify Tablet 15MG","404419","CDM","Both",,,"70","35","Amerigroup","Medicaid Managed Care",,,"37",,"25.62","25.62","54.25","percent of total billed charges",,
"NF-Abilify Tablet 15MG","404419","CDM","Both",,,"70","35","Caresource","Medicaid Managed Care",,,"40",,"28","25.62","54.25","percent of total billed charges",,
"NF-Abilify Tablet 15MG","404419","CDM","Both",,,"70","35","Wellcare","Medicaid Managed Care",,,"40",,"28.35","25.62","54.25","percent of total billed charges",,
"NF-Abilify Tablet 15MG","404419","CDM","Both",,,"70","35","Aetna","Commercial",,,"64",,"44.66","25.62","54.25","percent of total billed charges",,
"NF-Abilify Tablet 15MG","404419","CDM","Both",,,"70","35","Blue Cross Blue Shield","Pathways",,,"71",,"49.42","25.62","54.25","percent of total billed charges",,
"NF-Abilify Tablet 15MG","404419","CDM","Both",,,"70","35","Blue Cross Blue Shield","HMO",,,"71",,"49.42","25.62","54.25","percent of total billed charges",,
"NF-Abilify Tablet 15MG","404419","CDM","Both",,,"70","35","Blue Cross Blue Shield","PPO",,,"71",,"49.42","25.62","54.25","percent of total billed charges",,
"NF-Abilify Tablet 15MG","404419","CDM","Both",,,"70","35","Ambetter","Health Exchange",,,"62",,"43.4","25.62","54.25","percent of total billed charges",,
"NF-Abilify Tablet 15MG","404419","CDM","Both",,,"70","35","Caresource","Health Exchange",,,"62",,"43.4","25.62","54.25","percent of total billed charges",,
"NF-Abilify Tablet 15MG","404419","CDM","Both",,,"70","35","Cigna","Commercial",,,"59",,"41.02","25.62","54.25","percent of total billed charges",,
"NF-Abilify Tablet 15MG","404419","CDM","Both",,,"70","35","Humana","Commercial",,,"78",,"54.25","25.62","54.25","percent of total billed charges",,
"NF-Abilify Tablet 15MG","404419","CDM","Both",,,"70","35","UHC","Commercial",,,"75",,"52.78","25.62","54.25","percent of total billed charges",,
"NF-Abilify Tablet 15MG","404419","CDM","Both",,,"70","35","Medicaid",,,,"37",,"25.62","25.62","54.25","percent of total billed charges",,
"NF-Culturelle Oral Capsule 10 Billion OR","404428","CDM","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"NF-Culturelle Oral Capsule 10 Billion OR","404428","CDM","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","2.2","4.65","percent of total billed charges",,
"NF-Culturelle Oral Capsule 10 Billion OR","404428","CDM","Both",,,"6","3","Medicare",,,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Culturelle Oral Capsule 10 Billion OR","404428","CDM","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Culturelle Oral Capsule 10 Billion OR","404428","CDM","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Culturelle Oral Capsule 10 Billion OR","404428","CDM","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Culturelle Oral Capsule 10 Billion OR","404428","CDM","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Culturelle Oral Capsule 10 Billion OR","404428","CDM","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","2.2","4.65","percent of total billed charges",,
"NF-Culturelle Oral Capsule 10 Billion OR","404428","CDM","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","2.2","4.65","percent of total billed charges",,
"NF-Culturelle Oral Capsule 10 Billion OR","404428","CDM","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","2.2","4.65","percent of total billed charges",,
"NF-Culturelle Oral Capsule 10 Billion OR","404428","CDM","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","2.2","4.65","percent of total billed charges",,
"NF-Culturelle Oral Capsule 10 Billion OR","404428","CDM","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"NF-Culturelle Oral Capsule 10 Billion OR","404428","CDM","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"NF-Culturelle Oral Capsule 10 Billion OR","404428","CDM","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"NF-Culturelle Oral Capsule 10 Billion OR","404428","CDM","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"NF-Culturelle Oral Capsule 10 Billion OR","404428","CDM","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"NF-Culturelle Oral Capsule 10 Billion OR","404428","CDM","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","2.2","4.65","percent of total billed charges",,
"NF-Culturelle Oral Capsule 10 Billion OR","404428","CDM","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","2.2","4.65","percent of total billed charges",,
"NF-Culturelle Oral Capsule 10 Billion OR","404428","CDM","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","2.2","4.65","percent of total billed charges",,
"NF-Culturelle Oral Capsule 10 Billion OR","404428","CDM","Both",,,"6","3","Medicaid",,,,"37",,"2.2","2.2","4.65","percent of total billed charges",,
"NF-HYDROcodone Bitartrate Cap ER 10MG","404439","CDM","Both",,,"31","15.5","Alliant","Health Exchange",,,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"NF-HYDROcodone Bitartrate Cap ER 10MG","404439","CDM","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"16.74","11.35","24.02","percent of total billed charges",,
"NF-HYDROcodone Bitartrate Cap ER 10MG","404439","CDM","Both",,,"31","15.5","Medicare",,,,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"NF-HYDROcodone Bitartrate Cap ER 10MG","404439","CDM","Both",,,"31","15.5","Humana","Medicare Advantage",,,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"NF-HYDROcodone Bitartrate Cap ER 10MG","404439","CDM","Both",,,"31","15.5","UHC","Medicare Advantage",,,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"NF-HYDROcodone Bitartrate Cap ER 10MG","404439","CDM","Both",,,"31","15.5","Clover","Medicare Advantage",,,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"NF-HYDROcodone Bitartrate Cap ER 10MG","404439","CDM","Both",,,"31","15.5","Wellcare","Medicare Advantage",,,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"NF-HYDROcodone Bitartrate Cap ER 10MG","404439","CDM","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care",,,"37",,"11.35","11.35","24.02","percent of total billed charges",,
"NF-HYDROcodone Bitartrate Cap ER 10MG","404439","CDM","Both",,,"31","15.5","Caresource","Medicaid Managed Care",,,"40",,"12.4","11.35","24.02","percent of total billed charges",,
"NF-HYDROcodone Bitartrate Cap ER 10MG","404439","CDM","Both",,,"31","15.5","Wellcare","Medicaid Managed Care",,,"40",,"12.56","11.35","24.02","percent of total billed charges",,
"NF-HYDROcodone Bitartrate Cap ER 10MG","404439","CDM","Both",,,"31","15.5","Aetna","Commercial",,,"64",,"19.78","11.35","24.02","percent of total billed charges",,
"NF-HYDROcodone Bitartrate Cap ER 10MG","404439","CDM","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways",,,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"NF-HYDROcodone Bitartrate Cap ER 10MG","404439","CDM","Both",,,"31","15.5","Blue Cross Blue Shield","HMO",,,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"NF-HYDROcodone Bitartrate Cap ER 10MG","404439","CDM","Both",,,"31","15.5","Blue Cross Blue Shield","PPO",,,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"NF-HYDROcodone Bitartrate Cap ER 10MG","404439","CDM","Both",,,"31","15.5","Ambetter","Health Exchange",,,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"NF-HYDROcodone Bitartrate Cap ER 10MG","404439","CDM","Both",,,"31","15.5","Caresource","Health Exchange",,,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"NF-HYDROcodone Bitartrate Cap ER 10MG","404439","CDM","Both",,,"31","15.5","Cigna","Commercial",,,"59",,"18.17","11.35","24.02","percent of total billed charges",,
"NF-HYDROcodone Bitartrate Cap ER 10MG","404439","CDM","Both",,,"31","15.5","Humana","Commercial",,,"78",,"24.02","11.35","24.02","percent of total billed charges",,
"NF-HYDROcodone Bitartrate Cap ER 10MG","404439","CDM","Both",,,"31","15.5","UHC","Commercial",,,"75",,"23.37","11.35","24.02","percent of total billed charges",,
"NF-HYDROcodone Bitartrate Cap ER 10MG","404439","CDM","Both",,,"31","15.5","Medicaid",,,,"37",,"11.35","11.35","24.02","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","404444","CDM","Both",,,"2","1","Alliant","Health Exchange",,,"62",,"1.24","0.73","1.55","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","404444","CDM","Both",,,"2","1","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","404444","CDM","Both",,,"2","1","Medicare",,,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","404444","CDM","Both",,,"2","1","Humana","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","404444","CDM","Both",,,"2","1","UHC","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","404444","CDM","Both",,,"2","1","Clover","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","404444","CDM","Both",,,"2","1","Wellcare","Medicare Advantage",,,"54",,"1.08","0.73","1.55","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","404444","CDM","Both",,,"2","1","Amerigroup","Medicaid Managed Care",,,"37",,"0.73","0.73","1.55","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","404444","CDM","Both",,,"2","1","Caresource","Medicaid Managed Care",,,"40",,"0.8","0.73","1.55","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","404444","CDM","Both",,,"2","1","Wellcare","Medicaid Managed Care",,,"40",,"0.81","0.73","1.55","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","404444","CDM","Both",,,"2","1","Aetna","Commercial",,,"64",,"1.28","0.73","1.55","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","404444","CDM","Both",,,"2","1","Blue Cross Blue Shield","Pathways",,,"71",,"1.41","0.73","1.55","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","404444","CDM","Both",,,"2","1","Blue Cross Blue Shield","HMO",,,"71",,"1.41","0.73","1.55","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","404444","CDM","Both",,,"2","1","Blue Cross Blue Shield","PPO",,,"71",,"1.41","0.73","1.55","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","404444","CDM","Both",,,"2","1","Ambetter","Health Exchange",,,"62",,"1.24","0.73","1.55","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","404444","CDM","Both",,,"2","1","Caresource","Health Exchange",,,"62",,"1.24","0.73","1.55","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","404444","CDM","Both",,,"2","1","Cigna","Commercial",,,"59",,"1.17","0.73","1.55","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","404444","CDM","Both",,,"2","1","Humana","Commercial",,,"78",,"1.55","0.73","1.55","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","404444","CDM","Both",,,"2","1","UHC","Commercial",,,"75",,"1.51","0.73","1.55","percent of total billed charges",,
"NF-Torsemide Oral Tablet 10MG","404444","CDM","Both",,,"2","1","Medicaid",,,,"37",,"0.73","0.73","1.55","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404447","CDM","Both",,,"170","85","Alliant","Health Exchange",,,"62",,"105.4","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404447","CDM","Both",,,"170","85","Pruitt Healthcare","Medicare Advantage",,,"54",,"91.8","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404447","CDM","Both",,,"170","85","Medicare",,,,"54",,"92.14","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404447","CDM","Both",,,"170","85","Humana","Medicare Advantage",,,"54",,"92.14","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404447","CDM","Both",,,"170","85","UHC","Medicare Advantage",,,"54",,"92.14","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404447","CDM","Both",,,"170","85","Clover","Medicare Advantage",,,"54",,"92.14","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404447","CDM","Both",,,"170","85","Wellcare","Medicare Advantage",,,"54",,"92.14","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404447","CDM","Both",,,"170","85","Amerigroup","Medicaid Managed Care",,,"37",,"62.22","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404447","CDM","Both",,,"170","85","Caresource","Medicaid Managed Care",,,"40",,"68","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404447","CDM","Both",,,"170","85","Wellcare","Medicaid Managed Care",,,"40",,"68.85","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404447","CDM","Both",,,"170","85","Aetna","Commercial",,,"64",,"108.46","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404447","CDM","Both",,,"170","85","Blue Cross Blue Shield","Pathways",,,"71",,"120.02","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404447","CDM","Both",,,"170","85","Blue Cross Blue Shield","HMO",,,"71",,"120.02","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404447","CDM","Both",,,"170","85","Blue Cross Blue Shield","PPO",,,"71",,"120.02","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404447","CDM","Both",,,"170","85","Ambetter","Health Exchange",,,"62",,"105.4","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404447","CDM","Both",,,"170","85","Caresource","Health Exchange",,,"62",,"105.4","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404447","CDM","Both",,,"170","85","Cigna","Commercial",,,"59",,"99.62","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404447","CDM","Both",,,"170","85","Humana","Commercial",,,"78",,"131.75","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404447","CDM","Both",,,"170","85","UHC","Commercial",,,"75",,"128.18","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404447","CDM","Both",,,"170","85","Medicaid",,,,"37",,"62.22","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404448","CDM","Both",,,"170","85","Alliant","Health Exchange",,,"62",,"105.4","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404448","CDM","Both",,,"170","85","Pruitt Healthcare","Medicare Advantage",,,"54",,"91.8","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404448","CDM","Both",,,"170","85","Medicare",,,,"54",,"92.14","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404448","CDM","Both",,,"170","85","Humana","Medicare Advantage",,,"54",,"92.14","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404448","CDM","Both",,,"170","85","UHC","Medicare Advantage",,,"54",,"92.14","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404448","CDM","Both",,,"170","85","Clover","Medicare Advantage",,,"54",,"92.14","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404448","CDM","Both",,,"170","85","Wellcare","Medicare Advantage",,,"54",,"92.14","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404448","CDM","Both",,,"170","85","Amerigroup","Medicaid Managed Care",,,"37",,"62.22","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404448","CDM","Both",,,"170","85","Caresource","Medicaid Managed Care",,,"40",,"68","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404448","CDM","Both",,,"170","85","Wellcare","Medicaid Managed Care",,,"40",,"68.85","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404448","CDM","Both",,,"170","85","Aetna","Commercial",,,"64",,"108.46","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404448","CDM","Both",,,"170","85","Blue Cross Blue Shield","Pathways",,,"71",,"120.02","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404448","CDM","Both",,,"170","85","Blue Cross Blue Shield","HMO",,,"71",,"120.02","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404448","CDM","Both",,,"170","85","Blue Cross Blue Shield","PPO",,,"71",,"120.02","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404448","CDM","Both",,,"170","85","Ambetter","Health Exchange",,,"62",,"105.4","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404448","CDM","Both",,,"170","85","Caresource","Health Exchange",,,"62",,"105.4","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404448","CDM","Both",,,"170","85","Cigna","Commercial",,,"59",,"99.62","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404448","CDM","Both",,,"170","85","Humana","Commercial",,,"78",,"131.75","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404448","CDM","Both",,,"170","85","UHC","Commercial",,,"75",,"128.18","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404448","CDM","Both",,,"170","85","Medicaid",,,,"37",,"62.22","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404449","CDM","Both",,,"170","85","Alliant","Health Exchange",,,"62",,"105.4","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404449","CDM","Both",,,"170","85","Pruitt Healthcare","Medicare Advantage",,,"54",,"91.8","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404449","CDM","Both",,,"170","85","Medicare",,,,"54",,"92.14","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404449","CDM","Both",,,"170","85","Humana","Medicare Advantage",,,"54",,"92.14","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404449","CDM","Both",,,"170","85","UHC","Medicare Advantage",,,"54",,"92.14","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404449","CDM","Both",,,"170","85","Clover","Medicare Advantage",,,"54",,"92.14","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404449","CDM","Both",,,"170","85","Wellcare","Medicare Advantage",,,"54",,"92.14","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404449","CDM","Both",,,"170","85","Amerigroup","Medicaid Managed Care",,,"37",,"62.22","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404449","CDM","Both",,,"170","85","Caresource","Medicaid Managed Care",,,"40",,"68","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404449","CDM","Both",,,"170","85","Wellcare","Medicaid Managed Care",,,"40",,"68.85","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404449","CDM","Both",,,"170","85","Aetna","Commercial",,,"64",,"108.46","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404449","CDM","Both",,,"170","85","Blue Cross Blue Shield","Pathways",,,"71",,"120.02","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404449","CDM","Both",,,"170","85","Blue Cross Blue Shield","HMO",,,"71",,"120.02","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404449","CDM","Both",,,"170","85","Blue Cross Blue Shield","PPO",,,"71",,"120.02","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404449","CDM","Both",,,"170","85","Ambetter","Health Exchange",,,"62",,"105.4","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404449","CDM","Both",,,"170","85","Caresource","Health Exchange",,,"62",,"105.4","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404449","CDM","Both",,,"170","85","Cigna","Commercial",,,"59",,"99.62","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404449","CDM","Both",,,"170","85","Humana","Commercial",,,"78",,"131.75","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404449","CDM","Both",,,"170","85","UHC","Commercial",,,"75",,"128.18","62.22","131.75","percent of total billed charges",,
"NF-Latuda Oral Tablet 60MG","404449","CDM","Both",,,"170","85","Medicaid",,,,"37",,"62.22","62.22","131.75","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","404453","CDM","Both",,,"322","161","Alliant","Health Exchange",,,"62",,"199.64","117.85","249.55","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","404453","CDM","Both",,,"322","161","Pruitt Healthcare","Medicare Advantage",,,"54",,"173.88","117.85","249.55","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","404453","CDM","Both",,,"322","161","Medicare",,,,"54",,"174.52","117.85","249.55","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","404453","CDM","Both",,,"322","161","Humana","Medicare Advantage",,,"54",,"174.52","117.85","249.55","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","404453","CDM","Both",,,"322","161","UHC","Medicare Advantage",,,"54",,"174.52","117.85","249.55","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","404453","CDM","Both",,,"322","161","Clover","Medicare Advantage",,,"54",,"174.52","117.85","249.55","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","404453","CDM","Both",,,"322","161","Wellcare","Medicare Advantage",,,"54",,"174.52","117.85","249.55","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","404453","CDM","Both",,,"322","161","Amerigroup","Medicaid Managed Care",,,"37",,"117.85","117.85","249.55","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","404453","CDM","Both",,,"322","161","Caresource","Medicaid Managed Care",,,"40",,"128.8","117.85","249.55","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","404453","CDM","Both",,,"322","161","Wellcare","Medicaid Managed Care",,,"40",,"130.41","117.85","249.55","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","404453","CDM","Both",,,"322","161","Aetna","Commercial",,,"64",,"205.44","117.85","249.55","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","404453","CDM","Both",,,"322","161","Blue Cross Blue Shield","Pathways",,,"71",,"227.33","117.85","249.55","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","404453","CDM","Both",,,"322","161","Blue Cross Blue Shield","HMO",,,"71",,"227.33","117.85","249.55","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","404453","CDM","Both",,,"322","161","Blue Cross Blue Shield","PPO",,,"71",,"227.33","117.85","249.55","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","404453","CDM","Both",,,"322","161","Ambetter","Health Exchange",,,"62",,"199.64","117.85","249.55","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","404453","CDM","Both",,,"322","161","Caresource","Health Exchange",,,"62",,"199.64","117.85","249.55","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","404453","CDM","Both",,,"322","161","Cigna","Commercial",,,"59",,"188.69","117.85","249.55","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","404453","CDM","Both",,,"322","161","Humana","Commercial",,,"78",,"249.55","117.85","249.55","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","404453","CDM","Both",,,"322","161","UHC","Commercial",,,"75",,"242.79","117.85","249.55","percent of total billed charges",,
"NF-Travatan Z Ophthalmic Solution 0.004%","404453","CDM","Both",,,"322","161","Medicaid",,,,"37",,"117.85","117.85","249.55","percent of total billed charges",,
"NF-RisperDAL Tablet 2MG","404468","CDM","Both",,,"29","14.5","Alliant","Health Exchange",,,"62",,"17.98","10.61","22.48","percent of total billed charges",,
"NF-RisperDAL Tablet 2MG","404468","CDM","Both",,,"29","14.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"15.66","10.61","22.48","percent of total billed charges",,
"NF-RisperDAL Tablet 2MG","404468","CDM","Both",,,"29","14.5","Medicare",,,,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"NF-RisperDAL Tablet 2MG","404468","CDM","Both",,,"29","14.5","Humana","Medicare Advantage",,,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"NF-RisperDAL Tablet 2MG","404468","CDM","Both",,,"29","14.5","UHC","Medicare Advantage",,,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"NF-RisperDAL Tablet 2MG","404468","CDM","Both",,,"29","14.5","Clover","Medicare Advantage",,,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"NF-RisperDAL Tablet 2MG","404468","CDM","Both",,,"29","14.5","Wellcare","Medicare Advantage",,,"54",,"15.72","10.61","22.48","percent of total billed charges",,
"NF-RisperDAL Tablet 2MG","404468","CDM","Both",,,"29","14.5","Amerigroup","Medicaid Managed Care",,,"37",,"10.61","10.61","22.48","percent of total billed charges",,
"NF-RisperDAL Tablet 2MG","404468","CDM","Both",,,"29","14.5","Caresource","Medicaid Managed Care",,,"40",,"11.6","10.61","22.48","percent of total billed charges",,
"NF-RisperDAL Tablet 2MG","404468","CDM","Both",,,"29","14.5","Wellcare","Medicaid Managed Care",,,"40",,"11.74","10.61","22.48","percent of total billed charges",,
"NF-RisperDAL Tablet 2MG","404468","CDM","Both",,,"29","14.5","Aetna","Commercial",,,"64",,"18.5","10.61","22.48","percent of total billed charges",,
"NF-RisperDAL Tablet 2MG","404468","CDM","Both",,,"29","14.5","Blue Cross Blue Shield","Pathways",,,"71",,"20.47","10.61","22.48","percent of total billed charges",,
"NF-RisperDAL Tablet 2MG","404468","CDM","Both",,,"29","14.5","Blue Cross Blue Shield","HMO",,,"71",,"20.47","10.61","22.48","percent of total billed charges",,
"NF-RisperDAL Tablet 2MG","404468","CDM","Both",,,"29","14.5","Blue Cross Blue Shield","PPO",,,"71",,"20.47","10.61","22.48","percent of total billed charges",,
"NF-RisperDAL Tablet 2MG","404468","CDM","Both",,,"29","14.5","Ambetter","Health Exchange",,,"62",,"17.98","10.61","22.48","percent of total billed charges",,
"NF-RisperDAL Tablet 2MG","404468","CDM","Both",,,"29","14.5","Caresource","Health Exchange",,,"62",,"17.98","10.61","22.48","percent of total billed charges",,
"NF-RisperDAL Tablet 2MG","404468","CDM","Both",,,"29","14.5","Cigna","Commercial",,,"59",,"16.99","10.61","22.48","percent of total billed charges",,
"NF-RisperDAL Tablet 2MG","404468","CDM","Both",,,"29","14.5","Humana","Commercial",,,"78",,"22.48","10.61","22.48","percent of total billed charges",,
"NF-RisperDAL Tablet 2MG","404468","CDM","Both",,,"29","14.5","UHC","Commercial",,,"75",,"21.87","10.61","22.48","percent of total billed charges",,
"NF-RisperDAL Tablet 2MG","404468","CDM","Both",,,"29","14.5","Medicaid",,,,"37",,"10.61","10.61","22.48","percent of total billed charges",,
"NF-RisperDAL     Sol  1MG/ML","404483","CDM","Both",,,"19","9.5","Alliant","Health Exchange",,,"62",,"11.78","6.95","14.72","percent of total billed charges",,
"NF-RisperDAL     Sol  1MG/ML","404483","CDM","Both",,,"19","9.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"10.26","6.95","14.72","percent of total billed charges",,
"NF-RisperDAL     Sol  1MG/ML","404483","CDM","Both",,,"19","9.5","Medicare",,,,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"NF-RisperDAL     Sol  1MG/ML","404483","CDM","Both",,,"19","9.5","Humana","Medicare Advantage",,,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"NF-RisperDAL     Sol  1MG/ML","404483","CDM","Both",,,"19","9.5","UHC","Medicare Advantage",,,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"NF-RisperDAL     Sol  1MG/ML","404483","CDM","Both",,,"19","9.5","Clover","Medicare Advantage",,,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"NF-RisperDAL     Sol  1MG/ML","404483","CDM","Both",,,"19","9.5","Wellcare","Medicare Advantage",,,"54",,"10.3","6.95","14.72","percent of total billed charges",,
"NF-RisperDAL     Sol  1MG/ML","404483","CDM","Both",,,"19","9.5","Amerigroup","Medicaid Managed Care",,,"37",,"6.95","6.95","14.72","percent of total billed charges",,
"NF-RisperDAL     Sol  1MG/ML","404483","CDM","Both",,,"19","9.5","Caresource","Medicaid Managed Care",,,"40",,"7.6","6.95","14.72","percent of total billed charges",,
"NF-RisperDAL     Sol  1MG/ML","404483","CDM","Both",,,"19","9.5","Wellcare","Medicaid Managed Care",,,"40",,"7.7","6.95","14.72","percent of total billed charges",,
"NF-RisperDAL     Sol  1MG/ML","404483","CDM","Both",,,"19","9.5","Aetna","Commercial",,,"64",,"12.12","6.95","14.72","percent of total billed charges",,
"NF-RisperDAL     Sol  1MG/ML","404483","CDM","Both",,,"19","9.5","Blue Cross Blue Shield","Pathways",,,"71",,"13.41","6.95","14.72","percent of total billed charges",,
"NF-RisperDAL     Sol  1MG/ML","404483","CDM","Both",,,"19","9.5","Blue Cross Blue Shield","HMO",,,"71",,"13.41","6.95","14.72","percent of total billed charges",,
"NF-RisperDAL     Sol  1MG/ML","404483","CDM","Both",,,"19","9.5","Blue Cross Blue Shield","PPO",,,"71",,"13.41","6.95","14.72","percent of total billed charges",,
"NF-RisperDAL     Sol  1MG/ML","404483","CDM","Both",,,"19","9.5","Ambetter","Health Exchange",,,"62",,"11.78","6.95","14.72","percent of total billed charges",,
"NF-RisperDAL     Sol  1MG/ML","404483","CDM","Both",,,"19","9.5","Caresource","Health Exchange",,,"62",,"11.78","6.95","14.72","percent of total billed charges",,
"NF-RisperDAL     Sol  1MG/ML","404483","CDM","Both",,,"19","9.5","Cigna","Commercial",,,"59",,"11.13","6.95","14.72","percent of total billed charges",,
"NF-RisperDAL     Sol  1MG/ML","404483","CDM","Both",,,"19","9.5","Humana","Commercial",,,"78",,"14.72","6.95","14.72","percent of total billed charges",,
"NF-RisperDAL     Sol  1MG/ML","404483","CDM","Both",,,"19","9.5","UHC","Commercial",,,"75",,"14.33","6.95","14.72","percent of total billed charges",,
"NF-RisperDAL     Sol  1MG/ML","404483","CDM","Both",,,"19","9.5","Medicaid",,,,"37",,"6.95","6.95","14.72","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","404502","CDM","Both",,,"132","66","Alliant","Health Exchange",,,"62",,"81.84","48.31","102.3","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","404502","CDM","Both",,,"132","66","Pruitt Healthcare","Medicare Advantage",,,"54",,"71.28","48.31","102.3","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","404502","CDM","Both",,,"132","66","Medicare",,,,"54",,"71.54","48.31","102.3","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","404502","CDM","Both",,,"132","66","Humana","Medicare Advantage",,,"54",,"71.54","48.31","102.3","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","404502","CDM","Both",,,"132","66","UHC","Medicare Advantage",,,"54",,"71.54","48.31","102.3","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","404502","CDM","Both",,,"132","66","Clover","Medicare Advantage",,,"54",,"71.54","48.31","102.3","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","404502","CDM","Both",,,"132","66","Wellcare","Medicare Advantage",,,"54",,"71.54","48.31","102.3","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","404502","CDM","Both",,,"132","66","Amerigroup","Medicaid Managed Care",,,"37",,"48.31","48.31","102.3","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","404502","CDM","Both",,,"132","66","Caresource","Medicaid Managed Care",,,"40",,"52.8","48.31","102.3","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","404502","CDM","Both",,,"132","66","Wellcare","Medicaid Managed Care",,,"40",,"53.46","48.31","102.3","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","404502","CDM","Both",,,"132","66","Aetna","Commercial",,,"64",,"84.22","48.31","102.3","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","404502","CDM","Both",,,"132","66","Blue Cross Blue Shield","Pathways",,,"71",,"93.19","48.31","102.3","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","404502","CDM","Both",,,"132","66","Blue Cross Blue Shield","HMO",,,"71",,"93.19","48.31","102.3","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","404502","CDM","Both",,,"132","66","Blue Cross Blue Shield","PPO",,,"71",,"93.19","48.31","102.3","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","404502","CDM","Both",,,"132","66","Ambetter","Health Exchange",,,"62",,"81.84","48.31","102.3","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","404502","CDM","Both",,,"132","66","Caresource","Health Exchange",,,"62",,"81.84","48.31","102.3","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","404502","CDM","Both",,,"132","66","Cigna","Commercial",,,"59",,"77.35","48.31","102.3","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","404502","CDM","Both",,,"132","66","Humana","Commercial",,,"78",,"102.3","48.31","102.3","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","404502","CDM","Both",,,"132","66","UHC","Commercial",,,"75",,"99.53","48.31","102.3","percent of total billed charges",,
"NF-Fosamax Tablet 70MG","404502","CDM","Both",,,"132","66","Medicaid",,,,"37",,"48.31","48.31","102.3","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","404514","CDM","Both",,,"120","60","Alliant","Health Exchange",,,"62",,"74.4","43.92","93","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","404514","CDM","Both",,,"120","60","Pruitt Healthcare","Medicare Advantage",,,"54",,"64.8","43.92","93","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","404514","CDM","Both",,,"120","60","Medicare",,,,"54",,"65.04","43.92","93","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","404514","CDM","Both",,,"120","60","Humana","Medicare Advantage",,,"54",,"65.04","43.92","93","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","404514","CDM","Both",,,"120","60","UHC","Medicare Advantage",,,"54",,"65.04","43.92","93","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","404514","CDM","Both",,,"120","60","Clover","Medicare Advantage",,,"54",,"65.04","43.92","93","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","404514","CDM","Both",,,"120","60","Wellcare","Medicare Advantage",,,"54",,"65.04","43.92","93","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","404514","CDM","Both",,,"120","60","Amerigroup","Medicaid Managed Care",,,"37",,"43.92","43.92","93","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","404514","CDM","Both",,,"120","60","Caresource","Medicaid Managed Care",,,"40",,"48","43.92","93","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","404514","CDM","Both",,,"120","60","Wellcare","Medicaid Managed Care",,,"40",,"48.6","43.92","93","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","404514","CDM","Both",,,"120","60","Aetna","Commercial",,,"64",,"76.56","43.92","93","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","404514","CDM","Both",,,"120","60","Blue Cross Blue Shield","Pathways",,,"71",,"84.72","43.92","93","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","404514","CDM","Both",,,"120","60","Blue Cross Blue Shield","HMO",,,"71",,"84.72","43.92","93","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","404514","CDM","Both",,,"120","60","Blue Cross Blue Shield","PPO",,,"71",,"84.72","43.92","93","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","404514","CDM","Both",,,"120","60","Ambetter","Health Exchange",,,"62",,"74.4","43.92","93","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","404514","CDM","Both",,,"120","60","Caresource","Health Exchange",,,"62",,"74.4","43.92","93","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","404514","CDM","Both",,,"120","60","Cigna","Commercial",,,"59",,"70.32","43.92","93","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","404514","CDM","Both",,,"120","60","Humana","Commercial",,,"78",,"93","43.92","93","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","404514","CDM","Both",,,"120","60","UHC","Commercial",,,"75",,"90.48","43.92","93","percent of total billed charges",,
"NF-Mesalamine Rectal Suppository 1000MG","404514","CDM","Both",,,"120","60","Medicaid",,,,"37",,"43.92","43.92","93","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","404516","CDM","Both",,,"27","13.5","Alliant","Health Exchange",,,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","404516","CDM","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"14.58","9.88","20.92","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","404516","CDM","Both",,,"27","13.5","Medicare",,,,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","404516","CDM","Both",,,"27","13.5","Humana","Medicare Advantage",,,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","404516","CDM","Both",,,"27","13.5","UHC","Medicare Advantage",,,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","404516","CDM","Both",,,"27","13.5","Clover","Medicare Advantage",,,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","404516","CDM","Both",,,"27","13.5","Wellcare","Medicare Advantage",,,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","404516","CDM","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","404516","CDM","Both",,,"27","13.5","Caresource","Medicaid Managed Care",,,"40",,"10.8","9.88","20.92","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","404516","CDM","Both",,,"27","13.5","Wellcare","Medicaid Managed Care",,,"40",,"10.94","9.88","20.92","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","404516","CDM","Both",,,"27","13.5","Aetna","Commercial",,,"64",,"17.23","9.88","20.92","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","404516","CDM","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways",,,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","404516","CDM","Both",,,"27","13.5","Blue Cross Blue Shield","HMO",,,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","404516","CDM","Both",,,"27","13.5","Blue Cross Blue Shield","PPO",,,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","404516","CDM","Both",,,"27","13.5","Ambetter","Health Exchange",,,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","404516","CDM","Both",,,"27","13.5","Caresource","Health Exchange",,,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","404516","CDM","Both",,,"27","13.5","Cigna","Commercial",,,"59",,"15.82","9.88","20.92","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","404516","CDM","Both",,,"27","13.5","Humana","Commercial",,,"78",,"20.92","9.88","20.92","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","404516","CDM","Both",,,"27","13.5","UHC","Commercial",,,"75",,"20.36","9.88","20.92","percent of total billed charges",,
"NF-Anoro Ellipta Inhalation Powder","404516","CDM","Both",,,"27","13.5","Medicaid",,,,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","404528","CDM","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","404528","CDM","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","404528","CDM","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","404528","CDM","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","404528","CDM","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","404528","CDM","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","404528","CDM","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","404528","CDM","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","404528","CDM","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","404528","CDM","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","404528","CDM","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","404528","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","404528","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","404528","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","404528","CDM","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","404528","CDM","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","404528","CDM","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","404528","CDM","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","404528","CDM","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","404528","CDM","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404550","CDM","Both",,,"344","172","Alliant","Health Exchange",,,"62",,"213.28","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404550","CDM","Both",,,"344","172","Pruitt Healthcare","Medicare Advantage",,,"54",,"185.76","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404550","CDM","Both",,,"344","172","Medicare",,,,"54",,"186.45","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404550","CDM","Both",,,"344","172","Humana","Medicare Advantage",,,"54",,"186.45","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404550","CDM","Both",,,"344","172","UHC","Medicare Advantage",,,"54",,"186.45","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404550","CDM","Both",,,"344","172","Clover","Medicare Advantage",,,"54",,"186.45","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404550","CDM","Both",,,"344","172","Wellcare","Medicare Advantage",,,"54",,"186.45","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404550","CDM","Both",,,"344","172","Amerigroup","Medicaid Managed Care",,,"37",,"125.9","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404550","CDM","Both",,,"344","172","Caresource","Medicaid Managed Care",,,"40",,"137.6","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404550","CDM","Both",,,"344","172","Wellcare","Medicaid Managed Care",,,"40",,"139.32","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404550","CDM","Both",,,"344","172","Aetna","Commercial",,,"64",,"219.47","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404550","CDM","Both",,,"344","172","Blue Cross Blue Shield","Pathways",,,"71",,"242.86","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404550","CDM","Both",,,"344","172","Blue Cross Blue Shield","HMO",,,"71",,"242.86","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404550","CDM","Both",,,"344","172","Blue Cross Blue Shield","PPO",,,"71",,"242.86","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404550","CDM","Both",,,"344","172","Ambetter","Health Exchange",,,"62",,"213.28","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404550","CDM","Both",,,"344","172","Caresource","Health Exchange",,,"62",,"213.28","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404550","CDM","Both",,,"344","172","Cigna","Commercial",,,"59",,"201.58","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404550","CDM","Both",,,"344","172","Humana","Commercial",,,"78",,"266.6","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404550","CDM","Both",,,"344","172","UHC","Commercial",,,"75",,"259.38","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404550","CDM","Both",,,"344","172","Medicaid",,,,"37",,"125.9","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404551","CDM","Both",,,"344","172","Alliant","Health Exchange",,,"62",,"213.28","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404551","CDM","Both",,,"344","172","Pruitt Healthcare","Medicare Advantage",,,"54",,"185.76","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404551","CDM","Both",,,"344","172","Medicare",,,,"54",,"186.45","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404551","CDM","Both",,,"344","172","Humana","Medicare Advantage",,,"54",,"186.45","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404551","CDM","Both",,,"344","172","UHC","Medicare Advantage",,,"54",,"186.45","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404551","CDM","Both",,,"344","172","Clover","Medicare Advantage",,,"54",,"186.45","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404551","CDM","Both",,,"344","172","Wellcare","Medicare Advantage",,,"54",,"186.45","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404551","CDM","Both",,,"344","172","Amerigroup","Medicaid Managed Care",,,"37",,"125.9","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404551","CDM","Both",,,"344","172","Caresource","Medicaid Managed Care",,,"40",,"137.6","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404551","CDM","Both",,,"344","172","Wellcare","Medicaid Managed Care",,,"40",,"139.32","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404551","CDM","Both",,,"344","172","Aetna","Commercial",,,"64",,"219.47","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404551","CDM","Both",,,"344","172","Blue Cross Blue Shield","Pathways",,,"71",,"242.86","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404551","CDM","Both",,,"344","172","Blue Cross Blue Shield","HMO",,,"71",,"242.86","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404551","CDM","Both",,,"344","172","Blue Cross Blue Shield","PPO",,,"71",,"242.86","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404551","CDM","Both",,,"344","172","Ambetter","Health Exchange",,,"62",,"213.28","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404551","CDM","Both",,,"344","172","Caresource","Health Exchange",,,"62",,"213.28","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404551","CDM","Both",,,"344","172","Cigna","Commercial",,,"59",,"201.58","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404551","CDM","Both",,,"344","172","Humana","Commercial",,,"78",,"266.6","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404551","CDM","Both",,,"344","172","UHC","Commercial",,,"75",,"259.38","125.9","266.6","percent of total billed charges",,
"NF-Lumigan Ophth Solution 0.01%","404551","CDM","Both",,,"344","172","Medicaid",,,,"37",,"125.9","125.9","266.6","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","404555","CDM","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","404555","CDM","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","404555","CDM","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","404555","CDM","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","404555","CDM","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","404555","CDM","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","404555","CDM","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","404555","CDM","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","404555","CDM","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","404555","CDM","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","404555","CDM","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","404555","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","404555","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","404555","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","404555","CDM","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","404555","CDM","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","404555","CDM","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","404555","CDM","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","404555","CDM","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","404555","CDM","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","404611","CDM","Both",,,"3","1.5","Alliant","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","404611","CDM","Both",,,"3","1.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"1.62","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","404611","CDM","Both",,,"3","1.5","Medicare",,,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","404611","CDM","Both",,,"3","1.5","Humana","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","404611","CDM","Both",,,"3","1.5","UHC","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","404611","CDM","Both",,,"3","1.5","Clover","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","404611","CDM","Both",,,"3","1.5","Wellcare","Medicare Advantage",,,"54",,"1.63","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","404611","CDM","Both",,,"3","1.5","Amerigroup","Medicaid Managed Care",,,"37",,"1.1","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","404611","CDM","Both",,,"3","1.5","Caresource","Medicaid Managed Care",,,"40",,"1.2","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","404611","CDM","Both",,,"3","1.5","Wellcare","Medicaid Managed Care",,,"40",,"1.22","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","404611","CDM","Both",,,"3","1.5","Aetna","Commercial",,,"64",,"1.91","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","404611","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","Pathways",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","404611","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","HMO",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","404611","CDM","Both",,,"3","1.5","Blue Cross Blue Shield","PPO",,,"71",,"2.12","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","404611","CDM","Both",,,"3","1.5","Ambetter","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","404611","CDM","Both",,,"3","1.5","Caresource","Health Exchange",,,"62",,"1.86","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","404611","CDM","Both",,,"3","1.5","Cigna","Commercial",,,"59",,"1.76","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","404611","CDM","Both",,,"3","1.5","Humana","Commercial",,,"78",,"2.33","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","404611","CDM","Both",,,"3","1.5","UHC","Commercial",,,"75",,"2.26","1.1","2.33","percent of total billed charges",,
"NF-Lisinopril-HCTZ Tablet 20MG-12.5MG","404611","CDM","Both",,,"3","1.5","Medicaid",,,,"37",,"1.1","1.1","2.33","percent of total billed charges",,
"NF-Ursodiol Oral Capsule 300MG","404612","CDM","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","8.05","17.05","percent of total billed charges",,
"NF-Ursodiol Oral Capsule 300MG","404612","CDM","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","8.05","17.05","percent of total billed charges",,
"NF-Ursodiol Oral Capsule 300MG","404612","CDM","Both",,,"22","11","Medicare",,,,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"NF-Ursodiol Oral Capsule 300MG","404612","CDM","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"NF-Ursodiol Oral Capsule 300MG","404612","CDM","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"NF-Ursodiol Oral Capsule 300MG","404612","CDM","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"NF-Ursodiol Oral Capsule 300MG","404612","CDM","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"NF-Ursodiol Oral Capsule 300MG","404612","CDM","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","8.05","17.05","percent of total billed charges",,
"NF-Ursodiol Oral Capsule 300MG","404612","CDM","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","8.05","17.05","percent of total billed charges",,
"NF-Ursodiol Oral Capsule 300MG","404612","CDM","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","8.05","17.05","percent of total billed charges",,
"NF-Ursodiol Oral Capsule 300MG","404612","CDM","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","8.05","17.05","percent of total billed charges",,
"NF-Ursodiol Oral Capsule 300MG","404612","CDM","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","8.05","17.05","percent of total billed charges",,
"NF-Ursodiol Oral Capsule 300MG","404612","CDM","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","8.05","17.05","percent of total billed charges",,
"NF-Ursodiol Oral Capsule 300MG","404612","CDM","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","8.05","17.05","percent of total billed charges",,
"NF-Ursodiol Oral Capsule 300MG","404612","CDM","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","8.05","17.05","percent of total billed charges",,
"NF-Ursodiol Oral Capsule 300MG","404612","CDM","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","8.05","17.05","percent of total billed charges",,
"NF-Ursodiol Oral Capsule 300MG","404612","CDM","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","8.05","17.05","percent of total billed charges",,
"NF-Ursodiol Oral Capsule 300MG","404612","CDM","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","8.05","17.05","percent of total billed charges",,
"NF-Ursodiol Oral Capsule 300MG","404612","CDM","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","8.05","17.05","percent of total billed charges",,
"NF-Ursodiol Oral Capsule 300MG","404612","CDM","Both",,,"22","11","Medicaid",,,,"37",,"8.05","8.05","17.05","percent of total billed charges",,
"NF-Colchicine Oral Capsule 0.6MG","404613","CDM","Both",,,"22","11","Alliant","Health Exchange",,,"62",,"13.64","8.05","17.05","percent of total billed charges",,
"NF-Colchicine Oral Capsule 0.6MG","404613","CDM","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.88","8.05","17.05","percent of total billed charges",,
"NF-Colchicine Oral Capsule 0.6MG","404613","CDM","Both",,,"22","11","Medicare",,,,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"NF-Colchicine Oral Capsule 0.6MG","404613","CDM","Both",,,"22","11","Humana","Medicare Advantage",,,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"NF-Colchicine Oral Capsule 0.6MG","404613","CDM","Both",,,"22","11","UHC","Medicare Advantage",,,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"NF-Colchicine Oral Capsule 0.6MG","404613","CDM","Both",,,"22","11","Clover","Medicare Advantage",,,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"NF-Colchicine Oral Capsule 0.6MG","404613","CDM","Both",,,"22","11","Wellcare","Medicare Advantage",,,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"NF-Colchicine Oral Capsule 0.6MG","404613","CDM","Both",,,"22","11","Amerigroup","Medicaid Managed Care",,,"37",,"8.05","8.05","17.05","percent of total billed charges",,
"NF-Colchicine Oral Capsule 0.6MG","404613","CDM","Both",,,"22","11","Caresource","Medicaid Managed Care",,,"40",,"8.8","8.05","17.05","percent of total billed charges",,
"NF-Colchicine Oral Capsule 0.6MG","404613","CDM","Both",,,"22","11","Wellcare","Medicaid Managed Care",,,"40",,"8.91","8.05","17.05","percent of total billed charges",,
"NF-Colchicine Oral Capsule 0.6MG","404613","CDM","Both",,,"22","11","Aetna","Commercial",,,"64",,"14.04","8.05","17.05","percent of total billed charges",,
"NF-Colchicine Oral Capsule 0.6MG","404613","CDM","Both",,,"22","11","Blue Cross Blue Shield","Pathways",,,"71",,"15.53","8.05","17.05","percent of total billed charges",,
"NF-Colchicine Oral Capsule 0.6MG","404613","CDM","Both",,,"22","11","Blue Cross Blue Shield","HMO",,,"71",,"15.53","8.05","17.05","percent of total billed charges",,
"NF-Colchicine Oral Capsule 0.6MG","404613","CDM","Both",,,"22","11","Blue Cross Blue Shield","PPO",,,"71",,"15.53","8.05","17.05","percent of total billed charges",,
"NF-Colchicine Oral Capsule 0.6MG","404613","CDM","Both",,,"22","11","Ambetter","Health Exchange",,,"62",,"13.64","8.05","17.05","percent of total billed charges",,
"NF-Colchicine Oral Capsule 0.6MG","404613","CDM","Both",,,"22","11","Caresource","Health Exchange",,,"62",,"13.64","8.05","17.05","percent of total billed charges",,
"NF-Colchicine Oral Capsule 0.6MG","404613","CDM","Both",,,"22","11","Cigna","Commercial",,,"59",,"12.89","8.05","17.05","percent of total billed charges",,
"NF-Colchicine Oral Capsule 0.6MG","404613","CDM","Both",,,"22","11","Humana","Commercial",,,"78",,"17.05","8.05","17.05","percent of total billed charges",,
"NF-Colchicine Oral Capsule 0.6MG","404613","CDM","Both",,,"22","11","UHC","Commercial",,,"75",,"16.59","8.05","17.05","percent of total billed charges",,
"NF-Colchicine Oral Capsule 0.6MG","404613","CDM","Both",,,"22","11","Medicaid",,,,"37",,"8.05","8.05","17.05","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","404614","CDM","Both",,,"61","30.5","Alliant","Health Exchange",,,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","404614","CDM","Both",,,"61","30.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"32.94","22.33","47.28","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","404614","CDM","Both",,,"61","30.5","Medicare",,,,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","404614","CDM","Both",,,"61","30.5","Humana","Medicare Advantage",,,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","404614","CDM","Both",,,"61","30.5","UHC","Medicare Advantage",,,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","404614","CDM","Both",,,"61","30.5","Clover","Medicare Advantage",,,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","404614","CDM","Both",,,"61","30.5","Wellcare","Medicare Advantage",,,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","404614","CDM","Both",,,"61","30.5","Amerigroup","Medicaid Managed Care",,,"37",,"22.33","22.33","47.28","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","404614","CDM","Both",,,"61","30.5","Caresource","Medicaid Managed Care",,,"40",,"24.4","22.33","47.28","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","404614","CDM","Both",,,"61","30.5","Wellcare","Medicaid Managed Care",,,"40",,"24.7","22.33","47.28","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","404614","CDM","Both",,,"61","30.5","Aetna","Commercial",,,"64",,"38.92","22.33","47.28","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","404614","CDM","Both",,,"61","30.5","Blue Cross Blue Shield","Pathways",,,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","404614","CDM","Both",,,"61","30.5","Blue Cross Blue Shield","HMO",,,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","404614","CDM","Both",,,"61","30.5","Blue Cross Blue Shield","PPO",,,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","404614","CDM","Both",,,"61","30.5","Ambetter","Health Exchange",,,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","404614","CDM","Both",,,"61","30.5","Caresource","Health Exchange",,,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","404614","CDM","Both",,,"61","30.5","Cigna","Commercial",,,"59",,"35.75","22.33","47.28","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","404614","CDM","Both",,,"61","30.5","Humana","Commercial",,,"78",,"47.28","22.33","47.28","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","404614","CDM","Both",,,"61","30.5","UHC","Commercial",,,"75",,"45.99","22.33","47.28","percent of total billed charges",,
"NF-Linzess Oral Capsule 145MCG","404614","CDM","Both",,,"61","30.5","Medicaid",,,,"37",,"22.33","22.33","47.28","percent of total billed charges",,
"NF-HumaLOG Mix 75/25 KwikPen 75U-25U/1ML","404619","CDM","Both",,,"38","19","Alliant","Health Exchange",,,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"NF-HumaLOG Mix 75/25 KwikPen 75U-25U/1ML","404619","CDM","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.52","13.91","29.45","percent of total billed charges",,
"NF-HumaLOG Mix 75/25 KwikPen 75U-25U/1ML","404619","CDM","Both",,,"38","19","Medicare",,,,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"NF-HumaLOG Mix 75/25 KwikPen 75U-25U/1ML","404619","CDM","Both",,,"38","19","Humana","Medicare Advantage",,,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"NF-HumaLOG Mix 75/25 KwikPen 75U-25U/1ML","404619","CDM","Both",,,"38","19","UHC","Medicare Advantage",,,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"NF-HumaLOG Mix 75/25 KwikPen 75U-25U/1ML","404619","CDM","Both",,,"38","19","Clover","Medicare Advantage",,,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"NF-HumaLOG Mix 75/25 KwikPen 75U-25U/1ML","404619","CDM","Both",,,"38","19","Wellcare","Medicare Advantage",,,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"NF-HumaLOG Mix 75/25 KwikPen 75U-25U/1ML","404619","CDM","Both",,,"38","19","Amerigroup","Medicaid Managed Care",,,"37",,"13.91","13.91","29.45","percent of total billed charges",,
"NF-HumaLOG Mix 75/25 KwikPen 75U-25U/1ML","404619","CDM","Both",,,"38","19","Caresource","Medicaid Managed Care",,,"40",,"15.2","13.91","29.45","percent of total billed charges",,
"NF-HumaLOG Mix 75/25 KwikPen 75U-25U/1ML","404619","CDM","Both",,,"38","19","Wellcare","Medicaid Managed Care",,,"40",,"15.39","13.91","29.45","percent of total billed charges",,
"NF-HumaLOG Mix 75/25 KwikPen 75U-25U/1ML","404619","CDM","Both",,,"38","19","Aetna","Commercial",,,"64",,"24.24","13.91","29.45","percent of total billed charges",,
"NF-HumaLOG Mix 75/25 KwikPen 75U-25U/1ML","404619","CDM","Both",,,"38","19","Blue Cross Blue Shield","Pathways",,,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"NF-HumaLOG Mix 75/25 KwikPen 75U-25U/1ML","404619","CDM","Both",,,"38","19","Blue Cross Blue Shield","HMO",,,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"NF-HumaLOG Mix 75/25 KwikPen 75U-25U/1ML","404619","CDM","Both",,,"38","19","Blue Cross Blue Shield","PPO",,,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"NF-HumaLOG Mix 75/25 KwikPen 75U-25U/1ML","404619","CDM","Both",,,"38","19","Ambetter","Health Exchange",,,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"NF-HumaLOG Mix 75/25 KwikPen 75U-25U/1ML","404619","CDM","Both",,,"38","19","Caresource","Health Exchange",,,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"NF-HumaLOG Mix 75/25 KwikPen 75U-25U/1ML","404619","CDM","Both",,,"38","19","Cigna","Commercial",,,"59",,"22.27","13.91","29.45","percent of total billed charges",,
"NF-HumaLOG Mix 75/25 KwikPen 75U-25U/1ML","404619","CDM","Both",,,"38","19","Humana","Commercial",,,"78",,"29.45","13.91","29.45","percent of total billed charges",,
"NF-HumaLOG Mix 75/25 KwikPen 75U-25U/1ML","404619","CDM","Both",,,"38","19","UHC","Commercial",,,"75",,"28.65","13.91","29.45","percent of total billed charges",,
"NF-HumaLOG Mix 75/25 KwikPen 75U-25U/1ML","404619","CDM","Both",,,"38","19","Medicaid",,,,"37",,"13.91","13.91","29.45","percent of total billed charges",,
"NF-HumaLOG Mix 75/25 KwikPen 75U-25U/1ML","404620","CDM","Both",,,"38","19","Alliant","Health Exchange",,,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"NF-HumaLOG Mix 75/25 KwikPen 75U-25U/1ML","404620","CDM","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage",,,"54",,"20.52","13.91","29.45","percent of total billed charges",,
"NF-HumaLOG Mix 75/25 KwikPen 75U-25U/1ML","404620","CDM","Both",,,"38","19","Medicare",,,,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"NF-HumaLOG Mix 75/25 KwikPen 75U-25U/1ML","404620","CDM","Both",,,"38","19","Humana","Medicare Advantage",,,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"NF-HumaLOG Mix 75/25 KwikPen 75U-25U/1ML","404620","CDM","Both",,,"38","19","UHC","Medicare Advantage",,,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"NF-HumaLOG Mix 75/25 KwikPen 75U-25U/1ML","404620","CDM","Both",,,"38","19","Clover","Medicare Advantage",,,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"NF-HumaLOG Mix 75/25 KwikPen 75U-25U/1ML","404620","CDM","Both",,,"38","19","Wellcare","Medicare Advantage",,,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"NF-HumaLOG Mix 75/25 KwikPen 75U-25U/1ML","404620","CDM","Both",,,"38","19","Amerigroup","Medicaid Managed Care",,,"37",,"13.91","13.91","29.45","percent of total billed charges",,
"NF-HumaLOG Mix 75/25 KwikPen 75U-25U/1ML","404620","CDM","Both",,,"38","19","Caresource","Medicaid Managed Care",,,"40",,"15.2","13.91","29.45","percent of total billed charges",,
"NF-HumaLOG Mix 75/25 KwikPen 75U-25U/1ML","404620","CDM","Both",,,"38","19","Wellcare","Medicaid Managed Care",,,"40",,"15.39","13.91","29.45","percent of total billed charges",,
"NF-HumaLOG Mix 75/25 KwikPen 75U-25U/1ML","404620","CDM","Both",,,"38","19","Aetna","Commercial",,,"64",,"24.24","13.91","29.45","percent of total billed charges",,
"NF-HumaLOG Mix 75/25 KwikPen 75U-25U/1ML","404620","CDM","Both",,,"38","19","Blue Cross Blue Shield","Pathways",,,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"NF-HumaLOG Mix 75/25 KwikPen 75U-25U/1ML","404620","CDM","Both",,,"38","19","Blue Cross Blue Shield","HMO",,,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"NF-HumaLOG Mix 75/25 KwikPen 75U-25U/1ML","404620","CDM","Both",,,"38","19","Blue Cross Blue Shield","PPO",,,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"NF-HumaLOG Mix 75/25 KwikPen 75U-25U/1ML","404620","CDM","Both",,,"38","19","Ambetter","Health Exchange",,,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"NF-HumaLOG Mix 75/25 KwikPen 75U-25U/1ML","404620","CDM","Both",,,"38","19","Caresource","Health Exchange",,,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"NF-HumaLOG Mix 75/25 KwikPen 75U-25U/1ML","404620","CDM","Both",,,"38","19","Cigna","Commercial",,,"59",,"22.27","13.91","29.45","percent of total billed charges",,
"NF-HumaLOG Mix 75/25 KwikPen 75U-25U/1ML","404620","CDM","Both",,,"38","19","Humana","Commercial",,,"78",,"29.45","13.91","29.45","percent of total billed charges",,
"NF-HumaLOG Mix 75/25 KwikPen 75U-25U/1ML","404620","CDM","Both",,,"38","19","UHC","Commercial",,,"75",,"28.65","13.91","29.45","percent of total billed charges",,
"NF-HumaLOG Mix 75/25 KwikPen 75U-25U/1ML","404620","CDM","Both",,,"38","19","Medicaid",,,,"37",,"13.91","13.91","29.45","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","404625","CDM","Both",,,"7","3.5","Alliant","Health Exchange",,,"62",,"4.34","2.56","5.42","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","404625","CDM","Both",,,"7","3.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.78","2.56","5.42","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","404625","CDM","Both",,,"7","3.5","Medicare",,,,"54",,"3.79","2.56","5.42","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","404625","CDM","Both",,,"7","3.5","Humana","Medicare Advantage",,,"54",,"3.79","2.56","5.42","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","404625","CDM","Both",,,"7","3.5","UHC","Medicare Advantage",,,"54",,"3.79","2.56","5.42","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","404625","CDM","Both",,,"7","3.5","Clover","Medicare Advantage",,,"54",,"3.79","2.56","5.42","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","404625","CDM","Both",,,"7","3.5","Wellcare","Medicare Advantage",,,"54",,"3.79","2.56","5.42","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","404625","CDM","Both",,,"7","3.5","Amerigroup","Medicaid Managed Care",,,"37",,"2.56","2.56","5.42","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","404625","CDM","Both",,,"7","3.5","Caresource","Medicaid Managed Care",,,"40",,"2.8","2.56","5.42","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","404625","CDM","Both",,,"7","3.5","Wellcare","Medicaid Managed Care",,,"40",,"2.84","2.56","5.42","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","404625","CDM","Both",,,"7","3.5","Aetna","Commercial",,,"64",,"4.47","2.56","5.42","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","404625","CDM","Both",,,"7","3.5","Blue Cross Blue Shield","Pathways",,,"71",,"4.94","2.56","5.42","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","404625","CDM","Both",,,"7","3.5","Blue Cross Blue Shield","HMO",,,"71",,"4.94","2.56","5.42","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","404625","CDM","Both",,,"7","3.5","Blue Cross Blue Shield","PPO",,,"71",,"4.94","2.56","5.42","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","404625","CDM","Both",,,"7","3.5","Ambetter","Health Exchange",,,"62",,"4.34","2.56","5.42","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","404625","CDM","Both",,,"7","3.5","Caresource","Health Exchange",,,"62",,"4.34","2.56","5.42","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","404625","CDM","Both",,,"7","3.5","Cigna","Commercial",,,"59",,"4.1","2.56","5.42","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","404625","CDM","Both",,,"7","3.5","Humana","Commercial",,,"78",,"5.42","2.56","5.42","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","404625","CDM","Both",,,"7","3.5","UHC","Commercial",,,"75",,"5.28","2.56","5.42","percent of total billed charges",,
"NF-Midodrine HCl Tablet 5MG","404625","CDM","Both",,,"7","3.5","Medicaid",,,,"37",,"2.56","2.56","5.42","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","404630","CDM","Both",,,"73","36.5","Alliant","Health Exchange",,,"62",,"45.26","26.72","56.58","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","404630","CDM","Both",,,"73","36.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"39.42","26.72","56.58","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","404630","CDM","Both",,,"73","36.5","Medicare",,,,"54",,"39.57","26.72","56.58","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","404630","CDM","Both",,,"73","36.5","Humana","Medicare Advantage",,,"54",,"39.57","26.72","56.58","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","404630","CDM","Both",,,"73","36.5","UHC","Medicare Advantage",,,"54",,"39.57","26.72","56.58","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","404630","CDM","Both",,,"73","36.5","Clover","Medicare Advantage",,,"54",,"39.57","26.72","56.58","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","404630","CDM","Both",,,"73","36.5","Wellcare","Medicare Advantage",,,"54",,"39.57","26.72","56.58","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","404630","CDM","Both",,,"73","36.5","Amerigroup","Medicaid Managed Care",,,"37",,"26.72","26.72","56.58","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","404630","CDM","Both",,,"73","36.5","Caresource","Medicaid Managed Care",,,"40",,"29.2","26.72","56.58","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","404630","CDM","Both",,,"73","36.5","Wellcare","Medicaid Managed Care",,,"40",,"29.56","26.72","56.58","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","404630","CDM","Both",,,"73","36.5","Aetna","Commercial",,,"64",,"46.57","26.72","56.58","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","404630","CDM","Both",,,"73","36.5","Blue Cross Blue Shield","Pathways",,,"71",,"51.54","26.72","56.58","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","404630","CDM","Both",,,"73","36.5","Blue Cross Blue Shield","HMO",,,"71",,"51.54","26.72","56.58","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","404630","CDM","Both",,,"73","36.5","Blue Cross Blue Shield","PPO",,,"71",,"51.54","26.72","56.58","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","404630","CDM","Both",,,"73","36.5","Ambetter","Health Exchange",,,"62",,"45.26","26.72","56.58","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","404630","CDM","Both",,,"73","36.5","Caresource","Health Exchange",,,"62",,"45.26","26.72","56.58","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","404630","CDM","Both",,,"73","36.5","Cigna","Commercial",,,"59",,"42.78","26.72","56.58","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","404630","CDM","Both",,,"73","36.5","Humana","Commercial",,,"78",,"56.58","26.72","56.58","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","404630","CDM","Both",,,"73","36.5","UHC","Commercial",,,"75",,"55.04","26.72","56.58","percent of total billed charges",,
"NF-Jardiance Oral Tablet 10MG","404630","CDM","Both",,,"73","36.5","Medicaid",,,,"37",,"26.72","26.72","56.58","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 10MG-12.5M","404646","CDM","Both",,,"6","3","Alliant","Health Exchange",,,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 10MG-12.5M","404646","CDM","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage",,,"54",,"3.24","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 10MG-12.5M","404646","CDM","Both",,,"6","3","Medicare",,,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 10MG-12.5M","404646","CDM","Both",,,"6","3","Humana","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 10MG-12.5M","404646","CDM","Both",,,"6","3","UHC","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 10MG-12.5M","404646","CDM","Both",,,"6","3","Clover","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 10MG-12.5M","404646","CDM","Both",,,"6","3","Wellcare","Medicare Advantage",,,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 10MG-12.5M","404646","CDM","Both",,,"6","3","Amerigroup","Medicaid Managed Care",,,"37",,"2.2","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 10MG-12.5M","404646","CDM","Both",,,"6","3","Caresource","Medicaid Managed Care",,,"40",,"2.4","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 10MG-12.5M","404646","CDM","Both",,,"6","3","Wellcare","Medicaid Managed Care",,,"40",,"2.43","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 10MG-12.5M","404646","CDM","Both",,,"6","3","Aetna","Commercial",,,"64",,"3.83","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 10MG-12.5M","404646","CDM","Both",,,"6","3","Blue Cross Blue Shield","Pathways",,,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 10MG-12.5M","404646","CDM","Both",,,"6","3","Blue Cross Blue Shield","HMO",,,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 10MG-12.5M","404646","CDM","Both",,,"6","3","Blue Cross Blue Shield","PPO",,,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 10MG-12.5M","404646","CDM","Both",,,"6","3","Ambetter","Health Exchange",,,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 10MG-12.5M","404646","CDM","Both",,,"6","3","Caresource","Health Exchange",,,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 10MG-12.5M","404646","CDM","Both",,,"6","3","Cigna","Commercial",,,"59",,"3.52","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 10MG-12.5M","404646","CDM","Both",,,"6","3","Humana","Commercial",,,"78",,"4.65","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 10MG-12.5M","404646","CDM","Both",,,"6","3","UHC","Commercial",,,"75",,"4.52","2.2","4.65","percent of total billed charges",,
"NF-Benazepril HCl/HCTZ Tablet 10MG-12.5M","404646","CDM","Both",,,"6","3","Medicaid",,,,"37",,"2.2","2.2","4.65","percent of total billed charges",,
"NF-OLANZapine Oral Tablet 20MG","404652","CDM","Both",,,"119","59.5","Alliant","Health Exchange",,,"62",,"73.78","43.55","92.22","percent of total billed charges",,
"NF-OLANZapine Oral Tablet 20MG","404652","CDM","Both",,,"119","59.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"64.26","43.55","92.22","percent of total billed charges",,
"NF-OLANZapine Oral Tablet 20MG","404652","CDM","Both",,,"119","59.5","Medicare",,,,"54",,"64.5","43.55","92.22","percent of total billed charges",,
"NF-OLANZapine Oral Tablet 20MG","404652","CDM","Both",,,"119","59.5","Humana","Medicare Advantage",,,"54",,"64.5","43.55","92.22","percent of total billed charges",,
"NF-OLANZapine Oral Tablet 20MG","404652","CDM","Both",,,"119","59.5","UHC","Medicare Advantage",,,"54",,"64.5","43.55","92.22","percent of total billed charges",,
"NF-OLANZapine Oral Tablet 20MG","404652","CDM","Both",,,"119","59.5","Clover","Medicare Advantage",,,"54",,"64.5","43.55","92.22","percent of total billed charges",,
"NF-OLANZapine Oral Tablet 20MG","404652","CDM","Both",,,"119","59.5","Wellcare","Medicare Advantage",,,"54",,"64.5","43.55","92.22","percent of total billed charges",,
"NF-OLANZapine Oral Tablet 20MG","404652","CDM","Both",,,"119","59.5","Amerigroup","Medicaid Managed Care",,,"37",,"43.55","43.55","92.22","percent of total billed charges",,
"NF-OLANZapine Oral Tablet 20MG","404652","CDM","Both",,,"119","59.5","Caresource","Medicaid Managed Care",,,"40",,"47.6","43.55","92.22","percent of total billed charges",,
"NF-OLANZapine Oral Tablet 20MG","404652","CDM","Both",,,"119","59.5","Wellcare","Medicaid Managed Care",,,"40",,"48.2","43.55","92.22","percent of total billed charges",,
"NF-OLANZapine Oral Tablet 20MG","404652","CDM","Both",,,"119","59.5","Aetna","Commercial",,,"64",,"75.92","43.55","92.22","percent of total billed charges",,
"NF-OLANZapine Oral Tablet 20MG","404652","CDM","Both",,,"119","59.5","Blue Cross Blue Shield","Pathways",,,"71",,"84.01","43.55","92.22","percent of total billed charges",,
"NF-OLANZapine Oral Tablet 20MG","404652","CDM","Both",,,"119","59.5","Blue Cross Blue Shield","HMO",,,"71",,"84.01","43.55","92.22","percent of total billed charges",,
"NF-OLANZapine Oral Tablet 20MG","404652","CDM","Both",,,"119","59.5","Blue Cross Blue Shield","PPO",,,"71",,"84.01","43.55","92.22","percent of total billed charges",,
"NF-OLANZapine Oral Tablet 20MG","404652","CDM","Both",,,"119","59.5","Ambetter","Health Exchange",,,"62",,"73.78","43.55","92.22","percent of total billed charges",,
"NF-OLANZapine Oral Tablet 20MG","404652","CDM","Both",,,"119","59.5","Caresource","Health Exchange",,,"62",,"73.78","43.55","92.22","percent of total billed charges",,
"NF-OLANZapine Oral Tablet 20MG","404652","CDM","Both",,,"119","59.5","Cigna","Commercial",,,"59",,"69.73","43.55","92.22","percent of total billed charges",,
"NF-OLANZapine Oral Tablet 20MG","404652","CDM","Both",,,"119","59.5","Humana","Commercial",,,"78",,"92.22","43.55","92.22","percent of total billed charges",,
"NF-OLANZapine Oral Tablet 20MG","404652","CDM","Both",,,"119","59.5","UHC","Commercial",,,"75",,"89.73","43.55","92.22","percent of total billed charges",,
"NF-OLANZapine Oral Tablet 20MG","404652","CDM","Both",,,"119","59.5","Medicaid",,,,"37",,"43.55","43.55","92.22","percent of total billed charges",,
"NF-Esomeprazole Magnesium Capsule DR 40M","404654","CDM","Both",,,"25","12.5","Alliant","Health Exchange",,,"62",,"15.5","9.15","19.38","percent of total billed charges",,
"NF-Esomeprazole Magnesium Capsule DR 40M","404654","CDM","Both",,,"25","12.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"13.5","9.15","19.38","percent of total billed charges",,
"NF-Esomeprazole Magnesium Capsule DR 40M","404654","CDM","Both",,,"25","12.5","Medicare",,,,"54",,"13.55","9.15","19.38","percent of total billed charges",,
"NF-Esomeprazole Magnesium Capsule DR 40M","404654","CDM","Both",,,"25","12.5","Humana","Medicare Advantage",,,"54",,"13.55","9.15","19.38","percent of total billed charges",,
"NF-Esomeprazole Magnesium Capsule DR 40M","404654","CDM","Both",,,"25","12.5","UHC","Medicare Advantage",,,"54",,"13.55","9.15","19.38","percent of total billed charges",,
"NF-Esomeprazole Magnesium Capsule DR 40M","404654","CDM","Both",,,"25","12.5","Clover","Medicare Advantage",,,"54",,"13.55","9.15","19.38","percent of total billed charges",,
"NF-Esomeprazole Magnesium Capsule DR 40M","404654","CDM","Both",,,"25","12.5","Wellcare","Medicare Advantage",,,"54",,"13.55","9.15","19.38","percent of total billed charges",,
"NF-Esomeprazole Magnesium Capsule DR 40M","404654","CDM","Both",,,"25","12.5","Amerigroup","Medicaid Managed Care",,,"37",,"9.15","9.15","19.38","percent of total billed charges",,
"NF-Esomeprazole Magnesium Capsule DR 40M","404654","CDM","Both",,,"25","12.5","Caresource","Medicaid Managed Care",,,"40",,"10","9.15","19.38","percent of total billed charges",,
"NF-Esomeprazole Magnesium Capsule DR 40M","404654","CDM","Both",,,"25","12.5","Wellcare","Medicaid Managed Care",,,"40",,"10.12","9.15","19.38","percent of total billed charges",,
"NF-Esomeprazole Magnesium Capsule DR 40M","404654","CDM","Both",,,"25","12.5","Aetna","Commercial",,,"64",,"15.95","9.15","19.38","percent of total billed charges",,
"NF-Esomeprazole Magnesium Capsule DR 40M","404654","CDM","Both",,,"25","12.5","Blue Cross Blue Shield","Pathways",,,"71",,"17.65","9.15","19.38","percent of total billed charges",,
"NF-Esomeprazole Magnesium Capsule DR 40M","404654","CDM","Both",,,"25","12.5","Blue Cross Blue Shield","HMO",,,"71",,"17.65","9.15","19.38","percent of total billed charges",,
"NF-Esomeprazole Magnesium Capsule DR 40M","404654","CDM","Both",,,"25","12.5","Blue Cross Blue Shield","PPO",,,"71",,"17.65","9.15","19.38","percent of total billed charges",,
"NF-Esomeprazole Magnesium Capsule DR 40M","404654","CDM","Both",,,"25","12.5","Ambetter","Health Exchange",,,"62",,"15.5","9.15","19.38","percent of total billed charges",,
"NF-Esomeprazole Magnesium Capsule DR 40M","404654","CDM","Both",,,"25","12.5","Caresource","Health Exchange",,,"62",,"15.5","9.15","19.38","percent of total billed charges",,
"NF-Esomeprazole Magnesium Capsule DR 40M","404654","CDM","Both",,,"25","12.5","Cigna","Commercial",,,"59",,"14.65","9.15","19.38","percent of total billed charges",,
"NF-Esomeprazole Magnesium Capsule DR 40M","404654","CDM","Both",,,"25","12.5","Humana","Commercial",,,"78",,"19.38","9.15","19.38","percent of total billed charges",,
"NF-Esomeprazole Magnesium Capsule DR 40M","404654","CDM","Both",,,"25","12.5","UHC","Commercial",,,"75",,"18.85","9.15","19.38","percent of total billed charges",,
"NF-Esomeprazole Magnesium Capsule DR 40M","404654","CDM","Both",,,"25","12.5","Medicaid",,,,"37",,"9.15","9.15","19.38","percent of total billed charges",,
"LABOR ROOM CHARGE 0-6 HRS","4080010","CDM","Both",,,"199","99.5","Alliant","Health Exchange",,,"62",,"123.38","72.83","154.22","percent of total billed charges",,
"LABOR ROOM CHARGE 0-6 HRS","4080010","CDM","Both",,,"199","99.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"107.46","72.83","154.22","percent of total billed charges",,
"LABOR ROOM CHARGE 0-6 HRS","4080010","CDM","Both",,,"199","99.5","Medicare",,,,"54",,"107.86","72.83","154.22","percent of total billed charges",,
"LABOR ROOM CHARGE 0-6 HRS","4080010","CDM","Both",,,"199","99.5","Humana","Medicare Advantage",,,"54",,"107.86","72.83","154.22","percent of total billed charges",,
"LABOR ROOM CHARGE 0-6 HRS","4080010","CDM","Both",,,"199","99.5","UHC","Medicare Advantage",,,"54",,"107.86","72.83","154.22","percent of total billed charges",,
"LABOR ROOM CHARGE 0-6 HRS","4080010","CDM","Both",,,"199","99.5","Clover","Medicare Advantage",,,"54",,"107.86","72.83","154.22","percent of total billed charges",,
"LABOR ROOM CHARGE 0-6 HRS","4080010","CDM","Both",,,"199","99.5","Wellcare","Medicare Advantage",,,"54",,"107.86","72.83","154.22","percent of total billed charges",,
"LABOR ROOM CHARGE 0-6 HRS","4080010","CDM","Both",,,"199","99.5","Amerigroup","Medicaid Managed Care",,,"37",,"72.83","72.83","154.22","percent of total billed charges",,
"LABOR ROOM CHARGE 0-6 HRS","4080010","CDM","Both",,,"199","99.5","Caresource","Medicaid Managed Care",,,"40",,"79.6","72.83","154.22","percent of total billed charges",,
"LABOR ROOM CHARGE 0-6 HRS","4080010","CDM","Both",,,"199","99.5","Wellcare","Medicaid Managed Care",,,"40",,"80.6","72.83","154.22","percent of total billed charges",,
"LABOR ROOM CHARGE 0-6 HRS","4080010","CDM","Both",,,"199","99.5","Aetna","Commercial",,,"64",,"126.96","72.83","154.22","percent of total billed charges",,
"LABOR ROOM CHARGE 0-6 HRS","4080010","CDM","Both",,,"199","99.5","Blue Cross Blue Shield","Pathways",,,"71",,"140.49","72.83","154.22","percent of total billed charges",,
"LABOR ROOM CHARGE 0-6 HRS","4080010","CDM","Both",,,"199","99.5","Blue Cross Blue Shield","HMO",,,"71",,"140.49","72.83","154.22","percent of total billed charges",,
"LABOR ROOM CHARGE 0-6 HRS","4080010","CDM","Both",,,"199","99.5","Blue Cross Blue Shield","PPO",,,"71",,"140.49","72.83","154.22","percent of total billed charges",,
"LABOR ROOM CHARGE 0-6 HRS","4080010","CDM","Both",,,"199","99.5","Ambetter","Health Exchange",,,"62",,"123.38","72.83","154.22","percent of total billed charges",,
"LABOR ROOM CHARGE 0-6 HRS","4080010","CDM","Both",,,"199","99.5","Caresource","Health Exchange",,,"62",,"123.38","72.83","154.22","percent of total billed charges",,
"LABOR ROOM CHARGE 0-6 HRS","4080010","CDM","Both",,,"199","99.5","Cigna","Commercial",,,"59",,"116.61","72.83","154.22","percent of total billed charges",,
"LABOR ROOM CHARGE 0-6 HRS","4080010","CDM","Both",,,"199","99.5","Humana","Commercial",,,"78",,"154.22","72.83","154.22","percent of total billed charges",,
"LABOR ROOM CHARGE 0-6 HRS","4080010","CDM","Both",,,"199","99.5","UHC","Commercial",,,"75",,"150.05","72.83","154.22","percent of total billed charges",,
"LABOR ROOM CHARGE 0-6 HRS","4080010","CDM","Both",,,"199","99.5","Medicaid",,,,"37",,"72.83","72.83","154.22","percent of total billed charges",,
"EA ADD 6 HRS OR ANY PORT TH","4080011","CDM","Both",,,"121","60.5","Alliant","Health Exchange",,,"62",,"75.02","44.29","93.78","percent of total billed charges",,
"EA ADD 6 HRS OR ANY PORT TH","4080011","CDM","Both",,,"121","60.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"65.34","44.29","93.78","percent of total billed charges",,
"EA ADD 6 HRS OR ANY PORT TH","4080011","CDM","Both",,,"121","60.5","Medicare",,,,"54",,"65.58","44.29","93.78","percent of total billed charges",,
"EA ADD 6 HRS OR ANY PORT TH","4080011","CDM","Both",,,"121","60.5","Humana","Medicare Advantage",,,"54",,"65.58","44.29","93.78","percent of total billed charges",,
"EA ADD 6 HRS OR ANY PORT TH","4080011","CDM","Both",,,"121","60.5","UHC","Medicare Advantage",,,"54",,"65.58","44.29","93.78","percent of total billed charges",,
"EA ADD 6 HRS OR ANY PORT TH","4080011","CDM","Both",,,"121","60.5","Clover","Medicare Advantage",,,"54",,"65.58","44.29","93.78","percent of total billed charges",,
"EA ADD 6 HRS OR ANY PORT TH","4080011","CDM","Both",,,"121","60.5","Wellcare","Medicare Advantage",,,"54",,"65.58","44.29","93.78","percent of total billed charges",,
"EA ADD 6 HRS OR ANY PORT TH","4080011","CDM","Both",,,"121","60.5","Amerigroup","Medicaid Managed Care",,,"37",,"44.29","44.29","93.78","percent of total billed charges",,
"EA ADD 6 HRS OR ANY PORT TH","4080011","CDM","Both",,,"121","60.5","Caresource","Medicaid Managed Care",,,"40",,"48.4","44.29","93.78","percent of total billed charges",,
"EA ADD 6 HRS OR ANY PORT TH","4080011","CDM","Both",,,"121","60.5","Wellcare","Medicaid Managed Care",,,"40",,"49","44.29","93.78","percent of total billed charges",,
"EA ADD 6 HRS OR ANY PORT TH","4080011","CDM","Both",,,"121","60.5","Aetna","Commercial",,,"64",,"77.2","44.29","93.78","percent of total billed charges",,
"EA ADD 6 HRS OR ANY PORT TH","4080011","CDM","Both",,,"121","60.5","Blue Cross Blue Shield","Pathways",,,"71",,"85.43","44.29","93.78","percent of total billed charges",,
"EA ADD 6 HRS OR ANY PORT TH","4080011","CDM","Both",,,"121","60.5","Blue Cross Blue Shield","HMO",,,"71",,"85.43","44.29","93.78","percent of total billed charges",,
"EA ADD 6 HRS OR ANY PORT TH","4080011","CDM","Both",,,"121","60.5","Blue Cross Blue Shield","PPO",,,"71",,"85.43","44.29","93.78","percent of total billed charges",,
"EA ADD 6 HRS OR ANY PORT TH","4080011","CDM","Both",,,"121","60.5","Ambetter","Health Exchange",,,"62",,"75.02","44.29","93.78","percent of total billed charges",,
"EA ADD 6 HRS OR ANY PORT TH","4080011","CDM","Both",,,"121","60.5","Caresource","Health Exchange",,,"62",,"75.02","44.29","93.78","percent of total billed charges",,
"EA ADD 6 HRS OR ANY PORT TH","4080011","CDM","Both",,,"121","60.5","Cigna","Commercial",,,"59",,"70.91","44.29","93.78","percent of total billed charges",,
"EA ADD 6 HRS OR ANY PORT TH","4080011","CDM","Both",,,"121","60.5","Humana","Commercial",,,"78",,"93.78","44.29","93.78","percent of total billed charges",,
"EA ADD 6 HRS OR ANY PORT TH","4080011","CDM","Both",,,"121","60.5","UHC","Commercial",,,"75",,"91.23","44.29","93.78","percent of total billed charges",,
"EA ADD 6 HRS OR ANY PORT TH","4080011","CDM","Both",,,"121","60.5","Medicaid",,,,"37",,"44.29","44.29","93.78","percent of total billed charges",,
"FETAL MONITOR 1ST HOUR","4080012","CDM","Both",,,"85","42.5","Alliant","Health Exchange",,,"62",,"52.7","31.11","65.88","percent of total billed charges",,
"FETAL MONITOR 1ST HOUR","4080012","CDM","Both",,,"85","42.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"45.9","31.11","65.88","percent of total billed charges",,
"FETAL MONITOR 1ST HOUR","4080012","CDM","Both",,,"85","42.5","Medicare",,,,"54",,"46.07","31.11","65.88","percent of total billed charges",,
"FETAL MONITOR 1ST HOUR","4080012","CDM","Both",,,"85","42.5","Humana","Medicare Advantage",,,"54",,"46.07","31.11","65.88","percent of total billed charges",,
"FETAL MONITOR 1ST HOUR","4080012","CDM","Both",,,"85","42.5","UHC","Medicare Advantage",,,"54",,"46.07","31.11","65.88","percent of total billed charges",,
"FETAL MONITOR 1ST HOUR","4080012","CDM","Both",,,"85","42.5","Clover","Medicare Advantage",,,"54",,"46.07","31.11","65.88","percent of total billed charges",,
"FETAL MONITOR 1ST HOUR","4080012","CDM","Both",,,"85","42.5","Wellcare","Medicare Advantage",,,"54",,"46.07","31.11","65.88","percent of total billed charges",,
"FETAL MONITOR 1ST HOUR","4080012","CDM","Both",,,"85","42.5","Amerigroup","Medicaid Managed Care",,,"37",,"31.11","31.11","65.88","percent of total billed charges",,
"FETAL MONITOR 1ST HOUR","4080012","CDM","Both",,,"85","42.5","Caresource","Medicaid Managed Care",,,"40",,"34","31.11","65.88","percent of total billed charges",,
"FETAL MONITOR 1ST HOUR","4080012","CDM","Both",,,"85","42.5","Wellcare","Medicaid Managed Care",,,"40",,"34.43","31.11","65.88","percent of total billed charges",,
"FETAL MONITOR 1ST HOUR","4080012","CDM","Both",,,"85","42.5","Aetna","Commercial",,,"64",,"54.23","31.11","65.88","percent of total billed charges",,
"FETAL MONITOR 1ST HOUR","4080012","CDM","Both",,,"85","42.5","Blue Cross Blue Shield","Pathways",,,"71",,"60.01","31.11","65.88","percent of total billed charges",,
"FETAL MONITOR 1ST HOUR","4080012","CDM","Both",,,"85","42.5","Blue Cross Blue Shield","HMO",,,"71",,"60.01","31.11","65.88","percent of total billed charges",,
"FETAL MONITOR 1ST HOUR","4080012","CDM","Both",,,"85","42.5","Blue Cross Blue Shield","PPO",,,"71",,"60.01","31.11","65.88","percent of total billed charges",,
"FETAL MONITOR 1ST HOUR","4080012","CDM","Both",,,"85","42.5","Ambetter","Health Exchange",,,"62",,"52.7","31.11","65.88","percent of total billed charges",,
"FETAL MONITOR 1ST HOUR","4080012","CDM","Both",,,"85","42.5","Caresource","Health Exchange",,,"62",,"52.7","31.11","65.88","percent of total billed charges",,
"FETAL MONITOR 1ST HOUR","4080012","CDM","Both",,,"85","42.5","Cigna","Commercial",,,"59",,"49.81","31.11","65.88","percent of total billed charges",,
"FETAL MONITOR 1ST HOUR","4080012","CDM","Both",,,"85","42.5","Humana","Commercial",,,"78",,"65.88","31.11","65.88","percent of total billed charges",,
"FETAL MONITOR 1ST HOUR","4080012","CDM","Both",,,"85","42.5","UHC","Commercial",,,"75",,"64.09","31.11","65.88","percent of total billed charges",,
"FETAL MONITOR 1ST HOUR","4080012","CDM","Both",,,"85","42.5","Medicaid",,,,"37",,"31.11","31.11","65.88","percent of total billed charges",,
"EA ADD HR OR ANY PORT THER","4080013","CDM","Both",,,"21","10.5","Alliant","Health Exchange",,,"62",,"13.02","7.69","16.28","percent of total billed charges",,
"EA ADD HR OR ANY PORT THER","4080013","CDM","Both",,,"21","10.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"11.34","7.69","16.28","percent of total billed charges",,
"EA ADD HR OR ANY PORT THER","4080013","CDM","Both",,,"21","10.5","Medicare",,,,"54",,"11.38","7.69","16.28","percent of total billed charges",,
"EA ADD HR OR ANY PORT THER","4080013","CDM","Both",,,"21","10.5","Humana","Medicare Advantage",,,"54",,"11.38","7.69","16.28","percent of total billed charges",,
"EA ADD HR OR ANY PORT THER","4080013","CDM","Both",,,"21","10.5","UHC","Medicare Advantage",,,"54",,"11.38","7.69","16.28","percent of total billed charges",,
"EA ADD HR OR ANY PORT THER","4080013","CDM","Both",,,"21","10.5","Clover","Medicare Advantage",,,"54",,"11.38","7.69","16.28","percent of total billed charges",,
"EA ADD HR OR ANY PORT THER","4080013","CDM","Both",,,"21","10.5","Wellcare","Medicare Advantage",,,"54",,"11.38","7.69","16.28","percent of total billed charges",,
"EA ADD HR OR ANY PORT THER","4080013","CDM","Both",,,"21","10.5","Amerigroup","Medicaid Managed Care",,,"37",,"7.69","7.69","16.28","percent of total billed charges",,
"EA ADD HR OR ANY PORT THER","4080013","CDM","Both",,,"21","10.5","Caresource","Medicaid Managed Care",,,"40",,"8.4","7.69","16.28","percent of total billed charges",,
"EA ADD HR OR ANY PORT THER","4080013","CDM","Both",,,"21","10.5","Wellcare","Medicaid Managed Care",,,"40",,"8.51","7.69","16.28","percent of total billed charges",,
"EA ADD HR OR ANY PORT THER","4080013","CDM","Both",,,"21","10.5","Aetna","Commercial",,,"64",,"13.4","7.69","16.28","percent of total billed charges",,
"EA ADD HR OR ANY PORT THER","4080013","CDM","Both",,,"21","10.5","Blue Cross Blue Shield","Pathways",,,"71",,"14.83","7.69","16.28","percent of total billed charges",,
"EA ADD HR OR ANY PORT THER","4080013","CDM","Both",,,"21","10.5","Blue Cross Blue Shield","HMO",,,"71",,"14.83","7.69","16.28","percent of total billed charges",,
"EA ADD HR OR ANY PORT THER","4080013","CDM","Both",,,"21","10.5","Blue Cross Blue Shield","PPO",,,"71",,"14.83","7.69","16.28","percent of total billed charges",,
"EA ADD HR OR ANY PORT THER","4080013","CDM","Both",,,"21","10.5","Ambetter","Health Exchange",,,"62",,"13.02","7.69","16.28","percent of total billed charges",,
"EA ADD HR OR ANY PORT THER","4080013","CDM","Both",,,"21","10.5","Caresource","Health Exchange",,,"62",,"13.02","7.69","16.28","percent of total billed charges",,
"EA ADD HR OR ANY PORT THER","4080013","CDM","Both",,,"21","10.5","Cigna","Commercial",,,"59",,"12.31","7.69","16.28","percent of total billed charges",,
"EA ADD HR OR ANY PORT THER","4080013","CDM","Both",,,"21","10.5","Humana","Commercial",,,"78",,"16.28","7.69","16.28","percent of total billed charges",,
"EA ADD HR OR ANY PORT THER","4080013","CDM","Both",,,"21","10.5","UHC","Commercial",,,"75",,"15.83","7.69","16.28","percent of total billed charges",,
"EA ADD HR OR ANY PORT THER","4080013","CDM","Both",,,"21","10.5","Medicaid",,,,"37",,"7.69","7.69","16.28","percent of total billed charges",,
"NON STRESS TEST","4080014","CDM","Both",,,"66.5","33.25","Alliant","Health Exchange",,,"62",,"41.23","24.34","51.54","percent of total billed charges",,
"NON STRESS TEST","4080014","CDM","Both",,,"66.5","33.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"35.91","24.34","51.54","percent of total billed charges",,
"NON STRESS TEST","4080014","CDM","Both",,,"66.5","33.25","Medicare",,,,"54",,"36.04","24.34","51.54","percent of total billed charges",,
"NON STRESS TEST","4080014","CDM","Both",,,"66.5","33.25","Humana","Medicare Advantage",,,"54",,"36.04","24.34","51.54","percent of total billed charges",,
"NON STRESS TEST","4080014","CDM","Both",,,"66.5","33.25","UHC","Medicare Advantage",,,"54",,"36.04","24.34","51.54","percent of total billed charges",,
"NON STRESS TEST","4080014","CDM","Both",,,"66.5","33.25","Clover","Medicare Advantage",,,"54",,"36.04","24.34","51.54","percent of total billed charges",,
"NON STRESS TEST","4080014","CDM","Both",,,"66.5","33.25","Wellcare","Medicare Advantage",,,"54",,"36.04","24.34","51.54","percent of total billed charges",,
"NON STRESS TEST","4080014","CDM","Both",,,"66.5","33.25","Amerigroup","Medicaid Managed Care",,,"37",,"24.34","24.34","51.54","percent of total billed charges",,
"NON STRESS TEST","4080014","CDM","Both",,,"66.5","33.25","Caresource","Medicaid Managed Care",,,"40",,"26.6","24.34","51.54","percent of total billed charges",,
"NON STRESS TEST","4080014","CDM","Both",,,"66.5","33.25","Wellcare","Medicaid Managed Care",,,"40",,"26.93","24.34","51.54","percent of total billed charges",,
"NON STRESS TEST","4080014","CDM","Both",,,"66.5","33.25","Aetna","Commercial",,,"64",,"42.43","24.34","51.54","percent of total billed charges",,
"NON STRESS TEST","4080014","CDM","Both",,,"66.5","33.25","Blue Cross Blue Shield","Pathways",,,"71",,"46.95","24.34","51.54","percent of total billed charges",,
"NON STRESS TEST","4080014","CDM","Both",,,"66.5","33.25","Blue Cross Blue Shield","HMO",,,"71",,"46.95","24.34","51.54","percent of total billed charges",,
"NON STRESS TEST","4080014","CDM","Both",,,"66.5","33.25","Blue Cross Blue Shield","PPO",,,"71",,"46.95","24.34","51.54","percent of total billed charges",,
"NON STRESS TEST","4080014","CDM","Both",,,"66.5","33.25","Ambetter","Health Exchange",,,"62",,"41.23","24.34","51.54","percent of total billed charges",,
"NON STRESS TEST","4080014","CDM","Both",,,"66.5","33.25","Caresource","Health Exchange",,,"62",,"41.23","24.34","51.54","percent of total billed charges",,
"NON STRESS TEST","4080014","CDM","Both",,,"66.5","33.25","Cigna","Commercial",,,"59",,"38.97","24.34","51.54","percent of total billed charges",,
"NON STRESS TEST","4080014","CDM","Both",,,"66.5","33.25","Humana","Commercial",,,"78",,"51.54","24.34","51.54","percent of total billed charges",,
"NON STRESS TEST","4080014","CDM","Both",,,"66.5","33.25","UHC","Commercial",,,"75",,"50.14","24.34","51.54","percent of total billed charges",,
"NON STRESS TEST","4080014","CDM","Both",,,"66.5","33.25","Medicaid",,,,"37",,"24.34","24.34","51.54","percent of total billed charges",,
"DELIVERY ROOM CHARGE","4080020","CDM","Both",,,"223.5","111.75","Alliant","Health Exchange",,,"62",,"138.57","81.8","173.21","percent of total billed charges",,
"DELIVERY ROOM CHARGE","4080020","CDM","Both",,,"223.5","111.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"120.69","81.8","173.21","percent of total billed charges",,
"DELIVERY ROOM CHARGE","4080020","CDM","Both",,,"223.5","111.75","Medicare",,,,"54",,"121.14","81.8","173.21","percent of total billed charges",,
"DELIVERY ROOM CHARGE","4080020","CDM","Both",,,"223.5","111.75","Humana","Medicare Advantage",,,"54",,"121.14","81.8","173.21","percent of total billed charges",,
"DELIVERY ROOM CHARGE","4080020","CDM","Both",,,"223.5","111.75","UHC","Medicare Advantage",,,"54",,"121.14","81.8","173.21","percent of total billed charges",,
"DELIVERY ROOM CHARGE","4080020","CDM","Both",,,"223.5","111.75","Clover","Medicare Advantage",,,"54",,"121.14","81.8","173.21","percent of total billed charges",,
"DELIVERY ROOM CHARGE","4080020","CDM","Both",,,"223.5","111.75","Wellcare","Medicare Advantage",,,"54",,"121.14","81.8","173.21","percent of total billed charges",,
"DELIVERY ROOM CHARGE","4080020","CDM","Both",,,"223.5","111.75","Amerigroup","Medicaid Managed Care",,,"37",,"81.8","81.8","173.21","percent of total billed charges",,
"DELIVERY ROOM CHARGE","4080020","CDM","Both",,,"223.5","111.75","Caresource","Medicaid Managed Care",,,"40",,"89.4","81.8","173.21","percent of total billed charges",,
"DELIVERY ROOM CHARGE","4080020","CDM","Both",,,"223.5","111.75","Wellcare","Medicaid Managed Care",,,"40",,"90.52","81.8","173.21","percent of total billed charges",,
"DELIVERY ROOM CHARGE","4080020","CDM","Both",,,"223.5","111.75","Aetna","Commercial",,,"64",,"142.59","81.8","173.21","percent of total billed charges",,
"DELIVERY ROOM CHARGE","4080020","CDM","Both",,,"223.5","111.75","Blue Cross Blue Shield","Pathways",,,"71",,"157.79","81.8","173.21","percent of total billed charges",,
"DELIVERY ROOM CHARGE","4080020","CDM","Both",,,"223.5","111.75","Blue Cross Blue Shield","HMO",,,"71",,"157.79","81.8","173.21","percent of total billed charges",,
"DELIVERY ROOM CHARGE","4080020","CDM","Both",,,"223.5","111.75","Blue Cross Blue Shield","PPO",,,"71",,"157.79","81.8","173.21","percent of total billed charges",,
"DELIVERY ROOM CHARGE","4080020","CDM","Both",,,"223.5","111.75","Ambetter","Health Exchange",,,"62",,"138.57","81.8","173.21","percent of total billed charges",,
"DELIVERY ROOM CHARGE","4080020","CDM","Both",,,"223.5","111.75","Caresource","Health Exchange",,,"62",,"138.57","81.8","173.21","percent of total billed charges",,
"DELIVERY ROOM CHARGE","4080020","CDM","Both",,,"223.5","111.75","Cigna","Commercial",,,"59",,"130.97","81.8","173.21","percent of total billed charges",,
"DELIVERY ROOM CHARGE","4080020","CDM","Both",,,"223.5","111.75","Humana","Commercial",,,"78",,"173.21","81.8","173.21","percent of total billed charges",,
"DELIVERY ROOM CHARGE","4080020","CDM","Both",,,"223.5","111.75","UHC","Commercial",,,"75",,"168.52","81.8","173.21","percent of total billed charges",,
"DELIVERY ROOM CHARGE","4080020","CDM","Both",,,"223.5","111.75","Medicaid",,,,"37",,"81.8","81.8","173.21","percent of total billed charges",,
"OCT 500CC IV","4080021","CDM","Both",,,"97","48.5","Alliant","Health Exchange",,,"62",,"60.14","35.5","75.18","percent of total billed charges",,
"OCT 500CC IV","4080021","CDM","Both",,,"97","48.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"52.38","35.5","75.18","percent of total billed charges",,
"OCT 500CC IV","4080021","CDM","Both",,,"97","48.5","Medicare",,,,"54",,"52.57","35.5","75.18","percent of total billed charges",,
"OCT 500CC IV","4080021","CDM","Both",,,"97","48.5","Humana","Medicare Advantage",,,"54",,"52.57","35.5","75.18","percent of total billed charges",,
"OCT 500CC IV","4080021","CDM","Both",,,"97","48.5","UHC","Medicare Advantage",,,"54",,"52.57","35.5","75.18","percent of total billed charges",,
"OCT 500CC IV","4080021","CDM","Both",,,"97","48.5","Clover","Medicare Advantage",,,"54",,"52.57","35.5","75.18","percent of total billed charges",,
"OCT 500CC IV","4080021","CDM","Both",,,"97","48.5","Wellcare","Medicare Advantage",,,"54",,"52.57","35.5","75.18","percent of total billed charges",,
"OCT 500CC IV","4080021","CDM","Both",,,"97","48.5","Amerigroup","Medicaid Managed Care",,,"37",,"35.5","35.5","75.18","percent of total billed charges",,
"OCT 500CC IV","4080021","CDM","Both",,,"97","48.5","Caresource","Medicaid Managed Care",,,"40",,"38.8","35.5","75.18","percent of total billed charges",,
"OCT 500CC IV","4080021","CDM","Both",,,"97","48.5","Wellcare","Medicaid Managed Care",,,"40",,"39.29","35.5","75.18","percent of total billed charges",,
"OCT 500CC IV","4080021","CDM","Both",,,"97","48.5","Aetna","Commercial",,,"64",,"61.89","35.5","75.18","percent of total billed charges",,
"OCT 500CC IV","4080021","CDM","Both",,,"97","48.5","Blue Cross Blue Shield","Pathways",,,"71",,"68.48","35.5","75.18","percent of total billed charges",,
"OCT 500CC IV","4080021","CDM","Both",,,"97","48.5","Blue Cross Blue Shield","HMO",,,"71",,"68.48","35.5","75.18","percent of total billed charges",,
"OCT 500CC IV","4080021","CDM","Both",,,"97","48.5","Blue Cross Blue Shield","PPO",,,"71",,"68.48","35.5","75.18","percent of total billed charges",,
"OCT 500CC IV","4080021","CDM","Both",,,"97","48.5","Ambetter","Health Exchange",,,"62",,"60.14","35.5","75.18","percent of total billed charges",,
"OCT 500CC IV","4080021","CDM","Both",,,"97","48.5","Caresource","Health Exchange",,,"62",,"60.14","35.5","75.18","percent of total billed charges",,
"OCT 500CC IV","4080021","CDM","Both",,,"97","48.5","Cigna","Commercial",,,"59",,"56.84","35.5","75.18","percent of total billed charges",,
"OCT 500CC IV","4080021","CDM","Both",,,"97","48.5","Humana","Commercial",,,"78",,"75.18","35.5","75.18","percent of total billed charges",,
"OCT 500CC IV","4080021","CDM","Both",,,"97","48.5","UHC","Commercial",,,"75",,"73.14","35.5","75.18","percent of total billed charges",,
"OCT 500CC IV","4080021","CDM","Both",,,"97","48.5","Medicaid",,,,"37",,"35.5","35.5","75.18","percent of total billed charges",,
"OCT 1000CC IV","4080022","CDM","Both",,,"122","61","Alliant","Health Exchange",,,"62",,"75.64","44.65","94.55","percent of total billed charges",,
"OCT 1000CC IV","4080022","CDM","Both",,,"122","61","Pruitt Healthcare","Medicare Advantage",,,"54",,"65.88","44.65","94.55","percent of total billed charges",,
"OCT 1000CC IV","4080022","CDM","Both",,,"122","61","Medicare",,,,"54",,"66.12","44.65","94.55","percent of total billed charges",,
"OCT 1000CC IV","4080022","CDM","Both",,,"122","61","Humana","Medicare Advantage",,,"54",,"66.12","44.65","94.55","percent of total billed charges",,
"OCT 1000CC IV","4080022","CDM","Both",,,"122","61","UHC","Medicare Advantage",,,"54",,"66.12","44.65","94.55","percent of total billed charges",,
"OCT 1000CC IV","4080022","CDM","Both",,,"122","61","Clover","Medicare Advantage",,,"54",,"66.12","44.65","94.55","percent of total billed charges",,
"OCT 1000CC IV","4080022","CDM","Both",,,"122","61","Wellcare","Medicare Advantage",,,"54",,"66.12","44.65","94.55","percent of total billed charges",,
"OCT 1000CC IV","4080022","CDM","Both",,,"122","61","Amerigroup","Medicaid Managed Care",,,"37",,"44.65","44.65","94.55","percent of total billed charges",,
"OCT 1000CC IV","4080022","CDM","Both",,,"122","61","Caresource","Medicaid Managed Care",,,"40",,"48.8","44.65","94.55","percent of total billed charges",,
"OCT 1000CC IV","4080022","CDM","Both",,,"122","61","Wellcare","Medicaid Managed Care",,,"40",,"49.41","44.65","94.55","percent of total billed charges",,
"OCT 1000CC IV","4080022","CDM","Both",,,"122","61","Aetna","Commercial",,,"64",,"77.84","44.65","94.55","percent of total billed charges",,
"OCT 1000CC IV","4080022","CDM","Both",,,"122","61","Blue Cross Blue Shield","Pathways",,,"71",,"86.13","44.65","94.55","percent of total billed charges",,
"OCT 1000CC IV","4080022","CDM","Both",,,"122","61","Blue Cross Blue Shield","HMO",,,"71",,"86.13","44.65","94.55","percent of total billed charges",,
"OCT 1000CC IV","4080022","CDM","Both",,,"122","61","Blue Cross Blue Shield","PPO",,,"71",,"86.13","44.65","94.55","percent of total billed charges",,
"OCT 1000CC IV","4080022","CDM","Both",,,"122","61","Ambetter","Health Exchange",,,"62",,"75.64","44.65","94.55","percent of total billed charges",,
"OCT 1000CC IV","4080022","CDM","Both",,,"122","61","Caresource","Health Exchange",,,"62",,"75.64","44.65","94.55","percent of total billed charges",,
"OCT 1000CC IV","4080022","CDM","Both",,,"122","61","Cigna","Commercial",,,"59",,"71.49","44.65","94.55","percent of total billed charges",,
"OCT 1000CC IV","4080022","CDM","Both",,,"122","61","Humana","Commercial",,,"78",,"94.55","44.65","94.55","percent of total billed charges",,
"OCT 1000CC IV","4080022","CDM","Both",,,"122","61","UHC","Commercial",,,"75",,"91.99","44.65","94.55","percent of total billed charges",,
"OCT 1000CC IV","4080022","CDM","Both",,,"122","61","Medicaid",,,,"37",,"44.65","44.65","94.55","percent of total billed charges",,
"OB/OBSERVATION 0-4 HRS","4080023","CDM","Both",,,"66.5","33.25","Alliant","Health Exchange",,,"62",,"41.23","24.34","51.54","percent of total billed charges",,
"OB/OBSERVATION 0-4 HRS","4080023","CDM","Both",,,"66.5","33.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"35.91","24.34","51.54","percent of total billed charges",,
"OB/OBSERVATION 0-4 HRS","4080023","CDM","Both",,,"66.5","33.25","Medicare",,,,"54",,"36.04","24.34","51.54","percent of total billed charges",,
"OB/OBSERVATION 0-4 HRS","4080023","CDM","Both",,,"66.5","33.25","Humana","Medicare Advantage",,,"54",,"36.04","24.34","51.54","percent of total billed charges",,
"OB/OBSERVATION 0-4 HRS","4080023","CDM","Both",,,"66.5","33.25","UHC","Medicare Advantage",,,"54",,"36.04","24.34","51.54","percent of total billed charges",,
"OB/OBSERVATION 0-4 HRS","4080023","CDM","Both",,,"66.5","33.25","Clover","Medicare Advantage",,,"54",,"36.04","24.34","51.54","percent of total billed charges",,
"OB/OBSERVATION 0-4 HRS","4080023","CDM","Both",,,"66.5","33.25","Wellcare","Medicare Advantage",,,"54",,"36.04","24.34","51.54","percent of total billed charges",,
"OB/OBSERVATION 0-4 HRS","4080023","CDM","Both",,,"66.5","33.25","Amerigroup","Medicaid Managed Care",,,"37",,"24.34","24.34","51.54","percent of total billed charges",,
"OB/OBSERVATION 0-4 HRS","4080023","CDM","Both",,,"66.5","33.25","Caresource","Medicaid Managed Care",,,"40",,"26.6","24.34","51.54","percent of total billed charges",,
"OB/OBSERVATION 0-4 HRS","4080023","CDM","Both",,,"66.5","33.25","Wellcare","Medicaid Managed Care",,,"40",,"26.93","24.34","51.54","percent of total billed charges",,
"OB/OBSERVATION 0-4 HRS","4080023","CDM","Both",,,"66.5","33.25","Aetna","Commercial",,,"64",,"42.43","24.34","51.54","percent of total billed charges",,
"OB/OBSERVATION 0-4 HRS","4080023","CDM","Both",,,"66.5","33.25","Blue Cross Blue Shield","Pathways",,,"71",,"46.95","24.34","51.54","percent of total billed charges",,
"OB/OBSERVATION 0-4 HRS","4080023","CDM","Both",,,"66.5","33.25","Blue Cross Blue Shield","HMO",,,"71",,"46.95","24.34","51.54","percent of total billed charges",,
"OB/OBSERVATION 0-4 HRS","4080023","CDM","Both",,,"66.5","33.25","Blue Cross Blue Shield","PPO",,,"71",,"46.95","24.34","51.54","percent of total billed charges",,
"OB/OBSERVATION 0-4 HRS","4080023","CDM","Both",,,"66.5","33.25","Ambetter","Health Exchange",,,"62",,"41.23","24.34","51.54","percent of total billed charges",,
"OB/OBSERVATION 0-4 HRS","4080023","CDM","Both",,,"66.5","33.25","Caresource","Health Exchange",,,"62",,"41.23","24.34","51.54","percent of total billed charges",,
"OB/OBSERVATION 0-4 HRS","4080023","CDM","Both",,,"66.5","33.25","Cigna","Commercial",,,"59",,"38.97","24.34","51.54","percent of total billed charges",,
"OB/OBSERVATION 0-4 HRS","4080023","CDM","Both",,,"66.5","33.25","Humana","Commercial",,,"78",,"51.54","24.34","51.54","percent of total billed charges",,
"OB/OBSERVATION 0-4 HRS","4080023","CDM","Both",,,"66.5","33.25","UHC","Commercial",,,"75",,"50.14","24.34","51.54","percent of total billed charges",,
"OB/OBSERVATION 0-4 HRS","4080023","CDM","Both",,,"66.5","33.25","Medicaid",,,,"37",,"24.34","24.34","51.54","percent of total billed charges",,
"COLONOSCOPY","4300305","CDM","Both",,,"1356","678","Alliant","Health Exchange",,,"62",,"840.72","496.3","1050.9","percent of total billed charges",,
"COLONOSCOPY","4300305","CDM","Both",,,"1356","678","Pruitt Healthcare","Medicare Advantage",,,"54",,"732.24","496.3","1050.9","percent of total billed charges",,
"COLONOSCOPY","4300305","CDM","Both",,,"1356","678","Medicare",,,,"54",,"734.95","496.3","1050.9","percent of total billed charges",,
"COLONOSCOPY","4300305","CDM","Both",,,"1356","678","Humana","Medicare Advantage",,,"54",,"734.95","496.3","1050.9","percent of total billed charges",,
"COLONOSCOPY","4300305","CDM","Both",,,"1356","678","UHC","Medicare Advantage",,,"54",,"734.95","496.3","1050.9","percent of total billed charges",,
"COLONOSCOPY","4300305","CDM","Both",,,"1356","678","Clover","Medicare Advantage",,,"54",,"734.95","496.3","1050.9","percent of total billed charges",,
"COLONOSCOPY","4300305","CDM","Both",,,"1356","678","Wellcare","Medicare Advantage",,,"54",,"734.95","496.3","1050.9","percent of total billed charges",,
"COLONOSCOPY","4300305","CDM","Both",,,"1356","678","Amerigroup","Medicaid Managed Care",,,"37",,"496.3","496.3","1050.9","percent of total billed charges",,
"COLONOSCOPY","4300305","CDM","Both",,,"1356","678","Caresource","Medicaid Managed Care",,,"40",,"542.4","496.3","1050.9","percent of total billed charges",,
"COLONOSCOPY","4300305","CDM","Both",,,"1356","678","Wellcare","Medicaid Managed Care",,,"40",,"549.18","496.3","1050.9","percent of total billed charges",,
"COLONOSCOPY","4300305","CDM","Both",,,"1356","678","Aetna","Commercial",,,"64",,"865.13","496.3","1050.9","percent of total billed charges",,
"COLONOSCOPY","4300305","CDM","Both",,,"1356","678","Blue Cross Blue Shield","Pathways",,,"71",,"957.34","496.3","1050.9","percent of total billed charges",,
"COLONOSCOPY","4300305","CDM","Both",,,"1356","678","Blue Cross Blue Shield","HMO",,,"71",,"957.34","496.3","1050.9","percent of total billed charges",,
"COLONOSCOPY","4300305","CDM","Both",,,"1356","678","Blue Cross Blue Shield","PPO",,,"71",,"957.34","496.3","1050.9","percent of total billed charges",,
"COLONOSCOPY","4300305","CDM","Both",,,"1356","678","Ambetter","Health Exchange",,,"62",,"840.72","496.3","1050.9","percent of total billed charges",,
"COLONOSCOPY","4300305","CDM","Both",,,"1356","678","Caresource","Health Exchange",,,"62",,"840.72","496.3","1050.9","percent of total billed charges",,
"COLONOSCOPY","4300305","CDM","Both",,,"1356","678","Cigna","Commercial",,,"59",,"794.62","496.3","1050.9","percent of total billed charges",,
"COLONOSCOPY","4300305","CDM","Both",,,"1356","678","Humana","Commercial",,,"78",,"1050.9","496.3","1050.9","percent of total billed charges",,
"COLONOSCOPY","4300305","CDM","Both",,,"1356","678","UHC","Commercial",,,"75",,"1022.42","496.3","1050.9","percent of total billed charges",,
"COLONOSCOPY","4300305","CDM","Both",,,"1356","678","Medicaid",,,,"37",,"496.3","496.3","1050.9","percent of total billed charges",,
"REMOVAL F.B. FOOT","4300331","CDM","Both",,,"732","366","Alliant","Health Exchange",,,"62",,"453.84","267.91","567.3","percent of total billed charges",,
"REMOVAL F.B. FOOT","4300331","CDM","Both",,,"732","366","Pruitt Healthcare","Medicare Advantage",,,"54",,"395.28","267.91","567.3","percent of total billed charges",,
"REMOVAL F.B. FOOT","4300331","CDM","Both",,,"732","366","Medicare",,,,"54",,"396.74","267.91","567.3","percent of total billed charges",,
"REMOVAL F.B. FOOT","4300331","CDM","Both",,,"732","366","Humana","Medicare Advantage",,,"54",,"396.74","267.91","567.3","percent of total billed charges",,
"REMOVAL F.B. FOOT","4300331","CDM","Both",,,"732","366","UHC","Medicare Advantage",,,"54",,"396.74","267.91","567.3","percent of total billed charges",,
"REMOVAL F.B. FOOT","4300331","CDM","Both",,,"732","366","Clover","Medicare Advantage",,,"54",,"396.74","267.91","567.3","percent of total billed charges",,
"REMOVAL F.B. FOOT","4300331","CDM","Both",,,"732","366","Wellcare","Medicare Advantage",,,"54",,"396.74","267.91","567.3","percent of total billed charges",,
"REMOVAL F.B. FOOT","4300331","CDM","Both",,,"732","366","Amerigroup","Medicaid Managed Care",,,"37",,"267.91","267.91","567.3","percent of total billed charges",,
"REMOVAL F.B. FOOT","4300331","CDM","Both",,,"732","366","Caresource","Medicaid Managed Care",,,"40",,"292.8","267.91","567.3","percent of total billed charges",,
"REMOVAL F.B. FOOT","4300331","CDM","Both",,,"732","366","Wellcare","Medicaid Managed Care",,,"40",,"296.46","267.91","567.3","percent of total billed charges",,
"REMOVAL F.B. FOOT","4300331","CDM","Both",,,"732","366","Aetna","Commercial",,,"64",,"467.02","267.91","567.3","percent of total billed charges",,
"REMOVAL F.B. FOOT","4300331","CDM","Both",,,"732","366","Blue Cross Blue Shield","Pathways",,,"71",,"516.79","267.91","567.3","percent of total billed charges",,
"REMOVAL F.B. FOOT","4300331","CDM","Both",,,"732","366","Blue Cross Blue Shield","HMO",,,"71",,"516.79","267.91","567.3","percent of total billed charges",,
"REMOVAL F.B. FOOT","4300331","CDM","Both",,,"732","366","Blue Cross Blue Shield","PPO",,,"71",,"516.79","267.91","567.3","percent of total billed charges",,
"REMOVAL F.B. FOOT","4300331","CDM","Both",,,"732","366","Ambetter","Health Exchange",,,"62",,"453.84","267.91","567.3","percent of total billed charges",,
"REMOVAL F.B. FOOT","4300331","CDM","Both",,,"732","366","Caresource","Health Exchange",,,"62",,"453.84","267.91","567.3","percent of total billed charges",,
"REMOVAL F.B. FOOT","4300331","CDM","Both",,,"732","366","Cigna","Commercial",,,"59",,"428.95","267.91","567.3","percent of total billed charges",,
"REMOVAL F.B. FOOT","4300331","CDM","Both",,,"732","366","Humana","Commercial",,,"78",,"567.3","267.91","567.3","percent of total billed charges",,
"REMOVAL F.B. FOOT","4300331","CDM","Both",,,"732","366","UHC","Commercial",,,"75",,"551.93","267.91","567.3","percent of total billed charges",,
"REMOVAL F.B. FOOT","4300331","CDM","Both",,,"732","366","Medicaid",,,,"37",,"267.91","267.91","567.3","percent of total billed charges",,
"PER MILE OUTSIDE COUNTY","4700002","CDM","Both",,,"15.5","7.75","Alliant","Health Exchange",,,"62",,"9.61","5.67","12.01","percent of total billed charges",,
"PER MILE OUTSIDE COUNTY","4700002","CDM","Both",,,"15.5","7.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"8.37","5.67","12.01","percent of total billed charges",,
"PER MILE OUTSIDE COUNTY","4700002","CDM","Both",,,"15.5","7.75","Medicare",,,,"54",,"8.4","5.67","12.01","percent of total billed charges",,
"PER MILE OUTSIDE COUNTY","4700002","CDM","Both",,,"15.5","7.75","Humana","Medicare Advantage",,,"54",,"8.4","5.67","12.01","percent of total billed charges",,
"PER MILE OUTSIDE COUNTY","4700002","CDM","Both",,,"15.5","7.75","UHC","Medicare Advantage",,,"54",,"8.4","5.67","12.01","percent of total billed charges",,
"PER MILE OUTSIDE COUNTY","4700002","CDM","Both",,,"15.5","7.75","Clover","Medicare Advantage",,,"54",,"8.4","5.67","12.01","percent of total billed charges",,
"PER MILE OUTSIDE COUNTY","4700002","CDM","Both",,,"15.5","7.75","Wellcare","Medicare Advantage",,,"54",,"8.4","5.67","12.01","percent of total billed charges",,
"PER MILE OUTSIDE COUNTY","4700002","CDM","Both",,,"15.5","7.75","Amerigroup","Medicaid Managed Care",,,"37",,"5.67","5.67","12.01","percent of total billed charges",,
"PER MILE OUTSIDE COUNTY","4700002","CDM","Both",,,"15.5","7.75","Caresource","Medicaid Managed Care",,,"40",,"6.2","5.67","12.01","percent of total billed charges",,
"PER MILE OUTSIDE COUNTY","4700002","CDM","Both",,,"15.5","7.75","Wellcare","Medicaid Managed Care",,,"40",,"6.28","5.67","12.01","percent of total billed charges",,
"PER MILE OUTSIDE COUNTY","4700002","CDM","Both",,,"15.5","7.75","Aetna","Commercial",,,"64",,"9.89","5.67","12.01","percent of total billed charges",,
"PER MILE OUTSIDE COUNTY","4700002","CDM","Both",,,"15.5","7.75","Blue Cross Blue Shield","Pathways",,,"71",,"10.94","5.67","12.01","percent of total billed charges",,
"PER MILE OUTSIDE COUNTY","4700002","CDM","Both",,,"15.5","7.75","Blue Cross Blue Shield","HMO",,,"71",,"10.94","5.67","12.01","percent of total billed charges",,
"PER MILE OUTSIDE COUNTY","4700002","CDM","Both",,,"15.5","7.75","Blue Cross Blue Shield","PPO",,,"71",,"10.94","5.67","12.01","percent of total billed charges",,
"PER MILE OUTSIDE COUNTY","4700002","CDM","Both",,,"15.5","7.75","Ambetter","Health Exchange",,,"62",,"9.61","5.67","12.01","percent of total billed charges",,
"PER MILE OUTSIDE COUNTY","4700002","CDM","Both",,,"15.5","7.75","Caresource","Health Exchange",,,"62",,"9.61","5.67","12.01","percent of total billed charges",,
"PER MILE OUTSIDE COUNTY","4700002","CDM","Both",,,"15.5","7.75","Cigna","Commercial",,,"59",,"9.08","5.67","12.01","percent of total billed charges",,
"PER MILE OUTSIDE COUNTY","4700002","CDM","Both",,,"15.5","7.75","Humana","Commercial",,,"78",,"12.01","5.67","12.01","percent of total billed charges",,
"PER MILE OUTSIDE COUNTY","4700002","CDM","Both",,,"15.5","7.75","UHC","Commercial",,,"75",,"11.69","5.67","12.01","percent of total billed charges",,
"PER MILE OUTSIDE COUNTY","4700002","CDM","Both",,,"15.5","7.75","Medicaid",,,,"37",,"5.67","5.67","12.01","percent of total billed charges",,
"WAITING TIME PER HOUR","4700005","CDM","Both",,,"54.5","27.25","Alliant","Health Exchange",,,"62",,"33.79","19.95","42.24","percent of total billed charges",,
"WAITING TIME PER HOUR","4700005","CDM","Both",,,"54.5","27.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"29.43","19.95","42.24","percent of total billed charges",,
"WAITING TIME PER HOUR","4700005","CDM","Both",,,"54.5","27.25","Medicare",,,,"54",,"29.54","19.95","42.24","percent of total billed charges",,
"WAITING TIME PER HOUR","4700005","CDM","Both",,,"54.5","27.25","Humana","Medicare Advantage",,,"54",,"29.54","19.95","42.24","percent of total billed charges",,
"WAITING TIME PER HOUR","4700005","CDM","Both",,,"54.5","27.25","UHC","Medicare Advantage",,,"54",,"29.54","19.95","42.24","percent of total billed charges",,
"WAITING TIME PER HOUR","4700005","CDM","Both",,,"54.5","27.25","Clover","Medicare Advantage",,,"54",,"29.54","19.95","42.24","percent of total billed charges",,
"WAITING TIME PER HOUR","4700005","CDM","Both",,,"54.5","27.25","Wellcare","Medicare Advantage",,,"54",,"29.54","19.95","42.24","percent of total billed charges",,
"WAITING TIME PER HOUR","4700005","CDM","Both",,,"54.5","27.25","Amerigroup","Medicaid Managed Care",,,"37",,"19.95","19.95","42.24","percent of total billed charges",,
"WAITING TIME PER HOUR","4700005","CDM","Both",,,"54.5","27.25","Caresource","Medicaid Managed Care",,,"40",,"21.8","19.95","42.24","percent of total billed charges",,
"WAITING TIME PER HOUR","4700005","CDM","Both",,,"54.5","27.25","Wellcare","Medicaid Managed Care",,,"40",,"22.07","19.95","42.24","percent of total billed charges",,
"WAITING TIME PER HOUR","4700005","CDM","Both",,,"54.5","27.25","Aetna","Commercial",,,"64",,"34.77","19.95","42.24","percent of total billed charges",,
"WAITING TIME PER HOUR","4700005","CDM","Both",,,"54.5","27.25","Blue Cross Blue Shield","Pathways",,,"71",,"38.48","19.95","42.24","percent of total billed charges",,
"WAITING TIME PER HOUR","4700005","CDM","Both",,,"54.5","27.25","Blue Cross Blue Shield","HMO",,,"71",,"38.48","19.95","42.24","percent of total billed charges",,
"WAITING TIME PER HOUR","4700005","CDM","Both",,,"54.5","27.25","Blue Cross Blue Shield","PPO",,,"71",,"38.48","19.95","42.24","percent of total billed charges",,
"WAITING TIME PER HOUR","4700005","CDM","Both",,,"54.5","27.25","Ambetter","Health Exchange",,,"62",,"33.79","19.95","42.24","percent of total billed charges",,
"WAITING TIME PER HOUR","4700005","CDM","Both",,,"54.5","27.25","Caresource","Health Exchange",,,"62",,"33.79","19.95","42.24","percent of total billed charges",,
"WAITING TIME PER HOUR","4700005","CDM","Both",,,"54.5","27.25","Cigna","Commercial",,,"59",,"31.94","19.95","42.24","percent of total billed charges",,
"WAITING TIME PER HOUR","4700005","CDM","Both",,,"54.5","27.25","Humana","Commercial",,,"78",,"42.24","19.95","42.24","percent of total billed charges",,
"WAITING TIME PER HOUR","4700005","CDM","Both",,,"54.5","27.25","UHC","Commercial",,,"75",,"41.09","19.95","42.24","percent of total billed charges",,
"WAITING TIME PER HOUR","4700005","CDM","Both",,,"54.5","27.25","Medicaid",,,,"37",,"19.95","19.95","42.24","percent of total billed charges",,
"IV VENEKITS","4700035","CDM","Both",,,"17.5","8.75","Alliant","Health Exchange",,,"62",,"10.85","6.4","13.56","percent of total billed charges",,
"IV VENEKITS","4700035","CDM","Both",,,"17.5","8.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.45","6.4","13.56","percent of total billed charges",,
"IV VENEKITS","4700035","CDM","Both",,,"17.5","8.75","Medicare",,,,"54",,"9.49","6.4","13.56","percent of total billed charges",,
"IV VENEKITS","4700035","CDM","Both",,,"17.5","8.75","Humana","Medicare Advantage",,,"54",,"9.49","6.4","13.56","percent of total billed charges",,
"IV VENEKITS","4700035","CDM","Both",,,"17.5","8.75","UHC","Medicare Advantage",,,"54",,"9.49","6.4","13.56","percent of total billed charges",,
"IV VENEKITS","4700035","CDM","Both",,,"17.5","8.75","Clover","Medicare Advantage",,,"54",,"9.49","6.4","13.56","percent of total billed charges",,
"IV VENEKITS","4700035","CDM","Both",,,"17.5","8.75","Wellcare","Medicare Advantage",,,"54",,"9.49","6.4","13.56","percent of total billed charges",,
"IV VENEKITS","4700035","CDM","Both",,,"17.5","8.75","Amerigroup","Medicaid Managed Care",,,"37",,"6.4","6.4","13.56","percent of total billed charges",,
"IV VENEKITS","4700035","CDM","Both",,,"17.5","8.75","Caresource","Medicaid Managed Care",,,"40",,"7","6.4","13.56","percent of total billed charges",,
"IV VENEKITS","4700035","CDM","Both",,,"17.5","8.75","Wellcare","Medicaid Managed Care",,,"40",,"7.09","6.4","13.56","percent of total billed charges",,
"IV VENEKITS","4700035","CDM","Both",,,"17.5","8.75","Aetna","Commercial",,,"64",,"11.16","6.4","13.56","percent of total billed charges",,
"IV VENEKITS","4700035","CDM","Both",,,"17.5","8.75","Blue Cross Blue Shield","Pathways",,,"71",,"12.35","6.4","13.56","percent of total billed charges",,
"IV VENEKITS","4700035","CDM","Both",,,"17.5","8.75","Blue Cross Blue Shield","HMO",,,"71",,"12.35","6.4","13.56","percent of total billed charges",,
"IV VENEKITS","4700035","CDM","Both",,,"17.5","8.75","Blue Cross Blue Shield","PPO",,,"71",,"12.35","6.4","13.56","percent of total billed charges",,
"IV VENEKITS","4700035","CDM","Both",,,"17.5","8.75","Ambetter","Health Exchange",,,"62",,"10.85","6.4","13.56","percent of total billed charges",,
"IV VENEKITS","4700035","CDM","Both",,,"17.5","8.75","Caresource","Health Exchange",,,"62",,"10.85","6.4","13.56","percent of total billed charges",,
"IV VENEKITS","4700035","CDM","Both",,,"17.5","8.75","Cigna","Commercial",,,"59",,"10.26","6.4","13.56","percent of total billed charges",,
"IV VENEKITS","4700035","CDM","Both",,,"17.5","8.75","Humana","Commercial",,,"78",,"13.56","6.4","13.56","percent of total billed charges",,
"IV VENEKITS","4700035","CDM","Both",,,"17.5","8.75","UHC","Commercial",,,"75",,"13.2","6.4","13.56","percent of total billed charges",,
"IV VENEKITS","4700035","CDM","Both",,,"17.5","8.75","Medicaid",,,,"37",,"6.4","6.4","13.56","percent of total billed charges",,
"OXYGEN BASE & 1ST HOUR USE","4700053","CDM","Both",,,"64.5","32.25","Alliant","Health Exchange",,,"62",,"39.99","23.61","49.99","percent of total billed charges",,
"OXYGEN BASE & 1ST HOUR USE","4700053","CDM","Both",,,"64.5","32.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"34.83","23.61","49.99","percent of total billed charges",,
"OXYGEN BASE & 1ST HOUR USE","4700053","CDM","Both",,,"64.5","32.25","Medicare",,,,"54",,"34.96","23.61","49.99","percent of total billed charges",,
"OXYGEN BASE & 1ST HOUR USE","4700053","CDM","Both",,,"64.5","32.25","Humana","Medicare Advantage",,,"54",,"34.96","23.61","49.99","percent of total billed charges",,
"OXYGEN BASE & 1ST HOUR USE","4700053","CDM","Both",,,"64.5","32.25","UHC","Medicare Advantage",,,"54",,"34.96","23.61","49.99","percent of total billed charges",,
"OXYGEN BASE & 1ST HOUR USE","4700053","CDM","Both",,,"64.5","32.25","Clover","Medicare Advantage",,,"54",,"34.96","23.61","49.99","percent of total billed charges",,
"OXYGEN BASE & 1ST HOUR USE","4700053","CDM","Both",,,"64.5","32.25","Wellcare","Medicare Advantage",,,"54",,"34.96","23.61","49.99","percent of total billed charges",,
"OXYGEN BASE & 1ST HOUR USE","4700053","CDM","Both",,,"64.5","32.25","Amerigroup","Medicaid Managed Care",,,"37",,"23.61","23.61","49.99","percent of total billed charges",,
"OXYGEN BASE & 1ST HOUR USE","4700053","CDM","Both",,,"64.5","32.25","Caresource","Medicaid Managed Care",,,"40",,"25.8","23.61","49.99","percent of total billed charges",,
"OXYGEN BASE & 1ST HOUR USE","4700053","CDM","Both",,,"64.5","32.25","Wellcare","Medicaid Managed Care",,,"40",,"26.12","23.61","49.99","percent of total billed charges",,
"OXYGEN BASE & 1ST HOUR USE","4700053","CDM","Both",,,"64.5","32.25","Aetna","Commercial",,,"64",,"41.15","23.61","49.99","percent of total billed charges",,
"OXYGEN BASE & 1ST HOUR USE","4700053","CDM","Both",,,"64.5","32.25","Blue Cross Blue Shield","Pathways",,,"71",,"45.54","23.61","49.99","percent of total billed charges",,
"OXYGEN BASE & 1ST HOUR USE","4700053","CDM","Both",,,"64.5","32.25","Blue Cross Blue Shield","HMO",,,"71",,"45.54","23.61","49.99","percent of total billed charges",,
"OXYGEN BASE & 1ST HOUR USE","4700053","CDM","Both",,,"64.5","32.25","Blue Cross Blue Shield","PPO",,,"71",,"45.54","23.61","49.99","percent of total billed charges",,
"OXYGEN BASE & 1ST HOUR USE","4700053","CDM","Both",,,"64.5","32.25","Ambetter","Health Exchange",,,"62",,"39.99","23.61","49.99","percent of total billed charges",,
"OXYGEN BASE & 1ST HOUR USE","4700053","CDM","Both",,,"64.5","32.25","Caresource","Health Exchange",,,"62",,"39.99","23.61","49.99","percent of total billed charges",,
"OXYGEN BASE & 1ST HOUR USE","4700053","CDM","Both",,,"64.5","32.25","Cigna","Commercial",,,"59",,"37.8","23.61","49.99","percent of total billed charges",,
"OXYGEN BASE & 1ST HOUR USE","4700053","CDM","Both",,,"64.5","32.25","Humana","Commercial",,,"78",,"49.99","23.61","49.99","percent of total billed charges",,
"OXYGEN BASE & 1ST HOUR USE","4700053","CDM","Both",,,"64.5","32.25","UHC","Commercial",,,"75",,"48.63","23.61","49.99","percent of total billed charges",,
"OXYGEN BASE & 1ST HOUR USE","4700053","CDM","Both",,,"64.5","32.25","Medicaid",,,,"37",,"23.61","23.61","49.99","percent of total billed charges",,
"OXYGEN AFTER 1ST HOUR","4700054","CDM","Both",,,"17.5","8.75","Alliant","Health Exchange",,,"62",,"10.85","6.4","13.56","percent of total billed charges",,
"OXYGEN AFTER 1ST HOUR","4700054","CDM","Both",,,"17.5","8.75","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.45","6.4","13.56","percent of total billed charges",,
"OXYGEN AFTER 1ST HOUR","4700054","CDM","Both",,,"17.5","8.75","Medicare",,,,"54",,"9.49","6.4","13.56","percent of total billed charges",,
"OXYGEN AFTER 1ST HOUR","4700054","CDM","Both",,,"17.5","8.75","Humana","Medicare Advantage",,,"54",,"9.49","6.4","13.56","percent of total billed charges",,
"OXYGEN AFTER 1ST HOUR","4700054","CDM","Both",,,"17.5","8.75","UHC","Medicare Advantage",,,"54",,"9.49","6.4","13.56","percent of total billed charges",,
"OXYGEN AFTER 1ST HOUR","4700054","CDM","Both",,,"17.5","8.75","Clover","Medicare Advantage",,,"54",,"9.49","6.4","13.56","percent of total billed charges",,
"OXYGEN AFTER 1ST HOUR","4700054","CDM","Both",,,"17.5","8.75","Wellcare","Medicare Advantage",,,"54",,"9.49","6.4","13.56","percent of total billed charges",,
"OXYGEN AFTER 1ST HOUR","4700054","CDM","Both",,,"17.5","8.75","Amerigroup","Medicaid Managed Care",,,"37",,"6.4","6.4","13.56","percent of total billed charges",,
"OXYGEN AFTER 1ST HOUR","4700054","CDM","Both",,,"17.5","8.75","Caresource","Medicaid Managed Care",,,"40",,"7","6.4","13.56","percent of total billed charges",,
"OXYGEN AFTER 1ST HOUR","4700054","CDM","Both",,,"17.5","8.75","Wellcare","Medicaid Managed Care",,,"40",,"7.09","6.4","13.56","percent of total billed charges",,
"OXYGEN AFTER 1ST HOUR","4700054","CDM","Both",,,"17.5","8.75","Aetna","Commercial",,,"64",,"11.16","6.4","13.56","percent of total billed charges",,
"OXYGEN AFTER 1ST HOUR","4700054","CDM","Both",,,"17.5","8.75","Blue Cross Blue Shield","Pathways",,,"71",,"12.35","6.4","13.56","percent of total billed charges",,
"OXYGEN AFTER 1ST HOUR","4700054","CDM","Both",,,"17.5","8.75","Blue Cross Blue Shield","HMO",,,"71",,"12.35","6.4","13.56","percent of total billed charges",,
"OXYGEN AFTER 1ST HOUR","4700054","CDM","Both",,,"17.5","8.75","Blue Cross Blue Shield","PPO",,,"71",,"12.35","6.4","13.56","percent of total billed charges",,
"OXYGEN AFTER 1ST HOUR","4700054","CDM","Both",,,"17.5","8.75","Ambetter","Health Exchange",,,"62",,"10.85","6.4","13.56","percent of total billed charges",,
"OXYGEN AFTER 1ST HOUR","4700054","CDM","Both",,,"17.5","8.75","Caresource","Health Exchange",,,"62",,"10.85","6.4","13.56","percent of total billed charges",,
"OXYGEN AFTER 1ST HOUR","4700054","CDM","Both",,,"17.5","8.75","Cigna","Commercial",,,"59",,"10.26","6.4","13.56","percent of total billed charges",,
"OXYGEN AFTER 1ST HOUR","4700054","CDM","Both",,,"17.5","8.75","Humana","Commercial",,,"78",,"13.56","6.4","13.56","percent of total billed charges",,
"OXYGEN AFTER 1ST HOUR","4700054","CDM","Both",,,"17.5","8.75","UHC","Commercial",,,"75",,"13.2","6.4","13.56","percent of total billed charges",,
"OXYGEN AFTER 1ST HOUR","4700054","CDM","Both",,,"17.5","8.75","Medicaid",,,,"37",,"6.4","6.4","13.56","percent of total billed charges",,
"OXYGEN MASK","4700055","CDM","Both",,,"33","16.5","Alliant","Health Exchange",,,"62",,"20.46","12.08","25.58","percent of total billed charges",,
"OXYGEN MASK","4700055","CDM","Both",,,"33","16.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.82","12.08","25.58","percent of total billed charges",,
"OXYGEN MASK","4700055","CDM","Both",,,"33","16.5","Medicare",,,,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"OXYGEN MASK","4700055","CDM","Both",,,"33","16.5","Humana","Medicare Advantage",,,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"OXYGEN MASK","4700055","CDM","Both",,,"33","16.5","UHC","Medicare Advantage",,,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"OXYGEN MASK","4700055","CDM","Both",,,"33","16.5","Clover","Medicare Advantage",,,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"OXYGEN MASK","4700055","CDM","Both",,,"33","16.5","Wellcare","Medicare Advantage",,,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"OXYGEN MASK","4700055","CDM","Both",,,"33","16.5","Amerigroup","Medicaid Managed Care",,,"37",,"12.08","12.08","25.58","percent of total billed charges",,
"OXYGEN MASK","4700055","CDM","Both",,,"33","16.5","Caresource","Medicaid Managed Care",,,"40",,"13.2","12.08","25.58","percent of total billed charges",,
"OXYGEN MASK","4700055","CDM","Both",,,"33","16.5","Wellcare","Medicaid Managed Care",,,"40",,"13.36","12.08","25.58","percent of total billed charges",,
"OXYGEN MASK","4700055","CDM","Both",,,"33","16.5","Aetna","Commercial",,,"64",,"21.05","12.08","25.58","percent of total billed charges",,
"OXYGEN MASK","4700055","CDM","Both",,,"33","16.5","Blue Cross Blue Shield","Pathways",,,"71",,"23.3","12.08","25.58","percent of total billed charges",,
"OXYGEN MASK","4700055","CDM","Both",,,"33","16.5","Blue Cross Blue Shield","HMO",,,"71",,"23.3","12.08","25.58","percent of total billed charges",,
"OXYGEN MASK","4700055","CDM","Both",,,"33","16.5","Blue Cross Blue Shield","PPO",,,"71",,"23.3","12.08","25.58","percent of total billed charges",,
"OXYGEN MASK","4700055","CDM","Both",,,"33","16.5","Ambetter","Health Exchange",,,"62",,"20.46","12.08","25.58","percent of total billed charges",,
"OXYGEN MASK","4700055","CDM","Both",,,"33","16.5","Caresource","Health Exchange",,,"62",,"20.46","12.08","25.58","percent of total billed charges",,
"OXYGEN MASK","4700055","CDM","Both",,,"33","16.5","Cigna","Commercial",,,"59",,"19.34","12.08","25.58","percent of total billed charges",,
"OXYGEN MASK","4700055","CDM","Both",,,"33","16.5","Humana","Commercial",,,"78",,"25.58","12.08","25.58","percent of total billed charges",,
"OXYGEN MASK","4700055","CDM","Both",,,"33","16.5","UHC","Commercial",,,"75",,"24.88","12.08","25.58","percent of total billed charges",,
"OXYGEN MASK","4700055","CDM","Both",,,"33","16.5","Medicaid",,,,"37",,"12.08","12.08","25.58","percent of total billed charges",,
"OXYGEN NASAL CANNULA","4700056","CDM","Both",,,"32","16","Alliant","Health Exchange",,,"62",,"19.84","11.71","24.8","percent of total billed charges",,
"OXYGEN NASAL CANNULA","4700056","CDM","Both",,,"32","16","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.28","11.71","24.8","percent of total billed charges",,
"OXYGEN NASAL CANNULA","4700056","CDM","Both",,,"32","16","Medicare",,,,"54",,"17.34","11.71","24.8","percent of total billed charges",,
"OXYGEN NASAL CANNULA","4700056","CDM","Both",,,"32","16","Humana","Medicare Advantage",,,"54",,"17.34","11.71","24.8","percent of total billed charges",,
"OXYGEN NASAL CANNULA","4700056","CDM","Both",,,"32","16","UHC","Medicare Advantage",,,"54",,"17.34","11.71","24.8","percent of total billed charges",,
"OXYGEN NASAL CANNULA","4700056","CDM","Both",,,"32","16","Clover","Medicare Advantage",,,"54",,"17.34","11.71","24.8","percent of total billed charges",,
"OXYGEN NASAL CANNULA","4700056","CDM","Both",,,"32","16","Wellcare","Medicare Advantage",,,"54",,"17.34","11.71","24.8","percent of total billed charges",,
"OXYGEN NASAL CANNULA","4700056","CDM","Both",,,"32","16","Amerigroup","Medicaid Managed Care",,,"37",,"11.71","11.71","24.8","percent of total billed charges",,
"OXYGEN NASAL CANNULA","4700056","CDM","Both",,,"32","16","Caresource","Medicaid Managed Care",,,"40",,"12.8","11.71","24.8","percent of total billed charges",,
"OXYGEN NASAL CANNULA","4700056","CDM","Both",,,"32","16","Wellcare","Medicaid Managed Care",,,"40",,"12.96","11.71","24.8","percent of total billed charges",,
"OXYGEN NASAL CANNULA","4700056","CDM","Both",,,"32","16","Aetna","Commercial",,,"64",,"20.42","11.71","24.8","percent of total billed charges",,
"OXYGEN NASAL CANNULA","4700056","CDM","Both",,,"32","16","Blue Cross Blue Shield","Pathways",,,"71",,"22.59","11.71","24.8","percent of total billed charges",,
"OXYGEN NASAL CANNULA","4700056","CDM","Both",,,"32","16","Blue Cross Blue Shield","HMO",,,"71",,"22.59","11.71","24.8","percent of total billed charges",,
"OXYGEN NASAL CANNULA","4700056","CDM","Both",,,"32","16","Blue Cross Blue Shield","PPO",,,"71",,"22.59","11.71","24.8","percent of total billed charges",,
"OXYGEN NASAL CANNULA","4700056","CDM","Both",,,"32","16","Ambetter","Health Exchange",,,"62",,"19.84","11.71","24.8","percent of total billed charges",,
"OXYGEN NASAL CANNULA","4700056","CDM","Both",,,"32","16","Caresource","Health Exchange",,,"62",,"19.84","11.71","24.8","percent of total billed charges",,
"OXYGEN NASAL CANNULA","4700056","CDM","Both",,,"32","16","Cigna","Commercial",,,"59",,"18.75","11.71","24.8","percent of total billed charges",,
"OXYGEN NASAL CANNULA","4700056","CDM","Both",,,"32","16","Humana","Commercial",,,"78",,"24.8","11.71","24.8","percent of total billed charges",,
"OXYGEN NASAL CANNULA","4700056","CDM","Both",,,"32","16","UHC","Commercial",,,"75",,"24.13","11.71","24.8","percent of total billed charges",,
"OXYGEN NASAL CANNULA","4700056","CDM","Both",,,"32","16","Medicaid",,,,"37",,"11.71","11.71","24.8","percent of total billed charges",,
"OXYGEN VERTIMASK","4700057","CDM","Both",,,"33","16.5","Alliant","Health Exchange",,,"62",,"20.46","12.08","25.58","percent of total billed charges",,
"OXYGEN VERTIMASK","4700057","CDM","Both",,,"33","16.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"17.82","12.08","25.58","percent of total billed charges",,
"OXYGEN VERTIMASK","4700057","CDM","Both",,,"33","16.5","Medicare",,,,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"OXYGEN VERTIMASK","4700057","CDM","Both",,,"33","16.5","Humana","Medicare Advantage",,,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"OXYGEN VERTIMASK","4700057","CDM","Both",,,"33","16.5","UHC","Medicare Advantage",,,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"OXYGEN VERTIMASK","4700057","CDM","Both",,,"33","16.5","Clover","Medicare Advantage",,,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"OXYGEN VERTIMASK","4700057","CDM","Both",,,"33","16.5","Wellcare","Medicare Advantage",,,"54",,"17.89","12.08","25.58","percent of total billed charges",,
"OXYGEN VERTIMASK","4700057","CDM","Both",,,"33","16.5","Amerigroup","Medicaid Managed Care",,,"37",,"12.08","12.08","25.58","percent of total billed charges",,
"OXYGEN VERTIMASK","4700057","CDM","Both",,,"33","16.5","Caresource","Medicaid Managed Care",,,"40",,"13.2","12.08","25.58","percent of total billed charges",,
"OXYGEN VERTIMASK","4700057","CDM","Both",,,"33","16.5","Wellcare","Medicaid Managed Care",,,"40",,"13.36","12.08","25.58","percent of total billed charges",,
"OXYGEN VERTIMASK","4700057","CDM","Both",,,"33","16.5","Aetna","Commercial",,,"64",,"21.05","12.08","25.58","percent of total billed charges",,
"OXYGEN VERTIMASK","4700057","CDM","Both",,,"33","16.5","Blue Cross Blue Shield","Pathways",,,"71",,"23.3","12.08","25.58","percent of total billed charges",,
"OXYGEN VERTIMASK","4700057","CDM","Both",,,"33","16.5","Blue Cross Blue Shield","HMO",,,"71",,"23.3","12.08","25.58","percent of total billed charges",,
"OXYGEN VERTIMASK","4700057","CDM","Both",,,"33","16.5","Blue Cross Blue Shield","PPO",,,"71",,"23.3","12.08","25.58","percent of total billed charges",,
"OXYGEN VERTIMASK","4700057","CDM","Both",,,"33","16.5","Ambetter","Health Exchange",,,"62",,"20.46","12.08","25.58","percent of total billed charges",,
"OXYGEN VERTIMASK","4700057","CDM","Both",,,"33","16.5","Caresource","Health Exchange",,,"62",,"20.46","12.08","25.58","percent of total billed charges",,
"OXYGEN VERTIMASK","4700057","CDM","Both",,,"33","16.5","Cigna","Commercial",,,"59",,"19.34","12.08","25.58","percent of total billed charges",,
"OXYGEN VERTIMASK","4700057","CDM","Both",,,"33","16.5","Humana","Commercial",,,"78",,"25.58","12.08","25.58","percent of total billed charges",,
"OXYGEN VERTIMASK","4700057","CDM","Both",,,"33","16.5","UHC","Commercial",,,"75",,"24.88","12.08","25.58","percent of total billed charges",,
"OXYGEN VERTIMASK","4700057","CDM","Both",,,"33","16.5","Medicaid",,,,"37",,"12.08","12.08","25.58","percent of total billed charges",,
"OXYGEN TUBING","4700058","CDM","Both",,,"18.5","9.25","Alliant","Health Exchange",,,"62",,"11.47","6.77","14.34","percent of total billed charges",,
"OXYGEN TUBING","4700058","CDM","Both",,,"18.5","9.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"9.99","6.77","14.34","percent of total billed charges",,
"OXYGEN TUBING","4700058","CDM","Both",,,"18.5","9.25","Medicare",,,,"54",,"10.03","6.77","14.34","percent of total billed charges",,
"OXYGEN TUBING","4700058","CDM","Both",,,"18.5","9.25","Humana","Medicare Advantage",,,"54",,"10.03","6.77","14.34","percent of total billed charges",,
"OXYGEN TUBING","4700058","CDM","Both",,,"18.5","9.25","UHC","Medicare Advantage",,,"54",,"10.03","6.77","14.34","percent of total billed charges",,
"OXYGEN TUBING","4700058","CDM","Both",,,"18.5","9.25","Clover","Medicare Advantage",,,"54",,"10.03","6.77","14.34","percent of total billed charges",,
"OXYGEN TUBING","4700058","CDM","Both",,,"18.5","9.25","Wellcare","Medicare Advantage",,,"54",,"10.03","6.77","14.34","percent of total billed charges",,
"OXYGEN TUBING","4700058","CDM","Both",,,"18.5","9.25","Amerigroup","Medicaid Managed Care",,,"37",,"6.77","6.77","14.34","percent of total billed charges",,
"OXYGEN TUBING","4700058","CDM","Both",,,"18.5","9.25","Caresource","Medicaid Managed Care",,,"40",,"7.4","6.77","14.34","percent of total billed charges",,
"OXYGEN TUBING","4700058","CDM","Both",,,"18.5","9.25","Wellcare","Medicaid Managed Care",,,"40",,"7.49","6.77","14.34","percent of total billed charges",,
"OXYGEN TUBING","4700058","CDM","Both",,,"18.5","9.25","Aetna","Commercial",,,"64",,"11.8","6.77","14.34","percent of total billed charges",,
"OXYGEN TUBING","4700058","CDM","Both",,,"18.5","9.25","Blue Cross Blue Shield","Pathways",,,"71",,"13.06","6.77","14.34","percent of total billed charges",,
"OXYGEN TUBING","4700058","CDM","Both",,,"18.5","9.25","Blue Cross Blue Shield","HMO",,,"71",,"13.06","6.77","14.34","percent of total billed charges",,
"OXYGEN TUBING","4700058","CDM","Both",,,"18.5","9.25","Blue Cross Blue Shield","PPO",,,"71",,"13.06","6.77","14.34","percent of total billed charges",,
"OXYGEN TUBING","4700058","CDM","Both",,,"18.5","9.25","Ambetter","Health Exchange",,,"62",,"11.47","6.77","14.34","percent of total billed charges",,
"OXYGEN TUBING","4700058","CDM","Both",,,"18.5","9.25","Caresource","Health Exchange",,,"62",,"11.47","6.77","14.34","percent of total billed charges",,
"OXYGEN TUBING","4700058","CDM","Both",,,"18.5","9.25","Cigna","Commercial",,,"59",,"10.84","6.77","14.34","percent of total billed charges",,
"OXYGEN TUBING","4700058","CDM","Both",,,"18.5","9.25","Humana","Commercial",,,"78",,"14.34","6.77","14.34","percent of total billed charges",,
"OXYGEN TUBING","4700058","CDM","Both",,,"18.5","9.25","UHC","Commercial",,,"75",,"13.95","6.77","14.34","percent of total billed charges",,
"OXYGEN TUBING","4700058","CDM","Both",,,"18.5","9.25","Medicaid",,,,"37",,"6.77","6.77","14.34","percent of total billed charges",,
"OXYGEN AQUA PAK","4700059","CDM","Both",,,"37","18.5","Alliant","Health Exchange",,,"62",,"22.94","13.54","28.68","percent of total billed charges",,
"OXYGEN AQUA PAK","4700059","CDM","Both",,,"37","18.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"19.98","13.54","28.68","percent of total billed charges",,
"OXYGEN AQUA PAK","4700059","CDM","Both",,,"37","18.5","Medicare",,,,"54",,"20.05","13.54","28.68","percent of total billed charges",,
"OXYGEN AQUA PAK","4700059","CDM","Both",,,"37","18.5","Humana","Medicare Advantage",,,"54",,"20.05","13.54","28.68","percent of total billed charges",,
"OXYGEN AQUA PAK","4700059","CDM","Both",,,"37","18.5","UHC","Medicare Advantage",,,"54",,"20.05","13.54","28.68","percent of total billed charges",,
"OXYGEN AQUA PAK","4700059","CDM","Both",,,"37","18.5","Clover","Medicare Advantage",,,"54",,"20.05","13.54","28.68","percent of total billed charges",,
"OXYGEN AQUA PAK","4700059","CDM","Both",,,"37","18.5","Wellcare","Medicare Advantage",,,"54",,"20.05","13.54","28.68","percent of total billed charges",,
"OXYGEN AQUA PAK","4700059","CDM","Both",,,"37","18.5","Amerigroup","Medicaid Managed Care",,,"37",,"13.54","13.54","28.68","percent of total billed charges",,
"OXYGEN AQUA PAK","4700059","CDM","Both",,,"37","18.5","Caresource","Medicaid Managed Care",,,"40",,"14.8","13.54","28.68","percent of total billed charges",,
"OXYGEN AQUA PAK","4700059","CDM","Both",,,"37","18.5","Wellcare","Medicaid Managed Care",,,"40",,"14.99","13.54","28.68","percent of total billed charges",,
"OXYGEN AQUA PAK","4700059","CDM","Both",,,"37","18.5","Aetna","Commercial",,,"64",,"23.61","13.54","28.68","percent of total billed charges",,
"OXYGEN AQUA PAK","4700059","CDM","Both",,,"37","18.5","Blue Cross Blue Shield","Pathways",,,"71",,"26.12","13.54","28.68","percent of total billed charges",,
"OXYGEN AQUA PAK","4700059","CDM","Both",,,"37","18.5","Blue Cross Blue Shield","HMO",,,"71",,"26.12","13.54","28.68","percent of total billed charges",,
"OXYGEN AQUA PAK","4700059","CDM","Both",,,"37","18.5","Blue Cross Blue Shield","PPO",,,"71",,"26.12","13.54","28.68","percent of total billed charges",,
"OXYGEN AQUA PAK","4700059","CDM","Both",,,"37","18.5","Ambetter","Health Exchange",,,"62",,"22.94","13.54","28.68","percent of total billed charges",,
"OXYGEN AQUA PAK","4700059","CDM","Both",,,"37","18.5","Caresource","Health Exchange",,,"62",,"22.94","13.54","28.68","percent of total billed charges",,
"OXYGEN AQUA PAK","4700059","CDM","Both",,,"37","18.5","Cigna","Commercial",,,"59",,"21.68","13.54","28.68","percent of total billed charges",,
"OXYGEN AQUA PAK","4700059","CDM","Both",,,"37","18.5","Humana","Commercial",,,"78",,"28.68","13.54","28.68","percent of total billed charges",,
"OXYGEN AQUA PAK","4700059","CDM","Both",,,"37","18.5","UHC","Commercial",,,"75",,"27.9","13.54","28.68","percent of total billed charges",,
"OXYGEN AQUA PAK","4700059","CDM","Both",,,"37","18.5","Medicaid",,,,"37",,"13.54","13.54","28.68","percent of total billed charges",,
"KNEE COMPLETE RIGHT","73564","HCPCS","Both",,,"215.5","107.75","Alliant","Health Exchange","RT",,"62",,"133.61","78.87","167.01","percent of total billed charges",,
"KNEE COMPLETE RIGHT","73564","HCPCS","Both",,,"215.5","107.75","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"116.37","78.87","167.01","percent of total billed charges",,
"KNEE COMPLETE RIGHT","73564","HCPCS","Both",,,"215.5","107.75","Medicare",,"RT",,"54",,"116.8","78.87","167.01","percent of total billed charges",,
"KNEE COMPLETE RIGHT","73564","HCPCS","Both",,,"215.5","107.75","Humana","Medicare Advantage","RT",,"54",,"116.8","78.87","167.01","percent of total billed charges",,
"KNEE COMPLETE RIGHT","73564","HCPCS","Both",,,"215.5","107.75","UHC","Medicare Advantage","RT",,"54",,"116.8","78.87","167.01","percent of total billed charges",,
"KNEE COMPLETE RIGHT","73564","HCPCS","Both",,,"215.5","107.75","Clover","Medicare Advantage","RT",,"54",,"116.8","78.87","167.01","percent of total billed charges",,
"KNEE COMPLETE RIGHT","73564","HCPCS","Both",,,"215.5","107.75","Wellcare","Medicare Advantage","RT",,"54",,"116.8","78.87","167.01","percent of total billed charges",,
"KNEE COMPLETE RIGHT","73564","HCPCS","Both",,,"215.5","107.75","Amerigroup","Medicaid Managed Care","RT",,"37",,"78.87","78.87","167.01","percent of total billed charges",,
"KNEE COMPLETE RIGHT","73564","HCPCS","Both",,,"215.5","107.75","Caresource","Medicaid Managed Care","RT",,"40",,"86.2","78.87","167.01","percent of total billed charges",,
"KNEE COMPLETE RIGHT","73564","HCPCS","Both",,,"215.5","107.75","Wellcare","Medicaid Managed Care","RT",,"40",,"87.28","78.87","167.01","percent of total billed charges",,
"KNEE COMPLETE RIGHT","73564","HCPCS","Both",,,"215.5","107.75","Aetna","Commercial","RT",,"64",,"137.49","78.87","167.01","percent of total billed charges",,
"KNEE COMPLETE RIGHT","73564","HCPCS","Both",,,"215.5","107.75","Blue Cross Blue Shield","Pathways","RT",,"71",,"152.14","78.87","167.01","percent of total billed charges",,
"KNEE COMPLETE RIGHT","73564","HCPCS","Both",,,"215.5","107.75","Blue Cross Blue Shield","HMO","RT",,"71",,"152.14","78.87","167.01","percent of total billed charges",,
"KNEE COMPLETE RIGHT","73564","HCPCS","Both",,,"215.5","107.75","Blue Cross Blue Shield","PPO","RT",,"71",,"152.14","78.87","167.01","percent of total billed charges",,
"KNEE COMPLETE RIGHT","73564","HCPCS","Both",,,"215.5","107.75","Ambetter","Health Exchange","RT",,"62",,"133.61","78.87","167.01","percent of total billed charges",,
"KNEE COMPLETE RIGHT","73564","HCPCS","Both",,,"215.5","107.75","Caresource","Health Exchange","RT",,"62",,"133.61","78.87","167.01","percent of total billed charges",,
"KNEE COMPLETE RIGHT","73564","HCPCS","Both",,,"215.5","107.75","Cigna","Commercial","RT",,"59",,"126.28","78.87","167.01","percent of total billed charges",,
"KNEE COMPLETE RIGHT","73564","HCPCS","Both",,,"215.5","107.75","Humana","Commercial","RT",,"78",,"167.01","78.87","167.01","percent of total billed charges",,
"KNEE COMPLETE RIGHT","73564","HCPCS","Both",,,"215.5","107.75","UHC","Commercial","RT",,"75",,"162.49","78.87","167.01","percent of total billed charges",,
"KNEE COMPLETE RIGHT","73564","HCPCS","Both",,,"215.5","107.75","Medicaid",,"RT",,"37",,"78.87","78.87","167.01","percent of total billed charges",,
"TIB/FIB RIGHT","73590","HCPCS","Both",,,"258.5","129.25","Alliant","Health Exchange","RT",,"62",,"160.27","8.3","340.57","percent of total billed charges",,
"TIB/FIB RIGHT","73590","HCPCS","Both",,,"258.5","129.25","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"139.59","8.3","340.57","percent of total billed charges",,
"TIB/FIB RIGHT","73590","HCPCS","Both",,,"258.5","129.25","Medicare",,"RT",,"54",,"140.11","8.3","340.57","percent of total billed charges",,
"TIB/FIB RIGHT","73590","HCPCS","Both",,,"258.5","129.25","Humana","Medicare Advantage","RT",,"54",,"140.11","8.3","340.57","percent of total billed charges",,
"TIB/FIB RIGHT","73590","HCPCS","Both",,,"258.5","129.25","UHC","Medicare Advantage","RT",,"54",,"140.11","8.3","340.57","percent of total billed charges",,
"TIB/FIB RIGHT","73590","HCPCS","Both",,,"258.5","129.25","Clover","Medicare Advantage","RT",,"54",,"140.11","8.3","340.57","percent of total billed charges",,
"TIB/FIB RIGHT","73590","HCPCS","Both",,,"258.5","129.25","Wellcare","Medicare Advantage","RT",,"54",,"140.11","8.3","340.57","percent of total billed charges",,
"TIB/FIB RIGHT","73590","HCPCS","Both",,,"258.5","129.25","Amerigroup","Medicaid Managed Care","RT",,"37",,"94.61","8.3","340.57","percent of total billed charges",,
"TIB/FIB RIGHT","73590","HCPCS","Both",,,"258.5","129.25","Caresource","Medicaid Managed Care","RT",,"40",,"103.4","8.3","340.57","percent of total billed charges",,
"TIB/FIB RIGHT","73590","HCPCS","Both",,,"258.5","129.25","Wellcare","Medicaid Managed Care","RT",,"40",,"104.69","8.3","340.57","percent of total billed charges",,
"TIB/FIB RIGHT","73590","HCPCS","Both",,,"258.5","129.25","Aetna","Commercial","RT",,"64",,"164.92","8.3","340.57","percent of total billed charges",,
"TIB/FIB RIGHT","73590","HCPCS","Both",,,"258.5","129.25","Blue Cross Blue Shield","Pathways","RT",,"71",,"182.5","8.3","340.57","percent of total billed charges",,
"TIB/FIB RIGHT","73590","HCPCS","Both",,,"258.5","129.25","Blue Cross Blue Shield","HMO","RT",,"71",,"182.5","8.3","340.57","percent of total billed charges",,
"TIB/FIB RIGHT","73590","HCPCS","Both",,,"258.5","129.25","Blue Cross Blue Shield","PPO","RT",,"71",,"182.5","8.3","340.57","percent of total billed charges",,
"TIB/FIB RIGHT","73590","HCPCS","Both",,,"258.5","129.25","Ambetter","Health Exchange","RT",,"62",,"160.27","8.3","340.57","percent of total billed charges",,
"TIB/FIB RIGHT","73590","HCPCS","Both",,,"258.5","129.25","Caresource","Health Exchange","RT",,"62",,"160.27","8.3","340.57","percent of total billed charges",,
"TIB/FIB RIGHT","73590","HCPCS","Both",,,"258.5","129.25","Cigna","Commercial","RT",,"59",,"151.48","8.3","340.57","percent of total billed charges",,
"TIB/FIB RIGHT","73590","HCPCS","Both",,,"258.5","129.25","Humana","Commercial","RT",,"78",,"200.34","8.3","340.57","percent of total billed charges",,
"TIB/FIB RIGHT","73590","HCPCS","Both",,,"258.5","129.25","UHC","Commercial","RT",,"75",,"194.91","8.3","340.57","percent of total billed charges",,
"TIB/FIB RIGHT","73590","HCPCS","Both",,,"258.5","129.25","Medicaid",,"RT",,"37",,"94.61","8.3","340.57","percent of total billed charges",,
"TIB/FIB INFANT RIGHT","73592","HCPCS","Both",,,"89.5","44.75","Alliant","Health Exchange","RT",,"62",,"55.49","32.76","69.36","percent of total billed charges",,
"TIB/FIB INFANT RIGHT","73592","HCPCS","Both",,,"89.5","44.75","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"48.33","32.76","69.36","percent of total billed charges",,
"TIB/FIB INFANT RIGHT","73592","HCPCS","Both",,,"89.5","44.75","Medicare",,"RT",,"54",,"48.51","32.76","69.36","percent of total billed charges",,
"TIB/FIB INFANT RIGHT","73592","HCPCS","Both",,,"89.5","44.75","Humana","Medicare Advantage","RT",,"54",,"48.51","32.76","69.36","percent of total billed charges",,
"TIB/FIB INFANT RIGHT","73592","HCPCS","Both",,,"89.5","44.75","UHC","Medicare Advantage","RT",,"54",,"48.51","32.76","69.36","percent of total billed charges",,
"TIB/FIB INFANT RIGHT","73592","HCPCS","Both",,,"89.5","44.75","Clover","Medicare Advantage","RT",,"54",,"48.51","32.76","69.36","percent of total billed charges",,
"TIB/FIB INFANT RIGHT","73592","HCPCS","Both",,,"89.5","44.75","Wellcare","Medicare Advantage","RT",,"54",,"48.51","32.76","69.36","percent of total billed charges",,
"TIB/FIB INFANT RIGHT","73592","HCPCS","Both",,,"89.5","44.75","Amerigroup","Medicaid Managed Care","RT",,"37",,"32.76","32.76","69.36","percent of total billed charges",,
"TIB/FIB INFANT RIGHT","73592","HCPCS","Both",,,"89.5","44.75","Caresource","Medicaid Managed Care","RT",,"40",,"35.8","32.76","69.36","percent of total billed charges",,
"TIB/FIB INFANT RIGHT","73592","HCPCS","Both",,,"89.5","44.75","Wellcare","Medicaid Managed Care","RT",,"40",,"36.25","32.76","69.36","percent of total billed charges",,
"TIB/FIB INFANT RIGHT","73592","HCPCS","Both",,,"89.5","44.75","Aetna","Commercial","RT",,"64",,"57.1","32.76","69.36","percent of total billed charges",,
"TIB/FIB INFANT RIGHT","73592","HCPCS","Both",,,"89.5","44.75","Blue Cross Blue Shield","Pathways","RT",,"71",,"63.19","32.76","69.36","percent of total billed charges",,
"TIB/FIB INFANT RIGHT","73592","HCPCS","Both",,,"89.5","44.75","Blue Cross Blue Shield","HMO","RT",,"71",,"63.19","32.76","69.36","percent of total billed charges",,
"TIB/FIB INFANT RIGHT","73592","HCPCS","Both",,,"89.5","44.75","Blue Cross Blue Shield","PPO","RT",,"71",,"63.19","32.76","69.36","percent of total billed charges",,
"TIB/FIB INFANT RIGHT","73592","HCPCS","Both",,,"89.5","44.75","Ambetter","Health Exchange","RT",,"62",,"55.49","32.76","69.36","percent of total billed charges",,
"TIB/FIB INFANT RIGHT","73592","HCPCS","Both",,,"89.5","44.75","Caresource","Health Exchange","RT",,"62",,"55.49","32.76","69.36","percent of total billed charges",,
"TIB/FIB INFANT RIGHT","73592","HCPCS","Both",,,"89.5","44.75","Cigna","Commercial","RT",,"59",,"52.45","32.76","69.36","percent of total billed charges",,
"TIB/FIB INFANT RIGHT","73592","HCPCS","Both",,,"89.5","44.75","Humana","Commercial","RT",,"78",,"69.36","32.76","69.36","percent of total billed charges",,
"TIB/FIB INFANT RIGHT","73592","HCPCS","Both",,,"89.5","44.75","UHC","Commercial","RT",,"75",,"67.48","32.76","69.36","percent of total billed charges",,
"TIB/FIB INFANT RIGHT","73592","HCPCS","Both",,,"89.5","44.75","Medicaid",,"RT",,"37",,"32.76","32.76","69.36","percent of total billed charges",,
"ANKLE; AP & LAT RIGHT","73600","HCPCS","Both",,,"101","50.5","Alliant","Health Exchange","RT",,"62",,"62.62","36.97","78.28","percent of total billed charges",,
"ANKLE; AP & LAT RIGHT","73600","HCPCS","Both",,,"101","50.5","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"54.54","36.97","78.28","percent of total billed charges",,
"ANKLE; AP & LAT RIGHT","73600","HCPCS","Both",,,"101","50.5","Medicare",,"RT",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"ANKLE; AP & LAT RIGHT","73600","HCPCS","Both",,,"101","50.5","Humana","Medicare Advantage","RT",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"ANKLE; AP & LAT RIGHT","73600","HCPCS","Both",,,"101","50.5","UHC","Medicare Advantage","RT",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"ANKLE; AP & LAT RIGHT","73600","HCPCS","Both",,,"101","50.5","Clover","Medicare Advantage","RT",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"ANKLE; AP & LAT RIGHT","73600","HCPCS","Both",,,"101","50.5","Wellcare","Medicare Advantage","RT",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"ANKLE; AP & LAT RIGHT","73600","HCPCS","Both",,,"101","50.5","Amerigroup","Medicaid Managed Care","RT",,"37",,"36.97","36.97","78.28","percent of total billed charges",,
"ANKLE; AP & LAT RIGHT","73600","HCPCS","Both",,,"101","50.5","Caresource","Medicaid Managed Care","RT",,"40",,"40.4","36.97","78.28","percent of total billed charges",,
"ANKLE; AP & LAT RIGHT","73600","HCPCS","Both",,,"101","50.5","Wellcare","Medicaid Managed Care","RT",,"40",,"40.9","36.97","78.28","percent of total billed charges",,
"ANKLE; AP & LAT RIGHT","73600","HCPCS","Both",,,"101","50.5","Aetna","Commercial","RT",,"64",,"64.44","36.97","78.28","percent of total billed charges",,
"ANKLE; AP & LAT RIGHT","73600","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","Pathways","RT",,"71",,"71.31","36.97","78.28","percent of total billed charges",,
"ANKLE; AP & LAT RIGHT","73600","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","HMO","RT",,"71",,"71.31","36.97","78.28","percent of total billed charges",,
"ANKLE; AP & LAT RIGHT","73600","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","PPO","RT",,"71",,"71.31","36.97","78.28","percent of total billed charges",,
"ANKLE; AP & LAT RIGHT","73600","HCPCS","Both",,,"101","50.5","Ambetter","Health Exchange","RT",,"62",,"62.62","36.97","78.28","percent of total billed charges",,
"ANKLE; AP & LAT RIGHT","73600","HCPCS","Both",,,"101","50.5","Caresource","Health Exchange","RT",,"62",,"62.62","36.97","78.28","percent of total billed charges",,
"ANKLE; AP & LAT RIGHT","73600","HCPCS","Both",,,"101","50.5","Cigna","Commercial","RT",,"59",,"59.19","36.97","78.28","percent of total billed charges",,
"ANKLE; AP & LAT RIGHT","73600","HCPCS","Both",,,"101","50.5","Humana","Commercial","RT",,"78",,"78.28","36.97","78.28","percent of total billed charges",,
"ANKLE; AP & LAT RIGHT","73600","HCPCS","Both",,,"101","50.5","UHC","Commercial","RT",,"75",,"76.15","36.97","78.28","percent of total billed charges",,
"ANKLE; AP & LAT RIGHT","73600","HCPCS","Both",,,"101","50.5","Medicaid",,"RT",,"37",,"36.97","36.97","78.28","percent of total billed charges",,
"ANKLE, 3 VIEWS, RIGHT","73610","HCPCS","Both",,,"668","334","Alliant","Health Exchange","RT",,"62",,"414.16","9","598.26","percent of total billed charges",,
"ANKLE, 3 VIEWS, RIGHT","73610","HCPCS","Both",,,"668","334","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"360.72","9","598.26","percent of total billed charges",,
"ANKLE, 3 VIEWS, RIGHT","73610","HCPCS","Both",,,"668","334","Medicare",,"RT",,"54",,"362.06","9","598.26","percent of total billed charges",,
"ANKLE, 3 VIEWS, RIGHT","73610","HCPCS","Both",,,"668","334","Humana","Medicare Advantage","RT",,"54",,"362.06","9","598.26","percent of total billed charges",,
"ANKLE, 3 VIEWS, RIGHT","73610","HCPCS","Both",,,"668","334","UHC","Medicare Advantage","RT",,"54",,"362.06","9","598.26","percent of total billed charges",,
"ANKLE, 3 VIEWS, RIGHT","73610","HCPCS","Both",,,"668","334","Clover","Medicare Advantage","RT",,"54",,"362.06","9","598.26","percent of total billed charges",,
"ANKLE, 3 VIEWS, RIGHT","73610","HCPCS","Both",,,"668","334","Wellcare","Medicare Advantage","RT",,"54",,"362.06","9","598.26","percent of total billed charges",,
"ANKLE, 3 VIEWS, RIGHT","73610","HCPCS","Both",,,"668","334","Amerigroup","Medicaid Managed Care","RT",,"37",,"244.49","9","598.26","percent of total billed charges",,
"ANKLE, 3 VIEWS, RIGHT","73610","HCPCS","Both",,,"668","334","Caresource","Medicaid Managed Care","RT",,"40",,"267.2","9","598.26","percent of total billed charges",,
"ANKLE, 3 VIEWS, RIGHT","73610","HCPCS","Both",,,"668","334","Wellcare","Medicaid Managed Care","RT",,"40",,"270.54","9","598.26","percent of total billed charges",,
"ANKLE, 3 VIEWS, RIGHT","73610","HCPCS","Both",,,"668","334","Aetna","Commercial","RT",,"64",,"426.18","9","598.26","percent of total billed charges",,
"ANKLE, 3 VIEWS, RIGHT","73610","HCPCS","Both",,,"668","334","Blue Cross Blue Shield","Pathways","RT",,"71",,"471.61","9","598.26","percent of total billed charges",,
"ANKLE, 3 VIEWS, RIGHT","73610","HCPCS","Both",,,"668","334","Blue Cross Blue Shield","HMO","RT",,"71",,"471.61","9","598.26","percent of total billed charges",,
"ANKLE, 3 VIEWS, RIGHT","73610","HCPCS","Both",,,"668","334","Blue Cross Blue Shield","PPO","RT",,"71",,"471.61","9","598.26","percent of total billed charges",,
"ANKLE, 3 VIEWS, RIGHT","73610","HCPCS","Both",,,"668","334","Ambetter","Health Exchange","RT",,"62",,"414.16","9","598.26","percent of total billed charges",,
"ANKLE, 3 VIEWS, RIGHT","73610","HCPCS","Both",,,"668","334","Caresource","Health Exchange","RT",,"62",,"414.16","9","598.26","percent of total billed charges",,
"ANKLE, 3 VIEWS, RIGHT","73610","HCPCS","Both",,,"668","334","Cigna","Commercial","RT",,"59",,"391.45","9","598.26","percent of total billed charges",,
"ANKLE, 3 VIEWS, RIGHT","73610","HCPCS","Both",,,"668","334","Humana","Commercial","RT",,"78",,"517.7","9","598.26","percent of total billed charges",,
"ANKLE, 3 VIEWS, RIGHT","73610","HCPCS","Both",,,"668","334","UHC","Commercial","RT",,"75",,"503.67","9","598.26","percent of total billed charges",,
"ANKLE, 3 VIEWS, RIGHT","73610","HCPCS","Both",,,"668","334","Medicaid",,"RT",,"37",,"244.49","9","598.26","percent of total billed charges",,
"FOOT AP & LAT RIGHT","73620","HCPCS","Both",,,"224.5","112.25","Alliant","Health Exchange","RT",,"62",,"139.19","82.17","173.99","percent of total billed charges",,
"FOOT AP & LAT RIGHT","73620","HCPCS","Both",,,"224.5","112.25","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"121.23","82.17","173.99","percent of total billed charges",,
"FOOT AP & LAT RIGHT","73620","HCPCS","Both",,,"224.5","112.25","Medicare",,"RT",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"FOOT AP & LAT RIGHT","73620","HCPCS","Both",,,"224.5","112.25","Humana","Medicare Advantage","RT",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"FOOT AP & LAT RIGHT","73620","HCPCS","Both",,,"224.5","112.25","UHC","Medicare Advantage","RT",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"FOOT AP & LAT RIGHT","73620","HCPCS","Both",,,"224.5","112.25","Clover","Medicare Advantage","RT",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"FOOT AP & LAT RIGHT","73620","HCPCS","Both",,,"224.5","112.25","Wellcare","Medicare Advantage","RT",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"FOOT AP & LAT RIGHT","73620","HCPCS","Both",,,"224.5","112.25","Amerigroup","Medicaid Managed Care","RT",,"37",,"82.17","82.17","173.99","percent of total billed charges",,
"FOOT AP & LAT RIGHT","73620","HCPCS","Both",,,"224.5","112.25","Caresource","Medicaid Managed Care","RT",,"40",,"89.8","82.17","173.99","percent of total billed charges",,
"FOOT AP & LAT RIGHT","73620","HCPCS","Both",,,"224.5","112.25","Wellcare","Medicaid Managed Care","RT",,"40",,"90.92","82.17","173.99","percent of total billed charges",,
"FOOT AP & LAT RIGHT","73620","HCPCS","Both",,,"224.5","112.25","Aetna","Commercial","RT",,"64",,"143.23","82.17","173.99","percent of total billed charges",,
"FOOT AP & LAT RIGHT","73620","HCPCS","Both",,,"224.5","112.25","Blue Cross Blue Shield","Pathways","RT",,"71",,"158.5","82.17","173.99","percent of total billed charges",,
"FOOT AP & LAT RIGHT","73620","HCPCS","Both",,,"224.5","112.25","Blue Cross Blue Shield","HMO","RT",,"71",,"158.5","82.17","173.99","percent of total billed charges",,
"FOOT AP & LAT RIGHT","73620","HCPCS","Both",,,"224.5","112.25","Blue Cross Blue Shield","PPO","RT",,"71",,"158.5","82.17","173.99","percent of total billed charges",,
"FOOT AP & LAT RIGHT","73620","HCPCS","Both",,,"224.5","112.25","Ambetter","Health Exchange","RT",,"62",,"139.19","82.17","173.99","percent of total billed charges",,
"FOOT AP & LAT RIGHT","73620","HCPCS","Both",,,"224.5","112.25","Caresource","Health Exchange","RT",,"62",,"139.19","82.17","173.99","percent of total billed charges",,
"FOOT AP & LAT RIGHT","73620","HCPCS","Both",,,"224.5","112.25","Cigna","Commercial","RT",,"59",,"131.56","82.17","173.99","percent of total billed charges",,
"FOOT AP & LAT RIGHT","73620","HCPCS","Both",,,"224.5","112.25","Humana","Commercial","RT",,"78",,"173.99","82.17","173.99","percent of total billed charges",,
"FOOT AP & LAT RIGHT","73620","HCPCS","Both",,,"224.5","112.25","UHC","Commercial","RT",,"75",,"169.27","82.17","173.99","percent of total billed charges",,
"FOOT AP & LAT RIGHT","73620","HCPCS","Both",,,"224.5","112.25","Medicaid",,"RT",,"37",,"82.17","82.17","173.99","percent of total billed charges",,
"FOOT 3 VIEWS RIGHT","73630","HCPCS","Both",,,"701.5","350.75","Alliant","Health Exchange","RT",,"62",,"434.93","8.67","569.66","percent of total billed charges",,
"FOOT 3 VIEWS RIGHT","73630","HCPCS","Both",,,"701.5","350.75","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"378.81","8.67","569.66","percent of total billed charges",,
"FOOT 3 VIEWS RIGHT","73630","HCPCS","Both",,,"701.5","350.75","Medicare",,"RT",,"54",,"380.21","8.67","569.66","percent of total billed charges",,
"FOOT 3 VIEWS RIGHT","73630","HCPCS","Both",,,"701.5","350.75","Humana","Medicare Advantage","RT",,"54",,"380.21","8.67","569.66","percent of total billed charges",,
"FOOT 3 VIEWS RIGHT","73630","HCPCS","Both",,,"701.5","350.75","UHC","Medicare Advantage","RT",,"54",,"380.21","8.67","569.66","percent of total billed charges",,
"FOOT 3 VIEWS RIGHT","73630","HCPCS","Both",,,"701.5","350.75","Clover","Medicare Advantage","RT",,"54",,"380.21","8.67","569.66","percent of total billed charges",,
"FOOT 3 VIEWS RIGHT","73630","HCPCS","Both",,,"701.5","350.75","Wellcare","Medicare Advantage","RT",,"54",,"380.21","8.67","569.66","percent of total billed charges",,
"FOOT 3 VIEWS RIGHT","73630","HCPCS","Both",,,"701.5","350.75","Amerigroup","Medicaid Managed Care","RT",,"37",,"256.75","8.67","569.66","percent of total billed charges",,
"FOOT 3 VIEWS RIGHT","73630","HCPCS","Both",,,"701.5","350.75","Caresource","Medicaid Managed Care","RT",,"40",,"280.6","8.67","569.66","percent of total billed charges",,
"FOOT 3 VIEWS RIGHT","73630","HCPCS","Both",,,"701.5","350.75","Wellcare","Medicaid Managed Care","RT",,"40",,"284.11","8.67","569.66","percent of total billed charges",,
"FOOT 3 VIEWS RIGHT","73630","HCPCS","Both",,,"701.5","350.75","Aetna","Commercial","RT",,"64",,"447.56","8.67","569.66","percent of total billed charges",,
"FOOT 3 VIEWS RIGHT","73630","HCPCS","Both",,,"701.5","350.75","Blue Cross Blue Shield","Pathways","RT",,"71",,"495.26","8.67","569.66","percent of total billed charges",,
"FOOT 3 VIEWS RIGHT","73630","HCPCS","Both",,,"701.5","350.75","Blue Cross Blue Shield","HMO","RT",,"71",,"495.26","8.67","569.66","percent of total billed charges",,
"FOOT 3 VIEWS RIGHT","73630","HCPCS","Both",,,"701.5","350.75","Blue Cross Blue Shield","PPO","RT",,"71",,"495.26","8.67","569.66","percent of total billed charges",,
"FOOT 3 VIEWS RIGHT","73630","HCPCS","Both",,,"701.5","350.75","Ambetter","Health Exchange","RT",,"62",,"434.93","8.67","569.66","percent of total billed charges",,
"FOOT 3 VIEWS RIGHT","73630","HCPCS","Both",,,"701.5","350.75","Caresource","Health Exchange","RT",,"62",,"434.93","8.67","569.66","percent of total billed charges",,
"FOOT 3 VIEWS RIGHT","73630","HCPCS","Both",,,"701.5","350.75","Cigna","Commercial","RT",,"59",,"411.08","8.67","569.66","percent of total billed charges",,
"FOOT 3 VIEWS RIGHT","73630","HCPCS","Both",,,"701.5","350.75","Humana","Commercial","RT",,"78",,"543.66","8.67","569.66","percent of total billed charges",,
"FOOT 3 VIEWS RIGHT","73630","HCPCS","Both",,,"701.5","350.75","UHC","Commercial","RT",,"75",,"528.93","8.67","569.66","percent of total billed charges",,
"FOOT 3 VIEWS RIGHT","73630","HCPCS","Both",,,"701.5","350.75","Medicaid",,"RT",,"37",,"256.75","8.67","569.66","percent of total billed charges",,
"HEEL 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Alliant","Health Exchange","RT",,"62",,"163.99","8.3","204.99","percent of total billed charges",,
"HEEL 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"142.83","8.3","204.99","percent of total billed charges",,
"HEEL 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Medicare",,"RT",,"54",,"143.36","8.3","204.99","percent of total billed charges",,
"HEEL 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Humana","Medicare Advantage","RT",,"54",,"143.36","8.3","204.99","percent of total billed charges",,
"HEEL 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","UHC","Medicare Advantage","RT",,"54",,"143.36","8.3","204.99","percent of total billed charges",,
"HEEL 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Clover","Medicare Advantage","RT",,"54",,"143.36","8.3","204.99","percent of total billed charges",,
"HEEL 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Wellcare","Medicare Advantage","RT",,"54",,"143.36","8.3","204.99","percent of total billed charges",,
"HEEL 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Amerigroup","Medicaid Managed Care","RT",,"37",,"96.81","8.3","204.99","percent of total billed charges",,
"HEEL 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Caresource","Medicaid Managed Care","RT",,"40",,"105.8","8.3","204.99","percent of total billed charges",,
"HEEL 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Wellcare","Medicaid Managed Care","RT",,"40",,"107.12","8.3","204.99","percent of total billed charges",,
"HEEL 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Aetna","Commercial","RT",,"64",,"168.75","8.3","204.99","percent of total billed charges",,
"HEEL 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Blue Cross Blue Shield","Pathways","RT",,"71",,"186.74","8.3","204.99","percent of total billed charges",,
"HEEL 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Blue Cross Blue Shield","HMO","RT",,"71",,"186.74","8.3","204.99","percent of total billed charges",,
"HEEL 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Blue Cross Blue Shield","PPO","RT",,"71",,"186.74","8.3","204.99","percent of total billed charges",,
"HEEL 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Ambetter","Health Exchange","RT",,"62",,"163.99","8.3","204.99","percent of total billed charges",,
"HEEL 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Caresource","Health Exchange","RT",,"62",,"163.99","8.3","204.99","percent of total billed charges",,
"HEEL 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Cigna","Commercial","RT",,"59",,"155","8.3","204.99","percent of total billed charges",,
"HEEL 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Humana","Commercial","RT",,"78",,"204.99","8.3","204.99","percent of total billed charges",,
"HEEL 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","UHC","Commercial","RT",,"75",,"199.43","8.3","204.99","percent of total billed charges",,
"HEEL 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Medicaid",,"RT",,"37",,"96.81","8.3","204.99","percent of total billed charges",,
"CLAVICLE, COMPLETE, LEFT","73000","HCPCS","Both",,,"101","50.5","Alliant","Health Exchange","LT",,"62",,"62.62","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE, LEFT","73000","HCPCS","Both",,,"101","50.5","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"54.54","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE, LEFT","73000","HCPCS","Both",,,"101","50.5","Medicare",,"LT",,"54",,"54.74","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE, LEFT","73000","HCPCS","Both",,,"101","50.5","Humana","Medicare Advantage","LT",,"54",,"54.74","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE, LEFT","73000","HCPCS","Both",,,"101","50.5","UHC","Medicare Advantage","LT",,"54",,"54.74","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE, LEFT","73000","HCPCS","Both",,,"101","50.5","Clover","Medicare Advantage","LT",,"54",,"54.74","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE, LEFT","73000","HCPCS","Both",,,"101","50.5","Wellcare","Medicare Advantage","LT",,"54",,"54.74","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE, LEFT","73000","HCPCS","Both",,,"101","50.5","Amerigroup","Medicaid Managed Care","LT",,"37",,"36.97","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE, LEFT","73000","HCPCS","Both",,,"101","50.5","Caresource","Medicaid Managed Care","LT",,"40",,"40.4","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE, LEFT","73000","HCPCS","Both",,,"101","50.5","Wellcare","Medicaid Managed Care","LT",,"40",,"40.9","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE, LEFT","73000","HCPCS","Both",,,"101","50.5","Aetna","Commercial","LT",,"64",,"64.44","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE, LEFT","73000","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","Pathways","LT",,"71",,"71.31","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE, LEFT","73000","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","HMO","LT",,"71",,"71.31","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE, LEFT","73000","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","PPO","LT",,"71",,"71.31","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE, LEFT","73000","HCPCS","Both",,,"101","50.5","Ambetter","Health Exchange","LT",,"62",,"62.62","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE, LEFT","73000","HCPCS","Both",,,"101","50.5","Caresource","Health Exchange","LT",,"62",,"62.62","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE, LEFT","73000","HCPCS","Both",,,"101","50.5","Cigna","Commercial","LT",,"59",,"59.19","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE, LEFT","73000","HCPCS","Both",,,"101","50.5","Humana","Commercial","LT",,"78",,"78.28","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE, LEFT","73000","HCPCS","Both",,,"101","50.5","UHC","Commercial","LT",,"75",,"76.15","8.63","78.28","percent of total billed charges",,
"CLAVICLE, COMPLETE, LEFT","73000","HCPCS","Both",,,"101","50.5","Medicaid",,"LT",,"37",,"36.97","8.63","78.28","percent of total billed charges",,
"SHOULDER 1 VIEW LEFT","73030","HCPCS","Both",,,"782.5","391.25","Alliant","Health Exchange","LT",,"62",,"485.15","9.7","617.94","percent of total billed charges",,
"SHOULDER 1 VIEW LEFT","73030","HCPCS","Both",,,"782.5","391.25","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"422.55","9.7","617.94","percent of total billed charges",,
"SHOULDER 1 VIEW LEFT","73030","HCPCS","Both",,,"782.5","391.25","Medicare",,"LT",,"54",,"424.12","9.7","617.94","percent of total billed charges",,
"SHOULDER 1 VIEW LEFT","73030","HCPCS","Both",,,"782.5","391.25","Humana","Medicare Advantage","LT",,"54",,"424.12","9.7","617.94","percent of total billed charges",,
"SHOULDER 1 VIEW LEFT","73030","HCPCS","Both",,,"782.5","391.25","UHC","Medicare Advantage","LT",,"54",,"424.12","9.7","617.94","percent of total billed charges",,
"SHOULDER 1 VIEW LEFT","73030","HCPCS","Both",,,"782.5","391.25","Clover","Medicare Advantage","LT",,"54",,"424.12","9.7","617.94","percent of total billed charges",,
"SHOULDER 1 VIEW LEFT","73030","HCPCS","Both",,,"782.5","391.25","Wellcare","Medicare Advantage","LT",,"54",,"424.12","9.7","617.94","percent of total billed charges",,
"SHOULDER 1 VIEW LEFT","73030","HCPCS","Both",,,"782.5","391.25","Amerigroup","Medicaid Managed Care","LT",,"37",,"286.4","9.7","617.94","percent of total billed charges",,
"SHOULDER 1 VIEW LEFT","73030","HCPCS","Both",,,"782.5","391.25","Caresource","Medicaid Managed Care","LT",,"40",,"313","9.7","617.94","percent of total billed charges",,
"SHOULDER 1 VIEW LEFT","73030","HCPCS","Both",,,"782.5","391.25","Wellcare","Medicaid Managed Care","LT",,"40",,"316.91","9.7","617.94","percent of total billed charges",,
"SHOULDER 1 VIEW LEFT","73030","HCPCS","Both",,,"782.5","391.25","Aetna","Commercial","LT",,"64",,"499.24","9.7","617.94","percent of total billed charges",,
"SHOULDER 1 VIEW LEFT","73030","HCPCS","Both",,,"782.5","391.25","Blue Cross Blue Shield","Pathways","LT",,"71",,"552.44","9.7","617.94","percent of total billed charges",,
"SHOULDER 1 VIEW LEFT","73030","HCPCS","Both",,,"782.5","391.25","Blue Cross Blue Shield","HMO","LT",,"71",,"552.44","9.7","617.94","percent of total billed charges",,
"SHOULDER 1 VIEW LEFT","73030","HCPCS","Both",,,"782.5","391.25","Blue Cross Blue Shield","PPO","LT",,"71",,"552.44","9.7","617.94","percent of total billed charges",,
"SHOULDER 1 VIEW LEFT","73030","HCPCS","Both",,,"782.5","391.25","Ambetter","Health Exchange","LT",,"62",,"485.15","9.7","617.94","percent of total billed charges",,
"SHOULDER 1 VIEW LEFT","73030","HCPCS","Both",,,"782.5","391.25","Caresource","Health Exchange","LT",,"62",,"485.15","9.7","617.94","percent of total billed charges",,
"SHOULDER 1 VIEW LEFT","73030","HCPCS","Both",,,"782.5","391.25","Cigna","Commercial","LT",,"59",,"458.54","9.7","617.94","percent of total billed charges",,
"SHOULDER 1 VIEW LEFT","73030","HCPCS","Both",,,"782.5","391.25","Humana","Commercial","LT",,"78",,"606.44","9.7","617.94","percent of total billed charges",,
"SHOULDER 1 VIEW LEFT","73030","HCPCS","Both",,,"782.5","391.25","UHC","Commercial","LT",,"75",,"590","9.7","617.94","percent of total billed charges",,
"SHOULDER 1 VIEW LEFT","73030","HCPCS","Both",,,"782.5","391.25","Medicaid",,"LT",,"37",,"286.4","9.7","617.94","percent of total billed charges",,
"SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"782.5","391.25","Alliant","Health Exchange","LT",,"62",,"485.15","9.7","617.94","percent of total billed charges",,
"SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"782.5","391.25","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"422.55","9.7","617.94","percent of total billed charges",,
"SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"782.5","391.25","Medicare",,"LT",,"54",,"424.12","9.7","617.94","percent of total billed charges",,
"SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"782.5","391.25","Humana","Medicare Advantage","LT",,"54",,"424.12","9.7","617.94","percent of total billed charges",,
"SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"782.5","391.25","UHC","Medicare Advantage","LT",,"54",,"424.12","9.7","617.94","percent of total billed charges",,
"SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"782.5","391.25","Clover","Medicare Advantage","LT",,"54",,"424.12","9.7","617.94","percent of total billed charges",,
"SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"782.5","391.25","Wellcare","Medicare Advantage","LT",,"54",,"424.12","9.7","617.94","percent of total billed charges",,
"SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"782.5","391.25","Amerigroup","Medicaid Managed Care","LT",,"37",,"286.4","9.7","617.94","percent of total billed charges",,
"SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"782.5","391.25","Caresource","Medicaid Managed Care","LT",,"40",,"313","9.7","617.94","percent of total billed charges",,
"SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"782.5","391.25","Wellcare","Medicaid Managed Care","LT",,"40",,"316.91","9.7","617.94","percent of total billed charges",,
"SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"782.5","391.25","Aetna","Commercial","LT",,"64",,"499.24","9.7","617.94","percent of total billed charges",,
"SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"782.5","391.25","Blue Cross Blue Shield","Pathways","LT",,"71",,"552.44","9.7","617.94","percent of total billed charges",,
"SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"782.5","391.25","Blue Cross Blue Shield","HMO","LT",,"71",,"552.44","9.7","617.94","percent of total billed charges",,
"SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"782.5","391.25","Blue Cross Blue Shield","PPO","LT",,"71",,"552.44","9.7","617.94","percent of total billed charges",,
"SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"782.5","391.25","Ambetter","Health Exchange","LT",,"62",,"485.15","9.7","617.94","percent of total billed charges",,
"SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"782.5","391.25","Caresource","Health Exchange","LT",,"62",,"485.15","9.7","617.94","percent of total billed charges",,
"SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"782.5","391.25","Cigna","Commercial","LT",,"59",,"458.54","9.7","617.94","percent of total billed charges",,
"SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"782.5","391.25","Humana","Commercial","LT",,"78",,"606.44","9.7","617.94","percent of total billed charges",,
"SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"782.5","391.25","UHC","Commercial","LT",,"75",,"590","9.7","617.94","percent of total billed charges",,
"SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"782.5","391.25","Medicaid",,"LT",,"37",,"286.4","9.7","617.94","percent of total billed charges",,
"SHOULDERS BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Alliant","Health Exchange","",,"62",,"41.85","24.7","52.31","percent of total billed charges",,
"SHOULDERS BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"36.45","24.7","52.31","percent of total billed charges",,
"SHOULDERS BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Medicare",,"",,"54",,"36.58","24.7","52.31","percent of total billed charges",,
"SHOULDERS BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Humana","Medicare Advantage","",,"54",,"36.58","24.7","52.31","percent of total billed charges",,
"SHOULDERS BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","UHC","Medicare Advantage","",,"54",,"36.58","24.7","52.31","percent of total billed charges",,
"SHOULDERS BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Clover","Medicare Advantage","",,"54",,"36.58","24.7","52.31","percent of total billed charges",,
"SHOULDERS BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Wellcare","Medicare Advantage","",,"54",,"36.58","24.7","52.31","percent of total billed charges",,
"SHOULDERS BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Amerigroup","Medicaid Managed Care","",,"37",,"24.7","24.7","52.31","percent of total billed charges",,
"SHOULDERS BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Caresource","Medicaid Managed Care","",,"40",,"27","24.7","52.31","percent of total billed charges",,
"SHOULDERS BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Wellcare","Medicaid Managed Care","",,"40",,"27.34","24.7","52.31","percent of total billed charges",,
"SHOULDERS BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Aetna","Commercial","",,"64",,"43.06","24.7","52.31","percent of total billed charges",,
"SHOULDERS BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Blue Cross Blue Shield","Pathways","",,"71",,"47.65","24.7","52.31","percent of total billed charges",,
"SHOULDERS BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Blue Cross Blue Shield","HMO","",,"71",,"47.65","24.7","52.31","percent of total billed charges",,
"SHOULDERS BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Blue Cross Blue Shield","PPO","",,"71",,"47.65","24.7","52.31","percent of total billed charges",,
"SHOULDERS BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Ambetter","Health Exchange","",,"62",,"41.85","24.7","52.31","percent of total billed charges",,
"SHOULDERS BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Caresource","Health Exchange","",,"62",,"41.85","24.7","52.31","percent of total billed charges",,
"SHOULDERS BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Cigna","Commercial","",,"59",,"39.56","24.7","52.31","percent of total billed charges",,
"SHOULDERS BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Humana","Commercial","",,"78",,"52.31","24.7","52.31","percent of total billed charges",,
"SHOULDERS BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","UHC","Commercial","",,"75",,"50.9","24.7","52.31","percent of total billed charges",,
"SHOULDERS BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Medicaid",,"",,"37",,"24.7","24.7","52.31","percent of total billed charges",,
"HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Alliant","Health Exchange","LT",,"62",,"159.65","8.63","199.56","percent of total billed charges",,
"HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"139.05","8.63","199.56","percent of total billed charges",,
"HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Medicare",,"LT",,"54",,"139.56","8.63","199.56","percent of total billed charges",,
"HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Humana","Medicare Advantage","LT",,"54",,"139.56","8.63","199.56","percent of total billed charges",,
"HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","UHC","Medicare Advantage","LT",,"54",,"139.56","8.63","199.56","percent of total billed charges",,
"HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Clover","Medicare Advantage","LT",,"54",,"139.56","8.63","199.56","percent of total billed charges",,
"HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Wellcare","Medicare Advantage","LT",,"54",,"139.56","8.63","199.56","percent of total billed charges",,
"HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Amerigroup","Medicaid Managed Care","LT",,"37",,"94.24","8.63","199.56","percent of total billed charges",,
"HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Caresource","Medicaid Managed Care","LT",,"40",,"103","8.63","199.56","percent of total billed charges",,
"HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Wellcare","Medicaid Managed Care","LT",,"40",,"104.29","8.63","199.56","percent of total billed charges",,
"HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Aetna","Commercial","LT",,"64",,"164.28","8.63","199.56","percent of total billed charges",,
"HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Blue Cross Blue Shield","Pathways","LT",,"71",,"181.8","8.63","199.56","percent of total billed charges",,
"HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Blue Cross Blue Shield","HMO","LT",,"71",,"181.8","8.63","199.56","percent of total billed charges",,
"HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Blue Cross Blue Shield","PPO","LT",,"71",,"181.8","8.63","199.56","percent of total billed charges",,
"HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Ambetter","Health Exchange","LT",,"62",,"159.65","8.63","199.56","percent of total billed charges",,
"HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Caresource","Health Exchange","LT",,"62",,"159.65","8.63","199.56","percent of total billed charges",,
"HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Cigna","Commercial","LT",,"59",,"150.89","8.63","199.56","percent of total billed charges",,
"HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Humana","Commercial","LT",,"78",,"199.56","8.63","199.56","percent of total billed charges",,
"HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","UHC","Commercial","LT",,"75",,"194.16","8.63","199.56","percent of total billed charges",,
"HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Medicaid",,"LT",,"37",,"94.24","8.63","199.56","percent of total billed charges",,
"ELBOW AP & LAT LEFT","73070","HCPCS","Both",,,"278.5","139.25","Alliant","Health Exchange","LT",,"62",,"172.67","101.93","215.84","percent of total billed charges",,
"ELBOW AP & LAT LEFT","73070","HCPCS","Both",,,"278.5","139.25","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"150.39","101.93","215.84","percent of total billed charges",,
"ELBOW AP & LAT LEFT","73070","HCPCS","Both",,,"278.5","139.25","Medicare",,"LT",,"54",,"150.95","101.93","215.84","percent of total billed charges",,
"ELBOW AP & LAT LEFT","73070","HCPCS","Both",,,"278.5","139.25","Humana","Medicare Advantage","LT",,"54",,"150.95","101.93","215.84","percent of total billed charges",,
"ELBOW AP & LAT LEFT","73070","HCPCS","Both",,,"278.5","139.25","UHC","Medicare Advantage","LT",,"54",,"150.95","101.93","215.84","percent of total billed charges",,
"ELBOW AP & LAT LEFT","73070","HCPCS","Both",,,"278.5","139.25","Clover","Medicare Advantage","LT",,"54",,"150.95","101.93","215.84","percent of total billed charges",,
"ELBOW AP & LAT LEFT","73070","HCPCS","Both",,,"278.5","139.25","Wellcare","Medicare Advantage","LT",,"54",,"150.95","101.93","215.84","percent of total billed charges",,
"ELBOW AP & LAT LEFT","73070","HCPCS","Both",,,"278.5","139.25","Amerigroup","Medicaid Managed Care","LT",,"37",,"101.93","101.93","215.84","percent of total billed charges",,
"ELBOW AP & LAT LEFT","73070","HCPCS","Both",,,"278.5","139.25","Caresource","Medicaid Managed Care","LT",,"40",,"111.4","101.93","215.84","percent of total billed charges",,
"ELBOW AP & LAT LEFT","73070","HCPCS","Both",,,"278.5","139.25","Wellcare","Medicaid Managed Care","LT",,"40",,"112.79","101.93","215.84","percent of total billed charges",,
"ELBOW AP & LAT LEFT","73070","HCPCS","Both",,,"278.5","139.25","Aetna","Commercial","LT",,"64",,"177.68","101.93","215.84","percent of total billed charges",,
"ELBOW AP & LAT LEFT","73070","HCPCS","Both",,,"278.5","139.25","Blue Cross Blue Shield","Pathways","LT",,"71",,"196.62","101.93","215.84","percent of total billed charges",,
"ELBOW AP & LAT LEFT","73070","HCPCS","Both",,,"278.5","139.25","Blue Cross Blue Shield","HMO","LT",,"71",,"196.62","101.93","215.84","percent of total billed charges",,
"ELBOW AP & LAT LEFT","73070","HCPCS","Both",,,"278.5","139.25","Blue Cross Blue Shield","PPO","LT",,"71",,"196.62","101.93","215.84","percent of total billed charges",,
"ELBOW AP & LAT LEFT","73070","HCPCS","Both",,,"278.5","139.25","Ambetter","Health Exchange","LT",,"62",,"172.67","101.93","215.84","percent of total billed charges",,
"ELBOW AP & LAT LEFT","73070","HCPCS","Both",,,"278.5","139.25","Caresource","Health Exchange","LT",,"62",,"172.67","101.93","215.84","percent of total billed charges",,
"ELBOW AP & LAT LEFT","73070","HCPCS","Both",,,"278.5","139.25","Cigna","Commercial","LT",,"59",,"163.2","101.93","215.84","percent of total billed charges",,
"ELBOW AP & LAT LEFT","73070","HCPCS","Both",,,"278.5","139.25","Humana","Commercial","LT",,"78",,"215.84","101.93","215.84","percent of total billed charges",,
"ELBOW AP & LAT LEFT","73070","HCPCS","Both",,,"278.5","139.25","UHC","Commercial","LT",,"75",,"209.99","101.93","215.84","percent of total billed charges",,
"ELBOW AP & LAT LEFT","73070","HCPCS","Both",,,"278.5","139.25","Medicaid",,"LT",,"37",,"101.93","101.93","215.84","percent of total billed charges",,
"ELBOW, 3 VIEWS, LEFT","73080","HCPCS","Both",,,"365","182.5","Alliant","Health Exchange","LT",,"62",,"226.3","9","480.89","percent of total billed charges",,
"ELBOW, 3 VIEWS, LEFT","73080","HCPCS","Both",,,"365","182.5","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"197.1","9","480.89","percent of total billed charges",,
"ELBOW, 3 VIEWS, LEFT","73080","HCPCS","Both",,,"365","182.5","Medicare",,"LT",,"54",,"197.83","9","480.89","percent of total billed charges",,
"ELBOW, 3 VIEWS, LEFT","73080","HCPCS","Both",,,"365","182.5","Humana","Medicare Advantage","LT",,"54",,"197.83","9","480.89","percent of total billed charges",,
"ELBOW, 3 VIEWS, LEFT","73080","HCPCS","Both",,,"365","182.5","UHC","Medicare Advantage","LT",,"54",,"197.83","9","480.89","percent of total billed charges",,
"ELBOW, 3 VIEWS, LEFT","73080","HCPCS","Both",,,"365","182.5","Clover","Medicare Advantage","LT",,"54",,"197.83","9","480.89","percent of total billed charges",,
"ELBOW, 3 VIEWS, LEFT","73080","HCPCS","Both",,,"365","182.5","Wellcare","Medicare Advantage","LT",,"54",,"197.83","9","480.89","percent of total billed charges",,
"ELBOW, 3 VIEWS, LEFT","73080","HCPCS","Both",,,"365","182.5","Amerigroup","Medicaid Managed Care","LT",,"37",,"133.59","9","480.89","percent of total billed charges",,
"ELBOW, 3 VIEWS, LEFT","73080","HCPCS","Both",,,"365","182.5","Caresource","Medicaid Managed Care","LT",,"40",,"146","9","480.89","percent of total billed charges",,
"ELBOW, 3 VIEWS, LEFT","73080","HCPCS","Both",,,"365","182.5","Wellcare","Medicaid Managed Care","LT",,"40",,"147.83","9","480.89","percent of total billed charges",,
"ELBOW, 3 VIEWS, LEFT","73080","HCPCS","Both",,,"365","182.5","Aetna","Commercial","LT",,"64",,"232.87","9","480.89","percent of total billed charges",,
"ELBOW, 3 VIEWS, LEFT","73080","HCPCS","Both",,,"365","182.5","Blue Cross Blue Shield","Pathways","LT",,"71",,"257.69","9","480.89","percent of total billed charges",,
"ELBOW, 3 VIEWS, LEFT","73080","HCPCS","Both",,,"365","182.5","Blue Cross Blue Shield","HMO","LT",,"71",,"257.69","9","480.89","percent of total billed charges",,
"ELBOW, 3 VIEWS, LEFT","73080","HCPCS","Both",,,"365","182.5","Blue Cross Blue Shield","PPO","LT",,"71",,"257.69","9","480.89","percent of total billed charges",,
"ELBOW, 3 VIEWS, LEFT","73080","HCPCS","Both",,,"365","182.5","Ambetter","Health Exchange","LT",,"62",,"226.3","9","480.89","percent of total billed charges",,
"ELBOW, 3 VIEWS, LEFT","73080","HCPCS","Both",,,"365","182.5","Caresource","Health Exchange","LT",,"62",,"226.3","9","480.89","percent of total billed charges",,
"ELBOW, 3 VIEWS, LEFT","73080","HCPCS","Both",,,"365","182.5","Cigna","Commercial","LT",,"59",,"213.89","9","480.89","percent of total billed charges",,
"ELBOW, 3 VIEWS, LEFT","73080","HCPCS","Both",,,"365","182.5","Humana","Commercial","LT",,"78",,"282.88","9","480.89","percent of total billed charges",,
"ELBOW, 3 VIEWS, LEFT","73080","HCPCS","Both",,,"365","182.5","UHC","Commercial","LT",,"75",,"275.21","9","480.89","percent of total billed charges",,
"ELBOW, 3 VIEWS, LEFT","73080","HCPCS","Both",,,"365","182.5","Medicaid",,"LT",,"37",,"133.59","9","480.89","percent of total billed charges",,
"FOREARM AP & LAT LEFT","73090","HCPCS","Both",,,"643.5","321.75","Alliant","Health Exchange","LT",,"62",,"398.97","8.3","566.58","percent of total billed charges",,
"FOREARM AP & LAT LEFT","73090","HCPCS","Both",,,"643.5","321.75","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"347.49","8.3","566.58","percent of total billed charges",,
"FOREARM AP & LAT LEFT","73090","HCPCS","Both",,,"643.5","321.75","Medicare",,"LT",,"54",,"348.78","8.3","566.58","percent of total billed charges",,
"FOREARM AP & LAT LEFT","73090","HCPCS","Both",,,"643.5","321.75","Humana","Medicare Advantage","LT",,"54",,"348.78","8.3","566.58","percent of total billed charges",,
"FOREARM AP & LAT LEFT","73090","HCPCS","Both",,,"643.5","321.75","UHC","Medicare Advantage","LT",,"54",,"348.78","8.3","566.58","percent of total billed charges",,
"FOREARM AP & LAT LEFT","73090","HCPCS","Both",,,"643.5","321.75","Clover","Medicare Advantage","LT",,"54",,"348.78","8.3","566.58","percent of total billed charges",,
"FOREARM AP & LAT LEFT","73090","HCPCS","Both",,,"643.5","321.75","Wellcare","Medicare Advantage","LT",,"54",,"348.78","8.3","566.58","percent of total billed charges",,
"FOREARM AP & LAT LEFT","73090","HCPCS","Both",,,"643.5","321.75","Amerigroup","Medicaid Managed Care","LT",,"37",,"235.52","8.3","566.58","percent of total billed charges",,
"FOREARM AP & LAT LEFT","73090","HCPCS","Both",,,"643.5","321.75","Caresource","Medicaid Managed Care","LT",,"40",,"257.4","8.3","566.58","percent of total billed charges",,
"FOREARM AP & LAT LEFT","73090","HCPCS","Both",,,"643.5","321.75","Wellcare","Medicaid Managed Care","LT",,"40",,"260.62","8.3","566.58","percent of total billed charges",,
"FOREARM AP & LAT LEFT","73090","HCPCS","Both",,,"643.5","321.75","Aetna","Commercial","LT",,"64",,"410.55","8.3","566.58","percent of total billed charges",,
"FOREARM AP & LAT LEFT","73090","HCPCS","Both",,,"643.5","321.75","Blue Cross Blue Shield","Pathways","LT",,"71",,"454.31","8.3","566.58","percent of total billed charges",,
"FOREARM AP & LAT LEFT","73090","HCPCS","Both",,,"643.5","321.75","Blue Cross Blue Shield","HMO","LT",,"71",,"454.31","8.3","566.58","percent of total billed charges",,
"FOREARM AP & LAT LEFT","73090","HCPCS","Both",,,"643.5","321.75","Blue Cross Blue Shield","PPO","LT",,"71",,"454.31","8.3","566.58","percent of total billed charges",,
"FOREARM AP & LAT LEFT","73090","HCPCS","Both",,,"643.5","321.75","Ambetter","Health Exchange","LT",,"62",,"398.97","8.3","566.58","percent of total billed charges",,
"FOREARM AP & LAT LEFT","73090","HCPCS","Both",,,"643.5","321.75","Caresource","Health Exchange","LT",,"62",,"398.97","8.3","566.58","percent of total billed charges",,
"FOREARM AP & LAT LEFT","73090","HCPCS","Both",,,"643.5","321.75","Cigna","Commercial","LT",,"59",,"377.09","8.3","566.58","percent of total billed charges",,
"FOREARM AP & LAT LEFT","73090","HCPCS","Both",,,"643.5","321.75","Humana","Commercial","LT",,"78",,"498.71","8.3","566.58","percent of total billed charges",,
"FOREARM AP & LAT LEFT","73090","HCPCS","Both",,,"643.5","321.75","UHC","Commercial","LT",,"75",,"485.2","8.3","566.58","percent of total billed charges",,
"FOREARM AP & LAT LEFT","73090","HCPCS","Both",,,"643.5","321.75","Medicaid",,"LT",,"37",,"235.52","8.3","566.58","percent of total billed charges",,
"ARM INFANT","73092","HCPCS","Both",,,"85","42.5","Alliant","Health Exchange","LT",,"62",,"52.7","31.11","65.88","percent of total billed charges",,
"ARM INFANT","73092","HCPCS","Both",,,"85","42.5","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"45.9","31.11","65.88","percent of total billed charges",,
"ARM INFANT","73092","HCPCS","Both",,,"85","42.5","Medicare",,"LT",,"54",,"46.07","31.11","65.88","percent of total billed charges",,
"ARM INFANT","73092","HCPCS","Both",,,"85","42.5","Humana","Medicare Advantage","LT",,"54",,"46.07","31.11","65.88","percent of total billed charges",,
"ARM INFANT","73092","HCPCS","Both",,,"85","42.5","UHC","Medicare Advantage","LT",,"54",,"46.07","31.11","65.88","percent of total billed charges",,
"ARM INFANT","73092","HCPCS","Both",,,"85","42.5","Clover","Medicare Advantage","LT",,"54",,"46.07","31.11","65.88","percent of total billed charges",,
"ARM INFANT","73092","HCPCS","Both",,,"85","42.5","Wellcare","Medicare Advantage","LT",,"54",,"46.07","31.11","65.88","percent of total billed charges",,
"ARM INFANT","73092","HCPCS","Both",,,"85","42.5","Amerigroup","Medicaid Managed Care","LT",,"37",,"31.11","31.11","65.88","percent of total billed charges",,
"ARM INFANT","73092","HCPCS","Both",,,"85","42.5","Caresource","Medicaid Managed Care","LT",,"40",,"34","31.11","65.88","percent of total billed charges",,
"ARM INFANT","73092","HCPCS","Both",,,"85","42.5","Wellcare","Medicaid Managed Care","LT",,"40",,"34.43","31.11","65.88","percent of total billed charges",,
"ARM INFANT","73092","HCPCS","Both",,,"85","42.5","Aetna","Commercial","LT",,"64",,"54.23","31.11","65.88","percent of total billed charges",,
"ARM INFANT","73092","HCPCS","Both",,,"85","42.5","Blue Cross Blue Shield","Pathways","LT",,"71",,"60.01","31.11","65.88","percent of total billed charges",,
"ARM INFANT","73092","HCPCS","Both",,,"85","42.5","Blue Cross Blue Shield","HMO","LT",,"71",,"60.01","31.11","65.88","percent of total billed charges",,
"ARM INFANT","73092","HCPCS","Both",,,"85","42.5","Blue Cross Blue Shield","PPO","LT",,"71",,"60.01","31.11","65.88","percent of total billed charges",,
"ARM INFANT","73092","HCPCS","Both",,,"85","42.5","Ambetter","Health Exchange","LT",,"62",,"52.7","31.11","65.88","percent of total billed charges",,
"ARM INFANT","73092","HCPCS","Both",,,"85","42.5","Caresource","Health Exchange","LT",,"62",,"52.7","31.11","65.88","percent of total billed charges",,
"ARM INFANT","73092","HCPCS","Both",,,"85","42.5","Cigna","Commercial","LT",,"59",,"49.81","31.11","65.88","percent of total billed charges",,
"ARM INFANT","73092","HCPCS","Both",,,"85","42.5","Humana","Commercial","LT",,"78",,"65.88","31.11","65.88","percent of total billed charges",,
"ARM INFANT","73092","HCPCS","Both",,,"85","42.5","UHC","Commercial","LT",,"75",,"64.09","31.11","65.88","percent of total billed charges",,
"ARM INFANT","73092","HCPCS","Both",,,"85","42.5","Medicaid",,"LT",,"37",,"31.11","31.11","65.88","percent of total billed charges",,
"WRIST AP & LAT LEFT","73100","HCPCS","Both",,,"63.5","31.75","Alliant","Health Exchange","LT",,"62",,"39.37","23.24","49.21","percent of total billed charges",,
"WRIST AP & LAT LEFT","73100","HCPCS","Both",,,"63.5","31.75","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"34.29","23.24","49.21","percent of total billed charges",,
"WRIST AP & LAT LEFT","73100","HCPCS","Both",,,"63.5","31.75","Medicare",,"LT",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"WRIST AP & LAT LEFT","73100","HCPCS","Both",,,"63.5","31.75","Humana","Medicare Advantage","LT",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"WRIST AP & LAT LEFT","73100","HCPCS","Both",,,"63.5","31.75","UHC","Medicare Advantage","LT",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"WRIST AP & LAT LEFT","73100","HCPCS","Both",,,"63.5","31.75","Clover","Medicare Advantage","LT",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"WRIST AP & LAT LEFT","73100","HCPCS","Both",,,"63.5","31.75","Wellcare","Medicare Advantage","LT",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"WRIST AP & LAT LEFT","73100","HCPCS","Both",,,"63.5","31.75","Amerigroup","Medicaid Managed Care","LT",,"37",,"23.24","23.24","49.21","percent of total billed charges",,
"WRIST AP & LAT LEFT","73100","HCPCS","Both",,,"63.5","31.75","Caresource","Medicaid Managed Care","LT",,"40",,"25.4","23.24","49.21","percent of total billed charges",,
"WRIST AP & LAT LEFT","73100","HCPCS","Both",,,"63.5","31.75","Wellcare","Medicaid Managed Care","LT",,"40",,"25.72","23.24","49.21","percent of total billed charges",,
"WRIST AP & LAT LEFT","73100","HCPCS","Both",,,"63.5","31.75","Aetna","Commercial","LT",,"64",,"40.51","23.24","49.21","percent of total billed charges",,
"WRIST AP & LAT LEFT","73100","HCPCS","Both",,,"63.5","31.75","Blue Cross Blue Shield","Pathways","LT",,"71",,"44.83","23.24","49.21","percent of total billed charges",,
"WRIST AP & LAT LEFT","73100","HCPCS","Both",,,"63.5","31.75","Blue Cross Blue Shield","HMO","LT",,"71",,"44.83","23.24","49.21","percent of total billed charges",,
"WRIST AP & LAT LEFT","73100","HCPCS","Both",,,"63.5","31.75","Blue Cross Blue Shield","PPO","LT",,"71",,"44.83","23.24","49.21","percent of total billed charges",,
"WRIST AP & LAT LEFT","73100","HCPCS","Both",,,"63.5","31.75","Ambetter","Health Exchange","LT",,"62",,"39.37","23.24","49.21","percent of total billed charges",,
"WRIST AP & LAT LEFT","73100","HCPCS","Both",,,"63.5","31.75","Caresource","Health Exchange","LT",,"62",,"39.37","23.24","49.21","percent of total billed charges",,
"WRIST AP & LAT LEFT","73100","HCPCS","Both",,,"63.5","31.75","Cigna","Commercial","LT",,"59",,"37.21","23.24","49.21","percent of total billed charges",,
"WRIST AP & LAT LEFT","73100","HCPCS","Both",,,"63.5","31.75","Humana","Commercial","LT",,"78",,"49.21","23.24","49.21","percent of total billed charges",,
"WRIST AP & LAT LEFT","73100","HCPCS","Both",,,"63.5","31.75","UHC","Commercial","LT",,"75",,"47.88","23.24","49.21","percent of total billed charges",,
"WRIST AP & LAT LEFT","73100","HCPCS","Both",,,"63.5","31.75","Medicaid",,"LT",,"37",,"23.24","23.24","49.21","percent of total billed charges",,
"WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"701.5","350.75","Alliant","Health Exchange","LT",,"62",,"434.93","9","543.66","percent of total billed charges",,
"WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"701.5","350.75","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"378.81","9","543.66","percent of total billed charges",,
"WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"701.5","350.75","Medicare",,"LT",,"54",,"380.21","9","543.66","percent of total billed charges",,
"WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"701.5","350.75","Humana","Medicare Advantage","LT",,"54",,"380.21","9","543.66","percent of total billed charges",,
"WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"701.5","350.75","UHC","Medicare Advantage","LT",,"54",,"380.21","9","543.66","percent of total billed charges",,
"WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"701.5","350.75","Clover","Medicare Advantage","LT",,"54",,"380.21","9","543.66","percent of total billed charges",,
"WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"701.5","350.75","Wellcare","Medicare Advantage","LT",,"54",,"380.21","9","543.66","percent of total billed charges",,
"WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"701.5","350.75","Amerigroup","Medicaid Managed Care","LT",,"37",,"256.75","9","543.66","percent of total billed charges",,
"WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"701.5","350.75","Caresource","Medicaid Managed Care","LT",,"40",,"280.6","9","543.66","percent of total billed charges",,
"WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"701.5","350.75","Wellcare","Medicaid Managed Care","LT",,"40",,"284.11","9","543.66","percent of total billed charges",,
"WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"701.5","350.75","Aetna","Commercial","LT",,"64",,"447.56","9","543.66","percent of total billed charges",,
"WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"701.5","350.75","Blue Cross Blue Shield","Pathways","LT",,"71",,"495.26","9","543.66","percent of total billed charges",,
"WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"701.5","350.75","Blue Cross Blue Shield","HMO","LT",,"71",,"495.26","9","543.66","percent of total billed charges",,
"WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"701.5","350.75","Blue Cross Blue Shield","PPO","LT",,"71",,"495.26","9","543.66","percent of total billed charges",,
"WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"701.5","350.75","Ambetter","Health Exchange","LT",,"62",,"434.93","9","543.66","percent of total billed charges",,
"WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"701.5","350.75","Caresource","Health Exchange","LT",,"62",,"434.93","9","543.66","percent of total billed charges",,
"WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"701.5","350.75","Cigna","Commercial","LT",,"59",,"411.08","9","543.66","percent of total billed charges",,
"WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"701.5","350.75","Humana","Commercial","LT",,"78",,"543.66","9","543.66","percent of total billed charges",,
"WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"701.5","350.75","UHC","Commercial","LT",,"75",,"528.93","9","543.66","percent of total billed charges",,
"WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"701.5","350.75","Medicaid",,"LT",,"37",,"256.75","9","543.66","percent of total billed charges",,
"HAND 2 VIEWS LEFT","73120","HCPCS","Both",,,"247","123.5","Alliant","Health Exchange","LT",,"62",,"153.14","90.4","191.42","percent of total billed charges",,
"HAND 2 VIEWS LEFT","73120","HCPCS","Both",,,"247","123.5","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"133.38","90.4","191.42","percent of total billed charges",,
"HAND 2 VIEWS LEFT","73120","HCPCS","Both",,,"247","123.5","Medicare",,"LT",,"54",,"133.87","90.4","191.42","percent of total billed charges",,
"HAND 2 VIEWS LEFT","73120","HCPCS","Both",,,"247","123.5","Humana","Medicare Advantage","LT",,"54",,"133.87","90.4","191.42","percent of total billed charges",,
"HAND 2 VIEWS LEFT","73120","HCPCS","Both",,,"247","123.5","UHC","Medicare Advantage","LT",,"54",,"133.87","90.4","191.42","percent of total billed charges",,
"HAND 2 VIEWS LEFT","73120","HCPCS","Both",,,"247","123.5","Clover","Medicare Advantage","LT",,"54",,"133.87","90.4","191.42","percent of total billed charges",,
"HAND 2 VIEWS LEFT","73120","HCPCS","Both",,,"247","123.5","Wellcare","Medicare Advantage","LT",,"54",,"133.87","90.4","191.42","percent of total billed charges",,
"HAND 2 VIEWS LEFT","73120","HCPCS","Both",,,"247","123.5","Amerigroup","Medicaid Managed Care","LT",,"37",,"90.4","90.4","191.42","percent of total billed charges",,
"HAND 2 VIEWS LEFT","73120","HCPCS","Both",,,"247","123.5","Caresource","Medicaid Managed Care","LT",,"40",,"98.8","90.4","191.42","percent of total billed charges",,
"HAND 2 VIEWS LEFT","73120","HCPCS","Both",,,"247","123.5","Wellcare","Medicaid Managed Care","LT",,"40",,"100.04","90.4","191.42","percent of total billed charges",,
"HAND 2 VIEWS LEFT","73120","HCPCS","Both",,,"247","123.5","Aetna","Commercial","LT",,"64",,"157.59","90.4","191.42","percent of total billed charges",,
"HAND 2 VIEWS LEFT","73120","HCPCS","Both",,,"247","123.5","Blue Cross Blue Shield","Pathways","LT",,"71",,"174.38","90.4","191.42","percent of total billed charges",,
"HAND 2 VIEWS LEFT","73120","HCPCS","Both",,,"247","123.5","Blue Cross Blue Shield","HMO","LT",,"71",,"174.38","90.4","191.42","percent of total billed charges",,
"HAND 2 VIEWS LEFT","73120","HCPCS","Both",,,"247","123.5","Blue Cross Blue Shield","PPO","LT",,"71",,"174.38","90.4","191.42","percent of total billed charges",,
"HAND 2 VIEWS LEFT","73120","HCPCS","Both",,,"247","123.5","Ambetter","Health Exchange","LT",,"62",,"153.14","90.4","191.42","percent of total billed charges",,
"HAND 2 VIEWS LEFT","73120","HCPCS","Both",,,"247","123.5","Caresource","Health Exchange","LT",,"62",,"153.14","90.4","191.42","percent of total billed charges",,
"HAND 2 VIEWS LEFT","73120","HCPCS","Both",,,"247","123.5","Cigna","Commercial","LT",,"59",,"144.74","90.4","191.42","percent of total billed charges",,
"HAND 2 VIEWS LEFT","73120","HCPCS","Both",,,"247","123.5","Humana","Commercial","LT",,"78",,"191.42","90.4","191.42","percent of total billed charges",,
"HAND 2 VIEWS LEFT","73120","HCPCS","Both",,,"247","123.5","UHC","Commercial","LT",,"75",,"186.24","90.4","191.42","percent of total billed charges",,
"HAND 2 VIEWS LEFT","73120","HCPCS","Both",,,"247","123.5","Medicaid",,"LT",,"37",,"90.4","90.4","191.42","percent of total billed charges",,
"HAND 3 VIEWS LEFT","73130","HCPCS","Both",,,"722.5","361.25","Alliant","Health Exchange","LT",,"62",,"447.95","9","620.29","percent of total billed charges",,
"HAND 3 VIEWS LEFT","73130","HCPCS","Both",,,"722.5","361.25","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"390.15","9","620.29","percent of total billed charges",,
"HAND 3 VIEWS LEFT","73130","HCPCS","Both",,,"722.5","361.25","Medicare",,"LT",,"54",,"391.6","9","620.29","percent of total billed charges",,
"HAND 3 VIEWS LEFT","73130","HCPCS","Both",,,"722.5","361.25","Humana","Medicare Advantage","LT",,"54",,"391.6","9","620.29","percent of total billed charges",,
"HAND 3 VIEWS LEFT","73130","HCPCS","Both",,,"722.5","361.25","UHC","Medicare Advantage","LT",,"54",,"391.6","9","620.29","percent of total billed charges",,
"HAND 3 VIEWS LEFT","73130","HCPCS","Both",,,"722.5","361.25","Clover","Medicare Advantage","LT",,"54",,"391.6","9","620.29","percent of total billed charges",,
"HAND 3 VIEWS LEFT","73130","HCPCS","Both",,,"722.5","361.25","Wellcare","Medicare Advantage","LT",,"54",,"391.6","9","620.29","percent of total billed charges",,
"HAND 3 VIEWS LEFT","73130","HCPCS","Both",,,"722.5","361.25","Amerigroup","Medicaid Managed Care","LT",,"37",,"264.44","9","620.29","percent of total billed charges",,
"HAND 3 VIEWS LEFT","73130","HCPCS","Both",,,"722.5","361.25","Caresource","Medicaid Managed Care","LT",,"40",,"289","9","620.29","percent of total billed charges",,
"HAND 3 VIEWS LEFT","73130","HCPCS","Both",,,"722.5","361.25","Wellcare","Medicaid Managed Care","LT",,"40",,"292.61","9","620.29","percent of total billed charges",,
"HAND 3 VIEWS LEFT","73130","HCPCS","Both",,,"722.5","361.25","Aetna","Commercial","LT",,"64",,"460.96","9","620.29","percent of total billed charges",,
"HAND 3 VIEWS LEFT","73130","HCPCS","Both",,,"722.5","361.25","Blue Cross Blue Shield","Pathways","LT",,"71",,"510.08","9","620.29","percent of total billed charges",,
"HAND 3 VIEWS LEFT","73130","HCPCS","Both",,,"722.5","361.25","Blue Cross Blue Shield","HMO","LT",,"71",,"510.08","9","620.29","percent of total billed charges",,
"HAND 3 VIEWS LEFT","73130","HCPCS","Both",,,"722.5","361.25","Blue Cross Blue Shield","PPO","LT",,"71",,"510.08","9","620.29","percent of total billed charges",,
"HAND 3 VIEWS LEFT","73130","HCPCS","Both",,,"722.5","361.25","Ambetter","Health Exchange","LT",,"62",,"447.95","9","620.29","percent of total billed charges",,
"HAND 3 VIEWS LEFT","73130","HCPCS","Both",,,"722.5","361.25","Caresource","Health Exchange","LT",,"62",,"447.95","9","620.29","percent of total billed charges",,
"HAND 3 VIEWS LEFT","73130","HCPCS","Both",,,"722.5","361.25","Cigna","Commercial","LT",,"59",,"423.38","9","620.29","percent of total billed charges",,
"HAND 3 VIEWS LEFT","73130","HCPCS","Both",,,"722.5","361.25","Humana","Commercial","LT",,"78",,"559.94","9","620.29","percent of total billed charges",,
"HAND 3 VIEWS LEFT","73130","HCPCS","Both",,,"722.5","361.25","UHC","Commercial","LT",,"75",,"544.76","9","620.29","percent of total billed charges",,
"HAND 3 VIEWS LEFT","73130","HCPCS","Both",,,"722.5","361.25","Medicaid",,"LT",,"37",,"264.44","9","620.29","percent of total billed charges",,
"FINGER 2 VIEWS","73140","HCPCS","Both",,,"276.5","138.25","Alliant","Health Exchange","",,"62",,"171.43","7.18","364.29","percent of total billed charges",,
"FINGER 2 VIEWS","73140","HCPCS","Both",,,"276.5","138.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"149.31","7.18","364.29","percent of total billed charges",,
"FINGER 2 VIEWS","73140","HCPCS","Both",,,"276.5","138.25","Medicare",,"",,"54",,"149.86","7.18","364.29","percent of total billed charges",,
"FINGER 2 VIEWS","73140","HCPCS","Both",,,"276.5","138.25","Humana","Medicare Advantage","",,"54",,"149.86","7.18","364.29","percent of total billed charges",,
"FINGER 2 VIEWS","73140","HCPCS","Both",,,"276.5","138.25","UHC","Medicare Advantage","",,"54",,"149.86","7.18","364.29","percent of total billed charges",,
"FINGER 2 VIEWS","73140","HCPCS","Both",,,"276.5","138.25","Clover","Medicare Advantage","",,"54",,"149.86","7.18","364.29","percent of total billed charges",,
"FINGER 2 VIEWS","73140","HCPCS","Both",,,"276.5","138.25","Wellcare","Medicare Advantage","",,"54",,"149.86","7.18","364.29","percent of total billed charges",,
"FINGER 2 VIEWS","73140","HCPCS","Both",,,"276.5","138.25","Amerigroup","Medicaid Managed Care","",,"37",,"101.2","7.18","364.29","percent of total billed charges",,
"FINGER 2 VIEWS","73140","HCPCS","Both",,,"276.5","138.25","Caresource","Medicaid Managed Care","",,"40",,"110.6","7.18","364.29","percent of total billed charges",,
"FINGER 2 VIEWS","73140","HCPCS","Both",,,"276.5","138.25","Wellcare","Medicaid Managed Care","",,"40",,"111.98","7.18","364.29","percent of total billed charges",,
"FINGER 2 VIEWS","73140","HCPCS","Both",,,"276.5","138.25","Aetna","Commercial","",,"64",,"176.41","7.18","364.29","percent of total billed charges",,
"FINGER 2 VIEWS","73140","HCPCS","Both",,,"276.5","138.25","Blue Cross Blue Shield","Pathways","",,"71",,"195.21","7.18","364.29","percent of total billed charges",,
"FINGER 2 VIEWS","73140","HCPCS","Both",,,"276.5","138.25","Blue Cross Blue Shield","HMO","",,"71",,"195.21","7.18","364.29","percent of total billed charges",,
"FINGER 2 VIEWS","73140","HCPCS","Both",,,"276.5","138.25","Blue Cross Blue Shield","PPO","",,"71",,"195.21","7.18","364.29","percent of total billed charges",,
"FINGER 2 VIEWS","73140","HCPCS","Both",,,"276.5","138.25","Ambetter","Health Exchange","",,"62",,"171.43","7.18","364.29","percent of total billed charges",,
"FINGER 2 VIEWS","73140","HCPCS","Both",,,"276.5","138.25","Caresource","Health Exchange","",,"62",,"171.43","7.18","364.29","percent of total billed charges",,
"FINGER 2 VIEWS","73140","HCPCS","Both",,,"276.5","138.25","Cigna","Commercial","",,"59",,"162.03","7.18","364.29","percent of total billed charges",,
"FINGER 2 VIEWS","73140","HCPCS","Both",,,"276.5","138.25","Humana","Commercial","",,"78",,"214.29","7.18","364.29","percent of total billed charges",,
"FINGER 2 VIEWS","73140","HCPCS","Both",,,"276.5","138.25","UHC","Commercial","",,"75",,"208.48","7.18","364.29","percent of total billed charges",,
"FINGER 2 VIEWS","73140","HCPCS","Both",,,"276.5","138.25","Medicaid",,"",,"37",,"101.2","7.18","364.29","percent of total billed charges",,
"KNEE AP & LAT LEFT","73560","HCPCS","Both",,,"308","154","Alliant","Health Exchange","LT",,"62",,"190.96","112.73","238.7","percent of total billed charges",,
"KNEE AP & LAT LEFT","73560","HCPCS","Both",,,"308","154","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"166.32","112.73","238.7","percent of total billed charges",,
"KNEE AP & LAT LEFT","73560","HCPCS","Both",,,"308","154","Medicare",,"LT",,"54",,"166.94","112.73","238.7","percent of total billed charges",,
"KNEE AP & LAT LEFT","73560","HCPCS","Both",,,"308","154","Humana","Medicare Advantage","LT",,"54",,"166.94","112.73","238.7","percent of total billed charges",,
"KNEE AP & LAT LEFT","73560","HCPCS","Both",,,"308","154","UHC","Medicare Advantage","LT",,"54",,"166.94","112.73","238.7","percent of total billed charges",,
"KNEE AP & LAT LEFT","73560","HCPCS","Both",,,"308","154","Clover","Medicare Advantage","LT",,"54",,"166.94","112.73","238.7","percent of total billed charges",,
"KNEE AP & LAT LEFT","73560","HCPCS","Both",,,"308","154","Wellcare","Medicare Advantage","LT",,"54",,"166.94","112.73","238.7","percent of total billed charges",,
"KNEE AP & LAT LEFT","73560","HCPCS","Both",,,"308","154","Amerigroup","Medicaid Managed Care","LT",,"37",,"112.73","112.73","238.7","percent of total billed charges",,
"KNEE AP & LAT LEFT","73560","HCPCS","Both",,,"308","154","Caresource","Medicaid Managed Care","LT",,"40",,"123.2","112.73","238.7","percent of total billed charges",,
"KNEE AP & LAT LEFT","73560","HCPCS","Both",,,"308","154","Wellcare","Medicaid Managed Care","LT",,"40",,"124.74","112.73","238.7","percent of total billed charges",,
"KNEE AP & LAT LEFT","73560","HCPCS","Both",,,"308","154","Aetna","Commercial","LT",,"64",,"196.5","112.73","238.7","percent of total billed charges",,
"KNEE AP & LAT LEFT","73560","HCPCS","Both",,,"308","154","Blue Cross Blue Shield","Pathways","LT",,"71",,"217.45","112.73","238.7","percent of total billed charges",,
"KNEE AP & LAT LEFT","73560","HCPCS","Both",,,"308","154","Blue Cross Blue Shield","HMO","LT",,"71",,"217.45","112.73","238.7","percent of total billed charges",,
"KNEE AP & LAT LEFT","73560","HCPCS","Both",,,"308","154","Blue Cross Blue Shield","PPO","LT",,"71",,"217.45","112.73","238.7","percent of total billed charges",,
"KNEE AP & LAT LEFT","73560","HCPCS","Both",,,"308","154","Ambetter","Health Exchange","LT",,"62",,"190.96","112.73","238.7","percent of total billed charges",,
"KNEE AP & LAT LEFT","73560","HCPCS","Both",,,"308","154","Caresource","Health Exchange","LT",,"62",,"190.96","112.73","238.7","percent of total billed charges",,
"KNEE AP & LAT LEFT","73560","HCPCS","Both",,,"308","154","Cigna","Commercial","LT",,"59",,"180.49","112.73","238.7","percent of total billed charges",,
"KNEE AP & LAT LEFT","73560","HCPCS","Both",,,"308","154","Humana","Commercial","LT",,"78",,"238.7","112.73","238.7","percent of total billed charges",,
"KNEE AP & LAT LEFT","73560","HCPCS","Both",,,"308","154","UHC","Commercial","LT",,"75",,"232.23","112.73","238.7","percent of total billed charges",,
"KNEE AP & LAT LEFT","73560","HCPCS","Both",,,"308","154","Medicaid",,"LT",,"37",,"112.73","112.73","238.7","percent of total billed charges",,
"KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"722.5","361.25","Alliant","Health Exchange","LT",,"62",,"447.95","9.7","663.04","percent of total billed charges",,
"KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"722.5","361.25","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"390.15","9.7","663.04","percent of total billed charges",,
"KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"722.5","361.25","Medicare",,"LT",,"54",,"391.6","9.7","663.04","percent of total billed charges",,
"KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"722.5","361.25","Humana","Medicare Advantage","LT",,"54",,"391.6","9.7","663.04","percent of total billed charges",,
"KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"722.5","361.25","UHC","Medicare Advantage","LT",,"54",,"391.6","9.7","663.04","percent of total billed charges",,
"KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"722.5","361.25","Clover","Medicare Advantage","LT",,"54",,"391.6","9.7","663.04","percent of total billed charges",,
"KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"722.5","361.25","Wellcare","Medicare Advantage","LT",,"54",,"391.6","9.7","663.04","percent of total billed charges",,
"KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"722.5","361.25","Amerigroup","Medicaid Managed Care","LT",,"37",,"264.44","9.7","663.04","percent of total billed charges",,
"KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"722.5","361.25","Caresource","Medicaid Managed Care","LT",,"40",,"289","9.7","663.04","percent of total billed charges",,
"KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"722.5","361.25","Wellcare","Medicaid Managed Care","LT",,"40",,"292.61","9.7","663.04","percent of total billed charges",,
"KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"722.5","361.25","Aetna","Commercial","LT",,"64",,"460.96","9.7","663.04","percent of total billed charges",,
"KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"722.5","361.25","Blue Cross Blue Shield","Pathways","LT",,"71",,"510.08","9.7","663.04","percent of total billed charges",,
"KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"722.5","361.25","Blue Cross Blue Shield","HMO","LT",,"71",,"510.08","9.7","663.04","percent of total billed charges",,
"KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"722.5","361.25","Blue Cross Blue Shield","PPO","LT",,"71",,"510.08","9.7","663.04","percent of total billed charges",,
"KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"722.5","361.25","Ambetter","Health Exchange","LT",,"62",,"447.95","9.7","663.04","percent of total billed charges",,
"KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"722.5","361.25","Caresource","Health Exchange","LT",,"62",,"447.95","9.7","663.04","percent of total billed charges",,
"KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"722.5","361.25","Cigna","Commercial","LT",,"59",,"423.38","9.7","663.04","percent of total billed charges",,
"KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"722.5","361.25","Humana","Commercial","LT",,"78",,"559.94","9.7","663.04","percent of total billed charges",,
"KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"722.5","361.25","UHC","Commercial","LT",,"75",,"544.76","9.7","663.04","percent of total billed charges",,
"KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"722.5","361.25","Medicaid",,"LT",,"37",,"264.44","9.7","663.04","percent of total billed charges",,
"KNEE COMPLETE LEFT","73564","HCPCS","Both",,,"215.5","107.75","Alliant","Health Exchange","LT",,"62",,"133.61","78.87","167.01","percent of total billed charges",,
"KNEE COMPLETE LEFT","73564","HCPCS","Both",,,"215.5","107.75","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"116.37","78.87","167.01","percent of total billed charges",,
"KNEE COMPLETE LEFT","73564","HCPCS","Both",,,"215.5","107.75","Medicare",,"LT",,"54",,"116.8","78.87","167.01","percent of total billed charges",,
"KNEE COMPLETE LEFT","73564","HCPCS","Both",,,"215.5","107.75","Humana","Medicare Advantage","LT",,"54",,"116.8","78.87","167.01","percent of total billed charges",,
"KNEE COMPLETE LEFT","73564","HCPCS","Both",,,"215.5","107.75","UHC","Medicare Advantage","LT",,"54",,"116.8","78.87","167.01","percent of total billed charges",,
"KNEE COMPLETE LEFT","73564","HCPCS","Both",,,"215.5","107.75","Clover","Medicare Advantage","LT",,"54",,"116.8","78.87","167.01","percent of total billed charges",,
"KNEE COMPLETE LEFT","73564","HCPCS","Both",,,"215.5","107.75","Wellcare","Medicare Advantage","LT",,"54",,"116.8","78.87","167.01","percent of total billed charges",,
"KNEE COMPLETE LEFT","73564","HCPCS","Both",,,"215.5","107.75","Amerigroup","Medicaid Managed Care","LT",,"37",,"78.87","78.87","167.01","percent of total billed charges",,
"KNEE COMPLETE LEFT","73564","HCPCS","Both",,,"215.5","107.75","Caresource","Medicaid Managed Care","LT",,"40",,"86.2","78.87","167.01","percent of total billed charges",,
"KNEE COMPLETE LEFT","73564","HCPCS","Both",,,"215.5","107.75","Wellcare","Medicaid Managed Care","LT",,"40",,"87.28","78.87","167.01","percent of total billed charges",,
"KNEE COMPLETE LEFT","73564","HCPCS","Both",,,"215.5","107.75","Aetna","Commercial","LT",,"64",,"137.49","78.87","167.01","percent of total billed charges",,
"KNEE COMPLETE LEFT","73564","HCPCS","Both",,,"215.5","107.75","Blue Cross Blue Shield","Pathways","LT",,"71",,"152.14","78.87","167.01","percent of total billed charges",,
"KNEE COMPLETE LEFT","73564","HCPCS","Both",,,"215.5","107.75","Blue Cross Blue Shield","HMO","LT",,"71",,"152.14","78.87","167.01","percent of total billed charges",,
"KNEE COMPLETE LEFT","73564","HCPCS","Both",,,"215.5","107.75","Blue Cross Blue Shield","PPO","LT",,"71",,"152.14","78.87","167.01","percent of total billed charges",,
"KNEE COMPLETE LEFT","73564","HCPCS","Both",,,"215.5","107.75","Ambetter","Health Exchange","LT",,"62",,"133.61","78.87","167.01","percent of total billed charges",,
"KNEE COMPLETE LEFT","73564","HCPCS","Both",,,"215.5","107.75","Caresource","Health Exchange","LT",,"62",,"133.61","78.87","167.01","percent of total billed charges",,
"KNEE COMPLETE LEFT","73564","HCPCS","Both",,,"215.5","107.75","Cigna","Commercial","LT",,"59",,"126.28","78.87","167.01","percent of total billed charges",,
"KNEE COMPLETE LEFT","73564","HCPCS","Both",,,"215.5","107.75","Humana","Commercial","LT",,"78",,"167.01","78.87","167.01","percent of total billed charges",,
"KNEE COMPLETE LEFT","73564","HCPCS","Both",,,"215.5","107.75","UHC","Commercial","LT",,"75",,"162.49","78.87","167.01","percent of total billed charges",,
"KNEE COMPLETE LEFT","73564","HCPCS","Both",,,"215.5","107.75","Medicaid",,"LT",,"37",,"78.87","78.87","167.01","percent of total billed charges",,
"KNEES BILATERAL STANDING","73565","HCPCS","Both",,,"81.5","40.75","Alliant","Health Exchange","",,"62",,"50.53","29.83","63.16","percent of total billed charges",,
"KNEES BILATERAL STANDING","73565","HCPCS","Both",,,"81.5","40.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"44.01","29.83","63.16","percent of total billed charges",,
"KNEES BILATERAL STANDING","73565","HCPCS","Both",,,"81.5","40.75","Medicare",,"",,"54",,"44.17","29.83","63.16","percent of total billed charges",,
"KNEES BILATERAL STANDING","73565","HCPCS","Both",,,"81.5","40.75","Humana","Medicare Advantage","",,"54",,"44.17","29.83","63.16","percent of total billed charges",,
"KNEES BILATERAL STANDING","73565","HCPCS","Both",,,"81.5","40.75","UHC","Medicare Advantage","",,"54",,"44.17","29.83","63.16","percent of total billed charges",,
"KNEES BILATERAL STANDING","73565","HCPCS","Both",,,"81.5","40.75","Clover","Medicare Advantage","",,"54",,"44.17","29.83","63.16","percent of total billed charges",,
"KNEES BILATERAL STANDING","73565","HCPCS","Both",,,"81.5","40.75","Wellcare","Medicare Advantage","",,"54",,"44.17","29.83","63.16","percent of total billed charges",,
"KNEES BILATERAL STANDING","73565","HCPCS","Both",,,"81.5","40.75","Amerigroup","Medicaid Managed Care","",,"37",,"29.83","29.83","63.16","percent of total billed charges",,
"KNEES BILATERAL STANDING","73565","HCPCS","Both",,,"81.5","40.75","Caresource","Medicaid Managed Care","",,"40",,"32.6","29.83","63.16","percent of total billed charges",,
"KNEES BILATERAL STANDING","73565","HCPCS","Both",,,"81.5","40.75","Wellcare","Medicaid Managed Care","",,"40",,"33.01","29.83","63.16","percent of total billed charges",,
"KNEES BILATERAL STANDING","73565","HCPCS","Both",,,"81.5","40.75","Aetna","Commercial","",,"64",,"52","29.83","63.16","percent of total billed charges",,
"KNEES BILATERAL STANDING","73565","HCPCS","Both",,,"81.5","40.75","Blue Cross Blue Shield","Pathways","",,"71",,"57.54","29.83","63.16","percent of total billed charges",,
"KNEES BILATERAL STANDING","73565","HCPCS","Both",,,"81.5","40.75","Blue Cross Blue Shield","HMO","",,"71",,"57.54","29.83","63.16","percent of total billed charges",,
"KNEES BILATERAL STANDING","73565","HCPCS","Both",,,"81.5","40.75","Blue Cross Blue Shield","PPO","",,"71",,"57.54","29.83","63.16","percent of total billed charges",,
"KNEES BILATERAL STANDING","73565","HCPCS","Both",,,"81.5","40.75","Ambetter","Health Exchange","",,"62",,"50.53","29.83","63.16","percent of total billed charges",,
"KNEES BILATERAL STANDING","73565","HCPCS","Both",,,"81.5","40.75","Caresource","Health Exchange","",,"62",,"50.53","29.83","63.16","percent of total billed charges",,
"KNEES BILATERAL STANDING","73565","HCPCS","Both",,,"81.5","40.75","Cigna","Commercial","",,"59",,"47.76","29.83","63.16","percent of total billed charges",,
"KNEES BILATERAL STANDING","73565","HCPCS","Both",,,"81.5","40.75","Humana","Commercial","",,"78",,"63.16","29.83","63.16","percent of total billed charges",,
"KNEES BILATERAL STANDING","73565","HCPCS","Both",,,"81.5","40.75","UHC","Commercial","",,"75",,"61.45","29.83","63.16","percent of total billed charges",,
"KNEES BILATERAL STANDING","73565","HCPCS","Both",,,"81.5","40.75","Medicaid",,"",,"37",,"29.83","29.83","63.16","percent of total billed charges",,
"TIB/FIB LEFT","73590","HCPCS","Both",,,"258.5","129.25","Alliant","Health Exchange","LT",,"62",,"160.27","8.3","340.57","percent of total billed charges",,
"TIB/FIB LEFT","73590","HCPCS","Both",,,"258.5","129.25","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"139.59","8.3","340.57","percent of total billed charges",,
"TIB/FIB LEFT","73590","HCPCS","Both",,,"258.5","129.25","Medicare",,"LT",,"54",,"140.11","8.3","340.57","percent of total billed charges",,
"TIB/FIB LEFT","73590","HCPCS","Both",,,"258.5","129.25","Humana","Medicare Advantage","LT",,"54",,"140.11","8.3","340.57","percent of total billed charges",,
"TIB/FIB LEFT","73590","HCPCS","Both",,,"258.5","129.25","UHC","Medicare Advantage","LT",,"54",,"140.11","8.3","340.57","percent of total billed charges",,
"TIB/FIB LEFT","73590","HCPCS","Both",,,"258.5","129.25","Clover","Medicare Advantage","LT",,"54",,"140.11","8.3","340.57","percent of total billed charges",,
"TIB/FIB LEFT","73590","HCPCS","Both",,,"258.5","129.25","Wellcare","Medicare Advantage","LT",,"54",,"140.11","8.3","340.57","percent of total billed charges",,
"TIB/FIB LEFT","73590","HCPCS","Both",,,"258.5","129.25","Amerigroup","Medicaid Managed Care","LT",,"37",,"94.61","8.3","340.57","percent of total billed charges",,
"TIB/FIB LEFT","73590","HCPCS","Both",,,"258.5","129.25","Caresource","Medicaid Managed Care","LT",,"40",,"103.4","8.3","340.57","percent of total billed charges",,
"TIB/FIB LEFT","73590","HCPCS","Both",,,"258.5","129.25","Wellcare","Medicaid Managed Care","LT",,"40",,"104.69","8.3","340.57","percent of total billed charges",,
"TIB/FIB LEFT","73590","HCPCS","Both",,,"258.5","129.25","Aetna","Commercial","LT",,"64",,"164.92","8.3","340.57","percent of total billed charges",,
"TIB/FIB LEFT","73590","HCPCS","Both",,,"258.5","129.25","Blue Cross Blue Shield","Pathways","LT",,"71",,"182.5","8.3","340.57","percent of total billed charges",,
"TIB/FIB LEFT","73590","HCPCS","Both",,,"258.5","129.25","Blue Cross Blue Shield","HMO","LT",,"71",,"182.5","8.3","340.57","percent of total billed charges",,
"TIB/FIB LEFT","73590","HCPCS","Both",,,"258.5","129.25","Blue Cross Blue Shield","PPO","LT",,"71",,"182.5","8.3","340.57","percent of total billed charges",,
"TIB/FIB LEFT","73590","HCPCS","Both",,,"258.5","129.25","Ambetter","Health Exchange","LT",,"62",,"160.27","8.3","340.57","percent of total billed charges",,
"TIB/FIB LEFT","73590","HCPCS","Both",,,"258.5","129.25","Caresource","Health Exchange","LT",,"62",,"160.27","8.3","340.57","percent of total billed charges",,
"TIB/FIB LEFT","73590","HCPCS","Both",,,"258.5","129.25","Cigna","Commercial","LT",,"59",,"151.48","8.3","340.57","percent of total billed charges",,
"TIB/FIB LEFT","73590","HCPCS","Both",,,"258.5","129.25","Humana","Commercial","LT",,"78",,"200.34","8.3","340.57","percent of total billed charges",,
"TIB/FIB LEFT","73590","HCPCS","Both",,,"258.5","129.25","UHC","Commercial","LT",,"75",,"194.91","8.3","340.57","percent of total billed charges",,
"TIB/FIB LEFT","73590","HCPCS","Both",,,"258.5","129.25","Medicaid",,"LT",,"37",,"94.61","8.3","340.57","percent of total billed charges",,
"TIB/FIB INFANT LEFT","73592","HCPCS","Both",,,"89.5","44.75","Alliant","Health Exchange","LT",,"62",,"55.49","32.76","69.36","percent of total billed charges",,
"TIB/FIB INFANT LEFT","73592","HCPCS","Both",,,"89.5","44.75","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"48.33","32.76","69.36","percent of total billed charges",,
"TIB/FIB INFANT LEFT","73592","HCPCS","Both",,,"89.5","44.75","Medicare",,"LT",,"54",,"48.51","32.76","69.36","percent of total billed charges",,
"TIB/FIB INFANT LEFT","73592","HCPCS","Both",,,"89.5","44.75","Humana","Medicare Advantage","LT",,"54",,"48.51","32.76","69.36","percent of total billed charges",,
"TIB/FIB INFANT LEFT","73592","HCPCS","Both",,,"89.5","44.75","UHC","Medicare Advantage","LT",,"54",,"48.51","32.76","69.36","percent of total billed charges",,
"TIB/FIB INFANT LEFT","73592","HCPCS","Both",,,"89.5","44.75","Clover","Medicare Advantage","LT",,"54",,"48.51","32.76","69.36","percent of total billed charges",,
"TIB/FIB INFANT LEFT","73592","HCPCS","Both",,,"89.5","44.75","Wellcare","Medicare Advantage","LT",,"54",,"48.51","32.76","69.36","percent of total billed charges",,
"TIB/FIB INFANT LEFT","73592","HCPCS","Both",,,"89.5","44.75","Amerigroup","Medicaid Managed Care","LT",,"37",,"32.76","32.76","69.36","percent of total billed charges",,
"TIB/FIB INFANT LEFT","73592","HCPCS","Both",,,"89.5","44.75","Caresource","Medicaid Managed Care","LT",,"40",,"35.8","32.76","69.36","percent of total billed charges",,
"TIB/FIB INFANT LEFT","73592","HCPCS","Both",,,"89.5","44.75","Wellcare","Medicaid Managed Care","LT",,"40",,"36.25","32.76","69.36","percent of total billed charges",,
"TIB/FIB INFANT LEFT","73592","HCPCS","Both",,,"89.5","44.75","Aetna","Commercial","LT",,"64",,"57.1","32.76","69.36","percent of total billed charges",,
"TIB/FIB INFANT LEFT","73592","HCPCS","Both",,,"89.5","44.75","Blue Cross Blue Shield","Pathways","LT",,"71",,"63.19","32.76","69.36","percent of total billed charges",,
"TIB/FIB INFANT LEFT","73592","HCPCS","Both",,,"89.5","44.75","Blue Cross Blue Shield","HMO","LT",,"71",,"63.19","32.76","69.36","percent of total billed charges",,
"TIB/FIB INFANT LEFT","73592","HCPCS","Both",,,"89.5","44.75","Blue Cross Blue Shield","PPO","LT",,"71",,"63.19","32.76","69.36","percent of total billed charges",,
"TIB/FIB INFANT LEFT","73592","HCPCS","Both",,,"89.5","44.75","Ambetter","Health Exchange","LT",,"62",,"55.49","32.76","69.36","percent of total billed charges",,
"TIB/FIB INFANT LEFT","73592","HCPCS","Both",,,"89.5","44.75","Caresource","Health Exchange","LT",,"62",,"55.49","32.76","69.36","percent of total billed charges",,
"TIB/FIB INFANT LEFT","73592","HCPCS","Both",,,"89.5","44.75","Cigna","Commercial","LT",,"59",,"52.45","32.76","69.36","percent of total billed charges",,
"TIB/FIB INFANT LEFT","73592","HCPCS","Both",,,"89.5","44.75","Humana","Commercial","LT",,"78",,"69.36","32.76","69.36","percent of total billed charges",,
"TIB/FIB INFANT LEFT","73592","HCPCS","Both",,,"89.5","44.75","UHC","Commercial","LT",,"75",,"67.48","32.76","69.36","percent of total billed charges",,
"TIB/FIB INFANT LEFT","73592","HCPCS","Both",,,"89.5","44.75","Medicaid",,"LT",,"37",,"32.76","32.76","69.36","percent of total billed charges",,
"ANKLE; AP & LAT LEFT","73600","HCPCS","Both",,,"101","50.5","Alliant","Health Exchange","LT",,"62",,"62.62","36.97","78.28","percent of total billed charges",,
"ANKLE; AP & LAT LEFT","73600","HCPCS","Both",,,"101","50.5","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"54.54","36.97","78.28","percent of total billed charges",,
"ANKLE; AP & LAT LEFT","73600","HCPCS","Both",,,"101","50.5","Medicare",,"LT",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"ANKLE; AP & LAT LEFT","73600","HCPCS","Both",,,"101","50.5","Humana","Medicare Advantage","LT",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"ANKLE; AP & LAT LEFT","73600","HCPCS","Both",,,"101","50.5","UHC","Medicare Advantage","LT",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"ANKLE; AP & LAT LEFT","73600","HCPCS","Both",,,"101","50.5","Clover","Medicare Advantage","LT",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"ANKLE; AP & LAT LEFT","73600","HCPCS","Both",,,"101","50.5","Wellcare","Medicare Advantage","LT",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"ANKLE; AP & LAT LEFT","73600","HCPCS","Both",,,"101","50.5","Amerigroup","Medicaid Managed Care","LT",,"37",,"36.97","36.97","78.28","percent of total billed charges",,
"ANKLE; AP & LAT LEFT","73600","HCPCS","Both",,,"101","50.5","Caresource","Medicaid Managed Care","LT",,"40",,"40.4","36.97","78.28","percent of total billed charges",,
"ANKLE; AP & LAT LEFT","73600","HCPCS","Both",,,"101","50.5","Wellcare","Medicaid Managed Care","LT",,"40",,"40.9","36.97","78.28","percent of total billed charges",,
"ANKLE; AP & LAT LEFT","73600","HCPCS","Both",,,"101","50.5","Aetna","Commercial","LT",,"64",,"64.44","36.97","78.28","percent of total billed charges",,
"ANKLE; AP & LAT LEFT","73600","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","Pathways","LT",,"71",,"71.31","36.97","78.28","percent of total billed charges",,
"ANKLE; AP & LAT LEFT","73600","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","HMO","LT",,"71",,"71.31","36.97","78.28","percent of total billed charges",,
"ANKLE; AP & LAT LEFT","73600","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","PPO","LT",,"71",,"71.31","36.97","78.28","percent of total billed charges",,
"ANKLE; AP & LAT LEFT","73600","HCPCS","Both",,,"101","50.5","Ambetter","Health Exchange","LT",,"62",,"62.62","36.97","78.28","percent of total billed charges",,
"ANKLE; AP & LAT LEFT","73600","HCPCS","Both",,,"101","50.5","Caresource","Health Exchange","LT",,"62",,"62.62","36.97","78.28","percent of total billed charges",,
"ANKLE; AP & LAT LEFT","73600","HCPCS","Both",,,"101","50.5","Cigna","Commercial","LT",,"59",,"59.19","36.97","78.28","percent of total billed charges",,
"ANKLE; AP & LAT LEFT","73600","HCPCS","Both",,,"101","50.5","Humana","Commercial","LT",,"78",,"78.28","36.97","78.28","percent of total billed charges",,
"ANKLE; AP & LAT LEFT","73600","HCPCS","Both",,,"101","50.5","UHC","Commercial","LT",,"75",,"76.15","36.97","78.28","percent of total billed charges",,
"ANKLE; AP & LAT LEFT","73600","HCPCS","Both",,,"101","50.5","Medicaid",,"LT",,"37",,"36.97","36.97","78.28","percent of total billed charges",,
"ANKLE, 3 VIEWS, LEFT","73610","HCPCS","Both",,,"668","334","Alliant","Health Exchange","LT",,"62",,"414.16","9","598.26","percent of total billed charges",,
"ANKLE, 3 VIEWS, LEFT","73610","HCPCS","Both",,,"668","334","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"360.72","9","598.26","percent of total billed charges",,
"ANKLE, 3 VIEWS, LEFT","73610","HCPCS","Both",,,"668","334","Medicare",,"LT",,"54",,"362.06","9","598.26","percent of total billed charges",,
"ANKLE, 3 VIEWS, LEFT","73610","HCPCS","Both",,,"668","334","Humana","Medicare Advantage","LT",,"54",,"362.06","9","598.26","percent of total billed charges",,
"ANKLE, 3 VIEWS, LEFT","73610","HCPCS","Both",,,"668","334","UHC","Medicare Advantage","LT",,"54",,"362.06","9","598.26","percent of total billed charges",,
"ANKLE, 3 VIEWS, LEFT","73610","HCPCS","Both",,,"668","334","Clover","Medicare Advantage","LT",,"54",,"362.06","9","598.26","percent of total billed charges",,
"ANKLE, 3 VIEWS, LEFT","73610","HCPCS","Both",,,"668","334","Wellcare","Medicare Advantage","LT",,"54",,"362.06","9","598.26","percent of total billed charges",,
"ANKLE, 3 VIEWS, LEFT","73610","HCPCS","Both",,,"668","334","Amerigroup","Medicaid Managed Care","LT",,"37",,"244.49","9","598.26","percent of total billed charges",,
"ANKLE, 3 VIEWS, LEFT","73610","HCPCS","Both",,,"668","334","Caresource","Medicaid Managed Care","LT",,"40",,"267.2","9","598.26","percent of total billed charges",,
"ANKLE, 3 VIEWS, LEFT","73610","HCPCS","Both",,,"668","334","Wellcare","Medicaid Managed Care","LT",,"40",,"270.54","9","598.26","percent of total billed charges",,
"ANKLE, 3 VIEWS, LEFT","73610","HCPCS","Both",,,"668","334","Aetna","Commercial","LT",,"64",,"426.18","9","598.26","percent of total billed charges",,
"ANKLE, 3 VIEWS, LEFT","73610","HCPCS","Both",,,"668","334","Blue Cross Blue Shield","Pathways","LT",,"71",,"471.61","9","598.26","percent of total billed charges",,
"ANKLE, 3 VIEWS, LEFT","73610","HCPCS","Both",,,"668","334","Blue Cross Blue Shield","HMO","LT",,"71",,"471.61","9","598.26","percent of total billed charges",,
"ANKLE, 3 VIEWS, LEFT","73610","HCPCS","Both",,,"668","334","Blue Cross Blue Shield","PPO","LT",,"71",,"471.61","9","598.26","percent of total billed charges",,
"ANKLE, 3 VIEWS, LEFT","73610","HCPCS","Both",,,"668","334","Ambetter","Health Exchange","LT",,"62",,"414.16","9","598.26","percent of total billed charges",,
"ANKLE, 3 VIEWS, LEFT","73610","HCPCS","Both",,,"668","334","Caresource","Health Exchange","LT",,"62",,"414.16","9","598.26","percent of total billed charges",,
"ANKLE, 3 VIEWS, LEFT","73610","HCPCS","Both",,,"668","334","Cigna","Commercial","LT",,"59",,"391.45","9","598.26","percent of total billed charges",,
"ANKLE, 3 VIEWS, LEFT","73610","HCPCS","Both",,,"668","334","Humana","Commercial","LT",,"78",,"517.7","9","598.26","percent of total billed charges",,
"ANKLE, 3 VIEWS, LEFT","73610","HCPCS","Both",,,"668","334","UHC","Commercial","LT",,"75",,"503.67","9","598.26","percent of total billed charges",,
"ANKLE, 3 VIEWS, LEFT","73610","HCPCS","Both",,,"668","334","Medicaid",,"LT",,"37",,"244.49","9","598.26","percent of total billed charges",,
"FOOT AP & LAT LEFT","73620","HCPCS","Both",,,"224.5","112.25","Alliant","Health Exchange","LT",,"62",,"139.19","82.17","173.99","percent of total billed charges",,
"FOOT AP & LAT LEFT","73620","HCPCS","Both",,,"224.5","112.25","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"121.23","82.17","173.99","percent of total billed charges",,
"FOOT AP & LAT LEFT","73620","HCPCS","Both",,,"224.5","112.25","Medicare",,"LT",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"FOOT AP & LAT LEFT","73620","HCPCS","Both",,,"224.5","112.25","Humana","Medicare Advantage","LT",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"FOOT AP & LAT LEFT","73620","HCPCS","Both",,,"224.5","112.25","UHC","Medicare Advantage","LT",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"FOOT AP & LAT LEFT","73620","HCPCS","Both",,,"224.5","112.25","Clover","Medicare Advantage","LT",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"FOOT AP & LAT LEFT","73620","HCPCS","Both",,,"224.5","112.25","Wellcare","Medicare Advantage","LT",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"FOOT AP & LAT LEFT","73620","HCPCS","Both",,,"224.5","112.25","Amerigroup","Medicaid Managed Care","LT",,"37",,"82.17","82.17","173.99","percent of total billed charges",,
"FOOT AP & LAT LEFT","73620","HCPCS","Both",,,"224.5","112.25","Caresource","Medicaid Managed Care","LT",,"40",,"89.8","82.17","173.99","percent of total billed charges",,
"FOOT AP & LAT LEFT","73620","HCPCS","Both",,,"224.5","112.25","Wellcare","Medicaid Managed Care","LT",,"40",,"90.92","82.17","173.99","percent of total billed charges",,
"FOOT AP & LAT LEFT","73620","HCPCS","Both",,,"224.5","112.25","Aetna","Commercial","LT",,"64",,"143.23","82.17","173.99","percent of total billed charges",,
"FOOT AP & LAT LEFT","73620","HCPCS","Both",,,"224.5","112.25","Blue Cross Blue Shield","Pathways","LT",,"71",,"158.5","82.17","173.99","percent of total billed charges",,
"FOOT AP & LAT LEFT","73620","HCPCS","Both",,,"224.5","112.25","Blue Cross Blue Shield","HMO","LT",,"71",,"158.5","82.17","173.99","percent of total billed charges",,
"FOOT AP & LAT LEFT","73620","HCPCS","Both",,,"224.5","112.25","Blue Cross Blue Shield","PPO","LT",,"71",,"158.5","82.17","173.99","percent of total billed charges",,
"FOOT AP & LAT LEFT","73620","HCPCS","Both",,,"224.5","112.25","Ambetter","Health Exchange","LT",,"62",,"139.19","82.17","173.99","percent of total billed charges",,
"FOOT AP & LAT LEFT","73620","HCPCS","Both",,,"224.5","112.25","Caresource","Health Exchange","LT",,"62",,"139.19","82.17","173.99","percent of total billed charges",,
"FOOT AP & LAT LEFT","73620","HCPCS","Both",,,"224.5","112.25","Cigna","Commercial","LT",,"59",,"131.56","82.17","173.99","percent of total billed charges",,
"FOOT AP & LAT LEFT","73620","HCPCS","Both",,,"224.5","112.25","Humana","Commercial","LT",,"78",,"173.99","82.17","173.99","percent of total billed charges",,
"FOOT AP & LAT LEFT","73620","HCPCS","Both",,,"224.5","112.25","UHC","Commercial","LT",,"75",,"169.27","82.17","173.99","percent of total billed charges",,
"FOOT AP & LAT LEFT","73620","HCPCS","Both",,,"224.5","112.25","Medicaid",,"LT",,"37",,"82.17","82.17","173.99","percent of total billed charges",,
"FOOT 3 VIEWS LEFT","73630","HCPCS","Both",,,"701.5","350.75","Alliant","Health Exchange","LT",,"62",,"434.93","8.67","569.66","percent of total billed charges",,
"FOOT 3 VIEWS LEFT","73630","HCPCS","Both",,,"701.5","350.75","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"378.81","8.67","569.66","percent of total billed charges",,
"FOOT 3 VIEWS LEFT","73630","HCPCS","Both",,,"701.5","350.75","Medicare",,"LT",,"54",,"380.21","8.67","569.66","percent of total billed charges",,
"FOOT 3 VIEWS LEFT","73630","HCPCS","Both",,,"701.5","350.75","Humana","Medicare Advantage","LT",,"54",,"380.21","8.67","569.66","percent of total billed charges",,
"FOOT 3 VIEWS LEFT","73630","HCPCS","Both",,,"701.5","350.75","UHC","Medicare Advantage","LT",,"54",,"380.21","8.67","569.66","percent of total billed charges",,
"FOOT 3 VIEWS LEFT","73630","HCPCS","Both",,,"701.5","350.75","Clover","Medicare Advantage","LT",,"54",,"380.21","8.67","569.66","percent of total billed charges",,
"FOOT 3 VIEWS LEFT","73630","HCPCS","Both",,,"701.5","350.75","Wellcare","Medicare Advantage","LT",,"54",,"380.21","8.67","569.66","percent of total billed charges",,
"FOOT 3 VIEWS LEFT","73630","HCPCS","Both",,,"701.5","350.75","Amerigroup","Medicaid Managed Care","LT",,"37",,"256.75","8.67","569.66","percent of total billed charges",,
"FOOT 3 VIEWS LEFT","73630","HCPCS","Both",,,"701.5","350.75","Caresource","Medicaid Managed Care","LT",,"40",,"280.6","8.67","569.66","percent of total billed charges",,
"FOOT 3 VIEWS LEFT","73630","HCPCS","Both",,,"701.5","350.75","Wellcare","Medicaid Managed Care","LT",,"40",,"284.11","8.67","569.66","percent of total billed charges",,
"FOOT 3 VIEWS LEFT","73630","HCPCS","Both",,,"701.5","350.75","Aetna","Commercial","LT",,"64",,"447.56","8.67","569.66","percent of total billed charges",,
"FOOT 3 VIEWS LEFT","73630","HCPCS","Both",,,"701.5","350.75","Blue Cross Blue Shield","Pathways","LT",,"71",,"495.26","8.67","569.66","percent of total billed charges",,
"FOOT 3 VIEWS LEFT","73630","HCPCS","Both",,,"701.5","350.75","Blue Cross Blue Shield","HMO","LT",,"71",,"495.26","8.67","569.66","percent of total billed charges",,
"FOOT 3 VIEWS LEFT","73630","HCPCS","Both",,,"701.5","350.75","Blue Cross Blue Shield","PPO","LT",,"71",,"495.26","8.67","569.66","percent of total billed charges",,
"FOOT 3 VIEWS LEFT","73630","HCPCS","Both",,,"701.5","350.75","Ambetter","Health Exchange","LT",,"62",,"434.93","8.67","569.66","percent of total billed charges",,
"FOOT 3 VIEWS LEFT","73630","HCPCS","Both",,,"701.5","350.75","Caresource","Health Exchange","LT",,"62",,"434.93","8.67","569.66","percent of total billed charges",,
"FOOT 3 VIEWS LEFT","73630","HCPCS","Both",,,"701.5","350.75","Cigna","Commercial","LT",,"59",,"411.08","8.67","569.66","percent of total billed charges",,
"FOOT 3 VIEWS LEFT","73630","HCPCS","Both",,,"701.5","350.75","Humana","Commercial","LT",,"78",,"543.66","8.67","569.66","percent of total billed charges",,
"FOOT 3 VIEWS LEFT","73630","HCPCS","Both",,,"701.5","350.75","UHC","Commercial","LT",,"75",,"528.93","8.67","569.66","percent of total billed charges",,
"FOOT 3 VIEWS LEFT","73630","HCPCS","Both",,,"701.5","350.75","Medicaid",,"LT",,"37",,"256.75","8.67","569.66","percent of total billed charges",,
"HEEL 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Alliant","Health Exchange","LT",,"62",,"163.99","8.3","204.99","percent of total billed charges",,
"HEEL 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"142.83","8.3","204.99","percent of total billed charges",,
"HEEL 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Medicare",,"LT",,"54",,"143.36","8.3","204.99","percent of total billed charges",,
"HEEL 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Humana","Medicare Advantage","LT",,"54",,"143.36","8.3","204.99","percent of total billed charges",,
"HEEL 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","UHC","Medicare Advantage","LT",,"54",,"143.36","8.3","204.99","percent of total billed charges",,
"HEEL 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Clover","Medicare Advantage","LT",,"54",,"143.36","8.3","204.99","percent of total billed charges",,
"HEEL 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Wellcare","Medicare Advantage","LT",,"54",,"143.36","8.3","204.99","percent of total billed charges",,
"HEEL 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Amerigroup","Medicaid Managed Care","LT",,"37",,"96.81","8.3","204.99","percent of total billed charges",,
"HEEL 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Caresource","Medicaid Managed Care","LT",,"40",,"105.8","8.3","204.99","percent of total billed charges",,
"HEEL 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Wellcare","Medicaid Managed Care","LT",,"40",,"107.12","8.3","204.99","percent of total billed charges",,
"HEEL 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Aetna","Commercial","LT",,"64",,"168.75","8.3","204.99","percent of total billed charges",,
"HEEL 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Blue Cross Blue Shield","Pathways","LT",,"71",,"186.74","8.3","204.99","percent of total billed charges",,
"HEEL 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Blue Cross Blue Shield","HMO","LT",,"71",,"186.74","8.3","204.99","percent of total billed charges",,
"HEEL 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Blue Cross Blue Shield","PPO","LT",,"71",,"186.74","8.3","204.99","percent of total billed charges",,
"HEEL 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Ambetter","Health Exchange","LT",,"62",,"163.99","8.3","204.99","percent of total billed charges",,
"HEEL 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Caresource","Health Exchange","LT",,"62",,"163.99","8.3","204.99","percent of total billed charges",,
"HEEL 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Cigna","Commercial","LT",,"59",,"155","8.3","204.99","percent of total billed charges",,
"HEEL 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Humana","Commercial","LT",,"78",,"204.99","8.3","204.99","percent of total billed charges",,
"HEEL 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","UHC","Commercial","LT",,"75",,"199.43","8.3","204.99","percent of total billed charges",,
"HEEL 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Medicaid",,"LT",,"37",,"96.81","8.3","204.99","percent of total billed charges",,
"TOE(S) 2 VIEWS","73660","HCPCS","Both",,,"69.5","34.75","Alliant","Health Exchange","",,"62",,"43.09","25.44","53.86","percent of total billed charges",,
"TOE(S) 2 VIEWS","73660","HCPCS","Both",,,"69.5","34.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"37.53","25.44","53.86","percent of total billed charges",,
"TOE(S) 2 VIEWS","73660","HCPCS","Both",,,"69.5","34.75","Medicare",,"",,"54",,"37.67","25.44","53.86","percent of total billed charges",,
"TOE(S) 2 VIEWS","73660","HCPCS","Both",,,"69.5","34.75","Humana","Medicare Advantage","",,"54",,"37.67","25.44","53.86","percent of total billed charges",,
"TOE(S) 2 VIEWS","73660","HCPCS","Both",,,"69.5","34.75","UHC","Medicare Advantage","",,"54",,"37.67","25.44","53.86","percent of total billed charges",,
"TOE(S) 2 VIEWS","73660","HCPCS","Both",,,"69.5","34.75","Clover","Medicare Advantage","",,"54",,"37.67","25.44","53.86","percent of total billed charges",,
"TOE(S) 2 VIEWS","73660","HCPCS","Both",,,"69.5","34.75","Wellcare","Medicare Advantage","",,"54",,"37.67","25.44","53.86","percent of total billed charges",,
"TOE(S) 2 VIEWS","73660","HCPCS","Both",,,"69.5","34.75","Amerigroup","Medicaid Managed Care","",,"37",,"25.44","25.44","53.86","percent of total billed charges",,
"TOE(S) 2 VIEWS","73660","HCPCS","Both",,,"69.5","34.75","Caresource","Medicaid Managed Care","",,"40",,"27.8","25.44","53.86","percent of total billed charges",,
"TOE(S) 2 VIEWS","73660","HCPCS","Both",,,"69.5","34.75","Wellcare","Medicaid Managed Care","",,"40",,"28.15","25.44","53.86","percent of total billed charges",,
"TOE(S) 2 VIEWS","73660","HCPCS","Both",,,"69.5","34.75","Aetna","Commercial","",,"64",,"44.34","25.44","53.86","percent of total billed charges",,
"TOE(S) 2 VIEWS","73660","HCPCS","Both",,,"69.5","34.75","Blue Cross Blue Shield","Pathways","",,"71",,"49.07","25.44","53.86","percent of total billed charges",,
"TOE(S) 2 VIEWS","73660","HCPCS","Both",,,"69.5","34.75","Blue Cross Blue Shield","HMO","",,"71",,"49.07","25.44","53.86","percent of total billed charges",,
"TOE(S) 2 VIEWS","73660","HCPCS","Both",,,"69.5","34.75","Blue Cross Blue Shield","PPO","",,"71",,"49.07","25.44","53.86","percent of total billed charges",,
"TOE(S) 2 VIEWS","73660","HCPCS","Both",,,"69.5","34.75","Ambetter","Health Exchange","",,"62",,"43.09","25.44","53.86","percent of total billed charges",,
"TOE(S) 2 VIEWS","73660","HCPCS","Both",,,"69.5","34.75","Caresource","Health Exchange","",,"62",,"43.09","25.44","53.86","percent of total billed charges",,
"TOE(S) 2 VIEWS","73660","HCPCS","Both",,,"69.5","34.75","Cigna","Commercial","",,"59",,"40.73","25.44","53.86","percent of total billed charges",,
"TOE(S) 2 VIEWS","73660","HCPCS","Both",,,"69.5","34.75","Humana","Commercial","",,"78",,"53.86","25.44","53.86","percent of total billed charges",,
"TOE(S) 2 VIEWS","73660","HCPCS","Both",,,"69.5","34.75","UHC","Commercial","",,"75",,"52.4","25.44","53.86","percent of total billed charges",,
"TOE(S) 2 VIEWS","73660","HCPCS","Both",,,"69.5","34.75","Medicaid",,"",,"37",,"25.44","25.44","53.86","percent of total billed charges",,
"AMPICILLIN 500 MG INJECTION","J0290","HCPCS","Both",,,"43","21.5","Alliant","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"AMPICILLIN 500 MG INJECTION","J0290","HCPCS","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"23.22","15.74","33.33","percent of total billed charges",,
"AMPICILLIN 500 MG INJECTION","J0290","HCPCS","Both",,,"43","21.5","Medicare",,"",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"AMPICILLIN 500 MG INJECTION","J0290","HCPCS","Both",,,"43","21.5","Humana","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"AMPICILLIN 500 MG INJECTION","J0290","HCPCS","Both",,,"43","21.5","UHC","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"AMPICILLIN 500 MG INJECTION","J0290","HCPCS","Both",,,"43","21.5","Clover","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"AMPICILLIN 500 MG INJECTION","J0290","HCPCS","Both",,,"43","21.5","Wellcare","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"AMPICILLIN 500 MG INJECTION","J0290","HCPCS","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care","",,"37",,"15.74","15.74","33.33","percent of total billed charges",,
"AMPICILLIN 500 MG INJECTION","J0290","HCPCS","Both",,,"43","21.5","Caresource","Medicaid Managed Care","",,"40",,"17.2","15.74","33.33","percent of total billed charges",,
"AMPICILLIN 500 MG INJECTION","J0290","HCPCS","Both",,,"43","21.5","Wellcare","Medicaid Managed Care","",,"40",,"17.42","15.74","33.33","percent of total billed charges",,
"AMPICILLIN 500 MG INJECTION","J0290","HCPCS","Both",,,"43","21.5","Aetna","Commercial","",,"64",,"27.43","15.74","33.33","percent of total billed charges",,
"AMPICILLIN 500 MG INJECTION","J0290","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"AMPICILLIN 500 MG INJECTION","J0290","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","HMO","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"AMPICILLIN 500 MG INJECTION","J0290","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","PPO","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"AMPICILLIN 500 MG INJECTION","J0290","HCPCS","Both",,,"43","21.5","Ambetter","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"AMPICILLIN 500 MG INJECTION","J0290","HCPCS","Both",,,"43","21.5","Caresource","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"AMPICILLIN 500 MG INJECTION","J0290","HCPCS","Both",,,"43","21.5","Cigna","Commercial","",,"59",,"25.2","15.74","33.33","percent of total billed charges",,
"AMPICILLIN 500 MG INJECTION","J0290","HCPCS","Both",,,"43","21.5","Humana","Commercial","",,"78",,"33.33","15.74","33.33","percent of total billed charges",,
"AMPICILLIN 500 MG INJECTION","J0290","HCPCS","Both",,,"43","21.5","UHC","Commercial","",,"75",,"32.42","15.74","33.33","percent of total billed charges",,
"AMPICILLIN 500 MG INJECTION","J0290","HCPCS","Both",,,"43","21.5","Medicaid",,"",,"37",,"15.74","15.74","33.33","percent of total billed charges",,
"ATROPINE 1MG/10ML ABBOJECT","J0461","HCPCS","Both",,,"31","15.5","Alliant","Health Exchange","",,"62",,"19.22","9.88","24.02","percent of total billed charges",,
"ATROPINE 1MG/10ML ABBOJECT","J0461","HCPCS","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"16.74","9.88","24.02","percent of total billed charges",,
"ATROPINE 1MG/10ML ABBOJECT","J0461","HCPCS","Both",,,"31","15.5","Medicare",,"",,"54",,"16.8","9.88","24.02","percent of total billed charges",,
"ATROPINE 1MG/10ML ABBOJECT","J0461","HCPCS","Both",,,"31","15.5","Humana","Medicare Advantage","",,"54",,"16.8","9.88","24.02","percent of total billed charges",,
"ATROPINE 1MG/10ML ABBOJECT","J0461","HCPCS","Both",,,"31","15.5","UHC","Medicare Advantage","",,"54",,"16.8","9.88","24.02","percent of total billed charges",,
"ATROPINE 1MG/10ML ABBOJECT","J0461","HCPCS","Both",,,"31","15.5","Clover","Medicare Advantage","",,"54",,"16.8","9.88","24.02","percent of total billed charges",,
"ATROPINE 1MG/10ML ABBOJECT","J0461","HCPCS","Both",,,"31","15.5","Wellcare","Medicare Advantage","",,"54",,"16.8","9.88","24.02","percent of total billed charges",,
"ATROPINE 1MG/10ML ABBOJECT","J0461","HCPCS","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care","",,"37",,"11.35","9.88","24.02","percent of total billed charges",,
"ATROPINE 1MG/10ML ABBOJECT","J0461","HCPCS","Both",,,"31","15.5","Caresource","Medicaid Managed Care","",,"40",,"12.4","9.88","24.02","percent of total billed charges",,
"ATROPINE 1MG/10ML ABBOJECT","J0461","HCPCS","Both",,,"31","15.5","Wellcare","Medicaid Managed Care","",,"40",,"12.56","9.88","24.02","percent of total billed charges",,
"ATROPINE 1MG/10ML ABBOJECT","J0461","HCPCS","Both",,,"31","15.5","Aetna","Commercial","",,"64",,"19.78","9.88","24.02","percent of total billed charges",,
"ATROPINE 1MG/10ML ABBOJECT","J0461","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways","",,"71",,"21.89","9.88","24.02","percent of total billed charges",,
"ATROPINE 1MG/10ML ABBOJECT","J0461","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","HMO","",,"71",,"21.89","9.88","24.02","percent of total billed charges",,
"ATROPINE 1MG/10ML ABBOJECT","J0461","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","PPO","",,"71",,"21.89","9.88","24.02","percent of total billed charges",,
"ATROPINE 1MG/10ML ABBOJECT","J0461","HCPCS","Both",,,"31","15.5","Ambetter","Health Exchange","",,"62",,"19.22","9.88","24.02","percent of total billed charges",,
"ATROPINE 1MG/10ML ABBOJECT","J0461","HCPCS","Both",,,"31","15.5","Caresource","Health Exchange","",,"62",,"19.22","9.88","24.02","percent of total billed charges",,
"ATROPINE 1MG/10ML ABBOJECT","J0461","HCPCS","Both",,,"31","15.5","Cigna","Commercial","",,"59",,"18.17","9.88","24.02","percent of total billed charges",,
"ATROPINE 1MG/10ML ABBOJECT","J0461","HCPCS","Both",,,"31","15.5","Humana","Commercial","",,"78",,"24.02","9.88","24.02","percent of total billed charges",,
"ATROPINE 1MG/10ML ABBOJECT","J0461","HCPCS","Both",,,"31","15.5","UHC","Commercial","",,"75",,"23.37","9.88","24.02","percent of total billed charges",,
"ATROPINE 1MG/10ML ABBOJECT","J0461","HCPCS","Both",,,"31","15.5","Medicaid",,"",,"37",,"11.35","9.88","24.02","percent of total billed charges",,
"PROCHLORPERAZINE (COMPAZINE) 5MG TABLET","S0183","HCPCS","Both",,,"6","3","Alliant","Health Exchange","",,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"PROCHLORPERAZINE (COMPAZINE) 5MG TABLET","S0183","HCPCS","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage","",,"54",,"3.24","2.2","4.65","percent of total billed charges",,
"PROCHLORPERAZINE (COMPAZINE) 5MG TABLET","S0183","HCPCS","Both",,,"6","3","Medicare",,"",,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"PROCHLORPERAZINE (COMPAZINE) 5MG TABLET","S0183","HCPCS","Both",,,"6","3","Humana","Medicare Advantage","",,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"PROCHLORPERAZINE (COMPAZINE) 5MG TABLET","S0183","HCPCS","Both",,,"6","3","UHC","Medicare Advantage","",,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"PROCHLORPERAZINE (COMPAZINE) 5MG TABLET","S0183","HCPCS","Both",,,"6","3","Clover","Medicare Advantage","",,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"PROCHLORPERAZINE (COMPAZINE) 5MG TABLET","S0183","HCPCS","Both",,,"6","3","Wellcare","Medicare Advantage","",,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"PROCHLORPERAZINE (COMPAZINE) 5MG TABLET","S0183","HCPCS","Both",,,"6","3","Amerigroup","Medicaid Managed Care","",,"37",,"2.2","2.2","4.65","percent of total billed charges",,
"PROCHLORPERAZINE (COMPAZINE) 5MG TABLET","S0183","HCPCS","Both",,,"6","3","Caresource","Medicaid Managed Care","",,"40",,"2.4","2.2","4.65","percent of total billed charges",,
"PROCHLORPERAZINE (COMPAZINE) 5MG TABLET","S0183","HCPCS","Both",,,"6","3","Wellcare","Medicaid Managed Care","",,"40",,"2.43","2.2","4.65","percent of total billed charges",,
"PROCHLORPERAZINE (COMPAZINE) 5MG TABLET","S0183","HCPCS","Both",,,"6","3","Aetna","Commercial","",,"64",,"3.83","2.2","4.65","percent of total billed charges",,
"PROCHLORPERAZINE (COMPAZINE) 5MG TABLET","S0183","HCPCS","Both",,,"6","3","Blue Cross Blue Shield","Pathways","",,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"PROCHLORPERAZINE (COMPAZINE) 5MG TABLET","S0183","HCPCS","Both",,,"6","3","Blue Cross Blue Shield","HMO","",,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"PROCHLORPERAZINE (COMPAZINE) 5MG TABLET","S0183","HCPCS","Both",,,"6","3","Blue Cross Blue Shield","PPO","",,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"PROCHLORPERAZINE (COMPAZINE) 5MG TABLET","S0183","HCPCS","Both",,,"6","3","Ambetter","Health Exchange","",,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"PROCHLORPERAZINE (COMPAZINE) 5MG TABLET","S0183","HCPCS","Both",,,"6","3","Caresource","Health Exchange","",,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"PROCHLORPERAZINE (COMPAZINE) 5MG TABLET","S0183","HCPCS","Both",,,"6","3","Cigna","Commercial","",,"59",,"3.52","2.2","4.65","percent of total billed charges",,
"PROCHLORPERAZINE (COMPAZINE) 5MG TABLET","S0183","HCPCS","Both",,,"6","3","Humana","Commercial","",,"78",,"4.65","2.2","4.65","percent of total billed charges",,
"PROCHLORPERAZINE (COMPAZINE) 5MG TABLET","S0183","HCPCS","Both",,,"6","3","UHC","Commercial","",,"75",,"4.52","2.2","4.65","percent of total billed charges",,
"PROCHLORPERAZINE (COMPAZINE) 5MG TABLET","S0183","HCPCS","Both",,,"6","3","Medicaid",,"",,"37",,"2.2","2.2","4.65","percent of total billed charges",,
"ANTIVENIN CROTALIDAE PLY(CROFAB) 1GM INJ","J0840","HCPCS","Both",,,"5632","2816","Alliant","Health Exchange","",,"62",,"3491.84","2061.31","4364.8","percent of total billed charges",,
"ANTIVENIN CROTALIDAE PLY(CROFAB) 1GM INJ","J0840","HCPCS","Both",,,"5632","2816","Pruitt Healthcare","Medicare Advantage","",,"54",,"3041.28","2061.31","4364.8","percent of total billed charges",,
"ANTIVENIN CROTALIDAE PLY(CROFAB) 1GM INJ","J0840","HCPCS","Both",,,"5632","2816","Medicare",,"",,"54",,"3052.54","2061.31","4364.8","percent of total billed charges",,
"ANTIVENIN CROTALIDAE PLY(CROFAB) 1GM INJ","J0840","HCPCS","Both",,,"5632","2816","Humana","Medicare Advantage","",,"54",,"3052.54","2061.31","4364.8","percent of total billed charges",,
"ANTIVENIN CROTALIDAE PLY(CROFAB) 1GM INJ","J0840","HCPCS","Both",,,"5632","2816","UHC","Medicare Advantage","",,"54",,"3052.54","2061.31","4364.8","percent of total billed charges",,
"ANTIVENIN CROTALIDAE PLY(CROFAB) 1GM INJ","J0840","HCPCS","Both",,,"5632","2816","Clover","Medicare Advantage","",,"54",,"3052.54","2061.31","4364.8","percent of total billed charges",,
"ANTIVENIN CROTALIDAE PLY(CROFAB) 1GM INJ","J0840","HCPCS","Both",,,"5632","2816","Wellcare","Medicare Advantage","",,"54",,"3052.54","2061.31","4364.8","percent of total billed charges",,
"ANTIVENIN CROTALIDAE PLY(CROFAB) 1GM INJ","J0840","HCPCS","Both",,,"5632","2816","Amerigroup","Medicaid Managed Care","",,"37",,"2061.31","2061.31","4364.8","percent of total billed charges",,
"ANTIVENIN CROTALIDAE PLY(CROFAB) 1GM INJ","J0840","HCPCS","Both",,,"5632","2816","Caresource","Medicaid Managed Care","",,"40",,"2252.8","2061.31","4364.8","percent of total billed charges",,
"ANTIVENIN CROTALIDAE PLY(CROFAB) 1GM INJ","J0840","HCPCS","Both",,,"5632","2816","Wellcare","Medicaid Managed Care","",,"40",,"2280.96","2061.31","4364.8","percent of total billed charges",,
"ANTIVENIN CROTALIDAE PLY(CROFAB) 1GM INJ","J0840","HCPCS","Both",,,"5632","2816","Aetna","Commercial","",,"64",,"3593.22","2061.31","4364.8","percent of total billed charges",,
"ANTIVENIN CROTALIDAE PLY(CROFAB) 1GM INJ","J0840","HCPCS","Both",,,"5632","2816","Blue Cross Blue Shield","Pathways","",,"71",,"3976.19","2061.31","4364.8","percent of total billed charges",,
"ANTIVENIN CROTALIDAE PLY(CROFAB) 1GM INJ","J0840","HCPCS","Both",,,"5632","2816","Blue Cross Blue Shield","HMO","",,"71",,"3976.19","2061.31","4364.8","percent of total billed charges",,
"ANTIVENIN CROTALIDAE PLY(CROFAB) 1GM INJ","J0840","HCPCS","Both",,,"5632","2816","Blue Cross Blue Shield","PPO","",,"71",,"3976.19","2061.31","4364.8","percent of total billed charges",,
"ANTIVENIN CROTALIDAE PLY(CROFAB) 1GM INJ","J0840","HCPCS","Both",,,"5632","2816","Ambetter","Health Exchange","",,"62",,"3491.84","2061.31","4364.8","percent of total billed charges",,
"ANTIVENIN CROTALIDAE PLY(CROFAB) 1GM INJ","J0840","HCPCS","Both",,,"5632","2816","Caresource","Health Exchange","",,"62",,"3491.84","2061.31","4364.8","percent of total billed charges",,
"ANTIVENIN CROTALIDAE PLY(CROFAB) 1GM INJ","J0840","HCPCS","Both",,,"5632","2816","Cigna","Commercial","",,"59",,"3300.35","2061.31","4364.8","percent of total billed charges",,
"ANTIVENIN CROTALIDAE PLY(CROFAB) 1GM INJ","J0840","HCPCS","Both",,,"5632","2816","Humana","Commercial","",,"78",,"4364.8","2061.31","4364.8","percent of total billed charges",,
"ANTIVENIN CROTALIDAE PLY(CROFAB) 1GM INJ","J0840","HCPCS","Both",,,"5632","2816","UHC","Commercial","",,"75",,"4246.53","2061.31","4364.8","percent of total billed charges",,
"ANTIVENIN CROTALIDAE PLY(CROFAB) 1GM INJ","J0840","HCPCS","Both",,,"5632","2816","Medicaid",,"",,"37",,"2061.31","2061.31","4364.8","percent of total billed charges",,
"DEXAMETHASON NA (DECADRON) 4MG/ML SDV","J1100","HCPCS","Both",,,"23","11.5","Alliant","Health Exchange","",,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"DEXAMETHASON NA (DECADRON) 4MG/ML SDV","J1100","HCPCS","Both",,,"23","11.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"12.42","8.42","17.82","percent of total billed charges",,
"DEXAMETHASON NA (DECADRON) 4MG/ML SDV","J1100","HCPCS","Both",,,"23","11.5","Medicare",,"",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"DEXAMETHASON NA (DECADRON) 4MG/ML SDV","J1100","HCPCS","Both",,,"23","11.5","Humana","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"DEXAMETHASON NA (DECADRON) 4MG/ML SDV","J1100","HCPCS","Both",,,"23","11.5","UHC","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"DEXAMETHASON NA (DECADRON) 4MG/ML SDV","J1100","HCPCS","Both",,,"23","11.5","Clover","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"DEXAMETHASON NA (DECADRON) 4MG/ML SDV","J1100","HCPCS","Both",,,"23","11.5","Wellcare","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"DEXAMETHASON NA (DECADRON) 4MG/ML SDV","J1100","HCPCS","Both",,,"23","11.5","Amerigroup","Medicaid Managed Care","",,"37",,"8.42","8.42","17.82","percent of total billed charges",,
"DEXAMETHASON NA (DECADRON) 4MG/ML SDV","J1100","HCPCS","Both",,,"23","11.5","Caresource","Medicaid Managed Care","",,"40",,"9.2","8.42","17.82","percent of total billed charges",,
"DEXAMETHASON NA (DECADRON) 4MG/ML SDV","J1100","HCPCS","Both",,,"23","11.5","Wellcare","Medicaid Managed Care","",,"40",,"9.32","8.42","17.82","percent of total billed charges",,
"DEXAMETHASON NA (DECADRON) 4MG/ML SDV","J1100","HCPCS","Both",,,"23","11.5","Aetna","Commercial","",,"64",,"14.67","8.42","17.82","percent of total billed charges",,
"DEXAMETHASON NA (DECADRON) 4MG/ML SDV","J1100","HCPCS","Both",,,"23","11.5","Blue Cross Blue Shield","Pathways","",,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"DEXAMETHASON NA (DECADRON) 4MG/ML SDV","J1100","HCPCS","Both",,,"23","11.5","Blue Cross Blue Shield","HMO","",,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"DEXAMETHASON NA (DECADRON) 4MG/ML SDV","J1100","HCPCS","Both",,,"23","11.5","Blue Cross Blue Shield","PPO","",,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"DEXAMETHASON NA (DECADRON) 4MG/ML SDV","J1100","HCPCS","Both",,,"23","11.5","Ambetter","Health Exchange","",,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"DEXAMETHASON NA (DECADRON) 4MG/ML SDV","J1100","HCPCS","Both",,,"23","11.5","Caresource","Health Exchange","",,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"DEXAMETHASON NA (DECADRON) 4MG/ML SDV","J1100","HCPCS","Both",,,"23","11.5","Cigna","Commercial","",,"59",,"13.48","8.42","17.82","percent of total billed charges",,
"DEXAMETHASON NA (DECADRON) 4MG/ML SDV","J1100","HCPCS","Both",,,"23","11.5","Humana","Commercial","",,"78",,"17.82","8.42","17.82","percent of total billed charges",,
"DEXAMETHASON NA (DECADRON) 4MG/ML SDV","J1100","HCPCS","Both",,,"23","11.5","UHC","Commercial","",,"75",,"17.34","8.42","17.82","percent of total billed charges",,
"DEXAMETHASON NA (DECADRON) 4MG/ML SDV","J1100","HCPCS","Both",,,"23","11.5","Medicaid",,"",,"37",,"8.42","8.42","17.82","percent of total billed charges",,
"IRON DEXTRAN 100MG/2ML INJECTION","J1750","HCPCS","Both",,,"70","35","Alliant","Health Exchange","",,"62",,"43.4","25.62","54.25","percent of total billed charges",,
"IRON DEXTRAN 100MG/2ML INJECTION","J1750","HCPCS","Both",,,"70","35","Pruitt Healthcare","Medicare Advantage","",,"54",,"37.8","25.62","54.25","percent of total billed charges",,
"IRON DEXTRAN 100MG/2ML INJECTION","J1750","HCPCS","Both",,,"70","35","Medicare",,"",,"54",,"37.94","25.62","54.25","percent of total billed charges",,
"IRON DEXTRAN 100MG/2ML INJECTION","J1750","HCPCS","Both",,,"70","35","Humana","Medicare Advantage","",,"54",,"37.94","25.62","54.25","percent of total billed charges",,
"IRON DEXTRAN 100MG/2ML INJECTION","J1750","HCPCS","Both",,,"70","35","UHC","Medicare Advantage","",,"54",,"37.94","25.62","54.25","percent of total billed charges",,
"IRON DEXTRAN 100MG/2ML INJECTION","J1750","HCPCS","Both",,,"70","35","Clover","Medicare Advantage","",,"54",,"37.94","25.62","54.25","percent of total billed charges",,
"IRON DEXTRAN 100MG/2ML INJECTION","J1750","HCPCS","Both",,,"70","35","Wellcare","Medicare Advantage","",,"54",,"37.94","25.62","54.25","percent of total billed charges",,
"IRON DEXTRAN 100MG/2ML INJECTION","J1750","HCPCS","Both",,,"70","35","Amerigroup","Medicaid Managed Care","",,"37",,"25.62","25.62","54.25","percent of total billed charges",,
"IRON DEXTRAN 100MG/2ML INJECTION","J1750","HCPCS","Both",,,"70","35","Caresource","Medicaid Managed Care","",,"40",,"28","25.62","54.25","percent of total billed charges",,
"IRON DEXTRAN 100MG/2ML INJECTION","J1750","HCPCS","Both",,,"70","35","Wellcare","Medicaid Managed Care","",,"40",,"28.35","25.62","54.25","percent of total billed charges",,
"IRON DEXTRAN 100MG/2ML INJECTION","J1750","HCPCS","Both",,,"70","35","Aetna","Commercial","",,"64",,"44.66","25.62","54.25","percent of total billed charges",,
"IRON DEXTRAN 100MG/2ML INJECTION","J1750","HCPCS","Both",,,"70","35","Blue Cross Blue Shield","Pathways","",,"71",,"49.42","25.62","54.25","percent of total billed charges",,
"IRON DEXTRAN 100MG/2ML INJECTION","J1750","HCPCS","Both",,,"70","35","Blue Cross Blue Shield","HMO","",,"71",,"49.42","25.62","54.25","percent of total billed charges",,
"IRON DEXTRAN 100MG/2ML INJECTION","J1750","HCPCS","Both",,,"70","35","Blue Cross Blue Shield","PPO","",,"71",,"49.42","25.62","54.25","percent of total billed charges",,
"IRON DEXTRAN 100MG/2ML INJECTION","J1750","HCPCS","Both",,,"70","35","Ambetter","Health Exchange","",,"62",,"43.4","25.62","54.25","percent of total billed charges",,
"IRON DEXTRAN 100MG/2ML INJECTION","J1750","HCPCS","Both",,,"70","35","Caresource","Health Exchange","",,"62",,"43.4","25.62","54.25","percent of total billed charges",,
"IRON DEXTRAN 100MG/2ML INJECTION","J1750","HCPCS","Both",,,"70","35","Cigna","Commercial","",,"59",,"41.02","25.62","54.25","percent of total billed charges",,
"IRON DEXTRAN 100MG/2ML INJECTION","J1750","HCPCS","Both",,,"70","35","Humana","Commercial","",,"78",,"54.25","25.62","54.25","percent of total billed charges",,
"IRON DEXTRAN 100MG/2ML INJECTION","J1750","HCPCS","Both",,,"70","35","UHC","Commercial","",,"75",,"52.78","25.62","54.25","percent of total billed charges",,
"IRON DEXTRAN 100MG/2ML INJECTION","J1750","HCPCS","Both",,,"70","35","Medicaid",,"",,"37",,"25.62","25.62","54.25","percent of total billed charges",,
"DOBUTAMINE (DOBUTREX) 250MG/20ML INJ","J1250","HCPCS","Both",,,"38","19","Alliant","Health Exchange","",,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"DOBUTAMINE (DOBUTREX) 250MG/20ML INJ","J1250","HCPCS","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage","",,"54",,"20.52","13.91","29.45","percent of total billed charges",,
"DOBUTAMINE (DOBUTREX) 250MG/20ML INJ","J1250","HCPCS","Both",,,"38","19","Medicare",,"",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"DOBUTAMINE (DOBUTREX) 250MG/20ML INJ","J1250","HCPCS","Both",,,"38","19","Humana","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"DOBUTAMINE (DOBUTREX) 250MG/20ML INJ","J1250","HCPCS","Both",,,"38","19","UHC","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"DOBUTAMINE (DOBUTREX) 250MG/20ML INJ","J1250","HCPCS","Both",,,"38","19","Clover","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"DOBUTAMINE (DOBUTREX) 250MG/20ML INJ","J1250","HCPCS","Both",,,"38","19","Wellcare","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"DOBUTAMINE (DOBUTREX) 250MG/20ML INJ","J1250","HCPCS","Both",,,"38","19","Amerigroup","Medicaid Managed Care","",,"37",,"13.91","13.91","29.45","percent of total billed charges",,
"DOBUTAMINE (DOBUTREX) 250MG/20ML INJ","J1250","HCPCS","Both",,,"38","19","Caresource","Medicaid Managed Care","",,"40",,"15.2","13.91","29.45","percent of total billed charges",,
"DOBUTAMINE (DOBUTREX) 250MG/20ML INJ","J1250","HCPCS","Both",,,"38","19","Wellcare","Medicaid Managed Care","",,"40",,"15.39","13.91","29.45","percent of total billed charges",,
"DOBUTAMINE (DOBUTREX) 250MG/20ML INJ","J1250","HCPCS","Both",,,"38","19","Aetna","Commercial","",,"64",,"24.24","13.91","29.45","percent of total billed charges",,
"DOBUTAMINE (DOBUTREX) 250MG/20ML INJ","J1250","HCPCS","Both",,,"38","19","Blue Cross Blue Shield","Pathways","",,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"DOBUTAMINE (DOBUTREX) 250MG/20ML INJ","J1250","HCPCS","Both",,,"38","19","Blue Cross Blue Shield","HMO","",,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"DOBUTAMINE (DOBUTREX) 250MG/20ML INJ","J1250","HCPCS","Both",,,"38","19","Blue Cross Blue Shield","PPO","",,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"DOBUTAMINE (DOBUTREX) 250MG/20ML INJ","J1250","HCPCS","Both",,,"38","19","Ambetter","Health Exchange","",,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"DOBUTAMINE (DOBUTREX) 250MG/20ML INJ","J1250","HCPCS","Both",,,"38","19","Caresource","Health Exchange","",,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"DOBUTAMINE (DOBUTREX) 250MG/20ML INJ","J1250","HCPCS","Both",,,"38","19","Cigna","Commercial","",,"59",,"22.27","13.91","29.45","percent of total billed charges",,
"DOBUTAMINE (DOBUTREX) 250MG/20ML INJ","J1250","HCPCS","Both",,,"38","19","Humana","Commercial","",,"78",,"29.45","13.91","29.45","percent of total billed charges",,
"DOBUTAMINE (DOBUTREX) 250MG/20ML INJ","J1250","HCPCS","Both",,,"38","19","UHC","Commercial","",,"75",,"28.65","13.91","29.45","percent of total billed charges",,
"DOBUTAMINE (DOBUTREX) 250MG/20ML INJ","J1250","HCPCS","Both",,,"38","19","Medicaid",,"",,"37",,"13.91","13.91","29.45","percent of total billed charges",,
"DOPAMINE 400MG/5ML INJECTION","J1265","HCPCS","Both",,,"60","30","Alliant","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"DOPAMINE 400MG/5ML INJECTION","J1265","HCPCS","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.4","21.96","46.5","percent of total billed charges",,
"DOPAMINE 400MG/5ML INJECTION","J1265","HCPCS","Both",,,"60","30","Medicare",,"",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"DOPAMINE 400MG/5ML INJECTION","J1265","HCPCS","Both",,,"60","30","Humana","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"DOPAMINE 400MG/5ML INJECTION","J1265","HCPCS","Both",,,"60","30","UHC","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"DOPAMINE 400MG/5ML INJECTION","J1265","HCPCS","Both",,,"60","30","Clover","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"DOPAMINE 400MG/5ML INJECTION","J1265","HCPCS","Both",,,"60","30","Wellcare","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"DOPAMINE 400MG/5ML INJECTION","J1265","HCPCS","Both",,,"60","30","Amerigroup","Medicaid Managed Care","",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"DOPAMINE 400MG/5ML INJECTION","J1265","HCPCS","Both",,,"60","30","Caresource","Medicaid Managed Care","",,"40",,"24","21.96","46.5","percent of total billed charges",,
"DOPAMINE 400MG/5ML INJECTION","J1265","HCPCS","Both",,,"60","30","Wellcare","Medicaid Managed Care","",,"40",,"24.3","21.96","46.5","percent of total billed charges",,
"DOPAMINE 400MG/5ML INJECTION","J1265","HCPCS","Both",,,"60","30","Aetna","Commercial","",,"64",,"38.28","21.96","46.5","percent of total billed charges",,
"DOPAMINE 400MG/5ML INJECTION","J1265","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","Pathways","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"DOPAMINE 400MG/5ML INJECTION","J1265","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","HMO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"DOPAMINE 400MG/5ML INJECTION","J1265","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","PPO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"DOPAMINE 400MG/5ML INJECTION","J1265","HCPCS","Both",,,"60","30","Ambetter","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"DOPAMINE 400MG/5ML INJECTION","J1265","HCPCS","Both",,,"60","30","Caresource","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"DOPAMINE 400MG/5ML INJECTION","J1265","HCPCS","Both",,,"60","30","Cigna","Commercial","",,"59",,"35.16","21.96","46.5","percent of total billed charges",,
"DOPAMINE 400MG/5ML INJECTION","J1265","HCPCS","Both",,,"60","30","Humana","Commercial","",,"78",,"46.5","21.96","46.5","percent of total billed charges",,
"DOPAMINE 400MG/5ML INJECTION","J1265","HCPCS","Both",,,"60","30","UHC","Commercial","",,"75",,"45.24","21.96","46.5","percent of total billed charges",,
"DOPAMINE 400MG/5ML INJECTION","J1265","HCPCS","Both",,,"60","30","Medicaid",,"",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"EPINEPHRINE 1MG/10ML INJ SYRINGE","J0171","HCPCS","Both",,,"38","19","Alliant","Health Exchange","",,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE 1MG/10ML INJ SYRINGE","J0171","HCPCS","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage","",,"54",,"20.52","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE 1MG/10ML INJ SYRINGE","J0171","HCPCS","Both",,,"38","19","Medicare",,"",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE 1MG/10ML INJ SYRINGE","J0171","HCPCS","Both",,,"38","19","Humana","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE 1MG/10ML INJ SYRINGE","J0171","HCPCS","Both",,,"38","19","UHC","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE 1MG/10ML INJ SYRINGE","J0171","HCPCS","Both",,,"38","19","Clover","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE 1MG/10ML INJ SYRINGE","J0171","HCPCS","Both",,,"38","19","Wellcare","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE 1MG/10ML INJ SYRINGE","J0171","HCPCS","Both",,,"38","19","Amerigroup","Medicaid Managed Care","",,"37",,"13.91","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE 1MG/10ML INJ SYRINGE","J0171","HCPCS","Both",,,"38","19","Caresource","Medicaid Managed Care","",,"40",,"15.2","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE 1MG/10ML INJ SYRINGE","J0171","HCPCS","Both",,,"38","19","Wellcare","Medicaid Managed Care","",,"40",,"15.39","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE 1MG/10ML INJ SYRINGE","J0171","HCPCS","Both",,,"38","19","Aetna","Commercial","",,"64",,"24.24","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE 1MG/10ML INJ SYRINGE","J0171","HCPCS","Both",,,"38","19","Blue Cross Blue Shield","Pathways","",,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE 1MG/10ML INJ SYRINGE","J0171","HCPCS","Both",,,"38","19","Blue Cross Blue Shield","HMO","",,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE 1MG/10ML INJ SYRINGE","J0171","HCPCS","Both",,,"38","19","Blue Cross Blue Shield","PPO","",,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE 1MG/10ML INJ SYRINGE","J0171","HCPCS","Both",,,"38","19","Ambetter","Health Exchange","",,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE 1MG/10ML INJ SYRINGE","J0171","HCPCS","Both",,,"38","19","Caresource","Health Exchange","",,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE 1MG/10ML INJ SYRINGE","J0171","HCPCS","Both",,,"38","19","Cigna","Commercial","",,"59",,"22.27","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE 1MG/10ML INJ SYRINGE","J0171","HCPCS","Both",,,"38","19","Humana","Commercial","",,"78",,"29.45","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE 1MG/10ML INJ SYRINGE","J0171","HCPCS","Both",,,"38","19","UHC","Commercial","",,"75",,"28.65","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE 1MG/10ML INJ SYRINGE","J0171","HCPCS","Both",,,"38","19","Medicaid",,"",,"37",,"13.91","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE 1MG/ML INJECTION","J0171","HCPCS","Both",,,"38","19","Alliant","Health Exchange","",,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE 1MG/ML INJECTION","J0171","HCPCS","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage","",,"54",,"20.52","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE 1MG/ML INJECTION","J0171","HCPCS","Both",,,"38","19","Medicare",,"",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE 1MG/ML INJECTION","J0171","HCPCS","Both",,,"38","19","Humana","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE 1MG/ML INJECTION","J0171","HCPCS","Both",,,"38","19","UHC","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE 1MG/ML INJECTION","J0171","HCPCS","Both",,,"38","19","Clover","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE 1MG/ML INJECTION","J0171","HCPCS","Both",,,"38","19","Wellcare","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE 1MG/ML INJECTION","J0171","HCPCS","Both",,,"38","19","Amerigroup","Medicaid Managed Care","",,"37",,"13.91","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE 1MG/ML INJECTION","J0171","HCPCS","Both",,,"38","19","Caresource","Medicaid Managed Care","",,"40",,"15.2","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE 1MG/ML INJECTION","J0171","HCPCS","Both",,,"38","19","Wellcare","Medicaid Managed Care","",,"40",,"15.39","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE 1MG/ML INJECTION","J0171","HCPCS","Both",,,"38","19","Aetna","Commercial","",,"64",,"24.24","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE 1MG/ML INJECTION","J0171","HCPCS","Both",,,"38","19","Blue Cross Blue Shield","Pathways","",,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE 1MG/ML INJECTION","J0171","HCPCS","Both",,,"38","19","Blue Cross Blue Shield","HMO","",,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE 1MG/ML INJECTION","J0171","HCPCS","Both",,,"38","19","Blue Cross Blue Shield","PPO","",,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE 1MG/ML INJECTION","J0171","HCPCS","Both",,,"38","19","Ambetter","Health Exchange","",,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE 1MG/ML INJECTION","J0171","HCPCS","Both",,,"38","19","Caresource","Health Exchange","",,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE 1MG/ML INJECTION","J0171","HCPCS","Both",,,"38","19","Cigna","Commercial","",,"59",,"22.27","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE 1MG/ML INJECTION","J0171","HCPCS","Both",,,"38","19","Humana","Commercial","",,"78",,"29.45","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE 1MG/ML INJECTION","J0171","HCPCS","Both",,,"38","19","UHC","Commercial","",,"75",,"28.65","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE 1MG/ML INJECTION","J0171","HCPCS","Both",,,"38","19","Medicaid",,"",,"37",,"13.91","13.91","29.45","percent of total billed charges",,
"METRONIDAZOLE (FLAGYL) 500MG  PREMX IVPB","J3490","HCPCS","Both",,,"31","15.5","Alliant","Health Exchange","",,"62",,"19.22","9.88","33.33","percent of total billed charges",,
"METRONIDAZOLE (FLAGYL) 500MG  PREMX IVPB","J3490","HCPCS","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"16.74","9.88","33.33","percent of total billed charges",,
"METRONIDAZOLE (FLAGYL) 500MG  PREMX IVPB","J3490","HCPCS","Both",,,"31","15.5","Medicare",,"",,"54",,"16.8","9.88","33.33","percent of total billed charges",,
"METRONIDAZOLE (FLAGYL) 500MG  PREMX IVPB","J3490","HCPCS","Both",,,"31","15.5","Humana","Medicare Advantage","",,"54",,"16.8","9.88","33.33","percent of total billed charges",,
"METRONIDAZOLE (FLAGYL) 500MG  PREMX IVPB","J3490","HCPCS","Both",,,"31","15.5","UHC","Medicare Advantage","",,"54",,"16.8","9.88","33.33","percent of total billed charges",,
"METRONIDAZOLE (FLAGYL) 500MG  PREMX IVPB","J3490","HCPCS","Both",,,"31","15.5","Clover","Medicare Advantage","",,"54",,"16.8","9.88","33.33","percent of total billed charges",,
"METRONIDAZOLE (FLAGYL) 500MG  PREMX IVPB","J3490","HCPCS","Both",,,"31","15.5","Wellcare","Medicare Advantage","",,"54",,"16.8","9.88","33.33","percent of total billed charges",,
"METRONIDAZOLE (FLAGYL) 500MG  PREMX IVPB","J3490","HCPCS","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care","",,"37",,"11.35","9.88","33.33","percent of total billed charges",,
"METRONIDAZOLE (FLAGYL) 500MG  PREMX IVPB","J3490","HCPCS","Both",,,"31","15.5","Caresource","Medicaid Managed Care","",,"40",,"12.4","9.88","33.33","percent of total billed charges",,
"METRONIDAZOLE (FLAGYL) 500MG  PREMX IVPB","J3490","HCPCS","Both",,,"31","15.5","Wellcare","Medicaid Managed Care","",,"40",,"12.56","9.88","33.33","percent of total billed charges",,
"METRONIDAZOLE (FLAGYL) 500MG  PREMX IVPB","J3490","HCPCS","Both",,,"31","15.5","Aetna","Commercial","",,"64",,"19.78","9.88","33.33","percent of total billed charges",,
"METRONIDAZOLE (FLAGYL) 500MG  PREMX IVPB","J3490","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways","",,"71",,"21.89","9.88","33.33","percent of total billed charges",,
"METRONIDAZOLE (FLAGYL) 500MG  PREMX IVPB","J3490","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","HMO","",,"71",,"21.89","9.88","33.33","percent of total billed charges",,
"METRONIDAZOLE (FLAGYL) 500MG  PREMX IVPB","J3490","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","PPO","",,"71",,"21.89","9.88","33.33","percent of total billed charges",,
"METRONIDAZOLE (FLAGYL) 500MG  PREMX IVPB","J3490","HCPCS","Both",,,"31","15.5","Ambetter","Health Exchange","",,"62",,"19.22","9.88","33.33","percent of total billed charges",,
"METRONIDAZOLE (FLAGYL) 500MG  PREMX IVPB","J3490","HCPCS","Both",,,"31","15.5","Caresource","Health Exchange","",,"62",,"19.22","9.88","33.33","percent of total billed charges",,
"METRONIDAZOLE (FLAGYL) 500MG  PREMX IVPB","J3490","HCPCS","Both",,,"31","15.5","Cigna","Commercial","",,"59",,"18.17","9.88","33.33","percent of total billed charges",,
"METRONIDAZOLE (FLAGYL) 500MG  PREMX IVPB","J3490","HCPCS","Both",,,"31","15.5","Humana","Commercial","",,"78",,"24.02","9.88","33.33","percent of total billed charges",,
"METRONIDAZOLE (FLAGYL) 500MG  PREMX IVPB","J3490","HCPCS","Both",,,"31","15.5","UHC","Commercial","",,"75",,"23.37","9.88","33.33","percent of total billed charges",,
"METRONIDAZOLE (FLAGYL) 500MG  PREMX IVPB","J3490","HCPCS","Both",,,"31","15.5","Medicaid",,"",,"37",,"11.35","9.88","33.33","percent of total billed charges",,
"BUPIVACAINE (MARCAINE) 0.5% INJ 50ML","S0020","HCPCS","Both",,,"31","15.5","Alliant","Health Exchange","",,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"BUPIVACAINE (MARCAINE) 0.5% INJ 50ML","S0020","HCPCS","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"16.74","11.35","24.02","percent of total billed charges",,
"BUPIVACAINE (MARCAINE) 0.5% INJ 50ML","S0020","HCPCS","Both",,,"31","15.5","Medicare",,"",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"BUPIVACAINE (MARCAINE) 0.5% INJ 50ML","S0020","HCPCS","Both",,,"31","15.5","Humana","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"BUPIVACAINE (MARCAINE) 0.5% INJ 50ML","S0020","HCPCS","Both",,,"31","15.5","UHC","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"BUPIVACAINE (MARCAINE) 0.5% INJ 50ML","S0020","HCPCS","Both",,,"31","15.5","Clover","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"BUPIVACAINE (MARCAINE) 0.5% INJ 50ML","S0020","HCPCS","Both",,,"31","15.5","Wellcare","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"BUPIVACAINE (MARCAINE) 0.5% INJ 50ML","S0020","HCPCS","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care","",,"37",,"11.35","11.35","24.02","percent of total billed charges",,
"BUPIVACAINE (MARCAINE) 0.5% INJ 50ML","S0020","HCPCS","Both",,,"31","15.5","Caresource","Medicaid Managed Care","",,"40",,"12.4","11.35","24.02","percent of total billed charges",,
"BUPIVACAINE (MARCAINE) 0.5% INJ 50ML","S0020","HCPCS","Both",,,"31","15.5","Wellcare","Medicaid Managed Care","",,"40",,"12.56","11.35","24.02","percent of total billed charges",,
"BUPIVACAINE (MARCAINE) 0.5% INJ 50ML","S0020","HCPCS","Both",,,"31","15.5","Aetna","Commercial","",,"64",,"19.78","11.35","24.02","percent of total billed charges",,
"BUPIVACAINE (MARCAINE) 0.5% INJ 50ML","S0020","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways","",,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"BUPIVACAINE (MARCAINE) 0.5% INJ 50ML","S0020","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","HMO","",,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"BUPIVACAINE (MARCAINE) 0.5% INJ 50ML","S0020","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","PPO","",,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"BUPIVACAINE (MARCAINE) 0.5% INJ 50ML","S0020","HCPCS","Both",,,"31","15.5","Ambetter","Health Exchange","",,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"BUPIVACAINE (MARCAINE) 0.5% INJ 50ML","S0020","HCPCS","Both",,,"31","15.5","Caresource","Health Exchange","",,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"BUPIVACAINE (MARCAINE) 0.5% INJ 50ML","S0020","HCPCS","Both",,,"31","15.5","Cigna","Commercial","",,"59",,"18.17","11.35","24.02","percent of total billed charges",,
"BUPIVACAINE (MARCAINE) 0.5% INJ 50ML","S0020","HCPCS","Both",,,"31","15.5","Humana","Commercial","",,"78",,"24.02","11.35","24.02","percent of total billed charges",,
"BUPIVACAINE (MARCAINE) 0.5% INJ 50ML","S0020","HCPCS","Both",,,"31","15.5","UHC","Commercial","",,"75",,"23.37","11.35","24.02","percent of total billed charges",,
"BUPIVACAINE (MARCAINE) 0.5% INJ 50ML","S0020","HCPCS","Both",,,"31","15.5","Medicaid",,"",,"37",,"11.35","11.35","24.02","percent of total billed charges",,
"NALOXONE (NARCAN) 0.4 MG/ML INJ","J2310","HCPCS","Both",,,"31","15.5","Alliant","Health Exchange","",,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"NALOXONE (NARCAN) 0.4 MG/ML INJ","J2310","HCPCS","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"16.74","11.35","24.02","percent of total billed charges",,
"NALOXONE (NARCAN) 0.4 MG/ML INJ","J2310","HCPCS","Both",,,"31","15.5","Medicare",,"",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"NALOXONE (NARCAN) 0.4 MG/ML INJ","J2310","HCPCS","Both",,,"31","15.5","Humana","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"NALOXONE (NARCAN) 0.4 MG/ML INJ","J2310","HCPCS","Both",,,"31","15.5","UHC","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"NALOXONE (NARCAN) 0.4 MG/ML INJ","J2310","HCPCS","Both",,,"31","15.5","Clover","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"NALOXONE (NARCAN) 0.4 MG/ML INJ","J2310","HCPCS","Both",,,"31","15.5","Wellcare","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"NALOXONE (NARCAN) 0.4 MG/ML INJ","J2310","HCPCS","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care","",,"37",,"11.35","11.35","24.02","percent of total billed charges",,
"NALOXONE (NARCAN) 0.4 MG/ML INJ","J2310","HCPCS","Both",,,"31","15.5","Caresource","Medicaid Managed Care","",,"40",,"12.4","11.35","24.02","percent of total billed charges",,
"NALOXONE (NARCAN) 0.4 MG/ML INJ","J2310","HCPCS","Both",,,"31","15.5","Wellcare","Medicaid Managed Care","",,"40",,"12.56","11.35","24.02","percent of total billed charges",,
"NALOXONE (NARCAN) 0.4 MG/ML INJ","J2310","HCPCS","Both",,,"31","15.5","Aetna","Commercial","",,"64",,"19.78","11.35","24.02","percent of total billed charges",,
"NALOXONE (NARCAN) 0.4 MG/ML INJ","J2310","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways","",,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"NALOXONE (NARCAN) 0.4 MG/ML INJ","J2310","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","HMO","",,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"NALOXONE (NARCAN) 0.4 MG/ML INJ","J2310","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","PPO","",,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"NALOXONE (NARCAN) 0.4 MG/ML INJ","J2310","HCPCS","Both",,,"31","15.5","Ambetter","Health Exchange","",,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"NALOXONE (NARCAN) 0.4 MG/ML INJ","J2310","HCPCS","Both",,,"31","15.5","Caresource","Health Exchange","",,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"NALOXONE (NARCAN) 0.4 MG/ML INJ","J2310","HCPCS","Both",,,"31","15.5","Cigna","Commercial","",,"59",,"18.17","11.35","24.02","percent of total billed charges",,
"NALOXONE (NARCAN) 0.4 MG/ML INJ","J2310","HCPCS","Both",,,"31","15.5","Humana","Commercial","",,"78",,"24.02","11.35","24.02","percent of total billed charges",,
"NALOXONE (NARCAN) 0.4 MG/ML INJ","J2310","HCPCS","Both",,,"31","15.5","UHC","Commercial","",,"75",,"23.37","11.35","24.02","percent of total billed charges",,
"NALOXONE (NARCAN) 0.4 MG/ML INJ","J2310","HCPCS","Both",,,"31","15.5","Medicaid",,"",,"37",,"11.35","11.35","24.02","percent of total billed charges",,
"PROTAMINE SULFATE 250 MG/25 ML INJ","J2720","HCPCS","Both",,,"60","30","Alliant","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"PROTAMINE SULFATE 250 MG/25 ML INJ","J2720","HCPCS","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.4","21.96","46.5","percent of total billed charges",,
"PROTAMINE SULFATE 250 MG/25 ML INJ","J2720","HCPCS","Both",,,"60","30","Medicare",,"",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"PROTAMINE SULFATE 250 MG/25 ML INJ","J2720","HCPCS","Both",,,"60","30","Humana","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"PROTAMINE SULFATE 250 MG/25 ML INJ","J2720","HCPCS","Both",,,"60","30","UHC","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"PROTAMINE SULFATE 250 MG/25 ML INJ","J2720","HCPCS","Both",,,"60","30","Clover","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"PROTAMINE SULFATE 250 MG/25 ML INJ","J2720","HCPCS","Both",,,"60","30","Wellcare","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"PROTAMINE SULFATE 250 MG/25 ML INJ","J2720","HCPCS","Both",,,"60","30","Amerigroup","Medicaid Managed Care","",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"PROTAMINE SULFATE 250 MG/25 ML INJ","J2720","HCPCS","Both",,,"60","30","Caresource","Medicaid Managed Care","",,"40",,"24","21.96","46.5","percent of total billed charges",,
"PROTAMINE SULFATE 250 MG/25 ML INJ","J2720","HCPCS","Both",,,"60","30","Wellcare","Medicaid Managed Care","",,"40",,"24.3","21.96","46.5","percent of total billed charges",,
"PROTAMINE SULFATE 250 MG/25 ML INJ","J2720","HCPCS","Both",,,"60","30","Aetna","Commercial","",,"64",,"38.28","21.96","46.5","percent of total billed charges",,
"PROTAMINE SULFATE 250 MG/25 ML INJ","J2720","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","Pathways","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"PROTAMINE SULFATE 250 MG/25 ML INJ","J2720","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","HMO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"PROTAMINE SULFATE 250 MG/25 ML INJ","J2720","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","PPO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"PROTAMINE SULFATE 250 MG/25 ML INJ","J2720","HCPCS","Both",,,"60","30","Ambetter","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"PROTAMINE SULFATE 250 MG/25 ML INJ","J2720","HCPCS","Both",,,"60","30","Caresource","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"PROTAMINE SULFATE 250 MG/25 ML INJ","J2720","HCPCS","Both",,,"60","30","Cigna","Commercial","",,"59",,"35.16","21.96","46.5","percent of total billed charges",,
"PROTAMINE SULFATE 250 MG/25 ML INJ","J2720","HCPCS","Both",,,"60","30","Humana","Commercial","",,"78",,"46.5","21.96","46.5","percent of total billed charges",,
"PROTAMINE SULFATE 250 MG/25 ML INJ","J2720","HCPCS","Both",,,"60","30","UHC","Commercial","",,"75",,"45.24","21.96","46.5","percent of total billed charges",,
"PROTAMINE SULFATE 250 MG/25 ML INJ","J2720","HCPCS","Both",,,"60","30","Medicaid",,"",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"RABIES IMMUNE GLOB (HYPERRAB) 10ML INJ","90375","HCPCS","Both",,,"506","253","Alliant","Health Exchange","",,"62",,"313.72","185.2","392.15","percent of total billed charges",,
"RABIES IMMUNE GLOB (HYPERRAB) 10ML INJ","90375","HCPCS","Both",,,"506","253","Pruitt Healthcare","Medicare Advantage","",,"54",,"273.24","185.2","392.15","percent of total billed charges",,
"RABIES IMMUNE GLOB (HYPERRAB) 10ML INJ","90375","HCPCS","Both",,,"506","253","Medicare",,"",,"54",,"274.25","185.2","392.15","percent of total billed charges",,
"RABIES IMMUNE GLOB (HYPERRAB) 10ML INJ","90375","HCPCS","Both",,,"506","253","Humana","Medicare Advantage","",,"54",,"274.25","185.2","392.15","percent of total billed charges",,
"RABIES IMMUNE GLOB (HYPERRAB) 10ML INJ","90375","HCPCS","Both",,,"506","253","UHC","Medicare Advantage","",,"54",,"274.25","185.2","392.15","percent of total billed charges",,
"RABIES IMMUNE GLOB (HYPERRAB) 10ML INJ","90375","HCPCS","Both",,,"506","253","Clover","Medicare Advantage","",,"54",,"274.25","185.2","392.15","percent of total billed charges",,
"RABIES IMMUNE GLOB (HYPERRAB) 10ML INJ","90375","HCPCS","Both",,,"506","253","Wellcare","Medicare Advantage","",,"54",,"274.25","185.2","392.15","percent of total billed charges",,
"RABIES IMMUNE GLOB (HYPERRAB) 10ML INJ","90375","HCPCS","Both",,,"506","253","Amerigroup","Medicaid Managed Care","",,"37",,"185.2","185.2","392.15","percent of total billed charges",,
"RABIES IMMUNE GLOB (HYPERRAB) 10ML INJ","90375","HCPCS","Both",,,"506","253","Caresource","Medicaid Managed Care","",,"40",,"202.4","185.2","392.15","percent of total billed charges",,
"RABIES IMMUNE GLOB (HYPERRAB) 10ML INJ","90375","HCPCS","Both",,,"506","253","Wellcare","Medicaid Managed Care","",,"40",,"204.93","185.2","392.15","percent of total billed charges",,
"RABIES IMMUNE GLOB (HYPERRAB) 10ML INJ","90375","HCPCS","Both",,,"506","253","Aetna","Commercial","",,"64",,"322.83","185.2","392.15","percent of total billed charges",,
"RABIES IMMUNE GLOB (HYPERRAB) 10ML INJ","90375","HCPCS","Both",,,"506","253","Blue Cross Blue Shield","Pathways","",,"71",,"357.24","185.2","392.15","percent of total billed charges",,
"RABIES IMMUNE GLOB (HYPERRAB) 10ML INJ","90375","HCPCS","Both",,,"506","253","Blue Cross Blue Shield","HMO","",,"71",,"357.24","185.2","392.15","percent of total billed charges",,
"RABIES IMMUNE GLOB (HYPERRAB) 10ML INJ","90375","HCPCS","Both",,,"506","253","Blue Cross Blue Shield","PPO","",,"71",,"357.24","185.2","392.15","percent of total billed charges",,
"RABIES IMMUNE GLOB (HYPERRAB) 10ML INJ","90375","HCPCS","Both",,,"506","253","Ambetter","Health Exchange","",,"62",,"313.72","185.2","392.15","percent of total billed charges",,
"RABIES IMMUNE GLOB (HYPERRAB) 10ML INJ","90375","HCPCS","Both",,,"506","253","Caresource","Health Exchange","",,"62",,"313.72","185.2","392.15","percent of total billed charges",,
"RABIES IMMUNE GLOB (HYPERRAB) 10ML INJ","90375","HCPCS","Both",,,"506","253","Cigna","Commercial","",,"59",,"296.52","185.2","392.15","percent of total billed charges",,
"RABIES IMMUNE GLOB (HYPERRAB) 10ML INJ","90375","HCPCS","Both",,,"506","253","Humana","Commercial","",,"78",,"392.15","185.2","392.15","percent of total billed charges",,
"RABIES IMMUNE GLOB (HYPERRAB) 10ML INJ","90375","HCPCS","Both",,,"506","253","UHC","Commercial","",,"75",,"381.52","185.2","392.15","percent of total billed charges",,
"RABIES IMMUNE GLOB (HYPERRAB) 10ML INJ","90375","HCPCS","Both",,,"506","253","Medicaid",,"",,"37",,"185.2","185.2","392.15","percent of total billed charges",,
"THIAMINE HCL (VIT B1) 100MG/ML INJ","J3411","HCPCS","Both",,,"52","26","Alliant","Health Exchange","",,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"THIAMINE HCL (VIT B1) 100MG/ML INJ","J3411","HCPCS","Both",,,"52","26","Pruitt Healthcare","Medicare Advantage","",,"54",,"28.08","19.03","40.3","percent of total billed charges",,
"THIAMINE HCL (VIT B1) 100MG/ML INJ","J3411","HCPCS","Both",,,"52","26","Medicare",,"",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"THIAMINE HCL (VIT B1) 100MG/ML INJ","J3411","HCPCS","Both",,,"52","26","Humana","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"THIAMINE HCL (VIT B1) 100MG/ML INJ","J3411","HCPCS","Both",,,"52","26","UHC","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"THIAMINE HCL (VIT B1) 100MG/ML INJ","J3411","HCPCS","Both",,,"52","26","Clover","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"THIAMINE HCL (VIT B1) 100MG/ML INJ","J3411","HCPCS","Both",,,"52","26","Wellcare","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"THIAMINE HCL (VIT B1) 100MG/ML INJ","J3411","HCPCS","Both",,,"52","26","Amerigroup","Medicaid Managed Care","",,"37",,"19.03","19.03","40.3","percent of total billed charges",,
"THIAMINE HCL (VIT B1) 100MG/ML INJ","J3411","HCPCS","Both",,,"52","26","Caresource","Medicaid Managed Care","",,"40",,"20.8","19.03","40.3","percent of total billed charges",,
"THIAMINE HCL (VIT B1) 100MG/ML INJ","J3411","HCPCS","Both",,,"52","26","Wellcare","Medicaid Managed Care","",,"40",,"21.06","19.03","40.3","percent of total billed charges",,
"THIAMINE HCL (VIT B1) 100MG/ML INJ","J3411","HCPCS","Both",,,"52","26","Aetna","Commercial","",,"64",,"33.18","19.03","40.3","percent of total billed charges",,
"THIAMINE HCL (VIT B1) 100MG/ML INJ","J3411","HCPCS","Both",,,"52","26","Blue Cross Blue Shield","Pathways","",,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"THIAMINE HCL (VIT B1) 100MG/ML INJ","J3411","HCPCS","Both",,,"52","26","Blue Cross Blue Shield","HMO","",,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"THIAMINE HCL (VIT B1) 100MG/ML INJ","J3411","HCPCS","Both",,,"52","26","Blue Cross Blue Shield","PPO","",,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"THIAMINE HCL (VIT B1) 100MG/ML INJ","J3411","HCPCS","Both",,,"52","26","Ambetter","Health Exchange","",,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"THIAMINE HCL (VIT B1) 100MG/ML INJ","J3411","HCPCS","Both",,,"52","26","Caresource","Health Exchange","",,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"THIAMINE HCL (VIT B1) 100MG/ML INJ","J3411","HCPCS","Both",,,"52","26","Cigna","Commercial","",,"59",,"30.47","19.03","40.3","percent of total billed charges",,
"THIAMINE HCL (VIT B1) 100MG/ML INJ","J3411","HCPCS","Both",,,"52","26","Humana","Commercial","",,"78",,"40.3","19.03","40.3","percent of total billed charges",,
"THIAMINE HCL (VIT B1) 100MG/ML INJ","J3411","HCPCS","Both",,,"52","26","UHC","Commercial","",,"75",,"39.21","19.03","40.3","percent of total billed charges",,
"THIAMINE HCL (VIT B1) 100MG/ML INJ","J3411","HCPCS","Both",,,"52","26","Medicaid",,"",,"37",,"19.03","19.03","40.3","percent of total billed charges",,
"TOBRAMYCIN 80MG/2ML INJECTION","J3260","HCPCS","Both",,,"27","13.5","Alliant","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"TOBRAMYCIN 80MG/2ML INJECTION","J3260","HCPCS","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"14.58","9.88","20.92","percent of total billed charges",,
"TOBRAMYCIN 80MG/2ML INJECTION","J3260","HCPCS","Both",,,"27","13.5","Medicare",,"",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"TOBRAMYCIN 80MG/2ML INJECTION","J3260","HCPCS","Both",,,"27","13.5","Humana","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"TOBRAMYCIN 80MG/2ML INJECTION","J3260","HCPCS","Both",,,"27","13.5","UHC","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"TOBRAMYCIN 80MG/2ML INJECTION","J3260","HCPCS","Both",,,"27","13.5","Clover","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"TOBRAMYCIN 80MG/2ML INJECTION","J3260","HCPCS","Both",,,"27","13.5","Wellcare","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"TOBRAMYCIN 80MG/2ML INJECTION","J3260","HCPCS","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care","",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"TOBRAMYCIN 80MG/2ML INJECTION","J3260","HCPCS","Both",,,"27","13.5","Caresource","Medicaid Managed Care","",,"40",,"10.8","9.88","20.92","percent of total billed charges",,
"TOBRAMYCIN 80MG/2ML INJECTION","J3260","HCPCS","Both",,,"27","13.5","Wellcare","Medicaid Managed Care","",,"40",,"10.94","9.88","20.92","percent of total billed charges",,
"TOBRAMYCIN 80MG/2ML INJECTION","J3260","HCPCS","Both",,,"27","13.5","Aetna","Commercial","",,"64",,"17.23","9.88","20.92","percent of total billed charges",,
"TOBRAMYCIN 80MG/2ML INJECTION","J3260","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"TOBRAMYCIN 80MG/2ML INJECTION","J3260","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","HMO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"TOBRAMYCIN 80MG/2ML INJECTION","J3260","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","PPO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"TOBRAMYCIN 80MG/2ML INJECTION","J3260","HCPCS","Both",,,"27","13.5","Ambetter","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"TOBRAMYCIN 80MG/2ML INJECTION","J3260","HCPCS","Both",,,"27","13.5","Caresource","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"TOBRAMYCIN 80MG/2ML INJECTION","J3260","HCPCS","Both",,,"27","13.5","Cigna","Commercial","",,"59",,"15.82","9.88","20.92","percent of total billed charges",,
"TOBRAMYCIN 80MG/2ML INJECTION","J3260","HCPCS","Both",,,"27","13.5","Humana","Commercial","",,"78",,"20.92","9.88","20.92","percent of total billed charges",,
"TOBRAMYCIN 80MG/2ML INJECTION","J3260","HCPCS","Both",,,"27","13.5","UHC","Commercial","",,"75",,"20.36","9.88","20.92","percent of total billed charges",,
"TOBRAMYCIN 80MG/2ML INJECTION","J3260","HCPCS","Both",,,"27","13.5","Medicaid",,"",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"PIPERACILLIN/TAZOB (ZOSYN) 2.25GM INJ","J2543","HCPCS","Both",,,"60","30","Alliant","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"PIPERACILLIN/TAZOB (ZOSYN) 2.25GM INJ","J2543","HCPCS","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.4","21.96","46.5","percent of total billed charges",,
"PIPERACILLIN/TAZOB (ZOSYN) 2.25GM INJ","J2543","HCPCS","Both",,,"60","30","Medicare",,"",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"PIPERACILLIN/TAZOB (ZOSYN) 2.25GM INJ","J2543","HCPCS","Both",,,"60","30","Humana","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"PIPERACILLIN/TAZOB (ZOSYN) 2.25GM INJ","J2543","HCPCS","Both",,,"60","30","UHC","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"PIPERACILLIN/TAZOB (ZOSYN) 2.25GM INJ","J2543","HCPCS","Both",,,"60","30","Clover","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"PIPERACILLIN/TAZOB (ZOSYN) 2.25GM INJ","J2543","HCPCS","Both",,,"60","30","Wellcare","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"PIPERACILLIN/TAZOB (ZOSYN) 2.25GM INJ","J2543","HCPCS","Both",,,"60","30","Amerigroup","Medicaid Managed Care","",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"PIPERACILLIN/TAZOB (ZOSYN) 2.25GM INJ","J2543","HCPCS","Both",,,"60","30","Caresource","Medicaid Managed Care","",,"40",,"24","21.96","46.5","percent of total billed charges",,
"PIPERACILLIN/TAZOB (ZOSYN) 2.25GM INJ","J2543","HCPCS","Both",,,"60","30","Wellcare","Medicaid Managed Care","",,"40",,"24.3","21.96","46.5","percent of total billed charges",,
"PIPERACILLIN/TAZOB (ZOSYN) 2.25GM INJ","J2543","HCPCS","Both",,,"60","30","Aetna","Commercial","",,"64",,"38.28","21.96","46.5","percent of total billed charges",,
"PIPERACILLIN/TAZOB (ZOSYN) 2.25GM INJ","J2543","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","Pathways","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"PIPERACILLIN/TAZOB (ZOSYN) 2.25GM INJ","J2543","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","HMO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"PIPERACILLIN/TAZOB (ZOSYN) 2.25GM INJ","J2543","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","PPO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"PIPERACILLIN/TAZOB (ZOSYN) 2.25GM INJ","J2543","HCPCS","Both",,,"60","30","Ambetter","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"PIPERACILLIN/TAZOB (ZOSYN) 2.25GM INJ","J2543","HCPCS","Both",,,"60","30","Caresource","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"PIPERACILLIN/TAZOB (ZOSYN) 2.25GM INJ","J2543","HCPCS","Both",,,"60","30","Cigna","Commercial","",,"59",,"35.16","21.96","46.5","percent of total billed charges",,
"PIPERACILLIN/TAZOB (ZOSYN) 2.25GM INJ","J2543","HCPCS","Both",,,"60","30","Humana","Commercial","",,"78",,"46.5","21.96","46.5","percent of total billed charges",,
"PIPERACILLIN/TAZOB (ZOSYN) 2.25GM INJ","J2543","HCPCS","Both",,,"60","30","UHC","Commercial","",,"75",,"45.24","21.96","46.5","percent of total billed charges",,
"PIPERACILLIN/TAZOB (ZOSYN) 2.25GM INJ","J2543","HCPCS","Both",,,"60","30","Medicaid",,"",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"HYDROmorphone (DILAUDID) INJ: 1MG/ML","J1170","HCPCS","Both",,,"27","13.5","Alliant","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"HYDROmorphone (DILAUDID) INJ: 1MG/ML","J1170","HCPCS","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"14.58","9.88","20.92","percent of total billed charges",,
"HYDROmorphone (DILAUDID) INJ: 1MG/ML","J1170","HCPCS","Both",,,"27","13.5","Medicare",,"",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"HYDROmorphone (DILAUDID) INJ: 1MG/ML","J1170","HCPCS","Both",,,"27","13.5","Humana","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"HYDROmorphone (DILAUDID) INJ: 1MG/ML","J1170","HCPCS","Both",,,"27","13.5","UHC","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"HYDROmorphone (DILAUDID) INJ: 1MG/ML","J1170","HCPCS","Both",,,"27","13.5","Clover","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"HYDROmorphone (DILAUDID) INJ: 1MG/ML","J1170","HCPCS","Both",,,"27","13.5","Wellcare","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"HYDROmorphone (DILAUDID) INJ: 1MG/ML","J1170","HCPCS","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care","",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"HYDROmorphone (DILAUDID) INJ: 1MG/ML","J1170","HCPCS","Both",,,"27","13.5","Caresource","Medicaid Managed Care","",,"40",,"10.8","9.88","20.92","percent of total billed charges",,
"HYDROmorphone (DILAUDID) INJ: 1MG/ML","J1170","HCPCS","Both",,,"27","13.5","Wellcare","Medicaid Managed Care","",,"40",,"10.94","9.88","20.92","percent of total billed charges",,
"HYDROmorphone (DILAUDID) INJ: 1MG/ML","J1170","HCPCS","Both",,,"27","13.5","Aetna","Commercial","",,"64",,"17.23","9.88","20.92","percent of total billed charges",,
"HYDROmorphone (DILAUDID) INJ: 1MG/ML","J1170","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"HYDROmorphone (DILAUDID) INJ: 1MG/ML","J1170","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","HMO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"HYDROmorphone (DILAUDID) INJ: 1MG/ML","J1170","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","PPO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"HYDROmorphone (DILAUDID) INJ: 1MG/ML","J1170","HCPCS","Both",,,"27","13.5","Ambetter","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"HYDROmorphone (DILAUDID) INJ: 1MG/ML","J1170","HCPCS","Both",,,"27","13.5","Caresource","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"HYDROmorphone (DILAUDID) INJ: 1MG/ML","J1170","HCPCS","Both",,,"27","13.5","Cigna","Commercial","",,"59",,"15.82","9.88","20.92","percent of total billed charges",,
"HYDROmorphone (DILAUDID) INJ: 1MG/ML","J1170","HCPCS","Both",,,"27","13.5","Humana","Commercial","",,"78",,"20.92","9.88","20.92","percent of total billed charges",,
"HYDROmorphone (DILAUDID) INJ: 1MG/ML","J1170","HCPCS","Both",,,"27","13.5","UHC","Commercial","",,"75",,"20.36","9.88","20.92","percent of total billed charges",,
"HYDROmorphone (DILAUDID) INJ: 1MG/ML","J1170","HCPCS","Both",,,"27","13.5","Medicaid",,"",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"ALTEPLASE (ACTIVASE;tpa) 100mg INJ","J2997","HCPCS","Both",,,"17284","8642","Alliant","Health Exchange","",,"62",,"10716.08","6325.94","13395.1","percent of total billed charges",,
"ALTEPLASE (ACTIVASE;tpa) 100mg INJ","J2997","HCPCS","Both",,,"17284","8642","Pruitt Healthcare","Medicare Advantage","",,"54",,"9333.36","6325.94","13395.1","percent of total billed charges",,
"ALTEPLASE (ACTIVASE;tpa) 100mg INJ","J2997","HCPCS","Both",,,"17284","8642","Medicare",,"",,"54",,"9367.93","6325.94","13395.1","percent of total billed charges",,
"ALTEPLASE (ACTIVASE;tpa) 100mg INJ","J2997","HCPCS","Both",,,"17284","8642","Humana","Medicare Advantage","",,"54",,"9367.93","6325.94","13395.1","percent of total billed charges",,
"ALTEPLASE (ACTIVASE;tpa) 100mg INJ","J2997","HCPCS","Both",,,"17284","8642","UHC","Medicare Advantage","",,"54",,"9367.93","6325.94","13395.1","percent of total billed charges",,
"ALTEPLASE (ACTIVASE;tpa) 100mg INJ","J2997","HCPCS","Both",,,"17284","8642","Clover","Medicare Advantage","",,"54",,"9367.93","6325.94","13395.1","percent of total billed charges",,
"ALTEPLASE (ACTIVASE;tpa) 100mg INJ","J2997","HCPCS","Both",,,"17284","8642","Wellcare","Medicare Advantage","",,"54",,"9367.93","6325.94","13395.1","percent of total billed charges",,
"ALTEPLASE (ACTIVASE;tpa) 100mg INJ","J2997","HCPCS","Both",,,"17284","8642","Amerigroup","Medicaid Managed Care","",,"37",,"6325.94","6325.94","13395.1","percent of total billed charges",,
"ALTEPLASE (ACTIVASE;tpa) 100mg INJ","J2997","HCPCS","Both",,,"17284","8642","Caresource","Medicaid Managed Care","",,"40",,"6913.6","6325.94","13395.1","percent of total billed charges",,
"ALTEPLASE (ACTIVASE;tpa) 100mg INJ","J2997","HCPCS","Both",,,"17284","8642","Wellcare","Medicaid Managed Care","",,"40",,"7000.02","6325.94","13395.1","percent of total billed charges",,
"ALTEPLASE (ACTIVASE;tpa) 100mg INJ","J2997","HCPCS","Both",,,"17284","8642","Aetna","Commercial","",,"64",,"11027.19","6325.94","13395.1","percent of total billed charges",,
"ALTEPLASE (ACTIVASE;tpa) 100mg INJ","J2997","HCPCS","Both",,,"17284","8642","Blue Cross Blue Shield","Pathways","",,"71",,"12202.5","6325.94","13395.1","percent of total billed charges",,
"ALTEPLASE (ACTIVASE;tpa) 100mg INJ","J2997","HCPCS","Both",,,"17284","8642","Blue Cross Blue Shield","HMO","",,"71",,"12202.5","6325.94","13395.1","percent of total billed charges",,
"ALTEPLASE (ACTIVASE;tpa) 100mg INJ","J2997","HCPCS","Both",,,"17284","8642","Blue Cross Blue Shield","PPO","",,"71",,"12202.5","6325.94","13395.1","percent of total billed charges",,
"ALTEPLASE (ACTIVASE;tpa) 100mg INJ","J2997","HCPCS","Both",,,"17284","8642","Ambetter","Health Exchange","",,"62",,"10716.08","6325.94","13395.1","percent of total billed charges",,
"ALTEPLASE (ACTIVASE;tpa) 100mg INJ","J2997","HCPCS","Both",,,"17284","8642","Caresource","Health Exchange","",,"62",,"10716.08","6325.94","13395.1","percent of total billed charges",,
"ALTEPLASE (ACTIVASE;tpa) 100mg INJ","J2997","HCPCS","Both",,,"17284","8642","Cigna","Commercial","",,"59",,"10128.42","6325.94","13395.1","percent of total billed charges",,
"ALTEPLASE (ACTIVASE;tpa) 100mg INJ","J2997","HCPCS","Both",,,"17284","8642","Humana","Commercial","",,"78",,"13395.1","6325.94","13395.1","percent of total billed charges",,
"ALTEPLASE (ACTIVASE;tpa) 100mg INJ","J2997","HCPCS","Both",,,"17284","8642","UHC","Commercial","",,"75",,"13032.14","6325.94","13395.1","percent of total billed charges",,
"ALTEPLASE (ACTIVASE;tpa) 100mg INJ","J2997","HCPCS","Both",,,"17284","8642","Medicaid",,"",,"37",,"6325.94","6325.94","13395.1","percent of total billed charges",,
"RABIES VACCINE 2.5 UNIT INJECTION","90675","HCPCS","Both",,,"730","365","Alliant","Health Exchange","",,"62",,"452.6","220.33","565.75","percent of total billed charges",,
"RABIES VACCINE 2.5 UNIT INJECTION","90675","HCPCS","Both",,,"730","365","Pruitt Healthcare","Medicare Advantage","",,"54",,"394.2","220.33","565.75","percent of total billed charges",,
"RABIES VACCINE 2.5 UNIT INJECTION","90675","HCPCS","Both",,,"730","365","Medicare",,"",,"54",,"395.66","220.33","565.75","percent of total billed charges",,
"RABIES VACCINE 2.5 UNIT INJECTION","90675","HCPCS","Both",,,"730","365","Humana","Medicare Advantage","",,"54",,"395.66","220.33","565.75","percent of total billed charges",,
"RABIES VACCINE 2.5 UNIT INJECTION","90675","HCPCS","Both",,,"730","365","UHC","Medicare Advantage","",,"54",,"395.66","220.33","565.75","percent of total billed charges",,
"RABIES VACCINE 2.5 UNIT INJECTION","90675","HCPCS","Both",,,"730","365","Clover","Medicare Advantage","",,"54",,"395.66","220.33","565.75","percent of total billed charges",,
"RABIES VACCINE 2.5 UNIT INJECTION","90675","HCPCS","Both",,,"730","365","Wellcare","Medicare Advantage","",,"54",,"395.66","220.33","565.75","percent of total billed charges",,
"RABIES VACCINE 2.5 UNIT INJECTION","90675","HCPCS","Both",,,"730","365","Amerigroup","Medicaid Managed Care","",,"37",,"267.18","220.33","565.75","percent of total billed charges",,
"RABIES VACCINE 2.5 UNIT INJECTION","90675","HCPCS","Both",,,"730","365","Caresource","Medicaid Managed Care","",,"40",,"292","220.33","565.75","percent of total billed charges",,
"RABIES VACCINE 2.5 UNIT INJECTION","90675","HCPCS","Both",,,"730","365","Wellcare","Medicaid Managed Care","",,"40",,"295.65","220.33","565.75","percent of total billed charges",,
"RABIES VACCINE 2.5 UNIT INJECTION","90675","HCPCS","Both",,,"730","365","Aetna","Commercial","",,"64",,"465.74","220.33","565.75","percent of total billed charges",,
"RABIES VACCINE 2.5 UNIT INJECTION","90675","HCPCS","Both",,,"730","365","Blue Cross Blue Shield","Pathways","",,"71",,"515.38","220.33","565.75","percent of total billed charges",,
"RABIES VACCINE 2.5 UNIT INJECTION","90675","HCPCS","Both",,,"730","365","Blue Cross Blue Shield","HMO","",,"71",,"515.38","220.33","565.75","percent of total billed charges",,
"RABIES VACCINE 2.5 UNIT INJECTION","90675","HCPCS","Both",,,"730","365","Blue Cross Blue Shield","PPO","",,"71",,"515.38","220.33","565.75","percent of total billed charges",,
"RABIES VACCINE 2.5 UNIT INJECTION","90675","HCPCS","Both",,,"730","365","Ambetter","Health Exchange","",,"62",,"452.6","220.33","565.75","percent of total billed charges",,
"RABIES VACCINE 2.5 UNIT INJECTION","90675","HCPCS","Both",,,"730","365","Caresource","Health Exchange","",,"62",,"452.6","220.33","565.75","percent of total billed charges",,
"RABIES VACCINE 2.5 UNIT INJECTION","90675","HCPCS","Both",,,"730","365","Cigna","Commercial","",,"59",,"427.78","220.33","565.75","percent of total billed charges",,
"RABIES VACCINE 2.5 UNIT INJECTION","90675","HCPCS","Both",,,"730","365","Humana","Commercial","",,"78",,"565.75","220.33","565.75","percent of total billed charges",,
"RABIES VACCINE 2.5 UNIT INJECTION","90675","HCPCS","Both",,,"730","365","UHC","Commercial","",,"75",,"550.42","220.33","565.75","percent of total billed charges",,
"RABIES VACCINE 2.5 UNIT INJECTION","90675","HCPCS","Both",,,"730","365","Medicaid",,"",,"37",,"267.18","220.33","565.75","percent of total billed charges",,
"ZOLEDRONIC ACID (RECLAST) 5MG INJ","J3489","HCPCS","Both",,,"440","220","Alliant","Health Exchange","",,"62",,"272.8","161.04","341","percent of total billed charges",,
"ZOLEDRONIC ACID (RECLAST) 5MG INJ","J3489","HCPCS","Both",,,"440","220","Pruitt Healthcare","Medicare Advantage","",,"54",,"237.6","161.04","341","percent of total billed charges",,
"ZOLEDRONIC ACID (RECLAST) 5MG INJ","J3489","HCPCS","Both",,,"440","220","Medicare",,"",,"54",,"238.48","161.04","341","percent of total billed charges",,
"ZOLEDRONIC ACID (RECLAST) 5MG INJ","J3489","HCPCS","Both",,,"440","220","Humana","Medicare Advantage","",,"54",,"238.48","161.04","341","percent of total billed charges",,
"ZOLEDRONIC ACID (RECLAST) 5MG INJ","J3489","HCPCS","Both",,,"440","220","UHC","Medicare Advantage","",,"54",,"238.48","161.04","341","percent of total billed charges",,
"ZOLEDRONIC ACID (RECLAST) 5MG INJ","J3489","HCPCS","Both",,,"440","220","Clover","Medicare Advantage","",,"54",,"238.48","161.04","341","percent of total billed charges",,
"ZOLEDRONIC ACID (RECLAST) 5MG INJ","J3489","HCPCS","Both",,,"440","220","Wellcare","Medicare Advantage","",,"54",,"238.48","161.04","341","percent of total billed charges",,
"ZOLEDRONIC ACID (RECLAST) 5MG INJ","J3489","HCPCS","Both",,,"440","220","Amerigroup","Medicaid Managed Care","",,"37",,"161.04","161.04","341","percent of total billed charges",,
"ZOLEDRONIC ACID (RECLAST) 5MG INJ","J3489","HCPCS","Both",,,"440","220","Caresource","Medicaid Managed Care","",,"40",,"176","161.04","341","percent of total billed charges",,
"ZOLEDRONIC ACID (RECLAST) 5MG INJ","J3489","HCPCS","Both",,,"440","220","Wellcare","Medicaid Managed Care","",,"40",,"178.2","161.04","341","percent of total billed charges",,
"ZOLEDRONIC ACID (RECLAST) 5MG INJ","J3489","HCPCS","Both",,,"440","220","Aetna","Commercial","",,"64",,"280.72","161.04","341","percent of total billed charges",,
"ZOLEDRONIC ACID (RECLAST) 5MG INJ","J3489","HCPCS","Both",,,"440","220","Blue Cross Blue Shield","Pathways","",,"71",,"310.64","161.04","341","percent of total billed charges",,
"ZOLEDRONIC ACID (RECLAST) 5MG INJ","J3489","HCPCS","Both",,,"440","220","Blue Cross Blue Shield","HMO","",,"71",,"310.64","161.04","341","percent of total billed charges",,
"ZOLEDRONIC ACID (RECLAST) 5MG INJ","J3489","HCPCS","Both",,,"440","220","Blue Cross Blue Shield","PPO","",,"71",,"310.64","161.04","341","percent of total billed charges",,
"ZOLEDRONIC ACID (RECLAST) 5MG INJ","J3489","HCPCS","Both",,,"440","220","Ambetter","Health Exchange","",,"62",,"272.8","161.04","341","percent of total billed charges",,
"ZOLEDRONIC ACID (RECLAST) 5MG INJ","J3489","HCPCS","Both",,,"440","220","Caresource","Health Exchange","",,"62",,"272.8","161.04","341","percent of total billed charges",,
"ZOLEDRONIC ACID (RECLAST) 5MG INJ","J3489","HCPCS","Both",,,"440","220","Cigna","Commercial","",,"59",,"257.84","161.04","341","percent of total billed charges",,
"ZOLEDRONIC ACID (RECLAST) 5MG INJ","J3489","HCPCS","Both",,,"440","220","Humana","Commercial","",,"78",,"341","161.04","341","percent of total billed charges",,
"ZOLEDRONIC ACID (RECLAST) 5MG INJ","J3489","HCPCS","Both",,,"440","220","UHC","Commercial","",,"75",,"331.76","161.04","341","percent of total billed charges",,
"ZOLEDRONIC ACID (RECLAST) 5MG INJ","J3489","HCPCS","Both",,,"440","220","Medicaid",,"",,"37",,"161.04","161.04","341","percent of total billed charges",,
"SPINAL PUNCTURE LUMBAR DIAG","62270","HCPCS","Both",,,"440.5","220.25","Alliant","Health Exchange","",,"62",,"273.11","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE LUMBAR DIAG","62270","HCPCS","Both",,,"440.5","220.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"237.87","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE LUMBAR DIAG","62270","HCPCS","Both",,,"440.5","220.25","Medicare",,"",,"54",,"238.75","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE LUMBAR DIAG","62270","HCPCS","Both",,,"440.5","220.25","Humana","Medicare Advantage","",,"54",,"238.75","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE LUMBAR DIAG","62270","HCPCS","Both",,,"440.5","220.25","UHC","Medicare Advantage","",,"54",,"238.75","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE LUMBAR DIAG","62270","HCPCS","Both",,,"440.5","220.25","Clover","Medicare Advantage","",,"54",,"238.75","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE LUMBAR DIAG","62270","HCPCS","Both",,,"440.5","220.25","Wellcare","Medicare Advantage","",,"54",,"238.75","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE LUMBAR DIAG","62270","HCPCS","Both",,,"440.5","220.25","Amerigroup","Medicaid Managed Care","",,"37",,"161.22","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE LUMBAR DIAG","62270","HCPCS","Both",,,"440.5","220.25","Caresource","Medicaid Managed Care","",,"40",,"176.2","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE LUMBAR DIAG","62270","HCPCS","Both",,,"440.5","220.25","Wellcare","Medicaid Managed Care","",,"40",,"178.4","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE LUMBAR DIAG","62270","HCPCS","Both",,,"440.5","220.25","Aetna","Commercial","",,"64",,"281.04","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE LUMBAR DIAG","62270","HCPCS","Both",,,"440.5","220.25","Blue Cross Blue Shield","Pathways","",,"71",,"310.99","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE LUMBAR DIAG","62270","HCPCS","Both",,,"440.5","220.25","Blue Cross Blue Shield","HMO","",,"71",,"310.99","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE LUMBAR DIAG","62270","HCPCS","Both",,,"440.5","220.25","Blue Cross Blue Shield","PPO","",,"71",,"310.99","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE LUMBAR DIAG","62270","HCPCS","Both",,,"440.5","220.25","Ambetter","Health Exchange","",,"62",,"273.11","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE LUMBAR DIAG","62270","HCPCS","Both",,,"440.5","220.25","Caresource","Health Exchange","",,"62",,"273.11","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE LUMBAR DIAG","62270","HCPCS","Both",,,"440.5","220.25","Cigna","Commercial","",,"59",,"258.13","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE LUMBAR DIAG","62270","HCPCS","Both",,,"440.5","220.25","Humana","Commercial","",,"78",,"341.39","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE LUMBAR DIAG","62270","HCPCS","Both",,,"440.5","220.25","UHC","Commercial","",,"75",,"332.14","161.22","341.39","percent of total billed charges",,
"SPINAL PUNCTURE LUMBAR DIAG","62270","HCPCS","Both",,,"440.5","220.25","Medicaid",,"",,"37",,"161.22","161.22","341.39","percent of total billed charges",,
"LIDOCAINE HCI 100MG/5ML INJ SYRINGE","J2001","HCPCS","Both",,,"31","15.5","Alliant","Health Exchange","",,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"LIDOCAINE HCI 100MG/5ML INJ SYRINGE","J2001","HCPCS","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"16.74","11.35","24.02","percent of total billed charges",,
"LIDOCAINE HCI 100MG/5ML INJ SYRINGE","J2001","HCPCS","Both",,,"31","15.5","Medicare",,"",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"LIDOCAINE HCI 100MG/5ML INJ SYRINGE","J2001","HCPCS","Both",,,"31","15.5","Humana","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"LIDOCAINE HCI 100MG/5ML INJ SYRINGE","J2001","HCPCS","Both",,,"31","15.5","UHC","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"LIDOCAINE HCI 100MG/5ML INJ SYRINGE","J2001","HCPCS","Both",,,"31","15.5","Clover","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"LIDOCAINE HCI 100MG/5ML INJ SYRINGE","J2001","HCPCS","Both",,,"31","15.5","Wellcare","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"LIDOCAINE HCI 100MG/5ML INJ SYRINGE","J2001","HCPCS","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care","",,"37",,"11.35","11.35","24.02","percent of total billed charges",,
"LIDOCAINE HCI 100MG/5ML INJ SYRINGE","J2001","HCPCS","Both",,,"31","15.5","Caresource","Medicaid Managed Care","",,"40",,"12.4","11.35","24.02","percent of total billed charges",,
"LIDOCAINE HCI 100MG/5ML INJ SYRINGE","J2001","HCPCS","Both",,,"31","15.5","Wellcare","Medicaid Managed Care","",,"40",,"12.56","11.35","24.02","percent of total billed charges",,
"LIDOCAINE HCI 100MG/5ML INJ SYRINGE","J2001","HCPCS","Both",,,"31","15.5","Aetna","Commercial","",,"64",,"19.78","11.35","24.02","percent of total billed charges",,
"LIDOCAINE HCI 100MG/5ML INJ SYRINGE","J2001","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways","",,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"LIDOCAINE HCI 100MG/5ML INJ SYRINGE","J2001","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","HMO","",,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"LIDOCAINE HCI 100MG/5ML INJ SYRINGE","J2001","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","PPO","",,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"LIDOCAINE HCI 100MG/5ML INJ SYRINGE","J2001","HCPCS","Both",,,"31","15.5","Ambetter","Health Exchange","",,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"LIDOCAINE HCI 100MG/5ML INJ SYRINGE","J2001","HCPCS","Both",,,"31","15.5","Caresource","Health Exchange","",,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"LIDOCAINE HCI 100MG/5ML INJ SYRINGE","J2001","HCPCS","Both",,,"31","15.5","Cigna","Commercial","",,"59",,"18.17","11.35","24.02","percent of total billed charges",,
"LIDOCAINE HCI 100MG/5ML INJ SYRINGE","J2001","HCPCS","Both",,,"31","15.5","Humana","Commercial","",,"78",,"24.02","11.35","24.02","percent of total billed charges",,
"LIDOCAINE HCI 100MG/5ML INJ SYRINGE","J2001","HCPCS","Both",,,"31","15.5","UHC","Commercial","",,"75",,"23.37","11.35","24.02","percent of total billed charges",,
"LIDOCAINE HCI 100MG/5ML INJ SYRINGE","J2001","HCPCS","Both",,,"31","15.5","Medicaid",,"",,"37",,"11.35","11.35","24.02","percent of total billed charges",,
"PNEUMOCOCCAL VAX (PNEUMOVAX 23) INJ","90732","HCPCS","Both",,,"158","79","Alliant","Health Exchange","",,"62",,"97.96","57.83","122.45","percent of total billed charges",,
"PNEUMOCOCCAL VAX (PNEUMOVAX 23) INJ","90732","HCPCS","Both",,,"158","79","Pruitt Healthcare","Medicare Advantage","",,"54",,"85.32","57.83","122.45","percent of total billed charges",,
"PNEUMOCOCCAL VAX (PNEUMOVAX 23) INJ","90732","HCPCS","Both",,,"158","79","Medicare",,"",,"54",,"85.64","57.83","122.45","percent of total billed charges",,
"PNEUMOCOCCAL VAX (PNEUMOVAX 23) INJ","90732","HCPCS","Both",,,"158","79","Humana","Medicare Advantage","",,"54",,"85.64","57.83","122.45","percent of total billed charges",,
"PNEUMOCOCCAL VAX (PNEUMOVAX 23) INJ","90732","HCPCS","Both",,,"158","79","UHC","Medicare Advantage","",,"54",,"85.64","57.83","122.45","percent of total billed charges",,
"PNEUMOCOCCAL VAX (PNEUMOVAX 23) INJ","90732","HCPCS","Both",,,"158","79","Clover","Medicare Advantage","",,"54",,"85.64","57.83","122.45","percent of total billed charges",,
"PNEUMOCOCCAL VAX (PNEUMOVAX 23) INJ","90732","HCPCS","Both",,,"158","79","Wellcare","Medicare Advantage","",,"54",,"85.64","57.83","122.45","percent of total billed charges",,
"PNEUMOCOCCAL VAX (PNEUMOVAX 23) INJ","90732","HCPCS","Both",,,"158","79","Amerigroup","Medicaid Managed Care","",,"37",,"57.83","57.83","122.45","percent of total billed charges",,
"PNEUMOCOCCAL VAX (PNEUMOVAX 23) INJ","90732","HCPCS","Both",,,"158","79","Caresource","Medicaid Managed Care","",,"40",,"63.2","57.83","122.45","percent of total billed charges",,
"PNEUMOCOCCAL VAX (PNEUMOVAX 23) INJ","90732","HCPCS","Both",,,"158","79","Wellcare","Medicaid Managed Care","",,"40",,"63.99","57.83","122.45","percent of total billed charges",,
"PNEUMOCOCCAL VAX (PNEUMOVAX 23) INJ","90732","HCPCS","Both",,,"158","79","Aetna","Commercial","",,"64",,"100.8","57.83","122.45","percent of total billed charges",,
"PNEUMOCOCCAL VAX (PNEUMOVAX 23) INJ","90732","HCPCS","Both",,,"158","79","Blue Cross Blue Shield","Pathways","",,"71",,"111.55","57.83","122.45","percent of total billed charges",,
"PNEUMOCOCCAL VAX (PNEUMOVAX 23) INJ","90732","HCPCS","Both",,,"158","79","Blue Cross Blue Shield","HMO","",,"71",,"111.55","57.83","122.45","percent of total billed charges",,
"PNEUMOCOCCAL VAX (PNEUMOVAX 23) INJ","90732","HCPCS","Both",,,"158","79","Blue Cross Blue Shield","PPO","",,"71",,"111.55","57.83","122.45","percent of total billed charges",,
"PNEUMOCOCCAL VAX (PNEUMOVAX 23) INJ","90732","HCPCS","Both",,,"158","79","Ambetter","Health Exchange","",,"62",,"97.96","57.83","122.45","percent of total billed charges",,
"PNEUMOCOCCAL VAX (PNEUMOVAX 23) INJ","90732","HCPCS","Both",,,"158","79","Caresource","Health Exchange","",,"62",,"97.96","57.83","122.45","percent of total billed charges",,
"PNEUMOCOCCAL VAX (PNEUMOVAX 23) INJ","90732","HCPCS","Both",,,"158","79","Cigna","Commercial","",,"59",,"92.59","57.83","122.45","percent of total billed charges",,
"PNEUMOCOCCAL VAX (PNEUMOVAX 23) INJ","90732","HCPCS","Both",,,"158","79","Humana","Commercial","",,"78",,"122.45","57.83","122.45","percent of total billed charges",,
"PNEUMOCOCCAL VAX (PNEUMOVAX 23) INJ","90732","HCPCS","Both",,,"158","79","UHC","Commercial","",,"75",,"119.13","57.83","122.45","percent of total billed charges",,
"PNEUMOCOCCAL VAX (PNEUMOVAX 23) INJ","90732","HCPCS","Both",,,"158","79","Medicaid",,"",,"37",,"57.83","57.83","122.45","percent of total billed charges",,
"HEPARIN 5000UNITS/ML INJECTION","J1644","HCPCS","Both",,,"31","15.5","Alliant","Health Exchange","",,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"HEPARIN 5000UNITS/ML INJECTION","J1644","HCPCS","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"16.74","11.35","24.02","percent of total billed charges",,
"HEPARIN 5000UNITS/ML INJECTION","J1644","HCPCS","Both",,,"31","15.5","Medicare",,"",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"HEPARIN 5000UNITS/ML INJECTION","J1644","HCPCS","Both",,,"31","15.5","Humana","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"HEPARIN 5000UNITS/ML INJECTION","J1644","HCPCS","Both",,,"31","15.5","UHC","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"HEPARIN 5000UNITS/ML INJECTION","J1644","HCPCS","Both",,,"31","15.5","Clover","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"HEPARIN 5000UNITS/ML INJECTION","J1644","HCPCS","Both",,,"31","15.5","Wellcare","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"HEPARIN 5000UNITS/ML INJECTION","J1644","HCPCS","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care","",,"37",,"11.35","11.35","24.02","percent of total billed charges",,
"HEPARIN 5000UNITS/ML INJECTION","J1644","HCPCS","Both",,,"31","15.5","Caresource","Medicaid Managed Care","",,"40",,"12.4","11.35","24.02","percent of total billed charges",,
"HEPARIN 5000UNITS/ML INJECTION","J1644","HCPCS","Both",,,"31","15.5","Wellcare","Medicaid Managed Care","",,"40",,"12.56","11.35","24.02","percent of total billed charges",,
"HEPARIN 5000UNITS/ML INJECTION","J1644","HCPCS","Both",,,"31","15.5","Aetna","Commercial","",,"64",,"19.78","11.35","24.02","percent of total billed charges",,
"HEPARIN 5000UNITS/ML INJECTION","J1644","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways","",,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"HEPARIN 5000UNITS/ML INJECTION","J1644","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","HMO","",,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"HEPARIN 5000UNITS/ML INJECTION","J1644","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","PPO","",,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"HEPARIN 5000UNITS/ML INJECTION","J1644","HCPCS","Both",,,"31","15.5","Ambetter","Health Exchange","",,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"HEPARIN 5000UNITS/ML INJECTION","J1644","HCPCS","Both",,,"31","15.5","Caresource","Health Exchange","",,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"HEPARIN 5000UNITS/ML INJECTION","J1644","HCPCS","Both",,,"31","15.5","Cigna","Commercial","",,"59",,"18.17","11.35","24.02","percent of total billed charges",,
"HEPARIN 5000UNITS/ML INJECTION","J1644","HCPCS","Both",,,"31","15.5","Humana","Commercial","",,"78",,"24.02","11.35","24.02","percent of total billed charges",,
"HEPARIN 5000UNITS/ML INJECTION","J1644","HCPCS","Both",,,"31","15.5","UHC","Commercial","",,"75",,"23.37","11.35","24.02","percent of total billed charges",,
"HEPARIN 5000UNITS/ML INJECTION","J1644","HCPCS","Both",,,"31","15.5","Medicaid",,"",,"37",,"11.35","11.35","24.02","percent of total billed charges",,
"PHYTONADIONE (VITAMIN K) *1mg/0.5ml* INJ","J3430","HCPCS","Both",,,"27","13.5","Alliant","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"PHYTONADIONE (VITAMIN K) *1mg/0.5ml* INJ","J3430","HCPCS","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"14.58","9.88","20.92","percent of total billed charges",,
"PHYTONADIONE (VITAMIN K) *1mg/0.5ml* INJ","J3430","HCPCS","Both",,,"27","13.5","Medicare",,"",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PHYTONADIONE (VITAMIN K) *1mg/0.5ml* INJ","J3430","HCPCS","Both",,,"27","13.5","Humana","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PHYTONADIONE (VITAMIN K) *1mg/0.5ml* INJ","J3430","HCPCS","Both",,,"27","13.5","UHC","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PHYTONADIONE (VITAMIN K) *1mg/0.5ml* INJ","J3430","HCPCS","Both",,,"27","13.5","Clover","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PHYTONADIONE (VITAMIN K) *1mg/0.5ml* INJ","J3430","HCPCS","Both",,,"27","13.5","Wellcare","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PHYTONADIONE (VITAMIN K) *1mg/0.5ml* INJ","J3430","HCPCS","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care","",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"PHYTONADIONE (VITAMIN K) *1mg/0.5ml* INJ","J3430","HCPCS","Both",,,"27","13.5","Caresource","Medicaid Managed Care","",,"40",,"10.8","9.88","20.92","percent of total billed charges",,
"PHYTONADIONE (VITAMIN K) *1mg/0.5ml* INJ","J3430","HCPCS","Both",,,"27","13.5","Wellcare","Medicaid Managed Care","",,"40",,"10.94","9.88","20.92","percent of total billed charges",,
"PHYTONADIONE (VITAMIN K) *1mg/0.5ml* INJ","J3430","HCPCS","Both",,,"27","13.5","Aetna","Commercial","",,"64",,"17.23","9.88","20.92","percent of total billed charges",,
"PHYTONADIONE (VITAMIN K) *1mg/0.5ml* INJ","J3430","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"PHYTONADIONE (VITAMIN K) *1mg/0.5ml* INJ","J3430","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","HMO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"PHYTONADIONE (VITAMIN K) *1mg/0.5ml* INJ","J3430","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","PPO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"PHYTONADIONE (VITAMIN K) *1mg/0.5ml* INJ","J3430","HCPCS","Both",,,"27","13.5","Ambetter","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"PHYTONADIONE (VITAMIN K) *1mg/0.5ml* INJ","J3430","HCPCS","Both",,,"27","13.5","Caresource","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"PHYTONADIONE (VITAMIN K) *1mg/0.5ml* INJ","J3430","HCPCS","Both",,,"27","13.5","Cigna","Commercial","",,"59",,"15.82","9.88","20.92","percent of total billed charges",,
"PHYTONADIONE (VITAMIN K) *1mg/0.5ml* INJ","J3430","HCPCS","Both",,,"27","13.5","Humana","Commercial","",,"78",,"20.92","9.88","20.92","percent of total billed charges",,
"PHYTONADIONE (VITAMIN K) *1mg/0.5ml* INJ","J3430","HCPCS","Both",,,"27","13.5","UHC","Commercial","",,"75",,"20.36","9.88","20.92","percent of total billed charges",,
"PHYTONADIONE (VITAMIN K) *1mg/0.5ml* INJ","J3430","HCPCS","Both",,,"27","13.5","Medicaid",,"",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"AMPICILLIN/SULBACTAM (UNASYN) 3GM INJ","J0295","HCPCS","Both",,,"52","26","Alliant","Health Exchange","",,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"AMPICILLIN/SULBACTAM (UNASYN) 3GM INJ","J0295","HCPCS","Both",,,"52","26","Pruitt Healthcare","Medicare Advantage","",,"54",,"28.08","19.03","40.3","percent of total billed charges",,
"AMPICILLIN/SULBACTAM (UNASYN) 3GM INJ","J0295","HCPCS","Both",,,"52","26","Medicare",,"",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"AMPICILLIN/SULBACTAM (UNASYN) 3GM INJ","J0295","HCPCS","Both",,,"52","26","Humana","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"AMPICILLIN/SULBACTAM (UNASYN) 3GM INJ","J0295","HCPCS","Both",,,"52","26","UHC","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"AMPICILLIN/SULBACTAM (UNASYN) 3GM INJ","J0295","HCPCS","Both",,,"52","26","Clover","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"AMPICILLIN/SULBACTAM (UNASYN) 3GM INJ","J0295","HCPCS","Both",,,"52","26","Wellcare","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"AMPICILLIN/SULBACTAM (UNASYN) 3GM INJ","J0295","HCPCS","Both",,,"52","26","Amerigroup","Medicaid Managed Care","",,"37",,"19.03","19.03","40.3","percent of total billed charges",,
"AMPICILLIN/SULBACTAM (UNASYN) 3GM INJ","J0295","HCPCS","Both",,,"52","26","Caresource","Medicaid Managed Care","",,"40",,"20.8","19.03","40.3","percent of total billed charges",,
"AMPICILLIN/SULBACTAM (UNASYN) 3GM INJ","J0295","HCPCS","Both",,,"52","26","Wellcare","Medicaid Managed Care","",,"40",,"21.06","19.03","40.3","percent of total billed charges",,
"AMPICILLIN/SULBACTAM (UNASYN) 3GM INJ","J0295","HCPCS","Both",,,"52","26","Aetna","Commercial","",,"64",,"33.18","19.03","40.3","percent of total billed charges",,
"AMPICILLIN/SULBACTAM (UNASYN) 3GM INJ","J0295","HCPCS","Both",,,"52","26","Blue Cross Blue Shield","Pathways","",,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"AMPICILLIN/SULBACTAM (UNASYN) 3GM INJ","J0295","HCPCS","Both",,,"52","26","Blue Cross Blue Shield","HMO","",,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"AMPICILLIN/SULBACTAM (UNASYN) 3GM INJ","J0295","HCPCS","Both",,,"52","26","Blue Cross Blue Shield","PPO","",,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"AMPICILLIN/SULBACTAM (UNASYN) 3GM INJ","J0295","HCPCS","Both",,,"52","26","Ambetter","Health Exchange","",,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"AMPICILLIN/SULBACTAM (UNASYN) 3GM INJ","J0295","HCPCS","Both",,,"52","26","Caresource","Health Exchange","",,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"AMPICILLIN/SULBACTAM (UNASYN) 3GM INJ","J0295","HCPCS","Both",,,"52","26","Cigna","Commercial","",,"59",,"30.47","19.03","40.3","percent of total billed charges",,
"AMPICILLIN/SULBACTAM (UNASYN) 3GM INJ","J0295","HCPCS","Both",,,"52","26","Humana","Commercial","",,"78",,"40.3","19.03","40.3","percent of total billed charges",,
"AMPICILLIN/SULBACTAM (UNASYN) 3GM INJ","J0295","HCPCS","Both",,,"52","26","UHC","Commercial","",,"75",,"39.21","19.03","40.3","percent of total billed charges",,
"AMPICILLIN/SULBACTAM (UNASYN) 3GM INJ","J0295","HCPCS","Both",,,"52","26","Medicaid",,"",,"37",,"19.03","19.03","40.3","percent of total billed charges",,
"RHO-D IMMUNE GLOBULIN (RHOGAM) 300 MCG","J2790","HCPCS","Both",,,"165","82.5","Alliant","Health Exchange","",,"62",,"102.3","60.39","127.88","percent of total billed charges",,
"RHO-D IMMUNE GLOBULIN (RHOGAM) 300 MCG","J2790","HCPCS","Both",,,"165","82.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"89.1","60.39","127.88","percent of total billed charges",,
"RHO-D IMMUNE GLOBULIN (RHOGAM) 300 MCG","J2790","HCPCS","Both",,,"165","82.5","Medicare",,"",,"54",,"89.43","60.39","127.88","percent of total billed charges",,
"RHO-D IMMUNE GLOBULIN (RHOGAM) 300 MCG","J2790","HCPCS","Both",,,"165","82.5","Humana","Medicare Advantage","",,"54",,"89.43","60.39","127.88","percent of total billed charges",,
"RHO-D IMMUNE GLOBULIN (RHOGAM) 300 MCG","J2790","HCPCS","Both",,,"165","82.5","UHC","Medicare Advantage","",,"54",,"89.43","60.39","127.88","percent of total billed charges",,
"RHO-D IMMUNE GLOBULIN (RHOGAM) 300 MCG","J2790","HCPCS","Both",,,"165","82.5","Clover","Medicare Advantage","",,"54",,"89.43","60.39","127.88","percent of total billed charges",,
"RHO-D IMMUNE GLOBULIN (RHOGAM) 300 MCG","J2790","HCPCS","Both",,,"165","82.5","Wellcare","Medicare Advantage","",,"54",,"89.43","60.39","127.88","percent of total billed charges",,
"RHO-D IMMUNE GLOBULIN (RHOGAM) 300 MCG","J2790","HCPCS","Both",,,"165","82.5","Amerigroup","Medicaid Managed Care","",,"37",,"60.39","60.39","127.88","percent of total billed charges",,
"RHO-D IMMUNE GLOBULIN (RHOGAM) 300 MCG","J2790","HCPCS","Both",,,"165","82.5","Caresource","Medicaid Managed Care","",,"40",,"66","60.39","127.88","percent of total billed charges",,
"RHO-D IMMUNE GLOBULIN (RHOGAM) 300 MCG","J2790","HCPCS","Both",,,"165","82.5","Wellcare","Medicaid Managed Care","",,"40",,"66.82","60.39","127.88","percent of total billed charges",,
"RHO-D IMMUNE GLOBULIN (RHOGAM) 300 MCG","J2790","HCPCS","Both",,,"165","82.5","Aetna","Commercial","",,"64",,"105.27","60.39","127.88","percent of total billed charges",,
"RHO-D IMMUNE GLOBULIN (RHOGAM) 300 MCG","J2790","HCPCS","Both",,,"165","82.5","Blue Cross Blue Shield","Pathways","",,"71",,"116.49","60.39","127.88","percent of total billed charges",,
"RHO-D IMMUNE GLOBULIN (RHOGAM) 300 MCG","J2790","HCPCS","Both",,,"165","82.5","Blue Cross Blue Shield","HMO","",,"71",,"116.49","60.39","127.88","percent of total billed charges",,
"RHO-D IMMUNE GLOBULIN (RHOGAM) 300 MCG","J2790","HCPCS","Both",,,"165","82.5","Blue Cross Blue Shield","PPO","",,"71",,"116.49","60.39","127.88","percent of total billed charges",,
"RHO-D IMMUNE GLOBULIN (RHOGAM) 300 MCG","J2790","HCPCS","Both",,,"165","82.5","Ambetter","Health Exchange","",,"62",,"102.3","60.39","127.88","percent of total billed charges",,
"RHO-D IMMUNE GLOBULIN (RHOGAM) 300 MCG","J2790","HCPCS","Both",,,"165","82.5","Caresource","Health Exchange","",,"62",,"102.3","60.39","127.88","percent of total billed charges",,
"RHO-D IMMUNE GLOBULIN (RHOGAM) 300 MCG","J2790","HCPCS","Both",,,"165","82.5","Cigna","Commercial","",,"59",,"96.69","60.39","127.88","percent of total billed charges",,
"RHO-D IMMUNE GLOBULIN (RHOGAM) 300 MCG","J2790","HCPCS","Both",,,"165","82.5","Humana","Commercial","",,"78",,"127.88","60.39","127.88","percent of total billed charges",,
"RHO-D IMMUNE GLOBULIN (RHOGAM) 300 MCG","J2790","HCPCS","Both",,,"165","82.5","UHC","Commercial","",,"75",,"124.41","60.39","127.88","percent of total billed charges",,
"RHO-D IMMUNE GLOBULIN (RHOGAM) 300 MCG","J2790","HCPCS","Both",,,"165","82.5","Medicaid",,"",,"37",,"60.39","60.39","127.88","percent of total billed charges",,
"FLUCONAZOLE 200MG/100ML PREMIX","J1450","HCPCS","Both",,,"52","26","Alliant","Health Exchange","",,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"FLUCONAZOLE 200MG/100ML PREMIX","J1450","HCPCS","Both",,,"52","26","Pruitt Healthcare","Medicare Advantage","",,"54",,"28.08","19.03","40.3","percent of total billed charges",,
"FLUCONAZOLE 200MG/100ML PREMIX","J1450","HCPCS","Both",,,"52","26","Medicare",,"",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"FLUCONAZOLE 200MG/100ML PREMIX","J1450","HCPCS","Both",,,"52","26","Humana","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"FLUCONAZOLE 200MG/100ML PREMIX","J1450","HCPCS","Both",,,"52","26","UHC","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"FLUCONAZOLE 200MG/100ML PREMIX","J1450","HCPCS","Both",,,"52","26","Clover","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"FLUCONAZOLE 200MG/100ML PREMIX","J1450","HCPCS","Both",,,"52","26","Wellcare","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"FLUCONAZOLE 200MG/100ML PREMIX","J1450","HCPCS","Both",,,"52","26","Amerigroup","Medicaid Managed Care","",,"37",,"19.03","19.03","40.3","percent of total billed charges",,
"FLUCONAZOLE 200MG/100ML PREMIX","J1450","HCPCS","Both",,,"52","26","Caresource","Medicaid Managed Care","",,"40",,"20.8","19.03","40.3","percent of total billed charges",,
"FLUCONAZOLE 200MG/100ML PREMIX","J1450","HCPCS","Both",,,"52","26","Wellcare","Medicaid Managed Care","",,"40",,"21.06","19.03","40.3","percent of total billed charges",,
"FLUCONAZOLE 200MG/100ML PREMIX","J1450","HCPCS","Both",,,"52","26","Aetna","Commercial","",,"64",,"33.18","19.03","40.3","percent of total billed charges",,
"FLUCONAZOLE 200MG/100ML PREMIX","J1450","HCPCS","Both",,,"52","26","Blue Cross Blue Shield","Pathways","",,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"FLUCONAZOLE 200MG/100ML PREMIX","J1450","HCPCS","Both",,,"52","26","Blue Cross Blue Shield","HMO","",,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"FLUCONAZOLE 200MG/100ML PREMIX","J1450","HCPCS","Both",,,"52","26","Blue Cross Blue Shield","PPO","",,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"FLUCONAZOLE 200MG/100ML PREMIX","J1450","HCPCS","Both",,,"52","26","Ambetter","Health Exchange","",,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"FLUCONAZOLE 200MG/100ML PREMIX","J1450","HCPCS","Both",,,"52","26","Caresource","Health Exchange","",,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"FLUCONAZOLE 200MG/100ML PREMIX","J1450","HCPCS","Both",,,"52","26","Cigna","Commercial","",,"59",,"30.47","19.03","40.3","percent of total billed charges",,
"FLUCONAZOLE 200MG/100ML PREMIX","J1450","HCPCS","Both",,,"52","26","Humana","Commercial","",,"78",,"40.3","19.03","40.3","percent of total billed charges",,
"FLUCONAZOLE 200MG/100ML PREMIX","J1450","HCPCS","Both",,,"52","26","UHC","Commercial","",,"75",,"39.21","19.03","40.3","percent of total billed charges",,
"FLUCONAZOLE 200MG/100ML PREMIX","J1450","HCPCS","Both",,,"52","26","Medicaid",,"",,"37",,"19.03","19.03","40.3","percent of total billed charges",,
"Leuprolide 45mg SUBQ INJ","J9217","HCPCS","Both",,,"1426","713","Alliant","Health Exchange","",,"62",,"884.12","521.92","1105.15","percent of total billed charges",,
"Leuprolide 45mg SUBQ INJ","J9217","HCPCS","Both",,,"1426","713","Pruitt Healthcare","Medicare Advantage","",,"54",,"770.04","521.92","1105.15","percent of total billed charges",,
"Leuprolide 45mg SUBQ INJ","J9217","HCPCS","Both",,,"1426","713","Medicare",,"",,"54",,"772.89","521.92","1105.15","percent of total billed charges",,
"Leuprolide 45mg SUBQ INJ","J9217","HCPCS","Both",,,"1426","713","Humana","Medicare Advantage","",,"54",,"772.89","521.92","1105.15","percent of total billed charges",,
"Leuprolide 45mg SUBQ INJ","J9217","HCPCS","Both",,,"1426","713","UHC","Medicare Advantage","",,"54",,"772.89","521.92","1105.15","percent of total billed charges",,
"Leuprolide 45mg SUBQ INJ","J9217","HCPCS","Both",,,"1426","713","Clover","Medicare Advantage","",,"54",,"772.89","521.92","1105.15","percent of total billed charges",,
"Leuprolide 45mg SUBQ INJ","J9217","HCPCS","Both",,,"1426","713","Wellcare","Medicare Advantage","",,"54",,"772.89","521.92","1105.15","percent of total billed charges",,
"Leuprolide 45mg SUBQ INJ","J9217","HCPCS","Both",,,"1426","713","Amerigroup","Medicaid Managed Care","",,"37",,"521.92","521.92","1105.15","percent of total billed charges",,
"Leuprolide 45mg SUBQ INJ","J9217","HCPCS","Both",,,"1426","713","Caresource","Medicaid Managed Care","",,"40",,"570.4","521.92","1105.15","percent of total billed charges",,
"Leuprolide 45mg SUBQ INJ","J9217","HCPCS","Both",,,"1426","713","Wellcare","Medicaid Managed Care","",,"40",,"577.53","521.92","1105.15","percent of total billed charges",,
"Leuprolide 45mg SUBQ INJ","J9217","HCPCS","Both",,,"1426","713","Aetna","Commercial","",,"64",,"909.79","521.92","1105.15","percent of total billed charges",,
"Leuprolide 45mg SUBQ INJ","J9217","HCPCS","Both",,,"1426","713","Blue Cross Blue Shield","Pathways","",,"71",,"1006.76","521.92","1105.15","percent of total billed charges",,
"Leuprolide 45mg SUBQ INJ","J9217","HCPCS","Both",,,"1426","713","Blue Cross Blue Shield","HMO","",,"71",,"1006.76","521.92","1105.15","percent of total billed charges",,
"Leuprolide 45mg SUBQ INJ","J9217","HCPCS","Both",,,"1426","713","Blue Cross Blue Shield","PPO","",,"71",,"1006.76","521.92","1105.15","percent of total billed charges",,
"Leuprolide 45mg SUBQ INJ","J9217","HCPCS","Both",,,"1426","713","Ambetter","Health Exchange","",,"62",,"884.12","521.92","1105.15","percent of total billed charges",,
"Leuprolide 45mg SUBQ INJ","J9217","HCPCS","Both",,,"1426","713","Caresource","Health Exchange","",,"62",,"884.12","521.92","1105.15","percent of total billed charges",,
"Leuprolide 45mg SUBQ INJ","J9217","HCPCS","Both",,,"1426","713","Cigna","Commercial","",,"59",,"835.64","521.92","1105.15","percent of total billed charges",,
"Leuprolide 45mg SUBQ INJ","J9217","HCPCS","Both",,,"1426","713","Humana","Commercial","",,"78",,"1105.15","521.92","1105.15","percent of total billed charges",,
"Leuprolide 45mg SUBQ INJ","J9217","HCPCS","Both",,,"1426","713","UHC","Commercial","",,"75",,"1075.2","521.92","1105.15","percent of total billed charges",,
"Leuprolide 45mg SUBQ INJ","J9217","HCPCS","Both",,,"1426","713","Medicaid",,"",,"37",,"521.92","521.92","1105.15","percent of total billed charges",,
"AMINOCAPROIC ACID (AMICAR) 5GM/20ML INJ","J3490","HCPCS","Both",,,"27","13.5","Alliant","Health Exchange","",,"62",,"16.74","9.88","33.33","percent of total billed charges",,
"AMINOCAPROIC ACID (AMICAR) 5GM/20ML INJ","J3490","HCPCS","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"14.58","9.88","33.33","percent of total billed charges",,
"AMINOCAPROIC ACID (AMICAR) 5GM/20ML INJ","J3490","HCPCS","Both",,,"27","13.5","Medicare",,"",,"54",,"14.63","9.88","33.33","percent of total billed charges",,
"AMINOCAPROIC ACID (AMICAR) 5GM/20ML INJ","J3490","HCPCS","Both",,,"27","13.5","Humana","Medicare Advantage","",,"54",,"14.63","9.88","33.33","percent of total billed charges",,
"AMINOCAPROIC ACID (AMICAR) 5GM/20ML INJ","J3490","HCPCS","Both",,,"27","13.5","UHC","Medicare Advantage","",,"54",,"14.63","9.88","33.33","percent of total billed charges",,
"AMINOCAPROIC ACID (AMICAR) 5GM/20ML INJ","J3490","HCPCS","Both",,,"27","13.5","Clover","Medicare Advantage","",,"54",,"14.63","9.88","33.33","percent of total billed charges",,
"AMINOCAPROIC ACID (AMICAR) 5GM/20ML INJ","J3490","HCPCS","Both",,,"27","13.5","Wellcare","Medicare Advantage","",,"54",,"14.63","9.88","33.33","percent of total billed charges",,
"AMINOCAPROIC ACID (AMICAR) 5GM/20ML INJ","J3490","HCPCS","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care","",,"37",,"9.88","9.88","33.33","percent of total billed charges",,
"AMINOCAPROIC ACID (AMICAR) 5GM/20ML INJ","J3490","HCPCS","Both",,,"27","13.5","Caresource","Medicaid Managed Care","",,"40",,"10.8","9.88","33.33","percent of total billed charges",,
"AMINOCAPROIC ACID (AMICAR) 5GM/20ML INJ","J3490","HCPCS","Both",,,"27","13.5","Wellcare","Medicaid Managed Care","",,"40",,"10.94","9.88","33.33","percent of total billed charges",,
"AMINOCAPROIC ACID (AMICAR) 5GM/20ML INJ","J3490","HCPCS","Both",,,"27","13.5","Aetna","Commercial","",,"64",,"17.23","9.88","33.33","percent of total billed charges",,
"AMINOCAPROIC ACID (AMICAR) 5GM/20ML INJ","J3490","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways","",,"71",,"19.06","9.88","33.33","percent of total billed charges",,
"AMINOCAPROIC ACID (AMICAR) 5GM/20ML INJ","J3490","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","HMO","",,"71",,"19.06","9.88","33.33","percent of total billed charges",,
"AMINOCAPROIC ACID (AMICAR) 5GM/20ML INJ","J3490","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","PPO","",,"71",,"19.06","9.88","33.33","percent of total billed charges",,
"AMINOCAPROIC ACID (AMICAR) 5GM/20ML INJ","J3490","HCPCS","Both",,,"27","13.5","Ambetter","Health Exchange","",,"62",,"16.74","9.88","33.33","percent of total billed charges",,
"AMINOCAPROIC ACID (AMICAR) 5GM/20ML INJ","J3490","HCPCS","Both",,,"27","13.5","Caresource","Health Exchange","",,"62",,"16.74","9.88","33.33","percent of total billed charges",,
"AMINOCAPROIC ACID (AMICAR) 5GM/20ML INJ","J3490","HCPCS","Both",,,"27","13.5","Cigna","Commercial","",,"59",,"15.82","9.88","33.33","percent of total billed charges",,
"AMINOCAPROIC ACID (AMICAR) 5GM/20ML INJ","J3490","HCPCS","Both",,,"27","13.5","Humana","Commercial","",,"78",,"20.92","9.88","33.33","percent of total billed charges",,
"AMINOCAPROIC ACID (AMICAR) 5GM/20ML INJ","J3490","HCPCS","Both",,,"27","13.5","UHC","Commercial","",,"75",,"20.36","9.88","33.33","percent of total billed charges",,
"AMINOCAPROIC ACID (AMICAR) 5GM/20ML INJ","J3490","HCPCS","Both",,,"27","13.5","Medicaid",,"",,"37",,"9.88","9.88","33.33","percent of total billed charges",,
"HEPARIN/0.45NS 25,000UNIT/500ML PREMIX","J1644","HCPCS","Both",,,"31","15.5","Alliant","Health Exchange","",,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"HEPARIN/0.45NS 25,000UNIT/500ML PREMIX","J1644","HCPCS","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"16.74","11.35","24.02","percent of total billed charges",,
"HEPARIN/0.45NS 25,000UNIT/500ML PREMIX","J1644","HCPCS","Both",,,"31","15.5","Medicare",,"",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"HEPARIN/0.45NS 25,000UNIT/500ML PREMIX","J1644","HCPCS","Both",,,"31","15.5","Humana","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"HEPARIN/0.45NS 25,000UNIT/500ML PREMIX","J1644","HCPCS","Both",,,"31","15.5","UHC","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"HEPARIN/0.45NS 25,000UNIT/500ML PREMIX","J1644","HCPCS","Both",,,"31","15.5","Clover","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"HEPARIN/0.45NS 25,000UNIT/500ML PREMIX","J1644","HCPCS","Both",,,"31","15.5","Wellcare","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"HEPARIN/0.45NS 25,000UNIT/500ML PREMIX","J1644","HCPCS","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care","",,"37",,"11.35","11.35","24.02","percent of total billed charges",,
"HEPARIN/0.45NS 25,000UNIT/500ML PREMIX","J1644","HCPCS","Both",,,"31","15.5","Caresource","Medicaid Managed Care","",,"40",,"12.4","11.35","24.02","percent of total billed charges",,
"HEPARIN/0.45NS 25,000UNIT/500ML PREMIX","J1644","HCPCS","Both",,,"31","15.5","Wellcare","Medicaid Managed Care","",,"40",,"12.56","11.35","24.02","percent of total billed charges",,
"HEPARIN/0.45NS 25,000UNIT/500ML PREMIX","J1644","HCPCS","Both",,,"31","15.5","Aetna","Commercial","",,"64",,"19.78","11.35","24.02","percent of total billed charges",,
"HEPARIN/0.45NS 25,000UNIT/500ML PREMIX","J1644","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways","",,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"HEPARIN/0.45NS 25,000UNIT/500ML PREMIX","J1644","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","HMO","",,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"HEPARIN/0.45NS 25,000UNIT/500ML PREMIX","J1644","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","PPO","",,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"HEPARIN/0.45NS 25,000UNIT/500ML PREMIX","J1644","HCPCS","Both",,,"31","15.5","Ambetter","Health Exchange","",,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"HEPARIN/0.45NS 25,000UNIT/500ML PREMIX","J1644","HCPCS","Both",,,"31","15.5","Caresource","Health Exchange","",,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"HEPARIN/0.45NS 25,000UNIT/500ML PREMIX","J1644","HCPCS","Both",,,"31","15.5","Cigna","Commercial","",,"59",,"18.17","11.35","24.02","percent of total billed charges",,
"HEPARIN/0.45NS 25,000UNIT/500ML PREMIX","J1644","HCPCS","Both",,,"31","15.5","Humana","Commercial","",,"78",,"24.02","11.35","24.02","percent of total billed charges",,
"HEPARIN/0.45NS 25,000UNIT/500ML PREMIX","J1644","HCPCS","Both",,,"31","15.5","UHC","Commercial","",,"75",,"23.37","11.35","24.02","percent of total billed charges",,
"HEPARIN/0.45NS 25,000UNIT/500ML PREMIX","J1644","HCPCS","Both",,,"31","15.5","Medicaid",,"",,"37",,"11.35","11.35","24.02","percent of total billed charges",,
"PENICILLIN G POTASSIUM 5MILUNIT INJ VIAL","J2540","HCPCS","Both",,,"52","26","Alliant","Health Exchange","",,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"PENICILLIN G POTASSIUM 5MILUNIT INJ VIAL","J2540","HCPCS","Both",,,"52","26","Pruitt Healthcare","Medicare Advantage","",,"54",,"28.08","19.03","40.3","percent of total billed charges",,
"PENICILLIN G POTASSIUM 5MILUNIT INJ VIAL","J2540","HCPCS","Both",,,"52","26","Medicare",,"",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"PENICILLIN G POTASSIUM 5MILUNIT INJ VIAL","J2540","HCPCS","Both",,,"52","26","Humana","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"PENICILLIN G POTASSIUM 5MILUNIT INJ VIAL","J2540","HCPCS","Both",,,"52","26","UHC","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"PENICILLIN G POTASSIUM 5MILUNIT INJ VIAL","J2540","HCPCS","Both",,,"52","26","Clover","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"PENICILLIN G POTASSIUM 5MILUNIT INJ VIAL","J2540","HCPCS","Both",,,"52","26","Wellcare","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"PENICILLIN G POTASSIUM 5MILUNIT INJ VIAL","J2540","HCPCS","Both",,,"52","26","Amerigroup","Medicaid Managed Care","",,"37",,"19.03","19.03","40.3","percent of total billed charges",,
"PENICILLIN G POTASSIUM 5MILUNIT INJ VIAL","J2540","HCPCS","Both",,,"52","26","Caresource","Medicaid Managed Care","",,"40",,"20.8","19.03","40.3","percent of total billed charges",,
"PENICILLIN G POTASSIUM 5MILUNIT INJ VIAL","J2540","HCPCS","Both",,,"52","26","Wellcare","Medicaid Managed Care","",,"40",,"21.06","19.03","40.3","percent of total billed charges",,
"PENICILLIN G POTASSIUM 5MILUNIT INJ VIAL","J2540","HCPCS","Both",,,"52","26","Aetna","Commercial","",,"64",,"33.18","19.03","40.3","percent of total billed charges",,
"PENICILLIN G POTASSIUM 5MILUNIT INJ VIAL","J2540","HCPCS","Both",,,"52","26","Blue Cross Blue Shield","Pathways","",,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"PENICILLIN G POTASSIUM 5MILUNIT INJ VIAL","J2540","HCPCS","Both",,,"52","26","Blue Cross Blue Shield","HMO","",,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"PENICILLIN G POTASSIUM 5MILUNIT INJ VIAL","J2540","HCPCS","Both",,,"52","26","Blue Cross Blue Shield","PPO","",,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"PENICILLIN G POTASSIUM 5MILUNIT INJ VIAL","J2540","HCPCS","Both",,,"52","26","Ambetter","Health Exchange","",,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"PENICILLIN G POTASSIUM 5MILUNIT INJ VIAL","J2540","HCPCS","Both",,,"52","26","Caresource","Health Exchange","",,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"PENICILLIN G POTASSIUM 5MILUNIT INJ VIAL","J2540","HCPCS","Both",,,"52","26","Cigna","Commercial","",,"59",,"30.47","19.03","40.3","percent of total billed charges",,
"PENICILLIN G POTASSIUM 5MILUNIT INJ VIAL","J2540","HCPCS","Both",,,"52","26","Humana","Commercial","",,"78",,"40.3","19.03","40.3","percent of total billed charges",,
"PENICILLIN G POTASSIUM 5MILUNIT INJ VIAL","J2540","HCPCS","Both",,,"52","26","UHC","Commercial","",,"75",,"39.21","19.03","40.3","percent of total billed charges",,
"PENICILLIN G POTASSIUM 5MILUNIT INJ VIAL","J2540","HCPCS","Both",,,"52","26","Medicaid",,"",,"37",,"19.03","19.03","40.3","percent of total billed charges",,
"PHENYTOIN (DILANTIN) 250MG/5ML INJ","J1165","HCPCS","Both",,,"31","15.5","Alliant","Health Exchange","",,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"PHENYTOIN (DILANTIN) 250MG/5ML INJ","J1165","HCPCS","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"16.74","11.35","24.02","percent of total billed charges",,
"PHENYTOIN (DILANTIN) 250MG/5ML INJ","J1165","HCPCS","Both",,,"31","15.5","Medicare",,"",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"PHENYTOIN (DILANTIN) 250MG/5ML INJ","J1165","HCPCS","Both",,,"31","15.5","Humana","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"PHENYTOIN (DILANTIN) 250MG/5ML INJ","J1165","HCPCS","Both",,,"31","15.5","UHC","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"PHENYTOIN (DILANTIN) 250MG/5ML INJ","J1165","HCPCS","Both",,,"31","15.5","Clover","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"PHENYTOIN (DILANTIN) 250MG/5ML INJ","J1165","HCPCS","Both",,,"31","15.5","Wellcare","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"PHENYTOIN (DILANTIN) 250MG/5ML INJ","J1165","HCPCS","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care","",,"37",,"11.35","11.35","24.02","percent of total billed charges",,
"PHENYTOIN (DILANTIN) 250MG/5ML INJ","J1165","HCPCS","Both",,,"31","15.5","Caresource","Medicaid Managed Care","",,"40",,"12.4","11.35","24.02","percent of total billed charges",,
"PHENYTOIN (DILANTIN) 250MG/5ML INJ","J1165","HCPCS","Both",,,"31","15.5","Wellcare","Medicaid Managed Care","",,"40",,"12.56","11.35","24.02","percent of total billed charges",,
"PHENYTOIN (DILANTIN) 250MG/5ML INJ","J1165","HCPCS","Both",,,"31","15.5","Aetna","Commercial","",,"64",,"19.78","11.35","24.02","percent of total billed charges",,
"PHENYTOIN (DILANTIN) 250MG/5ML INJ","J1165","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways","",,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"PHENYTOIN (DILANTIN) 250MG/5ML INJ","J1165","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","HMO","",,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"PHENYTOIN (DILANTIN) 250MG/5ML INJ","J1165","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","PPO","",,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"PHENYTOIN (DILANTIN) 250MG/5ML INJ","J1165","HCPCS","Both",,,"31","15.5","Ambetter","Health Exchange","",,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"PHENYTOIN (DILANTIN) 250MG/5ML INJ","J1165","HCPCS","Both",,,"31","15.5","Caresource","Health Exchange","",,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"PHENYTOIN (DILANTIN) 250MG/5ML INJ","J1165","HCPCS","Both",,,"31","15.5","Cigna","Commercial","",,"59",,"18.17","11.35","24.02","percent of total billed charges",,
"PHENYTOIN (DILANTIN) 250MG/5ML INJ","J1165","HCPCS","Both",,,"31","15.5","Humana","Commercial","",,"78",,"24.02","11.35","24.02","percent of total billed charges",,
"PHENYTOIN (DILANTIN) 250MG/5ML INJ","J1165","HCPCS","Both",,,"31","15.5","UHC","Commercial","",,"75",,"23.37","11.35","24.02","percent of total billed charges",,
"PHENYTOIN (DILANTIN) 250MG/5ML INJ","J1165","HCPCS","Both",,,"31","15.5","Medicaid",,"",,"37",,"11.35","11.35","24.02","percent of total billed charges",,
"CEFUROXIME (ZINACEF) 750MG INJECTION","J0697","HCPCS","Both",,,"38","19","Alliant","Health Exchange","",,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"CEFUROXIME (ZINACEF) 750MG INJECTION","J0697","HCPCS","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage","",,"54",,"20.52","13.91","29.45","percent of total billed charges",,
"CEFUROXIME (ZINACEF) 750MG INJECTION","J0697","HCPCS","Both",,,"38","19","Medicare",,"",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"CEFUROXIME (ZINACEF) 750MG INJECTION","J0697","HCPCS","Both",,,"38","19","Humana","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"CEFUROXIME (ZINACEF) 750MG INJECTION","J0697","HCPCS","Both",,,"38","19","UHC","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"CEFUROXIME (ZINACEF) 750MG INJECTION","J0697","HCPCS","Both",,,"38","19","Clover","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"CEFUROXIME (ZINACEF) 750MG INJECTION","J0697","HCPCS","Both",,,"38","19","Wellcare","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"CEFUROXIME (ZINACEF) 750MG INJECTION","J0697","HCPCS","Both",,,"38","19","Amerigroup","Medicaid Managed Care","",,"37",,"13.91","13.91","29.45","percent of total billed charges",,
"CEFUROXIME (ZINACEF) 750MG INJECTION","J0697","HCPCS","Both",,,"38","19","Caresource","Medicaid Managed Care","",,"40",,"15.2","13.91","29.45","percent of total billed charges",,
"CEFUROXIME (ZINACEF) 750MG INJECTION","J0697","HCPCS","Both",,,"38","19","Wellcare","Medicaid Managed Care","",,"40",,"15.39","13.91","29.45","percent of total billed charges",,
"CEFUROXIME (ZINACEF) 750MG INJECTION","J0697","HCPCS","Both",,,"38","19","Aetna","Commercial","",,"64",,"24.24","13.91","29.45","percent of total billed charges",,
"CEFUROXIME (ZINACEF) 750MG INJECTION","J0697","HCPCS","Both",,,"38","19","Blue Cross Blue Shield","Pathways","",,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"CEFUROXIME (ZINACEF) 750MG INJECTION","J0697","HCPCS","Both",,,"38","19","Blue Cross Blue Shield","HMO","",,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"CEFUROXIME (ZINACEF) 750MG INJECTION","J0697","HCPCS","Both",,,"38","19","Blue Cross Blue Shield","PPO","",,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"CEFUROXIME (ZINACEF) 750MG INJECTION","J0697","HCPCS","Both",,,"38","19","Ambetter","Health Exchange","",,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"CEFUROXIME (ZINACEF) 750MG INJECTION","J0697","HCPCS","Both",,,"38","19","Caresource","Health Exchange","",,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"CEFUROXIME (ZINACEF) 750MG INJECTION","J0697","HCPCS","Both",,,"38","19","Cigna","Commercial","",,"59",,"22.27","13.91","29.45","percent of total billed charges",,
"CEFUROXIME (ZINACEF) 750MG INJECTION","J0697","HCPCS","Both",,,"38","19","Humana","Commercial","",,"78",,"29.45","13.91","29.45","percent of total billed charges",,
"CEFUROXIME (ZINACEF) 750MG INJECTION","J0697","HCPCS","Both",,,"38","19","UHC","Commercial","",,"75",,"28.65","13.91","29.45","percent of total billed charges",,
"CEFUROXIME (ZINACEF) 750MG INJECTION","J0697","HCPCS","Both",,,"38","19","Medicaid",,"",,"37",,"13.91","13.91","29.45","percent of total billed charges",,
"VANCOMYCIN (VANCOCIN) 500MG INJECTION","J3370","HCPCS","Both",,,"43","21.5","Alliant","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"VANCOMYCIN (VANCOCIN) 500MG INJECTION","J3370","HCPCS","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"23.22","15.74","33.33","percent of total billed charges",,
"VANCOMYCIN (VANCOCIN) 500MG INJECTION","J3370","HCPCS","Both",,,"43","21.5","Medicare",,"",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"VANCOMYCIN (VANCOCIN) 500MG INJECTION","J3370","HCPCS","Both",,,"43","21.5","Humana","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"VANCOMYCIN (VANCOCIN) 500MG INJECTION","J3370","HCPCS","Both",,,"43","21.5","UHC","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"VANCOMYCIN (VANCOCIN) 500MG INJECTION","J3370","HCPCS","Both",,,"43","21.5","Clover","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"VANCOMYCIN (VANCOCIN) 500MG INJECTION","J3370","HCPCS","Both",,,"43","21.5","Wellcare","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"VANCOMYCIN (VANCOCIN) 500MG INJECTION","J3370","HCPCS","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care","",,"37",,"15.74","15.74","33.33","percent of total billed charges",,
"VANCOMYCIN (VANCOCIN) 500MG INJECTION","J3370","HCPCS","Both",,,"43","21.5","Caresource","Medicaid Managed Care","",,"40",,"17.2","15.74","33.33","percent of total billed charges",,
"VANCOMYCIN (VANCOCIN) 500MG INJECTION","J3370","HCPCS","Both",,,"43","21.5","Wellcare","Medicaid Managed Care","",,"40",,"17.42","15.74","33.33","percent of total billed charges",,
"VANCOMYCIN (VANCOCIN) 500MG INJECTION","J3370","HCPCS","Both",,,"43","21.5","Aetna","Commercial","",,"64",,"27.43","15.74","33.33","percent of total billed charges",,
"VANCOMYCIN (VANCOCIN) 500MG INJECTION","J3370","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"VANCOMYCIN (VANCOCIN) 500MG INJECTION","J3370","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","HMO","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"VANCOMYCIN (VANCOCIN) 500MG INJECTION","J3370","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","PPO","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"VANCOMYCIN (VANCOCIN) 500MG INJECTION","J3370","HCPCS","Both",,,"43","21.5","Ambetter","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"VANCOMYCIN (VANCOCIN) 500MG INJECTION","J3370","HCPCS","Both",,,"43","21.5","Caresource","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"VANCOMYCIN (VANCOCIN) 500MG INJECTION","J3370","HCPCS","Both",,,"43","21.5","Cigna","Commercial","",,"59",,"25.2","15.74","33.33","percent of total billed charges",,
"VANCOMYCIN (VANCOCIN) 500MG INJECTION","J3370","HCPCS","Both",,,"43","21.5","Humana","Commercial","",,"78",,"33.33","15.74","33.33","percent of total billed charges",,
"VANCOMYCIN (VANCOCIN) 500MG INJECTION","J3370","HCPCS","Both",,,"43","21.5","UHC","Commercial","",,"75",,"32.42","15.74","33.33","percent of total billed charges",,
"VANCOMYCIN (VANCOCIN) 500MG INJECTION","J3370","HCPCS","Both",,,"43","21.5","Medicaid",,"",,"37",,"15.74","15.74","33.33","percent of total billed charges",,
"CEFEPIME (MAXIPIME) 1 GM INJECTION","J0692","HCPCS","Both",,,"60","30","Alliant","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"CEFEPIME (MAXIPIME) 1 GM INJECTION","J0692","HCPCS","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.4","21.96","46.5","percent of total billed charges",,
"CEFEPIME (MAXIPIME) 1 GM INJECTION","J0692","HCPCS","Both",,,"60","30","Medicare",,"",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"CEFEPIME (MAXIPIME) 1 GM INJECTION","J0692","HCPCS","Both",,,"60","30","Humana","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"CEFEPIME (MAXIPIME) 1 GM INJECTION","J0692","HCPCS","Both",,,"60","30","UHC","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"CEFEPIME (MAXIPIME) 1 GM INJECTION","J0692","HCPCS","Both",,,"60","30","Clover","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"CEFEPIME (MAXIPIME) 1 GM INJECTION","J0692","HCPCS","Both",,,"60","30","Wellcare","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"CEFEPIME (MAXIPIME) 1 GM INJECTION","J0692","HCPCS","Both",,,"60","30","Amerigroup","Medicaid Managed Care","",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"CEFEPIME (MAXIPIME) 1 GM INJECTION","J0692","HCPCS","Both",,,"60","30","Caresource","Medicaid Managed Care","",,"40",,"24","21.96","46.5","percent of total billed charges",,
"CEFEPIME (MAXIPIME) 1 GM INJECTION","J0692","HCPCS","Both",,,"60","30","Wellcare","Medicaid Managed Care","",,"40",,"24.3","21.96","46.5","percent of total billed charges",,
"CEFEPIME (MAXIPIME) 1 GM INJECTION","J0692","HCPCS","Both",,,"60","30","Aetna","Commercial","",,"64",,"38.28","21.96","46.5","percent of total billed charges",,
"CEFEPIME (MAXIPIME) 1 GM INJECTION","J0692","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","Pathways","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"CEFEPIME (MAXIPIME) 1 GM INJECTION","J0692","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","HMO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"CEFEPIME (MAXIPIME) 1 GM INJECTION","J0692","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","PPO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"CEFEPIME (MAXIPIME) 1 GM INJECTION","J0692","HCPCS","Both",,,"60","30","Ambetter","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"CEFEPIME (MAXIPIME) 1 GM INJECTION","J0692","HCPCS","Both",,,"60","30","Caresource","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"CEFEPIME (MAXIPIME) 1 GM INJECTION","J0692","HCPCS","Both",,,"60","30","Cigna","Commercial","",,"59",,"35.16","21.96","46.5","percent of total billed charges",,
"CEFEPIME (MAXIPIME) 1 GM INJECTION","J0692","HCPCS","Both",,,"60","30","Humana","Commercial","",,"78",,"46.5","21.96","46.5","percent of total billed charges",,
"CEFEPIME (MAXIPIME) 1 GM INJECTION","J0692","HCPCS","Both",,,"60","30","UHC","Commercial","",,"75",,"45.24","21.96","46.5","percent of total billed charges",,
"CEFEPIME (MAXIPIME) 1 GM INJECTION","J0692","HCPCS","Both",,,"60","30","Medicaid",,"",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"HALOPERIDOL DECANOATE 100MG/ML INJ","J1631","HCPCS","Both",,,"60","30","Alliant","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"HALOPERIDOL DECANOATE 100MG/ML INJ","J1631","HCPCS","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.4","21.96","46.5","percent of total billed charges",,
"HALOPERIDOL DECANOATE 100MG/ML INJ","J1631","HCPCS","Both",,,"60","30","Medicare",,"",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"HALOPERIDOL DECANOATE 100MG/ML INJ","J1631","HCPCS","Both",,,"60","30","Humana","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"HALOPERIDOL DECANOATE 100MG/ML INJ","J1631","HCPCS","Both",,,"60","30","UHC","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"HALOPERIDOL DECANOATE 100MG/ML INJ","J1631","HCPCS","Both",,,"60","30","Clover","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"HALOPERIDOL DECANOATE 100MG/ML INJ","J1631","HCPCS","Both",,,"60","30","Wellcare","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"HALOPERIDOL DECANOATE 100MG/ML INJ","J1631","HCPCS","Both",,,"60","30","Amerigroup","Medicaid Managed Care","",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"HALOPERIDOL DECANOATE 100MG/ML INJ","J1631","HCPCS","Both",,,"60","30","Caresource","Medicaid Managed Care","",,"40",,"24","21.96","46.5","percent of total billed charges",,
"HALOPERIDOL DECANOATE 100MG/ML INJ","J1631","HCPCS","Both",,,"60","30","Wellcare","Medicaid Managed Care","",,"40",,"24.3","21.96","46.5","percent of total billed charges",,
"HALOPERIDOL DECANOATE 100MG/ML INJ","J1631","HCPCS","Both",,,"60","30","Aetna","Commercial","",,"64",,"38.28","21.96","46.5","percent of total billed charges",,
"HALOPERIDOL DECANOATE 100MG/ML INJ","J1631","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","Pathways","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"HALOPERIDOL DECANOATE 100MG/ML INJ","J1631","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","HMO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"HALOPERIDOL DECANOATE 100MG/ML INJ","J1631","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","PPO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"HALOPERIDOL DECANOATE 100MG/ML INJ","J1631","HCPCS","Both",,,"60","30","Ambetter","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"HALOPERIDOL DECANOATE 100MG/ML INJ","J1631","HCPCS","Both",,,"60","30","Caresource","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"HALOPERIDOL DECANOATE 100MG/ML INJ","J1631","HCPCS","Both",,,"60","30","Cigna","Commercial","",,"59",,"35.16","21.96","46.5","percent of total billed charges",,
"HALOPERIDOL DECANOATE 100MG/ML INJ","J1631","HCPCS","Both",,,"60","30","Humana","Commercial","",,"78",,"46.5","21.96","46.5","percent of total billed charges",,
"HALOPERIDOL DECANOATE 100MG/ML INJ","J1631","HCPCS","Both",,,"60","30","UHC","Commercial","",,"75",,"45.24","21.96","46.5","percent of total billed charges",,
"HALOPERIDOL DECANOATE 100MG/ML INJ","J1631","HCPCS","Both",,,"60","30","Medicaid",,"",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"RABIES IMMUNE GLOB (HYPERRAB) 2ML INJ","90376","HCPCS","Both",,,"924","462","Alliant","Health Exchange","",,"62",,"572.88","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB (HYPERRAB) 2ML INJ","90376","HCPCS","Both",,,"924","462","Pruitt Healthcare","Medicare Advantage","",,"54",,"498.96","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB (HYPERRAB) 2ML INJ","90376","HCPCS","Both",,,"924","462","Medicare",,"",,"54",,"500.81","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB (HYPERRAB) 2ML INJ","90376","HCPCS","Both",,,"924","462","Humana","Medicare Advantage","",,"54",,"500.81","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB (HYPERRAB) 2ML INJ","90376","HCPCS","Both",,,"924","462","UHC","Medicare Advantage","",,"54",,"500.81","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB (HYPERRAB) 2ML INJ","90376","HCPCS","Both",,,"924","462","Clover","Medicare Advantage","",,"54",,"500.81","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB (HYPERRAB) 2ML INJ","90376","HCPCS","Both",,,"924","462","Wellcare","Medicare Advantage","",,"54",,"500.81","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB (HYPERRAB) 2ML INJ","90376","HCPCS","Both",,,"924","462","Amerigroup","Medicaid Managed Care","",,"37",,"338.18","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB (HYPERRAB) 2ML INJ","90376","HCPCS","Both",,,"924","462","Caresource","Medicaid Managed Care","",,"40",,"369.6","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB (HYPERRAB) 2ML INJ","90376","HCPCS","Both",,,"924","462","Wellcare","Medicaid Managed Care","",,"40",,"374.22","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB (HYPERRAB) 2ML INJ","90376","HCPCS","Both",,,"924","462","Aetna","Commercial","",,"64",,"589.51","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB (HYPERRAB) 2ML INJ","90376","HCPCS","Both",,,"924","462","Blue Cross Blue Shield","Pathways","",,"71",,"652.34","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB (HYPERRAB) 2ML INJ","90376","HCPCS","Both",,,"924","462","Blue Cross Blue Shield","HMO","",,"71",,"652.34","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB (HYPERRAB) 2ML INJ","90376","HCPCS","Both",,,"924","462","Blue Cross Blue Shield","PPO","",,"71",,"652.34","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB (HYPERRAB) 2ML INJ","90376","HCPCS","Both",,,"924","462","Ambetter","Health Exchange","",,"62",,"572.88","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB (HYPERRAB) 2ML INJ","90376","HCPCS","Both",,,"924","462","Caresource","Health Exchange","",,"62",,"572.88","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB (HYPERRAB) 2ML INJ","90376","HCPCS","Both",,,"924","462","Cigna","Commercial","",,"59",,"541.46","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB (HYPERRAB) 2ML INJ","90376","HCPCS","Both",,,"924","462","Humana","Commercial","",,"78",,"716.1","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB (HYPERRAB) 2ML INJ","90376","HCPCS","Both",,,"924","462","UHC","Commercial","",,"75",,"696.7","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB (HYPERRAB) 2ML INJ","90376","HCPCS","Both",,,"924","462","Medicaid",,"",,"37",,"338.18","338.18","5018.9","percent of total billed charges",,
"PIPERACILLIN/TAZOB (ZOSYN) 4.5GM INJ","J2543","HCPCS","Both",,,"60","30","Alliant","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"PIPERACILLIN/TAZOB (ZOSYN) 4.5GM INJ","J2543","HCPCS","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.4","21.96","46.5","percent of total billed charges",,
"PIPERACILLIN/TAZOB (ZOSYN) 4.5GM INJ","J2543","HCPCS","Both",,,"60","30","Medicare",,"",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"PIPERACILLIN/TAZOB (ZOSYN) 4.5GM INJ","J2543","HCPCS","Both",,,"60","30","Humana","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"PIPERACILLIN/TAZOB (ZOSYN) 4.5GM INJ","J2543","HCPCS","Both",,,"60","30","UHC","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"PIPERACILLIN/TAZOB (ZOSYN) 4.5GM INJ","J2543","HCPCS","Both",,,"60","30","Clover","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"PIPERACILLIN/TAZOB (ZOSYN) 4.5GM INJ","J2543","HCPCS","Both",,,"60","30","Wellcare","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"PIPERACILLIN/TAZOB (ZOSYN) 4.5GM INJ","J2543","HCPCS","Both",,,"60","30","Amerigroup","Medicaid Managed Care","",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"PIPERACILLIN/TAZOB (ZOSYN) 4.5GM INJ","J2543","HCPCS","Both",,,"60","30","Caresource","Medicaid Managed Care","",,"40",,"24","21.96","46.5","percent of total billed charges",,
"PIPERACILLIN/TAZOB (ZOSYN) 4.5GM INJ","J2543","HCPCS","Both",,,"60","30","Wellcare","Medicaid Managed Care","",,"40",,"24.3","21.96","46.5","percent of total billed charges",,
"PIPERACILLIN/TAZOB (ZOSYN) 4.5GM INJ","J2543","HCPCS","Both",,,"60","30","Aetna","Commercial","",,"64",,"38.28","21.96","46.5","percent of total billed charges",,
"PIPERACILLIN/TAZOB (ZOSYN) 4.5GM INJ","J2543","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","Pathways","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"PIPERACILLIN/TAZOB (ZOSYN) 4.5GM INJ","J2543","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","HMO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"PIPERACILLIN/TAZOB (ZOSYN) 4.5GM INJ","J2543","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","PPO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"PIPERACILLIN/TAZOB (ZOSYN) 4.5GM INJ","J2543","HCPCS","Both",,,"60","30","Ambetter","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"PIPERACILLIN/TAZOB (ZOSYN) 4.5GM INJ","J2543","HCPCS","Both",,,"60","30","Caresource","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"PIPERACILLIN/TAZOB (ZOSYN) 4.5GM INJ","J2543","HCPCS","Both",,,"60","30","Cigna","Commercial","",,"59",,"35.16","21.96","46.5","percent of total billed charges",,
"PIPERACILLIN/TAZOB (ZOSYN) 4.5GM INJ","J2543","HCPCS","Both",,,"60","30","Humana","Commercial","",,"78",,"46.5","21.96","46.5","percent of total billed charges",,
"PIPERACILLIN/TAZOB (ZOSYN) 4.5GM INJ","J2543","HCPCS","Both",,,"60","30","UHC","Commercial","",,"75",,"45.24","21.96","46.5","percent of total billed charges",,
"PIPERACILLIN/TAZOB (ZOSYN) 4.5GM INJ","J2543","HCPCS","Both",,,"60","30","Medicaid",,"",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"FAMOTIDINE (PEPCID) PREMX 20MG/50ML IVPB","J3490","HCPCS","Both",,,"43","21.5","Alliant","Health Exchange","",,"62",,"26.66","9.88","33.33","percent of total billed charges",,
"FAMOTIDINE (PEPCID) PREMX 20MG/50ML IVPB","J3490","HCPCS","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"23.22","9.88","33.33","percent of total billed charges",,
"FAMOTIDINE (PEPCID) PREMX 20MG/50ML IVPB","J3490","HCPCS","Both",,,"43","21.5","Medicare",,"",,"54",,"23.31","9.88","33.33","percent of total billed charges",,
"FAMOTIDINE (PEPCID) PREMX 20MG/50ML IVPB","J3490","HCPCS","Both",,,"43","21.5","Humana","Medicare Advantage","",,"54",,"23.31","9.88","33.33","percent of total billed charges",,
"FAMOTIDINE (PEPCID) PREMX 20MG/50ML IVPB","J3490","HCPCS","Both",,,"43","21.5","UHC","Medicare Advantage","",,"54",,"23.31","9.88","33.33","percent of total billed charges",,
"FAMOTIDINE (PEPCID) PREMX 20MG/50ML IVPB","J3490","HCPCS","Both",,,"43","21.5","Clover","Medicare Advantage","",,"54",,"23.31","9.88","33.33","percent of total billed charges",,
"FAMOTIDINE (PEPCID) PREMX 20MG/50ML IVPB","J3490","HCPCS","Both",,,"43","21.5","Wellcare","Medicare Advantage","",,"54",,"23.31","9.88","33.33","percent of total billed charges",,
"FAMOTIDINE (PEPCID) PREMX 20MG/50ML IVPB","J3490","HCPCS","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care","",,"37",,"15.74","9.88","33.33","percent of total billed charges",,
"FAMOTIDINE (PEPCID) PREMX 20MG/50ML IVPB","J3490","HCPCS","Both",,,"43","21.5","Caresource","Medicaid Managed Care","",,"40",,"17.2","9.88","33.33","percent of total billed charges",,
"FAMOTIDINE (PEPCID) PREMX 20MG/50ML IVPB","J3490","HCPCS","Both",,,"43","21.5","Wellcare","Medicaid Managed Care","",,"40",,"17.42","9.88","33.33","percent of total billed charges",,
"FAMOTIDINE (PEPCID) PREMX 20MG/50ML IVPB","J3490","HCPCS","Both",,,"43","21.5","Aetna","Commercial","",,"64",,"27.43","9.88","33.33","percent of total billed charges",,
"FAMOTIDINE (PEPCID) PREMX 20MG/50ML IVPB","J3490","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways","",,"71",,"30.36","9.88","33.33","percent of total billed charges",,
"FAMOTIDINE (PEPCID) PREMX 20MG/50ML IVPB","J3490","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","HMO","",,"71",,"30.36","9.88","33.33","percent of total billed charges",,
"FAMOTIDINE (PEPCID) PREMX 20MG/50ML IVPB","J3490","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","PPO","",,"71",,"30.36","9.88","33.33","percent of total billed charges",,
"FAMOTIDINE (PEPCID) PREMX 20MG/50ML IVPB","J3490","HCPCS","Both",,,"43","21.5","Ambetter","Health Exchange","",,"62",,"26.66","9.88","33.33","percent of total billed charges",,
"FAMOTIDINE (PEPCID) PREMX 20MG/50ML IVPB","J3490","HCPCS","Both",,,"43","21.5","Caresource","Health Exchange","",,"62",,"26.66","9.88","33.33","percent of total billed charges",,
"FAMOTIDINE (PEPCID) PREMX 20MG/50ML IVPB","J3490","HCPCS","Both",,,"43","21.5","Cigna","Commercial","",,"59",,"25.2","9.88","33.33","percent of total billed charges",,
"FAMOTIDINE (PEPCID) PREMX 20MG/50ML IVPB","J3490","HCPCS","Both",,,"43","21.5","Humana","Commercial","",,"78",,"33.33","9.88","33.33","percent of total billed charges",,
"FAMOTIDINE (PEPCID) PREMX 20MG/50ML IVPB","J3490","HCPCS","Both",,,"43","21.5","UHC","Commercial","",,"75",,"32.42","9.88","33.33","percent of total billed charges",,
"FAMOTIDINE (PEPCID) PREMX 20MG/50ML IVPB","J3490","HCPCS","Both",,,"43","21.5","Medicaid",,"",,"37",,"15.74","9.88","33.33","percent of total billed charges",,
"HEPARIN/D5W 25000UNITS/500ML PREMIX","J1644","HCPCS","Both",,,"31","15.5","Alliant","Health Exchange","",,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"HEPARIN/D5W 25000UNITS/500ML PREMIX","J1644","HCPCS","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"16.74","11.35","24.02","percent of total billed charges",,
"HEPARIN/D5W 25000UNITS/500ML PREMIX","J1644","HCPCS","Both",,,"31","15.5","Medicare",,"",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"HEPARIN/D5W 25000UNITS/500ML PREMIX","J1644","HCPCS","Both",,,"31","15.5","Humana","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"HEPARIN/D5W 25000UNITS/500ML PREMIX","J1644","HCPCS","Both",,,"31","15.5","UHC","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"HEPARIN/D5W 25000UNITS/500ML PREMIX","J1644","HCPCS","Both",,,"31","15.5","Clover","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"HEPARIN/D5W 25000UNITS/500ML PREMIX","J1644","HCPCS","Both",,,"31","15.5","Wellcare","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"HEPARIN/D5W 25000UNITS/500ML PREMIX","J1644","HCPCS","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care","",,"37",,"11.35","11.35","24.02","percent of total billed charges",,
"HEPARIN/D5W 25000UNITS/500ML PREMIX","J1644","HCPCS","Both",,,"31","15.5","Caresource","Medicaid Managed Care","",,"40",,"12.4","11.35","24.02","percent of total billed charges",,
"HEPARIN/D5W 25000UNITS/500ML PREMIX","J1644","HCPCS","Both",,,"31","15.5","Wellcare","Medicaid Managed Care","",,"40",,"12.56","11.35","24.02","percent of total billed charges",,
"HEPARIN/D5W 25000UNITS/500ML PREMIX","J1644","HCPCS","Both",,,"31","15.5","Aetna","Commercial","",,"64",,"19.78","11.35","24.02","percent of total billed charges",,
"HEPARIN/D5W 25000UNITS/500ML PREMIX","J1644","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways","",,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"HEPARIN/D5W 25000UNITS/500ML PREMIX","J1644","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","HMO","",,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"HEPARIN/D5W 25000UNITS/500ML PREMIX","J1644","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","PPO","",,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"HEPARIN/D5W 25000UNITS/500ML PREMIX","J1644","HCPCS","Both",,,"31","15.5","Ambetter","Health Exchange","",,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"HEPARIN/D5W 25000UNITS/500ML PREMIX","J1644","HCPCS","Both",,,"31","15.5","Caresource","Health Exchange","",,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"HEPARIN/D5W 25000UNITS/500ML PREMIX","J1644","HCPCS","Both",,,"31","15.5","Cigna","Commercial","",,"59",,"18.17","11.35","24.02","percent of total billed charges",,
"HEPARIN/D5W 25000UNITS/500ML PREMIX","J1644","HCPCS","Both",,,"31","15.5","Humana","Commercial","",,"78",,"24.02","11.35","24.02","percent of total billed charges",,
"HEPARIN/D5W 25000UNITS/500ML PREMIX","J1644","HCPCS","Both",,,"31","15.5","UHC","Commercial","",,"75",,"23.37","11.35","24.02","percent of total billed charges",,
"HEPARIN/D5W 25000UNITS/500ML PREMIX","J1644","HCPCS","Both",,,"31","15.5","Medicaid",,"",,"37",,"11.35","11.35","24.02","percent of total billed charges",,
"KETOROLAC (TORADOL) INJ: 60MG/2ML","J1885","HCPCS","Both",,,"27","13.5","Alliant","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) INJ: 60MG/2ML","J1885","HCPCS","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"14.58","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) INJ: 60MG/2ML","J1885","HCPCS","Both",,,"27","13.5","Medicare",,"",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) INJ: 60MG/2ML","J1885","HCPCS","Both",,,"27","13.5","Humana","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) INJ: 60MG/2ML","J1885","HCPCS","Both",,,"27","13.5","UHC","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) INJ: 60MG/2ML","J1885","HCPCS","Both",,,"27","13.5","Clover","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) INJ: 60MG/2ML","J1885","HCPCS","Both",,,"27","13.5","Wellcare","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) INJ: 60MG/2ML","J1885","HCPCS","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care","",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) INJ: 60MG/2ML","J1885","HCPCS","Both",,,"27","13.5","Caresource","Medicaid Managed Care","",,"40",,"10.8","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) INJ: 60MG/2ML","J1885","HCPCS","Both",,,"27","13.5","Wellcare","Medicaid Managed Care","",,"40",,"10.94","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) INJ: 60MG/2ML","J1885","HCPCS","Both",,,"27","13.5","Aetna","Commercial","",,"64",,"17.23","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) INJ: 60MG/2ML","J1885","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) INJ: 60MG/2ML","J1885","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","HMO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) INJ: 60MG/2ML","J1885","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","PPO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) INJ: 60MG/2ML","J1885","HCPCS","Both",,,"27","13.5","Ambetter","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) INJ: 60MG/2ML","J1885","HCPCS","Both",,,"27","13.5","Caresource","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) INJ: 60MG/2ML","J1885","HCPCS","Both",,,"27","13.5","Cigna","Commercial","",,"59",,"15.82","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) INJ: 60MG/2ML","J1885","HCPCS","Both",,,"27","13.5","Humana","Commercial","",,"78",,"20.92","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) INJ: 60MG/2ML","J1885","HCPCS","Both",,,"27","13.5","UHC","Commercial","",,"75",,"20.36","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) INJ: 60MG/2ML","J1885","HCPCS","Both",,,"27","13.5","Medicaid",,"",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"PROPRANOLOL (INDERAL) INJ: 1 MG/ML","J1800","HCPCS","Both",,,"38","19","Alliant","Health Exchange","",,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"PROPRANOLOL (INDERAL) INJ: 1 MG/ML","J1800","HCPCS","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage","",,"54",,"20.52","13.91","29.45","percent of total billed charges",,
"PROPRANOLOL (INDERAL) INJ: 1 MG/ML","J1800","HCPCS","Both",,,"38","19","Medicare",,"",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"PROPRANOLOL (INDERAL) INJ: 1 MG/ML","J1800","HCPCS","Both",,,"38","19","Humana","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"PROPRANOLOL (INDERAL) INJ: 1 MG/ML","J1800","HCPCS","Both",,,"38","19","UHC","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"PROPRANOLOL (INDERAL) INJ: 1 MG/ML","J1800","HCPCS","Both",,,"38","19","Clover","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"PROPRANOLOL (INDERAL) INJ: 1 MG/ML","J1800","HCPCS","Both",,,"38","19","Wellcare","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"PROPRANOLOL (INDERAL) INJ: 1 MG/ML","J1800","HCPCS","Both",,,"38","19","Amerigroup","Medicaid Managed Care","",,"37",,"13.91","13.91","29.45","percent of total billed charges",,
"PROPRANOLOL (INDERAL) INJ: 1 MG/ML","J1800","HCPCS","Both",,,"38","19","Caresource","Medicaid Managed Care","",,"40",,"15.2","13.91","29.45","percent of total billed charges",,
"PROPRANOLOL (INDERAL) INJ: 1 MG/ML","J1800","HCPCS","Both",,,"38","19","Wellcare","Medicaid Managed Care","",,"40",,"15.39","13.91","29.45","percent of total billed charges",,
"PROPRANOLOL (INDERAL) INJ: 1 MG/ML","J1800","HCPCS","Both",,,"38","19","Aetna","Commercial","",,"64",,"24.24","13.91","29.45","percent of total billed charges",,
"PROPRANOLOL (INDERAL) INJ: 1 MG/ML","J1800","HCPCS","Both",,,"38","19","Blue Cross Blue Shield","Pathways","",,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"PROPRANOLOL (INDERAL) INJ: 1 MG/ML","J1800","HCPCS","Both",,,"38","19","Blue Cross Blue Shield","HMO","",,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"PROPRANOLOL (INDERAL) INJ: 1 MG/ML","J1800","HCPCS","Both",,,"38","19","Blue Cross Blue Shield","PPO","",,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"PROPRANOLOL (INDERAL) INJ: 1 MG/ML","J1800","HCPCS","Both",,,"38","19","Ambetter","Health Exchange","",,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"PROPRANOLOL (INDERAL) INJ: 1 MG/ML","J1800","HCPCS","Both",,,"38","19","Caresource","Health Exchange","",,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"PROPRANOLOL (INDERAL) INJ: 1 MG/ML","J1800","HCPCS","Both",,,"38","19","Cigna","Commercial","",,"59",,"22.27","13.91","29.45","percent of total billed charges",,
"PROPRANOLOL (INDERAL) INJ: 1 MG/ML","J1800","HCPCS","Both",,,"38","19","Humana","Commercial","",,"78",,"29.45","13.91","29.45","percent of total billed charges",,
"PROPRANOLOL (INDERAL) INJ: 1 MG/ML","J1800","HCPCS","Both",,,"38","19","UHC","Commercial","",,"75",,"28.65","13.91","29.45","percent of total billed charges",,
"PROPRANOLOL (INDERAL) INJ: 1 MG/ML","J1800","HCPCS","Both",,,"38","19","Medicaid",,"",,"37",,"13.91","13.91","29.45","percent of total billed charges",,
"MIDAZOLAM (VERSED) **5MG/ML** INJECTION","J2250","HCPCS","Both",,,"23","11.5","Alliant","Health Exchange","",,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"MIDAZOLAM (VERSED) **5MG/ML** INJECTION","J2250","HCPCS","Both",,,"23","11.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"12.42","8.42","17.82","percent of total billed charges",,
"MIDAZOLAM (VERSED) **5MG/ML** INJECTION","J2250","HCPCS","Both",,,"23","11.5","Medicare",,"",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"MIDAZOLAM (VERSED) **5MG/ML** INJECTION","J2250","HCPCS","Both",,,"23","11.5","Humana","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"MIDAZOLAM (VERSED) **5MG/ML** INJECTION","J2250","HCPCS","Both",,,"23","11.5","UHC","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"MIDAZOLAM (VERSED) **5MG/ML** INJECTION","J2250","HCPCS","Both",,,"23","11.5","Clover","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"MIDAZOLAM (VERSED) **5MG/ML** INJECTION","J2250","HCPCS","Both",,,"23","11.5","Wellcare","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"MIDAZOLAM (VERSED) **5MG/ML** INJECTION","J2250","HCPCS","Both",,,"23","11.5","Amerigroup","Medicaid Managed Care","",,"37",,"8.42","8.42","17.82","percent of total billed charges",,
"MIDAZOLAM (VERSED) **5MG/ML** INJECTION","J2250","HCPCS","Both",,,"23","11.5","Caresource","Medicaid Managed Care","",,"40",,"9.2","8.42","17.82","percent of total billed charges",,
"MIDAZOLAM (VERSED) **5MG/ML** INJECTION","J2250","HCPCS","Both",,,"23","11.5","Wellcare","Medicaid Managed Care","",,"40",,"9.32","8.42","17.82","percent of total billed charges",,
"MIDAZOLAM (VERSED) **5MG/ML** INJECTION","J2250","HCPCS","Both",,,"23","11.5","Aetna","Commercial","",,"64",,"14.67","8.42","17.82","percent of total billed charges",,
"MIDAZOLAM (VERSED) **5MG/ML** INJECTION","J2250","HCPCS","Both",,,"23","11.5","Blue Cross Blue Shield","Pathways","",,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"MIDAZOLAM (VERSED) **5MG/ML** INJECTION","J2250","HCPCS","Both",,,"23","11.5","Blue Cross Blue Shield","HMO","",,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"MIDAZOLAM (VERSED) **5MG/ML** INJECTION","J2250","HCPCS","Both",,,"23","11.5","Blue Cross Blue Shield","PPO","",,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"MIDAZOLAM (VERSED) **5MG/ML** INJECTION","J2250","HCPCS","Both",,,"23","11.5","Ambetter","Health Exchange","",,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"MIDAZOLAM (VERSED) **5MG/ML** INJECTION","J2250","HCPCS","Both",,,"23","11.5","Caresource","Health Exchange","",,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"MIDAZOLAM (VERSED) **5MG/ML** INJECTION","J2250","HCPCS","Both",,,"23","11.5","Cigna","Commercial","",,"59",,"13.48","8.42","17.82","percent of total billed charges",,
"MIDAZOLAM (VERSED) **5MG/ML** INJECTION","J2250","HCPCS","Both",,,"23","11.5","Humana","Commercial","",,"78",,"17.82","8.42","17.82","percent of total billed charges",,
"MIDAZOLAM (VERSED) **5MG/ML** INJECTION","J2250","HCPCS","Both",,,"23","11.5","UHC","Commercial","",,"75",,"17.34","8.42","17.82","percent of total billed charges",,
"MIDAZOLAM (VERSED) **5MG/ML** INJECTION","J2250","HCPCS","Both",,,"23","11.5","Medicaid",,"",,"37",,"8.42","8.42","17.82","percent of total billed charges",,
"VERSED DRIP KIT (ER)","J2250","HCPCS","Both",,,"23","11.5","Alliant","Health Exchange","",,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"VERSED DRIP KIT (ER)","J2250","HCPCS","Both",,,"23","11.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"12.42","8.42","17.82","percent of total billed charges",,
"VERSED DRIP KIT (ER)","J2250","HCPCS","Both",,,"23","11.5","Medicare",,"",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"VERSED DRIP KIT (ER)","J2250","HCPCS","Both",,,"23","11.5","Humana","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"VERSED DRIP KIT (ER)","J2250","HCPCS","Both",,,"23","11.5","UHC","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"VERSED DRIP KIT (ER)","J2250","HCPCS","Both",,,"23","11.5","Clover","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"VERSED DRIP KIT (ER)","J2250","HCPCS","Both",,,"23","11.5","Wellcare","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"VERSED DRIP KIT (ER)","J2250","HCPCS","Both",,,"23","11.5","Amerigroup","Medicaid Managed Care","",,"37",,"8.42","8.42","17.82","percent of total billed charges",,
"VERSED DRIP KIT (ER)","J2250","HCPCS","Both",,,"23","11.5","Caresource","Medicaid Managed Care","",,"40",,"9.2","8.42","17.82","percent of total billed charges",,
"VERSED DRIP KIT (ER)","J2250","HCPCS","Both",,,"23","11.5","Wellcare","Medicaid Managed Care","",,"40",,"9.32","8.42","17.82","percent of total billed charges",,
"VERSED DRIP KIT (ER)","J2250","HCPCS","Both",,,"23","11.5","Aetna","Commercial","",,"64",,"14.67","8.42","17.82","percent of total billed charges",,
"VERSED DRIP KIT (ER)","J2250","HCPCS","Both",,,"23","11.5","Blue Cross Blue Shield","Pathways","",,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"VERSED DRIP KIT (ER)","J2250","HCPCS","Both",,,"23","11.5","Blue Cross Blue Shield","HMO","",,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"VERSED DRIP KIT (ER)","J2250","HCPCS","Both",,,"23","11.5","Blue Cross Blue Shield","PPO","",,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"VERSED DRIP KIT (ER)","J2250","HCPCS","Both",,,"23","11.5","Ambetter","Health Exchange","",,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"VERSED DRIP KIT (ER)","J2250","HCPCS","Both",,,"23","11.5","Caresource","Health Exchange","",,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"VERSED DRIP KIT (ER)","J2250","HCPCS","Both",,,"23","11.5","Cigna","Commercial","",,"59",,"13.48","8.42","17.82","percent of total billed charges",,
"VERSED DRIP KIT (ER)","J2250","HCPCS","Both",,,"23","11.5","Humana","Commercial","",,"78",,"17.82","8.42","17.82","percent of total billed charges",,
"VERSED DRIP KIT (ER)","J2250","HCPCS","Both",,,"23","11.5","UHC","Commercial","",,"75",,"17.34","8.42","17.82","percent of total billed charges",,
"VERSED DRIP KIT (ER)","J2250","HCPCS","Both",,,"23","11.5","Medicaid",,"",,"37",,"8.42","8.42","17.82","percent of total billed charges",,
"DOPAMINE **400MG/10ML** INJECTION","J1265","HCPCS","Both",,,"60","30","Alliant","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"DOPAMINE **400MG/10ML** INJECTION","J1265","HCPCS","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.4","21.96","46.5","percent of total billed charges",,
"DOPAMINE **400MG/10ML** INJECTION","J1265","HCPCS","Both",,,"60","30","Medicare",,"",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"DOPAMINE **400MG/10ML** INJECTION","J1265","HCPCS","Both",,,"60","30","Humana","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"DOPAMINE **400MG/10ML** INJECTION","J1265","HCPCS","Both",,,"60","30","UHC","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"DOPAMINE **400MG/10ML** INJECTION","J1265","HCPCS","Both",,,"60","30","Clover","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"DOPAMINE **400MG/10ML** INJECTION","J1265","HCPCS","Both",,,"60","30","Wellcare","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"DOPAMINE **400MG/10ML** INJECTION","J1265","HCPCS","Both",,,"60","30","Amerigroup","Medicaid Managed Care","",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"DOPAMINE **400MG/10ML** INJECTION","J1265","HCPCS","Both",,,"60","30","Caresource","Medicaid Managed Care","",,"40",,"24","21.96","46.5","percent of total billed charges",,
"DOPAMINE **400MG/10ML** INJECTION","J1265","HCPCS","Both",,,"60","30","Wellcare","Medicaid Managed Care","",,"40",,"24.3","21.96","46.5","percent of total billed charges",,
"DOPAMINE **400MG/10ML** INJECTION","J1265","HCPCS","Both",,,"60","30","Aetna","Commercial","",,"64",,"38.28","21.96","46.5","percent of total billed charges",,
"DOPAMINE **400MG/10ML** INJECTION","J1265","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","Pathways","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"DOPAMINE **400MG/10ML** INJECTION","J1265","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","HMO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"DOPAMINE **400MG/10ML** INJECTION","J1265","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","PPO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"DOPAMINE **400MG/10ML** INJECTION","J1265","HCPCS","Both",,,"60","30","Ambetter","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"DOPAMINE **400MG/10ML** INJECTION","J1265","HCPCS","Both",,,"60","30","Caresource","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"DOPAMINE **400MG/10ML** INJECTION","J1265","HCPCS","Both",,,"60","30","Cigna","Commercial","",,"59",,"35.16","21.96","46.5","percent of total billed charges",,
"DOPAMINE **400MG/10ML** INJECTION","J1265","HCPCS","Both",,,"60","30","Humana","Commercial","",,"78",,"46.5","21.96","46.5","percent of total billed charges",,
"DOPAMINE **400MG/10ML** INJECTION","J1265","HCPCS","Both",,,"60","30","UHC","Commercial","",,"75",,"45.24","21.96","46.5","percent of total billed charges",,
"DOPAMINE **400MG/10ML** INJECTION","J1265","HCPCS","Both",,,"60","30","Medicaid",,"",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUC 1GM infus","J2930","HCPCS","Both",,,"60","30","Alliant","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUC 1GM infus","J2930","HCPCS","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.4","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUC 1GM infus","J2930","HCPCS","Both",,,"60","30","Medicare",,"",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUC 1GM infus","J2930","HCPCS","Both",,,"60","30","Humana","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUC 1GM infus","J2930","HCPCS","Both",,,"60","30","UHC","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUC 1GM infus","J2930","HCPCS","Both",,,"60","30","Clover","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUC 1GM infus","J2930","HCPCS","Both",,,"60","30","Wellcare","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUC 1GM infus","J2930","HCPCS","Both",,,"60","30","Amerigroup","Medicaid Managed Care","",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUC 1GM infus","J2930","HCPCS","Both",,,"60","30","Caresource","Medicaid Managed Care","",,"40",,"24","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUC 1GM infus","J2930","HCPCS","Both",,,"60","30","Wellcare","Medicaid Managed Care","",,"40",,"24.3","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUC 1GM infus","J2930","HCPCS","Both",,,"60","30","Aetna","Commercial","",,"64",,"38.28","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUC 1GM infus","J2930","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","Pathways","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUC 1GM infus","J2930","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","HMO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUC 1GM infus","J2930","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","PPO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUC 1GM infus","J2930","HCPCS","Both",,,"60","30","Ambetter","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUC 1GM infus","J2930","HCPCS","Both",,,"60","30","Caresource","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUC 1GM infus","J2930","HCPCS","Both",,,"60","30","Cigna","Commercial","",,"59",,"35.16","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUC 1GM infus","J2930","HCPCS","Both",,,"60","30","Humana","Commercial","",,"78",,"46.5","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUC 1GM infus","J2930","HCPCS","Both",,,"60","30","UHC","Commercial","",,"75",,"45.24","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUC 1GM infus","J2930","HCPCS","Both",,,"60","30","Medicaid",,"",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) 500MG INJECTION","J1953","HCPCS","Both",,,"60","30","Alliant","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) 500MG INJECTION","J1953","HCPCS","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.4","21.96","46.5","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) 500MG INJECTION","J1953","HCPCS","Both",,,"60","30","Medicare",,"",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) 500MG INJECTION","J1953","HCPCS","Both",,,"60","30","Humana","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) 500MG INJECTION","J1953","HCPCS","Both",,,"60","30","UHC","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) 500MG INJECTION","J1953","HCPCS","Both",,,"60","30","Clover","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) 500MG INJECTION","J1953","HCPCS","Both",,,"60","30","Wellcare","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) 500MG INJECTION","J1953","HCPCS","Both",,,"60","30","Amerigroup","Medicaid Managed Care","",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) 500MG INJECTION","J1953","HCPCS","Both",,,"60","30","Caresource","Medicaid Managed Care","",,"40",,"24","21.96","46.5","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) 500MG INJECTION","J1953","HCPCS","Both",,,"60","30","Wellcare","Medicaid Managed Care","",,"40",,"24.3","21.96","46.5","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) 500MG INJECTION","J1953","HCPCS","Both",,,"60","30","Aetna","Commercial","",,"64",,"38.28","21.96","46.5","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) 500MG INJECTION","J1953","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","Pathways","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) 500MG INJECTION","J1953","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","HMO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) 500MG INJECTION","J1953","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","PPO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) 500MG INJECTION","J1953","HCPCS","Both",,,"60","30","Ambetter","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) 500MG INJECTION","J1953","HCPCS","Both",,,"60","30","Caresource","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) 500MG INJECTION","J1953","HCPCS","Both",,,"60","30","Cigna","Commercial","",,"59",,"35.16","21.96","46.5","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) 500MG INJECTION","J1953","HCPCS","Both",,,"60","30","Humana","Commercial","",,"78",,"46.5","21.96","46.5","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) 500MG INJECTION","J1953","HCPCS","Both",,,"60","30","UHC","Commercial","",,"75",,"45.24","21.96","46.5","percent of total billed charges",,
"LEVETIRACETAM (KEPPRA) 500MG INJECTION","J1953","HCPCS","Both",,,"60","30","Medicaid",,"",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"ADENOSINE 6 MG/2ML INJECTION *VIAL*","J0153","HCPCS","Both",,,"31","15.5","Alliant","Health Exchange","",,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"ADENOSINE 6 MG/2ML INJECTION *VIAL*","J0153","HCPCS","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"16.74","11.35","24.02","percent of total billed charges",,
"ADENOSINE 6 MG/2ML INJECTION *VIAL*","J0153","HCPCS","Both",,,"31","15.5","Medicare",,"",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"ADENOSINE 6 MG/2ML INJECTION *VIAL*","J0153","HCPCS","Both",,,"31","15.5","Humana","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"ADENOSINE 6 MG/2ML INJECTION *VIAL*","J0153","HCPCS","Both",,,"31","15.5","UHC","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"ADENOSINE 6 MG/2ML INJECTION *VIAL*","J0153","HCPCS","Both",,,"31","15.5","Clover","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"ADENOSINE 6 MG/2ML INJECTION *VIAL*","J0153","HCPCS","Both",,,"31","15.5","Wellcare","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"ADENOSINE 6 MG/2ML INJECTION *VIAL*","J0153","HCPCS","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care","",,"37",,"11.35","11.35","24.02","percent of total billed charges",,
"ADENOSINE 6 MG/2ML INJECTION *VIAL*","J0153","HCPCS","Both",,,"31","15.5","Caresource","Medicaid Managed Care","",,"40",,"12.4","11.35","24.02","percent of total billed charges",,
"ADENOSINE 6 MG/2ML INJECTION *VIAL*","J0153","HCPCS","Both",,,"31","15.5","Wellcare","Medicaid Managed Care","",,"40",,"12.56","11.35","24.02","percent of total billed charges",,
"ADENOSINE 6 MG/2ML INJECTION *VIAL*","J0153","HCPCS","Both",,,"31","15.5","Aetna","Commercial","",,"64",,"19.78","11.35","24.02","percent of total billed charges",,
"ADENOSINE 6 MG/2ML INJECTION *VIAL*","J0153","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways","",,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"ADENOSINE 6 MG/2ML INJECTION *VIAL*","J0153","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","HMO","",,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"ADENOSINE 6 MG/2ML INJECTION *VIAL*","J0153","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","PPO","",,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"ADENOSINE 6 MG/2ML INJECTION *VIAL*","J0153","HCPCS","Both",,,"31","15.5","Ambetter","Health Exchange","",,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"ADENOSINE 6 MG/2ML INJECTION *VIAL*","J0153","HCPCS","Both",,,"31","15.5","Caresource","Health Exchange","",,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"ADENOSINE 6 MG/2ML INJECTION *VIAL*","J0153","HCPCS","Both",,,"31","15.5","Cigna","Commercial","",,"59",,"18.17","11.35","24.02","percent of total billed charges",,
"ADENOSINE 6 MG/2ML INJECTION *VIAL*","J0153","HCPCS","Both",,,"31","15.5","Humana","Commercial","",,"78",,"24.02","11.35","24.02","percent of total billed charges",,
"ADENOSINE 6 MG/2ML INJECTION *VIAL*","J0153","HCPCS","Both",,,"31","15.5","UHC","Commercial","",,"75",,"23.37","11.35","24.02","percent of total billed charges",,
"ADENOSINE 6 MG/2ML INJECTION *VIAL*","J0153","HCPCS","Both",,,"31","15.5","Medicaid",,"",,"37",,"11.35","11.35","24.02","percent of total billed charges",,
"KCL MINIBAG 10 MEQ/100 ML","J3480","HCPCS","Both",,,"43","21.5","Alliant","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"KCL MINIBAG 10 MEQ/100 ML","J3480","HCPCS","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"23.22","15.74","33.33","percent of total billed charges",,
"KCL MINIBAG 10 MEQ/100 ML","J3480","HCPCS","Both",,,"43","21.5","Medicare",,"",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"KCL MINIBAG 10 MEQ/100 ML","J3480","HCPCS","Both",,,"43","21.5","Humana","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"KCL MINIBAG 10 MEQ/100 ML","J3480","HCPCS","Both",,,"43","21.5","UHC","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"KCL MINIBAG 10 MEQ/100 ML","J3480","HCPCS","Both",,,"43","21.5","Clover","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"KCL MINIBAG 10 MEQ/100 ML","J3480","HCPCS","Both",,,"43","21.5","Wellcare","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"KCL MINIBAG 10 MEQ/100 ML","J3480","HCPCS","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care","",,"37",,"15.74","15.74","33.33","percent of total billed charges",,
"KCL MINIBAG 10 MEQ/100 ML","J3480","HCPCS","Both",,,"43","21.5","Caresource","Medicaid Managed Care","",,"40",,"17.2","15.74","33.33","percent of total billed charges",,
"KCL MINIBAG 10 MEQ/100 ML","J3480","HCPCS","Both",,,"43","21.5","Wellcare","Medicaid Managed Care","",,"40",,"17.42","15.74","33.33","percent of total billed charges",,
"KCL MINIBAG 10 MEQ/100 ML","J3480","HCPCS","Both",,,"43","21.5","Aetna","Commercial","",,"64",,"27.43","15.74","33.33","percent of total billed charges",,
"KCL MINIBAG 10 MEQ/100 ML","J3480","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"KCL MINIBAG 10 MEQ/100 ML","J3480","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","HMO","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"KCL MINIBAG 10 MEQ/100 ML","J3480","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","PPO","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"KCL MINIBAG 10 MEQ/100 ML","J3480","HCPCS","Both",,,"43","21.5","Ambetter","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"KCL MINIBAG 10 MEQ/100 ML","J3480","HCPCS","Both",,,"43","21.5","Caresource","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"KCL MINIBAG 10 MEQ/100 ML","J3480","HCPCS","Both",,,"43","21.5","Cigna","Commercial","",,"59",,"25.2","15.74","33.33","percent of total billed charges",,
"KCL MINIBAG 10 MEQ/100 ML","J3480","HCPCS","Both",,,"43","21.5","Humana","Commercial","",,"78",,"33.33","15.74","33.33","percent of total billed charges",,
"KCL MINIBAG 10 MEQ/100 ML","J3480","HCPCS","Both",,,"43","21.5","UHC","Commercial","",,"75",,"32.42","15.74","33.33","percent of total billed charges",,
"KCL MINIBAG 10 MEQ/100 ML","J3480","HCPCS","Both",,,"43","21.5","Medicaid",,"",,"37",,"15.74","15.74","33.33","percent of total billed charges",,
"DOPAMINE *PREMIX* IN D5W: 400MG/500ML","J1265","HCPCS","Both",,,"60","30","Alliant","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"DOPAMINE *PREMIX* IN D5W: 400MG/500ML","J1265","HCPCS","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.4","21.96","46.5","percent of total billed charges",,
"DOPAMINE *PREMIX* IN D5W: 400MG/500ML","J1265","HCPCS","Both",,,"60","30","Medicare",,"",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"DOPAMINE *PREMIX* IN D5W: 400MG/500ML","J1265","HCPCS","Both",,,"60","30","Humana","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"DOPAMINE *PREMIX* IN D5W: 400MG/500ML","J1265","HCPCS","Both",,,"60","30","UHC","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"DOPAMINE *PREMIX* IN D5W: 400MG/500ML","J1265","HCPCS","Both",,,"60","30","Clover","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"DOPAMINE *PREMIX* IN D5W: 400MG/500ML","J1265","HCPCS","Both",,,"60","30","Wellcare","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"DOPAMINE *PREMIX* IN D5W: 400MG/500ML","J1265","HCPCS","Both",,,"60","30","Amerigroup","Medicaid Managed Care","",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"DOPAMINE *PREMIX* IN D5W: 400MG/500ML","J1265","HCPCS","Both",,,"60","30","Caresource","Medicaid Managed Care","",,"40",,"24","21.96","46.5","percent of total billed charges",,
"DOPAMINE *PREMIX* IN D5W: 400MG/500ML","J1265","HCPCS","Both",,,"60","30","Wellcare","Medicaid Managed Care","",,"40",,"24.3","21.96","46.5","percent of total billed charges",,
"DOPAMINE *PREMIX* IN D5W: 400MG/500ML","J1265","HCPCS","Both",,,"60","30","Aetna","Commercial","",,"64",,"38.28","21.96","46.5","percent of total billed charges",,
"DOPAMINE *PREMIX* IN D5W: 400MG/500ML","J1265","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","Pathways","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"DOPAMINE *PREMIX* IN D5W: 400MG/500ML","J1265","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","HMO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"DOPAMINE *PREMIX* IN D5W: 400MG/500ML","J1265","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","PPO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"DOPAMINE *PREMIX* IN D5W: 400MG/500ML","J1265","HCPCS","Both",,,"60","30","Ambetter","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"DOPAMINE *PREMIX* IN D5W: 400MG/500ML","J1265","HCPCS","Both",,,"60","30","Caresource","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"DOPAMINE *PREMIX* IN D5W: 400MG/500ML","J1265","HCPCS","Both",,,"60","30","Cigna","Commercial","",,"59",,"35.16","21.96","46.5","percent of total billed charges",,
"DOPAMINE *PREMIX* IN D5W: 400MG/500ML","J1265","HCPCS","Both",,,"60","30","Humana","Commercial","",,"78",,"46.5","21.96","46.5","percent of total billed charges",,
"DOPAMINE *PREMIX* IN D5W: 400MG/500ML","J1265","HCPCS","Both",,,"60","30","UHC","Commercial","",,"75",,"45.24","21.96","46.5","percent of total billed charges",,
"DOPAMINE *PREMIX* IN D5W: 400MG/500ML","J1265","HCPCS","Both",,,"60","30","Medicaid",,"",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"FLUARIX QIV 0.5ML INJ (2023-24)","90686","HCPCS","Both",,,"60","30","Alliant","Health Exchange","",,"62",,"37.2","21.96","53.09","percent of total billed charges",,
"FLUARIX QIV 0.5ML INJ (2023-24)","90686","HCPCS","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.4","21.96","53.09","percent of total billed charges",,
"FLUARIX QIV 0.5ML INJ (2023-24)","90686","HCPCS","Both",,,"60","30","Medicare",,"",,"54",,"32.52","21.96","53.09","percent of total billed charges",,
"FLUARIX QIV 0.5ML INJ (2023-24)","90686","HCPCS","Both",,,"60","30","Humana","Medicare Advantage","",,"54",,"32.52","21.96","53.09","percent of total billed charges",,
"FLUARIX QIV 0.5ML INJ (2023-24)","90686","HCPCS","Both",,,"60","30","UHC","Medicare Advantage","",,"54",,"32.52","21.96","53.09","percent of total billed charges",,
"FLUARIX QIV 0.5ML INJ (2023-24)","90686","HCPCS","Both",,,"60","30","Clover","Medicare Advantage","",,"54",,"32.52","21.96","53.09","percent of total billed charges",,
"FLUARIX QIV 0.5ML INJ (2023-24)","90686","HCPCS","Both",,,"60","30","Wellcare","Medicare Advantage","",,"54",,"32.52","21.96","53.09","percent of total billed charges",,
"FLUARIX QIV 0.5ML INJ (2023-24)","90686","HCPCS","Both",,,"60","30","Amerigroup","Medicaid Managed Care","",,"37",,"21.96","21.96","53.09","percent of total billed charges",,
"FLUARIX QIV 0.5ML INJ (2023-24)","90686","HCPCS","Both",,,"60","30","Caresource","Medicaid Managed Care","",,"40",,"24","21.96","53.09","percent of total billed charges",,
"FLUARIX QIV 0.5ML INJ (2023-24)","90686","HCPCS","Both",,,"60","30","Wellcare","Medicaid Managed Care","",,"40",,"24.3","21.96","53.09","percent of total billed charges",,
"FLUARIX QIV 0.5ML INJ (2023-24)","90686","HCPCS","Both",,,"60","30","Aetna","Commercial","",,"64",,"38.28","21.96","53.09","percent of total billed charges",,
"FLUARIX QIV 0.5ML INJ (2023-24)","90686","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","Pathways","",,"71",,"42.36","21.96","53.09","percent of total billed charges",,
"FLUARIX QIV 0.5ML INJ (2023-24)","90686","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","HMO","",,"71",,"42.36","21.96","53.09","percent of total billed charges",,
"FLUARIX QIV 0.5ML INJ (2023-24)","90686","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","PPO","",,"71",,"42.36","21.96","53.09","percent of total billed charges",,
"FLUARIX QIV 0.5ML INJ (2023-24)","90686","HCPCS","Both",,,"60","30","Ambetter","Health Exchange","",,"62",,"37.2","21.96","53.09","percent of total billed charges",,
"FLUARIX QIV 0.5ML INJ (2023-24)","90686","HCPCS","Both",,,"60","30","Caresource","Health Exchange","",,"62",,"37.2","21.96","53.09","percent of total billed charges",,
"FLUARIX QIV 0.5ML INJ (2023-24)","90686","HCPCS","Both",,,"60","30","Cigna","Commercial","",,"59",,"35.16","21.96","53.09","percent of total billed charges",,
"FLUARIX QIV 0.5ML INJ (2023-24)","90686","HCPCS","Both",,,"60","30","Humana","Commercial","",,"78",,"46.5","21.96","53.09","percent of total billed charges",,
"FLUARIX QIV 0.5ML INJ (2023-24)","90686","HCPCS","Both",,,"60","30","UHC","Commercial","",,"75",,"45.24","21.96","53.09","percent of total billed charges",,
"FLUARIX QIV 0.5ML INJ (2023-24)","90686","HCPCS","Both",,,"60","30","Medicaid",,"",,"37",,"21.96","21.96","53.09","percent of total billed charges",,
"LIDOCAINE/D5W 2GM/500ML PREMIX","J2001","HCPCS","Both",,,"31","15.5","Alliant","Health Exchange","",,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"LIDOCAINE/D5W 2GM/500ML PREMIX","J2001","HCPCS","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"16.74","11.35","24.02","percent of total billed charges",,
"LIDOCAINE/D5W 2GM/500ML PREMIX","J2001","HCPCS","Both",,,"31","15.5","Medicare",,"",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"LIDOCAINE/D5W 2GM/500ML PREMIX","J2001","HCPCS","Both",,,"31","15.5","Humana","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"LIDOCAINE/D5W 2GM/500ML PREMIX","J2001","HCPCS","Both",,,"31","15.5","UHC","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"LIDOCAINE/D5W 2GM/500ML PREMIX","J2001","HCPCS","Both",,,"31","15.5","Clover","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"LIDOCAINE/D5W 2GM/500ML PREMIX","J2001","HCPCS","Both",,,"31","15.5","Wellcare","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"LIDOCAINE/D5W 2GM/500ML PREMIX","J2001","HCPCS","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care","",,"37",,"11.35","11.35","24.02","percent of total billed charges",,
"LIDOCAINE/D5W 2GM/500ML PREMIX","J2001","HCPCS","Both",,,"31","15.5","Caresource","Medicaid Managed Care","",,"40",,"12.4","11.35","24.02","percent of total billed charges",,
"LIDOCAINE/D5W 2GM/500ML PREMIX","J2001","HCPCS","Both",,,"31","15.5","Wellcare","Medicaid Managed Care","",,"40",,"12.56","11.35","24.02","percent of total billed charges",,
"LIDOCAINE/D5W 2GM/500ML PREMIX","J2001","HCPCS","Both",,,"31","15.5","Aetna","Commercial","",,"64",,"19.78","11.35","24.02","percent of total billed charges",,
"LIDOCAINE/D5W 2GM/500ML PREMIX","J2001","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways","",,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"LIDOCAINE/D5W 2GM/500ML PREMIX","J2001","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","HMO","",,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"LIDOCAINE/D5W 2GM/500ML PREMIX","J2001","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","PPO","",,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"LIDOCAINE/D5W 2GM/500ML PREMIX","J2001","HCPCS","Both",,,"31","15.5","Ambetter","Health Exchange","",,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"LIDOCAINE/D5W 2GM/500ML PREMIX","J2001","HCPCS","Both",,,"31","15.5","Caresource","Health Exchange","",,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"LIDOCAINE/D5W 2GM/500ML PREMIX","J2001","HCPCS","Both",,,"31","15.5","Cigna","Commercial","",,"59",,"18.17","11.35","24.02","percent of total billed charges",,
"LIDOCAINE/D5W 2GM/500ML PREMIX","J2001","HCPCS","Both",,,"31","15.5","Humana","Commercial","",,"78",,"24.02","11.35","24.02","percent of total billed charges",,
"LIDOCAINE/D5W 2GM/500ML PREMIX","J2001","HCPCS","Both",,,"31","15.5","UHC","Commercial","",,"75",,"23.37","11.35","24.02","percent of total billed charges",,
"LIDOCAINE/D5W 2GM/500ML PREMIX","J2001","HCPCS","Both",,,"31","15.5","Medicaid",,"",,"37",,"11.35","11.35","24.02","percent of total billed charges",,
"HYDRALAZINE INJECTION: 20 MG/ML","J0360","HCPCS","Both",,,"27","13.5","Alliant","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"HYDRALAZINE INJECTION: 20 MG/ML","J0360","HCPCS","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"14.58","9.88","20.92","percent of total billed charges",,
"HYDRALAZINE INJECTION: 20 MG/ML","J0360","HCPCS","Both",,,"27","13.5","Medicare",,"",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"HYDRALAZINE INJECTION: 20 MG/ML","J0360","HCPCS","Both",,,"27","13.5","Humana","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"HYDRALAZINE INJECTION: 20 MG/ML","J0360","HCPCS","Both",,,"27","13.5","UHC","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"HYDRALAZINE INJECTION: 20 MG/ML","J0360","HCPCS","Both",,,"27","13.5","Clover","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"HYDRALAZINE INJECTION: 20 MG/ML","J0360","HCPCS","Both",,,"27","13.5","Wellcare","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"HYDRALAZINE INJECTION: 20 MG/ML","J0360","HCPCS","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care","",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"HYDRALAZINE INJECTION: 20 MG/ML","J0360","HCPCS","Both",,,"27","13.5","Caresource","Medicaid Managed Care","",,"40",,"10.8","9.88","20.92","percent of total billed charges",,
"HYDRALAZINE INJECTION: 20 MG/ML","J0360","HCPCS","Both",,,"27","13.5","Wellcare","Medicaid Managed Care","",,"40",,"10.94","9.88","20.92","percent of total billed charges",,
"HYDRALAZINE INJECTION: 20 MG/ML","J0360","HCPCS","Both",,,"27","13.5","Aetna","Commercial","",,"64",,"17.23","9.88","20.92","percent of total billed charges",,
"HYDRALAZINE INJECTION: 20 MG/ML","J0360","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"HYDRALAZINE INJECTION: 20 MG/ML","J0360","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","HMO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"HYDRALAZINE INJECTION: 20 MG/ML","J0360","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","PPO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"HYDRALAZINE INJECTION: 20 MG/ML","J0360","HCPCS","Both",,,"27","13.5","Ambetter","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"HYDRALAZINE INJECTION: 20 MG/ML","J0360","HCPCS","Both",,,"27","13.5","Caresource","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"HYDRALAZINE INJECTION: 20 MG/ML","J0360","HCPCS","Both",,,"27","13.5","Cigna","Commercial","",,"59",,"15.82","9.88","20.92","percent of total billed charges",,
"HYDRALAZINE INJECTION: 20 MG/ML","J0360","HCPCS","Both",,,"27","13.5","Humana","Commercial","",,"78",,"20.92","9.88","20.92","percent of total billed charges",,
"HYDRALAZINE INJECTION: 20 MG/ML","J0360","HCPCS","Both",,,"27","13.5","UHC","Commercial","",,"75",,"20.36","9.88","20.92","percent of total billed charges",,
"HYDRALAZINE INJECTION: 20 MG/ML","J0360","HCPCS","Both",,,"27","13.5","Medicaid",,"",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"MORPHINE SULFATE 4 MG/ML INJECTION","J2270","HCPCS","Both",,,"31","15.5","Alliant","Health Exchange","",,"62",,"19.22","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 4 MG/ML INJECTION","J2270","HCPCS","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"16.74","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 4 MG/ML INJECTION","J2270","HCPCS","Both",,,"31","15.5","Medicare",,"",,"54",,"16.8","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 4 MG/ML INJECTION","J2270","HCPCS","Both",,,"31","15.5","Humana","Medicare Advantage","",,"54",,"16.8","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 4 MG/ML INJECTION","J2270","HCPCS","Both",,,"31","15.5","UHC","Medicare Advantage","",,"54",,"16.8","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 4 MG/ML INJECTION","J2270","HCPCS","Both",,,"31","15.5","Clover","Medicare Advantage","",,"54",,"16.8","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 4 MG/ML INJECTION","J2270","HCPCS","Both",,,"31","15.5","Wellcare","Medicare Advantage","",,"54",,"16.8","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 4 MG/ML INJECTION","J2270","HCPCS","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care","",,"37",,"11.35","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 4 MG/ML INJECTION","J2270","HCPCS","Both",,,"31","15.5","Caresource","Medicaid Managed Care","",,"40",,"12.4","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 4 MG/ML INJECTION","J2270","HCPCS","Both",,,"31","15.5","Wellcare","Medicaid Managed Care","",,"40",,"12.56","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 4 MG/ML INJECTION","J2270","HCPCS","Both",,,"31","15.5","Aetna","Commercial","",,"64",,"19.78","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 4 MG/ML INJECTION","J2270","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways","",,"71",,"21.89","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 4 MG/ML INJECTION","J2270","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","HMO","",,"71",,"21.89","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 4 MG/ML INJECTION","J2270","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","PPO","",,"71",,"21.89","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 4 MG/ML INJECTION","J2270","HCPCS","Both",,,"31","15.5","Ambetter","Health Exchange","",,"62",,"19.22","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 4 MG/ML INJECTION","J2270","HCPCS","Both",,,"31","15.5","Caresource","Health Exchange","",,"62",,"19.22","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 4 MG/ML INJECTION","J2270","HCPCS","Both",,,"31","15.5","Cigna","Commercial","",,"59",,"18.17","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 4 MG/ML INJECTION","J2270","HCPCS","Both",,,"31","15.5","Humana","Commercial","",,"78",,"24.02","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 4 MG/ML INJECTION","J2270","HCPCS","Both",,,"31","15.5","UHC","Commercial","",,"75",,"23.37","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 4 MG/ML INJECTION","J2270","HCPCS","Both",,,"31","15.5","Medicaid",,"",,"37",,"11.35","9.88","24.02","percent of total billed charges",,
"PHENYLEPHRINE 10MG/ML INJ  1 ML VIAL","J2370","HCPCS","Both",,,"38","19","Alliant","Health Exchange","",,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"PHENYLEPHRINE 10MG/ML INJ  1 ML VIAL","J2370","HCPCS","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage","",,"54",,"20.52","13.91","29.45","percent of total billed charges",,
"PHENYLEPHRINE 10MG/ML INJ  1 ML VIAL","J2370","HCPCS","Both",,,"38","19","Medicare",,"",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"PHENYLEPHRINE 10MG/ML INJ  1 ML VIAL","J2370","HCPCS","Both",,,"38","19","Humana","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"PHENYLEPHRINE 10MG/ML INJ  1 ML VIAL","J2370","HCPCS","Both",,,"38","19","UHC","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"PHENYLEPHRINE 10MG/ML INJ  1 ML VIAL","J2370","HCPCS","Both",,,"38","19","Clover","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"PHENYLEPHRINE 10MG/ML INJ  1 ML VIAL","J2370","HCPCS","Both",,,"38","19","Wellcare","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"PHENYLEPHRINE 10MG/ML INJ  1 ML VIAL","J2370","HCPCS","Both",,,"38","19","Amerigroup","Medicaid Managed Care","",,"37",,"13.91","13.91","29.45","percent of total billed charges",,
"PHENYLEPHRINE 10MG/ML INJ  1 ML VIAL","J2370","HCPCS","Both",,,"38","19","Caresource","Medicaid Managed Care","",,"40",,"15.2","13.91","29.45","percent of total billed charges",,
"PHENYLEPHRINE 10MG/ML INJ  1 ML VIAL","J2370","HCPCS","Both",,,"38","19","Wellcare","Medicaid Managed Care","",,"40",,"15.39","13.91","29.45","percent of total billed charges",,
"PHENYLEPHRINE 10MG/ML INJ  1 ML VIAL","J2370","HCPCS","Both",,,"38","19","Aetna","Commercial","",,"64",,"24.24","13.91","29.45","percent of total billed charges",,
"PHENYLEPHRINE 10MG/ML INJ  1 ML VIAL","J2370","HCPCS","Both",,,"38","19","Blue Cross Blue Shield","Pathways","",,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"PHENYLEPHRINE 10MG/ML INJ  1 ML VIAL","J2370","HCPCS","Both",,,"38","19","Blue Cross Blue Shield","HMO","",,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"PHENYLEPHRINE 10MG/ML INJ  1 ML VIAL","J2370","HCPCS","Both",,,"38","19","Blue Cross Blue Shield","PPO","",,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"PHENYLEPHRINE 10MG/ML INJ  1 ML VIAL","J2370","HCPCS","Both",,,"38","19","Ambetter","Health Exchange","",,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"PHENYLEPHRINE 10MG/ML INJ  1 ML VIAL","J2370","HCPCS","Both",,,"38","19","Caresource","Health Exchange","",,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"PHENYLEPHRINE 10MG/ML INJ  1 ML VIAL","J2370","HCPCS","Both",,,"38","19","Cigna","Commercial","",,"59",,"22.27","13.91","29.45","percent of total billed charges",,
"PHENYLEPHRINE 10MG/ML INJ  1 ML VIAL","J2370","HCPCS","Both",,,"38","19","Humana","Commercial","",,"78",,"29.45","13.91","29.45","percent of total billed charges",,
"PHENYLEPHRINE 10MG/ML INJ  1 ML VIAL","J2370","HCPCS","Both",,,"38","19","UHC","Commercial","",,"75",,"28.65","13.91","29.45","percent of total billed charges",,
"PHENYLEPHRINE 10MG/ML INJ  1 ML VIAL","J2370","HCPCS","Both",,,"38","19","Medicaid",,"",,"37",,"13.91","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE DRIP KIT: 1 MG/250 ML (ER)","J0171","HCPCS","Both",,,"38","19","Alliant","Health Exchange","",,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE DRIP KIT: 1 MG/250 ML (ER)","J0171","HCPCS","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage","",,"54",,"20.52","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE DRIP KIT: 1 MG/250 ML (ER)","J0171","HCPCS","Both",,,"38","19","Medicare",,"",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE DRIP KIT: 1 MG/250 ML (ER)","J0171","HCPCS","Both",,,"38","19","Humana","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE DRIP KIT: 1 MG/250 ML (ER)","J0171","HCPCS","Both",,,"38","19","UHC","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE DRIP KIT: 1 MG/250 ML (ER)","J0171","HCPCS","Both",,,"38","19","Clover","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE DRIP KIT: 1 MG/250 ML (ER)","J0171","HCPCS","Both",,,"38","19","Wellcare","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE DRIP KIT: 1 MG/250 ML (ER)","J0171","HCPCS","Both",,,"38","19","Amerigroup","Medicaid Managed Care","",,"37",,"13.91","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE DRIP KIT: 1 MG/250 ML (ER)","J0171","HCPCS","Both",,,"38","19","Caresource","Medicaid Managed Care","",,"40",,"15.2","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE DRIP KIT: 1 MG/250 ML (ER)","J0171","HCPCS","Both",,,"38","19","Wellcare","Medicaid Managed Care","",,"40",,"15.39","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE DRIP KIT: 1 MG/250 ML (ER)","J0171","HCPCS","Both",,,"38","19","Aetna","Commercial","",,"64",,"24.24","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE DRIP KIT: 1 MG/250 ML (ER)","J0171","HCPCS","Both",,,"38","19","Blue Cross Blue Shield","Pathways","",,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE DRIP KIT: 1 MG/250 ML (ER)","J0171","HCPCS","Both",,,"38","19","Blue Cross Blue Shield","HMO","",,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE DRIP KIT: 1 MG/250 ML (ER)","J0171","HCPCS","Both",,,"38","19","Blue Cross Blue Shield","PPO","",,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE DRIP KIT: 1 MG/250 ML (ER)","J0171","HCPCS","Both",,,"38","19","Ambetter","Health Exchange","",,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE DRIP KIT: 1 MG/250 ML (ER)","J0171","HCPCS","Both",,,"38","19","Caresource","Health Exchange","",,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE DRIP KIT: 1 MG/250 ML (ER)","J0171","HCPCS","Both",,,"38","19","Cigna","Commercial","",,"59",,"22.27","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE DRIP KIT: 1 MG/250 ML (ER)","J0171","HCPCS","Both",,,"38","19","Humana","Commercial","",,"78",,"29.45","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE DRIP KIT: 1 MG/250 ML (ER)","J0171","HCPCS","Both",,,"38","19","UHC","Commercial","",,"75",,"28.65","13.91","29.45","percent of total billed charges",,
"EPINEPHRINE DRIP KIT: 1 MG/250 ML (ER)","J0171","HCPCS","Both",,,"38","19","Medicaid",,"",,"37",,"13.91","13.91","29.45","percent of total billed charges",,
"LEVONORGESTREL (MIRENA) 52MG Intrauterin","J7298","HCPCS","Both",,,"1930","965","Alliant","Health Exchange","",,"62",,"1196.6","706.38","1495.75","percent of total billed charges",,
"LEVONORGESTREL (MIRENA) 52MG Intrauterin","J7298","HCPCS","Both",,,"1930","965","Pruitt Healthcare","Medicare Advantage","",,"54",,"1042.2","706.38","1495.75","percent of total billed charges",,
"LEVONORGESTREL (MIRENA) 52MG Intrauterin","J7298","HCPCS","Both",,,"1930","965","Medicare",,"",,"54",,"1046.06","706.38","1495.75","percent of total billed charges",,
"LEVONORGESTREL (MIRENA) 52MG Intrauterin","J7298","HCPCS","Both",,,"1930","965","Humana","Medicare Advantage","",,"54",,"1046.06","706.38","1495.75","percent of total billed charges",,
"LEVONORGESTREL (MIRENA) 52MG Intrauterin","J7298","HCPCS","Both",,,"1930","965","UHC","Medicare Advantage","",,"54",,"1046.06","706.38","1495.75","percent of total billed charges",,
"LEVONORGESTREL (MIRENA) 52MG Intrauterin","J7298","HCPCS","Both",,,"1930","965","Clover","Medicare Advantage","",,"54",,"1046.06","706.38","1495.75","percent of total billed charges",,
"LEVONORGESTREL (MIRENA) 52MG Intrauterin","J7298","HCPCS","Both",,,"1930","965","Wellcare","Medicare Advantage","",,"54",,"1046.06","706.38","1495.75","percent of total billed charges",,
"LEVONORGESTREL (MIRENA) 52MG Intrauterin","J7298","HCPCS","Both",,,"1930","965","Amerigroup","Medicaid Managed Care","",,"37",,"706.38","706.38","1495.75","percent of total billed charges",,
"LEVONORGESTREL (MIRENA) 52MG Intrauterin","J7298","HCPCS","Both",,,"1930","965","Caresource","Medicaid Managed Care","",,"40",,"772","706.38","1495.75","percent of total billed charges",,
"LEVONORGESTREL (MIRENA) 52MG Intrauterin","J7298","HCPCS","Both",,,"1930","965","Wellcare","Medicaid Managed Care","",,"40",,"781.65","706.38","1495.75","percent of total billed charges",,
"LEVONORGESTREL (MIRENA) 52MG Intrauterin","J7298","HCPCS","Both",,,"1930","965","Aetna","Commercial","",,"64",,"1231.34","706.38","1495.75","percent of total billed charges",,
"LEVONORGESTREL (MIRENA) 52MG Intrauterin","J7298","HCPCS","Both",,,"1930","965","Blue Cross Blue Shield","Pathways","",,"71",,"1362.58","706.38","1495.75","percent of total billed charges",,
"LEVONORGESTREL (MIRENA) 52MG Intrauterin","J7298","HCPCS","Both",,,"1930","965","Blue Cross Blue Shield","HMO","",,"71",,"1362.58","706.38","1495.75","percent of total billed charges",,
"LEVONORGESTREL (MIRENA) 52MG Intrauterin","J7298","HCPCS","Both",,,"1930","965","Blue Cross Blue Shield","PPO","",,"71",,"1362.58","706.38","1495.75","percent of total billed charges",,
"LEVONORGESTREL (MIRENA) 52MG Intrauterin","J7298","HCPCS","Both",,,"1930","965","Ambetter","Health Exchange","",,"62",,"1196.6","706.38","1495.75","percent of total billed charges",,
"LEVONORGESTREL (MIRENA) 52MG Intrauterin","J7298","HCPCS","Both",,,"1930","965","Caresource","Health Exchange","",,"62",,"1196.6","706.38","1495.75","percent of total billed charges",,
"LEVONORGESTREL (MIRENA) 52MG Intrauterin","J7298","HCPCS","Both",,,"1930","965","Cigna","Commercial","",,"59",,"1130.98","706.38","1495.75","percent of total billed charges",,
"LEVONORGESTREL (MIRENA) 52MG Intrauterin","J7298","HCPCS","Both",,,"1930","965","Humana","Commercial","",,"78",,"1495.75","706.38","1495.75","percent of total billed charges",,
"LEVONORGESTREL (MIRENA) 52MG Intrauterin","J7298","HCPCS","Both",,,"1930","965","UHC","Commercial","",,"75",,"1455.22","706.38","1495.75","percent of total billed charges",,
"LEVONORGESTREL (MIRENA) 52MG Intrauterin","J7298","HCPCS","Both",,,"1930","965","Medicaid",,"",,"37",,"706.38","706.38","1495.75","percent of total billed charges",,
"Magnesium Sulf 5 gm/10 ml inj vial","J3475","HCPCS","Both",,,"52","26","Alliant","Health Exchange","",,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"Magnesium Sulf 5 gm/10 ml inj vial","J3475","HCPCS","Both",,,"52","26","Pruitt Healthcare","Medicare Advantage","",,"54",,"28.08","19.03","40.3","percent of total billed charges",,
"Magnesium Sulf 5 gm/10 ml inj vial","J3475","HCPCS","Both",,,"52","26","Medicare",,"",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"Magnesium Sulf 5 gm/10 ml inj vial","J3475","HCPCS","Both",,,"52","26","Humana","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"Magnesium Sulf 5 gm/10 ml inj vial","J3475","HCPCS","Both",,,"52","26","UHC","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"Magnesium Sulf 5 gm/10 ml inj vial","J3475","HCPCS","Both",,,"52","26","Clover","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"Magnesium Sulf 5 gm/10 ml inj vial","J3475","HCPCS","Both",,,"52","26","Wellcare","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"Magnesium Sulf 5 gm/10 ml inj vial","J3475","HCPCS","Both",,,"52","26","Amerigroup","Medicaid Managed Care","",,"37",,"19.03","19.03","40.3","percent of total billed charges",,
"Magnesium Sulf 5 gm/10 ml inj vial","J3475","HCPCS","Both",,,"52","26","Caresource","Medicaid Managed Care","",,"40",,"20.8","19.03","40.3","percent of total billed charges",,
"Magnesium Sulf 5 gm/10 ml inj vial","J3475","HCPCS","Both",,,"52","26","Wellcare","Medicaid Managed Care","",,"40",,"21.06","19.03","40.3","percent of total billed charges",,
"Magnesium Sulf 5 gm/10 ml inj vial","J3475","HCPCS","Both",,,"52","26","Aetna","Commercial","",,"64",,"33.18","19.03","40.3","percent of total billed charges",,
"Magnesium Sulf 5 gm/10 ml inj vial","J3475","HCPCS","Both",,,"52","26","Blue Cross Blue Shield","Pathways","",,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"Magnesium Sulf 5 gm/10 ml inj vial","J3475","HCPCS","Both",,,"52","26","Blue Cross Blue Shield","HMO","",,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"Magnesium Sulf 5 gm/10 ml inj vial","J3475","HCPCS","Both",,,"52","26","Blue Cross Blue Shield","PPO","",,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"Magnesium Sulf 5 gm/10 ml inj vial","J3475","HCPCS","Both",,,"52","26","Ambetter","Health Exchange","",,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"Magnesium Sulf 5 gm/10 ml inj vial","J3475","HCPCS","Both",,,"52","26","Caresource","Health Exchange","",,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"Magnesium Sulf 5 gm/10 ml inj vial","J3475","HCPCS","Both",,,"52","26","Cigna","Commercial","",,"59",,"30.47","19.03","40.3","percent of total billed charges",,
"Magnesium Sulf 5 gm/10 ml inj vial","J3475","HCPCS","Both",,,"52","26","Humana","Commercial","",,"78",,"40.3","19.03","40.3","percent of total billed charges",,
"Magnesium Sulf 5 gm/10 ml inj vial","J3475","HCPCS","Both",,,"52","26","UHC","Commercial","",,"75",,"39.21","19.03","40.3","percent of total billed charges",,
"Magnesium Sulf 5 gm/10 ml inj vial","J3475","HCPCS","Both",,,"52","26","Medicaid",,"",,"37",,"19.03","19.03","40.3","percent of total billed charges",,
"RABIES IMMUNE GLOB 300UNITS/ML INJ: 5 ML","90376","HCPCS","Both",,,"6476","3238","Alliant","Health Exchange","",,"62",,"4015.12","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB 300UNITS/ML INJ: 5 ML","90376","HCPCS","Both",,,"6476","3238","Pruitt Healthcare","Medicare Advantage","",,"54",,"3497.04","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB 300UNITS/ML INJ: 5 ML","90376","HCPCS","Both",,,"6476","3238","Medicare",,"",,"54",,"3509.99","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB 300UNITS/ML INJ: 5 ML","90376","HCPCS","Both",,,"6476","3238","Humana","Medicare Advantage","",,"54",,"3509.99","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB 300UNITS/ML INJ: 5 ML","90376","HCPCS","Both",,,"6476","3238","UHC","Medicare Advantage","",,"54",,"3509.99","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB 300UNITS/ML INJ: 5 ML","90376","HCPCS","Both",,,"6476","3238","Clover","Medicare Advantage","",,"54",,"3509.99","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB 300UNITS/ML INJ: 5 ML","90376","HCPCS","Both",,,"6476","3238","Wellcare","Medicare Advantage","",,"54",,"3509.99","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB 300UNITS/ML INJ: 5 ML","90376","HCPCS","Both",,,"6476","3238","Amerigroup","Medicaid Managed Care","",,"37",,"2370.22","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB 300UNITS/ML INJ: 5 ML","90376","HCPCS","Both",,,"6476","3238","Caresource","Medicaid Managed Care","",,"40",,"2590.4","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB 300UNITS/ML INJ: 5 ML","90376","HCPCS","Both",,,"6476","3238","Wellcare","Medicaid Managed Care","",,"40",,"2622.78","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB 300UNITS/ML INJ: 5 ML","90376","HCPCS","Both",,,"6476","3238","Aetna","Commercial","",,"64",,"4131.69","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB 300UNITS/ML INJ: 5 ML","90376","HCPCS","Both",,,"6476","3238","Blue Cross Blue Shield","Pathways","",,"71",,"4572.06","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB 300UNITS/ML INJ: 5 ML","90376","HCPCS","Both",,,"6476","3238","Blue Cross Blue Shield","HMO","",,"71",,"4572.06","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB 300UNITS/ML INJ: 5 ML","90376","HCPCS","Both",,,"6476","3238","Blue Cross Blue Shield","PPO","",,"71",,"4572.06","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB 300UNITS/ML INJ: 5 ML","90376","HCPCS","Both",,,"6476","3238","Ambetter","Health Exchange","",,"62",,"4015.12","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB 300UNITS/ML INJ: 5 ML","90376","HCPCS","Both",,,"6476","3238","Caresource","Health Exchange","",,"62",,"4015.12","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB 300UNITS/ML INJ: 5 ML","90376","HCPCS","Both",,,"6476","3238","Cigna","Commercial","",,"59",,"3794.94","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB 300UNITS/ML INJ: 5 ML","90376","HCPCS","Both",,,"6476","3238","Humana","Commercial","",,"78",,"5018.9","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB 300UNITS/ML INJ: 5 ML","90376","HCPCS","Both",,,"6476","3238","UHC","Commercial","",,"75",,"4882.9","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB 300UNITS/ML INJ: 5 ML","90376","HCPCS","Both",,,"6476","3238","Medicaid",,"",,"37",,"2370.22","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB 300UNITS/ML INJ: 1 ML","90376","HCPCS","Both",,,"924","462","Alliant","Health Exchange","",,"62",,"572.88","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB 300UNITS/ML INJ: 1 ML","90376","HCPCS","Both",,,"924","462","Pruitt Healthcare","Medicare Advantage","",,"54",,"498.96","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB 300UNITS/ML INJ: 1 ML","90376","HCPCS","Both",,,"924","462","Medicare",,"",,"54",,"500.81","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB 300UNITS/ML INJ: 1 ML","90376","HCPCS","Both",,,"924","462","Humana","Medicare Advantage","",,"54",,"500.81","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB 300UNITS/ML INJ: 1 ML","90376","HCPCS","Both",,,"924","462","UHC","Medicare Advantage","",,"54",,"500.81","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB 300UNITS/ML INJ: 1 ML","90376","HCPCS","Both",,,"924","462","Clover","Medicare Advantage","",,"54",,"500.81","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB 300UNITS/ML INJ: 1 ML","90376","HCPCS","Both",,,"924","462","Wellcare","Medicare Advantage","",,"54",,"500.81","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB 300UNITS/ML INJ: 1 ML","90376","HCPCS","Both",,,"924","462","Amerigroup","Medicaid Managed Care","",,"37",,"338.18","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB 300UNITS/ML INJ: 1 ML","90376","HCPCS","Both",,,"924","462","Caresource","Medicaid Managed Care","",,"40",,"369.6","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB 300UNITS/ML INJ: 1 ML","90376","HCPCS","Both",,,"924","462","Wellcare","Medicaid Managed Care","",,"40",,"374.22","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB 300UNITS/ML INJ: 1 ML","90376","HCPCS","Both",,,"924","462","Aetna","Commercial","",,"64",,"589.51","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB 300UNITS/ML INJ: 1 ML","90376","HCPCS","Both",,,"924","462","Blue Cross Blue Shield","Pathways","",,"71",,"652.34","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB 300UNITS/ML INJ: 1 ML","90376","HCPCS","Both",,,"924","462","Blue Cross Blue Shield","HMO","",,"71",,"652.34","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB 300UNITS/ML INJ: 1 ML","90376","HCPCS","Both",,,"924","462","Blue Cross Blue Shield","PPO","",,"71",,"652.34","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB 300UNITS/ML INJ: 1 ML","90376","HCPCS","Both",,,"924","462","Ambetter","Health Exchange","",,"62",,"572.88","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB 300UNITS/ML INJ: 1 ML","90376","HCPCS","Both",,,"924","462","Caresource","Health Exchange","",,"62",,"572.88","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB 300UNITS/ML INJ: 1 ML","90376","HCPCS","Both",,,"924","462","Cigna","Commercial","",,"59",,"541.46","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB 300UNITS/ML INJ: 1 ML","90376","HCPCS","Both",,,"924","462","Humana","Commercial","",,"78",,"716.1","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB 300UNITS/ML INJ: 1 ML","90376","HCPCS","Both",,,"924","462","UHC","Commercial","",,"75",,"696.7","338.18","5018.9","percent of total billed charges",,
"RABIES IMMUNE GLOB 300UNITS/ML INJ: 1 ML","90376","HCPCS","Both",,,"924","462","Medicaid",,"",,"37",,"338.18","338.18","5018.9","percent of total billed charges",,
"Cefepime 2gm Injection","J0692","HCPCS","Both",,,"60","30","Alliant","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"Cefepime 2gm Injection","J0692","HCPCS","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.4","21.96","46.5","percent of total billed charges",,
"Cefepime 2gm Injection","J0692","HCPCS","Both",,,"60","30","Medicare",,"",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"Cefepime 2gm Injection","J0692","HCPCS","Both",,,"60","30","Humana","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"Cefepime 2gm Injection","J0692","HCPCS","Both",,,"60","30","UHC","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"Cefepime 2gm Injection","J0692","HCPCS","Both",,,"60","30","Clover","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"Cefepime 2gm Injection","J0692","HCPCS","Both",,,"60","30","Wellcare","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"Cefepime 2gm Injection","J0692","HCPCS","Both",,,"60","30","Amerigroup","Medicaid Managed Care","",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"Cefepime 2gm Injection","J0692","HCPCS","Both",,,"60","30","Caresource","Medicaid Managed Care","",,"40",,"24","21.96","46.5","percent of total billed charges",,
"Cefepime 2gm Injection","J0692","HCPCS","Both",,,"60","30","Wellcare","Medicaid Managed Care","",,"40",,"24.3","21.96","46.5","percent of total billed charges",,
"Cefepime 2gm Injection","J0692","HCPCS","Both",,,"60","30","Aetna","Commercial","",,"64",,"38.28","21.96","46.5","percent of total billed charges",,
"Cefepime 2gm Injection","J0692","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","Pathways","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"Cefepime 2gm Injection","J0692","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","HMO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"Cefepime 2gm Injection","J0692","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","PPO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"Cefepime 2gm Injection","J0692","HCPCS","Both",,,"60","30","Ambetter","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"Cefepime 2gm Injection","J0692","HCPCS","Both",,,"60","30","Caresource","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"Cefepime 2gm Injection","J0692","HCPCS","Both",,,"60","30","Cigna","Commercial","",,"59",,"35.16","21.96","46.5","percent of total billed charges",,
"Cefepime 2gm Injection","J0692","HCPCS","Both",,,"60","30","Humana","Commercial","",,"78",,"46.5","21.96","46.5","percent of total billed charges",,
"Cefepime 2gm Injection","J0692","HCPCS","Both",,,"60","30","UHC","Commercial","",,"75",,"45.24","21.96","46.5","percent of total billed charges",,
"Cefepime 2gm Injection","J0692","HCPCS","Both",,,"60","30","Medicaid",,"",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"MEROPENEM (MERREM) 1GM/100ML INFUSION","J2185","HCPCS","Both",,,"52","26","Alliant","Health Exchange","",,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"MEROPENEM (MERREM) 1GM/100ML INFUSION","J2185","HCPCS","Both",,,"52","26","Pruitt Healthcare","Medicare Advantage","",,"54",,"28.08","19.03","40.3","percent of total billed charges",,
"MEROPENEM (MERREM) 1GM/100ML INFUSION","J2185","HCPCS","Both",,,"52","26","Medicare",,"",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"MEROPENEM (MERREM) 1GM/100ML INFUSION","J2185","HCPCS","Both",,,"52","26","Humana","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"MEROPENEM (MERREM) 1GM/100ML INFUSION","J2185","HCPCS","Both",,,"52","26","UHC","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"MEROPENEM (MERREM) 1GM/100ML INFUSION","J2185","HCPCS","Both",,,"52","26","Clover","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"MEROPENEM (MERREM) 1GM/100ML INFUSION","J2185","HCPCS","Both",,,"52","26","Wellcare","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"MEROPENEM (MERREM) 1GM/100ML INFUSION","J2185","HCPCS","Both",,,"52","26","Amerigroup","Medicaid Managed Care","",,"37",,"19.03","19.03","40.3","percent of total billed charges",,
"MEROPENEM (MERREM) 1GM/100ML INFUSION","J2185","HCPCS","Both",,,"52","26","Caresource","Medicaid Managed Care","",,"40",,"20.8","19.03","40.3","percent of total billed charges",,
"MEROPENEM (MERREM) 1GM/100ML INFUSION","J2185","HCPCS","Both",,,"52","26","Wellcare","Medicaid Managed Care","",,"40",,"21.06","19.03","40.3","percent of total billed charges",,
"MEROPENEM (MERREM) 1GM/100ML INFUSION","J2185","HCPCS","Both",,,"52","26","Aetna","Commercial","",,"64",,"33.18","19.03","40.3","percent of total billed charges",,
"MEROPENEM (MERREM) 1GM/100ML INFUSION","J2185","HCPCS","Both",,,"52","26","Blue Cross Blue Shield","Pathways","",,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"MEROPENEM (MERREM) 1GM/100ML INFUSION","J2185","HCPCS","Both",,,"52","26","Blue Cross Blue Shield","HMO","",,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"MEROPENEM (MERREM) 1GM/100ML INFUSION","J2185","HCPCS","Both",,,"52","26","Blue Cross Blue Shield","PPO","",,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"MEROPENEM (MERREM) 1GM/100ML INFUSION","J2185","HCPCS","Both",,,"52","26","Ambetter","Health Exchange","",,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"MEROPENEM (MERREM) 1GM/100ML INFUSION","J2185","HCPCS","Both",,,"52","26","Caresource","Health Exchange","",,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"MEROPENEM (MERREM) 1GM/100ML INFUSION","J2185","HCPCS","Both",,,"52","26","Cigna","Commercial","",,"59",,"30.47","19.03","40.3","percent of total billed charges",,
"MEROPENEM (MERREM) 1GM/100ML INFUSION","J2185","HCPCS","Both",,,"52","26","Humana","Commercial","",,"78",,"40.3","19.03","40.3","percent of total billed charges",,
"MEROPENEM (MERREM) 1GM/100ML INFUSION","J2185","HCPCS","Both",,,"52","26","UHC","Commercial","",,"75",,"39.21","19.03","40.3","percent of total billed charges",,
"MEROPENEM (MERREM) 1GM/100ML INFUSION","J2185","HCPCS","Both",,,"52","26","Medicaid",,"",,"37",,"19.03","19.03","40.3","percent of total billed charges",,
"OLANZEPine (ZyPREXA) 10 MG INJECTION","J2358","HCPCS","Both",,,"72","36","Alliant","Health Exchange","",,"62",,"44.64","26.35","55.8","percent of total billed charges",,
"OLANZEPine (ZyPREXA) 10 MG INJECTION","J2358","HCPCS","Both",,,"72","36","Pruitt Healthcare","Medicare Advantage","",,"54",,"38.88","26.35","55.8","percent of total billed charges",,
"OLANZEPine (ZyPREXA) 10 MG INJECTION","J2358","HCPCS","Both",,,"72","36","Medicare",,"",,"54",,"39.02","26.35","55.8","percent of total billed charges",,
"OLANZEPine (ZyPREXA) 10 MG INJECTION","J2358","HCPCS","Both",,,"72","36","Humana","Medicare Advantage","",,"54",,"39.02","26.35","55.8","percent of total billed charges",,
"OLANZEPine (ZyPREXA) 10 MG INJECTION","J2358","HCPCS","Both",,,"72","36","UHC","Medicare Advantage","",,"54",,"39.02","26.35","55.8","percent of total billed charges",,
"OLANZEPine (ZyPREXA) 10 MG INJECTION","J2358","HCPCS","Both",,,"72","36","Clover","Medicare Advantage","",,"54",,"39.02","26.35","55.8","percent of total billed charges",,
"OLANZEPine (ZyPREXA) 10 MG INJECTION","J2358","HCPCS","Both",,,"72","36","Wellcare","Medicare Advantage","",,"54",,"39.02","26.35","55.8","percent of total billed charges",,
"OLANZEPine (ZyPREXA) 10 MG INJECTION","J2358","HCPCS","Both",,,"72","36","Amerigroup","Medicaid Managed Care","",,"37",,"26.35","26.35","55.8","percent of total billed charges",,
"OLANZEPine (ZyPREXA) 10 MG INJECTION","J2358","HCPCS","Both",,,"72","36","Caresource","Medicaid Managed Care","",,"40",,"28.8","26.35","55.8","percent of total billed charges",,
"OLANZEPine (ZyPREXA) 10 MG INJECTION","J2358","HCPCS","Both",,,"72","36","Wellcare","Medicaid Managed Care","",,"40",,"29.16","26.35","55.8","percent of total billed charges",,
"OLANZEPine (ZyPREXA) 10 MG INJECTION","J2358","HCPCS","Both",,,"72","36","Aetna","Commercial","",,"64",,"45.94","26.35","55.8","percent of total billed charges",,
"OLANZEPine (ZyPREXA) 10 MG INJECTION","J2358","HCPCS","Both",,,"72","36","Blue Cross Blue Shield","Pathways","",,"71",,"50.83","26.35","55.8","percent of total billed charges",,
"OLANZEPine (ZyPREXA) 10 MG INJECTION","J2358","HCPCS","Both",,,"72","36","Blue Cross Blue Shield","HMO","",,"71",,"50.83","26.35","55.8","percent of total billed charges",,
"OLANZEPine (ZyPREXA) 10 MG INJECTION","J2358","HCPCS","Both",,,"72","36","Blue Cross Blue Shield","PPO","",,"71",,"50.83","26.35","55.8","percent of total billed charges",,
"OLANZEPine (ZyPREXA) 10 MG INJECTION","J2358","HCPCS","Both",,,"72","36","Ambetter","Health Exchange","",,"62",,"44.64","26.35","55.8","percent of total billed charges",,
"OLANZEPine (ZyPREXA) 10 MG INJECTION","J2358","HCPCS","Both",,,"72","36","Caresource","Health Exchange","",,"62",,"44.64","26.35","55.8","percent of total billed charges",,
"OLANZEPine (ZyPREXA) 10 MG INJECTION","J2358","HCPCS","Both",,,"72","36","Cigna","Commercial","",,"59",,"42.19","26.35","55.8","percent of total billed charges",,
"OLANZEPine (ZyPREXA) 10 MG INJECTION","J2358","HCPCS","Both",,,"72","36","Humana","Commercial","",,"78",,"55.8","26.35","55.8","percent of total billed charges",,
"OLANZEPine (ZyPREXA) 10 MG INJECTION","J2358","HCPCS","Both",,,"72","36","UHC","Commercial","",,"75",,"54.29","26.35","55.8","percent of total billed charges",,
"OLANZEPine (ZyPREXA) 10 MG INJECTION","J2358","HCPCS","Both",,,"72","36","Medicaid",,"",,"37",,"26.35","26.35","55.8","percent of total billed charges",,
"Propofol (Diprivan)  500mg/50ml INJ","J2704","HCPCS","Both",,,"60","30","Alliant","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"Propofol (Diprivan)  500mg/50ml INJ","J2704","HCPCS","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.4","21.96","46.5","percent of total billed charges",,
"Propofol (Diprivan)  500mg/50ml INJ","J2704","HCPCS","Both",,,"60","30","Medicare",,"",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"Propofol (Diprivan)  500mg/50ml INJ","J2704","HCPCS","Both",,,"60","30","Humana","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"Propofol (Diprivan)  500mg/50ml INJ","J2704","HCPCS","Both",,,"60","30","UHC","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"Propofol (Diprivan)  500mg/50ml INJ","J2704","HCPCS","Both",,,"60","30","Clover","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"Propofol (Diprivan)  500mg/50ml INJ","J2704","HCPCS","Both",,,"60","30","Wellcare","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"Propofol (Diprivan)  500mg/50ml INJ","J2704","HCPCS","Both",,,"60","30","Amerigroup","Medicaid Managed Care","",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"Propofol (Diprivan)  500mg/50ml INJ","J2704","HCPCS","Both",,,"60","30","Caresource","Medicaid Managed Care","",,"40",,"24","21.96","46.5","percent of total billed charges",,
"Propofol (Diprivan)  500mg/50ml INJ","J2704","HCPCS","Both",,,"60","30","Wellcare","Medicaid Managed Care","",,"40",,"24.3","21.96","46.5","percent of total billed charges",,
"Propofol (Diprivan)  500mg/50ml INJ","J2704","HCPCS","Both",,,"60","30","Aetna","Commercial","",,"64",,"38.28","21.96","46.5","percent of total billed charges",,
"Propofol (Diprivan)  500mg/50ml INJ","J2704","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","Pathways","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"Propofol (Diprivan)  500mg/50ml INJ","J2704","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","HMO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"Propofol (Diprivan)  500mg/50ml INJ","J2704","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","PPO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"Propofol (Diprivan)  500mg/50ml INJ","J2704","HCPCS","Both",,,"60","30","Ambetter","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"Propofol (Diprivan)  500mg/50ml INJ","J2704","HCPCS","Both",,,"60","30","Caresource","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"Propofol (Diprivan)  500mg/50ml INJ","J2704","HCPCS","Both",,,"60","30","Cigna","Commercial","",,"59",,"35.16","21.96","46.5","percent of total billed charges",,
"Propofol (Diprivan)  500mg/50ml INJ","J2704","HCPCS","Both",,,"60","30","Humana","Commercial","",,"78",,"46.5","21.96","46.5","percent of total billed charges",,
"Propofol (Diprivan)  500mg/50ml INJ","J2704","HCPCS","Both",,,"60","30","UHC","Commercial","",,"75",,"45.24","21.96","46.5","percent of total billed charges",,
"Propofol (Diprivan)  500mg/50ml INJ","J2704","HCPCS","Both",,,"60","30","Medicaid",,"",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"Propofol (Diprivan) 1000 mg/100 ml premx","J2704","HCPCS","Both",,,"60","30","Alliant","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"Propofol (Diprivan) 1000 mg/100 ml premx","J2704","HCPCS","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.4","21.96","46.5","percent of total billed charges",,
"Propofol (Diprivan) 1000 mg/100 ml premx","J2704","HCPCS","Both",,,"60","30","Medicare",,"",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"Propofol (Diprivan) 1000 mg/100 ml premx","J2704","HCPCS","Both",,,"60","30","Humana","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"Propofol (Diprivan) 1000 mg/100 ml premx","J2704","HCPCS","Both",,,"60","30","UHC","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"Propofol (Diprivan) 1000 mg/100 ml premx","J2704","HCPCS","Both",,,"60","30","Clover","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"Propofol (Diprivan) 1000 mg/100 ml premx","J2704","HCPCS","Both",,,"60","30","Wellcare","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"Propofol (Diprivan) 1000 mg/100 ml premx","J2704","HCPCS","Both",,,"60","30","Amerigroup","Medicaid Managed Care","",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"Propofol (Diprivan) 1000 mg/100 ml premx","J2704","HCPCS","Both",,,"60","30","Caresource","Medicaid Managed Care","",,"40",,"24","21.96","46.5","percent of total billed charges",,
"Propofol (Diprivan) 1000 mg/100 ml premx","J2704","HCPCS","Both",,,"60","30","Wellcare","Medicaid Managed Care","",,"40",,"24.3","21.96","46.5","percent of total billed charges",,
"Propofol (Diprivan) 1000 mg/100 ml premx","J2704","HCPCS","Both",,,"60","30","Aetna","Commercial","",,"64",,"38.28","21.96","46.5","percent of total billed charges",,
"Propofol (Diprivan) 1000 mg/100 ml premx","J2704","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","Pathways","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"Propofol (Diprivan) 1000 mg/100 ml premx","J2704","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","HMO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"Propofol (Diprivan) 1000 mg/100 ml premx","J2704","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","PPO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"Propofol (Diprivan) 1000 mg/100 ml premx","J2704","HCPCS","Both",,,"60","30","Ambetter","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"Propofol (Diprivan) 1000 mg/100 ml premx","J2704","HCPCS","Both",,,"60","30","Caresource","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"Propofol (Diprivan) 1000 mg/100 ml premx","J2704","HCPCS","Both",,,"60","30","Cigna","Commercial","",,"59",,"35.16","21.96","46.5","percent of total billed charges",,
"Propofol (Diprivan) 1000 mg/100 ml premx","J2704","HCPCS","Both",,,"60","30","Humana","Commercial","",,"78",,"46.5","21.96","46.5","percent of total billed charges",,
"Propofol (Diprivan) 1000 mg/100 ml premx","J2704","HCPCS","Both",,,"60","30","UHC","Commercial","",,"75",,"45.24","21.96","46.5","percent of total billed charges",,
"Propofol (Diprivan) 1000 mg/100 ml premx","J2704","HCPCS","Both",,,"60","30","Medicaid",,"",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"MAGNESIUM 2GM/50ML PREMIX 4%","J3475","HCPCS","Both",,,"52","26","Alliant","Health Exchange","",,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"MAGNESIUM 2GM/50ML PREMIX 4%","J3475","HCPCS","Both",,,"52","26","Pruitt Healthcare","Medicare Advantage","",,"54",,"28.08","19.03","40.3","percent of total billed charges",,
"MAGNESIUM 2GM/50ML PREMIX 4%","J3475","HCPCS","Both",,,"52","26","Medicare",,"",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"MAGNESIUM 2GM/50ML PREMIX 4%","J3475","HCPCS","Both",,,"52","26","Humana","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"MAGNESIUM 2GM/50ML PREMIX 4%","J3475","HCPCS","Both",,,"52","26","UHC","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"MAGNESIUM 2GM/50ML PREMIX 4%","J3475","HCPCS","Both",,,"52","26","Clover","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"MAGNESIUM 2GM/50ML PREMIX 4%","J3475","HCPCS","Both",,,"52","26","Wellcare","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"MAGNESIUM 2GM/50ML PREMIX 4%","J3475","HCPCS","Both",,,"52","26","Amerigroup","Medicaid Managed Care","",,"37",,"19.03","19.03","40.3","percent of total billed charges",,
"MAGNESIUM 2GM/50ML PREMIX 4%","J3475","HCPCS","Both",,,"52","26","Caresource","Medicaid Managed Care","",,"40",,"20.8","19.03","40.3","percent of total billed charges",,
"MAGNESIUM 2GM/50ML PREMIX 4%","J3475","HCPCS","Both",,,"52","26","Wellcare","Medicaid Managed Care","",,"40",,"21.06","19.03","40.3","percent of total billed charges",,
"MAGNESIUM 2GM/50ML PREMIX 4%","J3475","HCPCS","Both",,,"52","26","Aetna","Commercial","",,"64",,"33.18","19.03","40.3","percent of total billed charges",,
"MAGNESIUM 2GM/50ML PREMIX 4%","J3475","HCPCS","Both",,,"52","26","Blue Cross Blue Shield","Pathways","",,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"MAGNESIUM 2GM/50ML PREMIX 4%","J3475","HCPCS","Both",,,"52","26","Blue Cross Blue Shield","HMO","",,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"MAGNESIUM 2GM/50ML PREMIX 4%","J3475","HCPCS","Both",,,"52","26","Blue Cross Blue Shield","PPO","",,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"MAGNESIUM 2GM/50ML PREMIX 4%","J3475","HCPCS","Both",,,"52","26","Ambetter","Health Exchange","",,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"MAGNESIUM 2GM/50ML PREMIX 4%","J3475","HCPCS","Both",,,"52","26","Caresource","Health Exchange","",,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"MAGNESIUM 2GM/50ML PREMIX 4%","J3475","HCPCS","Both",,,"52","26","Cigna","Commercial","",,"59",,"30.47","19.03","40.3","percent of total billed charges",,
"MAGNESIUM 2GM/50ML PREMIX 4%","J3475","HCPCS","Both",,,"52","26","Humana","Commercial","",,"78",,"40.3","19.03","40.3","percent of total billed charges",,
"MAGNESIUM 2GM/50ML PREMIX 4%","J3475","HCPCS","Both",,,"52","26","UHC","Commercial","",,"75",,"39.21","19.03","40.3","percent of total billed charges",,
"MAGNESIUM 2GM/50ML PREMIX 4%","J3475","HCPCS","Both",,,"52","26","Medicaid",,"",,"37",,"19.03","19.03","40.3","percent of total billed charges",,
"REMDESIVIR (VEKLURY) 100 MG INJECTION","C9399","HCPCS","Both",,,"1062","531","Alliant","Health Exchange","",,"62",,"658.44","388.69","823.05","percent of total billed charges",,
"REMDESIVIR (VEKLURY) 100 MG INJECTION","C9399","HCPCS","Both",,,"1062","531","Pruitt Healthcare","Medicare Advantage","",,"54",,"573.48","388.69","823.05","percent of total billed charges",,
"REMDESIVIR (VEKLURY) 100 MG INJECTION","C9399","HCPCS","Both",,,"1062","531","Medicare",,"",,"54",,"575.6","388.69","823.05","percent of total billed charges",,
"REMDESIVIR (VEKLURY) 100 MG INJECTION","C9399","HCPCS","Both",,,"1062","531","Humana","Medicare Advantage","",,"54",,"575.6","388.69","823.05","percent of total billed charges",,
"REMDESIVIR (VEKLURY) 100 MG INJECTION","C9399","HCPCS","Both",,,"1062","531","UHC","Medicare Advantage","",,"54",,"575.6","388.69","823.05","percent of total billed charges",,
"REMDESIVIR (VEKLURY) 100 MG INJECTION","C9399","HCPCS","Both",,,"1062","531","Clover","Medicare Advantage","",,"54",,"575.6","388.69","823.05","percent of total billed charges",,
"REMDESIVIR (VEKLURY) 100 MG INJECTION","C9399","HCPCS","Both",,,"1062","531","Wellcare","Medicare Advantage","",,"54",,"575.6","388.69","823.05","percent of total billed charges",,
"REMDESIVIR (VEKLURY) 100 MG INJECTION","C9399","HCPCS","Both",,,"1062","531","Amerigroup","Medicaid Managed Care","",,"37",,"388.69","388.69","823.05","percent of total billed charges",,
"REMDESIVIR (VEKLURY) 100 MG INJECTION","C9399","HCPCS","Both",,,"1062","531","Caresource","Medicaid Managed Care","",,"40",,"424.8","388.69","823.05","percent of total billed charges",,
"REMDESIVIR (VEKLURY) 100 MG INJECTION","C9399","HCPCS","Both",,,"1062","531","Wellcare","Medicaid Managed Care","",,"40",,"430.11","388.69","823.05","percent of total billed charges",,
"REMDESIVIR (VEKLURY) 100 MG INJECTION","C9399","HCPCS","Both",,,"1062","531","Aetna","Commercial","",,"64",,"677.56","388.69","823.05","percent of total billed charges",,
"REMDESIVIR (VEKLURY) 100 MG INJECTION","C9399","HCPCS","Both",,,"1062","531","Blue Cross Blue Shield","Pathways","",,"71",,"749.77","388.69","823.05","percent of total billed charges",,
"REMDESIVIR (VEKLURY) 100 MG INJECTION","C9399","HCPCS","Both",,,"1062","531","Blue Cross Blue Shield","HMO","",,"71",,"749.77","388.69","823.05","percent of total billed charges",,
"REMDESIVIR (VEKLURY) 100 MG INJECTION","C9399","HCPCS","Both",,,"1062","531","Blue Cross Blue Shield","PPO","",,"71",,"749.77","388.69","823.05","percent of total billed charges",,
"REMDESIVIR (VEKLURY) 100 MG INJECTION","C9399","HCPCS","Both",,,"1062","531","Ambetter","Health Exchange","",,"62",,"658.44","388.69","823.05","percent of total billed charges",,
"REMDESIVIR (VEKLURY) 100 MG INJECTION","C9399","HCPCS","Both",,,"1062","531","Caresource","Health Exchange","",,"62",,"658.44","388.69","823.05","percent of total billed charges",,
"REMDESIVIR (VEKLURY) 100 MG INJECTION","C9399","HCPCS","Both",,,"1062","531","Cigna","Commercial","",,"59",,"622.33","388.69","823.05","percent of total billed charges",,
"REMDESIVIR (VEKLURY) 100 MG INJECTION","C9399","HCPCS","Both",,,"1062","531","Humana","Commercial","",,"78",,"823.05","388.69","823.05","percent of total billed charges",,
"REMDESIVIR (VEKLURY) 100 MG INJECTION","C9399","HCPCS","Both",,,"1062","531","UHC","Commercial","",,"75",,"800.75","388.69","823.05","percent of total billed charges",,
"REMDESIVIR (VEKLURY) 100 MG INJECTION","C9399","HCPCS","Both",,,"1062","531","Medicaid",,"",,"37",,"388.69","388.69","823.05","percent of total billed charges",,
"CHLORPROMAZINE (THORAZINE) 50MG/2ML INJ","J3230","HCPCS","Both",,,"70","35","Alliant","Health Exchange","",,"62",,"43.4","25.62","54.25","percent of total billed charges",,
"CHLORPROMAZINE (THORAZINE) 50MG/2ML INJ","J3230","HCPCS","Both",,,"70","35","Pruitt Healthcare","Medicare Advantage","",,"54",,"37.8","25.62","54.25","percent of total billed charges",,
"CHLORPROMAZINE (THORAZINE) 50MG/2ML INJ","J3230","HCPCS","Both",,,"70","35","Medicare",,"",,"54",,"37.94","25.62","54.25","percent of total billed charges",,
"CHLORPROMAZINE (THORAZINE) 50MG/2ML INJ","J3230","HCPCS","Both",,,"70","35","Humana","Medicare Advantage","",,"54",,"37.94","25.62","54.25","percent of total billed charges",,
"CHLORPROMAZINE (THORAZINE) 50MG/2ML INJ","J3230","HCPCS","Both",,,"70","35","UHC","Medicare Advantage","",,"54",,"37.94","25.62","54.25","percent of total billed charges",,
"CHLORPROMAZINE (THORAZINE) 50MG/2ML INJ","J3230","HCPCS","Both",,,"70","35","Clover","Medicare Advantage","",,"54",,"37.94","25.62","54.25","percent of total billed charges",,
"CHLORPROMAZINE (THORAZINE) 50MG/2ML INJ","J3230","HCPCS","Both",,,"70","35","Wellcare","Medicare Advantage","",,"54",,"37.94","25.62","54.25","percent of total billed charges",,
"CHLORPROMAZINE (THORAZINE) 50MG/2ML INJ","J3230","HCPCS","Both",,,"70","35","Amerigroup","Medicaid Managed Care","",,"37",,"25.62","25.62","54.25","percent of total billed charges",,
"CHLORPROMAZINE (THORAZINE) 50MG/2ML INJ","J3230","HCPCS","Both",,,"70","35","Caresource","Medicaid Managed Care","",,"40",,"28","25.62","54.25","percent of total billed charges",,
"CHLORPROMAZINE (THORAZINE) 50MG/2ML INJ","J3230","HCPCS","Both",,,"70","35","Wellcare","Medicaid Managed Care","",,"40",,"28.35","25.62","54.25","percent of total billed charges",,
"CHLORPROMAZINE (THORAZINE) 50MG/2ML INJ","J3230","HCPCS","Both",,,"70","35","Aetna","Commercial","",,"64",,"44.66","25.62","54.25","percent of total billed charges",,
"CHLORPROMAZINE (THORAZINE) 50MG/2ML INJ","J3230","HCPCS","Both",,,"70","35","Blue Cross Blue Shield","Pathways","",,"71",,"49.42","25.62","54.25","percent of total billed charges",,
"CHLORPROMAZINE (THORAZINE) 50MG/2ML INJ","J3230","HCPCS","Both",,,"70","35","Blue Cross Blue Shield","HMO","",,"71",,"49.42","25.62","54.25","percent of total billed charges",,
"CHLORPROMAZINE (THORAZINE) 50MG/2ML INJ","J3230","HCPCS","Both",,,"70","35","Blue Cross Blue Shield","PPO","",,"71",,"49.42","25.62","54.25","percent of total billed charges",,
"CHLORPROMAZINE (THORAZINE) 50MG/2ML INJ","J3230","HCPCS","Both",,,"70","35","Ambetter","Health Exchange","",,"62",,"43.4","25.62","54.25","percent of total billed charges",,
"CHLORPROMAZINE (THORAZINE) 50MG/2ML INJ","J3230","HCPCS","Both",,,"70","35","Caresource","Health Exchange","",,"62",,"43.4","25.62","54.25","percent of total billed charges",,
"CHLORPROMAZINE (THORAZINE) 50MG/2ML INJ","J3230","HCPCS","Both",,,"70","35","Cigna","Commercial","",,"59",,"41.02","25.62","54.25","percent of total billed charges",,
"CHLORPROMAZINE (THORAZINE) 50MG/2ML INJ","J3230","HCPCS","Both",,,"70","35","Humana","Commercial","",,"78",,"54.25","25.62","54.25","percent of total billed charges",,
"CHLORPROMAZINE (THORAZINE) 50MG/2ML INJ","J3230","HCPCS","Both",,,"70","35","UHC","Commercial","",,"75",,"52.78","25.62","54.25","percent of total billed charges",,
"CHLORPROMAZINE (THORAZINE) 50MG/2ML INJ","J3230","HCPCS","Both",,,"70","35","Medicaid",,"",,"37",,"25.62","25.62","54.25","percent of total billed charges",,
"HALOPERIDOL DECANOATE 50 MG/ML INJECTION","J1631","HCPCS","Both",,,"60","30","Alliant","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"HALOPERIDOL DECANOATE 50 MG/ML INJECTION","J1631","HCPCS","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.4","21.96","46.5","percent of total billed charges",,
"HALOPERIDOL DECANOATE 50 MG/ML INJECTION","J1631","HCPCS","Both",,,"60","30","Medicare",,"",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"HALOPERIDOL DECANOATE 50 MG/ML INJECTION","J1631","HCPCS","Both",,,"60","30","Humana","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"HALOPERIDOL DECANOATE 50 MG/ML INJECTION","J1631","HCPCS","Both",,,"60","30","UHC","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"HALOPERIDOL DECANOATE 50 MG/ML INJECTION","J1631","HCPCS","Both",,,"60","30","Clover","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"HALOPERIDOL DECANOATE 50 MG/ML INJECTION","J1631","HCPCS","Both",,,"60","30","Wellcare","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"HALOPERIDOL DECANOATE 50 MG/ML INJECTION","J1631","HCPCS","Both",,,"60","30","Amerigroup","Medicaid Managed Care","",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"HALOPERIDOL DECANOATE 50 MG/ML INJECTION","J1631","HCPCS","Both",,,"60","30","Caresource","Medicaid Managed Care","",,"40",,"24","21.96","46.5","percent of total billed charges",,
"HALOPERIDOL DECANOATE 50 MG/ML INJECTION","J1631","HCPCS","Both",,,"60","30","Wellcare","Medicaid Managed Care","",,"40",,"24.3","21.96","46.5","percent of total billed charges",,
"HALOPERIDOL DECANOATE 50 MG/ML INJECTION","J1631","HCPCS","Both",,,"60","30","Aetna","Commercial","",,"64",,"38.28","21.96","46.5","percent of total billed charges",,
"HALOPERIDOL DECANOATE 50 MG/ML INJECTION","J1631","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","Pathways","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"HALOPERIDOL DECANOATE 50 MG/ML INJECTION","J1631","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","HMO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"HALOPERIDOL DECANOATE 50 MG/ML INJECTION","J1631","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","PPO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"HALOPERIDOL DECANOATE 50 MG/ML INJECTION","J1631","HCPCS","Both",,,"60","30","Ambetter","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"HALOPERIDOL DECANOATE 50 MG/ML INJECTION","J1631","HCPCS","Both",,,"60","30","Caresource","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"HALOPERIDOL DECANOATE 50 MG/ML INJECTION","J1631","HCPCS","Both",,,"60","30","Cigna","Commercial","",,"59",,"35.16","21.96","46.5","percent of total billed charges",,
"HALOPERIDOL DECANOATE 50 MG/ML INJECTION","J1631","HCPCS","Both",,,"60","30","Humana","Commercial","",,"78",,"46.5","21.96","46.5","percent of total billed charges",,
"HALOPERIDOL DECANOATE 50 MG/ML INJECTION","J1631","HCPCS","Both",,,"60","30","UHC","Commercial","",,"75",,"45.24","21.96","46.5","percent of total billed charges",,
"HALOPERIDOL DECANOATE 50 MG/ML INJECTION","J1631","HCPCS","Both",,,"60","30","Medicaid",,"",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"FLUPHENAZINE decanoate 25 MG/ML INJ","J2680","HCPCS","Both",,,"102","51","Alliant","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"FLUPHENAZINE decanoate 25 MG/ML INJ","J2680","HCPCS","Both",,,"102","51","Pruitt Healthcare","Medicare Advantage","",,"54",,"55.08","37.33","79.05","percent of total billed charges",,
"FLUPHENAZINE decanoate 25 MG/ML INJ","J2680","HCPCS","Both",,,"102","51","Medicare",,"",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"FLUPHENAZINE decanoate 25 MG/ML INJ","J2680","HCPCS","Both",,,"102","51","Humana","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"FLUPHENAZINE decanoate 25 MG/ML INJ","J2680","HCPCS","Both",,,"102","51","UHC","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"FLUPHENAZINE decanoate 25 MG/ML INJ","J2680","HCPCS","Both",,,"102","51","Clover","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"FLUPHENAZINE decanoate 25 MG/ML INJ","J2680","HCPCS","Both",,,"102","51","Wellcare","Medicare Advantage","",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"FLUPHENAZINE decanoate 25 MG/ML INJ","J2680","HCPCS","Both",,,"102","51","Amerigroup","Medicaid Managed Care","",,"37",,"37.33","37.33","79.05","percent of total billed charges",,
"FLUPHENAZINE decanoate 25 MG/ML INJ","J2680","HCPCS","Both",,,"102","51","Caresource","Medicaid Managed Care","",,"40",,"40.8","37.33","79.05","percent of total billed charges",,
"FLUPHENAZINE decanoate 25 MG/ML INJ","J2680","HCPCS","Both",,,"102","51","Wellcare","Medicaid Managed Care","",,"40",,"41.31","37.33","79.05","percent of total billed charges",,
"FLUPHENAZINE decanoate 25 MG/ML INJ","J2680","HCPCS","Both",,,"102","51","Aetna","Commercial","",,"64",,"65.08","37.33","79.05","percent of total billed charges",,
"FLUPHENAZINE decanoate 25 MG/ML INJ","J2680","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","Pathways","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"FLUPHENAZINE decanoate 25 MG/ML INJ","J2680","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","HMO","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"FLUPHENAZINE decanoate 25 MG/ML INJ","J2680","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","PPO","",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"FLUPHENAZINE decanoate 25 MG/ML INJ","J2680","HCPCS","Both",,,"102","51","Ambetter","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"FLUPHENAZINE decanoate 25 MG/ML INJ","J2680","HCPCS","Both",,,"102","51","Caresource","Health Exchange","",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"FLUPHENAZINE decanoate 25 MG/ML INJ","J2680","HCPCS","Both",,,"102","51","Cigna","Commercial","",,"59",,"59.77","37.33","79.05","percent of total billed charges",,
"FLUPHENAZINE decanoate 25 MG/ML INJ","J2680","HCPCS","Both",,,"102","51","Humana","Commercial","",,"78",,"79.05","37.33","79.05","percent of total billed charges",,
"FLUPHENAZINE decanoate 25 MG/ML INJ","J2680","HCPCS","Both",,,"102","51","UHC","Commercial","",,"75",,"76.91","37.33","79.05","percent of total billed charges",,
"FLUPHENAZINE decanoate 25 MG/ML INJ","J2680","HCPCS","Both",,,"102","51","Medicaid",,"",,"37",,"37.33","37.33","79.05","percent of total billed charges",,
"RISPERDAL CONSTA 12.5 MG INJ (LongAct)","J2794","HCPCS","Both",,,"506","253","Alliant","Health Exchange","",,"62",,"313.72","185.2","392.15","percent of total billed charges",,
"RISPERDAL CONSTA 12.5 MG INJ (LongAct)","J2794","HCPCS","Both",,,"506","253","Pruitt Healthcare","Medicare Advantage","",,"54",,"273.24","185.2","392.15","percent of total billed charges",,
"RISPERDAL CONSTA 12.5 MG INJ (LongAct)","J2794","HCPCS","Both",,,"506","253","Medicare",,"",,"54",,"274.25","185.2","392.15","percent of total billed charges",,
"RISPERDAL CONSTA 12.5 MG INJ (LongAct)","J2794","HCPCS","Both",,,"506","253","Humana","Medicare Advantage","",,"54",,"274.25","185.2","392.15","percent of total billed charges",,
"RISPERDAL CONSTA 12.5 MG INJ (LongAct)","J2794","HCPCS","Both",,,"506","253","UHC","Medicare Advantage","",,"54",,"274.25","185.2","392.15","percent of total billed charges",,
"RISPERDAL CONSTA 12.5 MG INJ (LongAct)","J2794","HCPCS","Both",,,"506","253","Clover","Medicare Advantage","",,"54",,"274.25","185.2","392.15","percent of total billed charges",,
"RISPERDAL CONSTA 12.5 MG INJ (LongAct)","J2794","HCPCS","Both",,,"506","253","Wellcare","Medicare Advantage","",,"54",,"274.25","185.2","392.15","percent of total billed charges",,
"RISPERDAL CONSTA 12.5 MG INJ (LongAct)","J2794","HCPCS","Both",,,"506","253","Amerigroup","Medicaid Managed Care","",,"37",,"185.2","185.2","392.15","percent of total billed charges",,
"RISPERDAL CONSTA 12.5 MG INJ (LongAct)","J2794","HCPCS","Both",,,"506","253","Caresource","Medicaid Managed Care","",,"40",,"202.4","185.2","392.15","percent of total billed charges",,
"RISPERDAL CONSTA 12.5 MG INJ (LongAct)","J2794","HCPCS","Both",,,"506","253","Wellcare","Medicaid Managed Care","",,"40",,"204.93","185.2","392.15","percent of total billed charges",,
"RISPERDAL CONSTA 12.5 MG INJ (LongAct)","J2794","HCPCS","Both",,,"506","253","Aetna","Commercial","",,"64",,"322.83","185.2","392.15","percent of total billed charges",,
"RISPERDAL CONSTA 12.5 MG INJ (LongAct)","J2794","HCPCS","Both",,,"506","253","Blue Cross Blue Shield","Pathways","",,"71",,"357.24","185.2","392.15","percent of total billed charges",,
"RISPERDAL CONSTA 12.5 MG INJ (LongAct)","J2794","HCPCS","Both",,,"506","253","Blue Cross Blue Shield","HMO","",,"71",,"357.24","185.2","392.15","percent of total billed charges",,
"RISPERDAL CONSTA 12.5 MG INJ (LongAct)","J2794","HCPCS","Both",,,"506","253","Blue Cross Blue Shield","PPO","",,"71",,"357.24","185.2","392.15","percent of total billed charges",,
"RISPERDAL CONSTA 12.5 MG INJ (LongAct)","J2794","HCPCS","Both",,,"506","253","Ambetter","Health Exchange","",,"62",,"313.72","185.2","392.15","percent of total billed charges",,
"RISPERDAL CONSTA 12.5 MG INJ (LongAct)","J2794","HCPCS","Both",,,"506","253","Caresource","Health Exchange","",,"62",,"313.72","185.2","392.15","percent of total billed charges",,
"RISPERDAL CONSTA 12.5 MG INJ (LongAct)","J2794","HCPCS","Both",,,"506","253","Cigna","Commercial","",,"59",,"296.52","185.2","392.15","percent of total billed charges",,
"RISPERDAL CONSTA 12.5 MG INJ (LongAct)","J2794","HCPCS","Both",,,"506","253","Humana","Commercial","",,"78",,"392.15","185.2","392.15","percent of total billed charges",,
"RISPERDAL CONSTA 12.5 MG INJ (LongAct)","J2794","HCPCS","Both",,,"506","253","UHC","Commercial","",,"75",,"381.52","185.2","392.15","percent of total billed charges",,
"RISPERDAL CONSTA 12.5 MG INJ (LongAct)","J2794","HCPCS","Both",,,"506","253","Medicaid",,"",,"37",,"185.2","185.2","392.15","percent of total billed charges",,
"ORPHENADRINE 60 MG/2 ML INJECTION","J2360","HCPCS","Both",,,"43","21.5","Alliant","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"ORPHENADRINE 60 MG/2 ML INJECTION","J2360","HCPCS","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"23.22","15.74","33.33","percent of total billed charges",,
"ORPHENADRINE 60 MG/2 ML INJECTION","J2360","HCPCS","Both",,,"43","21.5","Medicare",,"",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"ORPHENADRINE 60 MG/2 ML INJECTION","J2360","HCPCS","Both",,,"43","21.5","Humana","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"ORPHENADRINE 60 MG/2 ML INJECTION","J2360","HCPCS","Both",,,"43","21.5","UHC","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"ORPHENADRINE 60 MG/2 ML INJECTION","J2360","HCPCS","Both",,,"43","21.5","Clover","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"ORPHENADRINE 60 MG/2 ML INJECTION","J2360","HCPCS","Both",,,"43","21.5","Wellcare","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"ORPHENADRINE 60 MG/2 ML INJECTION","J2360","HCPCS","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care","",,"37",,"15.74","15.74","33.33","percent of total billed charges",,
"ORPHENADRINE 60 MG/2 ML INJECTION","J2360","HCPCS","Both",,,"43","21.5","Caresource","Medicaid Managed Care","",,"40",,"17.2","15.74","33.33","percent of total billed charges",,
"ORPHENADRINE 60 MG/2 ML INJECTION","J2360","HCPCS","Both",,,"43","21.5","Wellcare","Medicaid Managed Care","",,"40",,"17.42","15.74","33.33","percent of total billed charges",,
"ORPHENADRINE 60 MG/2 ML INJECTION","J2360","HCPCS","Both",,,"43","21.5","Aetna","Commercial","",,"64",,"27.43","15.74","33.33","percent of total billed charges",,
"ORPHENADRINE 60 MG/2 ML INJECTION","J2360","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"ORPHENADRINE 60 MG/2 ML INJECTION","J2360","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","HMO","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"ORPHENADRINE 60 MG/2 ML INJECTION","J2360","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","PPO","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"ORPHENADRINE 60 MG/2 ML INJECTION","J2360","HCPCS","Both",,,"43","21.5","Ambetter","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"ORPHENADRINE 60 MG/2 ML INJECTION","J2360","HCPCS","Both",,,"43","21.5","Caresource","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"ORPHENADRINE 60 MG/2 ML INJECTION","J2360","HCPCS","Both",,,"43","21.5","Cigna","Commercial","",,"59",,"25.2","15.74","33.33","percent of total billed charges",,
"ORPHENADRINE 60 MG/2 ML INJECTION","J2360","HCPCS","Both",,,"43","21.5","Humana","Commercial","",,"78",,"33.33","15.74","33.33","percent of total billed charges",,
"ORPHENADRINE 60 MG/2 ML INJECTION","J2360","HCPCS","Both",,,"43","21.5","UHC","Commercial","",,"75",,"32.42","15.74","33.33","percent of total billed charges",,
"ORPHENADRINE 60 MG/2 ML INJECTION","J2360","HCPCS","Both",,,"43","21.5","Medicaid",,"",,"37",,"15.74","15.74","33.33","percent of total billed charges",,
"CLINDAMYCIN 600 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Alliant","Health Exchange","",,"62",,"26.66","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 600 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"23.22","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 600 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Medicare",,"",,"54",,"23.31","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 600 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Humana","Medicare Advantage","",,"54",,"23.31","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 600 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","UHC","Medicare Advantage","",,"54",,"23.31","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 600 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Clover","Medicare Advantage","",,"54",,"23.31","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 600 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Wellcare","Medicare Advantage","",,"54",,"23.31","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 600 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care","",,"37",,"15.74","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 600 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Caresource","Medicaid Managed Care","",,"40",,"17.2","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 600 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Wellcare","Medicaid Managed Care","",,"40",,"17.42","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 600 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Aetna","Commercial","",,"64",,"27.43","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 600 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways","",,"71",,"30.36","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 600 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","HMO","",,"71",,"30.36","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 600 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","PPO","",,"71",,"30.36","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 600 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Ambetter","Health Exchange","",,"62",,"26.66","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 600 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Caresource","Health Exchange","",,"62",,"26.66","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 600 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Cigna","Commercial","",,"59",,"25.2","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 600 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Humana","Commercial","",,"78",,"33.33","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 600 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","UHC","Commercial","",,"75",,"32.42","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 600 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Medicaid",,"",,"37",,"15.74","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 300 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Alliant","Health Exchange","",,"62",,"26.66","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 300 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"23.22","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 300 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Medicare",,"",,"54",,"23.31","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 300 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Humana","Medicare Advantage","",,"54",,"23.31","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 300 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","UHC","Medicare Advantage","",,"54",,"23.31","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 300 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Clover","Medicare Advantage","",,"54",,"23.31","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 300 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Wellcare","Medicare Advantage","",,"54",,"23.31","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 300 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care","",,"37",,"15.74","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 300 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Caresource","Medicaid Managed Care","",,"40",,"17.2","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 300 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Wellcare","Medicaid Managed Care","",,"40",,"17.42","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 300 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Aetna","Commercial","",,"64",,"27.43","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 300 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways","",,"71",,"30.36","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 300 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","HMO","",,"71",,"30.36","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 300 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","PPO","",,"71",,"30.36","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 300 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Ambetter","Health Exchange","",,"62",,"26.66","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 300 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Caresource","Health Exchange","",,"62",,"26.66","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 300 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Cigna","Commercial","",,"59",,"25.2","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 300 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Humana","Commercial","",,"78",,"33.33","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 300 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","UHC","Commercial","",,"75",,"32.42","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 300 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Medicaid",,"",,"37",,"15.74","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 900 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Alliant","Health Exchange","",,"62",,"26.66","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 900 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"23.22","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 900 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Medicare",,"",,"54",,"23.31","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 900 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Humana","Medicare Advantage","",,"54",,"23.31","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 900 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","UHC","Medicare Advantage","",,"54",,"23.31","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 900 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Clover","Medicare Advantage","",,"54",,"23.31","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 900 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Wellcare","Medicare Advantage","",,"54",,"23.31","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 900 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care","",,"37",,"15.74","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 900 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Caresource","Medicaid Managed Care","",,"40",,"17.2","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 900 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Wellcare","Medicaid Managed Care","",,"40",,"17.42","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 900 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Aetna","Commercial","",,"64",,"27.43","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 900 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways","",,"71",,"30.36","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 900 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","HMO","",,"71",,"30.36","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 900 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","PPO","",,"71",,"30.36","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 900 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Ambetter","Health Exchange","",,"62",,"26.66","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 900 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Caresource","Health Exchange","",,"62",,"26.66","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 900 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Cigna","Commercial","",,"59",,"25.2","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 900 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Humana","Commercial","",,"78",,"33.33","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 900 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","UHC","Commercial","",,"75",,"32.42","9.88","33.33","percent of total billed charges",,
"CLINDAMYCIN 900 MG/50 ML D5W PREMIX","J3490","HCPCS","Both",,,"43","21.5","Medicaid",,"",,"37",,"15.74","9.88","33.33","percent of total billed charges",,
"FENTANYL (SUBLIMAZE) 250 MCG/5 ML INJ","J3010","HCPCS","Both",,,"22","11","Alliant","Health Exchange","",,"62",,"13.64","8.05","17.05","percent of total billed charges",,
"FENTANYL (SUBLIMAZE) 250 MCG/5 ML INJ","J3010","HCPCS","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage","",,"54",,"11.88","8.05","17.05","percent of total billed charges",,
"FENTANYL (SUBLIMAZE) 250 MCG/5 ML INJ","J3010","HCPCS","Both",,,"22","11","Medicare",,"",,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"FENTANYL (SUBLIMAZE) 250 MCG/5 ML INJ","J3010","HCPCS","Both",,,"22","11","Humana","Medicare Advantage","",,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"FENTANYL (SUBLIMAZE) 250 MCG/5 ML INJ","J3010","HCPCS","Both",,,"22","11","UHC","Medicare Advantage","",,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"FENTANYL (SUBLIMAZE) 250 MCG/5 ML INJ","J3010","HCPCS","Both",,,"22","11","Clover","Medicare Advantage","",,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"FENTANYL (SUBLIMAZE) 250 MCG/5 ML INJ","J3010","HCPCS","Both",,,"22","11","Wellcare","Medicare Advantage","",,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"FENTANYL (SUBLIMAZE) 250 MCG/5 ML INJ","J3010","HCPCS","Both",,,"22","11","Amerigroup","Medicaid Managed Care","",,"37",,"8.05","8.05","17.05","percent of total billed charges",,
"FENTANYL (SUBLIMAZE) 250 MCG/5 ML INJ","J3010","HCPCS","Both",,,"22","11","Caresource","Medicaid Managed Care","",,"40",,"8.8","8.05","17.05","percent of total billed charges",,
"FENTANYL (SUBLIMAZE) 250 MCG/5 ML INJ","J3010","HCPCS","Both",,,"22","11","Wellcare","Medicaid Managed Care","",,"40",,"8.91","8.05","17.05","percent of total billed charges",,
"FENTANYL (SUBLIMAZE) 250 MCG/5 ML INJ","J3010","HCPCS","Both",,,"22","11","Aetna","Commercial","",,"64",,"14.04","8.05","17.05","percent of total billed charges",,
"FENTANYL (SUBLIMAZE) 250 MCG/5 ML INJ","J3010","HCPCS","Both",,,"22","11","Blue Cross Blue Shield","Pathways","",,"71",,"15.53","8.05","17.05","percent of total billed charges",,
"FENTANYL (SUBLIMAZE) 250 MCG/5 ML INJ","J3010","HCPCS","Both",,,"22","11","Blue Cross Blue Shield","HMO","",,"71",,"15.53","8.05","17.05","percent of total billed charges",,
"FENTANYL (SUBLIMAZE) 250 MCG/5 ML INJ","J3010","HCPCS","Both",,,"22","11","Blue Cross Blue Shield","PPO","",,"71",,"15.53","8.05","17.05","percent of total billed charges",,
"FENTANYL (SUBLIMAZE) 250 MCG/5 ML INJ","J3010","HCPCS","Both",,,"22","11","Ambetter","Health Exchange","",,"62",,"13.64","8.05","17.05","percent of total billed charges",,
"FENTANYL (SUBLIMAZE) 250 MCG/5 ML INJ","J3010","HCPCS","Both",,,"22","11","Caresource","Health Exchange","",,"62",,"13.64","8.05","17.05","percent of total billed charges",,
"FENTANYL (SUBLIMAZE) 250 MCG/5 ML INJ","J3010","HCPCS","Both",,,"22","11","Cigna","Commercial","",,"59",,"12.89","8.05","17.05","percent of total billed charges",,
"FENTANYL (SUBLIMAZE) 250 MCG/5 ML INJ","J3010","HCPCS","Both",,,"22","11","Humana","Commercial","",,"78",,"17.05","8.05","17.05","percent of total billed charges",,
"FENTANYL (SUBLIMAZE) 250 MCG/5 ML INJ","J3010","HCPCS","Both",,,"22","11","UHC","Commercial","",,"75",,"16.59","8.05","17.05","percent of total billed charges",,
"FENTANYL (SUBLIMAZE) 250 MCG/5 ML INJ","J3010","HCPCS","Both",,,"22","11","Medicaid",,"",,"37",,"8.05","8.05","17.05","percent of total billed charges",,
"PT ULTRASOUND/PHONOPHERESIS EA 15 MINS","97035","HCPCS","Both",,,"105.5","52.75","Alliant","Health Exchange","GP,PN",,"62",,"65.41","38.61","81.76","percent of total billed charges",,
"PT ULTRASOUND/PHONOPHERESIS EA 15 MINS","97035","HCPCS","Both",,,"105.5","52.75","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"56.97","38.61","81.76","percent of total billed charges",,
"PT ULTRASOUND/PHONOPHERESIS EA 15 MINS","97035","HCPCS","Both",,,"105.5","52.75","Medicare",,"GP,PN",,"54",,"57.18","38.61","81.76","percent of total billed charges",,
"PT ULTRASOUND/PHONOPHERESIS EA 15 MINS","97035","HCPCS","Both",,,"105.5","52.75","Humana","Medicare Advantage","GP,PN",,"54",,"57.18","38.61","81.76","percent of total billed charges",,
"PT ULTRASOUND/PHONOPHERESIS EA 15 MINS","97035","HCPCS","Both",,,"105.5","52.75","UHC","Medicare Advantage","GP,PN",,"54",,"57.18","38.61","81.76","percent of total billed charges",,
"PT ULTRASOUND/PHONOPHERESIS EA 15 MINS","97035","HCPCS","Both",,,"105.5","52.75","Clover","Medicare Advantage","GP,PN",,"54",,"57.18","38.61","81.76","percent of total billed charges",,
"PT ULTRASOUND/PHONOPHERESIS EA 15 MINS","97035","HCPCS","Both",,,"105.5","52.75","Wellcare","Medicare Advantage","GP,PN",,"54",,"57.18","38.61","81.76","percent of total billed charges",,
"PT ULTRASOUND/PHONOPHERESIS EA 15 MINS","97035","HCPCS","Both",,,"105.5","52.75","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"38.61","38.61","81.76","percent of total billed charges",,
"PT ULTRASOUND/PHONOPHERESIS EA 15 MINS","97035","HCPCS","Both",,,"105.5","52.75","Caresource","Medicaid Managed Care","GP,PN",,"40",,"42.2","38.61","81.76","percent of total billed charges",,
"PT ULTRASOUND/PHONOPHERESIS EA 15 MINS","97035","HCPCS","Both",,,"105.5","52.75","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"42.73","38.61","81.76","percent of total billed charges",,
"PT ULTRASOUND/PHONOPHERESIS EA 15 MINS","97035","HCPCS","Both",,,"105.5","52.75","Aetna","Commercial","GP,PN",,"64",,"67.31","38.61","81.76","percent of total billed charges",,
"PT ULTRASOUND/PHONOPHERESIS EA 15 MINS","97035","HCPCS","Both",,,"105.5","52.75","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"74.48","38.61","81.76","percent of total billed charges",,
"PT ULTRASOUND/PHONOPHERESIS EA 15 MINS","97035","HCPCS","Both",,,"105.5","52.75","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"74.48","38.61","81.76","percent of total billed charges",,
"PT ULTRASOUND/PHONOPHERESIS EA 15 MINS","97035","HCPCS","Both",,,"105.5","52.75","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"74.48","38.61","81.76","percent of total billed charges",,
"PT ULTRASOUND/PHONOPHERESIS EA 15 MINS","97035","HCPCS","Both",,,"105.5","52.75","Ambetter","Health Exchange","GP,PN",,"62",,"65.41","38.61","81.76","percent of total billed charges",,
"PT ULTRASOUND/PHONOPHERESIS EA 15 MINS","97035","HCPCS","Both",,,"105.5","52.75","Caresource","Health Exchange","GP,PN",,"62",,"65.41","38.61","81.76","percent of total billed charges",,
"PT ULTRASOUND/PHONOPHERESIS EA 15 MINS","97035","HCPCS","Both",,,"105.5","52.75","Cigna","Commercial","GP,PN",,"59",,"61.82","38.61","81.76","percent of total billed charges",,
"PT ULTRASOUND/PHONOPHERESIS EA 15 MINS","97035","HCPCS","Both",,,"105.5","52.75","Humana","Commercial","GP,PN",,"78",,"81.76","38.61","81.76","percent of total billed charges",,
"PT ULTRASOUND/PHONOPHERESIS EA 15 MINS","97035","HCPCS","Both",,,"105.5","52.75","UHC","Commercial","GP,PN",,"75",,"79.55","38.61","81.76","percent of total billed charges",,
"PT ULTRASOUND/PHONOPHERESIS EA 15 MINS","97035","HCPCS","Both",,,"105.5","52.75","Medicaid",,"GP,PN",,"37",,"38.61","38.61","81.76","percent of total billed charges",,
"PT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Alliant","Health Exchange","GP,PN",,"62",,"30.07","17.75","37.59","percent of total billed charges",,
"PT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"26.19","17.75","37.59","percent of total billed charges",,
"PT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Medicare",,"GP,PN",,"54",,"26.29","17.75","37.59","percent of total billed charges",,
"PT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Humana","Medicare Advantage","GP,PN",,"54",,"26.29","17.75","37.59","percent of total billed charges",,
"PT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","UHC","Medicare Advantage","GP,PN",,"54",,"26.29","17.75","37.59","percent of total billed charges",,
"PT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Clover","Medicare Advantage","GP,PN",,"54",,"26.29","17.75","37.59","percent of total billed charges",,
"PT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Wellcare","Medicare Advantage","GP,PN",,"54",,"26.29","17.75","37.59","percent of total billed charges",,
"PT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"17.75","17.75","37.59","percent of total billed charges",,
"PT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Caresource","Medicaid Managed Care","GP,PN",,"40",,"19.4","17.75","37.59","percent of total billed charges",,
"PT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"19.64","17.75","37.59","percent of total billed charges",,
"PT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Aetna","Commercial","GP,PN",,"64",,"30.94","17.75","37.59","percent of total billed charges",,
"PT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"34.24","17.75","37.59","percent of total billed charges",,
"PT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"34.24","17.75","37.59","percent of total billed charges",,
"PT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"34.24","17.75","37.59","percent of total billed charges",,
"PT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Ambetter","Health Exchange","GP,PN",,"62",,"30.07","17.75","37.59","percent of total billed charges",,
"PT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Caresource","Health Exchange","GP,PN",,"62",,"30.07","17.75","37.59","percent of total billed charges",,
"PT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Cigna","Commercial","GP,PN",,"59",,"28.42","17.75","37.59","percent of total billed charges",,
"PT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Humana","Commercial","GP,PN",,"78",,"37.59","17.75","37.59","percent of total billed charges",,
"PT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","UHC","Commercial","GP,PN",,"75",,"36.57","17.75","37.59","percent of total billed charges",,
"PT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Medicaid",,"GP,PN",,"37",,"17.75","17.75","37.59","percent of total billed charges",,
"PT THERAP ACTIV EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Alliant","Health Exchange","GP,PN",,"62",,"167.59","98.93","209.48","percent of total billed charges",,
"PT THERAP ACTIV EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"145.96","98.93","209.48","percent of total billed charges",,
"PT THERAP ACTIV EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Medicare",,"GP,PN",,"54",,"146.5","98.93","209.48","percent of total billed charges",,
"PT THERAP ACTIV EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Humana","Medicare Advantage","GP,PN",,"54",,"146.5","98.93","209.48","percent of total billed charges",,
"PT THERAP ACTIV EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","UHC","Medicare Advantage","GP,PN",,"54",,"146.5","98.93","209.48","percent of total billed charges",,
"PT THERAP ACTIV EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Clover","Medicare Advantage","GP,PN",,"54",,"146.5","98.93","209.48","percent of total billed charges",,
"PT THERAP ACTIV EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Wellcare","Medicare Advantage","GP,PN",,"54",,"146.5","98.93","209.48","percent of total billed charges",,
"PT THERAP ACTIV EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"98.93","98.93","209.48","percent of total billed charges",,
"PT THERAP ACTIV EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Caresource","Medicaid Managed Care","GP,PN",,"40",,"108.12","98.93","209.48","percent of total billed charges",,
"PT THERAP ACTIV EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"109.47","98.93","209.48","percent of total billed charges",,
"PT THERAP ACTIV EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Aetna","Commercial","GP,PN",,"64",,"172.45","98.93","209.48","percent of total billed charges",,
"PT THERAP ACTIV EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"190.83","98.93","209.48","percent of total billed charges",,
"PT THERAP ACTIV EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"190.83","98.93","209.48","percent of total billed charges",,
"PT THERAP ACTIV EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"190.83","98.93","209.48","percent of total billed charges",,
"PT THERAP ACTIV EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Ambetter","Health Exchange","GP,PN",,"62",,"167.59","98.93","209.48","percent of total billed charges",,
"PT THERAP ACTIV EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Caresource","Health Exchange","GP,PN",,"62",,"167.59","98.93","209.48","percent of total billed charges",,
"PT THERAP ACTIV EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Cigna","Commercial","GP,PN",,"59",,"158.4","98.93","209.48","percent of total billed charges",,
"PT THERAP ACTIV EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Humana","Commercial","GP,PN",,"78",,"209.48","98.93","209.48","percent of total billed charges",,
"PT THERAP ACTIV EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","UHC","Commercial","GP,PN",,"75",,"203.81","98.93","209.48","percent of total billed charges",,
"PT THERAP ACTIV EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Medicaid",,"GP,PN",,"37",,"98.93","98.93","209.48","percent of total billed charges",,
"PT MASSAGE EA 15 MINS","97124","HCPCS","Both",,,"75.5","37.75","Alliant","Health Exchange","GP,PN",,"62",,"46.81","27.63","58.51","percent of total billed charges",,
"PT MASSAGE EA 15 MINS","97124","HCPCS","Both",,,"75.5","37.75","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"40.77","27.63","58.51","percent of total billed charges",,
"PT MASSAGE EA 15 MINS","97124","HCPCS","Both",,,"75.5","37.75","Medicare",,"GP,PN",,"54",,"40.92","27.63","58.51","percent of total billed charges",,
"PT MASSAGE EA 15 MINS","97124","HCPCS","Both",,,"75.5","37.75","Humana","Medicare Advantage","GP,PN",,"54",,"40.92","27.63","58.51","percent of total billed charges",,
"PT MASSAGE EA 15 MINS","97124","HCPCS","Both",,,"75.5","37.75","UHC","Medicare Advantage","GP,PN",,"54",,"40.92","27.63","58.51","percent of total billed charges",,
"PT MASSAGE EA 15 MINS","97124","HCPCS","Both",,,"75.5","37.75","Clover","Medicare Advantage","GP,PN",,"54",,"40.92","27.63","58.51","percent of total billed charges",,
"PT MASSAGE EA 15 MINS","97124","HCPCS","Both",,,"75.5","37.75","Wellcare","Medicare Advantage","GP,PN",,"54",,"40.92","27.63","58.51","percent of total billed charges",,
"PT MASSAGE EA 15 MINS","97124","HCPCS","Both",,,"75.5","37.75","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"27.63","27.63","58.51","percent of total billed charges",,
"PT MASSAGE EA 15 MINS","97124","HCPCS","Both",,,"75.5","37.75","Caresource","Medicaid Managed Care","GP,PN",,"40",,"30.2","27.63","58.51","percent of total billed charges",,
"PT MASSAGE EA 15 MINS","97124","HCPCS","Both",,,"75.5","37.75","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"30.58","27.63","58.51","percent of total billed charges",,
"PT MASSAGE EA 15 MINS","97124","HCPCS","Both",,,"75.5","37.75","Aetna","Commercial","GP,PN",,"64",,"48.17","27.63","58.51","percent of total billed charges",,
"PT MASSAGE EA 15 MINS","97124","HCPCS","Both",,,"75.5","37.75","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"53.3","27.63","58.51","percent of total billed charges",,
"PT MASSAGE EA 15 MINS","97124","HCPCS","Both",,,"75.5","37.75","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"53.3","27.63","58.51","percent of total billed charges",,
"PT MASSAGE EA 15 MINS","97124","HCPCS","Both",,,"75.5","37.75","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"53.3","27.63","58.51","percent of total billed charges",,
"PT MASSAGE EA 15 MINS","97124","HCPCS","Both",,,"75.5","37.75","Ambetter","Health Exchange","GP,PN",,"62",,"46.81","27.63","58.51","percent of total billed charges",,
"PT MASSAGE EA 15 MINS","97124","HCPCS","Both",,,"75.5","37.75","Caresource","Health Exchange","GP,PN",,"62",,"46.81","27.63","58.51","percent of total billed charges",,
"PT MASSAGE EA 15 MINS","97124","HCPCS","Both",,,"75.5","37.75","Cigna","Commercial","GP,PN",,"59",,"44.24","27.63","58.51","percent of total billed charges",,
"PT MASSAGE EA 15 MINS","97124","HCPCS","Both",,,"75.5","37.75","Humana","Commercial","GP,PN",,"78",,"58.51","27.63","58.51","percent of total billed charges",,
"PT MASSAGE EA 15 MINS","97124","HCPCS","Both",,,"75.5","37.75","UHC","Commercial","GP,PN",,"75",,"56.93","27.63","58.51","percent of total billed charges",,
"PT MASSAGE EA 15 MINS","97124","HCPCS","Both",,,"75.5","37.75","Medicaid",,"GP,PN",,"37",,"27.63","27.63","58.51","percent of total billed charges",,
"PT NEUROMUSCULAR REED EA 15 MIN","97112","HCPCS","Both",,,"277.1","138.55","Alliant","Health Exchange","GP,PN",,"62",,"171.8","59.66","214.75","percent of total billed charges",,
"PT NEUROMUSCULAR REED EA 15 MIN","97112","HCPCS","Both",,,"277.1","138.55","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"149.63","59.66","214.75","percent of total billed charges",,
"PT NEUROMUSCULAR REED EA 15 MIN","97112","HCPCS","Both",,,"277.1","138.55","Medicare",,"GP,PN",,"54",,"150.19","59.66","214.75","percent of total billed charges",,
"PT NEUROMUSCULAR REED EA 15 MIN","97112","HCPCS","Both",,,"277.1","138.55","Humana","Medicare Advantage","GP,PN",,"54",,"150.19","59.66","214.75","percent of total billed charges",,
"PT NEUROMUSCULAR REED EA 15 MIN","97112","HCPCS","Both",,,"277.1","138.55","UHC","Medicare Advantage","GP,PN",,"54",,"150.19","59.66","214.75","percent of total billed charges",,
"PT NEUROMUSCULAR REED EA 15 MIN","97112","HCPCS","Both",,,"277.1","138.55","Clover","Medicare Advantage","GP,PN",,"54",,"150.19","59.66","214.75","percent of total billed charges",,
"PT NEUROMUSCULAR REED EA 15 MIN","97112","HCPCS","Both",,,"277.1","138.55","Wellcare","Medicare Advantage","GP,PN",,"54",,"150.19","59.66","214.75","percent of total billed charges",,
"PT NEUROMUSCULAR REED EA 15 MIN","97112","HCPCS","Both",,,"277.1","138.55","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"101.42","59.66","214.75","percent of total billed charges",,
"PT NEUROMUSCULAR REED EA 15 MIN","97112","HCPCS","Both",,,"277.1","138.55","Caresource","Medicaid Managed Care","GP,PN",,"40",,"110.84","59.66","214.75","percent of total billed charges",,
"PT NEUROMUSCULAR REED EA 15 MIN","97112","HCPCS","Both",,,"277.1","138.55","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"112.23","59.66","214.75","percent of total billed charges",,
"PT NEUROMUSCULAR REED EA 15 MIN","97112","HCPCS","Both",,,"277.1","138.55","Aetna","Commercial","GP,PN",,"64",,"176.79","59.66","214.75","percent of total billed charges",,
"PT NEUROMUSCULAR REED EA 15 MIN","97112","HCPCS","Both",,,"277.1","138.55","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"195.63","59.66","214.75","percent of total billed charges",,
"PT NEUROMUSCULAR REED EA 15 MIN","97112","HCPCS","Both",,,"277.1","138.55","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"195.63","59.66","214.75","percent of total billed charges",,
"PT NEUROMUSCULAR REED EA 15 MIN","97112","HCPCS","Both",,,"277.1","138.55","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"195.63","59.66","214.75","percent of total billed charges",,
"PT NEUROMUSCULAR REED EA 15 MIN","97112","HCPCS","Both",,,"277.1","138.55","Ambetter","Health Exchange","GP,PN",,"62",,"171.8","59.66","214.75","percent of total billed charges",,
"PT NEUROMUSCULAR REED EA 15 MIN","97112","HCPCS","Both",,,"277.1","138.55","Caresource","Health Exchange","GP,PN",,"62",,"171.8","59.66","214.75","percent of total billed charges",,
"PT NEUROMUSCULAR REED EA 15 MIN","97112","HCPCS","Both",,,"277.1","138.55","Cigna","Commercial","GP,PN",,"59",,"162.38","59.66","214.75","percent of total billed charges",,
"PT NEUROMUSCULAR REED EA 15 MIN","97112","HCPCS","Both",,,"277.1","138.55","Humana","Commercial","GP,PN",,"78",,"214.75","59.66","214.75","percent of total billed charges",,
"PT NEUROMUSCULAR REED EA 15 MIN","97112","HCPCS","Both",,,"277.1","138.55","UHC","Commercial","GP,PN",,"75",,"208.93","59.66","214.75","percent of total billed charges",,
"PT NEUROMUSCULAR REED EA 15 MIN","97112","HCPCS","Both",,,"277.1","138.55","Medicaid",,"GP,PN",,"37",,"101.42","59.66","214.75","percent of total billed charges",,
"PT ELECTRICAL STIM UNATTENDED","97014","HCPCS","Both",,,"131.75","65.875","Alliant","Health Exchange","GP,PN",,"62",,"81.68","28.36","102.11","percent of total billed charges",,
"PT ELECTRICAL STIM UNATTENDED","97014","HCPCS","Both",,,"131.75","65.875","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"71.15","28.36","102.11","percent of total billed charges",,
"PT ELECTRICAL STIM UNATTENDED","97014","HCPCS","Both",,,"131.75","65.875","Medicare",,"GP,PN",,"54",,"71.41","28.36","102.11","percent of total billed charges",,
"PT ELECTRICAL STIM UNATTENDED","97014","HCPCS","Both",,,"131.75","65.875","Humana","Medicare Advantage","GP,PN",,"54",,"71.41","28.36","102.11","percent of total billed charges",,
"PT ELECTRICAL STIM UNATTENDED","97014","HCPCS","Both",,,"131.75","65.875","UHC","Medicare Advantage","GP,PN",,"54",,"71.41","28.36","102.11","percent of total billed charges",,
"PT ELECTRICAL STIM UNATTENDED","97014","HCPCS","Both",,,"131.75","65.875","Clover","Medicare Advantage","GP,PN",,"54",,"71.41","28.36","102.11","percent of total billed charges",,
"PT ELECTRICAL STIM UNATTENDED","97014","HCPCS","Both",,,"131.75","65.875","Wellcare","Medicare Advantage","GP,PN",,"54",,"71.41","28.36","102.11","percent of total billed charges",,
"PT ELECTRICAL STIM UNATTENDED","97014","HCPCS","Both",,,"131.75","65.875","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"48.22","28.36","102.11","percent of total billed charges",,
"PT ELECTRICAL STIM UNATTENDED","97014","HCPCS","Both",,,"131.75","65.875","Caresource","Medicaid Managed Care","GP,PN",,"40",,"52.7","28.36","102.11","percent of total billed charges",,
"PT ELECTRICAL STIM UNATTENDED","97014","HCPCS","Both",,,"131.75","65.875","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"53.36","28.36","102.11","percent of total billed charges",,
"PT ELECTRICAL STIM UNATTENDED","97014","HCPCS","Both",,,"131.75","65.875","Aetna","Commercial","GP,PN",,"64",,"84.06","28.36","102.11","percent of total billed charges",,
"PT ELECTRICAL STIM UNATTENDED","97014","HCPCS","Both",,,"131.75","65.875","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"93.02","28.36","102.11","percent of total billed charges",,
"PT ELECTRICAL STIM UNATTENDED","97014","HCPCS","Both",,,"131.75","65.875","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"93.02","28.36","102.11","percent of total billed charges",,
"PT ELECTRICAL STIM UNATTENDED","97014","HCPCS","Both",,,"131.75","65.875","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"93.02","28.36","102.11","percent of total billed charges",,
"PT ELECTRICAL STIM UNATTENDED","97014","HCPCS","Both",,,"131.75","65.875","Ambetter","Health Exchange","GP,PN",,"62",,"81.68","28.36","102.11","percent of total billed charges",,
"PT ELECTRICAL STIM UNATTENDED","97014","HCPCS","Both",,,"131.75","65.875","Caresource","Health Exchange","GP,PN",,"62",,"81.68","28.36","102.11","percent of total billed charges",,
"PT ELECTRICAL STIM UNATTENDED","97014","HCPCS","Both",,,"131.75","65.875","Cigna","Commercial","GP,PN",,"59",,"77.21","28.36","102.11","percent of total billed charges",,
"PT ELECTRICAL STIM UNATTENDED","97014","HCPCS","Both",,,"131.75","65.875","Humana","Commercial","GP,PN",,"78",,"102.11","28.36","102.11","percent of total billed charges",,
"PT ELECTRICAL STIM UNATTENDED","97014","HCPCS","Both",,,"131.75","65.875","UHC","Commercial","GP,PN",,"75",,"99.34","28.36","102.11","percent of total billed charges",,
"PT ELECTRICAL STIM UNATTENDED","97014","HCPCS","Both",,,"131.75","65.875","Medicaid",,"GP,PN",,"37",,"48.22","28.36","102.11","percent of total billed charges",,
"PT TRACTION MECHANICAL","97012","HCPCS","Both",,,"89.5","44.75","Alliant","Health Exchange","GP,PN",,"62",,"55.49","32.76","69.36","percent of total billed charges",,
"PT TRACTION MECHANICAL","97012","HCPCS","Both",,,"89.5","44.75","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"48.33","32.76","69.36","percent of total billed charges",,
"PT TRACTION MECHANICAL","97012","HCPCS","Both",,,"89.5","44.75","Medicare",,"GP,PN",,"54",,"48.51","32.76","69.36","percent of total billed charges",,
"PT TRACTION MECHANICAL","97012","HCPCS","Both",,,"89.5","44.75","Humana","Medicare Advantage","GP,PN",,"54",,"48.51","32.76","69.36","percent of total billed charges",,
"PT TRACTION MECHANICAL","97012","HCPCS","Both",,,"89.5","44.75","UHC","Medicare Advantage","GP,PN",,"54",,"48.51","32.76","69.36","percent of total billed charges",,
"PT TRACTION MECHANICAL","97012","HCPCS","Both",,,"89.5","44.75","Clover","Medicare Advantage","GP,PN",,"54",,"48.51","32.76","69.36","percent of total billed charges",,
"PT TRACTION MECHANICAL","97012","HCPCS","Both",,,"89.5","44.75","Wellcare","Medicare Advantage","GP,PN",,"54",,"48.51","32.76","69.36","percent of total billed charges",,
"PT TRACTION MECHANICAL","97012","HCPCS","Both",,,"89.5","44.75","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"32.76","32.76","69.36","percent of total billed charges",,
"PT TRACTION MECHANICAL","97012","HCPCS","Both",,,"89.5","44.75","Caresource","Medicaid Managed Care","GP,PN",,"40",,"35.8","32.76","69.36","percent of total billed charges",,
"PT TRACTION MECHANICAL","97012","HCPCS","Both",,,"89.5","44.75","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"36.25","32.76","69.36","percent of total billed charges",,
"PT TRACTION MECHANICAL","97012","HCPCS","Both",,,"89.5","44.75","Aetna","Commercial","GP,PN",,"64",,"57.1","32.76","69.36","percent of total billed charges",,
"PT TRACTION MECHANICAL","97012","HCPCS","Both",,,"89.5","44.75","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"63.19","32.76","69.36","percent of total billed charges",,
"PT TRACTION MECHANICAL","97012","HCPCS","Both",,,"89.5","44.75","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"63.19","32.76","69.36","percent of total billed charges",,
"PT TRACTION MECHANICAL","97012","HCPCS","Both",,,"89.5","44.75","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"63.19","32.76","69.36","percent of total billed charges",,
"PT TRACTION MECHANICAL","97012","HCPCS","Both",,,"89.5","44.75","Ambetter","Health Exchange","GP,PN",,"62",,"55.49","32.76","69.36","percent of total billed charges",,
"PT TRACTION MECHANICAL","97012","HCPCS","Both",,,"89.5","44.75","Caresource","Health Exchange","GP,PN",,"62",,"55.49","32.76","69.36","percent of total billed charges",,
"PT TRACTION MECHANICAL","97012","HCPCS","Both",,,"89.5","44.75","Cigna","Commercial","GP,PN",,"59",,"52.45","32.76","69.36","percent of total billed charges",,
"PT TRACTION MECHANICAL","97012","HCPCS","Both",,,"89.5","44.75","Humana","Commercial","GP,PN",,"78",,"69.36","32.76","69.36","percent of total billed charges",,
"PT TRACTION MECHANICAL","97012","HCPCS","Both",,,"89.5","44.75","UHC","Commercial","GP,PN",,"75",,"67.48","32.76","69.36","percent of total billed charges",,
"PT TRACTION MECHANICAL","97012","HCPCS","Both",,,"89.5","44.75","Medicaid",,"GP,PN",,"37",,"32.76","32.76","69.36","percent of total billed charges",,
"PT MANUAL THERAPY TECHNIQUES EA 15 MIN","97140","HCPCS","Both",,,"314.65","157.325","Alliant","Health Exchange","GP,PN",,"62",,"195.08","115.16","243.85","percent of total billed charges",,
"PT MANUAL THERAPY TECHNIQUES EA 15 MIN","97140","HCPCS","Both",,,"314.65","157.325","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"169.91","115.16","243.85","percent of total billed charges",,
"PT MANUAL THERAPY TECHNIQUES EA 15 MIN","97140","HCPCS","Both",,,"314.65","157.325","Medicare",,"GP,PN",,"54",,"170.54","115.16","243.85","percent of total billed charges",,
"PT MANUAL THERAPY TECHNIQUES EA 15 MIN","97140","HCPCS","Both",,,"314.65","157.325","Humana","Medicare Advantage","GP,PN",,"54",,"170.54","115.16","243.85","percent of total billed charges",,
"PT MANUAL THERAPY TECHNIQUES EA 15 MIN","97140","HCPCS","Both",,,"314.65","157.325","UHC","Medicare Advantage","GP,PN",,"54",,"170.54","115.16","243.85","percent of total billed charges",,
"PT MANUAL THERAPY TECHNIQUES EA 15 MIN","97140","HCPCS","Both",,,"314.65","157.325","Clover","Medicare Advantage","GP,PN",,"54",,"170.54","115.16","243.85","percent of total billed charges",,
"PT MANUAL THERAPY TECHNIQUES EA 15 MIN","97140","HCPCS","Both",,,"314.65","157.325","Wellcare","Medicare Advantage","GP,PN",,"54",,"170.54","115.16","243.85","percent of total billed charges",,
"PT MANUAL THERAPY TECHNIQUES EA 15 MIN","97140","HCPCS","Both",,,"314.65","157.325","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"115.16","115.16","243.85","percent of total billed charges",,
"PT MANUAL THERAPY TECHNIQUES EA 15 MIN","97140","HCPCS","Both",,,"314.65","157.325","Caresource","Medicaid Managed Care","GP,PN",,"40",,"125.86","115.16","243.85","percent of total billed charges",,
"PT MANUAL THERAPY TECHNIQUES EA 15 MIN","97140","HCPCS","Both",,,"314.65","157.325","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"127.43","115.16","243.85","percent of total billed charges",,
"PT MANUAL THERAPY TECHNIQUES EA 15 MIN","97140","HCPCS","Both",,,"314.65","157.325","Aetna","Commercial","GP,PN",,"64",,"200.75","115.16","243.85","percent of total billed charges",,
"PT MANUAL THERAPY TECHNIQUES EA 15 MIN","97140","HCPCS","Both",,,"314.65","157.325","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"222.14","115.16","243.85","percent of total billed charges",,
"PT MANUAL THERAPY TECHNIQUES EA 15 MIN","97140","HCPCS","Both",,,"314.65","157.325","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"222.14","115.16","243.85","percent of total billed charges",,
"PT MANUAL THERAPY TECHNIQUES EA 15 MIN","97140","HCPCS","Both",,,"314.65","157.325","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"222.14","115.16","243.85","percent of total billed charges",,
"PT MANUAL THERAPY TECHNIQUES EA 15 MIN","97140","HCPCS","Both",,,"314.65","157.325","Ambetter","Health Exchange","GP,PN",,"62",,"195.08","115.16","243.85","percent of total billed charges",,
"PT MANUAL THERAPY TECHNIQUES EA 15 MIN","97140","HCPCS","Both",,,"314.65","157.325","Caresource","Health Exchange","GP,PN",,"62",,"195.08","115.16","243.85","percent of total billed charges",,
"PT MANUAL THERAPY TECHNIQUES EA 15 MIN","97140","HCPCS","Both",,,"314.65","157.325","Cigna","Commercial","GP,PN",,"59",,"184.38","115.16","243.85","percent of total billed charges",,
"PT MANUAL THERAPY TECHNIQUES EA 15 MIN","97140","HCPCS","Both",,,"314.65","157.325","Humana","Commercial","GP,PN",,"78",,"243.85","115.16","243.85","percent of total billed charges",,
"PT MANUAL THERAPY TECHNIQUES EA 15 MIN","97140","HCPCS","Both",,,"314.65","157.325","UHC","Commercial","GP,PN",,"75",,"237.25","115.16","243.85","percent of total billed charges",,
"PT MANUAL THERAPY TECHNIQUES EA 15 MIN","97140","HCPCS","Both",,,"314.65","157.325","Medicaid",,"GP,PN",,"37",,"115.16","115.16","243.85","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Alliant","Health Exchange","GP,PN",,"62",,"169.76","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"147.86","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Medicare",,"GP,PN",,"54",,"148.41","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Humana","Medicare Advantage","GP,PN",,"54",,"148.41","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","UHC","Medicare Advantage","GP,PN",,"54",,"148.41","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Clover","Medicare Advantage","GP,PN",,"54",,"148.41","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Wellcare","Medicare Advantage","GP,PN",,"54",,"148.41","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"100.21","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Caresource","Medicaid Managed Care","GP,PN",,"40",,"109.52","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"110.89","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Aetna","Commercial","GP,PN",,"64",,"174.69","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"193.31","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"193.31","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"193.31","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Ambetter","Health Exchange","GP,PN",,"62",,"169.76","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Caresource","Health Exchange","GP,PN",,"62",,"169.76","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Cigna","Commercial","GP,PN",,"59",,"160.45","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Humana","Commercial","GP,PN",,"78",,"212.2","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","UHC","Commercial","GP,PN",,"75",,"206.45","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Medicaid",,"GP,PN",,"37",,"100.21","100.21","212.2","percent of total billed charges",,
"PT GAIT TRAINING EA 15MIN","97116","HCPCS","Both",,,"141.95","70.975","Alliant","Health Exchange","GP,PN",,"62",,"88.01","51.95","110.01","percent of total billed charges",,
"PT GAIT TRAINING EA 15MIN","97116","HCPCS","Both",,,"141.95","70.975","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"76.65","51.95","110.01","percent of total billed charges",,
"PT GAIT TRAINING EA 15MIN","97116","HCPCS","Both",,,"141.95","70.975","Medicare",,"GP,PN",,"54",,"76.94","51.95","110.01","percent of total billed charges",,
"PT GAIT TRAINING EA 15MIN","97116","HCPCS","Both",,,"141.95","70.975","Humana","Medicare Advantage","GP,PN",,"54",,"76.94","51.95","110.01","percent of total billed charges",,
"PT GAIT TRAINING EA 15MIN","97116","HCPCS","Both",,,"141.95","70.975","UHC","Medicare Advantage","GP,PN",,"54",,"76.94","51.95","110.01","percent of total billed charges",,
"PT GAIT TRAINING EA 15MIN","97116","HCPCS","Both",,,"141.95","70.975","Clover","Medicare Advantage","GP,PN",,"54",,"76.94","51.95","110.01","percent of total billed charges",,
"PT GAIT TRAINING EA 15MIN","97116","HCPCS","Both",,,"141.95","70.975","Wellcare","Medicare Advantage","GP,PN",,"54",,"76.94","51.95","110.01","percent of total billed charges",,
"PT GAIT TRAINING EA 15MIN","97116","HCPCS","Both",,,"141.95","70.975","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"51.95","51.95","110.01","percent of total billed charges",,
"PT GAIT TRAINING EA 15MIN","97116","HCPCS","Both",,,"141.95","70.975","Caresource","Medicaid Managed Care","GP,PN",,"40",,"56.78","51.95","110.01","percent of total billed charges",,
"PT GAIT TRAINING EA 15MIN","97116","HCPCS","Both",,,"141.95","70.975","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"57.49","51.95","110.01","percent of total billed charges",,
"PT GAIT TRAINING EA 15MIN","97116","HCPCS","Both",,,"141.95","70.975","Aetna","Commercial","GP,PN",,"64",,"90.56","51.95","110.01","percent of total billed charges",,
"PT GAIT TRAINING EA 15MIN","97116","HCPCS","Both",,,"141.95","70.975","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"100.22","51.95","110.01","percent of total billed charges",,
"PT GAIT TRAINING EA 15MIN","97116","HCPCS","Both",,,"141.95","70.975","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"100.22","51.95","110.01","percent of total billed charges",,
"PT GAIT TRAINING EA 15MIN","97116","HCPCS","Both",,,"141.95","70.975","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"100.22","51.95","110.01","percent of total billed charges",,
"PT GAIT TRAINING EA 15MIN","97116","HCPCS","Both",,,"141.95","70.975","Ambetter","Health Exchange","GP,PN",,"62",,"88.01","51.95","110.01","percent of total billed charges",,
"PT GAIT TRAINING EA 15MIN","97116","HCPCS","Both",,,"141.95","70.975","Caresource","Health Exchange","GP,PN",,"62",,"88.01","51.95","110.01","percent of total billed charges",,
"PT GAIT TRAINING EA 15MIN","97116","HCPCS","Both",,,"141.95","70.975","Cigna","Commercial","GP,PN",,"59",,"83.18","51.95","110.01","percent of total billed charges",,
"PT GAIT TRAINING EA 15MIN","97116","HCPCS","Both",,,"141.95","70.975","Humana","Commercial","GP,PN",,"78",,"110.01","51.95","110.01","percent of total billed charges",,
"PT GAIT TRAINING EA 15MIN","97116","HCPCS","Both",,,"141.95","70.975","UHC","Commercial","GP,PN",,"75",,"107.03","51.95","110.01","percent of total billed charges",,
"PT GAIT TRAINING EA 15MIN","97116","HCPCS","Both",,,"141.95","70.975","Medicaid",,"GP,PN",,"37",,"51.95","51.95","110.01","percent of total billed charges",,
"PT IONTOPHORESIS EA 15 MINS","97033","HCPCS","Both",,,"150","75","Alliant","Health Exchange","GP,PN",,"62",,"93","54.9","116.25","percent of total billed charges",,
"PT IONTOPHORESIS EA 15 MINS","97033","HCPCS","Both",,,"150","75","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"81","54.9","116.25","percent of total billed charges",,
"PT IONTOPHORESIS EA 15 MINS","97033","HCPCS","Both",,,"150","75","Medicare",,"GP,PN",,"54",,"81.3","54.9","116.25","percent of total billed charges",,
"PT IONTOPHORESIS EA 15 MINS","97033","HCPCS","Both",,,"150","75","Humana","Medicare Advantage","GP,PN",,"54",,"81.3","54.9","116.25","percent of total billed charges",,
"PT IONTOPHORESIS EA 15 MINS","97033","HCPCS","Both",,,"150","75","UHC","Medicare Advantage","GP,PN",,"54",,"81.3","54.9","116.25","percent of total billed charges",,
"PT IONTOPHORESIS EA 15 MINS","97033","HCPCS","Both",,,"150","75","Clover","Medicare Advantage","GP,PN",,"54",,"81.3","54.9","116.25","percent of total billed charges",,
"PT IONTOPHORESIS EA 15 MINS","97033","HCPCS","Both",,,"150","75","Wellcare","Medicare Advantage","GP,PN",,"54",,"81.3","54.9","116.25","percent of total billed charges",,
"PT IONTOPHORESIS EA 15 MINS","97033","HCPCS","Both",,,"150","75","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"54.9","54.9","116.25","percent of total billed charges",,
"PT IONTOPHORESIS EA 15 MINS","97033","HCPCS","Both",,,"150","75","Caresource","Medicaid Managed Care","GP,PN",,"40",,"60","54.9","116.25","percent of total billed charges",,
"PT IONTOPHORESIS EA 15 MINS","97033","HCPCS","Both",,,"150","75","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"60.75","54.9","116.25","percent of total billed charges",,
"PT IONTOPHORESIS EA 15 MINS","97033","HCPCS","Both",,,"150","75","Aetna","Commercial","GP,PN",,"64",,"95.7","54.9","116.25","percent of total billed charges",,
"PT IONTOPHORESIS EA 15 MINS","97033","HCPCS","Both",,,"150","75","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"105.9","54.9","116.25","percent of total billed charges",,
"PT IONTOPHORESIS EA 15 MINS","97033","HCPCS","Both",,,"150","75","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"105.9","54.9","116.25","percent of total billed charges",,
"PT IONTOPHORESIS EA 15 MINS","97033","HCPCS","Both",,,"150","75","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"105.9","54.9","116.25","percent of total billed charges",,
"PT IONTOPHORESIS EA 15 MINS","97033","HCPCS","Both",,,"150","75","Ambetter","Health Exchange","GP,PN",,"62",,"93","54.9","116.25","percent of total billed charges",,
"PT IONTOPHORESIS EA 15 MINS","97033","HCPCS","Both",,,"150","75","Caresource","Health Exchange","GP,PN",,"62",,"93","54.9","116.25","percent of total billed charges",,
"PT IONTOPHORESIS EA 15 MINS","97033","HCPCS","Both",,,"150","75","Cigna","Commercial","GP,PN",,"59",,"87.9","54.9","116.25","percent of total billed charges",,
"PT IONTOPHORESIS EA 15 MINS","97033","HCPCS","Both",,,"150","75","Humana","Commercial","GP,PN",,"78",,"116.25","54.9","116.25","percent of total billed charges",,
"PT IONTOPHORESIS EA 15 MINS","97033","HCPCS","Both",,,"150","75","UHC","Commercial","GP,PN",,"75",,"113.1","54.9","116.25","percent of total billed charges",,
"PT IONTOPHORESIS EA 15 MINS","97033","HCPCS","Both",,,"150","75","Medicaid",,"GP,PN",,"37",,"54.9","54.9","116.25","percent of total billed charges",,
"PT MUSCLE TESTING MANUAL HAND","95834","HCPCS","Both",,,"46","23","Alliant","Health Exchange","GP,PN",,"62",,"28.52","16.84","35.65","percent of total billed charges",,
"PT MUSCLE TESTING MANUAL HAND","95834","HCPCS","Both",,,"46","23","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"24.84","16.84","35.65","percent of total billed charges",,
"PT MUSCLE TESTING MANUAL HAND","95834","HCPCS","Both",,,"46","23","Medicare",,"GP,PN",,"54",,"24.93","16.84","35.65","percent of total billed charges",,
"PT MUSCLE TESTING MANUAL HAND","95834","HCPCS","Both",,,"46","23","Humana","Medicare Advantage","GP,PN",,"54",,"24.93","16.84","35.65","percent of total billed charges",,
"PT MUSCLE TESTING MANUAL HAND","95834","HCPCS","Both",,,"46","23","UHC","Medicare Advantage","GP,PN",,"54",,"24.93","16.84","35.65","percent of total billed charges",,
"PT MUSCLE TESTING MANUAL HAND","95834","HCPCS","Both",,,"46","23","Clover","Medicare Advantage","GP,PN",,"54",,"24.93","16.84","35.65","percent of total billed charges",,
"PT MUSCLE TESTING MANUAL HAND","95834","HCPCS","Both",,,"46","23","Wellcare","Medicare Advantage","GP,PN",,"54",,"24.93","16.84","35.65","percent of total billed charges",,
"PT MUSCLE TESTING MANUAL HAND","95834","HCPCS","Both",,,"46","23","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"16.84","16.84","35.65","percent of total billed charges",,
"PT MUSCLE TESTING MANUAL HAND","95834","HCPCS","Both",,,"46","23","Caresource","Medicaid Managed Care","GP,PN",,"40",,"18.4","16.84","35.65","percent of total billed charges",,
"PT MUSCLE TESTING MANUAL HAND","95834","HCPCS","Both",,,"46","23","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"18.63","16.84","35.65","percent of total billed charges",,
"PT MUSCLE TESTING MANUAL HAND","95834","HCPCS","Both",,,"46","23","Aetna","Commercial","GP,PN",,"64",,"29.35","16.84","35.65","percent of total billed charges",,
"PT MUSCLE TESTING MANUAL HAND","95834","HCPCS","Both",,,"46","23","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"32.48","16.84","35.65","percent of total billed charges",,
"PT MUSCLE TESTING MANUAL HAND","95834","HCPCS","Both",,,"46","23","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"32.48","16.84","35.65","percent of total billed charges",,
"PT MUSCLE TESTING MANUAL HAND","95834","HCPCS","Both",,,"46","23","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"32.48","16.84","35.65","percent of total billed charges",,
"PT MUSCLE TESTING MANUAL HAND","95834","HCPCS","Both",,,"46","23","Ambetter","Health Exchange","GP,PN",,"62",,"28.52","16.84","35.65","percent of total billed charges",,
"PT MUSCLE TESTING MANUAL HAND","95834","HCPCS","Both",,,"46","23","Caresource","Health Exchange","GP,PN",,"62",,"28.52","16.84","35.65","percent of total billed charges",,
"PT MUSCLE TESTING MANUAL HAND","95834","HCPCS","Both",,,"46","23","Cigna","Commercial","GP,PN",,"59",,"26.96","16.84","35.65","percent of total billed charges",,
"PT MUSCLE TESTING MANUAL HAND","95834","HCPCS","Both",,,"46","23","Humana","Commercial","GP,PN",,"78",,"35.65","16.84","35.65","percent of total billed charges",,
"PT MUSCLE TESTING MANUAL HAND","95834","HCPCS","Both",,,"46","23","UHC","Commercial","GP,PN",,"75",,"34.68","16.84","35.65","percent of total billed charges",,
"PT MUSCLE TESTING MANUAL HAND","95834","HCPCS","Both",,,"46","23","Medicaid",,"GP,PN",,"37",,"16.84","16.84","35.65","percent of total billed charges",,
"PT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Alliant","Health Exchange","GP,PN",,"62",,"62.62","36.97","78.28","percent of total billed charges",,
"PT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"54.54","36.97","78.28","percent of total billed charges",,
"PT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Medicare",,"GP,PN",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"PT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Humana","Medicare Advantage","GP,PN",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"PT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","UHC","Medicare Advantage","GP,PN",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"PT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Clover","Medicare Advantage","GP,PN",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"PT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Wellcare","Medicare Advantage","GP,PN",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"PT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"36.97","36.97","78.28","percent of total billed charges",,
"PT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Caresource","Medicaid Managed Care","GP,PN",,"40",,"40.4","36.97","78.28","percent of total billed charges",,
"PT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"40.9","36.97","78.28","percent of total billed charges",,
"PT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Aetna","Commercial","GP,PN",,"64",,"64.44","36.97","78.28","percent of total billed charges",,
"PT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"71.31","36.97","78.28","percent of total billed charges",,
"PT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"71.31","36.97","78.28","percent of total billed charges",,
"PT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"71.31","36.97","78.28","percent of total billed charges",,
"PT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Ambetter","Health Exchange","GP,PN",,"62",,"62.62","36.97","78.28","percent of total billed charges",,
"PT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Caresource","Health Exchange","GP,PN",,"62",,"62.62","36.97","78.28","percent of total billed charges",,
"PT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Cigna","Commercial","GP,PN",,"59",,"59.19","36.97","78.28","percent of total billed charges",,
"PT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Humana","Commercial","GP,PN",,"78",,"78.28","36.97","78.28","percent of total billed charges",,
"PT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","UHC","Commercial","GP,PN",,"75",,"76.15","36.97","78.28","percent of total billed charges",,
"PT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Medicaid",,"GP,PN",,"37",,"36.97","36.97","78.28","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Alliant","Health Exchange","GP,PN",,"62",,"6.2","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"5.4","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Medicare",,"GP,PN",,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Humana","Medicare Advantage","GP,PN",,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","UHC","Medicare Advantage","GP,PN",,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Clover","Medicare Advantage","GP,PN",,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Wellcare","Medicare Advantage","GP,PN",,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"3.66","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Caresource","Medicaid Managed Care","GP,PN",,"40",,"4","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"4.05","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Aetna","Commercial","GP,PN",,"64",,"6.38","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"7.06","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"7.06","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"7.06","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Ambetter","Health Exchange","GP,PN",,"62",,"6.2","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Caresource","Health Exchange","GP,PN",,"62",,"6.2","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Cigna","Commercial","GP,PN",,"59",,"5.86","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Humana","Commercial","GP,PN",,"78",,"7.75","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","UHC","Commercial","GP,PN",,"75",,"7.54","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Medicaid",,"GP,PN",,"37",,"3.66","3.66","7.75","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT1st 20CM","97597","HCPCS","Both",,,"130","65","Alliant","Health Exchange","GP,PN",,"62",,"80.6","47.58","100.75","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT1st 20CM","97597","HCPCS","Both",,,"130","65","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"70.2","47.58","100.75","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT1st 20CM","97597","HCPCS","Both",,,"130","65","Medicare",,"GP,PN",,"54",,"70.46","47.58","100.75","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT1st 20CM","97597","HCPCS","Both",,,"130","65","Humana","Medicare Advantage","GP,PN",,"54",,"70.46","47.58","100.75","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT1st 20CM","97597","HCPCS","Both",,,"130","65","UHC","Medicare Advantage","GP,PN",,"54",,"70.46","47.58","100.75","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT1st 20CM","97597","HCPCS","Both",,,"130","65","Clover","Medicare Advantage","GP,PN",,"54",,"70.46","47.58","100.75","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT1st 20CM","97597","HCPCS","Both",,,"130","65","Wellcare","Medicare Advantage","GP,PN",,"54",,"70.46","47.58","100.75","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT1st 20CM","97597","HCPCS","Both",,,"130","65","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"47.58","47.58","100.75","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT1st 20CM","97597","HCPCS","Both",,,"130","65","Caresource","Medicaid Managed Care","GP,PN",,"40",,"52","47.58","100.75","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT1st 20CM","97597","HCPCS","Both",,,"130","65","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"52.65","47.58","100.75","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT1st 20CM","97597","HCPCS","Both",,,"130","65","Aetna","Commercial","GP,PN",,"64",,"82.94","47.58","100.75","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT1st 20CM","97597","HCPCS","Both",,,"130","65","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"91.78","47.58","100.75","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT1st 20CM","97597","HCPCS","Both",,,"130","65","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"91.78","47.58","100.75","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT1st 20CM","97597","HCPCS","Both",,,"130","65","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"91.78","47.58","100.75","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT1st 20CM","97597","HCPCS","Both",,,"130","65","Ambetter","Health Exchange","GP,PN",,"62",,"80.6","47.58","100.75","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT1st 20CM","97597","HCPCS","Both",,,"130","65","Caresource","Health Exchange","GP,PN",,"62",,"80.6","47.58","100.75","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT1st 20CM","97597","HCPCS","Both",,,"130","65","Cigna","Commercial","GP,PN",,"59",,"76.18","47.58","100.75","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT1st 20CM","97597","HCPCS","Both",,,"130","65","Humana","Commercial","GP,PN",,"78",,"100.75","47.58","100.75","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT1st 20CM","97597","HCPCS","Both",,,"130","65","UHC","Commercial","GP,PN",,"75",,"98.02","47.58","100.75","percent of total billed charges",,
"PT SELECTIVE DEBRIDEMENT1st 20CM","97597","HCPCS","Both",,,"130","65","Medicaid",,"GP,PN",,"37",,"47.58","47.58","100.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Alliant","Health Exchange","GP,PN",,"62",,"6.2","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"5.4","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Medicare",,"GP,PN",,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Humana","Medicare Advantage","GP,PN",,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","UHC","Medicare Advantage","GP,PN",,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Clover","Medicare Advantage","GP,PN",,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Wellcare","Medicare Advantage","GP,PN",,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"3.66","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Caresource","Medicaid Managed Care","GP,PN",,"40",,"4","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"4.05","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Aetna","Commercial","GP,PN",,"64",,"6.38","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"7.06","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"7.06","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"7.06","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Ambetter","Health Exchange","GP,PN",,"62",,"6.2","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Caresource","Health Exchange","GP,PN",,"62",,"6.2","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Cigna","Commercial","GP,PN",,"59",,"5.86","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Humana","Commercial","GP,PN",,"78",,"7.75","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","UHC","Commercial","GP,PN",,"75",,"7.54","3.66","7.75","percent of total billed charges",,
"PT ROM EXTREMITY/TRUNK","95851","HCPCS","Both",,,"10","5","Medicaid",,"GP,PN",,"37",,"3.66","3.66","7.75","percent of total billed charges",,
"PT ELECTRICAL STIM EA 15 MIN  ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Alliant","Health Exchange","GP,PN",,"62",,"37.51","22.14","46.89","percent of total billed charges",,
"PT ELECTRICAL STIM EA 15 MIN  ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"32.67","22.14","46.89","percent of total billed charges",,
"PT ELECTRICAL STIM EA 15 MIN  ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Medicare",,"GP,PN",,"54",,"32.79","22.14","46.89","percent of total billed charges",,
"PT ELECTRICAL STIM EA 15 MIN  ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Humana","Medicare Advantage","GP,PN",,"54",,"32.79","22.14","46.89","percent of total billed charges",,
"PT ELECTRICAL STIM EA 15 MIN  ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","UHC","Medicare Advantage","GP,PN",,"54",,"32.79","22.14","46.89","percent of total billed charges",,
"PT ELECTRICAL STIM EA 15 MIN  ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Clover","Medicare Advantage","GP,PN",,"54",,"32.79","22.14","46.89","percent of total billed charges",,
"PT ELECTRICAL STIM EA 15 MIN  ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Wellcare","Medicare Advantage","GP,PN",,"54",,"32.79","22.14","46.89","percent of total billed charges",,
"PT ELECTRICAL STIM EA 15 MIN  ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"22.14","22.14","46.89","percent of total billed charges",,
"PT ELECTRICAL STIM EA 15 MIN  ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Caresource","Medicaid Managed Care","GP,PN",,"40",,"24.2","22.14","46.89","percent of total billed charges",,
"PT ELECTRICAL STIM EA 15 MIN  ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"24.5","22.14","46.89","percent of total billed charges",,
"PT ELECTRICAL STIM EA 15 MIN  ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Aetna","Commercial","GP,PN",,"64",,"38.6","22.14","46.89","percent of total billed charges",,
"PT ELECTRICAL STIM EA 15 MIN  ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"42.71","22.14","46.89","percent of total billed charges",,
"PT ELECTRICAL STIM EA 15 MIN  ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"42.71","22.14","46.89","percent of total billed charges",,
"PT ELECTRICAL STIM EA 15 MIN  ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"42.71","22.14","46.89","percent of total billed charges",,
"PT ELECTRICAL STIM EA 15 MIN  ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Ambetter","Health Exchange","GP,PN",,"62",,"37.51","22.14","46.89","percent of total billed charges",,
"PT ELECTRICAL STIM EA 15 MIN  ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Caresource","Health Exchange","GP,PN",,"62",,"37.51","22.14","46.89","percent of total billed charges",,
"PT ELECTRICAL STIM EA 15 MIN  ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Cigna","Commercial","GP,PN",,"59",,"35.45","22.14","46.89","percent of total billed charges",,
"PT ELECTRICAL STIM EA 15 MIN  ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Humana","Commercial","GP,PN",,"78",,"46.89","22.14","46.89","percent of total billed charges",,
"PT ELECTRICAL STIM EA 15 MIN  ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","UHC","Commercial","GP,PN",,"75",,"45.62","22.14","46.89","percent of total billed charges",,
"PT ELECTRICAL STIM EA 15 MIN  ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Medicaid",,"GP,PN",,"37",,"22.14","22.14","46.89","percent of total billed charges",,
"PT WHEELCHAIR MGMY EA 15 MIN","97542","HCPCS","Both",,,"88","44","Alliant","Health Exchange","GP,PN",,"62",,"54.56","32.21","68.2","percent of total billed charges",,
"PT WHEELCHAIR MGMY EA 15 MIN","97542","HCPCS","Both",,,"88","44","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"47.52","32.21","68.2","percent of total billed charges",,
"PT WHEELCHAIR MGMY EA 15 MIN","97542","HCPCS","Both",,,"88","44","Medicare",,"GP,PN",,"54",,"47.7","32.21","68.2","percent of total billed charges",,
"PT WHEELCHAIR MGMY EA 15 MIN","97542","HCPCS","Both",,,"88","44","Humana","Medicare Advantage","GP,PN",,"54",,"47.7","32.21","68.2","percent of total billed charges",,
"PT WHEELCHAIR MGMY EA 15 MIN","97542","HCPCS","Both",,,"88","44","UHC","Medicare Advantage","GP,PN",,"54",,"47.7","32.21","68.2","percent of total billed charges",,
"PT WHEELCHAIR MGMY EA 15 MIN","97542","HCPCS","Both",,,"88","44","Clover","Medicare Advantage","GP,PN",,"54",,"47.7","32.21","68.2","percent of total billed charges",,
"PT WHEELCHAIR MGMY EA 15 MIN","97542","HCPCS","Both",,,"88","44","Wellcare","Medicare Advantage","GP,PN",,"54",,"47.7","32.21","68.2","percent of total billed charges",,
"PT WHEELCHAIR MGMY EA 15 MIN","97542","HCPCS","Both",,,"88","44","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"32.21","32.21","68.2","percent of total billed charges",,
"PT WHEELCHAIR MGMY EA 15 MIN","97542","HCPCS","Both",,,"88","44","Caresource","Medicaid Managed Care","GP,PN",,"40",,"35.2","32.21","68.2","percent of total billed charges",,
"PT WHEELCHAIR MGMY EA 15 MIN","97542","HCPCS","Both",,,"88","44","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"35.64","32.21","68.2","percent of total billed charges",,
"PT WHEELCHAIR MGMY EA 15 MIN","97542","HCPCS","Both",,,"88","44","Aetna","Commercial","GP,PN",,"64",,"56.14","32.21","68.2","percent of total billed charges",,
"PT WHEELCHAIR MGMY EA 15 MIN","97542","HCPCS","Both",,,"88","44","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"62.13","32.21","68.2","percent of total billed charges",,
"PT WHEELCHAIR MGMY EA 15 MIN","97542","HCPCS","Both",,,"88","44","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"62.13","32.21","68.2","percent of total billed charges",,
"PT WHEELCHAIR MGMY EA 15 MIN","97542","HCPCS","Both",,,"88","44","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"62.13","32.21","68.2","percent of total billed charges",,
"PT WHEELCHAIR MGMY EA 15 MIN","97542","HCPCS","Both",,,"88","44","Ambetter","Health Exchange","GP,PN",,"62",,"54.56","32.21","68.2","percent of total billed charges",,
"PT WHEELCHAIR MGMY EA 15 MIN","97542","HCPCS","Both",,,"88","44","Caresource","Health Exchange","GP,PN",,"62",,"54.56","32.21","68.2","percent of total billed charges",,
"PT WHEELCHAIR MGMY EA 15 MIN","97542","HCPCS","Both",,,"88","44","Cigna","Commercial","GP,PN",,"59",,"51.57","32.21","68.2","percent of total billed charges",,
"PT WHEELCHAIR MGMY EA 15 MIN","97542","HCPCS","Both",,,"88","44","Humana","Commercial","GP,PN",,"78",,"68.2","32.21","68.2","percent of total billed charges",,
"PT WHEELCHAIR MGMY EA 15 MIN","97542","HCPCS","Both",,,"88","44","UHC","Commercial","GP,PN",,"75",,"66.35","32.21","68.2","percent of total billed charges",,
"PT WHEELCHAIR MGMY EA 15 MIN","97542","HCPCS","Both",,,"88","44","Medicaid",,"GP,PN",,"37",,"32.21","32.21","68.2","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Alliant","Health Exchange","GP,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Medicare",,"GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Humana","Medicare Advantage","GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","UHC","Medicare Advantage","GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Clover","Medicare Advantage","GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicare Advantage","GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care","GP,PN",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Aetna","Commercial","GP,PN",,"64",,"0.32","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Ambetter","Health Exchange","GP,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Caresource","Health Exchange","GP,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Cigna","Commercial","GP,PN",,"59",,"0.29","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Humana","Commercial","GP,PN",,"78",,"0.39","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","UHC","Commercial","GP,PN",,"75",,"0.38","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Medicaid",,"GP,PN",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Alliant","Health Exchange","GP,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Medicare",,"GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Humana","Medicare Advantage","GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","UHC","Medicare Advantage","GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Clover","Medicare Advantage","GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicare Advantage","GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care","GP,PN",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Aetna","Commercial","GP,PN",,"64",,"0.32","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Ambetter","Health Exchange","GP,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Caresource","Health Exchange","GP,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Cigna","Commercial","GP,PN",,"59",,"0.29","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Humana","Commercial","GP,PN",,"78",,"0.39","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","UHC","Commercial","GP,PN",,"75",,"0.38","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Medicaid",,"GP,PN",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Medicare",,"GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Medicaid",,"GP,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Medicare",,"GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Medicaid",,"GP,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Medicare",,"GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Medicaid",,"GP,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Medicare",,"GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Medicaid",,"GP,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Medicare",,"GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Medicaid",,"GP,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Alliant","Health Exchange","GP,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Medicare",,"GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Humana","Medicare Advantage","GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","UHC","Medicare Advantage","GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Clover","Medicare Advantage","GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicare Advantage","GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care","GP,PN",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Aetna","Commercial","GP,PN",,"64",,"0.32","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Ambetter","Health Exchange","GP,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Caresource","Health Exchange","GP,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Cigna","Commercial","GP,PN",,"59",,"0.29","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Humana","Commercial","GP,PN",,"78",,"0.39","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","UHC","Commercial","GP,PN",,"75",,"0.38","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Medicaid",,"GP,PN",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Alliant","Health Exchange","GP,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Medicare",,"GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Humana","Medicare Advantage","GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","UHC","Medicare Advantage","GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Clover","Medicare Advantage","GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicare Advantage","GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care","GP,PN",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Aetna","Commercial","GP,PN",,"64",,"0.32","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Ambetter","Health Exchange","GP,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Caresource","Health Exchange","GP,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Cigna","Commercial","GP,PN",,"59",,"0.29","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Humana","Commercial","GP,PN",,"78",,"0.39","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","UHC","Commercial","GP,PN",,"75",,"0.38","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Medicaid",,"GP,PN",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Medicare",,"GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Medicaid",,"GP,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Medicare",,"GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Medicaid",,"GP,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Medicare",,"GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Medicaid",,"GP,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Medicare",,"GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Medicaid",,"GP,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT ELECTRICAL STIMULATION (UNATTENDED)","97014","HCPCS","Both",,,"77.5","38.75","Alliant","Health Exchange","GO,PN",,"62",,"48.05","28.36","102.11","percent of total billed charges",,
"OT ELECTRICAL STIMULATION (UNATTENDED)","97014","HCPCS","Both",,,"77.5","38.75","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"41.85","28.36","102.11","percent of total billed charges",,
"OT ELECTRICAL STIMULATION (UNATTENDED)","97014","HCPCS","Both",,,"77.5","38.75","Medicare",,"GO,PN",,"54",,"42","28.36","102.11","percent of total billed charges",,
"OT ELECTRICAL STIMULATION (UNATTENDED)","97014","HCPCS","Both",,,"77.5","38.75","Humana","Medicare Advantage","GO,PN",,"54",,"42","28.36","102.11","percent of total billed charges",,
"OT ELECTRICAL STIMULATION (UNATTENDED)","97014","HCPCS","Both",,,"77.5","38.75","UHC","Medicare Advantage","GO,PN",,"54",,"42","28.36","102.11","percent of total billed charges",,
"OT ELECTRICAL STIMULATION (UNATTENDED)","97014","HCPCS","Both",,,"77.5","38.75","Clover","Medicare Advantage","GO,PN",,"54",,"42","28.36","102.11","percent of total billed charges",,
"OT ELECTRICAL STIMULATION (UNATTENDED)","97014","HCPCS","Both",,,"77.5","38.75","Wellcare","Medicare Advantage","GO,PN",,"54",,"42","28.36","102.11","percent of total billed charges",,
"OT ELECTRICAL STIMULATION (UNATTENDED)","97014","HCPCS","Both",,,"77.5","38.75","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"28.36","28.36","102.11","percent of total billed charges",,
"OT ELECTRICAL STIMULATION (UNATTENDED)","97014","HCPCS","Both",,,"77.5","38.75","Caresource","Medicaid Managed Care","GO,PN",,"40",,"31","28.36","102.11","percent of total billed charges",,
"OT ELECTRICAL STIMULATION (UNATTENDED)","97014","HCPCS","Both",,,"77.5","38.75","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"31.39","28.36","102.11","percent of total billed charges",,
"OT ELECTRICAL STIMULATION (UNATTENDED)","97014","HCPCS","Both",,,"77.5","38.75","Aetna","Commercial","GO,PN",,"64",,"49.44","28.36","102.11","percent of total billed charges",,
"OT ELECTRICAL STIMULATION (UNATTENDED)","97014","HCPCS","Both",,,"77.5","38.75","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"54.72","28.36","102.11","percent of total billed charges",,
"OT ELECTRICAL STIMULATION (UNATTENDED)","97014","HCPCS","Both",,,"77.5","38.75","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"54.72","28.36","102.11","percent of total billed charges",,
"OT ELECTRICAL STIMULATION (UNATTENDED)","97014","HCPCS","Both",,,"77.5","38.75","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"54.72","28.36","102.11","percent of total billed charges",,
"OT ELECTRICAL STIMULATION (UNATTENDED)","97014","HCPCS","Both",,,"77.5","38.75","Ambetter","Health Exchange","GO,PN",,"62",,"48.05","28.36","102.11","percent of total billed charges",,
"OT ELECTRICAL STIMULATION (UNATTENDED)","97014","HCPCS","Both",,,"77.5","38.75","Caresource","Health Exchange","GO,PN",,"62",,"48.05","28.36","102.11","percent of total billed charges",,
"OT ELECTRICAL STIMULATION (UNATTENDED)","97014","HCPCS","Both",,,"77.5","38.75","Cigna","Commercial","GO,PN",,"59",,"45.42","28.36","102.11","percent of total billed charges",,
"OT ELECTRICAL STIMULATION (UNATTENDED)","97014","HCPCS","Both",,,"77.5","38.75","Humana","Commercial","GO,PN",,"78",,"60.06","28.36","102.11","percent of total billed charges",,
"OT ELECTRICAL STIMULATION (UNATTENDED)","97014","HCPCS","Both",,,"77.5","38.75","UHC","Commercial","GO,PN",,"75",,"58.44","28.36","102.11","percent of total billed charges",,
"OT ELECTRICAL STIMULATION (UNATTENDED)","97014","HCPCS","Both",,,"77.5","38.75","Medicaid",,"GO,PN",,"37",,"28.36","28.36","102.11","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Alliant","Health Exchange","GO,PN",,"62",,"169.76","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"147.86","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Medicare",,"GO,PN",,"54",,"148.41","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Humana","Medicare Advantage","GO,PN",,"54",,"148.41","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","UHC","Medicare Advantage","GO,PN",,"54",,"148.41","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Clover","Medicare Advantage","GO,PN",,"54",,"148.41","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Wellcare","Medicare Advantage","GO,PN",,"54",,"148.41","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"100.21","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Caresource","Medicaid Managed Care","GO,PN",,"40",,"109.52","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"110.89","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Aetna","Commercial","GO,PN",,"64",,"174.69","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"193.31","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"193.31","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"193.31","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Ambetter","Health Exchange","GO,PN",,"62",,"169.76","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Caresource","Health Exchange","GO,PN",,"62",,"169.76","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Cigna","Commercial","GO,PN",,"59",,"160.45","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Humana","Commercial","GO,PN",,"78",,"212.2","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","UHC","Commercial","GO,PN",,"75",,"206.45","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Medicaid",,"GO,PN",,"37",,"100.21","100.21","212.2","percent of total billed charges",,
"OT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Alliant","Health Exchange","GO,PN",,"62",,"30.07","17.75","37.59","percent of total billed charges",,
"OT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"26.19","17.75","37.59","percent of total billed charges",,
"OT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Medicare",,"GO,PN",,"54",,"26.29","17.75","37.59","percent of total billed charges",,
"OT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Humana","Medicare Advantage","GO,PN",,"54",,"26.29","17.75","37.59","percent of total billed charges",,
"OT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","UHC","Medicare Advantage","GO,PN",,"54",,"26.29","17.75","37.59","percent of total billed charges",,
"OT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Clover","Medicare Advantage","GO,PN",,"54",,"26.29","17.75","37.59","percent of total billed charges",,
"OT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Wellcare","Medicare Advantage","GO,PN",,"54",,"26.29","17.75","37.59","percent of total billed charges",,
"OT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"17.75","17.75","37.59","percent of total billed charges",,
"OT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Caresource","Medicaid Managed Care","GO,PN",,"40",,"19.4","17.75","37.59","percent of total billed charges",,
"OT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"19.64","17.75","37.59","percent of total billed charges",,
"OT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Aetna","Commercial","GO,PN",,"64",,"30.94","17.75","37.59","percent of total billed charges",,
"OT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"34.24","17.75","37.59","percent of total billed charges",,
"OT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"34.24","17.75","37.59","percent of total billed charges",,
"OT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"34.24","17.75","37.59","percent of total billed charges",,
"OT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Ambetter","Health Exchange","GO,PN",,"62",,"30.07","17.75","37.59","percent of total billed charges",,
"OT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Caresource","Health Exchange","GO,PN",,"62",,"30.07","17.75","37.59","percent of total billed charges",,
"OT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Cigna","Commercial","GO,PN",,"59",,"28.42","17.75","37.59","percent of total billed charges",,
"OT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Humana","Commercial","GO,PN",,"78",,"37.59","17.75","37.59","percent of total billed charges",,
"OT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","UHC","Commercial","GO,PN",,"75",,"36.57","17.75","37.59","percent of total billed charges",,
"OT ACTIVITIES OF DAILY LIVING EA 15 MIN","97535","HCPCS","Both",,,"48.5","24.25","Medicaid",,"GO,PN",,"37",,"17.75","17.75","37.59","percent of total billed charges",,
"OT ELECTRICAL STIM EA 15 MIN ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Alliant","Health Exchange","GO,PN",,"62",,"37.51","22.14","46.89","percent of total billed charges",,
"OT ELECTRICAL STIM EA 15 MIN ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"32.67","22.14","46.89","percent of total billed charges",,
"OT ELECTRICAL STIM EA 15 MIN ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Medicare",,"GO,PN",,"54",,"32.79","22.14","46.89","percent of total billed charges",,
"OT ELECTRICAL STIM EA 15 MIN ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Humana","Medicare Advantage","GO,PN",,"54",,"32.79","22.14","46.89","percent of total billed charges",,
"OT ELECTRICAL STIM EA 15 MIN ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","UHC","Medicare Advantage","GO,PN",,"54",,"32.79","22.14","46.89","percent of total billed charges",,
"OT ELECTRICAL STIM EA 15 MIN ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Clover","Medicare Advantage","GO,PN",,"54",,"32.79","22.14","46.89","percent of total billed charges",,
"OT ELECTRICAL STIM EA 15 MIN ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Wellcare","Medicare Advantage","GO,PN",,"54",,"32.79","22.14","46.89","percent of total billed charges",,
"OT ELECTRICAL STIM EA 15 MIN ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"22.14","22.14","46.89","percent of total billed charges",,
"OT ELECTRICAL STIM EA 15 MIN ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Caresource","Medicaid Managed Care","GO,PN",,"40",,"24.2","22.14","46.89","percent of total billed charges",,
"OT ELECTRICAL STIM EA 15 MIN ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"24.5","22.14","46.89","percent of total billed charges",,
"OT ELECTRICAL STIM EA 15 MIN ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Aetna","Commercial","GO,PN",,"64",,"38.6","22.14","46.89","percent of total billed charges",,
"OT ELECTRICAL STIM EA 15 MIN ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"42.71","22.14","46.89","percent of total billed charges",,
"OT ELECTRICAL STIM EA 15 MIN ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"42.71","22.14","46.89","percent of total billed charges",,
"OT ELECTRICAL STIM EA 15 MIN ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"42.71","22.14","46.89","percent of total billed charges",,
"OT ELECTRICAL STIM EA 15 MIN ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Ambetter","Health Exchange","GO,PN",,"62",,"37.51","22.14","46.89","percent of total billed charges",,
"OT ELECTRICAL STIM EA 15 MIN ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Caresource","Health Exchange","GO,PN",,"62",,"37.51","22.14","46.89","percent of total billed charges",,
"OT ELECTRICAL STIM EA 15 MIN ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Cigna","Commercial","GO,PN",,"59",,"35.45","22.14","46.89","percent of total billed charges",,
"OT ELECTRICAL STIM EA 15 MIN ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Humana","Commercial","GO,PN",,"78",,"46.89","22.14","46.89","percent of total billed charges",,
"OT ELECTRICAL STIM EA 15 MIN ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","UHC","Commercial","GO,PN",,"75",,"45.62","22.14","46.89","percent of total billed charges",,
"OT ELECTRICAL STIM EA 15 MIN ATTENDED","97032","HCPCS","Both",,,"60.5","30.25","Medicaid",,"GO,PN",,"37",,"22.14","22.14","46.89","percent of total billed charges",,
"OT ULTRASOUND/PHONOPHERESIS  EA 15 MIN","97035","HCPCS","Both",,,"105.5","52.75","Alliant","Health Exchange","GO,PN",,"62",,"65.41","38.61","81.76","percent of total billed charges",,
"OT ULTRASOUND/PHONOPHERESIS  EA 15 MIN","97035","HCPCS","Both",,,"105.5","52.75","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"56.97","38.61","81.76","percent of total billed charges",,
"OT ULTRASOUND/PHONOPHERESIS  EA 15 MIN","97035","HCPCS","Both",,,"105.5","52.75","Medicare",,"GO,PN",,"54",,"57.18","38.61","81.76","percent of total billed charges",,
"OT ULTRASOUND/PHONOPHERESIS  EA 15 MIN","97035","HCPCS","Both",,,"105.5","52.75","Humana","Medicare Advantage","GO,PN",,"54",,"57.18","38.61","81.76","percent of total billed charges",,
"OT ULTRASOUND/PHONOPHERESIS  EA 15 MIN","97035","HCPCS","Both",,,"105.5","52.75","UHC","Medicare Advantage","GO,PN",,"54",,"57.18","38.61","81.76","percent of total billed charges",,
"OT ULTRASOUND/PHONOPHERESIS  EA 15 MIN","97035","HCPCS","Both",,,"105.5","52.75","Clover","Medicare Advantage","GO,PN",,"54",,"57.18","38.61","81.76","percent of total billed charges",,
"OT ULTRASOUND/PHONOPHERESIS  EA 15 MIN","97035","HCPCS","Both",,,"105.5","52.75","Wellcare","Medicare Advantage","GO,PN",,"54",,"57.18","38.61","81.76","percent of total billed charges",,
"OT ULTRASOUND/PHONOPHERESIS  EA 15 MIN","97035","HCPCS","Both",,,"105.5","52.75","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"38.61","38.61","81.76","percent of total billed charges",,
"OT ULTRASOUND/PHONOPHERESIS  EA 15 MIN","97035","HCPCS","Both",,,"105.5","52.75","Caresource","Medicaid Managed Care","GO,PN",,"40",,"42.2","38.61","81.76","percent of total billed charges",,
"OT ULTRASOUND/PHONOPHERESIS  EA 15 MIN","97035","HCPCS","Both",,,"105.5","52.75","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"42.73","38.61","81.76","percent of total billed charges",,
"OT ULTRASOUND/PHONOPHERESIS  EA 15 MIN","97035","HCPCS","Both",,,"105.5","52.75","Aetna","Commercial","GO,PN",,"64",,"67.31","38.61","81.76","percent of total billed charges",,
"OT ULTRASOUND/PHONOPHERESIS  EA 15 MIN","97035","HCPCS","Both",,,"105.5","52.75","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"74.48","38.61","81.76","percent of total billed charges",,
"OT ULTRASOUND/PHONOPHERESIS  EA 15 MIN","97035","HCPCS","Both",,,"105.5","52.75","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"74.48","38.61","81.76","percent of total billed charges",,
"OT ULTRASOUND/PHONOPHERESIS  EA 15 MIN","97035","HCPCS","Both",,,"105.5","52.75","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"74.48","38.61","81.76","percent of total billed charges",,
"OT ULTRASOUND/PHONOPHERESIS  EA 15 MIN","97035","HCPCS","Both",,,"105.5","52.75","Ambetter","Health Exchange","GO,PN",,"62",,"65.41","38.61","81.76","percent of total billed charges",,
"OT ULTRASOUND/PHONOPHERESIS  EA 15 MIN","97035","HCPCS","Both",,,"105.5","52.75","Caresource","Health Exchange","GO,PN",,"62",,"65.41","38.61","81.76","percent of total billed charges",,
"OT ULTRASOUND/PHONOPHERESIS  EA 15 MIN","97035","HCPCS","Both",,,"105.5","52.75","Cigna","Commercial","GO,PN",,"59",,"61.82","38.61","81.76","percent of total billed charges",,
"OT ULTRASOUND/PHONOPHERESIS  EA 15 MIN","97035","HCPCS","Both",,,"105.5","52.75","Humana","Commercial","GO,PN",,"78",,"81.76","38.61","81.76","percent of total billed charges",,
"OT ULTRASOUND/PHONOPHERESIS  EA 15 MIN","97035","HCPCS","Both",,,"105.5","52.75","UHC","Commercial","GO,PN",,"75",,"79.55","38.61","81.76","percent of total billed charges",,
"OT ULTRASOUND/PHONOPHERESIS  EA 15 MIN","97035","HCPCS","Both",,,"105.5","52.75","Medicaid",,"GO,PN",,"37",,"38.61","38.61","81.76","percent of total billed charges",,
"OT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Alliant","Health Exchange","GO,PN",,"62",,"14.57","8.6","18.21","percent of total billed charges",,
"OT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"12.69","8.6","18.21","percent of total billed charges",,
"OT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Medicare",,"GO,PN",,"54",,"12.74","8.6","18.21","percent of total billed charges",,
"OT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Humana","Medicare Advantage","GO,PN",,"54",,"12.74","8.6","18.21","percent of total billed charges",,
"OT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","UHC","Medicare Advantage","GO,PN",,"54",,"12.74","8.6","18.21","percent of total billed charges",,
"OT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Clover","Medicare Advantage","GO,PN",,"54",,"12.74","8.6","18.21","percent of total billed charges",,
"OT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Wellcare","Medicare Advantage","GO,PN",,"54",,"12.74","8.6","18.21","percent of total billed charges",,
"OT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"8.6","8.6","18.21","percent of total billed charges",,
"OT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Caresource","Medicaid Managed Care","GO,PN",,"40",,"9.4","8.6","18.21","percent of total billed charges",,
"OT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"9.52","8.6","18.21","percent of total billed charges",,
"OT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Aetna","Commercial","GO,PN",,"64",,"14.99","8.6","18.21","percent of total billed charges",,
"OT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"16.59","8.6","18.21","percent of total billed charges",,
"OT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"16.59","8.6","18.21","percent of total billed charges",,
"OT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"16.59","8.6","18.21","percent of total billed charges",,
"OT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Ambetter","Health Exchange","GO,PN",,"62",,"14.57","8.6","18.21","percent of total billed charges",,
"OT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Caresource","Health Exchange","GO,PN",,"62",,"14.57","8.6","18.21","percent of total billed charges",,
"OT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Cigna","Commercial","GO,PN",,"59",,"13.77","8.6","18.21","percent of total billed charges",,
"OT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Humana","Commercial","GO,PN",,"78",,"18.21","8.6","18.21","percent of total billed charges",,
"OT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","UHC","Commercial","GO,PN",,"75",,"17.72","8.6","18.21","percent of total billed charges",,
"OT PARAFFIN BATH","97018","HCPCS","Both",,,"23.5","11.75","Medicaid",,"GO,PN",,"37",,"8.6","8.6","18.21","percent of total billed charges",,
"OT NEUROMUSCULAR REED EA 15MIN","97112","HCPCS","Both",,,"277.1","138.55","Alliant","Health Exchange","GO,PN",,"62",,"171.8","59.66","214.75","percent of total billed charges",,
"OT NEUROMUSCULAR REED EA 15MIN","97112","HCPCS","Both",,,"277.1","138.55","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"149.63","59.66","214.75","percent of total billed charges",,
"OT NEUROMUSCULAR REED EA 15MIN","97112","HCPCS","Both",,,"277.1","138.55","Medicare",,"GO,PN",,"54",,"150.19","59.66","214.75","percent of total billed charges",,
"OT NEUROMUSCULAR REED EA 15MIN","97112","HCPCS","Both",,,"277.1","138.55","Humana","Medicare Advantage","GO,PN",,"54",,"150.19","59.66","214.75","percent of total billed charges",,
"OT NEUROMUSCULAR REED EA 15MIN","97112","HCPCS","Both",,,"277.1","138.55","UHC","Medicare Advantage","GO,PN",,"54",,"150.19","59.66","214.75","percent of total billed charges",,
"OT NEUROMUSCULAR REED EA 15MIN","97112","HCPCS","Both",,,"277.1","138.55","Clover","Medicare Advantage","GO,PN",,"54",,"150.19","59.66","214.75","percent of total billed charges",,
"OT NEUROMUSCULAR REED EA 15MIN","97112","HCPCS","Both",,,"277.1","138.55","Wellcare","Medicare Advantage","GO,PN",,"54",,"150.19","59.66","214.75","percent of total billed charges",,
"OT NEUROMUSCULAR REED EA 15MIN","97112","HCPCS","Both",,,"277.1","138.55","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"101.42","59.66","214.75","percent of total billed charges",,
"OT NEUROMUSCULAR REED EA 15MIN","97112","HCPCS","Both",,,"277.1","138.55","Caresource","Medicaid Managed Care","GO,PN",,"40",,"110.84","59.66","214.75","percent of total billed charges",,
"OT NEUROMUSCULAR REED EA 15MIN","97112","HCPCS","Both",,,"277.1","138.55","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"112.23","59.66","214.75","percent of total billed charges",,
"OT NEUROMUSCULAR REED EA 15MIN","97112","HCPCS","Both",,,"277.1","138.55","Aetna","Commercial","GO,PN",,"64",,"176.79","59.66","214.75","percent of total billed charges",,
"OT NEUROMUSCULAR REED EA 15MIN","97112","HCPCS","Both",,,"277.1","138.55","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"195.63","59.66","214.75","percent of total billed charges",,
"OT NEUROMUSCULAR REED EA 15MIN","97112","HCPCS","Both",,,"277.1","138.55","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"195.63","59.66","214.75","percent of total billed charges",,
"OT NEUROMUSCULAR REED EA 15MIN","97112","HCPCS","Both",,,"277.1","138.55","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"195.63","59.66","214.75","percent of total billed charges",,
"OT NEUROMUSCULAR REED EA 15MIN","97112","HCPCS","Both",,,"277.1","138.55","Ambetter","Health Exchange","GO,PN",,"62",,"171.8","59.66","214.75","percent of total billed charges",,
"OT NEUROMUSCULAR REED EA 15MIN","97112","HCPCS","Both",,,"277.1","138.55","Caresource","Health Exchange","GO,PN",,"62",,"171.8","59.66","214.75","percent of total billed charges",,
"OT NEUROMUSCULAR REED EA 15MIN","97112","HCPCS","Both",,,"277.1","138.55","Cigna","Commercial","GO,PN",,"59",,"162.38","59.66","214.75","percent of total billed charges",,
"OT NEUROMUSCULAR REED EA 15MIN","97112","HCPCS","Both",,,"277.1","138.55","Humana","Commercial","GO,PN",,"78",,"214.75","59.66","214.75","percent of total billed charges",,
"OT NEUROMUSCULAR REED EA 15MIN","97112","HCPCS","Both",,,"277.1","138.55","UHC","Commercial","GO,PN",,"75",,"208.93","59.66","214.75","percent of total billed charges",,
"OT NEUROMUSCULAR REED EA 15MIN","97112","HCPCS","Both",,,"277.1","138.55","Medicaid",,"GO,PN",,"37",,"101.42","59.66","214.75","percent of total billed charges",,
"OT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Alliant","Health Exchange","GO,PN",,"62",,"11.47","6.77","14.34","percent of total billed charges",,
"OT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"9.99","6.77","14.34","percent of total billed charges",,
"OT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Medicare",,"GO,PN",,"54",,"10.03","6.77","14.34","percent of total billed charges",,
"OT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Humana","Medicare Advantage","GO,PN",,"54",,"10.03","6.77","14.34","percent of total billed charges",,
"OT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","UHC","Medicare Advantage","GO,PN",,"54",,"10.03","6.77","14.34","percent of total billed charges",,
"OT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Clover","Medicare Advantage","GO,PN",,"54",,"10.03","6.77","14.34","percent of total billed charges",,
"OT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Wellcare","Medicare Advantage","GO,PN",,"54",,"10.03","6.77","14.34","percent of total billed charges",,
"OT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"6.77","6.77","14.34","percent of total billed charges",,
"OT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Caresource","Medicaid Managed Care","GO,PN",,"40",,"7.4","6.77","14.34","percent of total billed charges",,
"OT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"7.49","6.77","14.34","percent of total billed charges",,
"OT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Aetna","Commercial","GO,PN",,"64",,"11.8","6.77","14.34","percent of total billed charges",,
"OT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"13.06","6.77","14.34","percent of total billed charges",,
"OT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"13.06","6.77","14.34","percent of total billed charges",,
"OT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"13.06","6.77","14.34","percent of total billed charges",,
"OT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Ambetter","Health Exchange","GO,PN",,"62",,"11.47","6.77","14.34","percent of total billed charges",,
"OT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Caresource","Health Exchange","GO,PN",,"62",,"11.47","6.77","14.34","percent of total billed charges",,
"OT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Cigna","Commercial","GO,PN",,"59",,"10.84","6.77","14.34","percent of total billed charges",,
"OT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Humana","Commercial","GO,PN",,"78",,"14.34","6.77","14.34","percent of total billed charges",,
"OT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","UHC","Commercial","GO,PN",,"75",,"13.95","6.77","14.34","percent of total billed charges",,
"OT ROM HAND","95852","HCPCS","Both",,,"18.5","9.25","Medicaid",,"GO,PN",,"37",,"6.77","6.77","14.34","percent of total billed charges",,
"OT MUSCLE TESTING MANUAL HAND","95834","HCPCS","Both",,,"46","23","Alliant","Health Exchange","GO,PN",,"62",,"28.52","16.84","35.65","percent of total billed charges",,
"OT MUSCLE TESTING MANUAL HAND","95834","HCPCS","Both",,,"46","23","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"24.84","16.84","35.65","percent of total billed charges",,
"OT MUSCLE TESTING MANUAL HAND","95834","HCPCS","Both",,,"46","23","Medicare",,"GO,PN",,"54",,"24.93","16.84","35.65","percent of total billed charges",,
"OT MUSCLE TESTING MANUAL HAND","95834","HCPCS","Both",,,"46","23","Humana","Medicare Advantage","GO,PN",,"54",,"24.93","16.84","35.65","percent of total billed charges",,
"OT MUSCLE TESTING MANUAL HAND","95834","HCPCS","Both",,,"46","23","UHC","Medicare Advantage","GO,PN",,"54",,"24.93","16.84","35.65","percent of total billed charges",,
"OT MUSCLE TESTING MANUAL HAND","95834","HCPCS","Both",,,"46","23","Clover","Medicare Advantage","GO,PN",,"54",,"24.93","16.84","35.65","percent of total billed charges",,
"OT MUSCLE TESTING MANUAL HAND","95834","HCPCS","Both",,,"46","23","Wellcare","Medicare Advantage","GO,PN",,"54",,"24.93","16.84","35.65","percent of total billed charges",,
"OT MUSCLE TESTING MANUAL HAND","95834","HCPCS","Both",,,"46","23","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"16.84","16.84","35.65","percent of total billed charges",,
"OT MUSCLE TESTING MANUAL HAND","95834","HCPCS","Both",,,"46","23","Caresource","Medicaid Managed Care","GO,PN",,"40",,"18.4","16.84","35.65","percent of total billed charges",,
"OT MUSCLE TESTING MANUAL HAND","95834","HCPCS","Both",,,"46","23","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"18.63","16.84","35.65","percent of total billed charges",,
"OT MUSCLE TESTING MANUAL HAND","95834","HCPCS","Both",,,"46","23","Aetna","Commercial","GO,PN",,"64",,"29.35","16.84","35.65","percent of total billed charges",,
"OT MUSCLE TESTING MANUAL HAND","95834","HCPCS","Both",,,"46","23","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"32.48","16.84","35.65","percent of total billed charges",,
"OT MUSCLE TESTING MANUAL HAND","95834","HCPCS","Both",,,"46","23","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"32.48","16.84","35.65","percent of total billed charges",,
"OT MUSCLE TESTING MANUAL HAND","95834","HCPCS","Both",,,"46","23","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"32.48","16.84","35.65","percent of total billed charges",,
"OT MUSCLE TESTING MANUAL HAND","95834","HCPCS","Both",,,"46","23","Ambetter","Health Exchange","GO,PN",,"62",,"28.52","16.84","35.65","percent of total billed charges",,
"OT MUSCLE TESTING MANUAL HAND","95834","HCPCS","Both",,,"46","23","Caresource","Health Exchange","GO,PN",,"62",,"28.52","16.84","35.65","percent of total billed charges",,
"OT MUSCLE TESTING MANUAL HAND","95834","HCPCS","Both",,,"46","23","Cigna","Commercial","GO,PN",,"59",,"26.96","16.84","35.65","percent of total billed charges",,
"OT MUSCLE TESTING MANUAL HAND","95834","HCPCS","Both",,,"46","23","Humana","Commercial","GO,PN",,"78",,"35.65","16.84","35.65","percent of total billed charges",,
"OT MUSCLE TESTING MANUAL HAND","95834","HCPCS","Both",,,"46","23","UHC","Commercial","GO,PN",,"75",,"34.68","16.84","35.65","percent of total billed charges",,
"OT MUSCLE TESTING MANUAL HAND","95834","HCPCS","Both",,,"46","23","Medicaid",,"GO,PN",,"37",,"16.84","16.84","35.65","percent of total billed charges",,
"OT ROM EXT/TRUNK","95851","HCPCS","Both",,,"10","5","Alliant","Health Exchange","GO,PN",,"62",,"6.2","3.66","7.75","percent of total billed charges",,
"OT ROM EXT/TRUNK","95851","HCPCS","Both",,,"10","5","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"5.4","3.66","7.75","percent of total billed charges",,
"OT ROM EXT/TRUNK","95851","HCPCS","Both",,,"10","5","Medicare",,"GO,PN",,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"OT ROM EXT/TRUNK","95851","HCPCS","Both",,,"10","5","Humana","Medicare Advantage","GO,PN",,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"OT ROM EXT/TRUNK","95851","HCPCS","Both",,,"10","5","UHC","Medicare Advantage","GO,PN",,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"OT ROM EXT/TRUNK","95851","HCPCS","Both",,,"10","5","Clover","Medicare Advantage","GO,PN",,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"OT ROM EXT/TRUNK","95851","HCPCS","Both",,,"10","5","Wellcare","Medicare Advantage","GO,PN",,"54",,"5.42","3.66","7.75","percent of total billed charges",,
"OT ROM EXT/TRUNK","95851","HCPCS","Both",,,"10","5","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"3.66","3.66","7.75","percent of total billed charges",,
"OT ROM EXT/TRUNK","95851","HCPCS","Both",,,"10","5","Caresource","Medicaid Managed Care","GO,PN",,"40",,"4","3.66","7.75","percent of total billed charges",,
"OT ROM EXT/TRUNK","95851","HCPCS","Both",,,"10","5","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"4.05","3.66","7.75","percent of total billed charges",,
"OT ROM EXT/TRUNK","95851","HCPCS","Both",,,"10","5","Aetna","Commercial","GO,PN",,"64",,"6.38","3.66","7.75","percent of total billed charges",,
"OT ROM EXT/TRUNK","95851","HCPCS","Both",,,"10","5","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"7.06","3.66","7.75","percent of total billed charges",,
"OT ROM EXT/TRUNK","95851","HCPCS","Both",,,"10","5","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"7.06","3.66","7.75","percent of total billed charges",,
"OT ROM EXT/TRUNK","95851","HCPCS","Both",,,"10","5","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"7.06","3.66","7.75","percent of total billed charges",,
"OT ROM EXT/TRUNK","95851","HCPCS","Both",,,"10","5","Ambetter","Health Exchange","GO,PN",,"62",,"6.2","3.66","7.75","percent of total billed charges",,
"OT ROM EXT/TRUNK","95851","HCPCS","Both",,,"10","5","Caresource","Health Exchange","GO,PN",,"62",,"6.2","3.66","7.75","percent of total billed charges",,
"OT ROM EXT/TRUNK","95851","HCPCS","Both",,,"10","5","Cigna","Commercial","GO,PN",,"59",,"5.86","3.66","7.75","percent of total billed charges",,
"OT ROM EXT/TRUNK","95851","HCPCS","Both",,,"10","5","Humana","Commercial","GO,PN",,"78",,"7.75","3.66","7.75","percent of total billed charges",,
"OT ROM EXT/TRUNK","95851","HCPCS","Both",,,"10","5","UHC","Commercial","GO,PN",,"75",,"7.54","3.66","7.75","percent of total billed charges",,
"OT ROM EXT/TRUNK","95851","HCPCS","Both",,,"10","5","Medicaid",,"GO,PN",,"37",,"3.66","3.66","7.75","percent of total billed charges",,
"OT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Alliant","Health Exchange","GO,PN",,"62",,"62.62","36.97","78.28","percent of total billed charges",,
"OT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"54.54","36.97","78.28","percent of total billed charges",,
"OT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Medicare",,"GO,PN",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"OT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Humana","Medicare Advantage","GO,PN",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"OT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","UHC","Medicare Advantage","GO,PN",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"OT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Clover","Medicare Advantage","GO,PN",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"OT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Wellcare","Medicare Advantage","GO,PN",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"OT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"36.97","36.97","78.28","percent of total billed charges",,
"OT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Caresource","Medicaid Managed Care","GO,PN",,"40",,"40.4","36.97","78.28","percent of total billed charges",,
"OT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"40.9","36.97","78.28","percent of total billed charges",,
"OT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Aetna","Commercial","GO,PN",,"64",,"64.44","36.97","78.28","percent of total billed charges",,
"OT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"71.31","36.97","78.28","percent of total billed charges",,
"OT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"71.31","36.97","78.28","percent of total billed charges",,
"OT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"71.31","36.97","78.28","percent of total billed charges",,
"OT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Ambetter","Health Exchange","GO,PN",,"62",,"62.62","36.97","78.28","percent of total billed charges",,
"OT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Caresource","Health Exchange","GO,PN",,"62",,"62.62","36.97","78.28","percent of total billed charges",,
"OT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Cigna","Commercial","GO,PN",,"59",,"59.19","36.97","78.28","percent of total billed charges",,
"OT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Humana","Commercial","GO,PN",,"78",,"78.28","36.97","78.28","percent of total billed charges",,
"OT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","UHC","Commercial","GO,PN",,"75",,"76.15","36.97","78.28","percent of total billed charges",,
"OT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","HCPCS","Both",,,"101","50.5","Medicaid",,"GO,PN",,"37",,"36.97","36.97","78.28","percent of total billed charges",,
"OT IONTOPHORESIS EA 15 MIN","97033","HCPCS","Both",,,"150","75","Alliant","Health Exchange","GO,PN",,"62",,"93","54.9","116.25","percent of total billed charges",,
"OT IONTOPHORESIS EA 15 MIN","97033","HCPCS","Both",,,"150","75","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"81","54.9","116.25","percent of total billed charges",,
"OT IONTOPHORESIS EA 15 MIN","97033","HCPCS","Both",,,"150","75","Medicare",,"GO,PN",,"54",,"81.3","54.9","116.25","percent of total billed charges",,
"OT IONTOPHORESIS EA 15 MIN","97033","HCPCS","Both",,,"150","75","Humana","Medicare Advantage","GO,PN",,"54",,"81.3","54.9","116.25","percent of total billed charges",,
"OT IONTOPHORESIS EA 15 MIN","97033","HCPCS","Both",,,"150","75","UHC","Medicare Advantage","GO,PN",,"54",,"81.3","54.9","116.25","percent of total billed charges",,
"OT IONTOPHORESIS EA 15 MIN","97033","HCPCS","Both",,,"150","75","Clover","Medicare Advantage","GO,PN",,"54",,"81.3","54.9","116.25","percent of total billed charges",,
"OT IONTOPHORESIS EA 15 MIN","97033","HCPCS","Both",,,"150","75","Wellcare","Medicare Advantage","GO,PN",,"54",,"81.3","54.9","116.25","percent of total billed charges",,
"OT IONTOPHORESIS EA 15 MIN","97033","HCPCS","Both",,,"150","75","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"54.9","54.9","116.25","percent of total billed charges",,
"OT IONTOPHORESIS EA 15 MIN","97033","HCPCS","Both",,,"150","75","Caresource","Medicaid Managed Care","GO,PN",,"40",,"60","54.9","116.25","percent of total billed charges",,
"OT IONTOPHORESIS EA 15 MIN","97033","HCPCS","Both",,,"150","75","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"60.75","54.9","116.25","percent of total billed charges",,
"OT IONTOPHORESIS EA 15 MIN","97033","HCPCS","Both",,,"150","75","Aetna","Commercial","GO,PN",,"64",,"95.7","54.9","116.25","percent of total billed charges",,
"OT IONTOPHORESIS EA 15 MIN","97033","HCPCS","Both",,,"150","75","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"105.9","54.9","116.25","percent of total billed charges",,
"OT IONTOPHORESIS EA 15 MIN","97033","HCPCS","Both",,,"150","75","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"105.9","54.9","116.25","percent of total billed charges",,
"OT IONTOPHORESIS EA 15 MIN","97033","HCPCS","Both",,,"150","75","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"105.9","54.9","116.25","percent of total billed charges",,
"OT IONTOPHORESIS EA 15 MIN","97033","HCPCS","Both",,,"150","75","Ambetter","Health Exchange","GO,PN",,"62",,"93","54.9","116.25","percent of total billed charges",,
"OT IONTOPHORESIS EA 15 MIN","97033","HCPCS","Both",,,"150","75","Caresource","Health Exchange","GO,PN",,"62",,"93","54.9","116.25","percent of total billed charges",,
"OT IONTOPHORESIS EA 15 MIN","97033","HCPCS","Both",,,"150","75","Cigna","Commercial","GO,PN",,"59",,"87.9","54.9","116.25","percent of total billed charges",,
"OT IONTOPHORESIS EA 15 MIN","97033","HCPCS","Both",,,"150","75","Humana","Commercial","GO,PN",,"78",,"116.25","54.9","116.25","percent of total billed charges",,
"OT IONTOPHORESIS EA 15 MIN","97033","HCPCS","Both",,,"150","75","UHC","Commercial","GO,PN",,"75",,"113.1","54.9","116.25","percent of total billed charges",,
"OT IONTOPHORESIS EA 15 MIN","97033","HCPCS","Both",,,"150","75","Medicaid",,"GO,PN",,"37",,"54.9","54.9","116.25","percent of total billed charges",,
"OT MASSAGE EA 15 MIN","97124","HCPCS","Both",,,"75.5","37.75","Alliant","Health Exchange","GO,PN",,"62",,"46.81","27.63","58.51","percent of total billed charges",,
"OT MASSAGE EA 15 MIN","97124","HCPCS","Both",,,"75.5","37.75","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"40.77","27.63","58.51","percent of total billed charges",,
"OT MASSAGE EA 15 MIN","97124","HCPCS","Both",,,"75.5","37.75","Medicare",,"GO,PN",,"54",,"40.92","27.63","58.51","percent of total billed charges",,
"OT MASSAGE EA 15 MIN","97124","HCPCS","Both",,,"75.5","37.75","Humana","Medicare Advantage","GO,PN",,"54",,"40.92","27.63","58.51","percent of total billed charges",,
"OT MASSAGE EA 15 MIN","97124","HCPCS","Both",,,"75.5","37.75","UHC","Medicare Advantage","GO,PN",,"54",,"40.92","27.63","58.51","percent of total billed charges",,
"OT MASSAGE EA 15 MIN","97124","HCPCS","Both",,,"75.5","37.75","Clover","Medicare Advantage","GO,PN",,"54",,"40.92","27.63","58.51","percent of total billed charges",,
"OT MASSAGE EA 15 MIN","97124","HCPCS","Both",,,"75.5","37.75","Wellcare","Medicare Advantage","GO,PN",,"54",,"40.92","27.63","58.51","percent of total billed charges",,
"OT MASSAGE EA 15 MIN","97124","HCPCS","Both",,,"75.5","37.75","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"27.63","27.63","58.51","percent of total billed charges",,
"OT MASSAGE EA 15 MIN","97124","HCPCS","Both",,,"75.5","37.75","Caresource","Medicaid Managed Care","GO,PN",,"40",,"30.2","27.63","58.51","percent of total billed charges",,
"OT MASSAGE EA 15 MIN","97124","HCPCS","Both",,,"75.5","37.75","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"30.58","27.63","58.51","percent of total billed charges",,
"OT MASSAGE EA 15 MIN","97124","HCPCS","Both",,,"75.5","37.75","Aetna","Commercial","GO,PN",,"64",,"48.17","27.63","58.51","percent of total billed charges",,
"OT MASSAGE EA 15 MIN","97124","HCPCS","Both",,,"75.5","37.75","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"53.3","27.63","58.51","percent of total billed charges",,
"OT MASSAGE EA 15 MIN","97124","HCPCS","Both",,,"75.5","37.75","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"53.3","27.63","58.51","percent of total billed charges",,
"OT MASSAGE EA 15 MIN","97124","HCPCS","Both",,,"75.5","37.75","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"53.3","27.63","58.51","percent of total billed charges",,
"OT MASSAGE EA 15 MIN","97124","HCPCS","Both",,,"75.5","37.75","Ambetter","Health Exchange","GO,PN",,"62",,"46.81","27.63","58.51","percent of total billed charges",,
"OT MASSAGE EA 15 MIN","97124","HCPCS","Both",,,"75.5","37.75","Caresource","Health Exchange","GO,PN",,"62",,"46.81","27.63","58.51","percent of total billed charges",,
"OT MASSAGE EA 15 MIN","97124","HCPCS","Both",,,"75.5","37.75","Cigna","Commercial","GO,PN",,"59",,"44.24","27.63","58.51","percent of total billed charges",,
"OT MASSAGE EA 15 MIN","97124","HCPCS","Both",,,"75.5","37.75","Humana","Commercial","GO,PN",,"78",,"58.51","27.63","58.51","percent of total billed charges",,
"OT MASSAGE EA 15 MIN","97124","HCPCS","Both",,,"75.5","37.75","UHC","Commercial","GO,PN",,"75",,"56.93","27.63","58.51","percent of total billed charges",,
"OT MASSAGE EA 15 MIN","97124","HCPCS","Both",,,"75.5","37.75","Medicaid",,"GO,PN",,"37",,"27.63","27.63","58.51","percent of total billed charges",,
"OT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Alliant","Health Exchange","GO,PN",,"62",,"21.39","12.63","26.74","percent of total billed charges",,
"OT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"18.63","12.63","26.74","percent of total billed charges",,
"OT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Medicare",,"GO,PN",,"54",,"18.7","12.63","26.74","percent of total billed charges",,
"OT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Humana","Medicare Advantage","GO,PN",,"54",,"18.7","12.63","26.74","percent of total billed charges",,
"OT GROUP","97150","HCPCS","Both",,,"34.5","17.25","UHC","Medicare Advantage","GO,PN",,"54",,"18.7","12.63","26.74","percent of total billed charges",,
"OT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Clover","Medicare Advantage","GO,PN",,"54",,"18.7","12.63","26.74","percent of total billed charges",,
"OT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Wellcare","Medicare Advantage","GO,PN",,"54",,"18.7","12.63","26.74","percent of total billed charges",,
"OT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"12.63","12.63","26.74","percent of total billed charges",,
"OT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Caresource","Medicaid Managed Care","GO,PN",,"40",,"13.8","12.63","26.74","percent of total billed charges",,
"OT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"13.97","12.63","26.74","percent of total billed charges",,
"OT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Aetna","Commercial","GO,PN",,"64",,"22.01","12.63","26.74","percent of total billed charges",,
"OT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"24.36","12.63","26.74","percent of total billed charges",,
"OT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"24.36","12.63","26.74","percent of total billed charges",,
"OT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"24.36","12.63","26.74","percent of total billed charges",,
"OT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Ambetter","Health Exchange","GO,PN",,"62",,"21.39","12.63","26.74","percent of total billed charges",,
"OT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Caresource","Health Exchange","GO,PN",,"62",,"21.39","12.63","26.74","percent of total billed charges",,
"OT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Cigna","Commercial","GO,PN",,"59",,"20.22","12.63","26.74","percent of total billed charges",,
"OT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Humana","Commercial","GO,PN",,"78",,"26.74","12.63","26.74","percent of total billed charges",,
"OT GROUP","97150","HCPCS","Both",,,"34.5","17.25","UHC","Commercial","GO,PN",,"75",,"26.01","12.63","26.74","percent of total billed charges",,
"OT GROUP","97150","HCPCS","Both",,,"34.5","17.25","Medicaid",,"GO,PN",,"37",,"12.63","12.63","26.74","percent of total billed charges",,
"OT THERAPEUCTIC ACT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Alliant","Health Exchange","GO,PN",,"62",,"167.59","98.93","209.48","percent of total billed charges",,
"OT THERAPEUCTIC ACT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"145.96","98.93","209.48","percent of total billed charges",,
"OT THERAPEUCTIC ACT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Medicare",,"GO,PN",,"54",,"146.5","98.93","209.48","percent of total billed charges",,
"OT THERAPEUCTIC ACT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Humana","Medicare Advantage","GO,PN",,"54",,"146.5","98.93","209.48","percent of total billed charges",,
"OT THERAPEUCTIC ACT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","UHC","Medicare Advantage","GO,PN",,"54",,"146.5","98.93","209.48","percent of total billed charges",,
"OT THERAPEUCTIC ACT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Clover","Medicare Advantage","GO,PN",,"54",,"146.5","98.93","209.48","percent of total billed charges",,
"OT THERAPEUCTIC ACT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Wellcare","Medicare Advantage","GO,PN",,"54",,"146.5","98.93","209.48","percent of total billed charges",,
"OT THERAPEUCTIC ACT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"98.93","98.93","209.48","percent of total billed charges",,
"OT THERAPEUCTIC ACT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Caresource","Medicaid Managed Care","GO,PN",,"40",,"108.12","98.93","209.48","percent of total billed charges",,
"OT THERAPEUCTIC ACT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"109.47","98.93","209.48","percent of total billed charges",,
"OT THERAPEUCTIC ACT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Aetna","Commercial","GO,PN",,"64",,"172.45","98.93","209.48","percent of total billed charges",,
"OT THERAPEUCTIC ACT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"190.83","98.93","209.48","percent of total billed charges",,
"OT THERAPEUCTIC ACT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"190.83","98.93","209.48","percent of total billed charges",,
"OT THERAPEUCTIC ACT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"190.83","98.93","209.48","percent of total billed charges",,
"OT THERAPEUCTIC ACT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Ambetter","Health Exchange","GO,PN",,"62",,"167.59","98.93","209.48","percent of total billed charges",,
"OT THERAPEUCTIC ACT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Caresource","Health Exchange","GO,PN",,"62",,"167.59","98.93","209.48","percent of total billed charges",,
"OT THERAPEUCTIC ACT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Cigna","Commercial","GO,PN",,"59",,"158.4","98.93","209.48","percent of total billed charges",,
"OT THERAPEUCTIC ACT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Humana","Commercial","GO,PN",,"78",,"209.48","98.93","209.48","percent of total billed charges",,
"OT THERAPEUCTIC ACT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","UHC","Commercial","GO,PN",,"75",,"203.81","98.93","209.48","percent of total billed charges",,
"OT THERAPEUCTIC ACT EA 15 MIN","97530","HCPCS","Both",,,"270.3","135.15","Medicaid",,"GO,PN",,"37",,"98.93","98.93","209.48","percent of total billed charges",,
"OT MANUAL THERAPY TECH 15 MINS","97140","HCPCS","Both",,,"314.65","157.325","Alliant","Health Exchange","GO,PN",,"62",,"195.08","115.16","243.85","percent of total billed charges",,
"OT MANUAL THERAPY TECH 15 MINS","97140","HCPCS","Both",,,"314.65","157.325","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"169.91","115.16","243.85","percent of total billed charges",,
"OT MANUAL THERAPY TECH 15 MINS","97140","HCPCS","Both",,,"314.65","157.325","Medicare",,"GO,PN",,"54",,"170.54","115.16","243.85","percent of total billed charges",,
"OT MANUAL THERAPY TECH 15 MINS","97140","HCPCS","Both",,,"314.65","157.325","Humana","Medicare Advantage","GO,PN",,"54",,"170.54","115.16","243.85","percent of total billed charges",,
"OT MANUAL THERAPY TECH 15 MINS","97140","HCPCS","Both",,,"314.65","157.325","UHC","Medicare Advantage","GO,PN",,"54",,"170.54","115.16","243.85","percent of total billed charges",,
"OT MANUAL THERAPY TECH 15 MINS","97140","HCPCS","Both",,,"314.65","157.325","Clover","Medicare Advantage","GO,PN",,"54",,"170.54","115.16","243.85","percent of total billed charges",,
"OT MANUAL THERAPY TECH 15 MINS","97140","HCPCS","Both",,,"314.65","157.325","Wellcare","Medicare Advantage","GO,PN",,"54",,"170.54","115.16","243.85","percent of total billed charges",,
"OT MANUAL THERAPY TECH 15 MINS","97140","HCPCS","Both",,,"314.65","157.325","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"115.16","115.16","243.85","percent of total billed charges",,
"OT MANUAL THERAPY TECH 15 MINS","97140","HCPCS","Both",,,"314.65","157.325","Caresource","Medicaid Managed Care","GO,PN",,"40",,"125.86","115.16","243.85","percent of total billed charges",,
"OT MANUAL THERAPY TECH 15 MINS","97140","HCPCS","Both",,,"314.65","157.325","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"127.43","115.16","243.85","percent of total billed charges",,
"OT MANUAL THERAPY TECH 15 MINS","97140","HCPCS","Both",,,"314.65","157.325","Aetna","Commercial","GO,PN",,"64",,"200.75","115.16","243.85","percent of total billed charges",,
"OT MANUAL THERAPY TECH 15 MINS","97140","HCPCS","Both",,,"314.65","157.325","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"222.14","115.16","243.85","percent of total billed charges",,
"OT MANUAL THERAPY TECH 15 MINS","97140","HCPCS","Both",,,"314.65","157.325","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"222.14","115.16","243.85","percent of total billed charges",,
"OT MANUAL THERAPY TECH 15 MINS","97140","HCPCS","Both",,,"314.65","157.325","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"222.14","115.16","243.85","percent of total billed charges",,
"OT MANUAL THERAPY TECH 15 MINS","97140","HCPCS","Both",,,"314.65","157.325","Ambetter","Health Exchange","GO,PN",,"62",,"195.08","115.16","243.85","percent of total billed charges",,
"OT MANUAL THERAPY TECH 15 MINS","97140","HCPCS","Both",,,"314.65","157.325","Caresource","Health Exchange","GO,PN",,"62",,"195.08","115.16","243.85","percent of total billed charges",,
"OT MANUAL THERAPY TECH 15 MINS","97140","HCPCS","Both",,,"314.65","157.325","Cigna","Commercial","GO,PN",,"59",,"184.38","115.16","243.85","percent of total billed charges",,
"OT MANUAL THERAPY TECH 15 MINS","97140","HCPCS","Both",,,"314.65","157.325","Humana","Commercial","GO,PN",,"78",,"243.85","115.16","243.85","percent of total billed charges",,
"OT MANUAL THERAPY TECH 15 MINS","97140","HCPCS","Both",,,"314.65","157.325","UHC","Commercial","GO,PN",,"75",,"237.25","115.16","243.85","percent of total billed charges",,
"OT MANUAL THERAPY TECH 15 MINS","97140","HCPCS","Both",,,"314.65","157.325","Medicaid",,"GO,PN",,"37",,"115.16","115.16","243.85","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Alliant","Health Exchange","GO,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Medicare",,"GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Humana","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","UHC","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Clover","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Aetna","Commercial","GO,PN",,"64",,"0.32","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Ambetter","Health Exchange","GO,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Caresource","Health Exchange","GO,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Cigna","Commercial","GO,PN",,"59",,"0.29","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Humana","Commercial","GO,PN",,"78",,"0.39","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","UHC","Commercial","GO,PN",,"75",,"0.38","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Medicaid",,"GO,PN",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Alliant","Health Exchange","GO,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Medicare",,"GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Humana","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","UHC","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Clover","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Aetna","Commercial","GO,PN",,"64",,"0.32","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Ambetter","Health Exchange","GO,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Caresource","Health Exchange","GO,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Cigna","Commercial","GO,PN",,"59",,"0.29","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Humana","Commercial","GO,PN",,"78",,"0.39","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","UHC","Commercial","GO,PN",,"75",,"0.38","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Medicaid",,"GO,PN",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Medicare",,"GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Medicaid",,"GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Medicare",,"GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Medicaid",,"GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Medicare",,"GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Medicaid",,"GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Medicare",,"GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Medicaid",,"GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Medicare",,"GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Medicaid",,"GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Alliant","Health Exchange","GO,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Medicare",,"GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Humana","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","UHC","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Clover","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Aetna","Commercial","GO,PN",,"64",,"0.32","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Ambetter","Health Exchange","GO,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Caresource","Health Exchange","GO,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Cigna","Commercial","GO,PN",,"59",,"0.29","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Humana","Commercial","GO,PN",,"78",,"0.39","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","UHC","Commercial","GO,PN",,"75",,"0.38","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Medicaid",,"GO,PN",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Medicare",,"GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Medicaid",,"GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT APP MULTI-LAYER COMPRESSION UPPER EXT","29584","HCPCS","Both",,,"99","49.5","Alliant","Health Exchange","GO,PN",,"62",,"61.38","36.23","76.73","percent of total billed charges",,
"OT APP MULTI-LAYER COMPRESSION UPPER EXT","29584","HCPCS","Both",,,"99","49.5","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"53.46","36.23","76.73","percent of total billed charges",,
"OT APP MULTI-LAYER COMPRESSION UPPER EXT","29584","HCPCS","Both",,,"99","49.5","Medicare",,"GO,PN",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"OT APP MULTI-LAYER COMPRESSION UPPER EXT","29584","HCPCS","Both",,,"99","49.5","Humana","Medicare Advantage","GO,PN",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"OT APP MULTI-LAYER COMPRESSION UPPER EXT","29584","HCPCS","Both",,,"99","49.5","UHC","Medicare Advantage","GO,PN",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"OT APP MULTI-LAYER COMPRESSION UPPER EXT","29584","HCPCS","Both",,,"99","49.5","Clover","Medicare Advantage","GO,PN",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"OT APP MULTI-LAYER COMPRESSION UPPER EXT","29584","HCPCS","Both",,,"99","49.5","Wellcare","Medicare Advantage","GO,PN",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"OT APP MULTI-LAYER COMPRESSION UPPER EXT","29584","HCPCS","Both",,,"99","49.5","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"36.23","36.23","76.73","percent of total billed charges",,
"OT APP MULTI-LAYER COMPRESSION UPPER EXT","29584","HCPCS","Both",,,"99","49.5","Caresource","Medicaid Managed Care","GO,PN",,"40",,"39.6","36.23","76.73","percent of total billed charges",,
"OT APP MULTI-LAYER COMPRESSION UPPER EXT","29584","HCPCS","Both",,,"99","49.5","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"40.1","36.23","76.73","percent of total billed charges",,
"OT APP MULTI-LAYER COMPRESSION UPPER EXT","29584","HCPCS","Both",,,"99","49.5","Aetna","Commercial","GO,PN",,"64",,"63.16","36.23","76.73","percent of total billed charges",,
"OT APP MULTI-LAYER COMPRESSION UPPER EXT","29584","HCPCS","Both",,,"99","49.5","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"69.89","36.23","76.73","percent of total billed charges",,
"OT APP MULTI-LAYER COMPRESSION UPPER EXT","29584","HCPCS","Both",,,"99","49.5","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"69.89","36.23","76.73","percent of total billed charges",,
"OT APP MULTI-LAYER COMPRESSION UPPER EXT","29584","HCPCS","Both",,,"99","49.5","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"69.89","36.23","76.73","percent of total billed charges",,
"OT APP MULTI-LAYER COMPRESSION UPPER EXT","29584","HCPCS","Both",,,"99","49.5","Ambetter","Health Exchange","GO,PN",,"62",,"61.38","36.23","76.73","percent of total billed charges",,
"OT APP MULTI-LAYER COMPRESSION UPPER EXT","29584","HCPCS","Both",,,"99","49.5","Caresource","Health Exchange","GO,PN",,"62",,"61.38","36.23","76.73","percent of total billed charges",,
"OT APP MULTI-LAYER COMPRESSION UPPER EXT","29584","HCPCS","Both",,,"99","49.5","Cigna","Commercial","GO,PN",,"59",,"58.01","36.23","76.73","percent of total billed charges",,
"OT APP MULTI-LAYER COMPRESSION UPPER EXT","29584","HCPCS","Both",,,"99","49.5","Humana","Commercial","GO,PN",,"78",,"76.73","36.23","76.73","percent of total billed charges",,
"OT APP MULTI-LAYER COMPRESSION UPPER EXT","29584","HCPCS","Both",,,"99","49.5","UHC","Commercial","GO,PN",,"75",,"74.65","36.23","76.73","percent of total billed charges",,
"OT APP MULTI-LAYER COMPRESSION UPPER EXT","29584","HCPCS","Both",,,"99","49.5","Medicaid",,"GO,PN",,"37",,"36.23","36.23","76.73","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT EA ADD'L 20cm","97598","HCPCS","Both",,,"21","10.5","Alliant","Health Exchange","GO,PN",,"62",,"13.02","7.69","16.28","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT EA ADD'L 20cm","97598","HCPCS","Both",,,"21","10.5","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"11.34","7.69","16.28","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT EA ADD'L 20cm","97598","HCPCS","Both",,,"21","10.5","Medicare",,"GO,PN",,"54",,"11.38","7.69","16.28","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT EA ADD'L 20cm","97598","HCPCS","Both",,,"21","10.5","Humana","Medicare Advantage","GO,PN",,"54",,"11.38","7.69","16.28","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT EA ADD'L 20cm","97598","HCPCS","Both",,,"21","10.5","UHC","Medicare Advantage","GO,PN",,"54",,"11.38","7.69","16.28","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT EA ADD'L 20cm","97598","HCPCS","Both",,,"21","10.5","Clover","Medicare Advantage","GO,PN",,"54",,"11.38","7.69","16.28","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT EA ADD'L 20cm","97598","HCPCS","Both",,,"21","10.5","Wellcare","Medicare Advantage","GO,PN",,"54",,"11.38","7.69","16.28","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT EA ADD'L 20cm","97598","HCPCS","Both",,,"21","10.5","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"7.69","7.69","16.28","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT EA ADD'L 20cm","97598","HCPCS","Both",,,"21","10.5","Caresource","Medicaid Managed Care","GO,PN",,"40",,"8.4","7.69","16.28","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT EA ADD'L 20cm","97598","HCPCS","Both",,,"21","10.5","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"8.51","7.69","16.28","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT EA ADD'L 20cm","97598","HCPCS","Both",,,"21","10.5","Aetna","Commercial","GO,PN",,"64",,"13.4","7.69","16.28","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT EA ADD'L 20cm","97598","HCPCS","Both",,,"21","10.5","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"14.83","7.69","16.28","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT EA ADD'L 20cm","97598","HCPCS","Both",,,"21","10.5","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"14.83","7.69","16.28","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT EA ADD'L 20cm","97598","HCPCS","Both",,,"21","10.5","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"14.83","7.69","16.28","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT EA ADD'L 20cm","97598","HCPCS","Both",,,"21","10.5","Ambetter","Health Exchange","GO,PN",,"62",,"13.02","7.69","16.28","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT EA ADD'L 20cm","97598","HCPCS","Both",,,"21","10.5","Caresource","Health Exchange","GO,PN",,"62",,"13.02","7.69","16.28","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT EA ADD'L 20cm","97598","HCPCS","Both",,,"21","10.5","Cigna","Commercial","GO,PN",,"59",,"12.31","7.69","16.28","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT EA ADD'L 20cm","97598","HCPCS","Both",,,"21","10.5","Humana","Commercial","GO,PN",,"78",,"16.28","7.69","16.28","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT EA ADD'L 20cm","97598","HCPCS","Both",,,"21","10.5","UHC","Commercial","GO,PN",,"75",,"15.83","7.69","16.28","percent of total billed charges",,
"OT SELECTIVE DEBRIDEMENT EA ADD'L 20cm","97598","HCPCS","Both",,,"21","10.5","Medicaid",,"GO,PN",,"37",,"7.69","7.69","16.28","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY >50cm","G0457","HCPCS","Both",,,"54","27","Alliant","Health Exchange","GO,PN",,"62",,"33.48","19.76","41.85","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY >50cm","G0457","HCPCS","Both",,,"54","27","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"29.16","19.76","41.85","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY >50cm","G0457","HCPCS","Both",,,"54","27","Medicare",,"GO,PN",,"54",,"29.27","19.76","41.85","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY >50cm","G0457","HCPCS","Both",,,"54","27","Humana","Medicare Advantage","GO,PN",,"54",,"29.27","19.76","41.85","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY >50cm","G0457","HCPCS","Both",,,"54","27","UHC","Medicare Advantage","GO,PN",,"54",,"29.27","19.76","41.85","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY >50cm","G0457","HCPCS","Both",,,"54","27","Clover","Medicare Advantage","GO,PN",,"54",,"29.27","19.76","41.85","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY >50cm","G0457","HCPCS","Both",,,"54","27","Wellcare","Medicare Advantage","GO,PN",,"54",,"29.27","19.76","41.85","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY >50cm","G0457","HCPCS","Both",,,"54","27","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"19.76","19.76","41.85","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY >50cm","G0457","HCPCS","Both",,,"54","27","Caresource","Medicaid Managed Care","GO,PN",,"40",,"21.6","19.76","41.85","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY >50cm","G0457","HCPCS","Both",,,"54","27","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"21.87","19.76","41.85","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY >50cm","G0457","HCPCS","Both",,,"54","27","Aetna","Commercial","GO,PN",,"64",,"34.45","19.76","41.85","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY >50cm","G0457","HCPCS","Both",,,"54","27","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"38.12","19.76","41.85","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY >50cm","G0457","HCPCS","Both",,,"54","27","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"38.12","19.76","41.85","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY >50cm","G0457","HCPCS","Both",,,"54","27","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"38.12","19.76","41.85","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY >50cm","G0457","HCPCS","Both",,,"54","27","Ambetter","Health Exchange","GO,PN",,"62",,"33.48","19.76","41.85","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY >50cm","G0457","HCPCS","Both",,,"54","27","Caresource","Health Exchange","GO,PN",,"62",,"33.48","19.76","41.85","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY >50cm","G0457","HCPCS","Both",,,"54","27","Cigna","Commercial","GO,PN",,"59",,"31.64","19.76","41.85","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY >50cm","G0457","HCPCS","Both",,,"54","27","Humana","Commercial","GO,PN",,"78",,"41.85","19.76","41.85","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY >50cm","G0457","HCPCS","Both",,,"54","27","UHC","Commercial","GO,PN",,"75",,"40.72","19.76","41.85","percent of total billed charges",,
"OT NEGATIVE PRESS WOUND THERAPY >50cm","G0457","HCPCS","Both",,,"54","27","Medicaid",,"GO,PN",,"37",,"19.76","19.76","41.85","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Alliant","Health Exchange","GO,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Medicare",,"GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Humana","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","UHC","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Clover","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Aetna","Commercial","GO,PN",,"64",,"0.32","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Ambetter","Health Exchange","GO,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Caresource","Health Exchange","GO,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Cigna","Commercial","GO,PN",,"59",,"0.29","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Humana","Commercial","GO,PN",,"78",,"0.39","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","UHC","Commercial","GO,PN",,"75",,"0.38","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Medicaid",,"GO,PN",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Alliant","Health Exchange","GO,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Medicare",,"GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Humana","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","UHC","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Clover","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Aetna","Commercial","GO,PN",,"64",,"0.32","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Ambetter","Health Exchange","GO,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Caresource","Health Exchange","GO,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Cigna","Commercial","GO,PN",,"59",,"0.29","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Humana","Commercial","GO,PN",,"78",,"0.39","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","UHC","Commercial","GO,PN",,"75",,"0.38","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Medicaid",,"GO,PN",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Medicare",,"GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Medicaid",,"GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Medicare",,"GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Medicaid",,"GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Medicare",,"GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Medicaid",,"GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Medicare",,"GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Medicaid",,"GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Medicare",,"GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Medicaid",,"GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Medicare",,"GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Medicaid",,"GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Medicare",,"GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Medicaid",,"GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Medicare",,"GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Medicaid",,"GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Medicare",,"GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Medicaid",,"GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G9170 MEMORY D/C STATUS","G9170","HCPCS","Both",,,"0.09","0.045","Alliant","Health Exchange","GO,PN",,"62",,"0.06","0.03","0.07","percent of total billed charges",,
"OT G9170 MEMORY D/C STATUS","G9170","HCPCS","Both",,,"0.09","0.045","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.05","0.03","0.07","percent of total billed charges",,
"OT G9170 MEMORY D/C STATUS","G9170","HCPCS","Both",,,"0.09","0.045","Medicare",,"GO,PN",,"54",,"0.05","0.03","0.07","percent of total billed charges",,
"OT G9170 MEMORY D/C STATUS","G9170","HCPCS","Both",,,"0.09","0.045","Humana","Medicare Advantage","GO,PN",,"54",,"0.05","0.03","0.07","percent of total billed charges",,
"OT G9170 MEMORY D/C STATUS","G9170","HCPCS","Both",,,"0.09","0.045","UHC","Medicare Advantage","GO,PN",,"54",,"0.05","0.03","0.07","percent of total billed charges",,
"OT G9170 MEMORY D/C STATUS","G9170","HCPCS","Both",,,"0.09","0.045","Clover","Medicare Advantage","GO,PN",,"54",,"0.05","0.03","0.07","percent of total billed charges",,
"OT G9170 MEMORY D/C STATUS","G9170","HCPCS","Both",,,"0.09","0.045","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.05","0.03","0.07","percent of total billed charges",,
"OT G9170 MEMORY D/C STATUS","G9170","HCPCS","Both",,,"0.09","0.045","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.03","0.03","0.07","percent of total billed charges",,
"OT G9170 MEMORY D/C STATUS","G9170","HCPCS","Both",,,"0.09","0.045","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.04","0.03","0.07","percent of total billed charges",,
"OT G9170 MEMORY D/C STATUS","G9170","HCPCS","Both",,,"0.09","0.045","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.04","0.03","0.07","percent of total billed charges",,
"OT G9170 MEMORY D/C STATUS","G9170","HCPCS","Both",,,"0.09","0.045","Aetna","Commercial","GO,PN",,"64",,"0.06","0.03","0.07","percent of total billed charges",,
"OT G9170 MEMORY D/C STATUS","G9170","HCPCS","Both",,,"0.09","0.045","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.06","0.03","0.07","percent of total billed charges",,
"OT G9170 MEMORY D/C STATUS","G9170","HCPCS","Both",,,"0.09","0.045","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.06","0.03","0.07","percent of total billed charges",,
"OT G9170 MEMORY D/C STATUS","G9170","HCPCS","Both",,,"0.09","0.045","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.06","0.03","0.07","percent of total billed charges",,
"OT G9170 MEMORY D/C STATUS","G9170","HCPCS","Both",,,"0.09","0.045","Ambetter","Health Exchange","GO,PN",,"62",,"0.06","0.03","0.07","percent of total billed charges",,
"OT G9170 MEMORY D/C STATUS","G9170","HCPCS","Both",,,"0.09","0.045","Caresource","Health Exchange","GO,PN",,"62",,"0.06","0.03","0.07","percent of total billed charges",,
"OT G9170 MEMORY D/C STATUS","G9170","HCPCS","Both",,,"0.09","0.045","Cigna","Commercial","GO,PN",,"59",,"0.05","0.03","0.07","percent of total billed charges",,
"OT G9170 MEMORY D/C STATUS","G9170","HCPCS","Both",,,"0.09","0.045","Humana","Commercial","GO,PN",,"78",,"0.07","0.03","0.07","percent of total billed charges",,
"OT G9170 MEMORY D/C STATUS","G9170","HCPCS","Both",,,"0.09","0.045","UHC","Commercial","GO,PN",,"75",,"0.07","0.03","0.07","percent of total billed charges",,
"OT G9170 MEMORY D/C STATUS","G9170","HCPCS","Both",,,"0.09","0.045","Medicaid",,"GO,PN",,"37",,"0.03","0.03","0.07","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Medicare",,"GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Medicaid",,"GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Medicare",,"GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Medicaid",,"GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Medicare",,"GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Medicaid",,"GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST TREATMENT SPEECH INDIVIDUAL","92507","HCPCS","Both",,,"540.21","270.105","Alliant","Health Exchange","GN,PN",,"62",,"334.93","197.72","418.66","percent of total billed charges",,
"ST TREATMENT SPEECH INDIVIDUAL","92507","HCPCS","Both",,,"540.21","270.105","Pruitt Healthcare","Medicare Advantage","GN,PN",,"54",,"291.71","197.72","418.66","percent of total billed charges",,
"ST TREATMENT SPEECH INDIVIDUAL","92507","HCPCS","Both",,,"540.21","270.105","Medicare",,"GN,PN",,"54",,"292.79","197.72","418.66","percent of total billed charges",,
"ST TREATMENT SPEECH INDIVIDUAL","92507","HCPCS","Both",,,"540.21","270.105","Humana","Medicare Advantage","GN,PN",,"54",,"292.79","197.72","418.66","percent of total billed charges",,
"ST TREATMENT SPEECH INDIVIDUAL","92507","HCPCS","Both",,,"540.21","270.105","UHC","Medicare Advantage","GN,PN",,"54",,"292.79","197.72","418.66","percent of total billed charges",,
"ST TREATMENT SPEECH INDIVIDUAL","92507","HCPCS","Both",,,"540.21","270.105","Clover","Medicare Advantage","GN,PN",,"54",,"292.79","197.72","418.66","percent of total billed charges",,
"ST TREATMENT SPEECH INDIVIDUAL","92507","HCPCS","Both",,,"540.21","270.105","Wellcare","Medicare Advantage","GN,PN",,"54",,"292.79","197.72","418.66","percent of total billed charges",,
"ST TREATMENT SPEECH INDIVIDUAL","92507","HCPCS","Both",,,"540.21","270.105","Amerigroup","Medicaid Managed Care","GN,PN",,"37",,"197.72","197.72","418.66","percent of total billed charges",,
"ST TREATMENT SPEECH INDIVIDUAL","92507","HCPCS","Both",,,"540.21","270.105","Caresource","Medicaid Managed Care","GN,PN",,"40",,"216.08","197.72","418.66","percent of total billed charges",,
"ST TREATMENT SPEECH INDIVIDUAL","92507","HCPCS","Both",,,"540.21","270.105","Wellcare","Medicaid Managed Care","GN,PN",,"40",,"218.79","197.72","418.66","percent of total billed charges",,
"ST TREATMENT SPEECH INDIVIDUAL","92507","HCPCS","Both",,,"540.21","270.105","Aetna","Commercial","GN,PN",,"64",,"344.65","197.72","418.66","percent of total billed charges",,
"ST TREATMENT SPEECH INDIVIDUAL","92507","HCPCS","Both",,,"540.21","270.105","Blue Cross Blue Shield","Pathways","GN,PN",,"71",,"381.39","197.72","418.66","percent of total billed charges",,
"ST TREATMENT SPEECH INDIVIDUAL","92507","HCPCS","Both",,,"540.21","270.105","Blue Cross Blue Shield","HMO","GN,PN",,"71",,"381.39","197.72","418.66","percent of total billed charges",,
"ST TREATMENT SPEECH INDIVIDUAL","92507","HCPCS","Both",,,"540.21","270.105","Blue Cross Blue Shield","PPO","GN,PN",,"71",,"381.39","197.72","418.66","percent of total billed charges",,
"ST TREATMENT SPEECH INDIVIDUAL","92507","HCPCS","Both",,,"540.21","270.105","Ambetter","Health Exchange","GN,PN",,"62",,"334.93","197.72","418.66","percent of total billed charges",,
"ST TREATMENT SPEECH INDIVIDUAL","92507","HCPCS","Both",,,"540.21","270.105","Caresource","Health Exchange","GN,PN",,"62",,"334.93","197.72","418.66","percent of total billed charges",,
"ST TREATMENT SPEECH INDIVIDUAL","92507","HCPCS","Both",,,"540.21","270.105","Cigna","Commercial","GN,PN",,"59",,"316.56","197.72","418.66","percent of total billed charges",,
"ST TREATMENT SPEECH INDIVIDUAL","92507","HCPCS","Both",,,"540.21","270.105","Humana","Commercial","GN,PN",,"78",,"418.66","197.72","418.66","percent of total billed charges",,
"ST TREATMENT SPEECH INDIVIDUAL","92507","HCPCS","Both",,,"540.21","270.105","UHC","Commercial","GN,PN",,"75",,"407.32","197.72","418.66","percent of total billed charges",,
"ST TREATMENT SPEECH INDIVIDUAL","92507","HCPCS","Both",,,"540.21","270.105","Medicaid",,"GN,PN",,"37",,"197.72","197.72","418.66","percent of total billed charges",,
"ST EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Alliant","Health Exchange","GN,PN",,"62",,"126.85","74.88","158.56","percent of total billed charges",,
"ST EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Pruitt Healthcare","Medicare Advantage","GN,PN",,"54",,"110.48","74.88","158.56","percent of total billed charges",,
"ST EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Medicare",,"GN,PN",,"54",,"110.89","74.88","158.56","percent of total billed charges",,
"ST EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Humana","Medicare Advantage","GN,PN",,"54",,"110.89","74.88","158.56","percent of total billed charges",,
"ST EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","UHC","Medicare Advantage","GN,PN",,"54",,"110.89","74.88","158.56","percent of total billed charges",,
"ST EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Clover","Medicare Advantage","GN,PN",,"54",,"110.89","74.88","158.56","percent of total billed charges",,
"ST EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Wellcare","Medicare Advantage","GN,PN",,"54",,"110.89","74.88","158.56","percent of total billed charges",,
"ST EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Amerigroup","Medicaid Managed Care","GN,PN",,"37",,"74.88","74.88","158.56","percent of total billed charges",,
"ST EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Caresource","Medicaid Managed Care","GN,PN",,"40",,"81.84","74.88","158.56","percent of total billed charges",,
"ST EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Wellcare","Medicaid Managed Care","GN,PN",,"40",,"82.86","74.88","158.56","percent of total billed charges",,
"ST EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Aetna","Commercial","GN,PN",,"64",,"130.53","74.88","158.56","percent of total billed charges",,
"ST EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Blue Cross Blue Shield","Pathways","GN,PN",,"71",,"144.45","74.88","158.56","percent of total billed charges",,
"ST EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Blue Cross Blue Shield","HMO","GN,PN",,"71",,"144.45","74.88","158.56","percent of total billed charges",,
"ST EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Blue Cross Blue Shield","PPO","GN,PN",,"71",,"144.45","74.88","158.56","percent of total billed charges",,
"ST EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Ambetter","Health Exchange","GN,PN",,"62",,"126.85","74.88","158.56","percent of total billed charges",,
"ST EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Caresource","Health Exchange","GN,PN",,"62",,"126.85","74.88","158.56","percent of total billed charges",,
"ST EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Cigna","Commercial","GN,PN",,"59",,"119.9","74.88","158.56","percent of total billed charges",,
"ST EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Humana","Commercial","GN,PN",,"78",,"158.56","74.88","158.56","percent of total billed charges",,
"ST EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","UHC","Commercial","GN,PN",,"75",,"154.27","74.88","158.56","percent of total billed charges",,
"ST EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Medicaid",,"GN,PN",,"37",,"74.88","74.88","158.56","percent of total billed charges",,
"ST CIS EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Alliant","Health Exchange","GN,PN",,"62",,"126.85","74.88","158.56","percent of total billed charges",,
"ST CIS EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Pruitt Healthcare","Medicare Advantage","GN,PN",,"54",,"110.48","74.88","158.56","percent of total billed charges",,
"ST CIS EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Medicare",,"GN,PN",,"54",,"110.89","74.88","158.56","percent of total billed charges",,
"ST CIS EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Humana","Medicare Advantage","GN,PN",,"54",,"110.89","74.88","158.56","percent of total billed charges",,
"ST CIS EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","UHC","Medicare Advantage","GN,PN",,"54",,"110.89","74.88","158.56","percent of total billed charges",,
"ST CIS EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Clover","Medicare Advantage","GN,PN",,"54",,"110.89","74.88","158.56","percent of total billed charges",,
"ST CIS EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Wellcare","Medicare Advantage","GN,PN",,"54",,"110.89","74.88","158.56","percent of total billed charges",,
"ST CIS EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Amerigroup","Medicaid Managed Care","GN,PN",,"37",,"74.88","74.88","158.56","percent of total billed charges",,
"ST CIS EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Caresource","Medicaid Managed Care","GN,PN",,"40",,"81.84","74.88","158.56","percent of total billed charges",,
"ST CIS EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Wellcare","Medicaid Managed Care","GN,PN",,"40",,"82.86","74.88","158.56","percent of total billed charges",,
"ST CIS EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Aetna","Commercial","GN,PN",,"64",,"130.53","74.88","158.56","percent of total billed charges",,
"ST CIS EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Blue Cross Blue Shield","Pathways","GN,PN",,"71",,"144.45","74.88","158.56","percent of total billed charges",,
"ST CIS EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Blue Cross Blue Shield","HMO","GN,PN",,"71",,"144.45","74.88","158.56","percent of total billed charges",,
"ST CIS EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Blue Cross Blue Shield","PPO","GN,PN",,"71",,"144.45","74.88","158.56","percent of total billed charges",,
"ST CIS EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Ambetter","Health Exchange","GN,PN",,"62",,"126.85","74.88","158.56","percent of total billed charges",,
"ST CIS EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Caresource","Health Exchange","GN,PN",,"62",,"126.85","74.88","158.56","percent of total billed charges",,
"ST CIS EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Cigna","Commercial","GN,PN",,"59",,"119.9","74.88","158.56","percent of total billed charges",,
"ST CIS EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Humana","Commercial","GN,PN",,"78",,"158.56","74.88","158.56","percent of total billed charges",,
"ST CIS EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","UHC","Commercial","GN,PN",,"75",,"154.27","74.88","158.56","percent of total billed charges",,
"ST CIS EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Medicaid",,"GN,PN",,"37",,"74.88","74.88","158.56","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PROD W EVAL","92523","HCPCS","Both",,,"836.66","418.33","Alliant","Health Exchange","GN,PN",,"62",,"518.73","202.21","648.41","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PROD W EVAL","92523","HCPCS","Both",,,"836.66","418.33","Pruitt Healthcare","Medicare Advantage","GN,PN",,"54",,"451.8","202.21","648.41","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PROD W EVAL","92523","HCPCS","Both",,,"836.66","418.33","Medicare",,"GN,PN",,"54",,"453.47","202.21","648.41","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PROD W EVAL","92523","HCPCS","Both",,,"836.66","418.33","Humana","Medicare Advantage","GN,PN",,"54",,"453.47","202.21","648.41","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PROD W EVAL","92523","HCPCS","Both",,,"836.66","418.33","UHC","Medicare Advantage","GN,PN",,"54",,"453.47","202.21","648.41","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PROD W EVAL","92523","HCPCS","Both",,,"836.66","418.33","Clover","Medicare Advantage","GN,PN",,"54",,"453.47","202.21","648.41","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PROD W EVAL","92523","HCPCS","Both",,,"836.66","418.33","Wellcare","Medicare Advantage","GN,PN",,"54",,"453.47","202.21","648.41","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PROD W EVAL","92523","HCPCS","Both",,,"836.66","418.33","Amerigroup","Medicaid Managed Care","GN,PN",,"37",,"306.22","202.21","648.41","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PROD W EVAL","92523","HCPCS","Both",,,"836.66","418.33","Caresource","Medicaid Managed Care","GN,PN",,"40",,"334.66","202.21","648.41","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PROD W EVAL","92523","HCPCS","Both",,,"836.66","418.33","Wellcare","Medicaid Managed Care","GN,PN",,"40",,"338.85","202.21","648.41","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PROD W EVAL","92523","HCPCS","Both",,,"836.66","418.33","Aetna","Commercial","GN,PN",,"64",,"533.79","202.21","648.41","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PROD W EVAL","92523","HCPCS","Both",,,"836.66","418.33","Blue Cross Blue Shield","Pathways","GN,PN",,"71",,"590.68","202.21","648.41","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PROD W EVAL","92523","HCPCS","Both",,,"836.66","418.33","Blue Cross Blue Shield","HMO","GN,PN",,"71",,"590.68","202.21","648.41","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PROD W EVAL","92523","HCPCS","Both",,,"836.66","418.33","Blue Cross Blue Shield","PPO","GN,PN",,"71",,"590.68","202.21","648.41","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PROD W EVAL","92523","HCPCS","Both",,,"836.66","418.33","Ambetter","Health Exchange","GN,PN",,"62",,"518.73","202.21","648.41","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PROD W EVAL","92523","HCPCS","Both",,,"836.66","418.33","Caresource","Health Exchange","GN,PN",,"62",,"518.73","202.21","648.41","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PROD W EVAL","92523","HCPCS","Both",,,"836.66","418.33","Cigna","Commercial","GN,PN",,"59",,"490.28","202.21","648.41","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PROD W EVAL","92523","HCPCS","Both",,,"836.66","418.33","Humana","Commercial","GN,PN",,"78",,"648.41","202.21","648.41","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PROD W EVAL","92523","HCPCS","Both",,,"836.66","418.33","UHC","Commercial","GN,PN",,"75",,"630.84","202.21","648.41","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PROD W EVAL","92523","HCPCS","Both",,,"836.66","418.33","Medicaid",,"GN,PN",,"37",,"306.22","202.21","648.41","percent of total billed charges",,
"ST EVALUATION ORAL and PHARYNGEAL SWALLO","92610","HCPCS","Both",,,"99","49.5","Alliant","Health Exchange","GN,PN",,"62",,"61.38","36.23","76.73","percent of total billed charges",,
"ST EVALUATION ORAL and PHARYNGEAL SWALLO","92610","HCPCS","Both",,,"99","49.5","Pruitt Healthcare","Medicare Advantage","GN,PN",,"54",,"53.46","36.23","76.73","percent of total billed charges",,
"ST EVALUATION ORAL and PHARYNGEAL SWALLO","92610","HCPCS","Both",,,"99","49.5","Medicare",,"GN,PN",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"ST EVALUATION ORAL and PHARYNGEAL SWALLO","92610","HCPCS","Both",,,"99","49.5","Humana","Medicare Advantage","GN,PN",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"ST EVALUATION ORAL and PHARYNGEAL SWALLO","92610","HCPCS","Both",,,"99","49.5","UHC","Medicare Advantage","GN,PN",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"ST EVALUATION ORAL and PHARYNGEAL SWALLO","92610","HCPCS","Both",,,"99","49.5","Clover","Medicare Advantage","GN,PN",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"ST EVALUATION ORAL and PHARYNGEAL SWALLO","92610","HCPCS","Both",,,"99","49.5","Wellcare","Medicare Advantage","GN,PN",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"ST EVALUATION ORAL and PHARYNGEAL SWALLO","92610","HCPCS","Both",,,"99","49.5","Amerigroup","Medicaid Managed Care","GN,PN",,"37",,"36.23","36.23","76.73","percent of total billed charges",,
"ST EVALUATION ORAL and PHARYNGEAL SWALLO","92610","HCPCS","Both",,,"99","49.5","Caresource","Medicaid Managed Care","GN,PN",,"40",,"39.6","36.23","76.73","percent of total billed charges",,
"ST EVALUATION ORAL and PHARYNGEAL SWALLO","92610","HCPCS","Both",,,"99","49.5","Wellcare","Medicaid Managed Care","GN,PN",,"40",,"40.1","36.23","76.73","percent of total billed charges",,
"ST EVALUATION ORAL and PHARYNGEAL SWALLO","92610","HCPCS","Both",,,"99","49.5","Aetna","Commercial","GN,PN",,"64",,"63.16","36.23","76.73","percent of total billed charges",,
"ST EVALUATION ORAL and PHARYNGEAL SWALLO","92610","HCPCS","Both",,,"99","49.5","Blue Cross Blue Shield","Pathways","GN,PN",,"71",,"69.89","36.23","76.73","percent of total billed charges",,
"ST EVALUATION ORAL and PHARYNGEAL SWALLO","92610","HCPCS","Both",,,"99","49.5","Blue Cross Blue Shield","HMO","GN,PN",,"71",,"69.89","36.23","76.73","percent of total billed charges",,
"ST EVALUATION ORAL and PHARYNGEAL SWALLO","92610","HCPCS","Both",,,"99","49.5","Blue Cross Blue Shield","PPO","GN,PN",,"71",,"69.89","36.23","76.73","percent of total billed charges",,
"ST EVALUATION ORAL and PHARYNGEAL SWALLO","92610","HCPCS","Both",,,"99","49.5","Ambetter","Health Exchange","GN,PN",,"62",,"61.38","36.23","76.73","percent of total billed charges",,
"ST EVALUATION ORAL and PHARYNGEAL SWALLO","92610","HCPCS","Both",,,"99","49.5","Caresource","Health Exchange","GN,PN",,"62",,"61.38","36.23","76.73","percent of total billed charges",,
"ST EVALUATION ORAL and PHARYNGEAL SWALLO","92610","HCPCS","Both",,,"99","49.5","Cigna","Commercial","GN,PN",,"59",,"58.01","36.23","76.73","percent of total billed charges",,
"ST EVALUATION ORAL and PHARYNGEAL SWALLO","92610","HCPCS","Both",,,"99","49.5","Humana","Commercial","GN,PN",,"78",,"76.73","36.23","76.73","percent of total billed charges",,
"ST EVALUATION ORAL and PHARYNGEAL SWALLO","92610","HCPCS","Both",,,"99","49.5","UHC","Commercial","GN,PN",,"75",,"74.65","36.23","76.73","percent of total billed charges",,
"ST EVALUATION ORAL and PHARYNGEAL SWALLO","92610","HCPCS","Both",,,"99","49.5","Medicaid",,"GN,PN",,"37",,"36.23","36.23","76.73","percent of total billed charges",,
"ST ASSESSMENT APHASIA WITH INTERP","96105","HCPCS","Both",,,"183","91.5","Alliant","Health Exchange","GN,PN",,"62",,"113.46","66.98","141.83","percent of total billed charges",,
"ST ASSESSMENT APHASIA WITH INTERP","96105","HCPCS","Both",,,"183","91.5","Pruitt Healthcare","Medicare Advantage","GN,PN",,"54",,"98.82","66.98","141.83","percent of total billed charges",,
"ST ASSESSMENT APHASIA WITH INTERP","96105","HCPCS","Both",,,"183","91.5","Medicare",,"GN,PN",,"54",,"99.19","66.98","141.83","percent of total billed charges",,
"ST ASSESSMENT APHASIA WITH INTERP","96105","HCPCS","Both",,,"183","91.5","Humana","Medicare Advantage","GN,PN",,"54",,"99.19","66.98","141.83","percent of total billed charges",,
"ST ASSESSMENT APHASIA WITH INTERP","96105","HCPCS","Both",,,"183","91.5","UHC","Medicare Advantage","GN,PN",,"54",,"99.19","66.98","141.83","percent of total billed charges",,
"ST ASSESSMENT APHASIA WITH INTERP","96105","HCPCS","Both",,,"183","91.5","Clover","Medicare Advantage","GN,PN",,"54",,"99.19","66.98","141.83","percent of total billed charges",,
"ST ASSESSMENT APHASIA WITH INTERP","96105","HCPCS","Both",,,"183","91.5","Wellcare","Medicare Advantage","GN,PN",,"54",,"99.19","66.98","141.83","percent of total billed charges",,
"ST ASSESSMENT APHASIA WITH INTERP","96105","HCPCS","Both",,,"183","91.5","Amerigroup","Medicaid Managed Care","GN,PN",,"37",,"66.98","66.98","141.83","percent of total billed charges",,
"ST ASSESSMENT APHASIA WITH INTERP","96105","HCPCS","Both",,,"183","91.5","Caresource","Medicaid Managed Care","GN,PN",,"40",,"73.2","66.98","141.83","percent of total billed charges",,
"ST ASSESSMENT APHASIA WITH INTERP","96105","HCPCS","Both",,,"183","91.5","Wellcare","Medicaid Managed Care","GN,PN",,"40",,"74.12","66.98","141.83","percent of total billed charges",,
"ST ASSESSMENT APHASIA WITH INTERP","96105","HCPCS","Both",,,"183","91.5","Aetna","Commercial","GN,PN",,"64",,"116.75","66.98","141.83","percent of total billed charges",,
"ST ASSESSMENT APHASIA WITH INTERP","96105","HCPCS","Both",,,"183","91.5","Blue Cross Blue Shield","Pathways","GN,PN",,"71",,"129.2","66.98","141.83","percent of total billed charges",,
"ST ASSESSMENT APHASIA WITH INTERP","96105","HCPCS","Both",,,"183","91.5","Blue Cross Blue Shield","HMO","GN,PN",,"71",,"129.2","66.98","141.83","percent of total billed charges",,
"ST ASSESSMENT APHASIA WITH INTERP","96105","HCPCS","Both",,,"183","91.5","Blue Cross Blue Shield","PPO","GN,PN",,"71",,"129.2","66.98","141.83","percent of total billed charges",,
"ST ASSESSMENT APHASIA WITH INTERP","96105","HCPCS","Both",,,"183","91.5","Ambetter","Health Exchange","GN,PN",,"62",,"113.46","66.98","141.83","percent of total billed charges",,
"ST ASSESSMENT APHASIA WITH INTERP","96105","HCPCS","Both",,,"183","91.5","Caresource","Health Exchange","GN,PN",,"62",,"113.46","66.98","141.83","percent of total billed charges",,
"ST ASSESSMENT APHASIA WITH INTERP","96105","HCPCS","Both",,,"183","91.5","Cigna","Commercial","GN,PN",,"59",,"107.24","66.98","141.83","percent of total billed charges",,
"ST ASSESSMENT APHASIA WITH INTERP","96105","HCPCS","Both",,,"183","91.5","Humana","Commercial","GN,PN",,"78",,"141.83","66.98","141.83","percent of total billed charges",,
"ST ASSESSMENT APHASIA WITH INTERP","96105","HCPCS","Both",,,"183","91.5","UHC","Commercial","GN,PN",,"75",,"137.98","66.98","141.83","percent of total billed charges",,
"ST ASSESSMENT APHASIA WITH INTERP","96105","HCPCS","Both",,,"183","91.5","Medicaid",,"GN,PN",,"37",,"66.98","66.98","141.83","percent of total billed charges",,
"ST CIS SPEECH LANG THERAPY","92507","HCPCS","Both",,,"540.21","270.105","Alliant","Health Exchange","GN,PN",,"62",,"334.93","197.72","418.66","percent of total billed charges",,
"ST CIS SPEECH LANG THERAPY","92507","HCPCS","Both",,,"540.21","270.105","Pruitt Healthcare","Medicare Advantage","GN,PN",,"54",,"291.71","197.72","418.66","percent of total billed charges",,
"ST CIS SPEECH LANG THERAPY","92507","HCPCS","Both",,,"540.21","270.105","Medicare",,"GN,PN",,"54",,"292.79","197.72","418.66","percent of total billed charges",,
"ST CIS SPEECH LANG THERAPY","92507","HCPCS","Both",,,"540.21","270.105","Humana","Medicare Advantage","GN,PN",,"54",,"292.79","197.72","418.66","percent of total billed charges",,
"ST CIS SPEECH LANG THERAPY","92507","HCPCS","Both",,,"540.21","270.105","UHC","Medicare Advantage","GN,PN",,"54",,"292.79","197.72","418.66","percent of total billed charges",,
"ST CIS SPEECH LANG THERAPY","92507","HCPCS","Both",,,"540.21","270.105","Clover","Medicare Advantage","GN,PN",,"54",,"292.79","197.72","418.66","percent of total billed charges",,
"ST CIS SPEECH LANG THERAPY","92507","HCPCS","Both",,,"540.21","270.105","Wellcare","Medicare Advantage","GN,PN",,"54",,"292.79","197.72","418.66","percent of total billed charges",,
"ST CIS SPEECH LANG THERAPY","92507","HCPCS","Both",,,"540.21","270.105","Amerigroup","Medicaid Managed Care","GN,PN",,"37",,"197.72","197.72","418.66","percent of total billed charges",,
"ST CIS SPEECH LANG THERAPY","92507","HCPCS","Both",,,"540.21","270.105","Caresource","Medicaid Managed Care","GN,PN",,"40",,"216.08","197.72","418.66","percent of total billed charges",,
"ST CIS SPEECH LANG THERAPY","92507","HCPCS","Both",,,"540.21","270.105","Wellcare","Medicaid Managed Care","GN,PN",,"40",,"218.79","197.72","418.66","percent of total billed charges",,
"ST CIS SPEECH LANG THERAPY","92507","HCPCS","Both",,,"540.21","270.105","Aetna","Commercial","GN,PN",,"64",,"344.65","197.72","418.66","percent of total billed charges",,
"ST CIS SPEECH LANG THERAPY","92507","HCPCS","Both",,,"540.21","270.105","Blue Cross Blue Shield","Pathways","GN,PN",,"71",,"381.39","197.72","418.66","percent of total billed charges",,
"ST CIS SPEECH LANG THERAPY","92507","HCPCS","Both",,,"540.21","270.105","Blue Cross Blue Shield","HMO","GN,PN",,"71",,"381.39","197.72","418.66","percent of total billed charges",,
"ST CIS SPEECH LANG THERAPY","92507","HCPCS","Both",,,"540.21","270.105","Blue Cross Blue Shield","PPO","GN,PN",,"71",,"381.39","197.72","418.66","percent of total billed charges",,
"ST CIS SPEECH LANG THERAPY","92507","HCPCS","Both",,,"540.21","270.105","Ambetter","Health Exchange","GN,PN",,"62",,"334.93","197.72","418.66","percent of total billed charges",,
"ST CIS SPEECH LANG THERAPY","92507","HCPCS","Both",,,"540.21","270.105","Caresource","Health Exchange","GN,PN",,"62",,"334.93","197.72","418.66","percent of total billed charges",,
"ST CIS SPEECH LANG THERAPY","92507","HCPCS","Both",,,"540.21","270.105","Cigna","Commercial","GN,PN",,"59",,"316.56","197.72","418.66","percent of total billed charges",,
"ST CIS SPEECH LANG THERAPY","92507","HCPCS","Both",,,"540.21","270.105","Humana","Commercial","GN,PN",,"78",,"418.66","197.72","418.66","percent of total billed charges",,
"ST CIS SPEECH LANG THERAPY","92507","HCPCS","Both",,,"540.21","270.105","UHC","Commercial","GN,PN",,"75",,"407.32","197.72","418.66","percent of total billed charges",,
"ST CIS SPEECH LANG THERAPY","92507","HCPCS","Both",,,"540.21","270.105","Medicaid",,"GN,PN",,"37",,"197.72","197.72","418.66","percent of total billed charges",,
"ST CIS EVALUATION SPEECH SOUND","92523","HCPCS","Both",,,"836.66","418.33","Alliant","Health Exchange","GN,PN",,"62",,"518.73","202.21","648.41","percent of total billed charges",,
"ST CIS EVALUATION SPEECH SOUND","92523","HCPCS","Both",,,"836.66","418.33","Pruitt Healthcare","Medicare Advantage","GN,PN",,"54",,"451.8","202.21","648.41","percent of total billed charges",,
"ST CIS EVALUATION SPEECH SOUND","92523","HCPCS","Both",,,"836.66","418.33","Medicare",,"GN,PN",,"54",,"453.47","202.21","648.41","percent of total billed charges",,
"ST CIS EVALUATION SPEECH SOUND","92523","HCPCS","Both",,,"836.66","418.33","Humana","Medicare Advantage","GN,PN",,"54",,"453.47","202.21","648.41","percent of total billed charges",,
"ST CIS EVALUATION SPEECH SOUND","92523","HCPCS","Both",,,"836.66","418.33","UHC","Medicare Advantage","GN,PN",,"54",,"453.47","202.21","648.41","percent of total billed charges",,
"ST CIS EVALUATION SPEECH SOUND","92523","HCPCS","Both",,,"836.66","418.33","Clover","Medicare Advantage","GN,PN",,"54",,"453.47","202.21","648.41","percent of total billed charges",,
"ST CIS EVALUATION SPEECH SOUND","92523","HCPCS","Both",,,"836.66","418.33","Wellcare","Medicare Advantage","GN,PN",,"54",,"453.47","202.21","648.41","percent of total billed charges",,
"ST CIS EVALUATION SPEECH SOUND","92523","HCPCS","Both",,,"836.66","418.33","Amerigroup","Medicaid Managed Care","GN,PN",,"37",,"306.22","202.21","648.41","percent of total billed charges",,
"ST CIS EVALUATION SPEECH SOUND","92523","HCPCS","Both",,,"836.66","418.33","Caresource","Medicaid Managed Care","GN,PN",,"40",,"334.66","202.21","648.41","percent of total billed charges",,
"ST CIS EVALUATION SPEECH SOUND","92523","HCPCS","Both",,,"836.66","418.33","Wellcare","Medicaid Managed Care","GN,PN",,"40",,"338.85","202.21","648.41","percent of total billed charges",,
"ST CIS EVALUATION SPEECH SOUND","92523","HCPCS","Both",,,"836.66","418.33","Aetna","Commercial","GN,PN",,"64",,"533.79","202.21","648.41","percent of total billed charges",,
"ST CIS EVALUATION SPEECH SOUND","92523","HCPCS","Both",,,"836.66","418.33","Blue Cross Blue Shield","Pathways","GN,PN",,"71",,"590.68","202.21","648.41","percent of total billed charges",,
"ST CIS EVALUATION SPEECH SOUND","92523","HCPCS","Both",,,"836.66","418.33","Blue Cross Blue Shield","HMO","GN,PN",,"71",,"590.68","202.21","648.41","percent of total billed charges",,
"ST CIS EVALUATION SPEECH SOUND","92523","HCPCS","Both",,,"836.66","418.33","Blue Cross Blue Shield","PPO","GN,PN",,"71",,"590.68","202.21","648.41","percent of total billed charges",,
"ST CIS EVALUATION SPEECH SOUND","92523","HCPCS","Both",,,"836.66","418.33","Ambetter","Health Exchange","GN,PN",,"62",,"518.73","202.21","648.41","percent of total billed charges",,
"ST CIS EVALUATION SPEECH SOUND","92523","HCPCS","Both",,,"836.66","418.33","Caresource","Health Exchange","GN,PN",,"62",,"518.73","202.21","648.41","percent of total billed charges",,
"ST CIS EVALUATION SPEECH SOUND","92523","HCPCS","Both",,,"836.66","418.33","Cigna","Commercial","GN,PN",,"59",,"490.28","202.21","648.41","percent of total billed charges",,
"ST CIS EVALUATION SPEECH SOUND","92523","HCPCS","Both",,,"836.66","418.33","Humana","Commercial","GN,PN",,"78",,"648.41","202.21","648.41","percent of total billed charges",,
"ST CIS EVALUATION SPEECH SOUND","92523","HCPCS","Both",,,"836.66","418.33","UHC","Commercial","GN,PN",,"75",,"630.84","202.21","648.41","percent of total billed charges",,
"ST CIS EVALUATION SPEECH SOUND","92523","HCPCS","Both",,,"836.66","418.33","Medicaid",,"GN,PN",,"37",,"306.22","202.21","648.41","percent of total billed charges",,
"ST CIS TREATMENT SWALLOW DYSFUNC OR FEEL","92526","HCPCS","Both",,,"286.5","143.25","Alliant","Health Exchange","GN,PN",,"62",,"177.63","104.86","222.04","percent of total billed charges",,
"ST CIS TREATMENT SWALLOW DYSFUNC OR FEEL","92526","HCPCS","Both",,,"286.5","143.25","Pruitt Healthcare","Medicare Advantage","GN,PN",,"54",,"154.71","104.86","222.04","percent of total billed charges",,
"ST CIS TREATMENT SWALLOW DYSFUNC OR FEEL","92526","HCPCS","Both",,,"286.5","143.25","Medicare",,"GN,PN",,"54",,"155.28","104.86","222.04","percent of total billed charges",,
"ST CIS TREATMENT SWALLOW DYSFUNC OR FEEL","92526","HCPCS","Both",,,"286.5","143.25","Humana","Medicare Advantage","GN,PN",,"54",,"155.28","104.86","222.04","percent of total billed charges",,
"ST CIS TREATMENT SWALLOW DYSFUNC OR FEEL","92526","HCPCS","Both",,,"286.5","143.25","UHC","Medicare Advantage","GN,PN",,"54",,"155.28","104.86","222.04","percent of total billed charges",,
"ST CIS TREATMENT SWALLOW DYSFUNC OR FEEL","92526","HCPCS","Both",,,"286.5","143.25","Clover","Medicare Advantage","GN,PN",,"54",,"155.28","104.86","222.04","percent of total billed charges",,
"ST CIS TREATMENT SWALLOW DYSFUNC OR FEEL","92526","HCPCS","Both",,,"286.5","143.25","Wellcare","Medicare Advantage","GN,PN",,"54",,"155.28","104.86","222.04","percent of total billed charges",,
"ST CIS TREATMENT SWALLOW DYSFUNC OR FEEL","92526","HCPCS","Both",,,"286.5","143.25","Amerigroup","Medicaid Managed Care","GN,PN",,"37",,"104.86","104.86","222.04","percent of total billed charges",,
"ST CIS TREATMENT SWALLOW DYSFUNC OR FEEL","92526","HCPCS","Both",,,"286.5","143.25","Caresource","Medicaid Managed Care","GN,PN",,"40",,"114.6","104.86","222.04","percent of total billed charges",,
"ST CIS TREATMENT SWALLOW DYSFUNC OR FEEL","92526","HCPCS","Both",,,"286.5","143.25","Wellcare","Medicaid Managed Care","GN,PN",,"40",,"116.03","104.86","222.04","percent of total billed charges",,
"ST CIS TREATMENT SWALLOW DYSFUNC OR FEEL","92526","HCPCS","Both",,,"286.5","143.25","Aetna","Commercial","GN,PN",,"64",,"182.79","104.86","222.04","percent of total billed charges",,
"ST CIS TREATMENT SWALLOW DYSFUNC OR FEEL","92526","HCPCS","Both",,,"286.5","143.25","Blue Cross Blue Shield","Pathways","GN,PN",,"71",,"202.27","104.86","222.04","percent of total billed charges",,
"ST CIS TREATMENT SWALLOW DYSFUNC OR FEEL","92526","HCPCS","Both",,,"286.5","143.25","Blue Cross Blue Shield","HMO","GN,PN",,"71",,"202.27","104.86","222.04","percent of total billed charges",,
"ST CIS TREATMENT SWALLOW DYSFUNC OR FEEL","92526","HCPCS","Both",,,"286.5","143.25","Blue Cross Blue Shield","PPO","GN,PN",,"71",,"202.27","104.86","222.04","percent of total billed charges",,
"ST CIS TREATMENT SWALLOW DYSFUNC OR FEEL","92526","HCPCS","Both",,,"286.5","143.25","Ambetter","Health Exchange","GN,PN",,"62",,"177.63","104.86","222.04","percent of total billed charges",,
"ST CIS TREATMENT SWALLOW DYSFUNC OR FEEL","92526","HCPCS","Both",,,"286.5","143.25","Caresource","Health Exchange","GN,PN",,"62",,"177.63","104.86","222.04","percent of total billed charges",,
"ST CIS TREATMENT SWALLOW DYSFUNC OR FEEL","92526","HCPCS","Both",,,"286.5","143.25","Cigna","Commercial","GN,PN",,"59",,"167.89","104.86","222.04","percent of total billed charges",,
"ST CIS TREATMENT SWALLOW DYSFUNC OR FEEL","92526","HCPCS","Both",,,"286.5","143.25","Humana","Commercial","GN,PN",,"78",,"222.04","104.86","222.04","percent of total billed charges",,
"ST CIS TREATMENT SWALLOW DYSFUNC OR FEEL","92526","HCPCS","Both",,,"286.5","143.25","UHC","Commercial","GN,PN",,"75",,"216.02","104.86","222.04","percent of total billed charges",,
"ST CIS TREATMENT SWALLOW DYSFUNC OR FEEL","92526","HCPCS","Both",,,"286.5","143.25","Medicaid",,"GN,PN",,"37",,"104.86","104.86","222.04","percent of total billed charges",,
"ST CIS EVAL ORAL PHARYNGEAL SWALLOW FUNC","92610","HCPCS","Both",,,"99","49.5","Alliant","Health Exchange","GN,PN",,"62",,"61.38","36.23","76.73","percent of total billed charges",,
"ST CIS EVAL ORAL PHARYNGEAL SWALLOW FUNC","92610","HCPCS","Both",,,"99","49.5","Pruitt Healthcare","Medicare Advantage","GN,PN",,"54",,"53.46","36.23","76.73","percent of total billed charges",,
"ST CIS EVAL ORAL PHARYNGEAL SWALLOW FUNC","92610","HCPCS","Both",,,"99","49.5","Medicare",,"GN,PN",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"ST CIS EVAL ORAL PHARYNGEAL SWALLOW FUNC","92610","HCPCS","Both",,,"99","49.5","Humana","Medicare Advantage","GN,PN",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"ST CIS EVAL ORAL PHARYNGEAL SWALLOW FUNC","92610","HCPCS","Both",,,"99","49.5","UHC","Medicare Advantage","GN,PN",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"ST CIS EVAL ORAL PHARYNGEAL SWALLOW FUNC","92610","HCPCS","Both",,,"99","49.5","Clover","Medicare Advantage","GN,PN",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"ST CIS EVAL ORAL PHARYNGEAL SWALLOW FUNC","92610","HCPCS","Both",,,"99","49.5","Wellcare","Medicare Advantage","GN,PN",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"ST CIS EVAL ORAL PHARYNGEAL SWALLOW FUNC","92610","HCPCS","Both",,,"99","49.5","Amerigroup","Medicaid Managed Care","GN,PN",,"37",,"36.23","36.23","76.73","percent of total billed charges",,
"ST CIS EVAL ORAL PHARYNGEAL SWALLOW FUNC","92610","HCPCS","Both",,,"99","49.5","Caresource","Medicaid Managed Care","GN,PN",,"40",,"39.6","36.23","76.73","percent of total billed charges",,
"ST CIS EVAL ORAL PHARYNGEAL SWALLOW FUNC","92610","HCPCS","Both",,,"99","49.5","Wellcare","Medicaid Managed Care","GN,PN",,"40",,"40.1","36.23","76.73","percent of total billed charges",,
"ST CIS EVAL ORAL PHARYNGEAL SWALLOW FUNC","92610","HCPCS","Both",,,"99","49.5","Aetna","Commercial","GN,PN",,"64",,"63.16","36.23","76.73","percent of total billed charges",,
"ST CIS EVAL ORAL PHARYNGEAL SWALLOW FUNC","92610","HCPCS","Both",,,"99","49.5","Blue Cross Blue Shield","Pathways","GN,PN",,"71",,"69.89","36.23","76.73","percent of total billed charges",,
"ST CIS EVAL ORAL PHARYNGEAL SWALLOW FUNC","92610","HCPCS","Both",,,"99","49.5","Blue Cross Blue Shield","HMO","GN,PN",,"71",,"69.89","36.23","76.73","percent of total billed charges",,
"ST CIS EVAL ORAL PHARYNGEAL SWALLOW FUNC","92610","HCPCS","Both",,,"99","49.5","Blue Cross Blue Shield","PPO","GN,PN",,"71",,"69.89","36.23","76.73","percent of total billed charges",,
"ST CIS EVAL ORAL PHARYNGEAL SWALLOW FUNC","92610","HCPCS","Both",,,"99","49.5","Ambetter","Health Exchange","GN,PN",,"62",,"61.38","36.23","76.73","percent of total billed charges",,
"ST CIS EVAL ORAL PHARYNGEAL SWALLOW FUNC","92610","HCPCS","Both",,,"99","49.5","Caresource","Health Exchange","GN,PN",,"62",,"61.38","36.23","76.73","percent of total billed charges",,
"ST CIS EVAL ORAL PHARYNGEAL SWALLOW FUNC","92610","HCPCS","Both",,,"99","49.5","Cigna","Commercial","GN,PN",,"59",,"58.01","36.23","76.73","percent of total billed charges",,
"ST CIS EVAL ORAL PHARYNGEAL SWALLOW FUNC","92610","HCPCS","Both",,,"99","49.5","Humana","Commercial","GN,PN",,"78",,"76.73","36.23","76.73","percent of total billed charges",,
"ST CIS EVAL ORAL PHARYNGEAL SWALLOW FUNC","92610","HCPCS","Both",,,"99","49.5","UHC","Commercial","GN,PN",,"75",,"74.65","36.23","76.73","percent of total billed charges",,
"ST CIS EVAL ORAL PHARYNGEAL SWALLOW FUNC","92610","HCPCS","Both",,,"99","49.5","Medicaid",,"GN,PN",,"37",,"36.23","36.23","76.73","percent of total billed charges",,
"PT EVALUATION LOW COMPLEXITY","97161","HCPCS","Both",,,"575.66","287.83","Alliant","Health Exchange","GP,PN",,"62",,"356.91","210.69","446.14","percent of total billed charges",,
"PT EVALUATION LOW COMPLEXITY","97161","HCPCS","Both",,,"575.66","287.83","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"310.86","210.69","446.14","percent of total billed charges",,
"PT EVALUATION LOW COMPLEXITY","97161","HCPCS","Both",,,"575.66","287.83","Medicare",,"GP,PN",,"54",,"312.01","210.69","446.14","percent of total billed charges",,
"PT EVALUATION LOW COMPLEXITY","97161","HCPCS","Both",,,"575.66","287.83","Humana","Medicare Advantage","GP,PN",,"54",,"312.01","210.69","446.14","percent of total billed charges",,
"PT EVALUATION LOW COMPLEXITY","97161","HCPCS","Both",,,"575.66","287.83","UHC","Medicare Advantage","GP,PN",,"54",,"312.01","210.69","446.14","percent of total billed charges",,
"PT EVALUATION LOW COMPLEXITY","97161","HCPCS","Both",,,"575.66","287.83","Clover","Medicare Advantage","GP,PN",,"54",,"312.01","210.69","446.14","percent of total billed charges",,
"PT EVALUATION LOW COMPLEXITY","97161","HCPCS","Both",,,"575.66","287.83","Wellcare","Medicare Advantage","GP,PN",,"54",,"312.01","210.69","446.14","percent of total billed charges",,
"PT EVALUATION LOW COMPLEXITY","97161","HCPCS","Both",,,"575.66","287.83","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"210.69","210.69","446.14","percent of total billed charges",,
"PT EVALUATION LOW COMPLEXITY","97161","HCPCS","Both",,,"575.66","287.83","Caresource","Medicaid Managed Care","GP,PN",,"40",,"230.26","210.69","446.14","percent of total billed charges",,
"PT EVALUATION LOW COMPLEXITY","97161","HCPCS","Both",,,"575.66","287.83","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"233.14","210.69","446.14","percent of total billed charges",,
"PT EVALUATION LOW COMPLEXITY","97161","HCPCS","Both",,,"575.66","287.83","Aetna","Commercial","GP,PN",,"64",,"367.27","210.69","446.14","percent of total billed charges",,
"PT EVALUATION LOW COMPLEXITY","97161","HCPCS","Both",,,"575.66","287.83","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"406.42","210.69","446.14","percent of total billed charges",,
"PT EVALUATION LOW COMPLEXITY","97161","HCPCS","Both",,,"575.66","287.83","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"406.42","210.69","446.14","percent of total billed charges",,
"PT EVALUATION LOW COMPLEXITY","97161","HCPCS","Both",,,"575.66","287.83","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"406.42","210.69","446.14","percent of total billed charges",,
"PT EVALUATION LOW COMPLEXITY","97161","HCPCS","Both",,,"575.66","287.83","Ambetter","Health Exchange","GP,PN",,"62",,"356.91","210.69","446.14","percent of total billed charges",,
"PT EVALUATION LOW COMPLEXITY","97161","HCPCS","Both",,,"575.66","287.83","Caresource","Health Exchange","GP,PN",,"62",,"356.91","210.69","446.14","percent of total billed charges",,
"PT EVALUATION LOW COMPLEXITY","97161","HCPCS","Both",,,"575.66","287.83","Cigna","Commercial","GP,PN",,"59",,"337.34","210.69","446.14","percent of total billed charges",,
"PT EVALUATION LOW COMPLEXITY","97161","HCPCS","Both",,,"575.66","287.83","Humana","Commercial","GP,PN",,"78",,"446.14","210.69","446.14","percent of total billed charges",,
"PT EVALUATION LOW COMPLEXITY","97161","HCPCS","Both",,,"575.66","287.83","UHC","Commercial","GP,PN",,"75",,"434.05","210.69","446.14","percent of total billed charges",,
"PT EVALUATION LOW COMPLEXITY","97161","HCPCS","Both",,,"575.66","287.83","Medicaid",,"GP,PN",,"37",,"210.69","210.69","446.14","percent of total billed charges",,
"PT EVALUATION MODERATE COMPLEXITY","97162","HCPCS","Both",,,"239.04","119.52","Alliant","Health Exchange","GP,PN",,"62",,"148.2","87.49","185.26","percent of total billed charges",,
"PT EVALUATION MODERATE COMPLEXITY","97162","HCPCS","Both",,,"239.04","119.52","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"129.08","87.49","185.26","percent of total billed charges",,
"PT EVALUATION MODERATE COMPLEXITY","97162","HCPCS","Both",,,"239.04","119.52","Medicare",,"GP,PN",,"54",,"129.56","87.49","185.26","percent of total billed charges",,
"PT EVALUATION MODERATE COMPLEXITY","97162","HCPCS","Both",,,"239.04","119.52","Humana","Medicare Advantage","GP,PN",,"54",,"129.56","87.49","185.26","percent of total billed charges",,
"PT EVALUATION MODERATE COMPLEXITY","97162","HCPCS","Both",,,"239.04","119.52","UHC","Medicare Advantage","GP,PN",,"54",,"129.56","87.49","185.26","percent of total billed charges",,
"PT EVALUATION MODERATE COMPLEXITY","97162","HCPCS","Both",,,"239.04","119.52","Clover","Medicare Advantage","GP,PN",,"54",,"129.56","87.49","185.26","percent of total billed charges",,
"PT EVALUATION MODERATE COMPLEXITY","97162","HCPCS","Both",,,"239.04","119.52","Wellcare","Medicare Advantage","GP,PN",,"54",,"129.56","87.49","185.26","percent of total billed charges",,
"PT EVALUATION MODERATE COMPLEXITY","97162","HCPCS","Both",,,"239.04","119.52","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"87.49","87.49","185.26","percent of total billed charges",,
"PT EVALUATION MODERATE COMPLEXITY","97162","HCPCS","Both",,,"239.04","119.52","Caresource","Medicaid Managed Care","GP,PN",,"40",,"95.62","87.49","185.26","percent of total billed charges",,
"PT EVALUATION MODERATE COMPLEXITY","97162","HCPCS","Both",,,"239.04","119.52","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"96.81","87.49","185.26","percent of total billed charges",,
"PT EVALUATION MODERATE COMPLEXITY","97162","HCPCS","Both",,,"239.04","119.52","Aetna","Commercial","GP,PN",,"64",,"152.51","87.49","185.26","percent of total billed charges",,
"PT EVALUATION MODERATE COMPLEXITY","97162","HCPCS","Both",,,"239.04","119.52","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"168.76","87.49","185.26","percent of total billed charges",,
"PT EVALUATION MODERATE COMPLEXITY","97162","HCPCS","Both",,,"239.04","119.52","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"168.76","87.49","185.26","percent of total billed charges",,
"PT EVALUATION MODERATE COMPLEXITY","97162","HCPCS","Both",,,"239.04","119.52","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"168.76","87.49","185.26","percent of total billed charges",,
"PT EVALUATION MODERATE COMPLEXITY","97162","HCPCS","Both",,,"239.04","119.52","Ambetter","Health Exchange","GP,PN",,"62",,"148.2","87.49","185.26","percent of total billed charges",,
"PT EVALUATION MODERATE COMPLEXITY","97162","HCPCS","Both",,,"239.04","119.52","Caresource","Health Exchange","GP,PN",,"62",,"148.2","87.49","185.26","percent of total billed charges",,
"PT EVALUATION MODERATE COMPLEXITY","97162","HCPCS","Both",,,"239.04","119.52","Cigna","Commercial","GP,PN",,"59",,"140.08","87.49","185.26","percent of total billed charges",,
"PT EVALUATION MODERATE COMPLEXITY","97162","HCPCS","Both",,,"239.04","119.52","Humana","Commercial","GP,PN",,"78",,"185.26","87.49","185.26","percent of total billed charges",,
"PT EVALUATION MODERATE COMPLEXITY","97162","HCPCS","Both",,,"239.04","119.52","UHC","Commercial","GP,PN",,"75",,"180.24","87.49","185.26","percent of total billed charges",,
"PT EVALUATION MODERATE COMPLEXITY","97162","HCPCS","Both",,,"239.04","119.52","Medicaid",,"GP,PN",,"37",,"87.49","87.49","185.26","percent of total billed charges",,
"PT EVALUATION HIGH COMPLEXITY","97163","HCPCS","Both",,,"147","73.5","Alliant","Health Exchange","GP,PN",,"62",,"91.14","53.8","113.92","percent of total billed charges",,
"PT EVALUATION HIGH COMPLEXITY","97163","HCPCS","Both",,,"147","73.5","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"79.38","53.8","113.92","percent of total billed charges",,
"PT EVALUATION HIGH COMPLEXITY","97163","HCPCS","Both",,,"147","73.5","Medicare",,"GP,PN",,"54",,"79.67","53.8","113.92","percent of total billed charges",,
"PT EVALUATION HIGH COMPLEXITY","97163","HCPCS","Both",,,"147","73.5","Humana","Medicare Advantage","GP,PN",,"54",,"79.67","53.8","113.92","percent of total billed charges",,
"PT EVALUATION HIGH COMPLEXITY","97163","HCPCS","Both",,,"147","73.5","UHC","Medicare Advantage","GP,PN",,"54",,"79.67","53.8","113.92","percent of total billed charges",,
"PT EVALUATION HIGH COMPLEXITY","97163","HCPCS","Both",,,"147","73.5","Clover","Medicare Advantage","GP,PN",,"54",,"79.67","53.8","113.92","percent of total billed charges",,
"PT EVALUATION HIGH COMPLEXITY","97163","HCPCS","Both",,,"147","73.5","Wellcare","Medicare Advantage","GP,PN",,"54",,"79.67","53.8","113.92","percent of total billed charges",,
"PT EVALUATION HIGH COMPLEXITY","97163","HCPCS","Both",,,"147","73.5","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"53.8","53.8","113.92","percent of total billed charges",,
"PT EVALUATION HIGH COMPLEXITY","97163","HCPCS","Both",,,"147","73.5","Caresource","Medicaid Managed Care","GP,PN",,"40",,"58.8","53.8","113.92","percent of total billed charges",,
"PT EVALUATION HIGH COMPLEXITY","97163","HCPCS","Both",,,"147","73.5","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"59.54","53.8","113.92","percent of total billed charges",,
"PT EVALUATION HIGH COMPLEXITY","97163","HCPCS","Both",,,"147","73.5","Aetna","Commercial","GP,PN",,"64",,"93.79","53.8","113.92","percent of total billed charges",,
"PT EVALUATION HIGH COMPLEXITY","97163","HCPCS","Both",,,"147","73.5","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"103.78","53.8","113.92","percent of total billed charges",,
"PT EVALUATION HIGH COMPLEXITY","97163","HCPCS","Both",,,"147","73.5","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"103.78","53.8","113.92","percent of total billed charges",,
"PT EVALUATION HIGH COMPLEXITY","97163","HCPCS","Both",,,"147","73.5","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"103.78","53.8","113.92","percent of total billed charges",,
"PT EVALUATION HIGH COMPLEXITY","97163","HCPCS","Both",,,"147","73.5","Ambetter","Health Exchange","GP,PN",,"62",,"91.14","53.8","113.92","percent of total billed charges",,
"PT EVALUATION HIGH COMPLEXITY","97163","HCPCS","Both",,,"147","73.5","Caresource","Health Exchange","GP,PN",,"62",,"91.14","53.8","113.92","percent of total billed charges",,
"PT EVALUATION HIGH COMPLEXITY","97163","HCPCS","Both",,,"147","73.5","Cigna","Commercial","GP,PN",,"59",,"86.14","53.8","113.92","percent of total billed charges",,
"PT EVALUATION HIGH COMPLEXITY","97163","HCPCS","Both",,,"147","73.5","Humana","Commercial","GP,PN",,"78",,"113.92","53.8","113.92","percent of total billed charges",,
"PT EVALUATION HIGH COMPLEXITY","97163","HCPCS","Both",,,"147","73.5","UHC","Commercial","GP,PN",,"75",,"110.84","53.8","113.92","percent of total billed charges",,
"PT EVALUATION HIGH COMPLEXITY","97163","HCPCS","Both",,,"147","73.5","Medicaid",,"GP,PN",,"37",,"53.8","53.8","113.92","percent of total billed charges",,
"PT RE-EVALUATION OF PT ESTABLISHED PLAN","97164","HCPCS","Both",,,"170","85","Alliant","Health Exchange","GP,PN",,"62",,"105.4","62.22","131.75","percent of total billed charges",,
"PT RE-EVALUATION OF PT ESTABLISHED PLAN","97164","HCPCS","Both",,,"170","85","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"91.8","62.22","131.75","percent of total billed charges",,
"PT RE-EVALUATION OF PT ESTABLISHED PLAN","97164","HCPCS","Both",,,"170","85","Medicare",,"GP,PN",,"54",,"92.14","62.22","131.75","percent of total billed charges",,
"PT RE-EVALUATION OF PT ESTABLISHED PLAN","97164","HCPCS","Both",,,"170","85","Humana","Medicare Advantage","GP,PN",,"54",,"92.14","62.22","131.75","percent of total billed charges",,
"PT RE-EVALUATION OF PT ESTABLISHED PLAN","97164","HCPCS","Both",,,"170","85","UHC","Medicare Advantage","GP,PN",,"54",,"92.14","62.22","131.75","percent of total billed charges",,
"PT RE-EVALUATION OF PT ESTABLISHED PLAN","97164","HCPCS","Both",,,"170","85","Clover","Medicare Advantage","GP,PN",,"54",,"92.14","62.22","131.75","percent of total billed charges",,
"PT RE-EVALUATION OF PT ESTABLISHED PLAN","97164","HCPCS","Both",,,"170","85","Wellcare","Medicare Advantage","GP,PN",,"54",,"92.14","62.22","131.75","percent of total billed charges",,
"PT RE-EVALUATION OF PT ESTABLISHED PLAN","97164","HCPCS","Both",,,"170","85","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"62.22","62.22","131.75","percent of total billed charges",,
"PT RE-EVALUATION OF PT ESTABLISHED PLAN","97164","HCPCS","Both",,,"170","85","Caresource","Medicaid Managed Care","GP,PN",,"40",,"68","62.22","131.75","percent of total billed charges",,
"PT RE-EVALUATION OF PT ESTABLISHED PLAN","97164","HCPCS","Both",,,"170","85","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"68.85","62.22","131.75","percent of total billed charges",,
"PT RE-EVALUATION OF PT ESTABLISHED PLAN","97164","HCPCS","Both",,,"170","85","Aetna","Commercial","GP,PN",,"64",,"108.46","62.22","131.75","percent of total billed charges",,
"PT RE-EVALUATION OF PT ESTABLISHED PLAN","97164","HCPCS","Both",,,"170","85","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"120.02","62.22","131.75","percent of total billed charges",,
"PT RE-EVALUATION OF PT ESTABLISHED PLAN","97164","HCPCS","Both",,,"170","85","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"120.02","62.22","131.75","percent of total billed charges",,
"PT RE-EVALUATION OF PT ESTABLISHED PLAN","97164","HCPCS","Both",,,"170","85","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"120.02","62.22","131.75","percent of total billed charges",,
"PT RE-EVALUATION OF PT ESTABLISHED PLAN","97164","HCPCS","Both",,,"170","85","Ambetter","Health Exchange","GP,PN",,"62",,"105.4","62.22","131.75","percent of total billed charges",,
"PT RE-EVALUATION OF PT ESTABLISHED PLAN","97164","HCPCS","Both",,,"170","85","Caresource","Health Exchange","GP,PN",,"62",,"105.4","62.22","131.75","percent of total billed charges",,
"PT RE-EVALUATION OF PT ESTABLISHED PLAN","97164","HCPCS","Both",,,"170","85","Cigna","Commercial","GP,PN",,"59",,"99.62","62.22","131.75","percent of total billed charges",,
"PT RE-EVALUATION OF PT ESTABLISHED PLAN","97164","HCPCS","Both",,,"170","85","Humana","Commercial","GP,PN",,"78",,"131.75","62.22","131.75","percent of total billed charges",,
"PT RE-EVALUATION OF PT ESTABLISHED PLAN","97164","HCPCS","Both",,,"170","85","UHC","Commercial","GP,PN",,"75",,"128.18","62.22","131.75","percent of total billed charges",,
"PT RE-EVALUATION OF PT ESTABLISHED PLAN","97164","HCPCS","Both",,,"170","85","Medicaid",,"GP,PN",,"37",,"62.22","62.22","131.75","percent of total billed charges",,
"OT EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"391.5","195.75","Alliant","Health Exchange","GO,PN",,"62",,"242.73","137.56","303.41","percent of total billed charges",,
"OT EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"391.5","195.75","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"211.41","137.56","303.41","percent of total billed charges",,
"OT EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"391.5","195.75","Medicare",,"GO,PN",,"54",,"212.19","137.56","303.41","percent of total billed charges",,
"OT EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"391.5","195.75","Humana","Medicare Advantage","GO,PN",,"54",,"212.19","137.56","303.41","percent of total billed charges",,
"OT EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"391.5","195.75","UHC","Medicare Advantage","GO,PN",,"54",,"212.19","137.56","303.41","percent of total billed charges",,
"OT EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"391.5","195.75","Clover","Medicare Advantage","GO,PN",,"54",,"212.19","137.56","303.41","percent of total billed charges",,
"OT EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"391.5","195.75","Wellcare","Medicare Advantage","GO,PN",,"54",,"212.19","137.56","303.41","percent of total billed charges",,
"OT EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"391.5","195.75","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"143.29","137.56","303.41","percent of total billed charges",,
"OT EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"391.5","195.75","Caresource","Medicaid Managed Care","GO,PN",,"40",,"156.6","137.56","303.41","percent of total billed charges",,
"OT EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"391.5","195.75","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"158.56","137.56","303.41","percent of total billed charges",,
"OT EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"391.5","195.75","Aetna","Commercial","GO,PN",,"64",,"249.78","137.56","303.41","percent of total billed charges",,
"OT EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"391.5","195.75","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"276.4","137.56","303.41","percent of total billed charges",,
"OT EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"391.5","195.75","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"276.4","137.56","303.41","percent of total billed charges",,
"OT EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"391.5","195.75","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"276.4","137.56","303.41","percent of total billed charges",,
"OT EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"391.5","195.75","Ambetter","Health Exchange","GO,PN",,"62",,"242.73","137.56","303.41","percent of total billed charges",,
"OT EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"391.5","195.75","Caresource","Health Exchange","GO,PN",,"62",,"242.73","137.56","303.41","percent of total billed charges",,
"OT EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"391.5","195.75","Cigna","Commercial","GO,PN",,"59",,"229.42","137.56","303.41","percent of total billed charges",,
"OT EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"391.5","195.75","Humana","Commercial","GO,PN",,"78",,"303.41","137.56","303.41","percent of total billed charges",,
"OT EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"391.5","195.75","UHC","Commercial","GO,PN",,"75",,"295.19","137.56","303.41","percent of total billed charges",,
"OT EVALUATION LOW COMPLEXITY","97165","HCPCS","Both",,,"391.5","195.75","Medicaid",,"GO,PN",,"37",,"143.29","137.56","303.41","percent of total billed charges",,
"OT EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Alliant","Health Exchange","GO,PN",,"62",,"57.97","34.22","72.46","percent of total billed charges",,
"OT EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"50.49","34.22","72.46","percent of total billed charges",,
"OT EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Medicare",,"GO,PN",,"54",,"50.68","34.22","72.46","percent of total billed charges",,
"OT EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Humana","Medicare Advantage","GO,PN",,"54",,"50.68","34.22","72.46","percent of total billed charges",,
"OT EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","UHC","Medicare Advantage","GO,PN",,"54",,"50.68","34.22","72.46","percent of total billed charges",,
"OT EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Clover","Medicare Advantage","GO,PN",,"54",,"50.68","34.22","72.46","percent of total billed charges",,
"OT EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Wellcare","Medicare Advantage","GO,PN",,"54",,"50.68","34.22","72.46","percent of total billed charges",,
"OT EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"34.22","34.22","72.46","percent of total billed charges",,
"OT EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Caresource","Medicaid Managed Care","GO,PN",,"40",,"37.4","34.22","72.46","percent of total billed charges",,
"OT EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"37.87","34.22","72.46","percent of total billed charges",,
"OT EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Aetna","Commercial","GO,PN",,"64",,"59.65","34.22","72.46","percent of total billed charges",,
"OT EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"66.01","34.22","72.46","percent of total billed charges",,
"OT EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"66.01","34.22","72.46","percent of total billed charges",,
"OT EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"66.01","34.22","72.46","percent of total billed charges",,
"OT EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Ambetter","Health Exchange","GO,PN",,"62",,"57.97","34.22","72.46","percent of total billed charges",,
"OT EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Caresource","Health Exchange","GO,PN",,"62",,"57.97","34.22","72.46","percent of total billed charges",,
"OT EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Cigna","Commercial","GO,PN",,"59",,"54.79","34.22","72.46","percent of total billed charges",,
"OT EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Humana","Commercial","GO,PN",,"78",,"72.46","34.22","72.46","percent of total billed charges",,
"OT EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","UHC","Commercial","GO,PN",,"75",,"70.5","34.22","72.46","percent of total billed charges",,
"OT EVALUATION MODERATE COMPLEXITY","97166","HCPCS","Both",,,"93.5","46.75","Medicaid",,"GO,PN",,"37",,"34.22","34.22","72.46","percent of total billed charges",,
"OT EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Alliant","Health Exchange","GO,PN",,"62",,"68.51","40.44","85.64","percent of total billed charges",,
"OT EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"59.67","40.44","85.64","percent of total billed charges",,
"OT EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Medicare",,"GO,PN",,"54",,"59.89","40.44","85.64","percent of total billed charges",,
"OT EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Humana","Medicare Advantage","GO,PN",,"54",,"59.89","40.44","85.64","percent of total billed charges",,
"OT EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","UHC","Medicare Advantage","GO,PN",,"54",,"59.89","40.44","85.64","percent of total billed charges",,
"OT EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Clover","Medicare Advantage","GO,PN",,"54",,"59.89","40.44","85.64","percent of total billed charges",,
"OT EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Wellcare","Medicare Advantage","GO,PN",,"54",,"59.89","40.44","85.64","percent of total billed charges",,
"OT EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"40.44","40.44","85.64","percent of total billed charges",,
"OT EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Caresource","Medicaid Managed Care","GO,PN",,"40",,"44.2","40.44","85.64","percent of total billed charges",,
"OT EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"44.75","40.44","85.64","percent of total billed charges",,
"OT EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Aetna","Commercial","GO,PN",,"64",,"70.5","40.44","85.64","percent of total billed charges",,
"OT EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"78.01","40.44","85.64","percent of total billed charges",,
"OT EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"78.01","40.44","85.64","percent of total billed charges",,
"OT EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"78.01","40.44","85.64","percent of total billed charges",,
"OT EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Ambetter","Health Exchange","GO,PN",,"62",,"68.51","40.44","85.64","percent of total billed charges",,
"OT EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Caresource","Health Exchange","GO,PN",,"62",,"68.51","40.44","85.64","percent of total billed charges",,
"OT EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Cigna","Commercial","GO,PN",,"59",,"64.75","40.44","85.64","percent of total billed charges",,
"OT EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Humana","Commercial","GO,PN",,"78",,"85.64","40.44","85.64","percent of total billed charges",,
"OT EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","UHC","Commercial","GO,PN",,"75",,"83.32","40.44","85.64","percent of total billed charges",,
"OT EVALUATION HIGH COMPLEXITY","97167","HCPCS","Both",,,"110.5","55.25","Medicaid",,"GO,PN",,"37",,"40.44","40.44","85.64","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD L","77065","HCPCS","Both",,,"796.5","398.25","Alliant","Health Exchange","LT",,"62",,"493.83","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD L","77065","HCPCS","Both",,,"796.5","398.25","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"430.11","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD L","77065","HCPCS","Both",,,"796.5","398.25","Medicare",,"LT",,"54",,"431.7","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD L","77065","HCPCS","Both",,,"796.5","398.25","Humana","Medicare Advantage","LT",,"54",,"431.7","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD L","77065","HCPCS","Both",,,"796.5","398.25","UHC","Medicare Advantage","LT",,"54",,"431.7","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD L","77065","HCPCS","Both",,,"796.5","398.25","Clover","Medicare Advantage","LT",,"54",,"431.7","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD L","77065","HCPCS","Both",,,"796.5","398.25","Wellcare","Medicare Advantage","LT",,"54",,"431.7","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD L","77065","HCPCS","Both",,,"796.5","398.25","Amerigroup","Medicaid Managed Care","LT",,"37",,"291.52","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD L","77065","HCPCS","Both",,,"796.5","398.25","Caresource","Medicaid Managed Care","LT",,"40",,"318.6","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD L","77065","HCPCS","Both",,,"796.5","398.25","Wellcare","Medicaid Managed Care","LT",,"40",,"322.58","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD L","77065","HCPCS","Both",,,"796.5","398.25","Aetna","Commercial","LT",,"64",,"508.17","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD L","77065","HCPCS","Both",,,"796.5","398.25","Blue Cross Blue Shield","Pathways","LT",,"71",,"562.33","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD L","77065","HCPCS","Both",,,"796.5","398.25","Blue Cross Blue Shield","HMO","LT",,"71",,"562.33","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD L","77065","HCPCS","Both",,,"796.5","398.25","Blue Cross Blue Shield","PPO","LT",,"71",,"562.33","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD L","77065","HCPCS","Both",,,"796.5","398.25","Ambetter","Health Exchange","LT",,"62",,"493.83","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD L","77065","HCPCS","Both",,,"796.5","398.25","Caresource","Health Exchange","LT",,"62",,"493.83","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD L","77065","HCPCS","Both",,,"796.5","398.25","Cigna","Commercial","LT",,"59",,"466.75","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD L","77065","HCPCS","Both",,,"796.5","398.25","Humana","Commercial","LT",,"78",,"617.29","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD L","77065","HCPCS","Both",,,"796.5","398.25","UHC","Commercial","LT",,"75",,"600.56","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD L","77065","HCPCS","Both",,,"796.5","398.25","Medicaid",,"LT",,"37",,"291.52","291.52","617.29","percent of total billed charges",,
"MM SCREENING MAMMO 1 BREAST 2 VIEW W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Alliant","Health Exchange","52",,"62",,"554.08","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO 1 BREAST 2 VIEW W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Pruitt Healthcare","Medicare Advantage","52",,"54",,"482.58","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO 1 BREAST 2 VIEW W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Medicare",,"52",,"54",,"484.37","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO 1 BREAST 2 VIEW W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Humana","Medicare Advantage","52",,"54",,"484.37","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO 1 BREAST 2 VIEW W/CAD","77067","HCPCS","Both",,,"893.67","446.835","UHC","Medicare Advantage","52",,"54",,"484.37","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO 1 BREAST 2 VIEW W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Clover","Medicare Advantage","52",,"54",,"484.37","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO 1 BREAST 2 VIEW W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Wellcare","Medicare Advantage","52",,"54",,"484.37","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO 1 BREAST 2 VIEW W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Amerigroup","Medicaid Managed Care","52",,"37",,"327.08","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO 1 BREAST 2 VIEW W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Caresource","Medicaid Managed Care","52",,"40",,"357.47","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO 1 BREAST 2 VIEW W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Wellcare","Medicaid Managed Care","52",,"40",,"361.94","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO 1 BREAST 2 VIEW W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Aetna","Commercial","52",,"64",,"570.16","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO 1 BREAST 2 VIEW W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Blue Cross Blue Shield","Pathways","52",,"71",,"630.93","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO 1 BREAST 2 VIEW W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Blue Cross Blue Shield","HMO","52",,"71",,"630.93","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO 1 BREAST 2 VIEW W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Blue Cross Blue Shield","PPO","52",,"71",,"630.93","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO 1 BREAST 2 VIEW W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Ambetter","Health Exchange","52",,"62",,"554.08","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO 1 BREAST 2 VIEW W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Caresource","Health Exchange","52",,"62",,"554.08","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO 1 BREAST 2 VIEW W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Cigna","Commercial","52",,"59",,"523.69","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO 1 BREAST 2 VIEW W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Humana","Commercial","52",,"78",,"692.59","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO 1 BREAST 2 VIEW W/CAD","77067","HCPCS","Both",,,"893.67","446.835","UHC","Commercial","52",,"75",,"673.83","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO 1 BREAST 2 VIEW W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Medicaid",,"52",,"37",,"327.08","327.08","692.59","percent of total billed charges",,
"PADNET ABI TESTING upper or lower extrem","93923","HCPCS","Both",,,"174.5","87.25","Alliant","Health Exchange","TC,59",,"62",,"108.19","63.87","135.24","percent of total billed charges",,
"PADNET ABI TESTING upper or lower extrem","93923","HCPCS","Both",,,"174.5","87.25","Pruitt Healthcare","Medicare Advantage","TC,59",,"54",,"94.23","63.87","135.24","percent of total billed charges",,
"PADNET ABI TESTING upper or lower extrem","93923","HCPCS","Both",,,"174.5","87.25","Medicare",,"TC,59",,"54",,"94.58","63.87","135.24","percent of total billed charges",,
"PADNET ABI TESTING upper or lower extrem","93923","HCPCS","Both",,,"174.5","87.25","Humana","Medicare Advantage","TC,59",,"54",,"94.58","63.87","135.24","percent of total billed charges",,
"PADNET ABI TESTING upper or lower extrem","93923","HCPCS","Both",,,"174.5","87.25","UHC","Medicare Advantage","TC,59",,"54",,"94.58","63.87","135.24","percent of total billed charges",,
"PADNET ABI TESTING upper or lower extrem","93923","HCPCS","Both",,,"174.5","87.25","Clover","Medicare Advantage","TC,59",,"54",,"94.58","63.87","135.24","percent of total billed charges",,
"PADNET ABI TESTING upper or lower extrem","93923","HCPCS","Both",,,"174.5","87.25","Wellcare","Medicare Advantage","TC,59",,"54",,"94.58","63.87","135.24","percent of total billed charges",,
"PADNET ABI TESTING upper or lower extrem","93923","HCPCS","Both",,,"174.5","87.25","Amerigroup","Medicaid Managed Care","TC,59",,"37",,"63.87","63.87","135.24","percent of total billed charges",,
"PADNET ABI TESTING upper or lower extrem","93923","HCPCS","Both",,,"174.5","87.25","Caresource","Medicaid Managed Care","TC,59",,"40",,"69.8","63.87","135.24","percent of total billed charges",,
"PADNET ABI TESTING upper or lower extrem","93923","HCPCS","Both",,,"174.5","87.25","Wellcare","Medicaid Managed Care","TC,59",,"40",,"70.67","63.87","135.24","percent of total billed charges",,
"PADNET ABI TESTING upper or lower extrem","93923","HCPCS","Both",,,"174.5","87.25","Aetna","Commercial","TC,59",,"64",,"111.33","63.87","135.24","percent of total billed charges",,
"PADNET ABI TESTING upper or lower extrem","93923","HCPCS","Both",,,"174.5","87.25","Blue Cross Blue Shield","Pathways","TC,59",,"71",,"123.2","63.87","135.24","percent of total billed charges",,
"PADNET ABI TESTING upper or lower extrem","93923","HCPCS","Both",,,"174.5","87.25","Blue Cross Blue Shield","HMO","TC,59",,"71",,"123.2","63.87","135.24","percent of total billed charges",,
"PADNET ABI TESTING upper or lower extrem","93923","HCPCS","Both",,,"174.5","87.25","Blue Cross Blue Shield","PPO","TC,59",,"71",,"123.2","63.87","135.24","percent of total billed charges",,
"PADNET ABI TESTING upper or lower extrem","93923","HCPCS","Both",,,"174.5","87.25","Ambetter","Health Exchange","TC,59",,"62",,"108.19","63.87","135.24","percent of total billed charges",,
"PADNET ABI TESTING upper or lower extrem","93923","HCPCS","Both",,,"174.5","87.25","Caresource","Health Exchange","TC,59",,"62",,"108.19","63.87","135.24","percent of total billed charges",,
"PADNET ABI TESTING upper or lower extrem","93923","HCPCS","Both",,,"174.5","87.25","Cigna","Commercial","TC,59",,"59",,"102.26","63.87","135.24","percent of total billed charges",,
"PADNET ABI TESTING upper or lower extrem","93923","HCPCS","Both",,,"174.5","87.25","Humana","Commercial","TC,59",,"78",,"135.24","63.87","135.24","percent of total billed charges",,
"PADNET ABI TESTING upper or lower extrem","93923","HCPCS","Both",,,"174.5","87.25","UHC","Commercial","TC,59",,"75",,"131.57","63.87","135.24","percent of total billed charges",,
"PADNET ABI TESTING upper or lower extrem","93923","HCPCS","Both",,,"174.5","87.25","Medicaid",,"TC,59",,"37",,"63.87","63.87","135.24","percent of total billed charges",,
"IV PUSH SINGLE DRUG","96374","HCPCS","Both",,,"270","135","Alliant","Health Exchange","",,"62",,"167.4","94.87","209.25","percent of total billed charges",,
"IV PUSH SINGLE DRUG","96374","HCPCS","Both",,,"270","135","Pruitt Healthcare","Medicare Advantage","",,"54",,"145.8","94.87","209.25","percent of total billed charges",,
"IV PUSH SINGLE DRUG","96374","HCPCS","Both",,,"270","135","Medicare",,"",,"54",,"146.34","94.87","209.25","percent of total billed charges",,
"IV PUSH SINGLE DRUG","96374","HCPCS","Both",,,"270","135","Humana","Medicare Advantage","",,"54",,"146.34","94.87","209.25","percent of total billed charges",,
"IV PUSH SINGLE DRUG","96374","HCPCS","Both",,,"270","135","UHC","Medicare Advantage","",,"54",,"146.34","94.87","209.25","percent of total billed charges",,
"IV PUSH SINGLE DRUG","96374","HCPCS","Both",,,"270","135","Clover","Medicare Advantage","",,"54",,"146.34","94.87","209.25","percent of total billed charges",,
"IV PUSH SINGLE DRUG","96374","HCPCS","Both",,,"270","135","Wellcare","Medicare Advantage","",,"54",,"146.34","94.87","209.25","percent of total billed charges",,
"IV PUSH SINGLE DRUG","96374","HCPCS","Both",,,"270","135","Amerigroup","Medicaid Managed Care","",,"37",,"98.82","94.87","209.25","percent of total billed charges",,
"IV PUSH SINGLE DRUG","96374","HCPCS","Both",,,"270","135","Caresource","Medicaid Managed Care","",,"40",,"108","94.87","209.25","percent of total billed charges",,
"IV PUSH SINGLE DRUG","96374","HCPCS","Both",,,"270","135","Wellcare","Medicaid Managed Care","",,"40",,"109.35","94.87","209.25","percent of total billed charges",,
"IV PUSH SINGLE DRUG","96374","HCPCS","Both",,,"270","135","Aetna","Commercial","",,"64",,"172.26","94.87","209.25","percent of total billed charges",,
"IV PUSH SINGLE DRUG","96374","HCPCS","Both",,,"270","135","Blue Cross Blue Shield","Pathways","",,"71",,"190.62","94.87","209.25","percent of total billed charges",,
"IV PUSH SINGLE DRUG","96374","HCPCS","Both",,,"270","135","Blue Cross Blue Shield","HMO","",,"71",,"190.62","94.87","209.25","percent of total billed charges",,
"IV PUSH SINGLE DRUG","96374","HCPCS","Both",,,"270","135","Blue Cross Blue Shield","PPO","",,"71",,"190.62","94.87","209.25","percent of total billed charges",,
"IV PUSH SINGLE DRUG","96374","HCPCS","Both",,,"270","135","Ambetter","Health Exchange","",,"62",,"167.4","94.87","209.25","percent of total billed charges",,
"IV PUSH SINGLE DRUG","96374","HCPCS","Both",,,"270","135","Caresource","Health Exchange","",,"62",,"167.4","94.87","209.25","percent of total billed charges",,
"IV PUSH SINGLE DRUG","96374","HCPCS","Both",,,"270","135","Cigna","Commercial","",,"59",,"158.22","94.87","209.25","percent of total billed charges",,
"IV PUSH SINGLE DRUG","96374","HCPCS","Both",,,"270","135","Humana","Commercial","",,"78",,"209.25","94.87","209.25","percent of total billed charges",,
"IV PUSH SINGLE DRUG","96374","HCPCS","Both",,,"270","135","UHC","Commercial","",,"75",,"203.58","94.87","209.25","percent of total billed charges",,
"IV PUSH SINGLE DRUG","96374","HCPCS","Both",,,"270","135","Medicaid",,"",,"37",,"98.82","94.87","209.25","percent of total billed charges",,
"IV PUSH SINGLE","96409","HCPCS","Both",,,"137.5","68.75","Alliant","Health Exchange","",,"62",,"85.25","50.32","106.56","percent of total billed charges",,
"IV PUSH SINGLE","96409","HCPCS","Both",,,"137.5","68.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"74.25","50.32","106.56","percent of total billed charges",,
"IV PUSH SINGLE","96409","HCPCS","Both",,,"137.5","68.75","Medicare",,"",,"54",,"74.53","50.32","106.56","percent of total billed charges",,
"IV PUSH SINGLE","96409","HCPCS","Both",,,"137.5","68.75","Humana","Medicare Advantage","",,"54",,"74.53","50.32","106.56","percent of total billed charges",,
"IV PUSH SINGLE","96409","HCPCS","Both",,,"137.5","68.75","UHC","Medicare Advantage","",,"54",,"74.53","50.32","106.56","percent of total billed charges",,
"IV PUSH SINGLE","96409","HCPCS","Both",,,"137.5","68.75","Clover","Medicare Advantage","",,"54",,"74.53","50.32","106.56","percent of total billed charges",,
"IV PUSH SINGLE","96409","HCPCS","Both",,,"137.5","68.75","Wellcare","Medicare Advantage","",,"54",,"74.53","50.32","106.56","percent of total billed charges",,
"IV PUSH SINGLE","96409","HCPCS","Both",,,"137.5","68.75","Amerigroup","Medicaid Managed Care","",,"37",,"50.32","50.32","106.56","percent of total billed charges",,
"IV PUSH SINGLE","96409","HCPCS","Both",,,"137.5","68.75","Caresource","Medicaid Managed Care","",,"40",,"55","50.32","106.56","percent of total billed charges",,
"IV PUSH SINGLE","96409","HCPCS","Both",,,"137.5","68.75","Wellcare","Medicaid Managed Care","",,"40",,"55.69","50.32","106.56","percent of total billed charges",,
"IV PUSH SINGLE","96409","HCPCS","Both",,,"137.5","68.75","Aetna","Commercial","",,"64",,"87.72","50.32","106.56","percent of total billed charges",,
"IV PUSH SINGLE","96409","HCPCS","Both",,,"137.5","68.75","Blue Cross Blue Shield","Pathways","",,"71",,"97.07","50.32","106.56","percent of total billed charges",,
"IV PUSH SINGLE","96409","HCPCS","Both",,,"137.5","68.75","Blue Cross Blue Shield","HMO","",,"71",,"97.07","50.32","106.56","percent of total billed charges",,
"IV PUSH SINGLE","96409","HCPCS","Both",,,"137.5","68.75","Blue Cross Blue Shield","PPO","",,"71",,"97.07","50.32","106.56","percent of total billed charges",,
"IV PUSH SINGLE","96409","HCPCS","Both",,,"137.5","68.75","Ambetter","Health Exchange","",,"62",,"85.25","50.32","106.56","percent of total billed charges",,
"IV PUSH SINGLE","96409","HCPCS","Both",,,"137.5","68.75","Caresource","Health Exchange","",,"62",,"85.25","50.32","106.56","percent of total billed charges",,
"IV PUSH SINGLE","96409","HCPCS","Both",,,"137.5","68.75","Cigna","Commercial","",,"59",,"80.57","50.32","106.56","percent of total billed charges",,
"IV PUSH SINGLE","96409","HCPCS","Both",,,"137.5","68.75","Humana","Commercial","",,"78",,"106.56","50.32","106.56","percent of total billed charges",,
"IV PUSH SINGLE","96409","HCPCS","Both",,,"137.5","68.75","UHC","Commercial","",,"75",,"103.68","50.32","106.56","percent of total billed charges",,
"IV PUSH SINGLE","96409","HCPCS","Both",,,"137.5","68.75","Medicaid",,"",,"37",,"50.32","50.32","106.56","percent of total billed charges",,
"IV PUSH EACH ADD'L DRUG","96411","HCPCS","Both",,,"83.5","41.75","Alliant","Health Exchange","",,"62",,"51.77","30.56","64.71","percent of total billed charges",,
"IV PUSH EACH ADD'L DRUG","96411","HCPCS","Both",,,"83.5","41.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"45.09","30.56","64.71","percent of total billed charges",,
"IV PUSH EACH ADD'L DRUG","96411","HCPCS","Both",,,"83.5","41.75","Medicare",,"",,"54",,"45.26","30.56","64.71","percent of total billed charges",,
"IV PUSH EACH ADD'L DRUG","96411","HCPCS","Both",,,"83.5","41.75","Humana","Medicare Advantage","",,"54",,"45.26","30.56","64.71","percent of total billed charges",,
"IV PUSH EACH ADD'L DRUG","96411","HCPCS","Both",,,"83.5","41.75","UHC","Medicare Advantage","",,"54",,"45.26","30.56","64.71","percent of total billed charges",,
"IV PUSH EACH ADD'L DRUG","96411","HCPCS","Both",,,"83.5","41.75","Clover","Medicare Advantage","",,"54",,"45.26","30.56","64.71","percent of total billed charges",,
"IV PUSH EACH ADD'L DRUG","96411","HCPCS","Both",,,"83.5","41.75","Wellcare","Medicare Advantage","",,"54",,"45.26","30.56","64.71","percent of total billed charges",,
"IV PUSH EACH ADD'L DRUG","96411","HCPCS","Both",,,"83.5","41.75","Amerigroup","Medicaid Managed Care","",,"37",,"30.56","30.56","64.71","percent of total billed charges",,
"IV PUSH EACH ADD'L DRUG","96411","HCPCS","Both",,,"83.5","41.75","Caresource","Medicaid Managed Care","",,"40",,"33.4","30.56","64.71","percent of total billed charges",,
"IV PUSH EACH ADD'L DRUG","96411","HCPCS","Both",,,"83.5","41.75","Wellcare","Medicaid Managed Care","",,"40",,"33.82","30.56","64.71","percent of total billed charges",,
"IV PUSH EACH ADD'L DRUG","96411","HCPCS","Both",,,"83.5","41.75","Aetna","Commercial","",,"64",,"53.27","30.56","64.71","percent of total billed charges",,
"IV PUSH EACH ADD'L DRUG","96411","HCPCS","Both",,,"83.5","41.75","Blue Cross Blue Shield","Pathways","",,"71",,"58.95","30.56","64.71","percent of total billed charges",,
"IV PUSH EACH ADD'L DRUG","96411","HCPCS","Both",,,"83.5","41.75","Blue Cross Blue Shield","HMO","",,"71",,"58.95","30.56","64.71","percent of total billed charges",,
"IV PUSH EACH ADD'L DRUG","96411","HCPCS","Both",,,"83.5","41.75","Blue Cross Blue Shield","PPO","",,"71",,"58.95","30.56","64.71","percent of total billed charges",,
"IV PUSH EACH ADD'L DRUG","96411","HCPCS","Both",,,"83.5","41.75","Ambetter","Health Exchange","",,"62",,"51.77","30.56","64.71","percent of total billed charges",,
"IV PUSH EACH ADD'L DRUG","96411","HCPCS","Both",,,"83.5","41.75","Caresource","Health Exchange","",,"62",,"51.77","30.56","64.71","percent of total billed charges",,
"IV PUSH EACH ADD'L DRUG","96411","HCPCS","Both",,,"83.5","41.75","Cigna","Commercial","",,"59",,"48.93","30.56","64.71","percent of total billed charges",,
"IV PUSH EACH ADD'L DRUG","96411","HCPCS","Both",,,"83.5","41.75","Humana","Commercial","",,"78",,"64.71","30.56","64.71","percent of total billed charges",,
"IV PUSH EACH ADD'L DRUG","96411","HCPCS","Both",,,"83.5","41.75","UHC","Commercial","",,"75",,"62.96","30.56","64.71","percent of total billed charges",,
"IV PUSH EACH ADD'L DRUG","96411","HCPCS","Both",,,"83.5","41.75","Medicaid",,"",,"37",,"30.56","30.56","64.71","percent of total billed charges",,
"IV INFUSION UP TO 1hr, SINGLE DRUG","96413","HCPCS","Both",,,"235","117.5","Alliant","Health Exchange","",,"62",,"145.7","86.01","182.12","percent of total billed charges",,
"IV INFUSION UP TO 1hr, SINGLE DRUG","96413","HCPCS","Both",,,"235","117.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"126.9","86.01","182.12","percent of total billed charges",,
"IV INFUSION UP TO 1hr, SINGLE DRUG","96413","HCPCS","Both",,,"235","117.5","Medicare",,"",,"54",,"127.37","86.01","182.12","percent of total billed charges",,
"IV INFUSION UP TO 1hr, SINGLE DRUG","96413","HCPCS","Both",,,"235","117.5","Humana","Medicare Advantage","",,"54",,"127.37","86.01","182.12","percent of total billed charges",,
"IV INFUSION UP TO 1hr, SINGLE DRUG","96413","HCPCS","Both",,,"235","117.5","UHC","Medicare Advantage","",,"54",,"127.37","86.01","182.12","percent of total billed charges",,
"IV INFUSION UP TO 1hr, SINGLE DRUG","96413","HCPCS","Both",,,"235","117.5","Clover","Medicare Advantage","",,"54",,"127.37","86.01","182.12","percent of total billed charges",,
"IV INFUSION UP TO 1hr, SINGLE DRUG","96413","HCPCS","Both",,,"235","117.5","Wellcare","Medicare Advantage","",,"54",,"127.37","86.01","182.12","percent of total billed charges",,
"IV INFUSION UP TO 1hr, SINGLE DRUG","96413","HCPCS","Both",,,"235","117.5","Amerigroup","Medicaid Managed Care","",,"37",,"86.01","86.01","182.12","percent of total billed charges",,
"IV INFUSION UP TO 1hr, SINGLE DRUG","96413","HCPCS","Both",,,"235","117.5","Caresource","Medicaid Managed Care","",,"40",,"94","86.01","182.12","percent of total billed charges",,
"IV INFUSION UP TO 1hr, SINGLE DRUG","96413","HCPCS","Both",,,"235","117.5","Wellcare","Medicaid Managed Care","",,"40",,"95.18","86.01","182.12","percent of total billed charges",,
"IV INFUSION UP TO 1hr, SINGLE DRUG","96413","HCPCS","Both",,,"235","117.5","Aetna","Commercial","",,"64",,"149.93","86.01","182.12","percent of total billed charges",,
"IV INFUSION UP TO 1hr, SINGLE DRUG","96413","HCPCS","Both",,,"235","117.5","Blue Cross Blue Shield","Pathways","",,"71",,"165.91","86.01","182.12","percent of total billed charges",,
"IV INFUSION UP TO 1hr, SINGLE DRUG","96413","HCPCS","Both",,,"235","117.5","Blue Cross Blue Shield","HMO","",,"71",,"165.91","86.01","182.12","percent of total billed charges",,
"IV INFUSION UP TO 1hr, SINGLE DRUG","96413","HCPCS","Both",,,"235","117.5","Blue Cross Blue Shield","PPO","",,"71",,"165.91","86.01","182.12","percent of total billed charges",,
"IV INFUSION UP TO 1hr, SINGLE DRUG","96413","HCPCS","Both",,,"235","117.5","Ambetter","Health Exchange","",,"62",,"145.7","86.01","182.12","percent of total billed charges",,
"IV INFUSION UP TO 1hr, SINGLE DRUG","96413","HCPCS","Both",,,"235","117.5","Caresource","Health Exchange","",,"62",,"145.7","86.01","182.12","percent of total billed charges",,
"IV INFUSION UP TO 1hr, SINGLE DRUG","96413","HCPCS","Both",,,"235","117.5","Cigna","Commercial","",,"59",,"137.71","86.01","182.12","percent of total billed charges",,
"IV INFUSION UP TO 1hr, SINGLE DRUG","96413","HCPCS","Both",,,"235","117.5","Humana","Commercial","",,"78",,"182.12","86.01","182.12","percent of total billed charges",,
"IV INFUSION UP TO 1hr, SINGLE DRUG","96413","HCPCS","Both",,,"235","117.5","UHC","Commercial","",,"75",,"177.19","86.01","182.12","percent of total billed charges",,
"IV INFUSION UP TO 1hr, SINGLE DRUG","96413","HCPCS","Both",,,"235","117.5","Medicaid",,"",,"37",,"86.01","86.01","182.12","percent of total billed charges",,
"IV INFUSION, EA ADD'L HR","96415","HCPCS","Both",,,"235","117.5","Alliant","Health Exchange","",,"62",,"145.7","86.01","182.12","percent of total billed charges",,
"IV INFUSION, EA ADD'L HR","96415","HCPCS","Both",,,"235","117.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"126.9","86.01","182.12","percent of total billed charges",,
"IV INFUSION, EA ADD'L HR","96415","HCPCS","Both",,,"235","117.5","Medicare",,"",,"54",,"127.37","86.01","182.12","percent of total billed charges",,
"IV INFUSION, EA ADD'L HR","96415","HCPCS","Both",,,"235","117.5","Humana","Medicare Advantage","",,"54",,"127.37","86.01","182.12","percent of total billed charges",,
"IV INFUSION, EA ADD'L HR","96415","HCPCS","Both",,,"235","117.5","UHC","Medicare Advantage","",,"54",,"127.37","86.01","182.12","percent of total billed charges",,
"IV INFUSION, EA ADD'L HR","96415","HCPCS","Both",,,"235","117.5","Clover","Medicare Advantage","",,"54",,"127.37","86.01","182.12","percent of total billed charges",,
"IV INFUSION, EA ADD'L HR","96415","HCPCS","Both",,,"235","117.5","Wellcare","Medicare Advantage","",,"54",,"127.37","86.01","182.12","percent of total billed charges",,
"IV INFUSION, EA ADD'L HR","96415","HCPCS","Both",,,"235","117.5","Amerigroup","Medicaid Managed Care","",,"37",,"86.01","86.01","182.12","percent of total billed charges",,
"IV INFUSION, EA ADD'L HR","96415","HCPCS","Both",,,"235","117.5","Caresource","Medicaid Managed Care","",,"40",,"94","86.01","182.12","percent of total billed charges",,
"IV INFUSION, EA ADD'L HR","96415","HCPCS","Both",,,"235","117.5","Wellcare","Medicaid Managed Care","",,"40",,"95.18","86.01","182.12","percent of total billed charges",,
"IV INFUSION, EA ADD'L HR","96415","HCPCS","Both",,,"235","117.5","Aetna","Commercial","",,"64",,"149.93","86.01","182.12","percent of total billed charges",,
"IV INFUSION, EA ADD'L HR","96415","HCPCS","Both",,,"235","117.5","Blue Cross Blue Shield","Pathways","",,"71",,"165.91","86.01","182.12","percent of total billed charges",,
"IV INFUSION, EA ADD'L HR","96415","HCPCS","Both",,,"235","117.5","Blue Cross Blue Shield","HMO","",,"71",,"165.91","86.01","182.12","percent of total billed charges",,
"IV INFUSION, EA ADD'L HR","96415","HCPCS","Both",,,"235","117.5","Blue Cross Blue Shield","PPO","",,"71",,"165.91","86.01","182.12","percent of total billed charges",,
"IV INFUSION, EA ADD'L HR","96415","HCPCS","Both",,,"235","117.5","Ambetter","Health Exchange","",,"62",,"145.7","86.01","182.12","percent of total billed charges",,
"IV INFUSION, EA ADD'L HR","96415","HCPCS","Both",,,"235","117.5","Caresource","Health Exchange","",,"62",,"145.7","86.01","182.12","percent of total billed charges",,
"IV INFUSION, EA ADD'L HR","96415","HCPCS","Both",,,"235","117.5","Cigna","Commercial","",,"59",,"137.71","86.01","182.12","percent of total billed charges",,
"IV INFUSION, EA ADD'L HR","96415","HCPCS","Both",,,"235","117.5","Humana","Commercial","",,"78",,"182.12","86.01","182.12","percent of total billed charges",,
"IV INFUSION, EA ADD'L HR","96415","HCPCS","Both",,,"235","117.5","UHC","Commercial","",,"75",,"177.19","86.01","182.12","percent of total billed charges",,
"IV INFUSION, EA ADD'L HR","96415","HCPCS","Both",,,"235","117.5","Medicaid",,"",,"37",,"86.01","86.01","182.12","percent of total billed charges",,
"ACCESS IMPLANTED PORT","96522","HCPCS","Both",,,"137.5","68.75","Alliant","Health Exchange","",,"62",,"85.25","50.32","106.56","percent of total billed charges",,
"ACCESS IMPLANTED PORT","96522","HCPCS","Both",,,"137.5","68.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"74.25","50.32","106.56","percent of total billed charges",,
"ACCESS IMPLANTED PORT","96522","HCPCS","Both",,,"137.5","68.75","Medicare",,"",,"54",,"74.53","50.32","106.56","percent of total billed charges",,
"ACCESS IMPLANTED PORT","96522","HCPCS","Both",,,"137.5","68.75","Humana","Medicare Advantage","",,"54",,"74.53","50.32","106.56","percent of total billed charges",,
"ACCESS IMPLANTED PORT","96522","HCPCS","Both",,,"137.5","68.75","UHC","Medicare Advantage","",,"54",,"74.53","50.32","106.56","percent of total billed charges",,
"ACCESS IMPLANTED PORT","96522","HCPCS","Both",,,"137.5","68.75","Clover","Medicare Advantage","",,"54",,"74.53","50.32","106.56","percent of total billed charges",,
"ACCESS IMPLANTED PORT","96522","HCPCS","Both",,,"137.5","68.75","Wellcare","Medicare Advantage","",,"54",,"74.53","50.32","106.56","percent of total billed charges",,
"ACCESS IMPLANTED PORT","96522","HCPCS","Both",,,"137.5","68.75","Amerigroup","Medicaid Managed Care","",,"37",,"50.32","50.32","106.56","percent of total billed charges",,
"ACCESS IMPLANTED PORT","96522","HCPCS","Both",,,"137.5","68.75","Caresource","Medicaid Managed Care","",,"40",,"55","50.32","106.56","percent of total billed charges",,
"ACCESS IMPLANTED PORT","96522","HCPCS","Both",,,"137.5","68.75","Wellcare","Medicaid Managed Care","",,"40",,"55.69","50.32","106.56","percent of total billed charges",,
"ACCESS IMPLANTED PORT","96522","HCPCS","Both",,,"137.5","68.75","Aetna","Commercial","",,"64",,"87.72","50.32","106.56","percent of total billed charges",,
"ACCESS IMPLANTED PORT","96522","HCPCS","Both",,,"137.5","68.75","Blue Cross Blue Shield","Pathways","",,"71",,"97.07","50.32","106.56","percent of total billed charges",,
"ACCESS IMPLANTED PORT","96522","HCPCS","Both",,,"137.5","68.75","Blue Cross Blue Shield","HMO","",,"71",,"97.07","50.32","106.56","percent of total billed charges",,
"ACCESS IMPLANTED PORT","96522","HCPCS","Both",,,"137.5","68.75","Blue Cross Blue Shield","PPO","",,"71",,"97.07","50.32","106.56","percent of total billed charges",,
"ACCESS IMPLANTED PORT","96522","HCPCS","Both",,,"137.5","68.75","Ambetter","Health Exchange","",,"62",,"85.25","50.32","106.56","percent of total billed charges",,
"ACCESS IMPLANTED PORT","96522","HCPCS","Both",,,"137.5","68.75","Caresource","Health Exchange","",,"62",,"85.25","50.32","106.56","percent of total billed charges",,
"ACCESS IMPLANTED PORT","96522","HCPCS","Both",,,"137.5","68.75","Cigna","Commercial","",,"59",,"80.57","50.32","106.56","percent of total billed charges",,
"ACCESS IMPLANTED PORT","96522","HCPCS","Both",,,"137.5","68.75","Humana","Commercial","",,"78",,"106.56","50.32","106.56","percent of total billed charges",,
"ACCESS IMPLANTED PORT","96522","HCPCS","Both",,,"137.5","68.75","UHC","Commercial","",,"75",,"103.68","50.32","106.56","percent of total billed charges",,
"ACCESS IMPLANTED PORT","96522","HCPCS","Both",,,"137.5","68.75","Medicaid",,"",,"37",,"50.32","50.32","106.56","percent of total billed charges",,
"IRRIGATION IMPLANTED ACCESS DEVICE","96523","HCPCS","Both",,,"83.5","41.75","Alliant","Health Exchange","",,"62",,"51.77","30.56","64.71","percent of total billed charges",,
"IRRIGATION IMPLANTED ACCESS DEVICE","96523","HCPCS","Both",,,"83.5","41.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"45.09","30.56","64.71","percent of total billed charges",,
"IRRIGATION IMPLANTED ACCESS DEVICE","96523","HCPCS","Both",,,"83.5","41.75","Medicare",,"",,"54",,"45.26","30.56","64.71","percent of total billed charges",,
"IRRIGATION IMPLANTED ACCESS DEVICE","96523","HCPCS","Both",,,"83.5","41.75","Humana","Medicare Advantage","",,"54",,"45.26","30.56","64.71","percent of total billed charges",,
"IRRIGATION IMPLANTED ACCESS DEVICE","96523","HCPCS","Both",,,"83.5","41.75","UHC","Medicare Advantage","",,"54",,"45.26","30.56","64.71","percent of total billed charges",,
"IRRIGATION IMPLANTED ACCESS DEVICE","96523","HCPCS","Both",,,"83.5","41.75","Clover","Medicare Advantage","",,"54",,"45.26","30.56","64.71","percent of total billed charges",,
"IRRIGATION IMPLANTED ACCESS DEVICE","96523","HCPCS","Both",,,"83.5","41.75","Wellcare","Medicare Advantage","",,"54",,"45.26","30.56","64.71","percent of total billed charges",,
"IRRIGATION IMPLANTED ACCESS DEVICE","96523","HCPCS","Both",,,"83.5","41.75","Amerigroup","Medicaid Managed Care","",,"37",,"30.56","30.56","64.71","percent of total billed charges",,
"IRRIGATION IMPLANTED ACCESS DEVICE","96523","HCPCS","Both",,,"83.5","41.75","Caresource","Medicaid Managed Care","",,"40",,"33.4","30.56","64.71","percent of total billed charges",,
"IRRIGATION IMPLANTED ACCESS DEVICE","96523","HCPCS","Both",,,"83.5","41.75","Wellcare","Medicaid Managed Care","",,"40",,"33.82","30.56","64.71","percent of total billed charges",,
"IRRIGATION IMPLANTED ACCESS DEVICE","96523","HCPCS","Both",,,"83.5","41.75","Aetna","Commercial","",,"64",,"53.27","30.56","64.71","percent of total billed charges",,
"IRRIGATION IMPLANTED ACCESS DEVICE","96523","HCPCS","Both",,,"83.5","41.75","Blue Cross Blue Shield","Pathways","",,"71",,"58.95","30.56","64.71","percent of total billed charges",,
"IRRIGATION IMPLANTED ACCESS DEVICE","96523","HCPCS","Both",,,"83.5","41.75","Blue Cross Blue Shield","HMO","",,"71",,"58.95","30.56","64.71","percent of total billed charges",,
"IRRIGATION IMPLANTED ACCESS DEVICE","96523","HCPCS","Both",,,"83.5","41.75","Blue Cross Blue Shield","PPO","",,"71",,"58.95","30.56","64.71","percent of total billed charges",,
"IRRIGATION IMPLANTED ACCESS DEVICE","96523","HCPCS","Both",,,"83.5","41.75","Ambetter","Health Exchange","",,"62",,"51.77","30.56","64.71","percent of total billed charges",,
"IRRIGATION IMPLANTED ACCESS DEVICE","96523","HCPCS","Both",,,"83.5","41.75","Caresource","Health Exchange","",,"62",,"51.77","30.56","64.71","percent of total billed charges",,
"IRRIGATION IMPLANTED ACCESS DEVICE","96523","HCPCS","Both",,,"83.5","41.75","Cigna","Commercial","",,"59",,"48.93","30.56","64.71","percent of total billed charges",,
"IRRIGATION IMPLANTED ACCESS DEVICE","96523","HCPCS","Both",,,"83.5","41.75","Humana","Commercial","",,"78",,"64.71","30.56","64.71","percent of total billed charges",,
"IRRIGATION IMPLANTED ACCESS DEVICE","96523","HCPCS","Both",,,"83.5","41.75","UHC","Commercial","",,"75",,"62.96","30.56","64.71","percent of total billed charges",,
"IRRIGATION IMPLANTED ACCESS DEVICE","96523","HCPCS","Both",,,"83.5","41.75","Medicaid",,"",,"37",,"30.56","30.56","64.71","percent of total billed charges",,
"NEW PT LEVEL 1 ONCOLOGY","99202","HCPCS","Both",,,"61","30.5","Alliant","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"NEW PT LEVEL 1 ONCOLOGY","99202","HCPCS","Both",,,"61","30.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.94","22.33","47.28","percent of total billed charges",,
"NEW PT LEVEL 1 ONCOLOGY","99202","HCPCS","Both",,,"61","30.5","Medicare",,"",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"NEW PT LEVEL 1 ONCOLOGY","99202","HCPCS","Both",,,"61","30.5","Humana","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"NEW PT LEVEL 1 ONCOLOGY","99202","HCPCS","Both",,,"61","30.5","UHC","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"NEW PT LEVEL 1 ONCOLOGY","99202","HCPCS","Both",,,"61","30.5","Clover","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"NEW PT LEVEL 1 ONCOLOGY","99202","HCPCS","Both",,,"61","30.5","Wellcare","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"NEW PT LEVEL 1 ONCOLOGY","99202","HCPCS","Both",,,"61","30.5","Amerigroup","Medicaid Managed Care","",,"37",,"22.33","22.33","47.28","percent of total billed charges",,
"NEW PT LEVEL 1 ONCOLOGY","99202","HCPCS","Both",,,"61","30.5","Caresource","Medicaid Managed Care","",,"40",,"24.4","22.33","47.28","percent of total billed charges",,
"NEW PT LEVEL 1 ONCOLOGY","99202","HCPCS","Both",,,"61","30.5","Wellcare","Medicaid Managed Care","",,"40",,"24.7","22.33","47.28","percent of total billed charges",,
"NEW PT LEVEL 1 ONCOLOGY","99202","HCPCS","Both",,,"61","30.5","Aetna","Commercial","",,"64",,"38.92","22.33","47.28","percent of total billed charges",,
"NEW PT LEVEL 1 ONCOLOGY","99202","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","Pathways","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"NEW PT LEVEL 1 ONCOLOGY","99202","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","HMO","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"NEW PT LEVEL 1 ONCOLOGY","99202","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","PPO","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"NEW PT LEVEL 1 ONCOLOGY","99202","HCPCS","Both",,,"61","30.5","Ambetter","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"NEW PT LEVEL 1 ONCOLOGY","99202","HCPCS","Both",,,"61","30.5","Caresource","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"NEW PT LEVEL 1 ONCOLOGY","99202","HCPCS","Both",,,"61","30.5","Cigna","Commercial","",,"59",,"35.75","22.33","47.28","percent of total billed charges",,
"NEW PT LEVEL 1 ONCOLOGY","99202","HCPCS","Both",,,"61","30.5","Humana","Commercial","",,"78",,"47.28","22.33","47.28","percent of total billed charges",,
"NEW PT LEVEL 1 ONCOLOGY","99202","HCPCS","Both",,,"61","30.5","UHC","Commercial","",,"75",,"45.99","22.33","47.28","percent of total billed charges",,
"NEW PT LEVEL 1 ONCOLOGY","99202","HCPCS","Both",,,"61","30.5","Medicaid",,"",,"37",,"22.33","22.33","47.28","percent of total billed charges",,
"NEW PT LEVEL 2 ONCOLOGY","99203","HCPCS","Both",,,"80","40","Alliant","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"NEW PT LEVEL 2 ONCOLOGY","99203","HCPCS","Both",,,"80","40","Pruitt Healthcare","Medicare Advantage","",,"54",,"43.2","29.28","62","percent of total billed charges",,
"NEW PT LEVEL 2 ONCOLOGY","99203","HCPCS","Both",,,"80","40","Medicare",,"",,"54",,"43.36","29.28","62","percent of total billed charges",,
"NEW PT LEVEL 2 ONCOLOGY","99203","HCPCS","Both",,,"80","40","Humana","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"NEW PT LEVEL 2 ONCOLOGY","99203","HCPCS","Both",,,"80","40","UHC","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"NEW PT LEVEL 2 ONCOLOGY","99203","HCPCS","Both",,,"80","40","Clover","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"NEW PT LEVEL 2 ONCOLOGY","99203","HCPCS","Both",,,"80","40","Wellcare","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"NEW PT LEVEL 2 ONCOLOGY","99203","HCPCS","Both",,,"80","40","Amerigroup","Medicaid Managed Care","",,"37",,"29.28","29.28","62","percent of total billed charges",,
"NEW PT LEVEL 2 ONCOLOGY","99203","HCPCS","Both",,,"80","40","Caresource","Medicaid Managed Care","",,"40",,"32","29.28","62","percent of total billed charges",,
"NEW PT LEVEL 2 ONCOLOGY","99203","HCPCS","Both",,,"80","40","Wellcare","Medicaid Managed Care","",,"40",,"32.4","29.28","62","percent of total billed charges",,
"NEW PT LEVEL 2 ONCOLOGY","99203","HCPCS","Both",,,"80","40","Aetna","Commercial","",,"64",,"51.04","29.28","62","percent of total billed charges",,
"NEW PT LEVEL 2 ONCOLOGY","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","Pathways","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"NEW PT LEVEL 2 ONCOLOGY","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","HMO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"NEW PT LEVEL 2 ONCOLOGY","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","PPO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"NEW PT LEVEL 2 ONCOLOGY","99203","HCPCS","Both",,,"80","40","Ambetter","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"NEW PT LEVEL 2 ONCOLOGY","99203","HCPCS","Both",,,"80","40","Caresource","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"NEW PT LEVEL 2 ONCOLOGY","99203","HCPCS","Both",,,"80","40","Cigna","Commercial","",,"59",,"46.88","29.28","62","percent of total billed charges",,
"NEW PT LEVEL 2 ONCOLOGY","99203","HCPCS","Both",,,"80","40","Humana","Commercial","",,"78",,"62","29.28","62","percent of total billed charges",,
"NEW PT LEVEL 2 ONCOLOGY","99203","HCPCS","Both",,,"80","40","UHC","Commercial","",,"75",,"60.32","29.28","62","percent of total billed charges",,
"NEW PT LEVEL 2 ONCOLOGY","99203","HCPCS","Both",,,"80","40","Medicaid",,"",,"37",,"29.28","29.28","62","percent of total billed charges",,
"NEW PT LEVEL 3 ONCOLOGY","99204","HCPCS","Both",,,"128","64","Alliant","Health Exchange","",,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"NEW PT LEVEL 3 ONCOLOGY","99204","HCPCS","Both",,,"128","64","Pruitt Healthcare","Medicare Advantage","",,"54",,"69.12","46.85","99.2","percent of total billed charges",,
"NEW PT LEVEL 3 ONCOLOGY","99204","HCPCS","Both",,,"128","64","Medicare",,"",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"NEW PT LEVEL 3 ONCOLOGY","99204","HCPCS","Both",,,"128","64","Humana","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"NEW PT LEVEL 3 ONCOLOGY","99204","HCPCS","Both",,,"128","64","UHC","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"NEW PT LEVEL 3 ONCOLOGY","99204","HCPCS","Both",,,"128","64","Clover","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"NEW PT LEVEL 3 ONCOLOGY","99204","HCPCS","Both",,,"128","64","Wellcare","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"NEW PT LEVEL 3 ONCOLOGY","99204","HCPCS","Both",,,"128","64","Amerigroup","Medicaid Managed Care","",,"37",,"46.85","46.85","99.2","percent of total billed charges",,
"NEW PT LEVEL 3 ONCOLOGY","99204","HCPCS","Both",,,"128","64","Caresource","Medicaid Managed Care","",,"40",,"51.2","46.85","99.2","percent of total billed charges",,
"NEW PT LEVEL 3 ONCOLOGY","99204","HCPCS","Both",,,"128","64","Wellcare","Medicaid Managed Care","",,"40",,"51.84","46.85","99.2","percent of total billed charges",,
"NEW PT LEVEL 3 ONCOLOGY","99204","HCPCS","Both",,,"128","64","Aetna","Commercial","",,"64",,"81.66","46.85","99.2","percent of total billed charges",,
"NEW PT LEVEL 3 ONCOLOGY","99204","HCPCS","Both",,,"128","64","Blue Cross Blue Shield","Pathways","",,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"NEW PT LEVEL 3 ONCOLOGY","99204","HCPCS","Both",,,"128","64","Blue Cross Blue Shield","HMO","",,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"NEW PT LEVEL 3 ONCOLOGY","99204","HCPCS","Both",,,"128","64","Blue Cross Blue Shield","PPO","",,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"NEW PT LEVEL 3 ONCOLOGY","99204","HCPCS","Both",,,"128","64","Ambetter","Health Exchange","",,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"NEW PT LEVEL 3 ONCOLOGY","99204","HCPCS","Both",,,"128","64","Caresource","Health Exchange","",,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"NEW PT LEVEL 3 ONCOLOGY","99204","HCPCS","Both",,,"128","64","Cigna","Commercial","",,"59",,"75.01","46.85","99.2","percent of total billed charges",,
"NEW PT LEVEL 3 ONCOLOGY","99204","HCPCS","Both",,,"128","64","Humana","Commercial","",,"78",,"99.2","46.85","99.2","percent of total billed charges",,
"NEW PT LEVEL 3 ONCOLOGY","99204","HCPCS","Both",,,"128","64","UHC","Commercial","",,"75",,"96.51","46.85","99.2","percent of total billed charges",,
"NEW PT LEVEL 3 ONCOLOGY","99204","HCPCS","Both",,,"128","64","Medicaid",,"",,"37",,"46.85","46.85","99.2","percent of total billed charges",,
"NEW PT LEVEL 4 ONCOLOGY","99205","HCPCS","Both",,,"167","83.5","Alliant","Health Exchange","",,"62",,"103.54","61.12","129.43","percent of total billed charges",,
"NEW PT LEVEL 4 ONCOLOGY","99205","HCPCS","Both",,,"167","83.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"90.18","61.12","129.43","percent of total billed charges",,
"NEW PT LEVEL 4 ONCOLOGY","99205","HCPCS","Both",,,"167","83.5","Medicare",,"",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"NEW PT LEVEL 4 ONCOLOGY","99205","HCPCS","Both",,,"167","83.5","Humana","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"NEW PT LEVEL 4 ONCOLOGY","99205","HCPCS","Both",,,"167","83.5","UHC","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"NEW PT LEVEL 4 ONCOLOGY","99205","HCPCS","Both",,,"167","83.5","Clover","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"NEW PT LEVEL 4 ONCOLOGY","99205","HCPCS","Both",,,"167","83.5","Wellcare","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"NEW PT LEVEL 4 ONCOLOGY","99205","HCPCS","Both",,,"167","83.5","Amerigroup","Medicaid Managed Care","",,"37",,"61.12","61.12","129.43","percent of total billed charges",,
"NEW PT LEVEL 4 ONCOLOGY","99205","HCPCS","Both",,,"167","83.5","Caresource","Medicaid Managed Care","",,"40",,"66.8","61.12","129.43","percent of total billed charges",,
"NEW PT LEVEL 4 ONCOLOGY","99205","HCPCS","Both",,,"167","83.5","Wellcare","Medicaid Managed Care","",,"40",,"67.64","61.12","129.43","percent of total billed charges",,
"NEW PT LEVEL 4 ONCOLOGY","99205","HCPCS","Both",,,"167","83.5","Aetna","Commercial","",,"64",,"106.55","61.12","129.43","percent of total billed charges",,
"NEW PT LEVEL 4 ONCOLOGY","99205","HCPCS","Both",,,"167","83.5","Blue Cross Blue Shield","Pathways","",,"71",,"117.9","61.12","129.43","percent of total billed charges",,
"NEW PT LEVEL 4 ONCOLOGY","99205","HCPCS","Both",,,"167","83.5","Blue Cross Blue Shield","HMO","",,"71",,"117.9","61.12","129.43","percent of total billed charges",,
"NEW PT LEVEL 4 ONCOLOGY","99205","HCPCS","Both",,,"167","83.5","Blue Cross Blue Shield","PPO","",,"71",,"117.9","61.12","129.43","percent of total billed charges",,
"NEW PT LEVEL 4 ONCOLOGY","99205","HCPCS","Both",,,"167","83.5","Ambetter","Health Exchange","",,"62",,"103.54","61.12","129.43","percent of total billed charges",,
"NEW PT LEVEL 4 ONCOLOGY","99205","HCPCS","Both",,,"167","83.5","Caresource","Health Exchange","",,"62",,"103.54","61.12","129.43","percent of total billed charges",,
"NEW PT LEVEL 4 ONCOLOGY","99205","HCPCS","Both",,,"167","83.5","Cigna","Commercial","",,"59",,"97.86","61.12","129.43","percent of total billed charges",,
"NEW PT LEVEL 4 ONCOLOGY","99205","HCPCS","Both",,,"167","83.5","Humana","Commercial","",,"78",,"129.43","61.12","129.43","percent of total billed charges",,
"NEW PT LEVEL 4 ONCOLOGY","99205","HCPCS","Both",,,"167","83.5","UHC","Commercial","",,"75",,"125.92","61.12","129.43","percent of total billed charges",,
"NEW PT LEVEL 4 ONCOLOGY","99205","HCPCS","Both",,,"167","83.5","Medicaid",,"",,"37",,"61.12","61.12","129.43","percent of total billed charges",,
"ESTABLISHED PT LEVEL 1 ONCOLOGY","99212","HCPCS","Both",,,"55","27.5","Alliant","Health Exchange","",,"62",,"34.1","20.13","42.62","percent of total billed charges",,
"ESTABLISHED PT LEVEL 1 ONCOLOGY","99212","HCPCS","Both",,,"55","27.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"29.7","20.13","42.62","percent of total billed charges",,
"ESTABLISHED PT LEVEL 1 ONCOLOGY","99212","HCPCS","Both",,,"55","27.5","Medicare",,"",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"ESTABLISHED PT LEVEL 1 ONCOLOGY","99212","HCPCS","Both",,,"55","27.5","Humana","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"ESTABLISHED PT LEVEL 1 ONCOLOGY","99212","HCPCS","Both",,,"55","27.5","UHC","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"ESTABLISHED PT LEVEL 1 ONCOLOGY","99212","HCPCS","Both",,,"55","27.5","Clover","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"ESTABLISHED PT LEVEL 1 ONCOLOGY","99212","HCPCS","Both",,,"55","27.5","Wellcare","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"ESTABLISHED PT LEVEL 1 ONCOLOGY","99212","HCPCS","Both",,,"55","27.5","Amerigroup","Medicaid Managed Care","",,"37",,"20.13","20.13","42.62","percent of total billed charges",,
"ESTABLISHED PT LEVEL 1 ONCOLOGY","99212","HCPCS","Both",,,"55","27.5","Caresource","Medicaid Managed Care","",,"40",,"22","20.13","42.62","percent of total billed charges",,
"ESTABLISHED PT LEVEL 1 ONCOLOGY","99212","HCPCS","Both",,,"55","27.5","Wellcare","Medicaid Managed Care","",,"40",,"22.28","20.13","42.62","percent of total billed charges",,
"ESTABLISHED PT LEVEL 1 ONCOLOGY","99212","HCPCS","Both",,,"55","27.5","Aetna","Commercial","",,"64",,"35.09","20.13","42.62","percent of total billed charges",,
"ESTABLISHED PT LEVEL 1 ONCOLOGY","99212","HCPCS","Both",,,"55","27.5","Blue Cross Blue Shield","Pathways","",,"71",,"38.83","20.13","42.62","percent of total billed charges",,
"ESTABLISHED PT LEVEL 1 ONCOLOGY","99212","HCPCS","Both",,,"55","27.5","Blue Cross Blue Shield","HMO","",,"71",,"38.83","20.13","42.62","percent of total billed charges",,
"ESTABLISHED PT LEVEL 1 ONCOLOGY","99212","HCPCS","Both",,,"55","27.5","Blue Cross Blue Shield","PPO","",,"71",,"38.83","20.13","42.62","percent of total billed charges",,
"ESTABLISHED PT LEVEL 1 ONCOLOGY","99212","HCPCS","Both",,,"55","27.5","Ambetter","Health Exchange","",,"62",,"34.1","20.13","42.62","percent of total billed charges",,
"ESTABLISHED PT LEVEL 1 ONCOLOGY","99212","HCPCS","Both",,,"55","27.5","Caresource","Health Exchange","",,"62",,"34.1","20.13","42.62","percent of total billed charges",,
"ESTABLISHED PT LEVEL 1 ONCOLOGY","99212","HCPCS","Both",,,"55","27.5","Cigna","Commercial","",,"59",,"32.23","20.13","42.62","percent of total billed charges",,
"ESTABLISHED PT LEVEL 1 ONCOLOGY","99212","HCPCS","Both",,,"55","27.5","Humana","Commercial","",,"78",,"42.62","20.13","42.62","percent of total billed charges",,
"ESTABLISHED PT LEVEL 1 ONCOLOGY","99212","HCPCS","Both",,,"55","27.5","UHC","Commercial","",,"75",,"41.47","20.13","42.62","percent of total billed charges",,
"ESTABLISHED PT LEVEL 1 ONCOLOGY","99212","HCPCS","Both",,,"55","27.5","Medicaid",,"",,"37",,"20.13","20.13","42.62","percent of total billed charges",,
"ESTABLISHED PT LEVEL 2 ONCOLOGY","99213","HCPCS","Both",,,"61","30.5","Alliant","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"ESTABLISHED PT LEVEL 2 ONCOLOGY","99213","HCPCS","Both",,,"61","30.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.94","22.33","47.28","percent of total billed charges",,
"ESTABLISHED PT LEVEL 2 ONCOLOGY","99213","HCPCS","Both",,,"61","30.5","Medicare",,"",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"ESTABLISHED PT LEVEL 2 ONCOLOGY","99213","HCPCS","Both",,,"61","30.5","Humana","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"ESTABLISHED PT LEVEL 2 ONCOLOGY","99213","HCPCS","Both",,,"61","30.5","UHC","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"ESTABLISHED PT LEVEL 2 ONCOLOGY","99213","HCPCS","Both",,,"61","30.5","Clover","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"ESTABLISHED PT LEVEL 2 ONCOLOGY","99213","HCPCS","Both",,,"61","30.5","Wellcare","Medicare Advantage","",,"54",,"33.06","22.33","47.28","percent of total billed charges",,
"ESTABLISHED PT LEVEL 2 ONCOLOGY","99213","HCPCS","Both",,,"61","30.5","Amerigroup","Medicaid Managed Care","",,"37",,"22.33","22.33","47.28","percent of total billed charges",,
"ESTABLISHED PT LEVEL 2 ONCOLOGY","99213","HCPCS","Both",,,"61","30.5","Caresource","Medicaid Managed Care","",,"40",,"24.4","22.33","47.28","percent of total billed charges",,
"ESTABLISHED PT LEVEL 2 ONCOLOGY","99213","HCPCS","Both",,,"61","30.5","Wellcare","Medicaid Managed Care","",,"40",,"24.7","22.33","47.28","percent of total billed charges",,
"ESTABLISHED PT LEVEL 2 ONCOLOGY","99213","HCPCS","Both",,,"61","30.5","Aetna","Commercial","",,"64",,"38.92","22.33","47.28","percent of total billed charges",,
"ESTABLISHED PT LEVEL 2 ONCOLOGY","99213","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","Pathways","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"ESTABLISHED PT LEVEL 2 ONCOLOGY","99213","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","HMO","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"ESTABLISHED PT LEVEL 2 ONCOLOGY","99213","HCPCS","Both",,,"61","30.5","Blue Cross Blue Shield","PPO","",,"71",,"43.07","22.33","47.28","percent of total billed charges",,
"ESTABLISHED PT LEVEL 2 ONCOLOGY","99213","HCPCS","Both",,,"61","30.5","Ambetter","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"ESTABLISHED PT LEVEL 2 ONCOLOGY","99213","HCPCS","Both",,,"61","30.5","Caresource","Health Exchange","",,"62",,"37.82","22.33","47.28","percent of total billed charges",,
"ESTABLISHED PT LEVEL 2 ONCOLOGY","99213","HCPCS","Both",,,"61","30.5","Cigna","Commercial","",,"59",,"35.75","22.33","47.28","percent of total billed charges",,
"ESTABLISHED PT LEVEL 2 ONCOLOGY","99213","HCPCS","Both",,,"61","30.5","Humana","Commercial","",,"78",,"47.28","22.33","47.28","percent of total billed charges",,
"ESTABLISHED PT LEVEL 2 ONCOLOGY","99213","HCPCS","Both",,,"61","30.5","UHC","Commercial","",,"75",,"45.99","22.33","47.28","percent of total billed charges",,
"ESTABLISHED PT LEVEL 2 ONCOLOGY","99213","HCPCS","Both",,,"61","30.5","Medicaid",,"",,"37",,"22.33","22.33","47.28","percent of total billed charges",,
"ESTABLISHED PT LEVEL 3","99214","HCPCS","Both",,,"78","39","Alliant","Health Exchange","",,"62",,"48.36","28.55","60.45","percent of total billed charges",,
"ESTABLISHED PT LEVEL 3","99214","HCPCS","Both",,,"78","39","Pruitt Healthcare","Medicare Advantage","",,"54",,"42.12","28.55","60.45","percent of total billed charges",,
"ESTABLISHED PT LEVEL 3","99214","HCPCS","Both",,,"78","39","Medicare",,"",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"ESTABLISHED PT LEVEL 3","99214","HCPCS","Both",,,"78","39","Humana","Medicare Advantage","",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"ESTABLISHED PT LEVEL 3","99214","HCPCS","Both",,,"78","39","UHC","Medicare Advantage","",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"ESTABLISHED PT LEVEL 3","99214","HCPCS","Both",,,"78","39","Clover","Medicare Advantage","",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"ESTABLISHED PT LEVEL 3","99214","HCPCS","Both",,,"78","39","Wellcare","Medicare Advantage","",,"54",,"42.28","28.55","60.45","percent of total billed charges",,
"ESTABLISHED PT LEVEL 3","99214","HCPCS","Both",,,"78","39","Amerigroup","Medicaid Managed Care","",,"37",,"28.55","28.55","60.45","percent of total billed charges",,
"ESTABLISHED PT LEVEL 3","99214","HCPCS","Both",,,"78","39","Caresource","Medicaid Managed Care","",,"40",,"31.2","28.55","60.45","percent of total billed charges",,
"ESTABLISHED PT LEVEL 3","99214","HCPCS","Both",,,"78","39","Wellcare","Medicaid Managed Care","",,"40",,"31.59","28.55","60.45","percent of total billed charges",,
"ESTABLISHED PT LEVEL 3","99214","HCPCS","Both",,,"78","39","Aetna","Commercial","",,"64",,"49.76","28.55","60.45","percent of total billed charges",,
"ESTABLISHED PT LEVEL 3","99214","HCPCS","Both",,,"78","39","Blue Cross Blue Shield","Pathways","",,"71",,"55.07","28.55","60.45","percent of total billed charges",,
"ESTABLISHED PT LEVEL 3","99214","HCPCS","Both",,,"78","39","Blue Cross Blue Shield","HMO","",,"71",,"55.07","28.55","60.45","percent of total billed charges",,
"ESTABLISHED PT LEVEL 3","99214","HCPCS","Both",,,"78","39","Blue Cross Blue Shield","PPO","",,"71",,"55.07","28.55","60.45","percent of total billed charges",,
"ESTABLISHED PT LEVEL 3","99214","HCPCS","Both",,,"78","39","Ambetter","Health Exchange","",,"62",,"48.36","28.55","60.45","percent of total billed charges",,
"ESTABLISHED PT LEVEL 3","99214","HCPCS","Both",,,"78","39","Caresource","Health Exchange","",,"62",,"48.36","28.55","60.45","percent of total billed charges",,
"ESTABLISHED PT LEVEL 3","99214","HCPCS","Both",,,"78","39","Cigna","Commercial","",,"59",,"45.71","28.55","60.45","percent of total billed charges",,
"ESTABLISHED PT LEVEL 3","99214","HCPCS","Both",,,"78","39","Humana","Commercial","",,"78",,"60.45","28.55","60.45","percent of total billed charges",,
"ESTABLISHED PT LEVEL 3","99214","HCPCS","Both",,,"78","39","UHC","Commercial","",,"75",,"58.81","28.55","60.45","percent of total billed charges",,
"ESTABLISHED PT LEVEL 3","99214","HCPCS","Both",,,"78","39","Medicaid",,"",,"37",,"28.55","28.55","60.45","percent of total billed charges",,
"ESTABLISHED PT LEVEL 4 ONCOLOGY","99215","HCPCS","Both",,,"110","55","Alliant","Health Exchange","",,"62",,"68.2","40.26","85.25","percent of total billed charges",,
"ESTABLISHED PT LEVEL 4 ONCOLOGY","99215","HCPCS","Both",,,"110","55","Pruitt Healthcare","Medicare Advantage","",,"54",,"59.4","40.26","85.25","percent of total billed charges",,
"ESTABLISHED PT LEVEL 4 ONCOLOGY","99215","HCPCS","Both",,,"110","55","Medicare",,"",,"54",,"59.62","40.26","85.25","percent of total billed charges",,
"ESTABLISHED PT LEVEL 4 ONCOLOGY","99215","HCPCS","Both",,,"110","55","Humana","Medicare Advantage","",,"54",,"59.62","40.26","85.25","percent of total billed charges",,
"ESTABLISHED PT LEVEL 4 ONCOLOGY","99215","HCPCS","Both",,,"110","55","UHC","Medicare Advantage","",,"54",,"59.62","40.26","85.25","percent of total billed charges",,
"ESTABLISHED PT LEVEL 4 ONCOLOGY","99215","HCPCS","Both",,,"110","55","Clover","Medicare Advantage","",,"54",,"59.62","40.26","85.25","percent of total billed charges",,
"ESTABLISHED PT LEVEL 4 ONCOLOGY","99215","HCPCS","Both",,,"110","55","Wellcare","Medicare Advantage","",,"54",,"59.62","40.26","85.25","percent of total billed charges",,
"ESTABLISHED PT LEVEL 4 ONCOLOGY","99215","HCPCS","Both",,,"110","55","Amerigroup","Medicaid Managed Care","",,"37",,"40.26","40.26","85.25","percent of total billed charges",,
"ESTABLISHED PT LEVEL 4 ONCOLOGY","99215","HCPCS","Both",,,"110","55","Caresource","Medicaid Managed Care","",,"40",,"44","40.26","85.25","percent of total billed charges",,
"ESTABLISHED PT LEVEL 4 ONCOLOGY","99215","HCPCS","Both",,,"110","55","Wellcare","Medicaid Managed Care","",,"40",,"44.55","40.26","85.25","percent of total billed charges",,
"ESTABLISHED PT LEVEL 4 ONCOLOGY","99215","HCPCS","Both",,,"110","55","Aetna","Commercial","",,"64",,"70.18","40.26","85.25","percent of total billed charges",,
"ESTABLISHED PT LEVEL 4 ONCOLOGY","99215","HCPCS","Both",,,"110","55","Blue Cross Blue Shield","Pathways","",,"71",,"77.66","40.26","85.25","percent of total billed charges",,
"ESTABLISHED PT LEVEL 4 ONCOLOGY","99215","HCPCS","Both",,,"110","55","Blue Cross Blue Shield","HMO","",,"71",,"77.66","40.26","85.25","percent of total billed charges",,
"ESTABLISHED PT LEVEL 4 ONCOLOGY","99215","HCPCS","Both",,,"110","55","Blue Cross Blue Shield","PPO","",,"71",,"77.66","40.26","85.25","percent of total billed charges",,
"ESTABLISHED PT LEVEL 4 ONCOLOGY","99215","HCPCS","Both",,,"110","55","Ambetter","Health Exchange","",,"62",,"68.2","40.26","85.25","percent of total billed charges",,
"ESTABLISHED PT LEVEL 4 ONCOLOGY","99215","HCPCS","Both",,,"110","55","Caresource","Health Exchange","",,"62",,"68.2","40.26","85.25","percent of total billed charges",,
"ESTABLISHED PT LEVEL 4 ONCOLOGY","99215","HCPCS","Both",,,"110","55","Cigna","Commercial","",,"59",,"64.46","40.26","85.25","percent of total billed charges",,
"ESTABLISHED PT LEVEL 4 ONCOLOGY","99215","HCPCS","Both",,,"110","55","Humana","Commercial","",,"78",,"85.25","40.26","85.25","percent of total billed charges",,
"ESTABLISHED PT LEVEL 4 ONCOLOGY","99215","HCPCS","Both",,,"110","55","UHC","Commercial","",,"75",,"82.94","40.26","85.25","percent of total billed charges",,
"ESTABLISHED PT LEVEL 4 ONCOLOGY","99215","HCPCS","Both",,,"110","55","Medicaid",,"",,"37",,"40.26","40.26","85.25","percent of total billed charges",,
"OP CONSULT LEVEL 1 ONCOLOGY","99242","HCPCS","Both",,,"80","40","Alliant","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"OP CONSULT LEVEL 1 ONCOLOGY","99242","HCPCS","Both",,,"80","40","Pruitt Healthcare","Medicare Advantage","",,"54",,"43.2","29.28","62","percent of total billed charges",,
"OP CONSULT LEVEL 1 ONCOLOGY","99242","HCPCS","Both",,,"80","40","Medicare",,"",,"54",,"43.36","29.28","62","percent of total billed charges",,
"OP CONSULT LEVEL 1 ONCOLOGY","99242","HCPCS","Both",,,"80","40","Humana","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"OP CONSULT LEVEL 1 ONCOLOGY","99242","HCPCS","Both",,,"80","40","UHC","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"OP CONSULT LEVEL 1 ONCOLOGY","99242","HCPCS","Both",,,"80","40","Clover","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"OP CONSULT LEVEL 1 ONCOLOGY","99242","HCPCS","Both",,,"80","40","Wellcare","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"OP CONSULT LEVEL 1 ONCOLOGY","99242","HCPCS","Both",,,"80","40","Amerigroup","Medicaid Managed Care","",,"37",,"29.28","29.28","62","percent of total billed charges",,
"OP CONSULT LEVEL 1 ONCOLOGY","99242","HCPCS","Both",,,"80","40","Caresource","Medicaid Managed Care","",,"40",,"32","29.28","62","percent of total billed charges",,
"OP CONSULT LEVEL 1 ONCOLOGY","99242","HCPCS","Both",,,"80","40","Wellcare","Medicaid Managed Care","",,"40",,"32.4","29.28","62","percent of total billed charges",,
"OP CONSULT LEVEL 1 ONCOLOGY","99242","HCPCS","Both",,,"80","40","Aetna","Commercial","",,"64",,"51.04","29.28","62","percent of total billed charges",,
"OP CONSULT LEVEL 1 ONCOLOGY","99242","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","Pathways","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"OP CONSULT LEVEL 1 ONCOLOGY","99242","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","HMO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"OP CONSULT LEVEL 1 ONCOLOGY","99242","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","PPO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"OP CONSULT LEVEL 1 ONCOLOGY","99242","HCPCS","Both",,,"80","40","Ambetter","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"OP CONSULT LEVEL 1 ONCOLOGY","99242","HCPCS","Both",,,"80","40","Caresource","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"OP CONSULT LEVEL 1 ONCOLOGY","99242","HCPCS","Both",,,"80","40","Cigna","Commercial","",,"59",,"46.88","29.28","62","percent of total billed charges",,
"OP CONSULT LEVEL 1 ONCOLOGY","99242","HCPCS","Both",,,"80","40","Humana","Commercial","",,"78",,"62","29.28","62","percent of total billed charges",,
"OP CONSULT LEVEL 1 ONCOLOGY","99242","HCPCS","Both",,,"80","40","UHC","Commercial","",,"75",,"60.32","29.28","62","percent of total billed charges",,
"OP CONSULT LEVEL 1 ONCOLOGY","99242","HCPCS","Both",,,"80","40","Medicaid",,"",,"37",,"29.28","29.28","62","percent of total billed charges",,
"OP CONSULT LEVEL 2 ONCOLOGY","99243","HCPCS","Both",,,"104.1","52.05","Alliant","Health Exchange","",,"62",,"64.54","38.06","80.68","percent of total billed charges",,
"OP CONSULT LEVEL 2 ONCOLOGY","99243","HCPCS","Both",,,"104.1","52.05","Pruitt Healthcare","Medicare Advantage","",,"54",,"56.21","38.06","80.68","percent of total billed charges",,
"OP CONSULT LEVEL 2 ONCOLOGY","99243","HCPCS","Both",,,"104.1","52.05","Medicare",,"",,"54",,"56.42","38.06","80.68","percent of total billed charges",,
"OP CONSULT LEVEL 2 ONCOLOGY","99243","HCPCS","Both",,,"104.1","52.05","Humana","Medicare Advantage","",,"54",,"56.42","38.06","80.68","percent of total billed charges",,
"OP CONSULT LEVEL 2 ONCOLOGY","99243","HCPCS","Both",,,"104.1","52.05","UHC","Medicare Advantage","",,"54",,"56.42","38.06","80.68","percent of total billed charges",,
"OP CONSULT LEVEL 2 ONCOLOGY","99243","HCPCS","Both",,,"104.1","52.05","Clover","Medicare Advantage","",,"54",,"56.42","38.06","80.68","percent of total billed charges",,
"OP CONSULT LEVEL 2 ONCOLOGY","99243","HCPCS","Both",,,"104.1","52.05","Wellcare","Medicare Advantage","",,"54",,"56.42","38.06","80.68","percent of total billed charges",,
"OP CONSULT LEVEL 2 ONCOLOGY","99243","HCPCS","Both",,,"104.1","52.05","Amerigroup","Medicaid Managed Care","",,"37",,"38.1","38.06","80.68","percent of total billed charges",,
"OP CONSULT LEVEL 2 ONCOLOGY","99243","HCPCS","Both",,,"104.1","52.05","Caresource","Medicaid Managed Care","",,"40",,"41.64","38.06","80.68","percent of total billed charges",,
"OP CONSULT LEVEL 2 ONCOLOGY","99243","HCPCS","Both",,,"104.1","52.05","Wellcare","Medicaid Managed Care","",,"40",,"42.16","38.06","80.68","percent of total billed charges",,
"OP CONSULT LEVEL 2 ONCOLOGY","99243","HCPCS","Both",,,"104.1","52.05","Aetna","Commercial","",,"64",,"66.42","38.06","80.68","percent of total billed charges",,
"OP CONSULT LEVEL 2 ONCOLOGY","99243","HCPCS","Both",,,"104.1","52.05","Blue Cross Blue Shield","Pathways","",,"71",,"73.49","38.06","80.68","percent of total billed charges",,
"OP CONSULT LEVEL 2 ONCOLOGY","99243","HCPCS","Both",,,"104.1","52.05","Blue Cross Blue Shield","HMO","",,"71",,"73.49","38.06","80.68","percent of total billed charges",,
"OP CONSULT LEVEL 2 ONCOLOGY","99243","HCPCS","Both",,,"104.1","52.05","Blue Cross Blue Shield","PPO","",,"71",,"73.49","38.06","80.68","percent of total billed charges",,
"OP CONSULT LEVEL 2 ONCOLOGY","99243","HCPCS","Both",,,"104.1","52.05","Ambetter","Health Exchange","",,"62",,"64.54","38.06","80.68","percent of total billed charges",,
"OP CONSULT LEVEL 2 ONCOLOGY","99243","HCPCS","Both",,,"104.1","52.05","Caresource","Health Exchange","",,"62",,"64.54","38.06","80.68","percent of total billed charges",,
"OP CONSULT LEVEL 2 ONCOLOGY","99243","HCPCS","Both",,,"104.1","52.05","Cigna","Commercial","",,"59",,"61","38.06","80.68","percent of total billed charges",,
"OP CONSULT LEVEL 2 ONCOLOGY","99243","HCPCS","Both",,,"104.1","52.05","Humana","Commercial","",,"78",,"80.68","38.06","80.68","percent of total billed charges",,
"OP CONSULT LEVEL 2 ONCOLOGY","99243","HCPCS","Both",,,"104.1","52.05","UHC","Commercial","",,"75",,"78.49","38.06","80.68","percent of total billed charges",,
"OP CONSULT LEVEL 2 ONCOLOGY","99243","HCPCS","Both",,,"104.1","52.05","Medicaid",,"",,"37",,"38.1","38.06","80.68","percent of total billed charges",,
"OP CONSULT LEVEL 3 ONCOLOGY","99244","HCPCS","Both",,,"152.5","76.25","Alliant","Health Exchange","",,"62",,"94.55","55.82","118.19","percent of total billed charges",,
"OP CONSULT LEVEL 3 ONCOLOGY","99244","HCPCS","Both",,,"152.5","76.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"82.35","55.82","118.19","percent of total billed charges",,
"OP CONSULT LEVEL 3 ONCOLOGY","99244","HCPCS","Both",,,"152.5","76.25","Medicare",,"",,"54",,"82.66","55.82","118.19","percent of total billed charges",,
"OP CONSULT LEVEL 3 ONCOLOGY","99244","HCPCS","Both",,,"152.5","76.25","Humana","Medicare Advantage","",,"54",,"82.66","55.82","118.19","percent of total billed charges",,
"OP CONSULT LEVEL 3 ONCOLOGY","99244","HCPCS","Both",,,"152.5","76.25","UHC","Medicare Advantage","",,"54",,"82.66","55.82","118.19","percent of total billed charges",,
"OP CONSULT LEVEL 3 ONCOLOGY","99244","HCPCS","Both",,,"152.5","76.25","Clover","Medicare Advantage","",,"54",,"82.66","55.82","118.19","percent of total billed charges",,
"OP CONSULT LEVEL 3 ONCOLOGY","99244","HCPCS","Both",,,"152.5","76.25","Wellcare","Medicare Advantage","",,"54",,"82.66","55.82","118.19","percent of total billed charges",,
"OP CONSULT LEVEL 3 ONCOLOGY","99244","HCPCS","Both",,,"152.5","76.25","Amerigroup","Medicaid Managed Care","",,"37",,"55.82","55.82","118.19","percent of total billed charges",,
"OP CONSULT LEVEL 3 ONCOLOGY","99244","HCPCS","Both",,,"152.5","76.25","Caresource","Medicaid Managed Care","",,"40",,"61","55.82","118.19","percent of total billed charges",,
"OP CONSULT LEVEL 3 ONCOLOGY","99244","HCPCS","Both",,,"152.5","76.25","Wellcare","Medicaid Managed Care","",,"40",,"61.76","55.82","118.19","percent of total billed charges",,
"OP CONSULT LEVEL 3 ONCOLOGY","99244","HCPCS","Both",,,"152.5","76.25","Aetna","Commercial","",,"64",,"97.3","55.82","118.19","percent of total billed charges",,
"OP CONSULT LEVEL 3 ONCOLOGY","99244","HCPCS","Both",,,"152.5","76.25","Blue Cross Blue Shield","Pathways","",,"71",,"107.66","55.82","118.19","percent of total billed charges",,
"OP CONSULT LEVEL 3 ONCOLOGY","99244","HCPCS","Both",,,"152.5","76.25","Blue Cross Blue Shield","HMO","",,"71",,"107.66","55.82","118.19","percent of total billed charges",,
"OP CONSULT LEVEL 3 ONCOLOGY","99244","HCPCS","Both",,,"152.5","76.25","Blue Cross Blue Shield","PPO","",,"71",,"107.66","55.82","118.19","percent of total billed charges",,
"OP CONSULT LEVEL 3 ONCOLOGY","99244","HCPCS","Both",,,"152.5","76.25","Ambetter","Health Exchange","",,"62",,"94.55","55.82","118.19","percent of total billed charges",,
"OP CONSULT LEVEL 3 ONCOLOGY","99244","HCPCS","Both",,,"152.5","76.25","Caresource","Health Exchange","",,"62",,"94.55","55.82","118.19","percent of total billed charges",,
"OP CONSULT LEVEL 3 ONCOLOGY","99244","HCPCS","Both",,,"152.5","76.25","Cigna","Commercial","",,"59",,"89.36","55.82","118.19","percent of total billed charges",,
"OP CONSULT LEVEL 3 ONCOLOGY","99244","HCPCS","Both",,,"152.5","76.25","Humana","Commercial","",,"78",,"118.19","55.82","118.19","percent of total billed charges",,
"OP CONSULT LEVEL 3 ONCOLOGY","99244","HCPCS","Both",,,"152.5","76.25","UHC","Commercial","",,"75",,"114.98","55.82","118.19","percent of total billed charges",,
"OP CONSULT LEVEL 3 ONCOLOGY","99244","HCPCS","Both",,,"152.5","76.25","Medicaid",,"",,"37",,"55.82","55.82","118.19","percent of total billed charges",,
"OP CONSULT LEVEL 4 ONCOLOGY","99245","HCPCS","Both",,,"196","98","Alliant","Health Exchange","",,"62",,"121.52","71.74","151.9","percent of total billed charges",,
"OP CONSULT LEVEL 4 ONCOLOGY","99245","HCPCS","Both",,,"196","98","Pruitt Healthcare","Medicare Advantage","",,"54",,"105.84","71.74","151.9","percent of total billed charges",,
"OP CONSULT LEVEL 4 ONCOLOGY","99245","HCPCS","Both",,,"196","98","Medicare",,"",,"54",,"106.23","71.74","151.9","percent of total billed charges",,
"OP CONSULT LEVEL 4 ONCOLOGY","99245","HCPCS","Both",,,"196","98","Humana","Medicare Advantage","",,"54",,"106.23","71.74","151.9","percent of total billed charges",,
"OP CONSULT LEVEL 4 ONCOLOGY","99245","HCPCS","Both",,,"196","98","UHC","Medicare Advantage","",,"54",,"106.23","71.74","151.9","percent of total billed charges",,
"OP CONSULT LEVEL 4 ONCOLOGY","99245","HCPCS","Both",,,"196","98","Clover","Medicare Advantage","",,"54",,"106.23","71.74","151.9","percent of total billed charges",,
"OP CONSULT LEVEL 4 ONCOLOGY","99245","HCPCS","Both",,,"196","98","Wellcare","Medicare Advantage","",,"54",,"106.23","71.74","151.9","percent of total billed charges",,
"OP CONSULT LEVEL 4 ONCOLOGY","99245","HCPCS","Both",,,"196","98","Amerigroup","Medicaid Managed Care","",,"37",,"71.74","71.74","151.9","percent of total billed charges",,
"OP CONSULT LEVEL 4 ONCOLOGY","99245","HCPCS","Both",,,"196","98","Caresource","Medicaid Managed Care","",,"40",,"78.4","71.74","151.9","percent of total billed charges",,
"OP CONSULT LEVEL 4 ONCOLOGY","99245","HCPCS","Both",,,"196","98","Wellcare","Medicaid Managed Care","",,"40",,"79.38","71.74","151.9","percent of total billed charges",,
"OP CONSULT LEVEL 4 ONCOLOGY","99245","HCPCS","Both",,,"196","98","Aetna","Commercial","",,"64",,"125.05","71.74","151.9","percent of total billed charges",,
"OP CONSULT LEVEL 4 ONCOLOGY","99245","HCPCS","Both",,,"196","98","Blue Cross Blue Shield","Pathways","",,"71",,"138.38","71.74","151.9","percent of total billed charges",,
"OP CONSULT LEVEL 4 ONCOLOGY","99245","HCPCS","Both",,,"196","98","Blue Cross Blue Shield","HMO","",,"71",,"138.38","71.74","151.9","percent of total billed charges",,
"OP CONSULT LEVEL 4 ONCOLOGY","99245","HCPCS","Both",,,"196","98","Blue Cross Blue Shield","PPO","",,"71",,"138.38","71.74","151.9","percent of total billed charges",,
"OP CONSULT LEVEL 4 ONCOLOGY","99245","HCPCS","Both",,,"196","98","Ambetter","Health Exchange","",,"62",,"121.52","71.74","151.9","percent of total billed charges",,
"OP CONSULT LEVEL 4 ONCOLOGY","99245","HCPCS","Both",,,"196","98","Caresource","Health Exchange","",,"62",,"121.52","71.74","151.9","percent of total billed charges",,
"OP CONSULT LEVEL 4 ONCOLOGY","99245","HCPCS","Both",,,"196","98","Cigna","Commercial","",,"59",,"114.86","71.74","151.9","percent of total billed charges",,
"OP CONSULT LEVEL 4 ONCOLOGY","99245","HCPCS","Both",,,"196","98","Humana","Commercial","",,"78",,"151.9","71.74","151.9","percent of total billed charges",,
"OP CONSULT LEVEL 4 ONCOLOGY","99245","HCPCS","Both",,,"196","98","UHC","Commercial","",,"75",,"147.78","71.74","151.9","percent of total billed charges",,
"OP CONSULT LEVEL 4 ONCOLOGY","99245","HCPCS","Both",,,"196","98","Medicaid",,"",,"37",,"71.74","71.74","151.9","percent of total billed charges",,
"IMMUNIZATION ADMINISTRATION","90471","HCPCS","Both",,,"198.83","99.415","Alliant","Health Exchange","",,"62",,"123.27","72.77","154.09","percent of total billed charges",,
"IMMUNIZATION ADMINISTRATION","90471","HCPCS","Both",,,"198.83","99.415","Pruitt Healthcare","Medicare Advantage","",,"54",,"107.37","72.77","154.09","percent of total billed charges",,
"IMMUNIZATION ADMINISTRATION","90471","HCPCS","Both",,,"198.83","99.415","Medicare",,"",,"54",,"107.77","72.77","154.09","percent of total billed charges",,
"IMMUNIZATION ADMINISTRATION","90471","HCPCS","Both",,,"198.83","99.415","Humana","Medicare Advantage","",,"54",,"107.77","72.77","154.09","percent of total billed charges",,
"IMMUNIZATION ADMINISTRATION","90471","HCPCS","Both",,,"198.83","99.415","UHC","Medicare Advantage","",,"54",,"107.77","72.77","154.09","percent of total billed charges",,
"IMMUNIZATION ADMINISTRATION","90471","HCPCS","Both",,,"198.83","99.415","Clover","Medicare Advantage","",,"54",,"107.77","72.77","154.09","percent of total billed charges",,
"IMMUNIZATION ADMINISTRATION","90471","HCPCS","Both",,,"198.83","99.415","Wellcare","Medicare Advantage","",,"54",,"107.77","72.77","154.09","percent of total billed charges",,
"IMMUNIZATION ADMINISTRATION","90471","HCPCS","Both",,,"198.83","99.415","Amerigroup","Medicaid Managed Care","",,"37",,"72.77","72.77","154.09","percent of total billed charges",,
"IMMUNIZATION ADMINISTRATION","90471","HCPCS","Both",,,"198.83","99.415","Caresource","Medicaid Managed Care","",,"40",,"79.53","72.77","154.09","percent of total billed charges",,
"IMMUNIZATION ADMINISTRATION","90471","HCPCS","Both",,,"198.83","99.415","Wellcare","Medicaid Managed Care","",,"40",,"80.53","72.77","154.09","percent of total billed charges",,
"IMMUNIZATION ADMINISTRATION","90471","HCPCS","Both",,,"198.83","99.415","Aetna","Commercial","",,"64",,"126.85","72.77","154.09","percent of total billed charges",,
"IMMUNIZATION ADMINISTRATION","90471","HCPCS","Both",,,"198.83","99.415","Blue Cross Blue Shield","Pathways","",,"71",,"140.37","72.77","154.09","percent of total billed charges",,
"IMMUNIZATION ADMINISTRATION","90471","HCPCS","Both",,,"198.83","99.415","Blue Cross Blue Shield","HMO","",,"71",,"140.37","72.77","154.09","percent of total billed charges",,
"IMMUNIZATION ADMINISTRATION","90471","HCPCS","Both",,,"198.83","99.415","Blue Cross Blue Shield","PPO","",,"71",,"140.37","72.77","154.09","percent of total billed charges",,
"IMMUNIZATION ADMINISTRATION","90471","HCPCS","Both",,,"198.83","99.415","Ambetter","Health Exchange","",,"62",,"123.27","72.77","154.09","percent of total billed charges",,
"IMMUNIZATION ADMINISTRATION","90471","HCPCS","Both",,,"198.83","99.415","Caresource","Health Exchange","",,"62",,"123.27","72.77","154.09","percent of total billed charges",,
"IMMUNIZATION ADMINISTRATION","90471","HCPCS","Both",,,"198.83","99.415","Cigna","Commercial","",,"59",,"116.51","72.77","154.09","percent of total billed charges",,
"IMMUNIZATION ADMINISTRATION","90471","HCPCS","Both",,,"198.83","99.415","Humana","Commercial","",,"78",,"154.09","72.77","154.09","percent of total billed charges",,
"IMMUNIZATION ADMINISTRATION","90471","HCPCS","Both",,,"198.83","99.415","UHC","Commercial","",,"75",,"149.92","72.77","154.09","percent of total billed charges",,
"IMMUNIZATION ADMINISTRATION","90471","HCPCS","Both",,,"198.83","99.415","Medicaid",,"",,"37",,"72.77","72.77","154.09","percent of total billed charges",,
"IV PUSH, SINGLE DRUG","96374","HCPCS","Both",,,"259.2","129.6","Alliant","Health Exchange","",,"62",,"160.7","94.87","209.25","percent of total billed charges",,
"IV PUSH, SINGLE DRUG","96374","HCPCS","Both",,,"259.2","129.6","Pruitt Healthcare","Medicare Advantage","",,"54",,"139.97","94.87","209.25","percent of total billed charges",,
"IV PUSH, SINGLE DRUG","96374","HCPCS","Both",,,"259.2","129.6","Medicare",,"",,"54",,"140.49","94.87","209.25","percent of total billed charges",,
"IV PUSH, SINGLE DRUG","96374","HCPCS","Both",,,"259.2","129.6","Humana","Medicare Advantage","",,"54",,"140.49","94.87","209.25","percent of total billed charges",,
"IV PUSH, SINGLE DRUG","96374","HCPCS","Both",,,"259.2","129.6","UHC","Medicare Advantage","",,"54",,"140.49","94.87","209.25","percent of total billed charges",,
"IV PUSH, SINGLE DRUG","96374","HCPCS","Both",,,"259.2","129.6","Clover","Medicare Advantage","",,"54",,"140.49","94.87","209.25","percent of total billed charges",,
"IV PUSH, SINGLE DRUG","96374","HCPCS","Both",,,"259.2","129.6","Wellcare","Medicare Advantage","",,"54",,"140.49","94.87","209.25","percent of total billed charges",,
"IV PUSH, SINGLE DRUG","96374","HCPCS","Both",,,"259.2","129.6","Amerigroup","Medicaid Managed Care","",,"37",,"94.87","94.87","209.25","percent of total billed charges",,
"IV PUSH, SINGLE DRUG","96374","HCPCS","Both",,,"259.2","129.6","Caresource","Medicaid Managed Care","",,"40",,"103.68","94.87","209.25","percent of total billed charges",,
"IV PUSH, SINGLE DRUG","96374","HCPCS","Both",,,"259.2","129.6","Wellcare","Medicaid Managed Care","",,"40",,"104.98","94.87","209.25","percent of total billed charges",,
"IV PUSH, SINGLE DRUG","96374","HCPCS","Both",,,"259.2","129.6","Aetna","Commercial","",,"64",,"165.37","94.87","209.25","percent of total billed charges",,
"IV PUSH, SINGLE DRUG","96374","HCPCS","Both",,,"259.2","129.6","Blue Cross Blue Shield","Pathways","",,"71",,"183","94.87","209.25","percent of total billed charges",,
"IV PUSH, SINGLE DRUG","96374","HCPCS","Both",,,"259.2","129.6","Blue Cross Blue Shield","HMO","",,"71",,"183","94.87","209.25","percent of total billed charges",,
"IV PUSH, SINGLE DRUG","96374","HCPCS","Both",,,"259.2","129.6","Blue Cross Blue Shield","PPO","",,"71",,"183","94.87","209.25","percent of total billed charges",,
"IV PUSH, SINGLE DRUG","96374","HCPCS","Both",,,"259.2","129.6","Ambetter","Health Exchange","",,"62",,"160.7","94.87","209.25","percent of total billed charges",,
"IV PUSH, SINGLE DRUG","96374","HCPCS","Both",,,"259.2","129.6","Caresource","Health Exchange","",,"62",,"160.7","94.87","209.25","percent of total billed charges",,
"IV PUSH, SINGLE DRUG","96374","HCPCS","Both",,,"259.2","129.6","Cigna","Commercial","",,"59",,"151.89","94.87","209.25","percent of total billed charges",,
"IV PUSH, SINGLE DRUG","96374","HCPCS","Both",,,"259.2","129.6","Humana","Commercial","",,"78",,"200.88","94.87","209.25","percent of total billed charges",,
"IV PUSH, SINGLE DRUG","96374","HCPCS","Both",,,"259.2","129.6","UHC","Commercial","",,"75",,"195.44","94.87","209.25","percent of total billed charges",,
"IV PUSH, SINGLE DRUG","96374","HCPCS","Both",,,"259.2","129.6","Medicaid",,"",,"37",,"94.87","94.87","209.25","percent of total billed charges",,
"IV INFUSION THERAPY 31mins to 1hr","96360","HCPCS","Both",,,"379","189.5","Alliant","Health Exchange","",,"62",,"234.98","133.17","293.73","percent of total billed charges",,
"IV INFUSION THERAPY 31mins to 1hr","96360","HCPCS","Both",,,"379","189.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"204.66","133.17","293.73","percent of total billed charges",,
"IV INFUSION THERAPY 31mins to 1hr","96360","HCPCS","Both",,,"379","189.5","Medicare",,"",,"54",,"205.42","133.17","293.73","percent of total billed charges",,
"IV INFUSION THERAPY 31mins to 1hr","96360","HCPCS","Both",,,"379","189.5","Humana","Medicare Advantage","",,"54",,"205.42","133.17","293.73","percent of total billed charges",,
"IV INFUSION THERAPY 31mins to 1hr","96360","HCPCS","Both",,,"379","189.5","UHC","Medicare Advantage","",,"54",,"205.42","133.17","293.73","percent of total billed charges",,
"IV INFUSION THERAPY 31mins to 1hr","96360","HCPCS","Both",,,"379","189.5","Clover","Medicare Advantage","",,"54",,"205.42","133.17","293.73","percent of total billed charges",,
"IV INFUSION THERAPY 31mins to 1hr","96360","HCPCS","Both",,,"379","189.5","Wellcare","Medicare Advantage","",,"54",,"205.42","133.17","293.73","percent of total billed charges",,
"IV INFUSION THERAPY 31mins to 1hr","96360","HCPCS","Both",,,"379","189.5","Amerigroup","Medicaid Managed Care","",,"37",,"138.71","133.17","293.73","percent of total billed charges",,
"IV INFUSION THERAPY 31mins to 1hr","96360","HCPCS","Both",,,"379","189.5","Caresource","Medicaid Managed Care","",,"40",,"151.6","133.17","293.73","percent of total billed charges",,
"IV INFUSION THERAPY 31mins to 1hr","96360","HCPCS","Both",,,"379","189.5","Wellcare","Medicaid Managed Care","",,"40",,"153.5","133.17","293.73","percent of total billed charges",,
"IV INFUSION THERAPY 31mins to 1hr","96360","HCPCS","Both",,,"379","189.5","Aetna","Commercial","",,"64",,"241.8","133.17","293.73","percent of total billed charges",,
"IV INFUSION THERAPY 31mins to 1hr","96360","HCPCS","Both",,,"379","189.5","Blue Cross Blue Shield","Pathways","",,"71",,"267.57","133.17","293.73","percent of total billed charges",,
"IV INFUSION THERAPY 31mins to 1hr","96360","HCPCS","Both",,,"379","189.5","Blue Cross Blue Shield","HMO","",,"71",,"267.57","133.17","293.73","percent of total billed charges",,
"IV INFUSION THERAPY 31mins to 1hr","96360","HCPCS","Both",,,"379","189.5","Blue Cross Blue Shield","PPO","",,"71",,"267.57","133.17","293.73","percent of total billed charges",,
"IV INFUSION THERAPY 31mins to 1hr","96360","HCPCS","Both",,,"379","189.5","Ambetter","Health Exchange","",,"62",,"234.98","133.17","293.73","percent of total billed charges",,
"IV INFUSION THERAPY 31mins to 1hr","96360","HCPCS","Both",,,"379","189.5","Caresource","Health Exchange","",,"62",,"234.98","133.17","293.73","percent of total billed charges",,
"IV INFUSION THERAPY 31mins to 1hr","96360","HCPCS","Both",,,"379","189.5","Cigna","Commercial","",,"59",,"222.09","133.17","293.73","percent of total billed charges",,
"IV INFUSION THERAPY 31mins to 1hr","96360","HCPCS","Both",,,"379","189.5","Humana","Commercial","",,"78",,"293.73","133.17","293.73","percent of total billed charges",,
"IV INFUSION THERAPY 31mins to 1hr","96360","HCPCS","Both",,,"379","189.5","UHC","Commercial","",,"75",,"285.77","133.17","293.73","percent of total billed charges",,
"IV INFUSION THERAPY 31mins to 1hr","96360","HCPCS","Both",,,"379","189.5","Medicaid",,"",,"37",,"138.71","133.17","293.73","percent of total billed charges",,
"IV INFUSION THERAPY @ ADD'L HR","96366","HCPCS","Both",,,"40","20","Alliant","Health Exchange","",,"62",,"24.8","14.64","31","percent of total billed charges",,
"IV INFUSION THERAPY @ ADD'L HR","96366","HCPCS","Both",,,"40","20","Pruitt Healthcare","Medicare Advantage","",,"54",,"21.6","14.64","31","percent of total billed charges",,
"IV INFUSION THERAPY @ ADD'L HR","96366","HCPCS","Both",,,"40","20","Medicare",,"",,"54",,"21.68","14.64","31","percent of total billed charges",,
"IV INFUSION THERAPY @ ADD'L HR","96366","HCPCS","Both",,,"40","20","Humana","Medicare Advantage","",,"54",,"21.68","14.64","31","percent of total billed charges",,
"IV INFUSION THERAPY @ ADD'L HR","96366","HCPCS","Both",,,"40","20","UHC","Medicare Advantage","",,"54",,"21.68","14.64","31","percent of total billed charges",,
"IV INFUSION THERAPY @ ADD'L HR","96366","HCPCS","Both",,,"40","20","Clover","Medicare Advantage","",,"54",,"21.68","14.64","31","percent of total billed charges",,
"IV INFUSION THERAPY @ ADD'L HR","96366","HCPCS","Both",,,"40","20","Wellcare","Medicare Advantage","",,"54",,"21.68","14.64","31","percent of total billed charges",,
"IV INFUSION THERAPY @ ADD'L HR","96366","HCPCS","Both",,,"40","20","Amerigroup","Medicaid Managed Care","",,"37",,"14.64","14.64","31","percent of total billed charges",,
"IV INFUSION THERAPY @ ADD'L HR","96366","HCPCS","Both",,,"40","20","Caresource","Medicaid Managed Care","",,"40",,"16","14.64","31","percent of total billed charges",,
"IV INFUSION THERAPY @ ADD'L HR","96366","HCPCS","Both",,,"40","20","Wellcare","Medicaid Managed Care","",,"40",,"16.2","14.64","31","percent of total billed charges",,
"IV INFUSION THERAPY @ ADD'L HR","96366","HCPCS","Both",,,"40","20","Aetna","Commercial","",,"64",,"25.52","14.64","31","percent of total billed charges",,
"IV INFUSION THERAPY @ ADD'L HR","96366","HCPCS","Both",,,"40","20","Blue Cross Blue Shield","Pathways","",,"71",,"28.24","14.64","31","percent of total billed charges",,
"IV INFUSION THERAPY @ ADD'L HR","96366","HCPCS","Both",,,"40","20","Blue Cross Blue Shield","HMO","",,"71",,"28.24","14.64","31","percent of total billed charges",,
"IV INFUSION THERAPY @ ADD'L HR","96366","HCPCS","Both",,,"40","20","Blue Cross Blue Shield","PPO","",,"71",,"28.24","14.64","31","percent of total billed charges",,
"IV INFUSION THERAPY @ ADD'L HR","96366","HCPCS","Both",,,"40","20","Ambetter","Health Exchange","",,"62",,"24.8","14.64","31","percent of total billed charges",,
"IV INFUSION THERAPY @ ADD'L HR","96366","HCPCS","Both",,,"40","20","Caresource","Health Exchange","",,"62",,"24.8","14.64","31","percent of total billed charges",,
"IV INFUSION THERAPY @ ADD'L HR","96366","HCPCS","Both",,,"40","20","Cigna","Commercial","",,"59",,"23.44","14.64","31","percent of total billed charges",,
"IV INFUSION THERAPY @ ADD'L HR","96366","HCPCS","Both",,,"40","20","Humana","Commercial","",,"78",,"31","14.64","31","percent of total billed charges",,
"IV INFUSION THERAPY @ ADD'L HR","96366","HCPCS","Both",,,"40","20","UHC","Commercial","",,"75",,"30.16","14.64","31","percent of total billed charges",,
"IV INFUSION THERAPY @ ADD'L HR","96366","HCPCS","Both",,,"40","20","Medicaid",,"",,"37",,"14.64","14.64","31","percent of total billed charges",,
"IVP each sequential new drug","96375","HCPCS","Both",,,"189.6","94.8","Alliant","Health Exchange","",,"62",,"117.55","69.39","146.94","percent of total billed charges",,
"IVP each sequential new drug","96375","HCPCS","Both",,,"189.6","94.8","Pruitt Healthcare","Medicare Advantage","",,"54",,"102.38","69.39","146.94","percent of total billed charges",,
"IVP each sequential new drug","96375","HCPCS","Both",,,"189.6","94.8","Medicare",,"",,"54",,"102.76","69.39","146.94","percent of total billed charges",,
"IVP each sequential new drug","96375","HCPCS","Both",,,"189.6","94.8","Humana","Medicare Advantage","",,"54",,"102.76","69.39","146.94","percent of total billed charges",,
"IVP each sequential new drug","96375","HCPCS","Both",,,"189.6","94.8","UHC","Medicare Advantage","",,"54",,"102.76","69.39","146.94","percent of total billed charges",,
"IVP each sequential new drug","96375","HCPCS","Both",,,"189.6","94.8","Clover","Medicare Advantage","",,"54",,"102.76","69.39","146.94","percent of total billed charges",,
"IVP each sequential new drug","96375","HCPCS","Both",,,"189.6","94.8","Wellcare","Medicare Advantage","",,"54",,"102.76","69.39","146.94","percent of total billed charges",,
"IVP each sequential new drug","96375","HCPCS","Both",,,"189.6","94.8","Amerigroup","Medicaid Managed Care","",,"37",,"69.39","69.39","146.94","percent of total billed charges",,
"IVP each sequential new drug","96375","HCPCS","Both",,,"189.6","94.8","Caresource","Medicaid Managed Care","",,"40",,"75.84","69.39","146.94","percent of total billed charges",,
"IVP each sequential new drug","96375","HCPCS","Both",,,"189.6","94.8","Wellcare","Medicaid Managed Care","",,"40",,"76.79","69.39","146.94","percent of total billed charges",,
"IVP each sequential new drug","96375","HCPCS","Both",,,"189.6","94.8","Aetna","Commercial","",,"64",,"120.96","69.39","146.94","percent of total billed charges",,
"IVP each sequential new drug","96375","HCPCS","Both",,,"189.6","94.8","Blue Cross Blue Shield","Pathways","",,"71",,"133.86","69.39","146.94","percent of total billed charges",,
"IVP each sequential new drug","96375","HCPCS","Both",,,"189.6","94.8","Blue Cross Blue Shield","HMO","",,"71",,"133.86","69.39","146.94","percent of total billed charges",,
"IVP each sequential new drug","96375","HCPCS","Both",,,"189.6","94.8","Blue Cross Blue Shield","PPO","",,"71",,"133.86","69.39","146.94","percent of total billed charges",,
"IVP each sequential new drug","96375","HCPCS","Both",,,"189.6","94.8","Ambetter","Health Exchange","",,"62",,"117.55","69.39","146.94","percent of total billed charges",,
"IVP each sequential new drug","96375","HCPCS","Both",,,"189.6","94.8","Caresource","Health Exchange","",,"62",,"117.55","69.39","146.94","percent of total billed charges",,
"IVP each sequential new drug","96375","HCPCS","Both",,,"189.6","94.8","Cigna","Commercial","",,"59",,"111.11","69.39","146.94","percent of total billed charges",,
"IVP each sequential new drug","96375","HCPCS","Both",,,"189.6","94.8","Humana","Commercial","",,"78",,"146.94","69.39","146.94","percent of total billed charges",,
"IVP each sequential new drug","96375","HCPCS","Both",,,"189.6","94.8","UHC","Commercial","",,"75",,"142.96","69.39","146.94","percent of total billed charges",,
"IVP each sequential new drug","96375","HCPCS","Both",,,"189.6","94.8","Medicaid",,"",,"37",,"69.39","69.39","146.94","percent of total billed charges",,
"ADMIN INFLUENZA VACCINE","90686","HCPCS","Both",,,"68.5","34.25","Alliant","Health Exchange","",,"62",,"42.47","21.96","53.09","percent of total billed charges",,
"ADMIN INFLUENZA VACCINE","90686","HCPCS","Both",,,"68.5","34.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"36.99","21.96","53.09","percent of total billed charges",,
"ADMIN INFLUENZA VACCINE","90686","HCPCS","Both",,,"68.5","34.25","Medicare",,"",,"54",,"37.13","21.96","53.09","percent of total billed charges",,
"ADMIN INFLUENZA VACCINE","90686","HCPCS","Both",,,"68.5","34.25","Humana","Medicare Advantage","",,"54",,"37.13","21.96","53.09","percent of total billed charges",,
"ADMIN INFLUENZA VACCINE","90686","HCPCS","Both",,,"68.5","34.25","UHC","Medicare Advantage","",,"54",,"37.13","21.96","53.09","percent of total billed charges",,
"ADMIN INFLUENZA VACCINE","90686","HCPCS","Both",,,"68.5","34.25","Clover","Medicare Advantage","",,"54",,"37.13","21.96","53.09","percent of total billed charges",,
"ADMIN INFLUENZA VACCINE","90686","HCPCS","Both",,,"68.5","34.25","Wellcare","Medicare Advantage","",,"54",,"37.13","21.96","53.09","percent of total billed charges",,
"ADMIN INFLUENZA VACCINE","90686","HCPCS","Both",,,"68.5","34.25","Amerigroup","Medicaid Managed Care","",,"37",,"25.07","21.96","53.09","percent of total billed charges",,
"ADMIN INFLUENZA VACCINE","90686","HCPCS","Both",,,"68.5","34.25","Caresource","Medicaid Managed Care","",,"40",,"27.4","21.96","53.09","percent of total billed charges",,
"ADMIN INFLUENZA VACCINE","90686","HCPCS","Both",,,"68.5","34.25","Wellcare","Medicaid Managed Care","",,"40",,"27.74","21.96","53.09","percent of total billed charges",,
"ADMIN INFLUENZA VACCINE","90686","HCPCS","Both",,,"68.5","34.25","Aetna","Commercial","",,"64",,"43.7","21.96","53.09","percent of total billed charges",,
"ADMIN INFLUENZA VACCINE","90686","HCPCS","Both",,,"68.5","34.25","Blue Cross Blue Shield","Pathways","",,"71",,"48.36","21.96","53.09","percent of total billed charges",,
"ADMIN INFLUENZA VACCINE","90686","HCPCS","Both",,,"68.5","34.25","Blue Cross Blue Shield","HMO","",,"71",,"48.36","21.96","53.09","percent of total billed charges",,
"ADMIN INFLUENZA VACCINE","90686","HCPCS","Both",,,"68.5","34.25","Blue Cross Blue Shield","PPO","",,"71",,"48.36","21.96","53.09","percent of total billed charges",,
"ADMIN INFLUENZA VACCINE","90686","HCPCS","Both",,,"68.5","34.25","Ambetter","Health Exchange","",,"62",,"42.47","21.96","53.09","percent of total billed charges",,
"ADMIN INFLUENZA VACCINE","90686","HCPCS","Both",,,"68.5","34.25","Caresource","Health Exchange","",,"62",,"42.47","21.96","53.09","percent of total billed charges",,
"ADMIN INFLUENZA VACCINE","90686","HCPCS","Both",,,"68.5","34.25","Cigna","Commercial","",,"59",,"40.14","21.96","53.09","percent of total billed charges",,
"ADMIN INFLUENZA VACCINE","90686","HCPCS","Both",,,"68.5","34.25","Humana","Commercial","",,"78",,"53.09","21.96","53.09","percent of total billed charges",,
"ADMIN INFLUENZA VACCINE","90686","HCPCS","Both",,,"68.5","34.25","UHC","Commercial","",,"75",,"51.65","21.96","53.09","percent of total billed charges",,
"ADMIN INFLUENZA VACCINE","90686","HCPCS","Both",,,"68.5","34.25","Medicaid",,"",,"37",,"25.07","21.96","53.09","percent of total billed charges",,
"ADMIN PNEUMOCOCCAL VACCINE","G0009","HCPCS","Both",,,"68.5","34.25","Alliant","Health Exchange","",,"62",,"42.47","25.07","53.09","percent of total billed charges",,
"ADMIN PNEUMOCOCCAL VACCINE","G0009","HCPCS","Both",,,"68.5","34.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"36.99","25.07","53.09","percent of total billed charges",,
"ADMIN PNEUMOCOCCAL VACCINE","G0009","HCPCS","Both",,,"68.5","34.25","Medicare",,"",,"54",,"37.13","25.07","53.09","percent of total billed charges",,
"ADMIN PNEUMOCOCCAL VACCINE","G0009","HCPCS","Both",,,"68.5","34.25","Humana","Medicare Advantage","",,"54",,"37.13","25.07","53.09","percent of total billed charges",,
"ADMIN PNEUMOCOCCAL VACCINE","G0009","HCPCS","Both",,,"68.5","34.25","UHC","Medicare Advantage","",,"54",,"37.13","25.07","53.09","percent of total billed charges",,
"ADMIN PNEUMOCOCCAL VACCINE","G0009","HCPCS","Both",,,"68.5","34.25","Clover","Medicare Advantage","",,"54",,"37.13","25.07","53.09","percent of total billed charges",,
"ADMIN PNEUMOCOCCAL VACCINE","G0009","HCPCS","Both",,,"68.5","34.25","Wellcare","Medicare Advantage","",,"54",,"37.13","25.07","53.09","percent of total billed charges",,
"ADMIN PNEUMOCOCCAL VACCINE","G0009","HCPCS","Both",,,"68.5","34.25","Amerigroup","Medicaid Managed Care","",,"37",,"25.07","25.07","53.09","percent of total billed charges",,
"ADMIN PNEUMOCOCCAL VACCINE","G0009","HCPCS","Both",,,"68.5","34.25","Caresource","Medicaid Managed Care","",,"40",,"27.4","25.07","53.09","percent of total billed charges",,
"ADMIN PNEUMOCOCCAL VACCINE","G0009","HCPCS","Both",,,"68.5","34.25","Wellcare","Medicaid Managed Care","",,"40",,"27.74","25.07","53.09","percent of total billed charges",,
"ADMIN PNEUMOCOCCAL VACCINE","G0009","HCPCS","Both",,,"68.5","34.25","Aetna","Commercial","",,"64",,"43.7","25.07","53.09","percent of total billed charges",,
"ADMIN PNEUMOCOCCAL VACCINE","G0009","HCPCS","Both",,,"68.5","34.25","Blue Cross Blue Shield","Pathways","",,"71",,"48.36","25.07","53.09","percent of total billed charges",,
"ADMIN PNEUMOCOCCAL VACCINE","G0009","HCPCS","Both",,,"68.5","34.25","Blue Cross Blue Shield","HMO","",,"71",,"48.36","25.07","53.09","percent of total billed charges",,
"ADMIN PNEUMOCOCCAL VACCINE","G0009","HCPCS","Both",,,"68.5","34.25","Blue Cross Blue Shield","PPO","",,"71",,"48.36","25.07","53.09","percent of total billed charges",,
"ADMIN PNEUMOCOCCAL VACCINE","G0009","HCPCS","Both",,,"68.5","34.25","Ambetter","Health Exchange","",,"62",,"42.47","25.07","53.09","percent of total billed charges",,
"ADMIN PNEUMOCOCCAL VACCINE","G0009","HCPCS","Both",,,"68.5","34.25","Caresource","Health Exchange","",,"62",,"42.47","25.07","53.09","percent of total billed charges",,
"ADMIN PNEUMOCOCCAL VACCINE","G0009","HCPCS","Both",,,"68.5","34.25","Cigna","Commercial","",,"59",,"40.14","25.07","53.09","percent of total billed charges",,
"ADMIN PNEUMOCOCCAL VACCINE","G0009","HCPCS","Both",,,"68.5","34.25","Humana","Commercial","",,"78",,"53.09","25.07","53.09","percent of total billed charges",,
"ADMIN PNEUMOCOCCAL VACCINE","G0009","HCPCS","Both",,,"68.5","34.25","UHC","Commercial","",,"75",,"51.65","25.07","53.09","percent of total billed charges",,
"ADMIN PNEUMOCOCCAL VACCINE","G0009","HCPCS","Both",,,"68.5","34.25","Medicaid",,"",,"37",,"25.07","25.07","53.09","percent of total billed charges",,
"IV INF HYDRATION @ ADD'L HR","96361","HCPCS","Both",,,"181.92","90.96","Alliant","Health Exchange","",,"62",,"112.79","66.58","140.99","percent of total billed charges",,
"IV INF HYDRATION @ ADD'L HR","96361","HCPCS","Both",,,"181.92","90.96","Pruitt Healthcare","Medicare Advantage","",,"54",,"98.24","66.58","140.99","percent of total billed charges",,
"IV INF HYDRATION @ ADD'L HR","96361","HCPCS","Both",,,"181.92","90.96","Medicare",,"",,"54",,"98.6","66.58","140.99","percent of total billed charges",,
"IV INF HYDRATION @ ADD'L HR","96361","HCPCS","Both",,,"181.92","90.96","Humana","Medicare Advantage","",,"54",,"98.6","66.58","140.99","percent of total billed charges",,
"IV INF HYDRATION @ ADD'L HR","96361","HCPCS","Both",,,"181.92","90.96","UHC","Medicare Advantage","",,"54",,"98.6","66.58","140.99","percent of total billed charges",,
"IV INF HYDRATION @ ADD'L HR","96361","HCPCS","Both",,,"181.92","90.96","Clover","Medicare Advantage","",,"54",,"98.6","66.58","140.99","percent of total billed charges",,
"IV INF HYDRATION @ ADD'L HR","96361","HCPCS","Both",,,"181.92","90.96","Wellcare","Medicare Advantage","",,"54",,"98.6","66.58","140.99","percent of total billed charges",,
"IV INF HYDRATION @ ADD'L HR","96361","HCPCS","Both",,,"181.92","90.96","Amerigroup","Medicaid Managed Care","",,"37",,"66.58","66.58","140.99","percent of total billed charges",,
"IV INF HYDRATION @ ADD'L HR","96361","HCPCS","Both",,,"181.92","90.96","Caresource","Medicaid Managed Care","",,"40",,"72.77","66.58","140.99","percent of total billed charges",,
"IV INF HYDRATION @ ADD'L HR","96361","HCPCS","Both",,,"181.92","90.96","Wellcare","Medicaid Managed Care","",,"40",,"73.68","66.58","140.99","percent of total billed charges",,
"IV INF HYDRATION @ ADD'L HR","96361","HCPCS","Both",,,"181.92","90.96","Aetna","Commercial","",,"64",,"116.06","66.58","140.99","percent of total billed charges",,
"IV INF HYDRATION @ ADD'L HR","96361","HCPCS","Both",,,"181.92","90.96","Blue Cross Blue Shield","Pathways","",,"71",,"128.44","66.58","140.99","percent of total billed charges",,
"IV INF HYDRATION @ ADD'L HR","96361","HCPCS","Both",,,"181.92","90.96","Blue Cross Blue Shield","HMO","",,"71",,"128.44","66.58","140.99","percent of total billed charges",,
"IV INF HYDRATION @ ADD'L HR","96361","HCPCS","Both",,,"181.92","90.96","Blue Cross Blue Shield","PPO","",,"71",,"128.44","66.58","140.99","percent of total billed charges",,
"IV INF HYDRATION @ ADD'L HR","96361","HCPCS","Both",,,"181.92","90.96","Ambetter","Health Exchange","",,"62",,"112.79","66.58","140.99","percent of total billed charges",,
"IV INF HYDRATION @ ADD'L HR","96361","HCPCS","Both",,,"181.92","90.96","Caresource","Health Exchange","",,"62",,"112.79","66.58","140.99","percent of total billed charges",,
"IV INF HYDRATION @ ADD'L HR","96361","HCPCS","Both",,,"181.92","90.96","Cigna","Commercial","",,"59",,"106.61","66.58","140.99","percent of total billed charges",,
"IV INF HYDRATION @ ADD'L HR","96361","HCPCS","Both",,,"181.92","90.96","Humana","Commercial","",,"78",,"140.99","66.58","140.99","percent of total billed charges",,
"IV INF HYDRATION @ ADD'L HR","96361","HCPCS","Both",,,"181.92","90.96","UHC","Commercial","",,"75",,"137.17","66.58","140.99","percent of total billed charges",,
"IV INF HYDRATION @ ADD'L HR","96361","HCPCS","Both",,,"181.92","90.96","Medicaid",,"",,"37",,"66.58","66.58","140.99","percent of total billed charges",,
"IV INFUSION FOR THERAPY UP TO 1hr","96365","HCPCS","Both",,,"551.04","275.52","Alliant","Health Exchange","",,"62",,"341.64","201.68","427.06","percent of total billed charges",,
"IV INFUSION FOR THERAPY UP TO 1hr","96365","HCPCS","Both",,,"551.04","275.52","Pruitt Healthcare","Medicare Advantage","",,"54",,"297.56","201.68","427.06","percent of total billed charges",,
"IV INFUSION FOR THERAPY UP TO 1hr","96365","HCPCS","Both",,,"551.04","275.52","Medicare",,"",,"54",,"298.66","201.68","427.06","percent of total billed charges",,
"IV INFUSION FOR THERAPY UP TO 1hr","96365","HCPCS","Both",,,"551.04","275.52","Humana","Medicare Advantage","",,"54",,"298.66","201.68","427.06","percent of total billed charges",,
"IV INFUSION FOR THERAPY UP TO 1hr","96365","HCPCS","Both",,,"551.04","275.52","UHC","Medicare Advantage","",,"54",,"298.66","201.68","427.06","percent of total billed charges",,
"IV INFUSION FOR THERAPY UP TO 1hr","96365","HCPCS","Both",,,"551.04","275.52","Clover","Medicare Advantage","",,"54",,"298.66","201.68","427.06","percent of total billed charges",,
"IV INFUSION FOR THERAPY UP TO 1hr","96365","HCPCS","Both",,,"551.04","275.52","Wellcare","Medicare Advantage","",,"54",,"298.66","201.68","427.06","percent of total billed charges",,
"IV INFUSION FOR THERAPY UP TO 1hr","96365","HCPCS","Both",,,"551.04","275.52","Amerigroup","Medicaid Managed Care","",,"37",,"201.68","201.68","427.06","percent of total billed charges",,
"IV INFUSION FOR THERAPY UP TO 1hr","96365","HCPCS","Both",,,"551.04","275.52","Caresource","Medicaid Managed Care","",,"40",,"220.42","201.68","427.06","percent of total billed charges",,
"IV INFUSION FOR THERAPY UP TO 1hr","96365","HCPCS","Both",,,"551.04","275.52","Wellcare","Medicaid Managed Care","",,"40",,"223.17","201.68","427.06","percent of total billed charges",,
"IV INFUSION FOR THERAPY UP TO 1hr","96365","HCPCS","Both",,,"551.04","275.52","Aetna","Commercial","",,"64",,"351.56","201.68","427.06","percent of total billed charges",,
"IV INFUSION FOR THERAPY UP TO 1hr","96365","HCPCS","Both",,,"551.04","275.52","Blue Cross Blue Shield","Pathways","",,"71",,"389.03","201.68","427.06","percent of total billed charges",,
"IV INFUSION FOR THERAPY UP TO 1hr","96365","HCPCS","Both",,,"551.04","275.52","Blue Cross Blue Shield","HMO","",,"71",,"389.03","201.68","427.06","percent of total billed charges",,
"IV INFUSION FOR THERAPY UP TO 1hr","96365","HCPCS","Both",,,"551.04","275.52","Blue Cross Blue Shield","PPO","",,"71",,"389.03","201.68","427.06","percent of total billed charges",,
"IV INFUSION FOR THERAPY UP TO 1hr","96365","HCPCS","Both",,,"551.04","275.52","Ambetter","Health Exchange","",,"62",,"341.64","201.68","427.06","percent of total billed charges",,
"IV INFUSION FOR THERAPY UP TO 1hr","96365","HCPCS","Both",,,"551.04","275.52","Caresource","Health Exchange","",,"62",,"341.64","201.68","427.06","percent of total billed charges",,
"IV INFUSION FOR THERAPY UP TO 1hr","96365","HCPCS","Both",,,"551.04","275.52","Cigna","Commercial","",,"59",,"322.91","201.68","427.06","percent of total billed charges",,
"IV INFUSION FOR THERAPY UP TO 1hr","96365","HCPCS","Both",,,"551.04","275.52","Humana","Commercial","",,"78",,"427.06","201.68","427.06","percent of total billed charges",,
"IV INFUSION FOR THERAPY UP TO 1hr","96365","HCPCS","Both",,,"551.04","275.52","UHC","Commercial","",,"75",,"415.48","201.68","427.06","percent of total billed charges",,
"IV INFUSION FOR THERAPY UP TO 1hr","96365","HCPCS","Both",,,"551.04","275.52","Medicaid",,"",,"37",,"201.68","201.68","427.06","percent of total billed charges",,
"INTRAVENOUS INFUSION; ADD'L SEQ TO 1 HR","96367","HCPCS","Both",,,"67.47","33.735","Alliant","Health Exchange","",,"62",,"41.83","17.93","52.29","percent of total billed charges",,
"INTRAVENOUS INFUSION; ADD'L SEQ TO 1 HR","96367","HCPCS","Both",,,"67.47","33.735","Pruitt Healthcare","Medicare Advantage","",,"54",,"36.43","17.93","52.29","percent of total billed charges",,
"INTRAVENOUS INFUSION; ADD'L SEQ TO 1 HR","96367","HCPCS","Both",,,"67.47","33.735","Medicare",,"",,"54",,"36.57","17.93","52.29","percent of total billed charges",,
"INTRAVENOUS INFUSION; ADD'L SEQ TO 1 HR","96367","HCPCS","Both",,,"67.47","33.735","Humana","Medicare Advantage","",,"54",,"36.57","17.93","52.29","percent of total billed charges",,
"INTRAVENOUS INFUSION; ADD'L SEQ TO 1 HR","96367","HCPCS","Both",,,"67.47","33.735","UHC","Medicare Advantage","",,"54",,"36.57","17.93","52.29","percent of total billed charges",,
"INTRAVENOUS INFUSION; ADD'L SEQ TO 1 HR","96367","HCPCS","Both",,,"67.47","33.735","Clover","Medicare Advantage","",,"54",,"36.57","17.93","52.29","percent of total billed charges",,
"INTRAVENOUS INFUSION; ADD'L SEQ TO 1 HR","96367","HCPCS","Both",,,"67.47","33.735","Wellcare","Medicare Advantage","",,"54",,"36.57","17.93","52.29","percent of total billed charges",,
"INTRAVENOUS INFUSION; ADD'L SEQ TO 1 HR","96367","HCPCS","Both",,,"67.47","33.735","Amerigroup","Medicaid Managed Care","",,"37",,"24.69","17.93","52.29","percent of total billed charges",,
"INTRAVENOUS INFUSION; ADD'L SEQ TO 1 HR","96367","HCPCS","Both",,,"67.47","33.735","Caresource","Medicaid Managed Care","",,"40",,"26.99","17.93","52.29","percent of total billed charges",,
"INTRAVENOUS INFUSION; ADD'L SEQ TO 1 HR","96367","HCPCS","Both",,,"67.47","33.735","Wellcare","Medicaid Managed Care","",,"40",,"27.33","17.93","52.29","percent of total billed charges",,
"INTRAVENOUS INFUSION; ADD'L SEQ TO 1 HR","96367","HCPCS","Both",,,"67.47","33.735","Aetna","Commercial","",,"64",,"43.05","17.93","52.29","percent of total billed charges",,
"INTRAVENOUS INFUSION; ADD'L SEQ TO 1 HR","96367","HCPCS","Both",,,"67.47","33.735","Blue Cross Blue Shield","Pathways","",,"71",,"47.63","17.93","52.29","percent of total billed charges",,
"INTRAVENOUS INFUSION; ADD'L SEQ TO 1 HR","96367","HCPCS","Both",,,"67.47","33.735","Blue Cross Blue Shield","HMO","",,"71",,"47.63","17.93","52.29","percent of total billed charges",,
"INTRAVENOUS INFUSION; ADD'L SEQ TO 1 HR","96367","HCPCS","Both",,,"67.47","33.735","Blue Cross Blue Shield","PPO","",,"71",,"47.63","17.93","52.29","percent of total billed charges",,
"INTRAVENOUS INFUSION; ADD'L SEQ TO 1 HR","96367","HCPCS","Both",,,"67.47","33.735","Ambetter","Health Exchange","",,"62",,"41.83","17.93","52.29","percent of total billed charges",,
"INTRAVENOUS INFUSION; ADD'L SEQ TO 1 HR","96367","HCPCS","Both",,,"67.47","33.735","Caresource","Health Exchange","",,"62",,"41.83","17.93","52.29","percent of total billed charges",,
"INTRAVENOUS INFUSION; ADD'L SEQ TO 1 HR","96367","HCPCS","Both",,,"67.47","33.735","Cigna","Commercial","",,"59",,"39.54","17.93","52.29","percent of total billed charges",,
"INTRAVENOUS INFUSION; ADD'L SEQ TO 1 HR","96367","HCPCS","Both",,,"67.47","33.735","Humana","Commercial","",,"78",,"52.29","17.93","52.29","percent of total billed charges",,
"INTRAVENOUS INFUSION; ADD'L SEQ TO 1 HR","96367","HCPCS","Both",,,"67.47","33.735","UHC","Commercial","",,"75",,"50.87","17.93","52.29","percent of total billed charges",,
"INTRAVENOUS INFUSION; ADD'L SEQ TO 1 HR","96367","HCPCS","Both",,,"67.47","33.735","Medicaid",,"",,"37",,"24.69","17.93","52.29","percent of total billed charges",,
"IV INFUSION; CONCURRENT INFUSION","96368","HCPCS","Both",,,"24.5","12.25","Alliant","Health Exchange","",,"62",,"15.19","8.97","18.99","percent of total billed charges",,
"IV INFUSION; CONCURRENT INFUSION","96368","HCPCS","Both",,,"24.5","12.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"13.23","8.97","18.99","percent of total billed charges",,
"IV INFUSION; CONCURRENT INFUSION","96368","HCPCS","Both",,,"24.5","12.25","Medicare",,"",,"54",,"13.28","8.97","18.99","percent of total billed charges",,
"IV INFUSION; CONCURRENT INFUSION","96368","HCPCS","Both",,,"24.5","12.25","Humana","Medicare Advantage","",,"54",,"13.28","8.97","18.99","percent of total billed charges",,
"IV INFUSION; CONCURRENT INFUSION","96368","HCPCS","Both",,,"24.5","12.25","UHC","Medicare Advantage","",,"54",,"13.28","8.97","18.99","percent of total billed charges",,
"IV INFUSION; CONCURRENT INFUSION","96368","HCPCS","Both",,,"24.5","12.25","Clover","Medicare Advantage","",,"54",,"13.28","8.97","18.99","percent of total billed charges",,
"IV INFUSION; CONCURRENT INFUSION","96368","HCPCS","Both",,,"24.5","12.25","Wellcare","Medicare Advantage","",,"54",,"13.28","8.97","18.99","percent of total billed charges",,
"IV INFUSION; CONCURRENT INFUSION","96368","HCPCS","Both",,,"24.5","12.25","Amerigroup","Medicaid Managed Care","",,"37",,"8.97","8.97","18.99","percent of total billed charges",,
"IV INFUSION; CONCURRENT INFUSION","96368","HCPCS","Both",,,"24.5","12.25","Caresource","Medicaid Managed Care","",,"40",,"9.8","8.97","18.99","percent of total billed charges",,
"IV INFUSION; CONCURRENT INFUSION","96368","HCPCS","Both",,,"24.5","12.25","Wellcare","Medicaid Managed Care","",,"40",,"9.92","8.97","18.99","percent of total billed charges",,
"IV INFUSION; CONCURRENT INFUSION","96368","HCPCS","Both",,,"24.5","12.25","Aetna","Commercial","",,"64",,"15.63","8.97","18.99","percent of total billed charges",,
"IV INFUSION; CONCURRENT INFUSION","96368","HCPCS","Both",,,"24.5","12.25","Blue Cross Blue Shield","Pathways","",,"71",,"17.3","8.97","18.99","percent of total billed charges",,
"IV INFUSION; CONCURRENT INFUSION","96368","HCPCS","Both",,,"24.5","12.25","Blue Cross Blue Shield","HMO","",,"71",,"17.3","8.97","18.99","percent of total billed charges",,
"IV INFUSION; CONCURRENT INFUSION","96368","HCPCS","Both",,,"24.5","12.25","Blue Cross Blue Shield","PPO","",,"71",,"17.3","8.97","18.99","percent of total billed charges",,
"IV INFUSION; CONCURRENT INFUSION","96368","HCPCS","Both",,,"24.5","12.25","Ambetter","Health Exchange","",,"62",,"15.19","8.97","18.99","percent of total billed charges",,
"IV INFUSION; CONCURRENT INFUSION","96368","HCPCS","Both",,,"24.5","12.25","Caresource","Health Exchange","",,"62",,"15.19","8.97","18.99","percent of total billed charges",,
"IV INFUSION; CONCURRENT INFUSION","96368","HCPCS","Both",,,"24.5","12.25","Cigna","Commercial","",,"59",,"14.36","8.97","18.99","percent of total billed charges",,
"IV INFUSION; CONCURRENT INFUSION","96368","HCPCS","Both",,,"24.5","12.25","Humana","Commercial","",,"78",,"18.99","8.97","18.99","percent of total billed charges",,
"IV INFUSION; CONCURRENT INFUSION","96368","HCPCS","Both",,,"24.5","12.25","UHC","Commercial","",,"75",,"18.47","8.97","18.99","percent of total billed charges",,
"IV INFUSION; CONCURRENT INFUSION","96368","HCPCS","Both",,,"24.5","12.25","Medicaid",,"",,"37",,"8.97","8.97","18.99","percent of total billed charges",,
"IVP EACH sequential same drug","96376","HCPCS","Both",,,"198.24","99.12","Alliant","Health Exchange","",,"62",,"122.91","72.56","153.64","percent of total billed charges",,
"IVP EACH sequential same drug","96376","HCPCS","Both",,,"198.24","99.12","Pruitt Healthcare","Medicare Advantage","",,"54",,"107.05","72.56","153.64","percent of total billed charges",,
"IVP EACH sequential same drug","96376","HCPCS","Both",,,"198.24","99.12","Medicare",,"",,"54",,"107.45","72.56","153.64","percent of total billed charges",,
"IVP EACH sequential same drug","96376","HCPCS","Both",,,"198.24","99.12","Humana","Medicare Advantage","",,"54",,"107.45","72.56","153.64","percent of total billed charges",,
"IVP EACH sequential same drug","96376","HCPCS","Both",,,"198.24","99.12","UHC","Medicare Advantage","",,"54",,"107.45","72.56","153.64","percent of total billed charges",,
"IVP EACH sequential same drug","96376","HCPCS","Both",,,"198.24","99.12","Clover","Medicare Advantage","",,"54",,"107.45","72.56","153.64","percent of total billed charges",,
"IVP EACH sequential same drug","96376","HCPCS","Both",,,"198.24","99.12","Wellcare","Medicare Advantage","",,"54",,"107.45","72.56","153.64","percent of total billed charges",,
"IVP EACH sequential same drug","96376","HCPCS","Both",,,"198.24","99.12","Amerigroup","Medicaid Managed Care","",,"37",,"72.56","72.56","153.64","percent of total billed charges",,
"IVP EACH sequential same drug","96376","HCPCS","Both",,,"198.24","99.12","Caresource","Medicaid Managed Care","",,"40",,"79.3","72.56","153.64","percent of total billed charges",,
"IVP EACH sequential same drug","96376","HCPCS","Both",,,"198.24","99.12","Wellcare","Medicaid Managed Care","",,"40",,"80.29","72.56","153.64","percent of total billed charges",,
"IVP EACH sequential same drug","96376","HCPCS","Both",,,"198.24","99.12","Aetna","Commercial","",,"64",,"126.48","72.56","153.64","percent of total billed charges",,
"IVP EACH sequential same drug","96376","HCPCS","Both",,,"198.24","99.12","Blue Cross Blue Shield","Pathways","",,"71",,"139.96","72.56","153.64","percent of total billed charges",,
"IVP EACH sequential same drug","96376","HCPCS","Both",,,"198.24","99.12","Blue Cross Blue Shield","HMO","",,"71",,"139.96","72.56","153.64","percent of total billed charges",,
"IVP EACH sequential same drug","96376","HCPCS","Both",,,"198.24","99.12","Blue Cross Blue Shield","PPO","",,"71",,"139.96","72.56","153.64","percent of total billed charges",,
"IVP EACH sequential same drug","96376","HCPCS","Both",,,"198.24","99.12","Ambetter","Health Exchange","",,"62",,"122.91","72.56","153.64","percent of total billed charges",,
"IVP EACH sequential same drug","96376","HCPCS","Both",,,"198.24","99.12","Caresource","Health Exchange","",,"62",,"122.91","72.56","153.64","percent of total billed charges",,
"IVP EACH sequential same drug","96376","HCPCS","Both",,,"198.24","99.12","Cigna","Commercial","",,"59",,"116.17","72.56","153.64","percent of total billed charges",,
"IVP EACH sequential same drug","96376","HCPCS","Both",,,"198.24","99.12","Humana","Commercial","",,"78",,"153.64","72.56","153.64","percent of total billed charges",,
"IVP EACH sequential same drug","96376","HCPCS","Both",,,"198.24","99.12","UHC","Commercial","",,"75",,"149.47","72.56","153.64","percent of total billed charges",,
"IVP EACH sequential same drug","96376","HCPCS","Both",,,"198.24","99.12","Medicaid",,"",,"37",,"72.56","72.56","153.64","percent of total billed charges",,
"INTRAVENOUS INFUSION OR SUBq INJECT","M0243","HCPCS","Both",,,"450","225","Alliant","Health Exchange","",,"62",,"279","164.7","348.75","percent of total billed charges",,
"INTRAVENOUS INFUSION OR SUBq INJECT","M0243","HCPCS","Both",,,"450","225","Pruitt Healthcare","Medicare Advantage","",,"54",,"243","164.7","348.75","percent of total billed charges",,
"INTRAVENOUS INFUSION OR SUBq INJECT","M0243","HCPCS","Both",,,"450","225","Medicare",,"",,"54",,"243.9","164.7","348.75","percent of total billed charges",,
"INTRAVENOUS INFUSION OR SUBq INJECT","M0243","HCPCS","Both",,,"450","225","Humana","Medicare Advantage","",,"54",,"243.9","164.7","348.75","percent of total billed charges",,
"INTRAVENOUS INFUSION OR SUBq INJECT","M0243","HCPCS","Both",,,"450","225","UHC","Medicare Advantage","",,"54",,"243.9","164.7","348.75","percent of total billed charges",,
"INTRAVENOUS INFUSION OR SUBq INJECT","M0243","HCPCS","Both",,,"450","225","Clover","Medicare Advantage","",,"54",,"243.9","164.7","348.75","percent of total billed charges",,
"INTRAVENOUS INFUSION OR SUBq INJECT","M0243","HCPCS","Both",,,"450","225","Wellcare","Medicare Advantage","",,"54",,"243.9","164.7","348.75","percent of total billed charges",,
"INTRAVENOUS INFUSION OR SUBq INJECT","M0243","HCPCS","Both",,,"450","225","Amerigroup","Medicaid Managed Care","",,"37",,"164.7","164.7","348.75","percent of total billed charges",,
"INTRAVENOUS INFUSION OR SUBq INJECT","M0243","HCPCS","Both",,,"450","225","Caresource","Medicaid Managed Care","",,"40",,"180","164.7","348.75","percent of total billed charges",,
"INTRAVENOUS INFUSION OR SUBq INJECT","M0243","HCPCS","Both",,,"450","225","Wellcare","Medicaid Managed Care","",,"40",,"182.25","164.7","348.75","percent of total billed charges",,
"INTRAVENOUS INFUSION OR SUBq INJECT","M0243","HCPCS","Both",,,"450","225","Aetna","Commercial","",,"64",,"287.1","164.7","348.75","percent of total billed charges",,
"INTRAVENOUS INFUSION OR SUBq INJECT","M0243","HCPCS","Both",,,"450","225","Blue Cross Blue Shield","Pathways","",,"71",,"317.7","164.7","348.75","percent of total billed charges",,
"INTRAVENOUS INFUSION OR SUBq INJECT","M0243","HCPCS","Both",,,"450","225","Blue Cross Blue Shield","HMO","",,"71",,"317.7","164.7","348.75","percent of total billed charges",,
"INTRAVENOUS INFUSION OR SUBq INJECT","M0243","HCPCS","Both",,,"450","225","Blue Cross Blue Shield","PPO","",,"71",,"317.7","164.7","348.75","percent of total billed charges",,
"INTRAVENOUS INFUSION OR SUBq INJECT","M0243","HCPCS","Both",,,"450","225","Ambetter","Health Exchange","",,"62",,"279","164.7","348.75","percent of total billed charges",,
"INTRAVENOUS INFUSION OR SUBq INJECT","M0243","HCPCS","Both",,,"450","225","Caresource","Health Exchange","",,"62",,"279","164.7","348.75","percent of total billed charges",,
"INTRAVENOUS INFUSION OR SUBq INJECT","M0243","HCPCS","Both",,,"450","225","Cigna","Commercial","",,"59",,"263.7","164.7","348.75","percent of total billed charges",,
"INTRAVENOUS INFUSION OR SUBq INJECT","M0243","HCPCS","Both",,,"450","225","Humana","Commercial","",,"78",,"348.75","164.7","348.75","percent of total billed charges",,
"INTRAVENOUS INFUSION OR SUBq INJECT","M0243","HCPCS","Both",,,"450","225","UHC","Commercial","",,"75",,"339.3","164.7","348.75","percent of total billed charges",,
"INTRAVENOUS INFUSION OR SUBq INJECT","M0243","HCPCS","Both",,,"450","225","Medicaid",,"",,"37",,"164.7","164.7","348.75","percent of total billed charges",,
"INSERT NON TUNNEL CV CATH 5+","36556","HCPCS","Both",,,"1968.5","984.25","Alliant","Health Exchange","",,"62",,"1220.47","720.47","1525.59","percent of total billed charges",,
"INSERT NON TUNNEL CV CATH 5+","36556","HCPCS","Both",,,"1968.5","984.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"1062.99","720.47","1525.59","percent of total billed charges",,
"INSERT NON TUNNEL CV CATH 5+","36556","HCPCS","Both",,,"1968.5","984.25","Medicare",,"",,"54",,"1066.93","720.47","1525.59","percent of total billed charges",,
"INSERT NON TUNNEL CV CATH 5+","36556","HCPCS","Both",,,"1968.5","984.25","Humana","Medicare Advantage","",,"54",,"1066.93","720.47","1525.59","percent of total billed charges",,
"INSERT NON TUNNEL CV CATH 5+","36556","HCPCS","Both",,,"1968.5","984.25","UHC","Medicare Advantage","",,"54",,"1066.93","720.47","1525.59","percent of total billed charges",,
"INSERT NON TUNNEL CV CATH 5+","36556","HCPCS","Both",,,"1968.5","984.25","Clover","Medicare Advantage","",,"54",,"1066.93","720.47","1525.59","percent of total billed charges",,
"INSERT NON TUNNEL CV CATH 5+","36556","HCPCS","Both",,,"1968.5","984.25","Wellcare","Medicare Advantage","",,"54",,"1066.93","720.47","1525.59","percent of total billed charges",,
"INSERT NON TUNNEL CV CATH 5+","36556","HCPCS","Both",,,"1968.5","984.25","Amerigroup","Medicaid Managed Care","",,"37",,"720.47","720.47","1525.59","percent of total billed charges",,
"INSERT NON TUNNEL CV CATH 5+","36556","HCPCS","Both",,,"1968.5","984.25","Caresource","Medicaid Managed Care","",,"40",,"787.4","720.47","1525.59","percent of total billed charges",,
"INSERT NON TUNNEL CV CATH 5+","36556","HCPCS","Both",,,"1968.5","984.25","Wellcare","Medicaid Managed Care","",,"40",,"797.24","720.47","1525.59","percent of total billed charges",,
"INSERT NON TUNNEL CV CATH 5+","36556","HCPCS","Both",,,"1968.5","984.25","Aetna","Commercial","",,"64",,"1255.9","720.47","1525.59","percent of total billed charges",,
"INSERT NON TUNNEL CV CATH 5+","36556","HCPCS","Both",,,"1968.5","984.25","Blue Cross Blue Shield","Pathways","",,"71",,"1389.76","720.47","1525.59","percent of total billed charges",,
"INSERT NON TUNNEL CV CATH 5+","36556","HCPCS","Both",,,"1968.5","984.25","Blue Cross Blue Shield","HMO","",,"71",,"1389.76","720.47","1525.59","percent of total billed charges",,
"INSERT NON TUNNEL CV CATH 5+","36556","HCPCS","Both",,,"1968.5","984.25","Blue Cross Blue Shield","PPO","",,"71",,"1389.76","720.47","1525.59","percent of total billed charges",,
"INSERT NON TUNNEL CV CATH 5+","36556","HCPCS","Both",,,"1968.5","984.25","Ambetter","Health Exchange","",,"62",,"1220.47","720.47","1525.59","percent of total billed charges",,
"INSERT NON TUNNEL CV CATH 5+","36556","HCPCS","Both",,,"1968.5","984.25","Caresource","Health Exchange","",,"62",,"1220.47","720.47","1525.59","percent of total billed charges",,
"INSERT NON TUNNEL CV CATH 5+","36556","HCPCS","Both",,,"1968.5","984.25","Cigna","Commercial","",,"59",,"1153.54","720.47","1525.59","percent of total billed charges",,
"INSERT NON TUNNEL CV CATH 5+","36556","HCPCS","Both",,,"1968.5","984.25","Humana","Commercial","",,"78",,"1525.59","720.47","1525.59","percent of total billed charges",,
"INSERT NON TUNNEL CV CATH 5+","36556","HCPCS","Both",,,"1968.5","984.25","UHC","Commercial","",,"75",,"1484.25","720.47","1525.59","percent of total billed charges",,
"INSERT NON TUNNEL CV CATH 5+","36556","HCPCS","Both",,,"1968.5","984.25","Medicaid",,"",,"37",,"720.47","720.47","1525.59","percent of total billed charges",,
"I & D EPIDIDYMIS TESTIS SCROTUM","54700","HCPCS","Both",,,"3116","1558","Alliant","Health Exchange","",,"62",,"1931.92","1140.46","2414.9","percent of total billed charges",,
"I & D EPIDIDYMIS TESTIS SCROTUM","54700","HCPCS","Both",,,"3116","1558","Pruitt Healthcare","Medicare Advantage","",,"54",,"1682.64","1140.46","2414.9","percent of total billed charges",,
"I & D EPIDIDYMIS TESTIS SCROTUM","54700","HCPCS","Both",,,"3116","1558","Medicare",,"",,"54",,"1688.87","1140.46","2414.9","percent of total billed charges",,
"I & D EPIDIDYMIS TESTIS SCROTUM","54700","HCPCS","Both",,,"3116","1558","Humana","Medicare Advantage","",,"54",,"1688.87","1140.46","2414.9","percent of total billed charges",,
"I & D EPIDIDYMIS TESTIS SCROTUM","54700","HCPCS","Both",,,"3116","1558","UHC","Medicare Advantage","",,"54",,"1688.87","1140.46","2414.9","percent of total billed charges",,
"I & D EPIDIDYMIS TESTIS SCROTUM","54700","HCPCS","Both",,,"3116","1558","Clover","Medicare Advantage","",,"54",,"1688.87","1140.46","2414.9","percent of total billed charges",,
"I & D EPIDIDYMIS TESTIS SCROTUM","54700","HCPCS","Both",,,"3116","1558","Wellcare","Medicare Advantage","",,"54",,"1688.87","1140.46","2414.9","percent of total billed charges",,
"I & D EPIDIDYMIS TESTIS SCROTUM","54700","HCPCS","Both",,,"3116","1558","Amerigroup","Medicaid Managed Care","",,"37",,"1140.46","1140.46","2414.9","percent of total billed charges",,
"I & D EPIDIDYMIS TESTIS SCROTUM","54700","HCPCS","Both",,,"3116","1558","Caresource","Medicaid Managed Care","",,"40",,"1246.4","1140.46","2414.9","percent of total billed charges",,
"I & D EPIDIDYMIS TESTIS SCROTUM","54700","HCPCS","Both",,,"3116","1558","Wellcare","Medicaid Managed Care","",,"40",,"1261.98","1140.46","2414.9","percent of total billed charges",,
"I & D EPIDIDYMIS TESTIS SCROTUM","54700","HCPCS","Both",,,"3116","1558","Aetna","Commercial","",,"64",,"1988.01","1140.46","2414.9","percent of total billed charges",,
"I & D EPIDIDYMIS TESTIS SCROTUM","54700","HCPCS","Both",,,"3116","1558","Blue Cross Blue Shield","Pathways","",,"71",,"2199.9","1140.46","2414.9","percent of total billed charges",,
"I & D EPIDIDYMIS TESTIS SCROTUM","54700","HCPCS","Both",,,"3116","1558","Blue Cross Blue Shield","HMO","",,"71",,"2199.9","1140.46","2414.9","percent of total billed charges",,
"I & D EPIDIDYMIS TESTIS SCROTUM","54700","HCPCS","Both",,,"3116","1558","Blue Cross Blue Shield","PPO","",,"71",,"2199.9","1140.46","2414.9","percent of total billed charges",,
"I & D EPIDIDYMIS TESTIS SCROTUM","54700","HCPCS","Both",,,"3116","1558","Ambetter","Health Exchange","",,"62",,"1931.92","1140.46","2414.9","percent of total billed charges",,
"I & D EPIDIDYMIS TESTIS SCROTUM","54700","HCPCS","Both",,,"3116","1558","Caresource","Health Exchange","",,"62",,"1931.92","1140.46","2414.9","percent of total billed charges",,
"I & D EPIDIDYMIS TESTIS SCROTUM","54700","HCPCS","Both",,,"3116","1558","Cigna","Commercial","",,"59",,"1825.98","1140.46","2414.9","percent of total billed charges",,
"I & D EPIDIDYMIS TESTIS SCROTUM","54700","HCPCS","Both",,,"3116","1558","Humana","Commercial","",,"78",,"2414.9","1140.46","2414.9","percent of total billed charges",,
"I & D EPIDIDYMIS TESTIS SCROTUM","54700","HCPCS","Both",,,"3116","1558","UHC","Commercial","",,"75",,"2349.46","1140.46","2414.9","percent of total billed charges",,
"I & D EPIDIDYMIS TESTIS SCROTUM","54700","HCPCS","Both",,,"3116","1558","Medicaid",,"",,"37",,"1140.46","1140.46","2414.9","percent of total billed charges",,
"OBSERVATION CARE DISCHARGE DAY MANAGEMEN","99217","HCPCS","Both",,,"90","45","Alliant","Health Exchange","",,"62",,"55.8","32.94","69.75","percent of total billed charges",,
"OBSERVATION CARE DISCHARGE DAY MANAGEMEN","99217","HCPCS","Both",,,"90","45","Pruitt Healthcare","Medicare Advantage","",,"54",,"48.6","32.94","69.75","percent of total billed charges",,
"OBSERVATION CARE DISCHARGE DAY MANAGEMEN","99217","HCPCS","Both",,,"90","45","Medicare",,"",,"54",,"48.78","32.94","69.75","percent of total billed charges",,
"OBSERVATION CARE DISCHARGE DAY MANAGEMEN","99217","HCPCS","Both",,,"90","45","Humana","Medicare Advantage","",,"54",,"48.78","32.94","69.75","percent of total billed charges",,
"OBSERVATION CARE DISCHARGE DAY MANAGEMEN","99217","HCPCS","Both",,,"90","45","UHC","Medicare Advantage","",,"54",,"48.78","32.94","69.75","percent of total billed charges",,
"OBSERVATION CARE DISCHARGE DAY MANAGEMEN","99217","HCPCS","Both",,,"90","45","Clover","Medicare Advantage","",,"54",,"48.78","32.94","69.75","percent of total billed charges",,
"OBSERVATION CARE DISCHARGE DAY MANAGEMEN","99217","HCPCS","Both",,,"90","45","Wellcare","Medicare Advantage","",,"54",,"48.78","32.94","69.75","percent of total billed charges",,
"OBSERVATION CARE DISCHARGE DAY MANAGEMEN","99217","HCPCS","Both",,,"90","45","Amerigroup","Medicaid Managed Care","",,"37",,"32.94","32.94","69.75","percent of total billed charges",,
"OBSERVATION CARE DISCHARGE DAY MANAGEMEN","99217","HCPCS","Both",,,"90","45","Caresource","Medicaid Managed Care","",,"40",,"36","32.94","69.75","percent of total billed charges",,
"OBSERVATION CARE DISCHARGE DAY MANAGEMEN","99217","HCPCS","Both",,,"90","45","Wellcare","Medicaid Managed Care","",,"40",,"36.45","32.94","69.75","percent of total billed charges",,
"OBSERVATION CARE DISCHARGE DAY MANAGEMEN","99217","HCPCS","Both",,,"90","45","Aetna","Commercial","",,"64",,"57.42","32.94","69.75","percent of total billed charges",,
"OBSERVATION CARE DISCHARGE DAY MANAGEMEN","99217","HCPCS","Both",,,"90","45","Blue Cross Blue Shield","Pathways","",,"71",,"63.54","32.94","69.75","percent of total billed charges",,
"OBSERVATION CARE DISCHARGE DAY MANAGEMEN","99217","HCPCS","Both",,,"90","45","Blue Cross Blue Shield","HMO","",,"71",,"63.54","32.94","69.75","percent of total billed charges",,
"OBSERVATION CARE DISCHARGE DAY MANAGEMEN","99217","HCPCS","Both",,,"90","45","Blue Cross Blue Shield","PPO","",,"71",,"63.54","32.94","69.75","percent of total billed charges",,
"OBSERVATION CARE DISCHARGE DAY MANAGEMEN","99217","HCPCS","Both",,,"90","45","Ambetter","Health Exchange","",,"62",,"55.8","32.94","69.75","percent of total billed charges",,
"OBSERVATION CARE DISCHARGE DAY MANAGEMEN","99217","HCPCS","Both",,,"90","45","Caresource","Health Exchange","",,"62",,"55.8","32.94","69.75","percent of total billed charges",,
"OBSERVATION CARE DISCHARGE DAY MANAGEMEN","99217","HCPCS","Both",,,"90","45","Cigna","Commercial","",,"59",,"52.74","32.94","69.75","percent of total billed charges",,
"OBSERVATION CARE DISCHARGE DAY MANAGEMEN","99217","HCPCS","Both",,,"90","45","Humana","Commercial","",,"78",,"69.75","32.94","69.75","percent of total billed charges",,
"OBSERVATION CARE DISCHARGE DAY MANAGEMEN","99217","HCPCS","Both",,,"90","45","UHC","Commercial","",,"75",,"67.86","32.94","69.75","percent of total billed charges",,
"OBSERVATION CARE DISCHARGE DAY MANAGEMEN","99217","HCPCS","Both",,,"90","45","Medicaid",,"",,"37",,"32.94","32.94","69.75","percent of total billed charges",,
"INITIAL OBSERVATION CARE p/day LOW COMPL","99218","HCPCS","Both",,,"124","62","Alliant","Health Exchange","",,"62",,"76.88","45.38","96.1","percent of total billed charges",,
"INITIAL OBSERVATION CARE p/day LOW COMPL","99218","HCPCS","Both",,,"124","62","Pruitt Healthcare","Medicare Advantage","",,"54",,"66.96","45.38","96.1","percent of total billed charges",,
"INITIAL OBSERVATION CARE p/day LOW COMPL","99218","HCPCS","Both",,,"124","62","Medicare",,"",,"54",,"67.21","45.38","96.1","percent of total billed charges",,
"INITIAL OBSERVATION CARE p/day LOW COMPL","99218","HCPCS","Both",,,"124","62","Humana","Medicare Advantage","",,"54",,"67.21","45.38","96.1","percent of total billed charges",,
"INITIAL OBSERVATION CARE p/day LOW COMPL","99218","HCPCS","Both",,,"124","62","UHC","Medicare Advantage","",,"54",,"67.21","45.38","96.1","percent of total billed charges",,
"INITIAL OBSERVATION CARE p/day LOW COMPL","99218","HCPCS","Both",,,"124","62","Clover","Medicare Advantage","",,"54",,"67.21","45.38","96.1","percent of total billed charges",,
"INITIAL OBSERVATION CARE p/day LOW COMPL","99218","HCPCS","Both",,,"124","62","Wellcare","Medicare Advantage","",,"54",,"67.21","45.38","96.1","percent of total billed charges",,
"INITIAL OBSERVATION CARE p/day LOW COMPL","99218","HCPCS","Both",,,"124","62","Amerigroup","Medicaid Managed Care","",,"37",,"45.38","45.38","96.1","percent of total billed charges",,
"INITIAL OBSERVATION CARE p/day LOW COMPL","99218","HCPCS","Both",,,"124","62","Caresource","Medicaid Managed Care","",,"40",,"49.6","45.38","96.1","percent of total billed charges",,
"INITIAL OBSERVATION CARE p/day LOW COMPL","99218","HCPCS","Both",,,"124","62","Wellcare","Medicaid Managed Care","",,"40",,"50.22","45.38","96.1","percent of total billed charges",,
"INITIAL OBSERVATION CARE p/day LOW COMPL","99218","HCPCS","Both",,,"124","62","Aetna","Commercial","",,"64",,"79.11","45.38","96.1","percent of total billed charges",,
"INITIAL OBSERVATION CARE p/day LOW COMPL","99218","HCPCS","Both",,,"124","62","Blue Cross Blue Shield","Pathways","",,"71",,"87.54","45.38","96.1","percent of total billed charges",,
"INITIAL OBSERVATION CARE p/day LOW COMPL","99218","HCPCS","Both",,,"124","62","Blue Cross Blue Shield","HMO","",,"71",,"87.54","45.38","96.1","percent of total billed charges",,
"INITIAL OBSERVATION CARE p/day LOW COMPL","99218","HCPCS","Both",,,"124","62","Blue Cross Blue Shield","PPO","",,"71",,"87.54","45.38","96.1","percent of total billed charges",,
"INITIAL OBSERVATION CARE p/day LOW COMPL","99218","HCPCS","Both",,,"124","62","Ambetter","Health Exchange","",,"62",,"76.88","45.38","96.1","percent of total billed charges",,
"INITIAL OBSERVATION CARE p/day LOW COMPL","99218","HCPCS","Both",,,"124","62","Caresource","Health Exchange","",,"62",,"76.88","45.38","96.1","percent of total billed charges",,
"INITIAL OBSERVATION CARE p/day LOW COMPL","99218","HCPCS","Both",,,"124","62","Cigna","Commercial","",,"59",,"72.66","45.38","96.1","percent of total billed charges",,
"INITIAL OBSERVATION CARE p/day LOW COMPL","99218","HCPCS","Both",,,"124","62","Humana","Commercial","",,"78",,"96.1","45.38","96.1","percent of total billed charges",,
"INITIAL OBSERVATION CARE p/day LOW COMPL","99218","HCPCS","Both",,,"124","62","UHC","Commercial","",,"75",,"93.5","45.38","96.1","percent of total billed charges",,
"INITIAL OBSERVATION CARE p/day LOW COMPL","99218","HCPCS","Both",,,"124","62","Medicaid",,"",,"37",,"45.38","45.38","96.1","percent of total billed charges",,
"INITIAL OVSERVATION CARE p/day MODERATE","99219","HCPCS","Both",,,"1064.5","532.25","Alliant","Health Exchange","",,"62",,"659.99","389.61","824.99","percent of total billed charges",,
"INITIAL OVSERVATION CARE p/day MODERATE","99219","HCPCS","Both",,,"1064.5","532.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"574.83","389.61","824.99","percent of total billed charges",,
"INITIAL OVSERVATION CARE p/day MODERATE","99219","HCPCS","Both",,,"1064.5","532.25","Medicare",,"",,"54",,"576.96","389.61","824.99","percent of total billed charges",,
"INITIAL OVSERVATION CARE p/day MODERATE","99219","HCPCS","Both",,,"1064.5","532.25","Humana","Medicare Advantage","",,"54",,"576.96","389.61","824.99","percent of total billed charges",,
"INITIAL OVSERVATION CARE p/day MODERATE","99219","HCPCS","Both",,,"1064.5","532.25","UHC","Medicare Advantage","",,"54",,"576.96","389.61","824.99","percent of total billed charges",,
"INITIAL OVSERVATION CARE p/day MODERATE","99219","HCPCS","Both",,,"1064.5","532.25","Clover","Medicare Advantage","",,"54",,"576.96","389.61","824.99","percent of total billed charges",,
"INITIAL OVSERVATION CARE p/day MODERATE","99219","HCPCS","Both",,,"1064.5","532.25","Wellcare","Medicare Advantage","",,"54",,"576.96","389.61","824.99","percent of total billed charges",,
"INITIAL OVSERVATION CARE p/day MODERATE","99219","HCPCS","Both",,,"1064.5","532.25","Amerigroup","Medicaid Managed Care","",,"37",,"389.61","389.61","824.99","percent of total billed charges",,
"INITIAL OVSERVATION CARE p/day MODERATE","99219","HCPCS","Both",,,"1064.5","532.25","Caresource","Medicaid Managed Care","",,"40",,"425.8","389.61","824.99","percent of total billed charges",,
"INITIAL OVSERVATION CARE p/day MODERATE","99219","HCPCS","Both",,,"1064.5","532.25","Wellcare","Medicaid Managed Care","",,"40",,"431.12","389.61","824.99","percent of total billed charges",,
"INITIAL OVSERVATION CARE p/day MODERATE","99219","HCPCS","Both",,,"1064.5","532.25","Aetna","Commercial","",,"64",,"679.15","389.61","824.99","percent of total billed charges",,
"INITIAL OVSERVATION CARE p/day MODERATE","99219","HCPCS","Both",,,"1064.5","532.25","Blue Cross Blue Shield","Pathways","",,"71",,"751.54","389.61","824.99","percent of total billed charges",,
"INITIAL OVSERVATION CARE p/day MODERATE","99219","HCPCS","Both",,,"1064.5","532.25","Blue Cross Blue Shield","HMO","",,"71",,"751.54","389.61","824.99","percent of total billed charges",,
"INITIAL OVSERVATION CARE p/day MODERATE","99219","HCPCS","Both",,,"1064.5","532.25","Blue Cross Blue Shield","PPO","",,"71",,"751.54","389.61","824.99","percent of total billed charges",,
"INITIAL OVSERVATION CARE p/day MODERATE","99219","HCPCS","Both",,,"1064.5","532.25","Ambetter","Health Exchange","",,"62",,"659.99","389.61","824.99","percent of total billed charges",,
"INITIAL OVSERVATION CARE p/day MODERATE","99219","HCPCS","Both",,,"1064.5","532.25","Caresource","Health Exchange","",,"62",,"659.99","389.61","824.99","percent of total billed charges",,
"INITIAL OVSERVATION CARE p/day MODERATE","99219","HCPCS","Both",,,"1064.5","532.25","Cigna","Commercial","",,"59",,"623.8","389.61","824.99","percent of total billed charges",,
"INITIAL OVSERVATION CARE p/day MODERATE","99219","HCPCS","Both",,,"1064.5","532.25","Humana","Commercial","",,"78",,"824.99","389.61","824.99","percent of total billed charges",,
"INITIAL OVSERVATION CARE p/day MODERATE","99219","HCPCS","Both",,,"1064.5","532.25","UHC","Commercial","",,"75",,"802.63","389.61","824.99","percent of total billed charges",,
"INITIAL OVSERVATION CARE p/day MODERATE","99219","HCPCS","Both",,,"1064.5","532.25","Medicaid",,"",,"37",,"389.61","389.61","824.99","percent of total billed charges",,
"INITIAL OBSERVATION CARE p/day HIGH COMP","99220","HCPCS","Both",,,"230","115","Alliant","Health Exchange","",,"62",,"142.6","84.18","178.25","percent of total billed charges",,
"INITIAL OBSERVATION CARE p/day HIGH COMP","99220","HCPCS","Both",,,"230","115","Pruitt Healthcare","Medicare Advantage","",,"54",,"124.2","84.18","178.25","percent of total billed charges",,
"INITIAL OBSERVATION CARE p/day HIGH COMP","99220","HCPCS","Both",,,"230","115","Medicare",,"",,"54",,"124.66","84.18","178.25","percent of total billed charges",,
"INITIAL OBSERVATION CARE p/day HIGH COMP","99220","HCPCS","Both",,,"230","115","Humana","Medicare Advantage","",,"54",,"124.66","84.18","178.25","percent of total billed charges",,
"INITIAL OBSERVATION CARE p/day HIGH COMP","99220","HCPCS","Both",,,"230","115","UHC","Medicare Advantage","",,"54",,"124.66","84.18","178.25","percent of total billed charges",,
"INITIAL OBSERVATION CARE p/day HIGH COMP","99220","HCPCS","Both",,,"230","115","Clover","Medicare Advantage","",,"54",,"124.66","84.18","178.25","percent of total billed charges",,
"INITIAL OBSERVATION CARE p/day HIGH COMP","99220","HCPCS","Both",,,"230","115","Wellcare","Medicare Advantage","",,"54",,"124.66","84.18","178.25","percent of total billed charges",,
"INITIAL OBSERVATION CARE p/day HIGH COMP","99220","HCPCS","Both",,,"230","115","Amerigroup","Medicaid Managed Care","",,"37",,"84.18","84.18","178.25","percent of total billed charges",,
"INITIAL OBSERVATION CARE p/day HIGH COMP","99220","HCPCS","Both",,,"230","115","Caresource","Medicaid Managed Care","",,"40",,"92","84.18","178.25","percent of total billed charges",,
"INITIAL OBSERVATION CARE p/day HIGH COMP","99220","HCPCS","Both",,,"230","115","Wellcare","Medicaid Managed Care","",,"40",,"93.15","84.18","178.25","percent of total billed charges",,
"INITIAL OBSERVATION CARE p/day HIGH COMP","99220","HCPCS","Both",,,"230","115","Aetna","Commercial","",,"64",,"146.74","84.18","178.25","percent of total billed charges",,
"INITIAL OBSERVATION CARE p/day HIGH COMP","99220","HCPCS","Both",,,"230","115","Blue Cross Blue Shield","Pathways","",,"71",,"162.38","84.18","178.25","percent of total billed charges",,
"INITIAL OBSERVATION CARE p/day HIGH COMP","99220","HCPCS","Both",,,"230","115","Blue Cross Blue Shield","HMO","",,"71",,"162.38","84.18","178.25","percent of total billed charges",,
"INITIAL OBSERVATION CARE p/day HIGH COMP","99220","HCPCS","Both",,,"230","115","Blue Cross Blue Shield","PPO","",,"71",,"162.38","84.18","178.25","percent of total billed charges",,
"INITIAL OBSERVATION CARE p/day HIGH COMP","99220","HCPCS","Both",,,"230","115","Ambetter","Health Exchange","",,"62",,"142.6","84.18","178.25","percent of total billed charges",,
"INITIAL OBSERVATION CARE p/day HIGH COMP","99220","HCPCS","Both",,,"230","115","Caresource","Health Exchange","",,"62",,"142.6","84.18","178.25","percent of total billed charges",,
"INITIAL OBSERVATION CARE p/day HIGH COMP","99220","HCPCS","Both",,,"230","115","Cigna","Commercial","",,"59",,"134.78","84.18","178.25","percent of total billed charges",,
"INITIAL OBSERVATION CARE p/day HIGH COMP","99220","HCPCS","Both",,,"230","115","Humana","Commercial","",,"78",,"178.25","84.18","178.25","percent of total billed charges",,
"INITIAL OBSERVATION CARE p/day HIGH COMP","99220","HCPCS","Both",,,"230","115","UHC","Commercial","",,"75",,"173.42","84.18","178.25","percent of total billed charges",,
"INITIAL OBSERVATION CARE p/day HIGH COMP","99220","HCPCS","Both",,,"230","115","Medicaid",,"",,"37",,"84.18","84.18","178.25","percent of total billed charges",,
"OBV LOW COMPLEXITY ADM DC'D SAME DAY","99234","HCPCS","Both",,,"234","117","Alliant","Health Exchange","",,"62",,"145.08","85.64","181.35","percent of total billed charges",,
"OBV LOW COMPLEXITY ADM DC'D SAME DAY","99234","HCPCS","Both",,,"234","117","Pruitt Healthcare","Medicare Advantage","",,"54",,"126.36","85.64","181.35","percent of total billed charges",,
"OBV LOW COMPLEXITY ADM DC'D SAME DAY","99234","HCPCS","Both",,,"234","117","Medicare",,"",,"54",,"126.83","85.64","181.35","percent of total billed charges",,
"OBV LOW COMPLEXITY ADM DC'D SAME DAY","99234","HCPCS","Both",,,"234","117","Humana","Medicare Advantage","",,"54",,"126.83","85.64","181.35","percent of total billed charges",,
"OBV LOW COMPLEXITY ADM DC'D SAME DAY","99234","HCPCS","Both",,,"234","117","UHC","Medicare Advantage","",,"54",,"126.83","85.64","181.35","percent of total billed charges",,
"OBV LOW COMPLEXITY ADM DC'D SAME DAY","99234","HCPCS","Both",,,"234","117","Clover","Medicare Advantage","",,"54",,"126.83","85.64","181.35","percent of total billed charges",,
"OBV LOW COMPLEXITY ADM DC'D SAME DAY","99234","HCPCS","Both",,,"234","117","Wellcare","Medicare Advantage","",,"54",,"126.83","85.64","181.35","percent of total billed charges",,
"OBV LOW COMPLEXITY ADM DC'D SAME DAY","99234","HCPCS","Both",,,"234","117","Amerigroup","Medicaid Managed Care","",,"37",,"85.64","85.64","181.35","percent of total billed charges",,
"OBV LOW COMPLEXITY ADM DC'D SAME DAY","99234","HCPCS","Both",,,"234","117","Caresource","Medicaid Managed Care","",,"40",,"93.6","85.64","181.35","percent of total billed charges",,
"OBV LOW COMPLEXITY ADM DC'D SAME DAY","99234","HCPCS","Both",,,"234","117","Wellcare","Medicaid Managed Care","",,"40",,"94.77","85.64","181.35","percent of total billed charges",,
"OBV LOW COMPLEXITY ADM DC'D SAME DAY","99234","HCPCS","Both",,,"234","117","Aetna","Commercial","",,"64",,"149.29","85.64","181.35","percent of total billed charges",,
"OBV LOW COMPLEXITY ADM DC'D SAME DAY","99234","HCPCS","Both",,,"234","117","Blue Cross Blue Shield","Pathways","",,"71",,"165.2","85.64","181.35","percent of total billed charges",,
"OBV LOW COMPLEXITY ADM DC'D SAME DAY","99234","HCPCS","Both",,,"234","117","Blue Cross Blue Shield","HMO","",,"71",,"165.2","85.64","181.35","percent of total billed charges",,
"OBV LOW COMPLEXITY ADM DC'D SAME DAY","99234","HCPCS","Both",,,"234","117","Blue Cross Blue Shield","PPO","",,"71",,"165.2","85.64","181.35","percent of total billed charges",,
"OBV LOW COMPLEXITY ADM DC'D SAME DAY","99234","HCPCS","Both",,,"234","117","Ambetter","Health Exchange","",,"62",,"145.08","85.64","181.35","percent of total billed charges",,
"OBV LOW COMPLEXITY ADM DC'D SAME DAY","99234","HCPCS","Both",,,"234","117","Caresource","Health Exchange","",,"62",,"145.08","85.64","181.35","percent of total billed charges",,
"OBV LOW COMPLEXITY ADM DC'D SAME DAY","99234","HCPCS","Both",,,"234","117","Cigna","Commercial","",,"59",,"137.12","85.64","181.35","percent of total billed charges",,
"OBV LOW COMPLEXITY ADM DC'D SAME DAY","99234","HCPCS","Both",,,"234","117","Humana","Commercial","",,"78",,"181.35","85.64","181.35","percent of total billed charges",,
"OBV LOW COMPLEXITY ADM DC'D SAME DAY","99234","HCPCS","Both",,,"234","117","UHC","Commercial","",,"75",,"176.44","85.64","181.35","percent of total billed charges",,
"OBV LOW COMPLEXITY ADM DC'D SAME DAY","99234","HCPCS","Both",,,"234","117","Medicaid",,"",,"37",,"85.64","85.64","181.35","percent of total billed charges",,
"OBV MOD COMPLEXITY ADM DC'D SAME DAY","99235","HCPCS","Both",,,"292","146","Alliant","Health Exchange","",,"62",,"181.04","106.87","226.3","percent of total billed charges",,
"OBV MOD COMPLEXITY ADM DC'D SAME DAY","99235","HCPCS","Both",,,"292","146","Pruitt Healthcare","Medicare Advantage","",,"54",,"157.68","106.87","226.3","percent of total billed charges",,
"OBV MOD COMPLEXITY ADM DC'D SAME DAY","99235","HCPCS","Both",,,"292","146","Medicare",,"",,"54",,"158.26","106.87","226.3","percent of total billed charges",,
"OBV MOD COMPLEXITY ADM DC'D SAME DAY","99235","HCPCS","Both",,,"292","146","Humana","Medicare Advantage","",,"54",,"158.26","106.87","226.3","percent of total billed charges",,
"OBV MOD COMPLEXITY ADM DC'D SAME DAY","99235","HCPCS","Both",,,"292","146","UHC","Medicare Advantage","",,"54",,"158.26","106.87","226.3","percent of total billed charges",,
"OBV MOD COMPLEXITY ADM DC'D SAME DAY","99235","HCPCS","Both",,,"292","146","Clover","Medicare Advantage","",,"54",,"158.26","106.87","226.3","percent of total billed charges",,
"OBV MOD COMPLEXITY ADM DC'D SAME DAY","99235","HCPCS","Both",,,"292","146","Wellcare","Medicare Advantage","",,"54",,"158.26","106.87","226.3","percent of total billed charges",,
"OBV MOD COMPLEXITY ADM DC'D SAME DAY","99235","HCPCS","Both",,,"292","146","Amerigroup","Medicaid Managed Care","",,"37",,"106.87","106.87","226.3","percent of total billed charges",,
"OBV MOD COMPLEXITY ADM DC'D SAME DAY","99235","HCPCS","Both",,,"292","146","Caresource","Medicaid Managed Care","",,"40",,"116.8","106.87","226.3","percent of total billed charges",,
"OBV MOD COMPLEXITY ADM DC'D SAME DAY","99235","HCPCS","Both",,,"292","146","Wellcare","Medicaid Managed Care","",,"40",,"118.26","106.87","226.3","percent of total billed charges",,
"OBV MOD COMPLEXITY ADM DC'D SAME DAY","99235","HCPCS","Both",,,"292","146","Aetna","Commercial","",,"64",,"186.3","106.87","226.3","percent of total billed charges",,
"OBV MOD COMPLEXITY ADM DC'D SAME DAY","99235","HCPCS","Both",,,"292","146","Blue Cross Blue Shield","Pathways","",,"71",,"206.15","106.87","226.3","percent of total billed charges",,
"OBV MOD COMPLEXITY ADM DC'D SAME DAY","99235","HCPCS","Both",,,"292","146","Blue Cross Blue Shield","HMO","",,"71",,"206.15","106.87","226.3","percent of total billed charges",,
"OBV MOD COMPLEXITY ADM DC'D SAME DAY","99235","HCPCS","Both",,,"292","146","Blue Cross Blue Shield","PPO","",,"71",,"206.15","106.87","226.3","percent of total billed charges",,
"OBV MOD COMPLEXITY ADM DC'D SAME DAY","99235","HCPCS","Both",,,"292","146","Ambetter","Health Exchange","",,"62",,"181.04","106.87","226.3","percent of total billed charges",,
"OBV MOD COMPLEXITY ADM DC'D SAME DAY","99235","HCPCS","Both",,,"292","146","Caresource","Health Exchange","",,"62",,"181.04","106.87","226.3","percent of total billed charges",,
"OBV MOD COMPLEXITY ADM DC'D SAME DAY","99235","HCPCS","Both",,,"292","146","Cigna","Commercial","",,"59",,"171.11","106.87","226.3","percent of total billed charges",,
"OBV MOD COMPLEXITY ADM DC'D SAME DAY","99235","HCPCS","Both",,,"292","146","Humana","Commercial","",,"78",,"226.3","106.87","226.3","percent of total billed charges",,
"OBV MOD COMPLEXITY ADM DC'D SAME DAY","99235","HCPCS","Both",,,"292","146","UHC","Commercial","",,"75",,"220.17","106.87","226.3","percent of total billed charges",,
"OBV MOD COMPLEXITY ADM DC'D SAME DAY","99235","HCPCS","Both",,,"292","146","Medicaid",,"",,"37",,"106.87","106.87","226.3","percent of total billed charges",,
"OBV HIGH COMPLEXITY ADM DC'D SAME DAY","99236","HCPCS","Both",,,"377.5","188.75","Alliant","Health Exchange","",,"62",,"234.05","138.16","292.56","percent of total billed charges",,
"OBV HIGH COMPLEXITY ADM DC'D SAME DAY","99236","HCPCS","Both",,,"377.5","188.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"203.85","138.16","292.56","percent of total billed charges",,
"OBV HIGH COMPLEXITY ADM DC'D SAME DAY","99236","HCPCS","Both",,,"377.5","188.75","Medicare",,"",,"54",,"204.6","138.16","292.56","percent of total billed charges",,
"OBV HIGH COMPLEXITY ADM DC'D SAME DAY","99236","HCPCS","Both",,,"377.5","188.75","Humana","Medicare Advantage","",,"54",,"204.6","138.16","292.56","percent of total billed charges",,
"OBV HIGH COMPLEXITY ADM DC'D SAME DAY","99236","HCPCS","Both",,,"377.5","188.75","UHC","Medicare Advantage","",,"54",,"204.6","138.16","292.56","percent of total billed charges",,
"OBV HIGH COMPLEXITY ADM DC'D SAME DAY","99236","HCPCS","Both",,,"377.5","188.75","Clover","Medicare Advantage","",,"54",,"204.6","138.16","292.56","percent of total billed charges",,
"OBV HIGH COMPLEXITY ADM DC'D SAME DAY","99236","HCPCS","Both",,,"377.5","188.75","Wellcare","Medicare Advantage","",,"54",,"204.6","138.16","292.56","percent of total billed charges",,
"OBV HIGH COMPLEXITY ADM DC'D SAME DAY","99236","HCPCS","Both",,,"377.5","188.75","Amerigroup","Medicaid Managed Care","",,"37",,"138.16","138.16","292.56","percent of total billed charges",,
"OBV HIGH COMPLEXITY ADM DC'D SAME DAY","99236","HCPCS","Both",,,"377.5","188.75","Caresource","Medicaid Managed Care","",,"40",,"151","138.16","292.56","percent of total billed charges",,
"OBV HIGH COMPLEXITY ADM DC'D SAME DAY","99236","HCPCS","Both",,,"377.5","188.75","Wellcare","Medicaid Managed Care","",,"40",,"152.89","138.16","292.56","percent of total billed charges",,
"OBV HIGH COMPLEXITY ADM DC'D SAME DAY","99236","HCPCS","Both",,,"377.5","188.75","Aetna","Commercial","",,"64",,"240.84","138.16","292.56","percent of total billed charges",,
"OBV HIGH COMPLEXITY ADM DC'D SAME DAY","99236","HCPCS","Both",,,"377.5","188.75","Blue Cross Blue Shield","Pathways","",,"71",,"266.52","138.16","292.56","percent of total billed charges",,
"OBV HIGH COMPLEXITY ADM DC'D SAME DAY","99236","HCPCS","Both",,,"377.5","188.75","Blue Cross Blue Shield","HMO","",,"71",,"266.52","138.16","292.56","percent of total billed charges",,
"OBV HIGH COMPLEXITY ADM DC'D SAME DAY","99236","HCPCS","Both",,,"377.5","188.75","Blue Cross Blue Shield","PPO","",,"71",,"266.52","138.16","292.56","percent of total billed charges",,
"OBV HIGH COMPLEXITY ADM DC'D SAME DAY","99236","HCPCS","Both",,,"377.5","188.75","Ambetter","Health Exchange","",,"62",,"234.05","138.16","292.56","percent of total billed charges",,
"OBV HIGH COMPLEXITY ADM DC'D SAME DAY","99236","HCPCS","Both",,,"377.5","188.75","Caresource","Health Exchange","",,"62",,"234.05","138.16","292.56","percent of total billed charges",,
"OBV HIGH COMPLEXITY ADM DC'D SAME DAY","99236","HCPCS","Both",,,"377.5","188.75","Cigna","Commercial","",,"59",,"221.21","138.16","292.56","percent of total billed charges",,
"OBV HIGH COMPLEXITY ADM DC'D SAME DAY","99236","HCPCS","Both",,,"377.5","188.75","Humana","Commercial","",,"78",,"292.56","138.16","292.56","percent of total billed charges",,
"OBV HIGH COMPLEXITY ADM DC'D SAME DAY","99236","HCPCS","Both",,,"377.5","188.75","UHC","Commercial","",,"75",,"284.64","138.16","292.56","percent of total billed charges",,
"OBV HIGH COMPLEXITY ADM DC'D SAME DAY","99236","HCPCS","Both",,,"377.5","188.75","Medicaid",,"",,"37",,"138.16","138.16","292.56","percent of total billed charges",,
"OBSERVATION HOSPITAL PER HR","G0378","HCPCS","Both",,,"21.27","10.635","Alliant","Health Exchange","",,"62",,"13.19","7.78","28.36","percent of total billed charges",,
"OBSERVATION HOSPITAL PER HR","G0378","HCPCS","Both",,,"21.27","10.635","Pruitt Healthcare","Medicare Advantage","",,"54",,"11.49","7.78","28.36","percent of total billed charges",,
"OBSERVATION HOSPITAL PER HR","G0378","HCPCS","Both",,,"21.27","10.635","Medicare",,"",,"54",,"11.53","7.78","28.36","percent of total billed charges",,
"OBSERVATION HOSPITAL PER HR","G0378","HCPCS","Both",,,"21.27","10.635","Humana","Medicare Advantage","",,"54",,"11.53","7.78","28.36","percent of total billed charges",,
"OBSERVATION HOSPITAL PER HR","G0378","HCPCS","Both",,,"21.27","10.635","UHC","Medicare Advantage","",,"54",,"11.53","7.78","28.36","percent of total billed charges",,
"OBSERVATION HOSPITAL PER HR","G0378","HCPCS","Both",,,"21.27","10.635","Clover","Medicare Advantage","",,"54",,"11.53","7.78","28.36","percent of total billed charges",,
"OBSERVATION HOSPITAL PER HR","G0378","HCPCS","Both",,,"21.27","10.635","Wellcare","Medicare Advantage","",,"54",,"11.53","7.78","28.36","percent of total billed charges",,
"OBSERVATION HOSPITAL PER HR","G0378","HCPCS","Both",,,"21.27","10.635","Amerigroup","Medicaid Managed Care","",,"37",,"7.78","7.78","28.36","percent of total billed charges",,
"OBSERVATION HOSPITAL PER HR","G0378","HCPCS","Both",,,"21.27","10.635","Caresource","Medicaid Managed Care","",,"40",,"8.51","7.78","28.36","percent of total billed charges",,
"OBSERVATION HOSPITAL PER HR","G0378","HCPCS","Both",,,"21.27","10.635","Wellcare","Medicaid Managed Care","",,"40",,"8.61","7.78","28.36","percent of total billed charges",,
"OBSERVATION HOSPITAL PER HR","G0378","HCPCS","Both",,,"21.27","10.635","Aetna","Commercial","",,"64",,"13.57","7.78","28.36","percent of total billed charges",,
"OBSERVATION HOSPITAL PER HR","G0378","HCPCS","Both",,,"21.27","10.635","Blue Cross Blue Shield","Pathways","",,"71",,"15.02","7.78","28.36","percent of total billed charges",,
"OBSERVATION HOSPITAL PER HR","G0378","HCPCS","Both",,,"21.27","10.635","Blue Cross Blue Shield","HMO","",,"71",,"15.02","7.78","28.36","percent of total billed charges",,
"OBSERVATION HOSPITAL PER HR","G0378","HCPCS","Both",,,"21.27","10.635","Blue Cross Blue Shield","PPO","",,"71",,"15.02","7.78","28.36","percent of total billed charges",,
"OBSERVATION HOSPITAL PER HR","G0378","HCPCS","Both",,,"21.27","10.635","Ambetter","Health Exchange","",,"62",,"13.19","7.78","28.36","percent of total billed charges",,
"OBSERVATION HOSPITAL PER HR","G0378","HCPCS","Both",,,"21.27","10.635","Caresource","Health Exchange","",,"62",,"13.19","7.78","28.36","percent of total billed charges",,
"OBSERVATION HOSPITAL PER HR","G0378","HCPCS","Both",,,"21.27","10.635","Cigna","Commercial","",,"59",,"12.46","7.78","28.36","percent of total billed charges",,
"OBSERVATION HOSPITAL PER HR","G0378","HCPCS","Both",,,"21.27","10.635","Humana","Commercial","",,"78",,"16.48","7.78","28.36","percent of total billed charges",,
"OBSERVATION HOSPITAL PER HR","G0378","HCPCS","Both",,,"21.27","10.635","UHC","Commercial","",,"75",,"16.04","7.78","28.36","percent of total billed charges",,
"OBSERVATION HOSPITAL PER HR","G0378","HCPCS","Both",,,"21.27","10.635","Medicaid",,"",,"37",,"7.78","7.78","28.36","percent of total billed charges",,
"OBSERVATION DIRECT ADMIT TO HOSPITAL","G0379","HCPCS","Both",,,"483","241.5","Alliant","Health Exchange","",,"62",,"299.46","176.78","374.32","percent of total billed charges",,
"OBSERVATION DIRECT ADMIT TO HOSPITAL","G0379","HCPCS","Both",,,"483","241.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"260.82","176.78","374.32","percent of total billed charges",,
"OBSERVATION DIRECT ADMIT TO HOSPITAL","G0379","HCPCS","Both",,,"483","241.5","Medicare",,"",,"54",,"261.79","176.78","374.32","percent of total billed charges",,
"OBSERVATION DIRECT ADMIT TO HOSPITAL","G0379","HCPCS","Both",,,"483","241.5","Humana","Medicare Advantage","",,"54",,"261.79","176.78","374.32","percent of total billed charges",,
"OBSERVATION DIRECT ADMIT TO HOSPITAL","G0379","HCPCS","Both",,,"483","241.5","UHC","Medicare Advantage","",,"54",,"261.79","176.78","374.32","percent of total billed charges",,
"OBSERVATION DIRECT ADMIT TO HOSPITAL","G0379","HCPCS","Both",,,"483","241.5","Clover","Medicare Advantage","",,"54",,"261.79","176.78","374.32","percent of total billed charges",,
"OBSERVATION DIRECT ADMIT TO HOSPITAL","G0379","HCPCS","Both",,,"483","241.5","Wellcare","Medicare Advantage","",,"54",,"261.79","176.78","374.32","percent of total billed charges",,
"OBSERVATION DIRECT ADMIT TO HOSPITAL","G0379","HCPCS","Both",,,"483","241.5","Amerigroup","Medicaid Managed Care","",,"37",,"176.78","176.78","374.32","percent of total billed charges",,
"OBSERVATION DIRECT ADMIT TO HOSPITAL","G0379","HCPCS","Both",,,"483","241.5","Caresource","Medicaid Managed Care","",,"40",,"193.2","176.78","374.32","percent of total billed charges",,
"OBSERVATION DIRECT ADMIT TO HOSPITAL","G0379","HCPCS","Both",,,"483","241.5","Wellcare","Medicaid Managed Care","",,"40",,"195.62","176.78","374.32","percent of total billed charges",,
"OBSERVATION DIRECT ADMIT TO HOSPITAL","G0379","HCPCS","Both",,,"483","241.5","Aetna","Commercial","",,"64",,"308.15","176.78","374.32","percent of total billed charges",,
"OBSERVATION DIRECT ADMIT TO HOSPITAL","G0379","HCPCS","Both",,,"483","241.5","Blue Cross Blue Shield","Pathways","",,"71",,"341","176.78","374.32","percent of total billed charges",,
"OBSERVATION DIRECT ADMIT TO HOSPITAL","G0379","HCPCS","Both",,,"483","241.5","Blue Cross Blue Shield","HMO","",,"71",,"341","176.78","374.32","percent of total billed charges",,
"OBSERVATION DIRECT ADMIT TO HOSPITAL","G0379","HCPCS","Both",,,"483","241.5","Blue Cross Blue Shield","PPO","",,"71",,"341","176.78","374.32","percent of total billed charges",,
"OBSERVATION DIRECT ADMIT TO HOSPITAL","G0379","HCPCS","Both",,,"483","241.5","Ambetter","Health Exchange","",,"62",,"299.46","176.78","374.32","percent of total billed charges",,
"OBSERVATION DIRECT ADMIT TO HOSPITAL","G0379","HCPCS","Both",,,"483","241.5","Caresource","Health Exchange","",,"62",,"299.46","176.78","374.32","percent of total billed charges",,
"OBSERVATION DIRECT ADMIT TO HOSPITAL","G0379","HCPCS","Both",,,"483","241.5","Cigna","Commercial","",,"59",,"283.04","176.78","374.32","percent of total billed charges",,
"OBSERVATION DIRECT ADMIT TO HOSPITAL","G0379","HCPCS","Both",,,"483","241.5","Humana","Commercial","",,"78",,"374.32","176.78","374.32","percent of total billed charges",,
"OBSERVATION DIRECT ADMIT TO HOSPITAL","G0379","HCPCS","Both",,,"483","241.5","UHC","Commercial","",,"75",,"364.18","176.78","374.32","percent of total billed charges",,
"OBSERVATION DIRECT ADMIT TO HOSPITAL","G0379","HCPCS","Both",,,"483","241.5","Medicaid",,"",,"37",,"176.78","176.78","374.32","percent of total billed charges",,
"TREATMENT ROOM PER HOUR","G0378","HCPCS","Both",,,"36.6","18.3","Alliant","Health Exchange","",,"62",,"22.69","7.78","28.36","percent of total billed charges",,
"TREATMENT ROOM PER HOUR","G0378","HCPCS","Both",,,"36.6","18.3","Pruitt Healthcare","Medicare Advantage","",,"54",,"19.76","7.78","28.36","percent of total billed charges",,
"TREATMENT ROOM PER HOUR","G0378","HCPCS","Both",,,"36.6","18.3","Medicare",,"",,"54",,"19.84","7.78","28.36","percent of total billed charges",,
"TREATMENT ROOM PER HOUR","G0378","HCPCS","Both",,,"36.6","18.3","Humana","Medicare Advantage","",,"54",,"19.84","7.78","28.36","percent of total billed charges",,
"TREATMENT ROOM PER HOUR","G0378","HCPCS","Both",,,"36.6","18.3","UHC","Medicare Advantage","",,"54",,"19.84","7.78","28.36","percent of total billed charges",,
"TREATMENT ROOM PER HOUR","G0378","HCPCS","Both",,,"36.6","18.3","Clover","Medicare Advantage","",,"54",,"19.84","7.78","28.36","percent of total billed charges",,
"TREATMENT ROOM PER HOUR","G0378","HCPCS","Both",,,"36.6","18.3","Wellcare","Medicare Advantage","",,"54",,"19.84","7.78","28.36","percent of total billed charges",,
"TREATMENT ROOM PER HOUR","G0378","HCPCS","Both",,,"36.6","18.3","Amerigroup","Medicaid Managed Care","",,"37",,"13.4","7.78","28.36","percent of total billed charges",,
"TREATMENT ROOM PER HOUR","G0378","HCPCS","Both",,,"36.6","18.3","Caresource","Medicaid Managed Care","",,"40",,"14.64","7.78","28.36","percent of total billed charges",,
"TREATMENT ROOM PER HOUR","G0378","HCPCS","Both",,,"36.6","18.3","Wellcare","Medicaid Managed Care","",,"40",,"14.82","7.78","28.36","percent of total billed charges",,
"TREATMENT ROOM PER HOUR","G0378","HCPCS","Both",,,"36.6","18.3","Aetna","Commercial","",,"64",,"23.35","7.78","28.36","percent of total billed charges",,
"TREATMENT ROOM PER HOUR","G0378","HCPCS","Both",,,"36.6","18.3","Blue Cross Blue Shield","Pathways","",,"71",,"25.84","7.78","28.36","percent of total billed charges",,
"TREATMENT ROOM PER HOUR","G0378","HCPCS","Both",,,"36.6","18.3","Blue Cross Blue Shield","HMO","",,"71",,"25.84","7.78","28.36","percent of total billed charges",,
"TREATMENT ROOM PER HOUR","G0378","HCPCS","Both",,,"36.6","18.3","Blue Cross Blue Shield","PPO","",,"71",,"25.84","7.78","28.36","percent of total billed charges",,
"TREATMENT ROOM PER HOUR","G0378","HCPCS","Both",,,"36.6","18.3","Ambetter","Health Exchange","",,"62",,"22.69","7.78","28.36","percent of total billed charges",,
"TREATMENT ROOM PER HOUR","G0378","HCPCS","Both",,,"36.6","18.3","Caresource","Health Exchange","",,"62",,"22.69","7.78","28.36","percent of total billed charges",,
"TREATMENT ROOM PER HOUR","G0378","HCPCS","Both",,,"36.6","18.3","Cigna","Commercial","",,"59",,"21.45","7.78","28.36","percent of total billed charges",,
"TREATMENT ROOM PER HOUR","G0378","HCPCS","Both",,,"36.6","18.3","Humana","Commercial","",,"78",,"28.36","7.78","28.36","percent of total billed charges",,
"TREATMENT ROOM PER HOUR","G0378","HCPCS","Both",,,"36.6","18.3","UHC","Commercial","",,"75",,"27.6","7.78","28.36","percent of total billed charges",,
"TREATMENT ROOM PER HOUR","G0378","HCPCS","Both",,,"36.6","18.3","Medicaid",,"",,"37",,"13.4","7.78","28.36","percent of total billed charges",,
"IM SUB Q INJECTION","96372","HCPCS","Both",,,"212.16","106.08","Alliant","Health Exchange","",,"62",,"131.54","77.65","256.46","percent of total billed charges",,
"IM SUB Q INJECTION","96372","HCPCS","Both",,,"212.16","106.08","Pruitt Healthcare","Medicare Advantage","",,"54",,"114.57","77.65","256.46","percent of total billed charges",,
"IM SUB Q INJECTION","96372","HCPCS","Both",,,"212.16","106.08","Medicare",,"",,"54",,"114.99","77.65","256.46","percent of total billed charges",,
"IM SUB Q INJECTION","96372","HCPCS","Both",,,"212.16","106.08","Humana","Medicare Advantage","",,"54",,"114.99","77.65","256.46","percent of total billed charges",,
"IM SUB Q INJECTION","96372","HCPCS","Both",,,"212.16","106.08","UHC","Medicare Advantage","",,"54",,"114.99","77.65","256.46","percent of total billed charges",,
"IM SUB Q INJECTION","96372","HCPCS","Both",,,"212.16","106.08","Clover","Medicare Advantage","",,"54",,"114.99","77.65","256.46","percent of total billed charges",,
"IM SUB Q INJECTION","96372","HCPCS","Both",,,"212.16","106.08","Wellcare","Medicare Advantage","",,"54",,"114.99","77.65","256.46","percent of total billed charges",,
"IM SUB Q INJECTION","96372","HCPCS","Both",,,"212.16","106.08","Amerigroup","Medicaid Managed Care","",,"37",,"77.65","77.65","256.46","percent of total billed charges",,
"IM SUB Q INJECTION","96372","HCPCS","Both",,,"212.16","106.08","Caresource","Medicaid Managed Care","",,"40",,"84.86","77.65","256.46","percent of total billed charges",,
"IM SUB Q INJECTION","96372","HCPCS","Both",,,"212.16","106.08","Wellcare","Medicaid Managed Care","",,"40",,"85.92","77.65","256.46","percent of total billed charges",,
"IM SUB Q INJECTION","96372","HCPCS","Both",,,"212.16","106.08","Aetna","Commercial","",,"64",,"135.36","77.65","256.46","percent of total billed charges",,
"IM SUB Q INJECTION","96372","HCPCS","Both",,,"212.16","106.08","Blue Cross Blue Shield","Pathways","",,"71",,"149.78","77.65","256.46","percent of total billed charges",,
"IM SUB Q INJECTION","96372","HCPCS","Both",,,"212.16","106.08","Blue Cross Blue Shield","HMO","",,"71",,"149.78","77.65","256.46","percent of total billed charges",,
"IM SUB Q INJECTION","96372","HCPCS","Both",,,"212.16","106.08","Blue Cross Blue Shield","PPO","",,"71",,"149.78","77.65","256.46","percent of total billed charges",,
"IM SUB Q INJECTION","96372","HCPCS","Both",,,"212.16","106.08","Ambetter","Health Exchange","",,"62",,"131.54","77.65","256.46","percent of total billed charges",,
"IM SUB Q INJECTION","96372","HCPCS","Both",,,"212.16","106.08","Caresource","Health Exchange","",,"62",,"131.54","77.65","256.46","percent of total billed charges",,
"IM SUB Q INJECTION","96372","HCPCS","Both",,,"212.16","106.08","Cigna","Commercial","",,"59",,"124.33","77.65","256.46","percent of total billed charges",,
"IM SUB Q INJECTION","96372","HCPCS","Both",,,"212.16","106.08","Humana","Commercial","",,"78",,"164.42","77.65","256.46","percent of total billed charges",,
"IM SUB Q INJECTION","96372","HCPCS","Both",,,"212.16","106.08","UHC","Commercial","",,"75",,"159.97","77.65","256.46","percent of total billed charges",,
"IM SUB Q INJECTION","96372","HCPCS","Both",,,"212.16","106.08","Medicaid",,"",,"37",,"77.65","77.65","256.46","percent of total billed charges",,
"PADNET ABI TESTING upper or lower extrem","93923","HCPCS","Both",,,"174.5","87.25","Alliant","Health Exchange","TC",,"62",,"108.19","63.87","135.24","percent of total billed charges",,
"PADNET ABI TESTING upper or lower extrem","93923","HCPCS","Both",,,"174.5","87.25","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"94.23","63.87","135.24","percent of total billed charges",,
"PADNET ABI TESTING upper or lower extrem","93923","HCPCS","Both",,,"174.5","87.25","Medicare",,"TC",,"54",,"94.58","63.87","135.24","percent of total billed charges",,
"PADNET ABI TESTING upper or lower extrem","93923","HCPCS","Both",,,"174.5","87.25","Humana","Medicare Advantage","TC",,"54",,"94.58","63.87","135.24","percent of total billed charges",,
"PADNET ABI TESTING upper or lower extrem","93923","HCPCS","Both",,,"174.5","87.25","UHC","Medicare Advantage","TC",,"54",,"94.58","63.87","135.24","percent of total billed charges",,
"PADNET ABI TESTING upper or lower extrem","93923","HCPCS","Both",,,"174.5","87.25","Clover","Medicare Advantage","TC",,"54",,"94.58","63.87","135.24","percent of total billed charges",,
"PADNET ABI TESTING upper or lower extrem","93923","HCPCS","Both",,,"174.5","87.25","Wellcare","Medicare Advantage","TC",,"54",,"94.58","63.87","135.24","percent of total billed charges",,
"PADNET ABI TESTING upper or lower extrem","93923","HCPCS","Both",,,"174.5","87.25","Amerigroup","Medicaid Managed Care","TC",,"37",,"63.87","63.87","135.24","percent of total billed charges",,
"PADNET ABI TESTING upper or lower extrem","93923","HCPCS","Both",,,"174.5","87.25","Caresource","Medicaid Managed Care","TC",,"40",,"69.8","63.87","135.24","percent of total billed charges",,
"PADNET ABI TESTING upper or lower extrem","93923","HCPCS","Both",,,"174.5","87.25","Wellcare","Medicaid Managed Care","TC",,"40",,"70.67","63.87","135.24","percent of total billed charges",,
"PADNET ABI TESTING upper or lower extrem","93923","HCPCS","Both",,,"174.5","87.25","Aetna","Commercial","TC",,"64",,"111.33","63.87","135.24","percent of total billed charges",,
"PADNET ABI TESTING upper or lower extrem","93923","HCPCS","Both",,,"174.5","87.25","Blue Cross Blue Shield","Pathways","TC",,"71",,"123.2","63.87","135.24","percent of total billed charges",,
"PADNET ABI TESTING upper or lower extrem","93923","HCPCS","Both",,,"174.5","87.25","Blue Cross Blue Shield","HMO","TC",,"71",,"123.2","63.87","135.24","percent of total billed charges",,
"PADNET ABI TESTING upper or lower extrem","93923","HCPCS","Both",,,"174.5","87.25","Blue Cross Blue Shield","PPO","TC",,"71",,"123.2","63.87","135.24","percent of total billed charges",,
"PADNET ABI TESTING upper or lower extrem","93923","HCPCS","Both",,,"174.5","87.25","Ambetter","Health Exchange","TC",,"62",,"108.19","63.87","135.24","percent of total billed charges",,
"PADNET ABI TESTING upper or lower extrem","93923","HCPCS","Both",,,"174.5","87.25","Caresource","Health Exchange","TC",,"62",,"108.19","63.87","135.24","percent of total billed charges",,
"PADNET ABI TESTING upper or lower extrem","93923","HCPCS","Both",,,"174.5","87.25","Cigna","Commercial","TC",,"59",,"102.26","63.87","135.24","percent of total billed charges",,
"PADNET ABI TESTING upper or lower extrem","93923","HCPCS","Both",,,"174.5","87.25","Humana","Commercial","TC",,"78",,"135.24","63.87","135.24","percent of total billed charges",,
"PADNET ABI TESTING upper or lower extrem","93923","HCPCS","Both",,,"174.5","87.25","UHC","Commercial","TC",,"75",,"131.57","63.87","135.24","percent of total billed charges",,
"PADNET ABI TESTING upper or lower extrem","93923","HCPCS","Both",,,"174.5","87.25","Medicaid",,"TC",,"37",,"63.87","63.87","135.24","percent of total billed charges",,
"SLEEP STUDY YOUNGER < 6 W/4 OR PARAM ATT","95782","HCPCS","Both",,,"2494","1247","Alliant","Health Exchange","",,"62",,"1546.28","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY YOUNGER < 6 W/4 OR PARAM ATT","95782","HCPCS","Both",,,"2494","1247","Pruitt Healthcare","Medicare Advantage","",,"54",,"1346.76","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY YOUNGER < 6 W/4 OR PARAM ATT","95782","HCPCS","Both",,,"2494","1247","Medicare",,"",,"54",,"1351.75","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY YOUNGER < 6 W/4 OR PARAM ATT","95782","HCPCS","Both",,,"2494","1247","Humana","Medicare Advantage","",,"54",,"1351.75","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY YOUNGER < 6 W/4 OR PARAM ATT","95782","HCPCS","Both",,,"2494","1247","UHC","Medicare Advantage","",,"54",,"1351.75","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY YOUNGER < 6 W/4 OR PARAM ATT","95782","HCPCS","Both",,,"2494","1247","Clover","Medicare Advantage","",,"54",,"1351.75","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY YOUNGER < 6 W/4 OR PARAM ATT","95782","HCPCS","Both",,,"2494","1247","Wellcare","Medicare Advantage","",,"54",,"1351.75","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY YOUNGER < 6 W/4 OR PARAM ATT","95782","HCPCS","Both",,,"2494","1247","Amerigroup","Medicaid Managed Care","",,"37",,"912.8","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY YOUNGER < 6 W/4 OR PARAM ATT","95782","HCPCS","Both",,,"2494","1247","Caresource","Medicaid Managed Care","",,"40",,"997.6","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY YOUNGER < 6 W/4 OR PARAM ATT","95782","HCPCS","Both",,,"2494","1247","Wellcare","Medicaid Managed Care","",,"40",,"1010.07","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY YOUNGER < 6 W/4 OR PARAM ATT","95782","HCPCS","Both",,,"2494","1247","Aetna","Commercial","",,"64",,"1591.17","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY YOUNGER < 6 W/4 OR PARAM ATT","95782","HCPCS","Both",,,"2494","1247","Blue Cross Blue Shield","Pathways","",,"71",,"1760.76","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY YOUNGER < 6 W/4 OR PARAM ATT","95782","HCPCS","Both",,,"2494","1247","Blue Cross Blue Shield","HMO","",,"71",,"1760.76","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY YOUNGER < 6 W/4 OR PARAM ATT","95782","HCPCS","Both",,,"2494","1247","Blue Cross Blue Shield","PPO","",,"71",,"1760.76","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY YOUNGER < 6 W/4 OR PARAM ATT","95782","HCPCS","Both",,,"2494","1247","Ambetter","Health Exchange","",,"62",,"1546.28","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY YOUNGER < 6 W/4 OR PARAM ATT","95782","HCPCS","Both",,,"2494","1247","Caresource","Health Exchange","",,"62",,"1546.28","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY YOUNGER < 6 W/4 OR PARAM ATT","95782","HCPCS","Both",,,"2494","1247","Cigna","Commercial","",,"59",,"1461.48","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY YOUNGER < 6 W/4 OR PARAM ATT","95782","HCPCS","Both",,,"2494","1247","Humana","Commercial","",,"78",,"1932.85","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY YOUNGER < 6 W/4 OR PARAM ATT","95782","HCPCS","Both",,,"2494","1247","UHC","Commercial","",,"75",,"1880.48","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY YOUNGER < 6 W/4 OR PARAM ATT","95782","HCPCS","Both",,,"2494","1247","Medicaid",,"",,"37",,"912.8","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY MSLT","95805","HCPCS","Both",,,"1490","745","Alliant","Health Exchange","",,"62",,"923.8","545.34","1154.75","percent of total billed charges",,
"SLEEP STUDY MSLT","95805","HCPCS","Both",,,"1490","745","Pruitt Healthcare","Medicare Advantage","",,"54",,"804.6","545.34","1154.75","percent of total billed charges",,
"SLEEP STUDY MSLT","95805","HCPCS","Both",,,"1490","745","Medicare",,"",,"54",,"807.58","545.34","1154.75","percent of total billed charges",,
"SLEEP STUDY MSLT","95805","HCPCS","Both",,,"1490","745","Humana","Medicare Advantage","",,"54",,"807.58","545.34","1154.75","percent of total billed charges",,
"SLEEP STUDY MSLT","95805","HCPCS","Both",,,"1490","745","UHC","Medicare Advantage","",,"54",,"807.58","545.34","1154.75","percent of total billed charges",,
"SLEEP STUDY MSLT","95805","HCPCS","Both",,,"1490","745","Clover","Medicare Advantage","",,"54",,"807.58","545.34","1154.75","percent of total billed charges",,
"SLEEP STUDY MSLT","95805","HCPCS","Both",,,"1490","745","Wellcare","Medicare Advantage","",,"54",,"807.58","545.34","1154.75","percent of total billed charges",,
"SLEEP STUDY MSLT","95805","HCPCS","Both",,,"1490","745","Amerigroup","Medicaid Managed Care","",,"37",,"545.34","545.34","1154.75","percent of total billed charges",,
"SLEEP STUDY MSLT","95805","HCPCS","Both",,,"1490","745","Caresource","Medicaid Managed Care","",,"40",,"596","545.34","1154.75","percent of total billed charges",,
"SLEEP STUDY MSLT","95805","HCPCS","Both",,,"1490","745","Wellcare","Medicaid Managed Care","",,"40",,"603.45","545.34","1154.75","percent of total billed charges",,
"SLEEP STUDY MSLT","95805","HCPCS","Both",,,"1490","745","Aetna","Commercial","",,"64",,"950.62","545.34","1154.75","percent of total billed charges",,
"SLEEP STUDY MSLT","95805","HCPCS","Both",,,"1490","745","Blue Cross Blue Shield","Pathways","",,"71",,"1051.94","545.34","1154.75","percent of total billed charges",,
"SLEEP STUDY MSLT","95805","HCPCS","Both",,,"1490","745","Blue Cross Blue Shield","HMO","",,"71",,"1051.94","545.34","1154.75","percent of total billed charges",,
"SLEEP STUDY MSLT","95805","HCPCS","Both",,,"1490","745","Blue Cross Blue Shield","PPO","",,"71",,"1051.94","545.34","1154.75","percent of total billed charges",,
"SLEEP STUDY MSLT","95805","HCPCS","Both",,,"1490","745","Ambetter","Health Exchange","",,"62",,"923.8","545.34","1154.75","percent of total billed charges",,
"SLEEP STUDY MSLT","95805","HCPCS","Both",,,"1490","745","Caresource","Health Exchange","",,"62",,"923.8","545.34","1154.75","percent of total billed charges",,
"SLEEP STUDY MSLT","95805","HCPCS","Both",,,"1490","745","Cigna","Commercial","",,"59",,"873.14","545.34","1154.75","percent of total billed charges",,
"SLEEP STUDY MSLT","95805","HCPCS","Both",,,"1490","745","Humana","Commercial","",,"78",,"1154.75","545.34","1154.75","percent of total billed charges",,
"SLEEP STUDY MSLT","95805","HCPCS","Both",,,"1490","745","UHC","Commercial","",,"75",,"1123.46","545.34","1154.75","percent of total billed charges",,
"SLEEP STUDY MSLT","95805","HCPCS","Both",,,"1490","745","Medicaid",,"",,"37",,"545.34","545.34","1154.75","percent of total billed charges",,
"SLEEP TEST NPSG","95810","HCPCS","Both",,,"4266.5","2133.25","Alliant","Health Exchange","",,"62",,"2645.23","1561.54","3306.54","percent of total billed charges",,
"SLEEP TEST NPSG","95810","HCPCS","Both",,,"4266.5","2133.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"2303.91","1561.54","3306.54","percent of total billed charges",,
"SLEEP TEST NPSG","95810","HCPCS","Both",,,"4266.5","2133.25","Medicare",,"",,"54",,"2312.44","1561.54","3306.54","percent of total billed charges",,
"SLEEP TEST NPSG","95810","HCPCS","Both",,,"4266.5","2133.25","Humana","Medicare Advantage","",,"54",,"2312.44","1561.54","3306.54","percent of total billed charges",,
"SLEEP TEST NPSG","95810","HCPCS","Both",,,"4266.5","2133.25","UHC","Medicare Advantage","",,"54",,"2312.44","1561.54","3306.54","percent of total billed charges",,
"SLEEP TEST NPSG","95810","HCPCS","Both",,,"4266.5","2133.25","Clover","Medicare Advantage","",,"54",,"2312.44","1561.54","3306.54","percent of total billed charges",,
"SLEEP TEST NPSG","95810","HCPCS","Both",,,"4266.5","2133.25","Wellcare","Medicare Advantage","",,"54",,"2312.44","1561.54","3306.54","percent of total billed charges",,
"SLEEP TEST NPSG","95810","HCPCS","Both",,,"4266.5","2133.25","Amerigroup","Medicaid Managed Care","",,"37",,"1561.54","1561.54","3306.54","percent of total billed charges",,
"SLEEP TEST NPSG","95810","HCPCS","Both",,,"4266.5","2133.25","Caresource","Medicaid Managed Care","",,"40",,"1706.6","1561.54","3306.54","percent of total billed charges",,
"SLEEP TEST NPSG","95810","HCPCS","Both",,,"4266.5","2133.25","Wellcare","Medicaid Managed Care","",,"40",,"1727.93","1561.54","3306.54","percent of total billed charges",,
"SLEEP TEST NPSG","95810","HCPCS","Both",,,"4266.5","2133.25","Aetna","Commercial","",,"64",,"2722.03","1561.54","3306.54","percent of total billed charges",,
"SLEEP TEST NPSG","95810","HCPCS","Both",,,"4266.5","2133.25","Blue Cross Blue Shield","Pathways","",,"71",,"3012.15","1561.54","3306.54","percent of total billed charges",,
"SLEEP TEST NPSG","95810","HCPCS","Both",,,"4266.5","2133.25","Blue Cross Blue Shield","HMO","",,"71",,"3012.15","1561.54","3306.54","percent of total billed charges",,
"SLEEP TEST NPSG","95810","HCPCS","Both",,,"4266.5","2133.25","Blue Cross Blue Shield","PPO","",,"71",,"3012.15","1561.54","3306.54","percent of total billed charges",,
"SLEEP TEST NPSG","95810","HCPCS","Both",,,"4266.5","2133.25","Ambetter","Health Exchange","",,"62",,"2645.23","1561.54","3306.54","percent of total billed charges",,
"SLEEP TEST NPSG","95810","HCPCS","Both",,,"4266.5","2133.25","Caresource","Health Exchange","",,"62",,"2645.23","1561.54","3306.54","percent of total billed charges",,
"SLEEP TEST NPSG","95810","HCPCS","Both",,,"4266.5","2133.25","Cigna","Commercial","",,"59",,"2500.17","1561.54","3306.54","percent of total billed charges",,
"SLEEP TEST NPSG","95810","HCPCS","Both",,,"4266.5","2133.25","Humana","Commercial","",,"78",,"3306.54","1561.54","3306.54","percent of total billed charges",,
"SLEEP TEST NPSG","95810","HCPCS","Both",,,"4266.5","2133.25","UHC","Commercial","",,"75",,"3216.94","1561.54","3306.54","percent of total billed charges",,
"SLEEP TEST NPSG","95810","HCPCS","Both",,,"4266.5","2133.25","Medicaid",,"",,"37",,"1561.54","1561.54","3306.54","percent of total billed charges",,
"SLEEP STUDY w CPAP","95811","HCPCS","Both",,,"2494","1247","Alliant","Health Exchange","",,"62",,"1546.28","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY w CPAP","95811","HCPCS","Both",,,"2494","1247","Pruitt Healthcare","Medicare Advantage","",,"54",,"1346.76","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY w CPAP","95811","HCPCS","Both",,,"2494","1247","Medicare",,"",,"54",,"1351.75","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY w CPAP","95811","HCPCS","Both",,,"2494","1247","Humana","Medicare Advantage","",,"54",,"1351.75","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY w CPAP","95811","HCPCS","Both",,,"2494","1247","UHC","Medicare Advantage","",,"54",,"1351.75","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY w CPAP","95811","HCPCS","Both",,,"2494","1247","Clover","Medicare Advantage","",,"54",,"1351.75","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY w CPAP","95811","HCPCS","Both",,,"2494","1247","Wellcare","Medicare Advantage","",,"54",,"1351.75","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY w CPAP","95811","HCPCS","Both",,,"2494","1247","Amerigroup","Medicaid Managed Care","",,"37",,"912.8","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY w CPAP","95811","HCPCS","Both",,,"2494","1247","Caresource","Medicaid Managed Care","",,"40",,"997.6","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY w CPAP","95811","HCPCS","Both",,,"2494","1247","Wellcare","Medicaid Managed Care","",,"40",,"1010.07","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY w CPAP","95811","HCPCS","Both",,,"2494","1247","Aetna","Commercial","",,"64",,"1591.17","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY w CPAP","95811","HCPCS","Both",,,"2494","1247","Blue Cross Blue Shield","Pathways","",,"71",,"1760.76","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY w CPAP","95811","HCPCS","Both",,,"2494","1247","Blue Cross Blue Shield","HMO","",,"71",,"1760.76","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY w CPAP","95811","HCPCS","Both",,,"2494","1247","Blue Cross Blue Shield","PPO","",,"71",,"1760.76","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY w CPAP","95811","HCPCS","Both",,,"2494","1247","Ambetter","Health Exchange","",,"62",,"1546.28","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY w CPAP","95811","HCPCS","Both",,,"2494","1247","Caresource","Health Exchange","",,"62",,"1546.28","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY w CPAP","95811","HCPCS","Both",,,"2494","1247","Cigna","Commercial","",,"59",,"1461.48","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY w CPAP","95811","HCPCS","Both",,,"2494","1247","Humana","Commercial","",,"78",,"1932.85","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY w CPAP","95811","HCPCS","Both",,,"2494","1247","UHC","Commercial","",,"75",,"1880.48","912.8","1932.85","percent of total billed charges",,
"SLEEP STUDY w CPAP","95811","HCPCS","Both",,,"2494","1247","Medicaid",,"",,"37",,"912.8","912.8","1932.85","percent of total billed charges",,
"HOME SLEEP STUDY (HST) WITH TYPE III POR","G0399","HCPCS","Both",,,"218","109","Alliant","Health Exchange","",,"62",,"135.16","79.79","168.95","percent of total billed charges",,
"HOME SLEEP STUDY (HST) WITH TYPE III POR","G0399","HCPCS","Both",,,"218","109","Pruitt Healthcare","Medicare Advantage","",,"54",,"117.72","79.79","168.95","percent of total billed charges",,
"HOME SLEEP STUDY (HST) WITH TYPE III POR","G0399","HCPCS","Both",,,"218","109","Medicare",,"",,"54",,"118.16","79.79","168.95","percent of total billed charges",,
"HOME SLEEP STUDY (HST) WITH TYPE III POR","G0399","HCPCS","Both",,,"218","109","Humana","Medicare Advantage","",,"54",,"118.16","79.79","168.95","percent of total billed charges",,
"HOME SLEEP STUDY (HST) WITH TYPE III POR","G0399","HCPCS","Both",,,"218","109","UHC","Medicare Advantage","",,"54",,"118.16","79.79","168.95","percent of total billed charges",,
"HOME SLEEP STUDY (HST) WITH TYPE III POR","G0399","HCPCS","Both",,,"218","109","Clover","Medicare Advantage","",,"54",,"118.16","79.79","168.95","percent of total billed charges",,
"HOME SLEEP STUDY (HST) WITH TYPE III POR","G0399","HCPCS","Both",,,"218","109","Wellcare","Medicare Advantage","",,"54",,"118.16","79.79","168.95","percent of total billed charges",,
"HOME SLEEP STUDY (HST) WITH TYPE III POR","G0399","HCPCS","Both",,,"218","109","Amerigroup","Medicaid Managed Care","",,"37",,"79.79","79.79","168.95","percent of total billed charges",,
"HOME SLEEP STUDY (HST) WITH TYPE III POR","G0399","HCPCS","Both",,,"218","109","Caresource","Medicaid Managed Care","",,"40",,"87.2","79.79","168.95","percent of total billed charges",,
"HOME SLEEP STUDY (HST) WITH TYPE III POR","G0399","HCPCS","Both",,,"218","109","Wellcare","Medicaid Managed Care","",,"40",,"88.29","79.79","168.95","percent of total billed charges",,
"HOME SLEEP STUDY (HST) WITH TYPE III POR","G0399","HCPCS","Both",,,"218","109","Aetna","Commercial","",,"64",,"139.08","79.79","168.95","percent of total billed charges",,
"HOME SLEEP STUDY (HST) WITH TYPE III POR","G0399","HCPCS","Both",,,"218","109","Blue Cross Blue Shield","Pathways","",,"71",,"153.91","79.79","168.95","percent of total billed charges",,
"HOME SLEEP STUDY (HST) WITH TYPE III POR","G0399","HCPCS","Both",,,"218","109","Blue Cross Blue Shield","HMO","",,"71",,"153.91","79.79","168.95","percent of total billed charges",,
"HOME SLEEP STUDY (HST) WITH TYPE III POR","G0399","HCPCS","Both",,,"218","109","Blue Cross Blue Shield","PPO","",,"71",,"153.91","79.79","168.95","percent of total billed charges",,
"HOME SLEEP STUDY (HST) WITH TYPE III POR","G0399","HCPCS","Both",,,"218","109","Ambetter","Health Exchange","",,"62",,"135.16","79.79","168.95","percent of total billed charges",,
"HOME SLEEP STUDY (HST) WITH TYPE III POR","G0399","HCPCS","Both",,,"218","109","Caresource","Health Exchange","",,"62",,"135.16","79.79","168.95","percent of total billed charges",,
"HOME SLEEP STUDY (HST) WITH TYPE III POR","G0399","HCPCS","Both",,,"218","109","Cigna","Commercial","",,"59",,"127.75","79.79","168.95","percent of total billed charges",,
"HOME SLEEP STUDY (HST) WITH TYPE III POR","G0399","HCPCS","Both",,,"218","109","Humana","Commercial","",,"78",,"168.95","79.79","168.95","percent of total billed charges",,
"HOME SLEEP STUDY (HST) WITH TYPE III POR","G0399","HCPCS","Both",,,"218","109","UHC","Commercial","",,"75",,"164.37","79.79","168.95","percent of total billed charges",,
"HOME SLEEP STUDY (HST) WITH TYPE III POR","G0399","HCPCS","Both",,,"218","109","Medicaid",,"",,"37",,"79.79","79.79","168.95","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL BY SNARE TECHNIQUE","45385","HCPCS","Both",,,"3015","1507.5","Alliant","Health Exchange","",,"62",,"1869.3","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL BY SNARE TECHNIQUE","45385","HCPCS","Both",,,"3015","1507.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"1628.1","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL BY SNARE TECHNIQUE","45385","HCPCS","Both",,,"3015","1507.5","Medicare",,"",,"54",,"1634.13","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL BY SNARE TECHNIQUE","45385","HCPCS","Both",,,"3015","1507.5","Humana","Medicare Advantage","",,"54",,"1634.13","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL BY SNARE TECHNIQUE","45385","HCPCS","Both",,,"3015","1507.5","UHC","Medicare Advantage","",,"54",,"1634.13","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL BY SNARE TECHNIQUE","45385","HCPCS","Both",,,"3015","1507.5","Clover","Medicare Advantage","",,"54",,"1634.13","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL BY SNARE TECHNIQUE","45385","HCPCS","Both",,,"3015","1507.5","Wellcare","Medicare Advantage","",,"54",,"1634.13","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL BY SNARE TECHNIQUE","45385","HCPCS","Both",,,"3015","1507.5","Amerigroup","Medicaid Managed Care","",,"37",,"1103.49","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL BY SNARE TECHNIQUE","45385","HCPCS","Both",,,"3015","1507.5","Caresource","Medicaid Managed Care","",,"40",,"1206","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL BY SNARE TECHNIQUE","45385","HCPCS","Both",,,"3015","1507.5","Wellcare","Medicaid Managed Care","",,"40",,"1221.08","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL BY SNARE TECHNIQUE","45385","HCPCS","Both",,,"3015","1507.5","Aetna","Commercial","",,"64",,"1923.57","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL BY SNARE TECHNIQUE","45385","HCPCS","Both",,,"3015","1507.5","Blue Cross Blue Shield","Pathways","",,"71",,"2128.59","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL BY SNARE TECHNIQUE","45385","HCPCS","Both",,,"3015","1507.5","Blue Cross Blue Shield","HMO","",,"71",,"2128.59","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL BY SNARE TECHNIQUE","45385","HCPCS","Both",,,"3015","1507.5","Blue Cross Blue Shield","PPO","",,"71",,"2128.59","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL BY SNARE TECHNIQUE","45385","HCPCS","Both",,,"3015","1507.5","Ambetter","Health Exchange","",,"62",,"1869.3","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL BY SNARE TECHNIQUE","45385","HCPCS","Both",,,"3015","1507.5","Caresource","Health Exchange","",,"62",,"1869.3","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL BY SNARE TECHNIQUE","45385","HCPCS","Both",,,"3015","1507.5","Cigna","Commercial","",,"59",,"1766.79","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL BY SNARE TECHNIQUE","45385","HCPCS","Both",,,"3015","1507.5","Humana","Commercial","",,"78",,"2336.62","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL BY SNARE TECHNIQUE","45385","HCPCS","Both",,,"3015","1507.5","UHC","Commercial","",,"75",,"2273.31","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL BY SNARE TECHNIQUE","45385","HCPCS","Both",,,"3015","1507.5","Medicaid",,"",,"37",,"1103.49","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W OR W/O SPECIMEN WASH/BRUSH","45378","HCPCS","Both",,,"5312.8","2656.4","Alliant","Health Exchange","",,"62",,"3293.94","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY W OR W/O SPECIMEN WASH/BRUSH","45378","HCPCS","Both",,,"5312.8","2656.4","Pruitt Healthcare","Medicare Advantage","",,"54",,"2868.91","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY W OR W/O SPECIMEN WASH/BRUSH","45378","HCPCS","Both",,,"5312.8","2656.4","Medicare",,"",,"54",,"2879.54","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY W OR W/O SPECIMEN WASH/BRUSH","45378","HCPCS","Both",,,"5312.8","2656.4","Humana","Medicare Advantage","",,"54",,"2879.54","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY W OR W/O SPECIMEN WASH/BRUSH","45378","HCPCS","Both",,,"5312.8","2656.4","UHC","Medicare Advantage","",,"54",,"2879.54","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY W OR W/O SPECIMEN WASH/BRUSH","45378","HCPCS","Both",,,"5312.8","2656.4","Clover","Medicare Advantage","",,"54",,"2879.54","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY W OR W/O SPECIMEN WASH/BRUSH","45378","HCPCS","Both",,,"5312.8","2656.4","Wellcare","Medicare Advantage","",,"54",,"2879.54","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY W OR W/O SPECIMEN WASH/BRUSH","45378","HCPCS","Both",,,"5312.8","2656.4","Amerigroup","Medicaid Managed Care","",,"37",,"1944.48","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY W OR W/O SPECIMEN WASH/BRUSH","45378","HCPCS","Both",,,"5312.8","2656.4","Caresource","Medicaid Managed Care","",,"40",,"2125.12","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY W OR W/O SPECIMEN WASH/BRUSH","45378","HCPCS","Both",,,"5312.8","2656.4","Wellcare","Medicaid Managed Care","",,"40",,"2151.68","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY W OR W/O SPECIMEN WASH/BRUSH","45378","HCPCS","Both",,,"5312.8","2656.4","Aetna","Commercial","",,"64",,"3389.57","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY W OR W/O SPECIMEN WASH/BRUSH","45378","HCPCS","Both",,,"5312.8","2656.4","Blue Cross Blue Shield","Pathways","",,"71",,"3750.84","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY W OR W/O SPECIMEN WASH/BRUSH","45378","HCPCS","Both",,,"5312.8","2656.4","Blue Cross Blue Shield","HMO","",,"71",,"3750.84","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY W OR W/O SPECIMEN WASH/BRUSH","45378","HCPCS","Both",,,"5312.8","2656.4","Blue Cross Blue Shield","PPO","",,"71",,"3750.84","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY W OR W/O SPECIMEN WASH/BRUSH","45378","HCPCS","Both",,,"5312.8","2656.4","Ambetter","Health Exchange","",,"62",,"3293.94","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY W OR W/O SPECIMEN WASH/BRUSH","45378","HCPCS","Both",,,"5312.8","2656.4","Caresource","Health Exchange","",,"62",,"3293.94","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY W OR W/O SPECIMEN WASH/BRUSH","45378","HCPCS","Both",,,"5312.8","2656.4","Cigna","Commercial","",,"59",,"3113.3","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY W OR W/O SPECIMEN WASH/BRUSH","45378","HCPCS","Both",,,"5312.8","2656.4","Humana","Commercial","",,"78",,"4117.42","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY W OR W/O SPECIMEN WASH/BRUSH","45378","HCPCS","Both",,,"5312.8","2656.4","UHC","Commercial","",,"75",,"4005.85","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY W OR W/O SPECIMEN WASH/BRUSH","45378","HCPCS","Both",,,"5312.8","2656.4","Medicaid",,"",,"37",,"1944.48","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY COLORECTAL CA SCREENING","G0121","HCPCS","Both",,,"794","397","Alliant","Health Exchange","",,"62",,"492.28","290.6","615.35","percent of total billed charges",,
"COLONOSCOPY COLORECTAL CA SCREENING","G0121","HCPCS","Both",,,"794","397","Pruitt Healthcare","Medicare Advantage","",,"54",,"428.76","290.6","615.35","percent of total billed charges",,
"COLONOSCOPY COLORECTAL CA SCREENING","G0121","HCPCS","Both",,,"794","397","Medicare",,"",,"54",,"430.35","290.6","615.35","percent of total billed charges",,
"COLONOSCOPY COLORECTAL CA SCREENING","G0121","HCPCS","Both",,,"794","397","Humana","Medicare Advantage","",,"54",,"430.35","290.6","615.35","percent of total billed charges",,
"COLONOSCOPY COLORECTAL CA SCREENING","G0121","HCPCS","Both",,,"794","397","UHC","Medicare Advantage","",,"54",,"430.35","290.6","615.35","percent of total billed charges",,
"COLONOSCOPY COLORECTAL CA SCREENING","G0121","HCPCS","Both",,,"794","397","Clover","Medicare Advantage","",,"54",,"430.35","290.6","615.35","percent of total billed charges",,
"COLONOSCOPY COLORECTAL CA SCREENING","G0121","HCPCS","Both",,,"794","397","Wellcare","Medicare Advantage","",,"54",,"430.35","290.6","615.35","percent of total billed charges",,
"COLONOSCOPY COLORECTAL CA SCREENING","G0121","HCPCS","Both",,,"794","397","Amerigroup","Medicaid Managed Care","",,"37",,"290.6","290.6","615.35","percent of total billed charges",,
"COLONOSCOPY COLORECTAL CA SCREENING","G0121","HCPCS","Both",,,"794","397","Caresource","Medicaid Managed Care","",,"40",,"317.6","290.6","615.35","percent of total billed charges",,
"COLONOSCOPY COLORECTAL CA SCREENING","G0121","HCPCS","Both",,,"794","397","Wellcare","Medicaid Managed Care","",,"40",,"321.57","290.6","615.35","percent of total billed charges",,
"COLONOSCOPY COLORECTAL CA SCREENING","G0121","HCPCS","Both",,,"794","397","Aetna","Commercial","",,"64",,"506.57","290.6","615.35","percent of total billed charges",,
"COLONOSCOPY COLORECTAL CA SCREENING","G0121","HCPCS","Both",,,"794","397","Blue Cross Blue Shield","Pathways","",,"71",,"560.56","290.6","615.35","percent of total billed charges",,
"COLONOSCOPY COLORECTAL CA SCREENING","G0121","HCPCS","Both",,,"794","397","Blue Cross Blue Shield","HMO","",,"71",,"560.56","290.6","615.35","percent of total billed charges",,
"COLONOSCOPY COLORECTAL CA SCREENING","G0121","HCPCS","Both",,,"794","397","Blue Cross Blue Shield","PPO","",,"71",,"560.56","290.6","615.35","percent of total billed charges",,
"COLONOSCOPY COLORECTAL CA SCREENING","G0121","HCPCS","Both",,,"794","397","Ambetter","Health Exchange","",,"62",,"492.28","290.6","615.35","percent of total billed charges",,
"COLONOSCOPY COLORECTAL CA SCREENING","G0121","HCPCS","Both",,,"794","397","Caresource","Health Exchange","",,"62",,"492.28","290.6","615.35","percent of total billed charges",,
"COLONOSCOPY COLORECTAL CA SCREENING","G0121","HCPCS","Both",,,"794","397","Cigna","Commercial","",,"59",,"465.28","290.6","615.35","percent of total billed charges",,
"COLONOSCOPY COLORECTAL CA SCREENING","G0121","HCPCS","Both",,,"794","397","Humana","Commercial","",,"78",,"615.35","290.6","615.35","percent of total billed charges",,
"COLONOSCOPY COLORECTAL CA SCREENING","G0121","HCPCS","Both",,,"794","397","UHC","Commercial","",,"75",,"598.68","290.6","615.35","percent of total billed charges",,
"COLONOSCOPY COLORECTAL CA SCREENING","G0121","HCPCS","Both",,,"794","397","Medicaid",,"",,"37",,"290.6","290.6","615.35","percent of total billed charges",,
"UPPER GI ENDO DIAG BRUSH / WASH","43235","HCPCS","Both",,,"1032","516","Alliant","Health Exchange","",,"62",,"639.84","377.71","799.8","percent of total billed charges",,
"UPPER GI ENDO DIAG BRUSH / WASH","43235","HCPCS","Both",,,"1032","516","Pruitt Healthcare","Medicare Advantage","",,"54",,"557.28","377.71","799.8","percent of total billed charges",,
"UPPER GI ENDO DIAG BRUSH / WASH","43235","HCPCS","Both",,,"1032","516","Medicare",,"",,"54",,"559.34","377.71","799.8","percent of total billed charges",,
"UPPER GI ENDO DIAG BRUSH / WASH","43235","HCPCS","Both",,,"1032","516","Humana","Medicare Advantage","",,"54",,"559.34","377.71","799.8","percent of total billed charges",,
"UPPER GI ENDO DIAG BRUSH / WASH","43235","HCPCS","Both",,,"1032","516","UHC","Medicare Advantage","",,"54",,"559.34","377.71","799.8","percent of total billed charges",,
"UPPER GI ENDO DIAG BRUSH / WASH","43235","HCPCS","Both",,,"1032","516","Clover","Medicare Advantage","",,"54",,"559.34","377.71","799.8","percent of total billed charges",,
"UPPER GI ENDO DIAG BRUSH / WASH","43235","HCPCS","Both",,,"1032","516","Wellcare","Medicare Advantage","",,"54",,"559.34","377.71","799.8","percent of total billed charges",,
"UPPER GI ENDO DIAG BRUSH / WASH","43235","HCPCS","Both",,,"1032","516","Amerigroup","Medicaid Managed Care","",,"37",,"377.71","377.71","799.8","percent of total billed charges",,
"UPPER GI ENDO DIAG BRUSH / WASH","43235","HCPCS","Both",,,"1032","516","Caresource","Medicaid Managed Care","",,"40",,"412.8","377.71","799.8","percent of total billed charges",,
"UPPER GI ENDO DIAG BRUSH / WASH","43235","HCPCS","Both",,,"1032","516","Wellcare","Medicaid Managed Care","",,"40",,"417.96","377.71","799.8","percent of total billed charges",,
"UPPER GI ENDO DIAG BRUSH / WASH","43235","HCPCS","Both",,,"1032","516","Aetna","Commercial","",,"64",,"658.42","377.71","799.8","percent of total billed charges",,
"UPPER GI ENDO DIAG BRUSH / WASH","43235","HCPCS","Both",,,"1032","516","Blue Cross Blue Shield","Pathways","",,"71",,"728.59","377.71","799.8","percent of total billed charges",,
"UPPER GI ENDO DIAG BRUSH / WASH","43235","HCPCS","Both",,,"1032","516","Blue Cross Blue Shield","HMO","",,"71",,"728.59","377.71","799.8","percent of total billed charges",,
"UPPER GI ENDO DIAG BRUSH / WASH","43235","HCPCS","Both",,,"1032","516","Blue Cross Blue Shield","PPO","",,"71",,"728.59","377.71","799.8","percent of total billed charges",,
"UPPER GI ENDO DIAG BRUSH / WASH","43235","HCPCS","Both",,,"1032","516","Ambetter","Health Exchange","",,"62",,"639.84","377.71","799.8","percent of total billed charges",,
"UPPER GI ENDO DIAG BRUSH / WASH","43235","HCPCS","Both",,,"1032","516","Caresource","Health Exchange","",,"62",,"639.84","377.71","799.8","percent of total billed charges",,
"UPPER GI ENDO DIAG BRUSH / WASH","43235","HCPCS","Both",,,"1032","516","Cigna","Commercial","",,"59",,"604.75","377.71","799.8","percent of total billed charges",,
"UPPER GI ENDO DIAG BRUSH / WASH","43235","HCPCS","Both",,,"1032","516","Humana","Commercial","",,"78",,"799.8","377.71","799.8","percent of total billed charges",,
"UPPER GI ENDO DIAG BRUSH / WASH","43235","HCPCS","Both",,,"1032","516","UHC","Commercial","",,"75",,"778.13","377.71","799.8","percent of total billed charges",,
"UPPER GI ENDO DIAG BRUSH / WASH","43235","HCPCS","Both",,,"1032","516","Medicaid",,"",,"37",,"377.71","377.71","799.8","percent of total billed charges",,
"SIGMOIDOSCOPY WITH BIOPSY","45331","HCPCS","Both",,,"788","394","Alliant","Health Exchange","",,"62",,"488.56","288.41","610.7","percent of total billed charges",,
"SIGMOIDOSCOPY WITH BIOPSY","45331","HCPCS","Both",,,"788","394","Pruitt Healthcare","Medicare Advantage","",,"54",,"425.52","288.41","610.7","percent of total billed charges",,
"SIGMOIDOSCOPY WITH BIOPSY","45331","HCPCS","Both",,,"788","394","Medicare",,"",,"54",,"427.1","288.41","610.7","percent of total billed charges",,
"SIGMOIDOSCOPY WITH BIOPSY","45331","HCPCS","Both",,,"788","394","Humana","Medicare Advantage","",,"54",,"427.1","288.41","610.7","percent of total billed charges",,
"SIGMOIDOSCOPY WITH BIOPSY","45331","HCPCS","Both",,,"788","394","UHC","Medicare Advantage","",,"54",,"427.1","288.41","610.7","percent of total billed charges",,
"SIGMOIDOSCOPY WITH BIOPSY","45331","HCPCS","Both",,,"788","394","Clover","Medicare Advantage","",,"54",,"427.1","288.41","610.7","percent of total billed charges",,
"SIGMOIDOSCOPY WITH BIOPSY","45331","HCPCS","Both",,,"788","394","Wellcare","Medicare Advantage","",,"54",,"427.1","288.41","610.7","percent of total billed charges",,
"SIGMOIDOSCOPY WITH BIOPSY","45331","HCPCS","Both",,,"788","394","Amerigroup","Medicaid Managed Care","",,"37",,"288.41","288.41","610.7","percent of total billed charges",,
"SIGMOIDOSCOPY WITH BIOPSY","45331","HCPCS","Both",,,"788","394","Caresource","Medicaid Managed Care","",,"40",,"315.2","288.41","610.7","percent of total billed charges",,
"SIGMOIDOSCOPY WITH BIOPSY","45331","HCPCS","Both",,,"788","394","Wellcare","Medicaid Managed Care","",,"40",,"319.14","288.41","610.7","percent of total billed charges",,
"SIGMOIDOSCOPY WITH BIOPSY","45331","HCPCS","Both",,,"788","394","Aetna","Commercial","",,"64",,"502.74","288.41","610.7","percent of total billed charges",,
"SIGMOIDOSCOPY WITH BIOPSY","45331","HCPCS","Both",,,"788","394","Blue Cross Blue Shield","Pathways","",,"71",,"556.33","288.41","610.7","percent of total billed charges",,
"SIGMOIDOSCOPY WITH BIOPSY","45331","HCPCS","Both",,,"788","394","Blue Cross Blue Shield","HMO","",,"71",,"556.33","288.41","610.7","percent of total billed charges",,
"SIGMOIDOSCOPY WITH BIOPSY","45331","HCPCS","Both",,,"788","394","Blue Cross Blue Shield","PPO","",,"71",,"556.33","288.41","610.7","percent of total billed charges",,
"SIGMOIDOSCOPY WITH BIOPSY","45331","HCPCS","Both",,,"788","394","Ambetter","Health Exchange","",,"62",,"488.56","288.41","610.7","percent of total billed charges",,
"SIGMOIDOSCOPY WITH BIOPSY","45331","HCPCS","Both",,,"788","394","Caresource","Health Exchange","",,"62",,"488.56","288.41","610.7","percent of total billed charges",,
"SIGMOIDOSCOPY WITH BIOPSY","45331","HCPCS","Both",,,"788","394","Cigna","Commercial","",,"59",,"461.77","288.41","610.7","percent of total billed charges",,
"SIGMOIDOSCOPY WITH BIOPSY","45331","HCPCS","Both",,,"788","394","Humana","Commercial","",,"78",,"610.7","288.41","610.7","percent of total billed charges",,
"SIGMOIDOSCOPY WITH BIOPSY","45331","HCPCS","Both",,,"788","394","UHC","Commercial","",,"75",,"594.15","288.41","610.7","percent of total billed charges",,
"SIGMOIDOSCOPY WITH BIOPSY","45331","HCPCS","Both",,,"788","394","Medicaid",,"",,"37",,"288.41","288.41","610.7","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL TUM POLYP LESIO","45385","HCPCS","Both",,,"3015","1507.5","Alliant","Health Exchange","",,"62",,"1869.3","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL TUM POLYP LESIO","45385","HCPCS","Both",,,"3015","1507.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"1628.1","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL TUM POLYP LESIO","45385","HCPCS","Both",,,"3015","1507.5","Medicare",,"",,"54",,"1634.13","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL TUM POLYP LESIO","45385","HCPCS","Both",,,"3015","1507.5","Humana","Medicare Advantage","",,"54",,"1634.13","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL TUM POLYP LESIO","45385","HCPCS","Both",,,"3015","1507.5","UHC","Medicare Advantage","",,"54",,"1634.13","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL TUM POLYP LESIO","45385","HCPCS","Both",,,"3015","1507.5","Clover","Medicare Advantage","",,"54",,"1634.13","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL TUM POLYP LESIO","45385","HCPCS","Both",,,"3015","1507.5","Wellcare","Medicare Advantage","",,"54",,"1634.13","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL TUM POLYP LESIO","45385","HCPCS","Both",,,"3015","1507.5","Amerigroup","Medicaid Managed Care","",,"37",,"1103.49","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL TUM POLYP LESIO","45385","HCPCS","Both",,,"3015","1507.5","Caresource","Medicaid Managed Care","",,"40",,"1206","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL TUM POLYP LESIO","45385","HCPCS","Both",,,"3015","1507.5","Wellcare","Medicaid Managed Care","",,"40",,"1221.08","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL TUM POLYP LESIO","45385","HCPCS","Both",,,"3015","1507.5","Aetna","Commercial","",,"64",,"1923.57","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL TUM POLYP LESIO","45385","HCPCS","Both",,,"3015","1507.5","Blue Cross Blue Shield","Pathways","",,"71",,"2128.59","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL TUM POLYP LESIO","45385","HCPCS","Both",,,"3015","1507.5","Blue Cross Blue Shield","HMO","",,"71",,"2128.59","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL TUM POLYP LESIO","45385","HCPCS","Both",,,"3015","1507.5","Blue Cross Blue Shield","PPO","",,"71",,"2128.59","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL TUM POLYP LESIO","45385","HCPCS","Both",,,"3015","1507.5","Ambetter","Health Exchange","",,"62",,"1869.3","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL TUM POLYP LESIO","45385","HCPCS","Both",,,"3015","1507.5","Caresource","Health Exchange","",,"62",,"1869.3","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL TUM POLYP LESIO","45385","HCPCS","Both",,,"3015","1507.5","Cigna","Commercial","",,"59",,"1766.79","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL TUM POLYP LESIO","45385","HCPCS","Both",,,"3015","1507.5","Humana","Commercial","",,"78",,"2336.62","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL TUM POLYP LESIO","45385","HCPCS","Both",,,"3015","1507.5","UHC","Commercial","",,"75",,"2273.31","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL TUM POLYP LESIO","45385","HCPCS","Both",,,"3015","1507.5","Medicaid",,"",,"37",,"1103.49","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY THROUGH STOMA","44388","HCPCS","Both",,,"1295","647.5","Alliant","Health Exchange","",,"62",,"802.9","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY THROUGH STOMA","44388","HCPCS","Both",,,"1295","647.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"699.3","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY THROUGH STOMA","44388","HCPCS","Both",,,"1295","647.5","Medicare",,"",,"54",,"701.89","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY THROUGH STOMA","44388","HCPCS","Both",,,"1295","647.5","Humana","Medicare Advantage","",,"54",,"701.89","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY THROUGH STOMA","44388","HCPCS","Both",,,"1295","647.5","UHC","Medicare Advantage","",,"54",,"701.89","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY THROUGH STOMA","44388","HCPCS","Both",,,"1295","647.5","Clover","Medicare Advantage","",,"54",,"701.89","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY THROUGH STOMA","44388","HCPCS","Both",,,"1295","647.5","Wellcare","Medicare Advantage","",,"54",,"701.89","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY THROUGH STOMA","44388","HCPCS","Both",,,"1295","647.5","Amerigroup","Medicaid Managed Care","",,"37",,"473.97","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY THROUGH STOMA","44388","HCPCS","Both",,,"1295","647.5","Caresource","Medicaid Managed Care","",,"40",,"518","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY THROUGH STOMA","44388","HCPCS","Both",,,"1295","647.5","Wellcare","Medicaid Managed Care","",,"40",,"524.48","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY THROUGH STOMA","44388","HCPCS","Both",,,"1295","647.5","Aetna","Commercial","",,"64",,"826.21","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY THROUGH STOMA","44388","HCPCS","Both",,,"1295","647.5","Blue Cross Blue Shield","Pathways","",,"71",,"914.27","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY THROUGH STOMA","44388","HCPCS","Both",,,"1295","647.5","Blue Cross Blue Shield","HMO","",,"71",,"914.27","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY THROUGH STOMA","44388","HCPCS","Both",,,"1295","647.5","Blue Cross Blue Shield","PPO","",,"71",,"914.27","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY THROUGH STOMA","44388","HCPCS","Both",,,"1295","647.5","Ambetter","Health Exchange","",,"62",,"802.9","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY THROUGH STOMA","44388","HCPCS","Both",,,"1295","647.5","Caresource","Health Exchange","",,"62",,"802.9","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY THROUGH STOMA","44388","HCPCS","Both",,,"1295","647.5","Cigna","Commercial","",,"59",,"758.87","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY THROUGH STOMA","44388","HCPCS","Both",,,"1295","647.5","Humana","Commercial","",,"78",,"1003.62","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY THROUGH STOMA","44388","HCPCS","Both",,,"1295","647.5","UHC","Commercial","",,"75",,"976.43","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY THROUGH STOMA","44388","HCPCS","Both",,,"1295","647.5","Medicaid",,"",,"37",,"473.97","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY WITH REMOVAL BY HOT FORCEPS","45384","HCPCS","Both",,,"1295","647.5","Alliant","Health Exchange","",,"62",,"802.9","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY WITH REMOVAL BY HOT FORCEPS","45384","HCPCS","Both",,,"1295","647.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"699.3","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY WITH REMOVAL BY HOT FORCEPS","45384","HCPCS","Both",,,"1295","647.5","Medicare",,"",,"54",,"701.89","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY WITH REMOVAL BY HOT FORCEPS","45384","HCPCS","Both",,,"1295","647.5","Humana","Medicare Advantage","",,"54",,"701.89","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY WITH REMOVAL BY HOT FORCEPS","45384","HCPCS","Both",,,"1295","647.5","UHC","Medicare Advantage","",,"54",,"701.89","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY WITH REMOVAL BY HOT FORCEPS","45384","HCPCS","Both",,,"1295","647.5","Clover","Medicare Advantage","",,"54",,"701.89","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY WITH REMOVAL BY HOT FORCEPS","45384","HCPCS","Both",,,"1295","647.5","Wellcare","Medicare Advantage","",,"54",,"701.89","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY WITH REMOVAL BY HOT FORCEPS","45384","HCPCS","Both",,,"1295","647.5","Amerigroup","Medicaid Managed Care","",,"37",,"473.97","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY WITH REMOVAL BY HOT FORCEPS","45384","HCPCS","Both",,,"1295","647.5","Caresource","Medicaid Managed Care","",,"40",,"518","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY WITH REMOVAL BY HOT FORCEPS","45384","HCPCS","Both",,,"1295","647.5","Wellcare","Medicaid Managed Care","",,"40",,"524.48","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY WITH REMOVAL BY HOT FORCEPS","45384","HCPCS","Both",,,"1295","647.5","Aetna","Commercial","",,"64",,"826.21","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY WITH REMOVAL BY HOT FORCEPS","45384","HCPCS","Both",,,"1295","647.5","Blue Cross Blue Shield","Pathways","",,"71",,"914.27","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY WITH REMOVAL BY HOT FORCEPS","45384","HCPCS","Both",,,"1295","647.5","Blue Cross Blue Shield","HMO","",,"71",,"914.27","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY WITH REMOVAL BY HOT FORCEPS","45384","HCPCS","Both",,,"1295","647.5","Blue Cross Blue Shield","PPO","",,"71",,"914.27","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY WITH REMOVAL BY HOT FORCEPS","45384","HCPCS","Both",,,"1295","647.5","Ambetter","Health Exchange","",,"62",,"802.9","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY WITH REMOVAL BY HOT FORCEPS","45384","HCPCS","Both",,,"1295","647.5","Caresource","Health Exchange","",,"62",,"802.9","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY WITH REMOVAL BY HOT FORCEPS","45384","HCPCS","Both",,,"1295","647.5","Cigna","Commercial","",,"59",,"758.87","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY WITH REMOVAL BY HOT FORCEPS","45384","HCPCS","Both",,,"1295","647.5","Humana","Commercial","",,"78",,"1003.62","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY WITH REMOVAL BY HOT FORCEPS","45384","HCPCS","Both",,,"1295","647.5","UHC","Commercial","",,"75",,"976.43","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY WITH REMOVAL BY HOT FORCEPS","45384","HCPCS","Both",,,"1295","647.5","Medicaid",,"",,"37",,"473.97","473.97","1003.62","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","45380","HCPCS","Both",,,"3962.7","1981.35","Alliant","Health Exchange","",,"62",,"2456.87","1450.35","3071.09","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","45380","HCPCS","Both",,,"3962.7","1981.35","Pruitt Healthcare","Medicare Advantage","",,"54",,"2139.86","1450.35","3071.09","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","45380","HCPCS","Both",,,"3962.7","1981.35","Medicare",,"",,"54",,"2147.78","1450.35","3071.09","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","45380","HCPCS","Both",,,"3962.7","1981.35","Humana","Medicare Advantage","",,"54",,"2147.78","1450.35","3071.09","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","45380","HCPCS","Both",,,"3962.7","1981.35","UHC","Medicare Advantage","",,"54",,"2147.78","1450.35","3071.09","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","45380","HCPCS","Both",,,"3962.7","1981.35","Clover","Medicare Advantage","",,"54",,"2147.78","1450.35","3071.09","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","45380","HCPCS","Both",,,"3962.7","1981.35","Wellcare","Medicare Advantage","",,"54",,"2147.78","1450.35","3071.09","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","45380","HCPCS","Both",,,"3962.7","1981.35","Amerigroup","Medicaid Managed Care","",,"37",,"1450.35","1450.35","3071.09","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","45380","HCPCS","Both",,,"3962.7","1981.35","Caresource","Medicaid Managed Care","",,"40",,"1585.08","1450.35","3071.09","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","45380","HCPCS","Both",,,"3962.7","1981.35","Wellcare","Medicaid Managed Care","",,"40",,"1604.89","1450.35","3071.09","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","45380","HCPCS","Both",,,"3962.7","1981.35","Aetna","Commercial","",,"64",,"2528.2","1450.35","3071.09","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","45380","HCPCS","Both",,,"3962.7","1981.35","Blue Cross Blue Shield","Pathways","",,"71",,"2797.67","1450.35","3071.09","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","45380","HCPCS","Both",,,"3962.7","1981.35","Blue Cross Blue Shield","HMO","",,"71",,"2797.67","1450.35","3071.09","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","45380","HCPCS","Both",,,"3962.7","1981.35","Blue Cross Blue Shield","PPO","",,"71",,"2797.67","1450.35","3071.09","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","45380","HCPCS","Both",,,"3962.7","1981.35","Ambetter","Health Exchange","",,"62",,"2456.87","1450.35","3071.09","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","45380","HCPCS","Both",,,"3962.7","1981.35","Caresource","Health Exchange","",,"62",,"2456.87","1450.35","3071.09","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","45380","HCPCS","Both",,,"3962.7","1981.35","Cigna","Commercial","",,"59",,"2322.14","1450.35","3071.09","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","45380","HCPCS","Both",,,"3962.7","1981.35","Humana","Commercial","",,"78",,"3071.09","1450.35","3071.09","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","45380","HCPCS","Both",,,"3962.7","1981.35","UHC","Commercial","",,"75",,"2987.88","1450.35","3071.09","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","45380","HCPCS","Both",,,"3962.7","1981.35","Medicaid",,"",,"37",,"1450.35","1450.35","3071.09","percent of total billed charges",,
"UPPER GI WITH BIOPSY","43239","HCPCS","Both",,,"3476","1738","Alliant","Health Exchange","",,"62",,"2155.12","1272.22","2693.9","percent of total billed charges",,
"UPPER GI WITH BIOPSY","43239","HCPCS","Both",,,"3476","1738","Pruitt Healthcare","Medicare Advantage","",,"54",,"1877.04","1272.22","2693.9","percent of total billed charges",,
"UPPER GI WITH BIOPSY","43239","HCPCS","Both",,,"3476","1738","Medicare",,"",,"54",,"1883.99","1272.22","2693.9","percent of total billed charges",,
"UPPER GI WITH BIOPSY","43239","HCPCS","Both",,,"3476","1738","Humana","Medicare Advantage","",,"54",,"1883.99","1272.22","2693.9","percent of total billed charges",,
"UPPER GI WITH BIOPSY","43239","HCPCS","Both",,,"3476","1738","UHC","Medicare Advantage","",,"54",,"1883.99","1272.22","2693.9","percent of total billed charges",,
"UPPER GI WITH BIOPSY","43239","HCPCS","Both",,,"3476","1738","Clover","Medicare Advantage","",,"54",,"1883.99","1272.22","2693.9","percent of total billed charges",,
"UPPER GI WITH BIOPSY","43239","HCPCS","Both",,,"3476","1738","Wellcare","Medicare Advantage","",,"54",,"1883.99","1272.22","2693.9","percent of total billed charges",,
"UPPER GI WITH BIOPSY","43239","HCPCS","Both",,,"3476","1738","Amerigroup","Medicaid Managed Care","",,"37",,"1272.22","1272.22","2693.9","percent of total billed charges",,
"UPPER GI WITH BIOPSY","43239","HCPCS","Both",,,"3476","1738","Caresource","Medicaid Managed Care","",,"40",,"1390.4","1272.22","2693.9","percent of total billed charges",,
"UPPER GI WITH BIOPSY","43239","HCPCS","Both",,,"3476","1738","Wellcare","Medicaid Managed Care","",,"40",,"1407.78","1272.22","2693.9","percent of total billed charges",,
"UPPER GI WITH BIOPSY","43239","HCPCS","Both",,,"3476","1738","Aetna","Commercial","",,"64",,"2217.69","1272.22","2693.9","percent of total billed charges",,
"UPPER GI WITH BIOPSY","43239","HCPCS","Both",,,"3476","1738","Blue Cross Blue Shield","Pathways","",,"71",,"2454.06","1272.22","2693.9","percent of total billed charges",,
"UPPER GI WITH BIOPSY","43239","HCPCS","Both",,,"3476","1738","Blue Cross Blue Shield","HMO","",,"71",,"2454.06","1272.22","2693.9","percent of total billed charges",,
"UPPER GI WITH BIOPSY","43239","HCPCS","Both",,,"3476","1738","Blue Cross Blue Shield","PPO","",,"71",,"2454.06","1272.22","2693.9","percent of total billed charges",,
"UPPER GI WITH BIOPSY","43239","HCPCS","Both",,,"3476","1738","Ambetter","Health Exchange","",,"62",,"2155.12","1272.22","2693.9","percent of total billed charges",,
"UPPER GI WITH BIOPSY","43239","HCPCS","Both",,,"3476","1738","Caresource","Health Exchange","",,"62",,"2155.12","1272.22","2693.9","percent of total billed charges",,
"UPPER GI WITH BIOPSY","43239","HCPCS","Both",,,"3476","1738","Cigna","Commercial","",,"59",,"2036.94","1272.22","2693.9","percent of total billed charges",,
"UPPER GI WITH BIOPSY","43239","HCPCS","Both",,,"3476","1738","Humana","Commercial","",,"78",,"2693.9","1272.22","2693.9","percent of total billed charges",,
"UPPER GI WITH BIOPSY","43239","HCPCS","Both",,,"3476","1738","UHC","Commercial","",,"75",,"2620.9","1272.22","2693.9","percent of total billed charges",,
"UPPER GI WITH BIOPSY","43239","HCPCS","Both",,,"3476","1738","Medicaid",,"",,"37",,"1272.22","1272.22","2693.9","percent of total billed charges",,
"SIGMOIDOSCOPY W OR W/O SPECIMEN","45330","HCPCS","Both",,,"2390","1195","Alliant","Health Exchange","",,"62",,"1481.8","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY W OR W/O SPECIMEN","45330","HCPCS","Both",,,"2390","1195","Pruitt Healthcare","Medicare Advantage","",,"54",,"1290.6","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY W OR W/O SPECIMEN","45330","HCPCS","Both",,,"2390","1195","Medicare",,"",,"54",,"1295.38","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY W OR W/O SPECIMEN","45330","HCPCS","Both",,,"2390","1195","Humana","Medicare Advantage","",,"54",,"1295.38","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY W OR W/O SPECIMEN","45330","HCPCS","Both",,,"2390","1195","UHC","Medicare Advantage","",,"54",,"1295.38","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY W OR W/O SPECIMEN","45330","HCPCS","Both",,,"2390","1195","Clover","Medicare Advantage","",,"54",,"1295.38","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY W OR W/O SPECIMEN","45330","HCPCS","Both",,,"2390","1195","Wellcare","Medicare Advantage","",,"54",,"1295.38","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY W OR W/O SPECIMEN","45330","HCPCS","Both",,,"2390","1195","Amerigroup","Medicaid Managed Care","",,"37",,"874.74","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY W OR W/O SPECIMEN","45330","HCPCS","Both",,,"2390","1195","Caresource","Medicaid Managed Care","",,"40",,"956","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY W OR W/O SPECIMEN","45330","HCPCS","Both",,,"2390","1195","Wellcare","Medicaid Managed Care","",,"40",,"967.95","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY W OR W/O SPECIMEN","45330","HCPCS","Both",,,"2390","1195","Aetna","Commercial","",,"64",,"1524.82","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY W OR W/O SPECIMEN","45330","HCPCS","Both",,,"2390","1195","Blue Cross Blue Shield","Pathways","",,"71",,"1687.34","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY W OR W/O SPECIMEN","45330","HCPCS","Both",,,"2390","1195","Blue Cross Blue Shield","HMO","",,"71",,"1687.34","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY W OR W/O SPECIMEN","45330","HCPCS","Both",,,"2390","1195","Blue Cross Blue Shield","PPO","",,"71",,"1687.34","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY W OR W/O SPECIMEN","45330","HCPCS","Both",,,"2390","1195","Ambetter","Health Exchange","",,"62",,"1481.8","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY W OR W/O SPECIMEN","45330","HCPCS","Both",,,"2390","1195","Caresource","Health Exchange","",,"62",,"1481.8","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY W OR W/O SPECIMEN","45330","HCPCS","Both",,,"2390","1195","Cigna","Commercial","",,"59",,"1400.54","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY W OR W/O SPECIMEN","45330","HCPCS","Both",,,"2390","1195","Humana","Commercial","",,"78",,"1852.25","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY W OR W/O SPECIMEN","45330","HCPCS","Both",,,"2390","1195","UHC","Commercial","",,"75",,"1802.06","874.74","1852.25","percent of total billed charges",,
"SIGMOIDOSCOPY W OR W/O SPECIMEN","45330","HCPCS","Both",,,"2390","1195","Medicaid",,"",,"37",,"874.74","874.74","1852.25","percent of total billed charges",,
"ROCEPHIN/NS 2GM/100ML IVPB","J0696","HCPCS","Both",,,"31","15.5","Alliant","Health Exchange","",,"62",,"19.22","9.88","24.02","percent of total billed charges",,
"ROCEPHIN/NS 2GM/100ML IVPB","J0696","HCPCS","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"16.74","9.88","24.02","percent of total billed charges",,
"ROCEPHIN/NS 2GM/100ML IVPB","J0696","HCPCS","Both",,,"31","15.5","Medicare",,"",,"54",,"16.8","9.88","24.02","percent of total billed charges",,
"ROCEPHIN/NS 2GM/100ML IVPB","J0696","HCPCS","Both",,,"31","15.5","Humana","Medicare Advantage","",,"54",,"16.8","9.88","24.02","percent of total billed charges",,
"ROCEPHIN/NS 2GM/100ML IVPB","J0696","HCPCS","Both",,,"31","15.5","UHC","Medicare Advantage","",,"54",,"16.8","9.88","24.02","percent of total billed charges",,
"ROCEPHIN/NS 2GM/100ML IVPB","J0696","HCPCS","Both",,,"31","15.5","Clover","Medicare Advantage","",,"54",,"16.8","9.88","24.02","percent of total billed charges",,
"ROCEPHIN/NS 2GM/100ML IVPB","J0696","HCPCS","Both",,,"31","15.5","Wellcare","Medicare Advantage","",,"54",,"16.8","9.88","24.02","percent of total billed charges",,
"ROCEPHIN/NS 2GM/100ML IVPB","J0696","HCPCS","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care","",,"37",,"11.35","9.88","24.02","percent of total billed charges",,
"ROCEPHIN/NS 2GM/100ML IVPB","J0696","HCPCS","Both",,,"31","15.5","Caresource","Medicaid Managed Care","",,"40",,"12.4","9.88","24.02","percent of total billed charges",,
"ROCEPHIN/NS 2GM/100ML IVPB","J0696","HCPCS","Both",,,"31","15.5","Wellcare","Medicaid Managed Care","",,"40",,"12.56","9.88","24.02","percent of total billed charges",,
"ROCEPHIN/NS 2GM/100ML IVPB","J0696","HCPCS","Both",,,"31","15.5","Aetna","Commercial","",,"64",,"19.78","9.88","24.02","percent of total billed charges",,
"ROCEPHIN/NS 2GM/100ML IVPB","J0696","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways","",,"71",,"21.89","9.88","24.02","percent of total billed charges",,
"ROCEPHIN/NS 2GM/100ML IVPB","J0696","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","HMO","",,"71",,"21.89","9.88","24.02","percent of total billed charges",,
"ROCEPHIN/NS 2GM/100ML IVPB","J0696","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","PPO","",,"71",,"21.89","9.88","24.02","percent of total billed charges",,
"ROCEPHIN/NS 2GM/100ML IVPB","J0696","HCPCS","Both",,,"31","15.5","Ambetter","Health Exchange","",,"62",,"19.22","9.88","24.02","percent of total billed charges",,
"ROCEPHIN/NS 2GM/100ML IVPB","J0696","HCPCS","Both",,,"31","15.5","Caresource","Health Exchange","",,"62",,"19.22","9.88","24.02","percent of total billed charges",,
"ROCEPHIN/NS 2GM/100ML IVPB","J0696","HCPCS","Both",,,"31","15.5","Cigna","Commercial","",,"59",,"18.17","9.88","24.02","percent of total billed charges",,
"ROCEPHIN/NS 2GM/100ML IVPB","J0696","HCPCS","Both",,,"31","15.5","Humana","Commercial","",,"78",,"24.02","9.88","24.02","percent of total billed charges",,
"ROCEPHIN/NS 2GM/100ML IVPB","J0696","HCPCS","Both",,,"31","15.5","UHC","Commercial","",,"75",,"23.37","9.88","24.02","percent of total billed charges",,
"ROCEPHIN/NS 2GM/100ML IVPB","J0696","HCPCS","Both",,,"31","15.5","Medicaid",,"",,"37",,"11.35","9.88","24.02","percent of total billed charges",,
"D5W 500ML","J7042","HCPCS","Both",,,"30","15","Alliant","Health Exchange","",,"62",,"18.6","10.98","23.25","percent of total billed charges",,
"D5W 500ML","J7042","HCPCS","Both",,,"30","15","Pruitt Healthcare","Medicare Advantage","",,"54",,"16.2","10.98","23.25","percent of total billed charges",,
"D5W 500ML","J7042","HCPCS","Both",,,"30","15","Medicare",,"",,"54",,"16.26","10.98","23.25","percent of total billed charges",,
"D5W 500ML","J7042","HCPCS","Both",,,"30","15","Humana","Medicare Advantage","",,"54",,"16.26","10.98","23.25","percent of total billed charges",,
"D5W 500ML","J7042","HCPCS","Both",,,"30","15","UHC","Medicare Advantage","",,"54",,"16.26","10.98","23.25","percent of total billed charges",,
"D5W 500ML","J7042","HCPCS","Both",,,"30","15","Clover","Medicare Advantage","",,"54",,"16.26","10.98","23.25","percent of total billed charges",,
"D5W 500ML","J7042","HCPCS","Both",,,"30","15","Wellcare","Medicare Advantage","",,"54",,"16.26","10.98","23.25","percent of total billed charges",,
"D5W 500ML","J7042","HCPCS","Both",,,"30","15","Amerigroup","Medicaid Managed Care","",,"37",,"10.98","10.98","23.25","percent of total billed charges",,
"D5W 500ML","J7042","HCPCS","Both",,,"30","15","Caresource","Medicaid Managed Care","",,"40",,"12","10.98","23.25","percent of total billed charges",,
"D5W 500ML","J7042","HCPCS","Both",,,"30","15","Wellcare","Medicaid Managed Care","",,"40",,"12.15","10.98","23.25","percent of total billed charges",,
"D5W 500ML","J7042","HCPCS","Both",,,"30","15","Aetna","Commercial","",,"64",,"19.14","10.98","23.25","percent of total billed charges",,
"D5W 500ML","J7042","HCPCS","Both",,,"30","15","Blue Cross Blue Shield","Pathways","",,"71",,"21.18","10.98","23.25","percent of total billed charges",,
"D5W 500ML","J7042","HCPCS","Both",,,"30","15","Blue Cross Blue Shield","HMO","",,"71",,"21.18","10.98","23.25","percent of total billed charges",,
"D5W 500ML","J7042","HCPCS","Both",,,"30","15","Blue Cross Blue Shield","PPO","",,"71",,"21.18","10.98","23.25","percent of total billed charges",,
"D5W 500ML","J7042","HCPCS","Both",,,"30","15","Ambetter","Health Exchange","",,"62",,"18.6","10.98","23.25","percent of total billed charges",,
"D5W 500ML","J7042","HCPCS","Both",,,"30","15","Caresource","Health Exchange","",,"62",,"18.6","10.98","23.25","percent of total billed charges",,
"D5W 500ML","J7042","HCPCS","Both",,,"30","15","Cigna","Commercial","",,"59",,"17.58","10.98","23.25","percent of total billed charges",,
"D5W 500ML","J7042","HCPCS","Both",,,"30","15","Humana","Commercial","",,"78",,"23.25","10.98","23.25","percent of total billed charges",,
"D5W 500ML","J7042","HCPCS","Both",,,"30","15","UHC","Commercial","",,"75",,"22.62","10.98","23.25","percent of total billed charges",,
"D5W 500ML","J7042","HCPCS","Both",,,"30","15","Medicaid",,"",,"37",,"10.98","10.98","23.25","percent of total billed charges",,
"FLUCONAZOLE 400MG/200ML PREMIX","J1450","HCPCS","Both",,,"52","26","Alliant","Health Exchange","",,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"FLUCONAZOLE 400MG/200ML PREMIX","J1450","HCPCS","Both",,,"52","26","Pruitt Healthcare","Medicare Advantage","",,"54",,"28.08","19.03","40.3","percent of total billed charges",,
"FLUCONAZOLE 400MG/200ML PREMIX","J1450","HCPCS","Both",,,"52","26","Medicare",,"",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"FLUCONAZOLE 400MG/200ML PREMIX","J1450","HCPCS","Both",,,"52","26","Humana","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"FLUCONAZOLE 400MG/200ML PREMIX","J1450","HCPCS","Both",,,"52","26","UHC","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"FLUCONAZOLE 400MG/200ML PREMIX","J1450","HCPCS","Both",,,"52","26","Clover","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"FLUCONAZOLE 400MG/200ML PREMIX","J1450","HCPCS","Both",,,"52","26","Wellcare","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"FLUCONAZOLE 400MG/200ML PREMIX","J1450","HCPCS","Both",,,"52","26","Amerigroup","Medicaid Managed Care","",,"37",,"19.03","19.03","40.3","percent of total billed charges",,
"FLUCONAZOLE 400MG/200ML PREMIX","J1450","HCPCS","Both",,,"52","26","Caresource","Medicaid Managed Care","",,"40",,"20.8","19.03","40.3","percent of total billed charges",,
"FLUCONAZOLE 400MG/200ML PREMIX","J1450","HCPCS","Both",,,"52","26","Wellcare","Medicaid Managed Care","",,"40",,"21.06","19.03","40.3","percent of total billed charges",,
"FLUCONAZOLE 400MG/200ML PREMIX","J1450","HCPCS","Both",,,"52","26","Aetna","Commercial","",,"64",,"33.18","19.03","40.3","percent of total billed charges",,
"FLUCONAZOLE 400MG/200ML PREMIX","J1450","HCPCS","Both",,,"52","26","Blue Cross Blue Shield","Pathways","",,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"FLUCONAZOLE 400MG/200ML PREMIX","J1450","HCPCS","Both",,,"52","26","Blue Cross Blue Shield","HMO","",,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"FLUCONAZOLE 400MG/200ML PREMIX","J1450","HCPCS","Both",,,"52","26","Blue Cross Blue Shield","PPO","",,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"FLUCONAZOLE 400MG/200ML PREMIX","J1450","HCPCS","Both",,,"52","26","Ambetter","Health Exchange","",,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"FLUCONAZOLE 400MG/200ML PREMIX","J1450","HCPCS","Both",,,"52","26","Caresource","Health Exchange","",,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"FLUCONAZOLE 400MG/200ML PREMIX","J1450","HCPCS","Both",,,"52","26","Cigna","Commercial","",,"59",,"30.47","19.03","40.3","percent of total billed charges",,
"FLUCONAZOLE 400MG/200ML PREMIX","J1450","HCPCS","Both",,,"52","26","Humana","Commercial","",,"78",,"40.3","19.03","40.3","percent of total billed charges",,
"FLUCONAZOLE 400MG/200ML PREMIX","J1450","HCPCS","Both",,,"52","26","UHC","Commercial","",,"75",,"39.21","19.03","40.3","percent of total billed charges",,
"FLUCONAZOLE 400MG/200ML PREMIX","J1450","HCPCS","Both",,,"52","26","Medicaid",,"",,"37",,"19.03","19.03","40.3","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 100 MG INJ","J1650","HCPCS","Both",,,"104","52","Alliant","Health Exchange","",,"62",,"64.48","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 100 MG INJ","J1650","HCPCS","Both",,,"104","52","Pruitt Healthcare","Medicare Advantage","",,"54",,"56.16","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 100 MG INJ","J1650","HCPCS","Both",,,"104","52","Medicare",,"",,"54",,"56.37","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 100 MG INJ","J1650","HCPCS","Both",,,"104","52","Humana","Medicare Advantage","",,"54",,"56.37","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 100 MG INJ","J1650","HCPCS","Both",,,"104","52","UHC","Medicare Advantage","",,"54",,"56.37","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 100 MG INJ","J1650","HCPCS","Both",,,"104","52","Clover","Medicare Advantage","",,"54",,"56.37","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 100 MG INJ","J1650","HCPCS","Both",,,"104","52","Wellcare","Medicare Advantage","",,"54",,"56.37","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 100 MG INJ","J1650","HCPCS","Both",,,"104","52","Amerigroup","Medicaid Managed Care","",,"37",,"38.06","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 100 MG INJ","J1650","HCPCS","Both",,,"104","52","Caresource","Medicaid Managed Care","",,"40",,"41.6","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 100 MG INJ","J1650","HCPCS","Both",,,"104","52","Wellcare","Medicaid Managed Care","",,"40",,"42.12","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 100 MG INJ","J1650","HCPCS","Both",,,"104","52","Aetna","Commercial","",,"64",,"66.35","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 100 MG INJ","J1650","HCPCS","Both",,,"104","52","Blue Cross Blue Shield","Pathways","",,"71",,"73.42","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 100 MG INJ","J1650","HCPCS","Both",,,"104","52","Blue Cross Blue Shield","HMO","",,"71",,"73.42","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 100 MG INJ","J1650","HCPCS","Both",,,"104","52","Blue Cross Blue Shield","PPO","",,"71",,"73.42","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 100 MG INJ","J1650","HCPCS","Both",,,"104","52","Ambetter","Health Exchange","",,"62",,"64.48","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 100 MG INJ","J1650","HCPCS","Both",,,"104","52","Caresource","Health Exchange","",,"62",,"64.48","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 100 MG INJ","J1650","HCPCS","Both",,,"104","52","Cigna","Commercial","",,"59",,"60.94","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 100 MG INJ","J1650","HCPCS","Both",,,"104","52","Humana","Commercial","",,"78",,"80.6","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 100 MG INJ","J1650","HCPCS","Both",,,"104","52","UHC","Commercial","",,"75",,"78.42","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 100 MG INJ","J1650","HCPCS","Both",,,"104","52","Medicaid",,"",,"37",,"38.06","38.06","80.6","percent of total billed charges",,
"ST TREATMENT SPEECH INDIVIDUAL","92507","HCPCS","Both",,,"540.21","270.105","Alliant","Health Exchange","GN",,"62",,"334.93","197.72","418.66","percent of total billed charges",,
"ST TREATMENT SPEECH INDIVIDUAL","92507","HCPCS","Both",,,"540.21","270.105","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"291.71","197.72","418.66","percent of total billed charges",,
"ST TREATMENT SPEECH INDIVIDUAL","92507","HCPCS","Both",,,"540.21","270.105","Medicare",,"GN",,"54",,"292.79","197.72","418.66","percent of total billed charges",,
"ST TREATMENT SPEECH INDIVIDUAL","92507","HCPCS","Both",,,"540.21","270.105","Humana","Medicare Advantage","GN",,"54",,"292.79","197.72","418.66","percent of total billed charges",,
"ST TREATMENT SPEECH INDIVIDUAL","92507","HCPCS","Both",,,"540.21","270.105","UHC","Medicare Advantage","GN",,"54",,"292.79","197.72","418.66","percent of total billed charges",,
"ST TREATMENT SPEECH INDIVIDUAL","92507","HCPCS","Both",,,"540.21","270.105","Clover","Medicare Advantage","GN",,"54",,"292.79","197.72","418.66","percent of total billed charges",,
"ST TREATMENT SPEECH INDIVIDUAL","92507","HCPCS","Both",,,"540.21","270.105","Wellcare","Medicare Advantage","GN",,"54",,"292.79","197.72","418.66","percent of total billed charges",,
"ST TREATMENT SPEECH INDIVIDUAL","92507","HCPCS","Both",,,"540.21","270.105","Amerigroup","Medicaid Managed Care","GN",,"37",,"197.72","197.72","418.66","percent of total billed charges",,
"ST TREATMENT SPEECH INDIVIDUAL","92507","HCPCS","Both",,,"540.21","270.105","Caresource","Medicaid Managed Care","GN",,"40",,"216.08","197.72","418.66","percent of total billed charges",,
"ST TREATMENT SPEECH INDIVIDUAL","92507","HCPCS","Both",,,"540.21","270.105","Wellcare","Medicaid Managed Care","GN",,"40",,"218.79","197.72","418.66","percent of total billed charges",,
"ST TREATMENT SPEECH INDIVIDUAL","92507","HCPCS","Both",,,"540.21","270.105","Aetna","Commercial","GN",,"64",,"344.65","197.72","418.66","percent of total billed charges",,
"ST TREATMENT SPEECH INDIVIDUAL","92507","HCPCS","Both",,,"540.21","270.105","Blue Cross Blue Shield","Pathways","GN",,"71",,"381.39","197.72","418.66","percent of total billed charges",,
"ST TREATMENT SPEECH INDIVIDUAL","92507","HCPCS","Both",,,"540.21","270.105","Blue Cross Blue Shield","HMO","GN",,"71",,"381.39","197.72","418.66","percent of total billed charges",,
"ST TREATMENT SPEECH INDIVIDUAL","92507","HCPCS","Both",,,"540.21","270.105","Blue Cross Blue Shield","PPO","GN",,"71",,"381.39","197.72","418.66","percent of total billed charges",,
"ST TREATMENT SPEECH INDIVIDUAL","92507","HCPCS","Both",,,"540.21","270.105","Ambetter","Health Exchange","GN",,"62",,"334.93","197.72","418.66","percent of total billed charges",,
"ST TREATMENT SPEECH INDIVIDUAL","92507","HCPCS","Both",,,"540.21","270.105","Caresource","Health Exchange","GN",,"62",,"334.93","197.72","418.66","percent of total billed charges",,
"ST TREATMENT SPEECH INDIVIDUAL","92507","HCPCS","Both",,,"540.21","270.105","Cigna","Commercial","GN",,"59",,"316.56","197.72","418.66","percent of total billed charges",,
"ST TREATMENT SPEECH INDIVIDUAL","92507","HCPCS","Both",,,"540.21","270.105","Humana","Commercial","GN",,"78",,"418.66","197.72","418.66","percent of total billed charges",,
"ST TREATMENT SPEECH INDIVIDUAL","92507","HCPCS","Both",,,"540.21","270.105","UHC","Commercial","GN",,"75",,"407.32","197.72","418.66","percent of total billed charges",,
"ST TREATMENT SPEECH INDIVIDUAL","92507","HCPCS","Both",,,"540.21","270.105","Medicaid",,"GN",,"37",,"197.72","197.72","418.66","percent of total billed charges",,
"ST EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Alliant","Health Exchange","GN",,"62",,"126.85","74.88","158.56","percent of total billed charges",,
"ST EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"110.48","74.88","158.56","percent of total billed charges",,
"ST EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Medicare",,"GN",,"54",,"110.89","74.88","158.56","percent of total billed charges",,
"ST EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Humana","Medicare Advantage","GN",,"54",,"110.89","74.88","158.56","percent of total billed charges",,
"ST EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","UHC","Medicare Advantage","GN",,"54",,"110.89","74.88","158.56","percent of total billed charges",,
"ST EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Clover","Medicare Advantage","GN",,"54",,"110.89","74.88","158.56","percent of total billed charges",,
"ST EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Wellcare","Medicare Advantage","GN",,"54",,"110.89","74.88","158.56","percent of total billed charges",,
"ST EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Amerigroup","Medicaid Managed Care","GN",,"37",,"74.88","74.88","158.56","percent of total billed charges",,
"ST EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Caresource","Medicaid Managed Care","GN",,"40",,"81.84","74.88","158.56","percent of total billed charges",,
"ST EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Wellcare","Medicaid Managed Care","GN",,"40",,"82.86","74.88","158.56","percent of total billed charges",,
"ST EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Aetna","Commercial","GN",,"64",,"130.53","74.88","158.56","percent of total billed charges",,
"ST EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Blue Cross Blue Shield","Pathways","GN",,"71",,"144.45","74.88","158.56","percent of total billed charges",,
"ST EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Blue Cross Blue Shield","HMO","GN",,"71",,"144.45","74.88","158.56","percent of total billed charges",,
"ST EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Blue Cross Blue Shield","PPO","GN",,"71",,"144.45","74.88","158.56","percent of total billed charges",,
"ST EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Ambetter","Health Exchange","GN",,"62",,"126.85","74.88","158.56","percent of total billed charges",,
"ST EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Caresource","Health Exchange","GN",,"62",,"126.85","74.88","158.56","percent of total billed charges",,
"ST EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Cigna","Commercial","GN",,"59",,"119.9","74.88","158.56","percent of total billed charges",,
"ST EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Humana","Commercial","GN",,"78",,"158.56","74.88","158.56","percent of total billed charges",,
"ST EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","UHC","Commercial","GN",,"75",,"154.27","74.88","158.56","percent of total billed charges",,
"ST EVALUATION SPEECH FLUENCY","92521","HCPCS","Both",,,"204.6","102.3","Medicaid",,"GN",,"37",,"74.88","74.88","158.56","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PRDUCTION","92522","HCPCS","Both",,,"167","83.5","Alliant","Health Exchange","GN",,"62",,"103.54","61.12","129.43","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PRDUCTION","92522","HCPCS","Both",,,"167","83.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"90.18","61.12","129.43","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PRDUCTION","92522","HCPCS","Both",,,"167","83.5","Medicare",,"GN",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PRDUCTION","92522","HCPCS","Both",,,"167","83.5","Humana","Medicare Advantage","GN",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PRDUCTION","92522","HCPCS","Both",,,"167","83.5","UHC","Medicare Advantage","GN",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PRDUCTION","92522","HCPCS","Both",,,"167","83.5","Clover","Medicare Advantage","GN",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PRDUCTION","92522","HCPCS","Both",,,"167","83.5","Wellcare","Medicare Advantage","GN",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PRDUCTION","92522","HCPCS","Both",,,"167","83.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"61.12","61.12","129.43","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PRDUCTION","92522","HCPCS","Both",,,"167","83.5","Caresource","Medicaid Managed Care","GN",,"40",,"66.8","61.12","129.43","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PRDUCTION","92522","HCPCS","Both",,,"167","83.5","Wellcare","Medicaid Managed Care","GN",,"40",,"67.64","61.12","129.43","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PRDUCTION","92522","HCPCS","Both",,,"167","83.5","Aetna","Commercial","GN",,"64",,"106.55","61.12","129.43","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PRDUCTION","92522","HCPCS","Both",,,"167","83.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"117.9","61.12","129.43","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PRDUCTION","92522","HCPCS","Both",,,"167","83.5","Blue Cross Blue Shield","HMO","GN",,"71",,"117.9","61.12","129.43","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PRDUCTION","92522","HCPCS","Both",,,"167","83.5","Blue Cross Blue Shield","PPO","GN",,"71",,"117.9","61.12","129.43","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PRDUCTION","92522","HCPCS","Both",,,"167","83.5","Ambetter","Health Exchange","GN",,"62",,"103.54","61.12","129.43","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PRDUCTION","92522","HCPCS","Both",,,"167","83.5","Caresource","Health Exchange","GN",,"62",,"103.54","61.12","129.43","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PRDUCTION","92522","HCPCS","Both",,,"167","83.5","Cigna","Commercial","GN",,"59",,"97.86","61.12","129.43","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PRDUCTION","92522","HCPCS","Both",,,"167","83.5","Humana","Commercial","GN",,"78",,"129.43","61.12","129.43","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PRDUCTION","92522","HCPCS","Both",,,"167","83.5","UHC","Commercial","GN",,"75",,"125.92","61.12","129.43","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PRDUCTION","92522","HCPCS","Both",,,"167","83.5","Medicaid",,"GN",,"37",,"61.12","61.12","129.43","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PROD W EVAL","92523","HCPCS","Both",,,"552.48","276.24","Alliant","Health Exchange","GN",,"62",,"342.54","202.21","648.41","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PROD W EVAL","92523","HCPCS","Both",,,"552.48","276.24","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"298.34","202.21","648.41","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PROD W EVAL","92523","HCPCS","Both",,,"552.48","276.24","Medicare",,"GN",,"54",,"299.44","202.21","648.41","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PROD W EVAL","92523","HCPCS","Both",,,"552.48","276.24","Humana","Medicare Advantage","GN",,"54",,"299.44","202.21","648.41","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PROD W EVAL","92523","HCPCS","Both",,,"552.48","276.24","UHC","Medicare Advantage","GN",,"54",,"299.44","202.21","648.41","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PROD W EVAL","92523","HCPCS","Both",,,"552.48","276.24","Clover","Medicare Advantage","GN",,"54",,"299.44","202.21","648.41","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PROD W EVAL","92523","HCPCS","Both",,,"552.48","276.24","Wellcare","Medicare Advantage","GN",,"54",,"299.44","202.21","648.41","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PROD W EVAL","92523","HCPCS","Both",,,"552.48","276.24","Amerigroup","Medicaid Managed Care","GN",,"37",,"202.21","202.21","648.41","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PROD W EVAL","92523","HCPCS","Both",,,"552.48","276.24","Caresource","Medicaid Managed Care","GN",,"40",,"220.99","202.21","648.41","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PROD W EVAL","92523","HCPCS","Both",,,"552.48","276.24","Wellcare","Medicaid Managed Care","GN",,"40",,"223.75","202.21","648.41","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PROD W EVAL","92523","HCPCS","Both",,,"552.48","276.24","Aetna","Commercial","GN",,"64",,"352.48","202.21","648.41","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PROD W EVAL","92523","HCPCS","Both",,,"552.48","276.24","Blue Cross Blue Shield","Pathways","GN",,"71",,"390.05","202.21","648.41","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PROD W EVAL","92523","HCPCS","Both",,,"552.48","276.24","Blue Cross Blue Shield","HMO","GN",,"71",,"390.05","202.21","648.41","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PROD W EVAL","92523","HCPCS","Both",,,"552.48","276.24","Blue Cross Blue Shield","PPO","GN",,"71",,"390.05","202.21","648.41","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PROD W EVAL","92523","HCPCS","Both",,,"552.48","276.24","Ambetter","Health Exchange","GN",,"62",,"342.54","202.21","648.41","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PROD W EVAL","92523","HCPCS","Both",,,"552.48","276.24","Caresource","Health Exchange","GN",,"62",,"342.54","202.21","648.41","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PROD W EVAL","92523","HCPCS","Both",,,"552.48","276.24","Cigna","Commercial","GN",,"59",,"323.75","202.21","648.41","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PROD W EVAL","92523","HCPCS","Both",,,"552.48","276.24","Humana","Commercial","GN",,"78",,"428.17","202.21","648.41","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PROD W EVAL","92523","HCPCS","Both",,,"552.48","276.24","UHC","Commercial","GN",,"75",,"416.57","202.21","648.41","percent of total billed charges",,
"ST EVALUATION SPEECH SOUND PROD W EVAL","92523","HCPCS","Both",,,"552.48","276.24","Medicaid",,"GN",,"37",,"202.21","202.21","648.41","percent of total billed charges",,
"ST BEHAVIORAL and QUALITATIVE ANALYSIS","92524","HCPCS","Both",,,"173.5","86.75","Alliant","Health Exchange","GN",,"62",,"107.57","63.5","134.46","percent of total billed charges",,
"ST BEHAVIORAL and QUALITATIVE ANALYSIS","92524","HCPCS","Both",,,"173.5","86.75","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"93.69","63.5","134.46","percent of total billed charges",,
"ST BEHAVIORAL and QUALITATIVE ANALYSIS","92524","HCPCS","Both",,,"173.5","86.75","Medicare",,"GN",,"54",,"94.04","63.5","134.46","percent of total billed charges",,
"ST BEHAVIORAL and QUALITATIVE ANALYSIS","92524","HCPCS","Both",,,"173.5","86.75","Humana","Medicare Advantage","GN",,"54",,"94.04","63.5","134.46","percent of total billed charges",,
"ST BEHAVIORAL and QUALITATIVE ANALYSIS","92524","HCPCS","Both",,,"173.5","86.75","UHC","Medicare Advantage","GN",,"54",,"94.04","63.5","134.46","percent of total billed charges",,
"ST BEHAVIORAL and QUALITATIVE ANALYSIS","92524","HCPCS","Both",,,"173.5","86.75","Clover","Medicare Advantage","GN",,"54",,"94.04","63.5","134.46","percent of total billed charges",,
"ST BEHAVIORAL and QUALITATIVE ANALYSIS","92524","HCPCS","Both",,,"173.5","86.75","Wellcare","Medicare Advantage","GN",,"54",,"94.04","63.5","134.46","percent of total billed charges",,
"ST BEHAVIORAL and QUALITATIVE ANALYSIS","92524","HCPCS","Both",,,"173.5","86.75","Amerigroup","Medicaid Managed Care","GN",,"37",,"63.5","63.5","134.46","percent of total billed charges",,
"ST BEHAVIORAL and QUALITATIVE ANALYSIS","92524","HCPCS","Both",,,"173.5","86.75","Caresource","Medicaid Managed Care","GN",,"40",,"69.4","63.5","134.46","percent of total billed charges",,
"ST BEHAVIORAL and QUALITATIVE ANALYSIS","92524","HCPCS","Both",,,"173.5","86.75","Wellcare","Medicaid Managed Care","GN",,"40",,"70.27","63.5","134.46","percent of total billed charges",,
"ST BEHAVIORAL and QUALITATIVE ANALYSIS","92524","HCPCS","Both",,,"173.5","86.75","Aetna","Commercial","GN",,"64",,"110.69","63.5","134.46","percent of total billed charges",,
"ST BEHAVIORAL and QUALITATIVE ANALYSIS","92524","HCPCS","Both",,,"173.5","86.75","Blue Cross Blue Shield","Pathways","GN",,"71",,"122.49","63.5","134.46","percent of total billed charges",,
"ST BEHAVIORAL and QUALITATIVE ANALYSIS","92524","HCPCS","Both",,,"173.5","86.75","Blue Cross Blue Shield","HMO","GN",,"71",,"122.49","63.5","134.46","percent of total billed charges",,
"ST BEHAVIORAL and QUALITATIVE ANALYSIS","92524","HCPCS","Both",,,"173.5","86.75","Blue Cross Blue Shield","PPO","GN",,"71",,"122.49","63.5","134.46","percent of total billed charges",,
"ST BEHAVIORAL and QUALITATIVE ANALYSIS","92524","HCPCS","Both",,,"173.5","86.75","Ambetter","Health Exchange","GN",,"62",,"107.57","63.5","134.46","percent of total billed charges",,
"ST BEHAVIORAL and QUALITATIVE ANALYSIS","92524","HCPCS","Both",,,"173.5","86.75","Caresource","Health Exchange","GN",,"62",,"107.57","63.5","134.46","percent of total billed charges",,
"ST BEHAVIORAL and QUALITATIVE ANALYSIS","92524","HCPCS","Both",,,"173.5","86.75","Cigna","Commercial","GN",,"59",,"101.67","63.5","134.46","percent of total billed charges",,
"ST BEHAVIORAL and QUALITATIVE ANALYSIS","92524","HCPCS","Both",,,"173.5","86.75","Humana","Commercial","GN",,"78",,"134.46","63.5","134.46","percent of total billed charges",,
"ST BEHAVIORAL and QUALITATIVE ANALYSIS","92524","HCPCS","Both",,,"173.5","86.75","UHC","Commercial","GN",,"75",,"130.82","63.5","134.46","percent of total billed charges",,
"ST BEHAVIORAL and QUALITATIVE ANALYSIS","92524","HCPCS","Both",,,"173.5","86.75","Medicaid",,"GN",,"37",,"63.5","63.5","134.46","percent of total billed charges",,
"ST TREATMENT SWALLOWING DYSFUNCTION","92526","HCPCS","Both",,,"286.5","143.25","Alliant","Health Exchange","GN",,"62",,"177.63","104.86","222.04","percent of total billed charges",,
"ST TREATMENT SWALLOWING DYSFUNCTION","92526","HCPCS","Both",,,"286.5","143.25","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"154.71","104.86","222.04","percent of total billed charges",,
"ST TREATMENT SWALLOWING DYSFUNCTION","92526","HCPCS","Both",,,"286.5","143.25","Medicare",,"GN",,"54",,"155.28","104.86","222.04","percent of total billed charges",,
"ST TREATMENT SWALLOWING DYSFUNCTION","92526","HCPCS","Both",,,"286.5","143.25","Humana","Medicare Advantage","GN",,"54",,"155.28","104.86","222.04","percent of total billed charges",,
"ST TREATMENT SWALLOWING DYSFUNCTION","92526","HCPCS","Both",,,"286.5","143.25","UHC","Medicare Advantage","GN",,"54",,"155.28","104.86","222.04","percent of total billed charges",,
"ST TREATMENT SWALLOWING DYSFUNCTION","92526","HCPCS","Both",,,"286.5","143.25","Clover","Medicare Advantage","GN",,"54",,"155.28","104.86","222.04","percent of total billed charges",,
"ST TREATMENT SWALLOWING DYSFUNCTION","92526","HCPCS","Both",,,"286.5","143.25","Wellcare","Medicare Advantage","GN",,"54",,"155.28","104.86","222.04","percent of total billed charges",,
"ST TREATMENT SWALLOWING DYSFUNCTION","92526","HCPCS","Both",,,"286.5","143.25","Amerigroup","Medicaid Managed Care","GN",,"37",,"104.86","104.86","222.04","percent of total billed charges",,
"ST TREATMENT SWALLOWING DYSFUNCTION","92526","HCPCS","Both",,,"286.5","143.25","Caresource","Medicaid Managed Care","GN",,"40",,"114.6","104.86","222.04","percent of total billed charges",,
"ST TREATMENT SWALLOWING DYSFUNCTION","92526","HCPCS","Both",,,"286.5","143.25","Wellcare","Medicaid Managed Care","GN",,"40",,"116.03","104.86","222.04","percent of total billed charges",,
"ST TREATMENT SWALLOWING DYSFUNCTION","92526","HCPCS","Both",,,"286.5","143.25","Aetna","Commercial","GN",,"64",,"182.79","104.86","222.04","percent of total billed charges",,
"ST TREATMENT SWALLOWING DYSFUNCTION","92526","HCPCS","Both",,,"286.5","143.25","Blue Cross Blue Shield","Pathways","GN",,"71",,"202.27","104.86","222.04","percent of total billed charges",,
"ST TREATMENT SWALLOWING DYSFUNCTION","92526","HCPCS","Both",,,"286.5","143.25","Blue Cross Blue Shield","HMO","GN",,"71",,"202.27","104.86","222.04","percent of total billed charges",,
"ST TREATMENT SWALLOWING DYSFUNCTION","92526","HCPCS","Both",,,"286.5","143.25","Blue Cross Blue Shield","PPO","GN",,"71",,"202.27","104.86","222.04","percent of total billed charges",,
"ST TREATMENT SWALLOWING DYSFUNCTION","92526","HCPCS","Both",,,"286.5","143.25","Ambetter","Health Exchange","GN",,"62",,"177.63","104.86","222.04","percent of total billed charges",,
"ST TREATMENT SWALLOWING DYSFUNCTION","92526","HCPCS","Both",,,"286.5","143.25","Caresource","Health Exchange","GN",,"62",,"177.63","104.86","222.04","percent of total billed charges",,
"ST TREATMENT SWALLOWING DYSFUNCTION","92526","HCPCS","Both",,,"286.5","143.25","Cigna","Commercial","GN",,"59",,"167.89","104.86","222.04","percent of total billed charges",,
"ST TREATMENT SWALLOWING DYSFUNCTION","92526","HCPCS","Both",,,"286.5","143.25","Humana","Commercial","GN",,"78",,"222.04","104.86","222.04","percent of total billed charges",,
"ST TREATMENT SWALLOWING DYSFUNCTION","92526","HCPCS","Both",,,"286.5","143.25","UHC","Commercial","GN",,"75",,"216.02","104.86","222.04","percent of total billed charges",,
"ST TREATMENT SWALLOWING DYSFUNCTION","92526","HCPCS","Both",,,"286.5","143.25","Medicaid",,"GN",,"37",,"104.86","104.86","222.04","percent of total billed charges",,
"ST EVALUATION FOR PRESCRIPT SPEECH DEV","92607","HCPCS","Both",,,"232","116","Alliant","Health Exchange","GN",,"62",,"143.84","84.91","179.8","percent of total billed charges",,
"ST EVALUATION FOR PRESCRIPT SPEECH DEV","92607","HCPCS","Both",,,"232","116","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"125.28","84.91","179.8","percent of total billed charges",,
"ST EVALUATION FOR PRESCRIPT SPEECH DEV","92607","HCPCS","Both",,,"232","116","Medicare",,"GN",,"54",,"125.74","84.91","179.8","percent of total billed charges",,
"ST EVALUATION FOR PRESCRIPT SPEECH DEV","92607","HCPCS","Both",,,"232","116","Humana","Medicare Advantage","GN",,"54",,"125.74","84.91","179.8","percent of total billed charges",,
"ST EVALUATION FOR PRESCRIPT SPEECH DEV","92607","HCPCS","Both",,,"232","116","UHC","Medicare Advantage","GN",,"54",,"125.74","84.91","179.8","percent of total billed charges",,
"ST EVALUATION FOR PRESCRIPT SPEECH DEV","92607","HCPCS","Both",,,"232","116","Clover","Medicare Advantage","GN",,"54",,"125.74","84.91","179.8","percent of total billed charges",,
"ST EVALUATION FOR PRESCRIPT SPEECH DEV","92607","HCPCS","Both",,,"232","116","Wellcare","Medicare Advantage","GN",,"54",,"125.74","84.91","179.8","percent of total billed charges",,
"ST EVALUATION FOR PRESCRIPT SPEECH DEV","92607","HCPCS","Both",,,"232","116","Amerigroup","Medicaid Managed Care","GN",,"37",,"84.91","84.91","179.8","percent of total billed charges",,
"ST EVALUATION FOR PRESCRIPT SPEECH DEV","92607","HCPCS","Both",,,"232","116","Caresource","Medicaid Managed Care","GN",,"40",,"92.8","84.91","179.8","percent of total billed charges",,
"ST EVALUATION FOR PRESCRIPT SPEECH DEV","92607","HCPCS","Both",,,"232","116","Wellcare","Medicaid Managed Care","GN",,"40",,"93.96","84.91","179.8","percent of total billed charges",,
"ST EVALUATION FOR PRESCRIPT SPEECH DEV","92607","HCPCS","Both",,,"232","116","Aetna","Commercial","GN",,"64",,"148.02","84.91","179.8","percent of total billed charges",,
"ST EVALUATION FOR PRESCRIPT SPEECH DEV","92607","HCPCS","Both",,,"232","116","Blue Cross Blue Shield","Pathways","GN",,"71",,"163.79","84.91","179.8","percent of total billed charges",,
"ST EVALUATION FOR PRESCRIPT SPEECH DEV","92607","HCPCS","Both",,,"232","116","Blue Cross Blue Shield","HMO","GN",,"71",,"163.79","84.91","179.8","percent of total billed charges",,
"ST EVALUATION FOR PRESCRIPT SPEECH DEV","92607","HCPCS","Both",,,"232","116","Blue Cross Blue Shield","PPO","GN",,"71",,"163.79","84.91","179.8","percent of total billed charges",,
"ST EVALUATION FOR PRESCRIPT SPEECH DEV","92607","HCPCS","Both",,,"232","116","Ambetter","Health Exchange","GN",,"62",,"143.84","84.91","179.8","percent of total billed charges",,
"ST EVALUATION FOR PRESCRIPT SPEECH DEV","92607","HCPCS","Both",,,"232","116","Caresource","Health Exchange","GN",,"62",,"143.84","84.91","179.8","percent of total billed charges",,
"ST EVALUATION FOR PRESCRIPT SPEECH DEV","92607","HCPCS","Both",,,"232","116","Cigna","Commercial","GN",,"59",,"135.95","84.91","179.8","percent of total billed charges",,
"ST EVALUATION FOR PRESCRIPT SPEECH DEV","92607","HCPCS","Both",,,"232","116","Humana","Commercial","GN",,"78",,"179.8","84.91","179.8","percent of total billed charges",,
"ST EVALUATION FOR PRESCRIPT SPEECH DEV","92607","HCPCS","Both",,,"232","116","UHC","Commercial","GN",,"75",,"174.93","84.91","179.8","percent of total billed charges",,
"ST EVALUATION FOR PRESCRIPT SPEECH DEV","92607","HCPCS","Both",,,"232","116","Medicaid",,"GN",,"37",,"84.91","84.91","179.8","percent of total billed charges",,
"ST EVAL  PRESCRIPT SPCH DEV ea addL 30","92608","HCPCS","Both",,,"96.5","48.25","Alliant","Health Exchange","GN",,"62",,"59.83","35.32","74.79","percent of total billed charges",,
"ST EVAL  PRESCRIPT SPCH DEV ea addL 30","92608","HCPCS","Both",,,"96.5","48.25","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"52.11","35.32","74.79","percent of total billed charges",,
"ST EVAL  PRESCRIPT SPCH DEV ea addL 30","92608","HCPCS","Both",,,"96.5","48.25","Medicare",,"GN",,"54",,"52.3","35.32","74.79","percent of total billed charges",,
"ST EVAL  PRESCRIPT SPCH DEV ea addL 30","92608","HCPCS","Both",,,"96.5","48.25","Humana","Medicare Advantage","GN",,"54",,"52.3","35.32","74.79","percent of total billed charges",,
"ST EVAL  PRESCRIPT SPCH DEV ea addL 30","92608","HCPCS","Both",,,"96.5","48.25","UHC","Medicare Advantage","GN",,"54",,"52.3","35.32","74.79","percent of total billed charges",,
"ST EVAL  PRESCRIPT SPCH DEV ea addL 30","92608","HCPCS","Both",,,"96.5","48.25","Clover","Medicare Advantage","GN",,"54",,"52.3","35.32","74.79","percent of total billed charges",,
"ST EVAL  PRESCRIPT SPCH DEV ea addL 30","92608","HCPCS","Both",,,"96.5","48.25","Wellcare","Medicare Advantage","GN",,"54",,"52.3","35.32","74.79","percent of total billed charges",,
"ST EVAL  PRESCRIPT SPCH DEV ea addL 30","92608","HCPCS","Both",,,"96.5","48.25","Amerigroup","Medicaid Managed Care","GN",,"37",,"35.32","35.32","74.79","percent of total billed charges",,
"ST EVAL  PRESCRIPT SPCH DEV ea addL 30","92608","HCPCS","Both",,,"96.5","48.25","Caresource","Medicaid Managed Care","GN",,"40",,"38.6","35.32","74.79","percent of total billed charges",,
"ST EVAL  PRESCRIPT SPCH DEV ea addL 30","92608","HCPCS","Both",,,"96.5","48.25","Wellcare","Medicaid Managed Care","GN",,"40",,"39.08","35.32","74.79","percent of total billed charges",,
"ST EVAL  PRESCRIPT SPCH DEV ea addL 30","92608","HCPCS","Both",,,"96.5","48.25","Aetna","Commercial","GN",,"64",,"61.57","35.32","74.79","percent of total billed charges",,
"ST EVAL  PRESCRIPT SPCH DEV ea addL 30","92608","HCPCS","Both",,,"96.5","48.25","Blue Cross Blue Shield","Pathways","GN",,"71",,"68.13","35.32","74.79","percent of total billed charges",,
"ST EVAL  PRESCRIPT SPCH DEV ea addL 30","92608","HCPCS","Both",,,"96.5","48.25","Blue Cross Blue Shield","HMO","GN",,"71",,"68.13","35.32","74.79","percent of total billed charges",,
"ST EVAL  PRESCRIPT SPCH DEV ea addL 30","92608","HCPCS","Both",,,"96.5","48.25","Blue Cross Blue Shield","PPO","GN",,"71",,"68.13","35.32","74.79","percent of total billed charges",,
"ST EVAL  PRESCRIPT SPCH DEV ea addL 30","92608","HCPCS","Both",,,"96.5","48.25","Ambetter","Health Exchange","GN",,"62",,"59.83","35.32","74.79","percent of total billed charges",,
"ST EVAL  PRESCRIPT SPCH DEV ea addL 30","92608","HCPCS","Both",,,"96.5","48.25","Caresource","Health Exchange","GN",,"62",,"59.83","35.32","74.79","percent of total billed charges",,
"ST EVAL  PRESCRIPT SPCH DEV ea addL 30","92608","HCPCS","Both",,,"96.5","48.25","Cigna","Commercial","GN",,"59",,"56.55","35.32","74.79","percent of total billed charges",,
"ST EVAL  PRESCRIPT SPCH DEV ea addL 30","92608","HCPCS","Both",,,"96.5","48.25","Humana","Commercial","GN",,"78",,"74.79","35.32","74.79","percent of total billed charges",,
"ST EVAL  PRESCRIPT SPCH DEV ea addL 30","92608","HCPCS","Both",,,"96.5","48.25","UHC","Commercial","GN",,"75",,"72.76","35.32","74.79","percent of total billed charges",,
"ST EVAL  PRESCRIPT SPCH DEV ea addL 30","92608","HCPCS","Both",,,"96.5","48.25","Medicaid",,"GN",,"37",,"35.32","35.32","74.79","percent of total billed charges",,
"ST THERAPEUTIC SERVICES SPEECH DEVICE","92609","HCPCS","Both",,,"200.5","100.25","Alliant","Health Exchange","GN",,"62",,"124.31","73.38","155.39","percent of total billed charges",,
"ST THERAPEUTIC SERVICES SPEECH DEVICE","92609","HCPCS","Both",,,"200.5","100.25","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"108.27","73.38","155.39","percent of total billed charges",,
"ST THERAPEUTIC SERVICES SPEECH DEVICE","92609","HCPCS","Both",,,"200.5","100.25","Medicare",,"GN",,"54",,"108.67","73.38","155.39","percent of total billed charges",,
"ST THERAPEUTIC SERVICES SPEECH DEVICE","92609","HCPCS","Both",,,"200.5","100.25","Humana","Medicare Advantage","GN",,"54",,"108.67","73.38","155.39","percent of total billed charges",,
"ST THERAPEUTIC SERVICES SPEECH DEVICE","92609","HCPCS","Both",,,"200.5","100.25","UHC","Medicare Advantage","GN",,"54",,"108.67","73.38","155.39","percent of total billed charges",,
"ST THERAPEUTIC SERVICES SPEECH DEVICE","92609","HCPCS","Both",,,"200.5","100.25","Clover","Medicare Advantage","GN",,"54",,"108.67","73.38","155.39","percent of total billed charges",,
"ST THERAPEUTIC SERVICES SPEECH DEVICE","92609","HCPCS","Both",,,"200.5","100.25","Wellcare","Medicare Advantage","GN",,"54",,"108.67","73.38","155.39","percent of total billed charges",,
"ST THERAPEUTIC SERVICES SPEECH DEVICE","92609","HCPCS","Both",,,"200.5","100.25","Amerigroup","Medicaid Managed Care","GN",,"37",,"73.38","73.38","155.39","percent of total billed charges",,
"ST THERAPEUTIC SERVICES SPEECH DEVICE","92609","HCPCS","Both",,,"200.5","100.25","Caresource","Medicaid Managed Care","GN",,"40",,"80.2","73.38","155.39","percent of total billed charges",,
"ST THERAPEUTIC SERVICES SPEECH DEVICE","92609","HCPCS","Both",,,"200.5","100.25","Wellcare","Medicaid Managed Care","GN",,"40",,"81.2","73.38","155.39","percent of total billed charges",,
"ST THERAPEUTIC SERVICES SPEECH DEVICE","92609","HCPCS","Both",,,"200.5","100.25","Aetna","Commercial","GN",,"64",,"127.92","73.38","155.39","percent of total billed charges",,
"ST THERAPEUTIC SERVICES SPEECH DEVICE","92609","HCPCS","Both",,,"200.5","100.25","Blue Cross Blue Shield","Pathways","GN",,"71",,"141.55","73.38","155.39","percent of total billed charges",,
"ST THERAPEUTIC SERVICES SPEECH DEVICE","92609","HCPCS","Both",,,"200.5","100.25","Blue Cross Blue Shield","HMO","GN",,"71",,"141.55","73.38","155.39","percent of total billed charges",,
"ST THERAPEUTIC SERVICES SPEECH DEVICE","92609","HCPCS","Both",,,"200.5","100.25","Blue Cross Blue Shield","PPO","GN",,"71",,"141.55","73.38","155.39","percent of total billed charges",,
"ST THERAPEUTIC SERVICES SPEECH DEVICE","92609","HCPCS","Both",,,"200.5","100.25","Ambetter","Health Exchange","GN",,"62",,"124.31","73.38","155.39","percent of total billed charges",,
"ST THERAPEUTIC SERVICES SPEECH DEVICE","92609","HCPCS","Both",,,"200.5","100.25","Caresource","Health Exchange","GN",,"62",,"124.31","73.38","155.39","percent of total billed charges",,
"ST THERAPEUTIC SERVICES SPEECH DEVICE","92609","HCPCS","Both",,,"200.5","100.25","Cigna","Commercial","GN",,"59",,"117.49","73.38","155.39","percent of total billed charges",,
"ST THERAPEUTIC SERVICES SPEECH DEVICE","92609","HCPCS","Both",,,"200.5","100.25","Humana","Commercial","GN",,"78",,"155.39","73.38","155.39","percent of total billed charges",,
"ST THERAPEUTIC SERVICES SPEECH DEVICE","92609","HCPCS","Both",,,"200.5","100.25","UHC","Commercial","GN",,"75",,"151.18","73.38","155.39","percent of total billed charges",,
"ST THERAPEUTIC SERVICES SPEECH DEVICE","92609","HCPCS","Both",,,"200.5","100.25","Medicaid",,"GN",,"37",,"73.38","73.38","155.39","percent of total billed charges",,
"ST EVALUATION ORAL and PHARYNGEAL SWALLO","92610","HCPCS","Both",,,"99","49.5","Alliant","Health Exchange","GN",,"62",,"61.38","36.23","76.73","percent of total billed charges",,
"ST EVALUATION ORAL and PHARYNGEAL SWALLO","92610","HCPCS","Both",,,"99","49.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"53.46","36.23","76.73","percent of total billed charges",,
"ST EVALUATION ORAL and PHARYNGEAL SWALLO","92610","HCPCS","Both",,,"99","49.5","Medicare",,"GN",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"ST EVALUATION ORAL and PHARYNGEAL SWALLO","92610","HCPCS","Both",,,"99","49.5","Humana","Medicare Advantage","GN",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"ST EVALUATION ORAL and PHARYNGEAL SWALLO","92610","HCPCS","Both",,,"99","49.5","UHC","Medicare Advantage","GN",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"ST EVALUATION ORAL and PHARYNGEAL SWALLO","92610","HCPCS","Both",,,"99","49.5","Clover","Medicare Advantage","GN",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"ST EVALUATION ORAL and PHARYNGEAL SWALLO","92610","HCPCS","Both",,,"99","49.5","Wellcare","Medicare Advantage","GN",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"ST EVALUATION ORAL and PHARYNGEAL SWALLO","92610","HCPCS","Both",,,"99","49.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"36.23","36.23","76.73","percent of total billed charges",,
"ST EVALUATION ORAL and PHARYNGEAL SWALLO","92610","HCPCS","Both",,,"99","49.5","Caresource","Medicaid Managed Care","GN",,"40",,"39.6","36.23","76.73","percent of total billed charges",,
"ST EVALUATION ORAL and PHARYNGEAL SWALLO","92610","HCPCS","Both",,,"99","49.5","Wellcare","Medicaid Managed Care","GN",,"40",,"40.1","36.23","76.73","percent of total billed charges",,
"ST EVALUATION ORAL and PHARYNGEAL SWALLO","92610","HCPCS","Both",,,"99","49.5","Aetna","Commercial","GN",,"64",,"63.16","36.23","76.73","percent of total billed charges",,
"ST EVALUATION ORAL and PHARYNGEAL SWALLO","92610","HCPCS","Both",,,"99","49.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"69.89","36.23","76.73","percent of total billed charges",,
"ST EVALUATION ORAL and PHARYNGEAL SWALLO","92610","HCPCS","Both",,,"99","49.5","Blue Cross Blue Shield","HMO","GN",,"71",,"69.89","36.23","76.73","percent of total billed charges",,
"ST EVALUATION ORAL and PHARYNGEAL SWALLO","92610","HCPCS","Both",,,"99","49.5","Blue Cross Blue Shield","PPO","GN",,"71",,"69.89","36.23","76.73","percent of total billed charges",,
"ST EVALUATION ORAL and PHARYNGEAL SWALLO","92610","HCPCS","Both",,,"99","49.5","Ambetter","Health Exchange","GN",,"62",,"61.38","36.23","76.73","percent of total billed charges",,
"ST EVALUATION ORAL and PHARYNGEAL SWALLO","92610","HCPCS","Both",,,"99","49.5","Caresource","Health Exchange","GN",,"62",,"61.38","36.23","76.73","percent of total billed charges",,
"ST EVALUATION ORAL and PHARYNGEAL SWALLO","92610","HCPCS","Both",,,"99","49.5","Cigna","Commercial","GN",,"59",,"58.01","36.23","76.73","percent of total billed charges",,
"ST EVALUATION ORAL and PHARYNGEAL SWALLO","92610","HCPCS","Both",,,"99","49.5","Humana","Commercial","GN",,"78",,"76.73","36.23","76.73","percent of total billed charges",,
"ST EVALUATION ORAL and PHARYNGEAL SWALLO","92610","HCPCS","Both",,,"99","49.5","UHC","Commercial","GN",,"75",,"74.65","36.23","76.73","percent of total billed charges",,
"ST EVALUATION ORAL and PHARYNGEAL SWALLO","92610","HCPCS","Both",,,"99","49.5","Medicaid",,"GN",,"37",,"36.23","36.23","76.73","percent of total billed charges",,
"ST MOTION FLUROSCOPIC EVAL SWALL FUNCT","92611","HCPCS","Both",,,"164.5","82.25","Alliant","Health Exchange","GN",,"62",,"101.99","60.21","127.49","percent of total billed charges",,
"ST MOTION FLUROSCOPIC EVAL SWALL FUNCT","92611","HCPCS","Both",,,"164.5","82.25","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"88.83","60.21","127.49","percent of total billed charges",,
"ST MOTION FLUROSCOPIC EVAL SWALL FUNCT","92611","HCPCS","Both",,,"164.5","82.25","Medicare",,"GN",,"54",,"89.16","60.21","127.49","percent of total billed charges",,
"ST MOTION FLUROSCOPIC EVAL SWALL FUNCT","92611","HCPCS","Both",,,"164.5","82.25","Humana","Medicare Advantage","GN",,"54",,"89.16","60.21","127.49","percent of total billed charges",,
"ST MOTION FLUROSCOPIC EVAL SWALL FUNCT","92611","HCPCS","Both",,,"164.5","82.25","UHC","Medicare Advantage","GN",,"54",,"89.16","60.21","127.49","percent of total billed charges",,
"ST MOTION FLUROSCOPIC EVAL SWALL FUNCT","92611","HCPCS","Both",,,"164.5","82.25","Clover","Medicare Advantage","GN",,"54",,"89.16","60.21","127.49","percent of total billed charges",,
"ST MOTION FLUROSCOPIC EVAL SWALL FUNCT","92611","HCPCS","Both",,,"164.5","82.25","Wellcare","Medicare Advantage","GN",,"54",,"89.16","60.21","127.49","percent of total billed charges",,
"ST MOTION FLUROSCOPIC EVAL SWALL FUNCT","92611","HCPCS","Both",,,"164.5","82.25","Amerigroup","Medicaid Managed Care","GN",,"37",,"60.21","60.21","127.49","percent of total billed charges",,
"ST MOTION FLUROSCOPIC EVAL SWALL FUNCT","92611","HCPCS","Both",,,"164.5","82.25","Caresource","Medicaid Managed Care","GN",,"40",,"65.8","60.21","127.49","percent of total billed charges",,
"ST MOTION FLUROSCOPIC EVAL SWALL FUNCT","92611","HCPCS","Both",,,"164.5","82.25","Wellcare","Medicaid Managed Care","GN",,"40",,"66.62","60.21","127.49","percent of total billed charges",,
"ST MOTION FLUROSCOPIC EVAL SWALL FUNCT","92611","HCPCS","Both",,,"164.5","82.25","Aetna","Commercial","GN",,"64",,"104.95","60.21","127.49","percent of total billed charges",,
"ST MOTION FLUROSCOPIC EVAL SWALL FUNCT","92611","HCPCS","Both",,,"164.5","82.25","Blue Cross Blue Shield","Pathways","GN",,"71",,"116.14","60.21","127.49","percent of total billed charges",,
"ST MOTION FLUROSCOPIC EVAL SWALL FUNCT","92611","HCPCS","Both",,,"164.5","82.25","Blue Cross Blue Shield","HMO","GN",,"71",,"116.14","60.21","127.49","percent of total billed charges",,
"ST MOTION FLUROSCOPIC EVAL SWALL FUNCT","92611","HCPCS","Both",,,"164.5","82.25","Blue Cross Blue Shield","PPO","GN",,"71",,"116.14","60.21","127.49","percent of total billed charges",,
"ST MOTION FLUROSCOPIC EVAL SWALL FUNCT","92611","HCPCS","Both",,,"164.5","82.25","Ambetter","Health Exchange","GN",,"62",,"101.99","60.21","127.49","percent of total billed charges",,
"ST MOTION FLUROSCOPIC EVAL SWALL FUNCT","92611","HCPCS","Both",,,"164.5","82.25","Caresource","Health Exchange","GN",,"62",,"101.99","60.21","127.49","percent of total billed charges",,
"ST MOTION FLUROSCOPIC EVAL SWALL FUNCT","92611","HCPCS","Both",,,"164.5","82.25","Cigna","Commercial","GN",,"59",,"96.4","60.21","127.49","percent of total billed charges",,
"ST MOTION FLUROSCOPIC EVAL SWALL FUNCT","92611","HCPCS","Both",,,"164.5","82.25","Humana","Commercial","GN",,"78",,"127.49","60.21","127.49","percent of total billed charges",,
"ST MOTION FLUROSCOPIC EVAL SWALL FUNCT","92611","HCPCS","Both",,,"164.5","82.25","UHC","Commercial","GN",,"75",,"124.03","60.21","127.49","percent of total billed charges",,
"ST MOTION FLUROSCOPIC EVAL SWALL FUNCT","92611","HCPCS","Both",,,"164.5","82.25","Medicaid",,"GN",,"37",,"60.21","60.21","127.49","percent of total billed charges",,
"ST EVAL AUDITORY REHAB STATUS 1st h","92626","HCPCS","Both",,,"141","70.5","Alliant","Health Exchange","GN",,"62",,"87.42","51.61","109.28","percent of total billed charges",,
"ST EVAL AUDITORY REHAB STATUS 1st h","92626","HCPCS","Both",,,"141","70.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"76.14","51.61","109.28","percent of total billed charges",,
"ST EVAL AUDITORY REHAB STATUS 1st h","92626","HCPCS","Both",,,"141","70.5","Medicare",,"GN",,"54",,"76.42","51.61","109.28","percent of total billed charges",,
"ST EVAL AUDITORY REHAB STATUS 1st h","92626","HCPCS","Both",,,"141","70.5","Humana","Medicare Advantage","GN",,"54",,"76.42","51.61","109.28","percent of total billed charges",,
"ST EVAL AUDITORY REHAB STATUS 1st h","92626","HCPCS","Both",,,"141","70.5","UHC","Medicare Advantage","GN",,"54",,"76.42","51.61","109.28","percent of total billed charges",,
"ST EVAL AUDITORY REHAB STATUS 1st h","92626","HCPCS","Both",,,"141","70.5","Clover","Medicare Advantage","GN",,"54",,"76.42","51.61","109.28","percent of total billed charges",,
"ST EVAL AUDITORY REHAB STATUS 1st h","92626","HCPCS","Both",,,"141","70.5","Wellcare","Medicare Advantage","GN",,"54",,"76.42","51.61","109.28","percent of total billed charges",,
"ST EVAL AUDITORY REHAB STATUS 1st h","92626","HCPCS","Both",,,"141","70.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"51.61","51.61","109.28","percent of total billed charges",,
"ST EVAL AUDITORY REHAB STATUS 1st h","92626","HCPCS","Both",,,"141","70.5","Caresource","Medicaid Managed Care","GN",,"40",,"56.4","51.61","109.28","percent of total billed charges",,
"ST EVAL AUDITORY REHAB STATUS 1st h","92626","HCPCS","Both",,,"141","70.5","Wellcare","Medicaid Managed Care","GN",,"40",,"57.1","51.61","109.28","percent of total billed charges",,
"ST EVAL AUDITORY REHAB STATUS 1st h","92626","HCPCS","Both",,,"141","70.5","Aetna","Commercial","GN",,"64",,"89.96","51.61","109.28","percent of total billed charges",,
"ST EVAL AUDITORY REHAB STATUS 1st h","92626","HCPCS","Both",,,"141","70.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"99.55","51.61","109.28","percent of total billed charges",,
"ST EVAL AUDITORY REHAB STATUS 1st h","92626","HCPCS","Both",,,"141","70.5","Blue Cross Blue Shield","HMO","GN",,"71",,"99.55","51.61","109.28","percent of total billed charges",,
"ST EVAL AUDITORY REHAB STATUS 1st h","92626","HCPCS","Both",,,"141","70.5","Blue Cross Blue Shield","PPO","GN",,"71",,"99.55","51.61","109.28","percent of total billed charges",,
"ST EVAL AUDITORY REHAB STATUS 1st h","92626","HCPCS","Both",,,"141","70.5","Ambetter","Health Exchange","GN",,"62",,"87.42","51.61","109.28","percent of total billed charges",,
"ST EVAL AUDITORY REHAB STATUS 1st h","92626","HCPCS","Both",,,"141","70.5","Caresource","Health Exchange","GN",,"62",,"87.42","51.61","109.28","percent of total billed charges",,
"ST EVAL AUDITORY REHAB STATUS 1st h","92626","HCPCS","Both",,,"141","70.5","Cigna","Commercial","GN",,"59",,"82.63","51.61","109.28","percent of total billed charges",,
"ST EVAL AUDITORY REHAB STATUS 1st h","92626","HCPCS","Both",,,"141","70.5","Humana","Commercial","GN",,"78",,"109.28","51.61","109.28","percent of total billed charges",,
"ST EVAL AUDITORY REHAB STATUS 1st h","92626","HCPCS","Both",,,"141","70.5","UHC","Commercial","GN",,"75",,"106.31","51.61","109.28","percent of total billed charges",,
"ST EVAL AUDITORY REHAB STATUS 1st h","92626","HCPCS","Both",,,"141","70.5","Medicaid",,"GN",,"37",,"51.61","51.61","109.28","percent of total billed charges",,
"ST EVAL  AUDITORY REHAB EA ADDL 15MIN","92627","HCPCS","Both",,,"141","70.5","Alliant","Health Exchange","GN",,"62",,"87.42","51.61","109.28","percent of total billed charges",,
"ST EVAL  AUDITORY REHAB EA ADDL 15MIN","92627","HCPCS","Both",,,"141","70.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"76.14","51.61","109.28","percent of total billed charges",,
"ST EVAL  AUDITORY REHAB EA ADDL 15MIN","92627","HCPCS","Both",,,"141","70.5","Medicare",,"GN",,"54",,"76.42","51.61","109.28","percent of total billed charges",,
"ST EVAL  AUDITORY REHAB EA ADDL 15MIN","92627","HCPCS","Both",,,"141","70.5","Humana","Medicare Advantage","GN",,"54",,"76.42","51.61","109.28","percent of total billed charges",,
"ST EVAL  AUDITORY REHAB EA ADDL 15MIN","92627","HCPCS","Both",,,"141","70.5","UHC","Medicare Advantage","GN",,"54",,"76.42","51.61","109.28","percent of total billed charges",,
"ST EVAL  AUDITORY REHAB EA ADDL 15MIN","92627","HCPCS","Both",,,"141","70.5","Clover","Medicare Advantage","GN",,"54",,"76.42","51.61","109.28","percent of total billed charges",,
"ST EVAL  AUDITORY REHAB EA ADDL 15MIN","92627","HCPCS","Both",,,"141","70.5","Wellcare","Medicare Advantage","GN",,"54",,"76.42","51.61","109.28","percent of total billed charges",,
"ST EVAL  AUDITORY REHAB EA ADDL 15MIN","92627","HCPCS","Both",,,"141","70.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"51.61","51.61","109.28","percent of total billed charges",,
"ST EVAL  AUDITORY REHAB EA ADDL 15MIN","92627","HCPCS","Both",,,"141","70.5","Caresource","Medicaid Managed Care","GN",,"40",,"56.4","51.61","109.28","percent of total billed charges",,
"ST EVAL  AUDITORY REHAB EA ADDL 15MIN","92627","HCPCS","Both",,,"141","70.5","Wellcare","Medicaid Managed Care","GN",,"40",,"57.1","51.61","109.28","percent of total billed charges",,
"ST EVAL  AUDITORY REHAB EA ADDL 15MIN","92627","HCPCS","Both",,,"141","70.5","Aetna","Commercial","GN",,"64",,"89.96","51.61","109.28","percent of total billed charges",,
"ST EVAL  AUDITORY REHAB EA ADDL 15MIN","92627","HCPCS","Both",,,"141","70.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"99.55","51.61","109.28","percent of total billed charges",,
"ST EVAL  AUDITORY REHAB EA ADDL 15MIN","92627","HCPCS","Both",,,"141","70.5","Blue Cross Blue Shield","HMO","GN",,"71",,"99.55","51.61","109.28","percent of total billed charges",,
"ST EVAL  AUDITORY REHAB EA ADDL 15MIN","92627","HCPCS","Both",,,"141","70.5","Blue Cross Blue Shield","PPO","GN",,"71",,"99.55","51.61","109.28","percent of total billed charges",,
"ST EVAL  AUDITORY REHAB EA ADDL 15MIN","92627","HCPCS","Both",,,"141","70.5","Ambetter","Health Exchange","GN",,"62",,"87.42","51.61","109.28","percent of total billed charges",,
"ST EVAL  AUDITORY REHAB EA ADDL 15MIN","92627","HCPCS","Both",,,"141","70.5","Caresource","Health Exchange","GN",,"62",,"87.42","51.61","109.28","percent of total billed charges",,
"ST EVAL  AUDITORY REHAB EA ADDL 15MIN","92627","HCPCS","Both",,,"141","70.5","Cigna","Commercial","GN",,"59",,"82.63","51.61","109.28","percent of total billed charges",,
"ST EVAL  AUDITORY REHAB EA ADDL 15MIN","92627","HCPCS","Both",,,"141","70.5","Humana","Commercial","GN",,"78",,"109.28","51.61","109.28","percent of total billed charges",,
"ST EVAL  AUDITORY REHAB EA ADDL 15MIN","92627","HCPCS","Both",,,"141","70.5","UHC","Commercial","GN",,"75",,"106.31","51.61","109.28","percent of total billed charges",,
"ST EVAL  AUDITORY REHAB EA ADDL 15MIN","92627","HCPCS","Both",,,"141","70.5","Medicaid",,"GN",,"37",,"51.61","51.61","109.28","percent of total billed charges",,
"ST ASSESSMENT APHASIA WITH INTERP","96105","HCPCS","Both",,,"183","91.5","Alliant","Health Exchange","GN",,"62",,"113.46","66.98","141.83","percent of total billed charges",,
"ST ASSESSMENT APHASIA WITH INTERP","96105","HCPCS","Both",,,"183","91.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"98.82","66.98","141.83","percent of total billed charges",,
"ST ASSESSMENT APHASIA WITH INTERP","96105","HCPCS","Both",,,"183","91.5","Medicare",,"GN",,"54",,"99.19","66.98","141.83","percent of total billed charges",,
"ST ASSESSMENT APHASIA WITH INTERP","96105","HCPCS","Both",,,"183","91.5","Humana","Medicare Advantage","GN",,"54",,"99.19","66.98","141.83","percent of total billed charges",,
"ST ASSESSMENT APHASIA WITH INTERP","96105","HCPCS","Both",,,"183","91.5","UHC","Medicare Advantage","GN",,"54",,"99.19","66.98","141.83","percent of total billed charges",,
"ST ASSESSMENT APHASIA WITH INTERP","96105","HCPCS","Both",,,"183","91.5","Clover","Medicare Advantage","GN",,"54",,"99.19","66.98","141.83","percent of total billed charges",,
"ST ASSESSMENT APHASIA WITH INTERP","96105","HCPCS","Both",,,"183","91.5","Wellcare","Medicare Advantage","GN",,"54",,"99.19","66.98","141.83","percent of total billed charges",,
"ST ASSESSMENT APHASIA WITH INTERP","96105","HCPCS","Both",,,"183","91.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"66.98","66.98","141.83","percent of total billed charges",,
"ST ASSESSMENT APHASIA WITH INTERP","96105","HCPCS","Both",,,"183","91.5","Caresource","Medicaid Managed Care","GN",,"40",,"73.2","66.98","141.83","percent of total billed charges",,
"ST ASSESSMENT APHASIA WITH INTERP","96105","HCPCS","Both",,,"183","91.5","Wellcare","Medicaid Managed Care","GN",,"40",,"74.12","66.98","141.83","percent of total billed charges",,
"ST ASSESSMENT APHASIA WITH INTERP","96105","HCPCS","Both",,,"183","91.5","Aetna","Commercial","GN",,"64",,"116.75","66.98","141.83","percent of total billed charges",,
"ST ASSESSMENT APHASIA WITH INTERP","96105","HCPCS","Both",,,"183","91.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"129.2","66.98","141.83","percent of total billed charges",,
"ST ASSESSMENT APHASIA WITH INTERP","96105","HCPCS","Both",,,"183","91.5","Blue Cross Blue Shield","HMO","GN",,"71",,"129.2","66.98","141.83","percent of total billed charges",,
"ST ASSESSMENT APHASIA WITH INTERP","96105","HCPCS","Both",,,"183","91.5","Blue Cross Blue Shield","PPO","GN",,"71",,"129.2","66.98","141.83","percent of total billed charges",,
"ST ASSESSMENT APHASIA WITH INTERP","96105","HCPCS","Both",,,"183","91.5","Ambetter","Health Exchange","GN",,"62",,"113.46","66.98","141.83","percent of total billed charges",,
"ST ASSESSMENT APHASIA WITH INTERP","96105","HCPCS","Both",,,"183","91.5","Caresource","Health Exchange","GN",,"62",,"113.46","66.98","141.83","percent of total billed charges",,
"ST ASSESSMENT APHASIA WITH INTERP","96105","HCPCS","Both",,,"183","91.5","Cigna","Commercial","GN",,"59",,"107.24","66.98","141.83","percent of total billed charges",,
"ST ASSESSMENT APHASIA WITH INTERP","96105","HCPCS","Both",,,"183","91.5","Humana","Commercial","GN",,"78",,"141.83","66.98","141.83","percent of total billed charges",,
"ST ASSESSMENT APHASIA WITH INTERP","96105","HCPCS","Both",,,"183","91.5","UHC","Commercial","GN",,"75",,"137.98","66.98","141.83","percent of total billed charges",,
"ST ASSESSMENT APHASIA WITH INTERP","96105","HCPCS","Both",,,"183","91.5","Medicaid",,"GN",,"37",,"66.98","66.98","141.83","percent of total billed charges",,
"ST DEVELOP TESTING WITH INTERP REPORT","96111","HCPCS","Both",,,"225.5","112.75","Alliant","Health Exchange","GN",,"62",,"139.81","82.53","174.76","percent of total billed charges",,
"ST DEVELOP TESTING WITH INTERP REPORT","96111","HCPCS","Both",,,"225.5","112.75","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"121.77","82.53","174.76","percent of total billed charges",,
"ST DEVELOP TESTING WITH INTERP REPORT","96111","HCPCS","Both",,,"225.5","112.75","Medicare",,"GN",,"54",,"122.22","82.53","174.76","percent of total billed charges",,
"ST DEVELOP TESTING WITH INTERP REPORT","96111","HCPCS","Both",,,"225.5","112.75","Humana","Medicare Advantage","GN",,"54",,"122.22","82.53","174.76","percent of total billed charges",,
"ST DEVELOP TESTING WITH INTERP REPORT","96111","HCPCS","Both",,,"225.5","112.75","UHC","Medicare Advantage","GN",,"54",,"122.22","82.53","174.76","percent of total billed charges",,
"ST DEVELOP TESTING WITH INTERP REPORT","96111","HCPCS","Both",,,"225.5","112.75","Clover","Medicare Advantage","GN",,"54",,"122.22","82.53","174.76","percent of total billed charges",,
"ST DEVELOP TESTING WITH INTERP REPORT","96111","HCPCS","Both",,,"225.5","112.75","Wellcare","Medicare Advantage","GN",,"54",,"122.22","82.53","174.76","percent of total billed charges",,
"ST DEVELOP TESTING WITH INTERP REPORT","96111","HCPCS","Both",,,"225.5","112.75","Amerigroup","Medicaid Managed Care","GN",,"37",,"82.53","82.53","174.76","percent of total billed charges",,
"ST DEVELOP TESTING WITH INTERP REPORT","96111","HCPCS","Both",,,"225.5","112.75","Caresource","Medicaid Managed Care","GN",,"40",,"90.2","82.53","174.76","percent of total billed charges",,
"ST DEVELOP TESTING WITH INTERP REPORT","96111","HCPCS","Both",,,"225.5","112.75","Wellcare","Medicaid Managed Care","GN",,"40",,"91.33","82.53","174.76","percent of total billed charges",,
"ST DEVELOP TESTING WITH INTERP REPORT","96111","HCPCS","Both",,,"225.5","112.75","Aetna","Commercial","GN",,"64",,"143.87","82.53","174.76","percent of total billed charges",,
"ST DEVELOP TESTING WITH INTERP REPORT","96111","HCPCS","Both",,,"225.5","112.75","Blue Cross Blue Shield","Pathways","GN",,"71",,"159.2","82.53","174.76","percent of total billed charges",,
"ST DEVELOP TESTING WITH INTERP REPORT","96111","HCPCS","Both",,,"225.5","112.75","Blue Cross Blue Shield","HMO","GN",,"71",,"159.2","82.53","174.76","percent of total billed charges",,
"ST DEVELOP TESTING WITH INTERP REPORT","96111","HCPCS","Both",,,"225.5","112.75","Blue Cross Blue Shield","PPO","GN",,"71",,"159.2","82.53","174.76","percent of total billed charges",,
"ST DEVELOP TESTING WITH INTERP REPORT","96111","HCPCS","Both",,,"225.5","112.75","Ambetter","Health Exchange","GN",,"62",,"139.81","82.53","174.76","percent of total billed charges",,
"ST DEVELOP TESTING WITH INTERP REPORT","96111","HCPCS","Both",,,"225.5","112.75","Caresource","Health Exchange","GN",,"62",,"139.81","82.53","174.76","percent of total billed charges",,
"ST DEVELOP TESTING WITH INTERP REPORT","96111","HCPCS","Both",,,"225.5","112.75","Cigna","Commercial","GN",,"59",,"132.14","82.53","174.76","percent of total billed charges",,
"ST DEVELOP TESTING WITH INTERP REPORT","96111","HCPCS","Both",,,"225.5","112.75","Humana","Commercial","GN",,"78",,"174.76","82.53","174.76","percent of total billed charges",,
"ST DEVELOP TESTING WITH INTERP REPORT","96111","HCPCS","Both",,,"225.5","112.75","UHC","Commercial","GN",,"75",,"170.03","82.53","174.76","percent of total billed charges",,
"ST DEVELOP TESTING WITH INTERP REPORT","96111","HCPCS","Both",,,"225.5","112.75","Medicaid",,"GN",,"37",,"82.53","82.53","174.76","percent of total billed charges",,
"ST STANDARIZED COGNITIVE TESTING PER HR","96125","HCPCS","Both",,,"205","102.5","Alliant","Health Exchange","GN",,"62",,"127.1","75.03","158.88","percent of total billed charges",,
"ST STANDARIZED COGNITIVE TESTING PER HR","96125","HCPCS","Both",,,"205","102.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"110.7","75.03","158.88","percent of total billed charges",,
"ST STANDARIZED COGNITIVE TESTING PER HR","96125","HCPCS","Both",,,"205","102.5","Medicare",,"GN",,"54",,"111.11","75.03","158.88","percent of total billed charges",,
"ST STANDARIZED COGNITIVE TESTING PER HR","96125","HCPCS","Both",,,"205","102.5","Humana","Medicare Advantage","GN",,"54",,"111.11","75.03","158.88","percent of total billed charges",,
"ST STANDARIZED COGNITIVE TESTING PER HR","96125","HCPCS","Both",,,"205","102.5","UHC","Medicare Advantage","GN",,"54",,"111.11","75.03","158.88","percent of total billed charges",,
"ST STANDARIZED COGNITIVE TESTING PER HR","96125","HCPCS","Both",,,"205","102.5","Clover","Medicare Advantage","GN",,"54",,"111.11","75.03","158.88","percent of total billed charges",,
"ST STANDARIZED COGNITIVE TESTING PER HR","96125","HCPCS","Both",,,"205","102.5","Wellcare","Medicare Advantage","GN",,"54",,"111.11","75.03","158.88","percent of total billed charges",,
"ST STANDARIZED COGNITIVE TESTING PER HR","96125","HCPCS","Both",,,"205","102.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"75.03","75.03","158.88","percent of total billed charges",,
"ST STANDARIZED COGNITIVE TESTING PER HR","96125","HCPCS","Both",,,"205","102.5","Caresource","Medicaid Managed Care","GN",,"40",,"82","75.03","158.88","percent of total billed charges",,
"ST STANDARIZED COGNITIVE TESTING PER HR","96125","HCPCS","Both",,,"205","102.5","Wellcare","Medicaid Managed Care","GN",,"40",,"83.02","75.03","158.88","percent of total billed charges",,
"ST STANDARIZED COGNITIVE TESTING PER HR","96125","HCPCS","Both",,,"205","102.5","Aetna","Commercial","GN",,"64",,"130.79","75.03","158.88","percent of total billed charges",,
"ST STANDARIZED COGNITIVE TESTING PER HR","96125","HCPCS","Both",,,"205","102.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"144.73","75.03","158.88","percent of total billed charges",,
"ST STANDARIZED COGNITIVE TESTING PER HR","96125","HCPCS","Both",,,"205","102.5","Blue Cross Blue Shield","HMO","GN",,"71",,"144.73","75.03","158.88","percent of total billed charges",,
"ST STANDARIZED COGNITIVE TESTING PER HR","96125","HCPCS","Both",,,"205","102.5","Blue Cross Blue Shield","PPO","GN",,"71",,"144.73","75.03","158.88","percent of total billed charges",,
"ST STANDARIZED COGNITIVE TESTING PER HR","96125","HCPCS","Both",,,"205","102.5","Ambetter","Health Exchange","GN",,"62",,"127.1","75.03","158.88","percent of total billed charges",,
"ST STANDARIZED COGNITIVE TESTING PER HR","96125","HCPCS","Both",,,"205","102.5","Caresource","Health Exchange","GN",,"62",,"127.1","75.03","158.88","percent of total billed charges",,
"ST STANDARIZED COGNITIVE TESTING PER HR","96125","HCPCS","Both",,,"205","102.5","Cigna","Commercial","GN",,"59",,"120.13","75.03","158.88","percent of total billed charges",,
"ST STANDARIZED COGNITIVE TESTING PER HR","96125","HCPCS","Both",,,"205","102.5","Humana","Commercial","GN",,"78",,"158.88","75.03","158.88","percent of total billed charges",,
"ST STANDARIZED COGNITIVE TESTING PER HR","96125","HCPCS","Both",,,"205","102.5","UHC","Commercial","GN",,"75",,"154.57","75.03","158.88","percent of total billed charges",,
"ST STANDARIZED COGNITIVE TESTING PER HR","96125","HCPCS","Both",,,"205","102.5","Medicaid",,"GN",,"37",,"75.03","75.03","158.88","percent of total billed charges",,
"ST DEVELOPMENT COGNITIVE SKILLS EA 15min","97129","HCPCS","Both",,,"221","110.5","Alliant","Health Exchange","GN",,"62",,"137.02","32.39","171.28","percent of total billed charges",,
"ST DEVELOPMENT COGNITIVE SKILLS EA 15min","97129","HCPCS","Both",,,"221","110.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"119.34","32.39","171.28","percent of total billed charges",,
"ST DEVELOPMENT COGNITIVE SKILLS EA 15min","97129","HCPCS","Both",,,"221","110.5","Medicare",,"GN",,"54",,"119.78","32.39","171.28","percent of total billed charges",,
"ST DEVELOPMENT COGNITIVE SKILLS EA 15min","97129","HCPCS","Both",,,"221","110.5","Humana","Medicare Advantage","GN",,"54",,"119.78","32.39","171.28","percent of total billed charges",,
"ST DEVELOPMENT COGNITIVE SKILLS EA 15min","97129","HCPCS","Both",,,"221","110.5","UHC","Medicare Advantage","GN",,"54",,"119.78","32.39","171.28","percent of total billed charges",,
"ST DEVELOPMENT COGNITIVE SKILLS EA 15min","97129","HCPCS","Both",,,"221","110.5","Clover","Medicare Advantage","GN",,"54",,"119.78","32.39","171.28","percent of total billed charges",,
"ST DEVELOPMENT COGNITIVE SKILLS EA 15min","97129","HCPCS","Both",,,"221","110.5","Wellcare","Medicare Advantage","GN",,"54",,"119.78","32.39","171.28","percent of total billed charges",,
"ST DEVELOPMENT COGNITIVE SKILLS EA 15min","97129","HCPCS","Both",,,"221","110.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"80.89","32.39","171.28","percent of total billed charges",,
"ST DEVELOPMENT COGNITIVE SKILLS EA 15min","97129","HCPCS","Both",,,"221","110.5","Caresource","Medicaid Managed Care","GN",,"40",,"88.4","32.39","171.28","percent of total billed charges",,
"ST DEVELOPMENT COGNITIVE SKILLS EA 15min","97129","HCPCS","Both",,,"221","110.5","Wellcare","Medicaid Managed Care","GN",,"40",,"89.51","32.39","171.28","percent of total billed charges",,
"ST DEVELOPMENT COGNITIVE SKILLS EA 15min","97129","HCPCS","Both",,,"221","110.5","Aetna","Commercial","GN",,"64",,"141","32.39","171.28","percent of total billed charges",,
"ST DEVELOPMENT COGNITIVE SKILLS EA 15min","97129","HCPCS","Both",,,"221","110.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"156.03","32.39","171.28","percent of total billed charges",,
"ST DEVELOPMENT COGNITIVE SKILLS EA 15min","97129","HCPCS","Both",,,"221","110.5","Blue Cross Blue Shield","HMO","GN",,"71",,"156.03","32.39","171.28","percent of total billed charges",,
"ST DEVELOPMENT COGNITIVE SKILLS EA 15min","97129","HCPCS","Both",,,"221","110.5","Blue Cross Blue Shield","PPO","GN",,"71",,"156.03","32.39","171.28","percent of total billed charges",,
"ST DEVELOPMENT COGNITIVE SKILLS EA 15min","97129","HCPCS","Both",,,"221","110.5","Ambetter","Health Exchange","GN",,"62",,"137.02","32.39","171.28","percent of total billed charges",,
"ST DEVELOPMENT COGNITIVE SKILLS EA 15min","97129","HCPCS","Both",,,"221","110.5","Caresource","Health Exchange","GN",,"62",,"137.02","32.39","171.28","percent of total billed charges",,
"ST DEVELOPMENT COGNITIVE SKILLS EA 15min","97129","HCPCS","Both",,,"221","110.5","Cigna","Commercial","GN",,"59",,"129.51","32.39","171.28","percent of total billed charges",,
"ST DEVELOPMENT COGNITIVE SKILLS EA 15min","97129","HCPCS","Both",,,"221","110.5","Humana","Commercial","GN",,"78",,"171.28","32.39","171.28","percent of total billed charges",,
"ST DEVELOPMENT COGNITIVE SKILLS EA 15min","97129","HCPCS","Both",,,"221","110.5","UHC","Commercial","GN",,"75",,"166.63","32.39","171.28","percent of total billed charges",,
"ST DEVELOPMENT COGNITIVE SKILLS EA 15min","97129","HCPCS","Both",,,"221","110.5","Medicaid",,"GN",,"37",,"80.89","32.39","171.28","percent of total billed charges",,
"ST SENSORY INTEGRATIVE TECH EA 15min","97533","HCPCS","Both",,,"102","51","Alliant","Health Exchange","GN",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"ST SENSORY INTEGRATIVE TECH EA 15min","97533","HCPCS","Both",,,"102","51","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"55.08","37.33","79.05","percent of total billed charges",,
"ST SENSORY INTEGRATIVE TECH EA 15min","97533","HCPCS","Both",,,"102","51","Medicare",,"GN",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"ST SENSORY INTEGRATIVE TECH EA 15min","97533","HCPCS","Both",,,"102","51","Humana","Medicare Advantage","GN",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"ST SENSORY INTEGRATIVE TECH EA 15min","97533","HCPCS","Both",,,"102","51","UHC","Medicare Advantage","GN",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"ST SENSORY INTEGRATIVE TECH EA 15min","97533","HCPCS","Both",,,"102","51","Clover","Medicare Advantage","GN",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"ST SENSORY INTEGRATIVE TECH EA 15min","97533","HCPCS","Both",,,"102","51","Wellcare","Medicare Advantage","GN",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"ST SENSORY INTEGRATIVE TECH EA 15min","97533","HCPCS","Both",,,"102","51","Amerigroup","Medicaid Managed Care","GN",,"37",,"37.33","37.33","79.05","percent of total billed charges",,
"ST SENSORY INTEGRATIVE TECH EA 15min","97533","HCPCS","Both",,,"102","51","Caresource","Medicaid Managed Care","GN",,"40",,"40.8","37.33","79.05","percent of total billed charges",,
"ST SENSORY INTEGRATIVE TECH EA 15min","97533","HCPCS","Both",,,"102","51","Wellcare","Medicaid Managed Care","GN",,"40",,"41.31","37.33","79.05","percent of total billed charges",,
"ST SENSORY INTEGRATIVE TECH EA 15min","97533","HCPCS","Both",,,"102","51","Aetna","Commercial","GN",,"64",,"65.08","37.33","79.05","percent of total billed charges",,
"ST SENSORY INTEGRATIVE TECH EA 15min","97533","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","Pathways","GN",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"ST SENSORY INTEGRATIVE TECH EA 15min","97533","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","HMO","GN",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"ST SENSORY INTEGRATIVE TECH EA 15min","97533","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","PPO","GN",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"ST SENSORY INTEGRATIVE TECH EA 15min","97533","HCPCS","Both",,,"102","51","Ambetter","Health Exchange","GN",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"ST SENSORY INTEGRATIVE TECH EA 15min","97533","HCPCS","Both",,,"102","51","Caresource","Health Exchange","GN",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"ST SENSORY INTEGRATIVE TECH EA 15min","97533","HCPCS","Both",,,"102","51","Cigna","Commercial","GN",,"59",,"59.77","37.33","79.05","percent of total billed charges",,
"ST SENSORY INTEGRATIVE TECH EA 15min","97533","HCPCS","Both",,,"102","51","Humana","Commercial","GN",,"78",,"79.05","37.33","79.05","percent of total billed charges",,
"ST SENSORY INTEGRATIVE TECH EA 15min","97533","HCPCS","Both",,,"102","51","UHC","Commercial","GN",,"75",,"76.91","37.33","79.05","percent of total billed charges",,
"ST SENSORY INTEGRATIVE TECH EA 15min","97533","HCPCS","Both",,,"102","51","Medicaid",,"GN",,"37",,"37.33","37.33","79.05","percent of total billed charges",,
"ST SELFCARE/HOME MANAGE TRAINING EA 15m","97535","HCPCS","Both",,,"48.5","24.25","Alliant","Health Exchange","GN",,"62",,"30.07","17.75","37.59","percent of total billed charges",,
"ST SELFCARE/HOME MANAGE TRAINING EA 15m","97535","HCPCS","Both",,,"48.5","24.25","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"26.19","17.75","37.59","percent of total billed charges",,
"ST SELFCARE/HOME MANAGE TRAINING EA 15m","97535","HCPCS","Both",,,"48.5","24.25","Medicare",,"GN",,"54",,"26.29","17.75","37.59","percent of total billed charges",,
"ST SELFCARE/HOME MANAGE TRAINING EA 15m","97535","HCPCS","Both",,,"48.5","24.25","Humana","Medicare Advantage","GN",,"54",,"26.29","17.75","37.59","percent of total billed charges",,
"ST SELFCARE/HOME MANAGE TRAINING EA 15m","97535","HCPCS","Both",,,"48.5","24.25","UHC","Medicare Advantage","GN",,"54",,"26.29","17.75","37.59","percent of total billed charges",,
"ST SELFCARE/HOME MANAGE TRAINING EA 15m","97535","HCPCS","Both",,,"48.5","24.25","Clover","Medicare Advantage","GN",,"54",,"26.29","17.75","37.59","percent of total billed charges",,
"ST SELFCARE/HOME MANAGE TRAINING EA 15m","97535","HCPCS","Both",,,"48.5","24.25","Wellcare","Medicare Advantage","GN",,"54",,"26.29","17.75","37.59","percent of total billed charges",,
"ST SELFCARE/HOME MANAGE TRAINING EA 15m","97535","HCPCS","Both",,,"48.5","24.25","Amerigroup","Medicaid Managed Care","GN",,"37",,"17.75","17.75","37.59","percent of total billed charges",,
"ST SELFCARE/HOME MANAGE TRAINING EA 15m","97535","HCPCS","Both",,,"48.5","24.25","Caresource","Medicaid Managed Care","GN",,"40",,"19.4","17.75","37.59","percent of total billed charges",,
"ST SELFCARE/HOME MANAGE TRAINING EA 15m","97535","HCPCS","Both",,,"48.5","24.25","Wellcare","Medicaid Managed Care","GN",,"40",,"19.64","17.75","37.59","percent of total billed charges",,
"ST SELFCARE/HOME MANAGE TRAINING EA 15m","97535","HCPCS","Both",,,"48.5","24.25","Aetna","Commercial","GN",,"64",,"30.94","17.75","37.59","percent of total billed charges",,
"ST SELFCARE/HOME MANAGE TRAINING EA 15m","97535","HCPCS","Both",,,"48.5","24.25","Blue Cross Blue Shield","Pathways","GN",,"71",,"34.24","17.75","37.59","percent of total billed charges",,
"ST SELFCARE/HOME MANAGE TRAINING EA 15m","97535","HCPCS","Both",,,"48.5","24.25","Blue Cross Blue Shield","HMO","GN",,"71",,"34.24","17.75","37.59","percent of total billed charges",,
"ST SELFCARE/HOME MANAGE TRAINING EA 15m","97535","HCPCS","Both",,,"48.5","24.25","Blue Cross Blue Shield","PPO","GN",,"71",,"34.24","17.75","37.59","percent of total billed charges",,
"ST SELFCARE/HOME MANAGE TRAINING EA 15m","97535","HCPCS","Both",,,"48.5","24.25","Ambetter","Health Exchange","GN",,"62",,"30.07","17.75","37.59","percent of total billed charges",,
"ST SELFCARE/HOME MANAGE TRAINING EA 15m","97535","HCPCS","Both",,,"48.5","24.25","Caresource","Health Exchange","GN",,"62",,"30.07","17.75","37.59","percent of total billed charges",,
"ST SELFCARE/HOME MANAGE TRAINING EA 15m","97535","HCPCS","Both",,,"48.5","24.25","Cigna","Commercial","GN",,"59",,"28.42","17.75","37.59","percent of total billed charges",,
"ST SELFCARE/HOME MANAGE TRAINING EA 15m","97535","HCPCS","Both",,,"48.5","24.25","Humana","Commercial","GN",,"78",,"37.59","17.75","37.59","percent of total billed charges",,
"ST SELFCARE/HOME MANAGE TRAINING EA 15m","97535","HCPCS","Both",,,"48.5","24.25","UHC","Commercial","GN",,"75",,"36.57","17.75","37.59","percent of total billed charges",,
"ST SELFCARE/HOME MANAGE TRAINING EA 15m","97535","HCPCS","Both",,,"48.5","24.25","Medicaid",,"GN",,"37",,"17.75","17.75","37.59","percent of total billed charges",,
"ST DEVELOP TESTING PER STANDARDIZED FOR","G0451","HCPCS","Both",,,"56","28","Alliant","Health Exchange","GN",,"62",,"34.72","20.5","43.4","percent of total billed charges",,
"ST DEVELOP TESTING PER STANDARDIZED FOR","G0451","HCPCS","Both",,,"56","28","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"30.24","20.5","43.4","percent of total billed charges",,
"ST DEVELOP TESTING PER STANDARDIZED FOR","G0451","HCPCS","Both",,,"56","28","Medicare",,"GN",,"54",,"30.35","20.5","43.4","percent of total billed charges",,
"ST DEVELOP TESTING PER STANDARDIZED FOR","G0451","HCPCS","Both",,,"56","28","Humana","Medicare Advantage","GN",,"54",,"30.35","20.5","43.4","percent of total billed charges",,
"ST DEVELOP TESTING PER STANDARDIZED FOR","G0451","HCPCS","Both",,,"56","28","UHC","Medicare Advantage","GN",,"54",,"30.35","20.5","43.4","percent of total billed charges",,
"ST DEVELOP TESTING PER STANDARDIZED FOR","G0451","HCPCS","Both",,,"56","28","Clover","Medicare Advantage","GN",,"54",,"30.35","20.5","43.4","percent of total billed charges",,
"ST DEVELOP TESTING PER STANDARDIZED FOR","G0451","HCPCS","Both",,,"56","28","Wellcare","Medicare Advantage","GN",,"54",,"30.35","20.5","43.4","percent of total billed charges",,
"ST DEVELOP TESTING PER STANDARDIZED FOR","G0451","HCPCS","Both",,,"56","28","Amerigroup","Medicaid Managed Care","GN",,"37",,"20.5","20.5","43.4","percent of total billed charges",,
"ST DEVELOP TESTING PER STANDARDIZED FOR","G0451","HCPCS","Both",,,"56","28","Caresource","Medicaid Managed Care","GN",,"40",,"22.4","20.5","43.4","percent of total billed charges",,
"ST DEVELOP TESTING PER STANDARDIZED FOR","G0451","HCPCS","Both",,,"56","28","Wellcare","Medicaid Managed Care","GN",,"40",,"22.68","20.5","43.4","percent of total billed charges",,
"ST DEVELOP TESTING PER STANDARDIZED FOR","G0451","HCPCS","Both",,,"56","28","Aetna","Commercial","GN",,"64",,"35.73","20.5","43.4","percent of total billed charges",,
"ST DEVELOP TESTING PER STANDARDIZED FOR","G0451","HCPCS","Both",,,"56","28","Blue Cross Blue Shield","Pathways","GN",,"71",,"39.54","20.5","43.4","percent of total billed charges",,
"ST DEVELOP TESTING PER STANDARDIZED FOR","G0451","HCPCS","Both",,,"56","28","Blue Cross Blue Shield","HMO","GN",,"71",,"39.54","20.5","43.4","percent of total billed charges",,
"ST DEVELOP TESTING PER STANDARDIZED FOR","G0451","HCPCS","Both",,,"56","28","Blue Cross Blue Shield","PPO","GN",,"71",,"39.54","20.5","43.4","percent of total billed charges",,
"ST DEVELOP TESTING PER STANDARDIZED FOR","G0451","HCPCS","Both",,,"56","28","Ambetter","Health Exchange","GN",,"62",,"34.72","20.5","43.4","percent of total billed charges",,
"ST DEVELOP TESTING PER STANDARDIZED FOR","G0451","HCPCS","Both",,,"56","28","Caresource","Health Exchange","GN",,"62",,"34.72","20.5","43.4","percent of total billed charges",,
"ST DEVELOP TESTING PER STANDARDIZED FOR","G0451","HCPCS","Both",,,"56","28","Cigna","Commercial","GN",,"59",,"32.82","20.5","43.4","percent of total billed charges",,
"ST DEVELOP TESTING PER STANDARDIZED FOR","G0451","HCPCS","Both",,,"56","28","Humana","Commercial","GN",,"78",,"43.4","20.5","43.4","percent of total billed charges",,
"ST DEVELOP TESTING PER STANDARDIZED FOR","G0451","HCPCS","Both",,,"56","28","UHC","Commercial","GN",,"75",,"42.22","20.5","43.4","percent of total billed charges",,
"ST DEVELOP TESTING PER STANDARDIZED FOR","G0451","HCPCS","Both",,,"56","28","Medicaid",,"GN",,"37",,"20.5","20.5","43.4","percent of total billed charges",,
"ST G8996 SWALLOW FUNCT LIMIT CURREN","G8996","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G8996 SWALLOW FUNCT LIMIT CURREN","G8996","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8996 SWALLOW FUNCT LIMIT CURREN","G8996","HCPCS","Both",,,"1","0.5","Medicare",,"GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8996 SWALLOW FUNCT LIMIT CURREN","G8996","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8996 SWALLOW FUNCT LIMIT CURREN","G8996","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8996 SWALLOW FUNCT LIMIT CURREN","G8996","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8996 SWALLOW FUNCT LIMIT CURREN","G8996","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8996 SWALLOW FUNCT LIMIT CURREN","G8996","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G8996 SWALLOW FUNCT LIMIT CURREN","G8996","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G8996 SWALLOW FUNCT LIMIT CURREN","G8996","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G8996 SWALLOW FUNCT LIMIT CURREN","G8996","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"ST G8996 SWALLOW FUNCT LIMIT CURREN","G8996","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G8996 SWALLOW FUNCT LIMIT CURREN","G8996","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G8996 SWALLOW FUNCT LIMIT CURREN","G8996","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G8996 SWALLOW FUNCT LIMIT CURREN","G8996","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G8996 SWALLOW FUNCT LIMIT CURREN","G8996","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G8996 SWALLOW FUNCT LIMIT CURREN","G8996","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"ST G8996 SWALLOW FUNCT LIMIT CURREN","G8996","HCPCS","Both",,,"1","0.5","Humana","Commercial","GN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"ST G8996 SWALLOW FUNCT LIMIT CURREN","G8996","HCPCS","Both",,,"1","0.5","UHC","Commercial","GN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"ST G8996 SWALLOW FUNCT LIMIT CURREN","G8996","HCPCS","Both",,,"1","0.5","Medicaid",,"GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G8997 SWALLOW  FUNCT LIMIT PROJEC","G8997","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G8997 SWALLOW  FUNCT LIMIT PROJEC","G8997","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8997 SWALLOW  FUNCT LIMIT PROJEC","G8997","HCPCS","Both",,,"1","0.5","Medicare",,"GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8997 SWALLOW  FUNCT LIMIT PROJEC","G8997","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8997 SWALLOW  FUNCT LIMIT PROJEC","G8997","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8997 SWALLOW  FUNCT LIMIT PROJEC","G8997","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8997 SWALLOW  FUNCT LIMIT PROJEC","G8997","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8997 SWALLOW  FUNCT LIMIT PROJEC","G8997","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G8997 SWALLOW  FUNCT LIMIT PROJEC","G8997","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G8997 SWALLOW  FUNCT LIMIT PROJEC","G8997","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G8997 SWALLOW  FUNCT LIMIT PROJEC","G8997","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"ST G8997 SWALLOW  FUNCT LIMIT PROJEC","G8997","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G8997 SWALLOW  FUNCT LIMIT PROJEC","G8997","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G8997 SWALLOW  FUNCT LIMIT PROJEC","G8997","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G8997 SWALLOW  FUNCT LIMIT PROJEC","G8997","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G8997 SWALLOW  FUNCT LIMIT PROJEC","G8997","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G8997 SWALLOW  FUNCT LIMIT PROJEC","G8997","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"ST G8997 SWALLOW  FUNCT LIMIT PROJEC","G8997","HCPCS","Both",,,"1","0.5","Humana","Commercial","GN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"ST G8997 SWALLOW  FUNCT LIMIT PROJEC","G8997","HCPCS","Both",,,"1","0.5","UHC","Commercial","GN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"ST G8997 SWALLOW  FUNCT LIMIT PROJEC","G8997","HCPCS","Both",,,"1","0.5","Medicaid",,"GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G8998 SWALLOW FUNCT LIMIT DISCHA","G8998","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G8998 SWALLOW FUNCT LIMIT DISCHA","G8998","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8998 SWALLOW FUNCT LIMIT DISCHA","G8998","HCPCS","Both",,,"1","0.5","Medicare",,"GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8998 SWALLOW FUNCT LIMIT DISCHA","G8998","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8998 SWALLOW FUNCT LIMIT DISCHA","G8998","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8998 SWALLOW FUNCT LIMIT DISCHA","G8998","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8998 SWALLOW FUNCT LIMIT DISCHA","G8998","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8998 SWALLOW FUNCT LIMIT DISCHA","G8998","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G8998 SWALLOW FUNCT LIMIT DISCHA","G8998","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G8998 SWALLOW FUNCT LIMIT DISCHA","G8998","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G8998 SWALLOW FUNCT LIMIT DISCHA","G8998","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"ST G8998 SWALLOW FUNCT LIMIT DISCHA","G8998","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G8998 SWALLOW FUNCT LIMIT DISCHA","G8998","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G8998 SWALLOW FUNCT LIMIT DISCHA","G8998","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G8998 SWALLOW FUNCT LIMIT DISCHA","G8998","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G8998 SWALLOW FUNCT LIMIT DISCHA","G8998","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G8998 SWALLOW FUNCT LIMIT DISCHA","G8998","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"ST G8998 SWALLOW FUNCT LIMIT DISCHA","G8998","HCPCS","Both",,,"1","0.5","Humana","Commercial","GN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"ST G8998 SWALLOW FUNCT LIMIT DISCHA","G8998","HCPCS","Both",,,"1","0.5","UHC","Commercial","GN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"ST G8998 SWALLOW FUNCT LIMIT DISCHA","G8998","HCPCS","Both",,,"1","0.5","Medicaid",,"GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G8999 MOTOR SPEECH FUNCT LIMIT CURRE","G8999","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G8999 MOTOR SPEECH FUNCT LIMIT CURRE","G8999","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8999 MOTOR SPEECH FUNCT LIMIT CURRE","G8999","HCPCS","Both",,,"1","0.5","Medicare",,"GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8999 MOTOR SPEECH FUNCT LIMIT CURRE","G8999","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8999 MOTOR SPEECH FUNCT LIMIT CURRE","G8999","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8999 MOTOR SPEECH FUNCT LIMIT CURRE","G8999","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8999 MOTOR SPEECH FUNCT LIMIT CURRE","G8999","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8999 MOTOR SPEECH FUNCT LIMIT CURRE","G8999","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G8999 MOTOR SPEECH FUNCT LIMIT CURRE","G8999","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G8999 MOTOR SPEECH FUNCT LIMIT CURRE","G8999","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G8999 MOTOR SPEECH FUNCT LIMIT CURRE","G8999","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"ST G8999 MOTOR SPEECH FUNCT LIMIT CURRE","G8999","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G8999 MOTOR SPEECH FUNCT LIMIT CURRE","G8999","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G8999 MOTOR SPEECH FUNCT LIMIT CURRE","G8999","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G8999 MOTOR SPEECH FUNCT LIMIT CURRE","G8999","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G8999 MOTOR SPEECH FUNCT LIMIT CURRE","G8999","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G8999 MOTOR SPEECH FUNCT LIMIT CURRE","G8999","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"ST G8999 MOTOR SPEECH FUNCT LIMIT CURRE","G8999","HCPCS","Both",,,"1","0.5","Humana","Commercial","GN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"ST G8999 MOTOR SPEECH FUNCT LIMIT CURRE","G8999","HCPCS","Both",,,"1","0.5","UHC","Commercial","GN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"ST G8999 MOTOR SPEECH FUNCT LIMIT CURRE","G8999","HCPCS","Both",,,"1","0.5","Medicaid",,"GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9158 MOTOR SPEECH FUNCT LIMIT DISCH","G9158","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9158 MOTOR SPEECH FUNCT LIMIT DISCH","G9158","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9158 MOTOR SPEECH FUNCT LIMIT DISCH","G9158","HCPCS","Both",,,"1","0.5","Medicare",,"GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9158 MOTOR SPEECH FUNCT LIMIT DISCH","G9158","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9158 MOTOR SPEECH FUNCT LIMIT DISCH","G9158","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9158 MOTOR SPEECH FUNCT LIMIT DISCH","G9158","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9158 MOTOR SPEECH FUNCT LIMIT DISCH","G9158","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9158 MOTOR SPEECH FUNCT LIMIT DISCH","G9158","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9158 MOTOR SPEECH FUNCT LIMIT DISCH","G9158","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9158 MOTOR SPEECH FUNCT LIMIT DISCH","G9158","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9158 MOTOR SPEECH FUNCT LIMIT DISCH","G9158","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"ST G9158 MOTOR SPEECH FUNCT LIMIT DISCH","G9158","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9158 MOTOR SPEECH FUNCT LIMIT DISCH","G9158","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9158 MOTOR SPEECH FUNCT LIMIT DISCH","G9158","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9158 MOTOR SPEECH FUNCT LIMIT DISCH","G9158","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9158 MOTOR SPEECH FUNCT LIMIT DISCH","G9158","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9158 MOTOR SPEECH FUNCT LIMIT DISCH","G9158","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"ST G9158 MOTOR SPEECH FUNCT LIMIT DISCH","G9158","HCPCS","Both",,,"1","0.5","Humana","Commercial","GN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"ST G9158 MOTOR SPEECH FUNCT LIMIT DISCH","G9158","HCPCS","Both",,,"1","0.5","UHC","Commercial","GN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"ST G9158 MOTOR SPEECH FUNCT LIMIT DISCH","G9158","HCPCS","Both",,,"1","0.5","Medicaid",,"GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9159 SPOKE LANG COMP FUNT LIMIT CUR","G9159","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9159 SPOKE LANG COMP FUNT LIMIT CUR","G9159","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9159 SPOKE LANG COMP FUNT LIMIT CUR","G9159","HCPCS","Both",,,"1","0.5","Medicare",,"GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9159 SPOKE LANG COMP FUNT LIMIT CUR","G9159","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9159 SPOKE LANG COMP FUNT LIMIT CUR","G9159","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9159 SPOKE LANG COMP FUNT LIMIT CUR","G9159","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9159 SPOKE LANG COMP FUNT LIMIT CUR","G9159","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9159 SPOKE LANG COMP FUNT LIMIT CUR","G9159","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9159 SPOKE LANG COMP FUNT LIMIT CUR","G9159","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9159 SPOKE LANG COMP FUNT LIMIT CUR","G9159","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9159 SPOKE LANG COMP FUNT LIMIT CUR","G9159","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"ST G9159 SPOKE LANG COMP FUNT LIMIT CUR","G9159","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9159 SPOKE LANG COMP FUNT LIMIT CUR","G9159","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9159 SPOKE LANG COMP FUNT LIMIT CUR","G9159","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9159 SPOKE LANG COMP FUNT LIMIT CUR","G9159","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9159 SPOKE LANG COMP FUNT LIMIT CUR","G9159","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9159 SPOKE LANG COMP FUNT LIMIT CUR","G9159","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"ST G9159 SPOKE LANG COMP FUNT LIMIT CUR","G9159","HCPCS","Both",,,"1","0.5","Humana","Commercial","GN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"ST G9159 SPOKE LANG COMP FUNT LIMIT CUR","G9159","HCPCS","Both",,,"1","0.5","UHC","Commercial","GN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"ST G9159 SPOKE LANG COMP FUNT LIMIT CUR","G9159","HCPCS","Both",,,"1","0.5","Medicaid",,"GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9160 SPOKE LANG COMP FUNT LIMIT PROJ","G9160","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9160 SPOKE LANG COMP FUNT LIMIT PROJ","G9160","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9160 SPOKE LANG COMP FUNT LIMIT PROJ","G9160","HCPCS","Both",,,"1","0.5","Medicare",,"GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9160 SPOKE LANG COMP FUNT LIMIT PROJ","G9160","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9160 SPOKE LANG COMP FUNT LIMIT PROJ","G9160","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9160 SPOKE LANG COMP FUNT LIMIT PROJ","G9160","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9160 SPOKE LANG COMP FUNT LIMIT PROJ","G9160","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9160 SPOKE LANG COMP FUNT LIMIT PROJ","G9160","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9160 SPOKE LANG COMP FUNT LIMIT PROJ","G9160","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9160 SPOKE LANG COMP FUNT LIMIT PROJ","G9160","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9160 SPOKE LANG COMP FUNT LIMIT PROJ","G9160","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"ST G9160 SPOKE LANG COMP FUNT LIMIT PROJ","G9160","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9160 SPOKE LANG COMP FUNT LIMIT PROJ","G9160","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9160 SPOKE LANG COMP FUNT LIMIT PROJ","G9160","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9160 SPOKE LANG COMP FUNT LIMIT PROJ","G9160","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9160 SPOKE LANG COMP FUNT LIMIT PROJ","G9160","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9160 SPOKE LANG COMP FUNT LIMIT PROJ","G9160","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"ST G9160 SPOKE LANG COMP FUNT LIMIT PROJ","G9160","HCPCS","Both",,,"1","0.5","Humana","Commercial","GN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"ST G9160 SPOKE LANG COMP FUNT LIMIT PROJ","G9160","HCPCS","Both",,,"1","0.5","UHC","Commercial","GN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"ST G9160 SPOKE LANG COMP FUNT LIMIT PROJ","G9160","HCPCS","Both",,,"1","0.5","Medicaid",,"GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9161 SPOKE LANG COMP FUNT LIMIT DISC","G9161","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9161 SPOKE LANG COMP FUNT LIMIT DISC","G9161","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9161 SPOKE LANG COMP FUNT LIMIT DISC","G9161","HCPCS","Both",,,"1","0.5","Medicare",,"GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9161 SPOKE LANG COMP FUNT LIMIT DISC","G9161","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9161 SPOKE LANG COMP FUNT LIMIT DISC","G9161","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9161 SPOKE LANG COMP FUNT LIMIT DISC","G9161","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9161 SPOKE LANG COMP FUNT LIMIT DISC","G9161","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9161 SPOKE LANG COMP FUNT LIMIT DISC","G9161","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9161 SPOKE LANG COMP FUNT LIMIT DISC","G9161","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9161 SPOKE LANG COMP FUNT LIMIT DISC","G9161","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9161 SPOKE LANG COMP FUNT LIMIT DISC","G9161","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"ST G9161 SPOKE LANG COMP FUNT LIMIT DISC","G9161","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9161 SPOKE LANG COMP FUNT LIMIT DISC","G9161","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9161 SPOKE LANG COMP FUNT LIMIT DISC","G9161","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9161 SPOKE LANG COMP FUNT LIMIT DISC","G9161","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9161 SPOKE LANG COMP FUNT LIMIT DISC","G9161","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9161 SPOKE LANG COMP FUNT LIMIT DISC","G9161","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"ST G9161 SPOKE LANG COMP FUNT LIMIT DISC","G9161","HCPCS","Both",,,"1","0.5","Humana","Commercial","GN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"ST G9161 SPOKE LANG COMP FUNT LIMIT DISC","G9161","HCPCS","Both",,,"1","0.5","UHC","Commercial","GN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"ST G9161 SPOKE LANG COMP FUNT LIMIT DISC","G9161","HCPCS","Both",,,"1","0.5","Medicaid",,"GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9162 SPOKE LAN EXPRES FUNT LIMIT CUR","G9162","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9162 SPOKE LAN EXPRES FUNT LIMIT CUR","G9162","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9162 SPOKE LAN EXPRES FUNT LIMIT CUR","G9162","HCPCS","Both",,,"1","0.5","Medicare",,"GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9162 SPOKE LAN EXPRES FUNT LIMIT CUR","G9162","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9162 SPOKE LAN EXPRES FUNT LIMIT CUR","G9162","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9162 SPOKE LAN EXPRES FUNT LIMIT CUR","G9162","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9162 SPOKE LAN EXPRES FUNT LIMIT CUR","G9162","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9162 SPOKE LAN EXPRES FUNT LIMIT CUR","G9162","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9162 SPOKE LAN EXPRES FUNT LIMIT CUR","G9162","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9162 SPOKE LAN EXPRES FUNT LIMIT CUR","G9162","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9162 SPOKE LAN EXPRES FUNT LIMIT CUR","G9162","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"ST G9162 SPOKE LAN EXPRES FUNT LIMIT CUR","G9162","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9162 SPOKE LAN EXPRES FUNT LIMIT CUR","G9162","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9162 SPOKE LAN EXPRES FUNT LIMIT CUR","G9162","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9162 SPOKE LAN EXPRES FUNT LIMIT CUR","G9162","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9162 SPOKE LAN EXPRES FUNT LIMIT CUR","G9162","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9162 SPOKE LAN EXPRES FUNT LIMIT CUR","G9162","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"ST G9162 SPOKE LAN EXPRES FUNT LIMIT CUR","G9162","HCPCS","Both",,,"1","0.5","Humana","Commercial","GN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"ST G9162 SPOKE LAN EXPRES FUNT LIMIT CUR","G9162","HCPCS","Both",,,"1","0.5","UHC","Commercial","GN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"ST G9162 SPOKE LAN EXPRES FUNT LIMIT CUR","G9162","HCPCS","Both",,,"1","0.5","Medicaid",,"GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9163 SPOKE LAN EXPRES FUNT LIMIT PRO","G9163","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9163 SPOKE LAN EXPRES FUNT LIMIT PRO","G9163","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9163 SPOKE LAN EXPRES FUNT LIMIT PRO","G9163","HCPCS","Both",,,"1","0.5","Medicare",,"GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9163 SPOKE LAN EXPRES FUNT LIMIT PRO","G9163","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9163 SPOKE LAN EXPRES FUNT LIMIT PRO","G9163","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9163 SPOKE LAN EXPRES FUNT LIMIT PRO","G9163","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9163 SPOKE LAN EXPRES FUNT LIMIT PRO","G9163","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9163 SPOKE LAN EXPRES FUNT LIMIT PRO","G9163","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9163 SPOKE LAN EXPRES FUNT LIMIT PRO","G9163","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9163 SPOKE LAN EXPRES FUNT LIMIT PRO","G9163","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9163 SPOKE LAN EXPRES FUNT LIMIT PRO","G9163","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"ST G9163 SPOKE LAN EXPRES FUNT LIMIT PRO","G9163","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9163 SPOKE LAN EXPRES FUNT LIMIT PRO","G9163","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9163 SPOKE LAN EXPRES FUNT LIMIT PRO","G9163","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9163 SPOKE LAN EXPRES FUNT LIMIT PRO","G9163","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9163 SPOKE LAN EXPRES FUNT LIMIT PRO","G9163","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9163 SPOKE LAN EXPRES FUNT LIMIT PRO","G9163","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"ST G9163 SPOKE LAN EXPRES FUNT LIMIT PRO","G9163","HCPCS","Both",,,"1","0.5","Humana","Commercial","GN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"ST G9163 SPOKE LAN EXPRES FUNT LIMIT PRO","G9163","HCPCS","Both",,,"1","0.5","UHC","Commercial","GN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"ST G9163 SPOKE LAN EXPRES FUNT LIMIT PRO","G9163","HCPCS","Both",,,"1","0.5","Medicaid",,"GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9164 SPOKE LAN EXPRESS FUN LIMIT DIS","G9164","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9164 SPOKE LAN EXPRESS FUN LIMIT DIS","G9164","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9164 SPOKE LAN EXPRESS FUN LIMIT DIS","G9164","HCPCS","Both",,,"1","0.5","Medicare",,"GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9164 SPOKE LAN EXPRESS FUN LIMIT DIS","G9164","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9164 SPOKE LAN EXPRESS FUN LIMIT DIS","G9164","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9164 SPOKE LAN EXPRESS FUN LIMIT DIS","G9164","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9164 SPOKE LAN EXPRESS FUN LIMIT DIS","G9164","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9164 SPOKE LAN EXPRESS FUN LIMIT DIS","G9164","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9164 SPOKE LAN EXPRESS FUN LIMIT DIS","G9164","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9164 SPOKE LAN EXPRESS FUN LIMIT DIS","G9164","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9164 SPOKE LAN EXPRESS FUN LIMIT DIS","G9164","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"ST G9164 SPOKE LAN EXPRESS FUN LIMIT DIS","G9164","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9164 SPOKE LAN EXPRESS FUN LIMIT DIS","G9164","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9164 SPOKE LAN EXPRESS FUN LIMIT DIS","G9164","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9164 SPOKE LAN EXPRESS FUN LIMIT DIS","G9164","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9164 SPOKE LAN EXPRESS FUN LIMIT DIS","G9164","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9164 SPOKE LAN EXPRESS FUN LIMIT DIS","G9164","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"ST G9164 SPOKE LAN EXPRESS FUN LIMIT DIS","G9164","HCPCS","Both",,,"1","0.5","Humana","Commercial","GN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"ST G9164 SPOKE LAN EXPRESS FUN LIMIT DIS","G9164","HCPCS","Both",,,"1","0.5","UHC","Commercial","GN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"ST G9164 SPOKE LAN EXPRESS FUN LIMIT DIS","G9164","HCPCS","Both",,,"1","0.5","Medicaid",,"GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9165 ATTENTION FUNCT LIMIT CURRENT","G9165","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9165 ATTENTION FUNCT LIMIT CURRENT","G9165","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9165 ATTENTION FUNCT LIMIT CURRENT","G9165","HCPCS","Both",,,"1","0.5","Medicare",,"GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9165 ATTENTION FUNCT LIMIT CURRENT","G9165","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9165 ATTENTION FUNCT LIMIT CURRENT","G9165","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9165 ATTENTION FUNCT LIMIT CURRENT","G9165","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9165 ATTENTION FUNCT LIMIT CURRENT","G9165","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9165 ATTENTION FUNCT LIMIT CURRENT","G9165","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9165 ATTENTION FUNCT LIMIT CURRENT","G9165","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9165 ATTENTION FUNCT LIMIT CURRENT","G9165","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9165 ATTENTION FUNCT LIMIT CURRENT","G9165","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"ST G9165 ATTENTION FUNCT LIMIT CURRENT","G9165","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9165 ATTENTION FUNCT LIMIT CURRENT","G9165","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9165 ATTENTION FUNCT LIMIT CURRENT","G9165","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9165 ATTENTION FUNCT LIMIT CURRENT","G9165","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9165 ATTENTION FUNCT LIMIT CURRENT","G9165","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9165 ATTENTION FUNCT LIMIT CURRENT","G9165","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"ST G9165 ATTENTION FUNCT LIMIT CURRENT","G9165","HCPCS","Both",,,"1","0.5","Humana","Commercial","GN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"ST G9165 ATTENTION FUNCT LIMIT CURRENT","G9165","HCPCS","Both",,,"1","0.5","UHC","Commercial","GN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"ST G9165 ATTENTION FUNCT LIMIT CURRENT","G9165","HCPCS","Both",,,"1","0.5","Medicaid",,"GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9166 ATTENTION FUNCT LIMIT PROJECT","G9166","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9166 ATTENTION FUNCT LIMIT PROJECT","G9166","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9166 ATTENTION FUNCT LIMIT PROJECT","G9166","HCPCS","Both",,,"1","0.5","Medicare",,"GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9166 ATTENTION FUNCT LIMIT PROJECT","G9166","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9166 ATTENTION FUNCT LIMIT PROJECT","G9166","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9166 ATTENTION FUNCT LIMIT PROJECT","G9166","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9166 ATTENTION FUNCT LIMIT PROJECT","G9166","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9166 ATTENTION FUNCT LIMIT PROJECT","G9166","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9166 ATTENTION FUNCT LIMIT PROJECT","G9166","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9166 ATTENTION FUNCT LIMIT PROJECT","G9166","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9166 ATTENTION FUNCT LIMIT PROJECT","G9166","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"ST G9166 ATTENTION FUNCT LIMIT PROJECT","G9166","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9166 ATTENTION FUNCT LIMIT PROJECT","G9166","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9166 ATTENTION FUNCT LIMIT PROJECT","G9166","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9166 ATTENTION FUNCT LIMIT PROJECT","G9166","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9166 ATTENTION FUNCT LIMIT PROJECT","G9166","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9166 ATTENTION FUNCT LIMIT PROJECT","G9166","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"ST G9166 ATTENTION FUNCT LIMIT PROJECT","G9166","HCPCS","Both",,,"1","0.5","Humana","Commercial","GN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"ST G9166 ATTENTION FUNCT LIMIT PROJECT","G9166","HCPCS","Both",,,"1","0.5","UHC","Commercial","GN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"ST G9166 ATTENTION FUNCT LIMIT PROJECT","G9166","HCPCS","Both",,,"1","0.5","Medicaid",,"GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9167 ATTENTION FUNCT LIMIT DISCHARG","G9167","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9167 ATTENTION FUNCT LIMIT DISCHARG","G9167","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9167 ATTENTION FUNCT LIMIT DISCHARG","G9167","HCPCS","Both",,,"1","0.5","Medicare",,"GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9167 ATTENTION FUNCT LIMIT DISCHARG","G9167","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9167 ATTENTION FUNCT LIMIT DISCHARG","G9167","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9167 ATTENTION FUNCT LIMIT DISCHARG","G9167","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9167 ATTENTION FUNCT LIMIT DISCHARG","G9167","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9167 ATTENTION FUNCT LIMIT DISCHARG","G9167","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9167 ATTENTION FUNCT LIMIT DISCHARG","G9167","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9167 ATTENTION FUNCT LIMIT DISCHARG","G9167","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9167 ATTENTION FUNCT LIMIT DISCHARG","G9167","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"ST G9167 ATTENTION FUNCT LIMIT DISCHARG","G9167","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9167 ATTENTION FUNCT LIMIT DISCHARG","G9167","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9167 ATTENTION FUNCT LIMIT DISCHARG","G9167","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9167 ATTENTION FUNCT LIMIT DISCHARG","G9167","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9167 ATTENTION FUNCT LIMIT DISCHARG","G9167","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9167 ATTENTION FUNCT LIMIT DISCHARG","G9167","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"ST G9167 ATTENTION FUNCT LIMIT DISCHARG","G9167","HCPCS","Both",,,"1","0.5","Humana","Commercial","GN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"ST G9167 ATTENTION FUNCT LIMIT DISCHARG","G9167","HCPCS","Both",,,"1","0.5","UHC","Commercial","GN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"ST G9167 ATTENTION FUNCT LIMIT DISCHARG","G9167","HCPCS","Both",,,"1","0.5","Medicaid",,"GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9168 MEMORY FUNCT LIMIT CURR","G9168","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9168 MEMORY FUNCT LIMIT CURR","G9168","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9168 MEMORY FUNCT LIMIT CURR","G9168","HCPCS","Both",,,"1","0.5","Medicare",,"GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9168 MEMORY FUNCT LIMIT CURR","G9168","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9168 MEMORY FUNCT LIMIT CURR","G9168","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9168 MEMORY FUNCT LIMIT CURR","G9168","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9168 MEMORY FUNCT LIMIT CURR","G9168","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9168 MEMORY FUNCT LIMIT CURR","G9168","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9168 MEMORY FUNCT LIMIT CURR","G9168","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9168 MEMORY FUNCT LIMIT CURR","G9168","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9168 MEMORY FUNCT LIMIT CURR","G9168","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"ST G9168 MEMORY FUNCT LIMIT CURR","G9168","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9168 MEMORY FUNCT LIMIT CURR","G9168","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9168 MEMORY FUNCT LIMIT CURR","G9168","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9168 MEMORY FUNCT LIMIT CURR","G9168","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9168 MEMORY FUNCT LIMIT CURR","G9168","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9168 MEMORY FUNCT LIMIT CURR","G9168","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"ST G9168 MEMORY FUNCT LIMIT CURR","G9168","HCPCS","Both",,,"1","0.5","Humana","Commercial","GN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"ST G9168 MEMORY FUNCT LIMIT CURR","G9168","HCPCS","Both",,,"1","0.5","UHC","Commercial","GN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"ST G9168 MEMORY FUNCT LIMIT CURR","G9168","HCPCS","Both",,,"1","0.5","Medicaid",,"GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9169 MEMORY FUNCT LIMIT PROJECTED","G9169","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9169 MEMORY FUNCT LIMIT PROJECTED","G9169","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9169 MEMORY FUNCT LIMIT PROJECTED","G9169","HCPCS","Both",,,"1","0.5","Medicare",,"GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9169 MEMORY FUNCT LIMIT PROJECTED","G9169","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9169 MEMORY FUNCT LIMIT PROJECTED","G9169","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9169 MEMORY FUNCT LIMIT PROJECTED","G9169","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9169 MEMORY FUNCT LIMIT PROJECTED","G9169","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9169 MEMORY FUNCT LIMIT PROJECTED","G9169","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9169 MEMORY FUNCT LIMIT PROJECTED","G9169","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9169 MEMORY FUNCT LIMIT PROJECTED","G9169","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9169 MEMORY FUNCT LIMIT PROJECTED","G9169","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"ST G9169 MEMORY FUNCT LIMIT PROJECTED","G9169","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9169 MEMORY FUNCT LIMIT PROJECTED","G9169","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9169 MEMORY FUNCT LIMIT PROJECTED","G9169","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9169 MEMORY FUNCT LIMIT PROJECTED","G9169","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9169 MEMORY FUNCT LIMIT PROJECTED","G9169","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9169 MEMORY FUNCT LIMIT PROJECTED","G9169","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"ST G9169 MEMORY FUNCT LIMIT PROJECTED","G9169","HCPCS","Both",,,"1","0.5","Humana","Commercial","GN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"ST G9169 MEMORY FUNCT LIMIT PROJECTED","G9169","HCPCS","Both",,,"1","0.5","UHC","Commercial","GN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"ST G9169 MEMORY FUNCT LIMIT PROJECTED","G9169","HCPCS","Both",,,"1","0.5","Medicaid",,"GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9171 VOICE FUNCT LIMIT CURRENT","G9171","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9171 VOICE FUNCT LIMIT CURRENT","G9171","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9171 VOICE FUNCT LIMIT CURRENT","G9171","HCPCS","Both",,,"1","0.5","Medicare",,"GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9171 VOICE FUNCT LIMIT CURRENT","G9171","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9171 VOICE FUNCT LIMIT CURRENT","G9171","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9171 VOICE FUNCT LIMIT CURRENT","G9171","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9171 VOICE FUNCT LIMIT CURRENT","G9171","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9171 VOICE FUNCT LIMIT CURRENT","G9171","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9171 VOICE FUNCT LIMIT CURRENT","G9171","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9171 VOICE FUNCT LIMIT CURRENT","G9171","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9171 VOICE FUNCT LIMIT CURRENT","G9171","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"ST G9171 VOICE FUNCT LIMIT CURRENT","G9171","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9171 VOICE FUNCT LIMIT CURRENT","G9171","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9171 VOICE FUNCT LIMIT CURRENT","G9171","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9171 VOICE FUNCT LIMIT CURRENT","G9171","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9171 VOICE FUNCT LIMIT CURRENT","G9171","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9171 VOICE FUNCT LIMIT CURRENT","G9171","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"ST G9171 VOICE FUNCT LIMIT CURRENT","G9171","HCPCS","Both",,,"1","0.5","Humana","Commercial","GN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"ST G9171 VOICE FUNCT LIMIT CURRENT","G9171","HCPCS","Both",,,"1","0.5","UHC","Commercial","GN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"ST G9171 VOICE FUNCT LIMIT CURRENT","G9171","HCPCS","Both",,,"1","0.5","Medicaid",,"GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9172 VOICE FUNCT LIMIT PROJECT","G9172","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9172 VOICE FUNCT LIMIT PROJECT","G9172","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9172 VOICE FUNCT LIMIT PROJECT","G9172","HCPCS","Both",,,"1","0.5","Medicare",,"GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9172 VOICE FUNCT LIMIT PROJECT","G9172","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9172 VOICE FUNCT LIMIT PROJECT","G9172","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9172 VOICE FUNCT LIMIT PROJECT","G9172","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9172 VOICE FUNCT LIMIT PROJECT","G9172","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9172 VOICE FUNCT LIMIT PROJECT","G9172","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9172 VOICE FUNCT LIMIT PROJECT","G9172","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9172 VOICE FUNCT LIMIT PROJECT","G9172","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9172 VOICE FUNCT LIMIT PROJECT","G9172","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"ST G9172 VOICE FUNCT LIMIT PROJECT","G9172","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9172 VOICE FUNCT LIMIT PROJECT","G9172","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9172 VOICE FUNCT LIMIT PROJECT","G9172","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9172 VOICE FUNCT LIMIT PROJECT","G9172","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9172 VOICE FUNCT LIMIT PROJECT","G9172","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9172 VOICE FUNCT LIMIT PROJECT","G9172","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"ST G9172 VOICE FUNCT LIMIT PROJECT","G9172","HCPCS","Both",,,"1","0.5","Humana","Commercial","GN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"ST G9172 VOICE FUNCT LIMIT PROJECT","G9172","HCPCS","Both",,,"1","0.5","UHC","Commercial","GN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"ST G9172 VOICE FUNCT LIMIT PROJECT","G9172","HCPCS","Both",,,"1","0.5","Medicaid",,"GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9173 VOICE FUNCT LIMIT DISCHARGE","G9173","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9173 VOICE FUNCT LIMIT DISCHARGE","G9173","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9173 VOICE FUNCT LIMIT DISCHARGE","G9173","HCPCS","Both",,,"1","0.5","Medicare",,"GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9173 VOICE FUNCT LIMIT DISCHARGE","G9173","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9173 VOICE FUNCT LIMIT DISCHARGE","G9173","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9173 VOICE FUNCT LIMIT DISCHARGE","G9173","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9173 VOICE FUNCT LIMIT DISCHARGE","G9173","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9173 VOICE FUNCT LIMIT DISCHARGE","G9173","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9173 VOICE FUNCT LIMIT DISCHARGE","G9173","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9173 VOICE FUNCT LIMIT DISCHARGE","G9173","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9173 VOICE FUNCT LIMIT DISCHARGE","G9173","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"ST G9173 VOICE FUNCT LIMIT DISCHARGE","G9173","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9173 VOICE FUNCT LIMIT DISCHARGE","G9173","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9173 VOICE FUNCT LIMIT DISCHARGE","G9173","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9173 VOICE FUNCT LIMIT DISCHARGE","G9173","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9173 VOICE FUNCT LIMIT DISCHARGE","G9173","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9173 VOICE FUNCT LIMIT DISCHARGE","G9173","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"ST G9173 VOICE FUNCT LIMIT DISCHARGE","G9173","HCPCS","Both",,,"1","0.5","Humana","Commercial","GN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"ST G9173 VOICE FUNCT LIMIT DISCHARGE","G9173","HCPCS","Both",,,"1","0.5","UHC","Commercial","GN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"ST G9173 VOICE FUNCT LIMIT DISCHARGE","G9173","HCPCS","Both",,,"1","0.5","Medicaid",,"GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9174 OTSPCH LAN PATH FUNC LIMIT CURR","G9174","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9174 OTSPCH LAN PATH FUNC LIMIT CURR","G9174","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9174 OTSPCH LAN PATH FUNC LIMIT CURR","G9174","HCPCS","Both",,,"1","0.5","Medicare",,"GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9174 OTSPCH LAN PATH FUNC LIMIT CURR","G9174","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9174 OTSPCH LAN PATH FUNC LIMIT CURR","G9174","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9174 OTSPCH LAN PATH FUNC LIMIT CURR","G9174","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9174 OTSPCH LAN PATH FUNC LIMIT CURR","G9174","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9174 OTSPCH LAN PATH FUNC LIMIT CURR","G9174","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9174 OTSPCH LAN PATH FUNC LIMIT CURR","G9174","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9174 OTSPCH LAN PATH FUNC LIMIT CURR","G9174","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9174 OTSPCH LAN PATH FUNC LIMIT CURR","G9174","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"ST G9174 OTSPCH LAN PATH FUNC LIMIT CURR","G9174","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9174 OTSPCH LAN PATH FUNC LIMIT CURR","G9174","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9174 OTSPCH LAN PATH FUNC LIMIT CURR","G9174","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9174 OTSPCH LAN PATH FUNC LIMIT CURR","G9174","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9174 OTSPCH LAN PATH FUNC LIMIT CURR","G9174","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9174 OTSPCH LAN PATH FUNC LIMIT CURR","G9174","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"ST G9174 OTSPCH LAN PATH FUNC LIMIT CURR","G9174","HCPCS","Both",,,"1","0.5","Humana","Commercial","GN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"ST G9174 OTSPCH LAN PATH FUNC LIMIT CURR","G9174","HCPCS","Both",,,"1","0.5","UHC","Commercial","GN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"ST G9174 OTSPCH LAN PATH FUNC LIMIT CURR","G9174","HCPCS","Both",,,"1","0.5","Medicaid",,"GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9175 OTSPCH LANG PATH FUNC LIM PROJ","G9175","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9175 OTSPCH LANG PATH FUNC LIM PROJ","G9175","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9175 OTSPCH LANG PATH FUNC LIM PROJ","G9175","HCPCS","Both",,,"1","0.5","Medicare",,"GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9175 OTSPCH LANG PATH FUNC LIM PROJ","G9175","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9175 OTSPCH LANG PATH FUNC LIM PROJ","G9175","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9175 OTSPCH LANG PATH FUNC LIM PROJ","G9175","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9175 OTSPCH LANG PATH FUNC LIM PROJ","G9175","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9175 OTSPCH LANG PATH FUNC LIM PROJ","G9175","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9175 OTSPCH LANG PATH FUNC LIM PROJ","G9175","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9175 OTSPCH LANG PATH FUNC LIM PROJ","G9175","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9175 OTSPCH LANG PATH FUNC LIM PROJ","G9175","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"ST G9175 OTSPCH LANG PATH FUNC LIM PROJ","G9175","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9175 OTSPCH LANG PATH FUNC LIM PROJ","G9175","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9175 OTSPCH LANG PATH FUNC LIM PROJ","G9175","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9175 OTSPCH LANG PATH FUNC LIM PROJ","G9175","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9175 OTSPCH LANG PATH FUNC LIM PROJ","G9175","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9175 OTSPCH LANG PATH FUNC LIM PROJ","G9175","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"ST G9175 OTSPCH LANG PATH FUNC LIM PROJ","G9175","HCPCS","Both",,,"1","0.5","Humana","Commercial","GN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"ST G9175 OTSPCH LANG PATH FUNC LIM PROJ","G9175","HCPCS","Both",,,"1","0.5","UHC","Commercial","GN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"ST G9175 OTSPCH LANG PATH FUNC LIM PROJ","G9175","HCPCS","Both",,,"1","0.5","Medicaid",,"GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9176 OT SPCH LNG PAT FUN LIMIT DISCH","G9176","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9176 OT SPCH LNG PAT FUN LIMIT DISCH","G9176","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9176 OT SPCH LNG PAT FUN LIMIT DISCH","G9176","HCPCS","Both",,,"1","0.5","Medicare",,"GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9176 OT SPCH LNG PAT FUN LIMIT DISCH","G9176","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9176 OT SPCH LNG PAT FUN LIMIT DISCH","G9176","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9176 OT SPCH LNG PAT FUN LIMIT DISCH","G9176","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9176 OT SPCH LNG PAT FUN LIMIT DISCH","G9176","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9176 OT SPCH LNG PAT FUN LIMIT DISCH","G9176","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9176 OT SPCH LNG PAT FUN LIMIT DISCH","G9176","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9176 OT SPCH LNG PAT FUN LIMIT DISCH","G9176","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9176 OT SPCH LNG PAT FUN LIMIT DISCH","G9176","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"ST G9176 OT SPCH LNG PAT FUN LIMIT DISCH","G9176","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9176 OT SPCH LNG PAT FUN LIMIT DISCH","G9176","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9176 OT SPCH LNG PAT FUN LIMIT DISCH","G9176","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9176 OT SPCH LNG PAT FUN LIMIT DISCH","G9176","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9176 OT SPCH LNG PAT FUN LIMIT DISCH","G9176","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9176 OT SPCH LNG PAT FUN LIMIT DISCH","G9176","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"ST G9176 OT SPCH LNG PAT FUN LIMIT DISCH","G9176","HCPCS","Both",,,"1","0.5","Humana","Commercial","GN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"ST G9176 OT SPCH LNG PAT FUN LIMIT DISCH","G9176","HCPCS","Both",,,"1","0.5","UHC","Commercial","GN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"ST G9176 OT SPCH LNG PAT FUN LIMIT DISCH","G9176","HCPCS","Both",,,"1","0.5","Medicaid",,"GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9186 MOTOR SPEECH FUNCT LIMIT PROJ","G9186","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9186 MOTOR SPEECH FUNCT LIMIT PROJ","G9186","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9186 MOTOR SPEECH FUNCT LIMIT PROJ","G9186","HCPCS","Both",,,"1","0.5","Medicare",,"GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9186 MOTOR SPEECH FUNCT LIMIT PROJ","G9186","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9186 MOTOR SPEECH FUNCT LIMIT PROJ","G9186","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9186 MOTOR SPEECH FUNCT LIMIT PROJ","G9186","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9186 MOTOR SPEECH FUNCT LIMIT PROJ","G9186","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9186 MOTOR SPEECH FUNCT LIMIT PROJ","G9186","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9186 MOTOR SPEECH FUNCT LIMIT PROJ","G9186","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9186 MOTOR SPEECH FUNCT LIMIT PROJ","G9186","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9186 MOTOR SPEECH FUNCT LIMIT PROJ","G9186","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"ST G9186 MOTOR SPEECH FUNCT LIMIT PROJ","G9186","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9186 MOTOR SPEECH FUNCT LIMIT PROJ","G9186","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9186 MOTOR SPEECH FUNCT LIMIT PROJ","G9186","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9186 MOTOR SPEECH FUNCT LIMIT PROJ","G9186","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9186 MOTOR SPEECH FUNCT LIMIT PROJ","G9186","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9186 MOTOR SPEECH FUNCT LIMIT PROJ","G9186","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"ST G9186 MOTOR SPEECH FUNCT LIMIT PROJ","G9186","HCPCS","Both",,,"1","0.5","Humana","Commercial","GN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"ST G9186 MOTOR SPEECH FUNCT LIMIT PROJ","G9186","HCPCS","Both",,,"1","0.5","UHC","Commercial","GN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"ST G9186 MOTOR SPEECH FUNCT LIMIT PROJ","G9186","HCPCS","Both",,,"1","0.5","Medicaid",,"GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"CERVICAL LYMPHADENECTOMY","38720","HCPCS","Both",,,"3409","1704.5","Alliant","Health Exchange","",,"62",,"2113.58","1247.69","2641.98","percent of total billed charges",,
"CERVICAL LYMPHADENECTOMY","38720","HCPCS","Both",,,"3409","1704.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"1840.86","1247.69","2641.98","percent of total billed charges",,
"CERVICAL LYMPHADENECTOMY","38720","HCPCS","Both",,,"3409","1704.5","Medicare",,"",,"54",,"1847.68","1247.69","2641.98","percent of total billed charges",,
"CERVICAL LYMPHADENECTOMY","38720","HCPCS","Both",,,"3409","1704.5","Humana","Medicare Advantage","",,"54",,"1847.68","1247.69","2641.98","percent of total billed charges",,
"CERVICAL LYMPHADENECTOMY","38720","HCPCS","Both",,,"3409","1704.5","UHC","Medicare Advantage","",,"54",,"1847.68","1247.69","2641.98","percent of total billed charges",,
"CERVICAL LYMPHADENECTOMY","38720","HCPCS","Both",,,"3409","1704.5","Clover","Medicare Advantage","",,"54",,"1847.68","1247.69","2641.98","percent of total billed charges",,
"CERVICAL LYMPHADENECTOMY","38720","HCPCS","Both",,,"3409","1704.5","Wellcare","Medicare Advantage","",,"54",,"1847.68","1247.69","2641.98","percent of total billed charges",,
"CERVICAL LYMPHADENECTOMY","38720","HCPCS","Both",,,"3409","1704.5","Amerigroup","Medicaid Managed Care","",,"37",,"1247.69","1247.69","2641.98","percent of total billed charges",,
"CERVICAL LYMPHADENECTOMY","38720","HCPCS","Both",,,"3409","1704.5","Caresource","Medicaid Managed Care","",,"40",,"1363.6","1247.69","2641.98","percent of total billed charges",,
"CERVICAL LYMPHADENECTOMY","38720","HCPCS","Both",,,"3409","1704.5","Wellcare","Medicaid Managed Care","",,"40",,"1380.64","1247.69","2641.98","percent of total billed charges",,
"CERVICAL LYMPHADENECTOMY","38720","HCPCS","Both",,,"3409","1704.5","Aetna","Commercial","",,"64",,"2174.94","1247.69","2641.98","percent of total billed charges",,
"CERVICAL LYMPHADENECTOMY","38720","HCPCS","Both",,,"3409","1704.5","Blue Cross Blue Shield","Pathways","",,"71",,"2406.75","1247.69","2641.98","percent of total billed charges",,
"CERVICAL LYMPHADENECTOMY","38720","HCPCS","Both",,,"3409","1704.5","Blue Cross Blue Shield","HMO","",,"71",,"2406.75","1247.69","2641.98","percent of total billed charges",,
"CERVICAL LYMPHADENECTOMY","38720","HCPCS","Both",,,"3409","1704.5","Blue Cross Blue Shield","PPO","",,"71",,"2406.75","1247.69","2641.98","percent of total billed charges",,
"CERVICAL LYMPHADENECTOMY","38720","HCPCS","Both",,,"3409","1704.5","Ambetter","Health Exchange","",,"62",,"2113.58","1247.69","2641.98","percent of total billed charges",,
"CERVICAL LYMPHADENECTOMY","38720","HCPCS","Both",,,"3409","1704.5","Caresource","Health Exchange","",,"62",,"2113.58","1247.69","2641.98","percent of total billed charges",,
"CERVICAL LYMPHADENECTOMY","38720","HCPCS","Both",,,"3409","1704.5","Cigna","Commercial","",,"59",,"1997.67","1247.69","2641.98","percent of total billed charges",,
"CERVICAL LYMPHADENECTOMY","38720","HCPCS","Both",,,"3409","1704.5","Humana","Commercial","",,"78",,"2641.98","1247.69","2641.98","percent of total billed charges",,
"CERVICAL LYMPHADENECTOMY","38720","HCPCS","Both",,,"3409","1704.5","UHC","Commercial","",,"75",,"2570.39","1247.69","2641.98","percent of total billed charges",,
"CERVICAL LYMPHADENECTOMY","38720","HCPCS","Both",,,"3409","1704.5","Medicaid",,"",,"37",,"1247.69","1247.69","2641.98","percent of total billed charges",,
"ST CIS SPEECH LANG THERAPY","92507","HCPCS","Both",,,"540.21","270.105","Alliant","Health Exchange","GN,HA",,"62",,"334.93","197.72","418.66","percent of total billed charges",,
"ST CIS SPEECH LANG THERAPY","92507","HCPCS","Both",,,"540.21","270.105","Pruitt Healthcare","Medicare Advantage","GN,HA",,"54",,"291.71","197.72","418.66","percent of total billed charges",,
"ST CIS SPEECH LANG THERAPY","92507","HCPCS","Both",,,"540.21","270.105","Medicare",,"GN,HA",,"54",,"292.79","197.72","418.66","percent of total billed charges",,
"ST CIS SPEECH LANG THERAPY","92507","HCPCS","Both",,,"540.21","270.105","Humana","Medicare Advantage","GN,HA",,"54",,"292.79","197.72","418.66","percent of total billed charges",,
"ST CIS SPEECH LANG THERAPY","92507","HCPCS","Both",,,"540.21","270.105","UHC","Medicare Advantage","GN,HA",,"54",,"292.79","197.72","418.66","percent of total billed charges",,
"ST CIS SPEECH LANG THERAPY","92507","HCPCS","Both",,,"540.21","270.105","Clover","Medicare Advantage","GN,HA",,"54",,"292.79","197.72","418.66","percent of total billed charges",,
"ST CIS SPEECH LANG THERAPY","92507","HCPCS","Both",,,"540.21","270.105","Wellcare","Medicare Advantage","GN,HA",,"54",,"292.79","197.72","418.66","percent of total billed charges",,
"ST CIS SPEECH LANG THERAPY","92507","HCPCS","Both",,,"540.21","270.105","Amerigroup","Medicaid Managed Care","GN,HA",,"37",,"197.72","197.72","418.66","percent of total billed charges",,
"ST CIS SPEECH LANG THERAPY","92507","HCPCS","Both",,,"540.21","270.105","Caresource","Medicaid Managed Care","GN,HA",,"40",,"216.08","197.72","418.66","percent of total billed charges",,
"ST CIS SPEECH LANG THERAPY","92507","HCPCS","Both",,,"540.21","270.105","Wellcare","Medicaid Managed Care","GN,HA",,"40",,"218.79","197.72","418.66","percent of total billed charges",,
"ST CIS SPEECH LANG THERAPY","92507","HCPCS","Both",,,"540.21","270.105","Aetna","Commercial","GN,HA",,"64",,"344.65","197.72","418.66","percent of total billed charges",,
"ST CIS SPEECH LANG THERAPY","92507","HCPCS","Both",,,"540.21","270.105","Blue Cross Blue Shield","Pathways","GN,HA",,"71",,"381.39","197.72","418.66","percent of total billed charges",,
"ST CIS SPEECH LANG THERAPY","92507","HCPCS","Both",,,"540.21","270.105","Blue Cross Blue Shield","HMO","GN,HA",,"71",,"381.39","197.72","418.66","percent of total billed charges",,
"ST CIS SPEECH LANG THERAPY","92507","HCPCS","Both",,,"540.21","270.105","Blue Cross Blue Shield","PPO","GN,HA",,"71",,"381.39","197.72","418.66","percent of total billed charges",,
"ST CIS SPEECH LANG THERAPY","92507","HCPCS","Both",,,"540.21","270.105","Ambetter","Health Exchange","GN,HA",,"62",,"334.93","197.72","418.66","percent of total billed charges",,
"ST CIS SPEECH LANG THERAPY","92507","HCPCS","Both",,,"540.21","270.105","Caresource","Health Exchange","GN,HA",,"62",,"334.93","197.72","418.66","percent of total billed charges",,
"ST CIS SPEECH LANG THERAPY","92507","HCPCS","Both",,,"540.21","270.105","Cigna","Commercial","GN,HA",,"59",,"316.56","197.72","418.66","percent of total billed charges",,
"ST CIS SPEECH LANG THERAPY","92507","HCPCS","Both",,,"540.21","270.105","Humana","Commercial","GN,HA",,"78",,"418.66","197.72","418.66","percent of total billed charges",,
"ST CIS SPEECH LANG THERAPY","92507","HCPCS","Both",,,"540.21","270.105","UHC","Commercial","GN,HA",,"75",,"407.32","197.72","418.66","percent of total billed charges",,
"ST CIS SPEECH LANG THERAPY","92507","HCPCS","Both",,,"540.21","270.105","Medicaid",,"GN,HA",,"37",,"197.72","197.72","418.66","percent of total billed charges",,
"ST CIS EVALUATION SPEECH SOUND","92523","HCPCS","Both",,,"836.66","418.33","Alliant","Health Exchange","GN,HA",,"62",,"518.73","202.21","648.41","percent of total billed charges",,
"ST CIS EVALUATION SPEECH SOUND","92523","HCPCS","Both",,,"836.66","418.33","Pruitt Healthcare","Medicare Advantage","GN,HA",,"54",,"451.8","202.21","648.41","percent of total billed charges",,
"ST CIS EVALUATION SPEECH SOUND","92523","HCPCS","Both",,,"836.66","418.33","Medicare",,"GN,HA",,"54",,"453.47","202.21","648.41","percent of total billed charges",,
"ST CIS EVALUATION SPEECH SOUND","92523","HCPCS","Both",,,"836.66","418.33","Humana","Medicare Advantage","GN,HA",,"54",,"453.47","202.21","648.41","percent of total billed charges",,
"ST CIS EVALUATION SPEECH SOUND","92523","HCPCS","Both",,,"836.66","418.33","UHC","Medicare Advantage","GN,HA",,"54",,"453.47","202.21","648.41","percent of total billed charges",,
"ST CIS EVALUATION SPEECH SOUND","92523","HCPCS","Both",,,"836.66","418.33","Clover","Medicare Advantage","GN,HA",,"54",,"453.47","202.21","648.41","percent of total billed charges",,
"ST CIS EVALUATION SPEECH SOUND","92523","HCPCS","Both",,,"836.66","418.33","Wellcare","Medicare Advantage","GN,HA",,"54",,"453.47","202.21","648.41","percent of total billed charges",,
"ST CIS EVALUATION SPEECH SOUND","92523","HCPCS","Both",,,"836.66","418.33","Amerigroup","Medicaid Managed Care","GN,HA",,"37",,"306.22","202.21","648.41","percent of total billed charges",,
"ST CIS EVALUATION SPEECH SOUND","92523","HCPCS","Both",,,"836.66","418.33","Caresource","Medicaid Managed Care","GN,HA",,"40",,"334.66","202.21","648.41","percent of total billed charges",,
"ST CIS EVALUATION SPEECH SOUND","92523","HCPCS","Both",,,"836.66","418.33","Wellcare","Medicaid Managed Care","GN,HA",,"40",,"338.85","202.21","648.41","percent of total billed charges",,
"ST CIS EVALUATION SPEECH SOUND","92523","HCPCS","Both",,,"836.66","418.33","Aetna","Commercial","GN,HA",,"64",,"533.79","202.21","648.41","percent of total billed charges",,
"ST CIS EVALUATION SPEECH SOUND","92523","HCPCS","Both",,,"836.66","418.33","Blue Cross Blue Shield","Pathways","GN,HA",,"71",,"590.68","202.21","648.41","percent of total billed charges",,
"ST CIS EVALUATION SPEECH SOUND","92523","HCPCS","Both",,,"836.66","418.33","Blue Cross Blue Shield","HMO","GN,HA",,"71",,"590.68","202.21","648.41","percent of total billed charges",,
"ST CIS EVALUATION SPEECH SOUND","92523","HCPCS","Both",,,"836.66","418.33","Blue Cross Blue Shield","PPO","GN,HA",,"71",,"590.68","202.21","648.41","percent of total billed charges",,
"ST CIS EVALUATION SPEECH SOUND","92523","HCPCS","Both",,,"836.66","418.33","Ambetter","Health Exchange","GN,HA",,"62",,"518.73","202.21","648.41","percent of total billed charges",,
"ST CIS EVALUATION SPEECH SOUND","92523","HCPCS","Both",,,"836.66","418.33","Caresource","Health Exchange","GN,HA",,"62",,"518.73","202.21","648.41","percent of total billed charges",,
"ST CIS EVALUATION SPEECH SOUND","92523","HCPCS","Both",,,"836.66","418.33","Cigna","Commercial","GN,HA",,"59",,"490.28","202.21","648.41","percent of total billed charges",,
"ST CIS EVALUATION SPEECH SOUND","92523","HCPCS","Both",,,"836.66","418.33","Humana","Commercial","GN,HA",,"78",,"648.41","202.21","648.41","percent of total billed charges",,
"ST CIS EVALUATION SPEECH SOUND","92523","HCPCS","Both",,,"836.66","418.33","UHC","Commercial","GN,HA",,"75",,"630.84","202.21","648.41","percent of total billed charges",,
"ST CIS EVALUATION SPEECH SOUND","92523","HCPCS","Both",,,"836.66","418.33","Medicaid",,"GN,HA",,"37",,"306.22","202.21","648.41","percent of total billed charges",,
"ST CIS TREATMENT SWALLOW DYSFUNC ORL FEE","92526","HCPCS","Both",,,"286.5","143.25","Alliant","Health Exchange","GN,HA",,"62",,"177.63","104.86","222.04","percent of total billed charges",,
"ST CIS TREATMENT SWALLOW DYSFUNC ORL FEE","92526","HCPCS","Both",,,"286.5","143.25","Pruitt Healthcare","Medicare Advantage","GN,HA",,"54",,"154.71","104.86","222.04","percent of total billed charges",,
"ST CIS TREATMENT SWALLOW DYSFUNC ORL FEE","92526","HCPCS","Both",,,"286.5","143.25","Medicare",,"GN,HA",,"54",,"155.28","104.86","222.04","percent of total billed charges",,
"ST CIS TREATMENT SWALLOW DYSFUNC ORL FEE","92526","HCPCS","Both",,,"286.5","143.25","Humana","Medicare Advantage","GN,HA",,"54",,"155.28","104.86","222.04","percent of total billed charges",,
"ST CIS TREATMENT SWALLOW DYSFUNC ORL FEE","92526","HCPCS","Both",,,"286.5","143.25","UHC","Medicare Advantage","GN,HA",,"54",,"155.28","104.86","222.04","percent of total billed charges",,
"ST CIS TREATMENT SWALLOW DYSFUNC ORL FEE","92526","HCPCS","Both",,,"286.5","143.25","Clover","Medicare Advantage","GN,HA",,"54",,"155.28","104.86","222.04","percent of total billed charges",,
"ST CIS TREATMENT SWALLOW DYSFUNC ORL FEE","92526","HCPCS","Both",,,"286.5","143.25","Wellcare","Medicare Advantage","GN,HA",,"54",,"155.28","104.86","222.04","percent of total billed charges",,
"ST CIS TREATMENT SWALLOW DYSFUNC ORL FEE","92526","HCPCS","Both",,,"286.5","143.25","Amerigroup","Medicaid Managed Care","GN,HA",,"37",,"104.86","104.86","222.04","percent of total billed charges",,
"ST CIS TREATMENT SWALLOW DYSFUNC ORL FEE","92526","HCPCS","Both",,,"286.5","143.25","Caresource","Medicaid Managed Care","GN,HA",,"40",,"114.6","104.86","222.04","percent of total billed charges",,
"ST CIS TREATMENT SWALLOW DYSFUNC ORL FEE","92526","HCPCS","Both",,,"286.5","143.25","Wellcare","Medicaid Managed Care","GN,HA",,"40",,"116.03","104.86","222.04","percent of total billed charges",,
"ST CIS TREATMENT SWALLOW DYSFUNC ORL FEE","92526","HCPCS","Both",,,"286.5","143.25","Aetna","Commercial","GN,HA",,"64",,"182.79","104.86","222.04","percent of total billed charges",,
"ST CIS TREATMENT SWALLOW DYSFUNC ORL FEE","92526","HCPCS","Both",,,"286.5","143.25","Blue Cross Blue Shield","Pathways","GN,HA",,"71",,"202.27","104.86","222.04","percent of total billed charges",,
"ST CIS TREATMENT SWALLOW DYSFUNC ORL FEE","92526","HCPCS","Both",,,"286.5","143.25","Blue Cross Blue Shield","HMO","GN,HA",,"71",,"202.27","104.86","222.04","percent of total billed charges",,
"ST CIS TREATMENT SWALLOW DYSFUNC ORL FEE","92526","HCPCS","Both",,,"286.5","143.25","Blue Cross Blue Shield","PPO","GN,HA",,"71",,"202.27","104.86","222.04","percent of total billed charges",,
"ST CIS TREATMENT SWALLOW DYSFUNC ORL FEE","92526","HCPCS","Both",,,"286.5","143.25","Ambetter","Health Exchange","GN,HA",,"62",,"177.63","104.86","222.04","percent of total billed charges",,
"ST CIS TREATMENT SWALLOW DYSFUNC ORL FEE","92526","HCPCS","Both",,,"286.5","143.25","Caresource","Health Exchange","GN,HA",,"62",,"177.63","104.86","222.04","percent of total billed charges",,
"ST CIS TREATMENT SWALLOW DYSFUNC ORL FEE","92526","HCPCS","Both",,,"286.5","143.25","Cigna","Commercial","GN,HA",,"59",,"167.89","104.86","222.04","percent of total billed charges",,
"ST CIS TREATMENT SWALLOW DYSFUNC ORL FEE","92526","HCPCS","Both",,,"286.5","143.25","Humana","Commercial","GN,HA",,"78",,"222.04","104.86","222.04","percent of total billed charges",,
"ST CIS TREATMENT SWALLOW DYSFUNC ORL FEE","92526","HCPCS","Both",,,"286.5","143.25","UHC","Commercial","GN,HA",,"75",,"216.02","104.86","222.04","percent of total billed charges",,
"ST CIS TREATMENT SWALLOW DYSFUNC ORL FEE","92526","HCPCS","Both",,,"286.5","143.25","Medicaid",,"GN,HA",,"37",,"104.86","104.86","222.04","percent of total billed charges",,
"ST CIS EVAL ORAL PHARYNGEAL SWALLOW FUNC","92610","HCPCS","Both",,,"99","49.5","Alliant","Health Exchange","GN,HA",,"62",,"61.38","36.23","76.73","percent of total billed charges",,
"ST CIS EVAL ORAL PHARYNGEAL SWALLOW FUNC","92610","HCPCS","Both",,,"99","49.5","Pruitt Healthcare","Medicare Advantage","GN,HA",,"54",,"53.46","36.23","76.73","percent of total billed charges",,
"ST CIS EVAL ORAL PHARYNGEAL SWALLOW FUNC","92610","HCPCS","Both",,,"99","49.5","Medicare",,"GN,HA",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"ST CIS EVAL ORAL PHARYNGEAL SWALLOW FUNC","92610","HCPCS","Both",,,"99","49.5","Humana","Medicare Advantage","GN,HA",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"ST CIS EVAL ORAL PHARYNGEAL SWALLOW FUNC","92610","HCPCS","Both",,,"99","49.5","UHC","Medicare Advantage","GN,HA",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"ST CIS EVAL ORAL PHARYNGEAL SWALLOW FUNC","92610","HCPCS","Both",,,"99","49.5","Clover","Medicare Advantage","GN,HA",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"ST CIS EVAL ORAL PHARYNGEAL SWALLOW FUNC","92610","HCPCS","Both",,,"99","49.5","Wellcare","Medicare Advantage","GN,HA",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"ST CIS EVAL ORAL PHARYNGEAL SWALLOW FUNC","92610","HCPCS","Both",,,"99","49.5","Amerigroup","Medicaid Managed Care","GN,HA",,"37",,"36.23","36.23","76.73","percent of total billed charges",,
"ST CIS EVAL ORAL PHARYNGEAL SWALLOW FUNC","92610","HCPCS","Both",,,"99","49.5","Caresource","Medicaid Managed Care","GN,HA",,"40",,"39.6","36.23","76.73","percent of total billed charges",,
"ST CIS EVAL ORAL PHARYNGEAL SWALLOW FUNC","92610","HCPCS","Both",,,"99","49.5","Wellcare","Medicaid Managed Care","GN,HA",,"40",,"40.1","36.23","76.73","percent of total billed charges",,
"ST CIS EVAL ORAL PHARYNGEAL SWALLOW FUNC","92610","HCPCS","Both",,,"99","49.5","Aetna","Commercial","GN,HA",,"64",,"63.16","36.23","76.73","percent of total billed charges",,
"ST CIS EVAL ORAL PHARYNGEAL SWALLOW FUNC","92610","HCPCS","Both",,,"99","49.5","Blue Cross Blue Shield","Pathways","GN,HA",,"71",,"69.89","36.23","76.73","percent of total billed charges",,
"ST CIS EVAL ORAL PHARYNGEAL SWALLOW FUNC","92610","HCPCS","Both",,,"99","49.5","Blue Cross Blue Shield","HMO","GN,HA",,"71",,"69.89","36.23","76.73","percent of total billed charges",,
"ST CIS EVAL ORAL PHARYNGEAL SWALLOW FUNC","92610","HCPCS","Both",,,"99","49.5","Blue Cross Blue Shield","PPO","GN,HA",,"71",,"69.89","36.23","76.73","percent of total billed charges",,
"ST CIS EVAL ORAL PHARYNGEAL SWALLOW FUNC","92610","HCPCS","Both",,,"99","49.5","Ambetter","Health Exchange","GN,HA",,"62",,"61.38","36.23","76.73","percent of total billed charges",,
"ST CIS EVAL ORAL PHARYNGEAL SWALLOW FUNC","92610","HCPCS","Both",,,"99","49.5","Caresource","Health Exchange","GN,HA",,"62",,"61.38","36.23","76.73","percent of total billed charges",,
"ST CIS EVAL ORAL PHARYNGEAL SWALLOW FUNC","92610","HCPCS","Both",,,"99","49.5","Cigna","Commercial","GN,HA",,"59",,"58.01","36.23","76.73","percent of total billed charges",,
"ST CIS EVAL ORAL PHARYNGEAL SWALLOW FUNC","92610","HCPCS","Both",,,"99","49.5","Humana","Commercial","GN,HA",,"78",,"76.73","36.23","76.73","percent of total billed charges",,
"ST CIS EVAL ORAL PHARYNGEAL SWALLOW FUNC","92610","HCPCS","Both",,,"99","49.5","UHC","Commercial","GN,HA",,"75",,"74.65","36.23","76.73","percent of total billed charges",,
"ST CIS EVAL ORAL PHARYNGEAL SWALLOW FUNC","92610","HCPCS","Both",,,"99","49.5","Medicaid",,"GN,HA",,"37",,"36.23","36.23","76.73","percent of total billed charges",,
"ST CIS ASSESSMENT APAHASIA","96105","HCPCS","Both",,,"183","91.5","Alliant","Health Exchange","GN,HA",,"62",,"113.46","66.98","141.83","percent of total billed charges",,
"ST CIS ASSESSMENT APAHASIA","96105","HCPCS","Both",,,"183","91.5","Pruitt Healthcare","Medicare Advantage","GN,HA",,"54",,"98.82","66.98","141.83","percent of total billed charges",,
"ST CIS ASSESSMENT APAHASIA","96105","HCPCS","Both",,,"183","91.5","Medicare",,"GN,HA",,"54",,"99.19","66.98","141.83","percent of total billed charges",,
"ST CIS ASSESSMENT APAHASIA","96105","HCPCS","Both",,,"183","91.5","Humana","Medicare Advantage","GN,HA",,"54",,"99.19","66.98","141.83","percent of total billed charges",,
"ST CIS ASSESSMENT APAHASIA","96105","HCPCS","Both",,,"183","91.5","UHC","Medicare Advantage","GN,HA",,"54",,"99.19","66.98","141.83","percent of total billed charges",,
"ST CIS ASSESSMENT APAHASIA","96105","HCPCS","Both",,,"183","91.5","Clover","Medicare Advantage","GN,HA",,"54",,"99.19","66.98","141.83","percent of total billed charges",,
"ST CIS ASSESSMENT APAHASIA","96105","HCPCS","Both",,,"183","91.5","Wellcare","Medicare Advantage","GN,HA",,"54",,"99.19","66.98","141.83","percent of total billed charges",,
"ST CIS ASSESSMENT APAHASIA","96105","HCPCS","Both",,,"183","91.5","Amerigroup","Medicaid Managed Care","GN,HA",,"37",,"66.98","66.98","141.83","percent of total billed charges",,
"ST CIS ASSESSMENT APAHASIA","96105","HCPCS","Both",,,"183","91.5","Caresource","Medicaid Managed Care","GN,HA",,"40",,"73.2","66.98","141.83","percent of total billed charges",,
"ST CIS ASSESSMENT APAHASIA","96105","HCPCS","Both",,,"183","91.5","Wellcare","Medicaid Managed Care","GN,HA",,"40",,"74.12","66.98","141.83","percent of total billed charges",,
"ST CIS ASSESSMENT APAHASIA","96105","HCPCS","Both",,,"183","91.5","Aetna","Commercial","GN,HA",,"64",,"116.75","66.98","141.83","percent of total billed charges",,
"ST CIS ASSESSMENT APAHASIA","96105","HCPCS","Both",,,"183","91.5","Blue Cross Blue Shield","Pathways","GN,HA",,"71",,"129.2","66.98","141.83","percent of total billed charges",,
"ST CIS ASSESSMENT APAHASIA","96105","HCPCS","Both",,,"183","91.5","Blue Cross Blue Shield","HMO","GN,HA",,"71",,"129.2","66.98","141.83","percent of total billed charges",,
"ST CIS ASSESSMENT APAHASIA","96105","HCPCS","Both",,,"183","91.5","Blue Cross Blue Shield","PPO","GN,HA",,"71",,"129.2","66.98","141.83","percent of total billed charges",,
"ST CIS ASSESSMENT APAHASIA","96105","HCPCS","Both",,,"183","91.5","Ambetter","Health Exchange","GN,HA",,"62",,"113.46","66.98","141.83","percent of total billed charges",,
"ST CIS ASSESSMENT APAHASIA","96105","HCPCS","Both",,,"183","91.5","Caresource","Health Exchange","GN,HA",,"62",,"113.46","66.98","141.83","percent of total billed charges",,
"ST CIS ASSESSMENT APAHASIA","96105","HCPCS","Both",,,"183","91.5","Cigna","Commercial","GN,HA",,"59",,"107.24","66.98","141.83","percent of total billed charges",,
"ST CIS ASSESSMENT APAHASIA","96105","HCPCS","Both",,,"183","91.5","Humana","Commercial","GN,HA",,"78",,"141.83","66.98","141.83","percent of total billed charges",,
"ST CIS ASSESSMENT APAHASIA","96105","HCPCS","Both",,,"183","91.5","UHC","Commercial","GN,HA",,"75",,"137.98","66.98","141.83","percent of total billed charges",,
"ST CIS ASSESSMENT APAHASIA","96105","HCPCS","Both",,,"183","91.5","Medicaid",,"GN,HA",,"37",,"66.98","66.98","141.83","percent of total billed charges",,
"ST CIS DEVELOP COGNITIVE SKILLS","G0515","HCPCS","Both",,,"81","40.5","Alliant","Health Exchange","GN,HA",,"62",,"50.22","29.65","62.78","percent of total billed charges",,
"ST CIS DEVELOP COGNITIVE SKILLS","G0515","HCPCS","Both",,,"81","40.5","Pruitt Healthcare","Medicare Advantage","GN,HA",,"54",,"43.74","29.65","62.78","percent of total billed charges",,
"ST CIS DEVELOP COGNITIVE SKILLS","G0515","HCPCS","Both",,,"81","40.5","Medicare",,"GN,HA",,"54",,"43.9","29.65","62.78","percent of total billed charges",,
"ST CIS DEVELOP COGNITIVE SKILLS","G0515","HCPCS","Both",,,"81","40.5","Humana","Medicare Advantage","GN,HA",,"54",,"43.9","29.65","62.78","percent of total billed charges",,
"ST CIS DEVELOP COGNITIVE SKILLS","G0515","HCPCS","Both",,,"81","40.5","UHC","Medicare Advantage","GN,HA",,"54",,"43.9","29.65","62.78","percent of total billed charges",,
"ST CIS DEVELOP COGNITIVE SKILLS","G0515","HCPCS","Both",,,"81","40.5","Clover","Medicare Advantage","GN,HA",,"54",,"43.9","29.65","62.78","percent of total billed charges",,
"ST CIS DEVELOP COGNITIVE SKILLS","G0515","HCPCS","Both",,,"81","40.5","Wellcare","Medicare Advantage","GN,HA",,"54",,"43.9","29.65","62.78","percent of total billed charges",,
"ST CIS DEVELOP COGNITIVE SKILLS","G0515","HCPCS","Both",,,"81","40.5","Amerigroup","Medicaid Managed Care","GN,HA",,"37",,"29.65","29.65","62.78","percent of total billed charges",,
"ST CIS DEVELOP COGNITIVE SKILLS","G0515","HCPCS","Both",,,"81","40.5","Caresource","Medicaid Managed Care","GN,HA",,"40",,"32.4","29.65","62.78","percent of total billed charges",,
"ST CIS DEVELOP COGNITIVE SKILLS","G0515","HCPCS","Both",,,"81","40.5","Wellcare","Medicaid Managed Care","GN,HA",,"40",,"32.8","29.65","62.78","percent of total billed charges",,
"ST CIS DEVELOP COGNITIVE SKILLS","G0515","HCPCS","Both",,,"81","40.5","Aetna","Commercial","GN,HA",,"64",,"51.68","29.65","62.78","percent of total billed charges",,
"ST CIS DEVELOP COGNITIVE SKILLS","G0515","HCPCS","Both",,,"81","40.5","Blue Cross Blue Shield","Pathways","GN,HA",,"71",,"57.19","29.65","62.78","percent of total billed charges",,
"ST CIS DEVELOP COGNITIVE SKILLS","G0515","HCPCS","Both",,,"81","40.5","Blue Cross Blue Shield","HMO","GN,HA",,"71",,"57.19","29.65","62.78","percent of total billed charges",,
"ST CIS DEVELOP COGNITIVE SKILLS","G0515","HCPCS","Both",,,"81","40.5","Blue Cross Blue Shield","PPO","GN,HA",,"71",,"57.19","29.65","62.78","percent of total billed charges",,
"ST CIS DEVELOP COGNITIVE SKILLS","G0515","HCPCS","Both",,,"81","40.5","Ambetter","Health Exchange","GN,HA",,"62",,"50.22","29.65","62.78","percent of total billed charges",,
"ST CIS DEVELOP COGNITIVE SKILLS","G0515","HCPCS","Both",,,"81","40.5","Caresource","Health Exchange","GN,HA",,"62",,"50.22","29.65","62.78","percent of total billed charges",,
"ST CIS DEVELOP COGNITIVE SKILLS","G0515","HCPCS","Both",,,"81","40.5","Cigna","Commercial","GN,HA",,"59",,"47.47","29.65","62.78","percent of total billed charges",,
"ST CIS DEVELOP COGNITIVE SKILLS","G0515","HCPCS","Both",,,"81","40.5","Humana","Commercial","GN,HA",,"78",,"62.78","29.65","62.78","percent of total billed charges",,
"ST CIS DEVELOP COGNITIVE SKILLS","G0515","HCPCS","Both",,,"81","40.5","UHC","Commercial","GN,HA",,"75",,"61.07","29.65","62.78","percent of total billed charges",,
"ST CIS DEVELOP COGNITIVE SKILLS","G0515","HCPCS","Both",,,"81","40.5","Medicaid",,"GN,HA",,"37",,"29.65","29.65","62.78","percent of total billed charges",,
"ST CIS SENSORY INTEGRATIVE TECHNI","97533","HCPCS","Both",,,"102","51","Alliant","Health Exchange","GN,HA",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"ST CIS SENSORY INTEGRATIVE TECHNI","97533","HCPCS","Both",,,"102","51","Pruitt Healthcare","Medicare Advantage","GN,HA",,"54",,"55.08","37.33","79.05","percent of total billed charges",,
"ST CIS SENSORY INTEGRATIVE TECHNI","97533","HCPCS","Both",,,"102","51","Medicare",,"GN,HA",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"ST CIS SENSORY INTEGRATIVE TECHNI","97533","HCPCS","Both",,,"102","51","Humana","Medicare Advantage","GN,HA",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"ST CIS SENSORY INTEGRATIVE TECHNI","97533","HCPCS","Both",,,"102","51","UHC","Medicare Advantage","GN,HA",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"ST CIS SENSORY INTEGRATIVE TECHNI","97533","HCPCS","Both",,,"102","51","Clover","Medicare Advantage","GN,HA",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"ST CIS SENSORY INTEGRATIVE TECHNI","97533","HCPCS","Both",,,"102","51","Wellcare","Medicare Advantage","GN,HA",,"54",,"55.28","37.33","79.05","percent of total billed charges",,
"ST CIS SENSORY INTEGRATIVE TECHNI","97533","HCPCS","Both",,,"102","51","Amerigroup","Medicaid Managed Care","GN,HA",,"37",,"37.33","37.33","79.05","percent of total billed charges",,
"ST CIS SENSORY INTEGRATIVE TECHNI","97533","HCPCS","Both",,,"102","51","Caresource","Medicaid Managed Care","GN,HA",,"40",,"40.8","37.33","79.05","percent of total billed charges",,
"ST CIS SENSORY INTEGRATIVE TECHNI","97533","HCPCS","Both",,,"102","51","Wellcare","Medicaid Managed Care","GN,HA",,"40",,"41.31","37.33","79.05","percent of total billed charges",,
"ST CIS SENSORY INTEGRATIVE TECHNI","97533","HCPCS","Both",,,"102","51","Aetna","Commercial","GN,HA",,"64",,"65.08","37.33","79.05","percent of total billed charges",,
"ST CIS SENSORY INTEGRATIVE TECHNI","97533","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","Pathways","GN,HA",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"ST CIS SENSORY INTEGRATIVE TECHNI","97533","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","HMO","GN,HA",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"ST CIS SENSORY INTEGRATIVE TECHNI","97533","HCPCS","Both",,,"102","51","Blue Cross Blue Shield","PPO","GN,HA",,"71",,"72.01","37.33","79.05","percent of total billed charges",,
"ST CIS SENSORY INTEGRATIVE TECHNI","97533","HCPCS","Both",,,"102","51","Ambetter","Health Exchange","GN,HA",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"ST CIS SENSORY INTEGRATIVE TECHNI","97533","HCPCS","Both",,,"102","51","Caresource","Health Exchange","GN,HA",,"62",,"63.24","37.33","79.05","percent of total billed charges",,
"ST CIS SENSORY INTEGRATIVE TECHNI","97533","HCPCS","Both",,,"102","51","Cigna","Commercial","GN,HA",,"59",,"59.77","37.33","79.05","percent of total billed charges",,
"ST CIS SENSORY INTEGRATIVE TECHNI","97533","HCPCS","Both",,,"102","51","Humana","Commercial","GN,HA",,"78",,"79.05","37.33","79.05","percent of total billed charges",,
"ST CIS SENSORY INTEGRATIVE TECHNI","97533","HCPCS","Both",,,"102","51","UHC","Commercial","GN,HA",,"75",,"76.91","37.33","79.05","percent of total billed charges",,
"ST CIS SENSORY INTEGRATIVE TECHNI","97533","HCPCS","Both",,,"102","51","Medicaid",,"GN,HA",,"37",,"37.33","37.33","79.05","percent of total billed charges",,
"TETANUS/DIPTH (Td; Tenivac) 0.5ML INJ","90714","HCPCS","Both",,,"64","32","Alliant","Health Exchange","",,"62",,"39.68","23.42","49.6","percent of total billed charges",,
"TETANUS/DIPTH (Td; Tenivac) 0.5ML INJ","90714","HCPCS","Both",,,"64","32","Pruitt Healthcare","Medicare Advantage","",,"54",,"34.56","23.42","49.6","percent of total billed charges",,
"TETANUS/DIPTH (Td; Tenivac) 0.5ML INJ","90714","HCPCS","Both",,,"64","32","Medicare",,"",,"54",,"34.69","23.42","49.6","percent of total billed charges",,
"TETANUS/DIPTH (Td; Tenivac) 0.5ML INJ","90714","HCPCS","Both",,,"64","32","Humana","Medicare Advantage","",,"54",,"34.69","23.42","49.6","percent of total billed charges",,
"TETANUS/DIPTH (Td; Tenivac) 0.5ML INJ","90714","HCPCS","Both",,,"64","32","UHC","Medicare Advantage","",,"54",,"34.69","23.42","49.6","percent of total billed charges",,
"TETANUS/DIPTH (Td; Tenivac) 0.5ML INJ","90714","HCPCS","Both",,,"64","32","Clover","Medicare Advantage","",,"54",,"34.69","23.42","49.6","percent of total billed charges",,
"TETANUS/DIPTH (Td; Tenivac) 0.5ML INJ","90714","HCPCS","Both",,,"64","32","Wellcare","Medicare Advantage","",,"54",,"34.69","23.42","49.6","percent of total billed charges",,
"TETANUS/DIPTH (Td; Tenivac) 0.5ML INJ","90714","HCPCS","Both",,,"64","32","Amerigroup","Medicaid Managed Care","",,"37",,"23.42","23.42","49.6","percent of total billed charges",,
"TETANUS/DIPTH (Td; Tenivac) 0.5ML INJ","90714","HCPCS","Both",,,"64","32","Caresource","Medicaid Managed Care","",,"40",,"25.6","23.42","49.6","percent of total billed charges",,
"TETANUS/DIPTH (Td; Tenivac) 0.5ML INJ","90714","HCPCS","Both",,,"64","32","Wellcare","Medicaid Managed Care","",,"40",,"25.92","23.42","49.6","percent of total billed charges",,
"TETANUS/DIPTH (Td; Tenivac) 0.5ML INJ","90714","HCPCS","Both",,,"64","32","Aetna","Commercial","",,"64",,"40.83","23.42","49.6","percent of total billed charges",,
"TETANUS/DIPTH (Td; Tenivac) 0.5ML INJ","90714","HCPCS","Both",,,"64","32","Blue Cross Blue Shield","Pathways","",,"71",,"45.18","23.42","49.6","percent of total billed charges",,
"TETANUS/DIPTH (Td; Tenivac) 0.5ML INJ","90714","HCPCS","Both",,,"64","32","Blue Cross Blue Shield","HMO","",,"71",,"45.18","23.42","49.6","percent of total billed charges",,
"TETANUS/DIPTH (Td; Tenivac) 0.5ML INJ","90714","HCPCS","Both",,,"64","32","Blue Cross Blue Shield","PPO","",,"71",,"45.18","23.42","49.6","percent of total billed charges",,
"TETANUS/DIPTH (Td; Tenivac) 0.5ML INJ","90714","HCPCS","Both",,,"64","32","Ambetter","Health Exchange","",,"62",,"39.68","23.42","49.6","percent of total billed charges",,
"TETANUS/DIPTH (Td; Tenivac) 0.5ML INJ","90714","HCPCS","Both",,,"64","32","Caresource","Health Exchange","",,"62",,"39.68","23.42","49.6","percent of total billed charges",,
"TETANUS/DIPTH (Td; Tenivac) 0.5ML INJ","90714","HCPCS","Both",,,"64","32","Cigna","Commercial","",,"59",,"37.5","23.42","49.6","percent of total billed charges",,
"TETANUS/DIPTH (Td; Tenivac) 0.5ML INJ","90714","HCPCS","Both",,,"64","32","Humana","Commercial","",,"78",,"49.6","23.42","49.6","percent of total billed charges",,
"TETANUS/DIPTH (Td; Tenivac) 0.5ML INJ","90714","HCPCS","Both",,,"64","32","UHC","Commercial","",,"75",,"48.26","23.42","49.6","percent of total billed charges",,
"TETANUS/DIPTH (Td; Tenivac) 0.5ML INJ","90714","HCPCS","Both",,,"64","32","Medicaid",,"",,"37",,"23.42","23.42","49.6","percent of total billed charges",,
"TRIAMCIN ACET (KENALOG-40) 40MG/ML INJ","J3301","HCPCS","Both",,,"60","30","Alliant","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"TRIAMCIN ACET (KENALOG-40) 40MG/ML INJ","J3301","HCPCS","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.4","21.96","46.5","percent of total billed charges",,
"TRIAMCIN ACET (KENALOG-40) 40MG/ML INJ","J3301","HCPCS","Both",,,"60","30","Medicare",,"",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"TRIAMCIN ACET (KENALOG-40) 40MG/ML INJ","J3301","HCPCS","Both",,,"60","30","Humana","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"TRIAMCIN ACET (KENALOG-40) 40MG/ML INJ","J3301","HCPCS","Both",,,"60","30","UHC","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"TRIAMCIN ACET (KENALOG-40) 40MG/ML INJ","J3301","HCPCS","Both",,,"60","30","Clover","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"TRIAMCIN ACET (KENALOG-40) 40MG/ML INJ","J3301","HCPCS","Both",,,"60","30","Wellcare","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"TRIAMCIN ACET (KENALOG-40) 40MG/ML INJ","J3301","HCPCS","Both",,,"60","30","Amerigroup","Medicaid Managed Care","",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"TRIAMCIN ACET (KENALOG-40) 40MG/ML INJ","J3301","HCPCS","Both",,,"60","30","Caresource","Medicaid Managed Care","",,"40",,"24","21.96","46.5","percent of total billed charges",,
"TRIAMCIN ACET (KENALOG-40) 40MG/ML INJ","J3301","HCPCS","Both",,,"60","30","Wellcare","Medicaid Managed Care","",,"40",,"24.3","21.96","46.5","percent of total billed charges",,
"TRIAMCIN ACET (KENALOG-40) 40MG/ML INJ","J3301","HCPCS","Both",,,"60","30","Aetna","Commercial","",,"64",,"38.28","21.96","46.5","percent of total billed charges",,
"TRIAMCIN ACET (KENALOG-40) 40MG/ML INJ","J3301","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","Pathways","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"TRIAMCIN ACET (KENALOG-40) 40MG/ML INJ","J3301","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","HMO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"TRIAMCIN ACET (KENALOG-40) 40MG/ML INJ","J3301","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","PPO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"TRIAMCIN ACET (KENALOG-40) 40MG/ML INJ","J3301","HCPCS","Both",,,"60","30","Ambetter","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"TRIAMCIN ACET (KENALOG-40) 40MG/ML INJ","J3301","HCPCS","Both",,,"60","30","Caresource","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"TRIAMCIN ACET (KENALOG-40) 40MG/ML INJ","J3301","HCPCS","Both",,,"60","30","Cigna","Commercial","",,"59",,"35.16","21.96","46.5","percent of total billed charges",,
"TRIAMCIN ACET (KENALOG-40) 40MG/ML INJ","J3301","HCPCS","Both",,,"60","30","Humana","Commercial","",,"78",,"46.5","21.96","46.5","percent of total billed charges",,
"TRIAMCIN ACET (KENALOG-40) 40MG/ML INJ","J3301","HCPCS","Both",,,"60","30","UHC","Commercial","",,"75",,"45.24","21.96","46.5","percent of total billed charges",,
"TRIAMCIN ACET (KENALOG-40) 40MG/ML INJ","J3301","HCPCS","Both",,,"60","30","Medicaid",,"",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"DEXAMETHASONE NA 20MG/5ML INJ MDV","J1100","HCPCS","Both",,,"23","11.5","Alliant","Health Exchange","",,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"DEXAMETHASONE NA 20MG/5ML INJ MDV","J1100","HCPCS","Both",,,"23","11.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"12.42","8.42","17.82","percent of total billed charges",,
"DEXAMETHASONE NA 20MG/5ML INJ MDV","J1100","HCPCS","Both",,,"23","11.5","Medicare",,"",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"DEXAMETHASONE NA 20MG/5ML INJ MDV","J1100","HCPCS","Both",,,"23","11.5","Humana","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"DEXAMETHASONE NA 20MG/5ML INJ MDV","J1100","HCPCS","Both",,,"23","11.5","UHC","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"DEXAMETHASONE NA 20MG/5ML INJ MDV","J1100","HCPCS","Both",,,"23","11.5","Clover","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"DEXAMETHASONE NA 20MG/5ML INJ MDV","J1100","HCPCS","Both",,,"23","11.5","Wellcare","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"DEXAMETHASONE NA 20MG/5ML INJ MDV","J1100","HCPCS","Both",,,"23","11.5","Amerigroup","Medicaid Managed Care","",,"37",,"8.42","8.42","17.82","percent of total billed charges",,
"DEXAMETHASONE NA 20MG/5ML INJ MDV","J1100","HCPCS","Both",,,"23","11.5","Caresource","Medicaid Managed Care","",,"40",,"9.2","8.42","17.82","percent of total billed charges",,
"DEXAMETHASONE NA 20MG/5ML INJ MDV","J1100","HCPCS","Both",,,"23","11.5","Wellcare","Medicaid Managed Care","",,"40",,"9.32","8.42","17.82","percent of total billed charges",,
"DEXAMETHASONE NA 20MG/5ML INJ MDV","J1100","HCPCS","Both",,,"23","11.5","Aetna","Commercial","",,"64",,"14.67","8.42","17.82","percent of total billed charges",,
"DEXAMETHASONE NA 20MG/5ML INJ MDV","J1100","HCPCS","Both",,,"23","11.5","Blue Cross Blue Shield","Pathways","",,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"DEXAMETHASONE NA 20MG/5ML INJ MDV","J1100","HCPCS","Both",,,"23","11.5","Blue Cross Blue Shield","HMO","",,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"DEXAMETHASONE NA 20MG/5ML INJ MDV","J1100","HCPCS","Both",,,"23","11.5","Blue Cross Blue Shield","PPO","",,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"DEXAMETHASONE NA 20MG/5ML INJ MDV","J1100","HCPCS","Both",,,"23","11.5","Ambetter","Health Exchange","",,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"DEXAMETHASONE NA 20MG/5ML INJ MDV","J1100","HCPCS","Both",,,"23","11.5","Caresource","Health Exchange","",,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"DEXAMETHASONE NA 20MG/5ML INJ MDV","J1100","HCPCS","Both",,,"23","11.5","Cigna","Commercial","",,"59",,"13.48","8.42","17.82","percent of total billed charges",,
"DEXAMETHASONE NA 20MG/5ML INJ MDV","J1100","HCPCS","Both",,,"23","11.5","Humana","Commercial","",,"78",,"17.82","8.42","17.82","percent of total billed charges",,
"DEXAMETHASONE NA 20MG/5ML INJ MDV","J1100","HCPCS","Both",,,"23","11.5","UHC","Commercial","",,"75",,"17.34","8.42","17.82","percent of total billed charges",,
"DEXAMETHASONE NA 20MG/5ML INJ MDV","J1100","HCPCS","Both",,,"23","11.5","Medicaid",,"",,"37",,"8.42","8.42","17.82","percent of total billed charges",,
"TERBUTALINE (BRETHINE) 1MG/ML SDV","J3105","HCPCS","Both",,,"38","19","Alliant","Health Exchange","",,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"TERBUTALINE (BRETHINE) 1MG/ML SDV","J3105","HCPCS","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage","",,"54",,"20.52","13.91","29.45","percent of total billed charges",,
"TERBUTALINE (BRETHINE) 1MG/ML SDV","J3105","HCPCS","Both",,,"38","19","Medicare",,"",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"TERBUTALINE (BRETHINE) 1MG/ML SDV","J3105","HCPCS","Both",,,"38","19","Humana","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"TERBUTALINE (BRETHINE) 1MG/ML SDV","J3105","HCPCS","Both",,,"38","19","UHC","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"TERBUTALINE (BRETHINE) 1MG/ML SDV","J3105","HCPCS","Both",,,"38","19","Clover","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"TERBUTALINE (BRETHINE) 1MG/ML SDV","J3105","HCPCS","Both",,,"38","19","Wellcare","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"TERBUTALINE (BRETHINE) 1MG/ML SDV","J3105","HCPCS","Both",,,"38","19","Amerigroup","Medicaid Managed Care","",,"37",,"13.91","13.91","29.45","percent of total billed charges",,
"TERBUTALINE (BRETHINE) 1MG/ML SDV","J3105","HCPCS","Both",,,"38","19","Caresource","Medicaid Managed Care","",,"40",,"15.2","13.91","29.45","percent of total billed charges",,
"TERBUTALINE (BRETHINE) 1MG/ML SDV","J3105","HCPCS","Both",,,"38","19","Wellcare","Medicaid Managed Care","",,"40",,"15.39","13.91","29.45","percent of total billed charges",,
"TERBUTALINE (BRETHINE) 1MG/ML SDV","J3105","HCPCS","Both",,,"38","19","Aetna","Commercial","",,"64",,"24.24","13.91","29.45","percent of total billed charges",,
"TERBUTALINE (BRETHINE) 1MG/ML SDV","J3105","HCPCS","Both",,,"38","19","Blue Cross Blue Shield","Pathways","",,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"TERBUTALINE (BRETHINE) 1MG/ML SDV","J3105","HCPCS","Both",,,"38","19","Blue Cross Blue Shield","HMO","",,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"TERBUTALINE (BRETHINE) 1MG/ML SDV","J3105","HCPCS","Both",,,"38","19","Blue Cross Blue Shield","PPO","",,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"TERBUTALINE (BRETHINE) 1MG/ML SDV","J3105","HCPCS","Both",,,"38","19","Ambetter","Health Exchange","",,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"TERBUTALINE (BRETHINE) 1MG/ML SDV","J3105","HCPCS","Both",,,"38","19","Caresource","Health Exchange","",,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"TERBUTALINE (BRETHINE) 1MG/ML SDV","J3105","HCPCS","Both",,,"38","19","Cigna","Commercial","",,"59",,"22.27","13.91","29.45","percent of total billed charges",,
"TERBUTALINE (BRETHINE) 1MG/ML SDV","J3105","HCPCS","Both",,,"38","19","Humana","Commercial","",,"78",,"29.45","13.91","29.45","percent of total billed charges",,
"TERBUTALINE (BRETHINE) 1MG/ML SDV","J3105","HCPCS","Both",,,"38","19","UHC","Commercial","",,"75",,"28.65","13.91","29.45","percent of total billed charges",,
"TERBUTALINE (BRETHINE) 1MG/ML SDV","J3105","HCPCS","Both",,,"38","19","Medicaid",,"",,"37",,"13.91","13.91","29.45","percent of total billed charges",,
"AMIODARONE 150 MG/3 ML INJECTION","J0282","HCPCS","Both",,,"23","11.5","Alliant","Health Exchange","",,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"AMIODARONE 150 MG/3 ML INJECTION","J0282","HCPCS","Both",,,"23","11.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"12.42","8.42","17.82","percent of total billed charges",,
"AMIODARONE 150 MG/3 ML INJECTION","J0282","HCPCS","Both",,,"23","11.5","Medicare",,"",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"AMIODARONE 150 MG/3 ML INJECTION","J0282","HCPCS","Both",,,"23","11.5","Humana","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"AMIODARONE 150 MG/3 ML INJECTION","J0282","HCPCS","Both",,,"23","11.5","UHC","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"AMIODARONE 150 MG/3 ML INJECTION","J0282","HCPCS","Both",,,"23","11.5","Clover","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"AMIODARONE 150 MG/3 ML INJECTION","J0282","HCPCS","Both",,,"23","11.5","Wellcare","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"AMIODARONE 150 MG/3 ML INJECTION","J0282","HCPCS","Both",,,"23","11.5","Amerigroup","Medicaid Managed Care","",,"37",,"8.42","8.42","17.82","percent of total billed charges",,
"AMIODARONE 150 MG/3 ML INJECTION","J0282","HCPCS","Both",,,"23","11.5","Caresource","Medicaid Managed Care","",,"40",,"9.2","8.42","17.82","percent of total billed charges",,
"AMIODARONE 150 MG/3 ML INJECTION","J0282","HCPCS","Both",,,"23","11.5","Wellcare","Medicaid Managed Care","",,"40",,"9.32","8.42","17.82","percent of total billed charges",,
"AMIODARONE 150 MG/3 ML INJECTION","J0282","HCPCS","Both",,,"23","11.5","Aetna","Commercial","",,"64",,"14.67","8.42","17.82","percent of total billed charges",,
"AMIODARONE 150 MG/3 ML INJECTION","J0282","HCPCS","Both",,,"23","11.5","Blue Cross Blue Shield","Pathways","",,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"AMIODARONE 150 MG/3 ML INJECTION","J0282","HCPCS","Both",,,"23","11.5","Blue Cross Blue Shield","HMO","",,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"AMIODARONE 150 MG/3 ML INJECTION","J0282","HCPCS","Both",,,"23","11.5","Blue Cross Blue Shield","PPO","",,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"AMIODARONE 150 MG/3 ML INJECTION","J0282","HCPCS","Both",,,"23","11.5","Ambetter","Health Exchange","",,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"AMIODARONE 150 MG/3 ML INJECTION","J0282","HCPCS","Both",,,"23","11.5","Caresource","Health Exchange","",,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"AMIODARONE 150 MG/3 ML INJECTION","J0282","HCPCS","Both",,,"23","11.5","Cigna","Commercial","",,"59",,"13.48","8.42","17.82","percent of total billed charges",,
"AMIODARONE 150 MG/3 ML INJECTION","J0282","HCPCS","Both",,,"23","11.5","Humana","Commercial","",,"78",,"17.82","8.42","17.82","percent of total billed charges",,
"AMIODARONE 150 MG/3 ML INJECTION","J0282","HCPCS","Both",,,"23","11.5","UHC","Commercial","",,"75",,"17.34","8.42","17.82","percent of total billed charges",,
"AMIODARONE 150 MG/3 ML INJECTION","J0282","HCPCS","Both",,,"23","11.5","Medicaid",,"",,"37",,"8.42","8.42","17.82","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 250MG  INJ","J0696","HCPCS","Both",,,"27","13.5","Alliant","Health Exchange","",,"62",,"16.74","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 250MG  INJ","J0696","HCPCS","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"14.58","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 250MG  INJ","J0696","HCPCS","Both",,,"27","13.5","Medicare",,"",,"54",,"14.63","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 250MG  INJ","J0696","HCPCS","Both",,,"27","13.5","Humana","Medicare Advantage","",,"54",,"14.63","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 250MG  INJ","J0696","HCPCS","Both",,,"27","13.5","UHC","Medicare Advantage","",,"54",,"14.63","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 250MG  INJ","J0696","HCPCS","Both",,,"27","13.5","Clover","Medicare Advantage","",,"54",,"14.63","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 250MG  INJ","J0696","HCPCS","Both",,,"27","13.5","Wellcare","Medicare Advantage","",,"54",,"14.63","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 250MG  INJ","J0696","HCPCS","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care","",,"37",,"9.88","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 250MG  INJ","J0696","HCPCS","Both",,,"27","13.5","Caresource","Medicaid Managed Care","",,"40",,"10.8","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 250MG  INJ","J0696","HCPCS","Both",,,"27","13.5","Wellcare","Medicaid Managed Care","",,"40",,"10.94","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 250MG  INJ","J0696","HCPCS","Both",,,"27","13.5","Aetna","Commercial","",,"64",,"17.23","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 250MG  INJ","J0696","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways","",,"71",,"19.06","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 250MG  INJ","J0696","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","HMO","",,"71",,"19.06","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 250MG  INJ","J0696","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","PPO","",,"71",,"19.06","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 250MG  INJ","J0696","HCPCS","Both",,,"27","13.5","Ambetter","Health Exchange","",,"62",,"16.74","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 250MG  INJ","J0696","HCPCS","Both",,,"27","13.5","Caresource","Health Exchange","",,"62",,"16.74","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 250MG  INJ","J0696","HCPCS","Both",,,"27","13.5","Cigna","Commercial","",,"59",,"15.82","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 250MG  INJ","J0696","HCPCS","Both",,,"27","13.5","Humana","Commercial","",,"78",,"20.92","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 250MG  INJ","J0696","HCPCS","Both",,,"27","13.5","UHC","Commercial","",,"75",,"20.36","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 250MG  INJ","J0696","HCPCS","Both",,,"27","13.5","Medicaid",,"",,"37",,"9.88","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 1GM INJ","J0696","HCPCS","Both",,,"31","15.5","Alliant","Health Exchange","",,"62",,"19.22","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 1GM INJ","J0696","HCPCS","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"16.74","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 1GM INJ","J0696","HCPCS","Both",,,"31","15.5","Medicare",,"",,"54",,"16.8","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 1GM INJ","J0696","HCPCS","Both",,,"31","15.5","Humana","Medicare Advantage","",,"54",,"16.8","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 1GM INJ","J0696","HCPCS","Both",,,"31","15.5","UHC","Medicare Advantage","",,"54",,"16.8","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 1GM INJ","J0696","HCPCS","Both",,,"31","15.5","Clover","Medicare Advantage","",,"54",,"16.8","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 1GM INJ","J0696","HCPCS","Both",,,"31","15.5","Wellcare","Medicare Advantage","",,"54",,"16.8","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 1GM INJ","J0696","HCPCS","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care","",,"37",,"11.35","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 1GM INJ","J0696","HCPCS","Both",,,"31","15.5","Caresource","Medicaid Managed Care","",,"40",,"12.4","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 1GM INJ","J0696","HCPCS","Both",,,"31","15.5","Wellcare","Medicaid Managed Care","",,"40",,"12.56","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 1GM INJ","J0696","HCPCS","Both",,,"31","15.5","Aetna","Commercial","",,"64",,"19.78","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 1GM INJ","J0696","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways","",,"71",,"21.89","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 1GM INJ","J0696","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","HMO","",,"71",,"21.89","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 1GM INJ","J0696","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","PPO","",,"71",,"21.89","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 1GM INJ","J0696","HCPCS","Both",,,"31","15.5","Ambetter","Health Exchange","",,"62",,"19.22","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 1GM INJ","J0696","HCPCS","Both",,,"31","15.5","Caresource","Health Exchange","",,"62",,"19.22","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 1GM INJ","J0696","HCPCS","Both",,,"31","15.5","Cigna","Commercial","",,"59",,"18.17","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 1GM INJ","J0696","HCPCS","Both",,,"31","15.5","Humana","Commercial","",,"78",,"24.02","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 1GM INJ","J0696","HCPCS","Both",,,"31","15.5","UHC","Commercial","",,"75",,"23.37","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 1GM INJ","J0696","HCPCS","Both",,,"31","15.5","Medicaid",,"",,"37",,"11.35","9.88","24.02","percent of total billed charges",,
"METHYLPRD ACE (DEPO MEDROL) 80MG/ML SDV","J1040","HCPCS","Both",,,"43","21.5","Alliant","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"METHYLPRD ACE (DEPO MEDROL) 80MG/ML SDV","J1040","HCPCS","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"23.22","15.74","33.33","percent of total billed charges",,
"METHYLPRD ACE (DEPO MEDROL) 80MG/ML SDV","J1040","HCPCS","Both",,,"43","21.5","Medicare",,"",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"METHYLPRD ACE (DEPO MEDROL) 80MG/ML SDV","J1040","HCPCS","Both",,,"43","21.5","Humana","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"METHYLPRD ACE (DEPO MEDROL) 80MG/ML SDV","J1040","HCPCS","Both",,,"43","21.5","UHC","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"METHYLPRD ACE (DEPO MEDROL) 80MG/ML SDV","J1040","HCPCS","Both",,,"43","21.5","Clover","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"METHYLPRD ACE (DEPO MEDROL) 80MG/ML SDV","J1040","HCPCS","Both",,,"43","21.5","Wellcare","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"METHYLPRD ACE (DEPO MEDROL) 80MG/ML SDV","J1040","HCPCS","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care","",,"37",,"15.74","15.74","33.33","percent of total billed charges",,
"METHYLPRD ACE (DEPO MEDROL) 80MG/ML SDV","J1040","HCPCS","Both",,,"43","21.5","Caresource","Medicaid Managed Care","",,"40",,"17.2","15.74","33.33","percent of total billed charges",,
"METHYLPRD ACE (DEPO MEDROL) 80MG/ML SDV","J1040","HCPCS","Both",,,"43","21.5","Wellcare","Medicaid Managed Care","",,"40",,"17.42","15.74","33.33","percent of total billed charges",,
"METHYLPRD ACE (DEPO MEDROL) 80MG/ML SDV","J1040","HCPCS","Both",,,"43","21.5","Aetna","Commercial","",,"64",,"27.43","15.74","33.33","percent of total billed charges",,
"METHYLPRD ACE (DEPO MEDROL) 80MG/ML SDV","J1040","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"METHYLPRD ACE (DEPO MEDROL) 80MG/ML SDV","J1040","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","HMO","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"METHYLPRD ACE (DEPO MEDROL) 80MG/ML SDV","J1040","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","PPO","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"METHYLPRD ACE (DEPO MEDROL) 80MG/ML SDV","J1040","HCPCS","Both",,,"43","21.5","Ambetter","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"METHYLPRD ACE (DEPO MEDROL) 80MG/ML SDV","J1040","HCPCS","Both",,,"43","21.5","Caresource","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"METHYLPRD ACE (DEPO MEDROL) 80MG/ML SDV","J1040","HCPCS","Both",,,"43","21.5","Cigna","Commercial","",,"59",,"25.2","15.74","33.33","percent of total billed charges",,
"METHYLPRD ACE (DEPO MEDROL) 80MG/ML SDV","J1040","HCPCS","Both",,,"43","21.5","Humana","Commercial","",,"78",,"33.33","15.74","33.33","percent of total billed charges",,
"METHYLPRD ACE (DEPO MEDROL) 80MG/ML SDV","J1040","HCPCS","Both",,,"43","21.5","UHC","Commercial","",,"75",,"32.42","15.74","33.33","percent of total billed charges",,
"METHYLPRD ACE (DEPO MEDROL) 80MG/ML SDV","J1040","HCPCS","Both",,,"43","21.5","Medicaid",,"",,"37",,"15.74","15.74","33.33","percent of total billed charges",,
"DICYCLOMINE (BENTYL) 20MG/2ML INJ","J0500","HCPCS","Both",,,"158","79","Alliant","Health Exchange","",,"62",,"97.96","57.83","122.45","percent of total billed charges",,
"DICYCLOMINE (BENTYL) 20MG/2ML INJ","J0500","HCPCS","Both",,,"158","79","Pruitt Healthcare","Medicare Advantage","",,"54",,"85.32","57.83","122.45","percent of total billed charges",,
"DICYCLOMINE (BENTYL) 20MG/2ML INJ","J0500","HCPCS","Both",,,"158","79","Medicare",,"",,"54",,"85.64","57.83","122.45","percent of total billed charges",,
"DICYCLOMINE (BENTYL) 20MG/2ML INJ","J0500","HCPCS","Both",,,"158","79","Humana","Medicare Advantage","",,"54",,"85.64","57.83","122.45","percent of total billed charges",,
"DICYCLOMINE (BENTYL) 20MG/2ML INJ","J0500","HCPCS","Both",,,"158","79","UHC","Medicare Advantage","",,"54",,"85.64","57.83","122.45","percent of total billed charges",,
"DICYCLOMINE (BENTYL) 20MG/2ML INJ","J0500","HCPCS","Both",,,"158","79","Clover","Medicare Advantage","",,"54",,"85.64","57.83","122.45","percent of total billed charges",,
"DICYCLOMINE (BENTYL) 20MG/2ML INJ","J0500","HCPCS","Both",,,"158","79","Wellcare","Medicare Advantage","",,"54",,"85.64","57.83","122.45","percent of total billed charges",,
"DICYCLOMINE (BENTYL) 20MG/2ML INJ","J0500","HCPCS","Both",,,"158","79","Amerigroup","Medicaid Managed Care","",,"37",,"57.83","57.83","122.45","percent of total billed charges",,
"DICYCLOMINE (BENTYL) 20MG/2ML INJ","J0500","HCPCS","Both",,,"158","79","Caresource","Medicaid Managed Care","",,"40",,"63.2","57.83","122.45","percent of total billed charges",,
"DICYCLOMINE (BENTYL) 20MG/2ML INJ","J0500","HCPCS","Both",,,"158","79","Wellcare","Medicaid Managed Care","",,"40",,"63.99","57.83","122.45","percent of total billed charges",,
"DICYCLOMINE (BENTYL) 20MG/2ML INJ","J0500","HCPCS","Both",,,"158","79","Aetna","Commercial","",,"64",,"100.8","57.83","122.45","percent of total billed charges",,
"DICYCLOMINE (BENTYL) 20MG/2ML INJ","J0500","HCPCS","Both",,,"158","79","Blue Cross Blue Shield","Pathways","",,"71",,"111.55","57.83","122.45","percent of total billed charges",,
"DICYCLOMINE (BENTYL) 20MG/2ML INJ","J0500","HCPCS","Both",,,"158","79","Blue Cross Blue Shield","HMO","",,"71",,"111.55","57.83","122.45","percent of total billed charges",,
"DICYCLOMINE (BENTYL) 20MG/2ML INJ","J0500","HCPCS","Both",,,"158","79","Blue Cross Blue Shield","PPO","",,"71",,"111.55","57.83","122.45","percent of total billed charges",,
"DICYCLOMINE (BENTYL) 20MG/2ML INJ","J0500","HCPCS","Both",,,"158","79","Ambetter","Health Exchange","",,"62",,"97.96","57.83","122.45","percent of total billed charges",,
"DICYCLOMINE (BENTYL) 20MG/2ML INJ","J0500","HCPCS","Both",,,"158","79","Caresource","Health Exchange","",,"62",,"97.96","57.83","122.45","percent of total billed charges",,
"DICYCLOMINE (BENTYL) 20MG/2ML INJ","J0500","HCPCS","Both",,,"158","79","Cigna","Commercial","",,"59",,"92.59","57.83","122.45","percent of total billed charges",,
"DICYCLOMINE (BENTYL) 20MG/2ML INJ","J0500","HCPCS","Both",,,"158","79","Humana","Commercial","",,"78",,"122.45","57.83","122.45","percent of total billed charges",,
"DICYCLOMINE (BENTYL) 20MG/2ML INJ","J0500","HCPCS","Both",,,"158","79","UHC","Commercial","",,"75",,"119.13","57.83","122.45","percent of total billed charges",,
"DICYCLOMINE (BENTYL) 20MG/2ML INJ","J0500","HCPCS","Both",,,"158","79","Medicaid",,"",,"37",,"57.83","57.83","122.45","percent of total billed charges",,
"LEVOFLOXACIN 750MG/150ML PREMIX INFUSION","J1956","HCPCS","Both",,,"60","30","Alliant","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN 750MG/150ML PREMIX INFUSION","J1956","HCPCS","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.4","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN 750MG/150ML PREMIX INFUSION","J1956","HCPCS","Both",,,"60","30","Medicare",,"",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN 750MG/150ML PREMIX INFUSION","J1956","HCPCS","Both",,,"60","30","Humana","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN 750MG/150ML PREMIX INFUSION","J1956","HCPCS","Both",,,"60","30","UHC","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN 750MG/150ML PREMIX INFUSION","J1956","HCPCS","Both",,,"60","30","Clover","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN 750MG/150ML PREMIX INFUSION","J1956","HCPCS","Both",,,"60","30","Wellcare","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN 750MG/150ML PREMIX INFUSION","J1956","HCPCS","Both",,,"60","30","Amerigroup","Medicaid Managed Care","",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN 750MG/150ML PREMIX INFUSION","J1956","HCPCS","Both",,,"60","30","Caresource","Medicaid Managed Care","",,"40",,"24","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN 750MG/150ML PREMIX INFUSION","J1956","HCPCS","Both",,,"60","30","Wellcare","Medicaid Managed Care","",,"40",,"24.3","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN 750MG/150ML PREMIX INFUSION","J1956","HCPCS","Both",,,"60","30","Aetna","Commercial","",,"64",,"38.28","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN 750MG/150ML PREMIX INFUSION","J1956","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","Pathways","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN 750MG/150ML PREMIX INFUSION","J1956","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","HMO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN 750MG/150ML PREMIX INFUSION","J1956","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","PPO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN 750MG/150ML PREMIX INFUSION","J1956","HCPCS","Both",,,"60","30","Ambetter","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN 750MG/150ML PREMIX INFUSION","J1956","HCPCS","Both",,,"60","30","Caresource","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN 750MG/150ML PREMIX INFUSION","J1956","HCPCS","Both",,,"60","30","Cigna","Commercial","",,"59",,"35.16","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN 750MG/150ML PREMIX INFUSION","J1956","HCPCS","Both",,,"60","30","Humana","Commercial","",,"78",,"46.5","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN 750MG/150ML PREMIX INFUSION","J1956","HCPCS","Both",,,"60","30","UHC","Commercial","",,"75",,"45.24","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN 750MG/150ML PREMIX INFUSION","J1956","HCPCS","Both",,,"60","30","Medicaid",,"",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"DIGOXIN (LANOXIN) INJECTION: 500MCG/2ML","J1160","HCPCS","Both",,,"27","13.5","Alliant","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"DIGOXIN (LANOXIN) INJECTION: 500MCG/2ML","J1160","HCPCS","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"14.58","9.88","20.92","percent of total billed charges",,
"DIGOXIN (LANOXIN) INJECTION: 500MCG/2ML","J1160","HCPCS","Both",,,"27","13.5","Medicare",,"",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"DIGOXIN (LANOXIN) INJECTION: 500MCG/2ML","J1160","HCPCS","Both",,,"27","13.5","Humana","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"DIGOXIN (LANOXIN) INJECTION: 500MCG/2ML","J1160","HCPCS","Both",,,"27","13.5","UHC","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"DIGOXIN (LANOXIN) INJECTION: 500MCG/2ML","J1160","HCPCS","Both",,,"27","13.5","Clover","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"DIGOXIN (LANOXIN) INJECTION: 500MCG/2ML","J1160","HCPCS","Both",,,"27","13.5","Wellcare","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"DIGOXIN (LANOXIN) INJECTION: 500MCG/2ML","J1160","HCPCS","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care","",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"DIGOXIN (LANOXIN) INJECTION: 500MCG/2ML","J1160","HCPCS","Both",,,"27","13.5","Caresource","Medicaid Managed Care","",,"40",,"10.8","9.88","20.92","percent of total billed charges",,
"DIGOXIN (LANOXIN) INJECTION: 500MCG/2ML","J1160","HCPCS","Both",,,"27","13.5","Wellcare","Medicaid Managed Care","",,"40",,"10.94","9.88","20.92","percent of total billed charges",,
"DIGOXIN (LANOXIN) INJECTION: 500MCG/2ML","J1160","HCPCS","Both",,,"27","13.5","Aetna","Commercial","",,"64",,"17.23","9.88","20.92","percent of total billed charges",,
"DIGOXIN (LANOXIN) INJECTION: 500MCG/2ML","J1160","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"DIGOXIN (LANOXIN) INJECTION: 500MCG/2ML","J1160","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","HMO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"DIGOXIN (LANOXIN) INJECTION: 500MCG/2ML","J1160","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","PPO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"DIGOXIN (LANOXIN) INJECTION: 500MCG/2ML","J1160","HCPCS","Both",,,"27","13.5","Ambetter","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"DIGOXIN (LANOXIN) INJECTION: 500MCG/2ML","J1160","HCPCS","Both",,,"27","13.5","Caresource","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"DIGOXIN (LANOXIN) INJECTION: 500MCG/2ML","J1160","HCPCS","Both",,,"27","13.5","Cigna","Commercial","",,"59",,"15.82","9.88","20.92","percent of total billed charges",,
"DIGOXIN (LANOXIN) INJECTION: 500MCG/2ML","J1160","HCPCS","Both",,,"27","13.5","Humana","Commercial","",,"78",,"20.92","9.88","20.92","percent of total billed charges",,
"DIGOXIN (LANOXIN) INJECTION: 500MCG/2ML","J1160","HCPCS","Both",,,"27","13.5","UHC","Commercial","",,"75",,"20.36","9.88","20.92","percent of total billed charges",,
"DIGOXIN (LANOXIN) INJECTION: 500MCG/2ML","J1160","HCPCS","Both",,,"27","13.5","Medicaid",,"",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) 50MG/ML INJ","J1200","HCPCS","Both",,,"27","13.5","Alliant","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) 50MG/ML INJ","J1200","HCPCS","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"14.58","9.88","20.92","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) 50MG/ML INJ","J1200","HCPCS","Both",,,"27","13.5","Medicare",,"",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) 50MG/ML INJ","J1200","HCPCS","Both",,,"27","13.5","Humana","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) 50MG/ML INJ","J1200","HCPCS","Both",,,"27","13.5","UHC","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) 50MG/ML INJ","J1200","HCPCS","Both",,,"27","13.5","Clover","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) 50MG/ML INJ","J1200","HCPCS","Both",,,"27","13.5","Wellcare","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) 50MG/ML INJ","J1200","HCPCS","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care","",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) 50MG/ML INJ","J1200","HCPCS","Both",,,"27","13.5","Caresource","Medicaid Managed Care","",,"40",,"10.8","9.88","20.92","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) 50MG/ML INJ","J1200","HCPCS","Both",,,"27","13.5","Wellcare","Medicaid Managed Care","",,"40",,"10.94","9.88","20.92","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) 50MG/ML INJ","J1200","HCPCS","Both",,,"27","13.5","Aetna","Commercial","",,"64",,"17.23","9.88","20.92","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) 50MG/ML INJ","J1200","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) 50MG/ML INJ","J1200","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","HMO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) 50MG/ML INJ","J1200","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","PPO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) 50MG/ML INJ","J1200","HCPCS","Both",,,"27","13.5","Ambetter","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) 50MG/ML INJ","J1200","HCPCS","Both",,,"27","13.5","Caresource","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) 50MG/ML INJ","J1200","HCPCS","Both",,,"27","13.5","Cigna","Commercial","",,"59",,"15.82","9.88","20.92","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) 50MG/ML INJ","J1200","HCPCS","Both",,,"27","13.5","Humana","Commercial","",,"78",,"20.92","9.88","20.92","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) 50MG/ML INJ","J1200","HCPCS","Both",,,"27","13.5","UHC","Commercial","",,"75",,"20.36","9.88","20.92","percent of total billed charges",,
"DIPHENHYDRAMINE (BENADRYL) 50MG/ML INJ","J1200","HCPCS","Both",,,"27","13.5","Medicaid",,"",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"GLUCAGON (GLUCAGEN) 1 MG INJECTION","J1610","HCPCS","Both",,,"418","209","Alliant","Health Exchange","",,"62",,"259.16","152.99","323.95","percent of total billed charges",,
"GLUCAGON (GLUCAGEN) 1 MG INJECTION","J1610","HCPCS","Both",,,"418","209","Pruitt Healthcare","Medicare Advantage","",,"54",,"225.72","152.99","323.95","percent of total billed charges",,
"GLUCAGON (GLUCAGEN) 1 MG INJECTION","J1610","HCPCS","Both",,,"418","209","Medicare",,"",,"54",,"226.56","152.99","323.95","percent of total billed charges",,
"GLUCAGON (GLUCAGEN) 1 MG INJECTION","J1610","HCPCS","Both",,,"418","209","Humana","Medicare Advantage","",,"54",,"226.56","152.99","323.95","percent of total billed charges",,
"GLUCAGON (GLUCAGEN) 1 MG INJECTION","J1610","HCPCS","Both",,,"418","209","UHC","Medicare Advantage","",,"54",,"226.56","152.99","323.95","percent of total billed charges",,
"GLUCAGON (GLUCAGEN) 1 MG INJECTION","J1610","HCPCS","Both",,,"418","209","Clover","Medicare Advantage","",,"54",,"226.56","152.99","323.95","percent of total billed charges",,
"GLUCAGON (GLUCAGEN) 1 MG INJECTION","J1610","HCPCS","Both",,,"418","209","Wellcare","Medicare Advantage","",,"54",,"226.56","152.99","323.95","percent of total billed charges",,
"GLUCAGON (GLUCAGEN) 1 MG INJECTION","J1610","HCPCS","Both",,,"418","209","Amerigroup","Medicaid Managed Care","",,"37",,"152.99","152.99","323.95","percent of total billed charges",,
"GLUCAGON (GLUCAGEN) 1 MG INJECTION","J1610","HCPCS","Both",,,"418","209","Caresource","Medicaid Managed Care","",,"40",,"167.2","152.99","323.95","percent of total billed charges",,
"GLUCAGON (GLUCAGEN) 1 MG INJECTION","J1610","HCPCS","Both",,,"418","209","Wellcare","Medicaid Managed Care","",,"40",,"169.29","152.99","323.95","percent of total billed charges",,
"GLUCAGON (GLUCAGEN) 1 MG INJECTION","J1610","HCPCS","Both",,,"418","209","Aetna","Commercial","",,"64",,"266.68","152.99","323.95","percent of total billed charges",,
"GLUCAGON (GLUCAGEN) 1 MG INJECTION","J1610","HCPCS","Both",,,"418","209","Blue Cross Blue Shield","Pathways","",,"71",,"295.11","152.99","323.95","percent of total billed charges",,
"GLUCAGON (GLUCAGEN) 1 MG INJECTION","J1610","HCPCS","Both",,,"418","209","Blue Cross Blue Shield","HMO","",,"71",,"295.11","152.99","323.95","percent of total billed charges",,
"GLUCAGON (GLUCAGEN) 1 MG INJECTION","J1610","HCPCS","Both",,,"418","209","Blue Cross Blue Shield","PPO","",,"71",,"295.11","152.99","323.95","percent of total billed charges",,
"GLUCAGON (GLUCAGEN) 1 MG INJECTION","J1610","HCPCS","Both",,,"418","209","Ambetter","Health Exchange","",,"62",,"259.16","152.99","323.95","percent of total billed charges",,
"GLUCAGON (GLUCAGEN) 1 MG INJECTION","J1610","HCPCS","Both",,,"418","209","Caresource","Health Exchange","",,"62",,"259.16","152.99","323.95","percent of total billed charges",,
"GLUCAGON (GLUCAGEN) 1 MG INJECTION","J1610","HCPCS","Both",,,"418","209","Cigna","Commercial","",,"59",,"244.95","152.99","323.95","percent of total billed charges",,
"GLUCAGON (GLUCAGEN) 1 MG INJECTION","J1610","HCPCS","Both",,,"418","209","Humana","Commercial","",,"78",,"323.95","152.99","323.95","percent of total billed charges",,
"GLUCAGON (GLUCAGEN) 1 MG INJECTION","J1610","HCPCS","Both",,,"418","209","UHC","Commercial","",,"75",,"315.17","152.99","323.95","percent of total billed charges",,
"GLUCAGON (GLUCAGEN) 1 MG INJECTION","J1610","HCPCS","Both",,,"418","209","Medicaid",,"",,"37",,"152.99","152.99","323.95","percent of total billed charges",,
"HALOPERIDOL 5MG/ML INJECTION","J1630","HCPCS","Both",,,"27","13.5","Alliant","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"HALOPERIDOL 5MG/ML INJECTION","J1630","HCPCS","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"14.58","9.88","20.92","percent of total billed charges",,
"HALOPERIDOL 5MG/ML INJECTION","J1630","HCPCS","Both",,,"27","13.5","Medicare",,"",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"HALOPERIDOL 5MG/ML INJECTION","J1630","HCPCS","Both",,,"27","13.5","Humana","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"HALOPERIDOL 5MG/ML INJECTION","J1630","HCPCS","Both",,,"27","13.5","UHC","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"HALOPERIDOL 5MG/ML INJECTION","J1630","HCPCS","Both",,,"27","13.5","Clover","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"HALOPERIDOL 5MG/ML INJECTION","J1630","HCPCS","Both",,,"27","13.5","Wellcare","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"HALOPERIDOL 5MG/ML INJECTION","J1630","HCPCS","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care","",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"HALOPERIDOL 5MG/ML INJECTION","J1630","HCPCS","Both",,,"27","13.5","Caresource","Medicaid Managed Care","",,"40",,"10.8","9.88","20.92","percent of total billed charges",,
"HALOPERIDOL 5MG/ML INJECTION","J1630","HCPCS","Both",,,"27","13.5","Wellcare","Medicaid Managed Care","",,"40",,"10.94","9.88","20.92","percent of total billed charges",,
"HALOPERIDOL 5MG/ML INJECTION","J1630","HCPCS","Both",,,"27","13.5","Aetna","Commercial","",,"64",,"17.23","9.88","20.92","percent of total billed charges",,
"HALOPERIDOL 5MG/ML INJECTION","J1630","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"HALOPERIDOL 5MG/ML INJECTION","J1630","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","HMO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"HALOPERIDOL 5MG/ML INJECTION","J1630","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","PPO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"HALOPERIDOL 5MG/ML INJECTION","J1630","HCPCS","Both",,,"27","13.5","Ambetter","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"HALOPERIDOL 5MG/ML INJECTION","J1630","HCPCS","Both",,,"27","13.5","Caresource","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"HALOPERIDOL 5MG/ML INJECTION","J1630","HCPCS","Both",,,"27","13.5","Cigna","Commercial","",,"59",,"15.82","9.88","20.92","percent of total billed charges",,
"HALOPERIDOL 5MG/ML INJECTION","J1630","HCPCS","Both",,,"27","13.5","Humana","Commercial","",,"78",,"20.92","9.88","20.92","percent of total billed charges",,
"HALOPERIDOL 5MG/ML INJECTION","J1630","HCPCS","Both",,,"27","13.5","UHC","Commercial","",,"75",,"20.36","9.88","20.92","percent of total billed charges",,
"HALOPERIDOL 5MG/ML INJECTION","J1630","HCPCS","Both",,,"27","13.5","Medicaid",,"",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 30 MG INJ","J1650","HCPCS","Both",,,"104","52","Alliant","Health Exchange","",,"62",,"64.48","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 30 MG INJ","J1650","HCPCS","Both",,,"104","52","Pruitt Healthcare","Medicare Advantage","",,"54",,"56.16","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 30 MG INJ","J1650","HCPCS","Both",,,"104","52","Medicare",,"",,"54",,"56.37","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 30 MG INJ","J1650","HCPCS","Both",,,"104","52","Humana","Medicare Advantage","",,"54",,"56.37","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 30 MG INJ","J1650","HCPCS","Both",,,"104","52","UHC","Medicare Advantage","",,"54",,"56.37","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 30 MG INJ","J1650","HCPCS","Both",,,"104","52","Clover","Medicare Advantage","",,"54",,"56.37","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 30 MG INJ","J1650","HCPCS","Both",,,"104","52","Wellcare","Medicare Advantage","",,"54",,"56.37","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 30 MG INJ","J1650","HCPCS","Both",,,"104","52","Amerigroup","Medicaid Managed Care","",,"37",,"38.06","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 30 MG INJ","J1650","HCPCS","Both",,,"104","52","Caresource","Medicaid Managed Care","",,"40",,"41.6","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 30 MG INJ","J1650","HCPCS","Both",,,"104","52","Wellcare","Medicaid Managed Care","",,"40",,"42.12","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 30 MG INJ","J1650","HCPCS","Both",,,"104","52","Aetna","Commercial","",,"64",,"66.35","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 30 MG INJ","J1650","HCPCS","Both",,,"104","52","Blue Cross Blue Shield","Pathways","",,"71",,"73.42","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 30 MG INJ","J1650","HCPCS","Both",,,"104","52","Blue Cross Blue Shield","HMO","",,"71",,"73.42","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 30 MG INJ","J1650","HCPCS","Both",,,"104","52","Blue Cross Blue Shield","PPO","",,"71",,"73.42","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 30 MG INJ","J1650","HCPCS","Both",,,"104","52","Ambetter","Health Exchange","",,"62",,"64.48","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 30 MG INJ","J1650","HCPCS","Both",,,"104","52","Caresource","Health Exchange","",,"62",,"64.48","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 30 MG INJ","J1650","HCPCS","Both",,,"104","52","Cigna","Commercial","",,"59",,"60.94","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 30 MG INJ","J1650","HCPCS","Both",,,"104","52","Humana","Commercial","",,"78",,"80.6","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 30 MG INJ","J1650","HCPCS","Both",,,"104","52","UHC","Commercial","",,"75",,"78.42","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 30 MG INJ","J1650","HCPCS","Both",,,"104","52","Medicaid",,"",,"37",,"38.06","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 80 MG INJ","J1650","HCPCS","Both",,,"104","52","Alliant","Health Exchange","",,"62",,"64.48","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 80 MG INJ","J1650","HCPCS","Both",,,"104","52","Pruitt Healthcare","Medicare Advantage","",,"54",,"56.16","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 80 MG INJ","J1650","HCPCS","Both",,,"104","52","Medicare",,"",,"54",,"56.37","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 80 MG INJ","J1650","HCPCS","Both",,,"104","52","Humana","Medicare Advantage","",,"54",,"56.37","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 80 MG INJ","J1650","HCPCS","Both",,,"104","52","UHC","Medicare Advantage","",,"54",,"56.37","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 80 MG INJ","J1650","HCPCS","Both",,,"104","52","Clover","Medicare Advantage","",,"54",,"56.37","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 80 MG INJ","J1650","HCPCS","Both",,,"104","52","Wellcare","Medicare Advantage","",,"54",,"56.37","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 80 MG INJ","J1650","HCPCS","Both",,,"104","52","Amerigroup","Medicaid Managed Care","",,"37",,"38.06","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 80 MG INJ","J1650","HCPCS","Both",,,"104","52","Caresource","Medicaid Managed Care","",,"40",,"41.6","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 80 MG INJ","J1650","HCPCS","Both",,,"104","52","Wellcare","Medicaid Managed Care","",,"40",,"42.12","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 80 MG INJ","J1650","HCPCS","Both",,,"104","52","Aetna","Commercial","",,"64",,"66.35","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 80 MG INJ","J1650","HCPCS","Both",,,"104","52","Blue Cross Blue Shield","Pathways","",,"71",,"73.42","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 80 MG INJ","J1650","HCPCS","Both",,,"104","52","Blue Cross Blue Shield","HMO","",,"71",,"73.42","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 80 MG INJ","J1650","HCPCS","Both",,,"104","52","Blue Cross Blue Shield","PPO","",,"71",,"73.42","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 80 MG INJ","J1650","HCPCS","Both",,,"104","52","Ambetter","Health Exchange","",,"62",,"64.48","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 80 MG INJ","J1650","HCPCS","Both",,,"104","52","Caresource","Health Exchange","",,"62",,"64.48","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 80 MG INJ","J1650","HCPCS","Both",,,"104","52","Cigna","Commercial","",,"59",,"60.94","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 80 MG INJ","J1650","HCPCS","Both",,,"104","52","Humana","Commercial","",,"78",,"80.6","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 80 MG INJ","J1650","HCPCS","Both",,,"104","52","UHC","Commercial","",,"75",,"78.42","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 80 MG INJ","J1650","HCPCS","Both",,,"104","52","Medicaid",,"",,"37",,"38.06","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 40 MG INJ","J1650","HCPCS","Both",,,"104","52","Alliant","Health Exchange","",,"62",,"64.48","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 40 MG INJ","J1650","HCPCS","Both",,,"104","52","Pruitt Healthcare","Medicare Advantage","",,"54",,"56.16","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 40 MG INJ","J1650","HCPCS","Both",,,"104","52","Medicare",,"",,"54",,"56.37","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 40 MG INJ","J1650","HCPCS","Both",,,"104","52","Humana","Medicare Advantage","",,"54",,"56.37","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 40 MG INJ","J1650","HCPCS","Both",,,"104","52","UHC","Medicare Advantage","",,"54",,"56.37","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 40 MG INJ","J1650","HCPCS","Both",,,"104","52","Clover","Medicare Advantage","",,"54",,"56.37","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 40 MG INJ","J1650","HCPCS","Both",,,"104","52","Wellcare","Medicare Advantage","",,"54",,"56.37","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 40 MG INJ","J1650","HCPCS","Both",,,"104","52","Amerigroup","Medicaid Managed Care","",,"37",,"38.06","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 40 MG INJ","J1650","HCPCS","Both",,,"104","52","Caresource","Medicaid Managed Care","",,"40",,"41.6","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 40 MG INJ","J1650","HCPCS","Both",,,"104","52","Wellcare","Medicaid Managed Care","",,"40",,"42.12","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 40 MG INJ","J1650","HCPCS","Both",,,"104","52","Aetna","Commercial","",,"64",,"66.35","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 40 MG INJ","J1650","HCPCS","Both",,,"104","52","Blue Cross Blue Shield","Pathways","",,"71",,"73.42","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 40 MG INJ","J1650","HCPCS","Both",,,"104","52","Blue Cross Blue Shield","HMO","",,"71",,"73.42","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 40 MG INJ","J1650","HCPCS","Both",,,"104","52","Blue Cross Blue Shield","PPO","",,"71",,"73.42","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 40 MG INJ","J1650","HCPCS","Both",,,"104","52","Ambetter","Health Exchange","",,"62",,"64.48","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 40 MG INJ","J1650","HCPCS","Both",,,"104","52","Caresource","Health Exchange","",,"62",,"64.48","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 40 MG INJ","J1650","HCPCS","Both",,,"104","52","Cigna","Commercial","",,"59",,"60.94","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 40 MG INJ","J1650","HCPCS","Both",,,"104","52","Humana","Commercial","",,"78",,"80.6","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 40 MG INJ","J1650","HCPCS","Both",,,"104","52","UHC","Commercial","",,"75",,"78.42","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 40 MG INJ","J1650","HCPCS","Both",,,"104","52","Medicaid",,"",,"37",,"38.06","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 60 MG INJ","J1650","HCPCS","Both",,,"104","52","Alliant","Health Exchange","",,"62",,"64.48","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 60 MG INJ","J1650","HCPCS","Both",,,"104","52","Pruitt Healthcare","Medicare Advantage","",,"54",,"56.16","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 60 MG INJ","J1650","HCPCS","Both",,,"104","52","Medicare",,"",,"54",,"56.37","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 60 MG INJ","J1650","HCPCS","Both",,,"104","52","Humana","Medicare Advantage","",,"54",,"56.37","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 60 MG INJ","J1650","HCPCS","Both",,,"104","52","UHC","Medicare Advantage","",,"54",,"56.37","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 60 MG INJ","J1650","HCPCS","Both",,,"104","52","Clover","Medicare Advantage","",,"54",,"56.37","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 60 MG INJ","J1650","HCPCS","Both",,,"104","52","Wellcare","Medicare Advantage","",,"54",,"56.37","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 60 MG INJ","J1650","HCPCS","Both",,,"104","52","Amerigroup","Medicaid Managed Care","",,"37",,"38.06","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 60 MG INJ","J1650","HCPCS","Both",,,"104","52","Caresource","Medicaid Managed Care","",,"40",,"41.6","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 60 MG INJ","J1650","HCPCS","Both",,,"104","52","Wellcare","Medicaid Managed Care","",,"40",,"42.12","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 60 MG INJ","J1650","HCPCS","Both",,,"104","52","Aetna","Commercial","",,"64",,"66.35","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 60 MG INJ","J1650","HCPCS","Both",,,"104","52","Blue Cross Blue Shield","Pathways","",,"71",,"73.42","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 60 MG INJ","J1650","HCPCS","Both",,,"104","52","Blue Cross Blue Shield","HMO","",,"71",,"73.42","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 60 MG INJ","J1650","HCPCS","Both",,,"104","52","Blue Cross Blue Shield","PPO","",,"71",,"73.42","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 60 MG INJ","J1650","HCPCS","Both",,,"104","52","Ambetter","Health Exchange","",,"62",,"64.48","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 60 MG INJ","J1650","HCPCS","Both",,,"104","52","Caresource","Health Exchange","",,"62",,"64.48","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 60 MG INJ","J1650","HCPCS","Both",,,"104","52","Cigna","Commercial","",,"59",,"60.94","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 60 MG INJ","J1650","HCPCS","Both",,,"104","52","Humana","Commercial","",,"78",,"80.6","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 60 MG INJ","J1650","HCPCS","Both",,,"104","52","UHC","Commercial","",,"75",,"78.42","38.06","80.6","percent of total billed charges",,
"ENOXAPARIN (LOVENOX) 60 MG INJ","J1650","HCPCS","Both",,,"104","52","Medicaid",,"",,"37",,"38.06","38.06","80.6","percent of total billed charges",,
"HEPARIN LOCK FLUSH 500UNITS/5ML INJ","J1642","HCPCS","Both",,,"31","15.5","Alliant","Health Exchange","",,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"HEPARIN LOCK FLUSH 500UNITS/5ML INJ","J1642","HCPCS","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"16.74","11.35","24.02","percent of total billed charges",,
"HEPARIN LOCK FLUSH 500UNITS/5ML INJ","J1642","HCPCS","Both",,,"31","15.5","Medicare",,"",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"HEPARIN LOCK FLUSH 500UNITS/5ML INJ","J1642","HCPCS","Both",,,"31","15.5","Humana","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"HEPARIN LOCK FLUSH 500UNITS/5ML INJ","J1642","HCPCS","Both",,,"31","15.5","UHC","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"HEPARIN LOCK FLUSH 500UNITS/5ML INJ","J1642","HCPCS","Both",,,"31","15.5","Clover","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"HEPARIN LOCK FLUSH 500UNITS/5ML INJ","J1642","HCPCS","Both",,,"31","15.5","Wellcare","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"HEPARIN LOCK FLUSH 500UNITS/5ML INJ","J1642","HCPCS","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care","",,"37",,"11.35","11.35","24.02","percent of total billed charges",,
"HEPARIN LOCK FLUSH 500UNITS/5ML INJ","J1642","HCPCS","Both",,,"31","15.5","Caresource","Medicaid Managed Care","",,"40",,"12.4","11.35","24.02","percent of total billed charges",,
"HEPARIN LOCK FLUSH 500UNITS/5ML INJ","J1642","HCPCS","Both",,,"31","15.5","Wellcare","Medicaid Managed Care","",,"40",,"12.56","11.35","24.02","percent of total billed charges",,
"HEPARIN LOCK FLUSH 500UNITS/5ML INJ","J1642","HCPCS","Both",,,"31","15.5","Aetna","Commercial","",,"64",,"19.78","11.35","24.02","percent of total billed charges",,
"HEPARIN LOCK FLUSH 500UNITS/5ML INJ","J1642","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways","",,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"HEPARIN LOCK FLUSH 500UNITS/5ML INJ","J1642","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","HMO","",,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"HEPARIN LOCK FLUSH 500UNITS/5ML INJ","J1642","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","PPO","",,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"HEPARIN LOCK FLUSH 500UNITS/5ML INJ","J1642","HCPCS","Both",,,"31","15.5","Ambetter","Health Exchange","",,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"HEPARIN LOCK FLUSH 500UNITS/5ML INJ","J1642","HCPCS","Both",,,"31","15.5","Caresource","Health Exchange","",,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"HEPARIN LOCK FLUSH 500UNITS/5ML INJ","J1642","HCPCS","Both",,,"31","15.5","Cigna","Commercial","",,"59",,"18.17","11.35","24.02","percent of total billed charges",,
"HEPARIN LOCK FLUSH 500UNITS/5ML INJ","J1642","HCPCS","Both",,,"31","15.5","Humana","Commercial","",,"78",,"24.02","11.35","24.02","percent of total billed charges",,
"HEPARIN LOCK FLUSH 500UNITS/5ML INJ","J1642","HCPCS","Both",,,"31","15.5","UHC","Commercial","",,"75",,"23.37","11.35","24.02","percent of total billed charges",,
"HEPARIN LOCK FLUSH 500UNITS/5ML INJ","J1642","HCPCS","Both",,,"31","15.5","Medicaid",,"",,"37",,"11.35","11.35","24.02","percent of total billed charges",,
"SODIUM CHLORIDE 0.9% FLUSH SYRINGE: 10ml","A4216","HCPCS","Both",,,"14","7","Alliant","Health Exchange","",,"62",,"8.68","5.12","10.85","percent of total billed charges",,
"SODIUM CHLORIDE 0.9% FLUSH SYRINGE: 10ml","A4216","HCPCS","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage","",,"54",,"7.56","5.12","10.85","percent of total billed charges",,
"SODIUM CHLORIDE 0.9% FLUSH SYRINGE: 10ml","A4216","HCPCS","Both",,,"14","7","Medicare",,"",,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"SODIUM CHLORIDE 0.9% FLUSH SYRINGE: 10ml","A4216","HCPCS","Both",,,"14","7","Humana","Medicare Advantage","",,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"SODIUM CHLORIDE 0.9% FLUSH SYRINGE: 10ml","A4216","HCPCS","Both",,,"14","7","UHC","Medicare Advantage","",,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"SODIUM CHLORIDE 0.9% FLUSH SYRINGE: 10ml","A4216","HCPCS","Both",,,"14","7","Clover","Medicare Advantage","",,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"SODIUM CHLORIDE 0.9% FLUSH SYRINGE: 10ml","A4216","HCPCS","Both",,,"14","7","Wellcare","Medicare Advantage","",,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"SODIUM CHLORIDE 0.9% FLUSH SYRINGE: 10ml","A4216","HCPCS","Both",,,"14","7","Amerigroup","Medicaid Managed Care","",,"37",,"5.12","5.12","10.85","percent of total billed charges",,
"SODIUM CHLORIDE 0.9% FLUSH SYRINGE: 10ml","A4216","HCPCS","Both",,,"14","7","Caresource","Medicaid Managed Care","",,"40",,"5.6","5.12","10.85","percent of total billed charges",,
"SODIUM CHLORIDE 0.9% FLUSH SYRINGE: 10ml","A4216","HCPCS","Both",,,"14","7","Wellcare","Medicaid Managed Care","",,"40",,"5.67","5.12","10.85","percent of total billed charges",,
"SODIUM CHLORIDE 0.9% FLUSH SYRINGE: 10ml","A4216","HCPCS","Both",,,"14","7","Aetna","Commercial","",,"64",,"8.93","5.12","10.85","percent of total billed charges",,
"SODIUM CHLORIDE 0.9% FLUSH SYRINGE: 10ml","A4216","HCPCS","Both",,,"14","7","Blue Cross Blue Shield","Pathways","",,"71",,"9.88","5.12","10.85","percent of total billed charges",,
"SODIUM CHLORIDE 0.9% FLUSH SYRINGE: 10ml","A4216","HCPCS","Both",,,"14","7","Blue Cross Blue Shield","HMO","",,"71",,"9.88","5.12","10.85","percent of total billed charges",,
"SODIUM CHLORIDE 0.9% FLUSH SYRINGE: 10ml","A4216","HCPCS","Both",,,"14","7","Blue Cross Blue Shield","PPO","",,"71",,"9.88","5.12","10.85","percent of total billed charges",,
"SODIUM CHLORIDE 0.9% FLUSH SYRINGE: 10ml","A4216","HCPCS","Both",,,"14","7","Ambetter","Health Exchange","",,"62",,"8.68","5.12","10.85","percent of total billed charges",,
"SODIUM CHLORIDE 0.9% FLUSH SYRINGE: 10ml","A4216","HCPCS","Both",,,"14","7","Caresource","Health Exchange","",,"62",,"8.68","5.12","10.85","percent of total billed charges",,
"SODIUM CHLORIDE 0.9% FLUSH SYRINGE: 10ml","A4216","HCPCS","Both",,,"14","7","Cigna","Commercial","",,"59",,"8.2","5.12","10.85","percent of total billed charges",,
"SODIUM CHLORIDE 0.9% FLUSH SYRINGE: 10ml","A4216","HCPCS","Both",,,"14","7","Humana","Commercial","",,"78",,"10.85","5.12","10.85","percent of total billed charges",,
"SODIUM CHLORIDE 0.9% FLUSH SYRINGE: 10ml","A4216","HCPCS","Both",,,"14","7","UHC","Commercial","",,"75",,"10.56","5.12","10.85","percent of total billed charges",,
"SODIUM CHLORIDE 0.9% FLUSH SYRINGE: 10ml","A4216","HCPCS","Both",,,"14","7","Medicaid",,"",,"37",,"5.12","5.12","10.85","percent of total billed charges",,
"SUMATRIPTAN (IMITREX) 6 MG INJECTION","J3030","HCPCS","Both",,,"70","35","Alliant","Health Exchange","",,"62",,"43.4","25.62","54.25","percent of total billed charges",,
"SUMATRIPTAN (IMITREX) 6 MG INJECTION","J3030","HCPCS","Both",,,"70","35","Pruitt Healthcare","Medicare Advantage","",,"54",,"37.8","25.62","54.25","percent of total billed charges",,
"SUMATRIPTAN (IMITREX) 6 MG INJECTION","J3030","HCPCS","Both",,,"70","35","Medicare",,"",,"54",,"37.94","25.62","54.25","percent of total billed charges",,
"SUMATRIPTAN (IMITREX) 6 MG INJECTION","J3030","HCPCS","Both",,,"70","35","Humana","Medicare Advantage","",,"54",,"37.94","25.62","54.25","percent of total billed charges",,
"SUMATRIPTAN (IMITREX) 6 MG INJECTION","J3030","HCPCS","Both",,,"70","35","UHC","Medicare Advantage","",,"54",,"37.94","25.62","54.25","percent of total billed charges",,
"SUMATRIPTAN (IMITREX) 6 MG INJECTION","J3030","HCPCS","Both",,,"70","35","Clover","Medicare Advantage","",,"54",,"37.94","25.62","54.25","percent of total billed charges",,
"SUMATRIPTAN (IMITREX) 6 MG INJECTION","J3030","HCPCS","Both",,,"70","35","Wellcare","Medicare Advantage","",,"54",,"37.94","25.62","54.25","percent of total billed charges",,
"SUMATRIPTAN (IMITREX) 6 MG INJECTION","J3030","HCPCS","Both",,,"70","35","Amerigroup","Medicaid Managed Care","",,"37",,"25.62","25.62","54.25","percent of total billed charges",,
"SUMATRIPTAN (IMITREX) 6 MG INJECTION","J3030","HCPCS","Both",,,"70","35","Caresource","Medicaid Managed Care","",,"40",,"28","25.62","54.25","percent of total billed charges",,
"SUMATRIPTAN (IMITREX) 6 MG INJECTION","J3030","HCPCS","Both",,,"70","35","Wellcare","Medicaid Managed Care","",,"40",,"28.35","25.62","54.25","percent of total billed charges",,
"SUMATRIPTAN (IMITREX) 6 MG INJECTION","J3030","HCPCS","Both",,,"70","35","Aetna","Commercial","",,"64",,"44.66","25.62","54.25","percent of total billed charges",,
"SUMATRIPTAN (IMITREX) 6 MG INJECTION","J3030","HCPCS","Both",,,"70","35","Blue Cross Blue Shield","Pathways","",,"71",,"49.42","25.62","54.25","percent of total billed charges",,
"SUMATRIPTAN (IMITREX) 6 MG INJECTION","J3030","HCPCS","Both",,,"70","35","Blue Cross Blue Shield","HMO","",,"71",,"49.42","25.62","54.25","percent of total billed charges",,
"SUMATRIPTAN (IMITREX) 6 MG INJECTION","J3030","HCPCS","Both",,,"70","35","Blue Cross Blue Shield","PPO","",,"71",,"49.42","25.62","54.25","percent of total billed charges",,
"SUMATRIPTAN (IMITREX) 6 MG INJECTION","J3030","HCPCS","Both",,,"70","35","Ambetter","Health Exchange","",,"62",,"43.4","25.62","54.25","percent of total billed charges",,
"SUMATRIPTAN (IMITREX) 6 MG INJECTION","J3030","HCPCS","Both",,,"70","35","Caresource","Health Exchange","",,"62",,"43.4","25.62","54.25","percent of total billed charges",,
"SUMATRIPTAN (IMITREX) 6 MG INJECTION","J3030","HCPCS","Both",,,"70","35","Cigna","Commercial","",,"59",,"41.02","25.62","54.25","percent of total billed charges",,
"SUMATRIPTAN (IMITREX) 6 MG INJECTION","J3030","HCPCS","Both",,,"70","35","Humana","Commercial","",,"78",,"54.25","25.62","54.25","percent of total billed charges",,
"SUMATRIPTAN (IMITREX) 6 MG INJECTION","J3030","HCPCS","Both",,,"70","35","UHC","Commercial","",,"75",,"52.78","25.62","54.25","percent of total billed charges",,
"SUMATRIPTAN (IMITREX) 6 MG INJECTION","J3030","HCPCS","Both",,,"70","35","Medicaid",,"",,"37",,"25.62","25.62","54.25","percent of total billed charges",,
"KETOROLAC (TORADOL) 15 MG/ML SDV","J1885","HCPCS","Both",,,"27","13.5","Alliant","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) 15 MG/ML SDV","J1885","HCPCS","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"14.58","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) 15 MG/ML SDV","J1885","HCPCS","Both",,,"27","13.5","Medicare",,"",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) 15 MG/ML SDV","J1885","HCPCS","Both",,,"27","13.5","Humana","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) 15 MG/ML SDV","J1885","HCPCS","Both",,,"27","13.5","UHC","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) 15 MG/ML SDV","J1885","HCPCS","Both",,,"27","13.5","Clover","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) 15 MG/ML SDV","J1885","HCPCS","Both",,,"27","13.5","Wellcare","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) 15 MG/ML SDV","J1885","HCPCS","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care","",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) 15 MG/ML SDV","J1885","HCPCS","Both",,,"27","13.5","Caresource","Medicaid Managed Care","",,"40",,"10.8","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) 15 MG/ML SDV","J1885","HCPCS","Both",,,"27","13.5","Wellcare","Medicaid Managed Care","",,"40",,"10.94","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) 15 MG/ML SDV","J1885","HCPCS","Both",,,"27","13.5","Aetna","Commercial","",,"64",,"17.23","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) 15 MG/ML SDV","J1885","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) 15 MG/ML SDV","J1885","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","HMO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) 15 MG/ML SDV","J1885","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","PPO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) 15 MG/ML SDV","J1885","HCPCS","Both",,,"27","13.5","Ambetter","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) 15 MG/ML SDV","J1885","HCPCS","Both",,,"27","13.5","Caresource","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) 15 MG/ML SDV","J1885","HCPCS","Both",,,"27","13.5","Cigna","Commercial","",,"59",,"15.82","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) 15 MG/ML SDV","J1885","HCPCS","Both",,,"27","13.5","Humana","Commercial","",,"78",,"20.92","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) 15 MG/ML SDV","J1885","HCPCS","Both",,,"27","13.5","UHC","Commercial","",,"75",,"20.36","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) 15 MG/ML SDV","J1885","HCPCS","Both",,,"27","13.5","Medicaid",,"",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) 30 MG/ML INJ","J1885","HCPCS","Both",,,"27","13.5","Alliant","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) 30 MG/ML INJ","J1885","HCPCS","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"14.58","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) 30 MG/ML INJ","J1885","HCPCS","Both",,,"27","13.5","Medicare",,"",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) 30 MG/ML INJ","J1885","HCPCS","Both",,,"27","13.5","Humana","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) 30 MG/ML INJ","J1885","HCPCS","Both",,,"27","13.5","UHC","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) 30 MG/ML INJ","J1885","HCPCS","Both",,,"27","13.5","Clover","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) 30 MG/ML INJ","J1885","HCPCS","Both",,,"27","13.5","Wellcare","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) 30 MG/ML INJ","J1885","HCPCS","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care","",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) 30 MG/ML INJ","J1885","HCPCS","Both",,,"27","13.5","Caresource","Medicaid Managed Care","",,"40",,"10.8","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) 30 MG/ML INJ","J1885","HCPCS","Both",,,"27","13.5","Wellcare","Medicaid Managed Care","",,"40",,"10.94","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) 30 MG/ML INJ","J1885","HCPCS","Both",,,"27","13.5","Aetna","Commercial","",,"64",,"17.23","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) 30 MG/ML INJ","J1885","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) 30 MG/ML INJ","J1885","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","HMO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) 30 MG/ML INJ","J1885","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","PPO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) 30 MG/ML INJ","J1885","HCPCS","Both",,,"27","13.5","Ambetter","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) 30 MG/ML INJ","J1885","HCPCS","Both",,,"27","13.5","Caresource","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) 30 MG/ML INJ","J1885","HCPCS","Both",,,"27","13.5","Cigna","Commercial","",,"59",,"15.82","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) 30 MG/ML INJ","J1885","HCPCS","Both",,,"27","13.5","Humana","Commercial","",,"78",,"20.92","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) 30 MG/ML INJ","J1885","HCPCS","Both",,,"27","13.5","UHC","Commercial","",,"75",,"20.36","9.88","20.92","percent of total billed charges",,
"KETOROLAC (TORADOL) 30 MG/ML INJ","J1885","HCPCS","Both",,,"27","13.5","Medicaid",,"",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"FUROSEMIDE (LASIX) 20MG/2ML Injection","J1940","HCPCS","Both",,,"22","11","Alliant","Health Exchange","",,"62",,"13.64","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) 20MG/2ML Injection","J1940","HCPCS","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage","",,"54",,"11.88","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) 20MG/2ML Injection","J1940","HCPCS","Both",,,"22","11","Medicare",,"",,"54",,"11.92","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) 20MG/2ML Injection","J1940","HCPCS","Both",,,"22","11","Humana","Medicare Advantage","",,"54",,"11.92","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) 20MG/2ML Injection","J1940","HCPCS","Both",,,"22","11","UHC","Medicare Advantage","",,"54",,"11.92","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) 20MG/2ML Injection","J1940","HCPCS","Both",,,"22","11","Clover","Medicare Advantage","",,"54",,"11.92","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) 20MG/2ML Injection","J1940","HCPCS","Both",,,"22","11","Wellcare","Medicare Advantage","",,"54",,"11.92","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) 20MG/2ML Injection","J1940","HCPCS","Both",,,"22","11","Amerigroup","Medicaid Managed Care","",,"37",,"8.05","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) 20MG/2ML Injection","J1940","HCPCS","Both",,,"22","11","Caresource","Medicaid Managed Care","",,"40",,"8.8","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) 20MG/2ML Injection","J1940","HCPCS","Both",,,"22","11","Wellcare","Medicaid Managed Care","",,"40",,"8.91","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) 20MG/2ML Injection","J1940","HCPCS","Both",,,"22","11","Aetna","Commercial","",,"64",,"14.04","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) 20MG/2ML Injection","J1940","HCPCS","Both",,,"22","11","Blue Cross Blue Shield","Pathways","",,"71",,"15.53","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) 20MG/2ML Injection","J1940","HCPCS","Both",,,"22","11","Blue Cross Blue Shield","HMO","",,"71",,"15.53","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) 20MG/2ML Injection","J1940","HCPCS","Both",,,"22","11","Blue Cross Blue Shield","PPO","",,"71",,"15.53","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) 20MG/2ML Injection","J1940","HCPCS","Both",,,"22","11","Ambetter","Health Exchange","",,"62",,"13.64","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) 20MG/2ML Injection","J1940","HCPCS","Both",,,"22","11","Caresource","Health Exchange","",,"62",,"13.64","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) 20MG/2ML Injection","J1940","HCPCS","Both",,,"22","11","Cigna","Commercial","",,"59",,"12.89","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) 20MG/2ML Injection","J1940","HCPCS","Both",,,"22","11","Humana","Commercial","",,"78",,"17.05","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) 20MG/2ML Injection","J1940","HCPCS","Both",,,"22","11","UHC","Commercial","",,"75",,"16.59","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) 20MG/2ML Injection","J1940","HCPCS","Both",,,"22","11","Medicaid",,"",,"37",,"8.05","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) 40MG/4ML Injection","J1940","HCPCS","Both",,,"23","11.5","Alliant","Health Exchange","",,"62",,"14.26","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) 40MG/4ML Injection","J1940","HCPCS","Both",,,"23","11.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"12.42","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) 40MG/4ML Injection","J1940","HCPCS","Both",,,"23","11.5","Medicare",,"",,"54",,"12.47","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) 40MG/4ML Injection","J1940","HCPCS","Both",,,"23","11.5","Humana","Medicare Advantage","",,"54",,"12.47","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) 40MG/4ML Injection","J1940","HCPCS","Both",,,"23","11.5","UHC","Medicare Advantage","",,"54",,"12.47","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) 40MG/4ML Injection","J1940","HCPCS","Both",,,"23","11.5","Clover","Medicare Advantage","",,"54",,"12.47","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) 40MG/4ML Injection","J1940","HCPCS","Both",,,"23","11.5","Wellcare","Medicare Advantage","",,"54",,"12.47","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) 40MG/4ML Injection","J1940","HCPCS","Both",,,"23","11.5","Amerigroup","Medicaid Managed Care","",,"37",,"8.42","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) 40MG/4ML Injection","J1940","HCPCS","Both",,,"23","11.5","Caresource","Medicaid Managed Care","",,"40",,"9.2","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) 40MG/4ML Injection","J1940","HCPCS","Both",,,"23","11.5","Wellcare","Medicaid Managed Care","",,"40",,"9.32","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) 40MG/4ML Injection","J1940","HCPCS","Both",,,"23","11.5","Aetna","Commercial","",,"64",,"14.67","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) 40MG/4ML Injection","J1940","HCPCS","Both",,,"23","11.5","Blue Cross Blue Shield","Pathways","",,"71",,"16.24","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) 40MG/4ML Injection","J1940","HCPCS","Both",,,"23","11.5","Blue Cross Blue Shield","HMO","",,"71",,"16.24","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) 40MG/4ML Injection","J1940","HCPCS","Both",,,"23","11.5","Blue Cross Blue Shield","PPO","",,"71",,"16.24","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) 40MG/4ML Injection","J1940","HCPCS","Both",,,"23","11.5","Ambetter","Health Exchange","",,"62",,"14.26","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) 40MG/4ML Injection","J1940","HCPCS","Both",,,"23","11.5","Caresource","Health Exchange","",,"62",,"14.26","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) 40MG/4ML Injection","J1940","HCPCS","Both",,,"23","11.5","Cigna","Commercial","",,"59",,"13.48","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) 40MG/4ML Injection","J1940","HCPCS","Both",,,"23","11.5","Humana","Commercial","",,"78",,"17.82","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) 40MG/4ML Injection","J1940","HCPCS","Both",,,"23","11.5","UHC","Commercial","",,"75",,"17.34","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) 40MG/4ML Injection","J1940","HCPCS","Both",,,"23","11.5","Medicaid",,"",,"37",,"8.42","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) INJECTION: 100MG/10ML","J1940","HCPCS","Both",,,"23","11.5","Alliant","Health Exchange","",,"62",,"14.26","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) INJECTION: 100MG/10ML","J1940","HCPCS","Both",,,"23","11.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"12.42","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) INJECTION: 100MG/10ML","J1940","HCPCS","Both",,,"23","11.5","Medicare",,"",,"54",,"12.47","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) INJECTION: 100MG/10ML","J1940","HCPCS","Both",,,"23","11.5","Humana","Medicare Advantage","",,"54",,"12.47","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) INJECTION: 100MG/10ML","J1940","HCPCS","Both",,,"23","11.5","UHC","Medicare Advantage","",,"54",,"12.47","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) INJECTION: 100MG/10ML","J1940","HCPCS","Both",,,"23","11.5","Clover","Medicare Advantage","",,"54",,"12.47","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) INJECTION: 100MG/10ML","J1940","HCPCS","Both",,,"23","11.5","Wellcare","Medicare Advantage","",,"54",,"12.47","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) INJECTION: 100MG/10ML","J1940","HCPCS","Both",,,"23","11.5","Amerigroup","Medicaid Managed Care","",,"37",,"8.42","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) INJECTION: 100MG/10ML","J1940","HCPCS","Both",,,"23","11.5","Caresource","Medicaid Managed Care","",,"40",,"9.2","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) INJECTION: 100MG/10ML","J1940","HCPCS","Both",,,"23","11.5","Wellcare","Medicaid Managed Care","",,"40",,"9.32","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) INJECTION: 100MG/10ML","J1940","HCPCS","Both",,,"23","11.5","Aetna","Commercial","",,"64",,"14.67","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) INJECTION: 100MG/10ML","J1940","HCPCS","Both",,,"23","11.5","Blue Cross Blue Shield","Pathways","",,"71",,"16.24","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) INJECTION: 100MG/10ML","J1940","HCPCS","Both",,,"23","11.5","Blue Cross Blue Shield","HMO","",,"71",,"16.24","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) INJECTION: 100MG/10ML","J1940","HCPCS","Both",,,"23","11.5","Blue Cross Blue Shield","PPO","",,"71",,"16.24","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) INJECTION: 100MG/10ML","J1940","HCPCS","Both",,,"23","11.5","Ambetter","Health Exchange","",,"62",,"14.26","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) INJECTION: 100MG/10ML","J1940","HCPCS","Both",,,"23","11.5","Caresource","Health Exchange","",,"62",,"14.26","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) INJECTION: 100MG/10ML","J1940","HCPCS","Both",,,"23","11.5","Cigna","Commercial","",,"59",,"13.48","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) INJECTION: 100MG/10ML","J1940","HCPCS","Both",,,"23","11.5","Humana","Commercial","",,"78",,"17.82","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) INJECTION: 100MG/10ML","J1940","HCPCS","Both",,,"23","11.5","UHC","Commercial","",,"75",,"17.34","8.05","17.82","percent of total billed charges",,
"FUROSEMIDE (LASIX) INJECTION: 100MG/10ML","J1940","HCPCS","Both",,,"23","11.5","Medicaid",,"",,"37",,"8.42","8.05","17.82","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 2MG/ML INJECTION","J2060","HCPCS","Both",,,"27","13.5","Alliant","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 2MG/ML INJECTION","J2060","HCPCS","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"14.58","9.88","20.92","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 2MG/ML INJECTION","J2060","HCPCS","Both",,,"27","13.5","Medicare",,"",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 2MG/ML INJECTION","J2060","HCPCS","Both",,,"27","13.5","Humana","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 2MG/ML INJECTION","J2060","HCPCS","Both",,,"27","13.5","UHC","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 2MG/ML INJECTION","J2060","HCPCS","Both",,,"27","13.5","Clover","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 2MG/ML INJECTION","J2060","HCPCS","Both",,,"27","13.5","Wellcare","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 2MG/ML INJECTION","J2060","HCPCS","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care","",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 2MG/ML INJECTION","J2060","HCPCS","Both",,,"27","13.5","Caresource","Medicaid Managed Care","",,"40",,"10.8","9.88","20.92","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 2MG/ML INJECTION","J2060","HCPCS","Both",,,"27","13.5","Wellcare","Medicaid Managed Care","",,"40",,"10.94","9.88","20.92","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 2MG/ML INJECTION","J2060","HCPCS","Both",,,"27","13.5","Aetna","Commercial","",,"64",,"17.23","9.88","20.92","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 2MG/ML INJECTION","J2060","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 2MG/ML INJECTION","J2060","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","HMO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 2MG/ML INJECTION","J2060","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","PPO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 2MG/ML INJECTION","J2060","HCPCS","Both",,,"27","13.5","Ambetter","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 2MG/ML INJECTION","J2060","HCPCS","Both",,,"27","13.5","Caresource","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 2MG/ML INJECTION","J2060","HCPCS","Both",,,"27","13.5","Cigna","Commercial","",,"59",,"15.82","9.88","20.92","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 2MG/ML INJECTION","J2060","HCPCS","Both",,,"27","13.5","Humana","Commercial","",,"78",,"20.92","9.88","20.92","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 2MG/ML INJECTION","J2060","HCPCS","Both",,,"27","13.5","UHC","Commercial","",,"75",,"20.36","9.88","20.92","percent of total billed charges",,
"LORAZEPAM (ATIVAN) 2MG/ML INJECTION","J2060","HCPCS","Both",,,"27","13.5","Medicaid",,"",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"MEPERIDINE (DEMEROL) INJECTION: 25MG/ML","J2175","HCPCS","Both",,,"31","15.5","Alliant","Health Exchange","",,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"MEPERIDINE (DEMEROL) INJECTION: 25MG/ML","J2175","HCPCS","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"16.74","11.35","24.02","percent of total billed charges",,
"MEPERIDINE (DEMEROL) INJECTION: 25MG/ML","J2175","HCPCS","Both",,,"31","15.5","Medicare",,"",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"MEPERIDINE (DEMEROL) INJECTION: 25MG/ML","J2175","HCPCS","Both",,,"31","15.5","Humana","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"MEPERIDINE (DEMEROL) INJECTION: 25MG/ML","J2175","HCPCS","Both",,,"31","15.5","UHC","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"MEPERIDINE (DEMEROL) INJECTION: 25MG/ML","J2175","HCPCS","Both",,,"31","15.5","Clover","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"MEPERIDINE (DEMEROL) INJECTION: 25MG/ML","J2175","HCPCS","Both",,,"31","15.5","Wellcare","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"MEPERIDINE (DEMEROL) INJECTION: 25MG/ML","J2175","HCPCS","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care","",,"37",,"11.35","11.35","24.02","percent of total billed charges",,
"MEPERIDINE (DEMEROL) INJECTION: 25MG/ML","J2175","HCPCS","Both",,,"31","15.5","Caresource","Medicaid Managed Care","",,"40",,"12.4","11.35","24.02","percent of total billed charges",,
"MEPERIDINE (DEMEROL) INJECTION: 25MG/ML","J2175","HCPCS","Both",,,"31","15.5","Wellcare","Medicaid Managed Care","",,"40",,"12.56","11.35","24.02","percent of total billed charges",,
"MEPERIDINE (DEMEROL) INJECTION: 25MG/ML","J2175","HCPCS","Both",,,"31","15.5","Aetna","Commercial","",,"64",,"19.78","11.35","24.02","percent of total billed charges",,
"MEPERIDINE (DEMEROL) INJECTION: 25MG/ML","J2175","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways","",,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"MEPERIDINE (DEMEROL) INJECTION: 25MG/ML","J2175","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","HMO","",,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"MEPERIDINE (DEMEROL) INJECTION: 25MG/ML","J2175","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","PPO","",,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"MEPERIDINE (DEMEROL) INJECTION: 25MG/ML","J2175","HCPCS","Both",,,"31","15.5","Ambetter","Health Exchange","",,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"MEPERIDINE (DEMEROL) INJECTION: 25MG/ML","J2175","HCPCS","Both",,,"31","15.5","Caresource","Health Exchange","",,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"MEPERIDINE (DEMEROL) INJECTION: 25MG/ML","J2175","HCPCS","Both",,,"31","15.5","Cigna","Commercial","",,"59",,"18.17","11.35","24.02","percent of total billed charges",,
"MEPERIDINE (DEMEROL) INJECTION: 25MG/ML","J2175","HCPCS","Both",,,"31","15.5","Humana","Commercial","",,"78",,"24.02","11.35","24.02","percent of total billed charges",,
"MEPERIDINE (DEMEROL) INJECTION: 25MG/ML","J2175","HCPCS","Both",,,"31","15.5","UHC","Commercial","",,"75",,"23.37","11.35","24.02","percent of total billed charges",,
"MEPERIDINE (DEMEROL) INJECTION: 25MG/ML","J2175","HCPCS","Both",,,"31","15.5","Medicaid",,"",,"37",,"11.35","11.35","24.02","percent of total billed charges",,
"MEPERIDINE HCL (DEMEROL) 50 MG/ML INJ","J2175","HCPCS","Both",,,"31","15.5","Alliant","Health Exchange","",,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"MEPERIDINE HCL (DEMEROL) 50 MG/ML INJ","J2175","HCPCS","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"16.74","11.35","24.02","percent of total billed charges",,
"MEPERIDINE HCL (DEMEROL) 50 MG/ML INJ","J2175","HCPCS","Both",,,"31","15.5","Medicare",,"",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"MEPERIDINE HCL (DEMEROL) 50 MG/ML INJ","J2175","HCPCS","Both",,,"31","15.5","Humana","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"MEPERIDINE HCL (DEMEROL) 50 MG/ML INJ","J2175","HCPCS","Both",,,"31","15.5","UHC","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"MEPERIDINE HCL (DEMEROL) 50 MG/ML INJ","J2175","HCPCS","Both",,,"31","15.5","Clover","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"MEPERIDINE HCL (DEMEROL) 50 MG/ML INJ","J2175","HCPCS","Both",,,"31","15.5","Wellcare","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"MEPERIDINE HCL (DEMEROL) 50 MG/ML INJ","J2175","HCPCS","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care","",,"37",,"11.35","11.35","24.02","percent of total billed charges",,
"MEPERIDINE HCL (DEMEROL) 50 MG/ML INJ","J2175","HCPCS","Both",,,"31","15.5","Caresource","Medicaid Managed Care","",,"40",,"12.4","11.35","24.02","percent of total billed charges",,
"MEPERIDINE HCL (DEMEROL) 50 MG/ML INJ","J2175","HCPCS","Both",,,"31","15.5","Wellcare","Medicaid Managed Care","",,"40",,"12.56","11.35","24.02","percent of total billed charges",,
"MEPERIDINE HCL (DEMEROL) 50 MG/ML INJ","J2175","HCPCS","Both",,,"31","15.5","Aetna","Commercial","",,"64",,"19.78","11.35","24.02","percent of total billed charges",,
"MEPERIDINE HCL (DEMEROL) 50 MG/ML INJ","J2175","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways","",,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"MEPERIDINE HCL (DEMEROL) 50 MG/ML INJ","J2175","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","HMO","",,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"MEPERIDINE HCL (DEMEROL) 50 MG/ML INJ","J2175","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","PPO","",,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"MEPERIDINE HCL (DEMEROL) 50 MG/ML INJ","J2175","HCPCS","Both",,,"31","15.5","Ambetter","Health Exchange","",,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"MEPERIDINE HCL (DEMEROL) 50 MG/ML INJ","J2175","HCPCS","Both",,,"31","15.5","Caresource","Health Exchange","",,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"MEPERIDINE HCL (DEMEROL) 50 MG/ML INJ","J2175","HCPCS","Both",,,"31","15.5","Cigna","Commercial","",,"59",,"18.17","11.35","24.02","percent of total billed charges",,
"MEPERIDINE HCL (DEMEROL) 50 MG/ML INJ","J2175","HCPCS","Both",,,"31","15.5","Humana","Commercial","",,"78",,"24.02","11.35","24.02","percent of total billed charges",,
"MEPERIDINE HCL (DEMEROL) 50 MG/ML INJ","J2175","HCPCS","Both",,,"31","15.5","UHC","Commercial","",,"75",,"23.37","11.35","24.02","percent of total billed charges",,
"MEPERIDINE HCL (DEMEROL) 50 MG/ML INJ","J2175","HCPCS","Both",,,"31","15.5","Medicaid",,"",,"37",,"11.35","11.35","24.02","percent of total billed charges",,
"ATROPINE 0.4 MG/ML SDV","J0461","HCPCS","Both",,,"27","13.5","Alliant","Health Exchange","",,"62",,"16.74","9.88","24.02","percent of total billed charges",,
"ATROPINE 0.4 MG/ML SDV","J0461","HCPCS","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"14.58","9.88","24.02","percent of total billed charges",,
"ATROPINE 0.4 MG/ML SDV","J0461","HCPCS","Both",,,"27","13.5","Medicare",,"",,"54",,"14.63","9.88","24.02","percent of total billed charges",,
"ATROPINE 0.4 MG/ML SDV","J0461","HCPCS","Both",,,"27","13.5","Humana","Medicare Advantage","",,"54",,"14.63","9.88","24.02","percent of total billed charges",,
"ATROPINE 0.4 MG/ML SDV","J0461","HCPCS","Both",,,"27","13.5","UHC","Medicare Advantage","",,"54",,"14.63","9.88","24.02","percent of total billed charges",,
"ATROPINE 0.4 MG/ML SDV","J0461","HCPCS","Both",,,"27","13.5","Clover","Medicare Advantage","",,"54",,"14.63","9.88","24.02","percent of total billed charges",,
"ATROPINE 0.4 MG/ML SDV","J0461","HCPCS","Both",,,"27","13.5","Wellcare","Medicare Advantage","",,"54",,"14.63","9.88","24.02","percent of total billed charges",,
"ATROPINE 0.4 MG/ML SDV","J0461","HCPCS","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care","",,"37",,"9.88","9.88","24.02","percent of total billed charges",,
"ATROPINE 0.4 MG/ML SDV","J0461","HCPCS","Both",,,"27","13.5","Caresource","Medicaid Managed Care","",,"40",,"10.8","9.88","24.02","percent of total billed charges",,
"ATROPINE 0.4 MG/ML SDV","J0461","HCPCS","Both",,,"27","13.5","Wellcare","Medicaid Managed Care","",,"40",,"10.94","9.88","24.02","percent of total billed charges",,
"ATROPINE 0.4 MG/ML SDV","J0461","HCPCS","Both",,,"27","13.5","Aetna","Commercial","",,"64",,"17.23","9.88","24.02","percent of total billed charges",,
"ATROPINE 0.4 MG/ML SDV","J0461","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways","",,"71",,"19.06","9.88","24.02","percent of total billed charges",,
"ATROPINE 0.4 MG/ML SDV","J0461","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","HMO","",,"71",,"19.06","9.88","24.02","percent of total billed charges",,
"ATROPINE 0.4 MG/ML SDV","J0461","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","PPO","",,"71",,"19.06","9.88","24.02","percent of total billed charges",,
"ATROPINE 0.4 MG/ML SDV","J0461","HCPCS","Both",,,"27","13.5","Ambetter","Health Exchange","",,"62",,"16.74","9.88","24.02","percent of total billed charges",,
"ATROPINE 0.4 MG/ML SDV","J0461","HCPCS","Both",,,"27","13.5","Caresource","Health Exchange","",,"62",,"16.74","9.88","24.02","percent of total billed charges",,
"ATROPINE 0.4 MG/ML SDV","J0461","HCPCS","Both",,,"27","13.5","Cigna","Commercial","",,"59",,"15.82","9.88","24.02","percent of total billed charges",,
"ATROPINE 0.4 MG/ML SDV","J0461","HCPCS","Both",,,"27","13.5","Humana","Commercial","",,"78",,"20.92","9.88","24.02","percent of total billed charges",,
"ATROPINE 0.4 MG/ML SDV","J0461","HCPCS","Both",,,"27","13.5","UHC","Commercial","",,"75",,"20.36","9.88","24.02","percent of total billed charges",,
"ATROPINE 0.4 MG/ML SDV","J0461","HCPCS","Both",,,"27","13.5","Medicaid",,"",,"37",,"9.88","9.88","24.02","percent of total billed charges",,
"MIDAZOLAM (VERSED) *2MG/2ML* INJ","J2250","HCPCS","Both",,,"23","11.5","Alliant","Health Exchange","",,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"MIDAZOLAM (VERSED) *2MG/2ML* INJ","J2250","HCPCS","Both",,,"23","11.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"12.42","8.42","17.82","percent of total billed charges",,
"MIDAZOLAM (VERSED) *2MG/2ML* INJ","J2250","HCPCS","Both",,,"23","11.5","Medicare",,"",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"MIDAZOLAM (VERSED) *2MG/2ML* INJ","J2250","HCPCS","Both",,,"23","11.5","Humana","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"MIDAZOLAM (VERSED) *2MG/2ML* INJ","J2250","HCPCS","Both",,,"23","11.5","UHC","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"MIDAZOLAM (VERSED) *2MG/2ML* INJ","J2250","HCPCS","Both",,,"23","11.5","Clover","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"MIDAZOLAM (VERSED) *2MG/2ML* INJ","J2250","HCPCS","Both",,,"23","11.5","Wellcare","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"MIDAZOLAM (VERSED) *2MG/2ML* INJ","J2250","HCPCS","Both",,,"23","11.5","Amerigroup","Medicaid Managed Care","",,"37",,"8.42","8.42","17.82","percent of total billed charges",,
"MIDAZOLAM (VERSED) *2MG/2ML* INJ","J2250","HCPCS","Both",,,"23","11.5","Caresource","Medicaid Managed Care","",,"40",,"9.2","8.42","17.82","percent of total billed charges",,
"MIDAZOLAM (VERSED) *2MG/2ML* INJ","J2250","HCPCS","Both",,,"23","11.5","Wellcare","Medicaid Managed Care","",,"40",,"9.32","8.42","17.82","percent of total billed charges",,
"MIDAZOLAM (VERSED) *2MG/2ML* INJ","J2250","HCPCS","Both",,,"23","11.5","Aetna","Commercial","",,"64",,"14.67","8.42","17.82","percent of total billed charges",,
"MIDAZOLAM (VERSED) *2MG/2ML* INJ","J2250","HCPCS","Both",,,"23","11.5","Blue Cross Blue Shield","Pathways","",,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"MIDAZOLAM (VERSED) *2MG/2ML* INJ","J2250","HCPCS","Both",,,"23","11.5","Blue Cross Blue Shield","HMO","",,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"MIDAZOLAM (VERSED) *2MG/2ML* INJ","J2250","HCPCS","Both",,,"23","11.5","Blue Cross Blue Shield","PPO","",,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"MIDAZOLAM (VERSED) *2MG/2ML* INJ","J2250","HCPCS","Both",,,"23","11.5","Ambetter","Health Exchange","",,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"MIDAZOLAM (VERSED) *2MG/2ML* INJ","J2250","HCPCS","Both",,,"23","11.5","Caresource","Health Exchange","",,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"MIDAZOLAM (VERSED) *2MG/2ML* INJ","J2250","HCPCS","Both",,,"23","11.5","Cigna","Commercial","",,"59",,"13.48","8.42","17.82","percent of total billed charges",,
"MIDAZOLAM (VERSED) *2MG/2ML* INJ","J2250","HCPCS","Both",,,"23","11.5","Humana","Commercial","",,"78",,"17.82","8.42","17.82","percent of total billed charges",,
"MIDAZOLAM (VERSED) *2MG/2ML* INJ","J2250","HCPCS","Both",,,"23","11.5","UHC","Commercial","",,"75",,"17.34","8.42","17.82","percent of total billed charges",,
"MIDAZOLAM (VERSED) *2MG/2ML* INJ","J2250","HCPCS","Both",,,"23","11.5","Medicaid",,"",,"37",,"8.42","8.42","17.82","percent of total billed charges",,
"MAGNESIUM SULF 1GM/2ML SDV","J3475","HCPCS","Both",,,"52","26","Alliant","Health Exchange","",,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"MAGNESIUM SULF 1GM/2ML SDV","J3475","HCPCS","Both",,,"52","26","Pruitt Healthcare","Medicare Advantage","",,"54",,"28.08","19.03","40.3","percent of total billed charges",,
"MAGNESIUM SULF 1GM/2ML SDV","J3475","HCPCS","Both",,,"52","26","Medicare",,"",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"MAGNESIUM SULF 1GM/2ML SDV","J3475","HCPCS","Both",,,"52","26","Humana","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"MAGNESIUM SULF 1GM/2ML SDV","J3475","HCPCS","Both",,,"52","26","UHC","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"MAGNESIUM SULF 1GM/2ML SDV","J3475","HCPCS","Both",,,"52","26","Clover","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"MAGNESIUM SULF 1GM/2ML SDV","J3475","HCPCS","Both",,,"52","26","Wellcare","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"MAGNESIUM SULF 1GM/2ML SDV","J3475","HCPCS","Both",,,"52","26","Amerigroup","Medicaid Managed Care","",,"37",,"19.03","19.03","40.3","percent of total billed charges",,
"MAGNESIUM SULF 1GM/2ML SDV","J3475","HCPCS","Both",,,"52","26","Caresource","Medicaid Managed Care","",,"40",,"20.8","19.03","40.3","percent of total billed charges",,
"MAGNESIUM SULF 1GM/2ML SDV","J3475","HCPCS","Both",,,"52","26","Wellcare","Medicaid Managed Care","",,"40",,"21.06","19.03","40.3","percent of total billed charges",,
"MAGNESIUM SULF 1GM/2ML SDV","J3475","HCPCS","Both",,,"52","26","Aetna","Commercial","",,"64",,"33.18","19.03","40.3","percent of total billed charges",,
"MAGNESIUM SULF 1GM/2ML SDV","J3475","HCPCS","Both",,,"52","26","Blue Cross Blue Shield","Pathways","",,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"MAGNESIUM SULF 1GM/2ML SDV","J3475","HCPCS","Both",,,"52","26","Blue Cross Blue Shield","HMO","",,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"MAGNESIUM SULF 1GM/2ML SDV","J3475","HCPCS","Both",,,"52","26","Blue Cross Blue Shield","PPO","",,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"MAGNESIUM SULF 1GM/2ML SDV","J3475","HCPCS","Both",,,"52","26","Ambetter","Health Exchange","",,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"MAGNESIUM SULF 1GM/2ML SDV","J3475","HCPCS","Both",,,"52","26","Caresource","Health Exchange","",,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"MAGNESIUM SULF 1GM/2ML SDV","J3475","HCPCS","Both",,,"52","26","Cigna","Commercial","",,"59",,"30.47","19.03","40.3","percent of total billed charges",,
"MAGNESIUM SULF 1GM/2ML SDV","J3475","HCPCS","Both",,,"52","26","Humana","Commercial","",,"78",,"40.3","19.03","40.3","percent of total billed charges",,
"MAGNESIUM SULF 1GM/2ML SDV","J3475","HCPCS","Both",,,"52","26","UHC","Commercial","",,"75",,"39.21","19.03","40.3","percent of total billed charges",,
"MAGNESIUM SULF 1GM/2ML SDV","J3475","HCPCS","Both",,,"52","26","Medicaid",,"",,"37",,"19.03","19.03","40.3","percent of total billed charges",,
"MAGNESIUM SULFATE 5GM/10ML INJ SYRINGE","J3475","HCPCS","Both",,,"52","26","Alliant","Health Exchange","",,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"MAGNESIUM SULFATE 5GM/10ML INJ SYRINGE","J3475","HCPCS","Both",,,"52","26","Pruitt Healthcare","Medicare Advantage","",,"54",,"28.08","19.03","40.3","percent of total billed charges",,
"MAGNESIUM SULFATE 5GM/10ML INJ SYRINGE","J3475","HCPCS","Both",,,"52","26","Medicare",,"",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"MAGNESIUM SULFATE 5GM/10ML INJ SYRINGE","J3475","HCPCS","Both",,,"52","26","Humana","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"MAGNESIUM SULFATE 5GM/10ML INJ SYRINGE","J3475","HCPCS","Both",,,"52","26","UHC","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"MAGNESIUM SULFATE 5GM/10ML INJ SYRINGE","J3475","HCPCS","Both",,,"52","26","Clover","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"MAGNESIUM SULFATE 5GM/10ML INJ SYRINGE","J3475","HCPCS","Both",,,"52","26","Wellcare","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"MAGNESIUM SULFATE 5GM/10ML INJ SYRINGE","J3475","HCPCS","Both",,,"52","26","Amerigroup","Medicaid Managed Care","",,"37",,"19.03","19.03","40.3","percent of total billed charges",,
"MAGNESIUM SULFATE 5GM/10ML INJ SYRINGE","J3475","HCPCS","Both",,,"52","26","Caresource","Medicaid Managed Care","",,"40",,"20.8","19.03","40.3","percent of total billed charges",,
"MAGNESIUM SULFATE 5GM/10ML INJ SYRINGE","J3475","HCPCS","Both",,,"52","26","Wellcare","Medicaid Managed Care","",,"40",,"21.06","19.03","40.3","percent of total billed charges",,
"MAGNESIUM SULFATE 5GM/10ML INJ SYRINGE","J3475","HCPCS","Both",,,"52","26","Aetna","Commercial","",,"64",,"33.18","19.03","40.3","percent of total billed charges",,
"MAGNESIUM SULFATE 5GM/10ML INJ SYRINGE","J3475","HCPCS","Both",,,"52","26","Blue Cross Blue Shield","Pathways","",,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"MAGNESIUM SULFATE 5GM/10ML INJ SYRINGE","J3475","HCPCS","Both",,,"52","26","Blue Cross Blue Shield","HMO","",,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"MAGNESIUM SULFATE 5GM/10ML INJ SYRINGE","J3475","HCPCS","Both",,,"52","26","Blue Cross Blue Shield","PPO","",,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"MAGNESIUM SULFATE 5GM/10ML INJ SYRINGE","J3475","HCPCS","Both",,,"52","26","Ambetter","Health Exchange","",,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"MAGNESIUM SULFATE 5GM/10ML INJ SYRINGE","J3475","HCPCS","Both",,,"52","26","Caresource","Health Exchange","",,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"MAGNESIUM SULFATE 5GM/10ML INJ SYRINGE","J3475","HCPCS","Both",,,"52","26","Cigna","Commercial","",,"59",,"30.47","19.03","40.3","percent of total billed charges",,
"MAGNESIUM SULFATE 5GM/10ML INJ SYRINGE","J3475","HCPCS","Both",,,"52","26","Humana","Commercial","",,"78",,"40.3","19.03","40.3","percent of total billed charges",,
"MAGNESIUM SULFATE 5GM/10ML INJ SYRINGE","J3475","HCPCS","Both",,,"52","26","UHC","Commercial","",,"75",,"39.21","19.03","40.3","percent of total billed charges",,
"MAGNESIUM SULFATE 5GM/10ML INJ SYRINGE","J3475","HCPCS","Both",,,"52","26","Medicaid",,"",,"37",,"19.03","19.03","40.3","percent of total billed charges",,
"MORPHINE SULFATE 2 MG/ML INJECTION","J2270","HCPCS","Both",,,"31","15.5","Alliant","Health Exchange","",,"62",,"19.22","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 2 MG/ML INJECTION","J2270","HCPCS","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"16.74","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 2 MG/ML INJECTION","J2270","HCPCS","Both",,,"31","15.5","Medicare",,"",,"54",,"16.8","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 2 MG/ML INJECTION","J2270","HCPCS","Both",,,"31","15.5","Humana","Medicare Advantage","",,"54",,"16.8","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 2 MG/ML INJECTION","J2270","HCPCS","Both",,,"31","15.5","UHC","Medicare Advantage","",,"54",,"16.8","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 2 MG/ML INJECTION","J2270","HCPCS","Both",,,"31","15.5","Clover","Medicare Advantage","",,"54",,"16.8","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 2 MG/ML INJECTION","J2270","HCPCS","Both",,,"31","15.5","Wellcare","Medicare Advantage","",,"54",,"16.8","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 2 MG/ML INJECTION","J2270","HCPCS","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care","",,"37",,"11.35","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 2 MG/ML INJECTION","J2270","HCPCS","Both",,,"31","15.5","Caresource","Medicaid Managed Care","",,"40",,"12.4","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 2 MG/ML INJECTION","J2270","HCPCS","Both",,,"31","15.5","Wellcare","Medicaid Managed Care","",,"40",,"12.56","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 2 MG/ML INJECTION","J2270","HCPCS","Both",,,"31","15.5","Aetna","Commercial","",,"64",,"19.78","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 2 MG/ML INJECTION","J2270","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways","",,"71",,"21.89","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 2 MG/ML INJECTION","J2270","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","HMO","",,"71",,"21.89","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 2 MG/ML INJECTION","J2270","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","PPO","",,"71",,"21.89","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 2 MG/ML INJECTION","J2270","HCPCS","Both",,,"31","15.5","Ambetter","Health Exchange","",,"62",,"19.22","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 2 MG/ML INJECTION","J2270","HCPCS","Both",,,"31","15.5","Caresource","Health Exchange","",,"62",,"19.22","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 2 MG/ML INJECTION","J2270","HCPCS","Both",,,"31","15.5","Cigna","Commercial","",,"59",,"18.17","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 2 MG/ML INJECTION","J2270","HCPCS","Both",,,"31","15.5","Humana","Commercial","",,"78",,"24.02","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 2 MG/ML INJECTION","J2270","HCPCS","Both",,,"31","15.5","UHC","Commercial","",,"75",,"23.37","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 2 MG/ML INJECTION","J2270","HCPCS","Both",,,"31","15.5","Medicaid",,"",,"37",,"11.35","9.88","24.02","percent of total billed charges",,
"SUCCINYLCHOLINE (ANECTIN) 200MG/10ML INJ","J0330","HCPCS","Both",,,"66","33","Alliant","Health Exchange","",,"62",,"40.92","24.16","51.15","percent of total billed charges",,
"SUCCINYLCHOLINE (ANECTIN) 200MG/10ML INJ","J0330","HCPCS","Both",,,"66","33","Pruitt Healthcare","Medicare Advantage","",,"54",,"35.64","24.16","51.15","percent of total billed charges",,
"SUCCINYLCHOLINE (ANECTIN) 200MG/10ML INJ","J0330","HCPCS","Both",,,"66","33","Medicare",,"",,"54",,"35.77","24.16","51.15","percent of total billed charges",,
"SUCCINYLCHOLINE (ANECTIN) 200MG/10ML INJ","J0330","HCPCS","Both",,,"66","33","Humana","Medicare Advantage","",,"54",,"35.77","24.16","51.15","percent of total billed charges",,
"SUCCINYLCHOLINE (ANECTIN) 200MG/10ML INJ","J0330","HCPCS","Both",,,"66","33","UHC","Medicare Advantage","",,"54",,"35.77","24.16","51.15","percent of total billed charges",,
"SUCCINYLCHOLINE (ANECTIN) 200MG/10ML INJ","J0330","HCPCS","Both",,,"66","33","Clover","Medicare Advantage","",,"54",,"35.77","24.16","51.15","percent of total billed charges",,
"SUCCINYLCHOLINE (ANECTIN) 200MG/10ML INJ","J0330","HCPCS","Both",,,"66","33","Wellcare","Medicare Advantage","",,"54",,"35.77","24.16","51.15","percent of total billed charges",,
"SUCCINYLCHOLINE (ANECTIN) 200MG/10ML INJ","J0330","HCPCS","Both",,,"66","33","Amerigroup","Medicaid Managed Care","",,"37",,"24.16","24.16","51.15","percent of total billed charges",,
"SUCCINYLCHOLINE (ANECTIN) 200MG/10ML INJ","J0330","HCPCS","Both",,,"66","33","Caresource","Medicaid Managed Care","",,"40",,"26.4","24.16","51.15","percent of total billed charges",,
"SUCCINYLCHOLINE (ANECTIN) 200MG/10ML INJ","J0330","HCPCS","Both",,,"66","33","Wellcare","Medicaid Managed Care","",,"40",,"26.73","24.16","51.15","percent of total billed charges",,
"SUCCINYLCHOLINE (ANECTIN) 200MG/10ML INJ","J0330","HCPCS","Both",,,"66","33","Aetna","Commercial","",,"64",,"42.11","24.16","51.15","percent of total billed charges",,
"SUCCINYLCHOLINE (ANECTIN) 200MG/10ML INJ","J0330","HCPCS","Both",,,"66","33","Blue Cross Blue Shield","Pathways","",,"71",,"46.6","24.16","51.15","percent of total billed charges",,
"SUCCINYLCHOLINE (ANECTIN) 200MG/10ML INJ","J0330","HCPCS","Both",,,"66","33","Blue Cross Blue Shield","HMO","",,"71",,"46.6","24.16","51.15","percent of total billed charges",,
"SUCCINYLCHOLINE (ANECTIN) 200MG/10ML INJ","J0330","HCPCS","Both",,,"66","33","Blue Cross Blue Shield","PPO","",,"71",,"46.6","24.16","51.15","percent of total billed charges",,
"SUCCINYLCHOLINE (ANECTIN) 200MG/10ML INJ","J0330","HCPCS","Both",,,"66","33","Ambetter","Health Exchange","",,"62",,"40.92","24.16","51.15","percent of total billed charges",,
"SUCCINYLCHOLINE (ANECTIN) 200MG/10ML INJ","J0330","HCPCS","Both",,,"66","33","Caresource","Health Exchange","",,"62",,"40.92","24.16","51.15","percent of total billed charges",,
"SUCCINYLCHOLINE (ANECTIN) 200MG/10ML INJ","J0330","HCPCS","Both",,,"66","33","Cigna","Commercial","",,"59",,"38.68","24.16","51.15","percent of total billed charges",,
"SUCCINYLCHOLINE (ANECTIN) 200MG/10ML INJ","J0330","HCPCS","Both",,,"66","33","Humana","Commercial","",,"78",,"51.15","24.16","51.15","percent of total billed charges",,
"SUCCINYLCHOLINE (ANECTIN) 200MG/10ML INJ","J0330","HCPCS","Both",,,"66","33","UHC","Commercial","",,"75",,"49.76","24.16","51.15","percent of total billed charges",,
"SUCCINYLCHOLINE (ANECTIN) 200MG/10ML INJ","J0330","HCPCS","Both",,,"66","33","Medicaid",,"",,"37",,"24.16","24.16","51.15","percent of total billed charges",,
"MORPHINE SULFATE 10 MG/ML INJECTION","J2270","HCPCS","Both",,,"27","13.5","Alliant","Health Exchange","",,"62",,"16.74","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 10 MG/ML INJECTION","J2270","HCPCS","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"14.58","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 10 MG/ML INJECTION","J2270","HCPCS","Both",,,"27","13.5","Medicare",,"",,"54",,"14.63","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 10 MG/ML INJECTION","J2270","HCPCS","Both",,,"27","13.5","Humana","Medicare Advantage","",,"54",,"14.63","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 10 MG/ML INJECTION","J2270","HCPCS","Both",,,"27","13.5","UHC","Medicare Advantage","",,"54",,"14.63","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 10 MG/ML INJECTION","J2270","HCPCS","Both",,,"27","13.5","Clover","Medicare Advantage","",,"54",,"14.63","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 10 MG/ML INJECTION","J2270","HCPCS","Both",,,"27","13.5","Wellcare","Medicare Advantage","",,"54",,"14.63","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 10 MG/ML INJECTION","J2270","HCPCS","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care","",,"37",,"9.88","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 10 MG/ML INJECTION","J2270","HCPCS","Both",,,"27","13.5","Caresource","Medicaid Managed Care","",,"40",,"10.8","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 10 MG/ML INJECTION","J2270","HCPCS","Both",,,"27","13.5","Wellcare","Medicaid Managed Care","",,"40",,"10.94","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 10 MG/ML INJECTION","J2270","HCPCS","Both",,,"27","13.5","Aetna","Commercial","",,"64",,"17.23","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 10 MG/ML INJECTION","J2270","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways","",,"71",,"19.06","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 10 MG/ML INJECTION","J2270","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","HMO","",,"71",,"19.06","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 10 MG/ML INJECTION","J2270","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","PPO","",,"71",,"19.06","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 10 MG/ML INJECTION","J2270","HCPCS","Both",,,"27","13.5","Ambetter","Health Exchange","",,"62",,"16.74","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 10 MG/ML INJECTION","J2270","HCPCS","Both",,,"27","13.5","Caresource","Health Exchange","",,"62",,"16.74","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 10 MG/ML INJECTION","J2270","HCPCS","Both",,,"27","13.5","Cigna","Commercial","",,"59",,"15.82","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 10 MG/ML INJECTION","J2270","HCPCS","Both",,,"27","13.5","Humana","Commercial","",,"78",,"20.92","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 10 MG/ML INJECTION","J2270","HCPCS","Both",,,"27","13.5","UHC","Commercial","",,"75",,"20.36","9.88","24.02","percent of total billed charges",,
"MORPHINE SULFATE 10 MG/ML INJECTION","J2270","HCPCS","Both",,,"27","13.5","Medicaid",,"",,"37",,"9.88","9.88","24.02","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG/ML INJ","J2550","HCPCS","Both",,,"31","15.5","Alliant","Health Exchange","",,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG/ML INJ","J2550","HCPCS","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"16.74","11.35","24.02","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG/ML INJ","J2550","HCPCS","Both",,,"31","15.5","Medicare",,"",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG/ML INJ","J2550","HCPCS","Both",,,"31","15.5","Humana","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG/ML INJ","J2550","HCPCS","Both",,,"31","15.5","UHC","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG/ML INJ","J2550","HCPCS","Both",,,"31","15.5","Clover","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG/ML INJ","J2550","HCPCS","Both",,,"31","15.5","Wellcare","Medicare Advantage","",,"54",,"16.8","11.35","24.02","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG/ML INJ","J2550","HCPCS","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care","",,"37",,"11.35","11.35","24.02","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG/ML INJ","J2550","HCPCS","Both",,,"31","15.5","Caresource","Medicaid Managed Care","",,"40",,"12.4","11.35","24.02","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG/ML INJ","J2550","HCPCS","Both",,,"31","15.5","Wellcare","Medicaid Managed Care","",,"40",,"12.56","11.35","24.02","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG/ML INJ","J2550","HCPCS","Both",,,"31","15.5","Aetna","Commercial","",,"64",,"19.78","11.35","24.02","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG/ML INJ","J2550","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways","",,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG/ML INJ","J2550","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","HMO","",,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG/ML INJ","J2550","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","PPO","",,"71",,"21.89","11.35","24.02","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG/ML INJ","J2550","HCPCS","Both",,,"31","15.5","Ambetter","Health Exchange","",,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG/ML INJ","J2550","HCPCS","Both",,,"31","15.5","Caresource","Health Exchange","",,"62",,"19.22","11.35","24.02","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG/ML INJ","J2550","HCPCS","Both",,,"31","15.5","Cigna","Commercial","",,"59",,"18.17","11.35","24.02","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG/ML INJ","J2550","HCPCS","Both",,,"31","15.5","Humana","Commercial","",,"78",,"24.02","11.35","24.02","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG/ML INJ","J2550","HCPCS","Both",,,"31","15.5","UHC","Commercial","",,"75",,"23.37","11.35","24.02","percent of total billed charges",,
"PROMETHAZINE (PHENERGAN) 25MG/ML INJ","J2550","HCPCS","Both",,,"31","15.5","Medicaid",,"",,"37",,"11.35","11.35","24.02","percent of total billed charges",,
"METOCLOPRAMIDE (REGLAN) 10MG/2ML INJ","J2765","HCPCS","Both",,,"23","11.5","Alliant","Health Exchange","",,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"METOCLOPRAMIDE (REGLAN) 10MG/2ML INJ","J2765","HCPCS","Both",,,"23","11.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"12.42","8.42","17.82","percent of total billed charges",,
"METOCLOPRAMIDE (REGLAN) 10MG/2ML INJ","J2765","HCPCS","Both",,,"23","11.5","Medicare",,"",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"METOCLOPRAMIDE (REGLAN) 10MG/2ML INJ","J2765","HCPCS","Both",,,"23","11.5","Humana","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"METOCLOPRAMIDE (REGLAN) 10MG/2ML INJ","J2765","HCPCS","Both",,,"23","11.5","UHC","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"METOCLOPRAMIDE (REGLAN) 10MG/2ML INJ","J2765","HCPCS","Both",,,"23","11.5","Clover","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"METOCLOPRAMIDE (REGLAN) 10MG/2ML INJ","J2765","HCPCS","Both",,,"23","11.5","Wellcare","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"METOCLOPRAMIDE (REGLAN) 10MG/2ML INJ","J2765","HCPCS","Both",,,"23","11.5","Amerigroup","Medicaid Managed Care","",,"37",,"8.42","8.42","17.82","percent of total billed charges",,
"METOCLOPRAMIDE (REGLAN) 10MG/2ML INJ","J2765","HCPCS","Both",,,"23","11.5","Caresource","Medicaid Managed Care","",,"40",,"9.2","8.42","17.82","percent of total billed charges",,
"METOCLOPRAMIDE (REGLAN) 10MG/2ML INJ","J2765","HCPCS","Both",,,"23","11.5","Wellcare","Medicaid Managed Care","",,"40",,"9.32","8.42","17.82","percent of total billed charges",,
"METOCLOPRAMIDE (REGLAN) 10MG/2ML INJ","J2765","HCPCS","Both",,,"23","11.5","Aetna","Commercial","",,"64",,"14.67","8.42","17.82","percent of total billed charges",,
"METOCLOPRAMIDE (REGLAN) 10MG/2ML INJ","J2765","HCPCS","Both",,,"23","11.5","Blue Cross Blue Shield","Pathways","",,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"METOCLOPRAMIDE (REGLAN) 10MG/2ML INJ","J2765","HCPCS","Both",,,"23","11.5","Blue Cross Blue Shield","HMO","",,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"METOCLOPRAMIDE (REGLAN) 10MG/2ML INJ","J2765","HCPCS","Both",,,"23","11.5","Blue Cross Blue Shield","PPO","",,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"METOCLOPRAMIDE (REGLAN) 10MG/2ML INJ","J2765","HCPCS","Both",,,"23","11.5","Ambetter","Health Exchange","",,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"METOCLOPRAMIDE (REGLAN) 10MG/2ML INJ","J2765","HCPCS","Both",,,"23","11.5","Caresource","Health Exchange","",,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"METOCLOPRAMIDE (REGLAN) 10MG/2ML INJ","J2765","HCPCS","Both",,,"23","11.5","Cigna","Commercial","",,"59",,"13.48","8.42","17.82","percent of total billed charges",,
"METOCLOPRAMIDE (REGLAN) 10MG/2ML INJ","J2765","HCPCS","Both",,,"23","11.5","Humana","Commercial","",,"78",,"17.82","8.42","17.82","percent of total billed charges",,
"METOCLOPRAMIDE (REGLAN) 10MG/2ML INJ","J2765","HCPCS","Both",,,"23","11.5","UHC","Commercial","",,"75",,"17.34","8.42","17.82","percent of total billed charges",,
"METOCLOPRAMIDE (REGLAN) 10MG/2ML INJ","J2765","HCPCS","Both",,,"23","11.5","Medicaid",,"",,"37",,"8.42","8.42","17.82","percent of total billed charges",,
"FENTANYL (SUBLIMAZE) 100 MCG/2ML INJ","J3010","HCPCS","Both",,,"22","11","Alliant","Health Exchange","",,"62",,"13.64","8.05","17.05","percent of total billed charges",,
"FENTANYL (SUBLIMAZE) 100 MCG/2ML INJ","J3010","HCPCS","Both",,,"22","11","Pruitt Healthcare","Medicare Advantage","",,"54",,"11.88","8.05","17.05","percent of total billed charges",,
"FENTANYL (SUBLIMAZE) 100 MCG/2ML INJ","J3010","HCPCS","Both",,,"22","11","Medicare",,"",,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"FENTANYL (SUBLIMAZE) 100 MCG/2ML INJ","J3010","HCPCS","Both",,,"22","11","Humana","Medicare Advantage","",,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"FENTANYL (SUBLIMAZE) 100 MCG/2ML INJ","J3010","HCPCS","Both",,,"22","11","UHC","Medicare Advantage","",,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"FENTANYL (SUBLIMAZE) 100 MCG/2ML INJ","J3010","HCPCS","Both",,,"22","11","Clover","Medicare Advantage","",,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"FENTANYL (SUBLIMAZE) 100 MCG/2ML INJ","J3010","HCPCS","Both",,,"22","11","Wellcare","Medicare Advantage","",,"54",,"11.92","8.05","17.05","percent of total billed charges",,
"FENTANYL (SUBLIMAZE) 100 MCG/2ML INJ","J3010","HCPCS","Both",,,"22","11","Amerigroup","Medicaid Managed Care","",,"37",,"8.05","8.05","17.05","percent of total billed charges",,
"FENTANYL (SUBLIMAZE) 100 MCG/2ML INJ","J3010","HCPCS","Both",,,"22","11","Caresource","Medicaid Managed Care","",,"40",,"8.8","8.05","17.05","percent of total billed charges",,
"FENTANYL (SUBLIMAZE) 100 MCG/2ML INJ","J3010","HCPCS","Both",,,"22","11","Wellcare","Medicaid Managed Care","",,"40",,"8.91","8.05","17.05","percent of total billed charges",,
"FENTANYL (SUBLIMAZE) 100 MCG/2ML INJ","J3010","HCPCS","Both",,,"22","11","Aetna","Commercial","",,"64",,"14.04","8.05","17.05","percent of total billed charges",,
"FENTANYL (SUBLIMAZE) 100 MCG/2ML INJ","J3010","HCPCS","Both",,,"22","11","Blue Cross Blue Shield","Pathways","",,"71",,"15.53","8.05","17.05","percent of total billed charges",,
"FENTANYL (SUBLIMAZE) 100 MCG/2ML INJ","J3010","HCPCS","Both",,,"22","11","Blue Cross Blue Shield","HMO","",,"71",,"15.53","8.05","17.05","percent of total billed charges",,
"FENTANYL (SUBLIMAZE) 100 MCG/2ML INJ","J3010","HCPCS","Both",,,"22","11","Blue Cross Blue Shield","PPO","",,"71",,"15.53","8.05","17.05","percent of total billed charges",,
"FENTANYL (SUBLIMAZE) 100 MCG/2ML INJ","J3010","HCPCS","Both",,,"22","11","Ambetter","Health Exchange","",,"62",,"13.64","8.05","17.05","percent of total billed charges",,
"FENTANYL (SUBLIMAZE) 100 MCG/2ML INJ","J3010","HCPCS","Both",,,"22","11","Caresource","Health Exchange","",,"62",,"13.64","8.05","17.05","percent of total billed charges",,
"FENTANYL (SUBLIMAZE) 100 MCG/2ML INJ","J3010","HCPCS","Both",,,"22","11","Cigna","Commercial","",,"59",,"12.89","8.05","17.05","percent of total billed charges",,
"FENTANYL (SUBLIMAZE) 100 MCG/2ML INJ","J3010","HCPCS","Both",,,"22","11","Humana","Commercial","",,"78",,"17.05","8.05","17.05","percent of total billed charges",,
"FENTANYL (SUBLIMAZE) 100 MCG/2ML INJ","J3010","HCPCS","Both",,,"22","11","UHC","Commercial","",,"75",,"16.59","8.05","17.05","percent of total billed charges",,
"FENTANYL (SUBLIMAZE) 100 MCG/2ML INJ","J3010","HCPCS","Both",,,"22","11","Medicaid",,"",,"37",,"8.05","8.05","17.05","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 500MG INJ","J2930","HCPCS","Both",,,"60","30","Alliant","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 500MG INJ","J2930","HCPCS","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.4","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 500MG INJ","J2930","HCPCS","Both",,,"60","30","Medicare",,"",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 500MG INJ","J2930","HCPCS","Both",,,"60","30","Humana","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 500MG INJ","J2930","HCPCS","Both",,,"60","30","UHC","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 500MG INJ","J2930","HCPCS","Both",,,"60","30","Clover","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 500MG INJ","J2930","HCPCS","Both",,,"60","30","Wellcare","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 500MG INJ","J2930","HCPCS","Both",,,"60","30","Amerigroup","Medicaid Managed Care","",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 500MG INJ","J2930","HCPCS","Both",,,"60","30","Caresource","Medicaid Managed Care","",,"40",,"24","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 500MG INJ","J2930","HCPCS","Both",,,"60","30","Wellcare","Medicaid Managed Care","",,"40",,"24.3","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 500MG INJ","J2930","HCPCS","Both",,,"60","30","Aetna","Commercial","",,"64",,"38.28","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 500MG INJ","J2930","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","Pathways","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 500MG INJ","J2930","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","HMO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 500MG INJ","J2930","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","PPO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 500MG INJ","J2930","HCPCS","Both",,,"60","30","Ambetter","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 500MG INJ","J2930","HCPCS","Both",,,"60","30","Caresource","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 500MG INJ","J2930","HCPCS","Both",,,"60","30","Cigna","Commercial","",,"59",,"35.16","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 500MG INJ","J2930","HCPCS","Both",,,"60","30","Humana","Commercial","",,"78",,"46.5","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 500MG INJ","J2930","HCPCS","Both",,,"60","30","UHC","Commercial","",,"75",,"45.24","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 500MG INJ","J2930","HCPCS","Both",,,"60","30","Medicaid",,"",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 40MG INJ","J2920","HCPCS","Both",,,"38","19","Alliant","Health Exchange","",,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 40MG INJ","J2920","HCPCS","Both",,,"38","19","Pruitt Healthcare","Medicare Advantage","",,"54",,"20.52","13.91","29.45","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 40MG INJ","J2920","HCPCS","Both",,,"38","19","Medicare",,"",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 40MG INJ","J2920","HCPCS","Both",,,"38","19","Humana","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 40MG INJ","J2920","HCPCS","Both",,,"38","19","UHC","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 40MG INJ","J2920","HCPCS","Both",,,"38","19","Clover","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 40MG INJ","J2920","HCPCS","Both",,,"38","19","Wellcare","Medicare Advantage","",,"54",,"20.6","13.91","29.45","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 40MG INJ","J2920","HCPCS","Both",,,"38","19","Amerigroup","Medicaid Managed Care","",,"37",,"13.91","13.91","29.45","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 40MG INJ","J2920","HCPCS","Both",,,"38","19","Caresource","Medicaid Managed Care","",,"40",,"15.2","13.91","29.45","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 40MG INJ","J2920","HCPCS","Both",,,"38","19","Wellcare","Medicaid Managed Care","",,"40",,"15.39","13.91","29.45","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 40MG INJ","J2920","HCPCS","Both",,,"38","19","Aetna","Commercial","",,"64",,"24.24","13.91","29.45","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 40MG INJ","J2920","HCPCS","Both",,,"38","19","Blue Cross Blue Shield","Pathways","",,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 40MG INJ","J2920","HCPCS","Both",,,"38","19","Blue Cross Blue Shield","HMO","",,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 40MG INJ","J2920","HCPCS","Both",,,"38","19","Blue Cross Blue Shield","PPO","",,"71",,"26.83","13.91","29.45","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 40MG INJ","J2920","HCPCS","Both",,,"38","19","Ambetter","Health Exchange","",,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 40MG INJ","J2920","HCPCS","Both",,,"38","19","Caresource","Health Exchange","",,"62",,"23.56","13.91","29.45","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 40MG INJ","J2920","HCPCS","Both",,,"38","19","Cigna","Commercial","",,"59",,"22.27","13.91","29.45","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 40MG INJ","J2920","HCPCS","Both",,,"38","19","Humana","Commercial","",,"78",,"29.45","13.91","29.45","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 40MG INJ","J2920","HCPCS","Both",,,"38","19","UHC","Commercial","",,"75",,"28.65","13.91","29.45","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 40MG INJ","J2920","HCPCS","Both",,,"38","19","Medicaid",,"",,"37",,"13.91","13.91","29.45","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 125MG INJ","J2930","HCPCS","Both",,,"60","30","Alliant","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 125MG INJ","J2930","HCPCS","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.4","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 125MG INJ","J2930","HCPCS","Both",,,"60","30","Medicare",,"",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 125MG INJ","J2930","HCPCS","Both",,,"60","30","Humana","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 125MG INJ","J2930","HCPCS","Both",,,"60","30","UHC","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 125MG INJ","J2930","HCPCS","Both",,,"60","30","Clover","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 125MG INJ","J2930","HCPCS","Both",,,"60","30","Wellcare","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 125MG INJ","J2930","HCPCS","Both",,,"60","30","Amerigroup","Medicaid Managed Care","",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 125MG INJ","J2930","HCPCS","Both",,,"60","30","Caresource","Medicaid Managed Care","",,"40",,"24","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 125MG INJ","J2930","HCPCS","Both",,,"60","30","Wellcare","Medicaid Managed Care","",,"40",,"24.3","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 125MG INJ","J2930","HCPCS","Both",,,"60","30","Aetna","Commercial","",,"64",,"38.28","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 125MG INJ","J2930","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","Pathways","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 125MG INJ","J2930","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","HMO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 125MG INJ","J2930","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","PPO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 125MG INJ","J2930","HCPCS","Both",,,"60","30","Ambetter","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 125MG INJ","J2930","HCPCS","Both",,,"60","30","Caresource","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 125MG INJ","J2930","HCPCS","Both",,,"60","30","Cigna","Commercial","",,"59",,"35.16","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 125MG INJ","J2930","HCPCS","Both",,,"60","30","Humana","Commercial","",,"78",,"46.5","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 125MG INJ","J2930","HCPCS","Both",,,"60","30","UHC","Commercial","",,"75",,"45.24","21.96","46.5","percent of total billed charges",,
"METHYLPREDNISOLONE SOD SUCC 125MG INJ","J2930","HCPCS","Both",,,"60","30","Medicaid",,"",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"HYDROCORTISONE (SOLU-CORTEF) INJ:100MG","J1720","HCPCS","Both",,,"43","21.5","Alliant","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"HYDROCORTISONE (SOLU-CORTEF) INJ:100MG","J1720","HCPCS","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"23.22","15.74","33.33","percent of total billed charges",,
"HYDROCORTISONE (SOLU-CORTEF) INJ:100MG","J1720","HCPCS","Both",,,"43","21.5","Medicare",,"",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"HYDROCORTISONE (SOLU-CORTEF) INJ:100MG","J1720","HCPCS","Both",,,"43","21.5","Humana","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"HYDROCORTISONE (SOLU-CORTEF) INJ:100MG","J1720","HCPCS","Both",,,"43","21.5","UHC","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"HYDROCORTISONE (SOLU-CORTEF) INJ:100MG","J1720","HCPCS","Both",,,"43","21.5","Clover","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"HYDROCORTISONE (SOLU-CORTEF) INJ:100MG","J1720","HCPCS","Both",,,"43","21.5","Wellcare","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"HYDROCORTISONE (SOLU-CORTEF) INJ:100MG","J1720","HCPCS","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care","",,"37",,"15.74","15.74","33.33","percent of total billed charges",,
"HYDROCORTISONE (SOLU-CORTEF) INJ:100MG","J1720","HCPCS","Both",,,"43","21.5","Caresource","Medicaid Managed Care","",,"40",,"17.2","15.74","33.33","percent of total billed charges",,
"HYDROCORTISONE (SOLU-CORTEF) INJ:100MG","J1720","HCPCS","Both",,,"43","21.5","Wellcare","Medicaid Managed Care","",,"40",,"17.42","15.74","33.33","percent of total billed charges",,
"HYDROCORTISONE (SOLU-CORTEF) INJ:100MG","J1720","HCPCS","Both",,,"43","21.5","Aetna","Commercial","",,"64",,"27.43","15.74","33.33","percent of total billed charges",,
"HYDROCORTISONE (SOLU-CORTEF) INJ:100MG","J1720","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"HYDROCORTISONE (SOLU-CORTEF) INJ:100MG","J1720","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","HMO","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"HYDROCORTISONE (SOLU-CORTEF) INJ:100MG","J1720","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","PPO","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"HYDROCORTISONE (SOLU-CORTEF) INJ:100MG","J1720","HCPCS","Both",,,"43","21.5","Ambetter","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"HYDROCORTISONE (SOLU-CORTEF) INJ:100MG","J1720","HCPCS","Both",,,"43","21.5","Caresource","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"HYDROCORTISONE (SOLU-CORTEF) INJ:100MG","J1720","HCPCS","Both",,,"43","21.5","Cigna","Commercial","",,"59",,"25.2","15.74","33.33","percent of total billed charges",,
"HYDROCORTISONE (SOLU-CORTEF) INJ:100MG","J1720","HCPCS","Both",,,"43","21.5","Humana","Commercial","",,"78",,"33.33","15.74","33.33","percent of total billed charges",,
"HYDROCORTISONE (SOLU-CORTEF) INJ:100MG","J1720","HCPCS","Both",,,"43","21.5","UHC","Commercial","",,"75",,"32.42","15.74","33.33","percent of total billed charges",,
"HYDROCORTISONE (SOLU-CORTEF) INJ:100MG","J1720","HCPCS","Both",,,"43","21.5","Medicaid",,"",,"37",,"15.74","15.74","33.33","percent of total billed charges",,
"NEOSTIGMINE 10MG/10ML INJECTION","J2710","HCPCS","Both",,,"191","95.5","Alliant","Health Exchange","",,"62",,"118.42","69.91","148.02","percent of total billed charges",,
"NEOSTIGMINE 10MG/10ML INJECTION","J2710","HCPCS","Both",,,"191","95.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"103.14","69.91","148.02","percent of total billed charges",,
"NEOSTIGMINE 10MG/10ML INJECTION","J2710","HCPCS","Both",,,"191","95.5","Medicare",,"",,"54",,"103.52","69.91","148.02","percent of total billed charges",,
"NEOSTIGMINE 10MG/10ML INJECTION","J2710","HCPCS","Both",,,"191","95.5","Humana","Medicare Advantage","",,"54",,"103.52","69.91","148.02","percent of total billed charges",,
"NEOSTIGMINE 10MG/10ML INJECTION","J2710","HCPCS","Both",,,"191","95.5","UHC","Medicare Advantage","",,"54",,"103.52","69.91","148.02","percent of total billed charges",,
"NEOSTIGMINE 10MG/10ML INJECTION","J2710","HCPCS","Both",,,"191","95.5","Clover","Medicare Advantage","",,"54",,"103.52","69.91","148.02","percent of total billed charges",,
"NEOSTIGMINE 10MG/10ML INJECTION","J2710","HCPCS","Both",,,"191","95.5","Wellcare","Medicare Advantage","",,"54",,"103.52","69.91","148.02","percent of total billed charges",,
"NEOSTIGMINE 10MG/10ML INJECTION","J2710","HCPCS","Both",,,"191","95.5","Amerigroup","Medicaid Managed Care","",,"37",,"69.91","69.91","148.02","percent of total billed charges",,
"NEOSTIGMINE 10MG/10ML INJECTION","J2710","HCPCS","Both",,,"191","95.5","Caresource","Medicaid Managed Care","",,"40",,"76.4","69.91","148.02","percent of total billed charges",,
"NEOSTIGMINE 10MG/10ML INJECTION","J2710","HCPCS","Both",,,"191","95.5","Wellcare","Medicaid Managed Care","",,"40",,"77.36","69.91","148.02","percent of total billed charges",,
"NEOSTIGMINE 10MG/10ML INJECTION","J2710","HCPCS","Both",,,"191","95.5","Aetna","Commercial","",,"64",,"121.86","69.91","148.02","percent of total billed charges",,
"NEOSTIGMINE 10MG/10ML INJECTION","J2710","HCPCS","Both",,,"191","95.5","Blue Cross Blue Shield","Pathways","",,"71",,"134.85","69.91","148.02","percent of total billed charges",,
"NEOSTIGMINE 10MG/10ML INJECTION","J2710","HCPCS","Both",,,"191","95.5","Blue Cross Blue Shield","HMO","",,"71",,"134.85","69.91","148.02","percent of total billed charges",,
"NEOSTIGMINE 10MG/10ML INJECTION","J2710","HCPCS","Both",,,"191","95.5","Blue Cross Blue Shield","PPO","",,"71",,"134.85","69.91","148.02","percent of total billed charges",,
"NEOSTIGMINE 10MG/10ML INJECTION","J2710","HCPCS","Both",,,"191","95.5","Ambetter","Health Exchange","",,"62",,"118.42","69.91","148.02","percent of total billed charges",,
"NEOSTIGMINE 10MG/10ML INJECTION","J2710","HCPCS","Both",,,"191","95.5","Caresource","Health Exchange","",,"62",,"118.42","69.91","148.02","percent of total billed charges",,
"NEOSTIGMINE 10MG/10ML INJECTION","J2710","HCPCS","Both",,,"191","95.5","Cigna","Commercial","",,"59",,"111.93","69.91","148.02","percent of total billed charges",,
"NEOSTIGMINE 10MG/10ML INJECTION","J2710","HCPCS","Both",,,"191","95.5","Humana","Commercial","",,"78",,"148.02","69.91","148.02","percent of total billed charges",,
"NEOSTIGMINE 10MG/10ML INJECTION","J2710","HCPCS","Both",,,"191","95.5","UHC","Commercial","",,"75",,"144.01","69.91","148.02","percent of total billed charges",,
"NEOSTIGMINE 10MG/10ML INJECTION","J2710","HCPCS","Both",,,"191","95.5","Medicaid",,"",,"37",,"69.91","69.91","148.02","percent of total billed charges",,
"DIAZEPAM (VALIUM) INJECTION: 10MG/2ML","J3360","HCPCS","Both",,,"43","21.5","Alliant","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"DIAZEPAM (VALIUM) INJECTION: 10MG/2ML","J3360","HCPCS","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"23.22","15.74","33.33","percent of total billed charges",,
"DIAZEPAM (VALIUM) INJECTION: 10MG/2ML","J3360","HCPCS","Both",,,"43","21.5","Medicare",,"",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"DIAZEPAM (VALIUM) INJECTION: 10MG/2ML","J3360","HCPCS","Both",,,"43","21.5","Humana","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"DIAZEPAM (VALIUM) INJECTION: 10MG/2ML","J3360","HCPCS","Both",,,"43","21.5","UHC","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"DIAZEPAM (VALIUM) INJECTION: 10MG/2ML","J3360","HCPCS","Both",,,"43","21.5","Clover","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"DIAZEPAM (VALIUM) INJECTION: 10MG/2ML","J3360","HCPCS","Both",,,"43","21.5","Wellcare","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"DIAZEPAM (VALIUM) INJECTION: 10MG/2ML","J3360","HCPCS","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care","",,"37",,"15.74","15.74","33.33","percent of total billed charges",,
"DIAZEPAM (VALIUM) INJECTION: 10MG/2ML","J3360","HCPCS","Both",,,"43","21.5","Caresource","Medicaid Managed Care","",,"40",,"17.2","15.74","33.33","percent of total billed charges",,
"DIAZEPAM (VALIUM) INJECTION: 10MG/2ML","J3360","HCPCS","Both",,,"43","21.5","Wellcare","Medicaid Managed Care","",,"40",,"17.42","15.74","33.33","percent of total billed charges",,
"DIAZEPAM (VALIUM) INJECTION: 10MG/2ML","J3360","HCPCS","Both",,,"43","21.5","Aetna","Commercial","",,"64",,"27.43","15.74","33.33","percent of total billed charges",,
"DIAZEPAM (VALIUM) INJECTION: 10MG/2ML","J3360","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"DIAZEPAM (VALIUM) INJECTION: 10MG/2ML","J3360","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","HMO","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"DIAZEPAM (VALIUM) INJECTION: 10MG/2ML","J3360","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","PPO","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"DIAZEPAM (VALIUM) INJECTION: 10MG/2ML","J3360","HCPCS","Both",,,"43","21.5","Ambetter","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"DIAZEPAM (VALIUM) INJECTION: 10MG/2ML","J3360","HCPCS","Both",,,"43","21.5","Caresource","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"DIAZEPAM (VALIUM) INJECTION: 10MG/2ML","J3360","HCPCS","Both",,,"43","21.5","Cigna","Commercial","",,"59",,"25.2","15.74","33.33","percent of total billed charges",,
"DIAZEPAM (VALIUM) INJECTION: 10MG/2ML","J3360","HCPCS","Both",,,"43","21.5","Humana","Commercial","",,"78",,"33.33","15.74","33.33","percent of total billed charges",,
"DIAZEPAM (VALIUM) INJECTION: 10MG/2ML","J3360","HCPCS","Both",,,"43","21.5","UHC","Commercial","",,"75",,"32.42","15.74","33.33","percent of total billed charges",,
"DIAZEPAM (VALIUM) INJECTION: 10MG/2ML","J3360","HCPCS","Both",,,"43","21.5","Medicaid",,"",,"37",,"15.74","15.74","33.33","percent of total billed charges",,
"CYANOCOBALAMIN (V B12) 1000MCG/ML INJ","J3420","HCPCS","Both",,,"43","21.5","Alliant","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"CYANOCOBALAMIN (V B12) 1000MCG/ML INJ","J3420","HCPCS","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"23.22","15.74","33.33","percent of total billed charges",,
"CYANOCOBALAMIN (V B12) 1000MCG/ML INJ","J3420","HCPCS","Both",,,"43","21.5","Medicare",,"",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"CYANOCOBALAMIN (V B12) 1000MCG/ML INJ","J3420","HCPCS","Both",,,"43","21.5","Humana","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"CYANOCOBALAMIN (V B12) 1000MCG/ML INJ","J3420","HCPCS","Both",,,"43","21.5","UHC","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"CYANOCOBALAMIN (V B12) 1000MCG/ML INJ","J3420","HCPCS","Both",,,"43","21.5","Clover","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"CYANOCOBALAMIN (V B12) 1000MCG/ML INJ","J3420","HCPCS","Both",,,"43","21.5","Wellcare","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"CYANOCOBALAMIN (V B12) 1000MCG/ML INJ","J3420","HCPCS","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care","",,"37",,"15.74","15.74","33.33","percent of total billed charges",,
"CYANOCOBALAMIN (V B12) 1000MCG/ML INJ","J3420","HCPCS","Both",,,"43","21.5","Caresource","Medicaid Managed Care","",,"40",,"17.2","15.74","33.33","percent of total billed charges",,
"CYANOCOBALAMIN (V B12) 1000MCG/ML INJ","J3420","HCPCS","Both",,,"43","21.5","Wellcare","Medicaid Managed Care","",,"40",,"17.42","15.74","33.33","percent of total billed charges",,
"CYANOCOBALAMIN (V B12) 1000MCG/ML INJ","J3420","HCPCS","Both",,,"43","21.5","Aetna","Commercial","",,"64",,"27.43","15.74","33.33","percent of total billed charges",,
"CYANOCOBALAMIN (V B12) 1000MCG/ML INJ","J3420","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"CYANOCOBALAMIN (V B12) 1000MCG/ML INJ","J3420","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","HMO","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"CYANOCOBALAMIN (V B12) 1000MCG/ML INJ","J3420","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","PPO","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"CYANOCOBALAMIN (V B12) 1000MCG/ML INJ","J3420","HCPCS","Both",,,"43","21.5","Ambetter","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"CYANOCOBALAMIN (V B12) 1000MCG/ML INJ","J3420","HCPCS","Both",,,"43","21.5","Caresource","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"CYANOCOBALAMIN (V B12) 1000MCG/ML INJ","J3420","HCPCS","Both",,,"43","21.5","Cigna","Commercial","",,"59",,"25.2","15.74","33.33","percent of total billed charges",,
"CYANOCOBALAMIN (V B12) 1000MCG/ML INJ","J3420","HCPCS","Both",,,"43","21.5","Humana","Commercial","",,"78",,"33.33","15.74","33.33","percent of total billed charges",,
"CYANOCOBALAMIN (V B12) 1000MCG/ML INJ","J3420","HCPCS","Both",,,"43","21.5","UHC","Commercial","",,"75",,"32.42","15.74","33.33","percent of total billed charges",,
"CYANOCOBALAMIN (V B12) 1000MCG/ML INJ","J3420","HCPCS","Both",,,"43","21.5","Medicaid",,"",,"37",,"15.74","15.74","33.33","percent of total billed charges",,
"ONDANSETRON (ZOFRAN) 4MG/2ML INJECTION","J2405","HCPCS","Both",,,"23","11.5","Alliant","Health Exchange","",,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"ONDANSETRON (ZOFRAN) 4MG/2ML INJECTION","J2405","HCPCS","Both",,,"23","11.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"12.42","8.42","17.82","percent of total billed charges",,
"ONDANSETRON (ZOFRAN) 4MG/2ML INJECTION","J2405","HCPCS","Both",,,"23","11.5","Medicare",,"",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"ONDANSETRON (ZOFRAN) 4MG/2ML INJECTION","J2405","HCPCS","Both",,,"23","11.5","Humana","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"ONDANSETRON (ZOFRAN) 4MG/2ML INJECTION","J2405","HCPCS","Both",,,"23","11.5","UHC","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"ONDANSETRON (ZOFRAN) 4MG/2ML INJECTION","J2405","HCPCS","Both",,,"23","11.5","Clover","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"ONDANSETRON (ZOFRAN) 4MG/2ML INJECTION","J2405","HCPCS","Both",,,"23","11.5","Wellcare","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"ONDANSETRON (ZOFRAN) 4MG/2ML INJECTION","J2405","HCPCS","Both",,,"23","11.5","Amerigroup","Medicaid Managed Care","",,"37",,"8.42","8.42","17.82","percent of total billed charges",,
"ONDANSETRON (ZOFRAN) 4MG/2ML INJECTION","J2405","HCPCS","Both",,,"23","11.5","Caresource","Medicaid Managed Care","",,"40",,"9.2","8.42","17.82","percent of total billed charges",,
"ONDANSETRON (ZOFRAN) 4MG/2ML INJECTION","J2405","HCPCS","Both",,,"23","11.5","Wellcare","Medicaid Managed Care","",,"40",,"9.32","8.42","17.82","percent of total billed charges",,
"ONDANSETRON (ZOFRAN) 4MG/2ML INJECTION","J2405","HCPCS","Both",,,"23","11.5","Aetna","Commercial","",,"64",,"14.67","8.42","17.82","percent of total billed charges",,
"ONDANSETRON (ZOFRAN) 4MG/2ML INJECTION","J2405","HCPCS","Both",,,"23","11.5","Blue Cross Blue Shield","Pathways","",,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"ONDANSETRON (ZOFRAN) 4MG/2ML INJECTION","J2405","HCPCS","Both",,,"23","11.5","Blue Cross Blue Shield","HMO","",,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"ONDANSETRON (ZOFRAN) 4MG/2ML INJECTION","J2405","HCPCS","Both",,,"23","11.5","Blue Cross Blue Shield","PPO","",,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"ONDANSETRON (ZOFRAN) 4MG/2ML INJECTION","J2405","HCPCS","Both",,,"23","11.5","Ambetter","Health Exchange","",,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"ONDANSETRON (ZOFRAN) 4MG/2ML INJECTION","J2405","HCPCS","Both",,,"23","11.5","Caresource","Health Exchange","",,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"ONDANSETRON (ZOFRAN) 4MG/2ML INJECTION","J2405","HCPCS","Both",,,"23","11.5","Cigna","Commercial","",,"59",,"13.48","8.42","17.82","percent of total billed charges",,
"ONDANSETRON (ZOFRAN) 4MG/2ML INJECTION","J2405","HCPCS","Both",,,"23","11.5","Humana","Commercial","",,"78",,"17.82","8.42","17.82","percent of total billed charges",,
"ONDANSETRON (ZOFRAN) 4MG/2ML INJECTION","J2405","HCPCS","Both",,,"23","11.5","UHC","Commercial","",,"75",,"17.34","8.42","17.82","percent of total billed charges",,
"ONDANSETRON (ZOFRAN) 4MG/2ML INJECTION","J2405","HCPCS","Both",,,"23","11.5","Medicaid",,"",,"37",,"8.42","8.42","17.82","percent of total billed charges",,
"TENECTEPLASE (TNKase) 50MG INJECTION","J3101","HCPCS","Both",,,"4064","2032","Alliant","Health Exchange","",,"62",,"2519.68","1487.42","3149.6","percent of total billed charges",,
"TENECTEPLASE (TNKase) 50MG INJECTION","J3101","HCPCS","Both",,,"4064","2032","Pruitt Healthcare","Medicare Advantage","",,"54",,"2194.56","1487.42","3149.6","percent of total billed charges",,
"TENECTEPLASE (TNKase) 50MG INJECTION","J3101","HCPCS","Both",,,"4064","2032","Medicare",,"",,"54",,"2202.69","1487.42","3149.6","percent of total billed charges",,
"TENECTEPLASE (TNKase) 50MG INJECTION","J3101","HCPCS","Both",,,"4064","2032","Humana","Medicare Advantage","",,"54",,"2202.69","1487.42","3149.6","percent of total billed charges",,
"TENECTEPLASE (TNKase) 50MG INJECTION","J3101","HCPCS","Both",,,"4064","2032","UHC","Medicare Advantage","",,"54",,"2202.69","1487.42","3149.6","percent of total billed charges",,
"TENECTEPLASE (TNKase) 50MG INJECTION","J3101","HCPCS","Both",,,"4064","2032","Clover","Medicare Advantage","",,"54",,"2202.69","1487.42","3149.6","percent of total billed charges",,
"TENECTEPLASE (TNKase) 50MG INJECTION","J3101","HCPCS","Both",,,"4064","2032","Wellcare","Medicare Advantage","",,"54",,"2202.69","1487.42","3149.6","percent of total billed charges",,
"TENECTEPLASE (TNKase) 50MG INJECTION","J3101","HCPCS","Both",,,"4064","2032","Amerigroup","Medicaid Managed Care","",,"37",,"1487.42","1487.42","3149.6","percent of total billed charges",,
"TENECTEPLASE (TNKase) 50MG INJECTION","J3101","HCPCS","Both",,,"4064","2032","Caresource","Medicaid Managed Care","",,"40",,"1625.6","1487.42","3149.6","percent of total billed charges",,
"TENECTEPLASE (TNKase) 50MG INJECTION","J3101","HCPCS","Both",,,"4064","2032","Wellcare","Medicaid Managed Care","",,"40",,"1645.92","1487.42","3149.6","percent of total billed charges",,
"TENECTEPLASE (TNKase) 50MG INJECTION","J3101","HCPCS","Both",,,"4064","2032","Aetna","Commercial","",,"64",,"2592.83","1487.42","3149.6","percent of total billed charges",,
"TENECTEPLASE (TNKase) 50MG INJECTION","J3101","HCPCS","Both",,,"4064","2032","Blue Cross Blue Shield","Pathways","",,"71",,"2869.18","1487.42","3149.6","percent of total billed charges",,
"TENECTEPLASE (TNKase) 50MG INJECTION","J3101","HCPCS","Both",,,"4064","2032","Blue Cross Blue Shield","HMO","",,"71",,"2869.18","1487.42","3149.6","percent of total billed charges",,
"TENECTEPLASE (TNKase) 50MG INJECTION","J3101","HCPCS","Both",,,"4064","2032","Blue Cross Blue Shield","PPO","",,"71",,"2869.18","1487.42","3149.6","percent of total billed charges",,
"TENECTEPLASE (TNKase) 50MG INJECTION","J3101","HCPCS","Both",,,"4064","2032","Ambetter","Health Exchange","",,"62",,"2519.68","1487.42","3149.6","percent of total billed charges",,
"TENECTEPLASE (TNKase) 50MG INJECTION","J3101","HCPCS","Both",,,"4064","2032","Caresource","Health Exchange","",,"62",,"2519.68","1487.42","3149.6","percent of total billed charges",,
"TENECTEPLASE (TNKase) 50MG INJECTION","J3101","HCPCS","Both",,,"4064","2032","Cigna","Commercial","",,"59",,"2381.5","1487.42","3149.6","percent of total billed charges",,
"TENECTEPLASE (TNKase) 50MG INJECTION","J3101","HCPCS","Both",,,"4064","2032","Humana","Commercial","",,"78",,"3149.6","1487.42","3149.6","percent of total billed charges",,
"TENECTEPLASE (TNKase) 50MG INJECTION","J3101","HCPCS","Both",,,"4064","2032","UHC","Commercial","",,"75",,"3064.26","1487.42","3149.6","percent of total billed charges",,
"TENECTEPLASE (TNKase) 50MG INJECTION","J3101","HCPCS","Both",,,"4064","2032","Medicaid",,"",,"37",,"1487.42","1487.42","3149.6","percent of total billed charges",,
"VANCOMYCIN (VANCOCIN) 1GM INJECTION","J3370","HCPCS","Both",,,"43","21.5","Alliant","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"VANCOMYCIN (VANCOCIN) 1GM INJECTION","J3370","HCPCS","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"23.22","15.74","33.33","percent of total billed charges",,
"VANCOMYCIN (VANCOCIN) 1GM INJECTION","J3370","HCPCS","Both",,,"43","21.5","Medicare",,"",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"VANCOMYCIN (VANCOCIN) 1GM INJECTION","J3370","HCPCS","Both",,,"43","21.5","Humana","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"VANCOMYCIN (VANCOCIN) 1GM INJECTION","J3370","HCPCS","Both",,,"43","21.5","UHC","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"VANCOMYCIN (VANCOCIN) 1GM INJECTION","J3370","HCPCS","Both",,,"43","21.5","Clover","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"VANCOMYCIN (VANCOCIN) 1GM INJECTION","J3370","HCPCS","Both",,,"43","21.5","Wellcare","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"VANCOMYCIN (VANCOCIN) 1GM INJECTION","J3370","HCPCS","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care","",,"37",,"15.74","15.74","33.33","percent of total billed charges",,
"VANCOMYCIN (VANCOCIN) 1GM INJECTION","J3370","HCPCS","Both",,,"43","21.5","Caresource","Medicaid Managed Care","",,"40",,"17.2","15.74","33.33","percent of total billed charges",,
"VANCOMYCIN (VANCOCIN) 1GM INJECTION","J3370","HCPCS","Both",,,"43","21.5","Wellcare","Medicaid Managed Care","",,"40",,"17.42","15.74","33.33","percent of total billed charges",,
"VANCOMYCIN (VANCOCIN) 1GM INJECTION","J3370","HCPCS","Both",,,"43","21.5","Aetna","Commercial","",,"64",,"27.43","15.74","33.33","percent of total billed charges",,
"VANCOMYCIN (VANCOCIN) 1GM INJECTION","J3370","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"VANCOMYCIN (VANCOCIN) 1GM INJECTION","J3370","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","HMO","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"VANCOMYCIN (VANCOCIN) 1GM INJECTION","J3370","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","PPO","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"VANCOMYCIN (VANCOCIN) 1GM INJECTION","J3370","HCPCS","Both",,,"43","21.5","Ambetter","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"VANCOMYCIN (VANCOCIN) 1GM INJECTION","J3370","HCPCS","Both",,,"43","21.5","Caresource","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"VANCOMYCIN (VANCOCIN) 1GM INJECTION","J3370","HCPCS","Both",,,"43","21.5","Cigna","Commercial","",,"59",,"25.2","15.74","33.33","percent of total billed charges",,
"VANCOMYCIN (VANCOCIN) 1GM INJECTION","J3370","HCPCS","Both",,,"43","21.5","Humana","Commercial","",,"78",,"33.33","15.74","33.33","percent of total billed charges",,
"VANCOMYCIN (VANCOCIN) 1GM INJECTION","J3370","HCPCS","Both",,,"43","21.5","UHC","Commercial","",,"75",,"32.42","15.74","33.33","percent of total billed charges",,
"VANCOMYCIN (VANCOCIN) 1GM INJECTION","J3370","HCPCS","Both",,,"43","21.5","Medicaid",,"",,"37",,"15.74","15.74","33.33","percent of total billed charges",,
"AMPICILLIN 1gm INJECTION","J0290","HCPCS","Both",,,"43","21.5","Alliant","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"AMPICILLIN 1gm INJECTION","J0290","HCPCS","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"23.22","15.74","33.33","percent of total billed charges",,
"AMPICILLIN 1gm INJECTION","J0290","HCPCS","Both",,,"43","21.5","Medicare",,"",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"AMPICILLIN 1gm INJECTION","J0290","HCPCS","Both",,,"43","21.5","Humana","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"AMPICILLIN 1gm INJECTION","J0290","HCPCS","Both",,,"43","21.5","UHC","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"AMPICILLIN 1gm INJECTION","J0290","HCPCS","Both",,,"43","21.5","Clover","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"AMPICILLIN 1gm INJECTION","J0290","HCPCS","Both",,,"43","21.5","Wellcare","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"AMPICILLIN 1gm INJECTION","J0290","HCPCS","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care","",,"37",,"15.74","15.74","33.33","percent of total billed charges",,
"AMPICILLIN 1gm INJECTION","J0290","HCPCS","Both",,,"43","21.5","Caresource","Medicaid Managed Care","",,"40",,"17.2","15.74","33.33","percent of total billed charges",,
"AMPICILLIN 1gm INJECTION","J0290","HCPCS","Both",,,"43","21.5","Wellcare","Medicaid Managed Care","",,"40",,"17.42","15.74","33.33","percent of total billed charges",,
"AMPICILLIN 1gm INJECTION","J0290","HCPCS","Both",,,"43","21.5","Aetna","Commercial","",,"64",,"27.43","15.74","33.33","percent of total billed charges",,
"AMPICILLIN 1gm INJECTION","J0290","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"AMPICILLIN 1gm INJECTION","J0290","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","HMO","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"AMPICILLIN 1gm INJECTION","J0290","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","PPO","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"AMPICILLIN 1gm INJECTION","J0290","HCPCS","Both",,,"43","21.5","Ambetter","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"AMPICILLIN 1gm INJECTION","J0290","HCPCS","Both",,,"43","21.5","Caresource","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"AMPICILLIN 1gm INJECTION","J0290","HCPCS","Both",,,"43","21.5","Cigna","Commercial","",,"59",,"25.2","15.74","33.33","percent of total billed charges",,
"AMPICILLIN 1gm INJECTION","J0290","HCPCS","Both",,,"43","21.5","Humana","Commercial","",,"78",,"33.33","15.74","33.33","percent of total billed charges",,
"AMPICILLIN 1gm INJECTION","J0290","HCPCS","Both",,,"43","21.5","UHC","Commercial","",,"75",,"32.42","15.74","33.33","percent of total billed charges",,
"AMPICILLIN 1gm INJECTION","J0290","HCPCS","Both",,,"43","21.5","Medicaid",,"",,"37",,"15.74","15.74","33.33","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 500MG INJ","J0696","HCPCS","Both",,,"31","15.5","Alliant","Health Exchange","",,"62",,"19.22","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 500MG INJ","J0696","HCPCS","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"16.74","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 500MG INJ","J0696","HCPCS","Both",,,"31","15.5","Medicare",,"",,"54",,"16.8","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 500MG INJ","J0696","HCPCS","Both",,,"31","15.5","Humana","Medicare Advantage","",,"54",,"16.8","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 500MG INJ","J0696","HCPCS","Both",,,"31","15.5","UHC","Medicare Advantage","",,"54",,"16.8","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 500MG INJ","J0696","HCPCS","Both",,,"31","15.5","Clover","Medicare Advantage","",,"54",,"16.8","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 500MG INJ","J0696","HCPCS","Both",,,"31","15.5","Wellcare","Medicare Advantage","",,"54",,"16.8","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 500MG INJ","J0696","HCPCS","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care","",,"37",,"11.35","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 500MG INJ","J0696","HCPCS","Both",,,"31","15.5","Caresource","Medicaid Managed Care","",,"40",,"12.4","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 500MG INJ","J0696","HCPCS","Both",,,"31","15.5","Wellcare","Medicaid Managed Care","",,"40",,"12.56","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 500MG INJ","J0696","HCPCS","Both",,,"31","15.5","Aetna","Commercial","",,"64",,"19.78","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 500MG INJ","J0696","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways","",,"71",,"21.89","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 500MG INJ","J0696","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","HMO","",,"71",,"21.89","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 500MG INJ","J0696","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","PPO","",,"71",,"21.89","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 500MG INJ","J0696","HCPCS","Both",,,"31","15.5","Ambetter","Health Exchange","",,"62",,"19.22","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 500MG INJ","J0696","HCPCS","Both",,,"31","15.5","Caresource","Health Exchange","",,"62",,"19.22","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 500MG INJ","J0696","HCPCS","Both",,,"31","15.5","Cigna","Commercial","",,"59",,"18.17","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 500MG INJ","J0696","HCPCS","Both",,,"31","15.5","Humana","Commercial","",,"78",,"24.02","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 500MG INJ","J0696","HCPCS","Both",,,"31","15.5","UHC","Commercial","",,"75",,"23.37","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 500MG INJ","J0696","HCPCS","Both",,,"31","15.5","Medicaid",,"",,"37",,"11.35","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 2GM INJ","J0696","HCPCS","Both",,,"31","15.5","Alliant","Health Exchange","",,"62",,"19.22","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 2GM INJ","J0696","HCPCS","Both",,,"31","15.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"16.74","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 2GM INJ","J0696","HCPCS","Both",,,"31","15.5","Medicare",,"",,"54",,"16.8","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 2GM INJ","J0696","HCPCS","Both",,,"31","15.5","Humana","Medicare Advantage","",,"54",,"16.8","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 2GM INJ","J0696","HCPCS","Both",,,"31","15.5","UHC","Medicare Advantage","",,"54",,"16.8","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 2GM INJ","J0696","HCPCS","Both",,,"31","15.5","Clover","Medicare Advantage","",,"54",,"16.8","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 2GM INJ","J0696","HCPCS","Both",,,"31","15.5","Wellcare","Medicare Advantage","",,"54",,"16.8","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 2GM INJ","J0696","HCPCS","Both",,,"31","15.5","Amerigroup","Medicaid Managed Care","",,"37",,"11.35","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 2GM INJ","J0696","HCPCS","Both",,,"31","15.5","Caresource","Medicaid Managed Care","",,"40",,"12.4","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 2GM INJ","J0696","HCPCS","Both",,,"31","15.5","Wellcare","Medicaid Managed Care","",,"40",,"12.56","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 2GM INJ","J0696","HCPCS","Both",,,"31","15.5","Aetna","Commercial","",,"64",,"19.78","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 2GM INJ","J0696","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","Pathways","",,"71",,"21.89","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 2GM INJ","J0696","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","HMO","",,"71",,"21.89","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 2GM INJ","J0696","HCPCS","Both",,,"31","15.5","Blue Cross Blue Shield","PPO","",,"71",,"21.89","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 2GM INJ","J0696","HCPCS","Both",,,"31","15.5","Ambetter","Health Exchange","",,"62",,"19.22","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 2GM INJ","J0696","HCPCS","Both",,,"31","15.5","Caresource","Health Exchange","",,"62",,"19.22","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 2GM INJ","J0696","HCPCS","Both",,,"31","15.5","Cigna","Commercial","",,"59",,"18.17","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 2GM INJ","J0696","HCPCS","Both",,,"31","15.5","Humana","Commercial","",,"78",,"24.02","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 2GM INJ","J0696","HCPCS","Both",,,"31","15.5","UHC","Commercial","",,"75",,"23.37","9.88","24.02","percent of total billed charges",,
"CEFTRIAXONE NA (ROCEPHIN) 2GM INJ","J0696","HCPCS","Both",,,"31","15.5","Medicaid",,"",,"37",,"11.35","9.88","24.02","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) 40 MG INJ","J3490","HCPCS","Both",,,"43","21.5","Alliant","Health Exchange","",,"62",,"26.66","9.88","33.33","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) 40 MG INJ","J3490","HCPCS","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"23.22","9.88","33.33","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) 40 MG INJ","J3490","HCPCS","Both",,,"43","21.5","Medicare",,"",,"54",,"23.31","9.88","33.33","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) 40 MG INJ","J3490","HCPCS","Both",,,"43","21.5","Humana","Medicare Advantage","",,"54",,"23.31","9.88","33.33","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) 40 MG INJ","J3490","HCPCS","Both",,,"43","21.5","UHC","Medicare Advantage","",,"54",,"23.31","9.88","33.33","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) 40 MG INJ","J3490","HCPCS","Both",,,"43","21.5","Clover","Medicare Advantage","",,"54",,"23.31","9.88","33.33","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) 40 MG INJ","J3490","HCPCS","Both",,,"43","21.5","Wellcare","Medicare Advantage","",,"54",,"23.31","9.88","33.33","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) 40 MG INJ","J3490","HCPCS","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care","",,"37",,"15.74","9.88","33.33","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) 40 MG INJ","J3490","HCPCS","Both",,,"43","21.5","Caresource","Medicaid Managed Care","",,"40",,"17.2","9.88","33.33","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) 40 MG INJ","J3490","HCPCS","Both",,,"43","21.5","Wellcare","Medicaid Managed Care","",,"40",,"17.42","9.88","33.33","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) 40 MG INJ","J3490","HCPCS","Both",,,"43","21.5","Aetna","Commercial","",,"64",,"27.43","9.88","33.33","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) 40 MG INJ","J3490","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways","",,"71",,"30.36","9.88","33.33","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) 40 MG INJ","J3490","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","HMO","",,"71",,"30.36","9.88","33.33","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) 40 MG INJ","J3490","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","PPO","",,"71",,"30.36","9.88","33.33","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) 40 MG INJ","J3490","HCPCS","Both",,,"43","21.5","Ambetter","Health Exchange","",,"62",,"26.66","9.88","33.33","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) 40 MG INJ","J3490","HCPCS","Both",,,"43","21.5","Caresource","Health Exchange","",,"62",,"26.66","9.88","33.33","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) 40 MG INJ","J3490","HCPCS","Both",,,"43","21.5","Cigna","Commercial","",,"59",,"25.2","9.88","33.33","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) 40 MG INJ","J3490","HCPCS","Both",,,"43","21.5","Humana","Commercial","",,"78",,"33.33","9.88","33.33","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) 40 MG INJ","J3490","HCPCS","Both",,,"43","21.5","UHC","Commercial","",,"75",,"32.42","9.88","33.33","percent of total billed charges",,
"PANTOPRAZOLE (PROTONIX) 40 MG INJ","J3490","HCPCS","Both",,,"43","21.5","Medicaid",,"",,"37",,"15.74","9.88","33.33","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) 250MG PREMIX","J1956","HCPCS","Both",,,"60","30","Alliant","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) 250MG PREMIX","J1956","HCPCS","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.4","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) 250MG PREMIX","J1956","HCPCS","Both",,,"60","30","Medicare",,"",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) 250MG PREMIX","J1956","HCPCS","Both",,,"60","30","Humana","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) 250MG PREMIX","J1956","HCPCS","Both",,,"60","30","UHC","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) 250MG PREMIX","J1956","HCPCS","Both",,,"60","30","Clover","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) 250MG PREMIX","J1956","HCPCS","Both",,,"60","30","Wellcare","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) 250MG PREMIX","J1956","HCPCS","Both",,,"60","30","Amerigroup","Medicaid Managed Care","",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) 250MG PREMIX","J1956","HCPCS","Both",,,"60","30","Caresource","Medicaid Managed Care","",,"40",,"24","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) 250MG PREMIX","J1956","HCPCS","Both",,,"60","30","Wellcare","Medicaid Managed Care","",,"40",,"24.3","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) 250MG PREMIX","J1956","HCPCS","Both",,,"60","30","Aetna","Commercial","",,"64",,"38.28","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) 250MG PREMIX","J1956","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","Pathways","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) 250MG PREMIX","J1956","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","HMO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) 250MG PREMIX","J1956","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","PPO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) 250MG PREMIX","J1956","HCPCS","Both",,,"60","30","Ambetter","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) 250MG PREMIX","J1956","HCPCS","Both",,,"60","30","Caresource","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) 250MG PREMIX","J1956","HCPCS","Both",,,"60","30","Cigna","Commercial","",,"59",,"35.16","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) 250MG PREMIX","J1956","HCPCS","Both",,,"60","30","Humana","Commercial","",,"78",,"46.5","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) 250MG PREMIX","J1956","HCPCS","Both",,,"60","30","UHC","Commercial","",,"75",,"45.24","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) 250MG PREMIX","J1956","HCPCS","Both",,,"60","30","Medicaid",,"",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) 500MG PREMIX","J1956","HCPCS","Both",,,"60","30","Alliant","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) 500MG PREMIX","J1956","HCPCS","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.4","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) 500MG PREMIX","J1956","HCPCS","Both",,,"60","30","Medicare",,"",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) 500MG PREMIX","J1956","HCPCS","Both",,,"60","30","Humana","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) 500MG PREMIX","J1956","HCPCS","Both",,,"60","30","UHC","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) 500MG PREMIX","J1956","HCPCS","Both",,,"60","30","Clover","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) 500MG PREMIX","J1956","HCPCS","Both",,,"60","30","Wellcare","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) 500MG PREMIX","J1956","HCPCS","Both",,,"60","30","Amerigroup","Medicaid Managed Care","",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) 500MG PREMIX","J1956","HCPCS","Both",,,"60","30","Caresource","Medicaid Managed Care","",,"40",,"24","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) 500MG PREMIX","J1956","HCPCS","Both",,,"60","30","Wellcare","Medicaid Managed Care","",,"40",,"24.3","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) 500MG PREMIX","J1956","HCPCS","Both",,,"60","30","Aetna","Commercial","",,"64",,"38.28","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) 500MG PREMIX","J1956","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","Pathways","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) 500MG PREMIX","J1956","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","HMO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) 500MG PREMIX","J1956","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","PPO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) 500MG PREMIX","J1956","HCPCS","Both",,,"60","30","Ambetter","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) 500MG PREMIX","J1956","HCPCS","Both",,,"60","30","Caresource","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) 500MG PREMIX","J1956","HCPCS","Both",,,"60","30","Cigna","Commercial","",,"59",,"35.16","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) 500MG PREMIX","J1956","HCPCS","Both",,,"60","30","Humana","Commercial","",,"78",,"46.5","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) 500MG PREMIX","J1956","HCPCS","Both",,,"60","30","UHC","Commercial","",,"75",,"45.24","21.96","46.5","percent of total billed charges",,
"LEVOFLOXACIN (LEVAQUIN) 500MG PREMIX","J1956","HCPCS","Both",,,"60","30","Medicaid",,"",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"GENTAMICIN 80MG/2ML INJECTION","J1580","HCPCS","Both",,,"23","11.5","Alliant","Health Exchange","",,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"GENTAMICIN 80MG/2ML INJECTION","J1580","HCPCS","Both",,,"23","11.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"12.42","8.42","17.82","percent of total billed charges",,
"GENTAMICIN 80MG/2ML INJECTION","J1580","HCPCS","Both",,,"23","11.5","Medicare",,"",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"GENTAMICIN 80MG/2ML INJECTION","J1580","HCPCS","Both",,,"23","11.5","Humana","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"GENTAMICIN 80MG/2ML INJECTION","J1580","HCPCS","Both",,,"23","11.5","UHC","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"GENTAMICIN 80MG/2ML INJECTION","J1580","HCPCS","Both",,,"23","11.5","Clover","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"GENTAMICIN 80MG/2ML INJECTION","J1580","HCPCS","Both",,,"23","11.5","Wellcare","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"GENTAMICIN 80MG/2ML INJECTION","J1580","HCPCS","Both",,,"23","11.5","Amerigroup","Medicaid Managed Care","",,"37",,"8.42","8.42","17.82","percent of total billed charges",,
"GENTAMICIN 80MG/2ML INJECTION","J1580","HCPCS","Both",,,"23","11.5","Caresource","Medicaid Managed Care","",,"40",,"9.2","8.42","17.82","percent of total billed charges",,
"GENTAMICIN 80MG/2ML INJECTION","J1580","HCPCS","Both",,,"23","11.5","Wellcare","Medicaid Managed Care","",,"40",,"9.32","8.42","17.82","percent of total billed charges",,
"GENTAMICIN 80MG/2ML INJECTION","J1580","HCPCS","Both",,,"23","11.5","Aetna","Commercial","",,"64",,"14.67","8.42","17.82","percent of total billed charges",,
"GENTAMICIN 80MG/2ML INJECTION","J1580","HCPCS","Both",,,"23","11.5","Blue Cross Blue Shield","Pathways","",,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"GENTAMICIN 80MG/2ML INJECTION","J1580","HCPCS","Both",,,"23","11.5","Blue Cross Blue Shield","HMO","",,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"GENTAMICIN 80MG/2ML INJECTION","J1580","HCPCS","Both",,,"23","11.5","Blue Cross Blue Shield","PPO","",,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"GENTAMICIN 80MG/2ML INJECTION","J1580","HCPCS","Both",,,"23","11.5","Ambetter","Health Exchange","",,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"GENTAMICIN 80MG/2ML INJECTION","J1580","HCPCS","Both",,,"23","11.5","Caresource","Health Exchange","",,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"GENTAMICIN 80MG/2ML INJECTION","J1580","HCPCS","Both",,,"23","11.5","Cigna","Commercial","",,"59",,"13.48","8.42","17.82","percent of total billed charges",,
"GENTAMICIN 80MG/2ML INJECTION","J1580","HCPCS","Both",,,"23","11.5","Humana","Commercial","",,"78",,"17.82","8.42","17.82","percent of total billed charges",,
"GENTAMICIN 80MG/2ML INJECTION","J1580","HCPCS","Both",,,"23","11.5","UHC","Commercial","",,"75",,"17.34","8.42","17.82","percent of total billed charges",,
"GENTAMICIN 80MG/2ML INJECTION","J1580","HCPCS","Both",,,"23","11.5","Medicaid",,"",,"37",,"8.42","8.42","17.82","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 500MG INJECTION","J0456","HCPCS","Both",,,"43","21.5","Alliant","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 500MG INJECTION","J0456","HCPCS","Both",,,"43","21.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"23.22","15.74","33.33","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 500MG INJECTION","J0456","HCPCS","Both",,,"43","21.5","Medicare",,"",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 500MG INJECTION","J0456","HCPCS","Both",,,"43","21.5","Humana","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 500MG INJECTION","J0456","HCPCS","Both",,,"43","21.5","UHC","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 500MG INJECTION","J0456","HCPCS","Both",,,"43","21.5","Clover","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 500MG INJECTION","J0456","HCPCS","Both",,,"43","21.5","Wellcare","Medicare Advantage","",,"54",,"23.31","15.74","33.33","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 500MG INJECTION","J0456","HCPCS","Both",,,"43","21.5","Amerigroup","Medicaid Managed Care","",,"37",,"15.74","15.74","33.33","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 500MG INJECTION","J0456","HCPCS","Both",,,"43","21.5","Caresource","Medicaid Managed Care","",,"40",,"17.2","15.74","33.33","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 500MG INJECTION","J0456","HCPCS","Both",,,"43","21.5","Wellcare","Medicaid Managed Care","",,"40",,"17.42","15.74","33.33","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 500MG INJECTION","J0456","HCPCS","Both",,,"43","21.5","Aetna","Commercial","",,"64",,"27.43","15.74","33.33","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 500MG INJECTION","J0456","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","Pathways","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 500MG INJECTION","J0456","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","HMO","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 500MG INJECTION","J0456","HCPCS","Both",,,"43","21.5","Blue Cross Blue Shield","PPO","",,"71",,"30.36","15.74","33.33","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 500MG INJECTION","J0456","HCPCS","Both",,,"43","21.5","Ambetter","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 500MG INJECTION","J0456","HCPCS","Both",,,"43","21.5","Caresource","Health Exchange","",,"62",,"26.66","15.74","33.33","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 500MG INJECTION","J0456","HCPCS","Both",,,"43","21.5","Cigna","Commercial","",,"59",,"25.2","15.74","33.33","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 500MG INJECTION","J0456","HCPCS","Both",,,"43","21.5","Humana","Commercial","",,"78",,"33.33","15.74","33.33","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 500MG INJECTION","J0456","HCPCS","Both",,,"43","21.5","UHC","Commercial","",,"75",,"32.42","15.74","33.33","percent of total billed charges",,
"AZITHROMYCIN (ZITHROMAX) 500MG INJECTION","J0456","HCPCS","Both",,,"43","21.5","Medicaid",,"",,"37",,"15.74","15.74","33.33","percent of total billed charges",,
"PIPERACILL/TAZOB (ZOSYN) 3.375GM INJ","J2543","HCPCS","Both",,,"60","30","Alliant","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"PIPERACILL/TAZOB (ZOSYN) 3.375GM INJ","J2543","HCPCS","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.4","21.96","46.5","percent of total billed charges",,
"PIPERACILL/TAZOB (ZOSYN) 3.375GM INJ","J2543","HCPCS","Both",,,"60","30","Medicare",,"",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"PIPERACILL/TAZOB (ZOSYN) 3.375GM INJ","J2543","HCPCS","Both",,,"60","30","Humana","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"PIPERACILL/TAZOB (ZOSYN) 3.375GM INJ","J2543","HCPCS","Both",,,"60","30","UHC","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"PIPERACILL/TAZOB (ZOSYN) 3.375GM INJ","J2543","HCPCS","Both",,,"60","30","Clover","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"PIPERACILL/TAZOB (ZOSYN) 3.375GM INJ","J2543","HCPCS","Both",,,"60","30","Wellcare","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"PIPERACILL/TAZOB (ZOSYN) 3.375GM INJ","J2543","HCPCS","Both",,,"60","30","Amerigroup","Medicaid Managed Care","",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"PIPERACILL/TAZOB (ZOSYN) 3.375GM INJ","J2543","HCPCS","Both",,,"60","30","Caresource","Medicaid Managed Care","",,"40",,"24","21.96","46.5","percent of total billed charges",,
"PIPERACILL/TAZOB (ZOSYN) 3.375GM INJ","J2543","HCPCS","Both",,,"60","30","Wellcare","Medicaid Managed Care","",,"40",,"24.3","21.96","46.5","percent of total billed charges",,
"PIPERACILL/TAZOB (ZOSYN) 3.375GM INJ","J2543","HCPCS","Both",,,"60","30","Aetna","Commercial","",,"64",,"38.28","21.96","46.5","percent of total billed charges",,
"PIPERACILL/TAZOB (ZOSYN) 3.375GM INJ","J2543","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","Pathways","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"PIPERACILL/TAZOB (ZOSYN) 3.375GM INJ","J2543","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","HMO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"PIPERACILL/TAZOB (ZOSYN) 3.375GM INJ","J2543","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","PPO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"PIPERACILL/TAZOB (ZOSYN) 3.375GM INJ","J2543","HCPCS","Both",,,"60","30","Ambetter","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"PIPERACILL/TAZOB (ZOSYN) 3.375GM INJ","J2543","HCPCS","Both",,,"60","30","Caresource","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"PIPERACILL/TAZOB (ZOSYN) 3.375GM INJ","J2543","HCPCS","Both",,,"60","30","Cigna","Commercial","",,"59",,"35.16","21.96","46.5","percent of total billed charges",,
"PIPERACILL/TAZOB (ZOSYN) 3.375GM INJ","J2543","HCPCS","Both",,,"60","30","Humana","Commercial","",,"78",,"46.5","21.96","46.5","percent of total billed charges",,
"PIPERACILL/TAZOB (ZOSYN) 3.375GM INJ","J2543","HCPCS","Both",,,"60","30","UHC","Commercial","",,"75",,"45.24","21.96","46.5","percent of total billed charges",,
"PIPERACILL/TAZOB (ZOSYN) 3.375GM INJ","J2543","HCPCS","Both",,,"60","30","Medicaid",,"",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"AMPICILLIN/SULBACT (UNASYN) 1.5GM INJ","J0295","HCPCS","Both",,,"52","26","Alliant","Health Exchange","",,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"AMPICILLIN/SULBACT (UNASYN) 1.5GM INJ","J0295","HCPCS","Both",,,"52","26","Pruitt Healthcare","Medicare Advantage","",,"54",,"28.08","19.03","40.3","percent of total billed charges",,
"AMPICILLIN/SULBACT (UNASYN) 1.5GM INJ","J0295","HCPCS","Both",,,"52","26","Medicare",,"",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"AMPICILLIN/SULBACT (UNASYN) 1.5GM INJ","J0295","HCPCS","Both",,,"52","26","Humana","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"AMPICILLIN/SULBACT (UNASYN) 1.5GM INJ","J0295","HCPCS","Both",,,"52","26","UHC","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"AMPICILLIN/SULBACT (UNASYN) 1.5GM INJ","J0295","HCPCS","Both",,,"52","26","Clover","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"AMPICILLIN/SULBACT (UNASYN) 1.5GM INJ","J0295","HCPCS","Both",,,"52","26","Wellcare","Medicare Advantage","",,"54",,"28.18","19.03","40.3","percent of total billed charges",,
"AMPICILLIN/SULBACT (UNASYN) 1.5GM INJ","J0295","HCPCS","Both",,,"52","26","Amerigroup","Medicaid Managed Care","",,"37",,"19.03","19.03","40.3","percent of total billed charges",,
"AMPICILLIN/SULBACT (UNASYN) 1.5GM INJ","J0295","HCPCS","Both",,,"52","26","Caresource","Medicaid Managed Care","",,"40",,"20.8","19.03","40.3","percent of total billed charges",,
"AMPICILLIN/SULBACT (UNASYN) 1.5GM INJ","J0295","HCPCS","Both",,,"52","26","Wellcare","Medicaid Managed Care","",,"40",,"21.06","19.03","40.3","percent of total billed charges",,
"AMPICILLIN/SULBACT (UNASYN) 1.5GM INJ","J0295","HCPCS","Both",,,"52","26","Aetna","Commercial","",,"64",,"33.18","19.03","40.3","percent of total billed charges",,
"AMPICILLIN/SULBACT (UNASYN) 1.5GM INJ","J0295","HCPCS","Both",,,"52","26","Blue Cross Blue Shield","Pathways","",,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"AMPICILLIN/SULBACT (UNASYN) 1.5GM INJ","J0295","HCPCS","Both",,,"52","26","Blue Cross Blue Shield","HMO","",,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"AMPICILLIN/SULBACT (UNASYN) 1.5GM INJ","J0295","HCPCS","Both",,,"52","26","Blue Cross Blue Shield","PPO","",,"71",,"36.71","19.03","40.3","percent of total billed charges",,
"AMPICILLIN/SULBACT (UNASYN) 1.5GM INJ","J0295","HCPCS","Both",,,"52","26","Ambetter","Health Exchange","",,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"AMPICILLIN/SULBACT (UNASYN) 1.5GM INJ","J0295","HCPCS","Both",,,"52","26","Caresource","Health Exchange","",,"62",,"32.24","19.03","40.3","percent of total billed charges",,
"AMPICILLIN/SULBACT (UNASYN) 1.5GM INJ","J0295","HCPCS","Both",,,"52","26","Cigna","Commercial","",,"59",,"30.47","19.03","40.3","percent of total billed charges",,
"AMPICILLIN/SULBACT (UNASYN) 1.5GM INJ","J0295","HCPCS","Both",,,"52","26","Humana","Commercial","",,"78",,"40.3","19.03","40.3","percent of total billed charges",,
"AMPICILLIN/SULBACT (UNASYN) 1.5GM INJ","J0295","HCPCS","Both",,,"52","26","UHC","Commercial","",,"75",,"39.21","19.03","40.3","percent of total billed charges",,
"AMPICILLIN/SULBACT (UNASYN) 1.5GM INJ","J0295","HCPCS","Both",,,"52","26","Medicaid",,"",,"37",,"19.03","19.03","40.3","percent of total billed charges",,
"OPTIFOAM SACRUM 7x7","A6214","HCPCS","Both",,,"14","7","Alliant","Health Exchange","",,"62",,"8.68","5.12","10.85","percent of total billed charges",,
"OPTIFOAM SACRUM 7x7","A6214","HCPCS","Both",,,"14","7","Pruitt Healthcare","Medicare Advantage","",,"54",,"7.56","5.12","10.85","percent of total billed charges",,
"OPTIFOAM SACRUM 7x7","A6214","HCPCS","Both",,,"14","7","Medicare",,"",,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"OPTIFOAM SACRUM 7x7","A6214","HCPCS","Both",,,"14","7","Humana","Medicare Advantage","",,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"OPTIFOAM SACRUM 7x7","A6214","HCPCS","Both",,,"14","7","UHC","Medicare Advantage","",,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"OPTIFOAM SACRUM 7x7","A6214","HCPCS","Both",,,"14","7","Clover","Medicare Advantage","",,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"OPTIFOAM SACRUM 7x7","A6214","HCPCS","Both",,,"14","7","Wellcare","Medicare Advantage","",,"54",,"7.59","5.12","10.85","percent of total billed charges",,
"OPTIFOAM SACRUM 7x7","A6214","HCPCS","Both",,,"14","7","Amerigroup","Medicaid Managed Care","",,"37",,"5.12","5.12","10.85","percent of total billed charges",,
"OPTIFOAM SACRUM 7x7","A6214","HCPCS","Both",,,"14","7","Caresource","Medicaid Managed Care","",,"40",,"5.6","5.12","10.85","percent of total billed charges",,
"OPTIFOAM SACRUM 7x7","A6214","HCPCS","Both",,,"14","7","Wellcare","Medicaid Managed Care","",,"40",,"5.67","5.12","10.85","percent of total billed charges",,
"OPTIFOAM SACRUM 7x7","A6214","HCPCS","Both",,,"14","7","Aetna","Commercial","",,"64",,"8.93","5.12","10.85","percent of total billed charges",,
"OPTIFOAM SACRUM 7x7","A6214","HCPCS","Both",,,"14","7","Blue Cross Blue Shield","Pathways","",,"71",,"9.88","5.12","10.85","percent of total billed charges",,
"OPTIFOAM SACRUM 7x7","A6214","HCPCS","Both",,,"14","7","Blue Cross Blue Shield","HMO","",,"71",,"9.88","5.12","10.85","percent of total billed charges",,
"OPTIFOAM SACRUM 7x7","A6214","HCPCS","Both",,,"14","7","Blue Cross Blue Shield","PPO","",,"71",,"9.88","5.12","10.85","percent of total billed charges",,
"OPTIFOAM SACRUM 7x7","A6214","HCPCS","Both",,,"14","7","Ambetter","Health Exchange","",,"62",,"8.68","5.12","10.85","percent of total billed charges",,
"OPTIFOAM SACRUM 7x7","A6214","HCPCS","Both",,,"14","7","Caresource","Health Exchange","",,"62",,"8.68","5.12","10.85","percent of total billed charges",,
"OPTIFOAM SACRUM 7x7","A6214","HCPCS","Both",,,"14","7","Cigna","Commercial","",,"59",,"8.2","5.12","10.85","percent of total billed charges",,
"OPTIFOAM SACRUM 7x7","A6214","HCPCS","Both",,,"14","7","Humana","Commercial","",,"78",,"10.85","5.12","10.85","percent of total billed charges",,
"OPTIFOAM SACRUM 7x7","A6214","HCPCS","Both",,,"14","7","UHC","Commercial","",,"75",,"10.56","5.12","10.85","percent of total billed charges",,
"OPTIFOAM SACRUM 7x7","A6214","HCPCS","Both",,,"14","7","Medicaid",,"",,"37",,"5.12","5.12","10.85","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01400","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01400","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01400","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01400","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01400","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01400","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01400","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01400","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01400","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01400","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01400","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01400","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01400","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01400","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01400","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01400","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01400","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01400","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01400","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL; KNEE JOINT","01400","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"CLOSED PROC LOWER LEG,ANK,FOO","01462","HCPCS","Both",,,"24.5","12.25","Alliant","Health Exchange","",,"62",,"15.19","8.97","18.99","percent of total billed charges",,
"CLOSED PROC LOWER LEG,ANK,FOO","01462","HCPCS","Both",,,"24.5","12.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"13.23","8.97","18.99","percent of total billed charges",,
"CLOSED PROC LOWER LEG,ANK,FOO","01462","HCPCS","Both",,,"24.5","12.25","Medicare",,"",,"54",,"13.28","8.97","18.99","percent of total billed charges",,
"CLOSED PROC LOWER LEG,ANK,FOO","01462","HCPCS","Both",,,"24.5","12.25","Humana","Medicare Advantage","",,"54",,"13.28","8.97","18.99","percent of total billed charges",,
"CLOSED PROC LOWER LEG,ANK,FOO","01462","HCPCS","Both",,,"24.5","12.25","UHC","Medicare Advantage","",,"54",,"13.28","8.97","18.99","percent of total billed charges",,
"CLOSED PROC LOWER LEG,ANK,FOO","01462","HCPCS","Both",,,"24.5","12.25","Clover","Medicare Advantage","",,"54",,"13.28","8.97","18.99","percent of total billed charges",,
"CLOSED PROC LOWER LEG,ANK,FOO","01462","HCPCS","Both",,,"24.5","12.25","Wellcare","Medicare Advantage","",,"54",,"13.28","8.97","18.99","percent of total billed charges",,
"CLOSED PROC LOWER LEG,ANK,FOO","01462","HCPCS","Both",,,"24.5","12.25","Amerigroup","Medicaid Managed Care","",,"37",,"8.97","8.97","18.99","percent of total billed charges",,
"CLOSED PROC LOWER LEG,ANK,FOO","01462","HCPCS","Both",,,"24.5","12.25","Caresource","Medicaid Managed Care","",,"40",,"9.8","8.97","18.99","percent of total billed charges",,
"CLOSED PROC LOWER LEG,ANK,FOO","01462","HCPCS","Both",,,"24.5","12.25","Wellcare","Medicaid Managed Care","",,"40",,"9.92","8.97","18.99","percent of total billed charges",,
"CLOSED PROC LOWER LEG,ANK,FOO","01462","HCPCS","Both",,,"24.5","12.25","Aetna","Commercial","",,"64",,"15.63","8.97","18.99","percent of total billed charges",,
"CLOSED PROC LOWER LEG,ANK,FOO","01462","HCPCS","Both",,,"24.5","12.25","Blue Cross Blue Shield","Pathways","",,"71",,"17.3","8.97","18.99","percent of total billed charges",,
"CLOSED PROC LOWER LEG,ANK,FOO","01462","HCPCS","Both",,,"24.5","12.25","Blue Cross Blue Shield","HMO","",,"71",,"17.3","8.97","18.99","percent of total billed charges",,
"CLOSED PROC LOWER LEG,ANK,FOO","01462","HCPCS","Both",,,"24.5","12.25","Blue Cross Blue Shield","PPO","",,"71",,"17.3","8.97","18.99","percent of total billed charges",,
"CLOSED PROC LOWER LEG,ANK,FOO","01462","HCPCS","Both",,,"24.5","12.25","Ambetter","Health Exchange","",,"62",,"15.19","8.97","18.99","percent of total billed charges",,
"CLOSED PROC LOWER LEG,ANK,FOO","01462","HCPCS","Both",,,"24.5","12.25","Caresource","Health Exchange","",,"62",,"15.19","8.97","18.99","percent of total billed charges",,
"CLOSED PROC LOWER LEG,ANK,FOO","01462","HCPCS","Both",,,"24.5","12.25","Cigna","Commercial","",,"59",,"14.36","8.97","18.99","percent of total billed charges",,
"CLOSED PROC LOWER LEG,ANK,FOO","01462","HCPCS","Both",,,"24.5","12.25","Humana","Commercial","",,"78",,"18.99","8.97","18.99","percent of total billed charges",,
"CLOSED PROC LOWER LEG,ANK,FOO","01462","HCPCS","Both",,,"24.5","12.25","UHC","Commercial","",,"75",,"18.47","8.97","18.99","percent of total billed charges",,
"CLOSED PROC LOWER LEG,ANK,FOO","01462","HCPCS","Both",,,"24.5","12.25","Medicaid",,"",,"37",,"8.97","8.97","18.99","percent of total billed charges",,
"SHOULDER AND AXILLA CLOSED PROCEDURE","01610","HCPCS","Both",,,"42.5","21.25","Alliant","Health Exchange","",,"62",,"26.35","15.56","32.94","percent of total billed charges",,
"SHOULDER AND AXILLA CLOSED PROCEDURE","01610","HCPCS","Both",,,"42.5","21.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"22.95","15.56","32.94","percent of total billed charges",,
"SHOULDER AND AXILLA CLOSED PROCEDURE","01610","HCPCS","Both",,,"42.5","21.25","Medicare",,"",,"54",,"23.04","15.56","32.94","percent of total billed charges",,
"SHOULDER AND AXILLA CLOSED PROCEDURE","01610","HCPCS","Both",,,"42.5","21.25","Humana","Medicare Advantage","",,"54",,"23.04","15.56","32.94","percent of total billed charges",,
"SHOULDER AND AXILLA CLOSED PROCEDURE","01610","HCPCS","Both",,,"42.5","21.25","UHC","Medicare Advantage","",,"54",,"23.04","15.56","32.94","percent of total billed charges",,
"SHOULDER AND AXILLA CLOSED PROCEDURE","01610","HCPCS","Both",,,"42.5","21.25","Clover","Medicare Advantage","",,"54",,"23.04","15.56","32.94","percent of total billed charges",,
"SHOULDER AND AXILLA CLOSED PROCEDURE","01610","HCPCS","Both",,,"42.5","21.25","Wellcare","Medicare Advantage","",,"54",,"23.04","15.56","32.94","percent of total billed charges",,
"SHOULDER AND AXILLA CLOSED PROCEDURE","01610","HCPCS","Both",,,"42.5","21.25","Amerigroup","Medicaid Managed Care","",,"37",,"15.56","15.56","32.94","percent of total billed charges",,
"SHOULDER AND AXILLA CLOSED PROCEDURE","01610","HCPCS","Both",,,"42.5","21.25","Caresource","Medicaid Managed Care","",,"40",,"17","15.56","32.94","percent of total billed charges",,
"SHOULDER AND AXILLA CLOSED PROCEDURE","01610","HCPCS","Both",,,"42.5","21.25","Wellcare","Medicaid Managed Care","",,"40",,"17.21","15.56","32.94","percent of total billed charges",,
"SHOULDER AND AXILLA CLOSED PROCEDURE","01610","HCPCS","Both",,,"42.5","21.25","Aetna","Commercial","",,"64",,"27.12","15.56","32.94","percent of total billed charges",,
"SHOULDER AND AXILLA CLOSED PROCEDURE","01610","HCPCS","Both",,,"42.5","21.25","Blue Cross Blue Shield","Pathways","",,"71",,"30","15.56","32.94","percent of total billed charges",,
"SHOULDER AND AXILLA CLOSED PROCEDURE","01610","HCPCS","Both",,,"42.5","21.25","Blue Cross Blue Shield","HMO","",,"71",,"30","15.56","32.94","percent of total billed charges",,
"SHOULDER AND AXILLA CLOSED PROCEDURE","01610","HCPCS","Both",,,"42.5","21.25","Blue Cross Blue Shield","PPO","",,"71",,"30","15.56","32.94","percent of total billed charges",,
"SHOULDER AND AXILLA CLOSED PROCEDURE","01610","HCPCS","Both",,,"42.5","21.25","Ambetter","Health Exchange","",,"62",,"26.35","15.56","32.94","percent of total billed charges",,
"SHOULDER AND AXILLA CLOSED PROCEDURE","01610","HCPCS","Both",,,"42.5","21.25","Caresource","Health Exchange","",,"62",,"26.35","15.56","32.94","percent of total billed charges",,
"SHOULDER AND AXILLA CLOSED PROCEDURE","01610","HCPCS","Both",,,"42.5","21.25","Cigna","Commercial","",,"59",,"24.9","15.56","32.94","percent of total billed charges",,
"SHOULDER AND AXILLA CLOSED PROCEDURE","01610","HCPCS","Both",,,"42.5","21.25","Humana","Commercial","",,"78",,"32.94","15.56","32.94","percent of total billed charges",,
"SHOULDER AND AXILLA CLOSED PROCEDURE","01610","HCPCS","Both",,,"42.5","21.25","UHC","Commercial","",,"75",,"32.04","15.56","32.94","percent of total billed charges",,
"SHOULDER AND AXILLA CLOSED PROCEDURE","01610","HCPCS","Both",,,"42.5","21.25","Medicaid",,"",,"37",,"15.56","15.56","32.94","percent of total billed charges",,
"FOREARM,WRIST,HAND","01810","HCPCS","Both",,,"8","4","Alliant","Health Exchange","",,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"FOREARM,WRIST,HAND","01810","HCPCS","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage","",,"54",,"4.32","2.93","6.2","percent of total billed charges",,
"FOREARM,WRIST,HAND","01810","HCPCS","Both",,,"8","4","Medicare",,"",,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"FOREARM,WRIST,HAND","01810","HCPCS","Both",,,"8","4","Humana","Medicare Advantage","",,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"FOREARM,WRIST,HAND","01810","HCPCS","Both",,,"8","4","UHC","Medicare Advantage","",,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"FOREARM,WRIST,HAND","01810","HCPCS","Both",,,"8","4","Clover","Medicare Advantage","",,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"FOREARM,WRIST,HAND","01810","HCPCS","Both",,,"8","4","Wellcare","Medicare Advantage","",,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"FOREARM,WRIST,HAND","01810","HCPCS","Both",,,"8","4","Amerigroup","Medicaid Managed Care","",,"37",,"2.93","2.93","6.2","percent of total billed charges",,
"FOREARM,WRIST,HAND","01810","HCPCS","Both",,,"8","4","Caresource","Medicaid Managed Care","",,"40",,"3.2","2.93","6.2","percent of total billed charges",,
"FOREARM,WRIST,HAND","01810","HCPCS","Both",,,"8","4","Wellcare","Medicaid Managed Care","",,"40",,"3.24","2.93","6.2","percent of total billed charges",,
"FOREARM,WRIST,HAND","01810","HCPCS","Both",,,"8","4","Aetna","Commercial","",,"64",,"5.1","2.93","6.2","percent of total billed charges",,
"FOREARM,WRIST,HAND","01810","HCPCS","Both",,,"8","4","Blue Cross Blue Shield","Pathways","",,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"FOREARM,WRIST,HAND","01810","HCPCS","Both",,,"8","4","Blue Cross Blue Shield","HMO","",,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"FOREARM,WRIST,HAND","01810","HCPCS","Both",,,"8","4","Blue Cross Blue Shield","PPO","",,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"FOREARM,WRIST,HAND","01810","HCPCS","Both",,,"8","4","Ambetter","Health Exchange","",,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"FOREARM,WRIST,HAND","01810","HCPCS","Both",,,"8","4","Caresource","Health Exchange","",,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"FOREARM,WRIST,HAND","01810","HCPCS","Both",,,"8","4","Cigna","Commercial","",,"59",,"4.69","2.93","6.2","percent of total billed charges",,
"FOREARM,WRIST,HAND","01810","HCPCS","Both",,,"8","4","Humana","Commercial","",,"78",,"6.2","2.93","6.2","percent of total billed charges",,
"FOREARM,WRIST,HAND","01810","HCPCS","Both",,,"8","4","UHC","Commercial","",,"75",,"6.03","2.93","6.2","percent of total billed charges",,
"FOREARM,WRIST,HAND","01810","HCPCS","Both",,,"8","4","Medicaid",,"",,"37",,"2.93","2.93","6.2","percent of total billed charges",,
"CLOSED PROCEDURES RADIUS ULNA","01820","HCPCS","Both",,,"89","44.5","Alliant","Health Exchange","",,"62",,"55.18","32.57","68.98","percent of total billed charges",,
"CLOSED PROCEDURES RADIUS ULNA","01820","HCPCS","Both",,,"89","44.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"48.06","32.57","68.98","percent of total billed charges",,
"CLOSED PROCEDURES RADIUS ULNA","01820","HCPCS","Both",,,"89","44.5","Medicare",,"",,"54",,"48.24","32.57","68.98","percent of total billed charges",,
"CLOSED PROCEDURES RADIUS ULNA","01820","HCPCS","Both",,,"89","44.5","Humana","Medicare Advantage","",,"54",,"48.24","32.57","68.98","percent of total billed charges",,
"CLOSED PROCEDURES RADIUS ULNA","01820","HCPCS","Both",,,"89","44.5","UHC","Medicare Advantage","",,"54",,"48.24","32.57","68.98","percent of total billed charges",,
"CLOSED PROCEDURES RADIUS ULNA","01820","HCPCS","Both",,,"89","44.5","Clover","Medicare Advantage","",,"54",,"48.24","32.57","68.98","percent of total billed charges",,
"CLOSED PROCEDURES RADIUS ULNA","01820","HCPCS","Both",,,"89","44.5","Wellcare","Medicare Advantage","",,"54",,"48.24","32.57","68.98","percent of total billed charges",,
"CLOSED PROCEDURES RADIUS ULNA","01820","HCPCS","Both",,,"89","44.5","Amerigroup","Medicaid Managed Care","",,"37",,"32.57","32.57","68.98","percent of total billed charges",,
"CLOSED PROCEDURES RADIUS ULNA","01820","HCPCS","Both",,,"89","44.5","Caresource","Medicaid Managed Care","",,"40",,"35.6","32.57","68.98","percent of total billed charges",,
"CLOSED PROCEDURES RADIUS ULNA","01820","HCPCS","Both",,,"89","44.5","Wellcare","Medicaid Managed Care","",,"40",,"36.04","32.57","68.98","percent of total billed charges",,
"CLOSED PROCEDURES RADIUS ULNA","01820","HCPCS","Both",,,"89","44.5","Aetna","Commercial","",,"64",,"56.78","32.57","68.98","percent of total billed charges",,
"CLOSED PROCEDURES RADIUS ULNA","01820","HCPCS","Both",,,"89","44.5","Blue Cross Blue Shield","Pathways","",,"71",,"62.83","32.57","68.98","percent of total billed charges",,
"CLOSED PROCEDURES RADIUS ULNA","01820","HCPCS","Both",,,"89","44.5","Blue Cross Blue Shield","HMO","",,"71",,"62.83","32.57","68.98","percent of total billed charges",,
"CLOSED PROCEDURES RADIUS ULNA","01820","HCPCS","Both",,,"89","44.5","Blue Cross Blue Shield","PPO","",,"71",,"62.83","32.57","68.98","percent of total billed charges",,
"CLOSED PROCEDURES RADIUS ULNA","01820","HCPCS","Both",,,"89","44.5","Ambetter","Health Exchange","",,"62",,"55.18","32.57","68.98","percent of total billed charges",,
"CLOSED PROCEDURES RADIUS ULNA","01820","HCPCS","Both",,,"89","44.5","Caresource","Health Exchange","",,"62",,"55.18","32.57","68.98","percent of total billed charges",,
"CLOSED PROCEDURES RADIUS ULNA","01820","HCPCS","Both",,,"89","44.5","Cigna","Commercial","",,"59",,"52.15","32.57","68.98","percent of total billed charges",,
"CLOSED PROCEDURES RADIUS ULNA","01820","HCPCS","Both",,,"89","44.5","Humana","Commercial","",,"78",,"68.98","32.57","68.98","percent of total billed charges",,
"CLOSED PROCEDURES RADIUS ULNA","01820","HCPCS","Both",,,"89","44.5","UHC","Commercial","",,"75",,"67.11","32.57","68.98","percent of total billed charges",,
"CLOSED PROCEDURES RADIUS ULNA","01820","HCPCS","Both",,,"89","44.5","Medicaid",,"",,"37",,"32.57","32.57","68.98","percent of total billed charges",,
"D5RL 1000ML","J7121","HCPCS","Both",,,"60","30","Alliant","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"D5RL 1000ML","J7121","HCPCS","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.4","21.96","46.5","percent of total billed charges",,
"D5RL 1000ML","J7121","HCPCS","Both",,,"60","30","Medicare",,"",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"D5RL 1000ML","J7121","HCPCS","Both",,,"60","30","Humana","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"D5RL 1000ML","J7121","HCPCS","Both",,,"60","30","UHC","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"D5RL 1000ML","J7121","HCPCS","Both",,,"60","30","Clover","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"D5RL 1000ML","J7121","HCPCS","Both",,,"60","30","Wellcare","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"D5RL 1000ML","J7121","HCPCS","Both",,,"60","30","Amerigroup","Medicaid Managed Care","",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"D5RL 1000ML","J7121","HCPCS","Both",,,"60","30","Caresource","Medicaid Managed Care","",,"40",,"24","21.96","46.5","percent of total billed charges",,
"D5RL 1000ML","J7121","HCPCS","Both",,,"60","30","Wellcare","Medicaid Managed Care","",,"40",,"24.3","21.96","46.5","percent of total billed charges",,
"D5RL 1000ML","J7121","HCPCS","Both",,,"60","30","Aetna","Commercial","",,"64",,"38.28","21.96","46.5","percent of total billed charges",,
"D5RL 1000ML","J7121","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","Pathways","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"D5RL 1000ML","J7121","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","HMO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"D5RL 1000ML","J7121","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","PPO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"D5RL 1000ML","J7121","HCPCS","Both",,,"60","30","Ambetter","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"D5RL 1000ML","J7121","HCPCS","Both",,,"60","30","Caresource","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"D5RL 1000ML","J7121","HCPCS","Both",,,"60","30","Cigna","Commercial","",,"59",,"35.16","21.96","46.5","percent of total billed charges",,
"D5RL 1000ML","J7121","HCPCS","Both",,,"60","30","Humana","Commercial","",,"78",,"46.5","21.96","46.5","percent of total billed charges",,
"D5RL 1000ML","J7121","HCPCS","Both",,,"60","30","UHC","Commercial","",,"75",,"45.24","21.96","46.5","percent of total billed charges",,
"D5RL 1000ML","J7121","HCPCS","Both",,,"60","30","Medicaid",,"",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"D5W 1000ML","J7070","HCPCS","Both",,,"60","30","Alliant","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"D5W 1000ML","J7070","HCPCS","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.4","21.96","46.5","percent of total billed charges",,
"D5W 1000ML","J7070","HCPCS","Both",,,"60","30","Medicare",,"",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"D5W 1000ML","J7070","HCPCS","Both",,,"60","30","Humana","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"D5W 1000ML","J7070","HCPCS","Both",,,"60","30","UHC","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"D5W 1000ML","J7070","HCPCS","Both",,,"60","30","Clover","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"D5W 1000ML","J7070","HCPCS","Both",,,"60","30","Wellcare","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"D5W 1000ML","J7070","HCPCS","Both",,,"60","30","Amerigroup","Medicaid Managed Care","",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"D5W 1000ML","J7070","HCPCS","Both",,,"60","30","Caresource","Medicaid Managed Care","",,"40",,"24","21.96","46.5","percent of total billed charges",,
"D5W 1000ML","J7070","HCPCS","Both",,,"60","30","Wellcare","Medicaid Managed Care","",,"40",,"24.3","21.96","46.5","percent of total billed charges",,
"D5W 1000ML","J7070","HCPCS","Both",,,"60","30","Aetna","Commercial","",,"64",,"38.28","21.96","46.5","percent of total billed charges",,
"D5W 1000ML","J7070","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","Pathways","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"D5W 1000ML","J7070","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","HMO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"D5W 1000ML","J7070","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","PPO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"D5W 1000ML","J7070","HCPCS","Both",,,"60","30","Ambetter","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"D5W 1000ML","J7070","HCPCS","Both",,,"60","30","Caresource","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"D5W 1000ML","J7070","HCPCS","Both",,,"60","30","Cigna","Commercial","",,"59",,"35.16","21.96","46.5","percent of total billed charges",,
"D5W 1000ML","J7070","HCPCS","Both",,,"60","30","Humana","Commercial","",,"78",,"46.5","21.96","46.5","percent of total billed charges",,
"D5W 1000ML","J7070","HCPCS","Both",,,"60","30","UHC","Commercial","",,"75",,"45.24","21.96","46.5","percent of total billed charges",,
"D5W 1000ML","J7070","HCPCS","Both",,,"60","30","Medicaid",,"",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"NORMAL SALINE 1000ML","J7030","HCPCS","Both",,,"60","30","Alliant","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"NORMAL SALINE 1000ML","J7030","HCPCS","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.4","21.96","46.5","percent of total billed charges",,
"NORMAL SALINE 1000ML","J7030","HCPCS","Both",,,"60","30","Medicare",,"",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"NORMAL SALINE 1000ML","J7030","HCPCS","Both",,,"60","30","Humana","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"NORMAL SALINE 1000ML","J7030","HCPCS","Both",,,"60","30","UHC","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"NORMAL SALINE 1000ML","J7030","HCPCS","Both",,,"60","30","Clover","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"NORMAL SALINE 1000ML","J7030","HCPCS","Both",,,"60","30","Wellcare","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"NORMAL SALINE 1000ML","J7030","HCPCS","Both",,,"60","30","Amerigroup","Medicaid Managed Care","",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"NORMAL SALINE 1000ML","J7030","HCPCS","Both",,,"60","30","Caresource","Medicaid Managed Care","",,"40",,"24","21.96","46.5","percent of total billed charges",,
"NORMAL SALINE 1000ML","J7030","HCPCS","Both",,,"60","30","Wellcare","Medicaid Managed Care","",,"40",,"24.3","21.96","46.5","percent of total billed charges",,
"NORMAL SALINE 1000ML","J7030","HCPCS","Both",,,"60","30","Aetna","Commercial","",,"64",,"38.28","21.96","46.5","percent of total billed charges",,
"NORMAL SALINE 1000ML","J7030","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","Pathways","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"NORMAL SALINE 1000ML","J7030","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","HMO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"NORMAL SALINE 1000ML","J7030","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","PPO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"NORMAL SALINE 1000ML","J7030","HCPCS","Both",,,"60","30","Ambetter","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"NORMAL SALINE 1000ML","J7030","HCPCS","Both",,,"60","30","Caresource","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"NORMAL SALINE 1000ML","J7030","HCPCS","Both",,,"60","30","Cigna","Commercial","",,"59",,"35.16","21.96","46.5","percent of total billed charges",,
"NORMAL SALINE 1000ML","J7030","HCPCS","Both",,,"60","30","Humana","Commercial","",,"78",,"46.5","21.96","46.5","percent of total billed charges",,
"NORMAL SALINE 1000ML","J7030","HCPCS","Both",,,"60","30","UHC","Commercial","",,"75",,"45.24","21.96","46.5","percent of total billed charges",,
"NORMAL SALINE 1000ML","J7030","HCPCS","Both",,,"60","30","Medicaid",,"",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"NORMAL SALINE 500ML","J7040","HCPCS","Both",,,"30","15","Alliant","Health Exchange","",,"62",,"18.6","10.98","23.25","percent of total billed charges",,
"NORMAL SALINE 500ML","J7040","HCPCS","Both",,,"30","15","Pruitt Healthcare","Medicare Advantage","",,"54",,"16.2","10.98","23.25","percent of total billed charges",,
"NORMAL SALINE 500ML","J7040","HCPCS","Both",,,"30","15","Medicare",,"",,"54",,"16.26","10.98","23.25","percent of total billed charges",,
"NORMAL SALINE 500ML","J7040","HCPCS","Both",,,"30","15","Humana","Medicare Advantage","",,"54",,"16.26","10.98","23.25","percent of total billed charges",,
"NORMAL SALINE 500ML","J7040","HCPCS","Both",,,"30","15","UHC","Medicare Advantage","",,"54",,"16.26","10.98","23.25","percent of total billed charges",,
"NORMAL SALINE 500ML","J7040","HCPCS","Both",,,"30","15","Clover","Medicare Advantage","",,"54",,"16.26","10.98","23.25","percent of total billed charges",,
"NORMAL SALINE 500ML","J7040","HCPCS","Both",,,"30","15","Wellcare","Medicare Advantage","",,"54",,"16.26","10.98","23.25","percent of total billed charges",,
"NORMAL SALINE 500ML","J7040","HCPCS","Both",,,"30","15","Amerigroup","Medicaid Managed Care","",,"37",,"10.98","10.98","23.25","percent of total billed charges",,
"NORMAL SALINE 500ML","J7040","HCPCS","Both",,,"30","15","Caresource","Medicaid Managed Care","",,"40",,"12","10.98","23.25","percent of total billed charges",,
"NORMAL SALINE 500ML","J7040","HCPCS","Both",,,"30","15","Wellcare","Medicaid Managed Care","",,"40",,"12.15","10.98","23.25","percent of total billed charges",,
"NORMAL SALINE 500ML","J7040","HCPCS","Both",,,"30","15","Aetna","Commercial","",,"64",,"19.14","10.98","23.25","percent of total billed charges",,
"NORMAL SALINE 500ML","J7040","HCPCS","Both",,,"30","15","Blue Cross Blue Shield","Pathways","",,"71",,"21.18","10.98","23.25","percent of total billed charges",,
"NORMAL SALINE 500ML","J7040","HCPCS","Both",,,"30","15","Blue Cross Blue Shield","HMO","",,"71",,"21.18","10.98","23.25","percent of total billed charges",,
"NORMAL SALINE 500ML","J7040","HCPCS","Both",,,"30","15","Blue Cross Blue Shield","PPO","",,"71",,"21.18","10.98","23.25","percent of total billed charges",,
"NORMAL SALINE 500ML","J7040","HCPCS","Both",,,"30","15","Ambetter","Health Exchange","",,"62",,"18.6","10.98","23.25","percent of total billed charges",,
"NORMAL SALINE 500ML","J7040","HCPCS","Both",,,"30","15","Caresource","Health Exchange","",,"62",,"18.6","10.98","23.25","percent of total billed charges",,
"NORMAL SALINE 500ML","J7040","HCPCS","Both",,,"30","15","Cigna","Commercial","",,"59",,"17.58","10.98","23.25","percent of total billed charges",,
"NORMAL SALINE 500ML","J7040","HCPCS","Both",,,"30","15","Humana","Commercial","",,"78",,"23.25","10.98","23.25","percent of total billed charges",,
"NORMAL SALINE 500ML","J7040","HCPCS","Both",,,"30","15","UHC","Commercial","",,"75",,"22.62","10.98","23.25","percent of total billed charges",,
"NORMAL SALINE 500ML","J7040","HCPCS","Both",,,"30","15","Medicaid",,"",,"37",,"10.98","10.98","23.25","percent of total billed charges",,
"LACTATED RINGERS 1000ML","J7120","HCPCS","Both",,,"60","30","Alliant","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"LACTATED RINGERS 1000ML","J7120","HCPCS","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.4","21.96","46.5","percent of total billed charges",,
"LACTATED RINGERS 1000ML","J7120","HCPCS","Both",,,"60","30","Medicare",,"",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"LACTATED RINGERS 1000ML","J7120","HCPCS","Both",,,"60","30","Humana","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"LACTATED RINGERS 1000ML","J7120","HCPCS","Both",,,"60","30","UHC","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"LACTATED RINGERS 1000ML","J7120","HCPCS","Both",,,"60","30","Clover","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"LACTATED RINGERS 1000ML","J7120","HCPCS","Both",,,"60","30","Wellcare","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"LACTATED RINGERS 1000ML","J7120","HCPCS","Both",,,"60","30","Amerigroup","Medicaid Managed Care","",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"LACTATED RINGERS 1000ML","J7120","HCPCS","Both",,,"60","30","Caresource","Medicaid Managed Care","",,"40",,"24","21.96","46.5","percent of total billed charges",,
"LACTATED RINGERS 1000ML","J7120","HCPCS","Both",,,"60","30","Wellcare","Medicaid Managed Care","",,"40",,"24.3","21.96","46.5","percent of total billed charges",,
"LACTATED RINGERS 1000ML","J7120","HCPCS","Both",,,"60","30","Aetna","Commercial","",,"64",,"38.28","21.96","46.5","percent of total billed charges",,
"LACTATED RINGERS 1000ML","J7120","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","Pathways","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"LACTATED RINGERS 1000ML","J7120","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","HMO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"LACTATED RINGERS 1000ML","J7120","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","PPO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"LACTATED RINGERS 1000ML","J7120","HCPCS","Both",,,"60","30","Ambetter","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"LACTATED RINGERS 1000ML","J7120","HCPCS","Both",,,"60","30","Caresource","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"LACTATED RINGERS 1000ML","J7120","HCPCS","Both",,,"60","30","Cigna","Commercial","",,"59",,"35.16","21.96","46.5","percent of total billed charges",,
"LACTATED RINGERS 1000ML","J7120","HCPCS","Both",,,"60","30","Humana","Commercial","",,"78",,"46.5","21.96","46.5","percent of total billed charges",,
"LACTATED RINGERS 1000ML","J7120","HCPCS","Both",,,"60","30","UHC","Commercial","",,"75",,"45.24","21.96","46.5","percent of total billed charges",,
"LACTATED RINGERS 1000ML","J7120","HCPCS","Both",,,"60","30","Medicaid",,"",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"RINGERS LACTATE 500ML","J7120","HCPCS","Both",,,"60","30","Alliant","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"RINGERS LACTATE 500ML","J7120","HCPCS","Both",,,"60","30","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.4","21.96","46.5","percent of total billed charges",,
"RINGERS LACTATE 500ML","J7120","HCPCS","Both",,,"60","30","Medicare",,"",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"RINGERS LACTATE 500ML","J7120","HCPCS","Both",,,"60","30","Humana","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"RINGERS LACTATE 500ML","J7120","HCPCS","Both",,,"60","30","UHC","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"RINGERS LACTATE 500ML","J7120","HCPCS","Both",,,"60","30","Clover","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"RINGERS LACTATE 500ML","J7120","HCPCS","Both",,,"60","30","Wellcare","Medicare Advantage","",,"54",,"32.52","21.96","46.5","percent of total billed charges",,
"RINGERS LACTATE 500ML","J7120","HCPCS","Both",,,"60","30","Amerigroup","Medicaid Managed Care","",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"RINGERS LACTATE 500ML","J7120","HCPCS","Both",,,"60","30","Caresource","Medicaid Managed Care","",,"40",,"24","21.96","46.5","percent of total billed charges",,
"RINGERS LACTATE 500ML","J7120","HCPCS","Both",,,"60","30","Wellcare","Medicaid Managed Care","",,"40",,"24.3","21.96","46.5","percent of total billed charges",,
"RINGERS LACTATE 500ML","J7120","HCPCS","Both",,,"60","30","Aetna","Commercial","",,"64",,"38.28","21.96","46.5","percent of total billed charges",,
"RINGERS LACTATE 500ML","J7120","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","Pathways","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"RINGERS LACTATE 500ML","J7120","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","HMO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"RINGERS LACTATE 500ML","J7120","HCPCS","Both",,,"60","30","Blue Cross Blue Shield","PPO","",,"71",,"42.36","21.96","46.5","percent of total billed charges",,
"RINGERS LACTATE 500ML","J7120","HCPCS","Both",,,"60","30","Ambetter","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"RINGERS LACTATE 500ML","J7120","HCPCS","Both",,,"60","30","Caresource","Health Exchange","",,"62",,"37.2","21.96","46.5","percent of total billed charges",,
"RINGERS LACTATE 500ML","J7120","HCPCS","Both",,,"60","30","Cigna","Commercial","",,"59",,"35.16","21.96","46.5","percent of total billed charges",,
"RINGERS LACTATE 500ML","J7120","HCPCS","Both",,,"60","30","Humana","Commercial","",,"78",,"46.5","21.96","46.5","percent of total billed charges",,
"RINGERS LACTATE 500ML","J7120","HCPCS","Both",,,"60","30","UHC","Commercial","",,"75",,"45.24","21.96","46.5","percent of total billed charges",,
"RINGERS LACTATE 500ML","J7120","HCPCS","Both",,,"60","30","Medicaid",,"",,"37",,"21.96","21.96","46.5","percent of total billed charges",,
"ANESTHESIA FOR SCREENING COLONOSCOPY","00812","HCPCS","Both",,,"64","32","Alliant","Health Exchange","",,"62",,"39.68","23.42","49.6","percent of total billed charges",,
"ANESTHESIA FOR SCREENING COLONOSCOPY","00812","HCPCS","Both",,,"64","32","Pruitt Healthcare","Medicare Advantage","",,"54",,"34.56","23.42","49.6","percent of total billed charges",,
"ANESTHESIA FOR SCREENING COLONOSCOPY","00812","HCPCS","Both",,,"64","32","Medicare",,"",,"54",,"34.69","23.42","49.6","percent of total billed charges",,
"ANESTHESIA FOR SCREENING COLONOSCOPY","00812","HCPCS","Both",,,"64","32","Humana","Medicare Advantage","",,"54",,"34.69","23.42","49.6","percent of total billed charges",,
"ANESTHESIA FOR SCREENING COLONOSCOPY","00812","HCPCS","Both",,,"64","32","UHC","Medicare Advantage","",,"54",,"34.69","23.42","49.6","percent of total billed charges",,
"ANESTHESIA FOR SCREENING COLONOSCOPY","00812","HCPCS","Both",,,"64","32","Clover","Medicare Advantage","",,"54",,"34.69","23.42","49.6","percent of total billed charges",,
"ANESTHESIA FOR SCREENING COLONOSCOPY","00812","HCPCS","Both",,,"64","32","Wellcare","Medicare Advantage","",,"54",,"34.69","23.42","49.6","percent of total billed charges",,
"ANESTHESIA FOR SCREENING COLONOSCOPY","00812","HCPCS","Both",,,"64","32","Amerigroup","Medicaid Managed Care","",,"37",,"23.42","23.42","49.6","percent of total billed charges",,
"ANESTHESIA FOR SCREENING COLONOSCOPY","00812","HCPCS","Both",,,"64","32","Caresource","Medicaid Managed Care","",,"40",,"25.6","23.42","49.6","percent of total billed charges",,
"ANESTHESIA FOR SCREENING COLONOSCOPY","00812","HCPCS","Both",,,"64","32","Wellcare","Medicaid Managed Care","",,"40",,"25.92","23.42","49.6","percent of total billed charges",,
"ANESTHESIA FOR SCREENING COLONOSCOPY","00812","HCPCS","Both",,,"64","32","Aetna","Commercial","",,"64",,"40.83","23.42","49.6","percent of total billed charges",,
"ANESTHESIA FOR SCREENING COLONOSCOPY","00812","HCPCS","Both",,,"64","32","Blue Cross Blue Shield","Pathways","",,"71",,"45.18","23.42","49.6","percent of total billed charges",,
"ANESTHESIA FOR SCREENING COLONOSCOPY","00812","HCPCS","Both",,,"64","32","Blue Cross Blue Shield","HMO","",,"71",,"45.18","23.42","49.6","percent of total billed charges",,
"ANESTHESIA FOR SCREENING COLONOSCOPY","00812","HCPCS","Both",,,"64","32","Blue Cross Blue Shield","PPO","",,"71",,"45.18","23.42","49.6","percent of total billed charges",,
"ANESTHESIA FOR SCREENING COLONOSCOPY","00812","HCPCS","Both",,,"64","32","Ambetter","Health Exchange","",,"62",,"39.68","23.42","49.6","percent of total billed charges",,
"ANESTHESIA FOR SCREENING COLONOSCOPY","00812","HCPCS","Both",,,"64","32","Caresource","Health Exchange","",,"62",,"39.68","23.42","49.6","percent of total billed charges",,
"ANESTHESIA FOR SCREENING COLONOSCOPY","00812","HCPCS","Both",,,"64","32","Cigna","Commercial","",,"59",,"37.5","23.42","49.6","percent of total billed charges",,
"ANESTHESIA FOR SCREENING COLONOSCOPY","00812","HCPCS","Both",,,"64","32","Humana","Commercial","",,"78",,"49.6","23.42","49.6","percent of total billed charges",,
"ANESTHESIA FOR SCREENING COLONOSCOPY","00812","HCPCS","Both",,,"64","32","UHC","Commercial","",,"75",,"48.26","23.42","49.6","percent of total billed charges",,
"ANESTHESIA FOR SCREENING COLONOSCOPY","00812","HCPCS","Both",,,"64","32","Medicaid",,"",,"37",,"23.42","23.42","49.6","percent of total billed charges",,
"ANESTHESIA FOR  UPPER & LOWER GI ENDO","00813","HCPCS","Both",,,"28.5","14.25","Alliant","Health Exchange","",,"62",,"17.67","10.43","22.09","percent of total billed charges",,
"ANESTHESIA FOR  UPPER & LOWER GI ENDO","00813","HCPCS","Both",,,"28.5","14.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"15.39","10.43","22.09","percent of total billed charges",,
"ANESTHESIA FOR  UPPER & LOWER GI ENDO","00813","HCPCS","Both",,,"28.5","14.25","Medicare",,"",,"54",,"15.45","10.43","22.09","percent of total billed charges",,
"ANESTHESIA FOR  UPPER & LOWER GI ENDO","00813","HCPCS","Both",,,"28.5","14.25","Humana","Medicare Advantage","",,"54",,"15.45","10.43","22.09","percent of total billed charges",,
"ANESTHESIA FOR  UPPER & LOWER GI ENDO","00813","HCPCS","Both",,,"28.5","14.25","UHC","Medicare Advantage","",,"54",,"15.45","10.43","22.09","percent of total billed charges",,
"ANESTHESIA FOR  UPPER & LOWER GI ENDO","00813","HCPCS","Both",,,"28.5","14.25","Clover","Medicare Advantage","",,"54",,"15.45","10.43","22.09","percent of total billed charges",,
"ANESTHESIA FOR  UPPER & LOWER GI ENDO","00813","HCPCS","Both",,,"28.5","14.25","Wellcare","Medicare Advantage","",,"54",,"15.45","10.43","22.09","percent of total billed charges",,
"ANESTHESIA FOR  UPPER & LOWER GI ENDO","00813","HCPCS","Both",,,"28.5","14.25","Amerigroup","Medicaid Managed Care","",,"37",,"10.43","10.43","22.09","percent of total billed charges",,
"ANESTHESIA FOR  UPPER & LOWER GI ENDO","00813","HCPCS","Both",,,"28.5","14.25","Caresource","Medicaid Managed Care","",,"40",,"11.4","10.43","22.09","percent of total billed charges",,
"ANESTHESIA FOR  UPPER & LOWER GI ENDO","00813","HCPCS","Both",,,"28.5","14.25","Wellcare","Medicaid Managed Care","",,"40",,"11.54","10.43","22.09","percent of total billed charges",,
"ANESTHESIA FOR  UPPER & LOWER GI ENDO","00813","HCPCS","Both",,,"28.5","14.25","Aetna","Commercial","",,"64",,"18.18","10.43","22.09","percent of total billed charges",,
"ANESTHESIA FOR  UPPER & LOWER GI ENDO","00813","HCPCS","Both",,,"28.5","14.25","Blue Cross Blue Shield","Pathways","",,"71",,"20.12","10.43","22.09","percent of total billed charges",,
"ANESTHESIA FOR  UPPER & LOWER GI ENDO","00813","HCPCS","Both",,,"28.5","14.25","Blue Cross Blue Shield","HMO","",,"71",,"20.12","10.43","22.09","percent of total billed charges",,
"ANESTHESIA FOR  UPPER & LOWER GI ENDO","00813","HCPCS","Both",,,"28.5","14.25","Blue Cross Blue Shield","PPO","",,"71",,"20.12","10.43","22.09","percent of total billed charges",,
"ANESTHESIA FOR  UPPER & LOWER GI ENDO","00813","HCPCS","Both",,,"28.5","14.25","Ambetter","Health Exchange","",,"62",,"17.67","10.43","22.09","percent of total billed charges",,
"ANESTHESIA FOR  UPPER & LOWER GI ENDO","00813","HCPCS","Both",,,"28.5","14.25","Caresource","Health Exchange","",,"62",,"17.67","10.43","22.09","percent of total billed charges",,
"ANESTHESIA FOR  UPPER & LOWER GI ENDO","00813","HCPCS","Both",,,"28.5","14.25","Cigna","Commercial","",,"59",,"16.7","10.43","22.09","percent of total billed charges",,
"ANESTHESIA FOR  UPPER & LOWER GI ENDO","00813","HCPCS","Both",,,"28.5","14.25","Humana","Commercial","",,"78",,"22.09","10.43","22.09","percent of total billed charges",,
"ANESTHESIA FOR  UPPER & LOWER GI ENDO","00813","HCPCS","Both",,,"28.5","14.25","UHC","Commercial","",,"75",,"21.49","10.43","22.09","percent of total billed charges",,
"ANESTHESIA FOR  UPPER & LOWER GI ENDO","00813","HCPCS","Both",,,"28.5","14.25","Medicaid",,"",,"37",,"10.43","10.43","22.09","percent of total billed charges",,
"HEAD (SALIVARY GLANDS)","00100","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"HEAD (SALIVARY GLANDS)","00100","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"HEAD (SALIVARY GLANDS)","00100","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"HEAD (SALIVARY GLANDS)","00100","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"HEAD (SALIVARY GLANDS)","00100","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"HEAD (SALIVARY GLANDS)","00100","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"HEAD (SALIVARY GLANDS)","00100","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"HEAD (SALIVARY GLANDS)","00100","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"HEAD (SALIVARY GLANDS)","00100","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"HEAD (SALIVARY GLANDS)","00100","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"HEAD (SALIVARY GLANDS)","00100","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"HEAD (SALIVARY GLANDS)","00100","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"HEAD (SALIVARY GLANDS)","00100","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"HEAD (SALIVARY GLANDS)","00100","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"HEAD (SALIVARY GLANDS)","00100","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"HEAD (SALIVARY GLANDS)","00100","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"HEAD (SALIVARY GLANDS)","00100","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"HEAD (SALIVARY GLANDS)","00100","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"HEAD (SALIVARY GLANDS)","00100","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"HEAD (SALIVARY GLANDS)","00100","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"HEAD (EAR, EXT,MID,INNER INCLUD BIOPSY)","00120","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"HEAD (EAR, EXT,MID,INNER INCLUD BIOPSY)","00120","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"HEAD (EAR, EXT,MID,INNER INCLUD BIOPSY)","00120","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"HEAD (EAR, EXT,MID,INNER INCLUD BIOPSY)","00120","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"HEAD (EAR, EXT,MID,INNER INCLUD BIOPSY)","00120","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"HEAD (EAR, EXT,MID,INNER INCLUD BIOPSY)","00120","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"HEAD (EAR, EXT,MID,INNER INCLUD BIOPSY)","00120","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"HEAD (EAR, EXT,MID,INNER INCLUD BIOPSY)","00120","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"HEAD (EAR, EXT,MID,INNER INCLUD BIOPSY)","00120","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"HEAD (EAR, EXT,MID,INNER INCLUD BIOPSY)","00120","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"HEAD (EAR, EXT,MID,INNER INCLUD BIOPSY)","00120","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"HEAD (EAR, EXT,MID,INNER INCLUD BIOPSY)","00120","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"HEAD (EAR, EXT,MID,INNER INCLUD BIOPSY)","00120","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"HEAD (EAR, EXT,MID,INNER INCLUD BIOPSY)","00120","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"HEAD (EAR, EXT,MID,INNER INCLUD BIOPSY)","00120","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"HEAD (EAR, EXT,MID,INNER INCLUD BIOPSY)","00120","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"HEAD (EAR, EXT,MID,INNER INCLUD BIOPSY)","00120","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"HEAD (EAR, EXT,MID,INNER INCLUD BIOPSY)","00120","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"HEAD (EAR, EXT,MID,INNER INCLUD BIOPSY)","00120","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"HEAD (EAR, EXT,MID,INNER INCLUD BIOPSY)","00120","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"HEAD (PROCEDURES NOSE & ACCESS SINUSES)","00160","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"HEAD (PROCEDURES NOSE & ACCESS SINUSES)","00160","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"HEAD (PROCEDURES NOSE & ACCESS SINUSES)","00160","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"HEAD (PROCEDURES NOSE & ACCESS SINUSES)","00160","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"HEAD (PROCEDURES NOSE & ACCESS SINUSES)","00160","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"HEAD (PROCEDURES NOSE & ACCESS SINUSES)","00160","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"HEAD (PROCEDURES NOSE & ACCESS SINUSES)","00160","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"HEAD (PROCEDURES NOSE & ACCESS SINUSES)","00160","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"HEAD (PROCEDURES NOSE & ACCESS SINUSES)","00160","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"HEAD (PROCEDURES NOSE & ACCESS SINUSES)","00160","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"HEAD (PROCEDURES NOSE & ACCESS SINUSES)","00160","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"HEAD (PROCEDURES NOSE & ACCESS SINUSES)","00160","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"HEAD (PROCEDURES NOSE & ACCESS SINUSES)","00160","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"HEAD (PROCEDURES NOSE & ACCESS SINUSES)","00160","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"HEAD (PROCEDURES NOSE & ACCESS SINUSES)","00160","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"HEAD (PROCEDURES NOSE & ACCESS SINUSES)","00160","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"HEAD (PROCEDURES NOSE & ACCESS SINUSES)","00160","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"HEAD (PROCEDURES NOSE & ACCESS SINUSES)","00160","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"HEAD (PROCEDURES NOSE & ACCESS SINUSES)","00160","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"HEAD (PROCEDURES NOSE & ACCESS SINUSES)","00160","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"HEAD (BIOPSY SOFT TISSUE)","00164","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"HEAD (BIOPSY SOFT TISSUE)","00164","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"HEAD (BIOPSY SOFT TISSUE)","00164","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"HEAD (BIOPSY SOFT TISSUE)","00164","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"HEAD (BIOPSY SOFT TISSUE)","00164","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"HEAD (BIOPSY SOFT TISSUE)","00164","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"HEAD (BIOPSY SOFT TISSUE)","00164","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"HEAD (BIOPSY SOFT TISSUE)","00164","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"HEAD (BIOPSY SOFT TISSUE)","00164","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"HEAD (BIOPSY SOFT TISSUE)","00164","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"HEAD (BIOPSY SOFT TISSUE)","00164","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"HEAD (BIOPSY SOFT TISSUE)","00164","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"HEAD (BIOPSY SOFT TISSUE)","00164","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"HEAD (BIOPSY SOFT TISSUE)","00164","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"HEAD (BIOPSY SOFT TISSUE)","00164","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"HEAD (BIOPSY SOFT TISSUE)","00164","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"HEAD (BIOPSY SOFT TISSUE)","00164","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"HEAD (BIOPSY SOFT TISSUE)","00164","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"HEAD (BIOPSY SOFT TISSUE)","00164","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"HEAD (BIOPSY SOFT TISSUE)","00164","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"HEAD (INTRAORAL PROCEDURES INCL BIOPSY)","00170","HCPCS","Both",,,"63.5","31.75","Alliant","Health Exchange","",,"62",,"39.37","23.24","49.21","percent of total billed charges",,
"HEAD (INTRAORAL PROCEDURES INCL BIOPSY)","00170","HCPCS","Both",,,"63.5","31.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"34.29","23.24","49.21","percent of total billed charges",,
"HEAD (INTRAORAL PROCEDURES INCL BIOPSY)","00170","HCPCS","Both",,,"63.5","31.75","Medicare",,"",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"HEAD (INTRAORAL PROCEDURES INCL BIOPSY)","00170","HCPCS","Both",,,"63.5","31.75","Humana","Medicare Advantage","",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"HEAD (INTRAORAL PROCEDURES INCL BIOPSY)","00170","HCPCS","Both",,,"63.5","31.75","UHC","Medicare Advantage","",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"HEAD (INTRAORAL PROCEDURES INCL BIOPSY)","00170","HCPCS","Both",,,"63.5","31.75","Clover","Medicare Advantage","",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"HEAD (INTRAORAL PROCEDURES INCL BIOPSY)","00170","HCPCS","Both",,,"63.5","31.75","Wellcare","Medicare Advantage","",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"HEAD (INTRAORAL PROCEDURES INCL BIOPSY)","00170","HCPCS","Both",,,"63.5","31.75","Amerigroup","Medicaid Managed Care","",,"37",,"23.24","23.24","49.21","percent of total billed charges",,
"HEAD (INTRAORAL PROCEDURES INCL BIOPSY)","00170","HCPCS","Both",,,"63.5","31.75","Caresource","Medicaid Managed Care","",,"40",,"25.4","23.24","49.21","percent of total billed charges",,
"HEAD (INTRAORAL PROCEDURES INCL BIOPSY)","00170","HCPCS","Both",,,"63.5","31.75","Wellcare","Medicaid Managed Care","",,"40",,"25.72","23.24","49.21","percent of total billed charges",,
"HEAD (INTRAORAL PROCEDURES INCL BIOPSY)","00170","HCPCS","Both",,,"63.5","31.75","Aetna","Commercial","",,"64",,"40.51","23.24","49.21","percent of total billed charges",,
"HEAD (INTRAORAL PROCEDURES INCL BIOPSY)","00170","HCPCS","Both",,,"63.5","31.75","Blue Cross Blue Shield","Pathways","",,"71",,"44.83","23.24","49.21","percent of total billed charges",,
"HEAD (INTRAORAL PROCEDURES INCL BIOPSY)","00170","HCPCS","Both",,,"63.5","31.75","Blue Cross Blue Shield","HMO","",,"71",,"44.83","23.24","49.21","percent of total billed charges",,
"HEAD (INTRAORAL PROCEDURES INCL BIOPSY)","00170","HCPCS","Both",,,"63.5","31.75","Blue Cross Blue Shield","PPO","",,"71",,"44.83","23.24","49.21","percent of total billed charges",,
"HEAD (INTRAORAL PROCEDURES INCL BIOPSY)","00170","HCPCS","Both",,,"63.5","31.75","Ambetter","Health Exchange","",,"62",,"39.37","23.24","49.21","percent of total billed charges",,
"HEAD (INTRAORAL PROCEDURES INCL BIOPSY)","00170","HCPCS","Both",,,"63.5","31.75","Caresource","Health Exchange","",,"62",,"39.37","23.24","49.21","percent of total billed charges",,
"HEAD (INTRAORAL PROCEDURES INCL BIOPSY)","00170","HCPCS","Both",,,"63.5","31.75","Cigna","Commercial","",,"59",,"37.21","23.24","49.21","percent of total billed charges",,
"HEAD (INTRAORAL PROCEDURES INCL BIOPSY)","00170","HCPCS","Both",,,"63.5","31.75","Humana","Commercial","",,"78",,"49.21","23.24","49.21","percent of total billed charges",,
"HEAD (INTRAORAL PROCEDURES INCL BIOPSY)","00170","HCPCS","Both",,,"63.5","31.75","UHC","Commercial","",,"75",,"47.88","23.24","49.21","percent of total billed charges",,
"HEAD (INTRAORAL PROCEDURES INCL BIOPSY)","00170","HCPCS","Both",,,"63.5","31.75","Medicaid",,"",,"37",,"23.24","23.24","49.21","percent of total billed charges",,
"NECK (INTEGUMENTARY)","00300","HCPCS","Both",,,"9","4.5","Alliant","Health Exchange","",,"62",,"5.58","3.29","6.98","percent of total billed charges",,
"NECK (INTEGUMENTARY)","00300","HCPCS","Both",,,"9","4.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"4.86","3.29","6.98","percent of total billed charges",,
"NECK (INTEGUMENTARY)","00300","HCPCS","Both",,,"9","4.5","Medicare",,"",,"54",,"4.88","3.29","6.98","percent of total billed charges",,
"NECK (INTEGUMENTARY)","00300","HCPCS","Both",,,"9","4.5","Humana","Medicare Advantage","",,"54",,"4.88","3.29","6.98","percent of total billed charges",,
"NECK (INTEGUMENTARY)","00300","HCPCS","Both",,,"9","4.5","UHC","Medicare Advantage","",,"54",,"4.88","3.29","6.98","percent of total billed charges",,
"NECK (INTEGUMENTARY)","00300","HCPCS","Both",,,"9","4.5","Clover","Medicare Advantage","",,"54",,"4.88","3.29","6.98","percent of total billed charges",,
"NECK (INTEGUMENTARY)","00300","HCPCS","Both",,,"9","4.5","Wellcare","Medicare Advantage","",,"54",,"4.88","3.29","6.98","percent of total billed charges",,
"NECK (INTEGUMENTARY)","00300","HCPCS","Both",,,"9","4.5","Amerigroup","Medicaid Managed Care","",,"37",,"3.29","3.29","6.98","percent of total billed charges",,
"NECK (INTEGUMENTARY)","00300","HCPCS","Both",,,"9","4.5","Caresource","Medicaid Managed Care","",,"40",,"3.6","3.29","6.98","percent of total billed charges",,
"NECK (INTEGUMENTARY)","00300","HCPCS","Both",,,"9","4.5","Wellcare","Medicaid Managed Care","",,"40",,"3.65","3.29","6.98","percent of total billed charges",,
"NECK (INTEGUMENTARY)","00300","HCPCS","Both",,,"9","4.5","Aetna","Commercial","",,"64",,"5.74","3.29","6.98","percent of total billed charges",,
"NECK (INTEGUMENTARY)","00300","HCPCS","Both",,,"9","4.5","Blue Cross Blue Shield","Pathways","",,"71",,"6.35","3.29","6.98","percent of total billed charges",,
"NECK (INTEGUMENTARY)","00300","HCPCS","Both",,,"9","4.5","Blue Cross Blue Shield","HMO","",,"71",,"6.35","3.29","6.98","percent of total billed charges",,
"NECK (INTEGUMENTARY)","00300","HCPCS","Both",,,"9","4.5","Blue Cross Blue Shield","PPO","",,"71",,"6.35","3.29","6.98","percent of total billed charges",,
"NECK (INTEGUMENTARY)","00300","HCPCS","Both",,,"9","4.5","Ambetter","Health Exchange","",,"62",,"5.58","3.29","6.98","percent of total billed charges",,
"NECK (INTEGUMENTARY)","00300","HCPCS","Both",,,"9","4.5","Caresource","Health Exchange","",,"62",,"5.58","3.29","6.98","percent of total billed charges",,
"NECK (INTEGUMENTARY)","00300","HCPCS","Both",,,"9","4.5","Cigna","Commercial","",,"59",,"5.27","3.29","6.98","percent of total billed charges",,
"NECK (INTEGUMENTARY)","00300","HCPCS","Both",,,"9","4.5","Humana","Commercial","",,"78",,"6.98","3.29","6.98","percent of total billed charges",,
"NECK (INTEGUMENTARY)","00300","HCPCS","Both",,,"9","4.5","UHC","Commercial","",,"75",,"6.79","3.29","6.98","percent of total billed charges",,
"NECK (INTEGUMENTARY)","00300","HCPCS","Both",,,"9","4.5","Medicaid",,"",,"37",,"3.29","3.29","6.98","percent of total billed charges",,
"NECK (ESOPHAGUS,THROAT,LARYNYX,TRACH)","00320","HCPCS","Both",,,"55.5","27.75","Alliant","Health Exchange","",,"62",,"34.41","20.31","43.01","percent of total billed charges",,
"NECK (ESOPHAGUS,THROAT,LARYNYX,TRACH)","00320","HCPCS","Both",,,"55.5","27.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"29.97","20.31","43.01","percent of total billed charges",,
"NECK (ESOPHAGUS,THROAT,LARYNYX,TRACH)","00320","HCPCS","Both",,,"55.5","27.75","Medicare",,"",,"54",,"30.08","20.31","43.01","percent of total billed charges",,
"NECK (ESOPHAGUS,THROAT,LARYNYX,TRACH)","00320","HCPCS","Both",,,"55.5","27.75","Humana","Medicare Advantage","",,"54",,"30.08","20.31","43.01","percent of total billed charges",,
"NECK (ESOPHAGUS,THROAT,LARYNYX,TRACH)","00320","HCPCS","Both",,,"55.5","27.75","UHC","Medicare Advantage","",,"54",,"30.08","20.31","43.01","percent of total billed charges",,
"NECK (ESOPHAGUS,THROAT,LARYNYX,TRACH)","00320","HCPCS","Both",,,"55.5","27.75","Clover","Medicare Advantage","",,"54",,"30.08","20.31","43.01","percent of total billed charges",,
"NECK (ESOPHAGUS,THROAT,LARYNYX,TRACH)","00320","HCPCS","Both",,,"55.5","27.75","Wellcare","Medicare Advantage","",,"54",,"30.08","20.31","43.01","percent of total billed charges",,
"NECK (ESOPHAGUS,THROAT,LARYNYX,TRACH)","00320","HCPCS","Both",,,"55.5","27.75","Amerigroup","Medicaid Managed Care","",,"37",,"20.31","20.31","43.01","percent of total billed charges",,
"NECK (ESOPHAGUS,THROAT,LARYNYX,TRACH)","00320","HCPCS","Both",,,"55.5","27.75","Caresource","Medicaid Managed Care","",,"40",,"22.2","20.31","43.01","percent of total billed charges",,
"NECK (ESOPHAGUS,THROAT,LARYNYX,TRACH)","00320","HCPCS","Both",,,"55.5","27.75","Wellcare","Medicaid Managed Care","",,"40",,"22.48","20.31","43.01","percent of total billed charges",,
"NECK (ESOPHAGUS,THROAT,LARYNYX,TRACH)","00320","HCPCS","Both",,,"55.5","27.75","Aetna","Commercial","",,"64",,"35.41","20.31","43.01","percent of total billed charges",,
"NECK (ESOPHAGUS,THROAT,LARYNYX,TRACH)","00320","HCPCS","Both",,,"55.5","27.75","Blue Cross Blue Shield","Pathways","",,"71",,"39.18","20.31","43.01","percent of total billed charges",,
"NECK (ESOPHAGUS,THROAT,LARYNYX,TRACH)","00320","HCPCS","Both",,,"55.5","27.75","Blue Cross Blue Shield","HMO","",,"71",,"39.18","20.31","43.01","percent of total billed charges",,
"NECK (ESOPHAGUS,THROAT,LARYNYX,TRACH)","00320","HCPCS","Both",,,"55.5","27.75","Blue Cross Blue Shield","PPO","",,"71",,"39.18","20.31","43.01","percent of total billed charges",,
"NECK (ESOPHAGUS,THROAT,LARYNYX,TRACH)","00320","HCPCS","Both",,,"55.5","27.75","Ambetter","Health Exchange","",,"62",,"34.41","20.31","43.01","percent of total billed charges",,
"NECK (ESOPHAGUS,THROAT,LARYNYX,TRACH)","00320","HCPCS","Both",,,"55.5","27.75","Caresource","Health Exchange","",,"62",,"34.41","20.31","43.01","percent of total billed charges",,
"NECK (ESOPHAGUS,THROAT,LARYNYX,TRACH)","00320","HCPCS","Both",,,"55.5","27.75","Cigna","Commercial","",,"59",,"32.52","20.31","43.01","percent of total billed charges",,
"NECK (ESOPHAGUS,THROAT,LARYNYX,TRACH)","00320","HCPCS","Both",,,"55.5","27.75","Humana","Commercial","",,"78",,"43.01","20.31","43.01","percent of total billed charges",,
"NECK (ESOPHAGUS,THROAT,LARYNYX,TRACH)","00320","HCPCS","Both",,,"55.5","27.75","UHC","Commercial","",,"75",,"41.85","20.31","43.01","percent of total billed charges",,
"NECK (ESOPHAGUS,THROAT,LARYNYX,TRACH)","00320","HCPCS","Both",,,"55.5","27.75","Medicaid",,"",,"37",,"20.31","20.31","43.01","percent of total billed charges",,
"NECK (NEEDLE BIOPSY OF THYROID)","00322","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"NECK (NEEDLE BIOPSY OF THYROID)","00322","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"NECK (NEEDLE BIOPSY OF THYROID)","00322","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"NECK (NEEDLE BIOPSY OF THYROID)","00322","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"NECK (NEEDLE BIOPSY OF THYROID)","00322","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"NECK (NEEDLE BIOPSY OF THYROID)","00322","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"NECK (NEEDLE BIOPSY OF THYROID)","00322","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"NECK (NEEDLE BIOPSY OF THYROID)","00322","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"NECK (NEEDLE BIOPSY OF THYROID)","00322","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"NECK (NEEDLE BIOPSY OF THYROID)","00322","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"NECK (NEEDLE BIOPSY OF THYROID)","00322","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"NECK (NEEDLE BIOPSY OF THYROID)","00322","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"NECK (NEEDLE BIOPSY OF THYROID)","00322","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"NECK (NEEDLE BIOPSY OF THYROID)","00322","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"NECK (NEEDLE BIOPSY OF THYROID)","00322","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"NECK (NEEDLE BIOPSY OF THYROID)","00322","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"NECK (NEEDLE BIOPSY OF THYROID)","00322","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"NECK (NEEDLE BIOPSY OF THYROID)","00322","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"NECK (NEEDLE BIOPSY OF THYROID)","00322","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"NECK (NEEDLE BIOPSY OF THYROID)","00322","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"ANESTHESIA OTOSCOPY","00124","HCPCS","Both",,,"15","7.5","Alliant","Health Exchange","",,"62",,"9.3","5.49","11.62","percent of total billed charges",,
"ANESTHESIA OTOSCOPY","00124","HCPCS","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"8.1","5.49","11.62","percent of total billed charges",,
"ANESTHESIA OTOSCOPY","00124","HCPCS","Both",,,"15","7.5","Medicare",,"",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"ANESTHESIA OTOSCOPY","00124","HCPCS","Both",,,"15","7.5","Humana","Medicare Advantage","",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"ANESTHESIA OTOSCOPY","00124","HCPCS","Both",,,"15","7.5","UHC","Medicare Advantage","",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"ANESTHESIA OTOSCOPY","00124","HCPCS","Both",,,"15","7.5","Clover","Medicare Advantage","",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"ANESTHESIA OTOSCOPY","00124","HCPCS","Both",,,"15","7.5","Wellcare","Medicare Advantage","",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"ANESTHESIA OTOSCOPY","00124","HCPCS","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care","",,"37",,"5.49","5.49","11.62","percent of total billed charges",,
"ANESTHESIA OTOSCOPY","00124","HCPCS","Both",,,"15","7.5","Caresource","Medicaid Managed Care","",,"40",,"6","5.49","11.62","percent of total billed charges",,
"ANESTHESIA OTOSCOPY","00124","HCPCS","Both",,,"15","7.5","Wellcare","Medicaid Managed Care","",,"40",,"6.08","5.49","11.62","percent of total billed charges",,
"ANESTHESIA OTOSCOPY","00124","HCPCS","Both",,,"15","7.5","Aetna","Commercial","",,"64",,"9.57","5.49","11.62","percent of total billed charges",,
"ANESTHESIA OTOSCOPY","00124","HCPCS","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways","",,"71",,"10.59","5.49","11.62","percent of total billed charges",,
"ANESTHESIA OTOSCOPY","00124","HCPCS","Both",,,"15","7.5","Blue Cross Blue Shield","HMO","",,"71",,"10.59","5.49","11.62","percent of total billed charges",,
"ANESTHESIA OTOSCOPY","00124","HCPCS","Both",,,"15","7.5","Blue Cross Blue Shield","PPO","",,"71",,"10.59","5.49","11.62","percent of total billed charges",,
"ANESTHESIA OTOSCOPY","00124","HCPCS","Both",,,"15","7.5","Ambetter","Health Exchange","",,"62",,"9.3","5.49","11.62","percent of total billed charges",,
"ANESTHESIA OTOSCOPY","00124","HCPCS","Both",,,"15","7.5","Caresource","Health Exchange","",,"62",,"9.3","5.49","11.62","percent of total billed charges",,
"ANESTHESIA OTOSCOPY","00124","HCPCS","Both",,,"15","7.5","Cigna","Commercial","",,"59",,"8.79","5.49","11.62","percent of total billed charges",,
"ANESTHESIA OTOSCOPY","00124","HCPCS","Both",,,"15","7.5","Humana","Commercial","",,"78",,"11.62","5.49","11.62","percent of total billed charges",,
"ANESTHESIA OTOSCOPY","00124","HCPCS","Both",,,"15","7.5","UHC","Commercial","",,"75",,"11.31","5.49","11.62","percent of total billed charges",,
"ANESTHESIA OTOSCOPY","00124","HCPCS","Both",,,"15","7.5","Medicaid",,"",,"37",,"5.49","5.49","11.62","percent of total billed charges",,
"THORAX (ELECTRICAL CONVERSION OF ARRHYTH","00410","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"THORAX (ELECTRICAL CONVERSION OF ARRHYTH","00410","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"THORAX (ELECTRICAL CONVERSION OF ARRHYTH","00410","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"THORAX (ELECTRICAL CONVERSION OF ARRHYTH","00410","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"THORAX (ELECTRICAL CONVERSION OF ARRHYTH","00410","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"THORAX (ELECTRICAL CONVERSION OF ARRHYTH","00410","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"THORAX (ELECTRICAL CONVERSION OF ARRHYTH","00410","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"THORAX (ELECTRICAL CONVERSION OF ARRHYTH","00410","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"THORAX (ELECTRICAL CONVERSION OF ARRHYTH","00410","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"THORAX (ELECTRICAL CONVERSION OF ARRHYTH","00410","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"THORAX (ELECTRICAL CONVERSION OF ARRHYTH","00410","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"THORAX (ELECTRICAL CONVERSION OF ARRHYTH","00410","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"THORAX (ELECTRICAL CONVERSION OF ARRHYTH","00410","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"THORAX (ELECTRICAL CONVERSION OF ARRHYTH","00410","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"THORAX (ELECTRICAL CONVERSION OF ARRHYTH","00410","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"THORAX (ELECTRICAL CONVERSION OF ARRHYTH","00410","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"THORAX (ELECTRICAL CONVERSION OF ARRHYTH","00410","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"THORAX (ELECTRICAL CONVERSION OF ARRHYTH","00410","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"THORAX (ELECTRICAL CONVERSION OF ARRHYTH","00410","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"THORAX (ELECTRICAL CONVERSION OF ARRHYTH","00410","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ESOPHAGUS)","00500","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ESOPHAGUS)","00500","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ESOPHAGUS)","00500","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ESOPHAGUS)","00500","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ESOPHAGUS)","00500","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ESOPHAGUS)","00500","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ESOPHAGUS)","00500","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ESOPHAGUS)","00500","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ESOPHAGUS)","00500","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ESOPHAGUS)","00500","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ESOPHAGUS)","00500","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ESOPHAGUS)","00500","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ESOPHAGUS)","00500","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ESOPHAGUS)","00500","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ESOPHAGUS)","00500","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ESOPHAGUS)","00500","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ESOPHAGUS)","00500","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ESOPHAGUS)","00500","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ESOPHAGUS)","00500","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ESOPHAGUS)","00500","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (CLOSED CHEST PROCEDURES)","00520","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (CLOSED CHEST PROCEDURES)","00520","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (CLOSED CHEST PROCEDURES)","00520","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (CLOSED CHEST PROCEDURES)","00520","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (CLOSED CHEST PROCEDURES)","00520","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (CLOSED CHEST PROCEDURES)","00520","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (CLOSED CHEST PROCEDURES)","00520","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (CLOSED CHEST PROCEDURES)","00520","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (CLOSED CHEST PROCEDURES)","00520","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (CLOSED CHEST PROCEDURES)","00520","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (CLOSED CHEST PROCEDURES)","00520","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (CLOSED CHEST PROCEDURES)","00520","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (CLOSED CHEST PROCEDURES)","00520","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (CLOSED CHEST PROCEDURES)","00520","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (CLOSED CHEST PROCEDURES)","00520","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (CLOSED CHEST PROCEDURES)","00520","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (CLOSED CHEST PROCEDURES)","00520","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (CLOSED CHEST PROCEDURES)","00520","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (CLOSED CHEST PROCEDURES)","00520","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (CLOSED CHEST PROCEDURES)","00520","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (NEEDLE BIOPSY OF PLEURA)","00522","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (NEEDLE BIOPSY OF PLEURA)","00522","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (NEEDLE BIOPSY OF PLEURA)","00522","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (NEEDLE BIOPSY OF PLEURA)","00522","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (NEEDLE BIOPSY OF PLEURA)","00522","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (NEEDLE BIOPSY OF PLEURA)","00522","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (NEEDLE BIOPSY OF PLEURA)","00522","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (NEEDLE BIOPSY OF PLEURA)","00522","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (NEEDLE BIOPSY OF PLEURA)","00522","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (NEEDLE BIOPSY OF PLEURA)","00522","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (NEEDLE BIOPSY OF PLEURA)","00522","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (NEEDLE BIOPSY OF PLEURA)","00522","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (NEEDLE BIOPSY OF PLEURA)","00522","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (NEEDLE BIOPSY OF PLEURA)","00522","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (NEEDLE BIOPSY OF PLEURA)","00522","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (NEEDLE BIOPSY OF PLEURA)","00522","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (NEEDLE BIOPSY OF PLEURA)","00522","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (NEEDLE BIOPSY OF PLEURA)","00522","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (NEEDLE BIOPSY OF PLEURA)","00522","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (NEEDLE BIOPSY OF PLEURA)","00522","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (PNEUMOCENTESIS)","00524","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (PNEUMOCENTESIS)","00524","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (PNEUMOCENTESIS)","00524","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (PNEUMOCENTESIS)","00524","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (PNEUMOCENTESIS)","00524","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (PNEUMOCENTESIS)","00524","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (PNEUMOCENTESIS)","00524","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (PNEUMOCENTESIS)","00524","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (PNEUMOCENTESIS)","00524","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (PNEUMOCENTESIS)","00524","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (PNEUMOCENTESIS)","00524","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (PNEUMOCENTESIS)","00524","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (PNEUMOCENTESIS)","00524","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (PNEUMOCENTESIS)","00524","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (PNEUMOCENTESIS)","00524","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (PNEUMOCENTESIS)","00524","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (PNEUMOCENTESIS)","00524","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (PNEUMOCENTESIS)","00524","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (PNEUMOCENTESIS)","00524","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (PNEUMOCENTESIS)","00524","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ACCESS TO CENTRAL VEN CIR","00532","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ACCESS TO CENTRAL VEN CIR","00532","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ACCESS TO CENTRAL VEN CIR","00532","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ACCESS TO CENTRAL VEN CIR","00532","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ACCESS TO CENTRAL VEN CIR","00532","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ACCESS TO CENTRAL VEN CIR","00532","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ACCESS TO CENTRAL VEN CIR","00532","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ACCESS TO CENTRAL VEN CIR","00532","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ACCESS TO CENTRAL VEN CIR","00532","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ACCESS TO CENTRAL VEN CIR","00532","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ACCESS TO CENTRAL VEN CIR","00532","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ACCESS TO CENTRAL VEN CIR","00532","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ACCESS TO CENTRAL VEN CIR","00532","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ACCESS TO CENTRAL VEN CIR","00532","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ACCESS TO CENTRAL VEN CIR","00532","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ACCESS TO CENTRAL VEN CIR","00532","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ACCESS TO CENTRAL VEN CIR","00532","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ACCESS TO CENTRAL VEN CIR","00532","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ACCESS TO CENTRAL VEN CIR","00532","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"INTRATHORACIC (ACCESS TO CENTRAL VEN CIR","00532","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"UPPER ABD(ANTERIOR ABD WALL)","00700","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ABD(ANTERIOR ABD WALL)","00700","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"UPPER ABD(ANTERIOR ABD WALL)","00700","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ABD(ANTERIOR ABD WALL)","00700","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ABD(ANTERIOR ABD WALL)","00700","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ABD(ANTERIOR ABD WALL)","00700","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ABD(ANTERIOR ABD WALL)","00700","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ABD(ANTERIOR ABD WALL)","00700","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"UPPER ABD(ANTERIOR ABD WALL)","00700","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"UPPER ABD(ANTERIOR ABD WALL)","00700","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"UPPER ABD(ANTERIOR ABD WALL)","00700","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"UPPER ABD(ANTERIOR ABD WALL)","00700","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ABD(ANTERIOR ABD WALL)","00700","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ABD(ANTERIOR ABD WALL)","00700","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ABD(ANTERIOR ABD WALL)","00700","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ABD(ANTERIOR ABD WALL)","00700","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ABD(ANTERIOR ABD WALL)","00700","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"UPPER ABD(ANTERIOR ABD WALL)","00700","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"UPPER ABD(ANTERIOR ABD WALL)","00700","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"UPPER ABD(ANTERIOR ABD WALL)","00700","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"UPPER ABD(PERCUTANEOUS LIVER BIOPSY","00702","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ABD(PERCUTANEOUS LIVER BIOPSY","00702","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"UPPER ABD(PERCUTANEOUS LIVER BIOPSY","00702","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ABD(PERCUTANEOUS LIVER BIOPSY","00702","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ABD(PERCUTANEOUS LIVER BIOPSY","00702","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ABD(PERCUTANEOUS LIVER BIOPSY","00702","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ABD(PERCUTANEOUS LIVER BIOPSY","00702","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ABD(PERCUTANEOUS LIVER BIOPSY","00702","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"UPPER ABD(PERCUTANEOUS LIVER BIOPSY","00702","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"UPPER ABD(PERCUTANEOUS LIVER BIOPSY","00702","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"UPPER ABD(PERCUTANEOUS LIVER BIOPSY","00702","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"UPPER ABD(PERCUTANEOUS LIVER BIOPSY","00702","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ABD(PERCUTANEOUS LIVER BIOPSY","00702","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ABD(PERCUTANEOUS LIVER BIOPSY","00702","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ABD(PERCUTANEOUS LIVER BIOPSY","00702","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ABD(PERCUTANEOUS LIVER BIOPSY","00702","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ABD(PERCUTANEOUS LIVER BIOPSY","00702","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"UPPER ABD(PERCUTANEOUS LIVER BIOPSY","00702","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"UPPER ABD(PERCUTANEOUS LIVER BIOPSY","00702","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"UPPER ABD(PERCUTANEOUS LIVER BIOPSY","00702","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"UPPER ABDOMEN (POSTERIOR ABD WALL)","00730","HCPCS","Both",,,"41.5","20.75","Alliant","Health Exchange","",,"62",,"25.73","15.19","32.16","percent of total billed charges",,
"UPPER ABDOMEN (POSTERIOR ABD WALL)","00730","HCPCS","Both",,,"41.5","20.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"22.41","15.19","32.16","percent of total billed charges",,
"UPPER ABDOMEN (POSTERIOR ABD WALL)","00730","HCPCS","Both",,,"41.5","20.75","Medicare",,"",,"54",,"22.49","15.19","32.16","percent of total billed charges",,
"UPPER ABDOMEN (POSTERIOR ABD WALL)","00730","HCPCS","Both",,,"41.5","20.75","Humana","Medicare Advantage","",,"54",,"22.49","15.19","32.16","percent of total billed charges",,
"UPPER ABDOMEN (POSTERIOR ABD WALL)","00730","HCPCS","Both",,,"41.5","20.75","UHC","Medicare Advantage","",,"54",,"22.49","15.19","32.16","percent of total billed charges",,
"UPPER ABDOMEN (POSTERIOR ABD WALL)","00730","HCPCS","Both",,,"41.5","20.75","Clover","Medicare Advantage","",,"54",,"22.49","15.19","32.16","percent of total billed charges",,
"UPPER ABDOMEN (POSTERIOR ABD WALL)","00730","HCPCS","Both",,,"41.5","20.75","Wellcare","Medicare Advantage","",,"54",,"22.49","15.19","32.16","percent of total billed charges",,
"UPPER ABDOMEN (POSTERIOR ABD WALL)","00730","HCPCS","Both",,,"41.5","20.75","Amerigroup","Medicaid Managed Care","",,"37",,"15.19","15.19","32.16","percent of total billed charges",,
"UPPER ABDOMEN (POSTERIOR ABD WALL)","00730","HCPCS","Both",,,"41.5","20.75","Caresource","Medicaid Managed Care","",,"40",,"16.6","15.19","32.16","percent of total billed charges",,
"UPPER ABDOMEN (POSTERIOR ABD WALL)","00730","HCPCS","Both",,,"41.5","20.75","Wellcare","Medicaid Managed Care","",,"40",,"16.81","15.19","32.16","percent of total billed charges",,
"UPPER ABDOMEN (POSTERIOR ABD WALL)","00730","HCPCS","Both",,,"41.5","20.75","Aetna","Commercial","",,"64",,"26.48","15.19","32.16","percent of total billed charges",,
"UPPER ABDOMEN (POSTERIOR ABD WALL)","00730","HCPCS","Both",,,"41.5","20.75","Blue Cross Blue Shield","Pathways","",,"71",,"29.3","15.19","32.16","percent of total billed charges",,
"UPPER ABDOMEN (POSTERIOR ABD WALL)","00730","HCPCS","Both",,,"41.5","20.75","Blue Cross Blue Shield","HMO","",,"71",,"29.3","15.19","32.16","percent of total billed charges",,
"UPPER ABDOMEN (POSTERIOR ABD WALL)","00730","HCPCS","Both",,,"41.5","20.75","Blue Cross Blue Shield","PPO","",,"71",,"29.3","15.19","32.16","percent of total billed charges",,
"UPPER ABDOMEN (POSTERIOR ABD WALL)","00730","HCPCS","Both",,,"41.5","20.75","Ambetter","Health Exchange","",,"62",,"25.73","15.19","32.16","percent of total billed charges",,
"UPPER ABDOMEN (POSTERIOR ABD WALL)","00730","HCPCS","Both",,,"41.5","20.75","Caresource","Health Exchange","",,"62",,"25.73","15.19","32.16","percent of total billed charges",,
"UPPER ABDOMEN (POSTERIOR ABD WALL)","00730","HCPCS","Both",,,"41.5","20.75","Cigna","Commercial","",,"59",,"24.32","15.19","32.16","percent of total billed charges",,
"UPPER ABDOMEN (POSTERIOR ABD WALL)","00730","HCPCS","Both",,,"41.5","20.75","Humana","Commercial","",,"78",,"32.16","15.19","32.16","percent of total billed charges",,
"UPPER ABDOMEN (POSTERIOR ABD WALL)","00730","HCPCS","Both",,,"41.5","20.75","UHC","Commercial","",,"75",,"31.29","15.19","32.16","percent of total billed charges",,
"UPPER ABDOMEN (POSTERIOR ABD WALL)","00730","HCPCS","Both",,,"41.5","20.75","Medicaid",,"",,"37",,"15.19","15.19","32.16","percent of total billed charges",,
"UPPER ABD(HERNIA REPAIRS)","00750","HCPCS","Both",,,"65.5","32.75","Alliant","Health Exchange","",,"62",,"40.61","23.97","50.76","percent of total billed charges",,
"UPPER ABD(HERNIA REPAIRS)","00750","HCPCS","Both",,,"65.5","32.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"35.37","23.97","50.76","percent of total billed charges",,
"UPPER ABD(HERNIA REPAIRS)","00750","HCPCS","Both",,,"65.5","32.75","Medicare",,"",,"54",,"35.5","23.97","50.76","percent of total billed charges",,
"UPPER ABD(HERNIA REPAIRS)","00750","HCPCS","Both",,,"65.5","32.75","Humana","Medicare Advantage","",,"54",,"35.5","23.97","50.76","percent of total billed charges",,
"UPPER ABD(HERNIA REPAIRS)","00750","HCPCS","Both",,,"65.5","32.75","UHC","Medicare Advantage","",,"54",,"35.5","23.97","50.76","percent of total billed charges",,
"UPPER ABD(HERNIA REPAIRS)","00750","HCPCS","Both",,,"65.5","32.75","Clover","Medicare Advantage","",,"54",,"35.5","23.97","50.76","percent of total billed charges",,
"UPPER ABD(HERNIA REPAIRS)","00750","HCPCS","Both",,,"65.5","32.75","Wellcare","Medicare Advantage","",,"54",,"35.5","23.97","50.76","percent of total billed charges",,
"UPPER ABD(HERNIA REPAIRS)","00750","HCPCS","Both",,,"65.5","32.75","Amerigroup","Medicaid Managed Care","",,"37",,"23.97","23.97","50.76","percent of total billed charges",,
"UPPER ABD(HERNIA REPAIRS)","00750","HCPCS","Both",,,"65.5","32.75","Caresource","Medicaid Managed Care","",,"40",,"26.2","23.97","50.76","percent of total billed charges",,
"UPPER ABD(HERNIA REPAIRS)","00750","HCPCS","Both",,,"65.5","32.75","Wellcare","Medicaid Managed Care","",,"40",,"26.53","23.97","50.76","percent of total billed charges",,
"UPPER ABD(HERNIA REPAIRS)","00750","HCPCS","Both",,,"65.5","32.75","Aetna","Commercial","",,"64",,"41.79","23.97","50.76","percent of total billed charges",,
"UPPER ABD(HERNIA REPAIRS)","00750","HCPCS","Both",,,"65.5","32.75","Blue Cross Blue Shield","Pathways","",,"71",,"46.24","23.97","50.76","percent of total billed charges",,
"UPPER ABD(HERNIA REPAIRS)","00750","HCPCS","Both",,,"65.5","32.75","Blue Cross Blue Shield","HMO","",,"71",,"46.24","23.97","50.76","percent of total billed charges",,
"UPPER ABD(HERNIA REPAIRS)","00750","HCPCS","Both",,,"65.5","32.75","Blue Cross Blue Shield","PPO","",,"71",,"46.24","23.97","50.76","percent of total billed charges",,
"UPPER ABD(HERNIA REPAIRS)","00750","HCPCS","Both",,,"65.5","32.75","Ambetter","Health Exchange","",,"62",,"40.61","23.97","50.76","percent of total billed charges",,
"UPPER ABD(HERNIA REPAIRS)","00750","HCPCS","Both",,,"65.5","32.75","Caresource","Health Exchange","",,"62",,"40.61","23.97","50.76","percent of total billed charges",,
"UPPER ABD(HERNIA REPAIRS)","00750","HCPCS","Both",,,"65.5","32.75","Cigna","Commercial","",,"59",,"38.38","23.97","50.76","percent of total billed charges",,
"UPPER ABD(HERNIA REPAIRS)","00750","HCPCS","Both",,,"65.5","32.75","Humana","Commercial","",,"78",,"50.76","23.97","50.76","percent of total billed charges",,
"UPPER ABD(HERNIA REPAIRS)","00750","HCPCS","Both",,,"65.5","32.75","UHC","Commercial","",,"75",,"49.39","23.97","50.76","percent of total billed charges",,
"UPPER ABD(HERNIA REPAIRS)","00750","HCPCS","Both",,,"65.5","32.75","Medicaid",,"",,"37",,"23.97","23.97","50.76","percent of total billed charges",,
"UPPER ABD(LUMBAR & VENTRAL HERN DEH)","00752","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ABD(LUMBAR & VENTRAL HERN DEH)","00752","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"UPPER ABD(LUMBAR & VENTRAL HERN DEH)","00752","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ABD(LUMBAR & VENTRAL HERN DEH)","00752","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ABD(LUMBAR & VENTRAL HERN DEH)","00752","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ABD(LUMBAR & VENTRAL HERN DEH)","00752","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ABD(LUMBAR & VENTRAL HERN DEH)","00752","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ABD(LUMBAR & VENTRAL HERN DEH)","00752","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"UPPER ABD(LUMBAR & VENTRAL HERN DEH)","00752","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"UPPER ABD(LUMBAR & VENTRAL HERN DEH)","00752","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"UPPER ABD(LUMBAR & VENTRAL HERN DEH)","00752","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"UPPER ABD(LUMBAR & VENTRAL HERN DEH)","00752","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ABD(LUMBAR & VENTRAL HERN DEH)","00752","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ABD(LUMBAR & VENTRAL HERN DEH)","00752","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ABD(LUMBAR & VENTRAL HERN DEH)","00752","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ABD(LUMBAR & VENTRAL HERN DEH)","00752","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ABD(LUMBAR & VENTRAL HERN DEH)","00752","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"UPPER ABD(LUMBAR & VENTRAL HERN DEH)","00752","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"UPPER ABD(LUMBAR & VENTRAL HERN DEH)","00752","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"UPPER ABD(LUMBAR & VENTRAL HERN DEH)","00752","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"UPPER ABD(OMPHALOCELE)","00754","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ABD(OMPHALOCELE)","00754","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"UPPER ABD(OMPHALOCELE)","00754","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ABD(OMPHALOCELE)","00754","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ABD(OMPHALOCELE)","00754","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ABD(OMPHALOCELE)","00754","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ABD(OMPHALOCELE)","00754","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ABD(OMPHALOCELE)","00754","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"UPPER ABD(OMPHALOCELE)","00754","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"UPPER ABD(OMPHALOCELE)","00754","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"UPPER ABD(OMPHALOCELE)","00754","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"UPPER ABD(OMPHALOCELE)","00754","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ABD(OMPHALOCELE)","00754","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ABD(OMPHALOCELE)","00754","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ABD(OMPHALOCELE)","00754","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ABD(OMPHALOCELE)","00754","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ABD(OMPHALOCELE)","00754","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"UPPER ABD(OMPHALOCELE)","00754","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"UPPER ABD(OMPHALOCELE)","00754","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"UPPER ABD(OMPHALOCELE)","00754","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"UPPER ABD(INTRAPERITONEAL PROCEDURE","00790","HCPCS","Both",,,"64","32","Alliant","Health Exchange","",,"62",,"39.68","23.42","49.6","percent of total billed charges",,
"UPPER ABD(INTRAPERITONEAL PROCEDURE","00790","HCPCS","Both",,,"64","32","Pruitt Healthcare","Medicare Advantage","",,"54",,"34.56","23.42","49.6","percent of total billed charges",,
"UPPER ABD(INTRAPERITONEAL PROCEDURE","00790","HCPCS","Both",,,"64","32","Medicare",,"",,"54",,"34.69","23.42","49.6","percent of total billed charges",,
"UPPER ABD(INTRAPERITONEAL PROCEDURE","00790","HCPCS","Both",,,"64","32","Humana","Medicare Advantage","",,"54",,"34.69","23.42","49.6","percent of total billed charges",,
"UPPER ABD(INTRAPERITONEAL PROCEDURE","00790","HCPCS","Both",,,"64","32","UHC","Medicare Advantage","",,"54",,"34.69","23.42","49.6","percent of total billed charges",,
"UPPER ABD(INTRAPERITONEAL PROCEDURE","00790","HCPCS","Both",,,"64","32","Clover","Medicare Advantage","",,"54",,"34.69","23.42","49.6","percent of total billed charges",,
"UPPER ABD(INTRAPERITONEAL PROCEDURE","00790","HCPCS","Both",,,"64","32","Wellcare","Medicare Advantage","",,"54",,"34.69","23.42","49.6","percent of total billed charges",,
"UPPER ABD(INTRAPERITONEAL PROCEDURE","00790","HCPCS","Both",,,"64","32","Amerigroup","Medicaid Managed Care","",,"37",,"23.42","23.42","49.6","percent of total billed charges",,
"UPPER ABD(INTRAPERITONEAL PROCEDURE","00790","HCPCS","Both",,,"64","32","Caresource","Medicaid Managed Care","",,"40",,"25.6","23.42","49.6","percent of total billed charges",,
"UPPER ABD(INTRAPERITONEAL PROCEDURE","00790","HCPCS","Both",,,"64","32","Wellcare","Medicaid Managed Care","",,"40",,"25.92","23.42","49.6","percent of total billed charges",,
"UPPER ABD(INTRAPERITONEAL PROCEDURE","00790","HCPCS","Both",,,"64","32","Aetna","Commercial","",,"64",,"40.83","23.42","49.6","percent of total billed charges",,
"UPPER ABD(INTRAPERITONEAL PROCEDURE","00790","HCPCS","Both",,,"64","32","Blue Cross Blue Shield","Pathways","",,"71",,"45.18","23.42","49.6","percent of total billed charges",,
"UPPER ABD(INTRAPERITONEAL PROCEDURE","00790","HCPCS","Both",,,"64","32","Blue Cross Blue Shield","HMO","",,"71",,"45.18","23.42","49.6","percent of total billed charges",,
"UPPER ABD(INTRAPERITONEAL PROCEDURE","00790","HCPCS","Both",,,"64","32","Blue Cross Blue Shield","PPO","",,"71",,"45.18","23.42","49.6","percent of total billed charges",,
"UPPER ABD(INTRAPERITONEAL PROCEDURE","00790","HCPCS","Both",,,"64","32","Ambetter","Health Exchange","",,"62",,"39.68","23.42","49.6","percent of total billed charges",,
"UPPER ABD(INTRAPERITONEAL PROCEDURE","00790","HCPCS","Both",,,"64","32","Caresource","Health Exchange","",,"62",,"39.68","23.42","49.6","percent of total billed charges",,
"UPPER ABD(INTRAPERITONEAL PROCEDURE","00790","HCPCS","Both",,,"64","32","Cigna","Commercial","",,"59",,"37.5","23.42","49.6","percent of total billed charges",,
"UPPER ABD(INTRAPERITONEAL PROCEDURE","00790","HCPCS","Both",,,"64","32","Humana","Commercial","",,"78",,"49.6","23.42","49.6","percent of total billed charges",,
"UPPER ABD(INTRAPERITONEAL PROCEDURE","00790","HCPCS","Both",,,"64","32","UHC","Commercial","",,"75",,"48.26","23.42","49.6","percent of total billed charges",,
"UPPER ABD(INTRAPERITONEAL PROCEDURE","00790","HCPCS","Both",,,"64","32","Medicaid",,"",,"37",,"23.42","23.42","49.6","percent of total billed charges",,
"LOWER ABD(ANTERIOR ABD WALL)","00800","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"LOWER ABD(ANTERIOR ABD WALL)","00800","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"LOWER ABD(ANTERIOR ABD WALL)","00800","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD(ANTERIOR ABD WALL)","00800","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD(ANTERIOR ABD WALL)","00800","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD(ANTERIOR ABD WALL)","00800","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD(ANTERIOR ABD WALL)","00800","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD(ANTERIOR ABD WALL)","00800","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"LOWER ABD(ANTERIOR ABD WALL)","00800","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"LOWER ABD(ANTERIOR ABD WALL)","00800","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"LOWER ABD(ANTERIOR ABD WALL)","00800","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"LOWER ABD(ANTERIOR ABD WALL)","00800","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"LOWER ABD(ANTERIOR ABD WALL)","00800","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"LOWER ABD(ANTERIOR ABD WALL)","00800","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"LOWER ABD(ANTERIOR ABD WALL)","00800","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"LOWER ABD(ANTERIOR ABD WALL)","00800","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"LOWER ABD(ANTERIOR ABD WALL)","00800","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"LOWER ABD(ANTERIOR ABD WALL)","00800","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"LOWER ABD(ANTERIOR ABD WALL)","00800","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"LOWER ABD(ANTERIOR ABD WALL)","00800","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"LOWER ABD(INTESTINAL ENDO PROCEDURE","00811","HCPCS","Both",,,"44","22","Alliant","Health Exchange","",,"62",,"27.28","16.1","34.1","percent of total billed charges",,
"LOWER ABD(INTESTINAL ENDO PROCEDURE","00811","HCPCS","Both",,,"44","22","Pruitt Healthcare","Medicare Advantage","",,"54",,"23.76","16.1","34.1","percent of total billed charges",,
"LOWER ABD(INTESTINAL ENDO PROCEDURE","00811","HCPCS","Both",,,"44","22","Medicare",,"",,"54",,"23.85","16.1","34.1","percent of total billed charges",,
"LOWER ABD(INTESTINAL ENDO PROCEDURE","00811","HCPCS","Both",,,"44","22","Humana","Medicare Advantage","",,"54",,"23.85","16.1","34.1","percent of total billed charges",,
"LOWER ABD(INTESTINAL ENDO PROCEDURE","00811","HCPCS","Both",,,"44","22","UHC","Medicare Advantage","",,"54",,"23.85","16.1","34.1","percent of total billed charges",,
"LOWER ABD(INTESTINAL ENDO PROCEDURE","00811","HCPCS","Both",,,"44","22","Clover","Medicare Advantage","",,"54",,"23.85","16.1","34.1","percent of total billed charges",,
"LOWER ABD(INTESTINAL ENDO PROCEDURE","00811","HCPCS","Both",,,"44","22","Wellcare","Medicare Advantage","",,"54",,"23.85","16.1","34.1","percent of total billed charges",,
"LOWER ABD(INTESTINAL ENDO PROCEDURE","00811","HCPCS","Both",,,"44","22","Amerigroup","Medicaid Managed Care","",,"37",,"16.1","16.1","34.1","percent of total billed charges",,
"LOWER ABD(INTESTINAL ENDO PROCEDURE","00811","HCPCS","Both",,,"44","22","Caresource","Medicaid Managed Care","",,"40",,"17.6","16.1","34.1","percent of total billed charges",,
"LOWER ABD(INTESTINAL ENDO PROCEDURE","00811","HCPCS","Both",,,"44","22","Wellcare","Medicaid Managed Care","",,"40",,"17.82","16.1","34.1","percent of total billed charges",,
"LOWER ABD(INTESTINAL ENDO PROCEDURE","00811","HCPCS","Both",,,"44","22","Aetna","Commercial","",,"64",,"28.07","16.1","34.1","percent of total billed charges",,
"LOWER ABD(INTESTINAL ENDO PROCEDURE","00811","HCPCS","Both",,,"44","22","Blue Cross Blue Shield","Pathways","",,"71",,"31.06","16.1","34.1","percent of total billed charges",,
"LOWER ABD(INTESTINAL ENDO PROCEDURE","00811","HCPCS","Both",,,"44","22","Blue Cross Blue Shield","HMO","",,"71",,"31.06","16.1","34.1","percent of total billed charges",,
"LOWER ABD(INTESTINAL ENDO PROCEDURE","00811","HCPCS","Both",,,"44","22","Blue Cross Blue Shield","PPO","",,"71",,"31.06","16.1","34.1","percent of total billed charges",,
"LOWER ABD(INTESTINAL ENDO PROCEDURE","00811","HCPCS","Both",,,"44","22","Ambetter","Health Exchange","",,"62",,"27.28","16.1","34.1","percent of total billed charges",,
"LOWER ABD(INTESTINAL ENDO PROCEDURE","00811","HCPCS","Both",,,"44","22","Caresource","Health Exchange","",,"62",,"27.28","16.1","34.1","percent of total billed charges",,
"LOWER ABD(INTESTINAL ENDO PROCEDURE","00811","HCPCS","Both",,,"44","22","Cigna","Commercial","",,"59",,"25.78","16.1","34.1","percent of total billed charges",,
"LOWER ABD(INTESTINAL ENDO PROCEDURE","00811","HCPCS","Both",,,"44","22","Humana","Commercial","",,"78",,"34.1","16.1","34.1","percent of total billed charges",,
"LOWER ABD(INTESTINAL ENDO PROCEDURE","00811","HCPCS","Both",,,"44","22","UHC","Commercial","",,"75",,"33.18","16.1","34.1","percent of total billed charges",,
"LOWER ABD(INTESTINAL ENDO PROCEDURE","00811","HCPCS","Both",,,"44","22","Medicaid",,"",,"37",,"16.1","16.1","34.1","percent of total billed charges",,
"LOWER ABD(POSTERIOR)","00820","HCPCS","Both",,,"46","23","Alliant","Health Exchange","",,"62",,"28.52","16.84","35.65","percent of total billed charges",,
"LOWER ABD(POSTERIOR)","00820","HCPCS","Both",,,"46","23","Pruitt Healthcare","Medicare Advantage","",,"54",,"24.84","16.84","35.65","percent of total billed charges",,
"LOWER ABD(POSTERIOR)","00820","HCPCS","Both",,,"46","23","Medicare",,"",,"54",,"24.93","16.84","35.65","percent of total billed charges",,
"LOWER ABD(POSTERIOR)","00820","HCPCS","Both",,,"46","23","Humana","Medicare Advantage","",,"54",,"24.93","16.84","35.65","percent of total billed charges",,
"LOWER ABD(POSTERIOR)","00820","HCPCS","Both",,,"46","23","UHC","Medicare Advantage","",,"54",,"24.93","16.84","35.65","percent of total billed charges",,
"LOWER ABD(POSTERIOR)","00820","HCPCS","Both",,,"46","23","Clover","Medicare Advantage","",,"54",,"24.93","16.84","35.65","percent of total billed charges",,
"LOWER ABD(POSTERIOR)","00820","HCPCS","Both",,,"46","23","Wellcare","Medicare Advantage","",,"54",,"24.93","16.84","35.65","percent of total billed charges",,
"LOWER ABD(POSTERIOR)","00820","HCPCS","Both",,,"46","23","Amerigroup","Medicaid Managed Care","",,"37",,"16.84","16.84","35.65","percent of total billed charges",,
"LOWER ABD(POSTERIOR)","00820","HCPCS","Both",,,"46","23","Caresource","Medicaid Managed Care","",,"40",,"18.4","16.84","35.65","percent of total billed charges",,
"LOWER ABD(POSTERIOR)","00820","HCPCS","Both",,,"46","23","Wellcare","Medicaid Managed Care","",,"40",,"18.63","16.84","35.65","percent of total billed charges",,
"LOWER ABD(POSTERIOR)","00820","HCPCS","Both",,,"46","23","Aetna","Commercial","",,"64",,"29.35","16.84","35.65","percent of total billed charges",,
"LOWER ABD(POSTERIOR)","00820","HCPCS","Both",,,"46","23","Blue Cross Blue Shield","Pathways","",,"71",,"32.48","16.84","35.65","percent of total billed charges",,
"LOWER ABD(POSTERIOR)","00820","HCPCS","Both",,,"46","23","Blue Cross Blue Shield","HMO","",,"71",,"32.48","16.84","35.65","percent of total billed charges",,
"LOWER ABD(POSTERIOR)","00820","HCPCS","Both",,,"46","23","Blue Cross Blue Shield","PPO","",,"71",,"32.48","16.84","35.65","percent of total billed charges",,
"LOWER ABD(POSTERIOR)","00820","HCPCS","Both",,,"46","23","Ambetter","Health Exchange","",,"62",,"28.52","16.84","35.65","percent of total billed charges",,
"LOWER ABD(POSTERIOR)","00820","HCPCS","Both",,,"46","23","Caresource","Health Exchange","",,"62",,"28.52","16.84","35.65","percent of total billed charges",,
"LOWER ABD(POSTERIOR)","00820","HCPCS","Both",,,"46","23","Cigna","Commercial","",,"59",,"26.96","16.84","35.65","percent of total billed charges",,
"LOWER ABD(POSTERIOR)","00820","HCPCS","Both",,,"46","23","Humana","Commercial","",,"78",,"35.65","16.84","35.65","percent of total billed charges",,
"LOWER ABD(POSTERIOR)","00820","HCPCS","Both",,,"46","23","UHC","Commercial","",,"75",,"34.68","16.84","35.65","percent of total billed charges",,
"LOWER ABD(POSTERIOR)","00820","HCPCS","Both",,,"46","23","Medicaid",,"",,"37",,"16.84","16.84","35.65","percent of total billed charges",,
"LOWER ABD(HERNIA REPAIRS)","00830","HCPCS","Both",,,"23","11.5","Alliant","Health Exchange","",,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"LOWER ABD(HERNIA REPAIRS)","00830","HCPCS","Both",,,"23","11.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"12.42","8.42","17.82","percent of total billed charges",,
"LOWER ABD(HERNIA REPAIRS)","00830","HCPCS","Both",,,"23","11.5","Medicare",,"",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"LOWER ABD(HERNIA REPAIRS)","00830","HCPCS","Both",,,"23","11.5","Humana","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"LOWER ABD(HERNIA REPAIRS)","00830","HCPCS","Both",,,"23","11.5","UHC","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"LOWER ABD(HERNIA REPAIRS)","00830","HCPCS","Both",,,"23","11.5","Clover","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"LOWER ABD(HERNIA REPAIRS)","00830","HCPCS","Both",,,"23","11.5","Wellcare","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"LOWER ABD(HERNIA REPAIRS)","00830","HCPCS","Both",,,"23","11.5","Amerigroup","Medicaid Managed Care","",,"37",,"8.42","8.42","17.82","percent of total billed charges",,
"LOWER ABD(HERNIA REPAIRS)","00830","HCPCS","Both",,,"23","11.5","Caresource","Medicaid Managed Care","",,"40",,"9.2","8.42","17.82","percent of total billed charges",,
"LOWER ABD(HERNIA REPAIRS)","00830","HCPCS","Both",,,"23","11.5","Wellcare","Medicaid Managed Care","",,"40",,"9.32","8.42","17.82","percent of total billed charges",,
"LOWER ABD(HERNIA REPAIRS)","00830","HCPCS","Both",,,"23","11.5","Aetna","Commercial","",,"64",,"14.67","8.42","17.82","percent of total billed charges",,
"LOWER ABD(HERNIA REPAIRS)","00830","HCPCS","Both",,,"23","11.5","Blue Cross Blue Shield","Pathways","",,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"LOWER ABD(HERNIA REPAIRS)","00830","HCPCS","Both",,,"23","11.5","Blue Cross Blue Shield","HMO","",,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"LOWER ABD(HERNIA REPAIRS)","00830","HCPCS","Both",,,"23","11.5","Blue Cross Blue Shield","PPO","",,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"LOWER ABD(HERNIA REPAIRS)","00830","HCPCS","Both",,,"23","11.5","Ambetter","Health Exchange","",,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"LOWER ABD(HERNIA REPAIRS)","00830","HCPCS","Both",,,"23","11.5","Caresource","Health Exchange","",,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"LOWER ABD(HERNIA REPAIRS)","00830","HCPCS","Both",,,"23","11.5","Cigna","Commercial","",,"59",,"13.48","8.42","17.82","percent of total billed charges",,
"LOWER ABD(HERNIA REPAIRS)","00830","HCPCS","Both",,,"23","11.5","Humana","Commercial","",,"78",,"17.82","8.42","17.82","percent of total billed charges",,
"LOWER ABD(HERNIA REPAIRS)","00830","HCPCS","Both",,,"23","11.5","UHC","Commercial","",,"75",,"17.34","8.42","17.82","percent of total billed charges",,
"LOWER ABD(HERNIA REPAIRS)","00830","HCPCS","Both",,,"23","11.5","Medicaid",,"",,"37",,"8.42","8.42","17.82","percent of total billed charges",,
"LOWER ABD(VENTRAL & INCISIONAL HERN)","00832","HCPCS","Both",,,"11.5","5.75","Alliant","Health Exchange","",,"62",,"7.13","4.21","8.91","percent of total billed charges",,
"LOWER ABD(VENTRAL & INCISIONAL HERN)","00832","HCPCS","Both",,,"11.5","5.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"6.21","4.21","8.91","percent of total billed charges",,
"LOWER ABD(VENTRAL & INCISIONAL HERN)","00832","HCPCS","Both",,,"11.5","5.75","Medicare",,"",,"54",,"6.23","4.21","8.91","percent of total billed charges",,
"LOWER ABD(VENTRAL & INCISIONAL HERN)","00832","HCPCS","Both",,,"11.5","5.75","Humana","Medicare Advantage","",,"54",,"6.23","4.21","8.91","percent of total billed charges",,
"LOWER ABD(VENTRAL & INCISIONAL HERN)","00832","HCPCS","Both",,,"11.5","5.75","UHC","Medicare Advantage","",,"54",,"6.23","4.21","8.91","percent of total billed charges",,
"LOWER ABD(VENTRAL & INCISIONAL HERN)","00832","HCPCS","Both",,,"11.5","5.75","Clover","Medicare Advantage","",,"54",,"6.23","4.21","8.91","percent of total billed charges",,
"LOWER ABD(VENTRAL & INCISIONAL HERN)","00832","HCPCS","Both",,,"11.5","5.75","Wellcare","Medicare Advantage","",,"54",,"6.23","4.21","8.91","percent of total billed charges",,
"LOWER ABD(VENTRAL & INCISIONAL HERN)","00832","HCPCS","Both",,,"11.5","5.75","Amerigroup","Medicaid Managed Care","",,"37",,"4.21","4.21","8.91","percent of total billed charges",,
"LOWER ABD(VENTRAL & INCISIONAL HERN)","00832","HCPCS","Both",,,"11.5","5.75","Caresource","Medicaid Managed Care","",,"40",,"4.6","4.21","8.91","percent of total billed charges",,
"LOWER ABD(VENTRAL & INCISIONAL HERN)","00832","HCPCS","Both",,,"11.5","5.75","Wellcare","Medicaid Managed Care","",,"40",,"4.66","4.21","8.91","percent of total billed charges",,
"LOWER ABD(VENTRAL & INCISIONAL HERN)","00832","HCPCS","Both",,,"11.5","5.75","Aetna","Commercial","",,"64",,"7.34","4.21","8.91","percent of total billed charges",,
"LOWER ABD(VENTRAL & INCISIONAL HERN)","00832","HCPCS","Both",,,"11.5","5.75","Blue Cross Blue Shield","Pathways","",,"71",,"8.12","4.21","8.91","percent of total billed charges",,
"LOWER ABD(VENTRAL & INCISIONAL HERN)","00832","HCPCS","Both",,,"11.5","5.75","Blue Cross Blue Shield","HMO","",,"71",,"8.12","4.21","8.91","percent of total billed charges",,
"LOWER ABD(VENTRAL & INCISIONAL HERN)","00832","HCPCS","Both",,,"11.5","5.75","Blue Cross Blue Shield","PPO","",,"71",,"8.12","4.21","8.91","percent of total billed charges",,
"LOWER ABD(VENTRAL & INCISIONAL HERN)","00832","HCPCS","Both",,,"11.5","5.75","Ambetter","Health Exchange","",,"62",,"7.13","4.21","8.91","percent of total billed charges",,
"LOWER ABD(VENTRAL & INCISIONAL HERN)","00832","HCPCS","Both",,,"11.5","5.75","Caresource","Health Exchange","",,"62",,"7.13","4.21","8.91","percent of total billed charges",,
"LOWER ABD(VENTRAL & INCISIONAL HERN)","00832","HCPCS","Both",,,"11.5","5.75","Cigna","Commercial","",,"59",,"6.74","4.21","8.91","percent of total billed charges",,
"LOWER ABD(VENTRAL & INCISIONAL HERN)","00832","HCPCS","Both",,,"11.5","5.75","Humana","Commercial","",,"78",,"8.91","4.21","8.91","percent of total billed charges",,
"LOWER ABD(VENTRAL & INCISIONAL HERN)","00832","HCPCS","Both",,,"11.5","5.75","UHC","Commercial","",,"75",,"8.67","4.21","8.91","percent of total billed charges",,
"LOWER ABD(VENTRAL & INCISIONAL HERN)","00832","HCPCS","Both",,,"11.5","5.75","Medicaid",,"",,"37",,"4.21","4.21","8.91","percent of total billed charges",,
"LOWER ABD(INTRAPERITONEAL)","00840","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"LOWER ABD(INTRAPERITONEAL)","00840","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"LOWER ABD(INTRAPERITONEAL)","00840","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD(INTRAPERITONEAL)","00840","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD(INTRAPERITONEAL)","00840","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD(INTRAPERITONEAL)","00840","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD(INTRAPERITONEAL)","00840","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD(INTRAPERITONEAL)","00840","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"LOWER ABD(INTRAPERITONEAL)","00840","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"LOWER ABD(INTRAPERITONEAL)","00840","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"LOWER ABD(INTRAPERITONEAL)","00840","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"LOWER ABD(INTRAPERITONEAL)","00840","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"LOWER ABD(INTRAPERITONEAL)","00840","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"LOWER ABD(INTRAPERITONEAL)","00840","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"LOWER ABD(INTRAPERITONEAL)","00840","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"LOWER ABD(INTRAPERITONEAL)","00840","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"LOWER ABD(INTRAPERITONEAL)","00840","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"LOWER ABD(INTRAPERITONEAL)","00840","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"LOWER ABD(INTRAPERITONEAL)","00840","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"LOWER ABD(INTRAPERITONEAL)","00840","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"LOWER ABD(ABDO/PERINEAL RESECTION)","00844","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"LOWER ABD(ABDO/PERINEAL RESECTION)","00844","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"LOWER ABD(ABDO/PERINEAL RESECTION)","00844","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD(ABDO/PERINEAL RESECTION)","00844","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD(ABDO/PERINEAL RESECTION)","00844","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD(ABDO/PERINEAL RESECTION)","00844","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD(ABDO/PERINEAL RESECTION)","00844","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD(ABDO/PERINEAL RESECTION)","00844","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"LOWER ABD(ABDO/PERINEAL RESECTION)","00844","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"LOWER ABD(ABDO/PERINEAL RESECTION)","00844","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"LOWER ABD(ABDO/PERINEAL RESECTION)","00844","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"LOWER ABD(ABDO/PERINEAL RESECTION)","00844","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"LOWER ABD(ABDO/PERINEAL RESECTION)","00844","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"LOWER ABD(ABDO/PERINEAL RESECTION)","00844","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"LOWER ABD(ABDO/PERINEAL RESECTION)","00844","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"LOWER ABD(ABDO/PERINEAL RESECTION)","00844","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"LOWER ABD(ABDO/PERINEAL RESECTION)","00844","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"LOWER ABD(ABDO/PERINEAL RESECTION)","00844","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"LOWER ABD(ABDO/PERINEAL RESECTION)","00844","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"LOWER ABD(ABDO/PERINEAL RESECTION)","00844","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"LOWER ABD(RADICAL HYSTERECTOMY)","00846","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"LOWER ABD(RADICAL HYSTERECTOMY)","00846","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"LOWER ABD(RADICAL HYSTERECTOMY)","00846","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD(RADICAL HYSTERECTOMY)","00846","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD(RADICAL HYSTERECTOMY)","00846","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD(RADICAL HYSTERECTOMY)","00846","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD(RADICAL HYSTERECTOMY)","00846","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD(RADICAL HYSTERECTOMY)","00846","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"LOWER ABD(RADICAL HYSTERECTOMY)","00846","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"LOWER ABD(RADICAL HYSTERECTOMY)","00846","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"LOWER ABD(RADICAL HYSTERECTOMY)","00846","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"LOWER ABD(RADICAL HYSTERECTOMY)","00846","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"LOWER ABD(RADICAL HYSTERECTOMY)","00846","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"LOWER ABD(RADICAL HYSTERECTOMY)","00846","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"LOWER ABD(RADICAL HYSTERECTOMY)","00846","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"LOWER ABD(RADICAL HYSTERECTOMY)","00846","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"LOWER ABD(RADICAL HYSTERECTOMY)","00846","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"LOWER ABD(RADICAL HYSTERECTOMY)","00846","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"LOWER ABD(RADICAL HYSTERECTOMY)","00846","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"LOWER ABD(RADICAL HYSTERECTOMY)","00846","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"LOWER ABD(EXTRAPERITONEAL)","00860","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"LOWER ABD(EXTRAPERITONEAL)","00860","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"LOWER ABD(EXTRAPERITONEAL)","00860","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD(EXTRAPERITONEAL)","00860","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD(EXTRAPERITONEAL)","00860","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD(EXTRAPERITONEAL)","00860","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD(EXTRAPERITONEAL)","00860","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER ABD(EXTRAPERITONEAL)","00860","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"LOWER ABD(EXTRAPERITONEAL)","00860","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"LOWER ABD(EXTRAPERITONEAL)","00860","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"LOWER ABD(EXTRAPERITONEAL)","00860","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"LOWER ABD(EXTRAPERITONEAL)","00860","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"LOWER ABD(EXTRAPERITONEAL)","00860","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"LOWER ABD(EXTRAPERITONEAL)","00860","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"LOWER ABD(EXTRAPERITONEAL)","00860","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"LOWER ABD(EXTRAPERITONEAL)","00860","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"LOWER ABD(EXTRAPERITONEAL)","00860","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"LOWER ABD(EXTRAPERITONEAL)","00860","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"LOWER ABD(EXTRAPERITONEAL)","00860","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"LOWER ABD(EXTRAPERITONEAL)","00860","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"TRANSURETHRAL PROCEDURES","00910","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"TRANSURETHRAL PROCEDURES","00910","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"TRANSURETHRAL PROCEDURES","00910","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"TRANSURETHRAL PROCEDURES","00910","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"TRANSURETHRAL PROCEDURES","00910","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"TRANSURETHRAL PROCEDURES","00910","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"TRANSURETHRAL PROCEDURES","00910","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"TRANSURETHRAL PROCEDURES","00910","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"TRANSURETHRAL PROCEDURES","00910","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"TRANSURETHRAL PROCEDURES","00910","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"TRANSURETHRAL PROCEDURES","00910","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"TRANSURETHRAL PROCEDURES","00910","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"TRANSURETHRAL PROCEDURES","00910","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"TRANSURETHRAL PROCEDURES","00910","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"TRANSURETHRAL PROCEDURES","00910","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"TRANSURETHRAL PROCEDURES","00910","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"TRANSURETHRAL PROCEDURES","00910","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"TRANSURETHRAL PROCEDURES","00910","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"TRANSURETHRAL PROCEDURES","00910","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"TRANSURETHRAL PROCEDURES","00910","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"PERINEUM (ANORECTAL)","00902","HCPCS","Both",,,"15","7.5","Alliant","Health Exchange","",,"62",,"9.3","5.49","11.62","percent of total billed charges",,
"PERINEUM (ANORECTAL)","00902","HCPCS","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"8.1","5.49","11.62","percent of total billed charges",,
"PERINEUM (ANORECTAL)","00902","HCPCS","Both",,,"15","7.5","Medicare",,"",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"PERINEUM (ANORECTAL)","00902","HCPCS","Both",,,"15","7.5","Humana","Medicare Advantage","",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"PERINEUM (ANORECTAL)","00902","HCPCS","Both",,,"15","7.5","UHC","Medicare Advantage","",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"PERINEUM (ANORECTAL)","00902","HCPCS","Both",,,"15","7.5","Clover","Medicare Advantage","",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"PERINEUM (ANORECTAL)","00902","HCPCS","Both",,,"15","7.5","Wellcare","Medicare Advantage","",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"PERINEUM (ANORECTAL)","00902","HCPCS","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care","",,"37",,"5.49","5.49","11.62","percent of total billed charges",,
"PERINEUM (ANORECTAL)","00902","HCPCS","Both",,,"15","7.5","Caresource","Medicaid Managed Care","",,"40",,"6","5.49","11.62","percent of total billed charges",,
"PERINEUM (ANORECTAL)","00902","HCPCS","Both",,,"15","7.5","Wellcare","Medicaid Managed Care","",,"40",,"6.08","5.49","11.62","percent of total billed charges",,
"PERINEUM (ANORECTAL)","00902","HCPCS","Both",,,"15","7.5","Aetna","Commercial","",,"64",,"9.57","5.49","11.62","percent of total billed charges",,
"PERINEUM (ANORECTAL)","00902","HCPCS","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways","",,"71",,"10.59","5.49","11.62","percent of total billed charges",,
"PERINEUM (ANORECTAL)","00902","HCPCS","Both",,,"15","7.5","Blue Cross Blue Shield","HMO","",,"71",,"10.59","5.49","11.62","percent of total billed charges",,
"PERINEUM (ANORECTAL)","00902","HCPCS","Both",,,"15","7.5","Blue Cross Blue Shield","PPO","",,"71",,"10.59","5.49","11.62","percent of total billed charges",,
"PERINEUM (ANORECTAL)","00902","HCPCS","Both",,,"15","7.5","Ambetter","Health Exchange","",,"62",,"9.3","5.49","11.62","percent of total billed charges",,
"PERINEUM (ANORECTAL)","00902","HCPCS","Both",,,"15","7.5","Caresource","Health Exchange","",,"62",,"9.3","5.49","11.62","percent of total billed charges",,
"PERINEUM (ANORECTAL)","00902","HCPCS","Both",,,"15","7.5","Cigna","Commercial","",,"59",,"8.79","5.49","11.62","percent of total billed charges",,
"PERINEUM (ANORECTAL)","00902","HCPCS","Both",,,"15","7.5","Humana","Commercial","",,"78",,"11.62","5.49","11.62","percent of total billed charges",,
"PERINEUM (ANORECTAL)","00902","HCPCS","Both",,,"15","7.5","UHC","Commercial","",,"75",,"11.31","5.49","11.62","percent of total billed charges",,
"PERINEUM (ANORECTAL)","00902","HCPCS","Both",,,"15","7.5","Medicaid",,"",,"37",,"5.49","5.49","11.62","percent of total billed charges",,
"PERINEUM (MALE GENITALIA)","00920","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (MALE GENITALIA)","00920","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"PERINEUM (MALE GENITALIA)","00920","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (MALE GENITALIA)","00920","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (MALE GENITALIA)","00920","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (MALE GENITALIA)","00920","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (MALE GENITALIA)","00920","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (MALE GENITALIA)","00920","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"PERINEUM (MALE GENITALIA)","00920","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"PERINEUM (MALE GENITALIA)","00920","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"PERINEUM (MALE GENITALIA)","00920","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"PERINEUM (MALE GENITALIA)","00920","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (MALE GENITALIA)","00920","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (MALE GENITALIA)","00920","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (MALE GENITALIA)","00920","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (MALE GENITALIA)","00920","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (MALE GENITALIA)","00920","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"PERINEUM (MALE GENITALIA)","00920","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"PERINEUM (MALE GENITALIA)","00920","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"PERINEUM (MALE GENITALIA)","00920","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"PERINEUM (UNDESC TESTIS UNILAT OT BILAT)","00924","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (UNDESC TESTIS UNILAT OT BILAT)","00924","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"PERINEUM (UNDESC TESTIS UNILAT OT BILAT)","00924","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (UNDESC TESTIS UNILAT OT BILAT)","00924","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (UNDESC TESTIS UNILAT OT BILAT)","00924","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (UNDESC TESTIS UNILAT OT BILAT)","00924","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (UNDESC TESTIS UNILAT OT BILAT)","00924","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (UNDESC TESTIS UNILAT OT BILAT)","00924","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"PERINEUM (UNDESC TESTIS UNILAT OT BILAT)","00924","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"PERINEUM (UNDESC TESTIS UNILAT OT BILAT)","00924","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"PERINEUM (UNDESC TESTIS UNILAT OT BILAT)","00924","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"PERINEUM (UNDESC TESTIS UNILAT OT BILAT)","00924","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (UNDESC TESTIS UNILAT OT BILAT)","00924","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (UNDESC TESTIS UNILAT OT BILAT)","00924","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (UNDESC TESTIS UNILAT OT BILAT)","00924","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (UNDESC TESTIS UNILAT OT BILAT)","00924","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (UNDESC TESTIS UNILAT OT BILAT)","00924","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"PERINEUM (UNDESC TESTIS UNILAT OT BILAT)","00924","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"PERINEUM (UNDESC TESTIS UNILAT OT BILAT)","00924","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"PERINEUM (UNDESC TESTIS UNILAT OT BILAT)","00924","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY,INGUINAL)","00926","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY,INGUINAL)","00926","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY,INGUINAL)","00926","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY,INGUINAL)","00926","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY,INGUINAL)","00926","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY,INGUINAL)","00926","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY,INGUINAL)","00926","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY,INGUINAL)","00926","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY,INGUINAL)","00926","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY,INGUINAL)","00926","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY,INGUINAL)","00926","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY,INGUINAL)","00926","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY,INGUINAL)","00926","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY,INGUINAL)","00926","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY,INGUINAL)","00926","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY,INGUINAL)","00926","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY,INGUINAL)","00926","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY,INGUINAL)","00926","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY,INGUINAL)","00926","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY,INGUINAL)","00926","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY ABDOMINAL)","00928","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY ABDOMINAL)","00928","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY ABDOMINAL)","00928","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY ABDOMINAL)","00928","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY ABDOMINAL)","00928","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY ABDOMINAL)","00928","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY ABDOMINAL)","00928","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY ABDOMINAL)","00928","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY ABDOMINAL)","00928","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY ABDOMINAL)","00928","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY ABDOMINAL)","00928","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY ABDOMINAL)","00928","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY ABDOMINAL)","00928","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY ABDOMINAL)","00928","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY ABDOMINAL)","00928","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY ABDOMINAL)","00928","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY ABDOMINAL)","00928","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY ABDOMINAL)","00928","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY ABDOMINAL)","00928","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"PERINEUM (RADICAL ORCHIECTOMY ABDOMINAL)","00928","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"PERINEUM (ORCHIOPEXY,UNI & BILAT)","00930","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (ORCHIOPEXY,UNI & BILAT)","00930","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"PERINEUM (ORCHIOPEXY,UNI & BILAT)","00930","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (ORCHIOPEXY,UNI & BILAT)","00930","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (ORCHIOPEXY,UNI & BILAT)","00930","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (ORCHIOPEXY,UNI & BILAT)","00930","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (ORCHIOPEXY,UNI & BILAT)","00930","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (ORCHIOPEXY,UNI & BILAT)","00930","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"PERINEUM (ORCHIOPEXY,UNI & BILAT)","00930","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"PERINEUM (ORCHIOPEXY,UNI & BILAT)","00930","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"PERINEUM (ORCHIOPEXY,UNI & BILAT)","00930","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"PERINEUM (ORCHIOPEXY,UNI & BILAT)","00930","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (ORCHIOPEXY,UNI & BILAT)","00930","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (ORCHIOPEXY,UNI & BILAT)","00930","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (ORCHIOPEXY,UNI & BILAT)","00930","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (ORCHIOPEXY,UNI & BILAT)","00930","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (ORCHIOPEXY,UNI & BILAT)","00930","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"PERINEUM (ORCHIOPEXY,UNI & BILAT)","00930","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"PERINEUM (ORCHIOPEXY,UNI & BILAT)","00930","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"PERINEUM (ORCHIOPEXY,UNI & BILAT)","00930","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL PROCEDURES)","00940","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL PROCEDURES)","00940","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL PROCEDURES)","00940","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL PROCEDURES)","00940","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL PROCEDURES)","00940","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL PROCEDURES)","00940","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL PROCEDURES)","00940","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL PROCEDURES)","00940","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL PROCEDURES)","00940","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL PROCEDURES)","00940","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL PROCEDURES)","00940","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL PROCEDURES)","00940","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL PROCEDURES)","00940","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL PROCEDURES)","00940","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL PROCEDURES)","00940","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL PROCEDURES)","00940","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL PROCEDURES)","00940","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL PROCEDURES)","00940","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL PROCEDURES)","00940","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL PROCEDURES)","00940","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"COLPOTOMY VAGINECTOMY COLPORRHAPHY","00942","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"COLPOTOMY VAGINECTOMY COLPORRHAPHY","00942","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"COLPOTOMY VAGINECTOMY COLPORRHAPHY","00942","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"COLPOTOMY VAGINECTOMY COLPORRHAPHY","00942","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"COLPOTOMY VAGINECTOMY COLPORRHAPHY","00942","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"COLPOTOMY VAGINECTOMY COLPORRHAPHY","00942","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"COLPOTOMY VAGINECTOMY COLPORRHAPHY","00942","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"COLPOTOMY VAGINECTOMY COLPORRHAPHY","00942","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"COLPOTOMY VAGINECTOMY COLPORRHAPHY","00942","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"COLPOTOMY VAGINECTOMY COLPORRHAPHY","00942","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"COLPOTOMY VAGINECTOMY COLPORRHAPHY","00942","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"COLPOTOMY VAGINECTOMY COLPORRHAPHY","00942","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"COLPOTOMY VAGINECTOMY COLPORRHAPHY","00942","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"COLPOTOMY VAGINECTOMY COLPORRHAPHY","00942","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"COLPOTOMY VAGINECTOMY COLPORRHAPHY","00942","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"COLPOTOMY VAGINECTOMY COLPORRHAPHY","00942","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"COLPOTOMY VAGINECTOMY COLPORRHAPHY","00942","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"COLPOTOMY VAGINECTOMY COLPORRHAPHY","00942","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"COLPOTOMY VAGINECTOMY COLPORRHAPHY","00942","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"COLPOTOMY VAGINECTOMY COLPORRHAPHY","00942","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL HYSTERECTOMY)","00944","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL HYSTERECTOMY)","00944","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL HYSTERECTOMY)","00944","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL HYSTERECTOMY)","00944","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL HYSTERECTOMY)","00944","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL HYSTERECTOMY)","00944","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL HYSTERECTOMY)","00944","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL HYSTERECTOMY)","00944","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL HYSTERECTOMY)","00944","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL HYSTERECTOMY)","00944","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL HYSTERECTOMY)","00944","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL HYSTERECTOMY)","00944","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL HYSTERECTOMY)","00944","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL HYSTERECTOMY)","00944","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL HYSTERECTOMY)","00944","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL HYSTERECTOMY)","00944","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL HYSTERECTOMY)","00944","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL HYSTERECTOMY)","00944","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL HYSTERECTOMY)","00944","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"PERINEUM (VAGINAL HYSTERECTOMY)","00944","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY & HYSTEROSALPING","00952","HCPCS","Both",,,"98","49","Alliant","Health Exchange","QZ",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY & HYSTEROSALPING","00952","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","QZ",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY & HYSTEROSALPING","00952","HCPCS","Both",,,"98","49","Medicare",,"QZ",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY & HYSTEROSALPING","00952","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","QZ",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY & HYSTEROSALPING","00952","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","QZ",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY & HYSTEROSALPING","00952","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","QZ",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY & HYSTEROSALPING","00952","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","QZ",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY & HYSTEROSALPING","00952","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","QZ",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY & HYSTEROSALPING","00952","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","QZ",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY & HYSTEROSALPING","00952","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","QZ",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY & HYSTEROSALPING","00952","HCPCS","Both",,,"98","49","Aetna","Commercial","QZ",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY & HYSTEROSALPING","00952","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","QZ",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY & HYSTEROSALPING","00952","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","QZ",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY & HYSTEROSALPING","00952","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","QZ",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY & HYSTEROSALPING","00952","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","QZ",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY & HYSTEROSALPING","00952","HCPCS","Both",,,"98","49","Caresource","Health Exchange","QZ",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY & HYSTEROSALPING","00952","HCPCS","Both",,,"98","49","Cigna","Commercial","QZ",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY & HYSTEROSALPING","00952","HCPCS","Both",,,"98","49","Humana","Commercial","QZ",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY & HYSTEROSALPING","00952","HCPCS","Both",,,"98","49","UHC","Commercial","QZ",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY & HYSTEROSALPING","00952","HCPCS","Both",,,"98","49","Medicaid",,"QZ",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"PERINEUM SEMINAL VESICLES","00922","HCPCS","Both",,,"99","49.5","Alliant","Health Exchange","",,"62",,"61.38","36.23","76.73","percent of total billed charges",,
"PERINEUM SEMINAL VESICLES","00922","HCPCS","Both",,,"99","49.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"53.46","36.23","76.73","percent of total billed charges",,
"PERINEUM SEMINAL VESICLES","00922","HCPCS","Both",,,"99","49.5","Medicare",,"",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"PERINEUM SEMINAL VESICLES","00922","HCPCS","Both",,,"99","49.5","Humana","Medicare Advantage","",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"PERINEUM SEMINAL VESICLES","00922","HCPCS","Both",,,"99","49.5","UHC","Medicare Advantage","",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"PERINEUM SEMINAL VESICLES","00922","HCPCS","Both",,,"99","49.5","Clover","Medicare Advantage","",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"PERINEUM SEMINAL VESICLES","00922","HCPCS","Both",,,"99","49.5","Wellcare","Medicare Advantage","",,"54",,"53.66","36.23","76.73","percent of total billed charges",,
"PERINEUM SEMINAL VESICLES","00922","HCPCS","Both",,,"99","49.5","Amerigroup","Medicaid Managed Care","",,"37",,"36.23","36.23","76.73","percent of total billed charges",,
"PERINEUM SEMINAL VESICLES","00922","HCPCS","Both",,,"99","49.5","Caresource","Medicaid Managed Care","",,"40",,"39.6","36.23","76.73","percent of total billed charges",,
"PERINEUM SEMINAL VESICLES","00922","HCPCS","Both",,,"99","49.5","Wellcare","Medicaid Managed Care","",,"40",,"40.1","36.23","76.73","percent of total billed charges",,
"PERINEUM SEMINAL VESICLES","00922","HCPCS","Both",,,"99","49.5","Aetna","Commercial","",,"64",,"63.16","36.23","76.73","percent of total billed charges",,
"PERINEUM SEMINAL VESICLES","00922","HCPCS","Both",,,"99","49.5","Blue Cross Blue Shield","Pathways","",,"71",,"69.89","36.23","76.73","percent of total billed charges",,
"PERINEUM SEMINAL VESICLES","00922","HCPCS","Both",,,"99","49.5","Blue Cross Blue Shield","HMO","",,"71",,"69.89","36.23","76.73","percent of total billed charges",,
"PERINEUM SEMINAL VESICLES","00922","HCPCS","Both",,,"99","49.5","Blue Cross Blue Shield","PPO","",,"71",,"69.89","36.23","76.73","percent of total billed charges",,
"PERINEUM SEMINAL VESICLES","00922","HCPCS","Both",,,"99","49.5","Ambetter","Health Exchange","",,"62",,"61.38","36.23","76.73","percent of total billed charges",,
"PERINEUM SEMINAL VESICLES","00922","HCPCS","Both",,,"99","49.5","Caresource","Health Exchange","",,"62",,"61.38","36.23","76.73","percent of total billed charges",,
"PERINEUM SEMINAL VESICLES","00922","HCPCS","Both",,,"99","49.5","Cigna","Commercial","",,"59",,"58.01","36.23","76.73","percent of total billed charges",,
"PERINEUM SEMINAL VESICLES","00922","HCPCS","Both",,,"99","49.5","Humana","Commercial","",,"78",,"76.73","36.23","76.73","percent of total billed charges",,
"PERINEUM SEMINAL VESICLES","00922","HCPCS","Both",,,"99","49.5","UHC","Commercial","",,"75",,"74.65","36.23","76.73","percent of total billed charges",,
"PERINEUM SEMINAL VESICLES","00922","HCPCS","Both",,,"99","49.5","Medicaid",,"",,"37",,"36.23","36.23","76.73","percent of total billed charges",,
"PELVIS PROCEDURE BONY PELVIS","01120","HCPCS","Both",,,"98","49","Alliant","Health Exchange","QZ",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PELVIS PROCEDURE BONY PELVIS","01120","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","QZ",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"PELVIS PROCEDURE BONY PELVIS","01120","HCPCS","Both",,,"98","49","Medicare",,"QZ",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PELVIS PROCEDURE BONY PELVIS","01120","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","QZ",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PELVIS PROCEDURE BONY PELVIS","01120","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","QZ",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PELVIS PROCEDURE BONY PELVIS","01120","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","QZ",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PELVIS PROCEDURE BONY PELVIS","01120","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","QZ",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PELVIS PROCEDURE BONY PELVIS","01120","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","QZ",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"PELVIS PROCEDURE BONY PELVIS","01120","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","QZ",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"PELVIS PROCEDURE BONY PELVIS","01120","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","QZ",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"PELVIS PROCEDURE BONY PELVIS","01120","HCPCS","Both",,,"98","49","Aetna","Commercial","QZ",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"PELVIS PROCEDURE BONY PELVIS","01120","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","QZ",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PELVIS PROCEDURE BONY PELVIS","01120","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","QZ",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PELVIS PROCEDURE BONY PELVIS","01120","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","QZ",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PELVIS PROCEDURE BONY PELVIS","01120","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","QZ",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PELVIS PROCEDURE BONY PELVIS","01120","HCPCS","Both",,,"98","49","Caresource","Health Exchange","QZ",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PELVIS PROCEDURE BONY PELVIS","01120","HCPCS","Both",,,"98","49","Cigna","Commercial","QZ",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"PELVIS PROCEDURE BONY PELVIS","01120","HCPCS","Both",,,"98","49","Humana","Commercial","QZ",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"PELVIS PROCEDURE BONY PELVIS","01120","HCPCS","Both",,,"98","49","UHC","Commercial","QZ",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"PELVIS PROCEDURE BONY PELVIS","01120","HCPCS","Both",,,"98","49","Medicaid",,"QZ",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY &/OR HYSTERSA","00952","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY &/OR HYSTERSA","00952","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY &/OR HYSTERSA","00952","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY &/OR HYSTERSA","00952","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY &/OR HYSTERSA","00952","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY &/OR HYSTERSA","00952","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY &/OR HYSTERSA","00952","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY &/OR HYSTERSA","00952","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY &/OR HYSTERSA","00952","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY &/OR HYSTERSA","00952","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY &/OR HYSTERSA","00952","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY &/OR HYSTERSA","00952","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY &/OR HYSTERSA","00952","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY &/OR HYSTERSA","00952","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY &/OR HYSTERSA","00952","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY &/OR HYSTERSA","00952","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY &/OR HYSTERSA","00952","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY &/OR HYSTERSA","00952","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY &/OR HYSTERSA","00952","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"PERINEUM (HYSTEROSCOPY &/OR HYSTERSA","00952","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (AMPUTATION)","01232","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (AMPUTATION)","01232","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (AMPUTATION)","01232","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (AMPUTATION)","01232","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (AMPUTATION)","01232","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (AMPUTATION)","01232","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (AMPUTATION)","01232","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (AMPUTATION)","01232","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (AMPUTATION)","01232","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (AMPUTATION)","01232","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (AMPUTATION)","01232","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (AMPUTATION)","01232","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (AMPUTATION)","01232","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (AMPUTATION)","01232","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (AMPUTATION)","01232","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (AMPUTATION)","01232","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (AMPUTATION)","01232","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (AMPUTATION)","01232","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (AMPUTATION)","01232","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (AMPUTATION)","01232","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE INCLUDING EXPLORAT","01260","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE INCLUDING EXPLORAT","01260","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE INCLUDING EXPLORAT","01260","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE INCLUDING EXPLORAT","01260","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE INCLUDING EXPLORAT","01260","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE INCLUDING EXPLORAT","01260","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE INCLUDING EXPLORAT","01260","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE INCLUDING EXPLORAT","01260","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE INCLUDING EXPLORAT","01260","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE INCLUDING EXPLORAT","01260","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE INCLUDING EXPLORAT","01260","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE INCLUDING EXPLORAT","01260","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE INCLUDING EXPLORAT","01260","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE INCLUDING EXPLORAT","01260","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE INCLUDING EXPLORAT","01260","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE INCLUDING EXPLORAT","01260","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE INCLUDING EXPLORAT","01260","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE INCLUDING EXPLORAT","01260","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE INCLUDING EXPLORAT","01260","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE INCLUDING EXPLORAT","01260","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"NECK (SIMPLE LIGATION)","00352","HCPCS","Both",,,"98","49","Alliant","Health Exchange","QX",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"NECK (SIMPLE LIGATION)","00352","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","QX",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"NECK (SIMPLE LIGATION)","00352","HCPCS","Both",,,"98","49","Medicare",,"QX",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"NECK (SIMPLE LIGATION)","00352","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","QX",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"NECK (SIMPLE LIGATION)","00352","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","QX",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"NECK (SIMPLE LIGATION)","00352","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","QX",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"NECK (SIMPLE LIGATION)","00352","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","QX",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"NECK (SIMPLE LIGATION)","00352","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","QX",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"NECK (SIMPLE LIGATION)","00352","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","QX",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"NECK (SIMPLE LIGATION)","00352","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","QX",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"NECK (SIMPLE LIGATION)","00352","HCPCS","Both",,,"98","49","Aetna","Commercial","QX",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"NECK (SIMPLE LIGATION)","00352","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","QX",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"NECK (SIMPLE LIGATION)","00352","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","QX",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"NECK (SIMPLE LIGATION)","00352","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","QX",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"NECK (SIMPLE LIGATION)","00352","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","QX",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"NECK (SIMPLE LIGATION)","00352","HCPCS","Both",,,"98","49","Caresource","Health Exchange","QX",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"NECK (SIMPLE LIGATION)","00352","HCPCS","Both",,,"98","49","Cigna","Commercial","QX",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"NECK (SIMPLE LIGATION)","00352","HCPCS","Both",,,"98","49","Humana","Commercial","QX",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"NECK (SIMPLE LIGATION)","00352","HCPCS","Both",,,"98","49","UHC","Commercial","QX",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"NECK (SIMPLE LIGATION)","00352","HCPCS","Both",,,"98","49","Medicaid",,"QX",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (DISARTICULATION KNEE)","01404","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (DISARTICULATION KNEE)","01404","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (DISARTICULATION KNEE)","01404","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (DISARTICULATION KNEE)","01404","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (DISARTICULATION KNEE)","01404","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (DISARTICULATION KNEE)","01404","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (DISARTICULATION KNEE)","01404","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (DISARTICULATION KNEE)","01404","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (DISARTICULATION KNEE)","01404","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (DISARTICULATION KNEE)","01404","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (DISARTICULATION KNEE)","01404","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (DISARTICULATION KNEE)","01404","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (DISARTICULATION KNEE)","01404","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (DISARTICULATION KNEE)","01404","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (DISARTICULATION KNEE)","01404","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (DISARTICULATION KNEE)","01404","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (DISARTICULATION KNEE)","01404","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (DISARTICULATION KNEE)","01404","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (DISARTICULATION KNEE)","01404","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (DISARTICULATION KNEE)","01404","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (CAST APP/REMOV/REPAIR)","01420","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (CAST APP/REMOV/REPAIR)","01420","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (CAST APP/REMOV/REPAIR)","01420","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (CAST APP/REMOV/REPAIR)","01420","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (CAST APP/REMOV/REPAIR)","01420","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (CAST APP/REMOV/REPAIR)","01420","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (CAST APP/REMOV/REPAIR)","01420","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (CAST APP/REMOV/REPAIR)","01420","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (CAST APP/REMOV/REPAIR)","01420","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (CAST APP/REMOV/REPAIR)","01420","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (CAST APP/REMOV/REPAIR)","01420","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (CAST APP/REMOV/REPAIR)","01420","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (CAST APP/REMOV/REPAIR)","01420","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (CAST APP/REMOV/REPAIR)","01420","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (CAST APP/REMOV/REPAIR)","01420","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (CAST APP/REMOV/REPAIR)","01420","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (CAST APP/REMOV/REPAIR)","01420","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (CAST APP/REMOV/REPAIR)","01420","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (CAST APP/REMOV/REPAIR)","01420","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL (CAST APP/REMOV/REPAIR)","01420","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (OPEN PROCEDURES)","01480","HCPCS","Both",,,"63.5","31.75","Alliant","Health Exchange","",,"62",,"39.37","23.24","49.21","percent of total billed charges",,
"LOWER LEG BELOW KNEE (OPEN PROCEDURES)","01480","HCPCS","Both",,,"63.5","31.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"34.29","23.24","49.21","percent of total billed charges",,
"LOWER LEG BELOW KNEE (OPEN PROCEDURES)","01480","HCPCS","Both",,,"63.5","31.75","Medicare",,"",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"LOWER LEG BELOW KNEE (OPEN PROCEDURES)","01480","HCPCS","Both",,,"63.5","31.75","Humana","Medicare Advantage","",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"LOWER LEG BELOW KNEE (OPEN PROCEDURES)","01480","HCPCS","Both",,,"63.5","31.75","UHC","Medicare Advantage","",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"LOWER LEG BELOW KNEE (OPEN PROCEDURES)","01480","HCPCS","Both",,,"63.5","31.75","Clover","Medicare Advantage","",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"LOWER LEG BELOW KNEE (OPEN PROCEDURES)","01480","HCPCS","Both",,,"63.5","31.75","Wellcare","Medicare Advantage","",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"LOWER LEG BELOW KNEE (OPEN PROCEDURES)","01480","HCPCS","Both",,,"63.5","31.75","Amerigroup","Medicaid Managed Care","",,"37",,"23.24","23.24","49.21","percent of total billed charges",,
"LOWER LEG BELOW KNEE (OPEN PROCEDURES)","01480","HCPCS","Both",,,"63.5","31.75","Caresource","Medicaid Managed Care","",,"40",,"25.4","23.24","49.21","percent of total billed charges",,
"LOWER LEG BELOW KNEE (OPEN PROCEDURES)","01480","HCPCS","Both",,,"63.5","31.75","Wellcare","Medicaid Managed Care","",,"40",,"25.72","23.24","49.21","percent of total billed charges",,
"LOWER LEG BELOW KNEE (OPEN PROCEDURES)","01480","HCPCS","Both",,,"63.5","31.75","Aetna","Commercial","",,"64",,"40.51","23.24","49.21","percent of total billed charges",,
"LOWER LEG BELOW KNEE (OPEN PROCEDURES)","01480","HCPCS","Both",,,"63.5","31.75","Blue Cross Blue Shield","Pathways","",,"71",,"44.83","23.24","49.21","percent of total billed charges",,
"LOWER LEG BELOW KNEE (OPEN PROCEDURES)","01480","HCPCS","Both",,,"63.5","31.75","Blue Cross Blue Shield","HMO","",,"71",,"44.83","23.24","49.21","percent of total billed charges",,
"LOWER LEG BELOW KNEE (OPEN PROCEDURES)","01480","HCPCS","Both",,,"63.5","31.75","Blue Cross Blue Shield","PPO","",,"71",,"44.83","23.24","49.21","percent of total billed charges",,
"LOWER LEG BELOW KNEE (OPEN PROCEDURES)","01480","HCPCS","Both",,,"63.5","31.75","Ambetter","Health Exchange","",,"62",,"39.37","23.24","49.21","percent of total billed charges",,
"LOWER LEG BELOW KNEE (OPEN PROCEDURES)","01480","HCPCS","Both",,,"63.5","31.75","Caresource","Health Exchange","",,"62",,"39.37","23.24","49.21","percent of total billed charges",,
"LOWER LEG BELOW KNEE (OPEN PROCEDURES)","01480","HCPCS","Both",,,"63.5","31.75","Cigna","Commercial","",,"59",,"37.21","23.24","49.21","percent of total billed charges",,
"LOWER LEG BELOW KNEE (OPEN PROCEDURES)","01480","HCPCS","Both",,,"63.5","31.75","Humana","Commercial","",,"78",,"49.21","23.24","49.21","percent of total billed charges",,
"LOWER LEG BELOW KNEE (OPEN PROCEDURES)","01480","HCPCS","Both",,,"63.5","31.75","UHC","Commercial","",,"75",,"47.88","23.24","49.21","percent of total billed charges",,
"LOWER LEG BELOW KNEE (OPEN PROCEDURES)","01480","HCPCS","Both",,,"63.5","31.75","Medicaid",,"",,"37",,"23.24","23.24","49.21","percent of total billed charges",,
"LOWER LEG BELOW KNEE (CAST APP/REMOV,REP","01490","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (CAST APP/REMOV,REP","01490","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (CAST APP/REMOV,REP","01490","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (CAST APP/REMOV,REP","01490","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (CAST APP/REMOV,REP","01490","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (CAST APP/REMOV,REP","01490","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (CAST APP/REMOV,REP","01490","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (CAST APP/REMOV,REP","01490","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (CAST APP/REMOV,REP","01490","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (CAST APP/REMOV,REP","01490","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (CAST APP/REMOV,REP","01490","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (CAST APP/REMOV,REP","01490","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (CAST APP/REMOV,REP","01490","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (CAST APP/REMOV,REP","01490","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (CAST APP/REMOV,REP","01490","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (CAST APP/REMOV,REP","01490","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (CAST APP/REMOV,REP","01490","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (CAST APP/REMOV,REP","01490","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (CAST APP/REMOV,REP","01490","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (CAST APP/REMOV,REP","01490","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"THORAX CLAVICLE & SCAPULA","00450","HCPCS","Both",,,"59","29.5","Alliant","Health Exchange","",,"62",,"36.58","21.59","45.72","percent of total billed charges",,
"THORAX CLAVICLE & SCAPULA","00450","HCPCS","Both",,,"59","29.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"31.86","21.59","45.72","percent of total billed charges",,
"THORAX CLAVICLE & SCAPULA","00450","HCPCS","Both",,,"59","29.5","Medicare",,"",,"54",,"31.98","21.59","45.72","percent of total billed charges",,
"THORAX CLAVICLE & SCAPULA","00450","HCPCS","Both",,,"59","29.5","Humana","Medicare Advantage","",,"54",,"31.98","21.59","45.72","percent of total billed charges",,
"THORAX CLAVICLE & SCAPULA","00450","HCPCS","Both",,,"59","29.5","UHC","Medicare Advantage","",,"54",,"31.98","21.59","45.72","percent of total billed charges",,
"THORAX CLAVICLE & SCAPULA","00450","HCPCS","Both",,,"59","29.5","Clover","Medicare Advantage","",,"54",,"31.98","21.59","45.72","percent of total billed charges",,
"THORAX CLAVICLE & SCAPULA","00450","HCPCS","Both",,,"59","29.5","Wellcare","Medicare Advantage","",,"54",,"31.98","21.59","45.72","percent of total billed charges",,
"THORAX CLAVICLE & SCAPULA","00450","HCPCS","Both",,,"59","29.5","Amerigroup","Medicaid Managed Care","",,"37",,"21.59","21.59","45.72","percent of total billed charges",,
"THORAX CLAVICLE & SCAPULA","00450","HCPCS","Both",,,"59","29.5","Caresource","Medicaid Managed Care","",,"40",,"23.6","21.59","45.72","percent of total billed charges",,
"THORAX CLAVICLE & SCAPULA","00450","HCPCS","Both",,,"59","29.5","Wellcare","Medicaid Managed Care","",,"40",,"23.9","21.59","45.72","percent of total billed charges",,
"THORAX CLAVICLE & SCAPULA","00450","HCPCS","Both",,,"59","29.5","Aetna","Commercial","",,"64",,"37.64","21.59","45.72","percent of total billed charges",,
"THORAX CLAVICLE & SCAPULA","00450","HCPCS","Both",,,"59","29.5","Blue Cross Blue Shield","Pathways","",,"71",,"41.65","21.59","45.72","percent of total billed charges",,
"THORAX CLAVICLE & SCAPULA","00450","HCPCS","Both",,,"59","29.5","Blue Cross Blue Shield","HMO","",,"71",,"41.65","21.59","45.72","percent of total billed charges",,
"THORAX CLAVICLE & SCAPULA","00450","HCPCS","Both",,,"59","29.5","Blue Cross Blue Shield","PPO","",,"71",,"41.65","21.59","45.72","percent of total billed charges",,
"THORAX CLAVICLE & SCAPULA","00450","HCPCS","Both",,,"59","29.5","Ambetter","Health Exchange","",,"62",,"36.58","21.59","45.72","percent of total billed charges",,
"THORAX CLAVICLE & SCAPULA","00450","HCPCS","Both",,,"59","29.5","Caresource","Health Exchange","",,"62",,"36.58","21.59","45.72","percent of total billed charges",,
"THORAX CLAVICLE & SCAPULA","00450","HCPCS","Both",,,"59","29.5","Cigna","Commercial","",,"59",,"34.57","21.59","45.72","percent of total billed charges",,
"THORAX CLAVICLE & SCAPULA","00450","HCPCS","Both",,,"59","29.5","Humana","Commercial","",,"78",,"45.72","21.59","45.72","percent of total billed charges",,
"THORAX CLAVICLE & SCAPULA","00450","HCPCS","Both",,,"59","29.5","UHC","Commercial","",,"75",,"44.49","21.59","45.72","percent of total billed charges",,
"THORAX CLAVICLE & SCAPULA","00450","HCPCS","Both",,,"59","29.5","Medicaid",,"",,"37",,"21.59","21.59","45.72","percent of total billed charges",,
"THORAX (INTEGUMENTARY SYSTEM)","00400","HCPCS","Both",,,"59","29.5","Alliant","Health Exchange","",,"62",,"36.58","21.59","45.72","percent of total billed charges",,
"THORAX (INTEGUMENTARY SYSTEM)","00400","HCPCS","Both",,,"59","29.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"31.86","21.59","45.72","percent of total billed charges",,
"THORAX (INTEGUMENTARY SYSTEM)","00400","HCPCS","Both",,,"59","29.5","Medicare",,"",,"54",,"31.98","21.59","45.72","percent of total billed charges",,
"THORAX (INTEGUMENTARY SYSTEM)","00400","HCPCS","Both",,,"59","29.5","Humana","Medicare Advantage","",,"54",,"31.98","21.59","45.72","percent of total billed charges",,
"THORAX (INTEGUMENTARY SYSTEM)","00400","HCPCS","Both",,,"59","29.5","UHC","Medicare Advantage","",,"54",,"31.98","21.59","45.72","percent of total billed charges",,
"THORAX (INTEGUMENTARY SYSTEM)","00400","HCPCS","Both",,,"59","29.5","Clover","Medicare Advantage","",,"54",,"31.98","21.59","45.72","percent of total billed charges",,
"THORAX (INTEGUMENTARY SYSTEM)","00400","HCPCS","Both",,,"59","29.5","Wellcare","Medicare Advantage","",,"54",,"31.98","21.59","45.72","percent of total billed charges",,
"THORAX (INTEGUMENTARY SYSTEM)","00400","HCPCS","Both",,,"59","29.5","Amerigroup","Medicaid Managed Care","",,"37",,"21.59","21.59","45.72","percent of total billed charges",,
"THORAX (INTEGUMENTARY SYSTEM)","00400","HCPCS","Both",,,"59","29.5","Caresource","Medicaid Managed Care","",,"40",,"23.6","21.59","45.72","percent of total billed charges",,
"THORAX (INTEGUMENTARY SYSTEM)","00400","HCPCS","Both",,,"59","29.5","Wellcare","Medicaid Managed Care","",,"40",,"23.9","21.59","45.72","percent of total billed charges",,
"THORAX (INTEGUMENTARY SYSTEM)","00400","HCPCS","Both",,,"59","29.5","Aetna","Commercial","",,"64",,"37.64","21.59","45.72","percent of total billed charges",,
"THORAX (INTEGUMENTARY SYSTEM)","00400","HCPCS","Both",,,"59","29.5","Blue Cross Blue Shield","Pathways","",,"71",,"41.65","21.59","45.72","percent of total billed charges",,
"THORAX (INTEGUMENTARY SYSTEM)","00400","HCPCS","Both",,,"59","29.5","Blue Cross Blue Shield","HMO","",,"71",,"41.65","21.59","45.72","percent of total billed charges",,
"THORAX (INTEGUMENTARY SYSTEM)","00400","HCPCS","Both",,,"59","29.5","Blue Cross Blue Shield","PPO","",,"71",,"41.65","21.59","45.72","percent of total billed charges",,
"THORAX (INTEGUMENTARY SYSTEM)","00400","HCPCS","Both",,,"59","29.5","Ambetter","Health Exchange","",,"62",,"36.58","21.59","45.72","percent of total billed charges",,
"THORAX (INTEGUMENTARY SYSTEM)","00400","HCPCS","Both",,,"59","29.5","Caresource","Health Exchange","",,"62",,"36.58","21.59","45.72","percent of total billed charges",,
"THORAX (INTEGUMENTARY SYSTEM)","00400","HCPCS","Both",,,"59","29.5","Cigna","Commercial","",,"59",,"34.57","21.59","45.72","percent of total billed charges",,
"THORAX (INTEGUMENTARY SYSTEM)","00400","HCPCS","Both",,,"59","29.5","Humana","Commercial","",,"78",,"45.72","21.59","45.72","percent of total billed charges",,
"THORAX (INTEGUMENTARY SYSTEM)","00400","HCPCS","Both",,,"59","29.5","UHC","Commercial","",,"75",,"44.49","21.59","45.72","percent of total billed charges",,
"THORAX (INTEGUMENTARY SYSTEM)","00400","HCPCS","Both",,,"59","29.5","Medicaid",,"",,"37",,"21.59","21.59","45.72","percent of total billed charges",,
"FOREARM/WRIST/HAND (NERVES/MUSCL/TEN/FAS","01810","HCPCS","Both",,,"8","4","Alliant","Health Exchange","",,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"FOREARM/WRIST/HAND (NERVES/MUSCL/TEN/FAS","01810","HCPCS","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage","",,"54",,"4.32","2.93","6.2","percent of total billed charges",,
"FOREARM/WRIST/HAND (NERVES/MUSCL/TEN/FAS","01810","HCPCS","Both",,,"8","4","Medicare",,"",,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"FOREARM/WRIST/HAND (NERVES/MUSCL/TEN/FAS","01810","HCPCS","Both",,,"8","4","Humana","Medicare Advantage","",,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"FOREARM/WRIST/HAND (NERVES/MUSCL/TEN/FAS","01810","HCPCS","Both",,,"8","4","UHC","Medicare Advantage","",,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"FOREARM/WRIST/HAND (NERVES/MUSCL/TEN/FAS","01810","HCPCS","Both",,,"8","4","Clover","Medicare Advantage","",,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"FOREARM/WRIST/HAND (NERVES/MUSCL/TEN/FAS","01810","HCPCS","Both",,,"8","4","Wellcare","Medicare Advantage","",,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"FOREARM/WRIST/HAND (NERVES/MUSCL/TEN/FAS","01810","HCPCS","Both",,,"8","4","Amerigroup","Medicaid Managed Care","",,"37",,"2.93","2.93","6.2","percent of total billed charges",,
"FOREARM/WRIST/HAND (NERVES/MUSCL/TEN/FAS","01810","HCPCS","Both",,,"8","4","Caresource","Medicaid Managed Care","",,"40",,"3.2","2.93","6.2","percent of total billed charges",,
"FOREARM/WRIST/HAND (NERVES/MUSCL/TEN/FAS","01810","HCPCS","Both",,,"8","4","Wellcare","Medicaid Managed Care","",,"40",,"3.24","2.93","6.2","percent of total billed charges",,
"FOREARM/WRIST/HAND (NERVES/MUSCL/TEN/FAS","01810","HCPCS","Both",,,"8","4","Aetna","Commercial","",,"64",,"5.1","2.93","6.2","percent of total billed charges",,
"FOREARM/WRIST/HAND (NERVES/MUSCL/TEN/FAS","01810","HCPCS","Both",,,"8","4","Blue Cross Blue Shield","Pathways","",,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"FOREARM/WRIST/HAND (NERVES/MUSCL/TEN/FAS","01810","HCPCS","Both",,,"8","4","Blue Cross Blue Shield","HMO","",,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"FOREARM/WRIST/HAND (NERVES/MUSCL/TEN/FAS","01810","HCPCS","Both",,,"8","4","Blue Cross Blue Shield","PPO","",,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"FOREARM/WRIST/HAND (NERVES/MUSCL/TEN/FAS","01810","HCPCS","Both",,,"8","4","Ambetter","Health Exchange","",,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"FOREARM/WRIST/HAND (NERVES/MUSCL/TEN/FAS","01810","HCPCS","Both",,,"8","4","Caresource","Health Exchange","",,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"FOREARM/WRIST/HAND (NERVES/MUSCL/TEN/FAS","01810","HCPCS","Both",,,"8","4","Cigna","Commercial","",,"59",,"4.69","2.93","6.2","percent of total billed charges",,
"FOREARM/WRIST/HAND (NERVES/MUSCL/TEN/FAS","01810","HCPCS","Both",,,"8","4","Humana","Commercial","",,"78",,"6.2","2.93","6.2","percent of total billed charges",,
"FOREARM/WRIST/HAND (NERVES/MUSCL/TEN/FAS","01810","HCPCS","Both",,,"8","4","UHC","Commercial","",,"75",,"6.03","2.93","6.2","percent of total billed charges",,
"FOREARM/WRIST/HAND (NERVES/MUSCL/TEN/FAS","01810","HCPCS","Both",,,"8","4","Medicaid",,"",,"37",,"2.93","2.93","6.2","percent of total billed charges",,
"UNLISTED ANESTHESIA PROCEDURE(S)","01999","HCPCS","Both",,,"24.5","12.25","Alliant","Health Exchange","",,"62",,"15.19","8.97","18.99","percent of total billed charges",,
"UNLISTED ANESTHESIA PROCEDURE(S)","01999","HCPCS","Both",,,"24.5","12.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"13.23","8.97","18.99","percent of total billed charges",,
"UNLISTED ANESTHESIA PROCEDURE(S)","01999","HCPCS","Both",,,"24.5","12.25","Medicare",,"",,"54",,"13.28","8.97","18.99","percent of total billed charges",,
"UNLISTED ANESTHESIA PROCEDURE(S)","01999","HCPCS","Both",,,"24.5","12.25","Humana","Medicare Advantage","",,"54",,"13.28","8.97","18.99","percent of total billed charges",,
"UNLISTED ANESTHESIA PROCEDURE(S)","01999","HCPCS","Both",,,"24.5","12.25","UHC","Medicare Advantage","",,"54",,"13.28","8.97","18.99","percent of total billed charges",,
"UNLISTED ANESTHESIA PROCEDURE(S)","01999","HCPCS","Both",,,"24.5","12.25","Clover","Medicare Advantage","",,"54",,"13.28","8.97","18.99","percent of total billed charges",,
"UNLISTED ANESTHESIA PROCEDURE(S)","01999","HCPCS","Both",,,"24.5","12.25","Wellcare","Medicare Advantage","",,"54",,"13.28","8.97","18.99","percent of total billed charges",,
"UNLISTED ANESTHESIA PROCEDURE(S)","01999","HCPCS","Both",,,"24.5","12.25","Amerigroup","Medicaid Managed Care","",,"37",,"8.97","8.97","18.99","percent of total billed charges",,
"UNLISTED ANESTHESIA PROCEDURE(S)","01999","HCPCS","Both",,,"24.5","12.25","Caresource","Medicaid Managed Care","",,"40",,"9.8","8.97","18.99","percent of total billed charges",,
"UNLISTED ANESTHESIA PROCEDURE(S)","01999","HCPCS","Both",,,"24.5","12.25","Wellcare","Medicaid Managed Care","",,"40",,"9.92","8.97","18.99","percent of total billed charges",,
"UNLISTED ANESTHESIA PROCEDURE(S)","01999","HCPCS","Both",,,"24.5","12.25","Aetna","Commercial","",,"64",,"15.63","8.97","18.99","percent of total billed charges",,
"UNLISTED ANESTHESIA PROCEDURE(S)","01999","HCPCS","Both",,,"24.5","12.25","Blue Cross Blue Shield","Pathways","",,"71",,"17.3","8.97","18.99","percent of total billed charges",,
"UNLISTED ANESTHESIA PROCEDURE(S)","01999","HCPCS","Both",,,"24.5","12.25","Blue Cross Blue Shield","HMO","",,"71",,"17.3","8.97","18.99","percent of total billed charges",,
"UNLISTED ANESTHESIA PROCEDURE(S)","01999","HCPCS","Both",,,"24.5","12.25","Blue Cross Blue Shield","PPO","",,"71",,"17.3","8.97","18.99","percent of total billed charges",,
"UNLISTED ANESTHESIA PROCEDURE(S)","01999","HCPCS","Both",,,"24.5","12.25","Ambetter","Health Exchange","",,"62",,"15.19","8.97","18.99","percent of total billed charges",,
"UNLISTED ANESTHESIA PROCEDURE(S)","01999","HCPCS","Both",,,"24.5","12.25","Caresource","Health Exchange","",,"62",,"15.19","8.97","18.99","percent of total billed charges",,
"UNLISTED ANESTHESIA PROCEDURE(S)","01999","HCPCS","Both",,,"24.5","12.25","Cigna","Commercial","",,"59",,"14.36","8.97","18.99","percent of total billed charges",,
"UNLISTED ANESTHESIA PROCEDURE(S)","01999","HCPCS","Both",,,"24.5","12.25","Humana","Commercial","",,"78",,"18.99","8.97","18.99","percent of total billed charges",,
"UNLISTED ANESTHESIA PROCEDURE(S)","01999","HCPCS","Both",,,"24.5","12.25","UHC","Commercial","",,"75",,"18.47","8.97","18.99","percent of total billed charges",,
"UNLISTED ANESTHESIA PROCEDURE(S)","01999","HCPCS","Both",,,"24.5","12.25","Medicaid",,"",,"37",,"8.97","8.97","18.99","percent of total billed charges",,
"THORAX RECONSTRUCT PROC BREAST","00402","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"THORAX RECONSTRUCT PROC BREAST","00402","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"THORAX RECONSTRUCT PROC BREAST","00402","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"THORAX RECONSTRUCT PROC BREAST","00402","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"THORAX RECONSTRUCT PROC BREAST","00402","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"THORAX RECONSTRUCT PROC BREAST","00402","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"THORAX RECONSTRUCT PROC BREAST","00402","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"THORAX RECONSTRUCT PROC BREAST","00402","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"THORAX RECONSTRUCT PROC BREAST","00402","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"THORAX RECONSTRUCT PROC BREAST","00402","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"THORAX RECONSTRUCT PROC BREAST","00402","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"THORAX RECONSTRUCT PROC BREAST","00402","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"THORAX RECONSTRUCT PROC BREAST","00402","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"THORAX RECONSTRUCT PROC BREAST","00402","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"THORAX RECONSTRUCT PROC BREAST","00402","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"THORAX RECONSTRUCT PROC BREAST","00402","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"THORAX RECONSTRUCT PROC BREAST","00402","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"THORAX RECONSTRUCT PROC BREAST","00402","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"THORAX RECONSTRUCT PROC BREAST","00402","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"THORAX RECONSTRUCT PROC BREAST","00402","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"PATIENT OF EXTREME AGE(<1yr & >70)","99100","HCPCS","Both",,,"13.5","6.75","Alliant","Health Exchange","",,"62",,"8.37","4.94","10.46","percent of total billed charges",,
"PATIENT OF EXTREME AGE(<1yr & >70)","99100","HCPCS","Both",,,"13.5","6.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"7.29","4.94","10.46","percent of total billed charges",,
"PATIENT OF EXTREME AGE(<1yr & >70)","99100","HCPCS","Both",,,"13.5","6.75","Medicare",,"",,"54",,"7.32","4.94","10.46","percent of total billed charges",,
"PATIENT OF EXTREME AGE(<1yr & >70)","99100","HCPCS","Both",,,"13.5","6.75","Humana","Medicare Advantage","",,"54",,"7.32","4.94","10.46","percent of total billed charges",,
"PATIENT OF EXTREME AGE(<1yr & >70)","99100","HCPCS","Both",,,"13.5","6.75","UHC","Medicare Advantage","",,"54",,"7.32","4.94","10.46","percent of total billed charges",,
"PATIENT OF EXTREME AGE(<1yr & >70)","99100","HCPCS","Both",,,"13.5","6.75","Clover","Medicare Advantage","",,"54",,"7.32","4.94","10.46","percent of total billed charges",,
"PATIENT OF EXTREME AGE(<1yr & >70)","99100","HCPCS","Both",,,"13.5","6.75","Wellcare","Medicare Advantage","",,"54",,"7.32","4.94","10.46","percent of total billed charges",,
"PATIENT OF EXTREME AGE(<1yr & >70)","99100","HCPCS","Both",,,"13.5","6.75","Amerigroup","Medicaid Managed Care","",,"37",,"4.94","4.94","10.46","percent of total billed charges",,
"PATIENT OF EXTREME AGE(<1yr & >70)","99100","HCPCS","Both",,,"13.5","6.75","Caresource","Medicaid Managed Care","",,"40",,"5.4","4.94","10.46","percent of total billed charges",,
"PATIENT OF EXTREME AGE(<1yr & >70)","99100","HCPCS","Both",,,"13.5","6.75","Wellcare","Medicaid Managed Care","",,"40",,"5.47","4.94","10.46","percent of total billed charges",,
"PATIENT OF EXTREME AGE(<1yr & >70)","99100","HCPCS","Both",,,"13.5","6.75","Aetna","Commercial","",,"64",,"8.61","4.94","10.46","percent of total billed charges",,
"PATIENT OF EXTREME AGE(<1yr & >70)","99100","HCPCS","Both",,,"13.5","6.75","Blue Cross Blue Shield","Pathways","",,"71",,"9.53","4.94","10.46","percent of total billed charges",,
"PATIENT OF EXTREME AGE(<1yr & >70)","99100","HCPCS","Both",,,"13.5","6.75","Blue Cross Blue Shield","HMO","",,"71",,"9.53","4.94","10.46","percent of total billed charges",,
"PATIENT OF EXTREME AGE(<1yr & >70)","99100","HCPCS","Both",,,"13.5","6.75","Blue Cross Blue Shield","PPO","",,"71",,"9.53","4.94","10.46","percent of total billed charges",,
"PATIENT OF EXTREME AGE(<1yr & >70)","99100","HCPCS","Both",,,"13.5","6.75","Ambetter","Health Exchange","",,"62",,"8.37","4.94","10.46","percent of total billed charges",,
"PATIENT OF EXTREME AGE(<1yr & >70)","99100","HCPCS","Both",,,"13.5","6.75","Caresource","Health Exchange","",,"62",,"8.37","4.94","10.46","percent of total billed charges",,
"PATIENT OF EXTREME AGE(<1yr & >70)","99100","HCPCS","Both",,,"13.5","6.75","Cigna","Commercial","",,"59",,"7.91","4.94","10.46","percent of total billed charges",,
"PATIENT OF EXTREME AGE(<1yr & >70)","99100","HCPCS","Both",,,"13.5","6.75","Humana","Commercial","",,"78",,"10.46","4.94","10.46","percent of total billed charges",,
"PATIENT OF EXTREME AGE(<1yr & >70)","99100","HCPCS","Both",,,"13.5","6.75","UHC","Commercial","",,"75",,"10.18","4.94","10.46","percent of total billed charges",,
"PATIENT OF EXTREME AGE(<1yr & >70)","99100","HCPCS","Both",,,"13.5","6.75","Medicaid",,"",,"37",,"4.94","4.94","10.46","percent of total billed charges",,
"COMPLICATION OF TOTAL BODY HYPOTHERMIA","99116","HCPCS","Both",,,"679.5","339.75","Alliant","Health Exchange","",,"62",,"421.29","248.7","526.61","percent of total billed charges",,
"COMPLICATION OF TOTAL BODY HYPOTHERMIA","99116","HCPCS","Both",,,"679.5","339.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"366.93","248.7","526.61","percent of total billed charges",,
"COMPLICATION OF TOTAL BODY HYPOTHERMIA","99116","HCPCS","Both",,,"679.5","339.75","Medicare",,"",,"54",,"368.29","248.7","526.61","percent of total billed charges",,
"COMPLICATION OF TOTAL BODY HYPOTHERMIA","99116","HCPCS","Both",,,"679.5","339.75","Humana","Medicare Advantage","",,"54",,"368.29","248.7","526.61","percent of total billed charges",,
"COMPLICATION OF TOTAL BODY HYPOTHERMIA","99116","HCPCS","Both",,,"679.5","339.75","UHC","Medicare Advantage","",,"54",,"368.29","248.7","526.61","percent of total billed charges",,
"COMPLICATION OF TOTAL BODY HYPOTHERMIA","99116","HCPCS","Both",,,"679.5","339.75","Clover","Medicare Advantage","",,"54",,"368.29","248.7","526.61","percent of total billed charges",,
"COMPLICATION OF TOTAL BODY HYPOTHERMIA","99116","HCPCS","Both",,,"679.5","339.75","Wellcare","Medicare Advantage","",,"54",,"368.29","248.7","526.61","percent of total billed charges",,
"COMPLICATION OF TOTAL BODY HYPOTHERMIA","99116","HCPCS","Both",,,"679.5","339.75","Amerigroup","Medicaid Managed Care","",,"37",,"248.7","248.7","526.61","percent of total billed charges",,
"COMPLICATION OF TOTAL BODY HYPOTHERMIA","99116","HCPCS","Both",,,"679.5","339.75","Caresource","Medicaid Managed Care","",,"40",,"271.8","248.7","526.61","percent of total billed charges",,
"COMPLICATION OF TOTAL BODY HYPOTHERMIA","99116","HCPCS","Both",,,"679.5","339.75","Wellcare","Medicaid Managed Care","",,"40",,"275.2","248.7","526.61","percent of total billed charges",,
"COMPLICATION OF TOTAL BODY HYPOTHERMIA","99116","HCPCS","Both",,,"679.5","339.75","Aetna","Commercial","",,"64",,"433.52","248.7","526.61","percent of total billed charges",,
"COMPLICATION OF TOTAL BODY HYPOTHERMIA","99116","HCPCS","Both",,,"679.5","339.75","Blue Cross Blue Shield","Pathways","",,"71",,"479.73","248.7","526.61","percent of total billed charges",,
"COMPLICATION OF TOTAL BODY HYPOTHERMIA","99116","HCPCS","Both",,,"679.5","339.75","Blue Cross Blue Shield","HMO","",,"71",,"479.73","248.7","526.61","percent of total billed charges",,
"COMPLICATION OF TOTAL BODY HYPOTHERMIA","99116","HCPCS","Both",,,"679.5","339.75","Blue Cross Blue Shield","PPO","",,"71",,"479.73","248.7","526.61","percent of total billed charges",,
"COMPLICATION OF TOTAL BODY HYPOTHERMIA","99116","HCPCS","Both",,,"679.5","339.75","Ambetter","Health Exchange","",,"62",,"421.29","248.7","526.61","percent of total billed charges",,
"COMPLICATION OF TOTAL BODY HYPOTHERMIA","99116","HCPCS","Both",,,"679.5","339.75","Caresource","Health Exchange","",,"62",,"421.29","248.7","526.61","percent of total billed charges",,
"COMPLICATION OF TOTAL BODY HYPOTHERMIA","99116","HCPCS","Both",,,"679.5","339.75","Cigna","Commercial","",,"59",,"398.19","248.7","526.61","percent of total billed charges",,
"COMPLICATION OF TOTAL BODY HYPOTHERMIA","99116","HCPCS","Both",,,"679.5","339.75","Humana","Commercial","",,"78",,"526.61","248.7","526.61","percent of total billed charges",,
"COMPLICATION OF TOTAL BODY HYPOTHERMIA","99116","HCPCS","Both",,,"679.5","339.75","UHC","Commercial","",,"75",,"512.34","248.7","526.61","percent of total billed charges",,
"COMPLICATION OF TOTAL BODY HYPOTHERMIA","99116","HCPCS","Both",,,"679.5","339.75","Medicaid",,"",,"37",,"248.7","248.7","526.61","percent of total billed charges",,
"COMPLICATION OF CONTROLLED HYPOTENSION","99135","HCPCS","Both",,,"679.5","339.75","Alliant","Health Exchange","",,"62",,"421.29","248.7","526.61","percent of total billed charges",,
"COMPLICATION OF CONTROLLED HYPOTENSION","99135","HCPCS","Both",,,"679.5","339.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"366.93","248.7","526.61","percent of total billed charges",,
"COMPLICATION OF CONTROLLED HYPOTENSION","99135","HCPCS","Both",,,"679.5","339.75","Medicare",,"",,"54",,"368.29","248.7","526.61","percent of total billed charges",,
"COMPLICATION OF CONTROLLED HYPOTENSION","99135","HCPCS","Both",,,"679.5","339.75","Humana","Medicare Advantage","",,"54",,"368.29","248.7","526.61","percent of total billed charges",,
"COMPLICATION OF CONTROLLED HYPOTENSION","99135","HCPCS","Both",,,"679.5","339.75","UHC","Medicare Advantage","",,"54",,"368.29","248.7","526.61","percent of total billed charges",,
"COMPLICATION OF CONTROLLED HYPOTENSION","99135","HCPCS","Both",,,"679.5","339.75","Clover","Medicare Advantage","",,"54",,"368.29","248.7","526.61","percent of total billed charges",,
"COMPLICATION OF CONTROLLED HYPOTENSION","99135","HCPCS","Both",,,"679.5","339.75","Wellcare","Medicare Advantage","",,"54",,"368.29","248.7","526.61","percent of total billed charges",,
"COMPLICATION OF CONTROLLED HYPOTENSION","99135","HCPCS","Both",,,"679.5","339.75","Amerigroup","Medicaid Managed Care","",,"37",,"248.7","248.7","526.61","percent of total billed charges",,
"COMPLICATION OF CONTROLLED HYPOTENSION","99135","HCPCS","Both",,,"679.5","339.75","Caresource","Medicaid Managed Care","",,"40",,"271.8","248.7","526.61","percent of total billed charges",,
"COMPLICATION OF CONTROLLED HYPOTENSION","99135","HCPCS","Both",,,"679.5","339.75","Wellcare","Medicaid Managed Care","",,"40",,"275.2","248.7","526.61","percent of total billed charges",,
"COMPLICATION OF CONTROLLED HYPOTENSION","99135","HCPCS","Both",,,"679.5","339.75","Aetna","Commercial","",,"64",,"433.52","248.7","526.61","percent of total billed charges",,
"COMPLICATION OF CONTROLLED HYPOTENSION","99135","HCPCS","Both",,,"679.5","339.75","Blue Cross Blue Shield","Pathways","",,"71",,"479.73","248.7","526.61","percent of total billed charges",,
"COMPLICATION OF CONTROLLED HYPOTENSION","99135","HCPCS","Both",,,"679.5","339.75","Blue Cross Blue Shield","HMO","",,"71",,"479.73","248.7","526.61","percent of total billed charges",,
"COMPLICATION OF CONTROLLED HYPOTENSION","99135","HCPCS","Both",,,"679.5","339.75","Blue Cross Blue Shield","PPO","",,"71",,"479.73","248.7","526.61","percent of total billed charges",,
"COMPLICATION OF CONTROLLED HYPOTENSION","99135","HCPCS","Both",,,"679.5","339.75","Ambetter","Health Exchange","",,"62",,"421.29","248.7","526.61","percent of total billed charges",,
"COMPLICATION OF CONTROLLED HYPOTENSION","99135","HCPCS","Both",,,"679.5","339.75","Caresource","Health Exchange","",,"62",,"421.29","248.7","526.61","percent of total billed charges",,
"COMPLICATION OF CONTROLLED HYPOTENSION","99135","HCPCS","Both",,,"679.5","339.75","Cigna","Commercial","",,"59",,"398.19","248.7","526.61","percent of total billed charges",,
"COMPLICATION OF CONTROLLED HYPOTENSION","99135","HCPCS","Both",,,"679.5","339.75","Humana","Commercial","",,"78",,"526.61","248.7","526.61","percent of total billed charges",,
"COMPLICATION OF CONTROLLED HYPOTENSION","99135","HCPCS","Both",,,"679.5","339.75","UHC","Commercial","",,"75",,"512.34","248.7","526.61","percent of total billed charges",,
"COMPLICATION OF CONTROLLED HYPOTENSION","99135","HCPCS","Both",,,"679.5","339.75","Medicaid",,"",,"37",,"248.7","248.7","526.61","percent of total billed charges",,
"COMPLICATIONS BY EMERGENCY CONDITIONS","99140","HCPCS","Both",,,"182.5","91.25","Alliant","Health Exchange","",,"62",,"113.15","66.8","141.44","percent of total billed charges",,
"COMPLICATIONS BY EMERGENCY CONDITIONS","99140","HCPCS","Both",,,"182.5","91.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"98.55","66.8","141.44","percent of total billed charges",,
"COMPLICATIONS BY EMERGENCY CONDITIONS","99140","HCPCS","Both",,,"182.5","91.25","Medicare",,"",,"54",,"98.92","66.8","141.44","percent of total billed charges",,
"COMPLICATIONS BY EMERGENCY CONDITIONS","99140","HCPCS","Both",,,"182.5","91.25","Humana","Medicare Advantage","",,"54",,"98.92","66.8","141.44","percent of total billed charges",,
"COMPLICATIONS BY EMERGENCY CONDITIONS","99140","HCPCS","Both",,,"182.5","91.25","UHC","Medicare Advantage","",,"54",,"98.92","66.8","141.44","percent of total billed charges",,
"COMPLICATIONS BY EMERGENCY CONDITIONS","99140","HCPCS","Both",,,"182.5","91.25","Clover","Medicare Advantage","",,"54",,"98.92","66.8","141.44","percent of total billed charges",,
"COMPLICATIONS BY EMERGENCY CONDITIONS","99140","HCPCS","Both",,,"182.5","91.25","Wellcare","Medicare Advantage","",,"54",,"98.92","66.8","141.44","percent of total billed charges",,
"COMPLICATIONS BY EMERGENCY CONDITIONS","99140","HCPCS","Both",,,"182.5","91.25","Amerigroup","Medicaid Managed Care","",,"37",,"66.8","66.8","141.44","percent of total billed charges",,
"COMPLICATIONS BY EMERGENCY CONDITIONS","99140","HCPCS","Both",,,"182.5","91.25","Caresource","Medicaid Managed Care","",,"40",,"73","66.8","141.44","percent of total billed charges",,
"COMPLICATIONS BY EMERGENCY CONDITIONS","99140","HCPCS","Both",,,"182.5","91.25","Wellcare","Medicaid Managed Care","",,"40",,"73.91","66.8","141.44","percent of total billed charges",,
"COMPLICATIONS BY EMERGENCY CONDITIONS","99140","HCPCS","Both",,,"182.5","91.25","Aetna","Commercial","",,"64",,"116.44","66.8","141.44","percent of total billed charges",,
"COMPLICATIONS BY EMERGENCY CONDITIONS","99140","HCPCS","Both",,,"182.5","91.25","Blue Cross Blue Shield","Pathways","",,"71",,"128.84","66.8","141.44","percent of total billed charges",,
"COMPLICATIONS BY EMERGENCY CONDITIONS","99140","HCPCS","Both",,,"182.5","91.25","Blue Cross Blue Shield","HMO","",,"71",,"128.84","66.8","141.44","percent of total billed charges",,
"COMPLICATIONS BY EMERGENCY CONDITIONS","99140","HCPCS","Both",,,"182.5","91.25","Blue Cross Blue Shield","PPO","",,"71",,"128.84","66.8","141.44","percent of total billed charges",,
"COMPLICATIONS BY EMERGENCY CONDITIONS","99140","HCPCS","Both",,,"182.5","91.25","Ambetter","Health Exchange","",,"62",,"113.15","66.8","141.44","percent of total billed charges",,
"COMPLICATIONS BY EMERGENCY CONDITIONS","99140","HCPCS","Both",,,"182.5","91.25","Caresource","Health Exchange","",,"62",,"113.15","66.8","141.44","percent of total billed charges",,
"COMPLICATIONS BY EMERGENCY CONDITIONS","99140","HCPCS","Both",,,"182.5","91.25","Cigna","Commercial","",,"59",,"106.94","66.8","141.44","percent of total billed charges",,
"COMPLICATIONS BY EMERGENCY CONDITIONS","99140","HCPCS","Both",,,"182.5","91.25","Humana","Commercial","",,"78",,"141.44","66.8","141.44","percent of total billed charges",,
"COMPLICATIONS BY EMERGENCY CONDITIONS","99140","HCPCS","Both",,,"182.5","91.25","UHC","Commercial","",,"75",,"137.6","66.8","141.44","percent of total billed charges",,
"COMPLICATIONS BY EMERGENCY CONDITIONS","99140","HCPCS","Both",,,"182.5","91.25","Medicaid",,"",,"37",,"66.8","66.8","141.44","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (OPEN PROCEDURES)","01210","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (OPEN PROCEDURES)","01210","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (OPEN PROCEDURES)","01210","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (OPEN PROCEDURES)","01210","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (OPEN PROCEDURES)","01210","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (OPEN PROCEDURES)","01210","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (OPEN PROCEDURES)","01210","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (OPEN PROCEDURES)","01210","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (OPEN PROCEDURES)","01210","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (OPEN PROCEDURES)","01210","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (OPEN PROCEDURES)","01210","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (OPEN PROCEDURES)","01210","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (OPEN PROCEDURES)","01210","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (OPEN PROCEDURES)","01210","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (OPEN PROCEDURES)","01210","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (OPEN PROCEDURES)","01210","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (OPEN PROCEDURES)","01210","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (OPEN PROCEDURES)","01210","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (OPEN PROCEDURES)","01210","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"UPPER LEG EXCEPT KNEE (OPEN PROCEDURES)","01210","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (RADICAL RESECTION)","01482","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (RADICAL RESECTION)","01482","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (RADICAL RESECTION)","01482","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (RADICAL RESECTION)","01482","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (RADICAL RESECTION)","01482","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (RADICAL RESECTION)","01482","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (RADICAL RESECTION)","01482","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (RADICAL RESECTION)","01482","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (RADICAL RESECTION)","01482","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (RADICAL RESECTION)","01482","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (RADICAL RESECTION)","01482","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (RADICAL RESECTION)","01482","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (RADICAL RESECTION)","01482","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (RADICAL RESECTION)","01482","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (RADICAL RESECTION)","01482","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (RADICAL RESECTION)","01482","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (RADICAL RESECTION)","01482","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (RADICAL RESECTION)","01482","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (RADICAL RESECTION)","01482","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (RADICAL RESECTION)","01482","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"UPPER ARM AND ELBOW (NERVES,MUSCLE,TEND)","01710","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ARM AND ELBOW (NERVES,MUSCLE,TEND)","01710","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"UPPER ARM AND ELBOW (NERVES,MUSCLE,TEND)","01710","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ARM AND ELBOW (NERVES,MUSCLE,TEND)","01710","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ARM AND ELBOW (NERVES,MUSCLE,TEND)","01710","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ARM AND ELBOW (NERVES,MUSCLE,TEND)","01710","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ARM AND ELBOW (NERVES,MUSCLE,TEND)","01710","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ARM AND ELBOW (NERVES,MUSCLE,TEND)","01710","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"UPPER ARM AND ELBOW (NERVES,MUSCLE,TEND)","01710","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"UPPER ARM AND ELBOW (NERVES,MUSCLE,TEND)","01710","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"UPPER ARM AND ELBOW (NERVES,MUSCLE,TEND)","01710","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"UPPER ARM AND ELBOW (NERVES,MUSCLE,TEND)","01710","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ARM AND ELBOW (NERVES,MUSCLE,TEND)","01710","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ARM AND ELBOW (NERVES,MUSCLE,TEND)","01710","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ARM AND ELBOW (NERVES,MUSCLE,TEND)","01710","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ARM AND ELBOW (NERVES,MUSCLE,TEND)","01710","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ARM AND ELBOW (NERVES,MUSCLE,TEND)","01710","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"UPPER ARM AND ELBOW (NERVES,MUSCLE,TEND)","01710","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"UPPER ARM AND ELBOW (NERVES,MUSCLE,TEND)","01710","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"UPPER ARM AND ELBOW (NERVES,MUSCLE,TEND)","01710","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"INJECTION DIAG/THERA ANEST OR ANTISPASM","62310","HCPCS","Both",,,"1082.5","541.25","Alliant","Health Exchange","",,"62",,"671.15","396.2","838.94","percent of total billed charges",,
"INJECTION DIAG/THERA ANEST OR ANTISPASM","62310","HCPCS","Both",,,"1082.5","541.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"584.55","396.2","838.94","percent of total billed charges",,
"INJECTION DIAG/THERA ANEST OR ANTISPASM","62310","HCPCS","Both",,,"1082.5","541.25","Medicare",,"",,"54",,"586.72","396.2","838.94","percent of total billed charges",,
"INJECTION DIAG/THERA ANEST OR ANTISPASM","62310","HCPCS","Both",,,"1082.5","541.25","Humana","Medicare Advantage","",,"54",,"586.72","396.2","838.94","percent of total billed charges",,
"INJECTION DIAG/THERA ANEST OR ANTISPASM","62310","HCPCS","Both",,,"1082.5","541.25","UHC","Medicare Advantage","",,"54",,"586.72","396.2","838.94","percent of total billed charges",,
"INJECTION DIAG/THERA ANEST OR ANTISPASM","62310","HCPCS","Both",,,"1082.5","541.25","Clover","Medicare Advantage","",,"54",,"586.72","396.2","838.94","percent of total billed charges",,
"INJECTION DIAG/THERA ANEST OR ANTISPASM","62310","HCPCS","Both",,,"1082.5","541.25","Wellcare","Medicare Advantage","",,"54",,"586.72","396.2","838.94","percent of total billed charges",,
"INJECTION DIAG/THERA ANEST OR ANTISPASM","62310","HCPCS","Both",,,"1082.5","541.25","Amerigroup","Medicaid Managed Care","",,"37",,"396.2","396.2","838.94","percent of total billed charges",,
"INJECTION DIAG/THERA ANEST OR ANTISPASM","62310","HCPCS","Both",,,"1082.5","541.25","Caresource","Medicaid Managed Care","",,"40",,"433","396.2","838.94","percent of total billed charges",,
"INJECTION DIAG/THERA ANEST OR ANTISPASM","62310","HCPCS","Both",,,"1082.5","541.25","Wellcare","Medicaid Managed Care","",,"40",,"438.41","396.2","838.94","percent of total billed charges",,
"INJECTION DIAG/THERA ANEST OR ANTISPASM","62310","HCPCS","Both",,,"1082.5","541.25","Aetna","Commercial","",,"64",,"690.64","396.2","838.94","percent of total billed charges",,
"INJECTION DIAG/THERA ANEST OR ANTISPASM","62310","HCPCS","Both",,,"1082.5","541.25","Blue Cross Blue Shield","Pathways","",,"71",,"764.24","396.2","838.94","percent of total billed charges",,
"INJECTION DIAG/THERA ANEST OR ANTISPASM","62310","HCPCS","Both",,,"1082.5","541.25","Blue Cross Blue Shield","HMO","",,"71",,"764.24","396.2","838.94","percent of total billed charges",,
"INJECTION DIAG/THERA ANEST OR ANTISPASM","62310","HCPCS","Both",,,"1082.5","541.25","Blue Cross Blue Shield","PPO","",,"71",,"764.24","396.2","838.94","percent of total billed charges",,
"INJECTION DIAG/THERA ANEST OR ANTISPASM","62310","HCPCS","Both",,,"1082.5","541.25","Ambetter","Health Exchange","",,"62",,"671.15","396.2","838.94","percent of total billed charges",,
"INJECTION DIAG/THERA ANEST OR ANTISPASM","62310","HCPCS","Both",,,"1082.5","541.25","Caresource","Health Exchange","",,"62",,"671.15","396.2","838.94","percent of total billed charges",,
"INJECTION DIAG/THERA ANEST OR ANTISPASM","62310","HCPCS","Both",,,"1082.5","541.25","Cigna","Commercial","",,"59",,"634.34","396.2","838.94","percent of total billed charges",,
"INJECTION DIAG/THERA ANEST OR ANTISPASM","62310","HCPCS","Both",,,"1082.5","541.25","Humana","Commercial","",,"78",,"838.94","396.2","838.94","percent of total billed charges",,
"INJECTION DIAG/THERA ANEST OR ANTISPASM","62310","HCPCS","Both",,,"1082.5","541.25","UHC","Commercial","",,"75",,"816.2","396.2","838.94","percent of total billed charges",,
"INJECTION DIAG/THERA ANEST OR ANTISPASM","62310","HCPCS","Both",,,"1082.5","541.25","Medicaid",,"",,"37",,"396.2","396.2","838.94","percent of total billed charges",,
"UPPER ARM & ELBOW (OPEN PROCEDURES)","01740","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (OPEN PROCEDURES)","01740","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (OPEN PROCEDURES)","01740","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (OPEN PROCEDURES)","01740","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (OPEN PROCEDURES)","01740","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (OPEN PROCEDURES)","01740","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (OPEN PROCEDURES)","01740","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (OPEN PROCEDURES)","01740","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (OPEN PROCEDURES)","01740","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (OPEN PROCEDURES)","01740","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (OPEN PROCEDURES)","01740","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (OPEN PROCEDURES)","01740","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (OPEN PROCEDURES)","01740","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (OPEN PROCEDURES)","01740","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (OPEN PROCEDURES)","01740","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (OPEN PROCEDURES)","01740","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (OPEN PROCEDURES)","01740","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (OPEN PROCEDURES)","01740","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (OPEN PROCEDURES)","01740","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (OPEN PROCEDURES)","01740","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"INTUBATION,ENDOTRACHEAL","31500","HCPCS","Both",,,"418","209","Alliant","Health Exchange","",,"62",,"259.16","146.87","323.95","percent of total billed charges",,
"INTUBATION,ENDOTRACHEAL","31500","HCPCS","Both",,,"418","209","Pruitt Healthcare","Medicare Advantage","",,"54",,"225.72","146.87","323.95","percent of total billed charges",,
"INTUBATION,ENDOTRACHEAL","31500","HCPCS","Both",,,"418","209","Medicare",,"",,"54",,"226.56","146.87","323.95","percent of total billed charges",,
"INTUBATION,ENDOTRACHEAL","31500","HCPCS","Both",,,"418","209","Humana","Medicare Advantage","",,"54",,"226.56","146.87","323.95","percent of total billed charges",,
"INTUBATION,ENDOTRACHEAL","31500","HCPCS","Both",,,"418","209","UHC","Medicare Advantage","",,"54",,"226.56","146.87","323.95","percent of total billed charges",,
"INTUBATION,ENDOTRACHEAL","31500","HCPCS","Both",,,"418","209","Clover","Medicare Advantage","",,"54",,"226.56","146.87","323.95","percent of total billed charges",,
"INTUBATION,ENDOTRACHEAL","31500","HCPCS","Both",,,"418","209","Wellcare","Medicare Advantage","",,"54",,"226.56","146.87","323.95","percent of total billed charges",,
"INTUBATION,ENDOTRACHEAL","31500","HCPCS","Both",,,"418","209","Amerigroup","Medicaid Managed Care","",,"37",,"152.99","146.87","323.95","percent of total billed charges",,
"INTUBATION,ENDOTRACHEAL","31500","HCPCS","Both",,,"418","209","Caresource","Medicaid Managed Care","",,"40",,"167.2","146.87","323.95","percent of total billed charges",,
"INTUBATION,ENDOTRACHEAL","31500","HCPCS","Both",,,"418","209","Wellcare","Medicaid Managed Care","",,"40",,"169.29","146.87","323.95","percent of total billed charges",,
"INTUBATION,ENDOTRACHEAL","31500","HCPCS","Both",,,"418","209","Aetna","Commercial","",,"64",,"266.68","146.87","323.95","percent of total billed charges",,
"INTUBATION,ENDOTRACHEAL","31500","HCPCS","Both",,,"418","209","Blue Cross Blue Shield","Pathways","",,"71",,"295.11","146.87","323.95","percent of total billed charges",,
"INTUBATION,ENDOTRACHEAL","31500","HCPCS","Both",,,"418","209","Blue Cross Blue Shield","HMO","",,"71",,"295.11","146.87","323.95","percent of total billed charges",,
"INTUBATION,ENDOTRACHEAL","31500","HCPCS","Both",,,"418","209","Blue Cross Blue Shield","PPO","",,"71",,"295.11","146.87","323.95","percent of total billed charges",,
"INTUBATION,ENDOTRACHEAL","31500","HCPCS","Both",,,"418","209","Ambetter","Health Exchange","",,"62",,"259.16","146.87","323.95","percent of total billed charges",,
"INTUBATION,ENDOTRACHEAL","31500","HCPCS","Both",,,"418","209","Caresource","Health Exchange","",,"62",,"259.16","146.87","323.95","percent of total billed charges",,
"INTUBATION,ENDOTRACHEAL","31500","HCPCS","Both",,,"418","209","Cigna","Commercial","",,"59",,"244.95","146.87","323.95","percent of total billed charges",,
"INTUBATION,ENDOTRACHEAL","31500","HCPCS","Both",,,"418","209","Humana","Commercial","",,"78",,"323.95","146.87","323.95","percent of total billed charges",,
"INTUBATION,ENDOTRACHEAL","31500","HCPCS","Both",,,"418","209","UHC","Commercial","",,"75",,"315.17","146.87","323.95","percent of total billed charges",,
"INTUBATION,ENDOTRACHEAL","31500","HCPCS","Both",,,"418","209","Medicaid",,"",,"37",,"152.99","146.87","323.95","percent of total billed charges",,
"LOWER LEG BELOW KNEE (NERVES,MUSC,TEN FA","01470","HCPCS","Both",,,"15","7.5","Alliant","Health Exchange","",,"62",,"9.3","5.49","11.62","percent of total billed charges",,
"LOWER LEG BELOW KNEE (NERVES,MUSC,TEN FA","01470","HCPCS","Both",,,"15","7.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"8.1","5.49","11.62","percent of total billed charges",,
"LOWER LEG BELOW KNEE (NERVES,MUSC,TEN FA","01470","HCPCS","Both",,,"15","7.5","Medicare",,"",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"LOWER LEG BELOW KNEE (NERVES,MUSC,TEN FA","01470","HCPCS","Both",,,"15","7.5","Humana","Medicare Advantage","",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"LOWER LEG BELOW KNEE (NERVES,MUSC,TEN FA","01470","HCPCS","Both",,,"15","7.5","UHC","Medicare Advantage","",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"LOWER LEG BELOW KNEE (NERVES,MUSC,TEN FA","01470","HCPCS","Both",,,"15","7.5","Clover","Medicare Advantage","",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"LOWER LEG BELOW KNEE (NERVES,MUSC,TEN FA","01470","HCPCS","Both",,,"15","7.5","Wellcare","Medicare Advantage","",,"54",,"8.13","5.49","11.62","percent of total billed charges",,
"LOWER LEG BELOW KNEE (NERVES,MUSC,TEN FA","01470","HCPCS","Both",,,"15","7.5","Amerigroup","Medicaid Managed Care","",,"37",,"5.49","5.49","11.62","percent of total billed charges",,
"LOWER LEG BELOW KNEE (NERVES,MUSC,TEN FA","01470","HCPCS","Both",,,"15","7.5","Caresource","Medicaid Managed Care","",,"40",,"6","5.49","11.62","percent of total billed charges",,
"LOWER LEG BELOW KNEE (NERVES,MUSC,TEN FA","01470","HCPCS","Both",,,"15","7.5","Wellcare","Medicaid Managed Care","",,"40",,"6.08","5.49","11.62","percent of total billed charges",,
"LOWER LEG BELOW KNEE (NERVES,MUSC,TEN FA","01470","HCPCS","Both",,,"15","7.5","Aetna","Commercial","",,"64",,"9.57","5.49","11.62","percent of total billed charges",,
"LOWER LEG BELOW KNEE (NERVES,MUSC,TEN FA","01470","HCPCS","Both",,,"15","7.5","Blue Cross Blue Shield","Pathways","",,"71",,"10.59","5.49","11.62","percent of total billed charges",,
"LOWER LEG BELOW KNEE (NERVES,MUSC,TEN FA","01470","HCPCS","Both",,,"15","7.5","Blue Cross Blue Shield","HMO","",,"71",,"10.59","5.49","11.62","percent of total billed charges",,
"LOWER LEG BELOW KNEE (NERVES,MUSC,TEN FA","01470","HCPCS","Both",,,"15","7.5","Blue Cross Blue Shield","PPO","",,"71",,"10.59","5.49","11.62","percent of total billed charges",,
"LOWER LEG BELOW KNEE (NERVES,MUSC,TEN FA","01470","HCPCS","Both",,,"15","7.5","Ambetter","Health Exchange","",,"62",,"9.3","5.49","11.62","percent of total billed charges",,
"LOWER LEG BELOW KNEE (NERVES,MUSC,TEN FA","01470","HCPCS","Both",,,"15","7.5","Caresource","Health Exchange","",,"62",,"9.3","5.49","11.62","percent of total billed charges",,
"LOWER LEG BELOW KNEE (NERVES,MUSC,TEN FA","01470","HCPCS","Both",,,"15","7.5","Cigna","Commercial","",,"59",,"8.79","5.49","11.62","percent of total billed charges",,
"LOWER LEG BELOW KNEE (NERVES,MUSC,TEN FA","01470","HCPCS","Both",,,"15","7.5","Humana","Commercial","",,"78",,"11.62","5.49","11.62","percent of total billed charges",,
"LOWER LEG BELOW KNEE (NERVES,MUSC,TEN FA","01470","HCPCS","Both",,,"15","7.5","UHC","Commercial","",,"75",,"11.31","5.49","11.62","percent of total billed charges",,
"LOWER LEG BELOW KNEE (NERVES,MUSC,TEN FA","01470","HCPCS","Both",,,"15","7.5","Medicaid",,"",,"37",,"5.49","5.49","11.62","percent of total billed charges",,
"THORAX (RADICAL OR MODIFIED BREAST)","00404","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"THORAX (RADICAL OR MODIFIED BREAST)","00404","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"THORAX (RADICAL OR MODIFIED BREAST)","00404","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"THORAX (RADICAL OR MODIFIED BREAST)","00404","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"THORAX (RADICAL OR MODIFIED BREAST)","00404","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"THORAX (RADICAL OR MODIFIED BREAST)","00404","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"THORAX (RADICAL OR MODIFIED BREAST)","00404","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"THORAX (RADICAL OR MODIFIED BREAST)","00404","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"THORAX (RADICAL OR MODIFIED BREAST)","00404","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"THORAX (RADICAL OR MODIFIED BREAST)","00404","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"THORAX (RADICAL OR MODIFIED BREAST)","00404","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"THORAX (RADICAL OR MODIFIED BREAST)","00404","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"THORAX (RADICAL OR MODIFIED BREAST)","00404","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"THORAX (RADICAL OR MODIFIED BREAST)","00404","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"THORAX (RADICAL OR MODIFIED BREAST)","00404","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"THORAX (RADICAL OR MODIFIED BREAST)","00404","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"THORAX (RADICAL OR MODIFIED BREAST)","00404","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"THORAX (RADICAL OR MODIFIED BREAST)","00404","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"THORAX (RADICAL OR MODIFIED BREAST)","00404","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"THORAX (RADICAL OR MODIFIED BREAST)","00404","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL, ALL PROCEDURES","01320","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL, ALL PROCEDURES","01320","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL, ALL PROCEDURES","01320","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL, ALL PROCEDURES","01320","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL, ALL PROCEDURES","01320","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL, ALL PROCEDURES","01320","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL, ALL PROCEDURES","01320","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL, ALL PROCEDURES","01320","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL, ALL PROCEDURES","01320","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL, ALL PROCEDURES","01320","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL, ALL PROCEDURES","01320","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL, ALL PROCEDURES","01320","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL, ALL PROCEDURES","01320","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL, ALL PROCEDURES","01320","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL, ALL PROCEDURES","01320","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL, ALL PROCEDURES","01320","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL, ALL PROCEDURES","01320","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL, ALL PROCEDURES","01320","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL, ALL PROCEDURES","01320","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL, ALL PROCEDURES","01320","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL OPEN PROCEDURE LOW 1/3","01360","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL OPEN PROCEDURE LOW 1/3","01360","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL OPEN PROCEDURE LOW 1/3","01360","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL OPEN PROCEDURE LOW 1/3","01360","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL OPEN PROCEDURE LOW 1/3","01360","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL OPEN PROCEDURE LOW 1/3","01360","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL OPEN PROCEDURE LOW 1/3","01360","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL OPEN PROCEDURE LOW 1/3","01360","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL OPEN PROCEDURE LOW 1/3","01360","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL OPEN PROCEDURE LOW 1/3","01360","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL OPEN PROCEDURE LOW 1/3","01360","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL OPEN PROCEDURE LOW 1/3","01360","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL OPEN PROCEDURE LOW 1/3","01360","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL OPEN PROCEDURE LOW 1/3","01360","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL OPEN PROCEDURE LOW 1/3","01360","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL OPEN PROCEDURE LOW 1/3","01360","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL OPEN PROCEDURE LOW 1/3","01360","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL OPEN PROCEDURE LOW 1/3","01360","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL OPEN PROCEDURE LOW 1/3","01360","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL OPEN PROCEDURE LOW 1/3","01360","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"FOREARM WRIST HAND (OPEN PROCEDURES)","01830","HCPCS","Both",,,"35.5","17.75","Alliant","Health Exchange","",,"62",,"22.01","12.99","27.51","percent of total billed charges",,
"FOREARM WRIST HAND (OPEN PROCEDURES)","01830","HCPCS","Both",,,"35.5","17.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"19.17","12.99","27.51","percent of total billed charges",,
"FOREARM WRIST HAND (OPEN PROCEDURES)","01830","HCPCS","Both",,,"35.5","17.75","Medicare",,"",,"54",,"19.24","12.99","27.51","percent of total billed charges",,
"FOREARM WRIST HAND (OPEN PROCEDURES)","01830","HCPCS","Both",,,"35.5","17.75","Humana","Medicare Advantage","",,"54",,"19.24","12.99","27.51","percent of total billed charges",,
"FOREARM WRIST HAND (OPEN PROCEDURES)","01830","HCPCS","Both",,,"35.5","17.75","UHC","Medicare Advantage","",,"54",,"19.24","12.99","27.51","percent of total billed charges",,
"FOREARM WRIST HAND (OPEN PROCEDURES)","01830","HCPCS","Both",,,"35.5","17.75","Clover","Medicare Advantage","",,"54",,"19.24","12.99","27.51","percent of total billed charges",,
"FOREARM WRIST HAND (OPEN PROCEDURES)","01830","HCPCS","Both",,,"35.5","17.75","Wellcare","Medicare Advantage","",,"54",,"19.24","12.99","27.51","percent of total billed charges",,
"FOREARM WRIST HAND (OPEN PROCEDURES)","01830","HCPCS","Both",,,"35.5","17.75","Amerigroup","Medicaid Managed Care","",,"37",,"12.99","12.99","27.51","percent of total billed charges",,
"FOREARM WRIST HAND (OPEN PROCEDURES)","01830","HCPCS","Both",,,"35.5","17.75","Caresource","Medicaid Managed Care","",,"40",,"14.2","12.99","27.51","percent of total billed charges",,
"FOREARM WRIST HAND (OPEN PROCEDURES)","01830","HCPCS","Both",,,"35.5","17.75","Wellcare","Medicaid Managed Care","",,"40",,"14.38","12.99","27.51","percent of total billed charges",,
"FOREARM WRIST HAND (OPEN PROCEDURES)","01830","HCPCS","Both",,,"35.5","17.75","Aetna","Commercial","",,"64",,"22.65","12.99","27.51","percent of total billed charges",,
"FOREARM WRIST HAND (OPEN PROCEDURES)","01830","HCPCS","Both",,,"35.5","17.75","Blue Cross Blue Shield","Pathways","",,"71",,"25.06","12.99","27.51","percent of total billed charges",,
"FOREARM WRIST HAND (OPEN PROCEDURES)","01830","HCPCS","Both",,,"35.5","17.75","Blue Cross Blue Shield","HMO","",,"71",,"25.06","12.99","27.51","percent of total billed charges",,
"FOREARM WRIST HAND (OPEN PROCEDURES)","01830","HCPCS","Both",,,"35.5","17.75","Blue Cross Blue Shield","PPO","",,"71",,"25.06","12.99","27.51","percent of total billed charges",,
"FOREARM WRIST HAND (OPEN PROCEDURES)","01830","HCPCS","Both",,,"35.5","17.75","Ambetter","Health Exchange","",,"62",,"22.01","12.99","27.51","percent of total billed charges",,
"FOREARM WRIST HAND (OPEN PROCEDURES)","01830","HCPCS","Both",,,"35.5","17.75","Caresource","Health Exchange","",,"62",,"22.01","12.99","27.51","percent of total billed charges",,
"FOREARM WRIST HAND (OPEN PROCEDURES)","01830","HCPCS","Both",,,"35.5","17.75","Cigna","Commercial","",,"59",,"20.8","12.99","27.51","percent of total billed charges",,
"FOREARM WRIST HAND (OPEN PROCEDURES)","01830","HCPCS","Both",,,"35.5","17.75","Humana","Commercial","",,"78",,"27.51","12.99","27.51","percent of total billed charges",,
"FOREARM WRIST HAND (OPEN PROCEDURES)","01830","HCPCS","Both",,,"35.5","17.75","UHC","Commercial","",,"75",,"26.77","12.99","27.51","percent of total billed charges",,
"FOREARM WRIST HAND (OPEN PROCEDURES)","01830","HCPCS","Both",,,"35.5","17.75","Medicaid",,"",,"37",,"12.99","12.99","27.51","percent of total billed charges",,
"FOREARM WRIST & HAND (VASC SHUNT/REVISIO","01844","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"FOREARM WRIST & HAND (VASC SHUNT/REVISIO","01844","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"FOREARM WRIST & HAND (VASC SHUNT/REVISIO","01844","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"FOREARM WRIST & HAND (VASC SHUNT/REVISIO","01844","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"FOREARM WRIST & HAND (VASC SHUNT/REVISIO","01844","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"FOREARM WRIST & HAND (VASC SHUNT/REVISIO","01844","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"FOREARM WRIST & HAND (VASC SHUNT/REVISIO","01844","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"FOREARM WRIST & HAND (VASC SHUNT/REVISIO","01844","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"FOREARM WRIST & HAND (VASC SHUNT/REVISIO","01844","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"FOREARM WRIST & HAND (VASC SHUNT/REVISIO","01844","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"FOREARM WRIST & HAND (VASC SHUNT/REVISIO","01844","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"FOREARM WRIST & HAND (VASC SHUNT/REVISIO","01844","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"FOREARM WRIST & HAND (VASC SHUNT/REVISIO","01844","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"FOREARM WRIST & HAND (VASC SHUNT/REVISIO","01844","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"FOREARM WRIST & HAND (VASC SHUNT/REVISIO","01844","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"FOREARM WRIST & HAND (VASC SHUNT/REVISIO","01844","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"FOREARM WRIST & HAND (VASC SHUNT/REVISIO","01844","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"FOREARM WRIST & HAND (VASC SHUNT/REVISIO","01844","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"FOREARM WRIST & HAND (VASC SHUNT/REVISIO","01844","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"FOREARM WRIST & HAND (VASC SHUNT/REVISIO","01844","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"KNEE & POPLITEAL AREA, CLOSED PROC KNE","01380","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (ARTERIES)","01770","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (ARTERIES)","01770","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (ARTERIES)","01770","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (ARTERIES)","01770","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (ARTERIES)","01770","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (ARTERIES)","01770","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (ARTERIES)","01770","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (ARTERIES)","01770","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (ARTERIES)","01770","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (ARTERIES)","01770","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (ARTERIES)","01770","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (ARTERIES)","01770","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (ARTERIES)","01770","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (ARTERIES)","01770","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (ARTERIES)","01770","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (ARTERIES)","01770","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (ARTERIES)","01770","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (ARTERIES)","01770","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (ARTERIES)","01770","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (ARTERIES)","01770","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"NON-INVASIVE IMAGING","01922","HCPCS","Both",,,"338","169","Alliant","Health Exchange","QZ",,"62",,"209.56","123.71","261.95","percent of total billed charges",,
"NON-INVASIVE IMAGING","01922","HCPCS","Both",,,"338","169","Pruitt Healthcare","Medicare Advantage","QZ",,"54",,"182.52","123.71","261.95","percent of total billed charges",,
"NON-INVASIVE IMAGING","01922","HCPCS","Both",,,"338","169","Medicare",,"QZ",,"54",,"183.2","123.71","261.95","percent of total billed charges",,
"NON-INVASIVE IMAGING","01922","HCPCS","Both",,,"338","169","Humana","Medicare Advantage","QZ",,"54",,"183.2","123.71","261.95","percent of total billed charges",,
"NON-INVASIVE IMAGING","01922","HCPCS","Both",,,"338","169","UHC","Medicare Advantage","QZ",,"54",,"183.2","123.71","261.95","percent of total billed charges",,
"NON-INVASIVE IMAGING","01922","HCPCS","Both",,,"338","169","Clover","Medicare Advantage","QZ",,"54",,"183.2","123.71","261.95","percent of total billed charges",,
"NON-INVASIVE IMAGING","01922","HCPCS","Both",,,"338","169","Wellcare","Medicare Advantage","QZ",,"54",,"183.2","123.71","261.95","percent of total billed charges",,
"NON-INVASIVE IMAGING","01922","HCPCS","Both",,,"338","169","Amerigroup","Medicaid Managed Care","QZ",,"37",,"123.71","123.71","261.95","percent of total billed charges",,
"NON-INVASIVE IMAGING","01922","HCPCS","Both",,,"338","169","Caresource","Medicaid Managed Care","QZ",,"40",,"135.2","123.71","261.95","percent of total billed charges",,
"NON-INVASIVE IMAGING","01922","HCPCS","Both",,,"338","169","Wellcare","Medicaid Managed Care","QZ",,"40",,"136.89","123.71","261.95","percent of total billed charges",,
"NON-INVASIVE IMAGING","01922","HCPCS","Both",,,"338","169","Aetna","Commercial","QZ",,"64",,"215.64","123.71","261.95","percent of total billed charges",,
"NON-INVASIVE IMAGING","01922","HCPCS","Both",,,"338","169","Blue Cross Blue Shield","Pathways","QZ",,"71",,"238.63","123.71","261.95","percent of total billed charges",,
"NON-INVASIVE IMAGING","01922","HCPCS","Both",,,"338","169","Blue Cross Blue Shield","HMO","QZ",,"71",,"238.63","123.71","261.95","percent of total billed charges",,
"NON-INVASIVE IMAGING","01922","HCPCS","Both",,,"338","169","Blue Cross Blue Shield","PPO","QZ",,"71",,"238.63","123.71","261.95","percent of total billed charges",,
"NON-INVASIVE IMAGING","01922","HCPCS","Both",,,"338","169","Ambetter","Health Exchange","QZ",,"62",,"209.56","123.71","261.95","percent of total billed charges",,
"NON-INVASIVE IMAGING","01922","HCPCS","Both",,,"338","169","Caresource","Health Exchange","QZ",,"62",,"209.56","123.71","261.95","percent of total billed charges",,
"NON-INVASIVE IMAGING","01922","HCPCS","Both",,,"338","169","Cigna","Commercial","QZ",,"59",,"198.07","123.71","261.95","percent of total billed charges",,
"NON-INVASIVE IMAGING","01922","HCPCS","Both",,,"338","169","Humana","Commercial","QZ",,"78",,"261.95","123.71","261.95","percent of total billed charges",,
"NON-INVASIVE IMAGING","01922","HCPCS","Both",,,"338","169","UHC","Commercial","QZ",,"75",,"254.85","123.71","261.95","percent of total billed charges",,
"NON-INVASIVE IMAGING","01922","HCPCS","Both",,,"338","169","Medicaid",,"QZ",,"37",,"123.71","123.71","261.95","percent of total billed charges",,
"UPPER ARM & ELBOW (VEINS)","01780","HCPCS","Both",,,"98","49","Alliant","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (VEINS)","01780","HCPCS","Both",,,"98","49","Pruitt Healthcare","Medicare Advantage","",,"54",,"52.92","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (VEINS)","01780","HCPCS","Both",,,"98","49","Medicare",,"",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (VEINS)","01780","HCPCS","Both",,,"98","49","Humana","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (VEINS)","01780","HCPCS","Both",,,"98","49","UHC","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (VEINS)","01780","HCPCS","Both",,,"98","49","Clover","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (VEINS)","01780","HCPCS","Both",,,"98","49","Wellcare","Medicare Advantage","",,"54",,"53.12","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (VEINS)","01780","HCPCS","Both",,,"98","49","Amerigroup","Medicaid Managed Care","",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (VEINS)","01780","HCPCS","Both",,,"98","49","Caresource","Medicaid Managed Care","",,"40",,"39.2","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (VEINS)","01780","HCPCS","Both",,,"98","49","Wellcare","Medicaid Managed Care","",,"40",,"39.69","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (VEINS)","01780","HCPCS","Both",,,"98","49","Aetna","Commercial","",,"64",,"62.52","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (VEINS)","01780","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","Pathways","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (VEINS)","01780","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","HMO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (VEINS)","01780","HCPCS","Both",,,"98","49","Blue Cross Blue Shield","PPO","",,"71",,"69.19","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (VEINS)","01780","HCPCS","Both",,,"98","49","Ambetter","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (VEINS)","01780","HCPCS","Both",,,"98","49","Caresource","Health Exchange","",,"62",,"60.76","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (VEINS)","01780","HCPCS","Both",,,"98","49","Cigna","Commercial","",,"59",,"57.43","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (VEINS)","01780","HCPCS","Both",,,"98","49","Humana","Commercial","",,"78",,"75.95","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (VEINS)","01780","HCPCS","Both",,,"98","49","UHC","Commercial","",,"75",,"73.89","35.87","75.95","percent of total billed charges",,
"UPPER ARM & ELBOW (VEINS)","01780","HCPCS","Both",,,"98","49","Medicaid",,"",,"37",,"35.87","35.87","75.95","percent of total billed charges",,
"ANESTHESIA CLOSED PROC RADIUS,ULNA,WRIST","01820","HCPCS","Both",,,"89","44.5","Alliant","Health Exchange","",,"62",,"55.18","32.57","68.98","percent of total billed charges",,
"ANESTHESIA CLOSED PROC RADIUS,ULNA,WRIST","01820","HCPCS","Both",,,"89","44.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"48.06","32.57","68.98","percent of total billed charges",,
"ANESTHESIA CLOSED PROC RADIUS,ULNA,WRIST","01820","HCPCS","Both",,,"89","44.5","Medicare",,"",,"54",,"48.24","32.57","68.98","percent of total billed charges",,
"ANESTHESIA CLOSED PROC RADIUS,ULNA,WRIST","01820","HCPCS","Both",,,"89","44.5","Humana","Medicare Advantage","",,"54",,"48.24","32.57","68.98","percent of total billed charges",,
"ANESTHESIA CLOSED PROC RADIUS,ULNA,WRIST","01820","HCPCS","Both",,,"89","44.5","UHC","Medicare Advantage","",,"54",,"48.24","32.57","68.98","percent of total billed charges",,
"ANESTHESIA CLOSED PROC RADIUS,ULNA,WRIST","01820","HCPCS","Both",,,"89","44.5","Clover","Medicare Advantage","",,"54",,"48.24","32.57","68.98","percent of total billed charges",,
"ANESTHESIA CLOSED PROC RADIUS,ULNA,WRIST","01820","HCPCS","Both",,,"89","44.5","Wellcare","Medicare Advantage","",,"54",,"48.24","32.57","68.98","percent of total billed charges",,
"ANESTHESIA CLOSED PROC RADIUS,ULNA,WRIST","01820","HCPCS","Both",,,"89","44.5","Amerigroup","Medicaid Managed Care","",,"37",,"32.57","32.57","68.98","percent of total billed charges",,
"ANESTHESIA CLOSED PROC RADIUS,ULNA,WRIST","01820","HCPCS","Both",,,"89","44.5","Caresource","Medicaid Managed Care","",,"40",,"35.6","32.57","68.98","percent of total billed charges",,
"ANESTHESIA CLOSED PROC RADIUS,ULNA,WRIST","01820","HCPCS","Both",,,"89","44.5","Wellcare","Medicaid Managed Care","",,"40",,"36.04","32.57","68.98","percent of total billed charges",,
"ANESTHESIA CLOSED PROC RADIUS,ULNA,WRIST","01820","HCPCS","Both",,,"89","44.5","Aetna","Commercial","",,"64",,"56.78","32.57","68.98","percent of total billed charges",,
"ANESTHESIA CLOSED PROC RADIUS,ULNA,WRIST","01820","HCPCS","Both",,,"89","44.5","Blue Cross Blue Shield","Pathways","",,"71",,"62.83","32.57","68.98","percent of total billed charges",,
"ANESTHESIA CLOSED PROC RADIUS,ULNA,WRIST","01820","HCPCS","Both",,,"89","44.5","Blue Cross Blue Shield","HMO","",,"71",,"62.83","32.57","68.98","percent of total billed charges",,
"ANESTHESIA CLOSED PROC RADIUS,ULNA,WRIST","01820","HCPCS","Both",,,"89","44.5","Blue Cross Blue Shield","PPO","",,"71",,"62.83","32.57","68.98","percent of total billed charges",,
"ANESTHESIA CLOSED PROC RADIUS,ULNA,WRIST","01820","HCPCS","Both",,,"89","44.5","Ambetter","Health Exchange","",,"62",,"55.18","32.57","68.98","percent of total billed charges",,
"ANESTHESIA CLOSED PROC RADIUS,ULNA,WRIST","01820","HCPCS","Both",,,"89","44.5","Caresource","Health Exchange","",,"62",,"55.18","32.57","68.98","percent of total billed charges",,
"ANESTHESIA CLOSED PROC RADIUS,ULNA,WRIST","01820","HCPCS","Both",,,"89","44.5","Cigna","Commercial","",,"59",,"52.15","32.57","68.98","percent of total billed charges",,
"ANESTHESIA CLOSED PROC RADIUS,ULNA,WRIST","01820","HCPCS","Both",,,"89","44.5","Humana","Commercial","",,"78",,"68.98","32.57","68.98","percent of total billed charges",,
"ANESTHESIA CLOSED PROC RADIUS,ULNA,WRIST","01820","HCPCS","Both",,,"89","44.5","UHC","Commercial","",,"75",,"67.11","32.57","68.98","percent of total billed charges",,
"ANESTHESIA CLOSED PROC RADIUS,ULNA,WRIST","01820","HCPCS","Both",,,"89","44.5","Medicaid",,"",,"37",,"32.57","32.57","68.98","percent of total billed charges",,
"UPPER LEG (EXCEPT KNEE) NERVES,MUSCLE,TE","01250","HCPCS","Both",,,"127.5","63.75","Alliant","Health Exchange","",,"62",,"79.05","46.66","98.81","percent of total billed charges",,
"UPPER LEG (EXCEPT KNEE) NERVES,MUSCLE,TE","01250","HCPCS","Both",,,"127.5","63.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"68.85","46.66","98.81","percent of total billed charges",,
"UPPER LEG (EXCEPT KNEE) NERVES,MUSCLE,TE","01250","HCPCS","Both",,,"127.5","63.75","Medicare",,"",,"54",,"69.1","46.66","98.81","percent of total billed charges",,
"UPPER LEG (EXCEPT KNEE) NERVES,MUSCLE,TE","01250","HCPCS","Both",,,"127.5","63.75","Humana","Medicare Advantage","",,"54",,"69.1","46.66","98.81","percent of total billed charges",,
"UPPER LEG (EXCEPT KNEE) NERVES,MUSCLE,TE","01250","HCPCS","Both",,,"127.5","63.75","UHC","Medicare Advantage","",,"54",,"69.1","46.66","98.81","percent of total billed charges",,
"UPPER LEG (EXCEPT KNEE) NERVES,MUSCLE,TE","01250","HCPCS","Both",,,"127.5","63.75","Clover","Medicare Advantage","",,"54",,"69.1","46.66","98.81","percent of total billed charges",,
"UPPER LEG (EXCEPT KNEE) NERVES,MUSCLE,TE","01250","HCPCS","Both",,,"127.5","63.75","Wellcare","Medicare Advantage","",,"54",,"69.1","46.66","98.81","percent of total billed charges",,
"UPPER LEG (EXCEPT KNEE) NERVES,MUSCLE,TE","01250","HCPCS","Both",,,"127.5","63.75","Amerigroup","Medicaid Managed Care","",,"37",,"46.66","46.66","98.81","percent of total billed charges",,
"UPPER LEG (EXCEPT KNEE) NERVES,MUSCLE,TE","01250","HCPCS","Both",,,"127.5","63.75","Caresource","Medicaid Managed Care","",,"40",,"51","46.66","98.81","percent of total billed charges",,
"UPPER LEG (EXCEPT KNEE) NERVES,MUSCLE,TE","01250","HCPCS","Both",,,"127.5","63.75","Wellcare","Medicaid Managed Care","",,"40",,"51.64","46.66","98.81","percent of total billed charges",,
"UPPER LEG (EXCEPT KNEE) NERVES,MUSCLE,TE","01250","HCPCS","Both",,,"127.5","63.75","Aetna","Commercial","",,"64",,"81.34","46.66","98.81","percent of total billed charges",,
"UPPER LEG (EXCEPT KNEE) NERVES,MUSCLE,TE","01250","HCPCS","Both",,,"127.5","63.75","Blue Cross Blue Shield","Pathways","",,"71",,"90.02","46.66","98.81","percent of total billed charges",,
"UPPER LEG (EXCEPT KNEE) NERVES,MUSCLE,TE","01250","HCPCS","Both",,,"127.5","63.75","Blue Cross Blue Shield","HMO","",,"71",,"90.02","46.66","98.81","percent of total billed charges",,
"UPPER LEG (EXCEPT KNEE) NERVES,MUSCLE,TE","01250","HCPCS","Both",,,"127.5","63.75","Blue Cross Blue Shield","PPO","",,"71",,"90.02","46.66","98.81","percent of total billed charges",,
"UPPER LEG (EXCEPT KNEE) NERVES,MUSCLE,TE","01250","HCPCS","Both",,,"127.5","63.75","Ambetter","Health Exchange","",,"62",,"79.05","46.66","98.81","percent of total billed charges",,
"UPPER LEG (EXCEPT KNEE) NERVES,MUSCLE,TE","01250","HCPCS","Both",,,"127.5","63.75","Caresource","Health Exchange","",,"62",,"79.05","46.66","98.81","percent of total billed charges",,
"UPPER LEG (EXCEPT KNEE) NERVES,MUSCLE,TE","01250","HCPCS","Both",,,"127.5","63.75","Cigna","Commercial","",,"59",,"74.71","46.66","98.81","percent of total billed charges",,
"UPPER LEG (EXCEPT KNEE) NERVES,MUSCLE,TE","01250","HCPCS","Both",,,"127.5","63.75","Humana","Commercial","",,"78",,"98.81","46.66","98.81","percent of total billed charges",,
"UPPER LEG (EXCEPT KNEE) NERVES,MUSCLE,TE","01250","HCPCS","Both",,,"127.5","63.75","UHC","Commercial","",,"75",,"96.14","46.66","98.81","percent of total billed charges",,
"UPPER LEG (EXCEPT KNEE) NERVES,MUSCLE,TE","01250","HCPCS","Both",,,"127.5","63.75","Medicaid",,"",,"37",,"46.66","46.66","98.81","percent of total billed charges",,
"UPPER GI ENDOSCOPIC PROCEDURE PROX TO DU","00731","HCPCS","Both",,,"59.5","29.75","Alliant","Health Exchange","",,"62",,"36.89","21.78","46.11","percent of total billed charges",,
"UPPER GI ENDOSCOPIC PROCEDURE PROX TO DU","00731","HCPCS","Both",,,"59.5","29.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"32.13","21.78","46.11","percent of total billed charges",,
"UPPER GI ENDOSCOPIC PROCEDURE PROX TO DU","00731","HCPCS","Both",,,"59.5","29.75","Medicare",,"",,"54",,"32.25","21.78","46.11","percent of total billed charges",,
"UPPER GI ENDOSCOPIC PROCEDURE PROX TO DU","00731","HCPCS","Both",,,"59.5","29.75","Humana","Medicare Advantage","",,"54",,"32.25","21.78","46.11","percent of total billed charges",,
"UPPER GI ENDOSCOPIC PROCEDURE PROX TO DU","00731","HCPCS","Both",,,"59.5","29.75","UHC","Medicare Advantage","",,"54",,"32.25","21.78","46.11","percent of total billed charges",,
"UPPER GI ENDOSCOPIC PROCEDURE PROX TO DU","00731","HCPCS","Both",,,"59.5","29.75","Clover","Medicare Advantage","",,"54",,"32.25","21.78","46.11","percent of total billed charges",,
"UPPER GI ENDOSCOPIC PROCEDURE PROX TO DU","00731","HCPCS","Both",,,"59.5","29.75","Wellcare","Medicare Advantage","",,"54",,"32.25","21.78","46.11","percent of total billed charges",,
"UPPER GI ENDOSCOPIC PROCEDURE PROX TO DU","00731","HCPCS","Both",,,"59.5","29.75","Amerigroup","Medicaid Managed Care","",,"37",,"21.78","21.78","46.11","percent of total billed charges",,
"UPPER GI ENDOSCOPIC PROCEDURE PROX TO DU","00731","HCPCS","Both",,,"59.5","29.75","Caresource","Medicaid Managed Care","",,"40",,"23.8","21.78","46.11","percent of total billed charges",,
"UPPER GI ENDOSCOPIC PROCEDURE PROX TO DU","00731","HCPCS","Both",,,"59.5","29.75","Wellcare","Medicaid Managed Care","",,"40",,"24.1","21.78","46.11","percent of total billed charges",,
"UPPER GI ENDOSCOPIC PROCEDURE PROX TO DU","00731","HCPCS","Both",,,"59.5","29.75","Aetna","Commercial","",,"64",,"37.96","21.78","46.11","percent of total billed charges",,
"UPPER GI ENDOSCOPIC PROCEDURE PROX TO DU","00731","HCPCS","Both",,,"59.5","29.75","Blue Cross Blue Shield","Pathways","",,"71",,"42.01","21.78","46.11","percent of total billed charges",,
"UPPER GI ENDOSCOPIC PROCEDURE PROX TO DU","00731","HCPCS","Both",,,"59.5","29.75","Blue Cross Blue Shield","HMO","",,"71",,"42.01","21.78","46.11","percent of total billed charges",,
"UPPER GI ENDOSCOPIC PROCEDURE PROX TO DU","00731","HCPCS","Both",,,"59.5","29.75","Blue Cross Blue Shield","PPO","",,"71",,"42.01","21.78","46.11","percent of total billed charges",,
"UPPER GI ENDOSCOPIC PROCEDURE PROX TO DU","00731","HCPCS","Both",,,"59.5","29.75","Ambetter","Health Exchange","",,"62",,"36.89","21.78","46.11","percent of total billed charges",,
"UPPER GI ENDOSCOPIC PROCEDURE PROX TO DU","00731","HCPCS","Both",,,"59.5","29.75","Caresource","Health Exchange","",,"62",,"36.89","21.78","46.11","percent of total billed charges",,
"UPPER GI ENDOSCOPIC PROCEDURE PROX TO DU","00731","HCPCS","Both",,,"59.5","29.75","Cigna","Commercial","",,"59",,"34.87","21.78","46.11","percent of total billed charges",,
"UPPER GI ENDOSCOPIC PROCEDURE PROX TO DU","00731","HCPCS","Both",,,"59.5","29.75","Humana","Commercial","",,"78",,"46.11","21.78","46.11","percent of total billed charges",,
"UPPER GI ENDOSCOPIC PROCEDURE PROX TO DU","00731","HCPCS","Both",,,"59.5","29.75","UHC","Commercial","",,"75",,"44.86","21.78","46.11","percent of total billed charges",,
"UPPER GI ENDOSCOPIC PROCEDURE PROX TO DU","00731","HCPCS","Both",,,"59.5","29.75","Medicaid",,"",,"37",,"21.78","21.78","46.11","percent of total billed charges",,
"US ECHO TRANSTHORACIC COMP W/DOP & COLOR","93306","HCPCS","Both",,,"463.68","231.84","Alliant","Health Exchange","TC",,"62",,"287.48","169.71","359.35","percent of total billed charges",,
"US ECHO TRANSTHORACIC COMP W/DOP & COLOR","93306","HCPCS","Both",,,"463.68","231.84","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"250.39","169.71","359.35","percent of total billed charges",,
"US ECHO TRANSTHORACIC COMP W/DOP & COLOR","93306","HCPCS","Both",,,"463.68","231.84","Medicare",,"TC",,"54",,"251.31","169.71","359.35","percent of total billed charges",,
"US ECHO TRANSTHORACIC COMP W/DOP & COLOR","93306","HCPCS","Both",,,"463.68","231.84","Humana","Medicare Advantage","TC",,"54",,"251.31","169.71","359.35","percent of total billed charges",,
"US ECHO TRANSTHORACIC COMP W/DOP & COLOR","93306","HCPCS","Both",,,"463.68","231.84","UHC","Medicare Advantage","TC",,"54",,"251.31","169.71","359.35","percent of total billed charges",,
"US ECHO TRANSTHORACIC COMP W/DOP & COLOR","93306","HCPCS","Both",,,"463.68","231.84","Clover","Medicare Advantage","TC",,"54",,"251.31","169.71","359.35","percent of total billed charges",,
"US ECHO TRANSTHORACIC COMP W/DOP & COLOR","93306","HCPCS","Both",,,"463.68","231.84","Wellcare","Medicare Advantage","TC",,"54",,"251.31","169.71","359.35","percent of total billed charges",,
"US ECHO TRANSTHORACIC COMP W/DOP & COLOR","93306","HCPCS","Both",,,"463.68","231.84","Amerigroup","Medicaid Managed Care","TC",,"37",,"169.71","169.71","359.35","percent of total billed charges",,
"US ECHO TRANSTHORACIC COMP W/DOP & COLOR","93306","HCPCS","Both",,,"463.68","231.84","Caresource","Medicaid Managed Care","TC",,"40",,"185.47","169.71","359.35","percent of total billed charges",,
"US ECHO TRANSTHORACIC COMP W/DOP & COLOR","93306","HCPCS","Both",,,"463.68","231.84","Wellcare","Medicaid Managed Care","TC",,"40",,"187.79","169.71","359.35","percent of total billed charges",,
"US ECHO TRANSTHORACIC COMP W/DOP & COLOR","93306","HCPCS","Both",,,"463.68","231.84","Aetna","Commercial","TC",,"64",,"295.83","169.71","359.35","percent of total billed charges",,
"US ECHO TRANSTHORACIC COMP W/DOP & COLOR","93306","HCPCS","Both",,,"463.68","231.84","Blue Cross Blue Shield","Pathways","TC",,"71",,"327.36","169.71","359.35","percent of total billed charges",,
"US ECHO TRANSTHORACIC COMP W/DOP & COLOR","93306","HCPCS","Both",,,"463.68","231.84","Blue Cross Blue Shield","HMO","TC",,"71",,"327.36","169.71","359.35","percent of total billed charges",,
"US ECHO TRANSTHORACIC COMP W/DOP & COLOR","93306","HCPCS","Both",,,"463.68","231.84","Blue Cross Blue Shield","PPO","TC",,"71",,"327.36","169.71","359.35","percent of total billed charges",,
"US ECHO TRANSTHORACIC COMP W/DOP & COLOR","93306","HCPCS","Both",,,"463.68","231.84","Ambetter","Health Exchange","TC",,"62",,"287.48","169.71","359.35","percent of total billed charges",,
"US ECHO TRANSTHORACIC COMP W/DOP & COLOR","93306","HCPCS","Both",,,"463.68","231.84","Caresource","Health Exchange","TC",,"62",,"287.48","169.71","359.35","percent of total billed charges",,
"US ECHO TRANSTHORACIC COMP W/DOP & COLOR","93306","HCPCS","Both",,,"463.68","231.84","Cigna","Commercial","TC",,"59",,"271.72","169.71","359.35","percent of total billed charges",,
"US ECHO TRANSTHORACIC COMP W/DOP & COLOR","93306","HCPCS","Both",,,"463.68","231.84","Humana","Commercial","TC",,"78",,"359.35","169.71","359.35","percent of total billed charges",,
"US ECHO TRANSTHORACIC COMP W/DOP & COLOR","93306","HCPCS","Both",,,"463.68","231.84","UHC","Commercial","TC",,"75",,"349.61","169.71","359.35","percent of total billed charges",,
"US ECHO TRANSTHORACIC COMP W/DOP & COLOR","93306","HCPCS","Both",,,"463.68","231.84","Medicaid",,"TC",,"37",,"169.71","169.71","359.35","percent of total billed charges",,
"US ECHO TRANSTHORACIC FOLLOW-UP OR LIMIT","93308","HCPCS","Both",,,"638","319","Alliant","Health Exchange","",,"62",,"395.56","233.51","494.45","percent of total billed charges",,
"US ECHO TRANSTHORACIC FOLLOW-UP OR LIMIT","93308","HCPCS","Both",,,"638","319","Pruitt Healthcare","Medicare Advantage","",,"54",,"344.52","233.51","494.45","percent of total billed charges",,
"US ECHO TRANSTHORACIC FOLLOW-UP OR LIMIT","93308","HCPCS","Both",,,"638","319","Medicare",,"",,"54",,"345.8","233.51","494.45","percent of total billed charges",,
"US ECHO TRANSTHORACIC FOLLOW-UP OR LIMIT","93308","HCPCS","Both",,,"638","319","Humana","Medicare Advantage","",,"54",,"345.8","233.51","494.45","percent of total billed charges",,
"US ECHO TRANSTHORACIC FOLLOW-UP OR LIMIT","93308","HCPCS","Both",,,"638","319","UHC","Medicare Advantage","",,"54",,"345.8","233.51","494.45","percent of total billed charges",,
"US ECHO TRANSTHORACIC FOLLOW-UP OR LIMIT","93308","HCPCS","Both",,,"638","319","Clover","Medicare Advantage","",,"54",,"345.8","233.51","494.45","percent of total billed charges",,
"US ECHO TRANSTHORACIC FOLLOW-UP OR LIMIT","93308","HCPCS","Both",,,"638","319","Wellcare","Medicare Advantage","",,"54",,"345.8","233.51","494.45","percent of total billed charges",,
"US ECHO TRANSTHORACIC FOLLOW-UP OR LIMIT","93308","HCPCS","Both",,,"638","319","Amerigroup","Medicaid Managed Care","",,"37",,"233.51","233.51","494.45","percent of total billed charges",,
"US ECHO TRANSTHORACIC FOLLOW-UP OR LIMIT","93308","HCPCS","Both",,,"638","319","Caresource","Medicaid Managed Care","",,"40",,"255.2","233.51","494.45","percent of total billed charges",,
"US ECHO TRANSTHORACIC FOLLOW-UP OR LIMIT","93308","HCPCS","Both",,,"638","319","Wellcare","Medicaid Managed Care","",,"40",,"258.39","233.51","494.45","percent of total billed charges",,
"US ECHO TRANSTHORACIC FOLLOW-UP OR LIMIT","93308","HCPCS","Both",,,"638","319","Aetna","Commercial","",,"64",,"407.04","233.51","494.45","percent of total billed charges",,
"US ECHO TRANSTHORACIC FOLLOW-UP OR LIMIT","93308","HCPCS","Both",,,"638","319","Blue Cross Blue Shield","Pathways","",,"71",,"450.43","233.51","494.45","percent of total billed charges",,
"US ECHO TRANSTHORACIC FOLLOW-UP OR LIMIT","93308","HCPCS","Both",,,"638","319","Blue Cross Blue Shield","HMO","",,"71",,"450.43","233.51","494.45","percent of total billed charges",,
"US ECHO TRANSTHORACIC FOLLOW-UP OR LIMIT","93308","HCPCS","Both",,,"638","319","Blue Cross Blue Shield","PPO","",,"71",,"450.43","233.51","494.45","percent of total billed charges",,
"US ECHO TRANSTHORACIC FOLLOW-UP OR LIMIT","93308","HCPCS","Both",,,"638","319","Ambetter","Health Exchange","",,"62",,"395.56","233.51","494.45","percent of total billed charges",,
"US ECHO TRANSTHORACIC FOLLOW-UP OR LIMIT","93308","HCPCS","Both",,,"638","319","Caresource","Health Exchange","",,"62",,"395.56","233.51","494.45","percent of total billed charges",,
"US ECHO TRANSTHORACIC FOLLOW-UP OR LIMIT","93308","HCPCS","Both",,,"638","319","Cigna","Commercial","",,"59",,"373.87","233.51","494.45","percent of total billed charges",,
"US ECHO TRANSTHORACIC FOLLOW-UP OR LIMIT","93308","HCPCS","Both",,,"638","319","Humana","Commercial","",,"78",,"494.45","233.51","494.45","percent of total billed charges",,
"US ECHO TRANSTHORACIC FOLLOW-UP OR LIMIT","93308","HCPCS","Both",,,"638","319","UHC","Commercial","",,"75",,"481.05","233.51","494.45","percent of total billed charges",,
"US ECHO TRANSTHORACIC FOLLOW-UP OR LIMIT","93308","HCPCS","Both",,,"638","319","Medicaid",,"",,"37",,"233.51","233.51","494.45","percent of total billed charges",,
"US BLADDER CAPACITY OR POST VOID RESID","51798","HCPCS","Both",,,"100","50","Alliant","Health Exchange","",,"62",,"62","36.6","77.5","percent of total billed charges",,
"US BLADDER CAPACITY OR POST VOID RESID","51798","HCPCS","Both",,,"100","50","Pruitt Healthcare","Medicare Advantage","",,"54",,"54","36.6","77.5","percent of total billed charges",,
"US BLADDER CAPACITY OR POST VOID RESID","51798","HCPCS","Both",,,"100","50","Medicare",,"",,"54",,"54.2","36.6","77.5","percent of total billed charges",,
"US BLADDER CAPACITY OR POST VOID RESID","51798","HCPCS","Both",,,"100","50","Humana","Medicare Advantage","",,"54",,"54.2","36.6","77.5","percent of total billed charges",,
"US BLADDER CAPACITY OR POST VOID RESID","51798","HCPCS","Both",,,"100","50","UHC","Medicare Advantage","",,"54",,"54.2","36.6","77.5","percent of total billed charges",,
"US BLADDER CAPACITY OR POST VOID RESID","51798","HCPCS","Both",,,"100","50","Clover","Medicare Advantage","",,"54",,"54.2","36.6","77.5","percent of total billed charges",,
"US BLADDER CAPACITY OR POST VOID RESID","51798","HCPCS","Both",,,"100","50","Wellcare","Medicare Advantage","",,"54",,"54.2","36.6","77.5","percent of total billed charges",,
"US BLADDER CAPACITY OR POST VOID RESID","51798","HCPCS","Both",,,"100","50","Amerigroup","Medicaid Managed Care","",,"37",,"36.6","36.6","77.5","percent of total billed charges",,
"US BLADDER CAPACITY OR POST VOID RESID","51798","HCPCS","Both",,,"100","50","Caresource","Medicaid Managed Care","",,"40",,"40","36.6","77.5","percent of total billed charges",,
"US BLADDER CAPACITY OR POST VOID RESID","51798","HCPCS","Both",,,"100","50","Wellcare","Medicaid Managed Care","",,"40",,"40.5","36.6","77.5","percent of total billed charges",,
"US BLADDER CAPACITY OR POST VOID RESID","51798","HCPCS","Both",,,"100","50","Aetna","Commercial","",,"64",,"63.8","36.6","77.5","percent of total billed charges",,
"US BLADDER CAPACITY OR POST VOID RESID","51798","HCPCS","Both",,,"100","50","Blue Cross Blue Shield","Pathways","",,"71",,"70.6","36.6","77.5","percent of total billed charges",,
"US BLADDER CAPACITY OR POST VOID RESID","51798","HCPCS","Both",,,"100","50","Blue Cross Blue Shield","HMO","",,"71",,"70.6","36.6","77.5","percent of total billed charges",,
"US BLADDER CAPACITY OR POST VOID RESID","51798","HCPCS","Both",,,"100","50","Blue Cross Blue Shield","PPO","",,"71",,"70.6","36.6","77.5","percent of total billed charges",,
"US BLADDER CAPACITY OR POST VOID RESID","51798","HCPCS","Both",,,"100","50","Ambetter","Health Exchange","",,"62",,"62","36.6","77.5","percent of total billed charges",,
"US BLADDER CAPACITY OR POST VOID RESID","51798","HCPCS","Both",,,"100","50","Caresource","Health Exchange","",,"62",,"62","36.6","77.5","percent of total billed charges",,
"US BLADDER CAPACITY OR POST VOID RESID","51798","HCPCS","Both",,,"100","50","Cigna","Commercial","",,"59",,"58.6","36.6","77.5","percent of total billed charges",,
"US BLADDER CAPACITY OR POST VOID RESID","51798","HCPCS","Both",,,"100","50","Humana","Commercial","",,"78",,"77.5","36.6","77.5","percent of total billed charges",,
"US BLADDER CAPACITY OR POST VOID RESID","51798","HCPCS","Both",,,"100","50","UHC","Commercial","",,"75",,"75.4","36.6","77.5","percent of total billed charges",,
"US BLADDER CAPACITY OR POST VOID RESID","51798","HCPCS","Both",,,"100","50","Medicaid",,"",,"37",,"36.6","36.6","77.5","percent of total billed charges",,
"XR CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"673.57","336.785","Alliant","Health Exchange","",,"62",,"417.61","11.19","522.02","percent of total billed charges",,
"XR CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"673.57","336.785","Pruitt Healthcare","Medicare Advantage","",,"54",,"363.73","11.19","522.02","percent of total billed charges",,
"XR CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"673.57","336.785","Medicare",,"",,"54",,"365.07","11.19","522.02","percent of total billed charges",,
"XR CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"673.57","336.785","Humana","Medicare Advantage","",,"54",,"365.07","11.19","522.02","percent of total billed charges",,
"XR CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"673.57","336.785","UHC","Medicare Advantage","",,"54",,"365.07","11.19","522.02","percent of total billed charges",,
"XR CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"673.57","336.785","Clover","Medicare Advantage","",,"54",,"365.07","11.19","522.02","percent of total billed charges",,
"XR CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"673.57","336.785","Wellcare","Medicare Advantage","",,"54",,"365.07","11.19","522.02","percent of total billed charges",,
"XR CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"673.57","336.785","Amerigroup","Medicaid Managed Care","",,"37",,"246.53","11.19","522.02","percent of total billed charges",,
"XR CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"673.57","336.785","Caresource","Medicaid Managed Care","",,"40",,"269.43","11.19","522.02","percent of total billed charges",,
"XR CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"673.57","336.785","Wellcare","Medicaid Managed Care","",,"40",,"272.8","11.19","522.02","percent of total billed charges",,
"XR CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"673.57","336.785","Aetna","Commercial","",,"64",,"429.74","11.19","522.02","percent of total billed charges",,
"XR CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"673.57","336.785","Blue Cross Blue Shield","Pathways","",,"71",,"475.54","11.19","522.02","percent of total billed charges",,
"XR CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"673.57","336.785","Blue Cross Blue Shield","HMO","",,"71",,"475.54","11.19","522.02","percent of total billed charges",,
"XR CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"673.57","336.785","Blue Cross Blue Shield","PPO","",,"71",,"475.54","11.19","522.02","percent of total billed charges",,
"XR CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"673.57","336.785","Ambetter","Health Exchange","",,"62",,"417.61","11.19","522.02","percent of total billed charges",,
"XR CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"673.57","336.785","Caresource","Health Exchange","",,"62",,"417.61","11.19","522.02","percent of total billed charges",,
"XR CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"673.57","336.785","Cigna","Commercial","",,"59",,"394.71","11.19","522.02","percent of total billed charges",,
"XR CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"673.57","336.785","Humana","Commercial","",,"78",,"522.02","11.19","522.02","percent of total billed charges",,
"XR CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"673.57","336.785","UHC","Commercial","",,"75",,"507.87","11.19","522.02","percent of total billed charges",,
"XR CHEST 2 VIEWS FRONTAL & LATERAL","71046","HCPCS","Both",,,"673.57","336.785","Medicaid",,"",,"37",,"246.53","11.19","522.02","percent of total billed charges",,
"XR RIBS W/ PA CHEST MIN 3 VWS","71101","HCPCS","Both",,,"109","54.5","Alliant","Health Exchange","",,"62",,"67.58","39.89","84.48","percent of total billed charges",,
"XR RIBS W/ PA CHEST MIN 3 VWS","71101","HCPCS","Both",,,"109","54.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"58.86","39.89","84.48","percent of total billed charges",,
"XR RIBS W/ PA CHEST MIN 3 VWS","71101","HCPCS","Both",,,"109","54.5","Medicare",,"",,"54",,"59.08","39.89","84.48","percent of total billed charges",,
"XR RIBS W/ PA CHEST MIN 3 VWS","71101","HCPCS","Both",,,"109","54.5","Humana","Medicare Advantage","",,"54",,"59.08","39.89","84.48","percent of total billed charges",,
"XR RIBS W/ PA CHEST MIN 3 VWS","71101","HCPCS","Both",,,"109","54.5","UHC","Medicare Advantage","",,"54",,"59.08","39.89","84.48","percent of total billed charges",,
"XR RIBS W/ PA CHEST MIN 3 VWS","71101","HCPCS","Both",,,"109","54.5","Clover","Medicare Advantage","",,"54",,"59.08","39.89","84.48","percent of total billed charges",,
"XR RIBS W/ PA CHEST MIN 3 VWS","71101","HCPCS","Both",,,"109","54.5","Wellcare","Medicare Advantage","",,"54",,"59.08","39.89","84.48","percent of total billed charges",,
"XR RIBS W/ PA CHEST MIN 3 VWS","71101","HCPCS","Both",,,"109","54.5","Amerigroup","Medicaid Managed Care","",,"37",,"39.89","39.89","84.48","percent of total billed charges",,
"XR RIBS W/ PA CHEST MIN 3 VWS","71101","HCPCS","Both",,,"109","54.5","Caresource","Medicaid Managed Care","",,"40",,"43.6","39.89","84.48","percent of total billed charges",,
"XR RIBS W/ PA CHEST MIN 3 VWS","71101","HCPCS","Both",,,"109","54.5","Wellcare","Medicaid Managed Care","",,"40",,"44.14","39.89","84.48","percent of total billed charges",,
"XR RIBS W/ PA CHEST MIN 3 VWS","71101","HCPCS","Both",,,"109","54.5","Aetna","Commercial","",,"64",,"69.54","39.89","84.48","percent of total billed charges",,
"XR RIBS W/ PA CHEST MIN 3 VWS","71101","HCPCS","Both",,,"109","54.5","Blue Cross Blue Shield","Pathways","",,"71",,"76.95","39.89","84.48","percent of total billed charges",,
"XR RIBS W/ PA CHEST MIN 3 VWS","71101","HCPCS","Both",,,"109","54.5","Blue Cross Blue Shield","HMO","",,"71",,"76.95","39.89","84.48","percent of total billed charges",,
"XR RIBS W/ PA CHEST MIN 3 VWS","71101","HCPCS","Both",,,"109","54.5","Blue Cross Blue Shield","PPO","",,"71",,"76.95","39.89","84.48","percent of total billed charges",,
"XR RIBS W/ PA CHEST MIN 3 VWS","71101","HCPCS","Both",,,"109","54.5","Ambetter","Health Exchange","",,"62",,"67.58","39.89","84.48","percent of total billed charges",,
"XR RIBS W/ PA CHEST MIN 3 VWS","71101","HCPCS","Both",,,"109","54.5","Caresource","Health Exchange","",,"62",,"67.58","39.89","84.48","percent of total billed charges",,
"XR RIBS W/ PA CHEST MIN 3 VWS","71101","HCPCS","Both",,,"109","54.5","Cigna","Commercial","",,"59",,"63.87","39.89","84.48","percent of total billed charges",,
"XR RIBS W/ PA CHEST MIN 3 VWS","71101","HCPCS","Both",,,"109","54.5","Humana","Commercial","",,"78",,"84.48","39.89","84.48","percent of total billed charges",,
"XR RIBS W/ PA CHEST MIN 3 VWS","71101","HCPCS","Both",,,"109","54.5","UHC","Commercial","",,"75",,"82.19","39.89","84.48","percent of total billed charges",,
"XR RIBS W/ PA CHEST MIN 3 VWS","71101","HCPCS","Both",,,"109","54.5","Medicaid",,"",,"37",,"39.89","39.89","84.48","percent of total billed charges",,
"XR BIL RIBS W/ PA CHEST MIN 4 VWS","71111","HCPCS","Both",,,"72","36","Alliant","Health Exchange","",,"62",,"44.64","16.59","55.8","percent of total billed charges",,
"XR BIL RIBS W/ PA CHEST MIN 4 VWS","71111","HCPCS","Both",,,"72","36","Pruitt Healthcare","Medicare Advantage","",,"54",,"38.88","16.59","55.8","percent of total billed charges",,
"XR BIL RIBS W/ PA CHEST MIN 4 VWS","71111","HCPCS","Both",,,"72","36","Medicare",,"",,"54",,"39.02","16.59","55.8","percent of total billed charges",,
"XR BIL RIBS W/ PA CHEST MIN 4 VWS","71111","HCPCS","Both",,,"72","36","Humana","Medicare Advantage","",,"54",,"39.02","16.59","55.8","percent of total billed charges",,
"XR BIL RIBS W/ PA CHEST MIN 4 VWS","71111","HCPCS","Both",,,"72","36","UHC","Medicare Advantage","",,"54",,"39.02","16.59","55.8","percent of total billed charges",,
"XR BIL RIBS W/ PA CHEST MIN 4 VWS","71111","HCPCS","Both",,,"72","36","Clover","Medicare Advantage","",,"54",,"39.02","16.59","55.8","percent of total billed charges",,
"XR BIL RIBS W/ PA CHEST MIN 4 VWS","71111","HCPCS","Both",,,"72","36","Wellcare","Medicare Advantage","",,"54",,"39.02","16.59","55.8","percent of total billed charges",,
"XR BIL RIBS W/ PA CHEST MIN 4 VWS","71111","HCPCS","Both",,,"72","36","Amerigroup","Medicaid Managed Care","",,"37",,"26.35","16.59","55.8","percent of total billed charges",,
"XR BIL RIBS W/ PA CHEST MIN 4 VWS","71111","HCPCS","Both",,,"72","36","Caresource","Medicaid Managed Care","",,"40",,"28.8","16.59","55.8","percent of total billed charges",,
"XR BIL RIBS W/ PA CHEST MIN 4 VWS","71111","HCPCS","Both",,,"72","36","Wellcare","Medicaid Managed Care","",,"40",,"29.16","16.59","55.8","percent of total billed charges",,
"XR BIL RIBS W/ PA CHEST MIN 4 VWS","71111","HCPCS","Both",,,"72","36","Aetna","Commercial","",,"64",,"45.94","16.59","55.8","percent of total billed charges",,
"XR BIL RIBS W/ PA CHEST MIN 4 VWS","71111","HCPCS","Both",,,"72","36","Blue Cross Blue Shield","Pathways","",,"71",,"50.83","16.59","55.8","percent of total billed charges",,
"XR BIL RIBS W/ PA CHEST MIN 4 VWS","71111","HCPCS","Both",,,"72","36","Blue Cross Blue Shield","HMO","",,"71",,"50.83","16.59","55.8","percent of total billed charges",,
"XR BIL RIBS W/ PA CHEST MIN 4 VWS","71111","HCPCS","Both",,,"72","36","Blue Cross Blue Shield","PPO","",,"71",,"50.83","16.59","55.8","percent of total billed charges",,
"XR BIL RIBS W/ PA CHEST MIN 4 VWS","71111","HCPCS","Both",,,"72","36","Ambetter","Health Exchange","",,"62",,"44.64","16.59","55.8","percent of total billed charges",,
"XR BIL RIBS W/ PA CHEST MIN 4 VWS","71111","HCPCS","Both",,,"72","36","Caresource","Health Exchange","",,"62",,"44.64","16.59","55.8","percent of total billed charges",,
"XR BIL RIBS W/ PA CHEST MIN 4 VWS","71111","HCPCS","Both",,,"72","36","Cigna","Commercial","",,"59",,"42.19","16.59","55.8","percent of total billed charges",,
"XR BIL RIBS W/ PA CHEST MIN 4 VWS","71111","HCPCS","Both",,,"72","36","Humana","Commercial","",,"78",,"55.8","16.59","55.8","percent of total billed charges",,
"XR BIL RIBS W/ PA CHEST MIN 4 VWS","71111","HCPCS","Both",,,"72","36","UHC","Commercial","",,"75",,"54.29","16.59","55.8","percent of total billed charges",,
"XR BIL RIBS W/ PA CHEST MIN 4 VWS","71111","HCPCS","Both",,,"72","36","Medicaid",,"",,"37",,"26.35","16.59","55.8","percent of total billed charges",,
"XR STERNUM 2 VIEWS","71120","HCPCS","Both",,,"153","76.5","Alliant","Health Exchange","",,"62",,"94.86","56","118.58","percent of total billed charges",,
"XR STERNUM 2 VIEWS","71120","HCPCS","Both",,,"153","76.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"82.62","56","118.58","percent of total billed charges",,
"XR STERNUM 2 VIEWS","71120","HCPCS","Both",,,"153","76.5","Medicare",,"",,"54",,"82.93","56","118.58","percent of total billed charges",,
"XR STERNUM 2 VIEWS","71120","HCPCS","Both",,,"153","76.5","Humana","Medicare Advantage","",,"54",,"82.93","56","118.58","percent of total billed charges",,
"XR STERNUM 2 VIEWS","71120","HCPCS","Both",,,"153","76.5","UHC","Medicare Advantage","",,"54",,"82.93","56","118.58","percent of total billed charges",,
"XR STERNUM 2 VIEWS","71120","HCPCS","Both",,,"153","76.5","Clover","Medicare Advantage","",,"54",,"82.93","56","118.58","percent of total billed charges",,
"XR STERNUM 2 VIEWS","71120","HCPCS","Both",,,"153","76.5","Wellcare","Medicare Advantage","",,"54",,"82.93","56","118.58","percent of total billed charges",,
"XR STERNUM 2 VIEWS","71120","HCPCS","Both",,,"153","76.5","Amerigroup","Medicaid Managed Care","",,"37",,"56","56","118.58","percent of total billed charges",,
"XR STERNUM 2 VIEWS","71120","HCPCS","Both",,,"153","76.5","Caresource","Medicaid Managed Care","",,"40",,"61.2","56","118.58","percent of total billed charges",,
"XR STERNUM 2 VIEWS","71120","HCPCS","Both",,,"153","76.5","Wellcare","Medicaid Managed Care","",,"40",,"61.96","56","118.58","percent of total billed charges",,
"XR STERNUM 2 VIEWS","71120","HCPCS","Both",,,"153","76.5","Aetna","Commercial","",,"64",,"97.61","56","118.58","percent of total billed charges",,
"XR STERNUM 2 VIEWS","71120","HCPCS","Both",,,"153","76.5","Blue Cross Blue Shield","Pathways","",,"71",,"108.02","56","118.58","percent of total billed charges",,
"XR STERNUM 2 VIEWS","71120","HCPCS","Both",,,"153","76.5","Blue Cross Blue Shield","HMO","",,"71",,"108.02","56","118.58","percent of total billed charges",,
"XR STERNUM 2 VIEWS","71120","HCPCS","Both",,,"153","76.5","Blue Cross Blue Shield","PPO","",,"71",,"108.02","56","118.58","percent of total billed charges",,
"XR STERNUM 2 VIEWS","71120","HCPCS","Both",,,"153","76.5","Ambetter","Health Exchange","",,"62",,"94.86","56","118.58","percent of total billed charges",,
"XR STERNUM 2 VIEWS","71120","HCPCS","Both",,,"153","76.5","Caresource","Health Exchange","",,"62",,"94.86","56","118.58","percent of total billed charges",,
"XR STERNUM 2 VIEWS","71120","HCPCS","Both",,,"153","76.5","Cigna","Commercial","",,"59",,"89.66","56","118.58","percent of total billed charges",,
"XR STERNUM 2 VIEWS","71120","HCPCS","Both",,,"153","76.5","Humana","Commercial","",,"78",,"118.58","56","118.58","percent of total billed charges",,
"XR STERNUM 2 VIEWS","71120","HCPCS","Both",,,"153","76.5","UHC","Commercial","",,"75",,"115.36","56","118.58","percent of total billed charges",,
"XR STERNUM 2 VIEWS","71120","HCPCS","Both",,,"153","76.5","Medicaid",,"",,"37",,"56","56","118.58","percent of total billed charges",,
"XR CHEST 2 VIEWS WITH FLOUROSCOPY","76000","HCPCS","Both",,,"169.5","84.75","Alliant","Health Exchange","",,"62",,"105.09","62.04","131.36","percent of total billed charges",,
"XR CHEST 2 VIEWS WITH FLOUROSCOPY","76000","HCPCS","Both",,,"169.5","84.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"91.53","62.04","131.36","percent of total billed charges",,
"XR CHEST 2 VIEWS WITH FLOUROSCOPY","76000","HCPCS","Both",,,"169.5","84.75","Medicare",,"",,"54",,"91.87","62.04","131.36","percent of total billed charges",,
"XR CHEST 2 VIEWS WITH FLOUROSCOPY","76000","HCPCS","Both",,,"169.5","84.75","Humana","Medicare Advantage","",,"54",,"91.87","62.04","131.36","percent of total billed charges",,
"XR CHEST 2 VIEWS WITH FLOUROSCOPY","76000","HCPCS","Both",,,"169.5","84.75","UHC","Medicare Advantage","",,"54",,"91.87","62.04","131.36","percent of total billed charges",,
"XR CHEST 2 VIEWS WITH FLOUROSCOPY","76000","HCPCS","Both",,,"169.5","84.75","Clover","Medicare Advantage","",,"54",,"91.87","62.04","131.36","percent of total billed charges",,
"XR CHEST 2 VIEWS WITH FLOUROSCOPY","76000","HCPCS","Both",,,"169.5","84.75","Wellcare","Medicare Advantage","",,"54",,"91.87","62.04","131.36","percent of total billed charges",,
"XR CHEST 2 VIEWS WITH FLOUROSCOPY","76000","HCPCS","Both",,,"169.5","84.75","Amerigroup","Medicaid Managed Care","",,"37",,"62.04","62.04","131.36","percent of total billed charges",,
"XR CHEST 2 VIEWS WITH FLOUROSCOPY","76000","HCPCS","Both",,,"169.5","84.75","Caresource","Medicaid Managed Care","",,"40",,"67.8","62.04","131.36","percent of total billed charges",,
"XR CHEST 2 VIEWS WITH FLOUROSCOPY","76000","HCPCS","Both",,,"169.5","84.75","Wellcare","Medicaid Managed Care","",,"40",,"68.65","62.04","131.36","percent of total billed charges",,
"XR CHEST 2 VIEWS WITH FLOUROSCOPY","76000","HCPCS","Both",,,"169.5","84.75","Aetna","Commercial","",,"64",,"108.14","62.04","131.36","percent of total billed charges",,
"XR CHEST 2 VIEWS WITH FLOUROSCOPY","76000","HCPCS","Both",,,"169.5","84.75","Blue Cross Blue Shield","Pathways","",,"71",,"119.67","62.04","131.36","percent of total billed charges",,
"XR CHEST 2 VIEWS WITH FLOUROSCOPY","76000","HCPCS","Both",,,"169.5","84.75","Blue Cross Blue Shield","HMO","",,"71",,"119.67","62.04","131.36","percent of total billed charges",,
"XR CHEST 2 VIEWS WITH FLOUROSCOPY","76000","HCPCS","Both",,,"169.5","84.75","Blue Cross Blue Shield","PPO","",,"71",,"119.67","62.04","131.36","percent of total billed charges",,
"XR CHEST 2 VIEWS WITH FLOUROSCOPY","76000","HCPCS","Both",,,"169.5","84.75","Ambetter","Health Exchange","",,"62",,"105.09","62.04","131.36","percent of total billed charges",,
"XR CHEST 2 VIEWS WITH FLOUROSCOPY","76000","HCPCS","Both",,,"169.5","84.75","Caresource","Health Exchange","",,"62",,"105.09","62.04","131.36","percent of total billed charges",,
"XR CHEST 2 VIEWS WITH FLOUROSCOPY","76000","HCPCS","Both",,,"169.5","84.75","Cigna","Commercial","",,"59",,"99.33","62.04","131.36","percent of total billed charges",,
"XR CHEST 2 VIEWS WITH FLOUROSCOPY","76000","HCPCS","Both",,,"169.5","84.75","Humana","Commercial","",,"78",,"131.36","62.04","131.36","percent of total billed charges",,
"XR CHEST 2 VIEWS WITH FLOUROSCOPY","76000","HCPCS","Both",,,"169.5","84.75","UHC","Commercial","",,"75",,"127.8","62.04","131.36","percent of total billed charges",,
"XR CHEST 2 VIEWS WITH FLOUROSCOPY","76000","HCPCS","Both",,,"169.5","84.75","Medicaid",,"",,"37",,"62.04","62.04","131.36","percent of total billed charges",,
"XR STERNOCLAVICULAR JT MIN 3 VWS","71130","HCPCS","Both",,,"153","76.5","Alliant","Health Exchange","",,"62",,"94.86","56","118.58","percent of total billed charges",,
"XR STERNOCLAVICULAR JT MIN 3 VWS","71130","HCPCS","Both",,,"153","76.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"82.62","56","118.58","percent of total billed charges",,
"XR STERNOCLAVICULAR JT MIN 3 VWS","71130","HCPCS","Both",,,"153","76.5","Medicare",,"",,"54",,"82.93","56","118.58","percent of total billed charges",,
"XR STERNOCLAVICULAR JT MIN 3 VWS","71130","HCPCS","Both",,,"153","76.5","Humana","Medicare Advantage","",,"54",,"82.93","56","118.58","percent of total billed charges",,
"XR STERNOCLAVICULAR JT MIN 3 VWS","71130","HCPCS","Both",,,"153","76.5","UHC","Medicare Advantage","",,"54",,"82.93","56","118.58","percent of total billed charges",,
"XR STERNOCLAVICULAR JT MIN 3 VWS","71130","HCPCS","Both",,,"153","76.5","Clover","Medicare Advantage","",,"54",,"82.93","56","118.58","percent of total billed charges",,
"XR STERNOCLAVICULAR JT MIN 3 VWS","71130","HCPCS","Both",,,"153","76.5","Wellcare","Medicare Advantage","",,"54",,"82.93","56","118.58","percent of total billed charges",,
"XR STERNOCLAVICULAR JT MIN 3 VWS","71130","HCPCS","Both",,,"153","76.5","Amerigroup","Medicaid Managed Care","",,"37",,"56","56","118.58","percent of total billed charges",,
"XR STERNOCLAVICULAR JT MIN 3 VWS","71130","HCPCS","Both",,,"153","76.5","Caresource","Medicaid Managed Care","",,"40",,"61.2","56","118.58","percent of total billed charges",,
"XR STERNOCLAVICULAR JT MIN 3 VWS","71130","HCPCS","Both",,,"153","76.5","Wellcare","Medicaid Managed Care","",,"40",,"61.96","56","118.58","percent of total billed charges",,
"XR STERNOCLAVICULAR JT MIN 3 VWS","71130","HCPCS","Both",,,"153","76.5","Aetna","Commercial","",,"64",,"97.61","56","118.58","percent of total billed charges",,
"XR STERNOCLAVICULAR JT MIN 3 VWS","71130","HCPCS","Both",,,"153","76.5","Blue Cross Blue Shield","Pathways","",,"71",,"108.02","56","118.58","percent of total billed charges",,
"XR STERNOCLAVICULAR JT MIN 3 VWS","71130","HCPCS","Both",,,"153","76.5","Blue Cross Blue Shield","HMO","",,"71",,"108.02","56","118.58","percent of total billed charges",,
"XR STERNOCLAVICULAR JT MIN 3 VWS","71130","HCPCS","Both",,,"153","76.5","Blue Cross Blue Shield","PPO","",,"71",,"108.02","56","118.58","percent of total billed charges",,
"XR STERNOCLAVICULAR JT MIN 3 VWS","71130","HCPCS","Both",,,"153","76.5","Ambetter","Health Exchange","",,"62",,"94.86","56","118.58","percent of total billed charges",,
"XR STERNOCLAVICULAR JT MIN 3 VWS","71130","HCPCS","Both",,,"153","76.5","Caresource","Health Exchange","",,"62",,"94.86","56","118.58","percent of total billed charges",,
"XR STERNOCLAVICULAR JT MIN 3 VWS","71130","HCPCS","Both",,,"153","76.5","Cigna","Commercial","",,"59",,"89.66","56","118.58","percent of total billed charges",,
"XR STERNOCLAVICULAR JT MIN 3 VWS","71130","HCPCS","Both",,,"153","76.5","Humana","Commercial","",,"78",,"118.58","56","118.58","percent of total billed charges",,
"XR STERNOCLAVICULAR JT MIN 3 VWS","71130","HCPCS","Both",,,"153","76.5","UHC","Commercial","",,"75",,"115.36","56","118.58","percent of total billed charges",,
"XR STERNOCLAVICULAR JT MIN 3 VWS","71130","HCPCS","Both",,,"153","76.5","Medicaid",,"",,"37",,"56","56","118.58","percent of total billed charges",,
"XR CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"120.96","60.48","Alliant","Health Exchange","",,"62",,"75","9.37","97.65","percent of total billed charges",,
"XR CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"120.96","60.48","Pruitt Healthcare","Medicare Advantage","",,"54",,"65.32","9.37","97.65","percent of total billed charges",,
"XR CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"120.96","60.48","Medicare",,"",,"54",,"65.56","9.37","97.65","percent of total billed charges",,
"XR CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"120.96","60.48","Humana","Medicare Advantage","",,"54",,"65.56","9.37","97.65","percent of total billed charges",,
"XR CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"120.96","60.48","UHC","Medicare Advantage","",,"54",,"65.56","9.37","97.65","percent of total billed charges",,
"XR CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"120.96","60.48","Clover","Medicare Advantage","",,"54",,"65.56","9.37","97.65","percent of total billed charges",,
"XR CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"120.96","60.48","Wellcare","Medicare Advantage","",,"54",,"65.56","9.37","97.65","percent of total billed charges",,
"XR CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"120.96","60.48","Amerigroup","Medicaid Managed Care","",,"37",,"44.27","9.37","97.65","percent of total billed charges",,
"XR CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"120.96","60.48","Caresource","Medicaid Managed Care","",,"40",,"48.38","9.37","97.65","percent of total billed charges",,
"XR CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"120.96","60.48","Wellcare","Medicaid Managed Care","",,"40",,"48.99","9.37","97.65","percent of total billed charges",,
"XR CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"120.96","60.48","Aetna","Commercial","",,"64",,"77.17","9.37","97.65","percent of total billed charges",,
"XR CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"120.96","60.48","Blue Cross Blue Shield","Pathways","",,"71",,"85.4","9.37","97.65","percent of total billed charges",,
"XR CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"120.96","60.48","Blue Cross Blue Shield","HMO","",,"71",,"85.4","9.37","97.65","percent of total billed charges",,
"XR CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"120.96","60.48","Blue Cross Blue Shield","PPO","",,"71",,"85.4","9.37","97.65","percent of total billed charges",,
"XR CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"120.96","60.48","Ambetter","Health Exchange","",,"62",,"75","9.37","97.65","percent of total billed charges",,
"XR CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"120.96","60.48","Caresource","Health Exchange","",,"62",,"75","9.37","97.65","percent of total billed charges",,
"XR CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"120.96","60.48","Cigna","Commercial","",,"59",,"70.88","9.37","97.65","percent of total billed charges",,
"XR CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"120.96","60.48","Humana","Commercial","",,"78",,"93.74","9.37","97.65","percent of total billed charges",,
"XR CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"120.96","60.48","UHC","Commercial","",,"75",,"91.2","9.37","97.65","percent of total billed charges",,
"XR CHEST SINGLE VIEW FRONTAL","71045","HCPCS","Both",,,"120.96","60.48","Medicaid",,"",,"37",,"44.27","9.37","97.65","percent of total billed charges",,
"XR CHEST COMPLETE 4 VIEWS WITH FLUROSCOP","76000","HCPCS","Both",,,"169.5","84.75","Alliant","Health Exchange","",,"62",,"105.09","62.04","131.36","percent of total billed charges",,
"XR CHEST COMPLETE 4 VIEWS WITH FLUROSCOP","76000","HCPCS","Both",,,"169.5","84.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"91.53","62.04","131.36","percent of total billed charges",,
"XR CHEST COMPLETE 4 VIEWS WITH FLUROSCOP","76000","HCPCS","Both",,,"169.5","84.75","Medicare",,"",,"54",,"91.87","62.04","131.36","percent of total billed charges",,
"XR CHEST COMPLETE 4 VIEWS WITH FLUROSCOP","76000","HCPCS","Both",,,"169.5","84.75","Humana","Medicare Advantage","",,"54",,"91.87","62.04","131.36","percent of total billed charges",,
"XR CHEST COMPLETE 4 VIEWS WITH FLUROSCOP","76000","HCPCS","Both",,,"169.5","84.75","UHC","Medicare Advantage","",,"54",,"91.87","62.04","131.36","percent of total billed charges",,
"XR CHEST COMPLETE 4 VIEWS WITH FLUROSCOP","76000","HCPCS","Both",,,"169.5","84.75","Clover","Medicare Advantage","",,"54",,"91.87","62.04","131.36","percent of total billed charges",,
"XR CHEST COMPLETE 4 VIEWS WITH FLUROSCOP","76000","HCPCS","Both",,,"169.5","84.75","Wellcare","Medicare Advantage","",,"54",,"91.87","62.04","131.36","percent of total billed charges",,
"XR CHEST COMPLETE 4 VIEWS WITH FLUROSCOP","76000","HCPCS","Both",,,"169.5","84.75","Amerigroup","Medicaid Managed Care","",,"37",,"62.04","62.04","131.36","percent of total billed charges",,
"XR CHEST COMPLETE 4 VIEWS WITH FLUROSCOP","76000","HCPCS","Both",,,"169.5","84.75","Caresource","Medicaid Managed Care","",,"40",,"67.8","62.04","131.36","percent of total billed charges",,
"XR CHEST COMPLETE 4 VIEWS WITH FLUROSCOP","76000","HCPCS","Both",,,"169.5","84.75","Wellcare","Medicaid Managed Care","",,"40",,"68.65","62.04","131.36","percent of total billed charges",,
"XR CHEST COMPLETE 4 VIEWS WITH FLUROSCOP","76000","HCPCS","Both",,,"169.5","84.75","Aetna","Commercial","",,"64",,"108.14","62.04","131.36","percent of total billed charges",,
"XR CHEST COMPLETE 4 VIEWS WITH FLUROSCOP","76000","HCPCS","Both",,,"169.5","84.75","Blue Cross Blue Shield","Pathways","",,"71",,"119.67","62.04","131.36","percent of total billed charges",,
"XR CHEST COMPLETE 4 VIEWS WITH FLUROSCOP","76000","HCPCS","Both",,,"169.5","84.75","Blue Cross Blue Shield","HMO","",,"71",,"119.67","62.04","131.36","percent of total billed charges",,
"XR CHEST COMPLETE 4 VIEWS WITH FLUROSCOP","76000","HCPCS","Both",,,"169.5","84.75","Blue Cross Blue Shield","PPO","",,"71",,"119.67","62.04","131.36","percent of total billed charges",,
"XR CHEST COMPLETE 4 VIEWS WITH FLUROSCOP","76000","HCPCS","Both",,,"169.5","84.75","Ambetter","Health Exchange","",,"62",,"105.09","62.04","131.36","percent of total billed charges",,
"XR CHEST COMPLETE 4 VIEWS WITH FLUROSCOP","76000","HCPCS","Both",,,"169.5","84.75","Caresource","Health Exchange","",,"62",,"105.09","62.04","131.36","percent of total billed charges",,
"XR CHEST COMPLETE 4 VIEWS WITH FLUROSCOP","76000","HCPCS","Both",,,"169.5","84.75","Cigna","Commercial","",,"59",,"99.33","62.04","131.36","percent of total billed charges",,
"XR CHEST COMPLETE 4 VIEWS WITH FLUROSCOP","76000","HCPCS","Both",,,"169.5","84.75","Humana","Commercial","",,"78",,"131.36","62.04","131.36","percent of total billed charges",,
"XR CHEST COMPLETE 4 VIEWS WITH FLUROSCOP","76000","HCPCS","Both",,,"169.5","84.75","UHC","Commercial","",,"75",,"127.8","62.04","131.36","percent of total billed charges",,
"XR CHEST COMPLETE 4 VIEWS WITH FLUROSCOP","76000","HCPCS","Both",,,"169.5","84.75","Medicaid",,"",,"37",,"62.04","62.04","131.36","percent of total billed charges",,
"XR ABDOMEN SINGLE ANTEROPOSTERIOR VIEW","74018","HCPCS","Both",,,"459.84","229.92","Alliant","Health Exchange","",,"62",,"285.1","9.37","356.38","percent of total billed charges",,
"XR ABDOMEN SINGLE ANTEROPOSTERIOR VIEW","74018","HCPCS","Both",,,"459.84","229.92","Pruitt Healthcare","Medicare Advantage","",,"54",,"248.31","9.37","356.38","percent of total billed charges",,
"XR ABDOMEN SINGLE ANTEROPOSTERIOR VIEW","74018","HCPCS","Both",,,"459.84","229.92","Medicare",,"",,"54",,"249.23","9.37","356.38","percent of total billed charges",,
"XR ABDOMEN SINGLE ANTEROPOSTERIOR VIEW","74018","HCPCS","Both",,,"459.84","229.92","Humana","Medicare Advantage","",,"54",,"249.23","9.37","356.38","percent of total billed charges",,
"XR ABDOMEN SINGLE ANTEROPOSTERIOR VIEW","74018","HCPCS","Both",,,"459.84","229.92","UHC","Medicare Advantage","",,"54",,"249.23","9.37","356.38","percent of total billed charges",,
"XR ABDOMEN SINGLE ANTEROPOSTERIOR VIEW","74018","HCPCS","Both",,,"459.84","229.92","Clover","Medicare Advantage","",,"54",,"249.23","9.37","356.38","percent of total billed charges",,
"XR ABDOMEN SINGLE ANTEROPOSTERIOR VIEW","74018","HCPCS","Both",,,"459.84","229.92","Wellcare","Medicare Advantage","",,"54",,"249.23","9.37","356.38","percent of total billed charges",,
"XR ABDOMEN SINGLE ANTEROPOSTERIOR VIEW","74018","HCPCS","Both",,,"459.84","229.92","Amerigroup","Medicaid Managed Care","",,"37",,"168.3","9.37","356.38","percent of total billed charges",,
"XR ABDOMEN SINGLE ANTEROPOSTERIOR VIEW","74018","HCPCS","Both",,,"459.84","229.92","Caresource","Medicaid Managed Care","",,"40",,"183.94","9.37","356.38","percent of total billed charges",,
"XR ABDOMEN SINGLE ANTEROPOSTERIOR VIEW","74018","HCPCS","Both",,,"459.84","229.92","Wellcare","Medicaid Managed Care","",,"40",,"186.24","9.37","356.38","percent of total billed charges",,
"XR ABDOMEN SINGLE ANTEROPOSTERIOR VIEW","74018","HCPCS","Both",,,"459.84","229.92","Aetna","Commercial","",,"64",,"293.38","9.37","356.38","percent of total billed charges",,
"XR ABDOMEN SINGLE ANTEROPOSTERIOR VIEW","74018","HCPCS","Both",,,"459.84","229.92","Blue Cross Blue Shield","Pathways","",,"71",,"324.65","9.37","356.38","percent of total billed charges",,
"XR ABDOMEN SINGLE ANTEROPOSTERIOR VIEW","74018","HCPCS","Both",,,"459.84","229.92","Blue Cross Blue Shield","HMO","",,"71",,"324.65","9.37","356.38","percent of total billed charges",,
"XR ABDOMEN SINGLE ANTEROPOSTERIOR VIEW","74018","HCPCS","Both",,,"459.84","229.92","Blue Cross Blue Shield","PPO","",,"71",,"324.65","9.37","356.38","percent of total billed charges",,
"XR ABDOMEN SINGLE ANTEROPOSTERIOR VIEW","74018","HCPCS","Both",,,"459.84","229.92","Ambetter","Health Exchange","",,"62",,"285.1","9.37","356.38","percent of total billed charges",,
"XR ABDOMEN SINGLE ANTEROPOSTERIOR VIEW","74018","HCPCS","Both",,,"459.84","229.92","Caresource","Health Exchange","",,"62",,"285.1","9.37","356.38","percent of total billed charges",,
"XR ABDOMEN SINGLE ANTEROPOSTERIOR VIEW","74018","HCPCS","Both",,,"459.84","229.92","Cigna","Commercial","",,"59",,"269.47","9.37","356.38","percent of total billed charges",,
"XR ABDOMEN SINGLE ANTEROPOSTERIOR VIEW","74018","HCPCS","Both",,,"459.84","229.92","Humana","Commercial","",,"78",,"356.38","9.37","356.38","percent of total billed charges",,
"XR ABDOMEN SINGLE ANTEROPOSTERIOR VIEW","74018","HCPCS","Both",,,"459.84","229.92","UHC","Commercial","",,"75",,"346.72","9.37","356.38","percent of total billed charges",,
"XR ABDOMEN SINGLE ANTEROPOSTERIOR VIEW","74018","HCPCS","Both",,,"459.84","229.92","Medicaid",,"",,"37",,"168.3","9.37","356.38","percent of total billed charges",,
"XR ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"109","54.5","Alliant","Health Exchange","",,"62",,"67.58","11.89","84.48","percent of total billed charges",,
"XR ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"109","54.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"58.86","11.89","84.48","percent of total billed charges",,
"XR ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"109","54.5","Medicare",,"",,"54",,"59.08","11.89","84.48","percent of total billed charges",,
"XR ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"109","54.5","Humana","Medicare Advantage","",,"54",,"59.08","11.89","84.48","percent of total billed charges",,
"XR ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"109","54.5","UHC","Medicare Advantage","",,"54",,"59.08","11.89","84.48","percent of total billed charges",,
"XR ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"109","54.5","Clover","Medicare Advantage","",,"54",,"59.08","11.89","84.48","percent of total billed charges",,
"XR ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"109","54.5","Wellcare","Medicare Advantage","",,"54",,"59.08","11.89","84.48","percent of total billed charges",,
"XR ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"109","54.5","Amerigroup","Medicaid Managed Care","",,"37",,"39.89","11.89","84.48","percent of total billed charges",,
"XR ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"109","54.5","Caresource","Medicaid Managed Care","",,"40",,"43.6","11.89","84.48","percent of total billed charges",,
"XR ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"109","54.5","Wellcare","Medicaid Managed Care","",,"40",,"44.14","11.89","84.48","percent of total billed charges",,
"XR ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"109","54.5","Aetna","Commercial","",,"64",,"69.54","11.89","84.48","percent of total billed charges",,
"XR ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"109","54.5","Blue Cross Blue Shield","Pathways","",,"71",,"76.95","11.89","84.48","percent of total billed charges",,
"XR ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"109","54.5","Blue Cross Blue Shield","HMO","",,"71",,"76.95","11.89","84.48","percent of total billed charges",,
"XR ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"109","54.5","Blue Cross Blue Shield","PPO","",,"71",,"76.95","11.89","84.48","percent of total billed charges",,
"XR ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"109","54.5","Ambetter","Health Exchange","",,"62",,"67.58","11.89","84.48","percent of total billed charges",,
"XR ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"109","54.5","Caresource","Health Exchange","",,"62",,"67.58","11.89","84.48","percent of total billed charges",,
"XR ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"109","54.5","Cigna","Commercial","",,"59",,"63.87","11.89","84.48","percent of total billed charges",,
"XR ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"109","54.5","Humana","Commercial","",,"78",,"84.48","11.89","84.48","percent of total billed charges",,
"XR ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"109","54.5","UHC","Commercial","",,"75",,"82.19","11.89","84.48","percent of total billed charges",,
"XR ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"109","54.5","Medicaid",,"",,"37",,"39.89","11.89","84.48","percent of total billed charges",,
"XR ACUTE ABD SER SUP/ERECT UPRIGHT PA CH","74022","HCPCS","Both",,,"162.24","81.12","Alliant","Health Exchange","",,"62",,"100.59","16.59","130.98","percent of total billed charges",,
"XR ACUTE ABD SER SUP/ERECT UPRIGHT PA CH","74022","HCPCS","Both",,,"162.24","81.12","Pruitt Healthcare","Medicare Advantage","",,"54",,"87.61","16.59","130.98","percent of total billed charges",,
"XR ACUTE ABD SER SUP/ERECT UPRIGHT PA CH","74022","HCPCS","Both",,,"162.24","81.12","Medicare",,"",,"54",,"87.93","16.59","130.98","percent of total billed charges",,
"XR ACUTE ABD SER SUP/ERECT UPRIGHT PA CH","74022","HCPCS","Both",,,"162.24","81.12","Humana","Medicare Advantage","",,"54",,"87.93","16.59","130.98","percent of total billed charges",,
"XR ACUTE ABD SER SUP/ERECT UPRIGHT PA CH","74022","HCPCS","Both",,,"162.24","81.12","UHC","Medicare Advantage","",,"54",,"87.93","16.59","130.98","percent of total billed charges",,
"XR ACUTE ABD SER SUP/ERECT UPRIGHT PA CH","74022","HCPCS","Both",,,"162.24","81.12","Clover","Medicare Advantage","",,"54",,"87.93","16.59","130.98","percent of total billed charges",,
"XR ACUTE ABD SER SUP/ERECT UPRIGHT PA CH","74022","HCPCS","Both",,,"162.24","81.12","Wellcare","Medicare Advantage","",,"54",,"87.93","16.59","130.98","percent of total billed charges",,
"XR ACUTE ABD SER SUP/ERECT UPRIGHT PA CH","74022","HCPCS","Both",,,"162.24","81.12","Amerigroup","Medicaid Managed Care","",,"37",,"59.38","16.59","130.98","percent of total billed charges",,
"XR ACUTE ABD SER SUP/ERECT UPRIGHT PA CH","74022","HCPCS","Both",,,"162.24","81.12","Caresource","Medicaid Managed Care","",,"40",,"64.9","16.59","130.98","percent of total billed charges",,
"XR ACUTE ABD SER SUP/ERECT UPRIGHT PA CH","74022","HCPCS","Both",,,"162.24","81.12","Wellcare","Medicaid Managed Care","",,"40",,"65.71","16.59","130.98","percent of total billed charges",,
"XR ACUTE ABD SER SUP/ERECT UPRIGHT PA CH","74022","HCPCS","Both",,,"162.24","81.12","Aetna","Commercial","",,"64",,"103.51","16.59","130.98","percent of total billed charges",,
"XR ACUTE ABD SER SUP/ERECT UPRIGHT PA CH","74022","HCPCS","Both",,,"162.24","81.12","Blue Cross Blue Shield","Pathways","",,"71",,"114.54","16.59","130.98","percent of total billed charges",,
"XR ACUTE ABD SER SUP/ERECT UPRIGHT PA CH","74022","HCPCS","Both",,,"162.24","81.12","Blue Cross Blue Shield","HMO","",,"71",,"114.54","16.59","130.98","percent of total billed charges",,
"XR ACUTE ABD SER SUP/ERECT UPRIGHT PA CH","74022","HCPCS","Both",,,"162.24","81.12","Blue Cross Blue Shield","PPO","",,"71",,"114.54","16.59","130.98","percent of total billed charges",,
"XR ACUTE ABD SER SUP/ERECT UPRIGHT PA CH","74022","HCPCS","Both",,,"162.24","81.12","Ambetter","Health Exchange","",,"62",,"100.59","16.59","130.98","percent of total billed charges",,
"XR ACUTE ABD SER SUP/ERECT UPRIGHT PA CH","74022","HCPCS","Both",,,"162.24","81.12","Caresource","Health Exchange","",,"62",,"100.59","16.59","130.98","percent of total billed charges",,
"XR ACUTE ABD SER SUP/ERECT UPRIGHT PA CH","74022","HCPCS","Both",,,"162.24","81.12","Cigna","Commercial","",,"59",,"95.07","16.59","130.98","percent of total billed charges",,
"XR ACUTE ABD SER SUP/ERECT UPRIGHT PA CH","74022","HCPCS","Both",,,"162.24","81.12","Humana","Commercial","",,"78",,"125.74","16.59","130.98","percent of total billed charges",,
"XR ACUTE ABD SER SUP/ERECT UPRIGHT PA CH","74022","HCPCS","Both",,,"162.24","81.12","UHC","Commercial","",,"75",,"122.33","16.59","130.98","percent of total billed charges",,
"XR ACUTE ABD SER SUP/ERECT UPRIGHT PA CH","74022","HCPCS","Both",,,"162.24","81.12","Medicaid",,"",,"37",,"59.38","16.59","130.98","percent of total billed charges",,
"XR SPINE CERVICAL COMPLETE OBLIQUE & FLE","72052","HCPCS","Both",,,"745","372.5","Alliant","Health Exchange","",,"62",,"461.9","272.67","577.38","percent of total billed charges",,
"XR SPINE CERVICAL COMPLETE OBLIQUE & FLE","72052","HCPCS","Both",,,"745","372.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"402.3","272.67","577.38","percent of total billed charges",,
"XR SPINE CERVICAL COMPLETE OBLIQUE & FLE","72052","HCPCS","Both",,,"745","372.5","Medicare",,"",,"54",,"403.79","272.67","577.38","percent of total billed charges",,
"XR SPINE CERVICAL COMPLETE OBLIQUE & FLE","72052","HCPCS","Both",,,"745","372.5","Humana","Medicare Advantage","",,"54",,"403.79","272.67","577.38","percent of total billed charges",,
"XR SPINE CERVICAL COMPLETE OBLIQUE & FLE","72052","HCPCS","Both",,,"745","372.5","UHC","Medicare Advantage","",,"54",,"403.79","272.67","577.38","percent of total billed charges",,
"XR SPINE CERVICAL COMPLETE OBLIQUE & FLE","72052","HCPCS","Both",,,"745","372.5","Clover","Medicare Advantage","",,"54",,"403.79","272.67","577.38","percent of total billed charges",,
"XR SPINE CERVICAL COMPLETE OBLIQUE & FLE","72052","HCPCS","Both",,,"745","372.5","Wellcare","Medicare Advantage","",,"54",,"403.79","272.67","577.38","percent of total billed charges",,
"XR SPINE CERVICAL COMPLETE OBLIQUE & FLE","72052","HCPCS","Both",,,"745","372.5","Amerigroup","Medicaid Managed Care","",,"37",,"272.67","272.67","577.38","percent of total billed charges",,
"XR SPINE CERVICAL COMPLETE OBLIQUE & FLE","72052","HCPCS","Both",,,"745","372.5","Caresource","Medicaid Managed Care","",,"40",,"298","272.67","577.38","percent of total billed charges",,
"XR SPINE CERVICAL COMPLETE OBLIQUE & FLE","72052","HCPCS","Both",,,"745","372.5","Wellcare","Medicaid Managed Care","",,"40",,"301.73","272.67","577.38","percent of total billed charges",,
"XR SPINE CERVICAL COMPLETE OBLIQUE & FLE","72052","HCPCS","Both",,,"745","372.5","Aetna","Commercial","",,"64",,"475.31","272.67","577.38","percent of total billed charges",,
"XR SPINE CERVICAL COMPLETE OBLIQUE & FLE","72052","HCPCS","Both",,,"745","372.5","Blue Cross Blue Shield","Pathways","",,"71",,"525.97","272.67","577.38","percent of total billed charges",,
"XR SPINE CERVICAL COMPLETE OBLIQUE & FLE","72052","HCPCS","Both",,,"745","372.5","Blue Cross Blue Shield","HMO","",,"71",,"525.97","272.67","577.38","percent of total billed charges",,
"XR SPINE CERVICAL COMPLETE OBLIQUE & FLE","72052","HCPCS","Both",,,"745","372.5","Blue Cross Blue Shield","PPO","",,"71",,"525.97","272.67","577.38","percent of total billed charges",,
"XR SPINE CERVICAL COMPLETE OBLIQUE & FLE","72052","HCPCS","Both",,,"745","372.5","Ambetter","Health Exchange","",,"62",,"461.9","272.67","577.38","percent of total billed charges",,
"XR SPINE CERVICAL COMPLETE OBLIQUE & FLE","72052","HCPCS","Both",,,"745","372.5","Caresource","Health Exchange","",,"62",,"461.9","272.67","577.38","percent of total billed charges",,
"XR SPINE CERVICAL COMPLETE OBLIQUE & FLE","72052","HCPCS","Both",,,"745","372.5","Cigna","Commercial","",,"59",,"436.57","272.67","577.38","percent of total billed charges",,
"XR SPINE CERVICAL COMPLETE OBLIQUE & FLE","72052","HCPCS","Both",,,"745","372.5","Humana","Commercial","",,"78",,"577.38","272.67","577.38","percent of total billed charges",,
"XR SPINE CERVICAL COMPLETE OBLIQUE & FLE","72052","HCPCS","Both",,,"745","372.5","UHC","Commercial","",,"75",,"561.73","272.67","577.38","percent of total billed charges",,
"XR SPINE CERVICAL COMPLETE OBLIQUE & FLE","72052","HCPCS","Both",,,"745","372.5","Medicaid",,"",,"37",,"272.67","272.67","577.38","percent of total billed charges",,
"XA BARIUM SWALLOW","70370","HCPCS","Both",,,"103.5","51.75","Alliant","Health Exchange","",,"62",,"64.17","37.88","80.21","percent of total billed charges",,
"XA BARIUM SWALLOW","70370","HCPCS","Both",,,"103.5","51.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"55.89","37.88","80.21","percent of total billed charges",,
"XA BARIUM SWALLOW","70370","HCPCS","Both",,,"103.5","51.75","Medicare",,"",,"54",,"56.1","37.88","80.21","percent of total billed charges",,
"XA BARIUM SWALLOW","70370","HCPCS","Both",,,"103.5","51.75","Humana","Medicare Advantage","",,"54",,"56.1","37.88","80.21","percent of total billed charges",,
"XA BARIUM SWALLOW","70370","HCPCS","Both",,,"103.5","51.75","UHC","Medicare Advantage","",,"54",,"56.1","37.88","80.21","percent of total billed charges",,
"XA BARIUM SWALLOW","70370","HCPCS","Both",,,"103.5","51.75","Clover","Medicare Advantage","",,"54",,"56.1","37.88","80.21","percent of total billed charges",,
"XA BARIUM SWALLOW","70370","HCPCS","Both",,,"103.5","51.75","Wellcare","Medicare Advantage","",,"54",,"56.1","37.88","80.21","percent of total billed charges",,
"XA BARIUM SWALLOW","70370","HCPCS","Both",,,"103.5","51.75","Amerigroup","Medicaid Managed Care","",,"37",,"37.88","37.88","80.21","percent of total billed charges",,
"XA BARIUM SWALLOW","70370","HCPCS","Both",,,"103.5","51.75","Caresource","Medicaid Managed Care","",,"40",,"41.4","37.88","80.21","percent of total billed charges",,
"XA BARIUM SWALLOW","70370","HCPCS","Both",,,"103.5","51.75","Wellcare","Medicaid Managed Care","",,"40",,"41.92","37.88","80.21","percent of total billed charges",,
"XA BARIUM SWALLOW","70370","HCPCS","Both",,,"103.5","51.75","Aetna","Commercial","",,"64",,"66.03","37.88","80.21","percent of total billed charges",,
"XA BARIUM SWALLOW","70370","HCPCS","Both",,,"103.5","51.75","Blue Cross Blue Shield","Pathways","",,"71",,"73.07","37.88","80.21","percent of total billed charges",,
"XA BARIUM SWALLOW","70370","HCPCS","Both",,,"103.5","51.75","Blue Cross Blue Shield","HMO","",,"71",,"73.07","37.88","80.21","percent of total billed charges",,
"XA BARIUM SWALLOW","70370","HCPCS","Both",,,"103.5","51.75","Blue Cross Blue Shield","PPO","",,"71",,"73.07","37.88","80.21","percent of total billed charges",,
"XA BARIUM SWALLOW","70370","HCPCS","Both",,,"103.5","51.75","Ambetter","Health Exchange","",,"62",,"64.17","37.88","80.21","percent of total billed charges",,
"XA BARIUM SWALLOW","70370","HCPCS","Both",,,"103.5","51.75","Caresource","Health Exchange","",,"62",,"64.17","37.88","80.21","percent of total billed charges",,
"XA BARIUM SWALLOW","70370","HCPCS","Both",,,"103.5","51.75","Cigna","Commercial","",,"59",,"60.65","37.88","80.21","percent of total billed charges",,
"XA BARIUM SWALLOW","70370","HCPCS","Both",,,"103.5","51.75","Humana","Commercial","",,"78",,"80.21","37.88","80.21","percent of total billed charges",,
"XA BARIUM SWALLOW","70370","HCPCS","Both",,,"103.5","51.75","UHC","Commercial","",,"75",,"78.04","37.88","80.21","percent of total billed charges",,
"XA BARIUM SWALLOW","70370","HCPCS","Both",,,"103.5","51.75","Medicaid",,"",,"37",,"37.88","37.88","80.21","percent of total billed charges",,
"XA GI TRACT UPPER W/O KUB","74240","HCPCS","Both",,,"140","70","Alliant","Health Exchange","",,"62",,"86.8","51.24","108.5","percent of total billed charges",,
"XA GI TRACT UPPER W/O KUB","74240","HCPCS","Both",,,"140","70","Pruitt Healthcare","Medicare Advantage","",,"54",,"75.6","51.24","108.5","percent of total billed charges",,
"XA GI TRACT UPPER W/O KUB","74240","HCPCS","Both",,,"140","70","Medicare",,"",,"54",,"75.88","51.24","108.5","percent of total billed charges",,
"XA GI TRACT UPPER W/O KUB","74240","HCPCS","Both",,,"140","70","Humana","Medicare Advantage","",,"54",,"75.88","51.24","108.5","percent of total billed charges",,
"XA GI TRACT UPPER W/O KUB","74240","HCPCS","Both",,,"140","70","UHC","Medicare Advantage","",,"54",,"75.88","51.24","108.5","percent of total billed charges",,
"XA GI TRACT UPPER W/O KUB","74240","HCPCS","Both",,,"140","70","Clover","Medicare Advantage","",,"54",,"75.88","51.24","108.5","percent of total billed charges",,
"XA GI TRACT UPPER W/O KUB","74240","HCPCS","Both",,,"140","70","Wellcare","Medicare Advantage","",,"54",,"75.88","51.24","108.5","percent of total billed charges",,
"XA GI TRACT UPPER W/O KUB","74240","HCPCS","Both",,,"140","70","Amerigroup","Medicaid Managed Care","",,"37",,"51.24","51.24","108.5","percent of total billed charges",,
"XA GI TRACT UPPER W/O KUB","74240","HCPCS","Both",,,"140","70","Caresource","Medicaid Managed Care","",,"40",,"56","51.24","108.5","percent of total billed charges",,
"XA GI TRACT UPPER W/O KUB","74240","HCPCS","Both",,,"140","70","Wellcare","Medicaid Managed Care","",,"40",,"56.7","51.24","108.5","percent of total billed charges",,
"XA GI TRACT UPPER W/O KUB","74240","HCPCS","Both",,,"140","70","Aetna","Commercial","",,"64",,"89.32","51.24","108.5","percent of total billed charges",,
"XA GI TRACT UPPER W/O KUB","74240","HCPCS","Both",,,"140","70","Blue Cross Blue Shield","Pathways","",,"71",,"98.84","51.24","108.5","percent of total billed charges",,
"XA GI TRACT UPPER W/O KUB","74240","HCPCS","Both",,,"140","70","Blue Cross Blue Shield","HMO","",,"71",,"98.84","51.24","108.5","percent of total billed charges",,
"XA GI TRACT UPPER W/O KUB","74240","HCPCS","Both",,,"140","70","Blue Cross Blue Shield","PPO","",,"71",,"98.84","51.24","108.5","percent of total billed charges",,
"XA GI TRACT UPPER W/O KUB","74240","HCPCS","Both",,,"140","70","Ambetter","Health Exchange","",,"62",,"86.8","51.24","108.5","percent of total billed charges",,
"XA GI TRACT UPPER W/O KUB","74240","HCPCS","Both",,,"140","70","Caresource","Health Exchange","",,"62",,"86.8","51.24","108.5","percent of total billed charges",,
"XA GI TRACT UPPER W/O KUB","74240","HCPCS","Both",,,"140","70","Cigna","Commercial","",,"59",,"82.04","51.24","108.5","percent of total billed charges",,
"XA GI TRACT UPPER W/O KUB","74240","HCPCS","Both",,,"140","70","Humana","Commercial","",,"78",,"108.5","51.24","108.5","percent of total billed charges",,
"XA GI TRACT UPPER W/O KUB","74240","HCPCS","Both",,,"140","70","UHC","Commercial","",,"75",,"105.56","51.24","108.5","percent of total billed charges",,
"XA GI TRACT UPPER W/O KUB","74240","HCPCS","Both",,,"140","70","Medicaid",,"",,"37",,"51.24","51.24","108.5","percent of total billed charges",,
"XA GI TRACT UPPER W/SMALL BOWEL","74240","HCPCS","Both",,,"140","70","Alliant","Health Exchange","",,"62",,"86.8","51.24","108.5","percent of total billed charges",,
"XA GI TRACT UPPER W/SMALL BOWEL","74240","HCPCS","Both",,,"140","70","Pruitt Healthcare","Medicare Advantage","",,"54",,"75.6","51.24","108.5","percent of total billed charges",,
"XA GI TRACT UPPER W/SMALL BOWEL","74240","HCPCS","Both",,,"140","70","Medicare",,"",,"54",,"75.88","51.24","108.5","percent of total billed charges",,
"XA GI TRACT UPPER W/SMALL BOWEL","74240","HCPCS","Both",,,"140","70","Humana","Medicare Advantage","",,"54",,"75.88","51.24","108.5","percent of total billed charges",,
"XA GI TRACT UPPER W/SMALL BOWEL","74240","HCPCS","Both",,,"140","70","UHC","Medicare Advantage","",,"54",,"75.88","51.24","108.5","percent of total billed charges",,
"XA GI TRACT UPPER W/SMALL BOWEL","74240","HCPCS","Both",,,"140","70","Clover","Medicare Advantage","",,"54",,"75.88","51.24","108.5","percent of total billed charges",,
"XA GI TRACT UPPER W/SMALL BOWEL","74240","HCPCS","Both",,,"140","70","Wellcare","Medicare Advantage","",,"54",,"75.88","51.24","108.5","percent of total billed charges",,
"XA GI TRACT UPPER W/SMALL BOWEL","74240","HCPCS","Both",,,"140","70","Amerigroup","Medicaid Managed Care","",,"37",,"51.24","51.24","108.5","percent of total billed charges",,
"XA GI TRACT UPPER W/SMALL BOWEL","74240","HCPCS","Both",,,"140","70","Caresource","Medicaid Managed Care","",,"40",,"56","51.24","108.5","percent of total billed charges",,
"XA GI TRACT UPPER W/SMALL BOWEL","74240","HCPCS","Both",,,"140","70","Wellcare","Medicaid Managed Care","",,"40",,"56.7","51.24","108.5","percent of total billed charges",,
"XA GI TRACT UPPER W/SMALL BOWEL","74240","HCPCS","Both",,,"140","70","Aetna","Commercial","",,"64",,"89.32","51.24","108.5","percent of total billed charges",,
"XA GI TRACT UPPER W/SMALL BOWEL","74240","HCPCS","Both",,,"140","70","Blue Cross Blue Shield","Pathways","",,"71",,"98.84","51.24","108.5","percent of total billed charges",,
"XA GI TRACT UPPER W/SMALL BOWEL","74240","HCPCS","Both",,,"140","70","Blue Cross Blue Shield","HMO","",,"71",,"98.84","51.24","108.5","percent of total billed charges",,
"XA GI TRACT UPPER W/SMALL BOWEL","74240","HCPCS","Both",,,"140","70","Blue Cross Blue Shield","PPO","",,"71",,"98.84","51.24","108.5","percent of total billed charges",,
"XA GI TRACT UPPER W/SMALL BOWEL","74240","HCPCS","Both",,,"140","70","Ambetter","Health Exchange","",,"62",,"86.8","51.24","108.5","percent of total billed charges",,
"XA GI TRACT UPPER W/SMALL BOWEL","74240","HCPCS","Both",,,"140","70","Caresource","Health Exchange","",,"62",,"86.8","51.24","108.5","percent of total billed charges",,
"XA GI TRACT UPPER W/SMALL BOWEL","74240","HCPCS","Both",,,"140","70","Cigna","Commercial","",,"59",,"82.04","51.24","108.5","percent of total billed charges",,
"XA GI TRACT UPPER W/SMALL BOWEL","74240","HCPCS","Both",,,"140","70","Humana","Commercial","",,"78",,"108.5","51.24","108.5","percent of total billed charges",,
"XA GI TRACT UPPER W/SMALL BOWEL","74240","HCPCS","Both",,,"140","70","UHC","Commercial","",,"75",,"105.56","51.24","108.5","percent of total billed charges",,
"XA GI TRACT UPPER W/SMALL BOWEL","74240","HCPCS","Both",,,"140","70","Medicaid",,"",,"37",,"51.24","51.24","108.5","percent of total billed charges",,
"XA BARIUM ENEMA","74270","HCPCS","Both",,,"173","86.5","Alliant","Health Exchange","",,"62",,"107.26","63.32","134.08","percent of total billed charges",,
"XA BARIUM ENEMA","74270","HCPCS","Both",,,"173","86.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"93.42","63.32","134.08","percent of total billed charges",,
"XA BARIUM ENEMA","74270","HCPCS","Both",,,"173","86.5","Medicare",,"",,"54",,"93.77","63.32","134.08","percent of total billed charges",,
"XA BARIUM ENEMA","74270","HCPCS","Both",,,"173","86.5","Humana","Medicare Advantage","",,"54",,"93.77","63.32","134.08","percent of total billed charges",,
"XA BARIUM ENEMA","74270","HCPCS","Both",,,"173","86.5","UHC","Medicare Advantage","",,"54",,"93.77","63.32","134.08","percent of total billed charges",,
"XA BARIUM ENEMA","74270","HCPCS","Both",,,"173","86.5","Clover","Medicare Advantage","",,"54",,"93.77","63.32","134.08","percent of total billed charges",,
"XA BARIUM ENEMA","74270","HCPCS","Both",,,"173","86.5","Wellcare","Medicare Advantage","",,"54",,"93.77","63.32","134.08","percent of total billed charges",,
"XA BARIUM ENEMA","74270","HCPCS","Both",,,"173","86.5","Amerigroup","Medicaid Managed Care","",,"37",,"63.32","63.32","134.08","percent of total billed charges",,
"XA BARIUM ENEMA","74270","HCPCS","Both",,,"173","86.5","Caresource","Medicaid Managed Care","",,"40",,"69.2","63.32","134.08","percent of total billed charges",,
"XA BARIUM ENEMA","74270","HCPCS","Both",,,"173","86.5","Wellcare","Medicaid Managed Care","",,"40",,"70.06","63.32","134.08","percent of total billed charges",,
"XA BARIUM ENEMA","74270","HCPCS","Both",,,"173","86.5","Aetna","Commercial","",,"64",,"110.37","63.32","134.08","percent of total billed charges",,
"XA BARIUM ENEMA","74270","HCPCS","Both",,,"173","86.5","Blue Cross Blue Shield","Pathways","",,"71",,"122.14","63.32","134.08","percent of total billed charges",,
"XA BARIUM ENEMA","74270","HCPCS","Both",,,"173","86.5","Blue Cross Blue Shield","HMO","",,"71",,"122.14","63.32","134.08","percent of total billed charges",,
"XA BARIUM ENEMA","74270","HCPCS","Both",,,"173","86.5","Blue Cross Blue Shield","PPO","",,"71",,"122.14","63.32","134.08","percent of total billed charges",,
"XA BARIUM ENEMA","74270","HCPCS","Both",,,"173","86.5","Ambetter","Health Exchange","",,"62",,"107.26","63.32","134.08","percent of total billed charges",,
"XA BARIUM ENEMA","74270","HCPCS","Both",,,"173","86.5","Caresource","Health Exchange","",,"62",,"107.26","63.32","134.08","percent of total billed charges",,
"XA BARIUM ENEMA","74270","HCPCS","Both",,,"173","86.5","Cigna","Commercial","",,"59",,"101.38","63.32","134.08","percent of total billed charges",,
"XA BARIUM ENEMA","74270","HCPCS","Both",,,"173","86.5","Humana","Commercial","",,"78",,"134.08","63.32","134.08","percent of total billed charges",,
"XA BARIUM ENEMA","74270","HCPCS","Both",,,"173","86.5","UHC","Commercial","",,"75",,"130.44","63.32","134.08","percent of total billed charges",,
"XA BARIUM ENEMA","74270","HCPCS","Both",,,"173","86.5","Medicaid",,"",,"37",,"63.32","63.32","134.08","percent of total billed charges",,
"XA BARIUM ENEMA AIR CON","74280","HCPCS","Both",,,"288","144","Alliant","Health Exchange","",,"62",,"178.56","105.41","223.2","percent of total billed charges",,
"XA BARIUM ENEMA AIR CON","74280","HCPCS","Both",,,"288","144","Pruitt Healthcare","Medicare Advantage","",,"54",,"155.52","105.41","223.2","percent of total billed charges",,
"XA BARIUM ENEMA AIR CON","74280","HCPCS","Both",,,"288","144","Medicare",,"",,"54",,"156.1","105.41","223.2","percent of total billed charges",,
"XA BARIUM ENEMA AIR CON","74280","HCPCS","Both",,,"288","144","Humana","Medicare Advantage","",,"54",,"156.1","105.41","223.2","percent of total billed charges",,
"XA BARIUM ENEMA AIR CON","74280","HCPCS","Both",,,"288","144","UHC","Medicare Advantage","",,"54",,"156.1","105.41","223.2","percent of total billed charges",,
"XA BARIUM ENEMA AIR CON","74280","HCPCS","Both",,,"288","144","Clover","Medicare Advantage","",,"54",,"156.1","105.41","223.2","percent of total billed charges",,
"XA BARIUM ENEMA AIR CON","74280","HCPCS","Both",,,"288","144","Wellcare","Medicare Advantage","",,"54",,"156.1","105.41","223.2","percent of total billed charges",,
"XA BARIUM ENEMA AIR CON","74280","HCPCS","Both",,,"288","144","Amerigroup","Medicaid Managed Care","",,"37",,"105.41","105.41","223.2","percent of total billed charges",,
"XA BARIUM ENEMA AIR CON","74280","HCPCS","Both",,,"288","144","Caresource","Medicaid Managed Care","",,"40",,"115.2","105.41","223.2","percent of total billed charges",,
"XA BARIUM ENEMA AIR CON","74280","HCPCS","Both",,,"288","144","Wellcare","Medicaid Managed Care","",,"40",,"116.64","105.41","223.2","percent of total billed charges",,
"XA BARIUM ENEMA AIR CON","74280","HCPCS","Both",,,"288","144","Aetna","Commercial","",,"64",,"183.74","105.41","223.2","percent of total billed charges",,
"XA BARIUM ENEMA AIR CON","74280","HCPCS","Both",,,"288","144","Blue Cross Blue Shield","Pathways","",,"71",,"203.33","105.41","223.2","percent of total billed charges",,
"XA BARIUM ENEMA AIR CON","74280","HCPCS","Both",,,"288","144","Blue Cross Blue Shield","HMO","",,"71",,"203.33","105.41","223.2","percent of total billed charges",,
"XA BARIUM ENEMA AIR CON","74280","HCPCS","Both",,,"288","144","Blue Cross Blue Shield","PPO","",,"71",,"203.33","105.41","223.2","percent of total billed charges",,
"XA BARIUM ENEMA AIR CON","74280","HCPCS","Both",,,"288","144","Ambetter","Health Exchange","",,"62",,"178.56","105.41","223.2","percent of total billed charges",,
"XA BARIUM ENEMA AIR CON","74280","HCPCS","Both",,,"288","144","Caresource","Health Exchange","",,"62",,"178.56","105.41","223.2","percent of total billed charges",,
"XA BARIUM ENEMA AIR CON","74280","HCPCS","Both",,,"288","144","Cigna","Commercial","",,"59",,"168.77","105.41","223.2","percent of total billed charges",,
"XA BARIUM ENEMA AIR CON","74280","HCPCS","Both",,,"288","144","Humana","Commercial","",,"78",,"223.2","105.41","223.2","percent of total billed charges",,
"XA BARIUM ENEMA AIR CON","74280","HCPCS","Both",,,"288","144","UHC","Commercial","",,"75",,"217.15","105.41","223.2","percent of total billed charges",,
"XA BARIUM ENEMA AIR CON","74280","HCPCS","Both",,,"288","144","Medicaid",,"",,"37",,"105.41","105.41","223.2","percent of total billed charges",,
"XR UROGRAPHY PYELOGRAPHY IV","74400","HCPCS","Both",,,"576.5","288.25","Alliant","Health Exchange","",,"62",,"357.43","211","446.79","percent of total billed charges",,
"XR UROGRAPHY PYELOGRAPHY IV","74400","HCPCS","Both",,,"576.5","288.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"311.31","211","446.79","percent of total billed charges",,
"XR UROGRAPHY PYELOGRAPHY IV","74400","HCPCS","Both",,,"576.5","288.25","Medicare",,"",,"54",,"312.46","211","446.79","percent of total billed charges",,
"XR UROGRAPHY PYELOGRAPHY IV","74400","HCPCS","Both",,,"576.5","288.25","Humana","Medicare Advantage","",,"54",,"312.46","211","446.79","percent of total billed charges",,
"XR UROGRAPHY PYELOGRAPHY IV","74400","HCPCS","Both",,,"576.5","288.25","UHC","Medicare Advantage","",,"54",,"312.46","211","446.79","percent of total billed charges",,
"XR UROGRAPHY PYELOGRAPHY IV","74400","HCPCS","Both",,,"576.5","288.25","Clover","Medicare Advantage","",,"54",,"312.46","211","446.79","percent of total billed charges",,
"XR UROGRAPHY PYELOGRAPHY IV","74400","HCPCS","Both",,,"576.5","288.25","Wellcare","Medicare Advantage","",,"54",,"312.46","211","446.79","percent of total billed charges",,
"XR UROGRAPHY PYELOGRAPHY IV","74400","HCPCS","Both",,,"576.5","288.25","Amerigroup","Medicaid Managed Care","",,"37",,"211","211","446.79","percent of total billed charges",,
"XR UROGRAPHY PYELOGRAPHY IV","74400","HCPCS","Both",,,"576.5","288.25","Caresource","Medicaid Managed Care","",,"40",,"230.6","211","446.79","percent of total billed charges",,
"XR UROGRAPHY PYELOGRAPHY IV","74400","HCPCS","Both",,,"576.5","288.25","Wellcare","Medicaid Managed Care","",,"40",,"233.48","211","446.79","percent of total billed charges",,
"XR UROGRAPHY PYELOGRAPHY IV","74400","HCPCS","Both",,,"576.5","288.25","Aetna","Commercial","",,"64",,"367.81","211","446.79","percent of total billed charges",,
"XR UROGRAPHY PYELOGRAPHY IV","74400","HCPCS","Both",,,"576.5","288.25","Blue Cross Blue Shield","Pathways","",,"71",,"407.01","211","446.79","percent of total billed charges",,
"XR UROGRAPHY PYELOGRAPHY IV","74400","HCPCS","Both",,,"576.5","288.25","Blue Cross Blue Shield","HMO","",,"71",,"407.01","211","446.79","percent of total billed charges",,
"XR UROGRAPHY PYELOGRAPHY IV","74400","HCPCS","Both",,,"576.5","288.25","Blue Cross Blue Shield","PPO","",,"71",,"407.01","211","446.79","percent of total billed charges",,
"XR UROGRAPHY PYELOGRAPHY IV","74400","HCPCS","Both",,,"576.5","288.25","Ambetter","Health Exchange","",,"62",,"357.43","211","446.79","percent of total billed charges",,
"XR UROGRAPHY PYELOGRAPHY IV","74400","HCPCS","Both",,,"576.5","288.25","Caresource","Health Exchange","",,"62",,"357.43","211","446.79","percent of total billed charges",,
"XR UROGRAPHY PYELOGRAPHY IV","74400","HCPCS","Both",,,"576.5","288.25","Cigna","Commercial","",,"59",,"337.83","211","446.79","percent of total billed charges",,
"XR UROGRAPHY PYELOGRAPHY IV","74400","HCPCS","Both",,,"576.5","288.25","Humana","Commercial","",,"78",,"446.79","211","446.79","percent of total billed charges",,
"XR UROGRAPHY PYELOGRAPHY IV","74400","HCPCS","Both",,,"576.5","288.25","UHC","Commercial","",,"75",,"434.68","211","446.79","percent of total billed charges",,
"XR UROGRAPHY PYELOGRAPHY IV","74400","HCPCS","Both",,,"576.5","288.25","Medicaid",,"",,"37",,"211","211","446.79","percent of total billed charges",,
"XR FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Alliant","Health Exchange","",,"62",,"81.22","13.33","101.52","percent of total billed charges",,
"XR FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"70.74","13.33","101.52","percent of total billed charges",,
"XR FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Medicare",,"",,"54",,"71","13.33","101.52","percent of total billed charges",,
"XR FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Humana","Medicare Advantage","",,"54",,"71","13.33","101.52","percent of total billed charges",,
"XR FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","UHC","Medicare Advantage","",,"54",,"71","13.33","101.52","percent of total billed charges",,
"XR FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Clover","Medicare Advantage","",,"54",,"71","13.33","101.52","percent of total billed charges",,
"XR FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Wellcare","Medicare Advantage","",,"54",,"71","13.33","101.52","percent of total billed charges",,
"XR FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Amerigroup","Medicaid Managed Care","",,"37",,"47.95","13.33","101.52","percent of total billed charges",,
"XR FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Caresource","Medicaid Managed Care","",,"40",,"52.4","13.33","101.52","percent of total billed charges",,
"XR FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Wellcare","Medicaid Managed Care","",,"40",,"53.06","13.33","101.52","percent of total billed charges",,
"XR FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Aetna","Commercial","",,"64",,"83.58","13.33","101.52","percent of total billed charges",,
"XR FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Blue Cross Blue Shield","Pathways","",,"71",,"92.49","13.33","101.52","percent of total billed charges",,
"XR FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Blue Cross Blue Shield","HMO","",,"71",,"92.49","13.33","101.52","percent of total billed charges",,
"XR FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Blue Cross Blue Shield","PPO","",,"71",,"92.49","13.33","101.52","percent of total billed charges",,
"XR FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Ambetter","Health Exchange","",,"62",,"81.22","13.33","101.52","percent of total billed charges",,
"XR FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Caresource","Health Exchange","",,"62",,"81.22","13.33","101.52","percent of total billed charges",,
"XR FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Cigna","Commercial","",,"59",,"76.77","13.33","101.52","percent of total billed charges",,
"XR FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Humana","Commercial","",,"78",,"101.52","13.33","101.52","percent of total billed charges",,
"XR FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","UHC","Commercial","",,"75",,"98.77","13.33","101.52","percent of total billed charges",,
"XR FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Medicaid",,"",,"37",,"47.95","13.33","101.52","percent of total billed charges",,
"XR NASAL BONES COMPLETE 3 VIEWS","70160","HCPCS","Both",,,"42","21","Alliant","Health Exchange","",,"62",,"26.04","15.37","32.55","percent of total billed charges",,
"XR NASAL BONES COMPLETE 3 VIEWS","70160","HCPCS","Both",,,"42","21","Pruitt Healthcare","Medicare Advantage","",,"54",,"22.68","15.37","32.55","percent of total billed charges",,
"XR NASAL BONES COMPLETE 3 VIEWS","70160","HCPCS","Both",,,"42","21","Medicare",,"",,"54",,"22.76","15.37","32.55","percent of total billed charges",,
"XR NASAL BONES COMPLETE 3 VIEWS","70160","HCPCS","Both",,,"42","21","Humana","Medicare Advantage","",,"54",,"22.76","15.37","32.55","percent of total billed charges",,
"XR NASAL BONES COMPLETE 3 VIEWS","70160","HCPCS","Both",,,"42","21","UHC","Medicare Advantage","",,"54",,"22.76","15.37","32.55","percent of total billed charges",,
"XR NASAL BONES COMPLETE 3 VIEWS","70160","HCPCS","Both",,,"42","21","Clover","Medicare Advantage","",,"54",,"22.76","15.37","32.55","percent of total billed charges",,
"XR NASAL BONES COMPLETE 3 VIEWS","70160","HCPCS","Both",,,"42","21","Wellcare","Medicare Advantage","",,"54",,"22.76","15.37","32.55","percent of total billed charges",,
"XR NASAL BONES COMPLETE 3 VIEWS","70160","HCPCS","Both",,,"42","21","Amerigroup","Medicaid Managed Care","",,"37",,"15.37","15.37","32.55","percent of total billed charges",,
"XR NASAL BONES COMPLETE 3 VIEWS","70160","HCPCS","Both",,,"42","21","Caresource","Medicaid Managed Care","",,"40",,"16.8","15.37","32.55","percent of total billed charges",,
"XR NASAL BONES COMPLETE 3 VIEWS","70160","HCPCS","Both",,,"42","21","Wellcare","Medicaid Managed Care","",,"40",,"17.01","15.37","32.55","percent of total billed charges",,
"XR NASAL BONES COMPLETE 3 VIEWS","70160","HCPCS","Both",,,"42","21","Aetna","Commercial","",,"64",,"26.8","15.37","32.55","percent of total billed charges",,
"XR NASAL BONES COMPLETE 3 VIEWS","70160","HCPCS","Both",,,"42","21","Blue Cross Blue Shield","Pathways","",,"71",,"29.65","15.37","32.55","percent of total billed charges",,
"XR NASAL BONES COMPLETE 3 VIEWS","70160","HCPCS","Both",,,"42","21","Blue Cross Blue Shield","HMO","",,"71",,"29.65","15.37","32.55","percent of total billed charges",,
"XR NASAL BONES COMPLETE 3 VIEWS","70160","HCPCS","Both",,,"42","21","Blue Cross Blue Shield","PPO","",,"71",,"29.65","15.37","32.55","percent of total billed charges",,
"XR NASAL BONES COMPLETE 3 VIEWS","70160","HCPCS","Both",,,"42","21","Ambetter","Health Exchange","",,"62",,"26.04","15.37","32.55","percent of total billed charges",,
"XR NASAL BONES COMPLETE 3 VIEWS","70160","HCPCS","Both",,,"42","21","Caresource","Health Exchange","",,"62",,"26.04","15.37","32.55","percent of total billed charges",,
"XR NASAL BONES COMPLETE 3 VIEWS","70160","HCPCS","Both",,,"42","21","Cigna","Commercial","",,"59",,"24.61","15.37","32.55","percent of total billed charges",,
"XR NASAL BONES COMPLETE 3 VIEWS","70160","HCPCS","Both",,,"42","21","Humana","Commercial","",,"78",,"32.55","15.37","32.55","percent of total billed charges",,
"XR NASAL BONES COMPLETE 3 VIEWS","70160","HCPCS","Both",,,"42","21","UHC","Commercial","",,"75",,"31.67","15.37","32.55","percent of total billed charges",,
"XR NASAL BONES COMPLETE 3 VIEWS","70160","HCPCS","Both",,,"42","21","Medicaid",,"",,"37",,"15.37","15.37","32.55","percent of total billed charges",,
"XR SELLA TURCICA","70240","HCPCS","Both",,,"153","76.5","Alliant","Health Exchange","",,"62",,"94.86","56","118.58","percent of total billed charges",,
"XR SELLA TURCICA","70240","HCPCS","Both",,,"153","76.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"82.62","56","118.58","percent of total billed charges",,
"XR SELLA TURCICA","70240","HCPCS","Both",,,"153","76.5","Medicare",,"",,"54",,"82.93","56","118.58","percent of total billed charges",,
"XR SELLA TURCICA","70240","HCPCS","Both",,,"153","76.5","Humana","Medicare Advantage","",,"54",,"82.93","56","118.58","percent of total billed charges",,
"XR SELLA TURCICA","70240","HCPCS","Both",,,"153","76.5","UHC","Medicare Advantage","",,"54",,"82.93","56","118.58","percent of total billed charges",,
"XR SELLA TURCICA","70240","HCPCS","Both",,,"153","76.5","Clover","Medicare Advantage","",,"54",,"82.93","56","118.58","percent of total billed charges",,
"XR SELLA TURCICA","70240","HCPCS","Both",,,"153","76.5","Wellcare","Medicare Advantage","",,"54",,"82.93","56","118.58","percent of total billed charges",,
"XR SELLA TURCICA","70240","HCPCS","Both",,,"153","76.5","Amerigroup","Medicaid Managed Care","",,"37",,"56","56","118.58","percent of total billed charges",,
"XR SELLA TURCICA","70240","HCPCS","Both",,,"153","76.5","Caresource","Medicaid Managed Care","",,"40",,"61.2","56","118.58","percent of total billed charges",,
"XR SELLA TURCICA","70240","HCPCS","Both",,,"153","76.5","Wellcare","Medicaid Managed Care","",,"40",,"61.96","56","118.58","percent of total billed charges",,
"XR SELLA TURCICA","70240","HCPCS","Both",,,"153","76.5","Aetna","Commercial","",,"64",,"97.61","56","118.58","percent of total billed charges",,
"XR SELLA TURCICA","70240","HCPCS","Both",,,"153","76.5","Blue Cross Blue Shield","Pathways","",,"71",,"108.02","56","118.58","percent of total billed charges",,
"XR SELLA TURCICA","70240","HCPCS","Both",,,"153","76.5","Blue Cross Blue Shield","HMO","",,"71",,"108.02","56","118.58","percent of total billed charges",,
"XR SELLA TURCICA","70240","HCPCS","Both",,,"153","76.5","Blue Cross Blue Shield","PPO","",,"71",,"108.02","56","118.58","percent of total billed charges",,
"XR SELLA TURCICA","70240","HCPCS","Both",,,"153","76.5","Ambetter","Health Exchange","",,"62",,"94.86","56","118.58","percent of total billed charges",,
"XR SELLA TURCICA","70240","HCPCS","Both",,,"153","76.5","Caresource","Health Exchange","",,"62",,"94.86","56","118.58","percent of total billed charges",,
"XR SELLA TURCICA","70240","HCPCS","Both",,,"153","76.5","Cigna","Commercial","",,"59",,"89.66","56","118.58","percent of total billed charges",,
"XR SELLA TURCICA","70240","HCPCS","Both",,,"153","76.5","Humana","Commercial","",,"78",,"118.58","56","118.58","percent of total billed charges",,
"XR SELLA TURCICA","70240","HCPCS","Both",,,"153","76.5","UHC","Commercial","",,"75",,"115.36","56","118.58","percent of total billed charges",,
"XR SELLA TURCICA","70240","HCPCS","Both",,,"153","76.5","Medicaid",,"",,"37",,"56","56","118.58","percent of total billed charges",,
"XR MASTOIDS COMPLETE 3 VIEWS PER SIDE","70130","HCPCS","Both",,,"288","144","Alliant","Health Exchange","",,"62",,"178.56","105.41","223.2","percent of total billed charges",,
"XR MASTOIDS COMPLETE 3 VIEWS PER SIDE","70130","HCPCS","Both",,,"288","144","Pruitt Healthcare","Medicare Advantage","",,"54",,"155.52","105.41","223.2","percent of total billed charges",,
"XR MASTOIDS COMPLETE 3 VIEWS PER SIDE","70130","HCPCS","Both",,,"288","144","Medicare",,"",,"54",,"156.1","105.41","223.2","percent of total billed charges",,
"XR MASTOIDS COMPLETE 3 VIEWS PER SIDE","70130","HCPCS","Both",,,"288","144","Humana","Medicare Advantage","",,"54",,"156.1","105.41","223.2","percent of total billed charges",,
"XR MASTOIDS COMPLETE 3 VIEWS PER SIDE","70130","HCPCS","Both",,,"288","144","UHC","Medicare Advantage","",,"54",,"156.1","105.41","223.2","percent of total billed charges",,
"XR MASTOIDS COMPLETE 3 VIEWS PER SIDE","70130","HCPCS","Both",,,"288","144","Clover","Medicare Advantage","",,"54",,"156.1","105.41","223.2","percent of total billed charges",,
"XR MASTOIDS COMPLETE 3 VIEWS PER SIDE","70130","HCPCS","Both",,,"288","144","Wellcare","Medicare Advantage","",,"54",,"156.1","105.41","223.2","percent of total billed charges",,
"XR MASTOIDS COMPLETE 3 VIEWS PER SIDE","70130","HCPCS","Both",,,"288","144","Amerigroup","Medicaid Managed Care","",,"37",,"105.41","105.41","223.2","percent of total billed charges",,
"XR MASTOIDS COMPLETE 3 VIEWS PER SIDE","70130","HCPCS","Both",,,"288","144","Caresource","Medicaid Managed Care","",,"40",,"115.2","105.41","223.2","percent of total billed charges",,
"XR MASTOIDS COMPLETE 3 VIEWS PER SIDE","70130","HCPCS","Both",,,"288","144","Wellcare","Medicaid Managed Care","",,"40",,"116.64","105.41","223.2","percent of total billed charges",,
"XR MASTOIDS COMPLETE 3 VIEWS PER SIDE","70130","HCPCS","Both",,,"288","144","Aetna","Commercial","",,"64",,"183.74","105.41","223.2","percent of total billed charges",,
"XR MASTOIDS COMPLETE 3 VIEWS PER SIDE","70130","HCPCS","Both",,,"288","144","Blue Cross Blue Shield","Pathways","",,"71",,"203.33","105.41","223.2","percent of total billed charges",,
"XR MASTOIDS COMPLETE 3 VIEWS PER SIDE","70130","HCPCS","Both",,,"288","144","Blue Cross Blue Shield","HMO","",,"71",,"203.33","105.41","223.2","percent of total billed charges",,
"XR MASTOIDS COMPLETE 3 VIEWS PER SIDE","70130","HCPCS","Both",,,"288","144","Blue Cross Blue Shield","PPO","",,"71",,"203.33","105.41","223.2","percent of total billed charges",,
"XR MASTOIDS COMPLETE 3 VIEWS PER SIDE","70130","HCPCS","Both",,,"288","144","Ambetter","Health Exchange","",,"62",,"178.56","105.41","223.2","percent of total billed charges",,
"XR MASTOIDS COMPLETE 3 VIEWS PER SIDE","70130","HCPCS","Both",,,"288","144","Caresource","Health Exchange","",,"62",,"178.56","105.41","223.2","percent of total billed charges",,
"XR MASTOIDS COMPLETE 3 VIEWS PER SIDE","70130","HCPCS","Both",,,"288","144","Cigna","Commercial","",,"59",,"168.77","105.41","223.2","percent of total billed charges",,
"XR MASTOIDS COMPLETE 3 VIEWS PER SIDE","70130","HCPCS","Both",,,"288","144","Humana","Commercial","",,"78",,"223.2","105.41","223.2","percent of total billed charges",,
"XR MASTOIDS COMPLETE 3 VIEWS PER SIDE","70130","HCPCS","Both",,,"288","144","UHC","Commercial","",,"75",,"217.15","105.41","223.2","percent of total billed charges",,
"XR MASTOIDS COMPLETE 3 VIEWS PER SIDE","70130","HCPCS","Both",,,"288","144","Medicaid",,"",,"37",,"105.41","105.41","223.2","percent of total billed charges",,
"XR SINUSES PARANASAL COMPLETE 3 VIEWS","70220","HCPCS","Both",,,"184","92","Alliant","Health Exchange","",,"62",,"114.08","67.34","142.6","percent of total billed charges",,
"XR SINUSES PARANASAL COMPLETE 3 VIEWS","70220","HCPCS","Both",,,"184","92","Pruitt Healthcare","Medicare Advantage","",,"54",,"99.36","67.34","142.6","percent of total billed charges",,
"XR SINUSES PARANASAL COMPLETE 3 VIEWS","70220","HCPCS","Both",,,"184","92","Medicare",,"",,"54",,"99.73","67.34","142.6","percent of total billed charges",,
"XR SINUSES PARANASAL COMPLETE 3 VIEWS","70220","HCPCS","Both",,,"184","92","Humana","Medicare Advantage","",,"54",,"99.73","67.34","142.6","percent of total billed charges",,
"XR SINUSES PARANASAL COMPLETE 3 VIEWS","70220","HCPCS","Both",,,"184","92","UHC","Medicare Advantage","",,"54",,"99.73","67.34","142.6","percent of total billed charges",,
"XR SINUSES PARANASAL COMPLETE 3 VIEWS","70220","HCPCS","Both",,,"184","92","Clover","Medicare Advantage","",,"54",,"99.73","67.34","142.6","percent of total billed charges",,
"XR SINUSES PARANASAL COMPLETE 3 VIEWS","70220","HCPCS","Both",,,"184","92","Wellcare","Medicare Advantage","",,"54",,"99.73","67.34","142.6","percent of total billed charges",,
"XR SINUSES PARANASAL COMPLETE 3 VIEWS","70220","HCPCS","Both",,,"184","92","Amerigroup","Medicaid Managed Care","",,"37",,"67.34","67.34","142.6","percent of total billed charges",,
"XR SINUSES PARANASAL COMPLETE 3 VIEWS","70220","HCPCS","Both",,,"184","92","Caresource","Medicaid Managed Care","",,"40",,"73.6","67.34","142.6","percent of total billed charges",,
"XR SINUSES PARANASAL COMPLETE 3 VIEWS","70220","HCPCS","Both",,,"184","92","Wellcare","Medicaid Managed Care","",,"40",,"74.52","67.34","142.6","percent of total billed charges",,
"XR SINUSES PARANASAL COMPLETE 3 VIEWS","70220","HCPCS","Both",,,"184","92","Aetna","Commercial","",,"64",,"117.39","67.34","142.6","percent of total billed charges",,
"XR SINUSES PARANASAL COMPLETE 3 VIEWS","70220","HCPCS","Both",,,"184","92","Blue Cross Blue Shield","Pathways","",,"71",,"129.9","67.34","142.6","percent of total billed charges",,
"XR SINUSES PARANASAL COMPLETE 3 VIEWS","70220","HCPCS","Both",,,"184","92","Blue Cross Blue Shield","HMO","",,"71",,"129.9","67.34","142.6","percent of total billed charges",,
"XR SINUSES PARANASAL COMPLETE 3 VIEWS","70220","HCPCS","Both",,,"184","92","Blue Cross Blue Shield","PPO","",,"71",,"129.9","67.34","142.6","percent of total billed charges",,
"XR SINUSES PARANASAL COMPLETE 3 VIEWS","70220","HCPCS","Both",,,"184","92","Ambetter","Health Exchange","",,"62",,"114.08","67.34","142.6","percent of total billed charges",,
"XR SINUSES PARANASAL COMPLETE 3 VIEWS","70220","HCPCS","Both",,,"184","92","Caresource","Health Exchange","",,"62",,"114.08","67.34","142.6","percent of total billed charges",,
"XR SINUSES PARANASAL COMPLETE 3 VIEWS","70220","HCPCS","Both",,,"184","92","Cigna","Commercial","",,"59",,"107.82","67.34","142.6","percent of total billed charges",,
"XR SINUSES PARANASAL COMPLETE 3 VIEWS","70220","HCPCS","Both",,,"184","92","Humana","Commercial","",,"78",,"142.6","67.34","142.6","percent of total billed charges",,
"XR SINUSES PARANASAL COMPLETE 3 VIEWS","70220","HCPCS","Both",,,"184","92","UHC","Commercial","",,"75",,"138.74","67.34","142.6","percent of total billed charges",,
"XR SINUSES PARANASAL COMPLETE 3 VIEWS","70220","HCPCS","Both",,,"184","92","Medicaid",,"",,"37",,"67.34","67.34","142.6","percent of total billed charges",,
"XR ORBITS COMPLETE 4 VIEWS","70200","HCPCS","Both",,,"282","141","Alliant","Health Exchange","",,"62",,"174.84","103.21","218.55","percent of total billed charges",,
"XR ORBITS COMPLETE 4 VIEWS","70200","HCPCS","Both",,,"282","141","Pruitt Healthcare","Medicare Advantage","",,"54",,"152.28","103.21","218.55","percent of total billed charges",,
"XR ORBITS COMPLETE 4 VIEWS","70200","HCPCS","Both",,,"282","141","Medicare",,"",,"54",,"152.84","103.21","218.55","percent of total billed charges",,
"XR ORBITS COMPLETE 4 VIEWS","70200","HCPCS","Both",,,"282","141","Humana","Medicare Advantage","",,"54",,"152.84","103.21","218.55","percent of total billed charges",,
"XR ORBITS COMPLETE 4 VIEWS","70200","HCPCS","Both",,,"282","141","UHC","Medicare Advantage","",,"54",,"152.84","103.21","218.55","percent of total billed charges",,
"XR ORBITS COMPLETE 4 VIEWS","70200","HCPCS","Both",,,"282","141","Clover","Medicare Advantage","",,"54",,"152.84","103.21","218.55","percent of total billed charges",,
"XR ORBITS COMPLETE 4 VIEWS","70200","HCPCS","Both",,,"282","141","Wellcare","Medicare Advantage","",,"54",,"152.84","103.21","218.55","percent of total billed charges",,
"XR ORBITS COMPLETE 4 VIEWS","70200","HCPCS","Both",,,"282","141","Amerigroup","Medicaid Managed Care","",,"37",,"103.21","103.21","218.55","percent of total billed charges",,
"XR ORBITS COMPLETE 4 VIEWS","70200","HCPCS","Both",,,"282","141","Caresource","Medicaid Managed Care","",,"40",,"112.8","103.21","218.55","percent of total billed charges",,
"XR ORBITS COMPLETE 4 VIEWS","70200","HCPCS","Both",,,"282","141","Wellcare","Medicaid Managed Care","",,"40",,"114.21","103.21","218.55","percent of total billed charges",,
"XR ORBITS COMPLETE 4 VIEWS","70200","HCPCS","Both",,,"282","141","Aetna","Commercial","",,"64",,"179.92","103.21","218.55","percent of total billed charges",,
"XR ORBITS COMPLETE 4 VIEWS","70200","HCPCS","Both",,,"282","141","Blue Cross Blue Shield","Pathways","",,"71",,"199.09","103.21","218.55","percent of total billed charges",,
"XR ORBITS COMPLETE 4 VIEWS","70200","HCPCS","Both",,,"282","141","Blue Cross Blue Shield","HMO","",,"71",,"199.09","103.21","218.55","percent of total billed charges",,
"XR ORBITS COMPLETE 4 VIEWS","70200","HCPCS","Both",,,"282","141","Blue Cross Blue Shield","PPO","",,"71",,"199.09","103.21","218.55","percent of total billed charges",,
"XR ORBITS COMPLETE 4 VIEWS","70200","HCPCS","Both",,,"282","141","Ambetter","Health Exchange","",,"62",,"174.84","103.21","218.55","percent of total billed charges",,
"XR ORBITS COMPLETE 4 VIEWS","70200","HCPCS","Both",,,"282","141","Caresource","Health Exchange","",,"62",,"174.84","103.21","218.55","percent of total billed charges",,
"XR ORBITS COMPLETE 4 VIEWS","70200","HCPCS","Both",,,"282","141","Cigna","Commercial","",,"59",,"165.25","103.21","218.55","percent of total billed charges",,
"XR ORBITS COMPLETE 4 VIEWS","70200","HCPCS","Both",,,"282","141","Humana","Commercial","",,"78",,"218.55","103.21","218.55","percent of total billed charges",,
"XR ORBITS COMPLETE 4 VIEWS","70200","HCPCS","Both",,,"282","141","UHC","Commercial","",,"75",,"212.63","103.21","218.55","percent of total billed charges",,
"XR ORBITS COMPLETE 4 VIEWS","70200","HCPCS","Both",,,"282","141","Medicaid",,"",,"37",,"103.21","103.21","218.55","percent of total billed charges",,
"XR MANDIBLE COMPLETE 4 VIEWS","70110","HCPCS","Both",,,"98.5","49.25","Alliant","Health Exchange","",,"62",,"61.07","36.05","76.34","percent of total billed charges",,
"XR MANDIBLE COMPLETE 4 VIEWS","70110","HCPCS","Both",,,"98.5","49.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"53.19","36.05","76.34","percent of total billed charges",,
"XR MANDIBLE COMPLETE 4 VIEWS","70110","HCPCS","Both",,,"98.5","49.25","Medicare",,"",,"54",,"53.39","36.05","76.34","percent of total billed charges",,
"XR MANDIBLE COMPLETE 4 VIEWS","70110","HCPCS","Both",,,"98.5","49.25","Humana","Medicare Advantage","",,"54",,"53.39","36.05","76.34","percent of total billed charges",,
"XR MANDIBLE COMPLETE 4 VIEWS","70110","HCPCS","Both",,,"98.5","49.25","UHC","Medicare Advantage","",,"54",,"53.39","36.05","76.34","percent of total billed charges",,
"XR MANDIBLE COMPLETE 4 VIEWS","70110","HCPCS","Both",,,"98.5","49.25","Clover","Medicare Advantage","",,"54",,"53.39","36.05","76.34","percent of total billed charges",,
"XR MANDIBLE COMPLETE 4 VIEWS","70110","HCPCS","Both",,,"98.5","49.25","Wellcare","Medicare Advantage","",,"54",,"53.39","36.05","76.34","percent of total billed charges",,
"XR MANDIBLE COMPLETE 4 VIEWS","70110","HCPCS","Both",,,"98.5","49.25","Amerigroup","Medicaid Managed Care","",,"37",,"36.05","36.05","76.34","percent of total billed charges",,
"XR MANDIBLE COMPLETE 4 VIEWS","70110","HCPCS","Both",,,"98.5","49.25","Caresource","Medicaid Managed Care","",,"40",,"39.4","36.05","76.34","percent of total billed charges",,
"XR MANDIBLE COMPLETE 4 VIEWS","70110","HCPCS","Both",,,"98.5","49.25","Wellcare","Medicaid Managed Care","",,"40",,"39.89","36.05","76.34","percent of total billed charges",,
"XR MANDIBLE COMPLETE 4 VIEWS","70110","HCPCS","Both",,,"98.5","49.25","Aetna","Commercial","",,"64",,"62.84","36.05","76.34","percent of total billed charges",,
"XR MANDIBLE COMPLETE 4 VIEWS","70110","HCPCS","Both",,,"98.5","49.25","Blue Cross Blue Shield","Pathways","",,"71",,"69.54","36.05","76.34","percent of total billed charges",,
"XR MANDIBLE COMPLETE 4 VIEWS","70110","HCPCS","Both",,,"98.5","49.25","Blue Cross Blue Shield","HMO","",,"71",,"69.54","36.05","76.34","percent of total billed charges",,
"XR MANDIBLE COMPLETE 4 VIEWS","70110","HCPCS","Both",,,"98.5","49.25","Blue Cross Blue Shield","PPO","",,"71",,"69.54","36.05","76.34","percent of total billed charges",,
"XR MANDIBLE COMPLETE 4 VIEWS","70110","HCPCS","Both",,,"98.5","49.25","Ambetter","Health Exchange","",,"62",,"61.07","36.05","76.34","percent of total billed charges",,
"XR MANDIBLE COMPLETE 4 VIEWS","70110","HCPCS","Both",,,"98.5","49.25","Caresource","Health Exchange","",,"62",,"61.07","36.05","76.34","percent of total billed charges",,
"XR MANDIBLE COMPLETE 4 VIEWS","70110","HCPCS","Both",,,"98.5","49.25","Cigna","Commercial","",,"59",,"57.72","36.05","76.34","percent of total billed charges",,
"XR MANDIBLE COMPLETE 4 VIEWS","70110","HCPCS","Both",,,"98.5","49.25","Humana","Commercial","",,"78",,"76.34","36.05","76.34","percent of total billed charges",,
"XR MANDIBLE COMPLETE 4 VIEWS","70110","HCPCS","Both",,,"98.5","49.25","UHC","Commercial","",,"75",,"74.27","36.05","76.34","percent of total billed charges",,
"XR MANDIBLE COMPLETE 4 VIEWS","70110","HCPCS","Both",,,"98.5","49.25","Medicaid",,"",,"37",,"36.05","36.05","76.34","percent of total billed charges",,
"XR TEMPOROMANDIBU JOINT OPEN/CLOSED BILA","70330","HCPCS","Both",,,"153","76.5","Alliant","Health Exchange","",,"62",,"94.86","56","118.58","percent of total billed charges",,
"XR TEMPOROMANDIBU JOINT OPEN/CLOSED BILA","70330","HCPCS","Both",,,"153","76.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"82.62","56","118.58","percent of total billed charges",,
"XR TEMPOROMANDIBU JOINT OPEN/CLOSED BILA","70330","HCPCS","Both",,,"153","76.5","Medicare",,"",,"54",,"82.93","56","118.58","percent of total billed charges",,
"XR TEMPOROMANDIBU JOINT OPEN/CLOSED BILA","70330","HCPCS","Both",,,"153","76.5","Humana","Medicare Advantage","",,"54",,"82.93","56","118.58","percent of total billed charges",,
"XR TEMPOROMANDIBU JOINT OPEN/CLOSED BILA","70330","HCPCS","Both",,,"153","76.5","UHC","Medicare Advantage","",,"54",,"82.93","56","118.58","percent of total billed charges",,
"XR TEMPOROMANDIBU JOINT OPEN/CLOSED BILA","70330","HCPCS","Both",,,"153","76.5","Clover","Medicare Advantage","",,"54",,"82.93","56","118.58","percent of total billed charges",,
"XR TEMPOROMANDIBU JOINT OPEN/CLOSED BILA","70330","HCPCS","Both",,,"153","76.5","Wellcare","Medicare Advantage","",,"54",,"82.93","56","118.58","percent of total billed charges",,
"XR TEMPOROMANDIBU JOINT OPEN/CLOSED BILA","70330","HCPCS","Both",,,"153","76.5","Amerigroup","Medicaid Managed Care","",,"37",,"56","56","118.58","percent of total billed charges",,
"XR TEMPOROMANDIBU JOINT OPEN/CLOSED BILA","70330","HCPCS","Both",,,"153","76.5","Caresource","Medicaid Managed Care","",,"40",,"61.2","56","118.58","percent of total billed charges",,
"XR TEMPOROMANDIBU JOINT OPEN/CLOSED BILA","70330","HCPCS","Both",,,"153","76.5","Wellcare","Medicaid Managed Care","",,"40",,"61.96","56","118.58","percent of total billed charges",,
"XR TEMPOROMANDIBU JOINT OPEN/CLOSED BILA","70330","HCPCS","Both",,,"153","76.5","Aetna","Commercial","",,"64",,"97.61","56","118.58","percent of total billed charges",,
"XR TEMPOROMANDIBU JOINT OPEN/CLOSED BILA","70330","HCPCS","Both",,,"153","76.5","Blue Cross Blue Shield","Pathways","",,"71",,"108.02","56","118.58","percent of total billed charges",,
"XR TEMPOROMANDIBU JOINT OPEN/CLOSED BILA","70330","HCPCS","Both",,,"153","76.5","Blue Cross Blue Shield","HMO","",,"71",,"108.02","56","118.58","percent of total billed charges",,
"XR TEMPOROMANDIBU JOINT OPEN/CLOSED BILA","70330","HCPCS","Both",,,"153","76.5","Blue Cross Blue Shield","PPO","",,"71",,"108.02","56","118.58","percent of total billed charges",,
"XR TEMPOROMANDIBU JOINT OPEN/CLOSED BILA","70330","HCPCS","Both",,,"153","76.5","Ambetter","Health Exchange","",,"62",,"94.86","56","118.58","percent of total billed charges",,
"XR TEMPOROMANDIBU JOINT OPEN/CLOSED BILA","70330","HCPCS","Both",,,"153","76.5","Caresource","Health Exchange","",,"62",,"94.86","56","118.58","percent of total billed charges",,
"XR TEMPOROMANDIBU JOINT OPEN/CLOSED BILA","70330","HCPCS","Both",,,"153","76.5","Cigna","Commercial","",,"59",,"89.66","56","118.58","percent of total billed charges",,
"XR TEMPOROMANDIBU JOINT OPEN/CLOSED BILA","70330","HCPCS","Both",,,"153","76.5","Humana","Commercial","",,"78",,"118.58","56","118.58","percent of total billed charges",,
"XR TEMPOROMANDIBU JOINT OPEN/CLOSED BILA","70330","HCPCS","Both",,,"153","76.5","UHC","Commercial","",,"75",,"115.36","56","118.58","percent of total billed charges",,
"XR TEMPOROMANDIBU JOINT OPEN/CLOSED BILA","70330","HCPCS","Both",,,"153","76.5","Medicaid",,"",,"37",,"56","56","118.58","percent of total billed charges",,
"XR SKULL LESS THAN 4 VIEWS","70250","HCPCS","Both",,,"41","20.5","Alliant","Health Exchange","",,"62",,"25.42","15.01","31.78","percent of total billed charges",,
"XR SKULL LESS THAN 4 VIEWS","70250","HCPCS","Both",,,"41","20.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"22.14","15.01","31.78","percent of total billed charges",,
"XR SKULL LESS THAN 4 VIEWS","70250","HCPCS","Both",,,"41","20.5","Medicare",,"",,"54",,"22.22","15.01","31.78","percent of total billed charges",,
"XR SKULL LESS THAN 4 VIEWS","70250","HCPCS","Both",,,"41","20.5","Humana","Medicare Advantage","",,"54",,"22.22","15.01","31.78","percent of total billed charges",,
"XR SKULL LESS THAN 4 VIEWS","70250","HCPCS","Both",,,"41","20.5","UHC","Medicare Advantage","",,"54",,"22.22","15.01","31.78","percent of total billed charges",,
"XR SKULL LESS THAN 4 VIEWS","70250","HCPCS","Both",,,"41","20.5","Clover","Medicare Advantage","",,"54",,"22.22","15.01","31.78","percent of total billed charges",,
"XR SKULL LESS THAN 4 VIEWS","70250","HCPCS","Both",,,"41","20.5","Wellcare","Medicare Advantage","",,"54",,"22.22","15.01","31.78","percent of total billed charges",,
"XR SKULL LESS THAN 4 VIEWS","70250","HCPCS","Both",,,"41","20.5","Amerigroup","Medicaid Managed Care","",,"37",,"15.01","15.01","31.78","percent of total billed charges",,
"XR SKULL LESS THAN 4 VIEWS","70250","HCPCS","Both",,,"41","20.5","Caresource","Medicaid Managed Care","",,"40",,"16.4","15.01","31.78","percent of total billed charges",,
"XR SKULL LESS THAN 4 VIEWS","70250","HCPCS","Both",,,"41","20.5","Wellcare","Medicaid Managed Care","",,"40",,"16.6","15.01","31.78","percent of total billed charges",,
"XR SKULL LESS THAN 4 VIEWS","70250","HCPCS","Both",,,"41","20.5","Aetna","Commercial","",,"64",,"26.16","15.01","31.78","percent of total billed charges",,
"XR SKULL LESS THAN 4 VIEWS","70250","HCPCS","Both",,,"41","20.5","Blue Cross Blue Shield","Pathways","",,"71",,"28.95","15.01","31.78","percent of total billed charges",,
"XR SKULL LESS THAN 4 VIEWS","70250","HCPCS","Both",,,"41","20.5","Blue Cross Blue Shield","HMO","",,"71",,"28.95","15.01","31.78","percent of total billed charges",,
"XR SKULL LESS THAN 4 VIEWS","70250","HCPCS","Both",,,"41","20.5","Blue Cross Blue Shield","PPO","",,"71",,"28.95","15.01","31.78","percent of total billed charges",,
"XR SKULL LESS THAN 4 VIEWS","70250","HCPCS","Both",,,"41","20.5","Ambetter","Health Exchange","",,"62",,"25.42","15.01","31.78","percent of total billed charges",,
"XR SKULL LESS THAN 4 VIEWS","70250","HCPCS","Both",,,"41","20.5","Caresource","Health Exchange","",,"62",,"25.42","15.01","31.78","percent of total billed charges",,
"XR SKULL LESS THAN 4 VIEWS","70250","HCPCS","Both",,,"41","20.5","Cigna","Commercial","",,"59",,"24.03","15.01","31.78","percent of total billed charges",,
"XR SKULL LESS THAN 4 VIEWS","70250","HCPCS","Both",,,"41","20.5","Humana","Commercial","",,"78",,"31.78","15.01","31.78","percent of total billed charges",,
"XR SKULL LESS THAN 4 VIEWS","70250","HCPCS","Both",,,"41","20.5","UHC","Commercial","",,"75",,"30.91","15.01","31.78","percent of total billed charges",,
"XR SKULL LESS THAN 4 VIEWS","70250","HCPCS","Both",,,"41","20.5","Medicaid",,"",,"37",,"15.01","15.01","31.78","percent of total billed charges",,
"XR SKULL COMPLETE 4 VIEWS","70260","HCPCS","Both",,,"498.5","249.25","Alliant","Health Exchange","",,"62",,"309.07","182.45","386.34","percent of total billed charges",,
"XR SKULL COMPLETE 4 VIEWS","70260","HCPCS","Both",,,"498.5","249.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"269.19","182.45","386.34","percent of total billed charges",,
"XR SKULL COMPLETE 4 VIEWS","70260","HCPCS","Both",,,"498.5","249.25","Medicare",,"",,"54",,"270.19","182.45","386.34","percent of total billed charges",,
"XR SKULL COMPLETE 4 VIEWS","70260","HCPCS","Both",,,"498.5","249.25","Humana","Medicare Advantage","",,"54",,"270.19","182.45","386.34","percent of total billed charges",,
"XR SKULL COMPLETE 4 VIEWS","70260","HCPCS","Both",,,"498.5","249.25","UHC","Medicare Advantage","",,"54",,"270.19","182.45","386.34","percent of total billed charges",,
"XR SKULL COMPLETE 4 VIEWS","70260","HCPCS","Both",,,"498.5","249.25","Clover","Medicare Advantage","",,"54",,"270.19","182.45","386.34","percent of total billed charges",,
"XR SKULL COMPLETE 4 VIEWS","70260","HCPCS","Both",,,"498.5","249.25","Wellcare","Medicare Advantage","",,"54",,"270.19","182.45","386.34","percent of total billed charges",,
"XR SKULL COMPLETE 4 VIEWS","70260","HCPCS","Both",,,"498.5","249.25","Amerigroup","Medicaid Managed Care","",,"37",,"182.45","182.45","386.34","percent of total billed charges",,
"XR SKULL COMPLETE 4 VIEWS","70260","HCPCS","Both",,,"498.5","249.25","Caresource","Medicaid Managed Care","",,"40",,"199.4","182.45","386.34","percent of total billed charges",,
"XR SKULL COMPLETE 4 VIEWS","70260","HCPCS","Both",,,"498.5","249.25","Wellcare","Medicaid Managed Care","",,"40",,"201.89","182.45","386.34","percent of total billed charges",,
"XR SKULL COMPLETE 4 VIEWS","70260","HCPCS","Both",,,"498.5","249.25","Aetna","Commercial","",,"64",,"318.04","182.45","386.34","percent of total billed charges",,
"XR SKULL COMPLETE 4 VIEWS","70260","HCPCS","Both",,,"498.5","249.25","Blue Cross Blue Shield","Pathways","",,"71",,"351.94","182.45","386.34","percent of total billed charges",,
"XR SKULL COMPLETE 4 VIEWS","70260","HCPCS","Both",,,"498.5","249.25","Blue Cross Blue Shield","HMO","",,"71",,"351.94","182.45","386.34","percent of total billed charges",,
"XR SKULL COMPLETE 4 VIEWS","70260","HCPCS","Both",,,"498.5","249.25","Blue Cross Blue Shield","PPO","",,"71",,"351.94","182.45","386.34","percent of total billed charges",,
"XR SKULL COMPLETE 4 VIEWS","70260","HCPCS","Both",,,"498.5","249.25","Ambetter","Health Exchange","",,"62",,"309.07","182.45","386.34","percent of total billed charges",,
"XR SKULL COMPLETE 4 VIEWS","70260","HCPCS","Both",,,"498.5","249.25","Caresource","Health Exchange","",,"62",,"309.07","182.45","386.34","percent of total billed charges",,
"XR SKULL COMPLETE 4 VIEWS","70260","HCPCS","Both",,,"498.5","249.25","Cigna","Commercial","",,"59",,"292.12","182.45","386.34","percent of total billed charges",,
"XR SKULL COMPLETE 4 VIEWS","70260","HCPCS","Both",,,"498.5","249.25","Humana","Commercial","",,"78",,"386.34","182.45","386.34","percent of total billed charges",,
"XR SKULL COMPLETE 4 VIEWS","70260","HCPCS","Both",,,"498.5","249.25","UHC","Commercial","",,"75",,"375.87","182.45","386.34","percent of total billed charges",,
"XR SKULL COMPLETE 4 VIEWS","70260","HCPCS","Both",,,"498.5","249.25","Medicaid",,"",,"37",,"182.45","182.45","386.34","percent of total billed charges",,
"XR SPINE CERVICAL MIN 4 VWS","72050","HCPCS","Both",,,"901","450.5","Alliant","Health Exchange","",,"62",,"558.62","14.03","698.28","percent of total billed charges",,
"XR SPINE CERVICAL MIN 4 VWS","72050","HCPCS","Both",,,"901","450.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"486.54","14.03","698.28","percent of total billed charges",,
"XR SPINE CERVICAL MIN 4 VWS","72050","HCPCS","Both",,,"901","450.5","Medicare",,"",,"54",,"488.34","14.03","698.28","percent of total billed charges",,
"XR SPINE CERVICAL MIN 4 VWS","72050","HCPCS","Both",,,"901","450.5","Humana","Medicare Advantage","",,"54",,"488.34","14.03","698.28","percent of total billed charges",,
"XR SPINE CERVICAL MIN 4 VWS","72050","HCPCS","Both",,,"901","450.5","UHC","Medicare Advantage","",,"54",,"488.34","14.03","698.28","percent of total billed charges",,
"XR SPINE CERVICAL MIN 4 VWS","72050","HCPCS","Both",,,"901","450.5","Clover","Medicare Advantage","",,"54",,"488.34","14.03","698.28","percent of total billed charges",,
"XR SPINE CERVICAL MIN 4 VWS","72050","HCPCS","Both",,,"901","450.5","Wellcare","Medicare Advantage","",,"54",,"488.34","14.03","698.28","percent of total billed charges",,
"XR SPINE CERVICAL MIN 4 VWS","72050","HCPCS","Both",,,"901","450.5","Amerigroup","Medicaid Managed Care","",,"37",,"329.77","14.03","698.28","percent of total billed charges",,
"XR SPINE CERVICAL MIN 4 VWS","72050","HCPCS","Both",,,"901","450.5","Caresource","Medicaid Managed Care","",,"40",,"360.4","14.03","698.28","percent of total billed charges",,
"XR SPINE CERVICAL MIN 4 VWS","72050","HCPCS","Both",,,"901","450.5","Wellcare","Medicaid Managed Care","",,"40",,"364.9","14.03","698.28","percent of total billed charges",,
"XR SPINE CERVICAL MIN 4 VWS","72050","HCPCS","Both",,,"901","450.5","Aetna","Commercial","",,"64",,"574.84","14.03","698.28","percent of total billed charges",,
"XR SPINE CERVICAL MIN 4 VWS","72050","HCPCS","Both",,,"901","450.5","Blue Cross Blue Shield","Pathways","",,"71",,"636.11","14.03","698.28","percent of total billed charges",,
"XR SPINE CERVICAL MIN 4 VWS","72050","HCPCS","Both",,,"901","450.5","Blue Cross Blue Shield","HMO","",,"71",,"636.11","14.03","698.28","percent of total billed charges",,
"XR SPINE CERVICAL MIN 4 VWS","72050","HCPCS","Both",,,"901","450.5","Blue Cross Blue Shield","PPO","",,"71",,"636.11","14.03","698.28","percent of total billed charges",,
"XR SPINE CERVICAL MIN 4 VWS","72050","HCPCS","Both",,,"901","450.5","Ambetter","Health Exchange","",,"62",,"558.62","14.03","698.28","percent of total billed charges",,
"XR SPINE CERVICAL MIN 4 VWS","72050","HCPCS","Both",,,"901","450.5","Caresource","Health Exchange","",,"62",,"558.62","14.03","698.28","percent of total billed charges",,
"XR SPINE CERVICAL MIN 4 VWS","72050","HCPCS","Both",,,"901","450.5","Cigna","Commercial","",,"59",,"527.99","14.03","698.28","percent of total billed charges",,
"XR SPINE CERVICAL MIN 4 VWS","72050","HCPCS","Both",,,"901","450.5","Humana","Commercial","",,"78",,"698.28","14.03","698.28","percent of total billed charges",,
"XR SPINE CERVICAL MIN 4 VWS","72050","HCPCS","Both",,,"901","450.5","UHC","Commercial","",,"75",,"679.35","14.03","698.28","percent of total billed charges",,
"XR SPINE CERVICAL MIN 4 VWS","72050","HCPCS","Both",,,"901","450.5","Medicaid",,"",,"37",,"329.77","14.03","698.28","percent of total billed charges",,
"XR SPINE CERVICAL 2 0R 3 VWS","72040","HCPCS","Both",,,"912","456","Alliant","Health Exchange","",,"62",,"565.44","11.52","706.8","percent of total billed charges",,
"XR SPINE CERVICAL 2 0R 3 VWS","72040","HCPCS","Both",,,"912","456","Pruitt Healthcare","Medicare Advantage","",,"54",,"492.48","11.52","706.8","percent of total billed charges",,
"XR SPINE CERVICAL 2 0R 3 VWS","72040","HCPCS","Both",,,"912","456","Medicare",,"",,"54",,"494.3","11.52","706.8","percent of total billed charges",,
"XR SPINE CERVICAL 2 0R 3 VWS","72040","HCPCS","Both",,,"912","456","Humana","Medicare Advantage","",,"54",,"494.3","11.52","706.8","percent of total billed charges",,
"XR SPINE CERVICAL 2 0R 3 VWS","72040","HCPCS","Both",,,"912","456","UHC","Medicare Advantage","",,"54",,"494.3","11.52","706.8","percent of total billed charges",,
"XR SPINE CERVICAL 2 0R 3 VWS","72040","HCPCS","Both",,,"912","456","Clover","Medicare Advantage","",,"54",,"494.3","11.52","706.8","percent of total billed charges",,
"XR SPINE CERVICAL 2 0R 3 VWS","72040","HCPCS","Both",,,"912","456","Wellcare","Medicare Advantage","",,"54",,"494.3","11.52","706.8","percent of total billed charges",,
"XR SPINE CERVICAL 2 0R 3 VWS","72040","HCPCS","Both",,,"912","456","Amerigroup","Medicaid Managed Care","",,"37",,"333.79","11.52","706.8","percent of total billed charges",,
"XR SPINE CERVICAL 2 0R 3 VWS","72040","HCPCS","Both",,,"912","456","Caresource","Medicaid Managed Care","",,"40",,"364.8","11.52","706.8","percent of total billed charges",,
"XR SPINE CERVICAL 2 0R 3 VWS","72040","HCPCS","Both",,,"912","456","Wellcare","Medicaid Managed Care","",,"40",,"369.36","11.52","706.8","percent of total billed charges",,
"XR SPINE CERVICAL 2 0R 3 VWS","72040","HCPCS","Both",,,"912","456","Aetna","Commercial","",,"64",,"581.86","11.52","706.8","percent of total billed charges",,
"XR SPINE CERVICAL 2 0R 3 VWS","72040","HCPCS","Both",,,"912","456","Blue Cross Blue Shield","Pathways","",,"71",,"643.87","11.52","706.8","percent of total billed charges",,
"XR SPINE CERVICAL 2 0R 3 VWS","72040","HCPCS","Both",,,"912","456","Blue Cross Blue Shield","HMO","",,"71",,"643.87","11.52","706.8","percent of total billed charges",,
"XR SPINE CERVICAL 2 0R 3 VWS","72040","HCPCS","Both",,,"912","456","Blue Cross Blue Shield","PPO","",,"71",,"643.87","11.52","706.8","percent of total billed charges",,
"XR SPINE CERVICAL 2 0R 3 VWS","72040","HCPCS","Both",,,"912","456","Ambetter","Health Exchange","",,"62",,"565.44","11.52","706.8","percent of total billed charges",,
"XR SPINE CERVICAL 2 0R 3 VWS","72040","HCPCS","Both",,,"912","456","Caresource","Health Exchange","",,"62",,"565.44","11.52","706.8","percent of total billed charges",,
"XR SPINE CERVICAL 2 0R 3 VWS","72040","HCPCS","Both",,,"912","456","Cigna","Commercial","",,"59",,"534.43","11.52","706.8","percent of total billed charges",,
"XR SPINE CERVICAL 2 0R 3 VWS","72040","HCPCS","Both",,,"912","456","Humana","Commercial","",,"78",,"706.8","11.52","706.8","percent of total billed charges",,
"XR SPINE CERVICAL 2 0R 3 VWS","72040","HCPCS","Both",,,"912","456","UHC","Commercial","",,"75",,"687.65","11.52","706.8","percent of total billed charges",,
"XR SPINE CERVICAL 2 0R 3 VWS","72040","HCPCS","Both",,,"912","456","Medicaid",,"",,"37",,"333.79","11.52","706.8","percent of total billed charges",,
"XR SPINE SGL VW SPECIFY LEVEL","72020","HCPCS","Both",,,"153","76.5","Alliant","Health Exchange","",,"62",,"94.86","56","118.58","percent of total billed charges",,
"XR SPINE SGL VW SPECIFY LEVEL","72020","HCPCS","Both",,,"153","76.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"82.62","56","118.58","percent of total billed charges",,
"XR SPINE SGL VW SPECIFY LEVEL","72020","HCPCS","Both",,,"153","76.5","Medicare",,"",,"54",,"82.93","56","118.58","percent of total billed charges",,
"XR SPINE SGL VW SPECIFY LEVEL","72020","HCPCS","Both",,,"153","76.5","Humana","Medicare Advantage","",,"54",,"82.93","56","118.58","percent of total billed charges",,
"XR SPINE SGL VW SPECIFY LEVEL","72020","HCPCS","Both",,,"153","76.5","UHC","Medicare Advantage","",,"54",,"82.93","56","118.58","percent of total billed charges",,
"XR SPINE SGL VW SPECIFY LEVEL","72020","HCPCS","Both",,,"153","76.5","Clover","Medicare Advantage","",,"54",,"82.93","56","118.58","percent of total billed charges",,
"XR SPINE SGL VW SPECIFY LEVEL","72020","HCPCS","Both",,,"153","76.5","Wellcare","Medicare Advantage","",,"54",,"82.93","56","118.58","percent of total billed charges",,
"XR SPINE SGL VW SPECIFY LEVEL","72020","HCPCS","Both",,,"153","76.5","Amerigroup","Medicaid Managed Care","",,"37",,"56","56","118.58","percent of total billed charges",,
"XR SPINE SGL VW SPECIFY LEVEL","72020","HCPCS","Both",,,"153","76.5","Caresource","Medicaid Managed Care","",,"40",,"61.2","56","118.58","percent of total billed charges",,
"XR SPINE SGL VW SPECIFY LEVEL","72020","HCPCS","Both",,,"153","76.5","Wellcare","Medicaid Managed Care","",,"40",,"61.96","56","118.58","percent of total billed charges",,
"XR SPINE SGL VW SPECIFY LEVEL","72020","HCPCS","Both",,,"153","76.5","Aetna","Commercial","",,"64",,"97.61","56","118.58","percent of total billed charges",,
"XR SPINE SGL VW SPECIFY LEVEL","72020","HCPCS","Both",,,"153","76.5","Blue Cross Blue Shield","Pathways","",,"71",,"108.02","56","118.58","percent of total billed charges",,
"XR SPINE SGL VW SPECIFY LEVEL","72020","HCPCS","Both",,,"153","76.5","Blue Cross Blue Shield","HMO","",,"71",,"108.02","56","118.58","percent of total billed charges",,
"XR SPINE SGL VW SPECIFY LEVEL","72020","HCPCS","Both",,,"153","76.5","Blue Cross Blue Shield","PPO","",,"71",,"108.02","56","118.58","percent of total billed charges",,
"XR SPINE SGL VW SPECIFY LEVEL","72020","HCPCS","Both",,,"153","76.5","Ambetter","Health Exchange","",,"62",,"94.86","56","118.58","percent of total billed charges",,
"XR SPINE SGL VW SPECIFY LEVEL","72020","HCPCS","Both",,,"153","76.5","Caresource","Health Exchange","",,"62",,"94.86","56","118.58","percent of total billed charges",,
"XR SPINE SGL VW SPECIFY LEVEL","72020","HCPCS","Both",,,"153","76.5","Cigna","Commercial","",,"59",,"89.66","56","118.58","percent of total billed charges",,
"XR SPINE SGL VW SPECIFY LEVEL","72020","HCPCS","Both",,,"153","76.5","Humana","Commercial","",,"78",,"118.58","56","118.58","percent of total billed charges",,
"XR SPINE SGL VW SPECIFY LEVEL","72020","HCPCS","Both",,,"153","76.5","UHC","Commercial","",,"75",,"115.36","56","118.58","percent of total billed charges",,
"XR SPINE SGL VW SPECIFY LEVEL","72020","HCPCS","Both",,,"153","76.5","Medicaid",,"",,"37",,"56","56","118.58","percent of total billed charges",,
"XR SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"590","295","Alliant","Health Exchange","",,"62",,"365.8","11.56","457.25","percent of total billed charges",,
"XR SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"590","295","Pruitt Healthcare","Medicare Advantage","",,"54",,"318.6","11.56","457.25","percent of total billed charges",,
"XR SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"590","295","Medicare",,"",,"54",,"319.78","11.56","457.25","percent of total billed charges",,
"XR SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"590","295","Humana","Medicare Advantage","",,"54",,"319.78","11.56","457.25","percent of total billed charges",,
"XR SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"590","295","UHC","Medicare Advantage","",,"54",,"319.78","11.56","457.25","percent of total billed charges",,
"XR SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"590","295","Clover","Medicare Advantage","",,"54",,"319.78","11.56","457.25","percent of total billed charges",,
"XR SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"590","295","Wellcare","Medicare Advantage","",,"54",,"319.78","11.56","457.25","percent of total billed charges",,
"XR SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"590","295","Amerigroup","Medicaid Managed Care","",,"37",,"215.94","11.56","457.25","percent of total billed charges",,
"XR SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"590","295","Caresource","Medicaid Managed Care","",,"40",,"236","11.56","457.25","percent of total billed charges",,
"XR SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"590","295","Wellcare","Medicaid Managed Care","",,"40",,"238.95","11.56","457.25","percent of total billed charges",,
"XR SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"590","295","Aetna","Commercial","",,"64",,"376.42","11.56","457.25","percent of total billed charges",,
"XR SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"590","295","Blue Cross Blue Shield","Pathways","",,"71",,"416.54","11.56","457.25","percent of total billed charges",,
"XR SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"590","295","Blue Cross Blue Shield","HMO","",,"71",,"416.54","11.56","457.25","percent of total billed charges",,
"XR SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"590","295","Blue Cross Blue Shield","PPO","",,"71",,"416.54","11.56","457.25","percent of total billed charges",,
"XR SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"590","295","Ambetter","Health Exchange","",,"62",,"365.8","11.56","457.25","percent of total billed charges",,
"XR SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"590","295","Caresource","Health Exchange","",,"62",,"365.8","11.56","457.25","percent of total billed charges",,
"XR SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"590","295","Cigna","Commercial","",,"59",,"345.74","11.56","457.25","percent of total billed charges",,
"XR SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"590","295","Humana","Commercial","",,"78",,"457.25","11.56","457.25","percent of total billed charges",,
"XR SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"590","295","UHC","Commercial","",,"75",,"444.86","11.56","457.25","percent of total billed charges",,
"XR SPINE THORACIC 3 VIEWS","72072","HCPCS","Both",,,"590","295","Medicaid",,"",,"37",,"215.94","11.56","457.25","percent of total billed charges",,
"XR SPINE THORACIC 2 VIEWS","72070","HCPCS","Both",,,"231.2","115.6","Alliant","Health Exchange","",,"62",,"143.34","49.78","179.18","percent of total billed charges",,
"XR SPINE THORACIC 2 VIEWS","72070","HCPCS","Both",,,"231.2","115.6","Pruitt Healthcare","Medicare Advantage","",,"54",,"124.85","49.78","179.18","percent of total billed charges",,
"XR SPINE THORACIC 2 VIEWS","72070","HCPCS","Both",,,"231.2","115.6","Medicare",,"",,"54",,"125.31","49.78","179.18","percent of total billed charges",,
"XR SPINE THORACIC 2 VIEWS","72070","HCPCS","Both",,,"231.2","115.6","Humana","Medicare Advantage","",,"54",,"125.31","49.78","179.18","percent of total billed charges",,
"XR SPINE THORACIC 2 VIEWS","72070","HCPCS","Both",,,"231.2","115.6","UHC","Medicare Advantage","",,"54",,"125.31","49.78","179.18","percent of total billed charges",,
"XR SPINE THORACIC 2 VIEWS","72070","HCPCS","Both",,,"231.2","115.6","Clover","Medicare Advantage","",,"54",,"125.31","49.78","179.18","percent of total billed charges",,
"XR SPINE THORACIC 2 VIEWS","72070","HCPCS","Both",,,"231.2","115.6","Wellcare","Medicare Advantage","",,"54",,"125.31","49.78","179.18","percent of total billed charges",,
"XR SPINE THORACIC 2 VIEWS","72070","HCPCS","Both",,,"231.2","115.6","Amerigroup","Medicaid Managed Care","",,"37",,"84.62","49.78","179.18","percent of total billed charges",,
"XR SPINE THORACIC 2 VIEWS","72070","HCPCS","Both",,,"231.2","115.6","Caresource","Medicaid Managed Care","",,"40",,"92.48","49.78","179.18","percent of total billed charges",,
"XR SPINE THORACIC 2 VIEWS","72070","HCPCS","Both",,,"231.2","115.6","Wellcare","Medicaid Managed Care","",,"40",,"93.64","49.78","179.18","percent of total billed charges",,
"XR SPINE THORACIC 2 VIEWS","72070","HCPCS","Both",,,"231.2","115.6","Aetna","Commercial","",,"64",,"147.51","49.78","179.18","percent of total billed charges",,
"XR SPINE THORACIC 2 VIEWS","72070","HCPCS","Both",,,"231.2","115.6","Blue Cross Blue Shield","Pathways","",,"71",,"163.23","49.78","179.18","percent of total billed charges",,
"XR SPINE THORACIC 2 VIEWS","72070","HCPCS","Both",,,"231.2","115.6","Blue Cross Blue Shield","HMO","",,"71",,"163.23","49.78","179.18","percent of total billed charges",,
"XR SPINE THORACIC 2 VIEWS","72070","HCPCS","Both",,,"231.2","115.6","Blue Cross Blue Shield","PPO","",,"71",,"163.23","49.78","179.18","percent of total billed charges",,
"XR SPINE THORACIC 2 VIEWS","72070","HCPCS","Both",,,"231.2","115.6","Ambetter","Health Exchange","",,"62",,"143.34","49.78","179.18","percent of total billed charges",,
"XR SPINE THORACIC 2 VIEWS","72070","HCPCS","Both",,,"231.2","115.6","Caresource","Health Exchange","",,"62",,"143.34","49.78","179.18","percent of total billed charges",,
"XR SPINE THORACIC 2 VIEWS","72070","HCPCS","Both",,,"231.2","115.6","Cigna","Commercial","",,"59",,"135.48","49.78","179.18","percent of total billed charges",,
"XR SPINE THORACIC 2 VIEWS","72070","HCPCS","Both",,,"231.2","115.6","Humana","Commercial","",,"78",,"179.18","49.78","179.18","percent of total billed charges",,
"XR SPINE THORACIC 2 VIEWS","72070","HCPCS","Both",,,"231.2","115.6","UHC","Commercial","",,"75",,"174.32","49.78","179.18","percent of total billed charges",,
"XR SPINE THORACIC 2 VIEWS","72070","HCPCS","Both",,,"231.2","115.6","Medicaid",,"",,"37",,"84.62","49.78","179.18","percent of total billed charges",,
"XR OSSEOUS SURVEY LIMIT","77074","HCPCS","Both",,,"288","144","Alliant","Health Exchange","",,"62",,"178.56","105.41","223.2","percent of total billed charges",,
"XR OSSEOUS SURVEY LIMIT","77074","HCPCS","Both",,,"288","144","Pruitt Healthcare","Medicare Advantage","",,"54",,"155.52","105.41","223.2","percent of total billed charges",,
"XR OSSEOUS SURVEY LIMIT","77074","HCPCS","Both",,,"288","144","Medicare",,"",,"54",,"156.1","105.41","223.2","percent of total billed charges",,
"XR OSSEOUS SURVEY LIMIT","77074","HCPCS","Both",,,"288","144","Humana","Medicare Advantage","",,"54",,"156.1","105.41","223.2","percent of total billed charges",,
"XR OSSEOUS SURVEY LIMIT","77074","HCPCS","Both",,,"288","144","UHC","Medicare Advantage","",,"54",,"156.1","105.41","223.2","percent of total billed charges",,
"XR OSSEOUS SURVEY LIMIT","77074","HCPCS","Both",,,"288","144","Clover","Medicare Advantage","",,"54",,"156.1","105.41","223.2","percent of total billed charges",,
"XR OSSEOUS SURVEY LIMIT","77074","HCPCS","Both",,,"288","144","Wellcare","Medicare Advantage","",,"54",,"156.1","105.41","223.2","percent of total billed charges",,
"XR OSSEOUS SURVEY LIMIT","77074","HCPCS","Both",,,"288","144","Amerigroup","Medicaid Managed Care","",,"37",,"105.41","105.41","223.2","percent of total billed charges",,
"XR OSSEOUS SURVEY LIMIT","77074","HCPCS","Both",,,"288","144","Caresource","Medicaid Managed Care","",,"40",,"115.2","105.41","223.2","percent of total billed charges",,
"XR OSSEOUS SURVEY LIMIT","77074","HCPCS","Both",,,"288","144","Wellcare","Medicaid Managed Care","",,"40",,"116.64","105.41","223.2","percent of total billed charges",,
"XR OSSEOUS SURVEY LIMIT","77074","HCPCS","Both",,,"288","144","Aetna","Commercial","",,"64",,"183.74","105.41","223.2","percent of total billed charges",,
"XR OSSEOUS SURVEY LIMIT","77074","HCPCS","Both",,,"288","144","Blue Cross Blue Shield","Pathways","",,"71",,"203.33","105.41","223.2","percent of total billed charges",,
"XR OSSEOUS SURVEY LIMIT","77074","HCPCS","Both",,,"288","144","Blue Cross Blue Shield","HMO","",,"71",,"203.33","105.41","223.2","percent of total billed charges",,
"XR OSSEOUS SURVEY LIMIT","77074","HCPCS","Both",,,"288","144","Blue Cross Blue Shield","PPO","",,"71",,"203.33","105.41","223.2","percent of total billed charges",,
"XR OSSEOUS SURVEY LIMIT","77074","HCPCS","Both",,,"288","144","Ambetter","Health Exchange","",,"62",,"178.56","105.41","223.2","percent of total billed charges",,
"XR OSSEOUS SURVEY LIMIT","77074","HCPCS","Both",,,"288","144","Caresource","Health Exchange","",,"62",,"178.56","105.41","223.2","percent of total billed charges",,
"XR OSSEOUS SURVEY LIMIT","77074","HCPCS","Both",,,"288","144","Cigna","Commercial","",,"59",,"168.77","105.41","223.2","percent of total billed charges",,
"XR OSSEOUS SURVEY LIMIT","77074","HCPCS","Both",,,"288","144","Humana","Commercial","",,"78",,"223.2","105.41","223.2","percent of total billed charges",,
"XR OSSEOUS SURVEY LIMIT","77074","HCPCS","Both",,,"288","144","UHC","Commercial","",,"75",,"217.15","105.41","223.2","percent of total billed charges",,
"XR OSSEOUS SURVEY LIMIT","77074","HCPCS","Both",,,"288","144","Medicaid",,"",,"37",,"105.41","105.41","223.2","percent of total billed charges",,
"XR VENOGRAPHY EXTREMITY UNILAT","75820","HCPCS","Both",,,"1744.5","872.25","Alliant","Health Exchange","",,"62",,"1081.59","638.49","1351.99","percent of total billed charges",,
"XR VENOGRAPHY EXTREMITY UNILAT","75820","HCPCS","Both",,,"1744.5","872.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"942.03","638.49","1351.99","percent of total billed charges",,
"XR VENOGRAPHY EXTREMITY UNILAT","75820","HCPCS","Both",,,"1744.5","872.25","Medicare",,"",,"54",,"945.52","638.49","1351.99","percent of total billed charges",,
"XR VENOGRAPHY EXTREMITY UNILAT","75820","HCPCS","Both",,,"1744.5","872.25","Humana","Medicare Advantage","",,"54",,"945.52","638.49","1351.99","percent of total billed charges",,
"XR VENOGRAPHY EXTREMITY UNILAT","75820","HCPCS","Both",,,"1744.5","872.25","UHC","Medicare Advantage","",,"54",,"945.52","638.49","1351.99","percent of total billed charges",,
"XR VENOGRAPHY EXTREMITY UNILAT","75820","HCPCS","Both",,,"1744.5","872.25","Clover","Medicare Advantage","",,"54",,"945.52","638.49","1351.99","percent of total billed charges",,
"XR VENOGRAPHY EXTREMITY UNILAT","75820","HCPCS","Both",,,"1744.5","872.25","Wellcare","Medicare Advantage","",,"54",,"945.52","638.49","1351.99","percent of total billed charges",,
"XR VENOGRAPHY EXTREMITY UNILAT","75820","HCPCS","Both",,,"1744.5","872.25","Amerigroup","Medicaid Managed Care","",,"37",,"638.49","638.49","1351.99","percent of total billed charges",,
"XR VENOGRAPHY EXTREMITY UNILAT","75820","HCPCS","Both",,,"1744.5","872.25","Caresource","Medicaid Managed Care","",,"40",,"697.8","638.49","1351.99","percent of total billed charges",,
"XR VENOGRAPHY EXTREMITY UNILAT","75820","HCPCS","Both",,,"1744.5","872.25","Wellcare","Medicaid Managed Care","",,"40",,"706.52","638.49","1351.99","percent of total billed charges",,
"XR VENOGRAPHY EXTREMITY UNILAT","75820","HCPCS","Both",,,"1744.5","872.25","Aetna","Commercial","",,"64",,"1112.99","638.49","1351.99","percent of total billed charges",,
"XR VENOGRAPHY EXTREMITY UNILAT","75820","HCPCS","Both",,,"1744.5","872.25","Blue Cross Blue Shield","Pathways","",,"71",,"1231.62","638.49","1351.99","percent of total billed charges",,
"XR VENOGRAPHY EXTREMITY UNILAT","75820","HCPCS","Both",,,"1744.5","872.25","Blue Cross Blue Shield","HMO","",,"71",,"1231.62","638.49","1351.99","percent of total billed charges",,
"XR VENOGRAPHY EXTREMITY UNILAT","75820","HCPCS","Both",,,"1744.5","872.25","Blue Cross Blue Shield","PPO","",,"71",,"1231.62","638.49","1351.99","percent of total billed charges",,
"XR VENOGRAPHY EXTREMITY UNILAT","75820","HCPCS","Both",,,"1744.5","872.25","Ambetter","Health Exchange","",,"62",,"1081.59","638.49","1351.99","percent of total billed charges",,
"XR VENOGRAPHY EXTREMITY UNILAT","75820","HCPCS","Both",,,"1744.5","872.25","Caresource","Health Exchange","",,"62",,"1081.59","638.49","1351.99","percent of total billed charges",,
"XR VENOGRAPHY EXTREMITY UNILAT","75820","HCPCS","Both",,,"1744.5","872.25","Cigna","Commercial","",,"59",,"1022.28","638.49","1351.99","percent of total billed charges",,
"XR VENOGRAPHY EXTREMITY UNILAT","75820","HCPCS","Both",,,"1744.5","872.25","Humana","Commercial","",,"78",,"1351.99","638.49","1351.99","percent of total billed charges",,
"XR VENOGRAPHY EXTREMITY UNILAT","75820","HCPCS","Both",,,"1744.5","872.25","UHC","Commercial","",,"75",,"1315.35","638.49","1351.99","percent of total billed charges",,
"XR VENOGRAPHY EXTREMITY UNILAT","75820","HCPCS","Both",,,"1744.5","872.25","Medicaid",,"",,"37",,"638.49","638.49","1351.99","percent of total billed charges",,
"XR VENOGRAPHY EXTREMITY BI","75822","HCPCS","Both",,,"1744.5","872.25","Alliant","Health Exchange","",,"62",,"1081.59","638.49","1351.99","percent of total billed charges",,
"XR VENOGRAPHY EXTREMITY BI","75822","HCPCS","Both",,,"1744.5","872.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"942.03","638.49","1351.99","percent of total billed charges",,
"XR VENOGRAPHY EXTREMITY BI","75822","HCPCS","Both",,,"1744.5","872.25","Medicare",,"",,"54",,"945.52","638.49","1351.99","percent of total billed charges",,
"XR VENOGRAPHY EXTREMITY BI","75822","HCPCS","Both",,,"1744.5","872.25","Humana","Medicare Advantage","",,"54",,"945.52","638.49","1351.99","percent of total billed charges",,
"XR VENOGRAPHY EXTREMITY BI","75822","HCPCS","Both",,,"1744.5","872.25","UHC","Medicare Advantage","",,"54",,"945.52","638.49","1351.99","percent of total billed charges",,
"XR VENOGRAPHY EXTREMITY BI","75822","HCPCS","Both",,,"1744.5","872.25","Clover","Medicare Advantage","",,"54",,"945.52","638.49","1351.99","percent of total billed charges",,
"XR VENOGRAPHY EXTREMITY BI","75822","HCPCS","Both",,,"1744.5","872.25","Wellcare","Medicare Advantage","",,"54",,"945.52","638.49","1351.99","percent of total billed charges",,
"XR VENOGRAPHY EXTREMITY BI","75822","HCPCS","Both",,,"1744.5","872.25","Amerigroup","Medicaid Managed Care","",,"37",,"638.49","638.49","1351.99","percent of total billed charges",,
"XR VENOGRAPHY EXTREMITY BI","75822","HCPCS","Both",,,"1744.5","872.25","Caresource","Medicaid Managed Care","",,"40",,"697.8","638.49","1351.99","percent of total billed charges",,
"XR VENOGRAPHY EXTREMITY BI","75822","HCPCS","Both",,,"1744.5","872.25","Wellcare","Medicaid Managed Care","",,"40",,"706.52","638.49","1351.99","percent of total billed charges",,
"XR VENOGRAPHY EXTREMITY BI","75822","HCPCS","Both",,,"1744.5","872.25","Aetna","Commercial","",,"64",,"1112.99","638.49","1351.99","percent of total billed charges",,
"XR VENOGRAPHY EXTREMITY BI","75822","HCPCS","Both",,,"1744.5","872.25","Blue Cross Blue Shield","Pathways","",,"71",,"1231.62","638.49","1351.99","percent of total billed charges",,
"XR VENOGRAPHY EXTREMITY BI","75822","HCPCS","Both",,,"1744.5","872.25","Blue Cross Blue Shield","HMO","",,"71",,"1231.62","638.49","1351.99","percent of total billed charges",,
"XR VENOGRAPHY EXTREMITY BI","75822","HCPCS","Both",,,"1744.5","872.25","Blue Cross Blue Shield","PPO","",,"71",,"1231.62","638.49","1351.99","percent of total billed charges",,
"XR VENOGRAPHY EXTREMITY BI","75822","HCPCS","Both",,,"1744.5","872.25","Ambetter","Health Exchange","",,"62",,"1081.59","638.49","1351.99","percent of total billed charges",,
"XR VENOGRAPHY EXTREMITY BI","75822","HCPCS","Both",,,"1744.5","872.25","Caresource","Health Exchange","",,"62",,"1081.59","638.49","1351.99","percent of total billed charges",,
"XR VENOGRAPHY EXTREMITY BI","75822","HCPCS","Both",,,"1744.5","872.25","Cigna","Commercial","",,"59",,"1022.28","638.49","1351.99","percent of total billed charges",,
"XR VENOGRAPHY EXTREMITY BI","75822","HCPCS","Both",,,"1744.5","872.25","Humana","Commercial","",,"78",,"1351.99","638.49","1351.99","percent of total billed charges",,
"XR VENOGRAPHY EXTREMITY BI","75822","HCPCS","Both",,,"1744.5","872.25","UHC","Commercial","",,"75",,"1315.35","638.49","1351.99","percent of total billed charges",,
"XR VENOGRAPHY EXTREMITY BI","75822","HCPCS","Both",,,"1744.5","872.25","Medicaid",,"",,"37",,"638.49","638.49","1351.99","percent of total billed charges",,
"MM MAMMO EXAM SURGICAL SPECIMEN","76098","HCPCS","Both",,,"1146.5","573.25","Alliant","Health Exchange","",,"62",,"710.83","419.62","888.54","percent of total billed charges",,
"MM MAMMO EXAM SURGICAL SPECIMEN","76098","HCPCS","Both",,,"1146.5","573.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"619.11","419.62","888.54","percent of total billed charges",,
"MM MAMMO EXAM SURGICAL SPECIMEN","76098","HCPCS","Both",,,"1146.5","573.25","Medicare",,"",,"54",,"621.4","419.62","888.54","percent of total billed charges",,
"MM MAMMO EXAM SURGICAL SPECIMEN","76098","HCPCS","Both",,,"1146.5","573.25","Humana","Medicare Advantage","",,"54",,"621.4","419.62","888.54","percent of total billed charges",,
"MM MAMMO EXAM SURGICAL SPECIMEN","76098","HCPCS","Both",,,"1146.5","573.25","UHC","Medicare Advantage","",,"54",,"621.4","419.62","888.54","percent of total billed charges",,
"MM MAMMO EXAM SURGICAL SPECIMEN","76098","HCPCS","Both",,,"1146.5","573.25","Clover","Medicare Advantage","",,"54",,"621.4","419.62","888.54","percent of total billed charges",,
"MM MAMMO EXAM SURGICAL SPECIMEN","76098","HCPCS","Both",,,"1146.5","573.25","Wellcare","Medicare Advantage","",,"54",,"621.4","419.62","888.54","percent of total billed charges",,
"MM MAMMO EXAM SURGICAL SPECIMEN","76098","HCPCS","Both",,,"1146.5","573.25","Amerigroup","Medicaid Managed Care","",,"37",,"419.62","419.62","888.54","percent of total billed charges",,
"MM MAMMO EXAM SURGICAL SPECIMEN","76098","HCPCS","Both",,,"1146.5","573.25","Caresource","Medicaid Managed Care","",,"40",,"458.6","419.62","888.54","percent of total billed charges",,
"MM MAMMO EXAM SURGICAL SPECIMEN","76098","HCPCS","Both",,,"1146.5","573.25","Wellcare","Medicaid Managed Care","",,"40",,"464.33","419.62","888.54","percent of total billed charges",,
"MM MAMMO EXAM SURGICAL SPECIMEN","76098","HCPCS","Both",,,"1146.5","573.25","Aetna","Commercial","",,"64",,"731.47","419.62","888.54","percent of total billed charges",,
"MM MAMMO EXAM SURGICAL SPECIMEN","76098","HCPCS","Both",,,"1146.5","573.25","Blue Cross Blue Shield","Pathways","",,"71",,"809.43","419.62","888.54","percent of total billed charges",,
"MM MAMMO EXAM SURGICAL SPECIMEN","76098","HCPCS","Both",,,"1146.5","573.25","Blue Cross Blue Shield","HMO","",,"71",,"809.43","419.62","888.54","percent of total billed charges",,
"MM MAMMO EXAM SURGICAL SPECIMEN","76098","HCPCS","Both",,,"1146.5","573.25","Blue Cross Blue Shield","PPO","",,"71",,"809.43","419.62","888.54","percent of total billed charges",,
"MM MAMMO EXAM SURGICAL SPECIMEN","76098","HCPCS","Both",,,"1146.5","573.25","Ambetter","Health Exchange","",,"62",,"710.83","419.62","888.54","percent of total billed charges",,
"MM MAMMO EXAM SURGICAL SPECIMEN","76098","HCPCS","Both",,,"1146.5","573.25","Caresource","Health Exchange","",,"62",,"710.83","419.62","888.54","percent of total billed charges",,
"MM MAMMO EXAM SURGICAL SPECIMEN","76098","HCPCS","Both",,,"1146.5","573.25","Cigna","Commercial","",,"59",,"671.85","419.62","888.54","percent of total billed charges",,
"MM MAMMO EXAM SURGICAL SPECIMEN","76098","HCPCS","Both",,,"1146.5","573.25","Humana","Commercial","",,"78",,"888.54","419.62","888.54","percent of total billed charges",,
"MM MAMMO EXAM SURGICAL SPECIMEN","76098","HCPCS","Both",,,"1146.5","573.25","UHC","Commercial","",,"75",,"864.46","419.62","888.54","percent of total billed charges",,
"MM MAMMO EXAM SURGICAL SPECIMEN","76098","HCPCS","Both",,,"1146.5","573.25","Medicaid",,"",,"37",,"419.62","419.62","888.54","percent of total billed charges",,
"XR SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Alliant","Health Exchange","",,"62",,"752.99","13.33","941.24","percent of total billed charges",,
"XR SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"655.83","13.33","941.24","percent of total billed charges",,
"XR SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Medicare",,"",,"54",,"658.26","13.33","941.24","percent of total billed charges",,
"XR SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Humana","Medicare Advantage","",,"54",,"658.26","13.33","941.24","percent of total billed charges",,
"XR SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","UHC","Medicare Advantage","",,"54",,"658.26","13.33","941.24","percent of total billed charges",,
"XR SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Clover","Medicare Advantage","",,"54",,"658.26","13.33","941.24","percent of total billed charges",,
"XR SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Wellcare","Medicare Advantage","",,"54",,"658.26","13.33","941.24","percent of total billed charges",,
"XR SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Amerigroup","Medicaid Managed Care","",,"37",,"444.51","13.33","941.24","percent of total billed charges",,
"XR SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Caresource","Medicaid Managed Care","",,"40",,"485.8","13.33","941.24","percent of total billed charges",,
"XR SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Wellcare","Medicaid Managed Care","",,"40",,"491.87","13.33","941.24","percent of total billed charges",,
"XR SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Aetna","Commercial","",,"64",,"774.85","13.33","941.24","percent of total billed charges",,
"XR SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Blue Cross Blue Shield","Pathways","",,"71",,"857.44","13.33","941.24","percent of total billed charges",,
"XR SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Blue Cross Blue Shield","HMO","",,"71",,"857.44","13.33","941.24","percent of total billed charges",,
"XR SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Blue Cross Blue Shield","PPO","",,"71",,"857.44","13.33","941.24","percent of total billed charges",,
"XR SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Ambetter","Health Exchange","",,"62",,"752.99","13.33","941.24","percent of total billed charges",,
"XR SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Caresource","Health Exchange","",,"62",,"752.99","13.33","941.24","percent of total billed charges",,
"XR SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Cigna","Commercial","",,"59",,"711.7","13.33","941.24","percent of total billed charges",,
"XR SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Humana","Commercial","",,"78",,"941.24","13.33","941.24","percent of total billed charges",,
"XR SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","UHC","Commercial","",,"75",,"915.73","13.33","941.24","percent of total billed charges",,
"XR SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Medicaid",,"",,"37",,"444.51","13.33","941.24","percent of total billed charges",,
"XR SPINE LUMBOSACRAL 2 OR 3 VWS","72100","HCPCS","Both",,,"1006.68","503.34","Alliant","Health Exchange","",,"62",,"624.14","11.52","780.18","percent of total billed charges",,
"XR SPINE LUMBOSACRAL 2 OR 3 VWS","72100","HCPCS","Both",,,"1006.68","503.34","Pruitt Healthcare","Medicare Advantage","",,"54",,"543.61","11.52","780.18","percent of total billed charges",,
"XR SPINE LUMBOSACRAL 2 OR 3 VWS","72100","HCPCS","Both",,,"1006.68","503.34","Medicare",,"",,"54",,"545.62","11.52","780.18","percent of total billed charges",,
"XR SPINE LUMBOSACRAL 2 OR 3 VWS","72100","HCPCS","Both",,,"1006.68","503.34","Humana","Medicare Advantage","",,"54",,"545.62","11.52","780.18","percent of total billed charges",,
"XR SPINE LUMBOSACRAL 2 OR 3 VWS","72100","HCPCS","Both",,,"1006.68","503.34","UHC","Medicare Advantage","",,"54",,"545.62","11.52","780.18","percent of total billed charges",,
"XR SPINE LUMBOSACRAL 2 OR 3 VWS","72100","HCPCS","Both",,,"1006.68","503.34","Clover","Medicare Advantage","",,"54",,"545.62","11.52","780.18","percent of total billed charges",,
"XR SPINE LUMBOSACRAL 2 OR 3 VWS","72100","HCPCS","Both",,,"1006.68","503.34","Wellcare","Medicare Advantage","",,"54",,"545.62","11.52","780.18","percent of total billed charges",,
"XR SPINE LUMBOSACRAL 2 OR 3 VWS","72100","HCPCS","Both",,,"1006.68","503.34","Amerigroup","Medicaid Managed Care","",,"37",,"368.44","11.52","780.18","percent of total billed charges",,
"XR SPINE LUMBOSACRAL 2 OR 3 VWS","72100","HCPCS","Both",,,"1006.68","503.34","Caresource","Medicaid Managed Care","",,"40",,"402.67","11.52","780.18","percent of total billed charges",,
"XR SPINE LUMBOSACRAL 2 OR 3 VWS","72100","HCPCS","Both",,,"1006.68","503.34","Wellcare","Medicaid Managed Care","",,"40",,"407.71","11.52","780.18","percent of total billed charges",,
"XR SPINE LUMBOSACRAL 2 OR 3 VWS","72100","HCPCS","Both",,,"1006.68","503.34","Aetna","Commercial","",,"64",,"642.26","11.52","780.18","percent of total billed charges",,
"XR SPINE LUMBOSACRAL 2 OR 3 VWS","72100","HCPCS","Both",,,"1006.68","503.34","Blue Cross Blue Shield","Pathways","",,"71",,"710.72","11.52","780.18","percent of total billed charges",,
"XR SPINE LUMBOSACRAL 2 OR 3 VWS","72100","HCPCS","Both",,,"1006.68","503.34","Blue Cross Blue Shield","HMO","",,"71",,"710.72","11.52","780.18","percent of total billed charges",,
"XR SPINE LUMBOSACRAL 2 OR 3 VWS","72100","HCPCS","Both",,,"1006.68","503.34","Blue Cross Blue Shield","PPO","",,"71",,"710.72","11.52","780.18","percent of total billed charges",,
"XR SPINE LUMBOSACRAL 2 OR 3 VWS","72100","HCPCS","Both",,,"1006.68","503.34","Ambetter","Health Exchange","",,"62",,"624.14","11.52","780.18","percent of total billed charges",,
"XR SPINE LUMBOSACRAL 2 OR 3 VWS","72100","HCPCS","Both",,,"1006.68","503.34","Caresource","Health Exchange","",,"62",,"624.14","11.52","780.18","percent of total billed charges",,
"XR SPINE LUMBOSACRAL 2 OR 3 VWS","72100","HCPCS","Both",,,"1006.68","503.34","Cigna","Commercial","",,"59",,"589.91","11.52","780.18","percent of total billed charges",,
"XR SPINE LUMBOSACRAL 2 OR 3 VWS","72100","HCPCS","Both",,,"1006.68","503.34","Humana","Commercial","",,"78",,"780.18","11.52","780.18","percent of total billed charges",,
"XR SPINE LUMBOSACRAL 2 OR 3 VWS","72100","HCPCS","Both",,,"1006.68","503.34","UHC","Commercial","",,"75",,"759.04","11.52","780.18","percent of total billed charges",,
"XR SPINE LUMBOSACRAL 2 OR 3 VWS","72100","HCPCS","Both",,,"1006.68","503.34","Medicaid",,"",,"37",,"368.44","11.52","780.18","percent of total billed charges",,
"XR SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"36","18","Alliant","Health Exchange","",,"62",,"22.32","11.52","27.9","percent of total billed charges",,
"XR SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"36","18","Pruitt Healthcare","Medicare Advantage","",,"54",,"19.44","11.52","27.9","percent of total billed charges",,
"XR SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"36","18","Medicare",,"",,"54",,"19.51","11.52","27.9","percent of total billed charges",,
"XR SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"36","18","Humana","Medicare Advantage","",,"54",,"19.51","11.52","27.9","percent of total billed charges",,
"XR SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"36","18","UHC","Medicare Advantage","",,"54",,"19.51","11.52","27.9","percent of total billed charges",,
"XR SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"36","18","Clover","Medicare Advantage","",,"54",,"19.51","11.52","27.9","percent of total billed charges",,
"XR SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"36","18","Wellcare","Medicare Advantage","",,"54",,"19.51","11.52","27.9","percent of total billed charges",,
"XR SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"36","18","Amerigroup","Medicaid Managed Care","",,"37",,"13.18","11.52","27.9","percent of total billed charges",,
"XR SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"36","18","Caresource","Medicaid Managed Care","",,"40",,"14.4","11.52","27.9","percent of total billed charges",,
"XR SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"36","18","Wellcare","Medicaid Managed Care","",,"40",,"14.58","11.52","27.9","percent of total billed charges",,
"XR SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"36","18","Aetna","Commercial","",,"64",,"22.97","11.52","27.9","percent of total billed charges",,
"XR SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"36","18","Blue Cross Blue Shield","Pathways","",,"71",,"25.42","11.52","27.9","percent of total billed charges",,
"XR SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"36","18","Blue Cross Blue Shield","HMO","",,"71",,"25.42","11.52","27.9","percent of total billed charges",,
"XR SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"36","18","Blue Cross Blue Shield","PPO","",,"71",,"25.42","11.52","27.9","percent of total billed charges",,
"XR SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"36","18","Ambetter","Health Exchange","",,"62",,"22.32","11.52","27.9","percent of total billed charges",,
"XR SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"36","18","Caresource","Health Exchange","",,"62",,"22.32","11.52","27.9","percent of total billed charges",,
"XR SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"36","18","Cigna","Commercial","",,"59",,"21.1","11.52","27.9","percent of total billed charges",,
"XR SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"36","18","Humana","Commercial","",,"78",,"27.9","11.52","27.9","percent of total billed charges",,
"XR SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"36","18","UHC","Commercial","",,"75",,"27.14","11.52","27.9","percent of total billed charges",,
"XR SACRUM OR COCCYX MIN 2 VWS","72220","HCPCS","Both",,,"36","18","Medicaid",,"",,"37",,"13.18","11.52","27.9","percent of total billed charges",,
"XR SACROILIAC JOINTS 3 OR MORE VIEWS","72202","HCPCS","Both",,,"103.5","51.75","Alliant","Health Exchange","",,"62",,"64.17","37.88","80.21","percent of total billed charges",,
"XR SACROILIAC JOINTS 3 OR MORE VIEWS","72202","HCPCS","Both",,,"103.5","51.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"55.89","37.88","80.21","percent of total billed charges",,
"XR SACROILIAC JOINTS 3 OR MORE VIEWS","72202","HCPCS","Both",,,"103.5","51.75","Medicare",,"",,"54",,"56.1","37.88","80.21","percent of total billed charges",,
"XR SACROILIAC JOINTS 3 OR MORE VIEWS","72202","HCPCS","Both",,,"103.5","51.75","Humana","Medicare Advantage","",,"54",,"56.1","37.88","80.21","percent of total billed charges",,
"XR SACROILIAC JOINTS 3 OR MORE VIEWS","72202","HCPCS","Both",,,"103.5","51.75","UHC","Medicare Advantage","",,"54",,"56.1","37.88","80.21","percent of total billed charges",,
"XR SACROILIAC JOINTS 3 OR MORE VIEWS","72202","HCPCS","Both",,,"103.5","51.75","Clover","Medicare Advantage","",,"54",,"56.1","37.88","80.21","percent of total billed charges",,
"XR SACROILIAC JOINTS 3 OR MORE VIEWS","72202","HCPCS","Both",,,"103.5","51.75","Wellcare","Medicare Advantage","",,"54",,"56.1","37.88","80.21","percent of total billed charges",,
"XR SACROILIAC JOINTS 3 OR MORE VIEWS","72202","HCPCS","Both",,,"103.5","51.75","Amerigroup","Medicaid Managed Care","",,"37",,"37.88","37.88","80.21","percent of total billed charges",,
"XR SACROILIAC JOINTS 3 OR MORE VIEWS","72202","HCPCS","Both",,,"103.5","51.75","Caresource","Medicaid Managed Care","",,"40",,"41.4","37.88","80.21","percent of total billed charges",,
"XR SACROILIAC JOINTS 3 OR MORE VIEWS","72202","HCPCS","Both",,,"103.5","51.75","Wellcare","Medicaid Managed Care","",,"40",,"41.92","37.88","80.21","percent of total billed charges",,
"XR SACROILIAC JOINTS 3 OR MORE VIEWS","72202","HCPCS","Both",,,"103.5","51.75","Aetna","Commercial","",,"64",,"66.03","37.88","80.21","percent of total billed charges",,
"XR SACROILIAC JOINTS 3 OR MORE VIEWS","72202","HCPCS","Both",,,"103.5","51.75","Blue Cross Blue Shield","Pathways","",,"71",,"73.07","37.88","80.21","percent of total billed charges",,
"XR SACROILIAC JOINTS 3 OR MORE VIEWS","72202","HCPCS","Both",,,"103.5","51.75","Blue Cross Blue Shield","HMO","",,"71",,"73.07","37.88","80.21","percent of total billed charges",,
"XR SACROILIAC JOINTS 3 OR MORE VIEWS","72202","HCPCS","Both",,,"103.5","51.75","Blue Cross Blue Shield","PPO","",,"71",,"73.07","37.88","80.21","percent of total billed charges",,
"XR SACROILIAC JOINTS 3 OR MORE VIEWS","72202","HCPCS","Both",,,"103.5","51.75","Ambetter","Health Exchange","",,"62",,"64.17","37.88","80.21","percent of total billed charges",,
"XR SACROILIAC JOINTS 3 OR MORE VIEWS","72202","HCPCS","Both",,,"103.5","51.75","Caresource","Health Exchange","",,"62",,"64.17","37.88","80.21","percent of total billed charges",,
"XR SACROILIAC JOINTS 3 OR MORE VIEWS","72202","HCPCS","Both",,,"103.5","51.75","Cigna","Commercial","",,"59",,"60.65","37.88","80.21","percent of total billed charges",,
"XR SACROILIAC JOINTS 3 OR MORE VIEWS","72202","HCPCS","Both",,,"103.5","51.75","Humana","Commercial","",,"78",,"80.21","37.88","80.21","percent of total billed charges",,
"XR SACROILIAC JOINTS 3 OR MORE VIEWS","72202","HCPCS","Both",,,"103.5","51.75","UHC","Commercial","",,"75",,"78.04","37.88","80.21","percent of total billed charges",,
"XR SACROILIAC JOINTS 3 OR MORE VIEWS","72202","HCPCS","Both",,,"103.5","51.75","Medicaid",,"",,"37",,"37.88","37.88","80.21","percent of total billed charges",,
"XR HAND 2 VIEWS LEFT","73120","HCPCS","Both",,,"247","123.5","Alliant","Health Exchange","LT",,"62",,"153.14","90.4","191.42","percent of total billed charges",,
"XR HAND 2 VIEWS LEFT","73120","HCPCS","Both",,,"247","123.5","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"133.38","90.4","191.42","percent of total billed charges",,
"XR HAND 2 VIEWS LEFT","73120","HCPCS","Both",,,"247","123.5","Medicare",,"LT",,"54",,"133.87","90.4","191.42","percent of total billed charges",,
"XR HAND 2 VIEWS LEFT","73120","HCPCS","Both",,,"247","123.5","Humana","Medicare Advantage","LT",,"54",,"133.87","90.4","191.42","percent of total billed charges",,
"XR HAND 2 VIEWS LEFT","73120","HCPCS","Both",,,"247","123.5","UHC","Medicare Advantage","LT",,"54",,"133.87","90.4","191.42","percent of total billed charges",,
"XR HAND 2 VIEWS LEFT","73120","HCPCS","Both",,,"247","123.5","Clover","Medicare Advantage","LT",,"54",,"133.87","90.4","191.42","percent of total billed charges",,
"XR HAND 2 VIEWS LEFT","73120","HCPCS","Both",,,"247","123.5","Wellcare","Medicare Advantage","LT",,"54",,"133.87","90.4","191.42","percent of total billed charges",,
"XR HAND 2 VIEWS LEFT","73120","HCPCS","Both",,,"247","123.5","Amerigroup","Medicaid Managed Care","LT",,"37",,"90.4","90.4","191.42","percent of total billed charges",,
"XR HAND 2 VIEWS LEFT","73120","HCPCS","Both",,,"247","123.5","Caresource","Medicaid Managed Care","LT",,"40",,"98.8","90.4","191.42","percent of total billed charges",,
"XR HAND 2 VIEWS LEFT","73120","HCPCS","Both",,,"247","123.5","Wellcare","Medicaid Managed Care","LT",,"40",,"100.04","90.4","191.42","percent of total billed charges",,
"XR HAND 2 VIEWS LEFT","73120","HCPCS","Both",,,"247","123.5","Aetna","Commercial","LT",,"64",,"157.59","90.4","191.42","percent of total billed charges",,
"XR HAND 2 VIEWS LEFT","73120","HCPCS","Both",,,"247","123.5","Blue Cross Blue Shield","Pathways","LT",,"71",,"174.38","90.4","191.42","percent of total billed charges",,
"XR HAND 2 VIEWS LEFT","73120","HCPCS","Both",,,"247","123.5","Blue Cross Blue Shield","HMO","LT",,"71",,"174.38","90.4","191.42","percent of total billed charges",,
"XR HAND 2 VIEWS LEFT","73120","HCPCS","Both",,,"247","123.5","Blue Cross Blue Shield","PPO","LT",,"71",,"174.38","90.4","191.42","percent of total billed charges",,
"XR HAND 2 VIEWS LEFT","73120","HCPCS","Both",,,"247","123.5","Ambetter","Health Exchange","LT",,"62",,"153.14","90.4","191.42","percent of total billed charges",,
"XR HAND 2 VIEWS LEFT","73120","HCPCS","Both",,,"247","123.5","Caresource","Health Exchange","LT",,"62",,"153.14","90.4","191.42","percent of total billed charges",,
"XR HAND 2 VIEWS LEFT","73120","HCPCS","Both",,,"247","123.5","Cigna","Commercial","LT",,"59",,"144.74","90.4","191.42","percent of total billed charges",,
"XR HAND 2 VIEWS LEFT","73120","HCPCS","Both",,,"247","123.5","Humana","Commercial","LT",,"78",,"191.42","90.4","191.42","percent of total billed charges",,
"XR HAND 2 VIEWS LEFT","73120","HCPCS","Both",,,"247","123.5","UHC","Commercial","LT",,"75",,"186.24","90.4","191.42","percent of total billed charges",,
"XR HAND 2 VIEWS LEFT","73120","HCPCS","Both",,,"247","123.5","Medicaid",,"LT",,"37",,"90.4","90.4","191.42","percent of total billed charges",,
"XR FINGERS MIN 2 VWS","73140","HCPCS","Both",,,"470.05","235.025","Alliant","Health Exchange","",,"62",,"291.43","7.18","364.29","percent of total billed charges",,
"XR FINGERS MIN 2 VWS","73140","HCPCS","Both",,,"470.05","235.025","Pruitt Healthcare","Medicare Advantage","",,"54",,"253.83","7.18","364.29","percent of total billed charges",,
"XR FINGERS MIN 2 VWS","73140","HCPCS","Both",,,"470.05","235.025","Medicare",,"",,"54",,"254.77","7.18","364.29","percent of total billed charges",,
"XR FINGERS MIN 2 VWS","73140","HCPCS","Both",,,"470.05","235.025","Humana","Medicare Advantage","",,"54",,"254.77","7.18","364.29","percent of total billed charges",,
"XR FINGERS MIN 2 VWS","73140","HCPCS","Both",,,"470.05","235.025","UHC","Medicare Advantage","",,"54",,"254.77","7.18","364.29","percent of total billed charges",,
"XR FINGERS MIN 2 VWS","73140","HCPCS","Both",,,"470.05","235.025","Clover","Medicare Advantage","",,"54",,"254.77","7.18","364.29","percent of total billed charges",,
"XR FINGERS MIN 2 VWS","73140","HCPCS","Both",,,"470.05","235.025","Wellcare","Medicare Advantage","",,"54",,"254.77","7.18","364.29","percent of total billed charges",,
"XR FINGERS MIN 2 VWS","73140","HCPCS","Both",,,"470.05","235.025","Amerigroup","Medicaid Managed Care","",,"37",,"172.04","7.18","364.29","percent of total billed charges",,
"XR FINGERS MIN 2 VWS","73140","HCPCS","Both",,,"470.05","235.025","Caresource","Medicaid Managed Care","",,"40",,"188.02","7.18","364.29","percent of total billed charges",,
"XR FINGERS MIN 2 VWS","73140","HCPCS","Both",,,"470.05","235.025","Wellcare","Medicaid Managed Care","",,"40",,"190.37","7.18","364.29","percent of total billed charges",,
"XR FINGERS MIN 2 VWS","73140","HCPCS","Both",,,"470.05","235.025","Aetna","Commercial","",,"64",,"299.89","7.18","364.29","percent of total billed charges",,
"XR FINGERS MIN 2 VWS","73140","HCPCS","Both",,,"470.05","235.025","Blue Cross Blue Shield","Pathways","",,"71",,"331.86","7.18","364.29","percent of total billed charges",,
"XR FINGERS MIN 2 VWS","73140","HCPCS","Both",,,"470.05","235.025","Blue Cross Blue Shield","HMO","",,"71",,"331.86","7.18","364.29","percent of total billed charges",,
"XR FINGERS MIN 2 VWS","73140","HCPCS","Both",,,"470.05","235.025","Blue Cross Blue Shield","PPO","",,"71",,"331.86","7.18","364.29","percent of total billed charges",,
"XR FINGERS MIN 2 VWS","73140","HCPCS","Both",,,"470.05","235.025","Ambetter","Health Exchange","",,"62",,"291.43","7.18","364.29","percent of total billed charges",,
"XR FINGERS MIN 2 VWS","73140","HCPCS","Both",,,"470.05","235.025","Caresource","Health Exchange","",,"62",,"291.43","7.18","364.29","percent of total billed charges",,
"XR FINGERS MIN 2 VWS","73140","HCPCS","Both",,,"470.05","235.025","Cigna","Commercial","",,"59",,"275.45","7.18","364.29","percent of total billed charges",,
"XR FINGERS MIN 2 VWS","73140","HCPCS","Both",,,"470.05","235.025","Humana","Commercial","",,"78",,"364.29","7.18","364.29","percent of total billed charges",,
"XR FINGERS MIN 2 VWS","73140","HCPCS","Both",,,"470.05","235.025","UHC","Commercial","",,"75",,"354.42","7.18","364.29","percent of total billed charges",,
"XR FINGERS MIN 2 VWS","73140","HCPCS","Both",,,"470.05","235.025","Medicaid",,"",,"37",,"172.04","7.18","364.29","percent of total billed charges",,
"XR WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"386","193","Alliant","Health Exchange","LT",,"62",,"239.32","9","543.66","percent of total billed charges",,
"XR WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"386","193","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"208.44","9","543.66","percent of total billed charges",,
"XR WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"386","193","Medicare",,"LT",,"54",,"209.21","9","543.66","percent of total billed charges",,
"XR WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"386","193","Humana","Medicare Advantage","LT",,"54",,"209.21","9","543.66","percent of total billed charges",,
"XR WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"386","193","UHC","Medicare Advantage","LT",,"54",,"209.21","9","543.66","percent of total billed charges",,
"XR WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"386","193","Clover","Medicare Advantage","LT",,"54",,"209.21","9","543.66","percent of total billed charges",,
"XR WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"386","193","Wellcare","Medicare Advantage","LT",,"54",,"209.21","9","543.66","percent of total billed charges",,
"XR WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"386","193","Amerigroup","Medicaid Managed Care","LT",,"37",,"141.28","9","543.66","percent of total billed charges",,
"XR WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"386","193","Caresource","Medicaid Managed Care","LT",,"40",,"154.4","9","543.66","percent of total billed charges",,
"XR WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"386","193","Wellcare","Medicaid Managed Care","LT",,"40",,"156.33","9","543.66","percent of total billed charges",,
"XR WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"386","193","Aetna","Commercial","LT",,"64",,"246.27","9","543.66","percent of total billed charges",,
"XR WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"386","193","Blue Cross Blue Shield","Pathways","LT",,"71",,"272.52","9","543.66","percent of total billed charges",,
"XR WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"386","193","Blue Cross Blue Shield","HMO","LT",,"71",,"272.52","9","543.66","percent of total billed charges",,
"XR WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"386","193","Blue Cross Blue Shield","PPO","LT",,"71",,"272.52","9","543.66","percent of total billed charges",,
"XR WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"386","193","Ambetter","Health Exchange","LT",,"62",,"239.32","9","543.66","percent of total billed charges",,
"XR WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"386","193","Caresource","Health Exchange","LT",,"62",,"239.32","9","543.66","percent of total billed charges",,
"XR WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"386","193","Cigna","Commercial","LT",,"59",,"226.2","9","543.66","percent of total billed charges",,
"XR WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"386","193","Humana","Commercial","LT",,"78",,"299.15","9","543.66","percent of total billed charges",,
"XR WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"386","193","UHC","Commercial","LT",,"75",,"291.04","9","543.66","percent of total billed charges",,
"XR WRIST 3 VIEWS LEFT","73110","HCPCS","Both",,,"386","193","Medicaid",,"LT",,"37",,"141.28","9","543.66","percent of total billed charges",,
"XR FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"731.07","365.535","Alliant","Health Exchange","LT",,"62",,"453.26","8.3","566.58","percent of total billed charges",,
"XR FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"731.07","365.535","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"394.78","8.3","566.58","percent of total billed charges",,
"XR FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"731.07","365.535","Medicare",,"LT",,"54",,"396.24","8.3","566.58","percent of total billed charges",,
"XR FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"731.07","365.535","Humana","Medicare Advantage","LT",,"54",,"396.24","8.3","566.58","percent of total billed charges",,
"XR FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"731.07","365.535","UHC","Medicare Advantage","LT",,"54",,"396.24","8.3","566.58","percent of total billed charges",,
"XR FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"731.07","365.535","Clover","Medicare Advantage","LT",,"54",,"396.24","8.3","566.58","percent of total billed charges",,
"XR FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"731.07","365.535","Wellcare","Medicare Advantage","LT",,"54",,"396.24","8.3","566.58","percent of total billed charges",,
"XR FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"731.07","365.535","Amerigroup","Medicaid Managed Care","LT",,"37",,"267.57","8.3","566.58","percent of total billed charges",,
"XR FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"731.07","365.535","Caresource","Medicaid Managed Care","LT",,"40",,"292.43","8.3","566.58","percent of total billed charges",,
"XR FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"731.07","365.535","Wellcare","Medicaid Managed Care","LT",,"40",,"296.08","8.3","566.58","percent of total billed charges",,
"XR FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"731.07","365.535","Aetna","Commercial","LT",,"64",,"466.42","8.3","566.58","percent of total billed charges",,
"XR FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"731.07","365.535","Blue Cross Blue Shield","Pathways","LT",,"71",,"516.14","8.3","566.58","percent of total billed charges",,
"XR FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"731.07","365.535","Blue Cross Blue Shield","HMO","LT",,"71",,"516.14","8.3","566.58","percent of total billed charges",,
"XR FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"731.07","365.535","Blue Cross Blue Shield","PPO","LT",,"71",,"516.14","8.3","566.58","percent of total billed charges",,
"XR FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"731.07","365.535","Ambetter","Health Exchange","LT",,"62",,"453.26","8.3","566.58","percent of total billed charges",,
"XR FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"731.07","365.535","Caresource","Health Exchange","LT",,"62",,"453.26","8.3","566.58","percent of total billed charges",,
"XR FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"731.07","365.535","Cigna","Commercial","LT",,"59",,"428.41","8.3","566.58","percent of total billed charges",,
"XR FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"731.07","365.535","Humana","Commercial","LT",,"78",,"566.58","8.3","566.58","percent of total billed charges",,
"XR FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"731.07","365.535","UHC","Commercial","LT",,"75",,"551.23","8.3","566.58","percent of total billed charges",,
"XR FOREARM 2 VIEWS LEFT","73090","HCPCS","Both",,,"731.07","365.535","Medicaid",,"LT",,"37",,"267.57","8.3","566.58","percent of total billed charges",,
"XR ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"620.5","310.25","Alliant","Health Exchange","LT",,"62",,"384.71","9","480.89","percent of total billed charges",,
"XR ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"620.5","310.25","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"335.07","9","480.89","percent of total billed charges",,
"XR ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"620.5","310.25","Medicare",,"LT",,"54",,"336.31","9","480.89","percent of total billed charges",,
"XR ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"620.5","310.25","Humana","Medicare Advantage","LT",,"54",,"336.31","9","480.89","percent of total billed charges",,
"XR ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"620.5","310.25","UHC","Medicare Advantage","LT",,"54",,"336.31","9","480.89","percent of total billed charges",,
"XR ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"620.5","310.25","Clover","Medicare Advantage","LT",,"54",,"336.31","9","480.89","percent of total billed charges",,
"XR ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"620.5","310.25","Wellcare","Medicare Advantage","LT",,"54",,"336.31","9","480.89","percent of total billed charges",,
"XR ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"620.5","310.25","Amerigroup","Medicaid Managed Care","LT",,"37",,"227.1","9","480.89","percent of total billed charges",,
"XR ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"620.5","310.25","Caresource","Medicaid Managed Care","LT",,"40",,"248.2","9","480.89","percent of total billed charges",,
"XR ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"620.5","310.25","Wellcare","Medicaid Managed Care","LT",,"40",,"251.3","9","480.89","percent of total billed charges",,
"XR ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"620.5","310.25","Aetna","Commercial","LT",,"64",,"395.88","9","480.89","percent of total billed charges",,
"XR ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"620.5","310.25","Blue Cross Blue Shield","Pathways","LT",,"71",,"438.07","9","480.89","percent of total billed charges",,
"XR ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"620.5","310.25","Blue Cross Blue Shield","HMO","LT",,"71",,"438.07","9","480.89","percent of total billed charges",,
"XR ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"620.5","310.25","Blue Cross Blue Shield","PPO","LT",,"71",,"438.07","9","480.89","percent of total billed charges",,
"XR ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"620.5","310.25","Ambetter","Health Exchange","LT",,"62",,"384.71","9","480.89","percent of total billed charges",,
"XR ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"620.5","310.25","Caresource","Health Exchange","LT",,"62",,"384.71","9","480.89","percent of total billed charges",,
"XR ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"620.5","310.25","Cigna","Commercial","LT",,"59",,"363.61","9","480.89","percent of total billed charges",,
"XR ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"620.5","310.25","Humana","Commercial","LT",,"78",,"480.89","9","480.89","percent of total billed charges",,
"XR ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"620.5","310.25","UHC","Commercial","LT",,"75",,"467.86","9","480.89","percent of total billed charges",,
"XR ELBOW 3 VIEWS LEFT","73080","HCPCS","Both",,,"620.5","310.25","Medicaid",,"LT",,"37",,"227.1","9","480.89","percent of total billed charges",,
"XR HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Alliant","Health Exchange","LT",,"62",,"159.65","8.63","199.56","percent of total billed charges",,
"XR HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"139.05","8.63","199.56","percent of total billed charges",,
"XR HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Medicare",,"LT",,"54",,"139.56","8.63","199.56","percent of total billed charges",,
"XR HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Humana","Medicare Advantage","LT",,"54",,"139.56","8.63","199.56","percent of total billed charges",,
"XR HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","UHC","Medicare Advantage","LT",,"54",,"139.56","8.63","199.56","percent of total billed charges",,
"XR HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Clover","Medicare Advantage","LT",,"54",,"139.56","8.63","199.56","percent of total billed charges",,
"XR HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Wellcare","Medicare Advantage","LT",,"54",,"139.56","8.63","199.56","percent of total billed charges",,
"XR HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Amerigroup","Medicaid Managed Care","LT",,"37",,"94.24","8.63","199.56","percent of total billed charges",,
"XR HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Caresource","Medicaid Managed Care","LT",,"40",,"103","8.63","199.56","percent of total billed charges",,
"XR HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Wellcare","Medicaid Managed Care","LT",,"40",,"104.29","8.63","199.56","percent of total billed charges",,
"XR HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Aetna","Commercial","LT",,"64",,"164.28","8.63","199.56","percent of total billed charges",,
"XR HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Blue Cross Blue Shield","Pathways","LT",,"71",,"181.8","8.63","199.56","percent of total billed charges",,
"XR HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Blue Cross Blue Shield","HMO","LT",,"71",,"181.8","8.63","199.56","percent of total billed charges",,
"XR HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Blue Cross Blue Shield","PPO","LT",,"71",,"181.8","8.63","199.56","percent of total billed charges",,
"XR HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Ambetter","Health Exchange","LT",,"62",,"159.65","8.63","199.56","percent of total billed charges",,
"XR HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Caresource","Health Exchange","LT",,"62",,"159.65","8.63","199.56","percent of total billed charges",,
"XR HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Cigna","Commercial","LT",,"59",,"150.89","8.63","199.56","percent of total billed charges",,
"XR HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Humana","Commercial","LT",,"78",,"199.56","8.63","199.56","percent of total billed charges",,
"XR HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","UHC","Commercial","LT",,"75",,"194.16","8.63","199.56","percent of total billed charges",,
"XR HUMERUS 2 VIEWS LEFT","73060","HCPCS","Both",,,"257.5","128.75","Medicaid",,"LT",,"37",,"94.24","8.63","199.56","percent of total billed charges",,
"XR SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"797.34","398.67","Alliant","Health Exchange","LT",,"62",,"494.35","9.7","617.94","percent of total billed charges",,
"XR SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"797.34","398.67","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"430.56","9.7","617.94","percent of total billed charges",,
"XR SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"797.34","398.67","Medicare",,"LT",,"54",,"432.16","9.7","617.94","percent of total billed charges",,
"XR SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"797.34","398.67","Humana","Medicare Advantage","LT",,"54",,"432.16","9.7","617.94","percent of total billed charges",,
"XR SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"797.34","398.67","UHC","Medicare Advantage","LT",,"54",,"432.16","9.7","617.94","percent of total billed charges",,
"XR SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"797.34","398.67","Clover","Medicare Advantage","LT",,"54",,"432.16","9.7","617.94","percent of total billed charges",,
"XR SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"797.34","398.67","Wellcare","Medicare Advantage","LT",,"54",,"432.16","9.7","617.94","percent of total billed charges",,
"XR SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"797.34","398.67","Amerigroup","Medicaid Managed Care","LT",,"37",,"291.83","9.7","617.94","percent of total billed charges",,
"XR SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"797.34","398.67","Caresource","Medicaid Managed Care","LT",,"40",,"318.94","9.7","617.94","percent of total billed charges",,
"XR SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"797.34","398.67","Wellcare","Medicaid Managed Care","LT",,"40",,"322.92","9.7","617.94","percent of total billed charges",,
"XR SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"797.34","398.67","Aetna","Commercial","LT",,"64",,"508.7","9.7","617.94","percent of total billed charges",,
"XR SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"797.34","398.67","Blue Cross Blue Shield","Pathways","LT",,"71",,"562.92","9.7","617.94","percent of total billed charges",,
"XR SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"797.34","398.67","Blue Cross Blue Shield","HMO","LT",,"71",,"562.92","9.7","617.94","percent of total billed charges",,
"XR SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"797.34","398.67","Blue Cross Blue Shield","PPO","LT",,"71",,"562.92","9.7","617.94","percent of total billed charges",,
"XR SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"797.34","398.67","Ambetter","Health Exchange","LT",,"62",,"494.35","9.7","617.94","percent of total billed charges",,
"XR SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"797.34","398.67","Caresource","Health Exchange","LT",,"62",,"494.35","9.7","617.94","percent of total billed charges",,
"XR SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"797.34","398.67","Cigna","Commercial","LT",,"59",,"467.24","9.7","617.94","percent of total billed charges",,
"XR SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"797.34","398.67","Humana","Commercial","LT",,"78",,"617.94","9.7","617.94","percent of total billed charges",,
"XR SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"797.34","398.67","UHC","Commercial","LT",,"75",,"601.19","9.7","617.94","percent of total billed charges",,
"XR SHOULDER 2 VIEWS LEFT","73030","HCPCS","Both",,,"797.34","398.67","Medicaid",,"LT",,"37",,"291.83","9.7","617.94","percent of total billed charges",,
"XR A-C JOINTS BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Alliant","Health Exchange","",,"62",,"41.85","24.7","52.31","percent of total billed charges",,
"XR A-C JOINTS BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"36.45","24.7","52.31","percent of total billed charges",,
"XR A-C JOINTS BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Medicare",,"",,"54",,"36.58","24.7","52.31","percent of total billed charges",,
"XR A-C JOINTS BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Humana","Medicare Advantage","",,"54",,"36.58","24.7","52.31","percent of total billed charges",,
"XR A-C JOINTS BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","UHC","Medicare Advantage","",,"54",,"36.58","24.7","52.31","percent of total billed charges",,
"XR A-C JOINTS BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Clover","Medicare Advantage","",,"54",,"36.58","24.7","52.31","percent of total billed charges",,
"XR A-C JOINTS BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Wellcare","Medicare Advantage","",,"54",,"36.58","24.7","52.31","percent of total billed charges",,
"XR A-C JOINTS BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Amerigroup","Medicaid Managed Care","",,"37",,"24.7","24.7","52.31","percent of total billed charges",,
"XR A-C JOINTS BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Caresource","Medicaid Managed Care","",,"40",,"27","24.7","52.31","percent of total billed charges",,
"XR A-C JOINTS BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Wellcare","Medicaid Managed Care","",,"40",,"27.34","24.7","52.31","percent of total billed charges",,
"XR A-C JOINTS BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Aetna","Commercial","",,"64",,"43.06","24.7","52.31","percent of total billed charges",,
"XR A-C JOINTS BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Blue Cross Blue Shield","Pathways","",,"71",,"47.65","24.7","52.31","percent of total billed charges",,
"XR A-C JOINTS BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Blue Cross Blue Shield","HMO","",,"71",,"47.65","24.7","52.31","percent of total billed charges",,
"XR A-C JOINTS BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Blue Cross Blue Shield","PPO","",,"71",,"47.65","24.7","52.31","percent of total billed charges",,
"XR A-C JOINTS BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Ambetter","Health Exchange","",,"62",,"41.85","24.7","52.31","percent of total billed charges",,
"XR A-C JOINTS BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Caresource","Health Exchange","",,"62",,"41.85","24.7","52.31","percent of total billed charges",,
"XR A-C JOINTS BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Cigna","Commercial","",,"59",,"39.56","24.7","52.31","percent of total billed charges",,
"XR A-C JOINTS BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Humana","Commercial","",,"78",,"52.31","24.7","52.31","percent of total billed charges",,
"XR A-C JOINTS BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","UHC","Commercial","",,"75",,"50.9","24.7","52.31","percent of total billed charges",,
"XR A-C JOINTS BILATERAL","73050","HCPCS","Both",,,"67.5","33.75","Medicaid",,"",,"37",,"24.7","24.7","52.31","percent of total billed charges",,
"XR SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"153","76.5","Alliant","Health Exchange","LT",,"62",,"94.86","9.32","118.58","percent of total billed charges",,
"XR SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"153","76.5","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"82.62","9.32","118.58","percent of total billed charges",,
"XR SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"153","76.5","Medicare",,"LT",,"54",,"82.93","9.32","118.58","percent of total billed charges",,
"XR SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"153","76.5","Humana","Medicare Advantage","LT",,"54",,"82.93","9.32","118.58","percent of total billed charges",,
"XR SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"153","76.5","UHC","Medicare Advantage","LT",,"54",,"82.93","9.32","118.58","percent of total billed charges",,
"XR SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"153","76.5","Clover","Medicare Advantage","LT",,"54",,"82.93","9.32","118.58","percent of total billed charges",,
"XR SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"153","76.5","Wellcare","Medicare Advantage","LT",,"54",,"82.93","9.32","118.58","percent of total billed charges",,
"XR SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"153","76.5","Amerigroup","Medicaid Managed Care","LT",,"37",,"56","9.32","118.58","percent of total billed charges",,
"XR SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"153","76.5","Caresource","Medicaid Managed Care","LT",,"40",,"61.2","9.32","118.58","percent of total billed charges",,
"XR SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"153","76.5","Wellcare","Medicaid Managed Care","LT",,"40",,"61.96","9.32","118.58","percent of total billed charges",,
"XR SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"153","76.5","Aetna","Commercial","LT",,"64",,"97.61","9.32","118.58","percent of total billed charges",,
"XR SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"153","76.5","Blue Cross Blue Shield","Pathways","LT",,"71",,"108.02","9.32","118.58","percent of total billed charges",,
"XR SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"153","76.5","Blue Cross Blue Shield","HMO","LT",,"71",,"108.02","9.32","118.58","percent of total billed charges",,
"XR SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"153","76.5","Blue Cross Blue Shield","PPO","LT",,"71",,"108.02","9.32","118.58","percent of total billed charges",,
"XR SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"153","76.5","Ambetter","Health Exchange","LT",,"62",,"94.86","9.32","118.58","percent of total billed charges",,
"XR SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"153","76.5","Caresource","Health Exchange","LT",,"62",,"94.86","9.32","118.58","percent of total billed charges",,
"XR SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"153","76.5","Cigna","Commercial","LT",,"59",,"89.66","9.32","118.58","percent of total billed charges",,
"XR SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"153","76.5","Humana","Commercial","LT",,"78",,"118.58","9.32","118.58","percent of total billed charges",,
"XR SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"153","76.5","UHC","Commercial","LT",,"75",,"115.36","9.32","118.58","percent of total billed charges",,
"XR SCAPULA COMPLETE LEFT","73010","HCPCS","Both",,,"153","76.5","Medicaid",,"LT",,"37",,"56","9.32","118.58","percent of total billed charges",,
"XR CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"101","50.5","Alliant","Health Exchange","LT",,"62",,"62.62","8.63","78.28","percent of total billed charges",,
"XR CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"101","50.5","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"54.54","8.63","78.28","percent of total billed charges",,
"XR CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"101","50.5","Medicare",,"LT",,"54",,"54.74","8.63","78.28","percent of total billed charges",,
"XR CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"101","50.5","Humana","Medicare Advantage","LT",,"54",,"54.74","8.63","78.28","percent of total billed charges",,
"XR CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"101","50.5","UHC","Medicare Advantage","LT",,"54",,"54.74","8.63","78.28","percent of total billed charges",,
"XR CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"101","50.5","Clover","Medicare Advantage","LT",,"54",,"54.74","8.63","78.28","percent of total billed charges",,
"XR CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"101","50.5","Wellcare","Medicare Advantage","LT",,"54",,"54.74","8.63","78.28","percent of total billed charges",,
"XR CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"101","50.5","Amerigroup","Medicaid Managed Care","LT",,"37",,"36.97","8.63","78.28","percent of total billed charges",,
"XR CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"101","50.5","Caresource","Medicaid Managed Care","LT",,"40",,"40.4","8.63","78.28","percent of total billed charges",,
"XR CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"101","50.5","Wellcare","Medicaid Managed Care","LT",,"40",,"40.9","8.63","78.28","percent of total billed charges",,
"XR CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"101","50.5","Aetna","Commercial","LT",,"64",,"64.44","8.63","78.28","percent of total billed charges",,
"XR CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","Pathways","LT",,"71",,"71.31","8.63","78.28","percent of total billed charges",,
"XR CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","HMO","LT",,"71",,"71.31","8.63","78.28","percent of total billed charges",,
"XR CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","PPO","LT",,"71",,"71.31","8.63","78.28","percent of total billed charges",,
"XR CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"101","50.5","Ambetter","Health Exchange","LT",,"62",,"62.62","8.63","78.28","percent of total billed charges",,
"XR CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"101","50.5","Caresource","Health Exchange","LT",,"62",,"62.62","8.63","78.28","percent of total billed charges",,
"XR CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"101","50.5","Cigna","Commercial","LT",,"59",,"59.19","8.63","78.28","percent of total billed charges",,
"XR CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"101","50.5","Humana","Commercial","LT",,"78",,"78.28","8.63","78.28","percent of total billed charges",,
"XR CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"101","50.5","UHC","Commercial","LT",,"75",,"76.15","8.63","78.28","percent of total billed charges",,
"XR CLAVICLE COMPLETE LEFT","73000","HCPCS","Both",,,"101","50.5","Medicaid",,"LT",,"37",,"36.97","8.63","78.28","percent of total billed charges",,
"XR FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"735.04","367.52","Alliant","Health Exchange","LT",,"62",,"455.72","8.67","569.66","percent of total billed charges",,
"XR FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"735.04","367.52","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"396.92","8.67","569.66","percent of total billed charges",,
"XR FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"735.04","367.52","Medicare",,"LT",,"54",,"398.39","8.67","569.66","percent of total billed charges",,
"XR FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"735.04","367.52","Humana","Medicare Advantage","LT",,"54",,"398.39","8.67","569.66","percent of total billed charges",,
"XR FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"735.04","367.52","UHC","Medicare Advantage","LT",,"54",,"398.39","8.67","569.66","percent of total billed charges",,
"XR FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"735.04","367.52","Clover","Medicare Advantage","LT",,"54",,"398.39","8.67","569.66","percent of total billed charges",,
"XR FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"735.04","367.52","Wellcare","Medicare Advantage","LT",,"54",,"398.39","8.67","569.66","percent of total billed charges",,
"XR FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"735.04","367.52","Amerigroup","Medicaid Managed Care","LT",,"37",,"269.02","8.67","569.66","percent of total billed charges",,
"XR FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"735.04","367.52","Caresource","Medicaid Managed Care","LT",,"40",,"294.02","8.67","569.66","percent of total billed charges",,
"XR FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"735.04","367.52","Wellcare","Medicaid Managed Care","LT",,"40",,"297.69","8.67","569.66","percent of total billed charges",,
"XR FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"735.04","367.52","Aetna","Commercial","LT",,"64",,"468.96","8.67","569.66","percent of total billed charges",,
"XR FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"735.04","367.52","Blue Cross Blue Shield","Pathways","LT",,"71",,"518.94","8.67","569.66","percent of total billed charges",,
"XR FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"735.04","367.52","Blue Cross Blue Shield","HMO","LT",,"71",,"518.94","8.67","569.66","percent of total billed charges",,
"XR FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"735.04","367.52","Blue Cross Blue Shield","PPO","LT",,"71",,"518.94","8.67","569.66","percent of total billed charges",,
"XR FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"735.04","367.52","Ambetter","Health Exchange","LT",,"62",,"455.72","8.67","569.66","percent of total billed charges",,
"XR FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"735.04","367.52","Caresource","Health Exchange","LT",,"62",,"455.72","8.67","569.66","percent of total billed charges",,
"XR FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"735.04","367.52","Cigna","Commercial","LT",,"59",,"430.73","8.67","569.66","percent of total billed charges",,
"XR FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"735.04","367.52","Humana","Commercial","LT",,"78",,"569.66","8.67","569.66","percent of total billed charges",,
"XR FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"735.04","367.52","UHC","Commercial","LT",,"75",,"554.22","8.67","569.66","percent of total billed charges",,
"XR FOOT COMPLETE 3 VIEWS LEFT","73630","HCPCS","Both",,,"735.04","367.52","Medicaid",,"LT",,"37",,"269.02","8.67","569.66","percent of total billed charges",,
"XR HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Alliant","Health Exchange","LT",,"62",,"163.99","8.3","204.99","percent of total billed charges",,
"XR HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"142.83","8.3","204.99","percent of total billed charges",,
"XR HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Medicare",,"LT",,"54",,"143.36","8.3","204.99","percent of total billed charges",,
"XR HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Humana","Medicare Advantage","LT",,"54",,"143.36","8.3","204.99","percent of total billed charges",,
"XR HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","UHC","Medicare Advantage","LT",,"54",,"143.36","8.3","204.99","percent of total billed charges",,
"XR HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Clover","Medicare Advantage","LT",,"54",,"143.36","8.3","204.99","percent of total billed charges",,
"XR HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Wellcare","Medicare Advantage","LT",,"54",,"143.36","8.3","204.99","percent of total billed charges",,
"XR HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Amerigroup","Medicaid Managed Care","LT",,"37",,"96.81","8.3","204.99","percent of total billed charges",,
"XR HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Caresource","Medicaid Managed Care","LT",,"40",,"105.8","8.3","204.99","percent of total billed charges",,
"XR HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Wellcare","Medicaid Managed Care","LT",,"40",,"107.12","8.3","204.99","percent of total billed charges",,
"XR HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Aetna","Commercial","LT",,"64",,"168.75","8.3","204.99","percent of total billed charges",,
"XR HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Blue Cross Blue Shield","Pathways","LT",,"71",,"186.74","8.3","204.99","percent of total billed charges",,
"XR HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Blue Cross Blue Shield","HMO","LT",,"71",,"186.74","8.3","204.99","percent of total billed charges",,
"XR HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Blue Cross Blue Shield","PPO","LT",,"71",,"186.74","8.3","204.99","percent of total billed charges",,
"XR HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Ambetter","Health Exchange","LT",,"62",,"163.99","8.3","204.99","percent of total billed charges",,
"XR HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Caresource","Health Exchange","LT",,"62",,"163.99","8.3","204.99","percent of total billed charges",,
"XR HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Cigna","Commercial","LT",,"59",,"155","8.3","204.99","percent of total billed charges",,
"XR HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Humana","Commercial","LT",,"78",,"204.99","8.3","204.99","percent of total billed charges",,
"XR HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","UHC","Commercial","LT",,"75",,"199.43","8.3","204.99","percent of total billed charges",,
"XR HEEL (CALCANEUS) 2 VIEWS LEFT","73650","HCPCS","Both",,,"264.5","132.25","Medicaid",,"LT",,"37",,"96.81","8.3","204.99","percent of total billed charges",,
"XR ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"771.95","385.975","Alliant","Health Exchange","LT",,"62",,"478.61","9","598.26","percent of total billed charges",,
"XR ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"771.95","385.975","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"416.85","9","598.26","percent of total billed charges",,
"XR ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"771.95","385.975","Medicare",,"LT",,"54",,"418.4","9","598.26","percent of total billed charges",,
"XR ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"771.95","385.975","Humana","Medicare Advantage","LT",,"54",,"418.4","9","598.26","percent of total billed charges",,
"XR ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"771.95","385.975","UHC","Medicare Advantage","LT",,"54",,"418.4","9","598.26","percent of total billed charges",,
"XR ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"771.95","385.975","Clover","Medicare Advantage","LT",,"54",,"418.4","9","598.26","percent of total billed charges",,
"XR ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"771.95","385.975","Wellcare","Medicare Advantage","LT",,"54",,"418.4","9","598.26","percent of total billed charges",,
"XR ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"771.95","385.975","Amerigroup","Medicaid Managed Care","LT",,"37",,"282.53","9","598.26","percent of total billed charges",,
"XR ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"771.95","385.975","Caresource","Medicaid Managed Care","LT",,"40",,"308.78","9","598.26","percent of total billed charges",,
"XR ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"771.95","385.975","Wellcare","Medicaid Managed Care","LT",,"40",,"312.64","9","598.26","percent of total billed charges",,
"XR ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"771.95","385.975","Aetna","Commercial","LT",,"64",,"492.5","9","598.26","percent of total billed charges",,
"XR ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"771.95","385.975","Blue Cross Blue Shield","Pathways","LT",,"71",,"545","9","598.26","percent of total billed charges",,
"XR ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"771.95","385.975","Blue Cross Blue Shield","HMO","LT",,"71",,"545","9","598.26","percent of total billed charges",,
"XR ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"771.95","385.975","Blue Cross Blue Shield","PPO","LT",,"71",,"545","9","598.26","percent of total billed charges",,
"XR ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"771.95","385.975","Ambetter","Health Exchange","LT",,"62",,"478.61","9","598.26","percent of total billed charges",,
"XR ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"771.95","385.975","Caresource","Health Exchange","LT",,"62",,"478.61","9","598.26","percent of total billed charges",,
"XR ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"771.95","385.975","Cigna","Commercial","LT",,"59",,"452.36","9","598.26","percent of total billed charges",,
"XR ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"771.95","385.975","Humana","Commercial","LT",,"78",,"598.26","9","598.26","percent of total billed charges",,
"XR ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"771.95","385.975","UHC","Commercial","LT",,"75",,"582.05","9","598.26","percent of total billed charges",,
"XR ANKLE 3 VIEWS LEFT","73610","HCPCS","Both",,,"771.95","385.975","Medicaid",,"LT",,"37",,"282.53","9","598.26","percent of total billed charges",,
"XR TIBIA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"439.45","219.725","Alliant","Health Exchange","LT",,"62",,"272.46","8.3","340.57","percent of total billed charges",,
"XR TIBIA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"439.45","219.725","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"237.3","8.3","340.57","percent of total billed charges",,
"XR TIBIA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"439.45","219.725","Medicare",,"LT",,"54",,"238.18","8.3","340.57","percent of total billed charges",,
"XR TIBIA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"439.45","219.725","Humana","Medicare Advantage","LT",,"54",,"238.18","8.3","340.57","percent of total billed charges",,
"XR TIBIA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"439.45","219.725","UHC","Medicare Advantage","LT",,"54",,"238.18","8.3","340.57","percent of total billed charges",,
"XR TIBIA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"439.45","219.725","Clover","Medicare Advantage","LT",,"54",,"238.18","8.3","340.57","percent of total billed charges",,
"XR TIBIA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"439.45","219.725","Wellcare","Medicare Advantage","LT",,"54",,"238.18","8.3","340.57","percent of total billed charges",,
"XR TIBIA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"439.45","219.725","Amerigroup","Medicaid Managed Care","LT",,"37",,"160.84","8.3","340.57","percent of total billed charges",,
"XR TIBIA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"439.45","219.725","Caresource","Medicaid Managed Care","LT",,"40",,"175.78","8.3","340.57","percent of total billed charges",,
"XR TIBIA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"439.45","219.725","Wellcare","Medicaid Managed Care","LT",,"40",,"177.98","8.3","340.57","percent of total billed charges",,
"XR TIBIA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"439.45","219.725","Aetna","Commercial","LT",,"64",,"280.37","8.3","340.57","percent of total billed charges",,
"XR TIBIA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"439.45","219.725","Blue Cross Blue Shield","Pathways","LT",,"71",,"310.25","8.3","340.57","percent of total billed charges",,
"XR TIBIA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"439.45","219.725","Blue Cross Blue Shield","HMO","LT",,"71",,"310.25","8.3","340.57","percent of total billed charges",,
"XR TIBIA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"439.45","219.725","Blue Cross Blue Shield","PPO","LT",,"71",,"310.25","8.3","340.57","percent of total billed charges",,
"XR TIBIA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"439.45","219.725","Ambetter","Health Exchange","LT",,"62",,"272.46","8.3","340.57","percent of total billed charges",,
"XR TIBIA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"439.45","219.725","Caresource","Health Exchange","LT",,"62",,"272.46","8.3","340.57","percent of total billed charges",,
"XR TIBIA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"439.45","219.725","Cigna","Commercial","LT",,"59",,"257.52","8.3","340.57","percent of total billed charges",,
"XR TIBIA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"439.45","219.725","Humana","Commercial","LT",,"78",,"340.57","8.3","340.57","percent of total billed charges",,
"XR TIBIA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"439.45","219.725","UHC","Commercial","LT",,"75",,"331.35","8.3","340.57","percent of total billed charges",,
"XR TIBIA/FIBULA 2 VIEWS LEFT","73590","HCPCS","Both",,,"439.45","219.725","Medicaid",,"LT",,"37",,"160.84","8.3","340.57","percent of total billed charges",,
"XR KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"855.53","427.765","Alliant","Health Exchange","LT",,"62",,"530.43","9.7","663.04","percent of total billed charges",,
"XR KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"855.53","427.765","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"461.99","9.7","663.04","percent of total billed charges",,
"XR KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"855.53","427.765","Medicare",,"LT",,"54",,"463.7","9.7","663.04","percent of total billed charges",,
"XR KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"855.53","427.765","Humana","Medicare Advantage","LT",,"54",,"463.7","9.7","663.04","percent of total billed charges",,
"XR KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"855.53","427.765","UHC","Medicare Advantage","LT",,"54",,"463.7","9.7","663.04","percent of total billed charges",,
"XR KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"855.53","427.765","Clover","Medicare Advantage","LT",,"54",,"463.7","9.7","663.04","percent of total billed charges",,
"XR KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"855.53","427.765","Wellcare","Medicare Advantage","LT",,"54",,"463.7","9.7","663.04","percent of total billed charges",,
"XR KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"855.53","427.765","Amerigroup","Medicaid Managed Care","LT",,"37",,"313.12","9.7","663.04","percent of total billed charges",,
"XR KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"855.53","427.765","Caresource","Medicaid Managed Care","LT",,"40",,"342.21","9.7","663.04","percent of total billed charges",,
"XR KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"855.53","427.765","Wellcare","Medicaid Managed Care","LT",,"40",,"346.49","9.7","663.04","percent of total billed charges",,
"XR KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"855.53","427.765","Aetna","Commercial","LT",,"64",,"545.83","9.7","663.04","percent of total billed charges",,
"XR KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"855.53","427.765","Blue Cross Blue Shield","Pathways","LT",,"71",,"604","9.7","663.04","percent of total billed charges",,
"XR KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"855.53","427.765","Blue Cross Blue Shield","HMO","LT",,"71",,"604","9.7","663.04","percent of total billed charges",,
"XR KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"855.53","427.765","Blue Cross Blue Shield","PPO","LT",,"71",,"604","9.7","663.04","percent of total billed charges",,
"XR KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"855.53","427.765","Ambetter","Health Exchange","LT",,"62",,"530.43","9.7","663.04","percent of total billed charges",,
"XR KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"855.53","427.765","Caresource","Health Exchange","LT",,"62",,"530.43","9.7","663.04","percent of total billed charges",,
"XR KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"855.53","427.765","Cigna","Commercial","LT",,"59",,"501.34","9.7","663.04","percent of total billed charges",,
"XR KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"855.53","427.765","Humana","Commercial","LT",,"78",,"663.04","9.7","663.04","percent of total billed charges",,
"XR KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"855.53","427.765","UHC","Commercial","LT",,"75",,"645.07","9.7","663.04","percent of total billed charges",,
"XR KNEE 3 VIEWS LEFT","73562","HCPCS","Both",,,"855.53","427.765","Medicaid",,"LT",,"37",,"313.12","9.7","663.04","percent of total billed charges",,
"XR KNEE FOUR OR MORE VIEWS LEFT","73564","HCPCS","Both",,,"215.5","107.75","Alliant","Health Exchange","LT",,"62",,"133.61","78.87","167.01","percent of total billed charges",,
"XR KNEE FOUR OR MORE VIEWS LEFT","73564","HCPCS","Both",,,"215.5","107.75","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"116.37","78.87","167.01","percent of total billed charges",,
"XR KNEE FOUR OR MORE VIEWS LEFT","73564","HCPCS","Both",,,"215.5","107.75","Medicare",,"LT",,"54",,"116.8","78.87","167.01","percent of total billed charges",,
"XR KNEE FOUR OR MORE VIEWS LEFT","73564","HCPCS","Both",,,"215.5","107.75","Humana","Medicare Advantage","LT",,"54",,"116.8","78.87","167.01","percent of total billed charges",,
"XR KNEE FOUR OR MORE VIEWS LEFT","73564","HCPCS","Both",,,"215.5","107.75","UHC","Medicare Advantage","LT",,"54",,"116.8","78.87","167.01","percent of total billed charges",,
"XR KNEE FOUR OR MORE VIEWS LEFT","73564","HCPCS","Both",,,"215.5","107.75","Clover","Medicare Advantage","LT",,"54",,"116.8","78.87","167.01","percent of total billed charges",,
"XR KNEE FOUR OR MORE VIEWS LEFT","73564","HCPCS","Both",,,"215.5","107.75","Wellcare","Medicare Advantage","LT",,"54",,"116.8","78.87","167.01","percent of total billed charges",,
"XR KNEE FOUR OR MORE VIEWS LEFT","73564","HCPCS","Both",,,"215.5","107.75","Amerigroup","Medicaid Managed Care","LT",,"37",,"78.87","78.87","167.01","percent of total billed charges",,
"XR KNEE FOUR OR MORE VIEWS LEFT","73564","HCPCS","Both",,,"215.5","107.75","Caresource","Medicaid Managed Care","LT",,"40",,"86.2","78.87","167.01","percent of total billed charges",,
"XR KNEE FOUR OR MORE VIEWS LEFT","73564","HCPCS","Both",,,"215.5","107.75","Wellcare","Medicaid Managed Care","LT",,"40",,"87.28","78.87","167.01","percent of total billed charges",,
"XR KNEE FOUR OR MORE VIEWS LEFT","73564","HCPCS","Both",,,"215.5","107.75","Aetna","Commercial","LT",,"64",,"137.49","78.87","167.01","percent of total billed charges",,
"XR KNEE FOUR OR MORE VIEWS LEFT","73564","HCPCS","Both",,,"215.5","107.75","Blue Cross Blue Shield","Pathways","LT",,"71",,"152.14","78.87","167.01","percent of total billed charges",,
"XR KNEE FOUR OR MORE VIEWS LEFT","73564","HCPCS","Both",,,"215.5","107.75","Blue Cross Blue Shield","HMO","LT",,"71",,"152.14","78.87","167.01","percent of total billed charges",,
"XR KNEE FOUR OR MORE VIEWS LEFT","73564","HCPCS","Both",,,"215.5","107.75","Blue Cross Blue Shield","PPO","LT",,"71",,"152.14","78.87","167.01","percent of total billed charges",,
"XR KNEE FOUR OR MORE VIEWS LEFT","73564","HCPCS","Both",,,"215.5","107.75","Ambetter","Health Exchange","LT",,"62",,"133.61","78.87","167.01","percent of total billed charges",,
"XR KNEE FOUR OR MORE VIEWS LEFT","73564","HCPCS","Both",,,"215.5","107.75","Caresource","Health Exchange","LT",,"62",,"133.61","78.87","167.01","percent of total billed charges",,
"XR KNEE FOUR OR MORE VIEWS LEFT","73564","HCPCS","Both",,,"215.5","107.75","Cigna","Commercial","LT",,"59",,"126.28","78.87","167.01","percent of total billed charges",,
"XR KNEE FOUR OR MORE VIEWS LEFT","73564","HCPCS","Both",,,"215.5","107.75","Humana","Commercial","LT",,"78",,"167.01","78.87","167.01","percent of total billed charges",,
"XR KNEE FOUR OR MORE VIEWS LEFT","73564","HCPCS","Both",,,"215.5","107.75","UHC","Commercial","LT",,"75",,"162.49","78.87","167.01","percent of total billed charges",,
"XR KNEE FOUR OR MORE VIEWS LEFT","73564","HCPCS","Both",,,"215.5","107.75","Medicaid",,"LT",,"37",,"78.87","78.87","167.01","percent of total billed charges",,
"XR FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"101","50.5","Alliant","Health Exchange","LT",,"62",,"62.62","9.37","78.28","percent of total billed charges",,
"XR FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"101","50.5","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"54.54","9.37","78.28","percent of total billed charges",,
"XR FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"101","50.5","Medicare",,"LT",,"54",,"54.74","9.37","78.28","percent of total billed charges",,
"XR FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"101","50.5","Humana","Medicare Advantage","LT",,"54",,"54.74","9.37","78.28","percent of total billed charges",,
"XR FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"101","50.5","UHC","Medicare Advantage","LT",,"54",,"54.74","9.37","78.28","percent of total billed charges",,
"XR FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"101","50.5","Clover","Medicare Advantage","LT",,"54",,"54.74","9.37","78.28","percent of total billed charges",,
"XR FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"101","50.5","Wellcare","Medicare Advantage","LT",,"54",,"54.74","9.37","78.28","percent of total billed charges",,
"XR FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"101","50.5","Amerigroup","Medicaid Managed Care","LT",,"37",,"36.97","9.37","78.28","percent of total billed charges",,
"XR FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"101","50.5","Caresource","Medicaid Managed Care","LT",,"40",,"40.4","9.37","78.28","percent of total billed charges",,
"XR FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"101","50.5","Wellcare","Medicaid Managed Care","LT",,"40",,"40.9","9.37","78.28","percent of total billed charges",,
"XR FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"101","50.5","Aetna","Commercial","LT",,"64",,"64.44","9.37","78.28","percent of total billed charges",,
"XR FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","Pathways","LT",,"71",,"71.31","9.37","78.28","percent of total billed charges",,
"XR FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","HMO","LT",,"71",,"71.31","9.37","78.28","percent of total billed charges",,
"XR FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","PPO","LT",,"71",,"71.31","9.37","78.28","percent of total billed charges",,
"XR FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"101","50.5","Ambetter","Health Exchange","LT",,"62",,"62.62","9.37","78.28","percent of total billed charges",,
"XR FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"101","50.5","Caresource","Health Exchange","LT",,"62",,"62.62","9.37","78.28","percent of total billed charges",,
"XR FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"101","50.5","Cigna","Commercial","LT",,"59",,"59.19","9.37","78.28","percent of total billed charges",,
"XR FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"101","50.5","Humana","Commercial","LT",,"78",,"78.28","9.37","78.28","percent of total billed charges",,
"XR FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"101","50.5","UHC","Commercial","LT",,"75",,"76.15","9.37","78.28","percent of total billed charges",,
"XR FEMUR 2 VIEWS LEFT","73552","HCPCS","Both",,,"101","50.5","Medicaid",,"LT",,"37",,"36.97","9.37","78.28","percent of total billed charges",,
"XR PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"185.3","92.65","Alliant","Health Exchange","TC",,"62",,"114.89","9","143.61","percent of total billed charges",,
"XR PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"185.3","92.65","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"100.06","9","143.61","percent of total billed charges",,
"XR PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"185.3","92.65","Medicare",,"TC",,"54",,"100.43","9","143.61","percent of total billed charges",,
"XR PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"185.3","92.65","Humana","Medicare Advantage","TC",,"54",,"100.43","9","143.61","percent of total billed charges",,
"XR PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"185.3","92.65","UHC","Medicare Advantage","TC",,"54",,"100.43","9","143.61","percent of total billed charges",,
"XR PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"185.3","92.65","Clover","Medicare Advantage","TC",,"54",,"100.43","9","143.61","percent of total billed charges",,
"XR PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"185.3","92.65","Wellcare","Medicare Advantage","TC",,"54",,"100.43","9","143.61","percent of total billed charges",,
"XR PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"185.3","92.65","Amerigroup","Medicaid Managed Care","TC",,"37",,"67.82","9","143.61","percent of total billed charges",,
"XR PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"185.3","92.65","Caresource","Medicaid Managed Care","TC",,"40",,"74.12","9","143.61","percent of total billed charges",,
"XR PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"185.3","92.65","Wellcare","Medicaid Managed Care","TC",,"40",,"75.05","9","143.61","percent of total billed charges",,
"XR PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"185.3","92.65","Aetna","Commercial","TC",,"64",,"118.22","9","143.61","percent of total billed charges",,
"XR PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"185.3","92.65","Blue Cross Blue Shield","Pathways","TC",,"71",,"130.82","9","143.61","percent of total billed charges",,
"XR PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"185.3","92.65","Blue Cross Blue Shield","HMO","TC",,"71",,"130.82","9","143.61","percent of total billed charges",,
"XR PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"185.3","92.65","Blue Cross Blue Shield","PPO","TC",,"71",,"130.82","9","143.61","percent of total billed charges",,
"XR PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"185.3","92.65","Ambetter","Health Exchange","TC",,"62",,"114.89","9","143.61","percent of total billed charges",,
"XR PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"185.3","92.65","Caresource","Health Exchange","TC",,"62",,"114.89","9","143.61","percent of total billed charges",,
"XR PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"185.3","92.65","Cigna","Commercial","TC",,"59",,"108.59","9","143.61","percent of total billed charges",,
"XR PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"185.3","92.65","Humana","Commercial","TC",,"78",,"143.61","9","143.61","percent of total billed charges",,
"XR PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"185.3","92.65","UHC","Commercial","TC",,"75",,"139.72","9","143.61","percent of total billed charges",,
"XR PELVIS 1 OR 2 VIEWS","72170","HCPCS","Both",,,"185.3","92.65","Medicaid",,"TC",,"37",,"67.82","9","143.61","percent of total billed charges",,
"Room & Board","0121","RC","Inpatient",,,"950","475","Alliant","Health Exchange",,,"62",,"589","347.7","736.25","percent of total billed charges",,
"Room & Board","0121","RC","Inpatient",,,"950","475","Pruitt Healthcare","Medicare Advantage",,,"54",,"513","347.7","736.25","percent of total billed charges",,
"Room & Board","0121","RC","Inpatient",,,"950","475","Medicare",,,,"54",,"514.9","347.7","736.25","percent of total billed charges",,
"Room & Board","0121","RC","Inpatient",,,"950","475","Humana","Medicare Advantage",,,"54",,"514.9","347.7","736.25","percent of total billed charges",,
"Room & Board","0121","RC","Inpatient",,,"950","475","UHC","Medicare Advantage",,,"54",,"514.9","347.7","736.25","percent of total billed charges",,
"Room & Board","0121","RC","Inpatient",,,"950","475","Clover","Medicare Advantage",,,"54",,"514.9","347.7","736.25","percent of total billed charges",,
"Room & Board","0121","RC","Inpatient",,,"950","475","Wellcare","Medicare Advantage",,,"54",,"514.9","347.7","736.25","percent of total billed charges",,
"Room & Board","0121","RC","Inpatient",,,"950","475","Amerigroup","Medicaid Managed Care",,,"37",,"347.7","347.7","736.25","percent of total billed charges",,
"Room & Board","0121","RC","Inpatient",,,"950","475","Caresource","Medicaid Managed Care",,,"40",,"380","347.7","736.25","percent of total billed charges",,
"Room & Board","0121","RC","Inpatient",,,"950","475","Wellcare","Medicaid Managed Care",,,"40",,"384.75","347.7","736.25","percent of total billed charges",,
"Room & Board","0121","RC","Inpatient",,,"950","475","Aetna","Commercial",,,"64",,"606.1","347.7","736.25","percent of total billed charges",,
"Room & Board","0121","RC","Inpatient",,,"950","475","Blue Cross Blue Shield","Pathways",,,"71",,"670.7","347.7","736.25","percent of total billed charges",,
"Room & Board","0121","RC","Inpatient",,,"950","475","Blue Cross Blue Shield","HMO",,,"71",,"670.7","347.7","736.25","percent of total billed charges",,
"Room & Board","0121","RC","Inpatient",,,"950","475","Blue Cross Blue Shield","PPO",,,"71",,"670.7","347.7","736.25","percent of total billed charges",,
"Room & Board","0121","RC","Inpatient",,,"950","475","Ambetter","Health Exchange",,,"62",,"589","347.7","736.25","percent of total billed charges",,
"Room & Board","0121","RC","Inpatient",,,"950","475","Caresource","Health Exchange",,,"62",,"589","347.7","736.25","percent of total billed charges",,
"Room & Board","0121","RC","Inpatient",,,"950","475","Cigna","Commercial",,,"59",,"556.7","347.7","736.25","percent of total billed charges",,
"Room & Board","0121","RC","Inpatient",,,"950","475","Humana","Commercial",,,"78",,"736.25","347.7","736.25","percent of total billed charges",,
"Room & Board","0121","RC","Inpatient",,,"950","475","UHC","Commercial",,,"75",,"716.3","347.7","736.25","percent of total billed charges",,
"Room & Board","0121","RC","Inpatient",,,"950","475","Medicaid",,,,"37",,"347.7","347.7","736.25","percent of total billed charges",,
"Room & Board","0124","RC","Inpatient",,,"3000","3000","Alliant","Health Exchange",,,"62",,"1860","1098","2325","percent of total billed charges",,
"Room & Board","0124","RC","Inpatient",,,"3000","3000","Pruitt Healthcare","Medicare Advantage",,,"54",,"1620","1098","2325","percent of total billed charges",,
"Room & Board","0124","RC","Inpatient",,,"3000","3000","Medicare",,,,"54",,"1626","1098","2325","percent of total billed charges",,
"Room & Board","0124","RC","Inpatient",,,"3000","3000","Humana","Medicare Advantage",,,"54",,"1626","1098","2325","percent of total billed charges",,
"Room & Board","0124","RC","Inpatient",,,"3000","3000","UHC","Medicare Advantage",,,"54",,"1626","1098","2325","percent of total billed charges",,
"Room & Board","0124","RC","Inpatient",,,"3000","3000","Clover","Medicare Advantage",,,"54",,"1626","1098","2325","percent of total billed charges",,
"Room & Board","0124","RC","Inpatient",,,"3000","3000","Wellcare","Medicare Advantage",,,"54",,"1626","1098","2325","percent of total billed charges",,
"Room & Board","0124","RC","Inpatient",,,"3000","3000","Amerigroup","Medicaid Managed Care",,,"37",,"1098","1098","2325","percent of total billed charges",,
"Room & Board","0124","RC","Inpatient",,,"3000","3000","Caresource","Medicaid Managed Care",,,"40",,"1200","1098","2325","percent of total billed charges",,
"Room & Board","0124","RC","Inpatient",,,"3000","3000","Wellcare","Medicaid Managed Care",,,"40",,"1215","1098","2325","percent of total billed charges",,
"Room & Board","0124","RC","Inpatient",,,"3000","3000","Aetna","Commercial",,,"64",,"1914","1098","2325","percent of total billed charges",,
"Room & Board","0124","RC","Inpatient",,,"3000","3000","Blue Cross Blue Shield","Pathways",,,"71",,"2118","1098","2325","percent of total billed charges",,
"Room & Board","0124","RC","Inpatient",,,"3000","3000","Blue Cross Blue Shield","HMO",,,"71",,"2118","1098","2325","percent of total billed charges",,
"Room & Board","0124","RC","Inpatient",,,"3000","3000","Blue Cross Blue Shield","PPO",,,"71",,"2118","1098","2325","percent of total billed charges",,
"Room & Board","0124","RC","Inpatient",,,"3000","3000","Ambetter","Health Exchange",,,"62",,"1860","1098","2325","percent of total billed charges",,
"Room & Board","0124","RC","Inpatient",,,"3000","3000","Caresource","Health Exchange",,,"62",,"1860","1098","2325","percent of total billed charges",,
"Room & Board","0124","RC","Inpatient",,,"3000","3000","Cigna","Commercial",,,"59",,"1758","1098","2325","percent of total billed charges",,
"Room & Board","0124","RC","Inpatient",,,"3000","3000","Humana","Commercial",,,"78",,"2325","1098","2325","percent of total billed charges",,
"Room & Board","0124","RC","Inpatient",,,"3000","3000","UHC","Commercial",,,"75",,"2262","1098","2325","percent of total billed charges",,
"Room & Board","0124","RC","Inpatient",,,"3000","3000","Medicaid",,,,"37",,"1098","1098","2325","percent of total billed charges",,
"XR HIP UNILATERAL 2-3 VIEWS LEFT","73502","HCPCS","Both",,,"221.28","110.64","Alliant","Health Exchange","LT",,"62",,"137.19","9","171.49","percent of total billed charges",,
"XR HIP UNILATERAL 2-3 VIEWS LEFT","73502","HCPCS","Both",,,"221.28","110.64","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"119.49","9","171.49","percent of total billed charges",,
"XR HIP UNILATERAL 2-3 VIEWS LEFT","73502","HCPCS","Both",,,"221.28","110.64","Medicare",,"LT",,"54",,"119.93","9","171.49","percent of total billed charges",,
"XR HIP UNILATERAL 2-3 VIEWS LEFT","73502","HCPCS","Both",,,"221.28","110.64","Humana","Medicare Advantage","LT",,"54",,"119.93","9","171.49","percent of total billed charges",,
"XR HIP UNILATERAL 2-3 VIEWS LEFT","73502","HCPCS","Both",,,"221.28","110.64","UHC","Medicare Advantage","LT",,"54",,"119.93","9","171.49","percent of total billed charges",,
"XR HIP UNILATERAL 2-3 VIEWS LEFT","73502","HCPCS","Both",,,"221.28","110.64","Clover","Medicare Advantage","LT",,"54",,"119.93","9","171.49","percent of total billed charges",,
"XR HIP UNILATERAL 2-3 VIEWS LEFT","73502","HCPCS","Both",,,"221.28","110.64","Wellcare","Medicare Advantage","LT",,"54",,"119.93","9","171.49","percent of total billed charges",,
"XR HIP UNILATERAL 2-3 VIEWS LEFT","73502","HCPCS","Both",,,"221.28","110.64","Amerigroup","Medicaid Managed Care","LT",,"37",,"80.99","9","171.49","percent of total billed charges",,
"XR HIP UNILATERAL 2-3 VIEWS LEFT","73502","HCPCS","Both",,,"221.28","110.64","Caresource","Medicaid Managed Care","LT",,"40",,"88.51","9","171.49","percent of total billed charges",,
"XR HIP UNILATERAL 2-3 VIEWS LEFT","73502","HCPCS","Both",,,"221.28","110.64","Wellcare","Medicaid Managed Care","LT",,"40",,"89.62","9","171.49","percent of total billed charges",,
"XR HIP UNILATERAL 2-3 VIEWS LEFT","73502","HCPCS","Both",,,"221.28","110.64","Aetna","Commercial","LT",,"64",,"141.18","9","171.49","percent of total billed charges",,
"XR HIP UNILATERAL 2-3 VIEWS LEFT","73502","HCPCS","Both",,,"221.28","110.64","Blue Cross Blue Shield","Pathways","LT",,"71",,"156.22","9","171.49","percent of total billed charges",,
"XR HIP UNILATERAL 2-3 VIEWS LEFT","73502","HCPCS","Both",,,"221.28","110.64","Blue Cross Blue Shield","HMO","LT",,"71",,"156.22","9","171.49","percent of total billed charges",,
"XR HIP UNILATERAL 2-3 VIEWS LEFT","73502","HCPCS","Both",,,"221.28","110.64","Blue Cross Blue Shield","PPO","LT",,"71",,"156.22","9","171.49","percent of total billed charges",,
"XR HIP UNILATERAL 2-3 VIEWS LEFT","73502","HCPCS","Both",,,"221.28","110.64","Ambetter","Health Exchange","LT",,"62",,"137.19","9","171.49","percent of total billed charges",,
"XR HIP UNILATERAL 2-3 VIEWS LEFT","73502","HCPCS","Both",,,"221.28","110.64","Caresource","Health Exchange","LT",,"62",,"137.19","9","171.49","percent of total billed charges",,
"XR HIP UNILATERAL 2-3 VIEWS LEFT","73502","HCPCS","Both",,,"221.28","110.64","Cigna","Commercial","LT",,"59",,"129.67","9","171.49","percent of total billed charges",,
"XR HIP UNILATERAL 2-3 VIEWS LEFT","73502","HCPCS","Both",,,"221.28","110.64","Humana","Commercial","LT",,"78",,"171.49","9","171.49","percent of total billed charges",,
"XR HIP UNILATERAL 2-3 VIEWS LEFT","73502","HCPCS","Both",,,"221.28","110.64","UHC","Commercial","LT",,"75",,"166.85","9","171.49","percent of total billed charges",,
"XR HIP UNILATERAL 2-3 VIEWS LEFT","73502","HCPCS","Both",,,"221.28","110.64","Medicaid",,"LT",,"37",,"80.99","9","171.49","percent of total billed charges",,
"XR SHOULDER ARTHROGRAM","73040","HCPCS","Both",,,"337.5","168.75","Alliant","Health Exchange","",,"62",,"209.25","123.52","261.56","percent of total billed charges",,
"XR SHOULDER ARTHROGRAM","73040","HCPCS","Both",,,"337.5","168.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"182.25","123.52","261.56","percent of total billed charges",,
"XR SHOULDER ARTHROGRAM","73040","HCPCS","Both",,,"337.5","168.75","Medicare",,"",,"54",,"182.92","123.52","261.56","percent of total billed charges",,
"XR SHOULDER ARTHROGRAM","73040","HCPCS","Both",,,"337.5","168.75","Humana","Medicare Advantage","",,"54",,"182.92","123.52","261.56","percent of total billed charges",,
"XR SHOULDER ARTHROGRAM","73040","HCPCS","Both",,,"337.5","168.75","UHC","Medicare Advantage","",,"54",,"182.92","123.52","261.56","percent of total billed charges",,
"XR SHOULDER ARTHROGRAM","73040","HCPCS","Both",,,"337.5","168.75","Clover","Medicare Advantage","",,"54",,"182.92","123.52","261.56","percent of total billed charges",,
"XR SHOULDER ARTHROGRAM","73040","HCPCS","Both",,,"337.5","168.75","Wellcare","Medicare Advantage","",,"54",,"182.92","123.52","261.56","percent of total billed charges",,
"XR SHOULDER ARTHROGRAM","73040","HCPCS","Both",,,"337.5","168.75","Amerigroup","Medicaid Managed Care","",,"37",,"123.52","123.52","261.56","percent of total billed charges",,
"XR SHOULDER ARTHROGRAM","73040","HCPCS","Both",,,"337.5","168.75","Caresource","Medicaid Managed Care","",,"40",,"135","123.52","261.56","percent of total billed charges",,
"XR SHOULDER ARTHROGRAM","73040","HCPCS","Both",,,"337.5","168.75","Wellcare","Medicaid Managed Care","",,"40",,"136.69","123.52","261.56","percent of total billed charges",,
"XR SHOULDER ARTHROGRAM","73040","HCPCS","Both",,,"337.5","168.75","Aetna","Commercial","",,"64",,"215.32","123.52","261.56","percent of total billed charges",,
"XR SHOULDER ARTHROGRAM","73040","HCPCS","Both",,,"337.5","168.75","Blue Cross Blue Shield","Pathways","",,"71",,"238.27","123.52","261.56","percent of total billed charges",,
"XR SHOULDER ARTHROGRAM","73040","HCPCS","Both",,,"337.5","168.75","Blue Cross Blue Shield","HMO","",,"71",,"238.27","123.52","261.56","percent of total billed charges",,
"XR SHOULDER ARTHROGRAM","73040","HCPCS","Both",,,"337.5","168.75","Blue Cross Blue Shield","PPO","",,"71",,"238.27","123.52","261.56","percent of total billed charges",,
"XR SHOULDER ARTHROGRAM","73040","HCPCS","Both",,,"337.5","168.75","Ambetter","Health Exchange","",,"62",,"209.25","123.52","261.56","percent of total billed charges",,
"XR SHOULDER ARTHROGRAM","73040","HCPCS","Both",,,"337.5","168.75","Caresource","Health Exchange","",,"62",,"209.25","123.52","261.56","percent of total billed charges",,
"XR SHOULDER ARTHROGRAM","73040","HCPCS","Both",,,"337.5","168.75","Cigna","Commercial","",,"59",,"197.77","123.52","261.56","percent of total billed charges",,
"XR SHOULDER ARTHROGRAM","73040","HCPCS","Both",,,"337.5","168.75","Humana","Commercial","",,"78",,"261.56","123.52","261.56","percent of total billed charges",,
"XR SHOULDER ARTHROGRAM","73040","HCPCS","Both",,,"337.5","168.75","UHC","Commercial","",,"75",,"254.48","123.52","261.56","percent of total billed charges",,
"XR SHOULDER ARTHROGRAM","73040","HCPCS","Both",,,"337.5","168.75","Medicaid",,"",,"37",,"123.52","123.52","261.56","percent of total billed charges",,
"XR FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"735.04","367.52","Alliant","Health Exchange","RT",,"62",,"455.72","8.67","569.66","percent of total billed charges",,
"XR FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"735.04","367.52","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"396.92","8.67","569.66","percent of total billed charges",,
"XR FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"735.04","367.52","Medicare",,"RT",,"54",,"398.39","8.67","569.66","percent of total billed charges",,
"XR FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"735.04","367.52","Humana","Medicare Advantage","RT",,"54",,"398.39","8.67","569.66","percent of total billed charges",,
"XR FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"735.04","367.52","UHC","Medicare Advantage","RT",,"54",,"398.39","8.67","569.66","percent of total billed charges",,
"XR FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"735.04","367.52","Clover","Medicare Advantage","RT",,"54",,"398.39","8.67","569.66","percent of total billed charges",,
"XR FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"735.04","367.52","Wellcare","Medicare Advantage","RT",,"54",,"398.39","8.67","569.66","percent of total billed charges",,
"XR FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"735.04","367.52","Amerigroup","Medicaid Managed Care","RT",,"37",,"269.02","8.67","569.66","percent of total billed charges",,
"XR FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"735.04","367.52","Caresource","Medicaid Managed Care","RT",,"40",,"294.02","8.67","569.66","percent of total billed charges",,
"XR FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"735.04","367.52","Wellcare","Medicaid Managed Care","RT",,"40",,"297.69","8.67","569.66","percent of total billed charges",,
"XR FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"735.04","367.52","Aetna","Commercial","RT",,"64",,"468.96","8.67","569.66","percent of total billed charges",,
"XR FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"735.04","367.52","Blue Cross Blue Shield","Pathways","RT",,"71",,"518.94","8.67","569.66","percent of total billed charges",,
"XR FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"735.04","367.52","Blue Cross Blue Shield","HMO","RT",,"71",,"518.94","8.67","569.66","percent of total billed charges",,
"XR FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"735.04","367.52","Blue Cross Blue Shield","PPO","RT",,"71",,"518.94","8.67","569.66","percent of total billed charges",,
"XR FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"735.04","367.52","Ambetter","Health Exchange","RT",,"62",,"455.72","8.67","569.66","percent of total billed charges",,
"XR FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"735.04","367.52","Caresource","Health Exchange","RT",,"62",,"455.72","8.67","569.66","percent of total billed charges",,
"XR FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"735.04","367.52","Cigna","Commercial","RT",,"59",,"430.73","8.67","569.66","percent of total billed charges",,
"XR FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"735.04","367.52","Humana","Commercial","RT",,"78",,"569.66","8.67","569.66","percent of total billed charges",,
"XR FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"735.04","367.52","UHC","Commercial","RT",,"75",,"554.22","8.67","569.66","percent of total billed charges",,
"XR FOOT COMPLETE 3 VIEWS RIGHT","73630","HCPCS","Both",,,"735.04","367.52","Medicaid",,"RT",,"37",,"269.02","8.67","569.66","percent of total billed charges",,
"US BREASTS UNILATERAL\ BILATERAL","76641","HCPCS","Both",,,"934","467","Alliant","Health Exchange","",,"62",,"579.08","341.84","723.85","percent of total billed charges",,
"US BREASTS UNILATERAL\ BILATERAL","76641","HCPCS","Both",,,"934","467","Pruitt Healthcare","Medicare Advantage","",,"54",,"504.36","341.84","723.85","percent of total billed charges",,
"US BREASTS UNILATERAL\ BILATERAL","76641","HCPCS","Both",,,"934","467","Medicare",,"",,"54",,"506.23","341.84","723.85","percent of total billed charges",,
"US BREASTS UNILATERAL\ BILATERAL","76641","HCPCS","Both",,,"934","467","Humana","Medicare Advantage","",,"54",,"506.23","341.84","723.85","percent of total billed charges",,
"US BREASTS UNILATERAL\ BILATERAL","76641","HCPCS","Both",,,"934","467","UHC","Medicare Advantage","",,"54",,"506.23","341.84","723.85","percent of total billed charges",,
"US BREASTS UNILATERAL\ BILATERAL","76641","HCPCS","Both",,,"934","467","Clover","Medicare Advantage","",,"54",,"506.23","341.84","723.85","percent of total billed charges",,
"US BREASTS UNILATERAL\ BILATERAL","76641","HCPCS","Both",,,"934","467","Wellcare","Medicare Advantage","",,"54",,"506.23","341.84","723.85","percent of total billed charges",,
"US BREASTS UNILATERAL\ BILATERAL","76641","HCPCS","Both",,,"934","467","Amerigroup","Medicaid Managed Care","",,"37",,"341.84","341.84","723.85","percent of total billed charges",,
"US BREASTS UNILATERAL\ BILATERAL","76641","HCPCS","Both",,,"934","467","Caresource","Medicaid Managed Care","",,"40",,"373.6","341.84","723.85","percent of total billed charges",,
"US BREASTS UNILATERAL\ BILATERAL","76641","HCPCS","Both",,,"934","467","Wellcare","Medicaid Managed Care","",,"40",,"378.27","341.84","723.85","percent of total billed charges",,
"US BREASTS UNILATERAL\ BILATERAL","76641","HCPCS","Both",,,"934","467","Aetna","Commercial","",,"64",,"595.89","341.84","723.85","percent of total billed charges",,
"US BREASTS UNILATERAL\ BILATERAL","76641","HCPCS","Both",,,"934","467","Blue Cross Blue Shield","Pathways","",,"71",,"659.4","341.84","723.85","percent of total billed charges",,
"US BREASTS UNILATERAL\ BILATERAL","76641","HCPCS","Both",,,"934","467","Blue Cross Blue Shield","HMO","",,"71",,"659.4","341.84","723.85","percent of total billed charges",,
"US BREASTS UNILATERAL\ BILATERAL","76641","HCPCS","Both",,,"934","467","Blue Cross Blue Shield","PPO","",,"71",,"659.4","341.84","723.85","percent of total billed charges",,
"US BREASTS UNILATERAL\ BILATERAL","76641","HCPCS","Both",,,"934","467","Ambetter","Health Exchange","",,"62",,"579.08","341.84","723.85","percent of total billed charges",,
"US BREASTS UNILATERAL\ BILATERAL","76641","HCPCS","Both",,,"934","467","Caresource","Health Exchange","",,"62",,"579.08","341.84","723.85","percent of total billed charges",,
"US BREASTS UNILATERAL\ BILATERAL","76641","HCPCS","Both",,,"934","467","Cigna","Commercial","",,"59",,"547.32","341.84","723.85","percent of total billed charges",,
"US BREASTS UNILATERAL\ BILATERAL","76641","HCPCS","Both",,,"934","467","Humana","Commercial","",,"78",,"723.85","341.84","723.85","percent of total billed charges",,
"US BREASTS UNILATERAL\ BILATERAL","76641","HCPCS","Both",,,"934","467","UHC","Commercial","",,"75",,"704.24","341.84","723.85","percent of total billed charges",,
"US BREASTS UNILATERAL\ BILATERAL","76641","HCPCS","Both",,,"934","467","Medicaid",,"",,"37",,"341.84","341.84","723.85","percent of total billed charges",,
"US LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"1593.97","796.985","Alliant","Health Exchange","",,"62",,"988.26","30.35","1235.33","percent of total billed charges",,
"US LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"1593.97","796.985","Pruitt Healthcare","Medicare Advantage","",,"54",,"860.74","30.35","1235.33","percent of total billed charges",,
"US LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"1593.97","796.985","Medicare",,"",,"54",,"863.93","30.35","1235.33","percent of total billed charges",,
"US LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"1593.97","796.985","Humana","Medicare Advantage","",,"54",,"863.93","30.35","1235.33","percent of total billed charges",,
"US LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"1593.97","796.985","UHC","Medicare Advantage","",,"54",,"863.93","30.35","1235.33","percent of total billed charges",,
"US LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"1593.97","796.985","Clover","Medicare Advantage","",,"54",,"863.93","30.35","1235.33","percent of total billed charges",,
"US LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"1593.97","796.985","Wellcare","Medicare Advantage","",,"54",,"863.93","30.35","1235.33","percent of total billed charges",,
"US LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"1593.97","796.985","Amerigroup","Medicaid Managed Care","",,"37",,"583.39","30.35","1235.33","percent of total billed charges",,
"US LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"1593.97","796.985","Caresource","Medicaid Managed Care","",,"40",,"637.59","30.35","1235.33","percent of total billed charges",,
"US LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"1593.97","796.985","Wellcare","Medicaid Managed Care","",,"40",,"645.56","30.35","1235.33","percent of total billed charges",,
"US LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"1593.97","796.985","Aetna","Commercial","",,"64",,"1016.95","30.35","1235.33","percent of total billed charges",,
"US LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"1593.97","796.985","Blue Cross Blue Shield","Pathways","",,"71",,"1125.34","30.35","1235.33","percent of total billed charges",,
"US LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"1593.97","796.985","Blue Cross Blue Shield","HMO","",,"71",,"1125.34","30.35","1235.33","percent of total billed charges",,
"US LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"1593.97","796.985","Blue Cross Blue Shield","PPO","",,"71",,"1125.34","30.35","1235.33","percent of total billed charges",,
"US LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"1593.97","796.985","Ambetter","Health Exchange","",,"62",,"988.26","30.35","1235.33","percent of total billed charges",,
"US LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"1593.97","796.985","Caresource","Health Exchange","",,"62",,"988.26","30.35","1235.33","percent of total billed charges",,
"US LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"1593.97","796.985","Cigna","Commercial","",,"59",,"934.07","30.35","1235.33","percent of total billed charges",,
"US LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"1593.97","796.985","Humana","Commercial","",,"78",,"1235.33","30.35","1235.33","percent of total billed charges",,
"US LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"1593.97","796.985","UHC","Commercial","",,"75",,"1201.85","30.35","1235.33","percent of total billed charges",,
"US LIMITED (SINGLE ORGAN, F/UP)","76705","HCPCS","Both",,,"1593.97","796.985","Medicaid",,"",,"37",,"583.39","30.35","1235.33","percent of total billed charges",,
"US RETROPERITONEAL COMPLETE","76770","HCPCS","Both",,,"138.5","69.25","Alliant","Health Exchange","",,"62",,"85.87","50.69","107.34","percent of total billed charges",,
"US RETROPERITONEAL COMPLETE","76770","HCPCS","Both",,,"138.5","69.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"74.79","50.69","107.34","percent of total billed charges",,
"US RETROPERITONEAL COMPLETE","76770","HCPCS","Both",,,"138.5","69.25","Medicare",,"",,"54",,"75.07","50.69","107.34","percent of total billed charges",,
"US RETROPERITONEAL COMPLETE","76770","HCPCS","Both",,,"138.5","69.25","Humana","Medicare Advantage","",,"54",,"75.07","50.69","107.34","percent of total billed charges",,
"US RETROPERITONEAL COMPLETE","76770","HCPCS","Both",,,"138.5","69.25","UHC","Medicare Advantage","",,"54",,"75.07","50.69","107.34","percent of total billed charges",,
"US RETROPERITONEAL COMPLETE","76770","HCPCS","Both",,,"138.5","69.25","Clover","Medicare Advantage","",,"54",,"75.07","50.69","107.34","percent of total billed charges",,
"US RETROPERITONEAL COMPLETE","76770","HCPCS","Both",,,"138.5","69.25","Wellcare","Medicare Advantage","",,"54",,"75.07","50.69","107.34","percent of total billed charges",,
"US RETROPERITONEAL COMPLETE","76770","HCPCS","Both",,,"138.5","69.25","Amerigroup","Medicaid Managed Care","",,"37",,"50.69","50.69","107.34","percent of total billed charges",,
"US RETROPERITONEAL COMPLETE","76770","HCPCS","Both",,,"138.5","69.25","Caresource","Medicaid Managed Care","",,"40",,"55.4","50.69","107.34","percent of total billed charges",,
"US RETROPERITONEAL COMPLETE","76770","HCPCS","Both",,,"138.5","69.25","Wellcare","Medicaid Managed Care","",,"40",,"56.09","50.69","107.34","percent of total billed charges",,
"US RETROPERITONEAL COMPLETE","76770","HCPCS","Both",,,"138.5","69.25","Aetna","Commercial","",,"64",,"88.36","50.69","107.34","percent of total billed charges",,
"US RETROPERITONEAL COMPLETE","76770","HCPCS","Both",,,"138.5","69.25","Blue Cross Blue Shield","Pathways","",,"71",,"97.78","50.69","107.34","percent of total billed charges",,
"US RETROPERITONEAL COMPLETE","76770","HCPCS","Both",,,"138.5","69.25","Blue Cross Blue Shield","HMO","",,"71",,"97.78","50.69","107.34","percent of total billed charges",,
"US RETROPERITONEAL COMPLETE","76770","HCPCS","Both",,,"138.5","69.25","Blue Cross Blue Shield","PPO","",,"71",,"97.78","50.69","107.34","percent of total billed charges",,
"US RETROPERITONEAL COMPLETE","76770","HCPCS","Both",,,"138.5","69.25","Ambetter","Health Exchange","",,"62",,"85.87","50.69","107.34","percent of total billed charges",,
"US RETROPERITONEAL COMPLETE","76770","HCPCS","Both",,,"138.5","69.25","Caresource","Health Exchange","",,"62",,"85.87","50.69","107.34","percent of total billed charges",,
"US RETROPERITONEAL COMPLETE","76770","HCPCS","Both",,,"138.5","69.25","Cigna","Commercial","",,"59",,"81.16","50.69","107.34","percent of total billed charges",,
"US RETROPERITONEAL COMPLETE","76770","HCPCS","Both",,,"138.5","69.25","Humana","Commercial","",,"78",,"107.34","50.69","107.34","percent of total billed charges",,
"US RETROPERITONEAL COMPLETE","76770","HCPCS","Both",,,"138.5","69.25","UHC","Commercial","",,"75",,"104.43","50.69","107.34","percent of total billed charges",,
"US RETROPERITONEAL COMPLETE","76770","HCPCS","Both",,,"138.5","69.25","Medicaid",,"",,"37",,"50.69","50.69","107.34","percent of total billed charges",,
"US PREGNANT UTERUS COMP <14wks0days","76801","HCPCS","Both",,,"427.68","213.84","Alliant","Health Exchange","",,"62",,"265.16","156.53","331.45","percent of total billed charges",,
"US PREGNANT UTERUS COMP <14wks0days","76801","HCPCS","Both",,,"427.68","213.84","Pruitt Healthcare","Medicare Advantage","",,"54",,"230.95","156.53","331.45","percent of total billed charges",,
"US PREGNANT UTERUS COMP <14wks0days","76801","HCPCS","Both",,,"427.68","213.84","Medicare",,"",,"54",,"231.8","156.53","331.45","percent of total billed charges",,
"US PREGNANT UTERUS COMP <14wks0days","76801","HCPCS","Both",,,"427.68","213.84","Humana","Medicare Advantage","",,"54",,"231.8","156.53","331.45","percent of total billed charges",,
"US PREGNANT UTERUS COMP <14wks0days","76801","HCPCS","Both",,,"427.68","213.84","UHC","Medicare Advantage","",,"54",,"231.8","156.53","331.45","percent of total billed charges",,
"US PREGNANT UTERUS COMP <14wks0days","76801","HCPCS","Both",,,"427.68","213.84","Clover","Medicare Advantage","",,"54",,"231.8","156.53","331.45","percent of total billed charges",,
"US PREGNANT UTERUS COMP <14wks0days","76801","HCPCS","Both",,,"427.68","213.84","Wellcare","Medicare Advantage","",,"54",,"231.8","156.53","331.45","percent of total billed charges",,
"US PREGNANT UTERUS COMP <14wks0days","76801","HCPCS","Both",,,"427.68","213.84","Amerigroup","Medicaid Managed Care","",,"37",,"156.53","156.53","331.45","percent of total billed charges",,
"US PREGNANT UTERUS COMP <14wks0days","76801","HCPCS","Both",,,"427.68","213.84","Caresource","Medicaid Managed Care","",,"40",,"171.07","156.53","331.45","percent of total billed charges",,
"US PREGNANT UTERUS COMP <14wks0days","76801","HCPCS","Both",,,"427.68","213.84","Wellcare","Medicaid Managed Care","",,"40",,"173.21","156.53","331.45","percent of total billed charges",,
"US PREGNANT UTERUS COMP <14wks0days","76801","HCPCS","Both",,,"427.68","213.84","Aetna","Commercial","",,"64",,"272.86","156.53","331.45","percent of total billed charges",,
"US PREGNANT UTERUS COMP <14wks0days","76801","HCPCS","Both",,,"427.68","213.84","Blue Cross Blue Shield","Pathways","",,"71",,"301.94","156.53","331.45","percent of total billed charges",,
"US PREGNANT UTERUS COMP <14wks0days","76801","HCPCS","Both",,,"427.68","213.84","Blue Cross Blue Shield","HMO","",,"71",,"301.94","156.53","331.45","percent of total billed charges",,
"US PREGNANT UTERUS COMP <14wks0days","76801","HCPCS","Both",,,"427.68","213.84","Blue Cross Blue Shield","PPO","",,"71",,"301.94","156.53","331.45","percent of total billed charges",,
"US PREGNANT UTERUS COMP <14wks0days","76801","HCPCS","Both",,,"427.68","213.84","Ambetter","Health Exchange","",,"62",,"265.16","156.53","331.45","percent of total billed charges",,
"US PREGNANT UTERUS COMP <14wks0days","76801","HCPCS","Both",,,"427.68","213.84","Caresource","Health Exchange","",,"62",,"265.16","156.53","331.45","percent of total billed charges",,
"US PREGNANT UTERUS COMP <14wks0days","76801","HCPCS","Both",,,"427.68","213.84","Cigna","Commercial","",,"59",,"250.62","156.53","331.45","percent of total billed charges",,
"US PREGNANT UTERUS COMP <14wks0days","76801","HCPCS","Both",,,"427.68","213.84","Humana","Commercial","",,"78",,"331.45","156.53","331.45","percent of total billed charges",,
"US PREGNANT UTERUS COMP <14wks0days","76801","HCPCS","Both",,,"427.68","213.84","UHC","Commercial","",,"75",,"322.47","156.53","331.45","percent of total billed charges",,
"US PREGNANT UTERUS COMP <14wks0days","76801","HCPCS","Both",,,"427.68","213.84","Medicaid",,"",,"37",,"156.53","156.53","331.45","percent of total billed charges",,
"US CHEST","76604","HCPCS","Both",,,"164.5","82.25","Alliant","Health Exchange","",,"62",,"101.99","60.21","127.49","percent of total billed charges",,
"US CHEST","76604","HCPCS","Both",,,"164.5","82.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"88.83","60.21","127.49","percent of total billed charges",,
"US CHEST","76604","HCPCS","Both",,,"164.5","82.25","Medicare",,"",,"54",,"89.16","60.21","127.49","percent of total billed charges",,
"US CHEST","76604","HCPCS","Both",,,"164.5","82.25","Humana","Medicare Advantage","",,"54",,"89.16","60.21","127.49","percent of total billed charges",,
"US CHEST","76604","HCPCS","Both",,,"164.5","82.25","UHC","Medicare Advantage","",,"54",,"89.16","60.21","127.49","percent of total billed charges",,
"US CHEST","76604","HCPCS","Both",,,"164.5","82.25","Clover","Medicare Advantage","",,"54",,"89.16","60.21","127.49","percent of total billed charges",,
"US CHEST","76604","HCPCS","Both",,,"164.5","82.25","Wellcare","Medicare Advantage","",,"54",,"89.16","60.21","127.49","percent of total billed charges",,
"US CHEST","76604","HCPCS","Both",,,"164.5","82.25","Amerigroup","Medicaid Managed Care","",,"37",,"60.21","60.21","127.49","percent of total billed charges",,
"US CHEST","76604","HCPCS","Both",,,"164.5","82.25","Caresource","Medicaid Managed Care","",,"40",,"65.8","60.21","127.49","percent of total billed charges",,
"US CHEST","76604","HCPCS","Both",,,"164.5","82.25","Wellcare","Medicaid Managed Care","",,"40",,"66.62","60.21","127.49","percent of total billed charges",,
"US CHEST","76604","HCPCS","Both",,,"164.5","82.25","Aetna","Commercial","",,"64",,"104.95","60.21","127.49","percent of total billed charges",,
"US CHEST","76604","HCPCS","Both",,,"164.5","82.25","Blue Cross Blue Shield","Pathways","",,"71",,"116.14","60.21","127.49","percent of total billed charges",,
"US CHEST","76604","HCPCS","Both",,,"164.5","82.25","Blue Cross Blue Shield","HMO","",,"71",,"116.14","60.21","127.49","percent of total billed charges",,
"US CHEST","76604","HCPCS","Both",,,"164.5","82.25","Blue Cross Blue Shield","PPO","",,"71",,"116.14","60.21","127.49","percent of total billed charges",,
"US CHEST","76604","HCPCS","Both",,,"164.5","82.25","Ambetter","Health Exchange","",,"62",,"101.99","60.21","127.49","percent of total billed charges",,
"US CHEST","76604","HCPCS","Both",,,"164.5","82.25","Caresource","Health Exchange","",,"62",,"101.99","60.21","127.49","percent of total billed charges",,
"US CHEST","76604","HCPCS","Both",,,"164.5","82.25","Cigna","Commercial","",,"59",,"96.4","60.21","127.49","percent of total billed charges",,
"US CHEST","76604","HCPCS","Both",,,"164.5","82.25","Humana","Commercial","",,"78",,"127.49","60.21","127.49","percent of total billed charges",,
"US CHEST","76604","HCPCS","Both",,,"164.5","82.25","UHC","Commercial","",,"75",,"124.03","60.21","127.49","percent of total billed charges",,
"US CHEST","76604","HCPCS","Both",,,"164.5","82.25","Medicaid",,"",,"37",,"60.21","60.21","127.49","percent of total billed charges",,
"US PELVIC NONOBSTETRIC COMPLETE","76856","HCPCS","Both",,,"728.45","364.225","Alliant","Health Exchange","",,"62",,"451.64","156.83","564.55","percent of total billed charges",,
"US PELVIC NONOBSTETRIC COMPLETE","76856","HCPCS","Both",,,"728.45","364.225","Pruitt Healthcare","Medicare Advantage","",,"54",,"393.36","156.83","564.55","percent of total billed charges",,
"US PELVIC NONOBSTETRIC COMPLETE","76856","HCPCS","Both",,,"728.45","364.225","Medicare",,"",,"54",,"394.82","156.83","564.55","percent of total billed charges",,
"US PELVIC NONOBSTETRIC COMPLETE","76856","HCPCS","Both",,,"728.45","364.225","Humana","Medicare Advantage","",,"54",,"394.82","156.83","564.55","percent of total billed charges",,
"US PELVIC NONOBSTETRIC COMPLETE","76856","HCPCS","Both",,,"728.45","364.225","UHC","Medicare Advantage","",,"54",,"394.82","156.83","564.55","percent of total billed charges",,
"US PELVIC NONOBSTETRIC COMPLETE","76856","HCPCS","Both",,,"728.45","364.225","Clover","Medicare Advantage","",,"54",,"394.82","156.83","564.55","percent of total billed charges",,
"US PELVIC NONOBSTETRIC COMPLETE","76856","HCPCS","Both",,,"728.45","364.225","Wellcare","Medicare Advantage","",,"54",,"394.82","156.83","564.55","percent of total billed charges",,
"US PELVIC NONOBSTETRIC COMPLETE","76856","HCPCS","Both",,,"728.45","364.225","Amerigroup","Medicaid Managed Care","",,"37",,"266.61","156.83","564.55","percent of total billed charges",,
"US PELVIC NONOBSTETRIC COMPLETE","76856","HCPCS","Both",,,"728.45","364.225","Caresource","Medicaid Managed Care","",,"40",,"291.38","156.83","564.55","percent of total billed charges",,
"US PELVIC NONOBSTETRIC COMPLETE","76856","HCPCS","Both",,,"728.45","364.225","Wellcare","Medicaid Managed Care","",,"40",,"295.02","156.83","564.55","percent of total billed charges",,
"US PELVIC NONOBSTETRIC COMPLETE","76856","HCPCS","Both",,,"728.45","364.225","Aetna","Commercial","",,"64",,"464.75","156.83","564.55","percent of total billed charges",,
"US PELVIC NONOBSTETRIC COMPLETE","76856","HCPCS","Both",,,"728.45","364.225","Blue Cross Blue Shield","Pathways","",,"71",,"514.29","156.83","564.55","percent of total billed charges",,
"US PELVIC NONOBSTETRIC COMPLETE","76856","HCPCS","Both",,,"728.45","364.225","Blue Cross Blue Shield","HMO","",,"71",,"514.29","156.83","564.55","percent of total billed charges",,
"US PELVIC NONOBSTETRIC COMPLETE","76856","HCPCS","Both",,,"728.45","364.225","Blue Cross Blue Shield","PPO","",,"71",,"514.29","156.83","564.55","percent of total billed charges",,
"US PELVIC NONOBSTETRIC COMPLETE","76856","HCPCS","Both",,,"728.45","364.225","Ambetter","Health Exchange","",,"62",,"451.64","156.83","564.55","percent of total billed charges",,
"US PELVIC NONOBSTETRIC COMPLETE","76856","HCPCS","Both",,,"728.45","364.225","Caresource","Health Exchange","",,"62",,"451.64","156.83","564.55","percent of total billed charges",,
"US PELVIC NONOBSTETRIC COMPLETE","76856","HCPCS","Both",,,"728.45","364.225","Cigna","Commercial","",,"59",,"426.87","156.83","564.55","percent of total billed charges",,
"US PELVIC NONOBSTETRIC COMPLETE","76856","HCPCS","Both",,,"728.45","364.225","Humana","Commercial","",,"78",,"564.55","156.83","564.55","percent of total billed charges",,
"US PELVIC NONOBSTETRIC COMPLETE","76856","HCPCS","Both",,,"728.45","364.225","UHC","Commercial","",,"75",,"549.25","156.83","564.55","percent of total billed charges",,
"US PELVIC NONOBSTETRIC COMPLETE","76856","HCPCS","Both",,,"728.45","364.225","Medicaid",,"",,"37",,"266.61","156.83","564.55","percent of total billed charges",,
"US PREGNANT UTERUS COMPL > 14wks0day","76805","HCPCS","Both",,,"252.48","126.24","Alliant","Health Exchange","",,"62",,"156.54","92.41","203.82","percent of total billed charges",,
"US PREGNANT UTERUS COMPL > 14wks0day","76805","HCPCS","Both",,,"252.48","126.24","Pruitt Healthcare","Medicare Advantage","",,"54",,"136.34","92.41","203.82","percent of total billed charges",,
"US PREGNANT UTERUS COMPL > 14wks0day","76805","HCPCS","Both",,,"252.48","126.24","Medicare",,"",,"54",,"136.84","92.41","203.82","percent of total billed charges",,
"US PREGNANT UTERUS COMPL > 14wks0day","76805","HCPCS","Both",,,"252.48","126.24","Humana","Medicare Advantage","",,"54",,"136.84","92.41","203.82","percent of total billed charges",,
"US PREGNANT UTERUS COMPL > 14wks0day","76805","HCPCS","Both",,,"252.48","126.24","UHC","Medicare Advantage","",,"54",,"136.84","92.41","203.82","percent of total billed charges",,
"US PREGNANT UTERUS COMPL > 14wks0day","76805","HCPCS","Both",,,"252.48","126.24","Clover","Medicare Advantage","",,"54",,"136.84","92.41","203.82","percent of total billed charges",,
"US PREGNANT UTERUS COMPL > 14wks0day","76805","HCPCS","Both",,,"252.48","126.24","Wellcare","Medicare Advantage","",,"54",,"136.84","92.41","203.82","percent of total billed charges",,
"US PREGNANT UTERUS COMPL > 14wks0day","76805","HCPCS","Both",,,"252.48","126.24","Amerigroup","Medicaid Managed Care","",,"37",,"92.41","92.41","203.82","percent of total billed charges",,
"US PREGNANT UTERUS COMPL > 14wks0day","76805","HCPCS","Both",,,"252.48","126.24","Caresource","Medicaid Managed Care","",,"40",,"100.99","92.41","203.82","percent of total billed charges",,
"US PREGNANT UTERUS COMPL > 14wks0day","76805","HCPCS","Both",,,"252.48","126.24","Wellcare","Medicaid Managed Care","",,"40",,"102.25","92.41","203.82","percent of total billed charges",,
"US PREGNANT UTERUS COMPL > 14wks0day","76805","HCPCS","Both",,,"252.48","126.24","Aetna","Commercial","",,"64",,"161.08","92.41","203.82","percent of total billed charges",,
"US PREGNANT UTERUS COMPL > 14wks0day","76805","HCPCS","Both",,,"252.48","126.24","Blue Cross Blue Shield","Pathways","",,"71",,"178.25","92.41","203.82","percent of total billed charges",,
"US PREGNANT UTERUS COMPL > 14wks0day","76805","HCPCS","Both",,,"252.48","126.24","Blue Cross Blue Shield","HMO","",,"71",,"178.25","92.41","203.82","percent of total billed charges",,
"US PREGNANT UTERUS COMPL > 14wks0day","76805","HCPCS","Both",,,"252.48","126.24","Blue Cross Blue Shield","PPO","",,"71",,"178.25","92.41","203.82","percent of total billed charges",,
"US PREGNANT UTERUS COMPL > 14wks0day","76805","HCPCS","Both",,,"252.48","126.24","Ambetter","Health Exchange","",,"62",,"156.54","92.41","203.82","percent of total billed charges",,
"US PREGNANT UTERUS COMPL > 14wks0day","76805","HCPCS","Both",,,"252.48","126.24","Caresource","Health Exchange","",,"62",,"156.54","92.41","203.82","percent of total billed charges",,
"US PREGNANT UTERUS COMPL > 14wks0day","76805","HCPCS","Both",,,"252.48","126.24","Cigna","Commercial","",,"59",,"147.95","92.41","203.82","percent of total billed charges",,
"US PREGNANT UTERUS COMPL > 14wks0day","76805","HCPCS","Both",,,"252.48","126.24","Humana","Commercial","",,"78",,"195.67","92.41","203.82","percent of total billed charges",,
"US PREGNANT UTERUS COMPL > 14wks0day","76805","HCPCS","Both",,,"252.48","126.24","UHC","Commercial","",,"75",,"190.37","92.41","203.82","percent of total billed charges",,
"US PREGNANT UTERUS COMPL > 14wks0day","76805","HCPCS","Both",,,"252.48","126.24","Medicaid",,"",,"37",,"92.41","92.41","203.82","percent of total billed charges",,
"US SOFT TISSUES HEAD & NECK","76536","HCPCS","Both",,,"1619.42","809.71","Alliant","Health Exchange","",,"62",,"1004.04","510.39","1255.05","percent of total billed charges",,
"US SOFT TISSUES HEAD & NECK","76536","HCPCS","Both",,,"1619.42","809.71","Pruitt Healthcare","Medicare Advantage","",,"54",,"874.49","510.39","1255.05","percent of total billed charges",,
"US SOFT TISSUES HEAD & NECK","76536","HCPCS","Both",,,"1619.42","809.71","Medicare",,"",,"54",,"877.73","510.39","1255.05","percent of total billed charges",,
"US SOFT TISSUES HEAD & NECK","76536","HCPCS","Both",,,"1619.42","809.71","Humana","Medicare Advantage","",,"54",,"877.73","510.39","1255.05","percent of total billed charges",,
"US SOFT TISSUES HEAD & NECK","76536","HCPCS","Both",,,"1619.42","809.71","UHC","Medicare Advantage","",,"54",,"877.73","510.39","1255.05","percent of total billed charges",,
"US SOFT TISSUES HEAD & NECK","76536","HCPCS","Both",,,"1619.42","809.71","Clover","Medicare Advantage","",,"54",,"877.73","510.39","1255.05","percent of total billed charges",,
"US SOFT TISSUES HEAD & NECK","76536","HCPCS","Both",,,"1619.42","809.71","Wellcare","Medicare Advantage","",,"54",,"877.73","510.39","1255.05","percent of total billed charges",,
"US SOFT TISSUES HEAD & NECK","76536","HCPCS","Both",,,"1619.42","809.71","Amerigroup","Medicaid Managed Care","",,"37",,"592.71","510.39","1255.05","percent of total billed charges",,
"US SOFT TISSUES HEAD & NECK","76536","HCPCS","Both",,,"1619.42","809.71","Caresource","Medicaid Managed Care","",,"40",,"647.77","510.39","1255.05","percent of total billed charges",,
"US SOFT TISSUES HEAD & NECK","76536","HCPCS","Both",,,"1619.42","809.71","Wellcare","Medicaid Managed Care","",,"40",,"655.87","510.39","1255.05","percent of total billed charges",,
"US SOFT TISSUES HEAD & NECK","76536","HCPCS","Both",,,"1619.42","809.71","Aetna","Commercial","",,"64",,"1033.19","510.39","1255.05","percent of total billed charges",,
"US SOFT TISSUES HEAD & NECK","76536","HCPCS","Both",,,"1619.42","809.71","Blue Cross Blue Shield","Pathways","",,"71",,"1143.31","510.39","1255.05","percent of total billed charges",,
"US SOFT TISSUES HEAD & NECK","76536","HCPCS","Both",,,"1619.42","809.71","Blue Cross Blue Shield","HMO","",,"71",,"1143.31","510.39","1255.05","percent of total billed charges",,
"US SOFT TISSUES HEAD & NECK","76536","HCPCS","Both",,,"1619.42","809.71","Blue Cross Blue Shield","PPO","",,"71",,"1143.31","510.39","1255.05","percent of total billed charges",,
"US SOFT TISSUES HEAD & NECK","76536","HCPCS","Both",,,"1619.42","809.71","Ambetter","Health Exchange","",,"62",,"1004.04","510.39","1255.05","percent of total billed charges",,
"US SOFT TISSUES HEAD & NECK","76536","HCPCS","Both",,,"1619.42","809.71","Caresource","Health Exchange","",,"62",,"1004.04","510.39","1255.05","percent of total billed charges",,
"US SOFT TISSUES HEAD & NECK","76536","HCPCS","Both",,,"1619.42","809.71","Cigna","Commercial","",,"59",,"948.98","510.39","1255.05","percent of total billed charges",,
"US SOFT TISSUES HEAD & NECK","76536","HCPCS","Both",,,"1619.42","809.71","Humana","Commercial","",,"78",,"1255.05","510.39","1255.05","percent of total billed charges",,
"US SOFT TISSUES HEAD & NECK","76536","HCPCS","Both",,,"1619.42","809.71","UHC","Commercial","",,"75",,"1221.04","510.39","1255.05","percent of total billed charges",,
"US SOFT TISSUES HEAD & NECK","76536","HCPCS","Both",,,"1619.42","809.71","Medicaid",,"",,"37",,"592.71","510.39","1255.05","percent of total billed charges",,
"XR OSSEOUS SURVEY COMP","77075","HCPCS","Both",,,"288","144","Alliant","Health Exchange","",,"62",,"178.56","105.41","223.2","percent of total billed charges",,
"XR OSSEOUS SURVEY COMP","77075","HCPCS","Both",,,"288","144","Pruitt Healthcare","Medicare Advantage","",,"54",,"155.52","105.41","223.2","percent of total billed charges",,
"XR OSSEOUS SURVEY COMP","77075","HCPCS","Both",,,"288","144","Medicare",,"",,"54",,"156.1","105.41","223.2","percent of total billed charges",,
"XR OSSEOUS SURVEY COMP","77075","HCPCS","Both",,,"288","144","Humana","Medicare Advantage","",,"54",,"156.1","105.41","223.2","percent of total billed charges",,
"XR OSSEOUS SURVEY COMP","77075","HCPCS","Both",,,"288","144","UHC","Medicare Advantage","",,"54",,"156.1","105.41","223.2","percent of total billed charges",,
"XR OSSEOUS SURVEY COMP","77075","HCPCS","Both",,,"288","144","Clover","Medicare Advantage","",,"54",,"156.1","105.41","223.2","percent of total billed charges",,
"XR OSSEOUS SURVEY COMP","77075","HCPCS","Both",,,"288","144","Wellcare","Medicare Advantage","",,"54",,"156.1","105.41","223.2","percent of total billed charges",,
"XR OSSEOUS SURVEY COMP","77075","HCPCS","Both",,,"288","144","Amerigroup","Medicaid Managed Care","",,"37",,"105.41","105.41","223.2","percent of total billed charges",,
"XR OSSEOUS SURVEY COMP","77075","HCPCS","Both",,,"288","144","Caresource","Medicaid Managed Care","",,"40",,"115.2","105.41","223.2","percent of total billed charges",,
"XR OSSEOUS SURVEY COMP","77075","HCPCS","Both",,,"288","144","Wellcare","Medicaid Managed Care","",,"40",,"116.64","105.41","223.2","percent of total billed charges",,
"XR OSSEOUS SURVEY COMP","77075","HCPCS","Both",,,"288","144","Aetna","Commercial","",,"64",,"183.74","105.41","223.2","percent of total billed charges",,
"XR OSSEOUS SURVEY COMP","77075","HCPCS","Both",,,"288","144","Blue Cross Blue Shield","Pathways","",,"71",,"203.33","105.41","223.2","percent of total billed charges",,
"XR OSSEOUS SURVEY COMP","77075","HCPCS","Both",,,"288","144","Blue Cross Blue Shield","HMO","",,"71",,"203.33","105.41","223.2","percent of total billed charges",,
"XR OSSEOUS SURVEY COMP","77075","HCPCS","Both",,,"288","144","Blue Cross Blue Shield","PPO","",,"71",,"203.33","105.41","223.2","percent of total billed charges",,
"XR OSSEOUS SURVEY COMP","77075","HCPCS","Both",,,"288","144","Ambetter","Health Exchange","",,"62",,"178.56","105.41","223.2","percent of total billed charges",,
"XR OSSEOUS SURVEY COMP","77075","HCPCS","Both",,,"288","144","Caresource","Health Exchange","",,"62",,"178.56","105.41","223.2","percent of total billed charges",,
"XR OSSEOUS SURVEY COMP","77075","HCPCS","Both",,,"288","144","Cigna","Commercial","",,"59",,"168.77","105.41","223.2","percent of total billed charges",,
"XR OSSEOUS SURVEY COMP","77075","HCPCS","Both",,,"288","144","Humana","Commercial","",,"78",,"223.2","105.41","223.2","percent of total billed charges",,
"XR OSSEOUS SURVEY COMP","77075","HCPCS","Both",,,"288","144","UHC","Commercial","",,"75",,"217.15","105.41","223.2","percent of total billed charges",,
"XR OSSEOUS SURVEY COMP","77075","HCPCS","Both",,,"288","144","Medicaid",,"",,"37",,"105.41","105.41","223.2","percent of total billed charges",,
"US SCROTUM & CONTENTS","76870","HCPCS","Both",,,"996","498","Alliant","Health Exchange","",,"62",,"617.52","364.54","771.9","percent of total billed charges",,
"US SCROTUM & CONTENTS","76870","HCPCS","Both",,,"996","498","Pruitt Healthcare","Medicare Advantage","",,"54",,"537.84","364.54","771.9","percent of total billed charges",,
"US SCROTUM & CONTENTS","76870","HCPCS","Both",,,"996","498","Medicare",,"",,"54",,"539.83","364.54","771.9","percent of total billed charges",,
"US SCROTUM & CONTENTS","76870","HCPCS","Both",,,"996","498","Humana","Medicare Advantage","",,"54",,"539.83","364.54","771.9","percent of total billed charges",,
"US SCROTUM & CONTENTS","76870","HCPCS","Both",,,"996","498","UHC","Medicare Advantage","",,"54",,"539.83","364.54","771.9","percent of total billed charges",,
"US SCROTUM & CONTENTS","76870","HCPCS","Both",,,"996","498","Clover","Medicare Advantage","",,"54",,"539.83","364.54","771.9","percent of total billed charges",,
"US SCROTUM & CONTENTS","76870","HCPCS","Both",,,"996","498","Wellcare","Medicare Advantage","",,"54",,"539.83","364.54","771.9","percent of total billed charges",,
"US SCROTUM & CONTENTS","76870","HCPCS","Both",,,"996","498","Amerigroup","Medicaid Managed Care","",,"37",,"364.54","364.54","771.9","percent of total billed charges",,
"US SCROTUM & CONTENTS","76870","HCPCS","Both",,,"996","498","Caresource","Medicaid Managed Care","",,"40",,"398.4","364.54","771.9","percent of total billed charges",,
"US SCROTUM & CONTENTS","76870","HCPCS","Both",,,"996","498","Wellcare","Medicaid Managed Care","",,"40",,"403.38","364.54","771.9","percent of total billed charges",,
"US SCROTUM & CONTENTS","76870","HCPCS","Both",,,"996","498","Aetna","Commercial","",,"64",,"635.45","364.54","771.9","percent of total billed charges",,
"US SCROTUM & CONTENTS","76870","HCPCS","Both",,,"996","498","Blue Cross Blue Shield","Pathways","",,"71",,"703.18","364.54","771.9","percent of total billed charges",,
"US SCROTUM & CONTENTS","76870","HCPCS","Both",,,"996","498","Blue Cross Blue Shield","HMO","",,"71",,"703.18","364.54","771.9","percent of total billed charges",,
"US SCROTUM & CONTENTS","76870","HCPCS","Both",,,"996","498","Blue Cross Blue Shield","PPO","",,"71",,"703.18","364.54","771.9","percent of total billed charges",,
"US SCROTUM & CONTENTS","76870","HCPCS","Both",,,"996","498","Ambetter","Health Exchange","",,"62",,"617.52","364.54","771.9","percent of total billed charges",,
"US SCROTUM & CONTENTS","76870","HCPCS","Both",,,"996","498","Caresource","Health Exchange","",,"62",,"617.52","364.54","771.9","percent of total billed charges",,
"US SCROTUM & CONTENTS","76870","HCPCS","Both",,,"996","498","Cigna","Commercial","",,"59",,"583.66","364.54","771.9","percent of total billed charges",,
"US SCROTUM & CONTENTS","76870","HCPCS","Both",,,"996","498","Humana","Commercial","",,"78",,"771.9","364.54","771.9","percent of total billed charges",,
"US SCROTUM & CONTENTS","76870","HCPCS","Both",,,"996","498","UHC","Commercial","",,"75",,"750.98","364.54","771.9","percent of total billed charges",,
"US SCROTUM & CONTENTS","76870","HCPCS","Both",,,"996","498","Medicaid",,"",,"37",,"364.54","364.54","771.9","percent of total billed charges",,
"US TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Alliant","Health Exchange","",,"62",,"401.76","237.17","502.2","percent of total billed charges",,
"US TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Pruitt Healthcare","Medicare Advantage","",,"54",,"349.92","237.17","502.2","percent of total billed charges",,
"US TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Medicare",,"",,"54",,"351.22","237.17","502.2","percent of total billed charges",,
"US TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Humana","Medicare Advantage","",,"54",,"351.22","237.17","502.2","percent of total billed charges",,
"US TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","UHC","Medicare Advantage","",,"54",,"351.22","237.17","502.2","percent of total billed charges",,
"US TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Clover","Medicare Advantage","",,"54",,"351.22","237.17","502.2","percent of total billed charges",,
"US TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Wellcare","Medicare Advantage","",,"54",,"351.22","237.17","502.2","percent of total billed charges",,
"US TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Amerigroup","Medicaid Managed Care","",,"37",,"237.17","237.17","502.2","percent of total billed charges",,
"US TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Caresource","Medicaid Managed Care","",,"40",,"259.2","237.17","502.2","percent of total billed charges",,
"US TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Wellcare","Medicaid Managed Care","",,"40",,"262.44","237.17","502.2","percent of total billed charges",,
"US TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Aetna","Commercial","",,"64",,"413.42","237.17","502.2","percent of total billed charges",,
"US TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Blue Cross Blue Shield","Pathways","",,"71",,"457.49","237.17","502.2","percent of total billed charges",,
"US TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Blue Cross Blue Shield","HMO","",,"71",,"457.49","237.17","502.2","percent of total billed charges",,
"US TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Blue Cross Blue Shield","PPO","",,"71",,"457.49","237.17","502.2","percent of total billed charges",,
"US TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Ambetter","Health Exchange","",,"62",,"401.76","237.17","502.2","percent of total billed charges",,
"US TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Caresource","Health Exchange","",,"62",,"401.76","237.17","502.2","percent of total billed charges",,
"US TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Cigna","Commercial","",,"59",,"379.73","237.17","502.2","percent of total billed charges",,
"US TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Humana","Commercial","",,"78",,"502.2","237.17","502.2","percent of total billed charges",,
"US TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","UHC","Commercial","",,"75",,"488.59","237.17","502.2","percent of total billed charges",,
"US TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Medicaid",,"",,"37",,"237.17","237.17","502.2","percent of total billed charges",,
"US EXTREMITY NONVASCULAR","76881","HCPCS","Both",,,"91","45.5","Alliant","Health Exchange","",,"62",,"56.42","33.31","70.53","percent of total billed charges",,
"US EXTREMITY NONVASCULAR","76881","HCPCS","Both",,,"91","45.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"49.14","33.31","70.53","percent of total billed charges",,
"US EXTREMITY NONVASCULAR","76881","HCPCS","Both",,,"91","45.5","Medicare",,"",,"54",,"49.32","33.31","70.53","percent of total billed charges",,
"US EXTREMITY NONVASCULAR","76881","HCPCS","Both",,,"91","45.5","Humana","Medicare Advantage","",,"54",,"49.32","33.31","70.53","percent of total billed charges",,
"US EXTREMITY NONVASCULAR","76881","HCPCS","Both",,,"91","45.5","UHC","Medicare Advantage","",,"54",,"49.32","33.31","70.53","percent of total billed charges",,
"US EXTREMITY NONVASCULAR","76881","HCPCS","Both",,,"91","45.5","Clover","Medicare Advantage","",,"54",,"49.32","33.31","70.53","percent of total billed charges",,
"US EXTREMITY NONVASCULAR","76881","HCPCS","Both",,,"91","45.5","Wellcare","Medicare Advantage","",,"54",,"49.32","33.31","70.53","percent of total billed charges",,
"US EXTREMITY NONVASCULAR","76881","HCPCS","Both",,,"91","45.5","Amerigroup","Medicaid Managed Care","",,"37",,"33.31","33.31","70.53","percent of total billed charges",,
"US EXTREMITY NONVASCULAR","76881","HCPCS","Both",,,"91","45.5","Caresource","Medicaid Managed Care","",,"40",,"36.4","33.31","70.53","percent of total billed charges",,
"US EXTREMITY NONVASCULAR","76881","HCPCS","Both",,,"91","45.5","Wellcare","Medicaid Managed Care","",,"40",,"36.86","33.31","70.53","percent of total billed charges",,
"US EXTREMITY NONVASCULAR","76881","HCPCS","Both",,,"91","45.5","Aetna","Commercial","",,"64",,"58.06","33.31","70.53","percent of total billed charges",,
"US EXTREMITY NONVASCULAR","76881","HCPCS","Both",,,"91","45.5","Blue Cross Blue Shield","Pathways","",,"71",,"64.25","33.31","70.53","percent of total billed charges",,
"US EXTREMITY NONVASCULAR","76881","HCPCS","Both",,,"91","45.5","Blue Cross Blue Shield","HMO","",,"71",,"64.25","33.31","70.53","percent of total billed charges",,
"US EXTREMITY NONVASCULAR","76881","HCPCS","Both",,,"91","45.5","Blue Cross Blue Shield","PPO","",,"71",,"64.25","33.31","70.53","percent of total billed charges",,
"US EXTREMITY NONVASCULAR","76881","HCPCS","Both",,,"91","45.5","Ambetter","Health Exchange","",,"62",,"56.42","33.31","70.53","percent of total billed charges",,
"US EXTREMITY NONVASCULAR","76881","HCPCS","Both",,,"91","45.5","Caresource","Health Exchange","",,"62",,"56.42","33.31","70.53","percent of total billed charges",,
"US EXTREMITY NONVASCULAR","76881","HCPCS","Both",,,"91","45.5","Cigna","Commercial","",,"59",,"53.33","33.31","70.53","percent of total billed charges",,
"US EXTREMITY NONVASCULAR","76881","HCPCS","Both",,,"91","45.5","Humana","Commercial","",,"78",,"70.53","33.31","70.53","percent of total billed charges",,
"US EXTREMITY NONVASCULAR","76881","HCPCS","Both",,,"91","45.5","UHC","Commercial","",,"75",,"68.61","33.31","70.53","percent of total billed charges",,
"US EXTREMITY NONVASCULAR","76881","HCPCS","Both",,,"91","45.5","Medicaid",,"",,"37",,"33.31","33.31","70.53","percent of total billed charges",,
"XR LOWER EXTREMITY INFANT TWO VIEWS","73592","HCPCS","Both",,,"89.5","44.75","Alliant","Health Exchange","",,"62",,"55.49","32.76","69.36","percent of total billed charges",,
"XR LOWER EXTREMITY INFANT TWO VIEWS","73592","HCPCS","Both",,,"89.5","44.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"48.33","32.76","69.36","percent of total billed charges",,
"XR LOWER EXTREMITY INFANT TWO VIEWS","73592","HCPCS","Both",,,"89.5","44.75","Medicare",,"",,"54",,"48.51","32.76","69.36","percent of total billed charges",,
"XR LOWER EXTREMITY INFANT TWO VIEWS","73592","HCPCS","Both",,,"89.5","44.75","Humana","Medicare Advantage","",,"54",,"48.51","32.76","69.36","percent of total billed charges",,
"XR LOWER EXTREMITY INFANT TWO VIEWS","73592","HCPCS","Both",,,"89.5","44.75","UHC","Medicare Advantage","",,"54",,"48.51","32.76","69.36","percent of total billed charges",,
"XR LOWER EXTREMITY INFANT TWO VIEWS","73592","HCPCS","Both",,,"89.5","44.75","Clover","Medicare Advantage","",,"54",,"48.51","32.76","69.36","percent of total billed charges",,
"XR LOWER EXTREMITY INFANT TWO VIEWS","73592","HCPCS","Both",,,"89.5","44.75","Wellcare","Medicare Advantage","",,"54",,"48.51","32.76","69.36","percent of total billed charges",,
"XR LOWER EXTREMITY INFANT TWO VIEWS","73592","HCPCS","Both",,,"89.5","44.75","Amerigroup","Medicaid Managed Care","",,"37",,"32.76","32.76","69.36","percent of total billed charges",,
"XR LOWER EXTREMITY INFANT TWO VIEWS","73592","HCPCS","Both",,,"89.5","44.75","Caresource","Medicaid Managed Care","",,"40",,"35.8","32.76","69.36","percent of total billed charges",,
"XR LOWER EXTREMITY INFANT TWO VIEWS","73592","HCPCS","Both",,,"89.5","44.75","Wellcare","Medicaid Managed Care","",,"40",,"36.25","32.76","69.36","percent of total billed charges",,
"XR LOWER EXTREMITY INFANT TWO VIEWS","73592","HCPCS","Both",,,"89.5","44.75","Aetna","Commercial","",,"64",,"57.1","32.76","69.36","percent of total billed charges",,
"XR LOWER EXTREMITY INFANT TWO VIEWS","73592","HCPCS","Both",,,"89.5","44.75","Blue Cross Blue Shield","Pathways","",,"71",,"63.19","32.76","69.36","percent of total billed charges",,
"XR LOWER EXTREMITY INFANT TWO VIEWS","73592","HCPCS","Both",,,"89.5","44.75","Blue Cross Blue Shield","HMO","",,"71",,"63.19","32.76","69.36","percent of total billed charges",,
"XR LOWER EXTREMITY INFANT TWO VIEWS","73592","HCPCS","Both",,,"89.5","44.75","Blue Cross Blue Shield","PPO","",,"71",,"63.19","32.76","69.36","percent of total billed charges",,
"XR LOWER EXTREMITY INFANT TWO VIEWS","73592","HCPCS","Both",,,"89.5","44.75","Ambetter","Health Exchange","",,"62",,"55.49","32.76","69.36","percent of total billed charges",,
"XR LOWER EXTREMITY INFANT TWO VIEWS","73592","HCPCS","Both",,,"89.5","44.75","Caresource","Health Exchange","",,"62",,"55.49","32.76","69.36","percent of total billed charges",,
"XR LOWER EXTREMITY INFANT TWO VIEWS","73592","HCPCS","Both",,,"89.5","44.75","Cigna","Commercial","",,"59",,"52.45","32.76","69.36","percent of total billed charges",,
"XR LOWER EXTREMITY INFANT TWO VIEWS","73592","HCPCS","Both",,,"89.5","44.75","Humana","Commercial","",,"78",,"69.36","32.76","69.36","percent of total billed charges",,
"XR LOWER EXTREMITY INFANT TWO VIEWS","73592","HCPCS","Both",,,"89.5","44.75","UHC","Commercial","",,"75",,"67.48","32.76","69.36","percent of total billed charges",,
"XR LOWER EXTREMITY INFANT TWO VIEWS","73592","HCPCS","Both",,,"89.5","44.75","Medicaid",,"",,"37",,"32.76","32.76","69.36","percent of total billed charges",,
"XR DUP SCAN ABD PELV SCROTAL &OR RETROPE","93975","HCPCS","Both",,,"473.5","236.75","Alliant","Health Exchange","",,"62",,"293.57","173.3","366.96","percent of total billed charges",,
"XR DUP SCAN ABD PELV SCROTAL &OR RETROPE","93975","HCPCS","Both",,,"473.5","236.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"255.69","173.3","366.96","percent of total billed charges",,
"XR DUP SCAN ABD PELV SCROTAL &OR RETROPE","93975","HCPCS","Both",,,"473.5","236.75","Medicare",,"",,"54",,"256.64","173.3","366.96","percent of total billed charges",,
"XR DUP SCAN ABD PELV SCROTAL &OR RETROPE","93975","HCPCS","Both",,,"473.5","236.75","Humana","Medicare Advantage","",,"54",,"256.64","173.3","366.96","percent of total billed charges",,
"XR DUP SCAN ABD PELV SCROTAL &OR RETROPE","93975","HCPCS","Both",,,"473.5","236.75","UHC","Medicare Advantage","",,"54",,"256.64","173.3","366.96","percent of total billed charges",,
"XR DUP SCAN ABD PELV SCROTAL &OR RETROPE","93975","HCPCS","Both",,,"473.5","236.75","Clover","Medicare Advantage","",,"54",,"256.64","173.3","366.96","percent of total billed charges",,
"XR DUP SCAN ABD PELV SCROTAL &OR RETROPE","93975","HCPCS","Both",,,"473.5","236.75","Wellcare","Medicare Advantage","",,"54",,"256.64","173.3","366.96","percent of total billed charges",,
"XR DUP SCAN ABD PELV SCROTAL &OR RETROPE","93975","HCPCS","Both",,,"473.5","236.75","Amerigroup","Medicaid Managed Care","",,"37",,"173.3","173.3","366.96","percent of total billed charges",,
"XR DUP SCAN ABD PELV SCROTAL &OR RETROPE","93975","HCPCS","Both",,,"473.5","236.75","Caresource","Medicaid Managed Care","",,"40",,"189.4","173.3","366.96","percent of total billed charges",,
"XR DUP SCAN ABD PELV SCROTAL &OR RETROPE","93975","HCPCS","Both",,,"473.5","236.75","Wellcare","Medicaid Managed Care","",,"40",,"191.77","173.3","366.96","percent of total billed charges",,
"XR DUP SCAN ABD PELV SCROTAL &OR RETROPE","93975","HCPCS","Both",,,"473.5","236.75","Aetna","Commercial","",,"64",,"302.09","173.3","366.96","percent of total billed charges",,
"XR DUP SCAN ABD PELV SCROTAL &OR RETROPE","93975","HCPCS","Both",,,"473.5","236.75","Blue Cross Blue Shield","Pathways","",,"71",,"334.29","173.3","366.96","percent of total billed charges",,
"XR DUP SCAN ABD PELV SCROTAL &OR RETROPE","93975","HCPCS","Both",,,"473.5","236.75","Blue Cross Blue Shield","HMO","",,"71",,"334.29","173.3","366.96","percent of total billed charges",,
"XR DUP SCAN ABD PELV SCROTAL &OR RETROPE","93975","HCPCS","Both",,,"473.5","236.75","Blue Cross Blue Shield","PPO","",,"71",,"334.29","173.3","366.96","percent of total billed charges",,
"XR DUP SCAN ABD PELV SCROTAL &OR RETROPE","93975","HCPCS","Both",,,"473.5","236.75","Ambetter","Health Exchange","",,"62",,"293.57","173.3","366.96","percent of total billed charges",,
"XR DUP SCAN ABD PELV SCROTAL &OR RETROPE","93975","HCPCS","Both",,,"473.5","236.75","Caresource","Health Exchange","",,"62",,"293.57","173.3","366.96","percent of total billed charges",,
"XR DUP SCAN ABD PELV SCROTAL &OR RETROPE","93975","HCPCS","Both",,,"473.5","236.75","Cigna","Commercial","",,"59",,"277.47","173.3","366.96","percent of total billed charges",,
"XR DUP SCAN ABD PELV SCROTAL &OR RETROPE","93975","HCPCS","Both",,,"473.5","236.75","Humana","Commercial","",,"78",,"366.96","173.3","366.96","percent of total billed charges",,
"XR DUP SCAN ABD PELV SCROTAL &OR RETROPE","93975","HCPCS","Both",,,"473.5","236.75","UHC","Commercial","",,"75",,"357.02","173.3","366.96","percent of total billed charges",,
"XR DUP SCAN ABD PELV SCROTAL &OR RETROPE","93975","HCPCS","Both",,,"473.5","236.75","Medicaid",,"",,"37",,"173.3","173.3","366.96","percent of total billed charges",,
"XR LOW EXTREMITY RIGHT INFANT TWO VIEWS","73592","HCPCS","Both",,,"89.5","44.75","Alliant","Health Exchange","RT",,"62",,"55.49","32.76","69.36","percent of total billed charges",,
"XR LOW EXTREMITY RIGHT INFANT TWO VIEWS","73592","HCPCS","Both",,,"89.5","44.75","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"48.33","32.76","69.36","percent of total billed charges",,
"XR LOW EXTREMITY RIGHT INFANT TWO VIEWS","73592","HCPCS","Both",,,"89.5","44.75","Medicare",,"RT",,"54",,"48.51","32.76","69.36","percent of total billed charges",,
"XR LOW EXTREMITY RIGHT INFANT TWO VIEWS","73592","HCPCS","Both",,,"89.5","44.75","Humana","Medicare Advantage","RT",,"54",,"48.51","32.76","69.36","percent of total billed charges",,
"XR LOW EXTREMITY RIGHT INFANT TWO VIEWS","73592","HCPCS","Both",,,"89.5","44.75","UHC","Medicare Advantage","RT",,"54",,"48.51","32.76","69.36","percent of total billed charges",,
"XR LOW EXTREMITY RIGHT INFANT TWO VIEWS","73592","HCPCS","Both",,,"89.5","44.75","Clover","Medicare Advantage","RT",,"54",,"48.51","32.76","69.36","percent of total billed charges",,
"XR LOW EXTREMITY RIGHT INFANT TWO VIEWS","73592","HCPCS","Both",,,"89.5","44.75","Wellcare","Medicare Advantage","RT",,"54",,"48.51","32.76","69.36","percent of total billed charges",,
"XR LOW EXTREMITY RIGHT INFANT TWO VIEWS","73592","HCPCS","Both",,,"89.5","44.75","Amerigroup","Medicaid Managed Care","RT",,"37",,"32.76","32.76","69.36","percent of total billed charges",,
"XR LOW EXTREMITY RIGHT INFANT TWO VIEWS","73592","HCPCS","Both",,,"89.5","44.75","Caresource","Medicaid Managed Care","RT",,"40",,"35.8","32.76","69.36","percent of total billed charges",,
"XR LOW EXTREMITY RIGHT INFANT TWO VIEWS","73592","HCPCS","Both",,,"89.5","44.75","Wellcare","Medicaid Managed Care","RT",,"40",,"36.25","32.76","69.36","percent of total billed charges",,
"XR LOW EXTREMITY RIGHT INFANT TWO VIEWS","73592","HCPCS","Both",,,"89.5","44.75","Aetna","Commercial","RT",,"64",,"57.1","32.76","69.36","percent of total billed charges",,
"XR LOW EXTREMITY RIGHT INFANT TWO VIEWS","73592","HCPCS","Both",,,"89.5","44.75","Blue Cross Blue Shield","Pathways","RT",,"71",,"63.19","32.76","69.36","percent of total billed charges",,
"XR LOW EXTREMITY RIGHT INFANT TWO VIEWS","73592","HCPCS","Both",,,"89.5","44.75","Blue Cross Blue Shield","HMO","RT",,"71",,"63.19","32.76","69.36","percent of total billed charges",,
"XR LOW EXTREMITY RIGHT INFANT TWO VIEWS","73592","HCPCS","Both",,,"89.5","44.75","Blue Cross Blue Shield","PPO","RT",,"71",,"63.19","32.76","69.36","percent of total billed charges",,
"XR LOW EXTREMITY RIGHT INFANT TWO VIEWS","73592","HCPCS","Both",,,"89.5","44.75","Ambetter","Health Exchange","RT",,"62",,"55.49","32.76","69.36","percent of total billed charges",,
"XR LOW EXTREMITY RIGHT INFANT TWO VIEWS","73592","HCPCS","Both",,,"89.5","44.75","Caresource","Health Exchange","RT",,"62",,"55.49","32.76","69.36","percent of total billed charges",,
"XR LOW EXTREMITY RIGHT INFANT TWO VIEWS","73592","HCPCS","Both",,,"89.5","44.75","Cigna","Commercial","RT",,"59",,"52.45","32.76","69.36","percent of total billed charges",,
"XR LOW EXTREMITY RIGHT INFANT TWO VIEWS","73592","HCPCS","Both",,,"89.5","44.75","Humana","Commercial","RT",,"78",,"69.36","32.76","69.36","percent of total billed charges",,
"XR LOW EXTREMITY RIGHT INFANT TWO VIEWS","73592","HCPCS","Both",,,"89.5","44.75","UHC","Commercial","RT",,"75",,"67.48","32.76","69.36","percent of total billed charges",,
"XR LOW EXTREMITY RIGHT INFANT TWO VIEWS","73592","HCPCS","Both",,,"89.5","44.75","Medicaid",,"RT",,"37",,"32.76","32.76","69.36","percent of total billed charges",,
"XR UPPER EXTREMITY LEFT INFANT TWO VIEWS","73092","HCPCS","Both",,,"85","42.5","Alliant","Health Exchange","LT",,"62",,"52.7","31.11","65.88","percent of total billed charges",,
"XR UPPER EXTREMITY LEFT INFANT TWO VIEWS","73092","HCPCS","Both",,,"85","42.5","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"45.9","31.11","65.88","percent of total billed charges",,
"XR UPPER EXTREMITY LEFT INFANT TWO VIEWS","73092","HCPCS","Both",,,"85","42.5","Medicare",,"LT",,"54",,"46.07","31.11","65.88","percent of total billed charges",,
"XR UPPER EXTREMITY LEFT INFANT TWO VIEWS","73092","HCPCS","Both",,,"85","42.5","Humana","Medicare Advantage","LT",,"54",,"46.07","31.11","65.88","percent of total billed charges",,
"XR UPPER EXTREMITY LEFT INFANT TWO VIEWS","73092","HCPCS","Both",,,"85","42.5","UHC","Medicare Advantage","LT",,"54",,"46.07","31.11","65.88","percent of total billed charges",,
"XR UPPER EXTREMITY LEFT INFANT TWO VIEWS","73092","HCPCS","Both",,,"85","42.5","Clover","Medicare Advantage","LT",,"54",,"46.07","31.11","65.88","percent of total billed charges",,
"XR UPPER EXTREMITY LEFT INFANT TWO VIEWS","73092","HCPCS","Both",,,"85","42.5","Wellcare","Medicare Advantage","LT",,"54",,"46.07","31.11","65.88","percent of total billed charges",,
"XR UPPER EXTREMITY LEFT INFANT TWO VIEWS","73092","HCPCS","Both",,,"85","42.5","Amerigroup","Medicaid Managed Care","LT",,"37",,"31.11","31.11","65.88","percent of total billed charges",,
"XR UPPER EXTREMITY LEFT INFANT TWO VIEWS","73092","HCPCS","Both",,,"85","42.5","Caresource","Medicaid Managed Care","LT",,"40",,"34","31.11","65.88","percent of total billed charges",,
"XR UPPER EXTREMITY LEFT INFANT TWO VIEWS","73092","HCPCS","Both",,,"85","42.5","Wellcare","Medicaid Managed Care","LT",,"40",,"34.43","31.11","65.88","percent of total billed charges",,
"XR UPPER EXTREMITY LEFT INFANT TWO VIEWS","73092","HCPCS","Both",,,"85","42.5","Aetna","Commercial","LT",,"64",,"54.23","31.11","65.88","percent of total billed charges",,
"XR UPPER EXTREMITY LEFT INFANT TWO VIEWS","73092","HCPCS","Both",,,"85","42.5","Blue Cross Blue Shield","Pathways","LT",,"71",,"60.01","31.11","65.88","percent of total billed charges",,
"XR UPPER EXTREMITY LEFT INFANT TWO VIEWS","73092","HCPCS","Both",,,"85","42.5","Blue Cross Blue Shield","HMO","LT",,"71",,"60.01","31.11","65.88","percent of total billed charges",,
"XR UPPER EXTREMITY LEFT INFANT TWO VIEWS","73092","HCPCS","Both",,,"85","42.5","Blue Cross Blue Shield","PPO","LT",,"71",,"60.01","31.11","65.88","percent of total billed charges",,
"XR UPPER EXTREMITY LEFT INFANT TWO VIEWS","73092","HCPCS","Both",,,"85","42.5","Ambetter","Health Exchange","LT",,"62",,"52.7","31.11","65.88","percent of total billed charges",,
"XR UPPER EXTREMITY LEFT INFANT TWO VIEWS","73092","HCPCS","Both",,,"85","42.5","Caresource","Health Exchange","LT",,"62",,"52.7","31.11","65.88","percent of total billed charges",,
"XR UPPER EXTREMITY LEFT INFANT TWO VIEWS","73092","HCPCS","Both",,,"85","42.5","Cigna","Commercial","LT",,"59",,"49.81","31.11","65.88","percent of total billed charges",,
"XR UPPER EXTREMITY LEFT INFANT TWO VIEWS","73092","HCPCS","Both",,,"85","42.5","Humana","Commercial","LT",,"78",,"65.88","31.11","65.88","percent of total billed charges",,
"XR UPPER EXTREMITY LEFT INFANT TWO VIEWS","73092","HCPCS","Both",,,"85","42.5","UHC","Commercial","LT",,"75",,"64.09","31.11","65.88","percent of total billed charges",,
"XR UPPER EXTREMITY LEFT INFANT TWO VIEWS","73092","HCPCS","Both",,,"85","42.5","Medicaid",,"LT",,"37",,"31.11","31.11","65.88","percent of total billed charges",,
"XR UPP EXTREMITY RIGHT INFANT TWO VIEWS","73092","HCPCS","Both",,,"85","42.5","Alliant","Health Exchange","RT",,"62",,"52.7","31.11","65.88","percent of total billed charges",,
"XR UPP EXTREMITY RIGHT INFANT TWO VIEWS","73092","HCPCS","Both",,,"85","42.5","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"45.9","31.11","65.88","percent of total billed charges",,
"XR UPP EXTREMITY RIGHT INFANT TWO VIEWS","73092","HCPCS","Both",,,"85","42.5","Medicare",,"RT",,"54",,"46.07","31.11","65.88","percent of total billed charges",,
"XR UPP EXTREMITY RIGHT INFANT TWO VIEWS","73092","HCPCS","Both",,,"85","42.5","Humana","Medicare Advantage","RT",,"54",,"46.07","31.11","65.88","percent of total billed charges",,
"XR UPP EXTREMITY RIGHT INFANT TWO VIEWS","73092","HCPCS","Both",,,"85","42.5","UHC","Medicare Advantage","RT",,"54",,"46.07","31.11","65.88","percent of total billed charges",,
"XR UPP EXTREMITY RIGHT INFANT TWO VIEWS","73092","HCPCS","Both",,,"85","42.5","Clover","Medicare Advantage","RT",,"54",,"46.07","31.11","65.88","percent of total billed charges",,
"XR UPP EXTREMITY RIGHT INFANT TWO VIEWS","73092","HCPCS","Both",,,"85","42.5","Wellcare","Medicare Advantage","RT",,"54",,"46.07","31.11","65.88","percent of total billed charges",,
"XR UPP EXTREMITY RIGHT INFANT TWO VIEWS","73092","HCPCS","Both",,,"85","42.5","Amerigroup","Medicaid Managed Care","RT",,"37",,"31.11","31.11","65.88","percent of total billed charges",,
"XR UPP EXTREMITY RIGHT INFANT TWO VIEWS","73092","HCPCS","Both",,,"85","42.5","Caresource","Medicaid Managed Care","RT",,"40",,"34","31.11","65.88","percent of total billed charges",,
"XR UPP EXTREMITY RIGHT INFANT TWO VIEWS","73092","HCPCS","Both",,,"85","42.5","Wellcare","Medicaid Managed Care","RT",,"40",,"34.43","31.11","65.88","percent of total billed charges",,
"XR UPP EXTREMITY RIGHT INFANT TWO VIEWS","73092","HCPCS","Both",,,"85","42.5","Aetna","Commercial","RT",,"64",,"54.23","31.11","65.88","percent of total billed charges",,
"XR UPP EXTREMITY RIGHT INFANT TWO VIEWS","73092","HCPCS","Both",,,"85","42.5","Blue Cross Blue Shield","Pathways","RT",,"71",,"60.01","31.11","65.88","percent of total billed charges",,
"XR UPP EXTREMITY RIGHT INFANT TWO VIEWS","73092","HCPCS","Both",,,"85","42.5","Blue Cross Blue Shield","HMO","RT",,"71",,"60.01","31.11","65.88","percent of total billed charges",,
"XR UPP EXTREMITY RIGHT INFANT TWO VIEWS","73092","HCPCS","Both",,,"85","42.5","Blue Cross Blue Shield","PPO","RT",,"71",,"60.01","31.11","65.88","percent of total billed charges",,
"XR UPP EXTREMITY RIGHT INFANT TWO VIEWS","73092","HCPCS","Both",,,"85","42.5","Ambetter","Health Exchange","RT",,"62",,"52.7","31.11","65.88","percent of total billed charges",,
"XR UPP EXTREMITY RIGHT INFANT TWO VIEWS","73092","HCPCS","Both",,,"85","42.5","Caresource","Health Exchange","RT",,"62",,"52.7","31.11","65.88","percent of total billed charges",,
"XR UPP EXTREMITY RIGHT INFANT TWO VIEWS","73092","HCPCS","Both",,,"85","42.5","Cigna","Commercial","RT",,"59",,"49.81","31.11","65.88","percent of total billed charges",,
"XR UPP EXTREMITY RIGHT INFANT TWO VIEWS","73092","HCPCS","Both",,,"85","42.5","Humana","Commercial","RT",,"78",,"65.88","31.11","65.88","percent of total billed charges",,
"XR UPP EXTREMITY RIGHT INFANT TWO VIEWS","73092","HCPCS","Both",,,"85","42.5","UHC","Commercial","RT",,"75",,"64.09","31.11","65.88","percent of total billed charges",,
"XR UPP EXTREMITY RIGHT INFANT TWO VIEWS","73092","HCPCS","Both",,,"85","42.5","Medicaid",,"RT",,"37",,"31.11","31.11","65.88","percent of total billed charges",,
"NONIONIC CONTRAST 50 ML","A4641","HCPCS","Both",,,"176.5","88.25","Alliant","Health Exchange","",,"62",,"109.43","64.6","136.79","percent of total billed charges",,
"NONIONIC CONTRAST 50 ML","A4641","HCPCS","Both",,,"176.5","88.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"95.31","64.6","136.79","percent of total billed charges",,
"NONIONIC CONTRAST 50 ML","A4641","HCPCS","Both",,,"176.5","88.25","Medicare",,"",,"54",,"95.66","64.6","136.79","percent of total billed charges",,
"NONIONIC CONTRAST 50 ML","A4641","HCPCS","Both",,,"176.5","88.25","Humana","Medicare Advantage","",,"54",,"95.66","64.6","136.79","percent of total billed charges",,
"NONIONIC CONTRAST 50 ML","A4641","HCPCS","Both",,,"176.5","88.25","UHC","Medicare Advantage","",,"54",,"95.66","64.6","136.79","percent of total billed charges",,
"NONIONIC CONTRAST 50 ML","A4641","HCPCS","Both",,,"176.5","88.25","Clover","Medicare Advantage","",,"54",,"95.66","64.6","136.79","percent of total billed charges",,
"NONIONIC CONTRAST 50 ML","A4641","HCPCS","Both",,,"176.5","88.25","Wellcare","Medicare Advantage","",,"54",,"95.66","64.6","136.79","percent of total billed charges",,
"NONIONIC CONTRAST 50 ML","A4641","HCPCS","Both",,,"176.5","88.25","Amerigroup","Medicaid Managed Care","",,"37",,"64.6","64.6","136.79","percent of total billed charges",,
"NONIONIC CONTRAST 50 ML","A4641","HCPCS","Both",,,"176.5","88.25","Caresource","Medicaid Managed Care","",,"40",,"70.6","64.6","136.79","percent of total billed charges",,
"NONIONIC CONTRAST 50 ML","A4641","HCPCS","Both",,,"176.5","88.25","Wellcare","Medicaid Managed Care","",,"40",,"71.48","64.6","136.79","percent of total billed charges",,
"NONIONIC CONTRAST 50 ML","A4641","HCPCS","Both",,,"176.5","88.25","Aetna","Commercial","",,"64",,"112.61","64.6","136.79","percent of total billed charges",,
"NONIONIC CONTRAST 50 ML","A4641","HCPCS","Both",,,"176.5","88.25","Blue Cross Blue Shield","Pathways","",,"71",,"124.61","64.6","136.79","percent of total billed charges",,
"NONIONIC CONTRAST 50 ML","A4641","HCPCS","Both",,,"176.5","88.25","Blue Cross Blue Shield","HMO","",,"71",,"124.61","64.6","136.79","percent of total billed charges",,
"NONIONIC CONTRAST 50 ML","A4641","HCPCS","Both",,,"176.5","88.25","Blue Cross Blue Shield","PPO","",,"71",,"124.61","64.6","136.79","percent of total billed charges",,
"NONIONIC CONTRAST 50 ML","A4641","HCPCS","Both",,,"176.5","88.25","Ambetter","Health Exchange","",,"62",,"109.43","64.6","136.79","percent of total billed charges",,
"NONIONIC CONTRAST 50 ML","A4641","HCPCS","Both",,,"176.5","88.25","Caresource","Health Exchange","",,"62",,"109.43","64.6","136.79","percent of total billed charges",,
"NONIONIC CONTRAST 50 ML","A4641","HCPCS","Both",,,"176.5","88.25","Cigna","Commercial","",,"59",,"103.43","64.6","136.79","percent of total billed charges",,
"NONIONIC CONTRAST 50 ML","A4641","HCPCS","Both",,,"176.5","88.25","Humana","Commercial","",,"78",,"136.79","64.6","136.79","percent of total billed charges",,
"NONIONIC CONTRAST 50 ML","A4641","HCPCS","Both",,,"176.5","88.25","UHC","Commercial","",,"75",,"133.08","64.6","136.79","percent of total billed charges",,
"NONIONIC CONTRAST 50 ML","A4641","HCPCS","Both",,,"176.5","88.25","Medicaid",,"",,"37",,"64.6","64.6","136.79","percent of total billed charges",,
"XR SCOLIOSIS STUDY SPINE & EREC","72081","HCPCS","Both",,,"57.5","28.75","Alliant","Health Exchange","",,"62",,"35.65","21.04","44.56","percent of total billed charges",,
"XR SCOLIOSIS STUDY SPINE & EREC","72081","HCPCS","Both",,,"57.5","28.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"31.05","21.04","44.56","percent of total billed charges",,
"XR SCOLIOSIS STUDY SPINE & EREC","72081","HCPCS","Both",,,"57.5","28.75","Medicare",,"",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"XR SCOLIOSIS STUDY SPINE & EREC","72081","HCPCS","Both",,,"57.5","28.75","Humana","Medicare Advantage","",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"XR SCOLIOSIS STUDY SPINE & EREC","72081","HCPCS","Both",,,"57.5","28.75","UHC","Medicare Advantage","",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"XR SCOLIOSIS STUDY SPINE & EREC","72081","HCPCS","Both",,,"57.5","28.75","Clover","Medicare Advantage","",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"XR SCOLIOSIS STUDY SPINE & EREC","72081","HCPCS","Both",,,"57.5","28.75","Wellcare","Medicare Advantage","",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"XR SCOLIOSIS STUDY SPINE & EREC","72081","HCPCS","Both",,,"57.5","28.75","Amerigroup","Medicaid Managed Care","",,"37",,"21.04","21.04","44.56","percent of total billed charges",,
"XR SCOLIOSIS STUDY SPINE & EREC","72081","HCPCS","Both",,,"57.5","28.75","Caresource","Medicaid Managed Care","",,"40",,"23","21.04","44.56","percent of total billed charges",,
"XR SCOLIOSIS STUDY SPINE & EREC","72081","HCPCS","Both",,,"57.5","28.75","Wellcare","Medicaid Managed Care","",,"40",,"23.29","21.04","44.56","percent of total billed charges",,
"XR SCOLIOSIS STUDY SPINE & EREC","72081","HCPCS","Both",,,"57.5","28.75","Aetna","Commercial","",,"64",,"36.68","21.04","44.56","percent of total billed charges",,
"XR SCOLIOSIS STUDY SPINE & EREC","72081","HCPCS","Both",,,"57.5","28.75","Blue Cross Blue Shield","Pathways","",,"71",,"40.6","21.04","44.56","percent of total billed charges",,
"XR SCOLIOSIS STUDY SPINE & EREC","72081","HCPCS","Both",,,"57.5","28.75","Blue Cross Blue Shield","HMO","",,"71",,"40.6","21.04","44.56","percent of total billed charges",,
"XR SCOLIOSIS STUDY SPINE & EREC","72081","HCPCS","Both",,,"57.5","28.75","Blue Cross Blue Shield","PPO","",,"71",,"40.6","21.04","44.56","percent of total billed charges",,
"XR SCOLIOSIS STUDY SPINE & EREC","72081","HCPCS","Both",,,"57.5","28.75","Ambetter","Health Exchange","",,"62",,"35.65","21.04","44.56","percent of total billed charges",,
"XR SCOLIOSIS STUDY SPINE & EREC","72081","HCPCS","Both",,,"57.5","28.75","Caresource","Health Exchange","",,"62",,"35.65","21.04","44.56","percent of total billed charges",,
"XR SCOLIOSIS STUDY SPINE & EREC","72081","HCPCS","Both",,,"57.5","28.75","Cigna","Commercial","",,"59",,"33.7","21.04","44.56","percent of total billed charges",,
"XR SCOLIOSIS STUDY SPINE & EREC","72081","HCPCS","Both",,,"57.5","28.75","Humana","Commercial","",,"78",,"44.56","21.04","44.56","percent of total billed charges",,
"XR SCOLIOSIS STUDY SPINE & EREC","72081","HCPCS","Both",,,"57.5","28.75","UHC","Commercial","",,"75",,"43.36","21.04","44.56","percent of total billed charges",,
"XR SCOLIOSIS STUDY SPINE & EREC","72081","HCPCS","Both",,,"57.5","28.75","Medicaid",,"",,"37",,"21.04","21.04","44.56","percent of total billed charges",,
"US ULTRASONIC GUIDANCE FOR NEEDLE PLACE","76942","HCPCS","Both",,,"483.5","241.75","Alliant","Health Exchange","",,"62",,"299.77","176.96","374.71","percent of total billed charges",,
"US ULTRASONIC GUIDANCE FOR NEEDLE PLACE","76942","HCPCS","Both",,,"483.5","241.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"261.09","176.96","374.71","percent of total billed charges",,
"US ULTRASONIC GUIDANCE FOR NEEDLE PLACE","76942","HCPCS","Both",,,"483.5","241.75","Medicare",,"",,"54",,"262.06","176.96","374.71","percent of total billed charges",,
"US ULTRASONIC GUIDANCE FOR NEEDLE PLACE","76942","HCPCS","Both",,,"483.5","241.75","Humana","Medicare Advantage","",,"54",,"262.06","176.96","374.71","percent of total billed charges",,
"US ULTRASONIC GUIDANCE FOR NEEDLE PLACE","76942","HCPCS","Both",,,"483.5","241.75","UHC","Medicare Advantage","",,"54",,"262.06","176.96","374.71","percent of total billed charges",,
"US ULTRASONIC GUIDANCE FOR NEEDLE PLACE","76942","HCPCS","Both",,,"483.5","241.75","Clover","Medicare Advantage","",,"54",,"262.06","176.96","374.71","percent of total billed charges",,
"US ULTRASONIC GUIDANCE FOR NEEDLE PLACE","76942","HCPCS","Both",,,"483.5","241.75","Wellcare","Medicare Advantage","",,"54",,"262.06","176.96","374.71","percent of total billed charges",,
"US ULTRASONIC GUIDANCE FOR NEEDLE PLACE","76942","HCPCS","Both",,,"483.5","241.75","Amerigroup","Medicaid Managed Care","",,"37",,"176.96","176.96","374.71","percent of total billed charges",,
"US ULTRASONIC GUIDANCE FOR NEEDLE PLACE","76942","HCPCS","Both",,,"483.5","241.75","Caresource","Medicaid Managed Care","",,"40",,"193.4","176.96","374.71","percent of total billed charges",,
"US ULTRASONIC GUIDANCE FOR NEEDLE PLACE","76942","HCPCS","Both",,,"483.5","241.75","Wellcare","Medicaid Managed Care","",,"40",,"195.82","176.96","374.71","percent of total billed charges",,
"US ULTRASONIC GUIDANCE FOR NEEDLE PLACE","76942","HCPCS","Both",,,"483.5","241.75","Aetna","Commercial","",,"64",,"308.47","176.96","374.71","percent of total billed charges",,
"US ULTRASONIC GUIDANCE FOR NEEDLE PLACE","76942","HCPCS","Both",,,"483.5","241.75","Blue Cross Blue Shield","Pathways","",,"71",,"341.35","176.96","374.71","percent of total billed charges",,
"US ULTRASONIC GUIDANCE FOR NEEDLE PLACE","76942","HCPCS","Both",,,"483.5","241.75","Blue Cross Blue Shield","HMO","",,"71",,"341.35","176.96","374.71","percent of total billed charges",,
"US ULTRASONIC GUIDANCE FOR NEEDLE PLACE","76942","HCPCS","Both",,,"483.5","241.75","Blue Cross Blue Shield","PPO","",,"71",,"341.35","176.96","374.71","percent of total billed charges",,
"US ULTRASONIC GUIDANCE FOR NEEDLE PLACE","76942","HCPCS","Both",,,"483.5","241.75","Ambetter","Health Exchange","",,"62",,"299.77","176.96","374.71","percent of total billed charges",,
"US ULTRASONIC GUIDANCE FOR NEEDLE PLACE","76942","HCPCS","Both",,,"483.5","241.75","Caresource","Health Exchange","",,"62",,"299.77","176.96","374.71","percent of total billed charges",,
"US ULTRASONIC GUIDANCE FOR NEEDLE PLACE","76942","HCPCS","Both",,,"483.5","241.75","Cigna","Commercial","",,"59",,"283.33","176.96","374.71","percent of total billed charges",,
"US ULTRASONIC GUIDANCE FOR NEEDLE PLACE","76942","HCPCS","Both",,,"483.5","241.75","Humana","Commercial","",,"78",,"374.71","176.96","374.71","percent of total billed charges",,
"US ULTRASONIC GUIDANCE FOR NEEDLE PLACE","76942","HCPCS","Both",,,"483.5","241.75","UHC","Commercial","",,"75",,"364.56","176.96","374.71","percent of total billed charges",,
"US ULTRASONIC GUIDANCE FOR NEEDLE PLACE","76942","HCPCS","Both",,,"483.5","241.75","Medicaid",,"",,"37",,"176.96","176.96","374.71","percent of total billed charges",,
"US PREGNANT UTERUS FOLLOW UP RE EVAL","76816","HCPCS","Both",,,"132.5","66.25","Alliant","Health Exchange","",,"62",,"82.15","48.5","102.69","percent of total billed charges",,
"US PREGNANT UTERUS FOLLOW UP RE EVAL","76816","HCPCS","Both",,,"132.5","66.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"71.55","48.5","102.69","percent of total billed charges",,
"US PREGNANT UTERUS FOLLOW UP RE EVAL","76816","HCPCS","Both",,,"132.5","66.25","Medicare",,"",,"54",,"71.82","48.5","102.69","percent of total billed charges",,
"US PREGNANT UTERUS FOLLOW UP RE EVAL","76816","HCPCS","Both",,,"132.5","66.25","Humana","Medicare Advantage","",,"54",,"71.82","48.5","102.69","percent of total billed charges",,
"US PREGNANT UTERUS FOLLOW UP RE EVAL","76816","HCPCS","Both",,,"132.5","66.25","UHC","Medicare Advantage","",,"54",,"71.82","48.5","102.69","percent of total billed charges",,
"US PREGNANT UTERUS FOLLOW UP RE EVAL","76816","HCPCS","Both",,,"132.5","66.25","Clover","Medicare Advantage","",,"54",,"71.82","48.5","102.69","percent of total billed charges",,
"US PREGNANT UTERUS FOLLOW UP RE EVAL","76816","HCPCS","Both",,,"132.5","66.25","Wellcare","Medicare Advantage","",,"54",,"71.82","48.5","102.69","percent of total billed charges",,
"US PREGNANT UTERUS FOLLOW UP RE EVAL","76816","HCPCS","Both",,,"132.5","66.25","Amerigroup","Medicaid Managed Care","",,"37",,"48.5","48.5","102.69","percent of total billed charges",,
"US PREGNANT UTERUS FOLLOW UP RE EVAL","76816","HCPCS","Both",,,"132.5","66.25","Caresource","Medicaid Managed Care","",,"40",,"53","48.5","102.69","percent of total billed charges",,
"US PREGNANT UTERUS FOLLOW UP RE EVAL","76816","HCPCS","Both",,,"132.5","66.25","Wellcare","Medicaid Managed Care","",,"40",,"53.66","48.5","102.69","percent of total billed charges",,
"US PREGNANT UTERUS FOLLOW UP RE EVAL","76816","HCPCS","Both",,,"132.5","66.25","Aetna","Commercial","",,"64",,"84.54","48.5","102.69","percent of total billed charges",,
"US PREGNANT UTERUS FOLLOW UP RE EVAL","76816","HCPCS","Both",,,"132.5","66.25","Blue Cross Blue Shield","Pathways","",,"71",,"93.54","48.5","102.69","percent of total billed charges",,
"US PREGNANT UTERUS FOLLOW UP RE EVAL","76816","HCPCS","Both",,,"132.5","66.25","Blue Cross Blue Shield","HMO","",,"71",,"93.54","48.5","102.69","percent of total billed charges",,
"US PREGNANT UTERUS FOLLOW UP RE EVAL","76816","HCPCS","Both",,,"132.5","66.25","Blue Cross Blue Shield","PPO","",,"71",,"93.54","48.5","102.69","percent of total billed charges",,
"US PREGNANT UTERUS FOLLOW UP RE EVAL","76816","HCPCS","Both",,,"132.5","66.25","Ambetter","Health Exchange","",,"62",,"82.15","48.5","102.69","percent of total billed charges",,
"US PREGNANT UTERUS FOLLOW UP RE EVAL","76816","HCPCS","Both",,,"132.5","66.25","Caresource","Health Exchange","",,"62",,"82.15","48.5","102.69","percent of total billed charges",,
"US PREGNANT UTERUS FOLLOW UP RE EVAL","76816","HCPCS","Both",,,"132.5","66.25","Cigna","Commercial","",,"59",,"77.64","48.5","102.69","percent of total billed charges",,
"US PREGNANT UTERUS FOLLOW UP RE EVAL","76816","HCPCS","Both",,,"132.5","66.25","Humana","Commercial","",,"78",,"102.69","48.5","102.69","percent of total billed charges",,
"US PREGNANT UTERUS FOLLOW UP RE EVAL","76816","HCPCS","Both",,,"132.5","66.25","UHC","Commercial","",,"75",,"99.9","48.5","102.69","percent of total billed charges",,
"US PREGNANT UTERUS FOLLOW UP RE EVAL","76816","HCPCS","Both",,,"132.5","66.25","Medicaid",,"",,"37",,"48.5","48.5","102.69","percent of total billed charges",,
"US ABD COMPLETE","76700","HCPCS","Both",,,"408","204","Alliant","Health Exchange","",,"62",,"252.96","41.15","316.2","percent of total billed charges",,
"US ABD COMPLETE","76700","HCPCS","Both",,,"408","204","Pruitt Healthcare","Medicare Advantage","",,"54",,"220.32","41.15","316.2","percent of total billed charges",,
"US ABD COMPLETE","76700","HCPCS","Both",,,"408","204","Medicare",,"",,"54",,"221.14","41.15","316.2","percent of total billed charges",,
"US ABD COMPLETE","76700","HCPCS","Both",,,"408","204","Humana","Medicare Advantage","",,"54",,"221.14","41.15","316.2","percent of total billed charges",,
"US ABD COMPLETE","76700","HCPCS","Both",,,"408","204","UHC","Medicare Advantage","",,"54",,"221.14","41.15","316.2","percent of total billed charges",,
"US ABD COMPLETE","76700","HCPCS","Both",,,"408","204","Clover","Medicare Advantage","",,"54",,"221.14","41.15","316.2","percent of total billed charges",,
"US ABD COMPLETE","76700","HCPCS","Both",,,"408","204","Wellcare","Medicare Advantage","",,"54",,"221.14","41.15","316.2","percent of total billed charges",,
"US ABD COMPLETE","76700","HCPCS","Both",,,"408","204","Amerigroup","Medicaid Managed Care","",,"37",,"149.33","41.15","316.2","percent of total billed charges",,
"US ABD COMPLETE","76700","HCPCS","Both",,,"408","204","Caresource","Medicaid Managed Care","",,"40",,"163.2","41.15","316.2","percent of total billed charges",,
"US ABD COMPLETE","76700","HCPCS","Both",,,"408","204","Wellcare","Medicaid Managed Care","",,"40",,"165.24","41.15","316.2","percent of total billed charges",,
"US ABD COMPLETE","76700","HCPCS","Both",,,"408","204","Aetna","Commercial","",,"64",,"260.3","41.15","316.2","percent of total billed charges",,
"US ABD COMPLETE","76700","HCPCS","Both",,,"408","204","Blue Cross Blue Shield","Pathways","",,"71",,"288.05","41.15","316.2","percent of total billed charges",,
"US ABD COMPLETE","76700","HCPCS","Both",,,"408","204","Blue Cross Blue Shield","HMO","",,"71",,"288.05","41.15","316.2","percent of total billed charges",,
"US ABD COMPLETE","76700","HCPCS","Both",,,"408","204","Blue Cross Blue Shield","PPO","",,"71",,"288.05","41.15","316.2","percent of total billed charges",,
"US ABD COMPLETE","76700","HCPCS","Both",,,"408","204","Ambetter","Health Exchange","",,"62",,"252.96","41.15","316.2","percent of total billed charges",,
"US ABD COMPLETE","76700","HCPCS","Both",,,"408","204","Caresource","Health Exchange","",,"62",,"252.96","41.15","316.2","percent of total billed charges",,
"US ABD COMPLETE","76700","HCPCS","Both",,,"408","204","Cigna","Commercial","",,"59",,"239.09","41.15","316.2","percent of total billed charges",,
"US ABD COMPLETE","76700","HCPCS","Both",,,"408","204","Humana","Commercial","",,"78",,"316.2","41.15","316.2","percent of total billed charges",,
"US ABD COMPLETE","76700","HCPCS","Both",,,"408","204","UHC","Commercial","",,"75",,"307.63","41.15","316.2","percent of total billed charges",,
"US ABD COMPLETE","76700","HCPCS","Both",,,"408","204","Medicaid",,"",,"37",,"149.33","41.15","316.2","percent of total billed charges",,
"US ULTRASONIC GUIDANCE FOR AMNIOCENTESIS","76946","HCPCS","Both",,,"314.5","157.25","Alliant","Health Exchange","",,"62",,"194.99","115.11","243.74","percent of total billed charges",,
"US ULTRASONIC GUIDANCE FOR AMNIOCENTESIS","76946","HCPCS","Both",,,"314.5","157.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"169.83","115.11","243.74","percent of total billed charges",,
"US ULTRASONIC GUIDANCE FOR AMNIOCENTESIS","76946","HCPCS","Both",,,"314.5","157.25","Medicare",,"",,"54",,"170.46","115.11","243.74","percent of total billed charges",,
"US ULTRASONIC GUIDANCE FOR AMNIOCENTESIS","76946","HCPCS","Both",,,"314.5","157.25","Humana","Medicare Advantage","",,"54",,"170.46","115.11","243.74","percent of total billed charges",,
"US ULTRASONIC GUIDANCE FOR AMNIOCENTESIS","76946","HCPCS","Both",,,"314.5","157.25","UHC","Medicare Advantage","",,"54",,"170.46","115.11","243.74","percent of total billed charges",,
"US ULTRASONIC GUIDANCE FOR AMNIOCENTESIS","76946","HCPCS","Both",,,"314.5","157.25","Clover","Medicare Advantage","",,"54",,"170.46","115.11","243.74","percent of total billed charges",,
"US ULTRASONIC GUIDANCE FOR AMNIOCENTESIS","76946","HCPCS","Both",,,"314.5","157.25","Wellcare","Medicare Advantage","",,"54",,"170.46","115.11","243.74","percent of total billed charges",,
"US ULTRASONIC GUIDANCE FOR AMNIOCENTESIS","76946","HCPCS","Both",,,"314.5","157.25","Amerigroup","Medicaid Managed Care","",,"37",,"115.11","115.11","243.74","percent of total billed charges",,
"US ULTRASONIC GUIDANCE FOR AMNIOCENTESIS","76946","HCPCS","Both",,,"314.5","157.25","Caresource","Medicaid Managed Care","",,"40",,"125.8","115.11","243.74","percent of total billed charges",,
"US ULTRASONIC GUIDANCE FOR AMNIOCENTESIS","76946","HCPCS","Both",,,"314.5","157.25","Wellcare","Medicaid Managed Care","",,"40",,"127.37","115.11","243.74","percent of total billed charges",,
"US ULTRASONIC GUIDANCE FOR AMNIOCENTESIS","76946","HCPCS","Both",,,"314.5","157.25","Aetna","Commercial","",,"64",,"200.65","115.11","243.74","percent of total billed charges",,
"US ULTRASONIC GUIDANCE FOR AMNIOCENTESIS","76946","HCPCS","Both",,,"314.5","157.25","Blue Cross Blue Shield","Pathways","",,"71",,"222.04","115.11","243.74","percent of total billed charges",,
"US ULTRASONIC GUIDANCE FOR AMNIOCENTESIS","76946","HCPCS","Both",,,"314.5","157.25","Blue Cross Blue Shield","HMO","",,"71",,"222.04","115.11","243.74","percent of total billed charges",,
"US ULTRASONIC GUIDANCE FOR AMNIOCENTESIS","76946","HCPCS","Both",,,"314.5","157.25","Blue Cross Blue Shield","PPO","",,"71",,"222.04","115.11","243.74","percent of total billed charges",,
"US ULTRASONIC GUIDANCE FOR AMNIOCENTESIS","76946","HCPCS","Both",,,"314.5","157.25","Ambetter","Health Exchange","",,"62",,"194.99","115.11","243.74","percent of total billed charges",,
"US ULTRASONIC GUIDANCE FOR AMNIOCENTESIS","76946","HCPCS","Both",,,"314.5","157.25","Caresource","Health Exchange","",,"62",,"194.99","115.11","243.74","percent of total billed charges",,
"US ULTRASONIC GUIDANCE FOR AMNIOCENTESIS","76946","HCPCS","Both",,,"314.5","157.25","Cigna","Commercial","",,"59",,"184.3","115.11","243.74","percent of total billed charges",,
"US ULTRASONIC GUIDANCE FOR AMNIOCENTESIS","76946","HCPCS","Both",,,"314.5","157.25","Humana","Commercial","",,"78",,"243.74","115.11","243.74","percent of total billed charges",,
"US ULTRASONIC GUIDANCE FOR AMNIOCENTESIS","76946","HCPCS","Both",,,"314.5","157.25","UHC","Commercial","",,"75",,"237.13","115.11","243.74","percent of total billed charges",,
"US ULTRASONIC GUIDANCE FOR AMNIOCENTESIS","76946","HCPCS","Both",,,"314.5","157.25","Medicaid",,"",,"37",,"115.11","115.11","243.74","percent of total billed charges",,
"US PREGNANT UTERUS ECH ADD'L GESTATIO","76810","HCPCS","Both",,,"304","152","Alliant","Health Exchange","",,"62",,"188.48","111.26","235.6","percent of total billed charges",,
"US PREGNANT UTERUS ECH ADD'L GESTATIO","76810","HCPCS","Both",,,"304","152","Pruitt Healthcare","Medicare Advantage","",,"54",,"164.16","111.26","235.6","percent of total billed charges",,
"US PREGNANT UTERUS ECH ADD'L GESTATIO","76810","HCPCS","Both",,,"304","152","Medicare",,"",,"54",,"164.77","111.26","235.6","percent of total billed charges",,
"US PREGNANT UTERUS ECH ADD'L GESTATIO","76810","HCPCS","Both",,,"304","152","Humana","Medicare Advantage","",,"54",,"164.77","111.26","235.6","percent of total billed charges",,
"US PREGNANT UTERUS ECH ADD'L GESTATIO","76810","HCPCS","Both",,,"304","152","UHC","Medicare Advantage","",,"54",,"164.77","111.26","235.6","percent of total billed charges",,
"US PREGNANT UTERUS ECH ADD'L GESTATIO","76810","HCPCS","Both",,,"304","152","Clover","Medicare Advantage","",,"54",,"164.77","111.26","235.6","percent of total billed charges",,
"US PREGNANT UTERUS ECH ADD'L GESTATIO","76810","HCPCS","Both",,,"304","152","Wellcare","Medicare Advantage","",,"54",,"164.77","111.26","235.6","percent of total billed charges",,
"US PREGNANT UTERUS ECH ADD'L GESTATIO","76810","HCPCS","Both",,,"304","152","Amerigroup","Medicaid Managed Care","",,"37",,"111.26","111.26","235.6","percent of total billed charges",,
"US PREGNANT UTERUS ECH ADD'L GESTATIO","76810","HCPCS","Both",,,"304","152","Caresource","Medicaid Managed Care","",,"40",,"121.6","111.26","235.6","percent of total billed charges",,
"US PREGNANT UTERUS ECH ADD'L GESTATIO","76810","HCPCS","Both",,,"304","152","Wellcare","Medicaid Managed Care","",,"40",,"123.12","111.26","235.6","percent of total billed charges",,
"US PREGNANT UTERUS ECH ADD'L GESTATIO","76810","HCPCS","Both",,,"304","152","Aetna","Commercial","",,"64",,"193.95","111.26","235.6","percent of total billed charges",,
"US PREGNANT UTERUS ECH ADD'L GESTATIO","76810","HCPCS","Both",,,"304","152","Blue Cross Blue Shield","Pathways","",,"71",,"214.62","111.26","235.6","percent of total billed charges",,
"US PREGNANT UTERUS ECH ADD'L GESTATIO","76810","HCPCS","Both",,,"304","152","Blue Cross Blue Shield","HMO","",,"71",,"214.62","111.26","235.6","percent of total billed charges",,
"US PREGNANT UTERUS ECH ADD'L GESTATIO","76810","HCPCS","Both",,,"304","152","Blue Cross Blue Shield","PPO","",,"71",,"214.62","111.26","235.6","percent of total billed charges",,
"US PREGNANT UTERUS ECH ADD'L GESTATIO","76810","HCPCS","Both",,,"304","152","Ambetter","Health Exchange","",,"62",,"188.48","111.26","235.6","percent of total billed charges",,
"US PREGNANT UTERUS ECH ADD'L GESTATIO","76810","HCPCS","Both",,,"304","152","Caresource","Health Exchange","",,"62",,"188.48","111.26","235.6","percent of total billed charges",,
"US PREGNANT UTERUS ECH ADD'L GESTATIO","76810","HCPCS","Both",,,"304","152","Cigna","Commercial","",,"59",,"178.14","111.26","235.6","percent of total billed charges",,
"US PREGNANT UTERUS ECH ADD'L GESTATIO","76810","HCPCS","Both",,,"304","152","Humana","Commercial","",,"78",,"235.6","111.26","235.6","percent of total billed charges",,
"US PREGNANT UTERUS ECH ADD'L GESTATIO","76810","HCPCS","Both",,,"304","152","UHC","Commercial","",,"75",,"229.22","111.26","235.6","percent of total billed charges",,
"US PREGNANT UTERUS ECH ADD'L GESTATIO","76810","HCPCS","Both",,,"304","152","Medicaid",,"",,"37",,"111.26","111.26","235.6","percent of total billed charges",,
"US PREGANT UTERUS LIMITED","76815","HCPCS","Both",,,"98.5","49.25","Alliant","Health Exchange","",,"62",,"61.07","36.05","76.34","percent of total billed charges",,
"US PREGANT UTERUS LIMITED","76815","HCPCS","Both",,,"98.5","49.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"53.19","36.05","76.34","percent of total billed charges",,
"US PREGANT UTERUS LIMITED","76815","HCPCS","Both",,,"98.5","49.25","Medicare",,"",,"54",,"53.39","36.05","76.34","percent of total billed charges",,
"US PREGANT UTERUS LIMITED","76815","HCPCS","Both",,,"98.5","49.25","Humana","Medicare Advantage","",,"54",,"53.39","36.05","76.34","percent of total billed charges",,
"US PREGANT UTERUS LIMITED","76815","HCPCS","Both",,,"98.5","49.25","UHC","Medicare Advantage","",,"54",,"53.39","36.05","76.34","percent of total billed charges",,
"US PREGANT UTERUS LIMITED","76815","HCPCS","Both",,,"98.5","49.25","Clover","Medicare Advantage","",,"54",,"53.39","36.05","76.34","percent of total billed charges",,
"US PREGANT UTERUS LIMITED","76815","HCPCS","Both",,,"98.5","49.25","Wellcare","Medicare Advantage","",,"54",,"53.39","36.05","76.34","percent of total billed charges",,
"US PREGANT UTERUS LIMITED","76815","HCPCS","Both",,,"98.5","49.25","Amerigroup","Medicaid Managed Care","",,"37",,"36.05","36.05","76.34","percent of total billed charges",,
"US PREGANT UTERUS LIMITED","76815","HCPCS","Both",,,"98.5","49.25","Caresource","Medicaid Managed Care","",,"40",,"39.4","36.05","76.34","percent of total billed charges",,
"US PREGANT UTERUS LIMITED","76815","HCPCS","Both",,,"98.5","49.25","Wellcare","Medicaid Managed Care","",,"40",,"39.89","36.05","76.34","percent of total billed charges",,
"US PREGANT UTERUS LIMITED","76815","HCPCS","Both",,,"98.5","49.25","Aetna","Commercial","",,"64",,"62.84","36.05","76.34","percent of total billed charges",,
"US PREGANT UTERUS LIMITED","76815","HCPCS","Both",,,"98.5","49.25","Blue Cross Blue Shield","Pathways","",,"71",,"69.54","36.05","76.34","percent of total billed charges",,
"US PREGANT UTERUS LIMITED","76815","HCPCS","Both",,,"98.5","49.25","Blue Cross Blue Shield","HMO","",,"71",,"69.54","36.05","76.34","percent of total billed charges",,
"US PREGANT UTERUS LIMITED","76815","HCPCS","Both",,,"98.5","49.25","Blue Cross Blue Shield","PPO","",,"71",,"69.54","36.05","76.34","percent of total billed charges",,
"US PREGANT UTERUS LIMITED","76815","HCPCS","Both",,,"98.5","49.25","Ambetter","Health Exchange","",,"62",,"61.07","36.05","76.34","percent of total billed charges",,
"US PREGANT UTERUS LIMITED","76815","HCPCS","Both",,,"98.5","49.25","Caresource","Health Exchange","",,"62",,"61.07","36.05","76.34","percent of total billed charges",,
"US PREGANT UTERUS LIMITED","76815","HCPCS","Both",,,"98.5","49.25","Cigna","Commercial","",,"59",,"57.72","36.05","76.34","percent of total billed charges",,
"US PREGANT UTERUS LIMITED","76815","HCPCS","Both",,,"98.5","49.25","Humana","Commercial","",,"78",,"76.34","36.05","76.34","percent of total billed charges",,
"US PREGANT UTERUS LIMITED","76815","HCPCS","Both",,,"98.5","49.25","UHC","Commercial","",,"75",,"74.27","36.05","76.34","percent of total billed charges",,
"US PREGANT UTERUS LIMITED","76815","HCPCS","Both",,,"98.5","49.25","Medicaid",,"",,"37",,"36.05","36.05","76.34","percent of total billed charges",,
"US FETAL BIOPHYSIC PROFILE W/NON-STRESS","76818","HCPCS","Both",,,"288","144","Alliant","Health Exchange","",,"62",,"178.56","105.41","223.2","percent of total billed charges",,
"US FETAL BIOPHYSIC PROFILE W/NON-STRESS","76818","HCPCS","Both",,,"288","144","Pruitt Healthcare","Medicare Advantage","",,"54",,"155.52","105.41","223.2","percent of total billed charges",,
"US FETAL BIOPHYSIC PROFILE W/NON-STRESS","76818","HCPCS","Both",,,"288","144","Medicare",,"",,"54",,"156.1","105.41","223.2","percent of total billed charges",,
"US FETAL BIOPHYSIC PROFILE W/NON-STRESS","76818","HCPCS","Both",,,"288","144","Humana","Medicare Advantage","",,"54",,"156.1","105.41","223.2","percent of total billed charges",,
"US FETAL BIOPHYSIC PROFILE W/NON-STRESS","76818","HCPCS","Both",,,"288","144","UHC","Medicare Advantage","",,"54",,"156.1","105.41","223.2","percent of total billed charges",,
"US FETAL BIOPHYSIC PROFILE W/NON-STRESS","76818","HCPCS","Both",,,"288","144","Clover","Medicare Advantage","",,"54",,"156.1","105.41","223.2","percent of total billed charges",,
"US FETAL BIOPHYSIC PROFILE W/NON-STRESS","76818","HCPCS","Both",,,"288","144","Wellcare","Medicare Advantage","",,"54",,"156.1","105.41","223.2","percent of total billed charges",,
"US FETAL BIOPHYSIC PROFILE W/NON-STRESS","76818","HCPCS","Both",,,"288","144","Amerigroup","Medicaid Managed Care","",,"37",,"105.41","105.41","223.2","percent of total billed charges",,
"US FETAL BIOPHYSIC PROFILE W/NON-STRESS","76818","HCPCS","Both",,,"288","144","Caresource","Medicaid Managed Care","",,"40",,"115.2","105.41","223.2","percent of total billed charges",,
"US FETAL BIOPHYSIC PROFILE W/NON-STRESS","76818","HCPCS","Both",,,"288","144","Wellcare","Medicaid Managed Care","",,"40",,"116.64","105.41","223.2","percent of total billed charges",,
"US FETAL BIOPHYSIC PROFILE W/NON-STRESS","76818","HCPCS","Both",,,"288","144","Aetna","Commercial","",,"64",,"183.74","105.41","223.2","percent of total billed charges",,
"US FETAL BIOPHYSIC PROFILE W/NON-STRESS","76818","HCPCS","Both",,,"288","144","Blue Cross Blue Shield","Pathways","",,"71",,"203.33","105.41","223.2","percent of total billed charges",,
"US FETAL BIOPHYSIC PROFILE W/NON-STRESS","76818","HCPCS","Both",,,"288","144","Blue Cross Blue Shield","HMO","",,"71",,"203.33","105.41","223.2","percent of total billed charges",,
"US FETAL BIOPHYSIC PROFILE W/NON-STRESS","76818","HCPCS","Both",,,"288","144","Blue Cross Blue Shield","PPO","",,"71",,"203.33","105.41","223.2","percent of total billed charges",,
"US FETAL BIOPHYSIC PROFILE W/NON-STRESS","76818","HCPCS","Both",,,"288","144","Ambetter","Health Exchange","",,"62",,"178.56","105.41","223.2","percent of total billed charges",,
"US FETAL BIOPHYSIC PROFILE W/NON-STRESS","76818","HCPCS","Both",,,"288","144","Caresource","Health Exchange","",,"62",,"178.56","105.41","223.2","percent of total billed charges",,
"US FETAL BIOPHYSIC PROFILE W/NON-STRESS","76818","HCPCS","Both",,,"288","144","Cigna","Commercial","",,"59",,"168.77","105.41","223.2","percent of total billed charges",,
"US FETAL BIOPHYSIC PROFILE W/NON-STRESS","76818","HCPCS","Both",,,"288","144","Humana","Commercial","",,"78",,"223.2","105.41","223.2","percent of total billed charges",,
"US FETAL BIOPHYSIC PROFILE W/NON-STRESS","76818","HCPCS","Both",,,"288","144","UHC","Commercial","",,"75",,"217.15","105.41","223.2","percent of total billed charges",,
"US FETAL BIOPHYSIC PROFILE W/NON-STRESS","76818","HCPCS","Both",,,"288","144","Medicaid",,"",,"37",,"105.41","105.41","223.2","percent of total billed charges",,
"XR BONE AGE STUDIES","77072","HCPCS","Both",,,"43.5","21.75","Alliant","Health Exchange","",,"62",,"26.97","15.92","33.71","percent of total billed charges",,
"XR BONE AGE STUDIES","77072","HCPCS","Both",,,"43.5","21.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"23.49","15.92","33.71","percent of total billed charges",,
"XR BONE AGE STUDIES","77072","HCPCS","Both",,,"43.5","21.75","Medicare",,"",,"54",,"23.58","15.92","33.71","percent of total billed charges",,
"XR BONE AGE STUDIES","77072","HCPCS","Both",,,"43.5","21.75","Humana","Medicare Advantage","",,"54",,"23.58","15.92","33.71","percent of total billed charges",,
"XR BONE AGE STUDIES","77072","HCPCS","Both",,,"43.5","21.75","UHC","Medicare Advantage","",,"54",,"23.58","15.92","33.71","percent of total billed charges",,
"XR BONE AGE STUDIES","77072","HCPCS","Both",,,"43.5","21.75","Clover","Medicare Advantage","",,"54",,"23.58","15.92","33.71","percent of total billed charges",,
"XR BONE AGE STUDIES","77072","HCPCS","Both",,,"43.5","21.75","Wellcare","Medicare Advantage","",,"54",,"23.58","15.92","33.71","percent of total billed charges",,
"XR BONE AGE STUDIES","77072","HCPCS","Both",,,"43.5","21.75","Amerigroup","Medicaid Managed Care","",,"37",,"15.92","15.92","33.71","percent of total billed charges",,
"XR BONE AGE STUDIES","77072","HCPCS","Both",,,"43.5","21.75","Caresource","Medicaid Managed Care","",,"40",,"17.4","15.92","33.71","percent of total billed charges",,
"XR BONE AGE STUDIES","77072","HCPCS","Both",,,"43.5","21.75","Wellcare","Medicaid Managed Care","",,"40",,"17.62","15.92","33.71","percent of total billed charges",,
"XR BONE AGE STUDIES","77072","HCPCS","Both",,,"43.5","21.75","Aetna","Commercial","",,"64",,"27.75","15.92","33.71","percent of total billed charges",,
"XR BONE AGE STUDIES","77072","HCPCS","Both",,,"43.5","21.75","Blue Cross Blue Shield","Pathways","",,"71",,"30.71","15.92","33.71","percent of total billed charges",,
"XR BONE AGE STUDIES","77072","HCPCS","Both",,,"43.5","21.75","Blue Cross Blue Shield","HMO","",,"71",,"30.71","15.92","33.71","percent of total billed charges",,
"XR BONE AGE STUDIES","77072","HCPCS","Both",,,"43.5","21.75","Blue Cross Blue Shield","PPO","",,"71",,"30.71","15.92","33.71","percent of total billed charges",,
"XR BONE AGE STUDIES","77072","HCPCS","Both",,,"43.5","21.75","Ambetter","Health Exchange","",,"62",,"26.97","15.92","33.71","percent of total billed charges",,
"XR BONE AGE STUDIES","77072","HCPCS","Both",,,"43.5","21.75","Caresource","Health Exchange","",,"62",,"26.97","15.92","33.71","percent of total billed charges",,
"XR BONE AGE STUDIES","77072","HCPCS","Both",,,"43.5","21.75","Cigna","Commercial","",,"59",,"25.49","15.92","33.71","percent of total billed charges",,
"XR BONE AGE STUDIES","77072","HCPCS","Both",,,"43.5","21.75","Humana","Commercial","",,"78",,"33.71","15.92","33.71","percent of total billed charges",,
"XR BONE AGE STUDIES","77072","HCPCS","Both",,,"43.5","21.75","UHC","Commercial","",,"75",,"32.8","15.92","33.71","percent of total billed charges",,
"XR BONE AGE STUDIES","77072","HCPCS","Both",,,"43.5","21.75","Medicaid",,"",,"37",,"15.92","15.92","33.71","percent of total billed charges",,
"XR SINUSES PARANASAL LIMITED 2 VIEWS","70210","HCPCS","Both",,,"69","34.5","Alliant","Health Exchange","",,"62",,"42.78","25.25","53.48","percent of total billed charges",,
"XR SINUSES PARANASAL LIMITED 2 VIEWS","70210","HCPCS","Both",,,"69","34.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"37.26","25.25","53.48","percent of total billed charges",,
"XR SINUSES PARANASAL LIMITED 2 VIEWS","70210","HCPCS","Both",,,"69","34.5","Medicare",,"",,"54",,"37.4","25.25","53.48","percent of total billed charges",,
"XR SINUSES PARANASAL LIMITED 2 VIEWS","70210","HCPCS","Both",,,"69","34.5","Humana","Medicare Advantage","",,"54",,"37.4","25.25","53.48","percent of total billed charges",,
"XR SINUSES PARANASAL LIMITED 2 VIEWS","70210","HCPCS","Both",,,"69","34.5","UHC","Medicare Advantage","",,"54",,"37.4","25.25","53.48","percent of total billed charges",,
"XR SINUSES PARANASAL LIMITED 2 VIEWS","70210","HCPCS","Both",,,"69","34.5","Clover","Medicare Advantage","",,"54",,"37.4","25.25","53.48","percent of total billed charges",,
"XR SINUSES PARANASAL LIMITED 2 VIEWS","70210","HCPCS","Both",,,"69","34.5","Wellcare","Medicare Advantage","",,"54",,"37.4","25.25","53.48","percent of total billed charges",,
"XR SINUSES PARANASAL LIMITED 2 VIEWS","70210","HCPCS","Both",,,"69","34.5","Amerigroup","Medicaid Managed Care","",,"37",,"25.25","25.25","53.48","percent of total billed charges",,
"XR SINUSES PARANASAL LIMITED 2 VIEWS","70210","HCPCS","Both",,,"69","34.5","Caresource","Medicaid Managed Care","",,"40",,"27.6","25.25","53.48","percent of total billed charges",,
"XR SINUSES PARANASAL LIMITED 2 VIEWS","70210","HCPCS","Both",,,"69","34.5","Wellcare","Medicaid Managed Care","",,"40",,"27.94","25.25","53.48","percent of total billed charges",,
"XR SINUSES PARANASAL LIMITED 2 VIEWS","70210","HCPCS","Both",,,"69","34.5","Aetna","Commercial","",,"64",,"44.02","25.25","53.48","percent of total billed charges",,
"XR SINUSES PARANASAL LIMITED 2 VIEWS","70210","HCPCS","Both",,,"69","34.5","Blue Cross Blue Shield","Pathways","",,"71",,"48.71","25.25","53.48","percent of total billed charges",,
"XR SINUSES PARANASAL LIMITED 2 VIEWS","70210","HCPCS","Both",,,"69","34.5","Blue Cross Blue Shield","HMO","",,"71",,"48.71","25.25","53.48","percent of total billed charges",,
"XR SINUSES PARANASAL LIMITED 2 VIEWS","70210","HCPCS","Both",,,"69","34.5","Blue Cross Blue Shield","PPO","",,"71",,"48.71","25.25","53.48","percent of total billed charges",,
"XR SINUSES PARANASAL LIMITED 2 VIEWS","70210","HCPCS","Both",,,"69","34.5","Ambetter","Health Exchange","",,"62",,"42.78","25.25","53.48","percent of total billed charges",,
"XR SINUSES PARANASAL LIMITED 2 VIEWS","70210","HCPCS","Both",,,"69","34.5","Caresource","Health Exchange","",,"62",,"42.78","25.25","53.48","percent of total billed charges",,
"XR SINUSES PARANASAL LIMITED 2 VIEWS","70210","HCPCS","Both",,,"69","34.5","Cigna","Commercial","",,"59",,"40.43","25.25","53.48","percent of total billed charges",,
"XR SINUSES PARANASAL LIMITED 2 VIEWS","70210","HCPCS","Both",,,"69","34.5","Humana","Commercial","",,"78",,"53.48","25.25","53.48","percent of total billed charges",,
"XR SINUSES PARANASAL LIMITED 2 VIEWS","70210","HCPCS","Both",,,"69","34.5","UHC","Commercial","",,"75",,"52.03","25.25","53.48","percent of total billed charges",,
"XR SINUSES PARANASAL LIMITED 2 VIEWS","70210","HCPCS","Both",,,"69","34.5","Medicaid",,"",,"37",,"25.25","25.25","53.48","percent of total billed charges",,
"XR SPINE LUMBOSACRAL COMPLETE W/FLEXION","72114","HCPCS","Both",,,"629","314.5","Alliant","Health Exchange","",,"62",,"389.98","230.21","487.48","percent of total billed charges",,
"XR SPINE LUMBOSACRAL COMPLETE W/FLEXION","72114","HCPCS","Both",,,"629","314.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"339.66","230.21","487.48","percent of total billed charges",,
"XR SPINE LUMBOSACRAL COMPLETE W/FLEXION","72114","HCPCS","Both",,,"629","314.5","Medicare",,"",,"54",,"340.92","230.21","487.48","percent of total billed charges",,
"XR SPINE LUMBOSACRAL COMPLETE W/FLEXION","72114","HCPCS","Both",,,"629","314.5","Humana","Medicare Advantage","",,"54",,"340.92","230.21","487.48","percent of total billed charges",,
"XR SPINE LUMBOSACRAL COMPLETE W/FLEXION","72114","HCPCS","Both",,,"629","314.5","UHC","Medicare Advantage","",,"54",,"340.92","230.21","487.48","percent of total billed charges",,
"XR SPINE LUMBOSACRAL COMPLETE W/FLEXION","72114","HCPCS","Both",,,"629","314.5","Clover","Medicare Advantage","",,"54",,"340.92","230.21","487.48","percent of total billed charges",,
"XR SPINE LUMBOSACRAL COMPLETE W/FLEXION","72114","HCPCS","Both",,,"629","314.5","Wellcare","Medicare Advantage","",,"54",,"340.92","230.21","487.48","percent of total billed charges",,
"XR SPINE LUMBOSACRAL COMPLETE W/FLEXION","72114","HCPCS","Both",,,"629","314.5","Amerigroup","Medicaid Managed Care","",,"37",,"230.21","230.21","487.48","percent of total billed charges",,
"XR SPINE LUMBOSACRAL COMPLETE W/FLEXION","72114","HCPCS","Both",,,"629","314.5","Caresource","Medicaid Managed Care","",,"40",,"251.6","230.21","487.48","percent of total billed charges",,
"XR SPINE LUMBOSACRAL COMPLETE W/FLEXION","72114","HCPCS","Both",,,"629","314.5","Wellcare","Medicaid Managed Care","",,"40",,"254.74","230.21","487.48","percent of total billed charges",,
"XR SPINE LUMBOSACRAL COMPLETE W/FLEXION","72114","HCPCS","Both",,,"629","314.5","Aetna","Commercial","",,"64",,"401.3","230.21","487.48","percent of total billed charges",,
"XR SPINE LUMBOSACRAL COMPLETE W/FLEXION","72114","HCPCS","Both",,,"629","314.5","Blue Cross Blue Shield","Pathways","",,"71",,"444.07","230.21","487.48","percent of total billed charges",,
"XR SPINE LUMBOSACRAL COMPLETE W/FLEXION","72114","HCPCS","Both",,,"629","314.5","Blue Cross Blue Shield","HMO","",,"71",,"444.07","230.21","487.48","percent of total billed charges",,
"XR SPINE LUMBOSACRAL COMPLETE W/FLEXION","72114","HCPCS","Both",,,"629","314.5","Blue Cross Blue Shield","PPO","",,"71",,"444.07","230.21","487.48","percent of total billed charges",,
"XR SPINE LUMBOSACRAL COMPLETE W/FLEXION","72114","HCPCS","Both",,,"629","314.5","Ambetter","Health Exchange","",,"62",,"389.98","230.21","487.48","percent of total billed charges",,
"XR SPINE LUMBOSACRAL COMPLETE W/FLEXION","72114","HCPCS","Both",,,"629","314.5","Caresource","Health Exchange","",,"62",,"389.98","230.21","487.48","percent of total billed charges",,
"XR SPINE LUMBOSACRAL COMPLETE W/FLEXION","72114","HCPCS","Both",,,"629","314.5","Cigna","Commercial","",,"59",,"368.59","230.21","487.48","percent of total billed charges",,
"XR SPINE LUMBOSACRAL COMPLETE W/FLEXION","72114","HCPCS","Both",,,"629","314.5","Humana","Commercial","",,"78",,"487.48","230.21","487.48","percent of total billed charges",,
"XR SPINE LUMBOSACRAL COMPLETE W/FLEXION","72114","HCPCS","Both",,,"629","314.5","UHC","Commercial","",,"75",,"474.27","230.21","487.48","percent of total billed charges",,
"XR SPINE LUMBOSACRAL COMPLETE W/FLEXION","72114","HCPCS","Both",,,"629","314.5","Medicaid",,"",,"37",,"230.21","230.21","487.48","percent of total billed charges",,
"XR SPINE ENTIRE SURVEY AP LAT","72082","HCPCS","Both",,,"217.5","108.75","Alliant","Health Exchange","",,"62",,"134.85","79.6","168.56","percent of total billed charges",,
"XR SPINE ENTIRE SURVEY AP LAT","72082","HCPCS","Both",,,"217.5","108.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"117.45","79.6","168.56","percent of total billed charges",,
"XR SPINE ENTIRE SURVEY AP LAT","72082","HCPCS","Both",,,"217.5","108.75","Medicare",,"",,"54",,"117.88","79.6","168.56","percent of total billed charges",,
"XR SPINE ENTIRE SURVEY AP LAT","72082","HCPCS","Both",,,"217.5","108.75","Humana","Medicare Advantage","",,"54",,"117.88","79.6","168.56","percent of total billed charges",,
"XR SPINE ENTIRE SURVEY AP LAT","72082","HCPCS","Both",,,"217.5","108.75","UHC","Medicare Advantage","",,"54",,"117.88","79.6","168.56","percent of total billed charges",,
"XR SPINE ENTIRE SURVEY AP LAT","72082","HCPCS","Both",,,"217.5","108.75","Clover","Medicare Advantage","",,"54",,"117.88","79.6","168.56","percent of total billed charges",,
"XR SPINE ENTIRE SURVEY AP LAT","72082","HCPCS","Both",,,"217.5","108.75","Wellcare","Medicare Advantage","",,"54",,"117.88","79.6","168.56","percent of total billed charges",,
"XR SPINE ENTIRE SURVEY AP LAT","72082","HCPCS","Both",,,"217.5","108.75","Amerigroup","Medicaid Managed Care","",,"37",,"79.6","79.6","168.56","percent of total billed charges",,
"XR SPINE ENTIRE SURVEY AP LAT","72082","HCPCS","Both",,,"217.5","108.75","Caresource","Medicaid Managed Care","",,"40",,"87","79.6","168.56","percent of total billed charges",,
"XR SPINE ENTIRE SURVEY AP LAT","72082","HCPCS","Both",,,"217.5","108.75","Wellcare","Medicaid Managed Care","",,"40",,"88.09","79.6","168.56","percent of total billed charges",,
"XR SPINE ENTIRE SURVEY AP LAT","72082","HCPCS","Both",,,"217.5","108.75","Aetna","Commercial","",,"64",,"138.77","79.6","168.56","percent of total billed charges",,
"XR SPINE ENTIRE SURVEY AP LAT","72082","HCPCS","Both",,,"217.5","108.75","Blue Cross Blue Shield","Pathways","",,"71",,"153.55","79.6","168.56","percent of total billed charges",,
"XR SPINE ENTIRE SURVEY AP LAT","72082","HCPCS","Both",,,"217.5","108.75","Blue Cross Blue Shield","HMO","",,"71",,"153.55","79.6","168.56","percent of total billed charges",,
"XR SPINE ENTIRE SURVEY AP LAT","72082","HCPCS","Both",,,"217.5","108.75","Blue Cross Blue Shield","PPO","",,"71",,"153.55","79.6","168.56","percent of total billed charges",,
"XR SPINE ENTIRE SURVEY AP LAT","72082","HCPCS","Both",,,"217.5","108.75","Ambetter","Health Exchange","",,"62",,"134.85","79.6","168.56","percent of total billed charges",,
"XR SPINE ENTIRE SURVEY AP LAT","72082","HCPCS","Both",,,"217.5","108.75","Caresource","Health Exchange","",,"62",,"134.85","79.6","168.56","percent of total billed charges",,
"XR SPINE ENTIRE SURVEY AP LAT","72082","HCPCS","Both",,,"217.5","108.75","Cigna","Commercial","",,"59",,"127.46","79.6","168.56","percent of total billed charges",,
"XR SPINE ENTIRE SURVEY AP LAT","72082","HCPCS","Both",,,"217.5","108.75","Humana","Commercial","",,"78",,"168.56","79.6","168.56","percent of total billed charges",,
"XR SPINE ENTIRE SURVEY AP LAT","72082","HCPCS","Both",,,"217.5","108.75","UHC","Commercial","",,"75",,"164","79.6","168.56","percent of total billed charges",,
"XR SPINE ENTIRE SURVEY AP LAT","72082","HCPCS","Both",,,"217.5","108.75","Medicaid",,"",,"37",,"79.6","79.6","168.56","percent of total billed charges",,
"XR WRIST 2 VIEWS LEFT","73100","HCPCS","Both",,,"63.5","31.75","Alliant","Health Exchange","LT",,"62",,"39.37","23.24","49.21","percent of total billed charges",,
"XR WRIST 2 VIEWS LEFT","73100","HCPCS","Both",,,"63.5","31.75","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"34.29","23.24","49.21","percent of total billed charges",,
"XR WRIST 2 VIEWS LEFT","73100","HCPCS","Both",,,"63.5","31.75","Medicare",,"LT",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"XR WRIST 2 VIEWS LEFT","73100","HCPCS","Both",,,"63.5","31.75","Humana","Medicare Advantage","LT",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"XR WRIST 2 VIEWS LEFT","73100","HCPCS","Both",,,"63.5","31.75","UHC","Medicare Advantage","LT",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"XR WRIST 2 VIEWS LEFT","73100","HCPCS","Both",,,"63.5","31.75","Clover","Medicare Advantage","LT",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"XR WRIST 2 VIEWS LEFT","73100","HCPCS","Both",,,"63.5","31.75","Wellcare","Medicare Advantage","LT",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"XR WRIST 2 VIEWS LEFT","73100","HCPCS","Both",,,"63.5","31.75","Amerigroup","Medicaid Managed Care","LT",,"37",,"23.24","23.24","49.21","percent of total billed charges",,
"XR WRIST 2 VIEWS LEFT","73100","HCPCS","Both",,,"63.5","31.75","Caresource","Medicaid Managed Care","LT",,"40",,"25.4","23.24","49.21","percent of total billed charges",,
"XR WRIST 2 VIEWS LEFT","73100","HCPCS","Both",,,"63.5","31.75","Wellcare","Medicaid Managed Care","LT",,"40",,"25.72","23.24","49.21","percent of total billed charges",,
"XR WRIST 2 VIEWS LEFT","73100","HCPCS","Both",,,"63.5","31.75","Aetna","Commercial","LT",,"64",,"40.51","23.24","49.21","percent of total billed charges",,
"XR WRIST 2 VIEWS LEFT","73100","HCPCS","Both",,,"63.5","31.75","Blue Cross Blue Shield","Pathways","LT",,"71",,"44.83","23.24","49.21","percent of total billed charges",,
"XR WRIST 2 VIEWS LEFT","73100","HCPCS","Both",,,"63.5","31.75","Blue Cross Blue Shield","HMO","LT",,"71",,"44.83","23.24","49.21","percent of total billed charges",,
"XR WRIST 2 VIEWS LEFT","73100","HCPCS","Both",,,"63.5","31.75","Blue Cross Blue Shield","PPO","LT",,"71",,"44.83","23.24","49.21","percent of total billed charges",,
"XR WRIST 2 VIEWS LEFT","73100","HCPCS","Both",,,"63.5","31.75","Ambetter","Health Exchange","LT",,"62",,"39.37","23.24","49.21","percent of total billed charges",,
"XR WRIST 2 VIEWS LEFT","73100","HCPCS","Both",,,"63.5","31.75","Caresource","Health Exchange","LT",,"62",,"39.37","23.24","49.21","percent of total billed charges",,
"XR WRIST 2 VIEWS LEFT","73100","HCPCS","Both",,,"63.5","31.75","Cigna","Commercial","LT",,"59",,"37.21","23.24","49.21","percent of total billed charges",,
"XR WRIST 2 VIEWS LEFT","73100","HCPCS","Both",,,"63.5","31.75","Humana","Commercial","LT",,"78",,"49.21","23.24","49.21","percent of total billed charges",,
"XR WRIST 2 VIEWS LEFT","73100","HCPCS","Both",,,"63.5","31.75","UHC","Commercial","LT",,"75",,"47.88","23.24","49.21","percent of total billed charges",,
"XR WRIST 2 VIEWS LEFT","73100","HCPCS","Both",,,"63.5","31.75","Medicaid",,"LT",,"37",,"23.24","23.24","49.21","percent of total billed charges",,
"XR FOOT COMPLETE TWO VIEWS RT","73620","HCPCS","Both",,,"224.5","112.25","Alliant","Health Exchange","RT",,"62",,"139.19","82.17","173.99","percent of total billed charges",,
"XR FOOT COMPLETE TWO VIEWS RT","73620","HCPCS","Both",,,"224.5","112.25","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"121.23","82.17","173.99","percent of total billed charges",,
"XR FOOT COMPLETE TWO VIEWS RT","73620","HCPCS","Both",,,"224.5","112.25","Medicare",,"RT",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"XR FOOT COMPLETE TWO VIEWS RT","73620","HCPCS","Both",,,"224.5","112.25","Humana","Medicare Advantage","RT",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"XR FOOT COMPLETE TWO VIEWS RT","73620","HCPCS","Both",,,"224.5","112.25","UHC","Medicare Advantage","RT",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"XR FOOT COMPLETE TWO VIEWS RT","73620","HCPCS","Both",,,"224.5","112.25","Clover","Medicare Advantage","RT",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"XR FOOT COMPLETE TWO VIEWS RT","73620","HCPCS","Both",,,"224.5","112.25","Wellcare","Medicare Advantage","RT",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"XR FOOT COMPLETE TWO VIEWS RT","73620","HCPCS","Both",,,"224.5","112.25","Amerigroup","Medicaid Managed Care","RT",,"37",,"82.17","82.17","173.99","percent of total billed charges",,
"XR FOOT COMPLETE TWO VIEWS RT","73620","HCPCS","Both",,,"224.5","112.25","Caresource","Medicaid Managed Care","RT",,"40",,"89.8","82.17","173.99","percent of total billed charges",,
"XR FOOT COMPLETE TWO VIEWS RT","73620","HCPCS","Both",,,"224.5","112.25","Wellcare","Medicaid Managed Care","RT",,"40",,"90.92","82.17","173.99","percent of total billed charges",,
"XR FOOT COMPLETE TWO VIEWS RT","73620","HCPCS","Both",,,"224.5","112.25","Aetna","Commercial","RT",,"64",,"143.23","82.17","173.99","percent of total billed charges",,
"XR FOOT COMPLETE TWO VIEWS RT","73620","HCPCS","Both",,,"224.5","112.25","Blue Cross Blue Shield","Pathways","RT",,"71",,"158.5","82.17","173.99","percent of total billed charges",,
"XR FOOT COMPLETE TWO VIEWS RT","73620","HCPCS","Both",,,"224.5","112.25","Blue Cross Blue Shield","HMO","RT",,"71",,"158.5","82.17","173.99","percent of total billed charges",,
"XR FOOT COMPLETE TWO VIEWS RT","73620","HCPCS","Both",,,"224.5","112.25","Blue Cross Blue Shield","PPO","RT",,"71",,"158.5","82.17","173.99","percent of total billed charges",,
"XR FOOT COMPLETE TWO VIEWS RT","73620","HCPCS","Both",,,"224.5","112.25","Ambetter","Health Exchange","RT",,"62",,"139.19","82.17","173.99","percent of total billed charges",,
"XR FOOT COMPLETE TWO VIEWS RT","73620","HCPCS","Both",,,"224.5","112.25","Caresource","Health Exchange","RT",,"62",,"139.19","82.17","173.99","percent of total billed charges",,
"XR FOOT COMPLETE TWO VIEWS RT","73620","HCPCS","Both",,,"224.5","112.25","Cigna","Commercial","RT",,"59",,"131.56","82.17","173.99","percent of total billed charges",,
"XR FOOT COMPLETE TWO VIEWS RT","73620","HCPCS","Both",,,"224.5","112.25","Humana","Commercial","RT",,"78",,"173.99","82.17","173.99","percent of total billed charges",,
"XR FOOT COMPLETE TWO VIEWS RT","73620","HCPCS","Both",,,"224.5","112.25","UHC","Commercial","RT",,"75",,"169.27","82.17","173.99","percent of total billed charges",,
"XR FOOT COMPLETE TWO VIEWS RT","73620","HCPCS","Both",,,"224.5","112.25","Medicaid",,"RT",,"37",,"82.17","82.17","173.99","percent of total billed charges",,
"XR TOE OR TOES MIN 2 VWS","73660","HCPCS","Both",,,"69.5","34.75","Alliant","Health Exchange","",,"62",,"43.09","25.44","53.86","percent of total billed charges",,
"XR TOE OR TOES MIN 2 VWS","73660","HCPCS","Both",,,"69.5","34.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"37.53","25.44","53.86","percent of total billed charges",,
"XR TOE OR TOES MIN 2 VWS","73660","HCPCS","Both",,,"69.5","34.75","Medicare",,"",,"54",,"37.67","25.44","53.86","percent of total billed charges",,
"XR TOE OR TOES MIN 2 VWS","73660","HCPCS","Both",,,"69.5","34.75","Humana","Medicare Advantage","",,"54",,"37.67","25.44","53.86","percent of total billed charges",,
"XR TOE OR TOES MIN 2 VWS","73660","HCPCS","Both",,,"69.5","34.75","UHC","Medicare Advantage","",,"54",,"37.67","25.44","53.86","percent of total billed charges",,
"XR TOE OR TOES MIN 2 VWS","73660","HCPCS","Both",,,"69.5","34.75","Clover","Medicare Advantage","",,"54",,"37.67","25.44","53.86","percent of total billed charges",,
"XR TOE OR TOES MIN 2 VWS","73660","HCPCS","Both",,,"69.5","34.75","Wellcare","Medicare Advantage","",,"54",,"37.67","25.44","53.86","percent of total billed charges",,
"XR TOE OR TOES MIN 2 VWS","73660","HCPCS","Both",,,"69.5","34.75","Amerigroup","Medicaid Managed Care","",,"37",,"25.44","25.44","53.86","percent of total billed charges",,
"XR TOE OR TOES MIN 2 VWS","73660","HCPCS","Both",,,"69.5","34.75","Caresource","Medicaid Managed Care","",,"40",,"27.8","25.44","53.86","percent of total billed charges",,
"XR TOE OR TOES MIN 2 VWS","73660","HCPCS","Both",,,"69.5","34.75","Wellcare","Medicaid Managed Care","",,"40",,"28.15","25.44","53.86","percent of total billed charges",,
"XR TOE OR TOES MIN 2 VWS","73660","HCPCS","Both",,,"69.5","34.75","Aetna","Commercial","",,"64",,"44.34","25.44","53.86","percent of total billed charges",,
"XR TOE OR TOES MIN 2 VWS","73660","HCPCS","Both",,,"69.5","34.75","Blue Cross Blue Shield","Pathways","",,"71",,"49.07","25.44","53.86","percent of total billed charges",,
"XR TOE OR TOES MIN 2 VWS","73660","HCPCS","Both",,,"69.5","34.75","Blue Cross Blue Shield","HMO","",,"71",,"49.07","25.44","53.86","percent of total billed charges",,
"XR TOE OR TOES MIN 2 VWS","73660","HCPCS","Both",,,"69.5","34.75","Blue Cross Blue Shield","PPO","",,"71",,"49.07","25.44","53.86","percent of total billed charges",,
"XR TOE OR TOES MIN 2 VWS","73660","HCPCS","Both",,,"69.5","34.75","Ambetter","Health Exchange","",,"62",,"43.09","25.44","53.86","percent of total billed charges",,
"XR TOE OR TOES MIN 2 VWS","73660","HCPCS","Both",,,"69.5","34.75","Caresource","Health Exchange","",,"62",,"43.09","25.44","53.86","percent of total billed charges",,
"XR TOE OR TOES MIN 2 VWS","73660","HCPCS","Both",,,"69.5","34.75","Cigna","Commercial","",,"59",,"40.73","25.44","53.86","percent of total billed charges",,
"XR TOE OR TOES MIN 2 VWS","73660","HCPCS","Both",,,"69.5","34.75","Humana","Commercial","",,"78",,"53.86","25.44","53.86","percent of total billed charges",,
"XR TOE OR TOES MIN 2 VWS","73660","HCPCS","Both",,,"69.5","34.75","UHC","Commercial","",,"75",,"52.4","25.44","53.86","percent of total billed charges",,
"XR TOE OR TOES MIN 2 VWS","73660","HCPCS","Both",,,"69.5","34.75","Medicaid",,"",,"37",,"25.44","25.44","53.86","percent of total billed charges",,
"XR TMJ OPEN/CLOSED UNILATERAL LEFT","70328","HCPCS","Both",,,"92","46","Alliant","Health Exchange","LT",,"62",,"57.04","33.67","71.3","percent of total billed charges",,
"XR TMJ OPEN/CLOSED UNILATERAL LEFT","70328","HCPCS","Both",,,"92","46","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"49.68","33.67","71.3","percent of total billed charges",,
"XR TMJ OPEN/CLOSED UNILATERAL LEFT","70328","HCPCS","Both",,,"92","46","Medicare",,"LT",,"54",,"49.86","33.67","71.3","percent of total billed charges",,
"XR TMJ OPEN/CLOSED UNILATERAL LEFT","70328","HCPCS","Both",,,"92","46","Humana","Medicare Advantage","LT",,"54",,"49.86","33.67","71.3","percent of total billed charges",,
"XR TMJ OPEN/CLOSED UNILATERAL LEFT","70328","HCPCS","Both",,,"92","46","UHC","Medicare Advantage","LT",,"54",,"49.86","33.67","71.3","percent of total billed charges",,
"XR TMJ OPEN/CLOSED UNILATERAL LEFT","70328","HCPCS","Both",,,"92","46","Clover","Medicare Advantage","LT",,"54",,"49.86","33.67","71.3","percent of total billed charges",,
"XR TMJ OPEN/CLOSED UNILATERAL LEFT","70328","HCPCS","Both",,,"92","46","Wellcare","Medicare Advantage","LT",,"54",,"49.86","33.67","71.3","percent of total billed charges",,
"XR TMJ OPEN/CLOSED UNILATERAL LEFT","70328","HCPCS","Both",,,"92","46","Amerigroup","Medicaid Managed Care","LT",,"37",,"33.67","33.67","71.3","percent of total billed charges",,
"XR TMJ OPEN/CLOSED UNILATERAL LEFT","70328","HCPCS","Both",,,"92","46","Caresource","Medicaid Managed Care","LT",,"40",,"36.8","33.67","71.3","percent of total billed charges",,
"XR TMJ OPEN/CLOSED UNILATERAL LEFT","70328","HCPCS","Both",,,"92","46","Wellcare","Medicaid Managed Care","LT",,"40",,"37.26","33.67","71.3","percent of total billed charges",,
"XR TMJ OPEN/CLOSED UNILATERAL LEFT","70328","HCPCS","Both",,,"92","46","Aetna","Commercial","LT",,"64",,"58.7","33.67","71.3","percent of total billed charges",,
"XR TMJ OPEN/CLOSED UNILATERAL LEFT","70328","HCPCS","Both",,,"92","46","Blue Cross Blue Shield","Pathways","LT",,"71",,"64.95","33.67","71.3","percent of total billed charges",,
"XR TMJ OPEN/CLOSED UNILATERAL LEFT","70328","HCPCS","Both",,,"92","46","Blue Cross Blue Shield","HMO","LT",,"71",,"64.95","33.67","71.3","percent of total billed charges",,
"XR TMJ OPEN/CLOSED UNILATERAL LEFT","70328","HCPCS","Both",,,"92","46","Blue Cross Blue Shield","PPO","LT",,"71",,"64.95","33.67","71.3","percent of total billed charges",,
"XR TMJ OPEN/CLOSED UNILATERAL LEFT","70328","HCPCS","Both",,,"92","46","Ambetter","Health Exchange","LT",,"62",,"57.04","33.67","71.3","percent of total billed charges",,
"XR TMJ OPEN/CLOSED UNILATERAL LEFT","70328","HCPCS","Both",,,"92","46","Caresource","Health Exchange","LT",,"62",,"57.04","33.67","71.3","percent of total billed charges",,
"XR TMJ OPEN/CLOSED UNILATERAL LEFT","70328","HCPCS","Both",,,"92","46","Cigna","Commercial","LT",,"59",,"53.91","33.67","71.3","percent of total billed charges",,
"XR TMJ OPEN/CLOSED UNILATERAL LEFT","70328","HCPCS","Both",,,"92","46","Humana","Commercial","LT",,"78",,"71.3","33.67","71.3","percent of total billed charges",,
"XR TMJ OPEN/CLOSED UNILATERAL LEFT","70328","HCPCS","Both",,,"92","46","UHC","Commercial","LT",,"75",,"69.37","33.67","71.3","percent of total billed charges",,
"XR TMJ OPEN/CLOSED UNILATERAL LEFT","70328","HCPCS","Both",,,"92","46","Medicaid",,"LT",,"37",,"33.67","33.67","71.3","percent of total billed charges",,
"XR TMJ OPEN/CLOSED UNILATERAL RIGHT","70328","HCPCS","Both",,,"92","46","Alliant","Health Exchange","RT",,"62",,"57.04","33.67","71.3","percent of total billed charges",,
"XR TMJ OPEN/CLOSED UNILATERAL RIGHT","70328","HCPCS","Both",,,"92","46","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"49.68","33.67","71.3","percent of total billed charges",,
"XR TMJ OPEN/CLOSED UNILATERAL RIGHT","70328","HCPCS","Both",,,"92","46","Medicare",,"RT",,"54",,"49.86","33.67","71.3","percent of total billed charges",,
"XR TMJ OPEN/CLOSED UNILATERAL RIGHT","70328","HCPCS","Both",,,"92","46","Humana","Medicare Advantage","RT",,"54",,"49.86","33.67","71.3","percent of total billed charges",,
"XR TMJ OPEN/CLOSED UNILATERAL RIGHT","70328","HCPCS","Both",,,"92","46","UHC","Medicare Advantage","RT",,"54",,"49.86","33.67","71.3","percent of total billed charges",,
"XR TMJ OPEN/CLOSED UNILATERAL RIGHT","70328","HCPCS","Both",,,"92","46","Clover","Medicare Advantage","RT",,"54",,"49.86","33.67","71.3","percent of total billed charges",,
"XR TMJ OPEN/CLOSED UNILATERAL RIGHT","70328","HCPCS","Both",,,"92","46","Wellcare","Medicare Advantage","RT",,"54",,"49.86","33.67","71.3","percent of total billed charges",,
"XR TMJ OPEN/CLOSED UNILATERAL RIGHT","70328","HCPCS","Both",,,"92","46","Amerigroup","Medicaid Managed Care","RT",,"37",,"33.67","33.67","71.3","percent of total billed charges",,
"XR TMJ OPEN/CLOSED UNILATERAL RIGHT","70328","HCPCS","Both",,,"92","46","Caresource","Medicaid Managed Care","RT",,"40",,"36.8","33.67","71.3","percent of total billed charges",,
"XR TMJ OPEN/CLOSED UNILATERAL RIGHT","70328","HCPCS","Both",,,"92","46","Wellcare","Medicaid Managed Care","RT",,"40",,"37.26","33.67","71.3","percent of total billed charges",,
"XR TMJ OPEN/CLOSED UNILATERAL RIGHT","70328","HCPCS","Both",,,"92","46","Aetna","Commercial","RT",,"64",,"58.7","33.67","71.3","percent of total billed charges",,
"XR TMJ OPEN/CLOSED UNILATERAL RIGHT","70328","HCPCS","Both",,,"92","46","Blue Cross Blue Shield","Pathways","RT",,"71",,"64.95","33.67","71.3","percent of total billed charges",,
"XR TMJ OPEN/CLOSED UNILATERAL RIGHT","70328","HCPCS","Both",,,"92","46","Blue Cross Blue Shield","HMO","RT",,"71",,"64.95","33.67","71.3","percent of total billed charges",,
"XR TMJ OPEN/CLOSED UNILATERAL RIGHT","70328","HCPCS","Both",,,"92","46","Blue Cross Blue Shield","PPO","RT",,"71",,"64.95","33.67","71.3","percent of total billed charges",,
"XR TMJ OPEN/CLOSED UNILATERAL RIGHT","70328","HCPCS","Both",,,"92","46","Ambetter","Health Exchange","RT",,"62",,"57.04","33.67","71.3","percent of total billed charges",,
"XR TMJ OPEN/CLOSED UNILATERAL RIGHT","70328","HCPCS","Both",,,"92","46","Caresource","Health Exchange","RT",,"62",,"57.04","33.67","71.3","percent of total billed charges",,
"XR TMJ OPEN/CLOSED UNILATERAL RIGHT","70328","HCPCS","Both",,,"92","46","Cigna","Commercial","RT",,"59",,"53.91","33.67","71.3","percent of total billed charges",,
"XR TMJ OPEN/CLOSED UNILATERAL RIGHT","70328","HCPCS","Both",,,"92","46","Humana","Commercial","RT",,"78",,"71.3","33.67","71.3","percent of total billed charges",,
"XR TMJ OPEN/CLOSED UNILATERAL RIGHT","70328","HCPCS","Both",,,"92","46","UHC","Commercial","RT",,"75",,"69.37","33.67","71.3","percent of total billed charges",,
"XR TMJ OPEN/CLOSED UNILATERAL RIGHT","70328","HCPCS","Both",,,"92","46","Medicaid",,"RT",,"37",,"33.67","33.67","71.3","percent of total billed charges",,
"XR SACROILIAC JOINTS LESS THEN 3 VIEWS","72200","HCPCS","Both",,,"164.5","82.25","Alliant","Health Exchange","",,"62",,"101.99","60.21","127.49","percent of total billed charges",,
"XR SACROILIAC JOINTS LESS THEN 3 VIEWS","72200","HCPCS","Both",,,"164.5","82.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"88.83","60.21","127.49","percent of total billed charges",,
"XR SACROILIAC JOINTS LESS THEN 3 VIEWS","72200","HCPCS","Both",,,"164.5","82.25","Medicare",,"",,"54",,"89.16","60.21","127.49","percent of total billed charges",,
"XR SACROILIAC JOINTS LESS THEN 3 VIEWS","72200","HCPCS","Both",,,"164.5","82.25","Humana","Medicare Advantage","",,"54",,"89.16","60.21","127.49","percent of total billed charges",,
"XR SACROILIAC JOINTS LESS THEN 3 VIEWS","72200","HCPCS","Both",,,"164.5","82.25","UHC","Medicare Advantage","",,"54",,"89.16","60.21","127.49","percent of total billed charges",,
"XR SACROILIAC JOINTS LESS THEN 3 VIEWS","72200","HCPCS","Both",,,"164.5","82.25","Clover","Medicare Advantage","",,"54",,"89.16","60.21","127.49","percent of total billed charges",,
"XR SACROILIAC JOINTS LESS THEN 3 VIEWS","72200","HCPCS","Both",,,"164.5","82.25","Wellcare","Medicare Advantage","",,"54",,"89.16","60.21","127.49","percent of total billed charges",,
"XR SACROILIAC JOINTS LESS THEN 3 VIEWS","72200","HCPCS","Both",,,"164.5","82.25","Amerigroup","Medicaid Managed Care","",,"37",,"60.21","60.21","127.49","percent of total billed charges",,
"XR SACROILIAC JOINTS LESS THEN 3 VIEWS","72200","HCPCS","Both",,,"164.5","82.25","Caresource","Medicaid Managed Care","",,"40",,"65.8","60.21","127.49","percent of total billed charges",,
"XR SACROILIAC JOINTS LESS THEN 3 VIEWS","72200","HCPCS","Both",,,"164.5","82.25","Wellcare","Medicaid Managed Care","",,"40",,"66.62","60.21","127.49","percent of total billed charges",,
"XR SACROILIAC JOINTS LESS THEN 3 VIEWS","72200","HCPCS","Both",,,"164.5","82.25","Aetna","Commercial","",,"64",,"104.95","60.21","127.49","percent of total billed charges",,
"XR SACROILIAC JOINTS LESS THEN 3 VIEWS","72200","HCPCS","Both",,,"164.5","82.25","Blue Cross Blue Shield","Pathways","",,"71",,"116.14","60.21","127.49","percent of total billed charges",,
"XR SACROILIAC JOINTS LESS THEN 3 VIEWS","72200","HCPCS","Both",,,"164.5","82.25","Blue Cross Blue Shield","HMO","",,"71",,"116.14","60.21","127.49","percent of total billed charges",,
"XR SACROILIAC JOINTS LESS THEN 3 VIEWS","72200","HCPCS","Both",,,"164.5","82.25","Blue Cross Blue Shield","PPO","",,"71",,"116.14","60.21","127.49","percent of total billed charges",,
"XR SACROILIAC JOINTS LESS THEN 3 VIEWS","72200","HCPCS","Both",,,"164.5","82.25","Ambetter","Health Exchange","",,"62",,"101.99","60.21","127.49","percent of total billed charges",,
"XR SACROILIAC JOINTS LESS THEN 3 VIEWS","72200","HCPCS","Both",,,"164.5","82.25","Caresource","Health Exchange","",,"62",,"101.99","60.21","127.49","percent of total billed charges",,
"XR SACROILIAC JOINTS LESS THEN 3 VIEWS","72200","HCPCS","Both",,,"164.5","82.25","Cigna","Commercial","",,"59",,"96.4","60.21","127.49","percent of total billed charges",,
"XR SACROILIAC JOINTS LESS THEN 3 VIEWS","72200","HCPCS","Both",,,"164.5","82.25","Humana","Commercial","",,"78",,"127.49","60.21","127.49","percent of total billed charges",,
"XR SACROILIAC JOINTS LESS THEN 3 VIEWS","72200","HCPCS","Both",,,"164.5","82.25","UHC","Commercial","",,"75",,"124.03","60.21","127.49","percent of total billed charges",,
"XR SACROILIAC JOINTS LESS THEN 3 VIEWS","72200","HCPCS","Both",,,"164.5","82.25","Medicaid",,"",,"37",,"60.21","60.21","127.49","percent of total billed charges",,
"XR CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"101","50.5","Alliant","Health Exchange","RT",,"62",,"62.62","8.63","78.28","percent of total billed charges",,
"XR CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"101","50.5","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"54.54","8.63","78.28","percent of total billed charges",,
"XR CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"101","50.5","Medicare",,"RT",,"54",,"54.74","8.63","78.28","percent of total billed charges",,
"XR CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"101","50.5","Humana","Medicare Advantage","RT",,"54",,"54.74","8.63","78.28","percent of total billed charges",,
"XR CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"101","50.5","UHC","Medicare Advantage","RT",,"54",,"54.74","8.63","78.28","percent of total billed charges",,
"XR CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"101","50.5","Clover","Medicare Advantage","RT",,"54",,"54.74","8.63","78.28","percent of total billed charges",,
"XR CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"101","50.5","Wellcare","Medicare Advantage","RT",,"54",,"54.74","8.63","78.28","percent of total billed charges",,
"XR CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"101","50.5","Amerigroup","Medicaid Managed Care","RT",,"37",,"36.97","8.63","78.28","percent of total billed charges",,
"XR CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"101","50.5","Caresource","Medicaid Managed Care","RT",,"40",,"40.4","8.63","78.28","percent of total billed charges",,
"XR CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"101","50.5","Wellcare","Medicaid Managed Care","RT",,"40",,"40.9","8.63","78.28","percent of total billed charges",,
"XR CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"101","50.5","Aetna","Commercial","RT",,"64",,"64.44","8.63","78.28","percent of total billed charges",,
"XR CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","Pathways","RT",,"71",,"71.31","8.63","78.28","percent of total billed charges",,
"XR CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","HMO","RT",,"71",,"71.31","8.63","78.28","percent of total billed charges",,
"XR CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","PPO","RT",,"71",,"71.31","8.63","78.28","percent of total billed charges",,
"XR CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"101","50.5","Ambetter","Health Exchange","RT",,"62",,"62.62","8.63","78.28","percent of total billed charges",,
"XR CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"101","50.5","Caresource","Health Exchange","RT",,"62",,"62.62","8.63","78.28","percent of total billed charges",,
"XR CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"101","50.5","Cigna","Commercial","RT",,"59",,"59.19","8.63","78.28","percent of total billed charges",,
"XR CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"101","50.5","Humana","Commercial","RT",,"78",,"78.28","8.63","78.28","percent of total billed charges",,
"XR CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"101","50.5","UHC","Commercial","RT",,"75",,"76.15","8.63","78.28","percent of total billed charges",,
"XR CLAVICLE COMPLETE RIGHT","73000","HCPCS","Both",,,"101","50.5","Medicaid",,"RT",,"37",,"36.97","8.63","78.28","percent of total billed charges",,
"XR SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"153","76.5","Alliant","Health Exchange","RT",,"62",,"94.86","9.32","118.58","percent of total billed charges",,
"XR SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"153","76.5","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"82.62","9.32","118.58","percent of total billed charges",,
"XR SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"153","76.5","Medicare",,"RT",,"54",,"82.93","9.32","118.58","percent of total billed charges",,
"XR SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"153","76.5","Humana","Medicare Advantage","RT",,"54",,"82.93","9.32","118.58","percent of total billed charges",,
"XR SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"153","76.5","UHC","Medicare Advantage","RT",,"54",,"82.93","9.32","118.58","percent of total billed charges",,
"XR SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"153","76.5","Clover","Medicare Advantage","RT",,"54",,"82.93","9.32","118.58","percent of total billed charges",,
"XR SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"153","76.5","Wellcare","Medicare Advantage","RT",,"54",,"82.93","9.32","118.58","percent of total billed charges",,
"XR SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"153","76.5","Amerigroup","Medicaid Managed Care","RT",,"37",,"56","9.32","118.58","percent of total billed charges",,
"XR SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"153","76.5","Caresource","Medicaid Managed Care","RT",,"40",,"61.2","9.32","118.58","percent of total billed charges",,
"XR SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"153","76.5","Wellcare","Medicaid Managed Care","RT",,"40",,"61.96","9.32","118.58","percent of total billed charges",,
"XR SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"153","76.5","Aetna","Commercial","RT",,"64",,"97.61","9.32","118.58","percent of total billed charges",,
"XR SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"153","76.5","Blue Cross Blue Shield","Pathways","RT",,"71",,"108.02","9.32","118.58","percent of total billed charges",,
"XR SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"153","76.5","Blue Cross Blue Shield","HMO","RT",,"71",,"108.02","9.32","118.58","percent of total billed charges",,
"XR SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"153","76.5","Blue Cross Blue Shield","PPO","RT",,"71",,"108.02","9.32","118.58","percent of total billed charges",,
"XR SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"153","76.5","Ambetter","Health Exchange","RT",,"62",,"94.86","9.32","118.58","percent of total billed charges",,
"XR SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"153","76.5","Caresource","Health Exchange","RT",,"62",,"94.86","9.32","118.58","percent of total billed charges",,
"XR SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"153","76.5","Cigna","Commercial","RT",,"59",,"89.66","9.32","118.58","percent of total billed charges",,
"XR SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"153","76.5","Humana","Commercial","RT",,"78",,"118.58","9.32","118.58","percent of total billed charges",,
"XR SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"153","76.5","UHC","Commercial","RT",,"75",,"115.36","9.32","118.58","percent of total billed charges",,
"XR SCAPULA COMPLETE RIGHT","73010","HCPCS","Both",,,"153","76.5","Medicaid",,"RT",,"37",,"56","9.32","118.58","percent of total billed charges",,
"XR SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"797.34","398.67","Alliant","Health Exchange","RT",,"62",,"494.35","9.7","617.94","percent of total billed charges",,
"XR SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"797.34","398.67","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"430.56","9.7","617.94","percent of total billed charges",,
"XR SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"797.34","398.67","Medicare",,"RT",,"54",,"432.16","9.7","617.94","percent of total billed charges",,
"XR SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"797.34","398.67","Humana","Medicare Advantage","RT",,"54",,"432.16","9.7","617.94","percent of total billed charges",,
"XR SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"797.34","398.67","UHC","Medicare Advantage","RT",,"54",,"432.16","9.7","617.94","percent of total billed charges",,
"XR SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"797.34","398.67","Clover","Medicare Advantage","RT",,"54",,"432.16","9.7","617.94","percent of total billed charges",,
"XR SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"797.34","398.67","Wellcare","Medicare Advantage","RT",,"54",,"432.16","9.7","617.94","percent of total billed charges",,
"XR SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"797.34","398.67","Amerigroup","Medicaid Managed Care","RT",,"37",,"291.83","9.7","617.94","percent of total billed charges",,
"XR SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"797.34","398.67","Caresource","Medicaid Managed Care","RT",,"40",,"318.94","9.7","617.94","percent of total billed charges",,
"XR SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"797.34","398.67","Wellcare","Medicaid Managed Care","RT",,"40",,"322.92","9.7","617.94","percent of total billed charges",,
"XR SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"797.34","398.67","Aetna","Commercial","RT",,"64",,"508.7","9.7","617.94","percent of total billed charges",,
"XR SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"797.34","398.67","Blue Cross Blue Shield","Pathways","RT",,"71",,"562.92","9.7","617.94","percent of total billed charges",,
"XR SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"797.34","398.67","Blue Cross Blue Shield","HMO","RT",,"71",,"562.92","9.7","617.94","percent of total billed charges",,
"XR SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"797.34","398.67","Blue Cross Blue Shield","PPO","RT",,"71",,"562.92","9.7","617.94","percent of total billed charges",,
"XR SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"797.34","398.67","Ambetter","Health Exchange","RT",,"62",,"494.35","9.7","617.94","percent of total billed charges",,
"XR SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"797.34","398.67","Caresource","Health Exchange","RT",,"62",,"494.35","9.7","617.94","percent of total billed charges",,
"XR SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"797.34","398.67","Cigna","Commercial","RT",,"59",,"467.24","9.7","617.94","percent of total billed charges",,
"XR SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"797.34","398.67","Humana","Commercial","RT",,"78",,"617.94","9.7","617.94","percent of total billed charges",,
"XR SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"797.34","398.67","UHC","Commercial","RT",,"75",,"601.19","9.7","617.94","percent of total billed charges",,
"XR SHOULDER 2 VIEWS RIGHT","73030","HCPCS","Both",,,"797.34","398.67","Medicaid",,"RT",,"37",,"291.83","9.7","617.94","percent of total billed charges",,
"XR HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Alliant","Health Exchange","RT",,"62",,"159.65","8.63","199.56","percent of total billed charges",,
"XR HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"139.05","8.63","199.56","percent of total billed charges",,
"XR HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Medicare",,"RT",,"54",,"139.56","8.63","199.56","percent of total billed charges",,
"XR HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Humana","Medicare Advantage","RT",,"54",,"139.56","8.63","199.56","percent of total billed charges",,
"XR HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","UHC","Medicare Advantage","RT",,"54",,"139.56","8.63","199.56","percent of total billed charges",,
"XR HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Clover","Medicare Advantage","RT",,"54",,"139.56","8.63","199.56","percent of total billed charges",,
"XR HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Wellcare","Medicare Advantage","RT",,"54",,"139.56","8.63","199.56","percent of total billed charges",,
"XR HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Amerigroup","Medicaid Managed Care","RT",,"37",,"94.24","8.63","199.56","percent of total billed charges",,
"XR HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Caresource","Medicaid Managed Care","RT",,"40",,"103","8.63","199.56","percent of total billed charges",,
"XR HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Wellcare","Medicaid Managed Care","RT",,"40",,"104.29","8.63","199.56","percent of total billed charges",,
"XR HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Aetna","Commercial","RT",,"64",,"164.28","8.63","199.56","percent of total billed charges",,
"XR HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Blue Cross Blue Shield","Pathways","RT",,"71",,"181.8","8.63","199.56","percent of total billed charges",,
"XR HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Blue Cross Blue Shield","HMO","RT",,"71",,"181.8","8.63","199.56","percent of total billed charges",,
"XR HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Blue Cross Blue Shield","PPO","RT",,"71",,"181.8","8.63","199.56","percent of total billed charges",,
"XR HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Ambetter","Health Exchange","RT",,"62",,"159.65","8.63","199.56","percent of total billed charges",,
"XR HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Caresource","Health Exchange","RT",,"62",,"159.65","8.63","199.56","percent of total billed charges",,
"XR HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Cigna","Commercial","RT",,"59",,"150.89","8.63","199.56","percent of total billed charges",,
"XR HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Humana","Commercial","RT",,"78",,"199.56","8.63","199.56","percent of total billed charges",,
"XR HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","UHC","Commercial","RT",,"75",,"194.16","8.63","199.56","percent of total billed charges",,
"XR HUMERUS 2 VIEWS RIGHT","73060","HCPCS","Both",,,"257.5","128.75","Medicaid",,"RT",,"37",,"94.24","8.63","199.56","percent of total billed charges",,
"XR ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"620.5","310.25","Alliant","Health Exchange","RT",,"62",,"384.71","9","480.89","percent of total billed charges",,
"XR ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"620.5","310.25","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"335.07","9","480.89","percent of total billed charges",,
"XR ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"620.5","310.25","Medicare",,"RT",,"54",,"336.31","9","480.89","percent of total billed charges",,
"XR ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"620.5","310.25","Humana","Medicare Advantage","RT",,"54",,"336.31","9","480.89","percent of total billed charges",,
"XR ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"620.5","310.25","UHC","Medicare Advantage","RT",,"54",,"336.31","9","480.89","percent of total billed charges",,
"XR ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"620.5","310.25","Clover","Medicare Advantage","RT",,"54",,"336.31","9","480.89","percent of total billed charges",,
"XR ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"620.5","310.25","Wellcare","Medicare Advantage","RT",,"54",,"336.31","9","480.89","percent of total billed charges",,
"XR ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"620.5","310.25","Amerigroup","Medicaid Managed Care","RT",,"37",,"227.1","9","480.89","percent of total billed charges",,
"XR ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"620.5","310.25","Caresource","Medicaid Managed Care","RT",,"40",,"248.2","9","480.89","percent of total billed charges",,
"XR ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"620.5","310.25","Wellcare","Medicaid Managed Care","RT",,"40",,"251.3","9","480.89","percent of total billed charges",,
"XR ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"620.5","310.25","Aetna","Commercial","RT",,"64",,"395.88","9","480.89","percent of total billed charges",,
"XR ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"620.5","310.25","Blue Cross Blue Shield","Pathways","RT",,"71",,"438.07","9","480.89","percent of total billed charges",,
"XR ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"620.5","310.25","Blue Cross Blue Shield","HMO","RT",,"71",,"438.07","9","480.89","percent of total billed charges",,
"XR ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"620.5","310.25","Blue Cross Blue Shield","PPO","RT",,"71",,"438.07","9","480.89","percent of total billed charges",,
"XR ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"620.5","310.25","Ambetter","Health Exchange","RT",,"62",,"384.71","9","480.89","percent of total billed charges",,
"XR ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"620.5","310.25","Caresource","Health Exchange","RT",,"62",,"384.71","9","480.89","percent of total billed charges",,
"XR ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"620.5","310.25","Cigna","Commercial","RT",,"59",,"363.61","9","480.89","percent of total billed charges",,
"XR ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"620.5","310.25","Humana","Commercial","RT",,"78",,"480.89","9","480.89","percent of total billed charges",,
"XR ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"620.5","310.25","UHC","Commercial","RT",,"75",,"467.86","9","480.89","percent of total billed charges",,
"XR ELBOW 3 VIEWS RIGHT","73080","HCPCS","Both",,,"620.5","310.25","Medicaid",,"RT",,"37",,"227.1","9","480.89","percent of total billed charges",,
"XR FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"731.07","365.535","Alliant","Health Exchange","RT",,"62",,"453.26","8.3","566.58","percent of total billed charges",,
"XR FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"731.07","365.535","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"394.78","8.3","566.58","percent of total billed charges",,
"XR FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"731.07","365.535","Medicare",,"RT",,"54",,"396.24","8.3","566.58","percent of total billed charges",,
"XR FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"731.07","365.535","Humana","Medicare Advantage","RT",,"54",,"396.24","8.3","566.58","percent of total billed charges",,
"XR FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"731.07","365.535","UHC","Medicare Advantage","RT",,"54",,"396.24","8.3","566.58","percent of total billed charges",,
"XR FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"731.07","365.535","Clover","Medicare Advantage","RT",,"54",,"396.24","8.3","566.58","percent of total billed charges",,
"XR FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"731.07","365.535","Wellcare","Medicare Advantage","RT",,"54",,"396.24","8.3","566.58","percent of total billed charges",,
"XR FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"731.07","365.535","Amerigroup","Medicaid Managed Care","RT",,"37",,"267.57","8.3","566.58","percent of total billed charges",,
"XR FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"731.07","365.535","Caresource","Medicaid Managed Care","RT",,"40",,"292.43","8.3","566.58","percent of total billed charges",,
"XR FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"731.07","365.535","Wellcare","Medicaid Managed Care","RT",,"40",,"296.08","8.3","566.58","percent of total billed charges",,
"XR FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"731.07","365.535","Aetna","Commercial","RT",,"64",,"466.42","8.3","566.58","percent of total billed charges",,
"XR FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"731.07","365.535","Blue Cross Blue Shield","Pathways","RT",,"71",,"516.14","8.3","566.58","percent of total billed charges",,
"XR FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"731.07","365.535","Blue Cross Blue Shield","HMO","RT",,"71",,"516.14","8.3","566.58","percent of total billed charges",,
"XR FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"731.07","365.535","Blue Cross Blue Shield","PPO","RT",,"71",,"516.14","8.3","566.58","percent of total billed charges",,
"XR FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"731.07","365.535","Ambetter","Health Exchange","RT",,"62",,"453.26","8.3","566.58","percent of total billed charges",,
"XR FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"731.07","365.535","Caresource","Health Exchange","RT",,"62",,"453.26","8.3","566.58","percent of total billed charges",,
"XR FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"731.07","365.535","Cigna","Commercial","RT",,"59",,"428.41","8.3","566.58","percent of total billed charges",,
"XR FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"731.07","365.535","Humana","Commercial","RT",,"78",,"566.58","8.3","566.58","percent of total billed charges",,
"XR FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"731.07","365.535","UHC","Commercial","RT",,"75",,"551.23","8.3","566.58","percent of total billed charges",,
"XR FOREARM 2 VIEWS RIGHT","73090","HCPCS","Both",,,"731.07","365.535","Medicaid",,"RT",,"37",,"267.57","8.3","566.58","percent of total billed charges",,
"XR WRIST 2 VIEWS RIGHT","73100","HCPCS","Both",,,"63.5","31.75","Alliant","Health Exchange","RT",,"62",,"39.37","23.24","49.21","percent of total billed charges",,
"XR WRIST 2 VIEWS RIGHT","73100","HCPCS","Both",,,"63.5","31.75","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"34.29","23.24","49.21","percent of total billed charges",,
"XR WRIST 2 VIEWS RIGHT","73100","HCPCS","Both",,,"63.5","31.75","Medicare",,"RT",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"XR WRIST 2 VIEWS RIGHT","73100","HCPCS","Both",,,"63.5","31.75","Humana","Medicare Advantage","RT",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"XR WRIST 2 VIEWS RIGHT","73100","HCPCS","Both",,,"63.5","31.75","UHC","Medicare Advantage","RT",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"XR WRIST 2 VIEWS RIGHT","73100","HCPCS","Both",,,"63.5","31.75","Clover","Medicare Advantage","RT",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"XR WRIST 2 VIEWS RIGHT","73100","HCPCS","Both",,,"63.5","31.75","Wellcare","Medicare Advantage","RT",,"54",,"34.42","23.24","49.21","percent of total billed charges",,
"XR WRIST 2 VIEWS RIGHT","73100","HCPCS","Both",,,"63.5","31.75","Amerigroup","Medicaid Managed Care","RT",,"37",,"23.24","23.24","49.21","percent of total billed charges",,
"XR WRIST 2 VIEWS RIGHT","73100","HCPCS","Both",,,"63.5","31.75","Caresource","Medicaid Managed Care","RT",,"40",,"25.4","23.24","49.21","percent of total billed charges",,
"XR WRIST 2 VIEWS RIGHT","73100","HCPCS","Both",,,"63.5","31.75","Wellcare","Medicaid Managed Care","RT",,"40",,"25.72","23.24","49.21","percent of total billed charges",,
"XR WRIST 2 VIEWS RIGHT","73100","HCPCS","Both",,,"63.5","31.75","Aetna","Commercial","RT",,"64",,"40.51","23.24","49.21","percent of total billed charges",,
"XR WRIST 2 VIEWS RIGHT","73100","HCPCS","Both",,,"63.5","31.75","Blue Cross Blue Shield","Pathways","RT",,"71",,"44.83","23.24","49.21","percent of total billed charges",,
"XR WRIST 2 VIEWS RIGHT","73100","HCPCS","Both",,,"63.5","31.75","Blue Cross Blue Shield","HMO","RT",,"71",,"44.83","23.24","49.21","percent of total billed charges",,
"XR WRIST 2 VIEWS RIGHT","73100","HCPCS","Both",,,"63.5","31.75","Blue Cross Blue Shield","PPO","RT",,"71",,"44.83","23.24","49.21","percent of total billed charges",,
"XR WRIST 2 VIEWS RIGHT","73100","HCPCS","Both",,,"63.5","31.75","Ambetter","Health Exchange","RT",,"62",,"39.37","23.24","49.21","percent of total billed charges",,
"XR WRIST 2 VIEWS RIGHT","73100","HCPCS","Both",,,"63.5","31.75","Caresource","Health Exchange","RT",,"62",,"39.37","23.24","49.21","percent of total billed charges",,
"XR WRIST 2 VIEWS RIGHT","73100","HCPCS","Both",,,"63.5","31.75","Cigna","Commercial","RT",,"59",,"37.21","23.24","49.21","percent of total billed charges",,
"XR WRIST 2 VIEWS RIGHT","73100","HCPCS","Both",,,"63.5","31.75","Humana","Commercial","RT",,"78",,"49.21","23.24","49.21","percent of total billed charges",,
"XR WRIST 2 VIEWS RIGHT","73100","HCPCS","Both",,,"63.5","31.75","UHC","Commercial","RT",,"75",,"47.88","23.24","49.21","percent of total billed charges",,
"XR WRIST 2 VIEWS RIGHT","73100","HCPCS","Both",,,"63.5","31.75","Medicaid",,"RT",,"37",,"23.24","23.24","49.21","percent of total billed charges",,
"XR WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"386","193","Alliant","Health Exchange","RT",,"62",,"239.32","9","543.66","percent of total billed charges",,
"XR WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"386","193","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"208.44","9","543.66","percent of total billed charges",,
"XR WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"386","193","Medicare",,"RT",,"54",,"209.21","9","543.66","percent of total billed charges",,
"XR WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"386","193","Humana","Medicare Advantage","RT",,"54",,"209.21","9","543.66","percent of total billed charges",,
"XR WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"386","193","UHC","Medicare Advantage","RT",,"54",,"209.21","9","543.66","percent of total billed charges",,
"XR WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"386","193","Clover","Medicare Advantage","RT",,"54",,"209.21","9","543.66","percent of total billed charges",,
"XR WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"386","193","Wellcare","Medicare Advantage","RT",,"54",,"209.21","9","543.66","percent of total billed charges",,
"XR WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"386","193","Amerigroup","Medicaid Managed Care","RT",,"37",,"141.28","9","543.66","percent of total billed charges",,
"XR WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"386","193","Caresource","Medicaid Managed Care","RT",,"40",,"154.4","9","543.66","percent of total billed charges",,
"XR WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"386","193","Wellcare","Medicaid Managed Care","RT",,"40",,"156.33","9","543.66","percent of total billed charges",,
"XR WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"386","193","Aetna","Commercial","RT",,"64",,"246.27","9","543.66","percent of total billed charges",,
"XR WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"386","193","Blue Cross Blue Shield","Pathways","RT",,"71",,"272.52","9","543.66","percent of total billed charges",,
"XR WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"386","193","Blue Cross Blue Shield","HMO","RT",,"71",,"272.52","9","543.66","percent of total billed charges",,
"XR WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"386","193","Blue Cross Blue Shield","PPO","RT",,"71",,"272.52","9","543.66","percent of total billed charges",,
"XR WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"386","193","Ambetter","Health Exchange","RT",,"62",,"239.32","9","543.66","percent of total billed charges",,
"XR WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"386","193","Caresource","Health Exchange","RT",,"62",,"239.32","9","543.66","percent of total billed charges",,
"XR WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"386","193","Cigna","Commercial","RT",,"59",,"226.2","9","543.66","percent of total billed charges",,
"XR WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"386","193","Humana","Commercial","RT",,"78",,"299.15","9","543.66","percent of total billed charges",,
"XR WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"386","193","UHC","Commercial","RT",,"75",,"291.04","9","543.66","percent of total billed charges",,
"XR WRIST 3 VIEWS RIGHT","73110","HCPCS","Both",,,"386","193","Medicaid",,"RT",,"37",,"141.28","9","543.66","percent of total billed charges",,
"XR HAND 2 VIEWS RIGHT","73120","HCPCS","Both",,,"247","123.5","Alliant","Health Exchange","RT",,"62",,"153.14","90.4","191.42","percent of total billed charges",,
"XR HAND 2 VIEWS RIGHT","73120","HCPCS","Both",,,"247","123.5","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"133.38","90.4","191.42","percent of total billed charges",,
"XR HAND 2 VIEWS RIGHT","73120","HCPCS","Both",,,"247","123.5","Medicare",,"RT",,"54",,"133.87","90.4","191.42","percent of total billed charges",,
"XR HAND 2 VIEWS RIGHT","73120","HCPCS","Both",,,"247","123.5","Humana","Medicare Advantage","RT",,"54",,"133.87","90.4","191.42","percent of total billed charges",,
"XR HAND 2 VIEWS RIGHT","73120","HCPCS","Both",,,"247","123.5","UHC","Medicare Advantage","RT",,"54",,"133.87","90.4","191.42","percent of total billed charges",,
"XR HAND 2 VIEWS RIGHT","73120","HCPCS","Both",,,"247","123.5","Clover","Medicare Advantage","RT",,"54",,"133.87","90.4","191.42","percent of total billed charges",,
"XR HAND 2 VIEWS RIGHT","73120","HCPCS","Both",,,"247","123.5","Wellcare","Medicare Advantage","RT",,"54",,"133.87","90.4","191.42","percent of total billed charges",,
"XR HAND 2 VIEWS RIGHT","73120","HCPCS","Both",,,"247","123.5","Amerigroup","Medicaid Managed Care","RT",,"37",,"90.4","90.4","191.42","percent of total billed charges",,
"XR HAND 2 VIEWS RIGHT","73120","HCPCS","Both",,,"247","123.5","Caresource","Medicaid Managed Care","RT",,"40",,"98.8","90.4","191.42","percent of total billed charges",,
"XR HAND 2 VIEWS RIGHT","73120","HCPCS","Both",,,"247","123.5","Wellcare","Medicaid Managed Care","RT",,"40",,"100.04","90.4","191.42","percent of total billed charges",,
"XR HAND 2 VIEWS RIGHT","73120","HCPCS","Both",,,"247","123.5","Aetna","Commercial","RT",,"64",,"157.59","90.4","191.42","percent of total billed charges",,
"XR HAND 2 VIEWS RIGHT","73120","HCPCS","Both",,,"247","123.5","Blue Cross Blue Shield","Pathways","RT",,"71",,"174.38","90.4","191.42","percent of total billed charges",,
"XR HAND 2 VIEWS RIGHT","73120","HCPCS","Both",,,"247","123.5","Blue Cross Blue Shield","HMO","RT",,"71",,"174.38","90.4","191.42","percent of total billed charges",,
"XR HAND 2 VIEWS RIGHT","73120","HCPCS","Both",,,"247","123.5","Blue Cross Blue Shield","PPO","RT",,"71",,"174.38","90.4","191.42","percent of total billed charges",,
"XR HAND 2 VIEWS RIGHT","73120","HCPCS","Both",,,"247","123.5","Ambetter","Health Exchange","RT",,"62",,"153.14","90.4","191.42","percent of total billed charges",,
"XR HAND 2 VIEWS RIGHT","73120","HCPCS","Both",,,"247","123.5","Caresource","Health Exchange","RT",,"62",,"153.14","90.4","191.42","percent of total billed charges",,
"XR HAND 2 VIEWS RIGHT","73120","HCPCS","Both",,,"247","123.5","Cigna","Commercial","RT",,"59",,"144.74","90.4","191.42","percent of total billed charges",,
"XR HAND 2 VIEWS RIGHT","73120","HCPCS","Both",,,"247","123.5","Humana","Commercial","RT",,"78",,"191.42","90.4","191.42","percent of total billed charges",,
"XR HAND 2 VIEWS RIGHT","73120","HCPCS","Both",,,"247","123.5","UHC","Commercial","RT",,"75",,"186.24","90.4","191.42","percent of total billed charges",,
"XR HAND 2 VIEWS RIGHT","73120","HCPCS","Both",,,"247","123.5","Medicaid",,"RT",,"37",,"90.4","90.4","191.42","percent of total billed charges",,
"XR HAND MINIMUM 3 VIEWS LEFT","73130","HCPCS","Both",,,"800.37","400.185","Alliant","Health Exchange","LT",,"62",,"496.23","9","620.29","percent of total billed charges",,
"XR HAND MINIMUM 3 VIEWS LEFT","73130","HCPCS","Both",,,"800.37","400.185","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"432.2","9","620.29","percent of total billed charges",,
"XR HAND MINIMUM 3 VIEWS LEFT","73130","HCPCS","Both",,,"800.37","400.185","Medicare",,"LT",,"54",,"433.8","9","620.29","percent of total billed charges",,
"XR HAND MINIMUM 3 VIEWS LEFT","73130","HCPCS","Both",,,"800.37","400.185","Humana","Medicare Advantage","LT",,"54",,"433.8","9","620.29","percent of total billed charges",,
"XR HAND MINIMUM 3 VIEWS LEFT","73130","HCPCS","Both",,,"800.37","400.185","UHC","Medicare Advantage","LT",,"54",,"433.8","9","620.29","percent of total billed charges",,
"XR HAND MINIMUM 3 VIEWS LEFT","73130","HCPCS","Both",,,"800.37","400.185","Clover","Medicare Advantage","LT",,"54",,"433.8","9","620.29","percent of total billed charges",,
"XR HAND MINIMUM 3 VIEWS LEFT","73130","HCPCS","Both",,,"800.37","400.185","Wellcare","Medicare Advantage","LT",,"54",,"433.8","9","620.29","percent of total billed charges",,
"XR HAND MINIMUM 3 VIEWS LEFT","73130","HCPCS","Both",,,"800.37","400.185","Amerigroup","Medicaid Managed Care","LT",,"37",,"292.94","9","620.29","percent of total billed charges",,
"XR HAND MINIMUM 3 VIEWS LEFT","73130","HCPCS","Both",,,"800.37","400.185","Caresource","Medicaid Managed Care","LT",,"40",,"320.15","9","620.29","percent of total billed charges",,
"XR HAND MINIMUM 3 VIEWS LEFT","73130","HCPCS","Both",,,"800.37","400.185","Wellcare","Medicaid Managed Care","LT",,"40",,"324.15","9","620.29","percent of total billed charges",,
"XR HAND MINIMUM 3 VIEWS LEFT","73130","HCPCS","Both",,,"800.37","400.185","Aetna","Commercial","LT",,"64",,"510.64","9","620.29","percent of total billed charges",,
"XR HAND MINIMUM 3 VIEWS LEFT","73130","HCPCS","Both",,,"800.37","400.185","Blue Cross Blue Shield","Pathways","LT",,"71",,"565.06","9","620.29","percent of total billed charges",,
"XR HAND MINIMUM 3 VIEWS LEFT","73130","HCPCS","Both",,,"800.37","400.185","Blue Cross Blue Shield","HMO","LT",,"71",,"565.06","9","620.29","percent of total billed charges",,
"XR HAND MINIMUM 3 VIEWS LEFT","73130","HCPCS","Both",,,"800.37","400.185","Blue Cross Blue Shield","PPO","LT",,"71",,"565.06","9","620.29","percent of total billed charges",,
"XR HAND MINIMUM 3 VIEWS LEFT","73130","HCPCS","Both",,,"800.37","400.185","Ambetter","Health Exchange","LT",,"62",,"496.23","9","620.29","percent of total billed charges",,
"XR HAND MINIMUM 3 VIEWS LEFT","73130","HCPCS","Both",,,"800.37","400.185","Caresource","Health Exchange","LT",,"62",,"496.23","9","620.29","percent of total billed charges",,
"XR HAND MINIMUM 3 VIEWS LEFT","73130","HCPCS","Both",,,"800.37","400.185","Cigna","Commercial","LT",,"59",,"469.02","9","620.29","percent of total billed charges",,
"XR HAND MINIMUM 3 VIEWS LEFT","73130","HCPCS","Both",,,"800.37","400.185","Humana","Commercial","LT",,"78",,"620.29","9","620.29","percent of total billed charges",,
"XR HAND MINIMUM 3 VIEWS LEFT","73130","HCPCS","Both",,,"800.37","400.185","UHC","Commercial","LT",,"75",,"603.48","9","620.29","percent of total billed charges",,
"XR HAND MINIMUM 3 VIEWS LEFT","73130","HCPCS","Both",,,"800.37","400.185","Medicaid",,"LT",,"37",,"292.94","9","620.29","percent of total billed charges",,
"XR HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"350","175","Alliant","Health Exchange","RT",,"62",,"217","9","620.29","percent of total billed charges",,
"XR HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"350","175","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"189","9","620.29","percent of total billed charges",,
"XR HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"350","175","Medicare",,"RT",,"54",,"189.7","9","620.29","percent of total billed charges",,
"XR HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"350","175","Humana","Medicare Advantage","RT",,"54",,"189.7","9","620.29","percent of total billed charges",,
"XR HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"350","175","UHC","Medicare Advantage","RT",,"54",,"189.7","9","620.29","percent of total billed charges",,
"XR HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"350","175","Clover","Medicare Advantage","RT",,"54",,"189.7","9","620.29","percent of total billed charges",,
"XR HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"350","175","Wellcare","Medicare Advantage","RT",,"54",,"189.7","9","620.29","percent of total billed charges",,
"XR HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"350","175","Amerigroup","Medicaid Managed Care","RT",,"37",,"128.1","9","620.29","percent of total billed charges",,
"XR HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"350","175","Caresource","Medicaid Managed Care","RT",,"40",,"140","9","620.29","percent of total billed charges",,
"XR HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"350","175","Wellcare","Medicaid Managed Care","RT",,"40",,"141.75","9","620.29","percent of total billed charges",,
"XR HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"350","175","Aetna","Commercial","RT",,"64",,"223.3","9","620.29","percent of total billed charges",,
"XR HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"350","175","Blue Cross Blue Shield","Pathways","RT",,"71",,"247.1","9","620.29","percent of total billed charges",,
"XR HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"350","175","Blue Cross Blue Shield","HMO","RT",,"71",,"247.1","9","620.29","percent of total billed charges",,
"XR HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"350","175","Blue Cross Blue Shield","PPO","RT",,"71",,"247.1","9","620.29","percent of total billed charges",,
"XR HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"350","175","Ambetter","Health Exchange","RT",,"62",,"217","9","620.29","percent of total billed charges",,
"XR HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"350","175","Caresource","Health Exchange","RT",,"62",,"217","9","620.29","percent of total billed charges",,
"XR HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"350","175","Cigna","Commercial","RT",,"59",,"205.1","9","620.29","percent of total billed charges",,
"XR HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"350","175","Humana","Commercial","RT",,"78",,"271.25","9","620.29","percent of total billed charges",,
"XR HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"350","175","UHC","Commercial","RT",,"75",,"263.9","9","620.29","percent of total billed charges",,
"XR HAND MIN 3 VIEWS RIGHT","73130","HCPCS","Both",,,"350","175","Medicaid",,"RT",,"37",,"128.1","9","620.29","percent of total billed charges",,
"XR HIP UNILATERAL COMPLETE RIGHT 2-3view","73502","HCPCS","Both",,,"221.28","110.64","Alliant","Health Exchange","RT",,"62",,"137.19","9","171.49","percent of total billed charges",,
"XR HIP UNILATERAL COMPLETE RIGHT 2-3view","73502","HCPCS","Both",,,"221.28","110.64","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"119.49","9","171.49","percent of total billed charges",,
"XR HIP UNILATERAL COMPLETE RIGHT 2-3view","73502","HCPCS","Both",,,"221.28","110.64","Medicare",,"RT",,"54",,"119.93","9","171.49","percent of total billed charges",,
"XR HIP UNILATERAL COMPLETE RIGHT 2-3view","73502","HCPCS","Both",,,"221.28","110.64","Humana","Medicare Advantage","RT",,"54",,"119.93","9","171.49","percent of total billed charges",,
"XR HIP UNILATERAL COMPLETE RIGHT 2-3view","73502","HCPCS","Both",,,"221.28","110.64","UHC","Medicare Advantage","RT",,"54",,"119.93","9","171.49","percent of total billed charges",,
"XR HIP UNILATERAL COMPLETE RIGHT 2-3view","73502","HCPCS","Both",,,"221.28","110.64","Clover","Medicare Advantage","RT",,"54",,"119.93","9","171.49","percent of total billed charges",,
"XR HIP UNILATERAL COMPLETE RIGHT 2-3view","73502","HCPCS","Both",,,"221.28","110.64","Wellcare","Medicare Advantage","RT",,"54",,"119.93","9","171.49","percent of total billed charges",,
"XR HIP UNILATERAL COMPLETE RIGHT 2-3view","73502","HCPCS","Both",,,"221.28","110.64","Amerigroup","Medicaid Managed Care","RT",,"37",,"80.99","9","171.49","percent of total billed charges",,
"XR HIP UNILATERAL COMPLETE RIGHT 2-3view","73502","HCPCS","Both",,,"221.28","110.64","Caresource","Medicaid Managed Care","RT",,"40",,"88.51","9","171.49","percent of total billed charges",,
"XR HIP UNILATERAL COMPLETE RIGHT 2-3view","73502","HCPCS","Both",,,"221.28","110.64","Wellcare","Medicaid Managed Care","RT",,"40",,"89.62","9","171.49","percent of total billed charges",,
"XR HIP UNILATERAL COMPLETE RIGHT 2-3view","73502","HCPCS","Both",,,"221.28","110.64","Aetna","Commercial","RT",,"64",,"141.18","9","171.49","percent of total billed charges",,
"XR HIP UNILATERAL COMPLETE RIGHT 2-3view","73502","HCPCS","Both",,,"221.28","110.64","Blue Cross Blue Shield","Pathways","RT",,"71",,"156.22","9","171.49","percent of total billed charges",,
"XR HIP UNILATERAL COMPLETE RIGHT 2-3view","73502","HCPCS","Both",,,"221.28","110.64","Blue Cross Blue Shield","HMO","RT",,"71",,"156.22","9","171.49","percent of total billed charges",,
"XR HIP UNILATERAL COMPLETE RIGHT 2-3view","73502","HCPCS","Both",,,"221.28","110.64","Blue Cross Blue Shield","PPO","RT",,"71",,"156.22","9","171.49","percent of total billed charges",,
"XR HIP UNILATERAL COMPLETE RIGHT 2-3view","73502","HCPCS","Both",,,"221.28","110.64","Ambetter","Health Exchange","RT",,"62",,"137.19","9","171.49","percent of total billed charges",,
"XR HIP UNILATERAL COMPLETE RIGHT 2-3view","73502","HCPCS","Both",,,"221.28","110.64","Caresource","Health Exchange","RT",,"62",,"137.19","9","171.49","percent of total billed charges",,
"XR HIP UNILATERAL COMPLETE RIGHT 2-3view","73502","HCPCS","Both",,,"221.28","110.64","Cigna","Commercial","RT",,"59",,"129.67","9","171.49","percent of total billed charges",,
"XR HIP UNILATERAL COMPLETE RIGHT 2-3view","73502","HCPCS","Both",,,"221.28","110.64","Humana","Commercial","RT",,"78",,"171.49","9","171.49","percent of total billed charges",,
"XR HIP UNILATERAL COMPLETE RIGHT 2-3view","73502","HCPCS","Both",,,"221.28","110.64","UHC","Commercial","RT",,"75",,"166.85","9","171.49","percent of total billed charges",,
"XR HIP UNILATERAL COMPLETE RIGHT 2-3view","73502","HCPCS","Both",,,"221.28","110.64","Medicaid",,"RT",,"37",,"80.99","9","171.49","percent of total billed charges",,
"XR FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"101","50.5","Alliant","Health Exchange","RT",,"62",,"62.62","9.37","78.28","percent of total billed charges",,
"XR FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"101","50.5","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"54.54","9.37","78.28","percent of total billed charges",,
"XR FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"101","50.5","Medicare",,"RT",,"54",,"54.74","9.37","78.28","percent of total billed charges",,
"XR FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"101","50.5","Humana","Medicare Advantage","RT",,"54",,"54.74","9.37","78.28","percent of total billed charges",,
"XR FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"101","50.5","UHC","Medicare Advantage","RT",,"54",,"54.74","9.37","78.28","percent of total billed charges",,
"XR FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"101","50.5","Clover","Medicare Advantage","RT",,"54",,"54.74","9.37","78.28","percent of total billed charges",,
"XR FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"101","50.5","Wellcare","Medicare Advantage","RT",,"54",,"54.74","9.37","78.28","percent of total billed charges",,
"XR FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"101","50.5","Amerigroup","Medicaid Managed Care","RT",,"37",,"36.97","9.37","78.28","percent of total billed charges",,
"XR FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"101","50.5","Caresource","Medicaid Managed Care","RT",,"40",,"40.4","9.37","78.28","percent of total billed charges",,
"XR FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"101","50.5","Wellcare","Medicaid Managed Care","RT",,"40",,"40.9","9.37","78.28","percent of total billed charges",,
"XR FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"101","50.5","Aetna","Commercial","RT",,"64",,"64.44","9.37","78.28","percent of total billed charges",,
"XR FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","Pathways","RT",,"71",,"71.31","9.37","78.28","percent of total billed charges",,
"XR FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","HMO","RT",,"71",,"71.31","9.37","78.28","percent of total billed charges",,
"XR FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","PPO","RT",,"71",,"71.31","9.37","78.28","percent of total billed charges",,
"XR FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"101","50.5","Ambetter","Health Exchange","RT",,"62",,"62.62","9.37","78.28","percent of total billed charges",,
"XR FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"101","50.5","Caresource","Health Exchange","RT",,"62",,"62.62","9.37","78.28","percent of total billed charges",,
"XR FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"101","50.5","Cigna","Commercial","RT",,"59",,"59.19","9.37","78.28","percent of total billed charges",,
"XR FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"101","50.5","Humana","Commercial","RT",,"78",,"78.28","9.37","78.28","percent of total billed charges",,
"XR FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"101","50.5","UHC","Commercial","RT",,"75",,"76.15","9.37","78.28","percent of total billed charges",,
"XR FEMUR 2 VIEWS RIGHT","73552","HCPCS","Both",,,"101","50.5","Medicaid",,"RT",,"37",,"36.97","9.37","78.28","percent of total billed charges",,
"XR KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"855.53","427.765","Alliant","Health Exchange","RT",,"62",,"530.43","9.7","663.04","percent of total billed charges",,
"XR KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"855.53","427.765","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"461.99","9.7","663.04","percent of total billed charges",,
"XR KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"855.53","427.765","Medicare",,"RT",,"54",,"463.7","9.7","663.04","percent of total billed charges",,
"XR KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"855.53","427.765","Humana","Medicare Advantage","RT",,"54",,"463.7","9.7","663.04","percent of total billed charges",,
"XR KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"855.53","427.765","UHC","Medicare Advantage","RT",,"54",,"463.7","9.7","663.04","percent of total billed charges",,
"XR KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"855.53","427.765","Clover","Medicare Advantage","RT",,"54",,"463.7","9.7","663.04","percent of total billed charges",,
"XR KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"855.53","427.765","Wellcare","Medicare Advantage","RT",,"54",,"463.7","9.7","663.04","percent of total billed charges",,
"XR KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"855.53","427.765","Amerigroup","Medicaid Managed Care","RT",,"37",,"313.12","9.7","663.04","percent of total billed charges",,
"XR KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"855.53","427.765","Caresource","Medicaid Managed Care","RT",,"40",,"342.21","9.7","663.04","percent of total billed charges",,
"XR KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"855.53","427.765","Wellcare","Medicaid Managed Care","RT",,"40",,"346.49","9.7","663.04","percent of total billed charges",,
"XR KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"855.53","427.765","Aetna","Commercial","RT",,"64",,"545.83","9.7","663.04","percent of total billed charges",,
"XR KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"855.53","427.765","Blue Cross Blue Shield","Pathways","RT",,"71",,"604","9.7","663.04","percent of total billed charges",,
"XR KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"855.53","427.765","Blue Cross Blue Shield","HMO","RT",,"71",,"604","9.7","663.04","percent of total billed charges",,
"XR KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"855.53","427.765","Blue Cross Blue Shield","PPO","RT",,"71",,"604","9.7","663.04","percent of total billed charges",,
"XR KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"855.53","427.765","Ambetter","Health Exchange","RT",,"62",,"530.43","9.7","663.04","percent of total billed charges",,
"XR KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"855.53","427.765","Caresource","Health Exchange","RT",,"62",,"530.43","9.7","663.04","percent of total billed charges",,
"XR KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"855.53","427.765","Cigna","Commercial","RT",,"59",,"501.34","9.7","663.04","percent of total billed charges",,
"XR KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"855.53","427.765","Humana","Commercial","RT",,"78",,"663.04","9.7","663.04","percent of total billed charges",,
"XR KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"855.53","427.765","UHC","Commercial","RT",,"75",,"645.07","9.7","663.04","percent of total billed charges",,
"XR KNEE 3 VIEWS RIGHT","73562","HCPCS","Both",,,"855.53","427.765","Medicaid",,"RT",,"37",,"313.12","9.7","663.04","percent of total billed charges",,
"XR KNEE 4 OR MORE VIEWS RIGHT","73564","HCPCS","Both",,,"215.5","107.75","Alliant","Health Exchange","RT",,"62",,"133.61","78.87","167.01","percent of total billed charges",,
"XR KNEE 4 OR MORE VIEWS RIGHT","73564","HCPCS","Both",,,"215.5","107.75","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"116.37","78.87","167.01","percent of total billed charges",,
"XR KNEE 4 OR MORE VIEWS RIGHT","73564","HCPCS","Both",,,"215.5","107.75","Medicare",,"RT",,"54",,"116.8","78.87","167.01","percent of total billed charges",,
"XR KNEE 4 OR MORE VIEWS RIGHT","73564","HCPCS","Both",,,"215.5","107.75","Humana","Medicare Advantage","RT",,"54",,"116.8","78.87","167.01","percent of total billed charges",,
"XR KNEE 4 OR MORE VIEWS RIGHT","73564","HCPCS","Both",,,"215.5","107.75","UHC","Medicare Advantage","RT",,"54",,"116.8","78.87","167.01","percent of total billed charges",,
"XR KNEE 4 OR MORE VIEWS RIGHT","73564","HCPCS","Both",,,"215.5","107.75","Clover","Medicare Advantage","RT",,"54",,"116.8","78.87","167.01","percent of total billed charges",,
"XR KNEE 4 OR MORE VIEWS RIGHT","73564","HCPCS","Both",,,"215.5","107.75","Wellcare","Medicare Advantage","RT",,"54",,"116.8","78.87","167.01","percent of total billed charges",,
"XR KNEE 4 OR MORE VIEWS RIGHT","73564","HCPCS","Both",,,"215.5","107.75","Amerigroup","Medicaid Managed Care","RT",,"37",,"78.87","78.87","167.01","percent of total billed charges",,
"XR KNEE 4 OR MORE VIEWS RIGHT","73564","HCPCS","Both",,,"215.5","107.75","Caresource","Medicaid Managed Care","RT",,"40",,"86.2","78.87","167.01","percent of total billed charges",,
"XR KNEE 4 OR MORE VIEWS RIGHT","73564","HCPCS","Both",,,"215.5","107.75","Wellcare","Medicaid Managed Care","RT",,"40",,"87.28","78.87","167.01","percent of total billed charges",,
"XR KNEE 4 OR MORE VIEWS RIGHT","73564","HCPCS","Both",,,"215.5","107.75","Aetna","Commercial","RT",,"64",,"137.49","78.87","167.01","percent of total billed charges",,
"XR KNEE 4 OR MORE VIEWS RIGHT","73564","HCPCS","Both",,,"215.5","107.75","Blue Cross Blue Shield","Pathways","RT",,"71",,"152.14","78.87","167.01","percent of total billed charges",,
"XR KNEE 4 OR MORE VIEWS RIGHT","73564","HCPCS","Both",,,"215.5","107.75","Blue Cross Blue Shield","HMO","RT",,"71",,"152.14","78.87","167.01","percent of total billed charges",,
"XR KNEE 4 OR MORE VIEWS RIGHT","73564","HCPCS","Both",,,"215.5","107.75","Blue Cross Blue Shield","PPO","RT",,"71",,"152.14","78.87","167.01","percent of total billed charges",,
"XR KNEE 4 OR MORE VIEWS RIGHT","73564","HCPCS","Both",,,"215.5","107.75","Ambetter","Health Exchange","RT",,"62",,"133.61","78.87","167.01","percent of total billed charges",,
"XR KNEE 4 OR MORE VIEWS RIGHT","73564","HCPCS","Both",,,"215.5","107.75","Caresource","Health Exchange","RT",,"62",,"133.61","78.87","167.01","percent of total billed charges",,
"XR KNEE 4 OR MORE VIEWS RIGHT","73564","HCPCS","Both",,,"215.5","107.75","Cigna","Commercial","RT",,"59",,"126.28","78.87","167.01","percent of total billed charges",,
"XR KNEE 4 OR MORE VIEWS RIGHT","73564","HCPCS","Both",,,"215.5","107.75","Humana","Commercial","RT",,"78",,"167.01","78.87","167.01","percent of total billed charges",,
"XR KNEE 4 OR MORE VIEWS RIGHT","73564","HCPCS","Both",,,"215.5","107.75","UHC","Commercial","RT",,"75",,"162.49","78.87","167.01","percent of total billed charges",,
"XR KNEE 4 OR MORE VIEWS RIGHT","73564","HCPCS","Both",,,"215.5","107.75","Medicaid",,"RT",,"37",,"78.87","78.87","167.01","percent of total billed charges",,
"XR TIBIA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"439.45","219.725","Alliant","Health Exchange","RT",,"62",,"272.46","8.3","340.57","percent of total billed charges",,
"XR TIBIA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"439.45","219.725","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"237.3","8.3","340.57","percent of total billed charges",,
"XR TIBIA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"439.45","219.725","Medicare",,"RT",,"54",,"238.18","8.3","340.57","percent of total billed charges",,
"XR TIBIA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"439.45","219.725","Humana","Medicare Advantage","RT",,"54",,"238.18","8.3","340.57","percent of total billed charges",,
"XR TIBIA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"439.45","219.725","UHC","Medicare Advantage","RT",,"54",,"238.18","8.3","340.57","percent of total billed charges",,
"XR TIBIA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"439.45","219.725","Clover","Medicare Advantage","RT",,"54",,"238.18","8.3","340.57","percent of total billed charges",,
"XR TIBIA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"439.45","219.725","Wellcare","Medicare Advantage","RT",,"54",,"238.18","8.3","340.57","percent of total billed charges",,
"XR TIBIA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"439.45","219.725","Amerigroup","Medicaid Managed Care","RT",,"37",,"160.84","8.3","340.57","percent of total billed charges",,
"XR TIBIA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"439.45","219.725","Caresource","Medicaid Managed Care","RT",,"40",,"175.78","8.3","340.57","percent of total billed charges",,
"XR TIBIA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"439.45","219.725","Wellcare","Medicaid Managed Care","RT",,"40",,"177.98","8.3","340.57","percent of total billed charges",,
"XR TIBIA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"439.45","219.725","Aetna","Commercial","RT",,"64",,"280.37","8.3","340.57","percent of total billed charges",,
"XR TIBIA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"439.45","219.725","Blue Cross Blue Shield","Pathways","RT",,"71",,"310.25","8.3","340.57","percent of total billed charges",,
"XR TIBIA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"439.45","219.725","Blue Cross Blue Shield","HMO","RT",,"71",,"310.25","8.3","340.57","percent of total billed charges",,
"XR TIBIA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"439.45","219.725","Blue Cross Blue Shield","PPO","RT",,"71",,"310.25","8.3","340.57","percent of total billed charges",,
"XR TIBIA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"439.45","219.725","Ambetter","Health Exchange","RT",,"62",,"272.46","8.3","340.57","percent of total billed charges",,
"XR TIBIA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"439.45","219.725","Caresource","Health Exchange","RT",,"62",,"272.46","8.3","340.57","percent of total billed charges",,
"XR TIBIA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"439.45","219.725","Cigna","Commercial","RT",,"59",,"257.52","8.3","340.57","percent of total billed charges",,
"XR TIBIA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"439.45","219.725","Humana","Commercial","RT",,"78",,"340.57","8.3","340.57","percent of total billed charges",,
"XR TIBIA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"439.45","219.725","UHC","Commercial","RT",,"75",,"331.35","8.3","340.57","percent of total billed charges",,
"XR TIBIA/FIBULA 2 VIEWS RIGHT","73590","HCPCS","Both",,,"439.45","219.725","Medicaid",,"RT",,"37",,"160.84","8.3","340.57","percent of total billed charges",,
"XR ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"771.95","385.975","Alliant","Health Exchange","RT",,"62",,"478.61","9","598.26","percent of total billed charges",,
"XR ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"771.95","385.975","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"416.85","9","598.26","percent of total billed charges",,
"XR ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"771.95","385.975","Medicare",,"RT",,"54",,"418.4","9","598.26","percent of total billed charges",,
"XR ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"771.95","385.975","Humana","Medicare Advantage","RT",,"54",,"418.4","9","598.26","percent of total billed charges",,
"XR ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"771.95","385.975","UHC","Medicare Advantage","RT",,"54",,"418.4","9","598.26","percent of total billed charges",,
"XR ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"771.95","385.975","Clover","Medicare Advantage","RT",,"54",,"418.4","9","598.26","percent of total billed charges",,
"XR ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"771.95","385.975","Wellcare","Medicare Advantage","RT",,"54",,"418.4","9","598.26","percent of total billed charges",,
"XR ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"771.95","385.975","Amerigroup","Medicaid Managed Care","RT",,"37",,"282.53","9","598.26","percent of total billed charges",,
"XR ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"771.95","385.975","Caresource","Medicaid Managed Care","RT",,"40",,"308.78","9","598.26","percent of total billed charges",,
"XR ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"771.95","385.975","Wellcare","Medicaid Managed Care","RT",,"40",,"312.64","9","598.26","percent of total billed charges",,
"XR ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"771.95","385.975","Aetna","Commercial","RT",,"64",,"492.5","9","598.26","percent of total billed charges",,
"XR ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"771.95","385.975","Blue Cross Blue Shield","Pathways","RT",,"71",,"545","9","598.26","percent of total billed charges",,
"XR ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"771.95","385.975","Blue Cross Blue Shield","HMO","RT",,"71",,"545","9","598.26","percent of total billed charges",,
"XR ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"771.95","385.975","Blue Cross Blue Shield","PPO","RT",,"71",,"545","9","598.26","percent of total billed charges",,
"XR ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"771.95","385.975","Ambetter","Health Exchange","RT",,"62",,"478.61","9","598.26","percent of total billed charges",,
"XR ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"771.95","385.975","Caresource","Health Exchange","RT",,"62",,"478.61","9","598.26","percent of total billed charges",,
"XR ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"771.95","385.975","Cigna","Commercial","RT",,"59",,"452.36","9","598.26","percent of total billed charges",,
"XR ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"771.95","385.975","Humana","Commercial","RT",,"78",,"598.26","9","598.26","percent of total billed charges",,
"XR ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"771.95","385.975","UHC","Commercial","RT",,"75",,"582.05","9","598.26","percent of total billed charges",,
"XR ANKLE 3 VIEWS RIGHT","73610","HCPCS","Both",,,"771.95","385.975","Medicaid",,"RT",,"37",,"282.53","9","598.26","percent of total billed charges",,
"XR FOOT COMPLETE 2 VIEWS LEFT","73620","HCPCS","Both",,,"224.5","112.25","Alliant","Health Exchange","LT",,"62",,"139.19","82.17","173.99","percent of total billed charges",,
"XR FOOT COMPLETE 2 VIEWS LEFT","73620","HCPCS","Both",,,"224.5","112.25","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"121.23","82.17","173.99","percent of total billed charges",,
"XR FOOT COMPLETE 2 VIEWS LEFT","73620","HCPCS","Both",,,"224.5","112.25","Medicare",,"LT",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"XR FOOT COMPLETE 2 VIEWS LEFT","73620","HCPCS","Both",,,"224.5","112.25","Humana","Medicare Advantage","LT",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"XR FOOT COMPLETE 2 VIEWS LEFT","73620","HCPCS","Both",,,"224.5","112.25","UHC","Medicare Advantage","LT",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"XR FOOT COMPLETE 2 VIEWS LEFT","73620","HCPCS","Both",,,"224.5","112.25","Clover","Medicare Advantage","LT",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"XR FOOT COMPLETE 2 VIEWS LEFT","73620","HCPCS","Both",,,"224.5","112.25","Wellcare","Medicare Advantage","LT",,"54",,"121.68","82.17","173.99","percent of total billed charges",,
"XR FOOT COMPLETE 2 VIEWS LEFT","73620","HCPCS","Both",,,"224.5","112.25","Amerigroup","Medicaid Managed Care","LT",,"37",,"82.17","82.17","173.99","percent of total billed charges",,
"XR FOOT COMPLETE 2 VIEWS LEFT","73620","HCPCS","Both",,,"224.5","112.25","Caresource","Medicaid Managed Care","LT",,"40",,"89.8","82.17","173.99","percent of total billed charges",,
"XR FOOT COMPLETE 2 VIEWS LEFT","73620","HCPCS","Both",,,"224.5","112.25","Wellcare","Medicaid Managed Care","LT",,"40",,"90.92","82.17","173.99","percent of total billed charges",,
"XR FOOT COMPLETE 2 VIEWS LEFT","73620","HCPCS","Both",,,"224.5","112.25","Aetna","Commercial","LT",,"64",,"143.23","82.17","173.99","percent of total billed charges",,
"XR FOOT COMPLETE 2 VIEWS LEFT","73620","HCPCS","Both",,,"224.5","112.25","Blue Cross Blue Shield","Pathways","LT",,"71",,"158.5","82.17","173.99","percent of total billed charges",,
"XR FOOT COMPLETE 2 VIEWS LEFT","73620","HCPCS","Both",,,"224.5","112.25","Blue Cross Blue Shield","HMO","LT",,"71",,"158.5","82.17","173.99","percent of total billed charges",,
"XR FOOT COMPLETE 2 VIEWS LEFT","73620","HCPCS","Both",,,"224.5","112.25","Blue Cross Blue Shield","PPO","LT",,"71",,"158.5","82.17","173.99","percent of total billed charges",,
"XR FOOT COMPLETE 2 VIEWS LEFT","73620","HCPCS","Both",,,"224.5","112.25","Ambetter","Health Exchange","LT",,"62",,"139.19","82.17","173.99","percent of total billed charges",,
"XR FOOT COMPLETE 2 VIEWS LEFT","73620","HCPCS","Both",,,"224.5","112.25","Caresource","Health Exchange","LT",,"62",,"139.19","82.17","173.99","percent of total billed charges",,
"XR FOOT COMPLETE 2 VIEWS LEFT","73620","HCPCS","Both",,,"224.5","112.25","Cigna","Commercial","LT",,"59",,"131.56","82.17","173.99","percent of total billed charges",,
"XR FOOT COMPLETE 2 VIEWS LEFT","73620","HCPCS","Both",,,"224.5","112.25","Humana","Commercial","LT",,"78",,"173.99","82.17","173.99","percent of total billed charges",,
"XR FOOT COMPLETE 2 VIEWS LEFT","73620","HCPCS","Both",,,"224.5","112.25","UHC","Commercial","LT",,"75",,"169.27","82.17","173.99","percent of total billed charges",,
"XR FOOT COMPLETE 2 VIEWS LEFT","73620","HCPCS","Both",,,"224.5","112.25","Medicaid",,"LT",,"37",,"82.17","82.17","173.99","percent of total billed charges",,
"XR HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Alliant","Health Exchange","RT",,"62",,"163.99","8.3","204.99","percent of total billed charges",,
"XR HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"142.83","8.3","204.99","percent of total billed charges",,
"XR HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Medicare",,"RT",,"54",,"143.36","8.3","204.99","percent of total billed charges",,
"XR HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Humana","Medicare Advantage","RT",,"54",,"143.36","8.3","204.99","percent of total billed charges",,
"XR HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","UHC","Medicare Advantage","RT",,"54",,"143.36","8.3","204.99","percent of total billed charges",,
"XR HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Clover","Medicare Advantage","RT",,"54",,"143.36","8.3","204.99","percent of total billed charges",,
"XR HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Wellcare","Medicare Advantage","RT",,"54",,"143.36","8.3","204.99","percent of total billed charges",,
"XR HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Amerigroup","Medicaid Managed Care","RT",,"37",,"96.81","8.3","204.99","percent of total billed charges",,
"XR HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Caresource","Medicaid Managed Care","RT",,"40",,"105.8","8.3","204.99","percent of total billed charges",,
"XR HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Wellcare","Medicaid Managed Care","RT",,"40",,"107.12","8.3","204.99","percent of total billed charges",,
"XR HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Aetna","Commercial","RT",,"64",,"168.75","8.3","204.99","percent of total billed charges",,
"XR HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Blue Cross Blue Shield","Pathways","RT",,"71",,"186.74","8.3","204.99","percent of total billed charges",,
"XR HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Blue Cross Blue Shield","HMO","RT",,"71",,"186.74","8.3","204.99","percent of total billed charges",,
"XR HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Blue Cross Blue Shield","PPO","RT",,"71",,"186.74","8.3","204.99","percent of total billed charges",,
"XR HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Ambetter","Health Exchange","RT",,"62",,"163.99","8.3","204.99","percent of total billed charges",,
"XR HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Caresource","Health Exchange","RT",,"62",,"163.99","8.3","204.99","percent of total billed charges",,
"XR HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Cigna","Commercial","RT",,"59",,"155","8.3","204.99","percent of total billed charges",,
"XR HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Humana","Commercial","RT",,"78",,"204.99","8.3","204.99","percent of total billed charges",,
"XR HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","UHC","Commercial","RT",,"75",,"199.43","8.3","204.99","percent of total billed charges",,
"XR HEEL (CALCANEUS) 2 VIEWS RIGHT","73650","HCPCS","Both",,,"264.5","132.25","Medicaid",,"RT",,"37",,"96.81","8.3","204.99","percent of total billed charges",,
"US ABD > 2 ORGANS OR QUADRANTS","76705","HCPCS","Both",,,"1593.97","796.985","Alliant","Health Exchange","",,"62",,"988.26","30.35","1235.33","percent of total billed charges",,
"US ABD > 2 ORGANS OR QUADRANTS","76705","HCPCS","Both",,,"1593.97","796.985","Pruitt Healthcare","Medicare Advantage","",,"54",,"860.74","30.35","1235.33","percent of total billed charges",,
"US ABD > 2 ORGANS OR QUADRANTS","76705","HCPCS","Both",,,"1593.97","796.985","Medicare",,"",,"54",,"863.93","30.35","1235.33","percent of total billed charges",,
"US ABD > 2 ORGANS OR QUADRANTS","76705","HCPCS","Both",,,"1593.97","796.985","Humana","Medicare Advantage","",,"54",,"863.93","30.35","1235.33","percent of total billed charges",,
"US ABD > 2 ORGANS OR QUADRANTS","76705","HCPCS","Both",,,"1593.97","796.985","UHC","Medicare Advantage","",,"54",,"863.93","30.35","1235.33","percent of total billed charges",,
"US ABD > 2 ORGANS OR QUADRANTS","76705","HCPCS","Both",,,"1593.97","796.985","Clover","Medicare Advantage","",,"54",,"863.93","30.35","1235.33","percent of total billed charges",,
"US ABD > 2 ORGANS OR QUADRANTS","76705","HCPCS","Both",,,"1593.97","796.985","Wellcare","Medicare Advantage","",,"54",,"863.93","30.35","1235.33","percent of total billed charges",,
"US ABD > 2 ORGANS OR QUADRANTS","76705","HCPCS","Both",,,"1593.97","796.985","Amerigroup","Medicaid Managed Care","",,"37",,"583.39","30.35","1235.33","percent of total billed charges",,
"US ABD > 2 ORGANS OR QUADRANTS","76705","HCPCS","Both",,,"1593.97","796.985","Caresource","Medicaid Managed Care","",,"40",,"637.59","30.35","1235.33","percent of total billed charges",,
"US ABD > 2 ORGANS OR QUADRANTS","76705","HCPCS","Both",,,"1593.97","796.985","Wellcare","Medicaid Managed Care","",,"40",,"645.56","30.35","1235.33","percent of total billed charges",,
"US ABD > 2 ORGANS OR QUADRANTS","76705","HCPCS","Both",,,"1593.97","796.985","Aetna","Commercial","",,"64",,"1016.95","30.35","1235.33","percent of total billed charges",,
"US ABD > 2 ORGANS OR QUADRANTS","76705","HCPCS","Both",,,"1593.97","796.985","Blue Cross Blue Shield","Pathways","",,"71",,"1125.34","30.35","1235.33","percent of total billed charges",,
"US ABD > 2 ORGANS OR QUADRANTS","76705","HCPCS","Both",,,"1593.97","796.985","Blue Cross Blue Shield","HMO","",,"71",,"1125.34","30.35","1235.33","percent of total billed charges",,
"US ABD > 2 ORGANS OR QUADRANTS","76705","HCPCS","Both",,,"1593.97","796.985","Blue Cross Blue Shield","PPO","",,"71",,"1125.34","30.35","1235.33","percent of total billed charges",,
"US ABD > 2 ORGANS OR QUADRANTS","76705","HCPCS","Both",,,"1593.97","796.985","Ambetter","Health Exchange","",,"62",,"988.26","30.35","1235.33","percent of total billed charges",,
"US ABD > 2 ORGANS OR QUADRANTS","76705","HCPCS","Both",,,"1593.97","796.985","Caresource","Health Exchange","",,"62",,"988.26","30.35","1235.33","percent of total billed charges",,
"US ABD > 2 ORGANS OR QUADRANTS","76705","HCPCS","Both",,,"1593.97","796.985","Cigna","Commercial","",,"59",,"934.07","30.35","1235.33","percent of total billed charges",,
"US ABD > 2 ORGANS OR QUADRANTS","76705","HCPCS","Both",,,"1593.97","796.985","Humana","Commercial","",,"78",,"1235.33","30.35","1235.33","percent of total billed charges",,
"US ABD > 2 ORGANS OR QUADRANTS","76705","HCPCS","Both",,,"1593.97","796.985","UHC","Commercial","",,"75",,"1201.85","30.35","1235.33","percent of total billed charges",,
"US ABD > 2 ORGANS OR QUADRANTS","76705","HCPCS","Both",,,"1593.97","796.985","Medicaid",,"",,"37",,"583.39","30.35","1235.33","percent of total billed charges",,
"US RETROPERITONEAL LIMITED","76775","HCPCS","Both",,,"109","54.5","Alliant","Health Exchange","",,"62",,"67.58","39.89","84.48","percent of total billed charges",,
"US RETROPERITONEAL LIMITED","76775","HCPCS","Both",,,"109","54.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"58.86","39.89","84.48","percent of total billed charges",,
"US RETROPERITONEAL LIMITED","76775","HCPCS","Both",,,"109","54.5","Medicare",,"",,"54",,"59.08","39.89","84.48","percent of total billed charges",,
"US RETROPERITONEAL LIMITED","76775","HCPCS","Both",,,"109","54.5","Humana","Medicare Advantage","",,"54",,"59.08","39.89","84.48","percent of total billed charges",,
"US RETROPERITONEAL LIMITED","76775","HCPCS","Both",,,"109","54.5","UHC","Medicare Advantage","",,"54",,"59.08","39.89","84.48","percent of total billed charges",,
"US RETROPERITONEAL LIMITED","76775","HCPCS","Both",,,"109","54.5","Clover","Medicare Advantage","",,"54",,"59.08","39.89","84.48","percent of total billed charges",,
"US RETROPERITONEAL LIMITED","76775","HCPCS","Both",,,"109","54.5","Wellcare","Medicare Advantage","",,"54",,"59.08","39.89","84.48","percent of total billed charges",,
"US RETROPERITONEAL LIMITED","76775","HCPCS","Both",,,"109","54.5","Amerigroup","Medicaid Managed Care","",,"37",,"39.89","39.89","84.48","percent of total billed charges",,
"US RETROPERITONEAL LIMITED","76775","HCPCS","Both",,,"109","54.5","Caresource","Medicaid Managed Care","",,"40",,"43.6","39.89","84.48","percent of total billed charges",,
"US RETROPERITONEAL LIMITED","76775","HCPCS","Both",,,"109","54.5","Wellcare","Medicaid Managed Care","",,"40",,"44.14","39.89","84.48","percent of total billed charges",,
"US RETROPERITONEAL LIMITED","76775","HCPCS","Both",,,"109","54.5","Aetna","Commercial","",,"64",,"69.54","39.89","84.48","percent of total billed charges",,
"US RETROPERITONEAL LIMITED","76775","HCPCS","Both",,,"109","54.5","Blue Cross Blue Shield","Pathways","",,"71",,"76.95","39.89","84.48","percent of total billed charges",,
"US RETROPERITONEAL LIMITED","76775","HCPCS","Both",,,"109","54.5","Blue Cross Blue Shield","HMO","",,"71",,"76.95","39.89","84.48","percent of total billed charges",,
"US RETROPERITONEAL LIMITED","76775","HCPCS","Both",,,"109","54.5","Blue Cross Blue Shield","PPO","",,"71",,"76.95","39.89","84.48","percent of total billed charges",,
"US RETROPERITONEAL LIMITED","76775","HCPCS","Both",,,"109","54.5","Ambetter","Health Exchange","",,"62",,"67.58","39.89","84.48","percent of total billed charges",,
"US RETROPERITONEAL LIMITED","76775","HCPCS","Both",,,"109","54.5","Caresource","Health Exchange","",,"62",,"67.58","39.89","84.48","percent of total billed charges",,
"US RETROPERITONEAL LIMITED","76775","HCPCS","Both",,,"109","54.5","Cigna","Commercial","",,"59",,"63.87","39.89","84.48","percent of total billed charges",,
"US RETROPERITONEAL LIMITED","76775","HCPCS","Both",,,"109","54.5","Humana","Commercial","",,"78",,"84.48","39.89","84.48","percent of total billed charges",,
"US RETROPERITONEAL LIMITED","76775","HCPCS","Both",,,"109","54.5","UHC","Commercial","",,"75",,"82.19","39.89","84.48","percent of total billed charges",,
"US RETROPERITONEAL LIMITED","76775","HCPCS","Both",,,"109","54.5","Medicaid",,"",,"37",,"39.89","39.89","84.48","percent of total billed charges",,
"US FETAL BIOPHYS PROFILE W/O NON-STRESS","76819","HCPCS","Both",,,"164.5","82.25","Alliant","Health Exchange","",,"62",,"101.99","60.21","127.49","percent of total billed charges",,
"US FETAL BIOPHYS PROFILE W/O NON-STRESS","76819","HCPCS","Both",,,"164.5","82.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"88.83","60.21","127.49","percent of total billed charges",,
"US FETAL BIOPHYS PROFILE W/O NON-STRESS","76819","HCPCS","Both",,,"164.5","82.25","Medicare",,"",,"54",,"89.16","60.21","127.49","percent of total billed charges",,
"US FETAL BIOPHYS PROFILE W/O NON-STRESS","76819","HCPCS","Both",,,"164.5","82.25","Humana","Medicare Advantage","",,"54",,"89.16","60.21","127.49","percent of total billed charges",,
"US FETAL BIOPHYS PROFILE W/O NON-STRESS","76819","HCPCS","Both",,,"164.5","82.25","UHC","Medicare Advantage","",,"54",,"89.16","60.21","127.49","percent of total billed charges",,
"US FETAL BIOPHYS PROFILE W/O NON-STRESS","76819","HCPCS","Both",,,"164.5","82.25","Clover","Medicare Advantage","",,"54",,"89.16","60.21","127.49","percent of total billed charges",,
"US FETAL BIOPHYS PROFILE W/O NON-STRESS","76819","HCPCS","Both",,,"164.5","82.25","Wellcare","Medicare Advantage","",,"54",,"89.16","60.21","127.49","percent of total billed charges",,
"US FETAL BIOPHYS PROFILE W/O NON-STRESS","76819","HCPCS","Both",,,"164.5","82.25","Amerigroup","Medicaid Managed Care","",,"37",,"60.21","60.21","127.49","percent of total billed charges",,
"US FETAL BIOPHYS PROFILE W/O NON-STRESS","76819","HCPCS","Both",,,"164.5","82.25","Caresource","Medicaid Managed Care","",,"40",,"65.8","60.21","127.49","percent of total billed charges",,
"US FETAL BIOPHYS PROFILE W/O NON-STRESS","76819","HCPCS","Both",,,"164.5","82.25","Wellcare","Medicaid Managed Care","",,"40",,"66.62","60.21","127.49","percent of total billed charges",,
"US FETAL BIOPHYS PROFILE W/O NON-STRESS","76819","HCPCS","Both",,,"164.5","82.25","Aetna","Commercial","",,"64",,"104.95","60.21","127.49","percent of total billed charges",,
"US FETAL BIOPHYS PROFILE W/O NON-STRESS","76819","HCPCS","Both",,,"164.5","82.25","Blue Cross Blue Shield","Pathways","",,"71",,"116.14","60.21","127.49","percent of total billed charges",,
"US FETAL BIOPHYS PROFILE W/O NON-STRESS","76819","HCPCS","Both",,,"164.5","82.25","Blue Cross Blue Shield","HMO","",,"71",,"116.14","60.21","127.49","percent of total billed charges",,
"US FETAL BIOPHYS PROFILE W/O NON-STRESS","76819","HCPCS","Both",,,"164.5","82.25","Blue Cross Blue Shield","PPO","",,"71",,"116.14","60.21","127.49","percent of total billed charges",,
"US FETAL BIOPHYS PROFILE W/O NON-STRESS","76819","HCPCS","Both",,,"164.5","82.25","Ambetter","Health Exchange","",,"62",,"101.99","60.21","127.49","percent of total billed charges",,
"US FETAL BIOPHYS PROFILE W/O NON-STRESS","76819","HCPCS","Both",,,"164.5","82.25","Caresource","Health Exchange","",,"62",,"101.99","60.21","127.49","percent of total billed charges",,
"US FETAL BIOPHYS PROFILE W/O NON-STRESS","76819","HCPCS","Both",,,"164.5","82.25","Cigna","Commercial","",,"59",,"96.4","60.21","127.49","percent of total billed charges",,
"US FETAL BIOPHYS PROFILE W/O NON-STRESS","76819","HCPCS","Both",,,"164.5","82.25","Humana","Commercial","",,"78",,"127.49","60.21","127.49","percent of total billed charges",,
"US FETAL BIOPHYS PROFILE W/O NON-STRESS","76819","HCPCS","Both",,,"164.5","82.25","UHC","Commercial","",,"75",,"124.03","60.21","127.49","percent of total billed charges",,
"US FETAL BIOPHYS PROFILE W/O NON-STRESS","76819","HCPCS","Both",,,"164.5","82.25","Medicaid",,"",,"37",,"60.21","60.21","127.49","percent of total billed charges",,
"XR KNEE 1 OR 2 VIEWS LEFT","73560","HCPCS","Both",,,"308","154","Alliant","Health Exchange","LT",,"62",,"190.96","112.73","238.7","percent of total billed charges",,
"XR KNEE 1 OR 2 VIEWS LEFT","73560","HCPCS","Both",,,"308","154","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"166.32","112.73","238.7","percent of total billed charges",,
"XR KNEE 1 OR 2 VIEWS LEFT","73560","HCPCS","Both",,,"308","154","Medicare",,"LT",,"54",,"166.94","112.73","238.7","percent of total billed charges",,
"XR KNEE 1 OR 2 VIEWS LEFT","73560","HCPCS","Both",,,"308","154","Humana","Medicare Advantage","LT",,"54",,"166.94","112.73","238.7","percent of total billed charges",,
"XR KNEE 1 OR 2 VIEWS LEFT","73560","HCPCS","Both",,,"308","154","UHC","Medicare Advantage","LT",,"54",,"166.94","112.73","238.7","percent of total billed charges",,
"XR KNEE 1 OR 2 VIEWS LEFT","73560","HCPCS","Both",,,"308","154","Clover","Medicare Advantage","LT",,"54",,"166.94","112.73","238.7","percent of total billed charges",,
"XR KNEE 1 OR 2 VIEWS LEFT","73560","HCPCS","Both",,,"308","154","Wellcare","Medicare Advantage","LT",,"54",,"166.94","112.73","238.7","percent of total billed charges",,
"XR KNEE 1 OR 2 VIEWS LEFT","73560","HCPCS","Both",,,"308","154","Amerigroup","Medicaid Managed Care","LT",,"37",,"112.73","112.73","238.7","percent of total billed charges",,
"XR KNEE 1 OR 2 VIEWS LEFT","73560","HCPCS","Both",,,"308","154","Caresource","Medicaid Managed Care","LT",,"40",,"123.2","112.73","238.7","percent of total billed charges",,
"XR KNEE 1 OR 2 VIEWS LEFT","73560","HCPCS","Both",,,"308","154","Wellcare","Medicaid Managed Care","LT",,"40",,"124.74","112.73","238.7","percent of total billed charges",,
"XR KNEE 1 OR 2 VIEWS LEFT","73560","HCPCS","Both",,,"308","154","Aetna","Commercial","LT",,"64",,"196.5","112.73","238.7","percent of total billed charges",,
"XR KNEE 1 OR 2 VIEWS LEFT","73560","HCPCS","Both",,,"308","154","Blue Cross Blue Shield","Pathways","LT",,"71",,"217.45","112.73","238.7","percent of total billed charges",,
"XR KNEE 1 OR 2 VIEWS LEFT","73560","HCPCS","Both",,,"308","154","Blue Cross Blue Shield","HMO","LT",,"71",,"217.45","112.73","238.7","percent of total billed charges",,
"XR KNEE 1 OR 2 VIEWS LEFT","73560","HCPCS","Both",,,"308","154","Blue Cross Blue Shield","PPO","LT",,"71",,"217.45","112.73","238.7","percent of total billed charges",,
"XR KNEE 1 OR 2 VIEWS LEFT","73560","HCPCS","Both",,,"308","154","Ambetter","Health Exchange","LT",,"62",,"190.96","112.73","238.7","percent of total billed charges",,
"XR KNEE 1 OR 2 VIEWS LEFT","73560","HCPCS","Both",,,"308","154","Caresource","Health Exchange","LT",,"62",,"190.96","112.73","238.7","percent of total billed charges",,
"XR KNEE 1 OR 2 VIEWS LEFT","73560","HCPCS","Both",,,"308","154","Cigna","Commercial","LT",,"59",,"180.49","112.73","238.7","percent of total billed charges",,
"XR KNEE 1 OR 2 VIEWS LEFT","73560","HCPCS","Both",,,"308","154","Humana","Commercial","LT",,"78",,"238.7","112.73","238.7","percent of total billed charges",,
"XR KNEE 1 OR 2 VIEWS LEFT","73560","HCPCS","Both",,,"308","154","UHC","Commercial","LT",,"75",,"232.23","112.73","238.7","percent of total billed charges",,
"XR KNEE 1 OR 2 VIEWS LEFT","73560","HCPCS","Both",,,"308","154","Medicaid",,"LT",,"37",,"112.73","112.73","238.7","percent of total billed charges",,
"XR KNEE 1 OR 2 VIEWS RIGHT","73560","HCPCS","Both",,,"308","154","Alliant","Health Exchange","RT",,"62",,"190.96","112.73","238.7","percent of total billed charges",,
"XR KNEE 1 OR 2 VIEWS RIGHT","73560","HCPCS","Both",,,"308","154","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"166.32","112.73","238.7","percent of total billed charges",,
"XR KNEE 1 OR 2 VIEWS RIGHT","73560","HCPCS","Both",,,"308","154","Medicare",,"RT",,"54",,"166.94","112.73","238.7","percent of total billed charges",,
"XR KNEE 1 OR 2 VIEWS RIGHT","73560","HCPCS","Both",,,"308","154","Humana","Medicare Advantage","RT",,"54",,"166.94","112.73","238.7","percent of total billed charges",,
"XR KNEE 1 OR 2 VIEWS RIGHT","73560","HCPCS","Both",,,"308","154","UHC","Medicare Advantage","RT",,"54",,"166.94","112.73","238.7","percent of total billed charges",,
"XR KNEE 1 OR 2 VIEWS RIGHT","73560","HCPCS","Both",,,"308","154","Clover","Medicare Advantage","RT",,"54",,"166.94","112.73","238.7","percent of total billed charges",,
"XR KNEE 1 OR 2 VIEWS RIGHT","73560","HCPCS","Both",,,"308","154","Wellcare","Medicare Advantage","RT",,"54",,"166.94","112.73","238.7","percent of total billed charges",,
"XR KNEE 1 OR 2 VIEWS RIGHT","73560","HCPCS","Both",,,"308","154","Amerigroup","Medicaid Managed Care","RT",,"37",,"112.73","112.73","238.7","percent of total billed charges",,
"XR KNEE 1 OR 2 VIEWS RIGHT","73560","HCPCS","Both",,,"308","154","Caresource","Medicaid Managed Care","RT",,"40",,"123.2","112.73","238.7","percent of total billed charges",,
"XR KNEE 1 OR 2 VIEWS RIGHT","73560","HCPCS","Both",,,"308","154","Wellcare","Medicaid Managed Care","RT",,"40",,"124.74","112.73","238.7","percent of total billed charges",,
"XR KNEE 1 OR 2 VIEWS RIGHT","73560","HCPCS","Both",,,"308","154","Aetna","Commercial","RT",,"64",,"196.5","112.73","238.7","percent of total billed charges",,
"XR KNEE 1 OR 2 VIEWS RIGHT","73560","HCPCS","Both",,,"308","154","Blue Cross Blue Shield","Pathways","RT",,"71",,"217.45","112.73","238.7","percent of total billed charges",,
"XR KNEE 1 OR 2 VIEWS RIGHT","73560","HCPCS","Both",,,"308","154","Blue Cross Blue Shield","HMO","RT",,"71",,"217.45","112.73","238.7","percent of total billed charges",,
"XR KNEE 1 OR 2 VIEWS RIGHT","73560","HCPCS","Both",,,"308","154","Blue Cross Blue Shield","PPO","RT",,"71",,"217.45","112.73","238.7","percent of total billed charges",,
"XR KNEE 1 OR 2 VIEWS RIGHT","73560","HCPCS","Both",,,"308","154","Ambetter","Health Exchange","RT",,"62",,"190.96","112.73","238.7","percent of total billed charges",,
"XR KNEE 1 OR 2 VIEWS RIGHT","73560","HCPCS","Both",,,"308","154","Caresource","Health Exchange","RT",,"62",,"190.96","112.73","238.7","percent of total billed charges",,
"XR KNEE 1 OR 2 VIEWS RIGHT","73560","HCPCS","Both",,,"308","154","Cigna","Commercial","RT",,"59",,"180.49","112.73","238.7","percent of total billed charges",,
"XR KNEE 1 OR 2 VIEWS RIGHT","73560","HCPCS","Both",,,"308","154","Humana","Commercial","RT",,"78",,"238.7","112.73","238.7","percent of total billed charges",,
"XR KNEE 1 OR 2 VIEWS RIGHT","73560","HCPCS","Both",,,"308","154","UHC","Commercial","RT",,"75",,"232.23","112.73","238.7","percent of total billed charges",,
"XR KNEE 1 OR 2 VIEWS RIGHT","73560","HCPCS","Both",,,"308","154","Medicaid",,"RT",,"37",,"112.73","112.73","238.7","percent of total billed charges",,
"US TRANSRECTAL","76872","HCPCS","Both",,,"288","144","Alliant","Health Exchange","",,"62",,"178.56","105.41","223.2","percent of total billed charges",,
"US TRANSRECTAL","76872","HCPCS","Both",,,"288","144","Pruitt Healthcare","Medicare Advantage","",,"54",,"155.52","105.41","223.2","percent of total billed charges",,
"US TRANSRECTAL","76872","HCPCS","Both",,,"288","144","Medicare",,"",,"54",,"156.1","105.41","223.2","percent of total billed charges",,
"US TRANSRECTAL","76872","HCPCS","Both",,,"288","144","Humana","Medicare Advantage","",,"54",,"156.1","105.41","223.2","percent of total billed charges",,
"US TRANSRECTAL","76872","HCPCS","Both",,,"288","144","UHC","Medicare Advantage","",,"54",,"156.1","105.41","223.2","percent of total billed charges",,
"US TRANSRECTAL","76872","HCPCS","Both",,,"288","144","Clover","Medicare Advantage","",,"54",,"156.1","105.41","223.2","percent of total billed charges",,
"US TRANSRECTAL","76872","HCPCS","Both",,,"288","144","Wellcare","Medicare Advantage","",,"54",,"156.1","105.41","223.2","percent of total billed charges",,
"US TRANSRECTAL","76872","HCPCS","Both",,,"288","144","Amerigroup","Medicaid Managed Care","",,"37",,"105.41","105.41","223.2","percent of total billed charges",,
"US TRANSRECTAL","76872","HCPCS","Both",,,"288","144","Caresource","Medicaid Managed Care","",,"40",,"115.2","105.41","223.2","percent of total billed charges",,
"US TRANSRECTAL","76872","HCPCS","Both",,,"288","144","Wellcare","Medicaid Managed Care","",,"40",,"116.64","105.41","223.2","percent of total billed charges",,
"US TRANSRECTAL","76872","HCPCS","Both",,,"288","144","Aetna","Commercial","",,"64",,"183.74","105.41","223.2","percent of total billed charges",,
"US TRANSRECTAL","76872","HCPCS","Both",,,"288","144","Blue Cross Blue Shield","Pathways","",,"71",,"203.33","105.41","223.2","percent of total billed charges",,
"US TRANSRECTAL","76872","HCPCS","Both",,,"288","144","Blue Cross Blue Shield","HMO","",,"71",,"203.33","105.41","223.2","percent of total billed charges",,
"US TRANSRECTAL","76872","HCPCS","Both",,,"288","144","Blue Cross Blue Shield","PPO","",,"71",,"203.33","105.41","223.2","percent of total billed charges",,
"US TRANSRECTAL","76872","HCPCS","Both",,,"288","144","Ambetter","Health Exchange","",,"62",,"178.56","105.41","223.2","percent of total billed charges",,
"US TRANSRECTAL","76872","HCPCS","Both",,,"288","144","Caresource","Health Exchange","",,"62",,"178.56","105.41","223.2","percent of total billed charges",,
"US TRANSRECTAL","76872","HCPCS","Both",,,"288","144","Cigna","Commercial","",,"59",,"168.77","105.41","223.2","percent of total billed charges",,
"US TRANSRECTAL","76872","HCPCS","Both",,,"288","144","Humana","Commercial","",,"78",,"223.2","105.41","223.2","percent of total billed charges",,
"US TRANSRECTAL","76872","HCPCS","Both",,,"288","144","UHC","Commercial","",,"75",,"217.15","105.41","223.2","percent of total billed charges",,
"US TRANSRECTAL","76872","HCPCS","Both",,,"288","144","Medicaid",,"",,"37",,"105.41","105.41","223.2","percent of total billed charges",,
"XR MANDIBLE PARTIAL LESS THAN 4 VIEWS","70100","HCPCS","Both",,,"42.5","21.25","Alliant","Health Exchange","",,"62",,"26.35","15.56","32.94","percent of total billed charges",,
"XR MANDIBLE PARTIAL LESS THAN 4 VIEWS","70100","HCPCS","Both",,,"42.5","21.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"22.95","15.56","32.94","percent of total billed charges",,
"XR MANDIBLE PARTIAL LESS THAN 4 VIEWS","70100","HCPCS","Both",,,"42.5","21.25","Medicare",,"",,"54",,"23.04","15.56","32.94","percent of total billed charges",,
"XR MANDIBLE PARTIAL LESS THAN 4 VIEWS","70100","HCPCS","Both",,,"42.5","21.25","Humana","Medicare Advantage","",,"54",,"23.04","15.56","32.94","percent of total billed charges",,
"XR MANDIBLE PARTIAL LESS THAN 4 VIEWS","70100","HCPCS","Both",,,"42.5","21.25","UHC","Medicare Advantage","",,"54",,"23.04","15.56","32.94","percent of total billed charges",,
"XR MANDIBLE PARTIAL LESS THAN 4 VIEWS","70100","HCPCS","Both",,,"42.5","21.25","Clover","Medicare Advantage","",,"54",,"23.04","15.56","32.94","percent of total billed charges",,
"XR MANDIBLE PARTIAL LESS THAN 4 VIEWS","70100","HCPCS","Both",,,"42.5","21.25","Wellcare","Medicare Advantage","",,"54",,"23.04","15.56","32.94","percent of total billed charges",,
"XR MANDIBLE PARTIAL LESS THAN 4 VIEWS","70100","HCPCS","Both",,,"42.5","21.25","Amerigroup","Medicaid Managed Care","",,"37",,"15.56","15.56","32.94","percent of total billed charges",,
"XR MANDIBLE PARTIAL LESS THAN 4 VIEWS","70100","HCPCS","Both",,,"42.5","21.25","Caresource","Medicaid Managed Care","",,"40",,"17","15.56","32.94","percent of total billed charges",,
"XR MANDIBLE PARTIAL LESS THAN 4 VIEWS","70100","HCPCS","Both",,,"42.5","21.25","Wellcare","Medicaid Managed Care","",,"40",,"17.21","15.56","32.94","percent of total billed charges",,
"XR MANDIBLE PARTIAL LESS THAN 4 VIEWS","70100","HCPCS","Both",,,"42.5","21.25","Aetna","Commercial","",,"64",,"27.12","15.56","32.94","percent of total billed charges",,
"XR MANDIBLE PARTIAL LESS THAN 4 VIEWS","70100","HCPCS","Both",,,"42.5","21.25","Blue Cross Blue Shield","Pathways","",,"71",,"30","15.56","32.94","percent of total billed charges",,
"XR MANDIBLE PARTIAL LESS THAN 4 VIEWS","70100","HCPCS","Both",,,"42.5","21.25","Blue Cross Blue Shield","HMO","",,"71",,"30","15.56","32.94","percent of total billed charges",,
"XR MANDIBLE PARTIAL LESS THAN 4 VIEWS","70100","HCPCS","Both",,,"42.5","21.25","Blue Cross Blue Shield","PPO","",,"71",,"30","15.56","32.94","percent of total billed charges",,
"XR MANDIBLE PARTIAL LESS THAN 4 VIEWS","70100","HCPCS","Both",,,"42.5","21.25","Ambetter","Health Exchange","",,"62",,"26.35","15.56","32.94","percent of total billed charges",,
"XR MANDIBLE PARTIAL LESS THAN 4 VIEWS","70100","HCPCS","Both",,,"42.5","21.25","Caresource","Health Exchange","",,"62",,"26.35","15.56","32.94","percent of total billed charges",,
"XR MANDIBLE PARTIAL LESS THAN 4 VIEWS","70100","HCPCS","Both",,,"42.5","21.25","Cigna","Commercial","",,"59",,"24.9","15.56","32.94","percent of total billed charges",,
"XR MANDIBLE PARTIAL LESS THAN 4 VIEWS","70100","HCPCS","Both",,,"42.5","21.25","Humana","Commercial","",,"78",,"32.94","15.56","32.94","percent of total billed charges",,
"XR MANDIBLE PARTIAL LESS THAN 4 VIEWS","70100","HCPCS","Both",,,"42.5","21.25","UHC","Commercial","",,"75",,"32.04","15.56","32.94","percent of total billed charges",,
"XR MANDIBLE PARTIAL LESS THAN 4 VIEWS","70100","HCPCS","Both",,,"42.5","21.25","Medicaid",,"",,"37",,"15.56","15.56","32.94","percent of total billed charges",,
"US PREGNANT UTERUS TRANSVAGINAL","76817","HCPCS","Both",,,"288","144","Alliant","Health Exchange","",,"62",,"178.56","105.41","223.2","percent of total billed charges",,
"US PREGNANT UTERUS TRANSVAGINAL","76817","HCPCS","Both",,,"288","144","Pruitt Healthcare","Medicare Advantage","",,"54",,"155.52","105.41","223.2","percent of total billed charges",,
"US PREGNANT UTERUS TRANSVAGINAL","76817","HCPCS","Both",,,"288","144","Medicare",,"",,"54",,"156.1","105.41","223.2","percent of total billed charges",,
"US PREGNANT UTERUS TRANSVAGINAL","76817","HCPCS","Both",,,"288","144","Humana","Medicare Advantage","",,"54",,"156.1","105.41","223.2","percent of total billed charges",,
"US PREGNANT UTERUS TRANSVAGINAL","76817","HCPCS","Both",,,"288","144","UHC","Medicare Advantage","",,"54",,"156.1","105.41","223.2","percent of total billed charges",,
"US PREGNANT UTERUS TRANSVAGINAL","76817","HCPCS","Both",,,"288","144","Clover","Medicare Advantage","",,"54",,"156.1","105.41","223.2","percent of total billed charges",,
"US PREGNANT UTERUS TRANSVAGINAL","76817","HCPCS","Both",,,"288","144","Wellcare","Medicare Advantage","",,"54",,"156.1","105.41","223.2","percent of total billed charges",,
"US PREGNANT UTERUS TRANSVAGINAL","76817","HCPCS","Both",,,"288","144","Amerigroup","Medicaid Managed Care","",,"37",,"105.41","105.41","223.2","percent of total billed charges",,
"US PREGNANT UTERUS TRANSVAGINAL","76817","HCPCS","Both",,,"288","144","Caresource","Medicaid Managed Care","",,"40",,"115.2","105.41","223.2","percent of total billed charges",,
"US PREGNANT UTERUS TRANSVAGINAL","76817","HCPCS","Both",,,"288","144","Wellcare","Medicaid Managed Care","",,"40",,"116.64","105.41","223.2","percent of total billed charges",,
"US PREGNANT UTERUS TRANSVAGINAL","76817","HCPCS","Both",,,"288","144","Aetna","Commercial","",,"64",,"183.74","105.41","223.2","percent of total billed charges",,
"US PREGNANT UTERUS TRANSVAGINAL","76817","HCPCS","Both",,,"288","144","Blue Cross Blue Shield","Pathways","",,"71",,"203.33","105.41","223.2","percent of total billed charges",,
"US PREGNANT UTERUS TRANSVAGINAL","76817","HCPCS","Both",,,"288","144","Blue Cross Blue Shield","HMO","",,"71",,"203.33","105.41","223.2","percent of total billed charges",,
"US PREGNANT UTERUS TRANSVAGINAL","76817","HCPCS","Both",,,"288","144","Blue Cross Blue Shield","PPO","",,"71",,"203.33","105.41","223.2","percent of total billed charges",,
"US PREGNANT UTERUS TRANSVAGINAL","76817","HCPCS","Both",,,"288","144","Ambetter","Health Exchange","",,"62",,"178.56","105.41","223.2","percent of total billed charges",,
"US PREGNANT UTERUS TRANSVAGINAL","76817","HCPCS","Both",,,"288","144","Caresource","Health Exchange","",,"62",,"178.56","105.41","223.2","percent of total billed charges",,
"US PREGNANT UTERUS TRANSVAGINAL","76817","HCPCS","Both",,,"288","144","Cigna","Commercial","",,"59",,"168.77","105.41","223.2","percent of total billed charges",,
"US PREGNANT UTERUS TRANSVAGINAL","76817","HCPCS","Both",,,"288","144","Humana","Commercial","",,"78",,"223.2","105.41","223.2","percent of total billed charges",,
"US PREGNANT UTERUS TRANSVAGINAL","76817","HCPCS","Both",,,"288","144","UHC","Commercial","",,"75",,"217.15","105.41","223.2","percent of total billed charges",,
"US PREGNANT UTERUS TRANSVAGINAL","76817","HCPCS","Both",,,"288","144","Medicaid",,"",,"37",,"105.41","105.41","223.2","percent of total billed charges",,
"XR ELBOW 2 VIEW RIGHT","73070","HCPCS","Both",,,"278.5","139.25","Alliant","Health Exchange","RT",,"62",,"172.67","101.93","215.84","percent of total billed charges",,
"XR ELBOW 2 VIEW RIGHT","73070","HCPCS","Both",,,"278.5","139.25","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"150.39","101.93","215.84","percent of total billed charges",,
"XR ELBOW 2 VIEW RIGHT","73070","HCPCS","Both",,,"278.5","139.25","Medicare",,"RT",,"54",,"150.95","101.93","215.84","percent of total billed charges",,
"XR ELBOW 2 VIEW RIGHT","73070","HCPCS","Both",,,"278.5","139.25","Humana","Medicare Advantage","RT",,"54",,"150.95","101.93","215.84","percent of total billed charges",,
"XR ELBOW 2 VIEW RIGHT","73070","HCPCS","Both",,,"278.5","139.25","UHC","Medicare Advantage","RT",,"54",,"150.95","101.93","215.84","percent of total billed charges",,
"XR ELBOW 2 VIEW RIGHT","73070","HCPCS","Both",,,"278.5","139.25","Clover","Medicare Advantage","RT",,"54",,"150.95","101.93","215.84","percent of total billed charges",,
"XR ELBOW 2 VIEW RIGHT","73070","HCPCS","Both",,,"278.5","139.25","Wellcare","Medicare Advantage","RT",,"54",,"150.95","101.93","215.84","percent of total billed charges",,
"XR ELBOW 2 VIEW RIGHT","73070","HCPCS","Both",,,"278.5","139.25","Amerigroup","Medicaid Managed Care","RT",,"37",,"101.93","101.93","215.84","percent of total billed charges",,
"XR ELBOW 2 VIEW RIGHT","73070","HCPCS","Both",,,"278.5","139.25","Caresource","Medicaid Managed Care","RT",,"40",,"111.4","101.93","215.84","percent of total billed charges",,
"XR ELBOW 2 VIEW RIGHT","73070","HCPCS","Both",,,"278.5","139.25","Wellcare","Medicaid Managed Care","RT",,"40",,"112.79","101.93","215.84","percent of total billed charges",,
"XR ELBOW 2 VIEW RIGHT","73070","HCPCS","Both",,,"278.5","139.25","Aetna","Commercial","RT",,"64",,"177.68","101.93","215.84","percent of total billed charges",,
"XR ELBOW 2 VIEW RIGHT","73070","HCPCS","Both",,,"278.5","139.25","Blue Cross Blue Shield","Pathways","RT",,"71",,"196.62","101.93","215.84","percent of total billed charges",,
"XR ELBOW 2 VIEW RIGHT","73070","HCPCS","Both",,,"278.5","139.25","Blue Cross Blue Shield","HMO","RT",,"71",,"196.62","101.93","215.84","percent of total billed charges",,
"XR ELBOW 2 VIEW RIGHT","73070","HCPCS","Both",,,"278.5","139.25","Blue Cross Blue Shield","PPO","RT",,"71",,"196.62","101.93","215.84","percent of total billed charges",,
"XR ELBOW 2 VIEW RIGHT","73070","HCPCS","Both",,,"278.5","139.25","Ambetter","Health Exchange","RT",,"62",,"172.67","101.93","215.84","percent of total billed charges",,
"XR ELBOW 2 VIEW RIGHT","73070","HCPCS","Both",,,"278.5","139.25","Caresource","Health Exchange","RT",,"62",,"172.67","101.93","215.84","percent of total billed charges",,
"XR ELBOW 2 VIEW RIGHT","73070","HCPCS","Both",,,"278.5","139.25","Cigna","Commercial","RT",,"59",,"163.2","101.93","215.84","percent of total billed charges",,
"XR ELBOW 2 VIEW RIGHT","73070","HCPCS","Both",,,"278.5","139.25","Humana","Commercial","RT",,"78",,"215.84","101.93","215.84","percent of total billed charges",,
"XR ELBOW 2 VIEW RIGHT","73070","HCPCS","Both",,,"278.5","139.25","UHC","Commercial","RT",,"75",,"209.99","101.93","215.84","percent of total billed charges",,
"XR ELBOW 2 VIEW RIGHT","73070","HCPCS","Both",,,"278.5","139.25","Medicaid",,"RT",,"37",,"101.93","101.93","215.84","percent of total billed charges",,
"XR ELBOW 2 VIEW LEFT","73070","HCPCS","Both",,,"278.5","139.25","Alliant","Health Exchange","LT",,"62",,"172.67","101.93","215.84","percent of total billed charges",,
"XR ELBOW 2 VIEW LEFT","73070","HCPCS","Both",,,"278.5","139.25","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"150.39","101.93","215.84","percent of total billed charges",,
"XR ELBOW 2 VIEW LEFT","73070","HCPCS","Both",,,"278.5","139.25","Medicare",,"LT",,"54",,"150.95","101.93","215.84","percent of total billed charges",,
"XR ELBOW 2 VIEW LEFT","73070","HCPCS","Both",,,"278.5","139.25","Humana","Medicare Advantage","LT",,"54",,"150.95","101.93","215.84","percent of total billed charges",,
"XR ELBOW 2 VIEW LEFT","73070","HCPCS","Both",,,"278.5","139.25","UHC","Medicare Advantage","LT",,"54",,"150.95","101.93","215.84","percent of total billed charges",,
"XR ELBOW 2 VIEW LEFT","73070","HCPCS","Both",,,"278.5","139.25","Clover","Medicare Advantage","LT",,"54",,"150.95","101.93","215.84","percent of total billed charges",,
"XR ELBOW 2 VIEW LEFT","73070","HCPCS","Both",,,"278.5","139.25","Wellcare","Medicare Advantage","LT",,"54",,"150.95","101.93","215.84","percent of total billed charges",,
"XR ELBOW 2 VIEW LEFT","73070","HCPCS","Both",,,"278.5","139.25","Amerigroup","Medicaid Managed Care","LT",,"37",,"101.93","101.93","215.84","percent of total billed charges",,
"XR ELBOW 2 VIEW LEFT","73070","HCPCS","Both",,,"278.5","139.25","Caresource","Medicaid Managed Care","LT",,"40",,"111.4","101.93","215.84","percent of total billed charges",,
"XR ELBOW 2 VIEW LEFT","73070","HCPCS","Both",,,"278.5","139.25","Wellcare","Medicaid Managed Care","LT",,"40",,"112.79","101.93","215.84","percent of total billed charges",,
"XR ELBOW 2 VIEW LEFT","73070","HCPCS","Both",,,"278.5","139.25","Aetna","Commercial","LT",,"64",,"177.68","101.93","215.84","percent of total billed charges",,
"XR ELBOW 2 VIEW LEFT","73070","HCPCS","Both",,,"278.5","139.25","Blue Cross Blue Shield","Pathways","LT",,"71",,"196.62","101.93","215.84","percent of total billed charges",,
"XR ELBOW 2 VIEW LEFT","73070","HCPCS","Both",,,"278.5","139.25","Blue Cross Blue Shield","HMO","LT",,"71",,"196.62","101.93","215.84","percent of total billed charges",,
"XR ELBOW 2 VIEW LEFT","73070","HCPCS","Both",,,"278.5","139.25","Blue Cross Blue Shield","PPO","LT",,"71",,"196.62","101.93","215.84","percent of total billed charges",,
"XR ELBOW 2 VIEW LEFT","73070","HCPCS","Both",,,"278.5","139.25","Ambetter","Health Exchange","LT",,"62",,"172.67","101.93","215.84","percent of total billed charges",,
"XR ELBOW 2 VIEW LEFT","73070","HCPCS","Both",,,"278.5","139.25","Caresource","Health Exchange","LT",,"62",,"172.67","101.93","215.84","percent of total billed charges",,
"XR ELBOW 2 VIEW LEFT","73070","HCPCS","Both",,,"278.5","139.25","Cigna","Commercial","LT",,"59",,"163.2","101.93","215.84","percent of total billed charges",,
"XR ELBOW 2 VIEW LEFT","73070","HCPCS","Both",,,"278.5","139.25","Humana","Commercial","LT",,"78",,"215.84","101.93","215.84","percent of total billed charges",,
"XR ELBOW 2 VIEW LEFT","73070","HCPCS","Both",,,"278.5","139.25","UHC","Commercial","LT",,"75",,"209.99","101.93","215.84","percent of total billed charges",,
"XR ELBOW 2 VIEW LEFT","73070","HCPCS","Both",,,"278.5","139.25","Medicaid",,"LT",,"37",,"101.93","101.93","215.84","percent of total billed charges",,
"XR ANKLE 2 VIEWS LEFT","73600","HCPCS","Both",,,"101","50.5","Alliant","Health Exchange","LT",,"62",,"62.62","36.97","78.28","percent of total billed charges",,
"XR ANKLE 2 VIEWS LEFT","73600","HCPCS","Both",,,"101","50.5","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"54.54","36.97","78.28","percent of total billed charges",,
"XR ANKLE 2 VIEWS LEFT","73600","HCPCS","Both",,,"101","50.5","Medicare",,"LT",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"XR ANKLE 2 VIEWS LEFT","73600","HCPCS","Both",,,"101","50.5","Humana","Medicare Advantage","LT",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"XR ANKLE 2 VIEWS LEFT","73600","HCPCS","Both",,,"101","50.5","UHC","Medicare Advantage","LT",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"XR ANKLE 2 VIEWS LEFT","73600","HCPCS","Both",,,"101","50.5","Clover","Medicare Advantage","LT",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"XR ANKLE 2 VIEWS LEFT","73600","HCPCS","Both",,,"101","50.5","Wellcare","Medicare Advantage","LT",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"XR ANKLE 2 VIEWS LEFT","73600","HCPCS","Both",,,"101","50.5","Amerigroup","Medicaid Managed Care","LT",,"37",,"36.97","36.97","78.28","percent of total billed charges",,
"XR ANKLE 2 VIEWS LEFT","73600","HCPCS","Both",,,"101","50.5","Caresource","Medicaid Managed Care","LT",,"40",,"40.4","36.97","78.28","percent of total billed charges",,
"XR ANKLE 2 VIEWS LEFT","73600","HCPCS","Both",,,"101","50.5","Wellcare","Medicaid Managed Care","LT",,"40",,"40.9","36.97","78.28","percent of total billed charges",,
"XR ANKLE 2 VIEWS LEFT","73600","HCPCS","Both",,,"101","50.5","Aetna","Commercial","LT",,"64",,"64.44","36.97","78.28","percent of total billed charges",,
"XR ANKLE 2 VIEWS LEFT","73600","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","Pathways","LT",,"71",,"71.31","36.97","78.28","percent of total billed charges",,
"XR ANKLE 2 VIEWS LEFT","73600","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","HMO","LT",,"71",,"71.31","36.97","78.28","percent of total billed charges",,
"XR ANKLE 2 VIEWS LEFT","73600","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","PPO","LT",,"71",,"71.31","36.97","78.28","percent of total billed charges",,
"XR ANKLE 2 VIEWS LEFT","73600","HCPCS","Both",,,"101","50.5","Ambetter","Health Exchange","LT",,"62",,"62.62","36.97","78.28","percent of total billed charges",,
"XR ANKLE 2 VIEWS LEFT","73600","HCPCS","Both",,,"101","50.5","Caresource","Health Exchange","LT",,"62",,"62.62","36.97","78.28","percent of total billed charges",,
"XR ANKLE 2 VIEWS LEFT","73600","HCPCS","Both",,,"101","50.5","Cigna","Commercial","LT",,"59",,"59.19","36.97","78.28","percent of total billed charges",,
"XR ANKLE 2 VIEWS LEFT","73600","HCPCS","Both",,,"101","50.5","Humana","Commercial","LT",,"78",,"78.28","36.97","78.28","percent of total billed charges",,
"XR ANKLE 2 VIEWS LEFT","73600","HCPCS","Both",,,"101","50.5","UHC","Commercial","LT",,"75",,"76.15","36.97","78.28","percent of total billed charges",,
"XR ANKLE 2 VIEWS LEFT","73600","HCPCS","Both",,,"101","50.5","Medicaid",,"LT",,"37",,"36.97","36.97","78.28","percent of total billed charges",,
"XR ANKLE 2 VIEWS RIGHT","73600","HCPCS","Both",,,"101","50.5","Alliant","Health Exchange","RT",,"62",,"62.62","36.97","78.28","percent of total billed charges",,
"XR ANKLE 2 VIEWS RIGHT","73600","HCPCS","Both",,,"101","50.5","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"54.54","36.97","78.28","percent of total billed charges",,
"XR ANKLE 2 VIEWS RIGHT","73600","HCPCS","Both",,,"101","50.5","Medicare",,"RT",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"XR ANKLE 2 VIEWS RIGHT","73600","HCPCS","Both",,,"101","50.5","Humana","Medicare Advantage","RT",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"XR ANKLE 2 VIEWS RIGHT","73600","HCPCS","Both",,,"101","50.5","UHC","Medicare Advantage","RT",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"XR ANKLE 2 VIEWS RIGHT","73600","HCPCS","Both",,,"101","50.5","Clover","Medicare Advantage","RT",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"XR ANKLE 2 VIEWS RIGHT","73600","HCPCS","Both",,,"101","50.5","Wellcare","Medicare Advantage","RT",,"54",,"54.74","36.97","78.28","percent of total billed charges",,
"XR ANKLE 2 VIEWS RIGHT","73600","HCPCS","Both",,,"101","50.5","Amerigroup","Medicaid Managed Care","RT",,"37",,"36.97","36.97","78.28","percent of total billed charges",,
"XR ANKLE 2 VIEWS RIGHT","73600","HCPCS","Both",,,"101","50.5","Caresource","Medicaid Managed Care","RT",,"40",,"40.4","36.97","78.28","percent of total billed charges",,
"XR ANKLE 2 VIEWS RIGHT","73600","HCPCS","Both",,,"101","50.5","Wellcare","Medicaid Managed Care","RT",,"40",,"40.9","36.97","78.28","percent of total billed charges",,
"XR ANKLE 2 VIEWS RIGHT","73600","HCPCS","Both",,,"101","50.5","Aetna","Commercial","RT",,"64",,"64.44","36.97","78.28","percent of total billed charges",,
"XR ANKLE 2 VIEWS RIGHT","73600","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","Pathways","RT",,"71",,"71.31","36.97","78.28","percent of total billed charges",,
"XR ANKLE 2 VIEWS RIGHT","73600","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","HMO","RT",,"71",,"71.31","36.97","78.28","percent of total billed charges",,
"XR ANKLE 2 VIEWS RIGHT","73600","HCPCS","Both",,,"101","50.5","Blue Cross Blue Shield","PPO","RT",,"71",,"71.31","36.97","78.28","percent of total billed charges",,
"XR ANKLE 2 VIEWS RIGHT","73600","HCPCS","Both",,,"101","50.5","Ambetter","Health Exchange","RT",,"62",,"62.62","36.97","78.28","percent of total billed charges",,
"XR ANKLE 2 VIEWS RIGHT","73600","HCPCS","Both",,,"101","50.5","Caresource","Health Exchange","RT",,"62",,"62.62","36.97","78.28","percent of total billed charges",,
"XR ANKLE 2 VIEWS RIGHT","73600","HCPCS","Both",,,"101","50.5","Cigna","Commercial","RT",,"59",,"59.19","36.97","78.28","percent of total billed charges",,
"XR ANKLE 2 VIEWS RIGHT","73600","HCPCS","Both",,,"101","50.5","Humana","Commercial","RT",,"78",,"78.28","36.97","78.28","percent of total billed charges",,
"XR ANKLE 2 VIEWS RIGHT","73600","HCPCS","Both",,,"101","50.5","UHC","Commercial","RT",,"75",,"76.15","36.97","78.28","percent of total billed charges",,
"XR ANKLE 2 VIEWS RIGHT","73600","HCPCS","Both",,,"101","50.5","Medicaid",,"RT",,"37",,"36.97","36.97","78.28","percent of total billed charges",,
"XR CHILD NOSE TO RECTUM F B","76010","HCPCS","Both",,,"57.5","28.75","Alliant","Health Exchange","",,"62",,"35.65","21.04","44.56","percent of total billed charges",,
"XR CHILD NOSE TO RECTUM F B","76010","HCPCS","Both",,,"57.5","28.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"31.05","21.04","44.56","percent of total billed charges",,
"XR CHILD NOSE TO RECTUM F B","76010","HCPCS","Both",,,"57.5","28.75","Medicare",,"",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"XR CHILD NOSE TO RECTUM F B","76010","HCPCS","Both",,,"57.5","28.75","Humana","Medicare Advantage","",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"XR CHILD NOSE TO RECTUM F B","76010","HCPCS","Both",,,"57.5","28.75","UHC","Medicare Advantage","",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"XR CHILD NOSE TO RECTUM F B","76010","HCPCS","Both",,,"57.5","28.75","Clover","Medicare Advantage","",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"XR CHILD NOSE TO RECTUM F B","76010","HCPCS","Both",,,"57.5","28.75","Wellcare","Medicare Advantage","",,"54",,"31.17","21.04","44.56","percent of total billed charges",,
"XR CHILD NOSE TO RECTUM F B","76010","HCPCS","Both",,,"57.5","28.75","Amerigroup","Medicaid Managed Care","",,"37",,"21.04","21.04","44.56","percent of total billed charges",,
"XR CHILD NOSE TO RECTUM F B","76010","HCPCS","Both",,,"57.5","28.75","Caresource","Medicaid Managed Care","",,"40",,"23","21.04","44.56","percent of total billed charges",,
"XR CHILD NOSE TO RECTUM F B","76010","HCPCS","Both",,,"57.5","28.75","Wellcare","Medicaid Managed Care","",,"40",,"23.29","21.04","44.56","percent of total billed charges",,
"XR CHILD NOSE TO RECTUM F B","76010","HCPCS","Both",,,"57.5","28.75","Aetna","Commercial","",,"64",,"36.68","21.04","44.56","percent of total billed charges",,
"XR CHILD NOSE TO RECTUM F B","76010","HCPCS","Both",,,"57.5","28.75","Blue Cross Blue Shield","Pathways","",,"71",,"40.6","21.04","44.56","percent of total billed charges",,
"XR CHILD NOSE TO RECTUM F B","76010","HCPCS","Both",,,"57.5","28.75","Blue Cross Blue Shield","HMO","",,"71",,"40.6","21.04","44.56","percent of total billed charges",,
"XR CHILD NOSE TO RECTUM F B","76010","HCPCS","Both",,,"57.5","28.75","Blue Cross Blue Shield","PPO","",,"71",,"40.6","21.04","44.56","percent of total billed charges",,
"XR CHILD NOSE TO RECTUM F B","76010","HCPCS","Both",,,"57.5","28.75","Ambetter","Health Exchange","",,"62",,"35.65","21.04","44.56","percent of total billed charges",,
"XR CHILD NOSE TO RECTUM F B","76010","HCPCS","Both",,,"57.5","28.75","Caresource","Health Exchange","",,"62",,"35.65","21.04","44.56","percent of total billed charges",,
"XR CHILD NOSE TO RECTUM F B","76010","HCPCS","Both",,,"57.5","28.75","Cigna","Commercial","",,"59",,"33.7","21.04","44.56","percent of total billed charges",,
"XR CHILD NOSE TO RECTUM F B","76010","HCPCS","Both",,,"57.5","28.75","Humana","Commercial","",,"78",,"44.56","21.04","44.56","percent of total billed charges",,
"XR CHILD NOSE TO RECTUM F B","76010","HCPCS","Both",,,"57.5","28.75","UHC","Commercial","",,"75",,"43.36","21.04","44.56","percent of total billed charges",,
"XR CHILD NOSE TO RECTUM F B","76010","HCPCS","Both",,,"57.5","28.75","Medicaid",,"",,"37",,"21.04","21.04","44.56","percent of total billed charges",,
"XR ABDOMEN SINGLE ANT POST VIEW REPEAT","74018","HCPCS","Both",,,"459.84","229.92","Alliant","Health Exchange","76",,"62",,"285.1","9.37","356.38","percent of total billed charges",,
"XR ABDOMEN SINGLE ANT POST VIEW REPEAT","74018","HCPCS","Both",,,"459.84","229.92","Pruitt Healthcare","Medicare Advantage","76",,"54",,"248.31","9.37","356.38","percent of total billed charges",,
"XR ABDOMEN SINGLE ANT POST VIEW REPEAT","74018","HCPCS","Both",,,"459.84","229.92","Medicare",,"76",,"54",,"249.23","9.37","356.38","percent of total billed charges",,
"XR ABDOMEN SINGLE ANT POST VIEW REPEAT","74018","HCPCS","Both",,,"459.84","229.92","Humana","Medicare Advantage","76",,"54",,"249.23","9.37","356.38","percent of total billed charges",,
"XR ABDOMEN SINGLE ANT POST VIEW REPEAT","74018","HCPCS","Both",,,"459.84","229.92","UHC","Medicare Advantage","76",,"54",,"249.23","9.37","356.38","percent of total billed charges",,
"XR ABDOMEN SINGLE ANT POST VIEW REPEAT","74018","HCPCS","Both",,,"459.84","229.92","Clover","Medicare Advantage","76",,"54",,"249.23","9.37","356.38","percent of total billed charges",,
"XR ABDOMEN SINGLE ANT POST VIEW REPEAT","74018","HCPCS","Both",,,"459.84","229.92","Wellcare","Medicare Advantage","76",,"54",,"249.23","9.37","356.38","percent of total billed charges",,
"XR ABDOMEN SINGLE ANT POST VIEW REPEAT","74018","HCPCS","Both",,,"459.84","229.92","Amerigroup","Medicaid Managed Care","76",,"37",,"168.3","9.37","356.38","percent of total billed charges",,
"XR ABDOMEN SINGLE ANT POST VIEW REPEAT","74018","HCPCS","Both",,,"459.84","229.92","Caresource","Medicaid Managed Care","76",,"40",,"183.94","9.37","356.38","percent of total billed charges",,
"XR ABDOMEN SINGLE ANT POST VIEW REPEAT","74018","HCPCS","Both",,,"459.84","229.92","Wellcare","Medicaid Managed Care","76",,"40",,"186.24","9.37","356.38","percent of total billed charges",,
"XR ABDOMEN SINGLE ANT POST VIEW REPEAT","74018","HCPCS","Both",,,"459.84","229.92","Aetna","Commercial","76",,"64",,"293.38","9.37","356.38","percent of total billed charges",,
"XR ABDOMEN SINGLE ANT POST VIEW REPEAT","74018","HCPCS","Both",,,"459.84","229.92","Blue Cross Blue Shield","Pathways","76",,"71",,"324.65","9.37","356.38","percent of total billed charges",,
"XR ABDOMEN SINGLE ANT POST VIEW REPEAT","74018","HCPCS","Both",,,"459.84","229.92","Blue Cross Blue Shield","HMO","76",,"71",,"324.65","9.37","356.38","percent of total billed charges",,
"XR ABDOMEN SINGLE ANT POST VIEW REPEAT","74018","HCPCS","Both",,,"459.84","229.92","Blue Cross Blue Shield","PPO","76",,"71",,"324.65","9.37","356.38","percent of total billed charges",,
"XR ABDOMEN SINGLE ANT POST VIEW REPEAT","74018","HCPCS","Both",,,"459.84","229.92","Ambetter","Health Exchange","76",,"62",,"285.1","9.37","356.38","percent of total billed charges",,
"XR ABDOMEN SINGLE ANT POST VIEW REPEAT","74018","HCPCS","Both",,,"459.84","229.92","Caresource","Health Exchange","76",,"62",,"285.1","9.37","356.38","percent of total billed charges",,
"XR ABDOMEN SINGLE ANT POST VIEW REPEAT","74018","HCPCS","Both",,,"459.84","229.92","Cigna","Commercial","76",,"59",,"269.47","9.37","356.38","percent of total billed charges",,
"XR ABDOMEN SINGLE ANT POST VIEW REPEAT","74018","HCPCS","Both",,,"459.84","229.92","Humana","Commercial","76",,"78",,"356.38","9.37","356.38","percent of total billed charges",,
"XR ABDOMEN SINGLE ANT POST VIEW REPEAT","74018","HCPCS","Both",,,"459.84","229.92","UHC","Commercial","76",,"75",,"346.72","9.37","356.38","percent of total billed charges",,
"XR ABDOMEN SINGLE ANT POST VIEW REPEAT","74018","HCPCS","Both",,,"459.84","229.92","Medicaid",,"76",,"37",,"168.3","9.37","356.38","percent of total billed charges",,
"XR CHEST SINGLE VIEW FRONTAL REPEAT","71045","HCPCS","Both",,,"120.96","60.48","Alliant","Health Exchange","76",,"62",,"75","9.37","97.65","percent of total billed charges",,
"XR CHEST SINGLE VIEW FRONTAL REPEAT","71045","HCPCS","Both",,,"120.96","60.48","Pruitt Healthcare","Medicare Advantage","76",,"54",,"65.32","9.37","97.65","percent of total billed charges",,
"XR CHEST SINGLE VIEW FRONTAL REPEAT","71045","HCPCS","Both",,,"120.96","60.48","Medicare",,"76",,"54",,"65.56","9.37","97.65","percent of total billed charges",,
"XR CHEST SINGLE VIEW FRONTAL REPEAT","71045","HCPCS","Both",,,"120.96","60.48","Humana","Medicare Advantage","76",,"54",,"65.56","9.37","97.65","percent of total billed charges",,
"XR CHEST SINGLE VIEW FRONTAL REPEAT","71045","HCPCS","Both",,,"120.96","60.48","UHC","Medicare Advantage","76",,"54",,"65.56","9.37","97.65","percent of total billed charges",,
"XR CHEST SINGLE VIEW FRONTAL REPEAT","71045","HCPCS","Both",,,"120.96","60.48","Clover","Medicare Advantage","76",,"54",,"65.56","9.37","97.65","percent of total billed charges",,
"XR CHEST SINGLE VIEW FRONTAL REPEAT","71045","HCPCS","Both",,,"120.96","60.48","Wellcare","Medicare Advantage","76",,"54",,"65.56","9.37","97.65","percent of total billed charges",,
"XR CHEST SINGLE VIEW FRONTAL REPEAT","71045","HCPCS","Both",,,"120.96","60.48","Amerigroup","Medicaid Managed Care","76",,"37",,"44.27","9.37","97.65","percent of total billed charges",,
"XR CHEST SINGLE VIEW FRONTAL REPEAT","71045","HCPCS","Both",,,"120.96","60.48","Caresource","Medicaid Managed Care","76",,"40",,"48.38","9.37","97.65","percent of total billed charges",,
"XR CHEST SINGLE VIEW FRONTAL REPEAT","71045","HCPCS","Both",,,"120.96","60.48","Wellcare","Medicaid Managed Care","76",,"40",,"48.99","9.37","97.65","percent of total billed charges",,
"XR CHEST SINGLE VIEW FRONTAL REPEAT","71045","HCPCS","Both",,,"120.96","60.48","Aetna","Commercial","76",,"64",,"77.17","9.37","97.65","percent of total billed charges",,
"XR CHEST SINGLE VIEW FRONTAL REPEAT","71045","HCPCS","Both",,,"120.96","60.48","Blue Cross Blue Shield","Pathways","76",,"71",,"85.4","9.37","97.65","percent of total billed charges",,
"XR CHEST SINGLE VIEW FRONTAL REPEAT","71045","HCPCS","Both",,,"120.96","60.48","Blue Cross Blue Shield","HMO","76",,"71",,"85.4","9.37","97.65","percent of total billed charges",,
"XR CHEST SINGLE VIEW FRONTAL REPEAT","71045","HCPCS","Both",,,"120.96","60.48","Blue Cross Blue Shield","PPO","76",,"71",,"85.4","9.37","97.65","percent of total billed charges",,
"XR CHEST SINGLE VIEW FRONTAL REPEAT","71045","HCPCS","Both",,,"120.96","60.48","Ambetter","Health Exchange","76",,"62",,"75","9.37","97.65","percent of total billed charges",,
"XR CHEST SINGLE VIEW FRONTAL REPEAT","71045","HCPCS","Both",,,"120.96","60.48","Caresource","Health Exchange","76",,"62",,"75","9.37","97.65","percent of total billed charges",,
"XR CHEST SINGLE VIEW FRONTAL REPEAT","71045","HCPCS","Both",,,"120.96","60.48","Cigna","Commercial","76",,"59",,"70.88","9.37","97.65","percent of total billed charges",,
"XR CHEST SINGLE VIEW FRONTAL REPEAT","71045","HCPCS","Both",,,"120.96","60.48","Humana","Commercial","76",,"78",,"93.74","9.37","97.65","percent of total billed charges",,
"XR CHEST SINGLE VIEW FRONTAL REPEAT","71045","HCPCS","Both",,,"120.96","60.48","UHC","Commercial","76",,"75",,"91.2","9.37","97.65","percent of total billed charges",,
"XR CHEST SINGLE VIEW FRONTAL REPEAT","71045","HCPCS","Both",,,"120.96","60.48","Medicaid",,"76",,"37",,"44.27","9.37","97.65","percent of total billed charges",,
"CT AH HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Alliant","Health Exchange","TC",,"62",,"150.66","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"131.22","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Medicare",,"TC",,"54",,"131.71","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Humana","Medicare Advantage","TC",,"54",,"131.71","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","UHC","Medicare Advantage","TC",,"54",,"131.71","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Clover","Medicare Advantage","TC",,"54",,"131.71","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Wellcare","Medicare Advantage","TC",,"54",,"131.71","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Amerigroup","Medicaid Managed Care","TC",,"37",,"88.94","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Caresource","Medicaid Managed Care","TC",,"40",,"97.2","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Wellcare","Medicaid Managed Care","TC",,"40",,"98.42","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Aetna","Commercial","TC",,"64",,"155.03","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Blue Cross Blue Shield","Pathways","TC",,"71",,"171.56","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Blue Cross Blue Shield","HMO","TC",,"71",,"171.56","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Blue Cross Blue Shield","PPO","TC",,"71",,"171.56","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Ambetter","Health Exchange","TC",,"62",,"150.66","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Caresource","Health Exchange","TC",,"62",,"150.66","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Cigna","Commercial","TC",,"59",,"142.4","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Humana","Commercial","TC",,"78",,"188.32","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","UHC","Commercial","TC",,"75",,"183.22","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Medicaid",,"TC",,"37",,"88.94","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Alliant","Health Exchange","TC",,"62",,"141.67","64.98","177.09","percent of total billed charges",,
"CT AH HEAD OR BRAIN W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"123.39","64.98","177.09","percent of total billed charges",,
"CT AH HEAD OR BRAIN W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Medicare",,"TC",,"54",,"123.85","64.98","177.09","percent of total billed charges",,
"CT AH HEAD OR BRAIN W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Humana","Medicare Advantage","TC",,"54",,"123.85","64.98","177.09","percent of total billed charges",,
"CT AH HEAD OR BRAIN W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","UHC","Medicare Advantage","TC",,"54",,"123.85","64.98","177.09","percent of total billed charges",,
"CT AH HEAD OR BRAIN W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Clover","Medicare Advantage","TC",,"54",,"123.85","64.98","177.09","percent of total billed charges",,
"CT AH HEAD OR BRAIN W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Wellcare","Medicare Advantage","TC",,"54",,"123.85","64.98","177.09","percent of total billed charges",,
"CT AH HEAD OR BRAIN W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Amerigroup","Medicaid Managed Care","TC",,"37",,"83.63","64.98","177.09","percent of total billed charges",,
"CT AH HEAD OR BRAIN W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Caresource","Medicaid Managed Care","TC",,"40",,"91.4","64.98","177.09","percent of total billed charges",,
"CT AH HEAD OR BRAIN W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Wellcare","Medicaid Managed Care","TC",,"40",,"92.54","64.98","177.09","percent of total billed charges",,
"CT AH HEAD OR BRAIN W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Aetna","Commercial","TC",,"64",,"145.78","64.98","177.09","percent of total billed charges",,
"CT AH HEAD OR BRAIN W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Blue Cross Blue Shield","Pathways","TC",,"71",,"161.32","64.98","177.09","percent of total billed charges",,
"CT AH HEAD OR BRAIN W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Blue Cross Blue Shield","HMO","TC",,"71",,"161.32","64.98","177.09","percent of total billed charges",,
"CT AH HEAD OR BRAIN W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Blue Cross Blue Shield","PPO","TC",,"71",,"161.32","64.98","177.09","percent of total billed charges",,
"CT AH HEAD OR BRAIN W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Ambetter","Health Exchange","TC",,"62",,"141.67","64.98","177.09","percent of total billed charges",,
"CT AH HEAD OR BRAIN W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Caresource","Health Exchange","TC",,"62",,"141.67","64.98","177.09","percent of total billed charges",,
"CT AH HEAD OR BRAIN W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Cigna","Commercial","TC",,"59",,"133.9","64.98","177.09","percent of total billed charges",,
"CT AH HEAD OR BRAIN W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Humana","Commercial","TC",,"78",,"177.09","64.98","177.09","percent of total billed charges",,
"CT AH HEAD OR BRAIN W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","UHC","Commercial","TC",,"75",,"172.29","64.98","177.09","percent of total billed charges",,
"CT AH HEAD OR BRAIN W & W/O CONTRAST","70470","HCPCS","Both",,,"228.5","114.25","Medicaid",,"TC",,"37",,"83.63","64.98","177.09","percent of total billed charges",,
"CT AH THORAX W/O CONTRAST","71250","HCPCS","Both",,,"332.5","166.25","Alliant","Health Exchange","TC",,"62",,"206.15","55.24","257.69","percent of total billed charges",,
"CT AH THORAX W/O CONTRAST","71250","HCPCS","Both",,,"332.5","166.25","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"179.55","55.24","257.69","percent of total billed charges",,
"CT AH THORAX W/O CONTRAST","71250","HCPCS","Both",,,"332.5","166.25","Medicare",,"TC",,"54",,"180.22","55.24","257.69","percent of total billed charges",,
"CT AH THORAX W/O CONTRAST","71250","HCPCS","Both",,,"332.5","166.25","Humana","Medicare Advantage","TC",,"54",,"180.22","55.24","257.69","percent of total billed charges",,
"CT AH THORAX W/O CONTRAST","71250","HCPCS","Both",,,"332.5","166.25","UHC","Medicare Advantage","TC",,"54",,"180.22","55.24","257.69","percent of total billed charges",,
"CT AH THORAX W/O CONTRAST","71250","HCPCS","Both",,,"332.5","166.25","Clover","Medicare Advantage","TC",,"54",,"180.22","55.24","257.69","percent of total billed charges",,
"CT AH THORAX W/O CONTRAST","71250","HCPCS","Both",,,"332.5","166.25","Wellcare","Medicare Advantage","TC",,"54",,"180.22","55.24","257.69","percent of total billed charges",,
"CT AH THORAX W/O CONTRAST","71250","HCPCS","Both",,,"332.5","166.25","Amerigroup","Medicaid Managed Care","TC",,"37",,"121.7","55.24","257.69","percent of total billed charges",,
"CT AH THORAX W/O CONTRAST","71250","HCPCS","Both",,,"332.5","166.25","Caresource","Medicaid Managed Care","TC",,"40",,"133","55.24","257.69","percent of total billed charges",,
"CT AH THORAX W/O CONTRAST","71250","HCPCS","Both",,,"332.5","166.25","Wellcare","Medicaid Managed Care","TC",,"40",,"134.66","55.24","257.69","percent of total billed charges",,
"CT AH THORAX W/O CONTRAST","71250","HCPCS","Both",,,"332.5","166.25","Aetna","Commercial","TC",,"64",,"212.14","55.24","257.69","percent of total billed charges",,
"CT AH THORAX W/O CONTRAST","71250","HCPCS","Both",,,"332.5","166.25","Blue Cross Blue Shield","Pathways","TC",,"71",,"234.74","55.24","257.69","percent of total billed charges",,
"CT AH THORAX W/O CONTRAST","71250","HCPCS","Both",,,"332.5","166.25","Blue Cross Blue Shield","HMO","TC",,"71",,"234.74","55.24","257.69","percent of total billed charges",,
"CT AH THORAX W/O CONTRAST","71250","HCPCS","Both",,,"332.5","166.25","Blue Cross Blue Shield","PPO","TC",,"71",,"234.74","55.24","257.69","percent of total billed charges",,
"CT AH THORAX W/O CONTRAST","71250","HCPCS","Both",,,"332.5","166.25","Ambetter","Health Exchange","TC",,"62",,"206.15","55.24","257.69","percent of total billed charges",,
"CT AH THORAX W/O CONTRAST","71250","HCPCS","Both",,,"332.5","166.25","Caresource","Health Exchange","TC",,"62",,"206.15","55.24","257.69","percent of total billed charges",,
"CT AH THORAX W/O CONTRAST","71250","HCPCS","Both",,,"332.5","166.25","Cigna","Commercial","TC",,"59",,"194.84","55.24","257.69","percent of total billed charges",,
"CT AH THORAX W/O CONTRAST","71250","HCPCS","Both",,,"332.5","166.25","Humana","Commercial","TC",,"78",,"257.69","55.24","257.69","percent of total billed charges",,
"CT AH THORAX W/O CONTRAST","71250","HCPCS","Both",,,"332.5","166.25","UHC","Commercial","TC",,"75",,"250.7","55.24","257.69","percent of total billed charges",,
"CT AH THORAX W/O CONTRAST","71250","HCPCS","Both",,,"332.5","166.25","Medicaid",,"TC",,"37",,"121.7","55.24","257.69","percent of total billed charges",,
"CT AH THORACIC SPINE W/CONTRAST","71260","HCPCS","Both",,,"837","418.5","Alliant","Health Exchange","TC",,"62",,"518.94","59.52","1102.75","percent of total billed charges",,
"CT AH THORACIC SPINE W/CONTRAST","71260","HCPCS","Both",,,"837","418.5","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"451.98","59.52","1102.75","percent of total billed charges",,
"CT AH THORACIC SPINE W/CONTRAST","71260","HCPCS","Both",,,"837","418.5","Medicare",,"TC",,"54",,"453.65","59.52","1102.75","percent of total billed charges",,
"CT AH THORACIC SPINE W/CONTRAST","71260","HCPCS","Both",,,"837","418.5","Humana","Medicare Advantage","TC",,"54",,"453.65","59.52","1102.75","percent of total billed charges",,
"CT AH THORACIC SPINE W/CONTRAST","71260","HCPCS","Both",,,"837","418.5","UHC","Medicare Advantage","TC",,"54",,"453.65","59.52","1102.75","percent of total billed charges",,
"CT AH THORACIC SPINE W/CONTRAST","71260","HCPCS","Both",,,"837","418.5","Clover","Medicare Advantage","TC",,"54",,"453.65","59.52","1102.75","percent of total billed charges",,
"CT AH THORACIC SPINE W/CONTRAST","71260","HCPCS","Both",,,"837","418.5","Wellcare","Medicare Advantage","TC",,"54",,"453.65","59.52","1102.75","percent of total billed charges",,
"CT AH THORACIC SPINE W/CONTRAST","71260","HCPCS","Both",,,"837","418.5","Amerigroup","Medicaid Managed Care","TC",,"37",,"306.34","59.52","1102.75","percent of total billed charges",,
"CT AH THORACIC SPINE W/CONTRAST","71260","HCPCS","Both",,,"837","418.5","Caresource","Medicaid Managed Care","TC",,"40",,"334.8","59.52","1102.75","percent of total billed charges",,
"CT AH THORACIC SPINE W/CONTRAST","71260","HCPCS","Both",,,"837","418.5","Wellcare","Medicaid Managed Care","TC",,"40",,"338.98","59.52","1102.75","percent of total billed charges",,
"CT AH THORACIC SPINE W/CONTRAST","71260","HCPCS","Both",,,"837","418.5","Aetna","Commercial","TC",,"64",,"534.01","59.52","1102.75","percent of total billed charges",,
"CT AH THORACIC SPINE W/CONTRAST","71260","HCPCS","Both",,,"837","418.5","Blue Cross Blue Shield","Pathways","TC",,"71",,"590.92","59.52","1102.75","percent of total billed charges",,
"CT AH THORACIC SPINE W/CONTRAST","71260","HCPCS","Both",,,"837","418.5","Blue Cross Blue Shield","HMO","TC",,"71",,"590.92","59.52","1102.75","percent of total billed charges",,
"CT AH THORACIC SPINE W/CONTRAST","71260","HCPCS","Both",,,"837","418.5","Blue Cross Blue Shield","PPO","TC",,"71",,"590.92","59.52","1102.75","percent of total billed charges",,
"CT AH THORACIC SPINE W/CONTRAST","71260","HCPCS","Both",,,"837","418.5","Ambetter","Health Exchange","TC",,"62",,"518.94","59.52","1102.75","percent of total billed charges",,
"CT AH THORACIC SPINE W/CONTRAST","71260","HCPCS","Both",,,"837","418.5","Caresource","Health Exchange","TC",,"62",,"518.94","59.52","1102.75","percent of total billed charges",,
"CT AH THORACIC SPINE W/CONTRAST","71260","HCPCS","Both",,,"837","418.5","Cigna","Commercial","TC",,"59",,"490.48","59.52","1102.75","percent of total billed charges",,
"CT AH THORACIC SPINE W/CONTRAST","71260","HCPCS","Both",,,"837","418.5","Humana","Commercial","TC",,"78",,"648.68","59.52","1102.75","percent of total billed charges",,
"CT AH THORACIC SPINE W/CONTRAST","71260","HCPCS","Both",,,"837","418.5","UHC","Commercial","TC",,"75",,"631.1","59.52","1102.75","percent of total billed charges",,
"CT AH THORACIC SPINE W/CONTRAST","71260","HCPCS","Both",,,"837","418.5","Medicaid",,"TC",,"37",,"306.34","59.52","1102.75","percent of total billed charges",,
"CT AH CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"649","324.5","Alliant","Health Exchange","TC",,"62",,"402.38","50.52","502.98","percent of total billed charges",,
"CT AH CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"649","324.5","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"350.46","50.52","502.98","percent of total billed charges",,
"CT AH CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"649","324.5","Medicare",,"TC",,"54",,"351.76","50.52","502.98","percent of total billed charges",,
"CT AH CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"649","324.5","Humana","Medicare Advantage","TC",,"54",,"351.76","50.52","502.98","percent of total billed charges",,
"CT AH CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"649","324.5","UHC","Medicare Advantage","TC",,"54",,"351.76","50.52","502.98","percent of total billed charges",,
"CT AH CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"649","324.5","Clover","Medicare Advantage","TC",,"54",,"351.76","50.52","502.98","percent of total billed charges",,
"CT AH CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"649","324.5","Wellcare","Medicare Advantage","TC",,"54",,"351.76","50.52","502.98","percent of total billed charges",,
"CT AH CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"649","324.5","Amerigroup","Medicaid Managed Care","TC",,"37",,"237.53","50.52","502.98","percent of total billed charges",,
"CT AH CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"649","324.5","Caresource","Medicaid Managed Care","TC",,"40",,"259.6","50.52","502.98","percent of total billed charges",,
"CT AH CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"649","324.5","Wellcare","Medicaid Managed Care","TC",,"40",,"262.85","50.52","502.98","percent of total billed charges",,
"CT AH CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"649","324.5","Aetna","Commercial","TC",,"64",,"414.06","50.52","502.98","percent of total billed charges",,
"CT AH CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"649","324.5","Blue Cross Blue Shield","Pathways","TC",,"71",,"458.19","50.52","502.98","percent of total billed charges",,
"CT AH CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"649","324.5","Blue Cross Blue Shield","HMO","TC",,"71",,"458.19","50.52","502.98","percent of total billed charges",,
"CT AH CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"649","324.5","Blue Cross Blue Shield","PPO","TC",,"71",,"458.19","50.52","502.98","percent of total billed charges",,
"CT AH CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"649","324.5","Ambetter","Health Exchange","TC",,"62",,"402.38","50.52","502.98","percent of total billed charges",,
"CT AH CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"649","324.5","Caresource","Health Exchange","TC",,"62",,"402.38","50.52","502.98","percent of total billed charges",,
"CT AH CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"649","324.5","Cigna","Commercial","TC",,"59",,"380.31","50.52","502.98","percent of total billed charges",,
"CT AH CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"649","324.5","Humana","Commercial","TC",,"78",,"502.98","50.52","502.98","percent of total billed charges",,
"CT AH CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"649","324.5","UHC","Commercial","TC",,"75",,"489.35","50.52","502.98","percent of total billed charges",,
"CT AH CERVICAL SPINE W/O CONTRAST","72125","HCPCS","Both",,,"649","324.5","Medicaid",,"TC",,"37",,"237.53","50.52","502.98","percent of total billed charges",,
"Room & Board","0114","RC","Inpatient",,,"850","425","Alliant","Health Exchange",,,"62",,"527","311.1","658.75","percent of total billed charges",,
"Room & Board","0114","RC","Inpatient",,,"850","425","Pruitt Healthcare","Medicare Advantage",,,"54",,"459","311.1","658.75","percent of total billed charges",,
"Room & Board","0114","RC","Inpatient",,,"850","425","Medicare",,,,"54",,"460.7","311.1","658.75","percent of total billed charges",,
"Room & Board","0114","RC","Inpatient",,,"850","425","Humana","Medicare Advantage",,,"54",,"460.7","311.1","658.75","percent of total billed charges",,
"Room & Board","0114","RC","Inpatient",,,"850","425","UHC","Medicare Advantage",,,"54",,"460.7","311.1","658.75","percent of total billed charges",,
"Room & Board","0114","RC","Inpatient",,,"850","425","Clover","Medicare Advantage",,,"54",,"460.7","311.1","658.75","percent of total billed charges",,
"Room & Board","0114","RC","Inpatient",,,"850","425","Wellcare","Medicare Advantage",,,"54",,"460.7","311.1","658.75","percent of total billed charges",,
"Room & Board","0114","RC","Inpatient",,,"850","425","Amerigroup","Medicaid Managed Care",,,"37",,"311.1","311.1","658.75","percent of total billed charges",,
"Room & Board","0114","RC","Inpatient",,,"850","425","Caresource","Medicaid Managed Care",,,"40",,"340","311.1","658.75","percent of total billed charges",,
"Room & Board","0114","RC","Inpatient",,,"850","425","Wellcare","Medicaid Managed Care",,,"40",,"344.25","311.1","658.75","percent of total billed charges",,
"Room & Board","0114","RC","Inpatient",,,"850","425","Aetna","Commercial",,,"64",,"542.3","311.1","658.75","percent of total billed charges",,
"Room & Board","0114","RC","Inpatient",,,"850","425","Blue Cross Blue Shield","Pathways",,,"71",,"600.1","311.1","658.75","percent of total billed charges",,
"Room & Board","0114","RC","Inpatient",,,"850","425","Blue Cross Blue Shield","HMO",,,"71",,"600.1","311.1","658.75","percent of total billed charges",,
"Room & Board","0114","RC","Inpatient",,,"850","425","Blue Cross Blue Shield","PPO",,,"71",,"600.1","311.1","658.75","percent of total billed charges",,
"Room & Board","0114","RC","Inpatient",,,"850","425","Ambetter","Health Exchange",,,"62",,"527","311.1","658.75","percent of total billed charges",,
"Room & Board","0114","RC","Inpatient",,,"850","425","Caresource","Health Exchange",,,"62",,"527","311.1","658.75","percent of total billed charges",,
"Room & Board","0114","RC","Inpatient",,,"850","425","Cigna","Commercial",,,"59",,"498.1","311.1","658.75","percent of total billed charges",,
"Room & Board","0114","RC","Inpatient",,,"850","425","Humana","Commercial",,,"78",,"658.75","311.1","658.75","percent of total billed charges",,
"Room & Board","0114","RC","Inpatient",,,"850","425","UHC","Commercial",,,"75",,"640.9","311.1","658.75","percent of total billed charges",,
"Room & Board","0114","RC","Inpatient",,,"850","425","Medicaid",,,,"37",,"311.1","311.1","658.75","percent of total billed charges",,
"US AH VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"230","115","Alliant","Health Exchange","TC",,"62",,"142.6","35.52","303.03","percent of total billed charges",,
"US AH VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"230","115","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"124.2","35.52","303.03","percent of total billed charges",,
"US AH VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"230","115","Medicare",,"TC",,"54",,"124.66","35.52","303.03","percent of total billed charges",,
"US AH VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"230","115","Humana","Medicare Advantage","TC",,"54",,"124.66","35.52","303.03","percent of total billed charges",,
"US AH VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"230","115","UHC","Medicare Advantage","TC",,"54",,"124.66","35.52","303.03","percent of total billed charges",,
"US AH VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"230","115","Clover","Medicare Advantage","TC",,"54",,"124.66","35.52","303.03","percent of total billed charges",,
"US AH VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"230","115","Wellcare","Medicare Advantage","TC",,"54",,"124.66","35.52","303.03","percent of total billed charges",,
"US AH VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"230","115","Amerigroup","Medicaid Managed Care","TC",,"37",,"84.18","35.52","303.03","percent of total billed charges",,
"US AH VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"230","115","Caresource","Medicaid Managed Care","TC",,"40",,"92","35.52","303.03","percent of total billed charges",,
"US AH VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"230","115","Wellcare","Medicaid Managed Care","TC",,"40",,"93.15","35.52","303.03","percent of total billed charges",,
"US AH VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"230","115","Aetna","Commercial","TC",,"64",,"146.74","35.52","303.03","percent of total billed charges",,
"US AH VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"230","115","Blue Cross Blue Shield","Pathways","TC",,"71",,"162.38","35.52","303.03","percent of total billed charges",,
"US AH VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"230","115","Blue Cross Blue Shield","HMO","TC",,"71",,"162.38","35.52","303.03","percent of total billed charges",,
"US AH VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"230","115","Blue Cross Blue Shield","PPO","TC",,"71",,"162.38","35.52","303.03","percent of total billed charges",,
"US AH VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"230","115","Ambetter","Health Exchange","TC",,"62",,"142.6","35.52","303.03","percent of total billed charges",,
"US AH VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"230","115","Caresource","Health Exchange","TC",,"62",,"142.6","35.52","303.03","percent of total billed charges",,
"US AH VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"230","115","Cigna","Commercial","TC",,"59",,"134.78","35.52","303.03","percent of total billed charges",,
"US AH VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"230","115","Humana","Commercial","TC",,"78",,"178.25","35.52","303.03","percent of total billed charges",,
"US AH VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"230","115","UHC","Commercial","TC",,"75",,"173.42","35.52","303.03","percent of total billed charges",,
"US AH VENOUS EXTREMITY BILATERAL","93970","HCPCS","Both",,,"230","115","Medicaid",,"TC",,"37",,"84.18","35.52","303.03","percent of total billed charges",,
"CT AH THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"630","315","Alliant","Health Exchange","TC",,"62",,"390.6","50.52","488.25","percent of total billed charges",,
"CT AH THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"630","315","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"340.2","50.52","488.25","percent of total billed charges",,
"CT AH THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"630","315","Medicare",,"TC",,"54",,"341.46","50.52","488.25","percent of total billed charges",,
"CT AH THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"630","315","Humana","Medicare Advantage","TC",,"54",,"341.46","50.52","488.25","percent of total billed charges",,
"CT AH THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"630","315","UHC","Medicare Advantage","TC",,"54",,"341.46","50.52","488.25","percent of total billed charges",,
"CT AH THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"630","315","Clover","Medicare Advantage","TC",,"54",,"341.46","50.52","488.25","percent of total billed charges",,
"CT AH THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"630","315","Wellcare","Medicare Advantage","TC",,"54",,"341.46","50.52","488.25","percent of total billed charges",,
"CT AH THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"630","315","Amerigroup","Medicaid Managed Care","TC",,"37",,"230.58","50.52","488.25","percent of total billed charges",,
"CT AH THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"630","315","Caresource","Medicaid Managed Care","TC",,"40",,"252","50.52","488.25","percent of total billed charges",,
"CT AH THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"630","315","Wellcare","Medicaid Managed Care","TC",,"40",,"255.15","50.52","488.25","percent of total billed charges",,
"CT AH THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"630","315","Aetna","Commercial","TC",,"64",,"401.94","50.52","488.25","percent of total billed charges",,
"CT AH THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"630","315","Blue Cross Blue Shield","Pathways","TC",,"71",,"444.78","50.52","488.25","percent of total billed charges",,
"CT AH THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"630","315","Blue Cross Blue Shield","HMO","TC",,"71",,"444.78","50.52","488.25","percent of total billed charges",,
"CT AH THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"630","315","Blue Cross Blue Shield","PPO","TC",,"71",,"444.78","50.52","488.25","percent of total billed charges",,
"CT AH THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"630","315","Ambetter","Health Exchange","TC",,"62",,"390.6","50.52","488.25","percent of total billed charges",,
"CT AH THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"630","315","Caresource","Health Exchange","TC",,"62",,"390.6","50.52","488.25","percent of total billed charges",,
"CT AH THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"630","315","Cigna","Commercial","TC",,"59",,"369.18","50.52","488.25","percent of total billed charges",,
"CT AH THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"630","315","Humana","Commercial","TC",,"78",,"488.25","50.52","488.25","percent of total billed charges",,
"CT AH THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"630","315","UHC","Commercial","TC",,"75",,"475.02","50.52","488.25","percent of total billed charges",,
"CT AH THORACIC SPINE W/O CONTRAST","72128","HCPCS","Both",,,"630","315","Medicaid",,"TC",,"37",,"230.58","50.52","488.25","percent of total billed charges",,
"XR AH ABDOMEN SINGLE ANTEROPOSTERIOR","74018","HCPCS","Both",,,"459.84","229.92","Alliant","Health Exchange","TC",,"62",,"285.1","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN SINGLE ANTEROPOSTERIOR","74018","HCPCS","Both",,,"459.84","229.92","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"248.31","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN SINGLE ANTEROPOSTERIOR","74018","HCPCS","Both",,,"459.84","229.92","Medicare",,"TC",,"54",,"249.23","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN SINGLE ANTEROPOSTERIOR","74018","HCPCS","Both",,,"459.84","229.92","Humana","Medicare Advantage","TC",,"54",,"249.23","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN SINGLE ANTEROPOSTERIOR","74018","HCPCS","Both",,,"459.84","229.92","UHC","Medicare Advantage","TC",,"54",,"249.23","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN SINGLE ANTEROPOSTERIOR","74018","HCPCS","Both",,,"459.84","229.92","Clover","Medicare Advantage","TC",,"54",,"249.23","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN SINGLE ANTEROPOSTERIOR","74018","HCPCS","Both",,,"459.84","229.92","Wellcare","Medicare Advantage","TC",,"54",,"249.23","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN SINGLE ANTEROPOSTERIOR","74018","HCPCS","Both",,,"459.84","229.92","Amerigroup","Medicaid Managed Care","TC",,"37",,"168.3","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN SINGLE ANTEROPOSTERIOR","74018","HCPCS","Both",,,"459.84","229.92","Caresource","Medicaid Managed Care","TC",,"40",,"183.94","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN SINGLE ANTEROPOSTERIOR","74018","HCPCS","Both",,,"459.84","229.92","Wellcare","Medicaid Managed Care","TC",,"40",,"186.24","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN SINGLE ANTEROPOSTERIOR","74018","HCPCS","Both",,,"459.84","229.92","Aetna","Commercial","TC",,"64",,"293.38","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN SINGLE ANTEROPOSTERIOR","74018","HCPCS","Both",,,"459.84","229.92","Blue Cross Blue Shield","Pathways","TC",,"71",,"324.65","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN SINGLE ANTEROPOSTERIOR","74018","HCPCS","Both",,,"459.84","229.92","Blue Cross Blue Shield","HMO","TC",,"71",,"324.65","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN SINGLE ANTEROPOSTERIOR","74018","HCPCS","Both",,,"459.84","229.92","Blue Cross Blue Shield","PPO","TC",,"71",,"324.65","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN SINGLE ANTEROPOSTERIOR","74018","HCPCS","Both",,,"459.84","229.92","Ambetter","Health Exchange","TC",,"62",,"285.1","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN SINGLE ANTEROPOSTERIOR","74018","HCPCS","Both",,,"459.84","229.92","Caresource","Health Exchange","TC",,"62",,"285.1","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN SINGLE ANTEROPOSTERIOR","74018","HCPCS","Both",,,"459.84","229.92","Cigna","Commercial","TC",,"59",,"269.47","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN SINGLE ANTEROPOSTERIOR","74018","HCPCS","Both",,,"459.84","229.92","Humana","Commercial","TC",,"78",,"356.38","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN SINGLE ANTEROPOSTERIOR","74018","HCPCS","Both",,,"459.84","229.92","UHC","Commercial","TC",,"75",,"346.72","9.37","356.38","percent of total billed charges",,
"XR AH ABDOMEN SINGLE ANTEROPOSTERIOR","74018","HCPCS","Both",,,"459.84","229.92","Medicaid",,"TC",,"37",,"168.3","9.37","356.38","percent of total billed charges",,
"CT AH LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"649","324.5","Alliant","Health Exchange","TC",,"62",,"402.38","50.52","502.98","percent of total billed charges",,
"CT AH LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"649","324.5","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"350.46","50.52","502.98","percent of total billed charges",,
"CT AH LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"649","324.5","Medicare",,"TC",,"54",,"351.76","50.52","502.98","percent of total billed charges",,
"CT AH LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"649","324.5","Humana","Medicare Advantage","TC",,"54",,"351.76","50.52","502.98","percent of total billed charges",,
"CT AH LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"649","324.5","UHC","Medicare Advantage","TC",,"54",,"351.76","50.52","502.98","percent of total billed charges",,
"CT AH LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"649","324.5","Clover","Medicare Advantage","TC",,"54",,"351.76","50.52","502.98","percent of total billed charges",,
"CT AH LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"649","324.5","Wellcare","Medicare Advantage","TC",,"54",,"351.76","50.52","502.98","percent of total billed charges",,
"CT AH LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"649","324.5","Amerigroup","Medicaid Managed Care","TC",,"37",,"237.53","50.52","502.98","percent of total billed charges",,
"CT AH LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"649","324.5","Caresource","Medicaid Managed Care","TC",,"40",,"259.6","50.52","502.98","percent of total billed charges",,
"CT AH LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"649","324.5","Wellcare","Medicaid Managed Care","TC",,"40",,"262.85","50.52","502.98","percent of total billed charges",,
"CT AH LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"649","324.5","Aetna","Commercial","TC",,"64",,"414.06","50.52","502.98","percent of total billed charges",,
"CT AH LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"649","324.5","Blue Cross Blue Shield","Pathways","TC",,"71",,"458.19","50.52","502.98","percent of total billed charges",,
"CT AH LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"649","324.5","Blue Cross Blue Shield","HMO","TC",,"71",,"458.19","50.52","502.98","percent of total billed charges",,
"CT AH LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"649","324.5","Blue Cross Blue Shield","PPO","TC",,"71",,"458.19","50.52","502.98","percent of total billed charges",,
"CT AH LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"649","324.5","Ambetter","Health Exchange","TC",,"62",,"402.38","50.52","502.98","percent of total billed charges",,
"CT AH LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"649","324.5","Caresource","Health Exchange","TC",,"62",,"402.38","50.52","502.98","percent of total billed charges",,
"CT AH LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"649","324.5","Cigna","Commercial","TC",,"59",,"380.31","50.52","502.98","percent of total billed charges",,
"CT AH LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"649","324.5","Humana","Commercial","TC",,"78",,"502.98","50.52","502.98","percent of total billed charges",,
"CT AH LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"649","324.5","UHC","Commercial","TC",,"75",,"489.35","50.52","502.98","percent of total billed charges",,
"CT AH LUMBAR SPINE W/O CONTRAST","72131","HCPCS","Both",,,"649","324.5","Medicaid",,"TC",,"37",,"237.53","50.52","502.98","percent of total billed charges",,
"CT AH PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Alliant","Health Exchange","TC",,"62",,"141.67","55.6","177.09","percent of total billed charges",,
"CT AH PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"123.39","55.6","177.09","percent of total billed charges",,
"CT AH PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Medicare",,"TC",,"54",,"123.85","55.6","177.09","percent of total billed charges",,
"CT AH PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Humana","Medicare Advantage","TC",,"54",,"123.85","55.6","177.09","percent of total billed charges",,
"CT AH PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","UHC","Medicare Advantage","TC",,"54",,"123.85","55.6","177.09","percent of total billed charges",,
"CT AH PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Clover","Medicare Advantage","TC",,"54",,"123.85","55.6","177.09","percent of total billed charges",,
"CT AH PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Wellcare","Medicare Advantage","TC",,"54",,"123.85","55.6","177.09","percent of total billed charges",,
"CT AH PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Amerigroup","Medicaid Managed Care","TC",,"37",,"83.63","55.6","177.09","percent of total billed charges",,
"CT AH PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Caresource","Medicaid Managed Care","TC",,"40",,"91.4","55.6","177.09","percent of total billed charges",,
"CT AH PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Wellcare","Medicaid Managed Care","TC",,"40",,"92.54","55.6","177.09","percent of total billed charges",,
"CT AH PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Aetna","Commercial","TC",,"64",,"145.78","55.6","177.09","percent of total billed charges",,
"CT AH PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Blue Cross Blue Shield","Pathways","TC",,"71",,"161.32","55.6","177.09","percent of total billed charges",,
"CT AH PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Blue Cross Blue Shield","HMO","TC",,"71",,"161.32","55.6","177.09","percent of total billed charges",,
"CT AH PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Blue Cross Blue Shield","PPO","TC",,"71",,"161.32","55.6","177.09","percent of total billed charges",,
"CT AH PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Ambetter","Health Exchange","TC",,"62",,"141.67","55.6","177.09","percent of total billed charges",,
"CT AH PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Caresource","Health Exchange","TC",,"62",,"141.67","55.6","177.09","percent of total billed charges",,
"CT AH PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Cigna","Commercial","TC",,"59",,"133.9","55.6","177.09","percent of total billed charges",,
"CT AH PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Humana","Commercial","TC",,"78",,"177.09","55.6","177.09","percent of total billed charges",,
"CT AH PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","UHC","Commercial","TC",,"75",,"172.29","55.6","177.09","percent of total billed charges",,
"CT AH PELVIS W/O CONTRAST","72192","HCPCS","Both",,,"228.5","114.25","Medicaid",,"TC",,"37",,"83.63","55.6","177.09","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"109","54.5","Alliant","Health Exchange","TC",,"62",,"67.58","11.89","84.48","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"109","54.5","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"58.86","11.89","84.48","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"109","54.5","Medicare",,"TC",,"54",,"59.08","11.89","84.48","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"109","54.5","Humana","Medicare Advantage","TC",,"54",,"59.08","11.89","84.48","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"109","54.5","UHC","Medicare Advantage","TC",,"54",,"59.08","11.89","84.48","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"109","54.5","Clover","Medicare Advantage","TC",,"54",,"59.08","11.89","84.48","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"109","54.5","Wellcare","Medicare Advantage","TC",,"54",,"59.08","11.89","84.48","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"109","54.5","Amerigroup","Medicaid Managed Care","TC",,"37",,"39.89","11.89","84.48","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"109","54.5","Caresource","Medicaid Managed Care","TC",,"40",,"43.6","11.89","84.48","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"109","54.5","Wellcare","Medicaid Managed Care","TC",,"40",,"44.14","11.89","84.48","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"109","54.5","Aetna","Commercial","TC",,"64",,"69.54","11.89","84.48","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"109","54.5","Blue Cross Blue Shield","Pathways","TC",,"71",,"76.95","11.89","84.48","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"109","54.5","Blue Cross Blue Shield","HMO","TC",,"71",,"76.95","11.89","84.48","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"109","54.5","Blue Cross Blue Shield","PPO","TC",,"71",,"76.95","11.89","84.48","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"109","54.5","Ambetter","Health Exchange","TC",,"62",,"67.58","11.89","84.48","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"109","54.5","Caresource","Health Exchange","TC",,"62",,"67.58","11.89","84.48","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"109","54.5","Cigna","Commercial","TC",,"59",,"63.87","11.89","84.48","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"109","54.5","Humana","Commercial","TC",,"78",,"84.48","11.89","84.48","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"109","54.5","UHC","Commercial","TC",,"75",,"82.19","11.89","84.48","percent of total billed charges",,
"XR AH ABD COMPLETE INCL DECUB & OR ERECT","74019","HCPCS","Both",,,"109","54.5","Medicaid",,"TC",,"37",,"39.89","11.89","84.48","percent of total billed charges",,
"XR AH ACUTE ABD SER SUP/ERECT UPRIGHT","74022","HCPCS","Both",,,"169","84.5","Alliant","Health Exchange","TC",,"62",,"104.78","16.59","130.98","percent of total billed charges",,
"XR AH ACUTE ABD SER SUP/ERECT UPRIGHT","74022","HCPCS","Both",,,"169","84.5","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"91.26","16.59","130.98","percent of total billed charges",,
"XR AH ACUTE ABD SER SUP/ERECT UPRIGHT","74022","HCPCS","Both",,,"169","84.5","Medicare",,"TC",,"54",,"91.6","16.59","130.98","percent of total billed charges",,
"XR AH ACUTE ABD SER SUP/ERECT UPRIGHT","74022","HCPCS","Both",,,"169","84.5","Humana","Medicare Advantage","TC",,"54",,"91.6","16.59","130.98","percent of total billed charges",,
"XR AH ACUTE ABD SER SUP/ERECT UPRIGHT","74022","HCPCS","Both",,,"169","84.5","UHC","Medicare Advantage","TC",,"54",,"91.6","16.59","130.98","percent of total billed charges",,
"XR AH ACUTE ABD SER SUP/ERECT UPRIGHT","74022","HCPCS","Both",,,"169","84.5","Clover","Medicare Advantage","TC",,"54",,"91.6","16.59","130.98","percent of total billed charges",,
"XR AH ACUTE ABD SER SUP/ERECT UPRIGHT","74022","HCPCS","Both",,,"169","84.5","Wellcare","Medicare Advantage","TC",,"54",,"91.6","16.59","130.98","percent of total billed charges",,
"XR AH ACUTE ABD SER SUP/ERECT UPRIGHT","74022","HCPCS","Both",,,"169","84.5","Amerigroup","Medicaid Managed Care","TC",,"37",,"61.85","16.59","130.98","percent of total billed charges",,
"XR AH ACUTE ABD SER SUP/ERECT UPRIGHT","74022","HCPCS","Both",,,"169","84.5","Caresource","Medicaid Managed Care","TC",,"40",,"67.6","16.59","130.98","percent of total billed charges",,
"XR AH ACUTE ABD SER SUP/ERECT UPRIGHT","74022","HCPCS","Both",,,"169","84.5","Wellcare","Medicaid Managed Care","TC",,"40",,"68.45","16.59","130.98","percent of total billed charges",,
"XR AH ACUTE ABD SER SUP/ERECT UPRIGHT","74022","HCPCS","Both",,,"169","84.5","Aetna","Commercial","TC",,"64",,"107.82","16.59","130.98","percent of total billed charges",,
"XR AH ACUTE ABD SER SUP/ERECT UPRIGHT","74022","HCPCS","Both",,,"169","84.5","Blue Cross Blue Shield","Pathways","TC",,"71",,"119.31","16.59","130.98","percent of total billed charges",,
"XR AH ACUTE ABD SER SUP/ERECT UPRIGHT","74022","HCPCS","Both",,,"169","84.5","Blue Cross Blue Shield","HMO","TC",,"71",,"119.31","16.59","130.98","percent of total billed charges",,
"XR AH ACUTE ABD SER SUP/ERECT UPRIGHT","74022","HCPCS","Both",,,"169","84.5","Blue Cross Blue Shield","PPO","TC",,"71",,"119.31","16.59","130.98","percent of total billed charges",,
"XR AH ACUTE ABD SER SUP/ERECT UPRIGHT","74022","HCPCS","Both",,,"169","84.5","Ambetter","Health Exchange","TC",,"62",,"104.78","16.59","130.98","percent of total billed charges",,
"XR AH ACUTE ABD SER SUP/ERECT UPRIGHT","74022","HCPCS","Both",,,"169","84.5","Caresource","Health Exchange","TC",,"62",,"104.78","16.59","130.98","percent of total billed charges",,
"XR AH ACUTE ABD SER SUP/ERECT UPRIGHT","74022","HCPCS","Both",,,"169","84.5","Cigna","Commercial","TC",,"59",,"99.03","16.59","130.98","percent of total billed charges",,
"XR AH ACUTE ABD SER SUP/ERECT UPRIGHT","74022","HCPCS","Both",,,"169","84.5","Humana","Commercial","TC",,"78",,"130.98","16.59","130.98","percent of total billed charges",,
"XR AH ACUTE ABD SER SUP/ERECT UPRIGHT","74022","HCPCS","Both",,,"169","84.5","UHC","Commercial","TC",,"75",,"127.43","16.59","130.98","percent of total billed charges",,
"XR AH ACUTE ABD SER SUP/ERECT UPRIGHT","74022","HCPCS","Both",,,"169","84.5","Medicaid",,"TC",,"37",,"61.85","16.59","130.98","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Alliant","Health Exchange","LT,TC",,"62",,"128.34","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Pruitt Healthcare","Medicare Advantage","LT,TC",,"54",,"111.78","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Medicare",,"LT,TC",,"54",,"112.19","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Humana","Medicare Advantage","LT,TC",,"54",,"112.19","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","UHC","Medicare Advantage","LT,TC",,"54",,"112.19","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Clover","Medicare Advantage","LT,TC",,"54",,"112.19","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Wellcare","Medicare Advantage","LT,TC",,"54",,"112.19","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Amerigroup","Medicaid Managed Care","LT,TC",,"37",,"75.76","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Caresource","Medicaid Managed Care","LT,TC",,"40",,"82.8","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Wellcare","Medicaid Managed Care","LT,TC",,"40",,"83.84","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Aetna","Commercial","LT,TC",,"64",,"132.07","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Blue Cross Blue Shield","Pathways","LT,TC",,"71",,"146.14","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Blue Cross Blue Shield","HMO","LT,TC",,"71",,"146.14","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Blue Cross Blue Shield","PPO","LT,TC",,"71",,"146.14","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Ambetter","Health Exchange","LT,TC",,"62",,"128.34","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Caresource","Health Exchange","LT,TC",,"62",,"128.34","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Cigna","Commercial","LT,TC",,"59",,"121.3","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Humana","Commercial","LT,TC",,"78",,"160.43","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","UHC","Commercial","LT,TC",,"75",,"156.08","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Medicaid",,"LT,TC",,"37",,"75.76","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Alliant","Health Exchange","LT,TC",,"62",,"209.25","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Pruitt Healthcare","Medicare Advantage","LT,TC",,"54",,"182.25","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Medicare",,"LT,TC",,"54",,"182.92","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Humana","Medicare Advantage","LT,TC",,"54",,"182.92","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","UHC","Medicare Advantage","LT,TC",,"54",,"182.92","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Clover","Medicare Advantage","LT,TC",,"54",,"182.92","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Wellcare","Medicare Advantage","LT,TC",,"54",,"182.92","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Amerigroup","Medicaid Managed Care","LT,TC",,"37",,"123.52","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Caresource","Medicaid Managed Care","LT,TC",,"40",,"135","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Wellcare","Medicaid Managed Care","LT,TC",,"40",,"136.69","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Aetna","Commercial","LT,TC",,"64",,"215.32","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Blue Cross Blue Shield","Pathways","LT,TC",,"71",,"238.27","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Blue Cross Blue Shield","HMO","LT,TC",,"71",,"238.27","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Blue Cross Blue Shield","PPO","LT,TC",,"71",,"238.27","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Ambetter","Health Exchange","LT,TC",,"62",,"209.25","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Caresource","Health Exchange","LT,TC",,"62",,"209.25","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Cigna","Commercial","LT,TC",,"59",,"197.77","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Humana","Commercial","LT,TC",,"78",,"261.56","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","UHC","Commercial","LT,TC",,"75",,"254.48","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY LEFT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Medicaid",,"LT,TC",,"37",,"123.52","59.19","261.56","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Alliant","Health Exchange","LT,TC",,"62",,"83.7","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Pruitt Healthcare","Medicare Advantage","LT,TC",,"54",,"72.9","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Medicare",,"LT,TC",,"54",,"73.17","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Humana","Medicare Advantage","LT,TC",,"54",,"73.17","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","UHC","Medicare Advantage","LT,TC",,"54",,"73.17","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Clover","Medicare Advantage","LT,TC",,"54",,"73.17","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Wellcare","Medicare Advantage","LT,TC",,"54",,"73.17","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Amerigroup","Medicaid Managed Care","LT,TC",,"37",,"49.41","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Caresource","Medicaid Managed Care","LT,TC",,"40",,"54","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Wellcare","Medicaid Managed Care","LT,TC",,"40",,"54.68","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Aetna","Commercial","LT,TC",,"64",,"86.13","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Blue Cross Blue Shield","Pathways","LT,TC",,"71",,"95.31","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Blue Cross Blue Shield","HMO","LT,TC",,"71",,"95.31","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Blue Cross Blue Shield","PPO","LT,TC",,"71",,"95.31","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Ambetter","Health Exchange","LT,TC",,"62",,"83.7","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Caresource","Health Exchange","LT,TC",,"62",,"83.7","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Cigna","Commercial","LT,TC",,"59",,"79.11","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Humana","Commercial","LT,TC",,"78",,"104.62","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","UHC","Commercial","LT,TC",,"75",,"101.79","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT W/O CONTRAST","73700","HCPCS","Both",,,"135","67.5","Medicaid",,"LT,TC",,"37",,"49.41","49.41","137.59","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Alliant","Health Exchange","LT,TC",,"62",,"419.43","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Pruitt Healthcare","Medicare Advantage","LT,TC",,"54",,"365.31","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Medicare",,"LT,TC",,"54",,"366.66","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Humana","Medicare Advantage","LT,TC",,"54",,"366.66","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","UHC","Medicare Advantage","LT,TC",,"54",,"366.66","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Clover","Medicare Advantage","LT,TC",,"54",,"366.66","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Wellcare","Medicare Advantage","LT,TC",,"54",,"366.66","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Amerigroup","Medicaid Managed Care","LT,TC",,"37",,"247.6","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Caresource","Medicaid Managed Care","LT,TC",,"40",,"270.6","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Wellcare","Medicaid Managed Care","LT,TC",,"40",,"273.98","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Aetna","Commercial","LT,TC",,"64",,"431.61","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","Pathways","LT,TC",,"71",,"477.61","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","HMO","LT,TC",,"71",,"477.61","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","PPO","LT,TC",,"71",,"477.61","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Ambetter","Health Exchange","LT,TC",,"62",,"419.43","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Caresource","Health Exchange","LT,TC",,"62",,"419.43","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Cigna","Commercial","LT,TC",,"59",,"396.43","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Humana","Commercial","LT,TC",,"78",,"524.29","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","UHC","Commercial","LT,TC",,"75",,"510.08","59.19","524.29","percent of total billed charges",,
"CT AH LOWER EXTREMITY LEFT W/CONTRAST","73701","HCPCS","Both",,,"676.5","338.25","Medicaid",,"LT,TC",,"37",,"247.6","59.19","524.29","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"198","99","Alliant","Health Exchange","TC",,"62",,"122.76","65.68","153.45","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"198","99","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"106.92","65.68","153.45","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"198","99","Medicare",,"TC",,"54",,"107.32","65.68","153.45","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"198","99","Humana","Medicare Advantage","TC",,"54",,"107.32","65.68","153.45","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"198","99","UHC","Medicare Advantage","TC",,"54",,"107.32","65.68","153.45","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"198","99","Clover","Medicare Advantage","TC",,"54",,"107.32","65.68","153.45","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"198","99","Wellcare","Medicare Advantage","TC",,"54",,"107.32","65.68","153.45","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"198","99","Amerigroup","Medicaid Managed Care","TC",,"37",,"72.47","65.68","153.45","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"198","99","Caresource","Medicaid Managed Care","TC",,"40",,"79.2","65.68","153.45","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"198","99","Wellcare","Medicaid Managed Care","TC",,"40",,"80.19","65.68","153.45","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"198","99","Aetna","Commercial","TC",,"64",,"126.32","65.68","153.45","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"198","99","Blue Cross Blue Shield","Pathways","TC",,"71",,"139.79","65.68","153.45","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"198","99","Blue Cross Blue Shield","HMO","TC",,"71",,"139.79","65.68","153.45","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"198","99","Blue Cross Blue Shield","PPO","TC",,"71",,"139.79","65.68","153.45","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"198","99","Ambetter","Health Exchange","TC",,"62",,"122.76","65.68","153.45","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"198","99","Caresource","Health Exchange","TC",,"62",,"122.76","65.68","153.45","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"198","99","Cigna","Commercial","TC",,"59",,"116.03","65.68","153.45","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"198","99","Humana","Commercial","TC",,"78",,"153.45","65.68","153.45","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"198","99","UHC","Commercial","TC",,"75",,"149.29","65.68","153.45","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/O CONTRAST","70490","HCPCS","Both",,,"198","99","Medicaid",,"TC",,"37",,"72.47","65.68","153.45","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"989.5","494.75","Alliant","Health Exchange","TC",,"62",,"613.49","70.71","766.86","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"989.5","494.75","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"534.33","70.71","766.86","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"989.5","494.75","Medicare",,"TC",,"54",,"536.31","70.71","766.86","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"989.5","494.75","Humana","Medicare Advantage","TC",,"54",,"536.31","70.71","766.86","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"989.5","494.75","UHC","Medicare Advantage","TC",,"54",,"536.31","70.71","766.86","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"989.5","494.75","Clover","Medicare Advantage","TC",,"54",,"536.31","70.71","766.86","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"989.5","494.75","Wellcare","Medicare Advantage","TC",,"54",,"536.31","70.71","766.86","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"989.5","494.75","Amerigroup","Medicaid Managed Care","TC",,"37",,"362.16","70.71","766.86","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"989.5","494.75","Caresource","Medicaid Managed Care","TC",,"40",,"395.8","70.71","766.86","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"989.5","494.75","Wellcare","Medicaid Managed Care","TC",,"40",,"400.75","70.71","766.86","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"989.5","494.75","Aetna","Commercial","TC",,"64",,"631.3","70.71","766.86","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"989.5","494.75","Blue Cross Blue Shield","Pathways","TC",,"71",,"698.59","70.71","766.86","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"989.5","494.75","Blue Cross Blue Shield","HMO","TC",,"71",,"698.59","70.71","766.86","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"989.5","494.75","Blue Cross Blue Shield","PPO","TC",,"71",,"698.59","70.71","766.86","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"989.5","494.75","Ambetter","Health Exchange","TC",,"62",,"613.49","70.71","766.86","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"989.5","494.75","Caresource","Health Exchange","TC",,"62",,"613.49","70.71","766.86","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"989.5","494.75","Cigna","Commercial","TC",,"59",,"579.85","70.71","766.86","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"989.5","494.75","Humana","Commercial","TC",,"78",,"766.86","70.71","766.86","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"989.5","494.75","UHC","Commercial","TC",,"75",,"746.08","70.71","766.86","percent of total billed charges",,
"CT AH SOFT TISSUE NECK W/CONTRAST","70491","HCPCS","Both",,,"989.5","494.75","Medicaid",,"TC",,"37",,"362.16","70.71","766.86","percent of total billed charges",,
"XR AH FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Alliant","Health Exchange","TC",,"62",,"81.22","13.33","101.52","percent of total billed charges",,
"XR AH FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"70.74","13.33","101.52","percent of total billed charges",,
"XR AH FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Medicare",,"TC",,"54",,"71","13.33","101.52","percent of total billed charges",,
"XR AH FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Humana","Medicare Advantage","TC",,"54",,"71","13.33","101.52","percent of total billed charges",,
"XR AH FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","UHC","Medicare Advantage","TC",,"54",,"71","13.33","101.52","percent of total billed charges",,
"XR AH FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Clover","Medicare Advantage","TC",,"54",,"71","13.33","101.52","percent of total billed charges",,
"XR AH FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Wellcare","Medicare Advantage","TC",,"54",,"71","13.33","101.52","percent of total billed charges",,
"XR AH FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Amerigroup","Medicaid Managed Care","TC",,"37",,"47.95","13.33","101.52","percent of total billed charges",,
"XR AH FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Caresource","Medicaid Managed Care","TC",,"40",,"52.4","13.33","101.52","percent of total billed charges",,
"XR AH FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Wellcare","Medicaid Managed Care","TC",,"40",,"53.06","13.33","101.52","percent of total billed charges",,
"XR AH FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Aetna","Commercial","TC",,"64",,"83.58","13.33","101.52","percent of total billed charges",,
"XR AH FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Blue Cross Blue Shield","Pathways","TC",,"71",,"92.49","13.33","101.52","percent of total billed charges",,
"XR AH FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Blue Cross Blue Shield","HMO","TC",,"71",,"92.49","13.33","101.52","percent of total billed charges",,
"XR AH FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Blue Cross Blue Shield","PPO","TC",,"71",,"92.49","13.33","101.52","percent of total billed charges",,
"XR AH FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Ambetter","Health Exchange","TC",,"62",,"81.22","13.33","101.52","percent of total billed charges",,
"XR AH FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Caresource","Health Exchange","TC",,"62",,"81.22","13.33","101.52","percent of total billed charges",,
"XR AH FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Cigna","Commercial","TC",,"59",,"76.77","13.33","101.52","percent of total billed charges",,
"XR AH FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Humana","Commercial","TC",,"78",,"101.52","13.33","101.52","percent of total billed charges",,
"XR AH FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","UHC","Commercial","TC",,"75",,"98.77","13.33","101.52","percent of total billed charges",,
"XR AH FACIAL BONES COMPLETE 3 VIEWS","70150","HCPCS","Both",,,"131","65.5","Medicaid",,"TC",,"37",,"47.95","13.33","101.52","percent of total billed charges",,
"CT AH MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"535","267.5","Alliant","Health Exchange","TC",,"62",,"331.7","47.66","414.62","percent of total billed charges",,
"CT AH MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"535","267.5","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"288.9","47.66","414.62","percent of total billed charges",,
"CT AH MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"535","267.5","Medicare",,"TC",,"54",,"289.97","47.66","414.62","percent of total billed charges",,
"CT AH MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"535","267.5","Humana","Medicare Advantage","TC",,"54",,"289.97","47.66","414.62","percent of total billed charges",,
"CT AH MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"535","267.5","UHC","Medicare Advantage","TC",,"54",,"289.97","47.66","414.62","percent of total billed charges",,
"CT AH MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"535","267.5","Clover","Medicare Advantage","TC",,"54",,"289.97","47.66","414.62","percent of total billed charges",,
"CT AH MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"535","267.5","Wellcare","Medicare Advantage","TC",,"54",,"289.97","47.66","414.62","percent of total billed charges",,
"CT AH MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"535","267.5","Amerigroup","Medicaid Managed Care","TC",,"37",,"195.81","47.66","414.62","percent of total billed charges",,
"CT AH MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"535","267.5","Caresource","Medicaid Managed Care","TC",,"40",,"214","47.66","414.62","percent of total billed charges",,
"CT AH MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"535","267.5","Wellcare","Medicaid Managed Care","TC",,"40",,"216.68","47.66","414.62","percent of total billed charges",,
"CT AH MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"535","267.5","Aetna","Commercial","TC",,"64",,"341.33","47.66","414.62","percent of total billed charges",,
"CT AH MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"535","267.5","Blue Cross Blue Shield","Pathways","TC",,"71",,"377.71","47.66","414.62","percent of total billed charges",,
"CT AH MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"535","267.5","Blue Cross Blue Shield","HMO","TC",,"71",,"377.71","47.66","414.62","percent of total billed charges",,
"CT AH MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"535","267.5","Blue Cross Blue Shield","PPO","TC",,"71",,"377.71","47.66","414.62","percent of total billed charges",,
"CT AH MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"535","267.5","Ambetter","Health Exchange","TC",,"62",,"331.7","47.66","414.62","percent of total billed charges",,
"CT AH MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"535","267.5","Caresource","Health Exchange","TC",,"62",,"331.7","47.66","414.62","percent of total billed charges",,
"CT AH MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"535","267.5","Cigna","Commercial","TC",,"59",,"313.51","47.66","414.62","percent of total billed charges",,
"CT AH MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"535","267.5","Humana","Commercial","TC",,"78",,"414.62","47.66","414.62","percent of total billed charges",,
"CT AH MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"535","267.5","UHC","Commercial","TC",,"75",,"403.39","47.66","414.62","percent of total billed charges",,
"CT AH MAXILLOFACIAL W/O CONTRAST","70486","HCPCS","Both",,,"535","267.5","Medicaid",,"TC",,"37",,"195.81","47.66","414.62","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Alliant","Health Exchange","RT,TC",,"62",,"128.34","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Pruitt Healthcare","Medicare Advantage","RT,TC",,"54",,"111.78","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Medicare",,"RT,TC",,"54",,"112.19","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Humana","Medicare Advantage","RT,TC",,"54",,"112.19","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","UHC","Medicare Advantage","RT,TC",,"54",,"112.19","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Clover","Medicare Advantage","RT,TC",,"54",,"112.19","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Wellcare","Medicare Advantage","RT,TC",,"54",,"112.19","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Amerigroup","Medicaid Managed Care","RT,TC",,"37",,"75.76","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Caresource","Medicaid Managed Care","RT,TC",,"40",,"82.8","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Wellcare","Medicaid Managed Care","RT,TC",,"40",,"83.84","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Aetna","Commercial","RT,TC",,"64",,"132.07","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Blue Cross Blue Shield","Pathways","RT,TC",,"71",,"146.14","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Blue Cross Blue Shield","HMO","RT,TC",,"71",,"146.14","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Blue Cross Blue Shield","PPO","RT,TC",,"71",,"146.14","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Ambetter","Health Exchange","RT,TC",,"62",,"128.34","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Caresource","Health Exchange","RT,TC",,"62",,"128.34","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Cigna","Commercial","RT,TC",,"59",,"121.3","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Humana","Commercial","RT,TC",,"78",,"160.43","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","UHC","Commercial","RT,TC",,"75",,"156.08","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/O CONTRAST","73200","HCPCS","Both",,,"207","103.5","Medicaid",,"RT,TC",,"37",,"75.76","50.52","160.43","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Alliant","Health Exchange","RT,TC",,"62",,"209.25","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Pruitt Healthcare","Medicare Advantage","RT,TC",,"54",,"182.25","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Medicare",,"RT,TC",,"54",,"182.92","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Humana","Medicare Advantage","RT,TC",,"54",,"182.92","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","UHC","Medicare Advantage","RT,TC",,"54",,"182.92","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Clover","Medicare Advantage","RT,TC",,"54",,"182.92","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Wellcare","Medicare Advantage","RT,TC",,"54",,"182.92","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Amerigroup","Medicaid Managed Care","RT,TC",,"37",,"123.52","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Caresource","Medicaid Managed Care","RT,TC",,"40",,"135","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Wellcare","Medicaid Managed Care","RT,TC",,"40",,"136.69","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Aetna","Commercial","RT,TC",,"64",,"215.32","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Blue Cross Blue Shield","Pathways","RT,TC",,"71",,"238.27","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Blue Cross Blue Shield","HMO","RT,TC",,"71",,"238.27","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Blue Cross Blue Shield","PPO","RT,TC",,"71",,"238.27","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Ambetter","Health Exchange","RT,TC",,"62",,"209.25","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Caresource","Health Exchange","RT,TC",,"62",,"209.25","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Cigna","Commercial","RT,TC",,"59",,"197.77","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Humana","Commercial","RT,TC",,"78",,"261.56","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","UHC","Commercial","RT,TC",,"75",,"254.48","59.19","261.56","percent of total billed charges",,
"CT AH UPPER EXTREMITY RIGHT W/CONTRAST","73201","HCPCS","Both",,,"337.5","168.75","Medicaid",,"RT,TC",,"37",,"123.52","59.19","261.56","percent of total billed charges",,
"XR AH SPINE CERVICAL 2 0R 3 VWS","72040","HCPCS","Both",,,"912","456","Alliant","Health Exchange","TC",,"62",,"565.44","11.52","706.8","percent of total billed charges",,
"XR AH SPINE CERVICAL 2 0R 3 VWS","72040","HCPCS","Both",,,"912","456","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"492.48","11.52","706.8","percent of total billed charges",,
"XR AH SPINE CERVICAL 2 0R 3 VWS","72040","HCPCS","Both",,,"912","456","Medicare",,"TC",,"54",,"494.3","11.52","706.8","percent of total billed charges",,
"XR AH SPINE CERVICAL 2 0R 3 VWS","72040","HCPCS","Both",,,"912","456","Humana","Medicare Advantage","TC",,"54",,"494.3","11.52","706.8","percent of total billed charges",,
"XR AH SPINE CERVICAL 2 0R 3 VWS","72040","HCPCS","Both",,,"912","456","UHC","Medicare Advantage","TC",,"54",,"494.3","11.52","706.8","percent of total billed charges",,
"XR AH SPINE CERVICAL 2 0R 3 VWS","72040","HCPCS","Both",,,"912","456","Clover","Medicare Advantage","TC",,"54",,"494.3","11.52","706.8","percent of total billed charges",,
"XR AH SPINE CERVICAL 2 0R 3 VWS","72040","HCPCS","Both",,,"912","456","Wellcare","Medicare Advantage","TC",,"54",,"494.3","11.52","706.8","percent of total billed charges",,
"XR AH SPINE CERVICAL 2 0R 3 VWS","72040","HCPCS","Both",,,"912","456","Amerigroup","Medicaid Managed Care","TC",,"37",,"333.79","11.52","706.8","percent of total billed charges",,
"XR AH SPINE CERVICAL 2 0R 3 VWS","72040","HCPCS","Both",,,"912","456","Caresource","Medicaid Managed Care","TC",,"40",,"364.8","11.52","706.8","percent of total billed charges",,
"XR AH SPINE CERVICAL 2 0R 3 VWS","72040","HCPCS","Both",,,"912","456","Wellcare","Medicaid Managed Care","TC",,"40",,"369.36","11.52","706.8","percent of total billed charges",,
"XR AH SPINE CERVICAL 2 0R 3 VWS","72040","HCPCS","Both",,,"912","456","Aetna","Commercial","TC",,"64",,"581.86","11.52","706.8","percent of total billed charges",,
"XR AH SPINE CERVICAL 2 0R 3 VWS","72040","HCPCS","Both",,,"912","456","Blue Cross Blue Shield","Pathways","TC",,"71",,"643.87","11.52","706.8","percent of total billed charges",,
"XR AH SPINE CERVICAL 2 0R 3 VWS","72040","HCPCS","Both",,,"912","456","Blue Cross Blue Shield","HMO","TC",,"71",,"643.87","11.52","706.8","percent of total billed charges",,
"XR AH SPINE CERVICAL 2 0R 3 VWS","72040","HCPCS","Both",,,"912","456","Blue Cross Blue Shield","PPO","TC",,"71",,"643.87","11.52","706.8","percent of total billed charges",,
"XR AH SPINE CERVICAL 2 0R 3 VWS","72040","HCPCS","Both",,,"912","456","Ambetter","Health Exchange","TC",,"62",,"565.44","11.52","706.8","percent of total billed charges",,
"XR AH SPINE CERVICAL 2 0R 3 VWS","72040","HCPCS","Both",,,"912","456","Caresource","Health Exchange","TC",,"62",,"565.44","11.52","706.8","percent of total billed charges",,
"XR AH SPINE CERVICAL 2 0R 3 VWS","72040","HCPCS","Both",,,"912","456","Cigna","Commercial","TC",,"59",,"534.43","11.52","706.8","percent of total billed charges",,
"XR AH SPINE CERVICAL 2 0R 3 VWS","72040","HCPCS","Both",,,"912","456","Humana","Commercial","TC",,"78",,"706.8","11.52","706.8","percent of total billed charges",,
"XR AH SPINE CERVICAL 2 0R 3 VWS","72040","HCPCS","Both",,,"912","456","UHC","Commercial","TC",,"75",,"687.65","11.52","706.8","percent of total billed charges",,
"XR AH SPINE CERVICAL 2 0R 3 VWS","72040","HCPCS","Both",,,"912","456","Medicaid",,"TC",,"37",,"333.79","11.52","706.8","percent of total billed charges",,